CN101332110A - 支撑件和手术吻合装置 - Google Patents

支撑件和手术吻合装置 Download PDF

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CN101332110A
CN101332110A CNA2008101275542A CN200810127554A CN101332110A CN 101332110 A CN101332110 A CN 101332110A CN A2008101275542 A CNA2008101275542 A CN A2008101275542A CN 200810127554 A CN200810127554 A CN 200810127554A CN 101332110 A CN101332110 A CN 101332110A
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porous layer
surgical stapling
stapling apparatus
support member
anastomosis staple
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CN101332110B (zh
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梅甘·普罗默斯贝格尔
布赖恩·嫩特威克
菲利普·格拉瓦尼亚
伊夫·巴永
达玛尔·达松维尔
阿尔弗雷多·梅内金
朱莉·勒屈弗雷
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Covidien LP
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Tyco Healthcare Group LP
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    • B—PERFORMING OPERATIONS; TRANSPORTING
    • B29—WORKING OF PLASTICS; WORKING OF SUBSTANCES IN A PLASTIC STATE IN GENERAL
    • B29C—SHAPING OR JOINING OF PLASTICS; SHAPING OF MATERIAL IN A PLASTIC STATE, NOT OTHERWISE PROVIDED FOR; AFTER-TREATMENT OF THE SHAPED PRODUCTS, e.g. REPAIRING
    • B29C39/00—Shaping by casting, i.e. introducing the moulding material into a mould or between confining surfaces without significant moulding pressure; Apparatus therefor
    • B29C39/02—Shaping by casting, i.e. introducing the moulding material into a mould or between confining surfaces without significant moulding pressure; Apparatus therefor for making articles of definite length, i.e. discrete articles
    • B29C39/12—Making multilayered or multicoloured articles
    • B29C39/123—Making multilayered articles
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A61B17/07207—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously the staples being applied sequentially
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A61B17/07292—Reinforcements for staple line, e.g. pledgets
    • B—PERFORMING OPERATIONS; TRANSPORTING
    • B29—WORKING OF PLASTICS; WORKING OF SUBSTANCES IN A PLASTIC STATE IN GENERAL
    • B29C—SHAPING OR JOINING OF PLASTICS; SHAPING OF MATERIAL IN A PLASTIC STATE, NOT OTHERWISE PROVIDED FOR; AFTER-TREATMENT OF THE SHAPED PRODUCTS, e.g. REPAIRING
    • B29C39/00—Shaping by casting, i.e. introducing the moulding material into a mould or between confining surfaces without significant moulding pressure; Apparatus therefor
    • B29C39/22—Component parts, details or accessories; Auxiliary operations
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00526—Methods of manufacturing
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00831—Material properties
    • A61B2017/0084—Material properties low friction
    • A61B2017/00849—Material properties low friction with respect to tissue, e.g. hollow organs
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00831—Material properties
    • A61B2017/00889—Material properties antimicrobial, disinfectant
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00831—Material properties
    • A61B2017/00893—Material properties pharmaceutically effective
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A61B2017/07214—Stapler heads
    • A61B2017/07257—Stapler heads characterised by its anvil
    • B—PERFORMING OPERATIONS; TRANSPORTING
    • B29—WORKING OF PLASTICS; WORKING OF SUBSTANCES IN A PLASTIC STATE IN GENERAL
    • B29K—INDEXING SCHEME ASSOCIATED WITH SUBCLASSES B29B, B29C OR B29D, RELATING TO MOULDING MATERIALS OR TO MATERIALS FOR MOULDS, REINFORCEMENTS, FILLERS OR PREFORMED PARTS, e.g. INSERTS
    • B29K2105/00—Condition, form or state of moulded material or of the material to be shaped
    • B29K2105/06—Condition, form or state of moulded material or of the material to be shaped containing reinforcements, fillers or inserts
    • B29K2105/20—Inserts
    • B29K2105/206—Meshes, lattices or nets
    • B—PERFORMING OPERATIONS; TRANSPORTING
    • B29—WORKING OF PLASTICS; WORKING OF SUBSTANCES IN A PLASTIC STATE IN GENERAL
    • B29L—INDEXING SCHEME ASSOCIATED WITH SUBCLASS B29C, RELATING TO PARTICULAR ARTICLES
    • B29L2031/00—Other particular articles
    • B29L2031/753—Medical equipment; Accessories therefor
    • B29L2031/7546—Surgical equipment

Abstract

本发明涉及支撑件和手术吻合装置。当与手术吻合装置关联时，包括多孔层和无孔层的多层结构可用作支撑件。

Description

支撑件和手术吻合装置
技术领域
本公开涉及可以可分离地安装在手术吻合装置上的手术支撑件。所述支撑件包含多孔层和无孔层。
背景技术
手术吻合装置在必需接合或去除身体组织的手术操作中有广泛的应用。当对一定的组织进行操作时，诸如肺、食道、肠、十二指肠、和血管组织，对可能特别易于发生空气或液体渗漏的所述组织进行有效的密封是很重要的。防止或减少空气或液体的渗漏可以有效地缩短操作后的痊愈时间。因此，提供用于手术吻合设备中在手术伤口位置加强密封的材料是有利的。
发明内容
这里描述具有多孔层和无孔层的支撑件。所述多层支撑件适合于连接手术吻合装置使用，及有助于组织的密封以防止液体和气体的渗漏。所述手术吻合装置包括吻合钉钉仓，所述吻合钉钉仓的表面具有至少一个开口，吻合钉可以通过所述开口弹出。所述手术吻合装置还包括具有表面的砧座，紧靠所述表面可以使弹出的吻合钉变形。根据本公开的支撑件可以与吻合钉钉仓、砧座，或者与其两者都关联。
在一些实施方式中，多孔层具有止血性能。在一些实施方式中，无孔层具有抗粘连性能。
附图说明
图1是直线形的手术吻合装置的一说明性实施方式的立体图。
图2A是根据本公开的包括多层支撑件的钉仓的立体图。
图2B是根据本公开的包括多层支撑件的钉砧座的立体图。
图3A是如此处一实施方式中所描述的多层支撑件的侧视图。
图3B是如此处一实施方式中所描述的多层支撑件的侧视图。
图3C表示说明性的实施方式，其中以多于一层存在的纤维被用作加固部件，一层中的纤维以第一共同方向定向，且另一层中的纤维以基本上垂直于第一共同方向的第二共同方向定向。
图3D表示将短纤维用作所述加固部件的说明性实施方式。
图4是包括可分离地连接在其上的钉仓的立体图。
图5A示意性地表示根据本公开的实施方式的多孔层，其中孔或开口横贯多孔层的整个厚度延伸。
图5B示意性地表示根据本公开的实施方式的多孔层，其中孔或开口不横贯多孔层的整个厚度延伸。
图5C示意性地表示根据本公开的实施方式的多孔层，其中孔或开口仅存在于多孔层的部分表面上。
具体实施方式
现将参照附图详细描述本公开的多层支撑件和手术吻合装置的实施方式，其中相同的附图标记指的是相似或相同的元件。
这里描述的多层手术支撑件可以被用于密封伤口，通过接近在吻合装置的吻合钉钉仓和吻合钉砧座之间的组织的边缘，所述吻合装置包含至少一个具有无孔层和多孔层的多层手术支撑件；及启动所述吻合装置以驱使至少一根吻合钉穿过所述吻合钉钉仓上的开口、至少一个多层支撑件、组织和吻合钉砧座上的开口以密封组织。一旦适当地吻合，所述多孔层有利于减少流血，有助于密封伤口且允许组织向内生长，如果期望的话，同时无孔层为多孔层提供支承及可以有助于防止粘连的形成。另外，多层支撑件可以可选地包括附加的加固部件(如下文更详细的说明，其可以是可吸收的或不可吸收的)以为多层支撑件提供附加的支撑及在吻合的过程中有助于防止撕裂。
应当理解的是支撑件不必与吻合钉钉仓和所述砧座两者都关联。而是，支撑件可以仅与吻合钉钉仓而不与砧座关联，或与砧座而不与吻合钉钉仓关联。另外，这里说明的多层手术支撑件可以被设置为适合于装配任何手术吻合、固定或启动装置(firing apparatus)的任何形状，大小或尺寸。可以使用这里所描述的多层支撑件材料的吻合装置的其它例子包括腹腔镜检查吻合器(见，例如专利号为6,330,965和6,241,139的美国专利，其全部内部在此以参阅的方式并入)，可选的用于吻合病人的肠系膜的横向吻合类型的吻合装置(见，例如专利号为5,964,394的美国专利，其全部内部在此以参阅的方式并入)，和用于与圆形的钉仓和砧座肠系膜一起实施手术吻合的端端吻合术(end-to-endanastomosis)类型(见，例如专利号为5,915,616的美国专利，其全部内部在此以参阅的方式并入)。本支撑件同样可以与设置有两部件固定件的器械结合使用，其中两部件固定件的第一部件存储在钉仓或相似的部件中，且可以被发射并适当地连接到设置在砧座或相似的部件中的两部件固定件的第二部件。所属技术领域的技术人员阅读本公开将会想到如何使本支撑件适合于结合这种装置使用，及同样想到可以将这里所描述的支撑件用于其它的手术装置。
现回到图3A和图3B，显示支撑件350具有无孔层360和多孔层370。可想到支撑件350可以包含多层，其中可以设置无孔层和多孔层的任何结合。例如，可以形成多层支撑件，其中无孔层和多孔层以交替的方式堆叠。在另一实例中，可以以“三明治状”的方式形成多层支撑件，其中多层支撑件的外层包括多孔层而内层是无孔层。还可以想到可以相对吻合钉钉仓和吻合钉砧座的表面以任何次序定位无孔层和多孔层。
支撑件的无孔层可以由任何生物相容的材料制成。因此，这里描述的多层支撑件的无孔层可以由天然的材料或合成的材料形成。形成无孔层的材料可以是生物可吸收的或非生物可吸收的。当然应当理解的是天然的、合成的、生物可吸收的和非生物可吸收的材料的任何结合可以被用于形成无孔层。一些可以制成无孔层的材料的无限制性实例包括但不局限于聚乳酸，聚乙醇酸，聚羟基丁酯，聚膦嗪(poly(phosphazine))，聚酯，聚乙二醇，聚环氧乙烷，聚丙烯酰胺，聚甲基丙烯酸羟乙酯，聚乙烯吡咯烷酮，聚乙烯醇，聚丙烯酸，聚乙酸酯，聚己酸内酯，聚丙烯，脂族聚酯，丙三醇，聚氨基酸，共聚(醚-酯)，聚亚烷基草酸酯，聚酰胺，聚亚氨碳酸酯(poly(iminocarbonate))，聚亚烷基草酸酯，聚氧杂酯(polyoxaester)，多正酯(polyorthoester)，聚磷腈和共聚物，嵌段共聚物，均聚物，混合物及其组合。
在一些实施方式中，使用天然生物聚合物形成支撑件的无孔层。适合的天然生物聚合物包括，但不局限于，胶原，明胶，纤维蛋白，纤维蛋白原，弹性蛋白，角蛋白，白蛋白，羟乙基纤维素，纤维素，氧化纤维素，羟丙基纤维素，羧乙基纤维素，羧甲基纤维素，脱乙酰壳聚糖，壳聚糖，及上述聚合物的组合。另外，天然生物聚合物可以与这里描述的任何其它聚合物材料结合以生产支撑件的支撑层。
在实施方式中，人类和/或动物起源的胶原，例如，类型I猪的或牛的胶原，类型I人类胶原或类型III的人类胶原，可用以形成无孔层。
可以在酸溶液或处理后特别是通过胃蛋白酶消化有利地使用天然胶原去除末端肽(telopetpide)。同样可以通过使用过碘酸或其盐的一种的氧化裂解来改良胶原，例如去端肽胶原(atelocollagen)。胶原的氧化裂解允许胶原物质与包含在支撑件的止血层中的其它聚合物质，大分子添加剂或止血剂的进一步温和的交联。
在实施方式中，根据本公开的无孔层由氧化的胶原，或是非氧化的和氧化的胶原的任何比例的混合物制成。
在实施方式中，可以将至少一种大分子添加剂与胶原结合以提供形成无孔层的组合物。一些合适的大分子添加剂的实例包括，聚乙二醇，甘油，多糖，右旋糖酐，麦芽糖糊精，粘多糖，纤维素，藻酸盐及其结合。使用时，大分子添加剂可以具有至少3000道尔顿的分子量，且可以具有大约比形成无孔层的组合物中存在的胶原物质少2至10倍的浓度。
无孔层可以加强支撑件在制造、运输、加工(handling)和吻合过程中抗撕裂和穿孔的能力。同样，无孔层也可以延缓或防止组织从周围组织向内生长，因而成为粘连屏障和阻止不需要的伤疤组织的形成。因此，在实施方式中，无孔层具有抗粘连的性质。
可以想到的是在吻合前和吻合过程中可以以任何能够固定支撑件使其与钉仓和/或砧座接触的方式将支撑件可分离地连接到钉仓和/或砧座，而且被手术钉或其它固定装置穿透支撑件之后允许将支撑件从钉仓和/或砧座上移除或松开。例如，可以使用粘合剂、密封剂、胶水、销(pin)、大头钉、翼片(tab)、夹钳、凹形铁(channel)、绑带(strap)、突起及其组合将所述支撑件连接至钉仓和/或砧座。
可以使用本领域的技术人员熟悉范围内的技术形成无孔层，诸如铸造、模制等。
支撑件的多孔层在其至少部分表面具有开口或孔。如下文更详细描述的，形成所述多孔层的适合的材料包括，但不局限于纤维结构(如编织结构，纺织结构，无纺结构，等)和/或泡沫(如，开室或闭室泡沫)。在实施方式中，所述孔可以有足够的数目和大小以横贯所述多孔层的整个厚度相互连接。纺织织品，编织织品和开室泡沫是所述孔可以有足够数目和大小以横贯所述多孔层的整个厚度相互连接的结构的说明性实例。在实施方式中，所述孔不横贯所述多孔层的整个厚度相互连接。闭室泡沫或熔融的无纺材料是所述孔不横贯所述多孔层的整个厚度相互连接的说明性实例。图5A示意性地表示孔横跨多孔层的整个厚度的泡沫多孔层。在另一实施方式中，孔不横贯多孔层的整个厚度延伸，而存在于其部分表面。图5B示意性表示孔不横跨其整个厚度的多孔层。在实施方式中，开口或孔位于多孔层的部分表面上，而其它部分的多孔层为无孔质地。图5C示意性地表示孔不覆盖多孔层的整个表面的多孔层，而是存在于其中心部分。本领域的技术人员阅读本公开将会想到多孔层的其它的孔分布图样和构造。
若多孔层是纤维的，纤维可以是适合于编织或纺织的细丝或线或可以是人造短纤维，诸如经常用于制备无纺材料的短纤维。所述纤维可以由生物相容的材料制成。因此，所述纤维可以用天然的材料或合成的材料形成。形成所述纤维的材料可以是生物可吸收的或非生物可吸收的。当然应当理解的是天然的、合成的、生物可吸收的和非生物可吸收的的材料的任何组合可以用于形成所述纤维。可以制成所述纤维的材料的一些非限制的实例包括，但不局限于聚乳酸，聚乙醇酸，聚羟基丁酯，聚膦嗪，聚酯，聚乙二醇，聚环氧乙烷，聚丙烯酰胺，聚甲基丙烯酸羟乙酯，聚乙烯吡咯烷酮，聚乙烯醇，聚丙烯酸，聚乙酸酯，聚己酸内酯，聚丙烯，脂族聚酯，丙三醇，聚氨基酸，共聚(醚-酯)，聚亚烷基草酸酯，聚酰胺，聚亚氨碳酸酯，聚亚烷基草酸酯，聚氧杂酯，多正酯，聚磷腈和共聚物，嵌段共聚物，均聚物，混合物及其组合。
多孔层是纤维的情况，可以使用适合于形成纤维结构的任何方法来形成多孔层，包括但不局限于编织、纺织、无纺技术等。适合制作纤维的结构的技术上在本领域技术人员中所熟悉的范围内。
多孔层是泡沫的情况，可以使用适合于形成泡沫或海绵的任何方法来形成多孔层，包括但不局限于组合物的低压冻干法或冷冻干燥法。适合制作泡沫的技术在本领域技术人员所熟悉的范围内。
在实施方式中，多孔层具有止血的性质。可用于为多孔层提供协助中止流血或出血的性能的材料的说明性实例包括，但不局限于，聚乳酸，聚乙醇酸，聚羟基丁酯，聚己酸内酯，聚二氧六环酮，聚环氧烷，共聚(醚-酯)，胶原，明胶，凝血酶，纤维蛋白，纤维蛋白原，纤维连接蛋白，弹性蛋白，白蛋白，血红蛋白，卵白蛋白，多糖，透明质酸，硫酸软骨素，羟乙基淀粉，羟乙基纤维素，纤维素，氧化纤维素，羟丙基纤维素，羧乙基纤维素，羧甲基纤维素，脱乙酰壳聚糖，壳聚糖，琼脂糖，麦芽糖，麦芽糖糊精，藻酸盐，凝固因子，甲基丙烯酸酯，聚亚胺酯，氰基丙烯酸酯，血小板激动剂(platelet agonist)，血管收缩药，明矾，钙，RGD缩氨酸，蛋白质，硫酸鱼精蛋白，6-氨基己酸(epsilon amino caproic acid)，硫酸铁，碱式硫酸铁，氯化铁，锌，氯化锌，氯化铝，硫酸铝，醋酸铝，过锰酸盐，鞣酸类，骨蜡，聚乙二醇，墨角藻多糖及上述物质的组合。
一般地，使用天然的生物聚合物，且特别是蛋白，特别有益于形成具有止血性能的多孔层。适合的天然生物聚合物包括，但不局限于，胶原，明胶，纤维蛋白，纤维蛋白原，弹性蛋白，角蛋白，白蛋白及其组合。在这种实施方式中，天然的生物聚合物可以与任何其它的止血剂结合以产生支撑件的多孔层。可用于形成多孔层的胶原的起源和类型与上文所指出的用于无孔层的起源和类型相同。但是，氧化或非氧化的胶原可以是在大量空气存在下被低压冻干、冷冻干燥或乳化以产生泡沫，接着冷冻干燥，以形成多孔敷布。
在实施方式中，多孔层可以由变性胶原或通过加热或任何其它方法至少部分丢失其螺旋结构的胶原制成，这些胶原主要由分子量接近100kDa的非水化α链组成。术语“变性胶原”表示丢失其螺旋结构的胶原。这里所描述的用作多孔层的胶原可以是天然的胶原或去端肽胶原，特别是如通过如先前限定的胃蛋白酶消化和/或适度加热之后获得的。先前可以通过氧化、甲基化、琥珀一酰化(succinylation)，乙基化或其它公知的方法对胶原进行化学改性。
在实施方式中，可以通过冷冻干燥浓度大约为2至大约50g/l且初始温度为大约4至大约25℃的胶原酸性水溶液或混悬液。溶液中胶原的浓度可以介于大约1g/l至大约30g/l之间，且在一些实施方式中是大约10g/l。有利地将该溶液中和到PH值为大约6至大约8。
在实施方式中，多孔层可以是至少0.1cm厚。实施方式中多孔层的厚度可以从大约0.2到大约1.5cm厚的范围变化。多孔层可以具有不超过大约75mg胶原/cm2的密度，且在一些实施方式中多孔层的密度低于大约7mg胶原/cm2。多孔层中的孔的大小可以介于大约20μm至大约200μm之间，在一些实施方式中介于大约100μm至大约200μm之间。
可以制成多孔层或可以包含在多孔层中的止血剂可以是泡沫、纤维、细丝、网丝、纺织的和非纺织的网、敷布、垫、粉末、薄片、微粒及其组合的形式。在实施方式中，具有止血性能的多孔层赋予多层支撑件水化时具有与施用该支撑件的组织相似的性质。
可以使用本领域技术人员所知道的能够将无孔层连接至多孔层的任何方法来形成这里所描述的多层支撑件材料。可以想到的是可以使用化学键接、手术粘合剂、手术密封剂、和手术胶使无孔层和多孔层彼此粘在一起。另外，可以使用诸如销、杆、螺钉、夹子等的机械方法将这些层结合在一起。另外还有，这些层可以自然地或通过化学品或光引发互相作用和交联或在这些层之间提供共价键。
在实施方式中，这里所描述的多层支撑件的制备是通过将各个材料的层连接在一起以形成多层支撑件。多孔层可以与无孔层相分离形成。可选地，多孔层和无孔层可以形成在一起。
在一些实施方式中，多孔层可以连接到无孔层，连接方式是允许两个层交联并形成产生能够密封组织的多层支撑件材料的化学键。一种这样的实例包括将制造无孔层的材料溶液浇注进模具及在胶凝作用的过程中将多孔层放置于浇注的溶液上。如其整个内容在此以参阅的方式并入的专利号为6,596,304的美国专利中所描述，多孔层可以包含由胶原制成的多孔敷布。无孔层可以由包含胶原、聚乙烯和甘油的生物聚合物膜制成。可以将多孔层连接到无孔膜且允许交联以形成适合于加固吻合钉排或缝合线的多层材料。
另外如图3A和图3B所示，支撑件350也可以包括加固部件380。图3A中，显示加固部件380位于支撑件350的无孔层360和多孔层370之间，而图3B中，显示加固部件380独自位于单独的层内，这种情况中加固部件380支撑支撑件350的无孔层360。可以想到的是加固部件380也可以定位在多孔层内。加固部件可以定位在构成多层支撑件的多层其中一层的表面上，而在一些实施方式中，可以定位在多层支撑件的外部表面上。
加固部件的一些合适的非限制的实例包括网丝，单纤丝，多纤丝编织物，短纤维(有时本领域指的是人造短纤维)及上述材料的组合。
当加固部件是网丝时，其可以使用任何本领域技术人员公知的技术来制备，诸如编织、纺织、梭编、扎织(knipling)等。
当将单纤丝或多纤丝编织物用作加固部件时，可以以任何期望的方式将单纤丝或多纤丝编织物定向。例如，单纤丝或多纤丝编织物可以关于彼此任意地定位在支撑件结构内。如另一实例，单纤丝或多纤丝编织物可以在支撑件内以共同的方向定向。在实施方式中，单纤丝或多纤丝编织物与多孔层和无孔层两者都关联。在图3C所示的该类型的说明性实施方式中，支撑件350包括第一加固部件381和第二加固层382，第一加固部件381具有在无孔层360内以第一方向定向的多个加固部件，第二加固层382具有在多孔层370内以第二方向定向的多个加固部件。在一些实施方式中，如图3C所示，所述第一方向和第二方向可以基本上彼此相互垂直。
当将短纤维用作加固部件时，可以以任何期望的方式确定该短纤维的方向。例如，短纤维可以任意定向或可以以共同的方向定向。因此短纤维可以形成无纺材料，诸如席子或毡。短纤维可以结合在一起(例如，用热熔合)或可以是彼此不连接。短纤维可以是任何合适的长度。例如，短纤维长度可以介于0.1mm到100mm之间，在一些实施方式中，该长度为0.4mm到50mm之间。图3D表示支撑件350具有结合到可以与多孔层370连接的无孔层360中的短纤维380的说明性实施方式。
可以想到的是加固部件可以由任何生物可吸收的，非生物可吸收的，天然的，和本文前面所描述的包括衍生物、盐的合成材料及这些材料的组合形成。在特别有用的实施方式中，加固部件可以由非生物可吸收的材料制成以提供长期的柔性组织支承。在一些实施方式中，加固部件是由聚丙烯或聚乳酸制成的手术网丝。另外也可以将聚乙烯材料结合到这里所描述的支撑件中以增加刚度。当将单纤丝或多纤丝编织物用作加固部件时，可以有利于将任何商业上可得到的缝合材料用作加固部件。
现回到图4，表示一种实施方式，其中多层支撑件350包括至少一个孔390，孔390被制作并设计成摩擦配合到位于吻合钉钉仓104和/或吻合钉砧座204上的至少一个销400上。孔390和销400被设计成可分离地将多层支撑件350连接到吻合钉钉仓104和/或吻合钉砧座204，且孔390和销400两者可以是任何大小，形状或尺寸。
在一些实施方式中，至少一种生物活性剂可以与支撑件材料和/或任何用于构造支撑件的单独的部件(多孔层，无孔层和/或加固部件)结合。在这些实施方式中，支撑件材料也可以用作传送生物活性剂的载体。这里使用的术语“生物活性剂”是使用其最广义的意思，且包括任何具有临床用途的物质或物质的混合物。因而，生物活性剂本身可以具有或可以不具有药理学的活性，例如，染料，或香料。可选地生物活性剂可以是提供治疗或预防效果的任何制剂，影响或参与组织生长、细胞生长、细胞分化的化合物，抗粘连化合物，以及可能引起生物作用诸如免疫反应、或可以在一个或多个生物过程中起任何其它作用的化合物。可以想到的是可以以物质的任何适合的形式，如膜、粉末、液体、凝胶等，将生物活性剂应用于医疗装置中。
可以根据本公开使用的生物活性剂的种类的实例包括防粘剂、抗菌剂、止痛剂、退热剂、麻醉剂、抗癫痫剂、抗组胺剂、消炎药、心血管剂、诊断剂、拟交感神经药、拟胆碱能药、抗毒蕈碱药、解痉药、荷尔蒙、生长因子、肌肉弛缓剂、肾上腺素能神经元阻滞剂、抗肿瘤药、致免疫药(immunogenic agent)、免疫抑制剂、胃肠药、利尿剂、类固醇、脂质、脂多糖、多糖以及酶。也可以计划使用各生物活性剂的组合。
防粘剂可以用于防止在可植入医疗装置和与目标组织相对的周围组织之间形成粘连。另外，防粘剂可以用于防止在涂覆的可植入医疗装置和包装材料之间形成的粘连。这些试剂的一些实例包括，但不局限于聚乙烯吡咯烷酮，羧甲基纤维素，透明质酸，聚环氧乙烷，聚乙烯醇及上述物质的组合。
本公开的生物活性层中可以包括作为生物活性剂的合适的抗菌剂，包括三氯生(triclosan)，也称为2，4，4′-三氯-2′-羟基二苯醚，氯己定(chlorhexidine)和其盐，包括醋酸氯己定、葡糖酸氯己定、盐酸氯己定、以及硫酸氯己定，银和其盐，包括乙酸银、苯甲酸银、碳酸银、柠檬酸银、碘酸银、碘化银、乳酸银、月桂酸银、硝酸银、氧化银、棕榈酸银、蛋白银、以及磺胺嘧啶银，多粘菌素，四环素，氨基糖甙类，诸如托普霉素和庆大霉素，利福平，杆菌肽，新霉素，氯霉素，咪康唑，喹喏酮类诸如噁喹酸、氟哌酸、萘啶酸、培氟沙星、依诺沙星和环丙沙星，青霉素诸如苯唑西林和哌拉西林，壬苯醇醚-9，梭链孢酸，头孢菌素，及上述物质的组合。另外，本公开的生物活性层中作为生物活性剂可以包括诸如牛乳铁蛋白、乳铁蛋白B的抗菌蛋白质和肽，和诸如墨角藻多糖和衍生物的抗菌多糖。
根据本公开应用的涂层组合物中作为生物活性剂可以包括的其它生物活性剂包括：局部麻醉剂；非甾体避孕剂；拟副交感神经剂；精神治疗药物；镇静剂；减充血剂；镇静催眠药；类固醇；磺胺类药物；拟交感神经剂；疫苗；维他命；抗疟药；抗偏头痛剂；诸如L-多巴的抗帕金森剂；解痉药；抗胆碱药(例如奥昔布宁)；止咳药；支气管扩张药；诸如冠状血管扩张药和硝化甘油的心血管药；生物碱；止痛药；诸如可待因、二氢可待因酮、哌替啶、吗啡等的麻醉剂；诸如水杨酸盐、阿斯匹林、对乙酰氨基酚、d-丙氧芬等的非麻醉剂；诸如环丙甲羟二羟吗啡酮和纳洛酮的阿片受体拮抗剂；抗癌症剂；抗惊厥药；止吐剂；抗组胺剂；诸如荷尔蒙剂、氢化可的松、氢化泼尼松、泼尼松、非荷尔蒙剂、别嘌呤醇、消炎痛、保泰松等的抗炎剂；前列腺素和细胞毒素药；雌激素；抗菌药；抗生素；抗真菌剂；抗病毒素；抗凝血剂；抗痉挛剂；抗抑郁剂；抗组胺剂；和免疫剂。
涂层组合物中可以包括的其它合适的生物活性剂的例子包括病毒和细胞，肽，多肽和蛋白质，类似物，突变蛋白质，及其活性片段，诸如免疫球蛋白，抗体，细胞因子(例如淋巴因子，单核因子，趋化因子)，血液凝固因子，造血因子，白细胞介素(IL-2，IL-3，IL-4，IL-6)，干扰素(β-IFN，α-IFN和γ-IFN))，促红细胞生成素，核酸酶，肿瘤坏死因子，集落刺激因子(例如，GCSF，GM-CSF，MCSF)，胰岛素，抗瘤剂和肿瘤抑制基因，血蛋白，促性腺激素类(例如，FSH，LH，CG，等)，荷尔蒙和荷尔蒙类似物(例如，生长激素)，疫苗(例如，肿瘤，细菌和病毒抗原)；生长激素抑制素；抗原类；凝血因子；生长因子(例如神经生长因子，胰岛素样生长因子)；蛋白质抑制剂，蛋白质拮抗剂，和蛋白质激动剂；核酸，诸如反义分子，DNA和RNA；寡核苷酸；多核苷酸；和核酶。
实例1
多孔层的制备
类型I猪胶原是从猪皮中提取且通过胃蛋白酶消化使其可溶，及通过盐沉淀进行纯化。
10g/l的胶原溶液是在周围温度低于25℃下，在2070g的超滤水中通过溶解23g的湿胶原(12％湿度)来制备的。使用氢氧化钠中和到中性的pH，其导致胶原的沉淀。
适合用于制作多层支撑件的多孔层的制备是通过使用持续大约24小时的一个周期，以0.5至1g/cm2将混悬液倒在冻干的板上并冷冻干燥。
可选地，这样生产的冷冻干燥的多孔层可以被加热到60℃几个小时(4至15小时)，使其在某些应用中具有更好的粘性和力学阻力。
用于形成无孔膜的氧化胶原溶液的制备
类型I猪胶原是从猪皮中提取且通过胃蛋白酶消化使其可溶及通过盐沉淀进行纯化。
用于该实施例中的30g/l的氧化胶原溶液是根据专利FR-A-2 715309制备的。
优选使用干燥的胶原纤维，其是通过在胶原的酸溶液中加入NaCl进行沉淀，然后使用浓度从80％增加到100％的丙酮水溶液洗涤并干燥获取的沉淀物来得到的。
30g/l的胶原溶液是通过将胶原溶解于0.01N HCl中而制备的。其体积是49升。将过碘酸加入胶原溶液中，使其最终浓度为8mM，即1.83/l。远离光源在周围温度接近22℃时进行3个小时的氧化。
然后将相等体积的氯化钠溶液加入该溶液中以获得41g/l NaCl的最终浓度。
等待30分钟后，通过具有接近100微米孔隙率的纤维过滤器滗析收集沉淀物，然后用41g/l NaCl的0.01N HCL溶液洗涤4次。这样产生19kg的酸式盐(acid saline)沉淀物。该洗涤过程去除了胶原氧化过程中所有微量的过碘酸或碘衍生物。
然后，在80％的丙酮水溶液中的几次洗涤用于浓缩胶原沉淀物及去除存在的盐。
在100％丙酮中的最后洗涤用于制备3.6kg非常浓的酸性、氧化、非网状胶原的丙酮沉淀物，没有不期望的化学产物。
用40℃的无热源蒸馏水稀释丙酮糊，以获得44升体积3％浓度的胶原。以50℃将44升体积的胶原混悬液加热30分钟，然后在40℃的干燥箱里通过0.45微米孔隙率的膜在无菌的条件进行过滤。
该溶液是均匀的且处于35℃时，将无菌的PEG4000(具有4000道尔顿分子量的聚乙二醇)浓溶液和甘油加入其中以产生0.9％的PEG，0.54％的甘油和2.7％的氧化胶原的最终浓度。
一完成这些添加，就通过加入氢氧化钠浓溶液将该溶液的pH调节到7.0。
多层支撑件材料的制备
在周围温度接近22℃时，将如上所述的预定形成无孔层的胶原溶液浇铸到诸如PVC或聚苯乙烯的平的疏水支持物上成薄层。在疏水支持物的表面中用机器制造连续的凹穴或沟槽，或多个纵向间隔的凹穴或沟槽。支持物中的凹穴或沟槽与砧座和/或吻合钉钉仓中的狭槽或开口相对应。确定所述凹穴或沟槽的数目、尺寸和空间关系以提供模铸的支撑件，当适当定位时，所述支撑件与设置在砧座或吻合钉钉仓中的狭槽或开口可松开地按压配合。
在将加热的胶原溶液浇注在该支持物上后5至20分钟，将如上所述制备的多孔层均一地放置到其上。该等待时间是放置多孔层所需的胶原溶液的凝胶化时间，以防止其溶解或在液体的胶原中部分水化。
多孔层穿透进凝为胶体的胶原溶液中可以小于0.5mm。
然后，在环境温度下，用无菌空气的气流使支撑件材料脱水，其为大约18小时的蒸发。
容易从支持物上取下所获得的多层支撑件材料，且可以将多层支撑件材料切割成相关应用所需要的尺寸，而不会弱化多层支撑件材料。
然后将该多层支撑件材料放进密封的双层聚乙烯袋中。
通过在25和35KGy剂量的γ辐射或电子束(β)辐射对该元件进行杀菌。在环境温度中该材料是稳定的。
实例2
多层支撑件材料的制备
在周围温度接近22℃时，将如实例1中所述的预定形成无孔层的胶原溶液浇注在诸如PVC或聚苯乙烯的平的疏水支持物上成等于大约0.106g/cm2的薄层。在模具的表面上用机器制造几个突起。该模具上的突起与位于砧座和/或吻合钉钉仓中的销相对应。确定所述突起的数目、尺寸和空间关系以提供模铸的支撑件，当适当定位时，所述支撑件可松开地与设置在砧座或吻合钉钉仓上的销按压配合。
用酒精和水稀释剩余的胶原溶液以制备最终浓度为1.75％的氧化胶原。
在涂布第一层后1小时或更长时间，使用1.75％氧化胶原稀溶液将等于大约0.041g/cm2的第二层浇注在第一层上。
立即将手术网丝加固部件放置在稀氧化胶原的第二层上。所述加固部件是编织等弹性的、多纤丝聚乙二醇酸网丝，其可以完全被氧化胶原第二层封进内部。
1小时或更长时间后，将如上述实例1中所制备的多孔层放置到网丝上。
在大约20℃和大约40％的湿度的干燥箱里，用1.2m2/s流速的水平气流干燥所述多层、加固支撑件材料。空气从所述箱的右侧吹到所述箱的左侧，且进入的空气被0.2μm过滤并调节到40％的湿度。干燥周期持续的时间在12到24小时之间。
实例3
多层支撑件材料的制备
在周围温度接近22℃时，将如实例1中所述的预定形成无孔层的胶原溶液浇注在诸如PVC或聚苯乙烯的平的疏水支持物上成等于大约0.106g/cm2的薄层。
用酒精和水稀释剩余的胶原溶液以制备最终浓度为1.75％的氧化胶原。
在涂布第一层后1小时或更长时间，使用1.75％氧化胶原稀溶液将等于大约0.041g/cm2的第二层浇注在第一层上。
立即将手术网丝加固部件放置在稀氧化胶原第二层上。所述加固部件是编织等弹性的、多纤丝聚乙二醇酸网丝，其可以定位在氧化胶原的第二层的上面。
1小时或更长时间后，将如上述实例1中所制备的多孔层放置到网丝上。
在大约20℃和大约40％的湿度的干燥箱里用1.2m2/s流速的水平气流干燥所述多层、加固支撑件材料。空气从所述箱的右侧吹到所述箱的左侧，且进入的空气被0.2μm过滤并调节到40％的湿度。干燥周期持续的时间在12到24小时之间。
将实例1-3的多层支撑件放置到手术吻合器的吻合钉钉仓和/或砧座上，使无孔侧与钉仓和/或砧座的表面接触。将伤口的边缘靠近吻合装置的吻合钉钉仓和吻合钉砧座之间。通过启动吻合装置驱出吻合钉钉仓中的吻合钉，并穿过多层支撑件和组织。通过与所述吻合钉砧座接触来形成吻合钉。一旦适当吻合，多孔层有利于减少流血，有助于密封伤口和如果需要允许组织向内生长，无孔层为多孔层提供支撑且可以有助于防止粘连的形成。如实施例2和3中所示，加固部件当其存在时为多层支撑件提供附加的支撑且有助于在吻合过程中防止撕裂。
将理解的是可以对此公开的实施方式作各种修改。因此，上文的描述不应理解为限制，而仅作为优选实施方式的范例。本领域的技术人员将想到在本公开的范围和精神内的其它修改。这种修改和改变意指在如下权利要求书的范围内。

Claims (30)

1、一种手术吻合装置，所述装置包含：
容纳至少一个吻合钉的吻合钉钉仓；
具有吻合钉形成表面的砧座；及
邻近所述砧座或钉仓布置的支撑件，所述支撑件包含无孔层、多孔层和加固部件。
2、根据权利要求1所述的手术吻合装置，其中所述无孔层包含至少一种选自由胶原，明胶，纤维蛋白，纤维蛋白原，弹性蛋白，角蛋白，白蛋白，羟乙基纤维素，纤维素，氧化纤维素，羟丙基纤维素，羧乙基纤维素，羧甲基纤维素，脱乙酰壳聚糖，壳聚糖，藻酸盐，聚乳酸，聚乙醇酸，聚羟基丁酯，聚膦嗪，聚酯，聚乙二醇，聚环氧烷烃，聚丙烯酰胺，聚甲基丙烯酸羟乙酯，聚乙烯吡咯烷酮，聚乙烯醇，聚己酸内酯，聚二氧六环酮，聚丙烯酸，聚乙酸酯，聚己酸内酯，聚丙烯，脂族聚酯，丙三醇，聚氨基酸，共聚(醚-酯)，聚亚烷基草酸酯，聚酰胺，聚亚氨碳酸酯，聚亚烷基草酸酯，聚氧杂酯，多正酯，聚磷腈及其组合组成的组的材料。
3、根据权利要求1所述的手术吻合装置，其中所述多孔层包含至少一种选自由聚乳酸，聚乙醇酸，聚羟基丁酯，聚己酸内酯，聚二氧六环酮，聚环氧烷烃，共聚(醚-酯)，胶原，明胶，凝血酶，纤维蛋白，纤维蛋白原，纤维连接蛋白，弹性蛋白，白蛋白，血红蛋白，卵白蛋白，多糖，透明质酸，硫酸软骨素，羟乙基淀粉，羟乙基纤维素，纤维素，氧化纤维素，羟丙基纤维素，羧乙基纤维素，羧甲基纤维素，脱乙酰壳聚糖，壳聚糖，琼脂糖，麦芽糖，麦芽糖糊精，藻酸盐，凝固因子，甲基丙烯酸酯，聚亚胺酯，氰基丙烯酸酯，血小板激动剂，血管收缩药，明矾，钙，RGD缩氨酸，蛋白质，硫酸鱼精蛋白，6-氨基己酸，硫酸铁，碱式硫酸铁，氯化铁，锌，氯化锌，氯化铝，硫酸铝，醋酸铝，过锰酸盐，鞣酸类，骨蜡，聚乙二醇，墨角藻多糖及其组合组成的组的材料。
4、根据权利要求1所述的手术吻合装置，其中所述加固部件是网丝。
5、根据权利要求1所述的手术吻合装置，其中所述加固部件是缝合线。
6、根据权利要求1所述的手术吻合装置，包含多个以至少一个共同的方向定向的加固部件。
7、根据权利要求1所述的手术吻合装置，其中所述加固部件处于所述无孔层和多孔层之间。
8、根据权利要求1所述的手术吻合装置，其中所述加固部件被封进所述无孔层内。
9、根据权利要求1所述的手术吻合装置，其中所述无孔层内封进有第一加固部件且所述多孔层内封进有第二加固层。
10、根据权利要求9所述的手术吻合装置，其中所述第一加固部件包含多个在所述无孔层内以第一方向定向的加固部件，所述第二加固层包含多个在所述多孔层内以第二方向定向的加固部件。
11、一种手术吻合装置，所述装置包含：
容纳至少一个吻合钉的吻合钉钉仓；
具有吻合钉形成表面的砧座；及
邻近所述砧座或钉仓布置的支撑件，所述支撑件包含多孔层和具有抗粘连性能的层。
12、根据权利要求11所述的手术吻合装置，其中所述多孔层包含泡沫。
13、根据权利要求11所述的手术吻合装置，其中所述多孔层包含纤维结构。
14、根据权利要求11所述的手术吻合装置，其中所述多孔层具有止血性能。
15、根据权利要求11所述的手术吻合装置，其中所述具有抗粘连性能的层包含胶原膜。
16、根据权利要求11所述的手术吻合装置，其中所述多孔层包含至少一种选自由聚乳酸，聚乙醇酸，聚羟基丁酯，聚己酸内酯，聚二氧六环酮，聚环氧烷烃，共聚(醚-酯)，胶原，明胶，凝血酶，纤维蛋白，纤维蛋白原，纤维连接蛋白，弹性蛋白，白蛋白，血红蛋白，卵白蛋白，多糖，透明质酸，硫酸软骨素，羟乙基淀粉，羟乙基纤维素，纤维素，羟丙基纤维素，羧乙基纤维素，脱乙酰壳聚糖，壳聚糖，琼脂糖，麦芽糖，麦芽糖糊精，藻酸盐，凝固因子，甲基丙烯酸酯，聚亚胺酯，氰基丙烯酸酯，血小板激动剂，血管收缩药，明矾，钙，RGD缩氨酸，蛋白质，硫酸鱼精蛋白，6-氨基己酸，硫酸铁，碱式硫酸铁，氯化铁，锌，氯化锌，氯化铝，硫酸铝，醋酸铝，过锰酸盐，鞣酸类，骨蜡，聚乙二醇，墨角藻多糖及其组合组成的组的材料。
17、根据权利要求11所述的手术吻合装置，其中所述支撑件还包含加固部件。
18、根据权利要求17所述的手术吻合装置，其中所述加固部件包含网丝。
19、根据权利要求17所述的手术吻合装置，其中所述加固部件包含缝合线。
20、根据权利要求11所述的手术吻合装置，其中所述支撑件还包含生物活性剂。
21、一种手术吻合装置，所述装置包含：
容纳至少一个吻合钉的吻合钉钉仓；
具有吻合钉形成表面的砧座；及
邻近所述砧座或钉仓布置的支撑件，所述支撑件包含无孔层和胶原泡沫层。
22、根据权利要求21所述的手术吻合装置，其中所述无孔层包含至少一种选自由胶原，明胶，纤维蛋白，纤维蛋白原，弹性蛋白，角蛋白，白蛋白，羟乙基纤维素，纤维素，羟丙基纤维素，羧乙基纤维素，脱乙酰壳聚糖，壳聚糖，藻酸盐，聚乳酸，聚乙醇酸，聚羟基丁酯，聚膦嗪，聚酯，聚乙二醇，聚环氧乙烷，聚丙烯酰胺，聚甲基丙烯酸羟乙酯，聚乙烯吡咯烷酮，聚乙烯醇，聚己酸内酯，聚二氧六环酮，聚丙烯酸，聚乙酸酯，聚己酸内酯，聚丙烯，脂族聚酯，丙三醇，聚氨基酸，共聚(醚-酯)，聚亚烷基草酸酯，聚酰胺，聚亚氨碳酸酯，聚亚烷基草酸酯，聚氧杂酯，多正酯，聚磷腈及其组合组成的组的材料。
23、根据权利要求15所述的手术吻合装置，其中所述支撑件还包含加固部件。
24、根据权利要求23所述的手术吻合装置，其中所述加固部件包含网丝。
25、根据权利要求23所述的手术吻合装置，其中所述加固部件包含缝合线。
26、根据权利要求23所述的手术吻合装置，其中所述支撑件还包含生物活性剂。
27、一种手术吻合装置，所述装置包含：
容纳至少一个吻合钉的吻合钉钉仓；
具有吻合钉形成表面的砧座；及
邻近所述砧座或钉仓布置的支撑件，所述支撑件包含胶原膜、胶原泡沫和加固网丝。
28、一种手术吻合装置，所述装置包含：
容纳至少一个吻合钉的吻合钉钉仓；
具有吻合钉形成表面的砧座；及
邻近所述砧座或钉仓布置的支撑件，所述支撑件包含无孔层、多孔层和加固部件，其中所述加固部件包含短纤维。
29、一种手术吻合装置，所述装置包含：
容纳至少一个吻合钉的吻合钉钉仓；
具有吻合钉形成表面的砧座；及
邻近所述砧座或钉仓布置的支撑件，所述支撑件包含无孔层、多孔层、与所述无孔层关联的第一加固部件和与所述多孔层关联的第二加固层，其中所述第一加固部件包含多个以第一方向定向的加固部件，所述第二加固层包含多个以第二方向定向的加固部件。
30、一种手术吻合装置，所述装置包含：
容纳至少一个吻合钉的吻合钉钉仓；
具有吻合钉形成表面的砧座；及
邻近所述砧座或钉仓布置的支撑件，所述支撑件包含纤维加固的泡沫复合物。
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Cited By (172)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102755179A (zh) * 2011-04-27 2012-10-31 Tyco医疗健康集团 圆形吻合器和吻合钉线增强材料
CN103124527A (zh) * 2010-09-30 2013-05-29 伊西康内外科公司 包括可生物吸收层的可植入的紧固件仓
CN103153209A (zh) * 2010-09-30 2013-06-12 伊西康内外科公司 能压缩的紧固件仓
CN103356253A (zh) * 2010-09-30 2013-10-23 伊西康内外科公司 具有不均匀排列的可植入的紧固件仓
CN103717151A (zh) * 2011-04-29 2014-04-09 伊西康内外科公司 包括可压缩抗变形部件的钉仓
CN103764045A (zh) * 2011-08-10 2014-04-30 伊西康内外科公司 用于在内窥镜式手术中施加助剂的装置
CN103961149A (zh) * 2013-01-25 2014-08-06 柯惠Lp公司 应用于吻合器械的泡沫
CN104321022A (zh) * 2011-04-29 2015-01-28 伊西康内外科公司 包含多种药物的组织厚度补偿件
CN104321086A (zh) * 2012-03-28 2015-01-28 伊西康内外科公司 用于形成外科缝合器的组织厚度补偿件布置的方法
CN104321026A (zh) * 2012-03-28 2015-01-28 伊西康内外科公司 组织厚度补偿件
CN104334096A (zh) * 2012-03-28 2015-02-04 伊西康内外科公司 包括多个胶囊剂的组织厚度补偿件
CN104334093A (zh) * 2012-03-28 2015-02-04 伊西康内外科公司 用于将组织厚度补偿材料附接到外科缝合器械的装置和方法
CN104349726A (zh) * 2012-03-28 2015-02-11 伊西康内外科公司 组织厚度补偿件及其制造方法
CN104349727A (zh) * 2012-03-28 2015-02-11 伊西康内外科公司 分层的组织厚度补偿件
CN104363838A (zh) * 2012-03-28 2015-02-18 伊西康内外科公司 由多种材料构成的组织厚度补偿件
CN104379068A (zh) * 2012-03-28 2015-02-25 伊西康内外科公司 包括组织厚度补偿件的保持器组件
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US9237893B2 (en) 2011-12-14 2016-01-19 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
US9295466B2 (en) 2012-11-30 2016-03-29 Covidien Lp Surgical apparatus including surgical buttress
US9326773B2 (en) 2012-01-26 2016-05-03 Covidien Lp Surgical device including buttress material
US9345479B2 (en) 2007-03-06 2016-05-24 Covidien Lp Surgical stapling apparatus
US9351729B2 (en) 2002-06-17 2016-05-31 Covidien Lp Annular support structures
US9351731B2 (en) 2011-12-14 2016-05-31 Covidien Lp Surgical stapling apparatus including releasable surgical buttress
US9351732B2 (en) 2011-12-14 2016-05-31 Covidien Lp Buttress attachment to degradable polymer zones
US9364234B2 (en) 2007-06-18 2016-06-14 Covidien Lp Interlocking buttress material retention system
US9402627B2 (en) 2012-12-13 2016-08-02 Covidien Lp Folded buttress for use with a surgical apparatus
US9414839B2 (en) 2013-02-04 2016-08-16 Covidien Lp Buttress attachment for circular stapling device
US9433412B2 (en) 2007-05-25 2016-09-06 Covidien Lp Staple buttress retention system
US9433420B2 (en) 2013-01-23 2016-09-06 Covidien Lp Surgical apparatus including surgical buttress
US9433413B2 (en) 2006-10-26 2016-09-06 Covidien Lp Methods of using shape memory alloys for buttress attachment
US9445812B2 (en) 2009-03-31 2016-09-20 Covidien Lp Center cinch and release of buttress material
US9445817B2 (en) 2004-10-18 2016-09-20 Covidien Lp Support structures and methods of using the same
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US9486215B2 (en) 2009-03-31 2016-11-08 Covidien Lp Surgical stapling apparatus
US9504470B2 (en) 2013-02-25 2016-11-29 Covidien Lp Circular stapling device with buttress
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US9572576B2 (en) 2012-07-18 2017-02-21 Covidien Lp Surgical apparatus including surgical buttress
US9610080B2 (en) 2009-10-15 2017-04-04 Covidien Lp Staple line reinforcement for anvil and cartridge
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US9636850B2 (en) 2007-06-27 2017-05-02 Covidien Lp Buttress and surgical stapling apparatus
US9655620B2 (en) 2013-10-28 2017-05-23 Covidien Lp Circular surgical stapling device including buttress material
US9681936B2 (en) 2012-11-30 2017-06-20 Covidien Lp Multi-layer porous film material
US9693772B2 (en) 2009-10-15 2017-07-04 Covidien Lp Staple line reinforcement for anvil and cartridge
US9775617B2 (en) 2012-01-26 2017-10-03 Covidien Lp Circular stapler including buttress
US9782173B2 (en) 2013-03-07 2017-10-10 Covidien Lp Circular stapling device including buttress release mechanism
US9844378B2 (en) 2014-04-29 2017-12-19 Covidien Lp Surgical stapling apparatus and methods of adhering a surgical buttress thereto
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CN108286126A (zh) * 2018-01-24 2018-07-17 上海理工大学 一种快速止血复合纤维膜的制备方法
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CN108348654A (zh) * 2015-08-31 2018-07-31 伊西康有限责任公司 用于促进肺功能的外科附属物和药剂
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US10182819B2 (en) 2010-09-30 2019-01-22 Ethicon Llc Implantable layer assemblies
US10182816B2 (en) 2015-02-27 2019-01-22 Ethicon Llc Charging system that enables emergency resolutions for charging a battery
US10206605B2 (en) 2015-03-06 2019-02-19 Ethicon Llc Time dependent evaluation of sensor data to determine stability, creep, and viscoelastic elements of measures
US10226249B2 (en) 2013-03-01 2019-03-12 Ethicon Llc Articulatable surgical instruments with conductive pathways for signal communication
US10245033B2 (en) 2015-03-06 2019-04-02 Ethicon Llc Surgical instrument comprising a lockable battery housing
US10245030B2 (en) 2016-02-09 2019-04-02 Ethicon Llc Surgical instruments with tensioning arrangements for cable driven articulation systems
US10258418B2 (en) 2017-06-29 2019-04-16 Ethicon Llc System for controlling articulation forces
CN109675094A (zh) * 2017-10-18 2019-04-26 中国医学科学院北京协和医院 一种具有止血功能的可吸收骨蜡及其制备方法
US10292707B2 (en) 2004-07-28 2019-05-21 Ethicon Llc Articulating surgical stapling instrument incorporating a firing mechanism
USD851762S1 (en) 2017-06-28 2019-06-18 Ethicon Llc Anvil
US10327776B2 (en) 2014-04-16 2019-06-25 Ethicon Llc Surgical stapling buttresses and adjunct materials
US10335145B2 (en) 2016-04-15 2019-07-02 Ethicon Llc Modular surgical instrument with configurable operating mode
US10335151B2 (en) 2011-05-27 2019-07-02 Ethicon Llc Robotically-driven surgical instrument
USD854151S1 (en) 2017-06-28 2019-07-16 Ethicon Llc Surgical instrument shaft
US10357247B2 (en) 2016-04-15 2019-07-23 Ethicon Llc Surgical instrument with multiple program responses during a firing motion
US10357251B2 (en) 2015-08-26 2019-07-23 Ethicon Llc Surgical staples comprising hardness variations for improved fastening of tissue
US10357252B2 (en) 2015-09-02 2019-07-23 Ethicon Llc Surgical staple configurations with camming surfaces located between portions supporting surgical staples
US10363036B2 (en) 2015-09-23 2019-07-30 Ethicon Llc Surgical stapler having force-based motor control
US10363037B2 (en) 2016-04-18 2019-07-30 Ethicon Llc Surgical instrument system comprising a magnetic lockout
US10363033B2 (en) 2007-06-04 2019-07-30 Ethicon Llc Robotically-controlled surgical instruments
US10363031B2 (en) 2010-09-30 2019-07-30 Ethicon Llc Tissue thickness compensators for surgical staplers
US10368864B2 (en) 2017-06-20 2019-08-06 Ethicon Llc Systems and methods for controlling displaying motor velocity for a surgical instrument
US10368865B2 (en) 2015-12-30 2019-08-06 Ethicon Llc Mechanisms for compensating for drivetrain failure in powered surgical instruments
US10376263B2 (en) 2016-04-01 2019-08-13 Ethicon Llc Anvil modification members for surgical staplers
US10383630B2 (en) 2012-06-28 2019-08-20 Ethicon Llc Surgical stapling device with rotary driven firing member
US10390841B2 (en) 2017-06-20 2019-08-27 Ethicon Llc Control of motor velocity of a surgical stapling and cutting instrument based on angle of articulation
US10390825B2 (en) 2015-03-31 2019-08-27 Ethicon Llc Surgical instrument with progressive rotary drive systems
US10390823B2 (en) 2008-02-15 2019-08-27 Ethicon Llc End effector comprising an adjunct
US10398434B2 (en) 2017-06-29 2019-09-03 Ethicon Llc Closed loop velocity control of closure member for robotic surgical instrument
US10398433B2 (en) 2007-03-28 2019-09-03 Ethicon Llc Laparoscopic clamp load measuring devices
US10405857B2 (en) 2013-04-16 2019-09-10 Ethicon Llc Powered linear surgical stapler
US10405859B2 (en) 2016-04-15 2019-09-10 Ethicon Llc Surgical instrument with adjustable stop/start control during a firing motion
US10413294B2 (en) 2012-06-28 2019-09-17 Ethicon Llc Shaft assembly arrangements for surgical instruments
US10420553B2 (en) 2005-08-31 2019-09-24 Ethicon Llc Staple cartridge comprising a staple driver arrangement
US10420550B2 (en) 2009-02-06 2019-09-24 Ethicon Llc Motor driven surgical fastener device with switching system configured to prevent firing initiation until activated
US10420560B2 (en) 2006-06-27 2019-09-24 Ethicon Llc Manually driven surgical cutting and fastening instrument
US10420549B2 (en) 2008-09-23 2019-09-24 Ethicon Llc Motorized surgical instrument
US10426467B2 (en) 2016-04-15 2019-10-01 Ethicon Llc Surgical instrument with detection sensors
US10426471B2 (en) 2016-12-21 2019-10-01 Ethicon Llc Surgical instrument with multiple failure response modes
US10426478B2 (en) 2011-05-27 2019-10-01 Ethicon Llc Surgical stapling systems
US10426463B2 (en) 2006-01-31 2019-10-01 Ehticon LLC Surgical instrument having a feedback system
US10426481B2 (en) 2014-02-24 2019-10-01 Ethicon Llc Implantable layer assemblies
US10433918B2 (en) 2007-01-10 2019-10-08 Ethicon Llc Surgical instrument system configured to evaluate the load applied to a firing member at the initiation of a firing stroke
US10433846B2 (en) 2015-09-30 2019-10-08 Ethicon Llc Compressible adjunct with crossing spacer fibers
US10441285B2 (en) 2012-03-28 2019-10-15 Ethicon Llc Tissue thickness compensator comprising tissue ingrowth features
US10441281B2 (en) 2013-08-23 2019-10-15 Ethicon Llc surgical instrument including securing and aligning features
US10448950B2 (en) 2016-12-21 2019-10-22 Ethicon Llc Surgical staplers with independently actuatable closing and firing systems
US10448948B2 (en) 2016-02-12 2019-10-22 Ethicon Llc Mechanisms for compensating for drivetrain failure in powered surgical instruments
US10448952B2 (en) 2006-09-29 2019-10-22 Ethicon Llc End effector for use with a surgical fastening instrument
US10456137B2 (en) 2016-04-15 2019-10-29 Ethicon Llc Staple formation detection mechanisms
US10463372B2 (en) 2010-09-30 2019-11-05 Ethicon Llc Staple cartridge comprising multiple regions
US10463370B2 (en) 2008-02-14 2019-11-05 Ethicon Llc Motorized surgical instrument
US10463383B2 (en) 2006-01-31 2019-11-05 Ethicon Llc Stapling instrument including a sensing system
US10470770B2 (en) 2010-07-30 2019-11-12 Ethicon Llc Circular surgical fastening devices with tissue acquisition arrangements
US10470768B2 (en) 2014-04-16 2019-11-12 Ethicon Llc Fastener cartridge including a layer attached thereto
US10470762B2 (en) 2013-03-14 2019-11-12 Ethicon Llc Multi-function motor for a surgical instrument
US10470763B2 (en) 2008-02-14 2019-11-12 Ethicon Llc Surgical cutting and fastening instrument including a sensing system
CN110461250A (zh) * 2017-02-17 2019-11-15 爱惜康有限责任公司 具有用于与附属物配合的延伸特征部的端部执行器
US10485539B2 (en) 2006-01-31 2019-11-26 Ethicon Llc Surgical instrument with firing lockout
US10492785B2 (en) 2016-12-21 2019-12-03 Ethicon Llc Shaft assembly comprising a lockout
US10499890B2 (en) 2006-01-31 2019-12-10 Ethicon Llc Endoscopic surgical instrument with a handle that can articulate with respect to the shaft
US10517596B2 (en) 2016-12-21 2019-12-31 Ethicon Llc Articulatable surgical instruments with articulation stroke amplification features
US10517590B2 (en) 2007-01-10 2019-12-31 Ethicon Llc Powered surgical instrument having a transmission system
US10517594B2 (en) 2014-10-29 2019-12-31 Ethicon Llc Cartridge assemblies for surgical staplers
US10524790B2 (en) 2011-05-27 2020-01-07 Ethicon Llc Robotically-controlled surgical stapling devices that produce formed staples having different lengths
US10542979B2 (en) 2016-06-24 2020-01-28 Ethicon Llc Stamped staples and staple cartridges using the same
US10568625B2 (en) 2016-12-21 2020-02-25 Ethicon Llc Staple cartridges and arrangements of staples and staple cavities therein
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
US10575868B2 (en) 2013-03-01 2020-03-03 Ethicon Llc Surgical instrument with coupler assembly
US10576298B2 (en) 2009-10-15 2020-03-03 Covidien Lp Buttress brachytherapy and integrated staple line markers for margin identification
US10588623B2 (en) 2010-09-30 2020-03-17 Ethicon Llc Adhesive film laminate
US10595835B2 (en) 2010-09-17 2020-03-24 Ethicon Llc Surgical instrument comprising a removable battery
US10617412B2 (en) 2015-03-06 2020-04-14 Ethicon Llc System for detecting the mis-insertion of a staple cartridge into a surgical stapler
US10639115B2 (en) 2012-06-28 2020-05-05 Ethicon Llc Surgical end effectors having angled tissue-contacting surfaces
US10660640B2 (en) 2008-02-14 2020-05-26 Ethicon Llc Motorized surgical cutting and fastening instrument
US10687806B2 (en) 2015-03-06 2020-06-23 Ethicon Llc Adaptive tissue compression techniques to adjust closure rates for multiple tissue types
US10695053B2 (en) 2006-09-29 2020-06-30 Ethicon Llc Surgical end effectors with staple cartridges
US10716614B2 (en) 2017-06-28 2020-07-21 Ethicon Llc Surgical shaft assemblies with slip ring assemblies with increased contact pressure
US10722234B2 (en) 2013-02-28 2020-07-28 Covidien Lp Adherence concepts for non-woven absorbable felt buttresses
US10729432B2 (en) 2015-03-06 2020-08-04 Ethicon Llc Methods for operating a powered surgical instrument
US10736628B2 (en) 2008-09-23 2020-08-11 Ethicon Llc Motor-driven surgical cutting instrument
US10736636B2 (en) 2014-12-10 2020-08-11 Ethicon Llc Articulatable surgical instrument system
US10758233B2 (en) 2009-02-05 2020-09-01 Ethicon Llc Articulatable surgical instrument comprising a firing drive
US10765424B2 (en) 2008-02-13 2020-09-08 Ethicon Llc Surgical stapling instrument
US10765429B2 (en) 2017-09-29 2020-09-08 Ethicon Llc Systems and methods for providing alerts according to the operational state of a surgical instrument
US10765425B2 (en) 2008-09-23 2020-09-08 Ethicon Llc Robotically-controlled motorized surgical instrument with an end effector
US10786255B2 (en) 2011-12-14 2020-09-29 Covidien Lp Buttress assembly for use with surgical stapling device
US10796471B2 (en) 2017-09-29 2020-10-06 Ethicon Llc Systems and methods of displaying a knife position for a surgical instrument
US10828028B2 (en) 2016-04-15 2020-11-10 Ethicon Llc Surgical instrument with multiple program responses during a firing motion
US10835249B2 (en) 2015-08-17 2020-11-17 Ethicon Llc Implantable layers for a surgical instrument
US10842489B2 (en) 2005-08-31 2020-11-24 Ethicon Llc Fastener cartridge assembly comprising a cam and driver arrangement
US10842491B2 (en) 2006-01-31 2020-11-24 Ethicon Llc Surgical system with an actuation console
US10842485B2 (en) 2009-10-15 2020-11-24 Covidien Lp Brachytherapy buttress
US10856868B2 (en) 2016-12-21 2020-12-08 Ethicon Llc Firing member pin configurations
US10881396B2 (en) 2017-06-20 2021-01-05 Ethicon Llc Surgical instrument with variable duration trigger arrangement
US10881395B2 (en) 2012-08-20 2021-01-05 Covidien Lp Buttress attachment features for surgical stapling apparatus
US10912575B2 (en) 2007-01-11 2021-02-09 Ethicon Llc Surgical stapling device having supports for a flexible drive mechanism
US10945727B2 (en) 2016-12-21 2021-03-16 Ethicon Llc Staple cartridge with deformable driver retention features
US10973516B2 (en) 2016-12-21 2021-04-13 Ethicon Llc Surgical end effectors and adaptable firing members therefor
US11039836B2 (en) 2007-01-11 2021-06-22 Cilag Gmbh International Staple cartridge for use with a surgical stapling instrument
CN113260318A (zh) * 2018-12-28 2021-08-13 西拉格国际有限公司 促进组织向内生长的外科缝合器支撑物
US11141153B2 (en) 2014-10-29 2021-10-12 Cilag Gmbh International Staple cartridges comprising driver arrangements
US11179150B2 (en) 2016-04-15 2021-11-23 Cilag Gmbh International Systems and methods for controlling a surgical stapling and cutting instrument
US11213293B2 (en) 2016-02-09 2022-01-04 Cilag Gmbh International Articulatable surgical instruments with single articulation link arrangements
US11224426B2 (en) 2016-02-12 2022-01-18 Cilag Gmbh International Mechanisms for compensating for drivetrain failure in powered surgical instruments
US11272927B2 (en) 2008-02-15 2022-03-15 Cilag Gmbh International Layer arrangements for surgical staple cartridges
US11344309B2 (en) 2019-07-05 2022-05-31 Covidien Lp Circular stapling instruments
US11497488B2 (en) 2014-03-26 2022-11-15 Cilag Gmbh International Systems and methods for controlling a segmented circuit
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
US11622766B2 (en) 2012-06-28 2023-04-11 Cilag Gmbh International Empty clip cartridge lockout

Families Citing this family (923)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5865361A (en) 1997-09-23 1999-02-02 United States Surgical Corporation Surgical stapling apparatus
US11890012B2 (en) 2004-07-28 2024-02-06 Cilag Gmbh International Staple cartridge comprising cartridge body and attached support
US8215531B2 (en) 2004-07-28 2012-07-10 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having a medical substance dispenser
US8905977B2 (en) 2004-07-28 2014-12-09 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having an electroactive polymer actuated medical substance dispenser
US7354447B2 (en) * 2005-11-10 2008-04-08 Ethicon Endo-Surgery, Inc. Disposable loading unit and surgical instruments including same
US7845536B2 (en) * 2004-10-18 2010-12-07 Tyco Healthcare Group Lp Annular adhesive structure
WO2006044490A2 (en) 2004-10-18 2006-04-27 Tyco Healthcare Group, Lp Annular adhesive structure
US7942890B2 (en) * 2005-03-15 2011-05-17 Tyco Healthcare Group Lp Anastomosis composite gasket
US9364229B2 (en) * 2005-03-15 2016-06-14 Covidien Lp Circular anastomosis structures
US7669746B2 (en) 2005-08-31 2010-03-02 Ethicon Endo-Surgery, Inc. Staple cartridges for forming staples having differing formed staple heights
US8800838B2 (en) 2005-08-31 2014-08-12 Ethicon Endo-Surgery, Inc. Robotically-controlled cable-based surgical end effectors
US11484312B2 (en) 2005-08-31 2022-11-01 Cilag Gmbh International Staple cartridge comprising a staple driver arrangement
US20070194079A1 (en) * 2005-08-31 2007-08-23 Hueil Joseph C Surgical stapling device with staple drivers of different height
US11246590B2 (en) 2005-08-31 2022-02-15 Cilag Gmbh International Staple cartridge including staple drivers having different unfired heights
US20070106317A1 (en) 2005-11-09 2007-05-10 Shelton Frederick E Iv Hydraulically and electrically actuated articulation joints for surgical instruments
US11278279B2 (en) 2006-01-31 2022-03-22 Cilag Gmbh International Surgical instrument assembly
US20110024477A1 (en) 2009-02-06 2011-02-03 Hall Steven G Driven Surgical Stapler Improvements
US8763879B2 (en) * 2006-01-31 2014-07-01 Ethicon Endo-Surgery, Inc. Accessing data stored in a memory of surgical instrument
US20110290856A1 (en) 2006-01-31 2011-12-01 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical instrument with force-feedback capabilities
US11224427B2 (en) 2006-01-31 2022-01-18 Cilag Gmbh International Surgical stapling system including a console and retraction assembly
US20110006101A1 (en) * 2009-02-06 2011-01-13 EthiconEndo-Surgery, Inc. Motor driven surgical fastener device with cutting member lockout arrangements
US20120292367A1 (en) 2006-01-31 2012-11-22 Ethicon Endo-Surgery, Inc. Robotically-controlled end effector
US8161977B2 (en) 2006-01-31 2012-04-24 Ethicon Endo-Surgery, Inc. Accessing data stored in a memory of a surgical instrument
US9861359B2 (en) 2006-01-31 2018-01-09 Ethicon Llc Powered surgical instruments with firing system lockout arrangements
US11793518B2 (en) 2006-01-31 2023-10-24 Cilag Gmbh International Powered surgical instruments with firing system lockout arrangements
US9629626B2 (en) * 2006-02-02 2017-04-25 Covidien Lp Mechanically tuned buttress material to assist with proper formation of surgical element in diseased tissue
US7793813B2 (en) * 2006-02-28 2010-09-14 Tyco Healthcare Group Lp Hub for positioning annular structure on a surgical device
US8992422B2 (en) 2006-03-23 2015-03-31 Ethicon Endo-Surgery, Inc. Robotically-controlled endoscopic accessory channel
US20070225562A1 (en) 2006-03-23 2007-09-27 Ethicon Endo-Surgery, Inc. Articulating endoscopic accessory channel
US7552854B2 (en) 2006-05-19 2009-06-30 Applied Medical Resources Corporation Surgical stapler with firing lock mechanism
US7740159B2 (en) 2006-08-02 2010-06-22 Ethicon Endo-Surgery, Inc. Pneumatically powered surgical cutting and fastening instrument with a variable control of the actuating rate of firing with mechanical power assist
US7845535B2 (en) 2006-10-06 2010-12-07 Tyco Healthcare Group Lp Surgical instrument having a plastic surface
US7845533B2 (en) 2007-06-22 2010-12-07 Tyco Healthcare Group Lp Detachable buttress material retention systems for use with a surgical stapling device
US7954682B2 (en) * 2007-01-10 2011-06-07 Ethicon Endo-Surgery, Inc. Surgical instrument with elements to communicate between control unit and end effector
US11291441B2 (en) 2007-01-10 2022-04-05 Cilag Gmbh International Surgical instrument with wireless communication between control unit and remote sensor
US7900805B2 (en) * 2007-01-10 2011-03-08 Ethicon Endo-Surgery, Inc. Surgical instrument with enhanced battery performance
US8459520B2 (en) 2007-01-10 2013-06-11 Ethicon Endo-Surgery, Inc. Surgical instrument with wireless communication between control unit and remote sensor
US20080169328A1 (en) * 2007-01-11 2008-07-17 Shelton Frederick E Buttress material for use with a surgical stapler
US9888924B2 (en) * 2007-03-06 2018-02-13 Covidien Lp Wound closure material
US20100076489A1 (en) * 2007-03-06 2010-03-25 Joshua Stopek Wound closure material
US8011555B2 (en) 2007-03-06 2011-09-06 Tyco Healthcare Group Lp Surgical stapling apparatus
US8727197B2 (en) 2007-03-15 2014-05-20 Ethicon Endo-Surgery, Inc. Staple cartridge cavity configuration with cooperative surgical staple
US8056787B2 (en) * 2007-03-28 2011-11-15 Ethicon Endo-Surgery, Inc. Surgical stapling and cutting instrument with travel-indicating retraction member
US7810693B2 (en) 2007-05-30 2010-10-12 Ethicon Endo-Surgery, Inc. Surgical stapling and cutting instrument with articulatable end effector
US7798386B2 (en) * 2007-05-30 2010-09-21 Ethicon Endo-Surgery, Inc. Surgical instrument articulation joint cover
US8157145B2 (en) 2007-05-31 2012-04-17 Ethicon Endo-Surgery, Inc. Pneumatically powered surgical cutting and fastening instrument with electrical feedback
US8534528B2 (en) 2007-06-04 2013-09-17 Ethicon Endo-Surgery, Inc. Surgical instrument having a multiple rate directional switching mechanism
US7819299B2 (en) * 2007-06-04 2010-10-26 Ethicon Endo-Surgery, Inc. Surgical instrument having a common trigger for actuating an end effector closing system and a staple firing system
US7832408B2 (en) * 2007-06-04 2010-11-16 Ethicon Endo-Surgery, Inc. Surgical instrument having a directional switching mechanism
US11857181B2 (en) 2007-06-04 2024-01-02 Cilag Gmbh International Robotically-controlled shaft based rotary drive systems for surgical instruments
US7905380B2 (en) 2007-06-04 2011-03-15 Ethicon Endo-Surgery, Inc. Surgical instrument having a multiple rate directional switching mechanism
US7950561B2 (en) * 2007-06-18 2011-05-31 Tyco Healthcare Group Lp Structure for attachment of buttress material to anvils and cartridges of surgical staplers
US8308040B2 (en) 2007-06-22 2012-11-13 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with an articulatable end effector
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
US8061576B2 (en) 2007-08-31 2011-11-22 Tyco Healthcare Group Lp Surgical instrument
ES2426767T3 (es) * 2007-10-08 2013-10-25 Gore Enterprise Holdings, Inc. Aparato para suministrar un refuerzo de líneas de grapas quirúrgicas
US8348129B2 (en) * 2009-10-09 2013-01-08 Ethicon Endo-Surgery, Inc. Surgical stapler having a closure mechanism
US7766209B2 (en) 2008-02-13 2010-08-03 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with improved firing trigger arrangement
US8540133B2 (en) * 2008-09-19 2013-09-24 Ethicon Endo-Surgery, Inc. Staple cartridge
US8453908B2 (en) * 2008-02-13 2013-06-04 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with improved firing trigger arrangement
US7819296B2 (en) * 2008-02-14 2010-10-26 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with retractable firing systems
US8758391B2 (en) * 2008-02-14 2014-06-24 Ethicon Endo-Surgery, Inc. Interchangeable tools for surgical instruments
US7866527B2 (en) 2008-02-14 2011-01-11 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with interlockable firing system
US7913891B2 (en) * 2008-02-14 2011-03-29 Ethicon Endo-Surgery, Inc. Disposable loading unit with user feedback features and surgical instrument for use therewith
US8752749B2 (en) 2008-02-14 2014-06-17 Ethicon Endo-Surgery, Inc. Robotically-controlled disposable motor-driven loading unit
US7793812B2 (en) 2008-02-14 2010-09-14 Ethicon Endo-Surgery, Inc. Disposable motor-driven loading unit for use with a surgical cutting and stapling apparatus
US7810692B2 (en) * 2008-02-14 2010-10-12 Ethicon Endo-Surgery, Inc. Disposable loading unit with firing indicator
US7861906B2 (en) 2008-02-14 2011-01-04 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with articulatable components
US7819298B2 (en) 2008-02-14 2010-10-26 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with control features operable with one hand
US8459525B2 (en) 2008-02-14 2013-06-11 Ethicon Endo-Sugery, Inc. Motorized surgical cutting and fastening instrument having a magnetic drive train torque limiting device
US8584919B2 (en) 2008-02-14 2013-11-19 Ethicon Endo-Sugery, Inc. Surgical stapling apparatus with load-sensitive firing mechanism
US7857185B2 (en) 2008-02-14 2010-12-28 Ethicon Endo-Surgery, Inc. Disposable loading unit for surgical stapling apparatus
US8657174B2 (en) 2008-02-14 2014-02-25 Ethicon Endo-Surgery, Inc. Motorized surgical cutting and fastening instrument having handle based power source
US8573465B2 (en) 2008-02-14 2013-11-05 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical end effector system with rotary actuated closure systems
US7819297B2 (en) 2008-02-14 2010-10-26 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with reprocessible handle assembly
US8622274B2 (en) 2008-02-14 2014-01-07 Ethicon Endo-Surgery, Inc. Motorized cutting and fastening instrument having control circuit for optimizing battery usage
US7980443B2 (en) * 2008-02-15 2011-07-19 Ethicon Endo-Surgery, Inc. End effectors for a surgical cutting and stapling instrument
US20090206131A1 (en) 2008-02-15 2009-08-20 Ethicon Endo-Surgery, Inc. End effector coupling arrangements for a surgical cutting and stapling instrument
US7959051B2 (en) * 2008-02-15 2011-06-14 Ethicon Endo-Surgery, Inc. Closure systems for a surgical cutting and stapling instrument
US20090206141A1 (en) 2008-02-15 2009-08-20 Ethicon Endo-Surgery, Inc. Buttress material having an activatable adhesive
US20220175372A1 (en) * 2008-02-15 2022-06-09 Cilag Gmbh International Releasable layer of material and surgical end effector having the same
US8608044B2 (en) 2008-02-15 2013-12-17 Ethicon Endo-Surgery, Inc. Feedback and lockout mechanism for surgical instrument
US7922061B2 (en) * 2008-05-21 2011-04-12 Ethicon Endo-Surgery, Inc. Surgical instrument with automatically reconfigurable articulating end effector
WO2010028332A2 (en) * 2008-09-08 2010-03-11 Mayo Foundation For Medical Education And Research Devices, kits and methods for surgical fastening
US8083120B2 (en) * 2008-09-18 2011-12-27 Ethicon Endo-Surgery, Inc. End effector for use with a surgical cutting and stapling instrument
US7837080B2 (en) * 2008-09-18 2010-11-23 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with device for indicating when the instrument has cut through tissue
PL3476312T3 (pl) 2008-09-19 2024-03-11 Ethicon Llc Stapler chirurgiczny z urządzeniem do dopasowania wysokości zszywek
US7857186B2 (en) 2008-09-19 2010-12-28 Ethicon Endo-Surgery, Inc. Surgical stapler having an intermediate closing position
US9050083B2 (en) 2008-09-23 2015-06-09 Ethicon Endo-Surgery, Inc. Motorized surgical instrument
US8628544B2 (en) 2008-09-23 2014-01-14 Covidien Lp Knife bar for surgical instrument
US7988028B2 (en) 2008-09-23 2011-08-02 Tyco Healthcare Group Lp Surgical instrument having an asymmetric dynamic clamping member
US11648005B2 (en) 2008-09-23 2023-05-16 Cilag Gmbh International Robotically-controlled motorized surgical instrument with an end effector
US8608045B2 (en) 2008-10-10 2013-12-17 Ethicon Endo-Sugery, Inc. Powered surgical cutting and stapling apparatus with manually retractable firing system
US8020743B2 (en) * 2008-10-15 2011-09-20 Ethicon Endo-Surgery, Inc. Powered articulatable surgical cutting and fastening instrument with flexible drive member
US20100147921A1 (en) * 2008-12-16 2010-06-17 Lee Olson Surgical Apparatus Including Surgical Buttress
WO2010081029A1 (en) 2009-01-08 2010-07-15 Rotation Medical, Inc. Implantable tendon protection systems and related kits and methods
US8397971B2 (en) * 2009-02-05 2013-03-19 Ethicon Endo-Surgery, Inc. Sterilizable surgical instrument
US20100193566A1 (en) * 2009-02-05 2010-08-05 Ethicon Endo-Surgery, Inc. Surgical stapling instrument
US8485413B2 (en) * 2009-02-05 2013-07-16 Ethicon Endo-Surgery, Inc. Surgical stapling instrument comprising an articulation joint
US8414577B2 (en) 2009-02-05 2013-04-09 Ethicon Endo-Surgery, Inc. Surgical instruments and components for use in sterile environments
CN102341048A (zh) 2009-02-06 2012-02-01 伊西康内外科公司 动力手术缝合器的改进
US8317071B1 (en) * 2009-03-09 2012-11-27 Cardica, Inc. Endocutter with auto-feed buttress
US9179910B2 (en) * 2009-03-20 2015-11-10 Rotation Medical, Inc. Medical device delivery system and method
US8365972B2 (en) 2009-03-31 2013-02-05 Covidien Lp Surgical stapling apparatus
US7988027B2 (en) 2009-03-31 2011-08-02 Tyco Healthcare Group Lp Crimp and release of suture holding buttress material
US8016178B2 (en) 2009-03-31 2011-09-13 Tyco Healthcare Group Lp Surgical stapling apparatus
US8348126B2 (en) 2009-03-31 2013-01-08 Covidien Lp Crimp and release of suture holding buttress material
US8292154B2 (en) * 2009-04-16 2012-10-23 Tyco Healthcare Group Lp Surgical apparatus for applying tissue fasteners
EP3308743A1 (en) 2009-06-04 2018-04-18 Rotation Medical, Inc. Methods and apparatus for deploying sheet-like materials
CA2763919C (en) 2009-06-04 2017-05-23 Rotation Medical, Inc. Apparatus for fixing sheet-like materials to a target tissue
US10293553B2 (en) 2009-10-15 2019-05-21 Covidien Lp Buttress brachytherapy and integrated staple line markers for margin identification
US8899466B2 (en) 2009-11-19 2014-12-02 Ethicon Endo-Surgery, Inc. Devices and methods for introducing a surgical circular stapling instrument into a patient
US8136712B2 (en) 2009-12-10 2012-03-20 Ethicon Endo-Surgery, Inc. Surgical stapler with discrete staple height adjustment and tactile feedback
US8220688B2 (en) 2009-12-24 2012-07-17 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting instrument with electric actuator directional control assembly
US8851354B2 (en) 2009-12-24 2014-10-07 Ethicon Endo-Surgery, Inc. Surgical cutting instrument that analyzes tissue thickness
US8267300B2 (en) * 2009-12-30 2012-09-18 Ethicon Endo-Surgery, Inc. Dampening device for endoscopic surgical stapler
US8608046B2 (en) * 2010-01-07 2013-12-17 Ethicon Endo-Surgery, Inc. Test device for a surgical tool
US9198750B2 (en) 2010-03-11 2015-12-01 Rotation Medical, Inc. Tendon repair implant and method of arthroscopic implantation
US8858577B2 (en) 2010-05-19 2014-10-14 University Of Utah Research Foundation Tissue stabilization system
US8672207B2 (en) 2010-07-30 2014-03-18 Ethicon Endo-Surgery, Inc. Transwall visualization arrangements and methods for surgical circular staplers
US8789740B2 (en) 2010-07-30 2014-07-29 Ethicon Endo-Surgery, Inc. Linear cutting and stapling device with selectively disengageable cutting member
US8360296B2 (en) 2010-09-09 2013-01-29 Ethicon Endo-Surgery, Inc. Surgical stapling head assembly with firing lockout for a surgical stapler
US9289212B2 (en) 2010-09-17 2016-03-22 Ethicon Endo-Surgery, Inc. Surgical instruments and batteries for surgical instruments
JP5721379B2 (ja) * 2010-09-21 2015-05-20 学校法人同志社 親水性高分子を含む自動縫合器用縫合補強材
US9877720B2 (en) 2010-09-24 2018-01-30 Ethicon Llc Control features for articulating surgical device
US8733613B2 (en) 2010-09-29 2014-05-27 Ethicon Endo-Surgery, Inc. Staple cartridge
US11298125B2 (en) 2010-09-30 2022-04-12 Cilag Gmbh International Tissue stapler having a thickness compensator
US20220338870A1 (en) * 2010-09-30 2022-10-27 Cilag Gmbh International Tissue thickness compensator comprising a reservoir
EP2621356B1 (en) * 2010-09-30 2018-03-07 Ethicon LLC Fastener system comprising a retention matrix and an alignment matrix
US9314246B2 (en) 2010-09-30 2016-04-19 Ethicon Endo-Surgery, Llc Tissue stapler having a thickness compensator incorporating an anti-inflammatory agent
US9629814B2 (en) * 2010-09-30 2017-04-25 Ethicon Endo-Surgery, Llc Tissue thickness compensator configured to redistribute compressive forces
US11812965B2 (en) * 2010-09-30 2023-11-14 Cilag Gmbh International Layer of material for a surgical end effector
US10945731B2 (en) * 2010-09-30 2021-03-16 Ethicon Llc Tissue thickness compensator comprising controlled release and expansion
US9204880B2 (en) 2012-03-28 2015-12-08 Ethicon Endo-Surgery, Inc. Tissue thickness compensator comprising capsules defining a low pressure environment
US9433419B2 (en) 2010-09-30 2016-09-06 Ethicon Endo-Surgery, Inc. Tissue thickness compensator comprising a plurality of layers
EP2621355B1 (en) * 2010-09-30 2022-01-19 Cilag GmbH International Fastener system comprising a retention matrix and a cover
US20220175370A1 (en) * 2010-09-30 2022-06-09 Cilag Gmbh International Tissue thickness compensator comprising at least one medicament
JP5908482B2 (ja) * 2010-09-30 2016-04-26 エシコン・エンド−サージェリィ・インコーポレイテッドＥｔｈｉｃｏｎ Ｅｎｄｏ−Ｓｕｒｇｅｒｙ，Ｉｎｃ． 保持マトリックスを含む締結具システム
US9307989B2 (en) 2012-03-28 2016-04-12 Ethicon Endo-Surgery, Llc Tissue stapler having a thickness compensator incorportating a hydrophobic agent
US9055941B2 (en) 2011-09-23 2015-06-16 Ethicon Endo-Surgery, Inc. Staple cartridge including collapsible deck
US9414838B2 (en) 2012-03-28 2016-08-16 Ethicon Endo-Surgery, Llc Tissue thickness compensator comprised of a plurality of materials
US11849952B2 (en) * 2010-09-30 2023-12-26 Cilag Gmbh International Staple cartridge comprising staples positioned within a compressible portion thereof
JP6014039B2 (ja) * 2010-09-30 2016-10-25 エシコン・エンド−サージェリィ・インコーポレイテッドＥｔｈｉｃｏｎ Ｅｎｄｏ−Ｓｕｒｇｅｒｙ，Ｉｎｃ． 生吸収性層を含む埋め込み可能な締結具カートリッジ
US8893949B2 (en) 2010-09-30 2014-11-25 Ethicon Endo-Surgery, Inc. Surgical stapler with floating anvil
US8695866B2 (en) 2010-10-01 2014-04-15 Ethicon Endo-Surgery, Inc. Surgical instrument having a power control circuit
US8900616B2 (en) 2010-10-22 2014-12-02 Covidien Lp System and method for satellite drug delivery
US8348130B2 (en) † 2010-12-10 2013-01-08 Covidien Lp Surgical apparatus including surgical buttress
US9084602B2 (en) 2011-01-26 2015-07-21 Covidien Lp Buttress film with hemostatic action for surgical stapling apparatus
US8852214B2 (en) 2011-02-04 2014-10-07 University Of Utah Research Foundation System for tissue fixation to bone
WO2012145059A1 (en) 2011-02-15 2012-10-26 Rotation Medical, Inc. Methods and apparatus for fixing sheet-like materials to a target tissue
WO2012112565A2 (en) 2011-02-15 2012-08-23 Rotation Medical, Inc. Methods and apparatus for delivering and positioning sheet-like materials
US9314314B2 (en) 2011-02-15 2016-04-19 Rotation Medical, Inc. Anatomical location markers and methods of use in positioning sheet-like materials during surgery
US8479968B2 (en) 2011-03-10 2013-07-09 Covidien Lp Surgical instrument buttress attachment
US8632462B2 (en) 2011-03-14 2014-01-21 Ethicon Endo-Surgery, Inc. Trans-rectum universal ports
US8926598B2 (en) 2011-03-15 2015-01-06 Ethicon Endo-Surgery, Inc. Surgical instruments with articulatable and rotatable end effector
US8800841B2 (en) 2011-03-15 2014-08-12 Ethicon Endo-Surgery, Inc. Surgical staple cartridges
US9044229B2 (en) 2011-03-15 2015-06-02 Ethicon Endo-Surgery, Inc. Surgical fastener instruments
RU2600201C2 (ru) * 2011-04-29 2016-10-20 Этикон Эндо-Серджери, Инк. Узел сжимаемой кассеты со скобами
CA2834477C (en) * 2011-04-29 2019-11-12 Ethicon Endo-Surgery, Inc. Tissue thickness compensator comprising detachable portions
CA2834421C (en) * 2011-04-29 2019-05-28 Ethicon Endo-Surgery, Inc. Compressible staple cartridge comprising alignment members
US11207064B2 (en) 2011-05-27 2021-12-28 Cilag Gmbh International Automated end effector component reloading system for use with a robotic system
US8998059B2 (en) 2011-08-01 2015-04-07 Ethicon Endo-Surgery, Inc. Adjunct therapy device having driver with cavity for hemostatic agent
US8833632B2 (en) 2011-09-06 2014-09-16 Ethicon Endo-Surgery, Inc. Firing member displacement system for a stapling instrument
US9101359B2 (en) 2011-09-13 2015-08-11 Ethicon Endo-Surgery, Inc. Surgical staple cartridge with self-dispensing staple buttress
US8998060B2 (en) 2011-09-13 2015-04-07 Ethicon Endo-Surgery, Inc. Resistive heated surgical staple cartridge with phase change sealant
US9999408B2 (en) 2011-09-14 2018-06-19 Ethicon Endo-Surgery, Inc. Surgical instrument with fluid fillable buttress
US9125649B2 (en) 2011-09-15 2015-09-08 Ethicon Endo-Surgery, Inc. Surgical instrument with filled staple
US20130068816A1 (en) * 2011-09-15 2013-03-21 Venkataramanan Mandakolathur Vasudevan Surgical instrument and buttress material
US9254180B2 (en) 2011-09-15 2016-02-09 Ethicon Endo-Surgery, Inc. Surgical instrument with staple reinforcement clip
US8814025B2 (en) 2011-09-15 2014-08-26 Ethicon Endo-Surgery, Inc. Fibrin pad matrix with suspended heat activated beads of adhesive
US9393018B2 (en) 2011-09-22 2016-07-19 Ethicon Endo-Surgery, Inc. Surgical staple assembly with hemostatic feature
US9198644B2 (en) * 2011-09-22 2015-12-01 Ethicon Endo-Surgery, Inc. Anvil cartridge for surgical fastening device
US20130075447A1 (en) * 2011-09-22 2013-03-28 II William B. Weisenburgh Adjunct therapy device for applying hemostatic agent
US9050084B2 (en) 2011-09-23 2015-06-09 Ethicon Endo-Surgery, Inc. Staple cartridge including collapsible deck arrangement
US8985429B2 (en) 2011-09-23 2015-03-24 Ethicon Endo-Surgery, Inc. Surgical stapling device with adjunct material application feature
US8899464B2 (en) 2011-10-03 2014-12-02 Ethicon Endo-Surgery, Inc. Attachment of surgical staple buttress to cartridge
US9089326B2 (en) 2011-10-07 2015-07-28 Ethicon Endo-Surgery, Inc. Dual staple cartridge for surgical stapler
US9675351B2 (en) 2011-10-26 2017-06-13 Covidien Lp Buttress release from surgical stapler by knife pushing
US8584920B2 (en) 2011-11-04 2013-11-19 Covidien Lp Surgical stapling apparatus including releasable buttress
US8740036B2 (en) 2011-12-01 2014-06-03 Covidien Lp Surgical instrument with actuator spring arm
US9010608B2 (en) 2011-12-14 2015-04-21 Covidien Lp Releasable buttress retention on a surgical stapler
WO2013119321A1 (en) 2011-12-19 2013-08-15 Rotation Medical, Inc. Fasteners for affixing sheet -like materials to bone or tissue
CA2859543A1 (en) 2011-12-19 2013-06-27 Rotation Medical, Inc. Apparatus and method for forming pilot holes in bone and delivering fasteners therein for retaining an implant
US9107661B2 (en) 2011-12-19 2015-08-18 Rotation Medical, Inc. Fasteners and fastener delivery devices for affixing sheet-like materials to bone or tissue
WO2013096224A1 (en) 2011-12-19 2013-06-27 Rotation Medical, Inc. Fasteners for affixing sheet -like materials to bone or tissue
WO2013101640A1 (en) 2011-12-29 2013-07-04 Rotation Medical, Inc. Guidewire having a distal fixation member for delivering and positioning sheet-like materials in surgery
WO2013101638A1 (en) 2011-12-29 2013-07-04 Rotation Medical, Inc. Methods and apparatus for delivering and positioning sheet -like materials in surgery
US9010612B2 (en) 2012-01-26 2015-04-21 Covidien Lp Buttress support design for EEA anvil
US9931116B2 (en) 2012-02-10 2018-04-03 Covidien Lp Buttress composition
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
US8820606B2 (en) 2012-02-24 2014-09-02 Covidien Lp Buttress retention system for linear endostaplers
US9078653B2 (en) 2012-03-26 2015-07-14 Ethicon Endo-Surgery, Inc. Surgical stapling device with lockout system for preventing actuation in the absence of an installed staple cartridge
BR112014024102B1 (pt) * 2012-03-28 2022-03-03 Ethicon Endo-Surgery, Inc Conjunto de cartucho de prendedores para um instrumento cirúrgico, e conjunto de atuador de extremidade para um instrumento cirúrgico
CN104349800B (zh) * 2012-03-28 2017-11-10 伊西康内外科公司 包括受控释放和膨胀的组织厚度补偿件
MX355789B (es) * 2012-03-28 2018-04-27 Ethicon Endo Surgery Inc Compensador de grosor de tejido que comprende características de crecimiento de tejido.
BR112014024198B1 (pt) * 2012-03-28 2022-05-17 Ethicon Endo-Surgery, Inc Conjunto de cartucho de grampos para um instrumento cirúrgico e conjunto de atuador de extremidade para um instrumento cirúrgico
US9198662B2 (en) 2012-03-28 2015-12-01 Ethicon Endo-Surgery, Inc. Tissue thickness compensator having improved visibility
BR112014024098B1 (pt) 2012-03-28 2021-05-25 Ethicon Endo-Surgery, Inc. cartucho de grampos
BR112014024197B1 (pt) * 2012-03-28 2022-05-10 Ethicon Endo-Surgery, Inc Conjunto de cartucho de prendedor es para um instrumento cirúrgico e conjunto de atuador de extremidade para um instrumento cirúrgico
US11871901B2 (en) 2012-05-20 2024-01-16 Cilag Gmbh International Method for situational awareness for surgical network or surgical network connected device capable of adjusting function based on a sensed situation or usage
US9101358B2 (en) 2012-06-15 2015-08-11 Ethicon Endo-Surgery, Inc. Articulatable surgical instrument comprising a firing drive
US9204879B2 (en) 2012-06-28 2015-12-08 Ethicon Endo-Surgery, Inc. Flexible drive member
US9119657B2 (en) 2012-06-28 2015-09-01 Ethicon Endo-Surgery, Inc. Rotary actuatable closure arrangement for surgical end effector
JP6290201B2 (ja) 2012-06-28 2018-03-07 エシコン・エンド−サージェリィ・インコーポレイテッドＥｔｈｉｃｏｎ Ｅｎｄｏ−Ｓｕｒｇｅｒｙ，Ｉｎｃ． 空クリップカートリッジ用のロックアウト
US9028494B2 (en) 2012-06-28 2015-05-12 Ethicon Endo-Surgery, Inc. Interchangeable end effector coupling arrangement
US8747238B2 (en) 2012-06-28 2014-06-10 Ethicon Endo-Surgery, Inc. Rotary drive shaft assemblies for surgical instruments with articulatable end effectors
US11278284B2 (en) 2012-06-28 2022-03-22 Cilag Gmbh International Rotary drive arrangements for surgical instruments
US9101385B2 (en) 2012-06-28 2015-08-11 Ethicon Endo-Surgery, Inc. Electrode connections for rotary driven surgical tools
US9125662B2 (en) 2012-06-28 2015-09-08 Ethicon Endo-Surgery, Inc. Multi-axis articulating and rotating surgical tools
US9072536B2 (en) 2012-06-28 2015-07-07 Ethicon Endo-Surgery, Inc. Differential locking arrangements for rotary powered surgical instruments
US9561038B2 (en) 2012-06-28 2017-02-07 Ethicon Endo-Surgery, Llc Interchangeable clip applier
BR112014032776B1 (pt) 2012-06-28 2021-09-08 Ethicon Endo-Surgery, Inc Sistema de instrumento cirúrgico e kit cirúrgico para uso com um sistema de instrumento cirúrgico
US10835241B2 (en) 2012-07-30 2020-11-17 Conextions, Inc. Devices, systems, and methods for repairing soft tissue and attaching soft tissue to bone
US10390935B2 (en) 2012-07-30 2019-08-27 Conextions, Inc. Soft tissue to bone repair devices, systems, and methods
US11253252B2 (en) 2012-07-30 2022-02-22 Conextions, Inc. Devices, systems, and methods for repairing soft tissue and attaching soft tissue to bone
US11944531B2 (en) 2012-07-30 2024-04-02 Conextions, Inc. Devices, systems, and methods for repairing soft tissue and attaching soft tissue to bone
US9427309B2 (en) 2012-07-30 2016-08-30 Conextions, Inc. Soft tissue repair devices, systems, and methods
US10219804B2 (en) 2012-07-30 2019-03-05 Conextions, Inc. Devices, systems, and methods for repairing soft tissue and attaching soft tissue to bone
US9629632B2 (en) 2012-07-30 2017-04-25 Conextions, Inc. Soft tissue repair devices, systems, and methods
FR2994185B1 (fr) * 2012-08-02 2015-07-31 Sofradim Production Procede de preparation d’une couche poreuse a base de chitosane
US9421396B2 (en) 2012-09-05 2016-08-23 Mayo Foundation For Medical Education And Research Brachytherapy and buttress element co-delivery
US9161753B2 (en) 2012-10-10 2015-10-20 Covidien Lp Buttress fixation for a circular stapler
US9386985B2 (en) 2012-10-15 2016-07-12 Ethicon Endo-Surgery, Llc Surgical cutting instrument
US20140131418A1 (en) 2012-11-09 2014-05-15 Covidien Lp Surgical Stapling Apparatus Including Buttress Attachment
US9192384B2 (en) 2012-11-09 2015-11-24 Covidien Lp Recessed groove for better suture retention
US9522002B2 (en) 2012-12-13 2016-12-20 Covidien Lp Surgical instrument with pressure distribution device
US9204881B2 (en) 2013-01-11 2015-12-08 Covidien Lp Buttress retainer for EEA anvil
US9192383B2 (en) 2013-02-04 2015-11-24 Covidien Lp Circular stapling device including buttress material
CN105120771B (zh) * 2013-02-08 2018-07-24 伊西康内外科公司 用于外科缝合装置的多种厚度可植入层
US9386984B2 (en) 2013-02-08 2016-07-12 Ethicon Endo-Surgery, Llc Staple cartridge comprising a releasable cover
CN110198673B (zh) * 2013-02-08 2022-04-15 伊西康内外科公司 包括远侧组织邻接构件的端部执行器
JP6293793B2 (ja) * 2013-02-08 2018-03-14 エシコン・エンド−サージェリィ・インコーポレイテッドＥｔｈｉｃｏｎ Ｅｎｄｏ−Ｓｕｒｇｅｒｙ，Ｉｎｃ． 着脱可能な材料層と同材料層を有する外科用エンドエフェクタ
US10092292B2 (en) 2013-02-28 2018-10-09 Ethicon Llc Staple forming features for surgical stapling instrument
US20140246475A1 (en) 2013-03-01 2014-09-04 Ethicon Endo-Surgery, Inc. Control methods for surgical instruments with removable implement portions
US20140263552A1 (en) 2013-03-13 2014-09-18 Ethicon Endo-Surgery, Inc. Staple cartridge tissue thickness sensor system
US9888921B2 (en) 2013-03-13 2018-02-13 Covidien Lp Surgical stapling apparatus
US9717498B2 (en) 2013-03-13 2017-08-01 Covidien Lp Surgical stapling apparatus
US9629628B2 (en) 2013-03-13 2017-04-25 Covidien Lp Surgical stapling apparatus
US9814463B2 (en) 2013-03-13 2017-11-14 Covidien Lp Surgical stapling apparatus
EP3412222B1 (en) 2013-03-14 2023-06-07 Applied Medical Resources Corporation Surgical stapler with partial pockets
US9629629B2 (en) 2013-03-14 2017-04-25 Ethicon Endo-Surgey, LLC Control systems for surgical instruments
EP3824819B1 (en) 2013-03-15 2023-08-30 Applied Medical Resources Corporation Surgical stapler having actuation mechanism with rotatable shaft
US9820742B2 (en) 2013-03-15 2017-11-21 Applied Medical Resources Corporation Surgical stapler with expandable jaw
US9572577B2 (en) 2013-03-27 2017-02-21 Ethicon Endo-Surgery, Llc Fastener cartridge comprising a tissue thickness compensator including openings therein
US9795384B2 (en) * 2013-03-27 2017-10-24 Ethicon Llc Fastener cartridge comprising a tissue thickness compensator and a gap setting element
US9332984B2 (en) 2013-03-27 2016-05-10 Ethicon Endo-Surgery, Llc Fastener cartridge assemblies
BR112015026109B1 (pt) 2013-04-16 2022-02-22 Ethicon Endo-Surgery, Inc Instrumento cirúrgico
US9574644B2 (en) 2013-05-30 2017-02-21 Ethicon Endo-Surgery, Llc Power module for use with a surgical instrument
US9775928B2 (en) 2013-06-18 2017-10-03 Covidien Lp Adhesive barbed filament
JP6416260B2 (ja) 2013-08-23 2018-10-31 エシコン エルエルシー 動力付き外科用器具のための発射部材後退装置
US9662108B2 (en) 2013-08-30 2017-05-30 Covidien Lp Surgical stapling apparatus
US20140171986A1 (en) 2013-09-13 2014-06-19 Ethicon Endo-Surgery, Inc. Surgical Clip Having Comliant Portion
CA2926750A1 (en) 2013-11-04 2015-05-07 Covidien Lp Surgical fastener applying apparatus
CN105682568B (zh) 2013-11-04 2018-10-23 柯惠Lp公司 手术紧固件施加装置
AU2013403916A1 (en) 2013-11-04 2016-04-28 Covidien Lp Surgical fastener applying apparatus
US10456129B2 (en) * 2013-11-08 2019-10-29 Ethicon Llc Positively charged implantable materials and method of forming the same
US20150134076A1 (en) * 2013-11-08 2015-05-14 Ethicon Endo-Surgery, Inc. Hybrid adjunct materials for use in surgical stapling
US9936950B2 (en) * 2013-11-08 2018-04-10 Ethicon Llc Hybrid adjunct materials for use in surgical stapling
US20150134077A1 (en) * 2013-11-08 2015-05-14 Ethicon Endo-Surgery, Inc. Sealing materials for use in surgical stapling
EP4344684A2 (en) 2013-12-17 2024-04-03 Standard Bariatrics Inc. Resection line guide for a medical procedure
US9867613B2 (en) 2013-12-19 2018-01-16 Covidien Lp Surgical staples and end effectors for deploying the same
US9968354B2 (en) 2013-12-23 2018-05-15 Ethicon Llc Surgical staples and methods for making the same
US20150173756A1 (en) 2013-12-23 2015-06-25 Ethicon Endo-Surgery, Inc. Surgical cutting and stapling methods
US9681870B2 (en) 2013-12-23 2017-06-20 Ethicon Llc Articulatable surgical instruments with separate and distinct closing and firing systems
US9642620B2 (en) 2013-12-23 2017-05-09 Ethicon Endo-Surgery, Llc Surgical cutting and stapling instruments with articulatable end effectors
US9839428B2 (en) 2013-12-23 2017-12-12 Ethicon Llc Surgical cutting and stapling instruments with independent jaw control features
US9724092B2 (en) 2013-12-23 2017-08-08 Ethicon Llc Modular surgical instruments
US9962161B2 (en) 2014-02-12 2018-05-08 Ethicon Llc Deliverable surgical instrument
US9848874B2 (en) 2014-02-14 2017-12-26 Covidien Lp Small diameter endoscopic stapler
US9839422B2 (en) 2014-02-24 2017-12-12 Ethicon Llc Implantable layers and methods for altering implantable layers for use with surgical fastening instruments
US10499908B2 (en) 2014-03-04 2019-12-10 Maquet Cardiovascular Llc Surgical implant and method and instrument for installing the same
WO2015134682A1 (en) 2014-03-04 2015-09-11 Maquet Cardiovascular Llc Surgical implant and method and instrument for installing the same
US11583384B2 (en) 2014-03-12 2023-02-21 Conextions, Inc. Devices, systems, and methods for repairing soft tissue and attaching soft tissue to bone
US9913642B2 (en) 2014-03-26 2018-03-13 Ethicon Llc Surgical instrument comprising a sensor system
BR112016021943B1 (pt) 2014-03-26 2022-06-14 Ethicon Endo-Surgery, Llc Instrumento cirúrgico para uso por um operador em um procedimento cirúrgico
US10201364B2 (en) 2014-03-26 2019-02-12 Ethicon Llc Surgical instrument comprising a rotatable shaft
US10004497B2 (en) 2014-03-26 2018-06-26 Ethicon Llc Interface systems for use with surgical instruments
US9724096B2 (en) 2014-03-29 2017-08-08 Standard Bariatrics, Inc. End effectors, surgical stapling devices, and methods of using same
EP3125796B1 (en) 2014-03-29 2024-03-06 Standard Bariatrics Inc. Surgical stapling devices
US9757126B2 (en) 2014-03-31 2017-09-12 Covidien Lp Surgical stapling apparatus with firing lockout mechanism
JP6643249B2 (ja) * 2014-04-16 2020-02-12 エシコン エルエルシーＥｔｈｉｃｏｎ ＬＬＣ 締結具カートリッジに装着された層を含む締結具カートリッジ
US20150297223A1 (en) 2014-04-16 2015-10-22 Ethicon Endo-Surgery, Inc. Fastener cartridges including extensions having different configurations
BR112016023825B1 (pt) 2014-04-16 2022-08-02 Ethicon Endo-Surgery, Llc Cartucho de grampos para uso com um grampeador cirúrgico e cartucho de grampos para uso com um instrumento cirúrgico
JP6636452B2 (ja) 2014-04-16 2020-01-29 エシコン エルエルシーＥｔｈｉｃｏｎ ＬＬＣ 異なる構成を有する延在部を含む締結具カートリッジ
JP6532889B2 (ja) 2014-04-16 2019-06-19 エシコン エルエルシーＥｔｈｉｃｏｎ ＬＬＣ 締結具カートリッジ組立体及びステープル保持具カバー配置構成
US9668733B2 (en) 2014-04-21 2017-06-06 Covidien Lp Stapling device with features to prevent inadvertent firing of staples
US9861366B2 (en) 2014-05-06 2018-01-09 Covidien Lp Ejecting assembly for a surgical stapler
JP6267365B2 (ja) 2014-05-09 2018-01-24 ローテーション メディカル インコーポレイテッドＲｏｔａｔｉｏｎ Ｍｅｄｉｃａｌ，Ｉｎｃ． シート状インプラント向けの医療用インプラント送達システム
EP3142569B1 (en) 2014-05-15 2023-12-27 Covidien LP Surgical fastener applying apparatus
US9848871B2 (en) * 2014-06-10 2017-12-26 Ethicon Llc Woven and fibrous materials for reinforcing a staple line
US10172611B2 (en) 2014-06-10 2019-01-08 Ethicon Llc Adjunct materials and methods of using same in surgical methods for tissue sealing
JP6674908B2 (ja) 2014-06-11 2020-04-01 アプライド メディカル リソーシーズ コーポレイション 円周方向発射方式の外科用ステープラ
US10045781B2 (en) 2014-06-13 2018-08-14 Ethicon Llc Closure lockout systems for surgical instruments
US11311294B2 (en) 2014-09-05 2022-04-26 Cilag Gmbh International Powered medical device including measurement of closure state of jaws
BR112017004361B1 (pt) 2014-09-05 2023-04-11 Ethicon Llc Sistema eletrônico para um instrumento cirúrgico
US10111679B2 (en) 2014-09-05 2018-10-30 Ethicon Llc Circuitry and sensors for powered medical device
ES2797755T3 (es) 2014-09-15 2020-12-03 Applied Med Resources Grapadora quirúrgica con altura de grapas autoajustable
US10105142B2 (en) 2014-09-18 2018-10-23 Ethicon Llc Surgical stapler with plurality of cutting elements
JP6648119B2 (ja) 2014-09-26 2020-02-14 エシコン エルエルシーＥｔｈｉｃｏｎ ＬＬＣ 外科ステープル留めバットレス及び付属物材料
US11523821B2 (en) 2014-09-26 2022-12-13 Cilag Gmbh International Method for creating a flexible staple line
US10076325B2 (en) 2014-10-13 2018-09-18 Ethicon Llc Surgical stapling apparatus comprising a tissue stop
US9924944B2 (en) 2014-10-16 2018-03-27 Ethicon Llc Staple cartridge comprising an adjunct material
US11504192B2 (en) 2014-10-30 2022-11-22 Cilag Gmbh International Method of hub communication with surgical instrument systems
EP3215025B1 (en) 2014-11-04 2020-12-23 Rotation Medical, Inc. Medical implant delivery system
US10675019B2 (en) 2014-11-04 2020-06-09 Rotation Medical, Inc. Medical implant delivery system and related methods
EP3215026B1 (en) 2014-11-04 2023-10-25 Rotation Medical, Inc. Medical implant delivery system
US9844376B2 (en) 2014-11-06 2017-12-19 Ethicon Llc Staple cartridge comprising a releasable adjunct material
US10085748B2 (en) 2014-12-18 2018-10-02 Ethicon Llc Locking arrangements for detachable shaft assemblies with articulatable surgical end effectors
US10117649B2 (en) 2014-12-18 2018-11-06 Ethicon Llc Surgical instrument assembly comprising a lockable articulation system
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
US10004501B2 (en) 2014-12-18 2018-06-26 Ethicon Llc Surgical instruments with improved closure arrangements
MX2017008108A (es) 2014-12-18 2018-03-06 Ethicon Llc Instrumento quirurgico con un yunque que puede moverse de manera selectiva sobre un eje discreto no movil con relacion a un cartucho de grapas.
US10188385B2 (en) 2014-12-18 2019-01-29 Ethicon Llc Surgical instrument system comprising lockable systems
US9987000B2 (en) 2014-12-18 2018-06-05 Ethicon Llc Surgical instrument assembly comprising a flexible articulation system
US10835216B2 (en) 2014-12-24 2020-11-17 Covidien Lp Spinneret for manufacture of melt blown nonwoven fabric
US10470767B2 (en) 2015-02-10 2019-11-12 Covidien Lp Surgical stapling instrument having ultrasonic energy delivery
US10039545B2 (en) 2015-02-23 2018-08-07 Covidien Lp Double fire stapling
US10085749B2 (en) 2015-02-26 2018-10-02 Covidien Lp Surgical apparatus with conductor strain relief
US10130367B2 (en) 2015-02-26 2018-11-20 Covidien Lp Surgical apparatus
US11154301B2 (en) 2015-02-27 2021-10-26 Cilag Gmbh International Modular stapling assembly
US9993258B2 (en) 2015-02-27 2018-06-12 Ethicon Llc Adaptable surgical instrument handle
US10180463B2 (en) 2015-02-27 2019-01-15 Ethicon Llc Surgical apparatus configured to assess whether a performance parameter of the surgical apparatus is within an acceptable performance band
US9901342B2 (en) 2015-03-06 2018-02-27 Ethicon Endo-Surgery, Llc Signal and power communication system positioned on a rotatable shaft
US9895148B2 (en) 2015-03-06 2018-02-20 Ethicon Endo-Surgery, Llc Monitoring speed control and precision incrementing of motor for powered surgical instruments
US10441279B2 (en) 2015-03-06 2019-10-15 Ethicon Llc Multiple level thresholds to modify operation of powered surgical instruments
US9924961B2 (en) 2015-03-06 2018-03-27 Ethicon Endo-Surgery, Llc Interactive feedback system for powered surgical instruments
JP2020121162A (ja) 2015-03-06 2020-08-13 エシコン エルエルシーＥｔｈｉｃｏｎ ＬＬＣ 測定の安定性要素、クリープ要素、及び粘弾性要素を決定するためのセンサデータの時間依存性評価
US10045776B2 (en) 2015-03-06 2018-08-14 Ethicon Llc Control techniques and sub-processor contained within modular shaft with select control processing from handle
US9993248B2 (en) 2015-03-06 2018-06-12 Ethicon Endo-Surgery, Llc Smart sensors with local signal processing
US9918717B2 (en) 2015-03-18 2018-03-20 Covidien Lp Pivot mechanism for surgical device
US10349939B2 (en) * 2015-03-25 2019-07-16 Ethicon Llc Method of applying a buttress to a surgical stapler
US10136891B2 (en) * 2015-03-25 2018-11-27 Ethicon Llc Naturally derived bioabsorbable polymer gel adhesive for releasably attaching a staple buttress to a surgical stapler
US10548593B2 (en) * 2015-03-25 2020-02-04 Ethicon Llc Flowable bioabsorbable polymer adhesive for releasably attaching a staple buttress to a surgical stapler
US10863984B2 (en) * 2015-03-25 2020-12-15 Ethicon Llc Low inherent viscosity bioabsorbable polymer adhesive for releasably attaching a staple buttress to a surgical stapler
US11020578B2 (en) 2015-04-10 2021-06-01 Covidien Lp Surgical stapler with integrated bladder
US10463368B2 (en) 2015-04-10 2019-11-05 Covidien Lp Endoscopic stapler
US10117650B2 (en) 2015-05-05 2018-11-06 Covidien Lp Adapter assembly and loading units for surgical stapling devices
US10299789B2 (en) 2015-05-05 2019-05-28 Covidie LP Adapter assembly for surgical stapling devices
WO2016179372A1 (en) 2015-05-06 2016-11-10 Rotation Medical, Inc. Medical implant delivery system and related methods
US10039532B2 (en) 2015-05-06 2018-08-07 Covidien Lp Surgical instrument with articulation assembly
US10349941B2 (en) 2015-05-27 2019-07-16 Covidien Lp Multi-fire lead screw stapling device
US10172615B2 (en) 2015-05-27 2019-01-08 Covidien Lp Multi-fire push rod stapling device
EP3307204B1 (en) 2015-06-15 2021-11-24 Rotation Medical, Inc. Tendon repair implant
US10368861B2 (en) 2015-06-18 2019-08-06 Ethicon Llc Dual articulation drive system arrangements for articulatable surgical instruments
US10548599B2 (en) 2015-07-20 2020-02-04 Covidien Lp Endoscopic stapler and staple
US9987012B2 (en) 2015-07-21 2018-06-05 Covidien Lp Small diameter cartridge design for a surgical stapling instrument
US10064622B2 (en) 2015-07-29 2018-09-04 Covidien Lp Surgical stapling loading unit with stroke counter and lockout
US10045782B2 (en) 2015-07-30 2018-08-14 Covidien Lp Surgical stapling loading unit with stroke counter and lockout
KR20240027156A (ko) 2015-08-06 2024-02-29 어플라이드 메디컬 리소시스 코포레이션 로킹 관절 조인트를 갖는 수술용 스테이플러
JP6828018B2 (ja) 2015-08-26 2021-02-10 エシコン エルエルシーＥｔｈｉｃｏｎ ＬＬＣ ステープルの特性変更を可能にし、カートリッジへの充填を容易にする外科用ステープルストリップ
US10569071B2 (en) 2015-08-31 2020-02-25 Ethicon Llc Medicant eluting adjuncts and methods of using medicant eluting adjuncts
US10086116B2 (en) * 2015-08-31 2018-10-02 Ethicon Llc Adjunct material to provide controlled drug release
US10076329B2 (en) * 2015-08-31 2018-09-18 Ethicon Llc Adjunct material to promote tissue growth in a colon
US10285692B2 (en) * 2015-08-31 2019-05-14 Ethicon Llc Adjuncts for surgical devices including agonists and antagonists
MX2022006192A (es) 2015-09-02 2022-06-16 Ethicon Llc Configuraciones de grapas quirurgicas con superficies de leva situadas entre porciones que soportan grapas quirurgicas.
US10285837B1 (en) 2015-09-16 2019-05-14 Standard Bariatrics, Inc. Systems and methods for measuring volume of potential sleeve in a sleeve gastrectomy
US10327769B2 (en) 2015-09-23 2019-06-25 Ethicon Llc Surgical stapler having motor control based on a drive system component
US10105139B2 (en) 2015-09-23 2018-10-23 Ethicon Llc Surgical stapler having downstream current-based motor control
US10085751B2 (en) 2015-09-23 2018-10-02 Ethicon Llc Surgical stapler having temperature-based motor control
US10238386B2 (en) 2015-09-23 2019-03-26 Ethicon Llc Surgical stapler having motor control based on an electrical parameter related to a motor current
US10076326B2 (en) 2015-09-23 2018-09-18 Ethicon Llc Surgical stapler having current mirror-based motor control
US10492790B2 (en) 2015-09-24 2019-12-03 Ethicon Llc Apparatus and method for cinching a straight staple line
US10299878B2 (en) 2015-09-25 2019-05-28 Ethicon Llc Implantable adjunct systems for determining adjunct skew
US11890015B2 (en) 2015-09-30 2024-02-06 Cilag Gmbh International Compressible adjunct with crossing spacer fibers
US10213204B2 (en) 2015-10-02 2019-02-26 Covidien Lp Micro surgical instrument and loading unit for use therewith
CN105288720B (zh) * 2015-10-19 2018-07-27 中国科学院苏州生物医学工程技术研究所 用于血管吻合的粘合型材
US10772632B2 (en) 2015-10-28 2020-09-15 Covidien Lp Surgical stapling device with triple leg staples
US10441286B2 (en) * 2015-10-29 2019-10-15 Ethicon Llc Multi-layer surgical stapler buttress assembly
US10499918B2 (en) * 2015-10-29 2019-12-10 Ethicon Llc Surgical stapler buttress assembly with features to interact with movable end effector components
US10314588B2 (en) * 2015-10-29 2019-06-11 Ethicon Llc Fluid penetrable buttress assembly for a surgical stapler
CN108430526B (zh) 2015-11-08 2021-08-10 奥姆里克斯生物药品有限公司 纤维素基短纤维和长纤维的止血混合物
US10595864B2 (en) 2015-11-24 2020-03-24 Covidien Lp Adapter assembly for interconnecting electromechanical surgical devices and surgical loading units, and surgical systems thereof
US10111660B2 (en) 2015-12-03 2018-10-30 Covidien Lp Surgical stapler flexible distal tip
US10292704B2 (en) 2015-12-30 2019-05-21 Ethicon Llc Mechanisms for compensating for battery pack failure in powered surgical instruments
US10265068B2 (en) 2015-12-30 2019-04-23 Ethicon Llc Surgical instruments with separable motors and motor control circuits
US10314689B2 (en) 2015-12-31 2019-06-11 Rotation Medical, Inc. Medical implant delivery system and related methods
WO2017117437A1 (en) 2015-12-31 2017-07-06 Rotation Medical, Inc. Fastener delivery system and related methods
US10966717B2 (en) 2016-01-07 2021-04-06 Covidien Lp Surgical fastener apparatus
US10660623B2 (en) 2016-01-15 2020-05-26 Covidien Lp Centering mechanism for articulation joint
BR112018016098B1 (pt) 2016-02-09 2023-02-23 Ethicon Llc Instrumento cirúrgico
US10349937B2 (en) 2016-02-10 2019-07-16 Covidien Lp Surgical stapler with articulation locking mechanism
US10420559B2 (en) 2016-02-11 2019-09-24 Covidien Lp Surgical stapler with small diameter endoscopic portion
US10258331B2 (en) 2016-02-12 2019-04-16 Ethicon Llc Mechanisms for compensating for drivetrain failure in powered surgical instruments
US10271851B2 (en) 2016-04-01 2019-04-30 Ethicon Llc Modular surgical stapling system comprising a display
US10307159B2 (en) 2016-04-01 2019-06-04 Ethicon Llc Surgical instrument handle assembly with reconfigurable grip portion
US10617413B2 (en) 2016-04-01 2020-04-14 Ethicon Llc Closure system arrangements for surgical cutting and stapling devices with separate and distinct firing shafts
US11284890B2 (en) 2016-04-01 2022-03-29 Cilag Gmbh International Circular stapling system comprising an incisable tissue support
US20170281182A1 (en) 2016-04-01 2017-10-05 Ethicon, Inc. Anastomotic Stapling Reinforcing Buttress and Methods of Deployment
JP7015246B2 (ja) 2016-04-12 2022-02-02 アプライド メディカル リソーシーズ コーポレイション 関節運動機構体を備えた外科用ステープラ
AU2017250264B2 (en) 2016-04-12 2021-12-02 Applied Medical Resources Corporation Reload shaft assembly for surgical stapler
EP4144304A1 (en) 2016-04-12 2023-03-08 Applied Medical Resources Corporation Surgical stapler having a powered handle
US10492783B2 (en) 2016-04-15 2019-12-03 Ethicon, Llc Surgical instrument with improved stop/start control during a firing motion
US11607239B2 (en) 2016-04-15 2023-03-21 Cilag Gmbh International Systems and methods for controlling a surgical stapling and cutting instrument
US11317917B2 (en) 2016-04-18 2022-05-03 Cilag Gmbh International Surgical stapling system comprising a lockable firing assembly
US20170296173A1 (en) 2016-04-18 2017-10-19 Ethicon Endo-Surgery, Llc Method for operating a surgical instrument
US10561419B2 (en) 2016-05-04 2020-02-18 Covidien Lp Powered end effector assembly with pivotable channel
US11065022B2 (en) 2016-05-17 2021-07-20 Covidien Lp Cutting member for a surgical instrument
US10959731B2 (en) 2016-06-14 2021-03-30 Covidien Lp Buttress attachment for surgical stapling instrument
USD826405S1 (en) 2016-06-24 2018-08-21 Ethicon Llc Surgical fastener
USD822206S1 (en) 2016-06-24 2018-07-03 Ethicon Llc Surgical fastener
USD850617S1 (en) 2016-06-24 2019-06-04 Ethicon Llc Surgical fastener cartridge
JP6957532B2 (ja) 2016-06-24 2021-11-02 エシコン エルエルシーＥｔｈｉｃｏｎ ＬＬＣ ワイヤステープル及び打ち抜き加工ステープルを含むステープルカートリッジ
USD847989S1 (en) 2016-06-24 2019-05-07 Ethicon Llc Surgical fastener cartridge
US11696822B2 (en) 2016-09-28 2023-07-11 Conextions, Inc. Devices, systems, and methods for repairing soft tissue and attaching soft tissue to bone
US11642126B2 (en) 2016-11-04 2023-05-09 Covidien Lp Surgical stapling apparatus with tissue pockets
US10631857B2 (en) 2016-11-04 2020-04-28 Covidien Lp Loading unit for surgical instruments with low profile pushers
US10492784B2 (en) 2016-11-08 2019-12-03 Covidien Lp Surgical tool assembly with compact firing assembly
US11026686B2 (en) * 2016-11-08 2021-06-08 Covidien Lp Structure for attaching buttress to anvil and/or cartridge of surgical stapling instrument
US10463371B2 (en) 2016-11-29 2019-11-05 Covidien Lp Reload assembly with spent reload indicator
CN110099619B (zh) 2016-12-21 2022-07-15 爱惜康有限责任公司 用于外科端部执行器和可替换工具组件的闭锁装置
US20180168615A1 (en) 2016-12-21 2018-06-21 Ethicon Endo-Surgery, Llc Method of deforming staples from two different types of staple cartridges with the same surgical stapling instrument
US10695055B2 (en) 2016-12-21 2020-06-30 Ethicon Llc Firing assembly comprising a lockout
US10682138B2 (en) 2016-12-21 2020-06-16 Ethicon Llc Bilaterally asymmetric staple forming pocket pairs
US10888322B2 (en) 2016-12-21 2021-01-12 Ethicon Llc Surgical instrument comprising a cutting member
US20180168648A1 (en) 2016-12-21 2018-06-21 Ethicon Endo-Surgery, Llc Durability features for end effectors and firing assemblies of surgical stapling instruments
US20180168625A1 (en) 2016-12-21 2018-06-21 Ethicon Endo-Surgery, Llc Surgical stapling instruments with smart staple cartridges
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
US11134942B2 (en) 2016-12-21 2021-10-05 Cilag Gmbh International Surgical stapling instruments and staple-forming anvils
JP7010956B2 (ja) 2016-12-21 2022-01-26 エシコン エルエルシー 組織をステープル留めする方法
MX2019007311A (es) 2016-12-21 2019-11-18 Ethicon Llc Sistemas de engrapado quirurgico.
US11090048B2 (en) 2016-12-21 2021-08-17 Cilag Gmbh International Method for resetting a fuse of a surgical instrument shaft
US11684367B2 (en) 2016-12-21 2023-06-27 Cilag Gmbh International Stepped assembly having and end-of-life indicator
US10588631B2 (en) 2016-12-21 2020-03-17 Ethicon Llc Surgical instruments with positive jaw opening features
US10993715B2 (en) 2016-12-21 2021-05-04 Ethicon Llc Staple cartridge comprising staples with different clamping breadths
US10687810B2 (en) 2016-12-21 2020-06-23 Ethicon Llc Stepped staple cartridge with tissue retention and gap setting features
US10709901B2 (en) 2017-01-05 2020-07-14 Covidien Lp Implantable fasteners, applicators, and methods for brachytherapy
US10874768B2 (en) 2017-01-20 2020-12-29 Covidien Lp Drug eluting medical device
US10952767B2 (en) 2017-02-06 2021-03-23 Covidien Lp Connector clip for securing an introducer to a surgical fastener applying apparatus
US11202632B2 (en) * 2017-02-17 2021-12-21 Cilag Gmbh International Adjunct material with mating features
US10869663B2 (en) * 2017-02-17 2020-12-22 Ethicon Llc End effector configured to mate with adjunct materials
US10716564B2 (en) * 2017-02-17 2020-07-21 Ethicon Llc Stapling adjunct attachment
US20180235625A1 (en) * 2017-02-17 2018-08-23 Ethicon Llc End effector with adjunct materials
US10646221B2 (en) * 2017-02-17 2020-05-12 Ethicon Llc Surgical adjunct retaining mechanisms
US20180235618A1 (en) 2017-02-22 2018-08-23 Covidien Lp Loading unit for surgical instruments with low profile pushers
US10849621B2 (en) 2017-02-23 2020-12-01 Covidien Lp Surgical stapler with small diameter endoscopic portion
US11350915B2 (en) 2017-02-23 2022-06-07 Covidien Lp Surgical stapler with small diameter endoscopic portion
US10925607B2 (en) 2017-02-28 2021-02-23 Covidien Lp Surgical stapling apparatus with staple sheath
US10299790B2 (en) 2017-03-03 2019-05-28 Covidien Lp Adapter with centering mechanism for articulation joint
US10368868B2 (en) 2017-03-09 2019-08-06 Covidien Lp Structure for attaching buttress material to anvil and cartridge of surgical stapling instrument
US10660641B2 (en) 2017-03-16 2020-05-26 Covidien Lp Adapter with centering mechanism for articulation joint
US11096610B2 (en) 2017-03-28 2021-08-24 Covidien Lp Surgical implants including sensing fibers
US11324502B2 (en) 2017-05-02 2022-05-10 Covidien Lp Surgical loading unit including an articulating end effector
US10603035B2 (en) 2017-05-02 2020-03-31 Covidien Lp Surgical loading unit including an articulating end effector
US10524784B2 (en) 2017-05-05 2020-01-07 Covidien Lp Surgical staples with expandable backspan
US10390826B2 (en) 2017-05-08 2019-08-27 Covidien Lp Surgical stapling device with elongated tool assembly and methods of use
US10420551B2 (en) 2017-05-30 2019-09-24 Covidien Lp Authentication and information system for reusable surgical instruments
US10478185B2 (en) 2017-06-02 2019-11-19 Covidien Lp Tool assembly with minimal dead space
USD879808S1 (en) 2017-06-20 2020-03-31 Ethicon Llc Display panel with graphical user interface
US10624633B2 (en) 2017-06-20 2020-04-21 Ethicon Llc Systems and methods for controlling motor velocity of a surgical stapling and cutting instrument
US10881399B2 (en) 2017-06-20 2021-01-05 Ethicon Llc Techniques for adaptive control of motor velocity of a surgical stapling and cutting instrument
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
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
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
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
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
USD890784S1 (en) 2017-06-20 2020-07-21 Ethicon Llc Display panel with changeable graphical user interface
USD879809S1 (en) 2017-06-20 2020-03-31 Ethicon Llc Display panel with changeable graphical user interface
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
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
US10779820B2 (en) 2017-06-20 2020-09-22 Ethicon Llc Systems and methods for controlling motor speed according to user input for a surgical instrument
US10646220B2 (en) 2017-06-20 2020-05-12 Ethicon Llc Systems and methods for controlling displacement member velocity for a surgical instrument
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
US10980537B2 (en) 2017-06-20 2021-04-20 Ethicon Llc Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on measured time over a specified number of shaft rotations
US11266405B2 (en) 2017-06-27 2022-03-08 Cilag Gmbh International Surgical anvil manufacturing methods
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
US20180368844A1 (en) 2017-06-27 2018-12-27 Ethicon Llc Staple forming pocket arrangements
US10993716B2 (en) 2017-06-27 2021-05-04 Ethicon Llc Surgical anvil arrangements
US10856869B2 (en) 2017-06-27 2020-12-08 Ethicon Llc Surgical anvil arrangements
US11246592B2 (en) 2017-06-28 2022-02-15 Cilag Gmbh International Surgical instrument comprising an articulation system lockable to a frame
USD869655S1 (en) 2017-06-28 2019-12-10 Ethicon Llc Surgical fastener cartridge
US11484310B2 (en) 2017-06-28 2022-11-01 Cilag Gmbh International Surgical instrument comprising a shaft including a closure tube profile
US10903685B2 (en) 2017-06-28 2021-01-26 Ethicon Llc Surgical shaft assemblies with slip ring assemblies forming capacitive channels
US11259805B2 (en) 2017-06-28 2022-03-01 Cilag Gmbh International Surgical instrument comprising firing member supports
US10765427B2 (en) 2017-06-28 2020-09-08 Ethicon Llc Method for articulating a surgical instrument
EP3420947B1 (en) 2017-06-28 2022-05-25 Cilag GmbH International Surgical instrument comprising selectively actuatable rotatable couplers
US10211586B2 (en) 2017-06-28 2019-02-19 Ethicon Llc Surgical shaft assemblies with watertight housings
US11564686B2 (en) 2017-06-28 2023-01-31 Cilag Gmbh International Surgical shaft assemblies with flexible interfaces
USD906355S1 (en) 2017-06-28 2020-12-29 Ethicon Llc Display screen or portion thereof with a graphical user interface for a surgical instrument
US11478242B2 (en) 2017-06-28 2022-10-25 Cilag Gmbh International Jaw retainer arrangement for retaining a pivotable surgical instrument jaw in pivotable retaining engagement with a second surgical instrument jaw
US10932772B2 (en) 2017-06-29 2021-03-02 Ethicon Llc Methods for closed loop velocity control for robotic surgical instrument
US11007022B2 (en) 2017-06-29 2021-05-18 Ethicon Llc Closed loop velocity control techniques based on sensed tissue parameters for robotic surgical instrument
US10898183B2 (en) 2017-06-29 2021-01-26 Ethicon Llc Robotic surgical instrument with closed loop feedback techniques for advancement of closure member during firing
US11304695B2 (en) 2017-08-03 2022-04-19 Cilag Gmbh International Surgical system shaft interconnection
US11944300B2 (en) 2017-08-03 2024-04-02 Cilag Gmbh International Method for operating a surgical system bailout
US11471155B2 (en) 2017-08-03 2022-10-18 Cilag Gmbh International Surgical system bailout
US10849625B2 (en) 2017-08-07 2020-12-01 Covidien Lp Surgical buttress retention systems for surgical stapling apparatus
US10912562B2 (en) 2017-08-14 2021-02-09 Standard Bariatrics, Inc. End effectors, surgical stapling devices, and methods of using same
US10624636B2 (en) 2017-08-23 2020-04-21 Covidien Lp Surgical stapling device with floating staple cartridge
US10945733B2 (en) 2017-08-23 2021-03-16 Covidien Lp Surgical buttress reload and tip attachment assemblies for surgical stapling apparatus
US10806452B2 (en) 2017-08-24 2020-10-20 Covidien Lp Loading unit for a surgical stapling instrument
US10966720B2 (en) * 2017-09-01 2021-04-06 RevMedica, Inc. Surgical stapler with removable power pack
USD907648S1 (en) 2017-09-29 2021-01-12 Ethicon Llc Display screen or portion thereof with animated graphical user interface
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
US10729501B2 (en) 2017-09-29 2020-08-04 Ethicon Llc Systems and methods for language selection of a surgical instrument
CN109575538B (zh) * 2017-09-29 2023-04-07 东丽先端材料研究开发（中国）有限公司 一种微多孔取向聚乳酸薄膜
US10743872B2 (en) 2017-09-29 2020-08-18 Ethicon Llc System and methods for controlling a display of a surgical instrument
USD907647S1 (en) 2017-09-29 2021-01-12 Ethicon Llc Display screen or portion thereof with animated graphical user interface
US11129636B2 (en) 2017-10-30 2021-09-28 Cilag Gmbh International Surgical instruments comprising an articulation drive that provides for high articulation angles
US11291510B2 (en) 2017-10-30 2022-04-05 Cilag Gmbh International Method of hub communication with surgical instrument systems
US11564756B2 (en) 2017-10-30 2023-01-31 Cilag Gmbh International Method of hub communication with surgical instrument systems
US11134944B2 (en) 2017-10-30 2021-10-05 Cilag Gmbh International Surgical stapler knife motion controls
US11311342B2 (en) 2017-10-30 2022-04-26 Cilag Gmbh International Method for communicating with surgical instrument systems
US11510741B2 (en) 2017-10-30 2022-11-29 Cilag Gmbh International Method for producing a surgical instrument comprising a smart electrical system
US11229436B2 (en) 2017-10-30 2022-01-25 Cilag Gmbh International Surgical system comprising a surgical tool and a surgical hub
US11317919B2 (en) 2017-10-30 2022-05-03 Cilag Gmbh International Clip applier comprising a clip crimping system
US11801098B2 (en) 2017-10-30 2023-10-31 Cilag Gmbh International Method of hub communication with surgical instrument systems
US11026687B2 (en) 2017-10-30 2021-06-08 Cilag Gmbh International Clip applier comprising clip advancing systems
US11090075B2 (en) 2017-10-30 2021-08-17 Cilag Gmbh International Articulation features for surgical end effector
US11911045B2 (en) 2017-10-30 2024-02-27 Cllag GmbH International Method for operating a powered articulating multi-clip applier
US10842490B2 (en) 2017-10-31 2020-11-24 Ethicon Llc Cartridge body design with force reduction based on firing completion
US10779903B2 (en) 2017-10-31 2020-09-22 Ethicon Llc Positive shaft rotation lock activated by jaw closure
US10925603B2 (en) 2017-11-14 2021-02-23 Covidien Lp Reload with articulation stabilization system
US10863987B2 (en) 2017-11-16 2020-12-15 Covidien Lp Surgical instrument with imaging device
AU2018380146B2 (en) 2017-12-07 2021-04-01 Rotation Medical, Inc. Medical implant delivery system and related methods
US11141151B2 (en) 2017-12-08 2021-10-12 Covidien Lp Surgical buttress for circular stapling
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
US10966718B2 (en) 2017-12-15 2021-04-06 Ethicon Llc Dynamic clamping assemblies with improved wear characteristics for use in connection with electromechanical surgical instruments
US10743874B2 (en) 2017-12-15 2020-08-18 Ethicon Llc Sealed adapters for use with electromechanical surgical instruments
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
US10743875B2 (en) 2017-12-15 2020-08-18 Ethicon Llc Surgical end effectors with jaw stiffener arrangements configured to permit monitoring of firing member
US10687813B2 (en) 2017-12-15 2020-06-23 Ethicon Llc Adapters with firing stroke sensing arrangements for use in connection with electromechanical surgical instruments
US11033267B2 (en) 2017-12-15 2021-06-15 Ethicon Llc Systems and methods of controlling a clamping member firing rate of a surgical instrument
US10869666B2 (en) 2017-12-15 2020-12-22 Ethicon Llc Adapters with control systems for controlling multiple motors of an electromechanical surgical instrument
US10779826B2 (en) 2017-12-15 2020-09-22 Ethicon Llc Methods of operating surgical end effectors
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
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
US11071543B2 (en) 2017-12-15 2021-07-27 Cilag Gmbh International Surgical end effectors with clamping assemblies configured to increase jaw aperture ranges
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
USD910847S1 (en) 2017-12-19 2021-02-16 Ethicon Llc Surgical instrument assembly
US11020112B2 (en) 2017-12-19 2021-06-01 Ethicon Llc Surgical tools configured for interchangeable use with different controller interfaces
US11045270B2 (en) 2017-12-19 2021-06-29 Cilag Gmbh International Robotic attachment comprising exterior drive actuator
US10716565B2 (en) 2017-12-19 2020-07-21 Ethicon Llc Surgical instruments with dual articulation drivers
US10729509B2 (en) 2017-12-19 2020-08-04 Ethicon Llc Surgical instrument comprising closure and firing locking mechanism
US11547397B2 (en) 2017-12-20 2023-01-10 Conextions, Inc. Devices, systems, and methods for repairing soft tissue and attaching soft tissue to bone
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
US11311290B2 (en) 2017-12-21 2022-04-26 Cilag Gmbh International Surgical instrument comprising an end effector dampener
US11179152B2 (en) 2017-12-21 2021-11-23 Cilag Gmbh International Surgical instrument comprising a tissue grasping system
US11026751B2 (en) 2017-12-28 2021-06-08 Cilag Gmbh International Display of alignment of staple cartridge to prior linear staple line
US11179175B2 (en) 2017-12-28 2021-11-23 Cilag Gmbh International Controlling an ultrasonic surgical instrument according to tissue location
US11423007B2 (en) 2017-12-28 2022-08-23 Cilag Gmbh International Adjustment of device control programs based on stratified contextual data in addition to the data
US11278281B2 (en) 2017-12-28 2022-03-22 Cilag Gmbh International Interactive surgical system
US11273001B2 (en) 2017-12-28 2022-03-15 Cilag Gmbh International Surgical hub and modular device response adjustment based on situational awareness
US11678881B2 (en) 2017-12-28 2023-06-20 Cilag Gmbh International Spatial awareness of surgical hubs in operating rooms
US11432885B2 (en) 2017-12-28 2022-09-06 Cilag Gmbh International Sensing arrangements for robot-assisted surgical platforms
US11100631B2 (en) 2017-12-28 2021-08-24 Cilag Gmbh International Use of laser light and red-green-blue coloration to determine properties of back scattered light
US11076921B2 (en) 2017-12-28 2021-08-03 Cilag Gmbh International Adaptive control program updates for surgical hubs
US11937769B2 (en) 2017-12-28 2024-03-26 Cilag Gmbh International Method of hub communication, processing, storage and display
US11304699B2 (en) 2017-12-28 2022-04-19 Cilag Gmbh International Method for adaptive control schemes for surgical network control and interaction
US11160605B2 (en) 2017-12-28 2021-11-02 Cilag Gmbh International Surgical evacuation sensing and motor control
US11529187B2 (en) 2017-12-28 2022-12-20 Cilag Gmbh International Surgical evacuation sensor arrangements
US11147607B2 (en) 2017-12-28 2021-10-19 Cilag Gmbh International Bipolar combination device that automatically adjusts pressure based on energy modality
US11659023B2 (en) 2017-12-28 2023-05-23 Cilag Gmbh International Method of hub communication
US11612444B2 (en) 2017-12-28 2023-03-28 Cilag Gmbh International Adjustment of a surgical device function based on situational awareness
US10892995B2 (en) 2017-12-28 2021-01-12 Ethicon Llc Surgical network determination of prioritization of communication, interaction, or processing based on system or device needs
US11257589B2 (en) 2017-12-28 2022-02-22 Cilag Gmbh International Real-time analysis of comprehensive cost of all instrumentation used in surgery utilizing data fluidity to track instruments through stocking and in-house processes
US10932872B2 (en) 2017-12-28 2021-03-02 Ethicon Llc Cloud-based medical analytics for linking of local usage trends with the resource acquisition behaviors of larger data set
US11744604B2 (en) 2017-12-28 2023-09-05 Cilag Gmbh International Surgical instrument with a hardware-only control circuit
US11266468B2 (en) 2017-12-28 2022-03-08 Cilag Gmbh International Cooperative utilization of data derived from secondary sources by intelligent surgical hubs
US11056244B2 (en) 2017-12-28 2021-07-06 Cilag Gmbh International Automated data scaling, alignment, and organizing based on predefined parameters within surgical networks
US11602393B2 (en) 2017-12-28 2023-03-14 Cilag Gmbh International Surgical evacuation sensing and generator control
US11540855B2 (en) 2017-12-28 2023-01-03 Cilag Gmbh International Controlling activation of an ultrasonic surgical instrument according to the presence of tissue
US11304720B2 (en) 2017-12-28 2022-04-19 Cilag Gmbh International Activation of energy devices
US20190201039A1 (en) 2017-12-28 2019-07-04 Ethicon Llc Situational awareness of electrosurgical systems
US11069012B2 (en) 2017-12-28 2021-07-20 Cilag Gmbh International Interactive surgical systems with condition handling of devices and data capabilities
US11419630B2 (en) 2017-12-28 2022-08-23 Cilag Gmbh International Surgical system distributed processing
US11202570B2 (en) 2017-12-28 2021-12-21 Cilag Gmbh International Communication hub and storage device for storing parameters and status of a surgical device to be shared with cloud based analytics systems
US11308075B2 (en) 2017-12-28 2022-04-19 Cilag Gmbh International Surgical network, instrument, and cloud responses based on validation of received dataset and authentication of its source and integrity
US11051876B2 (en) 2017-12-28 2021-07-06 Cilag Gmbh International Surgical evacuation flow paths
US11179208B2 (en) 2017-12-28 2021-11-23 Cilag Gmbh International Cloud-based medical analytics for security and authentication trends and reactive measures
US10892899B2 (en) 2017-12-28 2021-01-12 Ethicon Llc Self describing data packets generated at an issuing instrument
US20190201118A1 (en) 2017-12-28 2019-07-04 Ethicon Llc Display arrangements for robot-assisted surgical platforms
US11364075B2 (en) 2017-12-28 2022-06-21 Cilag Gmbh International Radio frequency energy device for delivering combined electrical signals
US11317937B2 (en) 2018-03-08 2022-05-03 Cilag Gmbh International Determining the state of an ultrasonic end effector
US11304763B2 (en) 2017-12-28 2022-04-19 Cilag Gmbh International Image capturing of the areas outside the abdomen to improve placement and control of a surgical device in use
US10987178B2 (en) 2017-12-28 2021-04-27 Ethicon Llc Surgical hub control arrangements
US11666331B2 (en) 2017-12-28 2023-06-06 Cilag Gmbh International Systems for detecting proximity of surgical end effector to cancerous tissue
US11096693B2 (en) 2017-12-28 2021-08-24 Cilag Gmbh International Adjustment of staple height of at least one row of staples based on the sensed tissue thickness or force in closing
US11304745B2 (en) 2017-12-28 2022-04-19 Cilag Gmbh International Surgical evacuation sensing and display
US10944728B2 (en) 2017-12-28 2021-03-09 Ethicon Llc Interactive surgical systems with encrypted communication capabilities
US11291495B2 (en) 2017-12-28 2022-04-05 Cilag Gmbh International Interruption of energy due to inadvertent capacitive coupling
US20190201146A1 (en) 2017-12-28 2019-07-04 Ethicon Llc Safety systems for smart powered surgical stapling
US11424027B2 (en) 2017-12-28 2022-08-23 Cilag Gmbh International Method for operating surgical instrument systems
US11589888B2 (en) 2017-12-28 2023-02-28 Cilag Gmbh International Method for controlling smart energy devices
US11253315B2 (en) 2017-12-28 2022-02-22 Cilag Gmbh International Increasing radio frequency to create pad-less monopolar loop
US11311306B2 (en) 2017-12-28 2022-04-26 Cilag Gmbh International Surgical systems for detecting end effector tissue distribution irregularities
US11284936B2 (en) 2017-12-28 2022-03-29 Cilag Gmbh International Surgical instrument having a flexible electrode
US11633237B2 (en) 2017-12-28 2023-04-25 Cilag Gmbh International Usage and technique analysis of surgeon / staff performance against a baseline to optimize device utilization and performance for both current and future procedures
US11045591B2 (en) 2017-12-28 2021-06-29 Cilag Gmbh International Dual in-series large and small droplet filters
US10758310B2 (en) 2017-12-28 2020-09-01 Ethicon Llc Wireless pairing of a surgical device with another device within a sterile surgical field based on the usage and situational awareness of devices
US11832899B2 (en) 2017-12-28 2023-12-05 Cilag Gmbh International Surgical systems with autonomously adjustable control programs
US11576677B2 (en) 2017-12-28 2023-02-14 Cilag Gmbh International Method of hub communication, processing, display, and cloud analytics
US20190200981A1 (en) 2017-12-28 2019-07-04 Ethicon Llc Method of compressing tissue within a stapling device and simultaneously displaying the location of the tissue within the jaws
US11234756B2 (en) 2017-12-28 2022-02-01 Cilag Gmbh International Powered surgical tool with predefined adjustable control algorithm for controlling end effector parameter
US20190201139A1 (en) 2017-12-28 2019-07-04 Ethicon Llc Communication arrangements for robot-assisted surgical platforms
US10966791B2 (en) 2017-12-28 2021-04-06 Ethicon Llc Cloud-based medical analytics for medical facility segmented individualization of instrument function
US11166772B2 (en) 2017-12-28 2021-11-09 Cilag Gmbh International Surgical hub coordination of control and communication of operating room devices
US11446052B2 (en) 2017-12-28 2022-09-20 Cilag Gmbh International Variation of radio frequency and ultrasonic power level in cooperation with varying clamp arm pressure to achieve predefined heat flux or power applied to tissue
US11389164B2 (en) 2017-12-28 2022-07-19 Cilag Gmbh International Method of using reinforced flexible circuits with multiple sensors to optimize performance of radio frequency devices
US11786251B2 (en) 2017-12-28 2023-10-17 Cilag Gmbh International Method for adaptive control schemes for surgical network control and interaction
US10755813B2 (en) 2017-12-28 2020-08-25 Ethicon Llc Communication of smoke evacuation system parameters to hub or cloud in smoke evacuation module for interactive surgical platform
US10849697B2 (en) 2017-12-28 2020-12-01 Ethicon Llc Cloud interface for coupled surgical devices
US11559307B2 (en) 2017-12-28 2023-01-24 Cilag Gmbh International Method of robotic hub communication, detection, and control
US11376002B2 (en) 2017-12-28 2022-07-05 Cilag Gmbh International Surgical instrument cartridge sensor assemblies
US11571234B2 (en) 2017-12-28 2023-02-07 Cilag Gmbh International Temperature control of ultrasonic end effector and control system therefor
US11896443B2 (en) 2017-12-28 2024-02-13 Cilag Gmbh International Control of a surgical system through a surgical barrier
US11559308B2 (en) 2017-12-28 2023-01-24 Cilag Gmbh International Method for smart energy device infrastructure
US11419667B2 (en) 2017-12-28 2022-08-23 Cilag Gmbh International Ultrasonic energy device which varies pressure applied by clamp arm to provide threshold control pressure at a cut progression location
US11410259B2 (en) 2017-12-28 2022-08-09 Cilag Gmbh International Adaptive control program updates for surgical devices
US11896322B2 (en) 2017-12-28 2024-02-13 Cilag Gmbh International Sensing the patient position and contact utilizing the mono-polar return pad electrode to provide situational awareness to the hub
US11786245B2 (en) 2017-12-28 2023-10-17 Cilag Gmbh International Surgical systems with prioritized data transmission capabilities
US11864728B2 (en) 2017-12-28 2024-01-09 Cilag Gmbh International Characterization of tissue irregularities through the use of mono-chromatic light refractivity
US11818052B2 (en) 2017-12-28 2023-11-14 Cilag Gmbh International Surgical network determination of prioritization of communication, interaction, or processing based on system or device needs
US11464559B2 (en) 2017-12-28 2022-10-11 Cilag Gmbh International Estimating state of ultrasonic end effector and control system therefor
US11857152B2 (en) 2017-12-28 2024-01-02 Cilag Gmbh International Surgical hub spatial awareness to determine devices in operating theater
US11832840B2 (en) 2017-12-28 2023-12-05 Cilag Gmbh International Surgical instrument having a flexible circuit
US11109866B2 (en) 2017-12-28 2021-09-07 Cilag Gmbh International Method for circular stapler control algorithm adjustment based on situational awareness
US11464535B2 (en) 2017-12-28 2022-10-11 Cilag Gmbh International Detection of end effector emersion in liquid
US10943454B2 (en) 2017-12-28 2021-03-09 Ethicon Llc Detection and escalation of security responses of surgical instruments to increasing severity threats
US11132462B2 (en) 2017-12-28 2021-09-28 Cilag Gmbh International Data stripping method to interrogate patient records and create anonymized record
US11903601B2 (en) 2017-12-28 2024-02-20 Cilag Gmbh International Surgical instrument comprising a plurality of drive systems
US11324557B2 (en) 2017-12-28 2022-05-10 Cilag Gmbh International Surgical instrument with a sensing array
US10945732B2 (en) 2018-01-17 2021-03-16 Covidien Lp Surgical stapler with self-returning assembly
US10631866B2 (en) 2018-02-06 2020-04-28 Ethicon Llc Release mechanism for linear surgical stapler
US10687819B2 (en) 2018-02-06 2020-06-23 Ethicon Llc Clamping mechanism for linear surgical stapler
US10898197B2 (en) 2018-02-06 2021-01-26 Ethicon Llc Releasable coupling features for proximal portions of linear surgical stapler
US10667818B2 (en) 2018-02-06 2020-06-02 Ethicon Llc Lockout assembly for linear surgical stapler
US10932781B2 (en) 2018-02-06 2021-03-02 Ethicon Llc Features to align and close linear surgical stapler
US10874398B2 (en) 2018-02-06 2020-12-29 Ethicon Llc Firing lever assembly for linear surgical stapler
CA3091800A1 (en) 2018-02-20 2019-08-29 Conextions, Inc. Devices, systems, and methods for repairing soft tissue and attaching soft tissue to bone
JP2021514261A (ja) * 2018-02-21 2021-06-10 エシコン エルエルシーＥｔｈｉｃｏｎ ＬＬＣ 編み組織足場
BR112020016895A2 (pt) 2018-02-21 2020-12-15 Ethicon Llc Arcabouços entrelaçados para tecido
US11504115B2 (en) 2018-02-21 2022-11-22 Cilag Gmbh International Three dimensional adjuncts
US10982360B2 (en) 2018-02-21 2021-04-20 Ethicon Llc Knitted tissue scaffolds
USD885574S1 (en) 2018-02-21 2020-05-26 Ethicon Llc Knitted tissue scaffold
US11065000B2 (en) * 2018-02-22 2021-07-20 Covidien Lp Surgical buttresses for surgical stapling apparatus
JP7423538B2 (ja) 2018-02-27 2024-01-29 アプライド メディカル リソーシーズ コーポレイション 電動ハンドルを有する外科用ステープラ
CN111801055A (zh) 2018-03-02 2020-10-20 柯惠有限合伙公司 外科缝合器械
US11389188B2 (en) 2018-03-08 2022-07-19 Cilag Gmbh International Start temperature of blade
US11589915B2 (en) 2018-03-08 2023-02-28 Cilag Gmbh International In-the-jaw classifier based on a model
US11259830B2 (en) 2018-03-08 2022-03-01 Cilag Gmbh International Methods for controlling temperature in ultrasonic device
US11213294B2 (en) 2018-03-28 2022-01-04 Cilag Gmbh International Surgical instrument comprising co-operating lockout features
US11090047B2 (en) 2018-03-28 2021-08-17 Cilag Gmbh International Surgical instrument comprising an adaptive control system
US11471156B2 (en) 2018-03-28 2022-10-18 Cilag Gmbh International Surgical stapling devices with improved rotary driven closure systems
US11096688B2 (en) 2018-03-28 2021-08-24 Cilag Gmbh International Rotary driven firing members with different anvil and channel engagement features
US11278280B2 (en) 2018-03-28 2022-03-22 Cilag Gmbh International Surgical instrument comprising a jaw closure lockout
US11219453B2 (en) 2018-03-28 2022-01-11 Cilag Gmbh International Surgical stapling devices with cartridge compatible closure and firing lockout arrangements
US11207067B2 (en) 2018-03-28 2021-12-28 Cilag Gmbh International Surgical stapling device with separate rotary driven closure and firing systems and firing member that engages both jaws while firing
US10973520B2 (en) 2018-03-28 2021-04-13 Ethicon Llc Surgical staple cartridge with firing member driven camming assembly that has an onboard tissue cutting feature
US11259806B2 (en) 2018-03-28 2022-03-01 Cilag Gmbh International Surgical stapling devices with features for blocking advancement of a camming assembly of an incompatible cartridge installed therein
US10758237B2 (en) 2018-04-30 2020-09-01 Covidien Lp Circular stapling apparatus with pinned buttress
US11284896B2 (en) 2018-05-09 2022-03-29 Covidien Lp Surgical buttress loading and attaching/detaching assemblies
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
US10849622B2 (en) 2018-06-21 2020-12-01 Covidien Lp Articulated stapling with fire lock
US11219460B2 (en) 2018-07-02 2022-01-11 Covidien Lp Surgical stapling apparatus with anvil buttress
US10736631B2 (en) 2018-08-07 2020-08-11 Covidien Lp End effector with staple cartridge ejector
US11045192B2 (en) 2018-08-20 2021-06-29 Cilag Gmbh International Fabricating techniques for surgical stapler anvils
US10779821B2 (en) 2018-08-20 2020-09-22 Ethicon Llc Surgical stapler anvils with tissue stop features configured to avoid tissue pinch
US11207065B2 (en) 2018-08-20 2021-12-28 Cilag Gmbh International Method for fabricating surgical stapler anvils
USD914878S1 (en) 2018-08-20 2021-03-30 Ethicon Llc Surgical instrument anvil
US10912559B2 (en) 2018-08-20 2021-02-09 Ethicon Llc Reinforced deformable anvil tip for surgical stapler anvil
US11039834B2 (en) 2018-08-20 2021-06-22 Cilag Gmbh International Surgical stapler anvils with staple directing protrusions and tissue stability features
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
US10856870B2 (en) 2018-08-20 2020-12-08 Ethicon Llc Switching arrangements for motor powered articulatable surgical instruments
US10842492B2 (en) 2018-08-20 2020-11-24 Ethicon Llc Powered articulatable surgical instruments with clutching and locking arrangements for linking an articulation drive system to a firing drive system
US11324501B2 (en) 2018-08-20 2022-05-10 Cilag Gmbh International Surgical stapling devices with improved closure members
US11291440B2 (en) 2018-08-20 2022-04-05 Cilag Gmbh International Method for operating a powered articulatable surgical instrument
US11253256B2 (en) 2018-08-20 2022-02-22 Cilag Gmbh International Articulatable motor powered surgical instruments with dedicated articulation motor arrangements
US10849620B2 (en) 2018-09-14 2020-12-01 Covidien Lp Connector mechanisms for surgical stapling instruments
US10806459B2 (en) 2018-09-14 2020-10-20 Covidien Lp Drug patterned reinforcement material for circular anastomosis
US11241236B2 (en) 2018-09-21 2022-02-08 Covidien Lp Buttress attachment methods for circular EEA staplers
US11510669B2 (en) 2020-09-29 2022-11-29 Covidien Lp Hand-held surgical instruments
US10952729B2 (en) 2018-10-03 2021-03-23 Covidien Lp Universal linear buttress retention/release assemblies and methods
US11090051B2 (en) 2018-10-23 2021-08-17 Covidien Lp Surgical stapling device with floating staple cartridge
US11197673B2 (en) 2018-10-30 2021-12-14 Covidien Lp Surgical stapling instruments and end effector assemblies thereof
US11147560B2 (en) 2018-11-07 2021-10-19 Covidien Lp Buttress for circular EEA staplers
US10912563B2 (en) 2019-01-02 2021-02-09 Covidien Lp Stapling device including tool assembly stabilizing member
US11317915B2 (en) 2019-02-19 2022-05-03 Cilag Gmbh International Universal cartridge based key feature that unlocks multiple lockout arrangements in different surgical staplers
US11291444B2 (en) 2019-02-19 2022-04-05 Cilag Gmbh International Surgical stapling assembly with cartridge based retainer configured to unlock a closure lockout
US11357503B2 (en) 2019-02-19 2022-06-14 Cilag Gmbh International Staple cartridge retainers with frangible retention features and methods of using same
US11464511B2 (en) 2019-02-19 2022-10-11 Cilag Gmbh International Surgical staple cartridges with movable authentication key arrangements
US11369377B2 (en) 2019-02-19 2022-06-28 Cilag Gmbh International Surgical stapling assembly with cartridge based retainer configured to unlock a firing lockout
CA3131187A1 (en) 2019-02-27 2020-09-03 Applied Medical Resources Corporation Surgical stapling instrument having a two-position lockout mechanism
US11344297B2 (en) 2019-02-28 2022-05-31 Covidien Lp Surgical stapling device with independently movable jaws
US11259808B2 (en) 2019-03-13 2022-03-01 Covidien Lp Tool assemblies with a gap locking member
US11147553B2 (en) 2019-03-25 2021-10-19 Cilag Gmbh International Firing drive arrangements for surgical systems
US11172929B2 (en) 2019-03-25 2021-11-16 Cilag Gmbh International Articulation drive arrangements for surgical systems
US11696761B2 (en) 2019-03-25 2023-07-11 Cilag Gmbh International Firing drive arrangements for surgical systems
US11147551B2 (en) 2019-03-25 2021-10-19 Cilag Gmbh International Firing drive arrangements for surgical systems
AU2020253285A1 (en) 2019-03-29 2021-09-30 Applied Medical Resources Corporation Reload cover for surgical stapling system
US11284892B2 (en) 2019-04-01 2022-03-29 Covidien Lp Loading unit and adapter with modified coupling assembly
US11284893B2 (en) 2019-04-02 2022-03-29 Covidien Lp Stapling device with articulating tool assembly
US11241228B2 (en) 2019-04-05 2022-02-08 Covidien Lp Surgical instrument including an adapter assembly and an articulating surgical loading unit
US11730472B2 (en) 2019-04-25 2023-08-22 Covidien Lp Surgical system and surgical loading units thereof
US11648009B2 (en) 2019-04-30 2023-05-16 Cilag Gmbh International Rotatable jaw tip for a surgical instrument
US11903581B2 (en) 2019-04-30 2024-02-20 Cilag Gmbh International Methods for stapling tissue using a surgical instrument
US11426251B2 (en) 2019-04-30 2022-08-30 Cilag Gmbh International Articulation directional lights on a surgical instrument
US11432816B2 (en) 2019-04-30 2022-09-06 Cilag Gmbh International Articulation pin for a surgical instrument
US11452528B2 (en) 2019-04-30 2022-09-27 Cilag Gmbh International Articulation actuators for a surgical instrument
US11253254B2 (en) 2019-04-30 2022-02-22 Cilag Gmbh International Shaft rotation actuator on a surgical instrument
US11471157B2 (en) 2019-04-30 2022-10-18 Cilag Gmbh International Articulation control mapping for a surgical instrument
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
USD950728S1 (en) 2019-06-25 2022-05-03 Cilag Gmbh International Surgical staple cartridge
USD952144S1 (en) 2019-06-25 2022-05-17 Cilag Gmbh International Surgical staple cartridge retainer with firing system authentication key
USD964564S1 (en) 2019-06-25 2022-09-20 Cilag Gmbh International Surgical staple cartridge retainer with a closure system authentication key
US11684434B2 (en) 2019-06-28 2023-06-27 Cilag Gmbh International Surgical RFID assemblies for instrument operational setting control
US11350938B2 (en) 2019-06-28 2022-06-07 Cilag Gmbh International Surgical instrument comprising an aligned rfid sensor
US11399837B2 (en) 2019-06-28 2022-08-02 Cilag Gmbh International Mechanisms for motor control adjustments of a motorized surgical instrument
US11478241B2 (en) * 2019-06-28 2022-10-25 Cilag Gmbh International Staple cartridge including projections
US11627959B2 (en) 2019-06-28 2023-04-18 Cilag Gmbh International Surgical instruments including manual and powered system lockouts
US11298127B2 (en) 2019-06-28 2022-04-12 Cilag GmbH Interational Surgical stapling system having a lockout mechanism for an incompatible cartridge
US11853835B2 (en) 2019-06-28 2023-12-26 Cilag Gmbh International RFID identification systems for surgical instruments
US11660163B2 (en) 2019-06-28 2023-05-30 Cilag Gmbh International Surgical system with RFID tags for updating motor assembly parameters
US11638587B2 (en) 2019-06-28 2023-05-02 Cilag Gmbh International RFID identification systems for surgical instruments
US11771419B2 (en) 2019-06-28 2023-10-03 Cilag Gmbh International Packaging for a replaceable component of a surgical stapling system
US11523822B2 (en) 2019-06-28 2022-12-13 Cilag Gmbh International Battery pack including a circuit interrupter
US11291451B2 (en) 2019-06-28 2022-04-05 Cilag Gmbh International Surgical instrument with battery compatibility verification functionality
US11051807B2 (en) 2019-06-28 2021-07-06 Cilag Gmbh International Packaging assembly including a particulate trap
US11246678B2 (en) 2019-06-28 2022-02-15 Cilag Gmbh International Surgical stapling system having a frangible RFID tag
US11464601B2 (en) 2019-06-28 2022-10-11 Cilag Gmbh International Surgical instrument comprising an RFID system for tracking a movable component
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
US11553971B2 (en) 2019-06-28 2023-01-17 Cilag Gmbh International Surgical RFID assemblies for display and communication
US11376098B2 (en) 2019-06-28 2022-07-05 Cilag Gmbh International Surgical instrument system comprising an RFID system
US11426167B2 (en) 2019-06-28 2022-08-30 Cilag Gmbh International Mechanisms for proper anvil attachment surgical stapling head assembly
US11259803B2 (en) 2019-06-28 2022-03-01 Cilag Gmbh International Surgical stapling system having an information encryption protocol
US11497492B2 (en) 2019-06-28 2022-11-15 Cilag Gmbh International Surgical instrument including an articulation lock
US11219455B2 (en) 2019-06-28 2022-01-11 Cilag Gmbh International Surgical instrument including a lockout key
US11361176B2 (en) 2019-06-28 2022-06-14 Cilag Gmbh International Surgical RFID assemblies for compatibility detection
US11224424B2 (en) 2019-08-02 2022-01-18 Covidien Lp Linear stapling device with vertically movable knife
US11534168B2 (en) * 2019-09-16 2022-12-27 Cilag Gmbh International Compressible non-fibrous adjuncts
US11406385B2 (en) 2019-10-11 2022-08-09 Covidien Lp Stapling device with a gap locking member
US11571208B2 (en) 2019-10-11 2023-02-07 Covidien Lp Surgical buttress loading units
CN114641265A (zh) 2019-11-04 2022-06-17 标准肥胖病研究公司 在手术期间使用拉普拉斯定律张力回缩进行手术的系统和方法
US11123068B2 (en) 2019-11-08 2021-09-21 Covidien Lp Surgical staple cartridge
US11707274B2 (en) 2019-12-06 2023-07-25 Covidien Lp Articulating mechanism for surgical instrument
US11523824B2 (en) * 2019-12-12 2022-12-13 Covidien Lp Anvil buttress loading for a surgical stapling apparatus
JP7397646B2 (ja) * 2019-12-12 2023-12-13 グンゼ株式会社 自動縫合器用縫合補強材
US11109862B2 (en) 2019-12-12 2021-09-07 Covidien Lp Surgical stapling device with flexible shaft
US11737747B2 (en) 2019-12-17 2023-08-29 Covidien Lp Hand-held surgical instruments
US11304696B2 (en) 2019-12-19 2022-04-19 Cilag Gmbh International Surgical instrument comprising a powered articulation system
US11529137B2 (en) 2019-12-19 2022-12-20 Cilag Gmbh International Staple cartridge comprising driver retention members
US11931033B2 (en) 2019-12-19 2024-03-19 Cilag Gmbh International Staple cartridge comprising a latch lockout
US11844520B2 (en) 2019-12-19 2023-12-19 Cilag Gmbh International Staple cartridge comprising driver retention members
US11234698B2 (en) 2019-12-19 2022-02-01 Cilag Gmbh International Stapling system comprising a clamp lockout and a firing lockout
US11446029B2 (en) 2019-12-19 2022-09-20 Cilag Gmbh International Staple cartridge comprising projections extending from 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
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
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
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
US11464512B2 (en) 2019-12-19 2022-10-11 Cilag Gmbh International Staple cartridge comprising a curved deck surface
US11452524B2 (en) 2020-01-31 2022-09-27 Covidien Lp Surgical stapling device with lockout
US11278282B2 (en) 2020-01-31 2022-03-22 Covidien Lp Stapling device with selective cutting
JP2023523507A (ja) 2020-02-14 2023-06-06 コヴィディエン リミテッド パートナーシップ 外科用ステープルのための、かつ周壁に組織を把持するための隆起を有する、カートリッジホルダ
US11344301B2 (en) 2020-03-02 2022-05-31 Covidien Lp Surgical stapling device with replaceable reload assembly
US11344302B2 (en) 2020-03-05 2022-05-31 Covidien Lp Articulation mechanism for surgical stapling device
US11707278B2 (en) 2020-03-06 2023-07-25 Covidien Lp Surgical stapler tool assembly to minimize bleeding
US11246593B2 (en) 2020-03-06 2022-02-15 Covidien Lp Staple cartridge
US11357505B2 (en) 2020-03-10 2022-06-14 Covidien Lp Surgical stapling apparatus with firing lockout mechanism
US11317911B2 (en) 2020-03-10 2022-05-03 Covidien Lp Tool assembly with replaceable cartridge assembly
US11406383B2 (en) 2020-03-17 2022-08-09 Covidien Lp Fire assisted powered EGIA handle
US11547407B2 (en) 2020-03-19 2023-01-10 Covidien Lp Staple line reinforcement for surgical stapling apparatus
US11426159B2 (en) 2020-04-01 2022-08-30 Covidien Lp Sled detection device
US11331098B2 (en) 2020-04-01 2022-05-17 Covidien Lp Sled detection device
US11504117B2 (en) 2020-04-02 2022-11-22 Covidien Lp Hand-held surgical instruments
US11337699B2 (en) 2020-04-28 2022-05-24 Covidien Lp Magnesium infused surgical buttress for surgical stapler
US11937794B2 (en) 2020-05-11 2024-03-26 Covidien Lp Powered handle assembly for surgical devices
US11406387B2 (en) 2020-05-12 2022-08-09 Covidien Lp Surgical stapling device with replaceable staple cartridge
US11191537B1 (en) 2020-05-12 2021-12-07 Covidien Lp Stapling device with continuously parallel jaws
US11534167B2 (en) 2020-05-28 2022-12-27 Covidien Lp Electrotaxis-conducive stapling
USD975278S1 (en) 2020-06-02 2023-01-10 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
USD966512S1 (en) 2020-06-02 2022-10-11 Cilag Gmbh International Staple cartridge
USD967421S1 (en) 2020-06-02 2022-10-18 Cilag Gmbh International Staple cartridge
USD974560S1 (en) 2020-06-02 2023-01-03 Cilag Gmbh International Staple cartridge
USD975850S1 (en) 2020-06-02 2023-01-17 Cilag Gmbh International Staple cartridge
US11191538B1 (en) 2020-06-08 2021-12-07 Covidien Lp Surgical stapling device with parallel jaw closure
US11844517B2 (en) 2020-06-25 2023-12-19 Covidien Lp Linear stapling device with continuously parallel jaws
US11324500B2 (en) 2020-06-30 2022-05-10 Covidien Lp Surgical stapling device
US11446028B2 (en) 2020-07-09 2022-09-20 Covidien Lp Tool assembly with pivotable clamping beam
US11517305B2 (en) 2020-07-09 2022-12-06 Covidien Lp Contoured staple pusher
US20220031320A1 (en) 2020-07-28 2022-02-03 Cilag Gmbh International Surgical instruments with flexible firing member actuator constraint arrangements
US11266402B2 (en) 2020-07-30 2022-03-08 Covidien Lp Sensing curved tip for surgical stapling instruments
US11439392B2 (en) 2020-08-03 2022-09-13 Covidien Lp Surgical stapling device and fastener for pathological exam
US11395654B2 (en) 2020-08-07 2022-07-26 Covidien Lp Surgical stapling device with articulation braking assembly
US11602342B2 (en) 2020-08-27 2023-03-14 Covidien Lp Surgical stapling device with laser probe
US11707276B2 (en) 2020-09-08 2023-07-25 Covidien Lp Surgical buttress assemblies and techniques for surgical stapling
US11660093B2 (en) * 2020-09-16 2023-05-30 Cilag Gmbh International Method of applying buttress to end effector of surgical stapler
US11678878B2 (en) 2020-09-16 2023-06-20 Covidien Lp Articulation mechanism for surgical stapling device
US11564683B2 (en) 2020-09-16 2023-01-31 Cilag Gmbh International Apparatus and method to apply buttress to end effector of surgical stapler via driven member
US11419605B2 (en) 2020-09-16 2022-08-23 Cilag Gmbh International Apparatus and method to close end effector of surgical stapler onto buttress
US11559306B2 (en) 2020-09-16 2023-01-24 Cilag Gmbh International Apparatus and method to detect full seating of buttress applicator in end effector of surgical stapler
US11413040B2 (en) 2020-09-16 2022-08-16 Cilag Gmbh International Apparatus and method to apply buttress to end effector of surgical stapler with authentication
US11452523B2 (en) 2020-09-16 2022-09-27 Cilag Gmbh International Apparatus and method to apply buttresses separately to jaws of end effector of surgical stapler
US11766261B2 (en) * 2020-09-16 2023-09-26 Cilag Gmbh International Apparatus and method to apply buttress to end effector of surgical stapler via fixed base
US11660092B2 (en) 2020-09-29 2023-05-30 Covidien Lp Adapter for securing loading units to handle assemblies of surgical stapling instruments
US11406384B2 (en) 2020-10-05 2022-08-09 Covidien Lp Stapling device with drive assembly stop member
US11576674B2 (en) 2020-10-06 2023-02-14 Covidien Lp Surgical stapling device with articulation lock assembly
US11399833B2 (en) 2020-10-19 2022-08-02 Covidien Lp Anvil buttress attachment for surgical stapling apparatus
US11717289B2 (en) 2020-10-29 2023-08-08 Cilag Gmbh International Surgical instrument comprising an indicator which indicates that an articulation drive is actuatable
CA3195757A1 (en) 2020-10-29 2022-05-05 Jonathan VON STEIN Actuation shaft retention mechanism for surgical stapler
US11452526B2 (en) 2020-10-29 2022-09-27 Cilag Gmbh International Surgical instrument comprising a staged voltage regulation start-up system
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
US11844518B2 (en) 2020-10-29 2023-12-19 Cilag Gmbh International Method for operating a surgical instrument
US11896217B2 (en) 2020-10-29 2024-02-13 Cilag Gmbh International Surgical instrument comprising an articulation lock
USD1013170S1 (en) 2020-10-29 2024-01-30 Cilag Gmbh International Surgical instrument assembly
US11779330B2 (en) 2020-10-29 2023-10-10 Cilag Gmbh International Surgical instrument comprising a jaw alignment system
JP2023548141A (ja) 2020-10-29 2023-11-15 アプライド メディカル リソーシーズ コーポレイション 電動ハンドルを有する外科用ステープラ
USD980425S1 (en) 2020-10-29 2023-03-07 Cilag Gmbh International Surgical instrument assembly
US11517390B2 (en) 2020-10-29 2022-12-06 Cilag Gmbh International Surgical instrument comprising a limited travel switch
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
US11890007B2 (en) 2020-11-18 2024-02-06 Covidien Lp Stapling device with flex cable and tensioning mechanism
US11648007B2 (en) 2020-11-25 2023-05-16 Cilag Gmbh International Compressible knitted adjuncts with varying fiber features
US11678883B2 (en) 2020-11-25 2023-06-20 Cilag Gmbh International Compressible knitted adjuncts with varying interconnections
US11707279B2 (en) 2020-11-25 2023-07-25 Cilag Gmbh International Compressible knitted adjuncts with finished edges
US11690617B2 (en) 2020-11-25 2023-07-04 Cilag Gmbh International Compressible knitted adjuncts with finished edges
US11446027B2 (en) 2020-11-25 2022-09-20 Cilag Gmbh International Compressible knitted adjuncts with surface features
US11944296B2 (en) 2020-12-02 2024-04-02 Cilag Gmbh International Powered surgical instruments with external connectors
US11744581B2 (en) 2020-12-02 2023-09-05 Cilag Gmbh International Powered surgical instruments with multi-phase tissue treatment
US11653915B2 (en) 2020-12-02 2023-05-23 Cilag Gmbh International Surgical instruments with sled location detection and adjustment features
US11678882B2 (en) 2020-12-02 2023-06-20 Cilag Gmbh International Surgical instruments with interactive features to remedy incidental sled movements
US11627960B2 (en) 2020-12-02 2023-04-18 Cilag Gmbh International Powered surgical instruments with smart reload with separately attachable exteriorly mounted wiring connections
US11653920B2 (en) 2020-12-02 2023-05-23 Cilag Gmbh International Powered surgical instruments with communication interfaces through sterile barrier
US11890010B2 (en) 2020-12-02 2024-02-06 Cllag GmbH International Dual-sided reinforced reload for surgical instruments
US11737751B2 (en) 2020-12-02 2023-08-29 Cilag Gmbh International Devices and methods of managing energy dissipated within sterile barriers of surgical instrument housings
US11849943B2 (en) 2020-12-02 2023-12-26 Cilag Gmbh International Surgical instrument with cartridge release mechanisms
US11737774B2 (en) 2020-12-04 2023-08-29 Covidien Lp Surgical instrument with articulation assembly
US11819200B2 (en) 2020-12-15 2023-11-21 Covidien Lp Surgical instrument with articulation assembly
US11553914B2 (en) 2020-12-22 2023-01-17 Covidien Lp Surgical stapling device with parallel jaw closure
US11534170B2 (en) 2021-01-04 2022-12-27 Covidien Lp Anvil buttress attachment for surgical stapling apparatus
US11759206B2 (en) 2021-01-05 2023-09-19 Covidien Lp Surgical stapling device with firing lockout mechanism
US11744582B2 (en) 2021-01-05 2023-09-05 Covidien Lp Surgical stapling device with firing lockout mechanism
US11759207B2 (en) 2021-01-27 2023-09-19 Covidien Lp Surgical stapling apparatus with adjustable height clamping member
US11517313B2 (en) 2021-01-27 2022-12-06 Covidien Lp Surgical stapling device with laminated drive member
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
US11701113B2 (en) 2021-02-26 2023-07-18 Cilag Gmbh International Stapling instrument comprising a separate power antenna and a data transfer antenna
US11751869B2 (en) 2021-02-26 2023-09-12 Cilag Gmbh International Monitoring of multiple sensors over time to detect moving characteristics of tissue
US11950777B2 (en) 2021-02-26 2024-04-09 Cilag Gmbh International Staple cartridge comprising an information access control system
US11925349B2 (en) 2021-02-26 2024-03-12 Cilag Gmbh International Adjustment to transfer parameters to improve available power
US11744583B2 (en) 2021-02-26 2023-09-05 Cilag Gmbh International Distal communication array to tune frequency of RF systems
US11749877B2 (en) 2021-02-26 2023-09-05 Cilag Gmbh International Stapling instrument comprising a signal antenna
US11723657B2 (en) 2021-02-26 2023-08-15 Cilag Gmbh International Adjustable communication based on available bandwidth and power capacity
US11730473B2 (en) 2021-02-26 2023-08-22 Cilag Gmbh International Monitoring of manufacturing life-cycle
US11812964B2 (en) 2021-02-26 2023-11-14 Cilag Gmbh International Staple cartridge comprising a power management circuit
US11696757B2 (en) 2021-02-26 2023-07-11 Cilag Gmbh International Monitoring of internal systems to detect and track cartridge motion status
US11717300B2 (en) 2021-03-11 2023-08-08 Covidien Lp Surgical stapling apparatus with integrated visualization
US11826042B2 (en) 2021-03-22 2023-11-28 Cilag Gmbh International Surgical instrument comprising a firing drive including a selectable leverage mechanism
US11759202B2 (en) 2021-03-22 2023-09-19 Cilag Gmbh International Staple cartridge comprising an implantable layer
US11717291B2 (en) 2021-03-22 2023-08-08 Cilag Gmbh International Staple cartridge comprising staples configured to apply different tissue compression
US11806011B2 (en) 2021-03-22 2023-11-07 Cilag Gmbh International Stapling instrument comprising tissue compression systems
US11737749B2 (en) 2021-03-22 2023-08-29 Cilag Gmbh International Surgical stapling instrument comprising a retraction system
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
BR112023019261A2 (pt) 2021-03-23 2023-10-24 Standard Bariatrics Inc Sistemas e métodos para prevenir a migração de tecidos em grampeadores cirúrgicos
US11793516B2 (en) 2021-03-24 2023-10-24 Cilag Gmbh International Surgical staple cartridge comprising longitudinal support beam
US11896218B2 (en) 2021-03-24 2024-02-13 Cilag Gmbh International Method of using a powered stapling device
US11944336B2 (en) 2021-03-24 2024-04-02 Cilag Gmbh International Joint arrangements for multi-planar alignment and support of operational drive shafts in articulatable surgical instruments
US11903582B2 (en) 2021-03-24 2024-02-20 Cilag Gmbh International Leveraging surfaces for cartridge installation
US11786239B2 (en) 2021-03-24 2023-10-17 Cilag Gmbh International Surgical instrument articulation joint arrangements comprising multiple moving linkage features
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
US11896219B2 (en) 2021-03-24 2024-02-13 Cilag Gmbh International Mating features between drivers and underside of a cartridge deck
US11849945B2 (en) 2021-03-24 2023-12-26 Cilag Gmbh International Rotary-driven surgical stapling assembly comprising eccentrically driven firing member
US11832816B2 (en) 2021-03-24 2023-12-05 Cilag Gmbh International Surgical stapling assembly comprising nonplanar staples and planar staples
US11857183B2 (en) 2021-03-24 2024-01-02 Cilag Gmbh International Stapling assembly components having metal substrates and plastic bodies
US11849944B2 (en) 2021-03-24 2023-12-26 Cilag Gmbh International Drivers for fastener cartridge assemblies having rotary drive screws
US11744603B2 (en) 2021-03-24 2023-09-05 Cilag Gmbh International Multi-axis pivot joints for surgical instruments and methods for manufacturing same
US11850332B2 (en) 2021-03-30 2023-12-26 Cilag Gmbh International Method for treating tissue
US11786240B2 (en) 2021-03-30 2023-10-17 Cilag Gmbh International Using smart packaging in adjusting use of tissue adjuncts
US11864765B2 (en) * 2021-03-30 2024-01-09 Cilag Gmbh International Compressible adjuncts with fluid control features
US11849950B2 (en) * 2021-03-30 2023-12-26 Cilag Gmbh International Compressible adjuncts with drug dosage control features
US11839374B2 (en) 2021-03-30 2023-12-12 Cilag Gmbh International Compressible adjuncts with drug release features
US11602341B2 (en) 2021-03-30 2023-03-14 Cilag Gmbh International Compressible adjuncts with drug release features
US11896226B2 (en) 2021-03-30 2024-02-13 Cilag Gmbh International Compressible adjuncts with healing-dependent degradation profile
US11627961B2 (en) 2021-03-30 2023-04-18 Cilag Gmbh International Compressible adjuncts with different behavioral zones
US11497495B2 (en) 2021-03-31 2022-11-15 Covidien Lp Continuous stapler strip for use with a surgical stapling device
US11666330B2 (en) 2021-04-05 2023-06-06 Covidien Lp Surgical stapling device with lockout mechanism
US11576670B2 (en) 2021-05-06 2023-02-14 Covidien Lp Surgical stapling device with optimized drive assembly
US11812956B2 (en) 2021-05-18 2023-11-14 Covidien Lp Dual firing radial stapling device
US11696755B2 (en) 2021-05-19 2023-07-11 Covidien Lp Surgical stapling device with reload assembly removal lockout
US11771423B2 (en) 2021-05-25 2023-10-03 Covidien Lp Powered stapling device with manual retraction
US11510673B1 (en) 2021-05-25 2022-11-29 Covidien Lp Powered stapling device with manual retraction
US11701119B2 (en) 2021-05-26 2023-07-18 Covidien Lp Powered stapling device with rack release
US11826047B2 (en) 2021-05-28 2023-11-28 Cilag Gmbh International Stapling instrument comprising jaw mounts
US11576675B2 (en) 2021-06-07 2023-02-14 Covidien Lp Staple cartridge with knife
US11596399B2 (en) 2021-06-23 2023-03-07 Covidien Lp Anvil buttress attachment for surgical stapling apparatus
US11510670B1 (en) 2021-06-23 2022-11-29 Covidien Lp Buttress attachment for surgical stapling apparatus
US11672538B2 (en) 2021-06-24 2023-06-13 Covidien Lp Surgical stapling device including a buttress retention assembly
US11617579B2 (en) 2021-06-29 2023-04-04 Covidien Lp Ultra low profile surgical stapling instrument for tissue resections
US11707275B2 (en) 2021-06-29 2023-07-25 Covidien Lp Asymmetrical surgical stapling device
US11602344B2 (en) 2021-06-30 2023-03-14 Covidien Lp Surgical stapling apparatus with firing lockout 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
US20230036899A1 (en) * 2021-08-02 2023-02-02 Covidien Lp Surgical stapling device with extrusion resistant tool assembly
US11540831B1 (en) 2021-08-12 2023-01-03 Covidien Lp Staple cartridge with actuation sled detection
US20230049352A1 (en) * 2021-08-13 2023-02-16 Cilag Gmbh International Circular surgical stapler end effector having staple line alignment feature
US11911039B2 (en) 2021-08-13 2024-02-27 Cilag Gmbh International Circular surgical stapler having staples with expandable crowns
US11944310B2 (en) 2021-08-13 2024-04-02 Cilag Gmbh International Non-circular end effector features for surgical stapler
US11779334B2 (en) 2021-08-19 2023-10-10 Covidien Lp Surgical stapling device including a manual retraction assembly
US11707277B2 (en) 2021-08-20 2023-07-25 Covidien Lp Articulating surgical stapling apparatus with pivotable knife bar guide assembly
US11576671B1 (en) 2021-08-20 2023-02-14 Covidien Lp Small diameter linear surgical stapling apparatus
US11801052B2 (en) * 2021-08-30 2023-10-31 Covidien Lp Assemblies for surgical stapling instruments
US11864761B2 (en) 2021-09-14 2024-01-09 Covidien Lp Surgical instrument with illumination mechanism
US11653922B2 (en) 2021-09-29 2023-05-23 Covidien Lp Surgical stapling device with firing lockout mechanism
US11660094B2 (en) 2021-09-29 2023-05-30 Covidien Lp Surgical fastening instrument with two-part surgical fasteners
US11849949B2 (en) 2021-09-30 2023-12-26 Covidien Lp Surgical stapling device with firing lockout member
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
US20230263525A1 (en) * 2022-02-24 2023-08-24 Covidien Lp Surgical medical devices

Family Cites Families (303)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3124136A (en) * 1964-03-10 Method of repairing body tissue
US3054406A (en) 1958-10-17 1962-09-18 Phillips Petroleum Co Surgical mesh
US3079606A (en) 1960-01-04 1963-03-05 Bobrov Boris Sergeevich Instrument for placing lateral gastrointestinal anastomoses
US3490675A (en) 1966-10-10 1970-01-20 United States Surgical Corp Instrument for placing lateral gastrointestinal anastomoses
US3499591A (en) 1967-06-23 1970-03-10 United States Surgical Corp Instrument for placing lateral gastro-intestinal anastomoses
US3797494A (en) 1969-04-01 1974-03-19 Alza Corp Bandage for the administration of drug by controlled metering through microporous materials
US3825007A (en) * 1972-01-07 1974-07-23 R Rand Pledgets
US4429695A (en) 1980-02-05 1984-02-07 United States Surgical Corporation Surgical instruments
US4452245A (en) * 1980-06-06 1984-06-05 Usher Francis C Surgical mesh and method
US4347847A (en) 1980-06-06 1982-09-07 Usher Francis C Method of hernia repair
US4354628A (en) 1980-09-29 1982-10-19 United States Surgical Corporation Surgical stapler apparatus having pivotally related staple holder and anvil
US4605730A (en) 1982-10-01 1986-08-12 Ethicon, Inc. Surgical articles of copolymers of glycolide and ε-caprolactone and methods of producing the same
US4633873A (en) * 1984-04-26 1987-01-06 American Cyanamid Company Surgical repair mesh
US4655221A (en) * 1985-05-06 1987-04-07 American Cyanamid Company Method of using a surgical repair mesh
US5002551A (en) * 1985-08-22 1991-03-26 Johnson & Johnson Medical, Inc. Method and material for prevention of surgical adhesions
SE450087B (sv) 1985-10-11 1987-06-09 Haessle Ab Korn med kontrollerad frisettning av farmaceutiskt aktiva emnen som anbringats teckande pa ett kompakt olosligt kernmaterial
US4834090A (en) * 1987-03-02 1989-05-30 Moore J Paul Suture boot
US5285944A (en) * 1987-05-26 1994-02-15 United States Surgical Corporation Surgical stapler apparatus
CA1335527C (en) 1988-02-01 1995-05-16 Arnold Lee Dellon Bioabsorbable surgical device for treating nerve defects
US5201745A (en) * 1988-03-15 1993-04-13 Imedex Visceral surgery patch
US5112496A (en) 1988-11-02 1992-05-12 Petrolite Corporation Methods for inhibition of scale in high brine environments
AU4633589A (en) 1988-11-18 1990-06-12 Immuno Sweden Ab Instrument for anastomosis
US4930674A (en) * 1989-02-24 1990-06-05 Abiomed, Inc. Surgical stapler
US5104400A (en) * 1989-05-26 1992-04-14 Impra, Inc. Blood vessel patch
US5040715B1 (en) 1989-05-26 1994-04-05 United States Surgical Corp Apparatus and method for placing staples in laparoscopic or endoscopic procedures
US5318221A (en) 1989-05-26 1994-06-07 United States Surgical Corporation Apparatus and method for placing staples in laparoscopic or endoscopic procedures
US5014899A (en) * 1990-03-30 1991-05-14 United States Surgical Corporation Surgical stapling apparatus
US5314471A (en) * 1991-07-24 1994-05-24 Baxter International Inc. Tissue inplant systems and methods for sustaining viable high cell densities within a host
US5344454A (en) 1991-07-24 1994-09-06 Baxter International Inc. Closed porous chambers for implanting tissue in a host
US5690675A (en) 1991-02-13 1997-11-25 Fusion Medical Technologies, Inc. Methods for sealing of staples and other fasteners in tissue
US5065929A (en) 1991-04-01 1991-11-19 Ethicon, Inc. Surgical stapler with locking means
US6773458B1 (en) 1991-07-24 2004-08-10 Baxter International Inc. Angiogenic tissue implant systems and methods
GR920100358A (el) * 1991-08-23 1993-06-07 Ethicon Inc Οργανο συρραφής χειρουργικής αναστομώσεως.
CA2075141C (en) 1991-10-17 1998-06-30 Donald A. Morin Anvil for surgical staplers
US5443198A (en) * 1991-10-18 1995-08-22 United States Surgical Corporation Surgical fastener applying apparatus
US5307976A (en) 1991-10-18 1994-05-03 Ethicon, Inc. Linear stapling mechanism with cutting means
US5312023A (en) 1991-10-18 1994-05-17 United States Surgical Corporation Self contained gas powered surgical apparatus
US5326013A (en) 1991-10-18 1994-07-05 United States Surgical Corporation Self contained gas powered surgical apparatus
US5332142A (en) 1991-10-18 1994-07-26 Ethicon, Inc. Linear stapling mechanism with cutting means
US5766246A (en) * 1992-05-20 1998-06-16 C. R. Bard, Inc. Implantable prosthesis and method and apparatus for loading and delivering an implantable prothesis
WO1995016221A1 (en) 1992-06-12 1995-06-15 Boit, Inc. Liquid crystal color modulation displays
US5263629A (en) 1992-06-29 1993-11-23 Ethicon, Inc. Method and apparatus for achieving hemostasis along a staple line
US5281197A (en) 1992-07-27 1994-01-25 Symbiosis Corporation Endoscopic hemostatic agent delivery system
US5330486A (en) 1992-07-29 1994-07-19 Wilk Peter J Laparoscopic or endoscopic anastomosis technique and associated instruments
CA2108605A1 (en) 1992-10-21 1994-04-22 Nagabhushanam Totakura Bioabsorbable foam pledget
US5468253A (en) 1993-01-21 1995-11-21 Ethicon, Inc. Elastomeric medical device
US5397324A (en) * 1993-03-10 1995-03-14 Carroll; Brendan J. Surgical stapler instrument and method for vascular hemostasis
US5415334A (en) 1993-05-05 1995-05-16 Ethicon Endo-Surgery Surgical stapler and staple cartridge
GB9317490D0 (en) 1993-08-23 1993-10-06 Hercules Inc Diaper barrier leg-cuff fabrics
US5441193A (en) 1993-09-23 1995-08-15 United States Surgical Corporation Surgical fastener applying apparatus with resilient film
US5542594A (en) * 1993-10-06 1996-08-06 United States Surgical Corporation Surgical stapling apparatus with biocompatible surgical fabric
CA2132917C (en) 1993-10-07 2004-12-14 John Charles Robertson Circular anastomosis device
JP3414455B2 (ja) 1993-11-02 2003-06-09 オリンパス光学工業株式会社 縫合装置
FR2715309B1 (fr) 1994-01-24 1996-08-02 Imedex Composition adhésive, à usage chirurgical, à base de collagène modifié par coupure oxydative et non réticulé.
US5503638A (en) 1994-02-10 1996-04-02 Bio-Vascular, Inc. Soft tissue stapling buttress
US6704210B1 (en) * 1994-05-20 2004-03-09 Medtronic, Inc. Bioprothesis film strip for surgical stapler and method of attaching the same
US5814057A (en) * 1994-06-03 1998-09-29 Gunze Limited Supporting element for staple region
US5833695A (en) 1994-07-13 1998-11-10 Yoon; Inbae Surgical stapling system and method of applying staples from multiple staple cartridges
AU1430795A (en) 1994-07-27 1996-02-22 W.L. Gore & Associates, Inc. High strength porous ptfe sheet material
US6280453B1 (en) 1994-09-29 2001-08-28 Bard Asdi Inc. Hernia mesh patch with stiffener line segment
US6030392A (en) 1995-01-18 2000-02-29 Motorola, Inc. Connector for hollow anatomical structures and methods of use
JP3795100B2 (ja) 1995-05-08 2006-07-12 株式会社伊垣医療設計 医療用縫合材
JP3526487B2 (ja) * 1995-05-08 2004-05-17 株式会社伊垣医療設計 医療用縫合材
US5895415A (en) * 1995-06-06 1999-04-20 Optobionics Corporation Multi-phasic microphotodiode retinal implant and adaptive imaging retinal stimulation system
US5902312A (en) * 1995-07-03 1999-05-11 Frater; Dirk A. System for mounting bolster material on tissue staplers
US6019791A (en) * 1995-07-17 2000-02-01 Wood; Alfred E. Buttress for cardiac valve reconstruction
US5702409A (en) 1995-07-21 1997-12-30 W. L. Gore & Associates, Inc. Device and method for reinforcing surgical staples
US5810855A (en) 1995-07-21 1998-09-22 Gore Enterprise Holdings, Inc. Endoscopic device and method for reinforcing surgical staples
US5782396A (en) * 1995-08-28 1998-07-21 United States Surgical Corporation Surgical stapler
US6032849A (en) * 1995-08-28 2000-03-07 United States Surgical Surgical stapler
US5762256A (en) 1995-08-28 1998-06-09 United States Surgical Corporation Surgical stapler
AU7398196A (en) 1995-10-11 1997-04-30 Fusion Medical Technologies, Inc. Device and method for sealing tissue
IL151563A0 (en) 1995-10-13 2003-04-10 Transvascular Inc A longitudinal compression apparatus for compressing tissue
US20020068949A1 (en) 1996-02-23 2002-06-06 Williamson Warren P. Extremely long wire fasteners for use in minimally invasive surgery and means and method for handling those fasteners
US5810240A (en) 1996-03-15 1998-09-22 United States Surgical Corporation Surgical fastener applying device
US7307031B2 (en) 1997-05-29 2007-12-11 The Procter & Gamble Company Breathable composite sheet structure and absorbent articles utilizing same
US6677258B2 (en) * 1996-05-29 2004-01-13 E. I. Du Pont De Nemours And Company Breathable composite sheet structure and absorbent articles utilizing same
US5752965A (en) 1996-10-21 1998-05-19 Bio-Vascular, Inc. Apparatus and method for producing a reinforced surgical fastener suture line
US5769892A (en) * 1996-10-22 1998-06-23 Mitroflow International Inc. Surgical stapler sleeve for reinforcing staple lines
US5931847A (en) 1997-01-09 1999-08-03 Ethicon Endo-Surgery, Inc. Surgical cutting instrument with improved cutting edge
CA2282761A1 (en) 1997-03-04 1998-09-11 Medtronic, Inc. Bioprothesis film strip for surgical stapler and method of attaching the same
FR2762207B1 (fr) * 1997-04-17 1999-07-30 Ethnor Perfectionnements aux protheses sous-cutanees pour plastie mammaire
US6120539A (en) 1997-05-01 2000-09-19 C. R. Bard Inc. Prosthetic repair fabric
FR2766717B1 (fr) 1997-08-01 2000-06-09 Cogent Sarl Prothese composite pour la prevention des adherences post-chirurgicales et son procede d'obtention
US5997895A (en) 1997-09-16 1999-12-07 Integra Lifesciences Corporation Dural/meningeal repair product using collagen matrix
US5865361A (en) * 1997-09-23 1999-02-02 United States Surgical Corporation Surgical stapling apparatus
NL1007349C2 (nl) 1997-10-24 1999-04-27 Suyker Wilhelmus Joseph Leonardus Systeem voor het mechanisch vervaardigen van anastomoses tussen holle structuren; alsmede inrichting en applicator voor gebruik daarbij.
WO1999030629A1 (en) 1997-12-17 1999-06-24 Hemodynamics, Inc. Sealing media for surgery and wound closure
US6007552A (en) 1997-12-18 1999-12-28 Minumys Vascular clamps and surgical retractors with directional filaments for tissue engagement
US6099551A (en) 1998-03-12 2000-08-08 Shelhigh, Inc. Pericardial strip and stapler assembly for dividing and sealing visceral tissues and method of use thereof
US20050021085A1 (en) * 1998-05-11 2005-01-27 Surgical Connections, Inc. Surgical stabilizer devices and methods
CA2331502A1 (en) 1998-05-11 1999-11-18 Surgical Connections, Inc. Devices and methods for treating e.g. urinary stress incontinence
US6517566B1 (en) * 1998-05-11 2003-02-11 Surgical Connections, Inc. Devices and methods for treating e.g. urinary stress incontinence
US6669735B1 (en) 1998-07-31 2003-12-30 Davol, Inc. Prosthesis for surgical treatment of hernia
DE19836950B4 (de) * 1998-08-17 2004-09-02 Deutsches Zentrum für Luft- und Raumfahrt e.V. Chirurgisches Instrument in Form eines Nahtklammergerätes
FR2783429B1 (fr) * 1998-09-18 2002-04-12 Imedex Biomateriaux Materiau collagenique bicomposite,son procede d'obtention et ses applications therapeutiques
US7662409B2 (en) 1998-09-25 2010-02-16 Gel-Del Technologies, Inc. Protein matrix materials, devices and methods of making and using thereof
US6299631B1 (en) 1998-11-12 2001-10-09 Poly-Med, Inc. Polyester/cyanoacrylate tissue adhesive formulations
US6142933A (en) 1998-11-23 2000-11-07 Ethicon Endo-Surgery, Inc. Anoscope for hemorrhoidal surgery
FR2786400B1 (fr) * 1998-11-30 2002-05-10 Imedex Biomateriaux Procede de preparation d'un materiau collagenique a vitesse de biodegradation in vivo controlee et materiaux obtenus
JP3531000B2 (ja) 1998-12-07 2004-05-24 グンゼ株式会社 吻合補綴材
US6312457B1 (en) 1999-04-01 2001-11-06 Boston Scientific Corporation Intraluminal lining
AU5003100A (en) 1999-05-11 2000-11-21 Craig Berky Surgical clamp devices and methods especially useful in cardiac surgery
US6723428B1 (en) 1999-05-27 2004-04-20 Foss Manufacturing Co., Inc. Anti-microbial fiber and fibrous products
DE19924311A1 (de) 1999-05-27 2000-11-30 Walter A Rau Klammerschneidegerät und Zusatzvorrichtung für ein solches
US8025199B2 (en) 2004-02-23 2011-09-27 Tyco Healthcare Group Lp Surgical cutting and stapling device
US6325810B1 (en) 1999-06-30 2001-12-04 Ethicon, Inc. Foam buttress for stapling apparatus
US6927315B1 (en) 1999-07-30 2005-08-09 3M Innovative Properties Company Adhesive composite having distinct phases
US6080169A (en) * 1999-08-10 2000-06-27 Turtel; Lawrence Strabismus recession clamp
US7056503B2 (en) * 1999-08-19 2006-06-06 Regents Of The University Of Michigan Enclosures housing cell-coated supports for treating tumors
US6702828B2 (en) 1999-09-01 2004-03-09 Converge Medical, Inc. Anastomosis system
US6312474B1 (en) * 1999-09-15 2001-11-06 Bio-Vascular, Inc. Resorbable implant materials
US6302897B1 (en) * 1999-11-19 2001-10-16 Ethicon, Inc. Device for deploying medical textiles
US6436030B2 (en) 2000-01-31 2002-08-20 Om P. Rehil Hiatal hernia repair patch and method for using the same
US6273897B1 (en) 2000-02-29 2001-08-14 Ethicon, Inc. Surgical bettress and surgical stapling apparatus
US7241300B2 (en) * 2000-04-29 2007-07-10 Medtronic, Inc, Components, systems and methods for forming anastomoses using magnetism or other coupling means
US7232449B2 (en) * 2000-04-29 2007-06-19 Medtronic, Inc. Components, systems and methods for forming anastomoses using magnetism or other coupling means
US6896684B2 (en) 2000-06-12 2005-05-24 Niti Medical Technologies Ltd. Surgical clip applicator device
JP2004518453A (ja) 2000-07-31 2004-06-24 ロイ，スミト 無縫合吻合用の装置、器械およびプロテーゼ
US8366787B2 (en) * 2000-08-04 2013-02-05 Depuy Products, Inc. Hybrid biologic-synthetic bioabsorbable scaffolds
US6746458B1 (en) * 2000-09-07 2004-06-08 William G. Cloud Mesh material to repair hernias
US7909837B2 (en) 2000-12-13 2011-03-22 Medtronic, Inc. Methods, devices and systems for forming magnetic anastomoses
JP2002202213A (ja) 2000-12-28 2002-07-19 Yaskawa Electric Corp 締め付け圧力検出方法
US20020091397A1 (en) * 2001-01-05 2002-07-11 Te-Chuan Chen Structure of intestinal anastomosis gun
US6568398B2 (en) 2001-03-07 2003-05-27 Edgar C. Cohen Method for hemostasis
US6551356B2 (en) * 2001-03-19 2003-04-22 Ethicon, Inc. Pocketed hernia repair
GB0108088D0 (en) 2001-03-30 2001-05-23 Browning Healthcare Ltd Surgical implant
US6638285B2 (en) 2001-04-16 2003-10-28 Shlomo Gabbay Biological tissue strip and system and method to seal tissue
FI20010898A0 (fi) * 2001-04-30 2001-04-30 Ylae Herttuala Seppo Ekstrasellulaarinen superoksididismutaasi (EC-SOD) geeniterapia restenoosoin ehkäisemiseksi
US6592597B2 (en) 2001-05-07 2003-07-15 Ethicon Endo-Surgery, Inc. Adhesive for attaching buttress material to a surgical fastening device
US6503257B2 (en) * 2001-05-07 2003-01-07 Ethicon Endo-Surgery, Inc. Method for releasing buttress material attached to a surgical fastening device
US20030181927A1 (en) 2001-06-21 2003-09-25 Wallace Michael P. Aneurysm neck obstruction device
US6454780B1 (en) 2001-06-21 2002-09-24 Scimed Life Systems, Inc. Aneurysm neck obstruction device
US6726706B2 (en) * 2001-06-26 2004-04-27 Steven Dominguez Suture tape and method for use
US7108701B2 (en) * 2001-09-28 2006-09-19 Ethicon, Inc. Drug releasing anastomosis devices and methods for treating anastomotic sites
US20030065345A1 (en) * 2001-09-28 2003-04-03 Kevin Weadock Anastomosis devices and methods for treating anastomotic sites
US7892247B2 (en) 2001-10-03 2011-02-22 Bioconnect Systems, Inc. Devices and methods for interconnecting vessels
US7087065B2 (en) * 2001-10-04 2006-08-08 Ethicon, Inc. Mesh for pelvic floor repair
DE10155490A1 (de) 2001-11-13 2003-05-22 Zf Lemfoerder Metallwaren Ag Kraftverbindungsstrebe
US6939358B2 (en) * 2001-12-20 2005-09-06 Gore Enterprise Holdings, Inc. Apparatus and method for applying reinforcement material to a surgical stapler
US20030125676A1 (en) 2001-12-28 2003-07-03 Becton, Dickinson And Company Medical needle assemblies
US6790213B2 (en) 2002-01-07 2004-09-14 C.R. Bard, Inc. Implantable prosthesis
US7128748B2 (en) 2002-03-26 2006-10-31 Synovis Life Technologies, Inc. Circular stapler buttress combination
CA2479765C (en) * 2002-04-15 2009-01-27 Cook Biotech Incorporated Apparatus and method for producing a reinforced surgical staple line
ES2377641T3 (es) 2002-04-15 2012-03-29 Tyco Healthcare Group Lp Introductor de instrumento
EP1494595B1 (en) 2002-04-16 2011-03-02 Tyco Healthcare Group LP Surgical stapler
US6843252B2 (en) 2002-04-23 2005-01-18 Samuel W. Harrison Surgical drape
US7141055B2 (en) * 2002-04-24 2006-11-28 Surgical Connections, Inc. Resection and anastomosis devices and methods
US6736823B2 (en) * 2002-05-10 2004-05-18 C.R. Bard, Inc. Prosthetic repair fabric
US6736854B2 (en) * 2002-05-10 2004-05-18 C. R. Bard, Inc. Prosthetic repair fabric with erosion resistant edge
US7238195B2 (en) 2002-05-10 2007-07-03 Tyco Healthcare Group Lp Wound closure material applicator and stapler
EP2228018B1 (en) * 2002-06-17 2012-05-09 Tyco Healthcare Group LP Annular support structures
JP3680050B2 (ja) 2002-09-18 2005-08-10 株式会社東芝 医療用マニピュレータ及びその制御方法
US8142515B2 (en) 2002-11-04 2012-03-27 Sofradim Production Prosthesis for reinforcement of tissue structures
US20040132365A1 (en) * 2002-11-04 2004-07-08 Sofradim Production Intermediate composite part for forming reinforcement prosthesis
US7799026B2 (en) 2002-11-14 2010-09-21 Covidien Ag Compressible jaw configuration with bipolar RF output electrodes for soft tissue fusion
DE10310995B3 (de) 2003-03-06 2004-09-16 Aesculap Ag & Co. Kg Verschlußvorrichtung für einen Stichkanal und Applikatorvorrichtung
US7368124B2 (en) * 2003-03-07 2008-05-06 Depuy Mitek, Inc. Method of preparation of bioabsorbable porous reinforced tissue implants and implants thereof
WO2004091377A2 (en) 2003-03-28 2004-10-28 Downey Earl C Surgical instrument with trigger control
US7160299B2 (en) 2003-05-01 2007-01-09 Sherwood Services Ag Method of fusing biomaterials with radiofrequency energy
US20040254590A1 (en) 2003-06-16 2004-12-16 Hoffman Gary H. Method and instrument for the performance of stapled anastamoses
US20040260315A1 (en) 2003-06-17 2004-12-23 Dell Jeffrey R. Expandable tissue support member and method of forming the support member
EP2620104A3 (en) * 2003-07-16 2014-05-14 Covidien LP Surgical stapling device with tissue tensioner
DK1647286T3 (da) * 2003-07-17 2010-11-29 Gunze Kk Sømforstærkende materiale til automatisk syindretning
US20050059997A1 (en) * 2003-09-17 2005-03-17 Bauman Ann M. Circular stapler buttress
US7547312B2 (en) * 2003-09-17 2009-06-16 Gore Enterprise Holdings, Inc. Circular stapler buttress
US20050070929A1 (en) * 2003-09-30 2005-03-31 Dalessandro David A. Apparatus and method for attaching a surgical buttress to a stapling apparatus
US10105140B2 (en) 2009-11-20 2018-10-23 Covidien Lp Surgical console and hand-held surgical device
US20050118435A1 (en) * 2003-12-01 2005-06-02 Kimberly-Clark Worldwide, Inc. Films and methods of forming films having polyorganosiloxane enriched surface layers
US20050149073A1 (en) 2003-12-17 2005-07-07 Arani Djavad T. Mechanisms and methods used in the anastomosis of biological conduits
US20050283256A1 (en) 2004-02-09 2005-12-22 Codman & Shurtleff, Inc. Collagen device and method of preparing the same
WO2005079675A2 (en) 2004-02-17 2005-09-01 Cook Biotech Incorporated Medical devices and methods for applying bolster material
WO2005091986A2 (en) * 2004-03-19 2005-10-06 Tyco Healthcare Group, Lp Anvil assembly with improved cut ring
US7147138B2 (en) 2004-07-28 2006-12-12 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having an electroactive polymer actuated buttress deployment mechanism
AU2005277448B2 (en) * 2004-08-17 2011-04-21 Covidien Lp Stapling support structures
US7210810B1 (en) 2004-09-03 2007-05-01 Pmt Corporation Surgical headlight assembly
US8372094B2 (en) 2004-10-15 2013-02-12 Covidien Lp Seal element for anastomosis
US7938307B2 (en) * 2004-10-18 2011-05-10 Tyco Healthcare Group Lp Support structures and methods of using the same
US7845536B2 (en) 2004-10-18 2010-12-07 Tyco Healthcare Group Lp Annular adhesive structure
WO2006044490A2 (en) 2004-10-18 2006-04-27 Tyco Healthcare Group, Lp Annular adhesive structure
US7717313B2 (en) 2004-10-18 2010-05-18 Tyco Healthcare Group Lp Surgical apparatus and structure for applying sprayable wound treatment material
JP2008520367A (ja) 2004-11-18 2008-06-19 スリーエム イノベイティブ プロパティズ カンパニー 皮膚非接触型のマイクロニードルアレイアプリケータ
US20060173470A1 (en) * 2005-01-31 2006-08-03 Oray B N Surgical fastener buttress material
US20070203510A1 (en) 2006-02-28 2007-08-30 Bettuchi Michael J Annular disk for reduction of anastomotic tension and methods of using the same
US9364229B2 (en) 2005-03-15 2016-06-14 Covidien Lp Circular anastomosis structures
US7942890B2 (en) 2005-03-15 2011-05-17 Tyco Healthcare Group Lp Anastomosis composite gasket
FR2884134B1 (fr) 2005-04-07 2008-03-28 Safradim Production Soc Par Ac Systeme de mise en place de moyens formant renfort d'une suture
US7655288B2 (en) 2005-07-29 2010-02-02 Gore Enterprise Holdings, Inc. Composite self-cohered web materials
US7559937B2 (en) * 2005-08-09 2009-07-14 Towertech Research Group Surgical fastener apparatus and reinforcing material
US7641091B2 (en) 2005-10-04 2010-01-05 Tyco Healthcare Group Lp Staple drive assembly
JP4707533B2 (ja) 2005-10-27 2011-06-22 太陽誘電株式会社 圧電薄膜共振器およびフィルタ
US9687262B2 (en) 2005-11-30 2017-06-27 CARDINAL HEALTH SWITZERLAND 515 GmbH Methods and devices for treating vulnerable plaque
US9629626B2 (en) 2006-02-02 2017-04-25 Covidien Lp Mechanically tuned buttress material to assist with proper formation of surgical element in diseased tissue
CA2640629A1 (en) 2006-02-03 2007-08-09 Tissuemed Limited Tissue-adhesive materials
US7793813B2 (en) 2006-02-28 2010-09-14 Tyco Healthcare Group Lp Hub for positioning annular structure on a surgical device
US20070243227A1 (en) 2006-04-14 2007-10-18 Michael Gertner Coatings for surgical staplers
US20070246505A1 (en) 2006-04-24 2007-10-25 Medical Ventures Inc. Surgical buttress assemblies and methods of uses thereof
US7790273B2 (en) 2006-05-24 2010-09-07 Nellix, Inc. Material for creating multi-layered films and methods for making the same
US7441684B2 (en) * 2006-08-02 2008-10-28 Ethicon Endo-Surgery, Inc. Pneumatically powered surgical cutting and fastening instrument with audible and visual feedback features
US7506791B2 (en) * 2006-09-29 2009-03-24 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with mechanical mechanism for limiting maximum tissue compression
WO2008057281A2 (en) 2006-10-26 2008-05-15 Tyco Healthcare Group Lp Methods of using shape memory alloys for buttress attachment
US7845533B2 (en) 2007-06-22 2010-12-07 Tyco Healthcare Group Lp Detachable buttress material retention systems for use with a surgical stapling device
CA2667434A1 (en) 2006-11-02 2008-05-08 Sca Hygiene Products Ab Delivery device
US7708180B2 (en) * 2006-11-09 2010-05-04 Ethicon Endo-Surgery, Inc. Surgical fastening device with initiator impregnation of a matrix or buttress to improve adhesive application
US8177798B2 (en) 2006-12-05 2012-05-15 Tyco Healthcare Group Lp Adhesive coated stent and insertion instrument
US8540128B2 (en) 2007-01-11 2013-09-24 Ethicon Endo-Surgery, Inc. Surgical stapling device with a curved end effector
US20080169328A1 (en) 2007-01-11 2008-07-17 Shelton Frederick E Buttress material for use with a surgical stapler
US20080220047A1 (en) 2007-03-05 2008-09-11 Sawhney Amarpreet S Low-swelling biocompatible hydrogels
AU2008223389B2 (en) 2007-03-06 2013-07-11 Covidien Lp Surgical stapling apparatus
US8011555B2 (en) 2007-03-06 2011-09-06 Tyco Healthcare Group Lp Surgical stapling apparatus
US8011550B2 (en) 2009-03-31 2011-09-06 Tyco Healthcare Group Lp Surgical stapling apparatus
US20080216855A1 (en) 2007-03-07 2008-09-11 Nasca Brian R Exfoliating apparatus
US8727197B2 (en) * 2007-03-15 2014-05-20 Ethicon Endo-Surgery, Inc. Staple cartridge cavity configuration with cooperative surgical staple
US8038045B2 (en) 2007-05-25 2011-10-18 Tyco Healthcare Group Lp Staple buttress retention system
BRPI0812404A2 (pt) 2007-06-12 2014-12-02 Convatec Technologies Inc Dispositivo de ostomia
US7950561B2 (en) 2007-06-18 2011-05-31 Tyco Healthcare Group Lp Structure for attachment of buttress material to anvils and cartridges of surgical staplers
US7665646B2 (en) 2007-06-18 2010-02-23 Tyco Healthcare Group Lp Interlocking buttress material retention system
US8062330B2 (en) 2007-06-27 2011-11-22 Tyco Healthcare Group Lp Buttress and surgical stapling apparatus
JP5042738B2 (ja) 2007-07-30 2012-10-03 テルモ株式会社 医療用マニピュレータの作業機構及び洗浄方法
US8317790B2 (en) 2007-09-14 2012-11-27 W. L. Gore & Associates, Inc. Surgical staple line reinforcements
US8678263B2 (en) 2007-09-24 2014-03-25 Covidien Lp Materials delivery system for stapling device
ES2426767T3 (es) * 2007-10-08 2013-10-25 Gore Enterprise Holdings, Inc. Aparato para suministrar un refuerzo de líneas de grapas quirúrgicas
US9770245B2 (en) 2008-02-15 2017-09-26 Ethicon Llc Layer arrangements for surgical staple cartridges
US20090206141A1 (en) 2008-02-15 2009-08-20 Ethicon Endo-Surgery, Inc. Buttress material having an activatable adhesive
US8091756B2 (en) 2008-05-09 2012-01-10 Tyco Healthcare Group Lp Varying tissue compression using take-up component
DE112009001239T5 (de) 2008-05-21 2011-04-07 Cook Biotech, Inc., West Lafayette Vorrichtungen und Verfahren zum Anbringen von Verstärkungsmaterialien an chirurgischen Befestigungsvorrichtungen
US9295757B2 (en) 2008-06-10 2016-03-29 Cook Biotech Incorporated Quilted implantable graft
US8834465B2 (en) 2008-07-15 2014-09-16 Immersion Corporation Modular tool with signal feedback
US8409223B2 (en) 2008-08-29 2013-04-02 Covidien Lp Endoscopic surgical clip applier with clip retention
US8181838B2 (en) 2008-09-10 2012-05-22 Tyco Healthcare Group Lp Surgical stapling device
US7886951B2 (en) 2008-11-24 2011-02-15 Tyco Healthcare Group Lp Pouch used to deliver medication when ruptured
US20100147921A1 (en) 2008-12-16 2010-06-17 Lee Olson Surgical Apparatus Including Surgical Buttress
WO2010075298A2 (en) 2008-12-23 2010-07-01 Surmodics Pharmaceuticals, Inc. Implantable composites and compositions comprising releasable bioactive agents
US8365972B2 (en) 2009-03-31 2013-02-05 Covidien Lp Surgical stapling apparatus
US8016178B2 (en) 2009-03-31 2011-09-13 Tyco Healthcare Group Lp Surgical stapling apparatus
US8348126B2 (en) 2009-03-31 2013-01-08 Covidien Lp Crimp and release of suture holding buttress material
US7988027B2 (en) 2009-03-31 2011-08-02 Tyco Healthcare Group Lp Crimp and release of suture holding buttress material
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
US8418909B2 (en) 2009-06-02 2013-04-16 Covidien Lp Surgical instrument and method for performing a resection
JP5562583B2 (ja) 2009-06-24 2014-07-30 カール シュトルツ ゲゼルシャフト ミット ベシュレンクテル ハフツング ウント コンパニー コマンディートゲゼルシャフト 医療用ロボットシステム
US9463260B2 (en) 2009-06-29 2016-10-11 Covidien Lp Self-sealing compositions
US10383629B2 (en) 2009-08-10 2019-08-20 Covidien Lp System and method for preventing reprocessing of a powered surgical instrument
US8157151B2 (en) 2009-10-15 2012-04-17 Tyco Healthcare Group Lp Staple line reinforcement for anvil and cartridge
US9693772B2 (en) 2009-10-15 2017-07-04 Covidien Lp Staple line reinforcement for anvil and cartridge
US10842485B2 (en) 2009-10-15 2020-11-24 Covidien Lp Brachytherapy buttress
US20150231409A1 (en) 2009-10-15 2015-08-20 Covidien Lp Buttress brachytherapy and integrated staple line markers for margin identification
US9610080B2 (en) 2009-10-15 2017-04-04 Covidien Lp Staple line reinforcement for anvil and cartridge
US8322590B2 (en) 2009-10-28 2012-12-04 Covidien Lp Surgical stapling instrument
US8464925B2 (en) 2010-05-11 2013-06-18 Ethicon Endo-Surgery, Inc. Methods and apparatus for delivering tissue treatment compositions to stapled tissue
US8646674B2 (en) 2010-05-11 2014-02-11 Ethicon Endo-Surgery, Inc. Methods and apparatus for delivering tissue treatment compositions to stapled tissue
US9517164B2 (en) 2010-09-30 2016-12-13 Covidien Lp Wound dressing with advanced fluid handling
US9332974B2 (en) 2010-09-30 2016-05-10 Ethicon Endo-Surgery, Llc Layered tissue thickness compensator
US9211120B2 (en) 2011-04-29 2015-12-15 Ethicon Endo-Surgery, Inc. Tissue thickness compensator comprising a plurality of medicaments
US20120080478A1 (en) 2010-09-30 2012-04-05 Ethicon Endo-Surgery, Inc. Surgical staple cartridges with detachable support structures and surgical stapling instruments with systems for preventing actuation motions when a cartridge is not present
US9016542B2 (en) 2010-09-30 2015-04-28 Ethicon Endo-Surgery, Inc. Staple cartridge comprising compressible distortion resistant components
US9204880B2 (en) 2012-03-28 2015-12-08 Ethicon Endo-Surgery, Inc. Tissue thickness compensator comprising capsules defining a low pressure environment
US9386988B2 (en) 2010-09-30 2016-07-12 Ethicon End-Surgery, LLC Retainer assembly including a tissue thickness compensator
US8348130B2 (en) 2010-12-10 2013-01-08 Covidien Lp Surgical apparatus including surgical buttress
US9084602B2 (en) 2011-01-26 2015-07-21 Covidien Lp Buttress film with hemostatic action for surgical stapling apparatus
IT1405423B1 (it) 2011-02-25 2014-01-10 Thd Spa Dispositivo per impiantare una protesi in un tessuto
US8479968B2 (en) 2011-03-10 2013-07-09 Covidien Lp Surgical instrument buttress attachment
US8540131B2 (en) 2011-03-15 2013-09-24 Ethicon Endo-Surgery, Inc. Surgical staple cartridges with tissue tethers for manipulating divided tissue and methods of using same
US8579990B2 (en) 2011-03-30 2013-11-12 Ethicon, Inc. Tissue repair devices of rapid therapeutic absorbency
US8789737B2 (en) 2011-04-27 2014-07-29 Covidien Lp Circular stapler and staple line reinforcement material
US9492170B2 (en) 2011-08-10 2016-11-15 Ethicon Endo-Surgery, Inc. Device for applying adjunct in endoscopic procedure
US9675351B2 (en) 2011-10-26 2017-06-13 Covidien Lp Buttress release from surgical stapler by knife pushing
US8584920B2 (en) 2011-11-04 2013-11-19 Covidien Lp Surgical stapling apparatus including releasable buttress
US9237892B2 (en) 2011-12-14 2016-01-19 Covidien Lp Buttress attachment to the cartridge surface
US9113885B2 (en) 2011-12-14 2015-08-25 Covidien Lp Buttress assembly for use with surgical stapling device
US8967448B2 (en) 2011-12-14 2015-03-03 Covidien Lp Surgical stapling apparatus including buttress attachment via tabs
US9351732B2 (en) 2011-12-14 2016-05-31 Covidien Lp Buttress attachment to degradable polymer zones
US9351731B2 (en) 2011-12-14 2016-05-31 Covidien Lp Surgical stapling apparatus including releasable surgical buttress
US9010608B2 (en) 2011-12-14 2015-04-21 Covidien Lp Releasable buttress retention on a surgical stapler
US9326773B2 (en) 2012-01-26 2016-05-03 Covidien Lp Surgical device including buttress material
US9010612B2 (en) 2012-01-26 2015-04-21 Covidien Lp Buttress support design for EEA anvil
US9010609B2 (en) 2012-01-26 2015-04-21 Covidien Lp Circular stapler including buttress
US9931116B2 (en) 2012-02-10 2018-04-03 Covidien Lp Buttress composition
US8820606B2 (en) 2012-02-24 2014-09-02 Covidien Lp Buttress retention system for linear endostaplers
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
US20140131418A1 (en) 2012-11-09 2014-05-15 Covidien Lp Surgical Stapling Apparatus Including Buttress Attachment
US9192384B2 (en) 2012-11-09 2015-11-24 Covidien Lp Recessed groove for better suture retention
US9681936B2 (en) 2012-11-30 2017-06-20 Covidien Lp Multi-layer porous film material
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
US9204881B2 (en) 2013-01-11 2015-12-08 Covidien Lp Buttress retainer for EEA anvil
US9433420B2 (en) 2013-01-23 2016-09-06 Covidien Lp Surgical apparatus including surgical buttress
US9192383B2 (en) 2013-02-04 2015-11-24 Covidien Lp Circular stapling device including buttress material
US9414839B2 (en) 2013-02-04 2016-08-16 Covidien Lp Buttress attachment for circular stapling device
US9386984B2 (en) 2013-02-08 2016-07-12 Ethicon Endo-Surgery, Llc Staple cartridge comprising a releasable cover
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
US9782173B2 (en) 2013-03-07 2017-10-10 Covidien Lp Circular stapling device including buttress release mechanism
US9655620B2 (en) 2013-10-28 2017-05-23 Covidien Lp Circular surgical stapling device including buttress material
US9936950B2 (en) 2013-11-08 2018-04-10 Ethicon Llc Hybrid adjunct materials for use in surgical stapling
US9844378B2 (en) 2014-04-29 2017-12-19 Covidien Lp Surgical stapling apparatus and methods of adhering a surgical buttress thereto
US9844376B2 (en) 2014-11-06 2017-12-19 Ethicon Llc Staple cartridge comprising a releasable adjunct material
US10499918B2 (en) 2015-10-29 2019-12-10 Ethicon Llc Surgical stapler buttress assembly with features to interact with movable end effector components
US10959731B2 (en) 2016-06-14 2021-03-30 Covidien Lp Buttress attachment for surgical stapling instrument
US11026686B2 (en) 2016-11-08 2021-06-08 Covidien Lp Structure for attaching buttress to anvil and/or cartridge of surgical stapling instrument
US10368868B2 (en) 2017-03-09 2019-08-06 Covidien Lp Structure for attaching buttress material to anvil and cartridge of surgical stapling instrument

Cited By (326)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9351729B2 (en) 2002-06-17 2016-05-31 Covidien Lp Annular support structures
US10383634B2 (en) 2004-07-28 2019-08-20 Ethicon Llc Stapling system incorporating a firing lockout
US10292707B2 (en) 2004-07-28 2019-05-21 Ethicon Llc Articulating surgical stapling instrument incorporating a firing mechanism
US10485547B2 (en) 2004-07-28 2019-11-26 Ethicon Llc Surgical staple cartridges
US11045200B2 (en) 2004-10-18 2021-06-29 Covidien Lp Support structures and methods of using the same
US9445817B2 (en) 2004-10-18 2016-09-20 Covidien Lp Support structures and methods of using the same
US10420553B2 (en) 2005-08-31 2019-09-24 Ethicon Llc Staple cartridge comprising a staple driver arrangement
US10729436B2 (en) 2005-08-31 2020-08-04 Ethicon Llc Robotically-controlled surgical stapling devices that produce formed staples having different lengths
US10842489B2 (en) 2005-08-31 2020-11-24 Ethicon Llc Fastener cartridge assembly comprising a cam and driver arrangement
US10932774B2 (en) 2005-08-31 2021-03-02 Ethicon Llc Surgical end effector for forming staples to different heights
US10842488B2 (en) 2005-08-31 2020-11-24 Ethicon Llc Fastener cartridge assembly comprising a fixed anvil and different staple heights
US10869664B2 (en) 2005-08-31 2020-12-22 Ethicon Llc End effector for use with a surgical stapling instrument
US10463369B2 (en) 2005-08-31 2019-11-05 Ethicon Llc Disposable end effector for use with a surgical instrument
US10893853B2 (en) 2006-01-31 2021-01-19 Ethicon Llc Stapling assembly including motor drive systems
US10743849B2 (en) 2006-01-31 2020-08-18 Ethicon Llc Stapling system including an articulation system
US10463383B2 (en) 2006-01-31 2019-11-05 Ethicon Llc Stapling instrument including a sensing system
US10653417B2 (en) 2006-01-31 2020-05-19 Ethicon Llc Surgical instrument
US10993717B2 (en) 2006-01-31 2021-05-04 Ethicon Llc Surgical stapling system comprising a control system
US10463384B2 (en) 2006-01-31 2019-11-05 Ethicon Llc Stapling assembly
US10426463B2 (en) 2006-01-31 2019-10-01 Ehticon LLC Surgical instrument having a feedback system
US10842491B2 (en) 2006-01-31 2020-11-24 Ethicon Llc Surgical system with an actuation console
US11051811B2 (en) 2006-01-31 2021-07-06 Ethicon Llc End effector for use with a surgical instrument
US11058420B2 (en) 2006-01-31 2021-07-13 Cilag Gmbh International Surgical stapling apparatus comprising a lockout system
US10485539B2 (en) 2006-01-31 2019-11-26 Ethicon Llc Surgical instrument with firing lockout
US10499890B2 (en) 2006-01-31 2019-12-10 Ethicon Llc Endoscopic surgical instrument with a handle that can articulate with respect to the shaft
US10420560B2 (en) 2006-06-27 2019-09-24 Ethicon Llc Manually driven surgical cutting and fastening instrument
US10448952B2 (en) 2006-09-29 2019-10-22 Ethicon Llc End effector for use with a surgical fastening instrument
US11406379B2 (en) 2006-09-29 2022-08-09 Cilag Gmbh International Surgical end effectors with staple cartridges
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
US10695053B2 (en) 2006-09-29 2020-06-30 Ethicon Llc Surgical end effectors with staple cartridges
US10595862B2 (en) 2006-09-29 2020-03-24 Ethicon Llc Staple cartridge including a compressible member
US10342541B2 (en) 2006-10-03 2019-07-09 Ethicon Llc Surgical instruments with E-beam driver and rotary drive arrangements
US9433413B2 (en) 2006-10-26 2016-09-06 Covidien Lp Methods of using shape memory alloys for buttress attachment
US10441369B2 (en) 2007-01-10 2019-10-15 Ethicon Llc Articulatable surgical instrument configured for detachable use with a robotic system
US11064998B2 (en) 2007-01-10 2021-07-20 Cilag Gmbh International Surgical instrument with wireless communication between a control unit of a robotic system and remote sensor
US10433918B2 (en) 2007-01-10 2019-10-08 Ethicon Llc Surgical instrument system configured to evaluate the load applied to a firing member at the initiation of a firing stroke
US11006951B2 (en) 2007-01-10 2021-05-18 Ethicon Llc Surgical instrument with wireless communication between control unit and sensor transponders
US11000277B2 (en) 2007-01-10 2021-05-11 Ethicon Llc Surgical instrument with wireless communication between control unit and remote sensor
US10517590B2 (en) 2007-01-10 2019-12-31 Ethicon Llc Powered surgical instrument having a transmission system
US10517682B2 (en) 2007-01-10 2019-12-31 Ethicon Llc Surgical instrument with wireless communication between control unit and remote sensor
US10751138B2 (en) 2007-01-10 2020-08-25 Ethicon Llc Surgical instrument for use with a robotic system
US11039836B2 (en) 2007-01-11 2021-06-22 Cilag Gmbh International Staple cartridge for use with a surgical stapling instrument
US10912575B2 (en) 2007-01-11 2021-02-09 Ethicon Llc Surgical stapling device having supports for a flexible drive mechanism
US10111659B2 (en) 2007-03-06 2018-10-30 Covidien Lp Surgical stapling apparatus
US11510668B2 (en) 2007-03-06 2022-11-29 Covidien Lp Surgical stapling apparatus
US10828027B2 (en) 2007-03-06 2020-11-10 Covidien Lp Surgical stapling apparatus
US9345479B2 (en) 2007-03-06 2016-05-24 Covidien Lp Surgical stapling apparatus
US10398433B2 (en) 2007-03-28 2019-09-03 Ethicon Llc Laparoscopic clamp load measuring devices
US9433412B2 (en) 2007-05-25 2016-09-06 Covidien Lp Staple buttress retention system
US9775618B2 (en) 2007-05-25 2017-10-03 Covidien Lp Staple buttress retention system
US10441280B2 (en) 2007-06-04 2019-10-15 Ethicon Llc Robotically-controlled shaft based rotary drive systems for surgical instruments
US10368863B2 (en) 2007-06-04 2019-08-06 Ethicon Llc Robotically-controlled shaft based rotary drive systems for surgical instruments
US10363033B2 (en) 2007-06-04 2019-07-30 Ethicon Llc Robotically-controlled surgical instruments
US10022125B2 (en) 2007-06-18 2018-07-17 Covidien Lp Interlocking buttress material retention system
US9364234B2 (en) 2007-06-18 2016-06-14 Covidien Lp Interlocking buttress material retention system
US10675032B2 (en) 2007-06-18 2020-06-09 Covidien Lp Interlocking buttress material retention system
US11419608B2 (en) 2007-06-18 2022-08-23 Covidien Lp Interlocking buttress material retention system
US10611060B2 (en) 2007-06-27 2020-04-07 Covidien Lp Buttress and surgical stapling apparatus
US9636850B2 (en) 2007-06-27 2017-05-02 Covidien Lp Buttress and surgical stapling apparatus
US10765424B2 (en) 2008-02-13 2020-09-08 Ethicon Llc Surgical stapling instrument
US10660640B2 (en) 2008-02-14 2020-05-26 Ethicon Llc Motorized surgical cutting and fastening instrument
US10470763B2 (en) 2008-02-14 2019-11-12 Ethicon Llc Surgical cutting and fastening instrument including a sensing system
US10779822B2 (en) 2008-02-14 2020-09-22 Ethicon Llc System including a surgical cutting and fastening instrument
US10463370B2 (en) 2008-02-14 2019-11-05 Ethicon Llc Motorized surgical instrument
US10390823B2 (en) 2008-02-15 2019-08-27 Ethicon Llc End effector comprising an adjunct
US11272927B2 (en) 2008-02-15 2022-03-15 Cilag Gmbh International Layer arrangements for surgical staple cartridges
US11058418B2 (en) 2008-02-15 2021-07-13 Cilag Gmbh International Surgical end effector having buttress retention features
US10856866B2 (en) 2008-02-15 2020-12-08 Ethicon Llc Surgical end effector having buttress retention features
US10765425B2 (en) 2008-09-23 2020-09-08 Ethicon Llc Robotically-controlled motorized surgical instrument with an end effector
US10456133B2 (en) 2008-09-23 2019-10-29 Ethicon Llc Motorized surgical instrument
US10736628B2 (en) 2008-09-23 2020-08-11 Ethicon Llc Motor-driven surgical cutting instrument
US10898184B2 (en) 2008-09-23 2021-01-26 Ethicon Llc Motor-driven surgical cutting instrument
US10485537B2 (en) 2008-09-23 2019-11-26 Ethicon Llc Motorized surgical instrument
US11617575B2 (en) 2008-09-23 2023-04-04 Cilag Gmbh International Motor-driven surgical cutting instrument
US10420549B2 (en) 2008-09-23 2019-09-24 Ethicon Llc Motorized surgical instrument
US10758233B2 (en) 2009-02-05 2020-09-01 Ethicon Llc Articulatable surgical instrument comprising a firing drive
US11129615B2 (en) 2009-02-05 2021-09-28 Cilag Gmbh International Surgical stapling system
US10420550B2 (en) 2009-02-06 2019-09-24 Ethicon Llc Motor driven surgical fastener device with switching system configured to prevent firing initiation until activated
CN104523311B (zh) * 2009-03-31 2016-08-10 柯惠Lp公司 手术用吻合装置
US11116503B2 (en) 2009-03-31 2021-09-14 Covidien Lp Center cinch and release of buttress material
US11666334B2 (en) 2009-03-31 2023-06-06 Covidien Lp Surgical stapling apparatus
US9445812B2 (en) 2009-03-31 2016-09-20 Covidien Lp Center cinch and release of buttress material
CN104523311A (zh) * 2009-03-31 2015-04-22 柯惠Lp公司 手术用吻合装置
US10327772B2 (en) 2009-03-31 2019-06-25 Covidien Lp Center cinch and release of buttress material
US10368869B2 (en) 2009-03-31 2019-08-06 Covidien Lp Surgical stapling apparatus
US9486215B2 (en) 2009-03-31 2016-11-08 Covidien Lp Surgical stapling apparatus
US10842485B2 (en) 2009-10-15 2020-11-24 Covidien Lp Brachytherapy buttress
US11617584B2 (en) 2009-10-15 2023-04-04 Covidien Lp Staple line reinforcement for anvil and cartridge
US9693772B2 (en) 2009-10-15 2017-07-04 Covidien Lp Staple line reinforcement for anvil and cartridge
US9610080B2 (en) 2009-10-15 2017-04-04 Covidien Lp Staple line reinforcement for anvil and cartridge
CN104546042B (zh) * 2009-10-15 2017-04-12 柯惠Lp公司 用于砧座和钉仓的吻合线加固件
US10576298B2 (en) 2009-10-15 2020-03-03 Covidien Lp Buttress brachytherapy and integrated staple line markers for margin identification
US9622745B2 (en) 2009-10-15 2017-04-18 Covidien Lp Staple line reinforcement for anvil and cartridge
US10682140B2 (en) 2009-10-15 2020-06-16 Covidien Lp Staple line reinforcement for anvil and cartridge
US10470770B2 (en) 2010-07-30 2019-11-12 Ethicon Llc Circular surgical fastening devices with tissue acquisition arrangements
US10595835B2 (en) 2010-09-17 2020-03-24 Ethicon Llc Surgical instrument comprising a removable battery
CN103153209A (zh) * 2010-09-30 2013-06-12 伊西康内外科公司 能压缩的紧固件仓
CN103124527A (zh) * 2010-09-30 2013-05-29 伊西康内外科公司 包括可生物吸收层的可植入的紧固件仓
US10398436B2 (en) 2010-09-30 2019-09-03 Ethicon Llc Staple cartridge comprising staples positioned within a compressible portion thereof
CN103153209B (zh) * 2010-09-30 2017-05-03 伊西康内外科公司 能压缩的紧固件仓
US10463372B2 (en) 2010-09-30 2019-11-05 Ethicon Llc Staple cartridge comprising multiple regions
CN103153202A (zh) * 2010-09-30 2013-06-12 伊西康内外科公司 包括保持矩阵的紧固件系统
US9844372B2 (en) 2010-09-30 2017-12-19 Ethicon Llc Retainer assembly including a tissue thickness compensator
CN103153202B (zh) * 2010-09-30 2015-11-25 伊西康内外科公司 包括保持矩阵的紧固件系统
US10588623B2 (en) 2010-09-30 2020-03-17 Ethicon Llc Adhesive film laminate
US10363031B2 (en) 2010-09-30 2019-07-30 Ethicon Llc Tissue thickness compensators for surgical staplers
US10258330B2 (en) 2010-09-30 2019-04-16 Ethicon Llc End effector including an implantable arrangement
US10485536B2 (en) 2010-09-30 2019-11-26 Ethicon Llc Tissue stapler having an anti-microbial agent
CN103356253A (zh) * 2010-09-30 2013-10-23 伊西康内外科公司 具有不均匀排列的可植入的紧固件仓
CN103124527B (zh) * 2010-09-30 2015-12-09 伊西康内外科公司 包括可生物吸收层的可植入的紧固件仓
US10182819B2 (en) 2010-09-30 2019-01-22 Ethicon Llc Implantable layer assemblies
US10687818B2 (en) 2011-04-27 2020-06-23 Covidien Lp Circular stapler and staple line reinforcment material
CN102755179A (zh) * 2011-04-27 2012-10-31 Tyco医疗健康集团 圆形吻合器和吻合钉线增强材料
US11771430B2 (en) 2011-04-27 2023-10-03 Covidien Lp Stapler and staple line reinforcement material
CN104321022A (zh) * 2011-04-29 2015-01-28 伊西康内外科公司 包含多种药物的组织厚度补偿件
CN103717151A (zh) * 2011-04-29 2014-04-09 伊西康内外科公司 包括可压缩抗变形部件的钉仓
CN103717151B (zh) * 2011-04-29 2016-05-04 伊西康内外科公司 包括可压缩抗变形部件的钉仓
US10335151B2 (en) 2011-05-27 2019-07-02 Ethicon Llc Robotically-driven surgical instrument
US10426478B2 (en) 2011-05-27 2019-10-01 Ethicon Llc Surgical stapling systems
US10420561B2 (en) 2011-05-27 2019-09-24 Ethicon Llc Robotically-driven surgical instrument
US10485546B2 (en) 2011-05-27 2019-11-26 Ethicon Llc Robotically-driven surgical assembly
US10524790B2 (en) 2011-05-27 2020-01-07 Ethicon Llc Robotically-controlled surgical stapling devices that produce formed staples having different lengths
US10383633B2 (en) 2011-05-27 2019-08-20 Ethicon Llc Robotically-driven surgical assembly
CN103764045A (zh) * 2011-08-10 2014-04-30 伊西康内外科公司 用于在内窥镜式手术中施加助剂的装置
US9492170B2 (en) 2011-08-10 2016-11-15 Ethicon Endo-Surgery, Inc. Device for applying adjunct in endoscopic procedure
CN103764045B (zh) * 2011-08-10 2016-10-05 伊西康内外科公司 用于在内窥镜式手术中施加助剂的装置
US10786255B2 (en) 2011-12-14 2020-09-29 Covidien Lp Buttress assembly for use with surgical stapling device
US9237892B2 (en) 2011-12-14 2016-01-19 Covidien Lp Buttress attachment to the cartridge surface
US9351732B2 (en) 2011-12-14 2016-05-31 Covidien Lp Buttress attachment to degradable polymer zones
US10321908B2 (en) 2011-12-14 2019-06-18 Covidien Lp Surgical stapling apparatus including buttress attachment via tabs
US9351731B2 (en) 2011-12-14 2016-05-31 Covidien Lp Surgical stapling apparatus including releasable surgical buttress
US9597077B2 (en) 2011-12-14 2017-03-21 Covidien Lp Buttress attachment to the cartridge surface
US10828034B2 (en) 2011-12-14 2020-11-10 Covidien Lp Buttress attachment to the cartridge surface
US10357249B2 (en) 2011-12-14 2019-07-23 Covidien Lp Surgical stapling apparatus including releasable surgical buttress
US9237893B2 (en) 2011-12-14 2016-01-19 Covidien Lp Surgical stapling apparatus including buttress attachment via tabs
US10098639B2 (en) 2011-12-14 2018-10-16 Covidien Lp Buttress attachment to the cartridge surface
US11229434B2 (en) 2011-12-14 2022-01-25 Covidien Lp Surgical stapling apparatus including releasable surgical buttress
US9326773B2 (en) 2012-01-26 2016-05-03 Covidien Lp Surgical device including buttress material
US10695066B2 (en) 2012-01-26 2020-06-30 Covidien Lp Surgical device including buttress material
US9775617B2 (en) 2012-01-26 2017-10-03 Covidien Lp Circular stapler including buttress
US11419609B2 (en) 2012-01-26 2022-08-23 Covidien Lp Surgical device including buttress material
US10441285B2 (en) 2012-03-28 2019-10-15 Ethicon Llc Tissue thickness compensator comprising tissue ingrowth features
CN104394781B (zh) * 2012-03-28 2018-04-17 伊西康内外科公司 包括产生弹性负载的结构的组织厚度补偿件
CN104394781A (zh) * 2012-03-28 2015-03-04 伊西康内外科公司 包括产生弹性负载的结构的组织厚度补偿件
CN104379066B (zh) * 2012-03-28 2017-05-24 伊西康内外科公司 包括通道的组织厚度补偿件
CN104379069A (zh) * 2012-03-28 2015-02-25 伊西康内外科公司 包括贮存器的组织厚度补偿件
CN104363838B (zh) * 2012-03-28 2017-11-21 伊西康内外科公司 由多种材料构成的组织厚度补偿件
CN104334096B (zh) * 2012-03-28 2017-09-22 伊西康内外科公司 包括多个胶囊剂的组织厚度补偿件
CN104379066A (zh) * 2012-03-28 2015-02-25 伊西康内外科公司 包括通道的组织厚度补偿件
RU2635319C2 (ru) * 2012-03-28 2017-11-10 Этикон Эндо-Серджери, Инк. Устройства и способы крепления компенсирующих толщину ткани материалов на хирургических сшивающих инструментах
CN104321026A (zh) * 2012-03-28 2015-01-28 伊西康内外科公司 组织厚度补偿件
CN104379068A (zh) * 2012-03-28 2015-02-25 伊西康内外科公司 包括组织厚度补偿件的保持器组件
CN104321086A (zh) * 2012-03-28 2015-01-28 伊西康内外科公司 用于形成外科缝合器的组织厚度补偿件布置的方法
CN104363838A (zh) * 2012-03-28 2015-02-18 伊西康内外科公司 由多种材料构成的组织厚度补偿件
CN104349727A (zh) * 2012-03-28 2015-02-11 伊西康内外科公司 分层的组织厚度补偿件
CN104349726A (zh) * 2012-03-28 2015-02-11 伊西康内外科公司 组织厚度补偿件及其制造方法
CN104334093A (zh) * 2012-03-28 2015-02-04 伊西康内外科公司 用于将组织厚度补偿材料附接到外科缝合器械的装置和方法
CN104334093B (zh) * 2012-03-28 2019-09-13 伊西康内外科公司 用于将组织厚度补偿材料附接到外科缝合器械的装置和方法
CN104334096A (zh) * 2012-03-28 2015-02-04 伊西康内外科公司 包括多个胶囊剂的组织厚度补偿件
US10874391B2 (en) 2012-06-28 2020-12-29 Ethicon Llc Surgical instrument system including replaceable end effectors
US10485541B2 (en) 2012-06-28 2019-11-26 Ethicon Llc Robotically powered surgical device with manually-actuatable reversing system
US10413294B2 (en) 2012-06-28 2019-09-17 Ethicon Llc Shaft assembly arrangements for surgical instruments
US11058423B2 (en) 2012-06-28 2021-07-13 Cilag Gmbh International Stapling system including first and second closure systems for use with a surgical robot
US10687812B2 (en) 2012-06-28 2020-06-23 Ethicon Llc Surgical instrument system including replaceable end effectors
US10420555B2 (en) 2012-06-28 2019-09-24 Ethicon Llc Hand held rotary powered surgical instruments with end effectors that are articulatable about multiple axes
US10639115B2 (en) 2012-06-28 2020-05-05 Ethicon Llc Surgical end effectors having angled tissue-contacting surfaces
US10383630B2 (en) 2012-06-28 2019-08-20 Ethicon Llc Surgical stapling device with rotary driven firing member
US11622766B2 (en) 2012-06-28 2023-04-11 Cilag Gmbh International Empty clip cartridge lockout
US10485540B2 (en) 2012-07-18 2019-11-26 Covidien Lp Surgical apparatus including surgical buttress
US9572576B2 (en) 2012-07-18 2017-02-21 Covidien Lp Surgical apparatus including surgical buttress
US11399832B2 (en) 2012-07-18 2022-08-02 Covidien Lp Surgical apparatus including surgical buttress
US10881395B2 (en) 2012-08-20 2021-01-05 Covidien Lp Buttress attachment features for surgical stapling apparatus
US10390827B2 (en) 2012-11-30 2019-08-27 Covidien Lp Multi-layer porous film material
US10245031B2 (en) 2012-11-30 2019-04-02 Covidien Lp Surgical apparatus including surgical buttress
US9295466B2 (en) 2012-11-30 2016-03-29 Covidien Lp Surgical apparatus including surgical buttress
US9681936B2 (en) 2012-11-30 2017-06-20 Covidien Lp Multi-layer porous film material
US10349942B2 (en) 2012-12-13 2019-07-16 Covidien Lp Folded buttress for use with a surgical apparatus
US11806018B2 (en) 2012-12-13 2023-11-07 Coviden Lp Folded buttress for use with a surgical apparatus
US11026688B2 (en) 2012-12-13 2021-06-08 Covidien Lp Folded buttress for use with a surgical apparatus
US9402627B2 (en) 2012-12-13 2016-08-02 Covidien Lp Folded buttress for use with a surgical apparatus
US9974542B2 (en) 2013-01-23 2018-05-22 Covidien Lp Surgical apparatus including surgical buttress
US9433420B2 (en) 2013-01-23 2016-09-06 Covidien Lp Surgical apparatus including surgical buttress
CN103961149A (zh) * 2013-01-25 2014-08-06 柯惠Lp公司 应用于吻合器械的泡沫
CN103961149B (zh) * 2013-01-25 2018-11-27 柯惠Lp公司 应用于吻合器械的泡沫
US10478191B2 (en) 2013-02-04 2019-11-19 Covidien Lp Buttress attachment for circular stapling device
US9414839B2 (en) 2013-02-04 2016-08-16 Covidien Lp Buttress attachment for circular stapling device
US10321911B2 (en) 2013-02-25 2019-06-18 Covidien Lp Circular stapling device with buttress
US9504470B2 (en) 2013-02-25 2016-11-29 Covidien Lp Circular stapling device with buttress
US11076857B2 (en) 2013-02-25 2021-08-03 Covidien Lp Circular stapling device with buttress
US10722234B2 (en) 2013-02-28 2020-07-28 Covidien Lp Adherence concepts for non-woven absorbable felt buttresses
US10575868B2 (en) 2013-03-01 2020-03-03 Ethicon Llc Surgical instrument with coupler assembly
US10226249B2 (en) 2013-03-01 2019-03-12 Ethicon Llc Articulatable surgical instruments with conductive pathways for signal communication
US9782173B2 (en) 2013-03-07 2017-10-10 Covidien Lp Circular stapling device including buttress release mechanism
US10470762B2 (en) 2013-03-14 2019-11-12 Ethicon Llc Multi-function motor for a surgical instrument
US10405857B2 (en) 2013-04-16 2019-09-10 Ethicon Llc Powered linear surgical stapler
US10441281B2 (en) 2013-08-23 2019-10-15 Ethicon Llc surgical instrument including securing and aligning features
US10624634B2 (en) 2013-08-23 2020-04-21 Ethicon Llc Firing trigger lockout arrangements for surgical instruments
US10828032B2 (en) 2013-08-23 2020-11-10 Ethicon Llc End effector detection systems for surgical instruments
US10548598B2 (en) 2013-10-28 2020-02-04 Covidien Lp Circular surgical stapling device including buttress material
US11272936B2 (en) 2013-10-28 2022-03-15 Covidien Lp Circular surgical stapling device including buttress material
US9655620B2 (en) 2013-10-28 2017-05-23 Covidien Lp Circular surgical stapling device including buttress material
US11219451B2 (en) 2013-11-08 2022-01-11 Cilag Gmbh International Tissue ingrowth materials and method of using the same
US11564680B2 (en) 2013-11-08 2023-01-31 Cilag Gmbh International Tissue ingrowth materials and method of using the same
US11812953B2 (en) 2013-11-08 2023-11-14 Cilag Gmbh International Tissue ingrowth materials and method of using the same
US10285691B2 (en) 2013-11-08 2019-05-14 Ethicon Llc Tissue ingrowth materials and method of using the same
CN106028960A (zh) * 2013-11-08 2016-10-12 伊西康内外科有限责任公司 组织向内生长材料及其使用方法
CN106028960B (zh) * 2013-11-08 2019-05-31 伊西康内外科有限责任公司 组织向内生长材料及其使用方法
US11937809B2 (en) 2013-11-08 2024-03-26 Cilag Gmbh International Tissue ingrowth materials and method of using the same
CN106232028A (zh) * 2014-02-24 2016-12-14 伊西康内外科有限责任公司 可植入层组件
US10426481B2 (en) 2014-02-24 2019-10-01 Ethicon Llc Implantable layer assemblies
CN106232028B (zh) * 2014-02-24 2019-02-15 伊西康内外科有限责任公司 可植入层组件
US11497488B2 (en) 2014-03-26 2022-11-15 Cilag Gmbh International Systems and methods for controlling a segmented circuit
US11185330B2 (en) 2014-04-16 2021-11-30 Cilag Gmbh International Fastener cartridge assemblies and staple retainer cover arrangements
US10470768B2 (en) 2014-04-16 2019-11-12 Ethicon Llc Fastener cartridge including a layer attached thereto
US10327776B2 (en) 2014-04-16 2019-06-25 Ethicon Llc Surgical stapling buttresses and adjunct materials
US10542988B2 (en) 2014-04-16 2020-01-28 Ethicon Llc End effector comprising an anvil including projections extending therefrom
US11517315B2 (en) 2014-04-16 2022-12-06 Cilag Gmbh International Fastener cartridges including extensions having different configurations
US9844378B2 (en) 2014-04-29 2017-12-19 Covidien Lp Surgical stapling apparatus and methods of adhering a surgical buttress thereto
CN106572849B (zh) * 2014-06-10 2020-07-14 伊西康内外科有限责任公司 用于密封组织中的钉的装置
CN106572849A (zh) * 2014-06-10 2017-04-19 伊西康内外科有限责任公司 用于密封组织中的钉的装置
CN106572852A (zh) * 2014-06-10 2017-04-19 伊西康内外科有限责任公司 用于将钉密封在组织中的装置
US10426476B2 (en) 2014-09-26 2019-10-01 Ethicon Llc Circular fastener cartridges for applying radially expandable fastener lines
US10327764B2 (en) 2014-09-26 2019-06-25 Ethicon Llc Method for creating a flexible staple line
US10426477B2 (en) 2014-09-26 2019-10-01 Ethicon Llc Staple cartridge assembly including a ramp
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
US10736636B2 (en) 2014-12-10 2020-08-11 Ethicon Llc Articulatable surgical instrument system
US10245028B2 (en) 2015-02-27 2019-04-02 Ethicon Llc Power adapter for a surgical instrument
US10182816B2 (en) 2015-02-27 2019-01-22 Ethicon Llc Charging system that enables emergency resolutions for charging a battery
US10206605B2 (en) 2015-03-06 2019-02-19 Ethicon Llc Time dependent evaluation of sensor data to determine stability, creep, and viscoelastic elements of measures
US10687806B2 (en) 2015-03-06 2020-06-23 Ethicon Llc Adaptive tissue compression techniques to adjust closure rates for multiple tissue types
US10548504B2 (en) 2015-03-06 2020-02-04 Ethicon Llc Overlaid multi sensor radio frequency (RF) electrode system to measure tissue compression
US10245033B2 (en) 2015-03-06 2019-04-02 Ethicon Llc Surgical instrument comprising a lockable battery housing
US10617412B2 (en) 2015-03-06 2020-04-14 Ethicon Llc System for detecting the mis-insertion of a staple cartridge into a surgical stapler
US10729432B2 (en) 2015-03-06 2020-08-04 Ethicon Llc Methods for operating a powered surgical instrument
CN107645931A (zh) * 2015-03-25 2018-01-30 伊西康有限责任公司 具有用于可释放地附接到外科缝合器的一体式粘合剂的外科钉支撑物
US10433844B2 (en) 2015-03-31 2019-10-08 Ethicon Llc Surgical instrument with selectively disengageable threaded drive systems
US10390825B2 (en) 2015-03-31 2019-08-27 Ethicon Llc Surgical instrument with progressive rotary drive systems
US10835249B2 (en) 2015-08-17 2020-11-17 Ethicon Llc Implantable layers for a surgical instrument
US11058425B2 (en) 2015-08-17 2021-07-13 Ethicon Llc Implantable layers for a surgical instrument
US10980538B2 (en) 2015-08-26 2021-04-20 Ethicon Llc Surgical stapling configurations for curved and circular stapling instruments
US10470769B2 (en) 2015-08-26 2019-11-12 Ethicon Llc Staple cartridge assembly comprising staple alignment features on a firing member
US11058426B2 (en) 2015-08-26 2021-07-13 Cilag Gmbh International Staple cartridge assembly comprising various tissue compression gaps and staple forming gaps
US10390829B2 (en) 2015-08-26 2019-08-27 Ethicon Llc Staples comprising a cover
US11103248B2 (en) 2015-08-26 2021-08-31 Cilag Gmbh International Surgical staples for minimizing staple roll
US10517599B2 (en) 2015-08-26 2019-12-31 Ethicon Llc Staple cartridge assembly comprising staple cavities for providing better staple guidance
US10433845B2 (en) 2015-08-26 2019-10-08 Ethicon Llc Surgical staple strips for permitting varying staple properties and enabling easy cartridge loading
US10357251B2 (en) 2015-08-26 2019-07-23 Ethicon Llc Surgical staples comprising hardness variations for improved fastening of tissue
CN108348654A (zh) * 2015-08-31 2018-07-31 伊西康有限责任公司 用于促进肺功能的外科附属物和药剂
CN108348652A (zh) * 2015-08-31 2018-07-31 伊西康有限责任公司 用于递送药剂的复合附属材料
CN108348654B (zh) * 2015-08-31 2021-07-23 伊西康有限责任公司 用于促进肺功能的外科附属物和药剂
CN108348244A (zh) * 2015-08-31 2018-07-31 伊西康有限责任公司 用于递送至结肠组织的附属材料
CN108348658A (zh) * 2015-08-31 2018-07-31 伊西康有限责任公司 使用外科附属物和药剂诱导组织粘连
CN108348244B (zh) * 2015-08-31 2021-02-02 伊西康有限责任公司 用于递送至结肠组织的附属材料
CN108348649B (zh) * 2015-08-31 2021-07-02 伊西康有限责任公司 用于促进组织生长的附属材料
CN108348652B (zh) * 2015-08-31 2021-08-10 伊西康有限责任公司 用于递送药剂的复合附属材料
CN108348649A (zh) * 2015-08-31 2018-07-31 伊西康有限责任公司 用于促进组织生长的附属材料
US10357252B2 (en) 2015-09-02 2019-07-23 Ethicon Llc Surgical staple configurations with camming surfaces located between portions supporting surgical staples
US10363036B2 (en) 2015-09-23 2019-07-30 Ethicon Llc Surgical stapler having force-based motor control
US10433846B2 (en) 2015-09-30 2019-10-08 Ethicon Llc Compressible adjunct with crossing spacer fibers
CN108289677A (zh) * 2015-09-30 2018-07-17 伊西康有限责任公司 包括粘结层的可植入附属物
CN108289678A (zh) * 2015-09-30 2018-07-17 伊西康有限责任公司 包括塑性变形纤维的可植入层
US10478188B2 (en) 2015-09-30 2019-11-19 Ethicon Llc Implantable layer comprising a constricted configuration
US10980539B2 (en) 2015-09-30 2021-04-20 Ethicon Llc Implantable adjunct comprising bonded layers
US11690623B2 (en) 2015-09-30 2023-07-04 Cilag Gmbh International Method for applying an implantable layer to a fastener cartridge
US10524788B2 (en) 2015-09-30 2020-01-07 Ethicon Llc Compressible adjunct with attachment regions
US10561420B2 (en) 2015-09-30 2020-02-18 Ethicon Llc Tubular absorbable constructs
CN108348257A (zh) * 2015-10-29 2018-07-31 伊西康有限责任公司 用于外科缝合器的可延展支撑物组件
CN108348257B (zh) * 2015-10-29 2021-02-02 伊西康有限责任公司 用于外科缝合器的可延展支撑物组件
US10368865B2 (en) 2015-12-30 2019-08-06 Ethicon Llc Mechanisms for compensating for drivetrain failure in powered surgical instruments
US10470764B2 (en) 2016-02-09 2019-11-12 Ethicon Llc Surgical instruments with closure stroke reduction arrangements
US10433837B2 (en) 2016-02-09 2019-10-08 Ethicon Llc Surgical instruments with multiple link articulation arrangements
US11213293B2 (en) 2016-02-09 2022-01-04 Cilag Gmbh International Articulatable surgical instruments with single articulation link arrangements
US10653413B2 (en) 2016-02-09 2020-05-19 Ethicon Llc Surgical instruments with an end effector that is highly articulatable relative to an elongate shaft assembly
US10413291B2 (en) 2016-02-09 2019-09-17 Ethicon Llc Surgical instrument articulation mechanism with slotted secondary constraint
US10245030B2 (en) 2016-02-09 2019-04-02 Ethicon Llc Surgical instruments with tensioning arrangements for cable driven articulation systems
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
US10376263B2 (en) 2016-04-01 2019-08-13 Ethicon Llc Anvil modification members for surgical staplers
US10456137B2 (en) 2016-04-15 2019-10-29 Ethicon Llc Staple formation detection mechanisms
US11179150B2 (en) 2016-04-15 2021-11-23 Cilag Gmbh International Systems and methods for controlling a surgical stapling and cutting instrument
US10405859B2 (en) 2016-04-15 2019-09-10 Ethicon Llc Surgical instrument with adjustable stop/start control during a firing motion
US10426467B2 (en) 2016-04-15 2019-10-01 Ethicon Llc Surgical instrument with detection sensors
US10828028B2 (en) 2016-04-15 2020-11-10 Ethicon Llc Surgical instrument with multiple program responses during a firing motion
US10335145B2 (en) 2016-04-15 2019-07-02 Ethicon Llc Modular surgical instrument with configurable operating mode
US10357247B2 (en) 2016-04-15 2019-07-23 Ethicon Llc Surgical instrument with multiple program responses during a firing motion
US10433840B2 (en) 2016-04-18 2019-10-08 Ethicon Llc Surgical instrument comprising a replaceable cartridge jaw
US10368867B2 (en) 2016-04-18 2019-08-06 Ethicon Llc Surgical instrument comprising a lockout
US10426469B2 (en) 2016-04-18 2019-10-01 Ethicon Llc Surgical instrument comprising a primary firing lockout and a secondary firing lockout
US10478181B2 (en) 2016-04-18 2019-11-19 Ethicon Llc Cartridge lockout arrangements for rotary powered surgical cutting and stapling instruments
US10363037B2 (en) 2016-04-18 2019-07-30 Ethicon Llc Surgical instrument system comprising a magnetic lockout
US10542979B2 (en) 2016-06-24 2020-01-28 Ethicon Llc Stamped staples and staple cartridges using the same
US10702270B2 (en) 2016-06-24 2020-07-07 Ethicon Llc Stapling system for use with wire staples and stamped staples
US10675024B2 (en) 2016-06-24 2020-06-09 Ethicon Llc Staple cartridge comprising overdriven staples
US11000278B2 (en) 2016-06-24 2021-05-11 Ethicon Llc Staple cartridge comprising wire staples and stamped staples
US10856868B2 (en) 2016-12-21 2020-12-08 Ethicon Llc Firing member pin configurations
US10603036B2 (en) 2016-12-21 2020-03-31 Ethicon Llc Articulatable surgical instrument with independent pivotable linkage distal of an articulation lock
US10517596B2 (en) 2016-12-21 2019-12-31 Ethicon Llc Articulatable surgical instruments with articulation stroke amplification features
US10492785B2 (en) 2016-12-21 2019-12-03 Ethicon Llc Shaft assembly comprising a lockout
US11191539B2 (en) 2016-12-21 2021-12-07 Cilag Gmbh International Shaft assembly comprising a manually-operable retraction system for use with a motorized surgical instrument system
US10973516B2 (en) 2016-12-21 2021-04-13 Ethicon Llc Surgical end effectors and adaptable firing members therefor
US10568625B2 (en) 2016-12-21 2020-02-25 Ethicon Llc Staple cartridges and arrangements of staples and staple cavities therein
US10426471B2 (en) 2016-12-21 2019-10-01 Ethicon Llc Surgical instrument with multiple failure response modes
US11160551B2 (en) 2016-12-21 2021-11-02 Cilag Gmbh International Articulatable surgical stapling instruments
US11571210B2 (en) 2016-12-21 2023-02-07 Cilag Gmbh International Firing assembly comprising a multiple failed-state fuse
US10893864B2 (en) 2016-12-21 2021-01-19 Ethicon Staple cartridges and arrangements of staples and staple cavities therein
US10945727B2 (en) 2016-12-21 2021-03-16 Ethicon Llc Staple cartridge with deformable driver retention features
US10918385B2 (en) 2016-12-21 2021-02-16 Ethicon Llc Surgical system comprising a firing member rotatable into an articulation state to articulate an end effector of the surgical system
US10448950B2 (en) 2016-12-21 2019-10-22 Ethicon Llc Surgical staplers with independently actuatable closing and firing systems
US10517595B2 (en) 2016-12-21 2019-12-31 Ethicon Llc Jaw actuated lock arrangements for preventing advancement of a firing member in a surgical end effector unless an unfired cartridge is installed in the end effector
CN110461250A (zh) * 2017-02-17 2019-11-15 爱惜康有限责任公司 具有用于与附属物配合的延伸特征部的端部执行器
US10390841B2 (en) 2017-06-20 2019-08-27 Ethicon Llc Control of motor velocity of a surgical stapling and cutting instrument based on angle of articulation
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
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
US10716614B2 (en) 2017-06-28 2020-07-21 Ethicon Llc Surgical shaft assemblies with slip ring assemblies with increased contact pressure
USD854151S1 (en) 2017-06-28 2019-07-16 Ethicon Llc Surgical instrument shaft
USD851762S1 (en) 2017-06-28 2019-06-18 Ethicon Llc Anvil
US10258418B2 (en) 2017-06-29 2019-04-16 Ethicon Llc System for controlling articulation forces
US10398434B2 (en) 2017-06-29 2019-09-03 Ethicon Llc Closed loop velocity control of closure member for robotic surgical instrument
US10765429B2 (en) 2017-09-29 2020-09-08 Ethicon Llc Systems and methods for providing alerts according to the operational state of a surgical instrument
US10796471B2 (en) 2017-09-29 2020-10-06 Ethicon Llc Systems and methods of displaying a knife position for a surgical instrument
CN109675094A (zh) * 2017-10-18 2019-04-26 中国医学科学院北京协和医院 一种具有止血功能的可吸收骨蜡及其制备方法
CN108286126A (zh) * 2018-01-24 2018-07-17 上海理工大学 一种快速止血复合纤维膜的制备方法
CN113260318A (zh) * 2018-12-28 2021-08-13 西拉格国际有限公司 促进组织向内生长的外科缝合器支撑物
US11344309B2 (en) 2019-07-05 2022-05-31 Covidien Lp Circular stapling instruments

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JP2013128783A (ja) 2013-07-04
US20170231629A1 (en) 2017-08-17
US8496683B2 (en) 2013-07-30
CN101332110B (zh) 2013-07-31
CA2632294A1 (en) 2008-12-27
US8062330B2 (en) 2011-11-22
US20200171715A1 (en) 2020-06-04
US9636850B2 (en) 2017-05-02
US20090001122A1 (en) 2009-01-01
CA2632294C (en) 2016-01-05
US20130310873A1 (en) 2013-11-21
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US9005243B2 (en) 2015-04-14
US20120031950A1 (en) 2012-02-09
EP2008595A3 (en) 2010-04-28
US10611060B2 (en) 2020-04-07
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EP2008595B1 (en) 2016-04-27
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US20140158742A1 (en) 2014-06-12
EP2008595A2 (en) 2008-12-31

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