CN1883411A - 具有带双枢轴闭合器和单枢轴框架底的关节运动轴的外科器械 - Google Patents

具有带双枢轴闭合器和单枢轴框架底的关节运动轴的外科器械 Download PDF

Info

Publication number
CN1883411A
CN1883411A CNA2006100930523A CN200610093052A CN1883411A CN 1883411 A CN1883411 A CN 1883411A CN A2006100930523 A CNA2006100930523 A CN A2006100930523A CN 200610093052 A CN200610093052 A CN 200610093052A CN 1883411 A CN1883411 A CN 1883411A
Authority
CN
China
Prior art keywords
distally
surgical instruments
pivot
assembly
end effector
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
CNA2006100930523A
Other languages
English (en)
Other versions
CN1883411B (zh
Inventor
肯尼思·S·威尔士
尤金·L·蒂姆珀曼
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Ethicon Endo Surgery Inc
Original Assignee
Ethicon Endo Surgery Inc
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Ethicon Endo Surgery Inc filed Critical Ethicon Endo Surgery Inc
Publication of CN1883411A publication Critical patent/CN1883411A/zh
Application granted granted Critical
Publication of CN1883411B publication Critical patent/CN1883411B/zh
Active legal-status Critical Current
Anticipated expiration legal-status Critical

Links

Images

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A61B17/07207—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously the staples being applied sequentially
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/005—Flexible endoscopes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/10—Surgical instruments, devices or methods, e.g. tourniquets for applying or removing wound clamps, e.g. containing only one clamp or staple; Wound clamp magazines
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
    • A61B17/115—Staplers for performing anastomosis in a single operation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/128—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for applying or removing clamps or clips
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00535—Surgical instruments, devices or methods, e.g. tourniquets pneumatically or hydraulically operated
    • A61B2017/00557—Surgical instruments, devices or methods, e.g. tourniquets pneumatically or hydraulically operated inflatable
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A61B2017/2926—Details of heads or jaws
    • A61B2017/2927—Details of heads or jaws the angular position of the head being adjustable with respect to the shaft
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32—Surgical cutting instruments
    • A61B2017/320052—Guides for cutting instruments

Abstract

一种特别适用于内窥镜使用的外科钉合及切割器械，包括一个近侧部分，在患者体外对其进行操作，以将连接的细长轴和端部执行器定位到患者体内需要进行手术的部位。关节运动接头将端部执行器与细长轴以可枢转的方式连接，在以需要的角度到达组织方面提供额外的诊断灵活性。闭合管组件包括多枢轴部分，其越过关节运动接头，以向远侧平移，使端部执行器关闭，而不穿过进行关节运动的轴。从而在端部执行器定位时可获得额外的临床灵活性，而不会失去由轴传递的单独闭合和击发运动的能力。由此通过避免将机械运动传送通过严格限制以进行关节运动的细长轴的设计限制而实现设计灵活性。

Description

具有带双枢轴闭合器和单枢轴框架底的 关节运动轴的外科器械
相关申请的交叉引用
本发明涉及Kenneth Wales和Chad Boudreaux于2005年2月18日提交的申请号为11/061,908、题为“SURGICAL INSTRUMENTINCORPORATING A FLUID TRANSFER CONTROLLEDARTICULATION MECHANISM”的共同拥有的美国专利申请，并要求其优先权，其内容在此通过全部引用而包含于本申请中。
技术领域
本发明总的涉及适合于将端部执行器(例如，内切割器、抓钳、切割器、缝合器、夹具施放器、接触装置、药物/基因治疗输送装置以及采用超声波、RF、激光等的能量装置)以可内窥的方式插入到手术部位的外科器械，更具体地说，涉及带有关节运动轴的这种外科器械。
背景技术
内窥镜外科器械通常比传统的开放式外科装置更受到偏爱，因为其切口较小，易于减少术后恢复时间和并发症。因此，在内窥镜外科器械的领域中已经有了显著发展，该内窥镜外科器械适于将远端执行器经套管针的套管精确放置到需要的手术部位。这些远端执行器以多种方式与组织接合，以达到诊断或治疗的效果(例如，内切割器、抓钳、切割器、缝合器、夹具施放器、接触装置、药物/基因治疗传送装置以及采用超声波、RF、激光等的能量装置)。
端部执行器的定位受到套管针的限制。通常，这些内窥镜外科器械包括一个位于端部执行器和医生操作的手柄部分之间的长轴。该长轴能够插入到所需的深度并围绕轴的纵向轴线转动，从而将端部执行器定位到某种程度。在正确设置套管针和例如通过另一个套管针使用抓钳的条件下，通常这种定位的量就足够了。例如在美国专利US5,465,895中描述的外科缝合和切割器械是通过插入和转动来成功定位端部执行器的内窥镜外科器械的例子。
更近地，在Shelton IV等于2003年5月20日提交的序列号为10/443,617、题为“SURGICAL STAMPLING INSTRUMENTINCORPORATING AN E-BEAM FIRING MECHANISM”的美国专利中公开了一种用于切割组织和致动钉的改进的“E形梁”击发杆，其全部内容在此通过引用而包含于本申请中。该装置的一些其它优点包括可确保将端部执行器的钳口间隔开，或者更具体地说是将钉施加组件间隔开，即使夹了比用于最佳钉形成略多或略少的组织也是如此。而且，E形梁击发杆与端部执行器和钉仓以能够采用多个有利的闭锁的方式接合。
这些外科钉合及切割器械包括带有框架的轴，所述框架导承进行击发的击发杆。闭合管在框架和击发杆之上滑动，以使钉施加组件的钳口闭合。由此提供了独立的闭合和击发能力，这增加了临床灵活性。医生可反复闭合和重新定位组织，直到对设置满意为止。
取决于操作的性质，可能需要进一步调整内窥镜外科器械的端部执行器的定位。特别地，通常需要在横切该器械的轴的纵向轴线的轴线上定向端部执行器。端部执行器相对于器械轴的横向运动通常称为“关节运动”。这可典型地通过被设置在靠近钉施加组件的伸长的轴中的枢轴(或关节)接头来实现。这使得医生可通过遥控方式使钉施加组件关节运动到任一侧，以更好的设置钉线，并更容易对组织进行操作和定向。在一些情况(例如在器官的后面)下，这种关节运动定位使医生能够更容易接合组织。另外，有利地，关节运动定位可使内窥镜定位于端部执行器的后面，而不会被器械轴挡住。
由于在内镜器械限定的很小直径内进行关节运动控制，并且进行闭合端部执行器以钳夹组织并击发端部执行器(即钉合和切割)的控制，使外科钉合及切割器械进行关节运动的方法显得非常复杂。通常，当进行纵向平移时，这三种控制运动都通过轴来传送。例如，在Frederick E.Shelton IV等的未审结并共同拥有的序列号为10/615,973、题为“SURGICAL INSTRUMENT INCORPORATING ANARTICULATION MECHANISM HAVING ROTATION ABOUT THELONGITUDINAL AXIS”的美国专利申请中，作为纵向运动的替代，将旋转运动用于传递关节运动，其内容在此通过引用而全部包含于本申请中。
因此，非常需要这样一种外科钉合和切割器械，其具有包括独立闭合管的轴，可单独使钳口打开及关闭的所述闭合管能够进行关节运动。
发明内容
本发明通过提供这样一种外科器械克服了现有技术的上述及其它缺点，所述外科器械包括一个轴，所述轴具有与端部执行器枢轴连接的框架，所述端部执行器又包括一个可枢转的上钳口或砧座。一个闭合管在框架之上滑动，以使砧座枢转来闭合并钳夹组织。为了纵向平移以引起进行关节运动的接头上方的这种闭合，闭合末端本身具有双枢转接头。
在本发明的一个方面中，一种外科器械包括一个近侧部分，在患者的体外操纵该近侧部分，以将相连的细长轴和端部执行器定位于患者体内需要手术的部位。一个关节运动接头将端部执行器与细长轴可枢转地连接，从而在以期望的角度达到组织时提供进一步的临床灵活性。一个闭合管包括一个多枢轴接头，其越过(override)关节运动接头，以向远侧平移来闭合端部执行器，而不通过关节运动轴。由此在端部执行器定位时获得了额外的临床灵活性，而不会失去由轴传递的单独闭合和击发运动的能力。
(1)本发明涉及一种外科器械，其包括：
细长轴，该细长轴包括框架组件和闭合套管组件；
端部执行器，其包括下部钳口和以可枢转的方式连接的上部钳口；
关节运动接头，其将端部执行器的下部钳口以可枢转的方式连接到所述框架组件的远端；
手柄部分，其与细长轴的近端连接，并可操作地构造为能将闭合运动沿纵向联接到闭合套管组件；以及
闭合套管组件的多枢轴接头，所述枢轴接头包围关节运动接头并在远侧与所述上部钳口接合，以使上部钳口枢转。
(2)如第(1)项所述的外科器械，其中，所述闭合套管组件还包括一个与砧座接合的远侧闭合管部分和一个连接到所述手柄部分的近侧闭合管部分，所述闭合套管组件的所述多枢轴接头包括上部双枢轴连接件和下部双枢轴连接件，它们分别在其两个端部的每个端部处以可枢转的方式连接到远侧和近侧闭合管部分。
(3)如第(2)项所述的外科器械，其中，所述远侧闭合管部分还包括朝近侧定向的叉形头，一个第一圆柱形构件与其相连；并且近侧闭合管部分还包括一个朝远侧定向的叉形头，一个第二圆柱形构件与其连接。
(4)如第(1)项所述的外科器械，其中，所述框架组件还包括一个与所述下部钳口相连的远侧框架部分，和一个与手柄部分相连的近侧框架部分，一个框架枢转臂在一端刚性连接于远侧和近侧框架部分的任选一端，并在另一端以可枢转的方式连接于远侧和近侧框架部分的另一个。
(5)如第(4)项所述的外科器械，其中，框架枢转臂包括用于导承击发棒的刀槽。
(6)如第(1)项所述的外科器械，其中，所述下部钳口包括一个容纳有钉仓的细长通道，并且以可枢转方式连接的上部钳口包括一个提供钉形成表面的砧座。
(7)如第(1)项所述的外科器械，其中，框架组件还包括一个与下部钳口相连的远侧框架部分，和一个与手柄部分连接的近侧框架部分，所述远侧和近侧框架部分为彼此提供叠置的和可枢转地连接的端部。
(8)如第(1)项所述的外科器械，其中，闭合套管组件的多枢轴接头还包括一个远侧圆柱形构件，一个弹性闭合接头与其连接，以及一个与弹性闭合接头连接的近侧圆柱性构件。
(9)如第(8)项所述的外科器械，其中，弹性闭合接头包括一个由弹性材料形成的圆柱形套管，并包括左和右两排垂直的狭缝。
(10)本发明还涉及一种外科器械，其包括：
细长轴，该细长轴包括一个框架组件和一个包围并纵向滑动接收的闭合套管组件；
钉施加组件，其包括细长通道，一个接合在所述细长通道中的钉仓，以及一个与所述细长通道可枢转地连接从而为钉仓提供钉形成表面的砧座；
框架组件，其包括一个与所述细长通道连接的远侧框架部分，和与远侧框架部分可枢转地连接的近侧框架部分；
手柄部分，其与近侧框架部分的近端连接，并可操作地构造为将闭合运动沿纵向连接到闭合套管组件；以及
闭合套管组件的多枢轴接头，其围绕关节运动接头并在远侧与上部钳口接合，以使上部钳口枢转。
(11)如第(10)项所述的外科器械，其中，所述闭合套管组件还包括一个与砧座接合的远侧闭合管部分和一个连接到手柄部分的近侧闭合管部分，所述闭合套管组件的所述多枢轴接头包括上部双枢轴连接件和下部双枢轴连接件，它们分别在其两个端部的每个端部处以可枢转的方式连接到远侧和近侧闭合管部分。
(12)如第(11)项所述的外科器械，其中，所述远侧闭合管部分还包括朝近侧定向的叉形头，一个第一圆柱形构件与其相连；并且近侧闭合管部分还包括一个朝远侧定向的叉形头，一个第二圆柱形构件与其连接。
(13)如第(10)项所述的外科器械，其中，所述框架组件还包括一个与所述下部钳口相连的远侧框架部分，和一个与手柄部分相连的近侧框架部分，一个框架枢转臂在一端刚性连接于远侧和近侧框架部分的任选一端，并在另一端以可枢转的方式连接于远侧和近侧框架部分的另一个。
(14)如第(13)项所述的外科器械，其中，框架枢转臂包括用于导承击发杆的刀槽。
(15)如第(10)项所述的外科器械，其中，所述下部钳口包括一个容纳有钉仓的细长通道，并且以可枢转的方式连接的上部钳口包括一个提供钉形成表面的砧座。
(16)如第(10)项所述的外科器械，其中，框架组件还包括一个与下部钳口相连的远侧框架部分，还一个与手柄部分连接的近侧框架部分，所述远侧和近侧框架部分为彼此提供叠置的和可枢转地连接的端部。
(17)如第(10)项所述的外科器械，其中，闭合套管组件的多枢轴接头还包括一个远侧圆柱形构件，一个弹性闭合接头与其连接，以及一个与弹性闭合接头连接的近侧圆柱性构件。
(18)如第(17)项所述的外科器械，其中，弹性闭合接头包括一个由弹性材料形成的圆柱形套管，并包括左和右两排垂直的狭缝。
(19)本发明还涉及一种外科器械，其包括：
细长轴，所述细长轴包括一个框架组件和一个包围并纵向滑动接收的闭合套管组件；
端部执行器，其包括致动构件；
框架组件，其包括一个与所述端部执行器连接的远侧框架部分，和与远侧框架部分可枢转地连接的近侧框架部分；
手柄部分，其与近侧框架部分的近端连接，并可操作地构造为将纵向运动沿纵向连接到套管组件；以及
套管组件的多枢轴接头，其围绕关节运动接头并在远侧与端部执行器的致动构件接合，以进行致动。
(20)如第(19)项所述的外科器械，其中，套管组件还包括一个与端部执行器的致动构件接合的远侧管部分，和一个与手柄部分连接的近侧管部分，套管组件的所述多枢轴接头包括上部和下部双枢轴连接件，它们分别在其两个端部的每个端部处以可枢转的方式连接到远侧和近侧管部分。
(21)如第(19)项所述的外科器械，其中，闭合接头的多枢轴接头包括一个由弹性材料形成的圆柱形套管，并包括左和右两排垂直的狭缝。
通过附图及其说明，本发明的这些和其它目的和优点将更加明显。
附图说明
包含在本说明书中并构成该说明书的一部分的附图解释了本发明的实施例，并与上面给出的本发明的总体说明以及下面给出的实施例的详细描述一起用于解释本发明的原理。
图1是外科钉合及切割器械的从前侧上部看的透视图，显示出带有张开的端部执行器或说钉施加组件，并且其中移除了钉仓。
图2是图1中的外科钉合及切割器械从前侧上部看的透视图，其关节机构由流体致动控制器致动。
图3是图1的外科钉合及切割器械的细长轴和铰接机构的分解透视图。
图4是图1的外科钉合及切割器械的执行部分的远侧部分的分解透视图，包括了钉施加组件和关节运动机构。
图5是图1及图4的钉施加组件的从上部看的透视图，其中除去了钉仓的侧半部，以暴露由击发运动驱动的组成元件。
图6是图1的外科器械的执行部分的从前侧看的透视图，其中除去了双枢轴闭合套管组件和端部执行器，以露出通过流体关节运动机构连接的单枢轴框架底(frame ground)。
图7是图1的外科器械的一种作为替代的关节运动接头的详细透视图，显示了双枢轴闭合套管组件在近侧位置具有一个单枢轴框架底。
图8是图7的作为替代的关节运动接头的从底部右侧看的分解透视图，包括双枢轴固定壁狗骨形连接件(dog bone link)和具有导承横向运动构件(T型杆)的导轨的框架底。
图9是图1的外科器械的另一种作为替代的关节运动接头的从上部左侧看的分解透视图，包括一个包含在下部双枢轴连接件中以支撑击发杆的作为替代的整体壁支撑板机构，并包括由导轨引导的沿横向运动的构件(T型杆)。
图10是用于图1的外科器械的一种作为选择的关节运动锁定机构的俯视示意图，其中除去了闭合的套管组件，以显示出用于自动关节运动锁定接合和脱离接合的反向加载的脱开的T型杆。
图11是用于图1的外科器械的另一种作为选择的关节运动机构的俯视示意图，其中一弹簧偏压T型杆上的齿条，所述T型杆带有由于端部执行器的反向加载(backloading)而接合的锁定零件。
图12是用于图1的外科器械的一种作为选择的T型杆和带有横向导槽的框架底。
图13是用于图1的外科器械的另一种作为选择的T型杆和带有横向导槽的框架底。
图14是一种作为选择的关节运动机构的从左侧上部看的分解透视图，包括一个双枢轴框架组件和一个单枢轴闭合套管组件，用于图1的外科器械。
图15是图14的作为选择的关节运动机构的从左侧底部看的透视图。
图16是一种作为替代的用于图1的外科钉合及切割器械的执行部分的从前侧看的透视图，其具有多枢轴闭合套管组件。
具体实施方式
关节运动轴概述
参考附图，其中在所有这些图中，相同的附图标记代表相同的组成元件，图1描绘了一种外科器械(特别地，在一种解释性方案中，其为一种外科钉合及切割器械10)，其能够体现本发明的独特优点。特别地，该外科钉合及切割器械10的尺寸设置为能够在如图1所示的非关节运动状态下通过套管针的插管通道插入到患者(未显示)体内的手术部位，以进行手术过程。一旦执行部分12通过插管通道插入，如图2中所示，就可通过关节运动控制器18远距离地使执行部分12的细长轴16的远侧部分中带有的关节运动机构14进行关节运动。在解释性方案中描述为钉施加组件20的端部执行器在远侧与关节运动机构14相连。因此，远距离的使关节运动机构14进行关节运动可使钉施加组件20相对细长轴16的纵向轴线进行关节运动。这种带角度的定位可具有如下优点，即，以切割和钉合所需的角度来接近组织，可接近在其它情况下被其它器官和组织遮挡的组织，和/或使内窥镜能够定位于钉施加组件20的后面并与之对准，以确保其设置。
手柄
外科钉合及切割器械10包括一个手柄部分22，其与执行部分12在近侧连接，以对其进行定位、关节运动、闭合和击发运动。手柄部分22具有一个手枪式把手24，医生向着该把手向近侧枢转地拉动闭合触发器26，导致钉施加组件20的夹紧或闭合。一个击发触发器28设置在闭合触发器26的外侧，并可由医生以可枢转的方式拉动，从而导致在钉施加组件20中钳夹的组织的钉合和切割。此后，压下闭合释放按钮30，松开夹紧的闭合触发器26，从而松开被夹紧的组织的被切断和钉合的末端。手柄部分22还包括一个旋钮32，其被联接成用于与细长轴16一起运动，以围绕轴16的纵向轴线旋转轴16和关节连接的钉施加组件20。手柄部分22还包括一个击发回缩手柄34，以辅助在发生束缚时回缩击发机构(在图1-2中未显示)，从而使钉施加组件20此后可张开。
应当理解，这里使用的术语“近侧”和“远侧”是以握持该器械手柄的医生为参照。因此，相对于更近侧的手柄部分22，外科钉合组件20处于远端。还应理解，为了方便和清楚起见，这里使用的空间术语，例如“垂直”和“水平”是相对于附图而言。然而，外科器械可以多种定向和位置使用，这些术语并不是限制性的和绝对的。
在Swayze和Shelton IV的题为“SURGICAL STAPLINGINSTRUMENT INCORPORATING A MULTISTROKE FIRINGPOSITION INDICATOR AND RETRACTION MECHANISM”、序列号为10/374,026的未审结和同一申请人拥有的美国专利申请中更详细地描述了用于图1-2中的外科钉合及切割器械10的示例性多冲程手柄部分22，该文献的内容在此通过引用而全部包含于本申请中，并具有如这里所描述的其它零件和变化。有利地，尽管多冲程手柄部分22支持以较大发射力远距离施加，根据本发明的应用可包括单击发冲程，例如在Frederick E.Shelton IV，Michael E.Setser以及Brian J.Hemmelgarn共同拥有的序列号为10/441,632、题为“SURGICALSTAPLING INSTRUMENT HAVING SEPARATE DISTINCTCLOSING AND FIRING SYSTEMS”的未审结美国专利申请中所描述的，该文献的内容在此通过引用而全部包含于本申请中。
执行部分(关节运动细长轴和钉施加组件)
在图3-5中，有利地，执行部分12包括在适于内窥镜和腹腔镜手术的较小直径内的纵向旋转、关节运动、闭合和击发的多种致动运动。钉施加组件20(“端部执行器”)具有一对可枢转地相对的钳口，图示为一个带有可枢转地连接的砧座42的细长通道40(图1-2，4-5)。砧座42相对细长通道40的闭合和夹紧通过用框架组件44(图3)沿纵向支撑细长通道40来实现，所述框架组件44与手柄部分22可转动地连接，一个双枢轴闭合套管组件46在所述框架组件44上沿纵向运动，以将分别对应于远侧运动和近侧运动的闭合和张开施加到砧座42，即使在钉施加组件20如图2所示地进行关节运动时亦如此。
特别参照图3，框架组件44包括一个单枢轴框架底48，其近端与旋钮32接合，其中图3所示的该旋钮上带有右侧半壳。应当理解，闭合套管组件46、特别是闭合直管52的近端包围框架底48的近端，所述近端进一步穿过其内部到达手柄部分22，与使闭合套管组件46纵向平移的闭合元件(未显示)接合。位于闭合直管52近端的圆形凸缘54提供了与所述元件的旋转接合。旋钮32的接合元件穿过闭合直管52的近侧部分上的纵向狭槽56与在近侧定位于框架底48上的孔口58接合。纵向狭槽56具有足够的长度，从而以由旋钮32为闭合套管组件46和框架底48设定的各种旋转角度使闭合套管组件46的闭合纵向平移。
细长轴16通过容纳与手柄部分22的击发元件(未显示)旋转接合的击发杆60来支持击发运动。击发杆60沿着框架底48的纵向中心线进入近侧开口62。框架底48的远侧部分包括一个沿着其底部的击发棒狭槽64，该击发棒狭槽与近侧开口62相通。击发棒66在击发棒狭槽64中沿纵向平移，并且该击发棒包括一个向上突出的近侧销68，其与击发杆60的远端70接合。
细长轴16通过带有矩形储存腔72(在旋钮32的远侧部分中描绘为横向部分)来支持关节运动。一个位于矩形储存腔72中的底部分隔室74具有横向间隔开的左和右挡板76、78。一个关节运动致动器80在底部分隔室74的上方沿横向滑动，该关节运动致动器的位于挡板76、78外侧的左和右凸缘82、84向下沿横向间隔开，每个凸缘与从旋钮32的相应半壳向外伸出的左和右按钮86、88沿横向相连。关节运动致动器80的横向运动拉动左和右凸缘82、84分别更靠近或更远离左和右挡板76、78，从而抵抗流体关节运动系统94的左和右储存囊90、92进行操作，每个囊90、92分别在远侧与左和右流体导管或通道96、98连通，该左和右流体导管或通道又分别与左和右致动囊100、102连通。后者与关节运动机构14的T型杆104相对并且使之沿横向枢转。
框架组件44通过包括框架底48的一个顶部和远侧带凹槽的台面106来限制这些流体致动，在所述框架底的台面上有流体通路96、98和致动囊100、102。T型杆104也可滑动地停留于带凹槽的台面106的上面，并位于致动囊100、102之间。在T型杆104的近侧，一个升起的阻挡肋108与其对准，用于防止流体通路96、98向内膨胀。框架组件44具有一个圆形顶部框架盖(隔离件)110，其在框架底48的上方滑动，防止流体通路96、98和致动囊100、102的垂直膨胀，以及限制T型杆104的任何垂直运动。特别地，框架盖110包括能使其还提供关节运动锁定构件111的零件，下面将作为关节运动锁定机构113的一部分详细描述。
T型杆104的远端(“齿条”)112与关节运动机构14的关节连接的远侧框架构件114的向近侧定向的扇形齿轮115结合以使之枢转。关节连接的闭合管116包围关节连接的框架构件114，并具有一个与砧座42接合的马蹄形孔口118。在闭合直管52和进行关节运动的闭合环116之间在关节运动机构14之上形成一个双枢转连接，从而可进行纵向闭合运动，即使当关节运动机构14进行关节运动时也是如此。特别地，在闭合直管52上的带有销孔122、124的顶部和底部向远侧突出的枢轴翼片118、120分别与关节运动闭合环116上的具有销孔130、132的相应的顶部和底部向近侧突出的枢轴翼片126、128沿纵向间隔开。一个上部双枢轴连接件134具有分别与销孔122、130接合的纵向间隔的向上定向的远侧和后部销136、138，一个下部双枢轴连接件140具有分别与销孔124、132接合的纵向间隔的向下突出的远侧和后部销142、144。
特别参照图4，为了增强可制造性，关节运动闭合环116显示为包括一个短管146，其与包括近侧突出的枢轴翼片126、128的进行关节运动的连接卡圈148相连。同样地，闭合直管52由与后部连接卡圈152相连的长闭合管150组装而成，所述后部连接卡圈152包括向远处突出的枢轴翼片118、120。短闭合管146中的马蹄形孔口118与在横向枢轴销156稍邻侧的向上突出的砧座零件154接合，所述枢轴销156与细长通道40中的枢轴槽158接合。
图4的解释性方案包括狗骨形连接件160，其近侧销157可枢转地连接到框架底48的框架孔161中，并且其近侧销159与进行关节运动的框架构件114的近侧下表面162刚性连接，从而在其间提供枢轴支撑。狗骨形连接件160的底部纵向刀槽163导承击发棒66的进行关节运动的部分。进行关节运动的框架构件114还包括一个底部纵槽164，以导承击发棒66的远侧部分。
钉施加器械(端部执行器)
参照图4-5，击发棒66在远侧终止于E-形梁165中，所述E-形梁165包括上部导销166，其插入砧座42中的砧座槽168中，以便在钉形成和切割期间检验并辅助将砧座42保持为关闭状态。细长通道40和砧座42之间的间隔还可通过如下方式由E-形梁165来维持，该E-形梁的中间销170沿着细长通道40的顶面滑动，同时底脚172由细长通道40中的纵向开口174导承以沿着细长通道40的下表面相对滑动。E形梁165的位于上部导销166和中间销170之间的在远侧的切割表面176对夹钳的组织进行切割，同时E形梁通过向远侧运动楔形滑轨180致动可更换的钉仓178，该楔形滑轨会导致钉驱动器182向上进行凸轮运动，从而驱动抵靠砧座42的钉形成下表面190形成的钉184脱离钉仓主体188中向上张开的钉孔186。钉仓托架192从底部包围钉仓178的其它元件，将它们保持在恰当的位置。钉仓托架192包括一个向后开口的槽194，其位于细长通道40中的纵向开口174上，从而使中间销170穿过钉仓托架192的内部。
在Frederick E.Shelton IV等于2004年9月30日提交的序列号为10/955,042的“ARTICULATING SURGICAL STAPLINGINSTRUMENT INCORPORATING A TWO-PIECE E-BEAM FIRINGMECHANISM”的未审结和共同拥有的美国专利申请中，对钉施加组件20有详细描述，该文献的内容在此通过引用而全部包含于本申请中。
关节运动锁定机构
在图3-4和6-8中，有利地包括一个关节运动锁定机构200，以将钉施加组件20保持在需要的关节运动角度。关节运动锁定机构200减小了左和右致动囊100、102上的负载。特别地，压缩弹簧202(图3)在近侧定位于关节运动锁定构件111的近端204和手柄部分22之间，向远侧偏压关节运动锁定构件111。特别参照图4，关节运动锁定构件111远端210上的两个平行的狭槽206、208分别容纳框架底48上的向上突出的导向肋212、214。导向肋212、214的纵向长度比平行狭槽206、208短，从而使其具有相对纵向行程范围。由此，特别参照图8，远侧摩擦表面(示为从关节运动锁定构件111向远侧突出的带齿的槽216)的选择性抵接接合用于与容纳在进行关节运动的框架构件114的顶部近侧凹槽220中的制动板218中的相应锁定扇形齿轮217接合。制动板218的远侧和近侧孔221、222容纳从顶部近侧凹槽220向上突出的远侧和近侧销223、224。
特别参照图6，细长轴16描绘为处于进行关节运动的位置，其中闭合套管组件46从框架组件44周围被除去，并且没有细长通道40和砧座42。关节运动致动器80显示为横向运动到左侧以压缩右侧近侧储存囊90，并使远端右侧致动囊100膨胀，使T型杆104移动到所示的位置。因此，如图所示，关节运动致动器80的横向运动使远侧框架114围绕单枢轴框架底48顺时针进行关节运动。有利地，关节运动致动器80还自动与关节运动锁定机构200接合和脱离接合。特别地，沿着关节运动致动器80的近侧上表面的齿棘表面225从关节运动闭合构件111的近端204容纳向上突起的锁定销226。锁定销226在齿棘表面225根部的接合为关节运动锁定构件111提供了足够的向远端的运动，将锁定扇形齿轮217锁定接合于制动板218中。由操作人员进行的压缩构件272向近侧的横向运动，向近侧促动锁定销226，由此使关节运动锁定构件111与制动板218脱离接合。当操作人员释放关节运动致动器80时，锁定销226被压缩弹簧202推压到止动表面225中的相邻槽中，使锁定机构111锁定，从而锁定钉施加组件20，通过限制和膨胀近侧左和右储存囊90、92的膨胀形状，将关节运动机构14限制在所需的关节运动位置。
关于关节运动锁定机构200的部分在Dale R.Schulze和Kenneth S.Wales等于1996年3月10日提交的题为“SURGICAL INSTRUMENT”的共同拥有的美国专利US5,673,841A中有更详细地描述，其内容在此通过引用而全部包含于本中请中。
作为选择或者另外，可在平行的流体囊236、238中设置孔，以控制近侧致动囊100、102和远侧储存囊90、92之间的流速。在图16中，流体通路258、264的尺寸可设置为提供改变关节运动的角度的阻力，起孔的作用，或者它们可包括流体流速限制结构。
在图10中，一种替代的外科器械2004的关节运动机构2002的锁定机构2000通常是通过旋接(cocking)由于反向加载而沿横向运动的T型杆2006来释放和致动。狭槽2008定位于框架底2010中，以容纳并导承从T型杆2006向下伸出的肋2012。如果端部执行器2016反向加载，则与肋2012成直角连接的细长纵向部分2014偏斜。例如，当端部执行器2016受到如箭头2018所示使其向右的力，例如，其近侧扇形齿轮2020作用于T型杆2006的导轨2022，施加非垂直的逆驱动力，如箭头2024所示。因此，细长纵向部分2014弯曲，将肋2012旋塞到狭槽2008中。这种旋塞产生了相对的约束力，如箭头2026、2028所示，将T型杆2006锁定并阻止进一步的关节运动。当关节运动囊的致动使横向运动的T型杆2006松开时，则产生释放。此后，肋2016可辅助导承T型杆2006。
在图11中，显示了另一种外科器械2102的关节运动锁定机构2100，其通常由端部执行器2106的齿轮齿2104和T型杆2110的齿条齿2108以20度压力角形成的近侧力向量来释放和致动。当端部执行器2106反向加载时，以非垂直箭头2112表示，压力角的纵向向量(以箭头2114表示)使T型杆2110向近侧运动。该纵向力向量施加到位于T型杆2110的齿条2120后面的牵引弹簧2118上。当弹簧2118随着T型杆2110向近侧运动而偏斜时，从齿条2120向近侧突出的锁定齿2126开始接合，并且在底部框架2124上在近侧沿横向排列的锁定构件2122与从齿条2120向近侧突出的锁定齿2126接合。当通过除去端部执行器2106的反向加载并通过弹簧2118的促动使T型杆2110向远侧运动，使近侧力向量减小或消除时，锁定齿2126和锁定构件2122脱离接合。
双枢轴闭合套管和单枢轴框架底的结合
参照图3-4和7，有利地，执行部分12包括一个双枢轴闭合套管组件46，其在单枢轴框架底48上纵向平移并环绕单枢轴框架底48。下面将进一步详细描述这些机构和其它操作。特别参照图7，关节运动机构14显示为处于进行关节运动的状态，其中闭合套管组件46向近侧回缩到砧座处于打开状态。随着砧座42的打开，关节运动控制器18的致动引起关节连接的闭合环116分别以上部和下部双枢轴闭合连接件134、140的向上定向的远侧销136和向下定向的远侧销142为枢轴枢转。框架底48围绕单个销(图示为将框架底48与远侧构件114连接的近侧销157)枢转。随着砧座42的打开，框架底48的近侧销147与闭合套管组件46的上部和下部双枢轴连接件134、140的最远侧位置对准。当砧座42打开时，该位置很容易使钉施加组件20进行枢转运动及旋转。当闭合套管组件46向远侧运动以枢转闭合的砧座42时，随着枢轴连接件134、140的推压，闭合直管52围绕框架底48向远侧运动，并且关节连接的闭合环116沿着关节连接的远侧框架构件114的轴向远侧移动。当装置进行关节运动时(未显示)，随着它们向着远侧闭合位置的促动，连接件134、140上的双枢轴销136、138以及142、144有利于与闭合直管52和关节连接的闭合环116的接合。当有效运行时，在远侧闭合位置，框架底枢轴销(“近侧销”)147与近侧枢轴销138、144以完全关节运动的方式垂直对准，或者落在远侧销136、142和近侧销138、144之间的任一点上。
整体(solid)击发棒支撑件
在图8中，图7中的关节运动机构14被局部分解并从底部观察，显示出整体壁击发棒支撑设计(狗骨形连接件160)，其提供了传统挠性支撑板所不具备的优点。支撑板用于间隙的桥接，并通过单框架底枢轴关节运动接头1801导承和支撑击发棒66。挠性击发棒是公知的，但采用例如图4、8、9中显示的那些整体壁击发棒能提供独特的优点。现在参见图8，框架底48包括一个沿着框架底48的底部延伸的框架刀槽1802，并且一个远侧刀槽164沿着进行关节运动的远侧框架构件114的底部延伸，以将击发棒66(未显示)滑动容纳于其中。如上所述的框架底48包括一个带远侧框架构件114的直接单枢轴连接器157。可旋转地连接于近侧销端部157并可动地连接在远侧销端部159上的固定壁狗骨形连接件160包括左和右侧导向件1818、1820，从而在其间限定了一个导槽1822，作为击发棒66的滑动通道(图4)。
因此，为了桥接框架底48和远侧框架构件114之间的间隙，将固定壁枢轴狗骨形连接件160可枢转地连接到框架底48，并与框架构件114滑动连接。枢转的狗骨形件160的近侧销157可枢转地容纳于框架底48中的孔1824中，从而使枢转的狗骨形件160能够围绕凹处1824枢转。一个远侧销159从枢转的狗骨形件160向上伸出，并滑动地容纳于远侧框架114中的狭槽1826中。钉施加组件20与纵向轴线成例如45度角的关节运动使枢转的狗骨形件160在孔1824中在其近侧销157处枢转，并且远侧销157在其远端1814滑进狭槽1826中，使击发棒66弯曲成两个隔开(spaced-apart)的角，它们的角度是钉施加组件20的一半。与以前参照的将击发棒66弯曲成45度角的弹性支撑板不同，固定壁枢转的狗骨形件160将击发棒66弯曲成两个隔开的角，例如每个22.5度。通过将一个或多个弹性击发棒66弯曲成角度的一半可将击发棒66中的弯曲应力减小到传统的关节运动支撑件中的一半。击发棒66中的弯曲应力的减小降低了击发棒中的永久弯曲或位置固定的可能性，降低了击发阻塞的可能性，确保了较小的击发棒回缩力，并为击发系统提供了更平稳的运行。
在图9中，外科器械1900包括双闭合枢轴一框架枢轴关节运动接头1902，显示出了一种作为替代的整体壁支撑板机构1904，其用于替代下部双枢轴连接件140和狗骨形连接件1812。左和右击发棒支架1906、1908从闭合套管组件1912的下部双枢轴连接件1914向上伸出。在框架底1916中提供间隙1914，当闭套管组件1912向远侧运动以闭合砧座42(在图9中未显示)以及向近侧运动张开砧座42时，该间隙使击发杆1906、1908能够运动。与上述的枢转的狗骨形件1812相同，作为替代的下部双枢轴连接件1910也可弯曲并支撑击发棒66(在图9中未显示)，以形成两个隔开的弯曲角，其中的每个达到钉施加组件20的弯曲角的一半。
横向构件导承机构
继续参照图9，框架底1916上的左和右向上的凸缘1918、1920包括远侧和近侧横向销导向件1922、1924，它们横向穿过T型杆1926中的孔，以辅助使关节运动机构1928中形成的束缚最小。作为另一个例子，在图7中，有利地，T型杆104包括一个燕尾状横向导向件1930，其可在T型杆104中形成的燕尾状通道1932中横向滑动。作为另一个例子，在图12中，框架底1936上的一个突出肋1934容纳于在T型杆1940中形成的矩形狭槽1938中。为了进一步便于无束缚的横向平移，每个近侧和远侧横向支撑轨道分别包括多个独立的滚珠1946、1948。作为另一个例子，在图13中，与T型杆1964中的T型杆横向沟槽1958-1962相对应，在框架底1956中形成多个框架横向沟槽1950-1954。滑动辊1966-1970位于每对横向沟槽1950/1958、1952/1960、1954/1962中。但这些决不是对防止T型杆1940不需要的旋接或旋转的纵向导承构件的穷举。
双枢轴框架底和单枢轴闭合的结合
在图14-15中，一种替代的框架底和闭合机构2200包括具有双枢轴框架组件2204的外科器械2202。特别地，框架底2206通过双枢轴框架狗骨形件2210与远侧框架构件2208连接，所述双枢轴框架狗骨形件2210具有一个与框架底2206中的近侧孔2214可枢转地接合的近侧枢轴销2212，和一个与远侧框架构件2208的远侧孔2218接合的远侧枢轴销2216。一个导向槽2220设置于狗骨形件2210的下侧，以在其中导承击发棒66(在图14-15中未显示)。刀槽2222设置在远侧框架构件2208中。如图所示，闭合环2230以45度角的关节运动使远侧框架构件2208以45度角进行关节运动，并使框架狗骨形件2210以该角度的一半相进行关节运动。相应地，击发棒66经受到隔开的两个浅的半弯曲，并达到上述列举的所有优点。
最外层闭合套管组件2224的不同之处在于，框架组件2204的双枢轴设计中仅有一个枢轴为其提供纵向闭合运动。如图所示，一个闭合管轴2226在其远端具有一个叉形头2228。叉形头2228与闭合环2230可枢转地接合。闭合环2230具有一个在远端形成的近侧齿轮2232，并且销2234与叉形头2228的上柄脚2236可枢转地接合，下臂2238与叉形头2228的下柄脚2240接合。叉形头2228中的孔2242容纳横向导销2243，并且T型杆2244可滑动地连接于其中，以接合闭合环2230的近侧齿轮2232。因此，这种替代机构2200使用与前面描述的机构相反的单/双枢轴替代设计。也就是说，这种替代的闭合机构具有单枢轴，而替代的框架底具有双枢轴，这与前面描述的具有单枢轴框架底的双枢轴闭合机构不同。
横向运动关节运动机构
在图16中，用于外科器械2402的执行部分2412包括多枢轴闭合组件2204。最外层闭合套管组件2424通过一个包围单枢轴框架关节运动接头(在图16中未显示)的弹性闭合接头2425与闭合管轴2426连接。作为选择，可包围一个挠颈型框架关节运动接头。多枢轴闭合组件2446通过具有在弹性材料(例如，聚合物、硅树脂)中形成的左和右垂直狭缝2427、2429而具有横向挠性。材料的顶部和底部带2451保持挠性闭合接头2425的纵向长度并传送击发运动。
通过对多个实施例的描述对本发明进行了解释，这些解释性的实施例描述得非常详细，但申请人并不是想将所附的权利要求书的范围限制或以任何方式限定得如此详细。其它优点和变化对本领域技术人员来说是显而易见的。
例如，这里公开了水压动力关节运动方法，此处还应理解，与本发明的一些方面一致的应用还可以是机械动力或电力动力的。
作为另一个例子，外科器械的端部执行器可包括多种类型的致动构件，其可被连接成接收通过套管组件在进行关节运动的轴之上进行的选择性往复纵向运动。

Claims (9)

1.一种外科器械，其包括：
细长轴，该细长轴包括框架组件和闭合套管组件；
端部执行器，其包括下部钳口和以可枢转的方式连接的上部钳口；
关节运动接头，其将端部执行器的下部钳口以可枢转的方式连接到所述框架组件的远端；
手柄部分，其与细长轴的近端连接，并可操作地构造为能将闭合运动沿纵向联接到闭合套管组件；以及
闭合套管组件的多枢轴接头，所述枢轴接头包围关节运动接头并在远侧与所述上部钳口接合，以使上部钳口枢转。
2.如权利要求1所述的外科器械，其中，所述闭合套管组件还包括一个与砧座接合的远侧闭合管部分和一个连接到所述手柄部分的近侧闭合管部分，所述闭合套管组件的所述多枢轴接头包括上部双枢轴连接件和下部双枢轴连接件，它们分别在其两个端部的每个端部处以可枢转的方式连接到远侧和近侧闭合管部分。
3.如权利要求2所述的外科器械，其中，所述远侧闭合管部分还包括朝近侧定向的叉形头，一个第一圆柱形构件与其相连；并且近侧闭合管部分还包括一个朝远侧定向的叉形头，一个第二圆柱形构件与其连接。
4.如权利要求1所述的外科器械，其中，所述框架组件还包括一个与所述下部钳口相连的远侧框架部分，和一个与手柄部分相连的近侧框架部分，一个框架枢转臂在一端刚性连接于远侧和近侧框架部分的任选一端，并在另一端以可枢转的方式连接于远侧和近侧框架部分的另一个。
5.如权利要求4所述的外科器械，其中，框架枢转臂包括用于导承击发棒的刀槽。
6.如权利要求1所述的外科器械，其中，所述下部钳口包括一个容纳有钉仓的细长通道，并且以可枢转方式连接的上部钳口包括一个提供钉形成表面的砧座。
7.如权利要求1所述的外科器械，其中，框架组件还包括一个与下部钳口相连的远侧框架部分，和一个与手柄部分连接的近侧框架部分，所述远侧和近侧框架部分为彼此提供叠置的和可枢转地连接的端部。
8.如权利要求1所述的外科器械，其中，闭合套管组件的多枢轴接头还包括一个远侧圆柱形构件，一个弹性闭合接头与其连接，以及一个与弹性闭合接头连接的近侧圆柱性构件。
9.如权利要求8所述的外科器械，其中，弹性闭合接头包括一个由弹性材料形成的圆柱形套管，并包括左和右两排垂直的狭缝。
CN2006100930523A 2005-06-23 2006-06-19 具有带双枢轴闭合器和单枢轴框架底的关节运动轴的外科器械 Active CN1883411B (zh)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US11/165,468 2005-06-23
US11/165,468 US20060289602A1 (en) 2005-06-23 2005-06-23 Surgical instrument with articulating shaft with double pivot closure and single pivot frame ground

Publications (2)

Publication Number Publication Date
CN1883411A true CN1883411A (zh) 2006-12-27
CN1883411B CN1883411B (zh) 2012-09-26

Family

ID=36793859

Family Applications (1)

Application Number Title Priority Date Filing Date
CN2006100930523A Active CN1883411B (zh) 2005-06-23 2006-06-19 具有带双枢轴闭合器和单枢轴框架底的关节运动轴的外科器械

Country Status (11)

Country Link
US (1) US20060289602A1 (zh)
EP (1) EP1736105A1 (zh)
JP (1) JP5179024B2 (zh)
KR (1) KR20060134840A (zh)
CN (1) CN1883411B (zh)
AU (1) AU2006202051B2 (zh)
BR (1) BRPI0602333A (zh)
CA (1) CA2550548A1 (zh)
IL (1) IL175761A0 (zh)
MX (1) MXPA06007225A (zh)
SG (1) SG128563A1 (zh)

Cited By (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2012040983A1 (zh) * 2010-09-30 2012-04-05 常州市康迪医用吻合器有限公司 带有链条关节的腔镜外科切割吻合器
CN102573665A (zh) * 2009-08-11 2012-07-11 猛禽岭有限责任公司 用于柔性组织紧固件的递送装置和方法
CN101801283B (zh) * 2007-09-21 2012-07-18 Tyco医疗健康集团 手术器械
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
US9375218B2 (en) 2006-05-03 2016-06-28 Datascope Corp. Systems and methods of tissue closure
CN107750144A (zh) * 2015-06-18 2018-03-02 伊西康有限责任公司 用于能够关节运动的外科器械的可运动击发梁支撑构造
CN107750142A (zh) * 2015-06-18 2018-03-02 伊西康有限责任公司 复合击发梁结构具有用于关节运动支撑的中心击发支撑构件的能够关节运动的外科器械
US10485545B2 (en) 2013-11-19 2019-11-26 Datascope Corp. Fastener applicator with interlock
CN112690891A (zh) * 2020-12-22 2021-04-23 博尔医疗科技常州有限公司 一种可实现左右弯转的电外科器械
CN110831517B (zh) * 2017-06-28 2023-04-25 爱惜康有限责任公司 包括能够由闭合系统锁定的关节运动系统的外科器械
US11653928B2 (en) 2018-03-28 2023-05-23 Datascope Corp. Device for atrial appendage exclusion

Families Citing this family (766)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5865361A (en) 1997-09-23 1999-02-02 United States Surgical Corporation Surgical stapling apparatus
US9060770B2 (en) 2003-05-20 2015-06-23 Ethicon Endo-Surgery, Inc. Robotically-driven surgical instrument with E-beam driver
US20070084897A1 (en) 2003-05-20 2007-04-19 Shelton Frederick E Iv Articulating surgical stapling instrument incorporating a two-piece e-beam firing mechanism
EP1635713B1 (en) 2003-06-17 2012-04-11 Tyco Healthcare Group LP Surgical stapling device
US8905977B2 (en) 2004-07-28 2014-12-09 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having an electroactive polymer actuated medical substance dispenser
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
US7784662B2 (en) * 2005-02-18 2010-08-31 Ethicon Endo-Surgery, Inc. Surgical instrument with articulating shaft with single pivot closure and double pivot frame ground
US7780054B2 (en) 2005-02-18 2010-08-24 Ethicon Endo-Surgery, Inc. Surgical instrument with laterally moved shaft actuator coupled to pivoting articulation joint
US7559450B2 (en) 2005-02-18 2009-07-14 Ethicon Endo-Surgery, Inc. Surgical instrument incorporating a fluid transfer controlled articulation mechanism
US7803156B2 (en) 2006-03-08 2010-09-28 Aragon Surgical, Inc. Method and apparatus for surgical electrocautery
US7862565B2 (en) 2005-05-12 2011-01-04 Aragon Surgical, Inc. Method for tissue cauterization
US8728072B2 (en) 2005-05-12 2014-05-20 Aesculap Ag Electrocautery method and apparatus
US9339323B2 (en) 2005-05-12 2016-05-17 Aesculap Ag Electrocautery method and apparatus
US8696662B2 (en) 2005-05-12 2014-04-15 Aesculap Ag Electrocautery method and apparatus
US20160001064A1 (en) * 2005-07-22 2016-01-07 The Spectranetics Corporation Endocardial lead cutting apparatus
US10159482B2 (en) 2005-08-31 2018-12-25 Ethicon Llc Fastener cartridge assembly comprising a fixed anvil and different staple heights
US7669746B2 (en) 2005-08-31 2010-03-02 Ethicon Endo-Surgery, Inc. Staple cartridges for forming staples having differing formed staple heights
US20070194079A1 (en) 2005-08-31 2007-08-23 Hueil Joseph C Surgical stapling device with staple drivers of different height
US11246590B2 (en) 2005-08-31 2022-02-15 Cilag Gmbh International Staple cartridge including staple drivers having different unfired heights
US8800838B2 (en) 2005-08-31 2014-08-12 Ethicon Endo-Surgery, Inc. Robotically-controlled cable-based surgical end effectors
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
US7934630B2 (en) 2005-08-31 2011-05-03 Ethicon Endo-Surgery, Inc. Staple cartridges for forming staples having differing formed staple heights
CA2563147C (en) 2005-10-14 2014-09-23 Tyco Healthcare Group Lp Surgical stapling device
US7673783B2 (en) 2005-11-04 2010-03-09 Ethicon Endo-Surgery, Inc. Surgical stapling instruments structured for delivery of medical agents
US7799039B2 (en) 2005-11-09 2010-09-21 Ethicon Endo-Surgery, Inc. Surgical instrument having a hydraulically actuated end effector
US20070106317A1 (en) 2005-11-09 2007-05-10 Shelton Frederick E Iv Hydraulically and electrically actuated articulation joints for surgical instruments
US8186555B2 (en) 2006-01-31 2012-05-29 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with mechanical closure system
US20110295295A1 (en) 2006-01-31 2011-12-01 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical instrument having recording capabilities
US8161977B2 (en) 2006-01-31 2012-04-24 Ethicon Endo-Surgery, Inc. Accessing data stored in a memory of a surgical instrument
US7845537B2 (en) 2006-01-31 2010-12-07 Ethicon Endo-Surgery, Inc. Surgical instrument having recording capabilities
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
US11224427B2 (en) 2006-01-31 2022-01-18 Cilag Gmbh International Surgical stapling system including a console and retraction assembly
US20120292367A1 (en) 2006-01-31 2012-11-22 Ethicon Endo-Surgery, Inc. Robotically-controlled end effector
US7644848B2 (en) 2006-01-31 2010-01-12 Ethicon Endo-Surgery, Inc. Electronic lockouts and surgical instrument including same
US11793518B2 (en) 2006-01-31 2023-10-24 Cilag Gmbh International Powered surgical instruments with firing system lockout arrangements
US7770775B2 (en) 2006-01-31 2010-08-10 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with adaptive user feedback
US20110024477A1 (en) 2009-02-06 2011-02-03 Hall Steven G Driven Surgical Stapler Improvements
US8708213B2 (en) 2006-01-31 2014-04-29 Ethicon Endo-Surgery, Inc. Surgical instrument having a feedback system
US11278279B2 (en) 2006-01-31 2022-03-22 Cilag Gmbh International Surgical instrument assembly
US7568603B2 (en) 2006-01-31 2009-08-04 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with articulatable end effector
US7766210B2 (en) 2006-01-31 2010-08-03 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with user feedback system
US8763879B2 (en) 2006-01-31 2014-07-01 Ethicon Endo-Surgery, Inc. Accessing data stored in a memory of surgical instrument
US8820603B2 (en) 2006-01-31 2014-09-02 Ethicon Endo-Surgery, Inc. Accessing data stored in a memory of a surgical instrument
US9861359B2 (en) 2006-01-31 2018-01-09 Ethicon Llc Powered surgical instruments with firing system lockout arrangements
US20070225562A1 (en) 2006-03-23 2007-09-27 Ethicon Endo-Surgery, Inc. Articulating endoscopic accessory channel
US8721630B2 (en) 2006-03-23 2014-05-13 Ethicon Endo-Surgery, Inc. Methods and devices for controlling articulation
US8992422B2 (en) 2006-03-23 2015-03-31 Ethicon Endo-Surgery, Inc. Robotically-controlled endoscopic accessory channel
US8574229B2 (en) 2006-05-02 2013-11-05 Aesculap Ag Surgical tool
EP2018248B1 (en) 2006-05-19 2015-11-04 Applied Medical Resources Corporation Surgical stapler
US8322455B2 (en) 2006-06-27 2012-12-04 Ethicon Endo-Surgery, Inc. Manually driven surgical cutting and fastening instrument
US7740159B2 (en) 2006-08-02 2010-06-22 Ethicon Endo-Surgery, Inc. Pneumatically powered surgical cutting and fastening instrument with a variable control of the actuating rate of firing with mechanical power assist
US10130359B2 (en) 2006-09-29 2018-11-20 Ethicon Llc Method for forming a staple
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
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
US8708210B2 (en) 2006-10-05 2014-04-29 Covidien Lp Method and force-limiting handle mechanism for a surgical instrument
US7866525B2 (en) 2006-10-06 2011-01-11 Tyco Healthcare Group Lp Surgical instrument having a plastic surface
US8608043B2 (en) 2006-10-06 2013-12-17 Covidien Lp Surgical instrument having a multi-layered drive beam
US11291441B2 (en) 2007-01-10 2022-04-05 Cilag Gmbh International Surgical instrument with wireless communication between control unit and remote sensor
US8684253B2 (en) 2007-01-10 2014-04-01 Ethicon Endo-Surgery, Inc. Surgical instrument with wireless communication between a control unit of a robotic system and remote sensor
US7721936B2 (en) 2007-01-10 2010-05-25 Ethicon Endo-Surgery, Inc. Interlock and surgical instrument including same
US8459520B2 (en) 2007-01-10 2013-06-11 Ethicon Endo-Surgery, Inc. Surgical instrument with wireless communication between control unit and remote sensor
US7954682B2 (en) 2007-01-10 2011-06-07 Ethicon Endo-Surgery, Inc. Surgical instrument with elements to communicate between control unit and end effector
US7721931B2 (en) 2007-01-10 2010-05-25 Ethicon Endo-Surgery, Inc. Prevention of cartridge reuse in a surgical instrument
US8652120B2 (en) 2007-01-10 2014-02-18 Ethicon Endo-Surgery, Inc. Surgical instrument with wireless communication between control unit and sensor transponders
US7738971B2 (en) 2007-01-10 2010-06-15 Ethicon Endo-Surgery, Inc. Post-sterilization programming of surgical instruments
US7900805B2 (en) 2007-01-10 2011-03-08 Ethicon Endo-Surgery, Inc. Surgical instrument with enhanced battery performance
US8540128B2 (en) 2007-01-11 2013-09-24 Ethicon Endo-Surgery, Inc. Surgical stapling device with a curved end effector
US11039836B2 (en) 2007-01-11 2021-06-22 Cilag Gmbh International Staple cartridge for use with a surgical stapling instrument
US7735703B2 (en) 2007-03-15 2010-06-15 Ethicon Endo-Surgery, Inc. Re-loadable surgical stapling instrument
US8056787B2 (en) 2007-03-28 2011-11-15 Ethicon Endo-Surgery, Inc. Surgical stapling and cutting instrument with travel-indicating retraction member
US8893946B2 (en) 2007-03-28 2014-11-25 Ethicon Endo-Surgery, Inc. Laparoscopic tissue thickness and clamp load measuring devices
US7823760B2 (en) * 2007-05-01 2010-11-02 Tyco Healthcare Group Lp Powered surgical stapling device platform
US7798386B2 (en) * 2007-05-30 2010-09-21 Ethicon Endo-Surgery, Inc. Surgical instrument articulation joint cover
US7810693B2 (en) 2007-05-30 2010-10-12 Ethicon Endo-Surgery, Inc. Surgical stapling and cutting instrument with articulatable end effector
US7549564B2 (en) * 2007-06-22 2009-06-23 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with an articulating end effector
US8157145B2 (en) 2007-05-31 2012-04-17 Ethicon Endo-Surgery, Inc. Pneumatically powered surgical cutting and fastening instrument with electrical feedback
US7905380B2 (en) 2007-06-04 2011-03-15 Ethicon Endo-Surgery, Inc. Surgical instrument having a multiple rate directional switching mechanism
US7819299B2 (en) 2007-06-04 2010-10-26 Ethicon Endo-Surgery, Inc. Surgical instrument having a common trigger for actuating an end effector closing system and a staple firing system
US8931682B2 (en) 2007-06-04 2015-01-13 Ethicon Endo-Surgery, Inc. Robotically-controlled shaft based rotary drive systems for surgical instruments
US8534528B2 (en) 2007-06-04 2013-09-17 Ethicon Endo-Surgery, Inc. Surgical instrument having a multiple rate directional switching mechanism
US7832408B2 (en) 2007-06-04 2010-11-16 Ethicon Endo-Surgery, Inc. Surgical instrument having a directional switching mechanism
US11857181B2 (en) 2007-06-04 2024-01-02 Cilag Gmbh International Robotically-controlled shaft based rotary drive systems for surgical instruments
US20080308603A1 (en) 2007-06-18 2008-12-18 Shelton Frederick E Cable driven surgical stapling and cutting instrument with improved cable attachment arrangements
US7658311B2 (en) 2007-06-22 2010-02-09 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with a geared return mechanism
US7753245B2 (en) 2007-06-22 2010-07-13 Ethicon Endo-Surgery, Inc. Surgical stapling instruments
US8408439B2 (en) 2007-06-22 2013-04-02 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with an articulatable end effector
US11849941B2 (en) 2007-06-29 2023-12-26 Cilag Gmbh International Staple cartridge having staple cavities extending at a transverse angle relative to a longitudinal cartridge axis
US8061576B2 (en) 2007-08-31 2011-11-22 Tyco Healthcare Group Lp Surgical instrument
KR100911248B1 (ko) 2007-10-17 2009-08-07 국립암센터 소구경 복강경 수술기구
US7954685B2 (en) 2007-11-06 2011-06-07 Tyco Healthcare Group Lp Articulation and firing force mechanisms
US8870867B2 (en) 2008-02-06 2014-10-28 Aesculap Ag Articulable electrosurgical instrument with a stabilizable articulation actuator
US8540133B2 (en) 2008-09-19 2013-09-24 Ethicon Endo-Surgery, Inc. Staple cartridge
US8453908B2 (en) 2008-02-13 2013-06-04 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with improved firing trigger arrangement
US8561870B2 (en) 2008-02-13 2013-10-22 Ethicon Endo-Surgery, Inc. Surgical stapling instrument
US7766209B2 (en) 2008-02-13 2010-08-03 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with improved firing trigger arrangement
US7905381B2 (en) 2008-09-19 2011-03-15 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with cutting member arrangement
US8584919B2 (en) 2008-02-14 2013-11-19 Ethicon Endo-Sugery, Inc. Surgical stapling apparatus with load-sensitive firing mechanism
US8657174B2 (en) 2008-02-14 2014-02-25 Ethicon Endo-Surgery, Inc. Motorized surgical cutting and fastening instrument having handle based power source
US7810692B2 (en) 2008-02-14 2010-10-12 Ethicon Endo-Surgery, Inc. Disposable loading unit with firing indicator
US8636736B2 (en) 2008-02-14 2014-01-28 Ethicon Endo-Surgery, Inc. Motorized surgical cutting and fastening instrument
US7819298B2 (en) 2008-02-14 2010-10-26 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with control features operable with one hand
US7913891B2 (en) 2008-02-14 2011-03-29 Ethicon Endo-Surgery, Inc. Disposable loading unit with user feedback features and surgical instrument for use therewith
US7857185B2 (en) 2008-02-14 2010-12-28 Ethicon Endo-Surgery, Inc. Disposable loading unit for surgical stapling apparatus
US7819297B2 (en) 2008-02-14 2010-10-26 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with reprocessible handle assembly
RU2493788C2 (ru) 2008-02-14 2013-09-27 Этикон Эндо-Серджери, Инк. Хирургический режущий и крепежный инструмент, имеющий радиочастотные электроды
US7819296B2 (en) 2008-02-14 2010-10-26 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with retractable firing systems
US9179912B2 (en) 2008-02-14 2015-11-10 Ethicon Endo-Surgery, Inc. Robotically-controlled motorized surgical cutting and fastening instrument
US7861906B2 (en) 2008-02-14 2011-01-04 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with articulatable components
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
US8573465B2 (en) 2008-02-14 2013-11-05 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical end effector system with rotary actuated closure systems
US8758391B2 (en) 2008-02-14 2014-06-24 Ethicon Endo-Surgery, Inc. Interchangeable tools for surgical instruments
US8622274B2 (en) 2008-02-14 2014-01-07 Ethicon Endo-Surgery, Inc. Motorized cutting and fastening instrument having control circuit for optimizing battery usage
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
US7866527B2 (en) 2008-02-14 2011-01-11 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with interlockable firing system
US11272927B2 (en) 2008-02-15 2022-03-15 Cilag Gmbh International Layer arrangements for surgical staple cartridges
US20090206131A1 (en) 2008-02-15 2009-08-20 Ethicon Endo-Surgery, Inc. End effector coupling arrangements for a surgical cutting and stapling instrument
US20130153641A1 (en) 2008-02-15 2013-06-20 Ethicon Endo-Surgery, Inc. Releasable layer of material and surgical end effector having the same
US8371491B2 (en) 2008-02-15 2013-02-12 Ethicon Endo-Surgery, Inc. Surgical end effector having buttress retention features
US7959051B2 (en) 2008-02-15 2011-06-14 Ethicon Endo-Surgery, Inc. Closure systems for a surgical cutting and stapling instrument
US7980443B2 (en) 2008-02-15 2011-07-19 Ethicon Endo-Surgery, Inc. End effectors for a surgical cutting and stapling instrument
US7922061B2 (en) 2008-05-21 2011-04-12 Ethicon Endo-Surgery, Inc. Surgical instrument with automatically reconfigurable articulating end effector
US7942303B2 (en) 2008-06-06 2011-05-17 Tyco Healthcare Group Lp Knife lockout mechanisms for surgical instrument
US8701959B2 (en) 2008-06-06 2014-04-22 Covidien Lp Mechanically pivoting cartridge channel for surgical instrument
US7789283B2 (en) 2008-06-06 2010-09-07 Tyco Healthcare Group Lp Knife/firing rod connection for surgical instrument
US7837080B2 (en) 2008-09-18 2010-11-23 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with device for indicating when the instrument has cut through tissue
US8083120B2 (en) 2008-09-18 2011-12-27 Ethicon Endo-Surgery, Inc. End effector for use with a surgical cutting and stapling instrument
PL3476312T3 (pl) 2008-09-19 2024-03-11 Ethicon Llc Stapler chirurgiczny z urządzeniem do dopasowania wysokości zszywek
US8210411B2 (en) 2008-09-23 2012-07-03 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting instrument
US8215532B2 (en) 2008-09-23 2012-07-10 Tyco Healthcare Group Lp Tissue stop for surgical instrument
US7988028B2 (en) 2008-09-23 2011-08-02 Tyco Healthcare Group Lp Surgical instrument having an asymmetric dynamic clamping member
US9050083B2 (en) 2008-09-23 2015-06-09 Ethicon Endo-Surgery, Inc. Motorized surgical instrument
US9386983B2 (en) 2008-09-23 2016-07-12 Ethicon Endo-Surgery, Llc Robotically-controlled motorized surgical instrument
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
US8628544B2 (en) 2008-09-23 2014-01-14 Covidien Lp Knife bar for surgical instrument
US7896214B2 (en) 2008-09-23 2011-03-01 Tyco Healthcare Group Lp Tissue stop for surgical instrument
US8608045B2 (en) 2008-10-10 2013-12-17 Ethicon Endo-Sugery, Inc. Powered surgical cutting and stapling apparatus with manually retractable firing system
US8020743B2 (en) 2008-10-15 2011-09-20 Ethicon Endo-Surgery, Inc. Powered articulatable surgical cutting and fastening instrument with flexible drive member
US8517239B2 (en) 2009-02-05 2013-08-27 Ethicon Endo-Surgery, Inc. Surgical stapling instrument comprising a magnetic element driver
US8485413B2 (en) 2009-02-05 2013-07-16 Ethicon Endo-Surgery, Inc. Surgical stapling instrument comprising an articulation joint
US8397971B2 (en) 2009-02-05 2013-03-19 Ethicon Endo-Surgery, Inc. Sterilizable surgical instrument
US8414577B2 (en) 2009-02-05 2013-04-09 Ethicon Endo-Surgery, Inc. Surgical instruments and components for use in sterile environments
RU2525225C2 (ru) 2009-02-06 2014-08-10 Этикон Эндо-Серджери, Инк. Усовершенствование приводного хирургического сшивающего инструмента
US8444036B2 (en) 2009-02-06 2013-05-21 Ethicon Endo-Surgery, Inc. Motor driven surgical fastener device with mechanisms for adjusting a tissue gap within the end effector
US8453907B2 (en) 2009-02-06 2013-06-04 Ethicon Endo-Surgery, Inc. Motor driven surgical fastener device with cutting member reversing mechanism
US8292154B2 (en) 2009-04-16 2012-10-23 Tyco Healthcare Group Lp Surgical apparatus for applying tissue fasteners
US8127976B2 (en) 2009-05-08 2012-03-06 Tyco Healthcare Group Lp Stapler cartridge and channel interlock
US8132706B2 (en) 2009-06-05 2012-03-13 Tyco Healthcare Group Lp Surgical stapling apparatus having articulation mechanism
US8342378B2 (en) 2009-08-17 2013-01-01 Covidien Lp One handed stapler
US8141762B2 (en) 2009-10-09 2012-03-27 Ethicon Endo-Surgery, Inc. Surgical stapler comprising a staple pocket
US8418907B2 (en) 2009-11-05 2013-04-16 Covidien Lp Surgical stapler having cartridge with adjustable cam mechanism
US8353438B2 (en) 2009-11-19 2013-01-15 Ethicon Endo-Surgery, Inc. Circular stapler introducer with rigid cap assembly configured for easy removal
US8136712B2 (en) 2009-12-10 2012-03-20 Ethicon Endo-Surgery, Inc. Surgical stapler with discrete staple height adjustment and tactile feedback
US8220688B2 (en) 2009-12-24 2012-07-17 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting instrument with electric actuator directional control assembly
US8851354B2 (en) 2009-12-24 2014-10-07 Ethicon Endo-Surgery, Inc. Surgical cutting instrument that analyzes tissue thickness
US8267300B2 (en) 2009-12-30 2012-09-18 Ethicon Endo-Surgery, Inc. Dampening device for endoscopic surgical stapler
US8608046B2 (en) 2010-01-07 2013-12-17 Ethicon Endo-Surgery, Inc. Test device for a surgical tool
US8469254B2 (en) * 2010-01-22 2013-06-25 Covidien Lp Surgical instrument having a drive assembly
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
US8827992B2 (en) 2010-03-26 2014-09-09 Aesculap Ag Impedance mediated control of power delivery for electrosurgery
US8419727B2 (en) 2010-03-26 2013-04-16 Aesculap Ag Impedance mediated power delivery for electrosurgery
US8348127B2 (en) 2010-04-07 2013-01-08 Covidien Lp Surgical fastener applying apparatus
US8783543B2 (en) 2010-07-30 2014-07-22 Ethicon Endo-Surgery, Inc. Tissue acquisition arrangements and methods for surgical stapling devices
US8801735B2 (en) 2010-07-30 2014-08-12 Ethicon Endo-Surgery, Inc. Surgical circular stapler with tissue retention arrangements
US8789740B2 (en) 2010-07-30 2014-07-29 Ethicon Endo-Surgery, Inc. Linear cutting and stapling device with selectively disengageable cutting member
US8360296B2 (en) 2010-09-09 2013-01-29 Ethicon Endo-Surgery, Inc. Surgical stapling head assembly with firing lockout for a surgical stapler
US8632525B2 (en) 2010-09-17 2014-01-21 Ethicon Endo-Surgery, Inc. Power control arrangements for surgical instruments and batteries
US9289212B2 (en) 2010-09-17 2016-03-22 Ethicon Endo-Surgery, Inc. Surgical instruments and batteries for surgical instruments
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
US8733613B2 (en) 2010-09-29 2014-05-27 Ethicon Endo-Surgery, Inc. Staple cartridge
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
US11298125B2 (en) 2010-09-30 2022-04-12 Cilag Gmbh International Tissue stapler having a thickness compensator
US9629814B2 (en) 2010-09-30 2017-04-25 Ethicon Endo-Surgery, Llc Tissue thickness compensator configured to redistribute compressive forces
US9320523B2 (en) 2012-03-28 2016-04-26 Ethicon Endo-Surgery, Llc Tissue thickness compensator comprising tissue ingrowth features
US9307989B2 (en) 2012-03-28 2016-04-12 Ethicon Endo-Surgery, Llc Tissue stapler having a thickness compensator incorportating a hydrophobic agent
US20120080498A1 (en) 2010-09-30 2012-04-05 Ethicon Endo-Surgery, Inc. Curved end effector for a stapling instrument
US9220501B2 (en) 2010-09-30 2015-12-29 Ethicon Endo-Surgery, Inc. Tissue thickness compensators
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
AU2011308701B2 (en) 2010-09-30 2013-11-14 Ethicon Endo-Surgery, Inc. Fastener system comprising a retention matrix and an alignment matrix
US9364233B2 (en) 2010-09-30 2016-06-14 Ethicon Endo-Surgery, Llc Tissue thickness compensators for circular surgical staplers
US9232941B2 (en) 2010-09-30 2016-01-12 Ethicon Endo-Surgery, Inc. Tissue thickness compensator comprising a reservoir
US9480476B2 (en) 2010-09-30 2016-11-01 Ethicon Endo-Surgery, Llc Tissue thickness compensator comprising resilient members
US9314246B2 (en) 2010-09-30 2016-04-19 Ethicon Endo-Surgery, Llc Tissue stapler having a thickness compensator incorporating an anti-inflammatory agent
US9241714B2 (en) 2011-04-29 2016-01-26 Ethicon Endo-Surgery, Inc. Tissue thickness compensator and method for making the same
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
US8893949B2 (en) 2010-09-30 2014-11-25 Ethicon Endo-Surgery, Inc. Surgical stapler with floating anvil
US8783542B2 (en) 2010-09-30 2014-07-22 Ethicon Endo-Surgery, Inc. Fasteners supported by a fastener cartridge support
US9168038B2 (en) 2010-09-30 2015-10-27 Ethicon Endo-Surgery, Inc. Staple cartridge comprising a tissue thickness compensator
US9301753B2 (en) 2010-09-30 2016-04-05 Ethicon Endo-Surgery, Llc Expandable tissue thickness compensator
US8695866B2 (en) 2010-10-01 2014-04-15 Ethicon Endo-Surgery, Inc. Surgical instrument having a power control circuit
US8899461B2 (en) 2010-10-01 2014-12-02 Covidien Lp Tissue stop for surgical instrument
US8308041B2 (en) 2010-11-10 2012-11-13 Tyco Healthcare Group Lp Staple formed over the wire wound closure procedure
US8986287B2 (en) 2011-02-14 2015-03-24 Adrian E. Park Adjustable laparoscopic instrument handle
US9033204B2 (en) 2011-03-14 2015-05-19 Ethicon Endo-Surgery, Inc. Circular stapling devices with tissue-puncturing anvil features
US8800841B2 (en) 2011-03-15 2014-08-12 Ethicon Endo-Surgery, Inc. Surgical staple cartridges
US9566048B1 (en) * 2011-04-26 2017-02-14 Cardica, Inc. Surgical instrument with discrete cammed articulation
BR112013027794B1 (pt) 2011-04-29 2020-12-15 Ethicon Endo-Surgery, Inc Conjunto de cartucho de grampos
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
US9271728B2 (en) 2011-06-09 2016-03-01 Covidien Lp Surgical fastener applying apparatus
US9451959B2 (en) 2011-06-09 2016-09-27 Covidien Lp Surgical fastener applying apparatus
US9289209B2 (en) 2011-06-09 2016-03-22 Covidien Lp Surgical fastener applying apparatus
US9339327B2 (en) 2011-06-28 2016-05-17 Aesculap Ag Electrosurgical tissue dissecting device
US8763876B2 (en) 2011-06-30 2014-07-01 Covidien Lp Surgical instrument and cartridge for use therewith
US20130012958A1 (en) 2011-07-08 2013-01-10 Stanislaw Marczyk Surgical Device with Articulation and Wrist Rotation
US9155537B2 (en) 2011-08-08 2015-10-13 Covidien Lp Surgical fastener applying apparatus
US9724095B2 (en) 2011-08-08 2017-08-08 Covidien Lp Surgical fastener applying apparatus
US9539007B2 (en) 2011-08-08 2017-01-10 Covidien Lp Surgical fastener applying aparatus
KR101521289B1 (ko) * 2011-08-29 2015-05-21 주식회사 모바수 개선된 관절부를 갖는 최소 침습 수술 기구
US8789739B2 (en) 2011-09-06 2014-07-29 Ethicon Endo-Surgery, Inc. Continuous stapling instrument
US9050084B2 (en) 2011-09-23 2015-06-09 Ethicon Endo-Surgery, Inc. Staple cartridge including collapsible deck arrangement
US9016539B2 (en) 2011-10-25 2015-04-28 Covidien Lp Multi-use loading unit
JP6170931B2 (ja) 2011-10-31 2017-07-26 ボストン サイエンティフィック サイムド，インコーポレイテッドＢｏｓｔｏｎ Ｓｃｉｅｎｔｉｆｉｃ Ｓｃｉｍｅｄ，Ｉｎｃ． 偏向可能な遠位ツールを有する内視鏡器具
US8740036B2 (en) 2011-12-01 2014-06-03 Covidien Lp Surgical instrument with actuator spring arm
US10299815B2 (en) 2012-01-19 2019-05-28 Covidien Lp Surgical instrument with clam releases mechanism
US8864010B2 (en) 2012-01-20 2014-10-21 Covidien Lp Curved guide member for articulating instruments
JP6320936B2 (ja) 2012-01-25 2018-05-09 ボストン サイエンティフィック サイムド，インコーポレイテッドＢｏｓｔｏｎ Ｓｃｉｅｎｔｉｆｉｃ Ｓｃｉｍｅｄ，Ｉｎｃ． 可動遠位ツールを備えた医療装置
US9044230B2 (en) 2012-02-13 2015-06-02 Ethicon Endo-Surgery, Inc. Surgical cutting and fastening instrument with apparatus for determining cartridge and firing motion status
US8979827B2 (en) 2012-03-14 2015-03-17 Covidien Lp Surgical instrument with articulation mechanism
US9078653B2 (en) 2012-03-26 2015-07-14 Ethicon Endo-Surgery, Inc. Surgical stapling device with lockout system for preventing actuation in the absence of an installed staple cartridge
RU2014143258A (ru) 2012-03-28 2016-05-20 Этикон Эндо-Серджери, Инк. Компенсатор толщины ткани, содержащий множество слоев
RU2639857C2 (ru) 2012-03-28 2017-12-22 Этикон Эндо-Серджери, Инк. Компенсатор толщины ткани, содержащий капсулу для среды с низким давлением
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
US9526497B2 (en) 2012-05-07 2016-12-27 Covidien Lp Surgical instrument with articulation mechanism
US9101358B2 (en) 2012-06-15 2015-08-11 Ethicon Endo-Surgery, Inc. Articulatable surgical instrument comprising a firing drive
US20140001234A1 (en) 2012-06-28 2014-01-02 Ethicon Endo-Surgery, Inc. Coupling arrangements for attaching surgical end effectors to drive systems therefor
BR112014032740A2 (pt) 2012-06-28 2020-02-27 Ethicon Endo Surgery Inc bloqueio de cartucho de clipes vazio
US9101385B2 (en) 2012-06-28 2015-08-11 Ethicon Endo-Surgery, Inc. Electrode connections for rotary driven surgical tools
US9072536B2 (en) 2012-06-28 2015-07-07 Ethicon Endo-Surgery, Inc. Differential locking arrangements for rotary powered surgical instruments
US11278284B2 (en) 2012-06-28 2022-03-22 Cilag Gmbh International Rotary drive arrangements for surgical instruments
US8747238B2 (en) 2012-06-28 2014-06-10 Ethicon Endo-Surgery, Inc. Rotary drive shaft assemblies for surgical instruments with articulatable end effectors
US9119657B2 (en) 2012-06-28 2015-09-01 Ethicon Endo-Surgery, Inc. Rotary actuatable closure arrangement for surgical end effector
US9649111B2 (en) 2012-06-28 2017-05-16 Ethicon Endo-Surgery, Llc Replaceable clip cartridge for a clip applier
US9561038B2 (en) 2012-06-28 2017-02-07 Ethicon Endo-Surgery, Llc Interchangeable clip applier
US9125662B2 (en) 2012-06-28 2015-09-08 Ethicon Endo-Surgery, Inc. Multi-axis articulating and rotating surgical tools
US9289256B2 (en) 2012-06-28 2016-03-22 Ethicon Endo-Surgery, Llc Surgical end effectors having angled tissue-contacting surfaces
US9028494B2 (en) 2012-06-28 2015-05-12 Ethicon Endo-Surgery, Inc. Interchangeable end effector coupling arrangement
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
US20140001231A1 (en) 2012-06-28 2014-01-02 Ethicon Endo-Surgery, Inc. Firing system lockout arrangements for surgical instruments
US20140005718A1 (en) 2012-06-28 2014-01-02 Ethicon Endo-Surgery, Inc. Multi-functional powered surgical device with external dissection features
US9232944B2 (en) 2012-06-29 2016-01-12 Covidien Lp Surgical instrument and bushing
US9872724B2 (en) 2012-09-26 2018-01-23 Aesculap Ag Apparatus for tissue cutting and sealing
US9386985B2 (en) 2012-10-15 2016-07-12 Ethicon Endo-Surgery, Llc Surgical cutting instrument
US9364217B2 (en) 2012-10-16 2016-06-14 Covidien Lp In-situ loaded stapler
US9345480B2 (en) 2013-01-18 2016-05-24 Covidien Lp Surgical instrument and cartridge members for use therewith
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
MX366564B (es) * 2013-03-01 2019-07-11 Ethicon Endo Surgery Inc Juntas de articulación alimentadas por rotación para instrumentos quirúrgicos.
RU2669463C2 (ru) 2013-03-01 2018-10-11 Этикон Эндо-Серджери, Инк. Хирургический инструмент с мягким упором
BR112015021098B1 (pt) 2013-03-01 2022-02-15 Ethicon Endo-Surgery, Inc Cobertura para uma junta de articulação e instrumento cirúrgico
US9358003B2 (en) * 2013-03-01 2016-06-07 Ethicon Endo-Surgery, Llc Electromechanical surgical device with signal relay arrangement
US10561432B2 (en) 2013-03-05 2020-02-18 Covidien Lp Pivoting screw for use with a pair of jaw members of a surgical instrument
US9402644B2 (en) * 2013-03-13 2016-08-02 Covidien Lp Reverse seam ripper dissector
US9814463B2 (en) 2013-03-13 2017-11-14 Covidien Lp Surgical stapling apparatus
US9629628B2 (en) * 2013-03-13 2017-04-25 Covidien Lp Surgical stapling apparatus
US20140263552A1 (en) 2013-03-13 2014-09-18 Ethicon Endo-Surgery, Inc. Staple cartridge tissue thickness sensor system
US9888921B2 (en) 2013-03-13 2018-02-13 Covidien Lp Surgical stapling apparatus
US9717498B2 (en) 2013-03-13 2017-08-01 Covidien Lp Surgical stapling apparatus
WO2014152912A1 (en) 2013-03-14 2014-09-25 Applied Medical Resources Corporation Surgical stapler with partial pockets
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
WO2014144411A1 (en) 2013-03-15 2014-09-18 Applied Medical Resources Corporation Surgical stapler having actuation mechanism with rotatable shaft
KR102254476B1 (ko) 2013-03-15 2021-05-21 어플라이드 메디컬 리소시스 코포레이션 확장가능 조를 갖는 수술용 스테이플러
US9510827B2 (en) 2013-03-25 2016-12-06 Covidien Lp Micro surgical instrument and loading unit for use therewith
US9795384B2 (en) 2013-03-27 2017-10-24 Ethicon Llc Fastener cartridge comprising a tissue thickness compensator and a gap setting element
US9332984B2 (en) 2013-03-27 2016-05-10 Ethicon Endo-Surgery, Llc Fastener cartridge assemblies
US9572577B2 (en) 2013-03-27 2017-02-21 Ethicon Endo-Surgery, Llc Fastener cartridge comprising a tissue thickness compensator including openings therein
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
US9574644B2 (en) 2013-05-30 2017-02-21 Ethicon Endo-Surgery, Llc Power module for use with a surgical instrument
US9445810B2 (en) 2013-06-12 2016-09-20 Covidien Lp Stapling device with grasping jaw mechanism
MX369362B (es) 2013-08-23 2019-11-06 Ethicon Endo Surgery Llc Dispositivos de retraccion de miembros de disparo para instrumentos quirurgicos electricos.
US9283054B2 (en) 2013-08-23 2016-03-15 Ethicon Endo-Surgery, Llc Interactive displays
US9662108B2 (en) 2013-08-30 2017-05-30 Covidien Lp Surgical stapling apparatus
US20140171986A1 (en) 2013-09-13 2014-06-19 Ethicon Endo-Surgery, Inc. Surgical Clip Having Comliant Portion
AU2013403917A1 (en) 2013-11-04 2016-04-28 Covidien Lp Surgical fastener applying apparatus
EP3065648A1 (en) 2013-11-04 2016-09-14 Covidien LP Surgical fastener applying apparatus
CN110063762B (zh) 2013-11-04 2022-04-15 柯惠Lp公司 手术紧固件施加装置
US9867613B2 (en) 2013-12-19 2018-01-16 Covidien Lp Surgical staples and end effectors for deploying the same
US9681870B2 (en) 2013-12-23 2017-06-20 Ethicon Llc Articulatable surgical instruments with separate and distinct closing and firing systems
US9724092B2 (en) 2013-12-23 2017-08-08 Ethicon Llc Modular surgical instruments
US9549735B2 (en) 2013-12-23 2017-01-24 Ethicon Endo-Surgery, Llc Fastener cartridge comprising a firing member including fastener transfer surfaces
US9642620B2 (en) 2013-12-23 2017-05-09 Ethicon Endo-Surgery, Llc Surgical cutting and stapling instruments with articulatable end effectors
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
US9962161B2 (en) 2014-02-12 2018-05-08 Ethicon Llc Deliverable surgical instrument
US9848874B2 (en) 2014-02-14 2017-12-26 Covidien Lp Small diameter endoscopic stapler
US9775608B2 (en) 2014-02-24 2017-10-03 Ethicon Llc Fastening system comprising a firing member lockout
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
US9913642B2 (en) 2014-03-26 2018-03-13 Ethicon Llc Surgical instrument comprising a sensor system
BR112016021943B1 (pt) 2014-03-26 2022-06-14 Ethicon Endo-Surgery, Llc Instrumento cirúrgico para uso por um operador em um procedimento cirúrgico
US9750499B2 (en) 2014-03-26 2017-09-05 Ethicon Llc Surgical stapling instrument system
US20150272557A1 (en) 2014-03-26 2015-10-01 Ethicon Endo-Surgery, Inc. Modular surgical instrument system
US10013049B2 (en) 2014-03-26 2018-07-03 Ethicon Llc Power management through sleep options of segmented circuit and wake up control
US9757126B2 (en) 2014-03-31 2017-09-12 Covidien Lp Surgical stapling apparatus with firing lockout mechanism
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
US20150297225A1 (en) 2014-04-16 2015-10-22 Ethicon Endo-Surgery, Inc. Fastener cartridges including extensions having different configurations
BR112016023698B1 (pt) 2014-04-16 2022-07-26 Ethicon Endo-Surgery, Llc Cartucho de prendedores para uso com um instrumento cirúrgico
US9801627B2 (en) 2014-09-26 2017-10-31 Ethicon Llc Fastener cartridge for creating a flexible staple line
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
US9668733B2 (en) 2014-04-21 2017-06-06 Covidien Lp Stapling device with features to prevent inadvertent firing of staples
US9861366B2 (en) 2014-05-06 2018-01-09 Covidien Lp Ejecting assembly for a surgical stapler
WO2015174985A1 (en) 2014-05-15 2015-11-19 Lp Covidien Surgical fastener applying apparatus
ES2861258T3 (es) 2014-06-11 2021-10-06 Applied Med Resources Grapadora quirúrgica con disparo circunferencial
US10045781B2 (en) 2014-06-13 2018-08-14 Ethicon Llc Closure lockout systems for surgical instruments
US10111679B2 (en) 2014-09-05 2018-10-30 Ethicon Llc Circuitry and sensors for powered medical device
US11311294B2 (en) 2014-09-05 2022-04-26 Cilag Gmbh International Powered medical device including measurement of closure state of jaws
BR112017004361B1 (pt) 2014-09-05 2023-04-11 Ethicon Llc Sistema eletrônico para um instrumento cirúrgico
AU2015318095B2 (en) 2014-09-15 2020-02-20 Applied Medical Resources Corporation Surgical stapler with self-adjusting staple height
US10105142B2 (en) 2014-09-18 2018-10-23 Ethicon Llc Surgical stapler with plurality of cutting elements
US11523821B2 (en) 2014-09-26 2022-12-13 Cilag Gmbh International Method for creating a flexible staple line
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
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
US10736636B2 (en) 2014-12-10 2020-08-11 Ethicon Llc Articulatable surgical instrument system
US10188385B2 (en) 2014-12-18 2019-01-29 Ethicon Llc Surgical instrument system comprising lockable systems
US10085748B2 (en) 2014-12-18 2018-10-02 Ethicon Llc Locking arrangements for detachable shaft assemblies with articulatable surgical end effectors
US9987000B2 (en) 2014-12-18 2018-06-05 Ethicon Llc Surgical instrument assembly comprising a flexible articulation system
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
MX2017008108A (es) 2014-12-18 2018-03-06 Ethicon Llc Instrumento quirurgico con un yunque que puede moverse de manera selectiva sobre un eje discreto no movil con relacion a un cartucho de grapas.
US9844374B2 (en) 2014-12-18 2017-12-19 Ethicon Llc Surgical instrument systems comprising an articulatable end effector and means for adjusting the firing stroke of a firing member
US10117649B2 (en) * 2014-12-18 2018-11-06 Ethicon Llc Surgical instrument assembly comprising a lockable articulation system
US10039545B2 (en) 2015-02-23 2018-08-07 Covidien Lp Double fire stapling
US10285698B2 (en) 2015-02-26 2019-05-14 Covidien Lp Surgical apparatus
US10085749B2 (en) 2015-02-26 2018-10-02 Covidien Lp Surgical apparatus with conductor strain relief
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
US10226250B2 (en) 2015-02-27 2019-03-12 Ethicon Llc Modular stapling assembly
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
US10617412B2 (en) 2015-03-06 2020-04-14 Ethicon Llc System for detecting the mis-insertion of a staple cartridge into a surgical stapler
US9808246B2 (en) 2015-03-06 2017-11-07 Ethicon Endo-Surgery, Llc Method of operating a powered surgical instrument
US9993248B2 (en) 2015-03-06 2018-06-12 Ethicon Endo-Surgery, Llc Smart sensors with local signal processing
US10687806B2 (en) 2015-03-06 2020-06-23 Ethicon Llc Adaptive tissue compression techniques to adjust closure rates for multiple tissue types
US9901342B2 (en) 2015-03-06 2018-02-27 Ethicon Endo-Surgery, Llc Signal and power communication system positioned on a rotatable shaft
US10441279B2 (en) 2015-03-06 2019-10-15 Ethicon Llc Multiple level thresholds to modify operation of powered surgical instruments
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
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
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
US9895148B2 (en) 2015-03-06 2018-02-20 Ethicon Endo-Surgery, Llc Monitoring speed control and precision incrementing of motor for powered surgical instruments
US10245033B2 (en) 2015-03-06 2019-04-02 Ethicon Llc Surgical instrument comprising a lockable battery housing
US9918717B2 (en) 2015-03-18 2018-03-20 Covidien Lp Pivot mechanism for surgical device
US10433844B2 (en) 2015-03-31 2019-10-08 Ethicon Llc Surgical instrument with selectively disengageable threaded drive systems
US10463368B2 (en) 2015-04-10 2019-11-05 Covidien Lp Endoscopic stapler
US10299789B2 (en) 2015-05-05 2019-05-28 Covidie LP Adapter assembly for surgical stapling devices
US10117650B2 (en) 2015-05-05 2018-11-06 Covidien Lp Adapter assembly and loading units for surgical stapling devices
US10039532B2 (en) 2015-05-06 2018-08-07 Covidien Lp Surgical instrument with articulation assembly
US10143474B2 (en) 2015-05-08 2018-12-04 Just Right Surgical, Llc Surgical stapler
US10349941B2 (en) 2015-05-27 2019-07-16 Covidien Lp Multi-fire lead screw stapling device
US10172615B2 (en) 2015-05-27 2019-01-08 Covidien Lp Multi-fire push rod stapling device
US10178992B2 (en) * 2015-06-18 2019-01-15 Ethicon Llc Push/pull articulation drive systems for articulatable surgical instruments
CN107771060B (zh) 2015-06-18 2021-06-04 伊西康有限责任公司 用于能够关节运动的外科器械的双关节运动驱动系统结构
US10548599B2 (en) 2015-07-20 2020-02-04 Covidien Lp Endoscopic stapler and staple
US9987012B2 (en) 2015-07-21 2018-06-05 Covidien Lp Small diameter cartridge design for a surgical stapling instrument
US10064622B2 (en) 2015-07-29 2018-09-04 Covidien Lp Surgical stapling loading unit with stroke counter and lockout
US10045782B2 (en) 2015-07-30 2018-08-14 Covidien Lp Surgical stapling loading unit with stroke counter and lockout
JP7079194B2 (ja) 2015-08-06 2022-06-01 アプライド メディカル リソーシーズ コーポレイション ロック関節連結継手を備えた外科用ステープラ
US10835249B2 (en) 2015-08-17 2020-11-17 Ethicon Llc Implantable layers for a surgical instrument
US10390829B2 (en) 2015-08-26 2019-08-27 Ethicon Llc Staples comprising a cover
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
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.
US10314587B2 (en) 2015-09-02 2019-06-11 Ethicon Llc Surgical staple cartridge with improved staple driver configurations
US10363036B2 (en) 2015-09-23 2019-07-30 Ethicon Llc Surgical stapler having force-based motor control
US10327769B2 (en) 2015-09-23 2019-06-25 Ethicon Llc Surgical stapler having motor control based on a drive system component
US10238386B2 (en) 2015-09-23 2019-03-26 Ethicon Llc Surgical stapler having motor control based on an electrical parameter related to a motor current
US10076326B2 (en) 2015-09-23 2018-09-18 Ethicon Llc Surgical stapler having current mirror-based motor control
US10085751B2 (en) 2015-09-23 2018-10-02 Ethicon Llc Surgical stapler having temperature-based motor control
US10105139B2 (en) 2015-09-23 2018-10-23 Ethicon Llc Surgical stapler having downstream current-based motor control
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
US11690623B2 (en) 2015-09-30 2023-07-04 Cilag Gmbh International Method for applying an implantable layer to a fastener cartridge
US11890015B2 (en) 2015-09-30 2024-02-06 Cilag Gmbh International Compressible adjunct with crossing spacer fibers
US10980539B2 (en) 2015-09-30 2021-04-20 Ethicon Llc Implantable adjunct comprising bonded layers
US10213204B2 (en) 2015-10-02 2019-02-26 Covidien Lp Micro surgical instrument and loading unit for use therewith
US10772632B2 (en) 2015-10-28 2020-09-15 Covidien Lp Surgical stapling device with triple leg staples
US10595864B2 (en) 2015-11-24 2020-03-24 Covidien Lp Adapter assembly for interconnecting electromechanical surgical devices and surgical loading units, and surgical systems thereof
US10111660B2 (en) 2015-12-03 2018-10-30 Covidien Lp Surgical stapler flexible distal tip
US10265068B2 (en) 2015-12-30 2019-04-23 Ethicon Llc Surgical instruments with separable motors and motor control circuits
US10368865B2 (en) 2015-12-30 2019-08-06 Ethicon Llc Mechanisms for compensating for drivetrain failure in powered surgical instruments
US10292704B2 (en) 2015-12-30 2019-05-21 Ethicon Llc Mechanisms for compensating for battery pack failure in powered surgical instruments
US10966717B2 (en) 2016-01-07 2021-04-06 Covidien Lp Surgical fastener apparatus
US10660623B2 (en) 2016-01-15 2020-05-26 Covidien Lp Centering mechanism for articulation joint
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
US10349937B2 (en) 2016-02-10 2019-07-16 Covidien Lp Surgical stapler with articulation locking mechanism
US10420559B2 (en) 2016-02-11 2019-09-24 Covidien Lp Surgical stapler with small diameter endoscopic portion
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
US11224426B2 (en) 2016-02-12 2022-01-18 Cilag Gmbh International Mechanisms for compensating for drivetrain failure in powered surgical instruments
US11284890B2 (en) 2016-04-01 2022-03-29 Cilag Gmbh International Circular stapling system comprising an incisable tissue support
US10617413B2 (en) 2016-04-01 2020-04-14 Ethicon Llc Closure system arrangements for surgical cutting and stapling devices with separate and distinct firing shafts
US10675021B2 (en) 2016-04-01 2020-06-09 Ethicon Llc Circular stapling system comprising rotary firing system
US10307159B2 (en) 2016-04-01 2019-06-04 Ethicon Llc Surgical instrument handle assembly with reconfigurable grip portion
US10376263B2 (en) 2016-04-01 2019-08-13 Ethicon Llc Anvil modification members for surgical staplers
ES2878152T3 (es) 2016-04-12 2021-11-18 Applied Med Resources Grapadora quirúrgica con mecanismo de articulación
KR20240038159A (ko) 2016-04-12 2024-03-22 어플라이드 메디컬 리소시스 코포레이션 전동 핸들을 갖는 수술용 스테이플러
ES2882141T3 (es) 2016-04-12 2021-12-01 Applied Med Resources Conjunto de vástago de recarga para la grapadora quirúrgica
US11179150B2 (en) 2016-04-15 2021-11-23 Cilag Gmbh International Systems and methods for controlling a surgical stapling and cutting instrument
US10492783B2 (en) 2016-04-15 2019-12-03 Ethicon, Llc Surgical instrument with improved stop/start control during a firing motion
US10357247B2 (en) 2016-04-15 2019-07-23 Ethicon Llc Surgical instrument with multiple program responses during a firing motion
US10426467B2 (en) 2016-04-15 2019-10-01 Ethicon Llc Surgical instrument with detection sensors
US11607239B2 (en) 2016-04-15 2023-03-21 Cilag Gmbh International Systems and methods for controlling a surgical stapling and cutting instrument
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
US10335145B2 (en) 2016-04-15 2019-07-02 Ethicon Llc Modular surgical instrument with configurable operating mode
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
US10561419B2 (en) 2016-05-04 2020-02-18 Covidien Lp Powered end effector assembly with pivotable channel
US11065022B2 (en) 2016-05-17 2021-07-20 Covidien Lp Cutting member for a surgical instrument
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
USD822206S1 (en) 2016-06-24 2018-07-03 Ethicon Llc Surgical fastener
USD847989S1 (en) 2016-06-24 2019-05-07 Ethicon Llc Surgical fastener cartridge
USD850617S1 (en) 2016-06-24 2019-06-04 Ethicon Llc Surgical fastener cartridge
USD826405S1 (en) 2016-06-24 2018-08-21 Ethicon Llc Surgical fastener
US11000278B2 (en) 2016-06-24 2021-05-11 Ethicon Llc Staple cartridge comprising wire staples and stamped staples
US11642126B2 (en) 2016-11-04 2023-05-09 Covidien Lp Surgical stapling apparatus with tissue pockets
US10631857B2 (en) 2016-11-04 2020-04-28 Covidien Lp Loading unit for surgical instruments with low profile pushers
US10492784B2 (en) 2016-11-08 2019-12-03 Covidien Lp Surgical tool assembly with compact firing assembly
US10463371B2 (en) 2016-11-29 2019-11-05 Covidien Lp Reload assembly with spent reload indicator
US10682138B2 (en) 2016-12-21 2020-06-16 Ethicon Llc Bilaterally asymmetric staple forming pocket pairs
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
US11684367B2 (en) 2016-12-21 2023-06-27 Cilag Gmbh International Stepped assembly having and end-of-life indicator
US10588632B2 (en) 2016-12-21 2020-03-17 Ethicon Llc Surgical end effectors and firing members thereof
US10856868B2 (en) 2016-12-21 2020-12-08 Ethicon Llc Firing member pin configurations
US10993715B2 (en) 2016-12-21 2021-05-04 Ethicon Llc Staple cartridge comprising staples with different clamping breadths
JP7010956B2 (ja) 2016-12-21 2022-01-26 エシコン エルエルシー 組織をステープル留めする方法
US11134942B2 (en) 2016-12-21 2021-10-05 Cilag Gmbh International Surgical stapling instruments and staple-forming anvils
US10695055B2 (en) 2016-12-21 2020-06-30 Ethicon Llc Firing assembly comprising a lockout
US10426471B2 (en) 2016-12-21 2019-10-01 Ethicon Llc Surgical instrument with multiple failure response modes
US10835245B2 (en) 2016-12-21 2020-11-17 Ethicon Llc Method for attaching a shaft assembly to a surgical instrument and, alternatively, to a surgical robot
US10945727B2 (en) 2016-12-21 2021-03-16 Ethicon Llc Staple cartridge with deformable driver retention features
US10675026B2 (en) 2016-12-21 2020-06-09 Ethicon Llc Methods of stapling tissue
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
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
US10537324B2 (en) 2016-12-21 2020-01-21 Ethicon Llc Stepped staple cartridge with asymmetrical staples
US10893864B2 (en) 2016-12-21 2021-01-19 Ethicon Staple cartridges and arrangements of staples and staple cavities therein
US10448950B2 (en) 2016-12-21 2019-10-22 Ethicon Llc Surgical staplers with independently actuatable closing and firing systems
US10881401B2 (en) 2016-12-21 2021-01-05 Ethicon Llc Staple firing member comprising a missing cartridge and/or spent cartridge lockout
US10588630B2 (en) 2016-12-21 2020-03-17 Ethicon Llc Surgical tool assemblies with closure stroke reduction features
JP2020501779A (ja) 2016-12-21 2020-01-23 エシコン エルエルシーＥｔｈｉｃｏｎ ＬＬＣ 外科用ステープル留めシステム
US20180168625A1 (en) 2016-12-21 2018-06-21 Ethicon Endo-Surgery, Llc Surgical stapling instruments with smart staple cartridges
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
US10687810B2 (en) 2016-12-21 2020-06-23 Ethicon Llc Stepped staple cartridge with tissue retention and gap setting features
US10709901B2 (en) 2017-01-05 2020-07-14 Covidien Lp Implantable fasteners, applicators, and methods for brachytherapy
US10952767B2 (en) 2017-02-06 2021-03-23 Covidien Lp Connector clip for securing an introducer to a surgical fastener applying apparatus
US20180235618A1 (en) 2017-02-22 2018-08-23 Covidien Lp Loading unit for surgical instruments with low profile pushers
US10849621B2 (en) 2017-02-23 2020-12-01 Covidien Lp Surgical stapler with small diameter endoscopic portion
US11350915B2 (en) 2017-02-23 2022-06-07 Covidien Lp Surgical stapler with small diameter endoscopic portion
US10299790B2 (en) 2017-03-03 2019-05-28 Covidien Lp Adapter with centering mechanism for articulation joint
US10660641B2 (en) 2017-03-16 2020-05-26 Covidien Lp Adapter with centering mechanism for articulation joint
US11324502B2 (en) 2017-05-02 2022-05-10 Covidien Lp Surgical loading unit including an articulating end effector
US10603035B2 (en) 2017-05-02 2020-03-31 Covidien Lp Surgical loading unit including an articulating end effector
US10524784B2 (en) 2017-05-05 2020-01-07 Covidien Lp Surgical staples with expandable backspan
US10390826B2 (en) 2017-05-08 2019-08-27 Covidien Lp Surgical stapling device with elongated tool assembly and methods of use
US10420551B2 (en) 2017-05-30 2019-09-24 Covidien Lp Authentication and information system for reusable surgical instruments
US10478185B2 (en) 2017-06-02 2019-11-19 Covidien Lp Tool assembly with minimal dead space
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
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
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
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
US10881399B2 (en) 2017-06-20 2021-01-05 Ethicon Llc Techniques for adaptive control of motor velocity of a surgical stapling and cutting instrument
US11090046B2 (en) 2017-06-20 2021-08-17 Cilag Gmbh International Systems and methods for controlling displacement member motion of a surgical stapling and cutting instrument
US10624633B2 (en) 2017-06-20 2020-04-21 Ethicon Llc Systems and methods for controlling motor velocity of a surgical stapling and cutting instrument
USD879808S1 (en) 2017-06-20 2020-03-31 Ethicon Llc Display panel with graphical user interface
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
US10368864B2 (en) 2017-06-20 2019-08-06 Ethicon Llc Systems and methods for controlling displaying motor velocity for a surgical instrument
US10881396B2 (en) 2017-06-20 2021-01-05 Ethicon Llc Surgical instrument with variable duration trigger arrangement
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
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
USD890784S1 (en) 2017-06-20 2020-07-21 Ethicon Llc Display panel with changeable graphical user interface
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
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
US10646220B2 (en) 2017-06-20 2020-05-12 Ethicon Llc Systems and methods for controlling displacement member velocity for a surgical instrument
US11382638B2 (en) 2017-06-20 2022-07-12 Cilag Gmbh International Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on measured time over a specified displacement distance
USD879809S1 (en) 2017-06-20 2020-03-31 Ethicon Llc Display panel with changeable graphical user interface
US11266405B2 (en) 2017-06-27 2022-03-08 Cilag Gmbh International Surgical anvil manufacturing methods
US10993716B2 (en) 2017-06-27 2021-05-04 Ethicon Llc Surgical anvil arrangements
US10856869B2 (en) 2017-06-27 2020-12-08 Ethicon Llc Surgical anvil arrangements
US11324503B2 (en) 2017-06-27 2022-05-10 Cilag Gmbh International Surgical firing member arrangements
US10772629B2 (en) 2017-06-27 2020-09-15 Ethicon Llc Surgical anvil arrangements
US10631859B2 (en) 2017-06-27 2020-04-28 Ethicon Llc Articulation systems for surgical instruments
US10716614B2 (en) 2017-06-28 2020-07-21 Ethicon Llc Surgical shaft assemblies with slip ring assemblies with increased contact pressure
USD854151S1 (en) 2017-06-28 2019-07-16 Ethicon Llc Surgical instrument shaft
US10786253B2 (en) 2017-06-28 2020-09-29 Ethicon Llc Surgical end effectors with improved jaw aperture arrangements
US11000279B2 (en) 2017-06-28 2021-05-11 Ethicon Llc Surgical instrument comprising an articulation system ratio
USD851762S1 (en) 2017-06-28 2019-06-18 Ethicon Llc Anvil
US10765427B2 (en) 2017-06-28 2020-09-08 Ethicon Llc Method for articulating a surgical instrument
US11564686B2 (en) 2017-06-28 2023-01-31 Cilag Gmbh International Surgical shaft assemblies with flexible interfaces
EP4070740A1 (en) 2017-06-28 2022-10-12 Cilag GmbH International Surgical instrument comprising selectively actuatable rotatable couplers
US10211586B2 (en) 2017-06-28 2019-02-19 Ethicon Llc Surgical shaft assemblies with watertight housings
US10903685B2 (en) 2017-06-28 2021-01-26 Ethicon Llc Surgical shaft assemblies with slip ring assemblies forming capacitive channels
US11246592B2 (en) 2017-06-28 2022-02-15 Cilag Gmbh International Surgical instrument comprising an articulation system lockable to a frame
US11259805B2 (en) 2017-06-28 2022-03-01 Cilag Gmbh International Surgical instrument comprising firing member supports
USD906355S1 (en) 2017-06-28 2020-12-29 Ethicon Llc Display screen or portion thereof with a graphical user interface for a surgical instrument
USD869655S1 (en) 2017-06-28 2019-12-10 Ethicon Llc Surgical fastener cartridge
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
US11007022B2 (en) 2017-06-29 2021-05-18 Ethicon Llc Closed loop velocity control techniques based on sensed tissue parameters for robotic surgical instrument
US10898183B2 (en) 2017-06-29 2021-01-26 Ethicon Llc Robotic surgical instrument with closed loop feedback techniques for advancement of closure member during firing
US10398434B2 (en) 2017-06-29 2019-09-03 Ethicon Llc Closed loop velocity control of closure member for robotic surgical instrument
US11944300B2 (en) 2017-08-03 2024-04-02 Cilag Gmbh International Method for operating a surgical system bailout
US11471155B2 (en) 2017-08-03 2022-10-18 Cilag Gmbh International Surgical system bailout
US11304695B2 (en) 2017-08-03 2022-04-19 Cilag Gmbh International Surgical system shaft interconnection
US10624636B2 (en) 2017-08-23 2020-04-21 Covidien Lp Surgical stapling device with floating staple cartridge
US10806452B2 (en) 2017-08-24 2020-10-20 Covidien Lp Loading unit for a surgical stapling instrument
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
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
USD907648S1 (en) 2017-09-29 2021-01-12 Ethicon Llc Display screen or portion thereof with animated graphical user interface
US10743872B2 (en) 2017-09-29 2020-08-18 Ethicon Llc System and methods for controlling a display of a surgical instrument
US10796471B2 (en) 2017-09-29 2020-10-06 Ethicon Llc Systems and methods of displaying a knife position for a surgical instrument
US11399829B2 (en) 2017-09-29 2022-08-02 Cilag Gmbh International Systems and methods of initiating a power shutdown mode for a surgical instrument
US11134944B2 (en) 2017-10-30 2021-10-05 Cilag Gmbh International Surgical stapler knife motion controls
US11090075B2 (en) 2017-10-30 2021-08-17 Cilag Gmbh International Articulation features for surgical end effector
US10779903B2 (en) 2017-10-31 2020-09-22 Ethicon Llc Positive shaft rotation lock activated by jaw closure
US10842490B2 (en) 2017-10-31 2020-11-24 Ethicon Llc Cartridge body design with force reduction based on firing completion
US10925603B2 (en) 2017-11-14 2021-02-23 Covidien Lp Reload with articulation stabilization system
US10863987B2 (en) 2017-11-16 2020-12-15 Covidien Lp Surgical instrument with imaging device
US10869666B2 (en) 2017-12-15 2020-12-22 Ethicon Llc Adapters with control systems for controlling multiple motors of an electromechanical surgical instrument
US10779826B2 (en) 2017-12-15 2020-09-22 Ethicon Llc Methods of operating surgical end effectors
US10743875B2 (en) 2017-12-15 2020-08-18 Ethicon Llc Surgical end effectors with jaw stiffener arrangements configured to permit monitoring of firing member
US11197670B2 (en) 2017-12-15 2021-12-14 Cilag Gmbh International Surgical end effectors with pivotal jaws configured to touch at their respective distal ends when fully closed
US11033267B2 (en) 2017-12-15 2021-06-15 Ethicon Llc Systems and methods of controlling a clamping member firing rate of a surgical instrument
US10743874B2 (en) 2017-12-15 2020-08-18 Ethicon Llc Sealed adapters for use with electromechanical surgical instruments
US10828033B2 (en) 2017-12-15 2020-11-10 Ethicon Llc Handheld electromechanical surgical instruments with improved motor control arrangements for positioning components of an adapter coupled thereto
US10687813B2 (en) 2017-12-15 2020-06-23 Ethicon Llc Adapters with firing stroke sensing arrangements for use in connection with electromechanical surgical instruments
US10966718B2 (en) 2017-12-15 2021-04-06 Ethicon Llc Dynamic clamping assemblies with improved wear characteristics for use in connection with electromechanical surgical instruments
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
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
US11071543B2 (en) 2017-12-15 2021-07-27 Cilag Gmbh International Surgical end effectors with clamping assemblies configured to increase jaw aperture ranges
US11045270B2 (en) 2017-12-19 2021-06-29 Cilag Gmbh International Robotic attachment comprising exterior drive actuator
US10716565B2 (en) 2017-12-19 2020-07-21 Ethicon Llc Surgical instruments with dual articulation drivers
US10729509B2 (en) 2017-12-19 2020-08-04 Ethicon Llc Surgical instrument comprising closure and firing locking mechanism
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
US11076853B2 (en) 2017-12-21 2021-08-03 Cilag Gmbh International Systems and methods of displaying a knife position during transection for a surgical instrument
US11311290B2 (en) 2017-12-21 2022-04-26 Cilag Gmbh International Surgical instrument comprising an end effector dampener
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
US10945732B2 (en) 2018-01-17 2021-03-16 Covidien Lp Surgical stapler with self-returning assembly
KR20200126409A (ko) 2018-02-27 2020-11-06 어플라이드 메디컬 리소시스 코포레이션 전동 핸들을 갖는 수술용 스테이플러
US11369371B2 (en) 2018-03-02 2022-06-28 Covidien Lp Surgical stapling instrument
US10849622B2 (en) 2018-06-21 2020-12-01 Covidien Lp Articulated stapling with fire lock
US10736631B2 (en) 2018-08-07 2020-08-11 Covidien Lp End effector with staple cartridge ejector
US11291440B2 (en) 2018-08-20 2022-04-05 Cilag Gmbh International Method for operating a powered articulatable surgical instrument
US11083458B2 (en) 2018-08-20 2021-08-10 Cilag Gmbh International Powered surgical instruments with clutching arrangements to convert linear drive motions to rotary drive motions
US10842492B2 (en) 2018-08-20 2020-11-24 Ethicon Llc Powered articulatable surgical instruments with clutching and locking arrangements for linking an articulation drive system to a firing drive system
US11045192B2 (en) 2018-08-20 2021-06-29 Cilag Gmbh International Fabricating techniques for surgical stapler anvils
US11207065B2 (en) 2018-08-20 2021-12-28 Cilag Gmbh International Method for fabricating surgical stapler anvils
US11324501B2 (en) 2018-08-20 2022-05-10 Cilag Gmbh International Surgical stapling devices with improved closure members
US10856870B2 (en) 2018-08-20 2020-12-08 Ethicon Llc Switching arrangements for motor powered articulatable surgical instruments
USD914878S1 (en) 2018-08-20 2021-03-30 Ethicon Llc Surgical instrument anvil
US11039834B2 (en) 2018-08-20 2021-06-22 Cilag Gmbh International Surgical stapler anvils with staple directing protrusions and tissue stability features
US10779821B2 (en) 2018-08-20 2020-09-22 Ethicon Llc Surgical stapler anvils with tissue stop features configured to avoid tissue pinch
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
US10849620B2 (en) 2018-09-14 2020-12-01 Covidien Lp Connector mechanisms for surgical stapling instruments
US11510669B2 (en) 2020-09-29 2022-11-29 Covidien Lp Hand-held surgical instruments
US11090051B2 (en) 2018-10-23 2021-08-17 Covidien Lp Surgical stapling device with floating staple cartridge
US11197673B2 (en) 2018-10-30 2021-12-14 Covidien Lp Surgical stapling instruments and end effector assemblies thereof
US10912563B2 (en) 2019-01-02 2021-02-09 Covidien Lp Stapling device including tool assembly stabilizing member
EP3930588A1 (en) 2019-02-27 2022-01-05 Applied Medical Resources Corporation Surgical stapling instrument having a two-position lockout mechanism
US11344297B2 (en) 2019-02-28 2022-05-31 Covidien Lp Surgical stapling device with independently movable jaws
US11259808B2 (en) 2019-03-13 2022-03-01 Covidien Lp Tool assemblies with a gap locking member
US11696761B2 (en) 2019-03-25 2023-07-11 Cilag Gmbh International Firing drive arrangements for surgical systems
US11147551B2 (en) 2019-03-25 2021-10-19 Cilag Gmbh International Firing drive arrangements for surgical systems
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
JP2022527154A (ja) 2019-03-29 2022-05-31 アプライド メディカル リソーシーズ コーポレイション 外科ステープル留めシステムのための再装填カバー
US11284892B2 (en) 2019-04-01 2022-03-29 Covidien Lp Loading unit and adapter with modified coupling assembly
US11284893B2 (en) 2019-04-02 2022-03-29 Covidien Lp Stapling device with articulating tool assembly
US11241228B2 (en) 2019-04-05 2022-02-08 Covidien Lp Surgical instrument including an adapter assembly and an articulating surgical loading unit
US11648009B2 (en) 2019-04-30 2023-05-16 Cilag Gmbh International Rotatable jaw tip for a surgical instrument
US11471157B2 (en) 2019-04-30 2022-10-18 Cilag Gmbh International Articulation control mapping for a surgical instrument
US11903581B2 (en) 2019-04-30 2024-02-20 Cilag Gmbh International Methods for stapling tissue using 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
US11432816B2 (en) 2019-04-30 2022-09-06 Cilag Gmbh International Articulation pin for a surgical instrument
US11452528B2 (en) 2019-04-30 2022-09-27 Cilag Gmbh International Articulation actuators for a surgical instrument
US11399837B2 (en) 2019-06-28 2022-08-02 Cilag Gmbh International Mechanisms for motor control adjustments of a motorized surgical instrument
US11229437B2 (en) 2019-06-28 2022-01-25 Cilag Gmbh International Method for authenticating the compatibility of a staple cartridge with a surgical instrument
US11638587B2 (en) 2019-06-28 2023-05-02 Cilag Gmbh International RFID identification systems for surgical instruments
US11497492B2 (en) 2019-06-28 2022-11-15 Cilag Gmbh International Surgical instrument including an articulation lock
US11426167B2 (en) 2019-06-28 2022-08-30 Cilag Gmbh International Mechanisms for proper anvil attachment surgical stapling head assembly
US11224497B2 (en) 2019-06-28 2022-01-18 Cilag Gmbh International Surgical systems with multiple RFID tags
US11246678B2 (en) 2019-06-28 2022-02-15 Cilag Gmbh International Surgical stapling system having a frangible RFID tag
US11478241B2 (en) 2019-06-28 2022-10-25 Cilag Gmbh International Staple cartridge including projections
US11291451B2 (en) 2019-06-28 2022-04-05 Cilag Gmbh International Surgical instrument with battery compatibility verification functionality
US11771419B2 (en) 2019-06-28 2023-10-03 Cilag Gmbh International Packaging for a replaceable component of a surgical stapling system
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
US11660163B2 (en) 2019-06-28 2023-05-30 Cilag Gmbh International Surgical system with RFID tags for updating motor assembly parameters
US11523822B2 (en) 2019-06-28 2022-12-13 Cilag Gmbh International Battery pack including a circuit interrupter
US11553971B2 (en) 2019-06-28 2023-01-17 Cilag Gmbh International Surgical RFID assemblies for display and communication
US11684434B2 (en) 2019-06-28 2023-06-27 Cilag Gmbh International Surgical RFID assemblies for instrument operational setting control
US11298132B2 (en) 2019-06-28 2022-04-12 Cilag GmbH Inlernational Staple cartridge including a honeycomb extension
US11219455B2 (en) 2019-06-28 2022-01-11 Cilag Gmbh International Surgical instrument including a lockout key
US11051807B2 (en) 2019-06-28 2021-07-06 Cilag Gmbh International Packaging assembly including a particulate trap
US11464601B2 (en) 2019-06-28 2022-10-11 Cilag Gmbh International Surgical instrument comprising an RFID system for tracking a movable component
US11627959B2 (en) 2019-06-28 2023-04-18 Cilag Gmbh International Surgical instruments including manual and powered system lockouts
US11298127B2 (en) 2019-06-28 2022-04-12 Cilag GmbH Interational Surgical stapling system having a lockout mechanism for an incompatible cartridge
US11224424B2 (en) 2019-08-02 2022-01-18 Covidien Lp Linear stapling device with vertically movable knife
US11406385B2 (en) 2019-10-11 2022-08-09 Covidien Lp Stapling device with a gap locking member
US11123068B2 (en) 2019-11-08 2021-09-21 Covidien Lp Surgical staple cartridge
US11534163B2 (en) 2019-11-21 2022-12-27 Covidien Lp Surgical stapling instruments
US11707274B2 (en) 2019-12-06 2023-07-25 Covidien Lp Articulating mechanism for surgical instrument
US11109862B2 (en) 2019-12-12 2021-09-07 Covidien Lp Surgical stapling device with flexible shaft
US11737747B2 (en) 2019-12-17 2023-08-29 Covidien Lp Hand-held surgical instruments
US11446029B2 (en) 2019-12-19 2022-09-20 Cilag Gmbh International Staple cartridge comprising projections extending from a curved deck surface
US11607219B2 (en) 2019-12-19 2023-03-21 Cilag Gmbh International Staple cartridge comprising a detachable tissue cutting knife
US11504122B2 (en) 2019-12-19 2022-11-22 Cilag Gmbh International Surgical instrument comprising a nested firing member
US11701111B2 (en) 2019-12-19 2023-07-18 Cilag Gmbh International Method for operating a surgical stapling instrument
US11559304B2 (en) 2019-12-19 2023-01-24 Cilag Gmbh International Surgical instrument comprising a rapid closure mechanism
US11291447B2 (en) 2019-12-19 2022-04-05 Cilag Gmbh International Stapling instrument comprising independent jaw closing and staple firing systems
US11529137B2 (en) 2019-12-19 2022-12-20 Cilag Gmbh International Staple cartridge comprising driver retention members
US11464512B2 (en) 2019-12-19 2022-10-11 Cilag Gmbh International Staple cartridge comprising a curved deck surface
US11304696B2 (en) 2019-12-19 2022-04-19 Cilag Gmbh International Surgical instrument comprising a powered articulation system
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
US11931033B2 (en) 2019-12-19 2024-03-19 Cilag Gmbh International Staple cartridge comprising a latch lockout
US11911032B2 (en) 2019-12-19 2024-02-27 Cilag Gmbh International Staple cartridge comprising a seating cam
US11529139B2 (en) 2019-12-19 2022-12-20 Cilag Gmbh International Motor driven surgical instrument
US11234698B2 (en) 2019-12-19 2022-02-01 Cilag Gmbh International Stapling system comprising a clamp lockout and a firing lockout
US11844520B2 (en) 2019-12-19 2023-12-19 Cilag Gmbh International Staple cartridge comprising driver retention members
US11278282B2 (en) 2020-01-31 2022-03-22 Covidien Lp Stapling device with selective cutting
US11452524B2 (en) 2020-01-31 2022-09-27 Covidien Lp Surgical stapling device with lockout
CN115135251A (zh) 2020-02-14 2022-09-30 柯惠有限合伙公司 用于手术缝合钉且在外周壁上有用于夹持组织的脊的仓支架
US11344301B2 (en) 2020-03-02 2022-05-31 Covidien Lp Surgical stapling device with replaceable reload assembly
US11344302B2 (en) 2020-03-05 2022-05-31 Covidien Lp Articulation mechanism for surgical stapling device
US11707278B2 (en) 2020-03-06 2023-07-25 Covidien Lp Surgical stapler tool assembly to minimize bleeding
US11246593B2 (en) 2020-03-06 2022-02-15 Covidien Lp Staple cartridge
US11357505B2 (en) 2020-03-10 2022-06-14 Covidien Lp Surgical stapling apparatus with firing lockout mechanism
US11317911B2 (en) 2020-03-10 2022-05-03 Covidien Lp Tool assembly with replaceable cartridge assembly
US11406383B2 (en) 2020-03-17 2022-08-09 Covidien Lp Fire assisted powered EGIA handle
US11426159B2 (en) 2020-04-01 2022-08-30 Covidien Lp Sled detection device
US11331098B2 (en) 2020-04-01 2022-05-17 Covidien Lp Sled detection device
US11504117B2 (en) 2020-04-02 2022-11-22 Covidien Lp Hand-held surgical instruments
US11937794B2 (en) 2020-05-11 2024-03-26 Covidien Lp Powered handle assembly for surgical devices
US11406387B2 (en) 2020-05-12 2022-08-09 Covidien Lp Surgical stapling device with replaceable staple cartridge
US11191537B1 (en) 2020-05-12 2021-12-07 Covidien Lp Stapling device with continuously parallel jaws
US11534167B2 (en) 2020-05-28 2022-12-27 Covidien Lp Electrotaxis-conducive stapling
USD975850S1 (en) 2020-06-02 2023-01-17 Cilag Gmbh International Staple cartridge
USD975851S1 (en) 2020-06-02 2023-01-17 Cilag Gmbh International Staple cartridge
USD975278S1 (en) 2020-06-02 2023-01-10 Cilag Gmbh International Staple cartridge
USD974560S1 (en) 2020-06-02 2023-01-03 Cilag Gmbh International Staple cartridge
USD976401S1 (en) 2020-06-02 2023-01-24 Cilag Gmbh International Staple cartridge
USD967421S1 (en) 2020-06-02 2022-10-18 Cilag Gmbh International Staple cartridge
USD966512S1 (en) 2020-06-02 2022-10-11 Cilag Gmbh International Staple cartridge
US11191538B1 (en) 2020-06-08 2021-12-07 Covidien Lp Surgical stapling device with parallel jaw closure
US11844517B2 (en) 2020-06-25 2023-12-19 Covidien Lp Linear stapling device with continuously parallel jaws
US11324500B2 (en) 2020-06-30 2022-05-10 Covidien Lp Surgical stapling device
US11517305B2 (en) 2020-07-09 2022-12-06 Covidien Lp Contoured staple pusher
US11446028B2 (en) 2020-07-09 2022-09-20 Covidien Lp Tool assembly with pivotable clamping beam
US11864756B2 (en) 2020-07-28 2024-01-09 Cilag Gmbh International Surgical instruments with flexible ball chain drive arrangements
US11266402B2 (en) 2020-07-30 2022-03-08 Covidien Lp Sensing curved tip for surgical stapling instruments
US11439392B2 (en) 2020-08-03 2022-09-13 Covidien Lp Surgical stapling device and fastener for pathological exam
US11395654B2 (en) 2020-08-07 2022-07-26 Covidien Lp Surgical stapling device with articulation braking assembly
US11602342B2 (en) 2020-08-27 2023-03-14 Covidien Lp Surgical stapling device with laser probe
US11678878B2 (en) 2020-09-16 2023-06-20 Covidien Lp Articulation mechanism for surgical stapling device
US11660092B2 (en) 2020-09-29 2023-05-30 Covidien Lp Adapter for securing loading units to handle assemblies of surgical stapling instruments
US11406384B2 (en) 2020-10-05 2022-08-09 Covidien Lp Stapling device with drive assembly stop member
US11576674B2 (en) 2020-10-06 2023-02-14 Covidien Lp Surgical stapling device with articulation lock assembly
CA3195757A1 (en) 2020-10-29 2022-05-05 Jonathan VON STEIN Actuation shaft retention mechanism for surgical stapler
US11844518B2 (en) 2020-10-29 2023-12-19 Cilag Gmbh International Method for operating a surgical instrument
EP4236821A1 (en) 2020-10-29 2023-09-06 Applied Medical Resources Corporation Surgical stapler having a powered handle
US11452526B2 (en) 2020-10-29 2022-09-27 Cilag Gmbh International Surgical instrument comprising a staged voltage regulation start-up system
USD980425S1 (en) 2020-10-29 2023-03-07 Cilag Gmbh International Surgical instrument assembly
US11717289B2 (en) 2020-10-29 2023-08-08 Cilag Gmbh International Surgical instrument comprising an indicator which indicates that an articulation drive is actuatable
US11534259B2 (en) 2020-10-29 2022-12-27 Cilag Gmbh International Surgical instrument comprising an articulation indicator
USD1013170S1 (en) 2020-10-29 2024-01-30 Cilag Gmbh International Surgical instrument assembly
US11517390B2 (en) 2020-10-29 2022-12-06 Cilag Gmbh International Surgical instrument comprising a limited travel switch
US11779330B2 (en) 2020-10-29 2023-10-10 Cilag Gmbh International Surgical instrument comprising a jaw alignment system
US11617577B2 (en) 2020-10-29 2023-04-04 Cilag Gmbh International Surgical instrument comprising a sensor configured to sense whether an articulation drive of the surgical instrument is actuatable
US11896217B2 (en) 2020-10-29 2024-02-13 Cilag Gmbh International Surgical instrument comprising an articulation lock
US11931025B2 (en) 2020-10-29 2024-03-19 Cilag Gmbh International Surgical instrument comprising a releasable closure drive lock
US11890007B2 (en) 2020-11-18 2024-02-06 Covidien Lp Stapling device with flex cable and tensioning mechanism
US11653920B2 (en) 2020-12-02 2023-05-23 Cilag Gmbh International Powered surgical instruments with communication interfaces through sterile barrier
US11890010B2 (en) 2020-12-02 2024-02-06 Cllag GmbH International Dual-sided reinforced reload for surgical instruments
US11678882B2 (en) 2020-12-02 2023-06-20 Cilag Gmbh International Surgical instruments with interactive features to remedy incidental sled movements
US11849943B2 (en) 2020-12-02 2023-12-26 Cilag Gmbh International Surgical instrument with cartridge release mechanisms
US11737751B2 (en) 2020-12-02 2023-08-29 Cilag Gmbh International Devices and methods of managing energy dissipated within sterile barriers of surgical instrument housings
US11627960B2 (en) 2020-12-02 2023-04-18 Cilag Gmbh International Powered surgical instruments with smart reload with separately attachable exteriorly mounted wiring connections
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
US11744581B2 (en) 2020-12-02 2023-09-05 Cilag Gmbh International Powered surgical instruments with multi-phase tissue treatment
US11737774B2 (en) 2020-12-04 2023-08-29 Covidien Lp Surgical instrument with articulation assembly
CN112545654B (zh) * 2020-12-04 2022-04-19 哈尔滨工业大学 一种微创手术机器人用模块化柔性器械臂
US11819200B2 (en) 2020-12-15 2023-11-21 Covidien Lp Surgical instrument with articulation assembly
US11553914B2 (en) 2020-12-22 2023-01-17 Covidien Lp Surgical stapling device with parallel jaw closure
US11744582B2 (en) 2021-01-05 2023-09-05 Covidien Lp Surgical stapling device with firing lockout mechanism
US11759206B2 (en) 2021-01-05 2023-09-19 Covidien Lp Surgical stapling device with firing lockout mechanism
US11517313B2 (en) 2021-01-27 2022-12-06 Covidien Lp Surgical stapling device with laminated drive member
US11759207B2 (en) 2021-01-27 2023-09-19 Covidien Lp Surgical stapling apparatus with adjustable height clamping member
US11744583B2 (en) 2021-02-26 2023-09-05 Cilag Gmbh International Distal communication array to tune frequency of RF systems
US11723657B2 (en) 2021-02-26 2023-08-15 Cilag Gmbh International Adjustable communication based on available bandwidth and power capacity
US11812964B2 (en) 2021-02-26 2023-11-14 Cilag Gmbh International Staple cartridge comprising a power management circuit
US11793514B2 (en) 2021-02-26 2023-10-24 Cilag Gmbh International Staple cartridge comprising sensor array which may be embedded in cartridge body
US11696757B2 (en) 2021-02-26 2023-07-11 Cilag Gmbh International Monitoring of internal systems to detect and track cartridge motion status
US11950777B2 (en) 2021-02-26 2024-04-09 Cilag Gmbh International Staple cartridge comprising an information access control system
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
US11749877B2 (en) 2021-02-26 2023-09-05 Cilag Gmbh International Stapling instrument comprising a signal antenna
US11925349B2 (en) 2021-02-26 2024-03-12 Cilag Gmbh International Adjustment to transfer parameters to improve available power
US11950779B2 (en) 2021-02-26 2024-04-09 Cilag Gmbh International Method of powering and communicating with a staple cartridge
US11701113B2 (en) 2021-02-26 2023-07-18 Cilag Gmbh International Stapling instrument comprising a separate power antenna and a data transfer antenna
US11717300B2 (en) 2021-03-11 2023-08-08 Covidien Lp Surgical stapling apparatus with integrated visualization
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
US11717291B2 (en) 2021-03-22 2023-08-08 Cilag Gmbh International Staple cartridge comprising staples configured to apply different tissue compression
US11826012B2 (en) 2021-03-22 2023-11-28 Cilag Gmbh International Stapling instrument comprising a pulsed motor-driven firing rack
US11826042B2 (en) 2021-03-22 2023-11-28 Cilag Gmbh International Surgical instrument comprising a firing drive including a selectable leverage mechanism
US11723658B2 (en) 2021-03-22 2023-08-15 Cilag Gmbh International Staple cartridge comprising a firing lockout
US11759202B2 (en) 2021-03-22 2023-09-19 Cilag Gmbh International Staple cartridge comprising an implantable layer
US11896219B2 (en) 2021-03-24 2024-02-13 Cilag Gmbh International Mating features between drivers and underside of a cartridge deck
US11786239B2 (en) 2021-03-24 2023-10-17 Cilag Gmbh International Surgical instrument articulation joint arrangements comprising multiple moving linkage features
US11944336B2 (en) 2021-03-24 2024-04-02 Cilag Gmbh International Joint arrangements for multi-planar alignment and support of operational drive shafts in articulatable surgical instruments
US11849944B2 (en) 2021-03-24 2023-12-26 Cilag Gmbh International Drivers for fastener cartridge assemblies having rotary drive screws
US11832816B2 (en) 2021-03-24 2023-12-05 Cilag Gmbh International Surgical stapling assembly comprising nonplanar staples and planar staples
US11849945B2 (en) 2021-03-24 2023-12-26 Cilag Gmbh International Rotary-driven surgical stapling assembly comprising eccentrically driven firing member
US11896218B2 (en) 2021-03-24 2024-02-13 Cilag Gmbh International Method of using a powered stapling device
US11744603B2 (en) 2021-03-24 2023-09-05 Cilag Gmbh International Multi-axis pivot joints for surgical instruments and methods for manufacturing same
US11786243B2 (en) 2021-03-24 2023-10-17 Cilag Gmbh International Firing members having flexible portions for adapting to a load during a surgical firing stroke
US11793516B2 (en) 2021-03-24 2023-10-24 Cilag Gmbh International Surgical staple cartridge comprising longitudinal support beam
US11857183B2 (en) 2021-03-24 2024-01-02 Cilag Gmbh International Stapling assembly components having metal substrates and plastic bodies
US11903582B2 (en) 2021-03-24 2024-02-20 Cilag Gmbh International Leveraging surfaces for cartridge installation
US11497495B2 (en) 2021-03-31 2022-11-15 Covidien Lp Continuous stapler strip for use with a surgical stapling device
US11666330B2 (en) 2021-04-05 2023-06-06 Covidien Lp Surgical stapling device with lockout mechanism
US11576670B2 (en) 2021-05-06 2023-02-14 Covidien Lp Surgical stapling device with optimized drive assembly
US11812956B2 (en) 2021-05-18 2023-11-14 Covidien Lp Dual firing radial stapling device
US11696755B2 (en) 2021-05-19 2023-07-11 Covidien Lp Surgical stapling device with reload assembly removal lockout
US11771423B2 (en) 2021-05-25 2023-10-03 Covidien Lp Powered stapling device with manual retraction
US11510673B1 (en) 2021-05-25 2022-11-29 Covidien Lp Powered stapling device with manual retraction
US11701119B2 (en) 2021-05-26 2023-07-18 Covidien Lp Powered stapling device with rack release
US20220378424A1 (en) 2021-05-28 2022-12-01 Cilag Gmbh International Stapling instrument comprising a firing lockout
US11576675B2 (en) 2021-06-07 2023-02-14 Covidien Lp Staple cartridge with knife
US11617579B2 (en) 2021-06-29 2023-04-04 Covidien Lp Ultra low profile surgical stapling instrument for tissue resections
US11707275B2 (en) 2021-06-29 2023-07-25 Covidien Lp Asymmetrical surgical stapling device
US11602344B2 (en) 2021-06-30 2023-03-14 Covidien Lp Surgical stapling apparatus with firing lockout assembly
US11540831B1 (en) 2021-08-12 2023-01-03 Covidien Lp Staple cartridge with actuation sled detection
US11779334B2 (en) 2021-08-19 2023-10-10 Covidien Lp Surgical stapling device including a manual retraction assembly
US11707277B2 (en) 2021-08-20 2023-07-25 Covidien Lp Articulating surgical stapling apparatus with pivotable knife bar guide assembly
US11576671B1 (en) 2021-08-20 2023-02-14 Covidien Lp Small diameter linear surgical stapling apparatus
US11864761B2 (en) 2021-09-14 2024-01-09 Covidien Lp Surgical instrument with illumination mechanism
US11653922B2 (en) 2021-09-29 2023-05-23 Covidien Lp Surgical stapling device with firing lockout mechanism
US11660094B2 (en) 2021-09-29 2023-05-30 Covidien Lp Surgical fastening instrument with two-part surgical fasteners
US11849949B2 (en) 2021-09-30 2023-12-26 Covidien Lp Surgical stapling device with firing lockout member
US11957337B2 (en) 2021-10-18 2024-04-16 Cilag Gmbh International Surgical stapling assembly with offset ramped drive surfaces
US11877745B2 (en) 2021-10-18 2024-01-23 Cilag Gmbh International Surgical stapling assembly having longitudinally-repeating staple leg clusters
US11937816B2 (en) 2021-10-28 2024-03-26 Cilag Gmbh International Electrical lead arrangements for surgical instruments

Family Cites Families (87)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3506005A (en) * 1967-02-23 1970-04-14 Arthur S Gilio Pressure infusion device for medical use
US4331277A (en) * 1980-05-23 1982-05-25 United States Surgical Corporation Self-contained gas powered surgical stapler
US4794912A (en) * 1987-08-17 1989-01-03 Welch Allyn, Inc. Borescope or endoscope with fluid dynamic muscle
GB8800909D0 (en) * 1988-01-15 1988-02-17 Ethicon Inc Gas powered surgical stapler
US4921482A (en) * 1989-01-09 1990-05-01 Hammerslag Julius G Steerable angioplasty device
US5478320A (en) * 1989-11-29 1995-12-26 Cordis Corporation Puncture resistant balloon catheter and method of manufacturing
US5179934A (en) * 1990-02-20 1993-01-19 Olympus Optical Co., Ltd. Endoscope
US5005754A (en) * 1990-04-04 1991-04-09 Ethicon, Inc. Bladder and mandrel for use with surgical stapler
US5219111A (en) * 1991-03-11 1993-06-15 Ethicon, Inc. Pneumatically actuated linear stapling device
US5275608A (en) * 1991-10-16 1994-01-04 Implemed, Inc. Generic endoscopic instrument
US5289963A (en) * 1991-10-18 1994-03-01 United States Surgical Corporation Apparatus and method for applying surgical staples to attach an object to body tissue
US5326013A (en) * 1991-10-18 1994-07-05 United States Surgical Corporation Self contained gas powered surgical apparatus
US6250532B1 (en) * 1991-10-18 2001-06-26 United States Surgical Corporation Surgical stapling apparatus
US5312023A (en) * 1991-10-18 1994-05-17 United States Surgical Corporation Self contained gas powered surgical apparatus
US5197649A (en) * 1991-10-29 1993-03-30 The Trustees Of Columbia University In The City Of New York Gastrointestinal endoscoptic stapler
US5383880A (en) * 1992-01-17 1995-01-24 Ethicon, Inc. Endoscopic surgical system with sensing means
US5271543A (en) * 1992-02-07 1993-12-21 Ethicon, Inc. Surgical anastomosis stapling instrument with flexible support shaft and anvil adjusting mechanism
US5514157A (en) * 1992-02-12 1996-05-07 United States Surgical Corporation Articulating endoscopic surgical apparatus
US5314466A (en) * 1992-04-13 1994-05-24 Ep Technologies, Inc. Articulated unidirectional microwave antenna systems for cardiac ablation
US5250074A (en) * 1992-07-14 1993-10-05 Wilk Peter J Surgical instrument assembly and associated technique
US5485952A (en) * 1992-09-23 1996-01-23 United States Surgical Corporation Apparatus for applying surgical fasteners
US5411519A (en) * 1992-09-23 1995-05-02 United States Surgical Corporation Surgical apparatus having hinged jaw structure
US5431323A (en) * 1992-10-09 1995-07-11 Ethicon, Inc. Endoscopic surgical instrument with pivotable and rotatable staple cartridge
US5662662A (en) * 1992-10-09 1997-09-02 Ethicon Endo-Surgery, Inc. Surgical instrument and method
US5409498A (en) * 1992-11-05 1995-04-25 Ethicon, Inc. Rotatable articulating endoscopic fastening instrument
US5540375A (en) * 1993-04-20 1996-07-30 United States Surgical Corporation Endoscopic stapler
US5405344A (en) * 1993-09-30 1995-04-11 Ethicon, Inc. Articulable socket joint assembly for an endoscopic instrument for surgical fastner track therefor
US5361583A (en) * 1993-09-30 1994-11-08 Ethicon, Inc. Pressurized fluid actuation system with variable force and stroke output for use in a surgical instrument
US5339723A (en) * 1993-09-30 1994-08-23 Ethicon, Inc. Pressurized fluid actuation system for amplifying operator input force in a surgical instrument
US5487499A (en) * 1993-10-08 1996-01-30 United States Surgical Corporation Surgical apparatus for applying surgical fasteners including a counter
US5562682A (en) * 1993-10-08 1996-10-08 Richard-Allan Medical Industries, Inc. Surgical Instrument with adjustable arms
DE4340707C2 (de) * 1993-11-30 1997-03-27 Wolf Gmbh Richard Manipulator
US5743456A (en) * 1993-12-16 1998-04-28 Stryker Corporation Hand actuable surgical handpiece
US5465895A (en) * 1994-02-03 1995-11-14 Ethicon Endo-Surgery, Inc. Surgical stapler instrument
CA2145723A1 (en) * 1994-03-30 1995-10-01 Steven W. Hamblin Surgical stapling instrument with remotely articulated stapling head assembly on rotatable support shaft
US5456684A (en) * 1994-09-08 1995-10-10 Hutchinson Technology Incorporated Multifunctional minimally invasive surgical instrument
US5901895A (en) * 1994-10-05 1999-05-11 United States Surgical Corporation Articulating apparatus for applying surgical fasteners to body tissue
US5752973A (en) * 1994-10-18 1998-05-19 Archimedes Surgical, Inc. Endoscopic surgical gripping instrument with universal joint jaw coupler
US5632432A (en) * 1994-12-19 1997-05-27 Ethicon Endo-Surgery, Inc. Surgical instrument
US5575799A (en) * 1995-03-30 1996-11-19 United States Surgical Corporation Articulating surgical apparatus
US5662667A (en) * 1995-09-19 1997-09-02 Ethicon Endo-Surgery, Inc. Surgical clamping mechanism
US5860995A (en) * 1995-09-22 1999-01-19 Misener Medical Co. Inc. Laparoscopic endoscopic surgical instrument
US6010054A (en) * 1996-02-20 2000-01-04 Imagyn Medical Technologies Linear stapling instrument with improved staple cartridge
US5797537A (en) * 1996-02-20 1998-08-25 Richard-Allan Medical Industries, Inc. Articulated surgical instrument with improved firing mechanism
US5823066A (en) * 1996-05-13 1998-10-20 Ethicon Endo-Surgery, Inc. Articulation transmission mechanism for surgical instruments
US5779727A (en) * 1997-02-18 1998-07-14 Orejola; Wilmo C. Hydraulically operated surgical scissors
TW473600B (en) * 1997-04-15 2002-01-21 Swagelok Co Tube fitting, rear ferrule for a two ferrule tube fitting and ferrule for a tube fitting and a non-flared tube fitting
US5865361A (en) * 1997-09-23 1999-02-02 United States Surgical Corporation Surgical stapling apparatus
US6228097B1 (en) * 1999-01-22 2001-05-08 Scion International, Inc. Surgical instrument for clipping and cutting blood vessels and organic structures
US6756094B1 (en) * 2000-02-28 2004-06-29 Scimed Life Systems, Inc. Balloon structure with PTFE component
US6506202B1 (en) * 2000-07-10 2003-01-14 Advanced Cardiovascular Systems, Inc. Expandable stent dimensional retention system and method
US6357490B1 (en) * 2000-08-22 2002-03-19 Advanced Inhalation Research, Inc. System, method and apparatus for filling containers
WO2002017799A1 (en) * 2000-08-30 2002-03-07 Cerebral Vascular Applications Inc. Medical instrument
US6712815B2 (en) * 2001-01-16 2004-03-30 Novacept, Inc. Apparatus and method for treating venous reflux
DE60236701D1 (de) * 2001-02-08 2010-07-22 Tyco Healthcare Chirurgisches Ultraschallinstrument
JP2003090877A (ja) * 2001-07-12 2003-03-28 Murata Mfg Co Ltd レーダ装置
US6755338B2 (en) * 2001-08-29 2004-06-29 Cerebral Vascular Applications, Inc. Medical instrument
US20030111507A1 (en) * 2001-12-14 2003-06-19 George Nunez Balloon actuator for use in a resectioning device
US7112357B2 (en) * 2002-01-23 2006-09-26 Boston Scientific Scimed, Inc. Medical devices comprising a multilayer construction
US8287561B2 (en) * 2002-06-28 2012-10-16 Boston Scientific Scimed, Inc. Balloon-type actuator for surgical applications
US20060089535A1 (en) * 2002-07-11 2006-04-27 Dan Raz Piston-actuated endoscopic steering system
EP1545334B1 (en) * 2002-10-04 2006-12-13 Tyco Healthcare Group LP Surgical stapler with universal articulation and tissue pre-clamp
ES2337248T3 (es) * 2002-10-04 2010-04-22 Tyco Healthcare Group Lp Conjunto de herramienta para un dispositivo de grapado quirurgico.
US6951675B2 (en) * 2003-01-27 2005-10-04 Scimed Life Systems, Inc. Multilayer balloon catheter
TW566349U (en) * 2003-03-11 2003-12-11 Lite On Technology Corp Multi-functional office appliance
EP1635713B1 (en) * 2003-06-17 2012-04-11 Tyco Healthcare Group LP Surgical stapling device
US7111769B2 (en) * 2003-07-09 2006-09-26 Ethicon Endo-Surgery, Inc. Surgical instrument incorporating an articulation mechanism having rotation about the longitudinal axis
US6786382B1 (en) * 2003-07-09 2004-09-07 Ethicon Endo-Surgery, Inc. Surgical stapling instrument incorporating an articulation joint for a firing bar track
US6981628B2 (en) * 2003-07-09 2006-01-03 Ethicon Endo-Surgery, Inc. Surgical instrument with a lateral-moving articulation control
US7213736B2 (en) * 2003-07-09 2007-05-08 Ethicon Endo-Surgery, Inc. Surgical stapling instrument incorporating an electroactive polymer actuated firing bar track through an articulation joint
US6964363B2 (en) * 2003-07-09 2005-11-15 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having articulation joint support plates for supporting a firing bar
EP1495935A1 (de) * 2003-07-11 2005-01-12 Innova Patent GmbH Einrichtung zur Personenbeförderung auf einer Seilbahnanlage
US7364061B2 (en) * 2003-09-29 2008-04-29 Ethicon Endo-Surgery, Inc. Surgical stapling instrument incorporating a multistroke firing position indicator and retraction mechanism
US6905057B2 (en) * 2003-09-29 2005-06-14 Ethicon Endo-Surgery, Inc. Surgical stapling instrument incorporating a firing mechanism having a linked rack transmission
US7166077B2 (en) * 2004-02-03 2007-01-23 Pharma-Smart, Llc Cuff for measurement of blood pressure
US7143925B2 (en) * 2004-07-28 2006-12-05 Ethicon Endo-Surgery, Inc. Surgical instrument incorporating EAP blocking lockout mechanism
US7914551B2 (en) * 2004-07-28 2011-03-29 Ethicon Endo-Surgery, Inc. Electroactive polymer-based articulation mechanism for multi-fire surgical fastening instrument
US7407077B2 (en) * 2004-07-28 2008-08-05 Ethicon Endo-Surgery, Inc. Electroactive polymer-based actuation mechanism for linear surgical stapler
US7506790B2 (en) * 2004-07-28 2009-03-24 Ethicon Endo-Surgery, Inc. Surgical instrument incorporating an electrically actuated articulation mechanism
US8905977B2 (en) * 2004-07-28 2014-12-09 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having an electroactive polymer actuated medical substance dispenser
US7487899B2 (en) * 2004-07-28 2009-02-10 Ethicon Endo-Surgery, Inc. Surgical instrument incorporating EAP complete firing system lockout mechanism
US8317074B2 (en) * 2004-07-28 2012-11-27 Ethicon Endo-Surgery, Inc. Electroactive polymer-based articulation mechanism for circular stapler
US7654431B2 (en) * 2005-02-18 2010-02-02 Ethicon Endo-Surgery, Inc. Surgical instrument with guided laterally moving articulation member
US7784662B2 (en) * 2005-02-18 2010-08-31 Ethicon Endo-Surgery, Inc. Surgical instrument with articulating shaft with single pivot closure and double pivot frame ground
US7559450B2 (en) * 2005-02-18 2009-07-14 Ethicon Endo-Surgery, Inc. Surgical instrument incorporating a fluid transfer controlled articulation mechanism
US20070027468A1 (en) * 2005-08-01 2007-02-01 Wales Kenneth S Surgical instrument with an articulating shaft locking mechanism
US7481824B2 (en) * 2005-12-30 2009-01-27 Ethicon Endo-Surgery, Inc. Surgical instrument with bending articulation controlled articulation pivot joint

Cited By (16)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9375218B2 (en) 2006-05-03 2016-06-28 Datascope Corp. Systems and methods of tissue closure
US11369374B2 (en) 2006-05-03 2022-06-28 Datascope Corp. Systems and methods of tissue closure
US10595861B2 (en) 2006-05-03 2020-03-24 Datascope Corp. Systems and methods of tissue closure
CN101801283B (zh) * 2007-09-21 2012-07-18 Tyco医疗健康集团 手术器械
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
CN102573665B (zh) * 2009-08-11 2016-01-20 猛禽岭有限责任公司 用于柔性组织紧固件的递送装置和方法
CN102573665A (zh) * 2009-08-11 2012-07-11 猛禽岭有限责任公司 用于柔性组织紧固件的递送装置和方法
WO2012040983A1 (zh) * 2010-09-30 2012-04-05 常州市康迪医用吻合器有限公司 带有链条关节的腔镜外科切割吻合器
CN102440813A (zh) * 2010-09-30 2012-05-09 上海创亿医疗器械技术有限公司 带有链条关节的腔镜外科切割吻合器
US10485545B2 (en) 2013-11-19 2019-11-26 Datascope Corp. Fastener applicator with interlock
US11564689B2 (en) 2013-11-19 2023-01-31 Datascope Corp. Fastener applicator with interlock
CN107750144A (zh) * 2015-06-18 2018-03-02 伊西康有限责任公司 用于能够关节运动的外科器械的可运动击发梁支撑构造
CN107750142A (zh) * 2015-06-18 2018-03-02 伊西康有限责任公司 复合击发梁结构具有用于关节运动支撑的中心击发支撑构件的能够关节运动的外科器械
CN110831517B (zh) * 2017-06-28 2023-04-25 爱惜康有限责任公司 包括能够由闭合系统锁定的关节运动系统的外科器械
US11653928B2 (en) 2018-03-28 2023-05-23 Datascope Corp. Device for atrial appendage exclusion
CN112690891A (zh) * 2020-12-22 2021-04-23 博尔医疗科技常州有限公司 一种可实现左右弯转的电外科器械

Also Published As

Publication number Publication date
JP5179024B2 (ja) 2013-04-10
CA2550548A1 (en) 2006-12-23
SG128563A1 (en) 2007-01-30
BRPI0602333A (pt) 2007-02-21
JP2007000633A (ja) 2007-01-11
CN1883411B (zh) 2012-09-26
MXPA06007225A (es) 2007-01-10
US20060289602A1 (en) 2006-12-28
IL175761A0 (en) 2006-10-05
AU2006202051A1 (en) 2007-01-11
KR20060134840A (ko) 2006-12-28
AU2006202051B2 (en) 2012-06-14
EP1736105A1 (en) 2006-12-27

Similar Documents

Publication Publication Date Title
CN1883411A (zh) 具有带双枢轴闭合器和单枢轴框架底的关节运动轴的外科器械
CN1843301A (zh) 具有单枢轴闭合和双枢轴框架底的关节运动轴的外科器械
EP4007536B1 (en) Surgical instruments with double spherical articulation joints with pivotable links
CN1843302A (zh) 具有导向横向运动的关节运动构件的外科器械
CN1911183A (zh) 具有关节运动轴锁定机构的外科器械
EP2522282B1 (en) Surgical stapling and cutting instrument with articulatable end effector
US7455208B2 (en) Surgical instrument with articulating shaft with rigid firing bar supports
CN1903138A (zh) 具有与枢转关节接头连接的横向运动轴致动器的外科器械
CN1732859A (zh) 具有两件式e形梁发射机构的铰接手术缝合器
JP2017023720A (ja) 内視鏡ステープラおよびステープル
CN1947663A (zh) 带有端部执行器支承件的外科缝合器
CN1636522A (zh) 包含绕纵轴旋转的铰接机构的外科器械
CN101292888A (zh) 具有两件式e形梁击发机构的可关节运动的外科缝合器械
CN1636525A (zh) 具有支撑触发杆的转动关节支撑板的外科钉合装置
CN1957854A (zh) 锁定机构和具有该锁定机构的外科器械

Legal Events

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