CN1897880A - 可植入装置的紧固系统和其使用方法 - Google Patents

可植入装置的紧固系统和其使用方法 Download PDF

Info

Publication number
CN1897880A
CN1897880A CNA2005800013528A CN200580001352A CN1897880A CN 1897880 A CN1897880 A CN 1897880A CN A2005800013528 A CNA2005800013528 A CN A2005800013528A CN 200580001352 A CN200580001352 A CN 200580001352A CN 1897880 A CN1897880 A CN 1897880A
Authority
CN
China
Prior art keywords
connection device
housing
transmission system
suturing nail
otch
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.)
Pending
Application number
CNA2005800013528A
Other languages
English (en)
Inventor
雅内尔·比尔克
弗雷德里克·L·科
罗伯特·E·小霍伊特
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.)
Allergan Inc
Original Assignee
Inamed Medical Products Corp
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
Family has litigation
First worldwide family litigation filed litigation Critical https://patents.darts-ip.com/?family=34826003&utm_source=google_patent&utm_medium=platform_link&utm_campaign=public_patent_search&patent=CN1897880(A) "Global patent litigation dataset” by Darts-ip is licensed under a Creative Commons Attribution 4.0 International License.
Application filed by Inamed Medical Products Corp filed Critical Inamed Medical Products Corp
Publication of CN1897880A publication Critical patent/CN1897880A/zh
Pending legal-status Critical Current

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
    • A61B17/064—Surgical staples, i.e. penetrating the tissue
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/0682—Surgical staplers, e.g. containing multiple staples or clamps for applying U-shaped staples or clamps, e.g. without a forming anvil
    • A61B17/0684—Surgical staplers, e.g. containing multiple staples or clamps for applying U-shaped staples or clamps, e.g. without a forming anvil having a forming anvil staying above the tissue during stapling
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
    • A61M39/02—Access sites
    • A61M39/0208—Subcutaneous access sites for injecting or removing fluids
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00831—Material properties
    • A61B2017/00867—Material properties shape memory effect
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/064—Surgical staples, i.e. penetrating the tissue
    • A61B2017/0647—Surgical staples, i.e. penetrating the tissue having one single leg, e.g. tacks
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/064—Surgical staples, i.e. penetrating the tissue
    • A61B2017/0649—Coils or spirals
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
    • A61M39/02—Access sites
    • A61M39/0208—Subcutaneous access sites for injecting or removing fluids
    • A61M2039/0223—Subcutaneous access sites for injecting or removing fluids having means for anchoring the subcutaneous access site
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
    • A61M39/02—Access sites
    • A61M39/0208—Subcutaneous access sites for injecting or removing fluids
    • A61M2039/0229—Subcutaneous access sites for injecting or removing fluids having means for facilitating assembling, e.g. snap-fit housing or modular design
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
    • A61M39/02—Access sites
    • A61M39/04—Access sites having pierceable self-sealing members
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/14—Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
    • A61M5/1414—Hanging-up devices
    • A61M5/1415—Stands, brackets or the like for supporting infusion accessories

Abstract

本发明公开了一种用于可植入装置的手术紧固系统。可植入装置可包括多个位于配设前位置的紧固件，可包括安装在其上或周围的壳体，其中所述壳体包括多个位于配设前位置的紧固件，或者可以是其安装于其中的两部件式系统的一个部分。因此，本发明还包括可选定位可植入装置并且导致紧固件运动进入配设后位置的配设系统或工具。紧固件可以是由生物适应性材料，包括诸如形状记忆合金形成的缝合钉、金属圈、线圈、弹簧或钩子。

Description

可植入装置的紧固系统和其使用方法
技术领域
本发明涉及可植入医疗装置和手术器械以及紧固件的技术领域。本发明包括在外科手术中紧固装置或植入件的方法以及用于所述过程中的手术紧固件和器械。
背景技术
手术紧固件，如缝合钉、夹子、钳子、带子、钉子或其它伤口或切口封闭装置在手术过程中通常用于允许外科医生紧固、固定和/或修补身体组织。在美国专利No.4994073或4950284或4934364和4932960中说明了手术紧固件的一些例子。
手术紧固件已经用于外科手术中以消除对缝合的需要，因为缝合既费时间又不方便。在这些应用场合中，外科医生经常使用装有一个或多个手术紧固件的紧固件植入装置以在几秒钟内完成采用缝合需要花费几分钟才能完成的工作。这种手术时间的缩短减小了患者的失血和创伤。
通常，这种紧固系统已经主要用于封闭切口或伤口，或者用于将组织紧固在一起。可以用于多种类型的可植入装置的手术紧固系统将非常利于外科医生。目前，结合有紧固系统的手术装置通常使用非常专业化的系统，这些系统可能过于复杂并且不适合用于其它应用场合。结果，大多数可植入装置仍然采用缝合方式固定。例如，当插入胃带(gastric band)和相关进入端口元件(accessport)时，端口元件采用4至5道缝线在腹直肌鞘上被缝合就位。这种缝线的位置经常很有挑战性，因为端口元件被设置在脂肪以下几英寸处，并且缝合端口元件经常要花费与放置胃带本身一样长的时间。改进的紧固系统将允许以相当于缝合装置的安全性进行简单的单步连接。
本发明将解决该技术领域中的这些问题。
发明内容
本发明包括手术紧固系统，其中可植入装置包括多个位于配设前位置的紧固件，或者其中可植入装置可包括装配在所述装置上的壳体，其中所述壳体包括多个位于配设前位置的紧固件。因此，本发明还包括可以随意地放置可植入装置并且导致紧固件运动进入配设后位置的配设系统。
附图说明
结合下面说明和附图将可以更完全地理解本发明的上述目的和优势，其中：
图1是径向枢转紧固件的透视图，其中缝合钉位于配设前位置；
图2是图1所示径向枢转紧固件的透视图，其中缝合钉位于配设位置；
图3是图1所示径向枢转紧固件的详细透视图，其中缝合钉位于配设前位置；
图4是图2所示径向枢转紧固件的详细透视图，其中缝合钉位于配设位置；
图5是传递系统的透视图；
图6是图5所示传递系统以及端口元件紧固件的剖切视图；
图7是图6所示传递系统的远端以及位于配设前位置中的端口元件紧固件的详细剖切透视图；
图8是图6所示传递系统的远端以及位于配设位置中的端口元件紧固件的详细剖切透视图；
图9是用于传递系统的笔式握柄结构的透视图；
图10是示于开始位置中的图9所示传递系统手柄的详细剖切透视图；
图11是示于触发位置中的图9所示传递系统手柄的详细剖切透视图；
图12是用于传递系统的手枪式握柄结构的正视图；
图13是示于开始位置中的图12所示传递系统手柄的详细正视图；
图14是示于触发位置中的图12所示传递系统手柄的详细正视图；
图15是用于传递系统的另一个手枪式握柄结构的透视图；
图16是图15所示传递系统的齿轮传动机构的详细视图；
图17是示于开始位置中的图15所示传递系统的详细剖切正视图；
图18是示于弹簧完全回弹位置中的图15所示传递系统的详细剖切正视图；
图19是示于触发位置中的图15所示传递系统的详细剖切正视图；
图20是位于配设前位置中的连续NiTi丝式紧固件的透视图；
图21是位于配设后位置中的图20所示连续NiTi丝式紧固件的透视图；
图22是直腿、钝头连续金属丝式紧固件的底侧透视图；
图23是弯曲腿、钝头连续金属丝式紧固件的底侧透视图；
图24是模制尖端连续金属丝式紧固件的底侧透视图；
图25是连续NiTi丝式紧固件的透视图，其中磨利尖端位于配设后外侧位置；
图26是连续NiTi丝式紧固件的透视图，其中磨利尖端位于配设后内侧位置；
图27是连续NiTi丝式紧固件的底侧透视图，其中图26所示磨利尖端位于配设后内侧位置；
图28是带有直腿和缝合钉导向件的径向滑动紧固件的透视图；
图29是图28所示径向滑动紧固件的透视图；
图30是带有弯曲腿的径向滑动紧固件的透视图；
图31是安装之前的两部件式紧固系统的透视图；
图32是安装之后的图31所示两部件式紧固系统的透视图；
图33是安装之前的另一个两部件式紧固系统的透视图；
图34是安装之后的图33所示两部件式紧固系统的透视图；
图35是结合在装置中的独立紧固件的透视图；
图36是结合在装置中的另一个独立紧固件的透视图；
图37是结合在装置中的另一个独立紧固件的透视图；
图38是结合在装置中的另一个独立紧固件的透视图；
图39是结合在位于配设前位置的注射端口元件中的另一个独立紧固件的透视图；
图40是位于配设后位置中的图39所示独立紧固件的透视图；
图41是螺旋线圈紧固件的透视图；
图42是另一个螺旋线圈紧固件的透视图；
图43是水平线圈紧固系统底座的俯视图；
图44是图43所示水平线圈紧固系统底座的侧视图；
图45是图43所示水平线圈紧固系统底座的仰视图；
图46是用于图43所示水平线圈紧固系统的紧固系统驱动工具的透视图；
图47是图43所示水平线圈紧固系统底座的详细视图；
图48是结合在装置中的封闭金属圈紧固系统的侧视图；
图49是包括图48所示封闭金属圈紧固系统的装置的俯视图；
图50是两部件式咬扣配合紧固系统的侧视图；
图51是使用弯曲形销或钩子的另一个封闭金属圈系统的透视图；
图52是结合在装置中的图51所示使用弯曲形销或钩子的封闭金属圈系统的侧视图；
图53显示了结合在装置中的弯曲形销紧固系统的俯视图和侧视图；
图54显示了结合在装置中的另一个弯曲形销紧固系统的俯视图和侧视图；
图55显示了弹簧线圈紧固系统的仰视图和侧视图；
图56显示了位于其打开和闭合位置中的带有弯曲式紧固件的折叠基板的侧视图；
图57显示了结合在装置中的旋转钩紧固件的俯视图和侧视图；
图58是旋转盘紧固系统的顶侧透视图，其中紧固件位于配设前位置；
图59是图58所示旋转盘紧固系统的底侧透视图，其中紧固件位于配设后位置；
图60是图58所示旋转盘紧固系统的仰视图，其中紧固件位于配设后位置；
图61是图58所示旋转盘紧固系统的侧视图，其中紧固件位于部分配设位置；和
图62是图58所示旋转盘紧固系统的弯曲式紧固件的透视图，显示了旋转轴线；
图63是传递系统的剖切侧视图；
图64是传递系统的侧向透视图；
图65是图63和图64所示传递系统的致动杆的俯视图；
图66是图63和图64所示传递系统的致动杆的侧视图；
图67是图63和图64所示传递系统的致动杆的仰视图；
图68是图63和图64所示传递系统的致动杆的侧向透视图；
图69是图63和图64所示传递系统的端口元件盖的局部分解及剖切视图；
图70是图63和图64所示传递系统的端口元件盖的局部剖切视图；
图71是图63和图64所示传递系统的端口元件盖的后侧视图；
图72是图63和图64所示传递系统的端口元件盖的侧向透视图；
图73是承载夹具的底侧透视图；
图74是承载夹具的仰视图；
图75是承载夹具的透视图；
图76是盘形紧固件/端口元件/承载夹具组件的透视图；
图77是盘形紧固件/承载夹具组件的分解视图。
具体实施方式
本发明包括手术紧固系统，其中可植入装置包括多个位于配设前位置中的紧固件(例如，缝合钉)，或者其中紧固件设置为适合于缝合装置上的孔，或者其中可植入装置可以包括安装在装置上的可分离壳体，其中所述壳体包括多个位于配设前位置中的紧固件。
可分离壳体和紧固件可以由本领域公知的用于制造手术紧固件和植入件的各种材料制成。紧固件可以由金属、聚合物或其它合适的材料制成。可分离壳体可以由金属、聚合物、陶瓷或复合材料制成；例如通常使用聚砜、醋酸基共聚物、钛、弹性体和不锈钢。
这些材料必须具有生物适应性，也就是说，它们不会负面影响活体周围环境，并且反过来，它们的性能不会受活体周围环境负面影响。材料可以是惰性的、不可吸收的或者生物可降解的。惰性材料相当不容易被破坏并且在更长的时间内保持它们的形状和功能。
金属和金属合金，具体地说钛和钛合金被用于各种不同的医疗应用场合的可植入制品中。所有可植入制品都具有一定程度的生物不适应性，这可能表现为组织发炎、坏死、增生、突变、中毒和其它反应，例如受到巨细胞、白细胞和巨噬细胞攻击。虽然通常认为钛及其合金在植入时具有惰性，但是仍然可能出现一些生物和生物化学相互作用，并且已经发现理想的是在钛和钛合金植入件的表面上提供各种不同的涂层以便用于特定用途。对于很多其它的金属和金属合金也同样如此。因此，本发明包括在紧固件、可分离壳体或装置的表面上使用这种涂层。
可以用于(不论是由钛制成或是由其它材料制成的)待植入材料中的一些涂层包括生物制剂(例如遗传物质或细胞材料)或化学制剂(例如抗增殖试剂或细胞生长因子)以减小与增生或发炎有关的问题。这些制剂可以与粘合剂，如弹性体或生物可吸收聚合物混合到金属或聚合物体的表面上。
这里关注的、包括缝合钉的紧固件经常由丝线(wire)构成并因此对于它们的尺寸具有相对较大的表面积。因此，允许将生物和生物化学制剂添加到植入件表面上的方法可有利于将植入件对身体组织的不良反应降至最低。这些可包括应用于不锈钢和钛合金(例如，NiTi合金)上以延缓组织反应的涂层。这些涂层是基于稳定的生物适应性聚合物(例如苯乙烯—异丁烯—苯乙烯三嵌段共聚物(SIBS))和生物可吸收聚合物，例如聚羟基乙酸。在迄今为止公知的技术中，将活性化学或生物制剂与聚合物涂层材料混合，然后在将植入件放入体内之后从涂层中洗提制剂。
本发明另外关注的是紧固件可以由形状记忆合金(SMA)制成。与该应用场合中所使用的传统合金相比，由形状记忆合金制造金属医疗装置的主要原因在于它们对于永久变形的巨大抵抗力。用于各种医疗器械的合金一直依赖于不锈钢、诸如ElgiloyTM的高镍合金和钛基合金，所有这些材料可以通过加工硬化获得很高的屈服强度。普通金属，即使具有很高屈服强度的金属也不能承受远高于0.2％的应变而不遭受永久变形。由一种上述传统合金制造的设备一旦遭受弯曲或扭曲，实际上就不可能消除。形状记忆合金，如Au-Cd、Cu-Zn-Al、Ni-Ti和很多其它合金所显示的非同寻常的拟弹性特性(pseudoelasticity)使得有可能实现高达10％的应变的完全“弹性”恢复。因为其很高的可恢复应变及其优秀的抗腐蚀性，用于医疗部件所首选的形状记忆合金属于Ni-Ti合金族。
形状记忆合金属于表现出热弹性马氏体相变的那类合金。术语“马氏体”表示钢在从高温进行淬火时所产生的晶相。存在于升高温度中的相被称为奥氏体；这些术语已经被转而用于描述形状记忆合金中出现的相变。当钢已经从奥氏体温度淬火为马氏体时，再次形成奥氏体需要将结构加热到非常高的温度，通常超过1400。
对比之下，热弹性形状记忆合金可以从马氏体转变为奥氏体并且在很小的温度范围内，通常在18到55之间反复加热和冷却。形状记忆合金的相变通常由滞后曲线描述，其中显示为在从经常称为母相的奥氏体相进行冷却时，马氏体在表示为MS的温度处开始形成，并且在达到较低温度MF之后，合金完全成为马氏体。在从温度MF以下进行加热之后，马氏体在温度AS处开始回复到奥氏体结构，并且当达到表示为AF的温度时，合金完全成为奥氏体。这两个相或晶体结构具有差异很大的力学特性：奥氏体的杨氏模量大约为12×106psi，而马氏体的杨氏模量大约为4×106psi；并且取决于赋予合金的冷加工量的屈服强度对于奥氏体在28至100ksi之间，而对于马氏体在10至20ksi之间。
形状记忆合金的独特特征在于它们能够恢复变形。当处于马氏体形态的形状记忆合金样品遭受应力时，应变由各个马氏体变体的增长和收缩适应，而不是通过传统合金中常见的方式：滑动、晶界滑移和位错运动。当变形的马氏体被加热到奥氏体完成温度AF时，部件回复到其初始未变形状态。因此，对于医疗植入应用，有可能开发一种结构，其中装置保持在体温以下而处于其未变形形状，并且在插入身体之后，装置的温度升高至体温，此时装置回复到奥氏体结构。在当前应用中，紧固件可以由诸如NiTi的SMA可选制成。
属于本发明范围内的是，能够在比将装置缝合就位所需更短的时间内，将这里说明的这种紧固系统紧固到身体组织中。在这里所述的情况下(放置胃带的进入端口元件)，紧固系统的放置和固定应该花费不超过5分钟。另外，为了便于重新定位装置或者完全取出已植入的装置，固定系统能够完全解开并且从组织中取出。这种植入和取出不会对患者造成更大的创伤，并且固定系统不会导致比传统缝合方法更多的粘连。普通外科医生或其它医疗专业人员能够可靠并且连贯地完成紧固系统的固定和取出。
另外，在这里说明的这种固定系统的制作过程中，紧固件的尺寸决定紧固件将安装在身体组织内的深度。在当前应用的情况下，进入端口元件应该固定在装置以下不超过3mm的深度处。而且，在这种应用中，安装紧固件的身体组织是筋膜(fascia)。然而，属于本发明范围内的是，装置所连接的身体组织将取决于特定的装置而变化。另外，紧固系统在组织内的连接不会导致在放置过程中或在身体运动过程中的组织损伤；例如，用于胃带的进入端口元件经常直接连接在腹直肌上。此外，为了适应长期的植入，装置的固定具有与缝合相当或比其更大的强度并且抵抗移位或者分离。
这里所述本发明可以与任何类型的可植入装置一起使用。这种实例包括内部监视器、端口元件、起搏器、治疗剂、投药系统、神经刺激器、外科整形装置、肌腱修复件等。为了便于说明，现在将根据图1至图40所示说明本发明，其中本发明显示为与进入端口元件一起使用。本领域的技术人员将会认识到，本发明可以与其它类型的可植入装置一起使用，并且本发明可以采取与图中所示类似的形式。
另外，在附图中，壳体形成为圆环，因此可以如此进行说明。然而，本领域的技术人员将会认识到，壳体的形状取决于装置的形状，因此本发明不限于其中壳体为圆形的装置。
图1显示了根据本发明一个实施例的进入端口元件紧固系统。进入端口元件10包括隔膜11，该隔膜在实践中由针刺穿以将流体，如盐水输入到进入端口元件中用于与例如液压操作的胃带一起使用。
进入端口元件10包括围绕进入端口元件外周的可分离壳体12。壳体12包括切口或开口15。切口容纳紧固件14。切口或开口15可以采取适合容纳紧固件14同时允许紧固件14运动所需的任何形式。属于本发明范围内的是，为了使装置运动或移位的可能性降至最小而采用至少三个紧固件14。如图1至图4中所示，紧固件14通过穿过孔接合并由此枢转连接到环12上的垂直区段与环12连接。紧固件14具有如图1和图3所示的第一位置以及如图2和图4所示的第二或固定位置。为了从第一位置运动到第二位置，紧固件绕其轴线旋转。切口15允许该旋转并且小锁定凸耳在紧固件旋转之后将其保持就位。在一个实施例中，紧固件14可以是两腿式缝合钉。在另一个实施例中，缝合钉为刚性的，以至于在旋转进入患者筋膜的过程中它们不会变形。对于这种应用，传统金属也适合。此外，缝合钉可以形成为“U”形或者其改型，包括基本上形成为：
当位于第二位置时，紧固件14通过锁定凸耳16被刚性保持就位，并且紧固件14可挠曲以允许紧固件通过锁定位置。锁定凸耳16的形成可以使得在紧固件14从第一位置运动到第二位置之后外科医生可以听到清晰的喀哒声以表示紧固件14完全由锁定凸耳16接合。喀哒声还可以是可触知的，允许外科医生感觉到紧固件被锁定凸耳16接合。当位于第二位置时，进入端口元件10由与患者筋膜连接的紧固件14固定在患者体内的壳体12内。实质上，筋膜或其它身体组织被固定在紧固件14与壳体12或装置10之间。此外，壳体12可以包括与围绕装置10周边的缝合孔(未示出)接合的栓(未示出)。
图5至图8显示了图1所示的进入端口元件及其与进入端口元件传递系统20的相互作用。如图5中所示，进入端口元件传递系统20可以包括手指凹陷25，该凹陷由操作者用于帮助将进入端口元件和传递系统保持就位并且准确对正。
传递系统20包括端口元件罩体21。端口元件罩体21容纳柱塞22、滑动推件24和滑动组件26。端口元件罩体可以形成为基本上覆盖进入端口元件10所需的任何形状。
柱塞22为传递系统20提供操作装置并且与下面将要说明的触发装置连接。在起动触发装置之后，柱塞22沿进入端口元件10的方向运动。该运动导致滑动推件24被致动。滑动推件24将运动柱塞22的能量传递给滑动组件26。滑动组件26具有基本上为圆形的形状并且包围进入端口元件10。在其它应用中，滑动组件可以采取适合于待植入装置和壳体的形式。在致动之后，滑动组件26沿着进入端口元件10的方向被推动。对正凸片30帮助对正滑动组件26。对正凸片30与端口元件罩体21连接并且与进入端口元件10相互作用以确保准确对正。滑动组件26的运动导致与滑动装置26连接的梁28作用于紧固件14上。施加于紧固件14上的力允许它们在环孔(未示出)内旋转并且适应基本上由切口15限定的弧线。该旋转对应于上述从第一位置到第二位置的运动。由于梁28继续朝向进入端口元件10运动，所以紧固件14到达第二位置并且通过锁定凸耳16被保持就位。在该位置，进入端口元件10通过紧固件14及它们与患者的筋膜或其它组织的相互作用而被刚性保持就位。
图9显示了包括触发装置40的进入端口元件传递系统。图10显示了位于开始或加载位置的触发装置40的横截面图。在该位置，弹簧42被压缩，并且与杆46连接的栓销44通过肋部48固定以防止压缩弹簧42伸展。触发装置包括与操纵杆52连接的触发件50。如图10中所示，弹簧42和杆46位于壳体54中。
如图11中所示，在触发件50上施加预定力之后，操纵杆52作用于壳体54上。壳体54在支点(未示出)上枢转，该枢转动作将栓销44抬高到肋部48的端部上方。在抬高之后，压缩弹簧42的弹簧力沿着进入端口元件方向驱动柱塞22并且如上所述致动其周围的装置。在这种结构中，可以确定柱塞行程、速度和冲击力以满足应用需要。根据测试，取决于实际应用中所使用的弹簧，柱塞行程在0.25至0.75英寸之间，并且可以在柱塞上产生高达50磅的力。
弹簧驱动装置的可选形式示于图12中。图12显示了手掌抓握致动触发装置60。手掌抓握是非常简单的设计，只需要单个运动部件来移动柱塞22。在如图13所示的第一位置中，有活动手柄61、固定手柄62、枢转点64和致动尖端66。
在操作中，使用者挤压活动手柄61，将其沿着固定手柄62的方向推动。该运动沿着与活动手柄61的运动方向相反的方向推动与活动手柄61和枢转点64连接性接合的致动尖端66。通过使用简单的杠杆作用，施加于活动手柄61上的相对较小的力通过枢转点64放大并且由致动尖端66施加于柱塞22上。柱塞22通过致动尖端66沿着进入端口元件10的方向被移动并且如上所述致动其周围的装置。手掌抓握致动装置所产生的力只受使用者的力量限制，根据测试，该装置能够产生超过50磅的力以及0.25英寸的柱塞行程。作为选择，可以制造齿轮机构，其尽管需要活动手柄61更大的行进距离但是能够产生相等或更大的力。由图12至图14中所示装置产生的力也可以根据需要通过以下方式而改变，即将枢转点64移动为更靠近柱塞22以产生更大的力，或者远离枢转点以产生更小的力。
另一个可选的触发装置示于图15至图19中。手枪式抓握触发装置70包括在一端安置有齿轮传动齿73的触发件72、与齿轮传动齿73啮合的齿轮74、由齿轮74驱动的齿条75和弹簧76。齿条还可以包括用于握紧柱塞22的装置78。
操作过程示于图17至图19中。在图17中，触发件伸出并且弹簧几乎没有或完全没有压力。齿轮传动齿73与齿轮74的对应齿和齿条75上的齿啮合。柱塞22位于伸出位置。当压下触发件72时，齿轮传动齿73致动齿轮74并且转而导致齿条75压缩弹簧76，如图18中所示。在预定距离处，齿轮传动齿73不再接合齿轮74。在该位置处，齿轮74自由旋转。弹簧76中储存的能量推动齿条75朝向柱塞22运动。自由旋转的齿轮74允许齿条75运动，而齿条75转而推动柱塞朝向进入端口元件10并且如上所述致动其周围的装置。
另一个可以结合在手枪式抓握触发装置70中的结构是锁(未示出)，该锁在弹簧76被压缩之后防止齿轮74旋转。然后在需要时，操作者可以释放锁，由此允许弹簧76如上所述伸展。
根据测试，手枪式抓握触发装置70允许柱塞行进大约0.4英寸并且可以产生超过50磅的力。例如，该实施例优于，例如上述活动抓握装置的明显优势在于具有很高冲击速度的瞬时配设。
在图20中，显示了本发明的另一个实施例。如上所述，NiTi或SMA合金材料的使用在医疗领域众所周知。如图20中所示，NiTi紧固件示于配设前状态中。紧固件14是连续的并且与进入端口元件10连接而穿过其中的孔。在操作中，紧固件14被压入患者的筋膜中以固定进入端口元件。NiTi紧固件14具有能够在例如加热至体温时改变其形状的独特能力。如图21中所示，在安装紧固件后，它们可以改变形状以至在进入端口元件10下方弯曲并且将进入端口元件固定就位。
在图22中，紧固件14显示为带有处于配设状态的直腿80。可选结构包括如图23所示的弯曲腿81。使用弯曲腿81，可以将筋膜夹在紧固件与进入端口元件下侧之间。另一个可选结构示于图24中，其中紧固件腿81的尖端覆盖有模制尖端82。模制尖端可以形成为帮助刺穿患者筋膜的形状。这样就不需要使紧固件14形成为用于刺穿的形状。另外，尖端82可以由生物可吸收材料形成。
在本发明的另一个实施例中，NiTi紧固件可以连续形成于环84中。环84的使用允许紧固件14形成有连续的结构。在形成带有紧固件14的环84之后，可以磨掉腿80的端部以产生各个基本上为U形的紧固件14。环84确保紧固件14可以如上所述作为一个整体插入，并且研磨腿确保具有足够刺穿筋膜的锋利尖端。如图25和图27中所示，腿可以形成于环84中并且置于其中以至于在因为受热而弯曲之后，腿80向内朝向进入端口元件10或者向外朝向进入端口元件10。
本发明的另一个实施例是如图28至图34中所示的两部件式紧固系统。图28显示了形成有多个单独紧固件14的导向件90。紧固件14可以在导向件90中从第一位置滑动到第二位置。在操作中，将导向件90放在进入端口元件10之上并且与切口15对正。紧固件14由弹簧形材料形成并且成形为与进入端口元件10连接。紧固件14从图28中所示的第一位置滑动到图29中所示的第二位置。紧固件14刺穿筋膜并且将进入端口元件10牢固保持于此。如前所述，紧固件可以具有直的或弯曲形的腿。在所有紧固件从导向件90滑动到进入端口元件10上之后，如果导向件不是最终植入装置的部件就可以将其取出。作为选择，导向件90也可以是可植入装置的永久部件。
另一个两部件式紧固装置包括预成形环100(图31和图32)。该环包括用于将环100连接到筋膜上的第一固定装置104。该环还包括用于将进入端口元件10连接到固定环100上的第二固定装置102。在操作中，将环100放在筋膜上，然后扭动以将筋膜接合在第一固定装置104中。然后将进入端口元件10放在环100上并且通过进入端口元件中的孔106接合第二固定装置102。该结构允许正向连接和重新安装的可重复性，而不分离预成形环。
图33和图34显示了另一个两部件式紧固装置，该装置包括置放装置112和具有NiTi紧固件114的环110。在实际应用中，环110插入置放装置112中。置放装置112放在进入端口元件10上方，使紧固件14与切口15和孔106对正。推动紧固件114穿过孔106并且接合进入端口元件10所坐靠的患者筋膜。通过加热过程，紧固件14改变形状并且将进入端口元件固定在筋膜上。在预定时间之后，可以取出置放装置。
本发明的另一个实施例涉及独立紧固件。如图35至图38中所示，可以使用各种不同的结构以将进入端口元件10固定在患者的筋膜上。紧固件可以采用NiTi以至于在施加预定热量之后紧固件改变形状。紧固件14可以单独插入，或者如上所述作为预成形环的部件插入。当单独插入时，紧固件14可以是直杆或者可以具有某些可以通过加热过程而显著变形(heightened)的预成形形状。在图35中，紧固件14呈现卷曲发辫形状。在图36中，紧固件呈现基本上为C形的外形。图37和图38使用U形紧固件14，其端部在加热时线性弯曲以至形成如图37所示的Ω形，或者垂直弯曲成图38所示的形状。这些形状可以针对特定的应用按需要选择。
本发明的另一个实施例示于图39中。在图39中，紧固件14滑动安装在进入端口元件10中。这可以通过将NiTi紧固系统冷模制到装置中而实现，并且允许正向连接和可重复的重新安装。通过使用安装工具120，可以推动紧固件穿过进入端口元件10底部的孔并且接合筋膜。通过将紧固件安装为进入端口元件10的一体部件，不需要如上所述的环或壳体用于容纳紧固件。安装工具120可以是这里所公开的触发装置的一部分。图40显示了位于接合位置中的紧固件14。
如上所述并且如图1至图8中所示，径向枢转紧固件是采用直接驱动的简单传递系统。相关传递系统启动枢转以径向进入。缝合钉可以是不锈钢、钛、镍钛诺或ElgiloyTM，或者包括其它金属或塑料的其它合适的材料。模制枢转/锁闭系统可以设计为咬扣到可植入装置上的已有缝合孔中。另外，简单的缝合钉形状允许很容易地制造。这种系统为自刺穿系统，即不需要预先刺穿身体组织，例如筋膜。缝合钉的弯曲形结构允许预知缝合钉前进时刺入身体组织的深度；并且弯曲形缝合钉的枢转特征产生轻松穿过组织的路径。拆卸紧固系统需要取出工具，并且缝合钉将伴随着向内生长的周围组织所产生的非常小的阻力旋出初始进入路径。然而，除了拆卸过程之外，拆卸系统所需的力很适当以允许缝合钉保持锁定就位。
这里关注的紧固系统的连续金属丝形状包括钝头、模制尖端和研磨或削锐尖端。如图20至图23中所示的钝头连续金属丝系统可能需要预刺穿以便插入钝头金属丝。紧固组件可被制造成需要锁定结构以保持金属丝形状或包覆模制(overmolded)环。简单金属丝形状可以由不锈钢、钛、ElgiloyTM、NiTi，或者其它合适的材料制成。因为钝头提供最小的组织损伤和创伤，因此可以很轻松地取出紧固装置。另外，钝头减小取出装置所需的力。如图20和图24中所示带有模制尖端的连续金属丝式装置不需要预先刺穿身体组织，并且这些尖端允许轻松进入身体组织。此外，图25至图27中所示削锐或磨利尖端连续金属丝式装置也不需要预先刺穿身体组织，它们也允许轻松进入身体组织。
这里所示带有平坦紧固件(图28和图29)和弯曲式紧固件(图30)的径向滑动紧固装置需要比其它紧固装置更大的进入位置。紧固件产生穿过身体组织的简单而可靠的路径，在使用弯曲式紧固件系统中将获得更大的保持力。系统的拆卸采用将每个紧固件从其中心位置撤出的相关取出工具来实现。作为选择，紧固件可被制造成：通过向上提装置，此时紧固件被弯曲到矫直位置以允许轻松取出紧固件，从而实现系统的拆卸。
图41显示了一种螺旋线圈紧固件201，该紧固件可选与包括从底座中心延伸的导管连接器的端口元件一起使用。螺旋形结构被安装在单独的盘203上，而所述盘在凸块202处咬扣端口元件上，或者可选安装在端口元件本身上，居中位于基板上。通过盘或端口元件的旋转而将盘或端口元件手动固定在组织上，这导致线圈沿穿过组织的螺旋路径前进。在一个实施例中，线圈可以具有锋利的尖端。
螺旋线圈紧固件的改型示于图42中。图42显示了一种扁形螺旋弹簧204，其向下偏转以开始其穿过组织的路径。在植入之后可撤出偏移装置205，允许弹簧在康复过程中压缩。弹簧的压缩将减小植入的线圈紧固件的轮廓并且可以减小产生疼痛的可能性。凸块202可被用来将端口元件或其他装置锁定进入紧固件。
图43至图47以及图55显示了一种水平线圈植入系统。在该水平线圈系统中，金属线圈被水平使用以将端口元件缝合到组织上。众所周知，通过在侵入性最小的疝气手术过程中用作网钉(mesh tack)，这种线圈可以刺穿组织并且保持在组织中。在该情况下，如上述螺旋线圈紧固件一样，线圈与组织表面平行而非垂直地前进。期望小配设工具206以有助于驱动线圈208穿过组织和底座线圈插座209中的配合孔207(参见图46和47)。这种孔可以是穿过底座底部上的脊部的直孔(参见图44、图45和图47)，或者是模制在具有平坦表面的底座中的弯曲形孔。底座的俯视图示于图43中。期望的是，最后的孔将为盲孔，并且线圈的端部将形成于可以倾斜滑动并且锁定就位例如进入狭槽中的横杆中。一种改型包括这样的线圈的路径，即其绕端口元件或底座边缘弯曲而有助于工具接触到线圈。这也可以通过改变线圈的挠性而实现。为了防止旋转线圈在前进穿过孔之前勾到组织纤维，可以在工具上增加导管作为遮蔽。
图48至图62显示了金属缝合系统的各种不同的实施例。该端口元件固定方法涉及通过使用底座本身作为封闭弯曲形金属构件形成的圈的装置(例如，参见图48和图52)，而在端口元件底座之下形成一个或多个封闭金属圈。图48显示了一个封闭圈，其中单弯曲金属构件示出处于其配设后位置。图49是本发明一个实施例的剖切仰视图，显示了位于其配设前位置的弯曲金属构件211。图57显示了本发明一个实施例的仰视图和侧视图，显示了与底座的底部形成圈的弯曲金属构件。图51显示了弯曲金属构件，其中箭头表示它们的配设旋转。上述方式的端口元件紧固可以采用单部件式系统和两部件式系统完成，由此两部件式系统可包括通过与图50所示凸块202咬扣配合而连接到端口元件或其它装置上的环201。这可以用于单部件式系统和两部件式系统，由此两部件式系统可以具有采用图50所示系统与端口元件或其它装置连接的环。一个实施例包括偏移工具，所述偏移工具使金属构件尖端与底座的接触分离，从而允许构件尖端开始其向下穿过组织的路径。所述偏移工具可以是圆盘或端口元件本身。在尖端已经前进一定距离之后，撤出工具，允许弯曲形构件然后遵循与底座相交的路径运动。同样，另一个实施例包括在两个平面内弯曲的多个构件，以至于底座的旋转完成多个圈的形成。
获得这种圈的一种可选方法是采用弯曲形销212，所述弯曲形销在到达其期望的组织位置之后被插入穿过底座，如图53和图54中所示。这种销自然地具有穿过组织的弧形并且很容易指回端口元件底座。这种销可以制造成：通过在咬扣于底座上的狭槽214中的销上增加直角弯曲213，或者通过其它此类公知的方式，所述销在完全行程之后被锁定就位。该设计思想的改型包括位于销的端部并且与弯曲形部分平行的附加直部分。杠杆臂215被用于驱动弯曲形部分穿过底座并且完成其设计行程。
在另一个实施例中，可以使用两部件式系统，其中端口元件与带有锋利、弯曲延伸部217(参见图56)的折叠基板218连接。将折叠后的板放在组织上，使延伸部指向组织。当基板展开(平坦)时，延伸部沿着旋转路径被驱动旋转90度(参见图56)。端口元件然后咬扣到基板上，将延伸部锁定就位。在一个实施例中，延伸部的尖端将与另一半部的尖端重叠，从而半遮蔽这些尖端。
图58至图62显示了一种优选的旋转盘紧固系统。在将待植入装置放入其期望的位置之后，使用多个弯曲形销或钩子501(参见图62)将其固定到组织上，这些弯曲形销或钩子的尖端旋转经过一弧线并且在它们行进的末端向回容纳在基板510中或其附近。基板510内的盘520旋转，由此导致杠杆臂525压在弯曲形钩子501上，而弯曲形钩子501反过来绕它们的固定轴线在基板中旋转经过一弧线直到盘的旋转动作停止。在完全配设位置中(图59和图60)，优选的是，钩子501的尖端向回容纳在基板510中以形成封闭圈。作为选择，尖端可以形成非封闭圈。无论为何种情况，优选的是，旋转盘520在其行进的末端锁定就位以将钩子锁定就位。与止挡件515接合的单向挠性锁定凸块527或其它锁定装置可以用于通过阻止盘的向回旋转而将钩子锁定就位。例如前面结合图5至图19所述的配设工具或传递系统可用于将装置紧固就位。柱塞22和滑动推件24的直线运动通过使用齿轮的传动系统或其它公知装置而转变为旋转运动。
图63至图72显示了优选的入口传递系统。参看图63，其显示了位于配设前位置的端口元件传递系统，操纵杆605在铰链621处与手柄607连接。缆线护皮619通过固定销623固定到手柄607上。缆线护皮619包围缆线617，所述缆线在缆线止挡件615处与位于装置手柄端的操纵杆605连接。缆线护皮619允许缆线617的直线运动。在配设端，缆线617与咬扣在端口元件盖631中的致动杆701连接。如图66和图70中所示，致动杆701和端口元件盖631具有用于抓握盘形紧固件基板的弯曲唇部721。另外，致动杆701具有凹槽723以允许致动杆以最小接触方式绕基板旋转，唯一的接触来自弯曲唇部721。图66显示了致动杆的边缘713，所述边缘咬扣在端口元件盖631的配合凹槽中并且固定致动杆但是允许其转动。图65显示了致动杆的俯视图，并且显示了缆线止挡件705，缆线617的配设端连接于该缆线止挡件处。缆线617穿过狭槽707延伸并且穿过切口709沿着凹槽711伸出。当配设工具的使用者朝向手柄607拉操纵杆605时，缆线617被拉动通过护皮朝向手柄607。由于缆线被拉动通过护皮拉动，它在缆线止挡件705处拉动致动杆，导致致动杆沿着边缘713及其在端口元件盖631中的相应凹槽限定的路径旋转。图69和图70显示了致动杆、端口元件盖和缆线组件的各个部件的局部分解和剖切详细视图。因此，缆线607的直线运动被转变为安装紧固系统所需的旋转运动。
图71和图72更详细地显示了端口元件盖631的实施例。连接位置735是缆线护皮可以与端口元件盖连接的位置。另外，图71和图72显示了装置通道737。装置通道737允许端口元件盖与端口元件或其它装置连接而不会干扰可能从端口元件或装置延伸的任何导管或其它器械。在该实施例中，通道为矩形形状，然而，通道可以为适合各种不同装置的各种不同形状。
图73至图77显示了用于保持组合的端口元件/盘形紧固件组件的承载夹具。端口元件/盘形紧固件系统咬扣到承载夹具中，所述承载夹具保护组件，避免使用者意外接触到用于将组件紧固到组织上的钩子、锋利尖端等，防止组件的不成熟的配设，并且允许使用者将端口元件/盘形紧固件系统装到配设工具中而不需实际接触组件。配设工具咬扣到组件中，而其仍然位于承载夹具中。与端口元件盖的装置通道相似，承载夹具包括装置通道739以允许任何导管自由从待连接的装置上悬挂而承载夹具没有任何干扰。图75显示了装置通过锁定凸耳743和/或栓741牢固保持就位的方式。图76显示了由承载夹具牢固保持的端口元件/盘形紧固件组件。图77显示了没有连接端口元件装置的盘形紧固件/承载夹具组件的分解视图。
图58至图62所示盘形紧固件系统的优选实施例、图63至图68所示配设工具的优选实施例和图73至图77所示承载夹具的组合使用的简要说明有助于理解本发明。使用者在手柄607处握住端口元件传递系统。端口元件/盘形紧固件组件将被保持在承载夹具中，如图76中所示。使用者操纵端口元件/盘形紧固件组件上的端口元件盖631，并且致动杆的弯曲唇部721和端口元件盖与基板510咬扣配合，以至于使用者听到清晰的喀哒声并且感觉到可触觉感知的卡扣。使用者然后从承载夹具拉动配设工具，而组合的端口元件/盘形紧固件连接并且已经准备配设。使用者然后定位组合的端口元件/盘形紧固件系统使得盘形紧固件被设置在其进行配设的位置。在就位之后，使用者就拉动操纵杆，使致动杆运动。致动边缘725与单杠杆臂525接合，旋转杠杆臂直到紧固件被完全配设。在完全配设之后，因为端口元件从端口元件传递系统中弹出，使用者听到清晰的喀哒声并且感觉到可触觉感知的卡扣，并且完成配设。
尽管已经结合某些优选实施例，具体地说结合进入端口元件或注射端口元件尤其显示并说明了本发明，但是本领域的普通技术人员很容易认识到，任何多个可植入医疗装置可以与本发明的紧固系统一起使用，并且在不脱离本发明的精神和范围的前提下，可以对进行各种变化和改型。

Claims (38)

1、一种将装置固定到身体组织上的方法，包括：
提供具有相关连接器具的装置，所述连接器具包括壳体，所述壳体围绕所述装置的周边并且包括多个切口或开口，其中所述各切口或开口包括与所述壳体枢转连接的紧固器具；
将所述装置和连接器具安置在身体组织上；
采用传递系统覆盖所述装置和连接器具；
致动所述传递系统，以至于所述紧固器具从第一位置枢转到第二位置，以将所述装置固定在身体组织中，其中所述枢转运动由所述切口或开口容纳，并且所述紧固器具通过锁定凸耳被锁定在所述第二位置；以及
从已固定的装置和连接器具取下所述传递系统。
2、根据权利要求1所述的方法，其特征在于，所述壳体与所述装置的本体为一体。
3、根据权利要求1所述的方法，其特征在于，所述壳体可以拆卸并且围绕所述装置的外侧，以至于在所述致动步骤之后，所述装置牢固容纳在所述壳体内。
4、根据权利要求1所述的方法，其特征在于，所述紧固器具为缝合钉。
5、根据权利要求4所述的方法，其特征在于，所述缝合钉成形为基本上为如下形状：
Figure A2005800013520003C1
6、根据权利要求5所述的方法，其特征在于，所述缝合钉的第一腿与所述壳体枢转连接。
7、根据权利要求6所述的方法，其特征在于，在枢转时，所述缝合钉的第二腿刺入身体组织。
8、根据权利要求7所述的方法，其特征在于，在枢转时，所述缝合钉保持其形状。
9、根据权利要求6所述的方法，其特征在于，所述缝合钉通过锁定凸耳被锁定就位。
10、根据权利要求9所述的方法，其特征在于，身体组织被固定在所述缝合钉的第二腿与所述装置之间。
11、根据权利要求1所述的方法，其特征在于，所述多个切口或开口围绕所述壳体等距隔开。
12、根据权利要求4所述的方法，其特征在于，所述缝合钉由不锈钢、ElgiloyTM、钴—铬合金或镍—钛合金中的一种或多种材料形成。
13、根据权利要求1所述的方法，其特征在于，所述传递系统包括罩体、柱塞、滑动推件和滑动组件，所述滑动组件包括梁，所述梁被间隔成与所述连接器具的壳体上的对应切口或开口对止。
14、根据权利要求13所述的方法，其特征在于，所述柱塞通过笔式抓握系统、手掌抓握系统或手枪式抓握系统被致动。
15、根据权利要求14所述的方法，其特征在于，在所述柱塞被致动时，所述滑动组件朝向所述壳体和所述装置运动。
16、根据权利要求15所述的方法，其特征在于，在所述柱塞被致动时，所述梁推压在所述紧固器具上，导致所述紧固器具枢转。
17、一种用于将相关装置连接到身体组织上的连接器具，所述连接器具包括壳体，所述壳体围绕所述装置的周边并且包括多个切口或开口，所述各切口或开口包括与所述壳体枢转连接的紧固器具，所述紧固器具可以从第一位置枢转到第二位置以将所述装置固定在身体组织中。
18、根据权利要求17所述的连接器具，其特征在于，还包括锁定凸耳，其用于在所述紧固器具旋转到所述第二位置之后，锁定所述紧固器具。
19、根据权利要求17所述的连接器具，其特征在于，所述壳体与所述装置的本体为一体。
20、根据权利要求17所述的连接器具，其特征在于，所述壳体可以与所述装置分离并且基本上围绕所述装置的周边。
21、根据权利要求17所述的连接器具，其特征在于，所述紧固器具为缝合钉。
22、根据权利要求21所述的连接器具，其特征在于，所述缝合钉形成为：
Figure A2005800013520005C1
23、根据权利要求21所述的连接器具，其特征在于，所述缝合钉的第一腿与所述连接器具枢转连接。
24、根据权利要求21所述的连接器具，其特征在于，在枢转时，所述缝合钉的第二腿刺入身体组织。
25、根据权利要求24所述的连接器具，其特征在于，在枢转时，所述缝合钉保持其形状。
26、根据权利要求21所述的连接器具，其特征在于，所述缝合钉通过锁定凸耳被锁定在第二位置。
27、根据权利要求24所述的连接器具，其特征在于，身体组织被固定在所述缝合钉的所述第二腿与所述装置之间。
28、根据权利要求17所述的连接器具，其特征在于，所述切口或开口围绕所述连接器具等距隔开。
29、根据权利要求17所述的连接器具，其特征在于，所述紧固器具由不锈钢、ElgiloyTM、钴—铬合金或镍—钛合金中的一种或多种材料形成。
30、一种用于将装置和相关连接器具固定到身体组织上的传递系统，所述传递系统包括罩体、柱塞、滑动推件和滑动组件，所述滑动组件包括梁，其中所述梁被间隔成与所述连接器具的壳体上的对应切口或开口对正。
31、根据权利要求30所述的传递系统，其特征在于，所述柱塞通过笔式抓握系统、手掌抓握系统或手枪式抓握系统被致动。
32、根据权利要求30所述的传递系统，其特征在于，在所述柱塞被致动时，所述滑动组件朝向所述壳体和装置运动。
33、根据权利要求30所述的传递系统，其特征在于，在所述柱塞被致动时，所述梁推压在紧固器具上，导致所述紧固器具枢转。
34、一种具有外侧表面的可植入装置，所述外侧表面包括多个切口或开口，所述各切口或开口容纳与所述装置枢转连接的紧固器具。
35、一种用于与权利要求34所述的可植入装置一起使用的传递系统，所述传递系统包括罩体、柱塞、滑动推件和滑动组件，所述滑动组件还包括梁，其中所述梁被间隔成与所述装置上的对应切口或开口对正。
36、根据权利要求20所述的连接器具，其特征在于，所述壳体还包括与围绕所述装置周边的缝合孔接合的栓。
37、一种用于将装置和相关连接器具固定到身体组织上的传递系统，所述传递系统包括罩体、柱塞、滑动推件和传动装置，所述传动装置将所述柱塞的直线运动转变为旋转运动以配设所述装置的连接器具。
38、根据权利要求17所述的连接器具，其特征在于，还包括用于使所述紧固器具从所述第一位置旋转到所述第二位置的旋转盘。
CNA2005800013528A 2004-01-23 2005-01-21 可植入装置的紧固系统和其使用方法 Pending CN1897880A (zh)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US53867404P 2004-01-23 2004-01-23
US60/538,674 2004-01-23

Related Child Applications (1)

Application Number Title Priority Date Filing Date
CNA2009101262937A Division CN101507619A (zh) 2004-01-23 2005-01-21 可植入装置的紧固系统和其使用方法

Publications (1)

Publication Number Publication Date
CN1897880A true CN1897880A (zh) 2007-01-17

Family

ID=34826003

Family Applications (2)

Application Number Title Priority Date Filing Date
CNA2009101262937A Pending CN101507619A (zh) 2004-01-23 2005-01-21 可植入装置的紧固系统和其使用方法
CNA2005800013528A Pending CN1897880A (zh) 2004-01-23 2005-01-21 可植入装置的紧固系统和其使用方法

Family Applications Before (1)

Application Number Title Priority Date Filing Date
CNA2009101262937A Pending CN101507619A (zh) 2004-01-23 2005-01-21 可植入装置的紧固系统和其使用方法

Country Status (19)

Country Link
US (8) US7901381B2 (zh)
EP (3) EP1670362B2 (zh)
JP (2) JP4778448B2 (zh)
CN (2) CN101507619A (zh)
AT (2) ATE489897T1 (zh)
AU (2) AU2005209251B2 (zh)
BR (1) BRPI0506144B1 (zh)
CA (1) CA2567158C (zh)
CR (1) CR8328A (zh)
DE (1) DE602005025075D1 (zh)
DK (1) DK1670362T3 (zh)
ES (3) ES2375930T5 (zh)
HK (1) HK1086181A1 (zh)
IL (1) IL174344A (zh)
MX (1) MXPA06003001A (zh)
NZ (2) NZ548207A (zh)
PL (1) PL1670362T3 (zh)
PT (1) PT1670362E (zh)
WO (1) WO2005072627A1 (zh)

Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN1882370B (zh) * 2003-09-15 2010-05-26 阿勒根公司 可植入装置的紧固系统
CN102099078A (zh) * 2008-04-17 2011-06-15 阿勒根公司 可植入的连接口装置和固定系统
CN102448382A (zh) * 2009-03-23 2012-05-09 内基因控股有限公司 用于供送形状记忆骑缝钉的装置和方法
CN109069162A (zh) * 2016-04-25 2018-12-21 蛇牌股份公司 转换动脉瘤夹子
US11311299B2 (en) 2017-11-20 2022-04-26 Aesculap Ag Surgical clip with bracket-free guide system

Families Citing this family (516)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6241747B1 (en) 1993-05-03 2001-06-05 Quill Medical, Inc. Barbed Bodily tissue connector
US8795332B2 (en) 2002-09-30 2014-08-05 Ethicon, Inc. Barbed sutures
US5931855A (en) 1997-05-21 1999-08-03 Frank Hoffman Surgical methods using one-way suture
US7056331B2 (en) 2001-06-29 2006-06-06 Quill Medical, Inc. Suture method
US6848152B2 (en) 2001-08-31 2005-02-01 Quill Medical, Inc. Method of forming barbs on a suture and apparatus for performing same
US6773450B2 (en) 2002-08-09 2004-08-10 Quill Medical, Inc. Suture anchor and method
US20040088003A1 (en) 2002-09-30 2004-05-06 Leung Jeffrey C. Barbed suture in combination with surgical needle
US8100940B2 (en) 2002-09-30 2012-01-24 Quill Medical, Inc. Barb configurations for barbed sutures
US7624487B2 (en) 2003-05-13 2009-12-01 Quill Medical, Inc. Apparatus and method for forming barbs on a suture
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
US8715243B2 (en) 2003-06-16 2014-05-06 Ethicon Endo-Surgery, Inc. Injection port applier with downward force actuation
US7850660B2 (en) 2003-12-19 2010-12-14 Ethicon Endo-Surgery, Inc. Implantable medical device with simultaneous attachment mechanism and method
US7862546B2 (en) 2003-06-16 2011-01-04 Ethicon Endo-Surgery, Inc. Subcutaneous self attaching injection port with integral moveable retention members
US8162897B2 (en) 2003-12-19 2012-04-24 Ethicon Endo-Surgery, Inc. Audible and tactile feedback
EP1670362B2 (en) * 2004-01-23 2014-10-22 Apollo Endosurgery, Inc. Implantable device fastening system and methods of use
CN104224253A (zh) 2004-05-14 2014-12-24 伊西康有限责任公司 缝合方法和器械
US20050277899A1 (en) * 2004-06-01 2005-12-15 Conlon Sean P Method of implanting a fluid injection port
US20050148956A1 (en) * 2004-06-01 2005-07-07 Conlon Sean P. Surgically implantable injection port having an improved fastener
US7955357B2 (en) 2004-07-02 2011-06-07 Ellipse Technologies, Inc. Expandable rod system to treat scoliosis and method of using the same
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
US7909804B2 (en) * 2005-02-07 2011-03-22 C. R. Bard, Inc. Vascular access port with integral attachment mechanism
JP5484674B2 (ja) 2005-03-04 2014-05-07 シー・アール・バード・インコーポレーテッド アクセスポートおよびその識別方法
US9474888B2 (en) 2005-03-04 2016-10-25 C. R. Bard, Inc. Implantable access port including a sandwiched radiopaque insert
US8029482B2 (en) 2005-03-04 2011-10-04 C. R. Bard, Inc. Systems and methods for radiographically identifying an access port
US7947022B2 (en) 2005-03-04 2011-05-24 C. R. Bard, Inc. Access port identification systems and methods
US20060217673A1 (en) * 2005-03-22 2006-09-28 Schulze Dale R Subcutaneous injection port with stabilizing elements
US20060217668A1 (en) * 2005-03-22 2006-09-28 Schulze Dale R Method of implanting a subcutaneous injection port having stabilizing elements
US10307581B2 (en) 2005-04-27 2019-06-04 C. R. Bard, Inc. Reinforced septum for an implantable medical device
EP2308547B1 (en) 2005-04-27 2014-09-17 C.R. Bard, Inc. High pressure access port with septum
US20110288502A1 (en) * 2010-05-18 2011-11-24 C.R. Bard, Inc. Reinforced septum for an implantable medical device
WO2006116613A1 (en) 2005-04-27 2006-11-02 C.R. Bard, Inc. Infusion apparatuses
US7651483B2 (en) 2005-06-24 2010-01-26 Ethicon Endo-Surgery, Inc. Injection port
US7918844B2 (en) 2005-06-24 2011-04-05 Ethicon Endo-Surgery, Inc. Applier for implantable medical device
US9237891B2 (en) 2005-08-31 2016-01-19 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical stapling devices that produce formed staples having different lengths
US10159482B2 (en) 2005-08-31 2018-12-25 Ethicon Llc Fastener cartridge assembly comprising a fixed anvil and different staple heights
US7934630B2 (en) 2005-08-31 2011-05-03 Ethicon Endo-Surgery, Inc. Staple cartridges for forming staples having differing formed staple heights
US11484312B2 (en) 2005-08-31 2022-11-01 Cilag Gmbh International Staple cartridge comprising a staple driver arrangement
US7669746B2 (en) 2005-08-31 2010-03-02 Ethicon Endo-Surgery, Inc. Staple cartridges for forming staples having differing formed staple heights
US11246590B2 (en) 2005-08-31 2022-02-15 Cilag Gmbh International Staple cartridge including staple drivers having different unfired heights
US20070106317A1 (en) 2005-11-09 2007-05-10 Shelton Frederick E Iv Hydraulically and electrically actuated articulation joints for surgical instruments
US11793518B2 (en) 2006-01-31 2023-10-24 Cilag Gmbh International Powered surgical instruments with firing system lockout arrangements
US8186555B2 (en) 2006-01-31 2012-05-29 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with mechanical closure system
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
US11278279B2 (en) 2006-01-31 2022-03-22 Cilag Gmbh International Surgical instrument assembly
US7753904B2 (en) 2006-01-31 2010-07-13 Ethicon Endo-Surgery, Inc. Endoscopic surgical instrument with a handle that can articulate with respect to the shaft
US8708213B2 (en) 2006-01-31 2014-04-29 Ethicon Endo-Surgery, Inc. Surgical instrument having a feedback system
US20110295295A1 (en) 2006-01-31 2011-12-01 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical instrument having recording capabilities
US8820603B2 (en) 2006-01-31 2014-09-02 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
US20110024477A1 (en) 2009-02-06 2011-02-03 Hall Steven G Driven Surgical Stapler Improvements
US8992422B2 (en) 2006-03-23 2015-03-31 Ethicon Endo-Surgery, Inc. Robotically-controlled endoscopic accessory channel
US7780590B2 (en) * 2006-05-31 2010-08-24 Allergan, Inc. Method for locating an implanted fluid access port
US8322455B2 (en) 2006-06-27 2012-12-04 Ethicon Endo-Surgery, Inc. Manually driven surgical cutting and fastening instrument
US10568652B2 (en) 2006-09-29 2020-02-25 Ethicon Llc Surgical staples having attached drivers of different heights and stapling instruments for deploying the same
US8220690B2 (en) 2006-09-29 2012-07-17 Ethicon Endo-Surgery, Inc. Connected surgical staples and stapling instruments for deploying the same
US8694077B2 (en) 2006-10-06 2014-04-08 The Cleveland Clinic Foundation Apparatus and method for targeting a body tissue
US8019404B2 (en) 2006-10-06 2011-09-13 The Cleveland Clinic Foundation Apparatus and method for targeting a body tissue
US8246533B2 (en) 2006-10-20 2012-08-21 Ellipse Technologies, Inc. Implant system with resonant-driven actuator
US7862502B2 (en) 2006-10-20 2011-01-04 Ellipse Technologies, Inc. Method and apparatus for adjusting a gastrointestinal restriction device
US9642986B2 (en) 2006-11-08 2017-05-09 C. R. Bard, Inc. Resource information key for an insertable medical device
US9265912B2 (en) 2006-11-08 2016-02-23 C. R. Bard, Inc. Indicia informative of characteristics of insertable medical devices
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
US11291441B2 (en) 2007-01-10 2022-04-05 Cilag Gmbh International Surgical instrument with wireless communication between control unit and remote sensor
US8652120B2 (en) 2007-01-10 2014-02-18 Ethicon Endo-Surgery, Inc. Surgical instrument with wireless communication between control unit and sensor transponders
US11039836B2 (en) 2007-01-11 2021-06-22 Cilag Gmbh International Staple cartridge for use with a surgical stapling instrument
US8827133B2 (en) 2007-01-11 2014-09-09 Ethicon Endo-Surgery, Inc. Surgical stapling device having supports for a flexible drive mechanism
US7669747B2 (en) 2007-03-15 2010-03-02 Ethicon Endo-Surgery, Inc. Washer for use with a surgical stapling instrument
US8893946B2 (en) 2007-03-28 2014-11-25 Ethicon Endo-Surgery, Inc. Laparoscopic tissue thickness and clamp load measuring devices
US20080255612A1 (en) 2007-04-13 2008-10-16 Angiotech Pharmaceuticals, Inc. Self-retaining systems for surgical procedures
US8931682B2 (en) 2007-06-04 2015-01-13 Ethicon Endo-Surgery, Inc. Robotically-controlled shaft based rotary drive systems for surgical instruments
US11857181B2 (en) 2007-06-04 2024-01-02 Cilag Gmbh International Robotically-controlled shaft based rotary drive systems for surgical instruments
US7753245B2 (en) 2007-06-22 2010-07-13 Ethicon Endo-Surgery, Inc. Surgical stapling instruments
US11849941B2 (en) 2007-06-29 2023-12-26 Cilag Gmbh International Staple cartridge having staple cavities extending at a transverse angle relative to a longitudinal cartridge axis
ES2479290T3 (es) 2007-09-27 2014-07-23 Ethicon Llc Un sistema para cortar un elemento de retención en una sutura
US20090112263A1 (en) 2007-10-30 2009-04-30 Scott Pool Skeletal manipulation system
US9579496B2 (en) 2007-11-07 2017-02-28 C. R. Bard, Inc. Radiopaque and septum-based indicators for a multi-lumen implantable port
BRPI0820129B8 (pt) 2007-12-19 2021-06-22 Angiotech Pharm Inc processo de formação de uma sutura autorretentora e sutura autorretentora
US8916077B1 (en) 2007-12-19 2014-12-23 Ethicon, Inc. Self-retaining sutures with retainers formed from molten material
US8118834B1 (en) 2007-12-20 2012-02-21 Angiotech Pharmaceuticals, Inc. Composite self-retaining sutures and method
ES2602570T3 (es) 2008-01-30 2017-02-21 Ethicon Llc Aparato y método para formar suturas de auto-retención
US8615856B1 (en) 2008-01-30 2013-12-31 Ethicon, Inc. Apparatus and method for forming self-retaining sutures
BRPI0901282A2 (pt) 2008-02-14 2009-11-17 Ethicon Endo Surgery Inc instrumento cirúrgico de corte e fixação dotado de eletrodos de rf
US7819298B2 (en) 2008-02-14 2010-10-26 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with control features operable with one hand
US8636736B2 (en) 2008-02-14 2014-01-28 Ethicon Endo-Surgery, Inc. Motorized surgical cutting and fastening instrument
US9179912B2 (en) 2008-02-14 2015-11-10 Ethicon Endo-Surgery, Inc. Robotically-controlled motorized surgical cutting and fastening instrument
US8758391B2 (en) 2008-02-14 2014-06-24 Ethicon Endo-Surgery, Inc. Interchangeable tools for surgical instruments
US8573465B2 (en) 2008-02-14 2013-11-05 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical end effector system with rotary actuated closure systems
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
US9770245B2 (en) 2008-02-15 2017-09-26 Ethicon Llc Layer arrangements for surgical staple cartridges
EP2249712B8 (en) 2008-02-21 2018-12-26 Ethicon LLC Method and apparatus for elevating retainers on self-retaining sutures
US8216273B1 (en) 2008-02-25 2012-07-10 Ethicon, Inc. Self-retainers with supporting structures on a suture
US8641732B1 (en) 2008-02-26 2014-02-04 Ethicon, Inc. Self-retaining suture with variable dimension filament and method
US11202707B2 (en) 2008-03-25 2021-12-21 Nuvasive Specialized Orthopedics, Inc. Adjustable implant system
JP5619726B2 (ja) 2008-04-15 2014-11-05 エシコン・エルエルシーEthicon, LLC 双方向リテーナ又は一方向リテーナを持つ自己保持縫合材
US9023063B2 (en) 2008-04-17 2015-05-05 Apollo Endosurgery, Inc. Implantable access port device having a safety cap
US8961560B2 (en) 2008-05-16 2015-02-24 Ethicon, Inc. Bidirectional self-retaining sutures with laser-marked and/or non-laser marked indicia and methods
US20100051668A1 (en) 2008-09-03 2010-03-04 Milliman Keith L Surgical instrument with indicator
US9005230B2 (en) 2008-09-23 2015-04-14 Ethicon Endo-Surgery, Inc. Motorized surgical instrument
US11648005B2 (en) 2008-09-23 2023-05-16 Cilag Gmbh International Robotically-controlled motorized surgical instrument with an end effector
US9386983B2 (en) 2008-09-23 2016-07-12 Ethicon Endo-Surgery, Llc Robotically-controlled motorized surgical instrument
US8210411B2 (en) 2008-09-23 2012-07-03 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting instrument
US8608045B2 (en) 2008-10-10 2013-12-17 Ethicon Endo-Sugery, Inc. Powered surgical cutting and stapling apparatus with manually retractable firing system
US11241257B2 (en) 2008-10-13 2022-02-08 Nuvasive Specialized Orthopedics, Inc. Spinal distraction system
US8932328B2 (en) 2008-11-03 2015-01-13 Ethicon, Inc. Length of self-retaining suture and method and device for using the same
US8382756B2 (en) 2008-11-10 2013-02-26 Ellipse Technologies, Inc. External adjustment device for distraction device
US11890443B2 (en) 2008-11-13 2024-02-06 C. R. Bard, Inc. Implantable medical devices including septum-based indicators
US8932271B2 (en) 2008-11-13 2015-01-13 C. R. Bard, Inc. Implantable medical devices including septum-based indicators
US8517239B2 (en) 2009-02-05 2013-08-27 Ethicon Endo-Surgery, Inc. Surgical stapling instrument comprising a magnetic element driver
CA2751664A1 (en) 2009-02-06 2010-08-12 Ethicon Endo-Surgery, Inc. Driven surgical stapler improvements
US8444036B2 (en) 2009-02-06 2013-05-21 Ethicon Endo-Surgery, Inc. Motor driven surgical fastener device with mechanisms for adjusting a tissue gap within the end effector
US8197490B2 (en) 2009-02-23 2012-06-12 Ellipse Technologies, Inc. Non-invasive adjustable distraction system
US9622792B2 (en) 2009-04-29 2017-04-18 Nuvasive Specialized Orthopedics, Inc. Interspinous process device and method
US8715158B2 (en) 2009-08-26 2014-05-06 Apollo Endosurgery, Inc. Implantable bottom exit port
US8708979B2 (en) * 2009-08-26 2014-04-29 Apollo Endosurgery, Inc. Implantable coupling device
US8506532B2 (en) * 2009-08-26 2013-08-13 Allergan, Inc. System including access port and applicator tool
KR101710741B1 (ko) 2009-09-04 2017-02-27 누베이시브 스페셜라이즈드 오소페딕스, 인크. 뼈 성장 기구 및 방법
ES2715185T3 (es) * 2009-10-27 2019-06-03 Medical Components Inc Conjunto de múltiples vías de acceso vascular
JP2013510652A (ja) 2009-11-17 2013-03-28 シー・アール・バード・インコーポレーテッド 係止用特徴部および識別特徴部を含むオーバーモールド成形されたアクセスポート
US8851354B2 (en) 2009-12-24 2014-10-07 Ethicon Endo-Surgery, Inc. Surgical cutting instrument that analyzes tissue thickness
US8220688B2 (en) 2009-12-24 2012-07-17 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting instrument with electric actuator directional control assembly
US8882728B2 (en) 2010-02-10 2014-11-11 Apollo Endosurgery, Inc. Implantable injection port
US20110270025A1 (en) 2010-04-30 2011-11-03 Allergan, Inc. Remotely powered remotely adjustable gastric band system
US8992415B2 (en) 2010-04-30 2015-03-31 Apollo Endosurgery, Inc. Implantable device to protect tubing from puncture
US20110270021A1 (en) 2010-04-30 2011-11-03 Allergan, Inc. Electronically enhanced access port for a fluid filled implant
WO2011140283A2 (en) 2010-05-04 2011-11-10 Angiotech Pharmaceuticals, Inc. Self-retaining systems having laser-cut retainers
EP2579787B1 (en) 2010-06-11 2016-11-30 Ethicon, LLC Suture delivery tools for endoscopic and robot-assisted surgery
US9248043B2 (en) 2010-06-30 2016-02-02 Ellipse Technologies, Inc. External adjustment device for distraction device
US8783543B2 (en) 2010-07-30 2014-07-22 Ethicon Endo-Surgery, Inc. Tissue acquisition arrangements and methods for surgical stapling devices
WO2012021378A2 (en) 2010-08-09 2012-02-16 Ellipse Technologies, Inc. Maintenance feature in magnetic implant
US20120041258A1 (en) 2010-08-16 2012-02-16 Allergan, Inc. Implantable access port system
US20120065460A1 (en) 2010-09-14 2012-03-15 Greg Nitka Implantable access port system
US9351730B2 (en) 2011-04-29 2016-05-31 Ethicon Endo-Surgery, Llc Tissue thickness compensator comprising channels
US10945731B2 (en) 2010-09-30 2021-03-16 Ethicon Llc Tissue thickness compensator comprising controlled release and expansion
US9517063B2 (en) 2012-03-28 2016-12-13 Ethicon Endo-Surgery, Llc Movable member for use with a tissue thickness compensator
US11849952B2 (en) 2010-09-30 2023-12-26 Cilag Gmbh International Staple cartridge comprising staples positioned within a compressible portion thereof
US8978954B2 (en) 2010-09-30 2015-03-17 Ethicon Endo-Surgery, Inc. Staple cartridge comprising an adjustable distal portion
US11298125B2 (en) 2010-09-30 2022-04-12 Cilag Gmbh International Tissue stapler having a thickness compensator
US9592050B2 (en) 2010-09-30 2017-03-14 Ethicon Endo-Surgery, Llc End effector comprising a distal tissue abutment member
US9320523B2 (en) 2012-03-28 2016-04-26 Ethicon Endo-Surgery, Llc Tissue thickness compensator comprising tissue ingrowth features
US9364233B2 (en) 2010-09-30 2016-06-14 Ethicon Endo-Surgery, Llc Tissue thickness compensators for circular surgical staplers
US9629814B2 (en) 2010-09-30 2017-04-25 Ethicon Endo-Surgery, Llc Tissue thickness compensator configured to redistribute compressive forces
US11812965B2 (en) 2010-09-30 2023-11-14 Cilag Gmbh International Layer of material for a surgical end effector
US8695866B2 (en) 2010-10-01 2014-04-15 Ethicon Endo-Surgery, Inc. Surgical instrument having a power control circuit
CN103747746B (zh) 2010-11-03 2017-05-10 伊西康有限责任公司 药物洗脱自固位缝合线及其相关方法
MX342984B (es) 2010-11-09 2016-10-19 Ethicon Llc Suturas de autorretencion de emergencia y envasado de estas.
US8942829B2 (en) 2011-01-20 2015-01-27 Medtronic, Inc. Trans-septal lead anchoring
WO2012112396A2 (en) 2011-02-14 2012-08-23 Ellipse Technologies, Inc. Device and method for treating fractured bones
WO2012129534A2 (en) 2011-03-23 2012-09-27 Angiotech Pharmaceuticals, Inc. Self-retaining variable loop sutures
CA2834649C (en) 2011-04-29 2021-02-16 Ethicon Endo-Surgery, Inc. Staple cartridge comprising staples positioned within a compressible portion thereof
US8821373B2 (en) 2011-05-10 2014-09-02 Apollo Endosurgery, Inc. Directionless (orientation independent) needle injection port
US9072535B2 (en) 2011-05-27 2015-07-07 Ethicon Endo-Surgery, Inc. Surgical stapling instruments with rotatable staple deployment arrangements
US11207064B2 (en) 2011-05-27 2021-12-28 Cilag Gmbh International Automated end effector component reloading system for use with a robotic system
US20130172931A1 (en) 2011-06-06 2013-07-04 Jeffrey M. Gross Methods and devices for soft palate tissue elevation procedures
US8801597B2 (en) 2011-08-25 2014-08-12 Apollo Endosurgery, Inc. Implantable access port with mesh attachment rivets
US10743794B2 (en) 2011-10-04 2020-08-18 Nuvasive Specialized Orthopedics, Inc. Devices and methods for non-invasive implant length sensing
US9199069B2 (en) 2011-10-20 2015-12-01 Apollo Endosurgery, Inc. Implantable injection port
US10016220B2 (en) 2011-11-01 2018-07-10 Nuvasive Specialized Orthopedics, Inc. Adjustable magnetic devices and methods of using same
US8858421B2 (en) 2011-11-15 2014-10-14 Apollo Endosurgery, Inc. Interior needle stick guard stems for tubes
US9089395B2 (en) 2011-11-16 2015-07-28 Appolo Endosurgery, Inc. Pre-loaded septum for use with an access port
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
JP6305979B2 (ja) 2012-03-28 2018-04-04 エシコン・エンド−サージェリィ・インコーポレイテッドＥｔｈｉｃｏｎ Ｅｎｄｏ−Ｓｕｒｇｅｒｙ，Ｉｎｃ． 複数の層を含む組織厚さコンペンセーター
CN104334098B (zh) 2012-03-28 2017-03-22 伊西康内外科公司 包括限定低压强环境的胶囊剂的组织厚度补偿件
JP6224070B2 (ja) 2012-03-28 2017-11-01 エシコン・エンド−サージェリィ・インコーポレイテッドＥｔｈｉｃｏｎ Ｅｎｄｏ−Ｓｕｒｇｅｒｙ，Ｉｎｃ． 組織厚さコンペンセータを含む保持具アセンブリ
US9101358B2 (en) 2012-06-15 2015-08-11 Ethicon Endo-Surgery, Inc. Articulatable surgical instrument comprising a firing drive
US20130338714A1 (en) 2012-06-15 2013-12-19 Arvin Chang Magnetic implants with improved anatomical compatibility
US9289256B2 (en) 2012-06-28 2016-03-22 Ethicon Endo-Surgery, Llc Surgical end effectors having angled tissue-contacting surfaces
US20140001234A1 (en) 2012-06-28 2014-01-02 Ethicon Endo-Surgery, Inc. Coupling arrangements for attaching surgical end effectors to drive systems therefor
US9649111B2 (en) 2012-06-28 2017-05-16 Ethicon Endo-Surgery, Llc Replaceable clip cartridge for a clip applier
US20140005718A1 (en) 2012-06-28 2014-01-02 Ethicon Endo-Surgery, Inc. Multi-functional powered surgical device with external dissection features
US20140001231A1 (en) 2012-06-28 2014-01-02 Ethicon Endo-Surgery, Inc. Firing system lockout arrangements for surgical instruments
CN104487005B (zh) 2012-06-28 2017-09-08 伊西康内外科公司 空夹仓闭锁件
US11278284B2 (en) 2012-06-28 2022-03-22 Cilag Gmbh International Rotary drive arrangements for surgical instruments
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
US9044281B2 (en) 2012-10-18 2015-06-02 Ellipse Technologies, Inc. Intramedullary implants for replacing lost bone
ES2691478T3 (es) 2012-10-22 2018-11-27 The Cleveland Clinic Foundation Aparato para actuar sobre un tejido corporal
CN104902854B (zh) 2012-10-29 2017-10-03 诺威适骨科专科公司 用于治疗膝盖关节炎的可调节装置
US11464960B2 (en) 2013-01-23 2022-10-11 C. R. Bard, Inc. Low-profile single and dual vascular access device
US11420033B2 (en) 2013-01-23 2022-08-23 C. R. Bard, Inc. Low-profile single and dual vascular access device
CA2897214C (en) 2013-01-23 2022-04-05 C.R. Bard, Inc. Low-profile access port
MX364729B (es) 2013-03-01 2019-05-06 Ethicon Endo Surgery Inc Instrumento quirúrgico con una parada suave.
MX368026B (es) 2013-03-01 2019-09-12 Ethicon Endo Surgery Inc Instrumento quirúrgico articulable con vías conductoras para la comunicación de la señal.
US9179938B2 (en) 2013-03-08 2015-11-10 Ellipse Technologies, Inc. Distraction devices and method of assembling the same
US9629623B2 (en) 2013-03-14 2017-04-25 Ethicon Endo-Surgery, Llc Drive system lockout arrangements for modular surgical instruments
US9629629B2 (en) 2013-03-14 2017-04-25 Ethicon Endo-Surgey, LLC Control systems for surgical instruments
US10405857B2 (en) 2013-04-16 2019-09-10 Ethicon Llc Powered linear surgical stapler
BR112015026109B1 (pt) 2013-04-16 2022-02-22 Ethicon Endo-Surgery, Inc Instrumento cirúrgico
US10226242B2 (en) 2013-07-31 2019-03-12 Nuvasive Specialized Orthopedics, Inc. Noninvasively adjustable suture anchors
US9801734B1 (en) 2013-08-09 2017-10-31 Nuvasive, Inc. Lordotic expandable interbody implant
US9610041B2 (en) 2013-08-20 2017-04-04 Cardiac Pacemakers, Inc. Fixation mechanism assembly and method for implantable devices
US9808249B2 (en) 2013-08-23 2017-11-07 Ethicon Llc Attachment portions for surgical instrument assemblies
CN106028966B (zh) 2013-08-23 2018-06-22 伊西康内外科有限责任公司 用于动力外科器械的击发构件回缩装置
US10751094B2 (en) 2013-10-10 2020-08-25 Nuvasive Specialized Orthopedics, Inc. Adjustable spinal implant
US9962161B2 (en) 2014-02-12 2018-05-08 Ethicon Llc Deliverable surgical instrument
JP6462004B2 (ja) 2014-02-24 2019-01-30 エシコン エルエルシー 発射部材ロックアウトを備える締結システム
US9750499B2 (en) 2014-03-26 2017-09-05 Ethicon Llc Surgical stapling instrument system
BR112016021943B1 (pt) 2014-03-26 2022-06-14 Ethicon Endo-Surgery, Llc Instrumento cirúrgico para uso por um operador em um procedimento cirúrgico
US9733663B2 (en) 2014-03-26 2017-08-15 Ethicon Llc Power management through segmented circuit and variable voltage protection
US9820738B2 (en) 2014-03-26 2017-11-21 Ethicon Llc Surgical instrument comprising interactive systems
BR112016023825B1 (pt) 2014-04-16 2022-08-02 Ethicon Endo-Surgery, Llc Cartucho de grampos para uso com um grampeador cirúrgico e cartucho de grampos para uso com um instrumento cirúrgico
US10299792B2 (en) 2014-04-16 2019-05-28 Ethicon Llc Fastener cartridge comprising non-uniform fasteners
US20150297225A1 (en) 2014-04-16 2015-10-22 Ethicon Endo-Surgery, Inc. Fastener cartridges including extensions having different configurations
CN106456176B (zh) 2014-04-16 2019-06-28 伊西康内外科有限责任公司 包括具有不同构型的延伸部的紧固件仓
BR112016023807B1 (pt) 2014-04-16 2022-07-12 Ethicon Endo-Surgery, Llc Conjunto de 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
JP6626458B2 (ja) 2014-04-28 2019-12-25 ニューヴェイジヴ スペシャライズド オーソペディクス，インコーポレイテッド 調整可能なインプラントにおける情報磁気フィードバックのためのシステム
US10135242B2 (en) 2014-09-05 2018-11-20 Ethicon Llc Smart cartridge wake up operation and data retention
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
US10105142B2 (en) 2014-09-18 2018-10-23 Ethicon Llc Surgical stapler with plurality of cutting elements
CN107427300B (zh) 2014-09-26 2020-12-04 伊西康有限责任公司 外科缝合支撑物和辅助材料
US11523821B2 (en) 2014-09-26 2022-12-13 Cilag Gmbh International Method for creating a flexible staple line
US10076325B2 (en) 2014-10-13 2018-09-18 Ethicon Llc Surgical stapling apparatus comprising a tissue stop
US9924944B2 (en) 2014-10-16 2018-03-27 Ethicon Llc Staple cartridge comprising an adjunct material
EP3777732A1 (en) 2014-10-23 2021-02-17 NuVasive Specialized Orthopedics, Inc. Remotely adjustable interactive bone reshaping implant
US11141153B2 (en) 2014-10-29 2021-10-12 Cilag Gmbh International Staple cartridges comprising driver arrangements
US10517594B2 (en) 2014-10-29 2019-12-31 Ethicon Llc Cartridge assemblies for surgical staplers
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
US9844375B2 (en) 2014-12-18 2017-12-19 Ethicon Llc Drive arrangements for articulatable surgical instruments
US10085748B2 (en) 2014-12-18 2018-10-02 Ethicon Llc Locking arrangements for detachable shaft assemblies with articulatable surgical end effectors
US9987000B2 (en) 2014-12-18 2018-06-05 Ethicon Llc Surgical instrument assembly comprising a flexible articulation system
US10188385B2 (en) 2014-12-18 2019-01-29 Ethicon Llc Surgical instrument system comprising lockable systems
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
BR112017012996B1 (pt) 2014-12-18 2022-11-08 Ethicon Llc Instrumento cirúrgico com uma bigorna que é seletivamente móvel sobre um eixo geométrico imóvel distinto em relação a um cartucho de grampos
US9968355B2 (en) 2014-12-18 2018-05-15 Ethicon Llc Surgical instruments with articulatable end effectors and improved firing beam support arrangements
JP6847341B2 (ja) 2014-12-26 2021-03-24 ニューベイシブ スペシャライズド オーソペディックス，インコーポレイテッド 伸延のためのシステム及び方法
US10238427B2 (en) 2015-02-19 2019-03-26 Nuvasive Specialized Orthopedics, Inc. Systems and methods for vertebral adjustment
US10321907B2 (en) 2015-02-27 2019-06-18 Ethicon Llc System for monitoring whether a surgical instrument needs to be serviced
US11154301B2 (en) 2015-02-27 2021-10-26 Cilag Gmbh International Modular stapling assembly
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
US9808246B2 (en) 2015-03-06 2017-11-07 Ethicon Endo-Surgery, Llc Method of operating a powered surgical instrument
US10687806B2 (en) 2015-03-06 2020-06-23 Ethicon Llc Adaptive tissue compression techniques to adjust closure rates for multiple tissue types
US10548504B2 (en) 2015-03-06 2020-02-04 Ethicon Llc Overlaid multi sensor radio frequency (RF) electrode system to measure tissue compression
US10245033B2 (en) 2015-03-06 2019-04-02 Ethicon Llc Surgical instrument comprising a lockable battery housing
US9924961B2 (en) 2015-03-06 2018-03-27 Ethicon Endo-Surgery, Llc Interactive feedback system for powered surgical instruments
JP2020121162A (ja) 2015-03-06 2020-08-13 エシコン エルエルシーＥｔｈｉｃｏｎ ＬＬＣ 測定の安定性要素、クリープ要素、及び粘弾性要素を決定するためのセンサデータの時間依存性評価
US10617412B2 (en) 2015-03-06 2020-04-14 Ethicon Llc System for detecting the mis-insertion of a staple cartridge into a surgical stapler
US10441279B2 (en) 2015-03-06 2019-10-15 Ethicon Llc Multiple level thresholds to modify operation of powered surgical instruments
US9993248B2 (en) 2015-03-06 2018-06-12 Ethicon Endo-Surgery, Llc Smart sensors with local signal processing
US9901342B2 (en) 2015-03-06 2018-02-27 Ethicon Endo-Surgery, Llc Signal and power communication system positioned on a rotatable shaft
US10390825B2 (en) 2015-03-31 2019-08-27 Ethicon Llc Surgical instrument with progressive rotary drive systems
US10617418B2 (en) 2015-08-17 2020-04-14 Ethicon Llc Implantable layers for a surgical instrument
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
US10327769B2 (en) 2015-09-23 2019-06-25 Ethicon Llc Surgical stapler having motor control based on a drive system component
US10105139B2 (en) 2015-09-23 2018-10-23 Ethicon Llc Surgical stapler having downstream current-based motor control
US10363036B2 (en) 2015-09-23 2019-07-30 Ethicon Llc Surgical stapler having force-based motor control
US10299878B2 (en) 2015-09-25 2019-05-28 Ethicon Llc Implantable adjunct systems for determining adjunct skew
US10271849B2 (en) 2015-09-30 2019-04-30 Ethicon Llc Woven constructs with interlocked standing fibers
US10524788B2 (en) 2015-09-30 2020-01-07 Ethicon Llc Compressible adjunct with attachment regions
US10980539B2 (en) 2015-09-30 2021-04-20 Ethicon Llc Implantable adjunct comprising bonded layers
US11890015B2 (en) 2015-09-30 2024-02-06 Cilag Gmbh International Compressible adjunct with crossing spacer fibers
WO2017066774A1 (en) 2015-10-16 2017-04-20 Nuvasive Specialized Orthopedics, Inc. Adjustable devices for treating arthritis of the knee
EP4275631A3 (en) 2015-12-10 2024-02-28 NuVasive Specialized Orthopedics, Inc. External adjustment device for distraction device
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
US10265068B2 (en) 2015-12-30 2019-04-23 Ethicon Llc Surgical instruments with separable motors and motor control circuits
CN113598921A (zh) 2016-01-28 2021-11-05 诺威适骨科专科公司 骨搬移用的系统
US10588625B2 (en) 2016-02-09 2020-03-17 Ethicon Llc Articulatable surgical instruments with off-axis firing beam arrangements
CN108882932B (zh) 2016-02-09 2021-07-23 伊西康有限责任公司 具有非对称关节运动构造的外科器械
US11213293B2 (en) 2016-02-09 2022-01-04 Cilag Gmbh International Articulatable surgical instruments with single articulation link arrangements
WO2017139548A1 (en) 2016-02-10 2017-08-17 Nuvasive Specialized Orthopedics, Inc. Systems and methods for controlling multiple surgical variables
US11224426B2 (en) 2016-02-12 2022-01-18 Cilag Gmbh International Mechanisms for compensating for drivetrain failure in powered surgical instruments
US10258331B2 (en) 2016-02-12 2019-04-16 Ethicon Llc Mechanisms for compensating for drivetrain failure in powered surgical instruments
US10448948B2 (en) 2016-02-12 2019-10-22 Ethicon Llc Mechanisms for compensating for drivetrain failure in powered surgical instruments
US11064997B2 (en) 2016-04-01 2021-07-20 Cilag Gmbh International Surgical stapling instrument
US10617413B2 (en) 2016-04-01 2020-04-14 Ethicon Llc Closure system arrangements for surgical cutting and stapling devices with separate and distinct firing shafts
US10405859B2 (en) 2016-04-15 2019-09-10 Ethicon Llc Surgical instrument with adjustable stop/start control during a firing motion
US10456137B2 (en) 2016-04-15 2019-10-29 Ethicon Llc Staple formation detection mechanisms
US10357247B2 (en) 2016-04-15 2019-07-23 Ethicon Llc Surgical instrument with multiple program responses during a firing motion
US10335145B2 (en) 2016-04-15 2019-07-02 Ethicon Llc Modular surgical instrument with configurable operating mode
US11607239B2 (en) 2016-04-15 2023-03-21 Cilag Gmbh International Systems and methods for controlling a surgical stapling and cutting instrument
US10426467B2 (en) 2016-04-15 2019-10-01 Ethicon Llc Surgical instrument with detection sensors
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
US10828028B2 (en) 2016-04-15 2020-11-10 Ethicon Llc Surgical instrument with multiple program responses during a firing motion
US20170296173A1 (en) 2016-04-18 2017-10-19 Ethicon Endo-Surgery, Llc Method for operating a surgical instrument
US11317917B2 (en) 2016-04-18 2022-05-03 Cilag Gmbh International Surgical stapling system comprising a lockable firing assembly
US10363037B2 (en) 2016-04-18 2019-07-30 Ethicon Llc Surgical instrument system comprising a magnetic lockout
WO2018022971A1 (en) * 2016-07-28 2018-02-01 Biofire Diagnostics, Llc. Self-contained nucleic acid processing
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
US10492785B2 (en) 2016-12-21 2019-12-03 Ethicon Llc Shaft assembly comprising a lockout
US10980536B2 (en) 2016-12-21 2021-04-20 Ethicon Llc No-cartridge and spent cartridge lockout arrangements for surgical staplers
US10736629B2 (en) 2016-12-21 2020-08-11 Ethicon Llc Surgical tool assemblies with clutching arrangements for shifting between closure systems with closure stroke reduction features and articulation and firing systems
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
US20180168625A1 (en) 2016-12-21 2018-06-21 Ethicon Endo-Surgery, Llc Surgical stapling instruments with smart staple cartridges
US20180168575A1 (en) 2016-12-21 2018-06-21 Ethicon Endo-Surgery, Llc Surgical stapling systems
JP7010956B2 (ja) 2016-12-21 2022-01-26 エシコン エルエルシー 組織をステープル留めする方法
US10881401B2 (en) 2016-12-21 2021-01-05 Ethicon Llc Staple firing member comprising a missing cartridge and/or spent cartridge lockout
US10568625B2 (en) 2016-12-21 2020-02-25 Ethicon Llc Staple cartridges and arrangements of staples and staple cavities therein
US10426471B2 (en) 2016-12-21 2019-10-01 Ethicon Llc Surgical instrument with multiple failure response modes
MX2019007311A (es) 2016-12-21 2019-11-18 Ethicon Llc Sistemas de engrapado quirurgico.
US20180168609A1 (en) 2016-12-21 2018-06-21 Ethicon Endo-Surgery, Llc Firing assembly comprising a fuse
US10973516B2 (en) 2016-12-21 2021-04-13 Ethicon Llc Surgical end effectors and adaptable firing members therefor
US10537325B2 (en) 2016-12-21 2020-01-21 Ethicon Llc Staple forming pocket arrangement to accommodate different types of staples
US20180168598A1 (en) 2016-12-21 2018-06-21 Ethicon Endo-Surgery, Llc Staple forming pocket arrangements comprising zoned forming surface grooves
US11134942B2 (en) 2016-12-21 2021-10-05 Cilag Gmbh International Surgical stapling instruments and staple-forming anvils
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
US10485543B2 (en) 2016-12-21 2019-11-26 Ethicon Llc Anvil having a knife slot width
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
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
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
US10881396B2 (en) 2017-06-20 2021-01-05 Ethicon Llc Surgical instrument with variable duration trigger arrangement
USD890784S1 (en) 2017-06-20 2020-07-21 Ethicon Llc Display panel with changeable graphical user interface
US10368864B2 (en) 2017-06-20 2019-08-06 Ethicon Llc Systems and methods for controlling displaying motor velocity for a surgical instrument
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
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
USD879808S1 (en) 2017-06-20 2020-03-31 Ethicon Llc Display panel with graphical user interface
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
US10624633B2 (en) 2017-06-20 2020-04-21 Ethicon Llc Systems and methods for controlling motor velocity of a surgical stapling and cutting instrument
US11090046B2 (en) 2017-06-20 2021-08-17 Cilag Gmbh International Systems and methods for controlling displacement member motion of a surgical stapling and cutting instrument
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
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
USD879809S1 (en) 2017-06-20 2020-03-31 Ethicon Llc Display panel with changeable graphical user interface
US10646220B2 (en) 2017-06-20 2020-05-12 Ethicon Llc Systems and methods for controlling displacement member velocity for a surgical instrument
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
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
US10881399B2 (en) 2017-06-20 2021-01-05 Ethicon Llc Techniques for adaptive control of motor velocity of a surgical stapling and cutting instrument
US11653914B2 (en) 2017-06-20 2023-05-23 Cilag Gmbh International Systems and methods for controlling motor velocity of a surgical stapling and cutting instrument according to articulation angle of end effector
US10772629B2 (en) 2017-06-27 2020-09-15 Ethicon Llc Surgical anvil arrangements
US11266405B2 (en) 2017-06-27 2022-03-08 Cilag Gmbh International Surgical anvil manufacturing methods
US10631859B2 (en) 2017-06-27 2020-04-28 Ethicon Llc Articulation systems for surgical instruments
US10993716B2 (en) 2017-06-27 2021-05-04 Ethicon Llc Surgical anvil arrangements
US10856869B2 (en) 2017-06-27 2020-12-08 Ethicon Llc Surgical anvil arrangements
US11324503B2 (en) 2017-06-27 2022-05-10 Cilag Gmbh International Surgical firing member arrangements
US11246592B2 (en) 2017-06-28 2022-02-15 Cilag Gmbh International Surgical instrument comprising an articulation system lockable to a frame
US10765427B2 (en) 2017-06-28 2020-09-08 Ethicon Llc Method for articulating a surgical instrument
USD854151S1 (en) 2017-06-28 2019-07-16 Ethicon Llc Surgical instrument shaft
US10716614B2 (en) 2017-06-28 2020-07-21 Ethicon Llc Surgical shaft assemblies with slip ring assemblies with increased contact pressure
US11259805B2 (en) 2017-06-28 2022-03-01 Cilag Gmbh International Surgical instrument comprising firing member supports
USD869655S1 (en) 2017-06-28 2019-12-10 Ethicon Llc Surgical fastener cartridge
US10588633B2 (en) 2017-06-28 2020-03-17 Ethicon Llc Surgical instruments with open and closable jaws and axially movable firing member that is initially parked in close proximity to the jaws prior to firing
US11564686B2 (en) 2017-06-28 2023-01-31 Cilag Gmbh International Surgical shaft assemblies with flexible interfaces
US11389161B2 (en) 2017-06-28 2022-07-19 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
USD851762S1 (en) 2017-06-28 2019-06-18 Ethicon Llc Anvil
EP3420947B1 (en) 2017-06-28 2022-05-25 Cilag GmbH International Surgical instrument comprising selectively actuatable rotatable couplers
USD906355S1 (en) 2017-06-28 2020-12-29 Ethicon Llc Display screen or portion thereof with a graphical user interface for a surgical instrument
US10398434B2 (en) 2017-06-29 2019-09-03 Ethicon Llc Closed loop velocity control of closure member 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
US10932772B2 (en) 2017-06-29 2021-03-02 Ethicon Llc Methods for closed loop velocity control for robotic surgical instrument
US10898183B2 (en) 2017-06-29 2021-01-26 Ethicon Llc Robotic surgical instrument with closed loop feedback techniques for advancement of closure member during firing
US10258418B2 (en) 2017-06-29 2019-04-16 Ethicon Llc System for controlling articulation forces
US11944300B2 (en) 2017-08-03 2024-04-02 Cilag Gmbh International Method for operating a surgical system bailout
US11304695B2 (en) 2017-08-03 2022-04-19 Cilag Gmbh International Surgical system shaft interconnection
US11471155B2 (en) 2017-08-03 2022-10-18 Cilag Gmbh International Surgical system bailout
USD870264S1 (en) 2017-09-06 2019-12-17 C. R. Bard, Inc. Implantable apheresis port
USD907648S1 (en) 2017-09-29 2021-01-12 Ethicon Llc Display screen or portion thereof with animated graphical user interface
US10796471B2 (en) 2017-09-29 2020-10-06 Ethicon Llc Systems and methods of displaying a knife position for a surgical instrument
US10765429B2 (en) 2017-09-29 2020-09-08 Ethicon Llc Systems and methods for providing alerts according to the operational state of a surgical instrument
USD917500S1 (en) 2017-09-29 2021-04-27 Ethicon Llc Display screen or portion thereof with graphical user interface
USD907647S1 (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
US10729501B2 (en) 2017-09-29 2020-08-04 Ethicon Llc Systems and methods for language selection of a surgical instrument
US11399829B2 (en) 2017-09-29 2022-08-02 Cilag Gmbh International Systems and methods of initiating a power shutdown mode for a surgical instrument
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
US10842490B2 (en) 2017-10-31 2020-11-24 Ethicon Llc Cartridge body design with force reduction based on firing completion
US10779903B2 (en) 2017-10-31 2020-09-22 Ethicon Llc Positive shaft rotation lock activated by jaw closure
US10743874B2 (en) 2017-12-15 2020-08-18 Ethicon Llc Sealed adapters for use 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
US10779826B2 (en) 2017-12-15 2020-09-22 Ethicon Llc Methods of operating surgical end effectors
US11071543B2 (en) 2017-12-15 2021-07-27 Cilag Gmbh International Surgical end effectors with clamping assemblies configured to increase jaw aperture ranges
US10869666B2 (en) 2017-12-15 2020-12-22 Ethicon Llc Adapters with control systems for controlling multiple motors of an electromechanical surgical instrument
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
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
US10966718B2 (en) 2017-12-15 2021-04-06 Ethicon Llc Dynamic clamping assemblies with improved wear characteristics for use in connection with electromechanical surgical instruments
US10687813B2 (en) 2017-12-15 2020-06-23 Ethicon Llc Adapters with firing stroke sensing arrangements for use in connection with electromechanical surgical instruments
US10743875B2 (en) 2017-12-15 2020-08-18 Ethicon Llc Surgical end effectors with jaw stiffener arrangements configured to permit monitoring of firing member
US11033267B2 (en) 2017-12-15 2021-06-15 Ethicon Llc Systems and methods of controlling a clamping member firing rate of a surgical instrument
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
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
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
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
US11311290B2 (en) 2017-12-21 2022-04-26 Cilag Gmbh International Surgical instrument comprising an end effector dampener
US11751867B2 (en) 2017-12-21 2023-09-12 Cilag Gmbh International Surgical instrument comprising sequenced systems
US11076853B2 (en) 2017-12-21 2021-08-03 Cilag Gmbh International Systems and methods of displaying a knife position during transection for a surgical instrument
US11129680B2 (en) 2017-12-21 2021-09-28 Cilag Gmbh International Surgical instrument comprising a projector
US20210038877A1 (en) * 2018-03-12 2021-02-11 Admetsys Corporation Intravascular port based sensing and treatment system
US11253256B2 (en) 2018-08-20 2022-02-22 Cilag Gmbh International Articulatable motor powered surgical instruments with dedicated articulation motor arrangements
US11039834B2 (en) 2018-08-20 2021-06-22 Cilag Gmbh International Surgical stapler anvils with staple directing protrusions and tissue stability features
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
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
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
US11324501B2 (en) 2018-08-20 2022-05-10 Cilag Gmbh International Surgical stapling devices with improved closure members
USD914878S1 (en) 2018-08-20 2021-03-30 Ethicon Llc Surgical instrument anvil
US10912559B2 (en) 2018-08-20 2021-02-09 Ethicon Llc Reinforced deformable anvil tip for surgical stapler anvil
US10779821B2 (en) 2018-08-20 2020-09-22 Ethicon Llc Surgical stapler anvils with tissue stop features configured to avoid tissue pinch
US11291440B2 (en) 2018-08-20 2022-04-05 Cilag Gmbh International Method for operating a powered articulatable surgical instrument
US10856870B2 (en) 2018-08-20 2020-12-08 Ethicon Llc Switching arrangements for motor powered articulatable surgical instruments
EP3897463A4 (en) 2018-12-19 2022-09-14 Longeviti Neuro Solutions LLC CRANIAL IMPLANT WITH DURAL WINDOW
EP3922039A1 (en) 2019-02-07 2021-12-15 NuVasive Specialized Orthopedics, Inc. Ultrasonic communication in medical devices
US11589901B2 (en) 2019-02-08 2023-02-28 Nuvasive Specialized Orthopedics, Inc. External adjustment device
WO2020180854A1 (en) * 2019-03-03 2020-09-10 Tal Michael Gabriel Subcutaneously changeable vascular access port
US11147551B2 (en) 2019-03-25 2021-10-19 Cilag Gmbh International Firing drive arrangements for surgical systems
US11696761B2 (en) 2019-03-25 2023-07-11 Cilag Gmbh International Firing drive arrangements for surgical systems
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
US11696851B2 (en) * 2019-04-25 2023-07-11 Alcon Inc. Cannula system with retention feature
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
US11648009B2 (en) 2019-04-30 2023-05-16 Cilag Gmbh International Rotatable jaw tip for 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
US11426251B2 (en) 2019-04-30 2022-08-30 Cilag Gmbh International Articulation directional lights on a surgical instrument
CA3081116A1 (en) * 2019-05-14 2020-11-14 Gliaview Llc Ultra-sound compatible artificial cranial prosthesis with customized platforms
US11627959B2 (en) 2019-06-28 2023-04-18 Cilag Gmbh International Surgical instruments including manual and powered system lockouts
US11660163B2 (en) 2019-06-28 2023-05-30 Cilag Gmbh International Surgical system with RFID tags for updating motor assembly parameters
US11399837B2 (en) 2019-06-28 2022-08-02 Cilag Gmbh International Mechanisms for motor control adjustments of a motorized surgical instrument
US11224497B2 (en) 2019-06-28 2022-01-18 Cilag Gmbh International Surgical systems with multiple RFID tags
US11771419B2 (en) 2019-06-28 2023-10-03 Cilag Gmbh International Packaging for a replaceable component of a surgical stapling system
US11426167B2 (en) 2019-06-28 2022-08-30 Cilag Gmbh International Mechanisms for proper anvil attachment surgical stapling head assembly
US11259803B2 (en) 2019-06-28 2022-03-01 Cilag Gmbh International Surgical stapling system having an information encryption protocol
US11553971B2 (en) 2019-06-28 2023-01-17 Cilag Gmbh International Surgical RFID assemblies for display and communication
US11638587B2 (en) 2019-06-28 2023-05-02 Cilag Gmbh International RFID identification systems for surgical instruments
US11246678B2 (en) 2019-06-28 2022-02-15 Cilag Gmbh International Surgical stapling system having a frangible RFID tag
US11291451B2 (en) 2019-06-28 2022-04-05 Cilag Gmbh International Surgical instrument with battery compatibility verification functionality
US11376098B2 (en) 2019-06-28 2022-07-05 Cilag Gmbh International Surgical instrument system comprising an RFID system
US11523822B2 (en) 2019-06-28 2022-12-13 Cilag Gmbh International Battery pack including a circuit interrupter
US11497492B2 (en) 2019-06-28 2022-11-15 Cilag Gmbh International Surgical instrument including an articulation lock
US11478241B2 (en) 2019-06-28 2022-10-25 Cilag Gmbh International Staple cartridge including projections
US11298132B2 (en) 2019-06-28 2022-04-12 Cilag GmbH Inlernational Staple cartridge including a honeycomb extension
US11464601B2 (en) 2019-06-28 2022-10-11 Cilag Gmbh International Surgical instrument comprising an RFID system for tracking a movable component
US11051807B2 (en) 2019-06-28 2021-07-06 Cilag Gmbh International Packaging assembly including a particulate trap
US11684434B2 (en) 2019-06-28 2023-06-27 Cilag Gmbh International Surgical RFID assemblies for instrument operational setting control
US11241235B2 (en) 2019-06-28 2022-02-08 Cilag Gmbh International Method of using multiple RFID chips with a surgical assembly
US11219455B2 (en) 2019-06-28 2022-01-11 Cilag Gmbh International Surgical instrument including a lockout key
US11298127B2 (en) 2019-06-28 2022-04-12 Cilag GmbH Interational Surgical stapling system having a lockout mechanism for an incompatible cartridge
US11607219B2 (en) 2019-12-19 2023-03-21 Cilag Gmbh International Staple cartridge comprising a detachable tissue cutting knife
US11446029B2 (en) 2019-12-19 2022-09-20 Cilag Gmbh International Staple cartridge comprising projections extending from a curved deck surface
US11701111B2 (en) 2019-12-19 2023-07-18 Cilag Gmbh International Method for operating a surgical stapling instrument
US11529137B2 (en) 2019-12-19 2022-12-20 Cilag Gmbh International Staple cartridge comprising driver retention members
US11911032B2 (en) 2019-12-19 2024-02-27 Cilag Gmbh International Staple cartridge comprising a seating cam
US11559304B2 (en) 2019-12-19 2023-01-24 Cilag Gmbh International Surgical instrument comprising a rapid closure mechanism
US11464512B2 (en) 2019-12-19 2022-10-11 Cilag Gmbh International Staple cartridge comprising a curved deck surface
US11576672B2 (en) 2019-12-19 2023-02-14 Cilag Gmbh International Surgical instrument comprising a closure system including a closure member and an opening member driven by a drive screw
US11291447B2 (en) 2019-12-19 2022-04-05 Cilag Gmbh International Stapling instrument comprising independent jaw closing and staple firing systems
US11304696B2 (en) 2019-12-19 2022-04-19 Cilag Gmbh International Surgical instrument comprising a powered articulation system
US11234698B2 (en) 2019-12-19 2022-02-01 Cilag Gmbh International Stapling system comprising a clamp lockout and a firing lockout
US11529139B2 (en) 2019-12-19 2022-12-20 Cilag Gmbh International Motor driven surgical instrument
US11931033B2 (en) 2019-12-19 2024-03-19 Cilag Gmbh International Staple cartridge comprising a latch lockout
US11504122B2 (en) 2019-12-19 2022-11-22 Cilag Gmbh International Surgical instrument comprising a nested firing member
US11844520B2 (en) 2019-12-19 2023-12-19 Cilag Gmbh International Staple cartridge comprising driver retention members
USD967421S1 (en) 2020-06-02 2022-10-18 Cilag Gmbh International Staple cartridge
USD976401S1 (en) 2020-06-02 2023-01-24 Cilag Gmbh International Staple cartridge
USD975850S1 (en) 2020-06-02 2023-01-17 Cilag Gmbh International Staple cartridge
USD975278S1 (en) 2020-06-02 2023-01-10 Cilag Gmbh International Staple cartridge
USD975851S1 (en) 2020-06-02 2023-01-17 Cilag Gmbh International Staple cartridge
USD966512S1 (en) 2020-06-02 2022-10-11 Cilag Gmbh International Staple cartridge
USD974560S1 (en) 2020-06-02 2023-01-03 Cilag Gmbh International Staple cartridge
US20220008706A1 (en) * 2020-07-08 2022-01-13 Portal Access, Inc. Minimally invasive port implantation
US20220031351A1 (en) 2020-07-28 2022-02-03 Cilag Gmbh International Surgical instruments with differential articulation joint arrangements for accommodating flexible actuators
USD980425S1 (en) 2020-10-29 2023-03-07 Cilag Gmbh International Surgical instrument assembly
US11844518B2 (en) 2020-10-29 2023-12-19 Cilag Gmbh International Method for operating a surgical instrument
USD1013170S1 (en) 2020-10-29 2024-01-30 Cilag Gmbh International Surgical instrument assembly
US11896217B2 (en) 2020-10-29 2024-02-13 Cilag Gmbh International Surgical instrument comprising an articulation lock
US11517390B2 (en) 2020-10-29 2022-12-06 Cilag Gmbh International Surgical instrument comprising a limited travel switch
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
US11931025B2 (en) 2020-10-29 2024-03-19 Cilag Gmbh International Surgical instrument comprising a releasable closure drive lock
US11717289B2 (en) 2020-10-29 2023-08-08 Cilag Gmbh International Surgical instrument comprising an indicator which indicates that an articulation drive is actuatable
US11534259B2 (en) 2020-10-29 2022-12-27 Cilag Gmbh International Surgical instrument comprising an articulation indicator
US11452526B2 (en) 2020-10-29 2022-09-27 Cilag Gmbh International Surgical instrument comprising a staged voltage regulation start-up system
US11779330B2 (en) 2020-10-29 2023-10-10 Cilag Gmbh International Surgical instrument comprising a jaw alignment system
US11744581B2 (en) 2020-12-02 2023-09-05 Cilag Gmbh International Powered surgical instruments with multi-phase tissue treatment
US11849943B2 (en) 2020-12-02 2023-12-26 Cilag Gmbh International Surgical instrument with cartridge release mechanisms
US11944296B2 (en) 2020-12-02 2024-04-02 Cilag Gmbh International Powered surgical instruments with external connectors
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
US11678882B2 (en) 2020-12-02 2023-06-20 Cilag Gmbh International Surgical instruments with interactive features to remedy incidental sled movements
US11653915B2 (en) 2020-12-02 2023-05-23 Cilag Gmbh International Surgical instruments with sled location detection and adjustment features
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
US11627960B2 (en) 2020-12-02 2023-04-18 Cilag Gmbh International Powered surgical instruments with smart reload with separately attachable exteriorly mounted wiring connections
US11806054B2 (en) 2021-02-23 2023-11-07 Nuvasive Specialized Orthopedics, Inc. Adjustable implant, system and methods
US11751869B2 (en) 2021-02-26 2023-09-12 Cilag Gmbh International Monitoring of multiple sensors over time to detect moving characteristics of tissue
US11812964B2 (en) 2021-02-26 2023-11-14 Cilag Gmbh International Staple cartridge comprising a power management circuit
US11723657B2 (en) 2021-02-26 2023-08-15 Cilag Gmbh International Adjustable communication based on available bandwidth and power capacity
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
US11744583B2 (en) 2021-02-26 2023-09-05 Cilag Gmbh International Distal communication array to tune frequency of RF systems
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
US11701113B2 (en) 2021-02-26 2023-07-18 Cilag Gmbh International Stapling instrument comprising a separate power antenna and a data transfer antenna
US11730473B2 (en) 2021-02-26 2023-08-22 Cilag Gmbh International Monitoring of manufacturing life-cycle
US11723658B2 (en) 2021-03-22 2023-08-15 Cilag Gmbh International Staple cartridge comprising a firing lockout
US11737749B2 (en) 2021-03-22 2023-08-29 Cilag Gmbh International Surgical stapling instrument comprising a retraction system
US11826042B2 (en) 2021-03-22 2023-11-28 Cilag Gmbh International Surgical instrument comprising a firing drive including a selectable leverage mechanism
US11759202B2 (en) 2021-03-22 2023-09-19 Cilag Gmbh International Staple cartridge comprising an implantable layer
US11717291B2 (en) 2021-03-22 2023-08-08 Cilag Gmbh International Staple cartridge comprising staples configured to apply different tissue compression
US11806011B2 (en) 2021-03-22 2023-11-07 Cilag Gmbh International Stapling instrument comprising tissue compression systems
US11826012B2 (en) 2021-03-22 2023-11-28 Cilag Gmbh International Stapling instrument comprising a pulsed motor-driven firing rack
US11849945B2 (en) 2021-03-24 2023-12-26 Cilag Gmbh International Rotary-driven surgical stapling assembly comprising eccentrically driven firing member
US11793516B2 (en) 2021-03-24 2023-10-24 Cilag Gmbh International Surgical staple cartridge comprising longitudinal support beam
US11786243B2 (en) 2021-03-24 2023-10-17 Cilag Gmbh International Firing members having flexible portions for adapting to a load during a surgical firing stroke
US11744603B2 (en) 2021-03-24 2023-09-05 Cilag Gmbh International Multi-axis pivot joints for surgical instruments and methods for manufacturing same
US11903582B2 (en) 2021-03-24 2024-02-20 Cilag Gmbh International Leveraging surfaces for cartridge installation
US11786239B2 (en) 2021-03-24 2023-10-17 Cilag Gmbh International Surgical instrument articulation joint arrangements comprising multiple moving linkage features
US11896219B2 (en) 2021-03-24 2024-02-13 Cilag Gmbh International Mating features between drivers and underside of a cartridge deck
US11857183B2 (en) 2021-03-24 2024-01-02 Cilag Gmbh International Stapling assembly components having metal substrates and plastic bodies
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
US11896218B2 (en) 2021-03-24 2024-02-13 Cilag Gmbh International Method of using a powered stapling device
US11737787B1 (en) 2021-05-27 2023-08-29 Nuvasive, Inc. Bone elongating devices and methods of use
US11826047B2 (en) 2021-05-28 2023-11-28 Cilag Gmbh International Stapling instrument comprising jaw mounts
USD1002009S1 (en) 2021-08-31 2023-10-17 New Wave Endo-Surgical Corp. Medical device
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 (132)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US1174814A (en) * 1915-09-17 1916-03-07 Manville E J Machine Co Automatic threader.
US2737954A (en) * 1954-02-12 1956-03-13 Gloria H Knapp Surgical stitching instrument with rotatable needle support
US3371352A (en) * 1965-01-19 1968-03-05 Edwards Lab Inc Heart valve for quick implantation having provision for ingrowth of tissue
SE344275B (zh) 1966-02-10 1972-04-10 R Gruenert
US3587115A (en) * 1966-05-04 1971-06-28 Donald P Shiley Prosthetic sutureless heart valves and implant tools therefor
US3853237A (en) * 1972-11-16 1974-12-10 Ethyl Dev Corp Vial or container with safety closure
US3840018A (en) * 1973-01-31 1974-10-08 M Heifetz Clamp for occluding tubular conduits in the human body
US4118805A (en) * 1977-02-28 1978-10-10 Codman & Shurtleff, Inc. Artificial sphincter
AU539132B2 (en) * 1979-10-30 1984-09-13 Juan Voltas Baro and Hector Ortiz Hurtado Device to obtain continence
US4413985A (en) * 1981-09-02 1983-11-08 The United States Of America As Represented By The Dept. Of Health & Human Services Hydrocephalic antenatal vent for intrauterine treatment (HAVIT)
US4408597A (en) * 1982-04-23 1983-10-11 The United States Of America As Represented By The Administrator Of The National Aeronautics And Space Administration Prosthetic occlusive device for an internal passageway
US4492232A (en) 1982-09-30 1985-01-08 United States Surgical Corporation Surgical clip applying apparatus having fixed jaws
US4592339A (en) * 1985-06-12 1986-06-03 Mentor Corporation Gastric banding device
US4696288A (en) * 1985-08-14 1987-09-29 Kuzmak Lubomyr I Calibrating apparatus and method of using same for gastric banding surgery
US4692146A (en) * 1985-10-24 1987-09-08 Cormed, Inc. Multiple vascular access port
US4708140A (en) * 1986-05-08 1987-11-24 Baron Howard C Atraumatic vascular balloon clamp
US4762517A (en) * 1986-09-18 1988-08-09 Healthcare Technologies, Inc. Subcutaneously-implanted drug delivery system for intravenous injections, and the like
US4760837A (en) * 1987-02-19 1988-08-02 Inamed Development Company Apparatus for verifying the position of needle tip within the injection reservoir of an implantable medical device
US4781680A (en) * 1987-03-02 1988-11-01 Vir Engineering Resealable injection site
CA1303934C (en) 1987-11-03 1992-06-23 David T. Green Fascia clip
US4892518A (en) * 1987-12-04 1990-01-09 Biocontrol Technology, Inc. Hemodialysis
US4978338A (en) * 1988-04-21 1990-12-18 Therex Corp. Implantable infusion apparatus
US4994073A (en) 1989-02-22 1991-02-19 United States Surgical Corp. Skin fastener
US5006115A (en) * 1989-07-25 1991-04-09 Medtronic, Inc. Needle placement sensor
US4932960A (en) 1989-09-01 1990-06-12 United States Surgical Corporation Absorbable surgical fastener
US5263930A (en) * 1990-03-01 1993-11-23 William D. Ensminger Implantable access devices
US5092897A (en) 1990-03-15 1992-03-03 Forte Mark R Implantable acetabular prosthetic hip joint with universal adjustability
SE464558B (sv) * 1990-03-22 1991-05-13 Hepar Ab Implanterbar anordning foer avstaengning av en kanal i en levande varelses kropp
US5074868A (en) * 1990-08-03 1991-12-24 Inamed Development Company Reversible stoma-adjustable gastric band
US5207644A (en) * 1991-03-04 1993-05-04 Strecker Ernst P Device with implantable infusion chamber and a catheter extending therefrom
US5226429A (en) * 1991-06-20 1993-07-13 Inamed Development Co. Laparoscopic gastric band and method
US5188609A (en) * 1991-07-08 1993-02-23 Bryman Medical Inc. Swivel clip medical tube holder
US5527283A (en) * 1992-02-28 1996-06-18 Swisher, Iii; Kyley Safe medical syringe and method of manufacture
GR930100244A (el) * 1992-06-30 1994-02-28 Ethicon Inc Εύκαμπτο ενδοσκοπικό χειρουργικό στόμιο εισόδου.
DE4221390C1 (zh) * 1992-06-30 1993-04-01 Haindl, Hans, Dr.Med., 3015 Wennigsen, De
US5653718A (en) * 1994-05-16 1997-08-05 Yoon; Inbae Cannula anchoring system
US5540648A (en) * 1992-08-17 1996-07-30 Yoon; Inbae Medical instrument stabilizer with anchoring system and methods
US5601224A (en) * 1992-10-09 1997-02-11 Ethicon, Inc. Surgical instrument
US5449368A (en) * 1993-02-18 1995-09-12 Kuzmak; Lubomyr I. Laparoscopic adjustable gastric banding device and method for implantation and removal thereof
US5601604A (en) * 1993-05-27 1997-02-11 Inamed Development Co. Universal gastric band
US5527321A (en) † 1993-07-14 1996-06-18 United States Surgical Corporation Instrument for closing trocar puncture wounds
US5944751A (en) * 1993-09-17 1999-08-31 Zertl Medical, Inc. Vibratory heart valve
EP0680680B1 (en) * 1993-09-20 2002-10-16 CODEX CORPORATION, a subsidiary company of MOTOROLA INC. Dynamic rate adjustment for overload control in communication networks
AU1011595A (en) * 1994-01-13 1995-07-20 Ethicon Inc. Spiral surgical tack
US5591217A (en) * 1995-01-04 1997-01-07 Plexus, Inc. Implantable stimulator with replenishable, high value capacitive power source and method therefor
US5904697A (en) * 1995-02-24 1999-05-18 Heartport, Inc. Devices and methods for performing a vascular anastomosis
US5695504A (en) 1995-02-24 1997-12-09 Heartport, Inc. Devices and methods for performing a vascular anastomosis
US5637102A (en) * 1995-05-24 1997-06-10 C. R. Bard, Inc. Dual-type catheter connection system
US5989216A (en) * 1995-06-29 1999-11-23 Sims Deltec, Inc. Access portal and method
US5607418A (en) * 1995-08-22 1997-03-04 Illinois Institute Of Technology Implantable drug delivery apparatus
US6102922A (en) * 1995-09-22 2000-08-15 Kirk Promotions Limited Surgical method and device for reducing the food intake of patient
WO1997027829A1 (en) * 1996-01-31 1997-08-07 The Trustees Of The University Of Pennsylvania Remote control drug delivery device
US6048309A (en) * 1996-03-04 2000-04-11 Heartport, Inc. Soft tissue retractor and delivery device therefor
US5944696A (en) * 1996-06-03 1999-08-31 Bayless; William Brian Swivel clip medical tube holder
US5718682A (en) * 1996-06-28 1998-02-17 United States Surgical Corporation Access port device and method of manufacture
US5833698A (en) * 1996-07-23 1998-11-10 United States Surgical Corporation Anastomosis instrument and method
US5713911A (en) * 1996-10-03 1998-02-03 United States Surgical Corporation Surgical clip
US6111506A (en) * 1996-10-15 2000-08-29 Iris Corporation Berhad Method of making an improved security identification document including contactless communication insert unit
US5938669A (en) * 1997-05-07 1999-08-17 Klasamed S.A. Adjustable gastric banding device for contracting a patient's stomach
US5871532A (en) * 1997-05-22 1999-02-16 Sulzer Intermedics Inc. Epicardial lead for minimally invasive implantation
US6190352B1 (en) * 1997-10-01 2001-02-20 Boston Scientific Corporation Guidewire compatible port and method for inserting same
NL1007349C2 (nl) * 1997-10-24 1999-04-27 Suyker Wilhelmus Joseph Leonardus Systeem voor het mechanisch vervaardigen van anastomoses tussen holle structuren; alsmede inrichting en applicator voor gebruik daarbij.
DE19751791A1 (de) * 1997-11-22 1999-05-27 Arnold Dipl Ing Dr Med Pier Chirurgisches Klammersetzinstrument
US6254642B1 (en) * 1997-12-09 2001-07-03 Thomas V. Taylor Perorally insertable gastroesophageal anti-reflux valve prosthesis and tool for implantation thereof
US6193734B1 (en) * 1998-01-23 2001-02-27 Heartport, Inc. System for performing vascular anastomoses
US6203523B1 (en) * 1998-02-02 2001-03-20 Medtronic Inc Implantable drug infusion device having a flow regulator
US5910149A (en) * 1998-04-29 1999-06-08 Kuzmak; Lubomyr I. Non-slipping gastric band
US6694366B1 (en) * 1998-04-29 2004-02-17 Symbol Technologies, Inc. Data reconciliation between a computer and a mobile data collection terminal
US6074341A (en) * 1998-06-09 2000-06-13 Timm Medical Technologies, Inc. Vessel occlusive apparatus and method
US6106550A (en) * 1998-07-10 2000-08-22 Sulzer Carbomedics Inc. Implantable attaching ring
US6067991A (en) * 1998-08-13 2000-05-30 Forsell; Peter Mechanical food intake restriction device
US6210347B1 (en) * 1998-08-13 2001-04-03 Peter Forsell Remote control food intake restriction device
FR2783153B1 (fr) 1998-09-14 2000-12-01 Jerome Dargent Dispositif de constriction gastrique
US6024755A (en) * 1998-12-11 2000-02-15 Embol-X, Inc. Suture-free clamp and sealing port and methods of use
IL129032A (en) * 1999-03-17 2006-12-31 Moshe Dudai Stomach strap
US6766186B1 (en) * 1999-06-16 2004-07-20 C. R. Bard, Inc. Post biospy tissue marker and method of use
US6503189B1 (en) * 1999-08-12 2003-01-07 Obtech Medical Ag Controlled anal incontinence disease treatment
US6453907B1 (en) * 1999-08-12 2002-09-24 Obtech Medical Ag Food intake restriction with energy transfer device
US6454699B1 (en) * 2000-02-11 2002-09-24 Obtech Medical Ag Food intake restriction with controlled wireless energy supply
FR2799118B1 (fr) * 1999-10-01 2002-07-12 Medical Innovation Dev Implant gastrique reglable
IL132635A0 (en) * 1999-10-28 2001-03-19 Niti Alloys Tech Ltd Shape memory alloy clip and method of use thereof
US20030208212A1 (en) * 1999-12-07 2003-11-06 Valerio Cigaina Removable gastric band
FR2804011B1 (fr) * 2000-01-20 2002-07-19 Rc Medical Anneau de gastroplastie a commande unique
US6526335B1 (en) * 2000-01-24 2003-02-25 G. Victor Treyz Automobile personal computer systems
US6450946B1 (en) * 2000-02-11 2002-09-17 Obtech Medical Ag Food intake restriction with wireless energy transfer
US6475136B1 (en) * 2000-02-14 2002-11-05 Obtech Medical Ag Hydraulic heartburn and reflux treatment
US6478783B1 (en) * 2000-05-26 2002-11-12 H. Robert Moorehead Anti-sludge medication ports and related methods
US6419696B1 (en) * 2000-07-06 2002-07-16 Paul A. Spence Annuloplasty devices and related heart valve repair methods
FR2813786B1 (fr) * 2000-09-11 2003-03-14 Medical Innovation Dev Procede et dispositif de commande du gonflement d'une enveloppe prothetique gonflable et prothese en faisant application
US6432040B1 (en) * 2000-09-14 2002-08-13 Nizam N. Meah Implantable esophageal sphincter apparatus for gastroesophageal reflux disease and method
US6511490B2 (en) * 2001-06-22 2003-01-28 Antoine Jean Henri Robert Gastric banding device and method
US6457801B1 (en) * 2001-06-27 2002-10-01 Lexmark International, Inc. Method and apparatus for measuring ink dry time
US6629988B2 (en) * 2001-08-28 2003-10-07 Ethicon, Inc. Composite staple for completing an anastomosis
US7195774B2 (en) * 2001-08-29 2007-03-27 Carvalho Ricardo Azevedo Ponte Implantable and sealable system for unidirectional delivery of therapeutic agents to tissues
US20030181890A1 (en) † 2002-03-22 2003-09-25 Schulze Dale R. Medical device that removably attaches to a bodily organ
GB2389791B (en) * 2002-04-30 2006-12-13 Steven Gill Implantable drug delivery pump
FR2839892B1 (fr) * 2002-05-27 2005-03-18 Mb Innovation Dispositif d'injection a usage unique destine a etre pre-rempli
US7338433B2 (en) * 2002-08-13 2008-03-04 Allergan, Inc. Remotely adjustable gastric banding method
DE60331457D1 (de) * 2002-08-28 2010-04-08 Allergan Inc Ermüdungsfeste magenbandvorrichtung
US20040068233A1 (en) * 2002-10-04 2004-04-08 Dimatteo Kristian Venous access device with detachable suture wings
US7850660B2 (en) 2003-12-19 2010-12-14 Ethicon Endo-Surgery, Inc. Implantable medical device with simultaneous attachment mechanism and method
US7374557B2 (en) * 2003-06-16 2008-05-20 Ethicon Endo-Surgery, Inc. Subcutaneous self attaching injection port with integral fasteners
US8715243B2 (en) * 2003-06-16 2014-05-06 Ethicon Endo-Surgery, Inc. Injection port applier with downward force actuation
US7862546B2 (en) * 2003-06-16 2011-01-04 Ethicon Endo-Surgery, Inc. Subcutaneous self attaching injection port with integral moveable retention members
US20050131352A1 (en) * 2003-06-16 2005-06-16 Conlon Sean P. Subcutaneous injection port for applied fasteners
AU2004281641B2 (en) † 2003-09-15 2010-06-17 Apollo Endosurgery, Inc. Implantable device fastening system and methods of use
US20050070937A1 (en) * 2003-09-30 2005-03-31 Jambor Kristin L. Segmented gastric band
US7144400B2 (en) 2003-10-01 2006-12-05 Ethicon Endo-Surgery, Inc. Gastric band introduction device
EP1670362B2 (en) * 2004-01-23 2014-10-22 Apollo Endosurgery, Inc. Implantable device fastening system and methods of use
US7118027B2 (en) * 2004-02-04 2006-10-10 Lester Sussman Method and system to issue an electronic visa of a foreign visitor at a country's foreign consular premises
US7311716B2 (en) 2004-02-20 2007-12-25 Ethicon Endo-Surgery, Inc. Surgically implantable adjustable band having a flat profile when implanted
EP1725194B1 (en) * 2004-02-27 2018-01-17 Ethicon Endo-Surgery, Inc. Methods and devices for reducing stomach volume
US20050240155A1 (en) * 2004-04-27 2005-10-27 Conlon Sean P Surgically implantable injection port having a centered catheter connection tube
US7481763B2 (en) * 2004-05-28 2009-01-27 Ethicon Endo-Surgery, Inc. Metal bellows position feedback for hydraulic control of an adjustable gastric band
US7390294B2 (en) * 2004-05-28 2008-06-24 Ethicon Endo-Surgery, Inc. Piezo electrically driven bellows infuser for hydraulically controlling an adjustable gastric band
US7374565B2 (en) * 2004-05-28 2008-05-20 Ethicon Endo-Surgery, Inc. Bi-directional infuser pump with volume braking for hydraulically controlling an adjustable gastric band
US7351240B2 (en) * 2004-05-28 2008-04-01 Ethicon Endo—Srugery, Inc. Thermodynamically driven reversible infuser pump for use as a remotely controlled gastric band
US20050277899A1 (en) 2004-06-01 2005-12-15 Conlon Sean P Method of implanting a fluid injection port
US20050148956A1 (en) 2004-06-01 2005-07-07 Conlon Sean P. Surgically implantable injection port having an improved fastener
US7351198B2 (en) * 2004-06-02 2008-04-01 Ethicon Endo-Surgery, Inc. Implantable adjustable sphincter system
US7191007B2 (en) * 2004-06-24 2007-03-13 Ethicon Endo-Surgery, Inc Spatially decoupled twin secondary coils for optimizing transcutaneous energy transfer (TET) power transfer characteristics
US20060173424A1 (en) 2005-02-01 2006-08-03 Conlon Sean P Surgically implantable injection port having an absorbable fastener
US7909804B2 (en) * 2005-02-07 2011-03-22 C. R. Bard, Inc. Vascular access port with integral attachment mechanism
US20060217673A1 (en) 2005-03-22 2006-09-28 Schulze Dale R Subcutaneous injection port with stabilizing elements
US7364542B2 (en) * 2005-07-15 2008-04-29 Ethicon Endo-Surgery, Inc. Gastric band suture tab extender
US7416528B2 (en) * 2005-07-15 2008-08-26 Ethicon Endo-Surgery, Inc. Latching device for gastric band
US7367937B2 (en) * 2005-07-15 2008-05-06 Ethicon Endo-Surgey, Inc. Gastric band
US7353747B2 (en) * 2005-07-28 2008-04-08 Ethicon Endo-Surgery, Inc. Electroactive polymer-based pump
AU2006299623A1 (en) 2005-09-30 2007-04-12 Angiodynamics, Inc. Implantable medical device
US20070088391A1 (en) 2005-10-18 2007-04-19 Cook Biotech Inc. Medical device with affixation means
US7708722B2 (en) 2006-01-10 2010-05-04 Stealth Therapeutics, Inc. Stabilized implantable vascular access port
WO2008060570A1 (en) * 2006-11-14 2008-05-22 Abb Inc. System for storing and presenting sensor and spectral data for batch processes

Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN1882370B (zh) * 2003-09-15 2010-05-26 阿勒根公司 可植入装置的紧固系统
CN102099078A (zh) * 2008-04-17 2011-06-15 阿勒根公司 可植入的连接口装置和固定系统
CN102448382A (zh) * 2009-03-23 2012-05-09 内基因控股有限公司 用于供送形状记忆骑缝钉的装置和方法
CN102448382B (zh) * 2009-03-23 2015-06-03 内基因有限公司 用于供送形状记忆骑缝钉的装置和方法
CN109069162A (zh) * 2016-04-25 2018-12-21 蛇牌股份公司 转换动脉瘤夹子
US11311299B2 (en) 2017-11-20 2022-04-26 Aesculap Ag Surgical clip with bracket-free guide system

Also Published As

Publication number Publication date
US20090254052A1 (en) 2009-10-08
ES2375930T3 (es) 2012-03-07
US7972315B2 (en) 2011-07-05
US20100042052A1 (en) 2010-02-18
EP2260773A1 (en) 2010-12-15
ATE537762T1 (de) 2012-01-15
US7811275B2 (en) 2010-10-12
US7947011B2 (en) 2011-05-24
ES2488826T3 (es) 2014-08-29
NZ548207A (en) 2010-08-27
US8409203B2 (en) 2013-04-02
WO2005072627A1 (en) 2005-08-11
IL174344A0 (en) 2006-08-01
JP2011087942A (ja) 2011-05-06
US20090259191A1 (en) 2009-10-15
EP2433672B1 (en) 2014-05-07
ATE489897T1 (de) 2010-12-15
US20090264827A1 (en) 2009-10-22
AU2010201793A1 (en) 2010-05-27
US20090259190A1 (en) 2009-10-15
CR8328A (es) 2006-08-25
EP1670362A1 (en) 2006-06-21
BRPI0506144A (pt) 2006-10-24
ES2355034T3 (es) 2011-03-22
DK1670362T3 (da) 2011-02-14
EP2260773B1 (en) 2011-12-21
EP2433672A2 (en) 2012-03-28
EP2260773B2 (en) 2014-08-13
NZ586427A (en) 2010-12-24
ES2375930T5 (es) 2014-10-31
EP1670362B1 (en) 2010-12-01
US8079989B2 (en) 2011-12-20
BRPI0506144B1 (pt) 2016-06-14
CA2567158C (en) 2011-08-09
DE602005025075D1 (de) 2011-01-13
JP4778448B2 (ja) 2011-09-21
US8007479B2 (en) 2011-08-30
ES2355034T5 (es) 2015-01-26
US7901381B2 (en) 2011-03-08
US20060235445A1 (en) 2006-10-19
JP5097816B2 (ja) 2012-12-12
PL1670362T3 (pl) 2011-05-31
HK1086181A1 (en) 2006-09-15
US20100049214A1 (en) 2010-02-25
EP1670362B2 (en) 2014-10-22
JP2007533368A (ja) 2007-11-22
CA2567158A1 (en) 2005-08-11
EP1670362A4 (en) 2010-02-10
IL174344A (en) 2011-03-31
AU2005209251B2 (en) 2010-02-04
AU2010201793B2 (en) 2012-08-30
AU2005209251A1 (en) 2005-08-11
CN101507619A (zh) 2009-08-19
US8317761B2 (en) 2012-11-27
PT1670362E (pt) 2011-01-28
MXPA06003001A (es) 2006-06-23
US20110245595A1 (en) 2011-10-06
EP2433672A3 (en) 2012-11-07

Similar Documents

Publication Publication Date Title
CN1897880A (zh) 可植入装置的紧固系统和其使用方法
CN1882370A (zh) 可植入装置的紧固系统和其使用方法
KR101144578B1 (ko) 이식가능한 장치 고정 시스템 및 이의 사용방법

Legal Events

Date Code Title Description
C06 Publication
PB01 Publication
C10 Entry into substantive examination
SE01 Entry into force of request for substantive examination
ASS Succession or assignment of patent right

Owner name: ALLERGAN INC.

Free format text: FORMER OWNER: INAMED MEDICAL PRODUCTS CORP

Effective date: 20080411

C41 Transfer of patent application or patent right or utility model
TA01 Transfer of patent application right

Effective date of registration: 20080411

Address after: American California

Applicant after: Allergan

Address before: American California

Applicant before: Inamed Medical Products Corp.

C02 Deemed withdrawal of patent application after publication (patent law 2001)
WD01 Invention patent application deemed withdrawn after publication

Open date: 20070117