CN101507620B - 与外科器械端部执行器一起使用的具有对齐和保持特征的支撑材料 - Google Patents

与外科器械端部执行器一起使用的具有对齐和保持特征的支撑材料 Download PDF

Info

Publication number
CN101507620B
CN101507620B CN2009100078128A CN200910007812A CN101507620B CN 101507620 B CN101507620 B CN 101507620B CN 2009100078128 A CN2009100078128 A CN 2009100078128A CN 200910007812 A CN200910007812 A CN 200910007812A CN 101507620 B CN101507620 B CN 101507620B
Authority
CN
China
Prior art keywords
backing material
end effector
anvil block
various embodiments
nail bin
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Active
Application number
CN2009100078128A
Other languages
English (en)
Other versions
CN101507620A (zh
Inventor
T·W·休特玛
F·E·谢尔顿四世
J·S·斯韦兹
J·R·摩根
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Ethicon Endo Surgery Inc
Original Assignee
Ethicon Endo Surgery Inc
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Ethicon Endo Surgery Inc filed Critical Ethicon Endo Surgery Inc
Publication of CN101507620A publication Critical patent/CN101507620A/zh
Application granted granted Critical
Publication of CN101507620B publication Critical patent/CN101507620B/zh
Active legal-status Critical Current
Anticipated expiration legal-status Critical

Links

Images

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072Surgical 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
    • A61B17/07207Surgical 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072Surgical 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
    • A61B17/07292Reinforcements for staple line, e.g. pledgets
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B50/00Containers, covers, furniture or holders specially adapted for surgical or diagnostic appliances or instruments, e.g. sterile covers
    • A61B50/30Containers specially adapted for packaging, protecting, dispensing, collecting or disposing of surgical or diagnostic appliances or instruments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00477Coupling
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00491Surgical glue applicators
    • A61B2017/00495Surgical glue applicators for two-component glue
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00491Surgical glue applicators
    • A61B2017/005Surgical glue applicators hardenable using external energy source, e.g. laser, ultrasound
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00831Material properties
    • A61B2017/00951Material properties adhesive
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072Surgical 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
    • A61B2017/07214Stapler heads
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072Surgical 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
    • A61B2017/07214Stapler heads
    • A61B2017/07242Stapler heads achieving different staple heights during the same shot, e.g. using an anvil anvil having different heights or staples of different sizes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072Surgical 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
    • A61B2017/07214Stapler heads
    • A61B2017/0725Stapler heads with settable gap between anvil and cartridge, e.g. for different staple heights at different shots
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072Surgical 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
    • A61B2017/07214Stapler heads
    • A61B2017/07285Stapler heads characterised by its cutter
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B50/00Containers, covers, furniture or holders specially adapted for surgical or diagnostic appliances or instruments, e.g. sterile covers
    • A61B2050/002Containers, covers, furniture or holders specially adapted for surgical or diagnostic appliances or instruments, e.g. sterile covers having adhesive means, e.g. an adhesive strip
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B50/00Containers, covers, furniture or holders specially adapted for surgical or diagnostic appliances or instruments, e.g. sterile covers
    • A61B50/30Containers specially adapted for packaging, protecting, dispensing, collecting or disposing of surgical or diagnostic appliances or instruments
    • A61B2050/314Flexible bags or pouches

Abstract

外科器械的片支撑材料和端部执行器,其具有能帮助外科医生将片支撑材料恰当和快速地连接至端部执行器的部件。在各种实施方式中,片支撑材料可包括保持特征部件,该保持特征可接合端部执行器的部分,从而将该片支撑材料可松开释放地保持到至少一部分端部执行器。同样地,该端部执行器可包括设置成被构造成与片支撑材料的部分相接合从而将该片支撑材料可松开释放地保持至端部执行器的特征部件。在至少一个实施方式中,一片以上支撑材料可被可松开释放地保持至端部执行器。

Description

与外科器械端部执行器一起使用的具有对齐和保持特征的支撑材料
技术领域
本发明主要涉及一种用于外科器械的支撑材料,及一种被构造成可释放地连接到外科器械的端部执行器组件的支撑材料。 
背景技术
一种外科器械,例如外科钉合器,可设置用于在外科手术中将钉释放到组织中。在各种实施方式中,外科钉合器可以包括布置在外科钉合器的末端上的端部执行器。所述端部执行器可设置在患者身体内的壁内的套管或套管针内,并至少部分穿过套管或套管针滑动,从而外科医生可以利用端部执行器在外科手术部位进行操作。在各种实施方式中,端部执行器可以包括具有钉仓的第一夹钳构件和具有砧座的第二夹钳构件。第一夹钳构件和第二夹钳构件可被构造成相互接近移动以夹住其间的组织层并对其施加压力。在至少一种实施方式中,钉仓可被构造成可拆除地存储其内的钉,砧座可被构造成使缝钉在从钉仓释放时变形。 
在一些情形下,组织层可以相对较薄,具有高流体含量,和/或具有不均匀的厚度,这会使缝钉不适当地形成于组织中。为了改进这一问题,在组织被夹住并钉合时可使用一片支撑材料来支撑组织。在至少一个实施方式中,一片支撑材料在第一夹钳构件和第二夹钳构件插入外科手术部位之前可释放地连接到第一夹钳构件和第二夹钳构件中至少一个构件上。在各种实施例中,这片支撑材料可用于将砧座施加的压力分布在支撑材料的表面区域上,从而在组织内形成更均匀的组织压缩轮廓。在至少一个实施例中,均匀的组织压缩轮廓可以增加钉适当地形成于组织中的可能性。 
在各种实施方式中,外科医生难以将支撑材料连接到端部执行器的夹钳构件上。在至少一个实施方式中,这片支撑材料可以使用粘合剂连接到其中一个夹钳构件上,所述粘合剂被构造成将支撑材料可释放地保持在其中一个夹钳构件上。在这种实施方式中,由于粘合剂可能立即将支撑材料粘结到夹钳组件上,外科医生必须小心地将支撑材料与夹钳构件对准。在这种情形下,这片支撑材料必须从夹钳构件去除,并替换一片新的支撑材料。因此,外科医生可能在将支撑材料放置和对准于端部执行器的夹钳构件上花费可观的时间。 
发明内容
在本发明的至少一种形式中,外科器械的片支撑材料和/或端部执行器可以具有帮助外科医生或其他临床医生将片支撑材料适当地对准并连接到端部执行器的部件。在至少一个实施方式中,该片支撑材料可以包括至少一个从其延伸的构件,其中该构件可被构造成接合钉仓内限定的钉腔和/或砧座上限定的砧座凹窝中之一。在至少一个这种实施方式中,该构件可例如摩擦配合和/或压配合在钉仓和/或砧座凹窝内以将支撑材料可释放地保持在钉仓和砧座其中之一上。在各种实施方式中,槽口或狭缝可限定于钉仓和/或砧座其中之一内,其中该槽口可被构造成容纳片支撑材料的一部分并将该片支撑材料可释放地保持在那里。在至少一个实施方式中,片支撑材料可包括从其延伸的凸起,其中该凸起可被构造成可释放地接合钉仓和砧座至少其中之一上的切割构件通道。在这种实施方式中,该凸起可以压配合,摩擦配合和/或以其它方式接合通道。 
在本发明的至少一种形式中,片支撑材料和端部执行器可包括协作件,例如唇缘,其允许这片支撑材料以卡扣配合的方式连接到端部执行器上。在各种实施方式中,端部执行器可包括从其延伸的弹性构件,其中该弹性构件可被构造成接触这片支撑材料的一部分并将这片支撑材料可释放地保持在端部执行器上。在至少一个实施方式中,钉仓和砧座其中之一可包括多个保持构件,其中片支撑构件的部分可摩擦配合地抵靠在保持构件上以将该片支撑材料可释放地保持在钉仓和砧座上。 
在本发明的至少一种形式中,片支撑材料可释放地连接至套管,其中该套管可被构造成在端部执行器的钉仓和砧座至少其中之一上滑动。在至少一个实施方式中,该片支撑材料可以包括可连接到套管的侧部,和被构造成在钉从钉仓释放时接合缝钉的主体部分。在这种实施方式中,该侧部可用于将主体部分可释放地保持至套管。在至少一个实施方式中,例如这片支撑材料在侧部和主体部分可以限定有凹槽和/或穿孔,从而主体部分可与侧部隔开。因此,在至少一个实施方式中,该穿孔和/或凹槽能够允许套管在缝钉已经释放进入主体部分之后从支撑材料上移除。 
在本发明的至少一种形式中,用于片支撑材料的包装件可用于将片支撑材料快速地对准并放置于端部执行器中。在各种实施方式中,包装件可包括第一部分、第二部分和能够可释放地连接至第一部分的支撑材料。在至少一个实施方式中,第二部分可被构造成在邻近片支撑材料的第一位置和第二位置之间移动。在各种实施方式中,该片支撑材料可在第二部分位于第二位置时露出,使包装件位于打开的端部执行器的夹钳构件之间,从而使露出的支撑材料接合端部执行器的夹钳构件。在各种实施方式中,支撑材料上可包括用于将支撑材料保持在夹钳构件其中一个上的粘合剂。在这片支撑材料接合其中一个夹钳组件之后,第二部分可被拉离端部执行器,从而将第一部从该片支撑材料释放出来。 
在本发明的至少一种形式中,片支撑材料可固定至端部执行器的砧座和钉仓至少其中之一。在各种实施方式中,砧座和/或钉仓可包括一个或多个孔或开口,该孔或开口可被构造成容纳一个或多个紧固件以将片支撑材料保持至砧座或钉仓。在各种实施方式中,该紧固件可从砧座和/或钉仓上的孔释放出来,从而允许片支撑材料从端部执行器分离。该紧固件还可被构造成从该片支撑材料分离,并可包括可生物吸收材料,从而使其能够在患者身体内再吸收。在至少一个实施方式 中,这片支撑材料可由一个或多个可分离的夹子连接到端部执行器。 
在本发明的至少一种形式中,被构造成可释放地连接到端部执行器的片支撑材料可包括未活化的粘合剂。在各种实施方式中,外科医生可在端部执行器上多次放置并对准该片支撑材料,未活化的粘合剂不会粘结到端部执行器。一旦外科医生满意该片支撑材料在端部执行器上的对准,外科医生可以将反应剂施用至未活化的粘合剂。在各种实施方式中,该反应剂可以活化粘合剂并使粘合剂将该片支撑材料可释放地粘结到端部执行器的部分上。在至少一个实施方式中,该片支撑材料可包括被构造成容纳施用器的凹槽,从而帮助将反应剂应用至未活化的粘合剂。 
在本发明的至少一种形式中,端部执行器可以包括可缩回的保持构件,用于在端部执行器上保持片支撑材料。在各种实施方式中,该保持构件可在第一位置或末端位置和第二位置或近端位置之间移动。在至少一个实施方式中,柔性构件可操作地接合手柄部分,从而外科医生可以利用手柄部分相对端部执行器缩回柔性构件。在各种实施方式中,柔性构件可在缝钉通过支撑材料释放时将该片支撑材料保持在位置中。在至少一个实施方式中,所述保持构件可相对端部执行器缩回,从而支撑材料可从端部执行器分离,端部执行器可从外科手术部位移除。 
更具体地说,本发明涉及如下内容: 
(1).一种用于外科器械的端部执行器组件,该端部执行器组件包括: 
砧座,其包括被构造成容纳至少一部分切割构件的狭槽; 
钉仓,其包括被构造成容纳至少一部分切割构件的狭槽;及 
片支撑材料,其包括: 
第一部分,其被构造成至少部分位于所述砧座和钉仓之间,其中所述第一部分具有第一厚度;及 
第二部分,其被构造成位于所述砧座狭槽和所述钉仓狭槽其中之一内,以将所述片支撑材料可释放的保持至所述砧座和所述钉仓其中之一,其中所述第二部分具有第二厚度,所述第二厚度小于或等于所述第一厚度。 
(2).根据第(1)项所述的端部执行器组件,其中,所述砧座狭槽包括第一侧壁和第二侧壁,所述凸起被构造成摩擦接合所述第一侧壁和所述第二侧壁。 
(3).根据第(1)项所述的端部执行器组件,其中,所述凸起被构造成压配合于所述砧座狭槽和所述钉仓狭槽其中之一内。 
(4).根据第(1)项所述的端部执行器组件,其中,所述片支撑材料的第一部分还包括: 
接触组织的部分; 
可移除部;及 
[00钉仓,其包括 
第(5)项所述的端部执行器组件,其中,所述砧座狭槽包括第一侧壁和第二侧壁,所述凸起被构造成摩擦接合所述第一侧壁和所述第二侧壁。 
(7).根据第(5)项所述的端部执行器组件,其中,所述凸起被构造成压配合在所述砧座狭槽内。 
(8).根据第(5)项所述的端部执行器组件,其中,所述片支撑材料的主体部分还包括: 
接触组织的部分; 
可移除部;及 
凹槽或穿孔,其被构造成允许所述可移除部从所述接触组织的部分分离。 
(9).根据第(5)项所述的端部执行器组件,其中,所述沟槽具有V形轮廓。 
(10).根据第(5)项所述的端部执行器组件,其中,所述沟槽为第一沟槽,所述片支撑材料还包括第二沟槽,所述第二沟槽限定在所述凸起内。 
(11).根据第(10)项所述的端部执行器组件,其中,所述主体部分限定第一厚度,所述第一沟槽和所述第二沟槽限定第二厚度,所述第二厚度小于所述第一厚度。 
(12).一种用于外科器械的端部执行器组件,该端部执行器组件包括: 
砧座,其包括被构造成容纳至少一部分切割构件的狭槽; 
钉仓,其包括 
狭槽,其被构造成容纳至少一部分切割构件;及 
钉腔,其可移除地存储缝钉; 
保持狭槽,其限定在所述砧座和所述钉仓中之一上;及 
片支撑材料,其包括: 
主体部分,其被构造成至少部分放置在所述砧座和钉仓之间;及 
保持构件,其从所述主体部分延伸,其中所述保持构件被构造成插入所述保持狭槽内,以将所述主体部分保持在所述砧座和所述钉仓之间。 
(13).根据第(12)项所述的端部执行器组件,其中,所述保持构件包括: 
腿部,其连接到所述主体部分;及 
足部,其从所述腿部延伸。 
(14).根据第(13)项所述的端部执行器组件,其中,所述钉仓包括所述保持狭槽,所述钉仓还包括具有底部表面和组织接触顶部表面的板,所述足部被构造成接合所述板的底部表面,以将所述保持构件保持在所述保持狭槽内。 
(15).根据第(12)项所述的端部执行器组件,其中,所述保持狭槽为第一保持狭槽,所述保持构件为第一保持构件,所述端部执行器组件还包括第二保持狭槽,所述片支撑材料还包括从所述主体部分延伸的第二保持构件,所述第二保持构件被构造成插入所述第二保持狭槽内,以将所述主体部分保持在所述砧座和所述钉仓之间。 
(16).根据第(15)项所述的端部执行器组件,其中,所述第一保持构件包括沿第一方向从腿部延伸的足部,所述第二保持构件包括沿第二方向从腿部延伸的足部,所述第一方向不同于所述第二方向。 
(17).根据第(12)项所述的端部执行器组件,其中,所述保持构件被构造成扣合在所述保持狭槽内。 
附图说明
参考下面本发明结合附图的实施例的说明,本发明的上述以及其它的特征和优点,及其实现方式将变得更明显,并且本发明能够更好地被理解,其中: 
图1为根据本发明的一非限制性实施例的端部执行器组件的立体图,该端部执行器被构造成将一片支撑材料接合、切割、钉合和应用到组织; 
图2为图1中根据本发明的一非限制性实施例的端部执行器组件在已经利用端部执行器将该片支撑材料接合、切割、钉合和应用到所述组织之后的立体图; 
图3为根据本发明的一非限制性实施例的端部执行器组件的立体图,该端部执行器组件连接到外科器械的远端; 
图4为根据本发明的一非限制性实施例的端部执行器组件的立体图,该端部执行器组件包括至少一片支撑材料,其中该端部执行器组 件处于敞开式结构中; 
图5为图4中端部执行器组件的钉仓的立体图,其中所述支撑材料可释放地保持在该钉仓上; 
图6为图5中的钉仓和支撑材料的分解立体图; 
图7为用于图4中的端部执行器的连接件的立体图; 
图8为图4中的端部执行器组件的砧座的立体图,其中所述砧座具有至少一片可释放地保持在其上的支撑材料; 
图9为图7中的连接件的侧视图; 
图10为图8中的砧座和支撑材料的分解立体图; 
图11为根据本发明的一非限制性实施例的其上连接有多片支撑材料的端部执行器组件的钉仓和砧座的立体图; 
图12为根据本发明的一非限制性实施例的包括钉仓和砧座的端部执行器组件的分解图; 
图13为图12中的端部执行器组件的分解图,其中一些组件被去除; 
图14为图12中的端部执行器组件的正视图; 
图15为根据本发明的另一非限制性实施例的端部执行器组件的立体图; 
图16为图15中的端部执行器组件的局部立体图,其中一些组件被去除,该端部执行器组件包括被构造成可释放地保持至少一片支撑材料的可收缩构件; 
图17为图15中的端部执行器沿图16中的线17-17的端视图; 
图18为图15中的端部执行器的局部分解立体图; 
图19-21为根据本发明的非限制性实施例的用于端部执行器组件的不同的切割构件的侧视图; 
图22为根据本发明的一非限制性实施例的钉仓的立体图,所述钉仓具有一片可释放地保持在其上的支撑材料; 
图23为图22中的钉仓和支撑材料的分解立体图,其中这片支撑材料具有多个从其延伸的构件; 
图24为图22沿线24-24的横截面视图,其示出了图23中根据本发明的一非限制性实施例的与钉仓接合的构件; 
图25为根据本发明的一非限制性实施例的具有与钉仓的钉仓接合的构件的一片支撑材料的横截面视图; 
图26为图25的分解图,其示出了根据本发明的一非限制性实施例的从所述钉仓的钉仓分离的构件; 
图27为根据本发明的一非限制性实施例的端部执行器组件的分解剖视图,该端部执行器组件包括从端部执行器的砧座和钉仓延伸的锁紧构件,该锁紧构件被构造成可释放地保持一片支撑材料; 
图28为根据本发明的一非限制性实施例的端部执行器组件的分解剖视图,该端部执行器组件包括从端部执行器的砧座和钉仓延伸的锁紧构件,该锁紧构件被构造成可释放地保持一片支撑材料; 
图29为根据本发明的一非限制性实施例的端部执行器的横截面视图,其示出了设置在所述端部执行器内的一片支撑材料,其中这片支撑材料包括凹槽; 
图30为根据本发明的一非限制性实施例的端部执行器的横截面视图,其示出了设置在端部执行器内的一片支撑材料,其中这片支撑材料包括穿孔和凹槽; 
图31为图30中该片支撑材料从中间部移除的部分的立体图; 
图32为根据本发明的一非限制性实施例的砧座的横截面视图,该砧座具有与切割构件狭槽接合的一片支撑材料; 
图33为根据本发明的一非限制性实施例的钉仓的横截面视图,所述钉仓具有可释放地保持在其上的一片支撑材料; 
图34为根据本发明的一非限制性实施例的可释放地放置在砧座上的一片支撑材料的横截面视图; 
图35为根据本发明的一非限制性实施例的可释放地保持在砧座上的一片支撑材料的详细视图; 
图36为根据本发明的一非限制性实施例的可释放地保持在砧座上的一片支撑材料的详细视图; 
图37为根据本发明的一非限制性实施例的可释放地保持在砧座上的一片支撑材料的详细视图; 
图38为根据本发明的一非限制性实施例的包括一片支撑材料的包装组件的立体图,其中该包装组件放置在外科器械的打开的端部执行器内; 
图39为图38中的包装组件的立体图,其示出了封闭到包装件和支撑材料上的端部执行器; 
图40为图39中根据本发明的一非限制性实施例的包装件的立体图,其示出了与端部执行器的砧座接合的该片支撑材料和从该片支撑材料上去除的包装件; 
图41为根据本发明的一非限制性实施例的用于在无菌外包装中的一片支撑材料的包装组件的立体图; 
图42为图41中处于未打开位置的包装组件的内包装件的立体图; 
图43为图42中处于部分打开位置的包装件的立体图; 
图44为图42中处于打开位置的包装件的立体图; 
图45为图42中位于打开的端部执行器内的包装件的立体图; 
图46为图45中的包装件的立体图,其中该包装件被部分地从端部执行器移除; 
图47为根据本发明的一非限制性实施例的用于一片支撑材料的施用器组件的立体图,其中该施用器组件放置在外科器械的端部执行器内; 
图48为图47中的施用器组件的顶视图; 
图49为根据本发明的一替换非限制性实施例的施用器组件的顶视图; 
图50为根据本发明的一非限制性实施例的支撑材料的施用器组件的立体图; 
图51为图50中的支撑材料的施用器组件的另一立体图; 
图52为图50中放置在外科器械的端部执行器内的支撑材料的施 用器组件的立体图; 
图53为图50中部分地从端部执行器移除的支撑材料的施用器组件的立体图; 
图54为根据本发明的一非限制性实施例的支撑材料的施用器的立体图,该施用器被构造成将至少一片支撑材料施用到外科器械的端部执行器; 
图55为图54中的支撑材料的施用器的分解图; 
图56为图54中的支撑材料的施用器的前视图,其中一些组件被移除; 
图57为图54中的支撑材料的施用器的立体图,其中一些组件被移除; 
图58为根据本发明的另一非限制性实施例的替换支撑材料的施用器的立体图,该施用器被构造成将至少一片支撑材料施用到外科器械的端部执行器; 
图59为图58中的支撑材料的施用器的分解立体图; 
图60为图58中的支撑材料的施用器的前视图,其中一些组件被移除; 
图61为图58中的支撑材料的施用器的立体图,其中一些组件被移除; 
图62为根据本发明的一非限制性实施例的一片支撑材料的立体图; 
图63为图62中的支撑材料沿图62中的线63-63的横截面视图。 
具体实施方式
现在将描述一些示例性的实施方式,以提供对在此所公开装置和方法的结构、功能、制造和使用的原理的全面理解。在附图中示出了这些实施方式的一个或多个实施例。本领域普通技术人员将理解,在此具体描述的并且在附图中示出的装置和方法是非限制性的示例性实施方式,并且本发明各种实施方式的范围仅通过权利要求书限定。 在一种示例性实施方式中示出和描述的相关特征可以与其它实施方式的特征结合。这种更改和变型包含在本发明的范围之内。 
在各种实施方式中,参照图1和2,外科器械的端部执行器可包括至少一片可释放地连接于其上的支撑材料“B”。在至少一种实施方式中,端部执行器可接合并夹紧组织“T”,将缝钉配置于组织中,并切割该组织和该片支撑材料。在这样一种实施方式中,端部执行器可随后从所述组织移除,而保持所述钉和该片支撑材料连接到在切口“I”任一侧上的组织。在各种实施方式中,外科器械可包括手柄组件、端部执行器组件、器械轴和至少一片可释放地连接于所述端部执行器组件的支撑材料。在至少一种实施方式中,参照图3,手柄组件12可被连接至器械轴16的第一端或近端13,此外,端部执行器组件14可连接至器械轴16的第二端或远端15。在各种实施方式中,当进行微侵入性外科手术程序时,端部执行器14和至少一部分器械轴16可位于在患者体内并可至少部分地通过套管或套管针而插入患者体内。在2006年1月10日申请的、题为“SURGICAL INSTRUMENTHAVING AN ARTICULATING END EFFECTOR(具有关节连接的端部执行器的外科器械)”的美国专利申请No.11/329,020;2006年1月31日申请的、题为“SURGICAL CUTTING AND FASTENINGINSTRUMENT WITH CLOSURE TRIGGER LOCKING MECHANISM(带有闭合触发锁定机构的外科切割和紧固器械)”的美国专利申请No.11/343,321;以及2006年9月29日申请的、题为“SURGICALSTAPLES HAVING ATTACHED DRIVERS AND STAPLINGINSTRUMENTS FOR DEPLOYING THE SAME(具有相连的驱动器的外科缝钉和用于释放外科缝钉的钉合器械)”的美国专利申请No.11/529,935中进一步详细描述了各种外科器械,上述文献的全部公开内容由此通过引用结合入本文。 
在各种实施方式中,外科器械的端部执行器组件可包括第一夹钳构件和第二夹钳构件,其中第一和第二夹钳构件的至少一个可相对于另一个夹钳构件移动,使得组织可被夹持于其中。在各种实施方式中, 参照图4至11,第一夹钳构件20可包括钉仓22,另外,第二夹钳构件24可包括砧座26。在至少一种实施方式中,钉仓22可包括在其中限定有多个钉仓30的板28。砧座26可包括砧座盖27和砧面32,其中砧面32可具有限定在其中的多个砧座凹窝(anvil pockets)34。在各种实施方式中,每个钉仓30可移除地将钉存储在其中,并且在钉被配置时,每个砧座凹窝34可使所述钉的至少一部分变形。在各种实施方式中,钉仓和砧座的至少之一可包含一个或多个夹持部件或隆起35,其可将组织保持在端部执行器之中。 
接着上文,参照图4至11,端部执行器组件14可包括至少一片支撑材料36和/或36′,所述支撑材料可位于第一和第二夹钳构件中间,并可被释放地保持到例如板28和/或砧面32中的一个。在至少一种实施方式中,当组织被夹持在第一和第二夹钳构件之间时,该片支撑材料的一表面可与组织接触。在这样一种实施方式中,该支撑材料表面可被用于分散组织上的压缩夹紧力,从组织上移除多余的流体,和/或改进钉的紧抓。在各种实施方式中,在端部执行器组件内可设有一片或多片支撑材料。在至少一种实施方式中,参照图11,一片支撑材料36a可被连接至钉仓22,而一片支撑材料36a′可被连接至砧座24。在至少另一种实施方式中,例如可在板28上设有两片支撑材料36,而在砧面32上设置一片支撑材料36′。在另外的各种实施方式中,可在端部执行器组件内置有任何适当片数的支撑材料。任何情况下,在各种实施方式中,支撑材料片可包含例如可生物吸收的材料、可生物降解材料和/或可溶性材料,使得该支撑材料可在治疗过程中例如被吸收、碎裂、和/或溶解。在至少一种实施方式中,支撑材料片可至少部分地包含治疗药物,其例如可随时间释放以在治疗中辅助组织。在另外的各种实施方式中,支撑材料片例如可包括不可吸收和/或不可溶性的材料。 
在各种实施方式中,参照图6、7、9和10,端部执行器组件可包括至少一个连接构件或紧固件,其例如被用于可释放地将一片支撑材料保持于砧座和钉仓中的至少之一上。在至少一个实施方式中,每个 连接构件例如连接构件38可包括主体40,其中主体40可为例如圆柱形。在至少一种这样的实施方式中,连接构件38还可包括向外扩展的头部42,该头部42被设置为防止或至少抑制连接构件滑动穿过在该片支撑材料中的孔或开口44。在另外的各种实施方式中,连接构件可包括任何其它的适当结构,以将一片支撑材料保持于端部执行器上。在至少一种实施方式中,一个或多个连接构件可包括钩,该钩可拆卸地将支撑材料保持于钉仓和/或砧座上。 
在各种实施方式中,参照图7和9,头部42可包括凹槽43,其中所述凹槽43可容纳驱动器、压力装置或任何其它适当的装置。在至少一种实施方式中,所述驱动器或压力机可与凹槽43接合并将连接构件38插入穿过该片支撑材料以及与例如钉仓的板28和砧座面32中的一个相接合。在至少一种这样的实施方式中,板28和/或砧座面32可包括孔46,该孔可容纳至少一部分连接构件,例如主体40。在各种实施方式中,主体40的外周长和孔46的内周长相互配合,以将连接构件38以摩擦配合或压配合的方式保持于砧座和钉仓中的一个上。接着上文,参照图6和10,一片支撑材料可包括预成形的孔44,该孔44例如可允许连接构件38从其穿过进入孔46中。在至少一种实施方式中,支撑材料片36可邻近或抵靠板28和砧座面32中的一个上放置,从而支撑材料的孔44可与孔46轴向对准。在这样的情况下,连接构件38可随后通过支撑孔44进入孔46,以可释放地将该片支撑材料保持于板28和砧面32中的一个上。 
接着上文,连接构件可包括螺纹,该螺纹例如可与钉仓和/或砧座上的孔螺纹接合。在各种实施方式中,这种螺纹可包括自攻螺纹并且/或者它们能够螺纹接合于孔内的螺纹。在使用自攻连接构件的实施方式中,连接构件可用于与其中的没有预成形或预钻孔的一片支撑材料、一钉仓和/或砧座连接。无论如何,连接构件和砧座或钉仓的孔之间的紧抓可足以将支撑材料保持在适当位置,且在适当的时候,允许该支撑材料从钉仓和/或板上去除。在至少一种实施方式中,向外扩展的头部42可被埋头于围绕孔46的一斜面中,用以在该片支撑材料上 提供平滑的,或至少基本平滑的组织接触表面,以及减少组织在连接构件上可能被捕获或被阻碍的可能性。 
在各种实施方式中,连接构件可从端部执行器释放,并连同一片支撑材料被配置。在至少一种实施方式中,连接构件的头部可与连接构件的主体部分分离,使得该头部可与该片支撑材料一起进行配置,同时主体部分仍保持连接于端部执行器。在另外的各种实施方式中,当该片支撑材料被从端部执行器拆除时,连接构件整体可保持与端部执行器相接合。任何情况下,在至少一种实施方式中,连接构件可至少部分地包含可生物吸收材料、可生物降解材料,和/或可溶性材料中的至少一种,使得该连接构件可在主体中被吸收、降解和/或溶解。在各种实施方式中,连接构件包含治疗药物,所述治疗药物例如可随时间释放以在治疗中辅助组织。在另外的各种实施方式中,连接构件例如可由不可吸收和/或不可溶解材料,如塑料来组成。 
在各种实施方式中,连接构件可以任何适当的样式或结构设置。在至少一种实施方式中,连接构件例如可位于支撑材料片36的外周长周围。在至少一种实施方式中,连接构件例如可被构造成接近所述支撑材料片的一个或多个侧面和/或端部,以在端部执行器被插入穿过套管针或与组织接合时,防止或至少有助于防止支撑材料脱离钉仓的板和/或砧面。在各种实施方式中,连接构件可结合任何适当的粘合剂例如氰基丙烯酸酯(cyanoacrilate)粘合剂来使用,以可释放地将所述支撑材料片或所述支撑材料的至少一部分保持于端部执行器上。在至少一种实施方式中,粘合剂可在连接构件与支撑材料片、钉仓和/或砧座上的孔接合之前应用于连接构件上。 
在各种实施方式中,参照图12至14,至少一个弹性构件可被用于将一片支撑材料可释放地保持于端部执行器的钉仓和/或砧座上。在至少一种实施方式中,至少一个弹性构件150或150′例如可包括第一端如第一端152或152′,其被连接至第一夹钳构件120和第二夹钳构件124的至少一个上,或与其一体形成。在至少一种实施方式中,每个弹性构件150例如可包括一第二端如第二端154或154′,其接 触并可释放地将一片支撑材料如支撑材料片136或136′保持于第一和第二夹钳构件中的至少一个上。在各种实施方式中,第二端154可包括端片158,所述端片例如可夹紧支撑材料片136的至少一部分。在各种实施方式中,端片158例如可为包括粗糙面或肋形面的轮廓或结构,用以与该片支撑材料摩擦接合。 
在各种实施方式中,再次参照图12至14,可在一夹钳构件的至少两侧上设置多个弹性构件,以将该片支撑材料的侧部保持于夹钳构件上。在至少一种实施方式中,每个单独的弹性构件150的第一端152可通过一连接构件例如连接构件或连接杆156或156′来彼此连接。在各种实施方式中,连接构件156可连接至第二夹钳构件124,使得连接构件156可对弹性构件150提供支撑。在另外的各种实施方式中,多个弹性构件150可连接至第一和第二夹钳构件的至少一个,而没有使用连接构件。在这样一种实施方式中,例如弹性构件的第一端可直接连接至第一和第二夹钳构件中的一个。 
接着上文,在各种实施方式中,至少一个弹性构件可朝向所述支撑材料片偏移,使得该弹性构件可对该支撑材料片施加保持力,并可释放地将支撑材料片保持于第一和第二夹钳构件中的一个上。在至少一种实施方式中,所述支撑材料片可包括接触组织的部分159或159′以及两个侧部160或160′,所述侧部相对于接触组织的部分159或159′沿基本垂直和/或横向的方向延伸。在至少一种这样的实施方式中,接触组织的部分159可被设置为邻近板128或与其相接触,而侧部160可与第一夹钳构件120的侧壁121相邻接。类似地,接触组织的部分159′可被设置为邻近表面132或与其相接触,而侧部160′可与第二夹钳构件124的侧壁125相邻接。在各种实施方式中,每个弹性构件150的每个第二端154可与支撑材料片136的侧部160接合,并在其上施加保持力。在至少一种实施方式中,弹性构件150例如可在缝钉已通过支撑材料被释放和/或在支撑材料从端部执行器脱离时,将支撑材料136释放。在至少一种实施方式中,所述弹性构件可由例如金属或塑料的弹性材料组成。 
在各种实施方式中,参照图15至18,保持构件可被构造成用来在端部执行器内在第一位置和第二位置之间移动,以可释放地将一片支撑材料保持于端部执行器上。在至少一种实施方式中,端部执行器214可包括具有钉仓222的第一夹钳和具有砧座226的第二夹钳,其中保持构件262可相对于钉仓222和砧座226移动。在各种实施方式中,保持构件262可在靠近远端264的第一或延伸位置和靠近近端263的第二或缩回位置之间移动。在其延伸位置,当端部执行器214被插入到外科手术部位时,保持构件262可将支撑材料236保持在适当位置。其后,端部执行器214例如可封闭到组织上,并且缝钉可通过支撑材料被释放到组织中。在各种实施方式中,保持构件262可移动进入其缩回位置,从而保持构件262能够可操作地从支撑材料236脱离。在至少一种实施方式中,保持构件262可在钉被释放之前缩回。在任何情况下,作为上文的结果,端部执行器214可被打开并从外科手术部位缩回,留下被钉牢的支撑材料和组织。 
在各种实施方式中,保持构件可具有近端,所述近端能够与在外科装钉器械的手柄部分中的杠杆或其它传动机构可操作地接合,使得外科医生可如上所概括的那样远程地收回保持构件。在至少一种实施方式中,保持构件262可具有远端,所述远端能够与保持杆264接合或以其它方式由保持杆264可释放地保持,从而可施加一力于保持构件262上来将其从保持杆264驱离。其后,保持构件262可向近侧缩回一距离L,用以将所述保持构件移动至其第二位置。在至少一种实施方式中,保持构件262例如可被缩回通过支撑材料236上的通道或孔266,直到它们从支撑材料充分地移除。在至少一种这样的实施方式中,孔266在保持构件262被拉回时可环绕并引导保持构件262。在各种实施方式中,保持构件可由软线组成。在至少一种实施方式中,端部执行器可包括由可缩回的保持构件保持于端部执行器的两片或多片支撑材料。在至少一种这样的实施方式中,参照图17和18,端部执行器214可包括保持构件262′用以将支撑材料236′保持在适当位置。 
在各种实施方式中,端部执行器组件可包括被配置来切割一片或多片支撑材料的切割构件。在至少一种实施方式中,可通过外科器械击发驱动器来相对于端部执行器推动切割构件,并可由端部执行器的砧座和/或钉仓内的切割构件狭槽来引导该切割构件。在至少一种实施方式中,参照图19,切割构件268的顶部267可在砧座上的狭槽中滑动,且所述切割构件的底部269可在钉仓内的狭槽中滑动。在各种实施方式中,切割构件268可包括具有正斜率的刀片270,即切割边缘的底端相对于顶端设置在远侧。在至少一种实施方式中,这样一种结构可切割支撑材料,而基本上不会在远侧推动支撑材料和破坏端部执行器内支撑材料的对齐。在至少一种替代实施方式中,参照图20,切割构件268′的刀片270′可包括负斜率,即切割边缘的底端相对于顶端设置在近侧。在另外的替代实施方式中,参照图21,切割构件268″的刀片270″可包括具有正斜率的第一部分270a″和具有负斜率的第二部分270b″。 
如上所概括的那样,端部执行器组件可包括钉仓、砧座和至少一片位于钉仓和砧座中间的支撑材料。在至少一种实施方式中,参照图22至24,一片支撑材料例如支撑材料336可扣合到钉仓322和/或砧座(未图示)中的至少一个上,以可释放地将所述支撑材料片保持于端部执行器内。参照图23和24,钉仓322可包括第一侧壁302和第二侧壁304,其中第一和第二侧壁中的至少一个可包括从其向外延伸的唇缘306。在各种实施方式中,支撑材料336可包括第一边缘或第一侧部308、第二边缘或第二侧部310以及至少一个沿边缘308和310的长度至少部分地延伸的唇缘312。在至少一种实施方式中,参照图24,唇缘312可以卡扣配合的方式与唇缘306接合,用以可释放地将支撑材料336保持到钉仓322上。 
接着上文,参照图24,支撑材料336可包括表面316,该表面316可被构造成邻近或抵靠钉仓322的板328。在至少一种实施方式中,侧边缘308和310可包括相对于表面316可在垂直或横向方向上延伸的侧壁。在这样的实施方式中,唇缘312可从这些侧壁延伸,从而唇 缘312可被互锁在钉仓322的唇缘306后面。在各种实施方式中,当钉从钉仓322中被释放时,支撑材料336的唇缘312可从钉仓322的唇缘306上脱离。更特别地,当缝钉被释放时,缝钉可与支撑材料336接触,施加一向上的力于支撑材料336,并将支撑材料336从钉仓322上移离。由此,有利地,在缝钉从钉仓中被释放时和/或当端部执行器如上所述那样被打开时,支撑材料336可从钉仓322自动脱离。 
在各种实施方式中,参照图23和24,一片支撑材料可包括至少一个从其延伸的构件,该构件能够可释放地将该支撑材料保持于钉仓和/或砧座中的一个上。在至少一种实施方式中,构件318可沿垂直于或横向于表面316的方向从支撑材料336延伸。在各种实施方式中,构件318可以摩擦配合或压配合的方式与钉腔320和/或砧座凹窝中的一个接合,以可释放地将所述支撑材料片保持于钉仓和砧座中的一个上。与上述相类似,在各种实施方式中,从钉腔320中释放的缝钉可施加一向上的力于支撑材料336,并且将构件318从钉腔320脱离。在各种实施方式中,缝钉可穿透凸起318和/或支撑材料336,以如上所概括的那样将支撑材料固定于组织上。 
如图23所示,一片支撑材料可包括多于一个从其延伸的构件或凸起,以将一片支撑材料保持于钉仓和砧座中的一个上。在各种实施方式中,参照图25至26,例如多于一个的构件318′可从支撑材料片336′延伸。在至少一种实施方式中,构件318′可被压配合到钉仓322′的钉腔320′中,和/或压配合到砧座(未图示)的砧座凹窝中,使得这些构件可如上所概括的那样将支撑材料片摩擦地保持于钉仓和/或砧座上。如下更详细描述的那样,除了钉仓的钉腔以及砧座的砧座凹窝,钉仓和/或砧座可包括在其中的狭槽或孔,用以容纳从一片支撑材料延伸的凸起或保持构件。 
在各种实施方式中,参照图33,端部执行器组件的砧座和钉仓中的至少之一可包括一个或多个狭槽和/或沟槽,以将一片支撑材料可释放地保持于端部执行器组件。在至少一种实施方式中,钉仓722可包括至少一个限定于其中的孔704,该孔可容纳从支撑材料736延伸的凸起706。在至少一种这样的实施方式中,凸起706可以压配合和/或摩擦配合的方式被容纳在孔704中,以可释放地将支撑材料736保持于其上。在至少一种实施方式中,参照图33,支撑材料736可包括具有表面710的主体708,其中该表面710可被构造成邻近和/或邻接板728。在各种实施方式中,凸起706例如可在垂直于或横向于由表面710限定的一平面的方向上从主体708延伸。 
在各种实施方式中,凸起706例如可包括第一部分或腿部712以及第二部分或足部714,其中例如第一部分712可延伸通过孔704,而第二部分714具有的尺寸和形状可略微大于孔704。在至少一种这样的实施方式中,凸起706可被插入并被推动通过孔704,直到第二部分714至少部分地延伸通过该孔。在各种实施方式中,凸起706可在其被插入到孔704中时向内偏斜,并在其已被插入通过孔704之后向外扣合。除了上述内容以外或可替代地,第二部分714可在其被插入到孔704中时被压缩,并在其一旦已被插入通过孔704后膨胀。任何情况下,第二部分714可在孔704附近与板728的背侧表面接合,用以可释放地将支撑材料736以卡扣配合的方式保持于钉仓702上。在至少一种实施方式中,凸起706能够可释放地被保持于孔704中,直到如上所述的那样通过从钉仓释放的钉在其上施加一力时和/或当端部执行器被打开之时。 
在各种实施方式中,参照图27,钉仓322″和/或砧座326″例如可包括槽口334″,该槽口可容纳支撑材料336″。在至少一种实施方式中,槽口334″能够可释放地将支撑材料336″保持于钉仓322″上。在至少一种这样的实施方式中,支撑材料336″可被压配合在保持构件302″和304″之间,使得必须施加一力于所述支撑材料336″上来克服在支撑材料336″与保持构件302″和304″之间的摩擦。在各种实施方式中,保持构件302″和304″可包括唇缘或悬垂部(overhangs),所述唇缘或悬垂部可防止或至少抑制支撑材料336″向上抬升。在各种实施方式中,参照图28,端部执行器组件可包括钉仓422和砧座426,其中钉仓和砧座中的至少一个可包括从其延伸的第一保持构件402和/或第二保持构件404。在至少一种实施方式中,第一和第二保持构件402和404可相对于板428和/或面432中的一个基本垂直地和/或横向地延伸,以将一片支撑材料436保持于端部执行器。在各种实施方式中,第一和第二保持构件402和404能够可释放地将支撑材料436以摩擦配合的方式保持在其间。在至少一种实施方式中,所述侧壁和所述保持构件之间的摩擦系数可以是足够的,从而在端部执行器被插入并在外科手术部位被操作时,所述支撑材料不会被移离。在将钉完全释放到软组织中后,端部执行器可被重新打开,并且在各种实施方式中,在支撑材料436与保持构件402和404之间的摩擦力可被克服。 
在各种实施方式中,参照图32,外科钉合器械的端部执行器可包括砧座和钉仓(未图示),其中,如上述概括的那样,砧座可与钉仓有效接合,使得端部执行器可将组织夹紧在其间。在至少一种实施方式中,砧座626可包括面632和狭槽602,该狭槽例如能够可滑动地容纳切割构件例如切割构件668在其中。在各种实施方式中,虽然没有被图示,但钉仓也可包括狭槽,所述狭槽用以可滑动地容纳切割构件668在其中。任何情况下,切割构件668可包括刀片例如刀片670,该刀片670例如可切割位于端部执行器内的软组织和/或支撑材料636。 
在至少一种实施方式中,再次参照图32,支撑材料636可包括具有表面例如表面604的主体部分,其中该表面例如可邻近砧面632设置。在各种实施方式中,支撑材料636可进一步包括从主体部分相对于表面604在垂直和/或横向方向上延伸的凸起606。在至少一种实施方式中,凸起606可被插入到切割构件的狭槽602中并与其相接合,以可释放地将支撑材料636保持于砧座626上。虽然没有图示,但一片支撑材料可包括能够将该支撑材料保持于钉仓上的类似部件。 
在各种实施方式中,切割构件的狭槽602可包括第一侧壁608和第二侧壁610,其中凸起606可与第一和第二侧壁摩擦接合和/或被压配合在第一和第二侧壁之间,并且可释放地将凸起606保持于狭槽602内。在至少一种实施方式中,狭槽602可包括横向部分612,所述横向部分 可容纳从切割构件668延伸的凸轮构件631,其中该凸轮构件631可将砧座626保持在关闭位置。在至少一种实施方式中,凸起606可包括至少一个从其延伸的端片614,该端片可至少部分地延伸进入横向部分612中并辅助将凸起606保持在狭槽602内。在各种实施方式中,凸起可包括弹性部件,在狭槽602的侧壁被可压缩地容纳在狭槽602中时,这些弹性特征可施加一偏置力至狭槽602的侧壁。 
在各种实施方式中,接着上文,切割构件668在被推进到砧座626中时可切割凸起606,并将第一部分618与第二部分620分离。在至少一种实施方式中,沟槽616可减少支撑材料636的横截面厚度,用以减少横切支撑材料所需的力。在各种实施方式中,可按大小及尺寸设有一个或多个沟槽616,使得凸起606的至少一部分比第一部分618和/或第二部分620薄。如上所述的,至少一个沟槽616例如可为V型,从而切割边缘670可在V型轮廓的顶点或在该顶点附近与凸起606接触。在各种实施方式中,虽然没有图示,但凸起606例如可包括至少一个限定在其中的穿孔,该穿孔可降低切割所述凸起所需的力。 
在各种实施方式中,除了如上所述的支撑材料连接装置,或可替代地,一片支撑材料可使用粘合剂来被连接至外科器械的端部执行器。在至少一种实施方式中,参照图29和30,端部执行器组件514可包括具有面532的砧座526和具有板表面528的钉仓通道522。在至少一种实施方式中,一片支撑材料如支撑材料536例如可被构造成邻近面532和板表面528中的一个,其中支撑表面536可包括主体部分502和至少一个手柄部分506。在至少一种实施方式中,手柄部分506可从主体部分502延伸,使得外科医生可使用该手柄部分506来在端部执行器组件内部定位和对准支撑材料536。在至少一种实施方式中,手柄部分506可在平行于和/或横向于一平表面504(a plane ofsurface)的方向上延伸。 
在各种实施方式中,参照图29和30,一片支撑材料例如可在该支撑材料的表面上包括一种未活化的(unactivated)或无活性的(inert)粘合剂如粘合剂512,该粘合剂可在该表面被抵靠设置于钉仓的板和砧面中的一个之前被涂覆于该表面上。在至少一种实施方式中,当粘合剂512由反应剂激活时,例如所述粘合剂512能够可释放地将表面504粘接于面532和/或板528上。与上述的相类似,这样一种被活化的粘合剂可被用于可释放地将表面504保持与面532和/或板528相接触。在各种实施方式中,例如当缝钉从钉仓中被配置和/或当端部执行器被打开时,该被活化的粘合剂例如可响应于施加在其上的力而将支撑材料从板和/或面上释放。在各种实施方式中,未活化的粘合剂可沿主体部分502的外周长涂覆于支撑材料,使得反应剂例如可被轻易地施用至未活化的粘合剂。和直部式 
在各种实施方式中,支撑材料上的未活化的粘合剂可由二元粘合剂(binary adhesive)的一种成分组成,而且反应剂可由二元粘合剂的另一成分组成,从而,当两种成分结合时,粘合剂被活化。用另一种方式来描述,该未活化的粘合剂可包括一种材料,所述材料在被引入如下所述的一反应剂前为无活性的。在至少一种实施方式中,该未活化的粘合剂和该反应剂例如可由一种适合外科手术的环氧树脂组成。在各种实施方式中,该未活化的粘合剂例如可包括抗水材料,使得该粘合剂被引入水中时可基本上不溶解和/或基本上不反应。在至少一种实施方式中,该粘合剂可包括如热熔粘合剂、硅树脂、氨基甲酸乙酯、氰基丙烯酸盐粘合剂、水凝胶和/或异氰酸酯(isocyanolate)、或任何合适的单体和/或聚合体。在各种实施方式中,可包括在如下专利文献中所公开的这些适当的粘合剂和连接装置:1993年11月23日公告的、题为“Method and apparatus for achieving hemostasis along astaple line(为实现沿钉合线止血的方法和装置)”的美国专利No.5,263,629;2003年12月2日公告的、题为“Device for attachment ofbuttress material to a surgical fastening device(用于将支撑材料连接到手术紧固装置的装置)”的美国专利No.6,656,193;2003年7月15日公告的、题为“Adhesive for attaching buttress material to a surgicalfastening device(用于将支撑材料连接到手术紧固装置的粘合剂)” 的美国专利No.6,592,597;2001年8月14日公告的、题为“Surgicalbettress and surgical stapling apparatus(手术支撑和手术钉合装置)”的美国专利No.6,273,897;以及2003年9月30日提交的、题为“Apparatus and method for attaching a surgical buttress to a staplingapparatus(用于将支撑材料连接到钉合装置的装置和方法)”的美国专利申请No.10/674,303,上述文献的全部公开内容由此通过引用结合入本文。在各种实施方式中,反应剂可包括由有氧引发剂(aerobicinitiator)、厌氧引发剂(anaerobic initiator)、季铵盐(quaternaryammonium salt)或化合物和/或任何其他适合的游离基机理引发剂(radical mechanism initiator)如阴离子引发剂中的至少一种组成的材料,所述材料例如包括在2006年6月30日提交的、题为“Absorbablecyanoacrylate compositions(可吸收的氰基丙烯酸盐粘合剂合成物)”的美国专利申请No.11/479,424中公开的材料,上述专利申请的全部公开内容由此通过引用结合入本文。在各种实施方式中,可使用例如从科乐医药有限公司(Closure Medical Corporation)商业获得的粘合剂和/或反应剂。在至少一种实施方式中,粘合剂可通过紫外光或任何适合的光化学过程来被活化。几种这样的粘合剂例如可从亨凯尔公司(Henkel Loctite Corporation)商业获得。 
接着上文,在各种实施方式中,在支撑材料片上使用未活化的或无活性的粘合剂可使外科医生能够将支撑材料片定位或重定位在砧面和/或钉仓的板上,而不需要将粘合剂立即粘接于其上。在至少一种实施方式中,未活化的粘合剂可在反应剂被应用于未活化的粘合剂之后才被粘接至面和/或板上。这个特征的非常有利之处在于,外科医生无需在第一次尝试时就将支撑材料片准确定位,而是能够将支撑材料片在板和/或面上进行定位和重定位,以确保支撑材料片与面和/或板准确安装和对准。在各种实施方式中,至少一个保持或对准构件如保持构件318(图23)例如在使用反应剂之前可被用于结合粘合剂/反应剂,来将支撑材料片保持在端部执行器的面和/或板上。 
在各种实施方式中,一片支撑材料可包括至少一个凹槽或通道,所述沟槽或通道可容纳反应剂。在至少一种实施方式中,参照图29,支撑材料536可包括凹槽508,所述凹槽可位于主体部分502和手柄部分506之间。更特别地,可在主体部分502的第一侧和第一手柄部分506之间设有第一凹槽508,而另外在主体部分502的第二侧和第二手柄部分506之间设有第二凹槽508。在各种实施方式中,支撑材料536上的至少一部分未活化的粘合剂512可沿凹槽508延伸,使得施用器如施用器514例如可被插入到凹槽508中将反应剂施用于粘合剂512,并激活该粘合剂。由此,在至少一种实施方式中,凹槽508可便于施用反应剂。在各种实施方式中,反应剂的施用器514可包括能吸收的尖端516,所述尖端能够可释放地存储并施加一定量的反应剂。 
在各种实施方式中,参照图30和31,可在一片支撑材料536内限定至少一个穿孔,例如以允许至少一个手柄部分506从主体部分502脱离。在至少一种实施方式中,穿孔510可位于主体部分502和手柄部分506之间,从而在施加足够的力于手柄部分506上时,支撑材料片可沿由穿孔510限定的线或路径撕裂。在各种实施方式中,穿孔510可邻近凹槽508设置和/或位于其中,这样,由于位于凹槽508中的和/或邻近凹槽508的支撑材料的减少的材料厚度,手柄部分506可易于从主体部分502分离。由此,在至少一种实施方式中,一片支撑材料可位于端部执行器内,反应剂可被涂覆于该支撑材料上的未活化粘合剂,以及至少一个手柄部分可从该支撑材料的中心主体部分移除。 
在各种实施方式中,一片支撑材料、未活化粘合剂和反应剂例如可被包含在外科手术附件工具箱中。在至少一种实施方式中,该未活化粘合剂可被预先施用至该支撑材料上。在另外的实施方式中,外科医生可使用该工具箱将未活化粘合剂施用至支撑材料的表面,并允许该粘合剂“凝固,”,也就是固化或变干,从而其可定位于一表面上而基本上不需粘附至该表面。在至少一种实施方式中,该片支撑材料可随后可被构造成抵靠端部执行器的钉仓或砧座中的一个。在至少一种这样的实施方式中,如上述所概括的那样,支撑材料可包括至少一个从其延伸的手柄,其中外科医生可抓紧该手柄来相对于端部执行器操作该支撑材料。其后,端部执行器的砧座可被封闭到支撑材料上,以在施用反应剂之前将支撑材料保持于适当位置。在这点上,参照图31,在砧座被封闭的同时,手柄部分可被移除。可替代地,外科医生可在移除手柄之前等待被活化的粘合剂至少部分固化。在任一情况下,如上所述,端部执行器可随后被插入到外科手术部位并且支撑材料可通过钉被连接至组织。在另外的各种实施方式中,在钉与组织接合后,一个或多个所述手柄部分可从支撑材料的主体部分撕离。 
在各种实施方式中,用于至少一片支撑材料的包装组件可包含有用于激活支撑材料上的未活化粘合剂的成分。在至少一种实施方式中,包装组件可包括存储于其中的一定量的反应剂,其中该反应剂可被释放以使其与未活化粘合剂接触并激活所述粘合剂。在另外的各种实施方式中,包装组件可包括引发剂,其可引起该包装组件内的未活化粘合剂和另一化学物之间的反应。在更进一步的各种实施方式中,未活化粘合剂当在其上施加足够的压力时可被激活。这种压力可在端部执行器的砧座被封闭到支撑材料上并被夹紧抵靠钉仓时产生。这种材料例如可包括一种或多种压敏粘合剂,如硅树脂粘合剂和丙烯酸树脂粘合剂。在各种实施方式中,包装可包括在其上设置有生物相容的热熔粘合剂的一片支撑材料,其中该粘合剂可在施加由放热化学反应产生的热量于其上时熔化。在至少一种实施方式中,引发剂可混合有化学物,以产生放热反应,并因此例如在粘合剂的局部区域中产生热量。在各种实施方式中,引发剂可通过可移除的薄片或其他合适的分离装置来从该化学物中分离开,从而,当该薄片被移除时,该引发剂和该化学物可彼此暴露。在至少一种这样的实施方式中,该引发剂可包括氧化剂或任何适合的化学合成物,该化学合成物例如易于传输氧原子,并且该化学物例如可包括铁或铁化合物,其可由氧化剂氧化以产生放热反应。 
在各种实施方式中,包装可包括其上具有生物相容的热熔粘合剂 的一片支撑材料,其中该粘合剂例如可在由施加于其上的电源如电池产生热量时熔化。在至少一种实施方式中,该包装可包括电源。在更进一步的各种实施方式中,该能源例如可被设置在一部分端部执行器上、一片支撑材料上、用于端部执行器的套筒上、和/或支撑材料施用器上。在各种实施方式中,该包装组件可包括第一和第二触点和/或任何其他适合的导体和电阻器,其能够可操作地完成具有电池的电路。在至少一种实施方式中,该电源例如可由该包装上的开关激活,并且可将电能施加至所述触点。 
在各种实施方式中,端部执行器组件的砧座可包括可拆卸的部分或套筒,其可被滑动越过砧座的第二部分并被连接至端部执行器组件。在至少一种实施方式中,如下所更详细描述的那样,在套筒被组装至端部执行器组件之前,一片支撑材料可被连接至该套筒。在至少一种实施方式中,参照图34,套筒802可滑动越过砧座部分826,从而该套筒802通过卡扣配合和压配合结构中的至少一种结构被保持于适当位置。在至少一种这样的实施方式中,套筒802可至少部分环绕砧座部分826的外周长804,其中套筒802可与外周长804接合。在各种实施方式中,套筒802可包括限定在工作表面808上的砧座凹窝806,如上所述,其中砧座凹窝806可使从钉仓配置的钉变形。在各种实施方式中,套筒802可由一片金属浇铸或机加工成任何适合的结构,并可由任何适合的材料例如铝组成。 
如上所述的并参照图34,套筒802可包括在其上的支撑材料836,其中至少一部分支撑材料836例如能够使用粘合剂而可释放地连接至套筒802。在至少一种实施方式中,参照图35,支撑材料836′可包括主体部分812′和至少一个侧部814′,其中侧部814′能够用粘合剂810′可释放地连接至套筒802′。在各种实施方式中,当在侧部814′上施加一力时,可将所述侧部从套筒802′上脱离。在至少一种实施方式中,与上述的类似,当钉从钉仓中被释放并与支撑材料相接合时可产生这种力。在各种实施方式中,参照图36,一片支撑材料可进一步包括一个穿孔和/或凹槽,所述穿孔和/或凹槽可允许该支撑材料的接触组织 的部分从被粘附至端部执行器的所述支撑材料的一部分分离。在至少一种实施方式中,支撑材料836″可包括主体部分812″和侧部814″,所述主体部分812″可与位于端部执行器内的组织接触,所述侧部814″例如可由粘合剂810″粘附于砧座套筒802″。在各种实施方式中,支撑材料836″可包括一个或多个限定在其中的穿孔816″,所述穿孔可位于主体部分812″和侧部814″之间。除了如上述所概括的那样将侧部814″从套筒802″分离以外,或可替代地,当在主体部分812″上施加一力时,主体部分812″可沿由穿孔816″限定的路径从侧部814″脱离。在至少一种这样的实施方式中,侧部814″可在主体部分812″已从其分离后保持连接至套筒802″。在另外的各种实施方式中,参照图37,套筒802″可包括一片支撑材料如支撑材料836″′,所述支撑材料例如可包括位于主体部分812″′和侧部814″′之间的一个或多个凹槽818″′,所述凹槽可与上述类似地允许主体部分812″′从侧部814″′分离。 
接着上文,在各种实施方式中,一旦主体部分已从侧部上被分开,端部执行器可被移动远离组织和钉合在该组织上的支撑材料。在至少一种实施方式中,失去效用的套筒802例如可随后被滑离砧座部分826而被丢弃并由另一个套筒来替换。在至少一种这样的实施方式中,替换套筒例如可包括一片设置在其上的支撑材料如支撑材料836,以使端部执行器可被重复使用。在各种实施方式中,被丢弃的套筒可被消毒,并且如下所描述的那样,另一片支撑材料可连接至该套筒使其可被再次使用。 
在各种实施方式中,包括一片支撑材料的包装可将该片支撑材料应用于端部执行器的砧座和钉仓中的一个上。在至少一种实施方式中,参照图38至40,包装902可包括具有表面905的第一部分904,所述表面905可将支撑材料片936可释放地保持于其上。在各种实施方式中,支撑材料936的表面908可包括粘合剂910,其中粘合剂910能够将支撑材料936可释放地连接至砧座926。除了第一部分904以外,包装902可包括连接至第一部分904的第二部分906,其中该第 二部分906例如可具有连接至其上的第二片支撑材料如支撑材料937。在各种实施方式中,与支撑材料936相似的,支撑材料93 7可包括在其上的粘合剂,该粘合剂可被用于可释放地将支撑材料937连接至钉仓922。为了将部分904和906从这些支撑材料片上移除,部分904和906中的至少一个可由外科医生抓紧并从这些支撑材料片上剥离,如图40所示。有效地,包装902可在第一位置或连接位置和第二位置或脱离位置之间移动。 
在各种实施方式中,参照图41至46,用于至少一片支撑材料的包装组件可包括外包装901′,所述外包装可将内包装902′封闭在无菌环境中。在使用时,外科医生可打开外包装901′,取出内包装902′,并处理内包装902′以露出支撑材料936′。在至少一种实施方式中,内包装902′可包括一覆盖层,所述覆盖层包括第一部分904′和第二部分906′,其中当第一和第二部分位于图42所示的第一位置时,它们可至少部分地封闭支撑材料936′。在各种实施方式中,通过抓紧并拉动位于第二部分906′的第二端940′上的端片938′,如图42所示,并将第二部分906′移动进入第二位置,如图43和44相继所示,外科医生可相对于第一部分904′旋转第二部分906′。在至少一种这样的实施方式中,外科医生可相对于第一部分904′旋转第二部分906′,直到第二部分906′至少部分邻接第一部分904′。 
其后,在各种实施方式中,如上所述,支撑材料936′可随后与端部执行器的砧座和/或钉仓中的一个对准。在至少一种实施方式中,参照图45和46,例如内包装902′可被插入到端部执行器914′内的砧座926′和钉仓922′之间,从而支撑材料936′可与钉仓922′对准。在各种实施方式中,与上述类似地,砧座926′可朝向钉仓922′旋转并被夹紧到包装902′和支撑材料936′上,使得支撑材料936′可被压靠在钉仓922′上,并且粘合剂910可将支撑材料936′固定于其上。其后,砧座926′可被重新打开,且覆盖层918′可从支撑材料936′上剥离或移除。 
在各种替代实施方式中,包装组件可包括一个或多个拉线,用以将覆盖层从包含在包装组件内的支撑材料脱离。在至少一种这样的实 施方式中,覆盖层可被处理以露出支撑材料,支撑材料可被固定在端部执行器上,并且拉线可向近侧或远侧被拉开,以将覆盖层从支撑材料脱离。在各种另外的实施方式中,参照图47和48,撕拉线可被连接至支撑材料的一部分,从而,支撑材料的例如手柄部分可从支撑材料的接触组织的部分上移除。在至少一种这样的实施方式中,支撑材料1002可被夹紧在端部执行器的砧座和钉仓之间,并且可在连接至支撑材料1002的手柄部分1004的拉线1006上施加一力。由此,在各种实施方式中,支撑材料1002的远端1003可通过拉线1006朝向近端1005拉动,使得手柄部分1004可沿穿孔1008从接触组织的部分1036脱离。在至少一种实施方式中,支撑材料1002可进一步包括孔1010,其可位于接触组织的部分1036的远端处,其中孔1010可在手柄部分1004和接触组织的部分1036之间限定一预脱离点,用以减少脱离手柄部分1004所需的力。在至少一种实施方式中,参照图49,至少一个拉线1006′可被连接至支撑材料1002′的手柄部分1004′,使得近端1005可被拉向远端1003,以移除手柄部分1004。 
在各种实施方式中,施用器可被用于将一片支撑材料施用于端部执行器的砧座和钉仓中的至少一个上。在至少一种实施方式中,参照图50至53,施用器组件1102可包括施用器1104和至少一片支撑材料1136,其中施用器1104可包括至少一个表面,用以将支撑材料1136支撑于其上。在至少一种这样的实施方式中,施用器1104可包括顶面1106和底面1108,其中顶面和底面的每一个都能可释放地容纳至少一片支撑材料1136。在各种实施方式中,每片支撑材料1136例如可通过使用粘合剂和/或机械连接构件来可释放地连接至施用器1104的顶面和底面。参照图50和51,每片支撑材料1136可包括面1110,所述面1110可至少部分地涂覆有一粘合剂,以将面1110保持至端部执行器。在至少一种这样的实施方式中,粘合剂可在多个位置1112处被涂覆至支撑材料1136。 
为了例如通过使用施用器如施用器1104来将一片支撑材料施加至端部执行器组件的钉仓和/或砧座上,该施用器可至少部分地位于钉 仓和砧座之间,使得该砧座可被封闭到支撑材料上。在各种实施方式中,参照图52和53,施用器组件1102可至少部分地位于端部执行器1114的砧座1126和钉仓1122之间,使得砧座1126可与支撑材料1136对准并被封闭到其上。在至少一种实施方式中,施用器1104可进一步包括在第一端的对准槽1116和在第二端的舌部1117,其中外科医生可使用对准槽1116来将施用器组件1102在端部执行器1114内对齐和定位。在至少一种这样的实施方式中,对准槽1116可被设置为使得端部执行器1114紧密容纳在对准槽1116的侧壁之间。由于粘合剂1112,多片支撑材料1136可被粘附至砧座1126和钉仓1122,从而在砧座1126被重新打开时,施用器1104可从端部执行器1114移除,而留下该多片支撑材料在端部执行器中。 
在各种实施方式中,例如与覆盖层918类似的至少一个保护层(未图示)可设置在面1110上方,使得施用器1104可定位和重新定位于端部执行器1114的砧座和钉仓中的一个上,而不用例如将粘合剂1112粘接于砧座和/或钉仓。在至少一种这样的实施方式中,一旦施用器在端部执行器内被正确定位和对准,以允许粘合剂接触端部执行器的钉仓和/或砧座时,这些层就可由外科医生移除。在各种实施方式中,除了舌部1117以外或可替代地,施用器可包括例如至少一个把手如把手1134,所述把手可使外科医生更容易地操作端部执行器内的施用器。在至少一种实施方式中,第一把手1134可被设置在施用器1104的第一侧上,而第二把手1134可被设置在施用器的第二侧上。在各种实施方式中,把手可包括隆起1138,所述隆起可使外科医生更容易地操作施用器1104。为此,把手1134的至少一部分例如可由柔性或弹性材料如橡胶组成。 
在另外的各种实施方式中,虽然没有图示出,至少一片支撑材料的包装可包括管状套筒,所述套筒可被设置在砧座和钉仓中的至少一个的周围。在至少一种实施方式中,支撑材料可包括在其上的粘合剂,该粘合剂可将所述支撑材料片可释放地连接至砧座和钉仓的至少一个上。在至少一种这样的实施方式中,管状套筒可容纳砧座和其内的 钉仓的至少一个,使得砧座和/或钉仓在管状套筒内与一片支撑材料对准。在各种实施方式中,管状套筒可包括在该套筒内周长的第一侧和第二侧之间延伸的中间壁。在各种实施方式中,该中间壁可包括顶面和底面,其中顶面和底面各自都可将一片支撑材料可释放地保持于其上。在至少一种这样的实施方式中,端部执行器可相对于该中间壁对准,并可被封闭到该中间壁上,以将支撑材料连接至砧座和/或钉仓。 
在各种实施方式中,支撑材料分配器可被利用来分配支撑材料。在至少一种实施方式中,参照图54和55,分配器1200可从包括壳体部分1210和1212的壳体组件中将支撑材料1236进行分配。如下更详细描述的那样,分配器1200可包括支撑材料的滚轴或卷轴1224,其中如图57所示,支撑材料可从卷轴1224被分配至外科器械的端部执行器上。在各种实施方式中,支撑材料1236可被粘附至承载带1202或由该承载带所支撑,从而,当支撑材料1236被分配时,支撑材料1236可从承载带1202分离。在各种实施方式中,参照图54至57,承载带1202可包括表面1204,所述表面1204可将支撑材料1236接收在其上。在各种实施方式中,在支撑材料1236被放置于表面1204上之前和/或之后,支撑材料1236可被分成数片。在至少一种实施方式中,数片支撑材料1236各自都可具有小于表面1204的宽度或与其相同的宽度,并且,在各种实施方式中,数片支撑材料可使用例如低强度的粘合剂来可释放地连接至承载带1202的表面1204。 
在各种实施方式中,参照图54至57,第一壳体部分1210的内壁1214可包括多个从其延伸的连接件1216。在至少一种实施方式中,连接件1216可与从第二部分1212的内壁延伸的其余连接件接合,或与第二部分1212的内壁上的孔接合,用以将第一和第二壳体部分固定在一起。在各种实施方式中,参照图56,分配器1200可进一步包括卷轴销1242,所述卷轴销可旋转地支撑卷轴1224。在至少一种这样的实施方式中,卷轴销1242可与壳体部分1210上的孔1241以及第二部分1212上的孔(未图示)相接合。在各种实施方式中,卷轴销1242可安装在卷轴1224上,以使它们可一起旋转。如上所概括的 那样,支撑材料1236和承载带1202可在支撑材料1236被分配时,从卷轴1224上松卷。在至少一种实施方式中,可在支撑材料1236上施加一力,使其可从分配器1200被手动拉出。在另外的各种实施方式中,如下更详细描述的那样,支撑材料的分配器1200可进一步包括指动滚轴1234,所述滚轴可与支撑材料1236充分接合,使得外科医生或其它临床医生可旋转该指动滚轴1234并将支撑材料1236推出分配器1200。在至少一种实施方式中,参照图55,分配器1200可进一步包括指动滚轴销1235,所述滚轴销可在分配器壳体内可旋转地支撑指动滚轴1234。在至少一种实施方式中,指动滚轴1234可安装在销1235上,使得它们可一起围绕由第一壳体部分1210上的孔1249和第二壳体部分1212上的孔(未图示)限定的一轴线旋转。 
在各种实施方式中,参照图55,指动滚轴1234可至少部分地延伸通过分配器壳体上的孔1239,使得指动滚轴1234可由外科医生来旋转。在至少一种实施方式中,指动滚轴1234可与支撑材料1236和/或承载带1202可运转地接触或摩擦接合,从而指动滚轴1234的旋转可驱动或促进支撑材料1236向远侧地朝向传动滚轴1232。除了上述的以外或可替代地,传动滚轴1232可与支撑材料1236和/或承载带1202可运转地接触或摩擦接合。在至少一种实施方式中,传动滚轴1232可借助于例如驱动带1243与指动滚轴1234可运行地接合,使得指动滚轴1234的旋转可被传送至传动滚轴1232。虽然示出了一种传动皮带(drive belt),但任何其它的合适装置如传动链或传动带(driveband)也可使用。在各种实施方式中,壳体部分1210和1212的至少一个可包括引导件1262,所述引导件可将传动皮带1243与指动滚轴1234和传动滚轴1232对准。 
如上所述,在支撑材料1236被从分配器1200分配时,承载带1202可与支撑材料1236分离。在各种实施方式中,分配器1200可进一步包括承载带收集器1228,所述承载带收集器可在承载带1202已从支撑材料1236脱离后将其卷拢。在至少一种实施方式中,承载带收集器1238可被安装在卷轴1224和卷轴销1242中的至少一个上,使得 卷轴1224和承载带收集器1228可一致地旋转。在至少一种这样的实施方式中,承载带1202可在与支撑材料1234从卷轴1224分配的方向相反的方向上围绕承载带收集器1228被收集。由此,支撑材料1234可被分配,而承载带1202可被同时收集。在各种实施方式中,分配器1200可进一步包括分离板1230,所述分离板可被用来将支撑材料1234从承载带1202上剥离或分离。在至少一种实施方式中,分离板1230可包括边缘1258,承载带1202可围绕该边缘改变方向,使得承载带1202可如上所述的那样被承载带收集器1228向近侧拉。 
在各种情形下,在承载带1202已与支撑材料1236分离后,可能会在承载带内形成松弛。在至少一种实施方式中,分配器1200可包括一个或多个张紧装置,以减少承载带1202内的这种松弛。在各种实施方式中,与上述类似地,分配器1200可进一步包括销1218,所述销能被可旋转地支撑于第一壳体部分1210的孔1251和第二壳体部分1212的孔(未图示)中,其中销1218能够可旋转地支撑压力滚轴1222。在各种实施方式中,特别参照图56和57,分配器1200可进一步包括第二传动滚轴1253,其可与压力滚轴1222协作。在至少一种实施方式中,第二传动滚轴1253能够可运转地与指动滚轴1236接合,使得指动滚轴1234的旋转可被传送至传动滚轴1253。在各种实施方式中,分配器1200可进一步包括一齿轮系,其包括正齿轮1244、中间齿轮1246和从动齿轮1252,其中正齿轮1244安装到指动滚轴1234和销1235的至少一个上,中间齿轮1246由销1247可旋转地支撑,从动齿轮1252能够可运转地与传动滚轴1253相接合。在至少一种这样的实施方式中,承载带1202可位于传动滚轴1253和压力滚轴1222之间,使得在传动滚轴1253由指动滚轴1234旋转时,传动滚轴1253可向近侧驱动承载带1202。在至少一种实施方式中,压力滚轴1222和/或传动滚轴1253可由至少部分可压缩的材料组成,从而压力滚轴1222可保持将承载带1202抵靠传动滚轴1253。 
如上所述的,参照图54至57,施用器1200可包括具有第一部分1210和第二部分1212的壳体1201,其中第一和第二部分可彼此连接。 在至少一种实施方式中,壳体1201的第一和第二部分可彼此旋紧、扣合和/或接合。在各种实施方式中,第一和第二壳体部分能够可释放地彼此接合,从而第一和第二壳体部分可分离,以移除和替换支撑材料的耗尽的卷轴。在至少一种实施方式中,壳体可包括人类工程学的特征,以使该壳体可易于被外科医生抓取。 
在另外的各种实施方式中,参照图58至61,分配器或施用器1266可包括卷轴1267和收集卷轴1270,支撑材料1236可从该卷轴1267被分配,且收集卷轴1270可在承载带1202已与支撑材料1236分离后收集承载带1202。与上述类似地,支撑材料1236可借助于在支撑材料1236、指动滚轴1234和/或传动滚轴1232之间的接合而从施用器1266分配。在至少一种实施方式中,收集卷轴1270也能够可运转地与指动滚轴1234接合,使得指动滚轴1234的旋转可使卷轴1270旋转,并将承载带1202收集在其周围。在各种实施方式中,施用器1266可包括一齿轮系,其包括正齿轮1244、中间齿轮1246和从动齿轮1272,其中正齿轮1244安装到指动滚轴1234和销1235的至少一个上,中间齿轮1246由销1247可旋转地支撑,从动齿轮1272可被安装到收集卷轴1270和销1271的至少一个上。由此,在至少一种这样的实施方式中,指动滚轴1234的旋转可驱动收集卷轴1270,在承载带1202上直接施加力,并围绕收集卷轴1270收集承载带1202。 
在各种实施方式中,参照图57和61,支撑材料的施用器1200和/或1266可被用于将一片支撑材料施加于钉仓“SC”的板“D”和/或砧座“A”的面“F”上。在至少一种实施方式中,如图61所示的,外科医生可首先将施用器1266例如靠着板D的第一端放置。其后,外科医生可将施用器朝向板D的第二端推进,同时旋转指动滚轴1234以分配支撑材料1236。如上所述,支撑材料1236可分为数片,且在至少一种实施方式中,这些片的长度可使得多片支撑材料准确地装在钉仓的板和/或砧面上。在另外的各种实施方式中,支撑材料片可由一连续的带组成,且施用器可包括切割构件(未图示),所述切割构件可将支撑材料切割成任何合适的长度。在各种实施方式中,多片支撑 材料可包括在其上的粘合剂或可被施用在其上的粘合剂,该粘合剂能够可释放地将支撑材料保持于板和/或面的一个上。 
在各种实施方式中,一片支撑材料可利用注射成型过程来制得。在至少一种实施方式中,注射模(未图示)可包括一个或多个限定在其中的模腔,该模腔可容纳例如熔融材料。在各种实施方式中,熔融材料可包括塑料和/或任何其它适合的支撑材料。在各种实施方式中,注射模可进一步包括至少一个浇口腔和/或浇道,该浇口腔和/或浇道可使模腔与注模机流体连通。在至少一种实施方式中,注射模可包括第一和第二部分,在熔融材料已在模腔内充分凝固或硬化后,该第一和第二部分可分离。 
在各种实施方式中,参照图62和63,支撑材料片1336可包括第一表面1302和第二表面1304,其中第一和第二表面各自都可包括多个形成在其上的孔或凹槽1306。在至少一种实施方式中,凹槽1306可在注射成型过程中由注射模内的熔融材料形成。更特别地,注射模可包括一个或多个具有多个凸起的腔,该凸起可被设置为使得熔融材料可在凸起周围流动,并且在支撑材料片1336已经凝固且从注射模中移出时,凹槽1306可出现在支撑材料1336内所述凸起先前位于的位置上。 
在各种实施方式中,支撑材料1336可进一步包括例如多个壁,如壁1305,该壁形成在第一表面1302和第二表面1304之间,其中壁1305可限定凹槽1306。在至少一种实施方式中,壁1305可垂直于和/或横向于第一和第二表面,使得壁1305可被构造和布置为在支撑材料1336内形成凹槽1306的图案或栅格。在各种实施方式中,支撑材料1336可为弹性的,以使第一表面1302和/或第二表面1304可被朝向彼此压缩。在至少一种实施方式中,如上所述,支撑材料1336可被设置为使其可被压缩或压配合在端部执行器的两个或多个保持构件之间。在各种实施方式中,一片支撑材料可在其被施加到外科器械的端部执行器上时被压缩,并可随后在其从端部执行器释放时膨胀。在至少一种实施方式中,支撑材料1336可被压缩,使得第一表面1310 可朝向表面1312移动。任何情况下,壁1305可被设置为使其能够偏斜或折叠(collapse),并允许支撑材料1336各部分可弹性地朝向彼此移动。 
本文所描述的装置可设计成在单次使用后废弃,或者可设计成被多次使用。但是,在任何一种情况下,所述装置在使用至少一次后可被修复以供再次使用。修复可包括装置的拆卸、接着清洁或更换特定件以及最后重新组装的步骤的任何组合。特别地,所述装置可被拆卸,并且装置的任何数目的特定件或构件可以任何组合的方式被选择性地更换或移除。在清洁和/或更换特定构件时,所述装置可在修复设施处被重新组装以便后续使用,或者由外科医生团队在即将进行外科手术前重新组装。本领域普通技术人员将理解,装置的修复可利用多种拆卸技术、清洁/更换技术和重新组装技术。这些技术以及得到的修复后的装置的使用都在本申请的范围内。 
优选地,本文所描述的发明将在外科手术前进行。首先,获取新的或使用过的器械,并在需要时进行清洁。然后,可对所述器械进行消毒。在一种消毒技术中,所述器械被放置在封闭且密封的容器中,例如塑料袋或TYVEK(高密度聚乙烯合成纸)袋中。随后,容器和器械可放置在能够穿透容器的放射线的放射场中,例如伽马放射线、x射线或高能电子放射场中。放射线会杀死器械上和容器中的细菌。经消毒的器械随后可被存放在无菌容器中。密封的容器保持器械无菌,直到所述密封的容器在医疗机构中被打开为止。 
虽然本发明被描述为具有示意性的设计,但是本发明还可在本发明的主旨和范围内进一步被修改。该申请因此应当覆盖使用本发明一般原理的其任何变型、使用方式或适配方式。此外,该申请应当覆盖那些虽然与本发明背离但是能从有关本发明的现有技术的公知常识或惯用手段中得到的内容。 

Claims (10)

1.一种用于外科器械的端部执行器组件,该端部执行器组件包括:
砧座,其包括被构造成容纳至少一部分切割构件的狭槽;
钉仓,其包括被构造成容纳至少一部分切割构件的狭槽;及
片支撑材料,其包括:
第一部分,其被构造成至少部分位于所述砧座和钉仓之间,其中所述第一部分具有第一厚度;及
第二部分,其被构造成位于所述砧座的狭槽和所述钉仓的狭槽其中之一内,以将所述片支撑材料可释放地保持至所述砧座和所述钉仓其中之一,其中所述第二部分具有第二厚度,所述第二厚度小于或等于所述第一厚度。
2.根据权利要求1所述的端部执行器组件,其中,所述砧座的狭槽包括第一侧壁和第二侧壁,所述第二部分被构造成摩擦接合所述第一侧壁和所述第二侧壁。
3.根据权利要求1所述的端部执行器组件,其中,所述第二部分被构造成压配合于所述砧座的狭槽和所述钉仓的狭槽其中之一内。
4.根据权利要求1所述的端部执行器组件,其中,所述片支撑材料的第一部分还包括:
接触组织的部分;
可移除部;及
凹槽或穿孔,其被构造成允许所述可移除部从所述接触组织的部分分离。
5.一种用于外科器械的端部执行器组件,该端部执行器组件包括:
砧座,其包括被构造成容纳至少一部分切割构件的狭槽;及
片支撑材料,其包括:
主体部分,其被构造成相对砧座放置;
凸起,其从所述主体部分延伸,其中所述凸起被构造成放置在所述砧座的狭槽内,以将所述片支撑材料可释放地保持至所述砧座;及
沟槽,其限定在所述凸起内,使得所述凸起在沟槽处的厚度小于或等于主体部分的厚度,其中所述沟槽被构造成在所述凸起放置在所述砧座的狭槽内时与所述砧座的狭槽对准。
6.根据权利要求5所述的端部执行器组件,其中,所述砧座的狭槽包括第一侧壁和第二侧壁,所述凸起被构造成摩擦接合所述第一侧壁和所述第二侧壁。
7.根据权利要求5所述的端部执行器组件,其中,所述凸起被构造成压配合在所述砧座的狭槽内。
8.根据权利要求5所述的端部执行器组件,其中,所述片支撑材料的主体部分还包括:
接触组织的部分;
可移除部;及
凹槽或穿孔,其被构造成允许所述可移除部从所述接触组织的部分分离。
9.根据权利要求5所述的端部执行器组件,其中,所述沟槽具有V形轮廓。
10.根据权利要求5所述的端部执行器组件,其中,所述沟槽为第一沟槽,所述片支撑材料还包括第二沟槽,所述第二沟槽限定在所述凸起内。
CN2009100078128A 2008-02-15 2009-02-16 与外科器械端部执行器一起使用的具有对齐和保持特征的支撑材料 Active CN101507620B (zh)

Applications Claiming Priority (7)

Application Number Priority Date Filing Date Title
US12/032,002 US8371491B2 (en) 2008-02-15 2008-02-15 Surgical end effector having buttress retention features
US12/031,852 US20090206125A1 (en) 2008-02-15 2008-02-15 Packaging for attaching buttress material to a surgical stapling instrument
US12/031,978 2008-02-15
US12/031,863 US20090206139A1 (en) 2008-02-15 2008-02-15 Buttress material for a surgical instrument
US12/031,974 US20090206142A1 (en) 2008-02-15 2008-02-15 Buttress material for a surgical stapling instrument
US12/031,978 US20090206126A1 (en) 2008-02-15 2008-02-15 Buttress material with alignment and retention features for use with surgical end effectors
US12/031,963 US20090206141A1 (en) 2008-02-15 2008-02-15 Buttress material having an activatable adhesive

Publications (2)

Publication Number Publication Date
CN101507620A CN101507620A (zh) 2009-08-19
CN101507620B true CN101507620B (zh) 2013-07-24

Family

ID=62142933

Family Applications (6)

Application Number Title Priority Date Filing Date
CN2009100078128A Active CN101507620B (zh) 2008-02-15 2009-02-16 与外科器械端部执行器一起使用的具有对齐和保持特征的支撑材料
CN2009100078113A Active CN101507638B (zh) 2008-02-15 2009-02-16 用于外科缝合器械的支撑材料
CN2009100078221A Active CN101507639B (zh) 2008-02-15 2009-02-16 用于外科器械的具有支撑保持特征的端部执行器
CN200910007810.9A Active CN101507637B (zh) 2008-02-15 2009-02-16 将支撑材料连接到外科缝合器械上的包装组件
CN2009100078096A Active CN101507636B (zh) 2008-02-15 2009-02-16 具有可活化粘合剂的支撑材料
CN200910007823.6A Active CN101507640B (zh) 2008-02-15 2009-02-16 用于外科器械的支撑材料

Family Applications After (5)

Application Number Title Priority Date Filing Date
CN2009100078113A Active CN101507638B (zh) 2008-02-15 2009-02-16 用于外科缝合器械的支撑材料
CN2009100078221A Active CN101507639B (zh) 2008-02-15 2009-02-16 用于外科器械的具有支撑保持特征的端部执行器
CN200910007810.9A Active CN101507637B (zh) 2008-02-15 2009-02-16 将支撑材料连接到外科缝合器械上的包装组件
CN2009100078096A Active CN101507636B (zh) 2008-02-15 2009-02-16 具有可活化粘合剂的支撑材料
CN200910007823.6A Active CN101507640B (zh) 2008-02-15 2009-02-16 用于外科器械的支撑材料

Country Status (8)

Country Link
US (6) US20090206139A1 (zh)
EP (6) EP2090237B1 (zh)
JP (6) JP5490422B2 (zh)
CN (6) CN101507620B (zh)
BR (5) BRPI0903080B8 (zh)
HK (2) HK1135881A1 (zh)
PL (1) PL2090237T3 (zh)
RU (4) RU2009105156A (zh)

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9585660B2 (en) 2010-01-07 2017-03-07 Ethicon Endo-Surgery, Llc Method for testing a surgical tool
CN108135614A (zh) * 2015-08-24 2018-06-08 伊西康有限责任公司 具有状态指示器的外科缝合器支撑物施用装置

Families Citing this family (1040)

* 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
US7364577B2 (en) 2002-02-11 2008-04-29 Sherwood Services Ag Vessel sealing system
AU2001249933B2 (en) 2001-04-06 2006-06-08 Covidien Ag Vessel sealer and divider with non-conductive stop members
CA2489328C (en) 2002-06-17 2010-09-28 Tyco Healthcare Group, Lp Annular support structures
US20070084897A1 (en) 2003-05-20 2007-04-19 Shelton Frederick E Iv Articulating surgical stapling instrument incorporating a two-piece e-beam firing mechanism
US9060770B2 (en) 2003-05-20 2015-06-23 Ethicon Endo-Surgery, Inc. Robotically-driven surgical instrument with E-beam driver
US7367976B2 (en) 2003-11-17 2008-05-06 Sherwood Services Ag Bipolar forceps having monopolar extension
US8905977B2 (en) 2004-07-28 2014-12-09 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having an electroactive polymer actuated medical substance dispenser
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
US9763668B2 (en) 2004-10-08 2017-09-19 Covidien Lp Endoscopic surgical clip applier
ES2388673T3 (es) 2004-10-08 2012-10-17 Tyco Healthcare Group Lp Un aplicador endoscópico de clips o grapas quirúrgico
WO2006042110A2 (en) * 2004-10-08 2006-04-20 Tyco Healthcare Group, Lp Apparatus for applying surgical clips
US7938307B2 (en) 2004-10-18 2011-05-10 Tyco Healthcare Group Lp Support structures and methods of using the same
ES2530775T3 (es) 2004-10-18 2015-03-05 Covidien Lp Estructura adhesiva anular
US7845536B2 (en) 2004-10-18 2010-12-07 Tyco Healthcare Group Lp Annular adhesive structure
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
US7628791B2 (en) 2005-08-19 2009-12-08 Covidien Ag Single action tissue sealer
US11484312B2 (en) 2005-08-31 2022-11-01 Cilag Gmbh International Staple cartridge comprising a staple driver arrangement
US10159482B2 (en) 2005-08-31 2018-12-25 Ethicon Llc Fastener cartridge assembly comprising a fixed anvil and different staple heights
US7669746B2 (en) 2005-08-31 2010-03-02 Ethicon Endo-Surgery, Inc. Staple cartridges for forming staples having differing formed staple heights
US7934630B2 (en) 2005-08-31 2011-05-03 Ethicon Endo-Surgery, Inc. Staple cartridges for forming staples having differing formed staple heights
US8800838B2 (en) 2005-08-31 2014-08-12 Ethicon Endo-Surgery, Inc. Robotically-controlled cable-based surgical end effectors
US11246590B2 (en) 2005-08-31 2022-02-15 Cilag Gmbh International Staple cartridge including staple drivers having different unfired heights
US9237891B2 (en) 2005-08-31 2016-01-19 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical stapling devices that produce formed staples having different lengths
US7673781B2 (en) 2005-08-31 2010-03-09 Ethicon Endo-Surgery, Inc. Surgical stapling device with staple driver that supports multiple wire diameter staples
US7799039B2 (en) 2005-11-09 2010-09-21 Ethicon Endo-Surgery, Inc. Surgical instrument having a hydraulically actuated end effector
US7673780B2 (en) 2005-11-09 2010-03-09 Ethicon Endo-Surgery, Inc. Articulation joint with improved moment arm extension for articulating an end effector of a surgical instrument
US20070106317A1 (en) 2005-11-09 2007-05-10 Shelton Frederick E Iv Hydraulically and electrically actuated articulation joints for surgical instruments
US8708213B2 (en) 2006-01-31 2014-04-29 Ethicon Endo-Surgery, Inc. Surgical instrument having a feedback system
US11793518B2 (en) 2006-01-31 2023-10-24 Cilag Gmbh International Powered surgical instruments with firing system lockout arrangements
US8763879B2 (en) 2006-01-31 2014-07-01 Ethicon Endo-Surgery, Inc. Accessing data stored in a memory of surgical instrument
US20110024477A1 (en) 2009-02-06 2011-02-03 Hall Steven G Driven Surgical Stapler Improvements
US11224427B2 (en) 2006-01-31 2022-01-18 Cilag Gmbh International Surgical stapling system including a console and retraction assembly
US7766210B2 (en) 2006-01-31 2010-08-03 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with user feedback system
US7568603B2 (en) 2006-01-31 2009-08-04 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with articulatable end effector
US20120292367A1 (en) 2006-01-31 2012-11-22 Ethicon Endo-Surgery, Inc. Robotically-controlled end effector
US9861359B2 (en) 2006-01-31 2018-01-09 Ethicon Llc Powered surgical instruments with firing system lockout arrangements
US8186555B2 (en) 2006-01-31 2012-05-29 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with mechanical closure system
US8820603B2 (en) 2006-01-31 2014-09-02 Ethicon Endo-Surgery, Inc. Accessing data stored in a memory of a surgical instrument
US11278279B2 (en) 2006-01-31 2022-03-22 Cilag Gmbh International Surgical instrument assembly
US7845537B2 (en) 2006-01-31 2010-12-07 Ethicon Endo-Surgery, Inc. Surgical instrument having recording capabilities
US8161977B2 (en) 2006-01-31 2012-04-24 Ethicon Endo-Surgery, Inc. Accessing data stored in a memory of a surgical instrument
US7770775B2 (en) 2006-01-31 2010-08-10 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with adaptive user feedback
US7753904B2 (en) 2006-01-31 2010-07-13 Ethicon Endo-Surgery, Inc. Endoscopic surgical instrument with a handle that can articulate with respect to the shaft
US20110290856A1 (en) 2006-01-31 2011-12-01 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical instrument with force-feedback capabilities
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
US8236010B2 (en) 2006-03-23 2012-08-07 Ethicon Endo-Surgery, Inc. Surgical fastener and cutter with mimicking end effector
US8992422B2 (en) 2006-03-23 2015-03-31 Ethicon Endo-Surgery, Inc. Robotically-controlled endoscopic accessory channel
US8322455B2 (en) 2006-06-27 2012-12-04 Ethicon Endo-Surgery, Inc. Manually driven surgical cutting and fastening instrument
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
US10130359B2 (en) 2006-09-29 2018-11-20 Ethicon Llc Method for forming a staple
US10568652B2 (en) 2006-09-29 2020-02-25 Ethicon Llc Surgical staples having attached drivers of different heights and stapling instruments for deploying the same
US7506791B2 (en) 2006-09-29 2009-03-24 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with mechanical mechanism for limiting maximum tissue compression
US8584921B2 (en) 2006-10-06 2013-11-19 Covidien Lp Surgical instrument with articulating tool assembly
EP2314232B1 (en) 2006-10-17 2015-03-25 Covidien LP Apparatus for applying surgical clips
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
US7900805B2 (en) 2007-01-10 2011-03-08 Ethicon Endo-Surgery, Inc. Surgical instrument with enhanced battery performance
US11291441B2 (en) 2007-01-10 2022-04-05 Cilag Gmbh International Surgical instrument with wireless communication between control unit and remote sensor
US7954682B2 (en) 2007-01-10 2011-06-07 Ethicon Endo-Surgery, Inc. Surgical instrument with elements to communicate between control unit and end effector
US8459520B2 (en) 2007-01-10 2013-06-11 Ethicon Endo-Surgery, Inc. Surgical instrument with wireless communication between control unit and remote sensor
US7721931B2 (en) 2007-01-10 2010-05-25 Ethicon Endo-Surgery, Inc. Prevention of cartridge reuse in a surgical instrument
US7721936B2 (en) 2007-01-10 2010-05-25 Ethicon Endo-Surgery, Inc. Interlock and surgical instrument including same
US8652120B2 (en) 2007-01-10 2014-02-18 Ethicon Endo-Surgery, Inc. Surgical instrument with wireless communication between control unit and sensor transponders
US8684253B2 (en) 2007-01-10 2014-04-01 Ethicon Endo-Surgery, Inc. Surgical instrument with wireless communication between a control unit of a robotic system and remote sensor
US7738971B2 (en) 2007-01-10 2010-06-15 Ethicon Endo-Surgery, Inc. Post-sterilization programming of surgical instruments
US20080169332A1 (en) 2007-01-11 2008-07-17 Shelton Frederick E Surgical stapling device with a curved cutting member
US11039836B2 (en) 2007-01-11 2021-06-22 Cilag Gmbh International Staple cartridge for use with a surgical stapling instrument
WO2008109125A1 (en) 2007-03-06 2008-09-12 Tyco Healthcare Group Lp Surgical stapling apparatus
US8011550B2 (en) 2009-03-31 2011-09-06 Tyco Healthcare Group Lp Surgical stapling apparatus
US8011555B2 (en) 2007-03-06 2011-09-06 Tyco Healthcare Group Lp Surgical stapling apparatus
US20090001130A1 (en) 2007-03-15 2009-01-01 Hess Christopher J Surgical procedure using a cutting and stapling instrument having releasable staple-forming pockets
CN101641051B (zh) 2007-03-26 2011-11-23 Tyco医疗健康集团 内窥镜手术施夹器
US8893946B2 (en) 2007-03-28 2014-11-25 Ethicon Endo-Surgery, Inc. Laparoscopic tissue thickness and clamp load measuring devices
US8056787B2 (en) * 2007-03-28 2011-11-15 Ethicon Endo-Surgery, Inc. Surgical stapling and cutting instrument with travel-indicating retraction member
EP2671519B1 (en) 2007-04-11 2014-12-17 Covidien LP Surgical clip applier
US8038045B2 (en) * 2007-05-25 2011-10-18 Tyco Healthcare Group Lp Staple buttress retention system
US7798386B2 (en) 2007-05-30 2010-09-21 Ethicon Endo-Surgery, Inc. Surgical instrument articulation joint cover
US7810693B2 (en) 2007-05-30 2010-10-12 Ethicon Endo-Surgery, Inc. Surgical stapling and cutting instrument with articulatable end effector
US8157145B2 (en) 2007-05-31 2012-04-17 Ethicon Endo-Surgery, Inc. Pneumatically powered surgical cutting and fastening instrument with electrical feedback
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
US8931682B2 (en) 2007-06-04 2015-01-13 Ethicon Endo-Surgery, Inc. Robotically-controlled shaft based rotary drive systems for surgical instruments
US8534528B2 (en) 2007-06-04 2013-09-17 Ethicon Endo-Surgery, Inc. Surgical instrument having a multiple rate directional switching mechanism
US7832408B2 (en) * 2007-06-04 2010-11-16 Ethicon Endo-Surgery, Inc. Surgical instrument having a directional switching mechanism
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
US7665646B2 (en) 2007-06-18 2010-02-23 Tyco Healthcare Group Lp Interlocking buttress material retention system
US7510107B2 (en) 2007-06-18 2009-03-31 Ethicon Endo-Surgery, Inc. Cable driven surgical stapling and cutting instrument with apparatus for preventing inadvertent cable disengagement
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
US7658311B2 (en) 2007-06-22 2010-02-09 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with a geared return mechanism
US8062330B2 (en) 2007-06-27 2011-11-22 Tyco Healthcare Group Lp Buttress and surgical stapling apparatus
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
US7866524B2 (en) * 2007-09-24 2011-01-11 Tyco Healthcare Group Lp Stapler powered auxiliary device for injecting material between stapler jaws
US8453908B2 (en) 2008-02-13 2013-06-04 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with improved firing trigger arrangement
US7905381B2 (en) 2008-09-19 2011-03-15 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with cutting member arrangement
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
US8561870B2 (en) 2008-02-13 2013-10-22 Ethicon Endo-Surgery, Inc. Surgical stapling instrument
US7819298B2 (en) 2008-02-14 2010-10-26 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with control features operable with one hand
JP5410110B2 (ja) 2008-02-14 2014-02-05 エシコン・エンド−サージェリィ・インコーポレイテッド Rf電極を有する外科用切断・固定器具
US8752749B2 (en) 2008-02-14 2014-06-17 Ethicon Endo-Surgery, Inc. Robotically-controlled disposable motor-driven loading unit
US8636736B2 (en) 2008-02-14 2014-01-28 Ethicon Endo-Surgery, Inc. Motorized surgical cutting and fastening instrument
US8584919B2 (en) 2008-02-14 2013-11-19 Ethicon Endo-Sugery, Inc. Surgical stapling apparatus with load-sensitive firing mechanism
US7913891B2 (en) 2008-02-14 2011-03-29 Ethicon Endo-Surgery, Inc. Disposable loading unit with user feedback features and surgical instrument for use therewith
US9179912B2 (en) 2008-02-14 2015-11-10 Ethicon Endo-Surgery, Inc. Robotically-controlled motorized surgical cutting and fastening instrument
US7819297B2 (en) 2008-02-14 2010-10-26 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with reprocessible handle assembly
US8657174B2 (en) 2008-02-14 2014-02-25 Ethicon Endo-Surgery, Inc. Motorized surgical cutting and fastening instrument having handle based power source
US7866527B2 (en) 2008-02-14 2011-01-11 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with interlockable firing system
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
US8622274B2 (en) 2008-02-14 2014-01-07 Ethicon Endo-Surgery, Inc. Motorized cutting and fastening instrument having control circuit for optimizing battery usage
US7861906B2 (en) 2008-02-14 2011-01-04 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with articulatable components
US8573465B2 (en) 2008-02-14 2013-11-05 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical end effector system with rotary actuated closure systems
US8758391B2 (en) 2008-02-14 2014-06-24 Ethicon Endo-Surgery, Inc. Interchangeable tools for surgical instruments
US7810692B2 (en) 2008-02-14 2010-10-12 Ethicon Endo-Surgery, Inc. Disposable loading unit with firing indicator
US7857185B2 (en) 2008-02-14 2010-12-28 Ethicon Endo-Surgery, Inc. Disposable loading unit for surgical stapling apparatus
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
US7819296B2 (en) 2008-02-14 2010-10-26 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with retractable firing systems
US8608044B2 (en) 2008-02-15 2013-12-17 Ethicon Endo-Surgery, Inc. Feedback and lockout mechanism for surgical 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
US20090206139A1 (en) * 2008-02-15 2009-08-20 Ethicon Endo-Surgery, Inc. Buttress material for a surgical instrument
US7980443B2 (en) 2008-02-15 2011-07-19 Ethicon Endo-Surgery, Inc. End effectors for a surgical cutting and stapling instrument
US9770245B2 (en) * 2008-02-15 2017-09-26 Ethicon Llc Layer arrangements for surgical staple cartridges
US11272927B2 (en) 2008-02-15 2022-03-15 Cilag Gmbh International Layer arrangements for surgical staple cartridges
US8091756B2 (en) * 2008-05-09 2012-01-10 Tyco Healthcare Group Lp Varying tissue compression using take-up component
US7922061B2 (en) 2008-05-21 2011-04-12 Ethicon Endo-Surgery, Inc. Surgical instrument with automatically reconfigurable articulating end effector
US20110208212A1 (en) 2010-02-19 2011-08-25 Zergiebel Earl M Surgical clip applier
US8465502B2 (en) 2008-08-25 2013-06-18 Covidien Lp Surgical clip applier and method of assembly
US9358015B2 (en) 2008-08-29 2016-06-07 Covidien Lp Endoscopic surgical clip applier with wedge plate
US8267944B2 (en) 2008-08-29 2012-09-18 Tyco Healthcare Group Lp Endoscopic surgical clip applier with lock out
US8409223B2 (en) 2008-08-29 2013-04-02 Covidien Lp Endoscopic surgical clip applier with clip retention
US7837080B2 (en) 2008-09-18 2010-11-23 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with device for indicating when the instrument has cut through tissue
US8083120B2 (en) 2008-09-18 2011-12-27 Ethicon Endo-Surgery, Inc. End effector for use with a surgical cutting and stapling instrument
US9386983B2 (en) 2008-09-23 2016-07-12 Ethicon Endo-Surgery, Llc Robotically-controlled motorized surgical instrument
US9005230B2 (en) 2008-09-23 2015-04-14 Ethicon Endo-Surgery, Inc. Motorized surgical instrument
US8210411B2 (en) 2008-09-23 2012-07-03 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting instrument
US11648005B2 (en) 2008-09-23 2023-05-16 Cilag Gmbh International Robotically-controlled motorized surgical instrument with an end effector
US9050083B2 (en) 2008-09-23 2015-06-09 Ethicon Endo-Surgery, Inc. Motorized surgical instrument
US7988028B2 (en) 2008-09-23 2011-08-02 Tyco Healthcare Group Lp Surgical instrument having an asymmetric dynamic clamping member
US8628544B2 (en) 2008-09-23 2014-01-14 Covidien Lp Knife bar for surgical instrument
US8142473B2 (en) 2008-10-03 2012-03-27 Tyco Healthcare Group Lp Method of transferring rotational motion in an articulating surgical instrument
US8608045B2 (en) 2008-10-10 2013-12-17 Ethicon Endo-Sugery, Inc. Powered surgical cutting and stapling apparatus with manually retractable firing system
US8020743B2 (en) 2008-10-15 2011-09-20 Ethicon Endo-Surgery, Inc. Powered articulatable surgical cutting and fastening instrument with flexible drive member
US7918377B2 (en) 2008-10-16 2011-04-05 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with apparatus for providing anvil position feedback
US8486107B2 (en) * 2008-10-20 2013-07-16 Covidien Lp Method of sealing tissue using radiofrequency energy
US20100147921A1 (en) * 2008-12-16 2010-06-17 Lee Olson Surgical Apparatus Including Surgical Buttress
US8114122B2 (en) 2009-01-13 2012-02-14 Tyco Healthcare Group Lp Apparatus, system, and method for performing an electrosurgical procedure
US8485413B2 (en) 2009-02-05 2013-07-16 Ethicon Endo-Surgery, Inc. Surgical stapling instrument comprising an articulation joint
US8517239B2 (en) 2009-02-05 2013-08-27 Ethicon Endo-Surgery, Inc. Surgical stapling instrument comprising a magnetic element driver
US8414577B2 (en) 2009-02-05 2013-04-09 Ethicon Endo-Surgery, Inc. Surgical instruments and components for use in sterile environments
US8397971B2 (en) 2009-02-05 2013-03-19 Ethicon Endo-Surgery, Inc. Sterilizable surgical instrument
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
US8453913B2 (en) * 2009-02-06 2013-06-04 Covidien Lp Anvil for surgical stapler
US8444036B2 (en) 2009-02-06 2013-05-21 Ethicon Endo-Surgery, Inc. Motor driven surgical fastener device with mechanisms for adjusting a tissue gap within the end effector
US8453907B2 (en) 2009-02-06 2013-06-04 Ethicon Endo-Surgery, Inc. Motor driven surgical fastener device with cutting member reversing mechanism
US8317071B1 (en) * 2009-03-09 2012-11-27 Cardica, Inc. Endocutter with auto-feed buttress
US8066167B2 (en) 2009-03-23 2011-11-29 Ethicon Endo-Surgery, Inc. Circular surgical stapling instrument with anvil locking system
US20100249802A1 (en) * 2009-03-27 2010-09-30 May Thomas C Soft Tissue Graft Preparation Devices and Methods
US9486215B2 (en) 2009-03-31 2016-11-08 Covidien Lp Surgical stapling apparatus
US8365972B2 (en) 2009-03-31 2013-02-05 Covidien Lp Surgical stapling apparatus
US7967179B2 (en) 2009-03-31 2011-06-28 Tyco Healthcare Group Lp Center cinch and release of buttress material
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
US8016178B2 (en) 2009-03-31 2011-09-13 Tyco Healthcare Group Lp Surgical stapling apparatus
US8187273B2 (en) 2009-05-07 2012-05-29 Tyco Healthcare Group Lp Apparatus, system, and method for performing an electrosurgical procedure
US8225980B1 (en) * 2009-06-02 2012-07-24 Cardica, Inc. True multi-fire surgical stapler with buttress strip
US8246618B2 (en) 2009-07-08 2012-08-21 Tyco Healthcare Group Lp Electrosurgical jaws with offset knife
US8133254B2 (en) 2009-09-18 2012-03-13 Tyco Healthcare Group Lp In vivo attachable and detachable end effector assembly and laparoscopic surgical instrument and methods therefor
US8112871B2 (en) 2009-09-28 2012-02-14 Tyco Healthcare Group Lp Method for manufacturing electrosurgical seal plates
US8141762B2 (en) 2009-10-09 2012-03-27 Ethicon Endo-Surgery, Inc. Surgical stapler comprising a staple pocket
US8734469B2 (en) * 2009-10-13 2014-05-27 Covidien Lp Suture clip applier
US9693772B2 (en) 2009-10-15 2017-07-04 Covidien Lp Staple line reinforcement for anvil and cartridge
US20150231409A1 (en) 2009-10-15 2015-08-20 Covidien Lp Buttress brachytherapy and integrated staple line markers for margin identification
US10293553B2 (en) 2009-10-15 2019-05-21 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
US10842485B2 (en) 2009-10-15 2020-11-24 Covidien Lp Brachytherapy buttress
US8157151B2 (en) * 2009-10-15 2012-04-17 Tyco Healthcare Group Lp Staple line reinforcement for anvil and cartridge
US8353439B2 (en) 2009-11-19 2013-01-15 Ethicon Endo-Surgery, Inc. Circular stapler introducer with radially-openable distal end portion
US9186136B2 (en) 2009-12-09 2015-11-17 Covidien Lp Surgical clip applier
US8136712B2 (en) 2009-12-10 2012-03-20 Ethicon Endo-Surgery, Inc. Surgical stapler with discrete staple height adjustment and tactile feedback
US8545486B2 (en) 2009-12-15 2013-10-01 Covidien Lp Surgical clip applier
US8851354B2 (en) 2009-12-24 2014-10-07 Ethicon Endo-Surgery, Inc. Surgical cutting instrument that analyzes tissue thickness
US8220688B2 (en) 2009-12-24 2012-07-17 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting instrument with electric actuator directional control assembly
US8267300B2 (en) 2009-12-30 2012-09-18 Ethicon Endo-Surgery, Inc. Dampening device for endoscopic surgical stapler
US8403945B2 (en) 2010-02-25 2013-03-26 Covidien Lp Articulating endoscopic surgical clip applier
US8968337B2 (en) 2010-07-28 2015-03-03 Covidien Lp Articulating clip applier
US8403946B2 (en) 2010-07-28 2013-03-26 Covidien Lp Articulating clip applier cartridge
US8801734B2 (en) 2010-07-30 2014-08-12 Ethicon Endo-Surgery, Inc. Circular stapling instruments with secondary cutting arrangements and methods of using same
US8783543B2 (en) 2010-07-30 2014-07-22 Ethicon Endo-Surgery, Inc. Tissue acquisition arrangements and methods for surgical stapling devices
US8789740B2 (en) 2010-07-30 2014-07-29 Ethicon Endo-Surgery, Inc. Linear cutting and stapling device with selectively disengageable cutting member
US8360296B2 (en) 2010-09-09 2013-01-29 Ethicon Endo-Surgery, Inc. Surgical stapling head assembly with firing lockout for a surgical stapler
US9289212B2 (en) 2010-09-17 2016-03-22 Ethicon Endo-Surgery, Inc. Surgical instruments and batteries for surgical instruments
US8632525B2 (en) 2010-09-17 2014-01-21 Ethicon Endo-Surgery, Inc. Power control arrangements for surgical instruments and batteries
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
US9301753B2 (en) 2010-09-30 2016-04-05 Ethicon Endo-Surgery, Llc Expandable tissue thickness compensator
US9044228B2 (en) 2010-09-30 2015-06-02 Ethicon Endo-Surgery, Inc. Fastener system comprising a plurality of fastener cartridges
US9232941B2 (en) 2010-09-30 2016-01-12 Ethicon Endo-Surgery, Inc. Tissue thickness compensator comprising a reservoir
US9055941B2 (en) 2011-09-23 2015-06-16 Ethicon Endo-Surgery, Inc. Staple cartridge including collapsible deck
US9220500B2 (en) * 2010-09-30 2015-12-29 Ethicon Endo-Surgery, Inc. Tissue thickness compensator comprising structure to produce a resilient load
US9629814B2 (en) 2010-09-30 2017-04-25 Ethicon Endo-Surgery, Llc Tissue thickness compensator configured to redistribute compressive forces
US9788834B2 (en) 2010-09-30 2017-10-17 Ethicon Llc Layer comprising deployable attachment members
US9307989B2 (en) 2012-03-28 2016-04-12 Ethicon Endo-Surgery, Llc Tissue stapler having a thickness compensator incorportating a hydrophobic agent
US9241714B2 (en) 2011-04-29 2016-01-26 Ethicon Endo-Surgery, Inc. Tissue thickness compensator and method for making the same
US9320523B2 (en) * 2012-03-28 2016-04-26 Ethicon Endo-Surgery, Llc Tissue thickness compensator comprising tissue ingrowth features
AU2011308701B2 (en) 2010-09-30 2013-11-14 Ethicon Endo-Surgery, Inc. Fastener system comprising a retention matrix and an alignment matrix
US9220501B2 (en) 2010-09-30 2015-12-29 Ethicon Endo-Surgery, Inc. Tissue thickness compensators
US9364233B2 (en) 2010-09-30 2016-06-14 Ethicon Endo-Surgery, Llc Tissue thickness compensators for circular surgical staplers
US10945731B2 (en) 2010-09-30 2021-03-16 Ethicon Llc Tissue thickness compensator comprising controlled release and expansion
US8777004B2 (en) 2010-09-30 2014-07-15 Ethicon Endo-Surgery, Inc. Compressible staple cartridge comprising alignment members
US20220175370A1 (en) * 2010-09-30 2022-06-09 Cilag Gmbh International Tissue thickness compensator comprising at least one medicament
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
US9301752B2 (en) 2010-09-30 2016-04-05 Ethicon Endo-Surgery, Llc Tissue thickness compensator comprising a plurality of capsules
US9332974B2 (en) 2010-09-30 2016-05-10 Ethicon Endo-Surgery, Llc Layered tissue thickness compensator
US8893949B2 (en) 2010-09-30 2014-11-25 Ethicon Endo-Surgery, Inc. Surgical stapler with floating anvil
US9314246B2 (en) 2010-09-30 2016-04-19 Ethicon Endo-Surgery, Llc Tissue stapler having a thickness compensator incorporating an anti-inflammatory agent
US20120248169A1 (en) * 2010-09-30 2012-10-04 Ethicon Endo-Surgery, Inc. Methods for forming tissue thickness compensator arrangements for surgical staplers
US11925354B2 (en) 2010-09-30 2024-03-12 Cilag Gmbh International Staple cartridge comprising staples positioned within a compressible portion thereof
US11812965B2 (en) 2010-09-30 2023-11-14 Cilag Gmbh International Layer of material for a surgical end effector
USD650074S1 (en) 2010-10-01 2011-12-06 Ethicon Endo-Surgery, Inc. Surgical instrument
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
US9011464B2 (en) 2010-11-02 2015-04-21 Covidien Lp Self-centering clip and jaw
US8348130B2 (en) 2010-12-10 2013-01-08 Covidien Lp Surgical apparatus including surgical buttress
US9113940B2 (en) 2011-01-14 2015-08-25 Covidien Lp Trigger lockout and kickback mechanism for surgical instruments
US9084602B2 (en) 2011-01-26 2015-07-21 Covidien Lp Buttress film with hemostatic action for surgical stapling apparatus
US9186153B2 (en) 2011-01-31 2015-11-17 Covidien Lp Locking cam driver and jaw assembly for clip applier
US8479968B2 (en) 2011-03-10 2013-07-09 Covidien Lp Surgical instrument buttress attachment
US8858590B2 (en) 2011-03-14 2014-10-14 Ethicon Endo-Surgery, Inc. Tissue manipulation devices
US8926598B2 (en) 2011-03-15 2015-01-06 Ethicon Endo-Surgery, Inc. Surgical instruments with articulatable and rotatable end effector
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
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
US20120234895A1 (en) * 2011-03-15 2012-09-20 Ethicon Endo-Surgery, Inc. Surgical staple cartridges and end effectors with vessel measurement arrangements
US8857693B2 (en) 2011-03-15 2014-10-14 Ethicon Endo-Surgery, Inc. Surgical instruments with lockable articulating end effector
US20120265241A1 (en) * 2011-04-12 2012-10-18 Tyco Healthcare Group Lp Surgical Forceps and Method of Manufacturing Thereof
US9474527B1 (en) * 2011-04-26 2016-10-25 Bryan D. Knodel Surgical instrument with discrete articulation
US9566048B1 (en) * 2011-04-26 2017-02-14 Cardica, Inc. Surgical instrument with discrete cammed articulation
US8789737B2 (en) 2011-04-27 2014-07-29 Covidien Lp Circular stapler and staple line reinforcement material
AU2012250139B2 (en) * 2011-04-29 2016-07-07 Ethicon Endo-Surgery, Inc. Compressible staple cartridge comprising alignment members
JP6042413B2 (ja) * 2011-04-29 2016-12-14 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. 取り外し可能部分を含む組織厚さコンペンセーター
BR112013027794B1 (pt) 2011-04-29 2020-12-15 Ethicon Endo-Surgery, Inc Conjunto de cartucho de grampos
RU2606316C2 (ru) * 2011-04-29 2017-01-10 Этикон Эндо-Серджери, Инк. Кассета со скобками с имплантируемой сжимаемой частью и колпачком для введения
US9775623B2 (en) 2011-04-29 2017-10-03 Covidien Lp Surgical clip applier including clip relief feature
US9072535B2 (en) 2011-05-27 2015-07-07 Ethicon Endo-Surgery, Inc. Surgical stapling instruments with rotatable staple deployment arrangements
US11207064B2 (en) 2011-05-27 2021-12-28 Cilag Gmbh International Automated end effector component reloading system for use with a robotic system
US9724095B2 (en) * 2011-08-08 2017-08-08 Covidien Lp Surgical fastener applying apparatus
US9492170B2 (en) * 2011-08-10 2016-11-15 Ethicon Endo-Surgery, Inc. Device for applying adjunct in endoscopic procedure
US9198661B2 (en) 2011-09-06 2015-12-01 Ethicon Endo-Surgery, Inc. Stapling instrument comprising a plurality of staple cartridges stored therein
US9101359B2 (en) * 2011-09-13 2015-08-11 Ethicon Endo-Surgery, Inc. Surgical staple cartridge with self-dispensing staple buttress
US20130068816A1 (en) * 2011-09-15 2013-03-21 Venkataramanan Mandakolathur Vasudevan Surgical instrument and buttress material
US20130075447A1 (en) * 2011-09-22 2013-03-28 II William B. Weisenburgh Adjunct therapy device for applying hemostatic agent
US9198644B2 (en) * 2011-09-22 2015-12-01 Ethicon Endo-Surgery, Inc. Anvil cartridge for surgical fastening device
US9393018B2 (en) * 2011-09-22 2016-07-19 Ethicon Endo-Surgery, Inc. Surgical staple assembly with hemostatic feature
US9050084B2 (en) 2011-09-23 2015-06-09 Ethicon Endo-Surgery, Inc. Staple cartridge including collapsible deck arrangement
US8899464B2 (en) * 2011-10-03 2014-12-02 Ethicon Endo-Surgery, Inc. Attachment of surgical staple buttress to cartridge
US9675351B2 (en) 2011-10-26 2017-06-13 Covidien Lp Buttress release from surgical stapler by knife pushing
EP3513746B1 (en) * 2011-10-26 2023-01-11 Intuitive Surgical Operations, Inc. Surgical instrument with integral knife blade
US8584920B2 (en) 2011-11-04 2013-11-19 Covidien Lp Surgical stapling apparatus including releasable buttress
JP6230541B2 (ja) 2011-11-15 2017-11-15 インテュイティブ サージカル オペレーションズ, インコーポレイテッド しまい込めるナイフブレードを持つ手術器具
US20130131697A1 (en) 2011-11-21 2013-05-23 Covidien Lp Surgical clip applier
US8740036B2 (en) 2011-12-01 2014-06-03 Covidien Lp Surgical instrument with actuator spring arm
US9237892B2 (en) 2011-12-14 2016-01-19 Covidien Lp Buttress attachment to the cartridge surface
US8967448B2 (en) 2011-12-14 2015-03-03 Covidien Lp Surgical stapling apparatus including buttress attachment via tabs
US9010608B2 (en) 2011-12-14 2015-04-21 Covidien Lp Releasable buttress retention on a surgical stapler
US9113885B2 (en) 2011-12-14 2015-08-25 Covidien Lp Buttress assembly for use with surgical stapling device
US9351731B2 (en) 2011-12-14 2016-05-31 Covidien Lp Surgical stapling apparatus including releasable surgical buttress
US9351732B2 (en) 2011-12-14 2016-05-31 Covidien Lp Buttress attachment to degradable polymer zones
US9364239B2 (en) 2011-12-19 2016-06-14 Covidien Lp Jaw closure mechanism for a surgical clip applier
CN103169517B (zh) * 2011-12-22 2015-07-15 苏州天臣国际医疗科技有限公司 外科缝切器的钉仓
US9364216B2 (en) 2011-12-29 2016-06-14 Covidien Lp Surgical clip applier with integrated clip counter
USD680220S1 (en) 2012-01-12 2013-04-16 Coviden IP Slider handle for laparoscopic device
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
US9326773B2 (en) 2012-01-26 2016-05-03 Covidien Lp Surgical device including buttress material
US9931116B2 (en) 2012-02-10 2018-04-03 Covidien Lp Buttress composition
KR20140123101A (ko) * 2012-02-10 2014-10-21 더블유.엘. 고어 앤드 어소시에이트스, 인코포레이티드 수술용 스테이플 라인 보강부를 공급하는 장치
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
US9161756B2 (en) * 2012-03-16 2015-10-20 Covidien Lp Closure tape dispenser
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
RU2014143258A (ru) * 2012-03-28 2016-05-20 Этикон Эндо-Серджери, Инк. Компенсатор толщины ткани, содержащий множество слоев
CN104334098B (zh) 2012-03-28 2017-03-22 伊西康内外科公司 包括限定低压强环境的胶囊剂的组织厚度补偿件
MX353040B (es) 2012-03-28 2017-12-18 Ethicon Endo Surgery Inc Unidad retenedora que incluye un compensador de grosor de tejido.
US9198662B2 (en) 2012-03-28 2015-12-01 Ethicon Endo-Surgery, Inc. Tissue thickness compensator having improved visibility
US20130256373A1 (en) * 2012-03-28 2013-10-03 Ethicon Endo-Surgery, Inc. Devices and methods for attaching tissue thickness compensating materials to surgical stapling instruments
US9408610B2 (en) 2012-05-04 2016-08-09 Covidien Lp Surgical clip applier with dissector
US9532787B2 (en) 2012-05-31 2017-01-03 Covidien Lp Endoscopic clip applier
US9101358B2 (en) 2012-06-15 2015-08-11 Ethicon Endo-Surgery, Inc. Articulatable surgical instrument comprising a firing drive
US9125662B2 (en) 2012-06-28 2015-09-08 Ethicon Endo-Surgery, Inc. Multi-axis articulating and rotating surgical tools
US20140005718A1 (en) 2012-06-28 2014-01-02 Ethicon Endo-Surgery, Inc. Multi-functional powered surgical device with external dissection features
US8747238B2 (en) 2012-06-28 2014-06-10 Ethicon Endo-Surgery, Inc. Rotary drive shaft assemblies for surgical instruments with articulatable end effectors
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
US9282974B2 (en) 2012-06-28 2016-03-15 Ethicon Endo-Surgery, Llc Empty clip cartridge lockout
US20140001231A1 (en) 2012-06-28 2014-01-02 Ethicon Endo-Surgery, Inc. Firing system lockout arrangements for surgical instruments
US9289256B2 (en) 2012-06-28 2016-03-22 Ethicon Endo-Surgery, Llc Surgical end effectors having angled tissue-contacting surfaces
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
US9561038B2 (en) 2012-06-28 2017-02-07 Ethicon Endo-Surgery, Llc Interchangeable clip applier
US9028494B2 (en) 2012-06-28 2015-05-12 Ethicon Endo-Surgery, Inc. Interchangeable end effector coupling arrangement
US11202631B2 (en) 2012-06-28 2021-12-21 Cilag Gmbh International Stapling assembly comprising a firing lockout
US9072536B2 (en) 2012-06-28 2015-07-07 Ethicon Endo-Surgery, Inc. Differential locking arrangements for rotary powered surgical instruments
US9408606B2 (en) 2012-06-28 2016-08-09 Ethicon Endo-Surgery, Llc Robotically powered surgical device with manually-actuatable reversing system
US9119657B2 (en) 2012-06-28 2015-09-01 Ethicon Endo-Surgery, Inc. Rotary actuatable closure arrangement for surgical end effector
US9101385B2 (en) 2012-06-28 2015-08-11 Ethicon Endo-Surgery, Inc. Electrode connections for rotary driven surgical tools
US9271783B2 (en) 2012-07-17 2016-03-01 Covidien Lp End-effector assembly including a pressure-sensitive layer disposed on an electrode
US9572576B2 (en) * 2012-07-18 2017-02-21 Covidien Lp Surgical apparatus including surgical buttress
AU2013206804B2 (en) * 2012-08-15 2017-12-07 Covidien Lp Buttress attachment to degradable polymer zones
US20140048580A1 (en) * 2012-08-20 2014-02-20 Covidien Lp Buttress attachment features for surgical stapling apparatus
US9700310B2 (en) 2013-08-23 2017-07-11 Ethicon Llc Firing member retraction devices for powered surgical instruments
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
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
US9402627B2 (en) 2012-12-13 2016-08-02 Covidien Lp Folded buttress for use with a surgical apparatus
US9522002B2 (en) 2012-12-13 2016-12-20 Covidien Lp Surgical instrument with pressure distribution device
US10722222B2 (en) 2012-12-14 2020-07-28 Covidien Lp Surgical system including a plurality of handle assemblies
CN103156660B (zh) * 2012-12-26 2015-05-06 苏州天臣国际医疗科技有限公司 圆管型吻合器
WO2014106275A1 (en) 2012-12-31 2014-07-03 Intuitive Surgical Operations, Inc. Surgical staple cartridge with enhanced knife clearance
US9113892B2 (en) 2013-01-08 2015-08-25 Covidien Lp Surgical clip applier
US9968362B2 (en) 2013-01-08 2018-05-15 Covidien Lp Surgical clip applier
US9204881B2 (en) 2013-01-11 2015-12-08 Covidien Lp Buttress retainer for EEA anvil
US9750500B2 (en) 2013-01-18 2017-09-05 Covidien Lp Surgical clip applier
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
RU2661009C2 (ru) * 2013-02-08 2018-07-11 Этикон Эндо-Серджери, Инк. Многослойная адгезивная пленка
RU2662861C2 (ru) * 2013-02-08 2018-07-31 Этикон Эндо-Серджери, Инк. Концевой зажим, содержащий дистальный опорный элемент для ткани
RU2661146C2 (ru) * 2013-02-08 2018-07-11 Этикон Эндо-Серджери, Инк. Кассета с крепежными элементами, содержащая компенсатор толщины ткани с возможностью высвобождения
MX365651B (es) * 2013-02-08 2019-06-10 Ethicon Endo Surgery Inc Compensador de grosor de tejido extraíble y cartucho de sujeción que tiene el mismo.
MX360430B (es) * 2013-02-08 2018-10-31 Ethicon Endo Surgery Inc Cartucho de grapas que comprende un revestimiento extraíble.
CA2899486C (en) * 2013-02-08 2021-06-29 Ethicon Endo-Surgery, Inc. Anvil layer attached to a proximal end of an end effector
MX365654B (es) * 2013-02-08 2019-06-10 Ethicon Endo Surgery Inc Capas implantables de múltiples grosores para dispositivos de engrapado quirúrgicos.
US9504470B2 (en) 2013-02-25 2016-11-29 Covidien Lp Circular stapling device with buttress
US9808248B2 (en) * 2013-02-28 2017-11-07 Ethicon Llc Installation features for surgical instrument end effector cartridge
US20140239047A1 (en) 2013-02-28 2014-08-28 Covidien Lp Adherence concepts for non-woven absorbable felt buttresses
US10092292B2 (en) 2013-02-28 2018-10-09 Ethicon Llc Staple forming features for surgical stapling instrument
JP6382235B2 (ja) 2013-03-01 2018-08-29 エシコン・エンド−サージェリィ・インコーポレイテッドEthicon Endo−Surgery,Inc. 信号通信用の導電路を備えた関節運動可能な外科用器具
JP6345707B2 (ja) 2013-03-01 2018-06-20 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. ソフトストップを備えた外科用器具
US9326767B2 (en) 2013-03-01 2016-05-03 Ethicon Endo-Surgery, Llc Joystick switch assemblies for surgical instruments
US9782173B2 (en) 2013-03-07 2017-10-10 Covidien Lp Circular stapling device including buttress release mechanism
US9668728B2 (en) 2013-03-13 2017-06-06 Covidien Lp Surgical stapling apparatus
US9814463B2 (en) 2013-03-13 2017-11-14 Covidien Lp Surgical stapling apparatus
US9345481B2 (en) 2013-03-13 2016-05-24 Ethicon Endo-Surgery, Llc Staple cartridge tissue thickness sensor system
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
US9687230B2 (en) 2013-03-14 2017-06-27 Ethicon Llc Articulatable surgical instrument comprising a firing drive
US9629629B2 (en) 2013-03-14 2017-04-25 Ethicon Endo-Surgey, LLC Control systems for surgical instruments
US9572577B2 (en) 2013-03-27 2017-02-21 Ethicon Endo-Surgery, Llc Fastener cartridge comprising a tissue thickness compensator including openings therein
US9332984B2 (en) 2013-03-27 2016-05-10 Ethicon Endo-Surgery, Llc Fastener cartridge assemblies
US9795384B2 (en) * 2013-03-27 2017-10-24 Ethicon Llc Fastener cartridge comprising a tissue thickness compensator and a gap setting element
CN103156657B (zh) * 2013-04-02 2015-04-29 李东瑞 直线切割吻合器的抵钉座组件
US9649110B2 (en) 2013-04-16 2017-05-16 Ethicon Llc Surgical instrument comprising a closing drive and a firing drive operated from the same rotatable output
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
MX369362B (es) 2013-08-23 2019-11-06 Ethicon Endo Surgery Llc Dispositivos de retraccion de miembros de disparo para instrumentos quirurgicos electricos.
US9775624B2 (en) 2013-08-27 2017-10-03 Covidien Lp Surgical clip applier
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
CN104434252B (zh) * 2013-09-23 2017-02-08 瑞奇外科器械(中国)有限公司 末端执行器、外科手术器械和荷包钳
US9655620B2 (en) 2013-10-28 2017-05-23 Covidien Lp Circular surgical stapling device including buttress material
EP3065647A1 (en) 2013-11-04 2016-09-14 Covidien LP Surgical fastener applying apparatus
WO2015065487A1 (en) 2013-11-04 2015-05-07 Covidien Lp Surgical fastener applying apparatus
CA2926748A1 (en) 2013-11-04 2015-05-07 Covidien Lp Surgical fastener applying apparatus
US9867613B2 (en) 2013-12-19 2018-01-16 Covidien Lp Surgical staples and end effectors for deploying the same
US20150173756A1 (en) 2013-12-23 2015-06-25 Ethicon Endo-Surgery, Inc. Surgical cutting and stapling methods
US9968354B2 (en) 2013-12-23 2018-05-15 Ethicon Llc Surgical staples and methods for making the same
US9681870B2 (en) 2013-12-23 2017-06-20 Ethicon Llc Articulatable surgical instruments with separate and distinct closing and firing systems
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
US9642620B2 (en) 2013-12-23 2017-05-09 Ethicon Endo-Surgery, Llc Surgical cutting and stapling instruments with articulatable end effectors
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
JP6462004B2 (ja) 2014-02-24 2019-01-30 エシコン エルエルシー 発射部材ロックアウトを備える締結システム
US20140166725A1 (en) 2014-02-24 2014-06-19 Ethicon Endo-Surgery, Inc. Staple cartridge including a barbed staple.
WO2015134682A1 (en) 2014-03-04 2015-09-11 Maquet Cardiovascular Llc Surgical implant and method and instrument for installing the same
US10499908B2 (en) 2014-03-04 2019-12-10 Maquet Cardiovascular Llc Surgical implant and method and instrument for installing the same
US20150272557A1 (en) 2014-03-26 2015-10-01 Ethicon Endo-Surgery, Inc. Modular surgical instrument system
US10013049B2 (en) 2014-03-26 2018-07-03 Ethicon Llc Power management through sleep options of segmented circuit and wake up control
BR112016021943B1 (pt) 2014-03-26 2022-06-14 Ethicon Endo-Surgery, Llc Instrumento cirúrgico para uso por um operador em um procedimento cirúrgico
US20150272571A1 (en) 2014-03-26 2015-10-01 Ethicon Endo-Surgery, Inc. Surgical instrument utilizing sensor adaptation
US9913642B2 (en) 2014-03-26 2018-03-13 Ethicon Llc Surgical instrument comprising a sensor system
JP5985078B2 (ja) * 2014-03-28 2016-09-06 オリンパス株式会社 手術用器具
WO2015153340A2 (en) * 2014-03-29 2015-10-08 Standard Bariatrics, Inc. End effectors surgical stapling devices, and methods of using same
US9757126B2 (en) 2014-03-31 2017-09-12 Covidien Lp Surgical stapling apparatus with firing lockout mechanism
US10327764B2 (en) 2014-09-26 2019-06-25 Ethicon Llc Method for creating a flexible staple line
US20150297223A1 (en) 2014-04-16 2015-10-22 Ethicon Endo-Surgery, Inc. Fastener cartridges including extensions having different configurations
BR112016023807B1 (pt) 2014-04-16 2022-07-12 Ethicon Endo-Surgery, Llc Conjunto de cartucho de prendedores 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
US10299792B2 (en) * 2014-04-16 2019-05-28 Ethicon Llc Fastener cartridge comprising non-uniform fasteners
CN106456158B (zh) 2014-04-16 2019-02-05 伊西康内外科有限责任公司 包括非一致紧固件的紧固件仓
US9668733B2 (en) 2014-04-21 2017-06-06 Covidien Lp Stapling device with features to prevent inadvertent firing of staples
US9844378B2 (en) 2014-04-29 2017-12-19 Covidien Lp Surgical stapling apparatus and methods of adhering a surgical buttress thereto
US9861366B2 (en) 2014-05-06 2018-01-09 Covidien Lp Ejecting assembly for a surgical stapler
CN106687052B (zh) 2014-05-15 2019-12-10 柯惠Lp公司 手术紧固件施加装置
CN106572848B (zh) * 2014-06-10 2019-08-30 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
US10390828B2 (en) 2014-06-10 2019-08-27 Ethicon Llc Devices and methods for sealing staples in tissue
BR112016028790B1 (pt) * 2014-06-10 2022-11-08 Ethicon Endo-Surgery, Llc Conjunto de cartucho de grampos para uso com um grampeador cirúrgico
US10045781B2 (en) 2014-06-13 2018-08-14 Ethicon Llc Closure lockout systems for surgical instruments
US9788835B2 (en) 2014-09-02 2017-10-17 Ethicon Llc Devices and methods for facilitating ejection of surgical fasteners from cartridges
US10004496B2 (en) * 2014-09-02 2018-06-26 Ethicon Llc Devices and methods for securing fasteners and adjunct materials to tissue
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
US11311294B2 (en) 2014-09-05 2022-04-26 Cilag Gmbh International Powered medical device including measurement of closure state of jaws
US10105142B2 (en) 2014-09-18 2018-10-23 Ethicon Llc Surgical stapler with plurality of cutting elements
US11523821B2 (en) 2014-09-26 2022-12-13 Cilag Gmbh International Method for creating a flexible staple line
MX2017003960A (es) 2014-09-26 2017-12-04 Ethicon Llc Refuerzos de grapas quirúrgicas y materiales auxiliares.
US10076325B2 (en) 2014-10-13 2018-09-18 Ethicon Llc Surgical stapling apparatus comprising a tissue stop
US9924944B2 (en) * 2014-10-16 2018-03-27 Ethicon Llc Staple cartridge comprising an adjunct material
US10517594B2 (en) 2014-10-29 2019-12-31 Ethicon Llc Cartridge assemblies for surgical staplers
US11141153B2 (en) 2014-10-29 2021-10-12 Cilag Gmbh International Staple cartridges comprising driver arrangements
US9844376B2 (en) 2014-11-06 2017-12-19 Ethicon Llc Staple cartridge comprising a releasable adjunct material
US10702278B2 (en) 2014-12-02 2020-07-07 Covidien Lp Laparoscopic surgical ligation clip applier
US10736636B2 (en) 2014-12-10 2020-08-11 Ethicon Llc Articulatable surgical instrument system
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
US10117649B2 (en) 2014-12-18 2018-11-06 Ethicon Llc Surgical instrument assembly comprising a lockable articulation system
US10085748B2 (en) 2014-12-18 2018-10-02 Ethicon Llc Locking arrangements for detachable shaft assemblies with articulatable surgical end effectors
BR112017012996B1 (pt) 2014-12-18 2022-11-08 Ethicon Llc Instrumento cirúrgico com uma bigorna que é seletivamente móvel sobre um eixo geométrico imóvel distinto em relação a um cartucho de grampos
US9844374B2 (en) 2014-12-18 2017-12-19 Ethicon Llc Surgical instrument systems comprising an articulatable end effector and means for adjusting the firing stroke of a firing member
US9844375B2 (en) 2014-12-18 2017-12-19 Ethicon Llc Drive arrangements for articulatable surgical instruments
US9943309B2 (en) 2014-12-18 2018-04-17 Ethicon Llc Surgical instruments with articulatable end effectors and movable firing beam support arrangements
US10835216B2 (en) 2014-12-24 2020-11-17 Covidien Lp Spinneret for manufacture of melt blown nonwoven fabric
US9931124B2 (en) 2015-01-07 2018-04-03 Covidien Lp Reposable clip applier
WO2016112509A1 (en) 2015-01-15 2016-07-21 Covidien Lp Endoscopic reposable surgical clip applier
US10292712B2 (en) 2015-01-28 2019-05-21 Covidien Lp Surgical clip applier with integrated cutter
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
US10130367B2 (en) 2015-02-26 2018-11-20 Covidien Lp Surgical apparatus
US10085749B2 (en) 2015-02-26 2018-10-02 Covidien Lp Surgical apparatus with conductor strain relief
US11154301B2 (en) 2015-02-27 2021-10-26 Cilag Gmbh International Modular stapling assembly
US10180463B2 (en) 2015-02-27 2019-01-15 Ethicon Llc Surgical apparatus configured to assess whether a performance parameter of the surgical apparatus is within an acceptable performance band
US20160249910A1 (en) 2015-02-27 2016-09-01 Ethicon Endo-Surgery, Llc Surgical charging system that charges and/or conditions one or more batteries
US10226250B2 (en) 2015-02-27 2019-03-12 Ethicon Llc Modular stapling assembly
US10548504B2 (en) 2015-03-06 2020-02-04 Ethicon Llc Overlaid multi sensor radio frequency (RF) electrode system to measure tissue compression
US9895148B2 (en) 2015-03-06 2018-02-20 Ethicon Endo-Surgery, Llc Monitoring speed control and precision incrementing of motor for powered surgical instruments
US9993248B2 (en) 2015-03-06 2018-06-12 Ethicon Endo-Surgery, Llc Smart sensors with local signal processing
US9808246B2 (en) 2015-03-06 2017-11-07 Ethicon Endo-Surgery, Llc Method of operating a powered surgical instrument
US10687806B2 (en) 2015-03-06 2020-06-23 Ethicon Llc Adaptive tissue compression techniques to adjust closure rates for multiple tissue types
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
US9901342B2 (en) 2015-03-06 2018-02-27 Ethicon Endo-Surgery, Llc Signal and power communication system positioned on a rotatable shaft
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
US9924961B2 (en) 2015-03-06 2018-03-27 Ethicon Endo-Surgery, Llc Interactive feedback system for powered surgical instruments
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
US10159491B2 (en) 2015-03-10 2018-12-25 Covidien Lp Endoscopic reposable surgical clip applier
US9918717B2 (en) 2015-03-18 2018-03-20 Covidien Lp Pivot mechanism for surgical device
US10478187B2 (en) 2015-03-25 2019-11-19 Ethicon Llc Biologically derived extracellular matrix with infused viscous absorbable copolymer for releasably attaching a staple buttress to a surgical stapler
US10349939B2 (en) * 2015-03-25 2019-07-16 Ethicon Llc Method of applying a 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
US10172618B2 (en) 2015-03-25 2019-01-08 Ethicon Llc Low glass transition temperature bioabsorbable polymer 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
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
US10172617B2 (en) 2015-03-25 2019-01-08 Ethicon Llc Malleable bioabsorbable polymer adhesive for releasably attaching a staple buttress to a surgical stapler
US10568621B2 (en) 2015-03-25 2020-02-25 Ethicon Llc Surgical staple buttress with integral adhesive for releasably attaching to a surgical stapler
US10213201B2 (en) 2015-03-31 2019-02-26 Ethicon Llc Stapling end effector configured to compensate for an uneven gap between a first jaw and a second jaw
US10463368B2 (en) 2015-04-10 2019-11-05 Covidien Lp Endoscopic stapler
WO2016164519A1 (en) 2015-04-10 2016-10-13 Covidien Lp Surgical stapler with integrated bladder
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
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
US10335149B2 (en) 2015-06-18 2019-07-02 Ethicon Llc Articulatable surgical instruments with composite firing beam structures with center firing support member for articulation support
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
US10835249B2 (en) 2015-08-17 2020-11-17 Ethicon Llc Implantable layers for a surgical instrument
US10342532B2 (en) * 2015-08-24 2019-07-09 Ethicon Llc Surgical stapler buttress applicator with multi-point actuated release mechanism
US10166023B2 (en) 2015-08-24 2019-01-01 Ethicon Llc Method of applying a buttress to a surgical stapler end effector
US10342542B2 (en) * 2015-08-24 2019-07-09 Ethicon Llc Surgical stapler buttress applicator with end effector actuated release mechanism
US11039832B2 (en) * 2015-08-24 2021-06-22 Cilag Gmbh International Surgical stapler buttress applicator with spent staple cartridge lockout
US10639039B2 (en) * 2015-08-24 2020-05-05 Ethicon Llc Surgical stapler buttress applicator with multi-zone platform for pressure focused release
CN108348233B (zh) 2015-08-26 2021-05-07 伊西康有限责任公司 用于允许改变钉特性并实现轻松仓加载的外科钉条
US10213203B2 (en) 2015-08-26 2019-02-26 Ethicon Llc Staple cartridge assembly without a bottom cover
US10285692B2 (en) * 2015-08-31 2019-05-14 Ethicon Llc Adjuncts for surgical devices including agonists and antagonists
US10569071B2 (en) 2015-08-31 2020-02-25 Ethicon Llc Medicant eluting adjuncts and methods of using medicant eluting adjuncts
US10238390B2 (en) 2015-09-02 2019-03-26 Ethicon Llc Surgical staple cartridges with driver arrangements for establishing herringbone staple patterns
MX2022006191A (es) 2015-09-02 2022-06-16 Ethicon Llc Configuraciones de grapas quirurgicas con superficies de leva situadas entre porciones que soportan grapas quirurgicas.
US10085751B2 (en) 2015-09-23 2018-10-02 Ethicon Llc Surgical stapler having temperature-based motor control
US10363036B2 (en) 2015-09-23 2019-07-30 Ethicon Llc Surgical stapler having force-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
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
US10299878B2 (en) 2015-09-25 2019-05-28 Ethicon Llc Implantable adjunct systems for determining adjunct skew
US10980539B2 (en) 2015-09-30 2021-04-20 Ethicon Llc Implantable adjunct comprising bonded layers
US10736633B2 (en) 2015-09-30 2020-08-11 Ethicon Llc Compressible adjunct with looping members
US11890015B2 (en) 2015-09-30 2024-02-06 Cilag Gmbh International Compressible adjunct with crossing spacer fibers
US10478188B2 (en) * 2015-09-30 2019-11-19 Ethicon Llc Implantable layer comprising a constricted configuration
US10213204B2 (en) 2015-10-02 2019-02-26 Covidien Lp Micro surgical instrument and loading unit for use therewith
US10772632B2 (en) 2015-10-28 2020-09-15 Covidien Lp Surgical stapling device with triple leg staples
US10085745B2 (en) 2015-10-29 2018-10-02 Ethicon Llc Extensible buttress assembly for surgical stapler
US10357248B2 (en) 2015-10-29 2019-07-23 Ethicon Llc Extensible buttress assembly for surgical stapler
US10499918B2 (en) * 2015-10-29 2019-12-10 Ethicon Llc Surgical stapler buttress assembly with features to interact with movable end effector components
US10517592B2 (en) * 2015-10-29 2019-12-31 Ethicon Llc Surgical stapler buttress assembly with adhesion to wet end effector
US10251649B2 (en) * 2015-10-29 2019-04-09 Ethicon Llc Surgical stapler buttress applicator with data communication
US10441286B2 (en) 2015-10-29 2019-10-15 Ethicon Llc Multi-layer surgical stapler buttress assembly
US10238388B2 (en) 2015-10-29 2019-03-26 Ethicon Llc Surgical stapler buttress assembly with humidity tolerant adhesive
US10433839B2 (en) * 2015-10-29 2019-10-08 Ethicon Llc Surgical stapler buttress assembly with gel adhesive retainer
US10314588B2 (en) 2015-10-29 2019-06-11 Ethicon Llc Fluid penetrable buttress assembly for a surgical stapler
US10702279B2 (en) 2015-11-03 2020-07-07 Covidien Lp Endoscopic surgical clip applier
EP3373826A4 (en) 2015-11-10 2019-11-06 Covidien LP ENDOSCOPIC INTERCHANGEABLE APPLICATOR OF SURGICAL CLIPS
WO2017079895A1 (en) 2015-11-10 2017-05-18 Covidien Lp Endoscopic reposable surgical clip applier
US10390831B2 (en) 2015-11-10 2019-08-27 Covidien Lp Endoscopic reposable surgical clip applier
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
US10368865B2 (en) 2015-12-30 2019-08-06 Ethicon Llc Mechanisms for compensating for drivetrain failure in powered surgical instruments
US10265068B2 (en) 2015-12-30 2019-04-23 Ethicon Llc Surgical instruments with separable motors and motor control circuits
US10966717B2 (en) 2016-01-07 2021-04-06 Covidien Lp Surgical fastener apparatus
EP3402417A4 (en) 2016-01-11 2019-12-04 Covidien LP ENDOSCOPIC RESTABLE SURGICAL STAPLER APPLICATOR
US10660623B2 (en) 2016-01-15 2020-05-26 Covidien Lp Centering mechanism for articulation joint
CA3011262A1 (en) 2016-01-18 2017-07-27 Covidien Lp Endoscopic surgical clip applier
US10588625B2 (en) 2016-02-09 2020-03-17 Ethicon Llc Articulatable surgical instruments with off-axis firing beam arrangements
US11213293B2 (en) 2016-02-09 2022-01-04 Cilag Gmbh International Articulatable surgical instruments with single articulation link arrangements
JP6911054B2 (ja) 2016-02-09 2021-07-28 エシコン エルエルシーEthicon LLC 非対称の関節構成を備えた外科用器具
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
US11224426B2 (en) 2016-02-12 2022-01-18 Cilag Gmbh International Mechanisms for compensating for drivetrain failure in powered surgical instruments
US10258331B2 (en) 2016-02-12 2019-04-16 Ethicon Llc Mechanisms for compensating for drivetrain failure in powered surgical instruments
US10448948B2 (en) 2016-02-12 2019-10-22 Ethicon Llc Mechanisms for compensating for drivetrain failure in powered surgical instruments
CA2958160A1 (en) 2016-02-24 2017-08-24 Covidien Lp Endoscopic reposable surgical clip applier
US10278703B2 (en) * 2016-03-21 2019-05-07 Ethicon, Inc. Temporary fixation tools for use with circular anastomotic staplers
US10617413B2 (en) 2016-04-01 2020-04-14 Ethicon Llc Closure system arrangements for surgical cutting and stapling devices with separate and distinct firing shafts
US11064997B2 (en) 2016-04-01 2021-07-20 Cilag Gmbh International Surgical stapling instrument
US11045191B2 (en) 2016-04-01 2021-06-29 Cilag Gmbh International Method for operating a surgical stapling system
US10531874B2 (en) 2016-04-01 2020-01-14 Ethicon Llc Surgical cutting and stapling end effector with anvil concentric drive member
CN109310433B (zh) * 2016-04-01 2021-06-25 伊西康有限责任公司 被构造成能够施加具有不同高度的环形钉排的外科缝合系统
US11284890B2 (en) 2016-04-01 2022-03-29 Cilag Gmbh International Circular stapling system comprising an incisable tissue support
US10456137B2 (en) 2016-04-15 2019-10-29 Ethicon Llc Staple formation detection mechanisms
US10492783B2 (en) 2016-04-15 2019-12-03 Ethicon, Llc Surgical instrument with improved stop/start control 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
US11607239B2 (en) 2016-04-15 2023-03-21 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
US11179150B2 (en) 2016-04-15 2021-11-23 Cilag Gmbh International Systems and methods for controlling a surgical stapling and cutting instrument
US20170296173A1 (en) 2016-04-18 2017-10-19 Ethicon Endo-Surgery, Llc Method for operating a surgical instrument
US10433840B2 (en) 2016-04-18 2019-10-08 Ethicon Llc Surgical instrument comprising a replaceable cartridge jaw
US11317917B2 (en) 2016-04-18 2022-05-03 Cilag Gmbh International Surgical stapling system comprising a lockable firing assembly
US10258337B2 (en) 2016-04-20 2019-04-16 Ethicon Llc Surgical staple cartridge with severed tissue edge adjunct
US10653420B2 (en) 2016-04-20 2020-05-19 Ethicon Llc Compliant compensation features for end effector of surgical stapling instrument
US10285700B2 (en) 2016-04-20 2019-05-14 Ethicon Llc Surgical staple cartridge with hydraulic staple deployment
US10363032B2 (en) 2016-04-20 2019-07-30 Ethicon Llc Surgical stapler with hydraulic deck control
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
USD850617S1 (en) 2016-06-24 2019-06-04 Ethicon Llc Surgical fastener cartridge
USD822206S1 (en) 2016-06-24 2018-07-03 Ethicon Llc Surgical fastener
US10675024B2 (en) 2016-06-24 2020-06-09 Ethicon Llc Staple cartridge comprising overdriven staples
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
USD826405S1 (en) 2016-06-24 2018-08-21 Ethicon Llc Surgical fastener
USD847989S1 (en) 2016-06-24 2019-05-07 Ethicon Llc Surgical fastener cartridge
WO2018011664A1 (en) * 2016-07-12 2018-01-18 Stepwise Ltd Asymmetric stapler heads and applications thereof
WO2018027788A1 (en) 2016-08-11 2018-02-15 Covidien Lp Endoscopic surgical clip applier and clip applying systems
AU2016420481A1 (en) 2016-08-25 2019-01-17 Covidien Lp Endoscopic surgical clip applier and clip applying systems
US10639044B2 (en) 2016-10-31 2020-05-05 Covidien Lp Ligation clip module and clip applier
US10660651B2 (en) 2016-10-31 2020-05-26 Covidien Lp Endoscopic reposable surgical clip applier
US10426489B2 (en) 2016-11-01 2019-10-01 Covidien Lp Endoscopic reposable surgical clip applier
US10610236B2 (en) 2016-11-01 2020-04-07 Covidien Lp Endoscopic reposable surgical clip applier
US10492795B2 (en) 2016-11-01 2019-12-03 Covidien Lp Endoscopic surgical clip applier
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
US11026686B2 (en) 2016-11-08 2021-06-08 Covidien Lp Structure for attaching buttress to anvil and/or cartridge of surgical stapling instrument
US10492784B2 (en) 2016-11-08 2019-12-03 Covidien Lp Surgical tool assembly with compact firing assembly
US10542981B2 (en) 2016-11-14 2020-01-28 Ethicon Llc Atraumatic stapling head features for circular surgical stapler
US10463371B2 (en) 2016-11-29 2019-11-05 Covidien Lp Reload assembly with spent reload indicator
JP6983893B2 (ja) 2016-12-21 2021-12-17 エシコン エルエルシーEthicon LLC 外科用エンドエフェクタ及び交換式ツールアセンブリのためのロックアウト構成
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
US20180168625A1 (en) 2016-12-21 2018-06-21 Ethicon Endo-Surgery, Llc Surgical stapling instruments with smart staple cartridges
US11134942B2 (en) 2016-12-21 2021-10-05 Cilag Gmbh International Surgical stapling instruments and staple-forming anvils
US20180168647A1 (en) 2016-12-21 2018-06-21 Ethicon Endo-Surgery, Llc Surgical stapling instruments having end effectors with positive opening features
US10588631B2 (en) 2016-12-21 2020-03-17 Ethicon Llc Surgical instruments with positive jaw opening features
JP2020501779A (ja) 2016-12-21 2020-01-23 エシコン エルエルシーEthicon LLC 外科用ステープル留めシステム
US10675026B2 (en) 2016-12-21 2020-06-09 Ethicon Llc Methods of stapling tissue
US10588632B2 (en) 2016-12-21 2020-03-17 Ethicon Llc Surgical end effectors and firing members thereof
US11684367B2 (en) 2016-12-21 2023-06-27 Cilag Gmbh International Stepped assembly having and end-of-life indicator
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
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
US10426471B2 (en) 2016-12-21 2019-10-01 Ethicon Llc Surgical instrument with multiple failure response modes
US10835246B2 (en) 2016-12-21 2020-11-17 Ethicon Llc 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
US10888322B2 (en) 2016-12-21 2021-01-12 Ethicon Llc Surgical instrument comprising a cutting member
US10675025B2 (en) 2016-12-21 2020-06-09 Ethicon Llc Shaft assembly comprising separately actuatable and retractable systems
US20180168608A1 (en) 2016-12-21 2018-06-21 Ethicon Endo-Surgery, Llc Surgical instrument system comprising an end effector lockout and a firing assembly lockout
US10980536B2 (en) 2016-12-21 2021-04-20 Ethicon Llc No-cartridge and spent cartridge lockout arrangements for surgical staplers
US20180168598A1 (en) 2016-12-21 2018-06-21 Ethicon Endo-Surgery, Llc Staple forming pocket arrangements comprising zoned forming surface grooves
US10485543B2 (en) 2016-12-21 2019-11-26 Ethicon Llc Anvil having a knife slot width
US10687810B2 (en) 2016-12-21 2020-06-23 Ethicon Llc Stepped staple cartridge with tissue retention and gap setting features
US10524789B2 (en) 2016-12-21 2020-01-07 Ethicon Llc Laterally actuatable articulation lock arrangements for locking an end effector of a surgical instrument in an articulated configuration
US10993715B2 (en) 2016-12-21 2021-05-04 Ethicon Llc Staple cartridge comprising staples with different clamping breadths
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
US10709455B2 (en) 2017-02-02 2020-07-14 Covidien Lp Endoscopic surgical clip applier
US10952767B2 (en) 2017-02-06 2021-03-23 Covidien Lp Connector clip for securing an introducer to a surgical fastener applying apparatus
WO2018141110A1 (en) 2017-02-06 2018-08-09 Covidien Lp Surgical clip applier with user feedback feature
US10758244B2 (en) 2017-02-06 2020-09-01 Covidien Lp Endoscopic surgical clip applier
US10660725B2 (en) 2017-02-14 2020-05-26 Covidien Lp Endoscopic surgical clip applier including counter assembly
US11103244B2 (en) 2017-02-17 2021-08-31 Cilag Gmbh International Surgical stapling end effector jaw with tip deflecting toward other jaw
US11272930B2 (en) 2017-02-17 2022-03-15 Cilag Gmbh International Method of surgical stapling with end effector component having a curved tip
US10828031B2 (en) 2017-02-17 2020-11-10 Ethicon Llc Surgical stapler with elastically deformable tip
US10478183B2 (en) * 2017-02-17 2019-11-19 Ethicon Llc Adjunct release for surgical staplers
US10646221B2 (en) 2017-02-17 2020-05-12 Ethicon Llc Surgical adjunct retaining mechanisms
US11564684B2 (en) 2017-02-17 2023-01-31 Cilag Gmbh International Surgical stapling end effector component with tip having varying bend angle
US11564687B2 (en) * 2017-02-17 2023-01-31 Cilag Gmbh International Method of surgical stapling with end effector component having a curved tip
US10478280B2 (en) * 2017-02-17 2019-11-19 Ethicon Llc Methods and devices for delivering and securing adjunct materials to a treatment site
US10485544B2 (en) * 2017-02-17 2019-11-26 Ethicon Llc End effector having extension features for mating with adjuncts
US11141150B2 (en) * 2017-02-17 2021-10-12 Cilag Gmbh International Buttress loader for surgical staplers
US20180235625A1 (en) * 2017-02-17 2018-08-23 Ethicon Llc End effector with adjunct materials
US10765426B2 (en) * 2017-02-17 2020-09-08 Ethicon Llc Systems for coupling adjuncts to an end effector
US10603038B2 (en) 2017-02-22 2020-03-31 Covidien Lp Surgical clip applier including inserts for jaw assembly
US11583291B2 (en) 2017-02-23 2023-02-21 Covidien Lp Endoscopic surgical clip applier
US11350915B2 (en) 2017-02-23 2022-06-07 Covidien Lp Surgical stapler with small diameter endoscopic portion
US10548602B2 (en) 2017-02-23 2020-02-04 Covidien Lp Endoscopic surgical clip applier
US10849621B2 (en) 2017-02-23 2020-12-01 Covidien Lp Surgical stapler with small diameter endoscopic portion
CN106691527A (zh) * 2017-02-28 2017-05-24 苏州法兰克曼医疗器械有限公司 一种腔内直切推刀机构
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
US10603035B2 (en) 2017-05-02 2020-03-31 Covidien Lp Surgical loading unit including an articulating end effector
US11324502B2 (en) 2017-05-02 2022-05-10 Covidien Lp Surgical loading unit including an articulating end effector
US10675043B2 (en) 2017-05-04 2020-06-09 Covidien Lp Reposable multi-fire surgical clip applier
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
US10722235B2 (en) 2017-05-11 2020-07-28 Covidien Lp Spring-release surgical clip
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
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
US10624633B2 (en) 2017-06-20 2020-04-21 Ethicon Llc Systems and methods for controlling motor velocity of a surgical stapling and cutting instrument
US11090046B2 (en) 2017-06-20 2021-08-17 Cilag Gmbh International Systems and methods for controlling displacement member motion of a surgical stapling and cutting instrument
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
USD879808S1 (en) 2017-06-20 2020-03-31 Ethicon Llc Display panel with graphical user interface
US10646220B2 (en) 2017-06-20 2020-05-12 Ethicon Llc Systems and methods for controlling displacement member velocity for a surgical instrument
US10813639B2 (en) 2017-06-20 2020-10-27 Ethicon Llc Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on system conditions
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
US10779820B2 (en) 2017-06-20 2020-09-22 Ethicon Llc Systems and methods for controlling motor speed according to user input for a surgical instrument
US11653914B2 (en) 2017-06-20 2023-05-23 Cilag Gmbh International Systems and methods for controlling motor velocity of a surgical stapling and cutting instrument according to articulation angle of end effector
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
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
USD879809S1 (en) 2017-06-20 2020-03-31 Ethicon Llc Display panel with changeable graphical user interface
US10368864B2 (en) 2017-06-20 2019-08-06 Ethicon Llc Systems and methods for controlling displaying motor velocity for a surgical instrument
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
USD890784S1 (en) 2017-06-20 2020-07-21 Ethicon Llc Display panel with changeable graphical user interface
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
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
US10881399B2 (en) 2017-06-20 2021-01-05 Ethicon Llc Techniques for adaptive control of motor velocity of a surgical stapling and cutting instrument
US10856869B2 (en) 2017-06-27 2020-12-08 Ethicon Llc Surgical anvil arrangements
US10993716B2 (en) 2017-06-27 2021-05-04 Ethicon Llc Surgical anvil arrangements
US11266405B2 (en) 2017-06-27 2022-03-08 Cilag Gmbh International Surgical anvil manufacturing methods
US11324503B2 (en) 2017-06-27 2022-05-10 Cilag Gmbh International Surgical firing member arrangements
US10772629B2 (en) 2017-06-27 2020-09-15 Ethicon Llc Surgical anvil arrangements
US11141154B2 (en) 2017-06-27 2021-10-12 Cilag Gmbh International Surgical end effectors and anvils
USD854151S1 (en) 2017-06-28 2019-07-16 Ethicon Llc Surgical instrument shaft
USD851762S1 (en) 2017-06-28 2019-06-18 Ethicon Llc Anvil
EP4070740A1 (en) 2017-06-28 2022-10-12 Cilag GmbH International Surgical instrument comprising selectively actuatable rotatable couplers
USD906355S1 (en) 2017-06-28 2020-12-29 Ethicon Llc Display screen or portion thereof with a graphical user interface for a surgical instrument
US10211586B2 (en) 2017-06-28 2019-02-19 Ethicon Llc Surgical shaft assemblies with watertight housings
US20190000461A1 (en) 2017-06-28 2019-01-03 Ethicon Llc Surgical cutting and fastening devices with pivotable anvil with a tissue locating arrangement in close proximity to an anvil pivot axis
US11564686B2 (en) 2017-06-28 2023-01-31 Cilag Gmbh International Surgical shaft assemblies with flexible interfaces
US10765427B2 (en) 2017-06-28 2020-09-08 Ethicon Llc Method for articulating a surgical instrument
US10716614B2 (en) 2017-06-28 2020-07-21 Ethicon Llc Surgical shaft assemblies with slip ring assemblies with increased contact pressure
US10903685B2 (en) 2017-06-28 2021-01-26 Ethicon Llc Surgical shaft assemblies with slip ring assemblies forming capacitive channels
USD869655S1 (en) 2017-06-28 2019-12-10 Ethicon Llc Surgical fastener cartridge
US11246592B2 (en) 2017-06-28 2022-02-15 Cilag Gmbh International Surgical instrument comprising an articulation system lockable to a frame
US11058424B2 (en) 2017-06-28 2021-07-13 Cilag Gmbh International Surgical instrument comprising an offset articulation joint
US11259805B2 (en) 2017-06-28 2022-03-01 Cilag Gmbh International Surgical instrument comprising firing member supports
US10258418B2 (en) 2017-06-29 2019-04-16 Ethicon Llc System for controlling articulation forces
US10932772B2 (en) 2017-06-29 2021-03-02 Ethicon Llc Methods for closed loop velocity control for robotic surgical instrument
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
US11007022B2 (en) 2017-06-29 2021-05-18 Ethicon Llc Closed loop velocity control techniques based on sensed tissue parameters for robotic surgical instrument
US10398434B2 (en) 2017-06-29 2019-09-03 Ethicon Llc Closed loop velocity control of closure member for robotic surgical instrument
US10639032B2 (en) 2017-06-30 2020-05-05 Covidien Lp Endoscopic surgical clip applier including counter assembly
US10660723B2 (en) 2017-06-30 2020-05-26 Covidien Lp Endoscopic reposable surgical clip applier
US11471155B2 (en) 2017-08-03 2022-10-18 Cilag Gmbh International Surgical system bailout
US11304695B2 (en) 2017-08-03 2022-04-19 Cilag Gmbh International Surgical system shaft interconnection
US10849625B2 (en) 2017-08-07 2020-12-01 Covidien Lp Surgical buttress retention systems for surgical stapling apparatus
US10675112B2 (en) 2017-08-07 2020-06-09 Covidien Lp Endoscopic surgical clip applier including counter assembly
US10932790B2 (en) 2017-08-08 2021-03-02 Covidien Lp Geared actuation mechanism and surgical clip applier including the same
US10863992B2 (en) 2017-08-08 2020-12-15 Covidien Lp Endoscopic surgical clip applier
US10786262B2 (en) 2017-08-09 2020-09-29 Covidien Lp Endoscopic reposable surgical clip applier
WO2019036490A1 (en) * 2017-08-14 2019-02-21 Standard Bariatrics, Inc. END EFFECTORS, SURGICAL STAPLING DEVICES, AND METHODS OF USE THEREOF
US10786263B2 (en) 2017-08-15 2020-09-29 Covidien Lp Endoscopic reposable surgical clip applier
US10945733B2 (en) 2017-08-23 2021-03-16 Covidien Lp Surgical buttress reload and tip attachment assemblies for surgical stapling apparatus
US10624636B2 (en) 2017-08-23 2020-04-21 Covidien Lp Surgical stapling device with floating staple cartridge
US10806452B2 (en) 2017-08-24 2020-10-20 Covidien Lp Loading unit for a surgical stapling instrument
US10835341B2 (en) 2017-09-12 2020-11-17 Covidien Lp Endoscopic surgical clip applier and handle assemblies for use therewith
US10653429B2 (en) 2017-09-13 2020-05-19 Covidien Lp Endoscopic surgical clip applier
US10758245B2 (en) 2017-09-13 2020-09-01 Covidien Lp Clip counting mechanism for surgical clip applier
US10835260B2 (en) 2017-09-13 2020-11-17 Covidien Lp Endoscopic surgical clip applier and handle assemblies for use therewith
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
US10796471B2 (en) 2017-09-29 2020-10-06 Ethicon Llc Systems and methods of displaying a knife position for a surgical instrument
US10743872B2 (en) 2017-09-29 2020-08-18 Ethicon Llc System and methods for controlling a display of a surgical instrument
USD907648S1 (en) 2017-09-29 2021-01-12 Ethicon Llc Display screen or portion thereof with animated graphical user interface
US10765429B2 (en) 2017-09-29 2020-09-08 Ethicon Llc Systems and methods for providing alerts according to the operational state of a surgical instrument
USD907647S1 (en) 2017-09-29 2021-01-12 Ethicon Llc Display screen or portion thereof with animated graphical user interface
US11134944B2 (en) 2017-10-30 2021-10-05 Cilag Gmbh International Surgical stapler knife motion controls
US11090075B2 (en) 2017-10-30 2021-08-17 Cilag Gmbh International Articulation features for surgical end effector
US10779903B2 (en) 2017-10-31 2020-09-22 Ethicon Llc Positive shaft rotation lock activated by jaw closure
US10842490B2 (en) 2017-10-31 2020-11-24 Ethicon Llc Cartridge body design with force reduction based on firing completion
US10828036B2 (en) 2017-11-03 2020-11-10 Covidien Lp Endoscopic surgical clip applier and handle assemblies for use therewith
US10932791B2 (en) 2017-11-03 2021-03-02 Covidien Lp Reposable multi-fire surgical clip applier
US10945734B2 (en) 2017-11-03 2021-03-16 Covidien Lp Rotation knob assemblies and surgical instruments including the same
US11376015B2 (en) 2017-11-03 2022-07-05 Covidien Lp Endoscopic surgical clip applier and handle assemblies for use therewith
US11116513B2 (en) 2017-11-03 2021-09-14 Covidien Lp Modular surgical clip cartridge
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
US11141151B2 (en) 2017-12-08 2021-10-12 Covidien Lp Surgical buttress for circular stapling
US10722236B2 (en) 2017-12-12 2020-07-28 Covidien Lp Endoscopic reposable surgical clip applier
US10959737B2 (en) 2017-12-13 2021-03-30 Covidien Lp Reposable multi-fire surgical clip applier
US10743887B2 (en) 2017-12-13 2020-08-18 Covidien Lp Reposable multi-fire surgical clip applier
US10849630B2 (en) 2017-12-13 2020-12-01 Covidien Lp Reposable multi-fire surgical clip applier
US10743875B2 (en) 2017-12-15 2020-08-18 Ethicon Llc Surgical end effectors with jaw stiffener arrangements configured to permit monitoring of firing member
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
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
US10743874B2 (en) 2017-12-15 2020-08-18 Ethicon Llc Sealed adapters for use with electromechanical surgical instruments
US10966718B2 (en) 2017-12-15 2021-04-06 Ethicon Llc Dynamic clamping assemblies with improved wear characteristics for use in connection with electromechanical surgical instruments
US10779826B2 (en) 2017-12-15 2020-09-22 Ethicon Llc Methods of operating surgical end effectors
US11006955B2 (en) 2017-12-15 2021-05-18 Ethicon Llc End effectors with positive jaw opening features for use with adapters for electromechanical surgical instruments
US10869666B2 (en) 2017-12-15 2020-12-22 Ethicon Llc Adapters with control systems for controlling multiple motors of an electromechanical surgical instrument
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
US11071543B2 (en) 2017-12-15 2021-07-27 Cilag Gmbh International Surgical end effectors with clamping assemblies configured to increase jaw aperture ranges
US11033267B2 (en) 2017-12-15 2021-06-15 Ethicon Llc Systems and methods of controlling a clamping member firing rate of a surgical instrument
US10687813B2 (en) 2017-12-15 2020-06-23 Ethicon Llc Adapters with firing stroke sensing arrangements for use in connection with electromechanical surgical instruments
USD910847S1 (en) 2017-12-19 2021-02-16 Ethicon Llc Surgical instrument assembly
US10729509B2 (en) 2017-12-19 2020-08-04 Ethicon Llc Surgical instrument comprising closure and firing locking mechanism
US11020112B2 (en) 2017-12-19 2021-06-01 Ethicon Llc Surgical tools configured for interchangeable use with different controller interfaces
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
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
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
US10682134B2 (en) 2017-12-21 2020-06-16 Ethicon Llc Continuous use self-propelled stapling instrument
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
US11051827B2 (en) 2018-01-16 2021-07-06 Covidien Lp Endoscopic surgical instrument and handle assemblies for use therewith
US10945732B2 (en) 2018-01-17 2021-03-16 Covidien Lp Surgical stapler with self-returning assembly
USD882782S1 (en) 2018-02-21 2020-04-28 Ethicon Llc Three dimensional adjunct
US10959721B2 (en) 2018-02-21 2021-03-30 Ethicon Llc Three dimensional adjuncts
US10779817B2 (en) 2018-02-21 2020-09-22 Ethicon Llc Three dimensional adjuncts
US11065000B2 (en) 2018-02-22 2021-07-20 Covidien Lp Surgical buttresses for surgical stapling apparatus
JP7134243B2 (ja) 2018-03-02 2022-09-09 コヴィディエン リミテッド パートナーシップ 外科用ステープル留め器具
CN108514439A (zh) * 2018-03-29 2018-09-11 盈甲医疗器械制造(上海)有限公司 一种具有辅助组织定位装置的吻合器
US10993721B2 (en) 2018-04-25 2021-05-04 Covidien Lp Surgical clip applier
US10758237B2 (en) 2018-04-30 2020-09-01 Covidien Lp Circular stapling apparatus with pinned buttress
US11426163B2 (en) 2018-05-09 2022-08-30 Covidien Lp Universal linear surgical stapling buttress
US11432818B2 (en) 2018-05-09 2022-09-06 Covidien Lp Surgical buttress assemblies
US11284896B2 (en) * 2018-05-09 2022-03-29 Covidien Lp Surgical buttress loading and attaching/detaching assemblies
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
US10786273B2 (en) 2018-07-13 2020-09-29 Covidien Lp Rotation knob assemblies for handle assemblies
US10912561B2 (en) 2018-07-16 2021-02-09 Ethicon Llc Buttress applier cartridge for surgical stapler having end effector with deflectable curved tip
US10736631B2 (en) 2018-08-07 2020-08-11 Covidien Lp End effector with staple cartridge ejector
US11051828B2 (en) 2018-08-13 2021-07-06 Covidien Lp Rotation knob assemblies and surgical instruments including same
US11219463B2 (en) 2018-08-13 2022-01-11 Covidien Lp Bilateral spring for surgical instruments and surgical instruments including the same
US11246601B2 (en) 2018-08-13 2022-02-15 Covidien Lp Elongated assemblies for surgical clip appliers and surgical clip appliers incorporating the same
US11344316B2 (en) 2018-08-13 2022-05-31 Covidien Lp Elongated assemblies for surgical clip appliers and surgical clip appliers incorporating the same
US11278267B2 (en) 2018-08-13 2022-03-22 Covidien Lp Latch assemblies and surgical instruments including the same
US11324501B2 (en) 2018-08-20 2022-05-10 Cilag Gmbh International Surgical stapling devices with improved closure members
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
US10912559B2 (en) 2018-08-20 2021-02-09 Ethicon Llc Reinforced deformable anvil tip for surgical stapler anvil
US11291440B2 (en) 2018-08-20 2022-04-05 Cilag Gmbh International Method for operating a powered articulatable surgical instrument
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
US11253256B2 (en) 2018-08-20 2022-02-22 Cilag Gmbh International Articulatable motor powered surgical instruments with dedicated articulation motor arrangements
USD914878S1 (en) 2018-08-20 2021-03-30 Ethicon Llc Surgical instrument anvil
US11039834B2 (en) 2018-08-20 2021-06-22 Cilag Gmbh International Surgical stapler anvils with staple directing protrusions and tissue stability features
US11045192B2 (en) 2018-08-20 2021-06-29 Cilag Gmbh International Fabricating techniques for surgical stapler anvils
US10842492B2 (en) 2018-08-20 2020-11-24 Ethicon Llc Powered articulatable surgical instruments with clutching and locking arrangements for linking an articulation drive system to a firing drive system
US10856870B2 (en) 2018-08-20 2020-12-08 Ethicon Llc Switching arrangements for motor powered articulatable surgical instruments
US10806459B2 (en) 2018-09-14 2020-10-20 Covidien Lp Drug patterned reinforcement material for circular anastomosis
US10849620B2 (en) 2018-09-14 2020-12-01 Covidien Lp Connector mechanisms for surgical stapling instruments
CN109044437A (zh) * 2018-09-18 2018-12-21 天津瑞贝精密机械技术研发有限公司 一种一次性外科钉合器
US11510669B2 (en) 2020-09-29 2022-11-29 Covidien Lp Hand-held surgical instruments
US11147566B2 (en) 2018-10-01 2021-10-19 Covidien Lp Endoscopic surgical clip applier
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
US11166725B2 (en) 2018-12-28 2021-11-09 Cilag Gmbh International Configuration of buttress for surgical stapler
US11432817B2 (en) 2018-12-28 2022-09-06 Cilag Gmbh International Packaging for surgical stapler buttress
US20200205822A1 (en) 2018-12-28 2020-07-02 Ethicon Llc Surgical stapler buttress with tissue in-growth promotion
USD922576S1 (en) 2018-12-28 2021-06-15 Cilag Gmbh International Applicator tray for a buttress applicator for a surgical stapler
US11116505B2 (en) * 2018-12-28 2021-09-14 Cilag Gmbh International Applicator for surgical stapler buttress
USD932621S1 (en) 2018-12-28 2021-10-05 Cilag Gmbh International Buttress assembly for a surgical stapler
US11166724B2 (en) 2018-12-28 2021-11-09 Cilag Gmbh International Adhesive distribution on buttress for surgical stapler
USD926317S1 (en) 2018-12-28 2021-07-27 Cilag Gmbh International Surgical stapler deck with tissue engagement cleat features
US11701109B2 (en) 2018-12-28 2023-07-18 Cilag Gmbh International Surgical stapler with sloped staple deck for varying tissue compression
US11103243B2 (en) 2018-12-28 2021-08-31 Cilag Gmbh International Curved tip surgical stapler buttress assembly applicator with compression layer pocket feature
US11202628B2 (en) 2018-12-28 2021-12-21 Cilag Gmbh International Surgical stapler with tissue engagement features around tissue containment pin
USD933220S1 (en) 2018-12-28 2021-10-12 Cilag Gmbh International Buttress assembly for a surgical stapler
USD903115S1 (en) 2018-12-28 2020-11-24 Ethicon Llc Applicator for a surgical stapler buttress
USD901686S1 (en) 2018-12-28 2020-11-10 Ethicon Llc Applicator for surgical stapler buttress
US11033269B2 (en) 2018-12-28 2021-06-15 Cilag Gmbh International Method of applying buttresses to surgically cut and stapled sites
US11272935B2 (en) 2018-12-28 2022-03-15 Cilag Gmbh International Curved tip surgical stapler buttress assembly applicator with opening feature for curved tip alignment
USD926318S1 (en) 2018-12-28 2021-07-27 Cilag Gmbh International Surgical stapler deck with tissue engagement recess features
US10905424B2 (en) 2018-12-28 2021-02-02 Ethicon Llc Curved tip surgical stapler buttress assembly applicator with proximal alignment features
US11134941B2 (en) * 2018-12-31 2021-10-05 Cilag Gmbh International Cartridge receiving jaw for surgical stapler and associated method of manufacture with stamping
US10912563B2 (en) 2019-01-02 2021-02-09 Covidien Lp Stapling device including tool assembly stabilizing member
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
US11524398B2 (en) 2019-03-19 2022-12-13 Covidien Lp Gear drive mechanisms for surgical instruments
US11147551B2 (en) 2019-03-25 2021-10-19 Cilag Gmbh International Firing drive arrangements for surgical systems
US11696761B2 (en) 2019-03-25 2023-07-11 Cilag Gmbh International Firing drive arrangements for surgical systems
US11172929B2 (en) 2019-03-25 2021-11-16 Cilag Gmbh International Articulation drive arrangements for surgical systems
US11147553B2 (en) 2019-03-25 2021-10-19 Cilag Gmbh International Firing drive arrangements for surgical systems
WO2020205643A1 (en) * 2019-03-29 2020-10-08 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
US11452528B2 (en) 2019-04-30 2022-09-27 Cilag Gmbh International Articulation actuators for a surgical instrument
US11432816B2 (en) 2019-04-30 2022-09-06 Cilag Gmbh International Articulation pin for a surgical instrument
US11648009B2 (en) 2019-04-30 2023-05-16 Cilag Gmbh International Rotatable jaw tip for a surgical instrument
US11253254B2 (en) 2019-04-30 2022-02-22 Cilag Gmbh International Shaft rotation actuator on a surgical instrument
US11471157B2 (en) 2019-04-30 2022-10-18 Cilag Gmbh International Articulation control mapping 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
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
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
US11241235B2 (en) 2019-06-28 2022-02-08 Cilag Gmbh International Method of using multiple RFID chips with a surgical assembly
US11291451B2 (en) 2019-06-28 2022-04-05 Cilag Gmbh International Surgical instrument with battery compatibility verification functionality
US11464601B2 (en) 2019-06-28 2022-10-11 Cilag Gmbh International Surgical instrument comprising an RFID system for tracking a movable component
US11660163B2 (en) 2019-06-28 2023-05-30 Cilag Gmbh International Surgical system with RFID tags for updating motor assembly parameters
US11376098B2 (en) 2019-06-28 2022-07-05 Cilag Gmbh International Surgical instrument system comprising an RFID system
US11051807B2 (en) 2019-06-28 2021-07-06 Cilag Gmbh International Packaging assembly including a particulate trap
US11298132B2 (en) 2019-06-28 2022-04-12 Cilag GmbH Inlernational Staple cartridge including a honeycomb extension
US11246678B2 (en) 2019-06-28 2022-02-15 Cilag Gmbh International Surgical stapling system having a frangible RFID tag
US11684434B2 (en) 2019-06-28 2023-06-27 Cilag Gmbh International Surgical RFID assemblies for instrument operational setting control
US11426167B2 (en) 2019-06-28 2022-08-30 Cilag Gmbh International Mechanisms for proper anvil attachment surgical stapling head assembly
US11399837B2 (en) 2019-06-28 2022-08-02 Cilag Gmbh International Mechanisms for motor control adjustments of a motorized surgical instrument
US11553971B2 (en) 2019-06-28 2023-01-17 Cilag Gmbh International Surgical RFID assemblies for display and communication
US11497492B2 (en) 2019-06-28 2022-11-15 Cilag Gmbh International Surgical instrument including an articulation lock
US11224497B2 (en) 2019-06-28 2022-01-18 Cilag Gmbh International Surgical systems with multiple RFID tags
US11627959B2 (en) 2019-06-28 2023-04-18 Cilag Gmbh International Surgical instruments including manual and powered system lockouts
US11478241B2 (en) 2019-06-28 2022-10-25 Cilag Gmbh International Staple cartridge including projections
US11259803B2 (en) 2019-06-28 2022-03-01 Cilag Gmbh International Surgical stapling system having an information encryption protocol
US11523822B2 (en) 2019-06-28 2022-12-13 Cilag Gmbh International Battery pack including a circuit interrupter
US11298127B2 (en) 2019-06-28 2022-04-12 Cilag GmbH Interational Surgical stapling system having a lockout mechanism for an incompatible cartridge
US11219455B2 (en) 2019-06-28 2022-01-11 Cilag Gmbh International Surgical instrument including a lockout key
US11224424B2 (en) 2019-08-02 2022-01-18 Covidien Lp Linear stapling device with vertically movable knife
US11490890B2 (en) * 2019-09-16 2022-11-08 Cilag Gmbh International Compressible non-fibrous adjuncts
EP3791804B1 (en) * 2019-09-16 2023-11-29 Ethicon LLC Compressible non-fibrous adjuncts
EP3791810B1 (en) * 2019-09-16 2023-12-20 Ethicon LLC Compressible non-fibrous adjuncts
EP3791800A1 (en) * 2019-09-16 2021-03-17 Ethicon LLC Compressible non-fibrous adjuncts
US11642130B2 (en) * 2019-09-16 2023-05-09 Cilag Gmbh International Compressible non-fibrous adjuncts
EP3791809A1 (en) * 2019-09-16 2021-03-17 Ethicon LLC 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
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
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
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
US11464512B2 (en) 2019-12-19 2022-10-11 Cilag Gmbh International Staple cartridge comprising a curved deck surface
US11576672B2 (en) 2019-12-19 2023-02-14 Cilag Gmbh International Surgical instrument comprising a closure system including a closure member and an opening member driven by a drive screw
US11234698B2 (en) 2019-12-19 2022-02-01 Cilag Gmbh International Stapling system comprising a clamp lockout and a firing lockout
US11701111B2 (en) 2019-12-19 2023-07-18 Cilag Gmbh International Method for operating a surgical stapling instrument
US11844520B2 (en) 2019-12-19 2023-12-19 Cilag Gmbh International Staple cartridge comprising driver retention members
US11504122B2 (en) 2019-12-19 2022-11-22 Cilag Gmbh International Surgical instrument comprising a nested firing member
US11304696B2 (en) 2019-12-19 2022-04-19 Cilag Gmbh International Surgical instrument comprising a powered articulation system
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
US11559304B2 (en) 2019-12-19 2023-01-24 Cilag Gmbh International Surgical instrument comprising a rapid closure mechanism
US11529137B2 (en) 2019-12-19 2022-12-20 Cilag Gmbh International Staple cartridge comprising driver retention members
US11446029B2 (en) 2019-12-19 2022-09-20 Cilag Gmbh International Staple cartridge comprising projections extending from a curved deck surface
US11779340B2 (en) 2020-01-02 2023-10-10 Covidien Lp Ligation clip loading device
US11723669B2 (en) 2020-01-08 2023-08-15 Covidien Lp Clip applier with clip cartridge interface
US11278282B2 (en) 2020-01-31 2022-03-22 Covidien Lp Stapling device with selective cutting
US11452524B2 (en) 2020-01-31 2022-09-27 Covidien Lp Surgical stapling device with lockout
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
US11246593B2 (en) 2020-03-06 2022-02-15 Covidien Lp Staple cartridge
US11707278B2 (en) 2020-03-06 2023-07-25 Covidien Lp Surgical stapler tool assembly to minimize bleeding
US11317911B2 (en) 2020-03-10 2022-05-03 Covidien Lp Tool assembly with replaceable cartridge assembly
US11357505B2 (en) 2020-03-10 2022-06-14 Covidien Lp Surgical stapling apparatus with firing lockout mechanism
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
US11331098B2 (en) 2020-04-01 2022-05-17 Covidien Lp Sled detection device
US11426159B2 (en) 2020-04-01 2022-08-30 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
US11607216B2 (en) * 2020-05-06 2023-03-21 Janssen Pharmaceuticals, Inc. Adaptive responses from smart packaging of drug delivery absorbable adjuncts
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
USD976401S1 (en) 2020-06-02 2023-01-24 Cilag Gmbh International Staple cartridge
USD975850S1 (en) 2020-06-02 2023-01-17 Cilag Gmbh International Staple cartridge
USD974560S1 (en) 2020-06-02 2023-01-03 Cilag Gmbh International Staple cartridge
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
USD975278S1 (en) 2020-06-02 2023-01-10 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
US11497494B2 (en) * 2020-06-30 2022-11-15 Cilag Gmbh International Surgical stapler cartridge retainer with ejector feature
US11324500B2 (en) 2020-06-30 2022-05-10 Covidien Lp Surgical stapling device
US11517305B2 (en) 2020-07-09 2022-12-06 Covidien Lp Contoured staple pusher
US11446028B2 (en) 2020-07-09 2022-09-20 Covidien Lp Tool assembly with pivotable clamping beam
US20220031351A1 (en) 2020-07-28 2022-02-03 Cilag Gmbh International Surgical instruments with differential articulation joint arrangements for accommodating flexible actuators
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
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
US11678878B2 (en) 2020-09-16 2023-06-20 Covidien Lp Articulation mechanism for surgical stapling device
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
US11419605B2 (en) 2020-09-16 2022-08-23 Cilag Gmbh International Apparatus and method to close end effector of surgical stapler onto buttress
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
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
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
US11452526B2 (en) 2020-10-29 2022-09-27 Cilag Gmbh International Surgical instrument comprising a staged voltage regulation start-up system
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
US11717289B2 (en) 2020-10-29 2023-08-08 Cilag Gmbh International Surgical instrument comprising an indicator which indicates that an articulation drive is actuatable
US11779330B2 (en) 2020-10-29 2023-10-10 Cilag Gmbh International Surgical instrument comprising a jaw alignment system
US11844518B2 (en) 2020-10-29 2023-12-19 Cilag Gmbh International Method for operating a surgical instrument
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
US11534259B2 (en) 2020-10-29 2022-12-27 Cilag Gmbh International Surgical instrument comprising an articulation indicator
USD980425S1 (en) 2020-10-29 2023-03-07 Cilag Gmbh International Surgical instrument assembly
US11890007B2 (en) 2020-11-18 2024-02-06 Covidien Lp Stapling device with flex cable and tensioning mechanism
US11744581B2 (en) 2020-12-02 2023-09-05 Cilag Gmbh International Powered surgical instruments with multi-phase tissue treatment
US11653920B2 (en) 2020-12-02 2023-05-23 Cilag Gmbh International Powered surgical instruments with communication interfaces through sterile barrier
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
US11627960B2 (en) 2020-12-02 2023-04-18 Cilag Gmbh International Powered surgical instruments with smart reload with separately attachable exteriorly mounted wiring connections
US11849943B2 (en) 2020-12-02 2023-12-26 Cilag Gmbh International Surgical instrument with cartridge release mechanisms
US11678882B2 (en) 2020-12-02 2023-06-20 Cilag Gmbh International Surgical instruments with interactive features to remedy incidental sled movements
US11653915B2 (en) 2020-12-02 2023-05-23 Cilag Gmbh International Surgical instruments with sled location detection and adjustment features
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
US11517313B2 (en) 2021-01-27 2022-12-06 Covidien Lp Surgical stapling device with laminated drive member
US11759207B2 (en) 2021-01-27 2023-09-19 Covidien Lp Surgical stapling apparatus with adjustable height clamping member
US11749877B2 (en) 2021-02-26 2023-09-05 Cilag Gmbh International Stapling instrument comprising a signal antenna
US11696757B2 (en) 2021-02-26 2023-07-11 Cilag Gmbh International Monitoring of internal systems to detect and track cartridge motion status
US11730473B2 (en) 2021-02-26 2023-08-22 Cilag Gmbh International Monitoring of manufacturing life-cycle
US11744583B2 (en) 2021-02-26 2023-09-05 Cilag Gmbh International Distal communication array to tune frequency of RF systems
US11793514B2 (en) 2021-02-26 2023-10-24 Cilag Gmbh International Staple cartridge comprising sensor array which may be embedded in cartridge body
US11925349B2 (en) 2021-02-26 2024-03-12 Cilag Gmbh International Adjustment to transfer parameters to improve available power
US11723657B2 (en) 2021-02-26 2023-08-15 Cilag Gmbh International Adjustable communication based on available bandwidth and power capacity
US11751869B2 (en) 2021-02-26 2023-09-12 Cilag Gmbh International Monitoring of multiple sensors over time to detect moving characteristics of tissue
US11812964B2 (en) 2021-02-26 2023-11-14 Cilag Gmbh International Staple cartridge comprising a power management circuit
US11701113B2 (en) 2021-02-26 2023-07-18 Cilag Gmbh International Stapling instrument comprising a separate power antenna and a data transfer antenna
US11717300B2 (en) 2021-03-11 2023-08-08 Covidien Lp Surgical stapling apparatus with integrated visualization
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
US11826042B2 (en) 2021-03-22 2023-11-28 Cilag Gmbh International Surgical instrument comprising a firing drive including a selectable leverage mechanism
US11737749B2 (en) 2021-03-22 2023-08-29 Cilag Gmbh International Surgical stapling instrument comprising a retraction system
US11759202B2 (en) 2021-03-22 2023-09-19 Cilag Gmbh International Staple cartridge comprising an implantable layer
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
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
US11849945B2 (en) 2021-03-24 2023-12-26 Cilag Gmbh International Rotary-driven surgical stapling assembly comprising eccentrically driven firing member
US11896219B2 (en) 2021-03-24 2024-02-13 Cilag Gmbh International Mating features between drivers and underside of a cartridge deck
US11896218B2 (en) 2021-03-24 2024-02-13 Cilag Gmbh International Method of using a powered stapling device
US11793516B2 (en) 2021-03-24 2023-10-24 Cilag Gmbh International Surgical staple cartridge comprising longitudinal support beam
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
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
US11903582B2 (en) 2021-03-24 2024-02-20 Cilag Gmbh International Leveraging surfaces for cartridge installation
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
US11896226B2 (en) 2021-03-30 2024-02-13 Cilag Gmbh International Compressible adjuncts with healing-dependent degradation profile
US11839374B2 (en) 2021-03-30 2023-12-12 Cilag Gmbh International Compressible adjuncts with drug release features
US11850332B2 (en) 2021-03-30 2023-12-26 Cilag Gmbh International Method for treating tissue
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
CN117119973A (zh) * 2021-04-29 2023-11-24 标准肥胖病研究公司 用于在末端执行器上安装手术撑板并使用手术撑板的系统和方法
US11576670B2 (en) 2021-05-06 2023-02-14 Covidien Lp Surgical stapling device with optimized drive assembly
WO2022238847A1 (en) 2021-05-10 2022-11-17 Cilag Gmbh International Adaptive control of surgical stapling instrument based on staple cartridge type
BR112023023389A2 (pt) 2021-05-10 2024-01-23 Cilag Gmbh Int Grampo cirúrgico absorvível que compreende um revestimento
US20220370691A1 (en) 2021-05-10 2022-11-24 Cilag Gmbh International Bioabsorbable staple comprising mechanism for delaying the absorption of the staple
EP4188238A1 (en) 2021-05-10 2023-06-07 Cilag GmbH International Bioabsorbable staple comprising mechanisms for slowing the absorption of the staple
EP4178458A1 (en) 2021-05-10 2023-05-17 Cilag GmbH International System of surgical staple cartridges comprising absorbable staples
US20220370065A1 (en) 2021-05-10 2022-11-24 Cilag Gmbh International Dissimilar staple cartridges with different bioabsorbable components
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
US11510673B1 (en) 2021-05-25 2022-11-29 Covidien Lp Powered stapling device with manual retraction
US11771423B2 (en) 2021-05-25 2023-10-03 Covidien Lp Powered stapling device with manual retraction
US11701119B2 (en) 2021-05-26 2023-07-18 Covidien Lp Powered stapling device with rack release
US20220378424A1 (en) 2021-05-28 2022-12-01 Cilag Gmbh International Stapling instrument comprising a firing lockout
US11576675B2 (en) 2021-06-07 2023-02-14 Covidien Lp Staple cartridge with knife
US11510670B1 (en) 2021-06-23 2022-11-29 Covidien Lp Buttress attachment for surgical stapling apparatus
US11596399B2 (en) 2021-06-23 2023-03-07 Covidien Lp Anvil buttress attachment for surgical stapling apparatus
US11672538B2 (en) 2021-06-24 2023-06-13 Covidien Lp Surgical stapling device including a buttress retention assembly
US11707275B2 (en) 2021-06-29 2023-07-25 Covidien Lp Asymmetrical surgical stapling device
US11617579B2 (en) 2021-06-29 2023-04-04 Covidien Lp Ultra low profile surgical stapling instrument for tissue resections
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
US11540831B1 (en) 2021-08-12 2023-01-03 Covidien Lp Staple cartridge with actuation sled detection
US11779334B2 (en) 2021-08-19 2023-10-10 Covidien Lp Surgical stapling device including a manual retraction assembly
US11576671B1 (en) 2021-08-20 2023-02-14 Covidien Lp Small diameter linear surgical stapling apparatus
US11707277B2 (en) 2021-08-20 2023-07-25 Covidien Lp Articulating surgical stapling apparatus with pivotable knife bar guide assembly
US11801052B2 (en) 2021-08-30 2023-10-31 Covidien Lp Assemblies for surgical stapling instruments
WO2023034616A1 (en) 2021-09-03 2023-03-09 Lexington Medical, Inc. Staple line surgical buttress
US11864761B2 (en) 2021-09-14 2024-01-09 Covidien Lp Surgical instrument with illumination mechanism
US11660094B2 (en) 2021-09-29 2023-05-30 Covidien Lp Surgical fastening instrument with two-part surgical fasteners
US11653922B2 (en) 2021-09-29 2023-05-23 Covidien Lp Surgical stapling device with firing lockout mechanism
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
US20230140285A1 (en) * 2021-10-29 2023-05-04 Cilag Gmbh International Compressible adjunct for surgical stapler
US11806017B2 (en) 2021-11-23 2023-11-07 Covidien Lp Anvil buttress loading system for surgical stapling apparatus
US20230301656A1 (en) * 2022-03-25 2023-09-28 Cilag Gmbh International Tissue cushion adjuncts for surgical stapler end effector
US20230301674A1 (en) * 2022-03-25 2023-09-28 Cilag Gmbh International Tissue cushion adjunct for surgical stapler end effector
WO2024003673A1 (en) * 2022-07-01 2024-01-04 Assut Europe S.P.A. Device for loading protective strips onto a surgical stapler

Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP1064883A1 (en) * 1999-06-30 2001-01-03 Ethicon, Inc. Foam buttress for stapling apparatus
US6273897B1 (en) * 2000-02-29 2001-08-14 Ethicon, Inc. Surgical bettress and surgical stapling apparatus
EP1621141A3 (en) * 2004-07-28 2006-03-01 Ethicon Endo-Surgery, Inc. Surgical stapling instrument

Family Cites Families (826)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE273689C (zh) 1913-08-07 1914-05-08
FR999646A (fr) 1949-11-16 1952-02-04 Dispositif serre-câble
FR1112936A (fr) 1954-10-20 1956-03-20 Moteur électrique et commande à trois vitesses enfermés dans une gaine
US2853074A (en) 1956-06-15 1958-09-23 Edward A Olson Stapling instrument for surgical purposes
DE1775926U (de) 1958-06-11 1958-10-16 Rudolf W Dipl Ing Ihmig Kugelschreibermine.
GB939929A (en) 1959-10-30 1963-10-16 Vasilii Fedotovich Goodov Instrument for stitching blood vessels, intestines, bronchi and other soft tissues
GB1210522A (en) 1966-10-10 1970-10-28 United States Surgical Corp Instrument for placing lateral gastro-intestinal anastomoses
US3490675A (en) 1966-10-10 1970-01-20 United States Surgical Corp Instrument for placing lateral gastrointestinal anastomoses
GB1217159A (en) 1967-12-05 1970-12-31 Coventry Gauge & Tool Co Ltd Torque limiting device
US3551987A (en) 1968-09-12 1971-01-05 Jack E Wilkinson Stapling clamp for gastrointestinal surgery
US3643851A (en) 1969-08-25 1972-02-22 United States Surgical Corp Skin stapler
US3662939A (en) 1970-02-26 1972-05-16 United States Surgical Corp Surgical stapler for skin and fascia
US3717294A (en) 1970-12-14 1973-02-20 Surgical Corp Cartridge and powering instrument for stapling skin and fascia
GB1339394A (en) 1972-04-06 1973-12-05 Vnii Khirurgicheskoi Apparatur Dies for surgical stapling instruments
USRE28932E (en) 1972-09-29 1976-08-17 United States Surgical Corporation Surgical stapling instrument
US3819100A (en) 1972-09-29 1974-06-25 United States Surgical Corp Surgical stapling instrument
US4573468A (en) * 1977-05-26 1986-03-04 United States Surgical Corporation Hollow body organ stapling instrument and disposable cartridge employing relief vents
SU886900A1 (ru) 1979-03-26 1981-12-07 Всесоюзный научно-исследовательский и испытательный институт медицинской техники Хирургический сшивающий аппарат дл наложени линейных швов
SU1022703A1 (ru) * 1979-12-20 1983-06-15 Всесоюзный научно-исследовательский и испытательный институт медицинской техники Хирургический аппарат дл наложени компрессионных швов
US4429695A (en) * 1980-02-05 1984-02-07 United States Surgical Corporation Surgical instruments
AU534210B2 (en) 1980-02-05 1984-01-12 United States Surgical Corporation Surgical staples
US4396139A (en) 1980-02-15 1983-08-02 Technalytics, Inc. Surgical stapling system, apparatus and staple
US4331277A (en) 1980-05-23 1982-05-25 United States Surgical Corporation Self-contained gas powered surgical stapler
AU542936B2 (en) 1980-10-17 1985-03-28 United States Surgical Corporation Self centering staple
US4500024A (en) 1980-11-19 1985-02-19 Ethicon, Inc. Multiple clip applier
US4379457A (en) 1981-02-17 1983-04-12 United States Surgical Corporation Indicator for surgical stapler
SU982676A1 (ru) * 1981-04-07 1982-12-23 Всесоюзный научно-исследовательский и испытательный институт медицинской техники Хирургическа скобка
US4383634A (en) 1981-05-26 1983-05-17 United States Surgical Corporation Surgical stapler apparatus with pivotally mounted actuator assemblies
FR2509490B1 (fr) 1981-07-09 1985-02-22 Tractel Sa Mecanisme de debrayage pour appareil de traction agissant sur un cable qui le traverse
US4475679A (en) 1981-08-07 1984-10-09 Fleury Jr George J Multi-staple cartridge for surgical staplers
US4632290A (en) 1981-08-17 1986-12-30 United States Surgical Corporation Surgical stapler apparatus
JPS5844033A (ja) 1981-09-11 1983-03-14 富士写真光機株式会社 内視鏡用アダプタ−型処置具導入装置
AU548370B2 (en) 1981-10-08 1985-12-05 United States Surgical Corporation Surgical fastener
US4809695A (en) 1981-10-21 1989-03-07 Owen M. Gwathmey Suturing assembly and method
US4415112A (en) 1981-10-27 1983-11-15 United States Surgical Corporation Surgical stapling assembly having resiliently mounted anvil
US4664305A (en) 1982-05-04 1987-05-12 Blake Joseph W Iii Surgical stapler
JPS59168848A (ja) 1983-03-11 1984-09-22 エチコン・インコ−ポレ−テツド 非金属製の生物に適合性の無菌の外科装置
US4506671A (en) 1983-03-30 1985-03-26 United States Surgical Corporation Apparatus for applying two-part surgical fasteners
US4522327A (en) 1983-05-18 1985-06-11 United States Surgical Corporation Surgical fastener applying apparatus
US4548202A (en) * 1983-06-20 1985-10-22 Ethicon, Inc. Mesh tissue fasteners
SU1175891A1 (ru) 1983-08-16 1985-08-30 Предприятие П/Я А-7840 Устройство дл формовани изделий
US4944443A (en) 1988-04-22 1990-07-31 Innovative Surgical Devices, Inc. Surgical suturing instrument and method
US4530453A (en) 1983-10-04 1985-07-23 United States Surgical Corporation Surgical fastener applying apparatus
US4505414A (en) 1983-10-12 1985-03-19 Filipi Charles J Expandable anvil surgical stapler
US4610383A (en) 1983-10-14 1986-09-09 Senmed, Inc. Disposable linear surgical stapler
US5002553A (en) 1984-05-14 1991-03-26 Surgical Systems & Instruments, Inc. Atherectomy system with a clutch
GB8417562D0 (en) 1984-07-10 1984-08-15 Surgical Design Services Fasteners
US4754909A (en) 1984-08-09 1988-07-05 Barker John M Flexible stapler
US4671445A (en) 1984-08-09 1987-06-09 Baxter Travenol Laboratories, Inc. Flexible surgical stapler assembly
US4566620A (en) 1984-10-19 1986-01-28 United States Surgical Corporation Articulated surgical fastener applying apparatus
US4573622A (en) 1984-10-19 1986-03-04 United States Surgical Corporation Surgical fastener applying apparatus with variable fastener arrays
US4580712A (en) 1984-10-19 1986-04-08 United States Surgical Corporation Surgical fastener applying apparatus with progressive application of fastener
US4767044A (en) 1984-10-19 1988-08-30 United States Surgical Corporation Surgical fastener applying apparatus
US4828542A (en) * 1986-08-29 1989-05-09 Twin Rivers Engineering Foam substrate and micropackaged active ingredient particle composite dispensing materials
US4750902A (en) 1985-08-28 1988-06-14 Sonomed Technology, Inc. Endoscopic ultrasonic aspirators
US4728020A (en) 1985-08-30 1988-03-01 United States Surgical Corporation Articulated surgical fastener applying apparatus
SU1377053A1 (ru) 1985-10-02 1988-02-28 В. Г. Сахаутдинов, Р. А. Талипов, Р. М. Халиков и 3. X. Гарифуллин Хирургический сшивающий аппарат
US4715520A (en) 1985-10-10 1987-12-29 United States Surgical Corporation Surgical fastener applying apparatus with tissue edge control
SU1333319A2 (ru) 1985-12-10 1987-08-30 Петрозаводский государственный университет им.О.В.Куусинена Ушиватель полых органов
US4634419A (en) 1985-12-13 1987-01-06 Cooper Lasersonics, Inc. Angulated ultrasonic surgical handpieces and method for their production
US4827911A (en) 1986-04-02 1989-05-09 Cooper Lasersonics, Inc. Method and apparatus for ultrasonic surgical fragmentation and removal of tissue
US4747820A (en) 1986-04-09 1988-05-31 Cooper Lasersonics, Inc. Irrigation/aspiration manifold and fittings for ultrasonic surgical aspiration system
DE3788037D1 (de) 1986-04-21 1993-12-09 Globe Control Vinanz Ag Vaduz Vorrichtung zur herstellung einer anastomose.
SU1561964A1 (ru) 1986-04-24 1990-05-07 Благовещенский государственный медицинский институт Хирургический сшивающий аппарат
US5190544A (en) * 1986-06-23 1993-03-02 Pfizer Hospital Products Group, Inc. Modular femoral fixation system
US4752024A (en) 1986-10-17 1988-06-21 Green David T Surgical fastener and surgical stapling apparatus
US4865030A (en) 1987-01-21 1989-09-12 American Medical Systems, Inc. Apparatus for removal of objects from body passages
SU1443874A1 (ru) * 1987-04-23 1988-12-15 Всесоюзный научно-исследовательский и испытательный институт медицинской техники Хирургический аппарат дл наложени компрессионных анастомозов
US4941623A (en) 1987-05-12 1990-07-17 United States Surgical Corporation Stapling process and device for use on the mesentery of the abdomen
US4844068A (en) * 1987-06-05 1989-07-04 Ethicon, Inc. Bariatric surgical instrument
US4821939A (en) 1987-09-02 1989-04-18 United States Surgical Corporation Staple cartridge and an anvilless surgical stapler
US4931047A (en) 1987-09-30 1990-06-05 Cavitron, Inc. Method and apparatus for providing enhanced tissue fragmentation and/or hemostasis
US5015227A (en) 1987-09-30 1991-05-14 Valleylab Inc. Apparatus for providing enhanced tissue fragmentation and/or hemostasis
US4819853A (en) 1987-12-31 1989-04-11 United States Surgical Corporation Surgical fastener cartridge
GB8800909D0 (en) 1988-01-15 1988-02-17 Ethicon Inc Gas powered surgical stapler
US4805823A (en) 1988-03-18 1989-02-21 Ethicon, Inc. Pocket configuration for internal organ staplers
US4869415A (en) 1988-09-26 1989-09-26 Ethicon, Inc. Energy storage means for a surgical stapler
CA1308782C (en) 1988-10-13 1992-10-13 Gyrus Medical Limited Screening and monitoring instrument
US4986808A (en) 1988-12-20 1991-01-22 Valleylab, Inc. Magnetostrictive transducer
US4978333A (en) 1988-12-20 1990-12-18 Valleylab, Inc. Resonator for surgical handpiece
US4930674A (en) * 1989-02-24 1990-06-05 Abiomed, Inc. Surgical stapler
US5104397A (en) 1989-04-14 1992-04-14 Codman & Shurtleff, Inc. Multi-position latching mechanism for forceps
US5505363A (en) * 1989-05-26 1996-04-09 United States Surgical Corporation Surgical staples with plated anvils
CH677728A5 (zh) 1989-10-17 1991-06-28 Bieffe Medital Sa
US5088997A (en) 1990-03-15 1992-02-18 Valleylab, Inc. Gas coagulation device
US5014899A (en) * 1990-03-30 1991-05-14 United States Surgical Corporation Surgical stapling apparatus
SU1722476A1 (ru) 1990-04-02 1992-03-30 Свердловский Филиал Научно-Производственного Объединения "Фтизиопульмонология" Устройство дл временной окклюзии трубчатых органов
FR2661408B1 (fr) * 1990-04-27 1993-09-17 Rhone Poulenc Nutrition Animal Procede de preparation de citral.
GB2243789B (en) * 1990-05-12 1993-11-03 Femcare Ltd Sterilisation devices
US5074454A (en) 1990-06-04 1991-12-24 Peters Ronald L Surgical stapler
RU2008830C1 (ru) 1990-07-13 1994-03-15 Константин Алексеевич Додонов Электрохирургический аппарат
US5653373A (en) 1990-09-17 1997-08-05 United States Surgical Corporation Arcuate apparatus for applying two-part surgical fasteners
US5156315A (en) 1990-09-17 1992-10-20 United States Surgical Corporation Arcuate apparatus for applying two-part surgical fasteners
DE69120208T3 (de) 1990-10-05 2001-02-15 United States Surgical Corp Vorrichtung zum Anbringen von Klammern bei laparoskopischen oder endoskopischen Eingriffen
US5129570A (en) 1990-11-30 1992-07-14 Ethicon, Inc. Surgical stapler
US5141144A (en) 1990-12-18 1992-08-25 Minnesota Mining And Manufacturing Company Stapler and firing device
US5336232A (en) 1991-03-14 1994-08-09 United States Surgical Corporation Approximating apparatus for surgical jaw structure and method of using the same
CA2061885A1 (en) 1991-03-14 1992-09-15 David T. Green Approximating apparatus for surgical jaw structure
US5065929A (en) 1991-04-01 1991-11-19 Ethicon, Inc. Surgical stapler with locking means
US5257713A (en) * 1991-05-07 1993-11-02 United States Surgical Corporation Surgical fastening device
RU1819583C (ru) * 1991-05-12 1993-06-07 Н.И.Гриценко Одноразовый скальпель
US5137198A (en) 1991-05-16 1992-08-11 Ethicon, Inc. Fast closure device for linear surgical stapling instrument
FI93607C (fi) 1991-05-24 1995-05-10 John Koivukangas Leikkaustoimenpidelaite
US5190517A (en) 1991-06-06 1993-03-02 Valleylab Inc. Electrosurgical and ultrasonic surgical system
US5221036A (en) 1991-06-11 1993-06-22 Haruo Takase Surgical stapler
US5350104A (en) 1991-08-23 1994-09-27 Ethicon, Inc. Sealing means for endoscopic surgical anastomosis stapling instrument
CA2075141C (en) * 1991-10-17 1998-06-30 Donald A. Morin Anvil for surgical staplers
US5326013A (en) 1991-10-18 1994-07-05 United States Surgical Corporation Self contained gas powered surgical apparatus
US5289963A (en) 1991-10-18 1994-03-01 United States Surgical Corporation Apparatus and method for applying surgical staples to attach an object to body tissue
CA2078794C (en) 1991-10-18 1998-10-06 Frank J. Viola Locking device for an apparatus for applying surgical fasteners
US5307976A (en) 1991-10-18 1994-05-03 Ethicon, Inc. Linear stapling mechanism with cutting means
US5364001A (en) 1991-10-18 1994-11-15 United States Surgical Corporation Self contained gas powered surgical apparatus
US6250532B1 (en) 1991-10-18 2001-06-26 United States Surgical Corporation Surgical stapling apparatus
US5443198A (en) 1991-10-18 1995-08-22 United States Surgical Corporation Surgical fastener applying apparatus
US5478003A (en) 1991-10-18 1995-12-26 United States Surgical Corporation Surgical apparatus
EP0537571B1 (en) 1991-10-18 1997-03-05 United States Surgical Corporation Apparatus for applying surgical fasteners
US5312023A (en) 1991-10-18 1994-05-17 United States Surgical Corporation Self contained gas powered surgical apparatus
AU657364B2 (en) 1991-10-18 1995-03-09 United States Surgical Corporation Self contained gas powered surgical apparatus
US5497933A (en) 1991-10-18 1996-03-12 United States Surgical Corporation Apparatus and method for applying surgical staples to attach an object to body tissue
US5711472A (en) 1991-10-18 1998-01-27 United States Surgical Corporation Self contained gas powered surgical apparatus
US5395034A (en) 1991-11-07 1995-03-07 American Cyanamid Co. Linear surgical stapling instrument
DE69233091T2 (de) 1991-11-08 2004-05-06 Boston Scientific Ltd., St. Michael Ablationselektrode mit isoliertem temperaturmesselement
US5383880A (en) 1992-01-17 1995-01-24 Ethicon, Inc. Endoscopic surgical system with sensing means
US5433721A (en) 1992-01-17 1995-07-18 Ethicon, Inc. Endoscopic instrument having a torsionally stiff drive shaft for applying fasteners to tissue
KR0145453B1 (ko) 1992-01-21 1998-07-01 알렌 제이 전기외과용 투관침 제어장치
US5284128A (en) 1992-01-24 1994-02-08 Applied Medical Resources Corporation Surgical manipulator
KR950700131A (ko) 1992-02-07 1995-01-16 알렌 제이. 스피겔 초음파 압전 크리스탈 변환기 구동 전기 장치 및 전자 제어 루프를 감시하는 제어 시스템과 이들의 조합 시스템(ultrasonic surgical apparatus)
US5271543A (en) 1992-02-07 1993-12-21 Ethicon, Inc. Surgical anastomosis stapling instrument with flexible support shaft and anvil adjusting mechanism
AU3610693A (en) 1992-02-07 1993-09-03 Nakao, Naomi Endoscope with disposable insertion member
US5484095A (en) 1992-03-31 1996-01-16 United States Surgical Corporation Apparatus for endoscopically applying staples individually to body tissue
US5281216A (en) 1992-03-31 1994-01-25 Valleylab, Inc. Electrosurgical bipolar treating apparatus
US5236440A (en) * 1992-04-14 1993-08-17 American Cyanamid Company Surgical fastener
US5355897A (en) 1992-04-16 1994-10-18 Ethicon, Inc. Method of performing a pyloroplasty/pylorectomy using a stapler having a shield
US5344059A (en) 1992-05-19 1994-09-06 United States Surgical Corporation Surgical apparatus and anvil delivery system therefor
US5197966A (en) * 1992-05-22 1993-03-30 Sommerkamp T Greg Radiodorsal buttress blade plate implant for repairing distal radius fractures
US5263629A (en) * 1992-06-29 1993-11-23 Ethicon, Inc. Method and apparatus for achieving hemostasis along a staple line
US5221281A (en) 1992-06-30 1993-06-22 Valleylab Inc. Electrosurgical tubular trocar
US5258012A (en) 1992-06-30 1993-11-02 Ethicon, Inc. Surgical fasteners
US5368215A (en) 1992-09-08 1994-11-29 United States Surgical Corporation Surgical apparatus and detachable anvil rod therefor
US5485952A (en) 1992-09-23 1996-01-23 United States Surgical Corporation Apparatus for applying surgical fasteners
US5423471A (en) 1992-10-02 1995-06-13 United States Surgical Corporation Apparatus for applying two-part surgical fasteners in laparoscopic or endoscopic procedures
US5601224A (en) 1992-10-09 1997-02-11 Ethicon, Inc. Surgical instrument
US5431323A (en) 1992-10-09 1995-07-11 Ethicon, Inc. Endoscopic surgical instrument with pivotable and rotatable staple cartridge
US5381943A (en) 1992-10-09 1995-01-17 Ethicon, Inc. Endoscopic surgical stapling instrument with pivotable and rotatable staple cartridge
CA2108605A1 (en) 1992-10-21 1994-04-22 Nagabhushanam Totakura Bioabsorbable foam pledget
GB2272159A (en) 1992-11-10 1994-05-11 Andreas G Constantinides Surgical/diagnostic aid
US5441483A (en) 1992-11-16 1995-08-15 Avitall; Boaz Catheter deflection control
US5346504A (en) 1992-11-19 1994-09-13 Ethicon, Inc. Intraluminal manipulator with a head having articulating links
DE9321021U1 (de) 1992-11-30 1995-09-07 Valleylab Inc Chirurgisches Ultraschallhandstück und Energieinitiator zum Aufrechterhalten der Schwingungen und der linearen Dynamik
US5807393A (en) 1992-12-22 1998-09-15 Ethicon Endo-Surgery, Inc. Surgical tissue treating device with locking mechanism
FR2699806B1 (fr) 1992-12-30 1995-03-24 Duthoit Francois Instrument, destiné notamment à permettre l'extraction de tronçons veineux pathologiques tels que des varices.
AU6236794A (en) 1993-02-22 1994-09-14 Valleylab, Inc. A laparoscopic dissection tension retractor device and method
US5397324A (en) * 1993-03-10 1995-03-14 Carroll; Brendan J. Surgical stapler instrument and method for vascular hemostasis
US5312329A (en) 1993-04-07 1994-05-17 Valleylab Inc. Piezo ultrasonic and electrosurgical handpiece
US5370645A (en) 1993-04-19 1994-12-06 Valleylab Inc. Electrosurgical processor and method of use
US5540375A (en) 1993-04-20 1996-07-30 United States Surgical Corporation Endoscopic stapler
ES2109539T3 (es) 1993-04-20 1998-01-16 United States Surgical Corp Grapadora quirurgica.
US6716232B1 (en) * 1993-04-30 2004-04-06 United States Surgical Corporation Surgical instrument having an articulated jaw structure and a detachable knife
GB9309142D0 (en) 1993-05-04 1993-06-16 Gyrus Medical Ltd Laparoscopic instrument
US5415334A (en) 1993-05-05 1995-05-16 Ethicon Endo-Surgery Surgical stapler and staple cartridge
US5364003A (en) 1993-05-05 1994-11-15 Ethicon Endo-Surgery Staple cartridge for a surgical stapler
CA2124109A1 (en) 1993-05-24 1994-11-25 Mark T. Byrne Endoscopic surgical instrument with electromagnetic sensor
GB9314391D0 (en) 1993-07-12 1993-08-25 Gyrus Medical Ltd A radio frequency oscillator and an electrosurgical generator incorporating such an oscillator
US5372596A (en) 1993-07-27 1994-12-13 Valleylab Inc. Apparatus for leakage control and method for its use
US5503320A (en) 1993-08-19 1996-04-02 United States Surgical Corporation Surgical apparatus with indicator
US5447417A (en) 1993-08-31 1995-09-05 Valleylab Inc. Self-adjusting pump head and safety manifold cartridge for a peristaltic pump
US5441193A (en) * 1993-09-23 1995-08-15 United States Surgical Corporation Surgical fastener applying apparatus with resilient film
CA2133159A1 (en) 1993-09-30 1995-03-31 Eric J. Butterfield Surgical instrument having improved manipulating means
US5405344A (en) 1993-09-30 1995-04-11 Ethicon, Inc. Articulable socket joint assembly for an endoscopic instrument for surgical fastner track therefor
US5542594A (en) * 1993-10-06 1996-08-06 United States Surgical Corporation Surgical stapling apparatus with biocompatible surgical fabric
US5496312A (en) 1993-10-07 1996-03-05 Valleylab Inc. Impedance and temperature generator control
CA2132917C (en) 1993-10-07 2004-12-14 John Charles Robertson Circular anastomosis device
US6210403B1 (en) 1993-10-07 2001-04-03 Sherwood Services Ag Automatic control for energy from an electrosurgical generator
US5487499A (en) 1993-10-08 1996-01-30 United States Surgical Corporation Surgical apparatus for applying surgical fasteners including a counter
US5560532A (en) 1993-10-08 1996-10-01 United States Surgical Corporation Apparatus and method for applying surgical staples to body tissue
GB9322464D0 (en) 1993-11-01 1993-12-22 Gyrus Medical Ltd Electrosurgical apparatus
US5449355A (en) 1993-11-24 1995-09-12 Valleylab Inc. Retrograde tissue splitter and method
DE4340707C2 (de) 1993-11-30 1997-03-27 Wolf Gmbh Richard Manipulator
US5465894A (en) 1993-12-06 1995-11-14 Ethicon, Inc. Surgical stapling instrument with articulated stapling head assembly on rotatable and flexible support shaft
US5743456A (en) 1993-12-16 1998-04-28 Stryker Corporation Hand actuable surgical handpiece
US5422567A (en) 1993-12-27 1995-06-06 Valleylab Inc. High frequency power measurement
DE9490469U1 (de) 1993-12-30 1996-08-29 Valleylab Inc Bipolare Ultraschallchirurgie
WO1995018572A1 (en) 1994-01-04 1995-07-13 Alpha Surgical Technologies, Inc. Stapling device
US5382247A (en) 1994-01-21 1995-01-17 Valleylab Inc. Technique for electrosurgical tips and method of manufacture and use
US5452837A (en) 1994-01-21 1995-09-26 Ethicon Endo-Surgery, Inc. Surgical stapler with tissue gripping ridge
JP2925036B2 (ja) 1994-01-31 1999-07-26 ヴァリーラブ・インコーポレーテッド 非侵襲型治療法用の入り子式に伸縮可能な双極型電極
US5487500A (en) 1994-02-03 1996-01-30 Ethicon Endo-Surgery, Inc. Surgical stapler instrument
US5465895A (en) 1994-02-03 1995-11-14 Ethicon Endo-Surgery, Inc. Surgical stapler instrument
US5503638A (en) 1994-02-10 1996-04-02 Bio-Vascular, Inc. Soft tissue stapling buttress
JPH0833642A (ja) 1994-02-25 1996-02-06 Ethicon Endo Surgery Inc 外科用ステープラのための改良アンビル承口
WO1995023557A1 (en) 1994-03-01 1995-09-08 United States Surgical Corporation Surgical stapler with anvil sensor and lockout
US5484398A (en) 1994-03-17 1996-01-16 Valleylab Inc. Methods of making and using ultrasonic handpiece
US5472442A (en) 1994-03-23 1995-12-05 Valleylab Inc. Moveable switchable electrosurgical handpiece
US5541376A (en) 1994-03-28 1996-07-30 Valleylab Inc Switch and connector
CA2145723A1 (en) 1994-03-30 1995-10-01 Steven W. Hamblin Surgical stapling instrument with remotely articulated stapling head assembly on rotatable support shaft
US5715987A (en) 1994-04-05 1998-02-10 Tracor Incorporated Constant width, adjustable grip, staple apparatus and method
CA2144818C (en) 1994-04-07 2006-07-11 Henry Bolanos Graduated anvil for surgical stapling instruments
US5529235A (en) 1994-04-28 1996-06-25 Ethicon Endo-Surgery, Inc. Identification device for surgical instrument
US5489058A (en) 1994-05-02 1996-02-06 Minnesota Mining And Manufacturing Company Surgical stapler with mechanisms for reducing the firing force
US5470007A (en) 1994-05-02 1995-11-28 Minnesota Mining And Manufacturing Company Laparoscopic stapler with overload sensor and interlock
US5474566A (en) 1994-05-05 1995-12-12 United States Surgical Corporation Self-contained powered surgical apparatus
CA2148667A1 (en) 1994-05-05 1995-11-06 Carlo A. Mililli Self-contained powered surgical apparatus
US5628446A (en) 1994-05-05 1997-05-13 United States Surgical Corporation Self-contained powered surgical apparatus
US5843021A (en) 1994-05-09 1998-12-01 Somnus Medical Technologies, Inc. Cell necrosis apparatus
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
US5732872A (en) 1994-06-17 1998-03-31 Heartport, Inc. Surgical stapling instrument
GB9413070D0 (en) 1994-06-29 1994-08-17 Gyrus Medical Ltd Electrosurgical apparatus
US5551622A (en) 1994-07-13 1996-09-03 Yoon; Inbae Surgical stapler
US5833695A (en) 1994-07-13 1998-11-10 Yoon; Inbae Surgical stapling system and method of applying staples from multiple staple cartridges
DE9412228U1 (de) 1994-07-28 1994-09-22 Loctite Europa Eeig Schlauchpumpe zur genauen Dosierung kleiner Flüssigkeitsmengen
US5779130A (en) 1994-08-05 1998-07-14 United States Surgical Corporation Self-contained powered surgical apparatus
US5507426A (en) 1994-08-05 1996-04-16 United States Surgical Corporation Apparatus for applying surgical fasteners
EP0699418A1 (en) 1994-08-05 1996-03-06 United States Surgical Corporation Self-contained powered surgical apparatus
US5509916A (en) 1994-08-12 1996-04-23 Valleylab Inc. Laser-assisted electrosurgery system
US5480089A (en) 1994-08-19 1996-01-02 United States Surgical Corporation Surgical stapler apparatus with improved staple pockets
CA2146508C (en) 1994-08-25 2006-11-14 Robert H. Schnut Anvil for circular stapler
US5609601A (en) 1994-09-23 1997-03-11 United States Surgical Corporation Endoscopic surgical apparatus with rotation lock
US5685474A (en) 1994-10-04 1997-11-11 United States Surgical Corporation Tactile indicator for surgical instrument
US5901895A (en) 1994-10-05 1999-05-11 United States Surgical Corporation Articulating apparatus for applying surgical fasteners to body tissue
US5797538A (en) 1994-10-05 1998-08-25 United States Surgical Corporation Articulating apparatus for applying surgical fasteners to body tissue
EP0705571A1 (en) 1994-10-07 1996-04-10 United States Surgical Corporation Self-contained powered surgical apparatus
US5868760A (en) 1994-12-07 1999-02-09 Mcguckin, Jr.; James F. Method and apparatus for endolumenally resectioning tissue
US5704534A (en) 1994-12-19 1998-01-06 Ethicon Endo-Surgery, Inc. Articulation assembly for surgical instruments
US5632432A (en) 1994-12-19 1997-05-27 Ethicon Endo-Surgery, Inc. Surgical instrument
US5713505A (en) 1996-05-13 1998-02-03 Ethicon Endo-Surgery, Inc. Articulation transmission mechanism for surgical instruments
US5628743A (en) 1994-12-21 1997-05-13 Valleylab Inc. Dual mode ultrasonic surgical apparatus
GB9425781D0 (en) 1994-12-21 1995-02-22 Gyrus Medical Ltd Electrosurgical instrument
US5613966A (en) 1994-12-21 1997-03-25 Valleylab Inc System and method for accessory rate control
AU701320B2 (en) 1994-12-22 1999-01-28 Ethicon Endo-Surgery, Inc. Impedance feedback monitor with query electrode for electrosurgical instrument
US5620452A (en) * 1994-12-22 1997-04-15 Yoon; Inbae Surgical clip with ductile tissue penetrating members
US5695494A (en) 1994-12-22 1997-12-09 Valleylab Inc Rem output stage topology
US5713895A (en) 1994-12-30 1998-02-03 Valleylab Inc Partially coated electrodes
US5466020A (en) 1994-12-30 1995-11-14 Valleylab Inc. Bayonet connector for surgical handpiece
JPH10503408A (ja) 1995-02-03 1998-03-31 ヴァリーラブ・インコーポレーテッド ペンシルと組み合わせた電気外科用吸引器
US5669907A (en) 1995-02-10 1997-09-23 Valleylab Inc. Plasma enhanced bipolar electrosurgical system
US6213999B1 (en) 1995-03-07 2001-04-10 Sherwood Services Ag Surgical gas plasma ignition apparatus and method
US5669904A (en) 1995-03-07 1997-09-23 Valleylab Inc. Surgical gas plasma ignition apparatus and method
DE19509116C2 (de) 1995-03-16 2000-01-05 Deutsch Zentr Luft & Raumfahrt Flexible Struktur
US5619992A (en) 1995-04-06 1997-04-15 Guthrie; Robert B. Methods and apparatus for inhibiting contamination of reusable pulse oximetry sensors
US5553765A (en) 1995-04-28 1996-09-10 Ethicon Endo-Surgery, Inc. Surgical stapler with improved operating lever mounting arrangement
JP3526487B2 (ja) 1995-05-08 2004-05-17 株式会社伊垣医療設計 医療用縫合材
AU5741296A (en) 1995-05-12 1996-11-29 Rodney C. Perkins Translumenal circumferential injector
US5630540A (en) 1995-05-24 1997-05-20 United States Surgical Corporation Surgical staple and staple drive member
US5599344A (en) 1995-06-06 1997-02-04 Valleylab Inc. Control apparatus for electrosurgical generator power output
EP0836433A1 (en) 1995-06-06 1998-04-22 Valleylab, Inc. Digital waveform generation for electrosurgical generators
US5628745A (en) 1995-06-06 1997-05-13 Bek; Robin B. Exit spark control for an electrosurgical generator
US5720744A (en) 1995-06-06 1998-02-24 Valleylab Inc Control system for neurosurgery
WO1996039086A1 (en) 1995-06-06 1996-12-12 Valleylab Inc. Power control for an electrosurgical generator
DE69634014T2 (de) 1995-06-23 2006-03-02 Gyrus Medical Ltd. Elektrochirurgisches Gerät
GB9604770D0 (en) 1995-06-23 1996-05-08 Gyrus Medical Ltd An electrosurgical generator and system
US6293942B1 (en) 1995-06-23 2001-09-25 Gyrus Medical Limited Electrosurgical generator method
GB9600377D0 (en) 1996-01-09 1996-03-13 Gyrus Medical Ltd Electrosurgical instrument
US6015406A (en) 1996-01-09 2000-01-18 Gyrus Medical Limited Electrosurgical instrument
CA2224975A1 (en) 1995-06-23 1997-01-09 Gyrus Medical Limited An electrosurgical instrument
EP0861048A4 (en) * 1995-07-03 2000-05-17 Dirk A Frater SYSTEM FOR FASTENING SUPPORT MATERIAL ON TISSUE CLASP DEVICES
USRE38708E1 (en) 1995-07-11 2005-03-01 United States Surgical Corporation Disposable loading unit for surgical stapler
US5752644A (en) 1995-07-11 1998-05-19 United States Surgical Corporation Disposable loading unit for surgical stapler
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
US5611709A (en) 1995-08-10 1997-03-18 Valleylab Inc Method and assembly of member and terminal
US5839639A (en) 1995-08-17 1998-11-24 Lasersurge, Inc. Collapsible anvil assembly and applicator instrument
US5782396A (en) 1995-08-28 1998-07-21 United States Surgical Corporation Surgical stapler
US5762256A (en) 1995-08-28 1998-06-09 United States Surgical Corporation Surgical stapler
US6032849A (en) 1995-08-28 2000-03-07 United States Surgical Surgical stapler
US5814055A (en) 1995-09-19 1998-09-29 Ethicon Endo-Surgery, Inc. Surgical clamping mechanism
US5776130A (en) 1995-09-19 1998-07-07 Valleylab, Inc. Vascular tissue sealing pressure control
US5827271A (en) 1995-09-19 1998-10-27 Valleylab Energy delivery system for vessel sealing
US5772659A (en) 1995-09-26 1998-06-30 Valleylab Inc. Electrosurgical generator power control circuit and method
US5702387A (en) 1995-09-27 1997-12-30 Valleylab Inc Coated electrosurgical electrode
US5653721A (en) 1995-10-19 1997-08-05 Ethicon Endo-Surgery, Inc. Override mechanism for an actuator on a surgical instrument
US5697542A (en) 1995-10-19 1997-12-16 Ethicon Endo-Surgery, Inc. Endoscopic surgical stapler with compact profile
GB9521772D0 (en) 1995-10-24 1996-01-03 Gyrus Medical Ltd An electrosurgical instrument
CA2188738A1 (en) 1995-10-27 1997-04-28 Lisa W. Heaton Surgical stapler having interchangeable loading units
US5941442A (en) 1995-10-27 1999-08-24 United States Surgical Surgical stapler
US5651491A (en) 1995-10-27 1997-07-29 United States Surgical Corporation Surgical stapler having interchangeable loading units
BR9612395A (pt) 1995-12-29 1999-07-13 Gyrus Medical Ltd Instrumento eletrocirúrgico e um conjunto de eltrodo eletrocirúrgico
US6013076A (en) 1996-01-09 2000-01-11 Gyrus Medical Limited Electrosurgical instrument
GB9600354D0 (en) 1996-01-09 1996-03-13 Gyrus Medical Ltd Electrosurgical instrument
ATE307525T1 (de) 1996-02-13 2005-11-15 Conmed Corp Chirurgische zugangsvorrichtung
US5820009A (en) 1996-02-20 1998-10-13 Richard-Allan Medical Industries, Inc. Articulated surgical instrument with improved jaw closure mechanism
US6010054A (en) 1996-02-20 2000-01-04 Imagyn Medical Technologies Linear stapling instrument with improved staple cartridge
US5797537A (en) 1996-02-20 1998-08-25 Richard-Allan Medical Industries, Inc. Articulated surgical instrument with improved firing mechanism
US5800379A (en) 1996-02-23 1998-09-01 Sommus Medical Technologies, Inc. Method for ablating interior sections of the tongue
US5697543A (en) 1996-03-12 1997-12-16 Ethicon Endo-Surgery, Inc. Linear stapler with improved firing stroke
IL117607A0 (en) 1996-03-21 1996-07-23 Dev Of Advanced Medical Produc Surgical stapler and method of surgical fastening
US5785232A (en) 1996-04-17 1998-07-28 Vir Engineering Surgical stapler
US6149660A (en) 1996-04-22 2000-11-21 Vnus Medical Technologies, Inc. Method and apparatus for delivery of an appliance in a vessel
US5836503A (en) 1996-04-22 1998-11-17 United States Surgical Corporation Insertion device for surgical apparatus
US6119913A (en) 1996-06-14 2000-09-19 Boston Scientific Corporation Endoscopic stapler
GB2314274A (en) 1996-06-20 1997-12-24 Gyrus Medical Ltd Electrode construction for an electrosurgical instrument
US5735874A (en) 1996-06-21 1998-04-07 Ethicon Endo-Surgery, Inc. Variable position handle locking mechanism
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
GB9626512D0 (en) 1996-12-20 1997-02-05 Gyrus Medical Ltd An improved electrosurgical generator and system
US6074401A (en) 1997-01-09 2000-06-13 Coalescent Surgical, Inc. Pinned retainer surgical fasteners, instruments and methods for minimally invasive vascular and endoscopic surgery
US5908402A (en) 1997-02-03 1999-06-01 Valleylab Method and apparatus for detecting tube occlusion in argon electrosurgery system
US5899824A (en) * 1997-02-12 1999-05-04 Accudart Corporation Snap-fit dart and adapter
EP1011494B1 (en) 1997-03-05 2007-01-03 The Trustees Of Columbia University In The City Of New York Electrothermal device for sealing and joining or cutting tissue
US6033399A (en) 1997-04-09 2000-03-07 Valleylab, Inc. Electrosurgical generator with adaptive power control
GB9708268D0 (en) 1997-04-24 1997-06-18 Gyrus Medical Ltd An electrosurgical instrument
USH2037H1 (en) 1997-05-14 2002-07-02 David C. Yates Electrosurgical hemostatic device including an anvil
DE19721076A1 (de) 1997-05-20 1998-11-26 Trw Repa Gmbh Verfahren zum Herstellen eines Seilabschnittes mit einem Befestigungselement für ein Fahrzeuginsassen-Rückhaltesystem sowie mit diesem Verfahren hergestellter Seilabschnitt
US5951552A (en) 1997-06-30 1999-09-14 Ethicon Endo-Surgery, Inc. Capacitively coupled cordless electrosurgical instrument
FR2765794B1 (fr) 1997-07-11 1999-09-03 Joel Bardeau Dispositif d'eveinage notamment pour endoeveinage
AU731815B2 (en) 1997-07-18 2001-04-05 Gyrus Medical Limited An electrosurgical instrument
AU731398B2 (en) 1997-07-18 2001-03-29 Gyrus Medical Limited An electrosurgical instrument
US6491690B1 (en) 1997-07-18 2002-12-10 Gyrus Medical Limited Electrosurgical instrument
GB9900964D0 (en) 1999-01-15 1999-03-10 Gyrus Medical Ltd An electrosurgical system
US5937951A (en) 1997-07-18 1999-08-17 Ethicon Endo-Surgery, Inc. Skin stapler with rack and pinion staple feed mechanism
US6267761B1 (en) 1997-09-09 2001-07-31 Sherwood Services Ag Apparatus and method for sealing and cutting tissue
EP1011493B1 (en) 1997-09-10 2005-03-23 Sherwood Services AG Bipolar instrument for vessel fusion
US6162208A (en) 1997-09-11 2000-12-19 Genzyme Corporation Articulating endoscopic implant rotator surgical apparatus and method for using same
US5865361A (en) 1997-09-23 1999-02-02 United States Surgical Corporation Surgical stapling apparatus
US5947984A (en) 1997-10-10 1999-09-07 Ethicon Endo-Surger, Inc. Ultrasonic clamp coagulator apparatus having force limiting clamping mechanism
US6187003B1 (en) 1997-11-12 2001-02-13 Sherwood Services Ag Bipolar electrosurgical instrument for sealing vessels
US6050996A (en) 1997-11-12 2000-04-18 Sherwood Services Ag Bipolar electrosurgical instrument with replaceable electrodes
US6228083B1 (en) 1997-11-14 2001-05-08 Sherwood Services Ag Laparoscopic bipolar electrosurgical instrument
US6068627A (en) 1997-12-10 2000-05-30 Valleylab, Inc. Smart recognition apparatus and method
EP0923907A1 (en) 1997-12-19 1999-06-23 Gyrus Medical Limited An electrosurgical instrument
US6156056A (en) 1998-01-09 2000-12-05 Ethicon, Inc. Suture buttress
GB2336214A (en) 1998-01-16 1999-10-13 David William Taylor Preventionof multiple use of limited use devices
US7052499B2 (en) * 1998-02-18 2006-05-30 Walter Lorenz Surgical, Inc. Method and apparatus for bone fracture fixation
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
AU3157599A (en) 1998-03-26 1999-10-18 Gyrus Medical Limited An electrosurgical instrument
GB9807303D0 (en) 1998-04-03 1998-06-03 Gyrus Medical Ltd An electrode assembly for an electrosurgical instrument
GB2335858A (en) 1998-04-03 1999-10-06 Gyrus Medical Ltd Resectoscope having pivoting electrode assembly
US6585144B2 (en) 1998-06-19 2003-07-01 Acimed Life Systems, Inc. Integrated surgical staple retainer for a full thickness resectioning device
US6126058A (en) 1998-06-19 2000-10-03 Scimed Life Systems, Inc. Method and device for full thickness resectioning of an organ
US6629630B2 (en) 1998-06-19 2003-10-07 Scimed Life Systems, Inc. Non-circular resection device and endoscope
US6601749B2 (en) 1998-06-19 2003-08-05 Scimed Life Systems, Inc. Multi fire full thickness resectioning device
JP3806518B2 (ja) 1998-07-17 2006-08-09 オリンパス株式会社 内視鏡治療装置
WO2000024322A1 (en) 1998-10-23 2000-05-04 Applied Medical Resources Corporation Surgical grasper with inserts and method of using same
JP4245278B2 (ja) 1998-10-23 2009-03-25 コビディエン アクチェンゲゼルシャフト ディスポーザブル電極を備えた外切開式血管シール用鉗子
DE19851291A1 (de) 1998-11-06 2000-01-05 Siemens Ag Operationsarbeitsplatztaugliches Dateneingabegerät
US6102271A (en) 1998-11-23 2000-08-15 Ethicon Endo-Surgery, Inc. Circular stapler for hemorrhoidal surgery
JP2000171730A (ja) 1998-12-08 2000-06-23 Olympus Optical Co Ltd バッテリ式携帯内視鏡装置
DE19906191A1 (de) 1999-02-15 2000-08-17 Ingo F Herrmann Endoskop
GB9905211D0 (en) 1999-03-05 1999-04-28 Gyrus Medical Ltd Electrosurgery system and instrument
GB9905210D0 (en) 1999-03-05 1999-04-28 Gyrus Medical Ltd Electrosurgical system
GB9905209D0 (en) 1999-03-05 1999-04-28 Gyrus Medical Ltd Electrosurgery system
US6179776B1 (en) 1999-03-12 2001-01-30 Scimed Life Systems, Inc. Controllable endoscopic sheath apparatus and related method of use
AU4187800A (en) 1999-03-31 2000-10-16 Peter L. Rosenblatt Systems and methods for soft tissue reconstruction
JP2000287987A (ja) 1999-04-01 2000-10-17 Olympus Optical Co Ltd 充電式医療装置
US6325805B1 (en) 1999-04-23 2001-12-04 Sdgi Holdings, Inc. Shape memory alloy staple
JP4503725B2 (ja) 1999-05-17 2010-07-14 オリンパス株式会社 内視鏡治療装置
GB9911954D0 (en) 1999-05-21 1999-07-21 Gyrus Medical Ltd Electrosurgery system and instrument
GB9911956D0 (en) 1999-05-21 1999-07-21 Gyrus Medical Ltd Electrosurgery system and method
DE19924311A1 (de) 1999-05-27 2000-11-30 Walter A Rau Klammerschneidegerät und Zusatzvorrichtung für ein solches
GB9912625D0 (en) 1999-05-28 1999-07-28 Gyrus Medical Ltd An electrosurgical generator and system
GB9912627D0 (en) 1999-05-28 1999-07-28 Gyrus Medical Ltd An electrosurgical instrument
US6793652B1 (en) 1999-06-02 2004-09-21 Power Medical Interventions, Inc. Electro-mechanical surgical device
US6491201B1 (en) 2000-02-22 2002-12-10 Power Medical Interventions, Inc. Fluid delivery mechanism for use with anastomosing, stapling, and resecting instruments
US7951071B2 (en) 1999-06-02 2011-05-31 Tyco Healthcare Group Lp Moisture-detecting shaft for use with an electro-mechanical surgical device
US7695485B2 (en) 2001-11-30 2010-04-13 Power Medical Interventions, Llc Surgical device
US6716233B1 (en) 1999-06-02 2004-04-06 Power Medical Interventions, Inc. Electromechanical driver and remote surgical instrument attachment having computer assisted control capabilities
US7032798B2 (en) 1999-06-02 2006-04-25 Power Medical Interventions, Inc. Electro-mechanical surgical device
US6264087B1 (en) 1999-07-12 2001-07-24 Powermed, Inc. Expanding parallel jaw device for use with an electromechanical driver device
US6315184B1 (en) 1999-06-02 2001-11-13 Powermed, Inc. Stapling device for use with an electromechanical driver device for use with anastomosing, stapling, and resecting instruments
US6443973B1 (en) 1999-06-02 2002-09-03 Power Medical Interventions, Inc. Electromechanical driver device for use with anastomosing, stapling, and resecting instruments
US8241322B2 (en) 2005-07-27 2012-08-14 Tyco Healthcare Group Lp Surgical device
GB9913652D0 (en) 1999-06-11 1999-08-11 Gyrus Medical Ltd An electrosurgical generator
US6488196B1 (en) 1999-06-30 2002-12-03 Axya Medical, Inc. Surgical stapler and method of applying plastic staples to body tissue
JP2001035827A (ja) 1999-07-16 2001-02-09 Memc Kk 高濃度オゾン水、同オゾン水の調製方法、および同オゾン水を使用した洗浄方法
US6488659B1 (en) 1999-08-05 2002-12-03 Biocardia, Inc. System and method for delivering thermally sensitive and reverse-thermal gelation materials
US6358197B1 (en) * 1999-08-13 2002-03-19 Enteric Medical Technologies, Inc. Apparatus for forming implants in gastrointestinal tract and kit for use therewith
US7662161B2 (en) 1999-09-13 2010-02-16 Rex Medical, L.P Vascular hole closure device
US7267679B2 (en) 1999-09-13 2007-09-11 Rex Medical, L.P Vascular hole closure device
US6358224B1 (en) 1999-09-24 2002-03-19 Tyco Healthcare Group Lp Irrigation system for endoscopic surgery
CA2322061A1 (en) 1999-10-05 2001-04-05 Anil K. Nalagatla Stapling instrument having two staple forming surfaces
US6749560B1 (en) 1999-10-26 2004-06-15 Circon Corporation Endoscope shaft with slotted tube
EP1095627A1 (en) 1999-10-27 2001-05-02 Everest Medical Corporation Electrosurgical probe for surface treatment
GB9927338D0 (en) 1999-11-18 2000-01-12 Gyrus Medical Ltd Electrosurgical system
HU225908B1 (en) 2000-01-24 2007-12-28 Ethicon Endo Surgery Europe Surgical circular stapling head
US6193129B1 (en) 2000-01-24 2001-02-27 Ethicon Endo-Surgery, Inc. Cutting blade for a surgical anastomosis stapling instrument
GB0223348D0 (en) 2002-10-08 2002-11-13 Gyrus Medical Ltd A surgical instrument
GB0002849D0 (en) 2000-02-08 2000-03-29 Gyrus Medical Ltd An electrosurgical instrument and an electosurgery system including such an instrument
US6488197B1 (en) 2000-02-22 2002-12-03 Power Medical Interventions, Inc. Fluid delivery device for use with anastomosing resecting and stapling instruments
WO2001062164A2 (en) 2000-02-22 2001-08-30 Power Medical Interventions, Inc. An electromechanical driver and remote surgical instrument attachment having computer assisted control capabilities
GB0004179D0 (en) 2000-02-22 2000-04-12 Gyrus Medical Ltd Tissue resurfacing
US8016855B2 (en) 2002-01-08 2011-09-13 Tyco Healthcare Group Lp Surgical device
US6533157B1 (en) 2000-02-22 2003-03-18 Power Medical Interventions, Inc. Tissue stapling attachment for use with an electromechanical driver device
US7770773B2 (en) 2005-07-27 2010-08-10 Power Medical Interventions, Llc Surgical device
US6858005B2 (en) 2000-04-03 2005-02-22 Neo Guide Systems, Inc. Tendon-driven endoscope and methods of insertion
US6517528B1 (en) 2000-04-13 2003-02-11 Scimed Life Systems, Inc. Magnetic catheter drive shaft clutch
RU2187249C2 (ru) 2000-04-27 2002-08-20 Общество с ограниченной ответственностью "ЭНДОМЕДИУМ+" Хирургический инструмент
DE10026683C2 (de) 2000-05-30 2003-07-10 Ethicon Endo Surgery Europe Chirurgisches Klammersetzgerät
US6805273B2 (en) 2002-11-04 2004-10-19 Federico Bilotti Surgical stapling instrument
DE60134236D1 (de) 2000-07-20 2008-07-10 Kinetic Surgical Llc Manuell gesteuertes chirurgisches werkzeug mit gelenk
WO2002007618A1 (en) 2000-07-21 2002-01-31 Atropos Limited A cannula
WO2002017799A1 (en) 2000-08-30 2002-03-07 Cerebral Vascular Applications Inc. Medical instrument
GB0021799D0 (en) 2000-09-05 2000-10-18 Gyrus Medical Ltd Electrosurgery system
AU2001288006A1 (en) 2000-09-08 2002-03-22 Thomas Anthony Device for locating a puncture hole in a liquid-carrying vessel
US6817508B1 (en) 2000-10-13 2004-11-16 Tyco Healthcare Group, Lp Surgical stapling device
WO2003079909A2 (en) 2002-03-19 2003-10-02 Tyco Healthcare Group, Lp Surgical fastener applying apparatus
ES2398538T3 (es) 2000-10-13 2013-03-20 Covidien Lp Aparato de aplicación de elementos de sujeción quirúrgicos
US7334717B2 (en) 2001-10-05 2008-02-26 Tyco Healthcare Group Lp Surgical fastener applying apparatus
US6551333B2 (en) 2000-10-19 2003-04-22 Ethicon Endo-Surgery, Inc. Method for attaching hernia mesh
US20040267310A1 (en) 2000-10-20 2004-12-30 Racenet David C Directionally biased staple and anvil assembly for forming the staple
US6913608B2 (en) 2000-10-23 2005-07-05 Viacor, Inc. Automated annular plication for mitral valve repair
US6605090B1 (en) 2000-10-25 2003-08-12 Sdgi Holdings, Inc. Non-metallic implant devices and intra-operative methods for assembly and fixation
US6793661B2 (en) 2000-10-30 2004-09-21 Vision Sciences, Inc. Endoscopic sheath assemblies having longitudinal expansion inhibiting mechanisms
GB0026586D0 (en) 2000-10-31 2000-12-13 Gyrus Medical Ltd An electrosurgical system
JP2002143078A (ja) 2000-11-08 2002-05-21 Olympus Optical Co Ltd 内視鏡用外付チューブ
US6569085B2 (en) 2001-08-16 2003-05-27 Syntheon, Llc Methods and apparatus for delivering a medical instrument over an endoscope while the endoscope is in a body lumen
JP4130584B2 (ja) 2001-01-24 2008-08-06 タイコ ヘルスケア グループ リミテッド パートナーシップ 吻合器具および吻合を実施する方法
JP4202138B2 (ja) 2001-01-31 2008-12-24 レックス メディカル インコーポレイテッド 胃食道組織をステープルおよび切除するための装置および方法
US8313496B2 (en) 2001-02-02 2012-11-20 Lsi Solutions, Inc. System for endoscopic suturing
WO2002067785A2 (en) 2001-02-27 2002-09-06 Tyco Healthcare Group Lp External mixer assembly
JP2002282269A (ja) * 2001-03-28 2002-10-02 Gc Corp 歯科用組織再生膜固定用ピン
US7097644B2 (en) 2001-03-30 2006-08-29 Ethicon Endo-Surgery, Inc. Medical device with improved wall construction
US20030181900A1 (en) 2002-03-25 2003-09-25 Long Gary L. Endoscopic ablation system with a plurality of electrodes
US6769590B2 (en) 2001-04-02 2004-08-03 Susan E. Vresh Luminal anastomotic device and method
US6945444B2 (en) 2001-04-03 2005-09-20 Tyco Healthcare Group, Lp Surgical stapling device for performing circular anastomoses
US6638285B2 (en) * 2001-04-16 2003-10-28 Shlomo Gabbay Biological tissue strip and system and method to seal tissue
US6656193B2 (en) 2001-05-07 2003-12-02 Ethicon Endo-Surgery, Inc. Device for attachment of 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
IES20010547A2 (en) 2001-06-07 2002-12-11 Christy Cummins Surgical Staple
DE20121753U1 (de) 2001-06-15 2003-04-17 Bema Gmbh & Co Kg Endochirurgi Griff für ein chirurgisches Instrument
CN1554061A (zh) 2001-06-20 2004-12-08 ͨ��ҽ�ƹ�˾ 用于集成医疗跟踪的方法和系统
DE20112837U1 (de) 2001-08-02 2001-10-04 Aesculap Ag & Co Kg Zangen- oder pinzettenförmiges chirurgisches Instrument
ATE347862T1 (de) 2001-08-07 2007-01-15 Univ Medisch Centrum Utrecht Gerät zur verbindung eines chirurgischen geräts mit einer stabilen basis
IES20010748A2 (en) 2001-08-09 2003-02-19 Christy Cummins Surgical Stapling Device and Method
DE10139153A1 (de) 2001-08-09 2003-02-27 Ingo F Herrmann Einweg-Endoskopmantel
US6692507B2 (en) 2001-08-23 2004-02-17 Scimed Life Systems, Inc. Impermanent biocompatible fastener
DE60239778D1 (de) 2001-08-27 2011-06-01 Gyrus Medical Ltd Elektrochirurgische Vorrichtung
GB0425051D0 (en) 2004-11-12 2004-12-15 Gyrus Medical Ltd Electrosurgical generator and system
US7282048B2 (en) 2001-08-27 2007-10-16 Gyrus Medical Limited Electrosurgical generator and system
WO2004078051A2 (en) 2001-08-27 2004-09-16 Gyrus Medial Limited Electrosurgical system
US6629988B2 (en) 2001-08-28 2003-10-07 Ethicon, Inc. Composite staple for completing an anastomosis
US6755338B2 (en) 2001-08-29 2004-06-29 Cerebral Vascular Applications, Inc. Medical instrument
NL1018874C2 (nl) 2001-09-03 2003-03-05 Michel Petronella Hub Vleugels Chirurgisch instrument.
GB2379878B (en) 2001-09-21 2004-11-10 Gyrus Medical Ltd Electrosurgical system and method
US6578751B2 (en) 2001-09-26 2003-06-17 Scimed Life Systems, Inc. Method of sequentially firing staples using springs and a rotary or linear shutter
EP2347722B1 (en) 2001-10-05 2014-09-17 Covidien LP Surgical stapling device
AU2002330262C1 (en) 2001-10-05 2009-05-14 Covidien Lp Surgical stapling apparatus and method
US7464847B2 (en) 2005-06-03 2008-12-16 Tyco Healthcare Group Lp Surgical stapler with timer and feedback display
FR2831417B1 (fr) 2001-10-30 2004-08-06 Eurosurgical Instrument chirurgical
DE10158246C1 (de) 2001-11-28 2003-08-21 Ethicon Endo Surgery Europe Chirurgisches Klammersetzinstrument
US7331968B2 (en) 2004-06-14 2008-02-19 Ethicon Endo-Surgery, Inc. Endoscopic clip applier with threaded clip
US6939358B2 (en) * 2001-12-20 2005-09-06 Gore Enterprise Holdings, Inc. Apparatus and method for applying reinforcement material to a surgical stapler
RU2225170C2 (ru) 2001-12-25 2004-03-10 Дубровский Аркадий Вениаминович Инструмент с поворотным устройством
AU2002358220B2 (en) 2001-12-27 2008-09-25 Gyrus Medical Limited A surgical instrument
US6602252B2 (en) * 2002-01-03 2003-08-05 Starion Instruments Corporation Combined dissecting, cauterizing, and stapling device
KR100597025B1 (ko) 2002-01-16 2006-07-04 도요다 지도샤 가부시끼가이샤 전압변환장치의 제어장치와 전압변환방법 및 기억매체, 프로그램, 구동시스템 및 구동시스템을 탑재하는 차량
CN100443061C (zh) 2002-01-30 2008-12-17 能量医学介入公司 外科手术成像装置
CN101898004A (zh) 2002-02-20 2010-12-01 21世纪国际新技术株式会社 施用药物的装置
US7247161B2 (en) 2002-03-22 2007-07-24 Gyrus Ent L.L.C. Powered surgical apparatus, method of manufacturing powered surgical apparatus, and method of using powered surgical apparatus
US7137981B2 (en) 2002-03-25 2006-11-21 Ethicon Endo-Surgery, Inc. Endoscopic ablation system with a distally mounted image sensor
US7128748B2 (en) 2002-03-26 2006-10-31 Synovis Life Technologies, Inc. Circular stapler buttress combination
WO2003086206A1 (en) 2002-04-11 2003-10-23 Tyco Healthcare Group, Lp Surgical stapling apparatus including an anvil and cartridge each having cooperating mating surfaces
AU2003230933B2 (en) 2002-04-15 2008-01-10 Cook Biotech Incorporated Apparatus and method for producing a reinforced surgical staple line
ES2622252T3 (es) 2002-04-16 2017-07-06 Covidien Lp Grapadora quirúrgica y método
US8241308B2 (en) 2002-04-24 2012-08-14 Boston Scientific Scimed, Inc. Tissue fastening devices and processes that promote tissue adhesion
AU2003245246B2 (en) 2002-04-25 2009-01-08 Covidien Lp Surgical instruments including micro-electromechanical systems (MEMS)
ES2503550T3 (es) 2002-05-10 2014-10-07 Covidien Lp Aparato grapador quirúrgico que tiene un conjunto aplicador de material para cierre de heridas
WO2003094745A1 (en) 2002-05-10 2003-11-20 Tyco Healthcare Group, Lp Electrosurgical stapling apparatus
CA2485107C (en) 2002-05-10 2011-07-12 Tyco Healthcare Group Lp Surgical stapling apparatus having a wound closure material applicator assembly
WO2003094747A1 (en) 2002-05-13 2003-11-20 Tyco Healthcare Group, Lp Surgical stapler and disposable loading unit having different size staples
US7967839B2 (en) 2002-05-20 2011-06-28 Rocky Mountain Biosystems, Inc. Electromagnetic treatment of tissues and cells
US6769594B2 (en) * 2002-05-31 2004-08-03 Tyco Healthcare Group, Lp End-to-end anastomosis instrument and method for performing same
WO2003105702A2 (en) 2002-06-14 2003-12-24 Power Medical Interventions, Inc. Surgical device
CA2489328C (en) 2002-06-17 2010-09-28 Tyco Healthcare Group, Lp Annular support structures
US7699856B2 (en) 2002-06-27 2010-04-20 Van Wyk Robert A Method, apparatus, and kit for thermal suture cutting
GB2390024B (en) 2002-06-27 2005-09-21 Gyrus Medical Ltd Electrosurgical system
AU2003237588A1 (en) 2002-07-11 2004-02-02 Sightline Technologies Ltd. Piston-actuated endoscopic steering system
ES2364043T3 (es) 2002-07-31 2011-08-23 Tyco Healthcare Group Lp Recubrimiento de elemento de herramienta y dispositivo de despliegue de recubrimiento.
US7223230B2 (en) 2002-09-06 2007-05-29 C. R. Bard, Inc. External endoscopic accessory control system
US20040059362A1 (en) 2002-09-20 2004-03-25 Knodel Bryan D. Method of performing surgery using surgical device with expandable member
CA2497897C (en) 2002-09-30 2008-11-25 Sightline Technologies Ltd. Piston-actuated endoscopic tool
US7326203B2 (en) 2002-09-30 2008-02-05 Depuy Acromed, Inc. Device for advancing a functional element through tissue
CA2501049C (en) 2002-10-04 2012-01-03 Tyco Healthcare Group Lp Surgical stapling device
JP4398865B2 (ja) 2002-10-04 2010-01-13 タイコ ヘルスケア グループ エルピー 汎用関節および組織予備拘束を伴う外科用ホチキス
CA2500785C (en) 2002-10-04 2011-04-26 Philip C. Roy Pneumatic powered surgical stapling device
CA2500796C (en) 2002-10-04 2011-03-15 Tyco Healthcare Group, Lp Tool assembly for surgical stapling device
WO2004032762A1 (en) 2002-10-04 2004-04-22 Tyco Healthcare Group, Lp Tool assembly for a surgical stapling device
US6958035B2 (en) 2002-10-15 2005-10-25 Dusa Pharmaceuticals, Inc Medical device sheath apparatus and method of making and using same
US20090149871A9 (en) 2002-11-01 2009-06-11 Jonathan Kagan Devices and methods for treating morbid obesity
CN1486667A (zh) 2002-11-22 2004-04-07 带有一次性鞘套的内窥镜系统
DE10257760A1 (de) 2002-11-26 2004-06-17 Stefan Koscher Chirurgisches Instrument
US20040102783A1 (en) 2002-11-27 2004-05-27 Sutterlin Chester E. Powered Kerrison-like Rongeur system
US20040147909A1 (en) 2002-12-20 2004-07-29 Gyrus Ent L.L.C. Surgical instrument
GB0230055D0 (en) 2002-12-23 2003-01-29 Gyrus Medical Ltd Electrosurgical method and apparatus
GB0426648D0 (en) 2004-12-03 2005-01-05 Gyrus Medical Ltd An electrosurgical generator
EP1782741A3 (en) 2003-01-09 2008-11-05 Gyrus Medical Limited An electrosurgical generator
US6821284B2 (en) 2003-01-22 2004-11-23 Novare Surgical Systems, Inc. Surgical clamp inserts with micro-tractive surfaces
US20040225186A1 (en) 2003-01-29 2004-11-11 Horne Guy E. Composite flexible endoscope insertion shaft with tubular substructure
EP1593337B1 (en) 2003-02-11 2008-08-13 Olympus Corporation Overtube
ATE374580T1 (de) 2003-03-05 2007-10-15 Gyrus Medical Ltd Elektrochirurgischer generator und system
CA2519461C (en) 2003-03-26 2012-05-29 Tyco Healthcare Group Lp Energy stored in spring with controlled release
DE10314072B4 (de) 2003-03-28 2009-01-15 Aesculap Ag Chirurgisches Instrument
DE10324844A1 (de) 2003-04-01 2004-12-23 Tuebingen Scientific Surgical Products Gmbh Chirurgisches Instrument mit Instrumentengriff und Nullpunkteinstellung
JP2006525087A (ja) 2003-04-25 2006-11-09 アプライド メディカル リソーシーズ コーポレイション 操舵可能な捩れ防止鞘部材
US20040243151A1 (en) 2003-04-29 2004-12-02 Demmy Todd L. Surgical stapling device with dissecting tip
AU2003243219B2 (en) 2003-05-09 2009-10-29 Covidien Lp Anastomotic staple with fluid dispensing capillary
US7143923B2 (en) 2003-05-20 2006-12-05 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having a firing lockout for an unclosed anvil
US6988649B2 (en) 2003-05-20 2006-01-24 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having a spent cartridge lockout
US20070084897A1 (en) 2003-05-20 2007-04-19 Shelton Frederick E Iv Articulating surgical stapling instrument incorporating a two-piece e-beam firing mechanism
US9060770B2 (en) 2003-05-20 2015-06-23 Ethicon Endo-Surgery, Inc. Robotically-driven surgical instrument with E-beam driver
US7380696B2 (en) 2003-05-20 2008-06-03 Ethicon Endo-Surgery, Inc. Articulating surgical stapling instrument incorporating a two-piece E-beam firing mechanism
US7000818B2 (en) 2003-05-20 2006-02-21 Ethicon, Endo-Surger, Inc. Surgical stapling instrument having separate distinct closing and firing systems
US7380695B2 (en) 2003-05-20 2008-06-03 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having a single lockout mechanism for prevention of firing
US7044352B2 (en) 2003-05-20 2006-05-16 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having a single lockout mechanism for prevention of firing
JP3521910B1 (ja) 2003-05-29 2004-04-26 清輝 司馬 内視鏡の外部鉗子チャンネル装置
JP4664909B2 (ja) 2003-06-17 2011-04-06 タイコ ヘルスケア グループ リミテッド パートナーシップ 外科用ステープリング装置
US7494039B2 (en) 2003-06-17 2009-02-24 Tyco Healthcare Group Lp Surgical stapling device
US20070093869A1 (en) 2003-06-20 2007-04-26 Medtronic Vascular, Inc. Device, system, and method for contracting tissue in a mammalian body
US7168604B2 (en) 2003-06-20 2007-01-30 Tyco Healthcare Group Lp Surgical stapling device
US6786382B1 (en) 2003-07-09 2004-09-07 Ethicon Endo-Surgery, Inc. Surgical stapling instrument incorporating an articulation joint for a firing bar track
US7213736B2 (en) 2003-07-09 2007-05-08 Ethicon Endo-Surgery, Inc. Surgical stapling instrument incorporating an electroactive polymer actuated firing bar track through an articulation joint
US7055731B2 (en) 2003-07-09 2006-06-06 Ethicon Endo-Surgery Inc. Surgical stapling instrument incorporating a tapered firing bar for increased flexibility around the articulation joint
US7111769B2 (en) 2003-07-09 2006-09-26 Ethicon Endo-Surgery, Inc. Surgical instrument incorporating an articulation mechanism having rotation about the longitudinal axis
US6981628B2 (en) 2003-07-09 2006-01-03 Ethicon Endo-Surgery, Inc. Surgical instrument with a lateral-moving articulation control
US6964363B2 (en) 2003-07-09 2005-11-15 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having articulation joint support plates for supporting a firing bar
EP1643914B1 (en) 2003-07-16 2015-09-23 Covidien LP Surgical stapling device with tissue tensioner
RU2244516C1 (ru) * 2003-08-04 2005-01-20 Общество с ограниченной ответственностью "Научно-производственное объединение "Томский медицинский инструмент" Хирургический степлер для наложения цилиндрической спиралевидной скобки
US7547312B2 (en) * 2003-09-17 2009-06-16 Gore Enterprise Holdings, Inc. Circular stapler buttress
US7364061B2 (en) 2003-09-29 2008-04-29 Ethicon Endo-Surgery, Inc. Surgical stapling instrument incorporating a multistroke firing position indicator and retraction mechanism
US7303108B2 (en) 2003-09-29 2007-12-04 Ethicon Endo-Surgery, Inc. Surgical stapling instrument incorporating a multi-stroke firing mechanism with a flexible rack
US7000819B2 (en) 2003-09-29 2006-02-21 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having multistroke firing incorporating a traction-biased ratcheting mechanism
US6959852B2 (en) 2003-09-29 2005-11-01 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with multistroke firing incorporating an anti-backup mechanism
US6905057B2 (en) 2003-09-29 2005-06-14 Ethicon Endo-Surgery, Inc. Surgical stapling instrument incorporating a firing mechanism having a linked rack transmission
US7083075B2 (en) 2003-09-29 2006-08-01 Ethicon Endo-Surgery, Inc. Multi-stroke mechanism with automatic end of stroke retraction
US20050070929A1 (en) 2003-09-30 2005-03-31 Dalessandro David A. Apparatus and method for attaching a surgical buttress to a stapling apparatus
US9113880B2 (en) 2007-10-05 2015-08-25 Covidien Lp Internal backbone structural chassis for a surgical device
US20090090763A1 (en) 2007-10-05 2009-04-09 Tyco Healthcare Group Lp Powered surgical stapling device
US7296722B2 (en) 2003-10-17 2007-11-20 Tyco Healthcare Group Lp Surgical fastener applying apparatus with controlled beam deflection
JP4604040B2 (ja) 2003-10-17 2010-12-22 タイコ ヘルスケア グループ リミテッド パートナーシップ 外科用ステープル留めデバイス
CA2542532C (en) 2003-10-17 2012-08-14 Tyco Healthcare Group, Lp Surgical stapling device with independent tip rotation
US7842028B2 (en) 2005-04-14 2010-11-30 Cambridge Endoscopic Devices, Inc. Surgical instrument guide device
US7147650B2 (en) 2003-10-30 2006-12-12 Woojin Lee Surgical instrument
JP2005131163A (ja) 2003-10-31 2005-05-26 Olympus Corp 内視鏡用の外付けチャンネル
JP2005131164A (ja) 2003-10-31 2005-05-26 Olympus Corp 内視鏡用の外付けチャンネル
JP2005131212A (ja) 2003-10-31 2005-05-26 Olympus Corp 内視鏡用の外付けチャンネル及び内視鏡装置
JP2005131211A (ja) 2003-10-31 2005-05-26 Olympus Corp 内視鏡用の外付けチャンネル
JP2005131173A (ja) 2003-10-31 2005-05-26 Olympus Corp 内視鏡用外付けチャンネル
JP2005137423A (ja) 2003-11-04 2005-06-02 Olympus Corp 内視鏡用の外付けチャンネルおよび外付けチャンネル用分岐部材
JP4594612B2 (ja) 2003-11-27 2010-12-08 オリンパス株式会社 挿入補助具
GB2408936B (en) 2003-12-09 2007-07-18 Gyrus Group Plc A surgical instrument
US8590764B2 (en) 2003-12-24 2013-11-26 Boston Scientific Scimed, Inc. Circumferential full thickness resectioning device
US7207472B2 (en) 2003-12-30 2007-04-24 Ethicon Endo-Surgery, Inc. Cartridge with locking knife for a curved cutter stapler
US20050143759A1 (en) 2003-12-30 2005-06-30 Kelly William D. Curved cutter stapler shaped for male pelvis
US6988650B2 (en) 2003-12-30 2006-01-24 Ethicon Endo-Surgery, Inc. Retaining pin lever advancement mechanism for a curved cutter stapler
US7549563B2 (en) * 2003-12-30 2009-06-23 Ethicon Endo-Surgery, Inc. Rotating curved cutter stapler
US7147139B2 (en) 2003-12-30 2006-12-12 Ethicon Endo-Surgery, Inc Closure plate lockout for a curved cutter stapler
US7204835B2 (en) 2004-02-02 2007-04-17 Gyrus Medical, Inc. Surgical instrument
GB0403020D0 (en) 2004-02-11 2004-03-17 Pa Consulting Services Portable charging device
DE602005000889T2 (de) 2004-02-17 2008-01-17 Tyco Healthcare Group Lp, Norwalk Chirurgisches Klammernahtgerät mit Verriegelungsmechanismus
CA2556422A1 (en) 2004-02-17 2005-08-01 Cook Biotech Incorporated Medical devices and methods for applying bolster material
US6953138B1 (en) 2004-02-18 2005-10-11 Frank W. Dworak Surgical stapler anvil with nested staple forming pockets
US8046049B2 (en) 2004-02-23 2011-10-25 Biosense Webster, Inc. Robotically guided catheter
JP2005279253A (ja) 2004-03-02 2005-10-13 Olympus Corp 内視鏡
US7066944B2 (en) 2004-03-11 2006-06-27 Laufer Michael D Surgical fastening system
AU2005226643B2 (en) 2004-03-19 2010-07-22 Covidien Lp Anvil assembly with improved cut ring
US7758612B2 (en) * 2004-04-27 2010-07-20 Tyco Healthcare Group Lp Surgery delivery device and mesh anchor
US8333764B2 (en) 2004-05-12 2012-12-18 Medtronic, Inc. Device and method for determining tissue thickness and creating cardiac ablation lesions
GB2414185A (en) 2004-05-20 2005-11-23 Gyrus Medical Ltd Morcellating device using cutting electrodes on end-face of tube
IES20040368A2 (en) 2004-05-25 2005-11-30 James E Coleman Surgical stapler
GB2415140A (en) 2004-06-18 2005-12-21 Gyrus Medical Ltd A surgical instrument
US20090078736A1 (en) * 2004-07-26 2009-03-26 Van Lue Stephen J Surgical stapler with magnetically secured components
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
US7143926B2 (en) 2005-02-07 2006-12-05 Ethicon Endo-Surgery, Inc. Surgical stapling instrument incorporating a multi-stroke firing mechanism with return spring rotary manual retraction system
US7506790B2 (en) 2004-07-28 2009-03-24 Ethicon Endo-Surgery, Inc. Surgical instrument incorporating an electrically actuated articulation mechanism
US8317074B2 (en) 2004-07-28 2012-11-27 Ethicon Endo-Surgery, Inc. Electroactive polymer-based articulation mechanism for circular stapler
US8215531B2 (en) 2004-07-28 2012-07-10 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having a medical substance dispenser
CA2512948C (en) 2004-07-28 2013-10-01 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having an electroactive polymer actuated medical substance dispenser
US7404509B2 (en) 2004-07-28 2008-07-29 Ethicon Endo-Surgery, Inc. Electroactive polymer-based articulation mechanism for linear stapler
US7210609B2 (en) 2004-07-30 2007-05-01 Tools For Surgery, Llc Stapling apparatus having a curved anvil and driver
CA2576441A1 (en) * 2004-08-17 2006-03-02 Tyco Healthcare Group Lp Stapling support structures
US7182239B1 (en) 2004-08-27 2007-02-27 Myers Stephan R Segmented introducer device for a circular surgical stapler
US7128254B2 (en) 2004-09-07 2006-10-31 Ethicon Endo-Surgery, Inc. Surgical stapling instrument incorporating a multistroke firing mechanism having a rotary slip-clutch transmission
BRPI0419039B8 (pt) 2004-09-10 2021-06-22 Ethicon Endo Surgery Inc instrumento de grampeamento cirúrgico
WO2006044581A2 (en) 2004-10-13 2006-04-27 Medtronic, Inc. Single-use transurethral needle ablation device
US7922743B2 (en) 2004-10-18 2011-04-12 Tyco Healthcare Group Lp Structure for applying sprayable wound treatment material
US7938307B2 (en) 2004-10-18 2011-05-10 Tyco Healthcare Group Lp Support structures and methods of using the same
US7455682B2 (en) * 2004-10-18 2008-11-25 Tyco Healthcare Group Lp Structure containing wound treatment material
ES2530775T3 (es) 2004-10-18 2015-03-05 Covidien Lp Estructura adhesiva anular
WO2006044810A2 (en) 2004-10-18 2006-04-27 Tyco Healthcare Group, Lp Surgical fasteners coated with wound treatment materials
US7717313B2 (en) 2004-10-18 2010-05-18 Tyco Healthcare Group Lp Surgical apparatus and structure for applying sprayable wound treatment material
US7328829B2 (en) 2004-12-13 2008-02-12 Niti Medical Technologies Ltd. Palm size surgical stapler for single hand operation
US7121446B2 (en) 2004-12-13 2006-10-17 Niti Medical Technologies Ltd. Palm-size surgical stapler for single hand operation
US20060173470A1 (en) * 2005-01-31 2006-08-03 Oray B N Surgical fastener buttress material
CA2597621C (en) * 2005-02-11 2012-04-17 Radatec, Inc. Microstrip patch antenna for high temperature environments
US7559450B2 (en) 2005-02-18 2009-07-14 Ethicon Endo-Surgery, Inc. Surgical instrument incorporating a fluid transfer controlled articulation mechanism
US20060289602A1 (en) 2005-06-23 2006-12-28 Ethicon Endo-Surgery, Inc. Surgical instrument with articulating shaft with double pivot closure and single pivot frame ground
US7559452B2 (en) 2005-02-18 2009-07-14 Ethicon Endo-Surgery, Inc. Surgical instrument having fluid actuated opposing jaws
US7654431B2 (en) 2005-02-18 2010-02-02 Ethicon Endo-Surgery, Inc. Surgical instrument with guided laterally moving articulation member
US7780054B2 (en) 2005-02-18 2010-08-24 Ethicon Endo-Surgery, Inc. Surgical instrument with laterally moved shaft actuator coupled to pivoting articulation joint
US7784662B2 (en) 2005-02-18 2010-08-31 Ethicon Endo-Surgery, Inc. Surgical instrument with articulating shaft with single pivot closure and double pivot frame ground
US7674263B2 (en) 2005-03-04 2010-03-09 Gyrus Ent, L.L.C. Surgical instrument and method
US7699846B2 (en) 2005-03-04 2010-04-20 Gyrus Ent L.L.C. Surgical instrument and method
US7942890B2 (en) 2005-03-15 2011-05-17 Tyco Healthcare Group Lp Anastomosis composite gasket
US20070203510A1 (en) * 2006-02-28 2007-08-30 Bettuchi Michael J Annular disk for reduction of anastomotic tension and methods of using the same
US7784663B2 (en) 2005-03-17 2010-08-31 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having load sensing control circuitry
JP4857585B2 (ja) 2005-04-04 2012-01-18 日立工機株式会社 コードレス電動工具
US7837694B2 (en) 2005-04-28 2010-11-23 Warsaw Orthopedic, Inc. Method and apparatus for surgical instrument identification
DE102005020377B4 (de) 2005-05-02 2021-08-12 Robert Bosch Gmbh Verfahren zum Betreiben einer Elektrowerkzeugmaschine
WO2006125940A1 (en) 2005-05-25 2006-11-30 Gyrus Medical, Inc. A surgical instrument
CA2549224A1 (en) 2005-06-02 2006-12-02 Tyco Healthcare Group Lp Expandable backspan staple
US7717312B2 (en) 2005-06-03 2010-05-18 Tyco Healthcare Group Lp Surgical instruments employing sensors
CA2609970C (en) 2005-06-03 2014-08-12 Tyco Healthcare Group Lp Battery powered surgical instrument
WO2007142625A2 (en) 2006-06-02 2007-12-13 Tyco Healthcare Group Lp Surgical stapler with timer and feedback display
WO2007002180A2 (en) 2005-06-28 2007-01-04 Stryker Corporation Powered surgical tool with control module that contains a sensor for remotely monitoring the tool power generating unit
US8579176B2 (en) 2005-07-26 2013-11-12 Ethicon Endo-Surgery, Inc. Surgical stapling and cutting device and method for using the device
US8627995B2 (en) 2006-05-19 2014-01-14 Ethicon Endo-Sugery, Inc. Electrically self-powered surgical instrument with cryptographic identification of interchangeable part
US8028885B2 (en) 2006-05-19 2011-10-04 Ethicon Endo-Surgery, Inc. Electric surgical instrument with optimized power supply and drive
US7959050B2 (en) * 2005-07-26 2011-06-14 Ethicon Endo-Surgery, Inc Electrically self-powered surgical instrument with manual release
US7641092B2 (en) 2005-08-05 2010-01-05 Ethicon Endo - Surgery, Inc. Swing gate for device lockout in a curved cutter stapler
US7559937B2 (en) * 2005-08-09 2009-07-14 Towertech Research Group Surgical fastener apparatus and reinforcing material
US7398908B2 (en) * 2005-08-15 2008-07-15 Tyco Healthcare Group Lp Surgical stapling instruments including a cartridge having multiple staple sizes
US7407075B2 (en) 2005-08-15 2008-08-05 Tyco Healthcare Group Lp Staple cartridge having multiple staple sizes for a surgical stapling instrument
US7401721B2 (en) * 2005-08-15 2008-07-22 Tyco Healthcare Group Lp Surgical stapling instruments including a cartridge having multiple staple sizes
US9237891B2 (en) 2005-08-31 2016-01-19 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical stapling devices that produce formed staples having different lengths
US8800838B2 (en) * 2005-08-31 2014-08-12 Ethicon Endo-Surgery, Inc. Robotically-controlled cable-based surgical end effectors
US7673781B2 (en) 2005-08-31 2010-03-09 Ethicon Endo-Surgery, Inc. Surgical stapling device with staple driver that supports multiple wire diameter staples
US7934630B2 (en) 2005-08-31 2011-05-03 Ethicon Endo-Surgery, Inc. Staple cartridges for forming staples having differing formed staple heights
US7500979B2 (en) 2005-08-31 2009-03-10 Ethicon Endo-Surgery, Inc. Surgical stapling device with multiple stacked actuator wedge cams for driving staple drivers
US7669746B2 (en) * 2005-08-31 2010-03-02 Ethicon Endo-Surgery, Inc. Staple cartridges for forming staples having differing formed staple heights
US20070051375A1 (en) 2005-09-06 2007-03-08 Milliman Keith L Instrument introducer
US7467740B2 (en) * 2005-09-21 2008-12-23 Ethicon Endo-Surgery, Inc. Surgical stapling instruments having flexible channel and anvil features for adjustable staple heights
US7407078B2 (en) 2005-09-21 2008-08-05 Ehthicon Endo-Surgery, Inc. Surgical stapling instrument having force controlled spacing end effector
EP1767163A1 (en) 2005-09-22 2007-03-28 Sherwood Services AG Bipolar forceps with multiple electrode array end effector assembly
US7357287B2 (en) * 2005-09-29 2008-04-15 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having preloaded firing assistance mechanism
AU2006222756B2 (en) 2005-09-30 2012-09-27 Ethicon Endo-Surgery, Inc. Electroactive polymer-based articulation mechanism for linear surgical stapler
US20070102472A1 (en) * 2005-11-04 2007-05-10 Ethicon Endo-Surgery, Inc. Electrosurgical stapling instrument with disposable severing / stapling unit
US7607557B2 (en) * 2005-11-04 2009-10-27 Ethicon Endo-Surgery, Inc. Surgical stapling instruments structured for pump-assisted delivery of medical agents
US7328828B2 (en) * 2005-11-04 2008-02-12 Ethicon Endo-Surgery, Inc, Lockout mechanisms and surgical instruments including same
US7673783B2 (en) * 2005-11-04 2010-03-09 Ethicon Endo-Surgery, Inc. Surgical stapling instruments structured for delivery of medical agents
US7673780B2 (en) * 2005-11-09 2010-03-09 Ethicon Endo-Surgery, Inc. Articulation joint with improved moment arm extension for articulating an end effector of a surgical instrument
US20070106317A1 (en) 2005-11-09 2007-05-10 Shelton Frederick E Iv Hydraulically and electrically actuated articulation joints for surgical instruments
US7799039B2 (en) 2005-11-09 2010-09-21 Ethicon Endo-Surgery, Inc. Surgical instrument having a hydraulically actuated end effector
US7651017B2 (en) 2005-11-23 2010-01-26 Ethicon Endo-Surgery, Inc. Surgical stapler with a bendable end effector
US7246734B2 (en) 2005-12-05 2007-07-24 Ethicon Endo-Surgery, Inc. Rotary hydraulic pump actuated multi-stroke surgical instrument
US7670334B2 (en) * 2006-01-10 2010-03-02 Ethicon Endo-Surgery, Inc. Surgical instrument having an articulating end effector
US7575144B2 (en) 2006-01-31 2009-08-18 Ethicon Endo-Surgery, Inc. Surgical fastener and cutter with single cable actuator
US8161977B2 (en) * 2006-01-31 2012-04-24 Ethicon Endo-Surgery, Inc. Accessing data stored in a memory of a surgical instrument
US20070175950A1 (en) 2006-01-31 2007-08-02 Shelton Frederick E Iv Disposable staple cartridge having an anvil with tissue locator for use with a surgical cutting and fastening instrument and modular end effector system therefor
US8708213B2 (en) 2006-01-31 2014-04-29 Ethicon Endo-Surgery, Inc. Surgical instrument having a feedback system
US7770775B2 (en) * 2006-01-31 2010-08-10 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with adaptive user feedback
US7464846B2 (en) 2006-01-31 2008-12-16 Ethicon Endo-Surgery, Inc. Surgical instrument having a removable battery
US20110024477A1 (en) * 2009-02-06 2011-02-03 Hall Steven G Driven Surgical Stapler Improvements
US7845537B2 (en) * 2006-01-31 2010-12-07 Ethicon Endo-Surgery, Inc. Surgical instrument having recording capabilities
US7766210B2 (en) * 2006-01-31 2010-08-03 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with user feedback system
US7416101B2 (en) 2006-01-31 2008-08-26 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with loading force feedback
US7753904B2 (en) 2006-01-31 2010-07-13 Ethicon Endo-Surgery, Inc. Endoscopic surgical instrument with a handle that can articulate with respect to the shaft
US7568603B2 (en) 2006-01-31 2009-08-04 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with articulatable end effector
US8186555B2 (en) 2006-01-31 2012-05-29 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with mechanical closure system
US7422139B2 (en) 2006-01-31 2008-09-09 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting fastening instrument with tactile position feedback
US7464849B2 (en) * 2006-01-31 2008-12-16 Ethicon Endo-Surgery, Inc. Electro-mechanical surgical instrument with closure system and anvil alignment components
US20110290856A1 (en) 2006-01-31 2011-12-01 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical instrument with force-feedback capabilities
US20070175955A1 (en) * 2006-01-31 2007-08-02 Shelton Frederick E Iv Surgical cutting and fastening instrument with closure trigger locking mechanism
US7644848B2 (en) 2006-01-31 2010-01-12 Ethicon Endo-Surgery, Inc. Electronic lockouts and surgical instrument including same
US20070175951A1 (en) * 2006-01-31 2007-08-02 Shelton Frederick E Iv Gearing selector for a powered surgical cutting and fastening instrument
CN201263101Y (zh) 2006-02-20 2009-06-24 布莱克和戴克公司 具有双换向器条组及可选串联并联连接线圈的直流电动机
US8236010B2 (en) 2006-03-23 2012-08-07 Ethicon Endo-Surgery, Inc. Surgical fastener and cutter with mimicking end effector
US8721630B2 (en) 2006-03-23 2014-05-13 Ethicon Endo-Surgery, Inc. Methods and devices for controlling articulation
US8992422B2 (en) 2006-03-23 2015-03-31 Ethicon Endo-Surgery, Inc. Robotically-controlled endoscopic accessory channel
US20070246505A1 (en) * 2006-04-24 2007-10-25 Medical Ventures Inc. Surgical buttress assemblies and methods of uses thereof
US7278563B1 (en) 2006-04-25 2007-10-09 Green David T Surgical instrument for progressively stapling and incising tissue
EP2486868A3 (en) 2006-05-19 2014-04-02 Ethicon Endo-Surgery, Inc. Method of creating a mechanical force switch for a medical device
US8105350B2 (en) 2006-05-23 2012-01-31 Cambridge Endoscopic Devices, Inc. Surgical instrument
WO2007147439A1 (de) 2006-06-21 2007-12-27 Rudolf Steffen Vorrichtung zum einführen und positionieren von chirurgischen instrumenten und entsprechendes verfahren
US8322455B2 (en) 2006-06-27 2012-12-04 Ethicon Endo-Surgery, Inc. Manually driven surgical cutting and fastening instrument
US20080003196A1 (en) * 2006-06-30 2008-01-03 Jonn Jerry Y Absorbable cyanoacrylate compositions
DE602006010845D1 (de) * 2006-07-07 2010-01-14 Ethicon Endo Surgery Inc Chirurgische Klammersetzvorrichtung
US7431189B2 (en) * 2006-08-02 2008-10-07 Ethicon Endo-Surgery, Inc. Pneumatically powered surgical cutting and fastening instrument with mechanical linkage coupling end effector and trigger motion
US20080029574A1 (en) * 2006-08-02 2008-02-07 Shelton Frederick E Pneumatically powered surgical cutting and fastening instrument with actuator at distal end
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
WO2008021969A2 (en) 2006-08-09 2008-02-21 Coherex Medical, Inc. Methods, systems and devices for reducing the size of an internal tissue opening
US8794496B2 (en) 2006-09-11 2014-08-05 Covidien Lp Rotating knob locking mechanism for surgical stapling device
US7506791B2 (en) * 2006-09-29 2009-03-24 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with mechanical mechanism for limiting maximum tissue compression
US20100133317A1 (en) 2006-09-29 2010-06-03 Shelton Iv Frederick E Motor-Driven Surgical Cutting And Fastening Instrument with Tactile Position Feedback
US8708210B2 (en) 2006-10-05 2014-04-29 Covidien Lp Method and force-limiting handle mechanism for a surgical instrument
US8584921B2 (en) 2006-10-06 2013-11-19 Covidien Lp Surgical instrument with articulating tool assembly
EP2076809A1 (en) * 2006-10-24 2009-07-08 Koninklijke Philips Electronics N.V. A system for imaging an object
US7845533B2 (en) * 2007-06-22 2010-12-07 Tyco Healthcare Group Lp Detachable buttress material retention systems for use with a surgical stapling 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
US7780685B2 (en) 2006-11-09 2010-08-24 Ethicon Endo-Surgery, Inc. Adhesive and mechanical fastener
US8834498B2 (en) 2006-11-10 2014-09-16 Ethicon Endo-Surgery, Inc. Method and device for effecting anastomosis of hollow organ structures using adhesive and fasteners
US7721930B2 (en) 2006-11-10 2010-05-25 Thicon Endo-Surgery, Inc. Disposable cartridge with adhesive for use with a stapling device
US7434716B2 (en) * 2006-12-21 2008-10-14 Tyco Healthcare Group Lp Staple driver for articulating surgical stapler
US7900805B2 (en) * 2007-01-10 2011-03-08 Ethicon Endo-Surgery, Inc. Surgical instrument with enhanced battery performance
US7738971B2 (en) 2007-01-10 2010-06-15 Ethicon Endo-Surgery, Inc. Post-sterilization programming of surgical instruments
US20110174861A1 (en) * 2007-01-10 2011-07-21 Shelton Iv Frederick E Surgical Instrument With Wireless Communication Between Control Unit and Remote Sensor
US8684253B2 (en) 2007-01-10 2014-04-01 Ethicon Endo-Surgery, Inc. Surgical instrument with wireless communication between a control unit of a robotic system and remote sensor
US8459520B2 (en) * 2007-01-10 2013-06-11 Ethicon Endo-Surgery, Inc. Surgical instrument with wireless communication between control unit and remote sensor
US7721931B2 (en) * 2007-01-10 2010-05-25 Ethicon Endo-Surgery, Inc. Prevention of cartridge reuse in a surgical instrument
US7721936B2 (en) * 2007-01-10 2010-05-25 Ethicon Endo-Surgery, Inc. Interlock and surgical instrument including same
US7954682B2 (en) 2007-01-10 2011-06-07 Ethicon Endo-Surgery, Inc. Surgical instrument with elements to communicate between control unit and end effector
US8652120B2 (en) 2007-01-10 2014-02-18 Ethicon Endo-Surgery, Inc. Surgical instrument with wireless communication between control unit and sensor transponders
US20080169332A1 (en) * 2007-01-11 2008-07-17 Shelton Frederick E Surgical stapling device with a curved cutting member
US20080169328A1 (en) * 2007-01-11 2008-07-17 Shelton Frederick E Buttress material for use with a surgical stapler
WO2008089404A2 (en) 2007-01-19 2008-07-24 Synovis Life Technologies, Inc. Circular stapler anvil introducer
US8011550B2 (en) 2009-03-31 2011-09-06 Tyco Healthcare Group Lp Surgical stapling apparatus
WO2008109125A1 (en) 2007-03-06 2008-09-12 Tyco Healthcare Group Lp Surgical stapling apparatus
US7431188B1 (en) 2007-03-15 2008-10-07 Tyco Healthcare Group Lp Surgical stapling apparatus with powered articulation
US20090001130A1 (en) * 2007-03-15 2009-01-01 Hess Christopher J Surgical procedure using a cutting and stapling instrument having releasable staple-forming pockets
US7422136B1 (en) 2007-03-15 2008-09-09 Tyco Healthcare Group Lp Powered surgical stapling device
US8056787B2 (en) 2007-03-28 2011-11-15 Ethicon Endo-Surgery, Inc. Surgical stapling and cutting instrument with travel-indicating retraction member
US7490749B2 (en) 2007-03-28 2009-02-17 Ethicon Endo-Surgery, Inc. Surgical stapling and cutting instrument with manually retractable firing member
US8893946B2 (en) * 2007-03-28 2014-11-25 Ethicon Endo-Surgery, Inc. Laparoscopic tissue thickness and clamp load measuring devices
US7950560B2 (en) 2007-04-13 2011-05-31 Tyco Healthcare Group Lp Powered surgical instrument
US7931660B2 (en) 2007-05-10 2011-04-26 Tyco Healthcare Group Lp Powered tacker instrument
US7832611B2 (en) 2007-05-16 2010-11-16 The Invention Science Fund I, Llc Steerable surgical stapler
US7823761B2 (en) 2007-05-16 2010-11-02 The Invention Science Fund I, Llc Maneuverable surgical stapler
US7810691B2 (en) 2007-05-16 2010-10-12 The Invention Science Fund I, Llc Gentle touch surgical stapler
US8038045B2 (en) 2007-05-25 2011-10-18 Tyco Healthcare Group Lp Staple buttress retention system
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
US7549564B2 (en) * 2007-06-22 2009-06-23 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with an articulating end effector
US20080296346A1 (en) * 2007-05-31 2008-12-04 Shelton Iv Frederick E Pneumatically powered surgical cutting and fastening instrument with electrical control and recording mechanisms
US8157145B2 (en) 2007-05-31 2012-04-17 Ethicon Endo-Surgery, Inc. Pneumatically powered surgical cutting and fastening instrument with electrical feedback
US7905380B2 (en) 2007-06-04 2011-03-15 Ethicon Endo-Surgery, Inc. Surgical instrument having a multiple rate directional switching mechanism
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
US8931682B2 (en) * 2007-06-04 2015-01-13 Ethicon Endo-Surgery, Inc. Robotically-controlled shaft based rotary drive systems for surgical instruments
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
US7510107B2 (en) 2007-06-18 2009-03-31 Ethicon Endo-Surgery, Inc. Cable driven surgical stapling and cutting instrument with apparatus for preventing inadvertent cable disengagement
US7597229B2 (en) * 2007-06-22 2009-10-06 Ethicon Endo-Surgery, Inc. End effector closure system for a surgical stapling instrument
US7604150B2 (en) * 2007-06-22 2009-10-20 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with an anti-back up mechanism
US7441685B1 (en) 2007-06-22 2008-10-28 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with a return mechanism
US8308040B2 (en) 2007-06-22 2012-11-13 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with an articulatable end effector
US7658311B2 (en) 2007-06-22 2010-02-09 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with a geared return mechanism
US7753245B2 (en) 2007-06-22 2010-07-13 Ethicon Endo-Surgery, Inc. Surgical stapling instruments
US8062330B2 (en) * 2007-06-27 2011-11-22 Tyco Healthcare Group Lp Buttress and surgical stapling apparatus
US7556185B2 (en) * 2007-08-15 2009-07-07 Tyco Healthcare Group Lp Surgical instrument with flexible drive mechanism
US8464228B2 (en) * 2007-08-23 2013-06-11 Accenture Global Services Limited Binary library
US7624902B2 (en) 2007-08-31 2009-12-01 Tyco Healthcare Group Lp Surgical stapling apparatus
US9597080B2 (en) 2007-09-24 2017-03-21 Covidien Lp Insertion shroud for surgical instrument
US20090099579A1 (en) * 2007-10-16 2009-04-16 Tyco Healthcare Group Lp Self-adherent implants and methods of preparation
US7922063B2 (en) * 2007-10-31 2011-04-12 Tyco Healthcare Group, Lp Powered surgical instrument
US7954687B2 (en) 2007-11-06 2011-06-07 Tyco Healthcare Group Lp Coated surgical staples and an illuminated staple cartridge for a surgical stapling instrument
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
US7766209B2 (en) * 2008-02-13 2010-08-03 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with improved firing trigger arrangement
US7905381B2 (en) 2008-09-19 2011-03-15 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with cutting member arrangement
US8561870B2 (en) 2008-02-13 2013-10-22 Ethicon Endo-Surgery, Inc. Surgical stapling instrument
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
US7819297B2 (en) * 2008-02-14 2010-10-26 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with reprocessible handle assembly
US8459525B2 (en) * 2008-02-14 2013-06-11 Ethicon Endo-Sugery, Inc. Motorized surgical cutting and fastening instrument having a magnetic drive train torque limiting device
US7819296B2 (en) 2008-02-14 2010-10-26 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with retractable firing systems
US7866527B2 (en) * 2008-02-14 2011-01-11 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with interlockable firing system
US7819298B2 (en) 2008-02-14 2010-10-26 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with control features operable with one hand
US8657174B2 (en) 2008-02-14 2014-02-25 Ethicon Endo-Surgery, Inc. Motorized surgical cutting and fastening instrument having handle based power source
US7857185B2 (en) * 2008-02-14 2010-12-28 Ethicon Endo-Surgery, Inc. Disposable loading unit for surgical stapling apparatus
US8573465B2 (en) 2008-02-14 2013-11-05 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical end effector system with rotary actuated closure systems
US8752749B2 (en) 2008-02-14 2014-06-17 Ethicon Endo-Surgery, Inc. Robotically-controlled disposable motor-driven loading unit
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
US20090206133A1 (en) 2008-02-14 2009-08-20 Ethicon Endo-Surgery, Inc. Articulatable loading units for surgical stapling and cutting instruments
US8636736B2 (en) 2008-02-14 2014-01-28 Ethicon Endo-Surgery, Inc. Motorized surgical cutting and fastening instrument
US8758391B2 (en) * 2008-02-14 2014-06-24 Ethicon Endo-Surgery, Inc. Interchangeable tools for surgical instruments
US9179912B2 (en) 2008-02-14 2015-11-10 Ethicon Endo-Surgery, Inc. Robotically-controlled motorized surgical cutting and fastening instrument
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
US20090206131A1 (en) * 2008-02-15 2009-08-20 Ethicon Endo-Surgery, Inc. End effector coupling arrangements for a surgical cutting and stapling instrument
US8608044B2 (en) * 2008-02-15 2013-12-17 Ethicon Endo-Surgery, Inc. Feedback and lockout mechanism for surgical instrument
US20090206139A1 (en) 2008-02-15 2009-08-20 Ethicon Endo-Surgery, Inc. Buttress material for a surgical instrument
US20090206137A1 (en) 2008-02-15 2009-08-20 Ethicon Endo-Surgery, Inc. Disposable loading units 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
US7980443B2 (en) 2008-02-15 2011-07-19 Ethicon Endo-Surgery, Inc. End effectors for a surgical cutting and stapling instrument
US20090242610A1 (en) 2008-03-26 2009-10-01 Shelton Iv Frederick E Disposable loading unit and surgical instruments including same
US8231041B2 (en) 2008-04-14 2012-07-31 Tyco Healthcare Group Lp Variable compression surgical fastener cartridge
US20090255974A1 (en) 2008-04-14 2009-10-15 Tyco Healthcare Group Lp Single loop surgical fastener apparatus for applying variable compression
US8231040B2 (en) 2008-04-14 2012-07-31 Tyco Healthcare Group Lp Variable compression surgical fastener cartridge
US7926691B2 (en) 2008-04-14 2011-04-19 Tyco Healthcare Group, L.P. Variable compression surgical fastener cartridge
US8100310B2 (en) 2008-04-14 2012-01-24 Tyco Healthcare Group Lp Variable compression surgical fastener apparatus
US8091756B2 (en) * 2008-05-09 2012-01-10 Tyco Healthcare Group Lp Varying tissue compression using take-up component
US7922061B2 (en) 2008-05-21 2011-04-12 Ethicon Endo-Surgery, Inc. Surgical instrument with automatically reconfigurable articulating end effector
US8011551B2 (en) 2008-07-01 2011-09-06 Tyco Healthcare Group Lp Retraction mechanism with clutch-less drive for use with a surgical apparatus
US8211125B2 (en) 2008-08-15 2012-07-03 Ethicon Endo-Surgery, Inc. Sterile appliance delivery device for endoscopic procedures
US8083120B2 (en) 2008-09-18 2011-12-27 Ethicon Endo-Surgery, Inc. End effector for use with a surgical cutting and stapling instrument
US20100069942A1 (en) 2008-09-18 2010-03-18 Ethicon Endo-Surgery, Inc. Surgical instrument with apparatus for measuring elapsed time between actions
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
US8210411B2 (en) 2008-09-23 2012-07-03 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting instrument
US9050083B2 (en) 2008-09-23 2015-06-09 Ethicon Endo-Surgery, Inc. Motorized surgical instrument
US9386983B2 (en) 2008-09-23 2016-07-12 Ethicon Endo-Surgery, Llc Robotically-controlled motorized surgical instrument
US8608045B2 (en) 2008-10-10 2013-12-17 Ethicon Endo-Sugery, Inc. Powered surgical cutting and stapling apparatus with manually retractable firing system
US8020743B2 (en) 2008-10-15 2011-09-20 Ethicon Endo-Surgery, Inc. Powered articulatable surgical cutting and fastening instrument with flexible drive member
US7918377B2 (en) 2008-10-16 2011-04-05 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with apparatus for providing anvil position feedback
US8231042B2 (en) 2008-11-06 2012-07-31 Tyco Healthcare Group Lp Surgical stapler
GB0822110D0 (en) 2008-12-03 2009-01-07 Angiomed Ag Catheter sheath for implant delivery
US20100147921A1 (en) * 2008-12-16 2010-06-17 Lee Olson Surgical Apparatus Including Surgical Buttress
US8770460B2 (en) 2008-12-23 2014-07-08 George E. Belzer Shield for surgical stapler and method of use
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
US8517239B2 (en) 2009-02-05 2013-08-27 Ethicon Endo-Surgery, Inc. Surgical stapling instrument comprising a magnetic element driver
US8414577B2 (en) 2009-02-05 2013-04-09 Ethicon Endo-Surgery, Inc. Surgical instruments and components for use in sterile environments
US8245899B2 (en) * 2009-02-06 2012-08-21 Ethicon Endo-Surgery, Inc. Driven surgical stapler improvements
US8453907B2 (en) * 2009-02-06 2013-06-04 Ethicon Endo-Surgery, Inc. Motor driven surgical fastener device with cutting member reversing mechanism
US20110024478A1 (en) * 2009-02-06 2011-02-03 Shelton Iv Frederick E Driven Surgical Stapler Improvements
US8444036B2 (en) * 2009-02-06 2013-05-21 Ethicon Endo-Surgery, Inc. Motor driven surgical fastener device with mechanisms for adjusting a tissue gap within the end effector
US7918376B1 (en) * 2009-03-09 2011-04-05 Cardica, Inc. Articulated surgical instrument
US8066167B2 (en) 2009-03-23 2011-11-29 Ethicon Endo-Surgery, Inc. Circular surgical stapling instrument with anvil locking system
US8016178B2 (en) 2009-03-31 2011-09-13 Tyco Healthcare Group Lp Surgical stapling apparatus
US8360299B2 (en) 2009-08-11 2013-01-29 Covidien Lp Surgical stapling apparatus
US8141762B2 (en) 2009-10-09 2012-03-27 Ethicon Endo-Surgery, Inc. Surgical stapler comprising a staple pocket
US8152041B2 (en) * 2009-10-14 2012-04-10 Tyco Healthcare Group Lp Varying tissue compression aided by elastic members
US8413872B2 (en) * 2009-10-28 2013-04-09 Covidien Lp Surgical fastening apparatus
US8353439B2 (en) 2009-11-19 2013-01-15 Ethicon Endo-Surgery, Inc. Circular stapler introducer with radially-openable distal end portion
US8136712B2 (en) 2009-12-10 2012-03-20 Ethicon Endo-Surgery, Inc. Surgical stapler with discrete staple height adjustment and tactile feedback
US8851354B2 (en) 2009-12-24 2014-10-07 Ethicon Endo-Surgery, Inc. Surgical cutting instrument that analyzes tissue thickness
US8220688B2 (en) 2009-12-24 2012-07-17 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting instrument with electric actuator directional control assembly
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
US8348127B2 (en) * 2010-04-07 2013-01-08 Covidien Lp Surgical fastener applying apparatus
US20110275901A1 (en) 2010-05-07 2011-11-10 Ethicon Endo-Surgery, Inc. Laparoscopic devices with articulating end effectors
US20110276083A1 (en) 2010-05-07 2011-11-10 Ethicon Endo-Surgery, Inc. Bendable shaft for handle positioning
US8783543B2 (en) 2010-07-30 2014-07-22 Ethicon Endo-Surgery, Inc. Tissue acquisition arrangements and methods for surgical stapling devices
US8789740B2 (en) 2010-07-30 2014-07-29 Ethicon Endo-Surgery, Inc. Linear cutting and stapling device with selectively disengageable cutting member
US8801734B2 (en) 2010-07-30 2014-08-12 Ethicon Endo-Surgery, Inc. Circular stapling instruments with secondary cutting arrangements and methods of using same
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
US8632525B2 (en) 2010-09-17 2014-01-21 Ethicon Endo-Surgery, Inc. Power control arrangements for surgical instruments and batteries
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
US8777004B2 (en) * 2010-09-30 2014-07-15 Ethicon Endo-Surgery, Inc. Compressible staple cartridge comprising alignment members
US9055941B2 (en) 2011-09-23 2015-06-16 Ethicon Endo-Surgery, Inc. Staple cartridge including collapsible deck
US8893949B2 (en) * 2010-09-30 2014-11-25 Ethicon Endo-Surgery, Inc. Surgical stapler with floating anvil
US9044228B2 (en) * 2010-09-30 2015-06-02 Ethicon Endo-Surgery, Inc. Fastener system comprising a plurality of fastener cartridges
US8695866B2 (en) * 2010-10-01 2014-04-15 Ethicon Endo-Surgery, Inc. Surgical instrument having a power control circuit
USD650074S1 (en) 2010-10-01 2011-12-06 Ethicon Endo-Surgery, Inc. Surgical instrument
US9492170B2 (en) * 2011-08-10 2016-11-15 Ethicon Endo-Surgery, Inc. Device for applying adjunct in endoscopic procedure
US9198661B2 (en) * 2011-09-06 2015-12-01 Ethicon Endo-Surgery, Inc. Stapling instrument comprising a plurality of staple cartridges stored therein

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP1064883A1 (en) * 1999-06-30 2001-01-03 Ethicon, Inc. Foam buttress for stapling apparatus
US6273897B1 (en) * 2000-02-29 2001-08-14 Ethicon, Inc. Surgical bettress and surgical stapling apparatus
EP1621141A3 (en) * 2004-07-28 2006-03-01 Ethicon Endo-Surgery, Inc. Surgical stapling instrument

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9585660B2 (en) 2010-01-07 2017-03-07 Ethicon Endo-Surgery, Llc Method for testing a surgical tool
CN108135614A (zh) * 2015-08-24 2018-06-08 伊西康有限责任公司 具有状态指示器的外科缝合器支撑物施用装置

Also Published As

Publication number Publication date
BRPI0901513A2 (pt) 2010-11-16
RU2497463C2 (ru) 2013-11-10
CN101507638B (zh) 2013-11-27
BRPI0903080B1 (pt) 2019-07-23
EP2090252A3 (en) 2010-12-08
JP5586857B2 (ja) 2014-09-10
CN101507637A (zh) 2009-08-19
JP2009189849A (ja) 2009-08-27
EP2090237A1 (en) 2009-08-19
BRPI0903080B8 (pt) 2021-06-22
EP2090237B1 (en) 2017-09-20
BRPI0901313A2 (pt) 2010-04-06
CN101507640B (zh) 2014-09-03
HK1137127A1 (en) 2010-07-23
RU2009105156A (ru) 2010-08-20
JP2009189845A (ja) 2009-08-27
JP2014166587A (ja) 2014-09-11
BRPI0903080A2 (pt) 2010-05-25
RU2009105128A (ru) 2010-08-20
US20090206125A1 (en) 2009-08-20
BRPI0901506B8 (pt) 2021-06-22
US20090206142A1 (en) 2009-08-20
EP2090252A2 (en) 2009-08-19
US20090206141A1 (en) 2009-08-20
JP2013176668A (ja) 2013-09-09
US20090206143A1 (en) 2009-08-20
HK1135881A1 (en) 2010-06-18
JP5813700B2 (ja) 2015-11-17
EP2090231A1 (en) 2009-08-19
BRPI0901313B1 (pt) 2019-07-16
BRPI0901506A2 (pt) 2009-11-24
EP2090244A2 (en) 2009-08-19
BRPI0901513B1 (pt) 2019-07-02
EP2090231B1 (en) 2019-01-16
JP2009189840A (ja) 2009-08-27
EP2090242A3 (en) 2009-10-07
BRPI0901278A2 (pt) 2009-11-10
BRPI0901313B8 (pt) 2021-06-22
CN101507639A (zh) 2009-08-19
CN101507636A (zh) 2009-08-19
CN101507639B (zh) 2012-11-14
RU2496435C2 (ru) 2013-10-27
BRPI0901278B1 (pt) 2019-10-08
EP2090242B1 (en) 2011-06-08
CN101507638A (zh) 2009-08-19
US20090206139A1 (en) 2009-08-20
BRPI0901506B1 (pt) 2020-01-14
EP2090244B1 (en) 2013-10-09
US20090206126A1 (en) 2009-08-20
BRPI0901513B8 (pt) 2021-06-22
RU2009105159A (ru) 2010-08-20
JP5490422B2 (ja) 2014-05-14
EP2090248B1 (en) 2012-08-29
US8371491B2 (en) 2013-02-12
JP2009189847A (ja) 2009-08-27
PL2090237T3 (pl) 2018-02-28
JP5840737B2 (ja) 2016-01-06
CN101507637B (zh) 2014-09-10
EP2090242A2 (en) 2009-08-19
CN101507640A (zh) 2009-08-19
EP2090252B1 (en) 2012-10-03
CN101507620A (zh) 2009-08-19
CN101507636B (zh) 2013-01-23
EP2090248A2 (en) 2009-08-19
RU2009105138A (ru) 2010-08-20
EP2090248A3 (en) 2011-01-12
EP2090244A3 (en) 2010-12-01
BRPI0901278B8 (pt) 2021-06-22

Similar Documents

Publication Publication Date Title
CN101507620B (zh) 与外科器械端部执行器一起使用的具有对齐和保持特征的支撑材料
US20210059662A1 (en) Surgical end effector having buttress retention features
US11272927B2 (en) Layer arrangements for surgical staple cartridges
RU2488359C2 (ru) Опорный материал с активируемым вяжущим веществом
RU2496434C2 (ru) Укрепляющий материал для хирургического сшивающего инструмента
BRPI0901281B1 (pt) conjunto manipulador de extremidade

Legal Events

Date Code Title Description
C06 Publication
PB01 Publication
C10 Entry into substantive examination
SE01 Entry into force of request for substantive examination
C14 Grant of patent or utility model
GR01 Patent grant