CN1826083A - 用于远程操纵外科手术或诊断工具的活动连接装置 - Google Patents
用于远程操纵外科手术或诊断工具的活动连接装置 Download PDFInfo
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- A61M25/0133—Tip steering devices
- A61M2025/0161—Tip steering devices wherein the distal tips have two or more deflection regions
Abstract
本发明涉及用于远程操纵外科手术或诊断工具的活动连接装置。该活动连接装置用于例如远程操纵在身体的区域内或到达身体的区域的各种外科手术设备和诊断工具。在该装置的近端的区段的运动导致在该装置远端的区段的相应的相对运动。该远端和近端区段通过一组绳索这样连接,即每个近端区段与一个远端区段形成一离散对。这种构造允许每个区段对彼此独立地运动,还允许该活动连接装置进行复杂运动并且采用复杂构造。
Description
技术领域
本发明涉及活动连接装置(机构)及其应用,包括远程引导和操纵外科手术或诊断器械/工具。
背景技术
外科方法,如内窥镜检查法和腹腔镜检查法,通常采用从人体外的位置在目标器官或组织内或者朝向目标器官或组织操纵的器械。内窥镜检查法的例子包括乙状结肠镜检查法、结肠镜检查法、食管胃十二指肠镜检查法和支气管镜检查法。传统地,通过向前推动而使内窥镜的插入管前进,并且通过向回拉该插入管而将其收回。可通过扭转和一般的上/下和左/右运动来引导该插入管的端部。经常地,这种有限范围的运动使得很难(例如,在直肠乙状结肠的结肠部(rectosigmoid colon)中)达到锐角,造成病人不舒服并增大损伤周围组织的风险。
腹腔镜检查涉及根据解剖标志定位套针端口。端口的数量通常随获得满意的组织活动以及暴露手术区域所需预期方法和器械的数量而改变。尽管腹腔镜外科手术有很多好处,如手术后痛苦少,(术后)活动早以及粘连产生减少,但是通常很难实现器官的最佳收缩和传统器械通过腹腔镜端口的可操作性。在某些情况下,这些不足可导致手术时间增加或者元件如手术夹和缝合线的不精确定位。
诊断和治疗应用的易操纵导管也是熟知的。同内窥镜类似,这样的导管包括在通常有限的运动范围内被引导而通行于病人的脉管系统的端部。
已经做了很多努力设计改进易操纵性的内窥镜和导管。例如,Sato的US3,557,780、Ailinger等人的US5,271,381、Alotta等人的US5,916,146和Sakai的US6,270,453说明了具有可通过操纵单组金属丝而弯曲的一个或多个柔性部位的内窥镜器械。通过转动小齿轮(Sato)、操纵旋钮(Ailinger等人)、易操纵的臂(Alotta等人)、或通过滑轮装置(Sato)而从该内窥镜器械的近端来致动所述金属丝。
Boury等人的US5,916,147公开了一种具有四根金属丝的易操纵导管,这些金属丝在导管壁内延伸。每根金属丝在导管的不同部分终止。这些金属丝的近端从导管中松弛地伸出,以便医师可以拉动它们。通过选择性地将这些金属丝设置到张紧状态,医师能够使导管定形(整形)并由此操纵该导管。
尽管上述每个装置都是可远程操纵的,但是它们的运动范围通常是有限的,至少部分通常是因为在易操纵元件的连接链节或区段中仅采用单一绳索组。这样,在每个链节或区段处不可能进行独立运动。相反,远端链节或区段作为一个单元或多个单元弯曲在一起。该操纵装置可能使用起来也很费力,例如在Boury等人的导管中必须分别拉动每根金属丝以使导管定形。此外,例如在采用旋钮和滑轮装置的内窥镜和易操纵导管的情况下,需要经过大量的培训以熟练地操纵该装置通过病人的组织。
因此,具有改进的远程操纵性而可控制地通行于复杂组织的装置,可更加有效并准确地使外科手术及诊断器械和工具行进和展开,并且在各种外科手术方法中,有助于降低对周围组织的损伤,使病人的不舒适感最小化,减少手术时间,甚至可能降低病人的发病率。对这种装置而言,提供更加直观和容易的用户界面以获得这种改进的可操纵性也是有利的。
发明内容
本发明提供一种用于各种目的的活动连接装置,这些目的包括但不限于远程操纵器械如外科手术或诊断的器械或工具,这些器械或工具包括但不限于内窥镜、导管、多普勒流量计、传声器、探测器、牵引器、解剖器、缝合器/吻合器、夹子、抓紧器、剪刀或截切机、切除或烧灼元件等。该活动连接装置可以用于在身体区域内或病人体内的目标位置中操纵这些工具,能够进一步用来致动这些器械和工具或有助于致动这些器械和工具。
在一种变型中,该活动连接装置包括多对链节,每对链节中的每个链节相对于该对链节中的另一个链节保持间隔开一定距离的关系,以及多组绳索,每组绳索使一离散对的链节彼此连接并且在各离散对的链节处终止,使得一对链节中的一个链节的运动导致该对链节中的另一个链节的相应的相对运动。在该活动连接装置远端的相对运动与在近端处的运动相应。
在另一种变型中,该活动连接装置包括连续柔性部件。该连续柔性部件包括多对区段,每对区段的每个区段相对于该对区段中的另一个区段保持间隔开一定距离的关系,和多组绳索,每组绳索使一离散对的区段彼此连接并且在各离散对的区段处终止,使得一对区段中的一个区段的运动导致该对区段的另一个区段的相应的相对运动。在某些情况下,该连续柔性部件可以是如具有多个管腔的导管,其中,每个绳索组在沿着该导管的长度在不同的轴向位置处终止。在其它情况下,该连续柔性部件可以具有螺旋结构,且每个区段对应于螺旋结构的一个回转。如有需要,可以在该螺旋区段或链节之间设置柔性连接件。
该活动连接装置的变型也可以包括可能具有用于接纳一锁定杆的通道的区段或链节,该锁定杆可将活动连接装置的近端固定并保持在一固定位置。代替锁定杆,可在该装置的近端上安装一锁定套以将该近端固定并保持在一固定位置。
外科手术或诊断工具可以连接到根据本发明的活动连接装置的远端或从该远端伸出,或者反过来也可以将该活动连接装置结合进这样的工具。外科手术或诊断工具的例子包括但不限于:内窥镜、导管、多普勒流量计、传声器、探测器、牵引器、解剖器、缝合器/吻合器、夹子、抓紧器、剪刀或截切机、切除或烧灼元件。
附图说明
图1A-1E示出根据本发明一种变型的具有多对由相应的绳索(缆线)组连接的链节的活动连接装置的透视图,图1A示出该活动连接装置处于自然构形,图1B-1E示出该活动连接装置处于不同操纵状态;
图1F是类似于图1A的活动连接装置在端部操纵成具有多个弯曲时远端的透视图;
图2A-2E示出用于根据本发明另一种变型的活动连接装置中的链节的端面图、侧视图和透视图;
图3A-3C是类似于图2A-2E中的链节并具有不同形状的杆部和相应的凹槽的链节的横截面视图,在图3A和3B中,该杆部的远端为凸状,在图3C中为球形,图3A中的凹槽为锥形,图3B为凹面形,图3C为球形;
图3D是根据本发明另一种变型的在链节之间设有球形元件的活动连接装置中使用的链节的横截面视图,图3E是类似于图3D中的链节和球形元件的横截面视图,该链节和球形元件还包括延伸通过并且连通该链节和球形元件的中心通道(通孔);
图4A-4C是用于根据本发明一种变型的活动连接装置中的链节的横截面视图,示出了绳索连接到链节上的不同模式;
图5A和5B示出用于本发明另一种变型的活动连接装置中的单个链节,图5A是该链节的透视图,图5B是该链节的端面视图,所示的链节包括用于接纳和通过绳索和其它元件的管腔和通道;
图6A-6C示出根据本发明变型的结合有外科手术夹的活动连接装置的透视图;
图7是根据本发明一种变型的结合有导管的活动连接装置的透视图;
图8是根据本发明另一种变型的结合有内窥镜的活动连接装置的透视图;
图9A和9B是用于形成远程牵引器的活动连接装置的透视图,在图9A中,该牵引器为“U”形,在图9B中,该牵引器具有三角形牵引表面;
图9C是根据本发明另一种变型的活动连接装置的透视图,其中该装置连接到使用者的手上;
图10A-10B示出根据本发明另一种变型的活动连接装置的透视图,该装置具有连续的柔性元件,该部件包括螺旋区段,多对这种区段通过相应的绳索组连接起来,图10B是图10A中所示的螺旋区段局部剖开的放大图;
图11是根据本发明另一种变型的活动连接装置的透视图,该装置具有带有多个贯穿的管腔的连续的柔性元件,并且多对区段通过相应的绳索组连接起来;
图12A-12B是根据本发明再一种变型的活动连接装置的远端的透视图,该装置连接有组织切除元件;以及
图13A-13F示出根据图12的活动连接装置的远端,该装置用于远程操纵以烧蚀心脏疾病。
具体实施方式
根据本发明的活动连接装置通常包括多对链节或区段和多组绳索。该活动连接装置可以由单个间隔开的区段制成,即链节,或由连续的柔性部件形成的区段制成。此处所用的术语“链节”和“区段”是指在装置的一端的离散部分或限定区域,该离散部分或限定区域与在该装置的相对端的另一个离散部分或限定区域相对应。无论如何,该活动连接装置都包括多个构成离散对的组成部分的链节或区段。该链节或区段形成一个近端和一个远端,每对中的一个链节或区段位于近端,另外一个链节或区段位于远端。如下面进一步描述的,由连续柔性部件形成的链节或区段例如可以为连续的管状形式,或者例如设置成螺旋状排列,其中,每个区段对应于螺旋结构的一个回转。
每个绳索组将离散对的链节或区段连接到另一链节或区段,以便一对中的一个链节或区段的运动导致该对中的另外的链节或区段的运动。操纵单个链节的能力允许该装置易于形成如在此处进一步详细说明的复杂的三维构造和几何形状。对于依赖于绳索或金属丝的传统的活动连接装置,很难形成这种复杂的几何形状,原因是这种装置是操纵绳索或金属丝通过每个区段并且在最远端的区段终止的普通设计。由此,为对金属丝或绳索组通常为曲线或弓形形式的运动作出协调反应,所有的区段都弯曲在一起。例如,Alotta等人在US5,916,146中描述的该装置具有这种构造。
为举例说明,本发明的活动连接装置将在用于远程引导、操纵和/或致动在身体的较远可接近区域中的外科手术或诊断工具和器械的上下文中进行描述。此处术语“器械”和“工具”可以通用并且指通常由使用者操作以完成特定目的的装置。此处所用的术语“区域”是指处于疾病或非疾病状态的任何实心器官(如肝脏、肾、脑、心脏)或中空器官(如食道、肠、胃、膀胱)、任何实心或内腔(如血管或管)组织,或任何体腔(如瘘管、胸膜或腹膜空间)。除了外科手术或诊断应用,该活动连接装置的其它应用也是可以预期的,并且对本领域的技术人员是显而易见的。这些应用包括但不限于,工业用途,如将工具、探测器、传感器等引航进入到狭窄的空间,或用于精确地远程操纵工具。其它用途包括也希望远程操纵复杂几何形状的领域。这些用途包括娱乐或娱乐表演用途,如玩具或游戏,例如远程操纵木偶、玩偶、小雕像等。
参照图1A所示的变型,活动连接装置100包括多个构成近端106和远端108的链节102。链节A1和A2,B1和B2,D1和D2分别是一个离散对的组成部分,一对中的一个链节位于近端106而另一个链节位于远端108。链节C1和C2为间隔链节,以下将作更详细的描述。近端链节(A1,B1,D1)通过绳索104连接到远端链节(A2,B2,D2)。在近端106和远端108之间设置间隔元件112,以便将近端链节和远端链节分开并使它们保持分割开的关系。该间隔元件112可以为适于目标应用的任何长度,并且通常为中空结构,以便可以容纳连接链节对的所有绳索104以及同该活动连接装置一起使用的希望的工具或器械相关的附加绳索、金属丝、光学纤维或其它类似元件。
根据不同目的,链节可以具有任何尺寸和形状,但是链节的形式通常取决于这样的因素,如病人的年龄、受益区的构造、目标应用和外科医生的喜好。例如,链节102通常为圆柱形,并且包括用于连接链节对的绳索、与同该装置结合使用的希望工具或器械相关的附加绳索、金属丝、光学纤维或其它类似元件通过的通道。该通道的直径通常略大于绳索直径,形成滑动配合。此外,该链节还可以包括一个或多个用于接纳可连接的外科手术器械或诊断工具的元件或用于使致动它们的绳索通过的通道。该链节可通常具有约0.5mm至约15mm的直径,或根据应用更大的直径。对于内窥镜应用,小内窥镜器械的典型直径为约2mm至约3mm,中等尺寸的内窥镜器械的直径为约5mm至约7mm,大内窥镜器械为约10mm至约15mm。对于导管应用,直径可从约1mm至约5mm。通常根据链节之间所希望的弯曲半径的不同,链节的总长将不同。
图2A-2E所示的变型中,链节200通常为圆柱形并且还包括杆部202。链节200可以排列成使杆部202的远端206与形成在相邻区段的表面210中的相应凹槽208接合。杆部的远端可以为各种形状。例如,链节200a和200b分别具有凸起端部206a和206b(图3A,3B),而链节200c具有球形端部206c(图3C)。同样地,只要允许各链节相互接合并且不会限制活动连接装置运动所需的范围,相应的凹槽就可以为各种对应形状,例如,凹槽206b和206c为凹面的(图3B和3C)或凹槽206a为锥形的(图3A)。
杆部202可通常具有在约0.5mm至大于约15mm之间的长度和在约0.5mm至约2.5mm之间的直径。对于内窥镜应用,杆部直径为约1mm至约1.5mm。如图2A-2E所示,链节200还包括多个用于使连接链节对的绳索通过的通道212。如图5所示,链节500设计成具有一连接通道502,该连接通道502与该区段的外部相通并且朝向该区段的外围设置,用于在该活动连接装置的远端安装其它元件,如能量来源(用来切除或凝结)或光学纤维,或柔性内窥镜。一个以上的链节或区段可以包括一连接通道,以便该连接通道可以从该装置的远端延伸到近端。如果需要,绳索、金属丝、光学纤维、柔性内窥镜等也可以穿过一中心通道504。
链节或区段可以由任何生物适合的材料制成,该材料包括但不限于:不锈钢、钛、钽以及任何它们的合金;聚合物如聚乙烯或其共聚物、聚对苯二甲酸乙二醇酯或其共聚物、尼龙、硅树脂、聚亚安酯、含氟聚合物、聚氯乙烯以及它们的化合物。
如果需要,可以在链节或区段上设置光滑的涂层以有助于该活动连接装置前进。该光滑的涂层可以包括亲水聚合物如聚乙烯吡咯烷酮,含氟聚合物如四氟乙烯或者硅树脂。
在一个或多个区段上也可以包括不透射线的标志以在射线成像时指示该活动连接装置的位置。通常,该标志由荧光透视法检查。
活动连接装置近端的每个链节或区段通过两个或更多绳索连接到其在远端的相应链节或区段上。每个绳索组可由至少两个绳索组成。如注意到的,一对链节或区段的运动由相应的绳索操纵,并且独立于任何其它对链节或区段。例如,在某种变型中,一个绳索组将包括三根以120度分开的绳索。通过采用由三根绳索组成的绳索组来连接每个链节或区段对,可以独立于任何其它链节或区段对而在三个自由度上操纵或运动每个链节或区段对。通过结合多个链节或区段对,实现多个自由度使活动连接装置变成各种复杂的外形。例如,图1F所示的变型中总共有九个链节对,每对均由三根绳索组成的绳索组独立连接,可以在27个自由度上运动。在仅采用单独绳索组来操纵链节的典型传统活动连接装置中无法获得这样多的自由度。
绳索的直径根据应用而变化,其范围可从约0.15mm至约3mm。对于导管应用,有代表性的直径范围可从约0.15mm至约0.75mm。对于内窥镜应用,有代表性的直径范围可从约0.5mm至约3mm。
例如,可以根据绳索材料的种类和编织法或者物理或化学处理改变绳索的柔韧性。通常,根据该活动连接装置的目标应用的需要改变绳索的硬度或柔韧性。该绳索可以是单股或多股金属丝,该金属丝的材料包括但不限于生物适合的材料,如镍钛合金、不锈钢或任何它的合金、超弹性合金、碳化纤维、聚合物例如聚氯乙烯、聚氧乙烯、聚对苯二甲酸乙二醇酯和其它聚酯、聚烯烃、聚丙烯以及它们的共聚物、尼龙、丝绸和它们的化合物,或本领域熟知的其它适用的材料。
参照图1A,固定到近端链节上的绳索通过间隔元件112与该对中的相应远端链节连接。如图1B-1E所示,近端链节的运动会导致远端链节反向的相应(相反,reciprocal)运动。在其它变型中,绳索穿过间隔元件112时可以扭转或转动180度,以便反映出在远端108的相应运动。本发明的活动连接装置可以构造成包括扭转成0到360度范围内任意角度的绳索,以提供360度范围的相应运动。
绳索可以根据本领域中已知的方式固定到一对链节上,如采用粘合剂或采用硬钎焊、软钎焊、焊接等。图4a示出绳索401以这样的方式固定在链节410的通道402内。在图4B所示的另一种变型中,在绳索端部404上例如通过压接、硬钎焊、焊接或粘结安装有绳索终结器400以防止绳索通过通道402滑脱。在进一步变型中,如图4C所示,该绳索终结器400型锻而形成通道402内的斜面,从而在绳索端部404和绳索终结器400之间形成摩擦配合。
图10A和10B示出本发明的一种变型。活动连接装置130的区段不是单个链节或区段,而是由图示为拉长的线圈的连续柔性部件形成。该线圈的每一个回转是该活动连接装置的一螺旋状区段131。区段131具有使通道105平行于线圈的轴而穿过它们的厚度。在近端107处的螺旋区段同远端109处的区段形成离散区段对。每个区段对由其自有的一组绳索111连接。在近端107和远端109之间也设置有间隔元件113,以便将远端区段与近端区段隔开。如前所述,该绳索可以固定到螺旋区段上。
如图11所示,在本发明的又一变型中,活动连接装置132由一连续的导管115形成,导管115具有多个通过整个导管长度的管腔117。连续导管115还可以有选择地包括中央管腔119。绳索组可以穿过导管的长度并且在近端和远端利用如环氧树脂锚固在不同的相应轴向位置,或在区段对的每个区段之间穿过并且在近端或远端锚固在每个区段或每个区段附近。例如,在该装置的近端121,一个绳索组可以锚固在A1,另一个锚固在B1,还有一个锚固在C1。然后,每个绳索组将在该装置的远端123处锚固在相应的位置上,如A2、B2和C2处。
穿过区段对的绳索可被精确地切割成一定长度,但如果需要,可被切割成大约那个长度。一种设置绳索的方法包括利用推进器使绳索通过管腔向前移动。在推进器上的可视标志或可触知止动件可以指示将推进器推进多远。移除推进器后,可以向每个管腔中引入一根注射针以在每根绳索的端部使环氧树脂从例如注射器外部沉积到导管中。在另一种方法中,例如可利用穿过导管整个长度的绳索而应用该方法,可引导注射针在每个希望的绳索连接点处或其附近穿透导管壁而在所希望的点向绳索输送环氧树脂,由此将每根绳索连接到每个相应的区段对上。
尽管前面附图所示的多数活动连接装置仅具有8个链节(4对),但这仅是为了指示单个装置组件彼此关系的示例性目的。可以采用任意数量的链节或链节对,这取决于这样的因素,即使用者的目标身体区域和活动连接装置的希望长度。例如,图1F的活动连接装置101具有9个链节对。
该活动连接装置中还可以包括间隔链节,即没有被分散组的绳索连接的链节(如图1A-1E中的C1和C2)。这些链节可以在远端或近端中的任一个或两个上插入活动链节之间,用作不能独立致动的被动链节,但是允许绳索组通过而到达相邻活动链节。间隔链节可以用来给近端或远端提供额外长度。此外,该活动连接装置一端包括间隔链节允许成比例地调节相应另一端的运动或动作。例如,在远端包括间隔链节将要求使用者在近端作更大的运动以在远端获得所希望的运动。这在希望完美精确的操纵运动情形中可能是有利的,例如,在缺乏成比例地调节远端运动或动作的情况下,存在使用者可能不具备完成希望程序所需要的机敏的风险的情形。可选地,可以在近端设置间隔链节,在这种情况下,远端运动的程度可以成比例地大于近端运动的程度,这也可能是特别应用中所需要的。
如注意到的,本发明的活动连接装置可以以其本来的直线构形或从病人体外部位在近端进行各种操纵后,用于在身体区域内或朝向病人身体区域内的目标位置引导外科手术或诊断器械/工具。经过适当的插入后,该活动连接装置的近端的运动会导致远端相应的运动。此外,所得到的远端的定向运动可以是反向的、镜像的或其它方向的,这取决于近端相对于远端的转动程度。同样地,近端提供了一个用户界面以控制对远端的操纵和操作,这种用户界面相对于其它依赖于例如滑轮或旋钮来控制操纵金属丝的传统操纵装置更方便和易于使用。例如,这种用户界面允许使用者根据外部定位的近端用户界面,很容易地想象出活动连接装置的位于例如病人内部的远端的形状和定向运动。
如上所述,由于通过离散的绳索组形成多对区段或链节,所以可以实现复杂的运动,包括上、下、左、右、斜向和转动运动。例如,在图1B所示的变型中,当在近端A1致动最远端的链节时,可以致动在远端的最远端链节A2,但所有其它链节保持静止。为示例起见,示出最远端链节转动形成一直立圆锥114a,该直立圆锥的底部直径随着这样的因素增大,即杆部长度的增加、绳索柔韧性的增强和除其它链节外增加间隔链节103(如C1)。
如图1C所示,当仅在近端致动最近端链节D1时,在远端的最近端链节D2被致动,但所有其它链节都保持静止。由于增大了被致动的区段的数量(由此增大了倾斜高度),所以经过转动直立圆锥114b的底部直径大于图1B中的圆锥114a的底部直径。
如果致动在近端的中间链节如图1D中的B1,在所有其它链节保持为直线或彼此静止时,只有远端相应的中间链节B2被操纵并可被转动形成如具有弯曲侧面116a的圆锥。或者,如图1E所示,通过操纵最远端的链节A1可以形成具有弯曲侧面116b的更大的圆锥,从而所有近端链节都弯曲成曲线。在远端的所有链节随后将以相反方式模仿该曲线。
尽管在图1B-1E中示出了转动运动,但是此外也可以实现包括上、下、右、左和倾斜运动的其它复杂的三维运动。例如,图1F示出沿其长度具有多个弯曲(122,124,126)的活动连接装置的远端120,每个弯曲在彼此独立的方向上取向。如注意到的,图1F的活动连接装置101具有带三个绳索组的九对链节,每个链节提供27个自由度上的运动,但是链节对和绳索组的其它构形将容易地实现类似的复杂运动和几何外形。通过独立地致动由其相应的绳索组控制的各链节或区段对,使活动连接装置具备这样的能力,即不同部分可同时沿不同方向弯曲并且能形成活动的复杂构形。
当区段通过绳索组连接时,区段的自然构形通常是线性的。这样,如果希望在活动连接装置的远端保持某种弯曲或其它复杂构形,可在近端区段内滑动的有韧性的导管可以成形为使近端区段并由此它们相应的远端区段保持在特定构形。例如,在外科医生例如致动与该装置相关的工具或同时进行一单独程序的同时,操纵该装置到达希望的目标位置并且希望将该装置“锁定”就位的情况下,这可能是有利的。术语“有韧性”是指导管足够柔韧而能够具有某种形状,但又足够硬而保持这种成形的形状。在另一种变型中,一锁定杆可以插入一个或多个贯穿链节或区段的连接通道而将该活动连接装置的近端和远端区段“锁定”就位。该锁定杆可以是有韧性的金属棒,该金属杆可以被定形并随后插到连接通道中以将近端和远端区段设定成特定构形,或者以预先定形的形式提供该锁定杆。
其它固定或锁定该活动连接装置就位的方法包括通常使用的利用球-承窝类型的接头和张紧的绳索一起来构形的链节。这种系统的例子通常描述在如Corey,Jr.et al的美国专利No.5,899,425中。在这种系统中,穿过接头的绳索被张紧,使球和承窝摩擦地锁定在一起。该绳索可以通过多种方式张紧,包括如通过将张紧绳索的末端固定到一拧入螺母的螺杆上,而该螺母固定在该装置的近端。图3D和3E举例说明了用于本发明的活动连接装置中的球-承窝类型的链节系统。如图3D所示,每个链节300都具有用于接纳设置在链节之间的球形元件或球302的凹窝301。当沿链节的轴线线性地施加拉紧力时,由于球和承窝之间的摩擦力链节将锁入位。图3E示出类似构形的链节系统,每个链节310和球312都具有用于使张紧的绳索通过的对齐的通道313和314。
该活动连接装置可以用于远程操纵外科手术器械、诊断工具、各种导管等进入中空或有腔室的器官和/或组织,这些器官和/或组织包括但不限于:血管(包括头颅内的血管、大血管、周边血管、冠状动脉、动脉瘤)、心脏、食道、胃、肠、膀胱、输尿管、输卵管、排泄管如胆管,以及大小气管。该活动连接装置还可以用于远程引导外科手术器械、诊断工具、各种导管等作用于实心器官或组织,这些器官或组织包括但不限于:皮肤、肌肉、脂肪、脑、肝脏、肾、脾以及良性或恶性肿瘤。该活动连接装置可以用于包括人的受治疗哺乳动物,(哺乳动物包括但不限于灵长类动物、畜牧业动物、运动型动物、猫、狗、兔、田鼠和老鼠)。
该活动连接装置通常可以用于在近端有用户界面而在远端有致动元件的任何应用领域或者结合入具有这种特征的其它装置中。该用户界面可以包括活动连接装置的近端,而其远端可以连接到致动元件上。例如,在图6A中示出一个可远程操纵的外科手术夹。钳口602连接到该活动连接装置的远端604上。近端606嵌在钳柄608上。使用者能够通过操纵活动连接装置的近端606而远程定位钳口602。中间部分(“颈”)610也可以设置有外科手术器械,其长度和柔韧性随应用的不同而不同,该颈起到间隔元件的作用。图6C示出另一种变型,其中,外科手术夹630的钳柄632从近端634伸出。在其它变型中,钳口602可以换成剪刀或其它剪切元件、解剖器、组织抓紧器或针抓紧器、缝合装置、烧灼或切除装置,和或其它类似工具或器械。
在另一变型中,该活动连接装置本身可以形成钳口。在图6B中,手术夹612具有用户端部,近端区段614从手术夹的枢轴616伸出。源于近端区段614的绳索分成两根绳索,每根都在枢轴616的区域内,从而在近端的每根绳索可以随后在形成相对的钳口618,618的两个分开的活动连接装置中终止。这样,当使用者操纵近端区段614时,该钳口618将保持对齐并且相应地被远程操纵。如有必要,近端区段614可以伸出并从手术夹的手柄620进行操纵。该钳口可进一步构造成具有特殊的组织结合表面以及切除元件。
在又一种变型中,该活动连接装置可以结合进导管,并且用于如以困难中心线布置或以透皮肤或图像引导排泄管布置来引导该导管。如图7所示,导管700可包括一活动连接装置,该活动连接装置的近端702构造成作为用户界面的一体元件,在该例子中为手柄706。远端区段708形成导管的远端部分,并且可以随着其前进远程操纵引导导管700。在另一种变型中(图中未示出),该活动连接装置可以象导丝一样旋拧通过导管,以致于使近端区段从导管近端伸出,例如直接从导管管腔伸出,或者从一分开的Y字形连接器中伸出。远端区段可以从导管尖端伸出,并且随着其前进该导管可被远程引导到其目标位置。典型地,随后将移除该活动连接装置以允许该导管流通。但是,如果采用的活动连接装置具有一中心管腔,就可以不必进行该移除。
在同样的模式中,该活动连接装置可以结合入并用于操纵柔性内窥镜。在图8中,设有内窥镜800,从而该活动连接装置的近端806形成了内窥镜手柄804的一体部分。该装置的远端808将构成内窥镜插入管810的全部或一部分。在操纵近端区段806时,就可远程操纵插入管810。
在另一变型中,如图9A和9B所示,该活动连接装置可以用作手持或自保持牵引器(retractor)900。近端区段902和远端区段904可以从牵引器手柄906中伸出。操纵近端区段902将以相应的方式移动远端区段904。可以操纵远端区段以形成多种复杂形状,所希望的形状取决于特殊的应用。在操作中,可首先将远端定位成所希望的形状,然后将其与目标组织相接合。可选地,在操纵远端的同时可进行组织收缩,即远端可以与目标组织接合并且通过对远端的操纵作用可使组织被收缩。
在使用中牵引器通常必须保持其形状。由此,采用如前述方法可以将该牵引器“锁定”就位。例如,该装置可包括具有球和承窝构造与锁定绳索(未示出)的链节。可选地,在操纵近端区段902前可以在其上面设置一有韧性的外壳,或者如前所述可利用锁定杆(未示出)以特殊构形固定牵引器。在图9A中,该牵引器900为“u”形。在图9B中,该牵引器900具有三角形收缩表面。如注意到的,牵引器的形状可以改变,这取决于如所涉及的解剖结构或外科手术方法的类型一样的因素。
在另一种变型中,多个活动连接装置可结合成这样的方式,即使用者的手指运动可被远程模仿。例如,该装置的近端可固定到使用者的手指上,如捆扎在每个手指上,或者固定到使用者可以穿戴的手套上。于是,远端将根据使用者手指的运动而运动。在图9C所示的变型中,装置950包括三个可以通过使用者的拇指、食指和中指的运动操作的活动连接装置。如所看到的,近端951、952和953通过带957分别固定在使用者的拇指、食指和中指上。该装置还通过带958牢固在使用者的手上,带958将间隔元件956的近端固定在使用者的手腕上。使用者的拇指、食指和中指的运动分别导致远端961、962和963的相应运动。这些变型在需要对组织或器官进行粗略地操纵的各种外科手术情形中是有利的。在这种及其它变型中,可在该装置上延伸覆盖一保护性柔韧外壳以避免单个链节或绳索对组织的潜在危害。
在另一种变型中,该活动连接装置可用于心房纤维性颤动的内窥镜治疗。具体地,本发明的活动连接装置可适于在心脏组织中促进烧灼损害的形成,它已经被证实在治疗心房纤维性颤动中是有效的,如下面文献中所描述的,例如Cox,J.L.(2000).″Minimally Invasive Maze-III Procedure,″Operative Techniques in Thoracic and Cardiovascular Surgery Vol.5(1):79-92;Simha et al.(2001).″The Electrocautery Maze-How I Do It,″TheHeart Surgery Forum Vol.4(4):340-345;和Prasad et al.(2001).″EpicardialAblation on the Beating Heart;Progress Towards an Off-Pump MazeProcedure,″The Heart Surgery Forum Vol.5(2):100-104;以及如在Cox等人的美国专利No.6,161,543所描述的。这些程序可包括心外膜或心脏内的切除,和许多需要进入病人心脏的后部但该进入可能很困难的程序。本发明的活动连接装置可以设置切除元件,并且同时具有形成复杂几何形状的能力;该装置可容易地通过心脏的周围结构并易于定位在心脏后部内或心脏后部上的各个位置以利于这种切除治疗。
图12A所示的活动连接装置131包括连接到电磁能量源(未示出)例如在射频(RF)或微波频率范围产生能量的能量源上的切除元件125。这类切除元件在本领域是熟知的,包括通常在US6,471,696中描述的那些切除元件。该切除元件通过连接件134安装到该装置的远端141的链节上,该连接件134与链节142的通道144相匹配的接合。该切除元件包括一绝缘部分127,该绝缘部分通常由热塑性弹性体形成并且具有用于将能量传递到其所在的组织中的纵向延伸的天线或金属丝129。其它的天线或金属丝几何形状,包括螺旋状线圈和印刷电路等,同样是有效的。设有用于以单极构造将能量源连接到天线或金属丝上的绝缘导线136和137。双极构造也可以考虑。该切除元件也设置有附加连接器138和139,它们可起到各种作用,如提供温度或其它传感器或探测器,或者如在Phan的美国专利申请公开US2003/0078644中所描述的,将冷却介质输送到该元件上以冷却周围组织并防止大量的组织损害。
图12B示出构造成用于切除的本发明的活动连接装置的另一种变型。在这种变型中,构造成双极使用的活动连接装置133包括具有远端链节152的远端143,该远端链节152包含反向电极159。这些反向电极由通道164分开。绝缘导线如导线166和167将每对电极连接到能量源上(未示出)。通电时,能量通过电极对传输,在周围组织导致切除。此外,还设有附加连接线168和169以提供附加功能,这些附加功能包括探测器、传感器和冷却流体。
尽管上述变型采用依赖电磁能的切除元件,但是根据本发明的活动连接装置也可以容易地适于结合本领域已知的其它切除方法。例如,该切除元件可以为低温或超声波探测器,或使用激光能量的切除元件,或其它已知的切除技术。
如图13A-13F所示例子中示出的,可以形成心外膜烧灼性损伤。最初,通过活动连接装置131接近病人心脏929后部可以通过如胸廓切开术、微型胸廓切开术或设置在病人前胸壁上的套管针端口(如5-10mm端口)完成。该活动连接装置的间隔元件(未示出)可用作在端口处的转节。当外科医生使病人体外的近端链节弯曲时,病人体内的远端链节会以相应的形式模仿外部链节的弯曲,以在活动连接装置前进的同时环绕上腔静脉933(13A)并继而环绕肺静脉935(13B)。当处于图13B所示的位置时,该活动连接装置远端上的切除元件可以随后被致动而形成损害(lesion),如此处具体示出的,肺部环绕损害943(图13C)。在图13D和13E中,所示的活动连接装置被重新设置成从肺静脉935向下延伸,以形成下至二尖瓣环的损害939,该二尖瓣环连接到预先形成的肺部环绕损害943(图13F)上。
本发明还涉及用于提供各种活动连接装置和相关附件的成套工具。例如,可以提供包含具有不同长度、不同区段直径、和/或不同类型的外科手术器械、或不同类型的锁定杆或有韧性的外壳的活动连接装置的成套工具。该成套工具可以根据特殊程序如内窥镜检查、收缩、或导管布置和/或用于特殊病人群体如儿科或成年人进行调整。
在此所引用的所有出版物、专利和专利申请被全文引用作为参考,就如每个单独的出版物、专利或专利申请被专门并单独地说明而结合在此作为参考。尽管为了清楚理解本发明,已经通过图示和举例对上述发明进行了详细描述,但是本领域中的普通技术人员在本发明的教导下应当明白,对本发明进行某些改变和修改并未脱离所附权利要求的精神和范围。
Claims (32)
1.一种用于远程操纵外科手术或诊断工具的活动连接装置,该装置包括:
多对链节,每对链节中的每个链节相对于该对链节中的另一个链节保持间隔开一定距离的关系,以及
多组绳索,每组绳索使一离散对的链节彼此连接并且在各离散对的链节处终止,使得一对链节中的一个链节的运动导致该对链节中的另一个链节的相应的相对运动。
2.根据权利要求1所述的活动连接装置,其特征在于,所述链节形成有近端和远端,相应对的链节分别位于该近端和该远端,该近端的运动导致该远端的相应的相对运动。
3.根据权利要求2所述的活动连接装置,其特征在于,所述远端的所述相应的相对运动与所述近端的运动相反。
4.根据权利要求2所述的活动连接装置,其特征在于,所述远端的所述相应的相对运动镜像所述近端的运动。
5.根据权利要求2所述的活动连接装置,其特征在于,外科手术或诊断工具连接到所述远端上。
6.根据权利要求2所述的活动连接装置,其特征在于,所述外科手术或诊断工具从所述远端伸出。
7.根据权利要求5所述的活动连接装置,其特征在于,所述外科手术或诊断工具是切除元件。
8.根据权利要求2所述的活动连接装置,其特征在于,所述远端还包括外科手术或诊断工具。
9.根据权利要求8所述的活动连接装置,其特征在于,所述远端还包括组织收缩表面。
10.根据权利要求1所述的活动连接装置,其特征在于,还包括设置在链节对之间而以间隔开一定距离的关系保持链节对的间隔元件。
11.根据权利要求10所述的活动连接装置,其特征在于,所述间隔元件是中空的并且容纳绳索组。
12.根据权利要求1所述的活动连接装置,其特征在于,链节对包括用于接纳和通过与相邻链节对相关的绳索组的通道。
13.根据权利要求1所述的活动连接装置,其特征在于,还包括附加的间隔链节对,其中,所述间隔链节对未被在成对的间隔链节处终止的离散组的绳索连接。
14.根据权利要求1所述的活动连接装置,其特征在于,一个或多个链节包括杆部,该杆部从该链节伸出并且与相邻链节中的相应凹槽接合。
15.根据权利要求5所述的活动连接装置,其特征在于,一个或多个链节还包括用于接纳相连的外科手术或诊断工具的元件的通道,该元件延伸至活动连接装置的近端。
16.根据权利要求15所述的活动连接装置,其特征在于,所述外科手术或诊断工具的元件能够传输能量。
17.根据权利要求15所述的活动连接装置,其特征在于,所述外科手术或诊断工具的元件能够致动该工具。
18.根据权利要求2所述的活动连接装置,其特征在于,一个或多个链节还包括用于接纳一锁定杆的通道,该锁定杆能将所述装置的近端固定并保持在一固定位置。
19.根据权利要求2所述的活动连接装置,其特征在于,还包括安装在所述装置的近端上以将该近端固定并保持在一固定位置的锁定套。
20.一种用于远程操纵外科手术或诊断工具的活动连接装置,该装置包括:
连续柔性部件,该部件具有多对区段,每对区段中的每个区段相对于该对区段中的另一个区段保持间隔开一定距离的关系,以及
多组绳索,每组绳索使一离散对的区段彼此连接并且在各离散对的区段处终止,使得一对区段中的一个区段的运动导致该对区段的另一个区段的相应的相对运动。
21.根据权利要求20所述的活动连接装置,其特征在于,所述连续柔性部件包括多个管腔,绳索组延伸通过所述管腔。
22.根据权利要求20所述的活动连接装置,其特征在于,所述连续柔性部件还包括设置在相邻区段之间的柔性连接件。
23.根据权利要求20所述的活动连接装置,其特征在于,所述连续柔性部件呈螺旋结构。
24.根据权利要求23所述的活动连接装置,其特征在于,每个区段对应于所述螺旋结构的一个回转。
25.一种成套工具,它包括:
根据权利要求1所述的活动连接装置和构造成连接到该活动连接装置上的外科手术或诊断工具。
26.一种活动连接装置,该装置包括:
多对链节,每对链节中的每个链节相对于该对链节中的另一个链节保持间隔开一定距离的关系,使得该链节形成有近端和远端,相应对的链节分别位于该近端和该远端;以及
多组绳索,每组绳索使一离散对的链节彼此连接并且在各离散对的链节处终止,使得一对链节中的一个链节的运动导致该对链节中的另一个链节的相应的相对运动,并且近端的运动导致远端的相应的相对运动。
27.根据权利要求26所述的活动连接装置,其特征在于,还包括设置在链节对之间而以间隔开一定距离的关系保持链节对的间隔元件。
28.根据权利要求27所述的活动连接装置,其特征在于,所述间隔元件是是中空的并且容纳有绳索组。
29.根据权利要求26所述的活动连接装置,其特征在于,链节对包括用于接纳和通过与相邻链节对相关的绳索组的通道。
30.根据权利要求26所述的活动连接装置,其特征在于,还包括附加的间隔链节对,其中,所述间隔链节对未被在成对的间隔链节处终止的离散组的绳索连接。
31.根据权利要求26所述的活动连接装置,其特征在于,在远端连接有工具。
32.根据权利要求31所述的活动连接装置,其特征在于,一个或多个链节还包括用于接纳被连接的工具的元件的通道。
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Cited By (10)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN103085083A (zh) * | 2013-01-07 | 2013-05-08 | 汪雯 | 可弯转可伸缩的柔性连续体机械结构 |
CN101938946B (zh) * | 2008-02-06 | 2013-07-24 | 阿拉贡外科手术公司 | 用于铰接腹腔镜握持仪器的腕部的方法和器械 |
CN103358304A (zh) * | 2012-04-02 | 2013-10-23 | 三星电子株式会社 | 机器人臂驱动装置以及具有该驱动装置的机器人臂 |
US8870867B2 (en) | 2008-02-06 | 2014-10-28 | Aesculap Ag | Articulable electrosurgical instrument with a stabilizable articulation actuator |
CN105313112A (zh) * | 2015-11-04 | 2016-02-10 | 上海交通大学 | 多自由度串联机器人机构 |
US9872724B2 (en) | 2012-09-26 | 2018-01-23 | Aesculap Ag | Apparatus for tissue cutting and sealing |
CN108778159A (zh) * | 2016-01-17 | 2018-11-09 | Tag医疗器材农业合作有限公司 | 柔性骨头工具 |
CN111938812A (zh) * | 2014-02-21 | 2020-11-17 | 直观外科手术操作公司 | 具有增强运动范围的机械肘节关节以及相关的装置和方法 |
WO2022253065A1 (zh) * | 2021-06-02 | 2022-12-08 | 上海生知医疗科技有限公司 | 一种便携式手动手术机器人 |
WO2024045673A1 (zh) * | 2022-08-31 | 2024-03-07 | 精勤智造(苏州)医疗科技有限公司 | 一种线驱运动模块及微创手术钳 |
Families Citing this family (906)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US9101765B2 (en) | 1999-03-05 | 2015-08-11 | Metacure Limited | Non-immediate effects of therapy |
US8666495B2 (en) | 1999-03-05 | 2014-03-04 | Metacure Limited | Gastrointestinal methods and apparatus for use in treating disorders and controlling blood sugar |
US20060095032A1 (en) | 1999-11-16 | 2006-05-04 | Jerome Jackson | Methods and systems for determining physiologic characteristics for treatment of the esophagus |
US20040215235A1 (en) | 1999-11-16 | 2004-10-28 | Barrx, Inc. | Methods and systems for determining physiologic characteristics for treatment of the esophagus |
US6600953B2 (en) * | 2000-12-11 | 2003-07-29 | Impulse Dynamics N.V. | Acute and chronic electrical signal therapy for obesity |
US20030208242A1 (en) * | 2000-05-31 | 2003-11-06 | Tamar Harel | Electropancreatography |
US11229472B2 (en) | 2001-06-12 | 2022-01-25 | Cilag Gmbh International | Modular battery powered handheld surgical instrument with multiple magnetic position sensors |
US20060178556A1 (en) | 2001-06-29 | 2006-08-10 | Intuitive Surgical, Inc. | Articulate and swapable endoscope for a surgical robot |
US6817974B2 (en) | 2001-06-29 | 2004-11-16 | Intuitive Surgical, Inc. | Surgical tool having positively positionable tendon-actuated multi-disk wrist joint |
EP2865351B1 (en) | 2002-12-06 | 2018-11-28 | Intuitive Surgical Operations, Inc. | Flexible wrist for surgical tool |
US7559940B2 (en) * | 2002-12-18 | 2009-07-14 | Smith & Nephew, Inc. | Surgical biting punch |
US7578786B2 (en) | 2003-04-01 | 2009-08-25 | Boston Scientific Scimed, Inc. | Video endoscope |
US20050245789A1 (en) | 2003-04-01 | 2005-11-03 | Boston Scientific Scimed, Inc. | Fluid manifold for endoscope system |
US8118732B2 (en) | 2003-04-01 | 2012-02-21 | Boston Scientific Scimed, Inc. | Force feedback control system for video endoscope |
US7591783B2 (en) | 2003-04-01 | 2009-09-22 | Boston Scientific Scimed, Inc. | Articulation joint for video endoscope |
US20040199052A1 (en) | 2003-04-01 | 2004-10-07 | Scimed Life Systems, Inc. | Endoscopic imaging system |
US20070084897A1 (en) | 2003-05-20 | 2007-04-19 | Shelton Frederick E Iv | Articulating surgical stapling instrument incorporating a two-piece e-beam firing mechanism |
US9060770B2 (en) | 2003-05-20 | 2015-06-23 | Ethicon Endo-Surgery, Inc. | Robotically-driven surgical instrument with E-beam driver |
US8100824B2 (en) * | 2003-05-23 | 2012-01-24 | Intuitive Surgical Operations, Inc. | Tool with articulation lock |
US8182417B2 (en) * | 2004-11-24 | 2012-05-22 | Intuitive Surgical Operations, Inc. | Articulating mechanism components and system for easy assembly and disassembly |
US7090637B2 (en) * | 2003-05-23 | 2006-08-15 | Novare Surgical Systems, Inc. | Articulating mechanism for remote manipulation of a surgical or diagnostic tool |
US8562640B2 (en) * | 2007-04-16 | 2013-10-22 | Intuitive Surgical Operations, Inc. | Tool with multi-state ratcheted end effector |
US7410483B2 (en) * | 2003-05-23 | 2008-08-12 | Novare Surgical Systems, Inc. | Hand-actuated device for remote manipulation of a grasping tool |
US8792985B2 (en) | 2003-07-21 | 2014-07-29 | Metacure Limited | Gastrointestinal methods and apparatus for use in treating disorders and controlling blood sugar |
GB0324173D0 (en) * | 2003-10-15 | 2003-11-19 | Anson Medical Ltd | Flexible delivery system |
US7686826B2 (en) * | 2003-10-30 | 2010-03-30 | Cambridge Endoscopic Devices, Inc. | Surgical instrument |
US7147650B2 (en) * | 2003-10-30 | 2006-12-12 | Woojin Lee | Surgical instrument |
US7338513B2 (en) | 2003-10-30 | 2008-03-04 | Cambridge Endoscopic Devices, Inc. | Surgical instrument |
US7842028B2 (en) * | 2005-04-14 | 2010-11-30 | Cambridge Endoscopic Devices, Inc. | Surgical instrument guide device |
US7150745B2 (en) | 2004-01-09 | 2006-12-19 | Barrx Medical, Inc. | Devices and methods for treatment of luminal tissue |
US7828808B2 (en) * | 2004-06-07 | 2010-11-09 | Novare Surgical Systems, Inc. | Link systems and articulation mechanisms for remote manipulation of surgical or diagnostic tools |
US7678117B2 (en) * | 2004-06-07 | 2010-03-16 | Novare Surgical Systems, Inc. | Articulating mechanism with flex-hinged links |
JP4980899B2 (ja) | 2004-06-25 | 2012-07-18 | カーネギー メロン ユニバーシティ | 操向可能なフォローザリーダー装置 |
US8215531B2 (en) | 2004-07-28 | 2012-07-10 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having a medical substance dispenser |
US11896225B2 (en) | 2004-07-28 | 2024-02-13 | Cilag Gmbh International | Staple cartridge comprising a pan |
ATE532459T1 (de) | 2004-08-18 | 2011-11-15 | Metacure Ltd | Überwachung, analyse und regulierung von essgewohnheiten |
US7464306B1 (en) * | 2004-08-27 | 2008-12-09 | Lexar Media, Inc. | Status of overall health of nonvolatile memory |
IL164260A0 (en) * | 2004-09-23 | 2005-12-18 | Medigus Ltd | An improved articulation section |
US8083671B2 (en) | 2004-09-30 | 2011-12-27 | Boston Scientific Scimed, Inc. | Fluid delivery system for use with an endoscope |
US7479106B2 (en) | 2004-09-30 | 2009-01-20 | Boston Scientific Scimed, Inc. | Automated control of irrigation and aspiration in a single-use endoscope |
AU2005291952A1 (en) | 2004-09-30 | 2006-04-13 | Boston Scientific Limited | Adapter for use with digital imaging medical device |
US7963976B2 (en) * | 2004-11-04 | 2011-06-21 | Dynamic Surgical Inventions, Llc | Articulated surgical probe and method for use |
US9700334B2 (en) | 2004-11-23 | 2017-07-11 | Intuitive Surgical Operations, Inc. | Articulating mechanisms and link systems with torque transmission in remote manipulation of instruments and tools |
US7785252B2 (en) | 2004-11-23 | 2010-08-31 | Novare Surgical Systems, Inc. | Articulating sheath for flexible instruments |
US20060156851A1 (en) * | 2004-12-02 | 2006-07-20 | Jacobsen Stephen C | Mechanical serpentine device |
US7662091B2 (en) * | 2004-12-30 | 2010-02-16 | General Electric Company | Flexible borescope assembly for inspecting internal turbine components at elevated temperatures |
US20060201130A1 (en) * | 2005-01-31 | 2006-09-14 | Danitz David J | Articulating mechanisms with joint assembly and manual handle for remote manipulation of instruments and tools |
US9821158B2 (en) | 2005-02-17 | 2017-11-21 | Metacure Limited | Non-immediate effects of therapy |
US20060189840A1 (en) * | 2005-02-18 | 2006-08-24 | Acorn Cardiovascular, Inc. | Transmyocardial delivery of cardiac wall tension relief |
US8463404B2 (en) | 2005-03-24 | 2013-06-11 | Metacure Limited | Electrode assemblies, tools, and methods for gastric wall implantation |
WO2006129321A2 (en) | 2005-06-02 | 2006-12-07 | Metacure N.V. | Gi lead implantation |
US9339323B2 (en) | 2005-05-12 | 2016-05-17 | Aesculap Ag | Electrocautery method and apparatus |
US8728072B2 (en) * | 2005-05-12 | 2014-05-20 | Aesculap Ag | Electrocautery method and apparatus |
US8696662B2 (en) | 2005-05-12 | 2014-04-15 | Aesculap Ag | Electrocautery method and apparatus |
US7862565B2 (en) | 2005-05-12 | 2011-01-04 | Aragon Surgical, Inc. | Method for tissue cauterization |
US7803156B2 (en) | 2006-03-08 | 2010-09-28 | Aragon Surgical, Inc. | Method and apparatus for surgical electrocautery |
US7618413B2 (en) * | 2005-06-22 | 2009-11-17 | Boston Scientific Scimed, Inc. | Medical device control system |
US8409175B2 (en) * | 2005-07-20 | 2013-04-02 | Woojin Lee | Surgical instrument guide device |
US8052597B2 (en) * | 2005-08-30 | 2011-11-08 | Boston Scientific Scimed, Inc. | Method for forming an endoscope articulation joint |
US7669746B2 (en) | 2005-08-31 | 2010-03-02 | Ethicon Endo-Surgery, Inc. | Staple cartridges for forming staples having differing formed staple heights |
US7934630B2 (en) | 2005-08-31 | 2011-05-03 | Ethicon Endo-Surgery, Inc. | Staple cartridges for forming staples having differing formed staple heights |
US11484312B2 (en) | 2005-08-31 | 2022-11-01 | Cilag Gmbh International | Staple cartridge comprising a staple driver arrangement |
US9237891B2 (en) | 2005-08-31 | 2016-01-19 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical stapling devices that produce formed staples having different lengths |
US11246590B2 (en) | 2005-08-31 | 2022-02-15 | Cilag Gmbh International | Staple cartridge including staple drivers having different unfired heights |
US10159482B2 (en) | 2005-08-31 | 2018-12-25 | Ethicon Llc | Fastener cartridge assembly comprising a fixed anvil and different staple heights |
US8800838B2 (en) | 2005-08-31 | 2014-08-12 | Ethicon Endo-Surgery, Inc. | Robotically-controlled cable-based surgical end effectors |
US20070194079A1 (en) | 2005-08-31 | 2007-08-23 | Hueil Joseph C | Surgical stapling device with staple drivers of different height |
US20070093840A1 (en) * | 2005-10-06 | 2007-04-26 | Pacelli Nicolas J | Flexible shaft |
US8442841B2 (en) | 2005-10-20 | 2013-05-14 | Matacure N.V. | Patient selection method for assisting weight loss |
US20070106317A1 (en) | 2005-11-09 | 2007-05-10 | Shelton Frederick E Iv | Hydraulically and electrically actuated articulation joints for surgical instruments |
US20080275530A1 (en) * | 2005-11-15 | 2008-11-06 | Visible Assets, Inc. | Specialty Surgical Instrument |
US7959627B2 (en) * | 2005-11-23 | 2011-06-14 | Barrx Medical, Inc. | Precision ablating device |
US8702694B2 (en) | 2005-11-23 | 2014-04-22 | Covidien Lp | Auto-aligning ablating device and method of use |
US7997278B2 (en) | 2005-11-23 | 2011-08-16 | Barrx Medical, Inc. | Precision ablating method |
US8295932B2 (en) | 2005-12-05 | 2012-10-23 | Metacure Limited | Ingestible capsule for appetite regulation |
US8679097B2 (en) * | 2005-12-20 | 2014-03-25 | Orthodynamix Llc | Method and devices for minimally invasive arthroscopic procedures |
EP1962665A4 (en) * | 2005-12-20 | 2010-02-17 | Orthodynamix Llc | METHOD AND DEVICE FOR MINIMALLY INVASIVE ARTHROSCOPIC INTERVENTIONS |
US9962168B2 (en) | 2005-12-20 | 2018-05-08 | CroJor, LLC | Method and apparatus for performing minimally invasive arthroscopic procedures |
US10702285B2 (en) | 2005-12-20 | 2020-07-07 | Quantum Medical Innovations, LLC | Method and apparatus for performing minimally invasive arthroscopic procedures |
US7930065B2 (en) | 2005-12-30 | 2011-04-19 | Intuitive Surgical Operations, Inc. | Robotic surgery system including position sensors using fiber bragg gratings |
US9962066B2 (en) * | 2005-12-30 | 2018-05-08 | Intuitive Surgical Operations, Inc. | Methods and apparatus to shape flexible entry guides for minimally invasive surgery |
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 |
US8820603B2 (en) | 2006-01-31 | 2014-09-02 | Ethicon Endo-Surgery, Inc. | Accessing data stored in a memory of a surgical instrument |
US20120292367A1 (en) | 2006-01-31 | 2012-11-22 | Ethicon Endo-Surgery, Inc. | Robotically-controlled end effector |
US8186555B2 (en) | 2006-01-31 | 2012-05-29 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting and fastening instrument with mechanical closure system |
US8161977B2 (en) | 2006-01-31 | 2012-04-24 | Ethicon Endo-Surgery, Inc. | Accessing data stored in a memory of a surgical instrument |
US11793518B2 (en) | 2006-01-31 | 2023-10-24 | Cilag Gmbh International | Powered surgical instruments with firing system lockout arrangements |
US9861359B2 (en) | 2006-01-31 | 2018-01-09 | Ethicon Llc | Powered surgical instruments with firing system lockout arrangements |
US11278279B2 (en) | 2006-01-31 | 2022-03-22 | Cilag Gmbh International | Surgical instrument assembly |
US8708213B2 (en) | 2006-01-31 | 2014-04-29 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a feedback system |
US11224427B2 (en) | 2006-01-31 | 2022-01-18 | Cilag Gmbh International | Surgical stapling system including a console and retraction assembly |
US20110295295A1 (en) | 2006-01-31 | 2011-12-01 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical instrument having recording capabilities |
US7845537B2 (en) | 2006-01-31 | 2010-12-07 | Ethicon Endo-Surgery, Inc. | Surgical instrument having recording capabilities |
US20110024477A1 (en) | 2009-02-06 | 2011-02-03 | Hall Steven G | Driven Surgical Stapler Improvements |
US8763879B2 (en) | 2006-01-31 | 2014-07-01 | Ethicon Endo-Surgery, Inc. | Accessing data stored in a memory of surgical instrument |
US7575144B2 (en) * | 2006-01-31 | 2009-08-18 | Ethicon Endo-Surgery, Inc. | Surgical fastener and cutter with single cable actuator |
AU2007201204B2 (en) * | 2006-03-23 | 2012-07-12 | Ethicon Endo-Surgery, Inc. | Articulating endoscopic accessory channel |
US8721630B2 (en) * | 2006-03-23 | 2014-05-13 | Ethicon Endo-Surgery, Inc. | Methods and devices for controlling articulation |
US8992422B2 (en) | 2006-03-23 | 2015-03-31 | Ethicon Endo-Surgery, Inc. | Robotically-controlled endoscopic accessory channel |
US20070225562A1 (en) | 2006-03-23 | 2007-09-27 | Ethicon Endo-Surgery, Inc. | Articulating endoscopic accessory channel |
AU2007201207B2 (en) * | 2006-03-23 | 2012-07-26 | Ethicon Endo-Surgery, Inc. | Surgical fastener and cutter with mimicking end effector |
US8202265B2 (en) | 2006-04-20 | 2012-06-19 | Boston Scientific Scimed, Inc. | Multiple lumen assembly for use in endoscopes or other medical devices |
US7955255B2 (en) | 2006-04-20 | 2011-06-07 | Boston Scientific Scimed, Inc. | Imaging assembly with transparent distal cap |
US8518024B2 (en) | 2006-04-24 | 2013-08-27 | Transenterix, Inc. | System and method for multi-instrument surgical access using a single access port |
WO2007127199A1 (en) | 2006-04-24 | 2007-11-08 | Synecor, Llc | Natural orifice surgical system |
US8574229B2 (en) | 2006-05-02 | 2013-11-05 | Aesculap Ag | Surgical tool |
US8105350B2 (en) * | 2006-05-23 | 2012-01-31 | Cambridge Endoscopic Devices, Inc. | Surgical instrument |
US9770230B2 (en) | 2006-06-01 | 2017-09-26 | Maquet Cardiovascular Llc | Endoscopic vessel harvesting system components |
US7615067B2 (en) * | 2006-06-05 | 2009-11-10 | Cambridge Endoscopic Devices, Inc. | Surgical instrument |
JP4731606B2 (ja) | 2006-06-08 | 2011-07-27 | サージカル・ソルーシヨンズ・エルエルシー | 関節連結シャフトを有する医療デバイス |
US7862554B2 (en) | 2007-04-16 | 2011-01-04 | Intuitive Surgical Operations, Inc. | Articulating tool with improved tension member system |
US8062211B2 (en) * | 2006-06-13 | 2011-11-22 | Intuitive Surgical Operations, Inc. | Retrograde instrument |
US9561045B2 (en) | 2006-06-13 | 2017-02-07 | Intuitive Surgical Operations, Inc. | Tool with rotation lock |
US8409244B2 (en) * | 2007-04-16 | 2013-04-02 | Intuitive Surgical Operations, Inc. | Tool with end effector force limiter |
CA2657433A1 (en) | 2006-06-20 | 2007-12-27 | Aortx, Inc. | Torque shaft and torque drive |
US8322455B2 (en) | 2006-06-27 | 2012-12-04 | Ethicon Endo-Surgery, Inc. | Manually driven surgical cutting and fastening instrument |
US8029531B2 (en) * | 2006-07-11 | 2011-10-04 | Cambridge Endoscopic Devices, Inc. | Surgical instrument |
WO2008016962A2 (en) * | 2006-08-02 | 2008-02-07 | Michael Edward Theran | Surgical equipment supporting frames and attachments for same |
US20080047064A1 (en) * | 2006-08-02 | 2008-02-28 | Theran Michael E | Surgical equipment supporting frames and attachments for same |
CA2661712C (en) | 2006-08-14 | 2016-07-19 | Cardiorobotics, Inc. | Steerable multi-linked device having multiple working ports |
US7708758B2 (en) * | 2006-08-16 | 2010-05-04 | Cambridge Endoscopic Devices, Inc. | Surgical instrument |
US7648519B2 (en) * | 2006-09-13 | 2010-01-19 | Cambridge Endoscopic Devices, Inc. | Surgical instrument |
US10130359B2 (en) | 2006-09-29 | 2018-11-20 | Ethicon Llc | Method for forming a staple |
US10568652B2 (en) | 2006-09-29 | 2020-02-25 | Ethicon Llc | Surgical staples having attached drivers of different heights and stapling instruments for deploying the same |
US7665647B2 (en) | 2006-09-29 | 2010-02-23 | Ethicon Endo-Surgery, Inc. | Surgical cutting and stapling device with closure apparatus for limiting maximum tissue compression force |
ES2420962T3 (es) * | 2006-10-24 | 2013-08-28 | Carnegie Mellon University | Dispositivo multi-articulado orientable que tiene un conjunto articulación modular |
US7658305B2 (en) * | 2006-10-25 | 2010-02-09 | Ethicon Endo-Surgery, Inc. | Adhesive applier with articulating tip |
DE602007007807D1 (de) | 2006-11-13 | 2010-08-26 | Raytheon Sarcos Llc | Vielseitig verwendbares endlosband für leichte mobile roboter |
EP2099672B1 (en) | 2006-11-13 | 2011-08-31 | Raytheon Company | Tracked robotic crawler having a moveable arm |
CN101626946B (zh) | 2006-11-13 | 2013-06-05 | 雷神萨科斯公司 | 用于轻型机器人车辆的悬架系统和该车辆的支承方法 |
US9084621B2 (en) | 2006-12-01 | 2015-07-21 | Boston Scientific Scimed, Inc. | Guide tube systems and methods |
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 |
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 |
US8459520B2 (en) | 2007-01-10 | 2013-06-11 | Ethicon Endo-Surgery, Inc. | Surgical instrument with wireless communication between control unit 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 |
EP2124800B1 (en) * | 2007-02-15 | 2010-11-17 | Hansen Medical, Inc. | Robotic medical instrument system |
ES2387589T3 (es) | 2007-02-27 | 2012-09-26 | Carnegie Mellon University | Un dispositivo de múltiples piezas de ligadura que tiene un miembro de refuerzo |
US10166066B2 (en) | 2007-03-13 | 2019-01-01 | University Of Virginia Patent Foundation | Epicardial ablation catheter and method of use |
US7735703B2 (en) | 2007-03-15 | 2010-06-15 | Ethicon Endo-Surgery, Inc. | Re-loadable surgical stapling instrument |
US11058354B2 (en) | 2007-03-19 | 2021-07-13 | University Of Virginia Patent Foundation | Access needle with direct visualization and related methods |
WO2008115745A2 (en) | 2007-03-19 | 2008-09-25 | University Of Virginia Patent Foundation | Access needle pressure sensor device and method of use |
US9468396B2 (en) | 2007-03-19 | 2016-10-18 | University Of Virginia Patent Foundation | Systems and methods for determining location of an access needle in a subject |
US9211405B2 (en) | 2007-03-22 | 2015-12-15 | University Of Virginia Patent Foundation | Electrode catheter for ablation purposes and related method thereof |
US8893946B2 (en) | 2007-03-28 | 2014-11-25 | Ethicon Endo-Surgery, Inc. | Laparoscopic tissue thickness and clamp load measuring devices |
US20080255420A1 (en) * | 2007-04-10 | 2008-10-16 | Cambridge Endoscopic Devices, Inc. | Surgical instrument |
US20080262492A1 (en) * | 2007-04-11 | 2008-10-23 | Cambridge Endoscopic Devices, Inc. | Surgical Instrument |
WO2008130950A1 (en) * | 2007-04-17 | 2008-10-30 | Tyco Healthcare Group Lp | Rigidizable endoluminal access device |
US8641711B2 (en) | 2007-05-04 | 2014-02-04 | Covidien Lp | Method and apparatus for gastrointestinal tract ablation for treatment of obesity |
US20090138025A1 (en) * | 2007-05-04 | 2009-05-28 | Hansen Medical, Inc. | Apparatus systems and methods for forming a working platform of a robotic instrument system by manipulation of components having controllably rigidity |
US8002716B2 (en) | 2007-05-07 | 2011-08-23 | Raytheon Company | Method for manufacturing a complex structure |
EP4233962A3 (en) * | 2007-05-18 | 2023-09-06 | Boston Scientific Scimed, Inc. | Medical drive systems |
JP2010527653A (ja) * | 2007-05-18 | 2010-08-19 | ボストン サイエンティフィック リミテッド | トルクに強い連接する中空デバイス |
US8409245B2 (en) * | 2007-05-22 | 2013-04-02 | Woojin Lee | Surgical instrument |
US7832408B2 (en) | 2007-06-04 | 2010-11-16 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a directional switching mechanism |
US7905380B2 (en) | 2007-06-04 | 2011-03-15 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a multiple rate directional switching mechanism |
US8534528B2 (en) | 2007-06-04 | 2013-09-17 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a multiple rate directional switching mechanism |
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 |
US20080312495A1 (en) * | 2007-06-12 | 2008-12-18 | Mcwilliams Dennis L | Method of Performing Transgastric Abdominal Surgery |
US8408439B2 (en) | 2007-06-22 | 2013-04-02 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with an articulatable end effector |
US7753245B2 (en) | 2007-06-22 | 2010-07-13 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments |
US8784338B2 (en) | 2007-06-22 | 2014-07-22 | Covidien Lp | Electrical means to normalize ablational energy transmission to a luminal tissue surface of varying size |
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 |
EP2170202A1 (en) | 2007-07-06 | 2010-04-07 | Barrx Medical, Inc. | Ablation in the gastrointestinal tract to achieve hemostasis and eradicate lesions with a propensity for bleeding |
US8251992B2 (en) * | 2007-07-06 | 2012-08-28 | Tyco Healthcare Group Lp | Method and apparatus for gastrointestinal tract ablation to achieve loss of persistent and/or recurrent excess body weight following a weight-loss operation |
WO2009009673A2 (en) | 2007-07-10 | 2009-01-15 | Raytheon Sarcos, Llc | Modular robotic crawler |
US8646460B2 (en) | 2007-07-30 | 2014-02-11 | Covidien Lp | Cleaning device and methods |
US8273012B2 (en) | 2007-07-30 | 2012-09-25 | Tyco Healthcare Group, Lp | Cleaning device and methods |
US9005238B2 (en) | 2007-08-23 | 2015-04-14 | Covidien Lp | Endoscopic surgical devices |
US8137263B2 (en) † | 2007-08-24 | 2012-03-20 | Karl Storz Endovision, Inc. | Articulating endoscope instrument |
US8845522B2 (en) * | 2007-09-10 | 2014-09-30 | Boston Scientific Scimed, Inc. | Medical instrument with a deflectable distal portion |
US8257386B2 (en) * | 2007-09-11 | 2012-09-04 | Cambridge Endoscopic Devices, Inc. | Surgical instrument |
KR100911248B1 (ko) * | 2007-10-17 | 2009-08-07 | 국립암센터 | 소구경 복강경 수술기구 |
US8372064B2 (en) * | 2007-11-08 | 2013-02-12 | Angiodynamics, Inc. | Articulatable device for delivering therapeutic energy to tissue |
US20100241185A1 (en) | 2007-11-09 | 2010-09-23 | University Of Virginia Patent Foundation | Steerable epicardial pacing catheter system placed via the subxiphoid process |
US8663096B2 (en) * | 2007-11-13 | 2014-03-04 | Covidien Lp | System and method for rigidizing flexible medical implements |
US20090171161A1 (en) * | 2007-12-10 | 2009-07-02 | Usgi Medical, Inc. | Steerable endoscopic instruments |
US20090171147A1 (en) * | 2007-12-31 | 2009-07-02 | Woojin Lee | Surgical instrument |
WO2009094511A1 (en) * | 2008-01-24 | 2009-07-30 | Boston Scientific Scimed, Inc. | Structure for use as part of a medical device |
CN103654694B (zh) * | 2008-02-05 | 2016-09-07 | 可控仪器制造公司 | 可操纵管 |
EP2249690B1 (en) * | 2008-02-06 | 2021-09-29 | Intuitive Surgical Operations, Inc. | A segmented instrument having braking capabilities |
WO2009100319A1 (en) * | 2008-02-07 | 2009-08-13 | Andrew Technologies Llc | Liposuction of visceral fat using tissue liquefaction |
US8561870B2 (en) | 2008-02-13 | 2013-10-22 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument |
US7905381B2 (en) | 2008-09-19 | 2011-03-15 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with cutting member arrangement |
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 |
US8459525B2 (en) | 2008-02-14 | 2013-06-11 | Ethicon Endo-Sugery, Inc. | Motorized surgical cutting and fastening instrument having a magnetic drive train torque limiting device |
US8622274B2 (en) | 2008-02-14 | 2014-01-07 | Ethicon Endo-Surgery, Inc. | Motorized cutting and fastening instrument having control circuit for optimizing battery usage |
US8657174B2 (en) | 2008-02-14 | 2014-02-25 | Ethicon Endo-Surgery, Inc. | Motorized surgical cutting and fastening instrument having handle based power source |
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 |
US8752749B2 (en) | 2008-02-14 | 2014-06-17 | Ethicon Endo-Surgery, Inc. | Robotically-controlled disposable motor-driven loading unit |
US8584919B2 (en) | 2008-02-14 | 2013-11-19 | Ethicon Endo-Sugery, Inc. | Surgical stapling apparatus with load-sensitive firing mechanism |
US7819298B2 (en) | 2008-02-14 | 2010-10-26 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with control features operable with one hand |
RU2493788C2 (ru) | 2008-02-14 | 2013-09-27 | Этикон Эндо-Серджери, Инк. | Хирургический режущий и крепежный инструмент, имеющий радиочастотные электроды |
US9179912B2 (en) | 2008-02-14 | 2015-11-10 | Ethicon Endo-Surgery, Inc. | Robotically-controlled motorized surgical cutting and fastening instrument |
US8573465B2 (en) | 2008-02-14 | 2013-11-05 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical end effector system with rotary actuated closure systems |
US20130153641A1 (en) | 2008-02-15 | 2013-06-20 | Ethicon Endo-Surgery, Inc. | Releasable layer of material and surgical end effector having the same |
US11272927B2 (en) | 2008-02-15 | 2022-03-15 | Cilag Gmbh International | Layer arrangements for surgical staple cartridges |
US8246575B2 (en) | 2008-02-26 | 2012-08-21 | Tyco Healthcare Group Lp | Flexible hollow spine with locking feature and manipulation structure |
WO2009120622A1 (en) * | 2008-03-24 | 2009-10-01 | Boston Scientific Scimed, Inc. | Flexible endoscope with core member |
US10405936B2 (en) | 2008-04-11 | 2019-09-10 | The Regents Of The University Of Michigan | Parallel kinematic mechanisms with decoupled rotational motions |
US9869339B2 (en) | 2008-04-11 | 2018-01-16 | Flexdex, Inc. | End-effector jaw closure transmission systems for remote access tools |
AU2009251546B2 (en) | 2008-04-14 | 2014-06-05 | Carnegie Mellon University | Articulated device with visualization system |
WO2009127236A1 (en) * | 2008-04-18 | 2009-10-22 | Fortimedix B.V. | An instrument for endoscopic applications or the like |
US20090287045A1 (en) * | 2008-05-15 | 2009-11-19 | Vladimir Mitelberg | Access Systems and Methods of Intra-Abdominal Surgery |
AU2009255959B2 (en) * | 2008-06-05 | 2013-11-28 | Carnegie Mellon University | Extendable articulated probe device |
US8579921B2 (en) * | 2008-06-18 | 2013-11-12 | Covidien Lp | Spring-type suture securing device |
US9101735B2 (en) * | 2008-07-07 | 2015-08-11 | Intuitive Surgical Operations, Inc. | Catheter control systems |
US8834465B2 (en) * | 2008-07-15 | 2014-09-16 | Immersion Corporation | Modular tool with signal feedback |
US9204923B2 (en) | 2008-07-16 | 2015-12-08 | Intuitive Surgical Operations, Inc. | Medical instrument electronically energized using drive cables |
US8801752B2 (en) | 2008-08-04 | 2014-08-12 | Covidien Lp | Articulating surgical device |
US8968355B2 (en) | 2008-08-04 | 2015-03-03 | Covidien Lp | Articulating surgical device |
US9089360B2 (en) | 2008-08-06 | 2015-07-28 | Ethicon Endo-Surgery, Inc. | Devices and techniques for cutting and coagulating tissue |
KR100999466B1 (ko) * | 2008-08-12 | 2010-12-09 | 정창욱 | 최소 침습 수술 도구 및 그 사용 방법 |
US8465475B2 (en) | 2008-08-18 | 2013-06-18 | Intuitive Surgical Operations, Inc. | Instrument with multiple articulation locks |
US9370342B2 (en) | 2008-09-05 | 2016-06-21 | Carnegie Mellon University | Multi-linked endoscopic device with spherical distal assembly |
KR101056232B1 (ko) * | 2008-09-12 | 2011-08-11 | 정창욱 | 최소 침습 수술 도구 및 그 사용 방법 |
PL3476312T3 (pl) | 2008-09-19 | 2024-03-11 | Ethicon Llc | Stapler chirurgiczny z urządzeniem do dopasowania wysokości zszywek |
US11648005B2 (en) | 2008-09-23 | 2023-05-16 | Cilag Gmbh International | Robotically-controlled motorized surgical instrument with an end effector |
US9005230B2 (en) | 2008-09-23 | 2015-04-14 | Ethicon Endo-Surgery, Inc. | Motorized surgical instrument |
US9050083B2 (en) | 2008-09-23 | 2015-06-09 | Ethicon Endo-Surgery, Inc. | Motorized surgical instrument |
US8210411B2 (en) | 2008-09-23 | 2012-07-03 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting instrument |
US9386983B2 (en) | 2008-09-23 | 2016-07-12 | Ethicon Endo-Surgery, Llc | Robotically-controlled motorized surgical instrument |
US8092722B2 (en) * | 2008-09-30 | 2012-01-10 | Sabic Innovative Plastics Ip B.V. | Varnish compositions for electrical insulation and method of using the same |
US8608045B2 (en) | 2008-10-10 | 2013-12-17 | Ethicon Endo-Sugery, Inc. | Powered surgical cutting and stapling apparatus with manually retractable firing system |
US9370341B2 (en) | 2008-10-23 | 2016-06-21 | Covidien Lp | Surgical retrieval apparatus |
US8392036B2 (en) | 2009-01-08 | 2013-03-05 | Raytheon Company | Point and go navigation system and method |
US8517239B2 (en) | 2009-02-05 | 2013-08-27 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument comprising a magnetic element driver |
US8397971B2 (en) | 2009-02-05 | 2013-03-19 | Ethicon Endo-Surgery, Inc. | Sterilizable surgical instrument |
US8414577B2 (en) | 2009-02-05 | 2013-04-09 | Ethicon Endo-Surgery, Inc. | Surgical instruments and components for use in sterile environments |
US8444036B2 (en) | 2009-02-06 | 2013-05-21 | Ethicon Endo-Surgery, Inc. | Motor driven surgical fastener device with mechanisms for adjusting a tissue gap within the end effector |
RU2525225C2 (ru) | 2009-02-06 | 2014-08-10 | Этикон Эндо-Серджери, Инк. | Усовершенствование приводного хирургического сшивающего инструмента |
US8453907B2 (en) | 2009-02-06 | 2013-06-04 | Ethicon Endo-Surgery, Inc. | Motor driven surgical fastener device with cutting member reversing mechanism |
US20100249497A1 (en) * | 2009-03-30 | 2010-09-30 | Peine William J | Surgical instrument |
WO2010144820A2 (en) | 2009-06-11 | 2010-12-16 | Raytheon Sarcos, Llc | Amphibious robotic crawler |
US8935014B2 (en) | 2009-06-11 | 2015-01-13 | Sarcos, Lc | Method and system for deploying a surveillance network |
GB0910951D0 (en) * | 2009-06-24 | 2009-08-05 | Imp Innovations Ltd | Joint arrangement |
US8663220B2 (en) | 2009-07-15 | 2014-03-04 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical instruments |
US20110022078A1 (en) | 2009-07-23 | 2011-01-27 | Cameron Dale Hinman | Articulating mechanism |
AU2010278901A1 (en) * | 2009-07-29 | 2012-03-15 | Transenterix, Inc. | Deflectable instrument ports |
DE102009037046A1 (de) * | 2009-08-13 | 2011-02-17 | Olympus Winter & Ibe Gmbh | Rohrförmiger Schaft eines chirurgischen Instruments sowie chirurgisches Instrument |
US9642534B2 (en) | 2009-09-11 | 2017-05-09 | University Of Virginia Patent Foundation | Systems and methods for determining location of an access needle in a subject |
US11090104B2 (en) | 2009-10-09 | 2021-08-17 | Cilag Gmbh International | Surgical generator for ultrasonic and electrosurgical devices |
US20110090331A1 (en) * | 2009-10-15 | 2011-04-21 | Perceptron, Inc. | Articulating imager for video borescope |
ES2388867B1 (es) * | 2009-10-27 | 2013-09-18 | Universitat Politècnica De Catalunya | Pinzas para cirugia laparoscópica mínimamente invasiva. |
US8888687B2 (en) * | 2009-10-28 | 2014-11-18 | Boston Scientific Scimed, Inc. | Method and apparatus related to a flexible assembly at a distal end portion of a medical device |
US20110112517A1 (en) * | 2009-11-06 | 2011-05-12 | Peine Willliam J | Surgical instrument |
US8851354B2 (en) | 2009-12-24 | 2014-10-07 | Ethicon Endo-Surgery, Inc. | Surgical cutting instrument that analyzes tissue thickness |
US8758257B2 (en) * | 2009-12-24 | 2014-06-24 | Renzo Cecere | Instrument including a movement sensor for positioning an effective portion and method of using same |
US8220688B2 (en) | 2009-12-24 | 2012-07-17 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting instrument with electric actuator directional control assembly |
DE102010000789A1 (de) * | 2010-01-11 | 2011-07-14 | Olympus Winter & Ibe GmbH, 22045 | Retraktor mit einem rohrförmigen Schaft |
EP2528518B1 (en) | 2010-01-26 | 2017-12-13 | Artack Medical (2013) Ltd. | Articulating medical instrument |
WO2011092710A2 (en) | 2010-02-01 | 2011-08-04 | Metacure Limited | Gastrointestinal electrical therapy |
US20110190781A1 (en) * | 2010-02-03 | 2011-08-04 | Nicholas John Collier | Surgical retrieval apparatus |
US9113848B2 (en) * | 2010-02-03 | 2015-08-25 | Covidien Lp | Surgical retrieval apparatus |
US8585712B2 (en) | 2010-02-03 | 2013-11-19 | Covidien Lp | Surgical retrieval apparatus |
JP2013518681A (ja) | 2010-02-04 | 2013-05-23 | アエスクラップ アーゲー | 腹腔鏡高周波手術装置 |
US8469981B2 (en) | 2010-02-11 | 2013-06-25 | Ethicon Endo-Surgery, Inc. | Rotatable cutting implement arrangements for ultrasonic surgical instruments |
US9218752B2 (en) | 2010-02-18 | 2015-12-22 | University Of Virginia Patent Foundation | System, method, and computer program product for simulating epicardial electrophysiology procedures |
EP2542163B1 (en) | 2010-03-03 | 2016-09-14 | Basel S. Hassoun | Surgical instrument |
GB201003516D0 (en) * | 2010-03-03 | 2010-04-21 | Surgical Innovations Ltd | Instruments |
US8419727B2 (en) | 2010-03-26 | 2013-04-16 | Aesculap Ag | Impedance mediated power delivery for electrosurgery |
US8827992B2 (en) | 2010-03-26 | 2014-09-09 | Aesculap Ag | Impedance mediated control of power delivery for electrosurgery |
US8074859B2 (en) | 2010-03-31 | 2011-12-13 | Tyco Healthcare Group Lp | Surgical instrument |
US20110251599A1 (en) * | 2010-04-13 | 2011-10-13 | Carson Shellenberger | Deflectable instrument shafts |
US8746252B2 (en) | 2010-05-14 | 2014-06-10 | Intuitive Surgical Operations, Inc. | Surgical system sterile drape |
US9486296B2 (en) * | 2010-07-08 | 2016-11-08 | Warsaw Orthopedic, Inc. | Surgical assembly with flexible arm |
US8801735B2 (en) | 2010-07-30 | 2014-08-12 | Ethicon Endo-Surgery, Inc. | Surgical circular stapler with tissue retention arrangements |
US8783543B2 (en) | 2010-07-30 | 2014-07-22 | Ethicon Endo-Surgery, Inc. | Tissue acquisition arrangements and methods for surgical stapling devices |
US20130190774A1 (en) | 2010-08-11 | 2013-07-25 | Ecole Polytechnique Ferderale De Lausanne (Epfl) | Mechanical positioning system for surgical instruments |
US8974372B2 (en) | 2010-08-25 | 2015-03-10 | Barry M. Fell | Path-following robot |
US9173698B2 (en) | 2010-09-17 | 2015-11-03 | Aesculap Ag | Electrosurgical tissue sealing augmented with a seal-enhancing composition |
US20120078244A1 (en) | 2010-09-24 | 2012-03-29 | Worrell Barry C | Control features for articulating surgical device |
US8893949B2 (en) | 2010-09-30 | 2014-11-25 | Ethicon Endo-Surgery, Inc. | Surgical stapler with floating anvil |
AU2011308701B2 (en) | 2010-09-30 | 2013-11-14 | Ethicon Endo-Surgery, Inc. | Fastener system comprising a retention matrix and an alignment matrix |
US20120080498A1 (en) | 2010-09-30 | 2012-04-05 | Ethicon Endo-Surgery, Inc. | Curved end effector for a stapling instrument |
US9241714B2 (en) | 2011-04-29 | 2016-01-26 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator and method for making the same |
US9301753B2 (en) | 2010-09-30 | 2016-04-05 | Ethicon Endo-Surgery, Llc | Expandable tissue thickness compensator |
US9314246B2 (en) | 2010-09-30 | 2016-04-19 | Ethicon Endo-Surgery, Llc | Tissue stapler having a thickness compensator incorporating an anti-inflammatory agent |
US9220501B2 (en) | 2010-09-30 | 2015-12-29 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensators |
US9168038B2 (en) | 2010-09-30 | 2015-10-27 | Ethicon Endo-Surgery, Inc. | Staple cartridge comprising a tissue thickness compensator |
US9480476B2 (en) | 2010-09-30 | 2016-11-01 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator comprising resilient members |
US9629814B2 (en) | 2010-09-30 | 2017-04-25 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator configured to redistribute compressive forces |
US11849952B2 (en) | 2010-09-30 | 2023-12-26 | Cilag Gmbh International | Staple cartridge comprising staples positioned within a compressible portion thereof |
US9332974B2 (en) | 2010-09-30 | 2016-05-10 | Ethicon Endo-Surgery, Llc | Layered tissue thickness compensator |
US9861361B2 (en) | 2010-09-30 | 2018-01-09 | Ethicon Llc | Releasable tissue thickness compensator and fastener cartridge having the same |
US10945731B2 (en) | 2010-09-30 | 2021-03-16 | Ethicon Llc | Tissue thickness compensator comprising controlled release and expansion |
US9320523B2 (en) | 2012-03-28 | 2016-04-26 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator comprising tissue ingrowth features |
US11298125B2 (en) | 2010-09-30 | 2022-04-12 | Cilag Gmbh International | Tissue stapler having a thickness compensator |
US9307989B2 (en) | 2012-03-28 | 2016-04-12 | Ethicon Endo-Surgery, Llc | Tissue stapler having a thickness compensator incorportating a hydrophobic agent |
US9232941B2 (en) | 2010-09-30 | 2016-01-12 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator comprising a reservoir |
US9301752B2 (en) | 2010-09-30 | 2016-04-05 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator comprising a plurality of capsules |
US11812965B2 (en) | 2010-09-30 | 2023-11-14 | Cilag Gmbh International | Layer of material for a surgical end effector |
US8783542B2 (en) | 2010-09-30 | 2014-07-22 | Ethicon Endo-Surgery, Inc. | Fasteners supported by a fastener cartridge support |
US9364233B2 (en) | 2010-09-30 | 2016-06-14 | Ethicon Endo-Surgery, Llc | Tissue thickness compensators for circular surgical staplers |
US8695866B2 (en) | 2010-10-01 | 2014-04-15 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a power control circuit |
US9005215B2 (en) | 2010-10-04 | 2015-04-14 | Covidien Lp | Specimen retrieval apparatus |
US8777961B2 (en) | 2010-10-04 | 2014-07-15 | Covidien Lp | Surgical retrieval apparatus |
WO2012049623A1 (en) | 2010-10-11 | 2012-04-19 | Ecole Polytechnique Federale De Lausanne (Epfl) | Mechanical manipulator for surgical instruments |
US8840639B2 (en) | 2010-10-29 | 2014-09-23 | Covidien Lp | Apparatus for performing an electrosurgical procedure |
US8753360B2 (en) * | 2010-11-08 | 2014-06-17 | Covidien Lp | Expandable mesh system and method of use therefor |
CN102465957A (zh) * | 2010-11-10 | 2012-05-23 | 上海理工大学 | 多自由度传动机构用镂空形传动件 |
EP2645943A1 (en) * | 2010-12-02 | 2013-10-09 | Agile Endosurgery, Inc. | Surgical tool |
US8579914B2 (en) | 2010-12-17 | 2013-11-12 | Covidien Lp | Specimen retrieval device |
US8734464B2 (en) | 2011-01-06 | 2014-05-27 | Covidien Lp | Surgical retrieval apparatus for thoracic procedures |
EP4268877A3 (en) | 2011-01-31 | 2023-11-29 | Boston Scientific Scimed, Inc. | Medical devices having releasable coupling |
EP3210522B1 (en) * | 2011-01-31 | 2019-07-31 | Boston Scientific Scimed, Inc. | Articulation section with locking |
US8336754B2 (en) | 2011-02-04 | 2012-12-25 | Covidien Lp | Locking articulation mechanism for surgical stapler |
US10278774B2 (en) | 2011-03-18 | 2019-05-07 | Covidien Lp | Selectively expandable operative element support structure and methods of use |
US9168050B1 (en) | 2011-03-24 | 2015-10-27 | Cambridge Endoscopic Devices, Inc. | End effector construction |
US8573463B2 (en) | 2011-03-31 | 2013-11-05 | Covidien Lp | Locking articulation mechanism |
CN103619271B (zh) | 2011-04-06 | 2019-07-09 | 美的洛博迪克斯公司 | 铰接式外科手术工具和工具护套及其使用方法 |
BR112013027794B1 (pt) | 2011-04-29 | 2020-12-15 | Ethicon Endo-Surgery, Inc | Conjunto de cartucho de grampos |
US9901412B2 (en) | 2011-04-29 | 2018-02-27 | Vanderbilt University | Dexterous surgical manipulator and method of use |
US8795291B2 (en) | 2011-04-29 | 2014-08-05 | Covidien Lp | Specimen retrieval device |
US9161771B2 (en) | 2011-05-13 | 2015-10-20 | Intuitive Surgical Operations Inc. | Medical instrument with snake wrist structure |
DE102011103283A1 (de) * | 2011-05-26 | 2012-11-29 | Olympus Winter & Ibe Gmbh | Chirurgisches Schaftinstrument |
US11207064B2 (en) | 2011-05-27 | 2021-12-28 | Cilag Gmbh International | Automated end effector component reloading system for use with a robotic system |
US9072535B2 (en) | 2011-05-27 | 2015-07-07 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments with rotatable staple deployment arrangements |
US9339327B2 (en) | 2011-06-28 | 2016-05-17 | Aesculap Ag | Electrosurgical tissue dissecting device |
US8603135B2 (en) * | 2011-07-20 | 2013-12-10 | Covidien Lp | Articulating surgical apparatus |
CN103717355B (zh) | 2011-07-27 | 2015-11-25 | 洛桑联邦理工学院 | 用于远程操纵的机械遥控操作装置 |
US9675781B2 (en) * | 2011-08-04 | 2017-06-13 | Kings College London | Continuum manipulator |
US20130038930A1 (en) * | 2011-08-08 | 2013-02-14 | Gradient Lens Corporation | Alignment apparatus |
US8945174B2 (en) | 2011-08-15 | 2015-02-03 | Intuitive Surgical Operations, Inc. | Medical instrument with flexible jaw mechanism |
EP3656317A1 (en) | 2011-09-02 | 2020-05-27 | Stryker Corporation | Surgical system including an instrument and method for using the instrument |
US9050084B2 (en) | 2011-09-23 | 2015-06-09 | Ethicon Endo-Surgery, Inc. | Staple cartridge including collapsible deck arrangement |
US20130303944A1 (en) | 2012-05-14 | 2013-11-14 | Intuitive Surgical Operations, Inc. | Off-axis electromagnetic sensor |
US10238837B2 (en) | 2011-10-14 | 2019-03-26 | Intuitive Surgical Operations, Inc. | Catheters with control modes for interchangeable probes |
US9452276B2 (en) | 2011-10-14 | 2016-09-27 | Intuitive Surgical Operations, Inc. | Catheter with removable vision probe |
US9387048B2 (en) | 2011-10-14 | 2016-07-12 | Intuitive Surgical Operations, Inc. | Catheter sensor systems |
US8968329B2 (en) | 2011-10-19 | 2015-03-03 | Covidien Lp | Surgical retrieval apparatus for thoracic procedures |
ES2836119T3 (es) * | 2011-10-21 | 2021-06-24 | Viking Systems Inc | Endoscopio estereoscópico electrónico orientable |
US9993229B2 (en) | 2011-11-08 | 2018-06-12 | Covidien Lp | Specimen retrieval device |
US9486213B2 (en) * | 2011-11-14 | 2016-11-08 | Thd Lap Ltd. | Drive mechanism for articulating tacker |
US8906036B2 (en) | 2011-11-21 | 2014-12-09 | Covidien Lp | Surgical retrieval apparatus |
US9211159B2 (en) | 2011-12-02 | 2015-12-15 | Ethicon Endo-Surgery, Inc. | Surgical devices with intracorporeal elbow joint |
US8617203B2 (en) | 2011-12-02 | 2013-12-31 | Ethicon Endo-Surgery, Inc. | Jaw assembly for surgical devices |
US9131987B2 (en) | 2011-12-02 | 2015-09-15 | Ethicon Endo-Surgery, Inc. | Elbow assembly for surgical devices |
US9179927B2 (en) | 2011-12-02 | 2015-11-10 | Ethicon Endo-Surgery, Inc. | Surgical methods using a surgical device having a fixed angular orientation |
US9226741B2 (en) * | 2012-01-09 | 2016-01-05 | Covidien Lp | Triangulation methods with hollow segments |
US9549747B2 (en) | 2012-01-23 | 2017-01-24 | Covidien Lp | Reusable surgical retrieval apparatus with disposable cartridge assembly |
US8419720B1 (en) | 2012-02-07 | 2013-04-16 | National Advanced Endoscopy Devices, Incorporated | Flexible laparoscopic device |
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 |
US9931167B2 (en) | 2012-02-15 | 2018-04-03 | Intuitive Surgical Operations, Inc. | Minimally invasive surgical instrument to provide needle-based therapy |
US9314926B2 (en) * | 2012-02-15 | 2016-04-19 | Intuitive Surgical Operations, Inc. | Compact needle manipulator for targeted interventions |
US9095127B2 (en) | 2012-02-22 | 2015-08-04 | Carter J. Kovarik | Selectively bendable remote gripping tool |
US8807615B2 (en) * | 2012-02-22 | 2014-08-19 | Carter J. Kovarik | Selectively bendable remote gripping tool |
US8833817B2 (en) | 2012-02-22 | 2014-09-16 | Carter J. Kovarik | Selectively bendable animal waste scooper for sanitary handling of animal droppings |
US8985659B2 (en) | 2012-02-22 | 2015-03-24 | Carter J. Kovarik | Fish netting tool |
US11083475B2 (en) | 2012-02-22 | 2021-08-10 | Carter J. Kovarik | Medical device to remove an obstruction from a body lumen, vessel or organ |
US9592066B2 (en) | 2012-02-22 | 2017-03-14 | Carter J. Kovarik | Selectively bendable remote gripping tool |
US9832980B2 (en) | 2012-02-22 | 2017-12-05 | Carter J. Kovarik | Selectively bendable remote gripping tool |
US9901245B2 (en) | 2012-02-22 | 2018-02-27 | Carter J. Kovarik | Selectively bendable remote gripping tool |
USD780547S1 (en) | 2013-08-08 | 2017-03-07 | Carter J. Kovarik | Pick up device with flexible shaft portion |
US10226266B2 (en) | 2012-02-22 | 2019-03-12 | Carter J. Kovarik | Selectively bendable remote gripping tool |
EP2819603B1 (en) * | 2012-02-29 | 2021-11-03 | Boston Scientific Scimed, Inc. | Electrosurgical device and system |
US9216056B2 (en) * | 2012-03-02 | 2015-12-22 | Biosense Webster (Israel) Ltd. | Catheter for treatment of atrial flutter having single action dual deflection mechanism |
RU2014143258A (ru) | 2012-03-28 | 2016-05-20 | Этикон Эндо-Серджери, Инк. | Компенсатор толщины ткани, содержащий множество слоев |
US9198662B2 (en) | 2012-03-28 | 2015-12-01 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator having improved visibility |
BR112014024194B1 (pt) | 2012-03-28 | 2022-03-03 | Ethicon Endo-Surgery, Inc | Conjunto de cartucho de grampos para um grampeador cirúrgico |
RU2639857C2 (ru) | 2012-03-28 | 2017-12-22 | Этикон Эндо-Серджери, Инк. | Компенсатор толщины ткани, содержащий капсулу для среды с низким давлением |
US9211134B2 (en) | 2012-04-09 | 2015-12-15 | Carefusion 2200, Inc. | Wrist assembly for articulating laparoscopic surgical instruments |
US9439668B2 (en) | 2012-04-09 | 2016-09-13 | Ethicon Endo-Surgery, Llc | Switch arrangements for ultrasonic surgical instruments |
JP5940864B2 (ja) * | 2012-04-12 | 2016-06-29 | カール シュトルツ ゲゼルシャフト ミット ベシュレンクテル ハフツング ウント コンパニー コマンディートゲゼルシャフト | 医療用マニピュレータ |
KR101405087B1 (ko) * | 2012-04-27 | 2014-06-10 | 한양대학교 에리카산학협력단 | 수술도구용 관절 |
KR101486645B1 (ko) | 2012-05-07 | 2015-01-29 | 정창욱 | 가변 굴곡을 갖는 최소 침습 수술 기구 |
US8393422B1 (en) | 2012-05-25 | 2013-03-12 | Raytheon Company | Serpentine robotic crawler |
CN103417298B (zh) | 2012-05-25 | 2017-10-10 | 三星电子株式会社 | 臂单元及具有该臂单元的机器人 |
FR2991221B1 (fr) * | 2012-06-01 | 2015-02-27 | Aldebaran Robotics | Colonne vertebrale pour robot humanoide |
US9101358B2 (en) | 2012-06-15 | 2015-08-11 | Ethicon Endo-Surgery, Inc. | Articulatable surgical instrument comprising a firing drive |
US11278284B2 (en) | 2012-06-28 | 2022-03-22 | Cilag Gmbh International | Rotary drive arrangements for surgical instruments |
US20140001231A1 (en) | 2012-06-28 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Firing system lockout arrangements for surgical instruments |
US9072536B2 (en) | 2012-06-28 | 2015-07-07 | Ethicon Endo-Surgery, Inc. | Differential locking arrangements for rotary powered surgical instruments |
US9028494B2 (en) | 2012-06-28 | 2015-05-12 | Ethicon Endo-Surgery, Inc. | Interchangeable end effector coupling arrangement |
US20140005705A1 (en) | 2012-06-29 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Surgical instruments with articulating shafts |
BR112014032776B1 (pt) | 2012-06-28 | 2021-09-08 | Ethicon Endo-Surgery, Inc | Sistema de instrumento cirúrgico e kit cirúrgico para uso com um sistema de instrumento cirúrgico |
US9119657B2 (en) | 2012-06-28 | 2015-09-01 | Ethicon Endo-Surgery, Inc. | Rotary actuatable closure arrangement for surgical end effector |
US9125662B2 (en) | 2012-06-28 | 2015-09-08 | Ethicon Endo-Surgery, Inc. | Multi-axis articulating and rotating surgical tools |
US20140005718A1 (en) | 2012-06-28 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Multi-functional powered surgical device with external dissection features |
US9101385B2 (en) | 2012-06-28 | 2015-08-11 | Ethicon Endo-Surgery, Inc. | Electrode connections for rotary driven surgical tools |
US9561038B2 (en) | 2012-06-28 | 2017-02-07 | Ethicon Endo-Surgery, Llc | Interchangeable clip applier |
US8747238B2 (en) | 2012-06-28 | 2014-06-10 | Ethicon Endo-Surgery, Inc. | Rotary drive shaft assemblies for surgical instruments with articulatable end effectors |
BR112014032740A2 (pt) | 2012-06-28 | 2020-02-27 | Ethicon Endo Surgery Inc | bloqueio de cartucho de clipes vazio |
US9289256B2 (en) | 2012-06-28 | 2016-03-22 | Ethicon Endo-Surgery, Llc | Surgical end effectors having angled tissue-contacting surfaces |
US20140001234A1 (en) | 2012-06-28 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Coupling arrangements for attaching surgical end effectors to drive systems therefor |
US9649111B2 (en) | 2012-06-28 | 2017-05-16 | Ethicon Endo-Surgery, Llc | Replaceable clip cartridge for a clip applier |
US9326788B2 (en) | 2012-06-29 | 2016-05-03 | Ethicon Endo-Surgery, Llc | Lockout mechanism for use with robotic electrosurgical device |
US9226767B2 (en) | 2012-06-29 | 2016-01-05 | Ethicon Endo-Surgery, Inc. | Closed feedback control for electrosurgical device |
US9198714B2 (en) | 2012-06-29 | 2015-12-01 | Ethicon Endo-Surgery, Inc. | Haptic feedback devices for surgical robot |
US9351754B2 (en) | 2012-06-29 | 2016-05-31 | Ethicon Endo-Surgery, Llc | Ultrasonic surgical instruments with distally positioned jaw assemblies |
US9408622B2 (en) | 2012-06-29 | 2016-08-09 | Ethicon Endo-Surgery, Llc | Surgical instruments with articulating shafts |
US9393037B2 (en) | 2012-06-29 | 2016-07-19 | Ethicon Endo-Surgery, Llc | Surgical instruments with articulating shafts |
KR101364053B1 (ko) * | 2012-08-03 | 2014-02-19 | 한국과학기술연구원 | 미세수술기구용 가이드 튜브 |
US9993283B2 (en) * | 2012-10-02 | 2018-06-12 | Covidien Lp | Selectively deformable ablation device |
US9095367B2 (en) | 2012-10-22 | 2015-08-04 | Ethicon Endo-Surgery, Inc. | Flexible harmonic waveguides/blades for surgical instruments |
US9031698B2 (en) | 2012-10-31 | 2015-05-12 | Sarcos Lc | Serpentine robotic crawler |
US20140135804A1 (en) | 2012-11-15 | 2014-05-15 | Ethicon Endo-Surgery, Inc. | Ultrasonic and electrosurgical devices |
US9386984B2 (en) | 2013-02-08 | 2016-07-12 | Ethicon Endo-Surgery, Llc | Staple cartridge comprising a releasable cover |
US10092292B2 (en) | 2013-02-28 | 2018-10-09 | Ethicon Llc | Staple forming features for surgical stapling instrument |
BR112015021098B1 (pt) | 2013-03-01 | 2022-02-15 | Ethicon Endo-Surgery, Inc | Cobertura para uma junta de articulação e instrumento cirúrgico |
US10154833B2 (en) | 2013-03-01 | 2018-12-18 | Covidien Lp | Specimen retrieval device with pouch stop |
US9358003B2 (en) | 2013-03-01 | 2016-06-07 | Ethicon Endo-Surgery, Llc | Electromechanical surgical device with signal relay arrangement |
RU2669463C2 (ru) | 2013-03-01 | 2018-10-11 | Этикон Эндо-Серджери, Инк. | Хирургический инструмент с мягким упором |
US20140263552A1 (en) | 2013-03-13 | 2014-09-18 | Ethicon Endo-Surgery, Inc. | Staple cartridge tissue thickness sensor system |
US9883860B2 (en) | 2013-03-14 | 2018-02-06 | Ethicon Llc | Interchangeable shaft assemblies for use with a surgical instrument |
US9629629B2 (en) | 2013-03-14 | 2017-04-25 | Ethicon Endo-Surgey, LLC | Control systems for surgical instruments |
US9125587B2 (en) * | 2013-03-15 | 2015-09-08 | DePuy Synthes Products, Inc. | Surgical retractors |
US9572577B2 (en) | 2013-03-27 | 2017-02-21 | Ethicon Endo-Surgery, Llc | Fastener cartridge comprising a tissue thickness compensator including openings therein |
US9332984B2 (en) | 2013-03-27 | 2016-05-10 | Ethicon Endo-Surgery, Llc | Fastener cartridge assemblies |
US9795384B2 (en) | 2013-03-27 | 2017-10-24 | Ethicon Llc | Fastener cartridge comprising a tissue thickness compensator and a gap setting element |
CN105073041B (zh) * | 2013-03-28 | 2018-11-20 | 奥林巴斯株式会社 | 外套管以及处置器具 |
BR112015026109B1 (pt) | 2013-04-16 | 2022-02-22 | Ethicon Endo-Surgery, Inc | Instrumento cirúrgico |
US9844368B2 (en) | 2013-04-16 | 2017-12-19 | Ethicon Llc | Surgical system comprising first and second drive systems |
US9357984B2 (en) | 2013-04-23 | 2016-06-07 | Covidien Lp | Constant value gap stabilizer for articulating links |
DE102013208167A1 (de) * | 2013-05-03 | 2014-11-06 | Olympus Winter & Ibe Gmbh | Applikationssonde |
AU2014268819A1 (en) | 2013-05-20 | 2016-01-07 | Medrobotics Corporation | Articulating surgical instruments and method of deploying the same |
US9574644B2 (en) | 2013-05-30 | 2017-02-21 | Ethicon Endo-Surgery, Llc | Power module for use with a surgical instrument |
US9592067B2 (en) | 2013-06-14 | 2017-03-14 | Covidien Lp | Specimen retrieval device including a reusable shaft with interchangeable pouch |
US9987031B2 (en) | 2013-06-14 | 2018-06-05 | Covidien Lp | Specimen retrieval device including an integrated sliding grasper |
ES2639100T3 (es) | 2013-06-19 | 2017-10-25 | Titan Medical Inc. | Posicionador de herramienta articulado y sistema que emplea el mismo |
MX369362B (es) | 2013-08-23 | 2019-11-06 | Ethicon Endo Surgery Llc | Dispositivos de retraccion de miembros de disparo para instrumentos quirurgicos electricos. |
CN109394308B (zh) | 2013-08-23 | 2021-08-20 | 柯惠Lp公司 | 标本取出装置 |
US9283054B2 (en) | 2013-08-23 | 2016-03-15 | Ethicon Endo-Surgery, Llc | Interactive displays |
EP3038542B1 (en) | 2013-09-01 | 2018-12-26 | Human Extensions Ltd | Control unit for a medical device |
US20140171986A1 (en) | 2013-09-13 | 2014-06-19 | Ethicon Endo-Surgery, Inc. | Surgical Clip Having Comliant Portion |
US10149694B2 (en) | 2013-09-13 | 2018-12-11 | Vanderbilt University | Energy balance mechanism for flexure joint |
US9409292B2 (en) | 2013-09-13 | 2016-08-09 | Sarcos Lc | Serpentine robotic crawler for performing dexterous operations |
US9395216B2 (en) * | 2013-10-22 | 2016-07-19 | The United States Of America, As Represented By The Secretary Of The Army | Disappearing controllable-arch sensor boom or crane |
GB2521228A (en) | 2013-12-16 | 2015-06-17 | Ethicon Endo Surgery Inc | Medical device |
US9839428B2 (en) | 2013-12-23 | 2017-12-12 | Ethicon Llc | Surgical cutting and stapling instruments with independent jaw control features |
US20150173756A1 (en) | 2013-12-23 | 2015-06-25 | Ethicon Endo-Surgery, Inc. | Surgical cutting and stapling methods |
US9549735B2 (en) | 2013-12-23 | 2017-01-24 | Ethicon Endo-Surgery, Llc | Fastener cartridge comprising a firing member including fastener transfer surfaces |
US9724092B2 (en) | 2013-12-23 | 2017-08-08 | Ethicon Llc | Modular surgical instruments |
WO2015113933A1 (en) | 2014-02-03 | 2015-08-06 | Distalmotion Sa | Mechanical teleoperated device comprising an interchangeable distal instrument |
US9962161B2 (en) | 2014-02-12 | 2018-05-08 | Ethicon Llc | Deliverable surgical instrument |
CN106163421B (zh) | 2014-02-21 | 2021-09-24 | 直观外科手术操作公司 | 具有受约束运动的可铰接构件以及相关设备和方法 |
JP6664331B2 (ja) | 2014-02-21 | 2020-03-13 | インテュイティブ サージカル オペレーションズ, インコーポレイテッド | 機械的な関節並びに関連するシステム及び方法 |
BR112016019387B1 (pt) | 2014-02-24 | 2022-11-29 | Ethicon Endo-Surgery, Llc | Sistema de instrumento cirúrgico e cartucho de prendedores para uso com um instrumento cirúrgico de fixação |
US9775608B2 (en) | 2014-02-24 | 2017-10-03 | Ethicon Llc | Fastening system comprising a firing member lockout |
US9566711B2 (en) | 2014-03-04 | 2017-02-14 | Sarcos Lc | Coordinated robotic control |
US10219817B2 (en) | 2014-03-13 | 2019-03-05 | Lsi Solutions, Inc. | Surgical clamp and clamp jaw |
US9554854B2 (en) | 2014-03-18 | 2017-01-31 | Ethicon Endo-Surgery, Llc | Detecting short circuits in electrosurgical medical devices |
BR112016021943B1 (pt) | 2014-03-26 | 2022-06-14 | Ethicon Endo-Surgery, Llc | Instrumento cirúrgico para uso por um operador em um procedimento cirúrgico |
US10013049B2 (en) | 2014-03-26 | 2018-07-03 | Ethicon Llc | Power management through sleep options of segmented circuit and wake up control |
US20150272557A1 (en) | 2014-03-26 | 2015-10-01 | Ethicon Endo-Surgery, Inc. | Modular surgical instrument system |
US9913642B2 (en) | 2014-03-26 | 2018-03-13 | Ethicon Llc | Surgical instrument comprising a sensor system |
US9750499B2 (en) | 2014-03-26 | 2017-09-05 | Ethicon Llc | Surgical stapling instrument system |
US10092310B2 (en) | 2014-03-27 | 2018-10-09 | Ethicon Llc | Electrosurgical devices |
US9737355B2 (en) | 2014-03-31 | 2017-08-22 | Ethicon Llc | Controlling impedance rise in electrosurgical medical devices |
CA2938788A1 (en) * | 2014-03-31 | 2015-10-08 | Human Extensions Ltd. | Steerable medical device |
US10285763B2 (en) | 2014-04-02 | 2019-05-14 | Intuitive Surgical Operations, Inc. | Actuation element guide with twisting channels |
US9913680B2 (en) | 2014-04-15 | 2018-03-13 | Ethicon Llc | Software algorithms for electrosurgical instruments |
US9801627B2 (en) | 2014-09-26 | 2017-10-31 | Ethicon Llc | Fastener cartridge for creating a flexible staple line |
US20150297225A1 (en) | 2014-04-16 | 2015-10-22 | Ethicon Endo-Surgery, Inc. | Fastener cartridges including extensions having different configurations |
US10542988B2 (en) | 2014-04-16 | 2020-01-28 | Ethicon Llc | End effector comprising an anvil including projections extending therefrom |
JP6612256B2 (ja) | 2014-04-16 | 2019-11-27 | エシコン エルエルシー | 不均一な締結具を備える締結具カートリッジ |
BR112016023698B1 (pt) | 2014-04-16 | 2022-07-26 | Ethicon Endo-Surgery, Llc | Cartucho de prendedores para uso com um instrumento cirúrgico |
CN106456159B (zh) | 2014-04-16 | 2019-03-08 | 伊西康内外科有限责任公司 | 紧固件仓组件和钉保持器盖布置结构 |
US9855108B2 (en) | 2014-04-22 | 2018-01-02 | Bio-Medical Engineering (HK) Limited | Robotic devices and systems for performing single incision procedures and natural orifice translumenal endoscopic surgical procedures, and methods of configuring robotic devices and systems |
US9895200B2 (en) | 2014-04-22 | 2018-02-20 | Bio-Medical Engineering (HK) Limited | Robotic devices and systems for performing single incision procedures and natural orifice translumenal endoscopic surgical procedures, and methods of configuring robotic devices and systems |
US9724168B2 (en) | 2014-04-22 | 2017-08-08 | Bio-Medical Engineering (HK) Limited | Robotic devices and systems for performing single incision procedures and natural orifice translumenal endoscopic surgical procedures, and methods of configuring robotic devices and systems |
US11090123B2 (en) | 2014-04-22 | 2021-08-17 | Bio-Medical Engineering (HK) Limited | Robotic devices and systems for performing single incision procedures and natural orifice translumenal endoscopic surgical procedures, and methods of configuring robotic devices and systems |
US11801099B2 (en) | 2014-04-22 | 2023-10-31 | Bio-Medical Engineering (HK) Limited | Robotic devices and systems for performing single incision procedures and natural orifice translumenal endoscopic surgical procedures, and methods of configuring robotic devices and systems |
US11154368B2 (en) | 2014-04-22 | 2021-10-26 | Bio-Medical Engineering (HK) Limited | Port assembly for use with robotic devices and systems to perform single incision procedures and natural orifice translumenal endoscopic surgical procedures |
JP6599894B2 (ja) * | 2014-04-28 | 2019-10-30 | コヴィディエン リミテッド パートナーシップ | 力伝達部材を格納する外科手術アセンブリ |
US10259129B2 (en) * | 2014-05-06 | 2019-04-16 | The Johns Hopkins University | Adjustable stiffness morphable manipulator |
US20150343649A1 (en) * | 2014-05-28 | 2015-12-03 | Richard Galinson | Tentacle mechanism |
US10045781B2 (en) | 2014-06-13 | 2018-08-14 | Ethicon Llc | Closure lockout systems for surgical instruments |
US10285724B2 (en) | 2014-07-31 | 2019-05-14 | Ethicon Llc | Actuation mechanisms and load adjustment assemblies for surgical instruments |
JP6100214B2 (ja) * | 2014-08-01 | 2017-03-22 | 富士フイルム株式会社 | 内視鏡、内視鏡の部品固定構造、及び内視鏡の部品固定方法 |
EP3185808B1 (en) | 2014-08-27 | 2022-02-23 | DistalMotion SA | Surgical system for microsurgical techniques |
ES2803579T3 (es) | 2014-09-04 | 2021-01-28 | Memic Innovative Surgery Ltd | Dispositivo y sistema que incluyen brazos mecánicos |
BR112017004361B1 (pt) | 2014-09-05 | 2023-04-11 | Ethicon Llc | Sistema eletrônico para um instrumento cirúrgico |
US11311294B2 (en) | 2014-09-05 | 2022-04-26 | Cilag Gmbh International | Powered medical device including measurement of closure state of jaws |
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 |
BR112017005981B1 (pt) | 2014-09-26 | 2022-09-06 | Ethicon, Llc | Material de escora para uso com um cartucho de grampos cirúrgicos e cartucho de grampos cirúrgicos para uso com um instrumento cirúrgico |
US11523821B2 (en) | 2014-09-26 | 2022-12-13 | Cilag Gmbh International | Method for creating a flexible staple line |
US10363398B2 (en) | 2014-10-06 | 2019-07-30 | Sanovas Intellectual Property, Llc | Steerable catheter with flexing tip member |
US10076325B2 (en) | 2014-10-13 | 2018-09-18 | Ethicon Llc | Surgical stapling apparatus comprising a tissue stop |
US9924944B2 (en) | 2014-10-16 | 2018-03-27 | Ethicon Llc | Staple cartridge comprising an adjunct material |
US10517594B2 (en) | 2014-10-29 | 2019-12-31 | Ethicon Llc | Cartridge assemblies for surgical staplers |
US11141153B2 (en) | 2014-10-29 | 2021-10-12 | Cilag Gmbh International | Staple cartridges comprising driver arrangements |
US9844376B2 (en) | 2014-11-06 | 2017-12-19 | Ethicon Llc | Staple cartridge comprising a releasable adjunct material |
DE102014224268B4 (de) * | 2014-11-27 | 2019-05-16 | Deutsches Zentrum für Luft- und Raumfahrt e.V. | Endoskopisches Instrument sowie Verfahren zum Umgreifen von Strukturen |
US10736636B2 (en) | 2014-12-10 | 2020-08-11 | Ethicon Llc | Articulatable surgical instrument system |
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. |
US10085748B2 (en) | 2014-12-18 | 2018-10-02 | Ethicon Llc | Locking arrangements for detachable shaft assemblies with articulatable surgical end effectors |
US10004501B2 (en) | 2014-12-18 | 2018-06-26 | Ethicon Llc | Surgical instruments with improved closure arrangements |
US9844375B2 (en) | 2014-12-18 | 2017-12-19 | Ethicon Llc | Drive arrangements for articulatable surgical instruments |
US9987000B2 (en) | 2014-12-18 | 2018-06-05 | Ethicon Llc | Surgical instrument assembly comprising a flexible articulation system |
US10117649B2 (en) | 2014-12-18 | 2018-11-06 | Ethicon Llc | Surgical instrument assembly comprising a lockable articulation system |
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 |
US10188385B2 (en) | 2014-12-18 | 2019-01-29 | Ethicon Llc | Surgical instrument system comprising lockable systems |
WO2016097861A1 (en) | 2014-12-19 | 2016-06-23 | Distalmotion Sa | Sterile interface for articulated surgical instruments |
EP3232977B1 (en) | 2014-12-19 | 2020-01-29 | DistalMotion SA | Docking system for mechanical telemanipulator |
US10548680B2 (en) | 2014-12-19 | 2020-02-04 | Distalmotion Sa | Articulated handle for mechanical telemanipulator |
WO2016097864A2 (en) | 2014-12-19 | 2016-06-23 | Distalmotion Sa | Surgical instrument with articulated end-effector |
US10646294B2 (en) | 2014-12-19 | 2020-05-12 | Distalmotion Sa | Reusable surgical instrument for minimally invasive procedures |
US10245095B2 (en) | 2015-02-06 | 2019-04-02 | Ethicon Llc | Electrosurgical instrument with rotation and articulation mechanisms |
US10226250B2 (en) | 2015-02-27 | 2019-03-12 | Ethicon Llc | Modular stapling assembly |
US10180463B2 (en) | 2015-02-27 | 2019-01-15 | Ethicon Llc | Surgical apparatus configured to assess whether a performance parameter of the surgical apparatus is within an acceptable performance band |
US11154301B2 (en) | 2015-02-27 | 2021-10-26 | Cilag Gmbh International | Modular stapling assembly |
US9931118B2 (en) | 2015-02-27 | 2018-04-03 | Ethicon Endo-Surgery, Llc | Reinforced battery for a surgical instrument |
US10687806B2 (en) | 2015-03-06 | 2020-06-23 | Ethicon Llc | Adaptive tissue compression techniques to adjust closure rates for multiple tissue types |
US9895148B2 (en) | 2015-03-06 | 2018-02-20 | Ethicon Endo-Surgery, Llc | Monitoring speed control and precision incrementing of motor for powered surgical instruments |
US10052044B2 (en) | 2015-03-06 | 2018-08-21 | Ethicon Llc | Time dependent evaluation of sensor data to determine stability, creep, and viscoelastic elements of measures |
US10617412B2 (en) | 2015-03-06 | 2020-04-14 | Ethicon Llc | System for detecting the mis-insertion of a staple cartridge into a surgical stapler |
US10441279B2 (en) | 2015-03-06 | 2019-10-15 | Ethicon Llc | Multiple level thresholds to modify operation of powered surgical instruments |
US10245033B2 (en) | 2015-03-06 | 2019-04-02 | Ethicon Llc | Surgical instrument comprising a lockable battery housing |
US9808246B2 (en) | 2015-03-06 | 2017-11-07 | Ethicon Endo-Surgery, Llc | Method of operating a powered surgical instrument |
JP2020121162A (ja) | 2015-03-06 | 2020-08-13 | エシコン エルエルシーEthicon LLC | 測定の安定性要素、クリープ要素、及び粘弾性要素を決定するためのセンサデータの時間依存性評価 |
US9901342B2 (en) | 2015-03-06 | 2018-02-27 | Ethicon Endo-Surgery, Llc | Signal and power communication system positioned on a rotatable shaft |
US9993248B2 (en) | 2015-03-06 | 2018-06-12 | Ethicon Endo-Surgery, Llc | Smart sensors with local signal processing |
US10045776B2 (en) | 2015-03-06 | 2018-08-14 | Ethicon Llc | Control techniques and sub-processor contained within modular shaft with select control processing from handle |
US9924961B2 (en) | 2015-03-06 | 2018-03-27 | Ethicon Endo-Surgery, Llc | Interactive feedback system for powered surgical instruments |
US10159506B2 (en) | 2015-03-16 | 2018-12-25 | Ethicon Llc | Methods and devices for actuating surgical instruments |
GB201504843D0 (en) * | 2015-03-23 | 2015-05-06 | Rolls Royce Plc | Flexible tools and apparatus for machining objects |
US10433844B2 (en) | 2015-03-31 | 2019-10-08 | Ethicon Llc | Surgical instrument with selectively disengageable threaded drive systems |
WO2016161449A1 (en) | 2015-04-03 | 2016-10-06 | The Regents Of The University Of Michigan | Tension management apparatus for cable-driven transmission |
US10568709B2 (en) | 2015-04-09 | 2020-02-25 | Distalmotion Sa | Mechanical teleoperated device for remote manipulation |
EP3280337B1 (en) | 2015-04-09 | 2019-11-13 | DistalMotion SA | Articulated hand-held instrument |
US10178992B2 (en) | 2015-06-18 | 2019-01-15 | Ethicon Llc | Push/pull articulation drive systems for articulatable surgical instruments |
US11141213B2 (en) | 2015-06-30 | 2021-10-12 | Cilag Gmbh International | Surgical instrument with user adaptable techniques |
US10034704B2 (en) | 2015-06-30 | 2018-07-31 | Ethicon Llc | Surgical instrument with user adaptable algorithms |
US11129669B2 (en) | 2015-06-30 | 2021-09-28 | Cilag Gmbh International | Surgical system with user adaptable techniques based on tissue type |
US11051873B2 (en) | 2015-06-30 | 2021-07-06 | Cilag Gmbh International | Surgical system with user adaptable techniques employing multiple energy modalities based on tissue parameters |
US10898256B2 (en) | 2015-06-30 | 2021-01-26 | Ethicon Llc | Surgical system with user adaptable techniques based on tissue impedance |
CN107530889A (zh) * | 2015-07-09 | 2018-01-02 | 川崎重工业株式会社 | 回旋装置以及医疗器械 |
US10835249B2 (en) | 2015-08-17 | 2020-11-17 | Ethicon Llc | Implantable layers for a surgical instrument |
US10071303B2 (en) | 2015-08-26 | 2018-09-11 | Malibu Innovations, LLC | Mobilized cooler device with fork hanger assembly |
JP6828018B2 (ja) | 2015-08-26 | 2021-02-10 | エシコン エルエルシーEthicon LLC | ステープルの特性変更を可能にし、カートリッジへの充填を容易にする外科用ステープルストリップ |
US10390829B2 (en) | 2015-08-26 | 2019-08-27 | Ethicon Llc | Staples comprising a cover |
EP3340897A1 (en) | 2015-08-28 | 2018-07-04 | DistalMotion SA | Surgical instrument with increased actuation force |
US10314587B2 (en) | 2015-09-02 | 2019-06-11 | Ethicon Llc | Surgical staple cartridge with improved staple driver configurations |
MX2022006189A (es) | 2015-09-02 | 2022-06-16 | Ethicon Llc | Configuraciones de grapas quirurgicas con superficies de leva situadas entre porciones que soportan grapas quirurgicas. |
SI3190942T1 (sl) | 2015-09-04 | 2020-10-30 | Memic Innovative Surgery Ltd. | Aktiviranje naprave, ki obsega mehanske roke |
US10085751B2 (en) | 2015-09-23 | 2018-10-02 | Ethicon Llc | Surgical stapler having temperature-based motor control |
US10238386B2 (en) | 2015-09-23 | 2019-03-26 | Ethicon Llc | Surgical stapler having motor control based on an electrical parameter related to a motor current |
US10363036B2 (en) | 2015-09-23 | 2019-07-30 | Ethicon Llc | Surgical stapler having force-based motor control |
US10076326B2 (en) | 2015-09-23 | 2018-09-18 | Ethicon Llc | Surgical stapler having current mirror-based motor control |
US10327769B2 (en) | 2015-09-23 | 2019-06-25 | Ethicon Llc | Surgical stapler having motor control based on a drive system component |
US10105139B2 (en) | 2015-09-23 | 2018-10-23 | Ethicon Llc | Surgical stapler having downstream current-based motor control |
US10299878B2 (en) | 2015-09-25 | 2019-05-28 | Ethicon Llc | Implantable adjunct systems for determining adjunct skew |
US20170086829A1 (en) | 2015-09-30 | 2017-03-30 | Ethicon Endo-Surgery, Llc | Compressible adjunct with intermediate supporting structures |
US11890015B2 (en) | 2015-09-30 | 2024-02-06 | Cilag Gmbh International | Compressible adjunct with crossing spacer fibers |
US10687884B2 (en) | 2015-09-30 | 2020-06-23 | Ethicon Llc | Circuits for supplying isolated direct current (DC) voltage to surgical instruments |
US11690623B2 (en) | 2015-09-30 | 2023-07-04 | Cilag Gmbh International | Method for applying an implantable layer to a fastener cartridge |
US10980539B2 (en) | 2015-09-30 | 2021-04-20 | Ethicon Llc | Implantable adjunct comprising bonded layers |
EP3359054A4 (en) | 2015-10-05 | 2019-08-14 | Flexdex, Inc. | MEDICAL DEVICES WITH JOINTS IN JOINT CLUSTERS WITH FLEXIBILITY |
US11896255B2 (en) | 2015-10-05 | 2024-02-13 | Flexdex, Inc. | End-effector jaw closure transmission systems for remote access tools |
US10595930B2 (en) | 2015-10-16 | 2020-03-24 | Ethicon Llc | Electrode wiping surgical device |
US10368865B2 (en) | 2015-12-30 | 2019-08-06 | Ethicon Llc | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US10265068B2 (en) | 2015-12-30 | 2019-04-23 | Ethicon Llc | Surgical instruments with separable motors and motor control circuits |
US10292704B2 (en) | 2015-12-30 | 2019-05-21 | Ethicon Llc | Mechanisms for compensating for battery pack failure in powered surgical instruments |
US20180193608A1 (en) * | 2016-01-15 | 2018-07-12 | Cook Medical Technologies Llc | Modular medical guide wire assembly |
US11129670B2 (en) | 2016-01-15 | 2021-09-28 | Cilag Gmbh International | Modular battery powered handheld surgical instrument with selective application of energy based on button displacement, intensity, or local tissue characterization |
US11229471B2 (en) | 2016-01-15 | 2022-01-25 | Cilag Gmbh International | Modular battery powered handheld surgical instrument with selective application of energy based on tissue characterization |
US10709469B2 (en) | 2016-01-15 | 2020-07-14 | Ethicon Llc | Modular battery powered handheld surgical instrument with energy conservation techniques |
CN112138265B (zh) | 2016-02-05 | 2022-10-28 | 得克萨斯系统大学董事会 | 制备采取管状形状的聚合物电解质层的方法 |
CN113303917A (zh) | 2016-02-05 | 2021-08-27 | 得克萨斯系统大学董事会 | 手术设备 |
US10245030B2 (en) | 2016-02-09 | 2019-04-02 | Ethicon Llc | Surgical instruments with tensioning arrangements for cable driven articulation systems |
US11213293B2 (en) | 2016-02-09 | 2022-01-04 | Cilag Gmbh International | Articulatable surgical instruments with single articulation link arrangements |
JP6911054B2 (ja) | 2016-02-09 | 2021-07-28 | エシコン エルエルシーEthicon LLC | 非対称の関節構成を備えた外科用器具 |
US11224426B2 (en) | 2016-02-12 | 2022-01-18 | Cilag Gmbh International | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US10448948B2 (en) | 2016-02-12 | 2019-10-22 | Ethicon Llc | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US10258331B2 (en) | 2016-02-12 | 2019-04-16 | Ethicon Llc | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US10555769B2 (en) | 2016-02-22 | 2020-02-11 | Ethicon Llc | Flexible circuits for electrosurgical instrument |
SI3219283T1 (sl) | 2016-03-09 | 2021-04-30 | Memic Innovative Surgery Ltd. | Modularna kirurška naprava, ki zajema mehanske roke |
US10376263B2 (en) | 2016-04-01 | 2019-08-13 | Ethicon Llc | Anvil modification members for surgical staplers |
US10617413B2 (en) | 2016-04-01 | 2020-04-14 | Ethicon Llc | Closure system arrangements for surgical cutting and stapling devices with separate and distinct firing shafts |
US10335145B2 (en) | 2016-04-15 | 2019-07-02 | Ethicon Llc | Modular surgical instrument with configurable operating mode |
US10492783B2 (en) | 2016-04-15 | 2019-12-03 | Ethicon, Llc | Surgical instrument with improved stop/start control during a firing motion |
US10357247B2 (en) | 2016-04-15 | 2019-07-23 | Ethicon Llc | Surgical instrument with multiple program responses during a firing motion |
US11179150B2 (en) | 2016-04-15 | 2021-11-23 | Cilag Gmbh International | Systems and methods for controlling a surgical stapling and cutting instrument |
US10426467B2 (en) | 2016-04-15 | 2019-10-01 | Ethicon Llc | Surgical instrument with detection sensors |
US10828028B2 (en) | 2016-04-15 | 2020-11-10 | Ethicon Llc | Surgical instrument with multiple program responses during a firing motion |
US10456137B2 (en) | 2016-04-15 | 2019-10-29 | Ethicon Llc | Staple formation detection mechanisms |
US10405859B2 (en) | 2016-04-15 | 2019-09-10 | Ethicon Llc | Surgical instrument with adjustable stop/start control during a firing motion |
US11607239B2 (en) | 2016-04-15 | 2023-03-21 | Cilag Gmbh International | Systems and methods for controlling a surgical stapling and cutting instrument |
US11317917B2 (en) | 2016-04-18 | 2022-05-03 | Cilag Gmbh International | Surgical stapling system comprising a lockable firing assembly |
US20170296173A1 (en) | 2016-04-18 | 2017-10-19 | Ethicon Endo-Surgery, Llc | Method for operating a surgical instrument |
US10363037B2 (en) | 2016-04-18 | 2019-07-30 | Ethicon Llc | Surgical instrument system comprising a magnetic lockout |
US10456193B2 (en) | 2016-05-03 | 2019-10-29 | Ethicon Llc | Medical device with a bilateral jaw configuration for nerve stimulation |
US10807659B2 (en) | 2016-05-27 | 2020-10-20 | Joseph L. Pikulski | Motorized platforms |
CN109310431B (zh) | 2016-06-24 | 2022-03-04 | 伊西康有限责任公司 | 包括线材钉和冲压钉的钉仓 |
US11000278B2 (en) | 2016-06-24 | 2021-05-11 | Ethicon Llc | Staple cartridge comprising wire staples and stamped staples |
USD826405S1 (en) | 2016-06-24 | 2018-08-21 | Ethicon Llc | Surgical fastener |
USD850617S1 (en) | 2016-06-24 | 2019-06-04 | Ethicon Llc | Surgical fastener cartridge |
USD847989S1 (en) | 2016-06-24 | 2019-05-07 | Ethicon Llc | Surgical fastener cartridge |
US10149726B2 (en) * | 2016-07-01 | 2018-12-11 | Ethicon Endo-Surgery, Llc | Methods, systems, and devices for initializing a surgical tool |
US10376305B2 (en) | 2016-08-05 | 2019-08-13 | Ethicon Llc | Methods and systems for advanced harmonic energy |
CN106236003B (zh) * | 2016-08-29 | 2018-12-04 | 辜春霖 | 分体式电子视频内窥镜 |
CN106217345B (zh) * | 2016-08-31 | 2018-04-24 | 北京术锐技术有限公司 | 可实现姿态反馈的柔性连续体结构 |
CN106308936B (zh) * | 2016-08-31 | 2018-12-07 | 北京术锐技术有限公司 | 一种包含驱动骨的柔性手术工具系统 |
US11266430B2 (en) | 2016-11-29 | 2022-03-08 | Cilag Gmbh International | End effector control and calibration |
GB2557269B (en) * | 2016-12-02 | 2020-05-06 | Rolls Royce Plc | Hyper redundant robots |
US11067002B2 (en) | 2016-12-06 | 2021-07-20 | General Electric Company | Gas turbine engine maintenance tool |
US10675026B2 (en) | 2016-12-21 | 2020-06-09 | Ethicon Llc | Methods of stapling tissue |
US10588630B2 (en) | 2016-12-21 | 2020-03-17 | Ethicon Llc | Surgical tool assemblies with closure stroke reduction features |
US10893864B2 (en) | 2016-12-21 | 2021-01-19 | Ethicon | Staple cartridges and arrangements of staples and staple cavities therein |
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 |
US10524789B2 (en) | 2016-12-21 | 2020-01-07 | Ethicon Llc | Laterally actuatable articulation lock arrangements for locking an end effector of a surgical instrument in an articulated configuration |
US20180168625A1 (en) | 2016-12-21 | 2018-06-21 | Ethicon Endo-Surgery, Llc | Surgical stapling instruments with smart staple cartridges |
US10881401B2 (en) | 2016-12-21 | 2021-01-05 | Ethicon Llc | Staple firing member comprising a missing cartridge and/or spent cartridge lockout |
US11134942B2 (en) | 2016-12-21 | 2021-10-05 | Cilag Gmbh International | Surgical stapling instruments and staple-forming anvils |
US11684367B2 (en) | 2016-12-21 | 2023-06-27 | Cilag Gmbh International | Stepped assembly having and end-of-life indicator |
US10856868B2 (en) | 2016-12-21 | 2020-12-08 | Ethicon Llc | Firing member pin configurations |
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 |
US10835245B2 (en) | 2016-12-21 | 2020-11-17 | Ethicon Llc | Method for attaching a shaft assembly to a surgical instrument and, alternatively, to a surgical robot |
US10993715B2 (en) | 2016-12-21 | 2021-05-04 | Ethicon Llc | Staple cartridge comprising staples with different clamping breadths |
US10588632B2 (en) | 2016-12-21 | 2020-03-17 | Ethicon Llc | Surgical end effectors and firing members thereof |
US10448950B2 (en) | 2016-12-21 | 2019-10-22 | Ethicon Llc | Surgical staplers with independently actuatable closing and firing systems |
US10945727B2 (en) | 2016-12-21 | 2021-03-16 | Ethicon Llc | Staple cartridge with deformable driver retention features |
US10682138B2 (en) | 2016-12-21 | 2020-06-16 | Ethicon Llc | Bilaterally asymmetric staple forming pocket pairs |
US10426471B2 (en) | 2016-12-21 | 2019-10-01 | Ethicon Llc | Surgical instrument with multiple failure response modes |
US10687810B2 (en) | 2016-12-21 | 2020-06-23 | Ethicon Llc | Stepped staple cartridge with tissue retention and gap setting features |
US10537324B2 (en) | 2016-12-21 | 2020-01-21 | Ethicon Llc | Stepped staple cartridge with asymmetrical staples |
JP6983893B2 (ja) | 2016-12-21 | 2021-12-17 | エシコン エルエルシーEthicon LLC | 外科用エンドエフェクタ及び交換式ツールアセンブリのためのロックアウト構成 |
JP2020501779A (ja) | 2016-12-21 | 2020-01-23 | エシコン エルエルシーEthicon LLC | 外科用ステープル留めシステム |
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 |
US10973592B2 (en) | 2017-03-09 | 2021-04-13 | Memie Innovative Surgery Ltd. | Control console for surgical device with mechanical arms |
US11779410B2 (en) | 2017-03-09 | 2023-10-10 | Momentis Surgical Ltd | Control console including an input arm for control of a surgical mechanical arm |
US20200093472A1 (en) * | 2017-03-24 | 2020-03-26 | Robert J Cottone | Systems and methods for tissue displacement |
WO2018200537A1 (en) * | 2017-04-25 | 2018-11-01 | Project Moray, Inc. | Matrix supported balloon articulation systems, devices, and methods for catheters and other users |
US11058503B2 (en) | 2017-05-11 | 2021-07-13 | Distalmotion Sa | Translational instrument interface for surgical robot and surgical robot systems comprising the same |
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 |
US10368864B2 (en) | 2017-06-20 | 2019-08-06 | Ethicon Llc | Systems and methods for controlling displaying motor velocity for a surgical instrument |
US10327767B2 (en) | 2017-06-20 | 2019-06-25 | Ethicon Llc | Control of motor velocity of a surgical stapling and cutting instrument based on angle of articulation |
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 |
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 |
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 |
US10307170B2 (en) | 2017-06-20 | 2019-06-04 | Ethicon Llc | Method for closed loop control of motor velocity of a surgical stapling and cutting instrument |
US10980537B2 (en) | 2017-06-20 | 2021-04-20 | Ethicon Llc | Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on measured time over a specified number of shaft rotations |
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 |
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 |
US10881396B2 (en) | 2017-06-20 | 2021-01-05 | Ethicon Llc | Surgical instrument with variable duration trigger arrangement |
USD890784S1 (en) | 2017-06-20 | 2020-07-21 | Ethicon Llc | Display panel with changeable graphical user interface |
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 |
US10624633B2 (en) | 2017-06-20 | 2020-04-21 | Ethicon Llc | Systems and methods for controlling motor velocity of a surgical stapling and cutting instrument |
US10881399B2 (en) | 2017-06-20 | 2021-01-05 | Ethicon Llc | Techniques for adaptive control of motor velocity of a surgical stapling and cutting instrument |
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 |
USD879808S1 (en) | 2017-06-20 | 2020-03-31 | Ethicon Llc | Display panel with graphical user interface |
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 |
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 |
US10631859B2 (en) | 2017-06-27 | 2020-04-28 | Ethicon Llc | Articulation systems for surgical instruments |
US10772629B2 (en) | 2017-06-27 | 2020-09-15 | Ethicon Llc | Surgical anvil arrangements |
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 |
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 |
US10716614B2 (en) | 2017-06-28 | 2020-07-21 | Ethicon Llc | Surgical shaft assemblies with slip ring assemblies with increased contact pressure |
EP4070740A1 (en) | 2017-06-28 | 2022-10-12 | Cilag GmbH International | Surgical instrument comprising selectively actuatable rotatable couplers |
US10765427B2 (en) | 2017-06-28 | 2020-09-08 | Ethicon Llc | Method for articulating a surgical instrument |
USD906355S1 (en) | 2017-06-28 | 2020-12-29 | Ethicon Llc | Display screen or portion thereof with a graphical user interface for a surgical instrument |
US10903685B2 (en) | 2017-06-28 | 2021-01-26 | Ethicon Llc | Surgical shaft assemblies with slip ring assemblies forming capacitive channels |
US11259805B2 (en) | 2017-06-28 | 2022-03-01 | Cilag Gmbh International | Surgical instrument comprising firing member supports |
US11000279B2 (en) | 2017-06-28 | 2021-05-11 | Ethicon Llc | Surgical instrument comprising an articulation system ratio |
USD854151S1 (en) | 2017-06-28 | 2019-07-16 | Ethicon Llc | Surgical instrument shaft |
US10211586B2 (en) | 2017-06-28 | 2019-02-19 | Ethicon Llc | Surgical shaft assemblies with watertight housings |
US11246592B2 (en) | 2017-06-28 | 2022-02-15 | Cilag Gmbh International | Surgical instrument comprising an articulation system lockable to a frame |
USD869655S1 (en) | 2017-06-28 | 2019-12-10 | Ethicon Llc | Surgical fastener cartridge |
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 |
US10786253B2 (en) | 2017-06-28 | 2020-09-29 | Ethicon Llc | Surgical end effectors with improved jaw aperture arrangements |
US11007022B2 (en) | 2017-06-29 | 2021-05-18 | Ethicon Llc | Closed loop velocity control techniques based on sensed tissue parameters for robotic surgical instrument |
US10398434B2 (en) | 2017-06-29 | 2019-09-03 | Ethicon Llc | Closed loop velocity control of closure member for robotic surgical instrument |
US10258418B2 (en) | 2017-06-29 | 2019-04-16 | Ethicon Llc | System for controlling articulation forces |
US10932772B2 (en) | 2017-06-29 | 2021-03-02 | Ethicon Llc | Methods for closed loop velocity control for robotic surgical instrument |
US10898183B2 (en) | 2017-06-29 | 2021-01-26 | Ethicon Llc | Robotic surgical instrument with closed loop feedback techniques for advancement of closure member during firing |
US11027105B2 (en) * | 2017-07-13 | 2021-06-08 | Biosense Webster (Israel) Ltd. | Adjustable instrument for dilation of anatomical passageway |
US11471155B2 (en) | 2017-08-03 | 2022-10-18 | Cilag Gmbh International | Surgical system bailout |
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 |
US10653400B2 (en) | 2017-08-07 | 2020-05-19 | Covidien Lp | Specimen retrieval device |
EP3668413B1 (en) * | 2017-08-17 | 2021-05-19 | Stryker European Holdings I, LLC | Independent rod suspension |
USD907647S1 (en) | 2017-09-29 | 2021-01-12 | Ethicon Llc | Display screen or portion thereof with animated graphical user interface |
USD917500S1 (en) | 2017-09-29 | 2021-04-27 | Ethicon Llc | Display screen or portion thereof with graphical user interface |
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 |
US10729501B2 (en) | 2017-09-29 | 2020-08-04 | Ethicon Llc | Systems and methods for language selection of a surgical instrument |
US11399829B2 (en) | 2017-09-29 | 2022-08-02 | Cilag Gmbh International | Systems and methods of initiating a power shutdown mode for a surgical instrument |
USD907648S1 (en) | 2017-09-29 | 2021-01-12 | Ethicon Llc | Display screen or portion thereof with animated graphical user interface |
US10765429B2 (en) | 2017-09-29 | 2020-09-08 | Ethicon Llc | Systems and methods for providing alerts according to the operational state of a surgical instrument |
US11090075B2 (en) | 2017-10-30 | 2021-08-17 | Cilag Gmbh International | Articulation features for surgical end effector |
US11134944B2 (en) | 2017-10-30 | 2021-10-05 | Cilag Gmbh International | Surgical stapler knife motion controls |
US10842490B2 (en) | 2017-10-31 | 2020-11-24 | Ethicon Llc | Cartridge body design with force reduction based on firing completion |
US11097430B2 (en) * | 2017-10-31 | 2021-08-24 | Worcester Polytechnic Institute | Robotic gripper member |
US11865702B2 (en) | 2017-10-31 | 2024-01-09 | Worcester Polytechnic Institute | Robotic gripper member |
US10779903B2 (en) | 2017-10-31 | 2020-09-22 | Ethicon Llc | Positive shaft rotation lock activated by jaw closure |
US11065051B2 (en) | 2017-11-03 | 2021-07-20 | Covidien Lp | Specimen retrieval device |
CN111902096B (zh) | 2017-11-13 | 2024-01-26 | 维卡瑞斯外科手术股份有限公司 | 虚拟现实腕部组件 |
WO2019118334A1 (en) | 2017-12-14 | 2019-06-20 | Intuitive Surgical Operations, Inc. | Medical tools having tension bands |
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 |
US11197670B2 (en) | 2017-12-15 | 2021-12-14 | Cilag Gmbh International | Surgical end effectors with pivotal jaws configured to touch at their respective distal ends when fully closed |
US10828033B2 (en) | 2017-12-15 | 2020-11-10 | Ethicon Llc | Handheld electromechanical surgical instruments with improved motor control arrangements for positioning components of an adapter coupled thereto |
US10687813B2 (en) | 2017-12-15 | 2020-06-23 | Ethicon Llc | Adapters with firing stroke sensing arrangements for use in connection with electromechanical surgical instruments |
US11071543B2 (en) | 2017-12-15 | 2021-07-27 | Cilag Gmbh International | Surgical end effectors with clamping assemblies configured to increase jaw aperture ranges |
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 |
US11033267B2 (en) | 2017-12-15 | 2021-06-15 | Ethicon Llc | Systems and methods of controlling a clamping member firing rate of a surgical instrument |
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 |
US10779826B2 (en) | 2017-12-15 | 2020-09-22 | Ethicon Llc | Methods of operating surgical end effectors |
US10869666B2 (en) | 2017-12-15 | 2020-12-22 | Ethicon Llc | Adapters with control systems for controlling multiple motors of an electromechanical surgical instrument |
US10743874B2 (en) | 2017-12-15 | 2020-08-18 | Ethicon Llc | Sealed adapters for use with electromechanical surgical instruments |
US10743875B2 (en) | 2017-12-15 | 2020-08-18 | Ethicon Llc | Surgical end effectors with jaw stiffener arrangements configured to permit monitoring of firing member |
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 |
US10716565B2 (en) | 2017-12-19 | 2020-07-21 | Ethicon Llc | Surgical instruments with dual articulation drivers |
US11020112B2 (en) | 2017-12-19 | 2021-06-01 | Ethicon Llc | Surgical tools configured for interchangeable use with different controller interfaces |
USD910847S1 (en) | 2017-12-19 | 2021-02-16 | Ethicon Llc | Surgical instrument assembly |
US10835330B2 (en) | 2017-12-19 | 2020-11-17 | Ethicon Llc | Method for determining the position of a rotatable jaw of a surgical instrument attachment assembly |
US10682134B2 (en) | 2017-12-21 | 2020-06-16 | Ethicon Llc | Continuous use self-propelled stapling instrument |
US11129680B2 (en) | 2017-12-21 | 2021-09-28 | Cilag Gmbh International | Surgical instrument comprising a projector |
US11311290B2 (en) | 2017-12-21 | 2022-04-26 | Cilag Gmbh International | Surgical instrument comprising an end effector dampener |
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 |
USD874655S1 (en) | 2018-01-05 | 2020-02-04 | Medrobotics Corporation | Positioning arm for articulating robotic surgical system |
US10973543B2 (en) | 2018-01-10 | 2021-04-13 | Covidien Lp | Dual wall tissue extraction bag |
US10874386B2 (en) | 2018-01-24 | 2020-12-29 | Covidien Lp | Specimen retrieval device |
WO2019155383A1 (en) | 2018-02-07 | 2019-08-15 | Distalmotion Sa | Surgical robot systems comprising robotic telemanipulators and integrated laparoscopy |
US11730459B2 (en) | 2018-02-22 | 2023-08-22 | Covidien Lp | Specimen retrieval devices and methods |
US10856942B2 (en) | 2018-03-02 | 2020-12-08 | Ethicon Llc | System and method for closed-loop surgical tool homing |
WO2019173267A1 (en) | 2018-03-07 | 2019-09-12 | Intuitive Surgical Operations, Inc. | Low-friction, small profile medical tools having easy-to-assemble components |
US10775315B2 (en) * | 2018-03-07 | 2020-09-15 | General Electric Company | Probe insertion system |
CN110269688B (zh) * | 2018-03-14 | 2021-03-09 | 深圳市精锋医疗科技有限公司 | 可平移的连接组件、操作臂及手术机器人 |
US11083443B2 (en) | 2018-04-24 | 2021-08-10 | Covidien Lp | Specimen retrieval device |
US11045176B2 (en) | 2018-05-18 | 2021-06-29 | Covidien Lp | Specimen retrieval device |
JP7117760B2 (ja) * | 2018-05-22 | 2022-08-15 | 国立大学法人信州大学 | 6自由度関節 |
WO2020014191A1 (en) * | 2018-07-09 | 2020-01-16 | Corfigo, Inc. | Flexible/articulating delivery device for ligation of tissue |
CN108837275A (zh) * | 2018-07-17 | 2018-11-20 | 东北大学 | 一种基于线驱动的可变刚度的血管介入导管 |
US11134932B2 (en) | 2018-08-13 | 2021-10-05 | Covidien Lp | Specimen retrieval device |
US10856870B2 (en) | 2018-08-20 | 2020-12-08 | Ethicon Llc | Switching arrangements for motor powered articulatable surgical instruments |
US10842492B2 (en) | 2018-08-20 | 2020-11-24 | Ethicon Llc | Powered articulatable surgical instruments with clutching and locking arrangements for linking an articulation drive system to a firing drive system |
USD914878S1 (en) | 2018-08-20 | 2021-03-30 | Ethicon Llc | Surgical instrument anvil |
US11324501B2 (en) | 2018-08-20 | 2022-05-10 | Cilag Gmbh International | Surgical stapling devices with improved closure members |
US10779821B2 (en) | 2018-08-20 | 2020-09-22 | Ethicon Llc | Surgical stapler anvils with tissue stop features configured to avoid tissue pinch |
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 |
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 |
US11207065B2 (en) | 2018-08-20 | 2021-12-28 | Cilag Gmbh International | Method for fabricating surgical stapler anvils |
US11253256B2 (en) | 2018-08-20 | 2022-02-22 | Cilag Gmbh International | Articulatable motor powered surgical instruments with dedicated articulation motor arrangements |
US10912559B2 (en) | 2018-08-20 | 2021-02-09 | Ethicon Llc | Reinforced deformable anvil tip for surgical stapler anvil |
US11045192B2 (en) | 2018-08-20 | 2021-06-29 | Cilag Gmbh International | Fabricating techniques for surgical stapler anvils |
US11730480B2 (en) | 2018-09-14 | 2023-08-22 | Covidien Lp | Method and apparatus for accessing matter disposed within an internal body vessel |
US11191559B2 (en) | 2018-09-19 | 2021-12-07 | Covidien Lp | Specimen retrieval device |
NL2021823B1 (en) | 2018-10-16 | 2020-05-13 | Fortimedix Assets Ii B V | Steerable instrument comprising a tube element |
US11510687B2 (en) | 2018-11-16 | 2022-11-29 | Joint Preservation Innovations, LLC | Surgical rotary cutting tool including articulable head |
WO2020105616A1 (ja) * | 2018-11-22 | 2020-05-28 | 川崎重工業株式会社 | 屈曲機構及び医療装置 |
US11234783B2 (en) | 2018-12-28 | 2022-02-01 | Titan Medical Inc. | Articulated tool positioner for robotic surgery system |
WO2020139973A1 (en) * | 2018-12-28 | 2020-07-02 | Auris Health, Inc. | Medical instrument with articulable segment |
US11666464B2 (en) | 2019-01-28 | 2023-06-06 | Tensor Flow Ventures Llc | Magnetic stent and stent delivery |
US11147551B2 (en) | 2019-03-25 | 2021-10-19 | Cilag Gmbh International | Firing drive arrangements for surgical systems |
US11147553B2 (en) | 2019-03-25 | 2021-10-19 | Cilag Gmbh International | Firing drive arrangements for surgical systems |
US11172929B2 (en) | 2019-03-25 | 2021-11-16 | Cilag Gmbh International | Articulation drive arrangements for surgical systems |
US11696761B2 (en) | 2019-03-25 | 2023-07-11 | Cilag Gmbh International | Firing drive arrangements for surgical systems |
US11344300B2 (en) | 2019-03-26 | 2022-05-31 | Covidien Lp | Specimen capture stapler |
NL2022848B1 (en) | 2019-04-01 | 2020-10-08 | Fortimedix Assets Ii B V | Steerable instrument comprising a tube element |
US11172915B2 (en) | 2019-04-24 | 2021-11-16 | Covidien Lp | Specimen retrieval devices with selective bag release |
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 |
US11253254B2 (en) | 2019-04-30 | 2022-02-22 | Cilag Gmbh International | Shaft rotation actuator on a surgical instrument |
US11426251B2 (en) | 2019-04-30 | 2022-08-30 | Cilag Gmbh International | Articulation directional lights on a surgical instrument |
US11471157B2 (en) | 2019-04-30 | 2022-10-18 | Cilag Gmbh International | Articulation control mapping for a surgical instrument |
US11452528B2 (en) | 2019-04-30 | 2022-09-27 | Cilag Gmbh International | Articulation actuators for a surgical instrument |
US11648009B2 (en) | 2019-04-30 | 2023-05-16 | Cilag Gmbh International | Rotatable jaw tip for a surgical instrument |
US11064984B2 (en) | 2019-05-07 | 2021-07-20 | Covidien Lp | Specimen containment device |
US11246578B2 (en) | 2019-05-15 | 2022-02-15 | Covidien Lp | Tissue collection bags with inner surface pouches |
US11123146B2 (en) | 2019-05-30 | 2021-09-21 | Titan Medical Inc. | Surgical instrument apparatus, actuator, and drive |
US11426151B2 (en) | 2019-06-04 | 2022-08-30 | Covidien Lp | Bag closure for specimen retrieval device |
US11291451B2 (en) | 2019-06-28 | 2022-04-05 | Cilag Gmbh International | Surgical instrument with battery compatibility verification functionality |
US11497492B2 (en) | 2019-06-28 | 2022-11-15 | Cilag Gmbh International | Surgical instrument including an articulation lock |
US11298132B2 (en) | 2019-06-28 | 2022-04-12 | Cilag GmbH Inlernational | Staple cartridge including a honeycomb extension |
US11684434B2 (en) | 2019-06-28 | 2023-06-27 | Cilag Gmbh International | Surgical RFID assemblies for instrument operational setting control |
US11771419B2 (en) | 2019-06-28 | 2023-10-03 | Cilag Gmbh International | Packaging for a replaceable component of a surgical stapling system |
US11051807B2 (en) | 2019-06-28 | 2021-07-06 | Cilag Gmbh International | Packaging assembly including a particulate trap |
US11298127B2 (en) | 2019-06-28 | 2022-04-12 | Cilag GmbH Interational | Surgical stapling system having a lockout mechanism for an incompatible cartridge |
US11246678B2 (en) | 2019-06-28 | 2022-02-15 | Cilag Gmbh International | Surgical stapling system having a frangible RFID tag |
US11627959B2 (en) | 2019-06-28 | 2023-04-18 | Cilag Gmbh International | Surgical instruments including manual and powered system lockouts |
US11229437B2 (en) | 2019-06-28 | 2022-01-25 | Cilag Gmbh International | Method for authenticating the compatibility of a staple cartridge with a surgical instrument |
JP7308084B2 (ja) * | 2019-06-28 | 2023-07-13 | 朝日インテック株式会社 | 多自由度鉗子 |
US11660163B2 (en) | 2019-06-28 | 2023-05-30 | Cilag Gmbh International | Surgical system with RFID tags for updating motor assembly parameters |
US11224497B2 (en) | 2019-06-28 | 2022-01-18 | Cilag Gmbh International | Surgical systems with multiple RFID tags |
US11259803B2 (en) | 2019-06-28 | 2022-03-01 | Cilag Gmbh International | Surgical stapling system having an information encryption protocol |
US11376098B2 (en) | 2019-06-28 | 2022-07-05 | Cilag Gmbh International | Surgical instrument system comprising an RFID system |
US11638587B2 (en) | 2019-06-28 | 2023-05-02 | Cilag Gmbh International | RFID identification systems for surgical instruments |
US11219455B2 (en) | 2019-06-28 | 2022-01-11 | Cilag Gmbh International | Surgical instrument including a lockout key |
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 |
US11464601B2 (en) | 2019-06-28 | 2022-10-11 | Cilag Gmbh International | Surgical instrument comprising an RFID system for tracking a movable component |
US11426167B2 (en) | 2019-06-28 | 2022-08-30 | Cilag Gmbh International | Mechanisms for proper anvil attachment surgical stapling head assembly |
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 |
DE102019121039A1 (de) * | 2019-08-05 | 2021-02-11 | Karl Storz Se & Co. Kg | Endoskopische Vorrichtung |
DE102019121036A1 (de) * | 2019-08-05 | 2021-02-11 | Karl Storz Se & Co. Kg | Endoskopische Vorrichtung |
CN110575256A (zh) * | 2019-08-28 | 2019-12-17 | 哈尔滨理工大学 | 一种孔腔内窥镜手术机器人 |
US11446015B2 (en) | 2019-10-30 | 2022-09-20 | Covidien Lp | Specimen retrieval bag |
US11504122B2 (en) | 2019-12-19 | 2022-11-22 | Cilag Gmbh International | Surgical instrument comprising a nested firing member |
US11529137B2 (en) | 2019-12-19 | 2022-12-20 | Cilag Gmbh International | Staple cartridge comprising driver retention members |
US11607219B2 (en) | 2019-12-19 | 2023-03-21 | Cilag Gmbh International | Staple cartridge comprising a detachable tissue cutting knife |
US11464512B2 (en) | 2019-12-19 | 2022-10-11 | Cilag Gmbh International | Staple cartridge comprising a curved deck surface |
US11931033B2 (en) | 2019-12-19 | 2024-03-19 | Cilag Gmbh International | Staple cartridge comprising a latch lockout |
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 |
US11559304B2 (en) | 2019-12-19 | 2023-01-24 | Cilag Gmbh International | Surgical instrument comprising a rapid closure mechanism |
US11446029B2 (en) | 2019-12-19 | 2022-09-20 | Cilag Gmbh International | Staple cartridge comprising projections extending from a curved deck surface |
US11529139B2 (en) | 2019-12-19 | 2022-12-20 | Cilag Gmbh International | Motor driven surgical instrument |
US11291447B2 (en) | 2019-12-19 | 2022-04-05 | Cilag Gmbh International | Stapling instrument comprising independent jaw closing and staple firing systems |
US11701111B2 (en) | 2019-12-19 | 2023-07-18 | Cilag Gmbh International | Method for operating a surgical stapling instrument |
US11844520B2 (en) | 2019-12-19 | 2023-12-19 | Cilag Gmbh International | Staple cartridge comprising driver retention members |
US11911032B2 (en) | 2019-12-19 | 2024-02-27 | Cilag Gmbh International | Staple cartridge comprising a seating cam |
US11234698B2 (en) | 2019-12-19 | 2022-02-01 | Cilag Gmbh International | Stapling system comprising a clamp lockout and a firing lockout |
US11304696B2 (en) | 2019-12-19 | 2022-04-19 | Cilag Gmbh International | Surgical instrument comprising a powered articulation system |
US11779329B2 (en) | 2019-12-30 | 2023-10-10 | Cilag Gmbh International | Surgical instrument comprising a flex circuit including a sensor system |
US20210196344A1 (en) | 2019-12-30 | 2021-07-01 | Ethicon Llc | Surgical system communication pathways |
US20210196359A1 (en) | 2019-12-30 | 2021-07-01 | Ethicon Llc | Electrosurgical instruments with electrodes having energy focusing features |
US11452525B2 (en) | 2019-12-30 | 2022-09-27 | Cilag Gmbh International | Surgical instrument comprising an adjustment system |
US11812957B2 (en) | 2019-12-30 | 2023-11-14 | Cilag Gmbh International | Surgical instrument comprising a signal interference resolution system |
US11696776B2 (en) | 2019-12-30 | 2023-07-11 | Cilag Gmbh International | Articulatable surgical instrument |
US20210196363A1 (en) | 2019-12-30 | 2021-07-01 | Ethicon Llc | Electrosurgical instrument with electrodes operable in bipolar and monopolar modes |
US11779387B2 (en) | 2019-12-30 | 2023-10-10 | Cilag Gmbh International | Clamp arm jaw to minimize tissue sticking and improve tissue control |
US11937863B2 (en) | 2019-12-30 | 2024-03-26 | Cilag Gmbh International | Deflectable electrode with variable compression bias along the length of the deflectable electrode |
US11950797B2 (en) | 2019-12-30 | 2024-04-09 | Cilag Gmbh International | Deflectable electrode with higher distal bias relative to proximal bias |
US11660089B2 (en) | 2019-12-30 | 2023-05-30 | Cilag Gmbh International | Surgical instrument comprising a sensing system |
US20210196349A1 (en) | 2019-12-30 | 2021-07-01 | Ethicon Llc | Electrosurgical instrument with flexible wiring assemblies |
US11684412B2 (en) | 2019-12-30 | 2023-06-27 | Cilag Gmbh International | Surgical instrument with rotatable and articulatable surgical end effector |
US11786291B2 (en) | 2019-12-30 | 2023-10-17 | Cilag Gmbh International | Deflectable support of RF energy electrode with respect to opposing ultrasonic blade |
US11911063B2 (en) | 2019-12-30 | 2024-02-27 | Cilag Gmbh International | Techniques for detecting ultrasonic blade to electrode contact and reducing power to ultrasonic blade |
US11944366B2 (en) | 2019-12-30 | 2024-04-02 | Cilag Gmbh International | Asymmetric segmented ultrasonic support pad for cooperative engagement with a movable RF electrode |
US11596467B2 (en) * | 2020-02-04 | 2023-03-07 | Covidien Lp | Articulating tip for bipolar pencil |
CN111230845B (zh) * | 2020-02-24 | 2021-04-20 | 西安交通大学 | 一种拉弯型连续体机器人单元及机器人 |
US11300480B2 (en) | 2020-02-28 | 2022-04-12 | Baker Hughes Oilfield Operations Llc | Articulated non-destructive testing device having a plurality of actuation systems and a method of articulating the device |
US11850013B2 (en) | 2020-04-17 | 2023-12-26 | Cilag Gmbh International | Surgical systems and methods for robotic actuation of continuum joints |
CN111544198B (zh) * | 2020-05-14 | 2021-04-20 | 西安交通大学 | 一种眼科手术机器人柔性操作驱动系统 |
USD976401S1 (en) | 2020-06-02 | 2023-01-24 | Cilag Gmbh International | Staple cartridge |
USD974560S1 (en) | 2020-06-02 | 2023-01-03 | Cilag Gmbh International | Staple cartridge |
USD975278S1 (en) | 2020-06-02 | 2023-01-10 | Cilag Gmbh International | Staple cartridge |
IL297954A (en) | 2020-06-02 | 2023-01-01 | Flexdex Inc | Tool and assembly for surgery |
USD975851S1 (en) | 2020-06-02 | 2023-01-17 | Cilag Gmbh International | Staple cartridge |
USD967421S1 (en) | 2020-06-02 | 2022-10-18 | Cilag Gmbh International | Staple cartridge |
USD975850S1 (en) | 2020-06-02 | 2023-01-17 | Cilag Gmbh International | Staple cartridge |
USD966512S1 (en) | 2020-06-02 | 2022-10-11 | Cilag Gmbh International | Staple cartridge |
GB2611469A (en) * | 2020-06-30 | 2023-04-05 | Prec Robotics Hong Kong Limited | Surgical robotic arm, flexible arm and flexible joint |
US11864756B2 (en) | 2020-07-28 | 2024-01-09 | Cilag Gmbh International | Surgical instruments with flexible ball chain drive arrangements |
US11517390B2 (en) | 2020-10-29 | 2022-12-06 | Cilag Gmbh International | Surgical instrument comprising a limited travel switch |
US11896217B2 (en) | 2020-10-29 | 2024-02-13 | Cilag Gmbh International | Surgical instrument comprising an articulation lock |
US11779330B2 (en) | 2020-10-29 | 2023-10-10 | Cilag Gmbh International | Surgical instrument comprising a jaw alignment system |
USD1013170S1 (en) | 2020-10-29 | 2024-01-30 | Cilag Gmbh International | Surgical instrument assembly |
US11931025B2 (en) | 2020-10-29 | 2024-03-19 | Cilag Gmbh International | Surgical instrument comprising a releasable closure drive lock |
USD980425S1 (en) | 2020-10-29 | 2023-03-07 | 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 |
US11534259B2 (en) | 2020-10-29 | 2022-12-27 | Cilag Gmbh International | Surgical instrument comprising an articulation indicator |
US11844518B2 (en) | 2020-10-29 | 2023-12-19 | Cilag Gmbh International | Method for operating a surgical instrument |
US11717289B2 (en) | 2020-10-29 | 2023-08-08 | Cilag Gmbh International | Surgical instrument comprising an indicator which indicates that an articulation drive is actuatable |
US11452526B2 (en) | 2020-10-29 | 2022-09-27 | Cilag Gmbh International | Surgical instrument comprising a staged voltage regulation start-up system |
US11653915B2 (en) | 2020-12-02 | 2023-05-23 | Cilag Gmbh International | Surgical instruments with sled location detection and adjustment features |
US11944296B2 (en) | 2020-12-02 | 2024-04-02 | Cilag Gmbh International | Powered surgical instruments with external connectors |
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 |
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 |
US11890010B2 (en) | 2020-12-02 | 2024-02-06 | Cllag GmbH International | Dual-sided reinforced reload for surgical instruments |
US11737751B2 (en) | 2020-12-02 | 2023-08-29 | Cilag Gmbh International | Devices and methods of managing energy dissipated within sterile barriers of surgical instrument housings |
US11653920B2 (en) | 2020-12-02 | 2023-05-23 | Cilag Gmbh International | Powered surgical instruments with communication interfaces through sterile barrier |
US11696757B2 (en) | 2021-02-26 | 2023-07-11 | Cilag Gmbh International | Monitoring of internal systems to detect and track cartridge motion status |
US11950779B2 (en) | 2021-02-26 | 2024-04-09 | Cilag Gmbh International | Method of powering and communicating with a staple cartridge |
US11950777B2 (en) | 2021-02-26 | 2024-04-09 | Cilag Gmbh International | Staple cartridge comprising an information access control system |
US11925349B2 (en) | 2021-02-26 | 2024-03-12 | Cilag Gmbh International | Adjustment to transfer parameters to improve available power |
US11744583B2 (en) | 2021-02-26 | 2023-09-05 | Cilag Gmbh International | Distal communication array to tune frequency of RF systems |
US11812964B2 (en) | 2021-02-26 | 2023-11-14 | Cilag Gmbh International | Staple cartridge comprising a power management circuit |
US11749877B2 (en) | 2021-02-26 | 2023-09-05 | Cilag Gmbh International | Stapling instrument comprising a signal antenna |
US11730473B2 (en) | 2021-02-26 | 2023-08-22 | Cilag Gmbh International | Monitoring of manufacturing life-cycle |
US11751869B2 (en) | 2021-02-26 | 2023-09-12 | Cilag Gmbh International | Monitoring of multiple sensors over time to detect moving characteristics of tissue |
US11723657B2 (en) | 2021-02-26 | 2023-08-15 | Cilag Gmbh International | Adjustable communication based on available bandwidth and power capacity |
US11793514B2 (en) | 2021-02-26 | 2023-10-24 | Cilag Gmbh International | Staple cartridge comprising sensor array which may be embedded in cartridge body |
US11701113B2 (en) | 2021-02-26 | 2023-07-18 | Cilag Gmbh International | Stapling instrument comprising a separate power antenna and a data transfer antenna |
US11826042B2 (en) | 2021-03-22 | 2023-11-28 | Cilag Gmbh International | Surgical instrument comprising a firing drive including a selectable leverage mechanism |
US11759202B2 (en) | 2021-03-22 | 2023-09-19 | Cilag Gmbh International | Staple cartridge comprising an implantable layer |
US11826012B2 (en) | 2021-03-22 | 2023-11-28 | Cilag Gmbh International | Stapling instrument comprising a pulsed motor-driven firing rack |
US11717291B2 (en) | 2021-03-22 | 2023-08-08 | Cilag Gmbh International | Staple cartridge comprising staples configured to apply different tissue compression |
US11737749B2 (en) | 2021-03-22 | 2023-08-29 | Cilag Gmbh International | Surgical stapling instrument comprising a retraction system |
US11806011B2 (en) | 2021-03-22 | 2023-11-07 | Cilag Gmbh International | Stapling instrument comprising tissue compression systems |
US11723658B2 (en) | 2021-03-22 | 2023-08-15 | Cilag Gmbh International | Staple cartridge comprising a firing lockout |
US11896218B2 (en) | 2021-03-24 | 2024-02-13 | Cilag Gmbh International | Method of using a powered stapling device |
US11849945B2 (en) | 2021-03-24 | 2023-12-26 | Cilag Gmbh International | Rotary-driven surgical stapling assembly comprising eccentrically driven firing member |
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 |
US11832816B2 (en) | 2021-03-24 | 2023-12-05 | Cilag Gmbh International | Surgical stapling assembly comprising nonplanar staples and planar staples |
US11857183B2 (en) | 2021-03-24 | 2024-01-02 | Cilag Gmbh International | Stapling assembly components having metal substrates and plastic bodies |
US11793516B2 (en) | 2021-03-24 | 2023-10-24 | Cilag Gmbh International | Surgical staple cartridge comprising longitudinal support beam |
US11903582B2 (en) | 2021-03-24 | 2024-02-20 | Cilag Gmbh International | Leveraging surfaces for cartridge installation |
US11744603B2 (en) | 2021-03-24 | 2023-09-05 | Cilag Gmbh International | Multi-axis pivot joints for surgical instruments and methods for manufacturing same |
US11786239B2 (en) | 2021-03-24 | 2023-10-17 | Cilag Gmbh International | Surgical instrument articulation joint arrangements comprising multiple moving linkage features |
US11849944B2 (en) | 2021-03-24 | 2023-12-26 | Cilag Gmbh International | Drivers for fastener cartridge assemblies having rotary drive screws |
US11896219B2 (en) | 2021-03-24 | 2024-02-13 | Cilag Gmbh International | Mating features between drivers and underside of a cartridge deck |
US11944336B2 (en) | 2021-03-24 | 2024-04-02 | Cilag Gmbh International | Joint arrangements for multi-planar alignment and support of operational drive shafts in articulatable surgical instruments |
US20220378424A1 (en) | 2021-05-28 | 2022-12-01 | Cilag Gmbh International | Stapling instrument comprising a firing lockout |
CN113814966A (zh) * | 2021-10-09 | 2021-12-21 | 西安交通大学 | 一种凸轮辅助的柔性连续体机器人单元及机器人 |
US11877745B2 (en) | 2021-10-18 | 2024-01-23 | Cilag Gmbh International | Surgical stapling assembly having longitudinally-repeating staple leg clusters |
US11957337B2 (en) | 2021-10-18 | 2024-04-16 | Cilag Gmbh International | Surgical stapling assembly with offset ramped drive surfaces |
US11937816B2 (en) | 2021-10-28 | 2024-03-26 | Cilag Gmbh International | Electrical lead arrangements for surgical instruments |
WO2023113827A1 (en) | 2021-12-17 | 2023-06-22 | Joint Preservation Innovations, LLC | Articulating rotary cutting tool |
CN114305591A (zh) * | 2021-12-20 | 2022-04-12 | 江苏集萃微纳自动化系统与装备技术研究所有限公司 | 一种钳类末端执行器组件及钳类外科手术器械 |
US11844585B1 (en) | 2023-02-10 | 2023-12-19 | Distalmotion Sa | Surgical robotics systems and devices having a sterile restart, and methods thereof |
Family Cites Families (145)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US138700A (en) * | 1873-05-06 | Improvement in faucets | ||
US1820463A (en) | 1931-04-30 | 1931-08-25 | Otto G Klein | Clinker tongs |
US3060972A (en) | 1957-08-22 | 1962-10-30 | Bausch & Lomb | Flexible tube structures |
US3071161A (en) | 1960-05-16 | 1963-01-01 | Bausch & Lomb | Bidirectionally flexible segmented tube |
US3190286A (en) | 1961-10-31 | 1965-06-22 | Bausch & Lomb | Flexible viewing probe for endoscopic use |
US3557780A (en) | 1967-04-20 | 1971-01-26 | Olympus Optical Co | Mechanism for controlling flexure of endoscope |
US3605725A (en) | 1968-08-07 | 1971-09-20 | Medi Tech Inc | Controlled motion devices |
JPS57123101U (zh) * | 1980-09-10 | 1982-07-31 | ||
JPS5920946Y2 (ja) | 1981-05-30 | 1984-06-18 | 株式会社トミー | ロボツトハンド玩具 |
US4489826A (en) | 1982-02-05 | 1984-12-25 | Philip Dubson | Adjustable apparatus |
GB8413058D0 (en) | 1984-05-22 | 1984-06-27 | Minvade Ltd | Endoscopes |
US4580551A (en) | 1984-11-02 | 1986-04-08 | Warner-Lambert Technologies, Inc. | Flexible plastic tube for endoscopes and the like |
US4834761A (en) | 1985-05-09 | 1989-05-30 | Walters David A | Robotic multiple-jointed digit control system |
US4700693A (en) | 1985-12-09 | 1987-10-20 | Welch Allyn, Inc. | Endoscope steering section |
US4763669A (en) | 1986-01-09 | 1988-08-16 | Jaeger John C | Surgical instrument with adjustable angle of operation |
US4790294A (en) | 1987-07-28 | 1988-12-13 | Welch Allyn, Inc. | Ball-and-socket bead endoscope steering section |
US4984951A (en) | 1988-01-20 | 1991-01-15 | The Board Of Trustees Of The Leland Stanford Junior University | Mechanical prehensor |
US4854626A (en) | 1988-01-26 | 1989-08-08 | Duke Roger S | Fish retrieving tool |
US4880015A (en) | 1988-06-03 | 1989-11-14 | Nierman David M | Biopsy forceps |
JP2664224B2 (ja) * | 1988-10-25 | 1997-10-15 | オリンパス光学工業株式会社 | 内視鏡の湾曲操作装置 |
GB2226245A (en) | 1988-11-18 | 1990-06-27 | Alan Crockard | Endoscope, remote actuator and aneurysm clip applicator. |
JPH0817768B2 (ja) | 1990-11-06 | 1996-02-28 | 富士写真光機株式会社 | 内視鏡 |
AU660444B2 (en) | 1991-02-15 | 1995-06-29 | Ingemar H. Lundquist | Torquable catheter and method |
US5354162A (en) | 1991-02-26 | 1994-10-11 | Rutgers University | Actuator system for providing force feedback to portable master support |
US5490819A (en) | 1991-08-05 | 1996-02-13 | United States Surgical Corporation | Articulating endoscopic surgical apparatus |
US5476479A (en) | 1991-09-26 | 1995-12-19 | United States Surgical Corporation | Handle for endoscopic surgical instruments and jaw structure |
US6250532B1 (en) | 1991-10-18 | 2001-06-26 | United States Surgical Corporation | Surgical stapling apparatus |
US5271381A (en) | 1991-11-18 | 1993-12-21 | Vision Sciences, Inc. | Vertebrae for a bending section of an endoscope |
WO1993013704A1 (en) | 1992-01-09 | 1993-07-22 | Endomedix Corporation | Bi-directional miniscope |
US5273026A (en) | 1992-03-06 | 1993-12-28 | Wilk Peter J | Retractor and associated method for use in laparoscopic surgery |
US5314424A (en) | 1992-04-06 | 1994-05-24 | United States Surgical Corporation | Surgical instrument locking mechanism |
WO1993020878A1 (en) * | 1992-04-10 | 1993-10-28 | Cardiorhythm | Shapable handle for steerable electrode catheter |
US5417203A (en) | 1992-04-23 | 1995-05-23 | United States Surgical Corporation | Articulating endoscopic surgical apparatus |
US5325845A (en) | 1992-06-08 | 1994-07-05 | Adair Edwin Lloyd | Steerable sheath for use with selected removable optical catheter |
US5297443A (en) | 1992-07-07 | 1994-03-29 | Wentz John D | Flexible positioning appendage |
US5330502A (en) | 1992-10-09 | 1994-07-19 | Ethicon, Inc. | Rotational endoscopic mechanism with jointed drive mechanism |
US5346504A (en) | 1992-11-19 | 1994-09-13 | Ethicon, Inc. | Intraluminal manipulator with a head having articulating links |
US5286228A (en) | 1992-11-23 | 1994-02-15 | C. J. Associates, Ltd. | Toy mechanical hand |
DE69409565T2 (de) | 1993-01-29 | 1998-10-01 | Smith & Nephew Inc | Schwenkbares gekrümmtes Instrument |
US6161543A (en) | 1993-02-22 | 2000-12-19 | Epicor, Inc. | Methods of epicardial ablation for creating a lesion around the pulmonary veins |
US5643294A (en) | 1993-03-01 | 1997-07-01 | United States Surgical Corporation | Surgical apparatus having an increased range of operability |
DE4326618C2 (de) * | 1993-03-04 | 1995-05-18 | Wolfgang Daum Medizintechnik | Manipulatorhand |
DE4306786C1 (de) | 1993-03-04 | 1994-02-10 | Wolfgang Daum | Chirurgischer Manipulator |
EP0650346A1 (de) | 1993-05-11 | 1995-05-03 | SCHMITT, Friedrich | Vorrichtung zur behandlung von kieferbrüchen oder zahnfehlstellungen |
US5498256A (en) * | 1993-05-28 | 1996-03-12 | Snowden-Pencer, Inc. | Surgical instrument handle |
US5486154A (en) * | 1993-06-08 | 1996-01-23 | Kelleher; Brian S. | Endoscope |
US5827323A (en) | 1993-07-21 | 1998-10-27 | Charles H. Klieman | Surgical instrument for endoscopic and general surgery |
US5441494A (en) | 1993-07-29 | 1995-08-15 | Ethicon, Inc. | Manipulable hand for laparoscopy |
US5405344A (en) | 1993-09-30 | 1995-04-11 | Ethicon, Inc. | Articulable socket joint assembly for an endoscopic instrument for surgical fastner track therefor |
DE4340707C2 (de) | 1993-11-30 | 1997-03-27 | Wolf Gmbh Richard | Manipulator |
DE4411099C2 (de) | 1994-03-30 | 1998-07-30 | Wolf Gmbh Richard | Chirurgisches Instrument |
US5454827A (en) | 1994-05-24 | 1995-10-03 | Aust; Gilbert M. | Surgical instrument |
USRE38335E1 (en) | 1994-05-24 | 2003-11-25 | Endius Incorporated | Surgical instrument |
US5807376A (en) | 1994-06-24 | 1998-09-15 | United States Surgical Corporation | Apparatus and method for performing surgical tasks during laparoscopic procedures |
US5609601A (en) | 1994-09-23 | 1997-03-11 | United States Surgical Corporation | Endoscopic surgical apparatus with rotation lock |
US5549636A (en) | 1994-10-05 | 1996-08-27 | Li Medical Technologies Inc. | Surgical grasper with articulated fingers |
US5522788A (en) | 1994-10-26 | 1996-06-04 | Kuzmak; Lubomyr I. | Finger-like laparoscopic blunt dissector device |
US5632432A (en) | 1994-12-19 | 1997-05-27 | Ethicon Endo-Surgery, Inc. | Surgical instrument |
US5713505A (en) | 1996-05-13 | 1998-02-03 | Ethicon Endo-Surgery, Inc. | Articulation transmission mechanism for surgical instruments |
US5792164A (en) | 1994-12-19 | 1998-08-11 | Lakatos; Nick | Surgical instrument |
US5704534A (en) | 1994-12-19 | 1998-01-06 | Ethicon Endo-Surgery, Inc. | Articulation assembly for surgical instruments |
US5904697A (en) | 1995-02-24 | 1999-05-18 | Heartport, Inc. | Devices and methods for performing a vascular anastomosis |
US5759151A (en) | 1995-06-07 | 1998-06-02 | Carnegie Mellon University | Flexible steerable device for conducting exploratory procedures |
EP0955860A1 (en) | 1995-06-07 | 1999-11-17 | Robert T. Chilcoat | Articulated endospcope with specific advantages for laryngoscopy |
US5570919A (en) | 1995-06-26 | 1996-11-05 | Eusebe; Frantz-Lee | Remote grapple |
IT1277690B1 (it) | 1995-12-22 | 1997-11-11 | Bieffe Medital Spa | Sistema di sostegno ed attuazione a vertebre in particolare per strumenti chirurgici e diagnostici |
US5624398A (en) | 1996-02-08 | 1997-04-29 | Symbiosis Corporation | Endoscopic robotic surgical tools and methods |
US5626608A (en) | 1996-03-29 | 1997-05-06 | United States Surgical Corporation | Surgical instrument having locking handle |
US5823066A (en) | 1996-05-13 | 1998-10-20 | Ethicon Endo-Surgery, Inc. | Articulation transmission mechanism for surgical instruments |
US5899428A (en) * | 1996-06-06 | 1999-05-04 | Lear Corporation | Vehicle power seat adjuster with self-locking track assemblies |
US5702408A (en) | 1996-07-17 | 1997-12-30 | Ethicon Endo-Surgery, Inc. | Articulating surgical instrument |
US5851208A (en) | 1996-10-15 | 1998-12-22 | Linvatec Corporation | Rotatable surgical burr |
AU7175398A (en) | 1997-05-02 | 1998-11-27 | Medtronic, Inc. | Adjustable supporting bracket having plural ball and socket joints |
US5873817A (en) * | 1997-05-12 | 1999-02-23 | Circon Corporation | Endoscope with resilient deflectable section |
US5938678A (en) | 1997-06-11 | 1999-08-17 | Endius Incorporated | Surgical instrument |
US6280458B1 (en) | 1997-07-22 | 2001-08-28 | Karl Storz Gmbh & Co. Kg | Surgical grasping and holding forceps |
US5997464A (en) * | 1997-08-29 | 1999-12-07 | Orthosoft, L.L.C. | Magnetic coil for pulsed electromagnetic field |
US5961532A (en) | 1997-08-29 | 1999-10-05 | Stryker Corporation | Surgical tool having flexible tubular inner member movable for tissue working |
US6019722A (en) | 1997-09-17 | 2000-02-01 | Guidant Corporation | Device to permit offpump beating heart coronary bypass surgery |
US5916147A (en) | 1997-09-22 | 1999-06-29 | Boury; Harb N. | Selectively manipulable catheter |
US5921956A (en) | 1997-09-24 | 1999-07-13 | Smith & Nephew, Inc. | Surgical instrument |
US6050996A (en) | 1997-11-12 | 2000-04-18 | Sherwood Services Ag | Bipolar electrosurgical instrument with replaceable electrodes |
US7169141B2 (en) | 1998-02-24 | 2007-01-30 | Hansen Medical, Inc. | Surgical instrument |
DE10010931A1 (de) | 2000-03-06 | 2001-09-13 | Stm Medtech Starnberg | Endoskopschaft |
US6398726B1 (en) | 1998-11-20 | 2002-06-04 | Intuitive Surgical, Inc. | Stabilizer for robotic beating-heart surgery |
JP2000193893A (ja) | 1998-12-28 | 2000-07-14 | Suzuki Motor Corp | 検査用挿入管の屈曲装置 |
US6491626B1 (en) | 1999-04-16 | 2002-12-10 | Nuvasive | Articulation systems for positioning minimally invasive surgical tools |
US6482149B1 (en) | 1999-05-12 | 2002-11-19 | Fuji Photo Optical Co., Ltd. | Curved part of endoscope |
FR2795301B1 (fr) | 1999-06-25 | 2001-08-31 | Prec | Instrument de chirurgie endoscopique |
US7637905B2 (en) * | 2003-01-15 | 2009-12-29 | Usgi Medical, Inc. | Endoluminal tool deployment system |
NL1012790C2 (nl) | 1999-08-06 | 2001-02-07 | Univ Delft Tech | Endoscoop. |
EP1235522B1 (de) * | 1999-09-09 | 2007-05-30 | Tuebingen Scientific Medical GmbH | Chirurgisches instrument für minimal invasive eingriffe |
US6761171B2 (en) * | 1999-09-27 | 2004-07-13 | Andrew J. Toti | Endotracheal tube with tip directional control and position preserving mechanism |
US6817972B2 (en) | 1999-10-01 | 2004-11-16 | Computer Motion, Inc. | Heart stabilizer |
US6325811B1 (en) | 1999-10-05 | 2001-12-04 | Ethicon Endo-Surgery, Inc. | Blades with functional balance asymmetries for use with ultrasonic surgical instruments |
US6749560B1 (en) | 1999-10-26 | 2004-06-15 | Circon Corporation | Endoscope shaft with slotted tube |
JP3765218B2 (ja) | 2000-02-03 | 2006-04-12 | フジノン株式会社 | 内視鏡の操作ワイヤガイド装置 |
JP3736269B2 (ja) | 2000-03-23 | 2006-01-18 | フジノン株式会社 | 内視鏡の軟性部−アングル部連結構造 |
US6858005B2 (en) | 2000-04-03 | 2005-02-22 | Neo Guide Systems, Inc. | Tendon-driven endoscope and methods of insertion |
US6837846B2 (en) * | 2000-04-03 | 2005-01-04 | Neo Guide Systems, Inc. | Endoscope having a guide tube |
US6471696B1 (en) | 2000-04-12 | 2002-10-29 | Afx, Inc. | Microwave ablation instrument with a directional radiation pattern |
DE60121316T2 (de) * | 2000-04-21 | 2007-08-02 | Université Pierre et Marie Curie (Paris VI) | Vorrichtung zur positionierung, untersuchung und/oder behandlung, insbesondere im gebiet der endoskopie und/oder minimal invasiver chirurgie |
JP3791893B2 (ja) * | 2000-04-27 | 2006-06-28 | オリンパス株式会社 | 外科用処置具 |
DE50110915D1 (de) * | 2000-05-16 | 2006-10-19 | Storz Endoskop Gmbh | Austauschbarer Werkzeugeinsatz für ein endoskopisches Bearbeitungsgerät und derartiges endoskopisches Bearbeitungsgerät |
TW447424U (en) | 2000-05-16 | 2001-07-21 | Formosa Saint Jose Corp | Retaining device for sled capable of adjusting position |
US6743239B1 (en) | 2000-05-25 | 2004-06-01 | St. Jude Medical, Inc. | Devices with a bendable tip for medical procedures |
US7138976B1 (en) | 2000-07-13 | 2006-11-21 | Rutgers, The State University Of New Jersey | Hand force feedback and sensing system |
AU8063501A (en) * | 2000-07-20 | 2002-02-05 | Tiva Medical Inc | Hand-actuated articulating surgical tool |
NL1018282C1 (nl) * | 2000-07-24 | 2002-01-25 | Univ Delft Tech | Endoscoop. |
US6902560B1 (en) | 2000-07-27 | 2005-06-07 | Intuitive Surgical, Inc. | Roll-pitch-roll surgical tool |
US6746443B1 (en) | 2000-07-27 | 2004-06-08 | Intuitive Surgical Inc. | Roll-pitch-roll surgical tool |
JP2002078674A (ja) | 2000-09-08 | 2002-03-19 | Fuji Photo Optical Co Ltd | 内視鏡の湾曲部構造 |
JP3517194B2 (ja) * | 2000-09-18 | 2004-04-05 | 東京電子工業株式会社 | ジョイスティック型首振り操作装置 |
US6571042B1 (en) | 2000-09-26 | 2003-05-27 | Tyco Telecommunications (Us) Inc. | Multi-body modular repeater system and articulated housing for use therewith |
JP2002177201A (ja) | 2000-10-02 | 2002-06-25 | Olympus Optical Co Ltd | 内視鏡 |
US6716226B2 (en) | 2001-06-25 | 2004-04-06 | Inscope Development, Llc | Surgical clip |
DE10100533A1 (de) | 2001-01-09 | 2002-07-18 | Xion Gmbh | Endoskopartige Vorrichtung, insbesondere für die Notfallintubation |
US20030135204A1 (en) * | 2001-02-15 | 2003-07-17 | Endo Via Medical, Inc. | Robotically controlled medical instrument with a flexible section |
DE10110106B4 (de) | 2001-03-02 | 2007-08-02 | Richard Wolf Gmbh | Chirurgische Zange |
EP1250891B1 (en) | 2001-04-18 | 2007-02-21 | Olympus Corporation | Surgical instrument |
US6544274B2 (en) | 2001-05-02 | 2003-04-08 | Novare Surgical Systems, Inc. | Clamp having bendable shaft |
US6676676B2 (en) | 2001-05-02 | 2004-01-13 | Novare Surgical Systems | Clamp having bendable shaft |
US7335467B2 (en) | 2001-05-15 | 2008-02-26 | Ludwig Institute For Cancer Research | Breast cancer antigens |
GB0114406D0 (en) | 2001-06-13 | 2001-08-08 | Oliver Crispin Consulting Ltd | Improvements in and relating to robotic arms |
US6817974B2 (en) | 2001-06-29 | 2004-11-16 | Intuitive Surgical, Inc. | Surgical tool having positively positionable tendon-actuated multi-disk wrist joint |
US6939350B2 (en) | 2001-10-22 | 2005-09-06 | Boston Scientific Scimed, Inc. | Apparatus for supporting diagnostic and therapeutic elements in contact with tissue including electrode cooling device |
US6723087B2 (en) * | 2001-12-14 | 2004-04-20 | Medtronic, Inc. | Apparatus and method for performing surgery on a patient |
US6773327B1 (en) | 2002-02-12 | 2004-08-10 | Hasbro, Inc. | Apparatus for actuating a toy |
US6669254B2 (en) | 2002-04-12 | 2003-12-30 | Bel-Art Products, Inc. | Manual pick-up device |
US6758809B2 (en) | 2002-06-06 | 2004-07-06 | Medtronic, Inc. | Surgical tool for engagement of body tissue |
US6783491B2 (en) | 2002-06-13 | 2004-08-31 | Vahid Saadat | Shape lockable apparatus and method for advancing an instrument through unsupported anatomy |
US20060058582A1 (en) * | 2002-06-13 | 2006-03-16 | Usgi Medical Inc. | Disposable shapelocking system |
US8298161B2 (en) * | 2002-09-12 | 2012-10-30 | Intuitive Surgical Operations, Inc. | Shape-transferring cannula system and method of use |
EP1624909A2 (en) * | 2002-09-20 | 2006-02-15 | FlowMedica, Inc. | Appartus and method for inserting an intra-aorta catheter trough a delivery sheath |
EP2865351B1 (en) | 2002-12-06 | 2018-11-28 | Intuitive Surgical Operations, Inc. | Flexible wrist for surgical tool |
US8118732B2 (en) * | 2003-04-01 | 2012-02-21 | Boston Scientific Scimed, Inc. | Force feedback control system for video endoscope |
US7410483B2 (en) | 2003-05-23 | 2008-08-12 | Novare Surgical Systems, Inc. | Hand-actuated device for remote manipulation of a grasping tool |
US8182417B2 (en) | 2004-11-24 | 2012-05-22 | Intuitive Surgical Operations, Inc. | Articulating mechanism components and system for easy assembly and disassembly |
US7090637B2 (en) | 2003-05-23 | 2006-08-15 | Novare Surgical Systems, Inc. | Articulating mechanism for remote manipulation of a surgical or diagnostic tool |
US7147650B2 (en) * | 2003-10-30 | 2006-12-12 | Woojin Lee | Surgical instrument |
US7828808B2 (en) | 2004-06-07 | 2010-11-09 | Novare Surgical Systems, Inc. | Link systems and articulation mechanisms for remote manipulation of surgical or diagnostic tools |
US7678117B2 (en) | 2004-06-07 | 2010-03-16 | Novare Surgical Systems, Inc. | Articulating mechanism with flex-hinged links |
US7785252B2 (en) | 2004-11-23 | 2010-08-31 | Novare Surgical Systems, Inc. | Articulating sheath for flexible instruments |
US9700334B2 (en) * | 2004-11-23 | 2017-07-11 | Intuitive Surgical Operations, Inc. | Articulating mechanisms and link systems with torque transmission in remote manipulation of instruments and tools |
US20060201130A1 (en) | 2005-01-31 | 2006-09-14 | Danitz David J | Articulating mechanisms with joint assembly and manual handle for remote manipulation of instruments and tools |
-
2003
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US8870867B2 (en) | 2008-02-06 | 2014-10-28 | Aesculap Ag | Articulable electrosurgical instrument with a stabilizable articulation actuator |
CN101938946B (zh) * | 2008-02-06 | 2013-07-24 | 阿拉贡外科手术公司 | 用于铰接腹腔镜握持仪器的腕部的方法和器械 |
CN103358304B (zh) * | 2012-04-02 | 2016-08-10 | 三星电子株式会社 | 机器人臂驱动装置以及具有该驱动装置的机器人臂 |
CN103358304A (zh) * | 2012-04-02 | 2013-10-23 | 三星电子株式会社 | 机器人臂驱动装置以及具有该驱动装置的机器人臂 |
US9939053B2 (en) | 2012-04-02 | 2018-04-10 | Samsung Electronics Co., Ltd. | Robot arm driving apparatus and robot arm having the same |
US9872724B2 (en) | 2012-09-26 | 2018-01-23 | Aesculap Ag | Apparatus for tissue cutting and sealing |
CN103085083B (zh) * | 2013-01-07 | 2015-06-24 | 汪雯 | 可弯转可伸缩的柔性连续体机械结构 |
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CN111938812A (zh) * | 2014-02-21 | 2020-11-17 | 直观外科手术操作公司 | 具有增强运动范围的机械肘节关节以及相关的装置和方法 |
CN105313112A (zh) * | 2015-11-04 | 2016-02-10 | 上海交通大学 | 多自由度串联机器人机构 |
CN108778159A (zh) * | 2016-01-17 | 2018-11-09 | Tag医疗器材农业合作有限公司 | 柔性骨头工具 |
CN108778159B (zh) * | 2016-01-17 | 2022-07-08 | Tag医疗器材农业合作有限公司 | 柔性骨头工具 |
WO2022253065A1 (zh) * | 2021-06-02 | 2022-12-08 | 上海生知医疗科技有限公司 | 一种便携式手动手术机器人 |
WO2024045673A1 (zh) * | 2022-08-31 | 2024-03-07 | 精勤智造(苏州)医疗科技有限公司 | 一种线驱运动模块及微创手术钳 |
Also Published As
Publication number | Publication date |
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EP1631196A4 (en) | 2013-03-06 |
CN101703424B (zh) | 2012-08-08 |
AU2009243488A1 (en) | 2009-12-24 |
AU2004243056B2 (en) | 2009-10-15 |
CA2526381A1 (en) | 2004-12-09 |
EP1631196A2 (en) | 2006-03-08 |
CA2526381C (en) | 2011-09-06 |
CN101703424A (zh) | 2010-05-12 |
US7090637B2 (en) | 2006-08-15 |
US20040236316A1 (en) | 2004-11-25 |
AU2009243488B2 (en) | 2010-06-10 |
AU2004243056A1 (en) | 2004-12-09 |
US20050251112A1 (en) | 2005-11-10 |
EP1631196B1 (en) | 2014-09-17 |
BRPI0410599B1 (pt) | 2015-05-26 |
BRPI0410599A (pt) | 2006-06-20 |
WO2004105578A3 (en) | 2005-11-17 |
US7615066B2 (en) | 2009-11-10 |
WO2004105578A9 (en) | 2005-04-07 |
JP4680917B2 (ja) | 2011-05-11 |
MXPA05012599A (es) | 2006-05-25 |
WO2004105578A2 (en) | 2004-12-09 |
US20060094931A1 (en) | 2006-05-04 |
US7682307B2 (en) | 2010-03-23 |
JP2007502198A (ja) | 2007-02-08 |
CN100574709C (zh) | 2009-12-30 |
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