CN104602619A - 用于旋转动力式外科器械的差速锁定结构 - Google Patents
用于旋转动力式外科器械的差速锁定结构 Download PDFInfo
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- 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
- A61B34/30—Surgical robots
- A61B34/37—Master-slave robots
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- 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
- A61B34/30—Surgical robots
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- 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
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- 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
- A61B34/30—Surgical robots
- A61B2034/305—Details of wrist mechanisms at distal ends of robotic arms
- A61B2034/306—Wrists with multiple vertebrae
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- Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
- Y10T—TECHNICAL SUBJECTS COVERED BY FORMER US CLASSIFICATION
- Y10T74/00—Machine element or mechanism
- Y10T74/19—Gearing
- Y10T74/19005—Nonplanetary gearing differential type [e.g., gearless differentials]
Abstract
本发明公开了用于外科器械的差速锁定系统,所述外科器械包括外科端部执行器,所述外科端部执行器由旋转驱动轴组件提供动力,所述旋转驱动轴组件能够在多个离散的轴向位置之间运动。在各种形式中,至少一个保持结构设置在所述旋转驱动轴组件上,所述至少一个保持结构对应于所述离散的轴向位置中的每一个。至少一个锁定构件相对于旋转驱动轴组件被可操作地支撑,以用于在所述旋转驱动轴组件运动到与所述保持结构中的至少一个相关的所述离散的轴向位置时保持接合所述保持结构中的至少一个。
Description
背景技术
多年以来,已经开发出多种微创机器人(或“远距离外科手术”)系统以增加外科手术的灵活性,并允许外科医生以直观的方式对患者进行手术。多个此类系统在以下美国专利中有所公开,所述每个美国专利全文以引用的方式并入本文:名称为“Articulated Surgical Instrument For PerformingMinimally Invasive Surgery With Enhanced Dexterity and Sensitivity”的美国专利No.5,792,135、名称为“Robotic Arm DLUS For Performing SurgicalTasks”的美国专利No.6,231,565、名称为“Robotic Surgical Tool WithUltrasound Cauterizing and Cutting Instrument”的美国专利No.6,783,524、名称为“Alignment of Master and Slave In a Minimally Invasive SurgicalApparatus”的美国专利No.6,364,888、名称为“Mechanical ActuatorInterface System For Robotic Surgical Tools”的美国专利No.7,524,320、名称为“Platform Link Wrist Mechanism”的美国专利No.7,691,098、名称为“Repositioning and Reorientation of Master/Slave Relationship in MinimallyInvasive Telesurgery”的美国专利No.7,806,891和名称为“Surgical ToolWith Writed Monopolar Electrosurgical End Effectors”的美国专利No.7,824,401。然而,过去的多个此类系统已不能生成有效地切割和紧固组织所需大小的力。此外,现有的机器人外科系统在其可操作的不同类型的外科装置的数量方面受到限制。
附图说明
当参考以下本发明示例性实施例的下列描述并结合附图时,本发明的特征和优点以及获得它们的方式将变得更加显而易见,并且本发明自身也更易于理解,其中:
本文以举例的方式结合以下附图描述各种示例性实施例,其中:
图1为一个机器人控制器实施例的透视图;
图2为可操作地支撑多个外科工具实施例的机器人系统的一个机器人外科臂车/操纵器的透视图;
图3为图2中示出的机器人外科臂车/操纵器的侧视图;
图4为具有定位连杆的车结构的透视图,该定位连杆用于可操作地支撑可与外科工具实施例一起使用的机器人操纵器;
图5为外科工具实施例和外科端部执行器实施例的透视图;
图6为用于将各种外科工具实施例附接到机器人系统的适配器和工具保持器布置的分解组件视图;
图7为图6中示出的适配器的侧视图;
图8为图6中示出的适配器的底视图;
图9为图6和图7的适配器的顶视图;
图10为外科工具实施例的局部底部透视图;
图11为外科工具实施例的一部分的前透视图,其中为清楚起见省略了其一些元件;
图12为图11的外科工具实施例的后透视图;
图13为图11和12的外科工具实施例的顶视图;
图14为图11-13的外科工具实施例的局部顶视图,其中可手动致动的驱动齿轮处于未致动位置;
图15为图11-14的外科工具实施例的另一个局部顶视图,其中可手动致动的驱动齿轮处于初始致动位置;
图16为图11-15的外科工具实施例的另一个局部顶视图,其中可手动致动的驱动齿轮处于致动位置;
图17为另一个外科工具实施例的后透视图;
图18为图17的外科工具实施例的侧正视图;
图19为图5的外科工具实施例的剖面图,其中端部执行器与外科工具的近侧轴部分分离;
图20为侧透视图,示出了互连的快速断开接头实施例的一部分;
图21为快速断开接头实施例的剖面图,其中端部执行器的远侧轴部分与近侧轴部分分离;
图22为图19-21的快速断开接头实施例的另一个剖面图,其中远侧轴部分已与近侧轴部分初始接合;
图22A为快速断开接头实施例的剖面图,其中远侧轴部分已与近侧轴部分初始接合;
图23为图19-22的快速断开接头实施例的另一个剖面图,其中远侧轴部分已附接到近侧轴部分;
图23A为图22A的快速断开接头实施例的另一个剖面图,其中远侧轴部分已附接到近侧轴部分;
图23B为图22A、22B的快速断开接头实施例的另一个剖面图,其中远侧轴部分已脱离近侧轴部分;
图24为沿图21中的线24-24截取的图19-23的远侧轴部分的剖面图;
图25为关节运动接头和端部执行器实施例的一部分的剖面图;
图26为图25的关节运动接头和端部执行器的一部分的分解组件视图;
图27为图26中所示的关节运动接头和端部执行器部分的局部剖面透视图;
图28为端部执行器和驱动轴组件实施例的局部透视图;
图29为驱动轴组件实施例的局部侧视图;
图30为驱动轴组件实施例的透视图;
图31为图31的驱动轴组件的侧视图;
图32为复合驱动轴组件实施例的透视图;
图33为图33的复合驱动轴组件的侧视图;
图34为呈现弓形或“挠曲”构型的图30和31的驱动轴组件的另一个视图;
图34A为呈现弓形或“挠曲”构型的驱动轴组件实施例的侧视图;
图34B为呈现弓形或“挠曲”构型的另一个驱动轴组件实施例的侧视图;
图35为另一个驱动轴组件实施例的一部分的透视图;
图36为图35的驱动轴组件实施例的顶视图;
图37为处于弓形构型的图35和36的驱动轴组件实施例的另一个透视图;
图38为图37所示的驱动轴组件实施例的顶视图;
图39为另一个驱动轴组件实施例的透视图;
图40为处于弓形构型的图39的驱动轴组件实施例的另一个透视图;
图41为图39和40的驱动轴组件实施例的顶视图;
图42为图41的驱动轴组件实施例的剖面图;
图43为另一个驱动轴组件实施例的局部剖面图;
图44为图43的驱动轴组件实施例的另一个剖面图;
图45为另一个驱动轴组件实施例的一部分的另一个剖面图;
图46为图45的驱动轴组件的另一个剖面图;
图47为端部执行器实施例的局部剖面透视图,其中其砧座处于打开位置;
图48为图47的端部执行器实施例的另一个局部剖面透视图;
图49为图47和48的端部执行器实施例的侧面剖面图;
图50为图47-49的端部执行器实施例的另一个侧面剖面图;
图51为图47-50的端部执行器实施例的局部剖面透视图,其中其砧座处于闭合位置;
图52为图51的端部执行器实施例的另一个局部剖面透视图;
图53为图51和52的端部执行器实施例的侧面剖面图,其中其砧座处于部分闭合位置;
图54为图51-53的端部执行器实施例的另一个侧面剖面图,其中砧座处于闭合位置;
图55为另一个端部执行器实施例以及另一个细长轴组件实施例的部分的剖面透视图;
图56为闭合系统实施例的分解透视图;
图57为图56的闭合系统实施例的侧视图,其中砧座处于打开位置;
图58为端部执行器实施例内的图57和57的闭合系统实施例的侧面剖面图,其中其砧座处于打开位置;
图59为图58的闭合系统和端部执行器实施例的另一个剖面图,其中其砧座处于闭合位置;
图59A为采用图56-59的闭合系统实施例的另一个外科工具实施例的一部分的前透视图,其中为清楚起见省略了致动螺线管;
图60为另一个端部执行器实施例的分解组件视图;
图61为驱动系统实施例的局部透视图;
图62为图61的驱动系统实施例的一部分的局部前透视图;
图63为图61和62的驱动系统实施例的一部分的局部后透视图;
图64为处于第一轴向驱动位置的图61-63的驱动系统实施例的局部剖面侧视图;
图65为处于第二轴向驱动位置的图61-64的驱动系统实施例的另一个局部剖面侧视图;
图66为端部执行器和驱动系统实施例的剖面图,其中驱动系统能够击发击发构件;
图67为端部执行器和驱动系统实施例的另一个剖面图,其中驱动系统能够旋转整个端部执行器;
图68为端部执行器实施例和关节运动接头实施例的一部分的剖面透视图;
图69为图68中所示的端部执行器和关节运动接头实施例的剖面侧视图;
图70为另一个端部执行器和驱动系统实施例的剖面图,其中驱动系统能够旋转整个端部执行器;
图71为图70的端部执行器和驱动系统实施例的另一个剖面图,其中驱动系统能够击发端部执行器的击发构件;
图72为端部执行器实施例的剖面侧视图;
图73为图72的端部执行器实施例的一部分的放大剖面图;
图74为另一个端部执行器实施例的剖面侧视图,其中其击发构件已部分地驱动通过击发行程;
图75为图74的端部执行器实施例的另一个剖面侧视图,其中击发构件已驱动至其击发行程的端部。
图76为图74和75的端部执行器实施例的另一个剖面侧视图,其中其击发构件正回缩;
图77为另一个端部执行器实施例的剖面侧视图,其中其击发构件已部分地驱动通过其击发行程;
图78为工具驱动轴实施例的一部分的分解组件视图;
图79为图77的端部执行器的另一个剖面侧视图,其中其击发构件处于其击发行程的端部;
图80为图77和78的端部执行器的另一个剖面侧视图,其中击发构件正回缩;
图81为另一个端部执行器实施例的剖面侧视图,其中击发构件处于其击发行程的端部;
图81A为工具驱动轴和轴承段实施例的分解组件视图;
图81B为另一个工具驱动轴和轴承段实施例的分解组件视图;
图82为击发构件实施例的分解组件视图;
图83为图82的击发构件的透视图;
图84为安装在示例性工具驱动轴实施例的一部分上的图82和83的击发构件的剖面图;
图85为另一个击发构件实施例的分解组件视图;
图86为另一个击发构件实施例的后透视图;
图87为图86的击发构件实施例的前透视图;
图88为外科端部执行器的击发构件、工具驱动轴、楔形滑动件组件和对齐部分的透视图;
图89为图88的击发构件、工具驱动轴、楔形滑动件组件和对齐部分的侧正视图;
图90为其中未安装钉仓的处于闭合构型的图60的外科端部执行器的剖面正视图;
图91为根据本公开的各种示例性实施例的具有击发闭锁件的外科端部执行器的底视图;
图92为处于闭合且不可操作构型的图91的外科端部执行器的底部的一部分的透视图;
图93为处于闭合和不可操作构型的图91的外科端部执行器的剖视正视图;
图94为处于打开且不可操作构型的图91的外科端部执行器的端部正视图;
图95为处于闭合且不可操作构型的图91的外科端部执行器的端部正视图;
图96为处于闭合且可操作构型的图91的外科端部执行器的正剖面图,在其中的第一组位置中具有楔形滑动件组件和对齐部分;
图97为处于闭合且可操作构型的图91的外科端部执行器的另一个端部正视图;
图98为外科端部执行器的分解透视图,其中其一些部件以剖面示出,并且为清楚起见省略了其他部件。
图99为图98中所示的偏置元件的透视图;
图100为图98中所示的端部执行器驱动外壳的透视图;
图101为图98的外科端部执行器的剖面正视图,示出了处于第二组位置的偏置元件;
图102为图98的外科端部执行器的一部分的剖面图,示出了处于不可操作位置的工具驱动轴;
图103为图98的外科端部执行器的一部分的剖面图,示出了处于第一组位置的偏置元件;
图104为图98的外科端部执行器的一部分的剖面图,示出了处于第一组位置的偏置元件并且处于可操作位置的工具驱动轴;
图105为外科器械的端部执行器的剖面透视图,所述端部执行器包括能够驱动端部执行器的击发构件的驱动螺杆;
图106A为端部执行器的第一驱动螺杆的一部分的侧视图,所述第一驱动螺杆包括第一长度,其中所述第一驱动螺杆包括单线螺纹;
图106B为图106A的第一驱动螺杆的剖面端视图;
图107A为端部执行器的第二驱动螺杆的一部分的侧视图,所述第二驱动螺杆包括第二长度,其中所述第二驱动螺杆包括双线螺纹;
图107B为图107A的第二驱动螺杆的剖面端视图;
图108A为端部执行器的第三驱动螺杆的一部分的侧视图,所述第三驱动螺杆包括第三长度,其中所述第三驱动螺杆包括三线螺纹;
图108B为图108A的第三驱动螺杆的剖面端视图;
图109A为端部执行器的第四驱动螺杆的一部分的侧视图,所述第四驱动螺杆包括第四长度,其中所述第四驱动螺杆包括四线螺纹;
图109B为图109A的第四驱动螺杆的剖面端视图;
图110为与具有驱动螺杆的端部执行器一起使用的切割刀片的分解透视图;
图111为用于将旋转从驱动轴传输至端部执行器的驱动螺杆的齿轮传动构造的透视图,其中出于说明目的,所示齿轮传动构造的多个部分已移除;
图112为另一个外科工具实施例的透视图;
图112A为图112的外科工具的端部执行器布置的透视图;
图113为图112中所示的细长轴组件和快速断开联接器布置的一部分的分解组件视图;
图114为图112和113的细长轴组件的一部分的透视图;
图115为图112-114中所示的示例性快速断开联接器布置的放大分解透视图;
图116为图112-115的快速断开联接器布置的侧正视图,其中其锁定衬圈处于解锁位置;
图117为图112-116的快速断开联接器布置的另一个侧正视图,其中其锁定衬圈处于锁定位置;
图118为另一个外科工具实施例的透视图;
图119为图118的外科工具实施例的另一个透视图;
图120为图118和119的外科工具实施例的剖面透视图;
图121为关节运动系统的一部分的剖面透视图;
图122为处于中间位置的图121的关节运动系统的剖面图;
图123为处于关节运动位置的图121和122的关节运动系统的另一个剖面图;
图124为图118-120的外科器械实施例的一部分的侧正视图,其中为清楚起见省略了其多个部分;
图125为图118-120的外科器械实施例的一部分的后透视图,其中为清楚起见省略了其多个部分;
图126为图118-120的外科器械实施例的一部分的后正视图,其中为清楚起见省略了其多个部分;
图127为图118-120的外科器械实施例的一部分的前透视图,其中为清楚起见省略了其多个部分;
图128为图118-120的外科器械实施例的一部分的侧正视图,其中为清楚起见省略了其多个部分;
图129为图118-120的外科器械实施例的示例性反向系统实施例的分解组件视图;
图130为图129的反向系统的杠杆臂实施例的透视图;
图131为图129的反向系统的刀回缩器按钮的透视图;
图132为图118-120的外科器械实施例的一部分的透视图,其中为清楚起见省略了其多个部分,并且杠杆臂与反向齿轮处于可致动地接合。
图133为图118-120的外科器械实施例的一部分的透视图,其中为清楚起见省略了其多个部分,并且杠杆臂处于未致动位置;
图134为图118-120的外科器械实施例的一部分的另一个透视图,其中为清楚起见省略了其多个部分,并且杠杆臂与反向齿轮处于可致动地接合。
图135为图118-20的外科器械实施例的柄部组件部分的一部分的侧正视图,其中移位器按钮组件运动到一位置中,从而当致动驱动轴组件时将导致端部执行器的旋转;
图136为图118-120的外科器械实施例的柄部组件部分的一部分的另一个侧正视图,其中移位器按钮组件运动到另一位置中,从而当致动驱动轴组件时将导致端部执行器中的击发构件的击发;
图137为具有可锁定关节运动接头实施例的另一个外科工具实施例的一部分的剖面图;
图138为以一种构型进行关节运动的图137的外科工具的该部分的另一个剖面图;
图139为以另一种构型进行关节运动的图137和138的外科工具的该部分的另一个剖面图;
图140为沿图137中的线140-140截取的图137中所示的关节运动锁定系统实施例的剖面;
图141为沿图140中的线141-141截取的图140的关节运动锁定系统的剖面图;
图142为沿图137中的线142-142截取的图137的外科工具的一部分的剖面图;
图143示出当第一锁定环和第二锁定环处于夹紧或锁定构型时锁定线的位置,此时端部执行器已关节运动到图138中所示的第一关节运动位置中;
图144示出当第一锁定环和第二锁定环弹跳至其各自的松开或解锁位置时锁定线的位置,此时端部执行器已关节运动到图138中所示的第一关节运动位置;
图145示出当第一锁定环和第二锁定环处于夹紧或锁定构型时锁定线的位置,此时端部执行器已关节运动到图139中所示的第二关节运动位置中;
图146示出当第一锁定环和第二锁定环弹跳至其各自的松开或解锁位置时锁定线的位置,此时端部执行器已关节运动到图139中所示的第一关节运动位置;
图147为当端部执行器已相对于细长轴组件进行关节运动时锁定线的另一个视图;
图148为另一个端部执行器实施例的剖面图,其中其砧座组件处于闭合位置;
图149为图148的端部执行器实施例的另一个剖面图;
图150为图148和149的端部执行器实施例的另一个剖面图,其中砧座组件处于闭合位置;
图151为图148-150的端部执行器实施例的另一个剖面图,示出了能够驱动击发构件的驱动传动装置;
图152为图148-151的端部执行器实施例的另一个剖面图,其中驱动传动装置能够使整个端部执行器围绕纵向工具轴线旋转;
图153为沿图148中的线153-153截取的图148-152的端部执行器的剖面图,其中驱动传动装置能够致动砧座组件;
图154为沿图148中的线154-154截取的图148-153的端部执行器的剖面图,其中驱动传动装置能够击发击发构件;
图155为沿图148中的线155-155截取的图148-154的端部执行器的剖面图,其中驱动传动装置能够致动砧座组件;
图156为沿图148中的线156-156截取的图148-155的端部执行器的剖面图;
图157为另一个端部执行器实施例的剖面透视图;
图158为图157的端部执行器的细长通道的透视图;
图159为砧座弹簧实施例的透视图;
图160为图157的端部执行器的侧面剖面图,其中在击发构件已被驱动到其最远侧位置后砧座处于闭合位置;
图161为沿图160中的线161-161截取的图160的端部执行器的一部分的剖面图;
图162为图157、160和161的端部执行器的另一个侧面剖面图,其中击发构件正回缩;
图163为沿线163-163截取的图162的端部执行器的一部分的剖面图;
图164为图157和160-163的端部执行器的另一个侧面剖面图,其中击发构件处于其最近侧位置;
图165为沿图164中的线165-165截取的图157和图160-164的端部执行器的剖面图;
图166为在螺线管已将闭合管牵拉至其最近侧位置后图157和160-165的端部执行器的另一个侧面剖面图;
图167为沿图166中的线167-167截取的图157和图160-166的端部执行器的剖面图;
图168为在砧座处于打开位置时且在螺线管已将闭合管牵拉至其最近侧位置之后图157和160-167的端部执行器的另一个侧面剖面图;
图169为在击发构件已运动到其起始位置后图157和160-168的端部执行器的另一个侧面剖面图;
图170为图157和160-169的端部执行器的另一个侧面剖面图,其中砧座组件已闭合并且击发构件准备击发;
图171为用于将远侧轴部分联接到近侧轴部分的另一个快速断开结构的局部剖面图,所述远侧轴部分可附接到端部执行器,所述近侧轴部分可联接到机器人系统的工具安装部分或联接到柄部组件;
图172为图171的快速断开结构的另一个局部剖面图;
图173为图171和172的快速断开结构的近侧轴部分的端视图;
图174为图171和172的快速断开结构的可轴向运动的锁定衬圈实施例的剖面图;
图174A为图174的锁定衬圈实施例的透视图;
图175为图171和172的快速断开结构的另一个剖面图,示出了远侧与近侧驱动轴部分的初始联接;
图176为图171、172和175的快速断开结构的另一个剖面图,示出了对应关节运动缆线段的初始联接;
图177为远侧驱动轴部分已被锁定到近侧驱动轴部分之后的图175的快速脱开结构的另一个剖视图;并且
图178为对应关节运动缆线段已锁定在一起后图176的快速断开结构的另一个剖面图。
具体实施方式
本专利申请的申请人还拥有与本专利同一日期提交的以下专利申请,这些专利申请各自的全部内容均以引用方式并入本文:
1.名称为“Flexible Drive Member”的美国专利申请序列号
_____________(代理人案卷号END7131USNP/120135)。
2.名称为“Multi-Functional Powered Surgical Device with ExternalDissection Features”的美国专利申请序列号_____________(代理人案卷号END7132USNP/120136)。
3.名称为“Coupling Arrangements for Attaching Surgical End Effectorsto Drive Systems Therefor”的美国专利申请序列号_____________(代理人案卷号END7133USNP/120137)。
4.美国专利申请序列号_____________,名称为“Rotary ActuatableClosure Arrangement for Surgical End Effector”(代理人案卷号END7134USNP/120138)。
5.美国专利申请序列号_____________,名称为“Surgical EndEffectors Having Angled Tissue-Contacting Surfaces”(代理人案卷号END7135USNP/120139)。
6.名称为“Interchangeable End Effector Coupling Arrangement”的美国专利申请序列号_____________(代理人案卷号END7136USNP/120140)。
7.美国专利申请序列号_____________,名称为“Surgical EndEffector Jaw and Electrode Configurations”(代理人案卷号END7137USNP/120141)。
8.名称为“Multi-Axis Articulating and Rotating Surgical Tools”的美国专利申请序列号_____________(代理人案卷号END7138USNP/120142)。
9.名称为“Interchangeable Clip Applier”的美国专利申请序列号_____________(代理人案卷号END7140USNP/120144)。
10.名称为“Firing System Lockout Arrangements for SurgicalInstruments”的美国专利申请序列号_____________(代理人案卷号END7141USNP/120145)。
11.名称为“Rotary Drive Shaft Assemblies for Surgical Instruments withArticulatable End Effectors”的美国专利申请序列号_____________(代理人案卷号END7142USNP/120146)。
12.名称为“Rotary Drive Arrangements for Surgical Instruments”的美国专利申请序列号_____________(代理人案卷号END7143USNP/120147)。
13.名称为“Robotically Powered Surgical Device With Manually-Actuatable Reversing System”的美国专利申请序列号_____________(代理人案卷号END7144USNP/120148)。
14.名称为“Replaceable Clip Cartridge for a Clip Applier”的美国专利申请序列号_____________(代理人案卷号END7145USNP/120149)。
15.名称为“Empty Clip Cartridge Lockout”的美国专利申请序列号_____________(代理人案卷号END7146USNP/120150)。
16.名称为“Surgical Instrument System Including Replaceable EndEffectors”的美国专利申请序列号_____________(代理人案卷号END7147USNP/120151)。
17.名称为“Rotary Support Joint Assemblies for Coupling a First Portionof a Surgical Instrument to a Second Portion of a Surgical Instrument”的美国专利申请序列号_____________(代理人案卷号END7148USNP/120152)。
18.名称为“Electrode Connections for Rotary Driven Surgical Tools”的美国专利申请序列号_____________(代理人案卷号END7149USNP/120153)。
申请人还拥有以下专利申请,这些专利申请各自的全部内容均以引用方式并入本文:
-名称为“Surgical Instrument With Wireless Communication Between aControl Unit of a Robotic System and Remote Sensor”的美国专利申请序列号13/118,259,美国专利申请公开号2011-0295270A1;
-名称为“Robotically-Controlled Disposable Motor Driven LoadingUnit”的美国专利申请序列号13/118,210,美国专利申请公开号2011-0290855A1;
-名称为“Robotically-Controlled Endoscopic Accessory Channel”的美国专利申请序列号13/118,194,美国专利申请公开号2011-0295242;
-名称为“Robotically-Controlled Motorized Surgical Instrument”的美国专利申请序列号13/118,253,美国专利申请公开号2011-0295269A1;
-名称为“Robotically-Controlled Surgical Stapling Devices That ProduceFormed Staples Having Different Lengths”的美国专利申请序列号13/118,278,美国专利申请公开号2011-0290851A1;
-名称为“Robotically-Controlled Motorized Cutting and FasteningInstrument”的美国专利申请序列号13/118,190,美国专利申请公开号2011-0288573A1
-名称为“Robotically-Controlled Shaft Based Rotary Drive Systems ForSurgical Instruments”的美国专利申请序列号13/118,223,美国专利申请公开号2011-0290854A1;
-名称为“Robotically-Controlled Surgical Instrument Having RecordingCapabilities”的美国专利申请序列号13/118,263,美国专利申请公开号2011-0295295A1;
-名称为“Robotically-Controlled Surgical Instrument With ForceFeedback Capabilities”的美国专利申请序列号13/118,272,美国专利申请公开号2011-0290856A1;
-名称为“Robotically-Driven Surgical Instrument With E-Beam Driver”的美国专利申请序列号13/118,246,美国专利申请公开号2011-0290853A1;以及
-名称为“Surgical Stapling Instruments With Rotatable StapleDeployment Arrangements”的美国专利申请序列号13/118,241。
现在将描述某些示例性实施例,以从整体上理解本文所公开的装置和方法的结构、功能、制造和用途。这些示例性实施例的一个或多个实例在附图中示出。本领域的普通技术人员将会理解,在本文中具体描述并在附图中示出的装置和方法为非限制性的示例性实施例,并且本发明的各种示例性实施例的范围仅由权利要求书限定。另外,结合一个示例性实施例进行图解说明或描述的特征可与其他示例性实施例的特征进行组合。此类修改和变型旨在包括在本发明的范围之内。
图1示出了结合图2中所示类型的从属机械臂车20使用的主控制器12。主控制器12和从属机械臂车20以及它们各自的部件和控制系统在本文中统称为机器人系统10。此类系统和装置的实例公开于美国专利7,524,320中,所述专利以引用方式并入本文。因而,除了对理解本文公开的各种示例性实施例所需要的以外,本文将不详细地描述此类装置的各种细节。众所周知,主控制器12通常包括如下主控制器(在图1中一般表示为14):在外科医生通过立体显示器16观察手术时,所述主控制器由外科医生抓持并在空间中操控。主控制器12大体包括手动输入装置,该手动输入装置优选地以多个自由度运动并通常进一步地具有用于致动工具的可致动的柄部(例如,用于闭合握紧钳口、向电极施加电势等)。
如图2中所示,机械臂车20能够致动多个外科工具,一般称为30。名称为“Multi-Component Telepresence System and Method”的美国专利6,132,368中公开了使用主控制器和机械臂车布置的各种机器人外科系统和方法,该专利申请的全部公开内容以引用方式并入本文。如图所示,机械臂车20包括基座22,在例示的实施例中,所述基座22支撑有三个外科工具30。外科工具30各自由一系列手动关节运动式连杆(一般称为装置接头32)和机器人操纵器34支撑。本文示出的这些结构具有在机器人连杆的大部分之上延伸的护盖。这些护盖可以是任选的,并且可在尺寸上有所限制或完全被消除,以使用于操纵此类装置的伺服机构遇到的惯性最小化、限制运动部件的体积以避免碰撞、并且限制车20的总重量。车20通常具有适于在手术室之间来搬运车20的尺寸。车20能够通常适于穿过标准的手术室门并放置到标准的医院电梯上。车20可优选地具有重量并包括轮(或其他运输)系统,所述轮系统允许车20被单个维护人员定位在手术台附近。
现在参见图3,如图所示的机器人操纵器34包括限制外科工具30的运动的连杆38。连杆38包括由旋转接头以平行四边形布置方式联接在一起的刚性连接件,使得外科工具30围绕空间40中的某一点旋转,如在美国专利5,817,084中更充分地描述,所述专利的全部公开内容以引用方式并入本文。平行四边形布置方式将旋转限制为围绕轴40a(有时称为俯仰轴)枢转。支撑平行四边形连杆的连接件枢转地安装到装置接头32(图2)上,使得外科工具30进一步围绕轴40b(有时称为偏航轴)旋转。俯仰轴40a和偏航轴40b在远程中心42处相交,所述远程中心沿外科工具30的轴44对齐。当由操纵器50支撑时,外科工具30可具有另外的从动自由度,包括外科工具30沿纵向工具轴线“LT-LT”的滑动运动。当外科工具30沿工具轴线LT-LT相对于操纵器50(箭头40c)滑动时,远程中心42相对于操纵器50的基座52保持固定。从而,使整个操纵器总体上运动以重新定位远程中心42。操纵器50的连杆54由一系列的马达56驱动。这些马达响应于来自控制系统的处理器的命令而主动地运动连杆54。马达56还用于操纵外科工具30。图4中示出了另选的装置接头结构。在该实施例中,外科工具30由两个组织操纵工具之间的可供选择的操纵器结构50'支撑。
其他实施例可包括多种可供选择的机器人结构,包括描述于名称为“Automated Endoscope System For Optimal Positioning”的美国专利5,878,193中的那些,该专利的全部内容以引用方式并入本文。另外,虽然结合外科工具30和主控制器12之间的通信描述了机器人部件与机器人外科系统的处理器之间的数据通信,但类似的通信可发生在操纵器、装置接头、内窥镜或其他图像捕获装置等的电路与机器人外科系统的处理器之间,所述机器人外科系统的处理器用于部件兼容性确认、部件类型识别、部件校正(例如偏移等)通信、部件与机器人外科系统的联接确认等。
非常适于与机器人系统10一起使用的外科工具100示于图5中。如可在图中看出,外科工具100包括外科端部执行器1000,所述端部执行器包括直线切割器。外科工具100通常包括细长轴组件200,所述细长轴组件通过工具安装部分(通常称为300)可操作地联接到操纵器50。外科工具100还包括将工具安装部分300机械联接且电联接到操纵器的接口302。在图6-10中示出了一个接口302在图6-10中所示的实施例中,工具安装部分300包括工具安装板304,所述工具安装板可操作地支撑多个(图10中示出了四个)可旋转主体部分、从动盘或从动元件306,所述从动盘或从动元件各自包括从从动元件306的表面延伸的一对销308。一个销308比相同从动元件306上的其他销308更靠近每个从动元件306的旋转轴,这有助于确保从动元件306的正向角对齐。接口302可包括能够以安装方式接合安装板304的适配器部分310,如将在下文中进一步描述。所示的适配器部分310包括电连接销312阵列(图8),其可通过工具安装部分300内的电路板联接到存储器结构。虽然在本文结合机械耦合元件、电耦合元件和磁耦合元件描述了接口302,但应当理解,在其他实施例中可使用多种遥测形式,包括红外、电感耦合等。
如可在图6-9中看出,适配器部分310通常包括工具侧314和保持器侧316。将多个可旋转主体320安装到浮动板318,所述浮动板相对于与适配器310的主表面垂直的周围适配器结构具有有限的运动范围。当沿工具安装部分外壳侧(未示出)的杠杆或其他闩锁结构致动时,浮动板318的轴向运动有助于使可旋转主体320从工具安装部分300脱离。其他实施例可采用其他机构/结构以用于将工具安装部分300可释放地联接到适配器310。在图6-10的实施例中,通过弹性径向构件将可旋转主体320弹性地安装到浮动板318,所述弹性径向构件围绕可旋转主体320延伸到周边凹痕中。可旋转主体320可通过偏转这些弹性结构而相对于板318轴向运动。当设置在第一轴向位置(朝工具侧314)时,可旋转主体320可自由旋转而没有角度限制。然而,当可旋转主体320朝工具侧314轴向运动时,突出部322(从可旋转主体320径向延伸)横向接合位于浮动板上的止动器以便限制可旋转主体320围绕其轴线的角旋转。当驱动销332将可旋转主体320推动至受限的旋转位置直到销332与开口334’对齐(并滑动到其中)时,可使用该受限的旋转以协助可旋转主体320与机器人系统10的对应工具保持器部分330的驱动销332驱动地接合。可旋转主体320的工具侧314上的开口334和保持器侧316上的开口334’能够使工具安装部分300的从动元件306(图10)与工具保持器330的驱动元件336准确地对齐。如以上关于从动元件306的内侧和外侧销308所述,开口334和334’位于距其各自的可旋转主体306的旋转轴线不同的距离处,以确保不与其预期的位置成180度对齐。另外,开口334中的每一个可略微径向细长,以便适当地接收周边方向上的销308。这允许销308在开口334内径向滑动并适应工具100和工具保持器330之间的一些轴偏差,同时使驱动元件和从动元件之间的任何角偏差和角侧隙最小化。工具侧314上的开口334可与保持器侧316上的开口334’(以虚线示出)偏置约90度,如可在图9中明显看出。
在图6-10的实施例中,电连接器销340阵列位于适配器310的保持器侧316上,并且适配器310的工具侧314包括用于从工具安装部分300接收销阵列(未示出)的狭槽342(图9)。除了在外科工具100和工具保持器330之间传输电信号之外,可通过适配器1240的电路板将这些电连接件中的至少一些联接至适配器存储器装置344(图8)。
在图6-10的实施例中,采用可拆卸的闩锁布置346来将适配器310可释放地附连到工具保持器330。如本文所用,术语“工具驱动组件”在用于机器人系统10的上下文中时至少涵盖适配器310和工具保持器330,并且其在图6中一般统称为110。如可在图6中看出,工具保持器330包括第一闩锁销布置337,所述第一闩锁销布置的尺寸设定成被接收在设置于适配器310中相应的连接叉狭槽311中。此外,工具保持器330还具有第二闩锁销338,所述第二闩锁销的尺寸设定成保持在适配器310中的相应闩锁连接叉313中。参见图8。闩锁组件315被可运动地支撑在适配器310上并具有形成于其中的可从第一闩锁位置(其中闩锁销338保持在其相应的闩锁连接叉313内)和未闩锁位置(其中连接叉317与连接叉313对齐以使得第二闩锁销338可插入到闩锁连接叉313中或从闩锁连接叉313移除)偏置的一对闩锁连接叉317。采用一个或多个弹簧(未示出)来将闩锁组件偏置到闩锁位置。适配器310的工具侧314上的唇缘可滑动地接收工具安装外壳(未示出)的侧向延伸突出部。
现在参见图5和11-16,工具安装部分300可操作地支撑多个驱动系统以用于生成操作特定类型端部执行器所需的各种形式的控制运动,所述端部执行器联接到细长轴组件200的远侧端部。如图5和11-13所示,工具安装部分300包括通常称为350的第一驱动系统,所述第一驱动系统能够接收来自机器人系统10的工具驱动组件110的相应“第一”旋转输出运动并将第一旋转输出运动转换为要施加到外科端部执行器的第一旋转控制运动。在例示的实施例中,第一旋转控制运动用于使细长轴组件200(和外科端部执行器1000)围绕纵向工具轴线LT-LT旋转。
在图5和11-13的实施例中,第一驱动系统350包括管齿轮段354,所述管齿轮段被形成在(或附接到)细长轴组件200的近侧闭合管段202的近侧端部208上。近侧管段202的近侧端部208通过安装在工具安装板304上的向前的支撑支架352被旋转地支撑在工具安装部分300的工具安装板304上。参见图11。管齿轮段354以与第一旋转齿轮组件360啮合接合而被支撑,所述第一旋转齿轮组件可操作地支撑在工具安装板304上。如可在图11中看出,旋转齿轮组件360包括第一旋转驱动齿轮362,当工具安装部分300联接到工具驱动组件110时,所述第一旋转驱动齿轮联接到工具安装板304的保持器侧316上的从动盘或从动元件306中的相应第一者。参见图10。旋转齿轮组件360还包括被可旋转地支撑在工具安装板304上的第一旋转从动齿轮364。第一旋转从动齿轮364与第二旋转从动齿轮366处于啮合接合状态,所述第二旋转从动齿轮继而与管齿轮段354处于啮合接合状态。将来自机器人系统10的工具驱动组件110的第一旋转输出运动施加到相应的从动元件306将由此引起旋转驱动齿轮362的旋转。旋转驱动齿轮362的旋转最终导致细长轴组件200(和外科端部执行器1000)围绕纵向工具轴线LT-LT(图5中由箭头“R”表示)旋转。应当理解,在一个方向上施加来自工具驱动组件110的旋转输出运动将引起细长轴组件200和外科端部执行器1000围绕纵向工具轴线LT-LT在第一旋转方向上旋转,并且在相对的方向上施加旋转输出运动将引起细长轴组件200和外科端部执行器1000在与第一旋转方向相反的第二旋转方向上旋转。
在图5和11-16的实施例中,工具安装部分300还包括通常称为370的第二驱动系统,所述第二驱动系统能够接收来自机器人系统10的工具驱动组件110的相应“第二”旋转输出运动并将第二旋转输出运动转换为要施加到外科端部执行器的第二旋转控制运动。第二驱动系统370包括第二旋转驱动齿轮372,当工具安装部分300联接到工具驱动组件110时,所述第二旋转驱动齿轮联接到工具安装板304的保持器侧316上的从动盘或元件306中的相应第二者。参见图10。第二驱动系统370还包括被可旋转地支撑在工具安装板304上的第一旋转从动齿轮374。第一旋转从动齿轮374与轴齿轮376处于啮合接合状态,所述轴齿轮可运动地并且不可旋转地安装到近侧驱动轴段380上。在此例示的实施例中,轴齿轮376通过一系列轴向键槽384不可旋转地安装到近侧驱动轴段380上,所述轴向键槽使得轴齿轮376能够在近侧驱动轴段380上轴向地运动,同时与其不可旋转地附连。近侧驱动轴段380的旋转导致第二旋转控制运动传输到外科端部执行器1000。
图5和11-16的实施例中的第二驱动系统370包括用于选择性地轴向移动近侧驱动轴段380的移位系统390,从而使轴齿轮376运动到与第一旋转从动齿轮374啮合接合以及与第一旋转从动齿轮374脱离啮合接合。例如,如可在图11-13中看出,近侧驱动轴段380被支撑在第二支撑支架382内,所述第二支撑支架附接到工具安装板304,使得近侧驱动轴段380可轴向地运动并相对于第二支撑支架382旋转。在至少一个形式中,移位系统390还包括被可滑动地支撑在工具安装板304上的移位器轭392。近侧驱动轴段380被支撑在移位器轭392中并在其上具有一对衬圈386,使得移位器轭392在工具安装板304的移位导致近侧驱动轴段380的轴向运动。在至少一个形式中,移位系统390还包括与移位器轭392可操作地交接的移位器螺线管394。移位器螺线管394接收来自机器人控制器12的控制功率,使得当移位器螺线管394被启动时移位器轭392沿远侧方向“DD”进行运动。
在例示的实施例中,轴弹簧396支承在轴齿轮376和第二支撑支架382之间的近侧驱动轴段380上,以使轴齿轮376沿近侧方向“PD”偏置并偏置成与第一旋转从动齿轮374啮合接合。参见图11、13和14。响应于由机器人系统10生成的旋转输出运动的第二旋转驱动齿轮372的旋转最终导致近侧驱动轴段380和与其联接的其他驱动轴部件(驱动轴组件388)围绕纵向工具轴线LT-LT进行旋转。应当理解,从工具驱动组件110沿一个方向施加的旋转输出运动将导致近侧驱动轴段380以及最终与其附接的其他驱动轴部件在第一方向上的旋转,并且沿相反方向施加的旋转输出运动将导致近侧驱动轴段380在与第一方向相反的第二方向上的旋转。当希望近侧驱动轴段380在远侧方向“DD”上移动时,如下文将更详细讨论,机器人控制器12启动移位器螺线管390以使移位器轭392在远侧方向“DD”上移动。
图17和18示出了另一个实施例,该实施例采用了图5和11-16中所示实施例的相同部件,不同的是该实施例采用了电池供电的驱动马达400以用于向近侧驱动轴段380提供旋转驱动运动。此类结构使得工具安装部分能够生成较高的旋转输出运动和扭矩,这在采用不同形式的端部执行器时可为有利的。如在那些附图中可见,马达400通过支撑结构402附接到工具安装板304,使得联接到马达400的驱动器齿轮404保持与轴齿轮376啮合接合。在图17和18的实施例中,支撑结构402能够可移除地接合形成于工具安装板304中的闩锁凹口303,所述闩锁凹口被设计成在未采用马达400时有利于外壳构件(未示出)附接到安装板304。因此,为了使用马达400,临床医生从工具安装板304移除外壳,然后将支撑结构的腿403插入到工具安装板304中的闩锁凹口303中。通过对马达400供电使得近侧驱动轴段380以及与其附接的其他驱动轴部件围绕纵向工具轴线LT-LT旋转。如图所示,马达400为电池供电的。然而,在此结构中,马达400与机器人控制器12交接,使得机器人系统10控制马达400的启动。在另选的实施例中,马达400可通过安装在马达400自身或工具安装部分300上的通断开关(未示出)来手动致动。在其他实施例中,马达400可接收来自机器人系统的电力和控制信号。
图5和11-16中所示的实施例包括通常称为410的可手动致动的反向系统,以用于在马达失效或通至机器人系统的电力失去或中断的情况下手动地将反向旋转运动施加到近侧驱动轴段380。例如,当驱动轴组件388被卡住或以其他方式被束缚以使得在仅有马达电力的情况下将阻止驱动轴部件的反向旋转时,此类可手动致动的反向系统410还可为尤其有用的。在例示的实施例中,可机械致动的反向系统410包括驱动齿轮组件412,所述驱动齿轮组件与第二旋转从动齿轮376能够选择性地接合,并可手动地致动以将反向旋转运动施加到近侧驱动轴段380。驱动齿轮组件412包括可运动地安装到工具安装板304的反向齿轮414。反向齿轮414可旋转地支承在枢轴416上,所述枢轴通过狭槽418可运动地安装到工具安装板304。参见图12。在图5和11-16的实施例中,可手动致动的反向系统410还包括可手动致动的驱动齿轮420,所述驱动齿轮包括具有形成于其上的弓形齿轮段424的主体部分422。主体部分422枢转地联接到工具安装板304,以用于围绕基本上垂直于工具安装板304的致动器轴线A-A(图11)选择性枢转行进。
图11-14示出了处于第一未致动位置的可手动致动的反向系统410。在一个示例性形式中,致动器柄部部分426形成在主体部分422上或以其他方式附接到主体部分422。致动器柄部部分426相对于工具安装板304设定尺寸,使得在柄部部分426和工具安装板304之间建立少量的过盈以将柄部部分426保持在第一未致动位置。然而,当临床医生希望手动地致动驱动齿轮组件412时,临床医生可通过对柄部部分426施加枢转运动来容易地克服过盈配合。如还可在图11-14中看出,当驱动齿轮组件412处于第一未致动位置时,弓形齿轮段424不与反向齿轮414啮合接合。当临床医生希望对近侧驱动轴段380施加反向旋转驱动运动时,临床医生开始对驱动齿轮420施加枢转齿合运动。当驱动齿轮420开始围绕致动轴线A-A枢转时,主体422的一部分接触反向齿轮414的一部分并沿远侧方向DD使反向齿轮414轴向地运动,从而使驱动轴齿轮376不与第二驱动系统370的第一旋转从动齿轮374啮合接合。参见图15。当使驱动齿轮420枢转时,弓形齿轮段424与反向齿轮414啮合接合。驱动齿轮420的持续齿合运动导致将反向旋转驱动运动施加到驱动轴齿轮376,并最终施加到近侧驱动轴段380。临床医生可继续使驱动齿轮组件412按照完全释放或撤回相关联的端部执行器部件所需的次数来多次进行齿合运动。一旦所需量的反向旋转运动已施加到近侧驱动轴段380,临床医生就使驱动齿轮420返回到初始或未致动位置,其中弓形齿轮段416不与驱动轴齿轮376啮合接合。当处于此位置时,轴弹簧396再次将轴齿轮376偏置成与第二驱动系统370的第一旋转从动齿轮374啮合接合。
在使用中,临床医生可将控制命令输入到机器人系统10的控制器或控制单元,所述机器人系统“机械地生成”输出运动,所述输出运动最终被传送到第二驱动系统370的各种部件。如本文所用,术语“机械地生成”或“机械地生成的”是指通过对机器人系统马达和其他电力驱动部件进行供电和控制所产生的运动。这些术语区别于术语“可手动致动的”或“手动地生成的”,所述术语是指由临床医生采取的导致控制运动的动作,所述控制运动独立于通过对机器人系统马达进行供电所生成的那些运动而产生。沿第一方向施加到第二驱动系统的机械地生成的控制运动导致将第一旋转驱动运动施加到驱动轴组件388。当驱动轴组件388在第一旋转方向上旋转时,击发构件1200在远侧方向“DD”上从端部执行器1000中其起始位置朝其结束位置驱动。沿第二方向施加到第二驱动系统的机械地生成的控制运动导致将第二旋转驱动运动施加到驱动轴组件388。当驱动轴组件388在第二旋转方向上旋转时,击发构件1200在近侧方向“PD”上从端部执行器1000中其结束位置朝其起始位置驱动。当临床医生希望将旋转控制运动手动地施加到驱动轴组件388时,驱动轴组件388在第二旋转方向上旋转,这导致击发构件1200在端部执行器中在近侧方向“PD”上运动。包含相同部件的其他实施例能够使得将旋转控制运动手动施加到驱动轴组件可导致驱动轴组件在第一旋转方向上旋转,这可用于辅助机械地生成的控制运动在远侧方向上驱动击发构件1200。
用于击发、闭合和旋转端部执行器的驱动轴组件可进行手动地致动和偏移,由此允许从手术部位以及腹腔释放和取出端部执行器,甚至在马达失效、机器人系统失去电力、或发生其他电力故障的情况下亦是如此。柄部部分426的致动导致致动力或控制力的手动地生成,所述致动力或控制力通过可手动致动的反向系统410的各种部件施加到驱动轴组件388’。如果柄部部分426处于其未致动状态,则其偏置成不与反向齿轮414可致动地接合。柄部部分426的开始致动将改变这种偏置。柄部426能够按照完全释放击发构件1200和端部执行器1000所需的次数来重复致动多次。
如图5和11-16所示,工具安装部分300包括第三驱动系统430,所述第三驱动系统能够接收来自机器人系统10的工具驱动组件110的相应“第三”旋转输出运动并将第三旋转输出运动转换为第三旋转控制运动。第三驱动系统430包括第三驱动滑轮432,当工具安装部分300联接到工具驱动组件110时,所述第三驱动滑轮联接到工具安装板304的保持器侧316上的从动盘或元件306中的相应第三者。参见图10。第三驱动滑轮432能够将第三旋转控制运动(响应于由机器人系统10施加到其上的相应的旋转输出运动)施加到相应的第三驱动缆线434,所述第三驱动缆线可用于将各种控制或操纵运动施加到可操作地联接到轴组件200的端部执行器。如尤其可在图11和12中看出,第三驱动缆线434围绕第三驱动心轴组件436延伸。第三驱动心轴组件436枢转地安装到工具安装板304,并且第三拉伸弹簧438附接在第三驱动心轴组件436和工具安装板304之间,以保持第三驱动缆线434中的所需拉伸量。如在附图中可见,第三驱动缆线434的缆线末端部分434A围绕附接到工具安装板304的滑轮组440的上部部分延伸,并且缆线末端部分434B围绕滑轮组440上的滑车滑轮或支架442延伸。应当理解,在一个方向上施加来自工具驱动组件110的第三旋转输出运动将导致第三驱动滑轮432在第一方向上旋转并且导致缆线末端部分434A和434B在相反的方向上运动以将控制运动施加到端部执行器1000或细长轴组件200,如下文将更详细讨论。即,当第三驱动滑轮432沿第一旋转方向旋转时,缆线末端部分434A沿远侧方向“DD”运动,并且缆线末端部分434B沿近侧方向“PD”运动。第三驱动滑轮432沿相反旋转方向的旋转导致缆线末端部分434A沿近侧方向“PD”运动并且导致缆线末端部分434B沿远侧方向“DD”运动。
图5和11-16中所示的工具安装部分300包括第四驱动系统450,所述第四驱动系统能够接收来自机器人系统10的工具驱动组件110的相应“第四”旋转输出运动并将第四旋转输出运动转换为第四旋转控制运动。第四驱动系统450包括第四驱动滑轮452,当工具安装部分300联接到工具驱动组件110时,所述第四驱动滑轮联接到工具安装板304的保持器侧316上的从动盘或元件306中的相应第四者。参见图10。第四驱动滑轮452能够将第四旋转控制运动(响应于由机器人系统10施加到其上的相应的旋转输出运动)施加到相应的第四驱动缆线454,所述第四驱动缆线可用于将各种控制或操纵运动施加到可操作地联接到轴组件200的端部执行器。如尤其可在图11和12中看出,第四驱动缆线454围绕第四驱动心轴组件456延伸。第四驱动心轴组件456枢转地安装到工具安装板304,并且第四拉伸弹簧458附接在第四驱动心轴组件456和工具安装板304之间,以保持第四驱动缆线454中的所需拉伸量。第四驱动缆线454的缆线末端部分454A围绕附接到工具安装板304的滑轮组440的底部部分延伸,并且缆线末端部分454B围绕滑轮组440上的滑车滑轮或第四支架462延伸。应当理解,从工具驱动组件110沿一个方向施加的旋转输出运动将导致第四驱动滑轮452沿第一方向旋转,并且导致缆线末端部分454A和454B沿相反方向运动,以将控制运动施加到端部执行器或细长轴组件200,如将在下文更详细地描述。即,当第四驱动滑轮434沿第一旋转方向旋转时,缆线末端部分454A沿远侧方向“DD”运动,并且缆线末端部分454B沿近侧方向“PD”运动。第四驱动滑轮452沿相反旋转方向的旋转导致缆线末端部分454A沿近侧方向“PD”运动并且导致缆线末端部分454B沿远侧方向“DD”运动。
如图5所示的外科工具100包括关节运动接头700。在此类实施例中,第三驱动系统430还可称为“第一关节运动驱动系统”并且第四驱动系统450在本文中可称为“第二关节运动驱动系统”。同样,第三驱动缆线434可称为“第一近侧关节运动缆线”并且第四驱动缆线454在本文中可称为“第二近侧关节运动缆线”。
图5和11-16中所示的实施例的工具安装部分300包括通常称为470的第五驱动系统,其能够使驱动杆组件490轴向地位移。驱动杆组件490包括近侧驱动杆段492,所述近侧驱动杆段延伸穿过近侧驱动轴段380和驱动轴组件388。参见图13。第五驱动系统470包括滑动地支撑在工具安装板304上的可运动驱动轭472。近侧驱动杆段492被支撑在驱动轭372中并在其上具有一对保持器球394,使得驱动轭372在工具安装板304上的偏移导致近侧驱动杆段492的轴向运动。在至少一个示例性形式中,第五驱动系统370还包括与驱动轭472可操作地交接的驱动螺线管474。驱动螺线管474接收来自机器人控制器12的控制功率。驱动螺线管474沿第一方向的致动将导致驱动杆组件490沿远侧方向“DD”运动,并且驱动螺线管474沿第二方向的致动将导致驱动杆组件490沿近侧方向“PD”运动。如在图5中可见,端部执行器1000包括砧座部分,所述砧座部分可在将轴向闭合运动施加到闭合系统时在打开位置和闭合位置之间运动。在图5和11-16的例示的实施例中,采用第五驱动系统470来生成此类闭合运动。因此,第五驱动系统470还可称为“闭合驱动器”。
图5中所示的实施例包括外科端部执行器1000,所述外科端部执行器通过细长轴组件200附接到工具安装部分300。在该例示的实施例中,细长轴组件包括呈快速断开结构或接头210形式的联接结构,这有助于将轴组件200的远侧部分230快速附接到轴组件200的近侧轴部分201。快速断开接头210起到有助于快速附接和分离多个传动系部件的作用,所述多个传动系部件用于将来自驱动运动源的控制运动提供给可操作地联接到其上的端部执行器。例如,在图5和19所示的实施例中,快速断开接头210用于将端部执行器1000的远侧轴部分230联接到近侧轴部分201。
现在参见图19-23,联接结构或快速断开接头210包括近侧联接器构件212和远侧联接器构件232,所述近侧联接器构件能够可操作地支撑近侧传动系组件,所述远侧联接器构件能够可操作地支撑至少一个并且优选地多个远侧传动系组件。在图5和19的实施例中,第三驱动系统430(即,第一关节运动驱动系统)和第四驱动系统450(即,第二关节运动驱动系统)用于将关节运动动作施加到关节运动接头700。例如,第三驱动系统430用于将控制运动施加到具有缆线末端部分434A、434B的第一近侧关节运动缆线434以使端部执行器1000在第一锁定环和第二锁定环关节运动方向上围绕关节运动接头700进行关节运动。同样,第四驱动系统450用于将控制运动施加到具有缆线末端部分454A、454B的第二近侧关节运动缆线454以使端部执行器1000在第三和第四关节运动方向上进行关节运动。
参见图20,近侧联接器构件212在其中具有第一对沿直径相对的第一狭槽214和第二对沿直径相对的第二狭槽218(图20中仅可看到一个狭槽218)。第一近侧关节运动结构或连接件222被支撑在相对的第一狭槽214的每一个中。第二近侧关节运动结构或连接件226被支撑在第二狭槽218的每一个中。缆线末端部分434A延伸穿过近侧关节运动连接件222中的一者中的狭槽并附接到其上。同样,缆线末端部分434B延伸穿过另一近侧关节运动连接件222中的狭槽并附接到其上。缆线末端部分434A及其相应的近侧关节运动结构或连接件222以及缆线末端部分434B及其相应的近侧关节运动结构或连接件222统称为“第一近侧关节运动传动系组件”217。缆线末端部分454A延伸穿过近侧关节运动连接件226中的一者中的狭槽并附接到其上。缆线末端部分454B延伸穿过另一近侧关节运动连接件226中的狭槽并附接到其上。缆线末端部分454A及其相应的近侧关节运动结构或连接件226以及缆线末端部分454B及其相应的近侧关节运动结构或连接件226统称为“第二近侧关节运动传动系组件”221。
如可在图21中看出,远侧轴部分230包括支撑远侧联接器构件232的远侧外管部分231。远侧联接器构件232在其中具有第一对沿直径相对的第一狭槽234和第二对沿直径相对的第二狭槽238。参见图20。第一对远侧关节运动结构或连接件242被支撑在相对的第一狭槽234中。第二对远侧关节运动结构或连接件246被支撑在第二对狭槽238中。第一远侧缆线段444延伸穿过第一狭槽234中的一者和远侧关节运动连接件242中的一者中的狭槽以附接到其上。主要远侧缆线段445延伸穿过第一狭槽234中的另一者并且穿过另一远侧关节运动连接件242中的狭槽并附接到其上。第一远侧缆线段444及其相应的远侧关节运动连接件242以及主要远侧缆线段445及其相应的远侧关节运动连接件242统称为“第一远侧关节运动传动系组件”237。第二远侧缆线段446延伸穿过第二狭槽238中的一者和远侧关节运动连接件246中的一者中的狭槽并附接到其上。次要远侧缆线段447延伸穿过另一第二狭槽238并且穿过另一远侧关节运动连接件246中的狭槽以附接到其上。第二远侧缆线段446及其相应的远侧关节运动连接件246以及次要远侧缆线段447及其相应的远侧关节运动连接件246统称为“第二远侧关节运动传动系组件”241。
近侧关节运动连接件222中的每一个具有形成于其弹簧臂部分223上的齿状端部224。每个近侧关节运动连接件226具有形成于弹簧臂部分227上的齿状端部227’。每个远侧关节运动连接件242具有齿状端部243,所述齿状端部能够与近侧关节运动连接件222的相应一者的齿状端部224啮合地联接。每个远侧关节运动连接件246具有齿状端部247,所述齿状端部能够与相应近侧关节运动连接件226的齿状端部228啮合地联接。当近侧关节运动结构或连接件222、226分别与远侧关节运动连接件242、246啮合地连接时,第一和第二近侧关节运动传动系组件217和221分别可操作地联接到第一和第二远侧关节运动传动系组件237和241。因此,第三和第四驱动系统430、450的致动将致动运动施加到远侧缆线段444、445、446、447,如下文将更详细讨论。
在图19-23的实施例中,近侧外管段202的远侧端部250在其中具有一系列朝远侧延伸到狭槽254中的弹簧指252,所述狭槽能够在其中接收相应的弹簧臂部分223、227。参见图21(弹簧臂部分227未示于图21中但可见于图20中)。每个弹簧指252在其中具有棘爪256,当近侧关节运动连接件222、226处于中间位置(图23)时,所述棘爪适于接合形成于近侧关节运动连接件222、226中的相应凹坑258。当临床医生希望移除端部执行器1000或将端部执行器1000附接到近侧轴部分201时,第三和第四驱动系统430、450停靠在其中间未致动位置。
快速断开接头210的近侧联接器构件212和远侧联接器构件232可操作地支撑驱动构件联接组件500的相应部分,以便将近侧驱动杆段492可释放地联接到远侧驱动杆段520。近侧驱动杆段492包括近侧轴向传动系组件496,并且远侧驱动杆段520包括远侧轴向传动系组件528。驱动构件联接组件500包括驱动杆联接器或结构502,所述驱动杆联接器或结构包括接收结构或第一磁体504,例如稀土磁体等,其附接到远侧驱动杆段520的远侧端部493。第一磁体504具有形成于其中的接收腔506以用于接收第二结构或远侧磁体510。如可在图21中看出,远侧磁体510附接到渐缩安装构件512,所述渐缩安装构件附接到远侧驱动杆520的近侧端部522。
快速断开接头210的近侧联接器构件212和远侧联接器构件232可操作地支撑驱动构件联接组件500的其他相应部分,以便将近侧驱动轴段380与远侧驱动轴段540可释放地联接。至少一个示例性形式的近侧驱动轴段380包括近侧旋转传动系组件387,并且远侧驱动轴段540包括远侧旋转传动系组件548。当近侧旋转传动系组件387可操作地联接到远侧旋转传动系组件548时,驱动轴组件388被形成为将旋转控制运动传输到端部执行器1000。在例示的示例性实施例中,远侧驱动轴段540的近侧端部542具有形成于其上的多个(例如四个–图21中仅两个可见)结构或夹板指544。每个夹板指544具有形成于其上的附接夹板546,所述附接夹板的尺寸设定成被接收在近侧驱动轴段380的远侧端部部分381中的相应锁定结构或孔或狭槽383中。指544延伸穿过轴颈连接在远侧驱动轴段540的近侧端部542上的加强环545。
在图19-23中所示的实施例中,驱动构件联接组件500还包括解锁管514,以用于有助于在临床医生将端部执行器1000从外科工具100的近侧轴部分201分离时使第一和第二磁体504、510脱离。解锁管514延伸穿过近侧驱动轴段380并且其近侧端部517突出到近侧驱动轴段380的近侧端部385之外,如图19中所示。解锁管514相对于近侧驱动轴段380设定尺寸,以便在将解锁运动“UL”施加到其近侧端部517时可在其中轴向运动。柄部(未示出)附接到解锁管的近侧端部517,以有利于将解锁运动“UL”手动施加到解锁管514或者有利于解锁运动“UL”。在其他方面与图19-23的实施例相同的其他实施例采用附接到工具安装板304并且由机器人控制器12来供能的解锁螺线管(未示出),或者采用附接到工具安装板的独立电池来施加解锁运动。
在例示的示例性实施例中,联接结构或快速断开接头210还包括外锁定衬圈260,所述外锁定衬圈滑动地轴颈连接在近侧外管部分202的远侧端部204上。外锁定衬圈260具有四个向内延伸的棘爪262,所述棘爪延伸到近侧外管部分202中的狭槽254的相应的一者中。通过参考图21-23,可理解快速断开接头210的使用。图21示出在联接在一起之前近侧轴部分201和远侧轴部分230的状况。如可在该图中看出,近侧关节运动连接件224、226的弹簧臂部分223、227分别自然径向地向外弹出。锁定衬圈260运动到其在近侧外管202上的最近侧位置,其中棘爪262在其中处于狭槽254的近侧端部。当临床医生希望将端部执行器1000附接到外科工具100的近侧轴部分201时,临床医生使远侧轴部分230与近侧轴部分201轴向对齐并联接接合,如图22中所示。如可在该图中看出,远侧磁体510安置在驱动杆联接器502的腔506内并且磁性附接到近侧磁体504,从而将远侧驱动杆段520联接到近侧驱动杆段492。因此此类动作将远侧轴向传动系组件528可操作地联接到近侧轴向传动系组件496。此外,当轴部分201、230连接在一起时,夹板指544向内挠曲直到形成于其上的夹板546进入近侧驱动轴段380的远侧端部部分381中的锁定开口383。当夹板546安置在其相应的锁定孔383内时,远侧驱动轴段540联接到近侧驱动轴段380。因此,此类动作从而将远侧旋转传动系组件548可操作地联接到近侧旋转传动系组件387。同样地,当使远侧联接器构件232和近侧联接器构件212以上述方式轴向对齐和接合,并且锁定衬圈260运动到其在近侧外管202上的最近侧位置时,远侧传动系组件可操作地联接到近侧传动系组件。
当临床医生希望将端部执行器1000从外科工具100的近侧轴部分201分离时,临床医生使第三和第四驱动系统430、450返回到其中间位置中。临床医生随后可使锁定衬圈260在近侧外管段202上朝近侧滑动到图22中所示的起始位置中。当处于该位置中时,近侧关节运动连接件222、226的弹簧臂部分使其齿状部分脱离远侧关节运动连接件242、246的齿状部分。临床医生可随后将解锁运动UL施加到解锁管514的近侧端部517,以使解锁管514和附接到其的解锁衬圈516沿远侧方向“DD”运动。当解锁衬圈516朝远侧运动时,其将夹板指544偏置成不与近侧驱动轴段380的远侧端部部分381中的相应孔383接合并且接触渐缩安装部分512,以将远侧磁体510推动成不与近侧磁体504磁性接合。
图22A、23A和23B示出了另选的联接结构或快速断开接头组件210”,所述快速断开接头组件类似于上述快速断开接头210,不同的是采用电磁体504’来将远侧驱动杆段520联接到近侧驱动杆段492’。如可在这些图中看出,近侧驱动杆段492’是中空的以容纳导体505,所述导体从机器人系统10中的电力源延伸。导体505缠绕在一块铁508上。当临床医生使远侧轴部分230与近侧轴部分201接合时,如图22A所示,电流可在第一方向上通过导体505,以使磁体504’吸引磁体510与之联接接合,如图23A中所示。当临床医生希望将端部执行器1000从外科工具100的近侧轴部分201分离时,临床医生使第三和第四驱动系统430、450返回到其中间位置中。临床医生随后可使锁定衬圈260在近侧外管段202上朝近侧滑动到图22A中所示的起始位置中。当处于该位置中时,近侧关节运动连接件222、226的弹簧臂部分使其齿状部分脱离远侧关节运动连接件242、246的齿状部分。临床医生可随后将解锁运动UL施加到解锁管514的近侧端部517,以使解锁管514和附接到其的解锁衬圈516沿远侧方向“DD”运动。此外,电流可沿相反方向流过导体505,以导致电磁体504’排斥磁体510从而有助于分离轴段。当临床医生朝远侧运动解锁管时,解锁衬圈516将夹板指544偏置成与近侧驱动轴段380的远侧端部部分381中的相应孔383脱离接合,并接触渐缩安装部分512以进一步分离轴段。
上述联接结构或快速分离接头组件可提供多个优点。例如,此类结构可采用单个释放/接合运动,而不会处于半接合状态。此类接合运动可用于同时可操作地联接若干传动系组件,其中至少一些传动系组件提供不同于由其他传动系组件提供的控制运动的控制运动。例如,一些传动系可提供旋转控制运动并且可纵向地移动以提供轴向控制运动,并且一些传动系只可提供旋转或轴向控制运动。其他传动系组件可提供推/拉运动以用于操作各种端部执行器系统/部件。该独特而新颖的锁定衬圈布置确保远侧传动系组件锁定到其相应的近侧传动系组件或它们被解锁并可从其分离。当锁定在一起时,所有传动系组件均被锁定衬圈径向地支撑,从而阻止任何解联接。
图5和11-16所示的外科工具100包括与第三和第四驱动系统430、450配合的关节运动接头700,所述第三和第四驱动系统分别用于使端部执行器1000围绕纵向工具轴线“LT”进行关节运动。关节运动接头700包括近侧承窝管702,所述近侧承窝管附接到远侧外管部分231的远侧端部233并在其中限定近侧球承窝704。参见图25。近侧球构件706可运动地安置在近侧球承窝704内。如可在图25中看出,近侧球构件706具有中心驱动通道708,所述中心驱动通道使远侧驱动轴段540能够延伸穿过其中。此外,近侧球构件706在其中具有四个关节运动通道710,所述关节运动通道有利于远侧缆线段444、445、446、447通过其中。如可在图25中进一步看出,关节运动接头700还包括中间关节运动管段712,所述中间关节运动管段具有形成于其中的中间球承窝714。中间球承窝714能够在其中可运动地支撑形成于端部执行器连接器管720上的端部执行器球722。远侧缆线段444、445、446、447延伸穿过形成于端部执行器球722中的缆线通道724,并通过被接收在端部执行器球722的相应通道728内的耳状物726附接到其上。可采用其他附接构造以用于将远侧缆线段444、445、446、447附接到端部执行器球722。
通常称为740的独特而新颖的旋转支撑接头组件示于图26和27中。所示旋转支撑接头组件740包括呈基本上圆柱形的端部执行器驱动外壳1010的连接器部分1012。第一环形座圈1014形成于圆柱形连接器部分1012的周边。旋转支撑接头组件740还包括形成于端部执行器连接器管720中的远侧承窝部分730,如图26和27所示。远侧承窝部分730相对于圆柱形连接器部分1012设定尺寸,使得连接器部分1012可在承窝部分730内自由旋转。第二环形座圈732形成于远侧承窝部分730的内壁731中。穿过远侧承窝730提供窗口733,所述窗口与其中的第二环形座圈732连通。如还可在图26和27中看出,旋转支撑接头组件740还包括环状轴承734。在各种示例性实施例中,环状轴承734包括塑性可变形、基本上圆形的环,所述环在其中具有切口735。切口在环状轴承734中形成自由端736、737。如可在图26中看出,环状轴承734具有处于其自然非偏置状态的基本上环形的形状。
为了将外科端部执行器1000(例如,外科器械的第一部分)联接到关节运动接头700(例如,外科器械的第二部分),将圆柱形连接器位置1012插入远侧承窝部分730中以使第二环形座圈732与第一环形座圈1014基本上对准。然后将环状轴承的自由端736、737中的一者穿过端部执行器连接器管720的远侧承窝部分730中的窗口733插入对准的环形座圈1014、732中。为了有利于容易插入,窗口或开口733具有形成于其上的渐缩表面738。参见图26。环状轴承734基本上旋转到适当位置,并且由于其趋于形成圆形或环形,其往往在安装后不趋于穿过窗口733退出。一旦环状轴承734已插入对准的环形座圈1014、732中,端部执行器连接器管720就将可旋转地附连至端部执行器驱动外壳1010的连接器部分1012。此类结构使端部执行器驱动外壳1010能够相对于端部执行器连接器管720围绕纵向工具轴线LT-LT旋转。环状轴承734变成端部执行器驱动外壳1010随后在其上旋转的轴承表面。任何侧面加载均试图使环状轴承734变形,所述环状轴承被两个联锁座圈1014、732支撑和约束,从而阻止损坏环状轴承734。应当理解,此类采用环状轴承734的简单而有效的接头组件在可旋转部分1010、730之间形成高度光滑的接口。如果在组装期间允许自由端736、737中的一个突出穿过窗口733之外(参见例如图27),则可通过将环状轴承构件732通过窗口733取出来拆卸旋转支撑接头组件740。旋转支撑接头组件740允许轻松的组装和制造,同时还提供良好的端部执行器支撑,而且有利于对其旋转操纵。
关节运动接头700有利于端部执行器1000围绕纵向工具轴线LT进行关节运动。例如,当希望如图5所示那样使端部执行器1000在第一方向“FD”上进行关节运动,机器人系统10可对第三驱动系统430供电,使得第三驱动心轴组件436(图11-13)在第一方向上旋转,从而使近侧缆线末端部分434A并最终使远侧缆线段444在近侧方向“PD”上牵拉,并释放近侧缆线末端部分434B和远侧缆线段445,从而使端部执行器球722在承窝714内旋转。同样,为了使端部执行器1000在与第一方向FD相反的第二方向“SD”上进行关节运动,机器人系统10可对第三驱动系统430供电,使得第三驱动心轴组件436在第二方向上旋转,从而使近侧缆线末端部分434B并最终使远侧缆线段445在近侧方向“PD”上拉动,并释放近侧缆线末端部分434A和远侧缆线段444,从而使端部执行器球722在承窝714内旋转。当希望使端部执行器1000在如图5所示的第三方向“TD”上进行关节运动时,机器人系统10可对第四驱动系统450供电,使得第四驱动心轴组件456在第三方向上旋转,从而使近侧缆线末端部分454A并最终使远侧缆线段446在近侧方向“PD”上拉动,并释放近侧缆线末端部分454B和远侧缆线段447,从而使端部执行器球722在承窝714内旋转。同样,为了使端部执行器1000在与第三方向TD相反的第四方向“FTH”上进行关节运动,机器人系统10可对第四驱动系统450供电,使得第四驱动心轴组件456在第四方向上旋转,从而使近侧缆线末端部分454B并最终使远侧缆线段447在近侧方向“PD”上拉动,并释放近侧缆线末端部分454A和远侧缆线段446,从而使端部执行器球722在承窝714内旋转。
图5和11-16中所示的端部执行器实施例采用旋转和纵向运动,所述旋转和纵向运动从工具安装部分300传输通过细长轴组件以用于致动。用于将此类旋转和纵向运动(例如,扭转、拉伸、和压缩运动)传输到端部执行器的驱动轴组件为相对柔韧的,以有利于端部执行器围绕关节运动接头进行关节运动。图28和29示出了另选的驱动轴组件600,其可结合图5和11-16中所示的实施例或其他实施例一起使用。在采用快速断开接头210的图5中所示实施例中,近侧驱动轴段380包括驱动轴组件600的一段,并且远侧驱动轴段540相似地包括驱动轴组件600的另一段。驱动轴组件600包括驱动管602,所述驱动管具有在其中切割出的一系列环形接头段604。在该例示的实施例中,驱动管602包括近侧驱动轴段380的远侧部分。
驱动管602包括具有形成于其中的一系列环形接头段604的中空金属管(不锈钢、钛等)。环形接头段604包括多个松散联锁的燕尾形状606,其例如由激光在驱动管602中切割出,并用于促进邻接接头段604之间的柔性运动。参见图29。管材的此类激光切割生成可用于压缩、拉伸和扭转的柔性中空驱动管。此类结构采用通过“拼图”构型与相邻部分联锁的全直径切口。这些切口随后沿中空驱动管的长度按照阵列来进行复制,并且有时为“时控的”或旋转的以改变拉伸或扭转性能。
图30-34示出了另选的示例性微环形接头段604’,其包括多个激光切口形状606’,所述形状大致类似于松散联锁的、相对的“T”形状以及其中具有凹口部分的T形状。环形接头段604、604’基本上包括多个微关节运动扭转接头。即,每个接头段604、604’可传输扭矩,同时有利于每个环形接头段之间的相对关节运动。如图30和31中所示,驱动管602的远侧端部603上的接头段604D’具有远侧安装衬圈部608D,所述远侧安装衬圈部有利于附接到快速断开接头的多个部分或用于致动端部执行器的其他驱动部件等,并且驱动管602的近侧端部605上的接头段604P’具有近侧安装衬圈部608P’,所述近侧安装衬圈部有利于附接到其他近侧驱动部件或快速断开接头的多个部分。
每个特定驱动轴组件600的接头到接头运动范围可通过增加激光切口中的间距而增加。例如,为了确保接头段604’保持联接在一起而不显著削弱驱动管在所需运动范围内进行关节运动的能力,采用了辅助约束构件610。在图32和33中所示的实施例中,辅助约束构件610包括弹簧612或其他螺旋缠绕构件。在各种示例性实施例中,弹簧612的远侧端部614对应于远侧安装衬圈部608D并且比弹簧612的中心部分616更紧密地缠绕。相似地,弹簧612的近侧端部618比弹簧612的中心部分616更紧密地缠绕。在其他实施例中,约束构件610以所需节距安装在驱动管602上,使得约束构件还充当例如柔性驱动螺纹,以用于通过螺纹接合端部执行器和/或控制系统上的其他螺纹控制部件。还应理解,约束构件可被安装成具有可变节距,以在驱动轴组件旋转时实现所需旋转控制运动的传输。例如,约束构件的可变节距布置方式可用于增强打开/闭合和击发运动,所述打开/闭合和击发运动将受益于来自相同旋转运动的不同线性行程。在其他实施例中,例如,驱动轴组件包括位于中空柔性驱动轴上的可变节距螺纹,所述中空柔性驱动轴可围绕90度弯曲进行推动和牵拉。在其他实施例中,辅助约束构件包括围绕驱动管602外部或周边施加的弹性体管或涂层611,如图34A中所示。在另一个实施例中,例如,弹性体管或涂层611’安装在形成于驱动管602内的中空通道613中,如图34B中所示。
此类驱动轴布置包括复合扭转驱动轴,所述复合变形驱动轴允许优异的负载传输,同时有利于所需的轴向关节运动范围。参见例如图34和34A-B。即,这些复合驱动轴组件允许大的运动范围,同时保持将扭转在两个方向上传输的能力以及有利于拉伸和压缩控制运动传输穿过其中。此外,此类驱动轴布置的中空特性有利于其他控制部件从中穿过,同时提供改进的拉伸负载。例如,一些其他实施例包括延伸穿过驱动轴组件的柔性内部缆线,所述柔性内部缆线可有助于接头段的对准,同时有利于通过驱动轴组件来施加拉伸运动的能力。此外,此类驱动轴布置相对易于制造和组装。
图35-38示出驱动轴组件600’的段620。该实施例包括接头段622、624,所述接头段从管材材料(例如,不锈钢、钛、聚合物等)被激光切割出。接头段622、624保持松散地附接在一起,因为切口626是径向的并且在一定程度上渐缩。例如,耳状物部分628中的每一个具有渐缩外周边部分629,其被接收在具有渐缩内壁部分的承窝630内。参见例如图36和38。因此,不需要将接头段622、624附接在一起的组件。如可在图中看出,接头段622具有在其每个端部切割出的相对的枢转耳状物部分628,所述枢转耳状物部分枢转地接收在形成于相邻接头段624中的相应承窝630中。
图35-38示出驱动轴组件600’的小段。本领域的普通技术人员应当理解,可贯穿驱动轴组件的整个长度来切割耳状物/承窝。即,接头段624可具有在其中切割出的相对的承窝630以有利于与邻接接头段622的连接而使驱动轴组件600’的长度完整。此外,接头段624具有在其中切割出的成角度的末端部分632以有利于接头段624相对于接头段622进行关节运动,如图37和38中所示。在例示的实施例中,每个耳状物628具有关节运动停止部分634,其适于接触形成于接头段622中的相应关节运动停止部636。参见图37和图38。可在其他方面与段620相同的其他实施例未提供有关节运动停止部分634和停止部636。
如上所述,可通过增加激光切口的间距来增加每个特定驱动轴组件的接头-接头运动范围。在此类实施例中,为了确保接头段622、624保持联接在一起而不显著削弱驱动管在所需运动范围内进行关节运动的能力,采用了呈弹性体套管或涂层640形式的辅助约束构件。其他实施例采用本文所述的其他形式的约束构件以及它们的等同结构。如可在图35中看出,接头段622、624能够围绕由枢转耳状物628和相应承窝630限定的枢转轴线“PA-PA”枢转。为了获得扩大的关节运动范围,驱动轴组件600’可围绕工具轴线TL-TL旋转,同时围绕枢转轴线PA-PA枢转。
图39-44示出了另一个驱动轴组件600”的段640。驱动轴组件600”包括多段驱动系统,所述多段驱动系统包括形成柔性中空驱动管602”的多个互连的接头段642。接头段642包括球式连接器部分644和承窝部分648。每个接头段642可通过例如金属注塑成型“MIM”制成,并且可由17-4、17-7、420不锈钢制成。其他实施例可由300或400系列不锈钢、6065或7071铝或钛加工而成。其他实施例可由例如塑料填充或未填充的尼龙、聚酰亚胺、ABS、聚碳酸酯或聚乙烯模塑而成。如可在图中看出,球式连接器644为六边形形状。即,球式连接器644具有形成于其上的六个弓形表面646并且适于可旋转地接收在类似形状的承窝650中。每个承窝650具有由六个平坦表面654形成的六边形形状的外部部分652和径向形状的内部部分656。参见图42。每个接头段642在构造上是相同的,不同的是形成驱动轴组件600的远侧和近侧端部的最终接头段的承窝部分能够与相应控制部件可操作地配合。每个球式连接器644在其中具有中空通道645,其配合以形成穿过中空柔性驱动管602”的中空通道603。
如可在图43和44中看出,互连的接头段642容纳在约束构件660内,所述约束构件包括由例如柔性聚合物材料制成的管或套管。图45示出延伸穿过互连的接头段642的柔性内芯构件662。内芯构件662包括由聚合物材料制成的实心构件或由柔性聚合物材料制成的中空管或套管。图46示出了另一个实施例,其中约束构件660和内芯构件662两者均被采用。
驱动轴组件600”有利于通过可变半径关节运动接头传输旋转和平移运动。驱动轴组件600”的中空性质为附加控制部件或拉伸元件(例如,柔性缆线)提供空间以有利于拉伸和压缩负载传输。然而,在其他实施例中,接头段624不提供穿过驱动轴组件的中空通道。在此类实施例中,例如,球式连接器部分为实心的。经由六边形表面的边缘来平移旋转运动。较严格的容差可允许更大的负载容量。利用穿过驱动轴组件600”的中心线的缆线或其他拉伸元件,整个驱动轴组件600”可被旋转成弯曲,推动和牵拉而不限制运动范围。例如,驱动轴组件600”可形成弓形驱动路径、直线驱动路径、螺线型驱动路径等。
图5和47-54示出了一个外科端部执行器1000,其可有效地与机器人系统10一起使用。端部执行器1000包括直线切割器1002,所述直线切割器具有第一钳口1004以及可相对于第一钳口1004选择性地运动的第二钳口1006。在图5和47-54中所示的实施例中,第一钳口1004包括呈细长通道1020形式的支撑构件1019,其能够在其中可操作地支撑钉仓1030。第二钳口1006包括砧座组件1100。如可在图47、49、53和55中看出,砧座组件1100包括在其上具有钉成形表面1104的砧座主体1102。砧座主体1102具有通道1106,所述通道适于与细长通道1020中的安装孔1022对准。枢轴销或耳轴销(未示出)穿过孔1022和通道1104插入,以将砧座1100枢转地联接到细长通道1020。此类结构允许砧座组件1100围绕基本上横向于纵向工具轴线“LT-LT”(图48)的闭合轴线“CA-CA”在打开位置与闭合位置之间选择性地枢转,在打开位置中,钉成形表面1104远离钉仓1040的仓平台1044间隔开(图47-50),在闭合位置(图51-54)中,砧座主体1102上的钉成形表面1104相对于仓平台1042成面对关系。
图5和47-54的实施例采用闭合组件1110,所述闭合组件能够接收来自第五驱动系统470的打开运动和闭合运动。第五驱动系统470用于轴向地推进和回缩驱动杆组件490。如上所述,驱动杆组件490包括近侧驱动杆段492,所述近侧驱动杆段与驱动螺线管474可操作地交接以从其接收轴向控制运动。近侧驱动杆段492通过驱动杆联接器502联接到远侧驱动杆段520。远侧驱动杆段520在一定程度上是柔性的,以有利于端部执行器1000围绕关节运动接头700进行关节运动,还有利于闭合运动和打开运动穿过其中轴向传输。例如,远侧驱动杆段520可包括缆线或钛、不锈弹簧钢或镍钛诺的层合结构。
闭合组件1110包括枢转地附接到细长通道1020的闭合连杆1112。如可在图48、51和52中看出,闭合连杆1112在其中具有开口1114,远侧驱动杆段520的远侧端部524延伸穿过所述开口。球526或其他结构附接到远侧驱动杆段520,从而将远侧驱动杆段520的远侧端部524附接到闭合连杆1112。闭合组件1110还包括一对凸轮盘1120,该对凸轮盘可旋转地安装在细长通道1020的侧面上。一个凸轮盘1120被可旋转地支撑在细长通道1020的一个侧面上并且另一个凸轮盘1120被可旋转地支撑到细长通道1020的另一个侧面。参见图60。一对枢转连接件1122附接在每个凸轮盘1120与闭合连杆1112之间。因此,通过驱动杆组件490使闭合连杆1112枢转行进将导致凸轮盘1120旋转。每个凸轮盘1120还具有从其突起的致动器销1124,所述致动器销可滑动地接收在砧座主体1102的相应凸轮狭槽1108中。
现在将描述第二钳口1006或砧座组件1100的致动。图47-50示出了处于打开位置的砧座组件1100。在端部执行器1000已相对于待切割和缝合的组织进行定位之后,机器人控制器12可沿第一或远侧方向“DD”启动驱动螺线管474,这最终导致驱动轭472的远侧运动,从而导致驱动杆组件490沿远侧方向“DD”运动。驱动杆组件490的此类运动导致远侧驱动杆段520的远侧运动,由此导致闭合连杆1112从打开位置枢转到闭合位置(图51-54)。闭合连杆1112的此类运动引起凸轮盘1120在“CCW”方向上旋转。当凸轮盘在“CCW”方向上旋转时,致动器销1124与其各自的凸轮狭槽1108之间的相互作用引起砧座组件1100枢转闭合在靶组织上。为了释放靶组织,启动驱动螺线管474以在近侧方向“PD”上牵拉驱动杆组件490,这导致闭合连杆1112反向枢转行进到打开位置,从而最终引起砧座组件1100枢转回到打开位置。
图55-59示出了用于将打开运动和闭合运动施加到砧座1100的另一个闭合系统670。如可在图56中看出,例如,闭合系统670包括第一安装块或构件672,其可旋转地支撑第一闭合杆段680。第一闭合杆段680具有基本上半圆形的剖面形状。第一闭合杆段680的近侧端部682在其上具有第一球式连接器684,所述第一球式连接器被可旋转地支撑在形成于安装块672中的第一安装承窝673内。为了有利于通过关节运动接头700使端部执行器1000进行关节运动,第一闭合杆段680还具有与关节运动接头700重合的第一齿状部分686,如图58和59中所示。闭合系统670还包括第二安装块或构件674,其可旋转地支撑第二闭合杆段690。第二闭合杆段690具有基本上半圆形的剖面形状。第二闭合杆段690的近侧端部692在其上具有第二球式连接器694,所述第二球式连接器被可旋转地支撑在形成于第二安装块674中的第二安装承窝675内。为了有利于通过关节运动接头700使端部执行器1000进行关节运动,第二闭合杆段690还具有与关节运动接头700重合的第二齿状部分696,如图58和59中所示。
如还可在图56中看出,闭合系统670还具有第一枢转连接件676,所述第一枢转连接件附接到第一闭合杆段680的远侧端部682。第一枢转连接件676具有形成于其上的第一枢转耳状物677,所述第一枢转耳状物能够被可旋转地支撑在形成于第一闭合杆段680的远侧端部682中的第一承窝683内。此类结构允许第一枢转连接件676相对于第一闭合杆段680旋转。同样,第二枢转连接件678附接到第二闭合杆段690的远侧端部691,使得第二枢转连接件可相对于其旋转。第二枢转连接件678具有形成于其上的第二枢转耳状物1679,所述第二枢转耳状物能够延伸穿过第一枢转耳状物677中的开口以被可旋转地支撑在第二闭合杆段690的远侧端部1691中的第二承窝692内。此外,如可在图56中看出,第一和第二枢转连接件676、678彼此通过第二枢转连接件678上的键716可运动地键接,所述键被可滑动地接收在第一枢转连接件676中的狭槽717内。在至少一个实施例中,第一枢转连接件676通过第一连杆臂687附接到凸轮盘1120中的每一个,并且第二枢转连接件678通过第二连杆臂688附接到凸轮盘1120中的每一个。
在例示的实施例中,闭合系统670通过驱动螺线管474来致动。驱动螺线管474能够与第一和第二安装块672、674中的一个可操作地交接以向其施加轴向闭合运动和打开运动。如可在图56-59中看出,此类驱动结构还可包括第一枢转连接件与齿轮组件695,其通过延伸到第一枢转连接件与齿轮组件695中的狭槽696中的销685可运动地附接到第一安装块672。相似地,第二枢转连接件与齿轮组件697通过延伸到第二枢转连接件与齿轮组件697中的狭槽698中的销685可运动地附接到第二安装块674。第一枢转连接件与齿轮组件695具有可旋转地安装到其上的第一锥齿轮699A,并且第二枢转连接件与齿轮组件697具有可旋转地附接到其上的第二锥齿轮699B。第一和第二锥齿轮699A、699B被安装成与可旋转地安装在工具安装板302上的惰轮齿轮689啮合接合。参见图59A。因此,当第一安装台672沿远侧方向“DD”进行推进,由此还导致第一闭合杆段680和第一枢转联接件676沿远侧方向DD运动时,锥齿轮689、699A、699B将导致第二闭合杆690和第二枢转联接件678沿近侧方向“PD”运动。同样,当第一安装台672沿近侧方向“PD”进行推进,由此还导致第一闭合杆段680和第一枢转联接件676沿近侧方向PD运动时,锥齿轮689、699A、699B将导致第二闭合杆690和第二枢转联接件678沿远侧方向“DD”运动。
图58示出了处于打开位置的砧座1100。如可在该图中看出,第一闭合杆680略微邻近第二闭合杆690。为了闭合砧座,对驱动螺线管474供能,以使第一闭合杆680沿远侧方向“DD”轴向推进。此动作导致第一枢转联接件676和第一连杆臂687沿逆时针“CCW”方向旋转凸轮盘1120,如图59所示。此类动作还导致第二闭合杆690的运动为近侧方向,从而引起第二枢转连接件678和第二连杆臂688也在逆时针“CCW”方向上牵拉凸轮盘1120。为了打开砧座,驱动螺线管474将轴向控制运动施加到第一安装块672以使第一和第二控制杆段680、690返回到图58中所示的位置。
图60中所示的端部执行器实施例1000包括通常称为748的驱动结构,其有利于将旋转控制运动选择性施加到端部执行器1000。端部执行器1000包括击发构件1200,所述击发构件通过螺纹轴颈连接在工具驱动轴1300上。如可在图61中看出,工具驱动轴1300具有形成于其上的轴承段1304,所述轴承段被可旋转地支撑在轴承套管1011中。工具驱动轴1300具有工具驱动齿轮1302,所述工具驱动齿轮与通常称为750的旋转传动装置可操作地啮合,所述旋转传动装置与细长通道1020可操作地交接,并且由细长轴组件200的一部分可操作地支撑。在一个示例性形式中,旋转传动装置750包括差速联锁组件760。如可在图64和65中看出,差速联锁组件760包括差速外壳762,所述差速外壳能够相对于端部执行器驱动外壳1010选择性地旋转并且随端部执行器外壳1010一起旋转。
远侧驱动轴段540附接到太阳齿轮轴752,所述太阳齿轮轴具有附接到其上的太阳齿轮754。因此,太阳齿轮754将在远侧驱动轴段540旋转时旋转。太阳齿轮754也将与远侧驱动轴段540一起轴向地运动。差速联锁组件760还包括多个行星齿轮764,所述多个行星齿轮可旋转地附接到差速外壳762。在至少一个实施例中,例如,采用三个行星齿轮764。每个行星齿轮764与形成于端部执行器驱动外壳1010内的第一端部执行器环形齿轮1016啮合接合。在图60所示的例示的示例性实施例中,端部执行器驱动外壳1010通过一对相对的附接耳状物1018(图60中仅可见一个附接耳状物1018)不可旋转地附接到细长通道1020的相应附接狭槽1024(图60中仅可见一个附接狭槽1024)中,所述附接狭槽形成于细长通道1020的近侧端部1021中。可采用将端部执行器驱动外壳1010不可运动地附接到细长通道1020的其他方法,或者端部执行器驱动外壳1010可与细长通道1020一体形成。因此,端部执行器驱动外壳1010的旋转将导致端部执行器1000的细长通道1020的旋转。
在图61-65中所示的实施例中,差速联锁组件760还包括形成于差速外壳762内的第二环形齿轮766以用于与太阳齿轮754啮合接合。差速联锁组件760还包括形成于差速外壳762中的第三环形齿轮768,所述第三环形齿轮与工具驱动齿轮1302啮合接合。差速外壳762在端部执行器驱动外壳1010内的旋转将最终导致工具驱动齿轮1302以及附接到其上的工具驱动轴1300的旋转。
当临床医生希望使端部执行器1000围绕关节运动接头700远侧的纵向工具轴线LT-LT旋转以将端部执行器定位在相对于靶组织的期望方向上时,机器人控制器12可启动移位器螺线管394以轴向地运动近侧驱动轴段380,使得太阳齿轮754运动到图65、67和70中所示的“第一轴向”位置。如上文详细描述,远侧驱动轴段540通过快速断开接头210可操作地联接到近侧驱动轴段380。因此,近侧驱动轴段380的轴向运动可导致远侧驱动轴段540和太阳齿轮轴752以及太阳齿轮754的轴向运动。如上文进一步描述,移位系统390控制近侧驱动轴段380的轴向运动。当处于第一轴向位置时,太阳齿轮754与行星齿轮764和第二环形齿轮766啮合接合,从而导致在太阳齿轮754旋转时行星齿轮764和差速外壳762作为一个单元而旋转。
近侧驱动轴段380的旋转通过第二驱动系统370来控制。近侧驱动轴段380的旋转导致远侧驱动轴段540、太阳齿轮轴752和太阳齿轮754的旋转。差速外壳762和行星齿轮764作为一个单元的此类旋转将旋转运动施加到端部执行器驱动外壳1010,该旋转运动具有足够的量级以克服端部执行器驱动外壳1010与中间关节运动管712的远侧承窝部分730之间的第一摩擦量F1,从而引起端部执行器驱动外壳1010以及附接到其上的端部执行器1000围绕纵向工具轴线“LT-LT”相对于远侧承窝管730旋转。因此,当处于此位置时,端部执行器驱动外壳1010、差速外壳762和行星齿轮764全部作为一个单元一起旋转。由于工具轴1300由轴承套管1011支撑在端部执行器驱动外壳中,工具轴1300也随端部执行器驱动外壳1010一起旋转。参见图61。因此,端部执行器驱动外壳1010和端部执行器1000的旋转不会导致工具驱动轴1300的相对旋转,该相对旋转会导致击发构件1200的位移。在例示的示例性实施例中,关节运动接头700远侧的端部执行器1000的此类旋转不会导致整个细长轴组件200的旋转。
当希望将旋转驱动运动施加到工具驱动轴1300以用于驱动端部执行器1000内的击发构件1200时,太阳齿轮754轴向地定位在“第二轴向”位置以脱离第二环形齿轮766,同时啮合接合行星齿轮764,如图61、62、64和66中所示。因此,当希望旋转工具驱动轴1300时,机器人控制器12启动移位器螺线管394以将太阳齿轮754轴向地定位成与行星齿轮764啮合接合。当处于该第二轴向或“击发位置”时,太阳齿轮754仅啮合接合行星齿轮764。
近侧驱动轴段380的旋转可通过第二驱动系统370来控制。近侧驱动轴段380的旋转导致远侧驱动轴段540、太阳齿轮轴752和太阳齿轮754的旋转。当太阳齿轮754在第一击发方向上旋转时,行星齿轮764也旋转。当行星齿轮764旋转时,它们也引起差速外壳762旋转。差速外壳762的旋转引起工具轴1300旋转,这是由于工具驱动齿轮1302与第三环形齿轮768的啮合接合。因为端部执行器驱动外壳1010与中间关节运动管712的远侧承窝部分730之间存在摩擦量F1,行星齿轮764的旋转不会导致端部执行器外壳1010相对于中间关节运动管712的旋转。因此,驱动轴组件的旋转导致工具驱动轴1300的旋转而不会使整个端部执行器1000旋转。
此类独特而新颖的旋转传动装置750包括单个驱动系统,所述单个驱动系统可选择性地旋转端部执行器1000或击发击发构件1200,取决于旋转驱动轴的轴向位置。可由此类结构提供的一个优点是其简化了必须横贯关节运动接头700的驱动。其也将中心驱动平移至细长通道1020的基部,使得工具驱动轴1300可存在于钉仓1040下以驱动击发构件1200。端部执行器可在关节运动接头的远侧能够旋转的能力可极大地改善相对于靶组织定位端部执行器的能力。
如上所指出的,当驱动轴组件定位在第一轴向位置时,驱动轴组件的旋转可导致整个端部执行器1000在关节运动接头700的远侧上旋转。当驱动轴组件定位在第二轴向位置(在一个实例中,邻近第一轴向位置)时,驱动轴组件的旋转可导致工具驱动轴1300的旋转。
图64和65中所示的旋转传动装置实施例包括差速锁定系统780,所述差速锁定系统能够将驱动轴组件保持在第一和第二轴向位置。如可在图64和65中看出,差速锁定系统780包括太阳齿轮轴752中与驱动轴组件的第一轴向位置对应的第一保持结构756以及太阳齿轮轴752中与驱动轴组件的第二轴向位置对应的第二保持结构758。在例示的示例性实施例中,第一保持结构包括太阳齿轮轴752中的第一径向锁定沟槽757,并且第二保持结构758包括形成于太阳齿轮轴752中的第二径向锁定沟槽759。第一和第二锁定沟槽757、759与至少一个弹簧偏置的锁定构件784协作,当驱动轴组件分别处于第一和第二轴向位置时,所述至少一个弹簧偏置的锁定构件适于保持接合锁定沟槽757、759。锁定构件784具有渐缩顶端786并被可运动地支撑在差速外壳762内。可采用径向波形弹簧782来将偏置力施加到锁定构件784,如图63中所示。当驱动轴组件轴向地运动到第一位置中时,锁定构件784卡合到与第一径向锁定沟槽7576接合。参见图65。当驱动轴组件轴向地运动到第二轴向位置中时,锁定构件784卡合到与第二径向锁定沟槽759接合。参见图64。在另选的实施例中,第一和第二保持结构可包括例如凹坑,所述凹坑与锁定构件784中的每一个对应。同样在另选的实施例中,其中驱动轴组件可轴向地定位在不止两个轴向位置中,可采用与那些轴向位置中的每一个对应的附加保持结构。
图70和71示出另选的差速锁定系统790,其能够确保驱动轴组件被锁定在多个预先确定的轴向位置中的一个中。差速锁定系统790能够确保驱动轴组件可定位在第一和第二轴向位置中的一个中,并且不会意外地定位在另一个轴向位置中,在该轴向位置中,驱动系统不能正确操作。在图70和71中所示的实施例中,差速锁定系统790包括附接到驱动轴组件的多个锁定弹簧792。每个锁定弹簧792与由尖峰部分798分隔的第一和第二锁定谷794、796一起形成。锁定弹簧792被定位成与形成于差速外壳762上的尖锁定构件763协作。因此,当尖锁定构件763安置在第一锁定谷794中时,驱动轴组件保持在第一轴向位置中,并且当尖锁定构件763安置在第二锁定谷796中时,驱动轴组件保持在第二轴向位置中。第一与第二锁定谷794、796之间的尖峰部分798确保驱动轴组件处于第一和第二轴向位置中的一个中并且不会停止在这两个轴向位置之间的轴向位置中。如果需要附加的轴向位置,则锁定弹簧可提供有与所需轴向位置对应的附加锁定谷。
参见图60、72和73,推力轴承1030被支撑在细长通道1020中的支架1026内。工具驱动轴1300的远侧端部部分1306被可旋转地接收在推力轴承1030内并且突起穿过其中。保持衬圈1032被固定或以其他方式附连到如图73所示的远侧端部1030,以完成安装。以这种方式使用推力轴承1030可使得当击发构件1200在细长通道1020内从起始位置击发到结束位置时其能够被“牵拉”。此类结构可最小化在高负载状况下工具驱动轴1300屈曲的风险。该独特而新颖的安装结构以及推力轴承1030的位置可生成随砧座负载而增加的安置负载,这进一步增加了端部执行器稳定性。此类安装结构可基本上用于在高负载击发周期期间使工具驱动轴1300受到张力。这可避免需要驱动系统齿轮来旋转工具驱动轴1300同时抵抗轴1300的屈曲。保持衬圈1032的使用也可使结构易于制造和组装。当击发构件1200从起始位置驱动到结束位置时,击发构件1200能够接合砧座并将砧座保持在距仓平台的所需距离处。在该结构中,例如,当击发构件1200组件朝远侧顺着细长通道1020向下运动时,砧座的类似于悬臂梁的部分的长度变得更短且更硬,从而使细长通道1020的远侧端部处出现的向下负载的量级增加,进一步增加轴承安置负载。
利用旋转驱动构件来击发、闭合、旋转等的优点之一可包括使用驱动轴的高机械优点来适应完成那些器械任务所需的高负载的能力。然而,当采用此类旋转驱动系统时,可能希望追踪驱动轴被驱动的旋转数量以在驱动轴或可运动端部执行器部件在远侧方向上被驱动的太远的情况下,避免驱动螺杆和其他器械部件的灾难性故障或损坏。因此,包括旋转驱动轴的一些系统在过去采用编码器来追踪马达旋转或采用传感器来监测可运动部件的轴向位置。编码器和/或传感器的使用需要附加接线、电子器件和处理电力来适应此类系统,这可导致器械成本增加。另外,系统的可靠性可能在一定程度上难以预测并且其可靠性取决于软件和处理器。
图74-76示出了机械行程限制系统1310,以用于在将击发构件1200从起始位置驱动到结束位置时限制击发构件1200的线性行程。行程限制系统1310采用工具驱动轴1300’,其中工具驱动轴1300’上的螺纹1308不延伸到驱动轴1300’的远侧端部部分1306。例如,如可在图74-76中看出,工具驱动轴1300’包括非螺纹区段1309。击发构件1200具有主体部分1202,所述主体部分具有一系列内螺纹1204,所述内螺纹适于通过螺纹与工具驱动轴1300’上的螺纹1308交接,使得当工具驱动轴1300’在第一击发方向上旋转时,击发构件1200在远侧方向“DD”上驱动直到其接触非螺纹区段1309,在此时击发构件1200停止其远侧推进。即,击发构件1200将朝远侧推进直到击发构件1200中的内螺纹1204脱离工具驱动轴1300’中的螺纹1308。工具驱动轴1300’在第一方向上的任何进一步旋转将不导致击发构件1200的进一步远侧推进。参见例如图75。
所示的示例性机械行程限制系统1310还包括远侧偏置构件1312,当击发构件1200已被推进到其远侧行程的端部(即,击发构件将不再随工具驱动轴在第一旋转方向上的旋转而朝远侧推进)时,所述远侧偏置构件能够被击发构件1200接触。在图74-76中所示的实施例中,例如,偏置构件1312包括定位在如图所示的细长通道1020内的片簧1314。图74示出了在被击发构件1200接触之前的片簧1314,并且图75示出了在被击发构件1200接触之后处于压缩状态的片簧1314。当处于该位置时,片簧1314用于将击发构件1200在近侧方向“PD”上偏置以当工具驱动轴1300’在第二回缩方向上旋转时使击发构件1200中的内螺纹1204能够重新接合工具驱动轴1300’。在工具驱动轴1300’在第二回缩方向上旋转时,击发构件1200在近侧方向上回缩。参见图76。
图77-80示出另一个行程限制系统1310’。行程限制系统1310’采用双部件工具驱动轴1300”。在至少一种形式中,例如,工具驱动轴1300”包括近侧工具驱动轴段1320(在其远侧端部1322中具有承窝1324)和远侧驱动轴段1330(具有从其近侧端部1332突出的耳状物1334)。耳状物1334的尺寸和形状设定成被接收在承窝1324内,使得近侧驱动轴段1320上的螺纹1326与远侧驱动轴段1330上的螺纹1336协作形成一个连续驱动螺纹1340。如可在图77、79和80中看出,远侧驱动轴段1330的远侧端部1338延伸穿过推力轴承1032,所述推力轴承被可运动地支撑在细长通道1020的远侧端部1023中。即,推力轴承1032可在细长通道1020内轴向运动。远侧偏置构件1342被支撑在细长通道1020内以用于与推力轴承1032接触。图78示出了当工具驱动轴1300”在第一旋转方向上驱动时击发构件1200在远侧方向“DD”上驱动。图79示出了处于其行程的远侧端部的击发构件1200。工具驱动轴1300”在第一旋转方向上的进一步旋转引起推力轴承1032压缩偏置构件1342并且还允许远侧轴段1330在近侧段1320继续转动时滑动。近侧和远侧工具驱动轴段1320、1330之间的此类滑动阻止击发构件1200进一步朝远侧推进,击发构件1200进一步朝远侧推进最终会损坏器械。然而,在第一旋转运动已中止之后,偏置构件1342用于将远侧轴段1320在近侧方向上偏置,使得耳状物1334安置在承窝1324中。然后,工具轴1300”在第二旋转方向上的旋转导致击发构件1200在近侧方向“PD”上的运动,如图80所示。
图81示出了另一个行程限制系统1310”。在此实施例中,工具驱动轴1300具有形成于其上的耳状物1350,所述耳状物的尺寸和形状设定成被接收在轴承段1304中的承窝1352内,所述轴承段具有形成于其上或以其他方式附接到其的工具驱动齿轮1302。图81A和81B示出了不同的耳状物1350’(图81A)和1350”(图81B),所述耳状物能够分别可释放地接合相应的承窝1352’和1352”。当击发构件1200已到达其行程的端部时,片簧1314被定位成被击发构件1200接触。工具驱动轴1300的进一步旋转将导致耳状物1350、1350’、1350”分别滑出承窝1352、1352’、1352”,从而阻止工具轴1300的进一步旋转。一旦中止将旋转运动施加到工具驱动轴1300,片簧1314就会将偏置运动施加到击发构件1200,以最终将工具驱动轴1300在近侧方向“PD”上偏置,从而将耳状物1350安置在承窝1352中。工具驱动轴1300在第二旋转方向上的旋转将导致击发构件1200在近侧方向“PD”上回缩到起始位置。一旦击发构件1200已返回到起始位置,砧座1100随后可被打开。
在例示的示例性实施例中,击发构件1200能够在击发构件1200朝远侧驱动穿过端部执行器时接合砧座1100以明确地将砧座与钉仓间隔开,从而确保闭合钉适当成形,尤其是当夹紧的组织的量不足以做到这点时。能够接合砧座并将砧座与钉仓或细长通道间隔开并且可用于该实施例和其他实施例中的其他形式的击发构件公开于名称为“Surgical Stapling InstrumentIncorporating an E-beam Firing Mechanism”的美国专利6,978,921中,所述专利的公开内容全文以引用方式并入本文。如可在图82和83中看出,击发构件1200的主体部分1202包括底脚部分1206,所述底脚部分向上接合细长通道1020中的通道狭槽1028。参见图60。相似地,刀片主体包括一对侧向突起的上部翅片1208。当随着砧座1100闭合而被击发时,上部翅片1208在纵向砧座狭槽1103内朝远侧推进,所述纵向砧座狭槽朝远侧延伸穿过砧座1100。砧座1100中的任何微量的向上偏转均可通过由上部翅片1208施加的朝下的力来克服。
一般来讲,闭合和推进击发构件即“击发”击发构件所需的负载可设想超过200lbs。然而,此类力要求可能需要击发构件中的内螺纹1204包括动力型螺纹构型的相对细的螺纹诸如梯形螺纹(Acme threads)。此外,为了向上部翅片1208提供足够的支撑以在击发构件1200朝远侧驱动穿过端部执行器时避免击发构件1200受束缚,可能希望击发构件中的至少5-15条螺纹在任何给定时间与工具驱动轴上的螺纹接合。然而,常规制造方法可能不适合在0.08英寸-0.150英寸直径开口内在击发构件主体1202中形成足够的螺纹且所述螺纹具有足够螺纹深度。
图82-84示出了击发构件1200’,所述击发构件可解决上述挑战中的至少一些。如可在这些图中看出,击发构件的主体部分1202’具有延伸穿过其中的中空轴承窝1210,所述中空轴承窝的尺寸设定成穿过其中接收工具轴。该实施例中的内螺纹通过一系列杆1214形成,所述杆横向地延伸穿过如图所示的轴承窝1210中的孔1212。如可在图84中看出,销1214搁置在工具驱动轴1300上的螺纹1308的节距的小直径上。
图85示出了另一个击发构件1200”,所述击发构件也可解决上述的制造挑战中的至少一些。如可在该图中看出,击发构件100”的主体部分1202”具有延伸穿过其中的中空轴承窝1210,所述中空轴承窝的尺寸设定成穿过其中接收工具轴。一对窗口1216形成于主体部分1202”中,如图所示。此实施例中的内部螺纹1220形成于插塞1218上,所述插塞被插入窗口1216中并通过焊接、粘合剂等附接在其中。图86和图87示出了另一个击发构件1200”,其中通过形成于主体部分1202”中的进入窗口1230A、1230B而进入承窝1210中。例如,通过承窝部分1210的一侧来提供一对进入窗口1230A,以使得内部螺纹段1232能够在承窝1210的相对壁内形成。穿过承窝部分1210的相对侧提供另一个进入窗口1230B,使得中心内螺纹段1234可形成于内螺纹段1232之间的相对壁中。螺纹段1232、1234协作以通过螺纹接合工具驱动轴1300上的螺纹1308。
端部执行器1000能够在其中可移除地支撑钉仓1040。参见图60。钉仓1040包括仓体1042,所述仓体能够与细长通道1020一起可操作地安置。仓体1042在其中具有细长狭槽1046以用于容纳击发构件1200。仓体1042还限定上表面,本文称为仓平台1044。此外,在细长狭槽1046的每侧上提供两行交错的钉孔1048。钉孔1048可操作地支撑相应的钉驱动器1050,所述钉驱动器在其上支撑一个或两个外科钉(未示出)。多种此类钉驱动器布置是已知的并且可在不脱离本发明各种示例性实施例的精神和范围的情况下使用。
击发构件实施例也采用楔形滑动件组件1250以用于与可操作地支撑在钉仓1040内的钉驱动器驱动接触。如可在图60中看出,楔形滑动件组件1250包括至少两个楔形件1252,所述至少两个楔形件被取向用于与可操作地支撑在钉仓1040内的多行钉驱动器驱动接触。当击发构件1200朝远侧驱动时,楔形滑动件组件1250与击发构件1220一起行进,并且其上的楔形件1252迫使驱动器1050向上朝向闭合砧座1100。当驱动器1050向上驱动时,其上支撑的外科钉被驱动离开其各自的孔1048而形成与闭合砧座1100的钉成形表面1104的接触。
本文公开的各种示例性端部执行器实施例也可采用独特而新颖的击发闭锁件布置,所述击发闭锁件布置将阻止当不存在仓、仓未适当地安置在端部执行器内时和/或当已空仓仍然安装在端部执行器中时临床医生意外推进或“击发”击发构件。例如,如下文将更详细讨论,击发闭锁件布置可与工具驱动轴1300和/或击发构件1200相互作用以阻止当存在上述状况之一时意外推进击发构件1200。
在例示的示例性实施例中,如果击发构件1200与例如仓体1042中的细长狭槽1046(图60)、细长通道1020中的通道狭槽1028以及砧座1100中的砧座狭槽1103适当对齐,则工具驱动轴1300在第一旋转或“击发”方向上的旋转将引起击发构件1200朝远侧驱动穿过钉仓1040。主要参见图90,细长狭槽1046、通道狭槽1028和/或砧座狭槽1103可在例如击发行程期间击发构件1200沿穿过外科端部执行器1000的路径运动时引导击发构件1200。例如,当击发构件1200处于可操作构型时,通道狭槽1028能够接收击发构件1200的底脚部分1206,并且砧座狭槽1103能够接收击发构件1200的上部翅片1208。当击发构件1200的一部分定位在通道狭槽1028和/或砧座狭槽1103中时,击发构件1200可与轴线A对齐或基本上对齐。例如,当击发构件1200从初始位置运动到相对于仓体1042的第二位置时,通道狭槽1028和/或砧座狭槽1103可引导击发构件1200并保持击发构件1200与轴线A的对齐。
如上文简要讨论,在各种外科钉仓实例中,外科钉被支撑在可运动钉驱动器上,所述可运动钉驱动器被支撑在仓体中。各种示例性端部执行器实施例采用楔形滑动件组件1250,当所述楔形滑动件组件朝远侧驱动穿过钉仓时,所述楔形滑动件组件能够接触钉驱动器以将钉驱动离开其在仓体中的各自的腔并与闭合砧座形成接触。在至少一个示例性实施例中,楔形滑动件1250定位在钉仓1040内。因此,每个新钉仓1040具有可操作地支撑在其中的其自己的楔形滑动件。当临床医生将新钉仓1040适当地安置在细长通道中时,楔形滑动件1250能够以例如图60、88和89中所示的方式骑跨工具驱动轴1300并接合击发构件1200。如可在这些图中看出,示例性楔形滑动件组件1250可包括滑动件主体1414、凸缘1410和楔形件1252。当楔形滑动件组件1250定位在细长通道1020中时,滑动件主体1414可定位在工具驱动轴1300的一部分周围。当滑动件主体1414定位在工具驱动轴1300周围时,滑动件主体1414可被构造成使得滑动件主体1414避免与工具驱动轴1300接触。滑动件主体1414可包括例如轮廓1412,所述轮廓在工具驱动轴1300上方和/或周围弯曲。在此类实施例中,例如,凸缘1410在滑动件主体1414与楔形件1252中的每一个之间延伸。此外,滑动件主体1414在其中具有凹口1415,所述凹口能够在其中接收击发构件主体1203的一部分。主要参见图89,当击发构件1200接合楔形滑动件组件1250时,凸缘1410可基本上平行于击发构件1200的底脚部分1206延伸。
当新钉仓1040已适当地安装在细长通道1020中时,击发构件1200的初始致动(例如,通过旋转工具驱动轴1300)引起击发构件主体1203的一部分进入楔形滑动件1250中的凹口1415,从而导致击发构件1200与仓体1042中的细长狭槽1046(图60)、细长通道1020中的通道狭槽1028以及砧座1100中的砧座狭槽1103对齐,使击发构件1250能够朝远侧推进穿过钉仓1040。因此,楔形滑动件在本文中也可称为“对齐构件”。如果钉仓1040未适当地安装在细长通道中,则击发构件1200的启动将不导致与楔形滑动件1250中的凹口1415对齐接合,并且击发构件1200将保持不与细长通道1020中的通道狭槽1028和砧座1100中的砧座狭槽1103对齐,从而阻止击发构件1250被击发。
在新钉仓1040已适当地安装在细长通道1020中之后,临床医生通过将第一旋转运动施加到工具驱动轴1300来击发击发构件。一旦击发构件1250已朝远侧驱动穿过钉仓1250到达其最远侧位置,就将反向旋转运动施加到工具驱动轴1300以使击发构件1250返回到外科钉仓1040之外的其起始位置,从而使已空仓能够从细长通道1020移除并在其中安装新钉仓。当击发构件1250返回到其起始位置时,楔形滑动件1250保持在钉仓的远侧端部中并且不会随击发构件1200返回。因此,当击发构件1200朝近侧运动出钉仓1040和砧座中的砧座狭槽1103时,工具驱动轴1300的旋转运动引起击发构件1200稍微枢转到不可操作位置中。即,当击发构件1200处于不可操作位置(仓之外)时,若临床医生移除已空仓1040且未能用包含新楔形滑动件1250的新仓替换并且随后闭合砧座1110并尝试击发击发构件1200,由于不存在用以对齐击发构件1200的楔形滑动件,击发构件1200将无法朝远侧推进穿过细长通道1020。因此,此类结构阻止临床医生在不存在仓时意外击发击发构件1200。
在此类示例性实施例中,当击发构件1200以可操作构型来取向使得击发构件1200可沿穿过端部执行器1000建立的路径运动时,击发构件1200可基本上与轴线A对齐。轴线A可基本上垂直于砧座1100的钉成形表面1104和/或钉仓1040的仓平台1044(图60)。在其他示例性实施例中,轴线A可相对于砧座1100的钉成形表面1104和/或钉仓1040的仓平台1044成角度地取向。另外,在至少一个示例性实施例中,轴线A可延伸穿过外科端部执行器1000的中心,并且在其他示例性实施例中,轴线A可定位在外科端部执行器1000的中心的任一侧上。
图91-97示出了外科端部执行器1400的一个示例性形式,其采用独特而新颖的击发闭锁件布置。如可在图91-95中看出,当击发构件1200处于初始位置时,击发构件1200处于不可操作构型,所述不可操作构型阻止其穿过端部执行器的远侧推进,这是由于击发构件1200与通道狭槽1028和砧座狭槽1103不对齐。可通过通常称为1418的击发闭锁件使击发构件1200保持处于不可操作构型。主要参见图91-93,在至少一个形式中,例如,击发闭锁件1418包括形成于细长通道1020中的第一闭锁件沟槽或凹口1402。然而,在其他示例性实施例中,第一闭锁件凹口1402可在例如第一钳口1004、第二钳口1006、细长通道1020和/或砧座1100中形成开口。在各种示例性实施例中,第一闭锁件凹口1402位于外科端部执行器1400中,使得当击发构件1200处于不可操作构型时,第一闭锁件凹口1402保持接合击发构件1200的一部分。例如,第一闭锁件凹口1402可靠近、邻近和/或连接至细长通道1020中的通道狭槽1028。主要参见图91,通道狭槽1028沿其长度可具有狭槽宽度。在至少一个示例性实施例中,第一闭锁件凹口1402可从通道狭槽1028延伸,使得通道狭槽1028和第一闭锁件凹口1402的组合宽度超过通道狭槽1028的狭槽宽度。如可在图91中看出,当击发构件1200处于不可操作构型时,击发构件1200的底脚部分1206延伸到第一闭锁件凹口1402中,从而阻止其穿过细长通道1020的意外远侧推进。
当新钉仓1040已适当安装在细长通道1020中时,击发行程的起始导致击发构件接合定位在钉仓1040内的楔形滑动件1250,从而使击发构件1200运动成与仓体1042中的细长狭槽1046、细长通道1020中的通道狭槽1028以及砧座1100中的砧座狭槽1103驱动对齐,以使击发构件1250能够穿过其中朝远侧推进。当击发构件1200相对于钉仓1040从初始位置运动到第二位置时,击发构件1200可运动经过例如第一闭锁件凹口1402。第一闭锁件凹口1402可具有例如大约0.25英寸的长度。在一些其他示例性实施例中,第一闭锁件凹口1402可具有例如大约0.15英寸至大约0.25英寸的长度,或例如大约0.25英寸至大约1.0英寸的长度。
主要参见图93和94,外科端部执行器1400可被构造成在击发构件1200处于不可操作构型时适应击发构件1200的上部翅片1208。例如,击发闭锁件1418可包括砧座1100中的第二闭锁件沟槽或凹口1404。在例示的示例性实施例中,例如,第二闭锁件凹口1404可靠近、邻近和/或连接至例如砧座1100中的砧座狭槽1103。砧座狭槽1103沿其长度可具有狭槽宽度。在至少一个示例性实施例中,第二闭锁件凹口1404可从砧座狭槽1103延伸,使得砧座狭槽1103和第二闭锁件凹口1404的组合宽度超过砧座狭槽1103的狭槽宽度。第二闭锁件凹口1404可在外科端部执行器1400中延伸一定长度或距离。击发构件1200可被构造成在击发构件1200处于不可操作构型时沿其长度接合第二闭锁件凹口1404。当击发构件1200相对于钉仓1040从初始位置运动到第二位置时,击发构件1200可运动经过例如第二闭锁件凹口1404。第二闭锁件凹口1404可具有例如大约0.25英寸的长度。在一些其他示例性实施例中,第二闭锁件凹口1404可具有例如大约0.15英寸至大约0.25英寸的长度,或例如大约0.25英寸至大约1.0英寸的长度。主要参见图93,第一闭锁件凹口1402可在第一方向X上从通道狭槽1028延伸,并且第二闭锁件凹口1404可在第二方向Y上从砧座狭槽1103延伸。在至少一个示例性实施例中,第一方向X可基本上与第二方向Y侧向地相对。在此类示例性实施例中,当击发构件1200运动到不可操作构型时,击发构件1200的底脚部分1206可枢转到第一闭锁件凹口1402中,并且击发构件1200的上部翅片1208可枢转到第二闭锁件凹口1404中。
主要参见图92-94,当击发构件1200以不可操作构型取向时,击发构件1200的相应部分接合第一和第二闭锁件凹口1402、1404。当击发构件1200处于不可操作构型时,击发构件1200可至少部分地定位在第一和第二闭锁件凹口1402、1404内。当击发构件1200运动到不可操作构型时,击发构件1200可移动到第一和第二闭锁件凹口1402、1404中。另外,当击发构件1200以可操作构型取向时,击发构件1200可脱离第一和第二闭锁件凹口1402、1404。
当击发构件1200以不可操作构型取向时(参见,例如图95),外科端部执行器1400的一个或多个部分可阻挡击发构件1200并限制或阻止击发构件1200运动穿过外科端部执行器1400。例如,当击发构件1200处于可操作构型时,第一钳口1004、第二钳口1006、细长通道1020和/或砧座1100能够阻挡击发构件1200。在一些示例性实施例中,第一闭锁件凹口1402具有形成于其上的第一阻挡表面或边缘1406(图91和92)并且第二闭锁件凹口1404具有形成于其上的第二阻挡表面或边缘1408(图94)之间运动的闭合机构1326。在击发构件1200处于不可操作构型时尝试击发击发构件1200将导致击发构件1200的相应部分接触第一和第二阻挡表面1406、1408中的一者或两者以阻止击发构件1200从初始位置朝第二位置运动。在至少一个示例性实施例中,外科端部执行器1400不必具有第一阻挡边缘1406和第二阻挡边缘1408两者。
图97-104示出了另一个示例性外科端部执行器实施例1500,其采用另一个示例性击发闭锁件布置。例如,如可在这些图中看出,外科端部执行器1500可包括细长通道1020、工具驱动轴1300和击发构件1200。外科端部执行器1500还可包括端部执行器驱动外壳1510(参见例如图100)。与本文所述的端部执行器驱动外壳1010相似,端部执行器驱动外壳1510可包括轴承套管1511和第三环形齿轮或外壳驱动构件768。轴承套管1511可被构造成使得工具驱动轴1300的轴承段1304能够可运动地定位在轴承套管1511中。当工具驱动轴1300在不可操作位置与可操作位置之间运动时,轴承段1304可在轴承套管1511中运动,如本文所述。轴承套管1511可包括镗孔1512,其具有细长剖面,例如剖面形状包括卵形、椭圆形和/或半圆形,其间具有纵向和/或平行侧面。在此类示例性实施例中,当工具驱动轴1300处于不可操作位置时,轴承段1304可抵靠或邻近镗孔1512的第一侧例如第一半圆定位。另外,当工具驱动轴1300处于可操作位置时,轴承段1304可抵靠或邻近镗孔1512的第二侧例如第二半圆定位。
工具驱动轴1300可在不可操作位置与可操作位置之间运动。如本文所述,钉仓1040的一部分和/或偏置构件1520可例如使工具驱动轴1300在不可操作位置与可操作位置之间运动。在例示的实施例和其他实施例中,当工具驱动轴1300处于可操作位置时,工具驱动轴1300的工具驱动齿轮1302可与端部执行器驱动外壳1510的第三环形齿轮768接合。工具驱动齿轮1302可为例如外齿轮,并且第三环形齿轮768可为例如内齿轮。当工具驱动轴1300从不可操作位置运动到可操作位置时,工具驱动齿轮1302可运动到与第三环形齿轮768接合。另外,当工具驱动轴1300处于不可操作位置时,工具驱动齿轮1302可脱离第三环形齿轮768。在至少一个示例性实施例中,当工具驱动轴1300从可操作位置运动到不可操作位置时,工具驱动齿轮1302可运动成与第三环形齿轮768脱离接合。与本文所述的其他示例性实施例相似,当工具驱动轴1300与端部执行器驱动外壳1510中的第三环形齿轮768接合时,驱动系统750(图61)可例如在击发行程期间驱动击发构件1200穿过外科端部执行器1500的细长通道1020。
主要参见图101和102,当工具驱动轴1300处于不可操作位置时,轴承段1304可抵靠轴承套管1511的镗孔1512的第一侧定位。保持销1514(图98、100、101和103)可被构造成使轴承段1304抵靠镗孔1512的第一侧偏置,使得例如工具驱动轴1300保持处于不可操作位置,并且例如工具驱动齿轮1302保持不与第三环形齿轮768接合。在一些示例性实施例中,保持销1514可被弹簧加载,使得保持销1514对轴承段1304施加力以使工具驱动轴1300朝不可操作位置运动。工具驱动轴1300可保持处于不可操作位置直到另一个力克服由保持销1514施加的力以例如使工具驱动轴1300朝可操作位置运动,并例如使工具驱动齿轮1302运动到与第三环形齿轮768接合。
主要参见图103和104,当工具驱动轴1300处于可操作位置时,轴承段1304可抵靠轴承套管1511的镗孔1512的第二侧定位。在各种示例性实施例中,由保持销1514(图98、100、101和103)施加的力可被克服以使轴承段1304抵靠镗孔1512的第二侧运动,使得例如工具驱动轴1300处于可操作位置,并且例如工具驱动齿轮1302与第三环形齿轮768接合。如本文所述,偏置元件1520可对轴承段1304施加力,所述力克服例如由保持销1515施加的力。
外科端部执行器1500可包括偏置元件1520,所述偏置元件可在第一组位置(参见例如图103)与第二组位置(参见例如图101)之间运动。第二组位置可相对于端部执行器驱动外壳1510处于第一组位置的远侧。当偏置元件1520处于第一组位置时,偏置元件1520可被构造成例如使工具驱动轴1300运动到可操作位置。例如,当偏置元件1520处于第二组位置时,偏置元件1520可释放工具驱动轴1300,使得工具驱动轴可返回到不可操作位置。
偏置元件1520可为可定位在外科端部执行器1500中的独立元件。偏置元件1520例如可被可运动地保持在外科端部执行器1500中,并且例如能够与钉仓1040可操作地接合。钉仓1040可包括偏置元件1520。在一些示例性实施例中,偏置元件1520例如可与钉仓1040的楔形滑动件组件1250一体形成,并且偏置元件1520例如可被可运动地保持在钉仓1040中。在此类示例性实施例中,当楔形滑动件组件1250和/或击发构件1200在例如击发行程期间运动穿过细长通道1020时,偏置元件1520可运动穿过细长通道1020。
主要参见图99,偏置元件1520可包括偏置主体1522和从偏置主体1522延伸的腿部1526。偏置主体1522可定位在外科端部执行器1500中的工具驱动轴1300的一部分周围。在一些示例性实施例中,当偏置主体1522定位在工具驱动轴1300周围时,偏置主体1522可被构造成使得偏置主体1522避免与工具驱动轴1300接触。偏置主体1522可包括例如轮廓1524,所述轮廓在工具驱动轴1300上方和/或周围弯曲。腿部1526可沿细长通道1020的一部分延伸和/或在工具驱动轴1300的任一侧上延伸。偏置元件1520还可包括至少一个延伸件或楔形件1528。如本文所述,楔形件1528能够可运动地接合轴承套管1511和/或轴承段1304以使工具驱动轴运动到可操作位置中。偏置元件1520还可包括至少一个弹簧1530。弹簧1530可在初始构型(图101)与变形构型(图103)之间变形。弹簧1530可保持偏置元件1520相对于端部执行器驱动外壳1510处于第一组位置,直到力使弹簧1530从初始构型变形为变形构型。当弹簧1530从初始构型运动到变形构型时,偏置元件1520可相对于端部执行器驱动外壳1510从第二组位置运动到第一组位置。
主要参见图101,在将钉仓1040(图103)插入细长通道1020中之前,弹簧1530例如可处于初始构型,并且偏置元件1520例如可处于第二组位置。保持销1514可例如抵靠镗孔1512的第一侧来保持轴承段1304。在此类示例性实施例中,工具驱动轴1300可通过保持销1514而保持在不可操作位置。
现在参见图103,钉仓1040在细长通道1020中的安装使偏置元件1520朝近侧抵靠弹簧1530的力运动到第一组位置中,在第一组位置中,楔形件1528可运动地接合轴承套管1511和轴承段1304以将轴承段1304和工具驱动轴1300的工具驱动齿轮1302偏置到与第三环形齿轮768啮合接合。然后,如本文所述的击发驱动系统的致动将导致击发构件1200的击发。在一些示例性实施例中,钉仓1040的一部分能够直接接触偏置元件1520以使偏置元件1520运动到第一组位置。在其他示例性实施例中,钉仓1040的一部分能够接触外科端部执行器1500中的另一个元件,例如击发构件1200,以使偏置元件1520可操作地运动到第一组位置。在其他示例性实施例中,钉仓1040具有与其一体形成的偏置元件1520。
在各种示例性实施例中,当如本文所述例如在击发行程期间当通过工具驱动轴1300将击发构件1200和/或楔形滑动件组件1250驱动穿过细长通道1020时,偏置元件1520可运动穿过外科端部执行器1500的细长通道1020。偏置元件1520可与钉仓1040的楔形滑动件组件1250一体形成和/或固定到钉仓1040的楔形滑动件组件1250。在此类示例性实施例中,当钉仓1040初始安置在细长通道1020中时,楔形滑动件组件1250和偏置元件1520可相对于钉仓1040和/或细长通道1020定位在初始位置。偏置元件1520的初始位置可对应于第一组位置,使得偏置元件1520可运动地接合端部执行器驱动外壳1510的轴承套管1511以使工具驱动轴1300运动到可操作位置,如本文所述。在击发行程期间,楔形滑动件组件1250和偏置元件1520可远离例如初始或第一组位置运动。偏置元件1520可运动到例如第二组位置。当偏置元件1520运动经过第一组位置并进入第二组位置中时,偏置元件1520可不再接合端部执行器驱动外壳1510的轴承套管1511以保持工具驱动轴1300处于可操作构型。虽然当偏置元件1520运动到第二组位置中时偏置元件1520可不将工具驱动轴1300的工具驱动齿轮1302偏置到与第三环形齿轮768接合,但钉仓1040中的通道狭槽1028、砧座狭槽1103和/或细长狭槽1046用于在击发取向上引导击发构件1200,所述击发取向将工具驱动轴1300的工具驱动齿轮1302与第三环形齿轮768保持啮合接合,从而阻止工具驱动轴1300在击发行程期间返回到不可操作位置。
在至少一个示例性实施例中,击发构件1200和/或工具驱动轴1300可在击发行程期间将楔形滑动件组件1250和/或偏置元件1520驱动到第二组位置。在各种示例性实施例中,在完成击发行程时,击发构件1200可返回到初始位置,然而,楔形滑动件组件1250(包括偏置元件1520)可保持处于例如第二组位置。击发构件1200可返回到例如外科端部执行器1500中的近侧位置,并且偏置元件1520可保持处于例如外科端部执行器1500中的远侧位置。当击发构件1200处于初始位置并且偏置元件1520处于第二组位置时,工具驱动轴1300的轴承段1304可在轴承套管1511中移动,使得工具驱动轴1300运动到例如不可操作位置,并且工具驱动齿轮1302运动不与例如第三环形齿轮768接合。在各种示例性实施例中,工具驱动轴1300可保持处于不可操作位置直到偏置元件1520被拉回到第一组位置和/或直到替换偏置元件1520定位在例如第一组位置。例如,将已空钉仓1040从细长通道1020移除并用替换钉仓1040替换,所述替换钉仓可包括位于其第一位置中的偏置元件1520。当替换钉仓1040定位在细长通道1020中时,其偏置元件1520将工具驱动齿轮1302移动到与例如第三环形齿轮768接合,并移动到例如可操作位置中。在此类示例性实施例中,当无仓1040或已空仓1040安置在细长通道1020中时,可阻止外科端部执行器1500重新击发。此外,如果钉仓未适当安置在细长通道1020中使得偏置元件1520未使工具驱动轴1300运动到与第三环形齿轮768啮合接合,击发构件1200无法击发。
如上所述,外科器械系统可包括外科外壳、可替换端部执行器组件和马达和/或致动器,所述可替换端部执行器组件可连接至外科外壳以在外科手段期间使用,然后在其已使用后与外壳断开,所述马达和/或致动器能够击发端部执行器。在各种情形中,外科医生可从若干不同的可替换端部执行器中选择以在外科手术期间使用。例如,外科医生可首先选择能够缝合和/或切入患者的组织的第一可替换端部执行器,其包括例如大约15毫米(“mm”)的钉仓长度,以在患者组织中形成第一切口。在此类实施例中,切割刀片和/或钉驱动滑动件可通过驱动螺杆沿钉仓的大约15mm长度推进,以切割和缝合大约15mm的患者组织。外科医生随后可选择也能够缝合和/或切入患者组织的第二可替换端部执行器,其可包括大约30mm的钉仓长度,以在患者组织中形成第二切口。在此类实施例中,切割刀片和/或钉驱动滑动件可通过驱动螺杆沿钉仓的大约30mm长度推进,以切割和缝合大约30mm的患者组织。外科医生还可选择能够缝合和/或切入患者组织的可替换端部执行器,其例如包括大约45mm的钉仓长度,以在患者组织中形成切口。在此类实施例中,切割刀片和/或钉驱动滑动件可通过驱动螺杆沿钉仓的大约45mm长度推进,以切割和缝合大约45mm的患者组织。外科医生还可选择也能够缝合和/或切入患者组织的可替换端部执行器,其例如包括大约60mm的钉仓长度,以在患者组织中形成切口。在此类实施例中,切割刀片和/或钉驱动滑动件可通过驱动螺杆沿钉仓的大约60mm长度推进,以切割和缝合大约60mm的患者组织。以上讨论的端部执行器的15mm、30mm、45mm和/或60mm长度是示例性的。可使用其他长度。在某些实施例中,例如,第一端部执行器可包括具有x的长度的钉仓,第二端部执行器可包括具有大约2*x的长度的钉仓,第三端部执行器可包括具有大约3*x的长度的钉仓,并且第四端部执行器可包括具有大约4*x的长度的钉仓。
在利用具有不同长度的可替换端部执行器的一些外科器械系统中,每个不同可替换端部执行器中的驱动螺杆可相同,但每个驱动螺杆的长度可不同以适应相关联的可替换端部执行器的不同长度。例如,包括30mm钉仓的可替换端部执行器可能要求驱动螺杆长于包括15mm钉仓的可替换端部执行器的驱动螺杆。然而,在此类外科器械系统的各情形中,利用相同的螺距和/或螺纹导程(下文将更详细描述)的每个驱动螺杆可要求马达将驱动轴旋转不同的数量或转数,取决于为了使每个端部执行器被完全击发而要使用的端部执行器的长度。例如,与提供15mm击发行程的驱动螺杆相比,提供30mm击发行程的驱动螺杆可需要两倍多的转数以便被完全致动。在此类外科器械系统中,可利用外科外壳与可替换端部执行器之间的电子通信以确保外科外壳中的电动马达对于附接的可替换端部执行器的长度转动正确数量的转数。例如,可替换端部执行器可包括电子电路,所述电子电路可被外科器械系统识别,使得外科器械系统可使马达对于附接的端部执行器转动正确数量的转数。除上述以外或作为上述的替代,可替换端部执行器可包括传感器,所述传感器感测端部执行器何时已被完全致动。在此类实施例中,传感器可与外壳中的控制器进行信号通信,所述控制器能够在接收到适当信号时停止马达。虽然适用于其预期目的,但外科外壳与可替换端部执行器之间的此类电子通信可增加此类外科器械系统的复杂性和/或成本。
如上概述,可在相同外科器械系统上使用具有不同长度的端部执行器。在上述外科器械系统中,具有不同击发长度的可替换端部执行器包括驱动螺杆,所述驱动螺杆旋转不同次数以适应不同击发长度。为了适应不同驱动螺杆所需的不同数量的转数,驱动驱动螺杆的马达被操作更长的持续时间或更短的持续时间和/或更多数量的转数或更少数量的转数,取决于需要的是更长的击发长度还是更短的击发长度。下述可替换端部执行器的实施例使包括马达的外科器械系统能够致动具有不同击发长度的端部执行器,所述马达能够转动固定或设定数量的转数。通过使马达操作固定数量的转数,外科器械系统识别端部执行器的长度的需要可能不必要。下述实施例中的每个端部执行器包括具有螺距和/或螺纹导程的驱动螺杆,所述螺距和/或螺纹导程使端部执行器的致动部分诸如切割刀片在马达的固定数量的转数中行进特定端部执行器的全长。
参见图105,驱动螺杆1700可在第一方向上旋转以使端部执行器1740的切割刀片1730在由箭头E指示的远侧方向上运动。在使用中,驱动螺杆1700可旋转固定或设定的次数以将切割刀片1730推进由图105中的长度L指示的完全击发长度。对于驱动螺杆1700的每次旋转,在某些实施例中,切割刀片1730可在箭头E的方向上运动一定的量,该量等于螺距、螺纹导程和/或驱动螺杆1700上的相邻螺纹绕组1708之间的距离,如下文将更详细描述。在各种实施例中,第一驱动螺杆可包括限定第一击发长度的第一组特性,而第二驱动螺杆可包括限定第二击发长度的第二组特性,其中第一组特性可不同于第二组特性。
现在参见图106A、107、108A和109A,除了上述之外,驱动螺杆上的螺纹绕组之间的距离可与驱动螺杆上的螺纹的角度成比例。换句话讲,螺纹布置在驱动螺杆上的角度可为驱动螺杆的一个特性,该特性限定驱动螺杆的螺距和/或螺纹导程。在驱动螺杆和驱动驱动螺杆的马达转动固定数量的转数的实施例中,在更长端部执行器中使用的更长驱动螺杆可利用比在更短端部执行器中使用的更短驱动螺杆更大的螺距和/或螺纹导程。图106A中的驱动螺杆1700包括单线螺纹A,所述单线螺纹A以相对于纵向轴线1701的角度α布置在驱动螺杆1700上,其中螺纹A限定具有长度X的螺距和/或螺纹导程。图106B示出了驱动螺杆1700和单线螺纹A的剖面图。在某些实施例中,驱动螺杆1700可包括多于一条螺纹,如下文将更详细描述。
图107A示出了驱动螺杆1700’,其可包括第一螺纹A’和第二螺纹B’。图107B示出了驱动螺杆1700’的剖视图,其中第一螺纹A’和第二螺纹B’以彼此大约180°的相差定位在驱动螺杆1700’上。在各种实施例中,与使用单线螺纹A’或B’的驱动螺杆相比,具有第一螺纹A’和第二螺纹B’的驱动螺杆可增加每单位长度的螺纹数。在驱动螺杆包括多于一条螺纹的情况下,从第一螺纹的绕组到第二螺纹的相邻绕组的距离称为“螺距”。从螺纹的一个绕组到相同螺纹的下一绕组的距离称为“螺纹导程”。对于具有单线螺纹的驱动螺杆,螺距和螺纹导程是相同的。例如,并且结合图107A,从螺纹A’的绕组到螺纹B’的相邻绕组的距离限定驱动螺杆1700’的螺距。从螺纹A’的绕组到螺纹A’的下一绕组的距离限定驱动螺杆1700’的螺纹导程。因此,图107A中的驱动螺杆1700’的螺纹导程等于X’并且螺距等于X’/2。图106A和106B中所示的驱动螺杆1700具有单线螺纹,因此螺距和螺纹导程均等于X。驱动螺杆的螺纹导程决定对于驱动螺杆的单次旋转,击发构件诸如切割刀片1730和/或钉驱动器将行进的长度。
返回到图107A,第一螺纹A’和第二螺纹B’各自以相对于驱动螺杆1700’的纵向轴线1701的角度β布置。角度β小于角度α并且图107A中的驱动螺杆1700’的螺纹导程X’大于图106A中所示的驱动螺杆1700的螺纹导程X。对于驱动螺杆1700’的单次旋转,切割刀片将沿驱动螺杆1700’运动长度X’。例如,螺纹导程X’可为图106A中所示的驱动螺杆1700的螺距或螺纹导程X的两倍,其中,因此,对于驱动螺杆1700’的单次旋转,与图107A的驱动螺杆1700’接合的切割刀片运动的距离将是与图106A的驱动螺杆1700接合的切割刀片的两倍。
图108A示出了驱动螺杆1700”其包括各自以相对于驱动螺杆1700”的纵向轴线1701的角度γ延伸的第一螺纹A”、第二螺纹B”和第三螺纹C”。图108B为驱动螺杆1700”的剖视图,并且示出了以大约120°的相差布置的螺纹A”、B”、和C”。角度γ小于图107A中的角度β并且图108A中的驱动螺杆1700”的螺纹导程X”大于图107A中所示的驱动螺杆1700’的螺纹导程X’。相似地,图109A示出了驱动螺杆1700”’,其可包括第一螺纹A”’、第二螺纹B”’、第三螺纹C”’和第四螺纹D”’,它们各自以相对于驱动螺杆1700”’的纵向轴线Z的角度δ延伸。图109B为驱动螺杆1700”’的剖视图,并且示出了以大约90°的相差布置的螺纹。角度δ小于角度γ并且驱动螺杆1700”’的螺纹导程X”’大于图108A中的驱动螺杆1700”的螺纹导程。
示例性外科器械系统可包括外壳和外壳中的马达,所述马达能够转动固定数量的转数,从而导致连接的可替换端部执行器的驱动螺杆转动例如30转。外科器械系统还可包括多个可替换外科缝合器端部执行器,其中端部执行器中的每一个可包括由例如驱动螺杆驱动的切割刀片和/或钉驱动器。在至少一个此类实施例中,第一可替换端部执行器可包括具有例如15mm长度的钉仓。图2A和2B中所示的驱动螺杆1700可用于第一可替换端部执行器中。螺纹导程X可被设定为例如0.5mm,使得切割刀片和/或钉驱动器可在驱动螺杆1700的30转中行进钉仓的15mm长度。第二可替换端部执行器可包括具有例如30mm长度的钉仓以及驱动螺杆,诸如图107A和107B中所示的驱动螺杆1700”。驱动螺杆1700’的螺纹导程X’可被设定为例如1.0mm,使得切割刀片和/或钉驱动器可在驱动螺杆1700’的30转中行进钉仓的30mm长度。相似地,包括具有长度为例如45mm的钉仓的第三可替换端部执行器可包括驱动螺杆,诸如图108A和108B中具有1.5mm螺纹导程X”的驱动螺杆1700”,使得切割刀片和/或钉驱动器在驱动螺杆1700”的30转中行进钉平台的45mm长度。包括具有长度为例如60mm的钉仓的第四可替换端部执行器可包括驱动螺杆,诸如图109A和109B中具有2.0mm螺纹导程X”’的驱动螺杆1700”’,使得切割刀片和/或钉驱动器在驱动螺杆1700”’的30转中行进钉平台的60mm长度。
图110示出了从端部执行器1740的其余部分移除的图105的切割刀片1730。切割刀片1730包括驱动螺杆1700从中穿过的通道1732。侧部1736形成通道1732的内壁并且可包括凹槽,例如沟槽1734,其能够接收驱动螺杆1700上的螺纹1708。沟槽1734可以角度ε取向,所述角度对应于驱动螺杆1700上的螺纹1708的角度。例如,如果螺纹1708被设定为图106A中所示的角度α,则沟槽1734的角度ε也可被设定为角度α。相应地,沟槽1734的角度ε可被设定为例如与其一起使用的相应驱动螺杆的角度β、δ和/或γ。
在各种实施例中,如图110的分解视图所示,侧部1736可被组装成限定在切割刀片1730的轴部分1746中的窗口1738。在某些实施例中,切割刀片1730可包括一体的侧部。在至少一个实施例中,侧部可包括适当的沟槽角度ε,其匹配驱动螺杆1700上的螺纹1708的角度,所述螺纹可形成于限定在其中的通道1732中。为切割刀片1730提供适于特定驱动螺杆的沟槽角度ε可以多种方式完成。在某些实施例中,可提供通用切割刀片1730,其不包括组装成其轴部分1746的窗口1738的侧部1736,其中可提供不同组的侧部1736,使得可从所述不同组的侧部1736选择所需组的侧部1736,然后组装到通用切割刀片1730,从而可将此组件与具体驱动螺杆一起使用。例如,第一组侧部1736在组装到切割刀片1730时可使切割刀片1730能够与第一驱动螺杆一起使用,并且第二组侧部1736在组装到切割刀片1730时可使切割刀片1730能够与第二驱动螺杆一起使用,以此类推。在某些其他实施例中,切割刀片1730可提供有与其一体形成的侧部。在至少一个此类实施例中,沟槽1734可例如与丝锥以角度ε一起形成,所述角度匹配特定驱动螺杆1700的螺纹1708的角度。
图111示出了驱动螺杆1700经由设置在两者间的中间齿轮1720联接到驱动轴1750。驱动轴1750被马达转动。如上所述,马达可完成固定或设定数量的转数,因此,驱动轴1750可转动固定数量的转数R。在某些实施例中,由驱动轴1750转动的转数R的数量可等于由马达转动的转数的固定数量。在另选的实施例中,由驱动轴1750转动的转数R的数量可大于或小于由马达转动的转数的固定数量。在各种实施例中,布置在马达与驱动轴1750之间的一个或多个齿轮可使驱动轴1750完成比马达更多的转数或更少的转数。在某些实施例中,驱动轴1750可包括外花键齿轮1752,其围绕和/或附接到驱动轴1750的远侧端部1754。外花键齿轮1752可接合限定在中间齿轮1720中的内花键齿轮1724以将驱动轴1750的旋转传输到中间齿轮1720。因此,在至少一个实施例中,中间齿轮1720可完成与驱动轴1750相同的转数R。
中间齿轮1720可包括接合到齿轮1712的第二齿轮1722,齿轮1712围绕和/或附接到驱动螺杆1700的近侧端部1702。中间齿轮1720的第二齿轮1722限定第一直径D1,并且驱动螺杆1700的近侧端部1702上的齿轮1712限定第二直径D2。第二直径D2可不同于第一直径D1。当第一直径D1和第二直径D2不同时,它们可限定与1:1不同的齿轮齿数比。如图111中所示,在某些实施例中,直径D1可大于直径D2,使得驱动螺杆1700将完成比由驱动轴1750和中间齿轮1720转动的转数R更多的转数R’。在另选的实施例中,直径D1可小于直径D2,使得驱动螺杆1700将转动比由驱动轴1750和中间齿轮1720转动的转数R更少的转数R’。
中间齿轮1720的第二齿轮1722与驱动螺杆1700的齿轮1712之间的齿轮齿数比可被设定成使得当驱动轴1750完成其固定数量的转数时驱动螺杆1700完成一定数量的转数。如果中间齿轮1722为可替换端部执行器组件的部分,则每个可替换端部执行器组件中的中间齿轮1722与驱动螺杆1700之间的齿轮齿数比可被设定成使得外科外壳中的马达可转动固定数量的转数。例如,参见图111,假定驱动轴1750转动固定的30转且可替换外科缝合器包括15mm钉仓并且如果端部执行器包括具有0.25mm螺纹导程的驱动螺杆,则驱动螺杆将完成60转以将切割刀片和/或钉驱动器推进钉仓的15mm长度。在至少一个实施例中,中间齿轮1720的尺寸可被设定成使得第二内齿轮1722具有直径D1,所述直径D1为驱动螺杆1700的外齿轮1712的直径D2的两倍。因此,当驱动轴1750完成30转时,驱动螺杆1700将完成60转。如果第二可替换外科缝合器包括30mm钉仓,则具有0.25mm螺纹导程的驱动螺杆将完成120转以将切割刀片和/或钉驱动器推进30mm长度。可替换外科缝合器的中间齿轮1720的尺寸可被设定成使得第二内齿轮1722具有直径D1,所述直径D1为驱动螺杆1700的外齿轮1712的直径D2的四倍。因此,当驱动轴1750完成30转时,驱动螺杆1700将完成120转。
返回到图105,在某些实施例中,击发构件例如切割刀片1730的击发路径可为直线的。在某些实施例中,击发补片可为弯曲的和/或曲线的。在某些实施例中,驱动螺杆1708可为柔性的以使驱动螺杆1708能够跟随击发构件沿例如弯曲和/或曲线路径的侧向运动。在某些实施例中,击发构件可为柔性的或可包括至少一个柔性部分以使击发构件的多个部分能够例如沿弯曲和/或曲线路径相对于驱动螺杆1708侧向地位移,而击发构件的其余部分不相对于驱动螺杆1708侧向地位移。在某些实施例中,击发长度可通过击发构件沿击发路径运动的距离限定,而与总的净位移无关。在各种其他实施例中,击发长度可通过击发构件的总的净位移限定,而与击发路径无关。
在各种实施例中,可提供与外科器械系统一起使用的套件,所述套件包括具有不同长度的各种可替换端部执行器。在某些实施例中,所述套件可包括精选的具有不同长度的可替换端部执行器,外科医生可从中选择以供在对患者的外科手术中使用。所述套件还可包括每种长度的若干可替换端部执行器。在某些实施例中,所述套件可包括一系列不同长度的可替换端部执行器,其中所述系列针对特定外科手术是预先确定的。例如,某种外科手术可首先需要15mm切口,然后是第二个15mm切口,最后是30mm切口。用于该外科手术的外科套件可包括能够切入并缝合患者组织的三个可替换端部执行器。首先的两个可替换端部执行器可包括大约15mm长度,并且第三可替换端部执行器可包括大约30mm长度。
图112-117示出了另一个示例性细长轴组件2200,所述细长轴组件在其中具有另一个示例性快速断开联接器布置2210。在至少一个形式中,例如,快速断开联接器布置2210包括呈近侧外管段2214形式的近侧联接器构件2212,所述近侧外管段在其上具有管齿轮段354,所述管齿轮段能够以上述方式与第一驱动系统350交接。如上所述,第一驱动系统350用于使细长轴组件2200和可操作地联接到其的端部执行器1000围绕纵向工具轴线“LT-LT”旋转。近侧外管段2214具有能够在其上接收锁定管段2220的“颈缩”远侧端部部分2216。快速断开结构2210还包括呈远侧外管部分2218形式的远侧联接器构件2217,所述远侧外管部分2218基本上类似于上述远侧外管部分231,不同的是远侧外管部分2218包括颈缩近侧端部部分2219。远侧外部结构或燕尾接头2226形成于远侧外管段2218的近侧端部部分2219的端部上,其能够驱动地接合形成于近侧外管段2214的远侧端部部分2216上的近侧外部结构或燕尾接头2228。
图112-117中所示的示例性实施例采用上述闭合系统670的示例性实施例。快速断开联接器布置2210能够促进近侧闭合传动系组件可操作地联接到相应的远侧传动系组件。例如,如可在图113中看出,细长轴组件2200可包括呈第一近侧闭合杆段2230形式的第一近侧闭合传动系组件和呈第一远侧闭合杆段2240形式的第一远侧闭合传动系组件,它们能够通过快速断开联接器布置2210连接在一起。即,在至少一个示例性形式中,第一近侧闭合杆段2230具有形成于其远侧端部2232上的第一闭合接头结构或燕尾接头段2234。同样,第一远侧闭合杆段2240具有形成于其近侧端部2242上的第二闭合接头结构或燕尾接头段2244,其适于侧向可滑动地接合第一燕尾接头段2234。仍然参见图113,细长轴组件2200可包括呈第二近侧闭合杆段2250形式的第二近侧闭合传动系组件和呈第二远侧闭合杆段2260形式的第二远侧闭合传动系组件,它们能够通过快速断开联接器布置2210连接在一起。即,在至少一个示例性形式中,第二近侧闭合杆段2250具有形成于其远侧端部2252上的第三闭合接头结构或燕尾闭合接头段2254。同样,远侧第二远侧闭合杆段2260可具有形成于远侧第二闭合杆段2260的近侧端部2262上的第四闭合接头结构或燕尾闭合接头段2264,其适于侧向地接合第三燕尾接头段2254。
在例示的实施例和其他实施例中,第一近侧闭合杆段2230和第二近侧闭合杆段2250延伸穿过近侧驱动轴段380’。近侧驱动轴段380’包括近侧旋转传动系组件387’并且远侧驱动轴段540’包括远侧旋转传动系组件548’。当近侧旋转传动系组件387’可操作地联接到远侧旋转传动系组件548’时,驱动轴组件388’被形成为将旋转控制运动传输到端部执行器1000。在至少一个示例性实施例中,近侧驱动轴段380’基本上类似于上述近侧驱动轴段380,不同的是近侧驱动轴段380’的远侧端部部分381’具有形成于其上的远侧结构或燕尾驱动接头2270。相似地,远侧驱动轴段540’可基本上类似于上述远侧驱动轴段540,不同的是近侧结构燕尾驱动接头2280形成于其近侧端部542’上,其适于通过快速断开联接器布置2210驱动地接合远侧燕尾驱动接头2270。第一远侧闭合杆段2240和远侧第二闭合杆段2260也可延伸穿过远侧驱动轴段540’。
该示例性实施例还可包括关节运动联接接头2300,其与第三和第四驱动缆线434、454交接。如可在图113中看出,关节运动联接接头2300包括近侧关节运动管2302,其具有形成于其远侧端部2304上的近侧球接头段2306。近侧关节运动管2302包括用于穿过其中接收缆线末端部分434A’、434B’、454A’、454B’的通道2308。近侧球接头段2310被可运动地支撑在近侧球段2306上。近侧缆线段434A’、434B’、454A’、454B’延伸穿过通道2308以附接到近侧球接头段2310。近侧关节运动管2302、近侧球接头段2310和近侧缆线段434A’、434B’、454A’、454B’可统称为近侧关节运动传动系部分2314。
示例性关节运动联接接头2300还可包括远侧关节运动管2320,其具有形成于其近侧端部2322上的远侧球接头段2324。远侧球接头段2324具有形成于其上的第一远侧结构或燕尾接头2325,其适于驱动地接合形成于近侧球接头段2306上的第一近侧结构或燕尾接头2307,使得当第一远侧燕尾接头2325驱动地接合第一近侧燕尾接头2307时,远侧球接头段2324和近侧球接头段2306形成内关节运动球组件。此外,关节运动联接接头2300还包括被支撑在远侧球接头段2324上的远侧球段2330并且具有形成于其上的第二远侧结构或燕尾接头2332,其适于驱动地接合近侧球接头段2310上的第二近侧结构或燕尾接头2312。远侧缆线段444、445、446、447附接到远侧球段2340并且延伸穿过远侧关节运动管2320中的通道2328。当接合在一起时,近侧球接头段2310和远侧球接头段2324形成关节运动球2340,所述关节运动球被可运动地轴颈连接在内关节运动球上。远侧关节运动管2320、远侧球段2340和远侧缆线段444、445、446、4447可统称为近侧关节运动传动系组件2316。
如在图115中可见,细长轴组件2200的远侧部分可进行装配,使得下述接头段通过远侧联接器2217或远侧外管部分2218彼此保持对准,以形成统称为2290的远侧燕尾接头组件:2226、2332、2325、2280、2244和2264。同样,细长轴组件2200可进行装配,使得近侧联接器构件2212或近侧外管段2214保持下述接头段彼此对准,以形成统称为2292的近侧燕尾接头组件:2228、2312、2307、2270、2234和2254。
端部执行器1000可如下可操作地联接到细长轴组件2200。为了开始附接,临床医生将锁定管段2220运动到图115和116中所示的第一解锁位置。如可在这些图中看出,锁定管段具有形成于其远侧端部2222上的邻接段2224。当处于解锁位置时,邻接段2224朝远侧突起超过近侧燕尾接头组件2292以形成邻接表面以用于使远侧燕尾接头组件2290与近侧燕尾接头组件2292侧向地连接。即,临床医生可将远侧燕尾接头组件2290与近侧燕尾接头组件2292侧向地对齐,然后将远侧燕尾接头组件2290滑动到与近侧燕尾接头组件2292侧向接合,直到远侧燕尾接头组件2290接触邻接段2224,此时所有相应的近侧和远侧接头段同时互连。然后,临床医生可将锁定管段2220朝远侧运动到第二锁定位置,如图117中所示。当处于该位置时,锁定管段2220覆盖快速断开接头2210并且阻止远侧燕尾组件2290与近侧燕尾组件2292之间的任何相对侧向运动。
虽然上述各种示例性实施例能够与机器人系统可操作地交接并且至少部分地被机器人系统致动,端部执行器和细长轴部件可有效地结合手持式器械使用。例如,图118-120示出了手持式外科器械2400,其可采用上述的各种部件和系统以可操作地致动联接到其上的端部执行器1000。在图118-120中所示的示例性实施例中,快速断开接头2210用于将端部执行器1000联接到细长轴组件2402。为了有利于端部执行器1000围绕关节运动接头700的关节运动,细长轴组件2402的近侧部分包括示例性可手动致动的关节运动驱动装置2410。
现在参见图121-123,在至少一个示例性形式中,关节运动驱动装置2410包括四个可轴向运动的关节运动滑动件,所述关节运动滑动件被可运动地轴颈连接在近侧驱动轴段380’上在近侧外管段2214与近侧驱动轴段380’之间。例如,关节运动缆线段434A’附接到第一关节运动滑块2420,所述第一关节运动滑块具有从其突起的第一关节运动致动器杆2422。关节运动缆线段434B’附接到与第一关节运动滑块2420在直径上对置的第二关节运动滑块2430。第二关节运动滑块2430具有从其突起的第二关节运动致动器杆2432。关节运动缆线段454A’附接到第三关节运动滑块2440,所述第三关节运动滑块具有从其突起的第三关节运动致动器杆2442。关节运动缆线段454B’附接到与第三关节运动滑块2440在直径上对置的第四关节运动滑块2450。第四关节运动致动器杆2452从第四关节运动滑块2450突起。关节运动致动器杆2422、2432、2442、2452有利于通过关节运动环组件2460来将控制运动分别施加到关节运动滑块2420、2430、2440、2450。
如可在图121中看出,关节运动致动器杆2422、2432、2442、2452可运动地通过安装球2470,所述安装球轴颈连接在近侧外管段2404上。在至少一个实施例中,安装球2470可以由适当的紧固件结构(例如,焊接件、粘合剂、螺杆等)附接到一起的段而制造。如图109中所示,关节运动致动器杆2422和2432延伸穿过近侧外管段2404中的狭槽2472以及安装球2470中的狭槽2474以使关节运动滑动件2420、2430能够相对于其轴向地运动。尽管未示出,但关节运动致动器杆2442、2452延伸穿过近侧外管段2404和安装球2470中的类似狭槽2472、2474。关节运动致动器杆2422、2432、2442、2452中的每一个从安装球2470中的对应狭槽2474伸出,以被可操作地接收在关节运动环组件2460中的对应安装承窝2466内。参见图122。
在至少一个示例性形式中,关节运动环组件2460由一对环段2480、2490制成,所述一对环段通过例如焊接、粘合剂、按扣特征结构、螺杆等连接在一起以形成关节运动环组件2460。环段2480、2490配合以形成安装承窝2466。关节运动致动器杆中的每一个均具有在其上形成的安装球2468,所述安装球各自适于被可运动地接收在关节运动环组件2460中的对应安装承窝2466内。
关节运动驱动装置2410的各种示例性实施例还可包括示例性锁定系统2486,其能够保持关节运动环组件2460处于致动位置。在至少一个示例性形式中,锁定系统2486包括形成于关节运动环组件2460上的多个锁定翼片。例如,环段2480、2490可由略呈柔性的聚合物或橡胶材料制成。环段2480具有在其中形成的一系列柔性近侧锁定翼片2488,并且环段2490具有在其中形成的一系列柔性远侧锁定翼片2498。每个锁定翼片2388具有在其上形成的至少一个锁定棘爪2389,并且每个锁定翼片2398在其上具有至少一个锁定棘爪2399。锁定棘爪2389、2399可用于建立与关节运动球所需的锁定摩擦量,以便将关节运动球保持就位。在其他示例性实施例中,锁定棘爪2389、2390能够配合地接合形成于安装球2470的外周边中的各种锁定凹坑。
可参照图122和123来理解关节运动驱动装置2410的操作。图122示出了处于非关节运动位置的关节运动驱动装置2410。在图123中,临床医生已手动地倾斜关节运动环组件2460以使关节运动滑动件2420在远侧方向“DD”上轴向地运动,从而朝远侧推进关节运动缆线段434A’。关节运动环组件2460的此类运动还导致关节运动滑块2430沿近侧方向的轴向运动,所述轴向运动最终沿近侧方向牵拉关节运动缆线434B。关节运动缆线段434A’、434B’的此类推动和牵拉将导致端部执行器1000以上述方式相对于纵向工具轴线“LT-LT”进行关节运动。为了反转关节运动方向,临床医生仅反转关节运动环组件2460的取向,从而使得关节运动滑块2430沿远侧方向“DD”运动并且使得关节运动滑块2420沿近侧方向“PD”运动。关节运动环组件2460可被类似地致动以将所需的推动和牵拉运动施加到关节运动缆线段454A’、454B’。锁定棘爪2389、2399与安装球外周边之间产生的摩擦用于在端部执行器1000已关节运动到所需位置之后将关节运动驱动装置2410保持就位。在另选的示例性实施例中,当锁定棘爪2389、2399被定位成被接收在安装球中的相应锁定凹坑中时,安装球将被保持就位。
在例示的示例性实施例和其他实施例中,细长轴组件2402与柄部组件2500可操作地交接。柄部组件2500的示例性实施例包括一对柄部外壳段2502、2504,其联接在一起以形成用于各种驱动部件和系统的外壳,如下文将更详细讨论。参见例如图118和119。柄部外壳段2502、2504可通过螺杆、按扣特征结构、粘合剂等联接在一起。当联接在一起时,柄部段2502、2504可形成包括手握式握把部2506的柄部组件2500。
为了有利于端部执行器1000围绕纵向工具轴线“LT=LT”的选择性旋转,细长轴组件2402可与通常称为2510的第一驱动系统交接。驱动系统2510包括可手动致动的旋转喷嘴2512,所述可手动致动的旋转喷嘴被可旋转地支撑在柄部组件2500上,使得其可相对于柄部组件旋转以及可在锁定位置和解锁位置之间轴向地运动。
外科器械2400可包括如上文所述的闭合系统670,以用于将打开运动和闭合运动施加到端部执行器1000的砧座1100。然而,在该示例性实施例中,闭合系统670被闭合触发器2530致动,所述闭合触发器枢转地安装到柄部框架组件2520,所述柄部框架组件被支撑在柄部外壳段2502、2504内。闭合触发器2530包括致动部分2532,所述致动部分被枢转地安装到枢转销2531上,所述枢转销被支撑在柄部框架组件2520内。参见图124。此类示例性结构有利于朝向和远离柄部组件2500的手枪式握把部2506枢转行进。如可在图124中看出,闭合触发器2530包括闭合连接件2534,所述闭合连接件通过闭合线2535连接至第一枢转连接件与齿轮组件695。因此,通过使闭合触发器2530朝柄部组件2500的手枪式握把部2506枢转到致动位置中,闭合连接件2534和闭合线2535引起第一枢转连接件与齿轮组件695使第一闭合杆段680在远侧方向“DD”上运动以使砧座闭合。
外科器械2400还可包括闭合触发器锁定系统2536以保持闭合触发器处于致动位置。在至少一个示例性形式中,闭合触发器锁定系统2536包括枢转地联接到柄部框架组件2520的闭合锁定构件2538。如可在图125和126中看出,闭合锁定构件2538具有形成于其上的锁定臂2539,当闭合触发器2530朝手枪式握把部2506致动时,所述锁定臂能够骑跨在闭合连接件2532的弓形部分2537上。当闭合触发器2530已被枢转到完全致动位置时,锁定臂2539下降到闭合联接件2532的端部后并阻止闭合触发器2530返回到其未致动位置。因此,砧座1100将被锁定在其闭合位置。为了使闭合触发器2530能够返回到其未致动位置并从而导致砧座从闭合位置运动到打开位置,临床医生简单地枢转闭合锁定构件2538直到其锁定臂2539脱离闭合连接件2532的端部,从而允许闭合连接件2532运动到未致动位置。
通过闭合返回系统2540来使闭合触发器2532返回到未致动位置。例如,如可在图124中看出,闭合触发器返回系统2540的一个示例性形式包括闭合触发器滑动构件2542,所述闭合触发器滑动构件通过闭合触发器轭2544连接至闭合连接件2534。闭合触发器滑块构件2542被可滑动地支撑在柄部框架组件2520中的滑块腔2522内。闭合触发器返回弹簧2546定位在滑块腔2520内,以将偏置力施加到闭合触发器滑块构件2542。因此,当临床医生致动闭合触发器2530时,闭合触发器轭2544使闭合触发器滑块构件2542沿远侧方向“DD”运动,由此压缩闭合触发器返回弹簧2546。当闭合触发器锁定系统2536被脱离并且闭合触发器2530被释放时,闭合触发器返回弹簧2546使闭合触发器滑块构件2542沿近侧方向“PD”运动,从而将闭合触发器2530枢转到起始未致动位置。
外科器械2400也可采用上述各种示例性驱动轴组件中的任何一种。在至少一个示例性形式中,外科器械2400采用第二驱动系统2550以用于将旋转控制运动施加到近侧驱动轴组件380’。参见图128。第二驱动系统2550可包括被可操作地支撑在手握式握把部2506中的马达组件2552。马达组件2552可通过可移除地附接到柄部组件2500的电池组2554来供电,或者其可由交流电源来供电。第二驱动齿轮2556可操作地联接到马达组件2552的驱动轴2555。第二驱动齿轮2556被支撑成与第二旋转从动齿轮2558啮合接合,所述第二旋转从动齿轮附接到驱动轴组件的近侧驱动轴段380’。在至少一个形式中,例如,第二驱动齿轮2556也可在马达驱动轴2555上相对于马达组件2552在由图128中的箭头“U”表示的方向上轴向运动。偏置构件(例如,卷簧2560或类似的构件)定位在第二驱动齿轮2556马达外壳2553之间并用于使马达驱动轴2555上的第二驱动齿轮2556偏置成与第二从动齿轮2558上的第一齿轮段2559啮合接合。
第二驱动系统2550还可包括击发触发器组件2570,所述击发触发器组件可运动地(例如,可枢转地)附接到柄部框架组件2520。在至少一个示例性形式中,例如,击发触发器组件2570包括第一旋转驱动触发器2572,所述第一旋转驱动触发器与相应开关/触点(未示出)协作,所述开关/触点与马达组件2552电连通,并且在启动时,引起马达组件2552将第一旋转驱动运动施加到第二从动齿轮2558。此外,击发触发器组件2570还包括可相对于第一旋转驱动触发器枢转的回缩驱动触发器2574。回缩驱动触发器2574与开关/接触件(未示出)可操作地交接,所述开关/接触件与马达组件2552电连通并在启动时导致马达组件2552向第二从动齿轮2558施加第二旋转驱动运动。第一旋转驱动运动导致端部执行器中的驱动轴组件和工具驱动轴旋转,以使击发构件在端部执行器1000中朝远侧运动。相反地,第二旋转驱动运动与第一旋转驱动运动相反,并且将最终导致驱动轴组件和工具驱动轴在旋转方向上旋转,从而导致端部执行器1000中的击发构件的近侧运动或回缩。
例示的实施例还包括可手动致动的安全构件2580,所述可手动致动的安全构件枢转地附接到闭合触发器致动部分2532并可在第一“安全”位置(其中安全构件2580物理地阻止击发触发器组件2570的枢转行进)和第二“关闭”位置(其中临床医生可自由地枢转击发触发器组件2570)之间选择性地枢转。如可在图124中看出,第一凹坑2582被提供于闭合触发器致动部分2532中,其对应于安全构件2580的第一位置。当安全构件2580处于第一位置时,安全构件2580上的棘爪(未示出)被接收在第一凹坑2582内。第二凹坑2584另外提供在闭合触发器致动部分2532中,所述闭合触发器致动部分对应于安全构件2580的第二位置。当安全构件2580处于第二位置时,安全构件2580上的棘爪被接收在第二凹坑2582内。
在至少一些示例性形式中,外科器械2400可包括通常称为2590的可机械致动的反向系统,以用于在马达组件2552失效或电池电力失去或中断的情况下将反向旋转运动机械地施加到近侧驱动轴段380’。例如,当可操作地联接到近侧驱动轴段380’的驱动轴系统部件被卡住或以其他方式被束缚以使得在仅有马达电力的情况下将阻止驱动轴部件的反向旋转时,此类机械反向系统2590还可为尤其有用的。在至少一个示例性形式中,可机械致动的反向系统2590包括反向齿轮2592,所述反向齿轮被可旋转地安装在形成于柄部框架组件2520上的轴2524A上以与第二从动齿轮2558上的第二齿轮段2562啮合接合。参见图126。因此,当第二从动齿轮2558使驱动轴组件的近侧驱动轴段380’旋转时,反向齿轮2592在轴2524A上自由地旋转。
在各种示例性形式中,机械反向系统2590还包括呈杠杆臂2596形式的可手动致动的驱动器2594。如可在图129和130中看出,杠杆臂2596包括轭部分2597,所述轭部分具有穿过其中的细长狭槽2598。轴2524A延伸穿过狭槽2598A,并且形成于柄部外壳组件2520上的相对的第二轴2598B延伸穿过另一个细长狭槽以将杠杆臂2596可运动地附连到相对的第二轴2598B。此外,杠杆臂2596具有形成于其上的可啮合地接合反向齿轮2592的致动器翅片2597。存在将杠杆臂2596保持在未致动状态的棘爪或干涉过盈件,直至临床医生施加显著力来致动它。这可避免其在倒置的情况下意外启动。其他实施例可采用弹簧来将杠杆臂偏置成未致动状态。机械反向系统2590的各种示例性实施例还包括刀回缩器按钮2600,所述刀回缩器按钮被可运动地轴颈连接在柄部框架组件2520中。如可在图129和130中看出,刀回缩器按钮2600包括脱离翼片2602,所述脱离翼片能够接合第二驱动齿轮2556的顶部。通过刀片回缩器弹簧2604来将刀片回缩器按钮2600偏置到脱离位置。当处于脱离位置时,脱离翼片2602偏置成不与第二驱动齿轮2556接合。因此,直至临床医生希望通过按压刀片回缩器按钮2600来启动机械反向系统2590时,第二驱动齿轮2556才与第二从动齿轮2558的第一齿轮段2559啮合接合。
当临床医生希望向近侧驱动轴段380’施加反向旋转驱动运动时,临床医生按压刀片回缩器按钮2600以使第二从动齿轮2558上的第一齿轮段2559与第二驱动齿轮2556脱离。然后,临床医生开始对可手动致动的驱动器2594施加枢转齿合运动,这导致其上的齿轮翅片2597驱动反向齿轮2592。反向齿轮2592与第二从动齿轮2558上的第二齿轮段2562处于啮合接合状态。可手动致动的驱动器2594的持续齿合导致反向旋转驱动运动被施加到第二齿轮段2562并最终被施加到近侧驱动轴段380’。临床医生可按照完全释放相关联的端部执行器部件或使其反向所需要的次数来继续多次齿合驱动器2594。一旦所需量的反向旋转运动已被施加到近侧驱动轴段380’,临床医生就将刀片回缩器按钮2600和驱动器2594释放到其相应的起始或未致动位置,其中翅片2597不与反向齿轮2592接合,并且第二驱动齿轮2556再次与第二从动齿轮2558上的第一齿轮段2559啮合接合。
外科器械2400也可与包括旋转传动装置750的端部执行器1000一起使用,如上文详细描述。如上文所讨论,当驱动轴组件处于第一轴向位置时,施加至其上的旋转运动导致整个端部执行器1000围绕关节运动接头700远侧的纵向工具轴线“LT-LT”旋转。当驱动轴组件处于第二位置时,施加至其上的旋转运动导致工具驱动轴旋转,这最终引起击发构件在端部执行器1000内致动。
外科器械2400可采用移位系统2610以用于选择性地轴向移动近侧驱动轴段380’,从而使轴齿轮376运动到与第一旋转从动齿轮374啮合接合以及与第一旋转从动齿轮374脱离啮合接合。例如,近侧驱动轴段380’被可运动地支撑在柄部框架组件2520内,使得近侧驱动轴段380’可在其中轴向运动和旋转。在至少一个示例性形式中,移位系统2610还包括移位器轭2612,所述移位器轭由柄部框架组件2520可滑动地支撑。参见图124和图127。近侧驱动轴段380’在其上具有一对衬圈386(示于图124和128中),使得柄部框架组件2520上的移位器轭2612的移动导致近侧驱动轴段380’轴向运动。在至少一个形式中,移位系统2610还包括与移位器轭2612可操作地交接的移位器按钮组件2614,并延伸穿过柄部组件2500的柄部外壳段2504中的狭槽2505。参见图135和图136。移位器弹簧2616与柄部框架组件2520安装在一起,使得其接合近侧驱动轴段380’。参见图127和图134。当移位器按钮组件2614被可滑动地定位在图135中所示的第一轴向位置与图136中所示的第二轴向位置之间时,弹簧2616用于为临床医生提供可听见的咔嗒声和触觉反馈,在第一轴向位置中,驱动轴组件的旋转导致端部执行器1000围绕纵向工具轴线“LT-LT”相对于关节运动接头700旋转(示于图67中),在第二轴向位置中,驱动轴组件的旋转导致端部执行器中的击发构件轴向运动(示于图66中)。因此,此类结构使得临床医生在保持柄部组件2500时能够容易地可滑动地定位移位器按钮组件2614。
图137-147示出了可锁定关节运动接头2700,除了下文讨论的差异外,所述可锁定关节运动接头在一个示例性实施例中基本上与上述关节运动接头700相同。在一个示例性实施例中,关节运动接头2700由关节运动锁定系统2710锁定和解锁。关节运动接头2700包括近侧承窝管702,所述近侧承窝管附接到远侧外管部分231的远侧端部233并在其中限定近侧球承窝704。参见图137。附接到中间关节运动管段712的近侧球构件706被可运动地安置在近侧承窝管702内的近侧球承窝704内。如可在图137中看出,近侧球构件706具有中心驱动通道708,所述中心驱动通道使远侧驱动轴段540能够延伸穿过其中。此外,近侧球构件706在其中具有四个关节运动通道710,所述关节运动通道有利于远侧缆线段444、445、446、447通过其中。如可在图137中进一步看出,中间关节运动管段712具有形成于其中的中间球承窝714。中间球承窝714能够在其中可运动地支撑形成于端部执行器连接器管720上的端部执行器球722。远侧缆线段444、445、446、447延伸穿过形成于端部执行器球722中的缆线通道724,并通过被接收在端部执行器球722的相应通道728内的耳状物726附接到其上。可采用其他附接结构以用于将远侧缆线段444、445、446、447附接到端部执行器球722。
如可在图137中看出,关节运动锁定系统2710的一个示例性形式包括锁定线或构件2712,其延伸穿过细长轴组件的远侧外管部分231和近侧承窝管702。锁定线2712具有附接到传送盘2722的近侧端部2720,所述传送盘被可操作地支撑在柄部部分2500(大体在图137中以虚线表示)中。例如,传送盘2722安装在心轴2724上,所述心轴联接到形成于柄部2500中的凸出部2726。致动器缆线或线2730附接到传送盘2722并且可由临床医生手动地致动(即,推动或牵拉)。在外科器械附接到机器人系统的其他实施例中,致动器缆线2730能够接收来自机器人系统的控制运动以致动传送盘2722。
如可在图143-146中看出,锁定线2712具有形成于其远侧端部2715上的一对解锁楔形件2714、2716。第一解锁楔形件2714能够与远侧锁定环2740的端部2742、2744可操作地交接,所述远侧锁定环轴颈连接在中间关节运动管712上。在如图143中所示的其正常“锁定”状态中,远侧锁定环2740将周向延伸的锁定或挤压力施加到中间关节运动管712以将中间关节运动管712挤压在端部执行器球722上,从而阻止其在承窝714内运动。如可在图143-146中看出,远侧锁定环2740的端部2742、2744是渐缩的以在其间限定锥形或V形开口2746,所述开口能够在其间接收第一解锁楔形件2714。
如可在图143-146中进一步看出,第二锁定楔形件2716能够与近侧锁定环2750的端部2752、2754交接,所述近侧锁定环2750轴颈连接在近侧承窝管702上。在如图143中所示的其正常“锁定”状态中,近侧锁定环27450将周向延伸的锁定或挤压力施加到近侧承窝管702以将近侧承窝管702挤压在近侧球构件706上,从而阻止其在近侧球承窝704内运动。如可在图143-146中看出,近侧锁定环2750的端部2752、2754是渐缩的以在其间限定锥形或V形开口2756,所述开口能够在其间接收第二解锁楔形件2716。
当关节运动接头2700被关节运动锁定系统2710的致动解锁时,端部执行器1000可通过致动远侧缆线段444、445、446、447以上述各种方式选择性地进行关节运动。可参照图138、139和143-146来理解关节运动锁定系统2710的致动。图143示出了第一和第二解锁楔形件2714、2716相对于远侧和近侧锁定环2740、2750的位置。当处于该状态时,锁定环2740阻止端部执行器球722在承窝714内运动,并且锁定环2750阻止近侧球构件706在承窝704内运动。为了解锁关节运动接头2700,在近侧方向“PD”上牵拉致动缆线2726,这最终导致锁定线2712在远侧方向“DD”上被推动到图144中所示的位置。如可在图144中看出,第一解锁楔形件2714已朝远侧在远侧锁定环2740的端部2742、2744之间运动以使环2740伸展而解除施加到中间关节运动管712的挤压力,从而允许端部执行器球722在承窝714内运动。同样,第二解锁楔形件2716已朝远侧在近侧锁定环2750的端部2752、2754之间运动以使环2750伸展而解除近侧承窝管702上的挤压力,从而允许近侧球构件706在承窝704内运动。当处于该解锁位置时,关节运动系统可被致动以便以上述方式将致动运动施加到远侧缆线段444、445、446、447,以使端部执行器1000进行关节运动,如图138和139中所示。例如,图143和144示出了在端部执行器1000已关节运动到图138中所示的位置中时第一和第二锁定楔形件2714、2716的位置。同样,图145和146示出了在端部执行器1000已关节运动到图139中所示的位置中时第一和第二锁定楔形件2714、2716的位置。一旦临床医生已使端部执行器关节运动到所需位置,临床医生(或机器人系统)将推动运动施加到致动缆线以使传送盘2722旋转并使锁定线2712运动到图143、145中所示的位置,从而允许锁定环2740、2750弹至其夹紧或锁定位置以保持端部执行器1000处于该锁定位置。
图148-156示出了另一个端部执行器实施例2800,除下文讨论的差异外,所述端部执行器实施例2800在一个示例性形式中基本上与端部执行器1000相同。端部执行器2800包括砧座组件2810,所述砧座组件通过对其施加旋转闭合运动而被打开和闭合。砧座组件2810被枢转地支撑在细长通道2830上以用于在打开位置(图148和149)与闭合位置(图150-153)之间选择性运动。除下文讨论的差异外,细长通道2830可基本上与上述细长通道1020相同。例如,在例示的实施例中,细长通道2830具有形成于其上的端部执行器连接器外壳2832,其可通过如上文所述的环状轴承734联接到端部执行器连接器管720。如可在图148中看出,端部执行器连接器外壳2832可操作地支撑其中的旋转传动装置组件2860。
如可在图148和149中看出,砧座组件2810包括一对砧座耳轴2812(图148中仅可见一个耳轴),其被可运动地接收在形成于细长通道2830中的相应耳轴狭槽2814内。砧座组件2810的下侧还具有形成于其上的砧座开放滑道2816,以用于与击发构件1200’上的砧座枢轴销1201’枢转接合。除指出的差异外,击发构件1200’可基本上与上述击发构件1200相同。此外,砧座组件2810还包括闭合销2818,所述闭合销能够与旋转闭合轴2910可操作地接合,所述旋转闭合轴接收来自旋转传动装置组件2860的旋转闭合运动,如下文将更详细讨论。击发构件1200’可旋转地轴颈连接在工具驱动轴1300上,所述工具驱动轴被可旋转地支撑在细长通道2830内,所述细长通道能够支撑其中的外科钉仓(未示出)。工具驱动轴1300具有形成于其上的轴承段1304,所述轴承段被可旋转地支撑在形成于端部执行器连接器外壳2832中的轴承套管2834中。
在示例性的例示的实施例中,旋转传动装置组件2860包括旋转驱动轴2870,所述旋转驱动轴纵向地延伸穿过细长轴组件以与工具安装部分可操作地交接(如果端部执行器2800由机器人系统供电)或与柄部组件的击发触发器可操作地交接(如果要手动地操作端部执行器2800)。对于采用关节运动接头的那些实施例,旋转驱动轴2870的延伸穿过关节运动接头700的部分可包括本文所公开的任何柔性驱动轴组件。如果未采用关节运动接头,旋转驱动轴可为刚性的。如尤其可在图148和149中看出,旋转驱动轴2870具有形成于其上或附接到其上的旋转驱动头2872,所述旋转驱动头具有形成于其上的第一环形齿轮2874。此外,旋转驱动头2872还具有形成于其上的第二环形齿轮2876以用于与附接到旋转移位器轴2880的移位器齿轮2882选择性啮合接合。
移位器轴2880可包括上述旋转驱动轴组件中的任何一种,并且延伸穿过细长轴组件以与工具安装部分300(如果端部执行器2800被机器人系统驱动)或柄部组件(如果要手动地操作端部执行器)可操作地交接。在任一种情况中,移位器轴2800能够接收纵向移动运动以使移位器齿轮2882在旋转驱动头2872内纵向地移动,并且能够接收旋转驱动运动以使移位器齿轮2882旋转,如下文将更详细讨论。
如可在图148和149中进一步看出,旋转传动装置组件2860还包括具有主体2892的分动齿轮组件2890,所述主体的一部分被可旋转地支撑在旋转驱动头2872中的腔2873内。主体2892具有心轴2894,所述心轴可旋转地延伸穿过形成于端部执行器连接器外壳2832中的隔板2836中的心轴安装孔2838。主体2892还具有形成于其中的移位器环形齿轮2896以用于与旋转移位器轴2880上的移位器齿轮2882选择性啮合接合。分动齿轮2900安装到分动齿轮心轴2902,所述分动齿轮心轴从主体2892突出并且被可滑动地接收在隔板2836中的弓形狭槽2840内。参见图155和图156。分动齿轮2900与形成于旋转驱动头2872中的第一环形齿轮2874啮合接合。如可在图153-156中看出,弓形狭槽2840具有在其中突起的居中设置的柔性棘爪2842。棘爪2842形成于幅材2844上,所述幅材由棘爪泄压狭槽2846形成,所述棘爪泄压狭槽邻近弓形狭槽2840形成,如图155中所示。
旋转闭合轴2910具有轴承部分2912,所述轴承部分通过隔板2836中的相应开口被可旋转地支撑。旋转闭合轴2910还具有闭合驱动齿轮2914,所述闭合驱动齿轮能够与分动齿轮2900选择性啮合接合。工具驱动轴1300也具有工具驱动齿轮1302,所述工具驱动齿轮能够与分动齿轮2900选择性啮合接合。
现在将参考图148-155对端部执行器2800的操作进行阐释。图148和149示出了砧座组件2810处于打开位置的端部执行器2800。为了使砧座组件2810运动到图150中所示的闭合位置,移位器轴2880被定位成使得移位器齿轮2882与主体2892中的移位器环形齿轮2896啮合接合。移位器轴2880可被旋转而引起主体2892旋转以使分动齿轮2900与闭合轴2910上的闭合驱动齿轮2914啮合接合。参见图153。当处于该位置时,锁定棘爪2842保持分动齿轮心轴2902处于该位置。然后,旋转驱动轴2870被旋转以将旋转运动施加到分动齿轮2900,这最终使闭合轴2910旋转。当闭合轴2910被旋转时,与砧座组件2810上的闭合销2818接合的旋转心轴部分2916导致砧座组件2810朝近侧运动,从而引起砧座组件2810在击发构件1200’上的砧座枢轴销1201’上枢转。此类动作引起砧座组件2810枢转到图150中所示的闭合位置。当临床医生希望朝远侧顺着细长通道2830向下驱动击发构件1200’时,移位器轴2880再一次被旋转以将分动齿轮心轴2902枢转到图154中所示的位置。同样,锁定棘爪2842保持分动齿轮心轴2902处于该位置。然后,旋转驱动轴2870被旋转以将旋转运动施加到工具驱动轴1300上的驱动齿轮1302。工具驱动轴1300沿一个方向的旋转导致击发构件1200’沿远侧方向“DD”进行驱动。工具驱动轴1300沿相反方向的旋转将导致击发构件1200’沿近侧方向“PD”进行回缩。因此,在其中击发构件1200’能够切割和击发安装在细长通道2830中的钉仓内的钉的这些应用中,在击发构件1200’已驱动到其在细长通道2830内的最远侧位置之后,通过旋转驱动轴组件2870施加到工具驱动轴1300的旋转驱动运动被反向,以使击发构件1200’回缩回到其起始位置,如图150所示。为了从端部执行器2800释放靶组织,临床医生再次旋转移位器轴2800以再一次使分动齿轮2900与闭合驱动轴2910上的驱动齿轮2914啮合接合。然后,通过旋转驱动轴2870将反向旋转运动施加到分动齿轮2900以引起闭合驱动轴2910旋转驱动心轴2916,从而引起砧座组件2810朝远侧运动并枢转到图148和149中所示的打开位置。当临床医生希望使整个端部执行器2800围绕纵向工具轴线“LT-LT”旋转时,移位器轴纵向地移动以使移位器齿轮2882与旋转驱动头2872上的第二环形齿轮2876和分动齿轮主体2892上的移位器环形齿轮2896同时啮合接合,如图152中所示。然后,旋转驱动轴2880的旋转引起整个端部执行器2800围绕纵向工具轴线“LT-LT”相对于端部执行器连接器管720旋转。
图157-170示出了另一个端部执行器实施例3000,其采用牵拉类型的运动来打开和闭合砧座组件3010。砧座组件3010被可运动地支撑在细长通道3030上以在打开位置(图168和169)与闭合位置(图157、160和170)之间选择性运动。除下文讨论的差异外,细长通道3030可基本上与上述细长通道1020相同。细长通道3030可以上述方式联接到端部执行器驱动外壳1010。端部执行器驱动外壳1010也可通过如上所述的环状轴承734联接到端部执行器连接器管720。如可在图157中看出,端部执行器驱动外壳1010可支撑如上所述的驱动结构748和旋转传动装置750。
如可在图160中看出,砧座组件3010包括一对砧座耳轴3012(图160中仅可见一个耳轴),其被可运动地接收在形成于细长通道3030中的相应耳轴狭槽3032内。砧座组件2810的下侧还具有形成于其上的砧座开放凹口3016,以用于与击发构件3100上的上部翅片1208枢转接合。参见图168。除指出的差异外,击发构件3100可基本上与上述击发构件1200相同。在例示的实施例中,端部执行器3000还包括砧座弹簧3050,所述砧座弹簧能够在砧座耳轴3012上施加偏置力。砧座弹簧3050的一个形式示于图159中。如可在该图中看出,砧座弹簧3050可由金属线制成并且具有两个相对的弹簧臂3052,当砧座耳轴被接收在其各自的耳轴狭槽3032内时,所述弹簧臂能够支承在砧座耳轴3012上。此外,如可在图159中进一步看出,砧座弹簧3050具有形成于其中的两个安装环3054,所述安装环适于被可运动地支撑在形成于细长通道3030上的相应弹簧销3034上。参见图158。如下文将更详细讨论,砧座弹簧3050能够在细长通道3030内的弹簧销3034上枢转。如尤其可在图158中看出,细长通道的每个侧壁的部分3035凹进,以为砧座弹簧3050的运动提供间隙。
如可在图157和160-170中看出,端部执行器3000还包括闭合管3060,所述闭合管被可运动地支撑在细长通道3030上以用于在其上选择性纵向运动。为了有利于闭合管3060的纵向运动,图157和160-170中所示的实施例包括闭合螺线管3070,所述闭合螺线管通过连杆臂3072连接至闭合管3060,所述连杆臂枢转地固定或以其他方式附接到闭合管3030。当螺线管被致动时,连杆臂3072在远侧方向上被驱动,这使闭合管3060在细长通道3030的端部上朝远侧驱动。当闭合管3060朝远侧运动时,这引起砧座组件3010枢转到闭合位置。在另选的实施例中,螺线管可包括安装在端部执行器驱动外壳1010的远侧端部上的环形螺线管。闭合管将由金属材料制成,所述金属材料可被环形螺线管磁性吸引和排斥,从而导致闭合管的纵向运动。
在至少一个形式中,端部执行器3060还包括独特的砧座锁定系统3080以在其闭合在靶组织上时保持砧座组件3010锁定就位。在一个形式中,如可在图157中看出,砧座锁定系统3080包括砧座锁定杆3082,所述砧座锁定杆横向地延伸穿过细长通道3030,使得其端部被接收在形成于细长通道3030中的相应锁定杆窗口3036内。参见图158。参见图161,当闭合管3060处于其最远侧“闭合”位置,锁定杆3082的端部侧向地突出穿出锁定杆窗口3036之外,并延伸超过闭合管3060的近侧端部以阻止其朝近侧运动出适当位置。锁定杆3082能够接合支撑在端部执行器驱动外壳1010中的螺线管触点3076。螺线管触点3076被接线至控制系统以用于控制螺线管3070。控制系统包括由电池或机器人系统或柄部组件中的其他电力源供应的电力源(无论是哪种情况)。
击发构件3100被可旋转地轴颈连接在工具驱动轴1300上,所述工具驱动轴被可旋转地支撑在细长通道2830内,所述细长通道能够支撑其中的外科钉仓(未示出)。工具驱动轴1300具有形成于其上的轴承段1304,所述轴承段被可旋转地支撑在形成于端部执行器连接器外壳2832中的轴承套管2834中,并且以上述方式与旋转传动装置750可操作地交接。工具驱动轴1300沿一个方向的旋转导致击发构件3100朝远侧驱动穿过细长通道3030,并且工具驱动轴1300沿相反旋转方向的旋转将导致击发构件1200”沿近侧方向“PD”进行回缩。如在图157和图160-170中可见,击发构件3100具有能够接合锁定杆3082的致动杆3102,如将在下文更详细地描述。
砧座锁定系统3080还包括砧座牵拉组件3090以用于当闭合管3060已运动到其最远侧位置时将砧座选择性地牵拉到与闭合管3060楔入锁定接合,在所述最远侧位置中,闭合管3060的远侧端部与形成于砧座组件3010上的砧座凸缘3013接触。在一个形式中,砧座牵拉组件3090包括一对砧座牵拉缆线3092,所述砧座牵拉缆线附接到砧座组件3010的近侧端部并朝近侧突出穿过细长轴组件到达工具安装部分或柄部组件(无论是哪种情况)。牵拉缆线3092可附接到柄部组件上的致动器机构或联接到工具安装部分上的驱动系统中的一者,所述驱动系统中的一者能够将张力施加到缆线3092。
现在将描述端部执行器3000的操作。图168和169示出了处于打开位置的砧座组件3010。图168示出了处于最近侧位置的击发构件3100,其中新钉仓(未示出)可安装在细长通道3030中。闭合管3060也处于其最近侧未致动位置。另外,如可在图167中看出,当击发构件3100处于其最近侧位置时,致动杆3102已将锁定杆偏置到与螺线管触点3076接合,这使螺线管能够被启动以用于下一闭合序列。因此,为了开始闭合过程,旋转驱动轴752被致动以使击发构件3100运动到图169中所示的其起始位置。当处于该位置时,致动杆3102已在近侧方向上充分运动而使锁定杆3082能够运动与螺线管触点3076脱离接合,使得当将电力供应至螺线管控制电路时,螺线管连接件3072被延伸。然后自动地或通过开关或柄部组件中的其他控制机构将控制电力施加到螺线管3070,这使闭合管3060朝远侧运动直到闭合管3060的远侧端部接触砧座组件3010上的凸缘3013,以引起砧座组件枢转闭合在击发构件1200”上,如图162中所示。如可在该图中看出,锁定杆3082被定位成阻止闭合管3060在近侧方向上的运动。当处于该位置时,临床医生随后将张力施加到牵拉缆线3092以将砧座组件3010的近侧端部牵拉到与闭合管3060楔入接合而将砧座组件3010锁定在闭合位置中。然后,击发构件1200”可在远侧方向上被驱动穿过夹紧在端部执行器3000中的组织。一旦击发过程已完成。工具驱动轴在相反方向上被旋转以使击发构件3100返回到其起始位置,在所述起始位置中,致动杆3102再一次接触锁定杆3082以使其挠曲成与螺线管触点3076接触并将锁定杆3082的端部牵拉到细长通道3030中的窗口3036中。当处于该位置时,在将电力供应至螺线管控制系统时,螺线管3070使闭合管3060在近侧方向上回缩到图167和168中所示的其起始位置或打开位置。当闭合管3060朝近侧运动成与砧座组件3010脱离接合时,砧座弹簧3050将偏置力施加到砧座耳轴3012以将砧座组件偏置到图168中所示的打开位置。
图171-178示出了另一个示例性细长轴组件3200,所述细长轴组件在其中具有另一个示例性快速断开联接器布置3210。在至少一个形式中,例如,快速断开联接器布置3210包括呈近侧外管段3214形式的近侧联接器构件3212,在一个结构中,所述近侧外管段可在其上具有管齿轮段354,当装置要受机器人控制时,所述管齿轮段能够以上述方式与第一驱动系统350交接。然而,在另一个实施例中,近侧外管段3214可以上述方式与安装到柄部组件的可手动致动的旋转喷嘴2512交接。如上所述,机器人式控制应用中的第一驱动系统350或手持式结构中的旋转喷嘴2512用于使细长轴组件3200和可操作地联接到其的端部执行器围绕纵向工具轴线“LT-LT”旋转。参见图171。近侧外管段3214具有能够在其上接收锁定衬圈的“颈缩”远侧端部部分3216。
在图171-178中所示的示例性实施例中,细长轴组件3200包括近侧驱动轴段380”,除下文讨论的差异外,所述近侧驱动轴段可基本上与上述近侧驱动轴段380相同,并且能够以本文所公开的各种方式接收来自机器人系统或柄部组件的旋转和轴向控制运动。例示的实施例可与如上所述的关节运动接头700一起使用,并且包括关节运动缆线434和454,所述关节运动缆线可以本文所述的各种方式联接到关节运动控制驱动器。近侧填充材料3220被提供在近侧外管段3214内以便为关节运动缆线末端部分434A、434B、454A、454B提供轴向支撑。每个关节运动缆线末端部分434A、434B、454A、454B延伸穿过通过近侧填充材料3220提供的相应近侧关节运动通道3222。每个关节运动缆线末端部分434A、434B、454A、454B还具有附接到其上的近侧关节运动夹3224,所述近侧关节运动夹能够在相应关节运动通道3222内滑动。近侧关节运动夹3224可由金属或聚合物材料制成,并且各自具有一对柔性夹臂3226,该对柔性夹臂各自具有形成于其上的紧固件夹板3228。同样,近侧驱动轴段380”被可运动地接收在近侧填充材料3220中的轴通道3230中。驱动轴连接夹3240位于其上。在一个示例性形式中,驱动轴连接夹3240在其上形成有中心管状连接器部分3242和两个柔性夹臂3244,所述夹臂各自在其上具有紧固件夹板3248。
如可在图171、172和176-178中进一步看出,快速断开结构3210还包括呈远侧外管段3252形式的远侧联接器构件3250,所述远侧外管段3252基本上类似于上述远侧外管部分231,不同的是远侧外管段3252包括颈缩近侧端部部分3254。远侧外管段3252可操作地联接到本文所公开的各种类型的端部执行器1000并且包括远侧驱动轴段540”,除了下文指出的差异外,所述远侧驱动轴段可基本上类似于上述远侧驱动轴段540。远侧填充材料3260提供在远侧外管段3252内以便为远侧关节运动缆线段444、445、446、447提供轴向支撑。每个远侧关节运动缆线段444、445、446、447延伸穿过通过远侧填充材料3260提供的相应远侧关节运动通道3262。每个远侧关节运动缆线段444、445、446、447还具有附接到其上的远侧关节运动卡口柱3270,所述远侧关节运动卡口柱能够在相应近侧关节运动夹3224的夹臂3226之间滑动。每个远侧关节运动卡口柱3270能够通过相应夹臂3226上的紧固件夹板3228保持接合。同样,远侧驱动轴段540”被可运动地接收在远侧填充材料3260中的远侧轴通道3264中。远侧驱动轴卡口柱3280附接到远侧驱动轴段540”的近侧端部,使得其朝近侧突出超过远侧关节运动卡口柱3270。图172示出了远侧驱动轴卡口柱3280(以虚线表示)相对于远侧关节运动卡口柱3270的位置。远侧驱动轴卡口柱3280能够通过驱动轴连接夹3240上的相应夹臂3244上的紧固件夹板3248保持接合。
如可在图171-178中看出,示例性快速断开联接器布置3210还包括可轴向运动的锁定衬圈3290,所述锁定衬圈被可运动地轴颈连接在远侧外管段3252的颈缩近侧端部部分3254。如尤其可在图174中看出,锁定衬圈3290的一个形式包括外锁定套管3292,所述外锁定套管的尺寸设定成分别被可滑动地接收在近侧外管段3214和远侧外管段3254的颈缩部分3216、3254上。外锁定套管3292通过桥3295联接到中心锁定主体3294。桥3295能够滑动穿过远侧外管段3254的颈缩部分3254中的远侧狭槽3255以及近侧外管段3214的颈缩部分3216中的近侧狭槽3217,其被可滑动地接收在远侧外管段3252的颈缩近侧端部部分3254内并且还可滑动地延伸到近侧外管段3214的颈缩部分3216中。如可在图174中进一步看出,中心锁定主体3294具有多个通道3296,以用于穿过其中接收关节运动柱和夹。同样,中心锁定主体3294具有中心驱动轴通道3298,以用于在其中可运动地接收远侧驱动轴段540”。
现在将描述示例性快速断开联接器布置3210的用途。首先参见图171和172,远侧联接器构件3250与近侧联接器构件3212轴向地对齐,使得桥3295与近侧外管段3214的颈缩部分3216中的狭槽3217对齐,并且远侧驱动轴卡口柱3280与近侧驱动轴连接器夹3240上的中心管状连接器部分3242对齐。然后,使远侧联接器构件3250与近侧联接器构件3212邻接接合以引起远侧驱动轴卡口柱3280滑动到中心管状段3214中,并最终与近侧驱动轴连接器夹3240上的紧固件夹板3248保持接合。此类动作也引起每个远侧关节运动卡口连接器柱3270通过近侧关节运动连接器夹3224上的紧固件夹板3228保持接合,如图176中所示。应当理解,当远侧驱动轴卡口柱3280插入在夹臂3244之间时,夹臂3244向外挠曲直到紧固件夹板3248接合柱3280上的肩部3281。同样,当每个远侧关节运动卡口柱3270插入在其相应的连接器臂3226之间时,连接器臂3226向外挠曲直到紧固件夹板3228接合柱3270上的肩部3271。一旦远侧驱动轴段540”已连接至近侧驱动轴段380”并且远侧关节运动缆线段444、445、446、447已分别连接至关节运动缆线末端部分434A、434B、454A、454B,使用者即可将外锁定套管3292朝近侧滑动到图177和178中所示的位置。当处于该位置时,中心锁定主体3294阻止夹臂3244、3226向外挠曲,从而将远侧联接器构件3250锁定至近侧联接器构件3212。为了将远侧联接器构件3250与近侧联接器构件3212断开,使用者将外锁定套管392运动到图175和176中所示的位置,然后将联接器构件3250、3212拉开。当将相对的轴向分离运动施加到联接器构件3250、3212时,夹臂3244和3226被允许挠曲分别与远侧驱动轴卡口柱和远侧关节运动卡口柱脱离接合。
非限制性实例
一个示例性形式包括与机器人系统一起使用的外科工具,所述机器人系统包括工具驱动组件,所述工具驱动组件操作地联接到机器人系统的控制单元,所述控制单元可由来自操作者的输入进行操作并且能够机械地生成输出运动。在至少一个示例性形式中,外科工具包括驱动系统,所述驱动系统能够与机器人系统的工具驱动组件的对应部分交接以用于从其接收机械地生成的输出运动。驱动轴组件与驱动系统可操作地交接并且能够接收来自驱动系统的机械地生成的输出运动并将控制运动施加到与驱动轴组件可操作地交接的外科端部执行器。可手动致动的控制系统与驱动轴组件可操作地交接,以将手动地生成的控制运动选择性地施加到驱动轴组件。
结合另一个一般示例性形式提供了与机器人系统一起使用的外科工具,所述机器人系统包括工具驱动组件,所述工具驱动组件操作地联接到机器人系统的控制单元,所述控制单元可由来自操作者的输入进行操作并且能够向支撑在工具驱动组件上的至少一个可旋转主体部分提供至少一种旋转输出运动。在至少一个示例性形式中,外科工具包括具有至少一个部件部分的外科端部执行器,所述至少一个部件部分响应于施加到其上的控制运动而可在第一与第二位置之间相对于其至少一个其他部件部分选择性运动。细长轴组件可操作地联接到外科端部执行器并且包括至少一个齿轮传动部分,所述至少一个齿轮传动部分与至少一个可选择性地运动的部件部分可操作地连通。工具安装部分可操作地联接到细长轴组件并且能够与工具驱动组件(当联接到其上时)可操作地交接。至少一个示例性形式还包括具有从动元件的工具安装部分,所述从动元件被可旋转地支撑在工具安装部分上并且能够用于驱动与工具驱动组件的至少一个可旋转主体部分中的对应一个接合,以从其接收对应的旋转输出运动。驱动系统与从动元件可操作地接合而对其施加机械地生成的致动运动以引起至少一个齿轮传动部分的对应一个将至少一个控制运动施加到可选择性地运动的部件。可手动致动的反向系统与细长轴组件可操作地交接以对其选择性地施加手动地生成的控制运动。
根据另一个示例性一般形式,提供了与机器人系统一起使用的外科工具,所述机器人系统包括工具驱动组件,所述工具驱动组件操作地联接到机器人系统的控制单元,所述控制单元可由来自操作者的输入进行操作并且能够机械地生成旋转输出运动。在至少一个示例性形式中,外科工具包括旋转驱动系统,所述旋转驱动系统能够与机器人系统的工具驱动组件的对应部分交接以用于从其接收机械地生成的旋转输出运动。旋转驱动轴组件与旋转驱动系统可操作地交接并且能够接收来自旋转驱动系统的机械地生成的旋转输出运动并将旋转控制运动施加到与旋转驱动轴组件可操作地交接的外科端部执行器。可手动致动的反向系统与旋转驱动轴组件可操作地交接,以将手动地生成的旋转驱动运动选择性地施加到旋转驱动轴组件。
另一个示例性形式包括外科缝合装置,所述外科缝合装置包括细长轴组件,所述细长轴组件具有远侧端部并限定纵向工具轴线。所述装置还包括端部执行器,所述端部执行器包括细长通道组件,所述细长通道组件包括能够可操作地支撑其中的外科钉仓的部分。砧座相对于细长通道组件被可运动地支撑。外科缝合装置还包括旋转接头,所述旋转接头将细长通道组件联接到细长轴组件的远侧端部以有利于细长通道组件围绕纵向工具轴线相对于细长轴组件的远侧端部选择性地旋转。
另一个示例性形式包括旋转支撑接头组件以用于将外科器械的第一部分联接到外科器械的第二部分。在至少一个示例性形式中,旋转支撑接头组件包括第一部分中的第一环形座圈和第二部分中的第二环形座圈,当第二部分与第一部分连接时,所述第二环形座圈能够与第一环形座圈基本对准。环状轴承被支撑在对准的第一和第二环形座圈内。
结合另一个示例性一般形式提供了旋转支撑接头组件,以用于将外科端部执行器联接到外科器械的细长轴组件。在至少一个示例性形式中,旋转支撑接头组件包括外科端部执行器上的圆柱形连接器部分。第一环形座圈提供于连接器部分的周边中。承窝提供于细长轴上并且尺寸设定成在其中接收圆柱形连接器部分,使得圆柱形连接器部分可相对于承窝自由地旋转。第二环形座圈提供于承窝的内壁中并且能够在圆柱形连接器部分接收在承窝内时与第一环形座圈基本对准。窗口提供于承窝中并与第二环形座圈连通。具有自由端的环状轴承构件可穿过该窗口插入对准的第一环形座圈和第二环形座圈中。
结合另一个示例性一般形式提供了用于将外科器械的第一部分可旋转地联接到外科器械的第二部分的方法。在各种示例性形式中,该方法包括在第一部分中形成第一环形座圈以及在第二部分中形成第二环形座圈。该方法还包括将第一部分插入第二部分中使得第一和第二环形座圈基本对准,以及将环状轴承插入对准的第一和第二环形座圈内。
另一个示例性形式包括用于外科器械的驱动轴组件,其包括多个可运动地联锁的接头段,所述接头段互连而形成柔性中空管。柔性辅助约束构件被安装成与多个可运动地联锁的接头段柔性约束接合,以保持联锁接头段处于可运动的联锁接合,同时有利于驱动轴组件的挠曲。
根据另一个一般示例性形式,提供了用于外科器械的复合驱动轴组件,其包括多个可运动地联锁的接头段,所述接头段由激光在中空管中切割出,并且所述中空管具有远侧端部和近侧端部。柔性辅助约束构件与多个可运动地联锁的接头段柔性约束接合,以保持联锁接头段处于可运动的联锁接合,同时有利于驱动轴组件的挠曲。
根据又一个示例性一般形式,提供了外科器械的驱动轴组件,其包括多个可运动地互连的接头段,其中至少一些接头段包括由六个基本上弓形的表面形成的球式连接器部分。承窝部分的尺寸设定成能在其中可运动地接收邻接接头段的球式连接器部分。中空通道延伸穿过每个球式连接器部分以形成穿过驱动轴组件的通道。驱动轴组件还可包括柔性辅助约束构件,其被安装成与多个可运动地互连的接头段柔性约束接合,以保持接头段处于可运动的互连接合,同时有利于驱动轴组件的挠曲。
另一个示例性形式包括形成外科器械的柔性驱动轴组件的方法。在各种示例性实施例中,该方法包括提供中空轴以及利用激光在中空轴中切割出多个可运动地互连的接头段。该方法还包括将辅助约束构件安装在中空轴上以保持可运动地互连的接头段处于可运动的互连接合,同时有利于驱动轴组件的挠曲。
结合另一个示例性形式提供了形成外科器械的柔性驱动轴组件的方法。在至少一个示例性实施例中,该方法包括提供中空轴以及利用激光在中空轴中切割出多个可运动地互连的接头段。每个接头段包括一对相对的耳状物,其中每个耳状物具有渐缩外周边部分,所述渐缩外周边部分接收在具有渐缩内壁部分的对应承窝内,所述渐缩内壁部分与对应耳状物的渐缩外周边部分协作以在其中可运动地保持对应耳状物。
另一个示例性一般形式包括用于外科器械的旋转驱动结构,其具有可操作地联接到其上的外科端部执行器。在一个示例性形式中,旋转驱动结构包括能够生成旋转驱动运动的旋转驱动系统。驱动轴组件与旋转驱动系统可操作地交接并可在第一位置与第二位置之间选择性地轴向运动。旋转传动装置与驱动轴组件和外科端部执行器可操作地交接,使得当驱动轴组件处于第一轴向位置时,由旋转驱动系统向驱动轴组件施加旋转驱动运动中的一个将引起旋转传动装置向外科端部执行器施加第一旋转控制运动,并且当驱动轴组件处于第二轴向位置时,由旋转驱动系统向驱动轴组件施加旋转驱动运动将引起旋转传动装置向外科端部执行器施加第二旋转控制运动。
结合另一个示例性一般形式提供了与机器人系统一起使用的外科工具,所述机器人系统包括工具驱动组件,所述工具驱动组件操作地联接到机器人系统的控制单元,所述控制单元可由来自操作者的输入进行操作并且能够生成输出运动。在至少一个示例性形式中,外科工具包括工具安装部分,所述工具安装部分能够与机器人系统的一部分可操作地交接。旋转驱动系统被工具安装部分可操作地支撑并且与工具驱动组件交接以从其接收对应的输出运动。细长轴组件从工具安装部分操作地延伸并且包括驱动轴组件,所述驱动轴组件与旋转驱动系统可操作地交接。驱动轴组件可在第一位置与第二位置之间选择性地轴向运动。外科工具还包括外科端部执行器,所述外科端部执行器被可旋转地联接到细长轴组件以便相对于其选择性旋转。旋转传动装置与驱动轴组件和外科端部执行器可操作地交接,使得当驱动轴组件处于第一轴向位置时,由旋转驱动系统向驱动轴组件施加旋转驱动运动之一将引起旋转传动装置向外科端部执行器施加第一旋转控制运动,并且当驱动轴组件处于第二轴向位置时,由旋转驱动系统向驱动轴组件施加旋转驱动运动将引起旋转传动装置向外科端部执行器施加第二旋转控制运动。
结合又一个示例性一般形式提供了外科器械,所述外科器械包括柄部组件以及被柄部组件可操作地支撑的驱动马达。细长轴组件从柄部组件操作地延伸并且包括驱动轴组件,所述驱动轴组件与驱动马达可操作地交接并且可在第一位置与第二位置之间选择性地轴向运动。外科端部执行器被可旋转地联接到细长轴组件以便相对于其选择性旋转。旋转传动装置与驱动轴组件和外科端部执行器可操作地交接,使得当驱动轴组件处于第一轴向位置时,由驱动马达向驱动轴组件施加旋转驱动运动将引起旋转传动装置向外科端部执行器施加第一旋转控制运动,并且当驱动轴组件处于第二轴向位置时,由驱动马达向驱动轴组件施加旋转驱动运动将引起旋转传动装置向外科端部执行器施加第二旋转控制运动。
各种示例性实施例还包括用于外科器械的差速锁定系统,所述外科器械包括由旋转驱动轴组件供能的外科端部执行器,所述旋转驱动轴组件可在多个离散的轴向位置之间运动。在至少一个形式中,差速锁定系统包括旋转驱动轴组件上的至少一个保持结构,其对应于离散的轴向位置中的每一个。至少一个锁定构件相对于旋转驱动轴组件被可操作地支撑,以便当旋转驱动轴组件运动到与至少一个保持结构相关联的离散的轴向位置时,该至少一个锁定构件保持与至少一个保持结构接合。
结合另一个示例性一般形式提供了用于外科器械的差速锁定系统,所述外科器械包括由旋转驱动轴组件供能的外科端部执行器,所述旋转驱动轴组件可在第一轴向位置与第二轴向位置之间运动。在至少一个示例性形式中,差速锁定系统包括差速外壳,所述差速外壳与旋转驱动轴组件和外科端部执行器可操作地交接。至少一个弹簧偏置的锁定构件被差速外壳可操作地支撑以便当旋转驱动轴组件处于第一轴向位置时,保持与旋转驱动轴组件的第一部分接合,并且当旋转驱动轴组件处于第二轴向位置时,所述至少一个弹簧偏置的锁定构件还能够保持接合旋转驱动轴组件的第二部分。
结合又一个示例性一般形式提供了用于外科器械的差速锁定系统,所述外科器械包括由旋转驱动轴组件供能的外科端部执行器,所述旋转驱动轴组件可在第一轴向位置与第二轴向位置之间运动。在至少一个示例性形式中,差速锁定系统包括差速外壳,所述差速外壳与旋转驱动轴组件和外科端部执行器可操作地交接。至少一个弹簧构件提供于旋转驱动轴组件的一部分上,其中每个弹簧构件限定第一保持位置和第二保持位置,所述第一保持位置对应于旋转驱动轴组件的第一轴向位置,所述第二保持位置对应于旋转驱动轴组件的第二轴向位置。锁定构件被差速外壳可操作地支撑并且对应于所述至少一个弹簧构件中的每一个以便当旋转驱动轴组件处于第一轴向位置时与其保持接合,使得锁定构件保持接合处于第一保持位置的对应弹簧构件,并且当旋转驱动轴组件处于第二轴向位置时,锁定构件保持接合处于第二保持位置的对应弹簧构件。
各种其他示例性实施例包括外科器械,所述外科器械包括端部执行器和近侧旋转传动系组件,所述近侧旋转传动系组件可操作地联接到旋转和轴向控制运动的源。近侧旋转传动系组件可响应于对其施加的轴向控制运动而纵向地移动。外科器械还包括远侧旋转传动系组件,所述远侧旋转传动系组件可操作地联接到端部执行器以对其施加旋转控制运动。近侧轴向传动系组件可操作地联接到轴向控制运动的另一个源。远侧轴向传动系组件可操作地联接到端部执行器以对其施加轴向控制运动。所述器械还包括联接结构以用于使近侧旋转传动系组件与远侧旋转传动系组件以及近侧轴向传动系组件与远侧轴向传动系组件同时附接和分离。
结合另一个一般方面提供了联接结构以用于将端部执行器附接到对应的近侧传动系组件,所述端部执行器包括能够将多个控制运动施加到端部执行器的多个远侧传动系组件,所述近侧传动系组件与驱动运动的源连通。在一个示例性形式中,联接结构包括每个近侧传动系组件的远侧端部上的近侧附接结构以及近侧联接器构件,所述近侧联接器构件能够在其中可操作地支撑每个近侧传动系组件,使得其上的近侧附接结构保持处于基本联接对齐。远侧附接结构提供于每个远侧传动系组件的近侧端部上。当使之与其联接接合时,每个远侧附接结构能够操作地接合对应近侧传动系的远侧端部上的近侧附接结构。远侧联接器构件可操作地联接到端部执行器并且能够在其中可操作地支撑每个远侧传动系以保持其上的远侧附接结构处于基本联接对齐。锁定衬圈可从解锁位置运动到锁定位置,在所述解锁位置中,远侧传动系组件可脱离对应的近侧传动系组件,在所述锁定位置中,远侧传动系组件保持与其对应的近侧传动系组件联接接合。
结合另一个一般方面提供了外科器械,所述外科器械包括端部执行器,所述端部执行器能够响应于对其施加的驱动运动而执行外科活动。所述器械的一个示例性形式还包括驱动运动的源以及第一近侧传动系组件,所述第一近侧传动系组件与所述驱动运动的源可操作地交接,以用于从其接收对应的第一驱动运动。第二近侧传动系组件与所述驱动运动的源可操作地交接,以用于从其接收对应的第二驱动运动。第一远侧传动系组件与端部执行器可操作地交接并且当将第一近侧传动系组件可操作地联接到其上时,能够接收来自第一近侧传动系组件的对应第一驱动运动。第二远侧传动系组件与端部执行器可操作地交接并且当将第二近侧传动系组件可操作地联接到其上时,能够接收来自第二近侧传动系组件的对应第二驱动运动。所述器械还包括联接结构,所述联接结构包括第一联接构件,所述第一联接构件在其中可操作地支撑第一和第二近侧传动系组件。联接结构还包括第二联接构件,所述第二联接构件在其中可操作地支撑第一和第二远侧传动系组件并且能够与第一联接构件轴向对齐,使得当第二联接构件与第一联接构件轴向地对齐时,第一远侧传动系组件与第一近侧传动系组件轴向对齐以与其操作地接合,并且第二远侧传动系组件与第二近侧传动系组件轴向对齐以与其操作地接合。锁定衬圈被可运动地轴颈连接在第一和第二联接构件中的一个上并且能够在解锁位置与锁定位置之间运动,在所述解锁位置中,第一和第二远侧传动系组件可分别与第一和第二近侧传动系组件分离,在所述锁定位置中,第一和第二远侧传动系组件分别保持与第一和第二近侧传动系组件操作地接合。
根据另一个一般方面,提供了外科仓,所述外科仓包括仓体,所述仓体限定穿过其中的路径以用于操作地容纳外科器械的击发构件。外科仓还包括对齐构件,所述对齐构件被可操作地支撑在仓体中并且当击发构件被驱动至与其接触时,能够使击发构件从不可操作构型运动到可操作构型,在所述不可操作构型中,击发构件与所述路径不对齐,在所述可操作构型中,击发构件与所述路径对齐。
根据又一个一般方面,提供了外科器械的端部执行器。在至少一个形式中,端部执行器包括支撑构件,所述支撑构件具有狭槽以及与狭槽相邻的闭锁件凹口。端部执行器还包括击发构件,所述击发构件可在不可操作构型与可操作构型之间运动,其中当其处于可操作构型时,击发构件与狭槽对齐并且被构造成在狭槽中平移,并且其中当其处于不可操作构型时,击发构件与闭锁件凹口接合并且与狭槽不对齐。
另一个示例性实施例包括外科器械,所述外科器械包括细长通道,所述细长通道能够在其中可移除地支撑仓。在至少一个形式中,仓包括仓体和对齐构件,所述对齐构件被可运动地支撑在仓体内以便在其中从第一位置运动到第二位置。外科器械还包括击发构件,所述击发构件相对于细长通道被可操作地支撑,以便在对其施加致动运动时在起始位置与结束位置之间运动。击发构件不能从起始位置运动到结束位置,除非击发构件与仓体中的对齐构件操作地接合。
另一个示例性实施例包括外科器械的端部执行器。在至少一个形式中,端部执行器包括细长通道,所述细长通道能够在其中可移除地支撑仓。击发构件相对于细长通道被可操作地支撑,以便在起始位置与结束位置之间运动。工具驱动轴与击发构件操作地接合以便在由驱动结构对其施加致动运动时使击发构件在起始位置与结束位置之间运动。工具驱动轴可从不可操作位置运动到可操作位置,在所述不可操作位置中,工具驱动轴不与驱动结构可操作地接合,在所述可操作位置中,工具驱动轴与驱动结构操作地接合。端部执行器还包括对齐构件,所述对齐构件被可运动地支撑以便与工具驱动轴接触以在将仓安装在细长通道中时使工具驱动轴从不可操作位置运动到可操作位置。
另一个示例性实施例包括外科器械,所述外科器械包括细长通道和仓,所述仓被可移除地支撑在细长通道中。击发构件相对于细长通道被可操作地支撑,以便在起始位置与结束位置之间运动。工具驱动轴与击发构件操作地接合以便在由驱动结构对其施加致动运动时使击发构件在起始位置与结束位置之间运动。工具驱动轴可从不可操作位置运动到可操作位置,在所述不可操作位置中,工具驱动轴不与驱动结构可操作地接合,在所述可操作位置中,工具驱动轴与驱动结构操作地接合。外科器械还包括对齐构件,所述对齐构件被可运动地支撑以便与工具驱动轴接触以在将仓安装在细长通道中时使工具驱动轴从不可操作位置运动到可操作位置。
可将本发明所公开的装置设计为单次使用后即进行处理,或者可将它们设计为可多次使用。然而,在任一种情况下,所述装置均可进行修复,以在至少一次使用后再次使用。重新恢复可包括如下步骤的任意组合:拆卸该装置、然后清洗或置换某些部分以及随后组装。特别是,所述装置可以拆卸,而且可以任意组合选择性地置换或移除该装置任意数目的特定零件或部分。清洗和/或置换特定部分后,该装置可以在修复设施处重新组装以便随后使用,或者在即将进行外科手术前由外科手术队重新组装。本领域的技术人员将会知道,装置的修复可利用多种用于拆卸、清洗/置换和重新组装的技术。这些技术的使用以及所得的修复装置均在本发明的范围内。
尽管本文已经结合某些公开的示例性实施例描述了本发明,但是可对那些示例性实施例进行多种修改和变型。例如,可采用不同类型的端部执行器。另外,在公开了用于某些部件的材料的情况下,均可使用其他材料。上述描述和以下权利要求旨在涵盖所有此类修改和变型。
以引用方式全文或部分地并入本文的任何专利、专利公开或其它公开材料均仅在所并入的材料不与本发明所述的现有定义、陈述或其它公开材料相冲突的范围内并入本文。由此,在必要的程度下,本文所明确阐述的公开内容将取代以引用方式并入本文的任何相冲突的材料。如果据述以引用方式并入本文但与本文所述的现有定义、陈述或其它公开材料相冲突的任何材料或其部分,仅在所并入的材料和现有的公开材料之间不产生冲突的程度下并入本文。
Claims (20)
1.一种用于外科器械的差速锁定系统,所述外科器械包括由旋转驱动轴组件提供动力的外科端部执行器,所述旋转驱动轴组件能够在多个离散的轴向位置之间运动,所述差速锁定系统包括:
至少一个保持结构,所述至少一个保持结构位于所述旋转驱动轴组件上并对应于所述离散的轴向位置中的每一个;和
至少一个锁定构件,所述至少一个锁定构件相对于旋转驱动轴组件被可操作地支撑,以用于当所述旋转驱动轴组件运动到与所述至少一个保持结构相关联的离散的轴向位置时,所述至少一个锁定构件保持与所述至少一个保持结构接合。
2.根据权利要求1所述的差速锁定系统,其中所述至少一个保持结构选自包括形成于所述旋转驱动轴组件中的至少一个凹坑和形成于所述旋转驱动轴组件的一部分中的径向锁定沟槽的保持结构组。
3.根据权利要求1所述的差速锁定系统,其中所述至少一个锁定构件中的至少一个为弹簧偏置的。
4.根据权利要求3所述的差速锁定系统,其中所述至少一个弹簧偏置的锁定构件包括径向波形弹簧,所述径向波形弹簧能够径向地接合位于所述旋转驱动轴组件上的所述至少一个保持结构。
5.根据权利要求1所述的差速锁定系统,还包括位于所述旋转驱动轴组件的一部分上的至少一个弹簧构件,并且其中每个保持结构包括位于所述弹簧中的锁定谷。
6.根据权利要求5所述的差速锁定系统,其中所述至少一个弹簧构件还包括位于形成于其中的所述锁定谷中的每一个之间的尖峰。
7.根据权利要求5所述的差速锁定系统,其中所述至少一个弹簧构件中的每一个相对于所述对应的锁定构件被配置并定位在所述旋转驱动轴组件上,使得所述对应的锁定构件不能接合所述旋转驱动轴组件的位于相邻的保持结构之间的一部分。
8.根据权利要求1所述的差速锁定系统,其中所述至少一个锁定构件被可操作地支撑在差速外壳中,所述差速外壳包括旋转传动装置的一部分,所述旋转传动装置与所述旋转驱动轴组件和所述外科端部执行器可操作地交接,使得当所述旋转驱动轴组件处于第一轴向位置时,向所述驱动轴组件施加旋转驱动运动导致所述旋转传动装置将第一旋转控制运动施加到所述外科端部执行器,并且使得当所述驱动轴组件处于第二轴向位置时,由所述驱动马达向所述驱动轴组件施加所述旋转驱动运动导致所述旋转传动装置将第二旋转控制运动施加到所述外科端部执行器。
9.根据权利要求8所述的差速锁定系统,其中所述旋转传动装置还包括:
位于所述差速外壳中的环形齿轮,所述环形齿轮被取向用于在所述旋转驱动轴组件处于所述第一轴向位置时与位于所述旋转驱动轴组件上的太阳齿轮啮合接合;和
多个行星齿轮,所述多个行星齿轮被可旋转地支撑在所述差速外壳内并与所述外科端部执行器的一部分啮合接合,所述行星齿轮还能够在所述旋转驱动轴组件处于所述第二轴向位置时与所述太阳齿轮啮合接合。
10.根据权利要求9所述的差速锁定系统,其中所述外科端部执行器可旋转地联接到所述外科器械的细长轴组件,并且其中所述外科端部执行器还包括:
端部执行器驱动外壳,所述端部执行器驱动外壳可旋转地联接到所述细长轴组件以用于相对于其选择性地旋转;
第一端部执行器环形齿轮,所述第一端部执行器环形齿轮位于所述端部执行器驱动外壳中并与所述多个行星齿轮啮合接合;
工具驱动轴,所述工具驱动轴被可旋转地支撑在所述端部执行器中并包括工具驱动齿轮,所述工具驱动齿轮与所述端部执行器外壳中的第二端部执行器环形齿轮啮合接合;和
击发构件,所述击发构件与所述工具驱动轴可操作地接合。
11.一种用于外科器械的差速锁定系统,所述外科器械包括由旋转驱动轴组件提供动力的外科端部执行器,所述旋转驱动轴组件能够在第一轴向位置和第二轴向位置之间运动,所述差速锁定系统包括:
差速外壳,所述差速外壳与所述旋转驱动轴组件和所述外科端部执行器可操作地交接;和
至少一个弹簧偏置的锁定构件,所述至少一个弹簧偏置的锁定构件被差速外壳可操作地支撑以用于在旋转驱动轴组件处于所述第一轴向位置时保持与所述旋转驱动轴组件的第一部分接合,并且所述至少一个弹簧偏置的锁定构件还能够在所述旋转驱动轴组件处于所述第二轴向位置时保持接合所述旋转驱动轴组件的第二部分。
12.根据权利要求11所述的差速锁定系统,其中所述旋转驱动轴组件还包括:
位于所述旋转驱动轴组件中的至少一个第一锁定结构,所述至少一个第一锁定结构能够在所述旋转驱动轴组件处于所述第一轴向位置时由所述至少一个弹簧偏置的锁定构件保持接合;和
位于所述旋转驱动轴组件中的至少一个第二锁定结构,所述至少一个第二锁定结构能够在所述旋转驱动轴组件处于所述第二轴向位置时由所述至少一个弹簧偏置的锁定构件保持接合。
13.根据权利要求12所述的差速锁定系统,其中所述至少一个第一锁定结构选自包括至少一个第一锁定凹坑和第一径向沟槽的第一锁定结构组,并且其中所述至少一个第二锁定结构选自包括至少一个第二锁定凹坑和第二径向沟槽的第二锁定结构组。
14.根据权利要求11所述的差速锁定系统,其中所述至少一个弹簧偏置的锁定构件包括径向波形弹簧,所述径向波形弹簧由所述差速外壳可操作地支撑并且能够径向地接合所述旋转驱动轴组件的部分。
15.根据权利要求11所述的差速锁定系统,其中所述差速外壳包括旋转传动装置的一部分,所述旋转传动装置与所述旋转驱动轴组件和所述外科端部执行器可操作地交接,使得当所述旋转驱动轴组件处于所述第一轴向位置时,向所述驱动轴组件施加旋转驱动运动导致所述旋转传动装置将第一旋转控制运动施加到所述外科端部执行器,并且使得当所述驱动轴组件处于所述第二轴向位置时,由所述驱动马达向所述驱动轴组件施加所述旋转驱动运动导致所述旋转传动装置将第二旋转控制运动施加到所述外科端部执行器。
16.根据权利要求15所述的差速锁定系统,其中所述旋转传动装置还包括:
位于所述差速外壳中的环形齿轮,所述环形齿轮被取向用于在所述旋转驱动轴组件处于所述第一轴向位置时与位于所述旋转驱动轴组件上的太阳齿轮啮合接合;和
多个行星齿轮,所述多个行星齿轮被可旋转地支撑在所述差速外壳内并与所述外科端部执行器的一部分啮合接合,所述行星齿轮还能够在所述旋转驱动轴组件处于所述第二轴向位置时与所述太阳齿轮啮合接合。
17.一种用于外科器械的差速锁定系统,所述外科器械包括由旋转驱动轴组件提供动力的外科端部执行器,所述旋转驱动轴组件能够在第一轴向位置和第二轴向位置之间运动,所述差速锁定系统包括:
差速外壳,所述差速外壳与所述旋转驱动轴组件和所述外科端部执行器可操作地交接;
至少一个弹簧构件,所述至少一个弹簧构件位于所述旋转驱动轴组件的一部分上,其中每个弹簧构件限定与所述旋转驱动轴组件的第一轴向位置对应的第一保持位置和与所述旋转驱动轴组件的第二轴向位置对应的第二保持位置;和
锁定构件,所述锁定构件由所述差速外壳可操作地支撑并与所述至少一个弹簧构件中的每一个对应以用于与其保持接合,使得所述锁定构件在所述旋转驱动轴组件处于所述第一轴向位置时保持接合处于所述第一保持位置的所述对应的弹簧构件,并且使得所述锁定构件在所述旋转驱动轴组件处于所述第二轴向位置时保持接合处于所述第二保持位置的所述对应的弹簧构件。
18.根据权利要求17所述的差速锁定系统,其中所述至少一个弹簧构件中的每一个相对于所述对应的锁定构件被配置并定位在所述旋转驱动轴组件上,使得所述对应的锁定构件不能接合所述旋转驱动轴组件的位于所述第一保持位置和第二保持位置之间的一部分。
19.根据权利要求17所述的差速锁定系统,其中所述至少一个弹簧构件中的至少一个包括:
对应于所述第一保持位置的第一锁定谷;和
对应于所述第二保持位置的第二锁定谷。
20.根据权利要求19所述的差速锁定系统,其中所述至少一个弹簧构件还包括位于所述第一锁定谷和第二锁定谷之间的尖峰。
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PCT/US2013/046790 WO2014004255A1 (en) | 2012-06-28 | 2013-06-20 | Differential locking arrangements for rotary powered surgical instruments |
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Cited By (6)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN106963437A (zh) * | 2015-09-25 | 2017-07-21 | 柯惠Lp公司 | 包括可移除的套管针组件的接合器组件 |
CN107374686A (zh) * | 2016-05-17 | 2017-11-24 | 柯惠Lp公司 | 包括可移除的套管针组件的接合器组件 |
CN109069181A (zh) * | 2016-04-27 | 2018-12-21 | 柯惠有限合伙公司 | 包括用于旋转和往复运动组织去除元件的驱动组件的导管 |
CN110623745A (zh) * | 2018-06-22 | 2019-12-31 | 深圳市精锋医疗科技有限公司 | 精度较高的手术机器人 |
CN111374728A (zh) * | 2018-12-29 | 2020-07-07 | 江苏风和医疗器材股份有限公司 | 一种传动机构的控制方法 |
WO2023109907A1 (zh) * | 2021-12-16 | 2023-06-22 | 瑞龙诺赋(上海)医疗科技有限公司 | 自由度调节机构、手术器械 |
Families Citing this family (829)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US8414505B1 (en) | 2001-02-15 | 2013-04-09 | Hansen Medical, Inc. | Catheter driver system |
US11229472B2 (en) | 2001-06-12 | 2022-01-25 | Cilag Gmbh International | Modular battery powered handheld surgical instrument with multiple magnetic position sensors |
US20070084897A1 (en) | 2003-05-20 | 2007-04-19 | Shelton Frederick E Iv | Articulating surgical stapling instrument incorporating a two-piece e-beam firing mechanism |
US9060770B2 (en) | 2003-05-20 | 2015-06-23 | Ethicon Endo-Surgery, Inc. | Robotically-driven surgical instrument with E-beam driver |
US8182501B2 (en) | 2004-02-27 | 2012-05-22 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical shears and method for sealing a blood vessel using same |
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 |
PL1802245T3 (pl) | 2004-10-08 | 2017-01-31 | Ethicon Endosurgery Llc | Ultradźwiękowy przyrząd chirurgiczny |
US9237891B2 (en) | 2005-08-31 | 2016-01-19 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical stapling devices that produce formed staples having different lengths |
US8317070B2 (en) | 2005-08-31 | 2012-11-27 | Ethicon Endo-Surgery, Inc. | Surgical stapling devices that produce formed staples having different lengths |
US11484312B2 (en) | 2005-08-31 | 2022-11-01 | Cilag Gmbh International | Staple cartridge comprising a staple driver arrangement |
US7669746B2 (en) | 2005-08-31 | 2010-03-02 | Ethicon Endo-Surgery, Inc. | Staple cartridges for forming staples having differing formed staple heights |
US11246590B2 (en) | 2005-08-31 | 2022-02-15 | Cilag Gmbh International | Staple cartridge including staple drivers having different unfired heights |
US7934630B2 (en) | 2005-08-31 | 2011-05-03 | Ethicon Endo-Surgery, Inc. | Staple cartridges for forming staples having differing formed staple heights |
US10159482B2 (en) | 2005-08-31 | 2018-12-25 | Ethicon Llc | Fastener cartridge assembly comprising a fixed anvil and different staple heights |
US20070191713A1 (en) | 2005-10-14 | 2007-08-16 | Eichmann Stephen E | Ultrasonic device for cutting and coagulating |
US20070106317A1 (en) | 2005-11-09 | 2007-05-10 | Shelton Frederick E Iv | Hydraulically and electrically actuated articulation joints for surgical instruments |
US7621930B2 (en) | 2006-01-20 | 2009-11-24 | Ethicon Endo-Surgery, Inc. | Ultrasound medical instrument having a medical ultrasonic blade |
US9861359B2 (en) | 2006-01-31 | 2018-01-09 | Ethicon Llc | Powered surgical instruments with firing system lockout arrangements |
US8186555B2 (en) | 2006-01-31 | 2012-05-29 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting and fastening instrument with mechanical closure system |
US11278279B2 (en) | 2006-01-31 | 2022-03-22 | Cilag Gmbh International | Surgical instrument assembly |
US7753904B2 (en) | 2006-01-31 | 2010-07-13 | Ethicon Endo-Surgery, Inc. | Endoscopic surgical instrument with a handle that can articulate with respect to the shaft |
US8708213B2 (en) | 2006-01-31 | 2014-04-29 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a feedback system |
US8820603B2 (en) | 2006-01-31 | 2014-09-02 | Ethicon Endo-Surgery, Inc. | Accessing data stored in a memory of a surgical instrument |
US11224427B2 (en) | 2006-01-31 | 2022-01-18 | Cilag Gmbh International | Surgical stapling system including a console and retraction assembly |
US20110006101A1 (en) | 2009-02-06 | 2011-01-13 | EthiconEndo-Surgery, Inc. | Motor driven surgical fastener device with cutting member lockout arrangements |
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 |
US11793518B2 (en) | 2006-01-31 | 2023-10-24 | Cilag Gmbh International | Powered surgical instruments with firing system lockout arrangements |
US20110295295A1 (en) | 2006-01-31 | 2011-12-01 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical instrument having recording capabilities |
US20110024477A1 (en) | 2009-02-06 | 2011-02-03 | Hall Steven G | Driven Surgical Stapler Improvements |
US10893912B2 (en) * | 2006-02-16 | 2021-01-19 | Globus Medical Inc. | Surgical tool systems and methods |
US8992422B2 (en) | 2006-03-23 | 2015-03-31 | Ethicon Endo-Surgery, Inc. | Robotically-controlled endoscopic accessory channel |
US20070225562A1 (en) | 2006-03-23 | 2007-09-27 | Ethicon Endo-Surgery, Inc. | Articulating endoscopic accessory channel |
JP5148598B2 (ja) | 2006-05-03 | 2013-02-20 | ラプトール リッジ, エルエルシー | 組織閉鎖のシステムおよび方法 |
US8322455B2 (en) | 2006-06-27 | 2012-12-04 | Ethicon Endo-Surgery, Inc. | Manually driven surgical cutting and fastening instrument |
US10130359B2 (en) | 2006-09-29 | 2018-11-20 | Ethicon Llc | Method for forming a staple |
US8220690B2 (en) | 2006-09-29 | 2012-07-17 | Ethicon Endo-Surgery, Inc. | Connected surgical staples and stapling instruments for deploying the same |
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 |
US8459520B2 (en) | 2007-01-10 | 2013-06-11 | Ethicon Endo-Surgery, Inc. | Surgical instrument with wireless communication between control unit and remote sensor |
US11291441B2 (en) | 2007-01-10 | 2022-04-05 | Cilag Gmbh International | Surgical instrument with wireless communication between control unit and remote sensor |
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 |
US8827133B2 (en) | 2007-01-11 | 2014-09-09 | Ethicon Endo-Surgery, Inc. | Surgical stapling device having supports for a flexible drive mechanism |
US11039836B2 (en) | 2007-01-11 | 2021-06-22 | Cilag Gmbh International | Staple cartridge for use with a surgical stapling instrument |
US7669747B2 (en) | 2007-03-15 | 2010-03-02 | Ethicon Endo-Surgery, Inc. | Washer for use with a surgical stapling instrument |
US8911460B2 (en) | 2007-03-22 | 2014-12-16 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical instruments |
US8057498B2 (en) | 2007-11-30 | 2011-11-15 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical instrument blades |
US8142461B2 (en) | 2007-03-22 | 2012-03-27 | Ethicon Endo-Surgery, Inc. | Surgical instruments |
US8893946B2 (en) | 2007-03-28 | 2014-11-25 | Ethicon Endo-Surgery, Inc. | Laparoscopic tissue thickness and clamp load measuring devices |
US11857181B2 (en) | 2007-06-04 | 2024-01-02 | Cilag Gmbh International | Robotically-controlled shaft based rotary drive systems for surgical instruments |
US8931682B2 (en) | 2007-06-04 | 2015-01-13 | Ethicon Endo-Surgery, Inc. | Robotically-controlled shaft based rotary drive systems for surgical instruments |
US7753245B2 (en) | 2007-06-22 | 2010-07-13 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments |
US8408439B2 (en) | 2007-06-22 | 2013-04-02 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with an articulatable end effector |
US11849941B2 (en) | 2007-06-29 | 2023-12-26 | Cilag Gmbh International | Staple cartridge having staple cavities extending at a transverse angle relative to a longitudinal cartridge axis |
US8808319B2 (en) | 2007-07-27 | 2014-08-19 | Ethicon Endo-Surgery, Inc. | Surgical instruments |
US8523889B2 (en) | 2007-07-27 | 2013-09-03 | Ethicon Endo-Surgery, Inc. | Ultrasonic end effectors with increased active length |
US8512365B2 (en) | 2007-07-31 | 2013-08-20 | Ethicon Endo-Surgery, Inc. | Surgical instruments |
US9044261B2 (en) | 2007-07-31 | 2015-06-02 | Ethicon Endo-Surgery, Inc. | Temperature controlled ultrasonic surgical instruments |
US8430898B2 (en) | 2007-07-31 | 2013-04-30 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical instruments |
EP2217157A2 (en) | 2007-10-05 | 2010-08-18 | Ethicon Endo-Surgery, Inc. | Ergonomic surgical instruments |
US10010339B2 (en) | 2007-11-30 | 2018-07-03 | Ethicon Llc | Ultrasonic surgical blades |
US8561870B2 (en) | 2008-02-13 | 2013-10-22 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument |
US7819298B2 (en) | 2008-02-14 | 2010-10-26 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with control features operable with one hand |
US9179912B2 (en) | 2008-02-14 | 2015-11-10 | Ethicon Endo-Surgery, Inc. | Robotically-controlled motorized surgical cutting and fastening instrument |
BRPI0901282A2 (pt) | 2008-02-14 | 2009-11-17 | Ethicon Endo Surgery Inc | instrumento cirúrgico de corte e fixação dotado de eletrodos de rf |
US7866527B2 (en) | 2008-02-14 | 2011-01-11 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with interlockable firing system |
US8573465B2 (en) | 2008-02-14 | 2013-11-05 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical end effector system with rotary actuated closure systems |
US8657174B2 (en) | 2008-02-14 | 2014-02-25 | Ethicon Endo-Surgery, Inc. | Motorized surgical cutting and fastening instrument having handle based power source |
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 |
US9770245B2 (en) | 2008-02-15 | 2017-09-26 | Ethicon Llc | Layer arrangements for surgical staple cartridges |
US20090206131A1 (en) | 2008-02-15 | 2009-08-20 | Ethicon Endo-Surgery, Inc. | End effector coupling arrangements for a surgical cutting and stapling instrument |
US11272927B2 (en) | 2008-02-15 | 2022-03-15 | Cilag Gmbh International | Layer arrangements for surgical staple cartridges |
US9089360B2 (en) | 2008-08-06 | 2015-07-28 | Ethicon Endo-Surgery, Inc. | Devices and techniques for cutting and coagulating tissue |
US7832612B2 (en) | 2008-09-19 | 2010-11-16 | Ethicon Endo-Surgery, Inc. | Lockout arrangement for a surgical stapler |
PL3476312T3 (pl) | 2008-09-19 | 2024-03-11 | Ethicon Llc | Stapler chirurgiczny z urządzeniem do dopasowania wysokości zszywek |
US9005230B2 (en) | 2008-09-23 | 2015-04-14 | Ethicon Endo-Surgery, Inc. | Motorized surgical instrument |
US9386983B2 (en) | 2008-09-23 | 2016-07-12 | Ethicon Endo-Surgery, Llc | Robotically-controlled motorized surgical instrument |
US11648005B2 (en) | 2008-09-23 | 2023-05-16 | Cilag Gmbh International | Robotically-controlled motorized surgical instrument with an end effector |
US8210411B2 (en) | 2008-09-23 | 2012-07-03 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting instrument |
US8608045B2 (en) | 2008-10-10 | 2013-12-17 | Ethicon Endo-Sugery, Inc. | Powered surgical cutting and stapling apparatus with manually retractable firing system |
US8517239B2 (en) | 2009-02-05 | 2013-08-27 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument comprising a magnetic element driver |
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 |
CA2751664A1 (en) | 2009-02-06 | 2010-08-12 | Ethicon Endo-Surgery, Inc. | Driven surgical stapler improvements |
US9700339B2 (en) | 2009-05-20 | 2017-07-11 | Ethicon Endo-Surgery, Inc. | Coupling arrangements and methods for attaching tools to ultrasonic surgical instruments |
US8663220B2 (en) | 2009-07-15 | 2014-03-04 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical instruments |
US10349935B2 (en) | 2009-08-11 | 2019-07-16 | Datascope Corp. | Delivery device and method for compliant tissue fasteners |
US11090104B2 (en) | 2009-10-09 | 2021-08-17 | Cilag Gmbh International | Surgical generator for ultrasonic and electrosurgical devices |
US10172669B2 (en) | 2009-10-09 | 2019-01-08 | Ethicon Llc | Surgical instrument comprising an energy trigger lockout |
US9039695B2 (en) | 2009-10-09 | 2015-05-26 | Ethicon Endo-Surgery, Inc. | Surgical generator for ultrasonic and electrosurgical devices |
US10441345B2 (en) | 2009-10-09 | 2019-10-15 | Ethicon Llc | Surgical generator for ultrasonic and electrosurgical devices |
US8220688B2 (en) | 2009-12-24 | 2012-07-17 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting instrument with electric actuator directional control assembly |
US8851354B2 (en) | 2009-12-24 | 2014-10-07 | Ethicon Endo-Surgery, Inc. | Surgical cutting instrument that analyzes tissue thickness |
US8608046B2 (en) | 2010-01-07 | 2013-12-17 | Ethicon Endo-Surgery, Inc. | Test device for a surgical tool |
US8486096B2 (en) | 2010-02-11 | 2013-07-16 | Ethicon Endo-Surgery, Inc. | Dual purpose surgical instrument for cutting and coagulating tissue |
US8469981B2 (en) | 2010-02-11 | 2013-06-25 | Ethicon Endo-Surgery, Inc. | Rotatable cutting implement arrangements for ultrasonic surgical instruments |
US8951272B2 (en) | 2010-02-11 | 2015-02-10 | Ethicon Endo-Surgery, Inc. | Seal arrangements for ultrasonically powered surgical instruments |
US8834518B2 (en) | 2010-04-12 | 2014-09-16 | Ethicon Endo-Surgery, Inc. | Electrosurgical cutting and sealing instruments with cam-actuated jaws |
US8685020B2 (en) | 2010-05-17 | 2014-04-01 | Ethicon Endo-Surgery, Inc. | Surgical instruments and end effectors therefor |
GB2480498A (en) | 2010-05-21 | 2011-11-23 | Ethicon Endo Surgery Inc | Medical device comprising RF circuitry |
US8795327B2 (en) | 2010-07-22 | 2014-08-05 | Ethicon Endo-Surgery, Inc. | Electrosurgical instrument with separate closure and cutting members |
US9192431B2 (en) | 2010-07-23 | 2015-11-24 | Ethicon Endo-Surgery, Inc. | Electrosurgical cutting and sealing instrument |
US8783543B2 (en) | 2010-07-30 | 2014-07-22 | Ethicon Endo-Surgery, Inc. | Tissue acquisition arrangements and methods for surgical stapling devices |
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 |
US8733613B2 (en) | 2010-09-29 | 2014-05-27 | Ethicon Endo-Surgery, Inc. | Staple cartridge |
US9216019B2 (en) | 2011-09-23 | 2015-12-22 | Ethicon Endo-Surgery, Inc. | Surgical stapler with stationary staple drivers |
US9351730B2 (en) | 2011-04-29 | 2016-05-31 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator comprising channels |
US9307989B2 (en) | 2012-03-28 | 2016-04-12 | Ethicon Endo-Surgery, Llc | Tissue stapler having a thickness compensator incorportating a hydrophobic agent |
BR112013007717B1 (pt) | 2010-09-30 | 2020-09-24 | Ethicon Endo-Surgery, Inc. | Sistema de grampeamento cirúrgico |
US9414838B2 (en) | 2012-03-28 | 2016-08-16 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator comprised of a plurality of materials |
US9220501B2 (en) | 2010-09-30 | 2015-12-29 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensators |
US9629814B2 (en) | 2010-09-30 | 2017-04-25 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator configured to redistribute compressive forces |
US10945731B2 (en) | 2010-09-30 | 2021-03-16 | Ethicon Llc | Tissue thickness compensator comprising controlled release and expansion |
US9332974B2 (en) | 2010-09-30 | 2016-05-10 | Ethicon Endo-Surgery, Llc | Layered tissue thickness compensator |
US11812965B2 (en) | 2010-09-30 | 2023-11-14 | Cilag Gmbh International | Layer of material for a surgical end effector |
US9592050B2 (en) | 2010-09-30 | 2017-03-14 | Ethicon Endo-Surgery, Llc | End effector comprising a distal tissue abutment member |
US11849952B2 (en) | 2010-09-30 | 2023-12-26 | Cilag Gmbh International | Staple cartridge comprising staples positioned within a compressible portion thereof |
US9364233B2 (en) | 2010-09-30 | 2016-06-14 | Ethicon Endo-Surgery, Llc | Tissue thickness compensators for circular surgical staplers |
US11298125B2 (en) | 2010-09-30 | 2022-04-12 | Cilag Gmbh International | Tissue stapler having a thickness compensator |
US8978954B2 (en) | 2010-09-30 | 2015-03-17 | Ethicon Endo-Surgery, Inc. | Staple cartridge comprising an adjustable distal portion |
US9320523B2 (en) | 2012-03-28 | 2016-04-26 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator comprising tissue ingrowth features |
US9314246B2 (en) | 2010-09-30 | 2016-04-19 | Ethicon Endo-Surgery, Llc | Tissue stapler having a thickness compensator incorporating an anti-inflammatory agent |
US8893949B2 (en) | 2010-09-30 | 2014-11-25 | Ethicon Endo-Surgery, Inc. | Surgical stapler with floating anvil |
US9220500B2 (en) | 2010-09-30 | 2015-12-29 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator comprising structure 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 |
US8979890B2 (en) | 2010-10-01 | 2015-03-17 | Ethicon Endo-Surgery, Inc. | Surgical instrument with jaw member |
US8695866B2 (en) | 2010-10-01 | 2014-04-15 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a power control circuit |
US9113884B2 (en) | 2011-03-14 | 2015-08-25 | Ethicon Endo-Surgery, Inc. | Modular surgical tool systems |
CA2834649C (en) | 2011-04-29 | 2021-02-16 | Ethicon Endo-Surgery, Inc. | Staple cartridge comprising staples positioned within a compressible portion thereof |
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 |
US9259265B2 (en) | 2011-07-22 | 2016-02-16 | Ethicon Endo-Surgery, Llc | Surgical instruments for tensioning tissue |
US9044243B2 (en) | 2011-08-30 | 2015-06-02 | Ethcon Endo-Surgery, Inc. | Surgical cutting and fastening device with descendible second trigger arrangement |
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 |
US9421060B2 (en) | 2011-10-24 | 2016-08-23 | Ethicon Endo-Surgery, Llc | Litz wire battery powered device |
JP6165780B2 (ja) | 2012-02-10 | 2017-07-19 | エシコン・エンド−サージェリィ・インコーポレイテッドEthicon Endo−Surgery,Inc. | ロボット制御式の手術器具 |
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 |
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 |
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 |
JP6305979B2 (ja) | 2012-03-28 | 2018-04-04 | エシコン・エンド−サージェリィ・インコーポレイテッドEthicon Endo−Surgery,Inc. | 複数の層を含む組織厚さコンペンセーター |
JP6224070B2 (ja) | 2012-03-28 | 2017-11-01 | エシコン・エンド−サージェリィ・インコーポレイテッドEthicon Endo−Surgery,Inc. | 組織厚さコンペンセータを含む保持具アセンブリ |
US9198662B2 (en) | 2012-03-28 | 2015-12-01 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator having improved visibility |
US9439668B2 (en) | 2012-04-09 | 2016-09-13 | Ethicon Endo-Surgery, Llc | Switch arrangements for ultrasonic surgical instruments |
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 |
US20130317519A1 (en) | 2012-05-25 | 2013-11-28 | Hansen Medical, Inc. | Low friction instrument driver interface for robotic systems |
US9101358B2 (en) | 2012-06-15 | 2015-08-11 | Ethicon Endo-Surgery, Inc. | Articulatable surgical instrument comprising a firing drive |
WO2013192598A1 (en) * | 2012-06-21 | 2013-12-27 | Excelsius Surgical, L.L.C. | Surgical robot platform |
US20170258535A1 (en) * | 2012-06-21 | 2017-09-14 | Globus Medical, Inc. | Surgical robotic automation with tracking markers |
US20140005640A1 (en) | 2012-06-28 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Surgical end effector jaw and electrode configurations |
US20140001234A1 (en) | 2012-06-28 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Coupling arrangements for attaching surgical end effectors to drive systems therefor |
US9101385B2 (en) | 2012-06-28 | 2015-08-11 | Ethicon Endo-Surgery, Inc. | Electrode connections for rotary driven surgical tools |
US20140005718A1 (en) | 2012-06-28 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Multi-functional powered surgical device with external dissection features |
US11278284B2 (en) | 2012-06-28 | 2022-03-22 | Cilag Gmbh International | Rotary drive arrangements for surgical instruments |
US9125662B2 (en) | 2012-06-28 | 2015-09-08 | Ethicon Endo-Surgery, Inc. | Multi-axis articulating and rotating surgical tools |
US9561038B2 (en) | 2012-06-28 | 2017-02-07 | Ethicon Endo-Surgery, Llc | Interchangeable clip applier |
US20140001231A1 (en) | 2012-06-28 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Firing system lockout arrangements for surgical instruments |
US9649111B2 (en) | 2012-06-28 | 2017-05-16 | Ethicon Endo-Surgery, Llc | Replaceable clip cartridge for a clip applier |
US20140005705A1 (en) | 2012-06-29 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Surgical instruments with articulating shafts |
CN104487005B (zh) | 2012-06-28 | 2017-09-08 | 伊西康内外科公司 | 空夹仓闭锁件 |
US9289256B2 (en) | 2012-06-28 | 2016-03-22 | Ethicon Endo-Surgery, Llc | Surgical end effectors having angled tissue-contacting surfaces |
BR112014032776B1 (pt) | 2012-06-28 | 2021-09-08 | Ethicon Endo-Surgery, Inc | Sistema de instrumento cirúrgico e kit cirúrgico para uso com um sistema de instrumento cirúrgico |
US9119657B2 (en) | 2012-06-28 | 2015-09-01 | Ethicon Endo-Surgery, Inc. | Rotary actuatable closure arrangement for surgical end effector |
US9028494B2 (en) | 2012-06-28 | 2015-05-12 | Ethicon Endo-Surgery, Inc. | Interchangeable end effector coupling arrangement |
US9226767B2 (en) | 2012-06-29 | 2016-01-05 | Ethicon Endo-Surgery, Inc. | Closed feedback control for electrosurgical device |
US9820768B2 (en) | 2012-06-29 | 2017-11-21 | Ethicon Llc | Ultrasonic surgical instruments with control mechanisms |
US9198714B2 (en) | 2012-06-29 | 2015-12-01 | Ethicon Endo-Surgery, Inc. | Haptic feedback devices for surgical robot |
US9393037B2 (en) | 2012-06-29 | 2016-07-19 | Ethicon Endo-Surgery, Llc | Surgical instruments with articulating shafts |
US9408622B2 (en) | 2012-06-29 | 2016-08-09 | Ethicon Endo-Surgery, Llc | Surgical instruments with articulating shafts |
US20140005702A1 (en) | 2012-06-29 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical instruments with distally positioned transducers |
US9351754B2 (en) | 2012-06-29 | 2016-05-31 | Ethicon Endo-Surgery, Llc | Ultrasonic surgical instruments with distally positioned jaw assemblies |
US9326788B2 (en) | 2012-06-29 | 2016-05-03 | Ethicon Endo-Surgery, Llc | Lockout mechanism for use with robotic electrosurgical device |
CN104853688B (zh) | 2012-09-28 | 2017-11-28 | 伊西康内外科公司 | 多功能双极镊子 |
US9386985B2 (en) | 2012-10-15 | 2016-07-12 | Ethicon Endo-Surgery, Llc | Surgical cutting instrument |
US9095367B2 (en) | 2012-10-22 | 2015-08-04 | Ethicon Endo-Surgery, Inc. | Flexible harmonic waveguides/blades for surgical instruments |
US20140135804A1 (en) | 2012-11-15 | 2014-05-15 | Ethicon Endo-Surgery, Inc. | Ultrasonic and electrosurgical devices |
US9445816B2 (en) | 2012-12-17 | 2016-09-20 | Ethicon Endo-Surgery, Llc | Circular stapler with selectable motorized and manual control |
US9386984B2 (en) | 2013-02-08 | 2016-07-12 | Ethicon Endo-Surgery, Llc | Staple cartridge comprising a releasable cover |
MX364729B (es) | 2013-03-01 | 2019-05-06 | Ethicon Endo Surgery Inc | Instrumento quirúrgico con una parada suave. |
US9700309B2 (en) | 2013-03-01 | 2017-07-11 | Ethicon Llc | Articulatable surgical instruments with conductive pathways for signal communication |
MX368026B (es) | 2013-03-01 | 2019-09-12 | Ethicon Endo Surgery Inc | Instrumento quirúrgico articulable con vías conductoras para la comunicación de la señal. |
US9668814B2 (en) | 2013-03-07 | 2017-06-06 | Hansen Medical, Inc. | Infinitely rotatable tool with finite rotating drive shafts |
US20140263552A1 (en) | 2013-03-13 | 2014-09-18 | Ethicon Endo-Surgery, Inc. | Staple cartridge tissue thickness sensor system |
US11213363B2 (en) | 2013-03-14 | 2022-01-04 | Auris Health, Inc. | Catheter tension sensing |
US9326822B2 (en) | 2013-03-14 | 2016-05-03 | Hansen Medical, Inc. | Active drives for robotic catheter manipulators |
US20140277334A1 (en) | 2013-03-14 | 2014-09-18 | Hansen Medical, Inc. | Active drives for robotic catheter manipulators |
US10226273B2 (en) | 2013-03-14 | 2019-03-12 | Ethicon Llc | Mechanical fasteners for use with surgical energy devices |
US9173713B2 (en) | 2013-03-14 | 2015-11-03 | Hansen Medical, Inc. | Torque-based catheter articulation |
US9629629B2 (en) | 2013-03-14 | 2017-04-25 | Ethicon Endo-Surgey, LLC | Control systems for surgical instruments |
US9498601B2 (en) | 2013-03-14 | 2016-11-22 | Hansen Medical, Inc. | Catheter tension sensing |
US9629623B2 (en) | 2013-03-14 | 2017-04-25 | Ethicon Endo-Surgery, Llc | Drive system lockout arrangements for modular surgical instruments |
US20140276936A1 (en) | 2013-03-15 | 2014-09-18 | Hansen Medical, Inc. | Active drive mechanism for simultaneous rotation and translation |
US20140276647A1 (en) | 2013-03-15 | 2014-09-18 | Hansen Medical, Inc. | Vascular remote catheter manipulator |
US9452018B2 (en) | 2013-03-15 | 2016-09-27 | Hansen Medical, Inc. | Rotational support for an elongate member |
US9408669B2 (en) | 2013-03-15 | 2016-08-09 | Hansen Medical, Inc. | Active drive mechanism with finite range of motion |
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 |
US9572577B2 (en) | 2013-03-27 | 2017-02-21 | Ethicon Endo-Surgery, Llc | Fastener cartridge comprising a tissue thickness compensator including openings therein |
US10405857B2 (en) | 2013-04-16 | 2019-09-10 | Ethicon Llc | Powered linear 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 |
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 |
US9883887B2 (en) | 2013-07-25 | 2018-02-06 | Cardiovascular Systems, Inc. | Rotational atherectomy device with exchangeable drive shaft and meshing gears |
US9750526B2 (en) | 2013-07-25 | 2017-09-05 | Cardiovascular Systems, Inc. | Rotational atherectomy device with exchangeable drive shaft and meshing gears |
US9907566B2 (en) | 2013-07-25 | 2018-03-06 | Cardiovascualar Systems, Inc. | Rotational atherectomy device with exchangeable drive shaft and meshing gears |
US9724123B2 (en) | 2013-07-25 | 2017-08-08 | Cardiovascular Systems, Inc. | Rotational atherectomy device with exchangeable drive shaft and meshing gears |
US9439674B2 (en) | 2013-07-25 | 2016-09-13 | Cardiovascular Systems, Inc. | Rotational atherectomy device with exchangeable drive shaft and meshing gears |
US9924964B2 (en) * | 2013-07-25 | 2018-03-27 | Cardiovascular Systems, Inc. | Rotational atherectomy device with exchangeable drive shaft and meshing gears |
CN106028966B (zh) | 2013-08-23 | 2018-06-22 | 伊西康内外科有限责任公司 | 用于动力外科器械的击发构件回缩装置 |
US9808249B2 (en) | 2013-08-23 | 2017-11-07 | Ethicon Llc | Attachment portions for surgical instrument assemblies |
US9814514B2 (en) | 2013-09-13 | 2017-11-14 | Ethicon Llc | Electrosurgical (RF) medical instruments for cutting and coagulating tissue |
US9763741B2 (en) | 2013-10-24 | 2017-09-19 | Auris Surgical Robotics, Inc. | System for robotic-assisted endolumenal surgery and related methods |
US9265926B2 (en) | 2013-11-08 | 2016-02-23 | Ethicon Endo-Surgery, Llc | Electrosurgical devices |
WO2015077356A1 (en) * | 2013-11-19 | 2015-05-28 | Wheeler William K | Fastener applicator with interlock |
GB2521228A (en) | 2013-12-16 | 2015-06-17 | Ethicon Endo Surgery Inc | Medical device |
GB2521229A (en) | 2013-12-16 | 2015-06-17 | Ethicon Endo Surgery Inc | Medical device |
US9687232B2 (en) | 2013-12-23 | 2017-06-27 | Ethicon Llc | Surgical staples |
US9642620B2 (en) | 2013-12-23 | 2017-05-09 | Ethicon Endo-Surgery, Llc | Surgical cutting and stapling instruments with articulatable end effectors |
US20150173756A1 (en) | 2013-12-23 | 2015-06-25 | Ethicon Endo-Surgery, Inc. | Surgical cutting and stapling methods |
US9839428B2 (en) | 2013-12-23 | 2017-12-12 | Ethicon Llc | Surgical cutting and stapling instruments with independent jaw control features |
US9681870B2 (en) | 2013-12-23 | 2017-06-20 | Ethicon Llc | Articulatable surgical instruments with separate and distinct closing and firing systems |
US9724092B2 (en) | 2013-12-23 | 2017-08-08 | Ethicon Llc | Modular surgical instruments |
US9795436B2 (en) | 2014-01-07 | 2017-10-24 | Ethicon Llc | Harvesting energy from a surgical generator |
US9962161B2 (en) | 2014-02-12 | 2018-05-08 | Ethicon Llc | Deliverable surgical instrument |
US9707005B2 (en) | 2014-02-14 | 2017-07-18 | Ethicon Llc | Lockout mechanisms for surgical devices |
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 |
US20140166726A1 (en) | 2014-02-24 | 2014-06-19 | Ethicon Endo-Surgery, Inc. | Staple cartridge including a barbed staple |
WO2015142785A1 (en) * | 2014-03-17 | 2015-09-24 | Intuitive Surgical Operations, Inc. | Latch to secure surgical instrument to actuator |
US9554854B2 (en) | 2014-03-18 | 2017-01-31 | Ethicon Endo-Surgery, Llc | Detecting short circuits in electrosurgical medical devices |
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 |
US9750499B2 (en) | 2014-03-26 | 2017-09-05 | Ethicon Llc | Surgical stapling instrument system |
US9733663B2 (en) | 2014-03-26 | 2017-08-15 | Ethicon Llc | Power management through segmented circuit and variable voltage protection |
US9820738B2 (en) | 2014-03-26 | 2017-11-21 | Ethicon Llc | Surgical instrument comprising interactive systems |
US10092310B2 (en) | 2014-03-27 | 2018-10-09 | Ethicon Llc | Electrosurgical devices |
US10463421B2 (en) | 2014-03-27 | 2019-11-05 | Ethicon Llc | Two stage trigger, clamp and cut bipolar vessel sealer |
US10524852B1 (en) | 2014-03-28 | 2020-01-07 | Ethicon Llc | Distal sealing end effector with spacers |
US9737355B2 (en) | 2014-03-31 | 2017-08-22 | Ethicon Llc | Controlling impedance rise in electrosurgical medical devices |
KR102399312B1 (ko) * | 2014-04-01 | 2022-05-18 | 인튜어티브 서지컬 오퍼레이션즈 인코포레이티드 | 원격 조작 수술기기를 위한 제어 입력의 정확도 |
US9913680B2 (en) | 2014-04-15 | 2018-03-13 | Ethicon Llc | Software algorithms for electrosurgical instruments |
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 |
US9801627B2 (en) | 2014-09-26 | 2017-10-31 | Ethicon Llc | Fastener cartridge for creating a flexible staple line |
US20150297225A1 (en) | 2014-04-16 | 2015-10-22 | Ethicon Endo-Surgery, Inc. | Fastener cartridges including extensions having different configurations |
US10299792B2 (en) | 2014-04-16 | 2019-05-28 | Ethicon Llc | Fastener cartridge comprising non-uniform fasteners |
BR112016023807B1 (pt) | 2014-04-16 | 2022-07-12 | Ethicon Endo-Surgery, Llc | Conjunto de cartucho de prendedores para uso com um instrumento cirúrgico |
US9757186B2 (en) | 2014-04-17 | 2017-09-12 | Ethicon Llc | Device status feedback for bipolar tissue spacer |
US10046140B2 (en) | 2014-04-21 | 2018-08-14 | Hansen Medical, Inc. | Devices, systems, and methods for controlling active drive systems |
US10569052B2 (en) | 2014-05-15 | 2020-02-25 | Auris Health, Inc. | Anti-buckling mechanisms for catheters |
US10045781B2 (en) | 2014-06-13 | 2018-08-14 | Ethicon Llc | Closure lockout systems for surgical instruments |
US9700333B2 (en) | 2014-06-30 | 2017-07-11 | Ethicon Llc | Surgical instrument with variable tissue compression |
US9730694B2 (en) * | 2014-07-01 | 2017-08-15 | Covidien Lp | Loading unit including shipping assembly |
US9561083B2 (en) | 2014-07-01 | 2017-02-07 | Auris Surgical Robotics, Inc. | Articulating flexible endoscopic tool with roll capabilities |
US10285724B2 (en) | 2014-07-31 | 2019-05-14 | Ethicon Llc | Actuation mechanisms and load adjustment assemblies for surgical instruments |
US9877776B2 (en) | 2014-08-25 | 2018-01-30 | Ethicon Llc | Simultaneous I-beam and spring driven cam jaw closure mechanism |
US10194976B2 (en) | 2014-08-25 | 2019-02-05 | Ethicon Llc | Lockout disabling mechanism |
US10194972B2 (en) | 2014-08-26 | 2019-02-05 | Ethicon Llc | Managing tissue treatment |
AU2015312160B2 (en) * | 2014-09-04 | 2019-04-04 | Cardiovascular Systems, Inc. | Rotational atherectomy device with exchangeable drive shaft and meshing gears |
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 |
US10135242B2 (en) | 2014-09-05 | 2018-11-20 | Ethicon Llc | Smart cartridge wake up operation and data retention |
US10105142B2 (en) | 2014-09-18 | 2018-10-23 | Ethicon Llc | Surgical stapler with plurality of cutting elements |
CN107427300B (zh) | 2014-09-26 | 2020-12-04 | 伊西康有限责任公司 | 外科缝合支撑物和辅助材料 |
US11523821B2 (en) | 2014-09-26 | 2022-12-13 | Cilag Gmbh International | Method for creating a flexible staple line |
US10076325B2 (en) | 2014-10-13 | 2018-09-18 | Ethicon Llc | Surgical stapling apparatus comprising a tissue stop |
US9924944B2 (en) | 2014-10-16 | 2018-03-27 | Ethicon Llc | Staple cartridge comprising an adjunct material |
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 |
US10639092B2 (en) | 2014-12-08 | 2020-05-05 | Ethicon Llc | Electrode configurations for surgical instruments |
US10736636B2 (en) | 2014-12-10 | 2020-08-11 | Ethicon Llc | Articulatable surgical instrument system |
US10188385B2 (en) | 2014-12-18 | 2019-01-29 | Ethicon Llc | Surgical instrument system comprising lockable systems |
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 |
US9987000B2 (en) | 2014-12-18 | 2018-06-05 | Ethicon Llc | Surgical instrument assembly comprising a flexible articulation system |
US10117649B2 (en) | 2014-12-18 | 2018-11-06 | Ethicon Llc | Surgical instrument assembly comprising a lockable articulation system |
US10085748B2 (en) | 2014-12-18 | 2018-10-02 | Ethicon Llc | Locking arrangements for detachable shaft assemblies with articulatable surgical end effectors |
US9968355B2 (en) | 2014-12-18 | 2018-05-15 | Ethicon Llc | Surgical instruments with articulatable end effectors and improved firing beam support arrangements |
US9844375B2 (en) | 2014-12-18 | 2017-12-19 | Ethicon Llc | Drive arrangements for articulatable surgical instruments |
US9844374B2 (en) | 2014-12-18 | 2017-12-19 | Ethicon Llc | Surgical instrument systems comprising an articulatable end effector and means for adjusting the firing stroke of a firing member |
US9848937B2 (en) | 2014-12-22 | 2017-12-26 | Ethicon Llc | End effector with detectable configurations |
US10111699B2 (en) | 2014-12-22 | 2018-10-30 | Ethicon Llc | RF tissue sealer, shear grip, trigger lock mechanism and energy activation |
US10159524B2 (en) | 2014-12-22 | 2018-12-25 | Ethicon Llc | High power battery powered RF amplifier topology |
US10092348B2 (en) | 2014-12-22 | 2018-10-09 | Ethicon Llc | RF tissue sealer, shear grip, trigger lock mechanism and energy activation |
US10245095B2 (en) | 2015-02-06 | 2019-04-02 | Ethicon Llc | Electrosurgical instrument with rotation and articulation mechanisms |
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 |
US10321907B2 (en) | 2015-02-27 | 2019-06-18 | Ethicon Llc | System for monitoring whether a surgical instrument needs to be serviced |
US11154301B2 (en) | 2015-02-27 | 2021-10-26 | Cilag Gmbh International | Modular stapling assembly |
US10226250B2 (en) | 2015-02-27 | 2019-03-12 | Ethicon Llc | Modular stapling assembly |
US10045776B2 (en) | 2015-03-06 | 2018-08-14 | Ethicon Llc | Control techniques and sub-processor contained within modular shaft with select control processing from handle |
US9924961B2 (en) | 2015-03-06 | 2018-03-27 | Ethicon Endo-Surgery, Llc | Interactive feedback system for powered surgical instruments |
US10548504B2 (en) | 2015-03-06 | 2020-02-04 | Ethicon Llc | Overlaid multi sensor radio frequency (RF) electrode system to measure tissue compression |
US10687806B2 (en) | 2015-03-06 | 2020-06-23 | Ethicon Llc | Adaptive tissue compression techniques to adjust closure rates for multiple tissue types |
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 |
US10617412B2 (en) | 2015-03-06 | 2020-04-14 | Ethicon Llc | System for detecting the mis-insertion of a staple cartridge into a surgical stapler |
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 |
US9901342B2 (en) | 2015-03-06 | 2018-02-27 | Ethicon Endo-Surgery, Llc | Signal and power communication system positioned on a rotatable shaft |
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 |
US10441279B2 (en) | 2015-03-06 | 2019-10-15 | Ethicon Llc | Multiple level thresholds to modify operation of powered surgical instruments |
US10321950B2 (en) | 2015-03-17 | 2019-06-18 | Ethicon Llc | Managing tissue treatment |
US10342602B2 (en) | 2015-03-17 | 2019-07-09 | Ethicon Llc | Managing tissue treatment |
US10595929B2 (en) | 2015-03-24 | 2020-03-24 | Ethicon Llc | Surgical instruments with firing system overload protection mechanisms |
US10390825B2 (en) | 2015-03-31 | 2019-08-27 | Ethicon Llc | Surgical instrument with progressive rotary drive systems |
US10314638B2 (en) | 2015-04-07 | 2019-06-11 | Ethicon Llc | Articulating radio frequency (RF) tissue seal with articulating state sensing |
US10117702B2 (en) | 2015-04-10 | 2018-11-06 | Ethicon Llc | Surgical generator systems and related methods |
US10342567B2 (en) | 2015-04-16 | 2019-07-09 | Ethicon Llc | Ultrasonic surgical instrument with opposing thread drive for end effector articulation |
US10130410B2 (en) | 2015-04-17 | 2018-11-20 | Ethicon Llc | Electrosurgical instrument including a cutting member decouplable from a cutting member trigger |
US9872725B2 (en) | 2015-04-29 | 2018-01-23 | Ethicon Llc | RF tissue sealer with mode selection |
US11020140B2 (en) | 2015-06-17 | 2021-06-01 | Cilag Gmbh International | Ultrasonic surgical blade for use with ultrasonic surgical instruments |
US10178992B2 (en) | 2015-06-18 | 2019-01-15 | Ethicon Llc | Push/pull articulation drive systems for articulatable surgical instruments |
US10034704B2 (en) | 2015-06-30 | 2018-07-31 | Ethicon Llc | Surgical instrument with user adaptable algorithms |
US11051873B2 (en) | 2015-06-30 | 2021-07-06 | Cilag Gmbh International | Surgical system with user adaptable techniques employing multiple energy modalities based on tissue parameters |
US11129669B2 (en) | 2015-06-30 | 2021-09-28 | Cilag Gmbh International | Surgical system with user adaptable techniques based on tissue type |
US10765470B2 (en) | 2015-06-30 | 2020-09-08 | Ethicon Llc | Surgical system with user adaptable techniques employing simultaneous energy modalities based on tissue parameters |
US10357303B2 (en) | 2015-06-30 | 2019-07-23 | Ethicon Llc | Translatable outer tube for sealing using shielded lap chole dissector |
US10898256B2 (en) | 2015-06-30 | 2021-01-26 | Ethicon Llc | Surgical system with user adaptable techniques based on tissue impedance |
US10154852B2 (en) | 2015-07-01 | 2018-12-18 | Ethicon Llc | Ultrasonic surgical blade with improved cutting and coagulation features |
JP7148242B2 (ja) * | 2015-07-09 | 2022-10-05 | 川崎重工業株式会社 | 手術用ロボット |
US10617418B2 (en) | 2015-08-17 | 2020-04-14 | Ethicon Llc | Implantable layers for a surgical instrument |
BR112018003693B1 (pt) | 2015-08-26 | 2022-11-22 | Ethicon Llc | Cartucho de grampos cirúrgicos para uso com um instrumento de grampeamento cirúrgico |
US10357251B2 (en) | 2015-08-26 | 2019-07-23 | Ethicon Llc | Surgical staples comprising hardness variations for improved fastening of tissue |
MX2022006192A (es) | 2015-09-02 | 2022-06-16 | Ethicon Llc | Configuraciones de grapas quirurgicas con superficies de leva situadas entre porciones que soportan grapas quirurgicas. |
US10172619B2 (en) | 2015-09-02 | 2019-01-08 | Ethicon Llc | Surgical staple driver arrays |
KR102569960B1 (ko) | 2015-09-09 | 2023-08-24 | 아우리스 헬스, 인크. | 수술 로봇 시스템을 위한 기구 장치 조작기 |
US10085751B2 (en) | 2015-09-23 | 2018-10-02 | Ethicon Llc | Surgical stapler having temperature-based motor control |
US10105139B2 (en) | 2015-09-23 | 2018-10-23 | Ethicon Llc | Surgical stapler having downstream current-based motor control |
US10327769B2 (en) | 2015-09-23 | 2019-06-25 | Ethicon Llc | Surgical stapler having motor control based on a drive system component |
US10238386B2 (en) | 2015-09-23 | 2019-03-26 | Ethicon Llc | Surgical stapler having motor control based on an electrical parameter related to a motor current |
US10076326B2 (en) | 2015-09-23 | 2018-09-18 | Ethicon Llc | Surgical stapler having current mirror-based motor control |
US10363036B2 (en) | 2015-09-23 | 2019-07-30 | Ethicon Llc | Surgical stapler having force-based motor control |
US10299878B2 (en) | 2015-09-25 | 2019-05-28 | Ethicon Llc | Implantable adjunct systems for determining adjunct skew |
US11890015B2 (en) | 2015-09-30 | 2024-02-06 | Cilag Gmbh International | Compressible adjunct with crossing spacer fibers |
US10524788B2 (en) | 2015-09-30 | 2020-01-07 | Ethicon Llc | Compressible adjunct with attachment regions |
US10980539B2 (en) | 2015-09-30 | 2021-04-20 | Ethicon Llc | Implantable adjunct comprising bonded layers |
US10271849B2 (en) | 2015-09-30 | 2019-04-30 | Ethicon Llc | Woven constructs with interlocked standing fibers |
US11058475B2 (en) | 2015-09-30 | 2021-07-13 | Cilag Gmbh International | Method and apparatus for selecting operations of a surgical instrument based on user intention |
US10595930B2 (en) | 2015-10-16 | 2020-03-24 | Ethicon Llc | Electrode wiping surgical device |
US10959771B2 (en) | 2015-10-16 | 2021-03-30 | Ethicon Llc | Suction and irrigation sealing grasper |
US10231793B2 (en) | 2015-10-30 | 2019-03-19 | Auris Health, Inc. | Object removal through a percutaneous suction tube |
US9949749B2 (en) | 2015-10-30 | 2018-04-24 | Auris Surgical Robotics, Inc. | Object capture with a basket |
US9955986B2 (en) | 2015-10-30 | 2018-05-01 | Auris Surgical Robotics, Inc. | Basket apparatus |
US10368865B2 (en) | 2015-12-30 | 2019-08-06 | Ethicon Llc | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US10265068B2 (en) | 2015-12-30 | 2019-04-23 | Ethicon Llc | Surgical instruments with separable motors and motor control circuits |
US10292704B2 (en) | 2015-12-30 | 2019-05-21 | Ethicon Llc | Mechanisms for compensating for battery pack failure in powered surgical instruments |
US10959806B2 (en) | 2015-12-30 | 2021-03-30 | Ethicon Llc | Energized medical device with reusable handle |
US10179022B2 (en) | 2015-12-30 | 2019-01-15 | Ethicon Llc | Jaw position impedance limiter for electrosurgical instrument |
US10575892B2 (en) | 2015-12-31 | 2020-03-03 | Ethicon Llc | Adapter for electrical surgical instruments |
US10709469B2 (en) | 2016-01-15 | 2020-07-14 | Ethicon Llc | Modular battery powered handheld surgical instrument with energy conservation techniques |
US11129670B2 (en) | 2016-01-15 | 2021-09-28 | Cilag Gmbh International | Modular battery powered handheld surgical instrument with selective application of energy based on button displacement, intensity, or local tissue characterization |
US10716615B2 (en) | 2016-01-15 | 2020-07-21 | Ethicon Llc | Modular battery powered handheld surgical instrument with curved end effectors having asymmetric engagement between jaw and blade |
US11229471B2 (en) | 2016-01-15 | 2022-01-25 | Cilag Gmbh International | Modular battery powered handheld surgical instrument with selective application of energy based on tissue characterization |
US11213293B2 (en) | 2016-02-09 | 2022-01-04 | Cilag Gmbh International | Articulatable surgical instruments with single articulation link arrangements |
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 |
US10588625B2 (en) | 2016-02-09 | 2020-03-17 | Ethicon Llc | Articulatable surgical instruments with off-axis firing beam arrangements |
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 |
US10555769B2 (en) | 2016-02-22 | 2020-02-11 | Ethicon Llc | Flexible circuits for electrosurgical instrument |
US11064997B2 (en) | 2016-04-01 | 2021-07-20 | Cilag Gmbh International | Surgical stapling instrument |
US10307159B2 (en) | 2016-04-01 | 2019-06-04 | Ethicon Llc | Surgical instrument handle assembly with reconfigurable grip portion |
US11284890B2 (en) | 2016-04-01 | 2022-03-29 | Cilag Gmbh International | Circular stapling system comprising an incisable tissue support |
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 |
US10271851B2 (en) | 2016-04-01 | 2019-04-30 | Ethicon Llc | Modular surgical stapling system comprising a display |
JP6938533B2 (ja) * | 2016-04-01 | 2021-09-22 | エシコン エルエルシーEthicon LLC | 外科用ステープル留めシステム |
US10743850B2 (en) * | 2016-04-04 | 2020-08-18 | Ethicon Llc | Surgical instrument with locking articulation drive wheel |
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 |
US10426467B2 (en) | 2016-04-15 | 2019-10-01 | Ethicon Llc | Surgical instrument with detection sensors |
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 |
US10335145B2 (en) | 2016-04-15 | 2019-07-02 | Ethicon Llc | Modular surgical instrument with configurable operating mode |
US10456137B2 (en) | 2016-04-15 | 2019-10-29 | Ethicon Llc | Staple formation detection mechanisms |
US10492783B2 (en) | 2016-04-15 | 2019-12-03 | Ethicon, Llc | Surgical instrument with improved stop/start control during a firing motion |
US10357247B2 (en) | 2016-04-15 | 2019-07-23 | Ethicon Llc | Surgical instrument with multiple program responses during a firing motion |
US11317917B2 (en) | 2016-04-18 | 2022-05-03 | Cilag Gmbh International | Surgical stapling system comprising a lockable firing assembly |
CN109310437B (zh) * | 2016-04-18 | 2022-04-15 | 伊西康有限责任公司 | 用于旋转电动外科切割和缝合器械的仓闭锁布置 |
US10363037B2 (en) * | 2016-04-18 | 2019-07-30 | Ethicon Llc | Surgical instrument system comprising a magnetic lockout |
US20170296173A1 (en) | 2016-04-18 | 2017-10-19 | Ethicon Endo-Surgery, Llc | Method for operating a surgical instrument |
US10702329B2 (en) | 2016-04-29 | 2020-07-07 | Ethicon Llc | Jaw structure with distal post for electrosurgical instruments |
US10856934B2 (en) | 2016-04-29 | 2020-12-08 | Ethicon Llc | Electrosurgical instrument with electrically conductive gap setting and tissue engaging members |
US10987156B2 (en) | 2016-04-29 | 2021-04-27 | Ethicon Llc | Electrosurgical instrument with electrically conductive gap setting member and electrically insulative tissue engaging members |
US10485607B2 (en) | 2016-04-29 | 2019-11-26 | Ethicon Llc | Jaw structure with distal closure for electrosurgical instruments |
US10454347B2 (en) | 2016-04-29 | 2019-10-22 | Auris Health, Inc. | Compact height torque sensing articulation axis assembly |
US10646269B2 (en) | 2016-04-29 | 2020-05-12 | Ethicon Llc | Non-linear jaw gap for electrosurgical instruments |
US10456193B2 (en) | 2016-05-03 | 2019-10-29 | Ethicon Llc | Medical device with a bilateral jaw configuration for nerve stimulation |
USD850617S1 (en) | 2016-06-24 | 2019-06-04 | Ethicon Llc | Surgical fastener cartridge |
CN109310431B (zh) | 2016-06-24 | 2022-03-04 | 伊西康有限责任公司 | 包括线材钉和冲压钉的钉仓 |
US10702270B2 (en) | 2016-06-24 | 2020-07-07 | Ethicon Llc | Stapling system for use with wire staples and stamped staples |
USD847989S1 (en) | 2016-06-24 | 2019-05-07 | Ethicon Llc | Surgical fastener cartridge |
USD822206S1 (en) | 2016-06-24 | 2018-07-03 | Ethicon Llc | Surgical fastener |
USD826405S1 (en) | 2016-06-24 | 2018-08-21 | Ethicon Llc | Surgical fastener |
US10245064B2 (en) | 2016-07-12 | 2019-04-02 | Ethicon Llc | Ultrasonic surgical instrument with piezoelectric central lumen transducer |
US10893883B2 (en) | 2016-07-13 | 2021-01-19 | Ethicon Llc | Ultrasonic assembly for use with ultrasonic surgical instruments |
US10842522B2 (en) | 2016-07-15 | 2020-11-24 | Ethicon Llc | Ultrasonic surgical instruments having offset blades |
US10376305B2 (en) | 2016-08-05 | 2019-08-13 | Ethicon Llc | Methods and systems for advanced harmonic energy |
US10285723B2 (en) | 2016-08-09 | 2019-05-14 | Ethicon Llc | Ultrasonic surgical blade with improved heel portion |
USD847990S1 (en) | 2016-08-16 | 2019-05-07 | Ethicon Llc | Surgical instrument |
US10952759B2 (en) | 2016-08-25 | 2021-03-23 | Ethicon Llc | Tissue loading of a surgical instrument |
US10420580B2 (en) | 2016-08-25 | 2019-09-24 | Ethicon Llc | Ultrasonic transducer for surgical instrument |
US11241559B2 (en) | 2016-08-29 | 2022-02-08 | Auris Health, Inc. | Active drive for guidewire manipulation |
JP6853346B2 (ja) | 2016-08-31 | 2021-03-31 | オーリス ヘルス インコーポレイテッド | 長さを維持する外科用器具 |
US10751117B2 (en) | 2016-09-23 | 2020-08-25 | Ethicon Llc | Electrosurgical instrument with fluid diverter |
US10603064B2 (en) | 2016-11-28 | 2020-03-31 | Ethicon Llc | Ultrasonic transducer |
US11266430B2 (en) | 2016-11-29 | 2022-03-08 | Cilag Gmbh International | End effector control and calibration |
US10568625B2 (en) | 2016-12-21 | 2020-02-25 | Ethicon Llc | Staple cartridges and arrangements of staples and staple cavities therein |
US10945727B2 (en) | 2016-12-21 | 2021-03-16 | Ethicon Llc | Staple cartridge with deformable driver retention features |
US20180168575A1 (en) | 2016-12-21 | 2018-06-21 | Ethicon Endo-Surgery, Llc | Surgical stapling systems |
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 |
US20180168598A1 (en) | 2016-12-21 | 2018-06-21 | Ethicon Endo-Surgery, Llc | Staple forming pocket arrangements comprising zoned forming surface grooves |
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 |
MX2019007311A (es) | 2016-12-21 | 2019-11-18 | Ethicon Llc | Sistemas de engrapado quirurgico. |
US11684367B2 (en) | 2016-12-21 | 2023-06-27 | Cilag Gmbh International | Stepped assembly having and end-of-life indicator |
US10980536B2 (en) | 2016-12-21 | 2021-04-20 | Ethicon Llc | No-cartridge and spent cartridge lockout arrangements for surgical staplers |
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 |
US10687810B2 (en) | 2016-12-21 | 2020-06-23 | Ethicon Llc | Stepped staple cartridge with tissue retention and gap setting features |
US20180168625A1 (en) | 2016-12-21 | 2018-06-21 | Ethicon Endo-Surgery, Llc | Surgical stapling instruments with smart staple cartridges |
US10993715B2 (en) | 2016-12-21 | 2021-05-04 | Ethicon Llc | Staple cartridge comprising staples with different clamping breadths |
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 |
US10537325B2 (en) | 2016-12-21 | 2020-01-21 | Ethicon Llc | Staple forming pocket arrangement to accommodate different types of staples |
US10485543B2 (en) | 2016-12-21 | 2019-11-26 | Ethicon Llc | Anvil having a knife slot width |
US11134942B2 (en) | 2016-12-21 | 2021-10-05 | Cilag Gmbh International | Surgical stapling instruments and staple-forming anvils |
US10492785B2 (en) | 2016-12-21 | 2019-12-03 | Ethicon Llc | Shaft assembly comprising a lockout |
US10973516B2 (en) | 2016-12-21 | 2021-04-13 | Ethicon Llc | Surgical end effectors and adaptable firing members therefor |
US10881401B2 (en) | 2016-12-21 | 2021-01-05 | Ethicon Llc | Staple firing member comprising a missing cartridge and/or spent cartridge lockout |
US10426471B2 (en) | 2016-12-21 | 2019-10-01 | Ethicon Llc | Surgical instrument with multiple failure response modes |
US20180168647A1 (en) | 2016-12-21 | 2018-06-21 | Ethicon Endo-Surgery, Llc | Surgical stapling instruments having end effectors with positive opening features |
JP6983893B2 (ja) | 2016-12-21 | 2021-12-17 | エシコン エルエルシーEthicon LLC | 外科用エンドエフェクタ及び交換式ツールアセンブリのためのロックアウト構成 |
US20180168609A1 (en) | 2016-12-21 | 2018-06-21 | Ethicon Endo-Surgery, Llc | Firing assembly comprising a fuse |
US10543048B2 (en) | 2016-12-28 | 2020-01-28 | Auris Health, Inc. | Flexible instrument insertion using an adaptive insertion force threshold |
US10244926B2 (en) | 2016-12-28 | 2019-04-02 | Auris Health, Inc. | Detecting endolumenal buckling of flexible instruments |
US11229480B2 (en) * | 2017-02-02 | 2022-01-25 | Covidien Lp | Latching mechanism for in-line activated electrosurgical device |
US11033325B2 (en) | 2017-02-16 | 2021-06-15 | Cilag Gmbh International | Electrosurgical instrument with telescoping suction port and debris cleaner |
US10799284B2 (en) | 2017-03-15 | 2020-10-13 | Ethicon Llc | Electrosurgical instrument with textured jaws |
US11497546B2 (en) | 2017-03-31 | 2022-11-15 | Cilag Gmbh International | Area ratios of patterned coatings on RF electrodes to reduce sticking |
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 |
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 |
USD879808S1 (en) | 2017-06-20 | 2020-03-31 | Ethicon Llc | Display panel with 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 |
US10881396B2 (en) | 2017-06-20 | 2021-01-05 | Ethicon Llc | Surgical instrument with variable duration trigger arrangement |
USD879809S1 (en) | 2017-06-20 | 2020-03-31 | Ethicon Llc | Display panel with changeable graphical user interface |
US11071554B2 (en) | 2017-06-20 | 2021-07-27 | Cilag Gmbh International | Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on magnitude of velocity error measurements |
US10980537B2 (en) | 2017-06-20 | 2021-04-20 | Ethicon Llc | Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on measured time over a specified number of shaft rotations |
US10624633B2 (en) | 2017-06-20 | 2020-04-21 | Ethicon Llc | Systems and methods for controlling motor velocity of a surgical stapling and cutting instrument |
US11090046B2 (en) | 2017-06-20 | 2021-08-17 | Cilag Gmbh International | Systems and methods for controlling displacement member motion of a surgical stapling and cutting instrument |
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 |
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 |
US10881399B2 (en) | 2017-06-20 | 2021-01-05 | Ethicon Llc | Techniques for adaptive control of motor velocity of a surgical stapling and cutting instrument |
US10646220B2 (en) | 2017-06-20 | 2020-05-12 | Ethicon Llc | Systems and methods for controlling displacement member velocity for a surgical instrument |
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 |
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 |
USD890784S1 (en) | 2017-06-20 | 2020-07-21 | Ethicon Llc | Display panel with changeable graphical user interface |
US10888321B2 (en) | 2017-06-20 | 2021-01-12 | Ethicon Llc | Systems and methods for controlling velocity of a displacement member of a surgical stapling and cutting instrument |
US10631859B2 (en) | 2017-06-27 | 2020-04-28 | Ethicon Llc | Articulation systems for surgical instruments |
US10772629B2 (en) | 2017-06-27 | 2020-09-15 | Ethicon Llc | Surgical anvil arrangements |
US10856869B2 (en) | 2017-06-27 | 2020-12-08 | 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 |
US10993716B2 (en) | 2017-06-27 | 2021-05-04 | Ethicon Llc | Surgical anvil arrangements |
USD854151S1 (en) | 2017-06-28 | 2019-07-16 | Ethicon Llc | Surgical instrument shaft |
US11026758B2 (en) | 2017-06-28 | 2021-06-08 | Auris Health, Inc. | Medical robotics systems implementing axis constraints during actuation of one or more motorized joints |
US11389161B2 (en) | 2017-06-28 | 2022-07-19 | Cilag Gmbh International | Surgical instrument comprising selectively actuatable rotatable couplers |
US10765427B2 (en) | 2017-06-28 | 2020-09-08 | Ethicon Llc | Method for articulating a surgical instrument |
EP3420947B1 (en) | 2017-06-28 | 2022-05-25 | Cilag GmbH International | Surgical instrument comprising selectively actuatable rotatable couplers |
US10211586B2 (en) | 2017-06-28 | 2019-02-19 | Ethicon Llc | Surgical shaft assemblies with watertight housings |
USD906355S1 (en) | 2017-06-28 | 2020-12-29 | Ethicon Llc | Display screen or portion thereof with a graphical user interface for a surgical instrument |
USD851762S1 (en) | 2017-06-28 | 2019-06-18 | Ethicon Llc | Anvil |
US10903685B2 (en) | 2017-06-28 | 2021-01-26 | Ethicon Llc | Surgical shaft assemblies with slip ring assemblies forming capacitive channels |
US10716614B2 (en) | 2017-06-28 | 2020-07-21 | Ethicon Llc | Surgical shaft assemblies with slip ring assemblies with increased contact pressure |
US10603117B2 (en) | 2017-06-28 | 2020-03-31 | Ethicon Llc | Articulation state detection mechanisms |
USD869655S1 (en) | 2017-06-28 | 2019-12-10 | Ethicon Llc | Surgical fastener cartridge |
US11246592B2 (en) | 2017-06-28 | 2022-02-15 | Cilag Gmbh International | Surgical instrument comprising an articulation system lockable to a frame |
US10588633B2 (en) | 2017-06-28 | 2020-03-17 | Ethicon Llc | Surgical instruments with open and closable jaws and axially movable firing member that is initially parked in close proximity to the jaws prior to firing |
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 |
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 |
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 |
US10258418B2 (en) | 2017-06-29 | 2019-04-16 | Ethicon Llc | System for controlling articulation forces |
US11007022B2 (en) | 2017-06-29 | 2021-05-18 | Ethicon Llc | Closed loop velocity control techniques based on sensed tissue parameters for robotic surgical instrument |
US10820920B2 (en) | 2017-07-05 | 2020-11-03 | Ethicon Llc | Reusable ultrasonic medical devices and methods of their use |
US11304695B2 (en) | 2017-08-03 | 2022-04-19 | Cilag Gmbh International | Surgical system shaft interconnection |
US11944300B2 (en) | 2017-08-03 | 2024-04-02 | Cilag Gmbh International | Method for operating a surgical system bailout |
US11471155B2 (en) | 2017-08-03 | 2022-10-18 | Cilag Gmbh International | Surgical system bailout |
US10905421B2 (en) * | 2017-08-29 | 2021-02-02 | Ethicon Llc | Electrically-powered surgical box staplers |
US11504126B2 (en) | 2017-08-29 | 2022-11-22 | Cilag Gmbh International | Control system for clip applier |
US10485527B2 (en) | 2017-08-29 | 2019-11-26 | Ethicon Llc | Control system for clip applier |
US10905417B2 (en) | 2017-08-29 | 2021-02-02 | Ethicon Llc | Circular stapler |
US10548601B2 (en) | 2017-08-29 | 2020-02-04 | Ethicon Llc | Control system for clip applier |
US10835310B2 (en) | 2017-08-29 | 2020-11-17 | Ethicon Llc | Electrically-powered surgical systems |
US11160602B2 (en) | 2017-08-29 | 2021-11-02 | Cilag Gmbh International | Control of surgical field irrigation |
US10905493B2 (en) | 2017-08-29 | 2021-02-02 | Ethicon Llc | Methods, systems, and devices for controlling electrosurgical tools |
US10932808B2 (en) | 2017-08-29 | 2021-03-02 | Ethicon Llc | Methods, systems, and devices for controlling electrosurgical tools |
US11013528B2 (en) | 2017-08-29 | 2021-05-25 | Ethicon Llc | Electrically-powered surgical systems providing fine clamping control during energy delivery |
US10898219B2 (en) | 2017-08-29 | 2021-01-26 | Ethicon Llc | Electrically-powered surgical systems for cutting and welding solid organs |
US10925602B2 (en) | 2017-08-29 | 2021-02-23 | Ethicon Llc | Endocutter control system |
US10912581B2 (en) | 2017-08-29 | 2021-02-09 | Ethicon Llc | Electrically-powered surgical systems with articulation-compensated ultrasonic energy delivery |
US10888370B2 (en) | 2017-08-29 | 2021-01-12 | Ethicon Llc | Methods, systems, and devices for controlling electrosurgical tools |
US10881403B2 (en) | 2017-08-29 | 2021-01-05 | Ethicon Llc | Endocutter control system |
US10675082B2 (en) | 2017-08-29 | 2020-06-09 | Ethicon Llc | Control of surgical field irrigation by electrosurgical tool |
US10856928B2 (en) | 2017-08-29 | 2020-12-08 | Ethicon Llc | Electrically-powered surgical systems |
US10925682B2 (en) | 2017-08-29 | 2021-02-23 | Ethicon Llc | Electrically-powered surgical systems employing variable compression during treatment |
US10470758B2 (en) | 2017-08-29 | 2019-11-12 | Ethicon Llc | Suturing device |
US10912567B2 (en) | 2017-08-29 | 2021-02-09 | Ethicon Llc | Circular stapler |
USD907648S1 (en) | 2017-09-29 | 2021-01-12 | Ethicon Llc | Display screen or portion thereof with animated graphical user interface |
US11484358B2 (en) | 2017-09-29 | 2022-11-01 | Cilag Gmbh International | Flexible electrosurgical instrument |
US10729501B2 (en) | 2017-09-29 | 2020-08-04 | Ethicon Llc | Systems and methods for language selection of a surgical instrument |
US11033323B2 (en) | 2017-09-29 | 2021-06-15 | Cilag Gmbh International | Systems and methods for managing fluid and suction in electrosurgical systems |
USD907647S1 (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 |
US10743872B2 (en) | 2017-09-29 | 2020-08-18 | Ethicon Llc | System and methods for controlling a display of a surgical instrument |
US11490951B2 (en) | 2017-09-29 | 2022-11-08 | Cilag Gmbh International | Saline contact with electrodes |
USD917500S1 (en) | 2017-09-29 | 2021-04-27 | Ethicon Llc | Display screen or portion thereof with graphical user interface |
US10765429B2 (en) | 2017-09-29 | 2020-09-08 | Ethicon Llc | Systems and methods for providing alerts according to the operational state of a surgical instrument |
US10796471B2 (en) | 2017-09-29 | 2020-10-06 | Ethicon Llc | Systems and methods of displaying a knife position for a surgical instrument |
US10624709B2 (en) * | 2017-10-26 | 2020-04-21 | Ethicon Llc | Robotic surgical tool with manual release lever |
US11911045B2 (en) | 2017-10-30 | 2024-02-27 | Cllag GmbH International | Method for operating a powered articulating multi-clip applier |
US11801098B2 (en) | 2017-10-30 | 2023-10-31 | Cilag Gmbh International | Method of hub communication with surgical instrument systems |
US11510741B2 (en) | 2017-10-30 | 2022-11-29 | Cilag Gmbh International | Method for producing a surgical instrument comprising a smart electrical system |
US11317919B2 (en) | 2017-10-30 | 2022-05-03 | Cilag Gmbh International | Clip applier comprising a clip crimping system |
US11564756B2 (en) | 2017-10-30 | 2023-01-31 | Cilag Gmbh International | Method of hub communication with surgical instrument systems |
US10959744B2 (en) | 2017-10-30 | 2021-03-30 | Ethicon Llc | Surgical dissectors and manufacturing techniques |
US11229436B2 (en) | 2017-10-30 | 2022-01-25 | Cilag Gmbh International | Surgical system comprising a surgical tool and a surgical hub |
US11311342B2 (en) | 2017-10-30 | 2022-04-26 | Cilag Gmbh International | Method for communicating with surgical instrument systems |
US11291510B2 (en) | 2017-10-30 | 2022-04-05 | Cilag Gmbh International | Method of hub communication with surgical instrument systems |
US11134944B2 (en) | 2017-10-30 | 2021-10-05 | Cilag Gmbh International | Surgical stapler knife motion controls |
US11141160B2 (en) | 2017-10-30 | 2021-10-12 | Cilag Gmbh International | Clip applier comprising a motor controller |
US11090075B2 (en) | 2017-10-30 | 2021-08-17 | Cilag Gmbh International | Articulation features for surgical end effector |
US10779903B2 (en) | 2017-10-31 | 2020-09-22 | Ethicon Llc | Positive shaft rotation lock activated by jaw closure |
US10842490B2 (en) | 2017-10-31 | 2020-11-24 | Ethicon Llc | Cartridge body design with force reduction based on firing completion |
JP2021503998A (ja) * | 2017-11-29 | 2021-02-15 | コヴィディエン リミテッド パートナーシップ | ロボット手術システム、器具駆動アセンブリ、及び駆動アセンブリ |
BR112020011444A2 (pt) | 2017-12-11 | 2021-02-02 | Auris Health, Inc. | sistemas e métodos para arquiteturas de inserção baseadas em instrumentos |
KR20200100613A (ko) | 2017-12-14 | 2020-08-26 | 아우리스 헬스, 인코포레이티드 | 기구 위치 추정을 위한 시스템 및 방법 |
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 |
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 |
US11033267B2 (en) | 2017-12-15 | 2021-06-15 | Ethicon Llc | Systems and methods of controlling a clamping member firing rate of a surgical instrument |
US10828033B2 (en) | 2017-12-15 | 2020-11-10 | Ethicon Llc | Handheld electromechanical surgical instruments with improved motor control arrangements for positioning components of an adapter coupled thereto |
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 |
US11071543B2 (en) | 2017-12-15 | 2021-07-27 | Cilag Gmbh International | Surgical end effectors with clamping assemblies configured to increase jaw aperture ranges |
US10743875B2 (en) | 2017-12-15 | 2020-08-18 | Ethicon Llc | Surgical end effectors with jaw stiffener arrangements configured to permit monitoring of firing member |
US11197670B2 (en) | 2017-12-15 | 2021-12-14 | Cilag Gmbh International | Surgical end effectors with pivotal jaws configured to touch at their respective distal ends when fully closed |
US10869666B2 (en) | 2017-12-15 | 2020-12-22 | Ethicon Llc | Adapters with control systems for controlling multiple motors of an electromechanical surgical instrument |
US10687813B2 (en) | 2017-12-15 | 2020-06-23 | Ethicon Llc | Adapters with firing stroke sensing arrangements for use in connection with electromechanical surgical instruments |
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 |
USD910847S1 (en) | 2017-12-19 | 2021-02-16 | Ethicon Llc | Surgical instrument assembly |
US10716565B2 (en) | 2017-12-19 | 2020-07-21 | Ethicon Llc | Surgical instruments with dual articulation drivers |
US11045270B2 (en) | 2017-12-19 | 2021-06-29 | Cilag Gmbh International | Robotic attachment comprising exterior drive actuator |
US11020112B2 (en) | 2017-12-19 | 2021-06-01 | Ethicon Llc | Surgical tools configured for interchangeable use with different controller interfaces |
US10729509B2 (en) | 2017-12-19 | 2020-08-04 | Ethicon Llc | Surgical instrument comprising closure and firing locking mechanism |
US10835330B2 (en) | 2017-12-19 | 2020-11-17 | Ethicon Llc | Method for determining the position of a rotatable jaw of a surgical instrument attachment assembly |
US11076853B2 (en) | 2017-12-21 | 2021-08-03 | Cilag Gmbh International | Systems and methods of displaying a knife position during transection for a surgical instrument |
US11129680B2 (en) | 2017-12-21 | 2021-09-28 | Cilag Gmbh International | Surgical instrument comprising a projector |
US11311290B2 (en) | 2017-12-21 | 2022-04-26 | Cilag Gmbh International | Surgical instrument comprising an end effector dampener |
US11751867B2 (en) | 2017-12-21 | 2023-09-12 | Cilag Gmbh International | Surgical instrument comprising sequenced systems |
US11786245B2 (en) | 2017-12-28 | 2023-10-17 | Cilag Gmbh International | Surgical systems with prioritized data transmission capabilities |
US11602393B2 (en) | 2017-12-28 | 2023-03-14 | Cilag Gmbh International | Surgical evacuation sensing and generator control |
US10898622B2 (en) | 2017-12-28 | 2021-01-26 | Ethicon Llc | Surgical evacuation system with a communication circuit for communication between a filter and a smoke evacuation device |
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 |
US11410259B2 (en) | 2017-12-28 | 2022-08-09 | Cilag Gmbh International | Adaptive control program updates for surgical devices |
US11166772B2 (en) | 2017-12-28 | 2021-11-09 | Cilag Gmbh International | Surgical hub coordination of control and communication of operating room devices |
US11284936B2 (en) | 2017-12-28 | 2022-03-29 | Cilag Gmbh International | Surgical instrument having a flexible electrode |
US11419630B2 (en) | 2017-12-28 | 2022-08-23 | Cilag Gmbh International | Surgical system distributed processing |
US11832840B2 (en) | 2017-12-28 | 2023-12-05 | Cilag Gmbh International | Surgical instrument having a flexible circuit |
US11253315B2 (en) | 2017-12-28 | 2022-02-22 | Cilag Gmbh International | Increasing radio frequency to create pad-less monopolar loop |
US10987178B2 (en) | 2017-12-28 | 2021-04-27 | Ethicon Llc | Surgical hub control arrangements |
US10944728B2 (en) | 2017-12-28 | 2021-03-09 | Ethicon Llc | Interactive surgical systems with encrypted communication capabilities |
US11160605B2 (en) | 2017-12-28 | 2021-11-02 | Cilag Gmbh International | Surgical evacuation sensing and motor control |
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 |
US11056244B2 (en) | 2017-12-28 | 2021-07-06 | Cilag Gmbh International | Automated data scaling, alignment, and organizing based on predefined parameters within surgical networks |
US11464559B2 (en) | 2017-12-28 | 2022-10-11 | Cilag Gmbh International | Estimating state of ultrasonic end effector and control system therefor |
US10943454B2 (en) | 2017-12-28 | 2021-03-09 | Ethicon Llc | Detection and escalation of security responses of surgical instruments to increasing severity threats |
US11364075B2 (en) | 2017-12-28 | 2022-06-21 | Cilag Gmbh International | Radio frequency energy device for delivering combined electrical signals |
US11612444B2 (en) | 2017-12-28 | 2023-03-28 | Cilag Gmbh International | Adjustment of a surgical device function based on situational awareness |
US11304720B2 (en) | 2017-12-28 | 2022-04-19 | Cilag Gmbh International | Activation of energy devices |
US11026751B2 (en) | 2017-12-28 | 2021-06-08 | Cilag Gmbh International | Display of alignment of staple cartridge to prior linear staple line |
US11864728B2 (en) | 2017-12-28 | 2024-01-09 | Cilag Gmbh International | Characterization of tissue irregularities through the use of mono-chromatic light refractivity |
US11179208B2 (en) | 2017-12-28 | 2021-11-23 | Cilag Gmbh International | Cloud-based medical analytics for security and authentication trends and reactive measures |
US11666331B2 (en) | 2017-12-28 | 2023-06-06 | Cilag Gmbh International | Systems for detecting proximity of surgical end effector to cancerous tissue |
US11589888B2 (en) | 2017-12-28 | 2023-02-28 | Cilag Gmbh International | Method for controlling smart energy devices |
US11678881B2 (en) | 2017-12-28 | 2023-06-20 | Cilag Gmbh International | Spatial awareness of surgical hubs in operating rooms |
US10755813B2 (en) | 2017-12-28 | 2020-08-25 | Ethicon Llc | Communication of smoke evacuation system parameters to hub or cloud in smoke evacuation module for interactive surgical platform |
US11132462B2 (en) | 2017-12-28 | 2021-09-28 | Cilag Gmbh International | Data stripping method to interrogate patient records and create anonymized record |
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 |
US10966791B2 (en) | 2017-12-28 | 2021-04-06 | Ethicon Llc | Cloud-based medical analytics for medical facility segmented individualization of instrument function |
US11432885B2 (en) | 2017-12-28 | 2022-09-06 | Cilag Gmbh International | Sensing arrangements for robot-assisted surgical platforms |
US11903601B2 (en) | 2017-12-28 | 2024-02-20 | Cilag Gmbh International | Surgical instrument comprising a plurality of drive systems |
US10932872B2 (en) | 2017-12-28 | 2021-03-02 | Ethicon Llc | Cloud-based medical analytics for linking of local usage trends with the resource acquisition behaviors of larger data set |
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 |
US11832899B2 (en) | 2017-12-28 | 2023-12-05 | Cilag Gmbh International | Surgical systems with autonomously adjustable control programs |
US11529187B2 (en) | 2017-12-28 | 2022-12-20 | Cilag Gmbh International | Surgical evacuation sensor arrangements |
US11857152B2 (en) | 2017-12-28 | 2024-01-02 | Cilag Gmbh International | Surgical hub spatial awareness to determine devices in operating theater |
US11786251B2 (en) | 2017-12-28 | 2023-10-17 | Cilag Gmbh International | Method for adaptive control schemes for surgical network control and interaction |
US11559308B2 (en) | 2017-12-28 | 2023-01-24 | Cilag Gmbh International | Method for smart energy device infrastructure |
US11612408B2 (en) | 2017-12-28 | 2023-03-28 | Cilag Gmbh International | Determining tissue composition via an ultrasonic system |
US10892899B2 (en) | 2017-12-28 | 2021-01-12 | Ethicon Llc | Self describing data packets generated at an issuing instrument |
US11273001B2 (en) | 2017-12-28 | 2022-03-15 | Cilag Gmbh International | Surgical hub and modular device response adjustment based on situational awareness |
US11311306B2 (en) | 2017-12-28 | 2022-04-26 | Cilag Gmbh International | Surgical systems for detecting end effector tissue distribution irregularities |
US11540855B2 (en) | 2017-12-28 | 2023-01-03 | Cilag Gmbh International | Controlling activation of an ultrasonic surgical instrument according to the presence of tissue |
US11076921B2 (en) | 2017-12-28 | 2021-08-03 | Cilag Gmbh International | Adaptive control program updates for surgical hubs |
US11324557B2 (en) | 2017-12-28 | 2022-05-10 | Cilag Gmbh International | Surgical instrument with a sensing array |
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 |
US11937769B2 (en) | 2017-12-28 | 2024-03-26 | Cilag Gmbh International | Method of hub communication, processing, storage and display |
US11304745B2 (en) | 2017-12-28 | 2022-04-19 | Cilag Gmbh International | Surgical evacuation sensing and display |
US11278281B2 (en) | 2017-12-28 | 2022-03-22 | Cilag Gmbh International | Interactive surgical system |
US11659023B2 (en) | 2017-12-28 | 2023-05-23 | Cilag Gmbh International | Method of hub communication |
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 |
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 |
US11559307B2 (en) | 2017-12-28 | 2023-01-24 | Cilag Gmbh International | Method of robotic hub communication, detection, and control |
US11424027B2 (en) | 2017-12-28 | 2022-08-23 | Cilag Gmbh International | Method for operating surgical instrument systems |
US11308075B2 (en) | 2017-12-28 | 2022-04-19 | Cilag Gmbh International | Surgical network, instrument, and cloud responses based on validation of received dataset and authentication of its source and integrity |
US11744604B2 (en) | 2017-12-28 | 2023-09-05 | Cilag Gmbh International | Surgical instrument with a hardware-only control circuit |
US10595887B2 (en) | 2017-12-28 | 2020-03-24 | Ethicon Llc | Systems for adjusting end effector parameters based on perioperative information |
US11147607B2 (en) | 2017-12-28 | 2021-10-19 | Cilag Gmbh International | Bipolar combination device that automatically adjusts pressure based on energy modality |
US11051876B2 (en) | 2017-12-28 | 2021-07-06 | Cilag Gmbh International | Surgical evacuation flow paths |
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 |
US11058498B2 (en) | 2017-12-28 | 2021-07-13 | Cilag Gmbh International | Cooperative surgical actions for robot-assisted surgical platforms |
US11109866B2 (en) | 2017-12-28 | 2021-09-07 | Cilag Gmbh International | Method for circular stapler control algorithm adjustment based on situational awareness |
US11304699B2 (en) | 2017-12-28 | 2022-04-19 | Cilag Gmbh International | Method for adaptive control schemes for surgical network control and interaction |
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 |
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 |
US11576677B2 (en) | 2017-12-28 | 2023-02-14 | Cilag Gmbh International | Method of hub communication, processing, display, and cloud analytics |
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 |
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 |
US11317937B2 (en) | 2018-03-08 | 2022-05-03 | Cilag Gmbh International | Determining the state of an ultrasonic end effector |
US11571234B2 (en) | 2017-12-28 | 2023-02-07 | Cilag Gmbh International | Temperature control of ultrasonic end effector and control system therefor |
US11291495B2 (en) | 2017-12-28 | 2022-04-05 | Cilag Gmbh International | Interruption of energy due to inadvertent capacitive coupling |
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 |
US11234756B2 (en) | 2017-12-28 | 2022-02-01 | Cilag Gmbh International | Powered surgical tool with predefined adjustable control algorithm for controlling end effector parameter |
US20190200981A1 (en) | 2017-12-28 | 2019-07-04 | Ethicon Llc | Method of compressing tissue within a stapling device and simultaneously displaying the location of the tissue within the jaws |
US10849697B2 (en) | 2017-12-28 | 2020-12-01 | Ethicon Llc | Cloud interface for coupled surgical devices |
US11100631B2 (en) | 2017-12-28 | 2021-08-24 | Cilag Gmbh International | Use of laser light and red-green-blue coloration to determine properties of back scattered light |
US11896443B2 (en) | 2017-12-28 | 2024-02-13 | Cilag Gmbh International | Control of a surgical system through a surgical barrier |
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 |
US20190201039A1 (en) | 2017-12-28 | 2019-07-04 | Ethicon Llc | Situational awareness of electrosurgical systems |
US10695081B2 (en) | 2017-12-28 | 2020-06-30 | Ethicon Llc | Controlling a surgical instrument according to sensed closure parameters |
US11376002B2 (en) | 2017-12-28 | 2022-07-05 | Cilag Gmbh International | Surgical instrument cartridge sensor assemblies |
US20190201139A1 (en) | 2017-12-28 | 2019-07-04 | Ethicon Llc | Communication arrangements for robot-assisted surgical platforms |
US11069012B2 (en) | 2017-12-28 | 2021-07-20 | Cilag Gmbh International | Interactive surgical systems with condition handling of devices and data capabilities |
EP3740150A4 (en) | 2018-01-17 | 2021-11-03 | Auris Health, Inc. | SURGICAL ROBOTIC SYSTEMS WITH IMPROVED ROBOTIC ARMS |
KR102048749B1 (ko) * | 2018-01-24 | 2020-01-08 | 한국기계연구원 | 와이어 구동장치, 이를 이용한 수술기구 및 원격 수술시스템 |
US11389188B2 (en) | 2018-03-08 | 2022-07-19 | Cilag Gmbh International | Start temperature of blade |
US11259830B2 (en) | 2018-03-08 | 2022-03-01 | Cilag Gmbh International | Methods for controlling temperature in ultrasonic device |
US11589915B2 (en) | 2018-03-08 | 2023-02-28 | Cilag Gmbh International | In-the-jaw classifier based on a model |
AU2019243731A1 (en) | 2018-03-28 | 2020-10-08 | Datascope Corp. | Device for atrial appendage exclusion |
US11090047B2 (en) | 2018-03-28 | 2021-08-17 | Cilag Gmbh International | Surgical instrument comprising an adaptive control system |
US11096688B2 (en) | 2018-03-28 | 2021-08-24 | Cilag Gmbh International | Rotary driven firing members with different anvil and channel engagement features |
US11219453B2 (en) | 2018-03-28 | 2022-01-11 | Cilag Gmbh International | Surgical stapling devices with cartridge compatible closure and firing lockout arrangements |
US11197668B2 (en) | 2018-03-28 | 2021-12-14 | Cilag Gmbh International | Surgical stapling assembly comprising a lockout and an exterior access orifice to permit artificial unlocking of the lockout |
US11278280B2 (en) | 2018-03-28 | 2022-03-22 | Cilag Gmbh International | Surgical instrument comprising a jaw closure lockout |
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 |
US11471156B2 (en) | 2018-03-28 | 2022-10-18 | Cilag Gmbh International | Surgical stapling devices with improved rotary driven closure systems |
US10973520B2 (en) | 2018-03-28 | 2021-04-13 | Ethicon Llc | Surgical staple cartridge with firing member driven camming assembly that has an onboard tissue cutting feature |
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 |
EP3773308A4 (en) * | 2018-03-29 | 2022-01-05 | Intuitive Surgical Operations, Inc. | ACTUATION SYSTEMS FOR SURGICAL INSTRUMENTS |
CN110353807B (zh) * | 2018-04-10 | 2022-03-01 | 苏州迈澜医疗科技有限公司 | 牵引装置和具有该牵引装置的操纵装置 |
KR20210024472A (ko) * | 2018-06-27 | 2021-03-05 | 아우리스 헬스, 인코포레이티드 | 의료 기구를 위한 정렬 및 부착 시스템 |
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 |
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 |
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 |
USD914878S1 (en) | 2018-08-20 | 2021-03-30 | Ethicon Llc | Surgical instrument anvil |
US10856870B2 (en) | 2018-08-20 | 2020-12-08 | Ethicon Llc | Switching arrangements for motor powered articulatable surgical instruments |
US11207065B2 (en) | 2018-08-20 | 2021-12-28 | Cilag Gmbh International | Method for fabricating surgical stapler anvils |
US11324501B2 (en) | 2018-08-20 | 2022-05-10 | Cilag Gmbh International | Surgical stapling devices with improved closure members |
US11039834B2 (en) | 2018-08-20 | 2021-06-22 | Cilag Gmbh International | Surgical stapler anvils with staple directing protrusions and tissue stability features |
US10912559B2 (en) | 2018-08-20 | 2021-02-09 | Ethicon Llc | Reinforced deformable anvil tip for surgical stapler anvil |
US10779821B2 (en) | 2018-08-20 | 2020-09-22 | Ethicon Llc | Surgical stapler anvils with tissue stop features configured to avoid tissue pinch |
WO2020069080A1 (en) | 2018-09-28 | 2020-04-02 | Auris Health, Inc. | Devices, systems, and methods for manually and robotically driving medical instruments |
US11431231B2 (en) * | 2019-02-15 | 2022-08-30 | Shaun William FETHERSTON | Cable-actuated position sensors and gear motors |
US11369377B2 (en) | 2019-02-19 | 2022-06-28 | Cilag Gmbh International | Surgical stapling assembly with cartridge based retainer configured to unlock a firing lockout |
US11357503B2 (en) | 2019-02-19 | 2022-06-14 | Cilag Gmbh International | Staple cartridge retainers with frangible retention features and methods of using same |
US11751872B2 (en) | 2019-02-19 | 2023-09-12 | Cilag Gmbh International | Insertable deactivator element for surgical stapler lockouts |
US11331100B2 (en) | 2019-02-19 | 2022-05-17 | Cilag Gmbh International | Staple cartridge retainer system with authentication keys |
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 |
WO2020197671A1 (en) | 2019-03-22 | 2020-10-01 | Auris Health, Inc. | Systems and methods for aligning inputs on medical instruments |
US11147553B2 (en) | 2019-03-25 | 2021-10-19 | Cilag Gmbh International | Firing drive arrangements for surgical systems |
US11172929B2 (en) | 2019-03-25 | 2021-11-16 | Cilag Gmbh International | Articulation drive arrangements for surgical systems |
US11696761B2 (en) | 2019-03-25 | 2023-07-11 | Cilag Gmbh International | Firing drive arrangements for surgical systems |
US11147551B2 (en) | 2019-03-25 | 2021-10-19 | Cilag Gmbh International | Firing drive arrangements for surgical systems |
US11903581B2 (en) | 2019-04-30 | 2024-02-20 | Cilag Gmbh International | Methods for stapling tissue using a surgical instrument |
US11471157B2 (en) | 2019-04-30 | 2022-10-18 | Cilag Gmbh International | Articulation control mapping for a surgical instrument |
US11432816B2 (en) | 2019-04-30 | 2022-09-06 | Cilag Gmbh International | Articulation pin for a surgical instrument |
US11648009B2 (en) | 2019-04-30 | 2023-05-16 | Cilag Gmbh International | Rotatable jaw tip for a surgical instrument |
US11426251B2 (en) | 2019-04-30 | 2022-08-30 | Cilag Gmbh International | Articulation directional lights on a surgical instrument |
US11452528B2 (en) | 2019-04-30 | 2022-09-27 | Cilag Gmbh International | Articulation actuators for a surgical instrument |
US11253254B2 (en) | 2019-04-30 | 2022-02-22 | Cilag Gmbh International | Shaft rotation actuator on a surgical instrument |
USD952144S1 (en) | 2019-06-25 | 2022-05-17 | Cilag Gmbh International | Surgical staple cartridge retainer with firing system authentication key |
USD950728S1 (en) | 2019-06-25 | 2022-05-03 | Cilag Gmbh International | Surgical staple cartridge |
USD964564S1 (en) | 2019-06-25 | 2022-09-20 | Cilag Gmbh International | Surgical staple cartridge retainer with a closure system authentication key |
US11547468B2 (en) | 2019-06-27 | 2023-01-10 | Cilag Gmbh International | Robotic surgical system with safety and cooperative sensing control |
US11376082B2 (en) | 2019-06-27 | 2022-07-05 | Cilag Gmbh International | Robotic surgical system with local sensing of functional parameters based on measurements of multiple physical inputs |
US11369443B2 (en) | 2019-06-27 | 2022-06-28 | Cilag Gmbh International | Method of using a surgical modular robotic assembly |
US11013569B2 (en) | 2019-06-27 | 2021-05-25 | Cilag Gmbh International | Surgical systems with interchangeable motor packs |
US11399906B2 (en) | 2019-06-27 | 2022-08-02 | Cilag Gmbh International | Robotic surgical system for controlling close operation of end-effectors |
US11376083B2 (en) | 2019-06-27 | 2022-07-05 | Cilag Gmbh International | Determining robotic surgical assembly coupling status |
US11607278B2 (en) | 2019-06-27 | 2023-03-21 | Cilag Gmbh International | Cooperative robotic surgical systems |
US11207146B2 (en) | 2019-06-27 | 2021-12-28 | Cilag Gmbh International | Surgical instrument drive systems with cable-tightening system |
US11723729B2 (en) | 2019-06-27 | 2023-08-15 | Cilag Gmbh International | Robotic surgical assembly coupling safety mechanisms |
US11413102B2 (en) | 2019-06-27 | 2022-08-16 | Cilag Gmbh International | Multi-access port for surgical robotic systems |
US11612445B2 (en) | 2019-06-27 | 2023-03-28 | Cilag Gmbh International | Cooperative operation of robotic arms |
US11278362B2 (en) | 2019-06-27 | 2022-03-22 | Cilag Gmbh International | Surgical instrument drive systems |
US11660163B2 (en) | 2019-06-28 | 2023-05-30 | Cilag Gmbh International | Surgical system with RFID tags for updating motor assembly parameters |
US11051807B2 (en) | 2019-06-28 | 2021-07-06 | Cilag Gmbh International | Packaging assembly including a particulate trap |
US11638587B2 (en) | 2019-06-28 | 2023-05-02 | Cilag Gmbh International | RFID identification systems for surgical instruments |
US11523822B2 (en) | 2019-06-28 | 2022-12-13 | Cilag Gmbh International | Battery pack including a circuit interrupter |
US11771419B2 (en) | 2019-06-28 | 2023-10-03 | Cilag Gmbh International | Packaging for a replaceable component of a surgical stapling system |
US11684434B2 (en) | 2019-06-28 | 2023-06-27 | Cilag Gmbh International | Surgical RFID assemblies for instrument operational setting control |
US11553971B2 (en) | 2019-06-28 | 2023-01-17 | Cilag Gmbh International | Surgical RFID assemblies for display and communication |
US11219455B2 (en) | 2019-06-28 | 2022-01-11 | Cilag Gmbh International | Surgical instrument including a lockout key |
US11291451B2 (en) | 2019-06-28 | 2022-04-05 | Cilag Gmbh International | Surgical instrument with battery compatibility verification functionality |
US11627959B2 (en) | 2019-06-28 | 2023-04-18 | Cilag Gmbh International | Surgical instruments including manual and powered system lockouts |
US11464601B2 (en) | 2019-06-28 | 2022-10-11 | Cilag Gmbh International | Surgical instrument comprising an RFID system for tracking a movable component |
US11426167B2 (en) | 2019-06-28 | 2022-08-30 | Cilag Gmbh International | Mechanisms for proper anvil attachment surgical stapling head assembly |
US11241235B2 (en) | 2019-06-28 | 2022-02-08 | Cilag Gmbh International | Method of using multiple RFID chips with a surgical assembly |
US11376098B2 (en) | 2019-06-28 | 2022-07-05 | Cilag Gmbh International | Surgical instrument system comprising an RFID system |
US11298127B2 (en) | 2019-06-28 | 2022-04-12 | Cilag GmbH Interational | Surgical stapling system having a lockout mechanism for an incompatible cartridge |
US11259803B2 (en) | 2019-06-28 | 2022-03-01 | Cilag Gmbh International | Surgical stapling system having an information encryption protocol |
US11478241B2 (en) | 2019-06-28 | 2022-10-25 | Cilag Gmbh International | Staple cartridge including projections |
US11246678B2 (en) | 2019-06-28 | 2022-02-15 | Cilag Gmbh International | Surgical stapling system having a frangible RFID tag |
US11298132B2 (en) | 2019-06-28 | 2022-04-12 | Cilag GmbH Inlernational | Staple cartridge including a honeycomb extension |
US11497492B2 (en) | 2019-06-28 | 2022-11-15 | Cilag Gmbh International | Surgical instrument including an articulation lock |
US11224497B2 (en) | 2019-06-28 | 2022-01-18 | Cilag Gmbh International | Surgical systems with multiple RFID tags |
US11399837B2 (en) | 2019-06-28 | 2022-08-02 | Cilag Gmbh International | Mechanisms for motor control adjustments of a motorized surgical instrument |
US11896330B2 (en) | 2019-08-15 | 2024-02-13 | Auris Health, Inc. | Robotic medical system having multiple medical instruments |
US11382704B2 (en) * | 2019-08-28 | 2022-07-12 | Cilag Gmbh International | Closure mechanism for surgical tool |
WO2021064536A1 (en) | 2019-09-30 | 2021-04-08 | Auris Health, Inc. | Medical instrument with capstan |
US11911032B2 (en) | 2019-12-19 | 2024-02-27 | Cilag Gmbh International | Staple cartridge comprising a seating cam |
US11446029B2 (en) | 2019-12-19 | 2022-09-20 | Cilag Gmbh International | Staple cartridge comprising projections extending from a curved deck surface |
US11504122B2 (en) | 2019-12-19 | 2022-11-22 | Cilag Gmbh International | Surgical instrument comprising a nested firing member |
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 |
US11529139B2 (en) | 2019-12-19 | 2022-12-20 | Cilag Gmbh International | Motor driven surgical instrument |
US11529137B2 (en) | 2019-12-19 | 2022-12-20 | Cilag Gmbh International | Staple cartridge comprising driver retention members |
US11234698B2 (en) | 2019-12-19 | 2022-02-01 | Cilag Gmbh International | Stapling system comprising a clamp lockout and a firing lockout |
US11291447B2 (en) | 2019-12-19 | 2022-04-05 | Cilag Gmbh International | Stapling instrument comprising independent jaw closing and staple firing systems |
US11607219B2 (en) | 2019-12-19 | 2023-03-21 | Cilag Gmbh International | Staple cartridge comprising a detachable tissue cutting knife |
US11559304B2 (en) | 2019-12-19 | 2023-01-24 | Cilag Gmbh International | Surgical instrument comprising a rapid closure mechanism |
US11701111B2 (en) | 2019-12-19 | 2023-07-18 | Cilag Gmbh International | Method for operating a surgical stapling instrument |
US11844520B2 (en) | 2019-12-19 | 2023-12-19 | Cilag Gmbh International | Staple cartridge comprising driver retention members |
US11304696B2 (en) | 2019-12-19 | 2022-04-19 | Cilag Gmbh International | Surgical instrument comprising a powered articulation system |
US11464512B2 (en) | 2019-12-19 | 2022-10-11 | Cilag Gmbh International | Staple cartridge comprising a curved deck surface |
US11931033B2 (en) | 2019-12-19 | 2024-03-19 | Cilag Gmbh International | Staple cartridge comprising a latch lockout |
US11779329B2 (en) | 2019-12-30 | 2023-10-10 | Cilag Gmbh International | Surgical instrument comprising a flex circuit including a sensor system |
US11944366B2 (en) | 2019-12-30 | 2024-04-02 | Cilag Gmbh International | Asymmetric segmented ultrasonic support pad for cooperative engagement with a movable RF electrode |
US11452525B2 (en) | 2019-12-30 | 2022-09-27 | Cilag Gmbh International | Surgical instrument comprising an adjustment system |
US11786291B2 (en) | 2019-12-30 | 2023-10-17 | Cilag Gmbh International | Deflectable support of RF energy electrode with respect to opposing ultrasonic blade |
US11779387B2 (en) | 2019-12-30 | 2023-10-10 | Cilag Gmbh International | Clamp arm jaw to minimize tissue sticking and improve tissue control |
US20210196361A1 (en) | 2019-12-30 | 2021-07-01 | Ethicon Llc | Electrosurgical instrument with monopolar and bipolar energy capabilities |
US11812957B2 (en) | 2019-12-30 | 2023-11-14 | Cilag Gmbh International | Surgical instrument comprising a signal interference resolution system |
US11911063B2 (en) | 2019-12-30 | 2024-02-27 | Cilag Gmbh International | Techniques for detecting ultrasonic blade to electrode contact and reducing power to ultrasonic blade |
US11786294B2 (en) | 2019-12-30 | 2023-10-17 | Cilag Gmbh International | Control program for modular combination energy device |
US11744636B2 (en) | 2019-12-30 | 2023-09-05 | Cilag Gmbh International | Electrosurgical systems with integrated and external power sources |
US20210196363A1 (en) | 2019-12-30 | 2021-07-01 | Ethicon Llc | Electrosurgical instrument with electrodes operable in bipolar and monopolar modes |
US11684412B2 (en) | 2019-12-30 | 2023-06-27 | Cilag Gmbh International | Surgical instrument with rotatable and articulatable surgical end effector |
US11660089B2 (en) | 2019-12-30 | 2023-05-30 | Cilag Gmbh International | Surgical instrument comprising a sensing system |
US11937863B2 (en) | 2019-12-30 | 2024-03-26 | Cilag Gmbh International | Deflectable electrode with variable compression bias along the length of the deflectable electrode |
US11696776B2 (en) | 2019-12-30 | 2023-07-11 | Cilag Gmbh International | Articulatable surgical instrument |
JP2023508718A (ja) | 2019-12-31 | 2023-03-03 | オーリス ヘルス インコーポレイテッド | 高度バスケット駆動モード |
USD975851S1 (en) | 2020-06-02 | 2023-01-17 | Cilag Gmbh International | Staple cartridge |
USD975278S1 (en) | 2020-06-02 | 2023-01-10 | Cilag Gmbh International | Staple cartridge |
USD976401S1 (en) | 2020-06-02 | 2023-01-24 | Cilag Gmbh International | Staple cartridge |
USD974560S1 (en) | 2020-06-02 | 2023-01-03 | Cilag Gmbh International | Staple cartridge |
USD975850S1 (en) | 2020-06-02 | 2023-01-17 | Cilag Gmbh International | Staple cartridge |
USD966512S1 (en) | 2020-06-02 | 2022-10-11 | Cilag Gmbh International | Staple cartridge |
USD967421S1 (en) | 2020-06-02 | 2022-10-18 | Cilag Gmbh International | Staple cartridge |
US20220022977A1 (en) * | 2020-07-23 | 2022-01-27 | Auris Health, Inc. | Robotic surgical tool with drop in instrumentation core |
US20220031351A1 (en) | 2020-07-28 | 2022-02-03 | Cilag Gmbh International | Surgical instruments with differential articulation joint arrangements for accommodating flexible actuators |
US11779330B2 (en) | 2020-10-29 | 2023-10-10 | Cilag Gmbh International | Surgical instrument comprising a jaw alignment system |
US11452526B2 (en) | 2020-10-29 | 2022-09-27 | Cilag Gmbh International | Surgical instrument comprising a staged voltage regulation start-up system |
USD980425S1 (en) | 2020-10-29 | 2023-03-07 | Cilag Gmbh International | Surgical instrument assembly |
US11896217B2 (en) | 2020-10-29 | 2024-02-13 | Cilag Gmbh International | Surgical instrument comprising an articulation lock |
US11844518B2 (en) | 2020-10-29 | 2023-12-19 | Cilag Gmbh International | Method for operating a surgical instrument |
US11534259B2 (en) | 2020-10-29 | 2022-12-27 | Cilag Gmbh International | Surgical instrument comprising an articulation indicator |
US11517390B2 (en) | 2020-10-29 | 2022-12-06 | Cilag Gmbh International | Surgical instrument comprising a limited travel switch |
US11931025B2 (en) | 2020-10-29 | 2024-03-19 | Cilag Gmbh International | Surgical instrument comprising a releasable closure drive lock |
US11717289B2 (en) | 2020-10-29 | 2023-08-08 | Cilag Gmbh International | Surgical instrument comprising an indicator which indicates that an articulation drive is actuatable |
USD1013170S1 (en) | 2020-10-29 | 2024-01-30 | Cilag Gmbh International | Surgical instrument assembly |
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 |
US11678882B2 (en) | 2020-12-02 | 2023-06-20 | Cilag Gmbh International | Surgical instruments with interactive features to remedy incidental sled movements |
US11627960B2 (en) | 2020-12-02 | 2023-04-18 | Cilag Gmbh International | Powered surgical instruments with smart reload with separately attachable exteriorly mounted wiring connections |
US11944296B2 (en) | 2020-12-02 | 2024-04-02 | Cilag Gmbh International | Powered surgical instruments with external connectors |
US11890010B2 (en) | 2020-12-02 | 2024-02-06 | Cllag GmbH International | Dual-sided reinforced reload for surgical instruments |
US11737751B2 (en) | 2020-12-02 | 2023-08-29 | Cilag Gmbh International | Devices and methods of managing energy dissipated within sterile barriers of surgical instrument housings |
US11653920B2 (en) | 2020-12-02 | 2023-05-23 | Cilag Gmbh International | Powered surgical instruments with communication interfaces through sterile barrier |
US11744581B2 (en) | 2020-12-02 | 2023-09-05 | Cilag Gmbh International | Powered surgical instruments with multi-phase tissue treatment |
US11653915B2 (en) | 2020-12-02 | 2023-05-23 | Cilag Gmbh International | Surgical instruments with sled location detection and adjustment features |
US11849943B2 (en) | 2020-12-02 | 2023-12-26 | Cilag Gmbh International | Surgical instrument with cartridge release mechanisms |
US11793514B2 (en) | 2021-02-26 | 2023-10-24 | Cilag Gmbh International | Staple cartridge comprising sensor array which may be embedded in cartridge body |
US11749877B2 (en) | 2021-02-26 | 2023-09-05 | Cilag Gmbh International | Stapling instrument comprising a signal antenna |
US11730473B2 (en) | 2021-02-26 | 2023-08-22 | Cilag Gmbh International | Monitoring of manufacturing life-cycle |
US11925349B2 (en) | 2021-02-26 | 2024-03-12 | Cilag Gmbh International | Adjustment to transfer parameters to improve available power |
US11701113B2 (en) | 2021-02-26 | 2023-07-18 | Cilag Gmbh International | Stapling instrument comprising a separate power antenna and a data transfer antenna |
US11744583B2 (en) | 2021-02-26 | 2023-09-05 | Cilag Gmbh International | Distal communication array to tune frequency of RF systems |
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 |
US11751869B2 (en) | 2021-02-26 | 2023-09-12 | Cilag Gmbh International | Monitoring of multiple sensors over time to detect moving characteristics of tissue |
US11696757B2 (en) | 2021-02-26 | 2023-07-11 | Cilag Gmbh International | Monitoring of internal systems to detect and track cartridge motion status |
US11737749B2 (en) | 2021-03-22 | 2023-08-29 | Cilag Gmbh International | Surgical stapling instrument comprising a retraction system |
US11759202B2 (en) | 2021-03-22 | 2023-09-19 | Cilag Gmbh International | Staple cartridge comprising an implantable layer |
US11717291B2 (en) | 2021-03-22 | 2023-08-08 | Cilag Gmbh International | Staple cartridge comprising staples configured to apply different tissue compression |
US11806011B2 (en) | 2021-03-22 | 2023-11-07 | Cilag Gmbh International | Stapling instrument comprising tissue compression systems |
US11723658B2 (en) | 2021-03-22 | 2023-08-15 | Cilag Gmbh International | Staple cartridge comprising a firing lockout |
US11826012B2 (en) | 2021-03-22 | 2023-11-28 | Cilag Gmbh International | Stapling instrument comprising a pulsed motor-driven firing rack |
US11826042B2 (en) | 2021-03-22 | 2023-11-28 | Cilag Gmbh International | Surgical instrument comprising a firing drive including a selectable leverage mechanism |
US11786239B2 (en) | 2021-03-24 | 2023-10-17 | Cilag Gmbh International | Surgical instrument articulation joint arrangements comprising multiple moving linkage features |
US11832816B2 (en) | 2021-03-24 | 2023-12-05 | Cilag Gmbh International | Surgical stapling assembly comprising nonplanar staples and planar staples |
US11857183B2 (en) | 2021-03-24 | 2024-01-02 | Cilag Gmbh International | Stapling assembly components having metal substrates and plastic bodies |
US11849945B2 (en) | 2021-03-24 | 2023-12-26 | Cilag Gmbh International | Rotary-driven surgical stapling assembly comprising eccentrically driven firing member |
US11793516B2 (en) | 2021-03-24 | 2023-10-24 | Cilag Gmbh International | Surgical staple cartridge comprising longitudinal support beam |
US11896218B2 (en) | 2021-03-24 | 2024-02-13 | Cilag Gmbh International | Method of using a powered stapling device |
US11903582B2 (en) | 2021-03-24 | 2024-02-20 | Cilag Gmbh International | Leveraging surfaces for cartridge installation |
US11744603B2 (en) | 2021-03-24 | 2023-09-05 | Cilag Gmbh International | Multi-axis pivot joints for surgical instruments and methods for manufacturing same |
US11786243B2 (en) | 2021-03-24 | 2023-10-17 | Cilag Gmbh International | Firing members having flexible portions for adapting to a load during a surgical firing stroke |
US11896219B2 (en) | 2021-03-24 | 2024-02-13 | Cilag Gmbh International | Mating features between drivers and underside of a cartridge deck |
US11944336B2 (en) | 2021-03-24 | 2024-04-02 | Cilag Gmbh International | Joint arrangements for multi-planar alignment and support of operational drive shafts in articulatable surgical instruments |
US11849944B2 (en) | 2021-03-24 | 2023-12-26 | Cilag Gmbh International | Drivers for fastener cartridge assemblies having rotary drive screws |
US11826047B2 (en) | 2021-05-28 | 2023-11-28 | Cilag Gmbh International | Stapling instrument comprising jaw mounts |
US11931026B2 (en) | 2021-06-30 | 2024-03-19 | Cilag Gmbh International | Staple cartridge replacement |
US11877745B2 (en) | 2021-10-18 | 2024-01-23 | Cilag Gmbh International | Surgical stapling assembly having longitudinally-repeating staple leg clusters |
US11937816B2 (en) | 2021-10-28 | 2024-03-26 | Cilag Gmbh International | Electrical lead arrangements for surgical instruments |
Citations (6)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
EP0379721A1 (en) * | 1988-12-26 | 1990-08-01 | Tochigifujisangyo Kabushiki Kaisha | Differential gear |
US5465819A (en) * | 1992-09-29 | 1995-11-14 | Borg-Warner Automotive, Inc. | Power transmitting assembly |
US20080001559A1 (en) * | 2006-06-30 | 2008-01-03 | Schena Bruce M | Mechanically decoupled capstan drive |
CN100432484C (zh) * | 2003-06-13 | 2008-11-12 | Zf腓德烈斯哈芬股份公司 | 行星齿轮变速器 |
CN101401736A (zh) * | 2007-10-05 | 2009-04-08 | Tyco医疗健康集团 | 动力手术缝合装置 |
US20110295270A1 (en) * | 2007-01-10 | 2011-12-01 | Ethicon Endo-Surgery, Inc. | Surgical instrument with wireless communication between a control unit of a robotic system and remote sensor |
Family Cites Families (2214)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
DE273689C (zh) | 1913-08-07 | 1914-05-08 | ||
US1314601A (en) | 1919-09-02 | Flexible shaft | ||
US66052A (en) | 1867-06-25 | smith | ||
US1306107A (en) | 1919-06-10 | Assigotob to amebxcak | ||
US662587A (en) | 1900-05-18 | 1900-11-27 | Charles Chandler Blake | Insulated support for electric conductors. |
US670748A (en) | 1900-10-25 | 1901-03-26 | Paul Weddeler | Flexible shafting. |
US951393A (en) | 1909-04-06 | 1910-03-08 | John N Hahn | Staple. |
FR459743A (fr) | 1912-09-14 | 1913-11-12 | Bariquant Et Marre Des Atel | Transmission flexible |
US1677337A (en) | 1924-09-27 | 1928-07-17 | Thomas E Grove | Antrum drill |
US2037727A (en) | 1934-12-27 | 1936-04-21 | United Shoe Machinery Corp | Fastening |
US2132295A (en) | 1937-05-05 | 1938-10-04 | Hawkins Earl | Stapling device |
US2211117A (en) | 1937-09-06 | 1940-08-13 | Rieter Joh Jacob & Cie Ag | Device for drawing rovings in speeders and spinning machines |
US2161632A (en) | 1937-12-20 | 1939-06-06 | Martin L Nattenheimer | Fastening device |
US2214870A (en) | 1938-08-10 | 1940-09-17 | William J West | Siding cutter |
US2441096A (en) | 1944-09-04 | 1948-05-04 | Singer Mfg Co | Control means for portable electric tools |
US2526902A (en) | 1947-07-31 | 1950-10-24 | Norman C Rublee | Insulating staple |
FR999646A (fr) | 1949-11-16 | 1952-02-04 | Dispositif serre-câble | |
US2674149A (en) | 1952-03-01 | 1954-04-06 | Jerry S Benson | Multiple pronged fastener device with spreading means |
US2804848A (en) | 1954-09-30 | 1957-09-03 | Chicago Pneumatic Tool Co | Drilling apparatus |
FR1112936A (fr) | 1954-10-20 | 1956-03-20 | Moteur électrique et commande à trois vitesses enfermés dans une gaine | |
US2808482A (en) | 1956-04-12 | 1957-10-01 | Miniature Switch Corp | Toggle switch construction |
US2853074A (en) | 1956-06-15 | 1958-09-23 | Edward A Olson | Stapling instrument for surgical purposes |
US2959974A (en) | 1958-05-28 | 1960-11-15 | Melvin H Emrick | Forward and reverse friction drive tapping attachment |
DE1775926U (de) | 1958-06-11 | 1958-10-16 | Rudolf W Dipl Ing Ihmig | Kugelschreibermine. |
US3032769A (en) | 1959-08-18 | 1962-05-08 | John R Palmer | Method of making a bracket |
US3078465A (en) | 1959-09-09 | 1963-02-26 | Bobrov Boris Sergueevitch | Instrument for stitching gastric stump |
GB939929A (en) | 1959-10-30 | 1963-10-16 | Vasilii Fedotovich Goodov | Instrument for stitching blood vessels, intestines, bronchi and other soft tissues |
US3079606A (en) | 1960-01-04 | 1963-03-05 | Bobrov Boris Sergeevich | Instrument for placing lateral gastrointestinal anastomoses |
US3075062A (en) | 1960-02-02 | 1963-01-22 | J B T Instr Inc | Toggle switch |
US3196869A (en) | 1962-06-13 | 1965-07-27 | William M Scholl | Buttress pad and method of making the same |
US3166072A (en) | 1962-10-22 | 1965-01-19 | Jr John T Sullivan | Barbed clips |
US3266494A (en) | 1963-08-26 | 1966-08-16 | Possis Machine Corp | Powered forceps |
US3317105A (en) | 1964-03-25 | 1967-05-02 | Niiex Khirurgicheskoi Apparatu | Instrument for placing lateral intestinal anastomoses |
US3269630A (en) | 1964-04-30 | 1966-08-30 | Fleischer Harry | Stapling instrument |
US3317103A (en) | 1965-05-03 | 1967-05-02 | Cullen | Apparatus for handling hose or similar elongate members |
US3275211A (en) | 1965-05-10 | 1966-09-27 | United States Surgical Corp | Surgical stapler with replaceable cartridge |
US3357296A (en) | 1965-05-14 | 1967-12-12 | Keuneth W Lefever | Staple fastener |
US3494533A (en) | 1966-10-10 | 1970-02-10 | United States Surgical Corp | Surgical stapler for stitching body organs |
US3490675A (en) | 1966-10-10 | 1970-01-20 | United States Surgical Corp | Instrument for placing lateral gastrointestinal anastomoses |
GB1210522A (en) | 1966-10-10 | 1970-10-28 | United States Surgical Corp | Instrument for placing lateral gastro-intestinal anastomoses |
US3499591A (en) | 1967-06-23 | 1970-03-10 | United States Surgical Corp | Instrument for placing lateral gastro-intestinal anastomoses |
GB1217159A (en) | 1967-12-05 | 1970-12-31 | Coventry Gauge & Tool Co Ltd | Torque limiting device |
US3551987A (en) | 1968-09-12 | 1971-01-05 | Jack E Wilkinson | Stapling clamp for gastrointestinal surgery |
US3572159A (en) | 1969-06-12 | 1971-03-23 | Teleflex Inc | Motion transmitting remote control assembly |
US3643851A (en) | 1969-08-25 | 1972-02-22 | United States Surgical Corp | Skin stapler |
US3598943A (en) | 1969-12-01 | 1971-08-10 | Illinois Tool Works | Actuator assembly for toggle switch |
US3744495A (en) | 1970-01-02 | 1973-07-10 | M Johnson | Method of securing prolapsed vagina in cattle |
US3662939A (en) | 1970-02-26 | 1972-05-16 | United States Surgical Corp | Surgical stapler for skin and fascia |
FR2084475A5 (zh) | 1970-03-16 | 1971-12-17 | Brumlik George | |
US3740994A (en) | 1970-10-13 | 1973-06-26 | Surgical Corp | Three stage medical instrument |
US3717294A (en) | 1970-12-14 | 1973-02-20 | Surgical Corp | Cartridge and powering instrument for stapling skin and fascia |
US3746002A (en) | 1971-04-29 | 1973-07-17 | J Haller | Atraumatic surgical clamp |
CA960189A (en) | 1971-07-12 | 1974-12-31 | Hilti Aktiengesellschaft | Nail holder assembly |
US3851196A (en) | 1971-09-08 | 1974-11-26 | Xynetics Inc | Plural axis linear motor structure |
US3734207A (en) | 1971-12-27 | 1973-05-22 | M Fishbein | Battery powered orthopedic cutting tool |
US3751902A (en) | 1972-02-22 | 1973-08-14 | Emhart Corp | Apparatus for installing insulation on a staple |
US3940844A (en) | 1972-02-22 | 1976-03-02 | Pci Group, Inc. | Method of installing an insulating sleeve on a staple |
US4198734A (en) | 1972-04-04 | 1980-04-22 | Brumlik George C | Self-gripping devices with flexible self-gripping means and method |
GB1339394A (en) | 1972-04-06 | 1973-12-05 | Vnii Khirurgicheskoi Apparatur | Dies for surgical stapling instruments |
USRE28932E (en) | 1972-09-29 | 1976-08-17 | United States Surgical Corporation | Surgical stapling instrument |
US3819100A (en) | 1972-09-29 | 1974-06-25 | United States Surgical Corp | Surgical stapling instrument |
US3892228A (en) | 1972-10-06 | 1975-07-01 | Olympus Optical Co | Apparatus for adjusting the flexing of the bending section of an endoscope |
US3821919A (en) | 1972-11-10 | 1974-07-02 | Illinois Tool Works | Staple |
JPS5033988U (zh) | 1973-07-21 | 1975-04-11 | ||
US3885491A (en) | 1973-12-21 | 1975-05-27 | Illinois Tool Works | Locking staple |
JPS543B2 (zh) | 1974-02-28 | 1979-01-05 | ||
US4169990A (en) | 1974-06-24 | 1979-10-02 | General Electric Company | Electronically commutated motor |
US3894174A (en) | 1974-07-03 | 1975-07-08 | Emhart Corp | Insulated staple and method of making the same |
US3955581A (en) | 1974-10-18 | 1976-05-11 | United States Surgical Corporation | Three-stage surgical instrument |
US4129059A (en) | 1974-11-07 | 1978-12-12 | Eck William F Van | Staple-type fastener |
SU566574A1 (ru) | 1975-05-04 | 1977-07-30 | Всесоюзный научно-исследовательский и испытательный институт медицинской техники | Аппарат дл наложени линейного скобочного шва на органы и ткани |
US4060089A (en) | 1975-09-03 | 1977-11-29 | United States Surgical Corporation | Surgical fastening method and device therefor |
US4054108A (en) | 1976-08-02 | 1977-10-18 | General Motors Corporation | Internal combustion engine |
US4226242A (en) | 1977-09-13 | 1980-10-07 | United States Surgical Corporation | Repeating hemostatic clip applying instruments and multi-clip cartridges therefor |
SU674747A1 (ru) | 1976-11-24 | 1979-07-25 | Всесоюзный научно-исследовательский и испытательный институт медицинской техники | Аппарат дл механического сшивани тканей |
FR2446509A1 (fr) | 1977-04-29 | 1980-08-08 | Garret Roger | Programmateur |
US4573468A (en) | 1977-05-26 | 1986-03-04 | United States Surgical Corporation | Hollow body organ stapling instrument and disposable cartridge employing relief vents |
CA1124605A (en) | 1977-08-05 | 1982-06-01 | Charles H. Klieman | Surgical stapler |
US4207898A (en) | 1978-03-27 | 1980-06-17 | Senco Products, Inc. | Intralumenal anastomosis surgical stapling instrument |
US4321002A (en) | 1978-03-27 | 1982-03-23 | Minnesota Mining And Manufacturing Company | Medical stapling device |
US4198982A (en) | 1978-03-31 | 1980-04-22 | Memorial Hospital For Cancer And Allied Diseases | Surgical stapling instrument and method |
SU1036324A1 (ru) | 1978-03-31 | 1983-08-23 | Всесоюзный научно-исследовательский и испытательный институт медицинской техники | Хирургический сшивающий аппарат |
GB2024012B (en) | 1978-04-10 | 1982-07-28 | Johnson & Johnson | Oxygen-generating surgical dressing |
DE2839990C2 (de) | 1978-09-14 | 1980-05-14 | Audi Nsu Auto Union Ag, 7107 Neckarsulm | Verfahren zum Umschmelzhärten der Oberfläche eines um seine Drehachse rotierenden Werkstücks, welche Oberfläche unterschiedlichen Abstand von der Drehachse hat |
SE419421B (sv) | 1979-03-16 | 1981-08-03 | Ove Larson | Bojlig arm i synnerhet robotarm |
US4340331A (en) | 1979-03-26 | 1982-07-20 | Savino Dominick J | Staple and anviless stapling apparatus therefor |
SU886900A1 (ru) | 1979-03-26 | 1981-12-07 | Всесоюзный научно-исследовательский и испытательный институт медицинской техники | Хирургический сшивающий аппарат дл наложени линейных швов |
US4261244A (en) | 1979-05-14 | 1981-04-14 | Senco Products, Inc. | Surgical staple |
US4272662A (en) | 1979-05-21 | 1981-06-09 | C & K Components, Inc. | Toggle switch with shaped wire spring contact |
US4275813A (en) | 1979-06-04 | 1981-06-30 | United States Surgical Corporation | Coherent surgical staple array |
US4272002A (en) | 1979-07-23 | 1981-06-09 | Lawrence M. Smith | Internal surgical stapler |
US4250436A (en) | 1979-09-24 | 1981-02-10 | The Singer Company | Motor braking arrangement and method |
SU1022703A1 (ru) | 1979-12-20 | 1983-06-15 | Всесоюзный научно-исследовательский и испытательный институт медицинской техники | Хирургический аппарат дл наложени компрессионных швов |
AU534210B2 (en) | 1980-02-05 | 1984-01-12 | United States Surgical Corporation | Surgical staples |
US4429695A (en) | 1980-02-05 | 1984-02-07 | United States Surgical Corporation | Surgical instruments |
US4396139A (en) | 1980-02-15 | 1983-08-02 | Technalytics, Inc. | Surgical stapling system, apparatus and staple |
US4317451A (en) | 1980-02-19 | 1982-03-02 | Ethicon, Inc. | Plastic surgical staple |
US4289133A (en) | 1980-02-28 | 1981-09-15 | Senco Products, Inc. | Cut-through backup washer for the scalpel of an intraluminal surgical stapling instrument |
US4428376A (en) | 1980-05-02 | 1984-01-31 | Ethicon Inc. | Plastic surgical staple |
US4331277A (en) | 1980-05-23 | 1982-05-25 | United States Surgical Corporation | Self-contained gas powered surgical stapler |
US4380312A (en) | 1980-07-17 | 1983-04-19 | Minnesota Mining And Manufacturing Company | Stapling tool |
US4606343A (en) | 1980-08-18 | 1986-08-19 | United States Surgical Corporation | Self-powered surgical fastening instrument |
US4328839A (en) | 1980-09-19 | 1982-05-11 | Drilling Development, Inc. | Flexible drill pipe |
US4353371A (en) | 1980-09-24 | 1982-10-12 | Cosman Eric R | Longitudinally, side-biting, bipolar coagulating, surgical instrument |
DE3036217C2 (de) | 1980-09-25 | 1986-12-18 | Siemens AG, 1000 Berlin und 8000 München | Fernbedienbares medizinisches Gerät |
US4349028A (en) | 1980-10-03 | 1982-09-14 | United States Surgical Corporation | Surgical stapling apparatus having self-contained pneumatic system for completing manually initiated motion sequence |
AU542936B2 (en) | 1980-10-17 | 1985-03-28 | United States Surgical Corporation | Self centering staple |
US4500024A (en) | 1980-11-19 | 1985-02-19 | Ethicon, Inc. | Multiple clip applier |
US4347450A (en) | 1980-12-10 | 1982-08-31 | Colligan Wallace M | Portable power tool |
US4451743A (en) | 1980-12-29 | 1984-05-29 | Citizen Watch Company Limited | DC-to-DC Voltage converter |
US4382326A (en) | 1981-01-19 | 1983-05-10 | Minnesota Mining & Manufacturing Company | Staple supporting and staple removing strip |
US4409057A (en) | 1981-01-19 | 1983-10-11 | Minnesota Mining & Manufacturing Company | Staple supporting and removing strip |
US4379457A (en) | 1981-02-17 | 1983-04-12 | United States Surgical Corporation | Indicator for surgical stapler |
SU1009439A1 (ru) | 1981-03-24 | 1983-04-07 | Предприятие П/Я Р-6094 | Хирургический сшивающий аппарат дл наложени анастомозов на пищеварительном тракте |
US4526174A (en) | 1981-03-27 | 1985-07-02 | Minnesota Mining And Manufacturing Company | Staple and cartridge for use in a tissue stapling device and a tissue closing method |
SU982676A1 (ru) | 1981-04-07 | 1982-12-23 | Всесоюзный научно-исследовательский и испытательный институт медицинской техники | Хирургическа скобка |
DE3115192C2 (de) | 1981-04-15 | 1983-05-19 | Christian Prof. Dr.med. 2400 Lübeck Krüger | Medizinisches Instrument |
US4383634A (en) | 1981-05-26 | 1983-05-17 | United States Surgical Corporation | Surgical stapler apparatus with pivotally mounted actuator assemblies |
US4485816A (en) | 1981-06-25 | 1984-12-04 | Alchemia | Shape-memory surgical staple apparatus and method for use in surgical suturing |
US4486928A (en) | 1981-07-09 | 1984-12-11 | Magnavox Government And Industrial Electronics Company | Apparatus for tool storage and selection |
FR2509490B1 (fr) | 1981-07-09 | 1985-02-22 | Tractel Sa | Mecanisme de debrayage pour appareil de traction agissant sur un cable qui le traverse |
US4475679A (en) | 1981-08-07 | 1984-10-09 | Fleury Jr George J | Multi-staple cartridge for surgical staplers |
US4632290A (en) | 1981-08-17 | 1986-12-30 | United States Surgical Corporation | Surgical stapler apparatus |
US4576167A (en) | 1981-09-03 | 1986-03-18 | United States Surgical Corporation | Surgical stapler apparatus with curved shaft |
JPS5844033A (ja) | 1981-09-11 | 1983-03-14 | 富士写真光機株式会社 | 内視鏡用アダプタ−型処置具導入装置 |
JPS5861747A (ja) | 1981-10-08 | 1983-04-12 | 馬渕 健一 | 美容具 |
US4402445A (en) | 1981-10-09 | 1983-09-06 | United States Surgical Corporation | Surgical fastener and means for applying same |
US4809695A (en) | 1981-10-21 | 1989-03-07 | Owen M. Gwathmey | Suturing assembly and method |
US4416276A (en) | 1981-10-26 | 1983-11-22 | Valleylab, Inc. | Adaptive, return electrode monitoring system |
US4415112A (en) | 1981-10-27 | 1983-11-15 | United States Surgical Corporation | Surgical stapling assembly having resiliently mounted anvil |
US4442964A (en) | 1981-12-07 | 1984-04-17 | Senco Products, Inc. | Pressure sensitive and working-gap controlled surgical stapling instrument |
DE3204532C2 (de) | 1982-02-10 | 1983-12-08 | B. Braun Melsungen Ag, 3508 Melsungen | Chirurgische Hautklammer |
SU1114405A1 (ru) | 1982-02-23 | 1984-09-23 | Всесоюзный научно-исследовательский и испытательный институт медицинской техники | Хирургический сшивающий аппарат дл наложени компрессионных анастомозов на органы пищеварительного тракта |
DE3210466A1 (de) | 1982-03-22 | 1983-09-29 | Peter Dipl.-Kfm. Dr. 6230 Frankfurt Gschaider | Verfahren und vorrichtung zur durchfuehrung von handhabungsprozessen |
US4408692A (en) | 1982-04-12 | 1983-10-11 | The Kendall Company | Sterile cover for instrument |
US4664305A (en) | 1982-05-04 | 1987-05-12 | Blake Joseph W Iii | Surgical stapler |
US4473077A (en) | 1982-05-28 | 1984-09-25 | United States Surgical Corporation | Surgical stapler apparatus with flexible shaft |
US4467805A (en) | 1982-08-25 | 1984-08-28 | Mamoru Fukuda | Skin closure stapling device for surgical procedures |
US4488523A (en) | 1982-09-24 | 1984-12-18 | United States Surgical Corporation | Flexible, hydraulically actuated device for applying surgical fasteners |
US4604786A (en) | 1982-11-05 | 1986-08-12 | The Grigoleit Company | Method of making a composite article including a body having a decorative metal plate attached thereto |
US4790225A (en) | 1982-11-24 | 1988-12-13 | Panduit Corp. | Dispenser of discrete cable ties provided on a continuous ribbon of cable ties |
US4676245A (en) | 1983-02-09 | 1987-06-30 | Mamoru Fukuda | Interlocking surgical staple assembly |
JPS59168848A (ja) | 1983-03-11 | 1984-09-22 | エチコン・インコ−ポレ−テツド | 非金属製の生物に適合性の無菌の外科装置 |
US4506671A (en) | 1983-03-30 | 1985-03-26 | United States Surgical Corporation | Apparatus for applying two-part surgical fasteners |
US4522327A (en) | 1983-05-18 | 1985-06-11 | United States Surgical Corporation | Surgical fastener applying apparatus |
US4527724A (en) | 1983-06-10 | 1985-07-09 | Senmed, Inc. | Disposable linear surgical stapling instrument |
GR81919B (zh) | 1983-06-20 | 1984-12-12 | Ethicon Inc | |
US4548202A (en) | 1983-06-20 | 1985-10-22 | Ethicon, Inc. | Mesh tissue fasteners |
US4573469A (en) | 1983-06-20 | 1986-03-04 | Ethicon, Inc. | Two-piece tissue fastener with coinable leg staple and retaining receiver and method and instrument for applying same |
US4532927A (en) | 1983-06-20 | 1985-08-06 | Ethicon, Inc. | Two-piece tissue fastener with non-reentry bent leg staple and retaining receiver |
US4531522A (en) | 1983-06-20 | 1985-07-30 | Ethicon, Inc. | Two-piece tissue fastener with locking top and method for applying same |
US4693248A (en) | 1983-06-20 | 1987-09-15 | Ethicon, Inc. | Two-piece tissue fastener with deformable retaining receiver |
SU1175891A1 (ru) | 1983-08-16 | 1985-08-30 | Предприятие П/Я А-7840 | Устройство дл формовани изделий |
US4944443A (en) | 1988-04-22 | 1990-07-31 | Innovative Surgical Devices, Inc. | Surgical suturing instrument and method |
US4669647A (en) | 1983-08-26 | 1987-06-02 | Technalytics, Inc. | Surgical stapler |
US4530453A (en) | 1983-10-04 | 1985-07-23 | United States Surgical Corporation | Surgical fastener applying apparatus |
US4589416A (en) | 1983-10-04 | 1986-05-20 | United States Surgical Corporation | Surgical fastener retainer member assembly |
US4667674A (en) | 1983-10-04 | 1987-05-26 | United States Surgical Corporation | Surgical fastener exhibiting improved hemostasis |
US4505414A (en) | 1983-10-12 | 1985-03-19 | Filipi Charles J | Expandable anvil surgical stapler |
US4610383A (en) | 1983-10-14 | 1986-09-09 | Senmed, Inc. | Disposable linear surgical stapler |
US4571213A (en) | 1983-11-17 | 1986-02-18 | Nikko Co., Ltd. | Direction-converting device for a toy car |
US4565109A (en) | 1983-12-27 | 1986-01-21 | Tsay Chi Chour | Instantaneous direction changing rotation mechanism |
JPS60137406U (ja) | 1984-02-24 | 1985-09-11 | シ−アイ化成株式会社 | マグネツトシ−ト |
US4600037A (en) | 1984-03-19 | 1986-07-15 | Texas Eastern Drilling Systems, Inc. | Flexible drill pipe |
US4612933A (en) | 1984-03-30 | 1986-09-23 | Senmed, Inc. | Multiple-load cartridge assembly for a linear surgical stapling instrument |
US4619391A (en) | 1984-04-18 | 1986-10-28 | Acme United Corporation | Surgical stapling instrument |
US4607638A (en) | 1984-04-20 | 1986-08-26 | Design Standards Corporation | Surgical staples |
US5002553A (en) | 1984-05-14 | 1991-03-26 | Surgical Systems & Instruments, Inc. | Atherectomy system with a clutch |
US5464013A (en) | 1984-05-25 | 1995-11-07 | Lemelson; Jerome H. | Medical scanning and treatment system and method |
GB8417562D0 (en) | 1984-07-10 | 1984-08-15 | Surgical Design Services | Fasteners |
IN165375B (zh) | 1984-07-16 | 1989-10-07 | Ethicon Inc | |
US4591085A (en) | 1984-07-16 | 1986-05-27 | Ethicon, Inc. | Surgical instrument for applying fasteners, said instrument having an improved trigger interlocking mechanism (Case VI) |
US4605004A (en) | 1984-07-16 | 1986-08-12 | Ethicon, Inc. | Surgical instrument for applying fasteners said instrument including force supporting means (case IV) |
US4585153A (en) | 1984-07-16 | 1986-04-29 | Ethicon, Inc. | Surgical instrument for applying two-piece fasteners comprising frictionally held U-shaped staples and receivers (Case III) |
US4741336A (en) | 1984-07-16 | 1988-05-03 | Ethicon, Inc. | Shaped staples and slotted receivers (case VII) |
US4655222A (en) | 1984-07-30 | 1987-04-07 | Ethicon, Inc. | Coated surgical staple |
US4754909A (en) | 1984-08-09 | 1988-07-05 | Barker John M | Flexible stapler |
US4671445A (en) | 1984-08-09 | 1987-06-09 | Baxter Travenol Laboratories, Inc. | Flexible surgical stapler assembly |
US4608981A (en) | 1984-10-19 | 1986-09-02 | Senmed, Inc. | Surgical stapling instrument with staple height adjusting mechanism |
US4573622A (en) | 1984-10-19 | 1986-03-04 | United States Surgical Corporation | Surgical fastener applying apparatus with variable fastener arrays |
US4633874A (en) | 1984-10-19 | 1987-01-06 | Senmed, Inc. | Surgical stapling instrument with jaw latching mechanism and disposable staple cartridge |
US4566620A (en) | 1984-10-19 | 1986-01-28 | United States Surgical Corporation | Articulated surgical fastener applying apparatus |
US4767044A (en) | 1984-10-19 | 1988-08-30 | United States Surgical Corporation | Surgical fastener applying apparatus |
US4605001A (en) | 1984-10-19 | 1986-08-12 | Senmed, Inc. | Surgical stapling instrument with dual staple height mechanism |
US4580712A (en) | 1984-10-19 | 1986-04-08 | United States Surgical Corporation | Surgical fastener applying apparatus with progressive application of fastener |
US4787387A (en) | 1984-11-08 | 1988-11-29 | American Cyanamid Company | Surgical closure element |
US4646722A (en) | 1984-12-10 | 1987-03-03 | Opielab, Inc. | Protective endoscope sheath and method of installing same |
US4641076A (en) | 1985-01-23 | 1987-02-03 | Hall Surgical-Division Of Zimmer, Inc. | Method and apparatus for sterilizing and charging batteries |
JPS635697Y2 (zh) | 1985-04-04 | 1988-02-17 | ||
US4665916A (en) | 1985-08-09 | 1987-05-19 | United States Surgical Corporation | Surgical stapler apparatus |
US4750488A (en) | 1986-05-19 | 1988-06-14 | Sonomed Technology, Inc. | Vibration apparatus preferably for endoscopic ultrasonic aspirator |
US4750902A (en) | 1985-08-28 | 1988-06-14 | Sonomed Technology, Inc. | Endoscopic ultrasonic aspirators |
US4728020A (en) | 1985-08-30 | 1988-03-01 | United States Surgical Corporation | Articulated surgical fastener applying apparatus |
CH670753A5 (zh) | 1985-09-10 | 1989-07-14 | Vnii Ispytatel Med Tech | |
SU1377053A1 (ru) | 1985-10-02 | 1988-02-28 | В. Г. Сахаутдинов, Р. А. Талипов, Р. М. Халиков и 3. X. Гарифуллин | Хирургический сшивающий аппарат |
US4610250A (en) | 1985-10-08 | 1986-09-09 | United States Surgical Corporation | Two-part surgical fastener for fascia wound approximation |
US4715520A (en) | 1985-10-10 | 1987-12-29 | United States Surgical Corporation | Surgical fastener applying apparatus with tissue edge control |
US4729260A (en) | 1985-12-06 | 1988-03-08 | Desoutter Limited | Two speed gearbox |
SU1333319A2 (ru) | 1985-12-10 | 1987-08-30 | Петрозаводский государственный университет им.О.В.Куусинена | Ушиватель полых органов |
US4634419A (en) | 1985-12-13 | 1987-01-06 | Cooper Lasersonics, Inc. | Angulated ultrasonic surgical handpieces and method for their production |
US4728876A (en) | 1986-02-19 | 1988-03-01 | Minnesota Mining And Manufacturing Company | Orthopedic drive assembly |
US4662555A (en) | 1986-03-11 | 1987-05-05 | Edward Weck & Company, Inc. | Surgical stapler |
US4903697A (en) | 1986-03-27 | 1990-02-27 | Semion Resnick | Cartridge assembly for a surgical stapling instrument |
US4827911A (en) | 1986-04-02 | 1989-05-09 | Cooper Lasersonics, Inc. | Method and apparatus for ultrasonic surgical fragmentation and removal of tissue |
US4747820A (en) | 1986-04-09 | 1988-05-31 | Cooper Lasersonics, Inc. | Irrigation/aspiration manifold and fittings for ultrasonic surgical aspiration system |
US4988334A (en) | 1986-04-09 | 1991-01-29 | Valleylab, Inc. | Ultrasonic surgical system with aspiration tubulation connector |
ATE96633T1 (de) | 1986-04-21 | 1993-11-15 | Globe Control Finanz Aktienges | Vorrichtung zur herstellung einer anastomose. |
SU1561964A1 (ru) | 1986-04-24 | 1990-05-07 | Благовещенский государственный медицинский институт | Хирургический сшивающий аппарат |
FR2598905B1 (fr) | 1986-05-22 | 1993-08-13 | Chevalier Jean Michel | Dispositif d'interruption de la circulation d'un fluide dans un conduit a paroi souple, notamment un viscere creux et ensemble de pince comportant ce dispositif |
US4709120A (en) | 1986-06-06 | 1987-11-24 | Pearson Dean C | Underground utility equipment vault |
US4727308A (en) | 1986-08-28 | 1988-02-23 | International Business Machines Corporation | FET power converter with reduced switching loss |
US4743214A (en) | 1986-09-03 | 1988-05-10 | Tai Cheng Yang | Steering control for toy electric vehicles |
US4890613A (en) | 1986-09-19 | 1990-01-02 | Ethicon, Inc. | Two piece internal organ fastener |
US4752024A (en) | 1986-10-17 | 1988-06-21 | Green David T | Surgical fastener and surgical stapling apparatus |
US4893622A (en) | 1986-10-17 | 1990-01-16 | United States Surgical Corporation | Method of stapling tubular body organs |
JPH0755222B2 (ja) | 1986-12-12 | 1995-06-14 | オリンパス光学工業株式会社 | 処置具 |
US4865030A (en) | 1987-01-21 | 1989-09-12 | American Medical Systems, Inc. | Apparatus for removal of objects from body passages |
WO1988006021A1 (en) | 1987-02-10 | 1988-08-25 | Vaso Products Australia Pty. Limited | Venous cuff applicator, cartridge and cuff |
US4873977A (en) | 1987-02-11 | 1989-10-17 | Odis L. Avant | Stapling method and apparatus for vesicle-urethral re-anastomosis following retropubic prostatectomy and other tubular anastomosis |
US4719917A (en) | 1987-02-17 | 1988-01-19 | Minnesota Mining And Manufacturing Company | Surgical staple |
US5217478A (en) | 1987-02-18 | 1993-06-08 | Linvatec Corporation | Arthroscopic surgical instrument drive system |
DE3709067A1 (de) | 1987-03-19 | 1988-09-29 | Ewald Hensler | Medizinisches, insbesondere chirurgisches instrument |
US4730726A (en) | 1987-04-21 | 1988-03-15 | United States Surgical Corporation | Sealed sterile package |
US4777780A (en) | 1987-04-21 | 1988-10-18 | United States Surgical Corporation | Method for forming a sealed sterile package |
US4941623A (en) | 1987-05-12 | 1990-07-17 | United States Surgical Corporation | Stapling process and device for use on the mesentery of the abdomen |
US5542949A (en) | 1987-05-14 | 1996-08-06 | Yoon; Inbae | Multifunctional clip applier instrument |
US5285944A (en) | 1987-05-26 | 1994-02-15 | United States Surgical Corporation | Surgical stapler apparatus |
US4844068A (en) | 1987-06-05 | 1989-07-04 | Ethicon, Inc. | Bariatric surgical instrument |
US5027834A (en) | 1987-06-11 | 1991-07-02 | United States Surgical Corporation | Stapling process for use on the mesenteries of the abdomen |
US4930503A (en) | 1987-06-11 | 1990-06-05 | Pruitt J Crayton | Stapling process and device for use on the mesenteries of the abdomen |
US4848637A (en) | 1987-06-11 | 1989-07-18 | Pruitt J Crayton | Staple device for use on the mesenteries of the abdomen |
US4773420A (en) | 1987-06-22 | 1988-09-27 | U.S. Surgical Corporation | Purse string applicator |
US5158567A (en) | 1987-09-02 | 1992-10-27 | United States Surgical Corporation | One-piece surgical staple |
US4821939A (en) | 1987-09-02 | 1989-04-18 | United States Surgical Corporation | Staple cartridge and an anvilless surgical stapler |
SU1509051A1 (ru) | 1987-09-14 | 1989-09-23 | Институт прикладной физики АН СССР | Ушиватель органов |
US4931047A (en) | 1987-09-30 | 1990-06-05 | Cavitron, Inc. | Method and apparatus for providing enhanced tissue fragmentation and/or hemostasis |
US5015227A (en) | 1987-09-30 | 1991-05-14 | Valleylab Inc. | Apparatus for providing enhanced tissue fragmentation and/or hemostasis |
US4805617A (en) | 1987-11-05 | 1989-02-21 | Ethicon, Inc. | Surgical fastening systems made from polymeric materials |
US5106627A (en) | 1987-11-17 | 1992-04-21 | Brown University Research Foundation | Neurological therapy devices |
US4834720A (en) | 1987-12-24 | 1989-05-30 | Becton, Dickinson And Company | Implantable port septum |
US4819853A (en) | 1987-12-31 | 1989-04-11 | United States Surgical Corporation | Surgical fastener cartridge |
US5084057A (en) | 1989-07-18 | 1992-01-28 | United States Surgical Corporation | Apparatus and method for applying surgical clips in laparoscopic or endoscopic procedures |
GB8800909D0 (en) | 1988-01-15 | 1988-02-17 | Ethicon Inc | Gas powered surgical stapler |
US5383881A (en) | 1989-07-18 | 1995-01-24 | United States Surgical Corporation | Safety device for use with endoscopic instrumentation |
US5100420A (en) | 1989-07-18 | 1992-03-31 | United States Surgical Corporation | Apparatus and method for applying surgical clips in laparoscopic or endoscopic procedures |
JPH01182196A (ja) | 1988-01-18 | 1989-07-20 | Sanshin Ind Co Ltd | シフト補助装置 |
US4805823A (en) | 1988-03-18 | 1989-02-21 | Ethicon, Inc. | Pocket configuration for internal organ staplers |
US4880015A (en) | 1988-06-03 | 1989-11-14 | Nierman David M | Biopsy forceps |
US5024671A (en) | 1988-09-19 | 1991-06-18 | Baxter International Inc. | Microporous vascular graft |
US5071052A (en) | 1988-09-22 | 1991-12-10 | United States Surgical Corporation | Surgical fastening apparatus with activation lockout |
US4869415A (en) | 1988-09-26 | 1989-09-26 | Ethicon, Inc. | Energy storage means for a surgical stapler |
CA1308782C (en) | 1988-10-13 | 1992-10-13 | Gyrus Medical Limited | Screening and monitoring instrument |
US4892244A (en) | 1988-11-07 | 1990-01-09 | Ethicon, Inc. | Surgical stapler cartridge lockout device |
ES2078231T3 (es) | 1988-11-11 | 1995-12-16 | United States Surgical Corp | Instrumento de cirugia. |
US5197648A (en) | 1988-11-29 | 1993-03-30 | Gingold Bruce S | Surgical stapling apparatus |
US4915100A (en) | 1988-12-19 | 1990-04-10 | United States Surgical Corporation | Surgical stapler apparatus with tissue shield |
US4986808A (en) | 1988-12-20 | 1991-01-22 | Valleylab, Inc. | Magnetostrictive transducer |
US4978333A (en) | 1988-12-20 | 1990-12-18 | Valleylab, Inc. | Resonator for surgical handpiece |
US5111987A (en) | 1989-01-23 | 1992-05-12 | Moeinzadeh Manssour H | Semi-disposable surgical stapler |
US5061269A (en) | 1989-02-07 | 1991-10-29 | Joseph J. Berke | Surgical rongeur power grip structure and method |
US4930674A (en) | 1989-02-24 | 1990-06-05 | Abiomed, Inc. | Surgical stapler |
US5186711A (en) | 1989-03-07 | 1993-02-16 | Albert Einstein College Of Medicine Of Yeshiva University | Hemostasis apparatus and method |
US5522817A (en) | 1989-03-31 | 1996-06-04 | United States Surgical Corporation | Absorbable surgical fastener with bone penetrating elements |
US5062563A (en) | 1989-04-10 | 1991-11-05 | United States Surgical Corporation | Fascia stapler |
US5104397A (en) | 1989-04-14 | 1992-04-14 | Codman & Shurtleff, Inc. | Multi-position latching mechanism for forceps |
US5009661A (en) | 1989-04-24 | 1991-04-23 | Michelson Gary K | Protective mechanism for surgical rongeurs |
US5222976A (en) | 1989-05-16 | 1993-06-29 | Inbae Yoon | Suture devices particularly useful in endoscopic surgery |
SU1708312A1 (ru) | 1989-05-16 | 1992-01-30 | Всесоюзный научно-исследовательский и испытательный институт медицинской техники | Хирургический аппарат дл сшивани костной ткани |
US5505363A (en) | 1989-05-26 | 1996-04-09 | United States Surgical Corporation | Surgical staples with plated anvils |
US4978049A (en) | 1989-05-26 | 1990-12-18 | United States Surgical Corporation | Three staple drive member |
US4955959A (en) | 1989-05-26 | 1990-09-11 | United States Surgical Corporation | Locking mechanism for a surgical fastening apparatus |
US5106008A (en) | 1989-05-26 | 1992-04-21 | United States Surgical Corporation | Locking mechanism for a surgical fastening apparatus |
US5413268A (en) | 1989-05-26 | 1995-05-09 | United States Surgical Corporation | Apparatus and method for placing stables in laparoscopic or endoscopic procedures |
US5318221A (en) | 1989-05-26 | 1994-06-07 | United States Surgical Corporation | Apparatus and method for placing staples in laparoscopic or endoscopic procedures |
US5031814A (en) | 1989-05-26 | 1991-07-16 | United States Surgical Corporation | Locking mechanism for surgical fastening apparatus |
US5040715B1 (en) | 1989-05-26 | 1994-04-05 | United States Surgical Corp | Apparatus and method for placing staples in laparoscopic or endoscopic procedures |
US4932960A (en) | 1989-09-01 | 1990-06-12 | United States Surgical Corporation | Absorbable surgical fastener |
US5155941A (en) | 1989-09-18 | 1992-10-20 | Olympus Optical Co., Ltd. | Industrial endoscope system having a rotary treatment member |
US4965709A (en) | 1989-09-25 | 1990-10-23 | General Electric Company | Switching converter with pseudo-resonant DC link |
CH677728A5 (zh) | 1989-10-17 | 1991-06-28 | Bieffe Medital Sa | |
US5239981A (en) | 1989-11-16 | 1993-08-31 | Effner Biomet Gmbh | Film covering to protect a surgical instrument and an endoscope to be used with the film covering |
US5156609A (en) | 1989-12-26 | 1992-10-20 | Nakao Naomi L | Endoscopic stapling device and method |
US6033378A (en) | 1990-02-02 | 2000-03-07 | Ep Technologies, Inc. | Catheter steering mechanism |
US5195968A (en) | 1990-02-02 | 1993-03-23 | Ingemar Lundquist | Catheter steering mechanism |
US5100042A (en) | 1990-03-05 | 1992-03-31 | United States Surgical Corporation | Surgical fastener apparatus |
US5088997A (en) | 1990-03-15 | 1992-02-18 | Valleylab, Inc. | Gas coagulation device |
US5244462A (en) | 1990-03-15 | 1993-09-14 | Valleylab Inc. | Electrosurgical apparatus |
US5217457A (en) | 1990-03-15 | 1993-06-08 | Valleylab Inc. | Enhanced electrosurgical apparatus |
US5014899A (en) | 1990-03-30 | 1991-05-14 | United States Surgical Corporation | Surgical stapling apparatus |
SU1722476A1 (ru) | 1990-04-02 | 1992-03-30 | Свердловский Филиал Научно-Производственного Объединения "Фтизиопульмонология" | Устройство дл временной окклюзии трубчатых органов |
US5002543A (en) | 1990-04-09 | 1991-03-26 | Bradshaw Anthony J | Steerable intramedullary fracture reduction device |
US5454378A (en) | 1993-02-11 | 1995-10-03 | Symbiosis Corporation | Biopsy forceps having a detachable proximal handle and distal jaws |
US5116349A (en) | 1990-05-23 | 1992-05-26 | United States Surgical Corporation | Surgical fastener apparatus |
US5074454A (en) | 1990-06-04 | 1991-12-24 | Peters Ronald L | Surgical stapler |
US5342395A (en) | 1990-07-06 | 1994-08-30 | American Cyanamid Co. | Absorbable surgical repair devices |
SU1752361A1 (ru) | 1990-07-10 | 1992-08-07 | Производственное Объединение "Челябинский Тракторный Завод Им.В.И.Ленина" | Хирургический сшивающий аппарат |
RU2008830C1 (ru) | 1990-07-13 | 1994-03-15 | Константин Алексеевич Додонов | Электрохирургический аппарат |
US5163598A (en) | 1990-07-23 | 1992-11-17 | Rudolph Peters | Sternum stapling apparatus |
US5234447A (en) | 1990-08-28 | 1993-08-10 | Robert L. Kaster | Side-to-end vascular anastomotic staple apparatus |
US5094247A (en) | 1990-08-31 | 1992-03-10 | Cordis Corporation | Biopsy forceps with handle having a flexible coupling |
US5653373A (en) | 1990-09-17 | 1997-08-05 | United States Surgical Corporation | Arcuate apparatus for applying two-part surgical fasteners |
US5156315A (en) | 1990-09-17 | 1992-10-20 | United States Surgical Corporation | Arcuate apparatus for applying two-part surgical fasteners |
US5156614A (en) | 1990-09-17 | 1992-10-20 | United States Surgical Corporation | Apparatus for applying two-part surgical fasteners |
US5253793A (en) | 1990-09-17 | 1993-10-19 | United States Surgical Corporation | Apparatus for applying two-part surgical fasteners |
US5104025A (en) | 1990-09-28 | 1992-04-14 | Ethicon, Inc. | Intraluminal anastomotic surgical stapler with detached anvil |
US5080556A (en) | 1990-09-28 | 1992-01-14 | General Electric Company | Thermal seal for a gas turbine spacer disc |
DE484677T1 (de) | 1990-10-05 | 1993-11-25 | United States Surgical Corp | Verfahren und Vorrichtung zum Anbringen von Klammern bei laparoskopischen oder endoskopischen Eingriffen. |
US5088979A (en) | 1990-10-11 | 1992-02-18 | Wilson-Cook Medical Inc. | Method for esophageal invagination and devices useful therein |
US5042707A (en) | 1990-10-16 | 1991-08-27 | Taheri Syde A | Intravascular stapler, and method of operating same |
USD330699S (en) | 1990-10-19 | 1992-11-03 | W. W. Cross, Inc. | Insulated staple |
FR2668361A1 (fr) | 1990-10-30 | 1992-04-30 | Mai Christian | Agrafe et plaque d'osteosynthese a compression dynamique auto-retentive. |
US5658307A (en) | 1990-11-07 | 1997-08-19 | Exconde; Primo D. | Method of using a surgical dissector instrument |
US5129570A (en) | 1990-11-30 | 1992-07-14 | Ethicon, Inc. | Surgical stapler |
US5470009A (en) | 1990-12-06 | 1995-11-28 | United States Surgical Corporation | Surgical fastening apparatus with locking mechanism |
CA2055943C (en) | 1990-12-06 | 2003-09-23 | Daniel P. Rodak | Surgical fastening apparatus with locking mechanism |
US5209747A (en) | 1990-12-13 | 1993-05-11 | Knoepfler Dennis J | Adjustable angle medical forceps |
USRE36720E (en) | 1990-12-13 | 2000-05-30 | United States Surgical Corporation | Apparatus and method for applying latchless surgical clips |
US5122156A (en) | 1990-12-14 | 1992-06-16 | United States Surgical Corporation | Apparatus for securement and attachment of body organs |
US5083695A (en) | 1990-12-18 | 1992-01-28 | Minnesota Mining And Manufacturing Company | Stapler and firing device |
AU662719B2 (en) | 1990-12-18 | 1995-09-14 | United States Surgical Corporation | Safety device for a surgical stapler cartridge |
US5141144A (en) | 1990-12-18 | 1992-08-25 | Minnesota Mining And Manufacturing Company | Stapler and firing device |
CA2055985A1 (en) | 1990-12-20 | 1992-06-21 | Daniel Shichman | Fascia clip |
US5354303A (en) | 1991-01-09 | 1994-10-11 | Endomedix Corporation | Devices for enclosing, manipulating, debulking and removing tissue through minimal incisions |
US5222963A (en) | 1991-01-17 | 1993-06-29 | Ethicon, Inc. | Pull-through circular anastomosic intraluminal stapler with absorbable fastener means |
US5188111A (en) | 1991-01-18 | 1993-02-23 | Catheter Research, Inc. | Device for seeking an area of interest within a body |
CA2060635A1 (en) | 1991-02-12 | 1992-08-13 | Keith D'alessio | Bioabsorbable medical implants |
DE4104755A1 (de) | 1991-02-15 | 1992-08-20 | Heidmueller Harald | Chirurgisches instrument |
AU1102192A (en) | 1991-02-19 | 1992-08-27 | Ethicon Inc. | Surgical staple for insertion into tissue |
US5571285A (en) | 1991-02-19 | 1996-11-05 | Ethicon, Inc. | Surgical staple for insertion into tissue |
US5219111A (en) | 1991-03-11 | 1993-06-15 | Ethicon, Inc. | Pneumatically actuated linear stapling device |
US5445155A (en) | 1991-03-13 | 1995-08-29 | Scimed Life Systems Incorporated | Intravascular imaging apparatus and methods for use and manufacture |
US5336232A (en) | 1991-03-14 | 1994-08-09 | United States Surgical Corporation | Approximating apparatus for surgical jaw structure and method of using the same |
CA2061885A1 (en) | 1991-03-14 | 1992-09-15 | David T. Green | Approximating apparatus for surgical jaw structure |
US5217453A (en) | 1991-03-18 | 1993-06-08 | Wilk Peter J | Automated surgical system and apparatus |
US5171253A (en) | 1991-03-22 | 1992-12-15 | Klieman Charles H | Velcro-like closure system with absorbable suture materials for absorbable hemostatic clips and surgical strips |
US5065929A (en) | 1991-04-01 | 1991-11-19 | Ethicon, Inc. | Surgical stapler with locking means |
US5470010A (en) | 1991-04-04 | 1995-11-28 | Ethicon, Inc. | Multiple fire endoscopic stapling mechanism |
US5171247A (en) | 1991-04-04 | 1992-12-15 | Ethicon, Inc. | Endoscopic multiple ligating clip applier with rotating shaft |
US5246156A (en) | 1991-09-12 | 1993-09-21 | Ethicon, Inc. | Multiple fire endoscopic stapling mechanism |
US5171249A (en) | 1991-04-04 | 1992-12-15 | Ethicon, Inc. | Endoscopic multiple ligating clip applier |
US5297714A (en) | 1991-04-17 | 1994-03-29 | Ethicon, Inc. | Surgical staple with modified "B" shaped configuration |
US5339799A (en) | 1991-04-23 | 1994-08-23 | Olympus Optical Co., Ltd. | Medical system for reproducing a state of contact of the treatment section in the operation unit |
US5257713A (en) | 1991-05-07 | 1993-11-02 | United States Surgical Corporation | Surgical fastening device |
US5413267A (en) | 1991-05-14 | 1995-05-09 | United States Surgical Corporation | Surgical stapler with spent cartridge sensing and lockout means |
US5137198A (en) | 1991-05-16 | 1992-08-11 | Ethicon, Inc. | Fast closure device for linear surgical stapling instrument |
DE4116343A1 (de) | 1991-05-18 | 1992-11-19 | Bosch Gmbh Robert | Handgefuehrtes elektrowerkzeug, insbesondere bohrmaschine |
FI93607C (fi) | 1991-05-24 | 1995-05-10 | John Koivukangas | Leikkaustoimenpidelaite |
US5190517A (en) | 1991-06-06 | 1993-03-02 | Valleylab Inc. | Electrosurgical and ultrasonic surgical system |
US5221036A (en) | 1991-06-11 | 1993-06-22 | Haruo Takase | Surgical stapler |
US5262678A (en) | 1991-06-21 | 1993-11-16 | Lutron Electronics Co., Inc. | Wallbox-mountable switch and dimmer |
US5268622A (en) | 1991-06-27 | 1993-12-07 | Stryker Corporation | DC powered surgical handpiece having a motor control circuit |
US5207697A (en) | 1991-06-27 | 1993-05-04 | Stryker Corporation | Battery powered surgical handpiece |
US5383888A (en) | 1992-02-12 | 1995-01-24 | United States Surgical Corporation | Articulating endoscopic surgical apparatus |
US5391180A (en) | 1991-08-05 | 1995-02-21 | United States Surgical Corporation | Articulating endoscopic surgical apparatus |
US5282829A (en) | 1991-08-15 | 1994-02-01 | United States Surgical Corporation | Hollow body implants |
US5350104A (en) | 1991-08-23 | 1994-09-27 | Ethicon, Inc. | Sealing means for endoscopic surgical anastomosis stapling instrument |
GR920100358A (el) | 1991-08-23 | 1993-06-07 | Ethicon Inc | Οργανο συρραφής χειρουργικής αναστομώσεως. |
US5263973A (en) | 1991-08-30 | 1993-11-23 | Cook Melvin S | Surgical stapling method |
US5142932A (en) | 1991-09-04 | 1992-09-01 | The United States Of America As Represented By The Administrator Of The National Aeronautics And Space Administration | Flexible robotic arm |
US5200280A (en) | 1991-09-05 | 1993-04-06 | Black & Decker Inc. | Terminal cover for a battery pack |
IT1251206B (it) | 1991-09-18 | 1995-05-04 | Magneti Marelli Spa | Impianto elettrico di un autoveicolo, comprendente almeno un supercondensatore. |
US5476479A (en) | 1991-09-26 | 1995-12-19 | United States Surgical Corporation | Handle for endoscopic surgical instruments and jaw structure |
US5431654A (en) | 1991-09-30 | 1995-07-11 | Stryker Corporation | Bone cement injector |
US5275608A (en) | 1991-10-16 | 1994-01-04 | Implemed, Inc. | Generic endoscopic instrument |
CA2075141C (en) | 1991-10-17 | 1998-06-30 | Donald A. Morin | Anvil for surgical staplers |
US5312023A (en) | 1991-10-18 | 1994-05-17 | United States Surgical Corporation | Self contained gas powered surgical apparatus |
US5326013A (en) | 1991-10-18 | 1994-07-05 | United States Surgical Corporation | Self contained gas powered surgical apparatus |
DE537571T1 (de) | 1991-10-18 | 1993-10-14 | United States Surgical Corp | Gerät zum Anbringen von chirurgischen Befestigungen. |
US5431322A (en) | 1991-10-18 | 1995-07-11 | United States Surgical Corporation | Self contained gas powered surgical apparatus |
CA2078794C (en) | 1991-10-18 | 1998-10-06 | Frank J. Viola | Locking device for an apparatus for applying surgical fasteners |
AU657364B2 (en) | 1991-10-18 | 1995-03-09 | United States Surgical Corporation | Self contained gas powered surgical apparatus |
AU660712B2 (en) | 1991-10-18 | 1995-07-06 | United States Surgical Corporation | Apparatus for applying surgical fasteners |
US5711472A (en) | 1991-10-18 | 1998-01-27 | United States Surgical Corporation | Self contained gas powered surgical apparatus |
US6250532B1 (en) | 1991-10-18 | 2001-06-26 | United States Surgical Corporation | Surgical stapling apparatus |
US5497933A (en) | 1991-10-18 | 1996-03-12 | United States Surgical Corporation | Apparatus and method for applying surgical staples to attach an object to body tissue |
US5443198A (en) | 1991-10-18 | 1995-08-22 | United States Surgical Corporation | Surgical fastener applying apparatus |
US5366134A (en) | 1991-10-18 | 1994-11-22 | United States Surgical Corporation | Surgical fastening apparatus |
US5395312A (en) | 1991-10-18 | 1995-03-07 | Desai; Ashvin | Surgical tool |
US5307976A (en) | 1991-10-18 | 1994-05-03 | Ethicon, Inc. | Linear stapling mechanism with cutting means |
US5397046A (en) | 1991-10-18 | 1995-03-14 | United States Surgical Corporation | Lockout mechanism for surgical apparatus |
US5289963A (en) | 1991-10-18 | 1994-03-01 | United States Surgical Corporation | Apparatus and method for applying surgical staples to attach an object to body tissue |
US5579978A (en) | 1991-10-18 | 1996-12-03 | United States Surgical Corporation | Apparatus for applying surgical fasteners |
US5478003A (en) | 1991-10-18 | 1995-12-26 | United States Surgical Corporation | Surgical apparatus |
US5364001A (en) | 1991-10-18 | 1994-11-15 | United States Surgical Corporation | Self contained gas powered surgical apparatus |
US5332142A (en) | 1991-10-18 | 1994-07-26 | Ethicon, Inc. | Linear stapling mechanism with cutting means |
EP0540461A1 (de) | 1991-10-29 | 1993-05-05 | SULZER Medizinaltechnik AG | Steriles Punktiergerät für Blutgefässe mit nichtsteriler Ultraschallsonde und Vorrichtung zum Vorbereiten des Geräts |
US5197649A (en) | 1991-10-29 | 1993-03-30 | The Trustees Of Columbia University In The City Of New York | Gastrointestinal endoscoptic stapler |
US5240163A (en) | 1991-10-30 | 1993-08-31 | American Cyanamid Company | Linear surgical stapling instrument |
US5350400A (en) | 1991-10-30 | 1994-09-27 | American Cyanamid Company | Malleable, bioabsorbable, plastic staple; and method and apparatus for deforming such staple |
US5531744A (en) | 1991-11-01 | 1996-07-02 | Medical Scientific, Inc. | Alternative current pathways for bipolar surgical cutting tool |
US5665085A (en) | 1991-11-01 | 1997-09-09 | Medical Scientific, Inc. | Electrosurgical cutting tool |
US5713896A (en) | 1991-11-01 | 1998-02-03 | Medical Scientific, Inc. | Impedance feedback electrosurgical system |
US5395034A (en) | 1991-11-07 | 1995-03-07 | American Cyanamid Co. | Linear surgical stapling instrument |
JP3530528B2 (ja) | 1991-11-08 | 2004-05-24 | ボストン サイエンティフィック リミテッド | 絶縁された温度感知素子を有する切除電極 |
US5439467A (en) | 1991-12-03 | 1995-08-08 | Vesica Medical, Inc. | Suture passer |
US5458579A (en) | 1991-12-31 | 1995-10-17 | Technalytics, Inc. | Mechanical trocar insertion apparatus |
WO1993013704A1 (en) | 1992-01-09 | 1993-07-22 | Endomedix Corporation | Bi-directional miniscope |
US5383880A (en) | 1992-01-17 | 1995-01-24 | Ethicon, Inc. | Endoscopic surgical system with sensing means |
US5433721A (en) | 1992-01-17 | 1995-07-18 | Ethicon, Inc. | Endoscopic instrument having a torsionally stiff drive shaft for applying fasteners to tissue |
KR0145453B1 (ko) | 1992-01-21 | 1998-07-01 | 알렌 제이 | 전기외과용 투관침 제어장치 |
US5284128A (en) | 1992-01-24 | 1994-02-08 | Applied Medical Resources Corporation | Surgical manipulator |
ATE155054T1 (de) | 1992-02-07 | 1997-07-15 | Valleylab Inc | Chirurgische ultraschallvorrichtung |
AU3610693A (en) | 1992-02-07 | 1993-09-03 | Nakao, Naomi | Endoscope with disposable insertion member |
US5271543A (en) | 1992-02-07 | 1993-12-21 | Ethicon, Inc. | Surgical anastomosis stapling instrument with flexible support shaft and anvil adjusting mechanism |
US5348259A (en) | 1992-02-10 | 1994-09-20 | Massachusetts Institute Of Technology | Flexible, articulable column |
US5514157A (en) | 1992-02-12 | 1996-05-07 | United States Surgical Corporation | Articulating endoscopic surgical apparatus |
US5626595A (en) | 1992-02-14 | 1997-05-06 | Automated Medical Instruments, Inc. | Automated surgical instrument |
US5282806A (en) | 1992-08-21 | 1994-02-01 | Habley Medical Technology Corporation | Endoscopic surgical instrument having a removable, rotatable, end effector assembly |
CA2089999A1 (en) | 1992-02-24 | 1993-08-25 | H. Jonathan Tovey | Resilient arm mesh deployer |
US5352235A (en) | 1992-03-16 | 1994-10-04 | Tibor Koros | Laparoscopic grasper and cutter |
US5484095A (en) | 1992-03-31 | 1996-01-16 | United States Surgical Corporation | Apparatus for endoscopically applying staples individually to body tissue |
US5281216A (en) | 1992-03-31 | 1994-01-25 | Valleylab, Inc. | Electrosurgical bipolar treating apparatus |
US5223675A (en) | 1992-04-02 | 1993-06-29 | Taft Anthony W | Cable fastener |
US5314424A (en) | 1992-04-06 | 1994-05-24 | United States Surgical Corporation | Surgical instrument locking mechanism |
WO1993020886A1 (en) | 1992-04-13 | 1993-10-28 | Ep Technologies, Inc. | Articulated systems for cardiac ablation |
US5236440A (en) | 1992-04-14 | 1993-08-17 | American Cyanamid Company | Surgical fastener |
US5355897A (en) | 1992-04-16 | 1994-10-18 | Ethicon, Inc. | Method of performing a pyloroplasty/pylorectomy using a stapler having a shield |
US5417203A (en) | 1992-04-23 | 1995-05-23 | United States Surgical Corporation | Articulating endoscopic surgical apparatus |
AU662407B2 (en) | 1992-05-06 | 1995-08-31 | Ethicon Inc. | Endoscopic ligation and division instrument |
US5211655A (en) | 1992-05-08 | 1993-05-18 | Hasson Harrith M | Multiple use forceps for endoscopy |
US5242457A (en) | 1992-05-08 | 1993-09-07 | Ethicon, Inc. | Surgical instrument and staples for applying purse string sutures |
US5484451A (en) | 1992-05-08 | 1996-01-16 | Ethicon, Inc. | Endoscopic surgical instrument and staples for applying purse string sutures |
US5389098A (en) | 1992-05-19 | 1995-02-14 | Olympus Optical Co., Ltd. | Surgical device for stapling and/or fastening body tissues |
US5344059A (en) | 1992-05-19 | 1994-09-06 | United States Surgical Corporation | Surgical apparatus and anvil delivery system therefor |
US5192288A (en) | 1992-05-26 | 1993-03-09 | Origin Medsystems, Inc. | Surgical clip applier |
US5906625A (en) | 1992-06-04 | 1999-05-25 | Olympus Optical Co., Ltd. | Tissue-fixing surgical instrument, tissue-fixing device, and method of fixing tissue |
US5658300A (en) | 1992-06-04 | 1997-08-19 | Olympus Optical Co., Ltd. | Tissue fixing surgical instrument, tissue-fixing device, and method of fixing tissues |
JPH0647050A (ja) | 1992-06-04 | 1994-02-22 | Olympus Optical Co Ltd | 組織縫合結紮器 |
US5279416A (en) | 1992-06-05 | 1994-01-18 | Edward Weck Incorporated | Ligating device cartridge with separable retainer |
US5263629A (en) | 1992-06-29 | 1993-11-23 | Ethicon, Inc. | Method and apparatus for achieving hemostasis along a staple line |
US5221281A (en) | 1992-06-30 | 1993-06-22 | Valleylab Inc. | Electrosurgical tubular trocar |
US5258012A (en) | 1992-06-30 | 1993-11-02 | Ethicon, Inc. | Surgical fasteners |
US5258009A (en) | 1992-06-30 | 1993-11-02 | American Cyanamid Company | Malleable, bioabsorbable,plastic staple having a knotted configuration; and method and apparatus for deforming such staple |
US5368606A (en) | 1992-07-02 | 1994-11-29 | Marlow Surgical Technologies, Inc. | Endoscopic instrument system |
US5222975A (en) | 1992-07-13 | 1993-06-29 | Lawrence Crainich | Surgical staples |
US5360428A (en) | 1992-07-22 | 1994-11-01 | Hutchinson Jr William B | Laparoscopic instrument with electrical cutting wires |
US5511564A (en) | 1992-07-29 | 1996-04-30 | Valleylab Inc. | Laparoscopic stretching instrument and associated method |
US5762458A (en) | 1996-02-20 | 1998-06-09 | Computer Motion, Inc. | Method and apparatus for performing minimally invasive cardiac procedures |
US5657429A (en) | 1992-08-10 | 1997-08-12 | Computer Motion, Inc. | Automated endoscope system optimal positioning |
EP0658090B1 (en) | 1992-09-01 | 1998-11-04 | Edwin L. Adair | Sterilizable endoscope with separable disposable tube assembly |
US5630782A (en) | 1992-09-01 | 1997-05-20 | Adair; Edwin L. | Sterilizable endoscope with separable auxiliary assembly |
CA2104345A1 (en) | 1992-09-02 | 1994-03-03 | David T. Green | Surgical clamp apparatus |
US5368215A (en) | 1992-09-08 | 1994-11-29 | United States Surgical Corporation | Surgical apparatus and detachable anvil rod therefor |
US5485952A (en) | 1992-09-23 | 1996-01-23 | United States Surgical Corporation | Apparatus for applying surgical fasteners |
US5423471A (en) | 1992-10-02 | 1995-06-13 | United States Surgical Corporation | Apparatus for applying two-part surgical fasteners in laparoscopic or endoscopic procedures |
US5569161A (en) | 1992-10-08 | 1996-10-29 | Wendell V. Ebling | Endoscope with sterile sleeve |
US5662662A (en) | 1992-10-09 | 1997-09-02 | Ethicon Endo-Surgery, Inc. | Surgical instrument and method |
US5601224A (en) | 1992-10-09 | 1997-02-11 | Ethicon, Inc. | Surgical instrument |
US5330502A (en) | 1992-10-09 | 1994-07-19 | Ethicon, Inc. | Rotational endoscopic mechanism with jointed drive mechanism |
US5374277A (en) | 1992-10-09 | 1994-12-20 | Ethicon, Inc. | Surgical instrument |
US5626587A (en) | 1992-10-09 | 1997-05-06 | Ethicon Endo-Surgery, Inc. | Method for operating a surgical instrument |
US5381943A (en) | 1992-10-09 | 1995-01-17 | Ethicon, Inc. | Endoscopic surgical stapling instrument with pivotable and rotatable staple cartridge |
US5431323A (en) | 1992-10-09 | 1995-07-11 | Ethicon, Inc. | Endoscopic surgical instrument with pivotable and rotatable staple cartridge |
US5350391A (en) | 1992-10-19 | 1994-09-27 | Benedetto Iacovelli | Laparoscopic instruments |
US5718548A (en) | 1992-10-20 | 1998-02-17 | Clipmaster Corporation Pty Ltd | Staple assembly |
CA2108605A1 (en) | 1992-10-21 | 1994-04-22 | Nagabhushanam Totakura | Bioabsorbable foam pledget |
US5309927A (en) | 1992-10-22 | 1994-05-10 | Ethicon, Inc. | Circular stapler tissue retention spring method |
US5259366A (en) | 1992-11-03 | 1993-11-09 | Boris Reydel | Method of using a catheter-sleeve assembly for an endoscope |
US5409498A (en) | 1992-11-05 | 1995-04-25 | Ethicon, Inc. | Rotatable articulating endoscopic fastening instrument |
GB2272159A (en) | 1992-11-10 | 1994-05-11 | Andreas G Constantinides | Surgical/diagnostic aid |
IL103737A (en) | 1992-11-13 | 1997-02-18 | Technion Res & Dev Foundation | Stapler device particularly useful in medical suturing |
US5441483A (en) | 1992-11-16 | 1995-08-15 | Avitall; Boaz | Catheter deflection control |
US5389104A (en) | 1992-11-18 | 1995-02-14 | Symbiosis Corporation | Arthroscopic surgical instruments |
US5346504A (en) | 1992-11-19 | 1994-09-13 | Ethicon, Inc. | Intraluminal manipulator with a head having articulating links |
US5372602A (en) | 1992-11-30 | 1994-12-13 | Device For Vascular Intervention, Inc. | Method of removing plaque using catheter cutter with torque control |
DE9321021U1 (de) | 1992-11-30 | 1995-09-07 | Valleylab Inc | Chirurgisches Ultraschallhandstück und Energieinitiator zum Aufrechterhalten der Schwingungen und der linearen Dynamik |
US5333422A (en) | 1992-12-02 | 1994-08-02 | The United States Of America As Represented By The United States Department Of Energy | Lightweight extendable and retractable pole |
US5356006A (en) | 1992-12-16 | 1994-10-18 | Ethicon, Inc. | Sterile package for surgical devices |
US5330487A (en) | 1992-12-17 | 1994-07-19 | Tfi Acquistion Corp. | Drive mechanism for surgical instruments |
US5403312A (en) | 1993-07-22 | 1995-04-04 | Ethicon, Inc. | Electrosurgical hemostatic device |
US5558671A (en) | 1993-07-22 | 1996-09-24 | Yates; David C. | Impedance feedback monitor for electrosurgical instrument |
US5807393A (en) | 1992-12-22 | 1998-09-15 | Ethicon Endo-Surgery, Inc. | Surgical tissue treating device with locking mechanism |
FR2699806B1 (fr) | 1992-12-30 | 1995-03-24 | Duthoit Francois | Instrument, destiné notamment à permettre l'extraction de tronçons veineux pathologiques tels que des varices. |
US5468253A (en) | 1993-01-21 | 1995-11-21 | Ethicon, Inc. | Elastomeric medical device |
US5358510A (en) | 1993-01-26 | 1994-10-25 | Ethicon, Inc. | Two part surgical fastener |
CA2114282A1 (en) | 1993-01-28 | 1994-07-29 | Lothar Schilder | Multi-layered implant |
US5304204A (en) | 1993-02-09 | 1994-04-19 | Ethicon, Inc. | Receiverless surgical fasteners |
US5383895A (en) | 1993-02-10 | 1995-01-24 | Unisurge, Inc. | Endoscopic surgical grasper and method |
US5342381A (en) | 1993-02-11 | 1994-08-30 | Everest Medical Corporation | Combination bipolar scissors and forceps instrument |
JPH06237937A (ja) | 1993-02-12 | 1994-08-30 | Olympus Optical Co Ltd | 外科用縫合器 |
WO1994018893A1 (en) | 1993-02-22 | 1994-09-01 | Valleylab, Inc. | A laparoscopic dissection tension retractor device and method |
JP2672713B2 (ja) | 1993-03-02 | 1997-11-05 | ホロビーム インコーポレイティド | 外科用装置 |
US5342396A (en) | 1993-03-02 | 1994-08-30 | Cook Melvin S | Staples |
DE4306786C1 (de) | 1993-03-04 | 1994-02-10 | Wolfgang Daum | Chirurgischer Manipulator |
US5397324A (en) | 1993-03-10 | 1995-03-14 | Carroll; Brendan J. | Surgical stapler instrument and method for vascular hemostasis |
US5312329A (en) | 1993-04-07 | 1994-05-17 | Valleylab Inc. | Piezo ultrasonic and electrosurgical handpiece |
USD352780S (en) | 1993-04-19 | 1994-11-22 | Valleylab Inc. | Combined suction, irrigation and electrosurgical handle |
US5370645A (en) | 1993-04-19 | 1994-12-06 | Valleylab Inc. | Electrosurgical processor and method of use |
US5540375A (en) | 1993-04-20 | 1996-07-30 | United States Surgical Corporation | Endoscopic stapler |
DE69406845T2 (de) | 1993-04-20 | 1998-04-09 | United States Surgical Corp | Chirurgisches Klammerinstrument |
US5467911A (en) | 1993-04-27 | 1995-11-21 | Olympus Optical Co., Ltd. | Surgical device for stapling and fastening body tissues |
ATE153231T1 (de) | 1993-04-27 | 1997-06-15 | American Cyanamid Co | Automatischer, laparoskopischer applikator für abbindeklammern |
US5464300A (en) | 1993-04-29 | 1995-11-07 | Crainich; Lawrence | Medical instrument and coupling apparatus for same |
US5407293A (en) | 1993-04-29 | 1995-04-18 | Crainich; Lawrence | Coupling apparatus for medical instrument |
US5431668A (en) | 1993-04-29 | 1995-07-11 | Ethicon, Inc. | Ligating clip applier |
WO1994024947A1 (en) | 1993-04-30 | 1994-11-10 | Minnesota Mining And Manufacturing Company | Surgical instrument having an articulated jaw structure and a detachable knife |
US5447265A (en) | 1993-04-30 | 1995-09-05 | Minnesota Mining And Manufacturing Company | Laparoscopic surgical instrument with a mechanism for preventing its entry into the abdominal cavity once it is depleted and removed from the abdominal cavity |
US6716232B1 (en) | 1993-04-30 | 2004-04-06 | United States Surgical Corporation | Surgical instrument having an articulated jaw structure and a detachable knife |
GB9309142D0 (en) | 1993-05-04 | 1993-06-16 | Gyrus Medical Ltd | Laparoscopic instrument |
US5415334A (en) | 1993-05-05 | 1995-05-16 | Ethicon Endo-Surgery | Surgical stapler and staple cartridge |
US5364003A (en) | 1993-05-05 | 1994-11-15 | Ethicon Endo-Surgery | Staple cartridge for a surgical stapler |
US5449370A (en) | 1993-05-12 | 1995-09-12 | Ethicon, Inc. | Blunt tipped ultrasonic trocar |
US5352229A (en) | 1993-05-12 | 1994-10-04 | Marlowe Goble E | Arbor press staple and washer and method for its use |
US5549621A (en) | 1993-05-14 | 1996-08-27 | Byron C. Sutherland | Apparatus and method for performing vertical banded gastroplasty |
JP2665052B2 (ja) | 1993-05-14 | 1997-10-22 | エスアールアイ インターナショナル | 遠隔中心位置決め装置 |
CA2124109A1 (en) | 1993-05-24 | 1994-11-25 | Mark T. Byrne | Endoscopic surgical instrument with electromagnetic sensor |
US5341724A (en) | 1993-06-28 | 1994-08-30 | Bronislav Vatel | Pneumatic telescoping cylinder and method |
GB9314391D0 (en) | 1993-07-12 | 1993-08-25 | Gyrus Medical Ltd | A radio frequency oscillator and an electrosurgical generator incorporating such an oscillator |
US5478354A (en) | 1993-07-14 | 1995-12-26 | United States Surgical Corporation | Wound closing apparatus and method |
DE9310601U1 (de) | 1993-07-15 | 1993-09-02 | Siemens Ag | Kassette zur Aufnahme ärztlicher, insbesondere zahnärztlicher Instrumente |
CA2167367A1 (en) | 1993-07-21 | 1995-02-02 | Charles H. Klieman | Surgical instrument for endoscopic and general surgery |
US5792165A (en) | 1993-07-21 | 1998-08-11 | Charles H. Klieman | Endoscopic instrument with detachable end effector |
US5582617A (en) | 1993-07-21 | 1996-12-10 | Charles H. Klieman | Surgical instrument for endoscopic and general surgery |
US5817093A (en) | 1993-07-22 | 1998-10-06 | Ethicon Endo-Surgery, Inc. | Impedance feedback monitor with query electrode for electrosurgical instrument |
US5693051A (en) | 1993-07-22 | 1997-12-02 | Ethicon Endo-Surgery, Inc. | Electrosurgical hemostatic device with adaptive electrodes |
US5688270A (en) | 1993-07-22 | 1997-11-18 | Ethicon Endo-Surgery,Inc. | Electrosurgical hemostatic device with recessed and/or offset electrodes |
GR940100335A (el) | 1993-07-22 | 1996-05-22 | Ethicon Inc. | Ηλεκτροχειρουργικη συσκευη τοποθετησης συρραπτικων αγκυλων. |
US5709680A (en) | 1993-07-22 | 1998-01-20 | Ethicon Endo-Surgery, Inc. | Electrosurgical hemostatic device |
US5810811A (en) | 1993-07-22 | 1998-09-22 | Ethicon Endo-Surgery, Inc. | Electrosurgical hemostatic device |
US5372596A (en) | 1993-07-27 | 1994-12-13 | Valleylab Inc. | Apparatus for leakage control and method for its use |
US5441494A (en) | 1993-07-29 | 1995-08-15 | Ethicon, Inc. | Manipulable hand for laparoscopy |
US5503320A (en) | 1993-08-19 | 1996-04-02 | United States Surgical Corporation | Surgical apparatus with indicator |
US5447417A (en) | 1993-08-31 | 1995-09-05 | Valleylab Inc. | Self-adjusting pump head and safety manifold cartridge for a peristaltic pump |
US5441193A (en) | 1993-09-23 | 1995-08-15 | United States Surgical Corporation | Surgical fastener applying apparatus with resilient film |
CA2133159A1 (en) | 1993-09-30 | 1995-03-31 | Eric J. Butterfield | Surgical instrument having improved manipulating means |
US5405344A (en) | 1993-09-30 | 1995-04-11 | Ethicon, Inc. | Articulable socket joint assembly for an endoscopic instrument for surgical fastner track therefor |
US5542594A (en) | 1993-10-06 | 1996-08-06 | United States Surgical Corporation | Surgical stapling apparatus with biocompatible surgical fabric |
US6210403B1 (en) | 1993-10-07 | 2001-04-03 | Sherwood Services Ag | Automatic control for energy from an electrosurgical generator |
CA2132917C (en) | 1993-10-07 | 2004-12-14 | John Charles Robertson | Circular anastomosis device |
US5496312A (en) | 1993-10-07 | 1996-03-05 | Valleylab Inc. | Impedance and temperature generator control |
US5439155A (en) | 1993-10-07 | 1995-08-08 | United States Surgical Corporation | Cartridge for surgical fastener applying apparatus |
US5562682A (en) | 1993-10-08 | 1996-10-08 | Richard-Allan Medical Industries, Inc. | Surgical Instrument with adjustable arms |
US5487499A (en) | 1993-10-08 | 1996-01-30 | United States Surgical Corporation | Surgical apparatus for applying surgical fasteners including a counter |
US5560532A (en) | 1993-10-08 | 1996-10-01 | United States Surgical Corporation | Apparatus and method for applying surgical staples to body tissue |
US5725554A (en) | 1993-10-08 | 1998-03-10 | Richard-Allan Medical Industries, Inc. | Surgical staple and stapler |
RU2098025C1 (ru) | 1993-10-11 | 1997-12-10 | Аркадий Вениаминович Дубровский | Поворотное устройство |
US5556416A (en) | 1993-10-12 | 1996-09-17 | Valleylab, Inc. | Endoscopic instrument |
GB9322464D0 (en) | 1993-11-01 | 1993-12-22 | Gyrus Medical Ltd | Electrosurgical apparatus |
US5571100B1 (en) | 1993-11-01 | 1998-01-06 | Gyrus Medical Ltd | Electrosurgical apparatus |
JP3414455B2 (ja) | 1993-11-02 | 2003-06-09 | オリンパス光学工業株式会社 | 縫合装置 |
US5376095A (en) | 1993-11-04 | 1994-12-27 | Ethicon Endo-Surgery | Endoscopic multi-fire flat stapler with low profile |
US5503635A (en) | 1993-11-12 | 1996-04-02 | United States Surgical Corporation | Apparatus and method for performing compressional anastomoses |
US5562690A (en) | 1993-11-12 | 1996-10-08 | United States Surgical Corporation | Apparatus and method for performing compressional anastomoses |
US5449355A (en) | 1993-11-24 | 1995-09-12 | Valleylab Inc. | Retrograde tissue splitter and method |
DE4340707C2 (de) | 1993-11-30 | 1997-03-27 | Wolf Gmbh Richard | Manipulator |
US5514129A (en) | 1993-12-03 | 1996-05-07 | Valleylab Inc. | Automatic bipolar control for an electrosurgical generator |
US5465894A (en) | 1993-12-06 | 1995-11-14 | Ethicon, Inc. | Surgical stapling instrument with articulated stapling head assembly on rotatable and flexible support shaft |
US5405073A (en) | 1993-12-06 | 1995-04-11 | Ethicon, Inc. | Flexible support shaft assembly |
US5743456A (en) | 1993-12-16 | 1998-04-28 | Stryker Corporation | Hand actuable surgical handpiece |
US5422567A (en) | 1993-12-27 | 1995-06-06 | Valleylab Inc. | High frequency power measurement |
DE9490469U1 (de) | 1993-12-30 | 1996-08-29 | Valleylab Inc | Bipolare Ultraschallchirurgie |
US5441191A (en) | 1993-12-30 | 1995-08-15 | Linden; Gerald E. | Indicating "staples low" in a paper stapler |
US5782397A (en) | 1994-01-04 | 1998-07-21 | Alpha Surgical Technologies, Inc. | Stapling device |
US5437681A (en) | 1994-01-13 | 1995-08-01 | Suturtek Inc. | Suturing instrument with thread management |
US5382247A (en) | 1994-01-21 | 1995-01-17 | Valleylab Inc. | Technique for electrosurgical tips and method of manufacture and use |
US5452837A (en) | 1994-01-21 | 1995-09-26 | Ethicon Endo-Surgery, Inc. | Surgical stapler with tissue gripping ridge |
DE9490471U1 (de) | 1994-01-31 | 1996-09-26 | Valleylab Inc | Teleskopierbare bipolare Elektrode für nicht-invasive medizinische Verfahren |
US5465895A (en) | 1994-02-03 | 1995-11-14 | Ethicon Endo-Surgery, Inc. | Surgical stapler instrument |
US5597107A (en) | 1994-02-03 | 1997-01-28 | Ethicon Endo-Surgery, Inc. | Surgical stapler instrument |
US5487500A (en) | 1994-02-03 | 1996-01-30 | Ethicon Endo-Surgery, Inc. | Surgical stapler instrument |
US5452836A (en) | 1994-02-07 | 1995-09-26 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with improved jaw closure and staple firing actuator mechanism |
US5527320A (en) | 1994-02-10 | 1996-06-18 | Pilling Weck Inc. | Surgical clip applying instrument |
US5503638A (en) | 1994-02-10 | 1996-04-02 | Bio-Vascular, Inc. | Soft tissue stapling buttress |
US5507773A (en) | 1994-02-18 | 1996-04-16 | Ethicon Endo-Surgery | Cable-actuated jaw assembly for surgical instruments |
JPH0833642A (ja) | 1994-02-25 | 1996-02-06 | Ethicon Endo Surgery Inc | 外科用ステープラのための改良アンビル承口 |
WO1995023557A1 (en) | 1994-03-01 | 1995-09-08 | United States Surgical Corporation | Surgical stapler with anvil sensor and lockout |
DE9404459U1 (de) | 1994-03-16 | 1994-07-14 | Renz Chr Gmbh & Co | Vorrichtung zum Verpacken von Bindeelementen |
US5484398A (en) | 1994-03-17 | 1996-01-16 | Valleylab Inc. | Methods of making and using ultrasonic handpiece |
JP3421117B2 (ja) | 1994-03-17 | 2003-06-30 | テルモ株式会社 | 外科用器具 |
RU2052979C1 (ru) | 1994-03-22 | 1996-01-27 | Товарищество с ограниченной ответственностью "Дипы" ЛТД | Аппарат для наложения зажимающих скрепок и магазин для прошивающих скобок или зажимающих скрепок |
US5472442A (en) | 1994-03-23 | 1995-12-05 | Valleylab Inc. | Moveable switchable electrosurgical handpiece |
US5860581A (en) | 1994-03-24 | 1999-01-19 | United States Surgical Corporation | Anvil for circular stapler |
US5541376A (en) | 1994-03-28 | 1996-07-30 | Valleylab Inc | Switch and connector |
CA2145723A1 (en) | 1994-03-30 | 1995-10-01 | Steven W. Hamblin | Surgical stapling instrument with remotely articulated stapling head assembly on rotatable support shaft |
US5715987A (en) | 1994-04-05 | 1998-02-10 | Tracor Incorporated | Constant width, adjustable grip, staple apparatus and method |
US5695524A (en) | 1994-04-05 | 1997-12-09 | Tracor Aerospace, Inc. | Constant width, adjustable grip, staple apparatus and method |
US5415335A (en) | 1994-04-07 | 1995-05-16 | Ethicon Endo-Surgery | Surgical stapler cartridge containing lockout mechanism |
CA2144818C (en) | 1994-04-07 | 2006-07-11 | Henry Bolanos | Graduated anvil for surgical stapling instruments |
US5653677A (en) | 1994-04-12 | 1997-08-05 | Fuji Photo Optical Co. Ltd | Electronic endoscope apparatus with imaging unit separable therefrom |
US5529235A (en) | 1994-04-28 | 1996-06-25 | Ethicon Endo-Surgery, Inc. | Identification device for surgical instrument |
US5489058A (en) | 1994-05-02 | 1996-02-06 | Minnesota Mining And Manufacturing Company | Surgical stapler with mechanisms for reducing the firing force |
US5470007A (en) | 1994-05-02 | 1995-11-28 | Minnesota Mining And Manufacturing Company | Laparoscopic stapler with overload sensor and interlock |
US5474566A (en) | 1994-05-05 | 1995-12-12 | United States Surgical Corporation | Self-contained powered surgical apparatus |
CA2148667A1 (en) | 1994-05-05 | 1995-11-06 | Carlo A. Mililli | Self-contained powered surgical apparatus |
US5628446A (en) | 1994-05-05 | 1997-05-13 | United States Surgical Corporation | Self-contained powered surgical apparatus |
US5843021A (en) | 1994-05-09 | 1998-12-01 | Somnus Medical Technologies, Inc. | Cell necrosis apparatus |
US5782749A (en) | 1994-05-10 | 1998-07-21 | Riza; Erol D. | Laparoscopic surgical instrument with adjustable grip |
US5480409A (en) | 1994-05-10 | 1996-01-02 | Riza; Erol D. | Laparoscopic surgical instrument |
US6704210B1 (en) | 1994-05-20 | 2004-03-09 | Medtronic, Inc. | Bioprothesis film strip for surgical stapler and method of attaching the same |
USRE38335E1 (en) | 1994-05-24 | 2003-11-25 | Endius Incorporated | Surgical instrument |
US5454827A (en) | 1994-05-24 | 1995-10-03 | Aust; Gilbert M. | Surgical instrument |
DE69511483T2 (de) | 1994-05-30 | 2000-03-16 | Canon Kk | Wiederaufladbare Batterien |
US5814057A (en) | 1994-06-03 | 1998-09-29 | Gunze Limited | Supporting element for staple region |
US5553675A (en) | 1994-06-10 | 1996-09-10 | Minnesota Mining And Manufacturing Company | Orthopedic surgical device |
US5473204A (en) | 1994-06-16 | 1995-12-05 | Temple; Thomas D. | Time delay switch |
US5732872A (en) | 1994-06-17 | 1998-03-31 | Heartport, Inc. | Surgical stapling instrument |
US5558665A (en) | 1994-06-24 | 1996-09-24 | Archimedes Surgical, Inc. | Surgical instrument and method for intraluminal retraction of an anatomic structure |
US5807376A (en) | 1994-06-24 | 1998-09-15 | United States Surgical Corporation | Apparatus and method for performing surgical tasks during laparoscopic procedures |
US5746224A (en) | 1994-06-24 | 1998-05-05 | Somnus Medical Technologies, Inc. | Method for ablating turbinates |
DE4422621C1 (de) | 1994-06-28 | 1995-08-31 | Aesculap Ag | Chirurgisches Instrument |
GB9413070D0 (en) | 1994-06-29 | 1994-08-17 | Gyrus Medical Ltd | Electrosurgical apparatus |
US5551622A (en) | 1994-07-13 | 1996-09-03 | Yoon; Inbae | Surgical stapler |
US5833695A (en) | 1994-07-13 | 1998-11-10 | Yoon; Inbae | Surgical stapling system and method of applying staples from multiple staple cartridges |
US5629577A (en) | 1994-07-15 | 1997-05-13 | Micro Medical Devices | Miniature linear motion actuator |
US5533521A (en) | 1994-07-15 | 1996-07-09 | United States Surgical Corporation | Interchangeable tissue measuring device |
DE9412228U1 (de) | 1994-07-28 | 1994-09-22 | Loctite Europa Eeig | Schlauchpumpe zur genauen Dosierung kleiner Flüssigkeitsmengen |
EP0699418A1 (en) | 1994-08-05 | 1996-03-06 | United States Surgical Corporation | Self-contained powered surgical apparatus |
US5779130A (en) | 1994-08-05 | 1998-07-14 | United States Surgical Corporation | Self-contained powered surgical apparatus |
US5507426A (en) | 1994-08-05 | 1996-04-16 | United States Surgical Corporation | Apparatus for applying surgical fasteners |
US5509916A (en) | 1994-08-12 | 1996-04-23 | Valleylab Inc. | Laser-assisted electrosurgery system |
US5480089A (en) | 1994-08-19 | 1996-01-02 | United States Surgical Corporation | Surgical stapler apparatus with improved staple pockets |
CA2146508C (en) | 1994-08-25 | 2006-11-14 | Robert H. Schnut | Anvil for circular stapler |
US6120433A (en) | 1994-09-01 | 2000-09-19 | Olympus Optical Co., Ltd. | Surgical manipulator system |
US5569284A (en) | 1994-09-23 | 1996-10-29 | United States Surgical Corporation | Morcellator |
US5609601A (en) | 1994-09-23 | 1997-03-11 | United States Surgical Corporation | Endoscopic surgical apparatus with rotation lock |
DE4434864C2 (de) | 1994-09-29 | 1997-06-19 | United States Surgical Corp | Chirurgischer Klammerapplikator mit auswechselbarem Klammermagazin |
US5571116A (en) | 1994-10-02 | 1996-11-05 | United States Surgical Corporation | Non-invasive treatment of gastroesophageal reflux disease |
US5685474A (en) | 1994-10-04 | 1997-11-11 | United States Surgical Corporation | Tactile indicator for surgical instrument |
US5797538A (en) | 1994-10-05 | 1998-08-25 | United States Surgical Corporation | Articulating apparatus for applying surgical fasteners to body tissue |
US5901895A (en) | 1994-10-05 | 1999-05-11 | United States Surgical Corporation | Articulating apparatus for applying surgical fasteners to body tissue |
US5540374A (en) | 1994-10-06 | 1996-07-30 | Minnesota Mining And Manufacturing Company | Bone stapler cartridge |
US5575805A (en) | 1994-10-07 | 1996-11-19 | Li Medical Technologies, Inc. | Variable tip-pressure surgical grasper |
EP0705571A1 (en) | 1994-10-07 | 1996-04-10 | United States Surgical Corporation | Self-contained powered surgical apparatus |
US5571090A (en) | 1994-10-07 | 1996-11-05 | United States Surgical Corporation | Vascular suturing apparatus |
US5591170A (en) | 1994-10-14 | 1997-01-07 | Genesis Orthopedics | Intramedullary bone cutting saw |
US5575789A (en) | 1994-10-27 | 1996-11-19 | Valleylab Inc. | Energizable surgical tool safety device and method |
US5549637A (en) | 1994-11-10 | 1996-08-27 | Crainich; Lawrence | Articulated medical instrument |
US6206897B1 (en) | 1994-12-02 | 2001-03-27 | Ethicon, Inc. | Enhanced visualization of the latching mechanism of latching surgical devices |
US5868760A (en) | 1994-12-07 | 1999-02-09 | Mcguckin, Jr.; James F. | Method and apparatus for endolumenally resectioning tissue |
US7235089B1 (en) | 1994-12-07 | 2007-06-26 | Boston Scientific Corporation | Surgical apparatus and method |
JPH08164141A (ja) | 1994-12-13 | 1996-06-25 | Olympus Optical Co Ltd | 処置具 |
US5636779A (en) | 1994-12-13 | 1997-06-10 | United States Surgical Corporation | Apparatus for applying surgical fasteners |
US5569270A (en) | 1994-12-13 | 1996-10-29 | Weng; Edward E. | Laparoscopic surgical instrument |
US5988479A (en) | 1994-12-13 | 1999-11-23 | United States Surgical Corporation | Apparatus for applying surgical fasteners |
US5632432A (en) | 1994-12-19 | 1997-05-27 | Ethicon Endo-Surgery, Inc. | Surgical instrument |
US5704534A (en) | 1994-12-19 | 1998-01-06 | Ethicon Endo-Surgery, Inc. | Articulation assembly for surgical instruments |
US5713505A (en) | 1996-05-13 | 1998-02-03 | Ethicon Endo-Surgery, Inc. | Articulation transmission mechanism for surgical instruments |
US5628743A (en) | 1994-12-21 | 1997-05-13 | Valleylab Inc. | Dual mode ultrasonic surgical apparatus |
US5613966A (en) | 1994-12-21 | 1997-03-25 | Valleylab Inc | System and method for accessory rate control |
GB9425781D0 (en) | 1994-12-21 | 1995-02-22 | Gyrus Medical Ltd | Electrosurgical instrument |
AU701320B2 (en) | 1994-12-22 | 1999-01-28 | Ethicon Endo-Surgery, Inc. | Impedance feedback monitor with query electrode for electrosurgical instrument |
US5620452A (en) | 1994-12-22 | 1997-04-15 | Yoon; Inbae | Surgical clip with ductile tissue penetrating members |
US5695494A (en) | 1994-12-22 | 1997-12-09 | Valleylab Inc | Rem output stage topology |
US5713895A (en) | 1994-12-30 | 1998-02-03 | Valleylab Inc | Partially coated electrodes |
US5466020A (en) | 1994-12-30 | 1995-11-14 | Valleylab Inc. | Bayonet connector for surgical handpiece |
WO1996023448A1 (en) | 1995-02-03 | 1996-08-08 | Valleylab, Inc. | Electrosurgical aspirator combined with a pencil |
USD372086S (en) | 1995-02-03 | 1996-07-23 | Valleylab Inc. | Aspirator attachment for a surgical device |
US5669907A (en) | 1995-02-10 | 1997-09-23 | Valleylab Inc. | Plasma enhanced bipolar electrosurgical system |
US5695504A (en) | 1995-02-24 | 1997-12-09 | Heartport, Inc. | Devices and methods for performing a vascular anastomosis |
US5735445A (en) | 1995-03-07 | 1998-04-07 | United States Surgical Corporation | Surgical stapler |
US5669904A (en) | 1995-03-07 | 1997-09-23 | Valleylab Inc. | Surgical gas plasma ignition apparatus and method |
US6213999B1 (en) | 1995-03-07 | 2001-04-10 | Sherwood Services Ag | Surgical gas plasma ignition apparatus and method |
DE19509116C2 (de) | 1995-03-16 | 2000-01-05 | Deutsch Zentr Luft & Raumfahrt | Flexible Struktur |
DE19509115C2 (de) | 1995-03-16 | 1997-11-27 | Deutsche Forsch Luft Raumfahrt | Chirurgisches Gerät zum Vorbereiten einer Anastomose in minimal invasiver Operationstechnik |
US5575799A (en) | 1995-03-30 | 1996-11-19 | United States Surgical Corporation | Articulating surgical apparatus |
US5618307A (en) | 1995-04-03 | 1997-04-08 | Heartport, Inc. | Clamp assembly and method of use |
US5599350A (en) | 1995-04-03 | 1997-02-04 | Ethicon Endo-Surgery, Inc. | Electrosurgical clamping device with coagulation feedback |
US5619992A (en) | 1995-04-06 | 1997-04-15 | Guthrie; Robert B. | Methods and apparatus for inhibiting contamination of reusable pulse oximetry sensors |
US6056735A (en) | 1996-04-04 | 2000-05-02 | Olympus Optical Co., Ltd. | Ultrasound treatment system |
US5624452A (en) | 1995-04-07 | 1997-04-29 | Ethicon Endo-Surgery, Inc. | Hemostatic surgical cutting or stapling instrument |
AU5561196A (en) | 1995-04-21 | 1996-11-07 | W.L. Gore & Associates, Inc. | A surgical pledget dispensing system |
US5553765A (en) | 1995-04-28 | 1996-09-10 | Ethicon Endo-Surgery, Inc. | Surgical stapler with improved operating lever mounting arrangement |
JP3526487B2 (ja) | 1995-05-08 | 2004-05-17 | 株式会社伊垣医療設計 | 医療用縫合材 |
JP3795100B2 (ja) | 1995-05-08 | 2006-07-12 | 株式会社伊垣医療設計 | 医療用縫合材 |
AU5741296A (en) | 1995-05-12 | 1996-11-29 | Rodney C. Perkins | Translumenal circumferential injector |
US6123241A (en) | 1995-05-23 | 2000-09-26 | Applied Tool Development Corporation | Internal combustion powered tool |
US5630540A (en) | 1995-05-24 | 1997-05-20 | United States Surgical Corporation | Surgical staple and staple drive member |
US5678748A (en) | 1995-05-24 | 1997-10-21 | Vir Engineering | Surgical stapler with improved safety mechanism |
US5720744A (en) | 1995-06-06 | 1998-02-24 | Valleylab Inc | Control system for neurosurgery |
CA2220909C (en) | 1995-06-06 | 2001-02-27 | Valleylab, Inc. | Digital waveform generation for electrosurgical generators |
WO1996039086A1 (en) | 1995-06-06 | 1996-12-12 | Valleylab Inc. | Power control for an electrosurgical generator |
US5628745A (en) | 1995-06-06 | 1997-05-13 | Bek; Robin B. | Exit spark control for an electrosurgical generator |
US5599344A (en) | 1995-06-06 | 1997-02-04 | Valleylab Inc. | Control apparatus for electrosurgical generator power output |
US5814038A (en) | 1995-06-07 | 1998-09-29 | Sri International | Surgical manipulator for a telerobotic system |
FR2735350B1 (fr) | 1995-06-15 | 1997-12-26 | Maurice Lanzoni | Dispositif developpeur d'efforts d'une pince coupante |
US5849011A (en) | 1995-06-19 | 1998-12-15 | Vidamed, Inc. | Medical device with trigger actuation assembly |
GB9604770D0 (en) | 1995-06-23 | 1996-05-08 | Gyrus Medical Ltd | An electrosurgical generator and system |
US6780180B1 (en) | 1995-06-23 | 2004-08-24 | Gyrus Medical Limited | Electrosurgical instrument |
ES2154824T5 (es) | 1995-06-23 | 2005-04-01 | Gyrus Medical Limited | Instrumento electroquirurgico. |
US6015406A (en) | 1996-01-09 | 2000-01-18 | Gyrus Medical Limited | Electrosurgical instrument |
GB9526627D0 (en) | 1995-12-29 | 1996-02-28 | Gyrus Medical Ltd | An electrosurgical instrument and an electrosurgical electrode assembly |
ES2233239T3 (es) | 1995-06-23 | 2005-06-16 | Gyrus Medical Limited | Instrumento electroquirurgico. |
GB9600377D0 (en) | 1996-01-09 | 1996-03-13 | Gyrus Medical Ltd | Electrosurgical instrument |
US6293942B1 (en) | 1995-06-23 | 2001-09-25 | Gyrus Medical Limited | Electrosurgical generator method |
US5902312A (en) | 1995-07-03 | 1999-05-11 | Frater; Dirk A. | System for mounting bolster material on tissue staplers |
USRE38708E1 (en) | 1995-07-11 | 2005-03-01 | United States Surgical Corporation | Disposable loading unit for surgical stapler |
US5752644A (en) | 1995-07-11 | 1998-05-19 | United States Surgical Corporation | Disposable loading unit for surgical stapler |
US5591187A (en) | 1995-07-14 | 1997-01-07 | Dekel; Moshe | Laparoscopic tissue retrieval device and method |
US5706998A (en) | 1995-07-17 | 1998-01-13 | United States Surgical Corporation | Surgical stapler with alignment pin locking mechanism |
EP0840572B1 (en) | 1995-07-18 | 2004-10-27 | Garland U. Edwards | Flexible shaft |
US6447518B1 (en) | 1995-07-18 | 2002-09-10 | William R. Krause | Flexible shaft components |
US5810855A (en) | 1995-07-21 | 1998-09-22 | Gore Enterprise Holdings, Inc. | Endoscopic device and method for reinforcing surgical staples |
US5702409A (en) | 1995-07-21 | 1997-12-30 | W. L. Gore & Associates, Inc. | Device and method for reinforcing surgical staples |
US6023638A (en) | 1995-07-28 | 2000-02-08 | Scimed Life Systems, Inc. | System and method for conducting electrophysiological testing using high-voltage energy pulses to stun tissue |
US5810846A (en) | 1995-08-03 | 1998-09-22 | United States Surgical Corporation | Vascular hole closure |
US5611709A (en) | 1995-08-10 | 1997-03-18 | Valleylab Inc | Method and assembly of member and terminal |
US5715988A (en) | 1995-08-14 | 1998-02-10 | United States Surgical Corporation | Surgical stapler with lockout mechanism |
US5718359A (en) | 1995-08-14 | 1998-02-17 | United States Of America Surgical Corporation | Surgical stapler with lockout mechanism |
US5839639A (en) | 1995-08-17 | 1998-11-24 | Lasersurge, Inc. | Collapsible anvil assembly and applicator instrument |
US5931853A (en) | 1995-08-25 | 1999-08-03 | Mcewen; James A. | Physiologic tourniquet with safety circuit |
US6032849A (en) | 1995-08-28 | 2000-03-07 | United States Surgical | Surgical stapler |
US5782396A (en) | 1995-08-28 | 1998-07-21 | United States Surgical Corporation | Surgical stapler |
US5762256A (en) | 1995-08-28 | 1998-06-09 | United States Surgical Corporation | Surgical stapler |
US5574431A (en) | 1995-08-29 | 1996-11-12 | Checkpoint Systems, Inc. | Deactivateable security tag |
US5667526A (en) | 1995-09-07 | 1997-09-16 | Levin; John M. | Tissue retaining clamp |
DE19534112A1 (de) | 1995-09-14 | 1997-03-20 | Wolf Gmbh Richard | Endoskopisches Instrument |
US5827271A (en) | 1995-09-19 | 1998-10-27 | Valleylab | Energy delivery system for vessel sealing |
US5814055A (en) | 1995-09-19 | 1998-09-29 | Ethicon Endo-Surgery, Inc. | Surgical clamping mechanism |
US5776130A (en) | 1995-09-19 | 1998-07-07 | Valleylab, Inc. | Vascular tissue sealing pressure control |
US5704087A (en) | 1995-09-19 | 1998-01-06 | Strub; Richard | Dental care apparatus and technique |
US5797959A (en) | 1995-09-21 | 1998-08-25 | United States Surgical Corporation | Surgical apparatus with articulating jaw structure |
US5772659A (en) | 1995-09-26 | 1998-06-30 | Valleylab Inc. | Electrosurgical generator power control circuit and method |
US5702387A (en) | 1995-09-27 | 1997-12-30 | Valleylab Inc | Coated electrosurgical electrode |
US5732821A (en) | 1995-09-28 | 1998-03-31 | Biomet, Inc. | System for sterilizing medical devices |
US5707392A (en) | 1995-09-29 | 1998-01-13 | Symbiosis Corporation | Hermaphroditic stamped forceps jaw for disposable endoscopic biopsy forceps and method of making the same |
US5796188A (en) | 1995-10-05 | 1998-08-18 | Xomed Surgical Products, Inc. | Battery-powered medical instrument with power booster |
US5809441A (en) | 1995-10-19 | 1998-09-15 | Case Corporation | Apparatus and method of neutral start control of a power transmission |
US5697542A (en) | 1995-10-19 | 1997-12-16 | Ethicon Endo-Surgery, Inc. | Endoscopic surgical stapler with compact profile |
US5653721A (en) | 1995-10-19 | 1997-08-05 | Ethicon Endo-Surgery, Inc. | Override mechanism for an actuator on a surgical instrument |
US5997552A (en) | 1995-10-20 | 1999-12-07 | United States Surgical Corporation | Meniscal fastener applying device |
US5700270A (en) | 1995-10-20 | 1997-12-23 | United States Surgical Corporation | Surgical clip applier |
GB9521772D0 (en) | 1995-10-24 | 1996-01-03 | Gyrus Medical Ltd | An electrosurgical instrument |
CA2188738A1 (en) | 1995-10-27 | 1997-04-28 | Lisa W. Heaton | Surgical stapler having interchangeable loading units |
US5651491A (en) | 1995-10-27 | 1997-07-29 | United States Surgical Corporation | Surgical stapler having interchangeable loading units |
US5941442A (en) | 1995-10-27 | 1999-08-24 | United States Surgical | Surgical stapler |
US5827298A (en) | 1995-11-17 | 1998-10-27 | Innovasive Devices, Inc. | Surgical fastening system and method for using the same |
US5860953A (en) | 1995-11-21 | 1999-01-19 | Catheter Imaging Systems, Inc. | Steerable catheter having disposable module and sterilizable handle and method of connecting same |
US5658281A (en) | 1995-12-04 | 1997-08-19 | Valleylab Inc | Bipolar electrosurgical scissors and method of manufacture |
US5971916A (en) | 1995-12-27 | 1999-10-26 | Koren; Arie | Video camera cover |
BR9612395A (pt) | 1995-12-29 | 1999-07-13 | Gyrus Medical Ltd | Instrumento eletrocirúrgico e um conjunto de eltrodo eletrocirúrgico |
US6013076A (en) | 1996-01-09 | 2000-01-11 | Gyrus Medical Limited | Electrosurgical instrument |
GB9600354D0 (en) | 1996-01-09 | 1996-03-13 | Gyrus Medical Ltd | Electrosurgical instrument |
US6090106A (en) | 1996-01-09 | 2000-07-18 | Gyrus Medical Limited | Electrosurgical instrument |
US5755717A (en) | 1996-01-16 | 1998-05-26 | Ethicon Endo-Surgery, Inc. | Electrosurgical clamping device with improved coagulation feedback |
US5738648A (en) | 1996-01-23 | 1998-04-14 | Valleylab Inc | Method and apparatus for a valve and irrigator |
US5620289A (en) | 1996-02-09 | 1997-04-15 | Curry; Rinda M. | Colored staples |
US5749889A (en) | 1996-02-13 | 1998-05-12 | Imagyn Medical, Inc. | Method and apparatus for performing biopsy |
EP0880338B1 (en) | 1996-02-13 | 2005-10-26 | ConMed Corporation | Surgical access device |
US5713128A (en) | 1996-02-16 | 1998-02-03 | Valleylab Inc | Electrosurgical pad apparatus and method of manufacture |
US5762255A (en) | 1996-02-20 | 1998-06-09 | Richard-Allan Medical Industries, Inc. | Surgical instrument with improvement safety lockout mechanisms |
US5820009A (en) | 1996-02-20 | 1998-10-13 | Richard-Allan Medical Industries, Inc. | Articulated surgical instrument with improved jaw closure mechanism |
US5797537A (en) | 1996-02-20 | 1998-08-25 | Richard-Allan Medical Industries, Inc. | Articulated surgical instrument with improved firing mechanism |
US6010054A (en) | 1996-02-20 | 2000-01-04 | Imagyn Medical Technologies | Linear stapling instrument with improved staple cartridge |
US5725536A (en) | 1996-02-20 | 1998-03-10 | Richard-Allen Medical Industries, Inc. | Articulated surgical instrument with improved articulation control mechanism |
US5855583A (en) | 1996-02-20 | 1999-01-05 | Computer Motion, Inc. | Method and apparatus for performing minimally invasive cardiac procedures |
US5894843A (en) | 1996-02-20 | 1999-04-20 | Cardiothoracic Systems, Inc. | Surgical method for stabilizing the beating heart during coronary artery bypass graft surgery |
US6436107B1 (en) | 1996-02-20 | 2002-08-20 | Computer Motion, Inc. | Method and apparatus for performing minimally invasive surgical procedures |
US5800379A (en) | 1996-02-23 | 1998-09-01 | Sommus Medical Technologies, Inc. | Method for ablating interior sections of the tongue |
US5891160A (en) | 1996-02-23 | 1999-04-06 | Cardiovascular Technologies, Llc | Fastener delivery and deployment mechanism and method for placing the fastener in minimally invasive surgery |
US6099537A (en) | 1996-02-26 | 2000-08-08 | Olympus Optical Co., Ltd. | Medical treatment instrument |
US5810721A (en) | 1996-03-04 | 1998-09-22 | Heartport, Inc. | Soft tissue retractor and method for providing surgical access |
US5673842A (en) | 1996-03-05 | 1997-10-07 | Ethicon Endo-Surgery | Surgical stapler with locking mechanism |
US5605272A (en) | 1996-03-12 | 1997-02-25 | Ethicon Endo-Surgery, Inc. | Trigger mechanism for surgical instruments |
US5697543A (en) | 1996-03-12 | 1997-12-16 | Ethicon Endo-Surgery, Inc. | Linear stapler with improved firing stroke |
IL117607A0 (en) | 1996-03-21 | 1996-07-23 | Dev Of Advanced Medical Produc | Surgical stapler and method of surgical fastening |
WO1997035533A1 (en) | 1996-03-25 | 1997-10-02 | Enrico Nicolo | Surgical mesh prosthetic material and methods of use |
US5747953A (en) | 1996-03-29 | 1998-05-05 | Stryker Corporation | Cordless, battery operated surical tool |
US5728121A (en) | 1996-04-17 | 1998-03-17 | Teleflex Medical, Inc. | Surgical grasper devices |
US5785232A (en) | 1996-04-17 | 1998-07-28 | Vir Engineering | Surgical stapler |
US6149660A (en) | 1996-04-22 | 2000-11-21 | Vnus Medical Technologies, Inc. | Method and apparatus for delivery of an appliance in a vessel |
US5836503A (en) | 1996-04-22 | 1998-11-17 | United States Surgical Corporation | Insertion device for surgical apparatus |
US6050472A (en) | 1996-04-26 | 2000-04-18 | Olympus Optical Co., Ltd. | Surgical anastomosis stapler |
DE19618291A1 (de) | 1996-05-07 | 1998-01-29 | Storz Karl Gmbh & Co | Instrument mit einem abwinkelbaren Handgriff |
US5823066A (en) | 1996-05-13 | 1998-10-20 | Ethicon Endo-Surgery, Inc. | Articulation transmission mechanism for surgical instruments |
US5792135A (en) | 1996-05-20 | 1998-08-11 | Intuitive Surgical, Inc. | Articulated surgical instrument for performing minimally invasive surgery with enhanced dexterity and sensitivity |
US5772379A (en) | 1996-05-24 | 1998-06-30 | Evensen; Kenneth | Self-filling staple fastener |
US6119913A (en) | 1996-06-14 | 2000-09-19 | Boston Scientific Corporation | Endoscopic stapler |
GB2314274A (en) | 1996-06-20 | 1997-12-24 | Gyrus Medical Ltd | Electrode construction for an electrosurgical instrument |
US5735874A (en) | 1996-06-21 | 1998-04-07 | Ethicon Endo-Surgery, Inc. | Variable position handle locking mechanism |
US5782748A (en) | 1996-07-10 | 1998-07-21 | Symbiosis Corporation | Endoscopic surgical instruments having detachable proximal and distal portions |
US5702408A (en) | 1996-07-17 | 1997-12-30 | Ethicon Endo-Surgery, Inc. | Articulating surgical instrument |
US6083234A (en) | 1996-07-23 | 2000-07-04 | Surgical Dynamics, Inc. | Anastomosis instrument and method |
US6440146B2 (en) | 1996-07-23 | 2002-08-27 | United States Surgical Corporation | Anastomosis instrument and method |
US6024748A (en) | 1996-07-23 | 2000-02-15 | United States Surgical Corporation | Singleshot anastomosis instrument with detachable loading unit and method |
US5785647A (en) | 1996-07-31 | 1998-07-28 | United States Surgical Corporation | Surgical instruments useful for spinal surgery |
US5830598A (en) | 1996-08-15 | 1998-11-03 | Ericsson Inc. | Battery pack incorporating battery pack contact assembly and method |
US6017354A (en) | 1996-08-15 | 2000-01-25 | Stryker Corporation | Integrated system for powered surgical tools |
USD393067S (en) | 1996-08-27 | 1998-03-31 | Valleylab Inc. | Electrosurgical pencil |
US5873885A (en) | 1996-08-29 | 1999-02-23 | Storz Instrument Company | Surgical handpiece |
US5997528A (en) | 1996-08-29 | 1999-12-07 | Bausch & Lomb Surgical, Inc. | Surgical system providing automatic reconfiguration |
US6364888B1 (en) | 1996-09-09 | 2002-04-02 | Intuitive Surgical, Inc. | Alignment of master and slave in a minimally invasive surgical apparatus |
US5730758A (en) | 1996-09-12 | 1998-03-24 | Allgeyer; Dean O. | Staple and staple applicator for use in skin fixation of catheters |
US20050143769A1 (en) | 2002-08-19 | 2005-06-30 | White Jeffrey S. | Ultrasonic dissector |
US5833696A (en) | 1996-10-03 | 1998-11-10 | United States Surgical Corporation | Apparatus for applying surgical clips |
US6109500A (en) | 1996-10-04 | 2000-08-29 | United States Surgical Corporation | Lockout mechanism for a surgical stapler |
US5843132A (en) | 1996-10-07 | 1998-12-01 | Ilvento; Joseph P. | Self-contained, self-powered temporary intravenous pacing catheter assembly |
JP3091420B2 (ja) | 1996-10-18 | 2000-09-25 | 株式会社貝印刃物開発センター | 内視鏡用処置具 |
US5752965A (en) | 1996-10-21 | 1998-05-19 | Bio-Vascular, Inc. | Apparatus and method for producing a reinforced surgical fastener suture line |
US5769892A (en) | 1996-10-22 | 1998-06-23 | Mitroflow International Inc. | Surgical stapler sleeve for reinforcing staple lines |
DE69735501T2 (de) | 1996-11-18 | 2006-12-14 | The University Of Massachusetts, Boston | Systeme und instrumente zur minimal invasiven chirurgie |
US6165184A (en) | 1996-11-18 | 2000-12-26 | Smith & Nephew, Inc. | Systems methods and instruments for minimally invasive surgery |
US6165188A (en) | 1996-12-02 | 2000-12-26 | Angiotrax, Inc. | Apparatus for percutaneously performing myocardial revascularization having controlled cutting depth and methods of use |
US5899915A (en) | 1996-12-02 | 1999-05-04 | Angiotrax, Inc. | Apparatus and method for intraoperatively performing surgery |
US6162211A (en) | 1996-12-05 | 2000-12-19 | Thermolase Corporation | Skin enhancement using laser light |
CA2224366C (en) | 1996-12-11 | 2006-10-31 | Ethicon, Inc. | Meniscal repair device |
US6331181B1 (en) | 1998-12-08 | 2001-12-18 | Intuitive Surgical, Inc. | Surgical robotic tools, data architecture, and use |
US6132368A (en) | 1996-12-12 | 2000-10-17 | Intuitive Surgical, Inc. | Multi-component telepresence system and method |
GB9626512D0 (en) | 1996-12-20 | 1997-02-05 | Gyrus Medical Ltd | An improved electrosurgical generator and system |
US6063098A (en) | 1996-12-23 | 2000-05-16 | Houser; Kevin | Articulable ultrasonic surgical apparatus |
US6074401A (en) | 1997-01-09 | 2000-06-13 | Coalescent Surgical, Inc. | Pinned retainer surgical fasteners, instruments and methods for minimally invasive vascular and endoscopic surgery |
US5931847A (en) | 1997-01-09 | 1999-08-03 | Ethicon Endo-Surgery, Inc. | Surgical cutting instrument with improved cutting edge |
US6485667B1 (en) | 1997-01-17 | 2002-11-26 | Rayonier Products And Financial Services Company | Process for making a soft, strong, absorbent material for use in absorbent articles |
US5784934A (en) | 1997-01-30 | 1998-07-28 | Shinano Pneumatic Industries, Inc. | Ratchet wrench with pivotable head |
US5908402A (en) | 1997-02-03 | 1999-06-01 | Valleylab | Method and apparatus for detecting tube occlusion in argon electrosurgery system |
US6376971B1 (en) | 1997-02-07 | 2002-04-23 | Sri International | Electroactive polymer electrodes |
US6545384B1 (en) | 1997-02-07 | 2003-04-08 | Sri International | Electroactive polymer devices |
PT1011494E (pt) | 1997-03-05 | 2007-04-30 | Univ Columbia | Dispositivo elctrotérmico para fecho e ligação ou corte de tecidos |
US5810821A (en) | 1997-03-28 | 1998-09-22 | Biomet Inc. | Bone fixation screw system |
JP4122066B2 (ja) | 1997-03-31 | 2008-07-23 | 株式会社京都医療設計 | 医療用縫合保持部材 |
US6050172A (en) | 1997-04-04 | 2000-04-18 | Emhart Glass S.A. | Pneumatically operated mechanism |
US5846254A (en) | 1997-04-08 | 1998-12-08 | Ethicon Endo-Surgery, Inc. | Surgical instrument for forming a knot |
US6033399A (en) | 1997-04-09 | 2000-03-07 | Valleylab, Inc. | Electrosurgical generator with adaptive power control |
RU2144791C1 (ru) | 1997-04-14 | 2000-01-27 | Дубровский Аркадий Вениаминович | Пологое поворотное устройство |
US5919198A (en) | 1997-04-17 | 1999-07-06 | Ethicon Endo-Surgery, Inc. | Disposable cartridge with drivers |
GB9708268D0 (en) | 1997-04-24 | 1997-06-18 | Gyrus Medical Ltd | An electrosurgical instrument |
US6017358A (en) | 1997-05-01 | 2000-01-25 | Inbae Yoon | Surgical instrument with multiple rotatably mounted offset end effectors |
USH1904H (en) | 1997-05-14 | 2000-10-03 | Ethicon Endo-Surgery, Inc. | Electrosurgical hemostatic method and device |
USH2037H1 (en) | 1997-05-14 | 2002-07-02 | David C. Yates | Electrosurgical hemostatic device including an anvil |
US5817091A (en) | 1997-05-20 | 1998-10-06 | Medical Scientific, Inc. | Electrosurgical device having a visible indicator |
DE19721076A1 (de) | 1997-05-20 | 1998-11-26 | Trw Repa Gmbh | Verfahren zum Herstellen eines Seilabschnittes mit einem Befestigungselement für ein Fahrzeuginsassen-Rückhaltesystem sowie mit diesem Verfahren hergestellter Seilabschnitt |
US5899914A (en) | 1997-06-11 | 1999-05-04 | Endius Incorporated | Surgical instrument |
US6231565B1 (en) | 1997-06-18 | 2001-05-15 | United States Surgical Corporation | Robotic arm DLUs for performing surgical tasks |
US5951552A (en) | 1997-06-30 | 1999-09-14 | Ethicon Endo-Surgery, Inc. | Capacitively coupled cordless electrosurgical instrument |
US7021878B1 (en) | 1997-07-03 | 2006-04-04 | Trackers Company | Categorizing fasteners and construction connectors using visual identifiers |
FR2765794B1 (fr) | 1997-07-11 | 1999-09-03 | Joel Bardeau | Dispositif d'eveinage notamment pour endoeveinage |
US6338737B1 (en) | 1997-07-17 | 2002-01-15 | Haviv Toledano | Flexible annular stapler for closed surgery of hollow organs |
US5937951A (en) | 1997-07-18 | 1999-08-17 | Ethicon Endo-Surgery, Inc. | Skin stapler with rack and pinion staple feed mechanism |
GB2327352A (en) | 1997-07-18 | 1999-01-27 | Gyrus Medical Ltd | Electrosurgical instrument |
JP2001510068A (ja) | 1997-07-18 | 2001-07-31 | ガイラス・メディカル・リミテッド | 電気外科用器具 |
WO1999003407A1 (en) | 1997-07-18 | 1999-01-28 | Gyrus Medical Limited | An electrosurgical instrument |
EP0996377A1 (en) | 1997-07-18 | 2000-05-03 | Gyrus Medical Limited | An electrosurgical instrument |
US6923803B2 (en) | 1999-01-15 | 2005-08-02 | Gyrus Medical Limited | Electrosurgical system and method |
US7278994B2 (en) | 1997-07-18 | 2007-10-09 | Gyrus Medical Limited | Electrosurgical instrument |
GB9900964D0 (en) | 1999-01-15 | 1999-03-10 | Gyrus Medical Ltd | An electrosurgical system |
US5948030A (en) | 1997-07-25 | 1999-09-07 | General Motors Corporation | Steering angle determaination method and apparatus |
AU8586298A (en) | 1997-07-25 | 1999-02-16 | University Of Massachusetts | Designed protein pores as components for biosensors |
AU728803B2 (en) | 1997-07-29 | 2001-01-18 | Thomas & Betts International, Inc. | Improved cable tie dispensing apparatus |
JP3811291B2 (ja) | 1998-07-02 | 2006-08-16 | オリンパス株式会社 | 内視鏡システム |
US5878938A (en) | 1997-08-11 | 1999-03-09 | Ethicon Endo-Surgery, Inc. | Surgical stapler with improved locking mechanism |
US6267761B1 (en) | 1997-09-09 | 2001-07-31 | Sherwood Services Ag | Apparatus and method for sealing and cutting tissue |
EP1011493B1 (en) | 1997-09-10 | 2005-03-23 | Sherwood Services AG | Bipolar instrument for vessel fusion |
WO1999012483A1 (en) | 1997-09-11 | 1999-03-18 | Genzyme Corporation | Articulating endoscopic implant rotator surgical apparatus and method for using same |
US6017356A (en) | 1997-09-19 | 2000-01-25 | Ethicon Endo-Surgery Inc. | Method for using a trocar for penetration and skin incision |
EP2362284B1 (en) | 1997-09-19 | 2015-05-20 | Massachusetts Institute Of Technology | Robotic apparatus |
US20040236352A1 (en) | 1997-09-22 | 2004-11-25 | Yulun Wang | Method and apparatus for performing minimally invasive cardiac procedures |
US5865361A (en) | 1997-09-23 | 1999-02-02 | United States Surgical Corporation | Surgical stapling apparatus |
US5921956A (en) | 1997-09-24 | 1999-07-13 | Smith & Nephew, Inc. | Surgical instrument |
GB2329840C (en) | 1997-10-03 | 2007-10-05 | Johnson & Johnson Medical | Biopolymer sponge tubes |
US5944172A (en) | 1997-10-06 | 1999-08-31 | Allen-Bradley Company, Llc | Biasing assembly for a switching device |
US5984949A (en) | 1997-10-06 | 1999-11-16 | Levin; John M. | Tissue hooks and tools for applying same |
WO1999017672A1 (en) | 1997-10-06 | 1999-04-15 | Somnus Medical Technologies, Inc. | Electro-surgical instrument with a graphical user interface |
US5947984A (en) | 1997-10-10 | 1999-09-07 | Ethicon Endo-Surger, Inc. | Ultrasonic clamp coagulator apparatus having force limiting clamping mechanism |
US5893835A (en) | 1997-10-10 | 1999-04-13 | Ethicon Endo-Surgery, Inc. | Ultrasonic clamp coagulator apparatus having dual rotational positioning |
US6171316B1 (en) * | 1997-10-10 | 2001-01-09 | Origin Medsystems, Inc. | Endoscopic surgical instrument for rotational manipulation |
US6241723B1 (en) | 1997-10-15 | 2001-06-05 | Team Medical Llc | Electrosurgical system |
US6224617B1 (en) | 1997-10-17 | 2001-05-01 | Angiotrax, Inc. | Methods and apparatus for defibrillating a heart refractory to electrical stimuli |
US6117148A (en) | 1997-10-17 | 2000-09-12 | Ravo; Biagio | Intraluminal anastomotic device |
US6511468B1 (en) | 1997-10-17 | 2003-01-28 | Micro Therapeutics, Inc. | Device and method for controlling injection of liquid embolic composition |
JP4121615B2 (ja) | 1997-10-31 | 2008-07-23 | オリンパス株式会社 | 内視鏡 |
US6086600A (en) | 1997-11-03 | 2000-07-11 | Symbiosis Corporation | Flexible endoscopic surgical instrument for invagination and fundoplication |
US6187003B1 (en) | 1997-11-12 | 2001-02-13 | Sherwood Services Ag | Bipolar electrosurgical instrument for sealing vessels |
US6050996A (en) | 1997-11-12 | 2000-04-18 | Sherwood Services Ag | Bipolar electrosurgical instrument with replaceable electrodes |
US6228083B1 (en) | 1997-11-14 | 2001-05-08 | Sherwood Services Ag | Laparoscopic bipolar electrosurgical instrument |
US6010513A (en) | 1997-11-26 | 2000-01-04 | Bionx Implants Oy | Device for installing a tissue fastener |
US6273876B1 (en) | 1997-12-05 | 2001-08-14 | Intratherapeutics, Inc. | Catheter segments having circumferential supports with axial projection |
US6068627A (en) | 1997-12-10 | 2000-05-30 | Valleylab, Inc. | Smart recognition apparatus and method |
US6171330B1 (en) | 1997-12-15 | 2001-01-09 | Sofradim Production | Pneumatic surgical instrument for the distribution and placement of connecting or fastening means |
US6472784B2 (en) | 1997-12-16 | 2002-10-29 | Fred N. Miekka | Methods and apparatus for increasing power of permanent magnet motors |
EP0923907A1 (en) | 1997-12-19 | 1999-06-23 | Gyrus Medical Limited | An electrosurgical instrument |
US6033427A (en) | 1998-01-07 | 2000-03-07 | Lee; Benjamin I. | Method and device for percutaneous sealing of internal puncture sites |
US6620166B1 (en) | 1998-01-09 | 2003-09-16 | Ethicon, Inc. | Suture buttress system |
US6245081B1 (en) | 1998-01-09 | 2001-06-12 | Steven M. Bowman | Suture buttress |
US6156056A (en) | 1998-01-09 | 2000-12-05 | Ethicon, Inc. | Suture buttress |
GB2336214A (en) | 1998-01-16 | 1999-10-13 | David William Taylor | Preventionof multiple use of limited use devices |
US6096074A (en) | 1998-01-27 | 2000-08-01 | United States Surgical | Stapling apparatus and method for heart valve replacement |
US6296640B1 (en) | 1998-02-06 | 2001-10-02 | Ethicon Endo-Surgery, Inc. | RF bipolar end effector for use in electrosurgical instruments |
US6165175A (en) | 1999-02-02 | 2000-12-26 | Ethicon Endo-Surgery, Inc. | RF bipolar mesentery takedown device including improved bipolar end effector |
US6645201B1 (en) | 1998-02-19 | 2003-11-11 | Curon Medical, Inc. | Systems and methods for treating dysfunctions in the intestines and rectum |
US7214230B2 (en) | 1998-02-24 | 2007-05-08 | Hansen Medical, Inc. | Flexible instrument |
US7789875B2 (en) | 1998-02-24 | 2010-09-07 | Hansen Medical, Inc. | Surgical instruments |
US7090683B2 (en) | 1998-02-24 | 2006-08-15 | Hansen Medical, Inc. | Flexible instrument |
RU2141279C1 (ru) | 1998-03-11 | 1999-11-20 | Кондратюк Георгий Константинович | Универсальная насадка |
US6099551A (en) | 1998-03-12 | 2000-08-08 | Shelhigh, Inc. | Pericardial strip and stapler assembly for dividing and sealing visceral tissues and method of use thereof |
US6042601A (en) | 1998-03-18 | 2000-03-28 | United States Surgical Corporation | Apparatus for vascular hole closure |
US6592538B1 (en) | 1998-03-20 | 2003-07-15 | New York Society For The Ruptured And Crippled Maintaining The Hospital For Special Surgery | Dynamic orthopedic braces |
GB9807303D0 (en) | 1998-04-03 | 1998-06-03 | Gyrus Medical Ltd | An electrode assembly for an electrosurgical instrument |
WO1999048430A1 (en) | 1998-03-26 | 1999-09-30 | Gyrus Medical Limited | An electrosurgical instrument |
GB2335858A (en) | 1998-04-03 | 1999-10-06 | Gyrus Medical Ltd | Resectoscope having pivoting electrode assembly |
US6249076B1 (en) | 1998-04-14 | 2001-06-19 | Massachusetts Institute Of Technology | Conducting polymer actuator |
US6047861A (en) | 1998-04-15 | 2000-04-11 | Vir Engineering, Inc. | Two component fluid dispenser |
US6450989B2 (en) | 1998-04-27 | 2002-09-17 | Artemis Medical, Inc. | Dilating and support apparatus with disease inhibitors and methods for use |
US6003517A (en) | 1998-04-30 | 1999-12-21 | Ethicon Endo-Surgery, Inc. | Method for using an electrosurgical device on lung tissue |
US6517566B1 (en) | 1998-05-11 | 2003-02-11 | Surgical Connections, Inc. | Devices and methods for treating e.g. urinary stress incontinence |
US6062360A (en) | 1998-05-13 | 2000-05-16 | Brunswick Corporation | Synchronizer for a gear shift mechanism for a marine propulsion system |
US6165929A (en) | 1998-05-18 | 2000-12-26 | Phillips Petroleum Company | Compositions that can produce polymers |
US20050283188A1 (en) | 1998-05-29 | 2005-12-22 | By-Pass, Inc. | Vascular closure device |
US6309403B1 (en) | 1998-06-01 | 2001-10-30 | Board Of Trustees Operating Michigan State University | Dexterous articulated linkage for surgical applications |
US6126058A (en) | 1998-06-19 | 2000-10-03 | Scimed Life Systems, Inc. | Method and device for full thickness resectioning of an organ |
US6601749B2 (en) | 1998-06-19 | 2003-08-05 | Scimed Life Systems, Inc. | Multi fire full thickness resectioning device |
US6478210B2 (en) | 2000-10-25 | 2002-11-12 | Scimed Life Systems, Inc. | Method and device for full thickness resectioning of an organ |
US6629630B2 (en) | 1998-06-19 | 2003-10-07 | Scimed Life Systems, Inc. | Non-circular resection device and endoscope |
US6585144B2 (en) | 1998-06-19 | 2003-07-01 | Acimed Life Systems, Inc. | Integrated surgical staple retainer for a full thickness resectioning device |
US6018227A (en) | 1998-06-22 | 2000-01-25 | Stryker Corporation | Battery charger especially useful with sterilizable, rechargeable battery packs |
US6066132A (en) | 1998-06-30 | 2000-05-23 | Ethicon, Inc. | Articulating endometrial ablation device |
US6228098B1 (en) | 1998-07-10 | 2001-05-08 | General Surgical Innovations, Inc. | Apparatus and method for surgical fastening |
US6352503B1 (en) | 1998-07-17 | 2002-03-05 | Olympus Optical Co., Ltd. | Endoscopic surgery apparatus |
JP3806518B2 (ja) | 1998-07-17 | 2006-08-09 | オリンパス株式会社 | 内視鏡治療装置 |
US6818018B1 (en) | 1998-08-14 | 2004-11-16 | Incept Llc | In situ polymerizable hydrogels |
DE19836950B4 (de) | 1998-08-17 | 2004-09-02 | Deutsches Zentrum für Luft- und Raumfahrt e.V. | Chirurgisches Instrument in Form eines Nahtklammergerätes |
US6554798B1 (en) | 1998-08-18 | 2003-04-29 | Medtronic Minimed, Inc. | External infusion device with remote programming, bolus estimator and/or vibration alarm capabilities |
US6131790A (en) | 1998-09-02 | 2000-10-17 | Piraka; Hadi A. | Surgical stapler and cartridge |
FR2783429B1 (fr) | 1998-09-18 | 2002-04-12 | Imedex Biomateriaux | Materiau collagenique bicomposite,son procede d'obtention et ses applications therapeutiques |
JP3766552B2 (ja) | 1998-10-01 | 2006-04-12 | 富士写真フイルム株式会社 | データ写し込み装置付きレンズ付きフイルムユニット |
ES2251260T3 (es) | 1998-10-23 | 2006-04-16 | Sherwood Services Ag | Forceps de obturacion de vasos abiertos con miembro de tope. |
EP1123051A4 (en) | 1998-10-23 | 2003-01-02 | Applied Med Resources | SURGICAL PLIERS WITH INSERTS AND METHOD FOR USE |
US5951574A (en) | 1998-10-23 | 1999-09-14 | Ethicon Endo-Surgery, Inc. | Multiple clip applier having a split feeding mechanism |
ES2241369T3 (es) | 1998-10-23 | 2005-10-16 | Sherwood Services Ag | Forceps bipolar electroquirurgico endoscopico. |
US6270508B1 (en) | 1998-10-26 | 2001-08-07 | Charles H. Klieman | End effector and instrument for endoscopic and general surgery needle control |
DE19851291A1 (de) | 1998-11-06 | 2000-01-05 | Siemens Ag | Operationsarbeitsplatztaugliches Dateneingabegerät |
US6459926B1 (en) | 1998-11-20 | 2002-10-01 | Intuitive Surgical, Inc. | Repositioning and reorientation of master/slave relationship in minimally invasive telesurgery |
US6102271A (en) | 1998-11-23 | 2000-08-15 | Ethicon Endo-Surgery, Inc. | Circular stapler for hemorrhoidal surgery |
US6200330B1 (en) | 1998-11-23 | 2001-03-13 | Theodore V. Benderev | Systems for securing sutures, grafts and soft tissue to bone and periosteum |
JP2000171730A (ja) | 1998-12-08 | 2000-06-23 | Olympus Optical Co Ltd | バッテリ式携帯内視鏡装置 |
JP4233656B2 (ja) | 1998-12-11 | 2009-03-04 | ジョンソン・エンド・ジョンソン株式会社 | 自動吻合器及び該吻合器に装着可能な案内バルーン |
US6828902B2 (en) | 1998-12-14 | 2004-12-07 | Soundcraft, Inc. | Wireless data input to RFID reader |
US6126670A (en) | 1998-12-16 | 2000-10-03 | Medtronic, Inc. | Cordless surgical handpiece with disposable battery; and method |
DE19858512C1 (de) | 1998-12-18 | 2000-05-25 | Storz Karl Gmbh & Co Kg | Bipolares medizinisches Instrument |
US20040030333A1 (en) | 1999-01-15 | 2004-02-12 | Gyrus Medical Ltd. | Electrosurgical system and method |
US7001380B2 (en) | 1999-01-15 | 2006-02-21 | Gyrus Medical Limited | Electrosurgical system and method |
US6554861B2 (en) | 1999-01-19 | 2003-04-29 | Gyrus Ent L.L.C. | Otologic prosthesis |
US6394998B1 (en) | 1999-01-22 | 2002-05-28 | Intuitive Surgical, Inc. | Surgical tools for use in minimally invasive telesurgical applications |
US8529588B2 (en) | 1999-01-25 | 2013-09-10 | Applied Medical Resources Corporation | Multiple clip applier apparatus and method |
DE19905085A1 (de) | 1999-01-29 | 2000-08-03 | Black & Decker Inc N D Ges D S | Batteriegetriebenes, handgeführtes Elektrowerkzeug |
US6387113B1 (en) | 1999-02-02 | 2002-05-14 | Biomet, Inc. | Method and apparatus for repairing a torn meniscus |
US6174309B1 (en) | 1999-02-11 | 2001-01-16 | Medical Scientific, Inc. | Seal & cut electrosurgical instrument |
DE19906191A1 (de) | 1999-02-15 | 2000-08-17 | Ingo F Herrmann | Endoskop |
US6295888B1 (en) | 1999-02-16 | 2001-10-02 | Shimano Inc. | Gear indicator for a bicycle |
US6083242A (en) | 1999-02-17 | 2000-07-04 | Holobeam, Inc. | Surgical staples with deformation zones of non-uniform cross section |
US6065919A (en) | 1999-02-18 | 2000-05-23 | Peck; Philip D. | Self-tapping screw with an improved thread design |
US6806808B1 (en) | 1999-02-26 | 2004-10-19 | Sri International | Wireless event-recording device with identification codes |
GB9905211D0 (en) | 1999-03-05 | 1999-04-28 | Gyrus Medical Ltd | Electrosurgery system and instrument |
US20020022836A1 (en) | 1999-03-05 | 2002-02-21 | Gyrus Medical Limited | Electrosurgery system |
GB9905210D0 (en) | 1999-03-05 | 1999-04-28 | Gyrus Medical Ltd | Electrosurgical system |
GB9905209D0 (en) | 1999-03-05 | 1999-04-28 | Gyrus Medical Ltd | Electrosurgery system |
US6398781B1 (en) | 1999-03-05 | 2002-06-04 | Gyrus Medical Limited | Electrosurgery system |
US6666875B1 (en) | 1999-03-05 | 2003-12-23 | Olympus Optical Co., Ltd. | Surgical apparatus permitting recharge of battery-driven surgical instrument in noncontact state |
US6582427B1 (en) | 1999-03-05 | 2003-06-24 | Gyrus Medical Limited | Electrosurgery system |
US6190386B1 (en) | 1999-03-09 | 2001-02-20 | Everest Medical Corporation | Electrosurgical forceps with needle electrodes |
US6159146A (en) | 1999-03-12 | 2000-12-12 | El Gazayerli; Mohamed Mounir | Method and apparatus for minimally-invasive fundoplication |
US6179776B1 (en) | 1999-03-12 | 2001-01-30 | Scimed Life Systems, Inc. | Controllable endoscopic sheath apparatus and related method of use |
DE19912038C1 (de) | 1999-03-17 | 2001-01-25 | Storz Karl Gmbh & Co Kg | Handgriff für ein medizinisches Instrument |
WO2000057796A1 (en) | 1999-03-31 | 2000-10-05 | Rosenblatt Peter L | Systems and methods for soft tissue reconstruction |
US6416486B1 (en) | 1999-03-31 | 2002-07-09 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical device having an embedding surface and a coagulating surface |
JP2000287987A (ja) | 1999-04-01 | 2000-10-17 | Olympus Optical Co Ltd | 充電式医療装置 |
US6228084B1 (en) | 1999-04-06 | 2001-05-08 | Kirwan Surgical Products, Inc. | Electro-surgical forceps having recessed irrigation channel |
US6182673B1 (en) | 1999-04-12 | 2001-02-06 | Mike Kindermann Marketing/Vertriebs Gmbh | Dump facility for cassette sewage tanks |
US6308089B1 (en) | 1999-04-14 | 2001-10-23 | O.B. Scientific, Inc. | Limited use medical probe |
US6689153B1 (en) | 1999-04-16 | 2004-02-10 | Orthopaedic Biosystems Ltd, Inc. | Methods and apparatus for a coated anchoring device and/or suture |
US6248117B1 (en) | 1999-04-16 | 2001-06-19 | Vital Access Corp | Anastomosis apparatus for use in intraluminally directed vascular anastomosis |
US6325805B1 (en) | 1999-04-23 | 2001-12-04 | Sdgi Holdings, Inc. | Shape memory alloy staple |
US6181105B1 (en) | 1999-04-26 | 2001-01-30 | Exonix Corporation | Self contained transportable power source maintenance and charge |
US6383201B1 (en) | 1999-05-14 | 2002-05-07 | Tennison S. Dong | Surgical prosthesis for repairing a hernia |
JP4503725B2 (ja) | 1999-05-17 | 2010-07-14 | オリンパス株式会社 | 内視鏡治療装置 |
US6921412B1 (en) | 1999-05-18 | 2005-07-26 | Cryolife, Inc. | Self-supporting, shaped, three-dimensional biopolymeric materials and methods |
GB9911956D0 (en) | 1999-05-21 | 1999-07-21 | Gyrus Medical Ltd | Electrosurgery system and method |
US6547786B1 (en) | 1999-05-21 | 2003-04-15 | Gyrus Medical | Electrosurgery system and instrument |
GB9911954D0 (en) | 1999-05-21 | 1999-07-21 | Gyrus Medical Ltd | Electrosurgery system and instrument |
US6454781B1 (en) | 1999-05-26 | 2002-09-24 | Ethicon Endo-Surgery, Inc. | Feedback control in an ultrasonic surgical instrument for improved tissue effects |
DE19924311A1 (de) | 1999-05-27 | 2000-11-30 | Walter A Rau | Klammerschneidegerät und Zusatzvorrichtung für ein solches |
GB9912625D0 (en) | 1999-05-28 | 1999-07-28 | Gyrus Medical Ltd | An electrosurgical generator and system |
GB9912627D0 (en) | 1999-05-28 | 1999-07-28 | Gyrus Medical Ltd | An electrosurgical instrument |
US6409724B1 (en) | 1999-05-28 | 2002-06-25 | Gyrus Medical Limited | Electrosurgical 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 |
US7032798B2 (en) | 1999-06-02 | 2006-04-25 | Power Medical Interventions, Inc. | Electro-mechanical surgical device |
US8241322B2 (en) | 2005-07-27 | 2012-08-14 | Tyco Healthcare Group Lp | Surgical device |
US6491201B1 (en) | 2000-02-22 | 2002-12-10 | Power Medical Interventions, Inc. | Fluid delivery mechanism for use with anastomosing, stapling, and resecting instruments |
US6793652B1 (en) | 1999-06-02 | 2004-09-21 | Power Medical Interventions, Inc. | Electro-mechanical surgical device |
US8025199B2 (en) | 2004-02-23 | 2011-09-27 | Tyco Healthcare Group Lp | Surgical cutting and stapling device |
US6264087B1 (en) | 1999-07-12 | 2001-07-24 | Powermed, Inc. | Expanding parallel jaw device for use with an electromechanical driver device |
US6517565B1 (en) | 1999-06-02 | 2003-02-11 | Power Medical Interventions, Inc. | Carriage assembly for controlling a steering wire steering mechanism within a flexible shaft |
US7951071B2 (en) | 1999-06-02 | 2011-05-31 | Tyco Healthcare Group Lp | Moisture-detecting shaft for use with an electro-mechanical surgical device |
US6981941B2 (en) | 1999-06-02 | 2006-01-03 | Power Medical Interventions | Electro-mechanical surgical device |
US6716233B1 (en) | 1999-06-02 | 2004-04-06 | Power Medical Interventions, Inc. | Electromechanical driver and remote surgical instrument attachment having computer assisted control capabilities |
US6443973B1 (en) | 1999-06-02 | 2002-09-03 | Power Medical Interventions, Inc. | Electromechanical driver device for use with anastomosing, stapling, and resecting instruments |
US7695485B2 (en) | 2001-11-30 | 2010-04-13 | Power Medical Interventions, Llc | Surgical device |
US7751870B2 (en) | 2002-01-30 | 2010-07-06 | Power Medical Interventions, Llc | Surgical imaging device |
US6223833B1 (en) | 1999-06-03 | 2001-05-01 | One World Technologies, Inc. | Spindle lock and chipping mechanism for hammer drill |
GB9913652D0 (en) | 1999-06-11 | 1999-08-11 | Gyrus Medical Ltd | An electrosurgical generator |
FR2795301B1 (fr) | 1999-06-25 | 2001-08-31 | Prec | Instrument de chirurgie endoscopique |
US7637905B2 (en) | 2003-01-15 | 2009-12-29 | Usgi Medical, Inc. | Endoluminal tool deployment system |
US6257351B1 (en) | 1999-06-29 | 2001-07-10 | Microaire Surgical Instruments, Inc. | Powered surgical instrument having locking systems and a clutch mechanism |
US6333029B1 (en) | 1999-06-30 | 2001-12-25 | Ethicon, Inc. | Porous tissue scaffoldings for the repair of regeneration of tissue |
US6325810B1 (en) | 1999-06-30 | 2001-12-04 | Ethicon, Inc. | Foam buttress for stapling apparatus |
US6488196B1 (en) | 1999-06-30 | 2002-12-03 | Axya Medical, Inc. | Surgical stapler and method of applying plastic staples to body tissue |
JP2001017386A (ja) * | 1999-07-07 | 2001-01-23 | Olympus Optical Co Ltd | 医療用処置具 |
US6117158A (en) | 1999-07-07 | 2000-09-12 | Ethicon Endo-Surgery, Inc. | Ratchet release mechanism for hand held instruments |
JP3293802B2 (ja) | 1999-07-07 | 2002-06-17 | エスエムシー株式会社 | 位置検出機能付きチャック |
US6168605B1 (en) | 1999-07-08 | 2001-01-02 | Ethicon Endo-Surgery, Inc. | Curved laparoscopic scissor having arcs of curvature |
JP2001035827A (ja) | 1999-07-16 | 2001-02-09 | Memc Kk | 高濃度オゾン水、同オゾン水の調製方法、および同オゾン水を使用した洗浄方法 |
US6436110B2 (en) | 1999-07-23 | 2002-08-20 | Ethicon, Inc. | Method of securing a graft using a graft fixation device |
US6402766B2 (en) | 1999-07-23 | 2002-06-11 | Ethicon, Inc. | Graft fixation device combination |
US7682368B1 (en) | 1999-07-28 | 2010-03-23 | Cardica, Inc. | Anastomosis tool actuated with stored energy |
US7766924B1 (en) | 1999-07-28 | 2010-08-03 | Cardica, Inc. | System for performing anastomosis |
US7063712B2 (en) | 2001-04-27 | 2006-06-20 | Cardica, Inc. | Anastomosis method |
US7285131B1 (en) | 1999-07-28 | 2007-10-23 | Cardica, Inc. | System for performing anastomosis |
US20050154406A1 (en) | 1999-07-28 | 2005-07-14 | Cardica, Inc. | Method for anastomosing vessels |
US6391038B2 (en) | 1999-07-28 | 2002-05-21 | Cardica, Inc. | Anastomosis system and method for controlling a tissue site |
DE19935904C1 (de) | 1999-07-30 | 2001-07-12 | Karlsruhe Forschzent | Applikatorspitze eines chirurgischen Applikators zum Setzen von Clips/Klammern für die Verbindung von Gewebe |
AU6517900A (en) | 1999-08-03 | 2001-02-19 | Smith & Nephew, Inc. | Controlled release implantable devices |
IT1307263B1 (it) | 1999-08-05 | 2001-10-30 | Sorin Biomedica Cardio Spa | Stent per angioplastica con azione antagonista della restenosi,relativo corredo e componenti. |
AU6519100A (en) | 1999-08-05 | 2001-03-05 | Biocardia, Inc. | A system and method for delivering thermally sensitive and reverse-thermal gelation matrials |
EP1206254A1 (en) | 1999-08-06 | 2002-05-22 | The Board Of Regents, The University Of Texas System | Drug releasing biodegradable fiber implant |
EP1235522B1 (de) | 1999-09-09 | 2007-05-30 | Tuebingen Scientific Medical GmbH | Chirurgisches instrument für minimal invasive eingriffe |
US7267679B2 (en) | 1999-09-13 | 2007-09-11 | Rex Medical, L.P | Vascular hole closure device |
US7662161B2 (en) | 1999-09-13 | 2010-02-16 | Rex Medical, L.P | Vascular hole closure device |
US6636412B2 (en) | 1999-09-17 | 2003-10-21 | Taser International, Inc. | Hand-held stun gun for incapacitating a human target |
US7075770B1 (en) | 1999-09-17 | 2006-07-11 | Taser International, Inc. | Less lethal weapons and methods for halting locomotion |
JP2001087272A (ja) | 1999-09-24 | 2001-04-03 | Motoko Iwabuchi | 生体組織切除用自動縫合器 |
US6358224B1 (en) | 1999-09-24 | 2002-03-19 | Tyco Healthcare Group Lp | Irrigation system for endoscopic surgery |
CA2322061A1 (en) | 1999-10-05 | 2001-04-05 | Anil K. Nalagatla | Stapling instrument having two staple forming surfaces |
US7887535B2 (en) | 1999-10-18 | 2011-02-15 | Covidien Ag | Vessel sealing wave jaw |
US6320123B1 (en) | 1999-10-20 | 2001-11-20 | Steven S. Reimers | System and method for shielding electrical components from electromagnetic waves |
US6780151B2 (en) | 1999-10-26 | 2004-08-24 | Acmi Corporation | Flexible ureteropyeloscope |
US6749560B1 (en) | 1999-10-26 | 2004-06-15 | Circon Corporation | Endoscope shaft with slotted tube |
EP1095627A1 (en) | 1999-10-27 | 2001-05-02 | Everest Medical Corporation | Electrosurgical probe for surface treatment |
DE19951940C2 (de) | 1999-10-28 | 2001-11-29 | Karlsruhe Forschzent | Endoskopisch einsetzbares Klammernahtgerät |
DE19954497C1 (de) | 1999-11-11 | 2001-04-19 | Norbert Lemke | Vorrichtung zum Ansteuern eines elektrischen Gerätes für den Einsatz im Sterilbereich bei medizinischen Operationen |
US6666846B1 (en) | 1999-11-12 | 2003-12-23 | Edwards Lifesciences Corporation | Medical device introducer and obturator and methods of use |
GB9927338D0 (en) | 1999-11-18 | 2000-01-12 | Gyrus Medical Ltd | Electrosurgical system |
US6324339B1 (en) | 1999-11-29 | 2001-11-27 | Eveready Battery Company, Inc. | Battery pack including input and output waveform modification capability |
US6494896B1 (en) | 1999-11-30 | 2002-12-17 | Closure Medical Corporation | Applicator for laparoscopic or endoscopic surgery |
US6184655B1 (en) | 1999-12-10 | 2001-02-06 | Stryker Corporation | Battery charging system with internal power manager |
US6352532B1 (en) | 1999-12-14 | 2002-03-05 | Ethicon Endo-Surgery, Inc. | Active load control of ultrasonic surgical instruments |
US6736825B2 (en) | 1999-12-14 | 2004-05-18 | Integrated Vascular Interventional Technologies, L C (Ivit Lc) | Paired expandable anastomosis devices and related methods |
TW429637B (en) | 1999-12-17 | 2001-04-11 | Synergy Scientech Corp | Electrical energy storage device |
US6428487B1 (en) | 1999-12-17 | 2002-08-06 | Ethicon Endo-Surgery, Inc. | Surgical biopsy system with remote control for selecting an operational mode |
US6197042B1 (en) | 2000-01-05 | 2001-03-06 | Medical Technology Group, Inc. | Vascular sheath with puncture site closure apparatus and methods of use |
RU2181566C2 (ru) | 2000-01-10 | 2002-04-27 | Дубровский Аркадий Вениаминович | Управляемый поворотный механизм |
AU2001229321A1 (en) | 2000-01-20 | 2001-07-31 | Bioaccess, Inc. | A method and apparatus for introducing a non-sterile component into a sterile device |
US6193129B1 (en) | 2000-01-24 | 2001-02-27 | Ethicon Endo-Surgery, Inc. | Cutting blade for a surgical anastomosis stapling instrument |
HU225908B1 (en) | 2000-01-24 | 2007-12-28 | Ethicon Endo Surgery Europe | Surgical circular stapling head |
US6429611B1 (en) | 2000-01-28 | 2002-08-06 | Hui Li | Rotary and linear motor |
DE10004264C2 (de) | 2000-02-01 | 2002-06-13 | Storz Karl Gmbh & Co Kg | Vorrichtung zur intrakorporalen, minimal-invasiven Behandlung eines Patienten |
GB0002849D0 (en) | 2000-02-08 | 2000-03-29 | Gyrus Medical Ltd | An electrosurgical instrument and an electosurgery system including such an instrument |
US6758846B2 (en) | 2000-02-08 | 2004-07-06 | Gyrus Medical Limited | Electrosurgical instrument and an electrosurgery system including such an instrument |
US20040068307A1 (en) | 2000-02-08 | 2004-04-08 | Gyrus Medical Limited | Surgical instrument |
GB0223348D0 (en) | 2002-10-08 | 2002-11-13 | Gyrus Medical Ltd | A surgical instrument |
US20040181219A1 (en) | 2000-02-08 | 2004-09-16 | Gyrus Medical Limited | Electrosurgical instrument and an electrosugery system including such an instrument |
US7963964B2 (en) | 2000-02-10 | 2011-06-21 | Santilli Albert N | Surgical clamp assembly with electrodes |
US6911033B2 (en) | 2001-08-21 | 2005-06-28 | Microline Pentax Inc. | Medical clip applying device |
US6589164B1 (en) | 2000-02-15 | 2003-07-08 | Transvascular, Inc. | Sterility barriers for insertion of non-sterile apparatus into catheters or other medical devices |
US6306149B1 (en) | 2000-02-15 | 2001-10-23 | Microline, Inc. | Medical clip device with cyclical pusher mechanism |
US6569171B2 (en) | 2001-02-28 | 2003-05-27 | Microline, Inc. | Safety locking mechanism for a medical clip device |
DE10007919C2 (de) | 2000-02-21 | 2003-07-17 | Wolf Gmbh Richard | Zange zum Freipräparieren von Gewebe in einer Körperhöhle |
ATE522179T1 (de) | 2000-02-22 | 2011-09-15 | Tyco Healthcare | Elektromechanische antriebsvorrichtung und ferngesteuerter chirurgischer gerätevorsatz mit computergestützten steuerungmöglichkeiten |
US6533157B1 (en) | 2000-02-22 | 2003-03-18 | Power Medical Interventions, Inc. | Tissue stapling attachment for use with an electromechanical driver device |
US7335199B2 (en) | 2000-02-22 | 2008-02-26 | Rhytec Limited | Tissue resurfacing |
US6723091B2 (en) | 2000-02-22 | 2004-04-20 | Gyrus Medical Limited | Tissue resurfacing |
US8016855B2 (en) | 2002-01-08 | 2011-09-13 | Tyco Healthcare Group Lp | Surgical device |
US7770773B2 (en) | 2005-07-27 | 2010-08-10 | Power Medical Interventions, Llc | Surgical device |
US6629974B2 (en) | 2000-02-22 | 2003-10-07 | Gyrus Medical Limited | Tissue treatment method |
US6488197B1 (en) | 2000-02-22 | 2002-12-03 | Power Medical Interventions, Inc. | Fluid delivery device for use with anastomosing resecting and stapling instruments |
GB0004179D0 (en) | 2000-02-22 | 2000-04-12 | Gyrus Medical Ltd | Tissue resurfacing |
WO2001062173A2 (en) | 2000-02-25 | 2001-08-30 | The Board Of Trustees Of The Leland Stanford Junior University | Methods and apparatuses for maintaining a trajectory in sterotaxi for tracking a target inside a body |
US6273897B1 (en) | 2000-02-29 | 2001-08-14 | Ethicon, Inc. | Surgical bettress and surgical stapling apparatus |
EP1416861B1 (en) | 2000-03-06 | 2008-12-03 | Tyco Healthcare Group Lp | Apparatus for performing a bypass procedure in a digestive system |
IL139788A (en) | 2000-11-20 | 2006-10-05 | Minelu Zonnenschein | Stapler for endoscopes |
US6510854B2 (en) | 2000-03-16 | 2003-01-28 | Gyrus Medical Limited | Method of treatment of prostatic adenoma |
JP4477280B2 (ja) | 2000-03-16 | 2010-06-09 | メディガス リミテッド | 胃底皺壁形成装置 |
US6984203B2 (en) | 2000-04-03 | 2006-01-10 | Neoguide Systems, Inc. | Endoscope with adjacently positioned guiding apparatus |
EP1662972A4 (en) | 2000-04-03 | 2010-08-25 | Intuitive Surgical Inc | ACTIVATED POLYMER GENTLE INSTRUMENTS AND INTRODUCTION METHOD |
US6837846B2 (en) | 2000-04-03 | 2005-01-04 | Neo Guide Systems, Inc. | Endoscope having a guide tube |
US6858005B2 (en) | 2000-04-03 | 2005-02-22 | Neo Guide Systems, Inc. | Tendon-driven endoscope and methods of insertion |
US6517528B1 (en) | 2000-04-13 | 2003-02-11 | Scimed Life Systems, Inc. | Magnetic catheter drive shaft clutch |
RU2187249C2 (ru) | 2000-04-27 | 2002-08-20 | Общество с ограниченной ответственностью "ЭНДОМЕДИУМ+" | Хирургический инструмент |
EP1278471B1 (en) | 2000-04-27 | 2005-06-15 | Medtronic, Inc. | Vibration sensitive ablation apparatus |
US6387114B2 (en) | 2000-04-28 | 2002-05-14 | Scimed Life Systems, Inc. | Gastrointestinal compression clips |
US6305891B1 (en) | 2000-05-15 | 2001-10-23 | Mark S. Burlingame | Fastening device and a spacer, and a method of using the same |
US6485503B2 (en) | 2000-05-19 | 2002-11-26 | Coapt Systems, Inc. | Multi-point tissue tension distribution device, a brow and face lift variation, and a method of tissue approximation using the device |
US7510566B2 (en) | 2000-05-19 | 2009-03-31 | Coapt Systems, Inc. | Multi-point tissue tension distribution device and method, a chin lift variation |
US6419695B1 (en) | 2000-05-22 | 2002-07-16 | Shlomo Gabbay | Cardiac prosthesis for helping improve operation of a heart valve |
US6805273B2 (en) | 2002-11-04 | 2004-10-19 | Federico Bilotti | Surgical stapling instrument |
DE10026683C2 (de) | 2000-05-30 | 2003-07-10 | Ethicon Endo Surgery Europe | Chirurgisches Klammersetzgerät |
US6602262B2 (en) | 2000-06-02 | 2003-08-05 | Scimed Life Systems, Inc. | Medical device having linear to rotation control |
US6492785B1 (en) | 2000-06-27 | 2002-12-10 | Deere & Company | Variable current limit control for vehicle electric drive system |
DE10031436A1 (de) | 2000-06-28 | 2002-01-10 | Alexander Von Fuchs | Gleitschutz für einen Gehäusekopf medizinischer Instrumente |
US6863694B1 (en) | 2000-07-03 | 2005-03-08 | Osteotech, Inc. | Osteogenic implants derived from bone |
JP2004504095A (ja) | 2000-07-20 | 2004-02-12 | ティヴァ メディカル インコーポレイテッド | 手作動で関節運動する外科器具 |
AU2002224520A1 (en) | 2000-07-21 | 2002-02-05 | Atropos Limited | A cannula |
US6494882B1 (en) | 2000-07-25 | 2002-12-17 | Verimetra, Inc. | Cutting instrument having integrated sensors |
US8366787B2 (en) | 2000-08-04 | 2013-02-05 | Depuy Products, Inc. | Hybrid biologic-synthetic bioabsorbable scaffolds |
JP2002051974A (ja) | 2000-08-14 | 2002-02-19 | Fuji Photo Optical Co Ltd | 内視鏡処置具 |
AU2001288462A1 (en) | 2000-08-30 | 2002-03-13 | Cerebral Vascular Applications Inc. | Medical instrument |
US6767356B2 (en) | 2000-09-01 | 2004-07-27 | Angiolink Corporation | Advanced wound site management systems and methods |
US20040093024A1 (en) | 2000-09-01 | 2004-05-13 | James Lousararian | Advanced wound site management systems and methods |
GB0021799D0 (en) | 2000-09-05 | 2000-10-18 | Gyrus Medical Ltd | Electrosurgery system |
JP2002078674A (ja) | 2000-09-08 | 2002-03-19 | Fuji Photo Optical Co Ltd | 内視鏡の湾曲部構造 |
CA2421856A1 (en) | 2000-09-08 | 2002-03-14 | James E. Coleman | Surgical staple |
US6712773B1 (en) | 2000-09-11 | 2004-03-30 | Tyco Healthcare Group Lp | Biopsy system |
WO2002026143A1 (en) | 2000-09-27 | 2002-04-04 | Applied Medical Resources | Surgical apparatus with detachable handle assembly |
JP4014792B2 (ja) | 2000-09-29 | 2007-11-28 | 株式会社東芝 | マニピュレータ |
AU2000274011A1 (en) | 2000-10-04 | 2002-04-15 | Synthes Ag, Chur | Device for supplying an electro-pen with electrical energy |
US6817508B1 (en) | 2000-10-13 | 2004-11-16 | Tyco Healthcare Group, Lp | Surgical stapling device |
EP1324708B1 (en) | 2000-10-13 | 2008-09-24 | Tyco Healthcare Group Lp | Surgical fastener applying apparatus |
US7334717B2 (en) | 2001-10-05 | 2008-02-26 | Tyco Healthcare Group Lp | Surgical fastener applying apparatus |
WO2003079909A2 (en) | 2002-03-19 | 2003-10-02 | Tyco Healthcare Group, Lp | Surgical fastener applying apparatus |
US7407076B2 (en) | 2000-10-13 | 2008-08-05 | Tyco Healthcare Group Lp | Surgical stapling device |
US6551333B2 (en) | 2000-10-19 | 2003-04-22 | Ethicon Endo-Surgery, Inc. | Method for attaching hernia mesh |
US6773438B1 (en) | 2000-10-19 | 2004-08-10 | Ethicon Endo-Surgery | Surgical instrument having a rotary lockout mechanism |
US7273483B2 (en) | 2000-10-20 | 2007-09-25 | Ethicon Endo-Surgery, Inc. | Apparatus and method for alerting generator functions in an ultrasonic surgical system |
US6908472B2 (en) | 2000-10-20 | 2005-06-21 | Ethicon Endo-Surgery, Inc. | Apparatus and method for altering generator functions in an ultrasonic surgical system |
US20040267310A1 (en) | 2000-10-20 | 2004-12-30 | Racenet David C | Directionally biased staple and anvil assembly for forming the staple |
US6945981B2 (en) | 2000-10-20 | 2005-09-20 | Ethicon-Endo Surgery, Inc. | Finger operated switch for controlling a surgical handpiece |
WO2002034122A2 (en) | 2000-10-20 | 2002-05-02 | Onux Medical, Inc. | Surgical suturing instrument and method of use |
US6913608B2 (en) | 2000-10-23 | 2005-07-05 | Viacor, Inc. | Automated annular plication for mitral valve repair |
US6656177B2 (en) | 2000-10-23 | 2003-12-02 | Csaba Truckai | Electrosurgical systems and techniques for sealing tissue |
US6500176B1 (en) | 2000-10-23 | 2002-12-31 | Csaba Truckai | Electrosurgical systems and techniques for sealing tissue |
US6793661B2 (en) | 2000-10-30 | 2004-09-21 | Vision Sciences, Inc. | Endoscopic sheath assemblies having longitudinal expansion inhibiting mechanisms |
US6843789B2 (en) | 2000-10-31 | 2005-01-18 | Gyrus Medical Limited | Electrosurgical system |
FR2815842B1 (fr) | 2000-10-31 | 2003-05-09 | Assist Publ Hopitaux De Paris | Pince-agrafeuse mecanique pour chirurgie du rectum |
US6893435B2 (en) | 2000-10-31 | 2005-05-17 | Gyrus Medical Limited | Electrosurgical system |
US20030139741A1 (en) | 2000-10-31 | 2003-07-24 | Gyrus Medical Limited | Surgical instrument |
GB0026586D0 (en) | 2000-10-31 | 2000-12-13 | Gyrus Medical Ltd | An electrosurgical system |
JP2002143078A (ja) | 2000-11-08 | 2002-05-21 | Olympus Optical Co Ltd | 内視鏡用外付チューブ |
US8286845B2 (en) | 2000-11-27 | 2012-10-16 | Boston Scientific Scimed, Inc. | Full thickness resection device control handle |
JP2002159500A (ja) | 2000-11-28 | 2002-06-04 | Koseki Ika Kk | 靭帯固定システム |
US7081114B2 (en) | 2000-11-29 | 2006-07-25 | St. Jude Medical, Atrial Fibrillation Division, Inc. | Electrophysiology/ablation catheter having lariat configuration of variable radius |
JP2002170622A (ja) | 2000-11-30 | 2002-06-14 | Sumitomo Wiring Syst Ltd | コネクタ |
US6398795B1 (en) | 2000-11-30 | 2002-06-04 | Scimed Life Systems, Inc. | Stapling and cutting in resectioning for full thickness resection devices |
US6439446B1 (en) | 2000-12-01 | 2002-08-27 | Stephen J. Perry | Safety lockout for actuator shaft |
US6569085B2 (en) | 2001-08-16 | 2003-05-27 | Syntheon, Llc | Methods and apparatus for delivering a medical instrument over an endoscope while the endoscope is in a body lumen |
WO2002056800A2 (en) | 2000-12-08 | 2002-07-25 | Osteotech, Inc. | Implant for orthopedic applications |
US6406440B1 (en) | 2000-12-21 | 2002-06-18 | Ethicon Endo-Surgery, Inc. | Specimen retrieval bag |
US6503259B2 (en) | 2000-12-27 | 2003-01-07 | Ethicon, Inc. | Expandable anastomotic device |
US6840938B1 (en) | 2000-12-29 | 2005-01-11 | Intuitive Surgical, Inc. | Bipolar cauterizing instrument |
US7041868B2 (en) | 2000-12-29 | 2006-05-09 | Kimberly-Clark Worldwide, Inc. | Bioabsorbable wound dressing |
US6482200B2 (en) | 2001-01-03 | 2002-11-19 | Ronald D. Shippert | Cautery apparatus and method |
DE60218814T2 (de) | 2001-01-03 | 2007-12-06 | Santa Fe Science and Technology, Inc., Santa Fe | Stabile, konjugiertes polymer enthaltende elektrochrome vorrichtungen mit ionischen flüssigkeiten |
US20020133131A1 (en) | 2001-01-09 | 2002-09-19 | Krishnakumar Rangachari | Absorbent material incorporating synthetic fibers and process for making the material |
AU2002225304A1 (en) | 2001-01-11 | 2002-07-24 | Given Imaging Ltd. | Device and system for in-vivo procedures |
US6439439B1 (en) | 2001-01-12 | 2002-08-27 | Telios Orthopedic Systems, Inc. | Bone cement delivery apparatus and hand-held fluent material dispensing apparatus |
CA2435209C (en) | 2001-01-24 | 2009-08-25 | Tyco Healthcare Group Lp | Anastomosis instrument and method for performing same |
US6626834B2 (en) | 2001-01-25 | 2003-09-30 | Shane Dunne | Spiral scanner with electronic control |
US20020134811A1 (en) | 2001-01-29 | 2002-09-26 | Senco Products, Inc. | Multi-mode power tool utilizing attachment |
US6835199B2 (en) | 2001-01-31 | 2004-12-28 | Rex Medical, L.P. | Apparatus and method for resectioning gastro-esophageal tissue |
US20020103494A1 (en) | 2001-01-31 | 2002-08-01 | Pacey John Allen | Percutaneous cannula delvery system for hernia patch |
US8313496B2 (en) | 2001-02-02 | 2012-11-20 | Lsi Solutions, Inc. | System for endoscopic suturing |
US6997931B2 (en) | 2001-02-02 | 2006-02-14 | Lsi Solutions, Inc. | System for endoscopic suturing |
JP3939158B2 (ja) | 2001-02-06 | 2007-07-04 | オリンパス株式会社 | 内視鏡装置 |
US6723109B2 (en) | 2001-02-07 | 2004-04-20 | Karl Storz Endoscopy-America, Inc. | Deployable surgical clamp with delivery/retrieval device and actuator |
US7699835B2 (en) | 2001-02-15 | 2010-04-20 | Hansen Medical, Inc. | Robotically controlled surgical instruments |
US7766894B2 (en) | 2001-02-15 | 2010-08-03 | Hansen Medical, Inc. | Coaxial catheter system |
US6533784B2 (en) | 2001-02-24 | 2003-03-18 | Csaba Truckai | Electrosurgical working end for transecting and sealing tissue |
CA2766682A1 (en) | 2001-02-27 | 2002-09-06 | Tyco Healthcare Group Lp | External mixer assembly |
US6682527B2 (en) | 2001-03-13 | 2004-01-27 | Perfect Surgical Techniques, Inc. | Method and system for heating tissue with a bipolar instrument |
US7097644B2 (en) | 2001-03-30 | 2006-08-29 | Ethicon Endo-Surgery, Inc. | Medical device with improved wall construction |
US20030181900A1 (en) | 2002-03-25 | 2003-09-25 | Long Gary L. | Endoscopic ablation system with a plurality of electrodes |
US6769590B2 (en) | 2001-04-02 | 2004-08-03 | Susan E. Vresh | Luminal anastomotic device and method |
US6605669B2 (en) | 2001-04-03 | 2003-08-12 | E. I. Du Pont De Nemours And Company | Radiation-curable coating compounds |
AU2002257122B2 (en) | 2001-04-03 | 2006-09-14 | Covidien Lp | Surgical stapling device for performing circular anastomoses |
US7473253B2 (en) | 2001-04-06 | 2009-01-06 | Covidien Ag | Vessel sealer and divider with non-conductive stop members |
US7090673B2 (en) | 2001-04-06 | 2006-08-15 | Sherwood Services Ag | Vessel sealer and divider |
US6638285B2 (en) | 2001-04-16 | 2003-10-28 | Shlomo Gabbay | Biological tissue strip and system and method to seal tissue |
US6994708B2 (en) | 2001-04-19 | 2006-02-07 | Intuitive Surgical | Robotic tool with monopolar electro-surgical scissors |
US7824401B2 (en) | 2004-10-08 | 2010-11-02 | Intuitive Surgical Operations, Inc. | Robotic tool with wristed monopolar electrosurgical end effectors |
US6783524B2 (en) | 2001-04-19 | 2004-08-31 | Intuitive Surgical, Inc. | Robotic surgical tool with ultrasound cauterizing and cutting instrument |
WO2002085254A1 (en) | 2001-04-20 | 2002-10-31 | The Research Foundation Of State University Of Newyork | Apparatus and method for fixation of vascular grafts |
AU2002254712A1 (en) | 2001-04-20 | 2002-11-05 | Power Medical Interventions, Inc. | Bipolar or ultrasonic surgical device |
EP1383504A1 (en) | 2001-04-26 | 2004-01-28 | Control Delivery Systems, Inc. | Sustained release drug delivery system containing codrugs |
US6535764B2 (en) | 2001-05-01 | 2003-03-18 | Intrapace, Inc. | Gastric treatment and diagnosis device and method |
US6913579B2 (en) | 2001-05-01 | 2005-07-05 | Surgrx, Inc. | Electrosurgical working end and method for obtaining tissue samples for biopsy |
DE10121305A1 (de) | 2001-05-02 | 2002-12-12 | Ethicon Endo Surgery Europe | Chirurgisches Instrument |
US6503257B2 (en) | 2001-05-07 | 2003-01-07 | Ethicon Endo-Surgery, Inc. | Method for releasing buttress material attached to a surgical fastening device |
US6656193B2 (en) | 2001-05-07 | 2003-12-02 | Ethicon Endo-Surgery, Inc. | Device for attachment of buttress material to a surgical fastening device |
US6827725B2 (en) | 2001-05-10 | 2004-12-07 | Gyrus Medical Limited | Surgical instrument |
US6630047B2 (en) | 2001-05-21 | 2003-10-07 | 3M Innovative Properties Company | Fluoropolymer bonding composition and method |
EP2067451B1 (de) | 2001-06-07 | 2013-11-20 | Kaltenbach & Voigt GmbH | Medizinisches oder dentalmedizinisches Instrument und/oder Versorgungsgerät und/oder Pflegegerät und/oder System für das medizinische oder dentalmedizinische Instrument |
IES20010547A2 (en) | 2001-06-07 | 2002-12-11 | Christy Cummins | Surgical Staple |
DE20121753U1 (de) | 2001-06-15 | 2003-04-17 | Bema Gmbh & Co Kg Endochirurgi | Griff für ein chirurgisches Instrument |
US20030009154A1 (en) | 2001-06-20 | 2003-01-09 | Whitman Michael P. | Method and system for integrated medical tracking |
US20050182298A1 (en) | 2002-12-06 | 2005-08-18 | Intuitive Surgical Inc. | Cardiac tissue ablation instrument with flexible wrist |
US20060178556A1 (en) | 2001-06-29 | 2006-08-10 | Intuitive Surgical, Inc. | Articulate and swapable endoscope for a surgical robot |
EP1408846B1 (en) | 2001-06-29 | 2012-03-07 | Intuitive Surgical Operations, Inc. | Platform link wrist mechanism |
US6817974B2 (en) | 2001-06-29 | 2004-11-16 | Intuitive Surgical, Inc. | Surgical tool having positively positionable tendon-actuated multi-disk wrist joint |
US20040243147A1 (en) | 2001-07-03 | 2004-12-02 | Lipow Kenneth I. | Surgical robot and robotic controller |
CN2488482Y (zh) | 2001-07-05 | 2002-05-01 | 天津市华志计算机应用有限公司 | 机械臂的关节锁紧机构 |
ES2393918T3 (es) | 2001-07-09 | 2013-01-02 | Covidien Lp | Aplicador de clips o grapas en ángulo recto |
DE60239342D1 (de) | 2001-07-16 | 2011-04-14 | Depuy Products Inc | Gerät zur reparatur von knorpelmaterial |
DE50109817D1 (de) | 2001-07-19 | 2006-06-22 | Hilti Ag | Bolzensetzgerät mit Setztiefenregelung |
DE20112837U1 (de) | 2001-08-02 | 2001-10-04 | Aesculap Ag & Co Kg | Zangen- oder pinzettenförmiges chirurgisches Instrument |
WO2003013374A1 (en) | 2001-08-06 | 2003-02-20 | Penn State Research Foundation | Multifunctional tool and method for minimally invasive surgery |
EP1285633B1 (en) | 2001-08-07 | 2006-12-13 | Universitair Medisch Centrum Utrecht | Device for connecting a surgical instrument to a stable basis |
EP2305143B1 (en) | 2001-08-08 | 2016-11-09 | Stryker Corporation | Motorized surgical handpiece that drives a cutting accessory and that includes a coil for reading data from the accessory |
IES20010748A2 (en) | 2001-08-09 | 2003-02-19 | Christy Cummins | Surgical Stapling Device and Method |
US6592608B2 (en) | 2001-12-07 | 2003-07-15 | Biopsy Sciences, Llc | Bioabsorbable sealant |
DE10139153A1 (de) | 2001-08-09 | 2003-02-27 | Ingo F Herrmann | Einweg-Endoskopmantel |
US6705503B1 (en) | 2001-08-20 | 2004-03-16 | Tricord Solutions, Inc. | Electrical motor driven nail gun |
US6692507B2 (en) | 2001-08-23 | 2004-02-17 | Scimed Life Systems, Inc. | Impermanent biocompatible fastener |
US7563862B2 (en) | 2001-08-24 | 2009-07-21 | Neuren Pharmaceuticals Limited | Neural regeneration peptides and methods for their use in treatment of brain damage |
US7282048B2 (en) | 2001-08-27 | 2007-10-16 | Gyrus Medical Limited | Electrosurgical generator and system |
US6966907B2 (en) | 2001-08-27 | 2005-11-22 | Gyrus Medical Limited | Electrosurgical generator and system |
US7344532B2 (en) | 2001-08-27 | 2008-03-18 | Gyrus Medical Limited | Electrosurgical generator and system |
US6929641B2 (en) | 2001-08-27 | 2005-08-16 | Gyrus Medical Limited | Electrosurgical system |
WO2004078051A2 (en) | 2001-08-27 | 2004-09-16 | Gyrus Medial Limited | Electrosurgical system |
GB0425051D0 (en) | 2004-11-12 | 2004-12-15 | Gyrus Medical Ltd | Electrosurgical generator and system |
DE60239778D1 (de) | 2001-08-27 | 2011-06-01 | Gyrus Medical Ltd | Elektrochirurgische Vorrichtung |
US6808525B2 (en) | 2001-08-27 | 2004-10-26 | Gyrus Medical, Inc. | Bipolar electrosurgical hook probe for cutting and coagulating tissue |
US6629988B2 (en) | 2001-08-28 | 2003-10-07 | Ethicon, Inc. | Composite staple for completing an anastomosis |
US6755338B2 (en) | 2001-08-29 | 2004-06-29 | Cerebral Vascular Applications, Inc. | Medical instrument |
NL1018874C2 (nl) | 2001-09-03 | 2003-03-05 | Michel Petronella Hub Vleugels | Chirurgisch instrument. |
JP2003070804A (ja) | 2001-09-05 | 2003-03-11 | Olympus Optical Co Ltd | 遠隔医療支援システム |
US6747121B2 (en) | 2001-09-05 | 2004-06-08 | Synthes (Usa) | Poly(L-lactide-co-glycolide) copolymers, methods for making and using same, and devices containing same |
US6802843B2 (en) | 2001-09-13 | 2004-10-12 | Csaba Truckai | Electrosurgical working end with resistive gradient electrodes |
US6773409B2 (en) | 2001-09-19 | 2004-08-10 | Surgrx Llc | Surgical system for applying ultrasonic energy to tissue |
GB2379878B (en) | 2001-09-21 | 2004-11-10 | Gyrus Medical Ltd | Electrosurgical system and method |
DE10147145C2 (de) | 2001-09-25 | 2003-12-18 | Kunz Reiner | Multifunktionsinstrument für die mikroinvasive Chirurgie |
US6578751B2 (en) | 2001-09-26 | 2003-06-17 | Scimed Life Systems, Inc. | Method of sequentially firing staples using springs and a rotary or linear shutter |
JP3557186B2 (ja) | 2001-09-26 | 2004-08-25 | 三洋電機株式会社 | Dc−dcコンバータ |
CN100450456C (zh) | 2001-09-28 | 2009-01-14 | 锐达医疗系统公司 | 阻抗控制的组织切除仪器 |
US7108701B2 (en) | 2001-09-28 | 2006-09-19 | Ethicon, Inc. | Drug releasing anastomosis devices and methods for treating anastomotic sites |
JP2005518827A (ja) | 2001-10-05 | 2005-06-30 | サーモディクス,インコーポレイテッド | 粒子固定化コーティングおよびその使用 |
ES2763929T3 (es) | 2001-10-05 | 2020-06-01 | Covidien Lp | Dispositivo de grapado quirúrgico |
EP2550920B1 (en) | 2001-10-05 | 2015-01-28 | Covidien LP | Surgical stapling apparatus adjustment method |
US7070597B2 (en) | 2001-10-18 | 2006-07-04 | Surgrx, Inc. | Electrosurgical working end for controlled energy delivery |
US6929644B2 (en) | 2001-10-22 | 2005-08-16 | Surgrx Inc. | Electrosurgical jaw structure for controlled energy delivery |
US7464847B2 (en) | 2005-06-03 | 2008-12-16 | Tyco Healthcare Group Lp | Surgical stapler with timer and feedback display |
US7011657B2 (en) | 2001-10-22 | 2006-03-14 | Surgrx, Inc. | Jaw structure for electrosurgical instrument and method of use |
US6770072B1 (en) | 2001-10-22 | 2004-08-03 | Surgrx, Inc. | Electrosurgical jaw structure for controlled energy delivery |
US7041102B2 (en) | 2001-10-22 | 2006-05-09 | Surgrx, Inc. | Electrosurgical working end with replaceable cartridges |
US7125409B2 (en) | 2001-10-22 | 2006-10-24 | Surgrx, Inc. | Electrosurgical working end for controlled energy delivery |
US6926716B2 (en) | 2001-11-09 | 2005-08-09 | Surgrx Inc. | Electrosurgical instrument |
US7083619B2 (en) | 2001-10-22 | 2006-08-01 | Surgrx, Inc. | Electrosurgical instrument and method of use |
US6905497B2 (en) | 2001-10-22 | 2005-06-14 | Surgrx, Inc. | Jaw structure for electrosurgical instrument |
US20030216732A1 (en) | 2002-05-20 | 2003-11-20 | Csaba Truckai | Medical instrument with thermochromic or piezochromic surface indicators |
US20060020336A1 (en) | 2001-10-23 | 2006-01-26 | Liddicoat John R | Automated annular plication for mitral valve repair |
FR2831417B1 (fr) | 2001-10-30 | 2004-08-06 | Eurosurgical | Instrument chirurgical |
JP2003135473A (ja) | 2001-11-01 | 2003-05-13 | Mizuho Co Ltd | 内視鏡手術用能動鉗子 |
US6716223B2 (en) | 2001-11-09 | 2004-04-06 | Micrus Corporation | Reloadable sheath for catheter system for deploying vasoocclusive devices |
US6471106B1 (en) | 2001-11-15 | 2002-10-29 | Intellectual Property Llc | Apparatus and method for restricting the discharge of fasteners from a tool |
JP2003164066A (ja) | 2001-11-21 | 2003-06-06 | Hitachi Koki Co Ltd | 電池パック |
US6605078B2 (en) | 2001-11-26 | 2003-08-12 | Scimed Life Systems, Inc. | Full thickness resection device |
US6671185B2 (en) | 2001-11-28 | 2003-12-30 | Landon Duval | Intelligent fasteners |
DE10158246C1 (de) | 2001-11-28 | 2003-08-21 | Ethicon Endo Surgery Europe | Chirurgisches Klammersetzinstrument |
EP2116343B1 (en) | 2001-11-29 | 2010-09-01 | Max Co., Ltd. | Electric stapler |
JP4458464B2 (ja) | 2001-12-04 | 2010-04-28 | パワー メディカル インターベンションズ, エルエルシー | 外科器具を校正するためのシステムおよび方法 |
US7367939B2 (en) | 2004-06-14 | 2008-05-06 | Ethicon Endo-Surgery, Inc. | Rotational, translational and torqueing control members for an endoscopic instrument |
GB2383006A (en) | 2001-12-13 | 2003-06-18 | Black & Decker Inc | Mechanism for use in a power tool and a power tool including such a mechanism |
US6723087B2 (en) | 2001-12-14 | 2004-04-20 | Medtronic, Inc. | Apparatus and method for performing surgery on a patient |
US7122028B2 (en) | 2001-12-19 | 2006-10-17 | Allegiance Corporation | Reconfiguration surgical apparatus |
US6974462B2 (en) | 2001-12-19 | 2005-12-13 | Boston Scientific Scimed, Inc. | Surgical anchor implantation device |
US6939358B2 (en) | 2001-12-20 | 2005-09-06 | Gore Enterprise Holdings, Inc. | Apparatus and method for applying reinforcement material to a surgical stapler |
EP1465555B1 (en) | 2001-12-21 | 2015-05-06 | QuickRing Medical Technologies Ltd. | Implantation system for annuloplasty rings |
RU2225170C2 (ru) | 2001-12-25 | 2004-03-10 | Дубровский Аркадий Вениаминович | Инструмент с поворотным устройством |
GB0425842D0 (en) | 2004-11-24 | 2004-12-29 | Gyrus Group Plc | An electrosurgical instrument |
GB0130975D0 (en) | 2001-12-27 | 2002-02-13 | Gyrus Group Plc | A surgical instrument |
CN100362969C (zh) | 2001-12-27 | 2008-01-23 | 盖勒斯集团股份有限公司 | 电外科器械 |
US20060264929A1 (en) | 2001-12-27 | 2006-11-23 | Gyrus Group Plc | Surgical system |
US6942662B2 (en) | 2001-12-27 | 2005-09-13 | Gyrus Group Plc | Surgical Instrument |
US6729119B2 (en) | 2001-12-28 | 2004-05-04 | The Schnipke Family Limited Liability Company | Robotic loader for surgical stapling cartridge |
US6913594B2 (en) | 2001-12-31 | 2005-07-05 | Biosense Webster, Inc. | Dual-function catheter handle |
US6602252B2 (en) | 2002-01-03 | 2003-08-05 | Starion Instruments Corporation | Combined dissecting, cauterizing, and stapling device |
US6740030B2 (en) | 2002-01-04 | 2004-05-25 | Vision Sciences, Inc. | Endoscope assemblies having working channels with reduced bending and stretching resistance |
US7199537B2 (en) | 2002-01-16 | 2007-04-03 | Toyota Jidosha Kabushiki Kaisha | Voltage converter control apparatus, and method |
EP1471844A2 (en) | 2002-01-16 | 2004-11-03 | Eva Corporation | Catheter hand-piece apparatus and method of using the same |
US6869435B2 (en) | 2002-01-17 | 2005-03-22 | Blake, Iii John W | Repeating multi-clip applier |
US6676660B2 (en) | 2002-01-23 | 2004-01-13 | Ethicon Endo-Surgery, Inc. | Feedback light apparatus and method for use with an electrosurgical instrument |
DE10203282A1 (de) | 2002-01-29 | 2003-08-21 | Behrens Ag Friedrich Joh | Befestigungsmittel und Verfahren zu seiner Herstellung |
US7530985B2 (en) | 2002-01-30 | 2009-05-12 | Olympus Corporation | Endoscopic suturing system |
US7501198B2 (en) | 2002-02-07 | 2009-03-10 | Linvatec Corporation | Sterile transfer battery container |
WO2003068046A2 (en) | 2002-02-13 | 2003-08-21 | Applied Medical Resources Corporation | Tissue fusion/welder apparatus corporation |
US7494499B2 (en) | 2002-02-15 | 2009-02-24 | Olympus Corporation | Surgical therapeutic instrument |
CN101898004A (zh) | 2002-02-20 | 2010-12-01 | 21世纪国际新技术株式会社 | 施用药物的装置 |
US6646307B1 (en) | 2002-02-21 | 2003-11-11 | Advanced Micro Devices, Inc. | MOSFET having a double gate |
GB0206208D0 (en) | 2002-03-15 | 2002-05-01 | Gyrus Medical Ltd | A surgical instrument |
USD478665S1 (en) | 2002-03-22 | 2003-08-19 | Gyrus Ent L.L.C. | Disposable trigger |
USD484243S1 (en) | 2002-03-22 | 2003-12-23 | Gyrus Ent L.L.C. | Surgical tool blade holder |
USD478986S1 (en) | 2002-03-22 | 2003-08-26 | Gyrus Ent L.L.C. | Surgical tool |
USD484977S1 (en) | 2002-03-22 | 2004-01-06 | Gyrus Ent L.L.C. | Surgical tool blade holder |
USD484596S1 (en) | 2002-03-22 | 2003-12-30 | Gyrus Ent L.L.C. | Surgical tool blade holder |
US7247161B2 (en) | 2002-03-22 | 2007-07-24 | Gyrus Ent L.L.C. | Powered surgical apparatus, method of manufacturing powered surgical apparatus, and method of using powered surgical apparatus |
USD484595S1 (en) | 2002-03-22 | 2003-12-30 | Gyrus Ent L.L.C. | Surgical tool blade holder |
US7137981B2 (en) | 2002-03-25 | 2006-11-21 | Ethicon Endo-Surgery, Inc. | Endoscopic ablation system with a distally mounted image sensor |
JP4071642B2 (ja) | 2002-03-25 | 2008-04-02 | 株式会社リコー | 用紙処理装置及び画像形成システム |
US7128748B2 (en) | 2002-03-26 | 2006-10-31 | Synovis Life Technologies, Inc. | Circular stapler buttress combination |
WO2003086206A1 (en) | 2002-04-11 | 2003-10-23 | Tyco Healthcare Group, Lp | Surgical stapling apparatus including an anvil and cartridge each having cooperating mating surfaces |
WO2003088844A1 (en) | 2002-04-15 | 2003-10-30 | Cook Biotech Incorporated | Apparatus and method for producing a reinforced surgical staple line |
EP1494601B1 (en) | 2002-04-15 | 2012-01-11 | Tyco Healthcare Group LP | Instrument introducer |
EP2404555B1 (en) | 2002-04-16 | 2017-03-15 | Covidien LP | Surgical stapler and method |
US8241308B2 (en) | 2002-04-24 | 2012-08-14 | Boston Scientific Scimed, Inc. | Tissue fastening devices and processes that promote tissue adhesion |
WO2003090630A2 (en) | 2002-04-25 | 2003-11-06 | Tyco Healthcare Group, Lp | Surgical instruments including micro-electromechanical systems (mems) |
AU2003224567A1 (en) | 2002-05-08 | 2003-11-11 | Radi Medical Systems Ab | Dissolvable medical sealing device |
CA2484635C (en) | 2002-05-10 | 2011-01-04 | Tyco Healthcare Group Lp | Electrosurgical stapling apparatus |
US7431730B2 (en) | 2002-05-10 | 2008-10-07 | Tyco Healthcare Group Lp | Surgical stapling apparatus having a wound closure material applicator assembly |
US6736854B2 (en) | 2002-05-10 | 2004-05-18 | C. R. Bard, Inc. | Prosthetic repair fabric with erosion resistant edge |
EP1503671B1 (en) | 2002-05-10 | 2006-10-11 | Tyco Healthcare Group Lp | Wound closure material applicator and stapler |
AU2003234551A1 (en) | 2002-05-13 | 2003-11-11 | Tyco Healthcare Group, Lp | Surgical stapler and disposable loading unit having different size staples |
US7967839B2 (en) | 2002-05-20 | 2011-06-28 | Rocky Mountain Biosystems, Inc. | Electromagnetic treatment of tissues and cells |
US6638297B1 (en) | 2002-05-30 | 2003-10-28 | Ethicon Endo-Surgery, Inc. | Surgical staple |
US6543456B1 (en) | 2002-05-31 | 2003-04-08 | Ethicon Endo-Surgery, Inc. | Method for minimally invasive surgery in the digestive system |
US6769594B2 (en) | 2002-05-31 | 2004-08-03 | Tyco Healthcare Group, Lp | End-to-end anastomosis instrument and method for performing same |
US7056330B2 (en) | 2002-05-31 | 2006-06-06 | Ethicon Endo-Surgery, Inc. | Method for applying tissue fastener |
US7004174B2 (en) | 2002-05-31 | 2006-02-28 | Neothermia Corporation | Electrosurgery with infiltration anesthesia |
US6861142B1 (en) | 2002-06-06 | 2005-03-01 | Hills, Inc. | Controlling the dissolution of dissolvable polymer components in plural component fibers |
US20050137455A1 (en) | 2002-06-13 | 2005-06-23 | Usgi Medical Corp. | Shape lockable apparatus and method for advancing an instrument through unsupported anatomy |
US6837847B2 (en) | 2002-06-13 | 2005-01-04 | Usgi Medical, Inc. | Shape lockable apparatus and method for advancing an instrument through unsupported anatomy |
CN101803938B (zh) | 2002-06-14 | 2012-06-20 | Tyco医疗健康集团 | 用于夹紧、切割及缝合组织的器械 |
EP2228019B1 (en) | 2002-06-17 | 2013-08-14 | Covidien LP | Annular support structures |
EP1719461B1 (en) | 2002-06-17 | 2009-06-03 | Tyco Healthcare Group Lp | Annular support structures |
US7112214B2 (en) | 2002-06-25 | 2006-09-26 | Incisive Surgical, Inc. | Dynamic bioabsorbable fastener for use in wound closure |
GB2390024B (en) | 2002-06-27 | 2005-09-21 | Gyrus Medical Ltd | Electrosurgical system |
US7220260B2 (en) | 2002-06-27 | 2007-05-22 | Gyrus Medical Limited | Electrosurgical system |
US7699856B2 (en) | 2002-06-27 | 2010-04-20 | Van Wyk Robert A | Method, apparatus, and kit for thermal suture cutting |
US8287561B2 (en) | 2002-06-28 | 2012-10-16 | Boston Scientific Scimed, Inc. | Balloon-type actuator for surgical applications |
US7033356B2 (en) | 2002-07-02 | 2006-04-25 | Gyrus Medical, Inc. | Bipolar electrosurgical instrument for cutting desiccating and sealing tissue |
US20040006340A1 (en) | 2002-07-02 | 2004-01-08 | Gyrus Medical, Inc. | Bipolar electrosurgical instrument for cutting, desiccating and sealing tissue |
US6932218B2 (en) | 2002-07-03 | 2005-08-23 | Monica Rich Kosann Photography Llc | Folding photo case |
US20040006335A1 (en) | 2002-07-08 | 2004-01-08 | Garrison Lawrence L. | Cauterizing surgical saw |
US20060089535A1 (en) | 2002-07-11 | 2006-04-27 | Dan Raz | Piston-actuated endoscopic steering system |
US20040006860A1 (en) | 2002-07-15 | 2004-01-15 | Haytayan Harry M. | Method and apparatus for attaching structural components with fasteners |
KR20050037557A (ko) | 2002-07-22 | 2005-04-22 | 아스펜 에어로겔, 인코퍼레이티드 | 폴리이미드 에어로겔, 탄소 에어로겔 및 금속 카바이드에어로겔, 및 이들의 제조방법 |
IL150853A0 (en) | 2002-07-22 | 2003-02-12 | Niti Medical Technologies Ltd | Imppoved intussusception and anastomosis apparatus |
JP4046569B2 (ja) | 2002-07-30 | 2008-02-13 | オリンパス株式会社 | 外科用処置具 |
US8016881B2 (en) | 2002-07-31 | 2011-09-13 | Icon Interventional Systems, Inc. | Sutures and surgical staples for anastamoses, wound closures, and surgical closures |
WO2004011037A2 (en) | 2002-07-31 | 2004-02-05 | Tyco Heathcare Group, Lp | Tool member cover and cover deployment device |
US7179223B2 (en) | 2002-08-06 | 2007-02-20 | Olympus Optical Co., Ltd. | Endoscope apparatus having an internal channel |
US9271753B2 (en) | 2002-08-08 | 2016-03-01 | Atropos Limited | Surgical device |
WO2004019803A1 (de) | 2002-08-28 | 2004-03-11 | Heribert Schmid | Zahnmedizinisches behandlungssystem |
US20040044364A1 (en) | 2002-08-29 | 2004-03-04 | Devries Robert | Tissue fasteners and related deployment systems and methods |
US6981978B2 (en) | 2002-08-30 | 2006-01-03 | Satiety, Inc. | Methods and devices for maintaining a space occupying device in a relatively fixed location within a stomach |
WO2004021868A2 (en) | 2002-09-06 | 2004-03-18 | C.R. Bard, Inc. | External endoscopic accessory control system |
GB0221707D0 (en) | 2002-09-18 | 2002-10-30 | Gyrus Medical Ltd | Electrical system |
US20040059362A1 (en) | 2002-09-20 | 2004-03-25 | Knodel Bryan D. | Method of performing surgery using surgical device with expandable member |
US7256695B2 (en) | 2002-09-23 | 2007-08-14 | Microstrain, Inc. | Remotely powered and remotely interrogated wireless digital sensor telemetry system |
WO2004028402A2 (en) | 2002-09-26 | 2004-04-08 | Bioaccess, Inc. | Orthopedic medical device with unitary components |
WO2004032783A1 (de) | 2002-09-27 | 2004-04-22 | Aesculap Ag & Co. Kg | Instrumentenset für eine chirurgische operation |
JP2006500986A (ja) | 2002-09-30 | 2006-01-12 | サイトライン テクノロジーズ リミテッド | ピストンにより駆動される内視鏡ツール |
US7326203B2 (en) | 2002-09-30 | 2008-02-05 | Depuy Acromed, Inc. | Device for advancing a functional element through tissue |
US7087054B2 (en) | 2002-10-01 | 2006-08-08 | Surgrx, Inc. | Electrosurgical instrument and method of use |
JP4049217B2 (ja) | 2002-10-02 | 2008-02-20 | イーメックス株式会社 | 導電性高分子成形品及び積層体を用いた装置 |
US20040068224A1 (en) | 2002-10-02 | 2004-04-08 | Couvillon Lucien Alfred | Electroactive polymer actuated medication infusion pumps |
US20040068161A1 (en) | 2002-10-02 | 2004-04-08 | Couvillon Lucien Alfred | Thrombolysis catheter |
ES2337248T3 (es) | 2002-10-04 | 2010-04-22 | Tyco Healthcare Group Lp | Conjunto de herramienta para un dispositivo de grapado quirurgico. |
ES2379348T3 (es) | 2002-10-04 | 2012-04-25 | Tyco Healthcare Group Lp | Dispositivo de grapado quirúrgico motorizado neumáticamente |
DE60327227D1 (de) | 2002-10-04 | 2009-05-28 | Tyco Healthcare | Chirurgische klammersetzvorrichtung |
DE60322450D1 (de) | 2002-10-04 | 2008-09-04 | Tyco Healthcare | Chirurgisches Klammergerät mit einer Gelenkkupplung und einer Klemmeinrichtung |
ES2289334T3 (es) | 2002-10-04 | 2008-02-01 | Tyco Healthcare Group Lp | Conjunto de herramienta para dispositivo de grapado quirurgico. |
US20040070369A1 (en) | 2002-10-11 | 2004-04-15 | Makita Corporation | Adapters for battery chargers |
US6958035B2 (en) | 2002-10-15 | 2005-10-25 | Dusa Pharmaceuticals, Inc | Medical device sheath apparatus and method of making and using same |
US7083620B2 (en) | 2002-10-30 | 2006-08-01 | Medtronic, Inc. | Electrosurgical hemostat |
US7037344B2 (en) | 2002-11-01 | 2006-05-02 | Valentx, Inc. | Apparatus and methods for treatment of morbid obesity |
US20090149871A9 (en) | 2002-11-01 | 2009-06-11 | Jonathan Kagan | Devices and methods for treating morbid obesity |
US20050256452A1 (en) | 2002-11-15 | 2005-11-17 | Demarchi Thomas | Steerable vascular sheath |
CN1486667A (zh) | 2002-11-22 | 2004-04-07 | 带有一次性鞘套的内窥镜系统 | |
US20040101822A1 (en) | 2002-11-26 | 2004-05-27 | Ulrich Wiesner | Fluorescent silica-based nanoparticles |
DE10257760A1 (de) | 2002-11-26 | 2004-06-17 | Stefan Koscher | Chirurgisches Instrument |
US20040102783A1 (en) | 2002-11-27 | 2004-05-27 | Sutterlin Chester E. | Powered Kerrison-like Rongeur system |
CA2509622C (en) | 2002-12-16 | 2012-02-21 | Gunze Limited | Medical film comprising gelatin and reinforcing material |
US20040147909A1 (en) | 2002-12-20 | 2004-07-29 | Gyrus Ent L.L.C. | Surgical instrument |
US7343920B2 (en) | 2002-12-20 | 2008-03-18 | Toby E Bruce | Connective tissue repair system |
US7348763B1 (en) | 2002-12-20 | 2008-03-25 | Linvatec Corporation | Method for utilizing temperature to determine a battery state |
US6931830B2 (en) | 2002-12-23 | 2005-08-23 | Chase Liao | Method of forming a wire package |
GB0230055D0 (en) | 2002-12-23 | 2003-01-29 | Gyrus Medical Ltd | Electrosurgical method and apparatus |
US7131445B2 (en) | 2002-12-23 | 2006-11-07 | Gyrus Medical Limited | Electrosurgical method and apparatus |
WO2004062516A1 (en) | 2003-01-09 | 2004-07-29 | Gyrus Medical Limited | An electrosurgical generator |
US7195627B2 (en) | 2003-01-09 | 2007-03-27 | Gyrus Medical Limited | Electrosurgical generator |
GB0426648D0 (en) | 2004-12-03 | 2005-01-05 | Gyrus Medical Ltd | An electrosurgical generator |
US6821284B2 (en) | 2003-01-22 | 2004-11-23 | Novare Surgical Systems, Inc. | Surgical clamp inserts with micro-tractive surfaces |
US6960220B2 (en) | 2003-01-22 | 2005-11-01 | Cardia, Inc. | Hoop design for occlusion device |
US20040225186A1 (en) | 2003-01-29 | 2004-11-11 | Horne Guy E. | Composite flexible endoscope insertion shaft with tubular substructure |
US7341591B2 (en) | 2003-01-30 | 2008-03-11 | Depuy Spine, Inc. | Anterior buttress staple |
JP2004229976A (ja) | 2003-01-31 | 2004-08-19 | Nippon Zeon Co Ltd | 鉗子型電気処置器具 |
EP1442720A1 (en) | 2003-01-31 | 2004-08-04 | Tre Esse Progettazione Biomedica S.r.l | Apparatus for the maneuvering of flexible catheters in the human cardiovascular system |
US7045026B2 (en) | 2003-02-06 | 2006-05-16 | The Procter & Gamble Company | Process for making a fibrous structure comprising cellulosic and synthetic fibers |
US7067038B2 (en) | 2003-02-06 | 2006-06-27 | The Procter & Gamble Company | Process for making unitary fibrous structure comprising randomly distributed cellulosic fibers and non-randomly distributed synthetic fibers |
KR101052148B1 (ko) | 2003-02-07 | 2011-07-26 | 막스 가부시키가이샤 | 스테이플용 리필 |
DE602004015729D1 (de) | 2003-02-11 | 2008-09-25 | Olympus Corp | Überrohr |
US7133601B2 (en) | 2003-02-18 | 2006-11-07 | Black & Decker Inc. | Amperage control for protection of battery over current in power tools |
US20040167572A1 (en) | 2003-02-20 | 2004-08-26 | Roth Noah M. | Coated medical devices |
US7083615B2 (en) | 2003-02-24 | 2006-08-01 | Intuitive Surgical Inc | Surgical tool having electrocautery energy supply conductor with inhibited current leakage |
JP4805814B2 (ja) | 2003-03-04 | 2011-11-02 | ノートン・ヘルスケアー リミテッド | 内部医薬リザーバの状態を表すディスプレイを有する医薬分与装置 |
AU2004216886B9 (en) | 2003-03-05 | 2010-02-25 | Gyrus Medical Limited | Electrosurgical generator and system |
IL154814A0 (en) | 2003-03-09 | 2003-10-31 | Edward G Shifrin | Sternal closure system, method and apparatus therefor |
US20060064086A1 (en) | 2003-03-13 | 2006-03-23 | Darren Odom | Bipolar forceps with multiple electrode array end effector assembly |
EP3222218A1 (en) | 2003-03-17 | 2017-09-27 | Covidien LP | Endoscopic tissue removal apparatus and method |
US20060041188A1 (en) | 2003-03-25 | 2006-02-23 | Dirusso Carlo A | Flexible endoscope |
US20040193189A1 (en) | 2003-03-25 | 2004-09-30 | Kortenbach Juergen A. | Passive surgical clip |
US7559449B2 (en) | 2003-03-26 | 2009-07-14 | Tyco Healthcare Group Lp | Energy stored in spring with controlled release |
DE10314072B4 (de) | 2003-03-28 | 2009-01-15 | Aesculap Ag | Chirurgisches Instrument |
US7591783B2 (en) | 2003-04-01 | 2009-09-22 | Boston Scientific Scimed, Inc. | Articulation joint for video endoscope |
DE10324844A1 (de) | 2003-04-01 | 2004-12-23 | Tuebingen Scientific Surgical Products Gmbh | Chirurgisches Instrument mit Instrumentengriff und Nullpunkteinstellung |
DE10330604A1 (de) | 2003-04-01 | 2004-10-28 | Tuebingen Scientific Surgical Products Gmbh | Chirurgisches Instrument |
US20040199181A1 (en) | 2003-04-02 | 2004-10-07 | Knodel Bryan D. | Surgical device for anastomosis |
US20040243163A1 (en) | 2003-04-02 | 2004-12-02 | Gyrus Ent L.L.C | Surgical instrument |
JP4939054B2 (ja) | 2003-04-23 | 2012-05-23 | 株式会社大塚製薬工場 | 薬液充填プラスチックアンプルおよびその製造方法 |
EP1619996B1 (en) | 2003-04-25 | 2012-12-05 | Applied Medical Resources Corporation | Steerable kink-resistant sheath |
US20040243151A1 (en) | 2003-04-29 | 2004-12-02 | Demmy Todd L. | Surgical stapling device with dissecting tip |
US8714429B2 (en) | 2003-04-29 | 2014-05-06 | Covidien Lp | Dissecting tip for surgical stapler |
RU32984U1 (ru) | 2003-04-30 | 2003-10-10 | Институт экспериментальной ветеринарии Сибири и Дальнего Востока СО РАСХН | Кутиметр |
US8128624B2 (en) | 2003-05-01 | 2012-03-06 | Covidien Ag | Electrosurgical instrument that directs energy delivery and protects adjacent tissue |
US7160299B2 (en) | 2003-05-01 | 2007-01-09 | Sherwood Services Ag | Method of fusing biomaterials with radiofrequency energy |
JP4391762B2 (ja) | 2003-05-08 | 2009-12-24 | オリンパス株式会社 | 外科用処置具 |
WO2004105621A1 (en) | 2003-05-09 | 2004-12-09 | Tyco Healthcare Group, Lp | Anastomotic staple with fluid dispensing capillary |
US7615003B2 (en) | 2005-05-13 | 2009-11-10 | Ethicon Endo-Surgery, Inc. | Track for medical devices |
US7815565B2 (en) | 2003-05-16 | 2010-10-19 | Ethicon Endo-Surgery, Inc. | Endcap for use with an endoscope |
US7615005B2 (en) | 2003-05-16 | 2009-11-10 | Ethicon Endo-Surgery, Inc. | Medical apparatus for use with an endoscope |
US9060770B2 (en) | 2003-05-20 | 2015-06-23 | Ethicon Endo-Surgery, Inc. | Robotically-driven surgical instrument with E-beam driver |
US7044352B2 (en) | 2003-05-20 | 2006-05-16 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having a single lockout mechanism for prevention of firing |
US7140528B2 (en) | 2003-05-20 | 2006-11-28 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having an electroactive polymer actuated single lockout mechanism for prevention of firing |
US7380695B2 (en) | 2003-05-20 | 2008-06-03 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having a single lockout mechanism for prevention of firing |
US7380696B2 (en) | 2003-05-20 | 2008-06-03 | Ethicon Endo-Surgery, Inc. | Articulating surgical stapling instrument incorporating a two-piece E-beam firing mechanism |
US6978921B2 (en) | 2003-05-20 | 2005-12-27 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument incorporating an E-beam firing mechanism |
US7143923B2 (en) | 2003-05-20 | 2006-12-05 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having a firing lockout for an unclosed anvil |
US20070010838A1 (en) | 2003-05-20 | 2007-01-11 | Shelton Frederick E Iv | Surgical stapling instrument having a firing lockout for an unclosed anvil |
US6988649B2 (en) | 2003-05-20 | 2006-01-24 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having a spent cartridge lockout |
US20070084897A1 (en) | 2003-05-20 | 2007-04-19 | Shelton Frederick E Iv | Articulating surgical stapling instrument incorporating a two-piece e-beam firing mechanism |
US7090637B2 (en) | 2003-05-23 | 2006-08-15 | Novare Surgical Systems, Inc. | Articulating mechanism for remote manipulation of a surgical or diagnostic tool |
US7413563B2 (en) | 2003-05-27 | 2008-08-19 | Cardia, Inc. | Flexible medical device |
US6921397B2 (en) | 2003-05-27 | 2005-07-26 | Cardia, Inc. | Flexible delivery device |
DE10325393B3 (de) | 2003-05-28 | 2005-01-05 | Karl Storz Gmbh & Co. Kg | Retraktor |
JP3521910B1 (ja) | 2003-05-29 | 2004-04-26 | 清輝 司馬 | 内視鏡の外部鉗子チャンネル装置 |
US20040247415A1 (en) | 2003-06-04 | 2004-12-09 | Mangone Peter G. | Slotted fastener and fastening method |
EP1515112B1 (en) | 2003-06-09 | 2013-03-27 | Mitutoyo Corporation | Measuring instrument |
US7905902B2 (en) | 2003-06-16 | 2011-03-15 | Ethicon Endo-Surgery, Inc. | Surgical implant with preferential corrosion zone |
US20060052825A1 (en) | 2003-06-16 | 2006-03-09 | Ransick Mark H | Surgical implant alloy |
US20040260315A1 (en) | 2003-06-17 | 2004-12-23 | Dell Jeffrey R. | Expandable tissue support member and method of forming the support member |
EP1635713B1 (en) | 2003-06-17 | 2012-04-11 | Tyco Healthcare Group LP | Surgical stapling device |
US7494039B2 (en) | 2003-06-17 | 2009-02-24 | Tyco Healthcare Group Lp | Surgical stapling device |
AU2004249287B2 (en) | 2003-06-20 | 2009-12-24 | Covidien Lp | Surgical stapling device |
WO2004112652A2 (en) | 2003-06-20 | 2004-12-29 | Medtronic Vascular, Inc. | Device, system, and method for contracting tissue in a mammalian body |
SE526852C2 (sv) | 2003-06-26 | 2005-11-08 | Kongsberg Automotive Ab | Metod och arrangemang för styrning av likströmsmotor |
US8226715B2 (en) | 2003-06-30 | 2012-07-24 | Depuy Mitek, Inc. | Scaffold for connective tissue repair |
US7126303B2 (en) | 2003-07-08 | 2006-10-24 | Board Of Regents Of The University Of Nebraska | Robot for surgical applications |
US20050010213A1 (en) | 2003-07-08 | 2005-01-13 | Depuy Spine, Inc. | Attachment mechanism for surgical instrument |
US7055731B2 (en) | 2003-07-09 | 2006-06-06 | Ethicon Endo-Surgery Inc. | Surgical stapling instrument incorporating a tapered firing bar for increased flexibility around the articulation joint |
US6786382B1 (en) | 2003-07-09 | 2004-09-07 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument incorporating an articulation joint for a firing bar track |
US7111769B2 (en) | 2003-07-09 | 2006-09-26 | Ethicon Endo-Surgery, Inc. | Surgical instrument incorporating an articulation mechanism having rotation about the longitudinal axis |
US6964363B2 (en) | 2003-07-09 | 2005-11-15 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having articulation joint support plates for supporting a firing bar |
US7213736B2 (en) | 2003-07-09 | 2007-05-08 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument incorporating an electroactive polymer actuated firing bar track through an articulation joint |
US6981628B2 (en) | 2003-07-09 | 2006-01-03 | Ethicon Endo-Surgery, Inc. | Surgical instrument with a lateral-moving articulation control |
US7066879B2 (en) | 2003-07-15 | 2006-06-27 | The Trustees Of Columbia University In The City Of New York | Insertable device and system for minimal access procedure |
US7931695B2 (en) | 2003-07-15 | 2011-04-26 | Kensey Nash Corporation | Compliant osteosynthesis fixation plate |
US6959851B2 (en) | 2003-07-16 | 2005-11-01 | Tyco Healthcare Group Lp | Surgical stapling device with tissue tensioner |
ES2350912T3 (es) | 2003-07-17 | 2011-01-28 | Gunze Limited | Material de refuerzo de sutura para un dispositivo de sutura automático. |
US7183737B2 (en) | 2003-07-17 | 2007-02-27 | Asmo Co., Ltd. | Motor control device and motor control method |
US20050032511A1 (en) | 2003-08-07 | 2005-02-10 | Cardiac Pacemakers, Inc. | Wireless firmware download to an external device |
US7686201B2 (en) | 2003-09-01 | 2010-03-30 | Tyco Healthcare Group Lp | Circular stapler for hemorrhoid operations |
CA2439536A1 (en) | 2003-09-04 | 2005-03-04 | Jacek Krzyzanowski | Variations of biopsy jaw and clevis and method of manufacture |
US20050059997A1 (en) | 2003-09-17 | 2005-03-17 | Bauman Ann M. | Circular stapler buttress |
US7547312B2 (en) | 2003-09-17 | 2009-06-16 | Gore Enterprise Holdings, Inc. | Circular stapler buttress |
US6905057B2 (en) | 2003-09-29 | 2005-06-14 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument incorporating a firing mechanism having a linked rack transmission |
US7000819B2 (en) | 2003-09-29 | 2006-02-21 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having multistroke firing incorporating a traction-biased ratcheting mechanism |
US7364061B2 (en) | 2003-09-29 | 2008-04-29 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument incorporating a multistroke firing position indicator and retraction mechanism |
US7434715B2 (en) | 2003-09-29 | 2008-10-14 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having multistroke firing with opening lockout |
US7094202B2 (en) | 2003-09-29 | 2006-08-22 | Ethicon Endo-Surgery, Inc. | Method of operating an endoscopic device with one hand |
US7303108B2 (en) | 2003-09-29 | 2007-12-04 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument incorporating a multi-stroke firing mechanism with a flexible rack |
US7083075B2 (en) | 2003-09-29 | 2006-08-01 | Ethicon Endo-Surgery, Inc. | Multi-stroke mechanism with automatic end of stroke retraction |
US6959852B2 (en) | 2003-09-29 | 2005-11-01 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with multistroke firing incorporating an anti-backup mechanism |
US20050070929A1 (en) | 2003-09-30 | 2005-03-31 | Dalessandro David A. | Apparatus and method for attaching a surgical buttress to a stapling apparatus |
US20050075561A1 (en) | 2003-10-01 | 2005-04-07 | Lucent Medical Systems, Inc. | Method and apparatus for indicating an encountered obstacle during insertion of a medical device |
US7556647B2 (en) | 2003-10-08 | 2009-07-07 | Arbor Surgical Technologies, Inc. | Attachment device and methods of using the same |
US7914543B2 (en) | 2003-10-14 | 2011-03-29 | Satiety, Inc. | Single fold device for tissue fixation |
US7097650B2 (en) | 2003-10-14 | 2006-08-29 | Satiety, Inc. | System for tissue approximation and fixation |
US7029435B2 (en) | 2003-10-16 | 2006-04-18 | Granit Medical Innovation, Llc | Endoscope having multiple working segments |
AU2004281832B2 (en) | 2003-10-17 | 2010-11-18 | Covidien Lp | Surgical stapling device with independent tip rotation |
US7296722B2 (en) | 2003-10-17 | 2007-11-20 | Tyco Healthcare Group Lp | Surgical fastener applying apparatus with controlled beam deflection |
US8806973B2 (en) | 2009-12-02 | 2014-08-19 | Covidien Lp | Adapters for use between surgical handle assembly and surgical end effector |
US9113880B2 (en) | 2007-10-05 | 2015-08-25 | Covidien Lp | Internal backbone structural chassis for a surgical device |
EP2298181B1 (en) | 2003-10-17 | 2017-04-12 | Covidien LP | Tilt anvil assembly for a surgical stapling device |
US20050090817A1 (en) | 2003-10-22 | 2005-04-28 | Scimed Life Systems, Inc. | Bendable endoscopic bipolar device |
US7556814B2 (en) | 2003-10-23 | 2009-07-07 | Karp Nelson M | Immunogenic compositions comprising UV-irradiated, psoralen-inactivated, desialated human immunodeficiency virus (HIV) devoid of CD55 and CD59 in the viral membrane |
US7686826B2 (en) | 2003-10-30 | 2010-03-30 | Cambridge Endoscopic Devices, Inc. | Surgical instrument |
US7338513B2 (en) | 2003-10-30 | 2008-03-04 | Cambridge Endoscopic Devices, Inc. | Surgical instrument |
US7147650B2 (en) | 2003-10-30 | 2006-12-12 | Woojin Lee | Surgical instrument |
US7842028B2 (en) | 2005-04-14 | 2010-11-30 | Cambridge Endoscopic Devices, Inc. | Surgical instrument guide device |
CN1925879B (zh) | 2003-10-30 | 2011-07-13 | 麦克内尔-Ppc股份有限公司 | 复合材料、其制备方法、以及含有该复合材料的化妆品和药物组合物 |
JP2005131164A (ja) | 2003-10-31 | 2005-05-26 | Olympus Corp | 内視鏡用の外付けチャンネル |
JP2005131212A (ja) | 2003-10-31 | 2005-05-26 | Olympus Corp | 内視鏡用の外付けチャンネル及び内視鏡装置 |
JP2005131211A (ja) | 2003-10-31 | 2005-05-26 | Olympus Corp | 内視鏡用の外付けチャンネル |
JP2005131173A (ja) | 2003-10-31 | 2005-05-26 | Olympus Corp | 内視鏡用外付けチャンネル |
JP2005131163A (ja) | 2003-10-31 | 2005-05-26 | Olympus Corp | 内視鏡用の外付けチャンネル |
US20050096683A1 (en) | 2003-11-01 | 2005-05-05 | Medtronic, Inc. | Using thinner laminations to reduce operating temperature in a high speed hand-held surgical power tool |
JP2005137423A (ja) | 2003-11-04 | 2005-06-02 | Olympus Corp | 内視鏡用の外付けチャンネルおよび外付けチャンネル用分岐部材 |
US7397364B2 (en) | 2003-11-11 | 2008-07-08 | Biosense Webster, Inc. | Digital wireless position sensor |
DE10353846A1 (de) | 2003-11-18 | 2005-06-16 | Maquet Gmbh & Co. Kg | Verfahren zur Vorbereitung von für die Durchführung von medizinischen oder chirurgischen Eingriffen bestimmten Geräten |
JP4594612B2 (ja) | 2003-11-27 | 2010-12-08 | オリンパス株式会社 | 挿入補助具 |
GB0327904D0 (en) * | 2003-12-02 | 2004-01-07 | Qinetiq Ltd | Gear change mechanism |
GB2408936B (en) | 2003-12-09 | 2007-07-18 | Gyrus Group Plc | A surgical instrument |
US7439354B2 (en) | 2003-12-11 | 2008-10-21 | E.I. Du Pont De Nemours And Company | Process for preparing amide acetals |
US7246719B2 (en) | 2003-12-12 | 2007-07-24 | Automated Merchandising Systems Inc. | Adjustable storage rack for a vending machine |
US20050131457A1 (en) | 2003-12-15 | 2005-06-16 | Ethicon, Inc. | Variable stiffness shaft |
US8221424B2 (en) | 2004-12-20 | 2012-07-17 | Spinascope, Inc. | Surgical instrument for orthopedic surgery |
JP4552435B2 (ja) | 2003-12-22 | 2010-09-29 | 住友化学株式会社 | オキシムの製造方法 |
US8590764B2 (en) | 2003-12-24 | 2013-11-26 | Boston Scientific Scimed, Inc. | Circumferential full thickness resectioning device |
CN1634601A (zh) | 2003-12-26 | 2005-07-06 | 吉林省中立实业有限公司 | 一种用于医疗器械灭菌的方法 |
US7204404B2 (en) | 2003-12-30 | 2007-04-17 | Ethicon Endo-Surgery, Inc. | Slotted pins guiding knife in a curved cutter stapler |
US20050139636A1 (en) | 2003-12-30 | 2005-06-30 | Schwemberger Richard F. | Replaceable cartridge module for a surgical stapling and cutting instrument |
US7147140B2 (en) | 2003-12-30 | 2006-12-12 | Ethicon Endo - Surgery, Inc. | Cartridge retainer for a curved cutter stapler |
US7134587B2 (en) | 2003-12-30 | 2006-11-14 | Ethicon Endo-Surgery, Inc. | Knife retraction arm for a curved cutter stapler |
US6988650B2 (en) | 2003-12-30 | 2006-01-24 | Ethicon Endo-Surgery, Inc. | Retaining pin lever advancement mechanism for a curved cutter stapler |
US7207472B2 (en) | 2003-12-30 | 2007-04-24 | Ethicon Endo-Surgery, Inc. | Cartridge with locking knife for a curved cutter stapler |
US20050143759A1 (en) | 2003-12-30 | 2005-06-30 | Kelly William D. | Curved cutter stapler shaped for male pelvis |
US7147139B2 (en) | 2003-12-30 | 2006-12-12 | Ethicon Endo-Surgery, Inc | Closure plate lockout for a curved cutter stapler |
US7549563B2 (en) | 2003-12-30 | 2009-06-23 | Ethicon Endo-Surgery, Inc. | Rotating curved cutter stapler |
US6995729B2 (en) | 2004-01-09 | 2006-02-07 | Biosense Webster, Inc. | Transponder with overlapping coil antennas on a common core |
TWI228850B (en) | 2004-01-14 | 2005-03-01 | Asia Optical Co Inc | Laser driver circuit for burst mode and making method thereof |
US7219980B2 (en) | 2004-01-21 | 2007-05-22 | Silverbrook Research Pty Ltd | Printhead assembly with removable cover |
US20050171522A1 (en) | 2004-01-30 | 2005-08-04 | Christopherson Mark A. | Transurethral needle ablation system with needle position indicator |
US7204835B2 (en) | 2004-02-02 | 2007-04-17 | Gyrus Medical, Inc. | Surgical instrument |
DE102004005709A1 (de) | 2004-02-05 | 2005-08-25 | Polydiagnost Gmbh | Endoskop mit einer flexiblen Sonde |
GB0403020D0 (en) | 2004-02-11 | 2004-03-17 | Pa Consulting Services | Portable charging device |
US7886952B2 (en) | 2004-02-17 | 2011-02-15 | Tyco Healthcare Group Lp | Surgical stapling apparatus with locking mechanism |
ES2285587T3 (es) | 2004-02-17 | 2007-11-16 | Tyco Healthcare Group Lp | Aparato quirurgico de grapado con mecanismo de bloqueo. |
DE602005000938T2 (de) | 2004-02-17 | 2008-01-17 | Tyco Healthcare Group Lp, Norwalk | Chirurgisches Klammernahtgerät mit Verriegelungsmechanismus |
ES2286725T3 (es) | 2004-02-17 | 2007-12-01 | Tyco Healthcare Group Lp | Aparato de grapado quirurgico. |
GB2451777B (en) | 2004-02-17 | 2009-04-08 | Cook Biotech Inc | Medical devices and methods useful for applying bolster material |
ES2365547T3 (es) | 2004-02-17 | 2011-10-06 | Tyco Healthcare Group Lp | Aparato quirúrgico de grapado con mecanismo de bloqueo. |
US6953138B1 (en) | 2004-02-18 | 2005-10-11 | Frank W. Dworak | Surgical stapler anvil with nested staple forming pockets |
US20050187545A1 (en) | 2004-02-20 | 2005-08-25 | Hooven Michael D. | Magnetic catheter ablation device and method |
US8046049B2 (en) | 2004-02-23 | 2011-10-25 | Biosense Webster, Inc. | Robotically guided catheter |
JP2005279253A (ja) | 2004-03-02 | 2005-10-13 | Olympus Corp | 内視鏡 |
US20060100610A1 (en) | 2004-03-05 | 2006-05-11 | Wallace Daniel T | Methods using a robotic catheter system |
US7972298B2 (en) | 2004-03-05 | 2011-07-05 | Hansen Medical, Inc. | Robotic catheter system |
EP1723913A1 (en) | 2004-03-10 | 2006-11-22 | Olympus Corporation | Treatment tool for surgery |
JP4610934B2 (ja) | 2004-06-03 | 2011-01-12 | オリンパス株式会社 | 外科用処置具 |
US20050203550A1 (en) | 2004-03-11 | 2005-09-15 | Laufer Michael D. | Surgical fastener |
GB2412232A (en) | 2004-03-15 | 2005-09-21 | Ims Nanofabrication Gmbh | Particle-optical projection system |
AU2005226643B2 (en) | 2004-03-19 | 2010-07-22 | Covidien Lp | Anvil assembly with improved cut ring |
US8181840B2 (en) | 2004-03-19 | 2012-05-22 | Tyco Healthcare Group Lp | Tissue tensioner assembly and approximation mechanism for surgical stapling device |
JP4727158B2 (ja) | 2004-03-23 | 2011-07-20 | オリンパス株式会社 | 内視鏡システム |
US7036680B1 (en) | 2004-04-07 | 2006-05-02 | Avery Dennison Corporation | Device for dispensing plastic fasteners |
JP2005296412A (ja) | 2004-04-13 | 2005-10-27 | Olympus Corp | 内視鏡治療装置 |
WO2006033671A2 (en) | 2004-04-15 | 2006-03-30 | Wilson-Cook Medical Inc. | Endoscopic surgical access devices and methods of articulating an external accessory channel |
US6960107B1 (en) | 2004-04-16 | 2005-11-01 | Brunswick Corporation | Marine transmission with a cone clutch used for direct transfer of torque |
US7758612B2 (en) | 2004-04-27 | 2010-07-20 | Tyco Healthcare Group Lp | Surgery delivery device and mesh anchor |
US7377918B2 (en) | 2004-04-28 | 2008-05-27 | Gyrus Medical Limited | Electrosurgical method and apparatus |
US7098794B2 (en) | 2004-04-30 | 2006-08-29 | Kimberly-Clark Worldwide, Inc. | Deactivating a data tag for user privacy or tamper-evident packaging |
CA2562096A1 (en) | 2004-05-03 | 2005-11-24 | Ams Research Corporation | Surgical implants and related methods |
EP1750595A4 (en) | 2004-05-07 | 2008-10-22 | Valentx Inc | DEVICES AND METHOD FOR FIXING AN ENDOLUMINAL GASTROINTESTINAL IMPLANT |
US7736374B2 (en) | 2004-05-07 | 2010-06-15 | Usgi Medical, Inc. | Tissue manipulation and securement system |
US8333764B2 (en) | 2004-05-12 | 2012-12-18 | Medtronic, Inc. | Device and method for determining tissue thickness and creating cardiac ablation lesions |
CA2566666C (en) * | 2004-05-14 | 2014-05-13 | Evalve, Inc. | Locking mechanisms for fixation devices and methods of engaging tissue |
JP2005328882A (ja) | 2004-05-18 | 2005-12-02 | Olympus Corp | 内視鏡用処置具及び内視鏡システム |
GB2414185A (en) | 2004-05-20 | 2005-11-23 | Gyrus Medical Ltd | Morcellating device using cutting electrodes on end-face of tube |
US7260431B2 (en) | 2004-05-20 | 2007-08-21 | Cardiac Pacemakers, Inc. | Combined remodeling control therapy and anti-remodeling therapy by implantable cardiac device |
JP2005335432A (ja) | 2004-05-24 | 2005-12-08 | Nissan Motor Co Ltd | 後輪転舵制御装置 |
IES20040368A2 (en) | 2004-05-25 | 2005-11-30 | James E Coleman | Surgical stapler |
US7828808B2 (en) | 2004-06-07 | 2010-11-09 | Novare Surgical Systems, Inc. | Link systems and articulation mechanisms for remote manipulation of surgical or diagnostic tools |
DE102004027850A1 (de) | 2004-06-08 | 2006-01-05 | Henke-Sass Wolf Gmbh | Biegbarer Abschnitt eines Einführtubus eines Endoskopes und Verfahren zu dessen Herstellung |
GB2415140A (en) | 2004-06-18 | 2005-12-21 | Gyrus Medical Ltd | A surgical instrument |
US7059508B2 (en) | 2004-06-30 | 2006-06-13 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument incorporating an uneven multistroke firing mechanism having a rotary transmission |
EP3278763B1 (en) | 2004-07-02 | 2020-08-05 | Discus Dental, LLC | Illumination system for dentistry applications |
US7485133B2 (en) | 2004-07-14 | 2009-02-03 | Warsaw Orthopedic, Inc. | Force diffusion spinal hook |
US20060020258A1 (en) | 2004-07-20 | 2006-01-26 | Medtronic, Inc. | Surgical apparatus with a manually actuatable assembly and a method of operating same |
RU42750U1 (ru) | 2004-07-26 | 2004-12-20 | Альбертин Сергей Викторович | Устройство для дозированной подачи веществ |
WO2006014881A2 (en) | 2004-07-26 | 2006-02-09 | Van Lue Stephen J | Surgical stapler with magnetically secured components |
US7354447B2 (en) | 2005-11-10 | 2008-04-08 | Ethicon Endo-Surgery, Inc. | Disposable loading unit and surgical instruments including same |
US7506790B2 (en) | 2004-07-28 | 2009-03-24 | Ethicon Endo-Surgery, Inc. | Surgical instrument incorporating an electrically actuated articulation mechanism |
US8215531B2 (en) | 2004-07-28 | 2012-07-10 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having a medical substance dispenser |
US7857183B2 (en) | 2004-07-28 | 2010-12-28 | Ethicon Endo-Surgery, Inc. | Surgical instrument incorporating an electrically actuated articulation mechanism |
US7487899B2 (en) | 2004-07-28 | 2009-02-10 | Ethicon Endo-Surgery, Inc. | Surgical instrument incorporating EAP complete firing system lockout mechanism |
AU2005203213C1 (en) | 2004-07-28 | 2012-07-05 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having an electroactive polymer actuated medical substance dispenser |
US7147138B2 (en) | 2004-07-28 | 2006-12-12 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having an electroactive polymer actuated buttress deployment mechanism |
US20060025812A1 (en) | 2004-07-28 | 2006-02-02 | Ethicon Endo-Surgery, Inc. | Surgical instrument incorporating an electrically actuated pivoting articulation mechanism |
US7513408B2 (en) | 2004-07-28 | 2009-04-07 | Ethicon Endo-Surgery, Inc. | Multiple firing stroke surgical instrument incorporating electroactive polymer anti-backup mechanism |
US7879070B2 (en) | 2004-07-28 | 2011-02-01 | Ethicon Endo-Surgery, Inc. | Electroactive polymer-based actuation mechanism for grasper |
US7143925B2 (en) | 2004-07-28 | 2006-12-05 | Ethicon Endo-Surgery, Inc. | Surgical instrument incorporating EAP blocking lockout mechanism |
US8905977B2 (en) | 2004-07-28 | 2014-12-09 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having an electroactive polymer actuated medical substance dispenser |
US8057508B2 (en) | 2004-07-28 | 2011-11-15 | Ethicon Endo-Surgery, Inc. | Surgical instrument incorporating an electrically actuated articulation locking mechanism |
US7914551B2 (en) | 2004-07-28 | 2011-03-29 | Ethicon Endo-Surgery, Inc. | Electroactive polymer-based articulation mechanism for multi-fire surgical fastening instrument |
US7410086B2 (en) | 2004-07-28 | 2008-08-12 | Ethicon Endo-Surgery, Inc. | Electroactive polymer-based actuation mechanism for circular stapler |
US7404509B2 (en) | 2004-07-28 | 2008-07-29 | Ethicon Endo-Surgery, Inc. | Electroactive polymer-based articulation mechanism for linear stapler |
US7143926B2 (en) | 2005-02-07 | 2006-12-05 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument incorporating a multi-stroke firing mechanism with return spring rotary manual retraction system |
US7210609B2 (en) | 2004-07-30 | 2007-05-01 | Tools For Surgery, Llc | Stapling apparatus having a curved anvil and driver |
EP1774037B1 (en) | 2004-08-06 | 2011-05-11 | Genentech, Inc. | Assays and methods using biomarkers |
WO2006023578A2 (en) | 2004-08-17 | 2006-03-02 | Tyco Healthcare Group, Lp | Stapling support structures |
WO2006023486A1 (en) | 2004-08-19 | 2006-03-02 | Tyco Healthcare Group, Lp | Water-swellable copolymers and articles and coating made therefrom |
US7182239B1 (en) | 2004-08-27 | 2007-02-27 | Myers Stephan R | Segmented introducer device for a circular surgical stapler |
DE102004042886A1 (de) | 2004-09-04 | 2006-03-30 | Roche Diagnostics Gmbh | Lanzettenvorrichtung zum Erzeugen einer Einstichwunde |
US7128254B2 (en) | 2004-09-07 | 2006-10-31 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument incorporating a multistroke firing mechanism having a rotary slip-clutch transmission |
KR100646762B1 (ko) | 2004-09-10 | 2006-11-23 | 인하대학교 산학협력단 | 수술용 스테이플 및 이를 구비한 수술용 자동 문합기 |
WO2006027014A1 (en) | 2004-09-10 | 2006-03-16 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument |
JP2006081687A (ja) | 2004-09-15 | 2006-03-30 | Max Co Ltd | 医療用ステープラ |
US7336184B2 (en) | 2004-09-24 | 2008-02-26 | Intel Corporation | Inertially controlled switch and RFID tag |
FR2876020B1 (fr) | 2004-10-06 | 2007-03-09 | Sofradim Production Sa | Appareil de stockage, distribution et pose d'attaches chirurgicales |
CA2869759A1 (en) | 2004-10-08 | 2006-04-20 | Tyco Healthcare Group Lp | Apparatus for applying surgical clips |
US7819886B2 (en) | 2004-10-08 | 2010-10-26 | Tyco Healthcare Group Lp | Endoscopic surgical clip applier |
US8409222B2 (en) | 2004-10-08 | 2013-04-02 | Covidien Lp | Endoscopic surgical clip applier |
WO2006044581A2 (en) | 2004-10-13 | 2006-04-27 | Medtronic, Inc. | Single-use transurethral needle ablation device |
US8257356B2 (en) | 2004-10-15 | 2012-09-04 | Baxano, Inc. | Guidewire exchange systems to treat spinal stenosis |
US7857813B2 (en) | 2006-08-29 | 2010-12-28 | Baxano, Inc. | Tissue access guidewire system and method |
US8372094B2 (en) | 2004-10-15 | 2013-02-12 | Covidien Lp | Seal element for anastomosis |
JP4801083B2 (ja) | 2004-10-18 | 2011-10-26 | タイコ ヘルスケア グループ エルピー | スプレー可能な創傷処置材料を付与するための構造物 |
US7938307B2 (en) | 2004-10-18 | 2011-05-10 | Tyco Healthcare Group Lp | Support structures and methods of using the same |
CA2583800C (en) | 2004-10-18 | 2013-12-10 | Tyco Healthcare Group Lp | Apparatus for applying wound treatment material using tissue-penetrating needles |
ES2530775T3 (es) | 2004-10-18 | 2015-03-05 | Covidien Lp | Estructura adhesiva anular |
JP5043670B2 (ja) | 2004-10-18 | 2012-10-10 | タイコ ヘルスケア グループ リミテッド パートナーシップ | 管腔外シーラント塗布器 |
US7845536B2 (en) | 2004-10-18 | 2010-12-07 | Tyco Healthcare Group Lp | Annular adhesive structure |
US7717313B2 (en) | 2004-10-18 | 2010-05-18 | Tyco Healthcare Group Lp | Surgical apparatus and structure for applying sprayable wound treatment material |
US7455682B2 (en) | 2004-10-18 | 2008-11-25 | Tyco Healthcare Group Lp | Structure containing wound treatment material |
CA2584022C (en) | 2004-10-18 | 2013-12-10 | Tyco Healthcare Group Lp | Surgical fasteners coated with wound treatment materials |
EP1805863B1 (en) | 2004-10-18 | 2013-06-26 | Black & Decker, Inc. | Cordless power system |
EP1802358B1 (en) | 2004-10-20 | 2015-02-25 | Ethicon, Inc. | A reinforced absorbable multilayered fabric for use in medical devices and method of manufacture |
US20060087746A1 (en) | 2004-10-22 | 2006-04-27 | Kenneth Lipow | Remote augmented motor-sensory interface for surgery |
US20060086032A1 (en) | 2004-10-27 | 2006-04-27 | Joseph Valencic | Weapon and input device to record information |
US7182763B2 (en) | 2004-11-23 | 2007-02-27 | Instrasurgical, Llc | Wound closure device |
GB0425843D0 (en) | 2004-11-24 | 2004-12-29 | Gyrus Group Plc | An electrosurgical instrument |
US7121446B2 (en) | 2004-12-13 | 2006-10-17 | Niti Medical Technologies Ltd. | Palm-size surgical stapler for single hand operation |
US7328829B2 (en) | 2004-12-13 | 2008-02-12 | Niti Medical Technologies Ltd. | Palm size surgical stapler for single hand operation |
US7568619B2 (en) | 2004-12-15 | 2009-08-04 | Alcon, Inc. | System and method for identifying and controlling ophthalmic surgical devices and components |
US7611474B2 (en) | 2004-12-29 | 2009-11-03 | Ethicon Endo-Surgery, Inc. | Core sampling biopsy device with short coupled MRI-compatible driver |
US20060142772A1 (en) | 2004-12-29 | 2006-06-29 | Ralph James D | Surgical fasteners and related implant devices having bioabsorbable components |
US7419321B2 (en) | 2005-01-05 | 2008-09-02 | Misha Tereschouk | Hand applicator of encapsulated liquids |
US20060161185A1 (en) | 2005-01-14 | 2006-07-20 | Usgi Medical Inc. | Methods and apparatus for transmitting force to an end effector over an elongate member |
EP1847225B1 (en) | 2005-01-26 | 2011-12-21 | Suzhou Touchstone International Medical Science Co., Ltd. | Surgical stapler having a stapling head with a rotatable cutter |
WO2006081491A2 (en) | 2005-01-27 | 2006-08-03 | Vector Surgical | Surgical marker |
US20060173470A1 (en) | 2005-01-31 | 2006-08-03 | Oray B N | Surgical fastener buttress material |
EP1690638A1 (en) | 2005-02-09 | 2006-08-16 | BLACK & DECKER INC. | Power tool gear-train and torque overload clutch therefor |
GB2423199B (en) | 2005-02-11 | 2009-05-13 | Pa Consulting Services | Power supply systems for electrical devices |
US7780054B2 (en) | 2005-02-18 | 2010-08-24 | Ethicon Endo-Surgery, Inc. | Surgical instrument with laterally moved shaft actuator coupled to pivoting articulation joint |
US7559452B2 (en) | 2005-02-18 | 2009-07-14 | Ethicon Endo-Surgery, Inc. | Surgical instrument having fluid actuated opposing jaws |
US20060289602A1 (en) | 2005-06-23 | 2006-12-28 | Ethicon Endo-Surgery, Inc. | Surgical instrument with articulating shaft with double pivot closure and single pivot frame ground |
US7654431B2 (en) | 2005-02-18 | 2010-02-02 | Ethicon Endo-Surgery, Inc. | Surgical instrument with guided laterally moving articulation member |
US7784662B2 (en) | 2005-02-18 | 2010-08-31 | Ethicon Endo-Surgery, Inc. | Surgical instrument with articulating shaft with single pivot closure and double pivot frame ground |
US7559450B2 (en) | 2005-02-18 | 2009-07-14 | Ethicon Endo-Surgery, Inc. | Surgical instrument incorporating a fluid transfer controlled articulation mechanism |
US7674263B2 (en) | 2005-03-04 | 2010-03-09 | Gyrus Ent, L.L.C. | Surgical instrument and method |
US7699846B2 (en) | 2005-03-04 | 2010-04-20 | Gyrus Ent L.L.C. | Surgical instrument and method |
US20060217729A1 (en) | 2005-03-09 | 2006-09-28 | Brasseler Usa Medical Llc | Surgical apparatus and tools for same |
US20060201989A1 (en) | 2005-03-11 | 2006-09-14 | Ojeda Herminio F | Surgical anvil and system for deploying the same |
US9364229B2 (en) | 2005-03-15 | 2016-06-14 | Covidien Lp | Circular anastomosis structures |
AU2012200178B2 (en) | 2005-03-15 | 2013-07-11 | Covidien Lp | Anastomosis composite gasket |
US20070203510A1 (en) | 2006-02-28 | 2007-08-30 | Bettuchi Michael J | Annular disk for reduction of anastomotic tension and methods of using the same |
US7942890B2 (en) | 2005-03-15 | 2011-05-17 | Tyco Healthcare Group Lp | Anastomosis composite gasket |
US7784663B2 (en) | 2005-03-17 | 2010-08-31 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having load sensing control circuitry |
EP1861022A2 (en) | 2005-03-22 | 2007-12-05 | Atropos Limited | A surgical instrument |
US20060252993A1 (en) | 2005-03-23 | 2006-11-09 | Freed David I | Medical devices and systems |
US7918848B2 (en) | 2005-03-25 | 2011-04-05 | Maquet Cardiovascular, Llc | Tissue welding and cutting apparatus and method |
JP4857585B2 (ja) | 2005-04-04 | 2012-01-18 | 日立工機株式会社 | コードレス電動工具 |
US7780055B2 (en) | 2005-04-06 | 2010-08-24 | Tyco Healthcare Group Lp | Loading unit having drive assembly locking mechanism |
US7731724B2 (en) | 2005-04-14 | 2010-06-08 | Ethicon Endo-Surgery, Inc. | Surgical clip advancement and alignment mechanism |
US7297149B2 (en) | 2005-04-14 | 2007-11-20 | Ethicon Endo-Surgery, Inc. | Surgical clip applier methods |
US7699860B2 (en) | 2005-04-14 | 2010-04-20 | Ethicon Endo-Surgery, Inc. | Surgical clip |
US8038686B2 (en) | 2005-04-14 | 2011-10-18 | Ethicon Endo-Surgery, Inc. | Clip applier configured to prevent clip fallout |
EP1868485B1 (en) | 2005-04-15 | 2016-06-08 | Surgisense Corporation | Surgical instruments with sensors for detecting tissue properties, and systems using such instruments |
US7837694B2 (en) | 2005-04-28 | 2010-11-23 | Warsaw Orthopedic, Inc. | Method and apparatus for surgical instrument identification |
US20060244460A1 (en) | 2005-04-29 | 2006-11-02 | Weaver Jeffrey S | System and method for battery management |
US8084001B2 (en) | 2005-05-02 | 2011-12-27 | Cornell Research Foundation, Inc. | Photoluminescent silica-based sensors and methods of use |
DE102005020377B4 (de) | 2005-05-02 | 2021-08-12 | Robert Bosch Gmbh | Verfahren zum Betreiben einer Elektrowerkzeugmaschine |
US7418078B2 (en) | 2005-05-06 | 2008-08-26 | Siemens Medical Solutions Usa, Inc. | Spot-size effect reduction |
US7806871B2 (en) | 2005-05-09 | 2010-10-05 | Boston Scientific Scimed, Inc. | Method and device for tissue removal and for delivery of a therapeutic agent or bulking agent |
US20060258904A1 (en) | 2005-05-13 | 2006-11-16 | David Stefanchik | Feeding tube and track |
US7648457B2 (en) | 2005-05-13 | 2010-01-19 | Ethicon Endo-Surgery, Inc. | Method of positioning a device on an endoscope |
US8108072B2 (en) | 2007-09-30 | 2012-01-31 | Intuitive Surgical Operations, Inc. | Methods and systems for robotic instrument tool tracking with adaptive fusion of kinematics information and image information |
SG127831A1 (en) | 2005-05-17 | 2006-12-29 | Ethicon Endo Surgery Inc | Surgical stapler having a plastic closure plate |
US8157815B2 (en) | 2005-05-20 | 2012-04-17 | Neotract, Inc. | Integrated handle assembly for anchor delivery system |
AU2006251051B2 (en) | 2005-05-25 | 2009-07-16 | Gyrus Medical, Inc. | A surgical instrument |
US20060271042A1 (en) | 2005-05-26 | 2006-11-30 | Gyrus Medical, Inc. | Cutting and coagulating electrosurgical forceps having cam controlled jaw closure |
CA2549209C (en) | 2005-06-02 | 2014-03-25 | Tyco Healthcare Group Lp | Multiple coil staple and staple applier |
CA2549224A1 (en) | 2005-06-02 | 2006-12-02 | Tyco Healthcare Group Lp | Expandable backspan staple |
US7717312B2 (en) | 2005-06-03 | 2010-05-18 | Tyco Healthcare Group Lp | Surgical instruments employing sensors |
WO2007142625A2 (en) | 2006-06-02 | 2007-12-13 | Tyco Healthcare Group Lp | Surgical stapler with timer and feedback display |
CA2609970C (en) | 2005-06-03 | 2014-08-12 | Tyco Healthcare Group Lp | Battery powered surgical instrument |
US7909191B2 (en) | 2005-06-03 | 2011-03-22 | Greatbatch Ltd. | Connectable instrument trays for creating a modular case |
US7330004B2 (en) | 2005-06-06 | 2008-02-12 | Lutron Electronics Co., Inc. | Method and apparatus for quiet variable motor speed control |
US7265374B2 (en) | 2005-06-10 | 2007-09-04 | Arima Computer Corporation | Light emitting semiconductor device |
US7295907B2 (en) | 2005-06-14 | 2007-11-13 | Trw Automotive U.S. Llc | Recovery of calibrated center steering position after loss of battery power |
EP1736112B1 (en) | 2005-06-20 | 2011-08-17 | Heribert Schmid | Medical device |
EP1919376B1 (en) | 2005-06-28 | 2010-07-21 | Stryker Corporation | Powered surgical tool with control module that contains a sensor for remotely monitoring the tool power generating unit |
US8241271B2 (en) | 2005-06-30 | 2012-08-14 | Intuitive Surgical Operations, Inc. | Robotic surgical instruments with a fluid flow control system for irrigation, aspiration, and blowing |
US8573462B2 (en) | 2006-05-19 | 2013-11-05 | Ethicon Endo-Surgery, Inc. | Electrical surgical instrument with optimized power supply and drive |
US8679154B2 (en) | 2007-01-12 | 2014-03-25 | Ethicon Endo-Surgery, Inc. | Adjustable compression staple and method for stapling with adjustable compression |
US8627993B2 (en) | 2007-02-12 | 2014-01-14 | Ethicon Endo-Surgery, Inc. | Active braking electrical surgical instrument and method for braking such an instrument |
US7479608B2 (en) | 2006-05-19 | 2009-01-20 | Ethicon Endo-Surgery, Inc. | Force switch |
US8627995B2 (en) | 2006-05-19 | 2014-01-14 | Ethicon Endo-Sugery, Inc. | Electrically self-powered surgical instrument with cryptographic identification of interchangeable part |
US7959050B2 (en) | 2005-07-26 | 2011-06-14 | Ethicon Endo-Surgery, Inc | Electrically self-powered surgical instrument with manual release |
US8579176B2 (en) | 2005-07-26 | 2013-11-12 | Ethicon Endo-Surgery, Inc. | Surgical stapling and cutting device and method for using the device |
CA2617122C (en) | 2005-07-27 | 2013-12-10 | Power Medical Interventions, Inc. | Shaft, e.g., for an electro-mechanical surgical device |
EP1917125B1 (en) | 2005-07-27 | 2011-09-07 | Tyco Healthcare Group LP | Staple pocket arrangement for surgical stapler |
US20070027551A1 (en) | 2005-07-29 | 2007-02-01 | Farnsworth Ted R | Composite self-cohered web materials |
US20070026039A1 (en) | 2005-07-29 | 2007-02-01 | Drumheller Paul D | Composite self-cohered web materials |
US20070155010A1 (en) | 2005-07-29 | 2007-07-05 | Farnsworth Ted R | Highly porous self-cohered fibrous tissue engineering scaffold |
US20070027468A1 (en) | 2005-08-01 | 2007-02-01 | Wales Kenneth S | Surgical instrument with an articulating shaft locking mechanism |
US7641092B2 (en) | 2005-08-05 | 2010-01-05 | Ethicon Endo - Surgery, Inc. | Swing gate for device lockout in a curved cutter stapler |
US7401721B2 (en) | 2005-08-15 | 2008-07-22 | Tyco Healthcare Group Lp | Surgical stapling instruments including a cartridge having multiple staple sizes |
US7398908B2 (en) | 2005-08-15 | 2008-07-15 | Tyco Healthcare Group Lp | Surgical stapling instruments including a cartridge having multiple staple sizes |
US7407075B2 (en) | 2005-08-15 | 2008-08-05 | Tyco Healthcare Group Lp | Staple cartridge having multiple staple sizes for a surgical stapling instrument |
DE102005038919A1 (de) | 2005-08-17 | 2007-03-15 | BSH Bosch und Siemens Hausgeräte GmbH | Elektromotorisches Küchengerät mit elektrischer oder elektronischer Verriegelung |
US8657814B2 (en) | 2005-08-22 | 2014-02-25 | Medtronic Ablation Frontiers Llc | User interface for tissue ablation system |
US7828794B2 (en) | 2005-08-25 | 2010-11-09 | Covidien Ag | Handheld electrosurgical apparatus for controlling operating room equipment |
US7419495B2 (en) | 2005-08-25 | 2008-09-02 | Microline Pentax Inc. | Trigger lockout device for clip applying instrument |
US7669746B2 (en) | 2005-08-31 | 2010-03-02 | Ethicon Endo-Surgery, Inc. | Staple cartridges for forming staples having differing formed staple heights |
US7934630B2 (en) | 2005-08-31 | 2011-05-03 | Ethicon Endo-Surgery, Inc. | Staple cartridges for forming staples having differing formed staple heights |
US8317070B2 (en) | 2005-08-31 | 2012-11-27 | Ethicon Endo-Surgery, Inc. | Surgical stapling devices that produce formed staples having different lengths |
US9237891B2 (en) | 2005-08-31 | 2016-01-19 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical stapling devices that produce formed staples having different lengths |
US10159482B2 (en) | 2005-08-31 | 2018-12-25 | Ethicon Llc | Fastener cartridge assembly comprising a fixed anvil and different staple heights |
US8800838B2 (en) | 2005-08-31 | 2014-08-12 | Ethicon Endo-Surgery, Inc. | Robotically-controlled cable-based surgical end effectors |
US7500979B2 (en) | 2005-08-31 | 2009-03-10 | Ethicon Endo-Surgery, Inc. | Surgical stapling device with multiple stacked actuator wedge cams for driving staple drivers |
US20070051375A1 (en) | 2005-09-06 | 2007-03-08 | Milliman Keith L | Instrument introducer |
US7778004B2 (en) | 2005-09-13 | 2010-08-17 | Taser International, Inc. | Systems and methods for modular electronic weaponry |
WO2007033379A2 (en) | 2005-09-14 | 2007-03-22 | Neoguide Systems, Inc. | Methods and apparatus for performing transluminal and other procedures |
US7472815B2 (en) | 2005-09-21 | 2009-01-06 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments with collapsible features for controlling staple height |
US7407078B2 (en) | 2005-09-21 | 2008-08-05 | Ehthicon Endo-Surgery, Inc. | Surgical stapling instrument having force controlled spacing end effector |
EP1767163A1 (en) | 2005-09-22 | 2007-03-28 | Sherwood Services AG | Bipolar forceps with multiple electrode array end effector assembly |
US7451904B2 (en) | 2005-09-26 | 2008-11-18 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having end effector gripping surfaces |
US7357287B2 (en) | 2005-09-29 | 2008-04-15 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having preloaded firing assistance mechanism |
AU2006222753B2 (en) | 2005-09-30 | 2012-09-27 | Ethicon Endo-Surgery, Inc. | Electroactive polymer-based actuation mechanism for linear surgical stapler |
US7722607B2 (en) | 2005-09-30 | 2010-05-25 | Covidien Ag | In-line vessel sealer and divider |
US20080190989A1 (en) | 2005-10-03 | 2008-08-14 | Crews Samuel T | Endoscopic plication device and method |
US20070078484A1 (en) | 2005-10-03 | 2007-04-05 | Joseph Talarico | Gentle touch surgical instrument and method of using same |
US9055942B2 (en) | 2005-10-03 | 2015-06-16 | Boston Scienctific Scimed, Inc. | Endoscopic plication devices and methods |
US7635074B2 (en) | 2005-10-04 | 2009-12-22 | Tyco Healthcare Group Lp | Staple drive assembly |
US7641091B2 (en) | 2005-10-04 | 2010-01-05 | Tyco Healthcare Group Lp | Staple drive assembly |
CA2563147C (en) | 2005-10-14 | 2014-09-23 | Tyco Healthcare Group Lp | Surgical stapling device |
US20070244471A1 (en) | 2005-10-21 | 2007-10-18 | Don Malackowski | System and method for managing the operation of a battery powered surgical tool and the battery used to power the tool |
US7656131B2 (en) | 2005-10-31 | 2010-02-02 | Black & Decker Inc. | Methods of charging battery packs for cordless power tool systems |
EP2919295B1 (en) | 2005-10-31 | 2018-08-29 | Black & Decker, Inc. | Method of arranging the components of a battery pack |
EP1780937A1 (en) | 2005-11-01 | 2007-05-02 | Black & Decker, Inc. | Method and system for authenticating a smart battery system |
US20070102472A1 (en) | 2005-11-04 | 2007-05-10 | Ethicon Endo-Surgery, Inc. | Electrosurgical stapling instrument with disposable severing / stapling unit |
US7328828B2 (en) | 2005-11-04 | 2008-02-12 | Ethicon Endo-Surgery, Inc, | Lockout mechanisms and surgical instruments including same |
US7607557B2 (en) | 2005-11-04 | 2009-10-27 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments structured for pump-assisted delivery of medical agents |
US7673783B2 (en) | 2005-11-04 | 2010-03-09 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments structured for delivery of medical agents |
US20070106113A1 (en) | 2005-11-07 | 2007-05-10 | Biagio Ravo | Combination endoscopic operative delivery system |
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 |
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 |
US7651017B2 (en) | 2005-11-23 | 2010-01-26 | Ethicon Endo-Surgery, Inc. | Surgical stapler with a bendable end effector |
US7246734B2 (en) | 2005-12-05 | 2007-07-24 | Ethicon Endo-Surgery, Inc. | Rotary hydraulic pump actuated multi-stroke surgical instrument |
US20070135686A1 (en) | 2005-12-14 | 2007-06-14 | Pruitt John C Jr | Tools and methods for epicardial access |
RU61114U1 (ru) | 2005-12-23 | 2007-02-27 | Мирзакарим Санакулович Норбеков | Аппарат для развития мозговой деятельности |
US20100145146A1 (en) | 2005-12-28 | 2010-06-10 | Envisionier Medical Technologies, Inc. | Endoscopic digital recording system with removable screen and storage device |
US7481824B2 (en) | 2005-12-30 | 2009-01-27 | Ethicon Endo-Surgery, Inc. | Surgical instrument with bending articulation controlled articulation pivot joint |
US7955257B2 (en) | 2006-01-05 | 2011-06-07 | Depuy Spine, Inc. | Non-rigid surgical retractor |
US7670334B2 (en) | 2006-01-10 | 2010-03-02 | Ethicon Endo-Surgery, Inc. | Surgical instrument having an articulating end effector |
US20070173813A1 (en) | 2006-01-24 | 2007-07-26 | Sherwood Services Ag | System and method for tissue sealing |
CA2574934C (en) | 2006-01-24 | 2015-12-29 | Sherwood Services Ag | System and method for closed loop monitoring of monopolar electrosurgical apparatus |
JP5355094B2 (ja) | 2006-01-27 | 2013-11-27 | スターテック インコーポレイテッド | 組織閉鎖装置および方法 |
US7770775B2 (en) | 2006-01-31 | 2010-08-10 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting and fastening instrument with adaptive user feedback |
US7644848B2 (en) | 2006-01-31 | 2010-01-12 | Ethicon Endo-Surgery, Inc. | Electronic lockouts and surgical instrument including same |
US8820603B2 (en) | 2006-01-31 | 2014-09-02 | Ethicon Endo-Surgery, Inc. | Accessing data stored in a memory of a 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 |
US20110024477A1 (en) | 2009-02-06 | 2011-02-03 | Hall Steven G | Driven Surgical Stapler Improvements |
US20070175951A1 (en) | 2006-01-31 | 2007-08-02 | Shelton Frederick E Iv | Gearing selector for a powered surgical cutting and fastening instrument |
US8186555B2 (en) | 2006-01-31 | 2012-05-29 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting and fastening instrument with mechanical closure system |
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 |
US20070175955A1 (en) | 2006-01-31 | 2007-08-02 | Shelton Frederick E Iv | Surgical cutting and fastening instrument with closure trigger locking mechanism |
US7891531B1 (en) | 2006-01-31 | 2011-02-22 | Ward Gary L | Sub-miniature surgical staple cartridge |
US9861359B2 (en) | 2006-01-31 | 2018-01-09 | Ethicon Llc | Powered surgical instruments with firing system lockout arrangements |
US7568603B2 (en) | 2006-01-31 | 2009-08-04 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting and fastening instrument with articulatable end effector |
US7464849B2 (en) | 2006-01-31 | 2008-12-16 | Ethicon Endo-Surgery, Inc. | Electro-mechanical surgical instrument with closure system and anvil alignment components |
US8708213B2 (en) | 2006-01-31 | 2014-04-29 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a feedback system |
US8763879B2 (en) | 2006-01-31 | 2014-07-01 | Ethicon Endo-Surgery, Inc. | Accessing data stored in a memory of surgical instrument |
US8161977B2 (en) | 2006-01-31 | 2012-04-24 | Ethicon Endo-Surgery, Inc. | Accessing data stored in a memory of a surgical instrument |
US20110006101A1 (en) | 2009-02-06 | 2011-01-13 | EthiconEndo-Surgery, Inc. | Motor driven surgical fastener device with cutting member lockout arrangements |
US7422139B2 (en) | 2006-01-31 | 2008-09-09 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting fastening instrument with tactile position feedback |
US7575144B2 (en) * | 2006-01-31 | 2009-08-18 | Ethicon Endo-Surgery, Inc. | Surgical fastener and cutter with single cable actuator |
US20120292367A1 (en) | 2006-01-31 | 2012-11-22 | Ethicon Endo-Surgery, Inc. | Robotically-controlled end effector |
US7464846B2 (en) | 2006-01-31 | 2008-12-16 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a removable battery |
US7416101B2 (en) | 2006-01-31 | 2008-08-26 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting and fastening instrument with loading force feedback |
US20110295295A1 (en) | 2006-01-31 | 2011-12-01 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical instrument having recording capabilities |
US7845537B2 (en) | 2006-01-31 | 2010-12-07 | Ethicon Endo-Surgery, Inc. | Surgical instrument having recording capabilities |
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 |
US9629626B2 (en) | 2006-02-02 | 2017-04-25 | Covidien Lp | Mechanically tuned buttress material to assist with proper formation of surgical element in diseased tissue |
EP1837041A1 (en) | 2006-03-20 | 2007-09-26 | Tissuemed Limited | Tissue-adhesive materials |
DE212007000029U1 (de) | 2006-02-20 | 2008-10-09 | Black & Decker Inc., Newark | Gleichstrommotor mit Dual-Kommutatorlamellensatz und wahlweise in Reihe und parallel geschalteten Wicklungen |
US7771396B2 (en) | 2006-03-22 | 2010-08-10 | Ethicon Endo-Surgery, Inc. | Intubation device for enteral feeding |
US20070225562A1 (en) | 2006-03-23 | 2007-09-27 | Ethicon Endo-Surgery, Inc. | Articulating endoscopic accessory channel |
US8721630B2 (en) | 2006-03-23 | 2014-05-13 | Ethicon Endo-Surgery, Inc. | Methods and devices for controlling articulation |
US20110163146A1 (en) | 2006-03-23 | 2011-07-07 | Ortiz Mark S | Surgical Stapling And Cuttting Device |
US8992422B2 (en) | 2006-03-23 | 2015-03-31 | Ethicon Endo-Surgery, Inc. | Robotically-controlled endoscopic accessory channel |
US9675375B2 (en) | 2006-03-29 | 2017-06-13 | Ethicon Llc | Ultrasonic surgical system and method |
US20090020958A1 (en) | 2006-03-31 | 2009-01-22 | Soul David F | Methods and apparatus for operating an internal combustion engine |
US7836400B2 (en) | 2006-03-31 | 2010-11-16 | Research In Motion Limited | Snooze support for event reminders |
EP2007466A4 (en) | 2006-03-31 | 2012-01-18 | Automated Medical Instr Inc | SYSTEM AND METHOD FOR ADVANCING, ORIENTATION, AND IMMOBILIZATION ON AN INTERNAL BODY TISSUE OF A CATHETER OR ANY OTHER THERAPEUTIC DEVICE |
JP4102409B2 (ja) | 2006-04-03 | 2008-06-18 | オリンパス株式会社 | 縫合・結紮具アプライヤー |
US20070243227A1 (en) | 2006-04-14 | 2007-10-18 | Michael Gertner | Coatings for surgical staplers |
US20070246505A1 (en) | 2006-04-24 | 2007-10-25 | Medical Ventures Inc. | Surgical buttress assemblies and methods of uses thereof |
US7278563B1 (en) | 2006-04-25 | 2007-10-09 | Green David T | Surgical instrument for progressively stapling and incising tissue |
JP4566943B2 (ja) | 2006-04-26 | 2010-10-20 | 株式会社マキタ | 充電装置 |
JP5148598B2 (ja) | 2006-05-03 | 2013-02-20 | ラプトール リッジ, エルエルシー | 組織閉鎖のシステムおよび方法 |
JP4829005B2 (ja) | 2006-05-12 | 2011-11-30 | テルモ株式会社 | マニピュレータ |
EP2486865A3 (en) | 2006-05-19 | 2014-04-02 | Ethicon Endo-Surgery, Inc. | Method of configuring a surgical instrument having a surgical tissue-compressing device |
EP2018248B1 (en) | 2006-05-19 | 2015-11-04 | Applied Medical Resources Corporation | Surgical stapler |
US8105350B2 (en) | 2006-05-23 | 2012-01-31 | Cambridge Endoscopic Devices, Inc. | Surgical instrument |
US20070276409A1 (en) | 2006-05-25 | 2007-11-29 | Ethicon Endo-Surgery, Inc. | Endoscopic gastric restriction methods and devices |
CA2653354A1 (en) | 2006-06-01 | 2007-12-06 | Mor Research Applications Ltd. | Membrane augmentation, such as of for treatment of cardiac valves, and fastening devices for membrane augmentation |
US7530984B2 (en) | 2006-06-05 | 2009-05-12 | Medigus Ltd. | Transgastric method for carrying out a partial fundoplication |
US7615067B2 (en) | 2006-06-05 | 2009-11-10 | Cambridge Endoscopic Devices, Inc. | Surgical instrument |
DE202007003114U1 (de) | 2006-06-13 | 2007-06-21 | Olympus Winter & Ibe Gmbh | Medizinische Zange mit Bajonettverbindung |
US9561045B2 (en) | 2006-06-13 | 2017-02-07 | Intuitive Surgical Operations, Inc. | Tool with rotation lock |
US9549663B2 (en) | 2006-06-13 | 2017-01-24 | Intuitive Surgical Operations, Inc. | Teleoperated surgical retractor system |
US20070286892A1 (en) | 2006-06-13 | 2007-12-13 | Uri Herzberg | Compositions and methods for preventing or reducing postoperative ileus and gastric stasis in mammals |
WO2007143859A1 (en) | 2006-06-14 | 2007-12-21 | Macdonald Dettwiler & Associates Inc. | Surgical manipulator with right-angle pulley drive mechanisms |
CN101506538A (zh) | 2006-06-20 | 2009-08-12 | 奥尔特克斯公司 | 扭矩轴和扭矩驱动 |
AU2006344926B2 (en) | 2006-06-21 | 2013-02-14 | Rudolf Steffen | Device for introducing and positioning surgical instruments and corresponding method |
US8322455B2 (en) | 2006-06-27 | 2012-12-04 | Ethicon Endo-Surgery, Inc. | Manually driven surgical cutting and fastening instrument |
US20080200835A1 (en) | 2006-06-30 | 2008-08-21 | Monson Gavin M | Energy Biopsy Device for Tissue Penetration and Hemostasis |
EP1875870B1 (en) | 2006-07-07 | 2009-12-02 | Ethicon Endo-Surgery, Inc. | A surgical stapling instrument. |
DE102006031971A1 (de) | 2006-07-11 | 2008-01-17 | Karl Storz Gmbh & Co. Kg | Medizinisches Instrument |
CA2592221C (en) | 2006-07-11 | 2014-10-07 | Tyco Healthcare Group Lp | Skin staples with thermal properties |
US20080029574A1 (en) | 2006-08-02 | 2008-02-07 | Shelton Frederick E | Pneumatically powered surgical cutting and fastening instrument with actuator at distal end |
US7740159B2 (en) | 2006-08-02 | 2010-06-22 | Ethicon Endo-Surgery, Inc. | Pneumatically powered surgical cutting and fastening instrument with a variable control of the actuating rate of firing with mechanical power assist |
US20080029570A1 (en) | 2006-08-02 | 2008-02-07 | Shelton Frederick E | Pneumatically powered surgical cutting and fastening instrument with improved volume storage |
US20080030170A1 (en) | 2006-08-03 | 2008-02-07 | Bruno Dacquay | Safety charging system for surgical hand piece |
JP2010500130A (ja) | 2006-08-09 | 2010-01-07 | コヒーレックス メディカル インコーポレイテッド | 内部組織孔の寸法を減少させる装置 |
US7708758B2 (en) | 2006-08-16 | 2010-05-04 | Cambridge Endoscopic Devices, Inc. | Surgical instrument |
US7674253B2 (en) | 2006-08-18 | 2010-03-09 | Kensey Nash Corporation | Catheter for conducting a procedure within a lumen, duct or organ of a living being |
US8323789B2 (en) | 2006-08-31 | 2012-12-04 | Cambridge Enterprise Limited | Nanomaterial polymer compositions and uses thereof |
US8794496B2 (en) | 2006-09-11 | 2014-08-05 | Covidien Lp | Rotating knob locking mechanism for surgical stapling device |
US7648519B2 (en) | 2006-09-13 | 2010-01-19 | Cambridge Endoscopic Devices, Inc. | Surgical instrument |
US7780663B2 (en) | 2006-09-22 | 2010-08-24 | Ethicon Endo-Surgery, Inc. | End effector coatings for electrosurgical instruments |
US8220690B2 (en) | 2006-09-29 | 2012-07-17 | Ethicon Endo-Surgery, Inc. | Connected surgical staples and stapling instruments for deploying the same |
US10130359B2 (en) | 2006-09-29 | 2018-11-20 | Ethicon Llc | Method for forming a staple |
US20100133317A1 (en) | 2006-09-29 | 2010-06-03 | Shelton Iv Frederick E | Motor-Driven Surgical Cutting And Fastening Instrument with Tactile Position Feedback |
US20080082114A1 (en) | 2006-09-29 | 2008-04-03 | Mckenna Robert H | Adhesive Mechanical Fastener for Lumen Creation Utilizing Tissue Necrosing Means |
US8708210B2 (en) | 2006-10-05 | 2014-04-29 | Covidien Lp | Method and force-limiting handle mechanism for a surgical instrument |
EP2081481B1 (en) | 2006-10-05 | 2015-03-11 | Covidien LP | Flexible endoscopic stitching devices |
US20080086078A1 (en) | 2006-10-06 | 2008-04-10 | Powell Darrel M | Devices for reduction of post operative ileus |
CN101522127B (zh) | 2006-10-06 | 2011-11-16 | Tyco医疗健康集团 | 具有柔性铰接轴的内窥镜血管密封及分割装置 |
US7481348B2 (en) | 2006-10-06 | 2009-01-27 | Tyco Healthcare Group Lp | Surgical instrument with articulating tool assembly |
US20080085296A1 (en) | 2006-10-06 | 2008-04-10 | Powell Darrel M | Methods for reduction of post operative ileus. |
US7866525B2 (en) | 2006-10-06 | 2011-01-11 | Tyco Healthcare Group Lp | Surgical instrument having a plastic surface |
US8475453B2 (en) | 2006-10-06 | 2013-07-02 | Covidien Lp | Endoscopic vessel sealer and divider having a flexible articulating shaft |
DE602006007712D1 (de) | 2006-10-06 | 2009-08-20 | Ethicon Endo Surgery Inc | Verbesserungen betreffend einen Applikator zum Anbringen von Anastomosenringen |
US8584921B2 (en) | 2006-10-06 | 2013-11-19 | Covidien Lp | Surgical instrument with articulating tool assembly |
JP5198014B2 (ja) | 2006-10-25 | 2013-05-15 | テルモ株式会社 | 医療用マニピュレータ |
JP5085996B2 (ja) | 2006-10-25 | 2012-11-28 | テルモ株式会社 | マニピュレータシステム |
US7845533B2 (en) | 2007-06-22 | 2010-12-07 | Tyco Healthcare Group Lp | Detachable buttress material retention systems for use with a surgical stapling device |
WO2008057281A2 (en) | 2006-10-26 | 2008-05-15 | Tyco Healthcare Group Lp | Methods of using shape memory alloys for buttress attachment |
US20080129253A1 (en) | 2006-11-03 | 2008-06-05 | Advanced Desalination Inc. | Battery energy reclamation apparatus and method thereby |
US7946453B2 (en) | 2006-11-09 | 2011-05-24 | Ethicon Endo-Surgery, Inc. | Surgical band fluid media dispenser |
US7708180B2 (en) | 2006-11-09 | 2010-05-04 | Ethicon Endo-Surgery, Inc. | Surgical fastening device with initiator impregnation of a matrix or buttress to improve adhesive application |
US7780685B2 (en) | 2006-11-09 | 2010-08-24 | Ethicon Endo-Surgery, Inc. | Adhesive and mechanical fastener |
US8834498B2 (en) | 2006-11-10 | 2014-09-16 | Ethicon Endo-Surgery, Inc. | Method and device for effecting anastomosis of hollow organ structures using adhesive and fasteners |
US7721930B2 (en) | 2006-11-10 | 2010-05-25 | Thicon Endo-Surgery, Inc. | Disposable cartridge with adhesive for use with a stapling device |
US8114100B2 (en) | 2006-12-06 | 2012-02-14 | Ethicon Endo-Surgery, Inc. | Safety fastener for tissue apposition |
US20080154299A1 (en) | 2006-12-08 | 2008-06-26 | Steve Livneh | Forceps for performing endoscopic surgery |
US7434716B2 (en) | 2006-12-21 | 2008-10-14 | Tyco Healthcare Group Lp | Staple driver for articulating surgical stapler |
US7738971B2 (en) | 2007-01-10 | 2010-06-15 | Ethicon Endo-Surgery, Inc. | Post-sterilization programming of surgical instruments |
US7721931B2 (en) | 2007-01-10 | 2010-05-25 | Ethicon Endo-Surgery, Inc. | Prevention of cartridge reuse in a surgical instrument |
US7954682B2 (en) | 2007-01-10 | 2011-06-07 | Ethicon Endo-Surgery, Inc. | Surgical instrument with elements to communicate between control unit and end effector |
US7900805B2 (en) | 2007-01-10 | 2011-03-08 | Ethicon Endo-Surgery, Inc. | Surgical instrument with enhanced battery performance |
US8459520B2 (en) | 2007-01-10 | 2013-06-11 | Ethicon Endo-Surgery, Inc. | Surgical instrument with wireless communication between control unit and remote sensor |
US7721936B2 (en) | 2007-01-10 | 2010-05-25 | Ethicon Endo-Surgery, Inc. | Interlock and surgical instrument including same |
US8652120B2 (en) | 2007-01-10 | 2014-02-18 | Ethicon Endo-Surgery, Inc. | Surgical instrument with wireless communication between control unit and sensor transponders |
US20110174861A1 (en) | 2007-01-10 | 2011-07-21 | Shelton Iv Frederick E | Surgical Instrument With Wireless Communication Between Control Unit and Remote Sensor |
US8827133B2 (en) | 2007-01-11 | 2014-09-09 | Ethicon Endo-Surgery, Inc. | Surgical stapling device having supports for a flexible drive mechanism |
US20080169328A1 (en) | 2007-01-11 | 2008-07-17 | Shelton Frederick E | Buttress material for use with a surgical stapler |
WO2008089404A2 (en) | 2007-01-19 | 2008-07-24 | Synovis Life Technologies, Inc. | Circular stapler anvil introducer |
US7789883B2 (en) | 2007-02-14 | 2010-09-07 | Olympus Medical Systems Corp. | Curative treatment system, curative treatment device, and treatment method for living tissue using energy |
US20080200933A1 (en) | 2007-02-15 | 2008-08-21 | Bakos Gregory J | Surgical devices and methods for forming an anastomosis between organs by gaining access thereto through a natural orifice in the body |
WO2008101228A2 (en) | 2007-02-15 | 2008-08-21 | Hansen Medical, Inc. | Robotic medical instrument system |
US20080200762A1 (en) | 2007-02-16 | 2008-08-21 | Stokes Michael J | Flexible endoscope shapelock |
US8011555B2 (en) | 2007-03-06 | 2011-09-06 | Tyco Healthcare Group Lp | Surgical stapling apparatus |
US9888924B2 (en) | 2007-03-06 | 2018-02-13 | Covidien Lp | Wound closure material |
US8011550B2 (en) | 2009-03-31 | 2011-09-06 | Tyco Healthcare Group Lp | Surgical stapling apparatus |
CA2680148C (en) | 2007-03-06 | 2015-09-01 | Tyco Healthcare Group Lp | Surgical stapling apparatus |
US20100076489A1 (en) | 2007-03-06 | 2010-03-25 | Joshua Stopek | Wound closure material |
US7422136B1 (en) | 2007-03-15 | 2008-09-09 | Tyco Healthcare Group Lp | Powered surgical stapling device |
US7431188B1 (en) | 2007-03-15 | 2008-10-07 | Tyco Healthcare Group Lp | Surgical stapling apparatus with powered articulation |
US7669747B2 (en) | 2007-03-15 | 2010-03-02 | Ethicon Endo-Surgery, Inc. | Washer for use with a surgical stapling instrument |
JP5394265B2 (ja) | 2007-03-22 | 2014-01-22 | コヴィディエン リミテッド パートナーシップ | 可変の高さの手術用ファスナを形成する装置 |
US7490749B2 (en) | 2007-03-28 | 2009-02-17 | Ethicon Endo-Surgery, Inc. | Surgical stapling and cutting instrument with manually retractable firing member |
US8056787B2 (en) | 2007-03-28 | 2011-11-15 | Ethicon Endo-Surgery, Inc. | Surgical stapling and cutting instrument with travel-indicating retraction member |
US8893946B2 (en) | 2007-03-28 | 2014-11-25 | Ethicon Endo-Surgery, Inc. | Laparoscopic tissue thickness and clamp load measuring devices |
US8377044B2 (en) | 2007-03-30 | 2013-02-19 | Ethicon Endo-Surgery, Inc. | Detachable end effectors |
US8951274B2 (en) | 2007-04-06 | 2015-02-10 | Hologic, Inc. | Methods of high rate, low profile tissue removal |
JP5602010B2 (ja) | 2007-04-09 | 2014-10-08 | クレアトイベ スルギカル,エルエルシー | フレーム装置 |
US8006885B2 (en) | 2007-04-09 | 2011-08-30 | Tyco Healthcare Group Lp | Surgical stapling apparatus with powered retraction |
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 |
US20080255413A1 (en) | 2007-04-13 | 2008-10-16 | Michael Zemlok | Powered surgical instrument |
US7708182B2 (en) | 2007-04-17 | 2010-05-04 | Tyco Healthcare Group Lp | Flexible endoluminal surgical instrument |
US7931660B2 (en) | 2007-05-10 | 2011-04-26 | Tyco Healthcare Group Lp | Powered tacker instrument |
JP4348714B2 (ja) | 2007-05-10 | 2009-10-21 | シャープ株式会社 | データ送信システム及びデータ送信方法 |
JP5331104B2 (ja) | 2007-05-12 | 2013-10-30 | バロセンス、インク | 胃分割用の装置および方法 |
US7823761B2 (en) | 2007-05-16 | 2010-11-02 | The Invention Science Fund I, Llc | Maneuverable surgical stapler |
US7832611B2 (en) | 2007-05-16 | 2010-11-16 | The Invention Science Fund I, Llc | Steerable surgical stapler |
US7810691B2 (en) | 2007-05-16 | 2010-10-12 | The Invention Science Fund I, Llc | Gentle touch surgical stapler |
US8038045B2 (en) | 2007-05-25 | 2011-10-18 | Tyco Healthcare Group Lp | Staple buttress retention system |
US7549564B2 (en) | 2007-06-22 | 2009-06-23 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with an articulating end effector |
US20080297287A1 (en) | 2007-05-30 | 2008-12-04 | Magnetecs, Inc. | Magnetic linear actuator for deployable catheter tools |
US7798386B2 (en) | 2007-05-30 | 2010-09-21 | Ethicon Endo-Surgery, Inc. | Surgical instrument articulation joint cover |
US7810693B2 (en) | 2007-05-30 | 2010-10-12 | Ethicon Endo-Surgery, Inc. | Surgical stapling and cutting instrument with articulatable end effector |
US20080296346A1 (en) | 2007-05-31 | 2008-12-04 | Shelton Iv Frederick E | Pneumatically powered surgical cutting and fastening instrument with electrical control and recording mechanisms |
US8157145B2 (en) | 2007-05-31 | 2012-04-17 | Ethicon Endo-Surgery, Inc. | Pneumatically powered surgical cutting and fastening instrument with electrical feedback |
US7905380B2 (en) | 2007-06-04 | 2011-03-15 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a multiple rate directional switching mechanism |
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 |
US8931682B2 (en) | 2007-06-04 | 2015-01-13 | Ethicon Endo-Surgery, Inc. | Robotically-controlled shaft based rotary drive systems for surgical instruments |
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 |
US7950561B2 (en) | 2007-06-18 | 2011-05-31 | Tyco Healthcare Group Lp | Structure for attachment of buttress material to anvils and cartridges of surgical staplers |
US7731072B2 (en) | 2007-06-18 | 2010-06-08 | Ethicon Endo-Surgery, Inc. | Surgical stapling and cutting instrument with improved anvil opening features |
US7665646B2 (en) | 2007-06-18 | 2010-02-23 | Tyco Healthcare Group Lp | Interlocking buttress material retention system |
US7441685B1 (en) | 2007-06-22 | 2008-10-28 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with a return mechanism |
US7597229B2 (en) | 2007-06-22 | 2009-10-06 | Ethicon Endo-Surgery, Inc. | End effector closure system for a surgical stapling instrument |
US7604150B2 (en) | 2007-06-22 | 2009-10-20 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with an anti-back up mechanism |
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 |
US8408439B2 (en) | 2007-06-22 | 2013-04-02 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with an articulatable end effector |
US8062330B2 (en) | 2007-06-27 | 2011-11-22 | Tyco Healthcare Group Lp | Buttress and surgical stapling apparatus |
US7600663B2 (en) | 2007-07-05 | 2009-10-13 | Green David T | Apparatus for stapling and incising tissue |
US8758366B2 (en) | 2007-07-09 | 2014-06-24 | Neotract, Inc. | Multi-actuating trigger anchor delivery system |
US9492278B2 (en) | 2007-07-10 | 2016-11-15 | Warsaw Orthopedic, Inc. | Delivery system |
US8348972B2 (en) | 2007-07-11 | 2013-01-08 | Covidien Lp | Surgical staple with augmented compression area |
US8430898B2 (en) | 2007-07-31 | 2013-04-30 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical instruments |
US20090048589A1 (en) | 2007-08-14 | 2009-02-19 | Tomoyuki Takashino | Treatment device and treatment method for living tissue |
JP5475662B2 (ja) | 2007-08-15 | 2014-04-16 | ボード オブ リージェンツ オブ ザ ユニバーシティ オブ ネブラスカ | モジュール式およびセグメント化医療装置ならびに関連するシステム |
US7556185B2 (en) | 2007-08-15 | 2009-07-07 | Tyco Healthcare Group Lp | Surgical instrument with flexible drive mechanism |
US9005238B2 (en) | 2007-08-23 | 2015-04-14 | Covidien Lp | Endoscopic surgical devices |
US7967181B2 (en) | 2007-08-29 | 2011-06-28 | Tyco Healthcare Group Lp | Rotary knife cutting systems |
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 |
US7988026B2 (en) | 2007-09-06 | 2011-08-02 | Cardica, Inc. | Endocutter with staple feed |
US8556151B2 (en) | 2007-09-11 | 2013-10-15 | Covidien Lp | Articulating joint for surgical instruments |
JP2009084281A (ja) | 2007-09-18 | 2009-04-23 | Ethicon Endo Surgery Inc | 術後イレウスの低減のための方法 |
US20090076506A1 (en) | 2007-09-18 | 2009-03-19 | Surgrx, Inc. | Electrosurgical instrument and method |
CN101801284B (zh) | 2007-09-21 | 2012-10-03 | Tyco医疗健康集团 | 手术器械 |
US8678263B2 (en) | 2007-09-24 | 2014-03-25 | Covidien Lp | Materials delivery system for stapling device |
US9597080B2 (en) | 2007-09-24 | 2017-03-21 | Covidien Lp | Insertion shroud for surgical instrument |
US8721666B2 (en) | 2007-09-26 | 2014-05-13 | Ethicon, Inc. | Method of facial reconstructive surgery using a self-anchoring tissue lifting device |
US7703653B2 (en) | 2007-09-28 | 2010-04-27 | Tyco Healthcare Group Lp | Articulation mechanism for surgical instrument |
US9050120B2 (en) | 2007-09-30 | 2015-06-09 | Intuitive Surgical Operations, Inc. | Apparatus and method of user interface with alternate tool mode for robotic surgical tools |
US8285367B2 (en) | 2007-10-05 | 2012-10-09 | The Invention Science Fund I, Llc | Vasculature and lymphatic system imaging and ablation associated with a reservoir |
JP5403783B2 (ja) | 2007-10-05 | 2014-01-29 | コヴィディエン リミテッド パートナーシップ | 関節運動メカニズムを有する外科ステープラ |
US10500309B2 (en) | 2007-10-05 | 2019-12-10 | Cook Biotech Incorporated | Absorbable adhesives and their formulation for use in medical applications |
US8517241B2 (en) | 2010-04-16 | 2013-08-27 | Covidien Lp | Hand-held surgical devices |
US20110022032A1 (en) | 2007-10-05 | 2011-01-27 | Tyco Healthcare Group Lp | Battery ejection design for a surgical device |
US20120289979A1 (en) | 2007-10-08 | 2012-11-15 | Sherif Eskaros | Apparatus for Supplying Surgical Staple Line Reinforcement |
AU2008311321B2 (en) | 2007-10-08 | 2012-11-08 | W. L. Gore & Associates, Inc. | Apparatus for supplying surgical staple line reinforcement |
US8500762B2 (en) | 2007-10-17 | 2013-08-06 | Davol, Inc. (a C.R. Bard Company) | Fixating means between a mesh and mesh deployment means especially useful for hernia repair surgeries and methods thereof |
JP5364255B2 (ja) | 2007-10-31 | 2013-12-11 | テルモ株式会社 | 医療用マニピュレータ |
US7922063B2 (en) | 2007-10-31 | 2011-04-12 | Tyco Healthcare Group, Lp | Powered surgical instrument |
US7954687B2 (en) | 2007-11-06 | 2011-06-07 | Tyco Healthcare Group Lp | Coated surgical staples and an illuminated staple cartridge for a surgical stapling instrument |
WO2009067649A2 (en) | 2007-11-21 | 2009-05-28 | Ethicon Endo-Surgery, Inc. | Bipolar forceps having a cutting element |
US20090143855A1 (en) | 2007-11-29 | 2009-06-04 | Boston Scientific Scimed, Inc. | Medical Device Including Drug-Loaded Fibers |
JP5377944B2 (ja) | 2007-11-30 | 2013-12-25 | 住友ベークライト株式会社 | 胃瘻用シース、シース付きダイレータ、挿入補助具付き胃瘻用シース、胃瘻カテーテルキット |
US7772720B2 (en) | 2007-12-03 | 2010-08-10 | Spx Corporation | Supercapacitor and charger for secondary power |
US8419757B2 (en) | 2007-12-03 | 2013-04-16 | Covidien Ag | Cordless hand-held ultrasonic cautery cutting device |
US8319002B2 (en) | 2007-12-06 | 2012-11-27 | Nanosys, Inc. | Nanostructure-enhanced platelet binding and hemostatic structures |
JP5235394B2 (ja) * | 2007-12-06 | 2013-07-10 | 株式会社ハーモニック・エイディ | 切替式回転駆動装置 |
US8180458B2 (en) | 2007-12-17 | 2012-05-15 | Thermage, Inc. | Method and apparatus for digital signal processing for radio frequency surgery measurements |
US20090171147A1 (en) | 2007-12-31 | 2009-07-02 | Woojin Lee | Surgical instrument |
US8727199B2 (en) | 2008-01-03 | 2014-05-20 | Covidien Lp | Surgical stapler |
US8647258B2 (en) | 2008-01-10 | 2014-02-11 | Covidien Lp | Apparatus for endoscopic procedures |
WO2009091497A2 (en) | 2008-01-16 | 2009-07-23 | John Hyoung Kim | Minimally invasive surgical instrument |
US8006365B2 (en) | 2008-01-30 | 2011-08-30 | Easylap Ltd. | Device and method for applying rotary tacks |
US20090198272A1 (en) | 2008-02-06 | 2009-08-06 | Lawrence Kerver | Method and apparatus for articulating the wrist of a laparoscopic grasping instrument |
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 |
US9179912B2 (en) | 2008-02-14 | 2015-11-10 | Ethicon Endo-Surgery, Inc. | Robotically-controlled motorized surgical cutting and fastening instrument |
US7861906B2 (en) | 2008-02-14 | 2011-01-04 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with articulatable components |
US20090206133A1 (en) | 2008-02-14 | 2009-08-20 | Ethicon Endo-Surgery, Inc. | Articulatable loading units for surgical stapling and cutting instruments |
US8459525B2 (en) | 2008-02-14 | 2013-06-11 | Ethicon Endo-Sugery, Inc. | Motorized surgical cutting and fastening instrument having a magnetic drive train torque limiting device |
US8622274B2 (en) | 2008-02-14 | 2014-01-07 | Ethicon Endo-Surgery, Inc. | Motorized cutting and fastening instrument having control circuit for optimizing battery usage |
US8758391B2 (en) | 2008-02-14 | 2014-06-24 | Ethicon Endo-Surgery, Inc. | Interchangeable tools for surgical instruments |
US7819297B2 (en) | 2008-02-14 | 2010-10-26 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with reprocessible handle assembly |
US7857185B2 (en) | 2008-02-14 | 2010-12-28 | Ethicon Endo-Surgery, Inc. | Disposable loading unit for surgical stapling apparatus |
US8573465B2 (en) | 2008-02-14 | 2013-11-05 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical end effector system with rotary actuated closure systems |
US8752749B2 (en) | 2008-02-14 | 2014-06-17 | Ethicon Endo-Surgery, Inc. | Robotically-controlled disposable motor-driven loading unit |
US7819298B2 (en) | 2008-02-14 | 2010-10-26 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with control features operable with one hand |
US8636736B2 (en) | 2008-02-14 | 2014-01-28 | Ethicon Endo-Surgery, Inc. | Motorized surgical cutting and fastening instrument |
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 |
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 |
US8657174B2 (en) | 2008-02-14 | 2014-02-25 | Ethicon Endo-Surgery, Inc. | Motorized surgical cutting and fastening instrument having handle based power source |
US7866527B2 (en) | 2008-02-14 | 2011-01-11 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with interlockable firing system |
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 |
US7959051B2 (en) | 2008-02-15 | 2011-06-14 | Ethicon Endo-Surgery, Inc. | Closure systems for a surgical cutting and stapling instrument |
US20090206139A1 (en) | 2008-02-15 | 2009-08-20 | Ethicon Endo-Surgery, Inc. | Buttress material for a surgical instrument |
US20090206137A1 (en) | 2008-02-15 | 2009-08-20 | Ethicon Endo-Surgery, Inc. | Disposable loading units for a surgical cutting and stapling instrument |
US9770245B2 (en) | 2008-02-15 | 2017-09-26 | Ethicon Llc | Layer arrangements for surgical staple cartridges |
US8608044B2 (en) | 2008-02-15 | 2013-12-17 | Ethicon Endo-Surgery, Inc. | Feedback and lockout mechanism for surgical instrument |
US20090206131A1 (en) | 2008-02-15 | 2009-08-20 | Ethicon Endo-Surgery, Inc. | End effector coupling arrangements for a surgical cutting and stapling instrument |
US7980443B2 (en) | 2008-02-15 | 2011-07-19 | Ethicon Endo-Surgery, Inc. | End effectors for a surgical cutting and stapling instrument |
US8020741B2 (en) | 2008-03-18 | 2011-09-20 | Barosense, Inc. | Endoscopic stapling devices and methods |
US8328802B2 (en) | 2008-03-19 | 2012-12-11 | Covidien Ag | Cordless medical cauterization and cutting device |
US8136713B2 (en) | 2008-03-25 | 2012-03-20 | Tyco Healthcare Group Lp | Surgical stapling instrument having transducer effecting vibrations |
US20090242610A1 (en) | 2008-03-26 | 2009-10-01 | Shelton Iv Frederick E | Disposable loading unit and surgical instruments including same |
US7886743B2 (en) | 2008-03-31 | 2011-02-15 | Intuitive Surgical Operations, Inc. | Sterile drape interface for robotic surgical instrument |
DE102008018158A1 (de) | 2008-04-10 | 2009-10-15 | Aesculap Ag | Ligaturklammermagazin und Lagerkörper zur Verwendung in diesem |
US8231040B2 (en) | 2008-04-14 | 2012-07-31 | Tyco Healthcare Group Lp | Variable compression surgical fastener cartridge |
US20090255974A1 (en) | 2008-04-14 | 2009-10-15 | Tyco Healthcare Group Lp | Single loop surgical fastener apparatus for applying variable compression |
US8100310B2 (en) | 2008-04-14 | 2012-01-24 | Tyco Healthcare Group Lp | Variable compression surgical fastener apparatus |
US8231041B2 (en) | 2008-04-14 | 2012-07-31 | Tyco Healthcare Group Lp | Variable compression surgical fastener cartridge |
US7926691B2 (en) | 2008-04-14 | 2011-04-19 | Tyco Healthcare Group, L.P. | Variable compression surgical fastener cartridge |
US8021375B2 (en) | 2008-04-21 | 2011-09-20 | Conmed Corporation | Surgical clip applicator |
US8028884B2 (en) | 2008-04-22 | 2011-10-04 | Tyco Healthcare Group Lp | Cartridge for applying varying amounts of tissue compression |
US8464922B2 (en) | 2008-05-09 | 2013-06-18 | Covidien Lp | Variable compression surgical fastener cartridge |
EP2116272B1 (en) | 2008-05-09 | 2013-04-03 | Greatbatch Ltd. | Bi-directional sheath deflection mechanism |
US8091756B2 (en) | 2008-05-09 | 2012-01-10 | Tyco Healthcare Group Lp | Varying tissue compression using take-up component |
WO2009137761A2 (en) | 2008-05-09 | 2009-11-12 | Elmer Valin | Laparoscopic gastric and intestinal trocar |
US9016541B2 (en) | 2008-05-09 | 2015-04-28 | Covidien Lp | Varying tissue compression with an anvil configuration |
US8409079B2 (en) | 2008-05-14 | 2013-04-02 | Olympus Medical Systems Corp. | Electric bending operation device and medical treatment system including electric bending operation device |
US7922061B2 (en) | 2008-05-21 | 2011-04-12 | Ethicon Endo-Surgery, Inc. | Surgical instrument with automatically reconfigurable articulating end effector |
GB2471815A (en) | 2008-05-21 | 2011-01-12 | Cook Biotech Inc | Devices and methods for applying bolster materials to surgical fastening apparatus |
US8016176B2 (en) | 2008-06-04 | 2011-09-13 | Tyco Healthcare Group, Lp | Surgical stapling instrument with independent sequential firing |
US7942303B2 (en) | 2008-06-06 | 2011-05-17 | Tyco Healthcare Group Lp | Knife lockout mechanisms for surgical instrument |
US8701959B2 (en) | 2008-06-06 | 2014-04-22 | Covidien Lp | Mechanically pivoting cartridge channel for surgical instrument |
US8267951B2 (en) | 2008-06-12 | 2012-09-18 | Ncontact Surgical, Inc. | Dissecting cannula and methods of use thereof |
US8007513B2 (en) | 2008-06-12 | 2011-08-30 | Ethicon Endo-Surgery, Inc. | Partially reusable surgical stapler |
EP2303353B1 (en) | 2008-06-12 | 2018-01-10 | Ramot at Tel-Aviv University Ltd. | Drug-eluting medical devices |
US8011551B2 (en) | 2008-07-01 | 2011-09-06 | Tyco Healthcare Group Lp | Retraction mechanism with clutch-less drive for use with a surgical apparatus |
US8888792B2 (en) | 2008-07-14 | 2014-11-18 | Ethicon Endo-Surgery, Inc. | Tissue apposition clip application devices and methods |
US20100023024A1 (en) | 2008-07-25 | 2010-01-28 | Zeiner Mark S | Reloadable laparoscopic fastener deploying device with disposable cartridge for use in a gastric volume reduction procedure |
US8801752B2 (en) | 2008-08-04 | 2014-08-12 | Covidien Lp | Articulating surgical device |
US20100036370A1 (en) | 2008-08-07 | 2010-02-11 | Al Mirel | Electrosurgical instrument jaw structure with cutting tip |
US8109426B2 (en) | 2008-08-12 | 2012-02-07 | Tyco Healthcare Group Lp | Surgical tilt anvil assembly |
US8211125B2 (en) | 2008-08-15 | 2012-07-03 | Ethicon Endo-Surgery, Inc. | Sterile appliance delivery device for endoscopic procedures |
US8532747B2 (en) | 2008-08-22 | 2013-09-10 | Devicor Medical Products, Inc. | Biopsy marker delivery device |
US9358015B2 (en) | 2008-08-29 | 2016-06-07 | Covidien Lp | Endoscopic surgical clip applier with wedge plate |
US8113405B2 (en) | 2008-09-03 | 2012-02-14 | Tyco Healthcare Group, Lp | Surgical instrument with indicator |
US20100051668A1 (en) | 2008-09-03 | 2010-03-04 | Milliman Keith L | Surgical instrument with indicator |
US20120125792A1 (en) | 2008-09-08 | 2012-05-24 | Mayo Foundation For Medical Education And Research | Devices, kits and methods for surgical fastening |
US8047236B2 (en) | 2008-09-12 | 2011-11-01 | Boston Scientific Scimed, Inc. | Flexible conduit with locking element |
US8083120B2 (en) | 2008-09-18 | 2011-12-27 | Ethicon Endo-Surgery, Inc. | End effector for use with a surgical cutting and stapling instrument |
US7837080B2 (en) | 2008-09-18 | 2010-11-23 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with device for indicating when the instrument has cut through tissue |
US20100069942A1 (en) | 2008-09-18 | 2010-03-18 | Ethicon Endo-Surgery, Inc. | Surgical instrument with apparatus for measuring elapsed time between actions |
US7832612B2 (en) | 2008-09-19 | 2010-11-16 | Ethicon Endo-Surgery, Inc. | Lockout arrangement for a surgical stapler |
US9386983B2 (en) | 2008-09-23 | 2016-07-12 | Ethicon Endo-Surgery, Llc | Robotically-controlled motorized surgical instrument |
US9050083B2 (en) | 2008-09-23 | 2015-06-09 | Ethicon Endo-Surgery, Inc. | Motorized surgical instrument |
US9005230B2 (en) | 2008-09-23 | 2015-04-14 | Ethicon Endo-Surgery, Inc. | Motorized surgical instrument |
US8360298B2 (en) | 2008-09-23 | 2013-01-29 | Covidien Lp | Surgical instrument and loading unit for use therewith |
US7988028B2 (en) | 2008-09-23 | 2011-08-02 | Tyco Healthcare Group Lp | Surgical instrument having an asymmetric dynamic clamping member |
US8210411B2 (en) | 2008-09-23 | 2012-07-03 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting instrument |
US7896214B2 (en) | 2008-09-23 | 2011-03-01 | Tyco Healthcare Group Lp | Tissue stop for surgical instrument |
JP2010075242A (ja) | 2008-09-24 | 2010-04-08 | Terumo Corp | 医療用マニピュレータ |
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 |
JP2010098844A (ja) | 2008-10-16 | 2010-04-30 | Toyota Motor Corp | 車両の電源システム |
US9889230B2 (en) | 2008-10-17 | 2018-02-13 | Covidien Lp | Hemostatic implant |
KR101075363B1 (ko) | 2008-10-31 | 2011-10-19 | 정창욱 | 최소 침습 수술 도구를 포함하는 수술용 로봇 시스템 |
US8231042B2 (en) | 2008-11-06 | 2012-07-31 | Tyco Healthcare Group Lp | Surgical stapler |
US7934631B2 (en) | 2008-11-10 | 2011-05-03 | Barosense, Inc. | Multi-fire stapling systems and methods for delivering arrays of staples |
US7886951B2 (en) | 2008-11-24 | 2011-02-15 | Tyco Healthcare Group Lp | Pouch used to deliver medication when ruptured |
GB0822110D0 (en) | 2008-12-03 | 2009-01-07 | Angiomed Ag | Catheter sheath for implant delivery |
US8034363B2 (en) | 2008-12-11 | 2011-10-11 | Advanced Technologies And Regenerative Medicine, Llc. | Sustained release systems of ascorbic acid phosphate |
US20100331856A1 (en) | 2008-12-12 | 2010-12-30 | Hansen Medical Inc. | Multiple flexible and steerable elongate instruments for minimally invasive operations |
US20100147921A1 (en) | 2008-12-16 | 2010-06-17 | Lee Olson | Surgical Apparatus Including Surgical Buttress |
US8770460B2 (en) | 2008-12-23 | 2014-07-08 | George E. Belzer | Shield for surgical stapler and method of use |
US20110278343A1 (en) | 2009-01-29 | 2011-11-17 | Cardica, Inc. | Clamping of Hybrid Surgical Instrument |
US8037591B2 (en) | 2009-02-02 | 2011-10-18 | Ethicon Endo-Surgery, Inc. | Surgical scissors |
US8397971B2 (en) | 2009-02-05 | 2013-03-19 | Ethicon Endo-Surgery, Inc. | Sterilizable surgical instrument |
US8485413B2 (en) | 2009-02-05 | 2013-07-16 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument comprising an articulation joint |
US8517239B2 (en) | 2009-02-05 | 2013-08-27 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument comprising a magnetic element driver |
US20100193566A1 (en) | 2009-02-05 | 2010-08-05 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument |
US8414577B2 (en) | 2009-02-05 | 2013-04-09 | Ethicon Endo-Surgery, Inc. | Surgical instruments and components for use in sterile environments |
US8245899B2 (en) | 2009-02-06 | 2012-08-21 | Ethicon Endo-Surgery, Inc. | Driven surgical stapler improvements |
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 |
US20110024478A1 (en) | 2009-02-06 | 2011-02-03 | Shelton Iv Frederick E | Driven Surgical Stapler Improvements |
US20100204717A1 (en) | 2009-02-12 | 2010-08-12 | Cardica, Inc. | Surgical Device for Multiple Clip Application |
WO2010098871A2 (en) | 2009-02-26 | 2010-09-02 | Amir Belson | Improved apparatus and methods for hybrid endoscopic and laparoscopic surgery |
US8317071B1 (en) | 2009-03-09 | 2012-11-27 | Cardica, Inc. | Endocutter with auto-feed buttress |
US7918376B1 (en) | 2009-03-09 | 2011-04-05 | Cardica, Inc. | Articulated surgical instrument |
US8066167B2 (en) | 2009-03-23 | 2011-11-29 | Ethicon Endo-Surgery, Inc. | Circular surgical stapling instrument with anvil locking system |
US8016178B2 (en) | 2009-03-31 | 2011-09-13 | Tyco Healthcare Group Lp | Surgical stapling apparatus |
US7988027B2 (en) | 2009-03-31 | 2011-08-02 | Tyco Healthcare Group Lp | Crimp and release of suture holding buttress material |
US8945163B2 (en) | 2009-04-01 | 2015-02-03 | Ethicon Endo-Surgery, Inc. | Methods and devices for cutting and fastening tissue |
US8257251B2 (en) | 2009-04-08 | 2012-09-04 | Ethicon Endo-Surgery, Inc. | Methods and devices for providing access into a body cavity |
US8444549B2 (en) | 2009-04-16 | 2013-05-21 | Covidien Lp | Self-steering endoscopic device |
WO2010126912A1 (en) | 2009-04-27 | 2010-11-04 | Intersect Ent, Inc. | Devices and methods for treating pain associated with tonsillectomies |
US8167898B1 (en) | 2009-05-05 | 2012-05-01 | Cardica, Inc. | Flexible cutter for surgical stapler |
US8328064B2 (en) | 2009-05-06 | 2012-12-11 | Covidien Lp | Pin locking mechanism for a surgical instrument |
US8523881B2 (en) | 2010-07-26 | 2013-09-03 | Valtech Cardio, Ltd. | Multiple anchor delivery tool |
US20100292540A1 (en) | 2009-05-12 | 2010-11-18 | Hess Christopher J | Surgical retractor and method |
US8056789B1 (en) | 2009-06-03 | 2011-11-15 | Cardica, Inc. | Staple and feeder belt configurations for surgical stapler |
US8132706B2 (en) | 2009-06-05 | 2012-03-13 | Tyco Healthcare Group Lp | Surgical stapling apparatus having articulation mechanism |
US8827134B2 (en) | 2009-06-19 | 2014-09-09 | Covidien Lp | Flexible surgical stapler with motor in the head |
US9463260B2 (en) | 2009-06-29 | 2016-10-11 | Covidien Lp | Self-sealing compositions |
CN101940844A (zh) | 2009-07-03 | 2011-01-12 | 林翠琼 | 模拟狗尾摆动装置 |
US8276802B2 (en) | 2009-07-11 | 2012-10-02 | Tyco Healthcare Group Lp | Surgical instrument with double cartridge and anvil assemblies |
US8146790B2 (en) | 2009-07-11 | 2012-04-03 | Tyco Healthcare Group Lp | Surgical instrument with safety mechanism |
WO2011008672A2 (en) | 2009-07-15 | 2011-01-20 | Ethicon Endo-Surgery, Inc. | Electrosurgery generator for ultrasonic surgical instruments |
US20110011916A1 (en) | 2009-07-16 | 2011-01-20 | New York University | Anastomosis device |
US8328062B2 (en) | 2009-07-21 | 2012-12-11 | Covidien Lp | Surgical instrument with curvilinear tissue-contacting surfaces |
US8968358B2 (en) | 2009-08-05 | 2015-03-03 | Covidien Lp | Blunt tissue dissection surgical instrument jaw designs |
US20110036891A1 (en) | 2009-08-11 | 2011-02-17 | Tyco Healthcare Group Lp | Surgical stapler with visual positional indicator |
US8276801B2 (en) | 2011-02-01 | 2012-10-02 | Tyco Healthcare Group Lp | Surgical stapling apparatus |
US8360299B2 (en) | 2009-08-11 | 2013-01-29 | Covidien Lp | Surgical stapling apparatus |
US8733612B2 (en) | 2009-08-17 | 2014-05-27 | Covidien Lp | Safety method for powered surgical instruments |
US8470355B2 (en) | 2009-10-01 | 2013-06-25 | Covidien Lp | Mesh implant |
CA2777105C (en) | 2009-10-09 | 2018-03-27 | Ethicon Endo-Surgery, Inc. | Surgical instrument surgical instrument comprising first and second drive systems actuatable by a common trigger mechanism |
US8141762B2 (en) | 2009-10-09 | 2012-03-27 | Ethicon Endo-Surgery, Inc. | Surgical stapler comprising a staple pocket |
US8152041B2 (en) | 2009-10-14 | 2012-04-10 | Tyco Healthcare Group Lp | Varying tissue compression aided by elastic members |
US8157151B2 (en) | 2009-10-15 | 2012-04-17 | Tyco Healthcare Group Lp | Staple line reinforcement for anvil and cartridge |
US8413872B2 (en) | 2009-10-28 | 2013-04-09 | Covidien Lp | Surgical fastening apparatus |
US8162138B2 (en) | 2009-11-09 | 2012-04-24 | Containmed, Inc. | Universal surgical fastener sterilization caddy |
CN102596087B (zh) | 2009-11-13 | 2015-07-22 | 直观外科手术操作公司 | 用于独立转动构件中的平行驱动轴的电动机接口 |
KR102009224B1 (ko) | 2009-11-13 | 2019-08-09 | 인튜어티브 서지컬 오퍼레이션즈 인코포레이티드 | 여분의 닫힘 메커니즘을 구비한 단부 작동기 |
US8622275B2 (en) | 2009-11-19 | 2014-01-07 | Ethicon Endo-Surgery, Inc. | Circular stapler introducer with rigid distal end portion |
US8136712B2 (en) | 2009-12-10 | 2012-03-20 | Ethicon Endo-Surgery, Inc. | Surgical stapler with discrete staple height adjustment and tactile feedback |
US8851354B2 (en) | 2009-12-24 | 2014-10-07 | Ethicon Endo-Surgery, Inc. | Surgical cutting instrument that analyzes tissue thickness |
US8220688B2 (en) | 2009-12-24 | 2012-07-17 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting instrument with electric actuator directional control assembly |
US8267300B2 (en) | 2009-12-30 | 2012-09-18 | Ethicon Endo-Surgery, Inc. | Dampening device for endoscopic surgical stapler |
US8608046B2 (en) | 2010-01-07 | 2013-12-17 | Ethicon Endo-Surgery, Inc. | Test device for a surgical tool |
US8313509B2 (en) | 2010-01-19 | 2012-11-20 | Covidien Lp | Suture and retainer assembly and SULU |
US9510925B2 (en) | 2010-02-02 | 2016-12-06 | Covidien Lp | Surgical meshes |
US8403945B2 (en) | 2010-02-25 | 2013-03-26 | Covidien Lp | Articulating endoscopic surgical clip applier |
US8696665B2 (en) | 2010-03-26 | 2014-04-15 | Ethicon Endo-Surgery, Inc. | Surgical cutting and sealing instrument with reduced firing force |
US8348127B2 (en) | 2010-04-07 | 2013-01-08 | Covidien Lp | Surgical fastener applying apparatus |
ES2387255T3 (es) | 2010-04-14 | 2012-09-19 | Tuebingen Scientific Medical Gmbh | Instrumento quirúrgico con cabeza de instrumento elásticamente movible |
US20110275901A1 (en) | 2010-05-07 | 2011-11-10 | Ethicon Endo-Surgery, Inc. | Laparoscopic devices with articulating end effectors |
US20110276083A1 (en) | 2010-05-07 | 2011-11-10 | Ethicon Endo-Surgery, Inc. | Bendable shaft for handle positioning |
US8646674B2 (en) | 2010-05-11 | 2014-02-11 | Ethicon Endo-Surgery, Inc. | Methods and apparatus for delivering tissue treatment compositions to stapled tissue |
US8464925B2 (en) | 2010-05-11 | 2013-06-18 | Ethicon Endo-Surgery, Inc. | Methods and apparatus for delivering tissue treatment compositions to stapled tissue |
US8685020B2 (en) | 2010-05-17 | 2014-04-01 | Ethicon Endo-Surgery, Inc. | Surgical instruments and end effectors therefor |
US20110293690A1 (en) | 2010-05-27 | 2011-12-01 | Tyco Healthcare Group Lp | Biodegradable Polymer Encapsulated Microsphere Particulate Film and Method of Making Thereof |
US8302323B2 (en) | 2010-06-21 | 2012-11-06 | Confluent Surgical, Inc. | Hemostatic patch |
US9028495B2 (en) | 2010-06-23 | 2015-05-12 | Covidien Lp | Surgical instrument with a separable coaxial joint |
US8366559B2 (en) | 2010-06-23 | 2013-02-05 | Lenkbar, Llc | Cannulated flexible drive shaft |
US20120004636A1 (en) | 2010-07-02 | 2012-01-05 | Denny Lo | Hemostatic fibrous material |
US8439246B1 (en) | 2010-07-20 | 2013-05-14 | Cardica, Inc. | Surgical stapler with cartridge-adjustable clamp gap |
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 |
US9289212B2 (en) | 2010-09-17 | 2016-03-22 | Ethicon Endo-Surgery, Inc. | Surgical instruments and batteries for surgical instruments |
US8632525B2 (en) | 2010-09-17 | 2014-01-21 | Ethicon Endo-Surgery, Inc. | Power control arrangements for surgical instruments and batteries |
US9877720B2 (en) | 2010-09-24 | 2018-01-30 | Ethicon Llc | Control features for articulating surgical device |
US8733613B2 (en) | 2010-09-29 | 2014-05-27 | Ethicon Endo-Surgery, Inc. | Staple cartridge |
US8978954B2 (en) | 2010-09-30 | 2015-03-17 | Ethicon Endo-Surgery, Inc. | Staple cartridge comprising an adjustable distal portion |
US9307989B2 (en) | 2012-03-28 | 2016-04-12 | Ethicon Endo-Surgery, Llc | Tissue stapler having a thickness compensator incorportating a hydrophobic agent |
US8893949B2 (en) | 2010-09-30 | 2014-11-25 | Ethicon Endo-Surgery, Inc. | Surgical stapler with floating anvil |
US9592050B2 (en) | 2010-09-30 | 2017-03-14 | Ethicon Endo-Surgery, Llc | End effector comprising a distal tissue abutment member |
US9220501B2 (en) | 2010-09-30 | 2015-12-29 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensators |
US9220500B2 (en) | 2010-09-30 | 2015-12-29 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator comprising structure to produce a resilient load |
US9364233B2 (en) | 2010-09-30 | 2016-06-14 | Ethicon Endo-Surgery, Llc | Tissue thickness compensators for circular surgical staplers |
US9351730B2 (en) | 2011-04-29 | 2016-05-31 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator comprising channels |
US9314246B2 (en) | 2010-09-30 | 2016-04-19 | Ethicon Endo-Surgery, Llc | Tissue stapler having a thickness compensator incorporating an anti-inflammatory agent |
US9332974B2 (en) | 2010-09-30 | 2016-05-10 | Ethicon Endo-Surgery, Llc | Layered tissue thickness compensator |
US9216019B2 (en) | 2011-09-23 | 2015-12-22 | Ethicon Endo-Surgery, Inc. | Surgical stapler with stationary staple drivers |
US9414838B2 (en) | 2012-03-28 | 2016-08-16 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator comprised of a plurality of materials |
US9301753B2 (en) | 2010-09-30 | 2016-04-05 | Ethicon Endo-Surgery, Llc | Expandable tissue thickness compensator |
US9320523B2 (en) | 2012-03-28 | 2016-04-26 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator comprising tissue ingrowth features |
US20120080478A1 (en) | 2010-09-30 | 2012-04-05 | Ethicon Endo-Surgery, Inc. | Surgical staple cartridges with detachable support structures and surgical stapling instruments with systems for preventing actuation motions when a cartridge is not present |
US20120248169A1 (en) | 2010-09-30 | 2012-10-04 | Ethicon Endo-Surgery, Inc. | Methods for forming tissue thickness compensator arrangements for surgical staplers |
US9517063B2 (en) | 2012-03-28 | 2016-12-13 | Ethicon Endo-Surgery, Llc | Movable member for use with a tissue thickness compensator |
BR112013007717B1 (pt) | 2010-09-30 | 2020-09-24 | Ethicon Endo-Surgery, Inc. | Sistema de grampeamento cirúrgico |
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 |
CN103429182B (zh) | 2010-10-01 | 2016-01-20 | 伊西康内外科公司 | 具有钳口构件的外科器械 |
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 |
EP2640301B1 (en) | 2010-11-15 | 2016-03-30 | Intuitive Surgical Operations, Inc. | Decoupling instrument shaft roll and end effector actuation in a surgical instrument |
US20120175398A1 (en) | 2010-11-22 | 2012-07-12 | Mayo Foundation For Medical Education And Research | Stapling apparatus and methods of assembling or operating the same |
US8523043B2 (en) | 2010-12-07 | 2013-09-03 | Immersion Corporation | Surgical stapler having haptic feedback |
US8348130B2 (en) | 2010-12-10 | 2013-01-08 | Covidien Lp | Surgical apparatus including surgical buttress |
US9084602B2 (en) | 2011-01-26 | 2015-07-21 | Covidien Lp | Buttress film with hemostatic action for surgical stapling apparatus |
KR101918531B1 (ko) | 2011-02-15 | 2018-11-14 | 인튜어티브 서지컬 오퍼레이션즈 인코포레이티드 | 구동 샤프트에 의해 가동되는 관절식 말단 작동기를 구비한 수술 기구를 위한 시일 및 실링 방법 |
US8479968B2 (en) | 2011-03-10 | 2013-07-09 | Covidien Lp | Surgical instrument buttress attachment |
US9113884B2 (en) | 2011-03-14 | 2015-08-25 | Ethicon Endo-Surgery, Inc. | Modular surgical tool systems |
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 |
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 |
US9044229B2 (en) | 2011-03-15 | 2015-06-02 | Ethicon Endo-Surgery, Inc. | Surgical fastener instruments |
US8800841B2 (en) | 2011-03-15 | 2014-08-12 | Ethicon Endo-Surgery, Inc. | Surgical staple cartridges |
US20120234895A1 (en) | 2011-03-15 | 2012-09-20 | Ethicon Endo-Surgery, Inc. | Surgical staple cartridges and end effectors with vessel measurement arrangements |
US8789737B2 (en) | 2011-04-27 | 2014-07-29 | Covidien Lp | Circular stapler and staple line reinforcement material |
AU2012201645B2 (en) | 2011-04-29 | 2015-04-16 | Covidien Lp | Surgical stapling apparatus |
US8852185B2 (en) | 2011-05-19 | 2014-10-07 | Covidien Lp | Apparatus for performing an electrosurgical procedure |
US9072535B2 (en) | 2011-05-27 | 2015-07-07 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments with rotatable staple deployment arrangements |
KR102012698B1 (ko) | 2011-05-31 | 2019-08-21 | 인튜어티브 서지컬 오퍼레이션즈 인코포레이티드 | 로봇 수술 기구에서의 파지력 제어 |
WO2012166817A2 (en) | 2011-05-31 | 2012-12-06 | Intuitive Surgical Operations, Inc. | Surgical instrument with single drive input for two end effector mechanisms |
WO2013009795A1 (en) | 2011-07-13 | 2013-01-17 | Cook Medical Technologies Llc | Foldable surgical retractor |
US8603135B2 (en) | 2011-07-20 | 2013-12-10 | Covidien Lp | Articulating surgical apparatus |
US9492170B2 (en) | 2011-08-10 | 2016-11-15 | Ethicon Endo-Surgery, Inc. | Device for applying adjunct in endoscopic procedure |
US8789739B2 (en) | 2011-09-06 | 2014-07-29 | Ethicon Endo-Surgery, Inc. | Continuous stapling instrument |
US9999408B2 (en) | 2011-09-14 | 2018-06-19 | Ethicon Endo-Surgery, Inc. | Surgical instrument with fluid fillable buttress |
US9050084B2 (en) | 2011-09-23 | 2015-06-09 | Ethicon Endo-Surgery, Inc. | Staple cartridge including collapsible deck arrangement |
US9089326B2 (en) | 2011-10-07 | 2015-07-28 | Ethicon Endo-Surgery, Inc. | Dual staple cartridge for surgical stapler |
US8585721B2 (en) | 2011-10-12 | 2013-11-19 | Covidien Lp | Mesh fixation system |
US9421060B2 (en) | 2011-10-24 | 2016-08-23 | Ethicon Endo-Surgery, Llc | Litz wire battery powered device |
US20130098970A1 (en) | 2011-10-25 | 2013-04-25 | David Racenet | Surgical Apparatus and Method for Endoluminal Surgery |
US8672206B2 (en) | 2011-10-25 | 2014-03-18 | Covidien Lp | Apparatus for endoscopic procedures |
US9486213B2 (en) | 2011-11-14 | 2016-11-08 | Thd Lap Ltd. | Drive mechanism for articulating tacker |
JP6230541B2 (ja) | 2011-11-15 | 2017-11-15 | インテュイティブ サージカル オペレーションズ, インコーポレイテッド | しまい込めるナイフブレードを持つ手術器具 |
US8967448B2 (en) | 2011-12-14 | 2015-03-03 | Covidien Lp | Surgical stapling apparatus including buttress attachment via tabs |
US9010608B2 (en) | 2011-12-14 | 2015-04-21 | Covidien Lp | Releasable buttress retention on a surgical stapler |
US9351731B2 (en) | 2011-12-14 | 2016-05-31 | Covidien Lp | Surgical stapling apparatus including releasable surgical buttress |
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 |
US20130231661A1 (en) | 2012-03-01 | 2013-09-05 | Hasan M. Sh. Sh. Alshemari | Electrosurgical midline clamping scissors |
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 |
US20130256373A1 (en) | 2012-03-28 | 2013-10-03 | Ethicon Endo-Surgery, Inc. | Devices and methods for attaching tissue thickness compensating materials to surgical stapling instruments |
US9101358B2 (en) | 2012-06-15 | 2015-08-11 | Ethicon Endo-Surgery, Inc. | Articulatable surgical instrument comprising a firing drive |
US9028494B2 (en) | 2012-06-28 | 2015-05-12 | Ethicon Endo-Surgery, Inc. | Interchangeable end effector coupling arrangement |
US8747238B2 (en) | 2012-06-28 | 2014-06-10 | Ethicon Endo-Surgery, Inc. | Rotary drive shaft assemblies for surgical instruments with articulatable end effectors |
US20140005718A1 (en) | 2012-06-28 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Multi-functional powered surgical device with external dissection features |
US20140001234A1 (en) | 2012-06-28 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Coupling arrangements for attaching surgical end effectors to drive systems therefor |
US9649111B2 (en) | 2012-06-28 | 2017-05-16 | Ethicon Endo-Surgery, Llc | Replaceable clip cartridge for a clip applier |
US9561038B2 (en) | 2012-06-28 | 2017-02-07 | Ethicon Endo-Surgery, Llc | Interchangeable clip applier |
US9289256B2 (en) | 2012-06-28 | 2016-03-22 | Ethicon Endo-Surgery, Llc | Surgical end effectors having angled tissue-contacting surfaces |
US9101385B2 (en) | 2012-06-28 | 2015-08-11 | Ethicon Endo-Surgery, Inc. | Electrode connections for rotary driven surgical tools |
US20140005640A1 (en) | 2012-06-28 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Surgical end effector jaw and electrode configurations |
US20140001231A1 (en) | 2012-06-28 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Firing system lockout arrangements for surgical instruments |
US9125662B2 (en) | 2012-06-28 | 2015-09-08 | Ethicon Endo-Surgery, Inc. | Multi-axis articulating and rotating surgical tools |
US9119657B2 (en) | 2012-06-28 | 2015-09-01 | Ethicon Endo-Surgery, Inc. | Rotary actuatable closure arrangement for surgical end effector |
US20140005702A1 (en) | 2012-06-29 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical instruments with distally positioned transducers |
US20140048580A1 (en) | 2012-08-20 | 2014-02-20 | Covidien Lp | Buttress attachment features for surgical stapling apparatus |
US9386984B2 (en) | 2013-02-08 | 2016-07-12 | Ethicon Endo-Surgery, Llc | Staple cartridge comprising a releasable cover |
US20140224857A1 (en) | 2013-02-08 | 2014-08-14 | Ethicon Endo-Surgery, Inc. | Staple cartridge comprising a compressible portion |
US9700309B2 (en) | 2013-03-01 | 2017-07-11 | Ethicon Llc | Articulatable surgical instruments with conductive pathways for signal communication |
US20140263552A1 (en) | 2013-03-13 | 2014-09-18 | Ethicon Endo-Surgery, Inc. | Staple cartridge tissue thickness sensor system |
US9629623B2 (en) | 2013-03-14 | 2017-04-25 | Ethicon Endo-Surgery, Llc | Drive system lockout arrangements for modular surgical instruments |
US9629629B2 (en) | 2013-03-14 | 2017-04-25 | Ethicon Endo-Surgey, LLC | Control systems for surgical instruments |
US20140291379A1 (en) | 2013-03-27 | 2014-10-02 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator comprising a cutting member path |
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 |
US10405857B2 (en) | 2013-04-16 | 2019-09-10 | Ethicon Llc | Powered linear surgical stapler |
US9574644B2 (en) | 2013-05-30 | 2017-02-21 | Ethicon Endo-Surgery, Llc | Power module for use with a surgical instrument |
US20140166726A1 (en) | 2014-02-24 | 2014-06-19 | Ethicon Endo-Surgery, Inc. | Staple cartridge including a barbed staple |
-
2012
- 2012-06-28 US US13/536,284 patent/US9072536B2/en active Active
-
2013
- 2013-06-20 EP EP13734251.5A patent/EP2866680B8/en active Active
- 2013-06-20 JP JP2015520316A patent/JP6117354B2/ja active Active
- 2013-06-20 RU RU2015102601A patent/RU2647778C2/ru not_active IP Right Cessation
- 2013-06-20 WO PCT/US2013/046790 patent/WO2014004255A1/en active Application Filing
- 2013-06-20 CN CN201380044587.XA patent/CN104602619B/zh active Active
- 2013-06-20 BR BR112014032653-3A patent/BR112014032653B1/pt active IP Right Grant
Patent Citations (7)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
EP0379721A1 (en) * | 1988-12-26 | 1990-08-01 | Tochigifujisangyo Kabushiki Kaisha | Differential gear |
US5465819A (en) * | 1992-09-29 | 1995-11-14 | Borg-Warner Automotive, Inc. | Power transmitting assembly |
CN100432484C (zh) * | 2003-06-13 | 2008-11-12 | Zf腓德烈斯哈芬股份公司 | 行星齿轮变速器 |
US20080001559A1 (en) * | 2006-06-30 | 2008-01-03 | Schena Bruce M | Mechanically decoupled capstan drive |
US20110295270A1 (en) * | 2007-01-10 | 2011-12-01 | Ethicon Endo-Surgery, Inc. | Surgical instrument with wireless communication between a control unit of a robotic system and remote sensor |
CN101401736A (zh) * | 2007-10-05 | 2009-04-08 | Tyco医疗健康集团 | 动力手术缝合装置 |
EP2044890A1 (en) * | 2007-10-05 | 2009-04-08 | Tyco Healthcare Group LP | Powered surgical stapling device |
Cited By (11)
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CN106963437A (zh) * | 2015-09-25 | 2017-07-21 | 柯惠Lp公司 | 包括可移除的套管针组件的接合器组件 |
CN106963437B (zh) * | 2015-09-25 | 2021-03-16 | 柯惠Lp公司 | 包括可移除的套管针组件的接合器组件 |
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EP2866680B1 (en) | 2020-08-19 |
EP2866680B8 (en) | 2020-10-21 |
US20140000411A1 (en) | 2014-01-02 |
EP2866680A1 (en) | 2015-05-06 |
CN104602619B (zh) | 2017-03-29 |
RU2647778C2 (ru) | 2018-03-19 |
WO2014004255A1 (en) | 2014-01-03 |
RU2015102601A (ru) | 2016-08-20 |
BR112014032653B1 (pt) | 2022-05-17 |
JP2015521904A (ja) | 2015-08-03 |
BR112014032653A2 (pt) | 2017-06-27 |
US9072536B2 (en) | 2015-07-07 |
JP6117354B2 (ja) | 2017-04-19 |
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