CN102626334A - 手术器械 - Google Patents
手术器械 Download PDFInfo
- Publication number
- CN102626334A CN102626334A CN2012100657118A CN201210065711A CN102626334A CN 102626334 A CN102626334 A CN 102626334A CN 2012100657118 A CN2012100657118 A CN 2012100657118A CN 201210065711 A CN201210065711 A CN 201210065711A CN 102626334 A CN102626334 A CN 102626334A
- Authority
- CN
- China
- Prior art keywords
- drive shaft
- rotatable drive
- pawl
- claw
- axial region
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Granted
Links
Images
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
- A61B17/07207—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously the staples being applied sequentially
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
- A61B34/70—Manipulators specially adapted for use in surgery
- A61B34/71—Manipulators operated by drive cable mechanisms
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00017—Electrical control of surgical instruments
- A61B2017/00199—Electrical control of surgical instruments with a console, e.g. a control panel with a display
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00367—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
- A61B2017/00398—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like using powered actuators, e.g. stepper motors, solenoids
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00367—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
- A61B2017/00407—Ratchet means
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/0046—Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00477—Coupling
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00681—Aspects not otherwise provided for
- A61B2017/00685—Archimedes screw
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
- A61B2017/07214—Stapler heads
- A61B2017/07285—Stapler heads characterised by its cutter
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B2017/2901—Details of shaft
- A61B2017/2902—Details of shaft characterized by features of the actuating rod
- A61B2017/2903—Details of shaft characterized by features of the actuating rod transferring rotary motion
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B2017/2901—Details of shaft
- A61B2017/2905—Details of shaft flexible
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B2017/2926—Details of heads or jaws
- A61B2017/2927—Details of heads or jaws the angular position of the head being adjustable with respect to the shaft
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B2017/2926—Details of heads or jaws
- A61B2017/2932—Transmission of forces to jaw members
- A61B2017/2933—Transmission of forces to jaw members camming or guiding means
- A61B2017/2936—Pins in guiding slots
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
- A61B34/70—Manipulators specially adapted for use in surgery
- A61B34/74—Manipulators with manual electric input means
- A61B2034/742—Joysticks
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/06—Measuring instruments not otherwise provided for
- A61B2090/067—Measuring instruments not otherwise provided for for measuring angles
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/30—Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure
- A61B2090/306—Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure using optical fibres
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
- A61B34/70—Manipulators specially adapted for use in surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/90—Identification means for patients or instruments, e.g. tags
Abstract
本发明涉及一种手术器械,其包括爪部,所述爪部具有第一爪和能够相对于第一爪移动的第二爪。该手术器械还包括联接到爪部的近侧端的轴部。驱动器构造成使爪部和轴部相对移动。驱动器可构造成使爪部绕枢轴线相对于该轴部枢转,该枢轴线垂直于分别由该爪部和该轴部限定的第一纵轴线和第二纵轴线。驱动器还可构造成使爪部的至少一部分绕第一纵轴线相对于轴部旋转。有利地,手术器械包括设置在第一爪内的手术构件—例如切割和/或缝合元件。
Description
本申请是申请日为2006年7月26日、申请号为200680031792.2(原申请的国际申请号为PCT/US2006/029287)、发明名称为“手术器械”的专利申请的分案申请。
相关申请的交叉引用
在此通过引用将下述每份专利文献的全部内容明确地纳入到本申请中:2002年6月14日提交的美国专利申请第60/388,644号;2003年6月11日提交的美国专利申请第10/460,291号;2001年11月30日提交的美国专利申请第09/999,546号;2001年6月22日提交的美国专利申请第09/887,789号;2001年4月17日提交的美国专利申请第09/836,781号;2000年11月28日提交的美国专利申请第09/723,715号;1999年6月2日提交的美国专利申请第09/324,451号并于2001年11月13日授权的美国专利第6,315,184号;1999年6月2日提交的美国专利申请第09/324,452号并于2002年9月3日授权的美国专利第6,443,973号;1999年7月12日提交的美国专利申请第09/351,534号并于2001年7月24日授权的美国专利第6,264,087号;2000年2月22日提交的美国专利申请第09/510,923号并于2003年2月11日授权的美国专利第6,517,565号;2000年2月22日提交的美国专利申请第09/510,927号并于2004年4月6日授权的美国专利第6,716,233号。
技术领域
本发明涉及一种手术器械。更具体地,本发明涉及一种用于夹紧、切割以及缝合组织的动力铰接器械。
背景技术
一种类型的手术器械是线性夹紧、切割及缝合器械。这种器械可用于手术程序中以切除胃肠道中的癌性或异常组织。图1中示出一种常规的线性夹紧、切割及缝合设备。该器械包括具有长形轴的手枪握把型结构和远侧部分。远侧部分包括一对剪刀型夹持元件,所述夹持元件将结肠开启的端部夹紧而使其闭合。在该器械中,两个剪刀型夹持元件中一个—例如钉砧部分相对于整体结构移动或枢转,而另一个夹持元件相对于整体结构保持固定。该剪切装置的致动(钉砧部分的枢转)由保持在手柄上的夹持触发器控制。
除了剪切装置,远侧部分还包括缝合机构。该剪切机构的固定的夹持元件包括缝钉筒接收区域和另一机构,该另一机构用于对着钉砧部分向上驱动缝钉穿过被夹紧的组织端部从而密封之前张开的端部。剪切元件可以与轴一体地形成或者是可拆卸的,从而使各种剪切元件和缝合元件能够互换。
上述手术器械—特别是诸如图1中示出的上述线性夹紧、切割及缝合器械存在的一个问题是,难于在患者体内灵活操作相对的爪。外科医生可能需要在各种角度之间移动所述相对的爪以便将期望的组织定位在所述相对的爪之间。然而,通常来说还期望在患者体内切割尽可能小的切口,小尺寸的切口限制了可以灵活操作所述相对爪的程度。
上述手术器械—特别是诸如图1中示出的上述线性夹紧、切割及缝合器械存在的另一个问题是,所述相对的爪可能无法充分止血。具体而言,上述手术器械的相对的爪无法以足量的力来夹紧,从而降低了手术器械的有效性。
因此,有人认为需要提高夹紧、切割及缝合器械的可灵活操作性。另外,还有人认为需要提供附加夹紧力的夹紧、切割及缝合器械。
发明内容
根据本发明的示例性实施方式提供一种手术器械,该手术器械包括绕铰链以可枢转方式连接到轴部的爪部。该铰链限定这些部件的旋转轴线,该旋转轴线垂直于爪部和轴部之一或者与爪部和轴部都垂直。爪部或其一部分也能够绕爪部的纵轴线相对于轴部旋转。
爪部包括第一爪和第二爪。第二爪与第一爪相对设置。第一爪以可枢转方式联接到第二爪。该器械还可包括设置在第二爪内的切割元件和缝合元件中的至少一种—优选的是以可旋转方式安装在缝钉驱动楔件上的刀片。切割元件和/或缝合元件可构造成在第二爪的远侧端和近侧端之间移动从而切割和/或缝合置于第一爪和第二爪之间的组织部分。
根据本发明的示例性实施方式提供一种包括爪部的手术器械。该爪部包括第一爪和能够相对于第一爪移动的第二爪。该手术器械还包括联接到爪部的近侧端的轴部。该手术器械进一步包括驱动器,该驱动器构造成使爪部与轴部相对移动。爪部限定第一纵轴线并且轴部限定第二纵轴线。该驱动器可构造成使爪部绕垂直于第一纵轴线和第二纵轴线的枢轴线相对于轴部枢转。第一爪和第二爪能够在一个平面内相对于彼此移动,枢轴线设置成平行于该平面。并且,根据本发明的示例性实施方式,驱动器还构造成使爪部的至少一部分绕第一纵轴线相对于轴部枢转。
驱动器适于由第一可旋转驱动轴和第二可旋转驱动轴驱动。例如,驱动器可构造成使得第一可旋转驱动轴和第二可旋转驱动轴相对于彼此沿相反方向的旋转致使爪部绕枢轴线相对于轴部枢转。并且,驱动器可构造成使得第一可旋转驱动轴和第二可旋转驱动轴相对于彼此沿相同方向的旋转致使爪部的至少一部分绕第一纵轴线相对于轴部旋转。再者,驱动器可构造成使得在第二可旋转驱动轴不旋转的情况下第一可旋转驱动轴的旋转致使第一爪和第二爪相对移动。
该手术器械可包括设置在第一爪内的手术构件。该手术构件可包括切割元件和/或缝合元件。驱动器可构造成使得在第一可旋转驱动轴不旋转的情况下第二可旋转驱动轴的旋转致使手术构件在第一爪内相对移动。
根据本发明的示例性实施方式提供一种手术器械,该手术器械包括:爪部,其包括第一爪和能够相对于第一爪移动的第二爪;轴部,其联接到爪部的近侧端;以及驱动器,其适于由第一可旋转驱动轴和第二可旋转驱动轴驱动,从而使得第一可旋转驱动轴和第二可旋转驱动轴的选择性旋转使该手术器械执行至少四种不同功能,例如爪部、第一爪、第二爪和轴部中的第一个相对于爪部、第一爪、第二爪和轴部中的至少第二个的移动。
爪部可限定第一纵轴线,至少四种不同功能中的第一种包括使爪部的至少一部分绕第一纵轴线相对于轴部旋转。驱动器构造成由第一可旋转驱动轴和第二可旋转驱动轴相对于彼此沿相同方向的旋转来驱动从而使爪部的至少一部分绕第一纵轴线相对于轴部旋转。轴部可限定第二纵轴线,至少四种不同功能中的第二种包括使爪部绕垂直于第二纵轴线的枢轴线相对于轴部枢转。驱动器构造成由第一可旋转驱动轴和第二可旋转驱动轴相对于彼此沿相反方向的旋转来驱动从而使爪部绕枢轴线相对于轴部枢转。至少四种不同功能中的第三种可包括使第一爪相对于第二爪移动。驱动器构造成在第二可旋转驱动轴不旋转的情况下由第一可旋转驱动轴驱动,从而使第一爪和第二爪相对移动。另外,该手术器械还可包括设置在第一爪内的手术构件—例如切割和/或缝合元件,至少四种不同功能中的第四种包括使手术构件在第一爪内相对移动。驱动器构造成在第一可旋转驱动轴不旋转的情况下由第二可旋转驱动轴的旋转来驱动,从而使手术构件在第一爪内相对移动。
附图说明
图1是常规的线性夹紧、切割及缝合器械的立体图;
图2(a)是根据本发明的机电驱动器部件的示例性实施方式的立体图;
图2(b)是示出根据本发明示例性实施方式的手术器械的一些部件的示意图;
图3(a)是根据本发明示例性实施方式的手术器械的立体图;
图3(b)是示出根据本发明一种实施方式的手术器械的一些内部部件的后视立体图;
图3(c)是示出根据本发明一种实施方式的手术器械的一些内部部件的侧视立体图;
图3(d)是示出根据本发明一种实施方式的爪部的立体图,该爪部相对于轴部充分枢转—例如是铰接的;
图3(e)是示出根据本发明一种实施方式的爪部的仰视立体图,该爪部相对于轴部充分枢转;
图3(f)是根据本发明一种实施方式的可更换缝钉筒的分解图;
图3(g)是根据本发明一种实施方式的处于完全闭合位置的手术器械的截面图;
图3(h)是根据本发明另一示例性实施方式的第一爪的仰视图;
图3(i)至3(l)是示出根据本发明另一示例性实施方式的第一爪和第二爪的开启和闭合的侧视截面图;
图4(a)是根据本发明另一示例性实施方式的铰接的夹紧、切割及缝合附件的立体图;
图4(b)是示出根据本发明示例性实施方式的爪部的第二爪的附加特征的立体图;
图5(a)是示出根据本发明示例性实施方式的第二爪的近侧端的立体图;
图5(b)示出移动到第一部分闭合位置时的图4(a)的手术器械;
图5(c)示出移动到第二部分闭合位置时的图4(a)的手术器械;
图5(d)示出移动到完全闭合位置时的图4(a)的手术器械;
图6(a)示出根据本发明示例性实施方式的柔性轴和第一联接件;
图6(b)示出根据本发明示例性实施方式的第一联接件的后视立体图;
图6(c)示出根据图6(b)中示出的示例性实施方式的第一联接件的主视立体图;
图6(d)是根据本发明示例性实施方式的第一联接件的一些内部部件的侧视立体图;
图6(e)是根据本发明示例性实施方式的柔性轴的远侧端处的第二联接件的后视立体图;
图7示出根据本发明另一示例性实施方式的柔性轴的侧视图,该图的一部分是截面图;
图8是该柔性轴沿图7中示出的线8-8的截面图;
图9示出根据本发明示例性实施方式的第一联接件的后视端面图;
图10中能够观察到根据本发明示例性实施方式的柔性轴的第二联接件的主视端面图;
图11示意性地示出根据本发明示例性实施方式的马达的布局;
图12示出根据本发明示例性实施方式的机电驱动器部件的示意图;
图13是根据本发明示例性实施方式的编码器的示意图;
图14示意性地示出根据本发明示例性实施方式的存储模块;
图15中能够观察到根据本发明示例性实施方式的无线RCU的示意图;并且
图16中能够观察到根据本发明示例性实施方式的有线RCU的示意图。
具体实施方式
图2(b)是示出根据本发明示例性实施方式的手术器械11的一些部件的示意图。手术器械11构造成特别适于例如经由套管(未图示)插入患者体内。在所示实施方式中,手术器械11是夹紧、切割及缝合器械。手术器械11包括通过铰链部分11c以可枢转方式联接到轴部11b的爪部11a。爪部11a包括第一爪50和第二爪80,第一爪50具有远侧端50a和近侧端50b,第二爪80具有远侧端80a和近侧端80b。第一爪50和第二爪80在它们相应的近侧端50b、80b处或附近以可枢转方式相互联接。在所示示例性实施方式中,第一爪50和第二爪80绕枢轴线A相对于彼此枢转,枢轴线A定向成垂直于页面。
如上所述,爪部11a通过铰链部分11c以可枢转方式联接到轴部11b。具体而言,爪部11a可绕枢轴线B相对于轴部11b枢转,枢轴线B可以定位在爪部11a和轴部11b上或爪部11a和轴部11b之间的任何位置处,并且可以相对于爪部11a和轴部11b定位在任何周向位置处。在所示的示例性实施方式中,枢轴线B在所示附图中定位成竖直的,从而使得在铰链活动时爪部11a在垂直于页面的平面内枢转。应当认识到,在其它示例性实施方式中,枢轴线B可具有不同的方位,从而使爪部11a能够在不同的平面内枢转。爪部11a可相对于轴部11b枢转到任何角度以及在相对于轴部11b的任何角度之间枢转,从而使得能够在使用过程中根据需要选择性地对爪部11a进行定位。可相对于轴部11b的纵轴线设置多根枢轴线(轴部11b的纵轴线在图2b中标示为轴线D)。例如,在多种实施方式中,爪部11a可绕轴部11b的纵轴线D而相对于轴部11b旋转,或者爪部11a可绕垂直于纵轴线D的多根枢轴线而相对于轴部11b旋转。
轴部11b可包括远侧部分1101和近侧部分1102,爪部11a连接到远侧部分1101。轴部11b的近侧部分1102可包括手柄1103,使用者可通过手柄1103握持手术器械11。在近侧部分1102的最近侧端处,轴部11b可包括用于连接到柔性轴(下文将更详细的描述)的连接元件1104,例如速接联接件。
第二爪80包括夹紧表面106。第二爪80还包括切割及缝合元件104,切割及缝合元件104可形成第二爪80的夹紧表面106的至少一部分。第一爪50包括与第二爪80相对的钉砧构件700。钉砧构件700包括夹紧表面108,夹紧表面108与第二爪80的夹紧表面106一起夹紧组织的待切割和缝合的部分。如下文将更详细地解释的,切割及缝合元件104构造成当第一爪50和第二爪80处于闭合位置—例如完全闭合位置时切割并缝合组织部分。下文将例如结合图3(f)和3(g)来说明并描述根据一种实施方式的切割及缝合元件104的附加特征,另外,如上所述,2001年11月30日提交的美国专利申请第09/999,546号以及2003年6月11日提交的美国专利申请第10/460,291号都说明和描述了切割及缝合元件104的附加特征,每个所述专利申请的全部内容都通过引用明确地结合到本文中。
可采用各种驱动器驱动手术器械11运动,例如使爪部11a相对于轴部11b枢转、使爪部11a或爪部11a的某些部分相对于轴部11b绕其纵轴线旋转、使第一爪50相对于第二爪80枢转、启动缝钉筒等。根据本发明的一种实施方式,这些功能通过将手术器械11连接到具有两个可旋转驱动轴的柔性轴来实现,但是应当认识到,在其它实施方式中可采用不同类型和/或不同数目的驱动部件。
图2(b)示意性地示出一种实施方式,其中,手术器械11使用第一驱动器88和第二驱动器98,每个所述驱动器连接到例如柔性驱动轴的两个可旋转驱动轴中相应的一个。例如,第一驱动器88可以工作从而使第一爪50和第二爪80相对于彼此运动。第一驱动器88可包括能够使第一爪50和第二爪80相对于彼此运动的任何类型的驱动机构。第一驱动器88可以至少部分地位于第二爪80的近侧端80b中并可以连接到第一爪50的近侧端50b。第一驱动器88可以接合第一爪50的近侧端50b从而使第一爪50相对于第二爪80开启和闭合。另外,第一驱动器88可穿过手术器械11的轴部11b而延伸到第一驱动凹座654。第一驱动器88的第一驱动凹座654通过第一驱动轴94联接到第一马达96。如下文将更详细地解释的,当经由第一驱动轴94而与第一马达96接合时,除执行手术器械11的其它操作之外,第一驱动器88可以工作从而使第一爪50相对于第二爪80开启和闭合。
第二爪80还包括第二驱动器98。第二驱动器98也可穿过手术器械11的轴部11b而延伸到第二驱动凹座694。第二驱动凹座694通过第二驱动轴102联接到第二马达100。当经由第二驱动轴102与第二马达100接合时,除执行手术器械11的其它操作之外,第二驱动器98可以工作从而驱动切割及缝合元件104来切割并缝合组织部分52。
尽管在图中示出两个驱动凹座—例如第一驱动凹座654和第二驱动凹座694以及两根相应的驱动轴—例如第一驱动轴94和第二驱动轴102为手术器械11的一部分并且用于夹紧、切割及缝合组织部分,然而可以提供任何合适数目的驱动凹座和驱动轴。例如,可提供单根驱动轴以执行手术器械11的上述功能。
在一种实施方式中,两根驱动轴—例如第一驱动轴94和第二驱动轴102也构造成用于使爪部11a相对于轴部11b运动。这种类型的实施方式的示例示出在例如图3(a)至图3(e)中,并且下文将对此做出进一步描述。替代性地,并且如图2(b)所示,手术器械11还可包括用于使爪部11a相对于轴部11b运动的第三驱动器201和第四驱动器202。例如,第三驱动器201可构造成使爪部11a绕轴线B相对于轴部11b枢转,而第四驱动器202可构造成使爪部11a相对于轴部11b绕其纵轴线D旋转。在一种实施方式中,第三驱动器201和第四驱动器202是穿过手术器械11的轴部11b分别延伸到第三驱动凹座2011和第四驱动凹座2021的可旋转驱动轴。第三驱动凹座2011通过第三驱动轴2012联接到第三马达2013。当经由第三驱动轴2012与第三马达2013接合时,第三驱动器201工作从而使爪部11a绕轴线B相对于轴部11b枢转。第四驱动凹座2021通过第四驱动轴2022联接到第四马达2023。当经由第四驱动轴2022与第四马达2023接合时,第四驱动器202工作从而使爪部11a相对于轴部11b绕其纵轴线D旋转。
驱动轴—例如第一可旋转驱动轴94和第二可旋转驱动轴102以及任何其它驱动轴可以容纳在诸如图2(a)中示出的柔性驱动轴1620之类的柔性驱动轴内。也可以采用其它类型的柔性驱动轴。例如,所述驱动轴可容纳在指定工作证号为11443/210的代理人代理的、申请人的同时待决的临时专利申请中描述和图示类型的柔性驱动轴内,该申请的全部内容通过引用结合到本文中。
参阅图2(b),手术器械11也可包括存储模块6041。在一种实施方式中,存储模块6041连接到切割及缝合元件104或者与切割及缝合元件104一体形成。存储模块6041通过数据传输线缆1278连接到数据连接器1272。下文将结合图3(f)和图7说明这些部件的附加特征。
再者,图2(b)还示出连接元件1104。连接元件1104可包括速接套筒713,速接套筒713具有与柔性驱动轴1620的互补速接元件1664接合的速接凹槽713a,下文将对此进行更详细的描述。为了将柔性驱动轴1620的速接元件1664保持在速接套筒713的速接凹槽713a中,连接元件1104也可包括弹簧。
根据本发明的示例性实施方式,手术器械11可以构造成诸如具有图2(a)中示出的马达系统的机电驱动器部件1610之类的机电手术系统的附件,或者可以与诸如具有图2(a)中示出的马达系统的机电驱动器部件1610之类的机电手术系统一体地设置。应当理解的是,在该示例性实施方式中,可设置任何合适数目的马达,并且所述马达可借助电池电源、线路电流、DC电源、电子控制DC电源等运转。还应当理解的是,所述马达可连接到DC电源,该DC电源又连接到线路电流并给所述马达提供工作电流。在另一示例性实施方式中,该手术器械可以是机械驱动器系统的附件或者可以与机械驱动器系统一体地设置。
图3(a)是根据本发明一种实施方式的手术器械11的立体图。如上所述,图3(a)至3(e)示出本发明的一种实施方式,其中,两根驱动轴构造成用于使爪部11a相对于轴部11b运动、使爪部11a绕其纵轴线旋转、使第一爪50相对于第二爪80运动以及启动缝合及切割筒。在图3(a)中示出的位置中,爪部11a定位成相对于轴部11b大约成60度角。可以根据患者身上的切口以及期望夹紧、切割及缝合的组织的位置来以适合的方式对爪部11a进行定位。
图3(b)是示出根据本发明示例性实施方式的手术器械11的一些内部部件的后视立体图。手术器械11的外部本体以虚线示出。如图所示,爪部11a处于初始位置,在初始位置其沿轴向与轴部11b对齐。
图3(b)示出可沿轴向在轴部11b内旋转的第一可旋转驱动轴500。齿轮元件502联接到第一可旋转驱动轴500。齿轮元件502绕纵轴线旋转并与齿轮元件504啮合。齿轮元件504由销505保持在合适位置,销505的中心轴线与爪部11a相对于轴部11b枢转所绕的枢轴线B共轴。
齿轮元件504还与爪部11a内的齿轮元件506啮合。齿轮元件506通过轴508连接到齿轮元件510。齿轮元件506、齿轮元件510以及轴508在爪部11a内绕着由轴508的中心轴线限定的纵轴线旋转。齿轮元件510与齿轮元件512啮合,齿轮元件512绕沿纵向设置在爪部11a内的销513旋转。齿轮元件512与齿轮元件514啮合。齿轮元件514具有向远侧方向延伸到一组齿516的轴部。齿516可选择性地与板518中对应形状的开口接合,板518用键连接到手术器械11的内表面从而防止板518相对转动。板518可沿轴向在第一位置和第二位置之间移动,在第一位置处,板518中对应形状的开口与齿516锁定接合,在第二位置处,板518相对于第一位置向远侧方向移动并且板518中对应形状的开口不与齿516接合。
螺杆520从齿轮514以及带有齿516的轴部向远侧方向延伸。螺杆520沿纵向设置并且构造成当齿轮514旋转时绕纵轴线旋转。推块522安装在螺杆520上。推块522用键连接到手术器械11的内表面,从而防止推块522相对转动。一对滚子524以可旋转方式联接到推块522的下部远侧端。该对滚子524定位在上爪50每一侧的相应凹槽5011内。上爪50和凹槽5011在图3(b)中以虚线示出。
图3(b)还示出可沿轴向在轴部11b内旋转的第二可旋转驱动轴550。齿轮元件552联接到第二可旋转驱动轴550。齿轮元件552绕纵轴线旋转并与齿轮元件554啮合。齿轮元件554由销505保持在合适位置,销505的中心轴线与爪部11a相对于轴部11b枢转所绕的枢轴线B共轴。
齿轮元件554还与爪部11a内的齿轮元件556啮合。齿轮元件556通过轴558连接到齿轮元件560。齿轮元件556、齿轮元件560以及轴558绕着由轴558的中心轴线限定的纵轴线在爪部11a内旋转。齿轮元件560与安装在销513近侧端上的齿轮元件562a啮合。齿轮元件562a构造成适于以不可旋转方式安装在销513上并因此与销513一起旋转,销513在爪部11a内沿纵向延伸。另外,齿轮元件562b适于以不可旋转方式安装在销513的远侧端上。因此,齿轮元件562b也构造成与销513一起旋转。
齿轮元件562b具有轴部,该轴部向远侧方向延伸并包括一组齿5661(在图3(b)中被挡住了,但在图3(d)中示出)。齿5661选择性地与板518中对应形状的开口接合。如上所述,板518用键连接到手术器械11的内表面从而防止板518相对转动,并且板518能够沿轴向在第一位置和第二位置之间移动,在第一位置处板518中对应形状的开口与齿5661锁定接合,在第二位置处板518相对于第一位置向远侧方向移动并且板518中对应形状的开口不与齿5661接合。
齿轮元件562b与齿轮元件564啮合。第一纵向杆566从齿轮564向远侧方向延伸。第一纵向杆566附连到第二纵向杆568。第二纵向杆568具有肩部572。弹簧介于第一纵向杆566和第二纵向杆568的肩部572之间。第二纵向杆568的远侧端574构造成与楔件驱动器605中相应的开口接合。楔件驱动器605旋转从而沿缝钉筒驱动缝合/切割楔件(下文将对此进行更详细的描述)。
这些部件还示出在其它各个视图中。例如,图3(c)是示出手术器械11的一些内部部件的侧视立体图。如图所示,爪部11a相对于轴部11b枢转—例如以铰接方式运动。此外,图3(d)是示出爪部11a相对于轴部11b进一步枢转—例如以铰接方式运动的立体图。并且,图3(e)是示出爪部11a相对于轴部11b枢转—例如以铰接方式运动的仰视立体图。
如上所述,手术器械11还可包括切割及缝合元件104。在一种实施方式中,切割及缝合元件104是缝钉筒。图3(f)是可更换缝钉筒600的分解图。可更换缝钉筒600是一种缝合/切割装置,该缝合/切割装置可用作图3(a)至3(e)中示出的本发明示例性实施方式中的切割及缝合元件104。可更换缝钉筒600包括缝钉槽604。缝钉槽604具有位于其近侧端604d处的凹槽604i,存储模块6041由存储模块保持器6042保持在凹槽604i中。存储模块6041可以存储例如以下专利文献中所述的信息:2000年11月28日提交的美国专利申请第09/723,715号—已于2004年9月21日授权为美国专利第6,793,652号、2001年4月17日提交的美国专利申请第09/836,781号、2001年6月22日提交的美国专利申请第09/887,789号以及2002年3月15日提交的美国专利申请第10/099,634号,每份所述专利文献的全部内容通过引用明确地结合到本文中。楔件驱动器605构造成以可旋转方式穿过缝钉槽604的中央通道604e。具体而言,楔件驱动器605具有远侧端605a,远侧端605a构造成以可旋转方式安装在缝钉槽604的远侧孔口604a内。楔件驱动器605还包括外螺纹区域605b、以可旋转方式延伸穿过缝钉槽604的近侧端604d中的近侧孔口604b的非螺纹部分605c、以及位于楔件驱动器605最近侧端处的朝向近侧的开口605d,朝向近侧的开口605d用于接收第二纵向杆568的远侧端574。朝向近侧的开口605d和第二纵向杆568的远侧端574适于当第二纵向杆568的远侧端574被接收在—例如被插入在朝向近侧的开口605d内时以不可旋转的方式相互联接。
可更换缝钉筒600还包括具有内螺纹孔603a的楔件603。楔件驱动器605的外螺纹区域605b构造成延伸穿过楔件603的内螺纹孔603a。楔件603的内螺纹孔603a的螺纹与楔件驱动器605的外螺纹区域605b的螺纹相匹配。如下文将要论述的,当楔件驱动器605旋转时,楔件603在缝钉槽604的远侧端604c与缝钉槽604的近侧端604d之间移动穿过中央通道604e。
缝钉槽604还包括位于中央通道604e的相对壁604g上的竖向设置的多个凹槽604f。在中央通道604e的每一侧上,缝钉推动器607构造成以可滑动方式设置在凹槽604f内。更具体地,每个缝钉推动器607具有沿纵向在缝钉推动指607c的两行607b之间行进的顶表面607a。缝钉推动指607c构造成使得抵靠缝钉槽604的壁604g的行607b中的每个缝钉推动指607c保持在壁604g的相应的凹槽604f内,从而能够在凹槽604f中沿竖向滑动。缝钉推动指607c定位在缝钉槽604中的凹槽604h上方。缝钉槽604中的凹槽604h容纳多个紧固件—例如缝钉606。每个缝钉606包括根部606a和一对延伸部606b。
楔件603还包括以可滑动方式与缝钉推动器607的相应的顶表面607a接合的一对倾斜边缘603b。当楔件603从缝钉槽604的远侧端604c到缝钉槽604的近侧端604d移动穿过中央通道604e时,楔件603的该对倾斜边缘603b构造成以可滑动方式接合缝钉推动器607的相应的顶表面607a,以便连续推动缝钉推动器607的缝钉推动指607c进入缝钉槽604中的凹槽604h中并因此将缝钉606从缝钉槽604上的凹槽604h中推出。筒顶611构造成配合在缝钉槽604的中央通道604a上方,而缝钉保持器610构造成覆盖缝钉槽604的夹紧表面106。下文将结合图3(g)描述缝钉筒600的附加特征—例如刀片51,这些特征将在手术器械11工作的过程中描述。
图3h是第一爪50的仰视图。第一爪50包括具有沿纵向设置的凹槽701的钉砧构件700,凹槽701从钉砧构件700的远侧端延伸到近侧端。凹槽701与第二爪80的刀片51对准,从而刀片51延伸到凹槽701内并且当刀片从第二爪80的远侧端80a移动到近侧端80b时沿凹槽701行进。钉砧构件700还包括缝钉导向件703的多个行702。缝钉导向件703构造成接收缝钉606的延伸部606b并使延伸部606b弯曲从而使缝钉606闭合。当手术器械11处于闭合位置时,缝钉导向件703的行702与第二爪80中的缝钉槽604的凹槽604h对准。
在操作过程中,爪部11a保持在初始位置,在初始位置处爪部11a与轴部11b沿轴向对齐,例如图3(b)中示出的位置。在该位置时,手术器械11可以例如通过套管针插入手术部位。根据切口以及待夹紧、缝合和切割的组织的位置,使用者随后可以使爪部11a相对于轴部11b以铰接方式运动。
在第一铰接运动过程中,爪部11a相对于轴部11b枢转。板518例如位于其第一位置,从而使得板518中的两个开口分别与齿轮元件514的齿516以及齿轮元件562b的齿5661锁定接合。然后第一可旋转驱动轴500和第二可旋转驱动轴550沿相反方向旋转。例如,参阅图3(b),为了使爪部11a相对于轴部11b沿顺时针方向铰接运动(从上方观察时),第一可旋转驱动轴500可沿逆时针方向旋转(除非另有说明,否则为了简洁起见,本文中引用的所有旋转方向—例如顺时针或逆时针均指的是从手术器械的近侧端朝手术器械11的远侧端观察所得的方向)。因此使得附连到第一可旋转驱动轴500的齿轮元件502也沿逆时针方向旋转。由于齿轮元件502与齿轮元件504啮合,所以齿轮元件502的逆时针旋转使齿轮元件504绕销505沿逆时针方向旋转(从上方观察时)。由于齿轮元件504与齿轮元件506啮合,所以齿轮元件504的逆时针旋转使齿轮元件506沿顺时针方向旋转。
与此同时,第二可旋转驱动轴550可沿顺时针方向旋转。因此使得附连到第二可旋转驱动轴550的齿轮元件552也沿顺时针方向旋转。由于齿轮元件552与齿轮元件554啮合,所以齿轮元件552的顺时针旋转使齿轮元件554绕销505沿逆时针方向旋转(从上方观察)。由于齿轮元件554与齿轮元件556啮合,所以齿轮元件554的顺时针旋转使齿轮元件556沿逆时针方向旋转。板518与齿516和5661的接合防止齿轮元件506和556相对于手术器械11旋转。因此,使得爪部11a相对于轴部11b沿顺时针方向旋转(从上方观察)。为了使爪部11a从上方观察时相对于轴部11b沿相反方向—例如逆时针方向旋转,则使第一可旋转驱动轴500和第二可旋转驱动轴550的旋转方向与上述方向相反即可。
一旦爪部11a绕销505旋转到期望位置,则在第二铰接运动过程中爪部11a也可以绕爪部11a的纵轴线—例如示出为轴线D的轴线而相对于轴部11b旋转。板518被保持在其第一位置,从而使得板518中的两个开口分别与齿轮元件514的齿516以及齿轮元件562b的齿5661锁定接合。然后使第一可旋转驱动轴500和第二可旋转驱动轴550沿相同方向旋转。例如,参阅图3(b),为了使爪部11a绕其纵轴线相对于轴部11b沿逆时针方向旋转,可以使第一可旋转驱动轴500沿逆时针方向旋转。因此使得附连到第一可旋转驱动轴500的齿轮元件502也沿逆时针方向旋转。由于齿轮元件502与齿轮元件504啮合,所以齿轮元件502的逆时针旋转使齿轮元件504绕销505沿逆时针方向旋转(从上方观察时)。由于齿轮元件504与齿轮元件506啮合,所以齿轮元件504的逆时针旋转使齿轮元件506沿顺时针方向旋转。由于齿轮元件506通过轴508附连到齿轮元件510,所以齿轮元件506沿顺时针方向的旋转使齿轮元件510也沿顺时针方向旋转。由于齿轮元件510与齿轮元件512啮合,所以齿轮元件510的顺时针旋转使齿轮元件512沿逆时针方向旋转。
还可以使第二可旋转驱动轴550沿逆时针方向旋转。因此使得附连到第二可旋转驱动轴550的齿轮元件552也沿逆时针方向旋转。由于齿轮元件552与齿轮元件554啮合,所以齿轮元件552的逆时针旋转使齿轮元件554绕销505沿顺时针方向旋转(从上方观察)。由于齿轮元件554与齿轮元件556啮合,所以齿轮元件554的顺时针旋转使齿轮元件556沿顺时针方向旋转。由于齿轮元件556通过轴558附连到齿轮元件560,所以齿轮元件556沿顺时针方向的旋转使齿轮元件560也沿顺时针方向旋转。由于齿轮元件560与齿轮元件562a啮合,所以齿轮元件560的顺时针旋转使齿轮元件562a沿逆时针方向旋转。并且,由于齿轮元件562a和齿轮元件562b适于以不可旋转方式安装—例如用键连接到销513,所以齿轮元件562a沿逆时针方向的旋转也使齿轮元件562b沿逆时针方向旋转。
因此,齿轮元件562b和齿轮元件512一起绕它们共有的纵轴线—例如销513的中心轴线沿逆时针方向旋转。由于板518被保持在其第一位置,所以使得板518中的两个开口分别与齿轮元件514的齿516以及齿轮元件562b的齿5661锁定接合。因此,齿轮元件562b和齿轮元件512绕销513沿逆时针方向的旋转使齿轮元件514和齿轮元件564也绕销513沿逆时针方向旋转,而销513的中心轴线与爪部11a的纵轴线D共轴。该齿轮元件连接到螺杆520,螺杆520上安装有推块522。由于推块522用键连接到爪部11a的内表面,所以齿轮元件514绕纵轴线D的旋转使爪部11a绕其纵轴线D相对于轴部11b旋转。
一旦爪部11a绕其纵轴线D相对于轴部11b旋转到期望位置,爪50、80便可以打开从而使组织部分置于所述爪之间。为了执行这种操作,板518向远侧方向移动到其第二位置,从而使板518中的两个开口不与齿轮元件514的齿516锁定接合也不与齿轮元件562b的齿5661锁定接合。随后使第一可旋转驱动轴500沿第一方向旋转,而使第二可旋转驱动轴550不旋转。例如,参阅图3(b),为了使第一爪50相对于第二爪80打开,可使第一可旋转驱动轴500沿逆时针方向旋转。因此使得附连到第一可旋转驱动轴500的齿轮元件502也沿逆时针方向旋转。由于齿轮元件502与齿轮元件504啮合,所以齿轮元件502的逆时针旋转使齿轮元件504绕销505沿逆时针方向旋转(从上方观察时)。由于齿轮元件504与齿轮元件506啮合,所以齿轮元件504的逆时针旋转使齿轮元件506沿顺时针方向旋转。由于齿轮元件506通过轴508附连到齿轮元件510,所以齿轮元件506沿顺时针方向的旋转使齿轮元件510也沿顺时针方向旋转。由于齿轮元件510与齿轮元件512啮合,所以齿轮元件510的顺时针旋转使齿轮元件512沿逆时针方向旋转。由于齿轮元件512与齿轮元件514啮合,齿轮元件512的逆时针旋转使齿轮元件514沿顺时针方向旋转。因为板518移动到其第二位置,所以齿轮元件512绕销513旋转,而销513不旋转。
齿轮元件514的顺时针旋转使螺杆520沿顺时针方向旋转。在操作的初始阶段,例如当手术器械11起初插入患者体内时,推块522沿螺杆520位于最远侧位置处。螺杆520的旋转使推块522向近侧方向行进,推块522适于以不可旋转方式安装—例如用键连接到手术器械11的内表面内。推块522向近侧的运动使该对滚子524在上爪50的每一侧的相应的凹槽5011内向近侧方向移动。当推块522移动到螺杆520的近侧端时,滚子524位于凹槽5011的近侧端处,在该位置处第一爪50相对于第二爪80最大限度地开启。
一旦第一爪50和第二爪80相互开启到期望位置,爪50、80便被闭合以便在其二者之间夹紧组织部分。而且,在板518处于第二位置的情况下,例如板518中的两个开口没有相应地与齿轮元件514的齿516接合也不与齿轮元件562b的齿5661接合,则第一可旋转驱动轴500沿第二方向旋转,而第二可旋转驱动轴550不旋转。例如,参阅图3(b),为了使第一爪50相对于第二爪80闭合,可以使第一可旋转驱动轴500沿顺时针方向旋转。因此使得附连到第一可旋转驱动轴500的齿轮元件502也沿顺时针方向旋转。由于齿轮元件502与齿轮元件504啮合,所以齿轮元件502的顺时针旋转使齿轮元件504绕销505沿顺时针方向旋转(从上方观察时)。由于齿轮元件504与齿轮元件506啮合,所以齿轮元件504的顺时针旋转使齿轮元件506沿逆时针方向旋转。因为齿轮元件506通过轴508附连到齿轮元件510,所以齿轮元件506沿逆时针方向的旋转使齿轮元件510也沿逆时针方向旋转。由于齿轮元件510与齿轮元件512啮合,所以齿轮元件510的逆时针旋转使齿轮元件512沿顺时针方向旋转。由于齿轮元件512与齿轮元件514啮合,所以齿轮元件512的顺时针旋转使齿轮元件514沿逆时针方向旋转。因为板518移动到其第二位置,所以齿轮元件512绕销513旋转,而销513不旋转。
齿轮元件514的逆时针旋转使螺杆520沿逆时针方向旋转。如上所述,推块522沿螺杆520位于最近侧位置。螺杆520的旋转使用键连接到手术器械11的内表面的推块522向远侧方向行进。推块522的向远侧运动使该对滚子524在上爪50的每一侧的相应的凹槽5011内向远侧方向移动。当推块522移动到螺杆520的远侧端时,滚子524位于凹槽5011的远侧端处,在该位置处第一爪50与第二爪80最大限度地夹紧。应当指出的是,尽管第一爪50和第二爪80以简单的剪刀型式开启和闭合,但是在其它实施方式中第一爪50和第二爪80可以不同方式开启和闭合。下文将结合图3(f)至3(i)更详细地描述这种运动的示例。
一旦组织部分夹紧在第一爪50和第二爪80之间,便可切割及缝合组织部分。应当认识到,尽管本发明示出为既采用切割元件又采用缝合元件,但是手术器械11可以仅采用一个此种元件,或者采用一种不同类型的手术器具。在手术器械11插入患者体内之前,缝钉筒600设置在第二爪80内。在一种实施方式中,手术器械11是单用途器械,其中缝钉筒与第二爪80一体地设置。替代性地,手术器械11具有可更换缝钉筒—例如图3(f)中示出的可更换缝钉筒600,从而允许手术器械11多次与不同的缝钉筒结合使用。在该实施方式中,如果手术器械11是第一次使用,则可以在制造及组装手术器械11的过程中预先安装缝钉筒600,或者在使用手术器械11之前由使用者安装缝钉筒600。如果手术器械11是第二次或更多次使用,则可以在使用手术器械11之前由使用者安装缝钉筒600。当缝钉筒600插入第二爪80内时,纵向杆568的远侧端574接收在楔件驱动器605的朝向近侧的开口605d内。
为了示出手术器械11的切割/缝合操作,首先参阅图3(b)。缝钉筒600安装在手术器械11的第二爪80内,板518被保持在其第二位置,从而使得板518中的两个开口没有相应地与齿轮元件514的齿516接合也没有与齿轮元件562b的齿5661接合。然后使第二可旋转驱动轴550沿第一方向旋转,而第一可旋转驱动轴500不旋转。例如,为了切割及缝合位于第一爪50和第二爪80之间的组织部分,可使第二可旋转驱动轴550沿逆时针方向旋转。因此使得附连到第二可旋转驱动轴550的齿轮元件552也沿逆时针方向旋转。由于齿轮元件552与齿轮元件554啮合,所以齿轮元件552的逆时针旋转使齿轮元件554绕销505沿顺时针方向旋转(从上方观察)。由于齿轮元件554与齿轮元件556啮合,所以齿轮元件554的顺时针旋转使齿轮元件556沿顺时针方向旋转。因为齿轮元件556通过轴558附连到齿轮元件560,所以齿轮元件556沿顺时针方向的旋转使齿轮元件560也沿顺时针方向旋转。由于齿轮元件560与齿轮元件562a啮合,所以齿轮元件560的顺时针旋转使齿轮元件562a和562b沿逆时针方向旋转。由于齿轮元件562b与齿轮元件564啮合,所以齿轮元件562b的逆时针旋转使齿轮元件564沿顺时针方向旋转。因为板518移动到第二位置,所以齿轮元件562b与销513一起旋转,而齿轮元件514不旋转。
齿轮元件564的顺时针旋转使第一纵向杆566与第二纵向杆568一起沿顺时针方向旋转。位于第一纵向杆566的远侧端和第二纵向杆568的肩部572之间的弹簧570用于沿远侧方向偏压第二纵向杆568,从而确保第二纵向杆568的远侧端574定位在楔件驱动器605的相应的开口605d内。
为了进一步示出手术器械11的切割/缝合操作,接下来参阅图3(g)。图3(g)是根据本发明一种实施方式的手术器械11处于完全闭合位置的截面图。在图3(g)中,手术器械11示出为第一爪50和第二爪80的夹紧表面106、108之间不存在组织部分。
如图3(g)所示,手术器械11设置在第二爪80内,并且切割及缝合元件104包括图3(g)中的可更换缝钉筒600,可更换缝钉筒600能够以可更换方式安装在第二爪80内。可更换缝钉筒600在图3(f)中以分解图示出,在图3(g)中示出为组装起来并安装在第二爪80内。
如图3(g)所示,楔件603上设置有具有切割边缘51a的刀片51。替代性地,切割及缝合元件可单独设置。在图3(g)中示出的示例性实施方式中,刀片51具有尾部区域654,尾部区域654具有接触面653。刀片51绕销51b以可旋转方式联接到楔件603以使刀片51能够在第一位置和第二位置之间旋转。图3(g)示出当楔件603和刀片51从缝钉槽604的远侧端604c移动到近侧端604d时处于若干不同位置的楔件603和刀片51,所述位置标示为位置A至E。
在标示为A的位置处,楔件603和刀片51位于缝钉槽604的远侧端604c处。在标示为A的位置处,楔件603和刀片51容纳在壳体615内并且刀片51相对于楔件603旋转以便处于缩回位置—例如切割边缘51a面向上并且不暴露在外。接触面653最初面向缝钉槽604的近侧端604d。
在操作过程中,楔件驱动器605借助第二纵向杆568的远侧端574而旋转从而使楔件603和刀片51进给到标示为B的位置。在标示为B的位置处,楔件603和刀片51相对于缝钉槽604的远侧端604c位于近侧。具体而言,在标示为B的位置处,楔件603和刀片51定位成使得刀片51的接触面653开始接触壳体615的致动唇缘615a。当刀片51的接触面653开始接触壳体615的致动唇缘615a时,刀片51开始相对于楔件603旋转。
楔件驱动器605借助第二纵向杆568的远侧端574的进一步旋转使楔件603和刀片51进给到标示为C的位置。在标示为C的位置处,楔件603和刀片51仍然相对于缝钉槽604的远侧端604c位于近侧。具体而言,在标示为C的位置处,楔件603和刀片51定位成使得刀片51的接触面653充分接触壳体615的致动唇缘615a。当刀片51的接触面653充分接触壳体615的致动唇缘615a时,刀片51相对于楔件603充分旋转,从而使得刀片51的切割边缘51a处于伸展位置—例如切割边缘51a面向缝钉槽604的近侧端604d。
楔件驱动器605借助第二纵向杆568的远侧端574的进一步旋转使楔件603和刀片51进给到标示为D的位置。在标示为D的位置处,楔件603和刀片51大致位于缝钉槽604的远侧端604c和近侧端604d之间的中间点处。在标示为D的位置处,刀片51被保持在伸展位置,切割边缘51a面向缝钉槽604的近侧端604d,以便切割夹紧在第一爪50和第二爪80之间的组织部分(未图示)。
楔件驱动器605借助第二纵向杆568的远侧端574的进一步旋转使楔件603和刀片51进给到标示为E的位置。在标示为E的位置处,楔件603和刀片51位于缝钉槽604的近侧端604d处。在标示为E的位置处,刀片51仍然保持在伸展位置,切割边缘51a面向缝钉槽604的近侧端604d。然而,在此位置,刀片51被包容在壳体616内,从而使切割边缘51a不暴露在外。
可以在刀片51从第二爪80的近侧端80b移动到远侧端80a的同时启动容纳在缝钉槽604内的缝钉606。例如,楔件驱动器605借助第二纵向杆568的远侧端574而旋转从而使楔件603移动穿过缝钉槽604的中央通道604e。当楔件603从缝钉槽604的远侧端604c移动到近侧端604d而穿过中央通道604e时,楔件603的该对倾斜边缘603b以可滑动方式接合缝钉推动器607的相应的顶表面607a并且连续推动缝钉推动器607的缝钉推动指607c进入缝钉槽604中的凹槽604h并因此将缝钉606从缝钉槽604中的凹槽604h中推出。当手术器械11处于闭合位置时,缝钉导向件703的行702与第二爪80中的缝钉槽604的凹槽604h对准,从而由缝钉推动器607的缝钉推动指607c将保持在缝钉槽604的凹槽604h中的缝钉606推入钉砧构件700的相应的缝钉导向件703内并由钉砧构件700的相应的缝钉导向件703闭合。当启动手术器械11时缝钉导向件703容纳缝钉606的延伸部606b并弯折延伸部606b以便闭合缝钉606,从而缝合该部分组织。
应当认识到,根据本发明的各种实施方式,刀片51和楔件603可以向近侧或远侧方向移动以便切割位于第一爪50和第二爪80之间的组织部分。再者,应当认识到,根据本发明的各种实施方式,可以采用构造成使刀片51和楔件603移动以便切割和/或缝合位于第一爪50和第二爪80之间的组织部分的任何机械装置。
如上所述,尽管第一爪50和第二爪80的开启和闭合可以简单的剪刀型式进行,但是在其它实施方式中第一爪50和第二爪80可以不同的方式开启和闭合。下文将结合图3(i)至3(l)概述这种运动的示例。2003年6月11日提交的专利申请第10/460,291号中描述了这种运动的进一步的细节和益处,该申请文件的全部内容通过引用明确地结合到本文中。为了清楚起见,手术器械11的靠近齿轮元件514和齿轮元件564的部件没有示出。应当理解的是,齿轮元件514、564可以由图3(a)至3(e)中示出的驱动部件的组合来驱动或者由其它驱动部件的组合来驱动。
图3(i)示出相对于第二爪80处于开启位置的第一爪50。在该位置处,推块522位于螺杆520的近侧端处或螺杆520的近侧端附近,并且附连到推块522的滚子524定位在第一爪50的凹槽5011的近侧端处或第一爪50的凹槽5011的近侧端附近。第一爪50包括枢轴销5012,枢轴销5012接合在第二爪80的竖向凹槽5013内。第一爪50的近侧端50b和第二爪80的近侧端80b分别被偏压而离开彼此,从而使得在图3(i)中示出的初始位置处销5012位于凹槽5013的下端处。
参阅图3(j),当齿轮元件514旋转时,推块522向远侧方向移动到螺杆520的第一中间位置,并且附连到推块522的滚子524在第一爪50的凹槽5011内同样向远侧方向移动到第一中间位置。在图3(j)中示出的位置处,销5012已经在凹槽5013内移动,直到其最终位于凹槽5013的上端处。以这种方式,在第一爪50和第二爪80充分夹紧之前,第一爪50的远侧端50a和第二爪80的远侧端80a闭合。
参阅图3(k),当齿轮元件514进一步旋转时,推块522继续向远侧方向移动到螺杆520的第二中间位置,并且附连到推块522的滚子524在第一爪50的凹槽5011内同样向远侧方向移动到第二中间位置。在图3(k)中示出的位置处,第一爪50和第二爪80的进一步夹紧使销5012再一次在凹槽5013内移动,直到其最终位于凹槽5013的下端处。以这种方式,在第一爪50和第二爪80的近侧部分逐渐夹紧的同时第一爪50的远侧端50a和第二爪80的远侧端80a保持闭合。推块522沿螺杆520继续向远侧方向进行的运动将手术器械11置于图3(l)中示出的位置,在该位置处第一爪50和第二爪80在远侧端50a、80a以及近侧端50b、80b处都相互夹紧。
如上所述,还可以采用使第一爪50相对于第二爪80运动的各种不同的机构。且不管为此目的所采用的机构如何,总体而言期望采用在位于第一爪50和第二爪80之间的组织部分上施加强大夹紧力的机构。图4(a)是根据本发明另一实施方式的手术器械11的立体图,该手术器械采用不同的用于使第一爪50相对于第二爪80运动的机构。
图4(b)是示出爪部11a的第二爪80的附加特征的立体图。为了清楚起见,第一爪50以虚线示出。具体而言,图4(b)示出第一驱动器88的多个部分—例如连接到第一可旋转夹紧元件302的水平驱动器元件301。根据该实施方式的第一驱动器88的这些以及其它特征进一步示出在图5(a)至5(d)中。
图5(a)是示出第二爪80的近侧端80b的立体图。第一爪50的近侧端50b以虚线示出。图5(a)示出处于完全开启位置的手术器械11。在该实施方式中,第一驱动器88包括旋转轴303。第一驱动器88还包括水平驱动器元件301。水平驱动器元件301的近侧端与旋转轴303接合。水平驱动器元件301的远侧端包括开口3011。第一驱动器88还包括第一可旋转夹紧元件302。第一可旋转夹紧元件302具有近侧端3021、中间部分3022以及远侧端3023。
第一驱动器88还包括第二可旋转夹紧元件303。第二可旋转夹紧元件303具有近侧端3032和远侧端3031。第一可旋转夹紧元件302的近侧端以可枢转方式连接到水平驱动器元件301的远侧端处的开口3011。第一可旋转夹紧元件302的中间部分3022以可枢转方式连接到第二可旋转夹紧元件303的近侧端3032。第一可旋转夹紧元件302的远侧端3023以可枢转方式连接到第一爪50。第二可旋转夹紧元件303的远侧端3031以可枢转方式连接到第二爪80。并且,第一爪50的近侧端50b以可枢转方式绕枢轴点A连接到第二爪80的近侧端80b。
当接合第一驱动器88时,手术器械11移动到第一部分闭合位置,如图5(b)所示。具体而言,当接合第一马达96时,第一驱动轴94使第一驱动凹座654沿第一方向旋转。第一驱动凹座654的旋转使第一驱动器88的旋转轴303旋转,旋转轴303的旋转又使水平驱动器元件301向远侧方向移动。应当认识到,尽管第一驱动器88的部件在结合该实施方式时被描述成包括旋转轴303,但是第一驱动器88的所述部件可以包括上文结合图3(a)至3(e)中示出的实施方式所描述的部件中某些或所有部件,或者可以包括适于使水平驱动器元件301向远侧方向移动的部件的任何其它装置。
仍旧参阅图5(b),水平驱动器元件301向远侧方向的运动使第一可旋转夹紧元件302旋转,从而使得第一可旋转夹紧元件302的远侧端3023开始沿下行方向移动。由于第一可旋转夹紧元件302的远侧端3023以可枢转方式附连到第一爪50,所以第一可旋转夹紧元件302的远侧端3023的下行运动使第一爪50绕枢轴点A相对于第二爪80旋转到部分闭合位置。
当进一步接合第一驱动器88时,手术器械11移动到第二部分闭合位置,如图5(c)所示。具体而言,当进一步接合第一马达96时,使得水平驱动器元件301借助第一驱动轴94、第一驱动凹座654以及第一驱动器88的旋转轴303的旋转进一步向远侧方向移动。水平驱动器元件301继续向远侧方向的运动使第一可旋转夹紧元件302进一步旋转,从而使第一可旋转夹紧元件302的远侧端3023继续沿下行方向运动。由于第一可旋转夹紧元件302的远侧端3023以可枢转方式附连到第一爪50,所以第一可旋转夹紧元件302的远侧端3023的继续下行运动使第一爪50绕枢轴点A相对于第二爪80旋转到几乎完全闭合的位置。
当进一步接合第一驱动器88时,手术器械11移动到完全闭合位置,如图5(d)所示。具体而言,当进一步接合第一马达96时,使得水平驱动器元件301借助第一驱动轴94、第一驱动凹座654以及第一驱动器88的旋转轴303的旋转移动到最远侧位置。在最远侧位置处,第一可旋转夹紧元件302充分旋转,从而使得第一可旋转夹紧元件302的远侧端3023处于最低位置。在最低位置处,第一可旋转夹紧元件302的远侧端3023已使第一爪50绕枢轴点A移动到完全闭合位置,从而使得置于第一爪50和第二爪80之间的组织部分52被充分夹紧在第一爪50和第二爪80之间。
根据本发明的示例性实施方式,手术器械11可构造成纯机械器械驱动系统的附件或者与纯机械器械驱动器系统一体地设置,如图1中所示。在另一种实施方式中,手术器械11可构造成诸如图2(a)中示出的机电驱动器系统1610之类的机电手术系统的附件或者可以与诸如图2(a)中示出的机电驱动器系统1610之类的机电手术系统一体地设置。
具体而言,图2(a)是根据本发明的机电驱动器部件1610的示例性实施方式的立体图。这种机电手术系统例如在2000年11月28日提交的美国专利申请第09/723,715号并于2004年9月21日授权的美国专利第6,793,652号、2001年4月17日提交的美国专利申请第09/836,781号、2001年6月22日提交的美国专利申请第09/887,789号以及2002年3月15日提交的美国专利申请第10/099,634号中有所描述,所述专利文献的全部内容通过引用明确地结合到本文中。机电驱动器部件1610可包括例如远程动力控制台1612,远程动力控制台1612包括具有前面板1615的外壳1614。显示器装置1616和指示器1618a、1618b安装在前面板1615上。柔性轴1620从外壳1614延伸并借助第一联接件1622以可拆卸方式附连到外壳1614。柔性轴1620的远侧端1624可包括第二联接件1626,第二联接件1626适于以可拆卸方式将例如上述手术器械11联接到柔性轴1620的远侧端1624。第二联接件1626也适于以可拆卸方式附连不同的手术设备或附件。在另一示例性实施方式中,柔性轴1620的远侧端1624可永久性地附连到手术设备或与手术设备一体地设置。
图6(a)至6(e)示出根据本发明的一种实施方式的可用于将手术器械11连接到机电驱动部件1610的联接件和柔性轴的装置。例如,图6(a)示出从外壳1614延伸并借助第一联接件2622以可拆卸方式附连到外壳1614的柔性轴2620。柔性轴2620的远侧端2624可包括适于以可拆卸方式将例如上述手术器械11连接到柔性轴2620的远侧端2624的第二联接件2626。图6(b)示出根据本发明一种实施方式的第一联接件2622的后视立体图。图6
(c)示出根据图6(b)中示出的实施方式的第一联接件2622的主视立体图。图6(d)是第一联接件2622的一些内部部件的侧视立体图。图6(e)是根据本发明一种实施方式的柔性轴2620的远侧端2624处的第二联接件2626的后视立体图。为了清楚起见,柔性轴2620在图6(e)中以虚线示出。在指定工作证号为11443/210的代理人代理的、申请人的同时待决专利申请中进一步描述这些部件的附加特征。
尽管柔性轴2620以及联接件2622、2626的组合提供一种可以将手术器械11附连到机电动力控制台1610的装置,但是可以采用任何合适的装置。例如,图7至10示出另一种可以将手术器械11附连到机电动力控制台1610的装置。参阅图7,图中示出柔性轴1620的侧视图,其中一部分是截面图。根据一种示例性实施方式,柔性轴1620包括管状外套1628,管状外套1628可包括构造成在其内部通道1640和外界环境之间提供流体密封的包层或其它密封装置。外套1628可以由与组织兼容且可消毒的弹性材料制成。外套1628还可以由耐高压加热的材料形成。第一可旋转驱动轴94、第二可旋转驱动轴102、第一转向线缆1634、第二转向线缆1635、第三转向线缆1636、第四转向线缆1637以及数据传输线缆1638可设置在柔性轴1620的内部通道1640内并沿其整个长度延伸。图8是柔性轴1620沿图7中示出的线8-8的截面图,并且该图中进一步示出所述若干线缆94、102、1634、1635、1636、1637以及1638。转向线缆1634、1635、1636、1637中每个的远侧端附接到柔性轴1620的远侧端1624。所述若干线缆94、102、1634、1635、1636、1637以及1638中的每个都可以容置在相应外套内。
第一可旋转驱动轴94和第二可旋转驱动轴102可以构造成例如高柔度驱动轴,例如编织的或螺旋状的驱动线缆。应当理解的是,这种高柔度驱动线缆可能具有有限的扭矩传输特性和能力。还应当理解的是,手术器械11或者连接到柔性轴1620的其它附件可能需要比驱动轴94、102能够传输的扭矩更高的扭矩输入。因此驱动轴94、102可以构造成传输高速/低扭矩,高速/低扭矩可以通过例如设置在手术设备或附件中和/或远程动力控制台1612中的驱动柔性轴1620的远侧端和/或近侧端处的齿轮装置转化成低速/高扭矩。应当理解的是,这种齿轮装置可沿设置在外壳1614中的马达与附连到柔性轴1620的手术设备或其它附件之间的传动系设置在任何合适位置。这种齿轮装置可包括例如正齿轮装置、行星齿轮装置、谐波齿轮装置、摆线驱动装置、周转齿轮装置等。
现在参阅图9,其示出了第一联接件1622的后视端面图。第一联接件1622包括第一连接器1644、第二连接器1648、第三连接器1652以及第四连接器1656,每个所述连接器都以可旋转方式紧固到第一联接件1622。各连接器1644、1648、1652、1656包括相应的凹部1646、1650、1654、1658。如图9所示,每个凹部1646、1650、1654、1658可以是六边形的。然而,应当理解的是,凹部1646、1650、1654、1658可以具有任何适于将连接器1644、1648、1652、1656以不可旋转方式联接以及以刚性方式附连到容置在外壳1614内的马达装置的相应驱动轴的形状和构造。应当理解的是,可以在马达装置的相应的驱动轴上设置互补的凸起以驱动柔性轴1620的驱动元件。还应当理解的是,所述凹部可以设置在驱动轴上,而互补的凸起可以设置在连接器1644、1648、1652、1656上。可以设置构造成以不可旋转方式及可释放方式联接连接器1644、1648、1652、1656和马达装置的驱动轴的任何其它联接装置。
连接器1644、1648、1652、1656中的一个以不可旋转方式紧固到第一驱动轴94,连接器1644、1648、1652、1656中另一个以不可旋转方式紧固到第二驱动轴102。连接器1644、1648、1652、1656中剩余的两个与构造成给转向线缆1634、1635、1636、1637上施加张力从而使柔性轴1620的远侧端1624转向的传动元件相接合。数据传输线缆1638电气并逻辑地连接到数据连接器1660。数据连接器1660包括例如电触点1662,电触点1662对应于容置在数据线缆1638中的独立导线并与容置在数据线缆1638中的独立导线的数目相等。第一联接件1622包括键结构1642,键结构1642构造成使第一联接件1622适当地定向到设置在外壳1612上的匹配和互补的联接装置。键结构1642可以设置在第一联接件1622和设置于外壳1612上的匹配和互补的联接装置中任一个上或者在两个上都设置。第一联接件1622可包括通过简单的推动即可使第一联接件1622接合到外壳1612的速接型连接器。可以与所述若干连接器1644、1648、1652、1656、1660中任一个结合设置密封件以便在第一联接件1622的内部和外界环境之间提供流体密封。
现在参阅图10,图中示出柔性轴1620的第二联接件1626的主视端面图。在该示例性实施方式中,第二联接件1626包括第一连接器1666和第二连接器1668,每个所述连接器以可旋转方式紧固到第二联接件1626并且每个所述连接器以不可旋转方式紧固到第一驱动轴94和第二驱动轴102中相应的一个的远侧端。速接型配合件1664设置在第二联接件1626上从而以可拆卸方式将器械11紧固到第二联接件1626上。速接型配合件1664可以是例如旋转速接型配合件、卡合型配合件等,并且速接型配合件1664可以是与图2(b)中示出的速接套筒713互补的配合件。可以在第二联接件1626上设置键结构1674,并且该键结构1674可以构造成使手术器械11与第二联接件1626以适当方式对准。构造成使手术器械11与柔性轴1620以适当方式对准的键结构或其它装置可以设置在第二联接件1626和手术器械11中任一个上或者在两个上都设置。另外,键结构可设置在器械11上,如图2(b)中所示作为速接套筒713的凹槽713a。具有电触点1672的数据连接器1670也设置在第二联接件1626中。像第一联接件1622的数据连接器1660一样,第二联接件1626的数据连接器1670包括触点1672,触点1672电气并逻辑地连接到数据传输线缆1638的相应的导线和数据连接器1660的触点1662。可以与连接器1666、1668、1670结合设置密封件,以便在第二联接件1626的内部和外界环境之间提供流体密封。
机电驱动器元件设置在远程动力控制台1612的外壳1614内,并且构造成驱动所述驱动轴94、102和转向线缆1634、1635、1636、1637从而使机电驱动器部件1610和附连到第二联接件1626的手术器械11运转。在图11中示意性示出的实施方式示例中,5个电动马达96、100、1684、1690、1696中每个都借助一个电源运转,所述5个电动马达可设置在远程动力控制台1612中。然而,应当理解的是,可以设置任何合适数目的马达,并且所述马达可以借助电池电源、线路电流、DC电源、电子控制DC电源等运转。还应当理解的是,所述马达可以连接到DC电源,DC电源又连接到线路电流并给所述马达提供工作电流。
图11示意性地示出一种可行的马达布置。当第一联接件1622与外壳1614接合并因此使柔性轴1620与外壳1614接合以驱动第一驱动轴94和第二联接件1626的第一连接器1666时,第一马达96的输出轴1678与第一联接件1622的第一连接器1644接合。相似地,当第一联接件1622与外壳1614接合并因此使柔性轴1620与外壳1614接合以驱动第二驱动轴102和第二联接件1626的第二连接器1668时,第二马达100的输出轴1682与第一联接件1622的第二连接器1648接合。当第一联接件1622与外壳1614接合并因此使柔性轴1620与外壳1614接合以借助第一滑轮装置1688驱动第一转向线缆1634和第二转向线缆1635时,第三马达1684的输出轴1686与第一联接件1622的第三连接器1652接合。当第一联接件1622与外壳1614接合并因此使柔性轴1620与外壳1614接合以借助第二滑轮装置1694驱动第三转向线缆1636和第四转向线缆1637时,第四马达1690的输出轴1692与第一联接件1622的第四连接器1656接合。第三马达1684和第四马达1690可以紧固在支架1100上,支架1100能够借助第五马达1696的输出轴1698选择性地在第一位置和第二位置之间移动,从而选择性地使第三马达1684和第四马达1690与相应的滑轮装置1688、1694接合和断开,进而根据需要允许柔性轴1620变得张紧且可转向或者变得松弛。应当理解的是,其它机械、电力和/或机电机构等也可用于选择性地接合和断开该转向机构。所述马达可以如名称为“A Carriage Assembly for Controlling a Steering Wire Mechanism Within aFlexible Shaft(用于控制柔性轴内的操纵线机构的托架组件)”的美国专利申请第09/510,923号所述的方式设置和构造,该申请的全部内容通过引用明确地结合到本文中。还应当理解的是,根据本发明的其它实施方式,该转向机构可能根本不存在,手术器械11在爪部11a和轴部11b之间提供铰接运动以便在手术部位内灵活操作手术器械11。
应当理解的是,马达96、100、1684、1690、1696中任一个或多个可以是例如高速/低扭矩马达、低速/高扭矩马达等。如上所述,第一可旋转驱动轴94和第二可旋转驱动轴102可构造成传递高速和低扭矩。因此,第一马达96和第二马达100可构造成高速/低扭矩马达。替代性地,第一马达96和第二马达100可构造成低速/高扭矩马达,同时在第一马达96和第二马达100与第一可旋转驱动轴94和第二可旋转驱动轴102中相应的一个之间设置减小扭矩/增加速度的齿轮装置。这种减小扭矩/增加速度的齿轮装置可包括例如正齿轮装置、行星齿轮装置、谐波齿轮装置、摆线驱动装置、周转齿轮装置等。应当理解的是,任一种此类齿轮装置可以设置在远程动力控制台1612内或者设置在柔性轴1620的近侧端中—例如设置在第一联接件1622中。应当理解的是,所述齿轮装置可以设置在第一可旋转驱动轴94和/或第二可旋转驱动轴102的远侧端和/或近侧端处以防止扭振和断裂。
现在参阅图12,其中示出机电驱动器部件1610的示意图。控制器1122设置在远程动力控制台1612的外壳1614中并且构造成控制机电驱动器部件1610和线性夹紧、切割及缝合器械11或者其它手术设备或附连到柔性轴1620的附件的所有功能和操作。设置存储单元1130,存储单元1130可包括诸如ROM部件1132、RAM部件1134之类的存储装置。ROM部件1132经由线路1136与控制器1122电气并逻辑地联通,RAM部件1134经由线路1138与控制器1122电气并逻辑地联通。RAM部件1134可包括诸如磁存储装置、光存储装置、光磁存储装置、电子存储装置之类的任何类型的随机存取存储器。相似地,ROM部件1132可包括任何类型的只读存储器,例如PC卡或PCMCIA型装置之类的可移动存储装置。应当理解的是,ROM部件1132和RAM部件1134可以构造成单个单元或者可以是独立的单元,并且ROM部件1132和/或RAM部件1134可以PC卡或PCMCIA型装置的形式设置。
控制器1122进一步连接到外壳1614的前面板1615-更具体地经由线路1154连接到显示器装置1616并经由相应的线路1156、1158连接到指示器1618a、1618b。线路1116、1118、1124、1126、1128将控制器1122分别电气并逻辑地连接到第一马达96、第二马达100、第三马达1684、第四马达1690和第五马达1696。有线远程控制单元(“RCU”)1150经由线路1152电气其并逻辑地连接到控制器1122。还设置了无线RCU1148,无线RCU1148经由无线链路1160与接收/发送单元1146联通,接收/发送单元1146经由线路1144连接到收发器1140。收发器1140经由线路1142电气并逻辑地连接到控制器1122。无线链路1160可以是诸如红外链路之类的光学链路、无线电链路或任何其它形式的无线通信链路。
开关装置1186可包括例如一排DIP开关,开关装置1186可经由线路1188连接到控制器1122。开关装置1186可构造成例如选择用于在显示器装置1616上显示信息以及提示符的多种语言之一。所述信息和提示符可能涉及例如机电驱动器部件1610和/或附连到其上的手术器械11的操作和/或状态。
根据本发明的示例性实施方式,第一编码器1106设置在第二联接件1626内并且构造成响应于并且根据第一驱动轴94的旋转输出信号。第二编码器1108也设置在第二联接件1626内并且构造成响应于并且根据第二驱动轴102的旋转输出信号。由各编码器1106、1108输出的信号可表示相应的驱动轴94、102的旋转位置及其旋转方向。这些编码器可以是例如LED之类的光源装置以及例如图6(e)中示出的光导纤维。替代性地,这种编码器1106、1108可包括例如霍尔效应装置、光学装置等。虽然编码器1106、1108被描述成设置在第二联接件1626内,但是应当理解的是,编码器1106、1108可以设置在马达系统和手术器械11之间的任何位置处。应当理解的是,将编码器1106、1108设置在第二联接件1626内或设置在柔性轴1620的远侧端处可以准确地确定驱动轴的旋转。如果编码器1106、1108设置在柔性轴1620的近侧端处,则第一可旋转驱动轴94和第二可旋转驱动轴102的扭振可能导致测量误差。
图13是包括霍尔效应装置的编码器1106、1108的示意图。具有北极1242和南极1244的磁体1240以不可旋转方式安装在驱动轴94、102上。编码器1106、1108还包括第一传感器1246和第二传感器1248,第一传感器1246和第二传感器1248设置成相对于驱动轴94、102的纵轴线或旋转轴线大致成90°。传感器1246、1248的输出是持续的并且作为传感器检测范围中的磁场的磁极变化的函数而改变其状态。因此,基于来自编码器1106、1108的输出信号,可以在1/4转内确定驱动轴94、102的角位置并且可以确定驱动轴94、102的旋转方向。各编码器1106、1108的输出经由数据传输线缆1638的相应线路1110、1112传送到控制器1122。通过基于来自编码器1106、1108的输出信号追踪驱动轴94、102的角位置和旋转方向,控制器1122可以确定连接到机电驱动器部件1610的手术器械的部件的位置和/或状态。也就是说,通过统计驱动轴94、102的转动次数,控制器1122可以确定连接到机电驱动器部件1610的手术器械的部件的位置和/或状态。
例如,第一爪50相对于第二爪80的进给距离以及楔件63的进给距离可以是相应的驱动轴94、102的旋转情况的函数并且能够基于相应的驱动轴94、102的旋转情况来确定。通过确定一个时间点时第一爪50和楔件603的绝对位置,基于来自编码器1106、1108的输出信号以及螺杆520和楔件驱动器605的已知螺距,在之后所有时间点第一爪50和楔件603的相对位移均可用于确定第一爪50和楔件603的绝对位置。第一爪50和楔件603的绝对位置可以是固定的并在手术器械11最初联接到柔性轴1620时确定。替代性地,第一爪50和楔件603相对于例如第二爪80的位置可基于来自编码器1106、1108的输出信号来确定。
如上文结合图2(b)和10所述,手术器械11可包括数据连接器1272,数据连接器1272的尺寸和构造适于电气并逻辑地连接到第二联接件1626的连接器1670。在该示例性实施方式中,数据连接器1272包括在数量上与连接器1670的触点1672相等的触点1276。存储模块6041电气并逻辑地连接到数据连接器1272。存储模块6041可以是例如EEPROM、EPROM等形式的,并且存储模块6041可以容置在例如手术器械11的第二爪80中的可更换缝钉筒600的缝钉槽604内,如图3(f)所示。
图14示意性地示出存储模块6041。如在图14中所观察到的,数据连接器1272包括触点1276,每个触点1276经由相应的线路—例如柔性数据线缆1278电气并逻辑地连接到存储模块6041。存储模块6041可构造成存储例如序列号数据1180、附件类型识别器(ID)数据1182和使用数据1184。存储模块6041另外还存储其它数据。序列号数据1180和ID数据1182可构造成只读数据。序列号数据1180和/或ID数据1182可存储在存储模块6041的只读区段中。在该示例性实施方式中,序列号数据1180可以是专门识别特定手术器械的数据,而ID数据1182可以是识别诸如用于附连其它类型的手术设备或附件的机电驱动器部件1610的附件类型的数据。使用数据1184表示特定附件的使用情况,例如,手术器械11的第一爪50已经开启和闭合的次数或者手术器械11的楔件603已经进给的次数。使用数据1184可以存储在存储模块6041的读/写区段中。
应当理解的是,能够附连到柔性轴1620的远侧端1624的附件—例如手术器械11可以设计并构造成一次使用的或多次使用的。所述附件也可以设计并构造成可使用预定次数。相应地,使用数据1184可用于确定手术器械11是否已被使用以及使用次数是否超过最大允许使用次数。如下文将更全面地描述地,在达到最大允许使用次数之后试图使用该附件将产生ERROR状况。
再次参阅图12,控制器1122构造成当手术器械11最初连接到柔性轴1620时从手术器械11的存储模块6041读取ID数据1182。存储模块6041经由数据传输线缆1638的线路1120电气并逻辑地连接到控制器1122。基于所读取的ID数据1182,控制器1122构造成从存储单元1130读取或选择与连接到柔性轴1620的手术设备或附件的类型对应的操作程序或算法。存储单元1130构造成为每个现有类型的手术设备或附件储存操作程序或算法,控制器1122根据从所附连的手术设备或附件的存储模块6041读取的ID数据1182从存储单元1130选择和/或读取操作程序或算法。如上所示,存储单元1130可包括可移动ROM部件1132和/或RAM部件1134。因此,储存在存储单元1130中的操作程序或算法可以根据需要被更新、增加、删除、改进或以其它方式修改。储存在存储单元1130中的操作程序或算法能够基于例如使用者的特殊需要而专门设计。数据输入装置—例如键盘、鼠标、定点装置、触摸屏等可以经由例如数据连接器端口等连接到存储单元1130以便于对操作程序或算法进行专门设计。替代性地或附加地,所述操作程序或算法可以远程方式从机电驱动器部件1610专门设计并编程到存储单元1130中。应当理解的是,序列号数据1180和/或使用数据1184也可用于确定从存储单元1130中读取或选择多个操作程序或算法中的哪一个。应当理解的是,操作程序或算法可以替代性地储存在手术器械11的存储模块6041中并经由数据传输线缆1638传输到控制器1122。一旦控制器1122读取或选择了合适的操作程序或算法或者合适的操作程序或算法传送到控制器1122,控制器1122便根据使用者借助有线RCU1150和/或无线RCU1148实施的操作来执行所述操作程序或算法。如上所示,控制器1122经由相应的线路1116、1118、1124、1126、1128电气并逻辑地连接到第一马达96、第二马达100、第三马达1684、第四马达1690以及第五马达1696,并且控制器1122构造成根据经由相应的线路1116、1118、1124、1126、1128所读取、选择或传送的操作程序或算法来控制这些马达96、100、1684、1690、1696。
现在参阅图15,图中示出无线RCU1148的示意图。无线RCU1148包括转向控制器1300,转向控制器1300具有设置在四路摇杆1310下方的多个开关1302、1304、1306、1308。借助摇杆1310操作开关1302、1304便可借助第三马达1684控制第一转向线缆1634和第二转向线缆1635的操作。相似地,借助摇杆1310操作开关1306、1308便可借助第四马达1692控制第三转向线缆1636和第四转向线缆1637的操作。应当理解的是,摇杆1310和开关1302、1304、1306、1308设置成使得开关1302、1304的操作使柔性轴1620沿南北方向转向并且开关1306、1308的操作使柔性轴1620沿东西方向转向。本文中引用的北、南、东和西是就相对坐标系而言的。替代性地,可设置数字操纵杆、模拟操纵杆等,用于替代摇杆1310和开关1302、1304、1306、1308。也可用电位计或任何其它类型的致动器来代替开关1302、1304、1306、1308。
无线RCU1148还包括转向接合/断开开关1312,操作该开关即可控制第五马达696的运转从而选择性地接合及断开转向机构。无线RCU1148还包括具有可操作的第一开关1316和第二开关1318的二路摇杆1314。操作这些开关1316、1318即可根据与附连的器械对应的操作程序或算法来控制机电驱动器部件1610以及诸如手术器械11之类附连到柔性轴1620的任何手术设备或附件的某些功能。例如,操作二路摇杆1314可控制手术器械11的第一爪50和第二爪80的开启和闭合。无线RCU1148还设置有另一个开关1320,操作该开关即可根据与附连的器械对应的操作程序或算法来进一步控制机电驱动器部件1610以及附连到柔性轴1620的器械的操作。例如,操作开关1320可以开始进给手术器械11的楔件603。
无线RCU1148包括控制器1322,控制器1322经由线路1324电气并逻辑地连接到开关1302、1304、1306、1308;经由线路1326电气并逻辑地连接到开关1316、1318;经由线路1328电气并逻辑地连接到开关1312;并且经由线路1330电气并逻辑地连接到开关1320。无线RCU1148可包括指示器1618a’、1618b’和显示器装置1616’,指示器1618a’、1618b’对应于前面板1615的指示器1618a、1618b,显示器装置1616’对应于前面板1615的显示器装置1616。如果设置了指示器1618a’、1618b’和显示器装置1616’,则指示器1618a’、1618b’经由相应的线路1332、1334电气并逻辑地连接到控制器1322并且显示器装置1616’经由线路1336电气并逻辑地连接到控制器1322。控制器1322经由线路1340电气并逻辑地连接到收发器1338,收发器1338经由线路1344电气并逻辑地连接到接收器/发送器1342。可以在无线RCU1148中设置诸如电池之类的电源以便为无线RCU1148供电。因此,无线RCU1148可用于经由无线链路1160控制机电驱动器部件1610和附连到柔性轴1620的器械11的操作。
无线RCU1148可包括经由线路1343连接到控制器1322的开关1346。操作开关1346即可经由无线链路1160将数据信号传送到发送器/接收器1146。该数据信号包括专门识别无线RCU1148的识别数据。控制器1122用该识别数据来防止对机电驱动器部件1610进行未经授权的操作并防止与另一无线RCU对机电驱动器部件1610进行的操作相互冲突。无线RCU1148与机电驱动器部件1610之间随后每次进行的通信都要进行数据识别。因此,控制器1122可以在多个无线RCU之间进行区分,从而仅允许单个、可识别的无线RCU1148来控制机电驱动器部件1610和附连到柔性轴1620的手术器械11的操作。
基于附连到柔性轴1620的手术器械的部件的根据来自编码器1106、1108的输出信号确定的位置,控制器1122可以选择性地使机电驱动器部件1610的由与所附连器械对应的操作程序或算法限定的功能生效或失效。例如,对于手术器械11来说,除非已确定第一爪50和第二爪80之间的空间或间隙在可接受的范围内,否则可以使通过操作开关1320来控制的启动功能失效。
现在参阅图16,图中示出有线RCU1150的示意图。在该示例性实施方式中,有线RCU1150包括大体上与无线RCU1148相同的控制元件,在此省略对这些元件的描述。同样的元件在图16中以原标号加上上标来标示。应当理解的是,机电驱动器部件1610和诸如手术器械11的附连到柔性轴1620的器械的功能可以由有线RCU1150和/或无线RCU1148来控制。在例如无线RCU1148中的电池产生故障的情况下,有线RCU1150可用于控制机电驱动器部件1610和附连到柔性轴1620的器械的功能。
如上所述,外壳1614的前面板1615包括显示器装置1616和指示器1618a、1618b。显示器装置1616可包括诸如LCD显示器装置之类的字母数字显示器装置。显示器装置1616也可包括诸如扬声器、蜂鸣器之类的音频输出器件。控制器1122根据与附连到柔性轴1620的器械—例如手术器械11对应的操作程序或算法来操作和控制显示器装置1616。如果没有手术设备或附件附连到柔性轴1620,则控制器1122可以读取或选择默认的操作程序或算法或者默认的操作程序或算法可以被传送到控制器1122,从而使得控制器能够控制显示器装置1616的操作以及机电驱动器部件1610的其它方面和功能。如果手术器械11附连到柔性轴1620,则显示器装置1616可以显示例如指示根据编码器1106、1108的输出信号确定的第一爪50和第二爪80之间的间隙的数据,如上文更全面地描述的。
相似地,控制器1122根据与附连到柔性轴1620的器械—例如手术器械11对应的操作程序或算法来操作和控制指示器1618a、1618b。指示器1618a和/或1618b可包括诸如扬声器、蜂鸣器之类的音频输出装置和/或诸如LED、指示灯、照明灯之类的视觉指示器装置。如果手术器械11附连到柔性轴1620,则指示器1618a可以指示例如机电驱动器部件1610的电源处于开启状态,并且指示器1618b可以指示例如所确定的第一爪50和第二爪80之间的间隙是否在可接受的范围内。应当理解的是,虽然描述了两个指示器1618a、1618b,但是可以根据需要另外设置任意数目的指示器。另外,应当理解的是,虽然描述了单个显示器装置1616,但是可以根据需要另外设置任意数目的显示器装置。
有线RCU1150的显示器装置1616’和指示器1618a’、1618b’以及无线RCU1148的显示器装置1616”和指示器1618a”、1618b”由相应的控制器1322、1322”根据附连到柔性轴1620的器械的操作程序或算法以相似方式操作和控制。
如上所述,常规手术器械—特别是诸如图1中示出的常规线性夹紧、切割及缝合器械所存在的一个问题是,难于在患者体内灵活操作相对的爪。外科医生可能需要在各种角度之间移动所述相对的爪以便将期望的组织定位在所述相对的爪之间。然而,也可能期望在患者体内切割尽可能小的切口,小尺寸的切口限制了可以灵活操作所述相对爪的程度。本发明的示例性实施方式提供的手术器械—例如手术器械11能够以更高的灵活性在患者体内操作。
常规手术器械—特别是诸如图1中示出的上述线性夹紧、切割及缝合器械所存在的另一个问题是,所述相对的爪可能无法充分止血。具体而言,上述手术器械的相对的爪可能无法以足量的力来夹紧,从而降低了手术器械的有效性。本发明的示例性实施方式可以更好地夹紧例如手术器械11之类手术器械的爪之间的组织部分,从而更充分地为被夹紧的组织部分提供止血条件。
再者,如前所述,常规切割及缝合器械的一个问题是,该机构的相对爪可能无法充分夹紧被夹持在爪之间的组织部分,并且它们可能无法防止被夹持在爪之间的组织部分在该器械的操作过程中从所述爪的远侧端之间脱离。这是因为诸如图1中示出的器械之类的常规夹紧、切割及缝合器械的剪刀型夹持元件会绕所述夹持元件的近侧端处的固定枢轴点相互枢转。因此,由于夹持元件之间在近侧端处的距离总是小于夹持元件之间在远侧端处的距离,所以置于夹持元件之间的组织部分上的夹紧力在靠近夹持元件的近侧端附近是最大的并且向远侧方向逐渐减小。夹持元件的近侧端处的相对较大的夹紧力连同夹持元件的远侧端处的相对较小的夹紧力使得朝夹持元件的远侧端推动组织部分并最终将该组织部分从所述夹持元件的远侧端之间推出。因此,该组织部分可能未充分切割和缝合,未充分切割和缝合的组织的端部可能会导致其内容物溅到患者张开的腹腔内,从而增加感染以及其它并发症的几率。
比较而言,如上文结合图3(i)至3(l)详细描述的,手术器械11提供一种装置,在该装置中第一爪50的远侧端50a和第二爪80的远侧端80a在手术器械11的操作过程中被朝彼此迫压,使得在手术器械11中第一爪50的远侧端50a和第二爪80的远侧端80a之间的夹紧力大于常规夹紧、切割及缝合器械的爪的远侧端之间的夹紧力。第一爪50的远侧端50a和第二爪80的远侧端80a之间增加后的夹紧力可以防止置于第一爪50和第二爪80之间的组织部分从第一爪50的远侧端50a和第二爪80的远侧端80a之间脱离。
本领域的技术人员应当理解的是,在不偏离本发明的精神和范围的情况下,可以做出上述示例性实施方式的多种改型。虽然已经详细描述并公开了本发明的示例性实施方式,但是应当理解的是,本发明并不限于所述示例性实施方式。
Claims (51)
1.一种手术器械,包括:
爪部,其包括能够相对于彼此移动的第一爪和第二爪,其中,所述爪部限定在所述爪部的近侧端和所述爪部的远侧端之间延伸的第一纵轴线;
轴部,其联接到所述爪部的近侧端,其中,所述轴部限定第二纵轴线,
枢转销,其枢转地联接所述爪部和所述轴部,所述枢转销限定垂直于所述第二纵轴线的枢轴线;以及
驱动器,其构造成使所述爪部的至少一部分绕所述第一纵轴线相对于所述轴部枢转,所述驱动器还构造成使所述爪部绕所述枢轴线相对于所述轴部枢转。
2.根据权利要求1所述的器械,其中,所述枢轴线也垂直于所述第一纵轴线。
3.根据权利要求1所述的器械,其中,所述驱动器适于由第一可旋转驱动轴和第二可旋转驱动轴驱动,所述第一可旋转驱动轴和所述第二可旋转驱动轴能够在所述器械的所述轴部内轴向地旋转。
4.根据权利要求3所述的器械,其中,所述驱动器构造成使得所述第一可旋转驱动轴和所述第二可旋转驱动轴的相对于彼此沿相反方向的旋转致使所述爪部绕所述枢轴线相对于所述轴部枢转。
5.根据权利要求4所述的器械,其中,所述驱动器构造成由相对于彼此沿相同方向旋转的所述第一可旋转驱动轴和所述第二可旋转驱动轴旋转,从而使所述爪部的所述至少一部分绕所述第一纵轴线相对于所述轴部旋转。
6.根据权利要求5所述的器械,其中,所述驱动器构造成在所述第二可旋转驱动轴不旋转的情况下由所述第一可旋转驱动轴旋转,从而使所述第一爪和所述第二爪相对移动。
7.根据权利要求6所述的器械,进一步包括设置在所述第一爪内的手术构件。
8.根据权利要求7所述的器械,其中,所述手术构件包括切割元件和缝合元件中的至少一种。
9.根据权利要求8所述的器械,其中,所述驱动器构造成在所述第一可旋转驱动轴不旋转的情况下由所述第二可旋转驱动轴旋转,从而使所述手术构件在所述第一爪内相对移动。
10.根据权利要求4所述的器械,其中,所述第一可旋转驱动轴构造成沿第一方向旋转并且所述第二可旋转驱动轴构造成沿与所述第一方向相反的第二方向旋转,以使所述爪部绕所述枢轴线沿第一枢转方向相对于所述轴部枢转,并且
其中所述第一可旋转驱动轴构造成沿所述第二方向旋转并且所述第二可旋转驱动轴构造成沿所述第一方向旋转,以使所述爪部绕所述枢轴线沿与所述第一枢转方向相反的第二枢转方向相对于所述轴部枢转。
11.根据权利要求5所述的器械,其中,所述第一可旋转驱动轴和所述第二可旋转驱动轴构造成沿第一方向旋转,以使所述爪部的所述至少一部分绕所述第一纵轴线沿第一旋转方向相对于所述轴部旋转,并且
其中所述第一可旋转驱动轴和所述第二可旋转驱动轴构造成沿与所述第一方向相反的第二方向旋转,以使所述爪部的所述至少一部分绕所述第一纵轴线沿与所述第一旋转方向相反的第二旋转方向相对于所述轴部旋转。
12.根据权利要求6所述的器械,其中,所述第一可旋转驱动轴构造成沿第一方向旋转并且所述第二可旋转驱动轴构造成不旋转,以使所述第一爪相对于所述第二爪开启,并且
其中所述第一可旋转驱动轴构造成沿与所述第一方向相反的第二方向旋转并且所述第二可旋转驱动轴构造成不旋转,以使所述第一爪相对于所述第二爪闭合。
13.根据权利要求9所述的器械,其中,所述第二可旋转驱动轴构造成沿第一方向旋转并且所述第一可旋转驱动轴构造成不旋转,以使所述手术构件伸展,并且
其中所述第二可旋转驱动轴构造成沿与所述第一方向相反的第二方向旋转并且所述第一可旋转驱动轴构造成不旋转,以使所述手术构件缩回。
14.根据权利要求3所述的器械,进一步包括构造成使所述第一可旋转驱动轴和所述第二可旋转驱动轴旋转的机电驱动器。
15.根据权利要求14所述的器械,其中,所述机电驱动器包括所述第一可旋转驱动轴和所述第二可旋转驱动轴。
16.根据权利要求15所述的器械,其中,所述机电驱动器包括适于驱动所述第一可旋转驱动轴和所述第二可旋转驱动轴中每个的至少一个马达装置。
17.根据权利要求16所述的器械,其中,所述机电驱动器包括适于驱动所述第一可旋转驱动轴的第一马达装置和适于驱动所述第二可旋转驱动轴的第二马达装置。
18.一种手术器械,包括:
爪部,其包括第一爪和第二爪,所述爪中的至少一个能够进行相对于彼此的移动,其中所述爪部限定在所述爪部的近侧端和所述爪部的远侧端之间延伸的第一纵轴线;
轴部,其联接到所述爪部的近侧端,其中,所述轴部限定第二纵轴线;
枢转销,其枢转地联接所述爪部和所述轴部,所述枢转销限定垂直于所述第二纵轴线的枢轴线;以及
驱动器,其适于至少由位于所述器械的轴部内的第一可旋转驱动轴驱动并且构造成使所述爪部的至少一部分绕所述第一纵轴线相对于所述轴部旋转,所述驱动器还构造成使所述爪部绕所述枢轴线相对于所述轴部枢转。
19.根据权利要求18所述的器械,其中,所述枢轴线也垂直于所述第一纵轴线。
20.根据权利要求19所述的器械,其中,所述第一爪和所述第二爪能够在一个平面内相对于彼此移动,所述枢轴线设置成平行于所述平面。
21.根据权利要求20所述的器械,进一步包括第二可旋转驱动轴,其中,所述驱动器构造成由相对于彼此沿相反方向旋转的所述第一可旋转驱动轴和所述第二可旋转驱动轴旋转,从而使所述爪部绕所述枢轴线相对于所述轴部枢转。
22.根据权利要求21所述的器械,其中,所述驱动器构造成由相对于彼此沿相同方向旋转的所述第一可旋转驱动轴和所述第二可旋转驱动轴旋转,从而使所述爪部的所述至少一部分绕所述第一纵轴线相对于所述轴部旋转,所述第一可旋转驱动轴和所述第二可旋转驱动轴能够在所述器械的所述轴部内轴向地旋转。
23.根据权利要求22所述的器械,其中,所述驱动器构造成在所述第二可旋转驱动轴不旋转的情况下由所述第一可旋转驱动轴旋转,从而使所述第一爪和所述第二爪相对移动。
24.根据权利要求23所述的器械,进一步包括设置在所述第一爪内的手术构件。
25.根据权利要求24所述的器械,其中,所述手术构件包括切割元件和缝合元件中的至少一种。
26.根据权利要求25所述的器械,其中,所述驱动器构造成在所述第一可旋转驱动轴不旋转的情况下由所述第二可旋转驱动轴旋转,从而使所述手术构件在所述第一爪内相对移动。
27.根据权利要求18所述的器械,其中,所述驱动器适于由第二可旋转驱动轴驱动,其中所述第一可旋转驱动轴构造成沿第一方向旋转并且所述第二可旋转驱动轴构造成沿与所述第一方向相反的第二方向旋转,以使所述爪部绕所述枢轴线沿第一枢转方向相对于所述轴部枢转,并且
其中所述第一可旋转驱动轴构造成沿所述第二方向旋转并且所述第二可旋转驱动轴构造成沿所述第一方向旋转,以使所述爪部绕所述枢轴线沿与所述第一枢转方向相反的第二枢转方向相对于所述轴部枢转。
28.根据权利要求27所述的器械,其中,所述第一可旋转驱动轴和所述第二可旋转驱动轴构造成沿第一方向旋转,以使所述爪部的所述至少一部分绕所述第一纵轴线沿第一旋转方向相对于所述轴部旋转,并且
其中所述第一可旋转驱动轴和所述第二可旋转驱动轴构造成沿与所述第一方向相反的第二方向旋转,以使所述爪部的所述至少一部分绕所述第一纵轴线沿与所述第一旋转方向相反的第二旋转方向相对于所述轴部旋转。
29.根据权利要求28所述的器械,其中,所述第一可旋转驱动轴构造成沿第一方向旋转并且所述第二可旋转驱动轴构造成不旋转,以使所述第一爪相对于所述第二爪开启,并且
其中所述第一可旋转驱动轴构造成沿与所述第一方向相反的第二方向旋转并且所述第二可旋转驱动轴构造成不旋转,以使所述第一爪相对于所述第二爪闭合。
30.根据权利要求29所述的器械,其中,所述第二可旋转驱动轴构造成沿第一方向旋转并且所述第一可旋转驱动轴构造成不旋转,以使所述手术构件伸展,并且
其中所述第二可旋转驱动轴构造成沿与所述第一方向相反的第二方向旋转并且所述第一可旋转驱动轴构造成不旋转,以使所述手术构件缩回。
31.根据权利要求18所述的器械,其中,所述驱动器适于由第二可旋转驱动轴驱动,并且所述器械进一步包括构造成使所述第一可旋转驱动轴和所述第二可旋转驱动轴旋转的机电驱动器。
32.根据权利要求31所述的器械,其中,所述机电驱动器包括所述第一可旋转驱动轴和所述第二可旋转驱动轴。
33.根据权利要求32所述的器械,其中,所述机电驱动器包括适于驱动所述第一可旋转驱动轴和所述第二可旋转驱动轴中每个的至少一个马达装置。
34.根据权利要求33所述的器械,其中,所述机电驱动器包括适于驱动所述第一可旋转驱动轴的第一马达装置和适于驱动所述第二可旋转驱动轴的第二马达装置。
35.根据权利要求33所述的器械,其中,所述马达装置是马达系统的一部分。
36.根据权利要求35所述的器械,进一步包括构造成控制所述马达系统的控制系统。
37.根据权利要求36所述的器械,其中,所述控制系统设置在外壳内。
38.根据权利要求37所述的器械,进一步包括远程控制单元,所述远程控制单元构造成与所述控制系统进行通信从而经由所述控制系统控制所述马达系统。
39.根据权利要求38所述的器械,其中,所述远程控制单元包括有线远程控制单元和无线远程控制单元中的至少一种。
40.根据权利要求18所述的器械,进一步包括对应于所述第一可旋转驱动轴的传感器,所述传感器响应于并对应于所述第一可旋转驱动轴的旋转而输出信号。
41.根据权利要求40所述的器械,其中,所述控制系统构造成基于所述传感器的输出信号确定所述第一可旋转驱动轴的旋转位置和旋转方向中的至少一个。
42.根据权利要求36所述的器械,其中,所述控制系统包括第一存储单元。
43.根据权利要求42所述的器械,其中,
所述第一可旋转驱动轴和所述第二可旋转驱动轴容纳在柔性轴内,
所述第一存储单元构造成储存多个操作程序,所述操作程序中的至少一个对应于附连到所述柔性轴的远侧端的切割及缝合器械。
44.根据权利要求43所述的器械,其中,所述控制系统构造成将附连到所述柔性轴的远侧端的手术设备识别为所述切割及缝合器械,其中所述切割及缝合器械是能够附连到所述柔性轴的远侧端的多种手术设备之一,所述控制系统构造成从所述第一存储单元读取和选择对应于所述切割及缝合器械的操作程序。
45.根据权利要求44所述的器械,其中,所述控制系统构造成根据从设置在所述切割及缝合器械内的第二存储单元读取的数据将所述切割及缝合器械识别为附连到所述柔性轴的手术设备的类型。
46.一种手术器械,包括:
爪部,其包括第一爪和第二爪,所述爪中的至少一个能够进行相对于彼此的移动,其中,所述爪部限定在所述爪部的近侧端和所述爪部的远侧端之间延伸的第一纵轴线,所述爪部进一步包括设置在其中的手术构件;
轴部,其联接到所述爪部的近侧端,其中,所述轴部限定第二纵轴线;
枢转销,其枢转地联接所述爪部和所述轴部,所述枢转销限定垂直于所述第二纵轴线的枢轴线;以及
驱动器,其适于由位于所述器械的轴部内的至少第一可旋转驱动轴驱动,并被构造为使所述爪部的至少一部分绕所述第一纵轴线相对于所述轴部旋转,所述驱动器进一步构造成使所述爪部绕所述枢轴线相对于所述轴部旋转。
47.根据权利要求46所述的手术器械,其中,所述驱动器构造成由所述第一可旋转驱动轴和所述第二可旋转驱动轴相对于彼此沿相同方向的旋转来驱动,从而使所述爪部的所述至少一部分绕所述第一纵轴线相对于所述轴部旋转,所述第一可旋转驱动轴和所述第二可旋转驱动轴能够在所述器械的所述轴部内轴向地旋转。
48.根据权利要求46所述的手术器械,其中,所述驱动器构造成由所述第一可旋转驱动轴和所述第二可旋转驱动轴相对于彼此沿相反方向的旋转来驱动,从而使所述爪部绕所述枢轴线相对于所述轴部枢转。
49.根据权利要求46所述的手术器械,其中,所述驱动器构造成在所述第二可旋转驱动轴不旋转的情况下由所述第一可旋转驱动轴驱动,从而使所述第一爪和所述第二爪相对移动。
50.根据权利要求46所述的手术器械,其中,所述驱动器构造成在所述第一可旋转驱动轴不旋转的情况下由所述第二可旋转驱动轴的旋转来驱动,从而使所述手术构件在所述第一爪内相对移动。
51.根据权利要求46所述的器械,其中,所述手术构件包括切割元件和缝合元件中的至少一种。
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US11/191,851 | 2005-07-27 | ||
US11/191,851 US8241322B2 (en) | 2005-07-27 | 2005-07-27 | Surgical device |
Related Parent Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CN2006800317922A Division CN101267773B (zh) | 2005-07-27 | 2006-07-26 | 手术器械 |
Publications (2)
Publication Number | Publication Date |
---|---|
CN102626334A true CN102626334A (zh) | 2012-08-08 |
CN102626334B CN102626334B (zh) | 2015-05-20 |
Family
ID=37693201
Family Applications (2)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CN2006800317922A Active CN101267773B (zh) | 2005-07-27 | 2006-07-26 | 手术器械 |
CN201210065711.8A Active CN102626334B (zh) | 2005-07-27 | 2006-07-26 | 手术器械 |
Family Applications Before (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CN2006800317922A Active CN101267773B (zh) | 2005-07-27 | 2006-07-26 | 手术器械 |
Country Status (7)
Country | Link |
---|---|
US (4) | US8241322B2 (zh) |
EP (2) | EP1912573B1 (zh) |
JP (1) | JP5184355B2 (zh) |
CN (2) | CN101267773B (zh) |
CA (1) | CA2616923C (zh) |
IL (1) | IL189044A (zh) |
WO (1) | WO2007016290A2 (zh) |
Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN103908320A (zh) * | 2014-04-25 | 2014-07-09 | 王舒怡 | 一种腹腔镜手术抓钳 |
Families Citing this family (1202)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5865361A (en) | 1997-09-23 | 1999-02-02 | United States Surgical Corporation | Surgical stapling apparatus |
US8241322B2 (en) | 2005-07-27 | 2012-08-14 | Tyco Healthcare Group Lp | Surgical device |
US10285694B2 (en) | 2001-10-20 | 2019-05-14 | Covidien Lp | Surgical stapler with timer and feedback display |
US7464847B2 (en) | 2005-06-03 | 2008-12-16 | Tyco Healthcare Group Lp | Surgical stapler with timer and feedback display |
US9060770B2 (en) | 2003-05-20 | 2015-06-23 | Ethicon Endo-Surgery, Inc. | Robotically-driven surgical instrument with E-beam driver |
US20070084897A1 (en) | 2003-05-20 | 2007-04-19 | Shelton Frederick E Iv | Articulating surgical stapling instrument incorporating a two-piece e-beam firing mechanism |
WO2009058350A1 (en) * | 2007-11-02 | 2009-05-07 | The Trustees Of Columbia University In The City Of New York | Insertable surgical imaging device |
US10105140B2 (en) * | 2009-11-20 | 2018-10-23 | Covidien Lp | Surgical console and hand-held surgical device |
US8968276B2 (en) | 2007-09-21 | 2015-03-03 | Covidien Lp | Hand held surgical handle assembly, surgical adapters for use between surgical handle assembly and surgical end effectors, and methods of use |
US10022123B2 (en) | 2012-07-09 | 2018-07-17 | Covidien Lp | Surgical adapter assemblies for use between surgical handle assembly and surgical end effectors |
US11311291B2 (en) | 2003-10-17 | 2022-04-26 | Covidien Lp | Surgical adapter assemblies for use between surgical handle assembly and surgical end effectors |
US10041822B2 (en) | 2007-10-05 | 2018-08-07 | Covidien Lp | Methods to shorten calibration times for powered devices |
US9055943B2 (en) | 2007-09-21 | 2015-06-16 | Covidien Lp | Hand held surgical handle assembly, surgical adapters for use between surgical handle assembly and surgical end effectors, and methods of use |
US20090090763A1 (en) * | 2007-10-05 | 2009-04-09 | Tyco Healthcare Group Lp | Powered surgical stapling device |
US11896225B2 (en) | 2004-07-28 | 2024-02-13 | Cilag Gmbh International | Staple cartridge comprising a pan |
US8215531B2 (en) | 2004-07-28 | 2012-07-10 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having a medical substance dispenser |
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 |
US7947034B2 (en) | 2004-07-30 | 2011-05-24 | Tyco Healthcare Group Lp | Flexible shaft extender and method of using same |
CA2809110A1 (en) | 2004-10-08 | 2006-04-20 | Tyco Healthcare Group Lp | Apparatus for applying surgical clips |
EP2957235B1 (en) | 2004-10-08 | 2019-02-20 | Covidien LP | An endoscopic surgical clip applier |
US8409222B2 (en) * | 2004-10-08 | 2013-04-02 | Covidien Lp | Endoscopic surgical clip applier |
US9763668B2 (en) | 2004-10-08 | 2017-09-19 | Covidien Lp | Endoscopic surgical clip applier |
US7819886B2 (en) * | 2004-10-08 | 2010-10-26 | Tyco Healthcare Group Lp | Endoscopic surgical clip applier |
US11291443B2 (en) | 2005-06-03 | 2022-04-05 | Covidien Lp | Surgical stapler with timer and feedback display |
AU2006255303B2 (en) * | 2005-06-03 | 2011-12-15 | Covidien Lp | Battery powered surgical instrument |
EP1912570B1 (en) * | 2005-07-27 | 2014-10-08 | Covidien LP | Shaft, e.g., for an electro-mechanical surgical device |
US7415645B2 (en) * | 2005-07-28 | 2008-08-19 | International Business Machines Corporation | Method and apparatus for soft-error immune and self-correcting latches |
US7669746B2 (en) | 2005-08-31 | 2010-03-02 | Ethicon Endo-Surgery, Inc. | Staple cartridges for forming staples having differing formed staple heights |
US11246590B2 (en) | 2005-08-31 | 2022-02-15 | Cilag Gmbh International | Staple cartridge including staple drivers having different unfired heights |
US10159482B2 (en) | 2005-08-31 | 2018-12-25 | Ethicon Llc | Fastener cartridge assembly comprising a fixed anvil and different staple heights |
US11484312B2 (en) | 2005-08-31 | 2022-11-01 | Cilag Gmbh International | Staple cartridge comprising a staple driver arrangement |
US8800838B2 (en) | 2005-08-31 | 2014-08-12 | Ethicon Endo-Surgery, Inc. | Robotically-controlled cable-based surgical end effectors |
US9237891B2 (en) | 2005-08-31 | 2016-01-19 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical stapling devices that produce formed staples having different lengths |
US7934630B2 (en) | 2005-08-31 | 2011-05-03 | Ethicon Endo-Surgery, Inc. | Staple cartridges for forming staples having differing formed staple heights |
US7673781B2 (en) | 2005-08-31 | 2010-03-09 | Ethicon Endo-Surgery, Inc. | Surgical stapling device with staple driver that supports multiple wire diameter staples |
US7673783B2 (en) * | 2005-11-04 | 2010-03-09 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments structured for delivery of medical agents |
US7607557B2 (en) * | 2005-11-04 | 2009-10-27 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments structured for pump-assisted delivery of medical agents |
US7799039B2 (en) * | 2005-11-09 | 2010-09-21 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a hydraulically actuated end effector |
US20070106317A1 (en) | 2005-11-09 | 2007-05-10 | Shelton Frederick E Iv | Hydraulically and electrically actuated articulation joints for surgical instruments |
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 |
US7670334B2 (en) | 2006-01-10 | 2010-03-02 | Ethicon Endo-Surgery, Inc. | Surgical instrument having an articulating end effector |
US20110290856A1 (en) | 2006-01-31 | 2011-12-01 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical instrument with force-feedback capabilities |
US7644848B2 (en) * | 2006-01-31 | 2010-01-12 | Ethicon Endo-Surgery, Inc. | Electronic lockouts and surgical instrument including same |
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 |
US8161977B2 (en) | 2006-01-31 | 2012-04-24 | Ethicon Endo-Surgery, Inc. | Accessing data stored in a memory of a surgical instrument |
US20070175951A1 (en) * | 2006-01-31 | 2007-08-02 | Shelton Frederick E Iv | Gearing selector for a powered surgical cutting and fastening instrument |
US9861359B2 (en) | 2006-01-31 | 2018-01-09 | Ethicon Llc | Powered surgical instruments with firing system lockout arrangements |
US20110006101A1 (en) | 2009-02-06 | 2011-01-13 | EthiconEndo-Surgery, Inc. | Motor driven surgical fastener device with cutting member lockout arrangements |
US7770775B2 (en) | 2006-01-31 | 2010-08-10 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting and fastening instrument with adaptive user feedback |
US8820603B2 (en) | 2006-01-31 | 2014-09-02 | Ethicon Endo-Surgery, Inc. | Accessing data stored in a memory of a surgical instrument |
US8186555B2 (en) | 2006-01-31 | 2012-05-29 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting and fastening instrument with mechanical closure system |
US8763879B2 (en) | 2006-01-31 | 2014-07-01 | Ethicon Endo-Surgery, Inc. | Accessing data stored in a memory of surgical instrument |
US7766210B2 (en) | 2006-01-31 | 2010-08-03 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting and fastening instrument with user feedback system |
US11278279B2 (en) | 2006-01-31 | 2022-03-22 | Cilag Gmbh International | Surgical instrument assembly |
US7753904B2 (en) | 2006-01-31 | 2010-07-13 | Ethicon Endo-Surgery, Inc. | Endoscopic surgical instrument with a handle that can articulate with respect to the shaft |
US11793518B2 (en) | 2006-01-31 | 2023-10-24 | Cilag Gmbh International | Powered surgical instruments with firing system lockout arrangements |
US11224427B2 (en) | 2006-01-31 | 2022-01-18 | Cilag Gmbh International | Surgical stapling system including a console and retraction assembly |
US8708213B2 (en) * | 2006-01-31 | 2014-04-29 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a feedback system |
US7845537B2 (en) | 2006-01-31 | 2010-12-07 | Ethicon Endo-Surgery, Inc. | Surgical instrument having recording capabilities |
US20120292367A1 (en) | 2006-01-31 | 2012-11-22 | Ethicon Endo-Surgery, Inc. | Robotically-controlled end effector |
US20110024477A1 (en) | 2009-02-06 | 2011-02-03 | Hall Steven G | Driven Surgical Stapler Improvements |
US7568603B2 (en) * | 2006-01-31 | 2009-08-04 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting and fastening instrument with articulatable end effector |
US8992422B2 (en) | 2006-03-23 | 2015-03-31 | Ethicon Endo-Surgery, Inc. | Robotically-controlled endoscopic accessory channel |
US8721630B2 (en) | 2006-03-23 | 2014-05-13 | Ethicon Endo-Surgery, Inc. | Methods and devices for controlling articulation |
US20070225562A1 (en) | 2006-03-23 | 2007-09-27 | Ethicon Endo-Surgery, Inc. | Articulating endoscopic accessory channel |
US20110163146A1 (en) * | 2006-03-23 | 2011-07-07 | Ortiz Mark S | Surgical Stapling And Cuttting Device |
WO2007131110A2 (en) | 2006-05-03 | 2007-11-15 | Raptor Ridge, Llc | Systems and methods of tissue closure |
US7552854B2 (en) | 2006-05-19 | 2009-06-30 | Applied Medical Resources Corporation | Surgical stapler with firing lock mechanism |
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 |
US20080029575A1 (en) * | 2006-08-02 | 2008-02-07 | Shelton Frederick E | Surgical cutting and fastening instrument with distally mounted pneumatically powered rotary drive member |
US20110087276A1 (en) * | 2009-10-09 | 2011-04-14 | Ethicon Endo-Surgery, Inc. | 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 |
US10130359B2 (en) | 2006-09-29 | 2018-11-20 | Ethicon Llc | Method for forming a staple |
US8348131B2 (en) | 2006-09-29 | 2013-01-08 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with mechanical indicator to show levels of tissue compression |
US7637410B2 (en) | 2006-10-06 | 2009-12-29 | Tyco Healthcare Group Lp | Surgical instrument including a locking assembly |
US8733614B2 (en) | 2006-10-06 | 2014-05-27 | Covidien Lp | End effector identification by mechanical features |
US8807414B2 (en) | 2006-10-06 | 2014-08-19 | Covidien Lp | System and method for non-contact electronic articulation sensing |
CA2605135C (en) | 2006-10-17 | 2014-12-30 | Tyco Healthcare Group Lp | Apparatus for applying surgical clips |
US7954682B2 (en) | 2007-01-10 | 2011-06-07 | Ethicon Endo-Surgery, Inc. | Surgical instrument with elements to communicate between control unit and end effector |
US7721936B2 (en) | 2007-01-10 | 2010-05-25 | Ethicon Endo-Surgery, Inc. | Interlock and surgical instrument including same |
US7738971B2 (en) | 2007-01-10 | 2010-06-15 | Ethicon Endo-Surgery, Inc. | Post-sterilization programming of surgical instruments |
US11291441B2 (en) | 2007-01-10 | 2022-04-05 | Cilag Gmbh International | Surgical instrument with wireless communication between control unit and remote sensor |
US8459520B2 (en) * | 2007-01-10 | 2013-06-11 | Ethicon Endo-Surgery, Inc. | Surgical instrument with wireless communication between control unit and remote sensor |
US7900805B2 (en) | 2007-01-10 | 2011-03-08 | Ethicon Endo-Surgery, Inc. | Surgical instrument with enhanced battery performance |
US7721931B2 (en) * | 2007-01-10 | 2010-05-25 | Ethicon Endo-Surgery, Inc. | Prevention of cartridge reuse in a surgical instrument |
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 |
US20080169328A1 (en) * | 2007-01-11 | 2008-07-17 | Shelton Frederick E | Buttress material for use with a surgical stapler |
US11039836B2 (en) | 2007-01-11 | 2021-06-22 | Cilag Gmbh International | Staple cartridge for use with a surgical stapling instrument |
US8540128B2 (en) | 2007-01-11 | 2013-09-24 | Ethicon Endo-Surgery, Inc. | Surgical stapling device with a curved end effector |
US8727197B2 (en) | 2007-03-15 | 2014-05-20 | Ethicon Endo-Surgery, Inc. | Staple cartridge cavity configuration with cooperative surgical staple |
US7431188B1 (en) | 2007-03-15 | 2008-10-07 | Tyco Healthcare Group Lp | Surgical stapling apparatus with powered articulation |
ES2645490T3 (es) * | 2007-03-26 | 2017-12-05 | Covidien Lp | Aplicador de clips quirúrgicos endoscópico |
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 |
US7490749B2 (en) * | 2007-03-28 | 2009-02-17 | Ethicon Endo-Surgery, Inc. | Surgical stapling and cutting instrument with manually retractable firing member |
US8506580B2 (en) | 2007-04-11 | 2013-08-13 | Covidien Lp | Surgical clip applier |
US20080255413A1 (en) * | 2007-04-13 | 2008-10-16 | Michael Zemlok | Powered surgical instrument |
US8800837B2 (en) * | 2007-04-13 | 2014-08-12 | Covidien Lp | Powered surgical instrument |
US7950560B2 (en) * | 2007-04-13 | 2011-05-31 | Tyco Healthcare Group Lp | Powered surgical instrument |
US11259801B2 (en) | 2007-04-13 | 2022-03-01 | Covidien Lp | Powered surgical instrument |
US7708182B2 (en) | 2007-04-17 | 2010-05-04 | Tyco Healthcare Group Lp | Flexible endoluminal surgical instrument |
US8028882B2 (en) * | 2007-05-01 | 2011-10-04 | Tyco Healthcare Group | Anvil position detector for a surgical stapler |
US7823760B2 (en) * | 2007-05-01 | 2010-11-02 | Tyco Healthcare Group Lp | Powered surgical stapling device platform |
US7931660B2 (en) | 2007-05-10 | 2011-04-26 | Tyco Healthcare Group Lp | Powered tacker instrument |
US8910846B2 (en) * | 2007-05-17 | 2014-12-16 | Covidien Lp | Gear driven knife drive mechanism |
US7810693B2 (en) * | 2007-05-30 | 2010-10-12 | Ethicon Endo-Surgery, Inc. | Surgical stapling and cutting instrument with articulatable end effector |
US7549564B2 (en) * | 2007-06-22 | 2009-06-23 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with an articulating end effector |
US7798386B2 (en) | 2007-05-30 | 2010-09-21 | Ethicon Endo-Surgery, Inc. | Surgical instrument articulation joint cover |
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 |
US11564682B2 (en) | 2007-06-04 | 2023-01-31 | Cilag Gmbh International | Surgical stapler device |
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 |
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 |
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 |
US7731072B2 (en) * | 2007-06-18 | 2010-06-08 | Ethicon Endo-Surgery, Inc. | Surgical stapling and cutting instrument with improved anvil opening features |
US7604150B2 (en) * | 2007-06-22 | 2009-10-20 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with an anti-back up mechanism |
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 |
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 |
US7624902B2 (en) * | 2007-08-31 | 2009-12-01 | Tyco Healthcare Group Lp | Surgical stapling apparatus |
US8556151B2 (en) | 2007-09-11 | 2013-10-15 | Covidien Lp | Articulating joint for surgical instruments |
AU2014200781B2 (en) * | 2007-09-11 | 2015-02-05 | Covidien Lp | Articulating joint for surgical instruments |
EP2233081B2 (en) * | 2007-09-21 | 2018-03-28 | Covidien LP | Surgical device |
AU2013213682B2 (en) * | 2007-09-21 | 2015-08-06 | Covidien Lp | Surgical device |
US9023014B2 (en) | 2007-09-21 | 2015-05-05 | Covidien Lp | Quick connect assembly for use between surgical handle assembly and surgical accessories |
AU2008302043B2 (en) | 2007-09-21 | 2013-06-27 | Covidien Lp | Surgical device |
US8960520B2 (en) * | 2007-10-05 | 2015-02-24 | Covidien Lp | Method and apparatus for determining parameters of linear motion in a surgical instrument |
US10779818B2 (en) | 2007-10-05 | 2020-09-22 | Covidien Lp | Powered surgical stapling device |
US10498269B2 (en) | 2007-10-05 | 2019-12-03 | Covidien Lp | Powered surgical stapling device |
US8517241B2 (en) | 2010-04-16 | 2013-08-27 | Covidien Lp | Hand-held surgical devices |
US8967443B2 (en) | 2007-10-05 | 2015-03-03 | Covidien Lp | Method and apparatus for determining parameters of linear motion in a surgical instrument |
US8096460B2 (en) * | 2007-10-05 | 2012-01-17 | Tyco Healthcare Group Lp | Surgical stapling apparatus |
US7922063B2 (en) | 2007-10-31 | 2011-04-12 | Tyco Healthcare Group, Lp | Powered surgical instrument |
US7954685B2 (en) * | 2007-11-06 | 2011-06-07 | Tyco Healthcare Group Lp | Articulation and firing force mechanisms |
CA2942567C (en) | 2007-11-26 | 2021-08-17 | Attractive Surgical, Llc | Magnaretractor system and method |
US8647258B2 (en) | 2008-01-10 | 2014-02-11 | Covidien Lp | Apparatus for endoscopic procedures |
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 |
US7766209B2 (en) * | 2008-02-13 | 2010-08-03 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with improved firing trigger arrangement |
US8453908B2 (en) | 2008-02-13 | 2013-06-04 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with improved firing trigger arrangement |
US7819297B2 (en) * | 2008-02-14 | 2010-10-26 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with reprocessible handle assembly |
US7793812B2 (en) | 2008-02-14 | 2010-09-14 | Ethicon Endo-Surgery, Inc. | Disposable motor-driven loading unit for use with a surgical cutting and stapling apparatus |
US7810692B2 (en) * | 2008-02-14 | 2010-10-12 | Ethicon Endo-Surgery, Inc. | Disposable loading unit with firing indicator |
US20090206133A1 (en) * | 2008-02-14 | 2009-08-20 | Ethicon Endo-Surgery, Inc. | Articulatable loading units for surgical stapling and cutting instruments |
US8573465B2 (en) | 2008-02-14 | 2013-11-05 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical end effector system with rotary actuated closure systems |
US7819298B2 (en) | 2008-02-14 | 2010-10-26 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with control features operable with one hand |
US8459525B2 (en) | 2008-02-14 | 2013-06-11 | Ethicon Endo-Sugery, Inc. | Motorized surgical cutting and fastening instrument having a magnetic drive train torque limiting device |
US8584919B2 (en) | 2008-02-14 | 2013-11-19 | Ethicon Endo-Sugery, Inc. | Surgical stapling apparatus with load-sensitive firing mechanism |
US7819296B2 (en) * | 2008-02-14 | 2010-10-26 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with retractable firing systems |
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 |
US7866527B2 (en) * | 2008-02-14 | 2011-01-11 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with interlockable firing system |
RU2493788C2 (ru) | 2008-02-14 | 2013-09-27 | Этикон Эндо-Серджери, Инк. | Хирургический режущий и крепежный инструмент, имеющий радиочастотные электроды |
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 |
US9179912B2 (en) | 2008-02-14 | 2015-11-10 | Ethicon Endo-Surgery, Inc. | Robotically-controlled motorized surgical cutting and fastening instrument |
US8657174B2 (en) | 2008-02-14 | 2014-02-25 | Ethicon Endo-Surgery, Inc. | Motorized surgical cutting and fastening instrument having handle based power source |
US8752749B2 (en) | 2008-02-14 | 2014-06-17 | Ethicon Endo-Surgery, Inc. | Robotically-controlled disposable motor-driven loading unit |
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 |
US7857185B2 (en) | 2008-02-14 | 2010-12-28 | Ethicon Endo-Surgery, Inc. | Disposable loading unit for surgical stapling apparatus |
US20090206131A1 (en) | 2008-02-15 | 2009-08-20 | Ethicon Endo-Surgery, Inc. | End effector coupling arrangements 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 |
US11272927B2 (en) | 2008-02-15 | 2022-03-15 | Cilag Gmbh International | Layer arrangements for surgical staple cartridges |
US20130153641A1 (en) | 2008-02-15 | 2013-06-20 | Ethicon Endo-Surgery, Inc. | Releasable layer of material and surgical end effector having the same |
US20090206126A1 (en) | 2008-02-15 | 2009-08-20 | Ethicon Endo-Surgery, Inc. | Buttress material with alignment and retention features for use with surgical end effectors |
US7959051B2 (en) * | 2008-02-15 | 2011-06-14 | Ethicon Endo-Surgery, Inc. | Closure systems for a surgical cutting and stapling instrument |
US20090206137A1 (en) * | 2008-02-15 | 2009-08-20 | Ethicon Endo-Surgery, Inc. | Disposable loading units 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 |
US7922061B2 (en) * | 2008-05-21 | 2011-04-12 | Ethicon Endo-Surgery, Inc. | Surgical instrument with automatically reconfigurable articulating end effector |
US7789283B2 (en) * | 2008-06-06 | 2010-09-07 | Tyco Healthcare Group Lp | Knife/firing rod connection for surgical instrument |
US8701959B2 (en) | 2008-06-06 | 2014-04-22 | Covidien Lp | Mechanically pivoting cartridge channel for surgical instrument |
US7942303B2 (en) | 2008-06-06 | 2011-05-17 | Tyco Healthcare Group Lp | Knife lockout mechanisms for surgical instrument |
US7543730B1 (en) | 2008-06-24 | 2009-06-09 | Tyco Healthcare Group Lp | Segmented drive member for surgical instruments |
US8011551B2 (en) | 2008-07-01 | 2011-09-06 | Tyco Healthcare Group Lp | Retraction mechanism with clutch-less drive for use with a surgical apparatus |
US8834465B2 (en) * | 2008-07-15 | 2014-09-16 | Immersion Corporation | Modular tool with signal feedback |
US8074858B2 (en) | 2008-07-17 | 2011-12-13 | Tyco Healthcare Group Lp | Surgical retraction mechanism |
US8465502B2 (en) | 2008-08-25 | 2013-06-18 | Covidien Lp | Surgical clip applier and method of assembly |
US8056565B2 (en) * | 2008-08-25 | 2011-11-15 | Tyco Healthcare Group Lp | Surgical clip applier and method of assembly |
US20110208212A1 (en) | 2010-02-19 | 2011-08-25 | Zergiebel Earl M | Surgical clip applier |
US8267944B2 (en) | 2008-08-29 | 2012-09-18 | Tyco Healthcare Group Lp | Endoscopic surgical clip applier with lock out |
US8585717B2 (en) | 2008-08-29 | 2013-11-19 | Covidien Lp | Single stroke endoscopic surgical clip applier |
US8409223B2 (en) | 2008-08-29 | 2013-04-02 | Covidien Lp | Endoscopic surgical clip applier with clip retention |
US9358015B2 (en) | 2008-08-29 | 2016-06-07 | Covidien Lp | Endoscopic surgical clip applier with wedge plate |
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 |
US20100069942A1 (en) * | 2008-09-18 | 2010-03-18 | Ethicon Endo-Surgery, Inc. | Surgical instrument with apparatus for measuring elapsed time between actions |
US8083120B2 (en) * | 2008-09-18 | 2011-12-27 | Ethicon Endo-Surgery, Inc. | End effector for use with a surgical cutting and stapling instrument |
US7954686B2 (en) | 2008-09-19 | 2011-06-07 | Ethicon Endo-Surgery, Inc. | Surgical stapler with apparatus for adjusting staple height |
PL3476312T3 (pl) | 2008-09-19 | 2024-03-11 | Ethicon Llc | Stapler chirurgiczny z urządzeniem do dopasowania wysokości zszywek |
BRPI0903919B8 (pt) * | 2008-09-19 | 2021-06-22 | Ethicon Endo Surgery Inc | cartucho de grampos e grampeador cirúrgico |
US8210411B2 (en) | 2008-09-23 | 2012-07-03 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting instrument |
US8215532B2 (en) | 2008-09-23 | 2012-07-10 | Tyco Healthcare Group Lp | Tissue stop for surgical instrument |
US7896214B2 (en) | 2008-09-23 | 2011-03-01 | Tyco Healthcare Group Lp | Tissue stop for surgical instrument |
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 |
US9005230B2 (en) | 2008-09-23 | 2015-04-14 | Ethicon Endo-Surgery, Inc. | Motorized surgical instrument |
US11648005B2 (en) | 2008-09-23 | 2023-05-16 | Cilag Gmbh International | Robotically-controlled motorized surgical instrument with an end effector |
US8628544B2 (en) | 2008-09-23 | 2014-01-14 | Covidien Lp | Knife bar for surgical instrument |
US9386983B2 (en) | 2008-09-23 | 2016-07-12 | Ethicon Endo-Surgery, Llc | Robotically-controlled motorized 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 |
US8485413B2 (en) * | 2009-02-05 | 2013-07-16 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument comprising an articulation joint |
US8397971B2 (en) * | 2009-02-05 | 2013-03-19 | Ethicon Endo-Surgery, Inc. | Sterilizable surgical instrument |
US8517239B2 (en) | 2009-02-05 | 2013-08-27 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument comprising a magnetic element driver |
US8414577B2 (en) | 2009-02-05 | 2013-04-09 | Ethicon Endo-Surgery, Inc. | Surgical instruments and components for use in sterile environments |
US8444036B2 (en) | 2009-02-06 | 2013-05-21 | Ethicon Endo-Surgery, Inc. | Motor driven surgical fastener device with mechanisms for adjusting a tissue gap within the end effector |
CL2009000279A1 (es) | 2009-02-06 | 2009-08-14 | Biotech Innovations Ltda | Sistema de guia y traccion remota para cirugia mini-invasiva, que comprende: al menos una endopinza quirurgica y desprendible con medios de enganches y una porcion de material ferro magnaetico, una guia de introduccion de forma cilindrica, un mecanismo de desprendimiento, y al menos un medio de traccion remota con iman. |
CA2751664A1 (en) | 2009-02-06 | 2010-08-12 | Ethicon Endo-Surgery, Inc. | Driven surgical stapler improvements |
US20110024478A1 (en) | 2009-02-06 | 2011-02-03 | Shelton Iv Frederick E | Driven Surgical Stapler Improvements |
US8858547B2 (en) | 2009-03-05 | 2014-10-14 | Intuitive Surgical Operations, Inc. | Cut and seal instrument |
US8066167B2 (en) | 2009-03-23 | 2011-11-29 | Ethicon Endo-Surgery, Inc. | Circular surgical stapling instrument with anvil locking system |
US8945163B2 (en) * | 2009-04-01 | 2015-02-03 | Ethicon Endo-Surgery, Inc. | Methods and devices for cutting and fastening tissue |
US8292154B2 (en) | 2009-04-16 | 2012-10-23 | Tyco Healthcare Group Lp | Surgical apparatus for applying tissue fasteners |
US8127976B2 (en) * | 2009-05-08 | 2012-03-06 | Tyco Healthcare Group Lp | Stapler cartridge and channel interlock |
US8132706B2 (en) * | 2009-06-05 | 2012-03-13 | Tyco Healthcare Group Lp | Surgical stapling apparatus having articulation mechanism |
US8821514B2 (en) * | 2009-06-08 | 2014-09-02 | Covidien Lp | Powered tack applier |
US8827134B2 (en) | 2009-06-19 | 2014-09-09 | Covidien Lp | Flexible surgical stapler with motor in the head |
US8342378B2 (en) | 2009-08-17 | 2013-01-01 | Covidien Lp | One handed stapler |
US8733612B2 (en) | 2009-08-17 | 2014-05-27 | Covidien Lp | Safety method for powered surgical instruments |
US8734469B2 (en) | 2009-10-13 | 2014-05-27 | Covidien Lp | Suture clip applier |
US8418907B2 (en) | 2009-11-05 | 2013-04-16 | Covidien Lp | Surgical stapler having cartridge with adjustable cam mechanism |
US20110118708A1 (en) | 2009-11-13 | 2011-05-19 | Intuitive Surgical Operations, Inc. | Double universal joint |
EP2498710B1 (en) * | 2009-11-13 | 2018-05-16 | Intuitive Surgical Operations, Inc. | Motor interface for parallel drive shafts within an independently rotating member |
WO2011060311A2 (en) * | 2009-11-13 | 2011-05-19 | Intuitive Surgical Operations, Inc. | End effector with redundant closing mechanisms |
CN113967039A (zh) | 2009-11-13 | 2022-01-25 | 直观外科手术操作公司 | 具有紧凑腕部的手术工具 |
US8622275B2 (en) * | 2009-11-19 | 2014-01-07 | Ethicon Endo-Surgery, Inc. | Circular stapler introducer with rigid distal end portion |
US8235272B2 (en) | 2009-11-20 | 2012-08-07 | Tyco Healthcare Group Lp | Surgical stapling device with captive anvil |
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 |
US8608046B2 (en) * | 2010-01-07 | 2013-12-17 | Ethicon Endo-Surgery, Inc. | Test device for a surgical tool |
US8403945B2 (en) * | 2010-02-25 | 2013-03-26 | Covidien Lp | Articulating endoscopic surgical clip applier |
US8348127B2 (en) | 2010-04-07 | 2013-01-08 | Covidien Lp | Surgical fastener applying apparatus |
US8403946B2 (en) | 2010-07-28 | 2013-03-26 | Covidien Lp | Articulating clip applier cartridge |
US8968337B2 (en) | 2010-07-28 | 2015-03-03 | Covidien Lp | Articulating clip applier |
US8783543B2 (en) | 2010-07-30 | 2014-07-22 | Ethicon Endo-Surgery, Inc. | Tissue acquisition arrangements and methods for surgical stapling devices |
US8672207B2 (en) | 2010-07-30 | 2014-03-18 | Ethicon Endo-Surgery, Inc. | Transwall visualization arrangements and methods for surgical circular staplers |
US8789740B2 (en) | 2010-07-30 | 2014-07-29 | Ethicon Endo-Surgery, Inc. | Linear cutting and stapling device with selectively disengageable cutting member |
US8360296B2 (en) | 2010-09-09 | 2013-01-29 | Ethicon Endo-Surgery, Inc. | Surgical stapling head assembly with firing lockout for a surgical stapler |
US8632525B2 (en) | 2010-09-17 | 2014-01-21 | Ethicon Endo-Surgery, Inc. | Power control arrangements for surgical instruments and batteries |
US9289212B2 (en) | 2010-09-17 | 2016-03-22 | Ethicon Endo-Surgery, Inc. | Surgical instruments and batteries for surgical instruments |
US20120078244A1 (en) | 2010-09-24 | 2012-03-29 | Worrell Barry C | Control features for articulating surgical device |
US8733613B2 (en) | 2010-09-29 | 2014-05-27 | Ethicon Endo-Surgery, Inc. | Staple cartridge |
US9277919B2 (en) | 2010-09-30 | 2016-03-08 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator comprising fibers to produce a resilient load |
US9517063B2 (en) | 2012-03-28 | 2016-12-13 | Ethicon Endo-Surgery, Llc | Movable member for use with a tissue thickness compensator |
US9301753B2 (en) | 2010-09-30 | 2016-04-05 | Ethicon Endo-Surgery, Llc | Expandable tissue thickness compensator |
US8893949B2 (en) | 2010-09-30 | 2014-11-25 | Ethicon Endo-Surgery, Inc. | Surgical stapler with floating anvil |
US9320523B2 (en) | 2012-03-28 | 2016-04-26 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator comprising tissue ingrowth features |
US9364233B2 (en) | 2010-09-30 | 2016-06-14 | Ethicon Endo-Surgery, Llc | Tissue thickness compensators for circular surgical staplers |
US20120080498A1 (en) | 2010-09-30 | 2012-04-05 | Ethicon Endo-Surgery, Inc. | Curved end effector for a stapling instrument |
US11925354B2 (en) | 2010-09-30 | 2024-03-12 | Cilag Gmbh International | Staple cartridge comprising staples positioned within a compressible portion thereof |
US9295464B2 (en) | 2010-09-30 | 2016-03-29 | Ethicon Endo-Surgery, Inc. | Surgical stapler anvil comprising a plurality of forming pockets |
US9314246B2 (en) | 2010-09-30 | 2016-04-19 | Ethicon Endo-Surgery, Llc | Tissue stapler having a thickness compensator incorporating an anti-inflammatory agent |
CN103140178B (zh) | 2010-09-30 | 2015-09-23 | 伊西康内外科公司 | 包括保持矩阵和对齐矩阵的紧固件系统 |
US9839420B2 (en) | 2010-09-30 | 2017-12-12 | Ethicon Llc | Tissue thickness compensator comprising at least one medicament |
US9307989B2 (en) | 2012-03-28 | 2016-04-12 | Ethicon Endo-Surgery, Llc | Tissue stapler having a thickness compensator incorportating a hydrophobic agent |
US8740034B2 (en) | 2010-09-30 | 2014-06-03 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with interchangeable staple cartridge arrangements |
US9220501B2 (en) | 2010-09-30 | 2015-12-29 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensators |
US10945731B2 (en) | 2010-09-30 | 2021-03-16 | Ethicon Llc | Tissue thickness compensator comprising controlled release and expansion |
US11298125B2 (en) | 2010-09-30 | 2022-04-12 | Cilag Gmbh International | Tissue stapler having a thickness compensator |
US9861361B2 (en) | 2010-09-30 | 2018-01-09 | Ethicon Llc | Releasable tissue thickness compensator and fastener cartridge having the same |
US9414838B2 (en) | 2012-03-28 | 2016-08-16 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator comprised of a plurality of materials |
US11812965B2 (en) | 2010-09-30 | 2023-11-14 | Cilag Gmbh International | Layer of material for a surgical end effector |
US9332974B2 (en) | 2010-09-30 | 2016-05-10 | Ethicon Endo-Surgery, Llc | Layered tissue thickness compensator |
US9629814B2 (en) | 2010-09-30 | 2017-04-25 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator configured to redistribute compressive forces |
US8695866B2 (en) | 2010-10-01 | 2014-04-15 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a power control circuit |
US8899461B2 (en) | 2010-10-01 | 2014-12-02 | Covidien Lp | Tissue stop for surgical instrument |
USD650074S1 (en) | 2010-10-01 | 2011-12-06 | Ethicon Endo-Surgery, Inc. | Surgical instrument |
US8292150B2 (en) * | 2010-11-02 | 2012-10-23 | Tyco Healthcare Group Lp | Adapter for powered surgical devices |
US9011464B2 (en) | 2010-11-02 | 2015-04-21 | Covidien Lp | Self-centering clip and jaw |
US8308041B2 (en) | 2010-11-10 | 2012-11-13 | Tyco Healthcare Group Lp | Staple formed over the wire wound closure procedure |
US9186153B2 (en) | 2011-01-31 | 2015-11-17 | Covidien Lp | Locking cam driver and jaw assembly for clip applier |
US8986287B2 (en) | 2011-02-14 | 2015-03-24 | Adrian E. Park | Adjustable laparoscopic instrument handle |
DE102011011497A1 (de) | 2011-02-17 | 2012-08-23 | Kuka Roboter Gmbh | Chirurgisches Instrument |
US8827903B2 (en) | 2011-03-14 | 2014-09-09 | Ethicon Endo-Surgery, Inc. | Modular tool heads for use with circular surgical instruments |
US8800841B2 (en) | 2011-03-15 | 2014-08-12 | Ethicon Endo-Surgery, Inc. | Surgical staple cartridges |
US8926598B2 (en) | 2011-03-15 | 2015-01-06 | Ethicon Endo-Surgery, Inc. | Surgical instruments with articulatable and rotatable end effector |
US8857693B2 (en) | 2011-03-15 | 2014-10-14 | Ethicon Endo-Surgery, Inc. | Surgical instruments with lockable articulating end effector |
US9044229B2 (en) | 2011-03-15 | 2015-06-02 | Ethicon Endo-Surgery, Inc. | Surgical fastener instruments |
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 |
US9566048B1 (en) | 2011-04-26 | 2017-02-14 | Cardica, Inc. | Surgical instrument with discrete cammed articulation |
US9474527B1 (en) * | 2011-04-26 | 2016-10-25 | Bryan D. Knodel | Surgical instrument with discrete articulation |
US9775623B2 (en) | 2011-04-29 | 2017-10-03 | Covidien Lp | Surgical clip applier including clip relief feature |
RU2606493C2 (ru) | 2011-04-29 | 2017-01-10 | Этикон Эндо-Серджери, Инк. | Кассета со скобками, содержащая скобки, расположенные внутри ее сжимаемой части |
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 |
US9289209B2 (en) | 2011-06-09 | 2016-03-22 | Covidien Lp | Surgical fastener applying apparatus |
US9451959B2 (en) | 2011-06-09 | 2016-09-27 | Covidien Lp | Surgical fastener applying apparatus |
US9271728B2 (en) | 2011-06-09 | 2016-03-01 | Covidien Lp | Surgical fastener applying apparatus |
US8763876B2 (en) | 2011-06-30 | 2014-07-01 | Covidien Lp | Surgical instrument and cartridge for use therewith |
US20130012958A1 (en) | 2011-07-08 | 2013-01-10 | Stanislaw Marczyk | Surgical Device with Articulation and Wrist Rotation |
US9539007B2 (en) | 2011-08-08 | 2017-01-10 | Covidien Lp | Surgical fastener applying aparatus |
US9155537B2 (en) | 2011-08-08 | 2015-10-13 | Covidien Lp | Surgical fastener applying apparatus |
US9724095B2 (en) | 2011-08-08 | 2017-08-08 | Covidien Lp | Surgical fastener applying apparatus |
US8789739B2 (en) | 2011-09-06 | 2014-07-29 | Ethicon Endo-Surgery, Inc. | Continuous stapling instrument |
US9050084B2 (en) | 2011-09-23 | 2015-06-09 | Ethicon Endo-Surgery, Inc. | Staple cartridge including collapsible deck arrangement |
US11207089B2 (en) | 2011-10-25 | 2021-12-28 | Covidien Lp | Apparatus for endoscopic procedures |
US9480492B2 (en) | 2011-10-25 | 2016-11-01 | Covidien Lp | Apparatus for endoscopic procedures |
US9016539B2 (en) | 2011-10-25 | 2015-04-28 | Covidien Lp | Multi-use loading unit |
US8899462B2 (en) * | 2011-10-25 | 2014-12-02 | Covidien Lp | Apparatus for endoscopic procedures |
US8672206B2 (en) | 2011-10-25 | 2014-03-18 | Covidien Lp | Apparatus for endoscopic procedures |
US9492146B2 (en) | 2011-10-25 | 2016-11-15 | Covidien Lp | Apparatus for endoscopic procedures |
US8657177B2 (en) | 2011-10-25 | 2014-02-25 | Covidien Lp | Surgical apparatus and method for endoscopic surgery |
CN107348981B (zh) | 2011-10-26 | 2020-11-10 | 直观外科手术操作公司 | 具有整体的手术刀刀片的外科手术器械 |
US9364231B2 (en) | 2011-10-27 | 2016-06-14 | Covidien Lp | System and method of using simulation reload to optimize staple formation |
KR102008221B1 (ko) | 2011-11-15 | 2019-08-07 | 인튜어티브 서지컬 오퍼레이션즈 인코포레이티드 | 스토잉하는 나이프 블레이드를 가진 수술 기구 |
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 |
US9364239B2 (en) | 2011-12-19 | 2016-06-14 | Covidien Lp | Jaw closure mechanism for a surgical clip applier |
US9364216B2 (en) | 2011-12-29 | 2016-06-14 | Covidien Lp | Surgical clip applier with integrated clip counter |
US10299815B2 (en) | 2012-01-19 | 2019-05-28 | Covidien Lp | Surgical instrument with clam releases mechanism |
US8864010B2 (en) | 2012-01-20 | 2014-10-21 | Covidien Lp | Curved guide member for articulating instruments |
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 |
US8979827B2 (en) | 2012-03-14 | 2015-03-17 | Covidien Lp | Surgical instrument with articulation mechanism |
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 |
US9198662B2 (en) | 2012-03-28 | 2015-12-01 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator having improved visibility |
MX353040B (es) | 2012-03-28 | 2017-12-18 | Ethicon Endo Surgery Inc | Unidad retenedora que incluye un compensador de grosor de tejido. |
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 |
CN104321024B (zh) | 2012-03-28 | 2017-05-24 | 伊西康内外科公司 | 包括多个层的组织厚度补偿件 |
US9408610B2 (en) | 2012-05-04 | 2016-08-09 | Covidien Lp | Surgical clip applier with dissector |
US9526497B2 (en) | 2012-05-07 | 2016-12-27 | Covidien Lp | Surgical instrument with articulation mechanism |
US11871901B2 (en) | 2012-05-20 | 2024-01-16 | Cilag Gmbh International | Method for situational awareness for surgical network or surgical network connected device capable of adjusting function based on a sensed situation or usage |
US8973805B2 (en) | 2012-05-25 | 2015-03-10 | Covidien Lp | Surgical fastener applying apparatus including a knife guard |
US9532787B2 (en) | 2012-05-31 | 2017-01-03 | Covidien Lp | Endoscopic clip applier |
US9868198B2 (en) * | 2012-06-01 | 2018-01-16 | Covidien Lp | Hand held surgical handle assembly, surgical adapters for use between surgical handle assembly and surgical loading units, and methods of use |
US10080563B2 (en) | 2012-06-01 | 2018-09-25 | Covidien Lp | Loading unit detection assembly and surgical device for use therewith |
US9597104B2 (en) | 2012-06-01 | 2017-03-21 | Covidien Lp | Handheld surgical handle assembly, surgical adapters for use between surgical handle assembly and surgical end effectors, and methods of use |
US9101358B2 (en) | 2012-06-15 | 2015-08-11 | Ethicon Endo-Surgery, Inc. | Articulatable surgical instrument comprising a firing drive |
US9364220B2 (en) * | 2012-06-19 | 2016-06-14 | Covidien Lp | Apparatus for endoscopic procedures |
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 |
US9649111B2 (en) | 2012-06-28 | 2017-05-16 | Ethicon Endo-Surgery, Llc | Replaceable clip cartridge for a clip applier |
US9028494B2 (en) | 2012-06-28 | 2015-05-12 | Ethicon Endo-Surgery, Inc. | Interchangeable end effector coupling arrangement |
US20140005718A1 (en) | 2012-06-28 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Multi-functional powered surgical device with external dissection features |
US9119657B2 (en) | 2012-06-28 | 2015-09-01 | Ethicon Endo-Surgery, Inc. | Rotary actuatable closure arrangement for surgical end effector |
US9561038B2 (en) | 2012-06-28 | 2017-02-07 | Ethicon Endo-Surgery, Llc | Interchangeable clip applier |
US9101385B2 (en) | 2012-06-28 | 2015-08-11 | Ethicon Endo-Surgery, Inc. | Electrode connections for rotary driven surgical tools |
US9289256B2 (en) | 2012-06-28 | 2016-03-22 | Ethicon Endo-Surgery, Llc | Surgical end effectors having angled tissue-contacting surfaces |
US9125662B2 (en) | 2012-06-28 | 2015-09-08 | Ethicon Endo-Surgery, Inc. | Multi-axis articulating and rotating surgical tools |
RU2636861C2 (ru) | 2012-06-28 | 2017-11-28 | Этикон Эндо-Серджери, Инк. | Блокировка пустой кассеты с клипсами |
US9408606B2 (en) | 2012-06-28 | 2016-08-09 | Ethicon Endo-Surgery, Llc | Robotically powered surgical device with manually-actuatable reversing system |
US9072536B2 (en) | 2012-06-28 | 2015-07-07 | Ethicon Endo-Surgery, Inc. | Differential locking arrangements for rotary powered surgical instruments |
US20140001231A1 (en) | 2012-06-28 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Firing system lockout arrangements for surgical instruments |
US11202631B2 (en) * | 2012-06-28 | 2021-12-21 | Cilag Gmbh International | Stapling assembly comprising a firing lockout |
US8747238B2 (en) | 2012-06-28 | 2014-06-10 | Ethicon Endo-Surgery, Inc. | Rotary drive shaft assemblies for surgical instruments with articulatable end effectors |
US9232944B2 (en) | 2012-06-29 | 2016-01-12 | Covidien Lp | Surgical instrument and bushing |
US9918731B2 (en) | 2012-07-06 | 2018-03-20 | Intuitive Surgical Operations, Inc. | Remotely actuated surgical gripper with seize resistance |
US9955965B2 (en) | 2012-07-09 | 2018-05-01 | Covidien Lp | Switch block control assembly of a medical device |
US9839480B2 (en) | 2012-07-09 | 2017-12-12 | Covidien Lp | Surgical adapter assemblies for use between surgical handle assembly and surgical end effectors |
US10492814B2 (en) | 2012-07-09 | 2019-12-03 | Covidien Lp | Apparatus for endoscopic procedures |
AU2013206807A1 (en) * | 2012-07-18 | 2014-02-06 | Covidien Lp | Apparatus for endoscopic procedures |
US9402604B2 (en) * | 2012-07-20 | 2016-08-02 | Covidien Lp | Apparatus for endoscopic procedures |
US9386985B2 (en) * | 2012-10-15 | 2016-07-12 | Ethicon Endo-Surgery, Llc | Surgical cutting instrument |
US9364217B2 (en) | 2012-10-16 | 2016-06-14 | Covidien Lp | In-situ loaded stapler |
US9421014B2 (en) | 2012-10-18 | 2016-08-23 | Covidien Lp | Loading unit velocity and position feedback |
US9265585B2 (en) | 2012-10-23 | 2016-02-23 | Covidien Lp | Surgical instrument with rapid post event detection |
US9351782B2 (en) * | 2012-11-09 | 2016-05-31 | Orthosensor Inc. | Medical device motion and orientation tracking system |
KR102194979B1 (ko) * | 2012-12-31 | 2020-12-28 | 인튜어티브 서지컬 오퍼레이션즈 인코포레이티드 | 개선된 나이프 간격을 가진 수술용 스테이플 카트리지 |
US9968362B2 (en) | 2013-01-08 | 2018-05-15 | Covidien Lp | Surgical clip applier |
US9113892B2 (en) | 2013-01-08 | 2015-08-25 | Covidien Lp | Surgical clip applier |
US9345480B2 (en) | 2013-01-18 | 2016-05-24 | Covidien Lp | Surgical instrument and cartridge members for use therewith |
US9782187B2 (en) | 2013-01-18 | 2017-10-10 | Covidien Lp | Adapter load button lockout |
US9750500B2 (en) | 2013-01-18 | 2017-09-05 | Covidien Lp | Surgical clip applier |
US10918364B2 (en) | 2013-01-24 | 2021-02-16 | Covidien Lp | Intelligent adapter assembly for use with an electromechanical surgical system |
CN103110441B (zh) * | 2013-01-29 | 2016-06-15 | 北京派尔特医疗科技股份有限公司 | 电动外科装订器械的通用手柄 |
US9386984B2 (en) | 2013-02-08 | 2016-07-12 | Ethicon Endo-Surgery, Llc | Staple cartridge comprising a releasable cover |
US9421003B2 (en) | 2013-02-18 | 2016-08-23 | Covidien Lp | Apparatus for endoscopic procedures |
US9216013B2 (en) | 2013-02-18 | 2015-12-22 | Covidien Lp | Apparatus for endoscopic procedures |
US10092292B2 (en) | 2013-02-28 | 2018-10-09 | Ethicon Llc | Staple forming features for surgical stapling instrument |
US9554794B2 (en) | 2013-03-01 | 2017-01-31 | Ethicon Endo-Surgery, Llc | Multiple processor motor control for modular surgical instruments |
RU2672520C2 (ru) | 2013-03-01 | 2018-11-15 | Этикон Эндо-Серджери, Инк. | Шарнирно поворачиваемые хирургические инструменты с проводящими путями для передачи сигналов |
MX364729B (es) | 2013-03-01 | 2019-05-06 | Ethicon Endo Surgery Inc | Instrumento quirúrgico con una parada suave. |
RU2650201C2 (ru) * | 2013-03-01 | 2018-04-11 | Этикон Эндо-Серджери, Инк. | Шарнирное сочленение с вращательным приводом для хирургических инструментов |
US10561432B2 (en) | 2013-03-05 | 2020-02-18 | Covidien Lp | Pivoting screw for use with a pair of jaw members of a surgical instrument |
US9339285B2 (en) | 2013-03-12 | 2016-05-17 | Levita Magnetics International Corp. | Grasper with magnetically-controlled positioning |
US9629628B2 (en) | 2013-03-13 | 2017-04-25 | Covidien Lp | Surgical stapling apparatus |
US20140263552A1 (en) | 2013-03-13 | 2014-09-18 | Ethicon Endo-Surgery, Inc. | Staple cartridge tissue thickness sensor system |
US9814463B2 (en) | 2013-03-13 | 2017-11-14 | Covidien Lp | Surgical stapling apparatus |
US9492189B2 (en) | 2013-03-13 | 2016-11-15 | Covidien Lp | Apparatus for endoscopic procedures |
US9717498B2 (en) | 2013-03-13 | 2017-08-01 | Covidien Lp | Surgical stapling apparatus |
US9888921B2 (en) | 2013-03-13 | 2018-02-13 | Covidien Lp | Surgical stapling apparatus |
US9629629B2 (en) | 2013-03-14 | 2017-04-25 | Ethicon Endo-Surgey, LLC | Control systems for surgical instruments |
WO2014159023A1 (en) | 2013-03-14 | 2014-10-02 | Levita Magnetics International Corp. | Magnetic control assemblies and systems therefor |
US9883860B2 (en) | 2013-03-14 | 2018-02-06 | Ethicon Llc | Interchangeable shaft assemblies for use with a surgical instrument |
US9872683B2 (en) | 2013-03-14 | 2018-01-23 | Applied Medical Resources Corporation | Surgical stapler with partial pockets |
KR102649677B1 (ko) | 2013-03-15 | 2024-03-21 | 어플라이드 메디컬 리소시스 코포레이션 | 회전가능 샤프트를 구비한 구동 메커니즘을 갖는 수술용 스테이플러 |
EP4129207A1 (en) | 2013-03-15 | 2023-02-08 | Applied Medical Resources Corporation | Surgical stapler with expandable jaw |
US9510827B2 (en) | 2013-03-25 | 2016-12-06 | Covidien Lp | Micro surgical instrument and loading unit for use therewith |
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 |
US9700318B2 (en) * | 2013-04-09 | 2017-07-11 | Covidien Lp | Apparatus for endoscopic procedures |
US9775610B2 (en) * | 2013-04-09 | 2017-10-03 | Covidien Lp | Apparatus for endoscopic procedures |
US9867612B2 (en) | 2013-04-16 | 2018-01-16 | Ethicon Llc | Powered surgical stapler |
BR112015026109B1 (pt) | 2013-04-16 | 2022-02-22 | Ethicon Endo-Surgery, Inc | Instrumento cirúrgico |
US9574644B2 (en) | 2013-05-30 | 2017-02-21 | Ethicon Endo-Surgery, Llc | Power module for use with a surgical instrument |
US9801646B2 (en) | 2013-05-30 | 2017-10-31 | Covidien Lp | Adapter load button decoupled from loading unit sensor |
US9445810B2 (en) | 2013-06-12 | 2016-09-20 | Covidien Lp | Stapling device with grasping jaw mechanism |
US10117654B2 (en) | 2013-06-18 | 2018-11-06 | Covidien Lp | Method of emergency retraction for electro-mechanical surgical devices and systems |
US9797486B2 (en) | 2013-06-20 | 2017-10-24 | Covidien Lp | Adapter direct drive with manual retraction, lockout and connection mechanisms |
US9757129B2 (en) | 2013-07-08 | 2017-09-12 | Covidien Lp | Coupling member configured for use with surgical devices |
US9629633B2 (en) * | 2013-07-09 | 2017-04-25 | Covidien Lp | Surgical device, surgical adapters for use between surgical handle assembly and surgical loading units, and methods of use |
US9833235B2 (en) * | 2013-08-16 | 2017-12-05 | Covidien Lp | Chip assembly for reusable surgical instruments |
US10811816B2 (en) | 2013-08-16 | 2020-10-20 | Covidien Lp | Chip assembly for reusable surgical instruments |
RU2678363C2 (ru) | 2013-08-23 | 2019-01-28 | ЭТИКОН ЭНДО-СЕРДЖЕРИ, ЭлЭлСи | Устройства втягивания пускового элемента для хирургических инструментов с электропитанием |
US9510828B2 (en) | 2013-08-23 | 2016-12-06 | Ethicon Endo-Surgery, Llc | Conductor arrangements for electrically powered surgical instruments with rotatable end effectors |
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 |
US9955966B2 (en) | 2013-09-17 | 2018-05-01 | Covidien Lp | Adapter direct drive with manual retraction, lockout, and connection mechanisms for improper use prevention |
US10271840B2 (en) | 2013-09-18 | 2019-04-30 | Covidien Lp | Apparatus and method for differentiating between tissue and mechanical obstruction in a surgical instrument |
US9974540B2 (en) | 2013-10-18 | 2018-05-22 | Covidien Lp | Adapter direct drive twist-lock retention mechanism |
CN105682567B (zh) | 2013-11-04 | 2021-09-10 | 柯惠Lp公司 | 手术紧固件施加装置 |
JP6545696B2 (ja) * | 2013-11-04 | 2019-07-17 | クイックリング メディカル テクノロジーズ リミテッド | 外科用ステープラ |
EP3065649A1 (en) | 2013-11-04 | 2016-09-14 | Covidien LP | Surgical fastener applying apparatus |
CN110063762B (zh) | 2013-11-04 | 2022-04-15 | 柯惠Lp公司 | 手术紧固件施加装置 |
US9295522B2 (en) * | 2013-11-08 | 2016-03-29 | Covidien Lp | Medical device adapter with wrist mechanism |
WO2015077356A1 (en) | 2013-11-19 | 2015-05-28 | Wheeler William K | Fastener applicator with interlock |
DE102013224753A1 (de) | 2013-12-03 | 2015-06-03 | Richard Wolf Gmbh | Instrument, insbesondere ein medizinisch-endoskopisches Instrument oder Technoskop |
US10236616B2 (en) * | 2013-12-04 | 2019-03-19 | Covidien Lp | Adapter assembly for interconnecting surgical devices and surgical attachments, and surgical systems thereof |
US9918713B2 (en) * | 2013-12-09 | 2018-03-20 | Covidien Lp | Adapter assembly for interconnecting electromechanical surgical devices and surgical loading units, and surgical systems thereof |
ES2755485T3 (es) * | 2013-12-09 | 2020-04-22 | Covidien Lp | Conjunto de adaptador para la interconexión de dispositivos quirúrgicos electromecánicos y unidades de carga quirúrgica, y sistemas quirúrgicos de los mismos |
EP3834752B1 (en) | 2013-12-11 | 2024-03-13 | Covidien LP | Wrist and jaw assemblies for robotic surgical systems |
CN105813580B (zh) | 2013-12-12 | 2019-10-15 | 柯惠Lp公司 | 用于机器人手术系统的齿轮系组件 |
US9808245B2 (en) | 2013-12-13 | 2017-11-07 | Covidien Lp | Coupling assembly for interconnecting an adapter assembly and a surgical device, and surgical systems thereof |
CN106028976B (zh) | 2013-12-17 | 2019-09-17 | 标准肥胖病学股份有限公司 | 用于医疗手术的切除线引导件及其使用方法 |
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 |
US9681870B2 (en) | 2013-12-23 | 2017-06-20 | Ethicon Llc | Articulatable surgical instruments with separate and distinct closing and firing systems |
US9642620B2 (en) | 2013-12-23 | 2017-05-09 | Ethicon Endo-Surgery, Llc | Surgical cutting and stapling instruments with articulatable end effectors |
US9724092B2 (en) | 2013-12-23 | 2017-08-08 | Ethicon Llc | Modular surgical instruments |
US9839428B2 (en) | 2013-12-23 | 2017-12-12 | Ethicon Llc | Surgical cutting and stapling instruments with independent jaw control features |
US9763662B2 (en) | 2013-12-23 | 2017-09-19 | Ethicon Llc | Fastener cartridge comprising a firing member configured to directly engage and eject fasteners from the fastener cartridge |
US9839424B2 (en) | 2014-01-17 | 2017-12-12 | Covidien Lp | Electromechanical surgical assembly |
WO2015112645A1 (en) | 2014-01-21 | 2015-07-30 | Levita Magnetics International Corp. | Laparoscopic graspers and systems therefor |
US9655616B2 (en) | 2014-01-22 | 2017-05-23 | Covidien Lp | Apparatus for endoscopic procedures |
US9962161B2 (en) | 2014-02-12 | 2018-05-08 | Ethicon Llc | Deliverable surgical instrument |
US10219869B2 (en) | 2014-02-12 | 2019-03-05 | Covidien Lp | Surgical end effectors and pulley assemblies thereof |
US9848874B2 (en) | 2014-02-14 | 2017-12-26 | Covidien Lp | Small diameter endoscopic stapler |
DE102014203168A1 (de) * | 2014-02-21 | 2015-08-27 | Karl Storz Gmbh & Co.Kg | Instrument zur Durchführung medizinischer Eingriffe |
US9301691B2 (en) | 2014-02-21 | 2016-04-05 | Covidien Lp | Instrument for optically detecting tissue attributes |
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 |
US9884456B2 (en) | 2014-02-24 | 2018-02-06 | Ethicon Llc | Implantable layers and methods for altering one or more properties of implantable layers for use with fastening instruments |
CN103948408B (zh) * | 2014-03-19 | 2016-02-24 | 常州威克医疗器械有限公司 | 一次性腔内切割吻合器钉仓旋转连接装置 |
CN103860229B (zh) * | 2014-03-19 | 2015-12-30 | 常州威克医疗器械有限公司 | 一次性腔内切割吻合器旋转接头组件 |
US9913642B2 (en) | 2014-03-26 | 2018-03-13 | Ethicon Llc | Surgical instrument comprising a sensor system |
BR112016021943B1 (pt) | 2014-03-26 | 2022-06-14 | Ethicon Endo-Surgery, Llc | Instrumento cirúrgico para uso por um operador em um procedimento cirúrgico |
US9820738B2 (en) | 2014-03-26 | 2017-11-21 | Ethicon Llc | Surgical instrument comprising interactive systems |
US20150272582A1 (en) | 2014-03-26 | 2015-10-01 | Ethicon Endo-Surgery, Inc. | Power management control systems for surgical instruments |
US10013049B2 (en) | 2014-03-26 | 2018-07-03 | Ethicon Llc | Power management through sleep options of segmented circuit and wake up control |
EP3125779B1 (en) | 2014-03-29 | 2023-10-25 | Standard Bariatrics, Inc. | End effectors for surgical stapling devices |
AU2015241267A1 (en) | 2014-03-29 | 2016-10-20 | 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 |
EP3125785B1 (en) | 2014-03-31 | 2020-03-04 | Covidien LP | Wrist and jaw assemblies for robotic surgical systems |
BR112016023807B1 (pt) | 2014-04-16 | 2022-07-12 | Ethicon Endo-Surgery, Llc | Conjunto de cartucho de prendedores para uso com um instrumento cirúrgico |
US10561422B2 (en) | 2014-04-16 | 2020-02-18 | Ethicon Llc | Fastener cartridge comprising deployable tissue engaging members |
US10426476B2 (en) | 2014-09-26 | 2019-10-01 | Ethicon Llc | Circular fastener cartridges for applying radially expandable fastener lines |
CN106456176B (zh) | 2014-04-16 | 2019-06-28 | 伊西康内外科有限责任公司 | 包括具有不同构型的延伸部的紧固件仓 |
BR112016023825B1 (pt) | 2014-04-16 | 2022-08-02 | Ethicon Endo-Surgery, Llc | Cartucho de grampos para uso com um grampeador cirúrgico e cartucho de grampos para uso com um instrumento cirúrgico |
US20150297223A1 (en) | 2014-04-16 | 2015-10-22 | Ethicon Endo-Surgery, Inc. | Fastener cartridges including extensions having different configurations |
US10164466B2 (en) | 2014-04-17 | 2018-12-25 | Covidien Lp | Non-contact surgical adapter electrical interface |
US10080552B2 (en) | 2014-04-21 | 2018-09-25 | Covidien Lp | Adapter assembly with gimbal for interconnecting electromechanical surgical devices and surgical loading units, and surgical systems thereof |
US9668733B2 (en) | 2014-04-21 | 2017-06-06 | Covidien Lp | Stapling device with features to prevent inadvertent firing of staples |
US9861366B2 (en) | 2014-05-06 | 2018-01-09 | Covidien Lp | Ejecting assembly for a surgical stapler |
CN110680437B (zh) | 2014-05-15 | 2023-01-31 | 柯惠Lp公司 | 手术紧固件施加装置 |
US9713466B2 (en) | 2014-05-16 | 2017-07-25 | Covidien Lp | Adaptor for surgical instrument for converting rotary input to linear output |
EP3785644B1 (en) | 2014-06-11 | 2023-11-01 | Applied Medical Resources Corporation | Surgical stapler with circumferential firing |
US10045781B2 (en) | 2014-06-13 | 2018-08-14 | Ethicon Llc | Closure lockout systems for surgical instruments |
US9987095B2 (en) | 2014-06-26 | 2018-06-05 | Covidien Lp | Adapter assemblies for interconnecting electromechanical handle assemblies and surgical loading units |
US9763661B2 (en) | 2014-06-26 | 2017-09-19 | Covidien Lp | Adapter assembly for interconnecting electromechanical surgical devices and surgical loading units, and surgical systems thereof |
US10561418B2 (en) | 2014-06-26 | 2020-02-18 | Covidien Lp | Adapter assemblies for interconnecting surgical loading units and handle assemblies |
US9839425B2 (en) | 2014-06-26 | 2017-12-12 | Covidien Lp | Adapter assembly for interconnecting electromechanical surgical devices and surgical loading units, and surgical systems thereof |
US10163589B2 (en) | 2014-06-26 | 2018-12-25 | Covidien Lp | Adapter assemblies for interconnecting surgical loading units and handle assemblies |
US9788836B2 (en) * | 2014-09-05 | 2017-10-17 | Ethicon Llc | Multiple motor control for powered medical device |
US10470911B2 (en) | 2014-09-05 | 2019-11-12 | Standard Bariatrics, Inc. | Sleeve gastrectomy calibration tube and method of using same |
US11311294B2 (en) | 2014-09-05 | 2022-04-26 | Cilag Gmbh International | Powered medical device including measurement of closure state of jaws |
BR112017004361B1 (pt) | 2014-09-05 | 2023-04-11 | Ethicon Llc | Sistema eletrônico para um instrumento cirúrgico |
EP4272688A3 (en) | 2014-09-15 | 2024-02-21 | Applied Medical Resources Corporation | Surgical stapler with self-adjusting staple height |
AU2015316494A1 (en) * | 2014-09-15 | 2017-04-20 | Stepwise Ltd. | Tissue staplers, stapler heads, and methods of surgically fastening and cutting a bodily tissue |
US10105142B2 (en) | 2014-09-18 | 2018-10-23 | Ethicon Llc | Surgical stapler with plurality of cutting elements |
BR112017005981B1 (pt) | 2014-09-26 | 2022-09-06 | Ethicon, Llc | Material de escora para uso com um cartucho de grampos cirúrgicos e cartucho de grampos cirúrgicos para uso com um instrumento cirúrgico |
US11523821B2 (en) | 2014-09-26 | 2022-12-13 | Cilag Gmbh International | Method for creating a flexible staple line |
US10603128B2 (en) | 2014-10-07 | 2020-03-31 | Covidien Lp | Handheld electromechanical surgical system |
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 |
US10226254B2 (en) | 2014-10-21 | 2019-03-12 | Covidien Lp | Adapter, extension, and connector assemblies for surgical devices |
US10729443B2 (en) | 2014-10-21 | 2020-08-04 | Covidien Lp | Adapter, extension, and connector assemblies for surgical devices |
US10085750B2 (en) | 2014-10-22 | 2018-10-02 | Covidien Lp | Adapter with fire rod J-hook lockout |
US9949737B2 (en) | 2014-10-22 | 2018-04-24 | Covidien Lp | Adapter assemblies for interconnecting surgical loading units and handle assemblies |
US11141153B2 (en) | 2014-10-29 | 2021-10-12 | Cilag Gmbh International | Staple cartridges comprising driver arrangements |
US10517594B2 (en) | 2014-10-29 | 2019-12-31 | Ethicon Llc | Cartridge assemblies for surgical staplers |
US11504192B2 (en) | 2014-10-30 | 2022-11-22 | Cilag Gmbh International | Method of hub communication with surgical instrument systems |
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 |
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 |
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 |
US9844375B2 (en) | 2014-12-18 | 2017-12-19 | Ethicon Llc | Drive arrangements for articulatable surgical instruments |
US10004501B2 (en) | 2014-12-18 | 2018-06-26 | Ethicon Llc | Surgical instruments with improved closure arrangements |
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 |
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 |
CN105796141B (zh) * | 2014-12-30 | 2018-01-09 | 苏州天臣国际医疗科技有限公司 | 腔镜外科手术用缝切装置 |
US9931124B2 (en) | 2015-01-07 | 2018-04-03 | Covidien Lp | Reposable clip applier |
US10368876B2 (en) | 2015-01-15 | 2019-08-06 | Covidien Lp | Endoscopic reposable surgical clip applier |
US10292712B2 (en) | 2015-01-28 | 2019-05-21 | Covidien Lp | Surgical clip applier with integrated cutter |
US10111665B2 (en) | 2015-02-19 | 2018-10-30 | Covidien Lp | Electromechanical surgical systems |
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 |
US10182816B2 (en) | 2015-02-27 | 2019-01-22 | Ethicon Llc | Charging system that enables emergency resolutions for charging a battery |
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 |
US9993258B2 (en) | 2015-02-27 | 2018-06-12 | Ethicon Llc | Adaptable surgical instrument handle |
US9901342B2 (en) | 2015-03-06 | 2018-02-27 | Ethicon Endo-Surgery, Llc | Signal and power communication system positioned on a rotatable shaft |
US9895148B2 (en) | 2015-03-06 | 2018-02-20 | Ethicon Endo-Surgery, Llc | Monitoring speed control and precision incrementing of motor for powered surgical instruments |
US9993248B2 (en) | 2015-03-06 | 2018-06-12 | Ethicon Endo-Surgery, Llc | Smart sensors with local signal processing |
US10548504B2 (en) | 2015-03-06 | 2020-02-04 | Ethicon Llc | Overlaid multi sensor radio frequency (RF) electrode system to measure tissue compression |
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 |
US10617412B2 (en) | 2015-03-06 | 2020-04-14 | Ethicon Llc | System for detecting the mis-insertion of a staple cartridge into a surgical stapler |
US10687806B2 (en) | 2015-03-06 | 2020-06-23 | Ethicon Llc | Adaptive tissue compression techniques to adjust closure rates for multiple tissue types |
US10441279B2 (en) | 2015-03-06 | 2019-10-15 | Ethicon Llc | Multiple level thresholds to modify operation of powered surgical instruments |
US10245033B2 (en) | 2015-03-06 | 2019-04-02 | Ethicon Llc | Surgical instrument comprising a lockable battery housing |
US9808246B2 (en) | 2015-03-06 | 2017-11-07 | Ethicon Endo-Surgery, Llc | Method of operating a powered surgical instrument |
US9924961B2 (en) | 2015-03-06 | 2018-03-27 | Ethicon Endo-Surgery, Llc | Interactive feedback system for powered surgical instruments |
JP2020121162A (ja) | 2015-03-06 | 2020-08-13 | エシコン エルエルシーEthicon LLC | 測定の安定性要素、クリープ要素、及び粘弾性要素を決定するためのセンサデータの時間依存性評価 |
US10159491B2 (en) | 2015-03-10 | 2018-12-25 | Covidien Lp | Endoscopic reposable surgical clip applier |
US10190888B2 (en) | 2015-03-11 | 2019-01-29 | Covidien Lp | Surgical stapling instruments with linear position assembly |
US9918717B2 (en) | 2015-03-18 | 2018-03-20 | Covidien Lp | Pivot mechanism for surgical device |
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 |
US20160287279A1 (en) * | 2015-04-01 | 2016-10-06 | Auris Surgical Robotics, Inc. | Microsurgical tool for robotic applications |
US10327779B2 (en) | 2015-04-10 | 2019-06-25 | Covidien Lp | Adapter, extension, and connector assemblies for surgical devices |
US10226239B2 (en) | 2015-04-10 | 2019-03-12 | Covidien Lp | Adapter assembly with gimbal for interconnecting electromechanical surgical devices and surgical loading units, and surgical systems thereof |
US10463368B2 (en) | 2015-04-10 | 2019-11-05 | Covidien Lp | Endoscopic stapler |
US11432902B2 (en) | 2015-04-10 | 2022-09-06 | Covidien Lp | Surgical devices with moisture control |
WO2016168380A1 (en) | 2015-04-13 | 2016-10-20 | Levita Magnetics International Corp. | Grasper with magnetically-controlled positioning |
WO2016168377A1 (en) | 2015-04-13 | 2016-10-20 | Levita Magnetics International Corp. | Retractor systems, devices, and methods for use |
US11278286B2 (en) | 2015-04-22 | 2022-03-22 | Covidien Lp | Handheld electromechanical surgical system |
AU2016251639B2 (en) | 2015-04-22 | 2021-01-14 | Covidien Lp | Handheld electromechanical surgical system |
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 |
WO2016182933A1 (en) | 2015-05-08 | 2016-11-17 | Just Right Surgical, Llc | Surgical stapler |
US10172615B2 (en) | 2015-05-27 | 2019-01-08 | Covidien Lp | Multi-fire push rod stapling device |
US10349941B2 (en) | 2015-05-27 | 2019-07-16 | Covidien Lp | Multi-fire lead screw stapling device |
US10182818B2 (en) | 2015-06-18 | 2019-01-22 | Ethicon Llc | Surgical end effectors with positive jaw opening arrangements |
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 |
US10751058B2 (en) | 2015-07-28 | 2020-08-25 | Covidien Lp | Adapter assemblies for surgical devices |
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 |
KR102639672B1 (ko) | 2015-08-06 | 2024-02-23 | 어플라이드 메디컬 리소시스 코포레이션 | 로킹 관절 조인트를 갖는 수술용 스테이플러 |
US11058425B2 (en) | 2015-08-17 | 2021-07-13 | Ethicon Llc | Implantable layers for a surgical instrument |
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 |
US10172619B2 (en) | 2015-09-02 | 2019-01-08 | Ethicon Llc | Surgical staple driver arrays |
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. |
US10285837B1 (en) | 2015-09-16 | 2019-05-14 | Standard Bariatrics, Inc. | Systems and methods for measuring volume of potential sleeve in a sleeve gastrectomy |
US10327769B2 (en) | 2015-09-23 | 2019-06-25 | Ethicon Llc | Surgical stapler having motor control based on a drive system component |
US10105139B2 (en) | 2015-09-23 | 2018-10-23 | Ethicon Llc | Surgical stapler having downstream current-based motor control |
US10363036B2 (en) | 2015-09-23 | 2019-07-30 | Ethicon Llc | Surgical stapler having force-based motor control |
US10085751B2 (en) | 2015-09-23 | 2018-10-02 | Ethicon Llc | Surgical stapler having temperature-based motor control |
US10076326B2 (en) | 2015-09-23 | 2018-09-18 | Ethicon Llc | Surgical stapler having current mirror-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 |
CN108024835B (zh) | 2015-09-25 | 2021-08-31 | 柯惠Lp公司 | 机器人外科手术组件及其器械驱动连接器 |
US10299878B2 (en) | 2015-09-25 | 2019-05-28 | Ethicon Llc | Implantable adjunct systems for determining adjunct skew |
US20170086829A1 (en) | 2015-09-30 | 2017-03-30 | Ethicon Endo-Surgery, Llc | Compressible adjunct with intermediate supporting structures |
US10603039B2 (en) | 2015-09-30 | 2020-03-31 | Ethicon Llc | Progressively releasable implantable adjunct for use with a surgical stapling instrument |
US11890015B2 (en) | 2015-09-30 | 2024-02-06 | Cilag Gmbh International | Compressible adjunct with crossing spacer fibers |
US10980539B2 (en) | 2015-09-30 | 2021-04-20 | Ethicon Llc | Implantable adjunct comprising bonded layers |
US10213204B2 (en) | 2015-10-02 | 2019-02-26 | Covidien Lp | Micro surgical instrument and loading unit for use therewith |
US10371238B2 (en) | 2015-10-09 | 2019-08-06 | Covidien Lp | Adapter assembly for surgical device |
US10413298B2 (en) | 2015-10-14 | 2019-09-17 | Covidien Lp | Adapter assembly for surgical devices |
US10772632B2 (en) | 2015-10-28 | 2020-09-15 | Covidien Lp | Surgical stapling device with triple leg staples |
US10702279B2 (en) | 2015-11-03 | 2020-07-07 | Covidien Lp | Endoscopic surgical clip applier |
US10939952B2 (en) | 2015-11-06 | 2021-03-09 | Covidien Lp | Adapter, extension, and connector assemblies for surgical devices |
US10729435B2 (en) | 2015-11-06 | 2020-08-04 | Covidien Lp | Adapter assemblies for interconnecting surgical loading units and handle assemblies |
US10292705B2 (en) | 2015-11-06 | 2019-05-21 | Covidien Lp | Surgical apparatus |
AU2015414615A1 (en) | 2015-11-10 | 2018-04-12 | Covidien Lp | Endoscopic reposable surgical clip applier |
EP3373830B1 (en) | 2015-11-10 | 2021-06-30 | 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 |
DE102015015655A1 (de) * | 2015-12-01 | 2017-06-01 | Karl Storz Gmbh & Co. Kg | Medizinisches Instrument |
US10617411B2 (en) | 2015-12-01 | 2020-04-14 | Covidien Lp | Adapter assembly for surgical device |
US10111660B2 (en) | 2015-12-03 | 2018-10-30 | Covidien Lp | Surgical stapler flexible distal tip |
US10433841B2 (en) | 2015-12-10 | 2019-10-08 | Covidien Lp | Adapter assembly for surgical device |
US10420554B2 (en) | 2015-12-22 | 2019-09-24 | Covidien Lp | Personalization of powered surgical devices |
US10253847B2 (en) | 2015-12-22 | 2019-04-09 | Covidien Lp | Electromechanical surgical devices with single motor drives and adapter assemblies therfor |
US10265068B2 (en) | 2015-12-30 | 2019-04-23 | Ethicon Llc | Surgical instruments with separable motors and motor control circuits |
US10368865B2 (en) | 2015-12-30 | 2019-08-06 | Ethicon Llc | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US10292704B2 (en) | 2015-12-30 | 2019-05-21 | Ethicon Llc | Mechanisms for compensating for battery pack failure in powered surgical instruments |
US10314579B2 (en) | 2016-01-07 | 2019-06-11 | Covidien Lp | Adapter assemblies for interconnecting surgical loading units and handle assemblies |
US10966717B2 (en) | 2016-01-07 | 2021-04-06 | Covidien Lp | Surgical fastener apparatus |
US10932793B2 (en) | 2016-01-11 | 2021-03-02 | Covidien Lp | Endoscopic reposable surgical clip applier |
US10524797B2 (en) | 2016-01-13 | 2020-01-07 | Covidien Lp | Adapter assembly including a removable trocar assembly |
US10660623B2 (en) | 2016-01-15 | 2020-05-26 | Covidien Lp | Centering mechanism for articulation joint |
AU2016388454A1 (en) | 2016-01-18 | 2018-07-19 | Covidien Lp | Endoscopic surgical clip applier |
US10508720B2 (en) | 2016-01-21 | 2019-12-17 | Covidien Lp | Adapter assembly with planetary gear drive for interconnecting electromechanical surgical devices and surgical loading units, and surgical systems thereof |
CN108882932B (zh) | 2016-02-09 | 2021-07-23 | 伊西康有限责任公司 | 具有非对称关节运动构造的外科器械 |
US11213293B2 (en) | 2016-02-09 | 2022-01-04 | Cilag Gmbh International | Articulatable surgical instruments with single articulation link arrangements |
US10245029B2 (en) | 2016-02-09 | 2019-04-02 | Ethicon Llc | Surgical instrument with articulating and axially translatable end effector |
US10349937B2 (en) | 2016-02-10 | 2019-07-16 | Covidien Lp | Surgical stapler with articulation locking mechanism |
US10398439B2 (en) * | 2016-02-10 | 2019-09-03 | Covidien Lp | Adapter, extension, and connector assemblies for surgical devices |
US10420559B2 (en) | 2016-02-11 | 2019-09-24 | Covidien Lp | Surgical stapler with small diameter endoscopic portion |
US10258331B2 (en) | 2016-02-12 | 2019-04-16 | Ethicon Llc | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US11224426B2 (en) | 2016-02-12 | 2022-01-18 | Cilag Gmbh International | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US10448948B2 (en) | 2016-02-12 | 2019-10-22 | Ethicon Llc | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
CA2958160A1 (en) | 2016-02-24 | 2017-08-24 | Covidien Lp | Endoscopic reposable surgical clip applier |
US10307159B2 (en) | 2016-04-01 | 2019-06-04 | Ethicon Llc | Surgical instrument handle assembly with reconfigurable grip portion |
US10617413B2 (en) | 2016-04-01 | 2020-04-14 | Ethicon Llc | Closure system arrangements for surgical cutting and stapling devices with separate and distinct firing shafts |
US10376263B2 (en) | 2016-04-01 | 2019-08-13 | Ethicon Llc | Anvil modification members for surgical staplers |
US11284890B2 (en) | 2016-04-01 | 2022-03-29 | Cilag Gmbh International | Circular stapling system comprising an incisable tissue support |
US10675021B2 (en) | 2016-04-01 | 2020-06-09 | Ethicon Llc | Circular stapling system comprising rotary firing system |
ES2878152T3 (es) | 2016-04-12 | 2021-11-18 | Applied Med Resources | Grapadora quirúrgica con mecanismo de articulación |
JP6941117B2 (ja) | 2016-04-12 | 2021-09-29 | アプライド メディカル リソーシーズ コーポレイション | 外科用ステープラのための取替式シャフト組立体 |
JP6965268B2 (ja) | 2016-04-12 | 2021-11-10 | アプライド メディカル リソーシーズ コーポレイション | 電動ハンドル付き外科用ステープラ |
US10335145B2 (en) | 2016-04-15 | 2019-07-02 | Ethicon Llc | Modular surgical instrument with configurable operating mode |
US10426467B2 (en) | 2016-04-15 | 2019-10-01 | Ethicon Llc | Surgical instrument with detection sensors |
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 |
US10405859B2 (en) | 2016-04-15 | 2019-09-10 | Ethicon Llc | Surgical instrument with adjustable stop/start control during a firing motion |
US10828028B2 (en) | 2016-04-15 | 2020-11-10 | Ethicon Llc | Surgical instrument with multiple program responses during a firing motion |
US11607239B2 (en) | 2016-04-15 | 2023-03-21 | Cilag Gmbh International | Systems and methods for controlling a surgical stapling and cutting instrument |
US11179150B2 (en) | 2016-04-15 | 2021-11-23 | Cilag Gmbh International | Systems and methods for controlling a surgical stapling and cutting instrument |
US10357247B2 (en) | 2016-04-15 | 2019-07-23 | Ethicon Llc | Surgical instrument with multiple program responses during a firing motion |
US20170296173A1 (en) | 2016-04-18 | 2017-10-19 | Ethicon Endo-Surgery, Llc | Method for operating a surgical instrument |
US11317917B2 (en) | 2016-04-18 | 2022-05-03 | Cilag Gmbh International | Surgical stapling system comprising a lockable firing assembly |
US10368867B2 (en) | 2016-04-18 | 2019-08-06 | Ethicon Llc | Surgical instrument comprising a lockout |
US10561419B2 (en) | 2016-05-04 | 2020-02-18 | Covidien Lp | Powered end effector assembly with pivotable channel |
US10799239B2 (en) | 2016-05-09 | 2020-10-13 | Covidien Lp | Adapter assembly with pulley system and worm gear drive for interconnecting electromechanical surgical devices and surgical end effectors |
US10588610B2 (en) | 2016-05-10 | 2020-03-17 | Covidien Lp | Adapter assemblies for surgical devices |
US10736637B2 (en) | 2016-05-10 | 2020-08-11 | Covidien Lp | Brake for adapter assemblies for surgical devices |
US10463374B2 (en) | 2016-05-17 | 2019-11-05 | Covidien Lp | Adapter assembly for a flexible circular stapler |
US11065022B2 (en) | 2016-05-17 | 2021-07-20 | Covidien Lp | Cutting member for a surgical instrument |
US10702302B2 (en) | 2016-05-17 | 2020-07-07 | Covidien Lp | Adapter assembly including a removable trocar assembly |
US11179211B2 (en) | 2016-05-26 | 2021-11-23 | Covidien Lp | Robotic surgical assemblies |
USD847989S1 (en) | 2016-06-24 | 2019-05-07 | Ethicon Llc | Surgical fastener cartridge |
US10893863B2 (en) | 2016-06-24 | 2021-01-19 | Ethicon Llc | Staple cartridge comprising offset longitudinal staple rows |
USD826405S1 (en) | 2016-06-24 | 2018-08-21 | Ethicon Llc | Surgical fastener |
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 |
USD822206S1 (en) | 2016-06-24 | 2018-07-03 | Ethicon Llc | Surgical fastener |
USD850617S1 (en) | 2016-06-24 | 2019-06-04 | Ethicon Llc | Surgical fastener cartridge |
US10653398B2 (en) | 2016-08-05 | 2020-05-19 | Covidien Lp | Adapter assemblies for surgical devices |
EP3496628A4 (en) | 2016-08-11 | 2020-04-22 | Covidien LP | APPLICATOR FOR ENDOSCOPIC SURGICAL CLAMP AND CLAMP APPLICATION SYSTEMS |
US10736702B2 (en) * | 2016-08-16 | 2020-08-11 | Ethicon Llc | Activating and rotating surgical end effectors |
JP2019524326A (ja) | 2016-08-25 | 2019-09-05 | コヴィディエン リミテッド パートナーシップ | 内視鏡外科手術用クリップアプライヤおよびクリップ適用システム |
US11020193B2 (en) | 2016-09-15 | 2021-06-01 | Intuitive Surgical Operations, Inc. | Medical device drive system |
WO2018052806A1 (en) * | 2016-09-15 | 2018-03-22 | Intuitive Surgical Operations, Inc. | Medical device drive system |
US10660651B2 (en) | 2016-10-31 | 2020-05-26 | Covidien Lp | Endoscopic reposable surgical clip applier |
US10639044B2 (en) | 2016-10-31 | 2020-05-05 | Covidien Lp | Ligation clip module and clip applier |
US10610236B2 (en) | 2016-11-01 | 2020-04-07 | Covidien Lp | Endoscopic reposable surgical clip applier |
US10426489B2 (en) | 2016-11-01 | 2019-10-01 | Covidien Lp | Endoscopic reposable surgical clip applier |
US10492795B2 (en) | 2016-11-01 | 2019-12-03 | Covidien Lp | Endoscopic surgical clip applier |
US10631857B2 (en) | 2016-11-04 | 2020-04-28 | Covidien Lp | Loading unit for surgical instruments with low profile pushers |
US11642126B2 (en) | 2016-11-04 | 2023-05-09 | Covidien Lp | Surgical stapling apparatus with tissue pockets |
US11116594B2 (en) | 2016-11-08 | 2021-09-14 | Covidien Lp | Surgical systems including adapter assemblies for interconnecting electromechanical surgical devices and end effectors |
US10492784B2 (en) | 2016-11-08 | 2019-12-03 | Covidien Lp | Surgical tool assembly with compact firing assembly |
US10463371B2 (en) | 2016-11-29 | 2019-11-05 | Covidien Lp | Reload assembly with spent reload indicator |
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 |
US10687810B2 (en) | 2016-12-21 | 2020-06-23 | Ethicon Llc | Stepped staple cartridge with tissue retention and gap setting features |
US20180168633A1 (en) | 2016-12-21 | 2018-06-21 | Ethicon Endo-Surgery, Llc | Surgical stapling instruments and staple-forming anvils |
US10888322B2 (en) | 2016-12-21 | 2021-01-12 | Ethicon Llc | Surgical instrument comprising a cutting member |
US10695055B2 (en) | 2016-12-21 | 2020-06-30 | Ethicon Llc | Firing assembly comprising a lockout |
US10856868B2 (en) | 2016-12-21 | 2020-12-08 | Ethicon Llc | Firing member pin configurations |
US20180168650A1 (en) | 2016-12-21 | 2018-06-21 | Ethicon Endo-Surgery, Llc | Connection portions for disposable loading units for surgical stapling instruments |
US10758230B2 (en) | 2016-12-21 | 2020-09-01 | Ethicon Llc | Surgical instrument with primary and safety processors |
US10835247B2 (en) | 2016-12-21 | 2020-11-17 | Ethicon Llc | Lockout arrangements for surgical end effectors |
US10736629B2 (en) | 2016-12-21 | 2020-08-11 | Ethicon Llc | Surgical tool assemblies with clutching arrangements for shifting between closure systems with closure stroke reduction features and articulation and firing systems |
US10426471B2 (en) | 2016-12-21 | 2019-10-01 | Ethicon Llc | Surgical instrument with multiple failure response modes |
US10835245B2 (en) | 2016-12-21 | 2020-11-17 | Ethicon Llc | Method for attaching a shaft assembly to a surgical instrument and, alternatively, to a surgical robot |
US10945727B2 (en) | 2016-12-21 | 2021-03-16 | Ethicon Llc | Staple cartridge with deformable driver retention features |
CN110099619B (zh) * | 2016-12-21 | 2022-07-15 | 爱惜康有限责任公司 | 用于外科端部执行器和可替换工具组件的闭锁装置 |
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 |
US11179155B2 (en) | 2016-12-21 | 2021-11-23 | Cilag Gmbh International | Anvil arrangements for surgical staplers |
US10993715B2 (en) | 2016-12-21 | 2021-05-04 | Ethicon Llc | Staple cartridge comprising staples with different clamping breadths |
US10537325B2 (en) | 2016-12-21 | 2020-01-21 | Ethicon Llc | Staple forming pocket arrangement to accommodate different types of staples |
US11134942B2 (en) | 2016-12-21 | 2021-10-05 | Cilag Gmbh International | Surgical stapling instruments and staple-forming anvils |
US10898186B2 (en) | 2016-12-21 | 2021-01-26 | Ethicon Llc | Staple forming pocket arrangements comprising primary sidewalls and pocket sidewalls |
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 |
US20180168577A1 (en) | 2016-12-21 | 2018-06-21 | Ethicon Endo-Surgery, Llc | Axially movable closure system arrangements for applying closure motions to jaws of surgical instruments |
BR112019011947A2 (pt) | 2016-12-21 | 2019-10-29 | Ethicon Llc | sistemas de grampeamento cirúrgico |
US10709901B2 (en) | 2017-01-05 | 2020-07-14 | Covidien Lp | Implantable fasteners, applicators, and methods for brachytherapy |
US10376276B2 (en) * | 2017-02-02 | 2019-08-13 | Ethicon Llc | Calibration of a robotic surgical tool |
US10709455B2 (en) | 2017-02-02 | 2020-07-14 | Covidien Lp | Endoscopic surgical clip applier |
EP3576643B1 (en) | 2017-02-06 | 2022-04-06 | Covidien LP | Surgical clip applier with user feedback feature |
US10952767B2 (en) | 2017-02-06 | 2021-03-23 | Covidien Lp | Connector clip for securing an introducer to a surgical fastener applying apparatus |
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 |
US10603038B2 (en) | 2017-02-22 | 2020-03-31 | Covidien Lp | Surgical clip applier including inserts for jaw assembly |
US20180235618A1 (en) | 2017-02-22 | 2018-08-23 | Covidien Lp | Loading unit for surgical instruments with low profile pushers |
US11350915B2 (en) | 2017-02-23 | 2022-06-07 | Covidien Lp | Surgical stapler with small diameter endoscopic portion |
US10849621B2 (en) | 2017-02-23 | 2020-12-01 | Covidien Lp | Surgical stapler with small diameter endoscopic portion |
US11583291B2 (en) | 2017-02-23 | 2023-02-21 | Covidien Lp | Endoscopic surgical clip applier |
US10548602B2 (en) | 2017-02-23 | 2020-02-04 | Covidien Lp | Endoscopic surgical clip applier |
US10631945B2 (en) | 2017-02-28 | 2020-04-28 | Covidien Lp | Autoclavable load sensing device |
US10299790B2 (en) | 2017-03-03 | 2019-05-28 | Covidien Lp | Adapter with centering mechanism for articulation joint |
US11272929B2 (en) | 2017-03-03 | 2022-03-15 | Covidien Lp | Dynamically matching input and output shaft speeds of articulating adapter assemblies for surgical instruments |
US10660641B2 (en) | 2017-03-16 | 2020-05-26 | Covidien Lp | Adapter with centering mechanism for articulation joint |
US11020137B2 (en) | 2017-03-20 | 2021-06-01 | Levita Magnetics International Corp. | Directable traction systems and methods |
US10603035B2 (en) | 2017-05-02 | 2020-03-31 | Covidien Lp | Surgical loading unit including an articulating end effector |
US10390858B2 (en) | 2017-05-02 | 2019-08-27 | Covidien Lp | Powered surgical device with speed and current derivative motor shut off |
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 |
US11311295B2 (en) | 2017-05-15 | 2022-04-26 | Covidien Lp | Adaptive powered stapling algorithm with calibration factor |
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 |
US10881396B2 (en) | 2017-06-20 | 2021-01-05 | Ethicon Llc | Surgical instrument with variable duration trigger arrangement |
USD890784S1 (en) | 2017-06-20 | 2020-07-21 | 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 |
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 |
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 |
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 |
US10779820B2 (en) | 2017-06-20 | 2020-09-22 | Ethicon Llc | Systems and methods for controlling motor speed according to user input for a surgical instrument |
US10646220B2 (en) | 2017-06-20 | 2020-05-12 | Ethicon Llc | Systems and methods for controlling displacement member velocity for a surgical instrument |
US10624633B2 (en) | 2017-06-20 | 2020-04-21 | Ethicon Llc | Systems and methods for controlling motor velocity of a surgical stapling and cutting instrument |
US11382638B2 (en) | 2017-06-20 | 2022-07-12 | Cilag Gmbh International | Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on measured time over a specified displacement distance |
US11517325B2 (en) | 2017-06-20 | 2022-12-06 | Cilag Gmbh International | Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on measured displacement distance traveled over a specified time interval |
US10307170B2 (en) | 2017-06-20 | 2019-06-04 | Ethicon Llc | Method for closed loop control of motor velocity of a surgical stapling and cutting instrument |
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 |
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 |
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 |
US10881399B2 (en) | 2017-06-20 | 2021-01-05 | Ethicon Llc | Techniques for adaptive control of motor velocity 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 |
USD879809S1 (en) | 2017-06-20 | 2020-03-31 | Ethicon Llc | Display panel with changeable graphical user interface |
US10390841B2 (en) | 2017-06-20 | 2019-08-27 | Ethicon Llc | Control of motor velocity of a surgical stapling and cutting instrument based on angle of articulation |
USD879808S1 (en) | 2017-06-20 | 2020-03-31 | Ethicon Llc | Display panel with graphical user interface |
US10631859B2 (en) | 2017-06-27 | 2020-04-28 | Ethicon Llc | Articulation systems for surgical instruments |
US10993716B2 (en) | 2017-06-27 | 2021-05-04 | Ethicon Llc | Surgical anvil arrangements |
US10856869B2 (en) | 2017-06-27 | 2020-12-08 | Ethicon Llc | Surgical anvil arrangements |
US10772629B2 (en) | 2017-06-27 | 2020-09-15 | Ethicon Llc | Surgical anvil arrangements |
US11324503B2 (en) | 2017-06-27 | 2022-05-10 | Cilag Gmbh International | Surgical firing member arrangements |
US11266405B2 (en) | 2017-06-27 | 2022-03-08 | Cilag Gmbh International | Surgical anvil manufacturing methods |
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 |
US11246592B2 (en) | 2017-06-28 | 2022-02-15 | Cilag Gmbh International | Surgical instrument comprising an articulation system lockable to a frame |
US10716614B2 (en) | 2017-06-28 | 2020-07-21 | Ethicon Llc | Surgical shaft assemblies with slip ring assemblies with increased contact pressure |
US10211586B2 (en) | 2017-06-28 | 2019-02-19 | Ethicon Llc | Surgical shaft assemblies with watertight housings |
US11389161B2 (en) | 2017-06-28 | 2022-07-19 | Cilag Gmbh International | Surgical instrument comprising selectively actuatable rotatable couplers |
US11564686B2 (en) | 2017-06-28 | 2023-01-31 | Cilag Gmbh International | Surgical shaft assemblies with flexible interfaces |
US11259805B2 (en) | 2017-06-28 | 2022-03-01 | Cilag Gmbh International | Surgical instrument comprising firing member supports |
USD854151S1 (en) | 2017-06-28 | 2019-07-16 | Ethicon Llc | Surgical instrument shaft |
USD906355S1 (en) | 2017-06-28 | 2020-12-29 | Ethicon Llc | Display screen or portion thereof with a graphical user interface for a surgical instrument |
US10758232B2 (en) | 2017-06-28 | 2020-09-01 | Ethicon Llc | Surgical instrument with positive jaw opening features |
US10903685B2 (en) | 2017-06-28 | 2021-01-26 | Ethicon Llc | Surgical shaft assemblies with slip ring assemblies forming capacitive channels |
US10765427B2 (en) | 2017-06-28 | 2020-09-08 | Ethicon Llc | Method for articulating a surgical instrument |
USD869655S1 (en) | 2017-06-28 | 2019-12-10 | Ethicon Llc | Surgical fastener cartridge |
US10932772B2 (en) | 2017-06-29 | 2021-03-02 | Ethicon Llc | Methods for closed loop velocity control for robotic surgical instrument |
US10398434B2 (en) | 2017-06-29 | 2019-09-03 | Ethicon Llc | Closed loop velocity control of closure member for robotic surgical instrument |
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 |
US10258418B2 (en) | 2017-06-29 | 2019-04-16 | Ethicon Llc | System for controlling articulation forces |
US10660723B2 (en) | 2017-06-30 | 2020-05-26 | Covidien Lp | Endoscopic reposable surgical clip applier |
US10639032B2 (en) | 2017-06-30 | 2020-05-05 | Covidien Lp | Endoscopic surgical clip applier including counter assembly |
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 |
US11944300B2 (en) | 2017-08-03 | 2024-04-02 | Cilag Gmbh International | Method for operating a surgical system bailout |
US10675112B2 (en) | 2017-08-07 | 2020-06-09 | Covidien Lp | Endoscopic surgical clip applier including counter assembly |
US10863992B2 (en) | 2017-08-08 | 2020-12-15 | Covidien Lp | Endoscopic surgical clip applier |
US10932790B2 (en) | 2017-08-08 | 2021-03-02 | Covidien Lp | Geared actuation mechanism and surgical clip applier including the same |
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 |
US10624636B2 (en) | 2017-08-23 | 2020-04-21 | Covidien Lp | Surgical stapling device with floating staple cartridge |
US10772700B2 (en) | 2017-08-23 | 2020-09-15 | Covidien Lp | Contactless loading unit detection |
US10806452B2 (en) | 2017-08-24 | 2020-10-20 | Covidien Lp | Loading unit for a surgical stapling instrument |
US10695060B2 (en) | 2017-09-01 | 2020-06-30 | RevMedica, Inc. | Loadable power pack for surgical instruments |
US11331099B2 (en) | 2017-09-01 | 2022-05-17 | Rev Medica, Inc. | Surgical stapler with removable power pack and interchangeable battery pack |
US10966720B2 (en) * | 2017-09-01 | 2021-04-06 | RevMedica, Inc. | Surgical stapler with removable power pack |
EP3678573A4 (en) | 2017-09-06 | 2021-06-02 | Covidien LP | LIMIT SCALING OF SURGICAL ROBOTS |
US10835341B2 (en) | 2017-09-12 | 2020-11-17 | Covidien Lp | Endoscopic surgical clip applier and handle assemblies for use therewith |
US10758245B2 (en) | 2017-09-13 | 2020-09-01 | Covidien Lp | Clip counting mechanism for surgical clip applier |
US10653429B2 (en) | 2017-09-13 | 2020-05-19 | Covidien Lp | Endoscopic surgical clip applier |
US10835260B2 (en) | 2017-09-13 | 2020-11-17 | Covidien Lp | Endoscopic surgical clip applier and handle assemblies for use therewith |
US10743872B2 (en) | 2017-09-29 | 2020-08-18 | Ethicon Llc | System and methods for controlling a display of a surgical instrument |
USD917500S1 (en) | 2017-09-29 | 2021-04-27 | Ethicon Llc | Display screen or portion thereof with graphical user interface |
USD907648S1 (en) | 2017-09-29 | 2021-01-12 | Ethicon Llc | Display screen or portion thereof with animated graphical user interface |
US11399829B2 (en) | 2017-09-29 | 2022-08-02 | Cilag Gmbh International | Systems and methods of initiating a power shutdown mode for a surgical instrument |
US10796471B2 (en) | 2017-09-29 | 2020-10-06 | Ethicon Llc | Systems and methods of displaying a knife position for a surgical instrument |
USD907647S1 (en) | 2017-09-29 | 2021-01-12 | Ethicon Llc | Display screen or portion thereof with animated graphical user interface |
US10729501B2 (en) | 2017-09-29 | 2020-08-04 | Ethicon Llc | Systems and methods for language selection of a surgical instrument |
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 |
US11406390B2 (en) | 2017-10-30 | 2022-08-09 | Cilag Gmbh International | Clip applier comprising interchangeable clip reloads |
US10987104B2 (en) | 2017-10-30 | 2021-04-27 | Covidien Lp | Apparatus for endoscopic procedures |
US11801098B2 (en) | 2017-10-30 | 2023-10-31 | Cilag Gmbh International | Method of hub communication with surgical instrument systems |
US11911045B2 (en) | 2017-10-30 | 2024-02-27 | Cllag GmbH International | Method for operating a powered articulating multi-clip applier |
US11317919B2 (en) | 2017-10-30 | 2022-05-03 | Cilag Gmbh International | Clip applier comprising a clip crimping system |
US11311342B2 (en) | 2017-10-30 | 2022-04-26 | Cilag Gmbh International | Method for communicating with surgical instrument systems |
US11207066B2 (en) | 2017-10-30 | 2021-12-28 | Covidien Lp | Apparatus for endoscopic procedures |
US11229436B2 (en) | 2017-10-30 | 2022-01-25 | Cilag Gmbh International | Surgical system comprising a surgical tool and a surgical hub |
US11134944B2 (en) | 2017-10-30 | 2021-10-05 | Cilag Gmbh International | Surgical stapler knife motion controls |
US11510741B2 (en) | 2017-10-30 | 2022-11-29 | Cilag Gmbh International | Method for producing a surgical instrument comprising a smart electrical system |
US20190125320A1 (en) | 2017-10-30 | 2019-05-02 | Ethicon Llc | Control system arrangements for a modular surgical instrument |
US11564756B2 (en) | 2017-10-30 | 2023-01-31 | Cilag Gmbh International | Method of hub communication with surgical instrument systems |
US11090075B2 (en) | 2017-10-30 | 2021-08-17 | Cilag Gmbh International | Articulation features for surgical end effector |
US11291510B2 (en) | 2017-10-30 | 2022-04-05 | Cilag Gmbh International | Method of hub communication with surgical instrument systems |
US10842490B2 (en) | 2017-10-31 | 2020-11-24 | Ethicon Llc | Cartridge body design with force reduction based on firing completion |
US10779903B2 (en) | 2017-10-31 | 2020-09-22 | Ethicon Llc | Positive shaft rotation lock activated by jaw closure |
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 |
US10828036B2 (en) | 2017-11-03 | 2020-11-10 | Covidien Lp | Endoscopic surgical clip applier and handle assemblies for use therewith |
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 |
US10722236B2 (en) | 2017-12-12 | 2020-07-28 | Covidien Lp | Endoscopic reposable surgical clip applier |
US10849630B2 (en) | 2017-12-13 | 2020-12-01 | Covidien Lp | Reposable multi-fire 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 |
US10743875B2 (en) | 2017-12-15 | 2020-08-18 | Ethicon Llc | Surgical end effectors with jaw stiffener arrangements configured to permit monitoring of firing member |
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 |
US10869666B2 (en) | 2017-12-15 | 2020-12-22 | Ethicon Llc | Adapters with control systems for controlling multiple motors of an electromechanical surgical instrument |
US10743874B2 (en) | 2017-12-15 | 2020-08-18 | Ethicon Llc | Sealed adapters for use with electromechanical surgical instruments |
US10779826B2 (en) | 2017-12-15 | 2020-09-22 | Ethicon Llc | Methods of operating surgical end effectors |
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 |
US11033267B2 (en) | 2017-12-15 | 2021-06-15 | Ethicon Llc | Systems and methods of controlling a clamping member firing rate of a surgical instrument |
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 |
US10687813B2 (en) | 2017-12-15 | 2020-06-23 | Ethicon Llc | Adapters with firing stroke sensing arrangements for use in connection with electromechanical surgical instruments |
US11006955B2 (en) | 2017-12-15 | 2021-05-18 | Ethicon Llc | End effectors with positive jaw opening features for use with adapters for electromechanical surgical instruments |
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 |
US11045270B2 (en) | 2017-12-19 | 2021-06-29 | Cilag Gmbh International | Robotic attachment comprising exterior drive actuator |
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 |
US10716565B2 (en) | 2017-12-19 | 2020-07-21 | Ethicon Llc | Surgical instruments with dual articulation drivers |
USD910847S1 (en) | 2017-12-19 | 2021-02-16 | Ethicon Llc | Surgical instrument assembly |
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 |
US11076853B2 (en) | 2017-12-21 | 2021-08-03 | Cilag Gmbh International | Systems and methods of displaying a knife position during transection for a surgical instrument |
US11311290B2 (en) | 2017-12-21 | 2022-04-26 | Cilag Gmbh International | Surgical instrument comprising an end effector dampener |
US11129680B2 (en) | 2017-12-21 | 2021-09-28 | Cilag Gmbh International | Surgical instrument comprising a projector |
US20190192147A1 (en) | 2017-12-21 | 2019-06-27 | Ethicon Llc | Surgical instrument comprising an articulatable distal head |
US11389164B2 (en) | 2017-12-28 | 2022-07-19 | Cilag Gmbh International | Method of using reinforced flexible circuits with multiple sensors to optimize performance of radio frequency devices |
US11896322B2 (en) | 2017-12-28 | 2024-02-13 | Cilag Gmbh International | Sensing the patient position and contact utilizing the mono-polar return pad electrode to provide situational awareness to the hub |
US11540855B2 (en) | 2017-12-28 | 2023-01-03 | Cilag Gmbh International | Controlling activation of an ultrasonic surgical instrument according to the presence of tissue |
US11253315B2 (en) | 2017-12-28 | 2022-02-22 | Cilag Gmbh International | Increasing radio frequency to create pad-less monopolar loop |
US11109866B2 (en) | 2017-12-28 | 2021-09-07 | Cilag Gmbh International | Method for circular stapler control algorithm adjustment based on situational awareness |
US11234756B2 (en) | 2017-12-28 | 2022-02-01 | Cilag Gmbh International | Powered surgical tool with predefined adjustable control algorithm for controlling end effector parameter |
US11896443B2 (en) | 2017-12-28 | 2024-02-13 | Cilag Gmbh International | Control of a surgical system through a surgical barrier |
US11786251B2 (en) | 2017-12-28 | 2023-10-17 | Cilag Gmbh International | Method for adaptive control schemes for surgical network control and interaction |
US11696760B2 (en) | 2017-12-28 | 2023-07-11 | Cilag Gmbh International | Safety systems for smart powered surgical stapling |
US11612444B2 (en) | 2017-12-28 | 2023-03-28 | Cilag Gmbh International | Adjustment of a surgical device function based on situational awareness |
US20190201113A1 (en) | 2017-12-28 | 2019-07-04 | Ethicon Llc | Controls for robot-assisted surgical platforms |
US11364075B2 (en) | 2017-12-28 | 2022-06-21 | Cilag Gmbh International | Radio frequency energy device for delivering combined electrical signals |
US11419667B2 (en) | 2017-12-28 | 2022-08-23 | Cilag Gmbh International | Ultrasonic energy device which varies pressure applied by clamp arm to provide threshold control pressure at a cut progression location |
US10892995B2 (en) | 2017-12-28 | 2021-01-12 | Ethicon Llc | Surgical network determination of prioritization of communication, interaction, or processing based on system or device needs |
US11179208B2 (en) | 2017-12-28 | 2021-11-23 | Cilag Gmbh International | Cloud-based medical analytics for security and authentication trends and reactive measures |
US11278281B2 (en) | 2017-12-28 | 2022-03-22 | Cilag Gmbh International | Interactive surgical system |
US11160605B2 (en) | 2017-12-28 | 2021-11-02 | Cilag Gmbh International | Surgical evacuation sensing and motor control |
US11304763B2 (en) | 2017-12-28 | 2022-04-19 | Cilag Gmbh International | Image capturing of the areas outside the abdomen to improve placement and control of a surgical device in use |
US11596291B2 (en) | 2017-12-28 | 2023-03-07 | Cilag Gmbh International | Method of compressing tissue within a stapling device and simultaneously displaying of the location of the tissue within the jaws |
US11308075B2 (en) | 2017-12-28 | 2022-04-19 | Cilag Gmbh International | Surgical network, instrument, and cloud responses based on validation of received dataset and authentication of its source and integrity |
US11818052B2 (en) | 2017-12-28 | 2023-11-14 | Cilag Gmbh International | Surgical network determination of prioritization of communication, interaction, or processing based on system or device needs |
US11559307B2 (en) | 2017-12-28 | 2023-01-24 | Cilag Gmbh International | Method of robotic hub communication, detection, and control |
US11273001B2 (en) | 2017-12-28 | 2022-03-15 | Cilag Gmbh International | Surgical hub and modular device response adjustment based on situational awareness |
US11659023B2 (en) | 2017-12-28 | 2023-05-23 | Cilag Gmbh International | Method of hub communication |
US11678881B2 (en) | 2017-12-28 | 2023-06-20 | Cilag Gmbh International | Spatial awareness of surgical hubs in operating rooms |
US11266468B2 (en) | 2017-12-28 | 2022-03-08 | Cilag Gmbh International | Cooperative utilization of data derived from secondary sources by intelligent surgical hubs |
US11464535B2 (en) | 2017-12-28 | 2022-10-11 | Cilag Gmbh International | Detection of end effector emersion in liquid |
US11410259B2 (en) | 2017-12-28 | 2022-08-09 | Cilag Gmbh International | Adaptive control program updates for surgical devices |
US11284936B2 (en) | 2017-12-28 | 2022-03-29 | Cilag Gmbh International | Surgical instrument having a flexible electrode |
US11744604B2 (en) | 2017-12-28 | 2023-09-05 | Cilag Gmbh International | Surgical instrument with a hardware-only control circuit |
US11257589B2 (en) | 2017-12-28 | 2022-02-22 | Cilag Gmbh International | Real-time analysis of comprehensive cost of all instrumentation used in surgery utilizing data fluidity to track instruments through stocking and in-house processes |
US11304720B2 (en) | 2017-12-28 | 2022-04-19 | Cilag Gmbh International | Activation of energy devices |
US11446052B2 (en) | 2017-12-28 | 2022-09-20 | Cilag Gmbh International | Variation of radio frequency and ultrasonic power level in cooperation with varying clamp arm pressure to achieve predefined heat flux or power applied to tissue |
US20190201142A1 (en) | 2017-12-28 | 2019-07-04 | Ethicon Llc | Automatic tool adjustments for robot-assisted surgical platforms |
US11311306B2 (en) | 2017-12-28 | 2022-04-26 | Cilag Gmbh International | Surgical systems for detecting end effector tissue distribution irregularities |
US11376002B2 (en) | 2017-12-28 | 2022-07-05 | Cilag Gmbh International | Surgical instrument cartridge sensor assemblies |
US11424027B2 (en) | 2017-12-28 | 2022-08-23 | Cilag Gmbh International | Method for operating surgical instrument systems |
US11202570B2 (en) | 2017-12-28 | 2021-12-21 | Cilag Gmbh International | Communication hub and storage device for storing parameters and status of a surgical device to be shared with cloud based analytics systems |
US11832899B2 (en) | 2017-12-28 | 2023-12-05 | Cilag Gmbh International | Surgical systems with autonomously adjustable control programs |
US11864728B2 (en) | 2017-12-28 | 2024-01-09 | Cilag Gmbh International | Characterization of tissue irregularities through the use of mono-chromatic light refractivity |
US10758310B2 (en) | 2017-12-28 | 2020-09-01 | Ethicon Llc | Wireless pairing of a surgical device with another device within a sterile surgical field based on the usage and situational awareness of devices |
US11432885B2 (en) | 2017-12-28 | 2022-09-06 | Cilag Gmbh International | Sensing arrangements for robot-assisted surgical platforms |
US11602393B2 (en) | 2017-12-28 | 2023-03-14 | Cilag Gmbh International | Surgical evacuation sensing and generator control |
US11832840B2 (en) | 2017-12-28 | 2023-12-05 | Cilag Gmbh International | Surgical instrument having a flexible circuit |
US11633237B2 (en) | 2017-12-28 | 2023-04-25 | Cilag Gmbh International | Usage and technique analysis of surgeon / staff performance against a baseline to optimize device utilization and performance for both current and future procedures |
US20190201042A1 (en) | 2017-12-28 | 2019-07-04 | Ethicon Llc | Determining the state of an ultrasonic electromechanical system according to frequency shift |
US11666331B2 (en) | 2017-12-28 | 2023-06-06 | Cilag Gmbh International | Systems for detecting proximity of surgical end effector to cancerous tissue |
US11903601B2 (en) | 2017-12-28 | 2024-02-20 | Cilag Gmbh International | Surgical instrument comprising a plurality of drive systems |
US11786245B2 (en) | 2017-12-28 | 2023-10-17 | Cilag Gmbh International | Surgical systems with prioritized data transmission capabilities |
US11324557B2 (en) | 2017-12-28 | 2022-05-10 | Cilag Gmbh International | Surgical instrument with a sensing array |
US11571234B2 (en) | 2017-12-28 | 2023-02-07 | Cilag Gmbh International | Temperature control of ultrasonic end effector and control system therefor |
US11589888B2 (en) | 2017-12-28 | 2023-02-28 | Cilag Gmbh International | Method for controlling smart energy devices |
US11291495B2 (en) | 2017-12-28 | 2022-04-05 | Cilag Gmbh International | Interruption of energy due to inadvertent capacitive coupling |
US11937769B2 (en) | 2017-12-28 | 2024-03-26 | Cilag Gmbh International | Method of hub communication, processing, storage and display |
US11771487B2 (en) | 2017-12-28 | 2023-10-03 | Cilag Gmbh International | Mechanisms for controlling different electromechanical systems of an electrosurgical instrument |
US11304699B2 (en) | 2017-12-28 | 2022-04-19 | Cilag Gmbh International | Method for adaptive control schemes for surgical network control and interaction |
US11419630B2 (en) | 2017-12-28 | 2022-08-23 | Cilag Gmbh International | Surgical system distributed processing |
US11464559B2 (en) | 2017-12-28 | 2022-10-11 | Cilag Gmbh International | Estimating state of ultrasonic end effector and control system therefor |
US11857152B2 (en) | 2017-12-28 | 2024-01-02 | Cilag Gmbh International | Surgical hub spatial awareness to determine devices in operating theater |
US11166772B2 (en) | 2017-12-28 | 2021-11-09 | Cilag Gmbh International | Surgical hub coordination of control and communication of operating room devices |
US11304745B2 (en) | 2017-12-28 | 2022-04-19 | Cilag Gmbh International | Surgical evacuation sensing and display |
US11559308B2 (en) | 2017-12-28 | 2023-01-24 | Cilag Gmbh International | Method for smart energy device infrastructure |
US11026751B2 (en) | 2017-12-28 | 2021-06-08 | Cilag Gmbh International | Display of alignment of staple cartridge to prior linear staple line |
US11576677B2 (en) | 2017-12-28 | 2023-02-14 | Cilag Gmbh International | Method of hub communication, processing, display, and cloud analytics |
US11096693B2 (en) | 2017-12-28 | 2021-08-24 | Cilag Gmbh International | Adjustment of staple height of at least one row of staples based on the sensed tissue thickness or force in closing |
US11132462B2 (en) | 2017-12-28 | 2021-09-28 | Cilag Gmbh International | Data stripping method to interrogate patient records and create anonymized record |
US11529187B2 (en) | 2017-12-28 | 2022-12-20 | Cilag Gmbh International | Surgical evacuation sensor arrangements |
US11423007B2 (en) | 2017-12-28 | 2022-08-23 | Cilag Gmbh International | Adjustment of device control programs based on stratified contextual data in addition to the data |
US11317937B2 (en) | 2018-03-08 | 2022-05-03 | Cilag Gmbh International | Determining the state of an ultrasonic end effector |
WO2019136041A1 (en) | 2018-01-04 | 2019-07-11 | Covidien Lp | Robotic surgical instrument including high articulation wrist assembly with torque transmission and mechanical manipulation |
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 |
KR20200126409A (ko) | 2018-02-27 | 2020-11-06 | 어플라이드 메디컬 리소시스 코포레이션 | 전동 핸들을 갖는 수술용 스테이플러 |
CA3090020A1 (en) | 2018-03-02 | 2019-09-06 | Covidien Lp | Surgical stapling instrument |
US11589915B2 (en) | 2018-03-08 | 2023-02-28 | Cilag Gmbh International | In-the-jaw classifier based on a model |
US11534196B2 (en) | 2018-03-08 | 2022-12-27 | Cilag Gmbh International | Using spectroscopy to determine device use state in combo instrument |
US11259830B2 (en) | 2018-03-08 | 2022-03-01 | Cilag Gmbh International | Methods for controlling temperature in ultrasonic device |
US11278280B2 (en) | 2018-03-28 | 2022-03-22 | Cilag Gmbh International | Surgical instrument comprising a jaw closure lockout |
US11207067B2 (en) | 2018-03-28 | 2021-12-28 | Cilag Gmbh International | Surgical stapling device with separate rotary driven closure and firing systems and firing member that engages both jaws while firing |
US11219453B2 (en) | 2018-03-28 | 2022-01-11 | Cilag Gmbh International | Surgical stapling devices with cartridge compatible closure and firing lockout arrangements |
US11471156B2 (en) | 2018-03-28 | 2022-10-18 | Cilag Gmbh International | Surgical stapling devices with improved rotary driven closure systems |
WO2019191271A1 (en) | 2018-03-28 | 2019-10-03 | Datascope Corp. | Device for atrial appendage exclusion |
US11129611B2 (en) | 2018-03-28 | 2021-09-28 | Cilag Gmbh International | Surgical staplers with arrangements for maintaining a firing member thereof in a locked configuration unless a compatible cartridge has been installed therein |
US11090047B2 (en) | 2018-03-28 | 2021-08-17 | Cilag Gmbh International | Surgical instrument comprising an adaptive control system |
US11589865B2 (en) | 2018-03-28 | 2023-02-28 | Cilag Gmbh International | Methods for controlling a powered surgical stapler that has separate rotary closure and firing systems |
US11160556B2 (en) | 2018-04-23 | 2021-11-02 | Covidien Lp | Threaded trocar for adapter assemblies |
US10905416B2 (en) | 2018-04-23 | 2021-02-02 | Covidien Lp | Over-molded connector for surgical instruments |
US10993721B2 (en) | 2018-04-25 | 2021-05-04 | Covidien Lp | Surgical clip applier |
US11534172B2 (en) | 2018-05-07 | 2022-12-27 | Covidien Lp | Electromechanical surgical stapler including trocar assembly release mechanism |
US11399839B2 (en) | 2018-05-07 | 2022-08-02 | Covidien Lp | Surgical devices including trocar lock and trocar connection indicator |
US11896230B2 (en) | 2018-05-07 | 2024-02-13 | Covidien Lp | Handheld electromechanical surgical device including load sensor having spherical ball pivots |
US10849622B2 (en) | 2018-06-21 | 2020-12-01 | Covidien Lp | Articulated stapling with fire lock |
US20190388091A1 (en) | 2018-06-21 | 2019-12-26 | Covidien Lp | Powered surgical devices including strain gauges incorporated into flex circuits |
US11497490B2 (en) | 2018-07-09 | 2022-11-15 | Covidien Lp | Powered surgical devices including predictive motor control |
US11241233B2 (en) | 2018-07-10 | 2022-02-08 | Covidien Lp | Apparatus for ensuring strain gauge accuracy in medical reusable device |
US10786273B2 (en) | 2018-07-13 | 2020-09-29 | Covidien Lp | Rotation knob assemblies for handle assemblies |
US10736631B2 (en) | 2018-08-07 | 2020-08-11 | Covidien Lp | End effector with staple cartridge ejector |
US11259887B2 (en) | 2018-08-10 | 2022-03-01 | Covidien Lp | Feedback mechanisms for handle assemblies |
US11278267B2 (en) | 2018-08-13 | 2022-03-22 | Covidien Lp | Latch assemblies and surgical instruments including the same |
US11219463B2 (en) | 2018-08-13 | 2022-01-11 | Covidien Lp | Bilateral spring for surgical instruments and surgical instruments including the same |
US11033256B2 (en) | 2018-08-13 | 2021-06-15 | Covidien Lp | Linkage assembly for reusable surgical handle assemblies |
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 |
US11596496B2 (en) | 2018-08-13 | 2023-03-07 | Covidien Lp | Surgical devices with moisture control |
US11051828B2 (en) | 2018-08-13 | 2021-07-06 | Covidien Lp | Rotation knob assemblies and surgical instruments including same |
US11253267B2 (en) | 2018-08-13 | 2022-02-22 | Covidien Lp | Friction reduction mechanisms for handle assemblies |
US11076858B2 (en) | 2018-08-14 | 2021-08-03 | Covidien Lp | Single use electronics for surgical devices |
US11039834B2 (en) | 2018-08-20 | 2021-06-22 | Cilag Gmbh International | Surgical stapler anvils with staple directing protrusions and tissue stability features |
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 |
US11253256B2 (en) | 2018-08-20 | 2022-02-22 | Cilag Gmbh International | Articulatable motor powered surgical instruments with dedicated articulation motor arrangements |
US11291440B2 (en) | 2018-08-20 | 2022-04-05 | Cilag Gmbh International | Method for operating a powered articulatable surgical instrument |
US10912559B2 (en) | 2018-08-20 | 2021-02-09 | Ethicon Llc | Reinforced deformable anvil tip for surgical stapler anvil |
US11324501B2 (en) | 2018-08-20 | 2022-05-10 | Cilag Gmbh International | Surgical stapling devices with improved closure members |
US10856870B2 (en) | 2018-08-20 | 2020-12-08 | Ethicon Llc | Switching arrangements for motor powered articulatable surgical instruments |
USD914878S1 (en) | 2018-08-20 | 2021-03-30 | Ethicon Llc | Surgical instrument anvil |
US10842492B2 (en) | 2018-08-20 | 2020-11-24 | Ethicon Llc | Powered articulatable surgical instruments with clutching and locking arrangements for linking an articulation drive system to a firing drive system |
US11045192B2 (en) | 2018-08-20 | 2021-06-29 | Cilag Gmbh International | Fabricating techniques for surgical stapler anvils |
US11083458B2 (en) | 2018-08-20 | 2021-08-10 | Cilag Gmbh International | Powered surgical instruments with clutching arrangements to convert linear drive motions to rotary drive motions |
US10849620B2 (en) | 2018-09-14 | 2020-12-01 | Covidien Lp | Connector mechanisms for surgical stapling instruments |
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 |
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 |
US11197734B2 (en) | 2018-10-30 | 2021-12-14 | Covidien Lp | Load sensing devices for use in surgical instruments |
US11717276B2 (en) | 2018-10-30 | 2023-08-08 | Covidien Lp | Surgical devices including adapters and seals |
US11369372B2 (en) | 2018-11-28 | 2022-06-28 | Covidien Lp | Surgical stapler adapter with flexible cable assembly, flexible fingers, and contact clips |
US10912563B2 (en) | 2019-01-02 | 2021-02-09 | Covidien Lp | Stapling device including tool assembly stabilizing member |
US11202635B2 (en) | 2019-02-04 | 2021-12-21 | Covidien Lp | Programmable distal tilt position of end effector for powered surgical devices |
US11376006B2 (en) | 2019-02-06 | 2022-07-05 | Covidien Lp | End effector force measurement with digital drive circuit |
US11317915B2 (en) | 2019-02-19 | 2022-05-03 | Cilag Gmbh International | Universal cartridge based key feature that unlocks multiple lockout arrangements in different surgical staplers |
US11272931B2 (en) | 2019-02-19 | 2022-03-15 | Cilag Gmbh International | Dual cam cartridge based feature for unlocking a surgical stapler lockout |
US11464511B2 (en) | 2019-02-19 | 2022-10-11 | Cilag Gmbh International | Surgical staple cartridges with movable authentication key arrangements |
US11357503B2 (en) | 2019-02-19 | 2022-06-14 | Cilag Gmbh International | Staple cartridge retainers with frangible retention features and methods of using same |
US11369377B2 (en) | 2019-02-19 | 2022-06-28 | Cilag Gmbh International | Surgical stapling assembly with cartridge based retainer configured to unlock a firing lockout |
AU2020227757A1 (en) | 2019-02-27 | 2021-08-19 | Applied Medical Resources Corporation | Surgical stapling instrument having a two-position lockout mechanism |
US11344297B2 (en) | 2019-02-28 | 2022-05-31 | Covidien Lp | Surgical stapling device with independently movable jaws |
US11219461B2 (en) | 2019-03-08 | 2022-01-11 | Covidien Lp | Strain gauge stabilization in a surgical device |
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 |
US11172929B2 (en) | 2019-03-25 | 2021-11-16 | Cilag Gmbh International | Articulation drive arrangements for surgical systems |
US11696761B2 (en) | 2019-03-25 | 2023-07-11 | Cilag Gmbh International | Firing drive arrangements for surgical systems |
US11147553B2 (en) | 2019-03-25 | 2021-10-19 | Cilag Gmbh International | Firing drive arrangements for surgical systems |
AU2020253285A1 (en) | 2019-03-29 | 2021-09-30 | Applied Medical Resources Corporation | Reload cover for surgical stapling system |
US11284892B2 (en) | 2019-04-01 | 2022-03-29 | Covidien Lp | Loading unit and adapter with modified coupling assembly |
US11284893B2 (en) | 2019-04-02 | 2022-03-29 | Covidien Lp | Stapling device with articulating tool assembly |
US11241228B2 (en) | 2019-04-05 | 2022-02-08 | Covidien Lp | Surgical instrument including an adapter assembly and an articulating surgical loading unit |
US11369378B2 (en) | 2019-04-18 | 2022-06-28 | Covidien Lp | Surgical instrument including an adapter assembly and an articulating surgical loading unit |
US11253254B2 (en) | 2019-04-30 | 2022-02-22 | Cilag Gmbh International | Shaft rotation actuator on a surgical instrument |
US11471157B2 (en) | 2019-04-30 | 2022-10-18 | Cilag Gmbh International | Articulation control mapping for a surgical instrument |
US11452528B2 (en) | 2019-04-30 | 2022-09-27 | Cilag Gmbh International | Articulation actuators for a surgical instrument |
US11903581B2 (en) | 2019-04-30 | 2024-02-20 | Cilag Gmbh International | Methods for stapling tissue using a surgical instrument |
US11432816B2 (en) | 2019-04-30 | 2022-09-06 | Cilag Gmbh International | Articulation pin for a surgical instrument |
US11426251B2 (en) | 2019-04-30 | 2022-08-30 | Cilag Gmbh International | Articulation directional lights on a surgical instrument |
US11648009B2 (en) | 2019-04-30 | 2023-05-16 | Cilag Gmbh International | Rotatable jaw tip for a surgical instrument |
US11464541B2 (en) | 2019-06-24 | 2022-10-11 | Covidien Lp | Retaining mechanisms for trocar assembly |
US11123101B2 (en) | 2019-07-05 | 2021-09-21 | Covidien Lp | Retaining mechanisms for trocar assemblies |
US11058429B2 (en) | 2019-06-24 | 2021-07-13 | Covidien Lp | Load sensing assemblies and methods of manufacturing load sensing assemblies |
US11426168B2 (en) | 2019-07-05 | 2022-08-30 | Covidien Lp | Trocar coupling assemblies for a surgical stapler |
US11446035B2 (en) | 2019-06-24 | 2022-09-20 | Covidien Lp | Retaining mechanisms for trocar assemblies |
USD950728S1 (en) | 2019-06-25 | 2022-05-03 | Cilag Gmbh International | Surgical staple cartridge |
USD952144S1 (en) | 2019-06-25 | 2022-05-17 | Cilag Gmbh International | Surgical staple cartridge retainer with firing system authentication key |
USD964564S1 (en) | 2019-06-25 | 2022-09-20 | Cilag Gmbh International | Surgical staple cartridge retainer with a closure system authentication key |
US11246678B2 (en) | 2019-06-28 | 2022-02-15 | Cilag Gmbh International | Surgical stapling system having a frangible RFID tag |
US11627959B2 (en) | 2019-06-28 | 2023-04-18 | Cilag Gmbh International | Surgical instruments including manual and powered system lockouts |
US11376098B2 (en) | 2019-06-28 | 2022-07-05 | Cilag Gmbh International | Surgical instrument system comprising an RFID system |
US11684434B2 (en) | 2019-06-28 | 2023-06-27 | Cilag Gmbh International | Surgical RFID assemblies for instrument operational setting control |
US11399837B2 (en) | 2019-06-28 | 2022-08-02 | Cilag Gmbh International | Mechanisms for motor control adjustments of a motorized surgical instrument |
US11660163B2 (en) | 2019-06-28 | 2023-05-30 | Cilag Gmbh International | Surgical system with RFID tags for updating motor assembly parameters |
US11259803B2 (en) | 2019-06-28 | 2022-03-01 | Cilag Gmbh International | Surgical stapling system having an information encryption protocol |
US11219455B2 (en) | 2019-06-28 | 2022-01-11 | Cilag Gmbh International | Surgical instrument including a lockout key |
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 |
US11553971B2 (en) | 2019-06-28 | 2023-01-17 | Cilag Gmbh International | Surgical RFID assemblies for display and communication |
US11426167B2 (en) | 2019-06-28 | 2022-08-30 | Cilag Gmbh International | Mechanisms for proper anvil attachment surgical stapling head assembly |
US11771419B2 (en) | 2019-06-28 | 2023-10-03 | Cilag Gmbh International | Packaging for a replaceable component of a surgical stapling system |
US11497492B2 (en) | 2019-06-28 | 2022-11-15 | Cilag Gmbh International | Surgical instrument including an articulation lock |
US11464601B2 (en) | 2019-06-28 | 2022-10-11 | Cilag Gmbh International | Surgical instrument comprising an RFID system for tracking a movable component |
US11241235B2 (en) | 2019-06-28 | 2022-02-08 | Cilag Gmbh International | Method of using multiple RFID chips with a surgical assembly |
US11224497B2 (en) | 2019-06-28 | 2022-01-18 | Cilag Gmbh International | Surgical systems with multiple RFID tags |
US11478241B2 (en) | 2019-06-28 | 2022-10-25 | Cilag Gmbh International | Staple cartridge including projections |
US11291451B2 (en) | 2019-06-28 | 2022-04-05 | Cilag Gmbh International | Surgical instrument with battery compatibility verification functionality |
US11298127B2 (en) | 2019-06-28 | 2022-04-12 | Cilag GmbH Interational | Surgical stapling system having a lockout mechanism for an incompatible cartridge |
US11523822B2 (en) | 2019-06-28 | 2022-12-13 | Cilag Gmbh International | Battery pack including a circuit interrupter |
US11638587B2 (en) | 2019-06-28 | 2023-05-02 | Cilag Gmbh International | RFID identification systems for surgical instruments |
EP3998960A4 (en) | 2019-07-19 | 2022-12-14 | Revmedica, Inc. | SURGICAL STAPLER WITH REMOVABLE POWER SUPPLY |
US11224424B2 (en) | 2019-08-02 | 2022-01-18 | Covidien Lp | Linear stapling device with vertically movable knife |
CN110403654A (zh) * | 2019-08-23 | 2019-11-05 | 秦纯 | 一种缝合件设备 |
US11406385B2 (en) | 2019-10-11 | 2022-08-09 | Covidien Lp | Stapling device with a gap locking member |
CN114641265A (zh) | 2019-11-04 | 2022-06-17 | 标准肥胖病研究公司 | 在手术期间使用拉普拉斯定律张力回缩进行手术的系统和方法 |
US11123068B2 (en) | 2019-11-08 | 2021-09-21 | Covidien Lp | Surgical staple cartridge |
US11534163B2 (en) | 2019-11-21 | 2022-12-27 | Covidien Lp | Surgical stapling instruments |
US11076850B2 (en) | 2019-11-26 | 2021-08-03 | Covidien Lp | Surgical instrument including an adapter assembly and an articulating surgical loading unit |
US11707274B2 (en) | 2019-12-06 | 2023-07-25 | Covidien Lp | Articulating mechanism for surgical instrument |
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 |
US11291446B2 (en) | 2019-12-18 | 2022-04-05 | Covidien Lp | Surgical instrument including an adapter assembly and an articulating surgical loading unit |
US11464512B2 (en) | 2019-12-19 | 2022-10-11 | Cilag Gmbh International | Staple cartridge comprising a curved deck surface |
US11234698B2 (en) | 2019-12-19 | 2022-02-01 | Cilag Gmbh International | Stapling system comprising a clamp lockout and a firing lockout |
US11607219B2 (en) | 2019-12-19 | 2023-03-21 | Cilag Gmbh International | Staple cartridge comprising a detachable tissue cutting knife |
US11504122B2 (en) | 2019-12-19 | 2022-11-22 | Cilag Gmbh International | Surgical instrument comprising a nested firing member |
US11291447B2 (en) | 2019-12-19 | 2022-04-05 | Cilag Gmbh International | Stapling instrument comprising independent jaw closing and staple firing systems |
US11529137B2 (en) | 2019-12-19 | 2022-12-20 | Cilag Gmbh International | Staple cartridge comprising driver retention members |
US11559304B2 (en) | 2019-12-19 | 2023-01-24 | Cilag Gmbh International | Surgical instrument comprising a rapid closure mechanism |
US11911032B2 (en) | 2019-12-19 | 2024-02-27 | Cilag Gmbh International | Staple cartridge comprising a seating cam |
US11701111B2 (en) | 2019-12-19 | 2023-07-18 | Cilag Gmbh International | Method for operating a surgical stapling instrument |
US11931033B2 (en) | 2019-12-19 | 2024-03-19 | Cilag Gmbh International | Staple cartridge comprising a latch lockout |
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 |
US11304696B2 (en) | 2019-12-19 | 2022-04-19 | Cilag Gmbh International | Surgical instrument comprising a powered articulation system |
US11844520B2 (en) | 2019-12-19 | 2023-12-19 | Cilag Gmbh International | Staple cartridge comprising driver retention members |
US11529139B2 (en) | 2019-12-19 | 2022-12-20 | Cilag Gmbh International | Motor driven surgical instrument |
US11446029B2 (en) | 2019-12-19 | 2022-09-20 | Cilag Gmbh International | Staple cartridge comprising projections extending from a curved deck surface |
US11583275B2 (en) | 2019-12-27 | 2023-02-21 | Covidien Lp | Surgical instruments including sensor assembly |
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 |
US11452524B2 (en) | 2020-01-31 | 2022-09-27 | Covidien Lp | Surgical stapling device with lockout |
US11278282B2 (en) | 2020-01-31 | 2022-03-22 | Covidien Lp | Stapling device with selective cutting |
US11458244B2 (en) | 2020-02-07 | 2022-10-04 | Covidien Lp | Irrigating surgical apparatus with positive pressure fluid |
US11553913B2 (en) | 2020-02-11 | 2023-01-17 | Covidien Lp | Electrically-determining tissue cut with surgical stapling apparatus |
WO2021159483A1 (en) | 2020-02-14 | 2021-08-19 | Covidien Lp | Cartridge holder for surgical staples and having ridges in peripheral walls for gripping tissue |
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 |
US11357505B2 (en) | 2020-03-10 | 2022-06-14 | Covidien Lp | Surgical stapling apparatus with firing lockout mechanism |
US11317911B2 (en) | 2020-03-10 | 2022-05-03 | Covidien Lp | Tool assembly with replaceable cartridge assembly |
US11406383B2 (en) | 2020-03-17 | 2022-08-09 | Covidien Lp | Fire assisted powered EGIA handle |
US11426159B2 (en) | 2020-04-01 | 2022-08-30 | Covidien Lp | Sled detection device |
US11331098B2 (en) | 2020-04-01 | 2022-05-17 | Covidien Lp | Sled detection device |
US11504117B2 (en) | 2020-04-02 | 2022-11-22 | Covidien Lp | Hand-held surgical instruments |
US11937794B2 (en) | 2020-05-11 | 2024-03-26 | Covidien Lp | Powered handle assembly for surgical devices |
US11406387B2 (en) | 2020-05-12 | 2022-08-09 | Covidien Lp | Surgical stapling device with replaceable staple cartridge |
US11191537B1 (en) | 2020-05-12 | 2021-12-07 | Covidien Lp | Stapling device with continuously parallel jaws |
US11534167B2 (en) | 2020-05-28 | 2022-12-27 | Covidien Lp | Electrotaxis-conducive stapling |
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 |
USD974560S1 (en) | 2020-06-02 | 2023-01-03 | Cilag Gmbh International | Staple cartridge |
USD975278S1 (en) | 2020-06-02 | 2023-01-10 | Cilag Gmbh International | Staple cartridge |
USD976401S1 (en) | 2020-06-02 | 2023-01-24 | Cilag Gmbh International | Staple cartridge |
USD975850S1 (en) | 2020-06-02 | 2023-01-17 | Cilag Gmbh International | Staple cartridge |
USD967421S1 (en) | 2020-06-02 | 2022-10-18 | Cilag Gmbh International | Staple cartridge |
US11191538B1 (en) | 2020-06-08 | 2021-12-07 | Covidien Lp | Surgical stapling device with parallel jaw closure |
US11844517B2 (en) | 2020-06-25 | 2023-12-19 | Covidien Lp | Linear stapling device with continuously parallel jaws |
US11324500B2 (en) | 2020-06-30 | 2022-05-10 | Covidien Lp | Surgical stapling device |
US11446028B2 (en) | 2020-07-09 | 2022-09-20 | Covidien Lp | Tool assembly with pivotable clamping beam |
US11517305B2 (en) | 2020-07-09 | 2022-12-06 | Covidien Lp | Contoured staple pusher |
US11622768B2 (en) | 2020-07-13 | 2023-04-11 | Covidien Lp | Methods and structure for confirming proper assembly of powered surgical stapling systems |
US11931124B2 (en) * | 2020-07-17 | 2024-03-19 | Cilag Gmbh International | Segmented shaft for robotic surgical tools |
US11737748B2 (en) | 2020-07-28 | 2023-08-29 | Cilag Gmbh International | Surgical instruments with double spherical articulation joints with pivotable links |
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 |
US11660091B2 (en) | 2020-09-08 | 2023-05-30 | Covidien Lp | Surgical device with seal assembly |
US11678878B2 (en) | 2020-09-16 | 2023-06-20 | Covidien Lp | Articulation mechanism for surgical stapling device |
US11571192B2 (en) | 2020-09-25 | 2023-02-07 | Covidien Lp | Adapter assembly for surgical devices |
US11660092B2 (en) | 2020-09-29 | 2023-05-30 | Covidien Lp | Adapter for securing loading units to handle assemblies of surgical stapling instruments |
US11701117B2 (en) * | 2020-09-29 | 2023-07-18 | Cilag Gmbh International | Manual drive functions for surgical tool |
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 |
US11517390B2 (en) | 2020-10-29 | 2022-12-06 | Cilag Gmbh International | Surgical instrument comprising a limited travel switch |
AU2021369828A1 (en) | 2020-10-29 | 2023-06-01 | Applied Medical Resources Corporation | Surgical stapler having a powered handle |
KR20230096077A (ko) | 2020-10-29 | 2023-06-29 | 어플라이드 메디컬 리소시스 코포레이션 | 수술용 스테이플러에 대한 작동 샤프트 유지 메커니즘 |
US11452526B2 (en) | 2020-10-29 | 2022-09-27 | Cilag Gmbh International | Surgical instrument comprising a staged voltage regulation start-up system |
US11617577B2 (en) | 2020-10-29 | 2023-04-04 | Cilag Gmbh International | Surgical instrument comprising a sensor configured to sense whether an articulation drive of the surgical instrument is actuatable |
USD980425S1 (en) | 2020-10-29 | 2023-03-07 | Cilag Gmbh International | Surgical instrument assembly |
US11534259B2 (en) | 2020-10-29 | 2022-12-27 | Cilag Gmbh International | Surgical instrument comprising an articulation indicator |
USD1013170S1 (en) | 2020-10-29 | 2024-01-30 | Cilag Gmbh International | Surgical instrument assembly |
US11896217B2 (en) | 2020-10-29 | 2024-02-13 | Cilag Gmbh International | Surgical instrument comprising an articulation lock |
US11779330B2 (en) | 2020-10-29 | 2023-10-10 | Cilag Gmbh International | Surgical instrument comprising a jaw alignment system |
US11717289B2 (en) | 2020-10-29 | 2023-08-08 | Cilag Gmbh International | Surgical instrument comprising an indicator which indicates that an articulation drive is actuatable |
US11931025B2 (en) | 2020-10-29 | 2024-03-19 | Cilag Gmbh International | Surgical instrument comprising a releasable closure drive lock |
US11844518B2 (en) | 2020-10-29 | 2023-12-19 | Cilag Gmbh International | Method for operating a surgical instrument |
US11890007B2 (en) | 2020-11-18 | 2024-02-06 | Covidien Lp | Stapling device with flex cable and tensioning mechanism |
US11744580B2 (en) | 2020-11-24 | 2023-09-05 | Covidien Lp | Long stapler reloads with continuous cartridge |
US11653919B2 (en) | 2020-11-24 | 2023-05-23 | Covidien Lp | Stapler line reinforcement continuity |
US11944296B2 (en) | 2020-12-02 | 2024-04-02 | Cilag Gmbh International | Powered surgical instruments with external connectors |
US11678882B2 (en) | 2020-12-02 | 2023-06-20 | Cilag Gmbh International | Surgical instruments with interactive features to remedy incidental sled movements |
US11744581B2 (en) | 2020-12-02 | 2023-09-05 | Cilag Gmbh International | Powered surgical instruments with multi-phase tissue treatment |
US11849943B2 (en) | 2020-12-02 | 2023-12-26 | Cilag Gmbh International | Surgical instrument with cartridge release mechanisms |
US11890010B2 (en) | 2020-12-02 | 2024-02-06 | Cllag GmbH International | Dual-sided reinforced reload for surgical instruments |
US11653915B2 (en) | 2020-12-02 | 2023-05-23 | Cilag Gmbh International | Surgical instruments with sled location detection and adjustment features |
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 |
US11653920B2 (en) | 2020-12-02 | 2023-05-23 | Cilag Gmbh International | Powered surgical instruments with communication interfaces through sterile barrier |
US11627960B2 (en) | 2020-12-02 | 2023-04-18 | Cilag Gmbh International | Powered surgical instruments with smart reload with separately attachable exteriorly mounted wiring connections |
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 |
US11744582B2 (en) | 2021-01-05 | 2023-09-05 | Covidien Lp | Surgical stapling device with firing lockout mechanism |
US11759206B2 (en) | 2021-01-05 | 2023-09-19 | 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 |
US11793514B2 (en) | 2021-02-26 | 2023-10-24 | Cilag Gmbh International | Staple cartridge comprising sensor array which may be embedded in cartridge body |
US11730473B2 (en) | 2021-02-26 | 2023-08-22 | Cilag Gmbh International | Monitoring of manufacturing life-cycle |
US11701113B2 (en) | 2021-02-26 | 2023-07-18 | Cilag Gmbh International | Stapling instrument comprising a separate power antenna and a data transfer antenna |
US11723657B2 (en) | 2021-02-26 | 2023-08-15 | Cilag Gmbh International | Adjustable communication based on available bandwidth and power capacity |
US11812964B2 (en) | 2021-02-26 | 2023-11-14 | Cilag Gmbh International | Staple cartridge comprising a power management circuit |
US11925349B2 (en) | 2021-02-26 | 2024-03-12 | Cilag Gmbh International | Adjustment to transfer parameters to improve available power |
US11950779B2 (en) | 2021-02-26 | 2024-04-09 | Cilag Gmbh International | Method of powering and communicating with a staple cartridge |
US11751869B2 (en) | 2021-02-26 | 2023-09-12 | Cilag Gmbh International | Monitoring of multiple sensors over time to detect moving characteristics of tissue |
US11950777B2 (en) | 2021-02-26 | 2024-04-09 | Cilag Gmbh International | Staple cartridge comprising an information access control system |
US11696757B2 (en) | 2021-02-26 | 2023-07-11 | Cilag Gmbh International | Monitoring of internal systems to detect and track cartridge motion status |
US11744583B2 (en) | 2021-02-26 | 2023-09-05 | Cilag Gmbh International | Distal communication array to tune frequency of RF systems |
TW202237882A (zh) * | 2021-03-02 | 2022-10-01 | 荷蘭商Asm Ip私人控股有限公司 | 用於形成包含釩及氧的層之方法及系統 |
US11717300B2 (en) | 2021-03-11 | 2023-08-08 | Covidien Lp | Surgical stapling apparatus with integrated visualization |
US11806011B2 (en) | 2021-03-22 | 2023-11-07 | Cilag Gmbh International | Stapling instrument comprising tissue compression systems |
US11826012B2 (en) | 2021-03-22 | 2023-11-28 | Cilag Gmbh International | Stapling instrument comprising a pulsed motor-driven firing rack |
US11737749B2 (en) | 2021-03-22 | 2023-08-29 | Cilag Gmbh International | Surgical stapling instrument comprising a retraction system |
US11759202B2 (en) | 2021-03-22 | 2023-09-19 | Cilag Gmbh International | Staple cartridge comprising an implantable layer |
US11723658B2 (en) | 2021-03-22 | 2023-08-15 | Cilag Gmbh International | Staple cartridge comprising a firing lockout |
US11717291B2 (en) | 2021-03-22 | 2023-08-08 | Cilag Gmbh International | Staple cartridge comprising staples configured to apply different tissue compression |
US11826042B2 (en) | 2021-03-22 | 2023-11-28 | Cilag Gmbh International | Surgical instrument comprising a firing drive including a selectable leverage mechanism |
CA3212625A1 (en) | 2021-03-23 | 2022-09-29 | Adam R. Dunki-Jacobs | Systems and methods for preventing tissue migration in surgical staplers |
US11849944B2 (en) | 2021-03-24 | 2023-12-26 | Cilag Gmbh International | Drivers for fastener cartridge assemblies having rotary drive screws |
US11857183B2 (en) | 2021-03-24 | 2024-01-02 | Cilag Gmbh International | Stapling assembly components having metal substrates and plastic bodies |
US11896219B2 (en) | 2021-03-24 | 2024-02-13 | Cilag Gmbh International | Mating features between drivers and underside of a cartridge deck |
US11849945B2 (en) | 2021-03-24 | 2023-12-26 | Cilag Gmbh International | Rotary-driven surgical stapling assembly comprising eccentrically driven firing member |
US11903582B2 (en) | 2021-03-24 | 2024-02-20 | Cilag Gmbh International | Leveraging surfaces for cartridge installation |
US11744603B2 (en) | 2021-03-24 | 2023-09-05 | Cilag Gmbh International | Multi-axis pivot joints for surgical instruments and methods for manufacturing same |
US11896218B2 (en) | 2021-03-24 | 2024-02-13 | Cilag Gmbh International | Method of using a powered stapling device |
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 |
US11944336B2 (en) | 2021-03-24 | 2024-04-02 | Cilag Gmbh International | Joint arrangements for multi-planar alignment and support of operational drive shafts in articulatable surgical instruments |
US11832816B2 (en) | 2021-03-24 | 2023-12-05 | Cilag Gmbh International | Surgical stapling assembly comprising nonplanar staples and planar staples |
US11793516B2 (en) | 2021-03-24 | 2023-10-24 | Cilag Gmbh International | Surgical staple cartridge comprising longitudinal support beam |
US11497495B2 (en) | 2021-03-31 | 2022-11-15 | Covidien Lp | Continuous stapler strip for use with a surgical stapling device |
US11666330B2 (en) | 2021-04-05 | 2023-06-06 | Covidien Lp | Surgical stapling device with lockout mechanism |
US11576670B2 (en) | 2021-05-06 | 2023-02-14 | Covidien Lp | Surgical stapling device with optimized drive assembly |
US11812956B2 (en) | 2021-05-18 | 2023-11-14 | Covidien Lp | Dual firing radial stapling device |
US11696755B2 (en) | 2021-05-19 | 2023-07-11 | Covidien Lp | Surgical stapling device with reload assembly removal lockout |
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 |
US11826047B2 (en) | 2021-05-28 | 2023-11-28 | Cilag Gmbh International | Stapling instrument comprising jaw mounts |
US11684362B2 (en) | 2021-06-07 | 2023-06-27 | Covidien Lp | Handheld electromechanical surgical system |
US11576675B2 (en) | 2021-06-07 | 2023-02-14 | Covidien Lp | Staple cartridge with knife |
US11707275B2 (en) | 2021-06-29 | 2023-07-25 | Covidien Lp | Asymmetrical surgical stapling device |
US11771432B2 (en) | 2021-06-29 | 2023-10-03 | Covidien Lp | Stapling and cutting to default values in the event of strain gauge data integrity loss |
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 |
US11786248B2 (en) | 2021-07-09 | 2023-10-17 | Covidien Lp | Surgical stapling device including a buttress retention assembly |
US11819209B2 (en) | 2021-08-03 | 2023-11-21 | Covidien Lp | Hand-held surgical instruments |
US11540831B1 (en) | 2021-08-12 | 2023-01-03 | Covidien Lp | Staple cartridge with actuation sled detection |
US11862884B2 (en) | 2021-08-16 | 2024-01-02 | Covidien Lp | Surgical instrument with electrical connection |
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 |
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 |
US11877745B2 (en) | 2021-10-18 | 2024-01-23 | Cilag Gmbh International | Surgical stapling assembly having longitudinally-repeating staple leg clusters |
US11957337B2 (en) | 2021-10-18 | 2024-04-16 | Cilag Gmbh International | Surgical stapling assembly with offset ramped drive surfaces |
US11937816B2 (en) | 2021-10-28 | 2024-03-26 | Cilag Gmbh International | Electrical lead arrangements for surgical instruments |
US11832823B2 (en) | 2022-02-08 | 2023-12-05 | Covidien Lp | Determination of anvil release during anastomosis |
Citations (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5820009A (en) * | 1996-02-20 | 1998-10-13 | Richard-Allan Medical Industries, Inc. | Articulated surgical instrument with improved jaw closure mechanism |
US20020198554A1 (en) * | 2001-03-14 | 2002-12-26 | Whitman Michael P. | Trocar device |
WO2003077769A1 (en) * | 2002-03-15 | 2003-09-25 | Power Medical Interventions, Inc. | Drive shaft for an electro-mechanical surgical device |
Family Cites Families (18)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5312023A (en) * | 1991-10-18 | 1994-05-17 | United States Surgical Corporation | Self contained gas powered surgical apparatus |
US5330502A (en) * | 1992-10-09 | 1994-07-19 | Ethicon, Inc. | Rotational endoscopic mechanism with jointed drive mechanism |
US5405344A (en) * | 1993-09-30 | 1995-04-11 | Ethicon, Inc. | Articulable socket joint assembly for an endoscopic instrument for surgical fastner track therefor |
US5454827A (en) * | 1994-05-24 | 1995-10-03 | Aust; Gilbert M. | Surgical instrument |
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 |
US6264087B1 (en) * | 1999-07-12 | 2001-07-24 | Powermed, Inc. | Expanding parallel jaw device for use with an electromechanical driver device |
US8241322B2 (en) | 2005-07-27 | 2012-08-14 | Tyco Healthcare Group Lp | Surgical device |
US6793652B1 (en) | 1999-06-02 | 2004-09-21 | Power Medical Interventions, Inc. | Electro-mechanical surgical device |
US7695485B2 (en) * | 2001-11-30 | 2010-04-13 | Power Medical Interventions, Llc | Surgical device |
FR2795301B1 (fr) * | 1999-06-25 | 2001-08-31 | Prec | Instrument de chirurgie endoscopique |
ATE347316T1 (de) * | 2002-06-14 | 2006-12-15 | Power Med Interventions Inc | Gerät zum klemmen, schneiden und zusammenheften von gewebe |
DE60332362D1 (de) * | 2002-09-30 | 2010-06-10 | Power Medical Interventions Llc | Eigenständiges sterilisierbares chirurgisches system |
DE10314827B3 (de) * | 2003-04-01 | 2004-04-22 | Tuebingen Scientific Surgical Products Gmbh | Chirurgisches Instrument |
DE10324844A1 (de) * | 2003-04-01 | 2004-12-23 | Tuebingen Scientific Surgical Products Gmbh | Chirurgisches Instrument mit Instrumentengriff und Nullpunkteinstellung |
JP4391762B2 (ja) * | 2003-05-08 | 2009-12-24 | オリンパス株式会社 | 外科用処置具 |
WO2005037329A2 (en) * | 2003-10-17 | 2005-04-28 | Tyco Healthcare Group, Lp | Surgical stapling device with independent tip rotation |
US8057508B2 (en) * | 2004-07-28 | 2011-11-15 | Ethicon Endo-Surgery, Inc. | Surgical instrument incorporating an electrically actuated articulation locking mechanism |
CN103764276B (zh) | 2011-05-24 | 2017-11-07 | 希路瑞亚技术公司 | 用于甲烷氧化偶合的催化剂 |
-
2005
- 2005-07-27 US US11/191,851 patent/US8241322B2/en active Active
-
2006
- 2006-07-26 JP JP2008524165A patent/JP5184355B2/ja active Active
- 2006-07-26 WO PCT/US2006/029287 patent/WO2007016290A2/en active Application Filing
- 2006-07-26 CA CA2616923A patent/CA2616923C/en active Active
- 2006-07-26 CN CN2006800317922A patent/CN101267773B/zh active Active
- 2006-07-26 CN CN201210065711.8A patent/CN102626334B/zh active Active
- 2006-07-26 EP EP06800427.4A patent/EP1912573B1/en active Active
- 2006-07-26 EP EP16196613.0A patent/EP3153111A1/en not_active Withdrawn
-
2008
- 2008-01-27 IL IL189044A patent/IL189044A/en active IP Right Grant
-
2012
- 2012-07-11 US US13/546,018 patent/US8636762B2/en active Active
-
2014
- 2014-01-17 US US14/158,166 patent/US9730693B2/en active Active
-
2017
- 2017-08-15 US US15/677,106 patent/US10751048B2/en active Active
Patent Citations (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5820009A (en) * | 1996-02-20 | 1998-10-13 | Richard-Allan Medical Industries, Inc. | Articulated surgical instrument with improved jaw closure mechanism |
US20020198554A1 (en) * | 2001-03-14 | 2002-12-26 | Whitman Michael P. | Trocar device |
WO2003077769A1 (en) * | 2002-03-15 | 2003-09-25 | Power Medical Interventions, Inc. | Drive shaft for an electro-mechanical surgical device |
Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN103908320A (zh) * | 2014-04-25 | 2014-07-09 | 王舒怡 | 一种腹腔镜手术抓钳 |
CN103908320B (zh) * | 2014-04-25 | 2016-08-24 | 张世君 | 一种腹腔镜手术抓钳 |
Also Published As
Publication number | Publication date |
---|---|
CA2616923A1 (en) | 2007-02-08 |
EP1912573A4 (en) | 2014-01-08 |
US10751048B2 (en) | 2020-08-25 |
EP3153111A1 (en) | 2017-04-12 |
JP2009502352A (ja) | 2009-01-29 |
CN101267773B (zh) | 2012-05-23 |
CN101267773A (zh) | 2008-09-17 |
IL189044A (en) | 2012-03-29 |
US9730693B2 (en) | 2017-08-15 |
US20180008262A1 (en) | 2018-01-11 |
US20120273546A1 (en) | 2012-11-01 |
CN102626334B (zh) | 2015-05-20 |
EP1912573A2 (en) | 2008-04-23 |
CA2616923C (en) | 2014-10-07 |
US8636762B2 (en) | 2014-01-28 |
EP1912573B1 (en) | 2016-11-30 |
JP5184355B2 (ja) | 2013-04-17 |
US8241322B2 (en) | 2012-08-14 |
WO2007016290A2 (en) | 2007-02-08 |
US20140131416A1 (en) | 2014-05-15 |
US20070023477A1 (en) | 2007-02-01 |
WO2007016290A3 (en) | 2007-10-25 |
Similar Documents
Publication | Publication Date | Title |
---|---|---|
CN101267773B (zh) | 手术器械 | |
CN101801283B (zh) | 手术器械 | |
CN101801284B (zh) | 手术器械 | |
CN101969858B (zh) | 用于手术装置的成像系统 | |
CN101272740B (zh) | 手术装置 | |
AU2013213682B2 (en) | Surgical device |
Legal Events
Date | Code | Title | Description |
---|---|---|---|
C06 | Publication | ||
PB01 | Publication | ||
C10 | Entry into substantive examination | ||
SE01 | Entry into force of request for substantive examination | ||
C53 | Correction of patent of invention or patent application | ||
CB02 | Change of applicant information |
Address after: Massachusetts, USA Applicant after: Covidien LP Address before: Massachusetts, USA Applicant before: TYCO Healthcare |
|
COR | Change of bibliographic data |
Free format text: CORRECT: APPLICANT; FROM: TYCO HEALTHCARE TO: COVIDIEN LP COMPANY |
|
C14 | Grant of patent or utility model | ||
GR01 | Patent grant |