US20020082516A1 - Specimen retrieval bag - Google Patents
Specimen retrieval bag Download PDFInfo
- Publication number
- US20020082516A1 US20020082516A1 US09/745,664 US74566400A US2002082516A1 US 20020082516 A1 US20020082516 A1 US 20020082516A1 US 74566400 A US74566400 A US 74566400A US 2002082516 A1 US2002082516 A1 US 2002082516A1
- Authority
- US
- United States
- Prior art keywords
- retrieval bag
- specimen retrieval
- bag
- patient
- surgical instrument
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Granted
Links
- 239000012530 fluid Substances 0.000 claims abstract description 57
- 239000000463 material Substances 0.000 claims abstract description 26
- 239000012620 biological material Substances 0.000 claims abstract description 21
- 238000012546 transfer Methods 0.000 claims abstract description 18
- 238000004891 communication Methods 0.000 claims abstract description 3
- 229920002635 polyurethane Polymers 0.000 claims description 4
- 239000004814 polyurethane Substances 0.000 claims description 4
- 210000001519 tissue Anatomy 0.000 description 41
- 210000000232 gallbladder Anatomy 0.000 description 25
- 210000003815 abdominal wall Anatomy 0.000 description 18
- 238000000034 method Methods 0.000 description 12
- 210000000683 abdominal cavity Anatomy 0.000 description 8
- 238000001356 surgical procedure Methods 0.000 description 5
- 230000008901 benefit Effects 0.000 description 4
- 210000000056 organ Anatomy 0.000 description 4
- 210000000941 bile Anatomy 0.000 description 3
- 239000007788 liquid Substances 0.000 description 3
- 206010028980 Neoplasm Diseases 0.000 description 2
- -1 Polyethylene Polymers 0.000 description 2
- 239000008280 blood Substances 0.000 description 2
- 210000004369 blood Anatomy 0.000 description 2
- 239000000203 mixture Substances 0.000 description 2
- 230000008569 process Effects 0.000 description 2
- 210000004915 pus Anatomy 0.000 description 2
- 239000000126 substance Substances 0.000 description 2
- 206010011732 Cyst Diseases 0.000 description 1
- 206010061218 Inflammation Diseases 0.000 description 1
- 229920000271 Kevlar® Polymers 0.000 description 1
- 239000004698 Polyethylene Substances 0.000 description 1
- 239000004743 Polypropylene Substances 0.000 description 1
- FAPWRFPIFSIZLT-UHFFFAOYSA-M Sodium chloride Chemical compound [Na+].[Cl-] FAPWRFPIFSIZLT-UHFFFAOYSA-M 0.000 description 1
- 239000004809 Teflon Substances 0.000 description 1
- 229920006362 Teflon® Polymers 0.000 description 1
- 210000003484 anatomy Anatomy 0.000 description 1
- 201000011510 cancer Diseases 0.000 description 1
- 201000001883 cholelithiasis Diseases 0.000 description 1
- 230000006835 compression Effects 0.000 description 1
- 238000007906 compression Methods 0.000 description 1
- 238000010276 construction Methods 0.000 description 1
- 208000031513 cyst Diseases 0.000 description 1
- 230000007547 defect Effects 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 238000002674 endoscopic surgery Methods 0.000 description 1
- 239000004744 fabric Substances 0.000 description 1
- 239000012634 fragment Substances 0.000 description 1
- 208000001130 gallstones Diseases 0.000 description 1
- 230000004054 inflammatory process Effects 0.000 description 1
- 239000004761 kevlar Substances 0.000 description 1
- 210000004185 liver Anatomy 0.000 description 1
- 239000000314 lubricant Substances 0.000 description 1
- 239000002184 metal Substances 0.000 description 1
- 230000005012 migration Effects 0.000 description 1
- 238000013508 migration Methods 0.000 description 1
- 238000002324 minimally invasive surgery Methods 0.000 description 1
- 210000003205 muscle Anatomy 0.000 description 1
- 208000017708 myomatous neoplasm Diseases 0.000 description 1
- 238000010899 nucleation Methods 0.000 description 1
- 238000002355 open surgical procedure Methods 0.000 description 1
- 230000008520 organization Effects 0.000 description 1
- 239000004033 plastic Substances 0.000 description 1
- 229920003023 plastic Polymers 0.000 description 1
- 229920000573 polyethylene Polymers 0.000 description 1
- 229920001155 polypropylene Polymers 0.000 description 1
- 229920001296 polysiloxane Polymers 0.000 description 1
- 238000011084 recovery Methods 0.000 description 1
- 230000002787 reinforcement Effects 0.000 description 1
- 238000012552 review Methods 0.000 description 1
- 239000012056 semi-solid material Substances 0.000 description 1
- 239000011780 sodium chloride Substances 0.000 description 1
- 210000004872 soft tissue Anatomy 0.000 description 1
- 239000011343 solid material Substances 0.000 description 1
- 210000000952 spleen Anatomy 0.000 description 1
- 230000007480 spreading Effects 0.000 description 1
- 238000006467 substitution reaction Methods 0.000 description 1
- 239000013598 vector Substances 0.000 description 1
- 125000000391 vinyl group Chemical group [H]C([*])=C([H])[H] 0.000 description 1
- 229920002554 vinyl polymer Polymers 0.000 description 1
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 1
Images
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
- A61B2017/00287—Bags for minimally invasive surgery
Definitions
- the present invention relates, in general, to surgical instruments for retrieving tissue and, more particularly, to endoscopic surgical instruments such as pouches or specimen retrieval bags for the removal of tissue through a small incision.
- Endoscopic surgery is a procedure wherein surgery is performed through a series of small openings or incisions in a patient. This type of surgery reduces or eliminates the need for large incisions and has changed some of the major open surgical procedures such as gall bladder removal to simple outpatient surgery. Consequently, the patient's recovery time has changed from weeks to days. These types of surgeries are used for repairing defects or for the removal of diseased tissue or organs from areas of the body such as the abdominal cavity.
- Tissue can have many types or forms but fall into three general categories: firm tissue such as muscle and solid tumors, soft tissues such as liver, and fluid filled tissues such as a cyst, a gall bladder, a spleen, or an inflamed appendix.
- Some tissue can be a mix of multiple categories.
- an inflamed gall bladder can be a mix of hardened gallstones, fluids such as bile and pus, and an outer covering of firm tissue.
- Morcellation instruments were also developed that can be used in conjunction with the specimen retrieval bags to chop or dissect large tissue masses within the specimen retrieval bags.
- tissue is placed into the open specimen retrieval bag and the bag opening is partially drawn out of the body, leaving the tissue within the body cavity.
- the bag is opened and the morcellator is inserted into the bag and into the portion of the bag still within the body cavity to morcellate the tissue.
- Suction can be used to remove morcellated tissue.
- a RF morcellation instrument and method of use are described in U.S. Pat. No. 5,957,884 by Michael D. Hooven and a description of morcellation is found in U.S. Pat. Nos. 5,465,731 by Bell et al. and U.S. Pat. No. 5,465,732 by Tovey et al.
- U.S. Pat. No. 5,681,324 by Kammerer et al. teaches that a square bottomed pouch (or specimen retrieval bag) enables the tissue specimen to lie across the bottom of the pouch and to impede the removal of the tissue through a trocar site (or incision). More importantly, Kammerer et al. also teaches that a tapered-bottomed pouch solves the square-bottomed pouch problem by aligning the tissue and makes it possible to remove tissue from the body cavity without enlarging the incision.
- the tapered pouch shape reduces the amount of trapped air and reduces the ballooning effect when the pouch is closed and reduces the stress exerted on the pouch and abdominal wall tissue (caused by pulling the pouch through the trocar site or incision). Whereas the tapered pouch did indeed facilitate the removal of tissue, there is room for additional solutions to this problem, particularly when fluids are present within the specimen retrieval bag or within the tissue placed therein.
- a surgical instrument for the removal of biological material through an opening within a patient, wherein biological material being larger than the opening within the patient.
- the surgical instrument includes a specimen retrieval bag having at least one wall.
- the specimen retrieval bag has an open end, a closed end and a longitudinal axis extending therebetween, wherein the open end is for receiving biological materials therein.
- the instrument further includes at least one material transfer member attached to the wall adjacent to the open end. The material transfer member extends radially from the wall and is in fluid communication with the bag.
- a portion of the biological material moves from a portion of the bag within the patient to a portion of the material transfer member outside of the patient to reduce the size of the biological material within the patient.
- FIG. 1 illustrates an isometric view of a cross section of the abdominal wall and an improved specimen retrieval bag mounted on a specimen retrieval bag instrument, the improved specimen retrieval bag receiving a gall bladder from a surgical grasping instrument within the abdominal cavity;
- FIG. 2 illustrates an enlarged isometric view of a distal end of the improved specimen retrieval bag instrument of FIG. 1 prior to the receipt of the gall bladder, wherein a novel blister feature extends from a wall of an improved specimen retrieval bag;
- FIG. 3 is a top view of the improved specimen retrieval bag of FIG. 2, wherein the blister features extend outwardly from the walls of the improved specimen retrieval bag;
- FIG. 4 is an is an enlarged isometric view of a prior art specimen retrieval bag wherein the prior art specimen retrieval bag is open and a gall bladder and fluid are placed therein;
- FIG. 5 illustrates a cross-sectional view wherein the opening of the prior art specimen retrieval bag of FIG. 4 is being pulled through an incision within the abdominal wall and the gall bladder and fluid are ballooning the prior art specimen retrieval bag within an abdominal cavity;
- FIG. 6 a cross-sectional view of the abdominal wall and the prior art specimen retrieval bag of FIG. 5, wherein the prior art specimen retrieval bag is being pulled through an incision and the forces exerted upon the prior art bag are shown;
- FIG. 7 a cross-sectional view of the abdominal wall and the improved specimen retrieval bag of FIG. 2, wherein the improved specimen retrieval bag is being pulled through an incision with a gall bladder and fluid within, and the forces exerted upon the improved specimen retrieval bag are shown;
- FIG. 8 is a cross sectional view of the of the abdominal wall and the improved specimen retrieval bag of FIG. 7, wherein the improved specimen retrieval bag is being pulled through an incision, and fluids are flowing from a lower portion of the specimen retrieval bag into an upper portion of the blisters of the improved specimen retrieval bag to reduce the size of the lower portion;
- FIG. 9 is a cross sectional view of the of the abdominal wall wherein a first alternate embodiment of the improved specimen retrieval bag of FIG. 5 is shown;
- FIG. 10 is a cross sectional view of the of the abdominal wall wherein a second alternate embodiment of the improved specimen retrieval bag of FIG. 5 is shown;
- the present invention relates, in general, to surgical instruments for retrieving excised tissue from a patient and, more particularly, to endoscopic surgical instruments such as pouches or specimen retrieval bags for the removal of tissue through a small incision.
- the present invention is an improved specimen retrieval bag 25 shown removably attached to a distal end 41 of a deployment instrument 40 .
- the deployment instrument 40 is shown inserted into an abdominal cavity 45 of a patient through a first incision 47 within a patient's abdominal wall 46 .
- a trocar 55 is inserted into a second incision 48 within the abdominal wall 46 and has a grasping instrument 60 inserted within a cannula 56 (not shown) of the trocar 55 .
- the improved specimen retrieval bag 25 can be drawn into the cannula 56 of the trocar 55 (not shown).
- Grasping instrument 60 is shown gripping a gall bladder 70 over an opening 26 of the improved specimen retrieval bag 25 just prior to placement of the gall bladder 70 therein.
- FIGS. 2 and 3 are enlarged views of the improved specimen retrieval bag 25 of the present invention releasably attached to a distal end 41 of the deployment instrument 40 .
- Improved specimen retrieval bag 25 has two opposing walls 27 a and 27 b that when joined form a single wall, hereafter referred to as wall 27 .
- the wall 27 is formed from at least one layer of a resilient or flexible material, and has an opening 26 shown in the open position, and a bottom 31 .
- a material transfer member or blister 28 extends outwardly from each wall 27 generally perpendicular to the opening 26 of the improved specimen retrieval bag 25 . In FIG. 2 the far side blister 28 is removed for clarity.
- Channels 29 are located in the improved specimen retrieval bag 25 , one along each side of the opening 26 .
- Each channel 29 slidably receives one of a pair of flexible arms 42 extending from the distal end 41 of the deployment instrument 40 .
- the pair of flexible arms 42 withdraw into the deployment instrument 40 to release the improved specimen retrieval bag 25 .
- a drawstring 30 is threaded through each of the channels 29 and extends into the deployment instrument 40 .
- Improved specimen retrieval bag 25 of the present invention is formed from a pair of opposed walls 27 that are made of at least one layer of elastomeric or polymeric material.
- the walls 27 are tapered to facilitate removal of the improved specimen retrieval bag 25 from the first incision 47 .
- Walls 27 are constructed from at least one layer of an elastomeric or polymeric material such as Polyurethane, Polyethylene, Polypropylene, Silicone, Vinyl, or Teflon. Multiple layer construction of the walls 27 are common and can incorporate flexible metal meshes, thermoformed plastic meshes, fabrics, or Kevlar for reinforcement. As shown, walls 27 are formed from flat sheets of Polyurethane and are cut into a desired shape with sides 37 tapered as shown.
- Blister 28 is formed into a wall 27 by the application of heat, pressure, impact, ultrasonic energy or any combination thereof. Blisters 28 are formed in the wall 27 such that when the walls 27 are loaded in tension such as in the vertical direction at the opening 26 and bottom 31 , the stresses travel within in the flat portions of the walls 27 and around the blisters 28 . This is somewhat analogous to the manner in which stresses travel around a hole in a part when the part is in tension.
- the opposed walls 27 are orientated with the blisters 28 extending outwardly as shown, and the walls 27 are sides 37 are glued, heated, or ultrasonically welded together along the sides 37 and bottom 31 .
- the Improved specimen retrieval bag 25 can be molded or dip formed into a desired configuration.
- FIG. 4 illustrates a prior art retrieval bag 80 .
- Some of the elements are common to both the prior art bag 80 and the improved specimen retrieval bag 25 bag described previously. When like elements, or nearly identical elements exist, they will have the same element numbers, general descriptions, and generally the same functions. Likewise, generally similar patient anatomy or bag contents will have the same element numbers and descriptions.
- prior art retrieval bag 80 contains contents 72 , an excised gall bladder 70 and fluid 71 .
- the excised gall bladder 70 has been placed into an opening 26 of the prior art retrieval bag 80 and fluid 71 has leaked from the gall bladder 70 .
- Fluid 71 from the gall bladder 70 excision consists of bile, blood, or pus, and any combination thereof.
- Prior art retrieval bag 80 is attachable (not shown) to the deployment instrument 40 (FIG. 1) in the manner previously described for the improved specimen retrieval bag 25 .
- Channels 29 are provided surrounding the opening 26 of the prior art retrieval bag 80 for the reception of the flexible arms 42 extending from the deployment instrument 40 (FIG. 1).
- Drawstring 30 is placed into the channels 29 for closing the opening 26 of prior art retrieval bag 80 .
- Prior art retrieval bag 80 is generally formed from a pair of opposed walls 27 that are made of at least one layer of the materials described above for the improved specimen retrieval bag 25 .
- Sides 37 and bottom 31 are welded, attached or glued together. The sides 37 are not tapered.
- FIGS. 5 and 6 illustrate the method of pulling the prior art retrieval bag 80 containing contents 72 through an incision, and the forces involved in pulling the prior art retrieval bag 80 and the contents 72 through the incision.
- the description of the method of use of the prior art retrieval bag 80 is provided so that the reader can better understand novel advantages provided with the improved specimen retrieval bag 25 of the present invention which will be discussed in detail below.
- the prior art retrieval bag 80 is being withdrawn from the abdominal cavity 45 of a patient. Prior to the view of FIGS. 5 and 6, the following steps have occurred. First, the prior art retrieval bag 80 has been placed into the patient's abdominal cavity on a deployment instrument 40 , and a fluid filled gall bladder 70 is placed therein. The prior art retrieval bag 80 is then closed, released from the deployment instrument 40 , and the deployment instrument 40 is then removed from the first incision (not shown).
- an upward tensile force F is applied to the drawstrings 30 .
- This force F is pulling the prior art retrieval bag 80 and contents 72 through the first incision 47 within abdominal wall 46 .
- the partially removed prior art retrieval bag 80 has an upper columnar shaped portion, henceforth referred to as column 32 , which is under tension from force F and extends from the first incision 47 .
- Prior art retrieval bag 80 also has a lower spherical shaped portion referred to as balloon 33 which assumes the spherical shape from the compression of the contents 72 therein. Balloon 33 is located within the abdominal cavity 45 just below the first incision 47 .
- FIG. 6 is a cross section of the prior art retrieval bag 80 of FIG. 5 showing the balance of physical forces therein as the prior art retrieval bag 80 and contents 72 (gall bladder 70 and fluid 71 ) are being pulled through the first incision 47 . Fluids 71 are present within the contents 72 and are indicated by dashed horizontal lines.
- the walls 27 of the prior art retrieval bag 80 are replaced with arrows to indicate tensions found within the walls 27 from the forces exerted thereon. The tension arrows will also be referred to as walls 27 .
- the upwards motion of the prior art retrieval bag 80 brings the balloon 33 into contact with an inner side of the abdominal wall 46 at first incision 47 and biases the walls 27 of column 32 inwardly. This contact produces a downward and inward abdominal wall contact force F TISSUE on the walls 27 of the balloon.
- the abdominal wall contact force F TISSUE opposes the tension force F and places the walls 27 of the column 32 under tension as indicated by tension arrows T 2 .
- the constricting walls 27 force fluids 71 to flow from balloon 33 into the column 32 .
- the opening 26 of the prior art retrieval bag 80 is not fully sealed and air leaks from the opening 26 enabling the fluids 71 to rise within the column 32 .
- the weight of the column of fluids 71 push outwardly with a force P 2 on the walls 27 of the column 32 and try to bulge the walls 27 above the abdominal wall 46 outwardly.
- the tension forces T 2 within the walls 27 of the column 32 are higher than the fluid force P 2 and the walls remain in the columnar shape of column 32 .
- tension forces T 2 control the volume within the column 32 .
- Fluid 71 can rise into the limited volume defined within the column 32 of the prior art retrieval bag 80 until all of the air flows out of gaps within the opening 26 , and the fluid 71 reaches the opening 26 . At this point, if the balloon 33 is small enough, the balloon 33 slips through the first incision 47 and the prior art retrieval bag 80 is extracted.
- FIGS. 7 and 8 are cross-sections of the improved specimen retrieval bag 25 of the present invention being pulled or removed from the first incision 47 .
- FIGS. illustrate the method of use of the present invention and the balance of forces between the improved specimen retrieval bag 25 , the abdominal wall and the contents 72 therein. The reader is advised to review the above sections describing prior art specimen retrieval bag 80 for comparisons.
- the improved specimen retrieval bag 25 on the deployment instrument 40 was placed into the abdominal cavity 45 (FIG. 1) and a gall bladder 70 was placed therein. The improved specimen retrieval bag 25 was closed, and then released from the deployment instrument 40 . Finally, the deployment instrument 40 was removed from the first incision 47 .
- FIG. 7 shows a cross section of the improved specimen retrieval bag 25 (taken across the blisters 28 ) as it is being partially drawn upwards through the first incision 47 by tensile force F.
- FIG. 7 The cross section of FIG. 7 is taken across the blisters 28 of the improved specimen retrieval bag 25 and shows the forces involved therein.
- the walls 27 and the blisters 28 are designed such that when the walls 27 are placed under tension (from the force F), the tensile forces travel within the walls 27 and around the blisters 28 .
- the upper force F exerts tension on the walls 27 and not on the blisters 28 .
- walls 27 are outlined by the tension arrows T 3 and T 4 .
- the blisters 28 are not under tension from the force F.
- the contents 72 of the improved specimen retrieval bag 25 are being compressed or constricted within the balloon 33 and exert an outwards force P 3 on the portion of the walls 27 and blister 28 of the balloon 33 .
- the contents 72 consist of gall bladder 70 and fluid 71 .
- the upwards motion of the improved specimen retrieval bag 25 constricts the contents 70 of the balloon 33 and forces the fluid 71 to rise into the portion of the improved specimen retrieval bag 25 extending above the incision 47 .
- the constriction compresses the contents 72 within the balloon 33 and the contents 72 exert a radially outwards force P 3 on the portion of the walls 27 and blister 28 of the balloon 33 .
- This outward pressure has tensioned the walls 27 of the balloon 33 as indicated by the tension arrows T 3 , and has expanded blisters 28 outwardly from the balloon 33 .
- FIG. 8 is a cross-section of the improved specimen retrieval bag 25 across vertical axis B-B and the blisters 28 showing an embodiment of the method steps of using the present invention to remove a fluid filled organ such as a gall bladder 70 .
- Gall bladder 70 is first placed into the improved specimen retrieval bag 25 and a cut 74 is placed into the gall bladder 70 to release the fluids 71 within.
- the improved specimen retrieval bag 25 is closed, and the improved specimen retrieval bag 25 is pulled out of the first incision 47 . As shown, pulling the improved specimen retrieval bag 25 through the first incision 47 compresses the gall bladder 70 , squeezing fluids 71 from the cut 74 .
- the flow of fluids 71 from the gall bladder 70 reduces the size of the organ and makes it easier to draw the organ through the first incision 47 .
- the fluids 71 flow easily from the cut 74 within the squeezed gall bladder 70 , into the column 32 and into the non-tensioned portions NT of the blisters 28 .
- This flow of fluids 71 into the non-tensioned portions NT of the blisters 28 reduces the size of the balloon 33 , and facilitates the removal of the improved specimen retrieval bag 25 from the patient.
- FIG. 9 shows an alternate embodiment of improved specimen retrieval bag 25 bag without blisters 28 but having an expandable element located adjacent to the opening 26 .
- the expandable element is a bellows 34 that easily expands outwardly when pressurized. As the bellows 34 expands outwardly, fluids flow from the balloon 33 , into the column 32 and into the bellows 34 .
- placing an elastomeric panel placed within the walls 27 of the improved specimen retrieval bag 25 will also meet the intent of the alternate embodiment.
- FIG. 10 shows yet another alternate embodiment of the improved specimen retrieval bag 25 having an alternate embodiment of the transfer portion for the transport of fluids out of the patient.
- This alternate transfer portion has a hollow fluid passage 35 for the transfer of fluid from the balloon 33 into a receptacle 36 located outside of the abdominal wall 46 .
- Hollow fluid passage 35 has a first end and a second end. Pulling the balloon 33 through the first incision 47 moves fluids 71 through the hollow fluid passage 35 and into the receptacle 36 .
- a fluid 71 as a substance such as blood, bile, pus, or other bodily liquid
- a fluid 71 may be considered as liquids or fluids in certain situations.
- morcellated tissue is of a paste-like consistency and can be made to flow (like a fluid) within a confined container with pressure.
- pieces of other solid or semi-solid materials can be made to move in a more fluid-like manner when combined with a fluid 71 , which acts as a lubricant.
- a fluid 71 such as saline, water, (or any one of a number of other liquids) to the improved specimen retrieval bag 25 can aid in the movement of tissue within the bag.
- a fluid 71 such as saline, water, (or any one of a number of other liquids)
- the fluids 71 described above can encompass a much wider range of materials than those listed above, including morcellated tissue, and in some cases, larger pieces of tissue.
Abstract
In accordance with the present invention there is provided a surgical instrument for the removal of biological material through an opening within a patient, wherein biological material being larger than the opening within the patient. The surgical instrument includes a specimen retrieval bag having at least one wall. The specimen retrieval bag has an open end, a closed end and a longitudinal axis extending therebetween, wherein the open end is for receiving biological materials therein. The instrument further includes at least one material transfer member attached to the wall adjacent to the open end. The material transfer member extends radially from the wall and is in fluid communication with the bag. Wherein when the open end of the bag is removed from the patient through the opening and the material transfer member is at least partially removed therethrough, a portion of the biological material moves from a portion of the bag within the patient to a portion of the material transfer member outside of the patient to reduce the size of the biological material within the patient.
Description
- The present invention relates, in general, to surgical instruments for retrieving tissue and, more particularly, to endoscopic surgical instruments such as pouches or specimen retrieval bags for the removal of tissue through a small incision.
- Endoscopic surgery is a procedure wherein surgery is performed through a series of small openings or incisions in a patient. This type of surgery reduces or eliminates the need for large incisions and has changed some of the major open surgical procedures such as gall bladder removal to simple outpatient surgery. Consequently, the patient's recovery time has changed from weeks to days. These types of surgeries are used for repairing defects or for the removal of diseased tissue or organs from areas of the body such as the abdominal cavity.
- Of interest is the removal or excision of biological material or tissue from the body through a small incision or small natural orifice. Tissue can have many types or forms but fall into three general categories: firm tissue such as muscle and solid tumors, soft tissues such as liver, and fluid filled tissues such as a cyst, a gall bladder, a spleen, or an inflamed appendix. Some tissue can be a mix of multiple categories. For example, an inflamed gall bladder can be a mix of hardened gallstones, fluids such as bile and pus, and an outer covering of firm tissue.
- One challenge that exists with minimally invasive surgery is the removal of excised tissue through an opening in the body. A time-honored solution is the manual cutting of the large tissue mass into small pieces that can fit through the incision. However, with this process, fragments of tissue can be dropped and fluids can be spilled into the body cavity. This is serious if the excised tissue is cancerous or infected as this can lead to the seeding and re-spreading of cancer or the spreading of inflammation to healthy tissue.
- In answer to the above challenges, surgical pouches or specimen retrieval bags were developed. The specimen retrieval bags are placed endoscopically into an inner cavity of the body, the bags are opened, and the diseased tissue is placed within. The specimen retrieval bags are closed to surround and contain the tissue and fluids within. Thus, the closed specimen retrieval bag prevents the migration of tissue and fluids from the bag into the inner cavity of the body. Once the diseased tissue is placed into the open specimen retrieval bag, the bag is closed and pulled from the inner cavity through an incision or trocar. Drawstrings are typically used to close the specimen retrieval bag in the body and to draw the bag out of the opening in the body. Surgical instruments of this type are described in U.S. Pat. Nos. 5,465,731 by Bell et al. and 5,465,732 by Tovey et al. which are incorporated herein by reference.
- Morcellation instruments were also developed that can be used in conjunction with the specimen retrieval bags to chop or dissect large tissue masses within the specimen retrieval bags. When using a morcellation instrument, tissue is placed into the open specimen retrieval bag and the bag opening is partially drawn out of the body, leaving the tissue within the body cavity. Next, the bag is opened and the morcellator is inserted into the bag and into the portion of the bag still within the body cavity to morcellate the tissue. Suction can be used to remove morcellated tissue. A RF morcellation instrument and method of use are described in U.S. Pat. No. 5,957,884 by Michael D. Hooven and a description of morcellation is found in U.S. Pat. Nos. 5,465,731 by Bell et al. and U.S. Pat. No. 5,465,732 by Tovey et al.
- Whereas this method of removing tissue from the body does work, it was awkward for the surgeon to hold the bag open while morcellating and suctioning to remove pieces of tissue. If care is not exercised, the bag can be punctured or the spillage of fluids or and tissue can occur. Additionally, costly, sophisticated specimen retrieval bags are required that are resistant to cutting from the mechanical morcellator blades or RF energy.
- U.S. Pat. No. 5,681,324 by Kammerer et al. teaches that a square bottomed pouch (or specimen retrieval bag) enables the tissue specimen to lie across the bottom of the pouch and to impede the removal of the tissue through a trocar site (or incision). More importantly, Kammerer et al. also teaches that a tapered-bottomed pouch solves the square-bottomed pouch problem by aligning the tissue and makes it possible to remove tissue from the body cavity without enlarging the incision. Additionally, the tapered pouch shape reduces the amount of trapped air and reduces the ballooning effect when the pouch is closed and reduces the stress exerted on the pouch and abdominal wall tissue (caused by pulling the pouch through the trocar site or incision). Whereas the tapered pouch did indeed facilitate the removal of tissue, there is room for additional solutions to this problem, particularly when fluids are present within the specimen retrieval bag or within the tissue placed therein.
- What is needed is a specimen retrieval bag that offers all of the advantages listed above by providing a pouch or specimen retrieval bag that is easy to remove from the body. Additionally, it would be advantageous to provide an improved specimen retrieval bag that makes it easier for a surgeon to remove a specimen retrieval bag that contains fluids or materials such as chunked or morcellated tissue that that flow under pressure. Presently, there are no known specimen retrieval bags that can provide the surgeon with the improvements and benefits described above.
- In accordance with the present invention there is provided a surgical instrument for the removal of biological material through an opening within a patient, wherein biological material being larger than the opening within the patient. The surgical instrument includes a specimen retrieval bag having at least one wall. The specimen retrieval bag has an open end, a closed end and a longitudinal axis extending therebetween, wherein the open end is for receiving biological materials therein. The instrument further includes at least one material transfer member attached to the wall adjacent to the open end. The material transfer member extends radially from the wall and is in fluid communication with the bag. Wherein when the open end of the bag is removed from the patient through the opening and the material transfer member is at least partially removed therethrough, a portion of the biological material moves from a portion of the bag within the patient to a portion of the material transfer member outside of the patient to reduce the size of the biological material within the patient.
- The novel features of the invention are set forth with particularity in the appended claims. The invention itself, however, both as to organization and methods of operation, together with further objects and advantages thereof, may best be understood by reference to the following description, taken in conjunction with the accompanying drawings in which:
- FIG. 1 illustrates an isometric view of a cross section of the abdominal wall and an improved specimen retrieval bag mounted on a specimen retrieval bag instrument, the improved specimen retrieval bag receiving a gall bladder from a surgical grasping instrument within the abdominal cavity;
- FIG. 2 illustrates an enlarged isometric view of a distal end of the improved specimen retrieval bag instrument of FIG. 1 prior to the receipt of the gall bladder, wherein a novel blister feature extends from a wall of an improved specimen retrieval bag;
- FIG. 3 is a top view of the improved specimen retrieval bag of FIG. 2, wherein the blister features extend outwardly from the walls of the improved specimen retrieval bag;
- FIG. 4 is an is an enlarged isometric view of a prior art specimen retrieval bag wherein the prior art specimen retrieval bag is open and a gall bladder and fluid are placed therein;
- FIG. 5 illustrates a cross-sectional view wherein the opening of the prior art specimen retrieval bag of FIG. 4 is being pulled through an incision within the abdominal wall and the gall bladder and fluid are ballooning the prior art specimen retrieval bag within an abdominal cavity;
- FIG. 6 a cross-sectional view of the abdominal wall and the prior art specimen retrieval bag of FIG. 5, wherein the prior art specimen retrieval bag is being pulled through an incision and the forces exerted upon the prior art bag are shown;
- FIG. 7 a cross-sectional view of the abdominal wall and the improved specimen retrieval bag of FIG. 2, wherein the improved specimen retrieval bag is being pulled through an incision with a gall bladder and fluid within, and the forces exerted upon the improved specimen retrieval bag are shown;
- FIG. 8 is a cross sectional view of the of the abdominal wall and the improved specimen retrieval bag of FIG. 7, wherein the improved specimen retrieval bag is being pulled through an incision, and fluids are flowing from a lower portion of the specimen retrieval bag into an upper portion of the blisters of the improved specimen retrieval bag to reduce the size of the lower portion;
- FIG. 9 is a cross sectional view of the of the abdominal wall wherein a first alternate embodiment of the improved specimen retrieval bag of FIG. 5 is shown;
- FIG. 10 is a cross sectional view of the of the abdominal wall wherein a second alternate embodiment of the improved specimen retrieval bag of FIG. 5 is shown;
- The present invention relates, in general, to surgical instruments for retrieving excised tissue from a patient and, more particularly, to endoscopic surgical instruments such as pouches or specimen retrieval bags for the removal of tissue through a small incision.
- In FIG. 1, the present invention is an improved
specimen retrieval bag 25 shown removably attached to adistal end 41 of adeployment instrument 40. Thedeployment instrument 40 is shown inserted into anabdominal cavity 45 of a patient through afirst incision 47 within a patient'sabdominal wall 46. Atrocar 55 is inserted into asecond incision 48 within theabdominal wall 46 and has a graspinginstrument 60 inserted within a cannula 56 (not shown) of thetrocar 55. Alternately, if desired, the improvedspecimen retrieval bag 25 can be drawn into thecannula 56 of the trocar 55 (not shown). Graspinginstrument 60 is shown gripping agall bladder 70 over anopening 26 of the improvedspecimen retrieval bag 25 just prior to placement of thegall bladder 70 therein. - FIGS. 2 and 3 are enlarged views of the improved
specimen retrieval bag 25 of the present invention releasably attached to adistal end 41 of thedeployment instrument 40. Improvedspecimen retrieval bag 25 has two opposingwalls wall 27. Thewall 27 is formed from at least one layer of a resilient or flexible material, and has anopening 26 shown in the open position, and a bottom 31. A material transfer member orblister 28 extends outwardly from eachwall 27 generally perpendicular to theopening 26 of the improvedspecimen retrieval bag 25. In FIG. 2 thefar side blister 28 is removed for clarity.Channels 29 are located in the improvedspecimen retrieval bag 25, one along each side of theopening 26. Eachchannel 29 slidably receives one of a pair offlexible arms 42 extending from thedistal end 41 of thedeployment instrument 40. When the surgeon desires to detach the improvedspecimen retrieval bag 25 from thedeployment instrument 40, the pair offlexible arms 42 withdraw into thedeployment instrument 40 to release the improvedspecimen retrieval bag 25. Adrawstring 30 is threaded through each of thechannels 29 and extends into thedeployment instrument 40. - Improved
specimen retrieval bag 25 of the present invention is formed from a pair of opposedwalls 27 that are made of at least one layer of elastomeric or polymeric material. Thewalls 27 are tapered to facilitate removal of the improvedspecimen retrieval bag 25 from thefirst incision 47.Walls 27 are constructed from at least one layer of an elastomeric or polymeric material such as Polyurethane, Polyethylene, Polypropylene, Silicone, Vinyl, or Teflon. Multiple layer construction of thewalls 27 are common and can incorporate flexible metal meshes, thermoformed plastic meshes, fabrics, or Kevlar for reinforcement. As shown,walls 27 are formed from flat sheets of Polyurethane and are cut into a desired shape withsides 37 tapered as shown.Blister 28 is formed into awall 27 by the application of heat, pressure, impact, ultrasonic energy or any combination thereof.Blisters 28 are formed in thewall 27 such that when thewalls 27 are loaded in tension such as in the vertical direction at theopening 26 and bottom 31, the stresses travel within in the flat portions of thewalls 27 and around theblisters 28. This is somewhat analogous to the manner in which stresses travel around a hole in a part when the part is in tension. Theopposed walls 27 are orientated with theblisters 28 extending outwardly as shown, and thewalls 27 aresides 37 are glued, heated, or ultrasonically welded together along thesides 37 and bottom 31. Alternately, the Improvedspecimen retrieval bag 25 can be molded or dip formed into a desired configuration. - FIG. 4 illustrates a prior
art retrieval bag 80. Some of the elements are common to both theprior art bag 80 and the improvedspecimen retrieval bag 25 bag described previously. When like elements, or nearly identical elements exist, they will have the same element numbers, general descriptions, and generally the same functions. Likewise, generally similar patient anatomy or bag contents will have the same element numbers and descriptions. - As shown in FIG. 4, prior
art retrieval bag 80 containscontents 72, an excisedgall bladder 70 andfluid 71. The excisedgall bladder 70 has been placed into anopening 26 of the priorart retrieval bag 80 andfluid 71 has leaked from thegall bladder 70.Fluid 71 from thegall bladder 70 excision consists of bile, blood, or pus, and any combination thereof. Priorart retrieval bag 80 is attachable (not shown) to the deployment instrument 40 (FIG. 1) in the manner previously described for the improvedspecimen retrieval bag 25. -
Channels 29 are provided surrounding theopening 26 of the priorart retrieval bag 80 for the reception of theflexible arms 42 extending from the deployment instrument 40 (FIG. 1).Drawstring 30 is placed into thechannels 29 for closing theopening 26 of priorart retrieval bag 80. Priorart retrieval bag 80 is generally formed from a pair of opposedwalls 27 that are made of at least one layer of the materials described above for the improvedspecimen retrieval bag 25.Sides 37 and bottom 31 are welded, attached or glued together. Thesides 37 are not tapered. - FIGS. 5 and 6 illustrate the method of pulling the prior
art retrieval bag 80 containingcontents 72 through an incision, and the forces involved in pulling the priorart retrieval bag 80 and thecontents 72 through the incision. The description of the method of use of the priorart retrieval bag 80 is provided so that the reader can better understand novel advantages provided with the improvedspecimen retrieval bag 25 of the present invention which will be discussed in detail below. - As shown in FIGS. 5 and 6, the prior
art retrieval bag 80 is being withdrawn from theabdominal cavity 45 of a patient. Prior to the view of FIGS. 5 and 6, the following steps have occurred. First, the priorart retrieval bag 80 has been placed into the patient's abdominal cavity on adeployment instrument 40, and a fluid filledgall bladder 70 is placed therein. The priorart retrieval bag 80 is then closed, released from thedeployment instrument 40, and thedeployment instrument 40 is then removed from the first incision (not shown). - Next, as shown in FIGS. 5 and 6, an upward tensile force F is applied to the
drawstrings 30. This force F is pulling the priorart retrieval bag 80 andcontents 72 through thefirst incision 47 withinabdominal wall 46. As shown, the partially removed priorart retrieval bag 80 has an upper columnar shaped portion, henceforth referred to ascolumn 32, which is under tension from force F and extends from thefirst incision 47. Priorart retrieval bag 80 also has a lower spherical shaped portion referred to asballoon 33 which assumes the spherical shape from the compression of thecontents 72 therein.Balloon 33 is located within theabdominal cavity 45 just below thefirst incision 47. - FIG. 6 is a cross section of the prior
art retrieval bag 80 of FIG. 5 showing the balance of physical forces therein as the priorart retrieval bag 80 and contents 72 (gall bladder 70 and fluid 71) are being pulled through thefirst incision 47.Fluids 71 are present within thecontents 72 and are indicated by dashed horizontal lines. Thewalls 27 of the priorart retrieval bag 80 are replaced with arrows to indicate tensions found within thewalls 27 from the forces exerted thereon. The tension arrows will also be referred to aswalls 27. As shown in FIG. 6, the upwards motion of the priorart retrieval bag 80 brings theballoon 33 into contact with an inner side of theabdominal wall 46 atfirst incision 47 and biases thewalls 27 ofcolumn 32 inwardly. This contact produces a downward and inward abdominal wall contact force FTISSUE on thewalls 27 of the balloon. The abdominal wall contact force FTISSUE opposes the tension force F and places thewalls 27 of thecolumn 32 under tension as indicated by tension arrows T2. - The upwardly motion of prior
art retrieval bag 80 and the inwardly and downwardly abdominal wall contact force FTISSUE squeezes thecontents 72 within theballoon 33. As the priorart retrieval bag 80 is pulled through thefirst incision 47, theballoon 33 gets smaller and thewalls 27 of theballoon 33 constrict thecontents 72 of theballoon 33 inwardly. The constrictingwalls 27 of theballoon 33 are opposed by theincompressible contents 72 which exert radially outward pressure vectors P1 on thewalls 27 ofballoon 33, and the force F creates a tension T1 within thewalls 27 of theballoon 33. - The constricting
walls 27force fluids 71 to flow fromballoon 33 into thecolumn 32. Theopening 26 of the priorart retrieval bag 80 is not fully sealed and air leaks from theopening 26 enabling thefluids 71 to rise within thecolumn 32. The weight of the column offluids 71 push outwardly with a force P2 on thewalls 27 of thecolumn 32 and try to bulge thewalls 27 above theabdominal wall 46 outwardly. However, the reader is advised to note that the tension forces T2 within thewalls 27 of thecolumn 32 are higher than the fluid force P2 and the walls remain in the columnar shape ofcolumn 32. Thus, tension forces T2 control the volume within thecolumn 32.Fluid 71 can rise into the limited volume defined within thecolumn 32 of the priorart retrieval bag 80 until all of the air flows out of gaps within theopening 26, and the fluid 71 reaches theopening 26. At this point, if theballoon 33 is small enough, theballoon 33 slips through thefirst incision 47 and the priorart retrieval bag 80 is extracted. - If the
balloon 33 is too large to fit through the incision and thecolumn 32 is filled withfluid 71, continuing to draw the priorart retrieval bag 80 out of thefirst incision 47 can forcefluid 71 out of theopening 26 when it is closed. This spillage offluids 71 complicates the surgery and can require the use of a suction instrument to remove thefluids 71 seeping from theopening 26. In some cases it is necessary to re-open theopening 26 and to use suction or forceps to extract some of thecontents 72 therefrom. In some cases, it can be necessary to increase the length of thefirst incision 47 to remove the priorart retrieval bag 80, or to use scissors or a morcellator on thecontents 72 to facilitate removal of the priorart retrieval bag 80. - FIGS. 7 and 8 are cross-sections of the improved
specimen retrieval bag 25 of the present invention being pulled or removed from thefirst incision 47. These FIGS. illustrate the method of use of the present invention and the balance of forces between the improvedspecimen retrieval bag 25, the abdominal wall and thecontents 72 therein. The reader is advised to review the above sections describing prior artspecimen retrieval bag 80 for comparisons. - Prior to the view of FIGS. 7 and 8, the improved
specimen retrieval bag 25 on thedeployment instrument 40 was placed into the abdominal cavity 45 (FIG. 1) and agall bladder 70 was placed therein. The improvedspecimen retrieval bag 25 was closed, and then released from thedeployment instrument 40. Finally, thedeployment instrument 40 was removed from thefirst incision 47. - Next, an upward tensile force F is applied to draw the improved
specimen retrieval bag 25 andcontents 72 consisting ofgall bladder 70 andfluid 71 through thefirst incision 47 and out of the patient. FIG. 7 shows a cross section of the improved specimen retrieval bag 25 (taken across the blisters 28) as it is being partially drawn upwards through thefirst incision 47 by tensile force F. - The cross section of FIG. 7 is taken across the
blisters 28 of the improvedspecimen retrieval bag 25 and shows the forces involved therein. As described previously, thewalls 27 and theblisters 28 are designed such that when thewalls 27 are placed under tension (from the force F), the tensile forces travel within thewalls 27 and around theblisters 28. Thus, the upper force F exerts tension on thewalls 27 and not on theblisters 28. In FIG. 7walls 27 are outlined by the tension arrows T3 and T4. Theblisters 28 are not under tension from the force F. - The
contents 72 of the improvedspecimen retrieval bag 25 are being compressed or constricted within theballoon 33 and exert an outwards force P3 on the portion of thewalls 27 andblister 28 of theballoon 33. In FIG. 7, thecontents 72 consist ofgall bladder 70 andfluid 71. The upwards motion of the improvedspecimen retrieval bag 25 constricts thecontents 70 of theballoon 33 and forces the fluid 71 to rise into the portion of the improvedspecimen retrieval bag 25 extending above theincision 47. The constriction compresses thecontents 72 within theballoon 33 and thecontents 72 exert a radially outwards force P3 on the portion of thewalls 27 andblister 28 of theballoon 33. This outward pressure has tensioned thewalls 27 of theballoon 33 as indicated by the tension arrows T3, and has expandedblisters 28 outwardly from theballoon 33. - As the improved
specimen retrieval bag 25 is advanced upwardly by force F, fluid 71 moves upwardly from the constrictedballoon 33 and into thecolumn 32, expanding the non-tensioned portions NT of theblisters 28 outwardly outside of the incision 47.This movement offluids 71 into the non-tensioned portions NT of theblisters 38 reduces the size of the contents of theballoon 33, enabling the improvedspecimen retrieval bag 25 to be pulled farther out of thefirst incision 47. As more of the improvedspecimen retrieval bag 25 moves out of the body, more the non-tensioned portions NT of theblisters 38 emerge from thefirst incision 47 andmore fluids 71 can move upwardly from theballoon 33 into the non-tensioned portions NT of theblisters 28. This fluid transfer process continues until the improvedspecimen retrieval bag 25 andcontents 72 are easily extracted from the patient. - FIG. 8 is a cross-section of the improved
specimen retrieval bag 25 across vertical axis B-B and theblisters 28 showing an embodiment of the method steps of using the present invention to remove a fluid filled organ such as agall bladder 70.Gall bladder 70 is first placed into the improvedspecimen retrieval bag 25 and acut 74 is placed into thegall bladder 70 to release thefluids 71 within. Next, the improvedspecimen retrieval bag 25 is closed, and the improvedspecimen retrieval bag 25 is pulled out of thefirst incision 47. As shown, pulling the improvedspecimen retrieval bag 25 through thefirst incision 47 compresses thegall bladder 70, squeezingfluids 71 from thecut 74. The flow offluids 71 from thegall bladder 70 reduces the size of the organ and makes it easier to draw the organ through thefirst incision 47. As described above, thefluids 71 flow easily from thecut 74 within the squeezedgall bladder 70, into thecolumn 32 and into the non-tensioned portions NT of theblisters 28. This flow offluids 71 into the non-tensioned portions NT of theblisters 28 reduces the size of theballoon 33, and facilitates the removal of the improvedspecimen retrieval bag 25 from the patient. - FIGS. 9 and 10 illustrate alternate embodiments of the improved
specimen retrieval bag 25. FIG. 9 shows an alternate embodiment of improvedspecimen retrieval bag 25 bag withoutblisters 28 but having an expandable element located adjacent to theopening 26. As shown, the expandable element is a bellows 34 that easily expands outwardly when pressurized. As thebellows 34 expands outwardly, fluids flow from theballoon 33, into thecolumn 32 and into thebellows 34. Alternately, placing an elastomeric panel placed within thewalls 27 of the improvedspecimen retrieval bag 25 will also meet the intent of the alternate embodiment. - FIG. 10 shows yet another alternate embodiment of the improved
specimen retrieval bag 25 having an alternate embodiment of the transfer portion for the transport of fluids out of the patient. This alternate transfer portion has ahollow fluid passage 35 for the transfer of fluid from theballoon 33 into areceptacle 36 located outside of theabdominal wall 46.Hollow fluid passage 35 has a first end and a second end. Pulling theballoon 33 through thefirst incision 47 movesfluids 71 through thehollow fluid passage 35 and into thereceptacle 36. - Whereas the above descriptions describe a fluid71 as a substance such as blood, bile, pus, or other bodily liquid, it is conceivable that other materials may be considered as liquids or fluids in certain situations. For example, morcellated tissue is of a paste-like consistency and can be made to flow (like a fluid) within a confined container with pressure. Additionally, pieces of other solid or semi-solid materials (such as tissue or dry substances) can be made to move in a more fluid-like manner when combined with a fluid 71, which acts as a lubricant. Thus, the addition of a fluid 71 such as saline, water, (or any one of a number of other liquids) to the improved
specimen retrieval bag 25 can aid in the movement of tissue within the bag. Thus thefluids 71 described above can encompass a much wider range of materials than those listed above, including morcellated tissue, and in some cases, larger pieces of tissue. - While preferred embodiments of the present invention have been shown and described herein, it will be obvious to those skilled in the art that such embodiments are provided by way of example only. Numerous variations, changes, and substitutions will now occur to those skilled in the art without departing from the invention. Accordingly, it is intended that the invention be limited only by the spirit and scope of the appended claims.
Claims (12)
1. A surgical instrument for the removal of biological material through an opening within a patient, the biological material being larger than the opening within the patient, the surgical instrument comprising:
a. a specimen retrieval bag having at least one wall, said specimen retrieval bag having an open end, a closed end and a longitudinal axis extending therebetween, said open end for receiving biological materials therein; and
b. at least one material transfer member attached to said wall adjacent to said open end, said material transfer member extending radially from said wall and being in fluid communication with said bag, wherein when said open end of said bag is removed from the patient through the opening and said material transfer member is at least partially removed therethrough, a portion of the biological material moves from a portion of said bag within the patient to a portion of said material transfer member outside of said patient to reduce the size of the biological material within the patient.
2. The surgical instrument of claim 1 wherein said material transfer member is at least one expandable element near to said open end.
3. The surgical instrument of claim 2 wherein said at least one expandable element is a bellows.
4. The surgical instrument of claim 1 wherein said wall is fabricated from a polymeric material.
5. The surgical instrument of claim 4 wherein said polymeric material is Polyurethane.
6. The surgical instrument of claim 1 wherein said specimen retrieval bag is tapered, said specimen retrieval bag larger at said open end and smaller at said closed end.
7. The surgical instrument of claim 1 wherein said specimen retrieval bag has a drawstring for closing the open end of the specimen retrieval bag.
8. A surgical instrument for the removal of biological material through an opening within a patient, the biological material being larger than the opening within the patient, the surgical instrument comprising:
a. a specimen retrieval bag having at least one wall, said specimen retrieval bag having an open end and a closed end, said open end for receiving biological materials therein; and
b. at least one outwardly disposed blister on said wall, wherein when said specimen retrieval bag and said blister are partially removed from the patient through the opening, a portion of the biological material moves within said blister moving said material from a portion of said bag within the patient to a portion of said bag outside of said patient to reduce the size of the biological material within the patient.
9. The surgical instrument of claim 8 wherein said wall is fabricated from a polymeric material.
10. The surgical instrument of claim 9 wherein said polymeric material is Polyurethane.
11. The surgical instrument of claim 8 wherein said specimen retrieval bag is tapered, said specimen retrieval bag larger at said open end and smaller at said closed end.
12. The surgical instrument of claim 8 wherein said specimen retrieval bag has a drawstring for closing the open end of the specimen retrieval bag.
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US09/745,664 US6406440B1 (en) | 2000-12-21 | 2000-12-21 | Specimen retrieval bag |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US09/745,664 US6406440B1 (en) | 2000-12-21 | 2000-12-21 | Specimen retrieval bag |
Publications (2)
Publication Number | Publication Date |
---|---|
US6406440B1 US6406440B1 (en) | 2002-06-18 |
US20020082516A1 true US20020082516A1 (en) | 2002-06-27 |
Family
ID=24997700
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US09/745,664 Expired - Lifetime US6406440B1 (en) | 2000-12-21 | 2000-12-21 | Specimen retrieval bag |
Country Status (1)
Country | Link |
---|---|
US (1) | US6406440B1 (en) |
Cited By (84)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US20060200170A1 (en) * | 2005-03-07 | 2006-09-07 | Ernest Aranyi | Specimen retrieval apparatus and method of use |
EP1707126A1 (en) * | 2005-03-29 | 2006-10-04 | Tyco Healthcare Group Lp | Specimen retrieval apparatus |
US20090143794A1 (en) * | 2007-11-29 | 2009-06-04 | Conlon Sean P | Tissue resection device |
US7655004B2 (en) | 2007-02-15 | 2010-02-02 | Ethicon Endo-Surgery, Inc. | Electroporation ablation apparatus, system, and method |
US20100152746A1 (en) * | 2008-10-23 | 2010-06-17 | Ceniccola Anthony L | Surgical retrieval apparatus |
US20100249646A1 (en) * | 2009-03-25 | 2010-09-30 | Surgical Principals, Inc. | Specimen collection bag |
US7815662B2 (en) | 2007-03-08 | 2010-10-19 | Ethicon Endo-Surgery, Inc. | Surgical suture anchors and deployment device |
US8037591B2 (en) | 2009-02-02 | 2011-10-18 | Ethicon Endo-Surgery, Inc. | Surgical scissors |
GB2437654B (en) * | 2006-04-28 | 2011-10-19 | Newcastle Upon Tyne Hospitals Nhs Trust | Laparoscopic kidney cooling sheath |
US8070759B2 (en) | 2008-05-30 | 2011-12-06 | Ethicon Endo-Surgery, Inc. | Surgical fastening device |
US8075572B2 (en) | 2007-04-26 | 2011-12-13 | Ethicon Endo-Surgery, Inc. | Surgical suturing apparatus |
US8100922B2 (en) | 2007-04-27 | 2012-01-24 | Ethicon Endo-Surgery, Inc. | Curved needle suturing tool |
US8114072B2 (en) | 2008-05-30 | 2012-02-14 | Ethicon Endo-Surgery, Inc. | Electrical ablation device |
US8114119B2 (en) | 2008-09-09 | 2012-02-14 | Ethicon Endo-Surgery, Inc. | Surgical grasping device |
US8157834B2 (en) | 2008-11-25 | 2012-04-17 | Ethicon Endo-Surgery, Inc. | Rotational coupling device for surgical instrument with flexible actuators |
US8172772B2 (en) | 2008-12-11 | 2012-05-08 | Ethicon Endo-Surgery, Inc. | Specimen retrieval device |
US8211125B2 (en) | 2008-08-15 | 2012-07-03 | Ethicon Endo-Surgery, Inc. | Sterile appliance delivery device for endoscopic procedures |
US8241204B2 (en) | 2008-08-29 | 2012-08-14 | Ethicon Endo-Surgery, Inc. | Articulating end cap |
US8252057B2 (en) | 2009-01-30 | 2012-08-28 | Ethicon Endo-Surgery, Inc. | Surgical access device |
US8262680B2 (en) | 2008-03-10 | 2012-09-11 | Ethicon Endo-Surgery, Inc. | Anastomotic device |
US8262655B2 (en) | 2007-11-21 | 2012-09-11 | Ethicon Endo-Surgery, Inc. | Bipolar forceps |
US8262563B2 (en) | 2008-07-14 | 2012-09-11 | Ethicon Endo-Surgery, Inc. | Endoscopic translumenal articulatable steerable overtube |
EP2497429A1 (en) * | 2011-03-11 | 2012-09-12 | Tyco Healthcare Group LP | Speciman removal device with gas venting |
US8317806B2 (en) | 2008-05-30 | 2012-11-27 | Ethicon Endo-Surgery, Inc. | Endoscopic suturing tension controlling and indication devices |
US8337394B2 (en) | 2008-10-01 | 2012-12-25 | Ethicon Endo-Surgery, Inc. | Overtube with expandable tip |
US8353487B2 (en) | 2009-12-17 | 2013-01-15 | Ethicon Endo-Surgery, Inc. | User interface support devices for endoscopic surgical instruments |
US8361066B2 (en) | 2009-01-12 | 2013-01-29 | Ethicon Endo-Surgery, Inc. | Electrical ablation devices |
US8361112B2 (en) | 2008-06-27 | 2013-01-29 | Ethicon Endo-Surgery, Inc. | Surgical suture arrangement |
US8403926B2 (en) | 2008-06-05 | 2013-03-26 | Ethicon Endo-Surgery, Inc. | Manually articulating devices |
US8409200B2 (en) | 2008-09-03 | 2013-04-02 | Ethicon Endo-Surgery, Inc. | Surgical grasping device |
US8480689B2 (en) | 2008-09-02 | 2013-07-09 | Ethicon Endo-Surgery, Inc. | Suturing device |
US8480657B2 (en) | 2007-10-31 | 2013-07-09 | Ethicon Endo-Surgery, Inc. | Detachable distal overtube section and methods for forming a sealable opening in the wall of an organ |
US8496574B2 (en) | 2009-12-17 | 2013-07-30 | Ethicon Endo-Surgery, Inc. | Selectively positionable camera for surgical guide tube assembly |
US8506564B2 (en) | 2009-12-18 | 2013-08-13 | Ethicon Endo-Surgery, Inc. | Surgical instrument comprising an electrode |
US8529563B2 (en) | 2008-08-25 | 2013-09-10 | Ethicon Endo-Surgery, Inc. | Electrical ablation devices |
US8568410B2 (en) | 2007-08-31 | 2013-10-29 | Ethicon Endo-Surgery, Inc. | Electrical ablation surgical instruments |
US8579897B2 (en) | 2007-11-21 | 2013-11-12 | Ethicon Endo-Surgery, Inc. | Bipolar forceps |
US8608652B2 (en) | 2009-11-05 | 2013-12-17 | Ethicon Endo-Surgery, Inc. | Vaginal entry surgical devices, kit, system, and method |
US20140046337A1 (en) * | 2010-02-03 | 2014-02-13 | Covidien Lp | Surgical retrieval apparatus |
US8652150B2 (en) | 2008-05-30 | 2014-02-18 | Ethicon Endo-Surgery, Inc. | Multifunction surgical device |
US8679003B2 (en) | 2008-05-30 | 2014-03-25 | Ethicon Endo-Surgery, Inc. | Surgical device and endoscope including same |
US8771260B2 (en) | 2008-05-30 | 2014-07-08 | Ethicon Endo-Surgery, Inc. | Actuating and articulating surgical device |
US8828031B2 (en) | 2009-01-12 | 2014-09-09 | Ethicon Endo-Surgery, Inc. | Apparatus for forming an anastomosis |
US8888792B2 (en) | 2008-07-14 | 2014-11-18 | Ethicon Endo-Surgery, Inc. | Tissue apposition clip application devices and methods |
US8906035B2 (en) | 2008-06-04 | 2014-12-09 | Ethicon Endo-Surgery, Inc. | Endoscopic drop off bag |
US8939897B2 (en) | 2007-10-31 | 2015-01-27 | Ethicon Endo-Surgery, Inc. | Methods for closing a gastrotomy |
US8986199B2 (en) | 2012-02-17 | 2015-03-24 | Ethicon Endo-Surgery, Inc. | Apparatus and methods for cleaning the lens of an endoscope |
US9005198B2 (en) | 2010-01-29 | 2015-04-14 | Ethicon Endo-Surgery, Inc. | Surgical instrument comprising an electrode |
US9028483B2 (en) | 2009-12-18 | 2015-05-12 | Ethicon Endo-Surgery, Inc. | Surgical instrument comprising an electrode |
US9049987B2 (en) | 2011-03-17 | 2015-06-09 | Ethicon Endo-Surgery, Inc. | Hand held surgical device for manipulating an internal magnet assembly within a patient |
US9078662B2 (en) | 2012-07-03 | 2015-07-14 | Ethicon Endo-Surgery, Inc. | Endoscopic cap electrode and method for using the same |
US9226772B2 (en) | 2009-01-30 | 2016-01-05 | Ethicon Endo-Surgery, Inc. | Surgical device |
US9233241B2 (en) | 2011-02-28 | 2016-01-12 | Ethicon Endo-Surgery, Inc. | Electrical ablation devices and methods |
US9254169B2 (en) | 2011-02-28 | 2016-02-09 | Ethicon Endo-Surgery, Inc. | Electrical ablation devices and methods |
US9277957B2 (en) | 2012-08-15 | 2016-03-08 | Ethicon Endo-Surgery, Inc. | Electrosurgical devices and methods |
US9314620B2 (en) | 2011-02-28 | 2016-04-19 | Ethicon Endo-Surgery, Inc. | Electrical ablation devices and methods |
US9427255B2 (en) | 2012-05-14 | 2016-08-30 | Ethicon Endo-Surgery, Inc. | Apparatus for introducing a steerable camera assembly into a patient |
US20170007280A1 (en) * | 2010-12-17 | 2017-01-12 | Covidien Lp | Specimen Retrieval Device |
US9545290B2 (en) | 2012-07-30 | 2017-01-17 | Ethicon Endo-Surgery, Inc. | Needle probe guide |
US9572623B2 (en) | 2012-08-02 | 2017-02-21 | Ethicon Endo-Surgery, Inc. | Reusable electrode and disposable sheath |
US9592067B2 (en) | 2013-06-14 | 2017-03-14 | Covidien Lp | Specimen retrieval device including a reusable shaft with interchangeable pouch |
EP3113698A4 (en) * | 2014-03-07 | 2017-11-22 | Beacon Surgical, Inc. | Single incision specimen retrieval assembly, method of use, and kit |
US9987031B2 (en) | 2013-06-14 | 2018-06-05 | Covidien Lp | Specimen retrieval device including an integrated sliding grasper |
US9993229B2 (en) | 2011-11-08 | 2018-06-12 | Covidien Lp | Specimen retrieval device |
US10034661B2 (en) | 2013-08-23 | 2018-07-31 | Covidien Lp | Specimen retrieval device |
US10092291B2 (en) | 2011-01-25 | 2018-10-09 | Ethicon Endo-Surgery, Inc. | Surgical instrument with selectively rigidizable features |
US10098527B2 (en) | 2013-02-27 | 2018-10-16 | Ethidcon Endo-Surgery, Inc. | System for performing a minimally invasive surgical procedure |
US10154833B2 (en) | 2013-03-01 | 2018-12-18 | Covidien Lp | Specimen retrieval device with pouch stop |
US10314649B2 (en) | 2012-08-02 | 2019-06-11 | Ethicon Endo-Surgery, Inc. | Flexible expandable electrode and method of intraluminal delivery of pulsed power |
US10653400B2 (en) | 2017-08-07 | 2020-05-19 | Covidien Lp | Specimen retrieval device |
US10874386B2 (en) | 2018-01-24 | 2020-12-29 | Covidien Lp | Specimen retrieval device |
US10973543B2 (en) | 2018-01-10 | 2021-04-13 | Covidien Lp | Dual wall tissue extraction bag |
US11045176B2 (en) | 2018-05-18 | 2021-06-29 | Covidien Lp | Specimen retrieval device |
US11065051B2 (en) | 2017-11-03 | 2021-07-20 | Covidien Lp | Specimen retrieval device |
US11083443B2 (en) | 2018-04-24 | 2021-08-10 | Covidien Lp | Specimen retrieval device |
US11134932B2 (en) | 2018-08-13 | 2021-10-05 | Covidien Lp | Specimen retrieval device |
US11172915B2 (en) | 2019-04-24 | 2021-11-16 | Covidien Lp | Specimen retrieval devices with selective bag release |
US11191559B2 (en) | 2018-09-19 | 2021-12-07 | Covidien Lp | Specimen retrieval device |
US11246578B2 (en) | 2019-05-15 | 2022-02-15 | Covidien Lp | Tissue collection bags with inner surface pouches |
US11344300B2 (en) | 2019-03-26 | 2022-05-31 | Covidien Lp | Specimen capture stapler |
US11426151B2 (en) | 2019-06-04 | 2022-08-30 | Covidien Lp | Bag closure for specimen retrieval device |
US11446015B2 (en) | 2019-10-30 | 2022-09-20 | Covidien Lp | Specimen retrieval bag |
US11730459B2 (en) | 2018-02-22 | 2023-08-22 | Covidien Lp | Specimen retrieval devices and methods |
US11730480B2 (en) | 2018-09-14 | 2023-08-22 | Covidien Lp | Method and apparatus for accessing matter disposed within an internal body vessel |
Families Citing this family (549)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US20070084897A1 (en) | 2003-05-20 | 2007-04-19 | Shelton Frederick E Iv | Articulating surgical stapling instrument incorporating a two-piece e-beam firing mechanism |
US9060770B2 (en) | 2003-05-20 | 2015-06-23 | Ethicon Endo-Surgery, Inc. | Robotically-driven surgical instrument with E-beam driver |
CN1247159C (en) * | 2003-10-17 | 2006-03-29 | 李艳芳 | Recycled biological sample bag |
DE102004038071A1 (en) * | 2004-07-28 | 2006-03-23 | Mtp Medical Technical Promotion Gmbh | Endosurgical retrieval bag for the absorption of body tissue or fluid |
US11896225B2 (en) | 2004-07-28 | 2024-02-13 | Cilag Gmbh International | Staple cartridge comprising a pan |
US8215531B2 (en) | 2004-07-28 | 2012-07-10 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having a medical substance dispenser |
US8353091B2 (en) * | 2004-08-02 | 2013-01-15 | Global Pathogen Solutions, Inc. | Stun gun dart active retrieval system |
US20060200169A1 (en) * | 2005-03-07 | 2006-09-07 | Kevin Sniffin | Specimen retrieval apparatus and method of use |
US7547310B2 (en) * | 2005-03-29 | 2009-06-16 | Tyco Healthcare Group Lp | Specimen retrieval apparatus |
US11484312B2 (en) | 2005-08-31 | 2022-11-01 | Cilag Gmbh International | Staple cartridge comprising a staple driver arrangement |
US7669746B2 (en) | 2005-08-31 | 2010-03-02 | Ethicon Endo-Surgery, Inc. | Staple cartridges for forming staples having differing formed staple heights |
US11246590B2 (en) | 2005-08-31 | 2022-02-15 | Cilag Gmbh International | Staple cartridge including staple drivers having different unfired heights |
US8800838B2 (en) | 2005-08-31 | 2014-08-12 | Ethicon Endo-Surgery, Inc. | Robotically-controlled cable-based surgical end effectors |
US9237891B2 (en) | 2005-08-31 | 2016-01-19 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical stapling devices that produce formed staples having different lengths |
US10159482B2 (en) | 2005-08-31 | 2018-12-25 | Ethicon Llc | Fastener cartridge assembly comprising a fixed anvil and different staple heights |
US7934630B2 (en) | 2005-08-31 | 2011-05-03 | Ethicon Endo-Surgery, Inc. | Staple cartridges for forming staples having differing formed staple heights |
US20070194079A1 (en) | 2005-08-31 | 2007-08-23 | Hueil Joseph C | Surgical stapling device with staple drivers of different height |
WO2007048078A1 (en) * | 2005-10-14 | 2007-04-26 | Applied Medical Resources Corporation | Device for isolating and removing tissue |
US8721658B2 (en) | 2005-10-14 | 2014-05-13 | Applied Medical Resources Corporation | Tissue retrieval system |
US20070106317A1 (en) | 2005-11-09 | 2007-05-10 | Shelton Frederick E Iv | Hydraulically and electrically actuated articulation joints for surgical instruments |
US8161977B2 (en) | 2006-01-31 | 2012-04-24 | Ethicon Endo-Surgery, Inc. | Accessing data stored in a memory of a surgical instrument |
US20110295295A1 (en) | 2006-01-31 | 2011-12-01 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical instrument having recording capabilities |
US11278279B2 (en) | 2006-01-31 | 2022-03-22 | Cilag Gmbh International | Surgical instrument assembly |
US20110024477A1 (en) | 2009-02-06 | 2011-02-03 | Hall Steven G | Driven Surgical Stapler Improvements |
US8186555B2 (en) | 2006-01-31 | 2012-05-29 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting and fastening instrument with mechanical closure system |
US11793518B2 (en) | 2006-01-31 | 2023-10-24 | Cilag Gmbh International | Powered surgical instruments with firing system lockout arrangements |
US8763879B2 (en) | 2006-01-31 | 2014-07-01 | Ethicon Endo-Surgery, Inc. | Accessing data stored in a memory of surgical instrument |
US7845537B2 (en) | 2006-01-31 | 2010-12-07 | Ethicon Endo-Surgery, Inc. | Surgical instrument having recording capabilities |
US9861359B2 (en) | 2006-01-31 | 2018-01-09 | Ethicon Llc | Powered surgical instruments with firing system lockout arrangements |
US11224427B2 (en) | 2006-01-31 | 2022-01-18 | Cilag Gmbh International | Surgical stapling system including a console and retraction assembly |
US8820603B2 (en) | 2006-01-31 | 2014-09-02 | Ethicon Endo-Surgery, Inc. | Accessing data stored in a memory of a surgical instrument |
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 |
US8708213B2 (en) | 2006-01-31 | 2014-04-29 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a feedback system |
US20120292367A1 (en) | 2006-01-31 | 2012-11-22 | Ethicon Endo-Surgery, Inc. | Robotically-controlled end effector |
US20070225562A1 (en) | 2006-03-23 | 2007-09-27 | Ethicon Endo-Surgery, Inc. | Articulating endoscopic accessory channel |
US8992422B2 (en) | 2006-03-23 | 2015-03-31 | Ethicon Endo-Surgery, Inc. | Robotically-controlled endoscopic accessory channel |
US8322455B2 (en) | 2006-06-27 | 2012-12-04 | Ethicon Endo-Surgery, Inc. | Manually driven surgical cutting and fastening instrument |
US10130359B2 (en) | 2006-09-29 | 2018-11-20 | Ethicon Llc | Method for forming a staple |
US7665647B2 (en) | 2006-09-29 | 2010-02-23 | Ethicon Endo-Surgery, Inc. | Surgical cutting and stapling device with closure apparatus for limiting maximum tissue compression force |
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 |
US8652120B2 (en) | 2007-01-10 | 2014-02-18 | Ethicon Endo-Surgery, Inc. | Surgical instrument with wireless communication between control unit and sensor transponders |
US8684253B2 (en) | 2007-01-10 | 2014-04-01 | Ethicon Endo-Surgery, Inc. | Surgical instrument with wireless communication between a control unit of a robotic system and remote sensor |
US11291441B2 (en) | 2007-01-10 | 2022-04-05 | Cilag Gmbh International | Surgical instrument with wireless communication between control unit and remote sensor |
US8459520B2 (en) | 2007-01-10 | 2013-06-11 | Ethicon Endo-Surgery, Inc. | Surgical instrument with wireless communication between control unit and remote sensor |
US8540128B2 (en) | 2007-01-11 | 2013-09-24 | Ethicon Endo-Surgery, Inc. | Surgical stapling device with a curved end effector |
US11039836B2 (en) | 2007-01-11 | 2021-06-22 | Cilag Gmbh International | Staple cartridge for use with a surgical stapling instrument |
US7735703B2 (en) | 2007-03-15 | 2010-06-15 | Ethicon Endo-Surgery, Inc. | Re-loadable surgical stapling instrument |
US8893946B2 (en) | 2007-03-28 | 2014-11-25 | Ethicon Endo-Surgery, Inc. | Laparoscopic tissue thickness and clamp load measuring devices |
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 |
US8348827B2 (en) * | 2007-06-12 | 2013-01-08 | Ethicon Endo-Surgery, Inc. | Specimen removal pouch |
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 |
US8561870B2 (en) | 2008-02-13 | 2013-10-22 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument |
US7905381B2 (en) | 2008-09-19 | 2011-03-15 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with cutting member arrangement |
US8584919B2 (en) | 2008-02-14 | 2013-11-19 | Ethicon Endo-Sugery, Inc. | Surgical stapling apparatus with load-sensitive firing mechanism |
US7913891B2 (en) | 2008-02-14 | 2011-03-29 | Ethicon Endo-Surgery, Inc. | Disposable loading unit with user feedback features and surgical instrument for use therewith |
RU2493788C2 (en) | 2008-02-14 | 2013-09-27 | Этикон Эндо-Серджери, Инк. | Surgical cutting and fixing instrument, which has radio-frequency electrodes |
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 |
US7819296B2 (en) | 2008-02-14 | 2010-10-26 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with retractable firing systems |
US7793812B2 (en) | 2008-02-14 | 2010-09-14 | Ethicon Endo-Surgery, Inc. | Disposable motor-driven loading unit for use with a surgical cutting and stapling apparatus |
US7857185B2 (en) * | 2008-02-14 | 2010-12-28 | Ethicon Endo-Surgery, Inc. | Disposable loading unit for surgical stapling apparatus |
US7810692B2 (en) | 2008-02-14 | 2010-10-12 | Ethicon Endo-Surgery, Inc. | Disposable loading unit with firing indicator |
US7819298B2 (en) | 2008-02-14 | 2010-10-26 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with control features operable with one hand |
US8636736B2 (en) | 2008-02-14 | 2014-01-28 | Ethicon Endo-Surgery, Inc. | 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 |
US8752749B2 (en) | 2008-02-14 | 2014-06-17 | Ethicon Endo-Surgery, Inc. | Robotically-controlled disposable motor-driven loading unit |
US9179912B2 (en) | 2008-02-14 | 2015-11-10 | Ethicon Endo-Surgery, Inc. | Robotically-controlled motorized surgical cutting and fastening instrument |
US7861906B2 (en) * | 2008-02-14 | 2011-01-04 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with articulatable components |
US8758391B2 (en) | 2008-02-14 | 2014-06-24 | Ethicon Endo-Surgery, Inc. | Interchangeable tools for surgical instruments |
US8622274B2 (en) | 2008-02-14 | 2014-01-07 | Ethicon Endo-Surgery, Inc. | Motorized cutting and fastening instrument having control circuit for optimizing battery usage |
US7866527B2 (en) | 2008-02-14 | 2011-01-11 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with interlockable firing system |
US7819297B2 (en) | 2008-02-14 | 2010-10-26 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with reprocessible handle assembly |
US20130153641A1 (en) | 2008-02-15 | 2013-06-20 | Ethicon Endo-Surgery, Inc. | Releasable layer of material and surgical end effector having the same |
US11272927B2 (en) | 2008-02-15 | 2022-03-15 | Cilag Gmbh International | Layer arrangements for surgical staple cartridges |
US8152820B2 (en) | 2008-06-26 | 2012-04-10 | Dai-Z, Llc | Medical device and method for human tissue and foreign body extraction |
PL3476312T3 (en) | 2008-09-19 | 2024-03-11 | Ethicon Llc | Surgical stapler with apparatus for adjusting staple height |
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 |
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 |
US8608045B2 (en) | 2008-10-10 | 2013-12-17 | Ethicon Endo-Sugery, Inc. | Powered surgical cutting and stapling apparatus with manually retractable firing system |
US8397971B2 (en) | 2009-02-05 | 2013-03-19 | Ethicon Endo-Surgery, Inc. | Sterilizable surgical instrument |
US8414577B2 (en) | 2009-02-05 | 2013-04-09 | Ethicon Endo-Surgery, Inc. | Surgical instruments and components for use in sterile environments |
US8517239B2 (en) | 2009-02-05 | 2013-08-27 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument comprising a magnetic element driver |
US8453907B2 (en) | 2009-02-06 | 2013-06-04 | Ethicon Endo-Surgery, Inc. | Motor driven surgical fastener device with cutting member reversing mechanism |
RU2525225C2 (en) | 2009-02-06 | 2014-08-10 | Этикон Эндо-Серджери, Инк. | Improvement of drive surgical suturing instrument |
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 |
US8430826B2 (en) * | 2009-03-04 | 2013-04-30 | Covidien Lp | Specimen retrieval apparatus |
EP2485652B1 (en) * | 2009-10-09 | 2019-08-21 | Applied Medical Resources Corporation | Single incision laparoscopic tissue retrieval system |
US20110098704A1 (en) | 2009-10-28 | 2011-04-28 | Ethicon Endo-Surgery, Inc. | Electrical ablation devices |
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 |
US9113848B2 (en) * | 2010-02-03 | 2015-08-25 | Covidien Lp | Surgical retrieval apparatus |
US20110190781A1 (en) * | 2010-02-03 | 2011-08-04 | Nicholas John Collier | Surgical retrieval apparatus |
US8486087B2 (en) | 2010-05-03 | 2013-07-16 | Covidien Lp | System and method for removing excised tissue |
US8783543B2 (en) | 2010-07-30 | 2014-07-22 | Ethicon Endo-Surgery, Inc. | Tissue acquisition arrangements and methods for surgical stapling devices |
US20120078244A1 (en) | 2010-09-24 | 2012-03-29 | Worrell Barry C | Control features for articulating surgical device |
US9314246B2 (en) | 2010-09-30 | 2016-04-19 | Ethicon Endo-Surgery, Llc | Tissue stapler having a thickness compensator incorporating an anti-inflammatory agent |
US9629814B2 (en) | 2010-09-30 | 2017-04-25 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator configured to redistribute compressive forces |
US9307989B2 (en) | 2012-03-28 | 2016-04-12 | Ethicon Endo-Surgery, Llc | Tissue stapler having a thickness compensator incorportating a hydrophobic agent |
US11849952B2 (en) | 2010-09-30 | 2023-12-26 | Cilag Gmbh International | Staple cartridge comprising staples positioned within a compressible portion thereof |
US11812965B2 (en) | 2010-09-30 | 2023-11-14 | Cilag Gmbh International | Layer of material for a surgical end effector |
US9301753B2 (en) | 2010-09-30 | 2016-04-05 | Ethicon Endo-Surgery, Llc | Expandable tissue thickness compensator |
US9332974B2 (en) | 2010-09-30 | 2016-05-10 | Ethicon Endo-Surgery, Llc | Layered tissue thickness compensator |
US9861361B2 (en) | 2010-09-30 | 2018-01-09 | Ethicon Llc | Releasable tissue thickness compensator and fastener cartridge having the same |
US20120080498A1 (en) | 2010-09-30 | 2012-04-05 | Ethicon Endo-Surgery, Inc. | Curved end effector for a stapling instrument |
US10945731B2 (en) | 2010-09-30 | 2021-03-16 | Ethicon Llc | Tissue thickness compensator comprising controlled release and expansion |
US11298125B2 (en) | 2010-09-30 | 2022-04-12 | Cilag Gmbh International | Tissue stapler having a thickness compensator |
US8893949B2 (en) | 2010-09-30 | 2014-11-25 | Ethicon Endo-Surgery, Inc. | Surgical stapler with floating anvil |
US9364233B2 (en) | 2010-09-30 | 2016-06-14 | Ethicon Endo-Surgery, Llc | Tissue thickness compensators for circular surgical staplers |
US9168038B2 (en) | 2010-09-30 | 2015-10-27 | Ethicon Endo-Surgery, Inc. | Staple cartridge comprising a tissue thickness compensator |
US9232941B2 (en) | 2010-09-30 | 2016-01-12 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator comprising a reservoir |
AU2011308701B2 (en) | 2010-09-30 | 2013-11-14 | Ethicon Endo-Surgery, Inc. | Fastener system comprising a retention matrix and an alignment matrix |
US9241714B2 (en) | 2011-04-29 | 2016-01-26 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator and method for making the same |
US9320523B2 (en) | 2012-03-28 | 2016-04-26 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator comprising tissue ingrowth features |
US9480476B2 (en) | 2010-09-30 | 2016-11-01 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator comprising resilient members |
US9301752B2 (en) | 2010-09-30 | 2016-04-05 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator comprising a plurality of capsules |
US9220501B2 (en) | 2010-09-30 | 2015-12-29 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensators |
US8695866B2 (en) | 2010-10-01 | 2014-04-15 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a power control circuit |
ES2663723T3 (en) | 2010-10-01 | 2018-04-16 | Applied Medical Resources Corporation | Laparoscopic tissue recovery system |
US8777961B2 (en) | 2010-10-04 | 2014-07-15 | Covidien Lp | Surgical retrieval apparatus |
US9005215B2 (en) | 2010-10-04 | 2015-04-14 | Covidien Lp | Specimen retrieval apparatus |
US8734464B2 (en) | 2011-01-06 | 2014-05-27 | Covidien Lp | Surgical retrieval apparatus for thoracic procedures |
US8795291B2 (en) | 2011-04-29 | 2014-08-05 | Covidien Lp | Specimen retrieval device |
BR112013027794B1 (en) | 2011-04-29 | 2020-12-15 | Ethicon Endo-Surgery, Inc | CLAMP CARTRIDGE SET |
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 |
US8968329B2 (en) | 2011-10-19 | 2015-03-03 | Covidien Lp | Surgical retrieval apparatus for thoracic procedures |
US8906036B2 (en) | 2011-11-21 | 2014-12-09 | Covidien Lp | Surgical retrieval apparatus |
US9549747B2 (en) | 2012-01-23 | 2017-01-24 | Covidien Lp | Reusable surgical retrieval apparatus with disposable cartridge assembly |
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 |
RU2639857C2 (en) | 2012-03-28 | 2017-12-22 | Этикон Эндо-Серджери, Инк. | Tissue thickness compensator containing capsule for medium with low pressure |
US9198662B2 (en) | 2012-03-28 | 2015-12-01 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator having improved visibility |
RU2014143258A (en) | 2012-03-28 | 2016-05-20 | Этикон Эндо-Серджери, Инк. | FABRIC THICKNESS COMPENSATOR CONTAINING MANY LAYERS |
BR112014024194B1 (en) | 2012-03-28 | 2022-03-03 | Ethicon Endo-Surgery, Inc | STAPLER CARTRIDGE SET FOR A SURGICAL STAPLER |
US9101358B2 (en) | 2012-06-15 | 2015-08-11 | Ethicon Endo-Surgery, Inc. | Articulatable surgical instrument comprising a firing drive |
US9561038B2 (en) | 2012-06-28 | 2017-02-07 | Ethicon Endo-Surgery, Llc | Interchangeable clip applier |
US20140001234A1 (en) | 2012-06-28 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Coupling arrangements for attaching surgical end effectors to drive systems therefor |
US20140005718A1 (en) | 2012-06-28 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Multi-functional powered surgical device with external dissection features |
BR112014032776B1 (en) | 2012-06-28 | 2021-09-08 | Ethicon Endo-Surgery, Inc | SURGICAL INSTRUMENT SYSTEM AND SURGICAL KIT FOR USE WITH A SURGICAL INSTRUMENT SYSTEM |
US9125662B2 (en) | 2012-06-28 | 2015-09-08 | Ethicon Endo-Surgery, Inc. | Multi-axis articulating and rotating surgical tools |
US9101385B2 (en) | 2012-06-28 | 2015-08-11 | Ethicon Endo-Surgery, Inc. | Electrode connections for rotary driven surgical tools |
US9649111B2 (en) | 2012-06-28 | 2017-05-16 | Ethicon Endo-Surgery, Llc | Replaceable clip cartridge for a clip applier |
US9119657B2 (en) | 2012-06-28 | 2015-09-01 | Ethicon Endo-Surgery, Inc. | Rotary actuatable closure arrangement for surgical end effector |
BR112014032740A2 (en) | 2012-06-28 | 2020-02-27 | Ethicon Endo Surgery Inc | empty clip cartridge lock |
US9289256B2 (en) | 2012-06-28 | 2016-03-22 | Ethicon Endo-Surgery, Llc | Surgical end effectors having angled tissue-contacting surfaces |
US11278284B2 (en) | 2012-06-28 | 2022-03-22 | Cilag Gmbh International | Rotary drive arrangements for surgical instruments |
US9072536B2 (en) | 2012-06-28 | 2015-07-07 | Ethicon Endo-Surgery, Inc. | Differential locking arrangements for rotary powered surgical instruments |
US9028494B2 (en) | 2012-06-28 | 2015-05-12 | Ethicon Endo-Surgery, Inc. | Interchangeable end effector coupling arrangement |
US8747238B2 (en) | 2012-06-28 | 2014-06-10 | Ethicon Endo-Surgery, Inc. | Rotary drive shaft assemblies for surgical instruments with articulatable end effectors |
US20140001231A1 (en) | 2012-06-28 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Firing system lockout arrangements for surgical instruments |
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 |
RU2669463C2 (en) | 2013-03-01 | 2018-10-11 | Этикон Эндо-Серджери, Инк. | Surgical instrument with soft stop |
BR112015021098B1 (en) | 2013-03-01 | 2022-02-15 | Ethicon Endo-Surgery, Inc | COVERAGE FOR A JOINT JOINT AND SURGICAL INSTRUMENT |
US9358003B2 (en) | 2013-03-01 | 2016-06-07 | Ethicon Endo-Surgery, Llc | Electromechanical surgical device with signal relay arrangement |
US20140263552A1 (en) | 2013-03-13 | 2014-09-18 | Ethicon Endo-Surgery, Inc. | Staple cartridge tissue thickness sensor system |
US9629629B2 (en) | 2013-03-14 | 2017-04-25 | Ethicon Endo-Surgey, LLC | Control systems for surgical instruments |
US9883860B2 (en) | 2013-03-14 | 2018-02-06 | Ethicon Llc | Interchangeable shaft assemblies for use with a surgical instrument |
US9572577B2 (en) | 2013-03-27 | 2017-02-21 | Ethicon Endo-Surgery, Llc | Fastener cartridge comprising a tissue thickness compensator including openings therein |
US9795384B2 (en) | 2013-03-27 | 2017-10-24 | Ethicon Llc | Fastener cartridge comprising a tissue thickness compensator and a gap setting element |
US9332984B2 (en) | 2013-03-27 | 2016-05-10 | Ethicon Endo-Surgery, Llc | Fastener cartridge assemblies |
US9844368B2 (en) | 2013-04-16 | 2017-12-19 | Ethicon Llc | Surgical system comprising first and second drive systems |
BR112015026109B1 (en) | 2013-04-16 | 2022-02-22 | Ethicon Endo-Surgery, Inc | surgical instrument |
US9574644B2 (en) | 2013-05-30 | 2017-02-21 | Ethicon Endo-Surgery, Llc | Power module for use with a surgical instrument |
US9283054B2 (en) | 2013-08-23 | 2016-03-15 | Ethicon Endo-Surgery, Llc | Interactive displays |
MX369362B (en) | 2013-08-23 | 2019-11-06 | Ethicon Endo Surgery Llc | Firing member retraction devices for powered surgical instruments. |
CN103654886B (en) * | 2013-12-17 | 2016-04-13 | 蓝爱琴 | A kind of device for taking out the pathological tissues excised in Minimally Invasive Surgery |
US9724092B2 (en) | 2013-12-23 | 2017-08-08 | Ethicon Llc | Modular surgical instruments |
US9839428B2 (en) | 2013-12-23 | 2017-12-12 | Ethicon Llc | Surgical cutting and stapling instruments with independent jaw control features |
US9549735B2 (en) | 2013-12-23 | 2017-01-24 | Ethicon Endo-Surgery, Llc | Fastener cartridge comprising a firing member including fastener transfer surfaces |
US20150173756A1 (en) | 2013-12-23 | 2015-06-25 | Ethicon Endo-Surgery, Inc. | Surgical cutting and stapling methods |
US9962161B2 (en) | 2014-02-12 | 2018-05-08 | Ethicon Llc | Deliverable surgical instrument |
US9775608B2 (en) | 2014-02-24 | 2017-10-03 | Ethicon Llc | Fastening system comprising a firing member lockout |
BR112016019387B1 (en) | 2014-02-24 | 2022-11-29 | Ethicon Endo-Surgery, Llc | SURGICAL INSTRUMENT SYSTEM AND FASTENER CARTRIDGE FOR USE WITH A SURGICAL FIXING INSTRUMENT |
US20150272557A1 (en) | 2014-03-26 | 2015-10-01 | Ethicon Endo-Surgery, Inc. | Modular surgical instrument system |
US10013049B2 (en) | 2014-03-26 | 2018-07-03 | Ethicon Llc | Power management through sleep options of segmented circuit and wake up control |
BR112016021943B1 (en) | 2014-03-26 | 2022-06-14 | Ethicon Endo-Surgery, Llc | SURGICAL INSTRUMENT FOR USE BY AN OPERATOR IN A SURGICAL PROCEDURE |
US9913642B2 (en) | 2014-03-26 | 2018-03-13 | Ethicon Llc | Surgical instrument comprising a sensor system |
US9750499B2 (en) | 2014-03-26 | 2017-09-05 | Ethicon Llc | Surgical stapling instrument system |
US10542988B2 (en) | 2014-04-16 | 2020-01-28 | Ethicon Llc | End effector comprising an anvil including projections extending therefrom |
JP6612256B2 (en) | 2014-04-16 | 2019-11-27 | エシコン エルエルシー | Fastener cartridge with non-uniform fastener |
US9801627B2 (en) | 2014-09-26 | 2017-10-31 | Ethicon Llc | Fastener cartridge for creating a flexible staple line |
US20150297225A1 (en) | 2014-04-16 | 2015-10-22 | Ethicon Endo-Surgery, Inc. | Fastener cartridges including extensions having different configurations |
CN106456159B (en) | 2014-04-16 | 2019-03-08 | 伊西康内外科有限责任公司 | Fastener cartridge assembly and nail retainer lid arragement construction |
BR112016023698B1 (en) | 2014-04-16 | 2022-07-26 | Ethicon Endo-Surgery, Llc | FASTENER CARTRIDGE FOR USE WITH A SURGICAL INSTRUMENT |
ES2958293T3 (en) | 2014-04-23 | 2024-02-06 | Applied Med Resources | Systems for tissue extraction |
US10045781B2 (en) | 2014-06-13 | 2018-08-14 | Ethicon Llc | Closure lockout systems for surgical instruments |
JP6602846B2 (en) | 2014-08-18 | 2019-11-06 | アプライド メディカル リソーシーズ コーポレイション | Tissue containment / recovery system and method |
US11311294B2 (en) | 2014-09-05 | 2022-04-26 | Cilag Gmbh International | Powered medical device including measurement of closure state of jaws |
US10111679B2 (en) | 2014-09-05 | 2018-10-30 | Ethicon Llc | Circuitry and sensors for powered medical device |
BR112017004361B1 (en) | 2014-09-05 | 2023-04-11 | Ethicon Llc | ELECTRONIC SYSTEM FOR A SURGICAL INSTRUMENT |
US10105142B2 (en) | 2014-09-18 | 2018-10-23 | Ethicon Llc | Surgical stapler with plurality of cutting elements |
BR112017005981B1 (en) | 2014-09-26 | 2022-09-06 | Ethicon, Llc | ANCHOR MATERIAL FOR USE WITH A SURGICAL STAPLE CARTRIDGE AND SURGICAL STAPLE CARTRIDGE FOR USE WITH A SURGICAL INSTRUMENT |
US11523821B2 (en) | 2014-09-26 | 2022-12-13 | Cilag Gmbh International | Method for creating a flexible staple line |
US10076325B2 (en) | 2014-10-13 | 2018-09-18 | Ethicon Llc | Surgical stapling apparatus comprising a tissue stop |
US9924944B2 (en) | 2014-10-16 | 2018-03-27 | Ethicon Llc | Staple cartridge comprising an adjunct material |
US10517594B2 (en) | 2014-10-29 | 2019-12-31 | Ethicon Llc | Cartridge assemblies for surgical staplers |
US11141153B2 (en) | 2014-10-29 | 2021-10-12 | Cilag Gmbh International | Staple cartridges comprising driver arrangements |
US9844376B2 (en) | 2014-11-06 | 2017-12-19 | Ethicon Llc | Staple cartridge comprising a releasable adjunct material |
KR102602619B1 (en) | 2014-11-13 | 2023-11-16 | 어플라이드 메디컬 리소시스 코포레이션 | Systems and methods for tissue removal |
US10736636B2 (en) | 2014-12-10 | 2020-08-11 | Ethicon Llc | Articulatable surgical instrument system |
US10117649B2 (en) | 2014-12-18 | 2018-11-06 | Ethicon Llc | Surgical instrument assembly comprising a lockable articulation system |
US10004501B2 (en) | 2014-12-18 | 2018-06-26 | Ethicon Llc | Surgical instruments with improved closure arrangements |
US9844375B2 (en) | 2014-12-18 | 2017-12-19 | Ethicon Llc | Drive arrangements for articulatable surgical instruments |
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 |
US9987000B2 (en) | 2014-12-18 | 2018-06-05 | Ethicon Llc | Surgical instrument assembly comprising a flexible articulation system |
MX2017008108A (en) | 2014-12-18 | 2018-03-06 | Ethicon Llc | Surgical instrument with an anvil that is selectively movable about a discrete non-movable axis relative to a staple cartridge. |
US10085748B2 (en) | 2014-12-18 | 2018-10-02 | Ethicon Llc | Locking arrangements for detachable shaft assemblies with articulatable surgical end effectors |
US9931118B2 (en) | 2015-02-27 | 2018-04-03 | Ethicon Endo-Surgery, Llc | Reinforced battery for a surgical instrument |
US10226250B2 (en) | 2015-02-27 | 2019-03-12 | Ethicon Llc | Modular stapling assembly |
US11154301B2 (en) | 2015-02-27 | 2021-10-26 | Cilag Gmbh International | Modular stapling assembly |
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 |
US10045776B2 (en) | 2015-03-06 | 2018-08-14 | Ethicon Llc | Control techniques and sub-processor contained within modular shaft with select control processing from handle |
US10052044B2 (en) | 2015-03-06 | 2018-08-21 | Ethicon Llc | Time dependent evaluation of sensor data to determine stability, creep, and viscoelastic elements of measures |
US10617412B2 (en) | 2015-03-06 | 2020-04-14 | Ethicon Llc | System for detecting the mis-insertion of a staple cartridge into a surgical stapler |
US9924961B2 (en) | 2015-03-06 | 2018-03-27 | Ethicon Endo-Surgery, Llc | Interactive feedback system for powered surgical instruments |
US9808246B2 (en) | 2015-03-06 | 2017-11-07 | Ethicon Endo-Surgery, Llc | Method of operating a powered surgical instrument |
US9895148B2 (en) | 2015-03-06 | 2018-02-20 | Ethicon Endo-Surgery, Llc | Monitoring speed control and precision incrementing of motor for powered surgical instruments |
JP2020121162A (en) | 2015-03-06 | 2020-08-13 | エシコン エルエルシーEthicon LLC | Time dependent evaluation of sensor data to determine stability element, creep element and viscoelastic element of measurement |
US10687806B2 (en) | 2015-03-06 | 2020-06-23 | Ethicon Llc | Adaptive tissue compression techniques to adjust closure rates for multiple tissue types |
US9901342B2 (en) | 2015-03-06 | 2018-02-27 | Ethicon Endo-Surgery, Llc | Signal and power communication system positioned on a rotatable shaft |
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 |
US10441279B2 (en) | 2015-03-06 | 2019-10-15 | Ethicon Llc | Multiple level thresholds to modify operation of powered surgical instruments |
US10433844B2 (en) | 2015-03-31 | 2019-10-08 | Ethicon Llc | Surgical instrument with selectively disengageable threaded drive systems |
WO2016172679A1 (en) | 2015-04-23 | 2016-10-27 | Applied Medical Resources Corporation | Systems and methods for tissue removal |
US10178992B2 (en) | 2015-06-18 | 2019-01-15 | Ethicon Llc | Push/pull articulation drive systems for articulatable surgical instruments |
US9717515B1 (en) | 2015-08-10 | 2017-08-01 | MW Support Services, LLC | Medical device for sleeve gastrectomy surgery |
US10835249B2 (en) | 2015-08-17 | 2020-11-17 | Ethicon Llc | Implantable layers for a surgical instrument |
JP6828018B2 (en) | 2015-08-26 | 2021-02-10 | エシコン エルエルシーEthicon LLC | Surgical staple strips that allow you to change the characteristics of staples and facilitate filling into cartridges |
US10390829B2 (en) | 2015-08-26 | 2019-08-27 | Ethicon Llc | Staples comprising a cover |
MX2022006189A (en) | 2015-09-02 | 2022-06-16 | Ethicon Llc | Surgical staple configurations with camming surfaces located between portions supporting surgical staples. |
US10314587B2 (en) | 2015-09-02 | 2019-06-11 | Ethicon Llc | Surgical staple cartridge with improved staple driver configurations |
US10076326B2 (en) | 2015-09-23 | 2018-09-18 | Ethicon Llc | Surgical stapler having current mirror-based motor control |
US10327769B2 (en) | 2015-09-23 | 2019-06-25 | Ethicon Llc | Surgical stapler having motor control based on a drive system component |
US10238386B2 (en) | 2015-09-23 | 2019-03-26 | Ethicon Llc | Surgical stapler having motor control based on an electrical parameter related to a motor current |
US10363036B2 (en) | 2015-09-23 | 2019-07-30 | Ethicon Llc | Surgical stapler having force-based motor control |
US10085751B2 (en) | 2015-09-23 | 2018-10-02 | Ethicon Llc | Surgical stapler having temperature-based motor control |
US10105139B2 (en) | 2015-09-23 | 2018-10-23 | Ethicon Llc | Surgical stapler having downstream current-based motor control |
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 |
US11690623B2 (en) | 2015-09-30 | 2023-07-04 | Cilag Gmbh International | Method for applying an implantable layer to a fastener cartridge |
US20170086829A1 (en) | 2015-09-30 | 2017-03-30 | Ethicon Endo-Surgery, Llc | Compressible adjunct with intermediate supporting structures |
US10980539B2 (en) | 2015-09-30 | 2021-04-20 | Ethicon Llc | Implantable adjunct comprising bonded layers |
US10368865B2 (en) | 2015-12-30 | 2019-08-06 | Ethicon Llc | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
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 |
EP4115825A1 (en) | 2016-01-22 | 2023-01-11 | Applied Medical Resources Corporation | Systems for tissue removal |
JP6911054B2 (en) | 2016-02-09 | 2021-07-28 | エシコン エルエルシーEthicon LLC | Surgical instruments with asymmetric joint composition |
US11213293B2 (en) | 2016-02-09 | 2022-01-04 | Cilag Gmbh International | Articulatable surgical instruments with single articulation link arrangements |
US10245030B2 (en) | 2016-02-09 | 2019-04-02 | Ethicon Llc | Surgical instruments with tensioning arrangements for cable driven articulation systems |
US10258331B2 (en) | 2016-02-12 | 2019-04-16 | Ethicon Llc | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US10448948B2 (en) | 2016-02-12 | 2019-10-22 | Ethicon Llc | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US11224426B2 (en) | 2016-02-12 | 2022-01-18 | Cilag Gmbh International | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US10376263B2 (en) | 2016-04-01 | 2019-08-13 | Ethicon Llc | Anvil modification members for surgical staplers |
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 |
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 |
US10357247B2 (en) | 2016-04-15 | 2019-07-23 | Ethicon Llc | Surgical instrument with multiple program responses during a firing motion |
US10426467B2 (en) | 2016-04-15 | 2019-10-01 | Ethicon Llc | Surgical instrument with detection sensors |
US10405859B2 (en) | 2016-04-15 | 2019-09-10 | Ethicon Llc | Surgical instrument with adjustable stop/start control during a firing motion |
US10828028B2 (en) | 2016-04-15 | 2020-11-10 | Ethicon Llc | Surgical instrument with multiple program responses during a firing motion |
US11179150B2 (en) | 2016-04-15 | 2021-11-23 | Cilag Gmbh International | Systems and methods for controlling a surgical stapling and cutting instrument |
US11607239B2 (en) | 2016-04-15 | 2023-03-21 | Cilag Gmbh International | Systems and methods for controlling a surgical stapling and cutting instrument |
US10492783B2 (en) | 2016-04-15 | 2019-12-03 | Ethicon, Llc | Surgical instrument with improved stop/start control during a firing motion |
US11317917B2 (en) | 2016-04-18 | 2022-05-03 | Cilag Gmbh International | Surgical stapling system comprising a lockable firing assembly |
US20170296173A1 (en) | 2016-04-18 | 2017-10-19 | Ethicon Endo-Surgery, Llc | Method for operating a surgical instrument |
US10363037B2 (en) | 2016-04-18 | 2019-07-30 | Ethicon Llc | Surgical instrument system comprising a magnetic lockout |
USD850617S1 (en) | 2016-06-24 | 2019-06-04 | Ethicon Llc | Surgical fastener cartridge |
USD826405S1 (en) | 2016-06-24 | 2018-08-21 | Ethicon Llc | Surgical fastener |
CN109310431B (en) | 2016-06-24 | 2022-03-04 | 伊西康有限责任公司 | Staple cartridge comprising wire staples and punch staples |
USD847989S1 (en) | 2016-06-24 | 2019-05-07 | Ethicon Llc | Surgical fastener cartridge |
US11000278B2 (en) | 2016-06-24 | 2021-05-11 | Ethicon Llc | Staple cartridge comprising wire staples and stamped staples |
US11690604B2 (en) | 2016-09-10 | 2023-07-04 | Ark Surgical Ltd. | Laparoscopic workspace device |
US10478166B2 (en) * | 2016-12-16 | 2019-11-19 | Oscar Polo | Laparoscopic morcellating receptacle and methods of use |
US10945727B2 (en) | 2016-12-21 | 2021-03-16 | Ethicon Llc | Staple cartridge with deformable driver retention features |
US10588630B2 (en) | 2016-12-21 | 2020-03-17 | Ethicon Llc | Surgical tool assemblies with closure stroke reduction features |
US10687810B2 (en) | 2016-12-21 | 2020-06-23 | Ethicon Llc | Stepped staple cartridge with tissue retention and gap setting features |
US10448950B2 (en) | 2016-12-21 | 2019-10-22 | Ethicon Llc | Surgical staplers with independently actuatable closing and firing systems |
US10675026B2 (en) | 2016-12-21 | 2020-06-09 | Ethicon Llc | Methods of stapling tissue |
US10524789B2 (en) | 2016-12-21 | 2020-01-07 | Ethicon Llc | Laterally actuatable articulation lock arrangements for locking an end effector of a surgical instrument in an articulated configuration |
US10881401B2 (en) | 2016-12-21 | 2021-01-05 | Ethicon Llc | Staple firing member comprising a missing cartridge and/or spent cartridge lockout |
US10695055B2 (en) | 2016-12-21 | 2020-06-30 | Ethicon Llc | Firing assembly comprising a lockout |
JP7010956B2 (en) | 2016-12-21 | 2022-01-26 | エシコン エルエルシー | How to staple tissue |
US10856868B2 (en) | 2016-12-21 | 2020-12-08 | Ethicon Llc | Firing member pin configurations |
US10993715B2 (en) | 2016-12-21 | 2021-05-04 | Ethicon Llc | Staple cartridge comprising staples with different clamping breadths |
JP2020501779A (en) | 2016-12-21 | 2020-01-23 | エシコン エルエルシーEthicon LLC | Surgical stapling system |
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 |
US10537324B2 (en) | 2016-12-21 | 2020-01-21 | Ethicon Llc | Stepped staple cartridge with asymmetrical staples |
US20180168625A1 (en) | 2016-12-21 | 2018-06-21 | Ethicon Endo-Surgery, Llc | Surgical stapling instruments with smart staple cartridges |
US11134942B2 (en) | 2016-12-21 | 2021-10-05 | Cilag Gmbh International | Surgical stapling instruments and staple-forming anvils |
US10835245B2 (en) | 2016-12-21 | 2020-11-17 | Ethicon Llc | Method for attaching a shaft assembly to a surgical instrument and, alternatively, to a surgical robot |
US11684367B2 (en) | 2016-12-21 | 2023-06-27 | Cilag Gmbh International | Stepped assembly having and end-of-life indicator |
US10682138B2 (en) | 2016-12-21 | 2020-06-16 | Ethicon Llc | Bilaterally asymmetric staple forming pocket pairs |
US10426471B2 (en) | 2016-12-21 | 2019-10-01 | Ethicon Llc | Surgical instrument with multiple failure response modes |
US10588632B2 (en) | 2016-12-21 | 2020-03-17 | Ethicon Llc | Surgical end effectors and firing members thereof |
JP6983893B2 (en) | 2016-12-21 | 2021-12-17 | エシコン エルエルシーEthicon LLC | Lockout configuration for surgical end effectors and replaceable tool assemblies |
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 |
US10893864B2 (en) | 2016-12-21 | 2021-01-19 | Ethicon | Staple cartridges and arrangements of staples and staple cavities therein |
US10675058B2 (en) | 2017-01-19 | 2020-06-09 | Covidien Lp | Devices, systems, and methods for large tissue specimen removal |
US10987131B2 (en) | 2017-05-25 | 2021-04-27 | Coopersurgical, Inc. | Tissue containment systems and related methods |
USD890784S1 (en) | 2017-06-20 | 2020-07-21 | 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 |
US10368864B2 (en) | 2017-06-20 | 2019-08-06 | Ethicon Llc | Systems and methods for controlling displaying motor velocity for a surgical instrument |
US11071554B2 (en) | 2017-06-20 | 2021-07-27 | Cilag Gmbh International | Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on magnitude of velocity error measurements |
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 |
US10881399B2 (en) | 2017-06-20 | 2021-01-05 | Ethicon Llc | Techniques for adaptive control of motor velocity of a surgical stapling and cutting instrument |
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 |
US10881396B2 (en) | 2017-06-20 | 2021-01-05 | Ethicon Llc | Surgical instrument with variable duration trigger arrangement |
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 |
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 |
US10646220B2 (en) | 2017-06-20 | 2020-05-12 | Ethicon Llc | Systems and methods for controlling displacement member velocity for a surgical instrument |
US11653914B2 (en) | 2017-06-20 | 2023-05-23 | Cilag Gmbh International | Systems and methods for controlling motor velocity of a surgical stapling and cutting instrument according to articulation angle of end effector |
US10980537B2 (en) | 2017-06-20 | 2021-04-20 | Ethicon Llc | Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on measured time over a specified number of shaft rotations |
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 |
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 |
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 |
USD879808S1 (en) | 2017-06-20 | 2020-03-31 | Ethicon Llc | Display panel with graphical user interface |
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 |
USD879809S1 (en) | 2017-06-20 | 2020-03-31 | Ethicon Llc | Display panel with changeable graphical user interface |
US11324503B2 (en) | 2017-06-27 | 2022-05-10 | Cilag Gmbh International | Surgical firing member arrangements |
US10631859B2 (en) | 2017-06-27 | 2020-04-28 | Ethicon Llc | Articulation systems for surgical instruments |
US10856869B2 (en) | 2017-06-27 | 2020-12-08 | Ethicon Llc | Surgical anvil arrangements |
US11266405B2 (en) | 2017-06-27 | 2022-03-08 | Cilag Gmbh International | Surgical anvil manufacturing methods |
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 |
US11246592B2 (en) | 2017-06-28 | 2022-02-15 | Cilag Gmbh International | Surgical instrument comprising an articulation system lockable to a frame |
US11564686B2 (en) | 2017-06-28 | 2023-01-31 | Cilag Gmbh International | Surgical shaft assemblies with flexible interfaces |
EP4070740A1 (en) | 2017-06-28 | 2022-10-12 | Cilag GmbH International | Surgical instrument comprising selectively actuatable rotatable couplers |
US10765427B2 (en) | 2017-06-28 | 2020-09-08 | Ethicon Llc | Method for articulating a surgical instrument |
US11259805B2 (en) | 2017-06-28 | 2022-03-01 | Cilag Gmbh International | Surgical instrument comprising firing member supports |
US10903685B2 (en) | 2017-06-28 | 2021-01-26 | Ethicon Llc | Surgical shaft assemblies with slip ring assemblies forming capacitive channels |
US10211586B2 (en) | 2017-06-28 | 2019-02-19 | Ethicon Llc | Surgical shaft assemblies with watertight housings |
USD906355S1 (en) | 2017-06-28 | 2020-12-29 | Ethicon Llc | Display screen or portion thereof with a graphical user interface for a surgical instrument |
USD869655S1 (en) | 2017-06-28 | 2019-12-10 | Ethicon Llc | Surgical fastener cartridge |
USD851762S1 (en) | 2017-06-28 | 2019-06-18 | Ethicon Llc | Anvil |
US11000279B2 (en) | 2017-06-28 | 2021-05-11 | Ethicon Llc | Surgical instrument comprising an articulation system ratio |
US10716614B2 (en) | 2017-06-28 | 2020-07-21 | Ethicon Llc | Surgical shaft assemblies with slip ring assemblies with increased contact pressure |
US10786253B2 (en) | 2017-06-28 | 2020-09-29 | Ethicon Llc | Surgical end effectors with improved jaw aperture arrangements |
USD854151S1 (en) | 2017-06-28 | 2019-07-16 | Ethicon Llc | Surgical instrument shaft |
US10932772B2 (en) | 2017-06-29 | 2021-03-02 | Ethicon Llc | Methods for closed loop velocity control for robotic surgical instrument |
US10398434B2 (en) | 2017-06-29 | 2019-09-03 | Ethicon Llc | Closed loop velocity control of closure member for robotic surgical instrument |
US11007022B2 (en) | 2017-06-29 | 2021-05-18 | Ethicon Llc | Closed loop velocity control techniques based on sensed tissue parameters for robotic surgical instrument |
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 |
EP4154845A1 (en) | 2017-07-04 | 2023-03-29 | Dentlytec G.P.L. Ltd. | Dental device with probe |
WO2019021285A1 (en) | 2017-07-26 | 2019-01-31 | Dentlytec G.P.L. Ltd | Intraoral scanner |
US11471155B2 (en) | 2017-08-03 | 2022-10-18 | Cilag Gmbh International | Surgical system bailout |
US11944300B2 (en) | 2017-08-03 | 2024-04-02 | Cilag Gmbh International | Method for operating a surgical system bailout |
US11304695B2 (en) | 2017-08-03 | 2022-04-19 | Cilag Gmbh International | Surgical system shaft interconnection |
US11083490B2 (en) | 2017-09-21 | 2021-08-10 | Covidien Lp | Systems and methods for large tissue specimen removal |
USD907648S1 (en) | 2017-09-29 | 2021-01-12 | Ethicon Llc | Display screen or portion thereof with animated graphical user interface |
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 |
US10796471B2 (en) | 2017-09-29 | 2020-10-06 | Ethicon Llc | Systems and methods of displaying a knife position for a surgical instrument |
USD917500S1 (en) | 2017-09-29 | 2021-04-27 | Ethicon Llc | Display screen or portion thereof with graphical user interface |
USD907647S1 (en) | 2017-09-29 | 2021-01-12 | Ethicon Llc | Display screen or portion thereof with animated graphical user interface |
US10743872B2 (en) | 2017-09-29 | 2020-08-18 | Ethicon Llc | System and methods for controlling a display of 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 |
US11134944B2 (en) | 2017-10-30 | 2021-10-05 | Cilag Gmbh International | Surgical stapler knife motion controls |
US11090075B2 (en) | 2017-10-30 | 2021-08-17 | Cilag Gmbh International | Articulation features for surgical end effector |
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 |
US10806436B2 (en) | 2017-12-01 | 2020-10-20 | Roger R. LIM, SR. | Vented specimen retrieval bag |
US11071543B2 (en) | 2017-12-15 | 2021-07-27 | Cilag Gmbh International | Surgical end effectors with clamping assemblies configured to increase jaw aperture ranges |
US11006955B2 (en) | 2017-12-15 | 2021-05-18 | Ethicon Llc | End effectors with positive jaw opening features for use with adapters for electromechanical surgical instruments |
US10779826B2 (en) | 2017-12-15 | 2020-09-22 | Ethicon Llc | Methods of operating surgical end effectors |
US10743875B2 (en) | 2017-12-15 | 2020-08-18 | Ethicon Llc | Surgical end effectors with jaw stiffener arrangements configured to permit monitoring of firing member |
US10743874B2 (en) | 2017-12-15 | 2020-08-18 | Ethicon Llc | Sealed adapters for use with electromechanical surgical instruments |
US11197670B2 (en) | 2017-12-15 | 2021-12-14 | Cilag Gmbh International | Surgical end effectors with pivotal jaws configured to touch at their respective distal ends when fully closed |
US10869666B2 (en) | 2017-12-15 | 2020-12-22 | Ethicon Llc | Adapters with control systems for controlling multiple motors of an electromechanical surgical instrument |
US10687813B2 (en) | 2017-12-15 | 2020-06-23 | Ethicon Llc | Adapters with firing stroke sensing arrangements for use in connection with electromechanical surgical instruments |
US10828033B2 (en) | 2017-12-15 | 2020-11-10 | Ethicon Llc | Handheld electromechanical surgical instruments with improved motor control arrangements for positioning components of an adapter coupled thereto |
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 |
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 |
US11033267B2 (en) | 2017-12-15 | 2021-06-15 | Ethicon Llc | Systems and methods of controlling a clamping member firing rate of a surgical instrument |
USD910847S1 (en) | 2017-12-19 | 2021-02-16 | Ethicon Llc | Surgical instrument assembly |
US10729509B2 (en) | 2017-12-19 | 2020-08-04 | Ethicon Llc | Surgical instrument comprising closure and firing locking mechanism |
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 |
US11020112B2 (en) | 2017-12-19 | 2021-06-01 | Ethicon Llc | Surgical tools configured for interchangeable use with different controller interfaces |
US11045270B2 (en) | 2017-12-19 | 2021-06-29 | Cilag Gmbh International | Robotic attachment comprising exterior drive actuator |
US10716565B2 (en) | 2017-12-19 | 2020-07-21 | Ethicon Llc | Surgical instruments with dual articulation drivers |
US10682134B2 (en) | 2017-12-21 | 2020-06-16 | Ethicon Llc | Continuous use self-propelled stapling instrument |
US11311290B2 (en) | 2017-12-21 | 2022-04-26 | Cilag Gmbh International | Surgical instrument comprising an end effector dampener |
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 |
US11129680B2 (en) | 2017-12-21 | 2021-09-28 | Cilag Gmbh International | Surgical instrument comprising a projector |
US10792057B2 (en) | 2018-03-23 | 2020-10-06 | Covidien Lp | Articulation mechanisms for tissue specimen retrieval devices and tissue specimen retrieval devices incorporating the same |
US10667800B2 (en) | 2018-05-08 | 2020-06-02 | Covidien Lp | Four bar articulation mechanism for tissue specimen retrieval device |
US10792023B2 (en) | 2018-06-06 | 2020-10-06 | Covidien Lp | Shaft driven mechanism for articulating tissue specimen retrieval device |
US11207065B2 (en) | 2018-08-20 | 2021-12-28 | Cilag Gmbh International | Method for fabricating surgical stapler anvils |
US11253256B2 (en) | 2018-08-20 | 2022-02-22 | Cilag Gmbh International | Articulatable motor powered surgical instruments with dedicated articulation motor arrangements |
US10912559B2 (en) | 2018-08-20 | 2021-02-09 | Ethicon Llc | Reinforced deformable anvil tip for surgical stapler anvil |
US11045192B2 (en) | 2018-08-20 | 2021-06-29 | Cilag Gmbh International | Fabricating techniques for surgical stapler anvils |
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 |
US10779821B2 (en) | 2018-08-20 | 2020-09-22 | Ethicon Llc | Surgical stapler anvils with tissue stop features configured to avoid tissue pinch |
US11039834B2 (en) | 2018-08-20 | 2021-06-22 | Cilag Gmbh International | Surgical stapler anvils with staple directing protrusions and tissue stability features |
US10856870B2 (en) | 2018-08-20 | 2020-12-08 | Ethicon Llc | Switching arrangements for motor powered articulatable surgical instruments |
US11083458B2 (en) | 2018-08-20 | 2021-08-10 | Cilag Gmbh International | Powered surgical instruments with clutching arrangements to convert linear drive motions to rotary drive motions |
US11324501B2 (en) | 2018-08-20 | 2022-05-10 | Cilag Gmbh International | Surgical stapling devices with improved closure members |
US11291440B2 (en) | 2018-08-20 | 2022-04-05 | Cilag Gmbh International | Method for operating a powered articulatable surgical instrument |
USD914878S1 (en) | 2018-08-20 | 2021-03-30 | Ethicon Llc | Surgical instrument anvil |
AU2019380603A1 (en) | 2018-11-16 | 2021-05-20 | Applied Medical Resources Corporation | Tissue retrieval system with retention features |
US10912545B2 (en) | 2019-02-04 | 2021-02-09 | Covidien Lp | Tissue specimen retrieval devices and methods |
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 |
US11452528B2 (en) | 2019-04-30 | 2022-09-27 | Cilag Gmbh International | Articulation actuators for a surgical instrument |
US11471157B2 (en) | 2019-04-30 | 2022-10-18 | Cilag Gmbh International | Articulation control mapping for a surgical instrument |
US11253254B2 (en) | 2019-04-30 | 2022-02-22 | Cilag Gmbh International | Shaft rotation actuator on a surgical instrument |
US11426251B2 (en) | 2019-04-30 | 2022-08-30 | Cilag Gmbh International | Articulation directional lights on a surgical instrument |
US11903581B2 (en) | 2019-04-30 | 2024-02-20 | Cilag Gmbh International | Methods for stapling tissue using a surgical instrument |
US11432816B2 (en) | 2019-04-30 | 2022-09-06 | Cilag Gmbh International | Articulation pin for a surgical instrument |
US11648009B2 (en) | 2019-04-30 | 2023-05-16 | Cilag Gmbh International | Rotatable jaw tip for a surgical instrument |
US11064984B2 (en) | 2019-05-07 | 2021-07-20 | Covidien Lp | Specimen containment device |
US11051834B2 (en) | 2019-05-17 | 2021-07-06 | Covidien Lp | Tissue specimen retrieval device |
US11426203B2 (en) | 2019-05-23 | 2022-08-30 | Covidien Lp | Tissue guards and systems incorporating the same for tissue specimen removal procedures and other surgical procedures |
US11219455B2 (en) | 2019-06-28 | 2022-01-11 | Cilag Gmbh International | Surgical instrument including a lockout key |
US11426167B2 (en) | 2019-06-28 | 2022-08-30 | Cilag Gmbh International | Mechanisms for proper anvil attachment surgical stapling head assembly |
US11660163B2 (en) | 2019-06-28 | 2023-05-30 | Cilag Gmbh International | Surgical system with RFID tags for updating motor assembly parameters |
US11627959B2 (en) | 2019-06-28 | 2023-04-18 | Cilag Gmbh International | Surgical instruments including manual and powered system lockouts |
US11771419B2 (en) | 2019-06-28 | 2023-10-03 | Cilag Gmbh International | Packaging for a replaceable component of a surgical stapling system |
US11246678B2 (en) | 2019-06-28 | 2022-02-15 | Cilag Gmbh International | Surgical stapling system having a frangible RFID tag |
US11478241B2 (en) | 2019-06-28 | 2022-10-25 | Cilag Gmbh International | Staple cartridge including projections |
US11224497B2 (en) | 2019-06-28 | 2022-01-18 | Cilag Gmbh International | Surgical systems with multiple RFID tags |
US11229437B2 (en) | 2019-06-28 | 2022-01-25 | Cilag Gmbh International | Method for authenticating the compatibility of a staple cartridge with a surgical instrument |
US11051807B2 (en) | 2019-06-28 | 2021-07-06 | Cilag Gmbh International | Packaging assembly including a particulate trap |
US11298132B2 (en) | 2019-06-28 | 2022-04-12 | Cilag GmbH Inlernational | Staple cartridge including a honeycomb extension |
US11376098B2 (en) | 2019-06-28 | 2022-07-05 | Cilag Gmbh International | Surgical instrument system comprising an RFID system |
US11259803B2 (en) | 2019-06-28 | 2022-03-01 | Cilag Gmbh International | Surgical stapling system having an information encryption protocol |
US11291451B2 (en) | 2019-06-28 | 2022-04-05 | Cilag Gmbh International | Surgical instrument with battery compatibility verification functionality |
US11464601B2 (en) | 2019-06-28 | 2022-10-11 | Cilag Gmbh International | Surgical instrument comprising an RFID system for tracking a movable component |
US11523822B2 (en) | 2019-06-28 | 2022-12-13 | Cilag Gmbh International | Battery pack including a circuit interrupter |
US11553971B2 (en) | 2019-06-28 | 2023-01-17 | Cilag Gmbh International | Surgical RFID assemblies for display and communication |
US11399837B2 (en) | 2019-06-28 | 2022-08-02 | Cilag Gmbh International | Mechanisms for motor control adjustments of a motorized surgical instrument |
US11638587B2 (en) | 2019-06-28 | 2023-05-02 | Cilag Gmbh International | RFID identification systems for surgical instruments |
US11497492B2 (en) | 2019-06-28 | 2022-11-15 | Cilag Gmbh International | Surgical instrument including an articulation lock |
US11684434B2 (en) | 2019-06-28 | 2023-06-27 | Cilag Gmbh International | Surgical RFID assemblies for instrument operational setting control |
US11298127B2 (en) | 2019-06-28 | 2022-04-12 | Cilag GmbH Interational | Surgical stapling system having a lockout mechanism for an incompatible cartridge |
US11529186B2 (en) | 2019-07-22 | 2022-12-20 | Covidien Lp | Electrosurgical forceps including thermal cutting element |
US11510662B2 (en) | 2019-07-24 | 2022-11-29 | Covidien Lp | Free standing bag with integrated cutting guard interface |
US11051795B2 (en) | 2019-07-31 | 2021-07-06 | Covidien Lp | Tissue retrieval bag |
US11304687B2 (en) | 2019-08-13 | 2022-04-19 | Covidien Lp | Tissue specimen bag furling device and method |
US11253240B2 (en) | 2019-09-10 | 2022-02-22 | Covidien Lp | Tissue specimen retrieval devices |
US11172949B2 (en) | 2019-10-07 | 2021-11-16 | Covidien Lp | Tissue specimen retrieval devices |
JP2023503254A (en) | 2019-11-15 | 2023-01-27 | アプライド メディカル リソーシーズ コーポレイション | Redeployable tissue retrieval system |
US11504122B2 (en) | 2019-12-19 | 2022-11-22 | Cilag Gmbh International | Surgical instrument comprising a nested firing member |
US11304696B2 (en) | 2019-12-19 | 2022-04-19 | Cilag Gmbh International | Surgical instrument comprising a powered articulation system |
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 |
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 |
US11446029B2 (en) | 2019-12-19 | 2022-09-20 | Cilag Gmbh International | Staple cartridge comprising projections extending from a curved deck surface |
US11291447B2 (en) | 2019-12-19 | 2022-04-05 | Cilag Gmbh International | Stapling instrument comprising independent jaw closing and staple firing systems |
US11464512B2 (en) | 2019-12-19 | 2022-10-11 | Cilag Gmbh International | Staple cartridge comprising a curved deck surface |
US11844520B2 (en) | 2019-12-19 | 2023-12-19 | Cilag Gmbh International | Staple cartridge comprising driver retention members |
US11529139B2 (en) | 2019-12-19 | 2022-12-20 | Cilag Gmbh International | Motor driven surgical instrument |
US11559304B2 (en) | 2019-12-19 | 2023-01-24 | Cilag Gmbh International | Surgical instrument comprising a rapid closure mechanism |
US11234698B2 (en) | 2019-12-19 | 2022-02-01 | Cilag Gmbh International | Stapling system comprising a clamp lockout and a firing lockout |
US11701111B2 (en) | 2019-12-19 | 2023-07-18 | Cilag Gmbh International | Method for operating a surgical stapling instrument |
US11931033B2 (en) | 2019-12-19 | 2024-03-19 | Cilag Gmbh International | Staple cartridge comprising a latch lockout |
US11911032B2 (en) | 2019-12-19 | 2024-02-27 | Cilag Gmbh International | Staple cartridge comprising a seating cam |
US11707264B2 (en) | 2020-01-30 | 2023-07-25 | Covidien Lp | Rollable tissue specimen bag with improved brim for tenting |
US11759188B2 (en) | 2020-01-31 | 2023-09-19 | Covidien Lp | Devices, systems, and methods for specimen removal |
US11344284B2 (en) | 2020-02-11 | 2022-05-31 | Covidien Lp | Tissue specimen retrieval device with variable bag brim |
US11160543B2 (en) | 2020-02-13 | 2021-11-02 | Covidien Lp | Magnetic suture tab for free standing specimen bag |
US11224413B2 (en) | 2020-02-19 | 2022-01-18 | Covidien Lp | Retrieval device with bag release mechanism |
US11364051B2 (en) | 2020-02-20 | 2022-06-21 | Covidien Lp | Cutting guard |
US11369352B2 (en) | 2020-03-31 | 2022-06-28 | Covidien Lp | Dual channel design for free standing specimen bag |
US11406369B2 (en) | 2020-04-08 | 2022-08-09 | Covidien Lp | Tissue specimen retrieval device with reinforced spring |
US11246613B2 (en) | 2020-05-15 | 2022-02-15 | Covidien Lp | Actuation mechanisms for tissue specimen retrieval devices and tissue specimen retrieval devices incorporating the same |
US11304714B2 (en) | 2020-05-19 | 2022-04-19 | Covidien Lp | Tissue specimen retrieval device with assisted deployment |
US11627987B2 (en) | 2020-05-20 | 2023-04-18 | Covidien Lp | Low impact cutting guard |
US11510749B2 (en) | 2020-05-26 | 2022-11-29 | Covidien Lp | Insertable cutting guard |
USD974560S1 (en) | 2020-06-02 | 2023-01-03 | Cilag Gmbh International | Staple cartridge |
USD966512S1 (en) | 2020-06-02 | 2022-10-11 | Cilag Gmbh International | Staple cartridge |
USD975851S1 (en) | 2020-06-02 | 2023-01-17 | Cilag Gmbh International | Staple cartridge |
USD976401S1 (en) | 2020-06-02 | 2023-01-24 | Cilag Gmbh International | Staple cartridge |
USD967421S1 (en) | 2020-06-02 | 2022-10-18 | Cilag Gmbh International | Staple cartridge |
USD975278S1 (en) | 2020-06-02 | 2023-01-10 | Cilag Gmbh International | Staple cartridge |
USD975850S1 (en) | 2020-06-02 | 2023-01-17 | Cilag Gmbh International | Staple cartridge |
US11517297B2 (en) | 2020-06-05 | 2022-12-06 | Covidien Lp | Rollable tissue specimen bag with improved brim for tenting |
US11864756B2 (en) | 2020-07-28 | 2024-01-09 | Cilag Gmbh International | Surgical instruments with flexible ball chain drive arrangements |
US11931067B2 (en) | 2020-08-15 | 2024-03-19 | Covidien Lp | Insertable cutting guards |
US11717289B2 (en) | 2020-10-29 | 2023-08-08 | Cilag Gmbh International | Surgical instrument comprising an indicator which indicates that an articulation drive is actuatable |
USD1013170S1 (en) | 2020-10-29 | 2024-01-30 | Cilag Gmbh International | Surgical instrument assembly |
US11844518B2 (en) | 2020-10-29 | 2023-12-19 | Cilag Gmbh International | Method for operating a surgical instrument |
US11534259B2 (en) | 2020-10-29 | 2022-12-27 | Cilag Gmbh International | Surgical instrument comprising an articulation indicator |
US11779330B2 (en) | 2020-10-29 | 2023-10-10 | Cilag Gmbh International | Surgical instrument comprising a jaw alignment system |
US11517390B2 (en) | 2020-10-29 | 2022-12-06 | Cilag Gmbh International | Surgical instrument comprising a limited travel switch |
US11896217B2 (en) | 2020-10-29 | 2024-02-13 | Cilag Gmbh International | Surgical instrument comprising an articulation lock |
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 |
USD980425S1 (en) | 2020-10-29 | 2023-03-07 | Cilag Gmbh International | Surgical instrument assembly |
US11452526B2 (en) | 2020-10-29 | 2022-09-27 | Cilag Gmbh International | Surgical instrument comprising a staged voltage regulation start-up system |
US11678882B2 (en) | 2020-12-02 | 2023-06-20 | Cilag Gmbh International | Surgical instruments with interactive features to remedy incidental sled movements |
US11849943B2 (en) | 2020-12-02 | 2023-12-26 | Cilag Gmbh International | Surgical instrument with cartridge release mechanisms |
US11627960B2 (en) | 2020-12-02 | 2023-04-18 | Cilag Gmbh International | Powered surgical instruments with smart reload with separately attachable exteriorly mounted wiring connections |
US11744581B2 (en) | 2020-12-02 | 2023-09-05 | Cilag Gmbh International | Powered surgical instruments with multi-phase tissue treatment |
US11890010B2 (en) | 2020-12-02 | 2024-02-06 | Cllag GmbH International | Dual-sided reinforced reload for surgical instruments |
US11737751B2 (en) | 2020-12-02 | 2023-08-29 | Cilag Gmbh International | Devices and methods of managing energy dissipated within sterile barriers of surgical instrument housings |
US11944296B2 (en) | 2020-12-02 | 2024-04-02 | Cilag Gmbh International | Powered surgical instruments with external connectors |
US11653915B2 (en) | 2020-12-02 | 2023-05-23 | Cilag Gmbh International | Surgical instruments with sled location detection and adjustment features |
US11653920B2 (en) | 2020-12-02 | 2023-05-23 | Cilag Gmbh International | Powered surgical instruments with communication interfaces through sterile barrier |
US11950779B2 (en) | 2021-02-26 | 2024-04-09 | Cilag Gmbh International | Method of powering and communicating with a staple cartridge |
US11701113B2 (en) | 2021-02-26 | 2023-07-18 | Cilag Gmbh International | Stapling instrument comprising a separate power antenna and a data transfer antenna |
US11950777B2 (en) | 2021-02-26 | 2024-04-09 | Cilag Gmbh International | Staple cartridge comprising an information access control system |
US11749877B2 (en) | 2021-02-26 | 2023-09-05 | Cilag Gmbh International | Stapling instrument comprising a signal antenna |
US11723657B2 (en) | 2021-02-26 | 2023-08-15 | Cilag Gmbh International | Adjustable communication based on available bandwidth and power capacity |
US11744583B2 (en) | 2021-02-26 | 2023-09-05 | Cilag Gmbh International | Distal communication array to tune frequency of RF systems |
US11730473B2 (en) | 2021-02-26 | 2023-08-22 | Cilag Gmbh International | Monitoring of manufacturing life-cycle |
US11751869B2 (en) | 2021-02-26 | 2023-09-12 | Cilag Gmbh International | Monitoring of multiple sensors over time to detect moving characteristics of tissue |
US11812964B2 (en) | 2021-02-26 | 2023-11-14 | Cilag Gmbh International | Staple cartridge comprising a power management circuit |
US11925349B2 (en) | 2021-02-26 | 2024-03-12 | Cilag Gmbh International | Adjustment to transfer parameters to improve available power |
US11793514B2 (en) | 2021-02-26 | 2023-10-24 | Cilag Gmbh International | Staple cartridge comprising sensor array which may be embedded in cartridge body |
US11696757B2 (en) | 2021-02-26 | 2023-07-11 | Cilag Gmbh International | Monitoring of internal systems to detect and track cartridge motion status |
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 |
US11759202B2 (en) | 2021-03-22 | 2023-09-19 | Cilag Gmbh International | Staple cartridge comprising an implantable layer |
US11826012B2 (en) | 2021-03-22 | 2023-11-28 | Cilag Gmbh International | Stapling instrument comprising a pulsed motor-driven firing rack |
US11737749B2 (en) | 2021-03-22 | 2023-08-29 | Cilag Gmbh International | Surgical stapling instrument comprising a retraction system |
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 |
US11849945B2 (en) | 2021-03-24 | 2023-12-26 | Cilag Gmbh International | Rotary-driven surgical stapling assembly comprising eccentrically driven firing member |
US11744603B2 (en) | 2021-03-24 | 2023-09-05 | Cilag Gmbh International | Multi-axis pivot joints for surgical instruments and methods for manufacturing same |
US11832816B2 (en) | 2021-03-24 | 2023-12-05 | Cilag Gmbh International | Surgical stapling assembly comprising nonplanar staples and planar staples |
US11903582B2 (en) | 2021-03-24 | 2024-02-20 | Cilag Gmbh International | Leveraging surfaces for cartridge installation |
US11944336B2 (en) | 2021-03-24 | 2024-04-02 | Cilag Gmbh International | Joint arrangements for multi-planar alignment and support of operational drive shafts in articulatable surgical instruments |
US11849944B2 (en) | 2021-03-24 | 2023-12-26 | Cilag Gmbh International | Drivers for fastener cartridge assemblies having rotary drive screws |
US11786239B2 (en) | 2021-03-24 | 2023-10-17 | Cilag Gmbh International | Surgical instrument articulation joint arrangements comprising multiple moving linkage features |
US11793516B2 (en) | 2021-03-24 | 2023-10-24 | Cilag Gmbh International | Surgical staple cartridge comprising longitudinal support beam |
US11857183B2 (en) | 2021-03-24 | 2024-01-02 | Cilag Gmbh International | Stapling assembly components having metal substrates and plastic bodies |
US11896219B2 (en) | 2021-03-24 | 2024-02-13 | Cilag Gmbh International | Mating features between drivers and underside of a cartridge deck |
US11896218B2 (en) | 2021-03-24 | 2024-02-13 | Cilag Gmbh International | Method of using a powered stapling device |
US11786243B2 (en) | 2021-03-24 | 2023-10-17 | Cilag Gmbh International | Firing members having flexible portions for adapting to a load during a surgical firing stroke |
US20220378424A1 (en) | 2021-05-28 | 2022-12-01 | Cilag Gmbh International | Stapling instrument comprising a firing lockout |
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 (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5465732A (en) | 1992-03-31 | 1995-11-14 | Boston Scientific Corporation | Fluoroscopically viewable multifilar calibrated guidewire and method of measuring occlusions with calibrated guidewires |
CA2098896C (en) | 1992-06-30 | 2005-03-29 | H. Jonathan Tovey | Specimen retrieval pouch and method for use |
US5480404A (en) | 1993-06-16 | 1996-01-02 | Ethicon, Inc. | Surgical tissue retrieval instrument |
US5814044A (en) | 1995-02-10 | 1998-09-29 | Enable Medical Corporation | Apparatus and method for morselating and removing tissue from a patient |
-
2000
- 2000-12-21 US US09/745,664 patent/US6406440B1/en not_active Expired - Lifetime
Cited By (107)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US20060200170A1 (en) * | 2005-03-07 | 2006-09-07 | Ernest Aranyi | Specimen retrieval apparatus and method of use |
EP1707126A1 (en) * | 2005-03-29 | 2006-10-04 | Tyco Healthcare Group Lp | Specimen retrieval apparatus |
GB2437654B (en) * | 2006-04-28 | 2011-10-19 | Newcastle Upon Tyne Hospitals Nhs Trust | Laparoscopic kidney cooling sheath |
US8029504B2 (en) | 2007-02-15 | 2011-10-04 | Ethicon Endo-Surgery, Inc. | Electroporation ablation apparatus, system, and method |
US7655004B2 (en) | 2007-02-15 | 2010-02-02 | Ethicon Endo-Surgery, Inc. | Electroporation ablation apparatus, system, and method |
US8449538B2 (en) | 2007-02-15 | 2013-05-28 | Ethicon Endo-Surgery, Inc. | Electroporation ablation apparatus, system, and method |
US9375268B2 (en) | 2007-02-15 | 2016-06-28 | Ethicon Endo-Surgery, Inc. | Electroporation ablation apparatus, system, and method |
US8425505B2 (en) | 2007-02-15 | 2013-04-23 | Ethicon Endo-Surgery, Inc. | Electroporation ablation apparatus, system, and method |
US7815662B2 (en) | 2007-03-08 | 2010-10-19 | Ethicon Endo-Surgery, Inc. | Surgical suture anchors and deployment device |
US8075572B2 (en) | 2007-04-26 | 2011-12-13 | Ethicon Endo-Surgery, Inc. | Surgical suturing apparatus |
US8100922B2 (en) | 2007-04-27 | 2012-01-24 | Ethicon Endo-Surgery, Inc. | Curved needle suturing tool |
US8568410B2 (en) | 2007-08-31 | 2013-10-29 | Ethicon Endo-Surgery, Inc. | Electrical ablation surgical instruments |
US8939897B2 (en) | 2007-10-31 | 2015-01-27 | Ethicon Endo-Surgery, Inc. | Methods for closing a gastrotomy |
US8480657B2 (en) | 2007-10-31 | 2013-07-09 | Ethicon Endo-Surgery, Inc. | Detachable distal overtube section and methods for forming a sealable opening in the wall of an organ |
US8579897B2 (en) | 2007-11-21 | 2013-11-12 | Ethicon Endo-Surgery, Inc. | Bipolar forceps |
US8262655B2 (en) | 2007-11-21 | 2012-09-11 | Ethicon Endo-Surgery, Inc. | Bipolar forceps |
US20090143794A1 (en) * | 2007-11-29 | 2009-06-04 | Conlon Sean P | Tissue resection device |
US8262680B2 (en) | 2008-03-10 | 2012-09-11 | Ethicon Endo-Surgery, Inc. | Anastomotic device |
US8652150B2 (en) | 2008-05-30 | 2014-02-18 | Ethicon Endo-Surgery, Inc. | Multifunction surgical device |
US8679003B2 (en) | 2008-05-30 | 2014-03-25 | Ethicon Endo-Surgery, Inc. | Surgical device and endoscope including same |
US8771260B2 (en) | 2008-05-30 | 2014-07-08 | Ethicon Endo-Surgery, Inc. | Actuating and articulating surgical device |
US8114072B2 (en) | 2008-05-30 | 2012-02-14 | Ethicon Endo-Surgery, Inc. | Electrical ablation device |
US8317806B2 (en) | 2008-05-30 | 2012-11-27 | Ethicon Endo-Surgery, Inc. | Endoscopic suturing tension controlling and indication devices |
US8070759B2 (en) | 2008-05-30 | 2011-12-06 | Ethicon Endo-Surgery, Inc. | Surgical fastening device |
US8906035B2 (en) | 2008-06-04 | 2014-12-09 | Ethicon Endo-Surgery, Inc. | Endoscopic drop off bag |
US8403926B2 (en) | 2008-06-05 | 2013-03-26 | Ethicon Endo-Surgery, Inc. | Manually articulating devices |
US8361112B2 (en) | 2008-06-27 | 2013-01-29 | Ethicon Endo-Surgery, Inc. | Surgical suture arrangement |
US8262563B2 (en) | 2008-07-14 | 2012-09-11 | Ethicon Endo-Surgery, Inc. | Endoscopic translumenal articulatable steerable overtube |
US8888792B2 (en) | 2008-07-14 | 2014-11-18 | Ethicon Endo-Surgery, Inc. | Tissue apposition clip application devices and methods |
US8211125B2 (en) | 2008-08-15 | 2012-07-03 | Ethicon Endo-Surgery, Inc. | Sterile appliance delivery device for endoscopic procedures |
US8529563B2 (en) | 2008-08-25 | 2013-09-10 | Ethicon Endo-Surgery, Inc. | Electrical ablation devices |
US8241204B2 (en) | 2008-08-29 | 2012-08-14 | Ethicon Endo-Surgery, Inc. | Articulating end cap |
US8480689B2 (en) | 2008-09-02 | 2013-07-09 | Ethicon Endo-Surgery, Inc. | Suturing device |
US8409200B2 (en) | 2008-09-03 | 2013-04-02 | Ethicon Endo-Surgery, Inc. | Surgical grasping device |
US8114119B2 (en) | 2008-09-09 | 2012-02-14 | Ethicon Endo-Surgery, Inc. | Surgical grasping device |
US8337394B2 (en) | 2008-10-01 | 2012-12-25 | Ethicon Endo-Surgery, Inc. | Overtube with expandable tip |
US20100152746A1 (en) * | 2008-10-23 | 2010-06-17 | Ceniccola Anthony L | Surgical retrieval apparatus |
US10335130B2 (en) | 2008-10-23 | 2019-07-02 | Covidien Lp | Surgical retrieval apparatus |
US9370341B2 (en) | 2008-10-23 | 2016-06-21 | Covidien Lp | Surgical retrieval apparatus |
US8157834B2 (en) | 2008-11-25 | 2012-04-17 | Ethicon Endo-Surgery, Inc. | Rotational coupling device for surgical instrument with flexible actuators |
US10314603B2 (en) | 2008-11-25 | 2019-06-11 | Ethicon Llc | Rotational coupling device for surgical instrument with flexible actuators |
US9220526B2 (en) | 2008-11-25 | 2015-12-29 | Ethicon Endo-Surgery, Inc. | Rotational coupling device for surgical instrument with flexible actuators |
US8172772B2 (en) | 2008-12-11 | 2012-05-08 | Ethicon Endo-Surgery, Inc. | Specimen retrieval device |
US8828031B2 (en) | 2009-01-12 | 2014-09-09 | Ethicon Endo-Surgery, Inc. | Apparatus for forming an anastomosis |
US8361066B2 (en) | 2009-01-12 | 2013-01-29 | Ethicon Endo-Surgery, Inc. | Electrical ablation devices |
US9011431B2 (en) | 2009-01-12 | 2015-04-21 | Ethicon Endo-Surgery, Inc. | Electrical ablation devices |
US9226772B2 (en) | 2009-01-30 | 2016-01-05 | Ethicon Endo-Surgery, Inc. | Surgical device |
US8252057B2 (en) | 2009-01-30 | 2012-08-28 | Ethicon Endo-Surgery, Inc. | Surgical access device |
US8037591B2 (en) | 2009-02-02 | 2011-10-18 | Ethicon Endo-Surgery, Inc. | Surgical scissors |
US8409112B2 (en) | 2009-03-25 | 2013-04-02 | Surgical Principals, Inc. | Specimen collection bag |
WO2010111404A3 (en) * | 2009-03-25 | 2011-01-20 | Surgical Principals, Inc. | Specimen collection bag |
US20100249646A1 (en) * | 2009-03-25 | 2010-09-30 | Surgical Principals, Inc. | Specimen collection bag |
WO2010111404A2 (en) * | 2009-03-25 | 2010-09-30 | Surgical Principals, Inc. | Specimen collection bag |
US8608652B2 (en) | 2009-11-05 | 2013-12-17 | Ethicon Endo-Surgery, Inc. | Vaginal entry surgical devices, kit, system, and method |
US8496574B2 (en) | 2009-12-17 | 2013-07-30 | Ethicon Endo-Surgery, Inc. | Selectively positionable camera for surgical guide tube assembly |
US8353487B2 (en) | 2009-12-17 | 2013-01-15 | Ethicon Endo-Surgery, Inc. | User interface support devices for endoscopic surgical instruments |
US10098691B2 (en) | 2009-12-18 | 2018-10-16 | Ethicon Endo-Surgery, Inc. | Surgical instrument comprising an electrode |
US9028483B2 (en) | 2009-12-18 | 2015-05-12 | Ethicon Endo-Surgery, Inc. | Surgical instrument comprising an electrode |
US8506564B2 (en) | 2009-12-18 | 2013-08-13 | Ethicon Endo-Surgery, Inc. | Surgical instrument comprising an electrode |
US9005198B2 (en) | 2010-01-29 | 2015-04-14 | Ethicon Endo-Surgery, Inc. | Surgical instrument comprising an electrode |
US20140046337A1 (en) * | 2010-02-03 | 2014-02-13 | Covidien Lp | Surgical retrieval apparatus |
US9370378B2 (en) * | 2010-02-03 | 2016-06-21 | Covidien Lp | Surgical retrieval apparatus |
US20170007280A1 (en) * | 2010-12-17 | 2017-01-12 | Covidien Lp | Specimen Retrieval Device |
US10194894B2 (en) * | 2010-12-17 | 2019-02-05 | Covidien Lp | Specimen retrieval device |
US10092291B2 (en) | 2011-01-25 | 2018-10-09 | Ethicon Endo-Surgery, Inc. | Surgical instrument with selectively rigidizable features |
US9254169B2 (en) | 2011-02-28 | 2016-02-09 | Ethicon Endo-Surgery, Inc. | Electrical ablation devices and methods |
US9314620B2 (en) | 2011-02-28 | 2016-04-19 | Ethicon Endo-Surgery, Inc. | Electrical ablation devices and methods |
US9233241B2 (en) | 2011-02-28 | 2016-01-12 | Ethicon Endo-Surgery, Inc. | Electrical ablation devices and methods |
EP2497429A1 (en) * | 2011-03-11 | 2012-09-12 | Tyco Healthcare Group LP | Speciman removal device with gas venting |
US9364202B2 (en) | 2011-03-11 | 2016-06-14 | Covidien Lp | Specimen removal device with gas venting |
US10342521B2 (en) | 2011-03-11 | 2019-07-09 | Covidien Lp | Specimen removal device with gas venting |
US9049987B2 (en) | 2011-03-17 | 2015-06-09 | Ethicon Endo-Surgery, Inc. | Hand held surgical device for manipulating an internal magnet assembly within a patient |
US9883910B2 (en) | 2011-03-17 | 2018-02-06 | Eticon Endo-Surgery, Inc. | Hand held surgical device for manipulating an internal magnet assembly within a patient |
US9993229B2 (en) | 2011-11-08 | 2018-06-12 | Covidien Lp | Specimen retrieval device |
US8986199B2 (en) | 2012-02-17 | 2015-03-24 | Ethicon Endo-Surgery, Inc. | Apparatus and methods for cleaning the lens of an endoscope |
US9427255B2 (en) | 2012-05-14 | 2016-08-30 | Ethicon Endo-Surgery, Inc. | Apparatus for introducing a steerable camera assembly into a patient |
US9078662B2 (en) | 2012-07-03 | 2015-07-14 | Ethicon Endo-Surgery, Inc. | Endoscopic cap electrode and method for using the same |
US9788888B2 (en) | 2012-07-03 | 2017-10-17 | Ethicon Endo-Surgery, Inc. | Endoscopic cap electrode and method for using the same |
US9545290B2 (en) | 2012-07-30 | 2017-01-17 | Ethicon Endo-Surgery, Inc. | Needle probe guide |
US9572623B2 (en) | 2012-08-02 | 2017-02-21 | Ethicon Endo-Surgery, Inc. | Reusable electrode and disposable sheath |
US10314649B2 (en) | 2012-08-02 | 2019-06-11 | Ethicon Endo-Surgery, Inc. | Flexible expandable electrode and method of intraluminal delivery of pulsed power |
US9788885B2 (en) | 2012-08-15 | 2017-10-17 | Ethicon Endo-Surgery, Inc. | Electrosurgical system energy source |
US9277957B2 (en) | 2012-08-15 | 2016-03-08 | Ethicon Endo-Surgery, Inc. | Electrosurgical devices and methods |
US10098527B2 (en) | 2013-02-27 | 2018-10-16 | Ethidcon Endo-Surgery, Inc. | System for performing a minimally invasive surgical procedure |
US10154833B2 (en) | 2013-03-01 | 2018-12-18 | Covidien Lp | Specimen retrieval device with pouch stop |
US11026711B2 (en) | 2013-06-14 | 2021-06-08 | Covidien Lp | Specimen retrieval device including an integrated sliding grasper |
US9592067B2 (en) | 2013-06-14 | 2017-03-14 | Covidien Lp | Specimen retrieval device including a reusable shaft with interchangeable pouch |
US9987031B2 (en) | 2013-06-14 | 2018-06-05 | Covidien Lp | Specimen retrieval device including an integrated sliding grasper |
US10772614B2 (en) | 2013-08-23 | 2020-09-15 | Covidien Lp | Specimen retrieval device |
US10034661B2 (en) | 2013-08-23 | 2018-07-31 | Covidien Lp | Specimen retrieval device |
EP3113698A4 (en) * | 2014-03-07 | 2017-11-22 | Beacon Surgical, Inc. | Single incision specimen retrieval assembly, method of use, and kit |
US10653400B2 (en) | 2017-08-07 | 2020-05-19 | Covidien Lp | Specimen retrieval device |
US11065051B2 (en) | 2017-11-03 | 2021-07-20 | Covidien Lp | Specimen retrieval device |
US10973543B2 (en) | 2018-01-10 | 2021-04-13 | Covidien Lp | Dual wall tissue extraction bag |
US10874386B2 (en) | 2018-01-24 | 2020-12-29 | Covidien Lp | Specimen retrieval device |
US11730459B2 (en) | 2018-02-22 | 2023-08-22 | Covidien Lp | Specimen retrieval devices and methods |
US11083443B2 (en) | 2018-04-24 | 2021-08-10 | Covidien Lp | Specimen retrieval device |
US11045176B2 (en) | 2018-05-18 | 2021-06-29 | Covidien Lp | Specimen retrieval device |
US11134932B2 (en) | 2018-08-13 | 2021-10-05 | Covidien Lp | Specimen retrieval device |
US11805999B2 (en) | 2018-08-13 | 2023-11-07 | Covidien Lp | Specimen retrieval device |
US11730480B2 (en) | 2018-09-14 | 2023-08-22 | Covidien Lp | Method and apparatus for accessing matter disposed within an internal body vessel |
US11191559B2 (en) | 2018-09-19 | 2021-12-07 | Covidien Lp | Specimen retrieval device |
US11344300B2 (en) | 2019-03-26 | 2022-05-31 | Covidien Lp | Specimen capture stapler |
US11172915B2 (en) | 2019-04-24 | 2021-11-16 | Covidien Lp | Specimen retrieval devices with selective bag release |
US11246578B2 (en) | 2019-05-15 | 2022-02-15 | Covidien Lp | Tissue collection bags with inner surface pouches |
US11426151B2 (en) | 2019-06-04 | 2022-08-30 | Covidien Lp | Bag closure for specimen retrieval device |
US11446015B2 (en) | 2019-10-30 | 2022-09-20 | Covidien Lp | Specimen retrieval bag |
Also Published As
Publication number | Publication date |
---|---|
US6406440B1 (en) | 2002-06-18 |
Similar Documents
Publication | Publication Date | Title |
---|---|---|
US6406440B1 (en) | Specimen retrieval bag | |
US6350267B1 (en) | Method of use of an improved specimen retrieval bag | |
EP1700569B1 (en) | Specimen retrieval pouch | |
EP2668907A2 (en) | Specimen retrieval device | |
US7670346B2 (en) | Specimen retrieval apparatus | |
EP2517631B1 (en) | Specimen retrieval device | |
US8409217B2 (en) | Tissue retrieval device with bladders | |
EP1603452B1 (en) | Endoscopic tissue removal apparatus | |
EP1269921B1 (en) | Improved specimen retrievel bag | |
US5143082A (en) | Surgical device for enclosing an internal organ | |
WO1993015671A1 (en) | Devices for enclosing, manipulating, debulking and removing tissue through minimal access incisions | |
US20120109144A1 (en) | Systems and Methods for Tissue or Organ Removal | |
US20170325800A1 (en) | Wound retractor and specimen bag assembly | |
WO2016130982A1 (en) | Morcellator specimen retrieval pouch for surgical use | |
CA3058605A1 (en) | Methods and devices for removing a tissue specimen from a patient |
Legal Events
Date | Code | Title | Description |
---|---|---|---|
AS | Assignment |
Owner name: ETHICON ENDO-SURGERY, INC., OHIO Free format text: ASSIGNMENT OF ASSIGNORS INTEREST;ASSIGNOR:STEFANCHIK, DAVID;REEL/FRAME:011427/0654 Effective date: 20001220 |
|
STCF | Information on status: patent grant |
Free format text: PATENTED CASE |
|
FPAY | Fee payment |
Year of fee payment: 4 |
|
FPAY | Fee payment |
Year of fee payment: 8 |
|
FPAY | Fee payment |
Year of fee payment: 12 |