CA2192819A1 - Surgical stapling instrument and method thereof - Google Patents

Surgical stapling instrument and method thereof

Info

Publication number
CA2192819A1
CA2192819A1 CA002192819A CA2192819A CA2192819A1 CA 2192819 A1 CA2192819 A1 CA 2192819A1 CA 002192819 A CA002192819 A CA 002192819A CA 2192819 A CA2192819 A CA 2192819A CA 2192819 A1 CA2192819 A1 CA 2192819A1
Authority
CA
Canada
Prior art keywords
staple
tubular
rod
anvil
tissue structure
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.)
Abandoned
Application number
CA002192819A
Other languages
French (fr)
Inventor
Christopher Francis Heck
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Heartport Inc
Original Assignee
Individual
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Individual filed Critical Individual
Publication of CA2192819A1 publication Critical patent/CA2192819A1/en
Abandoned legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
    • A61B17/115—Staplers for performing anastomosis in a single operation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
    • A61B17/115—Staplers for performing anastomosis in a single operation
    • A61B17/1152—Staplers for performing anastomosis in a single operation applying the staples on the outside of the lumen
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
    • A61B17/115—Staplers for performing anastomosis in a single operation
    • A61B17/1155—Circular staplers comprising a plurality of staples
    • 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
    • A61B2017/00238—Type of minimally invasive operation
    • A61B2017/00243—Type of minimally invasive operation cardiac
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/08—Wound clamps or clips, i.e. not or only partly penetrating the tissue ; Devices for bringing together the edges of a wound
    • A61B2017/081—Tissue approximator
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
    • A61B2017/1103—Approximator
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
    • A61B2017/1107—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis for blood vessels
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
    • A61B2017/1135—End-to-side connections, e.g. T- or Y-connections
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/04—Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
    • A61F2/06—Blood vessels
    • A61F2/064—Blood vessels with special features to facilitate anastomotic coupling

Abstract

The instrument (10) comprises a rod (12) having a circumference sufficient to pass within the tubular tissue structure (20), an anvil (14) mounted on the rod (12), and a generally tubular staple cartridge (26) for containing a plurality of staples (210). The anvil (12) and a generally tubular staple cartridge (26) is sufficient to axially accommodate the tubular tissue structure (20) between the rod (12) and the inner surface of the staple cartridge (26), and sufficient to allow the stable cartridge (26) to be moved axially along the rod (12). The staple delivery end of the staple cartridge (26) is positioned toward the staple deforming means (74) of the anvil (14) and has an outer dimension small enough so that the tubular tissue structure (20) can be everted thereover.

Description

WO 9s/3s065 I~

SURGlCAL STAPLING INSTRUMENT
AND METIIOD TllEREOF
Field of th.- Inv~ ntinn The invention relates generally to surgical stapling appliances and more particularly to an improved apparatus and method for the ~ .. ,n.. surgical stapling of luminal organs, such as vascular lumens.
R-.-k~ m~ ofthe Invention - -Various hlailu.,l~ t~ are Imown in the prior art for end-to-end and end-to-side _~n. ~lic surgical stapling together of parts ofthe alimentary canal (ie., esophagus, stomach, colon, etc.). These uln~,u~a employ staple cartridges, generally in the shape of a hollow cylinder, of different sizes to a ' tubular organs of varying diameters. End-to-end and end-to-side are achieved by means of at least one ring of surgical staples.
The traditional technique for surgical stapling is to position the stapling cartridge within the tubular organ to be stapled. The cut end of the tubular organ is inverted (i.e., folded inwardly) over the annular end ofthe staple cartridge creating an inverting ~ upon stapling. An essential, ~ uh ~ t of the inverting technique is the hl~,ul ~w aLiOIl of knives within the staple cartridge housing to trim excess tissue from the, ~i.. .1;~ connection.
The prior art stapling Ulll~ b form generally circular : ~ , and have been largely limited to alimentary organs. With respect to end-to-side vascular: circular ,. rather than an elliptical Li~ ~- - ., are sometimes ~ ' l v-llL..5,~,ua as they are less PIIJ ~ -g or natural This unnatural connection may create turbulence in the blood flow as it courses through the damaging the intima (i.e., inner wall) of the blood vessel and 1~ ~ ';, it to forming blood clots.
tn the present state of the art, end-to-end and end-to-side between blood vessels have typically been - , ' ' ' by hand-sewn suturing techniques These techniques are time consuming, not as reliable as stapling, and subject to greater human error than stapling. Current stapling ;llall u~n~,llLa used for alimentary canal are not suitable, however, for vascular - due to their large sizes and wo ss/3so6s 2 1 9 2 8 1 9 . ~

inability to provide non-circular and low turbulence ~ 1 ,.. . " .s~ A typical prior art instrument has a .,;, ~.u..~ ; of alJ~Iu~-huf~Lul ~ 8 cm (3 in), far too thick to ~rrnmmf ~ coronary arteries and veins, which have ~ tll~,e:i ranging from .50 to1.0 cm and from 1.5 to 2.5 cm, ~~ v~ly An additional drawback of prior stapling hlDII u~ ltD is the inability to provide an everted (i.e., folded outwardly): An inverted vascular ~---= n--- n~:~
would expose the cut ends of the blood vessels to the vessel lumen and could lead to the formation of blood clots. For this reason, hand-sewn everted A l lA~n 1.... ' ~ for vascular are preferable, despite time and reliability drawbacks.
Accordingly, it is a generai object of the present invention to provide an improved instrument and method for vascular G' ' '1 ~" "r''' ' It is also an object of the present invention to provide a surgical stapling instrument small enough to i~u-~ f~ vascular lumens.
Another object of the present invention is to provide a surgical stapling instrument for everted Another object of the present invention is to provide a method for surgical stapling that does not require the removal of excess tissue from the ,., IA~n 1....11;.
connection.
Still another object ofthe present invention is to provide an instrument and method for vascular that is less time-consuming and more reliable than the prior art.
Summary of the Invention The present invention provides a novel instrument and method for vascular - which overcomes the drawbacks of prior art designs and achieves the aforesaid advantages.
Very generally, the surgical stapling instrument of the present invention is for stapling a tubular tissue structure having at least one distal end to a luminal structure, such as a vascular lumen or another tubular tissue structure. The instrument comprises a rod having a .,;. ~ ,nce sufficient to pass within the tubular tissue structure, an anvil mounted on the rod, and a generally tubular staple cartridge for containing a plurality of staples. The anvil has an ar ay of staple deforming means theron and is of a size sufficient ~ 2 1 928 1 9 ~ W0 95/35065 r .,~ r-to pass through a sugicaliy formed opening in and to be ~ ~ . .. "" " ,J ,t~ .~ within the luminalstructure. The inner passage ofthe staple cartridge is sufficient to axially a~cr ..."..n i-~P
the tubular tissue structure between the rod and the inner surface of the staple cartridge, and sufficient to allow the staple cartridge to be moved axially along the rod. The staple delivery end of the staple cartridge is positioned toward the staple deforming means of the anvil and has an outer dimension small enough so that the tubular tissue structure can be everted thereover. A clamping mechanism secures the everted portion of the tubular tissue structure and the luminal structure adjacent to the sugically formed opening between the staple cartridge and the anvil. A plurality of staples may then be ejected to pass through the everted portion of the tubular tissue structure and the luminal structure to engage the staple deforming means to deform the staples and create a bond between the tubular tissue structure and the luminal structure.
D~t~ D~CArirtinn of the Drawin~F~
Referring to FIGS. I - 7, there is shown a structural . L ' of the present invention which is best suited fo m : stapling of a tubular vessel having two distal or untethered ends. As will be evidenced by the detailed description below, this ~" L ' t, i.e., distal stapler, is ideal for use during ~ ,ul~ - y bypass surgery for making the primary a~ n .. ,1 ;r connection of a bypass vein to a coronary anery or to the aorta.
Referring now to FIG. I, a portion 10 of the wholly configured distal stapler ofthe present invention, as shown in FIG. 7, comprises an elongated central rod 12 with anvil 14 mounted at its distal end 16. Anvil 14 is in the form of a circular, ellipticai or tear drop-shaped disk and is mounted, by suitable means such as welding, to the end of central rod 12 l~ thereof and at the center of the anvil. The edges of anvil 14 are beveled or otherwise generally rounded to enable anvil 14 to slip easily through incisions in vascular walls - much like a button through a button hole.
~ The central rod 12 has a ";" r Ln~ sufficient to permit the rod to axially extend through a tubular vessel, indicated in phantom at 20, to be stapled. Central rod 12 also axially extends within tubular housing 22, driver pins 24 and staple cartridge 26, together forming a contiguous shaft 28 having an inner ~,;,l r ~,.. ,e sufficient to -. r..,----...~ tubular vessel 20 b_-d-~k,-.C;I between them and central rod 12. Staple 2t92819 wo ss/3so6s . ~~

cartridge 26 has an outer ~h~.u~irt:ltll~,e suffcient to ~c~ r. everted end 34 of tubular vessel 20. Lip 36 of cartridge 26 is tapered to facilitate eversion of tubular vessel 20. Anvil 14 has ";" r tll~,e of a size equivalent to the outer c;~~,u-iir~;~t~ of staple cartridge 16.
S Ch~u~ ,c~ of vascular vessels range from .50 to 1.0 cm for coronary arteries and from 1.5 to 2.5 cm for veins. Accordingly, all ~ .ullliLltll~ , discussed above, of stapler 10 are of a size to optimally coaxially ~ - - ' the vein to bestapled.
The end of central rod 12 opposite anvil 14 is centrally mounted, preferably welded, on a cylindrical base 40 which extends coaxially within tubular housing 22 (as shown in FIG. 7 by reference number 106) and has a ~ ullif,.cll~/G sufficient to be slidable within tubular housing 22. The ~ rrl tubular vessel 20 extends along central rod 12 to cylindrical base 40. Provided on the surface of central rod 12 proximal to base 40 is ~,; u ~ tuL;al groove 44 for facilitating the securing of tubular vessel 20 to rod 12 by means of string 46. Similarly, ~,h, ~ ~.ll;dl groove 48 and string 50 are provided to secure everted end 34 of vessel 20 to staple cartridge 26. An alternative - 1,.1; of staple cartridge 26 for securing an everted vein comprises tiny hooksaround the .,;..,u..lf~ ,t at end 36 ofthe cartridge. Other suitable means for - . ' ' e the securing function may be used as well.
Referring now to FIG. 2, there is shown a cross-sectional view of stapler 10 of the present invention in the direction of arrows 2-2 of FIG. I Here, the staple delivery end 60 of a circular staple cartridge is illustrated encasing a circular array of staple delivery means or staple shafts 62. The present invention is not limited to a single staple shaft array, however. It is commonly known in the art to employ a plurality of concentric arrays or rows of staple shafts for ~n~ : procedures. Extending from staple shaft array 62, is an anray of narrow channels 68, each narrow channel ~UII~-r ~- ,, to each staple shaft. Channel array 68 is used solely for,.- -,r . ""; ."
purposes and is not a necessary element of the invention. Central rod 64 and its base 66 are axially and centrally located within the cylindrical staple cartridge 60.
FIG. 3 shows the underside view of anvil 70 in the direction of arrows 3-3 of FIG. I . The arivil 70 has an array 74 of means for deforming staples. Central rod -: 219281~
WO ~5/3~065 . . ~ /C~v~5 attachment 72 is centrally located on anvil 70 which provides an array of staple deforming means 74, comprised here of an array of recess pairs, for bending staples projected from UUI I ~ 2 array of staple shafts 62 of the staple cartridge of FIG. 2.
Depicted in FIG. 4 is a cross-sectional view of anvil 7û in the direction of arrows 4-4 of FIG. 3. Each recess pair 76 is curved to bend staple legs radially inward.
The projected staples can be made to bend radially inward or radially outward depending on the spacing 78 between the recess of each paired recess 76. Alternatively, each recess can be positioned orthogonal to its present position to bend the staple legs at right angles to their axis of projection.
Although the present invention is primarily described and depicted as forming staple bonds that are circular and as having component v;, l '' tll~CD that are circular, other . L ' are realized for forming staple bonds having elliptical, tear drop or other generally oval .,i, vu".r~..,..ce~. Accordingly, the anvil and associated staple recess array, and the cartridge housing and associated staple shaft array of these alternative stapler PmhotlinnPntc have ";" r ~ C~ in the shape of the desired staple bond. For example, FIGS. S and 6 illustrate an anvil and staple cartridge, ..,~
having tear-drop shaped ~ e3, FIG. 5 shows a cross-sectional view of a tear-drop shaped staple cartridge.
The staple delivery end 80 of the staple cartridge is llustrated encasing a tear drop array of staple delivery means or staple shafts 82. Extending from staple shaft array 82, is an array of narrow channels 84, each narrow channel C( IU_~ to each staple shaft. Channelarray 84 is used solely for r ' ' ,, purposes and is not a necessary element of the invention. Central rod 86 and its base 88 are coaxially and centrally located within the cylindrical portion of dear drop staple cartridge 8û.
FIG. 6 shows the underside view of a tear drop shaped anvil 90. Central rod attachment 92 is centrally located on the circular portion of anvil 9û which provides an array of staple deforming means comprised of recess pairs 94 for bending staples projected from ~,u- - ~ array of staple shafts 82 of the staple cartridge of FIG. 5. =~
Referring now to FIG. 7, there is shown stapler 100 of the same ~___L _ ~' ' depicted in FIGS. I - 4. A tubular housing 102 coaxially contains central rod 104 and rod base 106, the end of central rod 104 opposite that of anvil 114 being suitably 21q2819 wo ss/3so6~ / v~

mounted, such as by welding, to rod base 106 (connection not shown). Threadedly mounted to and extending p~ ,ulal from rod base 106 is a short stem 108, positioned at ~7 ~ 'y haif the length of base 106. The top of stem 108 has cylindrical knob110 n_ . _17~ y mounted. Stem 108 is moveable within narrow channel 112, cut within housing 102 and rum7ing parallel to the axis travelled by central rod 104 and rod base 106.
Channel 112 limits the rotational movement of stem 108 and thereby maintains a proper radial orientation between anvil 114 and staple cartridge 116 during lC~,;7JlU~.dl;Ull.
Weldedly mounted to and protruding perpendicularly from cyiindrical face 118 of housing 102 and paralleling rod 104 is cylindricai array of staple driver pins 120, all drivers pins being identical and each having the form of a solid y~ " _ Staple cartridge 116 encases, from end to end, cylindrical array of hollow staple shafts 122 which holds a plurality of preloaded staples (not pictured). Ail shafts 122 are identical and each has height and width dimensions such that a ~,ullc~7 ul~Ji..g staple driver pin 120 is slidable therein.
In order to have an optimally functioning stapler, it is necessary to maintain a clean and clear U~la~ v~,~ for centrai rod 104, base 106 and staple shafts 122.
Accordingly, one _ ,7,o ~ of the present invention comprises a disposable cartridge which is disposed of and replaced after one ,., IA~ . stapling. Another ClU7V ~ ' provides a slidable sleeve around the driver pin array to prevent blood and tissue from ~0 getting caught therein.
For ~ to be successful, it is imperative not to injure the living tissue being stapled by u ~ ~,. Cu.ll~l C ~ ~hlg it between anvil 114 and staple cartridge 116 or by a staple bond that is ~,Acc.~di.~ tight. Accordingly, u ~ , c~:,;u.. of the tissue is prevented in the present invention by limiting the length of driver pins 118. Other - - 7.ùJ , ~ are known in the prior art for ~.. ;.I ~.;.,g this objective. For eAample, U.S. Patent No. 4,575,468 employs mutually coacting stops located on the inner surface of a tubular housing and on the surface of a coaxial rod to provide variable degrees of ~r~ between tissues to be stapled so as to ensure against u . _.CUlll~ Jn of the tissue. A spring-loaded ~ between the rod and tubular housing is also 30 applicable for the present invention. Other means suitable for this purpose will be aparent to those having ordinary skill in the art.

., 219281~
wo ss/3so6s E.~

Finally, FIG. 7 illustrates threaded end 124 of rod base 106 which extends beyond the length of housing 102 to threadedly engage with cylindrical nut 126 which has internally threaded Lh~UL~ vult 120 extending the full length of cylindrical nut 126 to allow end 124 to exit Lll.,.~LI-lou~,.
FIGS. 8 and 9 illustrate the mechanical interaction between the staple driver, staple cartridge and anvil upon, ,,av FIG. 8 illustrates staple driver array 200 mounted on face 202 of tubular housing 204 slidably engaged within staple shaft array 206 of staple cartridge 208. Staple array 210 is projected from staple cartridge 208 and through the tissues to be stapled (not shown). FIG. 9 shows a close-up of a staple being driven by driver pin 252 and prûjecting through cartridge 254 through tissues 256 and 2~8. The legs 260 and 262 of staple 250 then engage with and bend along the curved recesses 264 and 266, respectively, of anvil 268 to form a bond between tissues 256 and 258.
Referring now to FIGS. 10 - 161 with like numbers referring to like elements, there is illustrated the steps ofthe ~ n.. ~ l;r. procedure using the structural L ' described above. Now referring to FIG. 10 specifically, the: ~;1 h_..ded endof rod base 302 is inserted into transected vein 304 having a length in the range of 10 - 18 crn (4 -7 inches). End 308 (the end to be stapled) of vein 304 is positioned proximate to anvil 306. Opposing end 310 of vein 304 is tied with string 312 to central rod 314 at a 1~ r tuL;~I depression (not shown) proximate to base 302.
FIG. I l shows the step of inserting central rod 314 with attached vein 304 into staple cartridge 318 and tubular housing 316 such that staple cartridge 318 is proximate to anvil 306. FIG. 12 illustrates the next several steps ofthe method ofthe present invention which can be performed in any order. The end of vein 304 is everted over staple cartridge 318 and tied with string 320 securing it to staple cartridge 318 (covered by vein 304). Threaded stem 322 of cylindrical knob 324 is threadedly engaged with a threaded bore (not shown) base 302, the bore being aligned with narrow channel 326. Cylindrical nut 328 is threadedly engaged with the threaded end 300. As indicated in FIG 13, anvil 306 is positioned within lumen 330 of vascular artery 332 via incision 334.
A cross-section of a portion of vein 304 is shown everted over the staple delivery end of staple cartridge 318.

wo 95/35065 i ~ ~

In FIG. 14, central rod 314 (not visible) and rod base 302 (not visible) are optimally coaxialiy positioned within tubular housing 3 i 6 by means of sliding knob 324 along channel 326 toward vascular artery 332. Nut 328 is rotated in a clockwise direction to engage it with tubular housing 316 causing rod base 302 to become rigidly S ~,ull~lwL~d with nut 328. As the clockwise turning continues, rod base 302 is drawn through the bore in nut 328, bringing the staple cartridge 336 and anvil 306 within artery 332 together. An ' ' employing mutually coacting stops (not shown) would, at this point, be at the first coacting position or the "loaded~ position. The clockwise motion is continued so that everted vein 304 engages with the wall of artery 332 and until the staple drivers (not visible) are actuated, driving the staples (not visible) through the tissues to create a bond 338 (FIG. 15). If mutually coacting stops are employed, the ..~,..~,..,.1;.... would be in the "firing" position.
Finally, FIG. 16 illustrates heart 350 having aorta 352, pulmonary artery 354, right atrium 356, right ventricle 358,1efi ventricle 360, left atrial appendage 362, right coronary artery 364, left anterior descending artery 368, and diagonai artery 370.
Here, vein 304 has been sl ~n ~.n. .l ;. ~.lly stapled to left anterior descending artery 368.
To complete the ana ~Lic procedure of the bypass vein 304, the unstapled end ofthe ' vein 304 must now be connected to aorta 352.
However, another structural L '~ of the present invention, referred to as the "proximal" stapler, is needed since the L ' described above, i.e., the "distal"
stapler, requires the vein to have two distal or untethered ends. Accordingly, FIGS. 17 -28 describe a structure and method thereof for a second L ' of the present invention which is suited for the " " cll " ,.. .l ;, . stapling of a tubular vessel having oniy one distal end, the other end having already been "y stapled.
Referring now to FIGS. 17 - 19, with like numbers referencing like elements, there is shown _ stapler 400 having handle 402 with elongated vessel rod 404 and elongated driver rod 406 mounted p.,. ,u~ kll ly to handle face 408 and parallel to each other, both being of.~ u~hl.~L~ the same length. Vessel rod 404 has a centrally mounted generally circular anvil 410. Vessel rod 404 has a ~,h ~,u..lf~ ,c sufficient to coaxiaily anc~ A~ ~ r a tubular vessel (not shown) to be stapled to the wo 95/3s065 P~ ~

norta. Driver rod 406, having threaded end 412 and handle 414, extends through bore 416 of handle 402.
Stapler 400 aiso comprises staple cartridge 418, eniarged in FIG. 18 for purposes of describing its detail. Referring then to FIG. 18, there is shown the staple cartridge of FIG. 17 in its open position having top and bottom units 420 and 422l ~c~L.~,.Li~ . Units 420 and 422 are engaged at one side by hinge 424 which allows cartridge 418 to be opened and closed. Staple cartridge 418 has two parallel bores 426 and 428 with inner ~,hcu.~fi,.~ sufficient to coaxially arcommf ' vessel rod 404with a coaxially ~ - ' ' vein (not shown) and driver rod 406"c~ L~ . Staple delivery end 430 extends from staple cartridge 418 along the axis of bore 426 tothe everted end of a vein to be stapled. Bore 428 is internally threaded to be threadedly engagable with driver rod end 412.
For a proper fit between units 420 and 422, a detent-recess pair is provided having detent 432 extending firom inner surface 434 of top unit 420 which mates with recess 436 within inner surface 438 of bottom unit 422. To secure closing, a curved clip 440 is provided to fit around cylindrical casing 442 of bore 428.
When in a closed position, staple cartridge 418 has cylindrical staple delivery means or staple shaft array (not shown) encased in staple delivery end 430 which mates with cylindrical driver pin array 444 mounted on driver 446. Both the hollow shafts 20 and the solid driver pins have height and width ~;.~ -c,~ that allow them to be slidably engageable with each other. Driver 446 is slidable along surface 448 of top unit 420 and surface 450 of bottom unit 422 to the point of ~ ~ with shoulder 452 of top unit 420 upon which driver pin array 444 becomes engaged within the staple shaft array, projecting preloaded staples from the end of staple delivery end 430. Shoulder 452 limits the . ~ ~ of driver pin array 444 so that the tissue being stapled is notU ~ .. CUll .lJl ~,...._ i. l~ f -" l ' ~' ...~; " - of the this ' 5 ~ pnr can employ nnutually coacting stops or spring-loaded type, ~,, between the driver and staple cartridge to prevent against u~-~cu~ on ofthe tissue.
FIG. 19 shows a front view of staple cartridge 418 in its closed position wjth top unit 420 engaged with bottom unit 422. Clip 440 secureiy fits around cylindrical wo s5/3s065 P~~

casing 442. Staple deforming end or staple shaft array 454 is shown on the face of staple delivery end 430.
FIGS. 20 - 28, with like numbers referencing like elements, depict the various steps of the ,. "~ procedure using the structural c:...l,o ' in FIGS. 17 -19 described above. Referring now to FIG. 20, vessel rod 500 is inserted through aorta 502 of heart 504 via incisions 506 and 508 on opposing walls of aorta 502 such that anvil 510 is centrally positioned within aorta 502.
In FIG. 21, the end of vessel rod 500 is then inserted into the distal end of vein 512 with anvil 510 still centrally positioned within aorta 502. Next, as shown in FIG.
22, vessel rod 500 with ' I vein 512 is positioned within the l,u~ r ' "
bore 514 in open staple cartridge 516. Rod 5û0 and vein 512 should be positioned such that a sufficient length of distal end 518 of vein 512 extends beyond the end of cartridge 516 such that distal end 518 can be everted over cylindrical sleeve 520 of cartridge 516 (See FIG. 23). Once vein 512 has been optimally positioned, staple cartridge 516 is clamped around it and secured with clip 522, illustrated in FIG. 24. Now, distal end 518 of vein 512 is everted over sleeve 520 and is securely tied with string 524.
Referring now to FIG. 25, driver rod 526 is slid into bore 528 of handle 530 and then threadedly engaged with bore 532 of staple cartridge 516. FIG. 26 shows a close-up of staple cartridge 516 as it appears in its closed position.
Moving now to FIG. 27, there is shown driver handle 534 rotated in a clockwise direction, bringing together anvil 510 and cylindrical sleeve 520. The clockwise rotation is continued until the aorta wall 502 is engaged with the distal end 518 of vein 512 upon which the staple driver pins (not visible) are fully engaged within each of the Cull~ staple shafts (not visible), driving the staples (not visible) through theengaged tissue to create ~ . bond 536 between aorta 502 and vein 512 (See FIG.
28).
It will be understood that the foregoing is only illustrative of the principles of the present invention, and that various ~ fi~ tion~ can be made by those skilled in the art without departing from the scope and spirit of the invention. For example, the particular stapler structural Cul~ dLiO".~ shown are not critical and other 5,, can be used if desired. One possible alternative for the ~ ;.. illustrated in FlG. 17 wo 9513s065 is to have a vessel rod that is retractable (e.g., by means of a telescoping rod). In addition, the vessel rod of this alternative embodiment can be curved to facilitate the ~ n . .1;~
procedure if necessary. Also, the structure and method of the present invention can be employed ll,u~

Claims (10)

WHAT IS CLAIMED IS:
1. A surgical stapling instrument for stapling a tubular tissue structure having at least one distal end to a luminal structure such as a vascular lumen or another tubular tissue structure, comprising: a rod having a circumference sufficient to pass within the tubular tissue structure; an anvil mounted on said rod, said anvil having an array of staple deforming means theron and having a size sufficient to pass through a surgically formed opening in and to be accommodated within the luminal structure; a generally tubular staple cartridge containing a plurality of staples and having an inner passage sufficient to axially accommodate the tubular tissue structure between said rod and the inner surface of said staple cartridge and sufficient to be movable axially with respect to said rod, and having a staple delivery end having an outer dimension small enough so that the tubular tissue structure can be everted over said staple delivery end of said staple cartridge, said staple delivery end being positioned toward said array of staple deforming means; means for clamping the everted portion of the tubular tissue structure and the luminal structure adjacent to the surgically formed opening between said staple cartridge and said anvil; and means for ejecting said plurality of staples through said everted portion of the tubular tissue structure and the luminal structure to engage said staple deforming means on said anvil to deform said staples and create a bond between the tubular tissue structure and the luminal structure.
2. The instrument of Claim 1, wherein said means for clamping comprises means for variably positioning said tubular staple cartridge axially along said rod such that stapling is optimized.
3. The instrument of Claim 1, wherein said means for ejecting comprises means for driving said plurality of staples through said staple cartridge.
4. A surgical stapling instrument for stapling a tubular tissue structure to a vascular lumen, comprising: a rod having an anvil distally mounted on one end of said rod, said rod having a circumference sufficient to pass within the tubular tissue structure and said anvil having an array of staple deforming means theron and having a size sufficient to pass through a surgically formed opening in, and to be accommodated within the luminal structure; a generally tubular staple cartridge containing a plurality of staples and having an inner passage sufficient to axially accommodate the tubular tissue structure between said rod and the inner surface of said staple cartridge and sufficient to be movable axially with respect to said rod, and having a staple delivery end having an array of staple delivery means and having an outer dimension small enough so that the tubular tissue structure can be everted over said staple deforming end of said staple cartridge, said staple delivery end being positioned toward said array of staple deforming means; means for clamping the everted portion of the tubular tissue structure and the luminal structure adjacent said surgically formed opening between said staple cartridge and said anvil; and means for ejecting said plurality of staples from said staple delivery means and through said everted portion of the tubular tissue structure and the luminal structure to engage said staple deforming means on said anvil to deform said staples and create a bond between the tubular tissue structure and the limininal structure.
5. The instrument of Claim 4 wherein said array of staple deforming means and said array of staple delivery means are tear drop shape.
6. A surgical stapling instrument for stapling a tubular tissue structure to a vascular lumen, comprising: a rod having an anvil centrally mounted to said rod, said rod having a circumference sufficient to pass within the tubular tissue structure, and said anvil having an array of staple deforming means theron and having a size sufficient to pass through a surgically formed opening in the luminal structure; a generally tubular staple cartridge containing a plurality of staples and having an inner passage sufficient to axially accommodate the tubular tissue structure between said rod and the inner surface of said staple cartridge and sufficient to be movable axially with respect to said rod, and having a staple delivery end having an array of staple delivery means and having an outer dimension small enough so that the tubular tissue structure can be everted over said staple delivery end of said staple cartridge, said staple delivery end being positioned toward said array of staple deforming means; means for clamping said everted portion of the tubular tissue structure and the luminal structure adjacent said surgically formed opening between said staple cartridge and said anvil; and means for ejecting said staples through said everted portion of the tubular tissue structure and the luminal structure to engage said staple deforming means on said anvil to deform said staples and create a bond between the tubular tissue structure and the lumininal structure.
7. The instrument of Claim 6, wherein said rod is retractable along its axis.
8. The instrument of Claim 6, wherein said array of staple deforming means and said array of staple delivery means are circular.
9. A method for stapling a tubular tissue structure to a luminal structure, comprising the steps of: inserting a rod having an anvil into the tubular tissue structure;
securing the tubular structure to said rod; inserting said rod into a tubular staple cartridge;
everting the end of the tubular tissue structure proximate to said anvil over said tubular staple cartridge; securing said end of the tubular tissue structure proximate to said anvil to said tubular staple cartridge; positioning said anvil in the luminal structure via a surgically formed opening in therein; moving said tubular staple cartridge along said rod toward said head until the tubular structure and the luminal structure are engaged; clamping the everted portion of the tubular tissue structure and the luminal structure adjacent said surgically formed opening between said tubular staple cartridge and said anvil; and ejecting a plurality of staples from said tubular staple cartridge through said everted portion of the tubular tissue structure and the luminal structure to engage said anvil to deform said staples and create a bond between the tubular tissue structure and the lumininal structure.
10. A method for stapling a tubular tissue structure to a luminal structure, comprising the steps of: inserting a rod having a centrally mounted anvil into the luminal structure via a surgically formed opening in therein such that said rod transects opposing walls of the luminal structure and such that said anvil is positioned within the luminal structure; inserting one end of said rod into the tubular tissue structure; positioning the portion of said rod accommodating the tubular tissue structure and the accommodated end of the tubular tissue structure in a tubular staple cartridge;
everting said accommodated end of the tubular tissue structure over said tubular staple cartridge; securing the everted end of the tubular tissue structure to said tubular staple cartridge; moving said tubular staple cartridge axially with respect to said rod toward said anvil until the tubular structure and the luminal structure are engaged; clamping said everted end of the tubular tissue structure and the luminal structure adjacent said surgically formed opening between said tubular staple cartridge and said anvil; and ejecting a plurality of staples from said tubular staple cartridge through said everted portion of the tubular tissue structure and the luminal structure to engage said anvil to deform said staples and create a bond between the tubular tissue structure and the limininal structure.
CA002192819A 1994-06-17 1995-05-12 Surgical stapling instrument and method thereof Abandoned CA2192819A1 (en)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US26116794A 1994-06-17 1994-06-17
US08/261,167 1994-06-17
PCT/US1995/005903 WO1995035065A1 (en) 1994-06-17 1995-05-12 Surgical stapling instrument and method thereof

Publications (1)

Publication Number Publication Date
CA2192819A1 true CA2192819A1 (en) 1995-12-28

Family

ID=22992186

Family Applications (1)

Application Number Title Priority Date Filing Date
CA002192819A Abandoned CA2192819A1 (en) 1994-06-17 1995-05-12 Surgical stapling instrument and method thereof

Country Status (9)

Country Link
US (2) US5709335A (en)
EP (1) EP0765137B1 (en)
JP (1) JP3568207B2 (en)
AT (1) ATE245943T1 (en)
AU (1) AU696332B2 (en)
CA (1) CA2192819A1 (en)
DE (1) DE69531397T2 (en)
ES (1) ES2203641T3 (en)
WO (1) WO1995035065A1 (en)

Families Citing this family (807)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5904697A (en) 1995-02-24 1999-05-18 Heartport, Inc. Devices and methods for performing a vascular anastomosis
JPH11514269A (en) * 1995-10-13 1999-12-07 トランスバスキュラー インコーポレイテッド Methods and apparatus for bypassing arterial occlusion and / or performing other transvascular approaches
DE69724255T2 (en) 1996-02-02 2004-06-03 Transvascular, Inc., Menlo Park SYSTEM FOR INTERSTITIAL TRANSVASCULAR SURGICAL INTERVENTIONS
US6024748A (en) * 1996-07-23 2000-02-15 United States Surgical Corporation Singleshot anastomosis instrument with detachable loading unit and method
US20020019642A1 (en) * 1996-07-23 2002-02-14 Keith Milliman Anastomosis instrument and method for performing same
US7169158B2 (en) 1996-07-23 2007-01-30 Tyco Healthcare Group Lp Anastomosis instrument and method for performing same
WO2001052748A2 (en) * 2000-01-18 2001-07-26 Tyco Healthcare Group Lp Anastomosis instrument and method for performing same
US6440146B2 (en) 1996-07-23 2002-08-27 United States Surgical Corporation Anastomosis instrument and method
US5707380A (en) * 1996-07-23 1998-01-13 United States Surgical Corporation Anastomosis instrument and method
US6391039B1 (en) 1996-07-23 2002-05-21 United States Surgical Corporation Anastomosis instrument and method
US5833698A (en) * 1996-07-23 1998-11-10 United States Surgical Corporation Anastomosis instrument and method
US7223273B2 (en) * 1996-07-23 2007-05-29 Tyco Healthcare Group Lp Anastomosis instrument and method for performing same
US5755682A (en) * 1996-08-13 1998-05-26 Heartstent Corporation Method and apparatus for performing coronary artery bypass surgery
US6482224B1 (en) 1996-08-22 2002-11-19 The Trustees Of Columbia University In The City Of New York Endovascular flexible stapling device
US6488692B1 (en) 1996-09-16 2002-12-03 Origin Medsystems, Inc. Access and cannulation device and method for rapidly placing same and for rapidly closing same in minimally invasive surgery
US6565581B1 (en) 1996-09-16 2003-05-20 Origin Medsystems, Inc. Apparatus and method for performing an anastomosis
US5868763A (en) * 1996-09-16 1999-02-09 Guidant Corporation Means and methods for performing an anastomosis
US6811555B1 (en) 1996-09-16 2004-11-02 Origin Medsystems, Inc. Method and apparatus for performing anastomosis with eversion of tissue edges and joining of exposed intima of the everted tissue
US6056762A (en) * 1997-05-22 2000-05-02 Kensey Nash Corporation Anastomosis system and method of use
US6071292A (en) 1997-06-28 2000-06-06 Transvascular, Inc. Transluminal methods and devices for closing, forming attachments to, and/or forming anastomotic junctions in, luminal anatomical structures
AU758370B2 (en) 1997-08-08 2003-03-20 Duke University Compositions, apparatus and methods for facilitating surgical procedures
US6711436B1 (en) 1997-08-08 2004-03-23 Duke University Compositions, apparatus and methods for facilitating surgical procedures
US6017352A (en) * 1997-09-04 2000-01-25 Kensey Nash Corporation Systems for intravascular procedures and methods of use
AU9303698A (en) * 1997-09-04 1999-03-22 Mgf Group, Inc. Anastomotic coupler
US6063114A (en) * 1997-09-04 2000-05-16 Kensey Nash Corporation Connector system for vessels, ducts, lumens or hollow organs and methods of use
JP3766520B2 (en) * 1997-10-06 2006-04-12 オリンパス株式会社 Vascular anastomosis device
NL1007349C2 (en) * 1997-10-24 1999-04-27 Suyker Wilhelmus Joseph Leonardus System for the mechanical production of anastomoses between hollow structures; as well as device and applicator for use therewith.
US5911702A (en) * 1997-11-06 1999-06-15 Heartport, Inc. Methods and devices for cannulating a patient's blood vessel
US6651670B2 (en) 1998-02-13 2003-11-25 Ventrica, Inc. Delivering a conduit into a heart wall to place a coronary vessel in communication with a heart chamber and removing tissue from the vessel or heart wall to facilitate such communication
US6979338B1 (en) 1998-05-29 2005-12-27 By-Pass Inc. Low profile anastomosis connector
KR20010052459A (en) 1998-05-29 2001-06-25 바이-패스, 인크. Methods and devices for vascular surgery
US6726704B1 (en) 1998-05-29 2004-04-27 By-Pass, Inc. Advanced closure device
US20040073247A1 (en) * 1998-05-29 2004-04-15 By-Pass, Inc. Method and apparatus for forming apertures in blood vessels
US20050101983A1 (en) * 1998-05-29 2005-05-12 By-Pass,Inc. Method and apparatus for forming apertures in blood vessels
US20040049221A1 (en) * 1998-05-29 2004-03-11 By-Pass, Inc. Method and apparatus for forming apertures in blood vessels
US20040087985A1 (en) * 1999-03-19 2004-05-06 Amir Loshakove Graft and connector delivery
US7063711B1 (en) 1998-05-29 2006-06-20 By-Pass, Inc. Vascular surgery
US20050283188A1 (en) * 1998-05-29 2005-12-22 By-Pass, Inc. Vascular closure device
EP1085837A4 (en) * 1998-05-29 2004-06-02 By Pass Inc Vascular port device
US6641593B1 (en) 1998-06-03 2003-11-04 Coalescent Surgical, Inc. Tissue connector apparatus and methods
US6945980B2 (en) 1998-06-03 2005-09-20 Medtronic, Inc. Multiple loop tissue connector apparatus and methods
US6613059B2 (en) 1999-03-01 2003-09-02 Coalescent Surgical, Inc. Tissue connector apparatus and methods
EP1105049A4 (en) * 1998-07-22 2007-10-17 Angiolink Corp Vascular suction cannula, dilator and surgical stapler
US6206913B1 (en) 1998-08-12 2001-03-27 Vascular Innovations, Inc. Method and system for attaching a graft to a blood vessel
US6461320B1 (en) * 1998-08-12 2002-10-08 Cardica, Inc. Method and system for attaching a graft to a blood vessel
US6200341B1 (en) 1998-09-25 2001-03-13 Sulzer Carbomedics Inc. Mechanical heart valve assembly with super-elastic lock wire
ES2242335T3 (en) * 1998-09-28 2005-11-01 United States Surgical Corporation ISNSTRUMENT FOR ANASTOMOSIS.
US7018387B2 (en) * 1998-10-22 2006-03-28 Innovative Interventional Technologies B.V. Mechanical anastomosis system for hollow structures
US8118822B2 (en) 1999-03-01 2012-02-21 Medtronic, Inc. Bridge clip tissue connector apparatus and methods
US7842048B2 (en) 2006-08-18 2010-11-30 Abbott Laboratories Articulating suture device and method
US8137364B2 (en) 2003-09-11 2012-03-20 Abbott Laboratories Articulating suturing device and method
US6695859B1 (en) 1999-04-05 2004-02-24 Coalescent Surgical, Inc. Apparatus and methods for anastomosis
AU5150600A (en) * 1999-05-18 2000-12-05 Vascular Innovations, Inc. Tissue punch
US6428550B1 (en) 1999-05-18 2002-08-06 Cardica, Inc. Sutureless closure and deployment system for connecting blood vessels
US6719769B2 (en) 1999-11-15 2004-04-13 Cardica, Inc. Integrated anastomosis tool with graft vessel attachment device and cutting device
AU5143000A (en) 1999-05-18 2000-12-05 Vascular Innovations, Inc. Implantable medical device such as an anastomosis device
US7048751B2 (en) * 2001-12-06 2006-05-23 Cardica, Inc. Implantable medical device such as an anastomosis device
US6673088B1 (en) 1999-05-18 2004-01-06 Cardica, Inc. Tissue punch
US8025199B2 (en) 2004-02-23 2011-09-27 Tyco Healthcare Group Lp Surgical cutting and stapling device
US6491201B1 (en) 2000-02-22 2002-12-10 Power Medical Interventions, Inc. Fluid delivery mechanism for use with anastomosing, stapling, and resecting instruments
US6793652B1 (en) * 1999-06-02 2004-09-21 Power Medical Interventions, Inc. Electro-mechanical surgical device
US6981941B2 (en) * 1999-06-02 2006-01-03 Power Medical Interventions Electro-mechanical surgical device
US7951071B2 (en) * 1999-06-02 2011-05-31 Tyco Healthcare Group Lp Moisture-detecting shaft for use with an electro-mechanical surgical device
US7695485B2 (en) * 2001-11-30 2010-04-13 Power Medical Interventions, Llc Surgical device
US6315184B1 (en) * 1999-06-02 2001-11-13 Powermed, Inc. Stapling device for use with an electromechanical driver device for use with anastomosing, stapling, and resecting instruments
WO2001015607A1 (en) * 1999-09-01 2001-03-08 Origin Medsystems, Inc. Method and apparatus for performing anastomosis
US8529583B1 (en) 1999-09-03 2013-09-10 Medtronic, Inc. Surgical clip removal apparatus
US6926730B1 (en) 2000-10-10 2005-08-09 Medtronic, Inc. Minimally invasive valve repair procedure and apparatus
US6533157B1 (en) 2000-02-22 2003-03-18 Power Medical Interventions, Inc. Tissue stapling attachment for use with an electromechanical driver device
US6488197B1 (en) 2000-02-22 2002-12-03 Power Medical Interventions, Inc. Fluid delivery device for use with anastomosing resecting and stapling instruments
US8016855B2 (en) * 2002-01-08 2011-09-13 Tyco Healthcare Group Lp Surgical device
JP2003527189A (en) * 2000-03-20 2003-09-16 バイ−パス・インク． Graft transfer system
AU2001244497A1 (en) * 2000-03-20 2001-10-03 By-Pass, Inc. Transvascular bypass method and system
IL153753A0 (en) * 2002-12-30 2003-07-06 Neovasc Medical Ltd Varying-diameter vascular implant and balloon
US6953476B1 (en) * 2000-03-27 2005-10-11 Neovasc Medical Ltd. Device and method for treating ischemic heart disease
US6551332B1 (en) 2000-03-31 2003-04-22 Coalescent Surgical, Inc. Multiple bias surgical fastener
US6592596B1 (en) * 2000-05-10 2003-07-15 Scimed Life Systems, Inc. Devices and related methods for securing a tissue fold
DE10037453C2 (en) * 2000-08-01 2002-06-20 Ethicon Endo Surgery Europe Surgical stapling instrument
US6613058B1 (en) 2000-08-30 2003-09-02 Ethicon Endo-Surgery, Inc. Anastomosis device having needle receiver for capturing the needle
US6520973B1 (en) 2000-08-30 2003-02-18 Ethicon Endo-Surgery, Inc. Anastomosis device having an improved needle driver
US6514263B1 (en) 2000-08-30 2003-02-04 Ethicon Endo-Surgery, Inc. Helical needle and suture combination having a strain relief element
US6530932B1 (en) 2000-08-30 2003-03-11 Ethicon Endo-Surgery, Inc. Anastomosis device having improved tissue presentation
WO2002019924A1 (en) 2000-09-01 2002-03-14 Angiolink Corporation Wound site management and wound closure device
US6755842B2 (en) 2000-09-01 2004-06-29 Angiolink Corporation Advanced wound site management systems and methods
US6776785B1 (en) * 2000-10-12 2004-08-17 Cardica, Inc. Implantable superelastic anastomosis device
US6966917B1 (en) * 2000-11-09 2005-11-22 Innovation Interventional Technologies B.V. Deformable connector for mechanically connecting hollow structures
US6554764B1 (en) 2000-11-13 2003-04-29 Cardica, Inc. Graft vessel preparation device and methods for using the same
US6471713B1 (en) 2000-11-13 2002-10-29 Cardica, Inc. System for deploying an anastomosis device and method of performing anastomosis
DE60227235D1 (en) * 2001-01-24 2008-08-07 Tyco Healthcare INSTRUMENT AND METHOD FOR CARRYING OUT ANASTOMOSIS
US6953464B2 (en) * 2001-02-21 2005-10-11 Novare Surgical Systems, Inc. Anastomosis occlusion device
US6620177B2 (en) 2001-02-15 2003-09-16 Novare Surgical Systems, Inc. Anastomosis occlusion device
US6890338B1 (en) 2001-02-27 2005-05-10 Origin Medsystems, Inc. Method and apparatus for performing anastomosis using ring having tines with weak sections
AU2002257122B2 (en) 2001-04-03 2006-09-14 Covidien Lp Surgical stapling device for performing circular anastomoses
US20070060952A1 (en) * 2005-09-02 2007-03-15 Roby Mark S Surgical stapling device with coated knife blade
US6605098B2 (en) * 2001-09-28 2003-08-12 Ethicon, Inc. Surgical device for creating an anastomosis between first and second hollow organs
DE60236755D1 (en) 2001-10-04 2010-07-29 Neovasc Medical Ltd RIVER REDUCING IMPLANT
ES2357343T3 (en) * 2001-10-05 2011-04-25 Tyco Healthcare Group Lp YUNQUE WITH INCLINABLE TOP FOR A SURGICAL HOLDING DEVICE.
US7241302B2 (en) 2001-10-18 2007-07-10 Tyco Healthcare Group Lp Anastomosis instrument and method for performing same
US9113878B2 (en) 2002-01-08 2015-08-25 Covidien Lp Pinion clip for right angle linear cutter
US7335216B2 (en) * 2002-01-22 2008-02-26 Cardica, Inc. Tool for creating an opening in tissue
US7029482B1 (en) * 2002-01-22 2006-04-18 Cardica, Inc. Integrated anastomosis system
US8012164B1 (en) 2002-01-22 2011-09-06 Cardica, Inc. Method and apparatus for creating an opening in the wall of a tubular vessel
US7223274B2 (en) * 2002-01-23 2007-05-29 Cardica, Inc. Method of performing anastomosis
US6769594B2 (en) * 2002-05-31 2004-08-03 Tyco Healthcare Group, Lp End-to-end anastomosis instrument and method for performing same
US7195142B2 (en) * 2003-05-30 2007-03-27 Tyco Healthcare Group Lp End-to-end anastomosis instrument and method for performing same
ES2278167T3 (en) 2002-06-14 2007-08-01 Power Medical Interventions, Inc. DEVICE FOR CLAMPING, CUTTING AND STAPLING FABRIC.
ES2364043T3 (en) 2002-07-31 2011-08-23 Tyco Healthcare Group Lp TOOL COATING ELEMENT AND COATING DEPLOYMENT DEVICE.
AU2003219503A1 (en) * 2002-08-08 2004-02-25 Neovasc Medical Ltd. Geometric flow regulator
US20060106449A1 (en) * 2002-08-08 2006-05-18 Neovasc Medical Ltd. Flow reducing implant
US8066724B2 (en) 2002-09-12 2011-11-29 Medtronic, Inc. Anastomosis apparatus and methods
US20060025788A1 (en) * 2002-09-25 2006-02-02 By-Pass, Inc. Anastomotic leg arrangement
EP2055246B1 (en) * 2002-10-04 2012-04-18 Tyco Healthcare Group LP Surgical stapling device
US8105345B2 (en) 2002-10-04 2012-01-31 Medtronic, Inc. Anastomosis apparatus and methods
US7160309B2 (en) 2002-12-31 2007-01-09 Laveille Kao Voss Systems for anchoring a medical device in a body lumen
US20040236178A1 (en) * 2003-02-14 2004-11-25 Cardica, Inc. Method for preparing a graft vessel for anastomosis
US9060770B2 (en) 2003-05-20 2015-06-23 Ethicon Endo-Surgery, Inc. Robotically-driven surgical instrument with E-beam driver
US20070084897A1 (en) 2003-05-20 2007-04-19 Shelton Frederick E Iv Articulating surgical stapling instrument incorporating a two-piece e-beam firing mechanism
EP1635712B1 (en) 2003-06-20 2015-09-30 Covidien LP Surgical stapling device
US20050010241A1 (en) * 2003-07-09 2005-01-13 Keith Milliman Anastomosis instrument and method for performing same
JP4755983B2 (en) * 2003-07-16 2011-08-24 タイコ ヘルスケア グループ リミテッド パートナーシップ Surgical stapling device with tissue tensioner
US7182769B2 (en) 2003-07-25 2007-02-27 Medtronic, Inc. Sealing clip, delivery systems, and methods
US20050043749A1 (en) 2003-08-22 2005-02-24 Coalescent Surgical, Inc. Eversion apparatus and methods
US8394114B2 (en) 2003-09-26 2013-03-12 Medtronic, Inc. Surgical connection apparatus and methods
US7462188B2 (en) 2003-09-26 2008-12-09 Abbott Laboratories Device and method for suturing intracardiac defects
EP1667748B1 (en) 2003-09-28 2011-05-25 Guido Schnyder Biodegradable and/or bioabsorbable member for vascular sealing
AU2004281833B2 (en) * 2003-10-17 2010-07-01 Covidien Lp Surgical stapling device
US7879047B2 (en) 2003-12-10 2011-02-01 Medtronic, Inc. Surgical connection apparatus and methods
US8080023B2 (en) * 2003-12-12 2011-12-20 Vitalitec International, Inc. Device and method for performing multiple anastomoses
US7449024B2 (en) 2003-12-23 2008-11-11 Abbott Laboratories Suturing device with split arm and method of suturing tissue
US20050149071A1 (en) * 2003-12-24 2005-07-07 Ryan Abbott Anastomosis device, tools and method of using
US20080269784A1 (en) * 2003-12-24 2008-10-30 Ryan Abbott Anastomosis device, tools and methods of using
US7585306B2 (en) * 2003-12-24 2009-09-08 Maquet Cardiovascular Llc Anastomosis device, tools and methods of using
US20050203551A1 (en) 2004-03-09 2005-09-15 Kevin Weadock Method for performing a coronary artery bypass graft procedure
WO2005091986A2 (en) * 2004-03-19 2005-10-06 Tyco Healthcare Group, Lp Anvil assembly with improved cut ring
US8181840B2 (en) * 2004-03-19 2012-05-22 Tyco Healthcare Group Lp Tissue tensioner assembly and approximation mechanism for surgical stapling device
US8425539B2 (en) 2004-04-12 2013-04-23 Xlumena, Inc. Luminal structure anchoring devices and methods
US8162963B2 (en) * 2004-06-17 2012-04-24 Maquet Cardiovascular Llc Angled anastomosis device, tools and method of using
US8215531B2 (en) 2004-07-28 2012-07-10 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having a medical substance dispenser
US11896225B2 (en) 2004-07-28 2024-02-13 Cilag Gmbh International Staple cartridge comprising a pan
US7515970B2 (en) * 2004-08-18 2009-04-07 Cardiac Pacemakers, Inc. Transeptal lead
US20070055305A1 (en) * 2004-09-23 2007-03-08 Guido Schnyder Biodegradable and/or bioabsorbable member for vascular sealing
US7845536B2 (en) 2004-10-18 2010-12-07 Tyco Healthcare Group Lp Annular adhesive structure
US7938307B2 (en) 2004-10-18 2011-05-10 Tyco Healthcare Group Lp Support structures and methods of using the same
JP5111112B2 (en) 2004-12-08 2012-12-26 エックスルミナ， インコーポレイテッド Device for performing needle-guided therapy
WO2006081174A2 (en) * 2005-01-24 2006-08-03 Brian Kelleher Methods and devices for soft tissue stapling
US20060259074A1 (en) * 2005-02-22 2006-11-16 Brian Kelleher Methods and devices for anchoring to soft tissue
US9364229B2 (en) 2005-03-15 2016-06-14 Covidien Lp Circular anastomosis structures
US8777967B2 (en) 2005-06-09 2014-07-15 Xlumena, Inc. Methods and devices for anchoring to tissue
US8784437B2 (en) 2005-06-09 2014-07-22 Xlumena, Inc. Methods and devices for endosonography-guided fundoplexy
US8267947B2 (en) 2005-08-08 2012-09-18 Abbott Laboratories Vascular suturing device
US8920442B2 (en) 2005-08-24 2014-12-30 Abbott Vascular Inc. Vascular opening edge eversion methods and apparatuses
US9456811B2 (en) 2005-08-24 2016-10-04 Abbott Vascular Inc. Vascular closure methods and apparatuses
US7934630B2 (en) 2005-08-31 2011-05-03 Ethicon Endo-Surgery, Inc. Staple cartridges for forming staples having differing formed staple heights
US7669746B2 (en) 2005-08-31 2010-03-02 Ethicon Endo-Surgery, Inc. Staple cartridges for forming staples having differing formed staple heights
US8365976B2 (en) 2006-09-29 2013-02-05 Ethicon Endo-Surgery, Inc. Surgical staples having dissolvable, bioabsorbable or biofragmentable portions and stapling instruments for deploying the same
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
US11246590B2 (en) 2005-08-31 2022-02-15 Cilag Gmbh International Staple cartridge including staple drivers having different unfired heights
US11484312B2 (en) 2005-08-31 2022-11-01 Cilag Gmbh International Staple cartridge comprising a staple driver arrangement
US20070123934A1 (en) * 2005-09-26 2007-05-31 Whisenant Brian K Delivery system for patent foramen ovale closure device
US20070106317A1 (en) 2005-11-09 2007-05-10 Shelton Frederick E Iv Hydraulically and electrically actuated articulation joints for surgical instruments
US20070142850A1 (en) * 2005-12-15 2007-06-21 David Fowler Compression anastomosis device
US11793518B2 (en) 2006-01-31 2023-10-24 Cilag Gmbh International Powered surgical instruments with firing system lockout arrangements
US8820603B2 (en) 2006-01-31 2014-09-02 Ethicon Endo-Surgery, Inc. Accessing data stored in a memory of a surgical instrument
US7845537B2 (en) 2006-01-31 2010-12-07 Ethicon Endo-Surgery, Inc. Surgical instrument having recording capabilities
US20120292367A1 (en) 2006-01-31 2012-11-22 Ethicon Endo-Surgery, Inc. Robotically-controlled end effector
US11278279B2 (en) 2006-01-31 2022-03-22 Cilag Gmbh International Surgical instrument assembly
US7753904B2 (en) 2006-01-31 2010-07-13 Ethicon Endo-Surgery, Inc. Endoscopic surgical instrument with a handle that can articulate with respect to the shaft
US8708213B2 (en) 2006-01-31 2014-04-29 Ethicon Endo-Surgery, Inc. Surgical instrument having a feedback system
US8186555B2 (en) 2006-01-31 2012-05-29 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with mechanical closure system
US20110024477A1 (en) 2009-02-06 2011-02-03 Hall Steven G Driven Surgical Stapler Improvements
US11224427B2 (en) 2006-01-31 2022-01-18 Cilag Gmbh International Surgical stapling system including a console and retraction assembly
US20110290856A1 (en) 2006-01-31 2011-12-01 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical instrument with force-feedback capabilities
US8992422B2 (en) 2006-03-23 2015-03-31 Ethicon Endo-Surgery, Inc. Robotically-controlled endoscopic accessory channel
US8540132B2 (en) 2006-05-16 2013-09-24 Covidien Lp Tilt anvil assembly
IL176133A0 (en) * 2006-06-05 2006-10-05 Medigus Ltd Stapler
US8322455B2 (en) 2006-06-27 2012-12-04 Ethicon Endo-Surgery, Inc. Manually driven surgical cutting and fastening instrument
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
US11291441B2 (en) 2007-01-10 2022-04-05 Cilag Gmbh International Surgical instrument with wireless communication between control unit and remote sensor
US8652120B2 (en) 2007-01-10 2014-02-18 Ethicon Endo-Surgery, Inc. Surgical instrument with wireless communication between control unit and sensor transponders
US8684253B2 (en) 2007-01-10 2014-04-01 Ethicon Endo-Surgery, Inc. Surgical instrument with wireless communication between a control unit of a robotic system and remote sensor
US20080169332A1 (en) 2007-01-11 2008-07-17 Shelton Frederick E Surgical stapling device with a curved cutting member
US11039836B2 (en) 2007-01-11 2021-06-22 Cilag Gmbh International Staple cartridge for use with a surgical stapling instrument
EP3087929B1 (en) 2007-03-06 2020-04-29 Covidien LP Surgical stapling apparatus
EP2134269B1 (en) 2007-03-07 2011-02-23 Covidien AG Stapler for mucosectomy
US8727197B2 (en) 2007-03-15 2014-05-20 Ethicon Endo-Surgery, Inc. Staple cartridge cavity configuration with cooperative surgical staple
US8893946B2 (en) 2007-03-28 2014-11-25 Ethicon Endo-Surgery, Inc. Laparoscopic tissue thickness and clamp load measuring devices
US8931682B2 (en) 2007-06-04 2015-01-13 Ethicon Endo-Surgery, Inc. Robotically-controlled shaft based rotary drive systems for surgical instruments
US11672531B2 (en) 2007-06-04 2023-06-13 Cilag Gmbh International Rotary drive systems for surgical instruments
US10004507B2 (en) 2007-06-18 2018-06-26 Asfora Ip, Llc Vascular anastomosis device and method
US9504469B2 (en) 2007-06-18 2016-11-29 Asfora Ip, Llc Vascular anastomosis device and method
US8361092B1 (en) 2007-06-18 2013-01-29 Wilson T. Asfora Vascular anastomosis device and method
US7665646B2 (en) 2007-06-18 2010-02-23 Tyco Healthcare Group Lp Interlocking buttress material retention system
US7753245B2 (en) 2007-06-22 2010-07-13 Ethicon Endo-Surgery, Inc. Surgical stapling instruments
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
AU2008302039B2 (en) 2007-09-21 2013-07-18 Covidien Lp Surgical device
JP5357161B2 (en) 2007-09-21 2013-12-04 コヴィディエン リミテッド パートナーシップ Surgical equipment
US8011554B2 (en) 2008-01-09 2011-09-06 Tyco Healthcare Group, Lp Raised boss for staple guide
US8573465B2 (en) 2008-02-14 2013-11-05 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical end effector system with rotary actuated closure systems
US7866527B2 (en) 2008-02-14 2011-01-11 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with interlockable firing system
US9179912B2 (en) 2008-02-14 2015-11-10 Ethicon Endo-Surgery, Inc. Robotically-controlled motorized surgical cutting and fastening instrument
US7819298B2 (en) 2008-02-14 2010-10-26 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with control features operable with one hand
US8758391B2 (en) 2008-02-14 2014-06-24 Ethicon Endo-Surgery, Inc. Interchangeable tools for surgical instruments
BRPI0901282A2 (en) 2008-02-14 2009-11-17 Ethicon Endo Surgery Inc surgical cutting and fixation instrument with rf electrodes
US8636736B2 (en) 2008-02-14 2014-01-28 Ethicon Endo-Surgery, Inc. Motorized surgical cutting and fastening instrument
US11272927B2 (en) 2008-02-15 2022-03-15 Cilag Gmbh International Layer arrangements for surgical staple cartridges
US9585657B2 (en) 2008-02-15 2017-03-07 Ethicon Endo-Surgery, Llc Actuator for releasing a layer of material from a surgical end effector
US8177836B2 (en) 2008-03-10 2012-05-15 Medtronic, Inc. Apparatus and methods for minimally invasive valve repair
US8454632B2 (en) 2008-05-12 2013-06-04 Xlumena, Inc. Tissue anchor for securing tissue layers
US8181838B2 (en) * 2008-09-10 2012-05-22 Tyco Healthcare Group Lp Surgical stapling device
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
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
US8231042B2 (en) 2008-11-06 2012-07-31 Tyco Healthcare Group Lp Surgical stapler
US20100147921A1 (en) 2008-12-16 2010-06-17 Lee Olson Surgical Apparatus Including Surgical Buttress
US8281974B2 (en) 2009-01-14 2012-10-09 Tyco Healthcare, Group LP Surgical stapler with suture locator
US8517239B2 (en) 2009-02-05 2013-08-27 Ethicon Endo-Surgery, Inc. Surgical stapling instrument comprising a magnetic element driver
US8453913B2 (en) 2009-02-06 2013-06-04 Covidien Lp Anvil for surgical stapler
US8444036B2 (en) 2009-02-06 2013-05-21 Ethicon Endo-Surgery, Inc. Motor driven surgical fastener device with mechanisms for adjusting a tissue gap within the end effector
BRPI1008667A2 (en) 2009-02-06 2016-03-08 Ethicom Endo Surgery Inc improvement of the operated surgical stapler
US9486215B2 (en) 2009-03-31 2016-11-08 Covidien Lp Surgical stapling apparatus
US7967179B2 (en) 2009-03-31 2011-06-28 Tyco Healthcare Group Lp Center cinch and release of buttress material
US8518060B2 (en) 2009-04-09 2013-08-27 Medtronic, Inc. Medical clip with radial tines, system and method of using same
US9364259B2 (en) 2009-04-21 2016-06-14 Xlumena, Inc. System and method for delivering expanding trocar through a sheath
US8668704B2 (en) 2009-04-24 2014-03-11 Medtronic, Inc. Medical clip with tines, system and method of using same
JP5535313B2 (en) 2009-05-29 2014-07-02 エックスルミナ， インコーポレイテッド Device and method for deploying a stent across adjacent tissue layers
US8146790B2 (en) 2009-07-11 2012-04-03 Tyco Healthcare Group Lp Surgical instrument with safety mechanism
US8267301B2 (en) 2009-08-19 2012-09-18 Tyco Healthcare Group Lp Surgical stapler
US20150231409A1 (en) 2009-10-15 2015-08-20 Covidien Lp Buttress brachytherapy and integrated staple line markers for margin identification
US8430292B2 (en) * 2009-10-28 2013-04-30 Covidien Lp Surgical fastening apparatus
US8322590B2 (en) * 2009-10-28 2012-12-04 Covidien Lp Surgical stapling instrument
US8413872B2 (en) 2009-10-28 2013-04-09 Covidien Lp Surgical fastening apparatus
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
US8783543B2 (en) 2010-07-30 2014-07-22 Ethicon Endo-Surgery, Inc. Tissue acquisition arrangements and methods for surgical stapling devices
US9370353B2 (en) 2010-09-01 2016-06-21 Abbott Cardiovascular Systems, Inc. Suturing devices and methods
US10945731B2 (en) 2010-09-30 2021-03-16 Ethicon Llc Tissue thickness compensator comprising controlled release and expansion
US9364233B2 (en) 2010-09-30 2016-06-14 Ethicon Endo-Surgery, Llc Tissue thickness compensators for circular surgical staplers
US9211120B2 (en) 2011-04-29 2015-12-15 Ethicon Endo-Surgery, Inc. Tissue thickness compensator comprising a plurality of medicaments
US9629814B2 (en) 2010-09-30 2017-04-25 Ethicon Endo-Surgery, Llc Tissue thickness compensator configured to redistribute compressive forces
US9517063B2 (en) 2012-03-28 2016-12-13 Ethicon Endo-Surgery, Llc Movable member for use with a tissue thickness compensator
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
US8657176B2 (en) 2010-09-30 2014-02-25 Ethicon Endo-Surgery, Inc. Tissue thickness compensator for a surgical stapler
US11298125B2 (en) 2010-09-30 2022-04-12 Cilag Gmbh International Tissue stapler having a thickness compensator
US9320523B2 (en) 2012-03-28 2016-04-26 Ethicon Endo-Surgery, Llc Tissue thickness compensator comprising tissue ingrowth features
US9272406B2 (en) 2010-09-30 2016-03-01 Ethicon Endo-Surgery, Llc Fastener cartridge comprising a cutting member for releasing a tissue thickness compensator
US8695866B2 (en) 2010-10-01 2014-04-15 Ethicon Endo-Surgery, Inc. Surgical instrument having a power control circuit
US8789737B2 (en) 2011-04-27 2014-07-29 Covidien Lp Circular stapler and staple line reinforcement material
CA2834649C (en) 2011-04-29 2021-02-16 Ethicon Endo-Surgery, Inc. Staple cartridge comprising staples positioned within a compressible portion thereof
US11207064B2 (en) 2011-05-27 2021-12-28 Cilag Gmbh International Automated end effector component reloading system for use with a robotic system
US9072535B2 (en) 2011-05-27 2015-07-07 Ethicon Endo-Surgery, Inc. Surgical stapling instruments with rotatable staple deployment arrangements
US8708212B2 (en) 2011-10-18 2014-04-29 Covidien Lp Tilt top anvil with torsion spring
US9016547B2 (en) 2011-10-26 2015-04-28 Covidien Lp EEA tilt top anvil with ratchet/locking mechanism
US9675351B2 (en) 2011-10-26 2017-06-13 Covidien Lp Buttress release from surgical stapler by knife pushing
US9113885B2 (en) 2011-12-14 2015-08-25 Covidien Lp Buttress assembly for use with surgical stapling device
US9351731B2 (en) 2011-12-14 2016-05-31 Covidien Lp Surgical stapling apparatus including releasable surgical buttress
US8967448B2 (en) 2011-12-14 2015-03-03 Covidien Lp Surgical stapling apparatus including buttress attachment via tabs
US9237892B2 (en) 2011-12-14 2016-01-19 Covidien Lp Buttress attachment to the cartridge surface
US9010605B2 (en) 2012-01-12 2015-04-21 Covidien Lp Sliding sleeve for circular stapling instrument reloads
US9326773B2 (en) 2012-01-26 2016-05-03 Covidien Lp Surgical device including buttress material
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
US9022274B2 (en) 2012-02-15 2015-05-05 Covidien Lp Circular stapler with increased lumen diameter
MX350846B (en) 2012-03-28 2017-09-22 Ethicon Endo Surgery Inc Tissue thickness compensator comprising capsules defining a low pressure environment.
BR112014024102B1 (en) 2012-03-28 2022-03-03 Ethicon Endo-Surgery, Inc CLAMP CARTRIDGE ASSEMBLY FOR A SURGICAL INSTRUMENT AND END ACTUATOR ASSEMBLY FOR A SURGICAL INSTRUMENT
BR112014024194B1 (en) 2012-03-28 2022-03-03 Ethicon Endo-Surgery, Inc STAPLER CARTRIDGE SET FOR A SURGICAL STAPLER
US8864778B2 (en) 2012-04-10 2014-10-21 Abbott Cardiovascular Systems, Inc. Apparatus and method for suturing body lumens
US8858573B2 (en) 2012-04-10 2014-10-14 Abbott Cardiovascular Systems, Inc. Apparatus and method for suturing body lumens
JP6360042B2 (en) 2012-05-17 2018-07-18 ボストン サイエンティフィック サイムド，インコーポレイテッドＢｏｓｔｏｎ Ｓｃｉｅｎｔｉｆｉｃ Ｓｃｉｍｅｄ，Ｉｎｃ． Method and device for access across adjacent tissue layers
US9241707B2 (en) 2012-05-31 2016-01-26 Abbott Cardiovascular Systems, Inc. Systems, methods, and devices for closing holes in body lumens
US9101358B2 (en) 2012-06-15 2015-08-11 Ethicon Endo-Surgery, Inc. Articulatable surgical instrument comprising a firing drive
US9351734B2 (en) 2012-06-19 2016-05-31 Covidien Lp Spring loaded anvil retainer
US20140001231A1 (en) 2012-06-28 2014-01-02 Ethicon Endo-Surgery, Inc. Firing system lockout arrangements for surgical instruments
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
US9226751B2 (en) 2012-06-28 2016-01-05 Ethicon Endo-Surgery, Inc. Surgical instrument system including replaceable end effectors
US9204879B2 (en) 2012-06-28 2015-12-08 Ethicon Endo-Surgery, Inc. Flexible drive member
US9289256B2 (en) 2012-06-28 2016-03-22 Ethicon Endo-Surgery, Llc Surgical end effectors having angled tissue-contacting surfaces
US11197671B2 (en) 2012-06-28 2021-12-14 Cilag Gmbh International Stapling assembly comprising a lockout
CN104487005B (en) 2012-06-28 2017-09-08 伊西康内外科公司 Empty squeeze latching member
US9649111B2 (en) 2012-06-28 2017-05-16 Ethicon Endo-Surgery, Llc Replaceable clip cartridge for a clip applier
US10213205B2 (en) 2012-07-06 2019-02-26 Covidien Lp T-slot tilt anvil for circular stapling instrument
US9572576B2 (en) 2012-07-18 2017-02-21 Covidien Lp Surgical apparatus including surgical buttress
US20140048580A1 (en) 2012-08-20 2014-02-20 Covidien Lp Buttress attachment features for surgical stapling apparatus
US9161753B2 (en) 2012-10-10 2015-10-20 Covidien Lp Buttress fixation for a circular stapler
US9675359B2 (en) 2012-10-10 2017-06-13 Covidien Lp Surgical instrument with preload assembly
US20140131418A1 (en) 2012-11-09 2014-05-15 Covidien Lp Surgical Stapling Apparatus Including Buttress Attachment
US9572572B2 (en) 2012-11-09 2017-02-21 Covidien Lp Circular stapler mechanical lockout
US9295466B2 (en) 2012-11-30 2016-03-29 Covidien Lp Surgical apparatus including surgical buttress
US9402627B2 (en) 2012-12-13 2016-08-02 Covidien Lp Folded buttress for use with a surgical apparatus
US9351724B2 (en) 2013-01-11 2016-05-31 Covidien Lp Circular stapling instrument
US9433420B2 (en) 2013-01-23 2016-09-06 Covidien Lp Surgical apparatus including surgical buttress
US9414839B2 (en) 2013-02-04 2016-08-16 Covidien Lp Buttress attachment for circular stapling device
US9192383B2 (en) 2013-02-04 2015-11-24 Covidien Lp Circular stapling device including buttress material
EP2958527B1 (en) 2013-02-21 2020-07-22 Boston Scientific Scimed, Inc. Devices for forming an anastomosis
US9504470B2 (en) 2013-02-25 2016-11-29 Covidien Lp Circular stapling device with buttress
US20140239047A1 (en) 2013-02-28 2014-08-28 Covidien Lp Adherence concepts for non-woven absorbable felt buttresses
BR112015021098B1 (en) 2013-03-01 2022-02-15 Ethicon Endo-Surgery, Inc COVERAGE FOR A JOINT JOINT AND SURGICAL INSTRUMENT
MX364729B (en) 2013-03-01 2019-05-06 Ethicon Endo Surgery Inc Surgical instrument with a soft stop.
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
US9592056B2 (en) 2013-03-14 2017-03-14 Covidien Lp Powered stapling apparatus
CN104042292A (en) 2013-03-15 2014-09-17 柯惠Lp公司 Surgical anastomosis device comprising assemblies capable of being repeatedly utilized
BR112015026109B1 (en) 2013-04-16 2022-02-22 Ethicon Endo-Surgery, Inc surgical instrument
US10405857B2 (en) 2013-04-16 2019-09-10 Ethicon Llc Powered linear surgical stapler
US9532780B2 (en) 2013-06-12 2017-01-03 Covidien Lp EEA anvil snap ring activator
US9668740B2 (en) 2013-06-14 2017-06-06 Covidien Lp Anvil assembly with sliding sleeve
EP3010424A4 (en) 2013-06-17 2017-06-07 Covidien LP Surgical instrument with lockout mechanism
US9750503B2 (en) 2013-07-11 2017-09-05 Covidien Lp Methods and devices for performing a surgical anastomosis
CN106028966B (en) 2013-08-23 2018-06-22 伊西康内外科有限责任公司 For the firing member restoring device of powered surgical instrument
US9510828B2 (en) 2013-08-23 2016-12-06 Ethicon Endo-Surgery, Llc Conductor arrangements for electrically powered surgical instruments with rotatable end effectors
US9693773B2 (en) 2013-09-11 2017-07-04 Covidien Lp Anvil assembly with sliding sleeve
US9517070B2 (en) 2013-11-13 2016-12-13 Covidien Lp Anvil assembly and delivery system
US9554802B2 (en) 2013-11-13 2017-01-31 Covidien Lp Anvil assembly with frangible retaining member
US9839428B2 (en) 2013-12-23 2017-12-12 Ethicon Llc Surgical cutting and stapling instruments with independent jaw control features
US20150173756A1 (en) 2013-12-23 2015-06-25 Ethicon Endo-Surgery, Inc. Surgical cutting and stapling methods
US9763662B2 (en) 2013-12-23 2017-09-19 Ethicon Llc Fastener cartridge comprising a firing member configured to directly engage and eject fasteners from the fastener cartridge
US9724092B2 (en) 2013-12-23 2017-08-08 Ethicon Llc Modular surgical instruments
US9962161B2 (en) 2014-02-12 2018-05-08 Ethicon Llc Deliverable surgical instrument
JP6462004B2 (en) 2014-02-24 2019-01-30 エシコン エルエルシー Fastening system with launcher lockout
BR112016021943B1 (en) 2014-03-26 2022-06-14 Ethicon Endo-Surgery, Llc SURGICAL INSTRUMENT FOR USE BY AN OPERATOR IN A SURGICAL PROCEDURE
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
US20150297223A1 (en) 2014-04-16 2015-10-22 Ethicon Endo-Surgery, Inc. Fastener cartridges including extensions having different configurations
BR112016023698B1 (en) 2014-04-16 2022-07-26 Ethicon Endo-Surgery, Llc FASTENER CARTRIDGE FOR USE WITH A SURGICAL INSTRUMENT
JP6532889B2 (en) 2014-04-16 2019-06-19 エシコン エルエルシーＥｔｈｉｃｏｎ ＬＬＣ Fastener cartridge assembly and staple holder cover arrangement
US9833241B2 (en) 2014-04-16 2017-12-05 Ethicon Llc Surgical fastener cartridges with driver stabilizing arrangements
CN106456158B (en) 2014-04-16 2019-02-05 伊西康内外科有限责任公司 Fastener cartridge including non-uniform fastener
US10426476B2 (en) 2014-09-26 2019-10-01 Ethicon Llc Circular fastener cartridges for applying radially expandable fastener lines
US9844378B2 (en) 2014-04-29 2017-12-19 Covidien Lp Surgical stapling apparatus and methods of adhering a surgical buttress thereto
US9913643B2 (en) 2014-05-09 2018-03-13 Covidien Lp Interlock assemblies for replaceable loading unit
JP6377775B2 (en) 2014-06-12 2018-08-22 コヴィディエン リミテッド パートナーシップ Surgical stapling device
US9861367B2 (en) 2014-06-24 2018-01-09 Covidien Lp Anvil assembly delivery systems
US9867619B2 (en) 2014-06-24 2018-01-16 Covidien Lp System for delivering an anvil assembly to a surgical site
EP3164084B1 (en) 2014-07-04 2020-02-19 Covidien LP Loading unit with shipping member for surgical stapling device
US9757133B2 (en) 2014-07-09 2017-09-12 Covidien Lp Methods and devices for performing a surgical anastomosis
BR112017004361B1 (en) 2014-09-05 2023-04-11 Ethicon Llc ELECTRONIC SYSTEM FOR A SURGICAL INSTRUMENT
US11311294B2 (en) 2014-09-05 2022-04-26 Cilag Gmbh International Powered medical device including measurement of closure state of jaws
US9737301B2 (en) 2014-09-05 2017-08-22 Ethicon Llc Monitoring device degradation based on component evaluation
US10105142B2 (en) 2014-09-18 2018-10-23 Ethicon Llc Surgical stapler with plurality of cutting elements
US11523821B2 (en) 2014-09-26 2022-12-13 Cilag Gmbh International Method for creating a flexible staple line
JP6648119B2 (en) 2014-09-26 2020-02-14 エシコン エルエルシーＥｔｈｉｃｏｎ ＬＬＣ Surgical stapling buttress and accessory materials
US10076325B2 (en) 2014-10-13 2018-09-18 Ethicon Llc Surgical stapling apparatus comprising a tissue stop
US9924944B2 (en) 2014-10-16 2018-03-27 Ethicon Llc Staple cartridge comprising an adjunct material
US11141153B2 (en) 2014-10-29 2021-10-12 Cilag Gmbh International Staple cartridges comprising driver arrangements
US10517594B2 (en) 2014-10-29 2019-12-31 Ethicon Llc Cartridge assemblies for surgical staplers
US9844376B2 (en) 2014-11-06 2017-12-19 Ethicon Llc Staple cartridge comprising a releasable adjunct material
US10898196B2 (en) 2014-11-21 2021-01-26 Covidien Lp Cleaning apparatus for surgical instruments
US10085744B2 (en) 2014-12-08 2018-10-02 Covidien Lp Loading unit attachment band for surgical stapling instrument
US9855045B2 (en) 2014-12-09 2018-01-02 Covidien Lp Anvil assembly delivery system
US10736636B2 (en) 2014-12-10 2020-08-11 Ethicon Llc Articulatable surgical instrument system
WO2016090594A1 (en) 2014-12-11 2016-06-16 Covidien Lp Surgical stapling loading unit
JP6480585B2 (en) 2014-12-11 2019-03-13 コヴィディエン リミテッド パートナーシップ Stapler with automatic detention mechanism
WO2016095112A1 (en) 2014-12-17 2016-06-23 Covidien Lp Surgical stapling device with firing indicator
US9844375B2 (en) 2014-12-18 2017-12-19 Ethicon Llc Drive arrangements for articulatable surgical instruments
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
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
US9987000B2 (en) 2014-12-18 2018-06-05 Ethicon Llc Surgical instrument assembly comprising a flexible articulation system
US9943309B2 (en) 2014-12-18 2018-04-17 Ethicon Llc Surgical instruments with articulatable end effectors and movable firing beam support arrangements
US10022126B2 (en) 2015-01-07 2018-07-17 Covidien Lp Loading unit locking collar
US10117656B2 (en) 2015-01-07 2018-11-06 Covidien Lp Loading unit locking collar
US10039549B2 (en) 2015-01-07 2018-08-07 Covidien Lp Loading unit retention clip for surgical stapling instrument
CN107249479B (en) 2015-02-15 2020-05-08 柯惠有限合伙公司 Surgical stapling device including firing indicator having unitary construction
US11154301B2 (en) 2015-02-27 2021-10-26 Cilag Gmbh International Modular stapling assembly
US10321907B2 (en) 2015-02-27 2019-06-18 Ethicon Llc System for monitoring whether a surgical instrument needs to be serviced
US9993248B2 (en) 2015-03-06 2018-06-12 Ethicon Endo-Surgery, Llc Smart sensors with local signal processing
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
US9901342B2 (en) 2015-03-06 2018-02-27 Ethicon Endo-Surgery, Llc Signal and power communication system positioned on a rotatable shaft
US10441279B2 (en) 2015-03-06 2019-10-15 Ethicon Llc Multiple level thresholds to modify operation of powered surgical instruments
US9808246B2 (en) 2015-03-06 2017-11-07 Ethicon Endo-Surgery, Llc Method of operating a powered surgical instrument
US10687806B2 (en) 2015-03-06 2020-06-23 Ethicon Llc Adaptive tissue compression techniques to adjust closure rates for multiple tissue types
US10617412B2 (en) 2015-03-06 2020-04-14 Ethicon Llc System for detecting the mis-insertion of a staple cartridge into a surgical stapler
US10245033B2 (en) 2015-03-06 2019-04-02 Ethicon Llc Surgical instrument comprising a lockable battery housing
US9924961B2 (en) 2015-03-06 2018-03-27 Ethicon Endo-Surgery, Llc Interactive feedback system for powered surgical instruments
US10052044B2 (en) 2015-03-06 2018-08-21 Ethicon Llc Time dependent evaluation of sensor data to determine stability, creep, and viscoelastic elements of measures
US10390825B2 (en) 2015-03-31 2019-08-27 Ethicon Llc Surgical instrument with progressive rotary drive systems
EP3167816B1 (en) * 2015-04-20 2019-08-28 Medi Tulip Co., Ltd Surgical linear stapler
US10881408B2 (en) 2015-04-22 2021-01-05 Covidien Lp Interlock assembly for replaceable loading units
US10426480B2 (en) 2015-04-29 2019-10-01 Covidien Lp Cutting ring assembly with rigid cutting member
US9987001B2 (en) 2015-06-12 2018-06-05 Covidien Lp Surgical anastomosis apparatus
US9974536B2 (en) 2015-07-02 2018-05-22 Covidien Lp Anvil assemblies and delivery systems
US10111668B2 (en) 2015-07-02 2018-10-30 Covidien Lp Anvil assembly with snap backup ring
US10117655B2 (en) 2015-07-22 2018-11-06 Covidien Lp Loading unit locking band for surgical stapling instrument
US10085756B2 (en) 2015-07-24 2018-10-02 Covidien Lp Anvil assembly and anvil assembly delivery system
US10117675B2 (en) 2015-07-28 2018-11-06 Covidien Lp Trocar tip protector
US11058425B2 (en) 2015-08-17 2021-07-13 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
US10098642B2 (en) 2015-08-26 2018-10-16 Ethicon Llc Surgical staples comprising features for improved fastening of tissue
US10314587B2 (en) 2015-09-02 2019-06-11 Ethicon Llc Surgical staple cartridge with improved staple driver configurations
MX2022006192A (en) 2015-09-02 2022-06-16 Ethicon Llc Surgical staple configurations with camming surfaces located between portions supporting surgical staples.
US9980730B2 (en) 2015-09-21 2018-05-29 Covidien Lp Loading unit locking collar with rotational actuated release
US10105139B2 (en) 2015-09-23 2018-10-23 Ethicon Llc Surgical stapler having downstream current-based motor control
US10327769B2 (en) 2015-09-23 2019-06-25 Ethicon Llc Surgical stapler having motor control based on a drive system component
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
US10299878B2 (en) 2015-09-25 2019-05-28 Ethicon Llc Implantable adjunct systems for determining adjunct skew
US10111684B2 (en) 2015-09-25 2018-10-30 Covidien Lp Adapter assembly including a removable trocar assembly
US11690623B2 (en) 2015-09-30 2023-07-04 Cilag Gmbh International Method for applying an implantable layer to a fastener cartridge
US11890015B2 (en) 2015-09-30 2024-02-06 Cilag Gmbh International Compressible adjunct with crossing spacer fibers
US10980539B2 (en) 2015-09-30 2021-04-20 Ethicon Llc Implantable adjunct comprising bonded layers
US10271849B2 (en) 2015-09-30 2019-04-30 Ethicon Llc Woven constructs with interlocked standing fibers
US10952730B2 (en) 2015-10-15 2021-03-23 Ethicon Llc End effector for surgical stapler with varying curve and taper
US10499917B2 (en) 2015-10-15 2019-12-10 Ethicon Llc Surgical stapler end effector with knife position indicators
US10265069B2 (en) 2015-10-15 2019-04-23 Ethicon Llc Surgical staple cartridge with varying staple crown width along a curve
US10342535B2 (en) 2015-10-15 2019-07-09 Ethicon Llc Method of applying staples to liver and other organs
US10226251B2 (en) 2015-10-15 2019-03-12 Ethicon Llc Surgical staple actuating sled with actuation stroke having minimized distance relative to distal staple
US10265073B2 (en) * 2015-10-15 2019-04-23 Ethicon Llc Surgical stapler with terminal staple orientation crossing center line
US11141159B2 (en) 2015-10-15 2021-10-12 Cilag Gmbh International Surgical stapler end effector with multi-staple driver crossing center line
US10542992B2 (en) 2015-10-19 2020-01-28 Covidien Lp Loading unit with stretchable bushing
EP3364885B1 (en) 2015-10-20 2020-12-02 Covidien LP Circular stapler with tissue gap indicator assembly
EP3364886B1 (en) 2015-10-21 2021-12-01 Covidien LP Annular knife for surgical stapler
US10512466B2 (en) 2015-11-05 2019-12-24 Covidien Lp Adapter assembly for surgical device
WO2017079970A1 (en) 2015-11-13 2017-05-18 Covidien Lp Circular stapler with audible indicator mechanism
EP3386401B1 (en) 2015-12-07 2020-08-26 Covidien LP Anvil assembly and delivery system
US10390835B2 (en) 2015-12-10 2019-08-27 Covidien Lp Surgical fastener apparatus with linear position sensor
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
US10524797B2 (en) 2016-01-13 2020-01-07 Covidien Lp Adapter assembly including a removable trocar assembly
EP3410957B1 (en) 2016-02-04 2020-06-03 Covidien LP Circular stapler with visual indicator mechanism
US11213293B2 (en) 2016-02-09 2022-01-04 Cilag Gmbh International Articulatable surgical instruments with single articulation link arrangements
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
US10433837B2 (en) 2016-02-09 2019-10-08 Ethicon Llc Surgical instruments with multiple link articulation arrangements
US10398439B2 (en) 2016-02-10 2019-09-03 Covidien Lp Adapter, extension, and connector assemblies for surgical devices
US10603042B2 (en) 2016-02-10 2020-03-31 Covidien Lp Flexible circular stapler
US11224426B2 (en) 2016-02-12 2022-01-18 Cilag Gmbh International Mechanisms for compensating for drivetrain failure in powered surgical instruments
US10448948B2 (en) 2016-02-12 2019-10-22 Ethicon Llc Mechanisms for compensating for drivetrain failure in powered surgical instruments
US10258331B2 (en) 2016-02-12 2019-04-16 Ethicon Llc Mechanisms for compensating for drivetrain failure in powered surgical instruments
CA3013232A1 (en) 2016-03-04 2017-09-08 Covidien Lp Robotic surgical assemblies
US10413297B2 (en) 2016-04-01 2019-09-17 Ethicon Llc Surgical stapling system configured to apply annular rows of staples having different heights
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
US11607239B2 (en) 2016-04-15 2023-03-21 Cilag Gmbh International Systems and methods for controlling a surgical stapling and cutting instrument
US10357247B2 (en) 2016-04-15 2019-07-23 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
US10335145B2 (en) 2016-04-15 2019-07-02 Ethicon Llc Modular surgical instrument with configurable operating mode
US10426467B2 (en) 2016-04-15 2019-10-01 Ethicon Llc Surgical instrument with detection sensors
US10828028B2 (en) 2016-04-15 2020-11-10 Ethicon Llc Surgical instrument with multiple program responses during a firing motion
US10456137B2 (en) 2016-04-15 2019-10-29 Ethicon Llc Staple formation detection mechanisms
US10405859B2 (en) 2016-04-15 2019-09-10 Ethicon Llc Surgical instrument with adjustable stop/start control during a firing motion
US10492783B2 (en) 2016-04-15 2019-12-03 Ethicon, Llc Surgical instrument with improved stop/start control during a firing motion
US20170296173A1 (en) 2016-04-18 2017-10-19 Ethicon Endo-Surgery, Llc Method for operating a surgical instrument
US10433840B2 (en) 2016-04-18 2019-10-08 Ethicon Llc Surgical instrument comprising a replaceable cartridge jaw
US11317917B2 (en) 2016-04-18 2022-05-03 Cilag Gmbh International Surgical stapling system comprising a lockable firing assembly
US10595871B2 (en) 2016-05-10 2020-03-24 Covidien Lp Insertion instrument, adapter assemblies and protector assemblies for a flexible circular stapler
US10959731B2 (en) 2016-06-14 2021-03-30 Covidien Lp Buttress attachment for surgical stapling instrument
US20170360441A1 (en) * 2016-06-15 2017-12-21 Covidien Lp Tool assembly for leak resistant tissue dissection
JP6957532B2 (en) 2016-06-24 2021-11-02 エシコン エルエルシーＥｔｈｉｃｏｎ ＬＬＣ Staple cartridges including wire staples and punched staples
US11000278B2 (en) 2016-06-24 2021-05-11 Ethicon Llc Staple cartridge comprising wire staples and stamped staples
USD826405S1 (en) 2016-06-24 2018-08-21 Ethicon Llc Surgical fastener
USD847989S1 (en) 2016-06-24 2019-05-07 Ethicon Llc Surgical fastener cartridge
USD850617S1 (en) 2016-06-24 2019-06-04 Ethicon Llc Surgical fastener cartridge
US11141162B2 (en) 2016-07-08 2021-10-12 Covidien Lp Loading unit locking collar with linearly actuated release
CN106175979B (en) * 2016-08-05 2018-01-30 武汉麦迪维恩医疗科技有限公司 Artificial blood vessel
US11452522B2 (en) 2016-08-15 2022-09-27 Covidien Lp Circular stapling device with articulating anvil retainer assembly
US10499922B2 (en) 2016-11-04 2019-12-10 Covidien Lp Stapling device with self-releasing knife carrier pusher
US10426470B2 (en) 2016-11-04 2019-10-01 Covidien Lp Stapling device with releasable knife carrier
US11026686B2 (en) 2016-11-08 2021-06-08 Covidien Lp Structure for attaching buttress to anvil and/or cartridge of surgical stapling instrument
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
MX2019007311A (en) 2016-12-21 2019-11-18 Ethicon Llc Surgical stapling systems.
US10588632B2 (en) 2016-12-21 2020-03-17 Ethicon Llc Surgical end effectors and firing members thereof
US11134942B2 (en) 2016-12-21 2021-10-05 Cilag Gmbh International Surgical stapling instruments and staple-forming anvils
US10898186B2 (en) 2016-12-21 2021-01-26 Ethicon Llc Staple forming pocket arrangements comprising primary sidewalls and pocket sidewalls
US10492785B2 (en) 2016-12-21 2019-12-03 Ethicon Llc Shaft assembly comprising a lockout
US10758230B2 (en) 2016-12-21 2020-09-01 Ethicon Llc Surgical instrument with primary and safety processors
US10758229B2 (en) 2016-12-21 2020-09-01 Ethicon Llc Surgical instrument comprising improved jaw control
US10485543B2 (en) 2016-12-21 2019-11-26 Ethicon Llc Anvil having a knife slot width
US10736629B2 (en) 2016-12-21 2020-08-11 Ethicon Llc Surgical tool assemblies with clutching arrangements for shifting between closure systems with closure stroke reduction features and articulation and firing systems
US10537325B2 (en) 2016-12-21 2020-01-21 Ethicon Llc Staple forming pocket arrangement to accommodate different types of staples
US10993715B2 (en) 2016-12-21 2021-05-04 Ethicon Llc Staple cartridge comprising staples with different clamping breadths
US10426471B2 (en) 2016-12-21 2019-10-01 Ethicon Llc Surgical instrument with multiple failure response modes
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
US11571210B2 (en) 2016-12-21 2023-02-07 Cilag Gmbh International Firing assembly comprising a multiple failed-state fuse
US10687810B2 (en) 2016-12-21 2020-06-23 Ethicon Llc Stepped staple cartridge with tissue retention and gap setting features
US11684367B2 (en) 2016-12-21 2023-06-27 Cilag Gmbh International Stepped assembly having and end-of-life indicator
US10945727B2 (en) 2016-12-21 2021-03-16 Ethicon Llc Staple cartridge with deformable driver retention features
JP7010956B2 (en) 2016-12-21 2022-01-26 エシコン エルエルシー How to staple tissue
US20180168648A1 (en) 2016-12-21 2018-06-21 Ethicon Endo-Surgery, Llc Durability features for end effectors and firing assemblies of surgical stapling instruments
US10893864B2 (en) 2016-12-21 2021-01-19 Ethicon Staple cartridges and arrangements of staples and staple cavities therein
US10667809B2 (en) 2016-12-21 2020-06-02 Ethicon Llc Staple cartridge and staple cartridge channel comprising windows defined therein
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
US10617414B2 (en) 2016-12-21 2020-04-14 Ethicon Llc Closure member arrangements for surgical instruments
US10874768B2 (en) 2017-01-20 2020-12-29 Covidien Lp Drug eluting medical device
US11241232B2 (en) 2017-01-24 2022-02-08 Covidien Lp Surgical stapling device with resettable anvil assembly
EP3639755B1 (en) 2017-01-25 2021-06-23 Covidien LP Circular stapling device
US10426449B2 (en) 2017-02-16 2019-10-01 Abbott Cardiovascular Systems, Inc. Articulating suturing device with improved actuation and alignment mechanisms
US10542993B2 (en) 2017-02-24 2020-01-28 Covidien Lp Anvil assembly of circular stapling device including alignment splines
US10925607B2 (en) 2017-02-28 2021-02-23 Covidien Lp Surgical stapling apparatus with staple sheath
US11382629B2 (en) 2017-03-09 2022-07-12 Covidien Lp Surgical stapling device with audible indicator mechanism
AU2017402188A1 (en) 2017-03-09 2019-08-01 Covidien Lp End effector assembly for circular stapler apparatus
CN110461253B (en) 2017-03-23 2023-03-10 柯惠有限合伙公司 Circular suturing device with aligned splines
US10342534B2 (en) 2017-03-23 2019-07-09 Covidien Lp Surgical stapling device with releasable knife carrier
US11096610B2 (en) 2017-03-28 2021-08-24 Covidien Lp Surgical implants including sensing fibers
US10881409B2 (en) 2017-05-02 2021-01-05 Covidien Lp Rotation assembly for a surgical device
US11045199B2 (en) 2017-06-09 2021-06-29 Covidien Lp Handheld electromechanical surgical system
US10932784B2 (en) 2017-06-09 2021-03-02 Covidien Lp Handheld electromechanical surgical system
US11596400B2 (en) 2017-06-09 2023-03-07 Covidien Lp Handheld electromechanical surgical system
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
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
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
US10881399B2 (en) 2017-06-20 2021-01-05 Ethicon Llc Techniques for adaptive control of motor velocity of a surgical stapling and cutting instrument
US10307170B2 (en) 2017-06-20 2019-06-04 Ethicon Llc Method for closed loop control of motor velocity of a surgical stapling and cutting instrument
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
US10646220B2 (en) 2017-06-20 2020-05-12 Ethicon Llc Systems and methods for controlling displacement member velocity for a surgical instrument
US10624633B2 (en) 2017-06-20 2020-04-21 Ethicon Llc Systems and methods for controlling motor velocity of a surgical stapling and cutting instrument
US10368864B2 (en) 2017-06-20 2019-08-06 Ethicon Llc Systems and methods for controlling displaying motor velocity for a surgical instrument
US10881396B2 (en) 2017-06-20 2021-01-05 Ethicon Llc Surgical instrument with variable duration trigger arrangement
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
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
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
USD890784S1 (en) 2017-06-20 2020-07-21 Ethicon Llc Display panel with changeable graphical user interface
US11090046B2 (en) 2017-06-20 2021-08-17 Cilag Gmbh International Systems and methods for controlling displacement member motion of a surgical stapling and cutting instrument
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
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
US10993716B2 (en) 2017-06-27 2021-05-04 Ethicon Llc Surgical anvil arrangements
US11266405B2 (en) 2017-06-27 2022-03-08 Cilag Gmbh International Surgical anvil manufacturing methods
US10856869B2 (en) 2017-06-27 2020-12-08 Ethicon Llc Surgical anvil arrangements
US20180368844A1 (en) 2017-06-27 2018-12-27 Ethicon Llc Staple forming pocket arrangements
US10772629B2 (en) 2017-06-27 2020-09-15 Ethicon Llc Surgical anvil arrangements
US11324503B2 (en) 2017-06-27 2022-05-10 Cilag Gmbh International Surgical firing member arrangements
USD869655S1 (en) 2017-06-28 2019-12-10 Ethicon Llc Surgical fastener cartridge
US11696759B2 (en) 2017-06-28 2023-07-11 Cilag Gmbh International Surgical stapling instruments comprising shortened staple cartridge noses
US11564686B2 (en) 2017-06-28 2023-01-31 Cilag Gmbh International Surgical shaft assemblies with flexible interfaces
US10716614B2 (en) 2017-06-28 2020-07-21 Ethicon Llc Surgical shaft assemblies with slip ring assemblies with increased contact pressure
US10765427B2 (en) 2017-06-28 2020-09-08 Ethicon Llc Method for articulating a surgical instrument
US11246592B2 (en) 2017-06-28 2022-02-15 Cilag Gmbh International Surgical instrument comprising an articulation system lockable to a frame
USD851762S1 (en) 2017-06-28 2019-06-18 Ethicon Llc Anvil
USD906355S1 (en) 2017-06-28 2020-12-29 Ethicon Llc Display screen or portion thereof with a graphical user interface for a surgical instrument
EP3420947B1 (en) 2017-06-28 2022-05-25 Cilag GmbH International Surgical instrument comprising selectively actuatable rotatable couplers
US20190000459A1 (en) 2017-06-28 2019-01-03 Ethicon Llc Surgical instruments with jaws constrained to pivot about an axis upon contact with a closure member that is parked in close proximity to the pivot axis
US11259805B2 (en) 2017-06-28 2022-03-01 Cilag Gmbh International Surgical instrument comprising firing member supports
USD854151S1 (en) 2017-06-28 2019-07-16 Ethicon Llc Surgical instrument shaft
US10903685B2 (en) 2017-06-28 2021-01-26 Ethicon Llc Surgical shaft assemblies with slip ring assemblies forming capacitive channels
US10898183B2 (en) 2017-06-29 2021-01-26 Ethicon Llc Robotic surgical instrument with closed loop feedback techniques for advancement of closure member during firing
US10258418B2 (en) 2017-06-29 2019-04-16 Ethicon Llc System for controlling articulation forces
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
US10987107B2 (en) 2017-07-05 2021-04-27 Covidien Lp Surgical stapling device
US11944300B2 (en) 2017-08-03 2024-04-02 Cilag Gmbh International Method for operating a surgical system bailout
US11304695B2 (en) 2017-08-03 2022-04-19 Cilag Gmbh International Surgical system shaft interconnection
US11471155B2 (en) 2017-08-03 2022-10-18 Cilag Gmbh International Surgical system bailout
US10849625B2 (en) 2017-08-07 2020-12-01 Covidien Lp Surgical buttress retention systems for surgical stapling apparatus
US11090054B2 (en) 2017-08-07 2021-08-17 Covidien Lp Stapling device with resettable tilt anvil assembly
US10828026B2 (en) 2017-08-08 2020-11-10 Covidien Lp Tiltable anvil assembly
US10945733B2 (en) 2017-08-23 2021-03-16 Covidien Lp Surgical buttress reload and tip attachment assemblies for surgical stapling apparatus
US10695069B2 (en) 2017-08-23 2020-06-30 Covidien Lp Circular stapling device with offset spline tip
WO2019041315A1 (en) 2017-09-01 2019-03-07 Covidien Lp Circular stapling device with position ribs
USD907647S1 (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
USD907648S1 (en) 2017-09-29 2021-01-12 Ethicon Llc Display screen or portion thereof with animated graphical user interface
US10765429B2 (en) 2017-09-29 2020-09-08 Ethicon Llc Systems and methods for providing alerts according to the operational state of a surgical instrument
US10743872B2 (en) 2017-09-29 2020-08-18 Ethicon Llc System and methods for controlling a display of 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
US11399829B2 (en) 2017-09-29 2022-08-02 Cilag Gmbh International Systems and methods of initiating a power shutdown mode for a surgical instrument
USD917500S1 (en) 2017-09-29 2021-04-27 Ethicon Llc Display screen or portion thereof with graphical user interface
US11090075B2 (en) 2017-10-30 2021-08-17 Cilag Gmbh International Articulation features for surgical end effector
US11134944B2 (en) 2017-10-30 2021-10-05 Cilag Gmbh International Surgical stapler knife motion controls
US10779903B2 (en) 2017-10-31 2020-09-22 Ethicon Llc Positive shaft rotation lock activated by jaw closure
US10842490B2 (en) 2017-10-31 2020-11-24 Ethicon Llc Cartridge body design with force reduction based on firing completion
US11324507B2 (en) 2017-11-03 2022-05-10 Covidien Lp Device and method for attachment of a stomal sleeve
US11141151B2 (en) 2017-12-08 2021-10-12 Covidien Lp Surgical buttress for circular stapling
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
US11006955B2 (en) 2017-12-15 2021-05-18 Ethicon Llc End effectors with positive jaw opening features for use with adapters for electromechanical surgical instruments
US11197670B2 (en) 2017-12-15 2021-12-14 Cilag Gmbh International Surgical end effectors with pivotal jaws configured to touch at their respective distal ends when fully closed
US11071543B2 (en) 2017-12-15 2021-07-27 Cilag Gmbh International Surgical end effectors with clamping assemblies configured to increase jaw aperture ranges
US10687813B2 (en) 2017-12-15 2020-06-23 Ethicon Llc Adapters with firing stroke sensing arrangements for use in connection with electromechanical surgical instruments
US10743875B2 (en) 2017-12-15 2020-08-18 Ethicon Llc Surgical end effectors with jaw stiffener arrangements configured to permit monitoring of firing member
US10779825B2 (en) 2017-12-15 2020-09-22 Ethicon Llc Adapters with end effector position sensing and control arrangements for use in connection with electromechanical surgical instruments
US10743874B2 (en) 2017-12-15 2020-08-18 Ethicon Llc Sealed adapters for use with electromechanical surgical instruments
US10869666B2 (en) 2017-12-15 2020-12-22 Ethicon Llc Adapters with control systems for controlling multiple motors of an electromechanical surgical instrument
US10828033B2 (en) 2017-12-15 2020-11-10 Ethicon Llc Handheld electromechanical surgical instruments with improved motor control arrangements for positioning components of an adapter coupled thereto
US10779826B2 (en) 2017-12-15 2020-09-22 Ethicon Llc Methods of operating surgical end effectors
US10729509B2 (en) 2017-12-19 2020-08-04 Ethicon Llc Surgical instrument comprising closure and firing locking mechanism
US10716565B2 (en) 2017-12-19 2020-07-21 Ethicon Llc Surgical instruments with dual articulation drivers
US11045270B2 (en) 2017-12-19 2021-06-29 Cilag Gmbh International Robotic attachment comprising exterior drive actuator
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
USD910847S1 (en) 2017-12-19 2021-02-16 Ethicon Llc Surgical instrument assembly
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
US11179152B2 (en) 2017-12-21 2021-11-23 Cilag Gmbh International Surgical instrument comprising a tissue grasping system
CN107981904B (en) * 2018-01-23 2023-07-25 四川大学华西第二医院 Oviduct suture forceps
US11065000B2 (en) 2018-02-22 2021-07-20 Covidien Lp Surgical buttresses for surgical stapling apparatus
US11497501B2 (en) 2018-03-26 2022-11-15 Covidien Lp Circular stapling device with A-frame splines
US10959733B2 (en) 2018-03-28 2021-03-30 Covidien Lp Surgical anvil assemblies for surgical stapling instruments
US10952734B2 (en) 2018-04-23 2021-03-23 Covidien Lp Stapling device with cut ring biasing member
US10758237B2 (en) 2018-04-30 2020-09-01 Covidien Lp Circular stapling apparatus with pinned buttress
US11432818B2 (en) 2018-05-09 2022-09-06 Covidien Lp Surgical buttress assemblies
US11426163B2 (en) 2018-05-09 2022-08-30 Covidien Lp Universal linear surgical stapling buttress
US11284896B2 (en) 2018-05-09 2022-03-29 Covidien Lp Surgical buttress loading and attaching/detaching assemblies
US11197676B2 (en) 2018-06-28 2021-12-14 Covidien Lp Tie-down method for anvil assembly delivery system
US11219460B2 (en) 2018-07-02 2022-01-11 Covidien Lp Surgical stapling apparatus with anvil buttress
US11241234B2 (en) 2018-08-14 2022-02-08 Covidien Lp Anvil assembly with self-retaining backup member
US10856870B2 (en) 2018-08-20 2020-12-08 Ethicon Llc Switching arrangements for motor powered articulatable surgical instruments
US11207065B2 (en) 2018-08-20 2021-12-28 Cilag Gmbh International Method for fabricating surgical stapler anvils
US10779821B2 (en) 2018-08-20 2020-09-22 Ethicon Llc Surgical stapler anvils with tissue stop features configured to avoid tissue pinch
USD914878S1 (en) 2018-08-20 2021-03-30 Ethicon Llc Surgical instrument anvil
US11045192B2 (en) 2018-08-20 2021-06-29 Cilag Gmbh International Fabricating techniques for surgical stapler anvils
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
US11291440B2 (en) 2018-08-20 2022-04-05 Cilag Gmbh International Method for operating a powered articulatable surgical instrument
US10842492B2 (en) 2018-08-20 2020-11-24 Ethicon Llc Powered articulatable surgical instruments with clutching and locking arrangements for linking an articulation drive system to a firing drive system
US11039834B2 (en) 2018-08-20 2021-06-22 Cilag Gmbh International Surgical stapler anvils with staple directing protrusions and tissue stability features
US11324501B2 (en) 2018-08-20 2022-05-10 Cilag Gmbh International Surgical stapling devices with improved closure members
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
EP3840669B1 (en) 2018-08-24 2024-04-17 Covidien LP Powered circular stapling device
US10806459B2 (en) 2018-09-14 2020-10-20 Covidien Lp Drug patterned reinforcement material for circular anastomosis
US10973544B2 (en) 2018-10-02 2021-04-13 Covidien Lp Retaining mechanism for trocar assembly
US10952729B2 (en) 2018-10-03 2021-03-23 Covidien Lp Universal linear buttress retention/release assemblies and methods
US11141163B2 (en) 2018-10-04 2021-10-12 Covidien Lp Circular stapling device with anvil rotation locking structure
US11065005B2 (en) 2018-11-07 2021-07-20 Covidien Lp Reload assembly for a circular stapling device
US11147561B2 (en) 2018-11-28 2021-10-19 Covidien Lp Reload assembly for a circular stapling device
US11389263B2 (en) 2018-12-13 2022-07-19 Covidien Lp Lockout mechanisms for surgical instruments
JP7403547B2 (en) 2019-01-23 2023-12-22 ニオバスク メディカル リミテッド coated flow modifier
US11166728B2 (en) 2019-02-08 2021-11-09 Covidien Lp Reload assembly for a circular stapling device
US11547411B2 (en) 2019-02-22 2023-01-10 Covidien Lp Anastomosis wound protector
US11529144B2 (en) 2019-02-22 2022-12-20 Covidien Lp Encapsulated plug assembly for electromechanical surgical devices
US11331782B2 (en) 2019-03-01 2022-05-17 Covidien Lp Reload assembly for a circular stapling device
US11337701B2 (en) 2019-03-01 2022-05-24 Covidien Lp Devices and methods for assembling adapter assemblies
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
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
US11457921B2 (en) 2019-03-26 2022-10-04 Covidien Lp Anvil assembly for surgical stapling instrument
US11596410B2 (en) 2019-04-05 2023-03-07 Covidien Lp Surgical stapling device
US11534164B2 (en) 2019-04-05 2022-12-27 Covidien Lp Strain gauge stabilization in a surgical device
US11317945B2 (en) 2019-04-16 2022-05-03 Covidien Lp Trocar assemblies for adapter assemblies for surgical stapling instruments
US11344330B2 (en) 2019-04-16 2022-05-31 Covidien Lp Trocar assemblies for adapter assemblies for surgical stapling instruments
US11660116B2 (en) 2019-04-16 2023-05-30 Covidien Lp Trocar assemblies for adapter assemblies for surgical stapling instruments
US11419631B2 (en) 2019-04-16 2022-08-23 Covidien Lp Trocar assemblies for adapter assemblies for surgical stapling instruments
US11839378B2 (en) 2019-04-19 2023-12-12 Covidien Lp Circular stapling instruments
US11399838B2 (en) 2019-04-22 2022-08-02 Covidien Lp Reload assembly for circular stapling devices
US11730472B2 (en) 2019-04-25 2023-08-22 Covidien Lp Surgical system and surgical loading units thereof
US11246599B2 (en) 2019-04-25 2022-02-15 Covidien Lp End effector for circular stapling 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
US11253254B2 (en) 2019-04-30 2022-02-22 Cilag Gmbh International Shaft rotation actuator on a surgical instrument
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
US11648009B2 (en) 2019-04-30 2023-05-16 Cilag Gmbh International Rotatable jaw tip for a surgical instrument
US11478245B2 (en) 2019-05-08 2022-10-25 Covidien Lp Surgical stapling device
US11596403B2 (en) 2019-05-08 2023-03-07 Covidien Lp Surgical stapling device
CA3139541A1 (en) 2019-05-31 2020-12-03 Covidien Lp Circular stapling device
US11690624B2 (en) 2019-06-21 2023-07-04 Covidien Lp Reload assembly injection molded strain gauge
US11123101B2 (en) 2019-07-05 2021-09-21 Covidien Lp Retaining mechanisms for trocar assemblies
US11446035B2 (en) 2019-06-24 2022-09-20 Covidien Lp Retaining mechanisms for trocar assemblies
US11399837B2 (en) 2019-06-28 2022-08-02 Cilag Gmbh International Mechanisms for motor control adjustments of a motorized surgical instrument
US11660163B2 (en) 2019-06-28 2023-05-30 Cilag Gmbh International Surgical system with RFID tags for updating motor assembly parameters
US11259803B2 (en) 2019-06-28 2022-03-01 Cilag Gmbh International Surgical stapling system having an information encryption protocol
US11523822B2 (en) 2019-06-28 2022-12-13 Cilag Gmbh International Battery pack including a circuit interrupter
US11638587B2 (en) 2019-06-28 2023-05-02 Cilag Gmbh International RFID identification systems for surgical instruments
US11219455B2 (en) 2019-06-28 2022-01-11 Cilag Gmbh International Surgical instrument including a lockout key
US11627959B2 (en) 2019-06-28 2023-04-18 Cilag Gmbh International Surgical instruments including manual and powered system lockouts
US11497492B2 (en) 2019-06-28 2022-11-15 Cilag Gmbh International Surgical instrument including an articulation lock
US11051807B2 (en) 2019-06-28 2021-07-06 Cilag Gmbh International Packaging assembly including a particulate trap
US11350938B2 (en) 2019-06-28 2022-06-07 Cilag Gmbh International Surgical instrument comprising an aligned rfid sensor
US11224497B2 (en) 2019-06-28 2022-01-18 Cilag Gmbh International Surgical systems with multiple RFID tags
US11298132B2 (en) 2019-06-28 2022-04-12 Cilag GmbH Inlernational Staple cartridge including a honeycomb extension
US11426167B2 (en) 2019-06-28 2022-08-30 Cilag Gmbh International Mechanisms for proper anvil attachment surgical stapling head assembly
US11478241B2 (en) 2019-06-28 2022-10-25 Cilag Gmbh International Staple cartridge including projections
US11464601B2 (en) 2019-06-28 2022-10-11 Cilag Gmbh International Surgical instrument comprising an RFID system for tracking a movable component
US11684434B2 (en) 2019-06-28 2023-06-27 Cilag Gmbh International Surgical RFID assemblies for instrument operational setting control
US11771419B2 (en) 2019-06-28 2023-10-03 Cilag Gmbh International Packaging for a replaceable component of a surgical stapling system
US11553971B2 (en) 2019-06-28 2023-01-17 Cilag Gmbh International Surgical RFID assemblies for display and communication
US11246678B2 (en) 2019-06-28 2022-02-15 Cilag Gmbh International Surgical stapling system having a frangible RFID tag
US11291451B2 (en) 2019-06-28 2022-04-05 Cilag Gmbh International Surgical instrument with battery compatibility verification functionality
US11376098B2 (en) 2019-06-28 2022-07-05 Cilag Gmbh International Surgical instrument system comprising an RFID system
US11298127B2 (en) 2019-06-28 2022-04-12 Cilag GmbH Interational Surgical stapling system having a lockout mechanism for an incompatible cartridge
US11357509B2 (en) 2019-07-11 2022-06-14 Covidien Lp Reload assembly for a circular stapling device
US11192227B2 (en) 2019-07-16 2021-12-07 Covidien Lp Reload assembly for circular stapling devices
US11464510B2 (en) 2019-07-26 2022-10-11 Covidien Lp Reload assembly with knife carrier lockout
US11253255B2 (en) 2019-07-26 2022-02-22 Covidien Lp Knife lockout wedge
US11571208B2 (en) 2019-10-11 2023-02-07 Covidien Lp Surgical buttress loading units
US11399825B2 (en) 2019-10-28 2022-08-02 Covidien Lp Reload assembly with knife carrier lockout
US11523824B2 (en) 2019-12-12 2022-12-13 Covidien Lp Anvil buttress loading for a surgical stapling apparatus
US11553918B2 (en) 2019-12-16 2023-01-17 Covidien Lp Reload assembly with knife carrier lockout
US11529137B2 (en) 2019-12-19 2022-12-20 Cilag Gmbh International Staple cartridge comprising driver retention members
US11464512B2 (en) 2019-12-19 2022-10-11 Cilag Gmbh International Staple cartridge comprising a curved deck surface
US11504122B2 (en) 2019-12-19 2022-11-22 Cilag Gmbh International Surgical instrument comprising a nested firing member
US11701111B2 (en) 2019-12-19 2023-07-18 Cilag Gmbh International Method for operating a surgical stapling instrument
US11304696B2 (en) 2019-12-19 2022-04-19 Cilag Gmbh International Surgical instrument comprising a powered articulation system
US11607219B2 (en) 2019-12-19 2023-03-21 Cilag Gmbh International Staple cartridge comprising a detachable tissue cutting knife
US11529139B2 (en) 2019-12-19 2022-12-20 Cilag Gmbh International Motor driven surgical instrument
US11844520B2 (en) 2019-12-19 2023-12-19 Cilag Gmbh International Staple cartridge comprising driver retention members
US11446029B2 (en) 2019-12-19 2022-09-20 Cilag Gmbh International Staple cartridge comprising projections extending from a curved deck surface
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
US11911032B2 (en) 2019-12-19 2024-02-27 Cilag Gmbh International Staple cartridge comprising a seating cam
US11234698B2 (en) 2019-12-19 2022-02-01 Cilag Gmbh International Stapling system comprising a clamp lockout and a firing lockout
US11291447B2 (en) 2019-12-19 2022-04-05 Cilag Gmbh International Stapling instrument comprising independent jaw closing and staple firing systems
US11559304B2 (en) 2019-12-19 2023-01-24 Cilag Gmbh International Surgical instrument comprising a rapid closure mechanism
US11931033B2 (en) 2019-12-19 2024-03-19 Cilag Gmbh International Staple cartridge comprising a latch lockout
US11730481B2 (en) 2020-01-06 2023-08-22 Covidien Lp Assemblies for retaining a trocar assembly
US11517317B2 (en) 2020-01-06 2022-12-06 Covidien Lp Trocar release assemblies for a surgical stapler
US11911038B2 (en) 2020-01-13 2024-02-27 Covidien Lp Cut optimization for excessive tissue conditions
US11523828B2 (en) 2020-01-28 2022-12-13 Covidien Lp Sealed reload assembly for stapling device
US11622767B2 (en) 2020-02-19 2023-04-11 Covidien Lp Sealed trocar assembly for stapling device
US11547438B2 (en) 2020-02-24 2023-01-10 Covidien Lp Tip protector for ensuring trocar insertion
US11382630B2 (en) 2020-02-25 2022-07-12 Covidien Lp Surgical stapling device with two part knife assembly
US11779343B2 (en) 2020-02-26 2023-10-10 Covidien Lp Staple reload assembly with releasable knife
US11298152B2 (en) 2020-02-28 2022-04-12 Covidien Lp Trocar retaining mechanism including band support
US11272998B2 (en) 2020-03-04 2022-03-15 Covidien Lp Strain gage fixation in tension
US11547407B2 (en) 2020-03-19 2023-01-10 Covidien Lp Staple line reinforcement for surgical stapling apparatus
US11350939B2 (en) 2020-03-24 2022-06-07 Covidien Lp Retaining mechanisms for trocar assemblies
US11426170B2 (en) 2020-03-24 2022-08-30 Covidien Lp Retaining mechanisms for trocar assemblies
US11426169B2 (en) 2020-03-24 2022-08-30 Covidien Lp Retaining mechanisms for trocar assemblies
US11337699B2 (en) 2020-04-28 2022-05-24 Covidien Lp Magnesium infused surgical buttress for surgical stapler
US11653925B2 (en) 2020-05-21 2023-05-23 Covidien Lp Tissue relaxation monitoring for optimized tissue stapling
US11547405B2 (en) 2020-05-22 2023-01-10 Covidien Lp Surgical stapling device
USD967421S1 (en) 2020-06-02 2022-10-18 Cilag Gmbh International Staple cartridge
USD975850S1 (en) 2020-06-02 2023-01-17 Cilag Gmbh International Staple cartridge
USD966512S1 (en) 2020-06-02 2022-10-11 Cilag Gmbh International Staple cartridge
USD976401S1 (en) 2020-06-02 2023-01-24 Cilag Gmbh International Staple cartridge
USD975851S1 (en) 2020-06-02 2023-01-17 Cilag Gmbh International Staple cartridge
USD975278S1 (en) 2020-06-02 2023-01-10 Cilag Gmbh International Staple cartridge
USD974560S1 (en) 2020-06-02 2023-01-03 Cilag Gmbh International Staple cartridge
US11553921B2 (en) 2020-07-15 2023-01-17 Covidien Lp Surgical stapling device with flexible shaft
US11547412B2 (en) 2020-07-22 2023-01-10 Covidien Lp Surgical instruments and methods of assembly
US20220031350A1 (en) 2020-07-28 2022-02-03 Cilag Gmbh International Surgical instruments with double pivot articulation joint arrangements
US11877744B2 (en) 2020-08-14 2024-01-23 Covidien Lp Low-cost powered stapler with end stop selection
US11627966B2 (en) 2020-08-26 2023-04-18 Covidien Lp Surgical stapling device
US11707276B2 (en) 2020-09-08 2023-07-25 Covidien Lp Surgical buttress assemblies and techniques for surgical stapling
US11801054B2 (en) 2020-09-22 2023-10-31 Covidien Lp Surgical stapler with oval tool assembly
US11712509B2 (en) 2020-10-02 2023-08-01 Covidien Lp Seal assembly for circular stapling instrument
US11399833B2 (en) 2020-10-19 2022-08-02 Covidien Lp Anvil buttress attachment for surgical stapling apparatus
US11896217B2 (en) 2020-10-29 2024-02-13 Cilag Gmbh International Surgical instrument comprising an articulation lock
USD980425S1 (en) 2020-10-29 2023-03-07 Cilag Gmbh International Surgical instrument assembly
US11844518B2 (en) 2020-10-29 2023-12-19 Cilag Gmbh International Method for operating a surgical instrument
US11452526B2 (en) 2020-10-29 2022-09-27 Cilag Gmbh International Surgical instrument comprising a staged voltage regulation start-up system
US11617577B2 (en) 2020-10-29 2023-04-04 Cilag Gmbh International Surgical instrument comprising a sensor configured to sense whether an articulation drive of the surgical instrument is actuatable
US11517390B2 (en) 2020-10-29 2022-12-06 Cilag Gmbh International Surgical instrument comprising a limited travel switch
US11717289B2 (en) 2020-10-29 2023-08-08 Cilag Gmbh International Surgical instrument comprising an indicator which indicates that an articulation drive is actuatable
US11931025B2 (en) 2020-10-29 2024-03-19 Cilag Gmbh International Surgical instrument comprising a releasable closure drive lock
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
USD1013170S1 (en) 2020-10-29 2024-01-30 Cilag Gmbh International Surgical instrument assembly
US11627967B2 (en) 2020-11-23 2023-04-18 Covidien Lp Trans-anastomotic insertion device
US11653920B2 (en) 2020-12-02 2023-05-23 Cilag Gmbh International Powered surgical instruments with communication interfaces through sterile barrier
US11744581B2 (en) 2020-12-02 2023-09-05 Cilag Gmbh International Powered surgical instruments with multi-phase tissue treatment
US11737751B2 (en) 2020-12-02 2023-08-29 Cilag Gmbh International Devices and methods of managing energy dissipated within sterile barriers of surgical instrument housings
US11678882B2 (en) 2020-12-02 2023-06-20 Cilag Gmbh International Surgical instruments with interactive features to remedy incidental sled movements
US11653915B2 (en) 2020-12-02 2023-05-23 Cilag Gmbh International Surgical instruments with sled location detection and adjustment features
US11627960B2 (en) 2020-12-02 2023-04-18 Cilag Gmbh International Powered surgical instruments with smart reload with separately attachable exteriorly mounted wiring connections
US11890010B2 (en) 2020-12-02 2024-02-06 Cllag GmbH International Dual-sided reinforced reload for surgical instruments
US11849943B2 (en) 2020-12-02 2023-12-26 Cilag Gmbh International Surgical instrument with cartridge release mechanisms
US11944296B2 (en) 2020-12-02 2024-04-02 Cilag Gmbh International Powered surgical instruments with external connectors
US11534170B2 (en) 2021-01-04 2022-12-27 Covidien Lp Anvil buttress attachment for surgical stapling apparatus
CN115517731B (en) * 2021-01-08 2023-04-18 薛建新 Anastomat
US11877750B2 (en) 2021-01-21 2024-01-23 Covidien Lp Surgical stapler with powered and manual functions
US11786241B2 (en) 2021-02-16 2023-10-17 Covidien Lp Surgical stapling device including a hydraulic staple formation mechanism
US11723657B2 (en) 2021-02-26 2023-08-15 Cilag Gmbh International Adjustable communication based on available bandwidth and power capacity
US11812964B2 (en) 2021-02-26 2023-11-14 Cilag Gmbh International Staple cartridge comprising a power management circuit
US11744583B2 (en) 2021-02-26 2023-09-05 Cilag Gmbh International Distal communication array to tune frequency of RF systems
US11696757B2 (en) 2021-02-26 2023-07-11 Cilag Gmbh International Monitoring of internal systems to detect and track cartridge motion status
US11925349B2 (en) 2021-02-26 2024-03-12 Cilag Gmbh International Adjustment to transfer parameters to improve available power
US11749877B2 (en) 2021-02-26 2023-09-05 Cilag Gmbh International Stapling instrument comprising a signal antenna
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
US11793514B2 (en) 2021-02-26 2023-10-24 Cilag Gmbh International Staple cartridge comprising sensor array which may be embedded in cartridge body
US11950779B2 (en) 2021-02-26 2024-04-09 Cilag Gmbh International Method of powering and communicating with a staple cartridge
US11751869B2 (en) 2021-02-26 2023-09-12 Cilag Gmbh International Monitoring of multiple sensors over time to detect moving characteristics of tissue
US11730473B2 (en) 2021-02-26 2023-08-22 Cilag Gmbh International Monitoring of manufacturing life-cycle
US11717291B2 (en) 2021-03-22 2023-08-08 Cilag Gmbh International Staple cartridge comprising staples configured to apply different tissue compression
US11806011B2 (en) 2021-03-22 2023-11-07 Cilag Gmbh International Stapling instrument comprising tissue compression systems
US11826042B2 (en) 2021-03-22 2023-11-28 Cilag Gmbh International Surgical instrument comprising a firing drive including a selectable leverage mechanism
US11723658B2 (en) 2021-03-22 2023-08-15 Cilag Gmbh International Staple cartridge comprising a firing lockout
US11826012B2 (en) 2021-03-22 2023-11-28 Cilag Gmbh International Stapling instrument comprising a pulsed motor-driven firing rack
US11759202B2 (en) 2021-03-22 2023-09-19 Cilag Gmbh International Staple cartridge comprising an implantable layer
US11737749B2 (en) 2021-03-22 2023-08-29 Cilag Gmbh International Surgical stapling instrument comprising a retraction system
US11744603B2 (en) 2021-03-24 2023-09-05 Cilag Gmbh International Multi-axis pivot joints for surgical instruments and methods for manufacturing same
US11786239B2 (en) 2021-03-24 2023-10-17 Cilag Gmbh International Surgical instrument articulation joint arrangements comprising multiple moving linkage features
US11832816B2 (en) 2021-03-24 2023-12-05 Cilag Gmbh International Surgical stapling assembly comprising nonplanar staples and planar staples
US11896218B2 (en) 2021-03-24 2024-02-13 Cilag Gmbh International Method of using a powered stapling device
US11903582B2 (en) 2021-03-24 2024-02-20 Cilag Gmbh International Leveraging surfaces for cartridge installation
US11896219B2 (en) 2021-03-24 2024-02-13 Cilag Gmbh International Mating features between drivers and underside of a cartridge deck
US11857183B2 (en) 2021-03-24 2024-01-02 Cilag Gmbh International Stapling assembly components having metal substrates and plastic bodies
US11849945B2 (en) 2021-03-24 2023-12-26 Cilag Gmbh International Rotary-driven surgical stapling assembly comprising eccentrically driven firing member
US11793516B2 (en) 2021-03-24 2023-10-24 Cilag Gmbh International Surgical staple cartridge comprising longitudinal support beam
US11849944B2 (en) 2021-03-24 2023-12-26 Cilag Gmbh International Drivers for fastener cartridge assemblies having rotary drive screws
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
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
US11553920B2 (en) 2021-05-03 2023-01-17 Covidien Lp Trocar retainer assembly for surgical stapler
US11490894B1 (en) 2021-05-12 2022-11-08 Covidien Lp Surgical device with grease filter
US11642131B2 (en) 2021-05-17 2023-05-09 Covidien Lp Devices and methods for shortening a rectal stump during a lower anterior resection procedure
US11612400B2 (en) 2021-05-24 2023-03-28 Covidien Lp Trocar assembly with bearing assembly for load sharing
US11826047B2 (en) 2021-05-28 2023-11-28 Cilag Gmbh International Stapling instrument comprising jaw mounts
US11510670B1 (en) 2021-06-23 2022-11-29 Covidien Lp Buttress attachment for surgical stapling apparatus
US11596399B2 (en) 2021-06-23 2023-03-07 Covidien Lp Anvil buttress attachment for surgical stapling apparatus
US11672538B2 (en) 2021-06-24 2023-06-13 Covidien Lp Surgical stapling device including a buttress retention assembly
US11678879B2 (en) 2021-07-01 2023-06-20 Covidien Lp Buttress attachment for surgical stapling apparatus
US11684368B2 (en) 2021-07-14 2023-06-27 Covidien Lp Surgical stapling device including a buttress retention assembly
US11737759B2 (en) 2021-08-05 2023-08-29 Covidien Lp Surgical stapling device accommodating prolapsed tissue
US11744592B2 (en) 2021-08-05 2023-09-05 Covidien Lp Handheld electromechanical stapler with tissue thickness detection
US11819208B2 (en) 2021-08-05 2023-11-21 Covidien Lp Handheld electromechanical surgical device with strain gauge drift detection
US11801052B2 (en) 2021-08-30 2023-10-31 Covidien Lp Assemblies for surgical stapling instruments
US11883028B2 (en) 2021-09-08 2024-01-30 Covidien Lp Systems and methods for post-operative anastomotic leak detection
US11717299B2 (en) 2021-10-12 2023-08-08 Covidien Lp Surgical stapling device with probiotics
US11751875B2 (en) 2021-10-13 2023-09-12 Coviden Lp Surgical buttress attachment assemblies for surgical stapling apparatus
US11877745B2 (en) 2021-10-18 2024-01-23 Cilag Gmbh International Surgical stapling assembly having longitudinally-repeating staple leg clusters
US11937816B2 (en) 2021-10-28 2024-03-26 Cilag Gmbh International Electrical lead arrangements for surgical instruments
US11806017B2 (en) 2021-11-23 2023-11-07 Covidien Lp Anvil buttress loading system for surgical stapling apparatus

Family Cites Families (53)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US1251258A (en) * 1917-08-07 1917-12-25 Harrison M Magill Emergency wound-closer.
US1918890A (en) * 1932-08-08 1933-07-18 Joseph B Bacon Surgical device
US2434030A (en) * 1945-11-13 1948-01-06 Yeomans Theron Grover Sutureless method of rectosigmoid anastomosis and apparatus therefor
US2707783A (en) * 1950-09-20 1955-05-10 Norman M Sullivan Applicator for inserting preformed metallic sutures
US2638901A (en) * 1951-07-30 1953-05-19 Everett D Sugarbaker Surgical clamp
SU99576A1 (en) * 1954-08-05 1954-11-30 Н.И. Волков Device for impregnating elastic coating frames
US3080564A (en) * 1959-09-10 1963-03-12 Strekopitov Alexey Alexeevich Instrument for stitching hollow organs
US3040748A (en) * 1959-09-14 1962-06-26 Ca Nat Research Council Vascular positioning method and device
GB935490A (en) * 1959-09-15 1963-08-28 Res Inst Of Ex Surgical Appara An instrument for suturing blood vessels and nerves
FR1315234A (en) * 1961-12-09 1963-01-18 Force transmission device in a flexible sheath
CA736256A (en) * 1962-08-27 1966-06-14 S. Kasoolin Viacheslav Instrument for suturing esophagus to intestine or stomach
US3252643A (en) * 1962-12-24 1966-05-24 Strekopytov Alexey Alexcevich Instrument for suturing living tissue
US3269630A (en) * 1964-04-30 1966-08-30 Fleischer Harry Stapling instrument
FR1461464A (en) * 1965-08-20 1966-02-25 Niiex Khirurgicheskoi Apparatu Surgical device for suturing organs
US3494533A (en) * 1966-10-10 1970-02-10 United States Surgical Corp Surgical stapler for stitching body organs
FR1518083A (en) * 1967-03-03 1968-03-22 Pfau Wanfried G M B H H Device for anastomosis of blood vessels
DE1791114B1 (en) * 1967-09-19 1971-12-02 Vnii Chirurgitscheskoj Apparat Surgical device for stapling tissues
US3452615A (en) * 1967-10-12 1969-07-01 Controlex Corp America Tubular flexible remote control device
CH470170A (en) * 1968-02-02 1969-03-31 Vnii Khirurgicheskoi Apparatur Device for applying round anastomoses
US3593903A (en) * 1968-07-12 1971-07-20 Vnii Khirurgicheskoi Apparatur Surgical instrument for suturing hollow organs in infants
US3638652A (en) * 1970-06-01 1972-02-01 James L Kelley Surgical instrument for intraluminal anastomosis
BE758685A (en) * 1970-10-14 1971-05-10 Vnii Khirurgicheskoi Apparatur SURGICAL APPARATUS FOR TISSUE SUTURE WITH STAPLES
US3805793A (en) * 1973-03-21 1974-04-23 S Wright Anastomotic apparatus
SU571253A1 (en) * 1975-07-11 1977-09-05 Всесоюзный научно-исследовательский и испытательный институт медицинской техники Apparatus fir suturing vessels with metal clips
US4166466A (en) * 1976-10-08 1979-09-04 Jarvik Robert K Repeating hemostatic clip applying instruments and multi-clip cartridges therefor
US4573468A (en) * 1977-05-26 1986-03-04 United States Surgical Corporation Hollow body organ stapling instrument and disposable cartridge employing relief vents
US4304236A (en) * 1977-05-26 1981-12-08 United States Surgical Corporation Stapling instrument having an anvil-carrying part of particular geometric shape
US4603693A (en) * 1977-05-26 1986-08-05 United States Surgical Corporation Instrument for circular surgical stapling of hollow body organs and disposable cartridge therefor
CA1082552A (en) * 1977-08-05 1980-07-29 Charles H. Klieman Hemostatic clip applicator
NL7711347A (en) * 1977-10-17 1979-04-19 Carl Robert Erik Daantje Stapling instrument for joining intestine ends - has head coupling rod in two parts screwing together with hand grip
DE2947107A1 (en) * 1978-12-07 1980-06-26 United States Surgical Corp ACCURATELY ALIGNED CARTRIDGE AND INSTRUMENT FOR CLAMPING ANASTOMOSES
SU1088712A1 (en) * 1979-11-14 1984-04-30 Всесоюзный научно-исследовательский и испытательный институт медицинской техники Apparatus for circular suture of blood vessels
US4466436A (en) * 1980-01-17 1984-08-21 Sukoo Lee Surgical stapler
US4319576A (en) * 1980-02-26 1982-03-16 Senco Products, Inc. Intralumenal anastomosis surgical stapling instrument
US4576167A (en) * 1981-09-03 1986-03-18 United States Surgical Corporation Surgical stapler apparatus with curved shaft
GB2108418A (en) * 1981-10-23 1983-05-18 Vnii Ispytatel Med Tech Device for applying anastomoses onto hollow organs
SU1097301A1 (en) * 1982-01-04 1984-06-15 Петрозаводский государственный университет им.О.В.Куусинена Surgical suture appliance for placing anastomosis of hollow organs
US4917091A (en) * 1982-06-24 1990-04-17 Unilink Ab Annular fastening means
SE431609B (en) * 1982-06-24 1984-02-20 Unilink Ab SURGICAL INSTRUMENT FOR THE ASTAD COMMAND OF ANASTOMOS AND ITS PARTS
US4592354A (en) * 1983-10-11 1986-06-03 Senmed, Inc. Tissue retention spool for intraluminal anastomotic surgical stapling instrument and methods
US4586503A (en) * 1983-12-01 1986-05-06 University Of New Mexico Surgical microclip
US4703887A (en) * 1985-01-28 1987-11-03 Ethicon, Inc. Collapsible purse string aid for use with intraluminal stapling device
US5119983A (en) * 1987-05-26 1992-06-09 United States Surgical Corporation Surgical stapler apparatus
SU1616624A1 (en) * 1987-07-14 1990-12-30 Предприятие П/Я А-3697 Surgical suturing apparatus
US4930674A (en) * 1989-02-24 1990-06-05 Abiomed, Inc. Surgical stapler
ES2011131A6 (en) * 1989-04-18 1989-12-16 Kanshin Nikolai Nikolaevich Stem for surgical suture apparatus.
US5234447A (en) * 1990-08-28 1993-08-10 Robert L. Kaster Side-to-end vascular anastomotic staple apparatus
US5333773A (en) * 1991-08-23 1994-08-02 Ethicon, Inc. Sealing means for endoscopic surgical anastomosis stapling instrument
GR920100358A (en) * 1991-08-23 1993-06-07 Ethicon Inc Surgical anastomosis stapling instrument.
US5197649A (en) * 1991-10-29 1993-03-30 The Trustees Of Columbia University In The City Of New York Gastrointestinal endoscoptic stapler
US5271543A (en) * 1992-02-07 1993-12-21 Ethicon, Inc. Surgical anastomosis stapling instrument with flexible support shaft and anvil adjusting mechanism
US5348259A (en) * 1992-02-10 1994-09-20 Massachusetts Institute Of Technology Flexible, articulable column
JPH0647050A (en) * 1992-06-04 1994-02-22 Olympus Optical Co Ltd Tissue suture and ligature device

Also Published As

Publication number Publication date
AU696332B2 (en) 1998-09-10
WO1995035065A1 (en) 1995-12-28
ES2203641T3 (en) 2004-04-16
JP3568207B2 (en) 2004-09-22
DE69531397D1 (en) 2003-09-04
EP0765137A4 (en) 2000-02-16
AU2512295A (en) 1996-01-15
JPH10507650A (en) 1998-07-28
US5957363A (en) 1999-09-28
EP0765137A1 (en) 1997-04-02
DE69531397T2 (en) 2004-04-22
US5709335A (en) 1998-01-20
EP0765137B1 (en) 2003-07-30
ATE245943T1 (en) 2003-08-15

Similar Documents

Publication Publication Date Title
CA2192819A1 (en) Surgical stapling instrument and method thereof
US5947363A (en) Surgical stapling instrument and method thereof
US5881943A (en) Surgical anastomosis apparatus and method thereof
AU735199B2 (en) Coronary shunt and method of use
US6171321B1 (en) Devices and methods for performing a vascular anastomosis
US6176864B1 (en) Anastomosis device and method
AU773817B2 (en) Anastomotic device and methods for placement
US7056326B2 (en) System for performing vascular anastomoses
US20020025243A1 (en) Surgical stapling instrument and method thereof
JP2000070275A (en) Device for surgery
JPH11276494A (en) Surgical anastomotic apparatus
AU2851000A (en) Methods and devices for forming vascular anastomoses
WO2000041632A1 (en) Methods and devices for bypassing an obstructed target vessel by placing the vessel in communication with a heart chamber containing blood

Legal Events

Date Code Title Description
EEER Examination request
FZDE Discontinued