CN104856646A - 用于光学地检测组织属性的器械 - Google Patents

用于光学地检测组织属性的器械 Download PDF

Info

Publication number
CN104856646A
CN104856646A CN201410853912.3A CN201410853912A CN104856646A CN 104856646 A CN104856646 A CN 104856646A CN 201410853912 A CN201410853912 A CN 201410853912A CN 104856646 A CN104856646 A CN 104856646A
Authority
CN
China
Prior art keywords
jaw members
tissue
light
photodetector
clamped
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
CN201410853912.3A
Other languages
English (en)
Other versions
CN104856646B (zh
Inventor
伊丽莎白·胡夫纳格尔
陈兴瑞
马修·乔瓦尼奇
彼得·T·科林斯
保罗·D·理查德
迈克尔·A·热姆洛克
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Covidien LP
Original Assignee
Covidien LP
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Covidien LP filed Critical Covidien LP
Publication of CN104856646A publication Critical patent/CN104856646A/zh
Application granted granted Critical
Publication of CN104856646B publication Critical patent/CN104856646B/zh
Active legal-status Critical Current
Anticipated expiration legal-status Critical

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/06—Measuring instruments not otherwise provided for
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00002—Operational features of endoscopes
    • A61B1/00004—Operational features of endoscopes characterised by electronic signal processing
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00002—Operational features of endoscopes
    • A61B1/00043—Operational features of endoscopes provided with output arrangements
    • A61B1/00045—Display arrangement
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00002—Operational features of endoscopes
    • A61B1/00043—Operational features of endoscopes provided with output arrangements
    • A61B1/00055—Operational features of endoscopes provided with output arrangements for alerting the user
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00064—Constructional details of the endoscope body
    • A61B1/00071—Insertion part of the endoscope body
    • A61B1/0008—Insertion part of the endoscope body characterised by distal tip features
    • A61B1/00087—Tools
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A61B17/07207—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously the staples being applied sequentially
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/30—Surgical robots
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/70—Manipulators specially adapted for use in surgery
    • A61B34/76—Manipulators having means for providing feel, e.g. force or tactile feedback
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/0059—Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence
    • A61B5/0071—Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence by measuring fluorescence emission
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/0059—Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence
    • A61B5/0082—Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence adapted for particular medical purposes
    • A61B5/0084—Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence adapted for particular medical purposes for introduction into the body, e.g. by catheters
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/103—Detecting, measuring or recording devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
    • A61B5/107—Measuring physical dimensions, e.g. size of the entire body or parts thereof
    • A61B5/1075—Measuring physical dimensions, e.g. size of the entire body or parts thereof for measuring dimensions by non-invasive methods, e.g. for determining thickness of tissue layer
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/103—Detecting, measuring or recording devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
    • A61B5/107—Measuring physical dimensions, e.g. size of the entire body or parts thereof
    • A61B5/1079—Measuring physical dimensions, e.g. size of the entire body or parts thereof using optical or photographic means
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/48—Other medical applications
    • A61B5/4836—Diagnosis combined with treatment in closed-loop systems or methods
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/48—Other medical applications
    • A61B5/486—Bio-feedback
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6846—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive
    • A61B5/6847—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive mounted on an invasive device
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00017—Electrical control of surgical instruments
    • A61B2017/00022—Sensing or detecting at the treatment site
    • A61B2017/00057—Light
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00017—Electrical control of surgical instruments
    • A61B2017/00115—Electrical control of surgical instruments with audible or visual output
    • A61B2017/00119—Electrical control of surgical instruments with audible or visual output alarm; indicating an abnormal situation
    • A61B2017/00123—Electrical control of surgical instruments with audible or visual output alarm; indicating an abnormal situation and automatic shutdown
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/0046—Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/0046—Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable
    • A61B2017/00473—Distal part, e.g. tip or head
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00681—Aspects not otherwise provided for
    • A61B2017/00734—Aspects not otherwise provided for battery operated
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A61B2017/2926—Details of heads or jaws
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636—Sensing and controlling the application of energy
    • A61B2018/00773—Sensed parameters
    • A61B2018/00779—Power or energy
    • A61B2018/00785—Reflected power
    • 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
    • A61B2034/302—Surgical robots specifically adapted for manipulations within body cavities, e.g. within abdominal or thoracic cavities
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/06—Measuring instruments not otherwise provided for
    • A61B2090/061—Measuring instruments not otherwise provided for for measuring dimensions, e.g. length
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/30—Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure
    • A61B2090/304—Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure using chemi-luminescent materials
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/30—Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure
    • A61B2090/309—Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure using white LEDs
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2505/00—Evaluating, monitoring or diagnosing in the context of a particular type of medical care
    • A61B2505/05—Surgical care

Abstract

钳夹组件包括第一钳夹构件和第二钳夹构件，第一钳夹构件和第二钳夹构件构造为夹紧二者之间的组织。第一钳夹构件包括与第二钳夹构件的表面相对的表面、光源、以及光检测器。光源被构造为从限定在第一钳夹构件的表面中的开口发射光。光检测器布置在开口内并且被构造为感测从夹紧在第一钳夹构件和第二钳夹构件之间的组织反射的光的特性，并产生指示感测到的光的特性的信号。处理器与光检测器可操作地结合并且被构造为接收来自光检测器的信号。处理器还被构造为分析信号从而确定夹紧在第一钳夹构件和第二钳夹构件之间的组织的属性以及向使用者提供组织的属性的反馈。

Description

用于光学地检测组织属性的器械
相关申请的交叉引用
本申请要求于2014年2月21日提交的序列号为61/942,937的美国临时专利申请的权益及优先权，将其全部内容以引用方式并入本申请。
技术领域
本公开涉及手术器械，并且，更具体地，涉及用于使用光学技术检测组织的属性的手术器械。
背景技术
在内窥镜检查手术操作中，手术通过小切口或者通过穿过皮肤中的小创口或者穿过自然存在的口插入的窄小的内窥镜检查管(插管)在人体的任何中空的内脏中进行。在腹部的内部内进行的内窥镜检查手术操作称作腹腔镜检查操作。如此处使用的，腹腔镜检查与内窥镜检查操作共同称为内窥镜检查操作。内窥镜检查操作经常需要临床医生在远离切口的器官、组织以及脉管上进行。
在内窥镜检查操作过程中，外科医生可以通过知道正被操纵的组织的属性获益，从而增加操作的效率。例如，知道组织的厚度可以帮助外科医生为组织选择合适尺寸的吻合钉。另外，识别手术部位内的脉管的特性，外科医生可以识别红血球浓度从而确定组织是否病变或者癌变。
发明内容
因此，本公开涉及构造为提供手术部位内的组织特性的在外科手术时产生的反馈的内窥镜检查手术器械。
在本公开的方案中，钳夹组件包括在打开构造与夹紧构造之间能相对于彼此移动的第一钳夹构件和第二钳夹构件。在夹紧构造中，第一钳夹构件和第二钳夹构件被构造为夹紧其间的组织。第一钳夹构件包括与第二钳夹构件的表面相对的表面。第一钳夹构件进一步包括限定在第一钳夹构件的表面中的开口。第一钳夹构件还包括构造为从所述开口发射光的光源以及布置在所述开口内的光检测器。光检测器被构造为感测从夹紧在第一钳夹构件和第二钳夹构件之间的组织反射的光的特性并且被构造为产生指示感测到的光的特性的信号。钳夹组件进一步包括与光检测器可操作地结合的处理器。处理器被构造为接收来自光检测器的指示光的特性的信号，分析信号以判定在第一钳夹构件和第二钳夹构件之间被夹紧的组织的属性，以及向使用者提供组织属性的听觉的、触觉的或者视觉的反馈。处理器可以被构造为判定夹紧在第一钳夹构件和第二钳夹构件之间的组织的厚度。光源可以被构造为通过电激励、白炽灯、发光二极管、电致发光、气体放电、高强度放电、激光、化学放电、荧光、或者磷光中的一种产生光。
在实施例中，第二钳夹构件包括布置于限定在第二钳夹构件的表面中的第二开口内的第二光检测器。第二光检测器被构造为感测来自第一钳夹构件的光源通过在第一钳夹构件和第二钳夹构件之间被夹紧的组织传送的光的特性，并且被构造为产生指示感测到的光的特性的信号。第二光检测器可以将信号传送到处理器。
在一些实施例中，第二钳夹构件包括构造为通过限定在第二钳夹构件的表面中的第二开口发射光的第二光源。第二钳夹构件进一步包括第二光检测器，该第二光检测器布置在第二开口内并构造为感测从第二光源发射并被在第一钳夹构件和第二钳夹构件之间被夹紧的组织反射的光的特性，并且构造为产生指示感测到的光的特性的信号。
在某些实施例中，第一钳夹构件包括砧座，并且第二钳夹构件包括吻合钉钉仓。吻合钉钉仓包括多个吻合钉，该多个吻合钉构造为被驱动穿过在第一钳夹构件和第二钳夹构件之间被夹紧的组织。
在本公开的方案中，手术器械包括手柄、从手柄延伸的细长轴、以及钳夹组件。钳夹组件包括在打开构造与夹紧构造之间能相对于彼此移动的第一钳夹构件和第二钳夹构件。在夹紧构造中，第一钳夹构件和第二钳夹构件被构造为夹紧其间的组织。第一钳夹构件包括与第二钳夹构件的表面相对的表面。第一钳夹构件进一步包括限定在第一钳夹构件的表面中的开口。第一钳夹构件还包括构造为从开口发射光的光源以及布置在开口内的光检测器。光检测器被构造为感测从夹紧在第一钳夹构件和第二钳夹构件之间的组织反射的光的特性，并且被构造为产生指示感测到的光的特性的信号。钳夹组件进一步包括与光检测器可操作地结合的处理器。处理器被构造为接收来自光检测器的指示光的特性的信号，分析信号以判定在第一钳夹构件和第二钳夹构件之间被夹紧的组织的属性，以及向使用者提供组织属性的听觉的、触觉的或者视觉的反馈。
在实施例中，手术器械可以包括布置在手柄上的控制界面，该控制界面与钳夹组件可操作地结合。控制界面被构造为在打开构造和夹紧构造之间致动第一钳夹构件和第二钳夹构件。控制界面与光源可操作地结合从而启动光源以从开口发射光。
在一些实施例中，手术器械包括布置在手柄上的显示面板。显示面板与处理器可操作地结合并构造为显示组织属性的反馈。
在某些实施例中，处理器布置在细长轴内。在其他实施例中，处理器布置在手柄内。
在特殊的实施例中，钳夹构件中的一个包括吻合钉钉仓，所述吻合钉钉仓具有构造为射出穿过在第一钳夹构件和第二钳夹构件之间被夹紧的组织的多个吻合钉。处理器可以被构造为控制吻合钉从手术器械的射出。
在本公开的一些方案中，用于检测组织属性的方法包括提供钳夹组件，夹紧位于钳夹组件的第一钳夹构件和第二钳夹构件之间的组织，从位于第一钳夹构件的表面中的开口发射光，感测组织反射的光的特性，向处理器传送指示光的特性的信号，使用处理器通过信号来判定组织属性，并且向使用者提供组织属性的反馈。第一钳夹构件和第二钳夹构件在打开构造与夹紧构造之间能相对于彼此移动。第一钳夹构件的表面与第二钳夹构件相对。
该方法可以包括感测通过在钳夹组件的第一钳夹构件和第二钳夹构件之间被夹紧的组织传送的光的特性。第一钳夹构件包括光源，并且第二钳夹构件包括第二光检测器。从开口发射光可以包括启动第一钳夹构件的光源。
所述方法可以包括从联接到第一钳夹构件和第二钳夹构件中的一个钳夹构件的吻合钉钉仓射出吻合钉穿过在第一钳夹构件和第二钳夹构件之间被夹紧的组织。判定组织属性可以包括判定在钳夹构件之间被夹紧的组织的组织厚度，并且该方法可以包括将已判定的组织厚度与预先确定的组织厚度数值进行比较，并且当判定的组织厚度大于预先确定的数值时，阻止手术器械的附加功能。所述方法可以进一步包括将预先确定的组织厚度数值输入到与处理器可操作地结合的控制界面中。所述方法可以进一步包括将吻合钉钉仓联接到第一钳夹构件和第二钳夹构件中的一个钳夹构件。吻合钉钉仓可以将预先确定的数值传送到处理器。
进一步地，在相容的情况下，此处描述的任何方案可以用于与此处描述的其他方案中的任何或者全部方案联合。
附图说明
将参照附图在下文中描述本公开的各种方案，其中：
图1为根据本公开的包括构造为光学地检测组织的特性的末端执行器的手术器械的立体图；
图2为图1的细节区域“2”的放大图，其示出了图1的手术器械的钳夹构件处于打开构造；
图3为处于夹紧构造的图2的钳夹构件的立体图；
图4为沿图3的直线4-4截取的侧视剖视图，其示出了检测组件的部件；
图5为根据本公开的包括末端执行器的手术器械的立体图，该末端执行器构造为光学地检测组织的特性并且射出吻合钉穿过在末端执行器内夹紧的组织；
图6为在图5中示出的末端执行器的钳夹构件的立体图；
图7为沿图6的直线7-7截取的侧视剖视图，其示出了钳夹构件组件的部件；以及
图8为图7的细节区域“8”的放大图，其示出了布置在由上钳夹构件限定的开口内的检测组件的一部分。
具体实施方式
现在参照附图详细描述本公开的实施例，其中在多个视图的每一个中，相同的附图标记指定相同或对应的元件。如此处所使用的，术语“临床医生”指的是医生、护士或者任何其他的护理提供者并且可以包括支持人员。整个说明书中，术语“近侧”指的是装置的最靠近临床医生的部分或者其部件，而术语“远侧”指的是装置的最远离临床医生的部分或者其部件。
参照图1，根据本公开提供了手术器械10，其包括：手柄20、从手柄20延伸的细长轴30、以及联接到细长轴30的远侧端34的钳夹组件40。手柄20包括控制界面22和显示面板28。如下文详细描述的，控制界面22可操作地与钳夹组件40结合。如下文详细描述的，显示面板28被构造为显示夹紧在钳夹组件40内的组织的组织特性。
在替换实施例中，显示面板28没有出现在手柄20上，而是远程连接到手术器械10的屏幕(例如，位于手术室之内或之外的手术监视器(未示出))或者起到远程连接到手术器械10的屏幕的作用。可以构想，控制界面22可以合并到显示面板28中(例如，触摸屏显示面板，无论显示面板28是在手柄20上还是远程的)。
在实施例中，手柄20为动力驱动的手柄，并且控制界面22包括多个按钮或开关以操纵钳夹组件40。在有些实施例中，手柄20为手动手柄，并且控制界面22包括扳机和控制杆(未示出)以操纵钳夹组件40。这样的手柄的典型的例子公开在于2012年5月31日提交的序列号为13/484,975的共有的并且悬而未决的美国专利申请中，并且上述专利于2012年10月4日以公布号2012/0253329作为美国专利公布，其全部内容以引用的形式并入此处。
细长轴30将钳夹组件40与手柄20可操作地结合。细长轴30的近侧端32可以与手柄20一体地形成。在实施例中，近侧端32将细长轴30可释放地联接到手柄20。在有些实施例中，细长轴30的远侧端34包括可拆卸的末端执行器组件36，该末端执行器组件36包括钳夹组件40。在实施例中，细长轴30可以相对于手柄20旋转。在有些实施例中，钳夹组件40相对于细长轴30做关节式运动。
参照图2至图4，钳夹组件40包括上钳夹构件42、下钳夹构件44、以及检测组件50。上钳夹构件42在与下钳夹构件44相对的表面中限定了多个开口43。下钳夹构件44可以在与上钳夹构件42相对的表面中限定多个开口45。
钳夹构件42、44相对于彼此在打开构造(图2)与夹紧构造(图3)之间能够移动，其中，在打开构造，钳夹构件42、44彼此隔开，而在夹紧构造，钳夹构件42、44是接近的。控制界面22(图1)可以用于支配钳夹构件42、44在打开构造与夹紧构造之间的转换。
具体参照图4，检测组件50布置在钳夹组件40内并且包括光源52a、52b，光检测器54a、54b，以及处理器58。上钳夹构件42包括单独的光源52a以及布置在由上钳夹构件42限定的每个开口43内的光检测器54a。来自光源52a的光通过光缆或者光管53被导引至每个开口43，从而使来自光源52a的光从开口43中的每个开口发射。可以领会，在单独的钳夹构件(例如，上钳夹构件42)中具有光源和光检测器简化了通向光源和光检测器的线路和线缆的布线。另外，可以领会，单独的钳夹构件可以相对于细长轴固定，从而进一步简化通向光源和光检测器的线路和线缆的布线。
在实施例中，下钳夹构件44包括多个光源52b和光检测器54b，所述多个光源52b和光检测器54b布置在由下钳夹构件44限定的每个开口45内。光源52b为构造为通过开口45发射光的直接光源。
光源52a、52b可以通过各种方式产生光，包括但不限于电激励、白炽灯、电致发光、气体放电、高强度放电、激光、化学放电、荧光和/或磷光。可以构想，下钳夹构件44可以包括通过光缆或者光管(未示出)导引至开口45的单独的光源52b，类似于穿过上钳夹构件42而延伸到开口43的光缆或者光管53。可以进一步构想，光源52a可以是布置在上钳夹构件42的开口43内的多个光源52a，类似于布置在下钳夹构件44的开口45内的光源52b。
每个光检测器54a、54b与处理器58可操作地结合。每个光检测器54a、54b都是构造为光学地检测与光检测器54a、54b接触的光的特性的传感器。每个光检测器54a、54b与处理器58可操作地结合。可以构想，每个光检测器54a、54b可以有线地直接连接到处理器58或者无线地连接到处理器58。光检测器54a、54b相互调整一致从而加强光属性的检测是在本公开范围内的。每个光源、每个光管、或者每组光源或者每组光管可以与特定的光检测器结合，使光检测器被构造为只检测来自所结合的光源、光管、或者一组光源或者光管的光的情况也是在本公开范围内的。进一步地，光源或光管可以被顺序地操作从而产生更清晰的组织特性的图像是在本公开的范围内的。
无线连接可以通过无线电频率、光纤、WIFI、蓝牙(用于在短距离范围内从固定的或者移动的装置交换数据(使用短波长无线电波)，建立个人域网(PANs)的开放无线协议)、紫蜂协议(用于使用基于针对无线个人域网(WPANs)的IEEE802.15.4-2003标准的小规模、低功率数字无线电的一套高级别通信协议的规范)等。
处理器58可以布置在手术器械10内(例如，在手柄20内、在细长轴30内、或者在钳夹组件40内)或者布置在手术器械10外。处理器58被构造为接收包括来自光检测器54a、54b的光的特性的一个或多个信号，并且被构造为分析该信号从而判定在第一钳夹构件和第二钳夹构件之间被夹紧的组织的属性。如在下文中详细描述的，处理器58与显示面板28可操作地结合，从而显示在钳夹组件40内被夹紧的组织的属性。
每个光检测器54a、54b可以被构造为检测注入患者血流中的特定的化学物质或者药剂，包括但不限于生物发光、辐射发光、化学发光、荧光和/或磷光的化学物质线缆或者药剂线缆。可以构想，每个光检测器54a、54b可以被构造为与每个其他的光检测器54a、54b相比检测相同或者不同的化学物质或者药剂。还可以构想，在钳夹构件42、44中的对应的一个钳夹构件中的每个开口43、45可以包括多于一个光检测器54a、54b，每个光检测器54a、54b构造为检测光的不同属性或者相同属性。
参照图3和图4，根据本公开，检测组件50被用于判定夹紧在钳夹组件40内的组织的属性。当组织夹紧在钳夹组件40的上钳夹构件42和下钳夹构件44之间时，光源52a、52b中的一个光源或者更多光源被启动，从而从钳夹构件42、44中对应的开口43、45发射光。控制组件22(图1)可以用于启动光源52a、52b。从开口43、45发射的光从夹紧在钳夹组件40内的组织的表面反射，将一些光反向散射回对应的开口43、45(例如，从光源52a发射的通过开口43的光从组织的表面反射，传输回到开口43并且被布置在开口43内的光检测器54a感测)。光也可以通过组织传送并进入相对的开口43、45(例如，从光源52a发射的通过开口43的光可以通过组织传送进入与开口43相对的开口45，并且被布置在开口45内的光检测器54b感测)。
在实施例中，光源52b或者光缆53的末端可以定位在开口45内，从而与组织的表面直接接触，以实现短的光子路径长度。
由光检测器54a、54b感测的光的特性被转换为电信号并传送到处理器58。处理器58分析指示所感测到的光的特性的信号，从而判定夹紧在钳夹构件42、44之间的组织的属性并将组织属性显示在显示面板28上。例如，光的强度可以用于计算夹紧在钳夹组件40内的已知的组织类型(即，肺、胃、肠、肌肉等)的厚度，并且，显示面板28显示计算出的组织厚度。
另外，光检测器54a、54b可以被构造为感测与注入患者血流中的特定的化学物质或者药剂结合的光的特性。进一步地，光检测器54a、54b可以被构造为感测指示外来物体、染病组织、或者在夹紧在钳夹组件40内的组织内的非组织的光的特性。
在实施例中，处理器58可以将在钳夹组件40内被夹紧的组织的组织厚度与预先确定的数值比较，并且向临床医生提供组织厚度大于或者小于预先确定的数值的标志。当组织厚度大于预先确定的数值时，处理器58可以向临床医生提供可听到的、触觉的、或者视觉的标志(例如，红色光、故障音、停止图标、警报灯方式、可听到的警报方式等)，以提醒临床医生组织厚度大于预先确定的数值。当组织厚度小于或者等于预先确定的数值时，处理器58可以向临床医生提供可听到的、触觉的、或者视觉的标志(例如，绿色光、继续运转音调、工作正常图标、工作正常灯方式、可听到的工作正常方式等)，以提醒临床医生组织厚度小于或者等于预先确定的数值。通过确定的组织的厚度，临床医生可以选择合适地构造的手术器械(例如，装载有合适尺寸的多个手术吻合钉的手术吻合器)来完成特定的手术任务。
参照图5至图8，根据本公开而提供的手术器械100包括：手柄20、从手柄20延伸的细长轴30、包括钳夹组件140的可拆卸的末端执行器组件36。钳夹组件140包括上钳夹构件142、下钳夹构件144、以及检测组件150。上钳夹构件142包括具有多个吻合钉凹穴164的砧座162。砧座162可以可释放地联接到上钳夹构件142。开口143限定在砧座162中并位于每个吻合钉凹穴164之间。
下钳夹构件144包括具有构造为被射出并穿过在上钳夹构件142和下钳夹构件144之间被夹紧的组织的多个吻合钉168的吻合钉钉仓166。每个吻合钉168与构造为从吻合钉钉仓166朝向砧座162推进吻合钉168穿过在钳夹构件142、144之间被夹紧的组织的吻合钉推进器169结合。当每个吻合钉168与砧座162接触时，每个吻合钉168的腿形成为将吻合钉168固定于在钳夹构件142、144之间被夹紧的组织内。吻合钉钉仓166可以可释放地被联接到下钳夹构件144。
检测组件150包括多个光源52a、多个光检测器54a、以及处理器158。光源52a和光检测器54a布置于限定在上钳夹构件142的砧座162中的开口143内。处理器158布置在手柄20内并且与光检测器54a可操作地结合。手术器械100的光源52a、光检测器54a、以及处理器158大致类似于上文详细描述的手术器械10的光源52a、光检测器54a、以及处理器58而操作，同样下文只对区别详细描述。
处理器158可以被构造为当在钳夹组件140内被夹紧的组织的组织厚度大于预先确定的数值时停止钳夹组件140的附加的功能(例如，防止吻合钉168从吻合钉钉仓166射出)。
临床医生可以将预先确定的数值输入到控制组件22。控制组件22可以布置在手柄20上或者远程连接到手术器械100。吻合钉钉仓166可以由具有不同尺寸的吻合钉168的多个吻合钉钉仓取代。联接到下钳夹构件144的吻合钉钉仓166内的吻合钉168的尺寸可以确定预先确定的数值。吻合钉钉仓166可以与处理器158可操作地结合，从而当吻合钉钉仓166被联接到下钳夹构件144时，使与吻合钉钉仓166结合的预先确定的数值传送到处理器158。也可以构想，预先确定的数值包括与同吻合钉钉仓166相配的组织厚度结合的上限以及下限，并且处理器158被构造为，如果组织厚度不在上限和下限之间，则防止射出吻合钉168。
组织厚度可以由组织内的红血球密度判定。例如，如果存在过多的血液闭塞，则红血球的减少的密度指示吻合钉钉仓166内的吻合钉168对于在钳夹组件140内被夹紧的组织而言尺寸过小。
在钳夹组件40、140内被夹紧的组织的属性也可以通过检测异常的血流来检测。例如，异常的血流可以指示癌变或者肿瘤组织被夹紧在钳夹组件40、140内，从而通知临床医生应增加切除边缘的范围(即，包含癌变或者肿瘤组织的组织切除量)。
如上所述，检测组件50可以作为单独的器械或者作为包括但不限于手术吻合器、抓紧器、或者电手术装置的多功能手术器械的组成部分而提供。
此处公开的各种实施例也可以被构造为与机器人手术系统一起工作并且普遍地称为“远程手术”。这样的系统采用各种自动操作元件以在手术室中辅助外科医生并且允许手术仪器的远程操作(或者部分远程操作)。各种机械臂、齿轮、凸轮、滑轮、电动以及机械马达等可以为了该目的而被采用，并且可以与机器人手术系统一起设计从而在手术或处理的过程中辅助外科医生。这样的机器人系统可以包括远程操纵系统、自动柔性手术系统、远程柔性手术系统、远程关节式运动手术系统、无线手术系统、模块的或者可选择性构造的远程操作手术系统等。
机器人手术系统可以与紧邻手术室或者位于远程地点的一个或者更多的控制台一起使用。在这种情况下，一队外科医生或者护士可以为患者准备手术并且使用此处公开的一个或者更多的器械(例如，钳夹组件40)构造机器人手术系统，而另一个外科医生(或者一组外科医生)通过机器人手术系统远程控制器械。可以领会，技术娴熟的外科医生可以执行在多个位置的多个操作而无需离开他/她的远程控制台，这既在经济上是有利的也对患者或者一系列患者是有益的。
手术系统的机械臂通常由控制器联接到一对主手柄(master handle)。所述手柄可以由外科医生移动从而产生任何类型的手术器械(例如，末端执行器、抓紧器、刀具、剪刀等)的工作端的对应的移动，这可以补充此处描述的实施例中的一个实施例或更多实施例的用途。主手柄的移动可以被确定比例，从而使工作端具有对应的移动，该对应的移动不同于、小于或者大于由外科医生的操作手执行的移动。比例因子或者齿轮比可以被调整，从而使操作者能够控制手术器械的工作端的分辨率(resolution)。
主手柄可以包括各种传感器以向外科医生提供有关各种组织参数或者情况的反馈(例如，由于操纵、切割或者其他处理引起的组织阻力、由器械施加到组织的压力、组织温度、组织阻抗等)。可以领会，这样的传感器为外科医生提供模仿了实际手术情况的增强的可用触觉感知的反馈。主手柄也可以包括用于精密的组织操纵或者处理的各种不同的致动器，进一步加强了外科医生模仿实际手术情况的能力。
虽然在附图中示出了本公开的多个实施例，但并不意图将本公开限定于此，如所意图的，本公开在范围上如本领域所允许的一样宽广，并也同样地阅读说明书。可以预想上述实施例的任何组合，并且上述实施例的任何组合均在所附的权利要求书的范围内。因此，上述说明不应理解为限定，而仅仅是作为具体实施例的范例。本领域技术人员在所附的权利要求书的范围和精神内会预想到其他的变型。

Claims (21)

1.一种钳夹组件，包括：
第一钳夹构件和第二钳夹构件，其在打开构造与夹紧构造之间能相对于彼此移动，所述第一钳夹构件和所述第二钳夹构件构造为在所述夹紧构造中夹紧其间的组织，所述第一钳夹构件包括：
表面，其与所述第二钳夹构件的表面相对；
开口，其限定在所述第一钳夹构件的所述表面中；
光源，其构造为从所述开口发射光；以及
光检测器，其布置在所述开口内，所述光检测器构造为感测从夹紧在所述第一钳夹构件和所述第二钳夹构件之间的组织反射的光的特性，并且构造为产生指示感测到的光的特性的信号；以及
处理器，其与所述光检测器可操作地结合，所述处理器构造为：
接收来自所述光检测器的指示光的特性的信号；
分析所述信号，从而判定在所述第一钳夹构件和所述第二钳夹构件之间被夹紧的组织的属性；以及
向使用者提供夹紧在所述第一钳夹构件和所述第二钳夹构件之间的组织的属性的反馈。
2.根据权利要求1所述的钳夹组件，其中，所述反馈为听觉的、触觉的、或者视觉的中的至少一种。
3.根据权利要求1所述的钳夹组件，其中，所述处理器被构造为判定在所述第一钳夹构件和所述第二钳夹构件之间被夹紧的组织的厚度。
4.根据权利要求1所述的钳夹组件，其中，所述第二钳夹构件包括布置于限定在所述第二钳夹构件的所述表面中的第二开口内的第二光检测器，所述第二光检测器构造为感测从所述第一钳夹构件的所述光源发射并且通过夹紧在所述第一钳夹构件和所述第二钳夹构件之间的组织传送的光的特性，所述第二光检测器与所述处理器可操作地结合。
5.根据权利要求1所述的钳夹组件，其中，所述第二钳夹构件包括构造为通过限定在所述第二钳夹构件的所述表面中的第二开口发射光的第二光源，并且包括布置在所述第二开口内的第二光检测器，所述第二光检测器构造为感测从所述第二光源发射并且从夹紧在所述第一钳夹构件和所述第二钳夹构件之间的组织反射的光的特性。
6.根据权利要求1所述的钳夹组件，其中，所述光源被构造为从电激励、白炽灯、发光二极管、电致发光、气体放电、高强度放电、激光、化学放电、荧光、或者磷光中的至少一种产生光。
7.根据权利要求1所述的钳夹组件，其中，所述第一钳夹构件包括砧座，并且所述第二钳夹构件包括吻合钉钉仓，所述吻合钉钉仓具有构造为被驱动穿过在所述第一钳夹构件和所述第二钳夹构件之间被夹紧的组织的多个吻合钉。
8.一种手术器械，包括：
手柄；
细长轴，其从所述手柄延伸；以及
钳夹组件，其联接到所述细长轴的远侧端，所述钳夹组件包括在打开构造与夹紧构造之间能相对于彼此移动的第一钳夹构件和第二钳夹构件，所述第一钳夹构件和所述第二钳夹构件构造为在所述夹紧构造中夹紧其间的组织，所述第一钳夹构件包括：
表面，其与所述第二钳夹构件的表面相对；
开口，其限定在所述第一钳夹构件的所述表面中；
光源，其构造为从所述开口发射光；以及
光检测器，其布置在所述开口内，所述光检测器构造为感测从夹紧在所述第一钳夹构件和所述第二钳夹构件之间的组织反射的光的特性，并且构造为产生指示感测到的光的特性的信号；以及
处理器，其与所述光检测器可操作地结合，所述处理器构造为：
接收来自所述光检测器的指示光的特性的信号；
分析所述信号，从而判定在所述第一钳夹构件和所述第二钳夹构件之间被夹紧的组织的属性；以及
向使用者提供夹紧在所述第一钳夹构件和所述第二钳夹构件之间的组织的属性的反馈。
9.根据权利要求8所述的手术器械，进一步包括布置在所述手柄上的控制界面，所述控制界面与所述钳夹组件可操作地结合并构造为致动所述第一钳夹构件与所述第二钳夹构件在所述打开构造与所述夹紧构造之间的转换，所述控制界面与所述光源可操作地结合并且构造为启动所述光源以从所述开口发射光。
10.根据权利要求8所述的手术器械，进一步包括布置在所述手柄上的显示面板，所述显示面板与所述处理器可操作地结合并且构造为显示所述组织的所述属性的反馈。
11.根据权利要求8所述的手术器械，其中，所述处理器布置在所述细长轴内。
12.根据权利要求8所述的手术器械，其中，所述处理器布置在所述手柄内。
13.根据权利要求8所述的手术器械，其中，所述第一钳夹构件和所述第二钳夹构件中的一个钳夹构件包括吻合钉钉仓，所述吻合钉钉仓包括构造为射出穿过在所述第一钳夹构件和所述第二钳夹构件之间被夹紧的组织的多个吻合钉。
14.根据权利要求13所述的手术器械，其中，所述处理器被构造为控制所述吻合钉从所述手术器械的射出。
15.一种用于检测组织属性的方法，包括：
提供钳夹组件，其包括在打开构造与夹紧构造之间能相对于彼此移动的第一钳夹构件和第二钳夹构件；
夹紧位于所述钳夹组件的所述第一钳夹构件与所述第二钳夹构件之间的组织；
从位于所述第一钳夹构件的表面中的开口发射光；
使用布置在所述开口内的光检测器感测从夹紧在所述钳夹组件内的组织反射进入所述开口的光的特性；
向处理器传送指示光的特性的信号；
使用处理器通过信号来判定组织属性；以及
向使用者提供所述组织属性的反馈。
16.根据权利要求15所述的方法，进一步包括感测通过在所述钳夹组件的所述第一钳夹构件和所述第二钳夹构件之间被夹紧的组织传送的光的特性，所述第一钳夹构件包括光源，并且所述第二钳夹构件包括第二光检测器。
17.根据权利要求15所述的方法，其中，从所述开口发射光包括启动所述第一钳夹构件的光源。
18.根据权利要求15所述的方法，进一步包括从联接到所述第一钳夹构件和所述第二钳夹构件中的一个钳夹构件的吻合钉钉仓射出吻合钉穿过在所述第一钳夹构件和所述第二钳夹构件之间被夹紧的组织。
19.根据权利要求18所述的方法，其中，判定组织属性包括判定组织厚度，并且所述方法进一步包括：
将已判定的组织厚度与预先确定的组织厚度数值进行比较；以及
当所述组织厚度大于预先确定的数值时，阻止所述手术器械的附加功能。
20.根据权利要求19所述的方法，进一步包括将所述预先确定的组织厚度数值输入到与所述处理器可操作地结合的控制界面中。
21.根据权利要求19所述的方法，进一步包括将所述吻合钉钉仓联接到所述第一钳夹构件和所述第二钳夹构件中的一个钳夹构件，所述吻合钉钉仓将所述预先确定的数值传送至所述处理器。
CN201410853912.3A 2014-02-21 2014-12-31 用于光学地检测组织属性的器械 Active CN104856646B (zh)

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
US201461942937P 2014-02-21 2014-02-21
US61/942,937 2014-02-21
US14/516,812 2014-10-17
US14/516,812 US9301691B2 (en) 2014-02-21 2014-10-17 Instrument for optically detecting tissue attributes

Publications (2)

Publication Number Publication Date
CN104856646A true CN104856646A (zh) 2015-08-26
CN104856646B CN104856646B (zh) 2019-06-18

Family

ID=52272905

Family Applications (1)

Application Number Title Priority Date Filing Date
CN201410853912.3A Active CN104856646B (zh) 2014-02-21 2014-12-31 用于光学地检测组织属性的器械

Country Status (6)

Country Link
US (3) US9301691B2 (zh)
EP (1) EP2913019B1 (zh)
JP (1) JP6457806B2 (zh)
CN (1) CN104856646B (zh)
AU (1) AU2014262255B2 (zh)
CA (1) CA2873257A1 (zh)

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107019545A (zh) * 2015-12-18 2017-08-08 柯惠Lp公司 包括传感器的手术器械
CN112154951A (zh) * 2020-10-19 2021-01-01 江苏农牧科技职业学院 一种虾蟹健康体检仪

Families Citing this family (553)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9060770B2 (en) 2003-05-20 2015-06-23 Ethicon Endo-Surgery, Inc. Robotically-driven surgical instrument with E-beam driver
US20070084897A1 (en) 2003-05-20 2007-04-19 Shelton Frederick E Iv Articulating surgical stapling instrument incorporating a two-piece e-beam firing mechanism
US11890012B2 (en) 2004-07-28 2024-02-06 Cilag Gmbh International Staple cartridge comprising cartridge body and attached support
US8215531B2 (en) 2004-07-28 2012-07-10 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having a medical substance dispenser
US10159482B2 (en) 2005-08-31 2018-12-25 Ethicon Llc Fastener cartridge assembly comprising a fixed anvil and different staple heights
US11246590B2 (en) 2005-08-31 2022-02-15 Cilag Gmbh International Staple cartridge including staple drivers having different unfired heights
US11484312B2 (en) 2005-08-31 2022-11-01 Cilag Gmbh International Staple cartridge comprising a staple driver arrangement
US7934630B2 (en) 2005-08-31 2011-05-03 Ethicon Endo-Surgery, Inc. Staple cartridges for forming staples having differing formed staple heights
US9237891B2 (en) 2005-08-31 2016-01-19 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical stapling devices that produce formed staples having different lengths
US7669746B2 (en) 2005-08-31 2010-03-02 Ethicon Endo-Surgery, Inc. Staple cartridges for forming staples having differing formed staple heights
US20070106317A1 (en) 2005-11-09 2007-05-10 Shelton Frederick E Iv Hydraulically and electrically actuated articulation joints for surgical instruments
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
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
US20110290856A1 (en) 2006-01-31 2011-12-01 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical instrument with force-feedback capabilities
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
US11224427B2 (en) 2006-01-31 2022-01-18 Cilag Gmbh International Surgical stapling system including a console and retraction assembly
US8820603B2 (en) 2006-01-31 2014-09-02 Ethicon Endo-Surgery, Inc. Accessing data stored in a memory of a surgical instrument
US20110024477A1 (en) 2009-02-06 2011-02-03 Hall Steven G Driven Surgical Stapler Improvements
US8708213B2 (en) 2006-01-31 2014-04-29 Ethicon Endo-Surgery, Inc. Surgical instrument having a feedback system
US8992422B2 (en) 2006-03-23 2015-03-31 Ethicon Endo-Surgery, Inc. Robotically-controlled endoscopic accessory channel
US8322455B2 (en) 2006-06-27 2012-12-04 Ethicon Endo-Surgery, Inc. Manually driven surgical cutting and fastening instrument
US10568652B2 (en) 2006-09-29 2020-02-25 Ethicon Llc Surgical staples having attached drivers of different heights and stapling instruments for deploying the same
US7506791B2 (en) 2006-09-29 2009-03-24 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with mechanical mechanism for limiting maximum tissue compression
US8652120B2 (en) 2007-01-10 2014-02-18 Ethicon Endo-Surgery, Inc. Surgical instrument with wireless communication between control unit and sensor transponders
US11291441B2 (en) 2007-01-10 2022-04-05 Cilag Gmbh International Surgical instrument with wireless communication between control unit and remote sensor
US8684253B2 (en) 2007-01-10 2014-04-01 Ethicon Endo-Surgery, Inc. Surgical instrument with wireless communication between a control unit of a robotic system and remote sensor
US11039836B2 (en) 2007-01-11 2021-06-22 Cilag Gmbh International Staple cartridge for use with a surgical stapling instrument
US8540128B2 (en) 2007-01-11 2013-09-24 Ethicon Endo-Surgery, Inc. Surgical stapling device with a curved end effector
US8727197B2 (en) 2007-03-15 2014-05-20 Ethicon Endo-Surgery, Inc. Staple cartridge cavity configuration with cooperative surgical staple
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
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
BRPI0901282A2 (pt) 2008-02-14 2009-11-17 Ethicon Endo Surgery Inc instrumento cirúrgico de corte e fixação dotado de eletrodos de rf
US7819298B2 (en) 2008-02-14 2010-10-26 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with control features operable with one hand
US8573465B2 (en) 2008-02-14 2013-11-05 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical end effector system with rotary actuated closure systems
US8636736B2 (en) 2008-02-14 2014-01-28 Ethicon Endo-Surgery, Inc. Motorized surgical cutting and fastening instrument
US7866527B2 (en) 2008-02-14 2011-01-11 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with interlockable firing system
US8758391B2 (en) 2008-02-14 2014-06-24 Ethicon Endo-Surgery, Inc. Interchangeable tools for surgical instruments
US9179912B2 (en) 2008-02-14 2015-11-10 Ethicon Endo-Surgery, Inc. Robotically-controlled motorized surgical cutting and fastening instrument
US9770245B2 (en) 2008-02-15 2017-09-26 Ethicon Llc Layer arrangements for surgical staple cartridges
US11272927B2 (en) 2008-02-15 2022-03-15 Cilag Gmbh International Layer arrangements for surgical staple cartridges
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
CN102341048A (zh) 2009-02-06 2012-02-01 伊西康内外科公司 动力手术缝合器的改进
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
US8851354B2 (en) 2009-12-24 2014-10-07 Ethicon Endo-Surgery, Inc. Surgical cutting instrument that analyzes tissue thickness
US8220688B2 (en) 2009-12-24 2012-07-17 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting instrument with electric actuator directional control assembly
US8783543B2 (en) 2010-07-30 2014-07-22 Ethicon Endo-Surgery, Inc. Tissue acquisition arrangements and methods for surgical stapling devices
US11849952B2 (en) 2010-09-30 2023-12-26 Cilag Gmbh International Staple cartridge comprising staples positioned within a compressible portion thereof
US9386988B2 (en) 2010-09-30 2016-07-12 Ethicon End-Surgery, LLC Retainer assembly including a tissue thickness compensator
US9282962B2 (en) 2010-09-30 2016-03-15 Ethicon Endo-Surgery, Llc Adhesive film laminate
US9517063B2 (en) 2012-03-28 2016-12-13 Ethicon Endo-Surgery, Llc Movable member for use with a tissue thickness compensator
US9016542B2 (en) 2010-09-30 2015-04-28 Ethicon Endo-Surgery, Inc. Staple cartridge comprising compressible distortion resistant components
US11298125B2 (en) 2010-09-30 2022-04-12 Cilag Gmbh International Tissue stapler having a thickness compensator
US11812965B2 (en) 2010-09-30 2023-11-14 Cilag Gmbh International Layer of material for a surgical end effector
US9364233B2 (en) 2010-09-30 2016-06-14 Ethicon Endo-Surgery, Llc Tissue thickness compensators for circular surgical staplers
US9211120B2 (en) 2011-04-29 2015-12-15 Ethicon Endo-Surgery, Inc. Tissue thickness compensator comprising a plurality of medicaments
US9629814B2 (en) 2010-09-30 2017-04-25 Ethicon Endo-Surgery, Llc Tissue thickness compensator configured to redistribute compressive forces
US10945731B2 (en) 2010-09-30 2021-03-16 Ethicon Llc Tissue thickness compensator comprising controlled release and expansion
US8695866B2 (en) 2010-10-01 2014-04-15 Ethicon Endo-Surgery, Inc. Surgical instrument having a power control circuit
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
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
CN104379068B (zh) 2012-03-28 2017-09-22 伊西康内外科公司 包括组织厚度补偿件的保持器组件
BR112014024098B1 (pt) 2012-03-28 2021-05-25 Ethicon Endo-Surgery, Inc. cartucho de grampos
BR112014024102B1 (pt) 2012-03-28 2022-03-03 Ethicon Endo-Surgery, Inc Conjunto de cartucho de prendedores para um instrumento cirúrgico, e conjunto de atuador de extremidade para um instrumento cirúrgico
US11871901B2 (en) 2012-05-20 2024-01-16 Cilag Gmbh International Method for situational awareness for surgical network or surgical network connected device capable of adjusting function based on a sensed situation or usage
US9101358B2 (en) 2012-06-15 2015-08-11 Ethicon Endo-Surgery, Inc. Articulatable surgical instrument comprising a firing drive
US9204879B2 (en) 2012-06-28 2015-12-08 Ethicon Endo-Surgery, Inc. Flexible drive member
US9282974B2 (en) 2012-06-28 2016-03-15 Ethicon Endo-Surgery, Llc Empty clip cartridge lockout
US20140001231A1 (en) 2012-06-28 2014-01-02 Ethicon Endo-Surgery, Inc. Firing system lockout arrangements for surgical instruments
US11278284B2 (en) 2012-06-28 2022-03-22 Cilag Gmbh International Rotary drive arrangements for surgical instruments
JP6290201B2 (ja) 2012-06-28 2018-03-07 エシコン・エンド−サージェリィ・インコーポレイテッドＥｔｈｉｃｏｎ Ｅｎｄｏ−Ｓｕｒｇｅｒｙ，Ｉｎｃ． 空クリップカートリッジ用のロックアウト
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
US9226751B2 (en) 2012-06-28 2016-01-05 Ethicon Endo-Surgery, Inc. Surgical instrument system including replaceable end effectors
US9289256B2 (en) 2012-06-28 2016-03-22 Ethicon Endo-Surgery, Llc Surgical end effectors having angled tissue-contacting surfaces
GB201317746D0 (en) 2013-10-08 2013-11-20 Smith & Nephew PH indicator
JP6382235B2 (ja) 2013-03-01 2018-08-29 エシコン・エンド−サージェリィ・インコーポレイテッドＥｔｈｉｃｏｎ Ｅｎｄｏ−Ｓｕｒｇｅｒｙ，Ｉｎｃ． 信号通信用の導電路を備えた関節運動可能な外科用器具
JP6345707B2 (ja) 2013-03-01 2018-06-20 エシコン・エンド−サージェリィ・インコーポレイテッドＥｔｈｉｃｏｎ Ｅｎｄｏ−Ｓｕｒｇｅｒｙ，Ｉｎｃ． ソフトストップを備えた外科用器具
US9629629B2 (en) 2013-03-14 2017-04-25 Ethicon Endo-Surgey, LLC Control systems for surgical instruments
US9332987B2 (en) 2013-03-14 2016-05-10 Ethicon Endo-Surgery, Llc Control arrangements for a drive member of a surgical instrument
USD938095S1 (en) 2013-04-01 2021-12-07 Pathy Medical, Llc Lighting device
EP2981394B1 (en) 2013-04-01 2021-06-02 Vinod V. Pathy Lighting device
US9844368B2 (en) 2013-04-16 2017-12-19 Ethicon Llc Surgical system comprising first and second drive systems
BR112015026109B1 (pt) 2013-04-16 2022-02-22 Ethicon Endo-Surgery, Inc Instrumento cirúrgico
JP6416260B2 (ja) 2013-08-23 2018-10-31 エシコン エルエルシー 動力付き外科用器具のための発射部材後退装置
US20150053746A1 (en) 2013-08-23 2015-02-26 Ethicon Endo-Surgery, Inc. Torque optimization for surgical instruments
US9962161B2 (en) 2014-02-12 2018-05-08 Ethicon Llc Deliverable surgical instrument
US9301691B2 (en) 2014-02-21 2016-04-05 Covidien Lp Instrument for optically detecting tissue attributes
CN106232029B (zh) 2014-02-24 2019-04-12 伊西康内外科有限责任公司 包括击发构件锁定件的紧固系统
US9733663B2 (en) 2014-03-26 2017-08-15 Ethicon Llc Power management through segmented circuit and variable voltage protection
US10201364B2 (en) 2014-03-26 2019-02-12 Ethicon Llc Surgical instrument comprising a rotatable shaft
US10004497B2 (en) 2014-03-26 2018-06-26 Ethicon Llc Interface systems for use with surgical instruments
BR112016021943B1 (pt) 2014-03-26 2022-06-14 Ethicon Endo-Surgery, Llc Instrumento cirúrgico para uso por um operador em um procedimento cirúrgico
JP6532889B2 (ja) 2014-04-16 2019-06-19 エシコン エルエルシーＥｔｈｉｃｏｎ ＬＬＣ 締結具カートリッジ組立体及びステープル保持具カバー配置構成
US10561422B2 (en) 2014-04-16 2020-02-18 Ethicon Llc Fastener cartridge comprising deployable tissue engaging members
BR112016023825B1 (pt) 2014-04-16 2022-08-02 Ethicon Endo-Surgery, Llc Cartucho de grampos para uso com um grampeador cirúrgico e cartucho de grampos para uso com um instrumento cirúrgico
JP6636452B2 (ja) 2014-04-16 2020-01-29 エシコン エルエルシーＥｔｈｉｃｏｎ ＬＬＣ 異なる構成を有する延在部を含む締結具カートリッジ
US20150297223A1 (en) 2014-04-16 2015-10-22 Ethicon Endo-Surgery, Inc. Fastener cartridges including extensions having different configurations
US10327764B2 (en) 2014-09-26 2019-06-25 Ethicon Llc Method for creating a flexible staple line
US11311294B2 (en) 2014-09-05 2022-04-26 Cilag Gmbh International Powered medical device including measurement of closure state of jaws
BR112017004361B1 (pt) 2014-09-05 2023-04-11 Ethicon Llc Sistema eletrônico para um instrumento cirúrgico
US10111679B2 (en) * 2014-09-05 2018-10-30 Ethicon Llc Circuitry and sensors for powered medical device
US10105142B2 (en) 2014-09-18 2018-10-23 Ethicon Llc Surgical stapler with plurality of cutting elements
JP6648119B2 (ja) 2014-09-26 2020-02-14 エシコン エルエルシーＥｔｈｉｃｏｎ ＬＬＣ 外科ステープル留めバットレス及び付属物材料
US11523821B2 (en) 2014-09-26 2022-12-13 Cilag Gmbh International Method for creating a flexible staple line
US10076325B2 (en) 2014-10-13 2018-09-18 Ethicon Llc Surgical stapling apparatus comprising a tissue stop
US9924944B2 (en) 2014-10-16 2018-03-27 Ethicon Llc Staple cartridge comprising an adjunct material
US10517594B2 (en) 2014-10-29 2019-12-31 Ethicon Llc Cartridge assemblies for surgical staplers
US11141153B2 (en) 2014-10-29 2021-10-12 Cilag Gmbh International Staple cartridges comprising driver arrangements
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
US10736636B2 (en) 2014-12-10 2020-08-11 Ethicon Llc Articulatable surgical instrument system
US9987000B2 (en) 2014-12-18 2018-06-05 Ethicon Llc Surgical instrument assembly comprising a flexible articulation system
US10188385B2 (en) 2014-12-18 2019-01-29 Ethicon Llc Surgical instrument system comprising lockable systems
US9844375B2 (en) 2014-12-18 2017-12-19 Ethicon Llc Drive arrangements for articulatable surgical instruments
US10085748B2 (en) 2014-12-18 2018-10-02 Ethicon Llc Locking arrangements for detachable shaft assemblies with articulatable surgical end effectors
MX2017008108A (es) 2014-12-18 2018-03-06 Ethicon Llc Instrumento quirurgico con un yunque que puede moverse de manera selectiva sobre un eje discreto no movil con relacion a un cartucho de grapas.
US9844374B2 (en) 2014-12-18 2017-12-19 Ethicon Llc Surgical instrument systems comprising an articulatable end effector and means for adjusting the firing stroke of a firing member
US10004501B2 (en) 2014-12-18 2018-06-26 Ethicon Llc Surgical instruments with improved closure arrangements
AU2016200084B2 (en) * 2015-01-16 2020-01-16 Covidien Lp Powered surgical stapling device
US11154301B2 (en) 2015-02-27 2021-10-26 Cilag Gmbh International Modular stapling assembly
US10321907B2 (en) 2015-02-27 2019-06-18 Ethicon Llc System for monitoring whether a surgical instrument needs to be serviced
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
US10245033B2 (en) 2015-03-06 2019-04-02 Ethicon Llc Surgical instrument comprising a lockable battery housing
US10617412B2 (en) 2015-03-06 2020-04-14 Ethicon Llc System for detecting the mis-insertion of a staple cartridge into a surgical stapler
US10548504B2 (en) 2015-03-06 2020-02-04 Ethicon Llc Overlaid multi sensor radio frequency (RF) electrode system to measure tissue compression
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
US10687806B2 (en) 2015-03-06 2020-06-23 Ethicon Llc Adaptive tissue compression techniques to adjust closure rates for multiple tissue types
US9924961B2 (en) 2015-03-06 2018-03-27 Ethicon Endo-Surgery, Llc Interactive feedback system for powered surgical instruments
US9993248B2 (en) 2015-03-06 2018-06-12 Ethicon Endo-Surgery, Llc Smart sensors with local signal processing
US10441279B2 (en) 2015-03-06 2019-10-15 Ethicon Llc Multiple level thresholds to modify operation of powered surgical instruments
US9808246B2 (en) 2015-03-06 2017-11-07 Ethicon Endo-Surgery, Llc Method of operating a powered surgical instrument
US10213201B2 (en) 2015-03-31 2019-02-26 Ethicon Llc Stapling end effector configured to compensate for an uneven gap between a first jaw and a second jaw
US11058425B2 (en) 2015-08-17 2021-07-13 Ethicon Llc Implantable layers for a surgical instrument
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
US10105139B2 (en) 2015-09-23 2018-10-23 Ethicon Llc Surgical stapler having downstream current-based motor control
US10363036B2 (en) 2015-09-23 2019-07-30 Ethicon Llc Surgical stapler having force-based motor control
US10299878B2 (en) 2015-09-25 2019-05-28 Ethicon Llc Implantable adjunct systems for determining adjunct skew
US10980539B2 (en) 2015-09-30 2021-04-20 Ethicon Llc Implantable adjunct comprising bonded layers
US10327777B2 (en) 2015-09-30 2019-06-25 Ethicon Llc Implantable layer comprising plastically deformed fibers
US11890015B2 (en) 2015-09-30 2024-02-06 Cilag Gmbh International Compressible adjunct with crossing spacer fibers
US10285699B2 (en) 2015-09-30 2019-05-14 Ethicon Llc Compressible adjunct
US10368865B2 (en) 2015-12-30 2019-08-06 Ethicon Llc Mechanisms for compensating for drivetrain failure in powered surgical instruments
US10973456B1 (en) * 2015-12-30 2021-04-13 Banpil Photonics Inc. System for screening and diagnosis of skin cancer
US10292704B2 (en) 2015-12-30 2019-05-21 Ethicon Llc Mechanisms for compensating for battery pack failure in powered surgical instruments
US10265068B2 (en) 2015-12-30 2019-04-23 Ethicon Llc Surgical instruments with separable motors and motor control circuits
US11213293B2 (en) 2016-02-09 2022-01-04 Cilag Gmbh International Articulatable surgical instruments with single articulation link arrangements
BR112018016098B1 (pt) 2016-02-09 2023-02-23 Ethicon Llc Instrumento cirúrgico
US20170224332A1 (en) 2016-02-09 2017-08-10 Ethicon Endo-Surgery, Llc Surgical instruments with non-symmetrical articulation arrangements
US10448948B2 (en) 2016-02-12 2019-10-22 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
US10258331B2 (en) 2016-02-12 2019-04-16 Ethicon Llc Mechanisms for compensating for drivetrain failure in powered surgical instruments
US11064997B2 (en) 2016-04-01 2021-07-20 Cilag Gmbh International Surgical stapling instrument
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
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
US10357247B2 (en) 2016-04-15 2019-07-23 Ethicon Llc Surgical instrument with multiple program responses during a firing motion
US11179150B2 (en) 2016-04-15 2021-11-23 Cilag Gmbh International Systems and methods for controlling a surgical stapling and cutting instrument
US10456137B2 (en) 2016-04-15 2019-10-29 Ethicon Llc Staple formation detection mechanisms
US10335145B2 (en) 2016-04-15 2019-07-02 Ethicon Llc Modular surgical instrument with configurable operating mode
US10426467B2 (en) 2016-04-15 2019-10-01 Ethicon Llc Surgical instrument with detection sensors
US11607239B2 (en) 2016-04-15 2023-03-21 Cilag Gmbh International Systems and methods for controlling a surgical stapling and cutting instrument
US10492783B2 (en) 2016-04-15 2019-12-03 Ethicon, Llc Surgical instrument with improved stop/start control during a firing motion
US11317917B2 (en) 2016-04-18 2022-05-03 Cilag Gmbh International Surgical stapling system comprising a lockable firing assembly
US20170296173A1 (en) 2016-04-18 2017-10-19 Ethicon Endo-Surgery, Llc Method for operating a surgical instrument
US10368867B2 (en) 2016-04-18 2019-08-06 Ethicon Llc Surgical instrument comprising a lockout
JP2019527566A (ja) 2016-05-13 2019-10-03 スミス アンド ネフュー ピーエルシーＳｍｉｔｈ ＆ Ｎｅｐｈｅｗ Ｐｕｂｌｉｃ Ｌｉｍｉｔｅｄ Ｃｏｍｐａｎｙ センサが使用可能な創傷監視および治療装置
WO2018102541A1 (en) * 2016-11-30 2018-06-07 John Loewen Lighted bougie
US20180168633A1 (en) 2016-12-21 2018-06-21 Ethicon Endo-Surgery, Llc Surgical stapling instruments and staple-forming anvils
US10856868B2 (en) 2016-12-21 2020-12-08 Ethicon Llc Firing member pin configurations
US10888322B2 (en) 2016-12-21 2021-01-12 Ethicon Llc Surgical instrument comprising a cutting member
US10682138B2 (en) 2016-12-21 2020-06-16 Ethicon Llc Bilaterally asymmetric staple forming pocket pairs
US10918385B2 (en) 2016-12-21 2021-02-16 Ethicon Llc Surgical system comprising a firing member rotatable into an articulation state to articulate an end effector of the surgical system
US20180168625A1 (en) 2016-12-21 2018-06-21 Ethicon Endo-Surgery, Llc Surgical stapling instruments with smart staple cartridges
CN110099619B (zh) 2016-12-21 2022-07-15 爱惜康有限责任公司 用于外科端部执行器和可替换工具组件的闭锁装置
MX2019007311A (es) 2016-12-21 2019-11-18 Ethicon Llc Sistemas de engrapado quirurgico.
US10588631B2 (en) 2016-12-21 2020-03-17 Ethicon Llc Surgical instruments with positive jaw opening features
US10426471B2 (en) 2016-12-21 2019-10-01 Ethicon Llc Surgical instrument with multiple failure response modes
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
US10973516B2 (en) 2016-12-21 2021-04-13 Ethicon Llc Surgical end effectors and adaptable firing members therefor
US11090048B2 (en) 2016-12-21 2021-08-17 Cilag Gmbh International Method for resetting a fuse of a surgical instrument shaft
US10568624B2 (en) 2016-12-21 2020-02-25 Ethicon Llc Surgical instruments with jaws that are pivotable about a fixed axis and include separate and distinct closure and firing systems
US20180168615A1 (en) 2016-12-21 2018-06-21 Ethicon Endo-Surgery, Llc Method of deforming staples from two different types of staple cartridges with the same surgical stapling instrument
US10695055B2 (en) 2016-12-21 2020-06-30 Ethicon Llc Firing assembly comprising a lockout
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
US11134942B2 (en) 2016-12-21 2021-10-05 Cilag Gmbh International Surgical stapling instruments and staple-forming anvils
US10959727B2 (en) 2016-12-21 2021-03-30 Ethicon Llc Articulatable surgical end effector with asymmetric shaft arrangement
US10638944B2 (en) * 2017-02-22 2020-05-05 Covidien Lp Methods of determining tissue viability
EP3592212A1 (en) 2017-03-09 2020-01-15 Smith & Nephew PLC Wound dressing, patch member and method of sensing one or more wound parameters
WO2018162732A1 (en) 2017-03-09 2018-09-13 Smith & Nephew Plc Apparatus and method for imaging blood in a target region of tissue
JP7235673B2 (ja) 2017-04-11 2023-03-08 スミス アンド ネフュー ピーエルシー センサ対応型創傷被覆材のための構成要素配置および応力緩和
CA3062989A1 (en) 2017-05-15 2018-11-22 Smith & Nephew Plc Wound analysis device and method
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
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
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
EP3641631B1 (en) * 2017-06-20 2023-04-19 Boston Scientific Scimed, Inc. Devices and methods for determining blood flow around a body lumen
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
USD879809S1 (en) 2017-06-20 2020-03-31 Ethicon Llc Display panel with changeable graphical user interface
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
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
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
US10624633B2 (en) 2017-06-20 2020-04-21 Ethicon Llc Systems and methods for controlling motor velocity of a surgical stapling and cutting instrument
US10881396B2 (en) 2017-06-20 2021-01-05 Ethicon Llc Surgical instrument with variable duration trigger arrangement
US11517325B2 (en) 2017-06-20 2022-12-06 Cilag Gmbh International Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on measured displacement distance traveled over a specified time interval
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
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
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
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
US10368864B2 (en) 2017-06-20 2019-08-06 Ethicon Llc Systems and methods for controlling displaying motor velocity for a surgical instrument
US11653914B2 (en) 2017-06-20 2023-05-23 Cilag Gmbh International Systems and methods for controlling motor velocity of a surgical stapling and cutting instrument according to articulation angle of end effector
USD890784S1 (en) 2017-06-20 2020-07-21 Ethicon Llc Display panel with changeable graphical user interface
CA3066073A1 (en) 2017-06-23 2018-12-27 Smith & Nephew Plc Positioning of sensors for sensor enabled wound monitoring or therapy
US20180368844A1 (en) 2017-06-27 2018-12-27 Ethicon Llc Staple forming pocket arrangements
US11266405B2 (en) 2017-06-27 2022-03-08 Cilag Gmbh International Surgical anvil manufacturing methods
US10856869B2 (en) 2017-06-27 2020-12-08 Ethicon Llc Surgical anvil arrangements
US10772629B2 (en) 2017-06-27 2020-09-15 Ethicon Llc Surgical anvil arrangements
US11324503B2 (en) 2017-06-27 2022-05-10 Cilag Gmbh International Surgical firing member arrangements
US10993716B2 (en) 2017-06-27 2021-05-04 Ethicon Llc Surgical anvil arrangements
USD906355S1 (en) 2017-06-28 2020-12-29 Ethicon Llc Display screen or portion thereof with a graphical user interface for a surgical instrument
EP3420947B1 (en) 2017-06-28 2022-05-25 Cilag GmbH International Surgical instrument comprising selectively actuatable rotatable couplers
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
US11259805B2 (en) 2017-06-28 2022-03-01 Cilag Gmbh International Surgical instrument comprising firing member supports
US11478242B2 (en) 2017-06-28 2022-10-25 Cilag Gmbh International Jaw retainer arrangement for retaining a pivotable surgical instrument jaw in pivotable retaining engagement with a second surgical instrument jaw
US11484310B2 (en) 2017-06-28 2022-11-01 Cilag Gmbh International Surgical instrument comprising a shaft including a closure tube profile
US10211586B2 (en) 2017-06-28 2019-02-19 Ethicon Llc Surgical shaft assemblies with watertight housings
US10903685B2 (en) 2017-06-28 2021-01-26 Ethicon Llc Surgical shaft assemblies with slip ring assemblies forming capacitive channels
US10765427B2 (en) 2017-06-28 2020-09-08 Ethicon Llc Method for articulating a surgical instrument
USD851762S1 (en) 2017-06-28 2019-06-18 Ethicon Llc Anvil
US11564686B2 (en) 2017-06-28 2023-01-31 Cilag Gmbh International Surgical shaft assemblies with flexible interfaces
USD854151S1 (en) 2017-06-28 2019-07-16 Ethicon Llc Surgical instrument shaft
US10716614B2 (en) 2017-06-28 2020-07-21 Ethicon Llc Surgical shaft assemblies with slip ring assemblies with increased contact pressure
US11007022B2 (en) 2017-06-29 2021-05-18 Ethicon Llc Closed loop velocity control techniques based on sensed tissue parameters for robotic surgical instrument
US10898183B2 (en) 2017-06-29 2021-01-26 Ethicon Llc Robotic surgical instrument with closed loop feedback techniques for advancement of closure member during firing
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
GB201809007D0 (en) 2018-06-01 2018-07-18 Smith & Nephew Restriction of sensor-monitored region for sensor-enabled wound dressings
GB201804502D0 (en) 2018-03-21 2018-05-02 Smith & Nephew Biocompatible encapsulation and component stress relief for sensor enabled negative pressure wound therapy dressings
US11944300B2 (en) 2017-08-03 2024-04-02 Cilag Gmbh International Method for operating a surgical system bailout
US11304695B2 (en) 2017-08-03 2022-04-19 Cilag Gmbh International Surgical system shaft interconnection
US11471155B2 (en) 2017-08-03 2022-10-18 Cilag Gmbh International Surgical system bailout
CA3072006A1 (en) 2017-08-10 2019-02-14 Smith & Nephew Plc Positioning of sensors for sensor enabled wound monitoring or therapy
GB201718870D0 (en) 2017-11-15 2017-12-27 Smith & Nephew Inc Sensor enabled wound therapy dressings and systems
JP2020533093A (ja) 2017-09-10 2020-11-19 スミス アンド ネフュー ピーエルシーＳｍｉｔｈ ＆ Ｎｅｐｈｅｗ Ｐｕｂｌｉｃ Ｌｉｍｉｔｅｄ Ｃｏｍｐａｎｙ 封入を検査するためのシステムおよび方法、ならびにセンサを装備した創傷被覆材内の構成要素
GB201804971D0 (en) 2018-03-28 2018-05-09 Smith & Nephew Electrostatic discharge protection for sensors in wound therapy
US11596553B2 (en) 2017-09-27 2023-03-07 Smith & Nephew Plc Ph sensing for sensor enabled negative pressure wound monitoring and therapy apparatuses
EP3687396A1 (en) 2017-09-28 2020-08-05 Smith & Nephew plc Neurostimulation and monitoring using sensor enabled wound monitoring and therapy apparatus
US11399829B2 (en) 2017-09-29 2022-08-02 Cilag Gmbh International Systems and methods of initiating a power shutdown mode for a surgical instrument
US10796471B2 (en) 2017-09-29 2020-10-06 Ethicon Llc Systems and methods of displaying a knife position for a surgical instrument
US10743872B2 (en) 2017-09-29 2020-08-18 Ethicon Llc System and methods for controlling a display of a surgical instrument
USD907647S1 (en) 2017-09-29 2021-01-12 Ethicon Llc Display screen or portion thereof with animated graphical user interface
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
USD917500S1 (en) 2017-09-29 2021-04-27 Ethicon Llc Display screen or portion thereof with graphical user interface
USD907648S1 (en) 2017-09-29 2021-01-12 Ethicon Llc Display screen or portion thereof with animated graphical user interface
US10729501B2 (en) 2017-09-29 2020-08-04 Ethicon Llc Systems and methods for language selection of a surgical instrument
US11911045B2 (en) 2017-10-30 2024-02-27 Cllag GmbH International Method for operating a powered articulating multi-clip applier
US11090075B2 (en) 2017-10-30 2021-08-17 Cilag Gmbh International Articulation features for surgical end effector
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
US11229436B2 (en) 2017-10-30 2022-01-25 Cilag Gmbh International Surgical system comprising a surgical tool and a surgical hub
US11129636B2 (en) 2017-10-30 2021-09-28 Cilag Gmbh International Surgical instruments comprising an articulation drive that provides for high articulation angles
US11134944B2 (en) 2017-10-30 2021-10-05 Cilag Gmbh International Surgical stapler knife motion controls
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
US11026687B2 (en) 2017-10-30 2021-06-08 Cilag Gmbh International Clip applier comprising clip advancing systems
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
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
WO2019096828A1 (en) 2017-11-15 2019-05-23 Smith & Nephew Plc Integrated sensor enabled wound monitoring and/or therapy dressings and systems
US20190175171A1 (en) 2017-12-08 2019-06-13 Covidien Lp Chisel cut staples for use in surgical staplers and a method for manufacturing surgical staples
US11033267B2 (en) 2017-12-15 2021-06-15 Ethicon Llc Systems and methods of controlling a clamping member firing rate of a surgical instrument
US10966718B2 (en) 2017-12-15 2021-04-06 Ethicon Llc Dynamic clamping assemblies with improved wear characteristics for use in connection with electromechanical surgical instruments
US11006955B2 (en) 2017-12-15 2021-05-18 Ethicon Llc End effectors with positive jaw opening features for use with adapters for electromechanical surgical instruments
US11197670B2 (en) 2017-12-15 2021-12-14 Cilag Gmbh International Surgical end effectors with pivotal jaws configured to touch at their respective distal ends when fully closed
US11071543B2 (en) 2017-12-15 2021-07-27 Cilag Gmbh International Surgical end effectors with clamping assemblies configured to increase jaw aperture ranges
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
US10828033B2 (en) 2017-12-15 2020-11-10 Ethicon Llc Handheld electromechanical surgical instruments with improved motor control arrangements for positioning components of an adapter coupled thereto
US10779826B2 (en) 2017-12-15 2020-09-22 Ethicon Llc Methods of operating surgical end effectors
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
US10743875B2 (en) 2017-12-15 2020-08-18 Ethicon Llc Surgical end effectors with jaw stiffener arrangements configured to permit monitoring of firing member
US10743874B2 (en) 2017-12-15 2020-08-18 Ethicon Llc Sealed adapters for use with electromechanical surgical instruments
US10716565B2 (en) 2017-12-19 2020-07-21 Ethicon Llc Surgical instruments with dual articulation drivers
US10729509B2 (en) 2017-12-19 2020-08-04 Ethicon Llc Surgical instrument comprising closure and firing locking mechanism
US11045270B2 (en) 2017-12-19 2021-06-29 Cilag Gmbh International Robotic attachment comprising exterior drive actuator
USD910847S1 (en) 2017-12-19 2021-02-16 Ethicon Llc Surgical instrument assembly
US11020112B2 (en) 2017-12-19 2021-06-01 Ethicon Llc Surgical tools configured for interchangeable use with different controller interfaces
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
US11129680B2 (en) 2017-12-21 2021-09-28 Cilag Gmbh International Surgical instrument comprising a projector
US11311290B2 (en) 2017-12-21 2022-04-26 Cilag Gmbh International Surgical instrument comprising an end effector dampener
US11179152B2 (en) 2017-12-21 2021-11-23 Cilag Gmbh International Surgical instrument comprising a tissue grasping system
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
JP7313353B2 (ja) * 2017-12-22 2023-07-24 ブライトシード・エルエルシー 組織又はアーチファクト特性を決定するために使用される小型システム
US11678881B2 (en) 2017-12-28 2023-06-20 Cilag Gmbh International Spatial awareness of surgical hubs in operating rooms
US10943454B2 (en) 2017-12-28 2021-03-09 Ethicon Llc Detection and escalation of security responses of surgical instruments to increasing severity threats
US11026751B2 (en) 2017-12-28 2021-06-08 Cilag Gmbh International Display of alignment of staple cartridge to prior linear staple line
US11666331B2 (en) 2017-12-28 2023-06-06 Cilag Gmbh International Systems for detecting proximity of surgical end effector to cancerous tissue
US11464535B2 (en) 2017-12-28 2022-10-11 Cilag Gmbh International Detection of end effector emersion in liquid
US11903601B2 (en) 2017-12-28 2024-02-20 Cilag Gmbh International Surgical instrument comprising a plurality of drive systems
US11589888B2 (en) 2017-12-28 2023-02-28 Cilag Gmbh International Method for controlling smart energy devices
US11132462B2 (en) 2017-12-28 2021-09-28 Cilag Gmbh International Data stripping method to interrogate patient records and create anonymized record
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
US11317937B2 (en) 2018-03-08 2022-05-03 Cilag Gmbh International Determining the state of an ultrasonic end effector
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
US11291495B2 (en) 2017-12-28 2022-04-05 Cilag Gmbh International Interruption of energy due to inadvertent capacitive coupling
US11559308B2 (en) 2017-12-28 2023-01-24 Cilag Gmbh International Method for smart energy device infrastructure
US11612444B2 (en) 2017-12-28 2023-03-28 Cilag Gmbh International Adjustment of a surgical device function based on situational awareness
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
US11056244B2 (en) 2017-12-28 2021-07-06 Cilag Gmbh International Automated data scaling, alignment, and organizing based on predefined parameters within surgical networks
US11069012B2 (en) 2017-12-28 2021-07-20 Cilag Gmbh International Interactive surgical systems with condition handling of devices and data capabilities
US11786251B2 (en) 2017-12-28 2023-10-17 Cilag Gmbh International Method for adaptive control schemes for surgical network control and interaction
US11166772B2 (en) 2017-12-28 2021-11-09 Cilag Gmbh International Surgical hub coordination of control and communication of operating room devices
US10695081B2 (en) 2017-12-28 2020-06-30 Ethicon Llc Controlling a surgical instrument according to sensed closure parameters
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
US11937769B2 (en) 2017-12-28 2024-03-26 Cilag Gmbh International Method of hub communication, processing, storage and display
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
US11273001B2 (en) 2017-12-28 2022-03-15 Cilag Gmbh International Surgical hub and modular device response 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
US11076921B2 (en) 2017-12-28 2021-08-03 Cilag Gmbh International Adaptive control program updates for surgical hubs
US11253315B2 (en) 2017-12-28 2022-02-22 Cilag Gmbh International Increasing radio frequency to create pad-less monopolar loop
US11234756B2 (en) 2017-12-28 2022-02-01 Cilag Gmbh International Powered surgical tool with predefined adjustable control algorithm for controlling end effector parameter
US11109866B2 (en) 2017-12-28 2021-09-07 Cilag Gmbh International Method for circular stapler control algorithm adjustment based on situational awareness
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
US11432885B2 (en) 2017-12-28 2022-09-06 Cilag Gmbh International Sensing arrangements for robot-assisted surgical platforms
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
US11424027B2 (en) 2017-12-28 2022-08-23 Cilag Gmbh International Method for operating surgical instrument systems
US10966791B2 (en) 2017-12-28 2021-04-06 Ethicon Llc Cloud-based medical analytics for medical facility segmented individualization of instrument function
US11571234B2 (en) 2017-12-28 2023-02-07 Cilag Gmbh International Temperature control of ultrasonic end effector and control system therefor
US11832899B2 (en) 2017-12-28 2023-12-05 Cilag Gmbh International Surgical systems with autonomously adjustable control programs
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
US11304745B2 (en) 2017-12-28 2022-04-19 Cilag Gmbh International Surgical evacuation sensing and display
US10892995B2 (en) 2017-12-28 2021-01-12 Ethicon Llc Surgical network determination of prioritization of communication, interaction, or processing based on system or device needs
US11179208B2 (en) 2017-12-28 2021-11-23 Cilag Gmbh International Cloud-based medical analytics for security and authentication trends and reactive measures
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
US11410259B2 (en) 2017-12-28 2022-08-09 Cilag Gmbh International Adaptive control program updates for surgical devices
US11419630B2 (en) 2017-12-28 2022-08-23 Cilag Gmbh International Surgical system distributed processing
US11202570B2 (en) 2017-12-28 2021-12-21 Cilag Gmbh International Communication hub and storage device for storing parameters and status of a surgical device to be shared with cloud based analytics systems
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
US20190201039A1 (en) 2017-12-28 2019-07-04 Ethicon Llc Situational awareness of electrosurgical systems
US11304720B2 (en) 2017-12-28 2022-04-19 Cilag Gmbh International Activation of energy devices
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
US20190201146A1 (en) 2017-12-28 2019-07-04 Ethicon Llc Safety systems for smart powered surgical stapling
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
CN111512388B (zh) * 2017-12-28 2024-01-30 爱惜康有限责任公司 用于智能电动外科缝合的安全系统
US11464559B2 (en) 2017-12-28 2022-10-11 Cilag Gmbh International Estimating state of ultrasonic end effector and control system therefor
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
US11324557B2 (en) 2017-12-28 2022-05-10 Cilag Gmbh International Surgical instrument with a sensing array
US20190201118A1 (en) 2017-12-28 2019-07-04 Ethicon Llc Display arrangements for robot-assisted surgical platforms
CN111542894B (zh) * 2017-12-28 2024-01-30 爱惜康有限责任公司 用于智能电动外科缝合的安全系统
US11857152B2 (en) 2017-12-28 2024-01-02 Cilag Gmbh International Surgical hub spatial awareness to determine devices in operating theater
US11179175B2 (en) 2017-12-28 2021-11-23 Cilag Gmbh International Controlling an ultrasonic surgical instrument according to tissue location
US11160605B2 (en) 2017-12-28 2021-11-02 Cilag Gmbh International Surgical evacuation sensing and motor control
US11266468B2 (en) 2017-12-28 2022-03-08 Cilag Gmbh International Cooperative utilization of data derived from secondary sources by intelligent surgical hubs
US11832840B2 (en) 2017-12-28 2023-12-05 Cilag Gmbh International Surgical instrument having a flexible circuit
US11147607B2 (en) 2017-12-28 2021-10-19 Cilag Gmbh International Bipolar combination device that automatically adjusts pressure based on energy modality
US11284936B2 (en) 2017-12-28 2022-03-29 Cilag Gmbh International Surgical instrument having a flexible electrode
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
US11659023B2 (en) 2017-12-28 2023-05-23 Cilag Gmbh International Method of hub communication
US11576677B2 (en) 2017-12-28 2023-02-14 Cilag Gmbh International Method of hub communication, processing, display, and cloud analytics
US11278281B2 (en) 2017-12-28 2022-03-22 Cilag Gmbh International Interactive surgical system
US11864728B2 (en) 2017-12-28 2024-01-09 Cilag Gmbh International Characterization of tissue irregularities through the use of mono-chromatic light refractivity
US11529187B2 (en) 2017-12-28 2022-12-20 Cilag Gmbh International Surgical evacuation sensor arrangements
US11896443B2 (en) 2017-12-28 2024-02-13 Cilag Gmbh International Control of a surgical system through a surgical barrier
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
US10892899B2 (en) 2017-12-28 2021-01-12 Ethicon Llc Self describing data packets generated at an issuing instrument
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
US11364075B2 (en) 2017-12-28 2022-06-21 Cilag Gmbh International Radio frequency energy device for delivering combined electrical signals
US11376002B2 (en) 2017-12-28 2022-07-05 Cilag Gmbh International Surgical instrument cartridge sensor assemblies
US11559307B2 (en) 2017-12-28 2023-01-24 Cilag Gmbh International Method of robotic hub communication, detection, and control
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
US10944728B2 (en) 2017-12-28 2021-03-09 Ethicon Llc Interactive surgical systems with encrypted communication capabilities
US10987178B2 (en) 2017-12-28 2021-04-27 Ethicon Llc Surgical hub control arrangements
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
US11051876B2 (en) 2017-12-28 2021-07-06 Cilag Gmbh International Surgical evacuation flow paths
US11045591B2 (en) 2017-12-28 2021-06-29 Cilag Gmbh International Dual in-series large and small droplet filters
US20190201139A1 (en) 2017-12-28 2019-07-04 Ethicon Llc Communication arrangements for robot-assisted surgical platforms
US11744604B2 (en) 2017-12-28 2023-09-05 Cilag Gmbh International Surgical instrument with a hardware-only control circuit
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
US11389188B2 (en) 2018-03-08 2022-07-19 Cilag Gmbh International Start temperature of blade
US11213294B2 (en) 2018-03-28 2022-01-04 Cilag Gmbh International Surgical instrument comprising co-operating lockout features
US11207067B2 (en) 2018-03-28 2021-12-28 Cilag Gmbh International Surgical stapling device with separate rotary driven closure and firing systems and firing member that engages both jaws while firing
US10973520B2 (en) 2018-03-28 2021-04-13 Ethicon Llc Surgical staple cartridge with firing member driven camming assembly that has an onboard tissue cutting feature
US11278280B2 (en) 2018-03-28 2022-03-22 Cilag Gmbh International Surgical instrument comprising a jaw closure lockout
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
US11090047B2 (en) 2018-03-28 2021-08-17 Cilag Gmbh International Surgical instrument comprising an adaptive control system
US11259806B2 (en) 2018-03-28 2022-03-01 Cilag Gmbh International Surgical stapling devices with features for blocking advancement of a camming assembly of an incompatible cartridge installed therein
US11471156B2 (en) 2018-03-28 2022-10-18 Cilag Gmbh International Surgical stapling devices with improved rotary driven closure systems
KR102143104B1 (ko) * 2018-05-18 2020-08-10 비앤알(주) 혈관탐지장치 및 이를 포함하는 복강경 수술기기
US11253256B2 (en) 2018-08-20 2022-02-22 Cilag Gmbh International Articulatable motor powered surgical instruments with dedicated articulation motor arrangements
US10779821B2 (en) 2018-08-20 2020-09-22 Ethicon Llc Surgical stapler anvils with tissue stop features configured to avoid tissue pinch
US11045192B2 (en) 2018-08-20 2021-06-29 Cilag Gmbh International Fabricating techniques for surgical stapler anvils
US10912559B2 (en) 2018-08-20 2021-02-09 Ethicon Llc Reinforced deformable anvil tip for surgical stapler anvil
US10842492B2 (en) 2018-08-20 2020-11-24 Ethicon Llc Powered articulatable surgical instruments with clutching and locking arrangements for linking an articulation drive system to a firing drive system
USD914878S1 (en) 2018-08-20 2021-03-30 Ethicon Llc Surgical instrument anvil
US11291440B2 (en) 2018-08-20 2022-04-05 Cilag Gmbh International Method for operating a powered articulatable surgical instrument
US11039834B2 (en) 2018-08-20 2021-06-22 Cilag Gmbh International Surgical stapler anvils with staple directing protrusions and tissue stability features
US10856870B2 (en) 2018-08-20 2020-12-08 Ethicon Llc Switching arrangements for motor powered articulatable surgical instruments
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
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
EP3849401A1 (en) 2018-09-12 2021-07-21 Smith & Nephew plc Device, apparatus and method of determining skin perfusion pressure
US11357503B2 (en) 2019-02-19 2022-06-14 Cilag Gmbh International Staple cartridge retainers with frangible retention features and methods of using same
US11369377B2 (en) 2019-02-19 2022-06-28 Cilag Gmbh International Surgical stapling assembly with cartridge based retainer configured to unlock a firing lockout
US11291444B2 (en) 2019-02-19 2022-04-05 Cilag Gmbh International Surgical stapling assembly with cartridge based retainer configured to unlock a closure lockout
US11464511B2 (en) 2019-02-19 2022-10-11 Cilag Gmbh International Surgical staple cartridges with movable authentication key arrangements
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
US11147551B2 (en) 2019-03-25 2021-10-19 Cilag Gmbh International Firing drive arrangements for surgical systems
US11172929B2 (en) 2019-03-25 2021-11-16 Cilag Gmbh International Articulation drive arrangements for surgical systems
US11147553B2 (en) 2019-03-25 2021-10-19 Cilag Gmbh International Firing drive arrangements for surgical systems
US11696761B2 (en) 2019-03-25 2023-07-11 Cilag Gmbh International Firing drive arrangements for surgical systems
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
US11903581B2 (en) 2019-04-30 2024-02-20 Cilag Gmbh International Methods for stapling tissue using a surgical instrument
US11432816B2 (en) 2019-04-30 2022-09-06 Cilag Gmbh International Articulation pin for a surgical instrument
US11648009B2 (en) 2019-04-30 2023-05-16 Cilag Gmbh International Rotatable jaw tip for a surgical instrument
US11471157B2 (en) 2019-04-30 2022-10-18 Cilag Gmbh International Articulation control mapping for a surgical instrument
US11253254B2 (en) 2019-04-30 2022-02-22 Cilag Gmbh International Shaft rotation actuator on a surgical instrument
USD964564S1 (en) 2019-06-25 2022-09-20 Cilag Gmbh International Surgical staple cartridge retainer with a closure system authentication key
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
US11224497B2 (en) 2019-06-28 2022-01-18 Cilag Gmbh International Surgical systems with multiple RFID tags
US11376098B2 (en) 2019-06-28 2022-07-05 Cilag Gmbh International Surgical instrument system comprising an RFID system
US11291451B2 (en) 2019-06-28 2022-04-05 Cilag Gmbh International Surgical instrument with battery compatibility verification functionality
US11553971B2 (en) 2019-06-28 2023-01-17 Cilag Gmbh International Surgical RFID assemblies for display and communication
US11399837B2 (en) 2019-06-28 2022-08-02 Cilag Gmbh International Mechanisms for motor control adjustments of a motorized surgical instrument
US11298127B2 (en) 2019-06-28 2022-04-12 Cilag GmbH Interational Surgical stapling system having a lockout mechanism for an incompatible cartridge
US11478241B2 (en) 2019-06-28 2022-10-25 Cilag Gmbh International Staple cartridge including projections
US11523822B2 (en) 2019-06-28 2022-12-13 Cilag Gmbh International Battery pack including a circuit interrupter
US11246678B2 (en) 2019-06-28 2022-02-15 Cilag Gmbh International Surgical stapling system having a frangible RFID tag
US11219455B2 (en) 2019-06-28 2022-01-11 Cilag Gmbh International Surgical instrument including a lockout key
US11350938B2 (en) 2019-06-28 2022-06-07 Cilag Gmbh International Surgical instrument comprising an aligned rfid sensor
US11771419B2 (en) 2019-06-28 2023-10-03 Cilag Gmbh International Packaging for a replaceable component of a surgical stapling system
US11638587B2 (en) 2019-06-28 2023-05-02 Cilag Gmbh International RFID identification systems for surgical instruments
US11259803B2 (en) 2019-06-28 2022-03-01 Cilag Gmbh International Surgical stapling system having an information encryption protocol
US11684434B2 (en) 2019-06-28 2023-06-27 Cilag Gmbh International Surgical RFID assemblies for instrument operational setting control
US11298132B2 (en) 2019-06-28 2022-04-12 Cilag GmbH Inlernational Staple cartridge including a honeycomb extension
US11660163B2 (en) 2019-06-28 2023-05-30 Cilag Gmbh International Surgical system with RFID tags for updating motor assembly parameters
US11464601B2 (en) 2019-06-28 2022-10-11 Cilag Gmbh International Surgical instrument comprising an RFID system for tracking a movable component
US11051807B2 (en) 2019-06-28 2021-07-06 Cilag Gmbh International Packaging assembly including a particulate trap
US11627959B2 (en) 2019-06-28 2023-04-18 Cilag Gmbh International Surgical instruments including manual and powered system lockouts
US11497492B2 (en) 2019-06-28 2022-11-15 Cilag Gmbh International Surgical instrument including an articulation lock
US11426167B2 (en) 2019-06-28 2022-08-30 Cilag Gmbh International Mechanisms for proper anvil attachment surgical stapling head assembly
KR102159207B1 (ko) * 2019-08-07 2020-09-23 비앤알(주) 혈관탐지장치 및 이를 포함하는 복강경 수술기기
US11806038B2 (en) 2019-10-11 2023-11-07 Covidien Lp Surgical instrument and method facilitating testing jaw force of the surgical instrument
US20220287556A1 (en) * 2019-10-21 2022-09-15 New View Surgical Inc. Thermal control of imaging system
US11911032B2 (en) 2019-12-19 2024-02-27 Cilag Gmbh International Staple cartridge comprising a seating cam
US11304696B2 (en) 2019-12-19 2022-04-19 Cilag Gmbh International Surgical instrument comprising a powered articulation system
US11234698B2 (en) 2019-12-19 2022-02-01 Cilag Gmbh International Stapling system comprising a clamp lockout and a firing lockout
US11931033B2 (en) 2019-12-19 2024-03-19 Cilag Gmbh International Staple cartridge comprising a latch lockout
US11464512B2 (en) 2019-12-19 2022-10-11 Cilag Gmbh International Staple cartridge comprising a curved deck surface
US11701111B2 (en) 2019-12-19 2023-07-18 Cilag Gmbh International Method for operating a surgical stapling instrument
US11529137B2 (en) 2019-12-19 2022-12-20 Cilag Gmbh International Staple cartridge comprising driver retention members
US11529139B2 (en) 2019-12-19 2022-12-20 Cilag Gmbh International Motor driven surgical instrument
US11576672B2 (en) 2019-12-19 2023-02-14 Cilag Gmbh International Surgical instrument comprising a closure system including a closure member and an opening member driven by a drive screw
US11291447B2 (en) 2019-12-19 2022-04-05 Cilag Gmbh International Stapling instrument comprising independent jaw closing and staple firing systems
US11844520B2 (en) 2019-12-19 2023-12-19 Cilag Gmbh International Staple cartridge comprising driver retention members
US11446029B2 (en) 2019-12-19 2022-09-20 Cilag Gmbh International Staple cartridge comprising projections extending from a curved deck surface
US11607219B2 (en) 2019-12-19 2023-03-21 Cilag Gmbh International Staple cartridge comprising a detachable tissue cutting knife
US11504122B2 (en) 2019-12-19 2022-11-22 Cilag Gmbh International Surgical instrument comprising a nested firing member
US11559304B2 (en) 2019-12-19 2023-01-24 Cilag Gmbh International Surgical instrument comprising a rapid closure mechanism
US11832916B2 (en) 2020-01-29 2023-12-05 Covidien Lp System and methods for identifying vessels within tissue
US11903635B2 (en) 2020-02-28 2024-02-20 Covidien Lp Electrosurgical forceps including tissue indication
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
USD967421S1 (en) 2020-06-02 2022-10-18 Cilag Gmbh International Staple cartridge
USD974560S1 (en) 2020-06-02 2023-01-03 Cilag Gmbh International Staple cartridge
USD966512S1 (en) 2020-06-02 2022-10-11 Cilag Gmbh International Staple cartridge
USD975850S1 (en) 2020-06-02 2023-01-17 Cilag Gmbh International Staple cartridge
USD976401S1 (en) 2020-06-02 2023-01-24 Cilag Gmbh International Staple cartridge
US20220031320A1 (en) 2020-07-28 2022-02-03 Cilag Gmbh International Surgical instruments with flexible firing member actuator constraint arrangements
US11602342B2 (en) * 2020-08-27 2023-03-14 Covidien Lp Surgical stapling device with laser probe
US11844518B2 (en) 2020-10-29 2023-12-19 Cilag Gmbh International Method for operating a surgical instrument
US11931025B2 (en) 2020-10-29 2024-03-19 Cilag Gmbh International Surgical instrument comprising a releasable closure drive lock
US11534259B2 (en) 2020-10-29 2022-12-27 Cilag Gmbh International Surgical instrument comprising an articulation indicator
US11896217B2 (en) 2020-10-29 2024-02-13 Cilag Gmbh International Surgical instrument comprising an articulation lock
USD980425S1 (en) 2020-10-29 2023-03-07 Cilag Gmbh International Surgical instrument assembly
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
US11717289B2 (en) 2020-10-29 2023-08-08 Cilag Gmbh International Surgical instrument comprising an indicator which indicates that an articulation drive is actuatable
US11779330B2 (en) 2020-10-29 2023-10-10 Cilag Gmbh International Surgical instrument comprising a jaw alignment system
US11452526B2 (en) 2020-10-29 2022-09-27 Cilag Gmbh International Surgical instrument comprising a staged voltage regulation start-up system
US11517390B2 (en) 2020-10-29 2022-12-06 Cilag Gmbh International Surgical instrument comprising a limited travel switch
US11944296B2 (en) 2020-12-02 2024-04-02 Cilag Gmbh International Powered surgical instruments with external connectors
US11653915B2 (en) 2020-12-02 2023-05-23 Cilag Gmbh International Surgical instruments with sled location detection and adjustment features
US11627960B2 (en) 2020-12-02 2023-04-18 Cilag Gmbh International Powered surgical instruments with smart reload with separately attachable exteriorly mounted wiring connections
US11744581B2 (en) 2020-12-02 2023-09-05 Cilag Gmbh International Powered surgical instruments with multi-phase tissue treatment
US11890010B2 (en) 2020-12-02 2024-02-06 Cllag GmbH International Dual-sided reinforced reload for surgical instruments
US11849943B2 (en) 2020-12-02 2023-12-26 Cilag Gmbh International Surgical instrument with cartridge release mechanisms
US11678882B2 (en) 2020-12-02 2023-06-20 Cilag Gmbh International Surgical instruments with interactive features to remedy incidental sled movements
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
US11812964B2 (en) 2021-02-26 2023-11-14 Cilag Gmbh International Staple cartridge comprising a power management circuit
US11925349B2 (en) 2021-02-26 2024-03-12 Cilag Gmbh International Adjustment to transfer parameters to improve available power
US11749877B2 (en) 2021-02-26 2023-09-05 Cilag Gmbh International Stapling instrument comprising a signal antenna
US11723657B2 (en) 2021-02-26 2023-08-15 Cilag Gmbh International Adjustable communication based on available bandwidth and power capacity
US11751869B2 (en) 2021-02-26 2023-09-12 Cilag Gmbh International Monitoring of multiple sensors over time to detect moving characteristics of tissue
US11744583B2 (en) 2021-02-26 2023-09-05 Cilag Gmbh International Distal communication array to tune frequency of RF systems
US11701113B2 (en) 2021-02-26 2023-07-18 Cilag Gmbh International Stapling instrument comprising a separate power antenna and a data transfer antenna
US11696757B2 (en) 2021-02-26 2023-07-11 Cilag Gmbh International Monitoring of internal systems to detect and track cartridge motion status
US11793514B2 (en) 2021-02-26 2023-10-24 Cilag Gmbh International Staple cartridge comprising sensor array which may be embedded in cartridge body
US11730473B2 (en) 2021-02-26 2023-08-22 Cilag Gmbh International Monitoring of manufacturing life-cycle
US11950777B2 (en) 2021-02-26 2024-04-09 Cilag Gmbh International Staple cartridge comprising an information access control system
US11950779B2 (en) 2021-02-26 2024-04-09 Cilag Gmbh International Method of powering and communicating with a staple cartridge
US11806011B2 (en) 2021-03-22 2023-11-07 Cilag Gmbh International Stapling instrument comprising tissue compression systems
US11737749B2 (en) 2021-03-22 2023-08-29 Cilag Gmbh International Surgical stapling instrument comprising a retraction system
US11717291B2 (en) 2021-03-22 2023-08-08 Cilag Gmbh International Staple cartridge comprising staples configured to apply different tissue compression
US11723658B2 (en) 2021-03-22 2023-08-15 Cilag Gmbh International Staple cartridge comprising a firing lockout
US11826042B2 (en) 2021-03-22 2023-11-28 Cilag Gmbh International Surgical instrument comprising a firing drive including a selectable leverage mechanism
US11826012B2 (en) 2021-03-22 2023-11-28 Cilag Gmbh International Stapling instrument comprising a pulsed motor-driven firing rack
US11759202B2 (en) 2021-03-22 2023-09-19 Cilag Gmbh International Staple cartridge comprising an implantable layer
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
US11896218B2 (en) 2021-03-24 2024-02-13 Cilag Gmbh International Method of using a powered stapling device
US11903582B2 (en) 2021-03-24 2024-02-20 Cilag Gmbh International Leveraging surfaces for cartridge installation
US11896219B2 (en) 2021-03-24 2024-02-13 Cilag Gmbh International Mating features between drivers and underside of a cartridge deck
US11849944B2 (en) 2021-03-24 2023-12-26 Cilag Gmbh International Drivers for fastener cartridge assemblies having rotary drive screws
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
US11857183B2 (en) 2021-03-24 2024-01-02 Cilag Gmbh International Stapling assembly components having metal substrates and plastic bodies
US11832816B2 (en) 2021-03-24 2023-12-05 Cilag Gmbh International Surgical stapling assembly comprising nonplanar staples and planar staples
US11786239B2 (en) 2021-03-24 2023-10-17 Cilag Gmbh International Surgical instrument articulation joint arrangements comprising multiple moving linkage features
US11786243B2 (en) 2021-03-24 2023-10-17 Cilag Gmbh International Firing members having flexible portions for adapting to a load during a surgical firing stroke
US11744603B2 (en) 2021-03-24 2023-09-05 Cilag Gmbh International Multi-axis pivot joints for surgical instruments and methods for manufacturing same
AU2022247392A1 (en) 2021-03-31 2023-09-28 Moon Surgical Sas Co-manipulation surgical system for use with surgical instruments for performing laparoscopic surgery
US11844583B2 (en) 2021-03-31 2023-12-19 Moon Surgical Sas Co-manipulation surgical system having an instrument centering mode for automatic scope movements
US11819302B2 (en) 2021-03-31 2023-11-21 Moon Surgical Sas Co-manipulation surgical system having user guided stage control
US11832909B2 (en) 2021-03-31 2023-12-05 Moon Surgical Sas Co-manipulation surgical system having actuatable setup joints
US11812938B2 (en) 2021-03-31 2023-11-14 Moon Surgical Sas Co-manipulation surgical system having a coupling mechanism removeably attachable to surgical instruments
US11826047B2 (en) 2021-05-28 2023-11-28 Cilag Gmbh International Stapling instrument comprising jaw mounts
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
US11832910B1 (en) 2023-01-09 2023-12-05 Moon Surgical Sas Co-manipulation surgical system having adaptive gravity compensation

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2008112147A1 (en) * 2007-03-09 2008-09-18 Nellcor Puritan Bennett Llc System and method for controlling tissue treatment
WO2009005850A1 (en) * 2007-06-29 2009-01-08 Tyco Healthcare Group, Lp Method and system for monitoring tissue during an electrosurgical procedure
CN102614003A (zh) * 2011-01-31 2012-08-01 Tyco医疗健康集团 用于施夹器的锁紧凸轮驱动器及钳夹组件
WO2013148054A1 (en) * 2012-03-26 2013-10-03 Covidien Lp Light energy sealing, cutting and sensing surgical device

Family Cites Families (301)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2777340A (en) 1955-09-28 1957-01-15 Leonard J Hettwer Offset drilling attachment
US2957353A (en) 1958-08-26 1960-10-25 Teleflex Inc Connector
US3111328A (en) 1961-07-03 1963-11-19 Rito Vincent L J Di Multiuse adapter for manipulators
US3734515A (en) 1971-01-29 1973-05-22 Thor Power Tool Co Power wrench with interchangeable adapters
US3695058A (en) 1971-05-26 1972-10-03 Marvin W Keith Jr Flexible link rotatable drive coupling
US3759336A (en) 1972-01-21 1973-09-18 D Marcovitz Interchangeable power operated tools
US4162399A (en) 1977-09-16 1979-07-24 Bei Electronics, Inc. Optical encoder with fiber optics
US4606343A (en) 1980-08-18 1986-08-19 United States Surgical Corporation Self-powered surgical fastening instrument
US4705038A (en) 1985-01-23 1987-11-10 Dyonics, Inc. Surgical system for powered instruments
US4722685A (en) 1985-05-30 1988-02-02 Estrada Juan M De Tool for adapting a portable lathe to treat the back molar teeth of horses
US4823807A (en) 1988-02-11 1989-04-25 Board Of Regents, Univ. Of Texas System Device for non-invasive diagnosis and monitoring of articular and periarticular pathology
US4874181A (en) 1988-05-31 1989-10-17 Hsu Shing Wang Coupling member for securing a drilling head to the rotatable rod of a pneumatic tool body
US5301061A (en) 1989-07-27 1994-04-05 Olympus Optical Co., Ltd. Endoscope system
US5152744A (en) 1990-02-07 1992-10-06 Smith & Nephew Dyonics Surgical instrument
JP3034019B2 (ja) 1990-11-26 2000-04-17 旭光学工業株式会社 内視鏡の先端部
US5129570A (en) 1990-11-30 1992-07-14 Ethicon, Inc. Surgical stapler
US5280788A (en) 1991-02-26 1994-01-25 Massachusetts Institute Of Technology Devices and methods for optical diagnosis of tissue
US5413267A (en) 1991-05-14 1995-05-09 United States Surgical Corporation Surgical stapler with spent cartridge sensing and lockout means
US5129118A (en) 1991-07-29 1992-07-14 Walmesley Mark W Accessory tool apparatus for use on power drills
US5312023A (en) 1991-10-18 1994-05-17 United States Surgical Corporation Self contained gas powered surgical apparatus
US5478003A (en) 1991-10-18 1995-12-26 United States Surgical Corporation Surgical apparatus
US5326013A (en) 1991-10-18 1994-07-05 United States Surgical Corporation Self contained gas powered surgical apparatus
US5197649A (en) 1991-10-29 1993-03-30 The Trustees Of Columbia University In The City Of New York Gastrointestinal endoscoptic stapler
US5383874A (en) 1991-11-08 1995-01-24 Ep Technologies, Inc. Systems for identifying catheters and monitoring their use
US5433721A (en) 1992-01-17 1995-07-18 Ethicon, Inc. Endoscopic instrument having a torsionally stiff drive shaft for applying fasteners to tissue
US5383880A (en) 1992-01-17 1995-01-24 Ethicon, Inc. Endoscopic surgical system with sensing means
US5350355A (en) 1992-02-14 1994-09-27 Automated Medical Instruments, Inc. Automated surgical instrument
US5389098A (en) 1992-05-19 1995-02-14 Olympus Optical Co., Ltd. Surgical device for stapling and/or fastening body tissues
US5658300A (en) 1992-06-04 1997-08-19 Olympus Optical Co., Ltd. Tissue fixing surgical instrument, tissue-fixing device, and method of fixing tissues
US5772597A (en) * 1992-09-14 1998-06-30 Sextant Medical Corporation Surgical tool end effector
US5626587A (en) 1992-10-09 1997-05-06 Ethicon Endo-Surgery, Inc. Method for operating a surgical instrument
US5400267A (en) 1992-12-08 1995-03-21 Hemostatix Corporation Local in-device memory feature for electrically powered medical equipment
US5540706A (en) 1993-01-25 1996-07-30 Aust; Gilbert M. Surgical instrument
US5540375A (en) 1993-04-20 1996-07-30 United States Surgical Corporation Endoscopic stapler
US5467911A (en) 1993-04-27 1995-11-21 Olympus Optical Co., Ltd. Surgical device for stapling and fastening body tissues
CA2124109A1 (en) 1993-05-24 1994-11-25 Mark T. Byrne Endoscopic surgical instrument with electromagnetic sensor
US5542594A (en) 1993-10-06 1996-08-06 United States Surgical Corporation Surgical stapling apparatus with biocompatible surgical fabric
US5487499A (en) 1993-10-08 1996-01-30 United States Surgical Corporation Surgical apparatus for applying surgical fasteners including a counter
US5476379A (en) 1993-11-04 1995-12-19 Disel; Jimmy D. Illumination system and connector assembly for a dental handpiece
US5782397A (en) 1994-01-04 1998-07-21 Alpha Surgical Technologies, Inc. Stapling device
US5526822A (en) 1994-03-24 1996-06-18 Biopsys Medical, Inc. Method and apparatus for automated biopsy and collection of soft tissue
CA2145723A1 (en) 1994-03-30 1995-10-01 Steven W. Hamblin Surgical stapling instrument with remotely articulated stapling head assembly on rotatable support shaft
US5529235A (en) 1994-04-28 1996-06-25 Ethicon Endo-Surgery, Inc. Identification device for surgical instrument
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
EP0705571A1 (en) 1994-10-07 1996-04-10 United States Surgical Corporation Self-contained powered surgical apparatus
US5868760A (en) 1994-12-07 1999-02-09 Mcguckin, Jr.; James F. Method and apparatus for endolumenally resectioning tissue
US5713505A (en) 1996-05-13 1998-02-03 Ethicon Endo-Surgery, Inc. Articulation transmission mechanism for surgical instruments
US5704534A (en) 1994-12-19 1998-01-06 Ethicon Endo-Surgery, Inc. Articulation assembly for surgical instruments
US5632432A (en) 1994-12-19 1997-05-27 Ethicon Endo-Surgery, Inc. Surgical instrument
US6321855B1 (en) 1994-12-29 2001-11-27 George Edward Barnes Anti-vibration adaptor
US5649956A (en) 1995-06-07 1997-07-22 Sri International System and method for releasably holding a surgical instrument
US5782396A (en) 1995-08-28 1998-07-21 United States Surgical Corporation Surgical stapler
US5762256A (en) 1995-08-28 1998-06-09 United States Surgical Corporation Surgical stapler
US6032849A (en) 1995-08-28 2000-03-07 United States Surgical Surgical stapler
CA2206156A1 (en) 1995-09-15 1997-04-03 Robert Lee Thompson Surgical/diagnostic imaging device
US7141049B2 (en) 1999-03-09 2006-11-28 Thermage, Inc. Handpiece for treatment of tissue
US6699177B1 (en) 1996-02-20 2004-03-02 Computer Motion, Inc. Method and apparatus for performing minimally invasive surgical procedures
US5820009A (en) 1996-02-20 1998-10-13 Richard-Allan Medical Industries, Inc. Articulated surgical instrument with improved jaw closure mechanism
US6010054A (en) 1996-02-20 2000-01-04 Imagyn Medical Technologies Linear stapling instrument with improved staple cartridge
US6119913A (en) 1996-06-14 2000-09-19 Boston Scientific Corporation Endoscopic stapler
US6017354A (en) 1996-08-15 2000-01-25 Stryker Corporation Integrated system for powered surgical tools
US6129547A (en) 1997-05-06 2000-10-10 Ballard Medical Products Oral care system
AU8903898A (en) 1997-08-11 1999-03-01 Paul W. Mayer Motorized motion-canceling suture tool holder
US6434507B1 (en) 1997-09-05 2002-08-13 Surgical Navigation Technologies, Inc. Medical instrument and method for use with computer-assisted image guided surgery
US5865361A (en) 1997-09-23 1999-02-02 United States Surgical Corporation Surgical stapling apparatus
US5863159A (en) 1997-12-12 1999-01-26 Lasko; Leonard J. Drill angle attachment coupling
AU2775199A (en) 1998-02-19 1999-09-06 California Institute Of Technology Apparatus and method for providing spherical viewing during endoscopic procedures
US6239732B1 (en) 1998-04-13 2001-05-29 Dallas Semiconductor Corporation One-wire device with A-to-D converter
US6126058A (en) 1998-06-19 2000-10-03 Scimed Life Systems, Inc. Method and device for full thickness resectioning of an organ
US6256859B1 (en) 1998-09-25 2001-07-10 Sherwood Services Ag Method of manufacturing an aspiring tool
US5993454A (en) 1998-09-29 1999-11-30 Stryker Corporation Drill attachment for a surgical drill
US7238021B1 (en) 1998-12-03 2007-07-03 Johnson Gary E Powered cutting surface with protective guard for equine teeth
US6860892B1 (en) 1999-05-28 2005-03-01 General Surgical Innovations, Inc. Specially shaped balloon device for use in surgery and method of use
US7951071B2 (en) 1999-06-02 2011-05-31 Tyco Healthcare Group Lp Moisture-detecting shaft for use with an electro-mechanical surgical device
US7032798B2 (en) 1999-06-02 2006-04-25 Power Medical Interventions, Inc. Electro-mechanical surgical device
US6443973B1 (en) 1999-06-02 2002-09-03 Power Medical Interventions, Inc. Electromechanical driver device for use with anastomosing, stapling, and resecting instruments
US6716233B1 (en) 1999-06-02 2004-04-06 Power Medical Interventions, Inc. Electromechanical driver and remote surgical instrument attachment having computer assisted control capabilities
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
US6491201B1 (en) 2000-02-22 2002-12-10 Power Medical Interventions, Inc. Fluid delivery mechanism for use with anastomosing, stapling, and resecting instruments
US8025199B2 (en) 2004-02-23 2011-09-27 Tyco Healthcare Group Lp Surgical cutting and stapling device
US8241322B2 (en) 2005-07-27 2012-08-14 Tyco Healthcare Group Lp Surgical device
US6981941B2 (en) 1999-06-02 2006-01-03 Power Medical Interventions Electro-mechanical surgical device
US6793652B1 (en) 1999-06-02 2004-09-21 Power Medical Interventions, Inc. Electro-mechanical surgical device
US6264087B1 (en) 1999-07-12 2001-07-24 Powermed, Inc. Expanding parallel jaw device for use with an electromechanical driver device
US6451007B1 (en) 1999-07-29 2002-09-17 Dale E. Koop Thermal quenching of tissue
US6611793B1 (en) 1999-09-07 2003-08-26 Scimed Life Systems, Inc. Systems and methods to identify and disable re-use single use devices based on detecting environmental changes
US6368324B1 (en) 1999-09-24 2002-04-09 Medtronic Xomed, Inc. Powered surgical handpiece assemblies and handpiece adapter assemblies
US6348061B1 (en) 2000-02-22 2002-02-19 Powermed, Inc. Vessel and lumen expander attachment for use with an electromechanical driver device
US6533157B1 (en) 2000-02-22 2003-03-18 Power Medical Interventions, Inc. Tissue stapling attachment for use with an electromechanical driver device
US6488197B1 (en) 2000-02-22 2002-12-03 Power Medical Interventions, Inc. Fluid delivery device for use with anastomosing resecting and stapling instruments
US8016855B2 (en) 2002-01-08 2011-09-13 Tyco Healthcare Group Lp Surgical device
US7770773B2 (en) 2005-07-27 2010-08-10 Power Medical Interventions, Llc Surgical device
EP1313401A4 (en) 2000-08-30 2006-09-20 Cerebral Vascular Applic Inc MEDICAL INSTRUMENT
US6817508B1 (en) 2000-10-13 2004-11-16 Tyco Healthcare Group, Lp Surgical stapling device
US20050004559A1 (en) 2003-06-03 2005-01-06 Senorx, Inc. Universal medical device control console
US7699835B2 (en) 2001-02-15 2010-04-20 Hansen Medical, Inc. Robotically controlled surgical instruments
US7905897B2 (en) 2001-03-14 2011-03-15 Tyco Healthcare Group Lp Trocar device
AU2002254712A1 (en) 2001-04-20 2002-11-05 Power Medical Interventions, Inc. Bipolar or ultrasonic surgical device
JP2005521109A (ja) 2001-06-20 2005-07-14 パワー メディカル インターベンションズ，インコーポレイテッド 統合医療追跡のための方法及びシステム
CN100337596C (zh) 2001-06-22 2007-09-19 机能医疗干预公司 电动机械式手术装置
US7044911B2 (en) 2001-06-29 2006-05-16 Philometron, Inc. Gateway platform for biological monitoring and delivery of therapeutic compounds
DE10147145C2 (de) 2001-09-25 2003-12-18 Kunz Reiner Multifunktionsinstrument für die mikroinvasive Chirurgie
WO2003030743A2 (en) 2001-10-05 2003-04-17 Tyco Healthcare Group Lp Surgical stapling device
US10285694B2 (en) 2001-10-20 2019-05-14 Covidien Lp Surgical stapler with timer and feedback display
US7464847B2 (en) 2005-06-03 2008-12-16 Tyco Healthcare Group Lp Surgical stapler with timer and feedback display
US6783533B2 (en) 2001-11-21 2004-08-31 Sythes Ag Chur Attachable/detachable reaming head for surgical reamer
IL148702A (en) 2002-03-14 2008-04-13 Innoventions Inc Insertion and retrieval system for inflatable devices
ES2377483T3 (es) * 2002-04-25 2012-03-28 Tyco Healthcare Group Lp Instrumentos quirúrgicos que incluyen sistemas microelectromecánicos (MEMS)
WO2003105702A2 (en) 2002-06-14 2003-12-24 Power Medical Interventions, Inc. Surgical device
US20030038938A1 (en) 2002-06-20 2003-02-27 Jung Wayne D. Apparatus and method for measuring optical characteristics of an object or material
US8182494B1 (en) 2002-07-31 2012-05-22 Cardica, Inc. Minimally-invasive surgical system
US6645218B1 (en) 2002-08-05 2003-11-11 Endius Incorporated Surgical instrument
US20040176751A1 (en) 2002-08-14 2004-09-09 Endovia Medical, Inc. Robotic medical instrument system
WO2004030526A1 (en) 2002-09-30 2004-04-15 Power Medical Interventions, Inc. Self-contained sterilizable surgical system
EP2430985B1 (en) 2002-10-04 2017-06-14 Covidien LP Pneumatic powered surgical stapling device
US7559927B2 (en) 2002-12-20 2009-07-14 Medtronic Xomed, Inc. Surgical instrument with telescoping attachment
JP2004208922A (ja) 2002-12-27 2004-07-29 Olympus Corp 医療装置及び医療用マニピュレータ並びに医療装置の制御方法
US7380695B2 (en) 2003-05-20 2008-06-03 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having a single lockout mechanism for prevention of firing
US7143923B2 (en) 2003-05-20 2006-12-05 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having a firing lockout for an unclosed anvil
US7380696B2 (en) 2003-05-20 2008-06-03 Ethicon Endo-Surgery, Inc. Articulating surgical stapling instrument incorporating a two-piece E-beam firing mechanism
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
US6988649B2 (en) 2003-05-20 2006-01-24 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having a spent cartridge lockout
US7044352B2 (en) 2003-05-20 2006-05-16 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having a single lockout mechanism for prevention of firing
US20070084897A1 (en) 2003-05-20 2007-04-19 Shelton Frederick E Iv Articulating surgical stapling instrument incorporating a two-piece e-beam firing mechanism
EP2591820B1 (en) 2003-05-21 2015-02-18 The Johns Hopkins University Devices and systems for minimally invasive surgery of the throat and other portions of mammalian body
ES2550808T3 (es) 2003-06-20 2015-11-12 Covidien Lp Instrumento de grapado quirúrgico
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
US6981628B2 (en) 2003-07-09 2006-01-03 Ethicon Endo-Surgery, Inc. Surgical instrument with a lateral-moving articulation control
US6964363B2 (en) 2003-07-09 2005-11-15 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having articulation joint support plates for supporting a firing bar
US7111769B2 (en) 2003-07-09 2006-09-26 Ethicon Endo-Surgery, Inc. Surgical instrument incorporating an articulation mechanism having rotation about the longitudinal axis
JP4398813B2 (ja) 2003-07-18 2010-01-13 ヤーマン株式会社 美肌装置
US6959852B2 (en) 2003-09-29 2005-11-01 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with multistroke firing incorporating an anti-backup mechanism
US6905057B2 (en) 2003-09-29 2005-06-14 Ethicon Endo-Surgery, Inc. Surgical stapling instrument incorporating a firing mechanism having a linked rack transmission
US7364061B2 (en) 2003-09-29 2008-04-29 Ethicon Endo-Surgery, Inc. Surgical stapling instrument incorporating a multistroke firing position indicator and retraction mechanism
US9055943B2 (en) 2007-09-21 2015-06-16 Covidien Lp Hand held surgical handle assembly, surgical adapters for use between surgical handle assembly and surgical end effectors, and methods of use
US10105140B2 (en) 2009-11-20 2018-10-23 Covidien Lp Surgical console and hand-held surgical device
US9113880B2 (en) 2007-10-05 2015-08-25 Covidien Lp Internal backbone structural chassis for a surgical device
AU2004281832B2 (en) 2003-10-17 2010-11-18 Covidien Lp Surgical stapling device with independent tip rotation
US8806973B2 (en) 2009-12-02 2014-08-19 Covidien Lp Adapters for use between surgical handle assembly and surgical end effector
US20090090763A1 (en) 2007-10-05 2009-04-09 Tyco Healthcare Group Lp Powered surgical stapling device
US8968276B2 (en) 2007-09-21 2015-03-03 Covidien Lp Hand held surgical handle assembly, surgical adapters for use between surgical handle assembly and surgical end effectors, and methods of use
US10022123B2 (en) 2012-07-09 2018-07-17 Covidien Lp Surgical adapter assemblies for use between surgical handle assembly and surgical end effectors
US10588629B2 (en) 2009-11-20 2020-03-17 Covidien Lp Surgical console and hand-held surgical device
US7172415B2 (en) 2003-11-22 2007-02-06 Flexi-Float, Llc Equine dental grinding apparatus
DE10357105B3 (de) 2003-12-06 2005-04-07 Richard Wolf Gmbh Medizinisches Instrument
SE0400145D0 (sv) 2004-01-27 2004-01-27 Anders Johansson An arrangement and method for assessing joints
US7172104B2 (en) 2004-02-17 2007-02-06 Tyco Healthcare Group Lp Surgical stapling apparatus
EP1723913A1 (en) 2004-03-10 2006-11-22 Olympus Corporation Treatment tool for surgery
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
US7147138B2 (en) 2004-07-28 2006-12-12 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having an electroactive polymer actuated buttress deployment mechanism
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
US7143925B2 (en) 2004-07-28 2006-12-05 Ethicon Endo-Surgery, Inc. Surgical instrument incorporating EAP blocking lockout mechanism
US7487899B2 (en) 2004-07-28 2009-02-10 Ethicon Endo-Surgery, Inc. Surgical instrument incorporating EAP complete firing system lockout mechanism
US7947034B2 (en) 2004-07-30 2011-05-24 Tyco Healthcare Group Lp Flexible shaft extender and method of using same
US7922719B2 (en) 2004-10-06 2011-04-12 Biodynamics, Llc Adjustable angle pawl handle for surgical instruments
JP5009159B2 (ja) 2004-10-08 2012-08-22 エシコン・エンド−サージェリィ・インコーポレイテッド 超音波手術器具
WO2006063156A1 (en) 2004-12-09 2006-06-15 Stryker Corporation Wireless system for providing instrument and implant data to a surgical navigation unit
CA2604563C (en) * 2005-04-15 2020-07-28 Surgisense Corporation Surgical instruments with sensors for detecting tissue properties, and systems using such instruments
US7822458B2 (en) 2005-05-19 2010-10-26 The Johns Hopkins University Distal bevel-tip needle control device and algorithm
EP1736112B1 (en) 2005-06-20 2011-08-17 Heribert Schmid Medical device
US8579176B2 (en) 2005-07-26 2013-11-12 Ethicon Endo-Surgery, Inc. Surgical stapling and cutting device and method for using the device
US8627995B2 (en) 2006-05-19 2014-01-14 Ethicon Endo-Sugery, Inc. Electrically self-powered surgical instrument with cryptographic identification of interchangeable part
CN102988087B (zh) 2005-07-27 2015-09-09 柯惠Lp公司 例如用于机电手术设备的轴
US20070029363A1 (en) 2005-08-07 2007-02-08 Sergey Popov Surgical apparatus with remote drive
US8348855B2 (en) 2005-08-29 2013-01-08 Galil Medical Ltd. Multiple sensor device for measuring tissue temperature during thermal treatment
JP4125311B2 (ja) 2005-08-30 2008-07-30 株式会社東芝 ロボットおよびマニピュレータ
US7407078B2 (en) 2005-09-21 2008-08-05 Ehthicon Endo-Surgery, Inc. Surgical stapling instrument having force controlled spacing end effector
AU2006222753B2 (en) 2005-09-30 2012-09-27 Ethicon Endo-Surgery, Inc. Electroactive polymer-based actuation mechanism for linear surgical stapler
US7641091B2 (en) 2005-10-04 2010-01-05 Tyco Healthcare Group Lp Staple drive assembly
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
US7799039B2 (en) 2005-11-09 2010-09-21 Ethicon Endo-Surgery, Inc. Surgical instrument having a hydraulically actuated end effector
US20070106317A1 (en) 2005-11-09 2007-05-10 Shelton Frederick E Iv Hydraulically and electrically actuated articulation joints for surgical instruments
US7673780B2 (en) 2005-11-09 2010-03-09 Ethicon Endo-Surgery, Inc. Articulation joint with improved moment arm extension for articulating an end effector of a surgical instrument
US7246734B2 (en) 2005-12-05 2007-07-24 Ethicon Endo-Surgery, Inc. Rotary hydraulic pump actuated multi-stroke surgical instrument
US7481824B2 (en) 2005-12-30 2009-01-27 Ethicon Endo-Surgery, Inc. Surgical instrument with bending articulation controlled articulation pivot joint
US7670334B2 (en) 2006-01-10 2010-03-02 Ethicon Endo-Surgery, Inc. Surgical instrument having an articulating end effector
US7422139B2 (en) 2006-01-31 2008-09-09 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting fastening instrument with tactile position feedback
US7464849B2 (en) 2006-01-31 2008-12-16 Ethicon Endo-Surgery, Inc. Electro-mechanical surgical instrument with closure system and anvil alignment components
US7575144B2 (en) 2006-01-31 2009-08-18 Ethicon Endo-Surgery, Inc. Surgical fastener and cutter with single cable actuator
US20110006101A1 (en) 2009-02-06 2011-01-13 EthiconEndo-Surgery, Inc. Motor driven surgical fastener device with cutting member lockout arrangements
US7787129B2 (en) 2006-01-31 2010-08-31 The Board Of Trustees Of The University Of Illinois Method and apparatus for measurement of optical properties in tissue
US7416101B2 (en) 2006-01-31 2008-08-26 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with loading force feedback
US7845537B2 (en) 2006-01-31 2010-12-07 Ethicon Endo-Surgery, Inc. Surgical instrument having recording capabilities
US7770775B2 (en) 2006-01-31 2010-08-10 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with adaptive user feedback
US7766210B2 (en) 2006-01-31 2010-08-03 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with user feedback system
US20070175955A1 (en) 2006-01-31 2007-08-02 Shelton Frederick E Iv Surgical cutting and fastening instrument with closure trigger locking mechanism
US8186555B2 (en) 2006-01-31 2012-05-29 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with mechanical closure system
US20070175951A1 (en) 2006-01-31 2007-08-02 Shelton Frederick E Iv Gearing selector for a powered surgical cutting and fastening instrument
US7568603B2 (en) 2006-01-31 2009-08-04 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with articulatable end effector
US7644848B2 (en) 2006-01-31 2010-01-12 Ethicon Endo-Surgery, Inc. Electronic lockouts and surgical instrument including same
US7464846B2 (en) 2006-01-31 2008-12-16 Ethicon Endo-Surgery, Inc. Surgical instrument having a removable battery
US20070175950A1 (en) 2006-01-31 2007-08-02 Shelton Frederick E Iv Disposable staple cartridge having an anvil with tissue locator for use with a surgical cutting and fastening instrument and modular end effector system therefor
US8708213B2 (en) 2006-01-31 2014-04-29 Ethicon Endo-Surgery, Inc. Surgical instrument having a feedback system
US8992422B2 (en) 2006-03-23 2015-03-31 Ethicon Endo-Surgery, Inc. Robotically-controlled endoscopic accessory channel
EP2486866A3 (en) 2006-05-19 2014-04-02 Ethicon Endo-Surgery, Inc. Mechanical force switch for a medical device
US8551076B2 (en) 2006-06-13 2013-10-08 Intuitive Surgical Operations, Inc. Retrograde instrument
US8114121B2 (en) * 2006-06-22 2012-02-14 Tyco Healthcare Group Lp Tissue vitality comparator with light pipe with fiber optic imaging bundle
US7441684B2 (en) 2006-08-02 2008-10-28 Ethicon Endo-Surgery, Inc. Pneumatically powered surgical cutting and fastening instrument with audible and visual feedback features
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
US9554843B2 (en) 2006-09-01 2017-01-31 Conmed Corporation Adapter and method for converting gas-enhanced electrosurgical coagulation instrument for cutting
US7967178B2 (en) 2006-10-06 2011-06-28 Tyco Healthcare Group Lp Grasping jaw mechanism
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
US20080109012A1 (en) 2006-11-03 2008-05-08 General Electric Company System, method and apparatus for tableside remote connections of medical instruments and systems using wireless communications
US8882113B2 (en) 2006-11-09 2014-11-11 Westport Medical, Inc. Bit holders
US7721930B2 (en) 2006-11-10 2010-05-25 Thicon Endo-Surgery, Inc. Disposable cartridge with adhesive for use with a stapling device
WO2008061313A1 (en) 2006-11-24 2008-05-29 Mems-Id Pty Ltd Tagging methods and apparatus
US7954682B2 (en) 2007-01-10 2011-06-07 Ethicon Endo-Surgery, Inc. Surgical instrument with elements to communicate between control unit and end effector
US7721931B2 (en) 2007-01-10 2010-05-25 Ethicon Endo-Surgery, Inc. Prevention of cartridge reuse in a surgical instrument
US7900805B2 (en) 2007-01-10 2011-03-08 Ethicon Endo-Surgery, Inc. Surgical instrument with enhanced battery performance
US7738971B2 (en) 2007-01-10 2010-06-15 Ethicon Endo-Surgery, Inc. Post-sterilization programming of surgical instruments
WO2008097902A2 (en) 2007-02-05 2008-08-14 Novian Health, Inc. Interstitial laser therapy kits and interstitial laser therapy control system
US8011550B2 (en) 2009-03-31 2011-09-06 Tyco Healthcare Group Lp Surgical stapling apparatus
AU2008223389B2 (en) 2007-03-06 2013-07-11 Covidien Lp Surgical stapling apparatus
US7422136B1 (en) 2007-03-15 2008-09-09 Tyco Healthcare Group Lp Powered surgical stapling device
WO2008118481A2 (en) 2007-03-26 2008-10-02 Hansen Medical, Inc. Robotic catheter systems and methods
US20080255413A1 (en) 2007-04-13 2008-10-16 Michael Zemlok Powered surgical instrument
US8800837B2 (en) 2007-04-13 2014-08-12 Covidien Lp Powered surgical instrument
US20080251561A1 (en) 2007-04-13 2008-10-16 Chad Eades Quick connect base plate for powder actuated tool
US8177776B2 (en) 2007-04-20 2012-05-15 Doheny Eye Institute Independent surgical center
WO2008131362A2 (en) 2007-04-20 2008-10-30 Doheny Eye Institute Personal surgical center
WO2008133956A2 (en) 2007-04-23 2008-11-06 Hansen Medical, Inc. Robotic instrument control system
US8649849B2 (en) 2007-05-21 2014-02-11 Board Of Regents, The University Of Texas System Optical methods to intraoperatively detect positive prostate and kidney cancer margins
US7549564B2 (en) 2007-06-22 2009-06-23 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with an articulating end effector
US8931682B2 (en) 2007-06-04 2015-01-13 Ethicon Endo-Surgery, Inc. Robotically-controlled shaft based rotary drive systems for surgical instruments
US7510107B2 (en) 2007-06-18 2009-03-31 Ethicon Endo-Surgery, Inc. Cable driven surgical stapling and cutting instrument with apparatus for preventing inadvertent cable disengagement
EP2197363B1 (en) 2007-09-21 2016-11-02 Covidien LP Surgical device
US9023014B2 (en) 2007-09-21 2015-05-05 Covidien Lp Quick connect assembly for use between surgical handle assembly and surgical accessories
WO2009039510A1 (en) 2007-09-21 2009-03-26 Power Medical Interventions, Inc. Surgical device
US8967443B2 (en) 2007-10-05 2015-03-03 Covidien Lp Method and apparatus for determining parameters of linear motion in a surgical instrument
US20130214025A1 (en) 2007-10-05 2013-08-22 Covidien Lp Powered surgical stapling device
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
US8960520B2 (en) 2007-10-05 2015-02-24 Covidien Lp Method and apparatus for determining parameters of linear motion in a surgical instrument
US8517241B2 (en) 2010-04-16 2013-08-27 Covidien Lp Hand-held surgical devices
US7922063B2 (en) 2007-10-31 2011-04-12 Tyco Healthcare Group, Lp Powered surgical instrument
US8758342B2 (en) 2007-11-28 2014-06-24 Covidien Ag Cordless power-assisted medical cauterization and cutting device
US20090171147A1 (en) 2007-12-31 2009-07-02 Woojin Lee Surgical instrument
CA2711130C (en) 2008-01-10 2016-08-30 Power Medical Interventions, Llc Imaging system for a surgical device
US8647258B2 (en) 2008-01-10 2014-02-11 Covidien Lp Apparatus for endoscopic procedures
TW200934621A (en) 2008-02-01 2009-08-16 Mobiletron Electronics Co Ltd Extended transmission rod for power tool
US8758391B2 (en) 2008-02-14 2014-06-24 Ethicon Endo-Surgery, Inc. Interchangeable tools for surgical instruments
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
US7819298B2 (en) 2008-02-14 2010-10-26 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with control features operable with one hand
US7857185B2 (en) 2008-02-14 2010-12-28 Ethicon Endo-Surgery, Inc. Disposable loading unit for surgical stapling apparatus
US8657174B2 (en) 2008-02-14 2014-02-25 Ethicon Endo-Surgery, Inc. Motorized surgical cutting and fastening instrument having handle based power source
US8752749B2 (en) 2008-02-14 2014-06-17 Ethicon Endo-Surgery, Inc. Robotically-controlled disposable motor-driven loading unit
US7959051B2 (en) 2008-02-15 2011-06-14 Ethicon Endo-Surgery, Inc. Closure systems for a surgical cutting and stapling instrument
US8733611B2 (en) 2008-03-12 2014-05-27 Covidien Lp Ratcheting mechanism for surgical stapling device
US20090254094A1 (en) 2008-04-08 2009-10-08 Knapp Troy D Ratcheting mechanical driver for cannulated surgical systems
EP2278927A2 (en) 2008-04-25 2011-02-02 Downey, Earl C. Laparoscopic surgical instrument
US7922061B2 (en) 2008-05-21 2011-04-12 Ethicon Endo-Surgery, Inc. Surgical instrument with automatically reconfigurable articulating end effector
US8403926B2 (en) 2008-06-05 2013-03-26 Ethicon Endo-Surgery, Inc. Manually articulating devices
US20100069942A1 (en) 2008-09-18 2010-03-18 Ethicon Endo-Surgery, Inc. Surgical instrument with apparatus for measuring elapsed time between actions
US9386983B2 (en) 2008-09-23 2016-07-12 Ethicon Endo-Surgery, Llc Robotically-controlled motorized surgical instrument
US8210411B2 (en) 2008-09-23 2012-07-03 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting instrument
US8372057B2 (en) 2008-10-10 2013-02-12 Coeur, Inc. Luer lock adapter
US8020743B2 (en) 2008-10-15 2011-09-20 Ethicon Endo-Surgery, Inc. Powered articulatable surgical cutting and fastening instrument with flexible drive member
DE102008053842B4 (de) 2008-10-30 2010-08-26 Kirchner, Hilmar O. Chirurgische Zerspanvorrichtung
US8016178B2 (en) 2009-03-31 2011-09-13 Tyco Healthcare Group Lp Surgical stapling apparatus
US7967179B2 (en) 2009-03-31 2011-06-28 Tyco Healthcare Group Lp Center cinch and release of buttress material
US8365972B2 (en) 2009-03-31 2013-02-05 Covidien Lp Surgical stapling apparatus
US8827134B2 (en) 2009-06-19 2014-09-09 Covidien Lp Flexible surgical stapler with motor in the head
US8146790B2 (en) 2009-07-11 2012-04-03 Tyco Healthcare Group Lp Surgical instrument with safety mechanism
US20110077673A1 (en) 2009-09-29 2011-03-31 Cardiovascular Systems, Inc. Rotational atherectomy device with frictional clutch having magnetic normal force
ES2333509B2 (es) 2009-10-07 2011-01-03 Universidad De Cantabria Instrumento para cirugia endoscopica.
US8157151B2 (en) 2009-10-15 2012-04-17 Tyco Healthcare Group Lp Staple line reinforcement for anvil and cartridge
EP2333509A1 (en) 2009-12-08 2011-06-15 Dingens BG bvba Precision Anaeroid barometer with a capillary tube as a pressure indicator.
US8561871B2 (en) 2009-12-31 2013-10-22 Covidien Lp Indicators for surgical staplers
WO2011108840A2 (ko) 2010-03-05 2011-09-09 주식회사 이턴 수술용 인스트루먼트, 수술용 인스트루먼트의 커플링 구조 및 원점 조정 방법
JP5658896B2 (ja) * 2010-03-19 2015-01-28 オリンパス株式会社 治療用処置システム
CN101966093B (zh) 2010-09-28 2012-01-11 常州市康迪医用吻合器有限公司 带有可更换钉仓的腔镜外科切割吻合器
US8292150B2 (en) 2010-11-02 2012-10-23 Tyco Healthcare Group Lp Adapter for powered surgical devices
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
US8936614B2 (en) 2010-12-30 2015-01-20 Covidien Lp Combined unilateral/bilateral jaws on a surgical instrument
JP2014508580A (ja) 2011-01-19 2014-04-10 フラクティル ラボラトリーズ インコーポレイテッド 組織の治療のためのデバイスおよび方法
US20120211542A1 (en) 2011-02-23 2012-08-23 Tyco Healthcare Group I.P Controlled tissue compression systems and methods
CN102247182A (zh) 2011-04-29 2011-11-23 常州市康迪医用吻合器有限公司 外科用电动吻合器
US9017314B2 (en) 2011-06-01 2015-04-28 Covidien Lp Surgical articulation assembly
US9492146B2 (en) 2011-10-25 2016-11-15 Covidien Lp Apparatus for endoscopic procedures
US9480492B2 (en) 2011-10-25 2016-11-01 Covidien Lp Apparatus for endoscopic procedures
US8899462B2 (en) 2011-10-25 2014-12-02 Covidien Lp Apparatus for endoscopic procedures
US8657177B2 (en) 2011-10-25 2014-02-25 Covidien Lp Surgical apparatus and method for endoscopic surgery
US8672206B2 (en) 2011-10-25 2014-03-18 Covidien Lp Apparatus for endoscopic procedures
JP2013192775A (ja) * 2012-03-21 2013-09-30 Konica Minolta Inc 鉗子、診断補助システムおよび内視鏡システム
US9868198B2 (en) 2012-06-01 2018-01-16 Covidien Lp Hand held surgical handle assembly, surgical adapters for use between surgical handle assembly and surgical loading units, and methods of use
US9597104B2 (en) 2012-06-01 2017-03-21 Covidien Lp Handheld surgical handle assembly, surgical adapters for use between surgical handle assembly and surgical end effectors, and methods of use
US10080563B2 (en) 2012-06-01 2018-09-25 Covidien Lp Loading unit detection assembly and surgical device for use therewith
US9364220B2 (en) 2012-06-19 2016-06-14 Covidien Lp Apparatus for endoscopic procedures
US9839480B2 (en) 2012-07-09 2017-12-12 Covidien Lp Surgical adapter assemblies for use between surgical handle assembly and surgical end effectors
US10492814B2 (en) 2012-07-09 2019-12-03 Covidien Lp Apparatus for endoscopic procedures
US9402604B2 (en) 2012-07-20 2016-08-02 Covidien Lp Apparatus for endoscopic procedures
US9421014B2 (en) 2012-10-18 2016-08-23 Covidien Lp Loading unit velocity and position feedback
US9782187B2 (en) 2013-01-18 2017-10-10 Covidien Lp Adapter load button lockout
US9421003B2 (en) 2013-02-18 2016-08-23 Covidien Lp Apparatus for endoscopic procedures
US9216013B2 (en) 2013-02-18 2015-12-22 Covidien Lp Apparatus for endoscopic procedures
US9839421B2 (en) * 2013-02-28 2017-12-12 Ethicon Llc Jaw closure feature for end effector of surgical instrument
US9492189B2 (en) 2013-03-13 2016-11-15 Covidien Lp Apparatus for endoscopic procedures
US9301691B2 (en) 2014-02-21 2016-04-05 Covidien Lp Instrument for optically detecting tissue attributes

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2008112147A1 (en) * 2007-03-09 2008-09-18 Nellcor Puritan Bennett Llc System and method for controlling tissue treatment
WO2009005850A1 (en) * 2007-06-29 2009-01-08 Tyco Healthcare Group, Lp Method and system for monitoring tissue during an electrosurgical procedure
CN102614003A (zh) * 2011-01-31 2012-08-01 Tyco医疗健康集团 用于施夹器的锁紧凸轮驱动器及钳夹组件
WO2013148054A1 (en) * 2012-03-26 2013-10-03 Covidien Lp Light energy sealing, cutting and sensing surgical device

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107019545A (zh) * 2015-12-18 2017-08-08 柯惠Lp公司 包括传感器的手术器械
CN107019545B (zh) * 2015-12-18 2021-04-20 柯惠Lp公司 包括传感器的手术器械
CN112154951A (zh) * 2020-10-19 2021-01-01 江苏农牧科技职业学院 一种虾蟹健康体检仪

Also Published As

Publication number Publication date
US20160206209A1 (en) 2016-07-21
US10660724B2 (en) 2020-05-26
JP2015157066A (ja) 2015-09-03
AU2014262255B2 (en) 2019-02-21
CA2873257A1 (en) 2015-08-21
US20170079740A1 (en) 2017-03-23
JP6457806B2 (ja) 2019-01-23
AU2014262255A1 (en) 2015-09-10
CN104856646B (zh) 2019-06-18
US9301691B2 (en) 2016-04-05
EP2913019B1 (en) 2019-02-06
EP2913019A1 (en) 2015-09-02
US20150238088A1 (en) 2015-08-27

Similar Documents

Publication Publication Date Title
CN104856646A (zh) 用于光学地检测组织属性的器械
US5772597A (en) Surgical tool end effector
US10772688B2 (en) Input handles for robotic surgical systems having visual feedback
US11553971B2 (en) Surgical RFID assemblies for display and communication
JP7460666B2 (ja) 適合性検出のための外科用ｒｆｉｄアセンブリ
US20200205921A1 (en) Shaft, e.g., for an electro-mechanical surgical device
US11559307B2 (en) Method of robotic hub communication, detection, and control
EP3756616A2 (en) Surgical rfid assemblies for instrument operational setting control
US5460182A (en) Tissue penetrating apparatus and methods
JP2016025902A (ja) 電子機械ドライバおよびコンピュータ制御能力を有する遠隔外科器具アタッチメント
US20080147018A1 (en) Laparoscopic cannula with camera and lighting
JP2023544593A (ja) 協働的外科用ディスプレイ
EP4185230A1 (en) Configuration of the display settings and displayed information based on the recognition of the user(s) and awareness of prodedure, location or usage
JP2014500060A (ja) 外科用器具のエンドエフェクタを介したユーザーフィードバック
US20150313517A1 (en) Endoscope system
CN108852443A (zh) 动力外科手术缝合装置
US20230371968A1 (en) Autonomous Intra-Instrument Surgical System Actuation
WO2023002382A1 (en) Configuration of the display settings and displayed information based on the recognition of the user(s) and awareness of prodedure, location or usage

Legal Events

Date Code Title Description
C06 Publication
PB01 Publication
C10 Entry into substantive examination
SE01 Entry into force of request for substantive examination
GR01 Patent grant
GR01 Patent grant