CN100528090C - 带有短距离联接的磁共振成像兼容驱动器的针芯取样活组织检查装置 - Google Patents

带有短距离联接的磁共振成像兼容驱动器的针芯取样活组织检查装置 Download PDF

Info

Publication number
CN100528090C
CN100528090C CNB2005101329765A CN200510132976A CN100528090C CN 100528090 C CN100528090 C CN 100528090C CN B2005101329765 A CNB2005101329765 A CN B2005101329765A CN 200510132976 A CN200510132976 A CN 200510132976A CN 100528090 C CN100528090 C CN 100528090C
Authority
CN
China
Prior art keywords
sickle
translation
tissue
biopsy apparatus
cutting
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Expired - Fee Related
Application number
CNB2005101329765A
Other languages
English (en)
Other versions
CN1799513A (zh
Inventor
约翰·A·希布纳
凯文·D·普雷德莫
劳伦斯·布伦
文森特·J·康蒂尼
詹姆斯·E·德沃夏斯凯
埃里克·R·纳文
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Devicor Medical Products Inc
Original Assignee
Ethicon Endo Surgery Inc
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Ethicon Endo Surgery Inc filed Critical Ethicon Endo Surgery Inc
Publication of CN1799513A publication Critical patent/CN1799513A/zh
Application granted granted Critical
Publication of CN100528090C publication Critical patent/CN100528090C/zh
Expired - Fee Related legal-status Critical Current
Anticipated expiration legal-status Critical

Links

Images

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B10/00—Other methods or instruments for diagnosis, e.g. instruments for taking a cell sample, for biopsy, for vaccination diagnosis; Sex determination; Ovulation-period determination; Throat striking implements
    • A61B10/02—Instruments for taking cell samples or for biopsy
    • A61B10/0233—Pointed or sharp biopsy instruments
    • A61B10/0266—Pointed or sharp biopsy instruments means for severing sample
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B10/00—Other methods or instruments for diagnosis, e.g. instruments for taking a cell sample, for biopsy, for vaccination diagnosis; Sex determination; Ovulation-period determination; Throat striking implements
    • A61B10/02—Instruments for taking cell samples or for biopsy
    • A61B10/0233—Pointed or sharp biopsy instruments
    • A61B10/0283—Pointed or sharp biopsy instruments with vacuum aspiration, e.g. caused by retractable plunger or by connected syringe
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00535—Surgical instruments, devices or methods, e.g. tourniquets pneumatically or hydraulically operated
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00535—Surgical instruments, devices or methods, e.g. tourniquets pneumatically or hydraulically operated
    • A61B2017/00539—Surgical instruments, devices or methods, e.g. tourniquets pneumatically or hydraulically operated hydraulically
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00535—Surgical instruments, devices or methods, e.g. tourniquets pneumatically or hydraulically operated
    • A61B2017/00544—Surgical instruments, devices or methods, e.g. tourniquets pneumatically or hydraulically operated pneumatically

Abstract

一种针芯取样活组织检查装置，通过由气动旋转马达或者由压电驱动马达驱动，可以兼容地在磁共振成像(MRI)环境中使用。该针芯取样活组织检查装置获得用于诊断或治疗目的的组织样本，如乳房组织活组织检查样本。该活组织检查装置可以包括具有远侧穿刺尖端的外部套管、切割器腔、与所述的切割器腔连通的侧组织端口以及至少一个布置在侧组织端口的远侧的流体通路。内部切割器可以在切割器腔内推进，行经过侧组织端口，以切割组织样本。

Description

带有短距离联接的磁共振成像兼容驱动器的针芯取样活组织检查装置
技术领域
本发明总的涉及活组织检查装置，更具体的说，涉及具有用于切割组织的切割器的活组织检查装置。
背景技术
对患有恶性肿瘤、处于癌前病变状态以及患有其它病症的患者的诊断和治疗是人们长期深入研究的领域。用于检查组织的非侵入性方法包括：触诊、X射线成像、磁共振成像(MRI)、计算机断层扫描(CT)以及超声成像。当医师怀疑组织可能包含癌细胞时，可以利用切开手术或经皮手术来进行活组织检查。对于切开手术，使用手术刀来形成较大的切口，以直接观察和接触所关注的组织块。然后可以将整块(切除活组织检查)或部分块(切口活组织检查)去除。在经皮活组织检查手术中，将针状器械插入穿过较小的切口，以接触所关注的组织块，并获得供随后检查和分析用的组织样本。
抽吸和针芯取样是两种用于从体内获取组织的穿刺方法。在抽吸过程中，使组织分解成碎片并且通过细针将其随流体介质吸出。与大多数其它取样技术相比，抽吸方法侵害性较小，但是由于通过抽吸切开的组织结构被破坏，仅留下用于分析的个别细胞，因此其应用有限。在针芯活组织检查中，以保护个别细胞和用于组织学检查的组织结构的方式获得组织的核心或者碎片。使用的活组织检查类型依赖于各种因素，没有一个过程对于所有的病例都是理想的。
目前以商标名MAMMOTOMETM出售的活组织检查器械可以从Ethicon Endo-Surgery，Inc公司买到，用于获得乳房活组织检查样本，例如在Hibner等人的2003年10月23日公开的申请号为No.2003/0199753的美国专利申请中所描述的，该文献在此全部引入作为参考。MAMMOTOMETM活组织检查器械适于仅通过一次经皮插入刺穿元件或钻孔口器到患者的乳房中而从患者获得多个组织样本。在将组织从周围组织切割下之前，操作者用MAMMOTOMETM活组织检查器械来“活性地”地获取(使用真空)组织。通过远程致动的真空系统将组织抽取到钻孔口器的远端处的侧端口内。一旦组织位于侧端口内，将切割器旋转并且通过钻孔口器的腔体将切割器推进越过所述侧端口。当切割器推进越过所述侧端口的开口时，其将位于所述端口内的组织从周围的组织切割开。当切割器缩回时，其将组织与其一块拉出并且将组织样本存放于患者体外。
MAMMOTOMETM针芯取样活组织检查器械的这种形式有利地兼容使用磁共振成像(MRI)系统。具体地说，在该器械中避免使用铁质材料，从而MRI系统中的强磁场不吸引该器械。另外，选择材料和电路，以通过不与由被检查的组织发出的弱RF场干涉而避免MRI图像中的伪像。具体地说，与所述的器械远距离放置的控制台提供真空、切割器马达控制以及图形用户界面。因此，柔性的驱动轴联接用于切割器平移和旋转的旋转运动。
尽管这种器械为MRI系统中的临床诊断和治疗过程提供了很多优点，然而存在其中需要提供不通过柔性驱动轴系到控制台上的MRI兼容针芯取样器械的临床应用。驱动轴尽管是柔性的，但是由于其有限的弯曲半径，它仍旧造成了限制。另外，驱动轴的每一段存在许多内在的扭曲，尤其是如果需要较长的驱动轴时，所述扭曲形成可能不利地作用于闭环控制的机械延迟。
在美国专利No.6,758,824中有描述了另一种普遍公知的用于进行针芯活组织检查取样的方法，其中使用气压来转动液压回转马达使切割器旋转，并且转动液压往复致动器使切割器平移。尽管一些人认为通过柔性气流导管连接的远程气源的使用是方便且经济的，然而这些普遍公知的气动针芯活组织检查系统具有一些缺点。
气动驱动马达的一个内在问题是反应时间慢并且在负载条件下不能保持所需的输出轴速度。这种现象与驱动该系统的气体的可压缩性有关。在活组织检查装置包含旋转和平移的中空切割器的情况下，如果遇到致密组织，气动驱动切割器的旋转速度可能下降，从而导致不一致的组织样本。并且如果切割器通过气动驱动的活塞-气缸机构来平移，那么切割器的平移速度可能会或者不会因为组织密度而改变。因此，当对异质组织进行取样时，切割器旋转速度和平移速度之间的不协调关系，加上气动驱动切割器的内在不良反应，经常导致组织样本重量的不同。应当认为当切割器穿过孔口的转数超过最低转数时，组织样本的重量更大并且更一致。
因此，非常需要一种针芯活组织检查装置，其能够以接近MRI机器和其它成像形式的方式使用而避免由通过相对长的机械驱动轴连接而造成的不便，并且避免由普遍公知的气动针芯活组织检查系统造成的样本尺寸不一致。
发明内容
本发明通过提供一种针芯取样活组织检查系统来解决现有技术中的这些和其它问题，所述活组织检查系统可以与磁共振(MRI)系统近距离兼容使用而不需要旋转机械驱动轴。作为替代，柔性动力导管驱动联接到活组织检查手持件上的旋转非铁马达。
在与本发明的各方面一致的一个方面中，活组织检查装置包括联接到受压气源上的旋转液压驱动马达。该驱动马达驱动切割器驱动组件，该切割器驱动组件以相对于其纵向平移的固定比率使圆柱形切割器沿切割器腔旋转。应当理解的是，穿过孔口的切割器转数与切割器旋转速度成正比并且与平移速度成反比的关系。因此，切割器旋转速度和平移速度之间的不协调关系加上气动驱动切割器的内在不良反应，可能会导致在采集异质组织样本时由于经过开口的切割器转数的不同引起组织样本重量的不同。然而，下面描述的切割器驱动组件基于旋转驱动轴和平移驱动轴之间的固定传动比，有利地保持了在任何速度时切割器旋转速度和平移速度之间的固定关系。例如，当切割器旋转速度下降时，切割器平移速度也下降，这使得通过孔口的切割器转数相同。同样，当切割器旋转速度增加时，切割器平移速度也增加，这使得通过开口时切割器转数相同。因此，由于下面描述的切割器驱动组件内在地保持了通过孔口时切割器的转数，不因遇到组织的密度不同，所以消除了与气动驱动切割器有关的通过孔口时切割器转数不一致的问题。
在本发明的另一个方面，固定比的切割器组件由压电驱动马达提供动力，该压电驱动马达有利地与MRI系统近距离兼容使用。
(1)本发明涉及一种活组织检查装置，包括：
穿刺管，在其远端附近具有用于接收脱垂的组织的孔口；
切割器管，其可在所述穿刺管内纵向地移动；
切割器驱动组件，其被可操作地构造成与切割器管的旋转速度成恒定比例地将所述切割器管向远侧平移经过所述孔口，用于切割所接收的脱垂组织；以及
非铁旋转马达，其被联接到向切割器驱动组件输入的输入端上。
(2)如项目(1)所述的活组织检查装置，其中，所述非铁旋转马达包括液压旋转马达。
(3)如项目(2)所述的活组织检查装置，其中，所述液压旋转马达包括气动旋转马达。
(4)如项目(1)所述的活组织检查装置，进一步包括真空辅助组件，其选择性地与切割器管连通，以实现组织脱垂。
(5)如项目(4)所述的活组织检查装置，进一步包括在切割器管的远端和真空辅助组件之间连通的真空腔。
(6)如项目(1)所述的活组织检查装置，其中，所述非铁马达包括压电旋转马达。
(7)如项目(6)所述的活组织检查装置，进一步包括将所述压电旋转马达联接到切割器驱动组件上的柔性驱动轴。
(8)如项目(1)所述的活组织检查装置，其中，所述切割器驱动组件进一步包括连接到平移轴和旋转驱动轴的单输入-双输出齿轮箱组件。
(9)如项目(8)所述的活组织检查装置，其中，所述切割器驱动组件进一步包括联接在所述平移轴和切割器管之间的平移托架以及联接在旋转驱动轴和切割器管之间的旋转托架。
(10)本发明还涉及一种活组织检查装置，包括：
穿刺管，在其远端附近具有用于接收脱垂的组织的孔口；
切割器管，其可在所述穿刺管内纵向地移动；
切割器驱动组件，其被可操作地构造成与切割器管的旋转速度成恒定比例地将所述切割器管向远侧平移经过所述孔口，用于切割所接收的脱垂组织的孔口；以及
液压旋转马达，其被连接到向切割器驱动组件输入的输入端上。
(11)如项目(10)所述的活组织检查装置，进一步包括真空辅助组件，其选择性地与切割器管连通，以实现组织脱垂。
(12)如项目(11)所述的活组织检查装置，进一步包括在切割器管的远端和真空辅助组件之间连通的真空腔。
(13)如项目(10)所述的活组织检查装置，其中，所述切割器驱动组件进一步包括连接到平移轴和旋转驱动轴的单输入-双输出齿轮箱组件。
(14)如项目(13)所述的活组织检查装置，其中，所述切割器驱动组件进一步包括联接在所述平移轴和切割器管之间的平移托架以及联接在旋转驱动轴和切割器管之间的旋转托架。
(15)本发明还涉及一种活组织检查装置，包括：
穿刺管，在其远端附近具有用于接收脱垂的组织的孔口；
切割器管，其可在所述穿刺管内纵向地移动；
切割器驱动组件，其被可操作地构造成与切割器管的旋转速度成恒定比例地将所述切割器管向远侧平移经过所述孔口，用于切割所接收的脱垂组织的孔口；以及
压电旋转马达，其被联接到向切割器驱动组件输入的输入端上。
(16)如项目(15)所述的活组织检查装置，进一步包括真空辅助组件，其选择性地与切割器管连通，以实现组织脱垂。
(17)如项目(16)所述的活组织检查装置，进一步包括在切割器管的远端和真空辅助组件之间连通的真空腔。
(18)如项目(16)所述的活组织检查装置，进一步包括将压电旋转马达联接到切割器装置组件上的柔性驱动轴。
(19)如项目(15)所述的活组织检查装置，其中，所述切割器驱动组件进一步包括连接在压电旋转马达、平移轴和旋转驱动轴之间的单输入-双输出齿轮箱组件。
(20)如项目(19)所述的活组织检查装置，其中，所述切割器驱动组件进一步包括联接在所述平移轴和切割器管之间的平移托架以及联接在旋转驱动轴和切割器管之间的旋转托架。
通过附图和对其进行的描述，可清楚地了解本发明的这些或者其它目的和优点。
附图说明
尽管说明书解释了具体指出本发明并明确要求本发明权利的权利要求书，然而应当认为，通过结合附图参考下面的说明，这些将更易于理解，其中：
图1是一种针芯取样活组织检查系统的局部轴测示意图，该系统包括具有短行程切割器的手持件，该切割器有利的是气动驱动；
图2是一种针芯取样活组织检查系统的局部轴测示意图，该系统包括具有短行程切割器的手持件，该切割器有利的是压电驱动；
图3是图1中手持件的探头组件去除机架时的轴测图；
图4是图3中探头组件沿线4-4截取的轴测剖视图，其中切割器和托架组件设置在近侧位置；
图5是图3中探头组件沿线4-4截取的轴测剖视图，其中切割器和托架组件设置在近端位置和远端位置之间；
图6是图3中探头组件沿线4-4截取的轴测剖视图，其中切割器和托架组件设置在远端位置；
图7是图3中探头组件的分解轴测图；以及
图8是沿近侧方向观察时用于图1-2的机架的单输入-双输的驱动组件的分解轴测图。
具体实施方式
气动活组织检查装置
在图1中，气动针芯取样活组织检查系统10包括可以舒适地单手握持并且可以单手操纵的手持件30。手持件30可以包括探头组件32和可拆卸地连接的机架34。探头组件32可例如通过第一侧管38和第二轴向管40被可操作地连接到真空源36上。第一和第二管38、40可以由柔性、透明或者半透明材料，如硅管、PVC管或者聚乙烯管制成。使用透明材料使得能够观察流过管38、40的物质。
第一管38可以包括用于连接到多个流体源的Y形连接件42。Y形连接件42的第一近端可以延伸到控制模块46内的第一螺线管控制旋转阀44，而Y形连接件42的第二近端可以延伸到控制模块46内的第二螺线管控制旋转阀48。控制模块46内的第一螺线管控制旋转阀44可以可操作地将真空源36或者压缩气源50连接到侧管38上。应当理解的是，在本说明书中压缩气体指的是气压为大气压或大于大气压。在一种构造中，当致动阀44时，从真空源36向管38供应真空，并且没有致动阀44时，通过管38供应来自压缩气源50的受压空气。如虚线54所示，与阀44连接的螺线管可以由控制模块46中的微处理器52控制。可以采用微处理器52来基于可移动地支撑在探头组件32内的切割器55(如图7所示)的位置自动调节阀44的位置。可以采用控制模块46内的第二螺线管控制旋转阀48来将生理盐水供应装置56(例如生理盐水供应袋，或者供选择的是，生理盐水的密封储存器)连接到管58上或者用来封闭管58的近端。例如，当致动手持件30上的一个开关60时，旋转阀48可以由微处理器52致动来供应生理盐水。当致动旋转阀48时，第一旋转阀44可以自动地停用(例如通过微处理器52)，以防止真空和生理盐水在侧管38内互相作用。如果需要，可以在侧真空管38内包含旋塞阀61，以允许通过注射器直接将生理盐水注入管38内。例如，可以采用注射器注入，以增加管内生理盐水的压力，从而排除可能发生的任何阻塞，例如组织阻塞流体通路。
在一种形式中，可以采用轴向真空管40，以通过组织储存组件62将真空从真空源36连通到探头组件32。轴向管40可以通过探头组件32内的切割器55提供真空，以帮助在切割之前将组织脱垂进入侧孔口64内。当进行切割之后，可以采用轴向管40内的真空来帮助将切割组织样本从探头组件32抽出并且使其进入到组织储存组件62内。机架34可以包括用于可操作地将手持件30连接到控制模块46的控制索66。
气动驱动马达70有利地取代了在普遍公知的MRI兼容的针芯取样活组织检查系统中使用的可选转驱动电缆。气动驱动马达70位于手持件30的近侧。该气动驱动马达70具有两条气体输入管路68和69。当将压缩气体施加到两条管路68、69中的一条上时，气动驱动马达70的输出轴(未示出)沿给定方向旋转。当将压缩气体施加到两条管路68、69中的另一条上时，气动驱动马达70的输出轴沿相反方向旋转。在每一种情况下，不运送压缩气体的气体输入管路68、69是用于压缩气体的排出管路或者排气管路。这种在关/输入1开和输入2排气/输入1排气和输入2开之间的转换可以通过控制气动转换阀72的微处理器52来实现，该气动转换阀72接收来自气源73的压缩空气并且选择性地将该压缩空气转换到气体输入管路68、69。压缩气体通过马达叶片组件(未示出)旋转气动驱动马达70的输出轴。然后该气体驱动马达70的输出轴驱动切割器驱动组件(图1中未示出)的输入轴。
气动驱动马达70的一个例子可以从Pro-Dex Micro Motors公司MMR-0770型而获得。
将开关10安装在机架的上壳74上，以使操作者能用单手使用手持件30。单手操作允许操作者的另一支手空闲，以例如用来握持超声成像装置。开关60可以包括用于手动致动切割器55运动的两位摇臂开关76(例如摇臂开关76的向前运动使切割器55沿前进(远侧)方向运动，以便进行组织取样，并且按键开关76的向后运动沿相反方向(近侧)致动切割器55)。供选择的是，切割器55可以由控制模块46自动地驱动。可以在机架34上设置附加开关78，以允许操作者根据需要致动生理盐水流进入到侧管38内(例如，开关78可以被构造成当用户按压开关78时，对阀48操作，以向管38提供生理盐水流。)
作为供选择的构造，应该注意的是，在此描述的气动驱动马达驱动组件可以使切割器在活组织检查装置内旋转和平移，其中切割器沿针的整个长度平移，以从患者身上提取组织。
压电马达驱动针芯取样活组织检查系统
在图2中，压电驱动的活组织检查系统10a与上述图1中描述的活组织检查系统类似，但是包括一些变化。具体的是，压电马达70a有利地完全或者部分地取代了普遍公知的机械的可旋转驱动电缆。压电驱动马达70a可以位于紧邻切割器驱动组件(在图2中未示出)近侧的位置。压电驱动马达70a通过电缆79由马达驱动器电路77驱动，该电路由电源72供电。应当理解的是，压电晶体材料的运动使连接到压电驱动马达70a的输出轴(未示出)上的转子旋转。然后压电驱动马达70a的输出轴驱动切割器驱动组件的输入轴。压电驱动马达70a的一个例子可以从Shinsei公司的型号为USR 10-E3N的驱动电机和型号为D6060的电子驱动器获得。
本压电马达的一个设计方面是马达的低功率密度。这导致压电马达与传统的给定额定功率的DC马达相比，具有相对大的体积。结果是压电驱动马达70a太大而不能直接连接到切割器驱动组件107的输入轴(图3)上，压电驱动马达70a的输出可以驱动可旋转驱动电缆81。这允许压电驱动马达70a与机架间隔一定距离设置，以减小机架质量。作为另外的供选择构造，一个压电马达可以旋转切割器组件，并且第二压电马达可以平移切割器组件。基于其材料性能，压电马达尤其适于MRI应用。应当注意的是，在此描述的压电马达驱动组件可以使切割器在活组织检查装置内旋转和平移，其中切割器沿针的整个长度平移，以从患者身上提取组织。
短行程切割器驱动组件
省略图1中的气动驱动马达70或者供选择的图2中的压电驱动马达70a，现在对手持件30的组成元件进行描述。图3示出了从机架34断开的探头组件32。探头组件32包括上壳80和下壳82，每个壳都可以由如聚碳酸脂的硬质生物相容的塑料注塑成型。探头组件32的最后组装之后，上下壳80、82可以通过许多已知的用于连接塑料部件的方法(包括但不限于超声焊接、按扣、过盈配合、以及胶接)中的任何一种沿连接边缘84连接到一起。
图4-7更详细地示出了探头组件32。图4示出了向近侧缩回的切割器组件和托架86。图5示出了部分推进的切割器组件和托架86。图6示出了向远侧推进的切割器组件和机架86。具体参照图7，探头组件32可以包括位于探头组件32的手柄89远端的活组织检查针(探头)88，用于插入到患者的皮肤内，以获取组织样本。针88包括细长的金属套管90，其可以包括用于接收切割器55的上部切割器腔92和用于提供流体和气体通路的下部真空腔94。切割器55可以设置于套管90内，并且可以被同轴地布置在切割器腔92内。
套管90可以具有任何适合的横截面形状，包括圆形或者椭圆形横截面。与套管90远端相邻且位于该远端近侧的是侧组织接收端口(侧孔口)64，用于接收要从患者身上切割的组织。针88的尖端可以由连接到套管90远端上的单独的端件96形成。端件96的尖端可以用于穿刺患者的皮肤，从而侧组织接收端口可以定位在欲取样的组织块处。端件96可以具有所示出那样的双侧、扁平状的尖端，或者具有适于穿透患者软组织的其它任何形状。
针88的近端可被连接到管接头套管98上，该管接头套管具有贯穿其内的纵向穿孔100以及通向孔100的变宽的中心部分的横向开口102。可以插入侧管38的远端，以便牢固地固定到管接头套管98的横向开口102内。这种连接允许流体(气体或液体)在下部真空腔94和侧管38之间连通。
可以是细长管状切割器的切割器55可以被至少部分地设置于上部切割器腔92内，并且可以被支撑，用于在切割器腔92内平移和旋转。切割器55可以被支撑在真空腔94内，以便可以沿远侧和近侧方向平移。切割器55可以具有尖锐的远端106，用于切开通过侧组织接收端口64接收在上部切割器腔92内的组织。切割器55可以由任何合适的材料形成，包括但不限于金属、聚合物、陶瓷或者这些材料的组合。为了切割通过侧组织端口64接收在切割器腔92内的组织，切割器55可以通过适合的切割器驱动组件107在切割器腔92内平移，从而远端106从侧组织端口64的近侧位置(图4中示出)向侧组织端口64的远侧位置(图6中示出)移动。在供选择的实施例中，可以采用外部切割器(未示出)，其中外部切割器与内部套管针同轴地滑动，并且该内部针可以包括侧组织接收口。
管接头套管98支撑在探头的上下壳80、82之间以确保切割器55和管接头套管98之间正确地对准。切割器55可以是中空管，其中样本腔108穿过切割器5轴向延伸。切割器55的近端可以延伸穿过切割器齿轮110的轴向孔。切割器齿轮110可以是金属的或者聚合物的，并且包括多个切割器齿轮齿112。切割器齿轮110可以由旋转驱动轴114驱动，该旋转驱动轴114具有多个设计用于与切割器齿轮齿112啮合的驱动齿轮齿116。如图4-6所示，驱动齿轮齿116可以沿驱动轴114的长度延伸，以便在切割器55从最近侧位置向最远侧位置平移时，啮合切割器齿轮齿112。当驱动轴114被旋转地驱动时，驱动齿轮齿116可以连续地与切割器齿轮齿112啮合，以旋转切割器55。当切割器通过组织接收端口64向远侧推进来切割组织时，驱动轴114旋转切割器55。驱动轴114可以由硬质的工程塑料(如液晶聚合材料)注塑成型，或者可供选择地可以由金属或者非金属材料制成。驱动轴114包括从该轴114向远侧延伸的第一轴端120。轴端120例如由模制在探头壳80、82内侧上的支承面结构122支撑，用于在探头下壳82内旋转。类似的，第二轴端124从旋转驱动轴114向近侧延伸，并且支撑在也可以模制在探头下壳82的内侧上的第二支承面结构126上。当将旋转驱动轴114安装在探头下壳82内时，可以在每一轴端120、124上设置一个O形环和轴衬(未示出)，以提供旋转支撑并且使轴114产生的可听到的噪音隔音。
如图4-6所示，驱动托架134设置在探头组件32内，以容纳切割器齿轮110，并且在向远侧方向和近侧方向平移时运送该切割器齿轮和相连接的切割器55。驱动托架134可以由硬质聚合物模制并具有沿轴向贯穿其内延伸的圆柱形孔136。一对J形钩状延伸部分从驱动托架134的一侧伸出。钩状延伸部分140可旋转地将切割器55支撑在切割器齿轮110的任意一侧上，以在驱动托架134向近侧和远侧平移期间提供切割器齿轮110和切割器55向近侧和远侧的平移。钩状延伸部分140与切割器55和切割器齿轮110沿合适的方向对准，以便切割器齿轮齿112与驱动齿轮齿116啮合。
驱动托架134支撑在平移轴142上。轴142通常平行于切割器55和旋转驱动轴114地支撑。通过采用导螺杆型驱动，平移轴142的旋转提供驱动托架134的平移(并且因此还提供切割器齿轮110和切割器55的平移)。轴142在其外表面上包括外部导螺杆螺纹结构，如导螺杆螺纹144。螺杆螺纹144延伸到驱动托架134中的孔136内。导螺杆螺纹144与配置在通孔口136的内表面上的内部螺旋状螺纹表面结构(未示出)啮合。因此，当轴142旋转时，驱动托架134沿轴142的螺纹结构144平移。切割器齿轮110和切割器55与驱动托架134一起平移。轴142向反方向的旋转使驱动托架134和切割器55向反方向平移。平移轴142可以由硬质工程塑料(如液晶聚合材料)制成或者供选择地可以由金属或者非金属材料制成。带有导螺杆螺纹结构144的平移轴142可以是模制、机械加工或者以其它工艺形成。同样，驱动托架134可以经过模制或者机械加工，以形成孔136内的内部螺旋状螺纹。根据轴142的旋转方向，轴142的旋转向远侧和近侧方向驱动托架和切割器齿轮110和切割器55，从而切割器55在探头组件32内平移。切割器齿轮110可以牢固地连接到切割器55上，从而切割器以与驱动托架134相同的方向和相同的速度平移。
在一种形式中，在导螺杆144的远端和近端，缩短螺旋状螺纹，从而螺纹的有效螺距宽度是零。在螺纹144的这些最远侧和最近侧位置，因为托架实际上脱离了螺纹144，所以不管轴142是否继续旋转，驱动托架134的平移不再由轴142驱动。如压缩的螺旋弹簧150a和150b(图7)的偏置构件，，设置在邻近螺杆螺纹144的远端和近端的轴142上。当托架脱离螺纹144时，弹簧150a-b使驱动托架134向后偏置成与导螺杆螺纹144啮合状态。当轴142继续沿相同的方向旋转时，零螺距宽的螺纹与弹簧150a-b结合地使托架134(并且由此使切割器55)在轴的端部“自由滑行”。在轴142的螺纹部分的近端，驱动托架134与弹簧150a啮合。在轴142的螺纹部分的远端，驱动托架134与弹簧150b啮合。当驱动托架134脱离螺杆螺纹144时，弹簧150a或150b与驱动托架134啮合并将驱动托架134向后偏置成与轴142的螺杆螺纹144啮合，在该位置处轴142的连续旋转再次使驱动托架脱离螺杆螺纹144。因此，只要轴142的旋转保持相同的方向，那么驱动托架134(和切割器55)将继续“自由滑行”，当托架由弹簧150a或150b选择性地偏置到螺纹144上并且然后由轴142的旋转使其脱离螺杆螺纹144时，切割器55的远端向近侧和远侧平移一小段距离。当切割器处于图6中所示的最远侧位置，其中切割器55的远端106设置于侧组织端口64的远侧时，弹簧150b将与驱动托架134啮合，并且在驱动托架脱离螺杆螺纹144时，反复地迫使驱动托架134向后与螺杆螺纹144啮合。因此，在切割器55被推进使得切割器55的远端106向远侧平移经过侧组织端口64来切割组织，并到达图6中所示的位置之后，轴142的继续旋转将导致远端106前后振荡、向近侧和远侧平移一小段距离，直到轴142的旋转方向相反为止(以便例如将切割器55向远侧缩回到图4中所示的位置)。切割器55处于图6所示的其最远侧位置时，在弹簧150b的偏置力作用下，驱动托架134轻微移动与螺杆螺纹144相啮合和脱离与螺杆螺纹144的啮合，使得切割器55的远端106在套管90内反复地往复运动一小段距离，该距离可以约等于螺纹144的螺距，并且该距离短于切割器在经过侧组织端口64时移动的距离。如下所述，切割器55的这种往复运动可以提供交替的覆盖和揭开至少一个设置于侧组织端口64远侧的流体通路。
由于导螺杆144的零螺距宽度端为切割器55的轴向平移提供确定的停止，因此消除了驱动托架134(即切割器55)接近螺纹的远端和近端时降低其速度的需要。这种确定的停止减小了驱动托架134相对于轴142的所需定位精度，从而导致过程的初始化中的校准时间减少。驱动托架134在平移轴142的最远侧和最近侧位置的自由滑行消除了在操作中要将轴142旋转精确的转数的需要。更确切地，平移轴142仅仅需要平移至少最低转数，以确保驱动托架已经沿导螺杆144的整个长度平移并平移到零螺距宽度螺纹处。另外，驱动托架134的自由滑行消除了将所述装置复位的需要，从而允许探头组件32插入到患者的组织内，而不用首先连接到机架34上。在将探头组件32插入后，将机架34连接并且可以开始取样。
如图7所示，可以设置非旋转后部管152，其中该管152可以从切割器55的近端延伸，该近端刚好位于切割器齿轮110的近侧。后部管152可以是中空的，并且可以具有基本上与切割器55相同的内径，并且可以由与切割器55相同的材料组成。密封件154可以设置在切割器55和后部管152之间，以使切割器55能相对于后部管152旋转，同时提供在后部管152和切割器55之间的气密密封。后部腔156可以穿过管152的长度延伸，并且可以与切割器55内的样本腔108对准。后部腔156将切除的组织样本从样本腔108经探头组件32传送到组织储存组件62。样本腔108和后部腔156同轴地对准，以在组织接收端口64和组织储存组件62之间提供连续的、通常为直管的无阻塞通路，用来输送组织样本。切割器55和管152的内表面可以涂有水性润滑材料，以帮助切除的组织样本向近侧输送。
为了将后部管152固定到驱动托架134上，侧延伸部分158可以由后部管152支撑并且从该后部管152向远侧延伸。延伸部分158将管152连接到驱动托架134上，从而后部管152随切割器55平移，并且使腔108、156在整个切割循环过程中保持连续的不透流体地连通。
单输入-双输出机架齿轮箱组件
在图8中，旋转驱动轴114和平移轴142由单驱动输入端180通过机架齿轮箱组件182经由单根可旋转输入端55(还是在图1中示出)驱动。而单驱动输入端180由气动驱动马达70(图1)或者压电马达70a(图2)驱动。可旋转驱动输入端180连接到驱动电缆输入联接器352上，以便向机架34提供旋转驱动。驱动轴354从输入联接器352向近侧外壳356延伸。在近侧外壳356内，输入齿轮360被安装到位于垫圈362和轴承389之间的输入驱动轴354上，以便啮合位于平移驱动轴364和旋转驱动轴366上的相应齿轮。输入齿轮360与平移轴齿轮370和旋转轴齿轮372的相互作用将旋转驱动传送给平移和旋转驱动轴364、366。平移和旋转驱动轴364、366从近侧外壳356穿过中心外壳374的一对孔延伸。平移和旋转齿轮370、372在近侧外壳和中心外壳之间由轴承376分开。
在中心外壳374的远侧，机架34包括用于向控制模块46提供有关驱动轴旋转的反馈信号的旋转编码器380。编码器380可以被安装在平移或者旋转驱动轴上。机架34还包括供选择的位于平移驱动轴364上的行星齿轮箱382。齿轮箱382在旋转驱动轴114和平移驱动轴142之间提供齿轮减速，以便形成用于驱动托架134平移和切割器55旋转的不同速度。在齿轮箱382和编码器380的远侧，驱动组件350包括外壳384。外壳384包括用于将平移轴142与平移驱动输入轴386相联接以及将旋转驱动轴114与旋转驱动输入轴388联接的连接件。驱动输入轴386、388的每一个具有远端，其具有可操作地与位于探头组件32内的相应驱动轴114、142上的狭缝啮合的形状。具体地说，平移驱动输入轴386具有啮合平移轴142的狭缝(图7所示)的形状，并且旋转驱动输入轴388具有啮合旋转驱动轴114的狭缝的形状。供选择的是，为了减少轴之间的连接长度，驱动输入轴可以具有模制界面而不是如图7和8所示的相配合的狭缝和尖端。平移和旋转驱动轴386、388从外壳384向远侧延伸，以便在探头组件32和机架34相连接时与驱动和平移轴114、142啮合。
尽管在此已经示出并描述了本发明的示例性形式，然而本领域普通技术人员可清楚地了解，这些实施例仅仅是作为例子提供。对于本领域技术人员来说，在不背离后附权利要求书的精神和范围的情况下，可以进行多种变型、改变和替换。另外，所描述的涉及本发明的每一元件可以被选择性的描述为用于执行该元件的功能的部件。
例如，尽管对微处理器控制模块46进行了有利地描述，可以理解的是，可以采用交替控制的方法。例如，手持件上的转换顺序可以致动气动阀，以引起旋转和平移。例如，可以手动地在手持件上将通向手持件的单根气体输入管路转换到旋转马达，以实现三种状态中的一种：关、顺时针和逆时针。
对于另一个例子，美国专利No.6,273,862中描述的针芯取样活组织检查系统也可以有利地从在此描述的MRI兼容动力源(例如气动、压电)中受益，上述美国专利的针芯取样活组织检查系统执行长的切割行程来取样并将样本从探头缩回。
对于又一个例子，尽管在此对真空辅助帮助实现诸如脱垂组织并通过探头提取组织进行了有利的描述，然而可以理解的是，与本发明一致的应用也会从气动或压电驱动的活组织检查装置中受益。
对于再一个例子，尽管在此描述的形式示例性地说明了压缩空气来驱动切割器驱动组件，然而可以理解的是，可以将不可压缩的流体用到与本发明的各方面一致的应用中。
对于再一个例子，尽管在此描述的形式示例性地说明了压缩空气来驱动切割器驱动组件，可以理解的是，在与本发明各方面一致的应用中，可以用真空来驱动气动马达然后来驱动切割器驱动组件。

Claims (9)

1.一种活组织检查装置，包括：
穿刺管，在其远端附近具有用于接收脱垂的组织的孔口；
切割器管，其能够在所述穿刺管内纵向地移动；
切割器驱动组件，其被可操作地构造成与切割器管的旋转速度成恒定比例地将所述切割器管向远侧平移经过所述孔口，用于切割所接收的脱垂组织；以及
非铁旋转马达，其被联接到向切割器驱动组件输入的输入端上。
2.如权利要求1所述的活组织检查装置，其特征为，所述非铁旋转马达包括液压旋转马达。
3.如权利要求2所述的活组织检查装置，其特征为，所述液压旋转马达包括气动旋转马达。
4.如权利要求1所述的活组织检查装置，进一步包括真空辅助组件，其选择性地与切割器管连通，以实现组织脱垂。
5.如权利要求4所述的活组织检查装置，进一步包括在切割器管的远端和真空辅助组件之间连通的真空腔。
6.如权利要求1所述的活组织检查装置，其特征为，所述非铁马达包括压电旋转马达。
7.如权利要求6所述的活组织检查装置，进一步包括将所述压电旋转马达联接到切割器驱动组件上的柔性驱动轴。
8.如权利要求1所述的活组织检查装置，其特征为，所述切割器驱动组件进一步包括连接到平移轴和旋转驱动轴的单输入-双输出齿轮箱组件。
9.如权利要求8所述的活组织检查装置，其特征为，所述切割器驱动组件进一步包括联接在所述平移轴和切割器管之间的平移托架以及联接在旋转驱动轴和切割器管之间的旋转托架。
CNB2005101329765A 2004-12-29 2005-12-29 带有短距离联接的磁共振成像兼容驱动器的针芯取样活组织检查装置 Expired - Fee Related CN100528090C (zh)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US11/025,556 US7611474B2 (en) 2004-12-29 2004-12-29 Core sampling biopsy device with short coupled MRI-compatible driver
US11/025,556 2004-12-29

Publications (2)

Publication Number Publication Date
CN1799513A CN1799513A (zh) 2006-07-12
CN100528090C true CN100528090C (zh) 2009-08-19

Family

ID=35913178

Family Applications (1)

Application Number Title Priority Date Filing Date
CNB2005101329765A Expired - Fee Related CN100528090C (zh) 2004-12-29 2005-12-29 带有短距离联接的磁共振成像兼容驱动器的针芯取样活组织检查装置

Country Status (8)

Country Link
US (2) US7611474B2 (zh)
EP (1) EP1676532B1 (zh)
JP (1) JP2006198401A (zh)
CN (1) CN100528090C (zh)
AU (1) AU2005245738B2 (zh)
CA (1) CA2531193C (zh)
DE (1) DE602005007694D1 (zh)
ES (1) ES2308407T3 (zh)

Families Citing this family (572)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7555333B2 (en) 2000-06-19 2009-06-30 University Of Washington Integrated optical scanning image acquisition and display
US20070049945A1 (en) 2002-05-31 2007-03-01 Miller Larry J Apparatus and methods to install, support and/or monitor performance of intraosseous devices
US9545243B2 (en) 2002-05-31 2017-01-17 Vidacare LLC Bone marrow aspiration devices and related methods
US9314228B2 (en) 2002-05-31 2016-04-19 Vidacare LLC Apparatus and method for accessing the bone marrow
US7951089B2 (en) 2002-05-31 2011-05-31 Vidacare Corporation Apparatus and methods to harvest bone and bone marrow
US8690791B2 (en) 2002-05-31 2014-04-08 Vidacare Corporation Apparatus and method to access the bone marrow
US11298202B2 (en) 2002-05-31 2022-04-12 Teleflex Life Sciences Limited Biopsy devices and related methods
US9072543B2 (en) 2002-05-31 2015-07-07 Vidacare LLC Vascular access kits and methods
US8142365B2 (en) 2002-05-31 2012-03-27 Vidacare Corporation Apparatus and method for accessing the bone marrow of the sternum
US11337728B2 (en) 2002-05-31 2022-05-24 Teleflex Life Sciences Limited Powered drivers, intraosseous devices and methods to access bone marrow
US8641715B2 (en) 2002-05-31 2014-02-04 Vidacare Corporation Manual intraosseous device
US7811260B2 (en) 2002-05-31 2010-10-12 Vidacare Corporation Apparatus and method to inject fluids into bone marrow and other target sites
US10973532B2 (en) 2002-05-31 2021-04-13 Teleflex Life Sciences Limited Powered drivers, intraosseous devices and methods to access bone marrow
WO2008033873A2 (en) 2006-09-12 2008-03-20 Vidacare Corporation Medical procedures trays and related methods
US8668698B2 (en) 2002-05-31 2014-03-11 Vidacare Corporation Assembly for coupling powered driver with intraosseous device
US10973545B2 (en) 2002-05-31 2021-04-13 Teleflex Life Sciences Limited Powered drivers, intraosseous devices and methods to access bone marrow
DE60328386D1 (de) 2002-05-31 2009-08-27 Vidacare Corp Vorrichtung und verfahren zum erreichen von knochenmark
US9060770B2 (en) 2003-05-20 2015-06-23 Ethicon Endo-Surgery, Inc. Robotically-driven surgical instrument with E-beam driver
US20070084897A1 (en) 2003-05-20 2007-04-19 Shelton Frederick E Iv Articulating surgical stapling instrument incorporating a two-piece e-beam firing mechanism
US9504477B2 (en) 2003-05-30 2016-11-29 Vidacare LLC Powered driver
US7901348B2 (en) 2003-12-12 2011-03-08 University Of Washington Catheterscope 3D guidance and interface system
US7815642B2 (en) 2004-01-26 2010-10-19 Vidacare Corporation Impact-driven intraosseous needle
CN101474088B (zh) 2004-01-26 2011-12-14 维达保健公司 手动式骨内器械
AU2005244978B2 (en) 2004-05-21 2011-10-06 Devicor Medical Products, Inc. MRI biopsy apparatus incorporating an imagable penetrating portion
US7708751B2 (en) 2004-05-21 2010-05-04 Ethicon Endo-Surgery, Inc. MRI biopsy device
US8932233B2 (en) 2004-05-21 2015-01-13 Devicor Medical Products, Inc. MRI biopsy device
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
US8998848B2 (en) 2004-11-12 2015-04-07 Vidacare LLC Intraosseous device and methods for accessing bone marrow in the sternum and other target areas
US7530948B2 (en) 2005-02-28 2009-05-12 University Of Washington Tethered capsule endoscope for Barrett's Esophagus screening
US7867173B2 (en) * 2005-08-05 2011-01-11 Devicor Medical Products, Inc. Biopsy device with replaceable probe and incorporating vibration insertion assist and static vacuum source sample stacking retrieval
US7934630B2 (en) 2005-08-31 2011-05-03 Ethicon Endo-Surgery, Inc. Staple cartridges for forming staples having differing formed staple heights
US8800838B2 (en) 2005-08-31 2014-08-12 Ethicon Endo-Surgery, Inc. Robotically-controlled cable-based surgical end effectors
US10159482B2 (en) 2005-08-31 2018-12-25 Ethicon Llc Fastener cartridge assembly comprising a fixed anvil and different staple heights
US9237891B2 (en) 2005-08-31 2016-01-19 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical stapling devices that produce formed staples having different lengths
US11484312B2 (en) 2005-08-31 2022-11-01 Cilag Gmbh International Staple cartridge comprising a staple driver arrangement
US7673781B2 (en) 2005-08-31 2010-03-09 Ethicon Endo-Surgery, Inc. Surgical stapling device with staple driver that supports multiple wire diameter staples
US11246590B2 (en) 2005-08-31 2022-02-15 Cilag Gmbh International Staple cartridge including staple drivers having different unfired heights
US7669746B2 (en) 2005-08-31 2010-03-02 Ethicon Endo-Surgery, Inc. Staple cartridges for forming staples having differing formed staple heights
US20070106317A1 (en) 2005-11-09 2007-05-10 Shelton Frederick E Iv Hydraulically and electrically actuated articulation joints for surgical instruments
EP1954193B1 (en) 2005-11-23 2013-03-06 University of Washington Scanning beam with variable sequential framing using interrupted scanning resonance
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
US20120292367A1 (en) 2006-01-31 2012-11-22 Ethicon Endo-Surgery, Inc. Robotically-controlled end effector
US8763879B2 (en) 2006-01-31 2014-07-01 Ethicon Endo-Surgery, Inc. Accessing data stored in a memory of surgical instrument
US9861359B2 (en) 2006-01-31 2018-01-09 Ethicon Llc Powered surgical instruments with firing system lockout arrangements
US20110006101A1 (en) 2009-02-06 2011-01-13 EthiconEndo-Surgery, Inc. Motor driven surgical fastener device with cutting member lockout arrangements
US7845537B2 (en) 2006-01-31 2010-12-07 Ethicon Endo-Surgery, Inc. Surgical instrument having recording capabilities
US8161977B2 (en) 2006-01-31 2012-04-24 Ethicon Endo-Surgery, Inc. Accessing data stored in a memory of a surgical instrument
US11224427B2 (en) 2006-01-31 2022-01-18 Cilag Gmbh International Surgical stapling system including a console and retraction assembly
US11278279B2 (en) 2006-01-31 2022-03-22 Cilag Gmbh International Surgical instrument assembly
US20110290856A1 (en) 2006-01-31 2011-12-01 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical instrument with force-feedback capabilities
US8820603B2 (en) 2006-01-31 2014-09-02 Ethicon Endo-Surgery, Inc. Accessing data stored in a memory of a surgical instrument
US8186555B2 (en) 2006-01-31 2012-05-29 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with mechanical closure system
US20110024477A1 (en) 2009-02-06 2011-02-03 Hall Steven G Driven Surgical Stapler Improvements
US11793518B2 (en) 2006-01-31 2023-10-24 Cilag Gmbh International Powered surgical instruments with firing system lockout arrangements
US8708213B2 (en) 2006-01-31 2014-04-29 Ethicon Endo-Surgery, Inc. Surgical instrument having a feedback system
JP2009528128A (ja) 2006-03-03 2009-08-06 ユニヴァーシティ オブ ワシントン 多クラッド光ファイバ走査器
US8236010B2 (en) 2006-03-23 2012-08-07 Ethicon Endo-Surgery, Inc. Surgical fastener and cutter with mimicking end effector
US8992422B2 (en) 2006-03-23 2015-03-31 Ethicon Endo-Surgery, Inc. Robotically-controlled endoscopic accessory channel
US8322455B2 (en) 2006-06-27 2012-12-04 Ethicon Endo-Surgery, Inc. Manually driven surgical cutting and fastening instrument
US20080029573A1 (en) * 2006-08-02 2008-02-07 Shelton Frederick E Pneumatically powered surgical cutting and fastening instrument with replaceable power sources
US7740159B2 (en) 2006-08-02 2010-06-22 Ethicon Endo-Surgery, Inc. Pneumatically powered surgical cutting and fastening instrument with a variable control of the actuating rate of firing with mechanical power assist
EP2068725B1 (en) 2006-09-12 2016-11-09 Vidacare LLC Apparatus for biopsy and aspiration of bone marrow
US8944069B2 (en) 2006-09-12 2015-02-03 Vidacare Corporation Assemblies for coupling intraosseous (IO) devices to powered drivers
CN104814768B (zh) 2006-09-12 2018-04-13 维达保健有限责任公司 医疗程序托盘及相关方法
US10568652B2 (en) 2006-09-29 2020-02-25 Ethicon Llc Surgical staples having attached drivers of different heights and stapling instruments for deploying the same
US8348131B2 (en) 2006-09-29 2013-01-08 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with mechanical indicator to show levels of tissue compression
US10130359B2 (en) 2006-09-29 2018-11-20 Ethicon Llc Method for forming a staple
US7763033B2 (en) 2006-10-18 2010-07-27 Interlace Medical, Inc. System and methods for preventing intravasation during intrauterine procedures
US8974410B2 (en) 2006-10-30 2015-03-10 Vidacare LLC Apparatus and methods to communicate fluids and/or support intraosseous devices
US9392935B2 (en) 2006-11-07 2016-07-19 Hologic, Inc. Methods for performing a medical procedure
US8025656B2 (en) 2006-11-07 2011-09-27 Hologic, Inc. Methods, systems and devices for performing gynecological procedures
US8105243B2 (en) * 2006-11-16 2012-01-31 Rubicor Medical, Llc Methods and devices for removing tissue from a patient and placing a marker in the patient
US20130324882A1 (en) * 2012-05-30 2013-12-05 Devicor Medical Products, Inc. Control for biopsy device
US8480595B2 (en) 2006-12-13 2013-07-09 Devicor Medical Products, Inc. Biopsy device with motorized needle cocking
EP1932481B1 (en) * 2006-12-13 2010-06-30 Ethicon Endo-Surgery, Inc. Biopsy system with vacuum control module
US9345457B2 (en) * 2006-12-13 2016-05-24 Devicor Medical Products, Inc. Presentation of biopsy sample by biopsy device
US8961551B2 (en) 2006-12-22 2015-02-24 The Spectranetics Corporation Retractable separating systems and methods
US9028520B2 (en) 2006-12-22 2015-05-12 The Spectranetics Corporation Tissue separating systems and methods
US8459520B2 (en) 2007-01-10 2013-06-11 Ethicon Endo-Surgery, Inc. Surgical instrument with wireless communication between control unit and remote sensor
US8684253B2 (en) 2007-01-10 2014-04-01 Ethicon Endo-Surgery, Inc. Surgical instrument with wireless communication between a control unit of a robotic system and remote sensor
US11291441B2 (en) 2007-01-10 2022-04-05 Cilag Gmbh International Surgical instrument with wireless communication between control unit and remote sensor
US8652120B2 (en) 2007-01-10 2014-02-18 Ethicon Endo-Surgery, Inc. Surgical instrument with wireless communication between control unit and sensor transponders
US11039836B2 (en) 2007-01-11 2021-06-22 Cilag Gmbh International Staple cartridge for use with a surgical stapling instrument
US8540128B2 (en) 2007-01-11 2013-09-24 Ethicon Endo-Surgery, Inc. Surgical stapling device with a curved end effector
EP2117439B1 (en) * 2007-01-15 2012-03-21 Jacques Phillibert Janssens Pneumatic device for taking a tissue sample
US7438209B1 (en) 2007-03-15 2008-10-21 Ethicon Endo-Surgery, Inc. Surgical stapling instruments having a releasable staple-forming pocket
US8893946B2 (en) 2007-03-28 2014-11-25 Ethicon Endo-Surgery, Inc. Laparoscopic tissue thickness and clamp load measuring devices
US8840566B2 (en) * 2007-04-02 2014-09-23 University Of Washington Catheter with imaging capability acts as guidewire for cannula tools
WO2008124463A2 (en) 2007-04-04 2008-10-16 Vidacare Corporation Powered drivers, intraosseous devices and methods to access bone marrow
US20090270895A1 (en) * 2007-04-06 2009-10-29 Interlace Medical, Inc. Low advance ratio, high reciprocation rate tissue removal device
US9095366B2 (en) 2007-04-06 2015-08-04 Hologic, Inc. Tissue cutter with differential hardness
US8574253B2 (en) 2007-04-06 2013-11-05 Hologic, Inc. Method, system and device for tissue removal
US9259233B2 (en) 2007-04-06 2016-02-16 Hologic, Inc. Method and device for distending a gynecological cavity
WO2008137710A1 (en) 2007-05-03 2008-11-13 University Of Washington High resolution optical coherence tomography based imaging for intraluminal and interstitial use implemented with a reduced form factor
US8534528B2 (en) 2007-06-04 2013-09-17 Ethicon Endo-Surgery, Inc. Surgical instrument having a multiple rate directional switching mechanism
US7905380B2 (en) 2007-06-04 2011-03-15 Ethicon Endo-Surgery, Inc. Surgical instrument having a multiple rate directional switching mechanism
US7832408B2 (en) 2007-06-04 2010-11-16 Ethicon Endo-Surgery, Inc. Surgical instrument having a directional switching mechanism
US8931682B2 (en) 2007-06-04 2015-01-13 Ethicon Endo-Surgery, Inc. Robotically-controlled shaft based rotary drive systems for surgical instruments
US11857181B2 (en) 2007-06-04 2024-01-02 Cilag Gmbh International Robotically-controlled shaft based rotary drive systems for surgical instruments
US7753245B2 (en) 2007-06-22 2010-07-13 Ethicon Endo-Surgery, Inc. Surgical stapling instruments
US8408439B2 (en) 2007-06-22 2013-04-02 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with an articulatable end effector
US11849941B2 (en) 2007-06-29 2023-12-26 Cilag Gmbh International Staple cartridge having staple cavities extending at a transverse angle relative to a longitudinal cartridge axis
US20090030436A1 (en) * 2007-07-27 2009-01-29 Charles Steven T Hydraulic acuation for microsurgical instruments
US8808200B2 (en) 2007-10-01 2014-08-19 Suros Surgical Systems, Inc. Surgical device and method of using same
US8202229B2 (en) * 2007-10-01 2012-06-19 Suros Surgical Systems, Inc. Surgical device
US7854706B2 (en) 2007-12-27 2010-12-21 Devicor Medical Products, Inc. Clutch and valving system for tetherless biopsy device
US8561870B2 (en) 2008-02-13 2013-10-22 Ethicon Endo-Surgery, Inc. Surgical stapling instrument
US8636736B2 (en) 2008-02-14 2014-01-28 Ethicon Endo-Surgery, Inc. Motorized surgical cutting and fastening instrument
US8752749B2 (en) 2008-02-14 2014-06-17 Ethicon Endo-Surgery, Inc. Robotically-controlled disposable motor-driven loading unit
US7819298B2 (en) 2008-02-14 2010-10-26 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with control features operable with one hand
US8758391B2 (en) 2008-02-14 2014-06-24 Ethicon Endo-Surgery, Inc. Interchangeable tools for surgical instruments
US7866527B2 (en) 2008-02-14 2011-01-11 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with interlockable firing system
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
US7861906B2 (en) 2008-02-14 2011-01-04 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with articulatable components
US8573465B2 (en) 2008-02-14 2013-11-05 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical end effector system with rotary actuated closure systems
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
US7819297B2 (en) 2008-02-14 2010-10-26 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with reprocessible handle assembly
RU2493788C2 (ru) 2008-02-14 2013-09-27 Этикон Эндо-Серджери, Инк. Хирургический режущий и крепежный инструмент, имеющий радиочастотные электроды
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
US9179912B2 (en) 2008-02-14 2015-11-10 Ethicon Endo-Surgery, Inc. Robotically-controlled motorized surgical cutting and fastening instrument
US8657174B2 (en) 2008-02-14 2014-02-25 Ethicon Endo-Surgery, Inc. Motorized surgical cutting and fastening instrument having handle based power source
US7819296B2 (en) 2008-02-14 2010-10-26 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with retractable firing systems
US10390823B2 (en) 2008-02-15 2019-08-27 Ethicon Llc End effector comprising an adjunct
US11272927B2 (en) 2008-02-15 2022-03-15 Cilag Gmbh International Layer arrangements for surgical staple cartridges
PL3476312T3 (pl) 2008-09-19 2024-03-11 Ethicon Llc Stapler chirurgiczny z urządzeniem do dopasowania wysokości zszywek
US7857186B2 (en) 2008-09-19 2010-12-28 Ethicon Endo-Surgery, Inc. Surgical stapler having an intermediate closing position
US9050083B2 (en) 2008-09-23 2015-06-09 Ethicon Endo-Surgery, Inc. Motorized surgical instrument
US9005230B2 (en) 2008-09-23 2015-04-14 Ethicon Endo-Surgery, Inc. Motorized surgical instrument
US9386983B2 (en) 2008-09-23 2016-07-12 Ethicon Endo-Surgery, Llc Robotically-controlled motorized surgical instrument
US11648005B2 (en) 2008-09-23 2023-05-16 Cilag Gmbh International Robotically-controlled motorized surgical instrument with an end effector
US8210411B2 (en) 2008-09-23 2012-07-03 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting instrument
US8608045B2 (en) 2008-10-10 2013-12-17 Ethicon Endo-Sugery, Inc. Powered surgical cutting and stapling apparatus with manually retractable firing system
US9931105B2 (en) * 2008-12-16 2018-04-03 Nico Corporation System and method of taking and collecting tissue cores for treatment
US20100160819A1 (en) * 2008-12-18 2010-06-24 Parihar Shailendra K Biopsy Device with Central Thumbwheel
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
BRPI1008667A2 (pt) 2009-02-06 2016-03-08 Ethicom Endo Surgery Inc aperfeiçoamento do grampeador cirúrgico acionado
US11903602B2 (en) 2009-04-29 2024-02-20 Hologic, Inc. Uterine fibroid tissue removal device
US8206316B2 (en) * 2009-06-12 2012-06-26 Devicor Medical Products, Inc. Tetherless biopsy device with reusable portion
US8851354B2 (en) 2009-12-24 2014-10-07 Ethicon Endo-Surgery, Inc. Surgical cutting instrument that analyzes tissue thickness
US8220688B2 (en) 2009-12-24 2012-07-17 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting instrument with electric actuator directional control assembly
US8529467B2 (en) 2010-03-30 2013-09-10 Siteselect Medical Technologies, Inc. Tissue excision device with a collapsible stylet
US8783543B2 (en) 2010-07-30 2014-07-22 Ethicon Endo-Surgery, Inc. Tissue acquisition arrangements and methods for surgical stapling devices
US9877720B2 (en) 2010-09-24 2018-01-30 Ethicon Llc Control features for articulating surgical device
US11298125B2 (en) 2010-09-30 2022-04-12 Cilag Gmbh International Tissue stapler having a thickness compensator
US9414838B2 (en) 2012-03-28 2016-08-16 Ethicon Endo-Surgery, Llc Tissue thickness compensator comprised of a plurality of materials
US8893949B2 (en) 2010-09-30 2014-11-25 Ethicon Endo-Surgery, Inc. Surgical stapler with floating anvil
US8740038B2 (en) 2010-09-30 2014-06-03 Ethicon Endo-Surgery, Inc. Staple cartridge comprising a releasable portion
US9220501B2 (en) 2010-09-30 2015-12-29 Ethicon Endo-Surgery, Inc. Tissue thickness compensators
US9629814B2 (en) 2010-09-30 2017-04-25 Ethicon Endo-Surgery, Llc Tissue thickness compensator configured to redistribute compressive forces
US9517063B2 (en) 2012-03-28 2016-12-13 Ethicon Endo-Surgery, Llc Movable member for use with a tissue thickness compensator
US9307989B2 (en) 2012-03-28 2016-04-12 Ethicon Endo-Surgery, Llc Tissue stapler having a thickness compensator incorportating a hydrophobic agent
US9386988B2 (en) 2010-09-30 2016-07-12 Ethicon End-Surgery, LLC Retainer assembly including a tissue thickness compensator
US9332974B2 (en) 2010-09-30 2016-05-10 Ethicon Endo-Surgery, Llc Layered tissue thickness compensator
AU2011308701B2 (en) 2010-09-30 2013-11-14 Ethicon Endo-Surgery, Inc. Fastener system comprising a retention matrix and an alignment matrix
US11925354B2 (en) 2010-09-30 2024-03-12 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
US11812965B2 (en) 2010-09-30 2023-11-14 Cilag Gmbh International Layer of material for a surgical end effector
US10945731B2 (en) 2010-09-30 2021-03-16 Ethicon Llc Tissue thickness compensator comprising controlled release and expansion
US9566061B2 (en) 2010-09-30 2017-02-14 Ethicon Endo-Surgery, Llc Fastener cartridge comprising a releasably attached tissue thickness compensator
US10123798B2 (en) 2010-09-30 2018-11-13 Ethicon Llc Tissue thickness compensator comprising controlled release and expansion
US9314246B2 (en) 2010-09-30 2016-04-19 Ethicon Endo-Surgery, Llc Tissue stapler having a thickness compensator incorporating an anti-inflammatory agent
US9216019B2 (en) 2011-09-23 2015-12-22 Ethicon Endo-Surgery, Inc. Surgical stapler with stationary staple drivers
US9241714B2 (en) 2011-04-29 2016-01-26 Ethicon Endo-Surgery, Inc. Tissue thickness compensator and method for making the same
US8695866B2 (en) 2010-10-01 2014-04-15 Ethicon Endo-Surgery, Inc. Surgical instrument having a power control circuit
US10307038B2 (en) * 2011-03-29 2019-06-04 Covidien Lp System and method for performing surgical procedures with a modular surgical system
JP2012213459A (ja) * 2011-03-31 2012-11-08 Ge Medical Systems Global Technology Co Llc コイル装置および磁気共鳴イメージング装置
AU2012250197B2 (en) 2011-04-29 2017-08-10 Ethicon Endo-Surgery, Inc. Staple cartridge comprising staples positioned within a compressible portion thereof
US9072535B2 (en) 2011-05-27 2015-07-07 Ethicon Endo-Surgery, Inc. Surgical stapling instruments with rotatable staple deployment arrangements
US11207064B2 (en) 2011-05-27 2021-12-28 Cilag Gmbh International Automated end effector component reloading system for use with a robotic system
US9050084B2 (en) 2011-09-23 2015-06-09 Ethicon Endo-Surgery, Inc. Staple cartridge including collapsible deck arrangement
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
MX353040B (es) 2012-03-28 2017-12-18 Ethicon Endo Surgery Inc Unidad retenedora que incluye un compensador de grosor de tejido.
US9198662B2 (en) 2012-03-28 2015-12-01 Ethicon Endo-Surgery, Inc. Tissue thickness compensator having improved visibility
JP6105041B2 (ja) 2012-03-28 2017-03-29 エシコン・エンド−サージェリィ・インコーポレイテッドＥｔｈｉｃｏｎ Ｅｎｄｏ−Ｓｕｒｇｅｒｙ，Ｉｎｃ． 低圧環境を画定するカプセルを含む組織厚コンペンセーター
BR112014024102B1 (pt) 2012-03-28 2022-03-03 Ethicon Endo-Surgery, Inc Conjunto de cartucho de prendedores para um instrumento cirúrgico, e conjunto de atuador de extremidade para um instrumento cirúrgico
US9724073B2 (en) 2012-04-16 2017-08-08 Jeff M. Hathaway Biopsy device
US9101358B2 (en) 2012-06-15 2015-08-11 Ethicon Endo-Surgery, Inc. Articulatable surgical instrument comprising a firing drive
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
US9125662B2 (en) 2012-06-28 2015-09-08 Ethicon Endo-Surgery, Inc. Multi-axis articulating and rotating surgical tools
US20140001231A1 (en) 2012-06-28 2014-01-02 Ethicon Endo-Surgery, Inc. Firing system lockout arrangements for surgical instruments
EP2866686A1 (en) 2012-06-28 2015-05-06 Ethicon Endo-Surgery, Inc. Empty clip cartridge lockout
US9072536B2 (en) 2012-06-28 2015-07-07 Ethicon Endo-Surgery, Inc. Differential locking arrangements for rotary powered surgical instruments
US9119657B2 (en) 2012-06-28 2015-09-01 Ethicon Endo-Surgery, Inc. Rotary actuatable closure arrangement for surgical end effector
US8747238B2 (en) 2012-06-28 2014-06-10 Ethicon Endo-Surgery, Inc. Rotary drive shaft assemblies for surgical instruments with articulatable end effectors
US20140001234A1 (en) 2012-06-28 2014-01-02 Ethicon Endo-Surgery, Inc. Coupling arrangements for attaching surgical end effectors to drive systems therefor
US9204879B2 (en) 2012-06-28 2015-12-08 Ethicon Endo-Surgery, Inc. Flexible drive member
US9289256B2 (en) 2012-06-28 2016-03-22 Ethicon Endo-Surgery, Llc Surgical end effectors having angled tissue-contacting surfaces
US11202631B2 (en) 2012-06-28 2021-12-21 Cilag Gmbh International Stapling assembly comprising a firing lockout
US9101385B2 (en) 2012-06-28 2015-08-11 Ethicon Endo-Surgery, Inc. Electrode connections for rotary driven surgical tools
US9561038B2 (en) 2012-06-28 2017-02-07 Ethicon Endo-Surgery, Llc Interchangeable clip applier
US9649111B2 (en) 2012-06-28 2017-05-16 Ethicon Endo-Surgery, Llc Replaceable clip cartridge for a clip applier
US9028494B2 (en) 2012-06-28 2015-05-12 Ethicon Endo-Surgery, Inc. Interchangeable end effector coupling arrangement
US9413896B2 (en) 2012-09-14 2016-08-09 The Spectranetics Corporation Tissue slitting methods and systems
WO2014058833A1 (en) * 2012-10-08 2014-04-17 The Johns Hopkins University Mri-safe robot for transrectal prostate biopsy
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
MX364729B (es) 2013-03-01 2019-05-06 Ethicon Endo Surgery Inc Instrumento quirúrgico con una parada suave.
BR112015021098B1 (pt) 2013-03-01 2022-02-15 Ethicon Endo-Surgery, Inc Cobertura para uma junta de articulação e instrumento cirúrgico
US9307986B2 (en) 2013-03-01 2016-04-12 Ethicon Endo-Surgery, Llc Surgical instrument soft stop
US9456872B2 (en) 2013-03-13 2016-10-04 The Spectranetics Corporation Laser ablation catheter
US20140263552A1 (en) 2013-03-13 2014-09-18 Ethicon Endo-Surgery, Inc. Staple cartridge tissue thickness sensor system
US9883885B2 (en) 2013-03-13 2018-02-06 The Spectranetics Corporation System and method of ablative cutting and pulsed vacuum aspiration
US9283040B2 (en) 2013-03-13 2016-03-15 The Spectranetics Corporation Device and method of ablative cutting with helical tip
US10383691B2 (en) 2013-03-13 2019-08-20 The Spectranetics Corporation Last catheter with helical internal lumen
US9291663B2 (en) 2013-03-13 2016-03-22 The Spectranetics Corporation Alarm for lead insulation abnormality
US9629629B2 (en) 2013-03-14 2017-04-25 Ethicon Endo-Surgey, LLC Control systems for surgical instruments
US10835279B2 (en) 2013-03-14 2020-11-17 Spectranetics Llc Distal end supported tissue slitting apparatus
US9888919B2 (en) 2013-03-14 2018-02-13 Ethicon Llc Method and system for operating a surgical instrument
US9668765B2 (en) 2013-03-15 2017-06-06 The Spectranetics Corporation Retractable blade for lead removal device
US10136913B2 (en) 2013-03-15 2018-11-27 The Spectranetics Corporation Multiple configuration surgical cutting device
WO2014151814A1 (en) 2013-03-15 2014-09-25 The Spectranetics Corporation Surgical instrument for removing an implanted object
US9603618B2 (en) 2013-03-15 2017-03-28 The Spectranetics Corporation Medical device for removing an implanted object
US10448999B2 (en) 2013-03-15 2019-10-22 The Spectranetics Corporation Surgical instrument for removing an implanted object
US9980743B2 (en) 2013-03-15 2018-05-29 The Spectranetics Corporation Medical device for removing an implanted object using laser cut hypotubes
US10842532B2 (en) 2013-03-15 2020-11-24 Spectranetics Llc Medical device for removing an implanted object
US9332984B2 (en) 2013-03-27 2016-05-10 Ethicon Endo-Surgery, Llc Fastener cartridge assemblies
US9572577B2 (en) 2013-03-27 2017-02-21 Ethicon Endo-Surgery, Llc Fastener cartridge comprising a tissue thickness compensator including openings therein
US9795384B2 (en) 2013-03-27 2017-10-24 Ethicon Llc Fastener cartridge comprising a tissue thickness compensator and a gap setting element
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
CA2918879A1 (en) * 2013-07-24 2015-01-29 Centre For Surgical Invention & Innovation Multi-function mounting interface for an image-guided robotic system and quick release interventional toolset
MX369362B (es) 2013-08-23 2019-11-06 Ethicon Endo Surgery Llc Dispositivos de retraccion de miembros de disparo para instrumentos quirurgicos electricos.
US9775609B2 (en) 2013-08-23 2017-10-03 Ethicon Llc Tamper proof circuit for surgical instrument battery pack
US20150173749A1 (en) 2013-12-23 2015-06-25 Ethicon Endo-Surgery, Inc. Surgical staples and staple cartridges
US20150173756A1 (en) 2013-12-23 2015-06-25 Ethicon Endo-Surgery, Inc. Surgical cutting and stapling methods
US9839428B2 (en) 2013-12-23 2017-12-12 Ethicon Llc Surgical cutting and stapling instruments with independent jaw control features
US9724092B2 (en) 2013-12-23 2017-08-08 Ethicon Llc Modular surgical instruments
US9962161B2 (en) 2014-02-12 2018-05-08 Ethicon Llc Deliverable surgical instrument
BR112016019387B1 (pt) 2014-02-24 2022-11-29 Ethicon Endo-Surgery, Llc Sistema de instrumento cirúrgico e cartucho de prendedores para uso com um instrumento cirúrgico de fixação
US9757124B2 (en) 2014-02-24 2017-09-12 Ethicon Llc Implantable layer assemblies
BR112016021943B1 (pt) 2014-03-26 2022-06-14 Ethicon Endo-Surgery, Llc Instrumento cirúrgico para uso por um operador em um procedimento cirúrgico
US9820738B2 (en) 2014-03-26 2017-11-21 Ethicon Llc Surgical instrument comprising interactive systems
US10028761B2 (en) 2014-03-26 2018-07-24 Ethicon Llc Feedback algorithms for manual bailout systems for surgical instruments
US9913642B2 (en) 2014-03-26 2018-03-13 Ethicon Llc Surgical instrument comprising a sensor system
US9826977B2 (en) 2014-03-26 2017-11-28 Ethicon Llc Sterilization verification circuit
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
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
US20150297225A1 (en) 2014-04-16 2015-10-22 Ethicon Endo-Surgery, Inc. Fastener cartridges including extensions having different configurations
JP6636452B2 (ja) 2014-04-16 2020-01-29 エシコン エルエルシーＥｔｈｉｃｏｎ ＬＬＣ 異なる構成を有する延在部を含む締結具カートリッジ
US9801628B2 (en) 2014-09-26 2017-10-31 Ethicon Llc Surgical staple and driver arrangements for staple cartridges
US11517315B2 (en) 2014-04-16 2022-12-06 Cilag Gmbh International Fastener cartridges including extensions having different configurations
US10405924B2 (en) 2014-05-30 2019-09-10 The Spectranetics Corporation System and method of ablative cutting and vacuum aspiration through primary orifice and auxiliary side port
US10045781B2 (en) 2014-06-13 2018-08-14 Ethicon Llc Closure lockout systems for surgical instruments
BR112017004361B1 (pt) 2014-09-05 2023-04-11 Ethicon Llc Sistema eletrônico para um instrumento cirúrgico
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
US10105142B2 (en) 2014-09-18 2018-10-23 Ethicon Llc Surgical stapler with plurality of cutting elements
CN107427300B (zh) 2014-09-26 2020-12-04 伊西康有限责任公司 外科缝合支撑物和辅助材料
US11523821B2 (en) 2014-09-26 2022-12-13 Cilag Gmbh International Method for creating a flexible staple line
US10076325B2 (en) 2014-10-13 2018-09-18 Ethicon Llc Surgical stapling apparatus comprising a tissue stop
US9924944B2 (en) 2014-10-16 2018-03-27 Ethicon Llc Staple cartridge comprising an adjunct material
US10517594B2 (en) 2014-10-29 2019-12-31 Ethicon Llc Cartridge assemblies for surgical staplers
US11141153B2 (en) 2014-10-29 2021-10-12 Cilag Gmbh International Staple cartridges comprising driver arrangements
US9844376B2 (en) 2014-11-06 2017-12-19 Ethicon Llc Staple cartridge comprising a releasable adjunct material
US10736636B2 (en) 2014-12-10 2020-08-11 Ethicon Llc Articulatable surgical instrument system
US10085748B2 (en) 2014-12-18 2018-10-02 Ethicon Llc Locking arrangements for detachable shaft assemblies with articulatable surgical end effectors
BR112017012996B1 (pt) 2014-12-18 2022-11-08 Ethicon Llc Instrumento cirúrgico com uma bigorna que é seletivamente móvel sobre um eixo geométrico imóvel distinto em relação a um cartucho de grampos
US10245027B2 (en) 2014-12-18 2019-04-02 Ethicon Llc Surgical instrument with an anvil that is selectively movable about a discrete non-movable axis relative to a staple cartridge
US10188385B2 (en) 2014-12-18 2019-01-29 Ethicon Llc Surgical instrument system comprising lockable systems
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
US9844375B2 (en) 2014-12-18 2017-12-19 Ethicon Llc Drive arrangements for articulatable surgical instruments
US9987000B2 (en) 2014-12-18 2018-06-05 Ethicon Llc Surgical instrument assembly comprising a flexible articulation system
US10117649B2 (en) 2014-12-18 2018-11-06 Ethicon Llc Surgical instrument assembly comprising a lockable articulation system
USD770616S1 (en) 2015-02-20 2016-11-01 The Spectranetics Corporation Medical device handle
USD765243S1 (en) 2015-02-20 2016-08-30 The Spectranetics Corporation Medical device handle
US11154301B2 (en) 2015-02-27 2021-10-26 Cilag Gmbh International Modular stapling assembly
US10226250B2 (en) 2015-02-27 2019-03-12 Ethicon Llc Modular stapling assembly
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
US10182816B2 (en) 2015-02-27 2019-01-22 Ethicon Llc Charging system that enables emergency resolutions for charging a battery
US9924961B2 (en) 2015-03-06 2018-03-27 Ethicon Endo-Surgery, Llc Interactive feedback system 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
US9895148B2 (en) 2015-03-06 2018-02-20 Ethicon Endo-Surgery, Llc Monitoring speed control and precision incrementing of motor for powered surgical instruments
US10687806B2 (en) 2015-03-06 2020-06-23 Ethicon Llc Adaptive tissue compression techniques to adjust closure rates for multiple tissue types
US9808246B2 (en) 2015-03-06 2017-11-07 Ethicon Endo-Surgery, Llc Method of operating a powered surgical instrument
US10441279B2 (en) 2015-03-06 2019-10-15 Ethicon Llc Multiple level thresholds to modify operation of powered surgical instruments
US10052044B2 (en) 2015-03-06 2018-08-21 Ethicon Llc Time dependent evaluation of sensor data to determine stability, creep, and viscoelastic elements of measures
US9901342B2 (en) 2015-03-06 2018-02-27 Ethicon Endo-Surgery, Llc Signal and power communication system positioned on a rotatable shaft
US10617412B2 (en) 2015-03-06 2020-04-14 Ethicon Llc System for detecting the mis-insertion of a staple cartridge into a surgical stapler
JP2020121162A (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
US9993248B2 (en) 2015-03-06 2018-06-12 Ethicon Endo-Surgery, Llc Smart sensors with local signal processing
US10245033B2 (en) 2015-03-06 2019-04-02 Ethicon Llc Surgical instrument comprising a lockable battery housing
US10390825B2 (en) 2015-03-31 2019-08-27 Ethicon Llc Surgical instrument with progressive rotary drive systems
US10178992B2 (en) 2015-06-18 2019-01-15 Ethicon Llc Push/pull articulation drive systems for articulatable surgical instruments
US10321963B2 (en) * 2015-08-04 2019-06-18 Vanderbilt University Apparatus and method for moving an elongate rod
US10835249B2 (en) 2015-08-17 2020-11-17 Ethicon Llc Implantable layers for a surgical instrument
MX2022009705A (es) 2015-08-26 2022-11-07 Ethicon Llc Metodo para formar una grapa contra un yunque de un instrumento de engrapado quirurgico.
US11103248B2 (en) 2015-08-26 2021-08-31 Cilag Gmbh International Surgical staples for minimizing staple roll
CN108348233B (zh) 2015-08-26 2021-05-07 伊西康有限责任公司 用于允许改变钉特性并实现轻松仓加载的外科钉条
US10314587B2 (en) 2015-09-02 2019-06-11 Ethicon Llc Surgical staple cartridge with improved staple driver configurations
MX2022006191A (es) 2015-09-02 2022-06-16 Ethicon Llc Configuraciones de grapas quirurgicas con superficies de leva situadas entre porciones que soportan grapas quirurgicas.
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
US10327769B2 (en) 2015-09-23 2019-06-25 Ethicon Llc Surgical stapler having motor control based on a drive system component
US10076326B2 (en) 2015-09-23 2018-09-18 Ethicon Llc Surgical stapler having current mirror-based motor control
US10363036B2 (en) 2015-09-23 2019-07-30 Ethicon Llc Surgical stapler having force-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
US11890015B2 (en) 2015-09-30 2024-02-06 Cilag Gmbh International Compressible adjunct with crossing spacer fibers
US10172620B2 (en) 2015-09-30 2019-01-08 Ethicon Llc Compressible adjuncts with bonding nodes
US10736633B2 (en) 2015-09-30 2020-08-11 Ethicon Llc Compressible adjunct with looping members
US10980539B2 (en) 2015-09-30 2021-04-20 Ethicon Llc Implantable adjunct comprising bonded layers
US10265068B2 (en) 2015-12-30 2019-04-23 Ethicon Llc Surgical instruments with separable motors and motor control circuits
US10292704B2 (en) 2015-12-30 2019-05-21 Ethicon Llc Mechanisms for compensating for battery pack failure in powered surgical instruments
US10368865B2 (en) 2015-12-30 2019-08-06 Ethicon Llc Mechanisms for compensating for drivetrain failure in powered surgical instruments
CN108882932B (zh) 2016-02-09 2021-07-23 伊西康有限责任公司 具有非对称关节运动构造的外科器械
US11213293B2 (en) 2016-02-09 2022-01-04 Cilag Gmbh International Articulatable surgical instruments with single articulation link arrangements
US10588625B2 (en) 2016-02-09 2020-03-17 Ethicon Llc Articulatable surgical instruments with off-axis firing beam arrangements
US10258331B2 (en) 2016-02-12 2019-04-16 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
US10448948B2 (en) 2016-02-12 2019-10-22 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
US10485542B2 (en) 2016-04-01 2019-11-26 Ethicon Llc Surgical stapling instrument comprising multiple lockouts
US10426467B2 (en) 2016-04-15 2019-10-01 Ethicon Llc Surgical instrument with detection sensors
US10828028B2 (en) 2016-04-15 2020-11-10 Ethicon Llc Surgical instrument with multiple program responses during a firing motion
US10492783B2 (en) 2016-04-15 2019-12-03 Ethicon, Llc Surgical instrument with improved stop/start control during a firing motion
US10405859B2 (en) 2016-04-15 2019-09-10 Ethicon Llc Surgical instrument with adjustable stop/start control during a firing motion
US10357247B2 (en) 2016-04-15 2019-07-23 Ethicon Llc Surgical instrument with multiple program responses during a firing motion
US10335145B2 (en) 2016-04-15 2019-07-02 Ethicon Llc Modular surgical instrument with configurable operating mode
US10456137B2 (en) 2016-04-15 2019-10-29 Ethicon Llc Staple formation detection mechanisms
US11179150B2 (en) 2016-04-15 2021-11-23 Cilag Gmbh International Systems and methods for controlling a surgical stapling and cutting instrument
US11607239B2 (en) 2016-04-15 2023-03-21 Cilag Gmbh International Systems and methods for controlling a surgical stapling and cutting instrument
US11413433B2 (en) 2016-04-17 2022-08-16 Acantha Medical, LLC Device and method for single-handed access and insertion of an article
US11285301B2 (en) 2016-04-17 2022-03-29 Acantha Medical, LLC Device and method for single-handed access and insertion of an article
US10426469B2 (en) 2016-04-18 2019-10-01 Ethicon Llc Surgical instrument comprising a primary firing lockout and a secondary firing lockout
US20170296173A1 (en) 2016-04-18 2017-10-19 Ethicon Endo-Surgery, Llc Method for operating a surgical instrument
US11317917B2 (en) 2016-04-18 2022-05-03 Cilag Gmbh International Surgical stapling system comprising a lockable firing assembly
WO2017205368A1 (en) * 2016-05-23 2017-11-30 The Johns Hopkins University Needle-guide robot with preset depth of insertion
USD847989S1 (en) 2016-06-24 2019-05-07 Ethicon Llc Surgical fastener cartridge
US10542979B2 (en) 2016-06-24 2020-01-28 Ethicon Llc Stamped staples and staple cartridges using the same
USD826405S1 (en) 2016-06-24 2018-08-21 Ethicon Llc Surgical fastener
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
USD850617S1 (en) 2016-06-24 2019-06-04 Ethicon Llc Surgical fastener cartridge
EP3875038B1 (en) * 2016-11-21 2023-06-07 C. R. Bard, Inc. Biopsy device having a hydraulic drive assembly
CN110099608B (zh) 2016-11-23 2022-07-29 巴德股份有限公司 单插入多试样的活检装置
US11134942B2 (en) 2016-12-21 2021-10-05 Cilag Gmbh International Surgical stapling instruments and staple-forming anvils
US10993715B2 (en) 2016-12-21 2021-05-04 Ethicon Llc Staple cartridge comprising staples with different clamping breadths
US10835246B2 (en) 2016-12-21 2020-11-17 Ethicon Llc Staple cartridges and arrangements of staples and staple cavities therein
US10888322B2 (en) 2016-12-21 2021-01-12 Ethicon Llc Surgical instrument comprising a cutting member
CN110099619B (zh) 2016-12-21 2022-07-15 爱惜康有限责任公司 用于外科端部执行器和可替换工具组件的闭锁装置
US10898186B2 (en) 2016-12-21 2021-01-26 Ethicon Llc Staple forming pocket arrangements comprising primary sidewalls and pocket sidewalls
US10758230B2 (en) 2016-12-21 2020-09-01 Ethicon Llc Surgical instrument with primary and safety processors
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
US10695055B2 (en) 2016-12-21 2020-06-30 Ethicon Llc Firing assembly comprising a lockout
US20180168648A1 (en) 2016-12-21 2018-06-21 Ethicon Endo-Surgery, Llc Durability features for end effectors and firing assemblies of surgical stapling instruments
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
US20180168618A1 (en) 2016-12-21 2018-06-21 Ethicon Endo-Surgery, Llc Surgical stapling systems
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
US10687810B2 (en) 2016-12-21 2020-06-23 Ethicon Llc Stepped staple cartridge with tissue retention and gap setting features
US11419606B2 (en) 2016-12-21 2022-08-23 Cilag Gmbh International Shaft assembly comprising a clutch configured to adapt the output of a rotary firing member to two different systems
BR112019011947A2 (pt) 2016-12-21 2019-10-29 Ethicon Llc sistemas de grampeamento cirúrgico
US10980536B2 (en) 2016-12-21 2021-04-20 Ethicon Llc No-cartridge and spent cartridge lockout arrangements for surgical staplers
US10542982B2 (en) 2016-12-21 2020-01-28 Ethicon Llc Shaft assembly comprising first and second articulation lockouts
US10485543B2 (en) 2016-12-21 2019-11-26 Ethicon Llc Anvil having a knife slot width
US10537325B2 (en) 2016-12-21 2020-01-21 Ethicon Llc Staple forming pocket arrangement to accommodate different types of staples
US10639034B2 (en) 2016-12-21 2020-05-05 Ethicon Llc Surgical instruments with lockout arrangements for preventing firing system actuation unless an unspent staple cartridge is present
US10426471B2 (en) 2016-12-21 2019-10-01 Ethicon Llc Surgical instrument with multiple failure response modes
US11684367B2 (en) 2016-12-21 2023-06-27 Cilag Gmbh International Stepped assembly having and end-of-life indicator
CN106880379B (zh) * 2017-03-22 2019-07-26 杭州森度医疗器械有限公司 一种乳腺微创手术自适应控制装置
US10368864B2 (en) 2017-06-20 2019-08-06 Ethicon Llc Systems and methods for controlling displaying motor velocity for a surgical instrument
US10646220B2 (en) 2017-06-20 2020-05-12 Ethicon Llc Systems and methods for controlling displacement member velocity for a surgical instrument
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
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
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
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
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
US10888321B2 (en) 2017-06-20 2021-01-12 Ethicon Llc Systems and methods for controlling velocity of a displacement member of a surgical stapling and cutting instrument
US10624633B2 (en) 2017-06-20 2020-04-21 Ethicon Llc Systems and methods for controlling motor velocity of a surgical stapling and cutting instrument
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
US10881396B2 (en) 2017-06-20 2021-01-05 Ethicon Llc Surgical instrument with variable duration trigger arrangement
US10327767B2 (en) 2017-06-20 2019-06-25 Ethicon Llc Control of motor velocity of a surgical stapling and cutting instrument based on angle of articulation
US11517325B2 (en) 2017-06-20 2022-12-06 Cilag Gmbh International Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on measured displacement distance traveled over a specified time interval
US11090046B2 (en) 2017-06-20 2021-08-17 Cilag Gmbh International Systems and methods for controlling displacement member motion of a surgical stapling and cutting instrument
US10779820B2 (en) 2017-06-20 2020-09-22 Ethicon Llc Systems and methods for controlling motor speed according to user input for a surgical instrument
USD879808S1 (en) 2017-06-20 2020-03-31 Ethicon Llc Display panel with graphical user interface
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
US11266405B2 (en) 2017-06-27 2022-03-08 Cilag Gmbh International Surgical anvil manufacturing methods
US11141154B2 (en) 2017-06-27 2021-10-12 Cilag Gmbh International Surgical end effectors and anvils
US10856869B2 (en) 2017-06-27 2020-12-08 Ethicon Llc Surgical anvil arrangements
US11324503B2 (en) 2017-06-27 2022-05-10 Cilag Gmbh International Surgical firing member arrangements
US10993716B2 (en) 2017-06-27 2021-05-04 Ethicon Llc Surgical anvil arrangements
US10772629B2 (en) 2017-06-27 2020-09-15 Ethicon Llc Surgical anvil arrangements
USD906355S1 (en) 2017-06-28 2020-12-29 Ethicon Llc Display screen or portion thereof with a graphical user interface for a surgical instrument
US10786253B2 (en) 2017-06-28 2020-09-29 Ethicon Llc Surgical end effectors with improved jaw aperture arrangements
US11564686B2 (en) 2017-06-28 2023-01-31 Cilag Gmbh International Surgical shaft assemblies with flexible interfaces
US11246592B2 (en) 2017-06-28 2022-02-15 Cilag Gmbh International Surgical instrument comprising an articulation system lockable to a frame
US10765427B2 (en) 2017-06-28 2020-09-08 Ethicon Llc Method for articulating a surgical instrument
US10211586B2 (en) 2017-06-28 2019-02-19 Ethicon Llc Surgical shaft assemblies with watertight housings
USD869655S1 (en) 2017-06-28 2019-12-10 Ethicon Llc Surgical fastener cartridge
US10716614B2 (en) 2017-06-28 2020-07-21 Ethicon Llc Surgical shaft assemblies with slip ring assemblies with increased contact pressure
EP3420947B1 (en) 2017-06-28 2022-05-25 Cilag GmbH International Surgical instrument comprising selectively actuatable rotatable couplers
US10903685B2 (en) 2017-06-28 2021-01-26 Ethicon Llc Surgical shaft assemblies with slip ring assemblies forming capacitive channels
USD854151S1 (en) 2017-06-28 2019-07-16 Ethicon Llc Surgical instrument shaft
USD851762S1 (en) 2017-06-28 2019-06-18 Ethicon Llc Anvil
US11389161B2 (en) 2017-06-28 2022-07-19 Cilag Gmbh International Surgical instrument comprising selectively actuatable rotatable couplers
US11259805B2 (en) 2017-06-28 2022-03-01 Cilag Gmbh International Surgical instrument comprising firing member supports
US10932772B2 (en) 2017-06-29 2021-03-02 Ethicon Llc Methods for closed loop velocity control for robotic surgical instrument
US10258418B2 (en) 2017-06-29 2019-04-16 Ethicon Llc System for controlling articulation forces
US10898183B2 (en) 2017-06-29 2021-01-26 Ethicon Llc Robotic surgical instrument with closed loop feedback techniques for advancement of closure member during firing
US10398434B2 (en) 2017-06-29 2019-09-03 Ethicon Llc Closed loop velocity control of closure member for robotic surgical instrument
US11007022B2 (en) 2017-06-29 2021-05-18 Ethicon Llc Closed loop velocity control techniques based on sensed tissue parameters for robotic surgical instrument
US11944300B2 (en) 2017-08-03 2024-04-02 Cilag Gmbh International Method for operating a surgical system bailout
US11471155B2 (en) 2017-08-03 2022-10-18 Cilag Gmbh International Surgical system bailout
US11304695B2 (en) 2017-08-03 2022-04-19 Cilag Gmbh International Surgical system shaft interconnection
USD907647S1 (en) 2017-09-29 2021-01-12 Ethicon Llc Display screen or portion thereof with animated graphical user interface
USD917500S1 (en) 2017-09-29 2021-04-27 Ethicon Llc Display screen or portion thereof with graphical user interface
USD907648S1 (en) 2017-09-29 2021-01-12 Ethicon Llc Display screen or portion thereof with animated 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
US10729501B2 (en) 2017-09-29 2020-08-04 Ethicon Llc Systems and methods for language selection of a surgical instrument
US11399829B2 (en) 2017-09-29 2022-08-02 Cilag Gmbh International Systems and methods of initiating a power shutdown mode for a surgical instrument
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
US11090075B2 (en) 2017-10-30 2021-08-17 Cilag Gmbh International Articulation features for surgical end effector
US11134944B2 (en) 2017-10-30 2021-10-05 Cilag Gmbh International Surgical stapler knife motion controls
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
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
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
US10869666B2 (en) 2017-12-15 2020-12-22 Ethicon Llc Adapters with control systems for controlling multiple motors of an electromechanical surgical instrument
US11033267B2 (en) 2017-12-15 2021-06-15 Ethicon Llc Systems and methods of controlling a clamping member firing rate of a surgical instrument
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
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
US10779825B2 (en) 2017-12-15 2020-09-22 Ethicon Llc Adapters with end effector position sensing and control arrangements for use in connection with electromechanical surgical instruments
US10779826B2 (en) 2017-12-15 2020-09-22 Ethicon Llc Methods of operating surgical end effectors
US11006955B2 (en) 2017-12-15 2021-05-18 Ethicon Llc End effectors with positive jaw opening features for use with adapters for electromechanical surgical instruments
US10835330B2 (en) 2017-12-19 2020-11-17 Ethicon Llc Method for determining the position of a rotatable jaw of a surgical instrument attachment assembly
US10716565B2 (en) 2017-12-19 2020-07-21 Ethicon Llc Surgical instruments with dual articulation drivers
US10729509B2 (en) 2017-12-19 2020-08-04 Ethicon Llc Surgical instrument comprising closure and firing locking mechanism
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
US11045270B2 (en) 2017-12-19 2021-06-29 Cilag Gmbh International Robotic attachment comprising exterior drive actuator
US11576668B2 (en) 2017-12-21 2023-02-14 Cilag Gmbh International Staple instrument comprising a firing path display
US11076853B2 (en) 2017-12-21 2021-08-03 Cilag Gmbh International Systems and methods of displaying a knife position during transection for a surgical instrument
US11311290B2 (en) 2017-12-21 2022-04-26 Cilag Gmbh International Surgical instrument comprising an end effector dampener
US11129680B2 (en) 2017-12-21 2021-09-28 Cilag Gmbh International Surgical instrument comprising a projector
CN112512441A (zh) * 2018-07-13 2021-03-16 Devicor医疗产业收购公司 具有自反向刀具驱动的活检装置
US11083458B2 (en) 2018-08-20 2021-08-10 Cilag Gmbh International Powered surgical instruments with clutching arrangements to convert linear drive motions to rotary drive motions
USD914878S1 (en) 2018-08-20 2021-03-30 Ethicon Llc Surgical instrument anvil
US10779821B2 (en) 2018-08-20 2020-09-22 Ethicon Llc Surgical stapler anvils with tissue stop features configured to avoid tissue pinch
US11045192B2 (en) 2018-08-20 2021-06-29 Cilag Gmbh International Fabricating techniques for surgical stapler anvils
US11253256B2 (en) 2018-08-20 2022-02-22 Cilag Gmbh International Articulatable motor powered surgical instruments with dedicated articulation motor arrangements
US11039834B2 (en) 2018-08-20 2021-06-22 Cilag Gmbh International Surgical stapler anvils with staple directing protrusions and tissue stability features
US11324501B2 (en) 2018-08-20 2022-05-10 Cilag Gmbh International Surgical stapling devices with improved closure members
US11207065B2 (en) 2018-08-20 2021-12-28 Cilag Gmbh International Method for fabricating surgical stapler anvils
US10856870B2 (en) 2018-08-20 2020-12-08 Ethicon Llc Switching arrangements for motor powered articulatable surgical instruments
US11291440B2 (en) 2018-08-20 2022-04-05 Cilag Gmbh International Method for operating a powered articulatable surgical instrument
US10912559B2 (en) 2018-08-20 2021-02-09 Ethicon Llc Reinforced deformable anvil tip for surgical stapler anvil
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
US11147553B2 (en) 2019-03-25 2021-10-19 Cilag Gmbh International Firing drive arrangements for surgical systems
US11696761B2 (en) 2019-03-25 2023-07-11 Cilag Gmbh International Firing drive arrangements for surgical systems
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
US11903581B2 (en) 2019-04-30 2024-02-20 Cilag Gmbh International Methods for stapling tissue using a surgical instrument
US11426251B2 (en) 2019-04-30 2022-08-30 Cilag Gmbh International Articulation directional lights on a surgical instrument
US11432816B2 (en) 2019-04-30 2022-09-06 Cilag Gmbh International Articulation pin for a surgical instrument
US11253254B2 (en) 2019-04-30 2022-02-22 Cilag Gmbh International Shaft rotation actuator on a surgical instrument
US11471157B2 (en) 2019-04-30 2022-10-18 Cilag Gmbh International Articulation control mapping for a surgical instrument
US11452528B2 (en) 2019-04-30 2022-09-27 Cilag Gmbh International Articulation actuators for a surgical instrument
US11648009B2 (en) 2019-04-30 2023-05-16 Cilag Gmbh International Rotatable jaw tip for a surgical instrument
US11426167B2 (en) 2019-06-28 2022-08-30 Cilag Gmbh International Mechanisms for proper anvil attachment surgical stapling head assembly
US11523822B2 (en) 2019-06-28 2022-12-13 Cilag Gmbh International Battery pack including a circuit interrupter
US11246678B2 (en) 2019-06-28 2022-02-15 Cilag Gmbh International Surgical stapling system having a frangible RFID tag
US11224497B2 (en) 2019-06-28 2022-01-18 Cilag Gmbh International Surgical systems with multiple RFID tags
US11298127B2 (en) 2019-06-28 2022-04-12 Cilag GmbH Interational Surgical stapling system having a lockout mechanism for an incompatible cartridge
US11627959B2 (en) 2019-06-28 2023-04-18 Cilag Gmbh International Surgical instruments including manual and powered system lockouts
US11298132B2 (en) 2019-06-28 2022-04-12 Cilag GmbH Inlernational Staple cartridge including a honeycomb extension
US11771419B2 (en) 2019-06-28 2023-10-03 Cilag Gmbh International Packaging for a replaceable component of a surgical stapling system
US11376098B2 (en) 2019-06-28 2022-07-05 Cilag Gmbh International Surgical instrument system comprising an RFID system
US11241235B2 (en) 2019-06-28 2022-02-08 Cilag Gmbh International Method of using multiple RFID chips with a surgical assembly
US11259803B2 (en) 2019-06-28 2022-03-01 Cilag Gmbh International Surgical stapling system having an information encryption protocol
US11291451B2 (en) 2019-06-28 2022-04-05 Cilag Gmbh International Surgical instrument with battery compatibility verification functionality
US11553971B2 (en) 2019-06-28 2023-01-17 Cilag Gmbh International Surgical RFID assemblies for display and communication
US11638587B2 (en) 2019-06-28 2023-05-02 Cilag Gmbh International RFID identification systems for surgical instruments
US11660163B2 (en) 2019-06-28 2023-05-30 Cilag Gmbh International Surgical system with RFID tags for updating motor assembly parameters
US11219455B2 (en) 2019-06-28 2022-01-11 Cilag Gmbh International Surgical instrument including a lockout key
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
US11478241B2 (en) 2019-06-28 2022-10-25 Cilag Gmbh International Staple cartridge including projections
US11051807B2 (en) 2019-06-28 2021-07-06 Cilag Gmbh International Packaging assembly including a particulate trap
US11684434B2 (en) 2019-06-28 2023-06-27 Cilag Gmbh International Surgical RFID assemblies for instrument operational setting control
US11464601B2 (en) 2019-06-28 2022-10-11 Cilag Gmbh International Surgical instrument comprising an RFID system for tracking a movable component
US11504122B2 (en) 2019-12-19 2022-11-22 Cilag Gmbh International Surgical instrument comprising a nested firing member
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
US11291447B2 (en) 2019-12-19 2022-04-05 Cilag Gmbh International Stapling instrument comprising independent jaw closing and staple firing systems
US11931033B2 (en) 2019-12-19 2024-03-19 Cilag Gmbh International Staple cartridge comprising a latch lockout
US11559304B2 (en) 2019-12-19 2023-01-24 Cilag Gmbh International Surgical instrument comprising a rapid closure mechanism
US11464512B2 (en) 2019-12-19 2022-10-11 Cilag Gmbh International Staple cartridge comprising a curved deck surface
US11529139B2 (en) 2019-12-19 2022-12-20 Cilag Gmbh International Motor driven surgical instrument
US11607219B2 (en) 2019-12-19 2023-03-21 Cilag Gmbh International Staple cartridge comprising a detachable tissue cutting knife
US11529137B2 (en) 2019-12-19 2022-12-20 Cilag Gmbh International Staple cartridge comprising driver retention members
US11234698B2 (en) 2019-12-19 2022-02-01 Cilag Gmbh International Stapling system comprising a clamp lockout and a firing lockout
US11911032B2 (en) 2019-12-19 2024-02-27 Cilag Gmbh International Staple cartridge comprising a seating cam
US11844520B2 (en) 2019-12-19 2023-12-19 Cilag Gmbh International Staple cartridge comprising driver retention members
US11446029B2 (en) 2019-12-19 2022-09-20 Cilag Gmbh International Staple cartridge comprising projections extending from a curved deck surface
US11701111B2 (en) 2019-12-19 2023-07-18 Cilag Gmbh International Method for operating a surgical stapling instrument
US11304696B2 (en) 2019-12-19 2022-04-19 Cilag Gmbh International Surgical instrument comprising a powered articulation system
USD975851S1 (en) 2020-06-02 2023-01-17 Cilag Gmbh International Staple cartridge
USD975850S1 (en) 2020-06-02 2023-01-17 Cilag Gmbh International Staple cartridge
USD966512S1 (en) 2020-06-02 2022-10-11 Cilag Gmbh International Staple cartridge
USD975278S1 (en) 2020-06-02 2023-01-10 Cilag Gmbh International Staple cartridge
USD974560S1 (en) 2020-06-02 2023-01-03 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
US20220031351A1 (en) 2020-07-28 2022-02-03 Cilag Gmbh International Surgical instruments with differential articulation joint arrangements for accommodating flexible actuators
US11534259B2 (en) 2020-10-29 2022-12-27 Cilag Gmbh International Surgical instrument comprising an articulation indicator
USD980425S1 (en) 2020-10-29 2023-03-07 Cilag Gmbh International Surgical instrument assembly
US11896217B2 (en) 2020-10-29 2024-02-13 Cilag Gmbh International Surgical instrument comprising an articulation lock
US11517390B2 (en) 2020-10-29 2022-12-06 Cilag Gmbh International Surgical instrument comprising a limited travel switch
US11844518B2 (en) 2020-10-29 2023-12-19 Cilag Gmbh International Method for operating a surgical instrument
USD1013170S1 (en) 2020-10-29 2024-01-30 Cilag Gmbh International Surgical instrument assembly
US11779330B2 (en) 2020-10-29 2023-10-10 Cilag Gmbh International Surgical instrument comprising a jaw alignment system
US11717289B2 (en) 2020-10-29 2023-08-08 Cilag Gmbh International Surgical instrument comprising an indicator which indicates that an articulation drive is actuatable
US11931025B2 (en) 2020-10-29 2024-03-19 Cilag Gmbh International Surgical instrument comprising a releasable closure drive lock
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
US11452526B2 (en) 2020-10-29 2022-09-27 Cilag Gmbh International Surgical instrument comprising a staged voltage regulation start-up system
US11849943B2 (en) 2020-12-02 2023-12-26 Cilag Gmbh International Surgical instrument with cartridge release mechanisms
US11627960B2 (en) 2020-12-02 2023-04-18 Cilag Gmbh International Powered surgical instruments with smart reload with separately attachable exteriorly mounted wiring connections
US11890010B2 (en) 2020-12-02 2024-02-06 Cllag GmbH International Dual-sided reinforced reload for surgical instruments
US11653915B2 (en) 2020-12-02 2023-05-23 Cilag Gmbh International Surgical instruments with sled location detection and adjustment features
US11944296B2 (en) 2020-12-02 2024-04-02 Cilag Gmbh International Powered surgical instruments with external connectors
US11744581B2 (en) 2020-12-02 2023-09-05 Cilag Gmbh International Powered surgical instruments with multi-phase tissue treatment
US11653920B2 (en) 2020-12-02 2023-05-23 Cilag Gmbh International Powered surgical instruments with communication interfaces through sterile barrier
US11737751B2 (en) 2020-12-02 2023-08-29 Cilag Gmbh International Devices and methods of managing energy dissipated within sterile barriers of surgical instrument housings
US11678882B2 (en) 2020-12-02 2023-06-20 Cilag Gmbh International Surgical instruments with interactive features to remedy incidental sled movements
US11812964B2 (en) 2021-02-26 2023-11-14 Cilag Gmbh International Staple cartridge comprising a power management circuit
US11744583B2 (en) 2021-02-26 2023-09-05 Cilag Gmbh International Distal communication array to tune frequency of RF systems
US11696757B2 (en) 2021-02-26 2023-07-11 Cilag Gmbh International Monitoring of internal systems to detect and track cartridge motion status
US11751869B2 (en) 2021-02-26 2023-09-12 Cilag Gmbh International Monitoring of multiple sensors over time to detect moving characteristics of tissue
US11950777B2 (en) 2021-02-26 2024-04-09 Cilag Gmbh International Staple cartridge comprising an information access control system
US11723657B2 (en) 2021-02-26 2023-08-15 Cilag Gmbh International Adjustable communication based on available bandwidth and power capacity
US11701113B2 (en) 2021-02-26 2023-07-18 Cilag Gmbh International Stapling instrument comprising a separate power antenna and a data transfer antenna
US11730473B2 (en) 2021-02-26 2023-08-22 Cilag Gmbh International Monitoring of manufacturing life-cycle
US11749877B2 (en) 2021-02-26 2023-09-05 Cilag Gmbh International Stapling instrument comprising a signal antenna
US11925349B2 (en) 2021-02-26 2024-03-12 Cilag Gmbh International Adjustment to transfer parameters to improve available power
US11950779B2 (en) 2021-02-26 2024-04-09 Cilag Gmbh International Method of powering and communicating with a staple cartridge
US11793514B2 (en) 2021-02-26 2023-10-24 Cilag Gmbh International Staple cartridge comprising sensor array which may be embedded in cartridge body
US11759202B2 (en) 2021-03-22 2023-09-19 Cilag Gmbh International Staple cartridge comprising an implantable layer
US11737749B2 (en) 2021-03-22 2023-08-29 Cilag Gmbh International Surgical stapling instrument comprising a retraction system
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
US11723658B2 (en) 2021-03-22 2023-08-15 Cilag Gmbh International Staple cartridge comprising a firing lockout
US11826042B2 (en) 2021-03-22 2023-11-28 Cilag Gmbh International Surgical instrument comprising a firing drive including a selectable leverage mechanism
US11806011B2 (en) 2021-03-22 2023-11-07 Cilag Gmbh International Stapling instrument comprising tissue compression systems
US11896218B2 (en) 2021-03-24 2024-02-13 Cilag Gmbh International Method of using a powered stapling device
US11832816B2 (en) 2021-03-24 2023-12-05 Cilag Gmbh International Surgical stapling assembly comprising nonplanar staples and planar staples
US11896219B2 (en) 2021-03-24 2024-02-13 Cilag Gmbh International Mating features between drivers and underside of a cartridge deck
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
US11786239B2 (en) 2021-03-24 2023-10-17 Cilag Gmbh International Surgical instrument articulation joint arrangements comprising multiple moving linkage features
US11857183B2 (en) 2021-03-24 2024-01-02 Cilag Gmbh International Stapling assembly components having metal substrates and plastic bodies
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
US11903582B2 (en) 2021-03-24 2024-02-20 Cilag Gmbh International Leveraging surfaces for cartridge installation
US11849945B2 (en) 2021-03-24 2023-12-26 Cilag Gmbh International Rotary-driven surgical stapling assembly comprising eccentrically driven firing member
US11793516B2 (en) 2021-03-24 2023-10-24 Cilag Gmbh International Surgical staple cartridge comprising longitudinal support beam
US11849944B2 (en) 2021-03-24 2023-12-26 Cilag Gmbh International Drivers for fastener cartridge assemblies having rotary drive screws
US11744603B2 (en) 2021-03-24 2023-09-05 Cilag Gmbh International Multi-axis pivot joints for surgical instruments and methods for manufacturing same
US20220378425A1 (en) 2021-05-28 2022-12-01 Cilag Gmbh International Stapling instrument comprising a control system that controls a firing stroke length
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 (24)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPH0656325B2 (ja) * 1987-12-15 1994-07-27 株式会社精工舎 測光回路
JPH06114070A (ja) * 1990-06-22 1994-04-26 Vance Prod Inc 外科用組織切除装置
US5526822A (en) * 1994-03-24 1996-06-18 Biopsys Medical, Inc. Method and apparatus for automated biopsy and collection of soft tissue
US5980545A (en) * 1996-05-13 1999-11-09 United States Surgical Corporation Coring device and method
DE19806693A1 (de) * 1998-02-18 1999-08-19 Daum Gmbh Tumortherapie
US6454727B1 (en) * 1998-03-03 2002-09-24 Senorx, Inc. Tissue acquisition system and method of use
US6139562A (en) * 1998-03-30 2000-10-31 Agilent Technologies, Inc. Apparatus and method for incising
US6086543A (en) * 1998-06-24 2000-07-11 Rubicor Medical, Inc. Fine needle and core biopsy devices and methods
CA2287087C (en) * 1998-10-23 2007-12-04 Ethicon Endo-Surgery, Inc. Surgical device for the collection of soft tissue
CA2701699A1 (en) * 1998-11-25 2000-06-02 United States Surgical Corporation Biopsy system
JP4638051B2 (ja) * 1999-03-19 2011-02-23 ヴァイダケア、コーパレイシャン 生検針
US6086544A (en) * 1999-03-31 2000-07-11 Ethicon Endo-Surgery, Inc. Control apparatus for an automated surgical biopsy device
US6675037B1 (en) * 1999-09-29 2004-01-06 Regents Of The University Of Minnesota MRI-guided interventional mammary procedures
US6730044B2 (en) * 2000-10-13 2004-05-04 Ethicon Endo-Surgery, Inc. Firing mechanism for use in a surgical biopsy device
US6758824B1 (en) * 2000-11-06 2004-07-06 Suros Surgical Systems, Inc. Biopsy apparatus
US7458940B2 (en) * 2000-11-06 2008-12-02 Suros Surgical Systems, Inc. Biopsy apparatus
JP4064243B2 (ja) * 2000-11-06 2008-03-19 スルーズ サージカル システムズ、インク 生体組織検査装置
CA2429040C (en) * 2000-11-27 2010-06-08 Tyco Healthcare Group Lp Tissue sampling and removal apparatus and method
DE10063566C1 (de) * 2000-12-20 2002-08-29 Karlsruhe Forschzent Manipulator für einen geschlossenen Magnetresonanztomographen
US7226459B2 (en) * 2001-10-26 2007-06-05 Smith & Nephew, Inc. Reciprocating rotary arthroscopic surgical instrument
US20030199753A1 (en) * 2002-04-23 2003-10-23 Ethicon Endo-Surgery MRI compatible biopsy device with detachable probe
US7769426B2 (en) * 2002-04-23 2010-08-03 Ethicon Endo-Surgery, Inc. Method for using an MRI compatible biopsy device with detachable probe
US7351210B2 (en) * 2002-12-11 2008-04-01 Ethicon-Endo-Surgery, Inc. Biopsy device with piston advance
US7740597B2 (en) * 2002-12-11 2010-06-22 Ethicon Endo-Surgery, Inc. Biopsy device with sample tube

Also Published As

Publication number Publication date
CN1799513A (zh) 2006-07-12
US20060149163A1 (en) 2006-07-06
US20100049086A1 (en) 2010-02-25
EP1676532A1 (en) 2006-07-05
DE602005007694D1 (de) 2008-08-07
US7611474B2 (en) 2009-11-03
AU2005245738B2 (en) 2010-09-02
ES2308407T3 (es) 2008-12-01
AU2005245738A1 (en) 2006-07-13
EP1676532B1 (en) 2008-06-25
JP2006198401A (ja) 2006-08-03
CA2531193A1 (en) 2006-06-29
CA2531193C (en) 2013-08-13

Similar Documents

Publication Publication Date Title
CN100528090C (zh) 带有短距离联接的磁共振成像兼容驱动器的针芯取样活组织检查装置
US11779316B2 (en) Biopsy device
US9668717B2 (en) Biopsy device with variable side aperture
US8790276B2 (en) Methods and devices for biopsy and collection of soft tissue
CN100473358C (zh) 具有采样管的活检装置
US10070884B2 (en) Soft tissue coring biopsy devices and methods

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
ASS Succession or assignment of patent right

Owner name: DEVICOR MEDICAL PRODUCTS, INC.

Free format text: FORMER OWNER: ETHICON ENDO-SURGERY, INC.

Effective date: 20111102

C41 Transfer of patent application or patent right or utility model
TR01 Transfer of patent right

Effective date of registration: 20111102

Address after: ohio

Patentee after: Devicor Medical Products, Inc.

Address before: ohio

Patentee before: Ethicon Endo-Surgery Inc.

CF01 Termination of patent right due to non-payment of annual fee

Granted publication date: 20090819

Termination date: 20191229

CF01 Termination of patent right due to non-payment of annual fee