US3662939A - Surgical stapler for skin and fascia - Google Patents
Surgical stapler for skin and fascia Download PDFInfo
- Publication number
- US3662939A US3662939A US14614A US3662939DA US3662939A US 3662939 A US3662939 A US 3662939A US 14614 A US14614 A US 14614A US 3662939D A US3662939D A US 3662939DA US 3662939 A US3662939 A US 3662939A
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- United States
- Prior art keywords
- cartridge
- staples
- instrument
- staple
- screws
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- 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
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00535—Surgical instruments, devices or methods, e.g. tourniquets pneumatically or hydraulically operated
- A61B2017/00544—Surgical instruments, devices or methods, e.g. tourniquets pneumatically or hydraulically operated pneumatically
Definitions
- ABSTRACT An instrument for applying surgical staples to effect the joining of disunited skin or fascia.
- the instrument of the present invention is powered by a gas under pressure originating from a gas filled tank, positioned within a housing and adapted to ensure that the introduction of the tank and removal thereof may be easily and quietly accomplished without danger of injury to the operator.
- the surgical staples are carried in one of two types of cartridge assemblies, the first and smaller being designed for the application of staples to external skin and the second and larger being designed for the application of staples to the more tender internal fascia.
- the cartridge is held in the body of the instrument by means of a spring which greatly facilitates the introduction of the cartridge.
- the instrument is further provided with means for preventing more than one driving operation per trigger activation, means for returning the staple-driving mechanisms to their pre-stapling positions, and a novel power unitv Staple cartridges are also disclosed which ensure proper initial phasing between staple-advancing screws, proper alignment of the screws before insertion into the instrument, and means for preventing accidental ejection of staples during transit.
- a single cartridge is disclosed.
- This cartridge is arranged so that the final shape of the staple is substantially square.
- the staple of square configuration while being adequate for the union of external skin, could have failings in uniting segments of internal fascia.
- the internal fascia relatively porous in nature, may tear somewhat easily under conditions of stress.
- damage may occur if the patient experiences conditions of internal stress, such as the common post-operative puffing" of the stomach. Therefore, the need has arisen for a staple, cartridge and associated instrument which are particularly suitable for the stapling of internal fascia.
- the cartridge is inserted into the main body of the unit and then, by a distinct manually operation, is fixed in its proper stapling position. If the surgeon, or aide, were to omit the step of securing the cartridge in its housing, either the cartridge would drop out of the housing, thus destroying its sterility, or the instrument would be fired without having the cartridge in proper alignment with the housing. A need therefore exists for ensuring that the cartridge is automatically locked into the body of the instrument without requiring a distinct locking operation.
- the present invention relates to a surgical instrument for applying staples to external skin and internal fascia, thereby joining the disunited skin or fascia to effect rapid healing thereof.
- the instrument forming a part of the present invention is adapted to receive staple cartridges of varying dimensions.
- the instrument is capable of receiving cartridges of relatively small dimensions for stapling external skin, and is also capable of receiving cartridges of relatively large dimensions for stapling internal fascia.
- the present invention also relates to a novel cartridge design to ensure that a single stapling unit is capable of receiving cartridges of differing size.
- the cartridge of the present invention has novelty over that noted in the preceding paragraph. It is adapted for easy loading without the fear that the staples may loaded improperly. Means are provided to ensure that the staple-advancing screws are initially in the proper phase relationship with one another. Then, once the staple-housing cartridge is associated with a staple-loading device, the phasing means are no longer necessary and may, therefore, be dispensed with. Further, the cartridge of the present invention is provided with means for ensuring proper alignment of the staple-advancing screws, thereby facilitating the loading of the cartridge into the inventive instrument. And, additionally, the inventive cartridge is provided with means for locking the pusher in place while in transit and for automatically freeing the pusher when the cartridge is fitted into a surgical stapling instrument.
- the stapler of the present invention is powered by gas under pressure.
- Tanks of gas are introduced into the instrument via a housing, one wall of which is pivotable on the other.
- the tank of pressurized gas is designed to have a life longer than necessary to fire one cartridge of staples. Therefore, gas remains in the tank after the useful life of the cartridge is ended.
- the stapler of the present invention ensures that the cartridge is completely empty before the pivotable wall of the housing is free from the effects of the stationary wall. In this manner, the operator is protected from injury remotely caused by the escape of reserve gas.
- the gas line is fitted with a muffler to reduce the noise usually associated with the draining of reserve gas.
- the invention stapler is provided with means for urging the partially filled tank away from its punc-' ture pin when the housing is partially opened. As a consequence, the pressure tank is sure to be drained when the housing is completely opened.
- the drive mechanism of the present invention is of the gas-powered variety.
- the power drive of the present invention is quite similar to that disclosed and claimed in the above-referenced copending US. patent application.
- the present drive mechanism is, in many respects, improved from the mechanism previously known.
- an O-ring is positioned at the base of the piston bore.
- the piston when driven, impacts the O-ring and is thus cushioned at the forwardmost part of its stroke. Without this O-ring, the piston would impact on one of the walls of the piston chamber. Such impact is undesirable, first, because of the annoying sound and the feeling produced in the hand of the operator and, more importantly, because of the damage which might occur to the wall of the piston chamber, the piston itself and even the elements directly associated with the piston or piston chamber.
- the piston of the present invention forming a part of the gas-powered drive mechanism, is provided with a ring-like extension adapted to ride along the cylindrical wall of the piston chamber. In this manner, proper piston alignment and guiding is ensured. Also, damage to the piston and the wall of the piston chamber is avoided.
- the present invention further relates to a novel and efficiently operating trigger arrangement and drive shaft.
- the trigger When the trigger is pulled, the power unit is activated and the drive shaft is thrust forward, thus ejecting a staple. After the forward thrust of the drive shaft, the release of the trigger is necessary to reset the firing mechanisms. That is, the power unit cannot again be fired until the trigger is released.
- means are provided for combining the forces of two independently functioning springs, the combination efi'ectively overcoming the effects of inertia and friction.
- the present invention further relates to a unique gearbox arrangement. As was the case in the above-referenced copending patent application, it is here necessary to rotate the drive screws 360 each time a staple is being ejected. And, similar to the gearbox disclosed in the copending patent application, the gearbox of the present invention is adapted to be over driven and then returned to a state wherein the drive screws are ultimately rotated precisely 360.
- the cloverleaf is still over-driven.
- a stop pin is provided to ensure that the cloverleaf is driven only to a certain point, this point being so located that the cloverleaf is never over-driven to the extent wherein the camming pin is mispositioned at initial contact with the cloverleaf. In this manner, the camming pin is always able to bring the cloverleaf back to a position wherein the driving screws are ultimately rotated precisely 360.
- FIG. 1 is a side view of the surgical stapler forming a part of the present invention
- FIG. 2 is a side view of the housing for the pressurized tank of gas
- FIG. 3 is a cross-section taken long line 33 of FIG. 1;
- FIG. 4 is a top view of the stapler shown in FIG. 1;
- FIG. 5 is a cross-section taken long line 5-5 of FIG. 1;
- FIG. 6 position; a cross-section taken along line 6-6 of FIG. 1;
- FIG. 7 is a cross-section through the power unit of the present invention when in its pre-firing position:
- FIG. 8 is a cross-section through the firing unit of the present invention during a staple-driving operation
- FIG. 9 is a partial cross-section through the triggering and driving assemblies of the present invention when in the pre-firing positions
- FIG. 10 is a view similar to FIG. 9 but showing the assembly during the initial stages of a firing operation
- FIG. 11 is a view similar to FIG. 9 but showing the assemblies near the end of a stapling operation
- FIG. 12 is a view similar to FIG. 9, showing the assemblies returning from a firing operation
- FIG. 13 is a perspective view of the assemblies of FIG. 12;
- FIG. 14 is a view of the gearbox of the present invention before astaple-advancing operation
- FIG. 15 is a view similar to FIG. 14 but showing the gearbox during a staple advancing operation
- FIG. 16 is a view showing the spring-biasing of a cartridge in the inventive stapler. 5
- FIG. 17 is a top view of a cartridge with a portion of its cover removed
- FIG. 18 is a rear end view of the cartridge of FIG. 17;
- FIG 19 is a view along line 19-10 of FIG. 17;
- FIG. 20 is a view similar to FIG. 17, but showing a cartridge especially adapted for stapling internal fascia;
- FIG. 21 is a showing of the staple used in each of the cartridges illustrated in FIGS. 17 and 20;
- FIG. 22 is a showing of the staples of FIG. 21 after being bent into their final form.
- FIG. 23 is a typical showing of a segment of stapled fascia covered by a stapled skin layer.
- the surgical stapler of the present invention will first be described in general terms.
- the stapler is shown generally at 10 and comprises a main body portion 12, a handle portion 14 and a nose portion 16.
- a staple-carrying cartridge, shown generally at 18, is fit in the nose 16 of the stapler 10.
- the staples in the cartridge 18 are advanced and driven by means of pressurized gas.
- the pressurized tank of gas 20 is housed in the handle 14 and feeds pressurized gas, via port 22, to a power unit 24.
- the handle 14 is removable from the main body portion 12 and, consequently, an O-ring 26 is provided at the junction therebetween thereby tightly sealing the gas in the port 22.
- a filter 28 ensures that the internal structures of the power unit 24 remain free from impurities.
- the stapler is fitted with a trigger 30, which, when depressed, activates the power unit 24. Then, through the action of a drive shaft 32 and a pusher driving member 34, the pusher associated with the cartridge 18 ejects and forms a staple. At the same time, a plunger 124, forming a part of the gearbox 36 is depressed. Then, on the return stroke of the drive shaft, the plunger 124 is released, and the gearbox 36 advances the staples in the cartridge 18 so as to be ready for the next firing operation.
- the handle 14 is made up of a stationary portion 40 and a pivotable portion 42, pivoted on the body of the stationary portion 40 by means of a pin 44. Both portions 40 and 42 are carved out so as to comfortably accommodate the tank 20.
- a threaded insert 46 as of nylon. Threading into the insert 46 is a screw 48 rigidly associated with a knurled knob 50 and a member 52 for advancing the tank 20.
- the innermost end of member 52 is carved out slightly to comfortably accommodate the base of the tank.
- a ring-shaped extension 54 projects from the ex treme end of the stationary member 40 and is adapted to allow the element 52 to pass therethrough, thereby locking the pivotable member 42 to the stationary member 40.
- the pivotable member 42 When the tank 20 is inserted in the housing defined in the handle 14, the pivotable member 42 is moved into association with the stationary member 40. Then, the knob 50 is turned until the pusher 52 engages the ring 54. At this time, and as mentioned above, the pivotable member and the fixed member are locked together. Further rotation of the knob 50 causes the screw 48 to thread into the nylon insert 46, thereby forcing the tank 20 toward a piercing pin 56.
- the screw 48 is sized so that when the cartridge 20 is in its most advantageous pierced position with respect to the piercing pin 56, the indentation 58 in the knob 50 comfortably fits around the extension 60 on the insert 46. Under these conditions, the gas from the tank 20 is fed, via port 22, to the power unit 24.
- a sealing taper 62 is provided to stop gas leaks through the open regions of the handle.
- the tank 20 be capable of firing an amount of staples in excess of the amount carried by the cartridge 18. Therefore, after the cartridge 18 is fully devoid of staples, the tank 20 still should house a reserve supply of gas. However, it is also desired that the tank 20 be removed and replaced by a fresh tank. The need is, therefore, to ensure that the escaping reserve gas from the tank 20 does not harm to the user of the instrument. With the present invention, there is no danger to the user, and this will become clear from the following.
- a new staple-carrying cartridge must be provided.
- a new pressure tank 20 must be provided.
- the replacement of the tank 20 is accomplished by rotating the knob 50 so as to relive the pressure on the tank 20.
- a spring 64 acts against the forwardmost part of the tank 20 and urges same away from the piercing pin 56.
- the reserve gas is allowed to flow out of the handle, but only after passing through a muffler 66.
- the muffler is made of a porous metallic material and serves to greatly reduce the squeeling noise which is common when a partially filled pressure tank is removed from its output conduit.
- An important feature of the handle of the present invention is that while the reserve gas is escaping from the tank 20, the element 52 is in full engagement with the ring 54. And, the size of the screw 48 is made large enough to ensure that the element 52 is free from the efiects of the ring 54 only after the tank 20 is completely discharged of its contents. Otherwise, it would be necessary that the user apply a large force to maintain the handle portions in their closed position else he may be struck by the tank 20. With the device of the present invention the tank will be completely inert by the time its housing is opened.
- the power unit 24 comprises a gas inlet port 68, a spool 70, a pair of diaphragm seals 72 and 74, respectively, a transfer port 76 extending from one side to the other of the spool 70, a piston 78 sealed against the wall 80 of a piston chamber 82 by means of a rolling diaphragm 84, and a spring 86 serving to resiliently bias the piston 78 toward its rest position.
- the drive shaft 32 shown in FIG. 1, which connects with the pusher driving element 34.
- the power unit shown in FIGS. 7 and 8 differ from the power unit described in the copending patent application mentioned above in two major respects.
- the piston 78 is surrounded by a ring 88 adapted to guide the piston along the wall 80 of the piston chamber 82.
- the material of the ring 88 is such that it is able to withstand the friction-related pressures exerted upon it without showing severe signs of wear.
- an O-ring 90 is provided at the base of the piston chamber 82.
- Each of these new elements serves to increase the useful life of the power unit.
- the ring 88 ensures that the piston 78 is accurately guided within the piston chamber 82.
- the O-ring 90 serves to cushion the impact of the piston 78 when the piston reaches the forwardmost part of its stroke. In this manner, the forwardmost wall of the piston chamber 82 is protected against impact from the piston; and, because the O-ring 90 is of a resilient material, severe shocks are avoided. This serves to protect not only the members immediately affected by the shock but each of the elements of the inventive skin stapler.
- the power unit 24 is shown in its prefiring position.
- the power unit is shown during a staple-ejecting operation. Since the above-referenced copending US. patent application fully describes the operation of the power unit, only a brief and general description will be given here.
- the force exerted by the spring 86 is overcome and the spool 70 is driven from the seal 92, thus opening the inlet port 68.
- the gas pouring through the inlet port, via port 22, forces the spool toward the base of the piston chamber 82.
- the piston 78 then strikes the O-ring 90, thereby cushioning its impact on the base of the piston chamber 82.
- the power unit 24 is shown at the forwardmost part of its stroke.
- FIGS. 9 through 13 the operation of the triggering mechanism will be described.
- the internal structures are in their prefiring positions.
- the trigger 30 terminates in the extension passing through a slot 102 carved into the handle 14 of the stapler.
- the portion of the extension 100 farthest from the trigger 30 then engages a slot 104 carved in the body of a linkage element 106.
- a notch 108 is carved into the linkage element 106 and, at the forward end, is tapered at 110. Riding within the notch 108 is a second linkage element 112, one end of which is associated with the output shaft 32 of the power unit.
- the portion of the linkage 112 riding within the slot 108 is tapered, at 114, in a taper which is compatible with the taper 110.
- the end of the linkage 112 associating with the drive shaft 32 is also tapered, shown at 116, this taper matching a corresponding taper 118 on the forwardmost end of the drive shaft 32.
- the linkage 112 is biased in two directions by the respective springs 120 and 122.
- the gearbox 36 is activated by means of a plunger element 124.
- the plunger 124 is biased by a spring 126.
- a carrier plate 128 associates with the plunger 124 by means of a projection 130 on the carrier plate extending into a slot 132 in the plunger.
- a second slot 134 is carved in the plunger 124 and associates with one .arm of an L-shaped vreturn member 136, which return member is pivotally mounted on a pin 138.
- the other arm of-the return member is associated with a pin 140 carried by the pusher driving member 34.
- the arm of the L-shaped member 136 associating with the plunger124 is designated at 142
- the arm associated with the pin 140 is designated at 144.
- the spool 70 abuts the seal 92, thereby closing the gas inlet port 68, the spring 186 maintaining port 68 closed.
- trigger 30 is activated, the gas inlet itiating the stroke of the power unit.
- the linkage 112 is moved so as to surround the thickest portion of the drive shaft 32.
- the inclined surfaces 1 16 and 118 facilitate this movement.
- the spring 120 returns the linkage 112 to its pre-firing position shown in FIG. 9.
- the linkage port is opened, thereby in- 112 is spaced from its associated linkage 106. Due to the relationship between the drive shaft 32, the linkage 112, the linkage 106 and the trigger 30, the firing mechanism of the present invention prevents unintentional duplicating thrusts of the power unit.
- the drive shaft 32 Before a staple-driving operation can be initiated, the drive shaft 32 must be moved, thereby opening-the inlet port 92. This movement can be initiated only by linkage 1 12. However, as clearly shown in FIGS. 11 and 12, the linkage 112 is unable to be affected by the trigger 30 until positioned within the slot 108 in the linkage 106. This it cannot do before the trigger 30 is released and the linkage 106 returned to the position shown in FIG. 9. If the operator maintains a pressure on the trigger in the direction of the arrow 146 (FIG. 10), then the linkage 112 is held on the inclined surface of the linkage 106,- thus preventing the further triggering of the shaft 32 even after the shaft is in its pre-firing position and the inlet port 92 is closed.
- the spring 154 urges the trigger into its pre-stapling position.
- relative motion takes place between the linkages 106 and 112, at surfaces 110 and 114, respectively, until the final position shown in FIG. 9 is reached. Then, the instrument is ready for another firing.
- the trigger 30 and the linkage 106 are constantly biased by a spring 154.
- the gearbox in the copending patent application has been found to occasionally stick at the end of a power stroke, thereby not returning to its full pre-stapling position.
- the cause for such sticking is that the return spring, comparable to spring 126, is insufficient in strength to push the plunger 124 and its associated gears into their pre-stapling positions.
- this problem is overcome by the provision of the L-shaped member 136, the slot 134 in the plunger 124, the pin 140 mounted on the pusher engaging member 34 and the spring 86 forming a part of the power unit.
- the am 142 contacts one wall of the slot 134. Therefore, at the end of the return stroke, the plunger 134 is urged into its pre-stapling position, both by the spring 126 and by the spring 86. In this manner, the large spring force is able to overcome all inertial and frictional forces exhibited by the plunger and the as sociated gear arrangement. As a consequence, the elements associated with the gearbox fully return to their pre-stapling positions.
- the drive shaft 32 associated with the power unit 24 positively controls the operation of the pusher engaging element 34.
- the pusher engaging element 34 has an inclined surface 156 adapted to engage a plunger 124 forming a part of the gearbox.
- the gearbox is arranged so that when the plunger 124.is depressed, the elements forming a part of the gear arrangement are activated. Therefore, the forward motion of the pusher engaging element causes the rotation of the screws of the staple-carrying cartridge 18, thereby driving the staples.
- the staples are over-driven during the forward thrust of the pusher engaging elements and are returned to their proper positions during the're'arward stroke of the pusher engaging element 34, leaving the plunger 124 effected only by its biasing spring 126 and the L-shaped return element 136.
- a pawl 162 mounted on the carrying plate 128 by a pivot member 164 rides along one wallof a six-tooth ratchet 166 and engages one of the teeth thereof.
- the plunger 124, the pawl 162 and the ratchet 166 are arranged in such a manner that the full stroke of the plunger 124 causes the ratchet 166 162, pivotally mounted on the pin 164, is biased toward the ratchet 166 by a spring 168. i As noted previously, it is desired to ultimately rotate the screws associated with the cartridge 18 precisely 360 for each staple-driving operation.
- the gearbox is arranged so that for each 60 turn of the ratchet 166, the screws in the cartridge 18 are rotated 360. I-Iowever, to ensure that the staples are advanced a proper amount, it has been found necessary to overdrive the screws in the cartridge and thus the staples, and then to reverse the rotation of the screws so that, ultimately, they experience precisely a 360 turn. It is for this reason that the six-tooth ratchet 166 is rotated slightly more than 60. It becomes necessary, therefore, to provide means for returning the ratchet 166 to its 60 position.
- the ratchet return is brought about by means of a cloverleaf gear 170, mounted on a common axis with the ratchet 166, integral, and therefore rotating in unison with the gear 166. Further, a stop pin 172 and a camming pin 174, each mounted on the triangular carrying plate 128 serve, with the cloverleaf gear 170, to ensure that the ratchet 166 ultimately turns precisely 360.
- the operation is as follows.
- the triangular carrying plate 128 When the plunger 124 is moved against the force exerted by the biasing spring 126, the triangular carrying plate 128 is rotated, in the direction of the arrow (FIG. 15), about its pivot pin 160. When this occurs, the camming pin 174 moves out of the path of travel of the teeth on the cloverleaf before the pawl 162 engages a tooth on the ratchet 166. At the same time, the stop pin 72 has begun its travel toward the teeth of the cloverleaf 170. After the pawl 162 has driven the ratchet 166 slightly more than 60, a tooth of the cloverleaf 170 is made to feel the influence of the stop pin 172, thereby preventing further rotation of the ratchet 166. At this stage, the elements of the gearbox take thepositions shown in FIG.
- the plunger 124 is released from the pressure exerted by the pusher driving element 34, it is made to return to its pre-stapling position by the forces exerted by the biasing spring 126 and the L-shaped return member 136.
- the triangular shaped carrying plate 128 is pivoted about its pivot pin 160.
- the stop pin 72 is disengaged from the tooth of the cloverleaf 170 and the camming pin 174 approaches the cloverleaf 170.
- the camming pin 174 contacts a tooth on the cloverleaf 170 at the point indicated at 176.
- the triangular carrying plate 128 still attempts to rotate because of the force exerted upon it by the plunger 124. Therefore, the camming pin 174 is forced to ride along the surface of its associated cloverleaf tooth until it is unable to move any farther. If the stop pin 172 and the camming pin 174 are properly located, then the pin 174 will return to the position shown in FIG. 14. To do this, however, it is necessary that the cloverleaf 170, with its associated ratchet 166, be rotated in a direction opposite that in which they were rotated by the pawl 162. When the elements of the gearbox are returned to their positions as indicated in FIG. 14, then the instrument is ready for another firing operation. At this time, the screws associated with the staple-carrying cartridge 18 have been rotated slightly more than 360 and have then been rotated in the opposite direction, thereby bringing the ultimate rotation to precisely 360.
- FIG. 16 the nose of the surgical instrument 10 is shown in cross-section.
- a cartridge 18 is shown properly positioned in the nose 16.
- the cartridge 18 is shown during insertion or removal.
- the cartridge is elongated, and has near its rearwardmost end, a pair of upwardly extending tabs 180 forming a part of its cover plate 182.
- the spacing between the tabs is sufficient to allow the pusher engaging member 34 to freely slide therebetween and the tabs 180 are dimensioned and positioned so as to engage similarly positioned and dimensioned indentations in the body of the nose section 16. Therefore, when the tabs 180 engage the indentations in the nose 16, the cartridge 18 cannot be pulled out of the nose.
- the cartridge is inserted as follows.
- the rearward end of the cartridge 18 is introduced into the opening 184 in the nose 16.
- the cartridge 18, as it moves more deeply into the opening 184, is guided by a wall 186 and a pair of ramps 188, each defined in the nose 16.
- the rearward end of the cartridge engages a leaf-spring 190.
- the cartridge feels a biasing action exerted by the spring 190 attempting to put the cartridge 18 in a horizontal position (as seen in FIG. 16).
- the force of the biasing spring 190 pivots the cartridge 18 until the tabs 180 are positively locked in their associated indentations in the body of nose 16.
- a pair of extension tabs 194'and 196 are provided, these tabs bearing against the side walls of the opening 184.
- the width of the larger cartridge is the same as the width of the smaller cartridge with its tabs.
- a button 198 is formed on the bottom of the forwardmost region thereof.
- FIGS. 17 through 19 the smaller skin stapling cartridge will be described. Since this cartridge is similar in most respects to that described in the above noted copending application, emphasis will be placed only on the differences.
- the cartridge shown generally at 18, comprises a cover plate 182 and a main body 200.
- a pair of threaded screws 202 and 204 are comfortably fit for rotation within the main body 200 and serve to guide a plurality of staples 206 which move in response to the rotation of the respective screws.
- the staples 206 have their cross-pieces extending from one screw to the other and having their prongs extending toward and facing the forwardmost part of the cartridge 18.
- the rearwardmost part of the screws 202 and 204 take the form of flat projections 208 and 210, respectively. Therefore, in FIG. 16, the extensions of the two gears 92 are U-shaped and adapted to engage the flat projections 208 and 210 of the respective screws 202 and 204. In this manner, when the gears 192 are rotated, so too are the screws 202 and 204, and thus the staples are advanced.
- a pusher element 212 is positioned intermediate the staples 206 and the cover plate 182. In this manner, the pusher 212 holds the staples 206 in the grooves of the respective screws 202 and 204.
- the prongs of the staples 206 are supported on a pair of ledges 214 (FIG. 18).
- the pusher element 212 is provided with an opening 216 adapted to be engaged by the pusher driving element 34, and, in this manner, the movement of the element 34 directly controls the movement of the pusher 212.
- the cartridge of the present invention is provided with a pusher locking member 220 as best been in FIG. 19.
- The, locking member 220 is centrally mounted on the base of the cartridge 18. It comprises a solid base member 222 and a resilient arm 224. When in its rest position, the arm 224 lies parallel to the pusher element 212. The rearwardmost end of the arm 224 flares toward the pusher 212 and, when the arm is in its rest position, the flare extends beyond the pusher. A notch is carved from the flared end portion of the arm 224, thus defining a pair of protrusions 226 and 228, respectively.
- the protrusions 226 and 228 are adapted to engage the rearwardmost part of the pusher 212. Since the opening 2 16 is near the end of the pusher 212, only a small portion of the body pusher, indicated at 230, is present at the central rear area of the pusher. This member 230 is adapted to be engaged between the protrusions 226 and 228, thereby locking the pusher in a position whereby the pusher is protected against being dislodged from its housing in the cartridge. As shown in FIG. 19, in phantom, when the pusher engaging element 34 finds its way into the opening 216 in the pusher 212, the resilient arm 224 is bent away from the pusher, thereby freeing the pusher for movement along the longitudinal body of the cartridge.
- the screws 202 and 204 are designed in such a manner that for each 360 turn of the screws, a staple is moved into its readiness position for being ejected. Because of the pitch of the screws, and the critical nature of the fit between the staples and the body of the cartridge, it is important that the screws be properly phased before the staples are loaded in the cartridge. In the present invention, means to ensure the proper phasing between the screws, before the staples are inserted into the cartridge, are provided.
- the pins 240 and 242 are inserted into the indentations 244 and 246. When this is done, it is ensured that the screws are properly in phase and are ready for the insertion of staples. Then, the cover plate 182 is fitted on the main body 200 and the screws are then prevented from changing their respective alignment. At this stage, the
- the cartridge is inserted into a staple loading machine and the staples are loaded. Then, the pusher 212 is slid into its housing and, when it is properly positioned, the locking element 220 engages the pusher and prevents further movement of the pusher until the cartridge is inserted into a surgical stapling instrument.
- a further alignment is important for the proper mating of the cartridge with the surgical instrument in which it is to be inserted.
- This alignment relates to the relative positions between the flat projections 208 and 210 on the respective screws 202 and 204.
- the alignment must be such that the flat projections freely mate with the U-shaped extensions of the gears 192.
- means are provided to ensure this proper alignment.
- the alignment means are shown generally at 250 and comprise a common base 252 and a pair of resilient arm members 254 and 256.
- the arms 254 and 256 are naturally biased toward the flat projections 208 and 210 of the respective screws 202 and 204. In this manner, the screws tend to naturally come to rest at the position shown in FIGS. 17 and 18. And, when the screws take this position, they are easily inserted'into the U-shaped extensions of the gears 192 since the gearbox is arranged in such a manner that the gears 192 come to rest with the U-shaped extensions in vertical alignment (as seen in FIG. 16).
- FIG. 20 the cartridge adapted for stapling internal fascia is shown. As seen when comparing the FIGS. 17 and 20, the cartridge of FIG. 20 is wider than that of FIG. 17. Similarly, the staples 206 of FIG. 20 are wider than the staples 206 of FIG. 17. The reason for this is described below.
- a basic surgical stapling instrument be adapted to house a plurality of special purpose cartridges having different sizes and characteristics. This can be done most economically by designing the cartridges so as to be compatible with existing surgical stapling instrumentation.
- surgical staplers are adapted to house the small cartridge shown in FIG. 17, the cartridge best suited for stapling external skin. But, because of the larger staples needed for joining internal fascia, a wider cartridge is required. And, to ensure that the larger staples are properly guided on their ledges 214, it is requiredthat the spacing between the screws 202 and 204 of FIG. 20 be greater than the spacing between the screws 202 an 204 of FIG. 17. Therefore, the flat extensions 208' and 210' of the cartridge shown in FIG. 20 are spaced wider apart than are the similar projections of the cartridge shown in FIG. 17. This means that the ends of the screws are no longer compatible with the U-shaped driving gears. Therefore, the cartridge for suturing internal fascia must be adapted to fit with the width requirements of existing instrumentation.
- a linkage 260 Associated with the flat projection 208 of the screw 202 is a linkage 260 and associated with the flat projection 210' of the screw 204 is a second linkage 262.
- the end portions of these linkages 260 and 262 are formed similarly to the flat projections 208 and 210 and are indicated, respectively, at 264 and 266.
- the linkages 260 and 262 converge when moving toward the rear of the cartridge 18. In this manner, the effective distance between the flat projections at the ends of the screws 202' and 204' has been reduced to that distance between the flat projections 264 and 266.
- the spacing between the projections 264 and 266 is identical with the spacing between projections 208 and 210, this spacing being fully compatible with existing surgical instrumentation.
- the linkages 260 and 262 are housed in an extension of the cartridge 18, which extension is shown generally at 268.
- a pair of pins 270 are rigidly connected to the base of the extension 268 and associate with smooth indentations 272 and 174 in the respective linkages 260 and 262.
- the gears 192 are rotated, the rotation of the linkages 260 and 262, in the direction of the arrows, is effected.
- the screws 202' and 204' are rotated and, as a consequence, the staples 206' are advanced.
- existing surgical stapling instrumentation may be used to house staple-carrying cartridges of difiering dimensions and characteristics.
- the staple adapted best for suturing external skin is shown at 280; and the staple adapted best for suturing internal fascia is shown at 282.
- the cross-piece of the staple 282 is substantially larger than the cross-piece of the staple 280.
- the anvil which acts on staple 282 is wider than the anvil which acts on staple 280, the final bent up shape of these staples, as seen in FIG. 22, differs both in width and in depth. Therefore, staple 282 grasps a larger amount of tissue and goes more deeply into the tissue than does the staple 280.
- a staple 280 is shown clamping together two segments of external skin, shown generally at 290.
- a staple 282 is shown clamping together two segments of internal fascia shown generally at 292.
- the consistency of the external layer of skin 290 is much different than the consistency of the internal layer of fascia 292. That is, while the external skin is dense the internal fascia is more porous and resilient.
- a staple-ejecting cartridge for carrying a plurality of staples and adapted to be mounted in a surgical instrument for stapling external skin or internal fascia, the cartridge comprising: an elongated main body having a forward end and a rearward end; first and second threaded screws extending substantially from the forward end to the rearward end of said main body, the end of each of said screws nearest the rear of said elongated body terminating in a flat extension; said main body adapted to house a plurality of U-shaped staples the crosspieces of which extend from one screw to the other and the prongs of which face the forward end of the main body, the crosspieces of said staples riding in the threads of said screws so as to be advanced by the rotation of said screws; a cover plate adjacent said staples and said screws for covering said elongated main body; an anvil on the forward part of said cover plate; a pusher element positioned intermediate said staples and said cover plate for singly ejecting said staples from said cartridge and for forming said
- said means for phasing the screws comprise a flexible pin on each of said screws, and a pair of depressions on the base of said main body, said pins and said depressions being aligned and adapted to temporarily lock said screws in phased position when said pins extend into said depressions.
- said means for ensuring alignment between said screws comprises first and second resilient members associated with the flat portions of the respective screws, and adapted to resiliently maintain the flat portions aligned with one another.
- a staple-ejecting cartridge for carrying a plurality of staples and adapted to be mounted in a surgical instrument for joining disunited portions of internal fascia, the cartridge comprising; an elongated main body having a forward end and a rearward end; first and second threaded screws housed within said main body, parallel to one another and spaced a predetermined distance from one another; said main body adapted to house a plurality of staples, the cross-pieces of said staples extending from one screw to the other and riding within the threads of said screws, and the prongs of said staples facing the forward end of said main body; a cover plate adjacent said staples and said screws for covering said main body; an anvil on the forward part of said cover plate; a pusher element intermediate said staples and said cover plate and adapted to singly eject said staples from said cartridge and to form same around said anvil; first and second coupling elements each being associated with the rearwardmost portion of a respective screw, the end of each of said coupling elements terminating in a
- said anvil is substantially of a width equal to the combined lengths of the prongs of a staple so that the final shape of said staples takes the form of a rectangle, one of the sides of which is defined by the two prongs of a staple.
- each of said screws terminates in a flat projection: wherein the forwardmost portion of each coupler is adapted to associate with a respective flat projection on a screw, thereby being rotatably united with said screw; wherein the rearwardmost portion of each of said couplers ends in a flat projection; and wherein the space between the flat projections of said couplers is less than the space between said screws.
- a surgical stapling instrument for applying sterilized staples to the disunited skin or fascia of a patient for effecting a joining of the skin or fascia, the instrument adapted to associate with an elongated staple-carrying cartridge having anvil means at the forwardmost region thereof, house a to house plurality of staples therein, the cross-bars of said staples being transverse to the length of said cartridge and the points of said staples facing said anvil means, a pusher element slidably mounted therein for ejecting staples from said cartridge and for forming said staples around said anvil means, and means for advancing said staples along the length of said cartridge; the instrument comprising: a main body portion; means for mounting said staple-carrying cartridge, at its region remote from said anvil, on the main body portion; drive shaft means to activate said staple-advancing means for driving the staples toward said anvil means; pusher-activating means for driving the pusher element forward to eject a staple from the staple-carrying cartridge and to form
- a surgical stapling instrument for applying sterilized staples to the disunited skin or fascia of a patient for effecting a joining of the skin or fascia, the instrument adapted to associate with an elongated staple-carrying cartridge having an anvil at the forwardmost region thereof, and adapted to house a plurality of staples therein, the cross-bars of the staples being transverse to the length of the cartridge and the points of the staples facing the anvil, a pusher element slidably mounted therein for ejecting staples from the cartridge and for forming the staples around the anvil, and means for advancing the staples along the length of the cartridge; the instrument comprising: a main body portion; means for mounting said staple-carrying cartridge at its region remote from said anvil on the main body portion; drive shaft means to activate said staple-advancing means for driving the staples toward said anvil means; pusher-activating means for driving the pusher element forward to eject a staple from the staple-carrying cartridge and to form said staple
- said triggering means comprises: a trigger; first linkage associated with said drive shaft, adapted to move said drive shaft in response to a command from said trigger, and thereby adapted to initiate a stapling operation.
- a surgical stapling instrument for applying sterilized staples to the disunited skin or fascia of a patient for effecting a joining of the skin or fascia, the instrument adapted to associate with an elongated staple-carrying cartridge having an anvil at the forwardmost region thereof, and adapted to house a plurality of staples therein, the cross-bars of said staples being transverse to the length of said cartridge and the prongs of said staples facing the anvil, a pusher element slidably mounted thereon for ejecting staples from the cartridge and for forming the staples around the anvil and means for advancrng said staples along the length of said cartridge; the instrument comprising: a main body portion; means for mounting said staple-carrying cartridge, at its region remote from said anvil, on the main body portion; drive shaft means, to activate said staple-advancing means for driving the staples toward said anvil means; pusher-activating means for driving the pusher element forward to eject a staple from the staplecar
Abstract
An instrument for applying surgical staples to effect the joining of disunited skin or fascia. The instrument of the present invention is powered by a gas under pressure originating from a gas filled tank, positioned within a housing and adapted to ensure that the introduction of the tank and removal thereof may be easily and quietly accomplished without danger of injury to the operator. The surgical staples are carried in one of two types of cartridge assemblies, the first and smaller being designed for the application of staples to external skin and the second and larger being designed for the application of staples to the more tender internal fascia. The cartridge is held in the body of the instrument by means of a spring which greatly facilitates the introduction of the cartridge. The instrument is further provided with means for preventing more than one driving operation per trigger activation, means for returning the stapledriving mechanisms to their pre-stapling positions, and a novel power unit. Staple cartridges are also disclosed which ensure proper initial phasing between staple-advancing screws, proper alignment of the screws before insertion into the instrument, and means for preventing accidental ejection of staples during transit.
Description
United States Patent Bryan 1 May 16, 1972 [54] SURGICAL STAPLER FOR SKIN AND FASCIA [72] inventor: Graham W. Bryan, Ridgefield, Conn.
United States Surgical Corporation, Baltimore, Md.
[22] Filed: Feb. 26, 1970 [21] Appl.No.: 14,614
[73] Assignee:
Primary Examiner-Granville Y. Custer, Jr. Attorney-Fleit, Gipple & Jacobson [57] ABSTRACT An instrument for applying surgical staples to effect the joining of disunited skin or fascia. The instrument of the present invention is powered by a gas under pressure originating from a gas filled tank, positioned within a housing and adapted to ensure that the introduction of the tank and removal thereof may be easily and quietly accomplished without danger of injury to the operator. The surgical staples are carried in one of two types of cartridge assemblies, the first and smaller being designed for the application of staples to external skin and the second and larger being designed for the application of staples to the more tender internal fascia. The cartridge is held in the body of the instrument by means of a spring which greatly facilitates the introduction of the cartridge. The instrument is further provided with means for preventing more than one driving operation per trigger activation, means for returning the staple-driving mechanisms to their pre-stapling positions, and a novel power unitv Staple cartridges are also disclosed which ensure proper initial phasing between staple-advancing screws, proper alignment of the screws before insertion into the instrument, and means for preventing accidental ejection of staples during transit.
38 Claims, 23 Drawing Figures r I POWER UNIT 2?b 2:: 1:: :11 i E Patented May 16, 1972 10 Sheets-Sheet 1 N MA EVI WR B w M A H A R G. J)
Patented May 16, 1972 10 Sheets-Sheet 2 INVENTOR GRAHAM W. BRYAN By I 0 www/ ATTORNEYS Patented May 16, 1972 10 Sheets-Sheet 1 INVENTOR GRA HA M W.
BRYAN BY v y ATTORNEYS INVENTOR G RA HAM W.
BRYAN ATTORNEYS Patented May 16, 1972 10 Sheets-Sheet 5 W, m: 1 vv m9 W r #HWIJIJE: m s w: M v, 1 NS WM v Patented May 16, 1972 10 Sheets-Shoe t, V
Patented May 16, 197.2 3,662,939
10 Sheet et 7 INVENTOR BYO M g W Patented May 16, 1972 l0 Sheets-Sheet 8 INVENTOR GRAHAM W.
BRYAN BY 9/ l Patented May 16, 1972 10 Sheets-Sheet 9 INVENTOR GRAHAM W. BRYAN 5 I, ATTORNEYS 1 SURGICAL STAPLER FOR SKIN AND FASCIA BACKGROUND OF THE INVENTION In copending U.S. Pat. application Ser. No. 852,822 filed on Aug. 25, 1969, assigned to the present assignee and entitled SKIN STAPLER, there is disclosed a surgical stapler for joining disunited skin of a patient. The surgical stapler disclosed in this copending patent application embodies the initial thoughts regarding the design of an instrument for accurately, efficiently and automatically suturing external skin with the aid of staples. After further consideration, however, there are several areas wherein problems may arise. These areas are discussed immediately below.
In the copending patent application, a single cartridge is disclosed. This cartridge is arranged so that the final shape of the staple is substantially square. But, due to the difference in consistency and strength between external skin and internal fascia, it has been found that the staple of square configuration, while being adequate for the union of external skin, could have failings in uniting segments of internal fascia. The internal fascia, relatively porous in nature, may tear somewhat easily under conditions of stress. By using the staple disclosed in the above-noted copending patent application, damage may occur if the patient experiences conditions of internal stress, such as the common post-operative puffing" of the stomach. Therefore, the need has arisen for a staple, cartridge and associated instrument which are particularly suitable for the stapling of internal fascia. At the same time, it would be advantageous to have a surgical stapler which is compatible with different types of special-purpose cartridges.
In the copending US. patent application, the cartridge is inserted into the main body of the unit and then, by a distinct manually operation, is fixed in its proper stapling position. If the surgeon, or aide, were to omit the step of securing the cartridge in its housing, either the cartridge would drop out of the housing, thus destroying its sterility, or the instrument would be fired without having the cartridge in proper alignment with the housing. A need therefore exists for ensuring that the cartridge is automatically locked into the body of the instrument without requiring a distinct locking operation.
The mechanical means for bringing about the firing of the instrument disclosed in the above-noted copending application have proven adequate under most circumstances. However, it has been found that after firing the instrument, there is often a sticking of the mechanical parts preventing these parts from returning to their initial pre-firing positions. This, of course, could be a problem. Further, in the instrument disclosed in the copending patent application, it is possible to accidentally fire the unit if the operator fails to immediately release the trigger after a stapling operation. Therefore, a need exists for means which ensure that the elements associated with the drive mechanism consistently and completely return to their pre-firing positions. A need also exists for means which ensure that the instrument cannot be fired more than once for each trigger depression.
ln the copending U.S. patent application noted above, the gearbox affecting the staple drive was designed, when activated, to over-drive the staples and then bring the staples back to a proper drive state. It has been found, in practice, that when the gearbox is over-driven, there is often a sticking which occurs when an attempt is made to return the staples to their proper ejection position. Therefore, a need arises for a gearbox which ensures proper driving of the surgical staples.
Further, there are some areas associated with the known staple-carrying cartridge which may be improved. If the staples are loaded after the cartridge is fully constructed, it is necessary that the driving screws be properly phased, else the staples may jamb in traversing the length of the cartridge. Along the same lines, it is important that the ends of the driving screws are in alignment before being inserted into the instrument, else there will be an improper mating with the driving mechanism. Then, it is important that the pusher element be held in a fixed position within the cartridge during transit,
else a staple may he accidentally ejected. Needs therefore exist for filling these voids in the prior art.
In addition to the above, some minor irregularities have been found to exist in the above-noted patent application. For example, it has been found that when the driving unit is fired, the internal piston tends to slam against the base of its chamber, thus creating an annoying thud" each time the unit is fired and possibly damaging the elements directly affected by the impact. Further, it has been found that the noise associated with the removal of the gas cartridge after the depletion of the staples is quite annoying. Needs therefore exists for a correction of these minor difficulties.
SUMMARY OF THE INVENTION The present invention relates to a surgical instrument for applying staples to external skin and internal fascia, thereby joining the disunited skin or fascia to effect rapid healing thereof. The instrument forming a part of the present invention is adapted to receive staple cartridges of varying dimensions. Particularly, the instrument is capable of receiving cartridges of relatively small dimensions for stapling external skin, and is also capable of receiving cartridges of relatively large dimensions for stapling internal fascia.
Along the above lines, the present invention also relates to a novel cartridge design to ensure that a single stapling unit is capable of receiving cartridges of differing size.
The cartridge of the present invention has novelty over that noted in the preceding paragraph. It is adapted for easy loading without the fear that the staples may loaded improperly. Means are provided to ensure that the staple-advancing screws are initially in the proper phase relationship with one another. Then, once the staple-housing cartridge is associated with a staple-loading device, the phasing means are no longer necessary and may, therefore, be dispensed with. Further, the cartridge of the present invention is provided with means for ensuring proper alignment of the staple-advancing screws, thereby facilitating the loading of the cartridge into the inventive instrument. And, additionally, the inventive cartridge is provided with means for locking the pusher in place while in transit and for automatically freeing the pusher when the cartridge is fitted into a surgical stapling instrument.
The stapler of the present invention is powered by gas under pressure. Tanks of gas are introduced into the instrument via a housing, one wall of which is pivotable on the other. The tank of pressurized gas is designed to have a life longer than necessary to fire one cartridge of staples. Therefore, gas remains in the tank after the useful life of the cartridge is ended. The stapler of the present invention ensures that the cartridge is completely empty before the pivotable wall of the housing is free from the effects of the stationary wall. In this manner, the operator is protected from injury remotely caused by the escape of reserve gas.
In addition to the above, the gas line is fitted with a muffler to reduce the noise usually associated with the draining of reserve gas. Still further, the invention stapler is provided with means for urging the partially filled tank away from its punc-' ture pin when the housing is partially opened. As a consequence, the pressure tank is sure to be drained when the housing is completely opened As noted previously, the drive mechanism of the present invention is of the gas-powered variety. In most respects, the power drive of the present invention is quite similar to that disclosed and claimed in the above-referenced copending US. patent application. However, the present drive mechanism is, in many respects, improved from the mechanism previously known. For example, an O-ring is positioned at the base of the piston bore. The piston, when driven, impacts the O-ring and is thus cushioned at the forwardmost part of its stroke. Without this O-ring, the piston would impact on one of the walls of the piston chamber. Such impact is undesirable, first, because of the annoying sound and the feeling produced in the hand of the operator and, more importantly, because of the damage which might occur to the wall of the piston chamber, the piston itself and even the elements directly associated with the piston or piston chamber.
The piston of the present invention, forming a part of the gas-powered drive mechanism, is provided with a ring-like extension adapted to ride along the cylindrical wall of the piston chamber. In this manner, proper piston alignment and guiding is ensured. Also, damage to the piston and the wall of the piston chamber is avoided.
The present invention further relates to a novel and efficiently operating trigger arrangement and drive shaft. When the trigger is pulled, the power unit is activated and the drive shaft is thrust forward, thus ejecting a staple. After the forward thrust of the drive shaft, the release of the trigger is necessary to reset the firing mechanisms. That is, the power unit cannot again be fired until the trigger is released. And, to be sure that the gearbox elements are properly returned to their pre-firing positions, means are provided for combining the forces of two independently functioning springs, the combination efi'ectively overcoming the effects of inertia and friction.
The present invention further relates to a unique gearbox arrangement. As was the case in the above-referenced copending patent application, it is here necessary to rotate the drive screws 360 each time a staple is being ejected. And, similar to the gearbox disclosed in the copending patent application, the gearbox of the present invention is adapted to be over driven and then returned to a state wherein the drive screws are ultimately rotated precisely 360.
As noted previously, the prior art gearbox was known to stick in its over-driven state. The reason for this is that when over-driven, the associated cloverleaf gear often travelled too far to be retracted by the camming pin. The camming pin then tends to contact the cloverleaf too high on the leaf to exert a sufficient rotational force to move the cloverleaf.
In the present invention, the cloverleaf is still over-driven. However, a stop pin is provided to ensure that the cloverleaf is driven only to a certain point, this point being so located that the cloverleaf is never over-driven to the extent wherein the camming pin is mispositioned at initial contact with the cloverleaf. In this manner, the camming pin is always able to bring the cloverleaf back to a position wherein the driving screws are ultimately rotated precisely 360.
Accordingly, it is one object of the present invention to provide a surgical stapler able to efficiently and accurately join disunited external skin and internal fascia of a patient.
It is a related object of the invention to provide a surgical stapler which is able to accommodate staple-carrying cartridges of different dimensions and characteristics.
It is a further object of the invention to provide a staple-carrying cartridge which is compatible with a surgical stapler designed to house cartridges of differing dimensions and characteristics.
It is yet a further object of the invention to provide a surgical stapler adapted to be fired by a gas under pressure, housed in a small tank, the housing for said tank being constructed in such a manner that the tank is easily and quietly removed without fear of danger to the user.
It is another object of the invention to provide an improved power unit activated by gas under pressure.
It is yet a further object of the present invention to provide a surgical stapler which can be fired only once for each depression of the trigger.
It is yet another object of the invention to provide a surgical stapler with means adapted to ensure that the elements of the gearbox are returned to their pre-firing positions after each stapling operation.
It is still another object of the present invention to provide a gearbox for a surgical stapler adapted to accurately and consistently advance a plurality of staples into ejection positions in a staple-carrying cartridge.
It is yet a further object of the invention to provide a surgical stapler which easily receives a staple-carrying cartridge and which automatically holds said cartridge in its proper firing position.
It is still another object of the invention to provide a staplecarrying cartridge fitted with means for ensuring proper phasing between the staple advancing screws, means for maintaining proper injection alignment between the screws and the body of the cartridge and means for avoiding the inadvertent ejection of staples during transit.
These and other objects of the invention, as well as many of the attendant advantages thereof, will become more readily apparent when reference is made to the following description taken in conjunction with the accompanying drawings.
BRIEF DESCRIPTION OF THE DRAWINGS FIG. 1 is a side view of the surgical stapler forming a part of the present invention; 7
FIG. 2 is a side view of the housing for the pressurized tank of gas;
FIG. 3 is a cross-section taken long line 33 of FIG. 1;
FIG. 4 is a top view of the stapler shown in FIG. 1;
FIG. 5 is a cross-section taken long line 5-5 of FIG. 1;
FIG. 6 position; a cross-section taken along line 6-6 of FIG. 1;
FIG. 7 is a cross-section through the power unit of the present invention when in its pre-firing position:
FIG. 8 is a cross-section through the firing unit of the present invention during a staple-driving operation;
FIG. 9 is a partial cross-section through the triggering and driving assemblies of the present invention when in the pre-firing positions;
FIG. 10 is a view similar to FIG. 9 but showing the assembly during the initial stages of a firing operation;
FIG. 11 is a view similar to FIG. 9 but showing the assemblies near the end of a stapling operation;
FIG. 12 is a view similar to FIG. 9, showing the assemblies returning from a firing operation;
FIG. 13 is a perspective view of the assemblies of FIG. 12;
FIG. 14 is a view of the gearbox of the present invention before astaple-advancing operation;
FIG. 15 is a view similar to FIG. 14 but showing the gearbox during a staple advancing operation;
FIG. 16 is a view showing the spring-biasing of a cartridge in the inventive stapler; 5
FIG. 17 is a top view of a cartridge with a portion of its cover removed;
FIG. 18 is a rear end view of the cartridge of FIG. 17;
FIG 19 is a view along line 19-10 of FIG. 17;
FIG. 20 is a view similar to FIG. 17, but showing a cartridge especially adapted for stapling internal fascia;
FIG. 21 is a showing of the staple used in each of the cartridges illustrated in FIGS. 17 and 20;
FIG. 22 is a showing of the staples of FIG. 21 after being bent into their final form; and
FIG. 23 is a typical showing of a segment of stapled fascia covered by a stapled skin layer.
DETAILED DESCRIPTION OF THE INVENTION With reference first to FIG. 1, the surgical stapler of the present invention will first be described in general terms. The stapler is shown generally at 10 and comprises a main body portion 12, a handle portion 14 and a nose portion 16. A staple-carrying cartridge, shown generally at 18, is fit in the nose 16 of the stapler 10.
The staples in the cartridge 18 are advanced and driven by means of pressurized gas. The pressurized tank of gas 20 is housed in the handle 14 and feeds pressurized gas, via port 22, to a power unit 24. The handle 14 is removable from the main body portion 12 and, consequently, an O-ring 26 is provided at the junction therebetween thereby tightly sealing the gas in the port 22. A filter 28 ensures that the internal structures of the power unit 24 remain free from impurities.
The stapler is fitted with a trigger 30, which, when depressed, activates the power unit 24. Then, through the action of a drive shaft 32 and a pusher driving member 34, the pusher associated with the cartridge 18 ejects and forms a staple. At the same time, a plunger 124, forming a part of the gearbox 36 is depressed. Then, on the return stroke of the drive shaft, the plunger 124 is released, and the gearbox 36 advances the staples in the cartridge 18 so as to be ready for the next firing operation.
With reference now to FIGS. 2, 3, 5 and 6, the handle 14 and its associated pressurized tank will be described. The handle 14 is made up of a stationary portion 40 and a pivotable portion 42, pivoted on the body of the stationary portion 40 by means of a pin 44. Both portions 40 and 42 are carved out so as to comfortably accommodate the tank 20. At the base of the handle 14, there is provided a threaded insert 46, as of nylon. Threading into the insert 46 is a screw 48 rigidly associated with a knurled knob 50 and a member 52 for advancing the tank 20. The innermost end of member 52 is carved out slightly to comfortably accommodate the base of the tank. A ring-shaped extension 54 projects from the ex treme end of the stationary member 40 and is adapted to allow the element 52 to pass therethrough, thereby locking the pivotable member 42 to the stationary member 40.
When the tank 20 is inserted in the housing defined in the handle 14, the pivotable member 42 is moved into association with the stationary member 40. Then, the knob 50 is turned until the pusher 52 engages the ring 54. At this time, and as mentioned above, the pivotable member and the fixed member are locked together. Further rotation of the knob 50 causes the screw 48 to thread into the nylon insert 46, thereby forcing the tank 20 toward a piercing pin 56. The screw 48 is sized so that when the cartridge 20 is in its most advantageous pierced position with respect to the piercing pin 56, the indentation 58 in the knob 50 comfortably fits around the extension 60 on the insert 46. Under these conditions, the gas from the tank 20 is fed, via port 22, to the power unit 24. A sealing taper 62 is provided to stop gas leaks through the open regions of the handle.
Naturally, to ensure unerring operation of the instrument, it is desirable that the tank 20 be capable of firing an amount of staples in excess of the amount carried by the cartridge 18. Therefore, after the cartridge 18 is fully devoid of staples, the tank 20 still should house a reserve supply of gas. However, it is also desired that the tank 20 be removed and replaced by a fresh tank. The need is, therefore, to ensure that the escaping reserve gas from the tank 20 does not harm to the user of the instrument. With the present invention, there is no danger to the user, and this will become clear from the following.
After the staple-carrying cartridge 18 is spent of its staples, a new staple-carrying cartridge must be provided. At the same time, a new pressure tank 20 must be provided. The replacement of the tank 20 is accomplished by rotating the knob 50 so as to relive the pressure on the tank 20. When this is accomplished, a spring 64 acts against the forwardmost part of the tank 20 and urges same away from the piercing pin 56. When the forwardmost part of the tank is removed from the effects of the sealing taper 62, the reserve gas is allowed to flow out of the handle, but only after passing through a muffler 66. The muffler is made of a porous metallic material and serves to greatly reduce the squeeling noise which is common when a partially filled pressure tank is removed from its output conduit.
An important feature of the handle of the present invention is that while the reserve gas is escaping from the tank 20, the element 52 is in full engagement with the ring 54. And, the size of the screw 48 is made large enough to ensure that the element 52 is free from the efiects of the ring 54 only after the tank 20 is completely discharged of its contents. Otherwise, it would be necessary that the user apply a large force to maintain the handle portions in their closed position else he may be struck by the tank 20. With the device of the present invention the tank will be completely inert by the time its housing is opened.
With reference now to FIGS. 7 and 8, the power unit 24 will be described. As was the case in the above-referenced copending patent application, the power unit comprises a gas inlet port 68, a spool 70, a pair of diaphragm seals 72 and 74, respectively, a transfer port 76 extending from one side to the other of the spool 70, a piston 78 sealed against the wall 80 of a piston chamber 82 by means of a rolling diaphragm 84, and a spring 86 serving to resiliently bias the piston 78 toward its rest position. Secured to the piston 78 is the drive shaft 32, shown in FIG. 1, which connects with the pusher driving element 34.
The power unit shown in FIGS. 7 and 8 differ from the power unit described in the copending patent application mentioned above in two major respects. First, the piston 78 is surrounded by a ring 88 adapted to guide the piston along the wall 80 of the piston chamber 82. Of course, the material of the ring 88 is such that it is able to withstand the friction-related pressures exerted upon it without showing severe signs of wear. In the second respect, an O-ring 90 is provided at the base of the piston chamber 82. Each of these new elements serves to increase the useful life of the power unit. The ring 88 ensures that the piston 78 is accurately guided within the piston chamber 82. In this manner, sloppy action of the piston is prevented, thus avoiding contact damage between the piston and the wall of the piston chamber. The O-ring 90 serves to cushion the impact of the piston 78 when the piston reaches the forwardmost part of its stroke. In this manner, the forwardmost wall of the piston chamber 82 is protected against impact from the piston; and, because the O-ring 90 is of a resilient material, severe shocks are avoided. This serves to protect not only the members immediately affected by the shock but each of the elements of the inventive skin stapler.
In FIG. 7, the power unit 24 is shown in its prefiring position. In FIG. 8, on the other hand, the power unit is shown during a staple-ejecting operation. Since the above-referenced copending US. patent application fully describes the operation of the power unit, only a brief and general description will be given here.
When the drive shaft 32 is pulled forward by the trigger 30, as will be fully described below, the force exerted by the spring 86 is overcome and the spool 70 is driven from the seal 92, thus opening the inlet port 68. The gas pouring through the inlet port, via port 22, forces the spool toward the base of the piston chamber 82. The piston 78 then strikes the O-ring 90, thereby cushioning its impact on the base of the piston chamber 82. In FIG. 8, the power unit 24 is shown at the forwardmost part of its stroke. When the drive shaft 32 is fully forward, the extreme pressures behind the piston 78 overcome the pressures behind the spool 70, causing the spool to be reseated. As a result, the relative pressures urging the piston forward are relieved and the spring 86 moves the piston 78 into its rest position. The power unit is then ready for another firing operation.
With reference now to FIGS. 9 through 13, the operation of the triggering mechanism will be described. In FIG. 9, the internal structures are in their prefiring positions. The trigger 30 terminates in the extension passing through a slot 102 carved into the handle 14 of the stapler. The portion of the extension 100 farthest from the trigger 30 then engages a slot 104 carved in the body of a linkage element 106.
A notch 108 is carved into the linkage element 106 and, at the forward end, is tapered at 110. Riding within the notch 108 is a second linkage element 112, one end of which is associated with the output shaft 32 of the power unit.
The portion of the linkage 112 riding within the slot 108 is tapered, at 114, in a taper which is compatible with the taper 110. The end of the linkage 112 associating with the drive shaft 32 is also tapered, shown at 116, this taper matching a corresponding taper 118 on the forwardmost end of the drive shaft 32. The linkage 112 is biased in two directions by the respective springs 120 and 122.
As will be explained below, the gearbox 36 is activated by means of a plunger element 124. As clearly shown in FIG. 9, the plunger 124 is biased by a spring 126. A carrier plate 128 associates with the plunger 124 by means of a projection 130 on the carrier plate extending into a slot 132 in the plunger. A second slot 134 is carved in the plunger 124 and associates with one .arm of an L-shaped vreturn member 136, which return member is pivotally mounted on a pin 138. The other arm of-the return member is associated with a pin 140 carried by the pusher driving member 34. The arm of the L-shaped member 136 associating with the plunger124 is designated at 142, and the arm associated with the pin 140 is designated at 144.
With the elements positioned as shown in FIG. 9, the spool 70 abuts the seal 92, thereby closing the gas inlet port 68, the spring 186 maintaining port 68 closed. When, however, trigger 30 is activated, the gas inlet itiating the stroke of the power unit.
With reference to FIG. 10, the series of events leading to the stroke of the power unit will be described. When the trigger 30 is depressed, in the direction of arrow 146, the extension 100 exerts a force on the linkage 106. Linkage 106, in turn, causes linkage 112 to pivot and thereby pull the drive shaft 32 in the direction of arrow 148. When the drive shaft moves in the direction of arrow 148, the piston 78 releases its hold on the spool 70. In reaction to the large pressure appearing at the inlet port 68, the spool 70 moves away from the seal 92 and this, as discussed above, initiates the drive stroke.
During the forward stroke of the drive shaft 32, as shown in FIG. 11, the linkage 112 is moved so as to surround the thickest portion of the drive shaft 32. The inclined surfaces 1 16 and 118 facilitate this movement. When the linkage 112 is riding on the surface of the drive shaft 32, against the force of the spring 122, the spring 120 returns the linkage 112 to its pre-firing position shown in FIG. 9. At this time, the linkage port is opened, thereby in- 112 is spaced from its associated linkage 106. Due to the relationship between the drive shaft 32, the linkage 112, the linkage 106 and the trigger 30, the firing mechanism of the present invention prevents unintentional duplicating thrusts of the power unit.
Before a staple-driving operation can be initiated, the drive shaft 32 must be moved, thereby opening-the inlet port 92. This movement can be initiated only by linkage 1 12. However, as clearly shown in FIGS. 11 and 12, the linkage 112 is unable to be affected by the trigger 30 until positioned within the slot 108 in the linkage 106. This it cannot do before the trigger 30 is released and the linkage 106 returned to the position shown in FIG. 9. If the operator maintains a pressure on the trigger in the direction of the arrow 146 (FIG. 10), then the linkage 112 is held on the inclined surface of the linkage 106,- thus preventing the further triggering of the shaft 32 even after the shaft is in its pre-firing position and the inlet port 92 is closed. When, however, the trigger 30 is released, the spring 154 urges the trigger into its pre-stapling position. When this occurs, relative motion takes place between the linkages 106 and 112, at surfaces 110 and 114, respectively, until the final position shown in FIG. 9 is reached. Then, the instrument is ready for another firing. The trigger 30 and the linkage 106 are constantly biased by a spring 154.
As noted previously, the gearbox in the copending patent application has been found to occasionally stick at the end of a power stroke, thereby not returning to its full pre-stapling position. The cause for such sticking is that the return spring, comparable to spring 126, is insufficient in strength to push the plunger 124 and its associated gears into their pre-stapling positions. In the present invention, this problem is overcome by the provision of the L-shaped member 136, the slot 134 in the plunger 124, the pin 140 mounted on the pusher engaging member 34 and the spring 86 forming a part of the power unit.
The operation of the inventive non-stick feature will be described with reference to F IGS. 9 through 12. When the pusher driving member 34 is activated by the drive shaft 32, the inclined surface 156 on the member 34 meets with a similarly shaped inclined surface on the plunger 124. In this manner, the plunger 124 is driven against the force of the spring 126. When this occurs, one wall of the slot 134 causes 1 to move slightly more than 60. The ratchet pivot about the pin v138, thereby moving the arm 142 toward the spring 126. Finally, element 136 takes the position shown in FIG. 11. When, however, the drive shaft 32 and the pusher driving member 34 are returning to their pre-stapling positions, the pin 140 associates with the arm 144 of the member 136. At the same time, the am 142 contacts one wall of the slot 134. Therefore, at the end of the return stroke, the plunger 134 is urged into its pre-stapling position, both by the spring 126 and by the spring 86. In this manner, the large spring force is able to overcome all inertial and frictional forces exhibited by the plunger and the as sociated gear arrangement. As a consequence, the elements associated with the gearbox fully return to their pre-stapling positions.
With particular reference now to FIGS. 9, l4 and 15, the operation of the gearbox forming a part of the present invention will be explained. As previously noted, the drive shaft 32 associated with the power unit 24 positively controls the operation of the pusher engaging element 34. And, as also previously noted, the pusher engaging element 34 has an inclined surface 156 adapted to engage a plunger 124 forming a part of the gearbox.
The gearbox is arranged so that when the plunger 124.is depressed, the elements forming a part of the gear arrangement are activated. Therefore, the forward motion of the pusher engaging element causes the rotation of the screws of the staple-carrying cartridge 18, thereby driving the staples. The staples are over-driven during the forward thrust of the pusher engaging elements and are returned to their proper positions during the're'arward stroke of the pusher engaging element 34, leaving the plunger 124 effected only by its biasing spring 126 and the L-shaped return element 136.
When the plunger 124 moves the triangular shaped carrying palate 128 pivots about its-pivot pin 160. In this manner, a pawl 162 mounted on the carrying plate 128 by a pivot member 164 rides along one wallof a six-tooth ratchet 166 and engages one of the teeth thereof. The plunger 124, the pawl 162 and the ratchet 166 are arranged in such a manner that the full stroke of the plunger 124 causes the ratchet 166 162, pivotally mounted on the pin 164, is biased toward the ratchet 166 by a spring 168. i As noted previously, it is desired to ultimately rotate the screws associated with the cartridge 18 precisely 360 for each staple-driving operation. The gearbox is arranged so that for each 60 turn of the ratchet 166, the screws in the cartridge 18 are rotated 360. I-Iowever, to ensure that the staples are advanced a proper amount, it has been found necessary to overdrive the screws in the cartridge and thus the staples, and then to reverse the rotation of the screws so that, ultimately, they experience precisely a 360 turn. It is for this reason that the six-tooth ratchet 166 is rotated slightly more than 60. It becomes necessary, therefore, to provide means for returning the ratchet 166 to its 60 position.
The ratchet return is brought about by means of a cloverleaf gear 170, mounted on a common axis with the ratchet 166, integral, and therefore rotating in unison with the gear 166. Further, a stop pin 172 and a camming pin 174, each mounted on the triangular carrying plate 128 serve, with the cloverleaf gear 170, to ensure that the ratchet 166 ultimately turns precisely 360. The operation is as follows.
When the plunger 124 is moved against the force exerted by the biasing spring 126, the triangular carrying plate 128 is rotated, in the direction of the arrow (FIG. 15), about its pivot pin 160. When this occurs, the camming pin 174 moves out of the path of travel of the teeth on the cloverleaf before the pawl 162 engages a tooth on the ratchet 166. At the same time, the stop pin 72 has begun its travel toward the teeth of the cloverleaf 170. After the pawl 162 has driven the ratchet 166 slightly more than 60, a tooth of the cloverleaf 170 is made to feel the influence of the stop pin 172, thereby preventing further rotation of the ratchet 166. At this stage, the elements of the gearbox take thepositions shown in FIG.
the L-shaped element 136 to 15. Then, when the plunger 124 is released from the pressure exerted by the pusher driving element 34, it is made to return to its pre-stapling position by the forces exerted by the biasing spring 126 and the L-shaped return member 136. As a consequence, the triangular shaped carrying plate 128 is pivoted about its pivot pin 160. When this occurs, the stop pin 72 is disengaged from the tooth of the cloverleaf 170 and the camming pin 174 approaches the cloverleaf 170. When the plunger 124 reaches a point near the end of its return stroke, the camming pin 174 contacts a tooth on the cloverleaf 170 at the point indicated at 176. When this occurs, however, the triangular carrying plate 128 still attempts to rotate because of the force exerted upon it by the plunger 124. Therefore, the camming pin 174 is forced to ride along the surface of its associated cloverleaf tooth until it is unable to move any farther. If the stop pin 172 and the camming pin 174 are properly located, then the pin 174 will return to the position shown in FIG. 14. To do this, however, it is necessary that the cloverleaf 170, with its associated ratchet 166, be rotated in a direction opposite that in which they were rotated by the pawl 162. When the elements of the gearbox are returned to their positions as indicated in FIG. 14, then the instrument is ready for another firing operation. At this time, the screws associated with the staple-carrying cartridge 18 have been rotated slightly more than 360 and have then been rotated in the opposite direction, thereby bringing the ultimate rotation to precisely 360.
With reference now to FIGS. 16 and 18, the self-locking feature of the present invention will be described. In FIG. 16, the nose of the surgical instrument 10 is shown in cross-section. In solid lines, a cartridge 18 is shown properly positioned in the nose 16. In phantom lines, the cartridge 18 is shown during insertion or removal.
As seen in FIGS. 16 and 18, the latter figure showing a rear view of the cartridge 18, the cartridge is elongated, and has near its rearwardmost end, a pair of upwardly extending tabs 180 forming a part of its cover plate 182. The spacing between the tabs is sufficient to allow the pusher engaging member 34 to freely slide therebetween and the tabs 180 are dimensioned and positioned so as to engage similarly positioned and dimensioned indentations in the body of the nose section 16. Therefore, when the tabs 180 engage the indentations in the nose 16, the cartridge 18 cannot be pulled out of the nose.
The cartridge is inserted as follows. The rearward end of the cartridge 18 is introduced into the opening 184 in the nose 16. The cartridge 18, as it moves more deeply into the opening 184, is guided by a wall 186 and a pair of ramps 188, each defined in the nose 16. Then, when the cartridge 18 is still deeper in the opening 184, the rearward end of the cartridge engages a leaf-spring 190. When this occurs, the cartridge feels a biasing action exerted by the spring 190 attempting to put the cartridge 18 in a horizontal position (as seen in FIG. 16). Ultimately when the cartridge reaches the rearwardmost wall of the opening 184, the force of the biasing spring 190 pivots the cartridge 18 until the tabs 180 are positively locked in their associated indentations in the body of nose 16. At this time, the rearward end of the screws forming a part of the cartridge 18 are engaged by an extension of a gear 192, forming a part of the gearbox and associated with the ratchet 166 so that when the ratchet moves 60, the gear 192 rotates 360. The opposite procedure is used to remove the cartridge.
To ensure proper side-to-side alignment of the smaller cartridge 18 in the nose 16, a pair of extension tabs 194'and 196 are provided, these tabs bearing against the side walls of the opening 184. The width of the larger cartridge is the same as the width of the smaller cartridge with its tabs. And to ensure that the cartridges cannot be inserted backwards, a button 198 is formed on the bottom of the forwardmost region thereof.
Now, the two cartridges forming a part of the present invention will be described. With reference first to FIGS. 17 through 19, the smaller skin stapling cartridge will be described. Since this cartridge is similar in most respects to that described in the above noted copending application, emphasis will be placed only on the differences.
The cartridge, shown generally at 18, comprises a cover plate 182 and a main body 200. A pair of threaded screws 202 and 204 are comfortably fit for rotation within the main body 200 and serve to guide a plurality of staples 206 which move in response to the rotation of the respective screws. As seen best in FIG. 17, the staples 206 have their cross-pieces extending from one screw to the other and having their prongs extending toward and facing the forwardmost part of the cartridge 18. The rearwardmost part of the screws 202 and 204 take the form of flat projections 208 and 210, respectively. Therefore, in FIG. 16, the extensions of the two gears 92 are U-shaped and adapted to engage the flat projections 208 and 210 of the respective screws 202 and 204. In this manner, when the gears 192 are rotated, so too are the screws 202 and 204, and thus the staples are advanced.
As in the copending patent application mentioned above, a pusher element 212 is positioned intermediate the staples 206 and the cover plate 182. In this manner, the pusher 212 holds the staples 206 in the grooves of the respective screws 202 and 204. The prongs of the staples 206 are supported on a pair of ledges 214 (FIG. 18). The pusher element 212 is provided with an opening 216 adapted to be engaged by the pusher driving element 34, and, in this manner, the movement of the element 34 directly controls the movement of the pusher 212.
It has been found desirable to ensure that the pusher 212 remains in the position shown in FIG. 19 during all stages of transit. For this reason, the cartridge of the present invention is provided with a pusher locking member 220 as best been in FIG. 19.
The, locking member 220 is centrally mounted on the base of the cartridge 18. It comprises a solid base member 222 and a resilient arm 224. When in its rest position, the arm 224 lies parallel to the pusher element 212. The rearwardmost end of the arm 224 flares toward the pusher 212 and, when the arm is in its rest position, the flare extends beyond the pusher. A notch is carved from the flared end portion of the arm 224, thus defining a pair of protrusions 226 and 228, respectively.
The protrusions 226 and 228 are adapted to engage the rearwardmost part of the pusher 212. Since the opening 2 16 is near the end of the pusher 212, only a small portion of the body pusher, indicated at 230, is present at the central rear area of the pusher. This member 230 is adapted to be engaged between the protrusions 226 and 228, thereby locking the pusher in a position whereby the pusher is protected against being dislodged from its housing in the cartridge. As shown in FIG. 19, in phantom, when the pusher engaging element 34 finds its way into the opening 216 in the pusher 212, the resilient arm 224 is bent away from the pusher, thereby freeing the pusher for movement along the longitudinal body of the cartridge.
As noted previously, the screws 202 and 204 are designed in such a manner that for each 360 turn of the screws, a staple is moved into its readiness position for being ejected. Because of the pitch of the screws, and the critical nature of the fit between the staples and the body of the cartridge, it is important that the screws be properly phased before the staples are loaded in the cartridge. In the present invention, means to ensure the proper phasing between the screws, before the staples are inserted into the cartridge, are provided.
With reference, then to FIGS. 17 through 19, the phasing means will be described. Fastened to the screws 202 and 204 are fixed resilient pins 240 and 242, respectively. The pins 240 and 242 are located on the same side of the screws 202 and 204 and, therefore, when the pins are aligned, the screws are in phase. Then, means are provided at the base of the main body 200 defining indentations 244 and 246, respectively. These indentations are designed to mate with pins 240 and 242.
When the cartridge is assembled, the pins 240 and 242 are inserted into the indentations 244 and 246. When this is done, it is ensured that the screws are properly in phase and are ready for the insertion of staples. Then, the cover plate 182 is fitted on the main body 200 and the screws are then prevented from changing their respective alignment. At this stage, the
cartridge is inserted into a staple loading machine and the staples are loaded. Then, the pusher 212 is slid into its housing and, when it is properly positioned, the locking element 220 engages the pusher and prevents further movement of the pusher until the cartridge is inserted into a surgical stapling instrument.
A further alignment is important for the proper mating of the cartridge with the surgical instrument in which it is to be inserted. This alignment relates to the relative positions between the flat projections 208 and 210 on the respective screws 202 and 204. The alignment must be such that the flat projections freely mate with the U-shaped extensions of the gears 192. In the present invention, means are provided to ensure this proper alignment.
With continuing reference, then to FIGS. 17 through 19, the means for aligning the flat projections of the screws will be described. The alignment means are shown generally at 250 and comprise a common base 252 and a pair of resilient arm members 254 and 256. The arms 254 and 256 are naturally biased toward the flat projections 208 and 210 of the respective screws 202 and 204. In this manner, the screws tend to naturally come to rest at the position shown in FIGS. 17 and 18. And, when the screws take this position, they are easily inserted'into the U-shaped extensions of the gears 192 since the gearbox is arranged in such a manner that the gears 192 come to rest with the U-shaped extensions in vertical alignment (as seen in FIG. 16).
Now with reference to FIG. 20, the cartridge adapted for stapling internal fascia is shown. As seen when comparing the FIGS. 17 and 20, the cartridge of FIG. 20 is wider than that of FIG. 17. Similarly, the staples 206 of FIG. 20 are wider than the staples 206 of FIG. 17. The reason for this is described below.
As should be evident, it is economically important that a basic surgical stapling instrument be adapted to house a plurality of special purpose cartridges having different sizes and characteristics. This can be done most economically by designing the cartridges so as to be compatible with existing surgical stapling instrumentation.
At the present, surgical staplers are adapted to house the small cartridge shown in FIG. 17, the cartridge best suited for stapling external skin. But, because of the larger staples needed for joining internal fascia, a wider cartridge is required. And, to ensure that the larger staples are properly guided on their ledges 214, it is requiredthat the spacing between the screws 202 and 204 of FIG. 20 be greater than the spacing between the screws 202 an 204 of FIG. 17. Therefore, the flat extensions 208' and 210' of the cartridge shown in FIG. 20 are spaced wider apart than are the similar projections of the cartridge shown in FIG. 17. This means that the ends of the screws are no longer compatible with the U-shaped driving gears. Therefore, the cartridge for suturing internal fascia must be adapted to fit with the width requirements of existing instrumentation.
With continuing reference then to FIG. 20, the adapter means employed in the present invention will be described. Associated with the flat projection 208 of the screw 202 is a linkage 260 and associated with the flat projection 210' of the screw 204 is a second linkage 262. The end portions of these linkages 260 and 262 are formed similarly to the flat projections 208 and 210 and are indicated, respectively, at 264 and 266. As is clearly shown, the linkages 260 and 262 converge when moving toward the rear of the cartridge 18. In this manner, the effective distance between the flat projections at the ends of the screws 202' and 204' has been reduced to that distance between the flat projections 264 and 266. As is readily apparent when comparing FIGS. 17 and 20, the spacing between the projections 264 and 266 is identical with the spacing between projections 208 and 210, this spacing being fully compatible with existing surgical instrumentation.
The linkages 260 and 262 are housed in an extension of the cartridge 18, which extension is shown generally at 268. A pair of pins 270 are rigidly connected to the base of the extension 268 and associate with smooth indentations 272 and 174 in the respective linkages 260 and 262. In this manner, when the gears 192 are rotated, the rotation of the linkages 260 and 262, in the direction of the arrows, is effected. And, in response to the rotation of the linkages, the screws 202' and 204' are rotated and, as a consequence, the staples 206' are advanced. Thus, with the cartridges shown in FIGS. 17 and 20, existing surgical stapling instrumentation may be used to house staple-carrying cartridges of difiering dimensions and characteristics.
With reference now to FIGS. 21 through 23, the physical and operational characteristics of the two types of staples will be described. The staple adapted best for suturing external skin is shown at 280; and the staple adapted best for suturing internal fascia is shown at 282. As is readily apparent, the cross-piece of the staple 282 is substantially larger than the cross-piece of the staple 280. For this reason, and for the reason that the anvil which acts on staple 282 is wider than the anvil which acts on staple 280, the final bent up shape of these staples, as seen in FIG. 22, differs both in width and in depth. Therefore, staple 282 grasps a larger amount of tissue and goes more deeply into the tissue than does the staple 280.
With reference to FIG. 23, the need for varying depths of penetration can be seen. In this figure, a staple 280 is shown clamping together two segments of external skin, shown generally at 290. At the same time, a staple 282 is shown clamping together two segments of internal fascia shown generally at 292. As can be seen, the consistency of the external layer of skin 290 is much different than the consistency of the internal layer of fascia 292. That is, while the external skin is dense the internal fascia is more porous and resilient.
Because of the different consistency between the two layers of skin, different properties of staples are deemed essential. Where the skin is dense, and can be compressed without injury, the smaller staple may be used. But, where the skin is porous and delicate, much less strain can be tolerated and thus the larger staple must be used. With the cartridges of the present invention, both circumstances can be met.
Above, there have been described several embodiments of the present invention. Each embodiment is related to an improvement of presently existing stapling instrumentation for joining external skin or internal fascia. With the present invention, presently existing instrumentation is improved with respect to safety, ease of operation, or with respect to the efficiency and reliability thereof. It should be understood, however, that the above description is given for illustrative purposes only and that many alterations and modifications may be practiced without departing from the spirit and scope of the invention. It is the intent, therefore, that the invention not be limited by the above but be limited only as defined in the appended claims.
What is claimed is:
l. A staple-ejecting cartridge for carrying a plurality of staples and adapted to be mounted in a surgical instrument for stapling external skin or internal fascia, the cartridge comprising: an elongated main body having a forward end and a rearward end; first and second threaded screws extending substantially from the forward end to the rearward end of said main body, the end of each of said screws nearest the rear of said elongated body terminating in a flat extension; said main body adapted to house a plurality of U-shaped staples the crosspieces of which extend from one screw to the other and the prongs of which face the forward end of the main body, the crosspieces of said staples riding in the threads of said screws so as to be advanced by the rotation of said screws; a cover plate adjacent said staples and said screws for covering said elongated main body; an anvil on the forward part of said cover plate; a pusher element positioned intermediate said staples and said cover plate for singly ejecting said staples from said cartridge and for forming said staples around said anvil; and means associated with said flat end portions of said screws for maintaining alignment between said flat end portions until acted iipon by said surgical instrument.
2. The cartridge recited in claim 1, wherein said screws and said staples are associated in such a manner that for each 360 turn of the screws, each staple is advanced and the forwardmost staple is put in a position ready to be ejected from said cartridge; and further comprising means to ensure that the respective screws are in phase with one another.
3. The cartridge recited in claim 2, wherein said means for phasing the screws comprise a flexible pin on each of said screws, and a pair of depressions on the base of said main body, said pins and said depressions being aligned and adapted to temporarily lock said screws in phased position when said pins extend into said depressions.
4. The cartridge recited in claim 1, and further comprising locking means for maintaining said pusher element in a fixed position within said cartridge when said cartridge is out of association with said surgical instrument and adapted to release said pusher element when the cartridge is mounted in said surgical stapling instrument.
5. The cartridge recited in claim 4, wherein the rear portion of said pusher element is provided with an opening and wherein said locking means is adapted to engage said opening.
6. The cartridge defined in claim 5, wherein said locking means is secured to the base of said elongated main body.
7. The cartridge defined in claim 5, wherein said locking means is adapted to be forced out of engagement with the opening of said pusher element when said pusher element is associated with the driving member of said surgical stapler.
8. The cartridge defined in claim 1, wherein said means for ensuring alignment between said screws comprises first and second resilient members associated with the flat portions of the respective screws, and adapted to resiliently maintain the flat portions aligned with one another.
9. The cartridge described in claim 8, wherein said resilient members are supported on the base of said elongated main body.
10. The cartridge defined in claim 8, wherein said first and second resilient members are joined at one end and are mounted on the base of said elongated main body, said resilient members being biased toward the flat surfaces of said screws.
1 l. The cartridge defined in claim 10, wherein the common area between said first and second resilient members is mounted on the base near the rearwardmost region of said base.
12. The cartridge defined in claim 1, and further comprising a protrusion on the bottom of said elongated main body at the forward end thereof, said protrusion serving to prevent the backward insertion of said cartridge into said surgical stapler.
13. A staple-ejecting cartridge for carrying a plurality of staples and adapted to be mounted in a surgical instrument for joining disunited portions of internal fascia, the cartridge comprising; an elongated main body having a forward end and a rearward end; first and second threaded screws housed within said main body, parallel to one another and spaced a predetermined distance from one another; said main body adapted to house a plurality of staples, the cross-pieces of said staples extending from one screw to the other and riding within the threads of said screws, and the prongs of said staples facing the forward end of said main body; a cover plate adjacent said staples and said screws for covering said main body; an anvil on the forward part of said cover plate; a pusher element intermediate said staples and said cover plate and adapted to singly eject said staples from said cartridge and to form same around said anvil; first and second coupling elements each being associated with the rearwardmost portion of a respective screw, the end of each of said coupling elements terminating in a fiat projection adapted to be engaged by the driving member of a surgical instrument.
14. The cartridge defined in claim 13, wherein said anvil is substantially of a width equal to the combined lengths of the prongs of a staple so that the final shape of said staples takes the form of a rectangle, one of the sides of which is defined by the two prongs of a staple.
15. The cartridge defined in claim 13, wherein the flat regions of said couplers are spaced apart a distance less than the space between said screws.
16. The cartridge defined in claim 13, wherein the rearwardmost portion of each of said screws terminates in a flat projection: wherein the forwardmost portion of each coupler is adapted to associate with a respective flat projection on a screw, thereby being rotatably united with said screw; wherein the rearwardmost portion of each of said couplers ends in a flat projection; and wherein the space between the flat projections of said couplers is less than the space between said screws.
17. The cartridge of claim 13, and further comprising means for maintaining alignment between the flat projections on said couplers.
18. The cartridge of claim 13, and further comprising means for ensuring initial phase harmony between said screws.
19. The cartridge of claim 13, and further comprising means for maintaining said pusher element within said cartridge, thereby preventing the accidental discharge of a staple.
20. The cartridge of claim 13, and further comprising means for preventing the backward insertion of said cartridge into a surgical instrument.
21. A surgical stapling instrument for applying sterilized staples to the disunited skin or fascia of a patient for effecting a joining of the skin or fascia, the instrument adapted to associate with an elongated staple-carrying cartridge having anvil means at the forwardmost region thereof, house a to house plurality of staples therein, the cross-bars of said staples being transverse to the length of said cartridge and the points of said staples facing said anvil means, a pusher element slidably mounted therein for ejecting staples from said cartridge and for forming said staples around said anvil means, and means for advancing said staples along the length of said cartridge; the instrument comprising: a main body portion; means for mounting said staple-carrying cartridge, at its region remote from said anvil, on the main body portion; drive shaft means to activate said staple-advancing means for driving the staples toward said anvil means; pusher-activating means for driving the pusher element forward to eject a staple from the staple-carrying cartridge and to form said staple around said anvil means; and spring-biasing means to urge said cartridge into a locked position within said main body portion.
22. The instrument recited in claim 21, wherein said instrument is powered by a gas under pressure, and further comprising: a housing for a tank of pressurized gas, said housing having a stationary wall and a moveable wall pivotable on said stationary wall; a ring-like member on the end of one of said walls remote from the pivot of said moveable walls; a bolt-like member on the other of said walls adapted to fit within said ring-like member, thereby locking 'said pivotable member to said stationary member; and means associated with said boltlike member for ensuring that the pressurized tank of gas is totally inert before said pivotable member is able to move with respect to said stationary member.
23. The instrument defined in claim 22, wherein said boltlike member is associated with a threaded screw controlling the position of said boltlike member with respect to said ringlike member.
24. The instrument recited in claim 23, wherein said ringlike member is mounted on the stationary portion and the bolt-like member is mounted on the pivotable portion; and wherein the bolt-like member is associated with a threaded screw, the position of said screw determining the relationship between said bolt-like member and said ring-like member.
25. The invention recited in claim 22, wherein the forwardmost part of said housing is adjacent the forwardmost part of said pressurized gas tank, and further comprising: means adjacent the forwardmost part of said pressurized gas tank for mufiling the sound associated with the expulsion of gas from the opened tank when said tank is being removed.
26. The invention recited in claim 25, wherein said means for muffling the sound is a metallic ring of sintered steel through which the escaping gas must pass before exiting the instrument. I
27. The instrument defined in claim 21, wherein said instrument is powered by a gas under pressure, stored in a tank of pressurized gas, and further comprising: a housing for said tank, the forwardmost end of said housing comprising a piercing pin for rupturing the seal at the forwardmost end of said tank; a spring associating with the forwardmost end of said tank for biasing said tank away from said piercing pin; and muffler means for quieting the sound associated with the expulsion of said gas under pressure from the rear end of said housing.
28. A surgical stapling instrument for applying sterilized staples to the disunited skin or fascia of a patient for effecting a joining of the skin or fascia, the instrument adapted to associate with an elongated staple-carrying cartridge having an anvil at the forwardmost region thereof, and adapted to house a plurality of staples therein, the cross-bars of the staples being transverse to the length of the cartridge and the points of the staples facing the anvil, a pusher element slidably mounted therein for ejecting staples from the cartridge and for forming the staples around the anvil, and means for advancing the staples along the length of the cartridge; the instrument comprising: a main body portion; means for mounting said staple-carrying cartridge at its region remote from said anvil on the main body portion; drive shaft means to activate said staple-advancing means for driving the staples toward said anvil means; pusher-activating means for driving the pusher element forward to eject a staple from the staple-carrying cartridge and to form said staple around said anvil means; triggering means for acting on said drive shaft means to initiate a staple driving operation; and means associated with said drive shaft means for acting, in response to said triggering means, to initiate the stapling operation only once for each command from said triggering means.
29. The instrument described in claim 28, wherein said triggering means comprises: a trigger; first linkage associated with said drive shaft, adapted to move said drive shaft in response to a command from said trigger, and thereby adapted to initiate a stapling operation.
30. The instrument described in claim 29, and further comprising second linkage means for disabling said first linkage means if said trigger is not in its fully relaxed state.
31. The instrument defined in claim 30, wherein said second linkage means has a notch therein adapted to associate with said first linkage means; and wherein said first linkage means is moved out of said notch in response to the performance of a stapling operation.
32. The instrument defined in claim 31, wherein said second linkage means is moved in response to a movement of said trigger, and wherein movement of said second linkage means first causes the displacement of said first linkage means out of said notch and then prevents the first linkage means from returning to the notch in said second linkage means until the trigger is in its fully relaxed state.
33. The instrument defined in claim 32, wherein said first linkage means is displaced in response to the movement of Said drive shaft.
34. The instrument defined in claim 32, and further comprising: means for biasing said first linkage means toward a position whereby it is ensured that said first linkage means is unable to associate with the notch in said second linkage means unless the trigger is in its fully relaxed state.
35. A surgical stapling instrument for applying sterilized staples to the disunited skin or fascia of a patient for effecting a joining of the skin or fascia, the instrument adapted to associate with an elongated staple-carrying cartridge having an anvil at the forwardmost region thereof, and adapted to house a plurality of staples therein, the cross-bars of said staples being transverse to the length of said cartridge and the prongs of said staples facing the anvil, a pusher element slidably mounted thereon for ejecting staples from the cartridge and for forming the staples around the anvil and means for advancrng said staples along the length of said cartridge; the instrument comprising: a main body portion; means for mounting said staple-carrying cartridge, at its region remote from said anvil, on the main body portion; drive shaft means, to activate said staple-advancing means for driving the staples toward said anvil means; pusher-activating means for driving the pusher element forward to eject a staple from the staplecarrying cartridge and to form said staple around said anvil means; gearbox means provided with a plunger adapted to react to the position of said pusher-activating means and serving to control the operation of a plurality of gears in said gearbox means; and means associated with said pusher-activating means for positively returning said plunger into the position occupied before having been acted upon by said pusher-activating means.
36. The instrument defined in claim 35, wherein said means for returning said plunger is in the form of an L-shaped return member which is pivoted about a pivot pin in response to the return stroke of said pusher-activating means.
37. The instrument defined in claim 36, wherein said L- shaped return element has one arm associated with a slot in the plunger and a second arm associated with a pin fixedly mounted on said pusher-activating element.
38. The instrument defined by claim 36, wherein said means for returning said plunger to its pre-stapling position employs two biasing springs, one of which acts directly on the plunger and one of which acts on the plunger through the drive shaft and the staple-activating element.
Claims (38)
1. A staple-eJecting cartridge for carrying a plurality of staples and adapted to be mounted in a surgical instrument for stapling external skin or internal fascia, the cartridge comprising: an elongated main body having a forward end and a rearward end; first and second threaded screws extending substantially from the forward end to the rearward end of said main body, the end of each of said screws nearest the rear of said elongated body terminating in a flat extension; said main body adapted to house a plurality of U-shaped staples the crosspieces of which extend from one screw to the other and the prongs of which face the forward end of the main body, the crosspieces of said staples riding in the threads of said screws so as to be advanced by the rotation of said screws; a cover plate adjacent said staples and said screws for covering said elongated main body; an anvil on the forward part of said cover plate; a pusher element positioned intermediate said staples and said cover plate for singly ejecting said staples from said cartridge and for forming said staples around said anvil; and means associated with said flat end portions of said screws for maintaining alignment between said flat end portions until acted upon by said surgical instrument.
2. The cartridge recited in claim 1, wherein said screws and said staples are associated in such a manner that for each 360* turn of the screws, each staple is advanced and the forwardmost staple is put in a position ready to be ejected from said cartridge; and further comprising means to ensure that the respective screws are in phase with one another.
3. The cartridge recited in claim 2, wherein said means for phasing the screws comprise a flexible pin on each of said screws, and a pair of depressions on the base of said main body, said pins and said depressions being aligned and adapted to temporarily lock said screws in phased position when said pins extend into said depressions.
4. The cartridge recited in claim 1, and further comprising locking means for maintaining said pusher element in a fixed position within said cartridge when said cartridge is out of association with said surgical instrument and adapted to release said pusher element when the cartridge is mounted in said surgical stapling instrument.
5. The cartridge recited in claim 4, wherein the rear portion of said pusher element is provided with an opening and wherein said locking means is adapted to engage said opening.
6. The cartridge defined in claim 5, wherein said locking means is secured to the base of said elongated main body.
7. The cartridge defined in claim 5, wherein said locking means is adapted to be forced out of engagement with the opening of said pusher element when said pusher element is associated with the driving member of said surgical stapler.
8. The cartridge defined in claim 1, wherein said means for ensuring alignment between said screws comprises first and second resilient members associated with the flat portions of the respective screws, and adapted to resiliently maintain the flat portions aligned with one another.
9. The cartridge described in claim 8, wherein said resilient members are supported on the base of said elongated main body.
10. The cartridge defined in claim 8, wherein said first and second resilient members are joined at one end and are mounted on the base of said elongated main body, said resilient members being biased toward the flat surfaces of said screws.
11. The cartridge defined in claim 10, wherein the common area between said first and second resilient members is mounted on the base near the rearwardmost region of said base.
12. The cartridge defined in claim 1, and further comprising a protrusion on the bottom of said elongated main body at the forward end thereof, said protrusion serving to prevent the backward insertion of said cartridge into said surgical stapler.
13. A staple-ejecting cartridge for carrying a plurality of staples and adapted to be mounted in a surgical instrument for joining disunited portions of internal fascia, the cartridge comprising; an elongated main body having a forward end and a rearward end; first and second threaded screws housed within said main body, parallel to one another and spaced a predetermined distance from one another; said main body adapted to house a plurality of staples, the cross-pieces of said staples extending from one screw to the other and riding within the threads of said screws, and the prongs of said staples facing the forward end of said main body; a cover plate adjacent said staples and said screws for covering said main body; an anvil on the forward part of said cover plate; a pusher element intermediate said staples and said cover plate and adapted to singly eject said staples from said cartridge and to form same around said anvil; first and second coupling elements each being associated with the rearwardmost portion of a respective screw, the end of each of said coupling elements terminating in a flat projection adapted to be engaged by the driving member of a surgical instrument.
14. The cartridge defined in claim 13, wherein said anvil is substantially of a width equal to the combined lengths of the prongs of a staple so that the final shape of said staples takes the form of a rectangle, one of the sides of which is defined by the two prongs of a staple.
15. The cartridge defined in claim 13, wherein the flat regions of said couplers are spaced apart a distance less than the space between said screws.
16. The cartridge defined in claim 13, wherein the rearwardmost portion of each of said screws terminates in a flat projection; wherein the forwardmost portion of each coupler is adapted to associate with a respective flat projection on a screw, thereby being rotatably united with said screw; wherein the rearwardmost portion of each of said couplers ends in a flat projection; and wherein the space between the flat projections of said couplers is less than the space between said screws.
17. The cartridge of claim 13, and further comprising means for maintaining alignment between the flat projections on said couplers.
18. The cartridge of claim 13, and further comprising means for ensuring initial phase harmony between said screws.
19. The cartridge of claim 13, and further comprising means for maintaining said pusher element within said cartridge, thereby preventing the accidental discharge of a staple.
20. The cartridge of claim 13, and further comprising means for preventing the backward insertion of said cartridge into a surgical instrument.
21. A surgical stapling instrument for applying sterilized staples to the disunited skin or fascia of a patient for effecting a joining of the skin or fascia, the instrument adapted to associate with an elongated staple-carrying cartridge having anvil means at the forwardmost region thereof, house a to house plurality of staples therein, the cross-bars of said staples being transverse to the length of said cartridge and the points of said staples facing said anvil means, a pusher element slidably mounted therein for ejecting staples from said cartridge and for forming said staples around said anvil means, and means for advancing said staples along the length of said cartridge; the instrument comprising: a main body portion; means for mounting said staple-carrying cartridge, at its region remote from said anvil, on the main body portion; drive shaft means to activate said staple-advancing means for driving the staples toward said anvil means; pusher-activating means for driving the pusher element forward to eject a staple from the staple-carrying cartridge and to form said staple around said anvil means; and spring-biasing means to urge said cartridge into a locked position within said main body portion.
22. The instrument recited in claim 21, wherein said instrument is powered by a gas under pressure, and further comprising: a housing for a tank of pressurized gas, said housing having a stationary wall and a moveable wall pivotable on said stationary wall; a ring-like member on the end of one of said walls remote from the pivot of said moveable walls; a bolt-like member on the other of said walls adapted to fit within said ring-like member, thereby locking said pivotable member to said stationary member; and means associated with said bolt-like member for ensuring that the pressurized tank of gas is totally inert before said pivotable member is able to move with respect to said stationary member.
23. The instrument defined in claim 22, wherein said bolt-like member is associated with a threaded screw controlling the position of said bolt-like member with respect to said ring-like member.
24. The instrument recited in claim 23, wherein said ring-like member is mounted on the stationary portion and the bolt-like member is mounted on the pivotable portion; and wherein the bolt-like member is associated with a threaded screw, the position of said screw determining the relationship between said bolt-like member and said ring-like member.
25. The invention recited in claim 22, wherein the forwardmost part of said housing is adjacent the forwardmost part of said pressurized gas tank, and further comprising: means adjacent the forwardmost part of said pressurized gas tank for muffling the sound associated with the expulsion of gas from the opened tank when said tank is being removed.
26. The invention recited in claim 25, wherein said means for muffling the sound is a metallic ring of sintered steel through which the escaping gas must pass before exiting the instrument.
27. The instrument defined in claim 21, wherein said instrument is powered by a gas under pressure, stored in a tank of pressurized gas, and further comprising: a housing for said tank, the forwardmost end of said housing comprising a piercing pin for rupturing the seal at the forwardmost end of said tank; a spring associating with the forwardmost end of said tank for biasing said tank away from said piercing pin; and muffler means for quieting the sound associated with the expulsion of said gas under pressure from the rear end of said housing.
28. A surgical stapling instrument for applying sterilized staples to the disunited skin or fascia of a patient for effecting a joining of the skin or fascia, the instrument adapted to associate with an elongated staple-carrying cartridge having an anvil at the forwardmost region thereof, and adapted to house a plurality of staples therein, the cross-bars of the staples being transverse to the length of the cartridge and the points of the staples facing the anvil, a pusher element slidably mounted therein for ejecting staples from the cartridge and for forming the staples around the anvil, and means for advancing the staples along the length of the cartridge; the instrument comprising: a main body portion; means for mounting said staple-carrying cartridge at its region remote from said anvil on the main body portion; drive shaft means to activate said staple-advancing means for driving the staples toward said anvil means; pusher-activating means for driving the pusher element forward to eject a staple from the staple-carrying cartridge and to form said staple around said anvil means; triggering means for acting on said drive shaft means to initiate a staple driving operation; and means associated with said drive shaft means for acting, in response to said triggering means, to initiate the stapling operation only once for each command from said triggering means.
29. The instrument described in claim 28, wherein said triggering means comprises: a trigger; first linkage associated with said drive shaft, adapted to move said drive shaft in response to a command from said trigger, and thereby adapted to initiate a stapling operation.
30. The instrument described in claim 29, and further comprising second linkage means for disabling said first linkage means if said trigger is not in its fully relaxed state.
31. The instrument defined in claim 30, wherein said second linkage means haS a notch therein adapted to associate with said first linkage means; and wherein said first linkage means is moved out of said notch in response to the performance of a stapling operation.
32. The instrument defined in claim 31, wherein said second linkage means is moved in response to a movement of said trigger, and wherein movement of said second linkage means first causes the displacement of said first linkage means out of said notch and then prevents the first linkage means from returning to the notch in said second linkage means until the trigger is in its fully relaxed state.
33. The instrument defined in claim 32, wherein said first linkage means is displaced in response to the movement of said drive shaft.
34. The instrument defined in claim 32, and further comprising: means for biasing said first linkage means toward a position whereby it is ensured that said first linkage means is unable to associate with the notch in said second linkage means unless the trigger is in its fully relaxed state.
35. A surgical stapling instrument for applying sterilized staples to the disunited skin or fascia of a patient for effecting a joining of the skin or fascia, the instrument adapted to associate with an elongated staple-carrying cartridge having an anvil at the forwardmost region thereof, and adapted to house a plurality of staples therein, the cross-bars of said staples being transverse to the length of said cartridge and the prongs of said staples facing the anvil, a pusher element slidably mounted thereon for ejecting staples from the cartridge and for forming the staples around the anvil, and means for advancing said staples along the length of said cartridge; the instrument comprising: a main body portion; means for mounting said staple-carrying cartridge, at its region remote from said anvil, on the main body portion; drive shaft means, to activate said staple-advancing means for driving the staples toward said anvil means; pusher-activating means for driving the pusher element forward to eject a staple from the staple-carrying cartridge and to form said staple around said anvil means; gearbox means provided with a plunger adapted to react to the position of said pusher-activating means and serving to control the operation of a plurality of gears in said gearbox means; and means associated with said pusher-activating means for positively returning said plunger into the position occupied before having been acted upon by said pusher-activating means.
36. The instrument defined in claim 35, wherein said means for returning said plunger is in the form of an L-shaped return member which is pivoted about a pivot pin in response to the return stroke of said pusher-activating means.
37. The instrument defined in claim 36, wherein said L-shaped return element has one arm associated with a slot in the plunger and a second arm associated with a pin fixedly mounted on said pusher-activating element.
38. The instrument defined by claim 36, wherein said means for returning said plunger to its pre-stapling position employs two biasing springs, one of which acts directly on the plunger and one of which acts on the plunger through the drive shaft and the staple-activating element.
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
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US1461470A | 1970-02-26 | 1970-02-26 |
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US14614A Expired - Lifetime US3662939A (en) | 1970-02-26 | 1970-02-26 | Surgical stapler for skin and fascia |
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Cited By (609)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
FR2420960A1 (en) * | 1978-03-27 | 1979-10-26 | Minnesota Mining & Mfg | MEDICAL STAPLER |
US4196836A (en) * | 1978-02-14 | 1980-04-08 | Senco Products Inc. | Surgical stapling instrument |
WO1981003303A1 (en) * | 1980-05-23 | 1981-11-26 | United States Surgical Corp | Self-contained gas powered surgical stapler |
US4349028A (en) * | 1980-10-03 | 1982-09-14 | United States Surgical Corporation | Surgical stapling apparatus having self-contained pneumatic system for completing manually initiated motion sequence |
DE3204532A1 (en) * | 1982-02-10 | 1983-08-25 | B. Braun Melsungen Ag, 3508 Melsungen | SURGICAL SKIN CLIP |
US4407286A (en) * | 1980-08-25 | 1983-10-04 | United States Surgical Corporation | Surgical staples |
US4422567A (en) * | 1981-11-17 | 1983-12-27 | Haynes Taylor H | Medical suturing device |
US4470532A (en) * | 1982-07-21 | 1984-09-11 | Minnesota Mining And Manufacturing Company | Medical stapling device |
EP0324637A1 (en) * | 1988-01-15 | 1989-07-19 | Ethicon, Inc. | Surgical stapler pressure regulator |
EP0324638A1 (en) * | 1988-01-15 | 1989-07-19 | Ethicon, Inc. | Surgical stapler safety and sequencing mechanisms |
US4938408A (en) * | 1988-01-15 | 1990-07-03 | Ethicon, Inc. | Surgical stapler safety and sequencing mechanisms |
EP0552050A2 (en) * | 1992-01-17 | 1993-07-21 | Ethicon, Inc. | Endoscopic surgical system with sensing means |
US5312023A (en) * | 1991-10-18 | 1994-05-17 | United States Surgical Corporation | Self contained gas powered surgical apparatus |
US5326013A (en) * | 1991-10-18 | 1994-07-05 | United States Surgical Corporation | Self contained gas powered surgical apparatus |
US5364001A (en) * | 1991-10-18 | 1994-11-15 | United States Surgical Corporation | Self contained gas powered surgical apparatus |
US5397046A (en) * | 1991-10-18 | 1995-03-14 | United States Surgical Corporation | Lockout mechanism for surgical apparatus |
US5443197A (en) * | 1993-06-16 | 1995-08-22 | United States Surgical Corporation | Locking mechanism for a skin stapler cartridge |
US5456400A (en) * | 1993-04-22 | 1995-10-10 | United States Surgical Corporation | Apparatus and clip for fastening body tissue |
US5478003A (en) * | 1991-10-18 | 1995-12-26 | United States Surgical Corporation | Surgical apparatus |
US5487499A (en) * | 1993-10-08 | 1996-01-30 | United States Surgical Corporation | Surgical apparatus for applying surgical fasteners including a counter |
NL9401195A (en) * | 1994-07-20 | 1996-03-01 | Univ Delft Tech | Pneumatically actuated hand tool |
US5636780A (en) * | 1991-10-18 | 1997-06-10 | United States Surgical Corporation | Self contained gas powered surgical apparatus |
US5711472A (en) * | 1991-10-18 | 1998-01-27 | United States Surgical Corporation | Self contained gas powered surgical apparatus |
US5862972A (en) * | 1993-10-14 | 1999-01-26 | United States Surgical Corporation | Gas powered apparatus for applying surgical fasteners to body tissue |
US6250532B1 (en) * | 1991-10-18 | 2001-06-26 | United States Surgical Corporation | Surgical stapling apparatus |
US6264087B1 (en) | 1999-07-12 | 2001-07-24 | Powermed, Inc. | Expanding parallel jaw device for use with an electromechanical driver device |
US20010031975A1 (en) * | 1999-06-02 | 2001-10-18 | Whitman Michael P. | Electro-mechanical surgical device |
US6315184B1 (en) | 1999-06-02 | 2001-11-13 | Powermed, Inc. | Stapling device for use with an electromechanical driver device for use with anastomosing, stapling, and resecting instruments |
US6348061B1 (en) | 2000-02-22 | 2002-02-19 | Powermed, Inc. | Vessel and lumen expander attachment for use with an electromechanical driver device |
US6443973B1 (en) | 1999-06-02 | 2002-09-03 | Power Medical Interventions, Inc. | Electromechanical driver device for use with anastomosing, stapling, and resecting instruments |
US6488197B1 (en) | 2000-02-22 | 2002-12-03 | Power Medical Interventions, Inc. | Fluid delivery device for use with anastomosing resecting and stapling instruments |
US6491201B1 (en) | 2000-02-22 | 2002-12-10 | Power Medical Interventions, Inc. | Fluid delivery mechanism for use with anastomosing, stapling, and resecting instruments |
US6517565B1 (en) | 1999-06-02 | 2003-02-11 | Power Medical Interventions, Inc. | Carriage assembly for controlling a steering wire steering mechanism within a flexible shaft |
US6533157B1 (en) | 2000-02-22 | 2003-03-18 | Power Medical Interventions, Inc. | Tissue stapling attachment for use with an electromechanical driver device |
US20030125717A1 (en) * | 2001-12-04 | 2003-07-03 | Whitman Michael P. | System and method for calibrating a surgical instrument |
US6716233B1 (en) | 1999-06-02 | 2004-04-06 | Power Medical Interventions, Inc. | Electromechanical driver and remote surgical instrument attachment having computer assisted control capabilities |
US20040094597A1 (en) * | 2002-06-14 | 2004-05-20 | Whitman Michael P. | Surgical device |
WO2004032760A3 (en) * | 2002-10-04 | 2004-09-10 | Tyco Healthcare | Pneumatic powered surgical stapling device |
US6793652B1 (en) | 1999-06-02 | 2004-09-21 | Power Medical Interventions, Inc. | Electro-mechanical surgical device |
US20050125009A1 (en) * | 2000-11-27 | 2005-06-09 | Perry Stephen J. | Full thickness resection device control handle |
US7032798B2 (en) | 1999-06-02 | 2006-04-25 | Power Medical Interventions, Inc. | Electro-mechanical surgical device |
US20070049951A1 (en) * | 2005-08-25 | 2007-03-01 | Microline Pentax Inc. | Apparatus alignment device |
US20070083234A1 (en) * | 2005-09-21 | 2007-04-12 | Shelton Frederick E Iv | Surgical stapling instruments having flexible channel and anvil features for adjustable staple heights |
US20070102472A1 (en) * | 2005-11-04 | 2007-05-10 | Ethicon Endo-Surgery, Inc. | Electrosurgical stapling instrument with disposable severing / stapling unit |
DE102006024758A1 (en) * | 2006-05-27 | 2007-11-29 | Aesculap Ag & Co. Kg | Surgical instrument has compressed gas-operated tool, pressure-tight connection and a receptacle for compressed gas drive, which is movable into using position, in which compressed gas cartridge is applicable |
US20080029573A1 (en) * | 2006-08-02 | 2008-02-07 | Shelton Frederick E | Pneumatically powered surgical cutting and fastening instrument with replaceable power sources |
US20080082115A1 (en) * | 2006-09-29 | 2008-04-03 | Morgan Jerome R | Method of manufacturing staples |
US20080135598A1 (en) * | 2006-11-09 | 2008-06-12 | Stanley Fastening Systems, L.P. | Cordless fastener driving device |
US20080169329A1 (en) * | 2007-01-11 | 2008-07-17 | Shelton Frederick E | Curved end effector for a surgical stapling device |
US7438209B1 (en) | 2007-03-15 | 2008-10-21 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments having a releasable staple-forming pocket |
US7464849B2 (en) | 2006-01-31 | 2008-12-16 | Ethicon Endo-Surgery, Inc. | Electro-mechanical surgical instrument with closure system and anvil alignment components |
US7464846B2 (en) | 2006-01-31 | 2008-12-16 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a removable battery |
US20080308603A1 (en) * | 2007-06-18 | 2008-12-18 | Shelton Frederick E | Cable driven surgical stapling and cutting instrument with improved cable attachment arrangements |
US7490749B2 (en) | 2007-03-28 | 2009-02-17 | Ethicon Endo-Surgery, Inc. | Surgical stapling and cutting instrument with manually retractable firing member |
US7500979B2 (en) | 2005-08-31 | 2009-03-10 | Ethicon Endo-Surgery, Inc. | Surgical stapling device with multiple stacked actuator wedge cams for driving staple drivers |
US7549564B2 (en) | 2007-06-22 | 2009-06-23 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with an articulating end effector |
US7568603B2 (en) | 2006-01-31 | 2009-08-04 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting and fastening instrument with articulatable end effector |
US20090200355A1 (en) * | 2008-02-13 | 2009-08-13 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with improved firing trigger arrangement |
US7575144B2 (en) | 2006-01-31 | 2009-08-18 | Ethicon Endo-Surgery, Inc. | Surgical fastener and cutter with single cable actuator |
US20090206137A1 (en) * | 2008-02-15 | 2009-08-20 | Ethicon Endo-Surgery, Inc. | Disposable loading units for a surgical cutting and stapling instrument |
US7597229B2 (en) | 2007-06-22 | 2009-10-06 | Ethicon Endo-Surgery, Inc. | End effector closure system for a surgical stapling instrument |
US7604150B2 (en) | 2007-06-22 | 2009-10-20 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with an anti-back up mechanism |
US7607557B2 (en) | 2005-11-04 | 2009-10-27 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments structured for pump-assisted delivery of medical agents |
US7644848B2 (en) | 2006-01-31 | 2010-01-12 | Ethicon Endo-Surgery, Inc. | Electronic lockouts and surgical instrument including same |
US7658311B2 (en) | 2007-06-22 | 2010-02-09 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with a geared return mechanism |
US7669746B2 (en) | 2005-08-31 | 2010-03-02 | Ethicon Endo-Surgery, Inc. | Staple cartridges for forming staples having differing formed staple heights |
US7673781B2 (en) | 2005-08-31 | 2010-03-09 | Ethicon Endo-Surgery, Inc. | Surgical stapling device with staple driver that supports multiple wire diameter staples |
US7673783B2 (en) | 2005-11-04 | 2010-03-09 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments structured for delivery of medical agents |
US7695485B2 (en) | 2001-11-30 | 2010-04-13 | Power Medical Interventions, Llc | Surgical device |
US7721931B2 (en) | 2007-01-10 | 2010-05-25 | Ethicon Endo-Surgery, Inc. | Prevention of cartridge reuse in a surgical instrument |
US7721936B2 (en) | 2007-01-10 | 2010-05-25 | Ethicon Endo-Surgery, Inc. | Interlock and surgical instrument including same |
US7738971B2 (en) | 2007-01-10 | 2010-06-15 | Ethicon Endo-Surgery, Inc. | Post-sterilization programming of surgical instruments |
US7740159B2 (en) | 2006-08-02 | 2010-06-22 | Ethicon Endo-Surgery, Inc. | Pneumatically powered surgical cutting and fastening instrument with a variable control of the actuating rate of firing with mechanical power assist |
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 |
US7753245B2 (en) | 2007-06-22 | 2010-07-13 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments |
US7766210B2 (en) | 2006-01-31 | 2010-08-03 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting and fastening instrument with user feedback system |
US7770775B2 (en) | 2006-01-31 | 2010-08-10 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting and fastening instrument with adaptive user feedback |
US7794471B1 (en) | 2003-06-26 | 2010-09-14 | Cardica, Inc. | Compliant anastomosis system |
US7793812B2 (en) | 2008-02-14 | 2010-09-14 | Ethicon Endo-Surgery, Inc. | Disposable motor-driven loading unit for use with a surgical cutting and stapling apparatus |
US7798386B2 (en) | 2007-05-30 | 2010-09-21 | Ethicon Endo-Surgery, Inc. | Surgical instrument articulation joint cover |
US20100237132A1 (en) * | 2009-03-23 | 2010-09-23 | Ethicon Endo-Surgery, Inc. | Circular surgical stapling instrument with anvil locking system |
US7810693B2 (en) | 2007-05-30 | 2010-10-12 | Ethicon Endo-Surgery, Inc. | Surgical stapling and cutting instrument with articulatable end effector |
US7810692B2 (en) | 2008-02-14 | 2010-10-12 | Ethicon Endo-Surgery, Inc. | Disposable loading unit with firing indicator |
US7819298B2 (en) | 2008-02-14 | 2010-10-26 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with control features operable with one hand |
US7819297B2 (en) | 2008-02-14 | 2010-10-26 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with reprocessible handle assembly |
US7819296B2 (en) | 2008-02-14 | 2010-10-26 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with retractable firing systems |
US7832612B2 (en) | 2008-09-19 | 2010-11-16 | Ethicon Endo-Surgery, Inc. | Lockout arrangement for a surgical stapler |
US20100305624A1 (en) * | 2009-05-26 | 2010-12-02 | Zimmer, Inc. | Bone fixation tool |
US7845537B2 (en) | 2006-01-31 | 2010-12-07 | Ethicon Endo-Surgery, Inc. | Surgical instrument having recording capabilities |
US7857185B2 (en) | 2008-02-14 | 2010-12-28 | Ethicon Endo-Surgery, Inc. | Disposable loading unit for surgical stapling apparatus |
US7861906B2 (en) | 2008-02-14 | 2011-01-04 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with articulatable components |
US7866527B2 (en) | 2008-02-14 | 2011-01-11 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with interlockable firing system |
DE102009033525A1 (en) * | 2009-07-17 | 2011-01-20 | Aesculap Ag | Compressed gas operated instrument, in particular a surgical instrument |
US7900805B2 (en) | 2007-01-10 | 2011-03-08 | Ethicon Endo-Surgery, Inc. | Surgical instrument with enhanced battery performance |
US7913891B2 (en) | 2008-02-14 | 2011-03-29 | Ethicon Endo-Surgery, Inc. | Disposable loading unit with user feedback features and surgical instrument for use therewith |
US7918230B2 (en) | 2007-09-21 | 2011-04-05 | Tyco Healthcare Group Lp | Surgical device having a rotatable jaw portion |
US7934630B2 (en) | 2005-08-31 | 2011-05-03 | Ethicon Endo-Surgery, Inc. | Staple cartridges for forming staples having differing formed staple heights |
US7951071B2 (en) | 1999-06-02 | 2011-05-31 | Tyco Healthcare Group Lp | Moisture-detecting shaft for use with an electro-mechanical surgical device |
US7954682B2 (en) | 2007-01-10 | 2011-06-07 | Ethicon Endo-Surgery, Inc. | Surgical instrument with elements to communicate between control unit and end effector |
US7959051B2 (en) | 2008-02-15 | 2011-06-14 | Ethicon Endo-Surgery, Inc. | Closure systems for a surgical cutting and stapling instrument |
US7963433B2 (en) | 2007-09-21 | 2011-06-21 | Tyco Healthcare Group Lp | Surgical device having multiple drivers |
US7980443B2 (en) | 2008-02-15 | 2011-07-19 | Ethicon Endo-Surgery, Inc. | End effectors for a surgical cutting and stapling instrument |
US8016855B2 (en) | 2002-01-08 | 2011-09-13 | Tyco Healthcare Group Lp | Surgical device |
US8020743B2 (en) | 2008-10-15 | 2011-09-20 | Ethicon Endo-Surgery, Inc. | Powered articulatable surgical cutting and fastening instrument with flexible drive member |
US8025199B2 (en) | 2004-02-23 | 2011-09-27 | Tyco Healthcare Group Lp | Surgical cutting and stapling device |
US8056787B2 (en) | 2007-03-28 | 2011-11-15 | Ethicon Endo-Surgery, Inc. | Surgical stapling and cutting instrument with travel-indicating retraction member |
US8141762B2 (en) | 2009-10-09 | 2012-03-27 | Ethicon Endo-Surgery, Inc. | Surgical stapler comprising a staple pocket |
US8157145B2 (en) | 2007-05-31 | 2012-04-17 | Ethicon Endo-Surgery, Inc. | Pneumatically powered surgical cutting and fastening instrument with electrical feedback |
US8161977B2 (en) | 2006-01-31 | 2012-04-24 | Ethicon Endo-Surgery, Inc. | Accessing data stored in a memory of a surgical instrument |
US8186555B2 (en) | 2006-01-31 | 2012-05-29 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting and fastening instrument with mechanical closure system |
US8196796B2 (en) | 2007-06-04 | 2012-06-12 | Ethicon Endo-Surgery, Inc. | Shaft based rotary drive system for surgical instruments |
US8215531B2 (en) | 2004-07-28 | 2012-07-10 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having a medical substance dispenser |
US8236010B2 (en) | 2006-03-23 | 2012-08-07 | Ethicon Endo-Surgery, Inc. | Surgical fastener and cutter with mimicking end effector |
JP2012171055A (en) * | 2011-02-22 | 2012-09-10 | Max Co Ltd | Gas combustion type driving tool |
US8267300B2 (en) | 2009-12-30 | 2012-09-18 | Ethicon Endo-Surgery, Inc. | Dampening device for endoscopic surgical stapler |
US8308040B2 (en) | 2007-06-22 | 2012-11-13 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with an articulatable end effector |
US8322455B2 (en) | 2006-06-27 | 2012-12-04 | Ethicon Endo-Surgery, Inc. | Manually driven surgical cutting and fastening instrument |
US8353439B2 (en) | 2009-11-19 | 2013-01-15 | Ethicon Endo-Surgery, Inc. | Circular stapler introducer with radially-openable distal end portion |
US8360296B2 (en) | 2010-09-09 | 2013-01-29 | Ethicon Endo-Surgery, Inc. | Surgical stapling head assembly with firing lockout for a surgical stapler |
US8371491B2 (en) | 2008-02-15 | 2013-02-12 | Ethicon Endo-Surgery, Inc. | Surgical end effector having buttress retention features |
US8393514B2 (en) | 2010-09-30 | 2013-03-12 | Ethicon Endo-Surgery, Inc. | Selectively orientable implantable fastener cartridge |
US8397971B2 (en) | 2009-02-05 | 2013-03-19 | Ethicon Endo-Surgery, Inc. | Sterilizable surgical instrument |
US8414577B2 (en) | 2009-02-05 | 2013-04-09 | Ethicon Endo-Surgery, Inc. | Surgical instruments and components for use in sterile environments |
US8424740B2 (en) | 2007-06-04 | 2013-04-23 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a directional switching mechanism |
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 |
US8453908B2 (en) | 2008-02-13 | 2013-06-04 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with improved firing trigger arrangement |
US8453914B2 (en) | 2009-12-24 | 2013-06-04 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting instrument with electric actuator directional control assembly |
US8453907B2 (en) | 2009-02-06 | 2013-06-04 | Ethicon Endo-Surgery, Inc. | Motor driven surgical fastener device with cutting member reversing mechanism |
US8459525B2 (en) | 2008-02-14 | 2013-06-11 | Ethicon Endo-Sugery, Inc. | Motorized surgical cutting and fastening instrument having a magnetic drive train torque limiting device |
US8459520B2 (en) | 2007-01-10 | 2013-06-11 | Ethicon Endo-Surgery, Inc. | Surgical instrument with wireless communication between control unit and remote sensor |
US8479969B2 (en) | 2007-01-10 | 2013-07-09 | Ethicon Endo-Surgery, Inc. | Drive interface for operably coupling a manipulatable surgical tool to a robot |
US8485413B2 (en) | 2009-02-05 | 2013-07-16 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument comprising an articulation joint |
US8517239B2 (en) | 2009-02-05 | 2013-08-27 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument comprising a magnetic element driver |
US8534528B2 (en) | 2007-06-04 | 2013-09-17 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a multiple rate directional switching mechanism |
US8540133B2 (en) | 2008-09-19 | 2013-09-24 | Ethicon Endo-Surgery, Inc. | Staple cartridge |
US8560426B2 (en) | 1994-11-21 | 2013-10-15 | Bgc Partners, Inc. | Methods and systems for retrieving data stored in database |
US8561870B2 (en) | 2008-02-13 | 2013-10-22 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument |
US8574246B1 (en) | 2004-06-25 | 2013-11-05 | Cardica, Inc. | Compliant anastomosis system utilizing suture |
US8573461B2 (en) | 2008-02-14 | 2013-11-05 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments with cam-driven staple deployment arrangements |
US8573465B2 (en) | 2008-02-14 | 2013-11-05 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical end effector system with rotary actuated closure systems |
US8584919B2 (en) | 2008-02-14 | 2013-11-19 | Ethicon Endo-Sugery, Inc. | Surgical stapling apparatus with load-sensitive firing mechanism |
US8602287B2 (en) | 2008-09-23 | 2013-12-10 | Ethicon Endo-Surgery, Inc. | Motor driven surgical cutting instrument |
US8602288B2 (en) | 2008-09-23 | 2013-12-10 | Ethicon Endo-Surgery. Inc. | Robotically-controlled motorized surgical end effector system with rotary actuated closure systems having variable actuation speeds |
US8608046B2 (en) | 2010-01-07 | 2013-12-17 | Ethicon Endo-Surgery, Inc. | Test device for a surgical tool |
US8608045B2 (en) | 2008-10-10 | 2013-12-17 | Ethicon Endo-Sugery, Inc. | Powered surgical cutting and stapling apparatus with manually retractable firing system |
US8616431B2 (en) | 2007-06-04 | 2013-12-31 | Ethicon Endo-Surgery, Inc. | Shiftable drive interface for robotically-controlled surgical tool |
US8622274B2 (en) | 2008-02-14 | 2014-01-07 | Ethicon Endo-Surgery, Inc. | Motorized cutting and fastening instrument having control circuit for optimizing battery usage |
US8632535B2 (en) | 2007-01-10 | 2014-01-21 | Ethicon Endo-Surgery, Inc. | Interlock and surgical instrument including same |
US8636736B2 (en) | 2008-02-14 | 2014-01-28 | Ethicon Endo-Surgery, Inc. | Motorized surgical cutting and fastening instrument |
US8657174B2 (en) | 2008-02-14 | 2014-02-25 | Ethicon Endo-Surgery, Inc. | Motorized surgical cutting and fastening instrument having handle based power source |
US8708213B2 (en) | 2006-01-31 | 2014-04-29 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a feedback system |
US8721630B2 (en) | 2006-03-23 | 2014-05-13 | Ethicon Endo-Surgery, Inc. | Methods and devices for controlling articulation |
US8740038B2 (en) | 2010-09-30 | 2014-06-03 | Ethicon Endo-Surgery, Inc. | Staple cartridge comprising a releasable portion |
US8747238B2 (en) | 2012-06-28 | 2014-06-10 | Ethicon Endo-Surgery, Inc. | Rotary drive shaft assemblies for surgical instruments with articulatable end effectors |
US8752749B2 (en) | 2008-02-14 | 2014-06-17 | Ethicon Endo-Surgery, Inc. | Robotically-controlled disposable motor-driven loading unit |
US8758391B2 (en) | 2008-02-14 | 2014-06-24 | Ethicon Endo-Surgery, Inc. | Interchangeable tools for surgical instruments |
US8763879B2 (en) | 2006-01-31 | 2014-07-01 | Ethicon Endo-Surgery, Inc. | Accessing data stored in a memory of surgical instrument |
US8783541B2 (en) | 2003-05-20 | 2014-07-22 | Frederick E. Shelton, IV | Robotically-controlled surgical end effector system |
US8789739B2 (en) | 2011-09-06 | 2014-07-29 | Ethicon Endo-Surgery, Inc. | Continuous stapling instrument |
US8789740B2 (en) | 2010-07-30 | 2014-07-29 | Ethicon Endo-Surgery, Inc. | Linear cutting and stapling device with selectively disengageable cutting member |
US8789741B2 (en) | 2010-09-24 | 2014-07-29 | Ethicon Endo-Surgery, Inc. | Surgical instrument with trigger assembly for generating multiple actuation motions |
US8800838B2 (en) | 2005-08-31 | 2014-08-12 | Ethicon Endo-Surgery, Inc. | Robotically-controlled cable-based surgical end effectors |
US8800841B2 (en) | 2011-03-15 | 2014-08-12 | Ethicon Endo-Surgery, Inc. | Surgical staple cartridges |
US8820603B2 (en) | 2006-01-31 | 2014-09-02 | Ethicon Endo-Surgery, Inc. | Accessing data stored in a memory of a surgical instrument |
US8844789B2 (en) | 2006-01-31 | 2014-09-30 | Ethicon Endo-Surgery, Inc. | Automated end effector component reloading system for use with a robotic system |
US8875972B2 (en) | 2008-02-15 | 2014-11-04 | Ethicon Endo-Surgery, Inc. | End effector coupling arrangements for a surgical cutting and stapling instrument |
US8893949B2 (en) | 2010-09-30 | 2014-11-25 | Ethicon Endo-Surgery, Inc. | Surgical stapler with floating anvil |
US8893946B2 (en) | 2007-03-28 | 2014-11-25 | Ethicon Endo-Surgery, Inc. | Laparoscopic tissue thickness and clamp load measuring devices |
US8905977B2 (en) | 2004-07-28 | 2014-12-09 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having an electroactive polymer actuated medical substance dispenser |
US8992422B2 (en) | 2006-03-23 | 2015-03-31 | Ethicon Endo-Surgery, Inc. | Robotically-controlled endoscopic accessory channel |
US9005230B2 (en) | 2008-09-23 | 2015-04-14 | Ethicon Endo-Surgery, Inc. | Motorized surgical instrument |
US9028494B2 (en) | 2012-06-28 | 2015-05-12 | Ethicon Endo-Surgery, Inc. | Interchangeable end effector coupling arrangement |
US9028519B2 (en) | 2008-09-23 | 2015-05-12 | Ethicon Endo-Surgery, Inc. | Motorized surgical instrument |
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 |
US9050084B2 (en) | 2011-09-23 | 2015-06-09 | Ethicon Endo-Surgery, Inc. | Staple cartridge including collapsible deck arrangement |
US9055941B2 (en) | 2011-09-23 | 2015-06-16 | Ethicon Endo-Surgery, Inc. | Staple cartridge including collapsible deck |
US9072535B2 (en) | 2011-05-27 | 2015-07-07 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments with rotatable staple deployment arrangements |
US9072536B2 (en) | 2012-06-28 | 2015-07-07 | Ethicon Endo-Surgery, Inc. | Differential locking arrangements for rotary powered surgical instruments |
US9078653B2 (en) | 2012-03-26 | 2015-07-14 | Ethicon Endo-Surgery, Inc. | Surgical stapling device with lockout system for preventing actuation in the absence of an installed staple cartridge |
US9101385B2 (en) | 2012-06-28 | 2015-08-11 | Ethicon Endo-Surgery, Inc. | Electrode connections for rotary driven surgical tools |
US9101358B2 (en) | 2012-06-15 | 2015-08-11 | Ethicon Endo-Surgery, Inc. | Articulatable surgical instrument comprising a firing drive |
US9113878B2 (en) | 2002-01-08 | 2015-08-25 | Covidien Lp | Pinion clip for right angle linear cutter |
US9119657B2 (en) | 2012-06-28 | 2015-09-01 | Ethicon Endo-Surgery, Inc. | Rotary actuatable closure arrangement for surgical end effector |
US9125662B2 (en) | 2012-06-28 | 2015-09-08 | Ethicon Endo-Surgery, Inc. | Multi-axis articulating and rotating surgical tools |
US9198662B2 (en) | 2012-03-28 | 2015-12-01 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator having improved visibility |
US9204880B2 (en) | 2012-03-28 | 2015-12-08 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator comprising capsules defining a low pressure environment |
US9204879B2 (en) | 2012-06-28 | 2015-12-08 | Ethicon Endo-Surgery, Inc. | Flexible drive member |
US9211120B2 (en) | 2011-04-29 | 2015-12-15 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator comprising a plurality of medicaments |
US9220500B2 (en) | 2010-09-30 | 2015-12-29 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator comprising structure to produce a resilient load |
US9220501B2 (en) | 2010-09-30 | 2015-12-29 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensators |
US9226751B2 (en) | 2012-06-28 | 2016-01-05 | Ethicon Endo-Surgery, Inc. | Surgical instrument system including replaceable end effectors |
US9232941B2 (en) | 2010-09-30 | 2016-01-12 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator comprising a reservoir |
US9237891B2 (en) | 2005-08-31 | 2016-01-19 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical stapling devices that produce formed staples having different lengths |
US9272406B2 (en) | 2010-09-30 | 2016-03-01 | Ethicon Endo-Surgery, Llc | Fastener cartridge comprising a cutting member for releasing a tissue thickness compensator |
US9282974B2 (en) | 2012-06-28 | 2016-03-15 | Ethicon Endo-Surgery, Llc | Empty clip cartridge lockout |
US9283054B2 (en) | 2013-08-23 | 2016-03-15 | Ethicon Endo-Surgery, Llc | Interactive displays |
US9282966B2 (en) | 2004-07-28 | 2016-03-15 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument |
US9289256B2 (en) | 2012-06-28 | 2016-03-22 | Ethicon Endo-Surgery, Llc | Surgical end effectors having angled tissue-contacting surfaces |
US9301752B2 (en) | 2010-09-30 | 2016-04-05 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator comprising a plurality of capsules |
US9307986B2 (en) | 2013-03-01 | 2016-04-12 | Ethicon Endo-Surgery, Llc | Surgical instrument soft stop |
US9307989B2 (en) | 2012-03-28 | 2016-04-12 | Ethicon Endo-Surgery, Llc | Tissue stapler having a thickness compensator incorportating a hydrophobic agent |
US9314246B2 (en) | 2010-09-30 | 2016-04-19 | Ethicon Endo-Surgery, Llc | Tissue stapler having a thickness compensator incorporating an anti-inflammatory agent |
US9320523B2 (en) | 2012-03-28 | 2016-04-26 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator comprising tissue ingrowth features |
US9332984B2 (en) | 2013-03-27 | 2016-05-10 | Ethicon Endo-Surgery, Llc | Fastener cartridge assemblies |
US9332987B2 (en) | 2013-03-14 | 2016-05-10 | Ethicon Endo-Surgery, Llc | Control arrangements for a drive member of a surgical instrument |
US9332974B2 (en) | 2010-09-30 | 2016-05-10 | Ethicon Endo-Surgery, Llc | Layered tissue thickness compensator |
US9345481B2 (en) | 2013-03-13 | 2016-05-24 | Ethicon Endo-Surgery, Llc | Staple cartridge tissue thickness sensor system |
US9358005B2 (en) | 2010-09-30 | 2016-06-07 | Ethicon Endo-Surgery, Llc | End effector layer including holding features |
US9364233B2 (en) | 2010-09-30 | 2016-06-14 | Ethicon Endo-Surgery, Llc | Tissue thickness compensators for circular surgical staplers |
US9386984B2 (en) | 2013-02-08 | 2016-07-12 | Ethicon Endo-Surgery, Llc | Staple cartridge comprising a releasable cover |
US9561038B2 (en) | 2012-06-28 | 2017-02-07 | Ethicon Endo-Surgery, Llc | Interchangeable clip applier |
US9566077B2 (en) | 2012-08-08 | 2017-02-14 | Aesculap Ag | Pneumatically actuatable surgical instrument |
US9572577B2 (en) | 2013-03-27 | 2017-02-21 | Ethicon Endo-Surgery, Llc | Fastener cartridge comprising a tissue thickness compensator including openings therein |
US9574644B2 (en) | 2013-05-30 | 2017-02-21 | Ethicon Endo-Surgery, Llc | Power module for use with a surgical instrument |
US9585657B2 (en) | 2008-02-15 | 2017-03-07 | Ethicon Endo-Surgery, Llc | Actuator for releasing a layer of material from a surgical end effector |
US9597075B2 (en) | 2010-07-30 | 2017-03-21 | Ethicon Endo-Surgery, Inc. | Tissue acquisition arrangements and methods for surgical stapling devices |
US9629814B2 (en) | 2010-09-30 | 2017-04-25 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator configured to redistribute compressive forces |
US9629629B2 (en) | 2013-03-14 | 2017-04-25 | Ethicon Endo-Surgey, LLC | Control systems for surgical instruments |
US9649110B2 (en) | 2013-04-16 | 2017-05-16 | Ethicon Llc | Surgical instrument comprising a closing drive and a firing drive operated from the same rotatable output |
US9690362B2 (en) | 2014-03-26 | 2017-06-27 | Ethicon Llc | Surgical instrument control circuit having a safety processor |
US9693777B2 (en) | 2014-02-24 | 2017-07-04 | Ethicon Llc | Implantable layers comprising a pressed region |
US20170189027A1 (en) * | 2014-07-01 | 2017-07-06 | Covidien Lp | Composite Drive Beam for Surgical Stapling |
US9707005B2 (en) | 2014-02-14 | 2017-07-18 | Ethicon Llc | Lockout mechanisms for surgical devices |
US9724094B2 (en) | 2014-09-05 | 2017-08-08 | Ethicon Llc | Adjunct with integrated sensors to quantify tissue compression |
US9724098B2 (en) | 2012-03-28 | 2017-08-08 | Ethicon Endo-Surgery, Llc | Staple cartridge comprising an implantable layer |
US9743929B2 (en) | 2014-03-26 | 2017-08-29 | Ethicon Llc | Modular powered surgical instrument with detachable shaft assemblies |
US20170281174A1 (en) * | 2016-04-01 | 2017-10-05 | Ethicon Endo-Surgery, Llc | Circular stapling system comprising load control |
US9795384B2 (en) | 2013-03-27 | 2017-10-24 | Ethicon Llc | Fastener cartridge comprising a tissue thickness compensator and a gap setting element |
US9795382B2 (en) | 2005-08-31 | 2017-10-24 | Ethicon Llc | Fastener cartridge assembly comprising a cam and driver arrangement |
US9801628B2 (en) | 2014-09-26 | 2017-10-31 | Ethicon Llc | Surgical staple and driver arrangements for staple cartridges |
US9808246B2 (en) | 2015-03-06 | 2017-11-07 | Ethicon Endo-Surgery, Llc | Method of operating a powered surgical instrument |
US9814462B2 (en) | 2010-09-30 | 2017-11-14 | Ethicon Llc | Assembly for fastening tissue comprising a compressible layer |
US9820738B2 (en) | 2014-03-26 | 2017-11-21 | Ethicon Llc | Surgical instrument comprising interactive systems |
US9826978B2 (en) | 2010-09-30 | 2017-11-28 | Ethicon Llc | End effectors with same side closure and firing motions |
US9833241B2 (en) | 2014-04-16 | 2017-12-05 | Ethicon Llc | Surgical fastener cartridges with driver stabilizing arrangements |
US9844375B2 (en) | 2014-12-18 | 2017-12-19 | Ethicon Llc | Drive arrangements for articulatable surgical instruments |
US9844376B2 (en) | 2014-11-06 | 2017-12-19 | Ethicon Llc | Staple cartridge comprising a releasable adjunct material |
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 |
US9861359B2 (en) | 2006-01-31 | 2018-01-09 | Ethicon Llc | Powered surgical instruments with firing system lockout arrangements |
US9895147B2 (en) | 2005-11-09 | 2018-02-20 | Ethicon Llc | End effectors for surgical staplers |
US9895148B2 (en) | 2015-03-06 | 2018-02-20 | Ethicon Endo-Surgery, Llc | Monitoring speed control and precision incrementing of motor for powered surgical instruments |
US9901342B2 (en) | 2015-03-06 | 2018-02-27 | Ethicon Endo-Surgery, Llc | Signal and power communication system positioned on a rotatable shaft |
US9913642B2 (en) | 2014-03-26 | 2018-03-13 | Ethicon Llc | Surgical instrument comprising a sensor system |
US9924944B2 (en) | 2014-10-16 | 2018-03-27 | Ethicon Llc | Staple cartridge comprising an adjunct material |
US9924961B2 (en) | 2015-03-06 | 2018-03-27 | Ethicon Endo-Surgery, Llc | Interactive feedback system for powered surgical instruments |
US9931118B2 (en) | 2015-02-27 | 2018-04-03 | Ethicon Endo-Surgery, Llc | Reinforced battery for a surgical instrument |
US9943309B2 (en) | 2014-12-18 | 2018-04-17 | Ethicon Llc | Surgical instruments with articulatable end effectors and movable firing beam support arrangements |
US9962161B2 (en) | 2014-02-12 | 2018-05-08 | Ethicon Llc | Deliverable surgical instrument |
US9987067B2 (en) | 2012-07-11 | 2018-06-05 | Zimmer, Inc. | Bone fixation tool |
US9987000B2 (en) | 2014-12-18 | 2018-06-05 | Ethicon Llc | Surgical instrument assembly comprising a flexible articulation system |
US9993258B2 (en) | 2015-02-27 | 2018-06-12 | Ethicon Llc | Adaptable surgical instrument handle |
US9993248B2 (en) | 2015-03-06 | 2018-06-12 | Ethicon Endo-Surgery, Llc | Smart sensors with local signal processing |
US10004498B2 (en) | 2006-01-31 | 2018-06-26 | Ethicon Llc | Surgical instrument comprising a plurality of articulation joints |
US10045776B2 (en) | 2015-03-06 | 2018-08-14 | Ethicon Llc | Control techniques and sub-processor contained within modular shaft with select control processing from handle |
US10045781B2 (en) | 2014-06-13 | 2018-08-14 | Ethicon Llc | Closure lockout systems for surgical instruments |
US10052102B2 (en) | 2015-06-18 | 2018-08-21 | Ethicon Llc | Surgical end effectors with dual cam actuated jaw closing features |
US10052044B2 (en) | 2015-03-06 | 2018-08-21 | Ethicon Llc | Time dependent evaluation of sensor data to determine stability, creep, and viscoelastic elements of measures |
US10076326B2 (en) | 2015-09-23 | 2018-09-18 | Ethicon Llc | Surgical stapler having current mirror-based motor control |
US10076325B2 (en) | 2014-10-13 | 2018-09-18 | Ethicon Llc | Surgical stapling apparatus comprising a tissue stop |
US10085748B2 (en) | 2014-12-18 | 2018-10-02 | Ethicon Llc | Locking arrangements for detachable shaft assemblies with articulatable surgical end effectors |
US10085751B2 (en) | 2015-09-23 | 2018-10-02 | Ethicon Llc | Surgical stapler having temperature-based motor control |
US10092292B2 (en) | 2013-02-28 | 2018-10-09 | Ethicon Llc | Staple forming features for surgical stapling instrument |
US10098642B2 (en) | 2015-08-26 | 2018-10-16 | Ethicon Llc | Surgical staples comprising features for improved fastening of tissue |
US10105139B2 (en) | 2015-09-23 | 2018-10-23 | Ethicon Llc | Surgical stapler having downstream current-based motor control |
US10117649B2 (en) | 2014-12-18 | 2018-11-06 | Ethicon Llc | Surgical instrument assembly comprising a lockable articulation system |
US10130359B2 (en) | 2006-09-29 | 2018-11-20 | Ethicon Llc | Method for forming a staple |
US10172620B2 (en) | 2015-09-30 | 2019-01-08 | Ethicon Llc | Compressible adjuncts with bonding nodes |
US10172619B2 (en) | 2015-09-02 | 2019-01-08 | Ethicon Llc | Surgical staple driver arrays |
US10179017B2 (en) | 2014-04-03 | 2019-01-15 | Zimmer, Inc. | Orthopedic tool for bone fixation |
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 |
US10188385B2 (en) | 2014-12-18 | 2019-01-29 | Ethicon Llc | Surgical instrument system comprising lockable systems |
US10211586B2 (en) | 2017-06-28 | 2019-02-19 | Ethicon Llc | Surgical shaft assemblies with watertight housings |
US10206676B2 (en) | 2008-02-14 | 2019-02-19 | Ethicon Llc | Surgical cutting and fastening instrument |
US10213201B2 (en) | 2015-03-31 | 2019-02-26 | Ethicon Llc | Stapling end effector configured to compensate for an uneven gap between a first jaw and a second jaw |
US10226249B2 (en) | 2013-03-01 | 2019-03-12 | Ethicon Llc | Articulatable surgical instruments with conductive pathways for signal communication |
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 |
US10245030B2 (en) | 2016-02-09 | 2019-04-02 | Ethicon Llc | Surgical instruments with tensioning arrangements for cable driven articulation systems |
US10245033B2 (en) | 2015-03-06 | 2019-04-02 | Ethicon Llc | Surgical instrument comprising a lockable battery housing |
US10258418B2 (en) | 2017-06-29 | 2019-04-16 | Ethicon Llc | System for controlling articulation forces |
US10258331B2 (en) | 2016-02-12 | 2019-04-16 | Ethicon Llc | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US10265068B2 (en) | 2015-12-30 | 2019-04-23 | Ethicon Llc | Surgical instruments with separable motors and motor control circuits |
US10265065B2 (en) | 2013-12-23 | 2019-04-23 | Ethicon Llc | Surgical staples and staple cartridges |
US10271849B2 (en) | 2015-09-30 | 2019-04-30 | Ethicon Llc | Woven constructs with interlocked standing fibers |
USD847989S1 (en) | 2016-06-24 | 2019-05-07 | Ethicon Llc | Surgical fastener cartridge |
US10285705B2 (en) | 2016-04-01 | 2019-05-14 | Ethicon Llc | Surgical stapling system comprising a grooved forming pocket |
US10292704B2 (en) | 2015-12-30 | 2019-05-21 | Ethicon Llc | Mechanisms for compensating for battery pack failure in powered surgical instruments |
US10299878B2 (en) | 2015-09-25 | 2019-05-28 | Ethicon Llc | Implantable adjunct systems for determining adjunct skew |
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 |
USD850617S1 (en) | 2016-06-24 | 2019-06-04 | Ethicon Llc | Surgical fastener cartridge |
US10307159B2 (en) | 2016-04-01 | 2019-06-04 | Ethicon Llc | Surgical instrument handle assembly with reconfigurable grip portion |
USD851762S1 (en) | 2017-06-28 | 2019-06-18 | Ethicon Llc | Anvil |
US10327769B2 (en) | 2015-09-23 | 2019-06-25 | Ethicon Llc | Surgical stapler having motor control based on a drive system component |
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 |
US10335145B2 (en) | 2016-04-15 | 2019-07-02 | Ethicon Llc | Modular surgical instrument with configurable operating mode |
USD854151S1 (en) | 2017-06-28 | 2019-07-16 | Ethicon Llc | Surgical instrument shaft |
US10357247B2 (en) | 2016-04-15 | 2019-07-23 | Ethicon Llc | Surgical instrument with multiple program responses during a firing motion |
US10363037B2 (en) | 2016-04-18 | 2019-07-30 | Ethicon Llc | Surgical instrument system comprising a magnetic lockout |
US10363036B2 (en) | 2015-09-23 | 2019-07-30 | Ethicon Llc | Surgical stapler having force-based motor control |
US10368865B2 (en) | 2015-12-30 | 2019-08-06 | Ethicon Llc | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US10368864B2 (en) | 2017-06-20 | 2019-08-06 | Ethicon Llc | Systems and methods for controlling displaying motor 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 |
US10398434B2 (en) | 2017-06-29 | 2019-09-03 | Ethicon Llc | Closed loop velocity control of closure member for robotic surgical instrument |
US10405859B2 (en) | 2016-04-15 | 2019-09-10 | Ethicon Llc | Surgical instrument with adjustable stop/start control during a firing motion |
US10413294B2 (en) | 2012-06-28 | 2019-09-17 | Ethicon Llc | Shaft assembly arrangements for surgical instruments |
US10426467B2 (en) | 2016-04-15 | 2019-10-01 | Ethicon Llc | Surgical instrument with detection sensors |
US10426471B2 (en) | 2016-12-21 | 2019-10-01 | Ethicon Llc | Surgical instrument with multiple failure response modes |
US10426481B2 (en) | 2014-02-24 | 2019-10-01 | Ethicon Llc | Implantable layer assemblies |
WO2019199991A1 (en) * | 2018-04-14 | 2019-10-17 | Muhammad Anwar | Device and method for making vertical mattress sutures with surgical staples |
US10448949B2 (en) | 2015-08-06 | 2019-10-22 | Applied Medical Resources Corporation | Surgical stapler having locking articulation joint |
US10448948B2 (en) | 2016-02-12 | 2019-10-22 | Ethicon Llc | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US10448950B2 (en) | 2016-12-21 | 2019-10-22 | Ethicon Llc | Surgical staplers with independently actuatable closing and firing systems |
US10456137B2 (en) | 2016-04-15 | 2019-10-29 | Ethicon Llc | Staple formation detection mechanisms |
US10485543B2 (en) | 2016-12-21 | 2019-11-26 | Ethicon Llc | Anvil having a knife slot width |
US10492783B2 (en) | 2016-04-15 | 2019-12-03 | Ethicon, Llc | Surgical instrument with improved stop/start control during a firing motion |
US10492785B2 (en) | 2016-12-21 | 2019-12-03 | Ethicon Llc | Shaft assembly comprising a lockout |
USD869655S1 (en) | 2017-06-28 | 2019-12-10 | Ethicon Llc | Surgical fastener cartridge |
US10499914B2 (en) | 2016-12-21 | 2019-12-10 | Ethicon Llc | Staple forming pocket arrangements |
US10517594B2 (en) | 2014-10-29 | 2019-12-31 | Ethicon Llc | Cartridge assemblies for surgical staplers |
US10517596B2 (en) | 2016-12-21 | 2019-12-31 | Ethicon Llc | Articulatable surgical instruments with articulation stroke amplification features |
US10517597B2 (en) | 2016-04-12 | 2019-12-31 | Applied Medical Resources Corporation | Surgical stapler having articulation mechanism |
US10537325B2 (en) | 2016-12-21 | 2020-01-21 | Ethicon Llc | Staple forming pocket arrangement to accommodate different types of staples |
US10537324B2 (en) | 2016-12-21 | 2020-01-21 | Ethicon Llc | Stepped staple cartridge with asymmetrical staples |
US10542979B2 (en) | 2016-06-24 | 2020-01-28 | Ethicon Llc | Stamped staples and staple cartridges using the same |
US10568652B2 (en) | 2006-09-29 | 2020-02-25 | Ethicon Llc | Surgical staples having attached drivers of different heights and stapling instruments for deploying the same |
US10568626B2 (en) | 2016-12-21 | 2020-02-25 | Ethicon Llc | Surgical instruments with jaw opening features for increasing a jaw opening distance |
US10568625B2 (en) | 2016-12-21 | 2020-02-25 | Ethicon Llc | Staple cartridges and arrangements of staples and staple cavities therein |
US10575868B2 (en) | 2013-03-01 | 2020-03-03 | Ethicon Llc | Surgical instrument with coupler assembly |
US10588634B2 (en) * | 2017-07-11 | 2020-03-17 | Aesculap Ag | Surgical stapler cartridge loading and unloading |
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 |
US10588612B2 (en) | 2011-03-14 | 2020-03-17 | Ethicon Llc | Collapsible anvil plate assemblies for circular surgical stapling devices |
US10588632B2 (en) | 2016-12-21 | 2020-03-17 | Ethicon Llc | Surgical end effectors and firing members thereof |
US10595866B2 (en) | 2013-03-15 | 2020-03-24 | Applied Medical Resources Corporation | Surgical stapler handle assembly having actuation mechanism with longitudinally rotatable shaft |
USD879809S1 (en) | 2017-06-20 | 2020-03-31 | Ethicon Llc | Display panel with changeable graphical user interface |
USD879808S1 (en) | 2017-06-20 | 2020-03-31 | Ethicon Llc | Display panel with graphical user interface |
US10610225B2 (en) | 2016-04-12 | 2020-04-07 | Applied Medical Resources Corporation | Surgical stapler having a powered handle |
US10617418B2 (en) | 2015-08-17 | 2020-04-14 | Ethicon Llc | Implantable layers for a surgical instrument |
US10617412B2 (en) | 2015-03-06 | 2020-04-14 | Ethicon Llc | System for detecting the mis-insertion of a staple cartridge into a surgical stapler |
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 |
US10624633B2 (en) | 2017-06-20 | 2020-04-21 | Ethicon Llc | Systems and methods for controlling motor velocity of a surgical stapling and cutting instrument |
US10631859B2 (en) | 2017-06-27 | 2020-04-28 | Ethicon Llc | Articulation systems for surgical instruments |
US10646220B2 (en) | 2017-06-20 | 2020-05-12 | Ethicon Llc | Systems and methods for controlling displacement member velocity for a surgical instrument |
US10667809B2 (en) | 2016-12-21 | 2020-06-02 | Ethicon Llc | Staple cartridge and staple cartridge channel comprising windows defined therein |
US10675028B2 (en) | 2006-01-31 | 2020-06-09 | Ethicon Llc | Powered surgical instruments with firing system lockout arrangements |
US10682134B2 (en) | 2017-12-21 | 2020-06-16 | Ethicon Llc | Continuous use self-propelled stapling instrument |
US10687806B2 (en) | 2015-03-06 | 2020-06-23 | Ethicon Llc | Adaptive tissue compression techniques to adjust closure rates for multiple tissue types |
US10687813B2 (en) | 2017-12-15 | 2020-06-23 | Ethicon Llc | Adapters with firing stroke sensing arrangements for use in connection with electromechanical surgical instruments |
US10687810B2 (en) | 2016-12-21 | 2020-06-23 | Ethicon Llc | Stepped staple cartridge with tissue retention and gap setting features |
US10695062B2 (en) | 2010-10-01 | 2020-06-30 | Ethicon Llc | Surgical instrument including a retractable firing member |
USD890784S1 (en) | 2017-06-20 | 2020-07-21 | Ethicon Llc | Display panel with changeable graphical user interface |
US10716614B2 (en) | 2017-06-28 | 2020-07-21 | Ethicon Llc | Surgical shaft assemblies with slip ring assemblies with increased contact pressure |
US10716565B2 (en) | 2017-12-19 | 2020-07-21 | Ethicon Llc | Surgical instruments with dual articulation drivers |
US10729509B2 (en) | 2017-12-19 | 2020-08-04 | Ethicon Llc | Surgical instrument comprising closure and firing locking mechanism |
US10729501B2 (en) | 2017-09-29 | 2020-08-04 | Ethicon Llc | Systems and methods for language selection of a surgical instrument |
US10736636B2 (en) | 2014-12-10 | 2020-08-11 | Ethicon Llc | Articulatable surgical instrument system |
US10743874B2 (en) | 2017-12-15 | 2020-08-18 | Ethicon Llc | Sealed adapters for use with electromechanical surgical instruments |
US10743872B2 (en) | 2017-09-29 | 2020-08-18 | Ethicon Llc | System and methods for controlling a display of a surgical instrument |
US10743875B2 (en) | 2017-12-15 | 2020-08-18 | Ethicon Llc | Surgical end effectors with jaw stiffener arrangements configured to permit monitoring of firing member |
USD894389S1 (en) | 2016-06-24 | 2020-08-25 | Ethicon Llc | Surgical fastener |
US10758230B2 (en) | 2016-12-21 | 2020-09-01 | Ethicon Llc | Surgical instrument with primary and safety processors |
US10758229B2 (en) | 2016-12-21 | 2020-09-01 | Ethicon Llc | Surgical instrument comprising improved jaw control |
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 |
US10765427B2 (en) | 2017-06-28 | 2020-09-08 | Ethicon Llc | Method for articulating a surgical instrument |
US10772629B2 (en) | 2017-06-27 | 2020-09-15 | Ethicon Llc | Surgical anvil arrangements |
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 |
US10779826B2 (en) | 2017-12-15 | 2020-09-22 | Ethicon Llc | Methods of operating surgical end effectors |
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 |
US10779824B2 (en) | 2017-06-28 | 2020-09-22 | Ethicon Llc | Surgical instrument comprising an articulation system lockable by a closure system |
US10779903B2 (en) | 2017-10-31 | 2020-09-22 | Ethicon Llc | Positive shaft rotation lock activated by jaw closure |
US10779821B2 (en) | 2018-08-20 | 2020-09-22 | Ethicon Llc | Surgical stapler anvils with tissue stop features configured to avoid tissue pinch |
US10796471B2 (en) | 2017-09-29 | 2020-10-06 | Ethicon Llc | Systems and methods of displaying a knife position for a surgical instrument |
US10792038B2 (en) | 2014-09-15 | 2020-10-06 | Applied Medical Resources Corporation | Surgical stapler with self-adjusting staple height |
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 |
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 |
US10828028B2 (en) | 2016-04-15 | 2020-11-10 | Ethicon Llc | Surgical instrument with multiple program responses during a firing motion |
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 |
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 |
US10842490B2 (en) | 2017-10-31 | 2020-11-24 | Ethicon Llc | Cartridge body design with force reduction based on firing completion |
US10856869B2 (en) | 2017-06-27 | 2020-12-08 | Ethicon Llc | Surgical anvil arrangements |
US10856870B2 (en) | 2018-08-20 | 2020-12-08 | Ethicon Llc | Switching arrangements for motor powered articulatable surgical instruments |
US10869666B2 (en) | 2017-12-15 | 2020-12-22 | Ethicon Llc | Adapters with control systems for controlling multiple motors of an electromechanical surgical instrument |
USD906355S1 (en) | 2017-06-28 | 2020-12-29 | Ethicon Llc | Display screen or portion thereof with a graphical user interface for a surgical instrument |
US10881399B2 (en) | 2017-06-20 | 2021-01-05 | Ethicon Llc | Techniques for adaptive control of motor velocity of a surgical stapling and cutting instrument |
US10881396B2 (en) | 2017-06-20 | 2021-01-05 | Ethicon Llc | Surgical instrument with variable duration trigger arrangement |
US20210000485A1 (en) * | 2013-03-15 | 2021-01-07 | Teleflex Life Sciences Limited | Drivers and drive systems |
USD907648S1 (en) | 2017-09-29 | 2021-01-12 | Ethicon Llc | Display screen or portion thereof with animated graphical user interface |
US10888321B2 (en) | 2017-06-20 | 2021-01-12 | Ethicon Llc | Systems and methods for controlling velocity of a displacement member of a surgical stapling and cutting instrument |
US10888326B2 (en) | 2013-03-15 | 2021-01-12 | Applied Medical Resources Corporation | Surgical stapler with expandable jaw |
USD907647S1 (en) | 2017-09-29 | 2021-01-12 | Ethicon Llc | Display screen or portion thereof with animated graphical user interface |
US10903685B2 (en) | 2017-06-28 | 2021-01-26 | Ethicon Llc | Surgical shaft assemblies with slip ring assemblies forming capacitive channels |
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 |
US10905420B2 (en) | 2016-04-12 | 2021-02-02 | Applied Medical Resources Corporation | Reload shaft assembly for surgical stapler |
US10912559B2 (en) | 2018-08-20 | 2021-02-09 | Ethicon Llc | Reinforced deformable anvil tip for surgical stapler anvil |
USD910847S1 (en) | 2017-12-19 | 2021-02-16 | Ethicon Llc | Surgical instrument assembly |
US10925599B2 (en) | 2013-12-23 | 2021-02-23 | Ethicon Llc | Modular surgical instruments |
US10932772B2 (en) | 2017-06-29 | 2021-03-02 | Ethicon Llc | Methods for closed loop velocity control for robotic surgical instrument |
US10945731B2 (en) | 2010-09-30 | 2021-03-16 | Ethicon Llc | Tissue thickness compensator comprising controlled release and expansion |
US10945727B2 (en) | 2016-12-21 | 2021-03-16 | Ethicon Llc | Staple cartridge with deformable driver retention features |
USD914878S1 (en) | 2018-08-20 | 2021-03-30 | Ethicon Llc | Surgical instrument anvil |
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 |
US10966704B2 (en) | 2016-11-09 | 2021-04-06 | Biomet Sports Medicine, Llc | Methods and systems for stitching soft tissue to bone |
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 |
US10980539B2 (en) | 2015-09-30 | 2021-04-20 | Ethicon Llc | Implantable adjunct comprising bonded layers |
USD917500S1 (en) | 2017-09-29 | 2021-04-27 | Ethicon Llc | Display screen or portion thereof with graphical user interface |
US10987102B2 (en) | 2010-09-30 | 2021-04-27 | Ethicon Llc | Tissue thickness compensator comprising a plurality of layers |
US10993716B2 (en) | 2017-06-27 | 2021-05-04 | Ethicon Llc | Surgical anvil arrangements |
US10993715B2 (en) | 2016-12-21 | 2021-05-04 | Ethicon Llc | Staple cartridge comprising staples with different clamping breadths |
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 |
US11007022B2 (en) | 2017-06-29 | 2021-05-18 | Ethicon Llc | Closed loop velocity control techniques based on sensed tissue parameters for robotic surgical instrument |
US11020112B2 (en) | 2017-12-19 | 2021-06-01 | Ethicon Llc | Surgical tools configured for interchangeable use with different controller interfaces |
US11020117B2 (en) | 2014-06-11 | 2021-06-01 | Applied Medical Resources Corporation | Surgical stapler with circumferential firing |
US11020109B2 (en) | 2013-12-23 | 2021-06-01 | Ethicon Llc | Surgical stapling assembly for use with a powered surgical interface |
US11033267B2 (en) | 2017-12-15 | 2021-06-15 | Ethicon Llc | Systems and methods of controlling a clamping member firing rate of a surgical instrument |
US11039834B2 (en) | 2018-08-20 | 2021-06-22 | Cilag Gmbh International | Surgical stapler anvils with staple directing protrusions and tissue stability features |
US11039836B2 (en) | 2007-01-11 | 2021-06-22 | Cilag Gmbh International | Staple cartridge for use with a surgical stapling instrument |
US11045270B2 (en) | 2017-12-19 | 2021-06-29 | Cilag Gmbh International | Robotic attachment comprising exterior drive actuator |
US11045192B2 (en) | 2018-08-20 | 2021-06-29 | Cilag Gmbh International | Fabricating techniques for surgical stapler anvils |
US11051812B2 (en) | 2013-03-14 | 2021-07-06 | Applied Medical Resources Corporation | Surgical stapler with partial pockets |
US11051813B2 (en) | 2006-01-31 | 2021-07-06 | Cilag Gmbh International | Powered surgical instruments with firing system lockout arrangements |
US11051807B2 (en) | 2019-06-28 | 2021-07-06 | Cilag Gmbh International | Packaging assembly including a particulate trap |
US11064999B2 (en) | 2018-02-27 | 2021-07-20 | Applied Medical Resources Corporation | Surgical stapler having a powered handle |
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 |
US11071543B2 (en) | 2017-12-15 | 2021-07-27 | Cilag Gmbh International | Surgical end effectors with clamping assemblies configured to increase jaw aperture ranges |
US11071545B2 (en) | 2014-09-05 | 2021-07-27 | Cilag Gmbh International | Smart cartridge wake up operation and data retention |
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 |
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 |
US11090075B2 (en) | 2017-10-30 | 2021-08-17 | Cilag Gmbh International | Articulation features for surgical end effector |
US11090046B2 (en) | 2017-06-20 | 2021-08-17 | Cilag Gmbh International | Systems and methods for controlling displacement member motion of a surgical stapling and cutting instrument |
US11123065B2 (en) | 2013-12-23 | 2021-09-21 | Cilag Gmbh International | Surgical cutting and stapling instruments with independent jaw control features |
US11133106B2 (en) | 2013-08-23 | 2021-09-28 | Cilag Gmbh International | Surgical instrument assembly comprising a retraction assembly |
US11129680B2 (en) | 2017-12-21 | 2021-09-28 | Cilag Gmbh International | Surgical instrument comprising a projector |
US11134944B2 (en) | 2017-10-30 | 2021-10-05 | Cilag Gmbh International | Surgical stapler knife motion controls |
US11134942B2 (en) | 2016-12-21 | 2021-10-05 | Cilag Gmbh International | Surgical stapling instruments and staple-forming anvils |
US11141153B2 (en) | 2014-10-29 | 2021-10-12 | Cilag Gmbh International | Staple cartridges comprising driver arrangements |
US11147553B2 (en) | 2019-03-25 | 2021-10-19 | Cilag Gmbh International | Firing drive arrangements for surgical systems |
US11147551B2 (en) | 2019-03-25 | 2021-10-19 | Cilag Gmbh International | Firing drive arrangements for surgical systems |
US11154301B2 (en) | 2015-02-27 | 2021-10-26 | Cilag Gmbh International | Modular stapling assembly |
US11172929B2 (en) | 2019-03-25 | 2021-11-16 | Cilag Gmbh International | Articulation drive arrangements for surgical systems |
US11179150B2 (en) | 2016-04-15 | 2021-11-23 | Cilag Gmbh International | Systems and methods for controlling a surgical stapling and cutting 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 |
US11197671B2 (en) | 2012-06-28 | 2021-12-14 | Cilag Gmbh International | Stapling assembly comprising a lockout |
US11202633B2 (en) | 2014-09-26 | 2021-12-21 | Cilag Gmbh International | Surgical stapling buttresses and adjunct materials |
US11207065B2 (en) | 2018-08-20 | 2021-12-28 | Cilag Gmbh International | Method for fabricating surgical stapler anvils |
US11207064B2 (en) | 2011-05-27 | 2021-12-28 | Cilag Gmbh International | Automated end effector component reloading system for use with a robotic system |
US11213295B2 (en) | 2015-09-02 | 2022-01-04 | Cilag Gmbh International | Surgical staple configurations with camming surfaces located between portions supporting surgical staples |
US11213293B2 (en) | 2016-02-09 | 2022-01-04 | Cilag Gmbh International | Articulatable surgical instruments with single articulation link arrangements |
US11219456B2 (en) | 2015-08-26 | 2022-01-11 | Cilag Gmbh International | Surgical staple strips for permitting varying staple properties and enabling easy cartridge loading |
US11219455B2 (en) | 2019-06-28 | 2022-01-11 | Cilag Gmbh International | Surgical instrument including a lockout key |
US11224428B2 (en) | 2016-12-21 | 2022-01-18 | Cilag Gmbh International | Surgical stapling systems |
US11224497B2 (en) | 2019-06-28 | 2022-01-18 | Cilag Gmbh International | Surgical systems with multiple RFID tags |
US11224427B2 (en) | 2006-01-31 | 2022-01-18 | Cilag Gmbh International | Surgical stapling system including a console and retraction assembly |
US11224426B2 (en) | 2016-02-12 | 2022-01-18 | Cilag Gmbh International | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US11229437B2 (en) | 2019-06-28 | 2022-01-25 | Cilag Gmbh International | Method for authenticating the compatibility of a staple cartridge with a surgical instrument |
US11234698B2 (en) | 2019-12-19 | 2022-02-01 | Cilag Gmbh International | Stapling system comprising a clamp lockout and a firing lockout |
US11241230B2 (en) | 2012-06-28 | 2022-02-08 | Cilag Gmbh International | Clip applier tool for use with a robotic surgical system |
US11246592B2 (en) | 2017-06-28 | 2022-02-15 | Cilag Gmbh International | Surgical instrument comprising an articulation system lockable to a frame |
US11246678B2 (en) | 2019-06-28 | 2022-02-15 | Cilag Gmbh International | Surgical stapling system having a frangible RFID tag |
US11246590B2 (en) | 2005-08-31 | 2022-02-15 | Cilag Gmbh International | Staple cartridge including staple drivers having different unfired heights |
US11253254B2 (en) | 2019-04-30 | 2022-02-22 | Cilag Gmbh International | Shaft rotation actuator on a surgical instrument |
US11253256B2 (en) | 2018-08-20 | 2022-02-22 | Cilag Gmbh International | Articulatable motor powered surgical instruments with dedicated articulation motor arrangements |
US11259803B2 (en) | 2019-06-28 | 2022-03-01 | Cilag Gmbh International | Surgical stapling system having an information encryption protocol |
US11259799B2 (en) | 2014-03-26 | 2022-03-01 | Cilag Gmbh International | Interface systems for use with surgical instruments |
US11259805B2 (en) | 2017-06-28 | 2022-03-01 | Cilag Gmbh International | Surgical instrument comprising firing member supports |
US11266405B2 (en) | 2017-06-27 | 2022-03-08 | Cilag Gmbh International | Surgical anvil manufacturing methods |
US11266409B2 (en) | 2014-04-16 | 2022-03-08 | Cilag Gmbh International | Fastener cartridge comprising a sled including longitudinally-staggered ramps |
US11272927B2 (en) | 2008-02-15 | 2022-03-15 | Cilag Gmbh International | Layer arrangements for surgical staple cartridges |
US11278279B2 (en) | 2006-01-31 | 2022-03-22 | Cilag Gmbh International | Surgical instrument assembly |
US11284898B2 (en) | 2014-09-18 | 2022-03-29 | Cilag Gmbh International | Surgical instrument including a deployable knife |
US11284890B2 (en) | 2016-04-01 | 2022-03-29 | Cilag Gmbh International | Circular stapling system comprising an incisable tissue support |
US11291449B2 (en) | 2009-12-24 | 2022-04-05 | Cilag Gmbh International | Surgical cutting instrument that analyzes tissue thickness |
US11291440B2 (en) | 2018-08-20 | 2022-04-05 | Cilag Gmbh International | Method for operating a powered articulatable surgical instrument |
US11291451B2 (en) | 2019-06-28 | 2022-04-05 | Cilag Gmbh International | Surgical instrument with battery compatibility verification functionality |
US11291441B2 (en) | 2007-01-10 | 2022-04-05 | Cilag Gmbh International | Surgical instrument with wireless communication between control unit and remote sensor |
US11291447B2 (en) | 2019-12-19 | 2022-04-05 | Cilag Gmbh International | Stapling instrument comprising independent jaw closing and staple firing systems |
US11298132B2 (en) | 2019-06-28 | 2022-04-12 | Cilag GmbH Inlernational | Staple cartridge including a honeycomb extension |
US11298125B2 (en) | 2010-09-30 | 2022-04-12 | Cilag Gmbh International | Tissue stapler having a thickness compensator |
US11298127B2 (en) | 2019-06-28 | 2022-04-12 | Cilag GmbH Interational | Surgical stapling system having a lockout mechanism for an incompatible cartridge |
US11304696B2 (en) | 2019-12-19 | 2022-04-19 | Cilag Gmbh International | Surgical instrument comprising a powered articulation system |
US11304702B2 (en) | 2013-09-13 | 2022-04-19 | Cilag Gmbh International | Surgical clip having compliant portion |
US11304695B2 (en) | 2017-08-03 | 2022-04-19 | Cilag Gmbh International | Surgical system shaft interconnection |
US11311290B2 (en) | 2017-12-21 | 2022-04-26 | Cilag Gmbh International | Surgical instrument comprising an end effector dampener |
US11311293B2 (en) | 2019-02-27 | 2022-04-26 | Applied Medical Resources Corporation | Surgical stapling instrument having a two-position lockout mechanism |
US11311294B2 (en) | 2014-09-05 | 2022-04-26 | Cilag Gmbh International | Powered medical device including measurement of closure state of jaws |
US11317913B2 (en) | 2016-12-21 | 2022-05-03 | Cilag Gmbh International | Lockout arrangements for surgical end effectors and replaceable tool assemblies |
US11317917B2 (en) | 2016-04-18 | 2022-05-03 | Cilag Gmbh International | Surgical stapling system comprising a lockable firing assembly |
US11324501B2 (en) | 2018-08-20 | 2022-05-10 | Cilag Gmbh International | Surgical stapling devices with improved closure members |
US11324503B2 (en) | 2017-06-27 | 2022-05-10 | Cilag Gmbh International | Surgical firing member arrangements |
US11350928B2 (en) | 2016-04-18 | 2022-06-07 | Cilag Gmbh International | Surgical instrument comprising a tissue thickness lockout and speed control system |
US11376098B2 (en) | 2019-06-28 | 2022-07-05 | Cilag Gmbh International | Surgical instrument system comprising an RFID system |
US11375999B2 (en) | 2006-05-19 | 2022-07-05 | Applied Medical Resources Corporation | Surgical stapler with firing lock mechanism |
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 |
US11382627B2 (en) | 2014-04-16 | 2022-07-12 | Cilag Gmbh International | Surgical stapling assembly comprising a firing member including a lateral extension |
US11399829B2 (en) | 2017-09-29 | 2022-08-02 | Cilag Gmbh International | Systems and methods of initiating a power shutdown mode for a surgical instrument |
US11399837B2 (en) | 2019-06-28 | 2022-08-02 | Cilag Gmbh International | Mechanisms for motor control adjustments of a motorized surgical instrument |
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 |
US11426251B2 (en) | 2019-04-30 | 2022-08-30 | Cilag Gmbh International | Articulation directional lights on a surgical instrument |
US11426167B2 (en) | 2019-06-28 | 2022-08-30 | Cilag Gmbh International | Mechanisms for proper anvil attachment surgical stapling head assembly |
US11432816B2 (en) | 2019-04-30 | 2022-09-06 | Cilag Gmbh International | Articulation pin for a surgical instrument |
US11446029B2 (en) | 2019-12-19 | 2022-09-20 | Cilag Gmbh International | Staple cartridge comprising projections extending from a curved deck surface |
RU2780507C2 (en) * | 2017-07-11 | 2022-09-26 | Эскулап Аг | Loading and unloading of cartridge of surgical stapler |
US11452528B2 (en) | 2019-04-30 | 2022-09-27 | Cilag Gmbh International | Articulation actuators for a surgical instrument |
US11452526B2 (en) | 2020-10-29 | 2022-09-27 | Cilag Gmbh International | Surgical instrument comprising a staged voltage regulation start-up system |
US11464601B2 (en) | 2019-06-28 | 2022-10-11 | Cilag Gmbh International | Surgical instrument comprising an RFID system for tracking a movable component |
USD966512S1 (en) | 2020-06-02 | 2022-10-11 | Cilag Gmbh International | Staple cartridge |
US11464513B2 (en) | 2012-06-28 | 2022-10-11 | Cilag Gmbh International | Surgical instrument system including replaceable end effectors |
US11464512B2 (en) | 2019-12-19 | 2022-10-11 | Cilag Gmbh International | Staple cartridge comprising a curved deck surface |
USD967421S1 (en) | 2020-06-02 | 2022-10-18 | Cilag Gmbh International | Staple cartridge |
US11471157B2 (en) | 2019-04-30 | 2022-10-18 | Cilag Gmbh International | Articulation control mapping for a surgical instrument |
US11471155B2 (en) | 2017-08-03 | 2022-10-18 | Cilag Gmbh International | Surgical system bailout |
US11478241B2 (en) | 2019-06-28 | 2022-10-25 | Cilag Gmbh International | Staple cartridge including projections |
US11484312B2 (en) | 2005-08-31 | 2022-11-01 | Cilag Gmbh International | Staple cartridge comprising a staple driver arrangement |
US11497492B2 (en) | 2019-06-28 | 2022-11-15 | Cilag Gmbh International | Surgical instrument including an articulation lock |
US11504122B2 (en) | 2019-12-19 | 2022-11-22 | Cilag Gmbh International | Surgical instrument comprising a nested firing member |
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 |
US11517390B2 (en) | 2020-10-29 | 2022-12-06 | Cilag Gmbh International | Surgical instrument comprising a limited travel switch |
US11523821B2 (en) | 2014-09-26 | 2022-12-13 | Cilag Gmbh International | Method for creating a flexible staple line |
US11523822B2 (en) | 2019-06-28 | 2022-12-13 | Cilag Gmbh International | Battery pack including a circuit interrupter |
US11523823B2 (en) | 2016-02-09 | 2022-12-13 | Cilag Gmbh International | Surgical instruments with non-symmetrical articulation arrangements |
US11529139B2 (en) | 2019-12-19 | 2022-12-20 | Cilag Gmbh International | Motor driven surgical instrument |
US11529137B2 (en) | 2019-12-19 | 2022-12-20 | Cilag Gmbh International | Staple cartridge comprising driver retention members |
US11534259B2 (en) | 2020-10-29 | 2022-12-27 | Cilag Gmbh International | Surgical instrument comprising an articulation indicator |
USD974560S1 (en) | 2020-06-02 | 2023-01-03 | Cilag Gmbh International | Staple cartridge |
USD975278S1 (en) | 2020-06-02 | 2023-01-10 | Cilag Gmbh International | Staple cartridge |
USD975851S1 (en) | 2020-06-02 | 2023-01-17 | Cilag Gmbh International | Staple cartridge |
US11553971B2 (en) | 2019-06-28 | 2023-01-17 | Cilag Gmbh International | Surgical RFID assemblies for display and communication |
USD975850S1 (en) | 2020-06-02 | 2023-01-17 | Cilag Gmbh International | Staple cartridge |
US11559304B2 (en) | 2019-12-19 | 2023-01-24 | Cilag Gmbh International | Surgical instrument comprising a rapid closure mechanism |
USD976401S1 (en) | 2020-06-02 | 2023-01-24 | Cilag Gmbh International | Staple cartridge |
US11564682B2 (en) | 2007-06-04 | 2023-01-31 | Cilag Gmbh International | Surgical stapler device |
US11564686B2 (en) | 2017-06-28 | 2023-01-31 | Cilag Gmbh International | Surgical shaft assemblies with flexible interfaces |
US11571215B2 (en) | 2010-09-30 | 2023-02-07 | Cilag Gmbh International | Layer of material for a surgical end effector |
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 |
USD980425S1 (en) | 2020-10-29 | 2023-03-07 | Cilag Gmbh International | Surgical instrument assembly |
US11607219B2 (en) | 2019-12-19 | 2023-03-21 | Cilag Gmbh International | Staple cartridge comprising a detachable tissue cutting knife |
US11607239B2 (en) | 2016-04-15 | 2023-03-21 | Cilag Gmbh International | Systems and methods for controlling a surgical stapling and cutting instrument |
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 |
US11622763B2 (en) | 2013-04-16 | 2023-04-11 | Cilag Gmbh International | Stapling assembly comprising a shiftable drive |
US11627960B2 (en) | 2020-12-02 | 2023-04-18 | Cilag Gmbh International | Powered surgical instruments with smart reload with separately attachable exteriorly mounted wiring connections |
US11627959B2 (en) | 2019-06-28 | 2023-04-18 | Cilag Gmbh International | Surgical instruments including manual and powered system lockouts |
US11638587B2 (en) | 2019-06-28 | 2023-05-02 | Cilag Gmbh International | RFID identification systems for surgical instruments |
US11638582B2 (en) | 2020-07-28 | 2023-05-02 | Cilag Gmbh International | Surgical instruments with torsion spine drive arrangements |
US11648005B2 (en) | 2008-09-23 | 2023-05-16 | Cilag Gmbh International | Robotically-controlled motorized surgical instrument with an end effector |
US11648009B2 (en) | 2019-04-30 | 2023-05-16 | Cilag Gmbh International | Rotatable jaw tip for a surgical instrument |
US11653915B2 (en) | 2020-12-02 | 2023-05-23 | Cilag Gmbh International | Surgical instruments with sled location detection and adjustment features |
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 |
US11653920B2 (en) | 2020-12-02 | 2023-05-23 | Cilag Gmbh International | Powered surgical instruments with communication interfaces through sterile barrier |
US11660163B2 (en) | 2019-06-28 | 2023-05-30 | Cilag Gmbh International | Surgical system with RFID tags for updating motor assembly parameters |
US11678877B2 (en) | 2014-12-18 | 2023-06-20 | Cilag Gmbh International | Surgical instrument including a flexible support configured to support a flexible firing member |
US11678882B2 (en) | 2020-12-02 | 2023-06-20 | Cilag Gmbh International | Surgical instruments with interactive features to remedy incidental sled movements |
US11684367B2 (en) | 2016-12-21 | 2023-06-27 | Cilag Gmbh International | Stepped assembly having and end-of-life indicator |
US11684434B2 (en) | 2019-06-28 | 2023-06-27 | Cilag Gmbh International | Surgical RFID assemblies for instrument operational setting control |
US11690619B2 (en) | 2016-06-24 | 2023-07-04 | Cilag Gmbh International | Staple cartridge comprising staples having different geometries |
US11696757B2 (en) | 2021-02-26 | 2023-07-11 | Cilag Gmbh International | Monitoring of internal systems to detect and track cartridge motion status |
US11696761B2 (en) | 2019-03-25 | 2023-07-11 | Cilag Gmbh International | Firing drive arrangements for surgical systems |
US11701111B2 (en) | 2019-12-19 | 2023-07-18 | Cilag Gmbh International | Method for operating a surgical stapling instrument |
US11701113B2 (en) | 2021-02-26 | 2023-07-18 | Cilag Gmbh International | Stapling instrument comprising a separate power antenna and a data transfer antenna |
US11717293B2 (en) | 2019-03-29 | 2023-08-08 | Applied Medical Resources Corporation | Reload cover for surgical stapling system |
US11717294B2 (en) | 2014-04-16 | 2023-08-08 | Cilag Gmbh International | End effector arrangements comprising indicators |
US11717289B2 (en) | 2020-10-29 | 2023-08-08 | Cilag Gmbh International | Surgical instrument comprising an indicator which indicates that an articulation drive is actuatable |
US11717291B2 (en) | 2021-03-22 | 2023-08-08 | Cilag Gmbh International | Staple cartridge comprising staples configured to apply different tissue compression |
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US11723658B2 (en) | 2021-03-22 | 2023-08-15 | Cilag Gmbh International | Staple cartridge comprising a firing lockout |
US11723662B2 (en) | 2021-05-28 | 2023-08-15 | Cilag Gmbh International | Stapling instrument comprising an articulation control display |
US11730473B2 (en) | 2021-02-26 | 2023-08-22 | Cilag Gmbh International | Monitoring of manufacturing life-cycle |
US11730475B2 (en) | 2020-10-29 | 2023-08-22 | Applied Medical Resources Corporation | Surgical stapler having a powered handle |
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 |
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US11744583B2 (en) | 2021-02-26 | 2023-09-05 | Cilag Gmbh International | Distal communication array to tune frequency of RF systems |
US11744581B2 (en) | 2020-12-02 | 2023-09-05 | Cilag Gmbh International | Powered surgical instruments with multi-phase tissue treatment |
US11744603B2 (en) | 2021-03-24 | 2023-09-05 | Cilag Gmbh International | Multi-axis pivot joints for surgical instruments and methods for manufacturing same |
US11749877B2 (en) | 2021-02-26 | 2023-09-05 | Cilag Gmbh International | Stapling instrument comprising a signal antenna |
US11751869B2 (en) | 2021-02-26 | 2023-09-12 | Cilag Gmbh International | Monitoring of multiple sensors over time to detect moving characteristics of tissue |
US11759202B2 (en) | 2021-03-22 | 2023-09-19 | Cilag Gmbh International | Staple cartridge comprising an implantable layer |
US11766260B2 (en) | 2016-12-21 | 2023-09-26 | Cilag Gmbh International | Methods of stapling tissue |
US11766259B2 (en) | 2016-12-21 | 2023-09-26 | Cilag Gmbh International | Method of deforming staples from two different types of staple cartridges with the same surgical stapling instrument |
US11771419B2 (en) | 2019-06-28 | 2023-10-03 | Cilag Gmbh International | Packaging for a replaceable component of a surgical stapling system |
US11771428B2 (en) | 2020-10-29 | 2023-10-03 | Applied Medical Resources Corporation | Actuation shaft retention mechanism for surgical stapler |
US11779330B2 (en) | 2020-10-29 | 2023-10-10 | Cilag Gmbh International | Surgical instrument comprising a jaw alignment system |
US11786239B2 (en) | 2021-03-24 | 2023-10-17 | Cilag Gmbh International | Surgical instrument articulation joint arrangements comprising multiple moving linkage features |
US11786243B2 (en) | 2021-03-24 | 2023-10-17 | Cilag Gmbh International | Firing members having flexible portions for adapting to a load during a surgical firing stroke |
US11793522B2 (en) | 2015-09-30 | 2023-10-24 | Cilag Gmbh International | Staple cartridge assembly including a compressible adjunct |
US11793518B2 (en) | 2006-01-31 | 2023-10-24 | Cilag Gmbh International | Powered surgical instruments with firing system lockout arrangements |
US11793516B2 (en) | 2021-03-24 | 2023-10-24 | Cilag Gmbh International | Surgical staple cartridge comprising longitudinal support beam |
US11793514B2 (en) | 2021-02-26 | 2023-10-24 | Cilag Gmbh International | Staple cartridge comprising sensor array which may be embedded in cartridge body |
US11806011B2 (en) | 2021-03-22 | 2023-11-07 | Cilag Gmbh International | Stapling instrument comprising tissue compression systems |
US11812964B2 (en) | 2021-02-26 | 2023-11-14 | Cilag Gmbh International | Staple cartridge comprising a power management circuit |
US11826132B2 (en) | 2015-03-06 | 2023-11-28 | Cilag Gmbh International | Time dependent evaluation of sensor data to determine stability, creep, and viscoelastic elements of measures |
US11826012B2 (en) | 2021-03-22 | 2023-11-28 | Cilag Gmbh International | Stapling instrument comprising a pulsed motor-driven firing rack |
US11826042B2 (en) | 2021-03-22 | 2023-11-28 | Cilag Gmbh International | Surgical instrument comprising a firing drive including a selectable leverage mechanism |
US11826048B2 (en) | 2017-06-28 | 2023-11-28 | Cilag Gmbh International | Surgical instrument comprising selectively actuatable rotatable couplers |
US11832816B2 (en) | 2021-03-24 | 2023-12-05 | Cilag Gmbh International | Surgical stapling assembly comprising nonplanar staples and planar staples |
US11844518B2 (en) | 2020-10-29 | 2023-12-19 | Cilag Gmbh International | Method for operating a surgical instrument |
US11844520B2 (en) | 2019-12-19 | 2023-12-19 | Cilag Gmbh International | Staple cartridge comprising driver retention members |
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 |
US11849952B2 (en) | 2010-09-30 | 2023-12-26 | Cilag Gmbh International | Staple cartridge comprising staples positioned within a compressible portion thereof |
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US11849944B2 (en) | 2021-03-24 | 2023-12-26 | Cilag Gmbh International | Drivers for fastener cartridge assemblies having rotary drive screws |
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USD1013170S1 (en) | 2020-10-29 | 2024-01-30 | Cilag Gmbh International | Surgical instrument assembly |
US11883026B2 (en) | 2014-04-16 | 2024-01-30 | Cilag Gmbh International | Fastener cartridge assemblies and staple retainer cover arrangements |
US11890010B2 (en) | 2020-12-02 | 2024-02-06 | Cllag GmbH International | Dual-sided reinforced reload for surgical instruments |
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US11896217B2 (en) | 2020-10-29 | 2024-02-13 | Cilag Gmbh International | Surgical instrument comprising an articulation lock |
US11896219B2 (en) | 2021-03-24 | 2024-02-13 | Cilag Gmbh International | Mating features between drivers and underside of a cartridge deck |
US11896218B2 (en) | 2021-03-24 | 2024-02-13 | Cilag Gmbh International | Method of using a powered stapling device |
US11903581B2 (en) | 2019-04-30 | 2024-02-20 | Cilag Gmbh International | Methods for stapling tissue using a surgical instrument |
US11903582B2 (en) | 2021-03-24 | 2024-02-20 | Cilag Gmbh International | Leveraging surfaces for cartridge installation |
US11911032B2 (en) | 2019-12-19 | 2024-02-27 | Cilag Gmbh International | Staple cartridge comprising a seating cam |
Citations (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US2964752A (en) * | 1958-04-29 | 1960-12-20 | Olin Mathieson | Fluid operated tool |
US3490675A (en) * | 1966-10-10 | 1970-01-20 | United States Surgical Corp | Instrument for placing lateral gastrointestinal anastomoses |
-
1970
- 1970-02-26 US US14614A patent/US3662939A/en not_active Expired - Lifetime
Patent Citations (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US2964752A (en) * | 1958-04-29 | 1960-12-20 | Olin Mathieson | Fluid operated tool |
US3490675A (en) * | 1966-10-10 | 1970-01-20 | United States Surgical Corp | Instrument for placing lateral gastrointestinal anastomoses |
Cited By (1713)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4196836A (en) * | 1978-02-14 | 1980-04-08 | Senco Products Inc. | Surgical stapling instrument |
FR2420960A1 (en) * | 1978-03-27 | 1979-10-26 | Minnesota Mining & Mfg | MEDICAL STAPLER |
US4185762A (en) * | 1978-03-27 | 1980-01-29 | Minnesota Mining And Manufacturing Company | Medical stapling device |
WO1981003303A1 (en) * | 1980-05-23 | 1981-11-26 | United States Surgical Corp | Self-contained gas powered surgical stapler |
JPS57500864A (en) * | 1980-05-23 | 1982-05-20 | ||
US4331277A (en) * | 1980-05-23 | 1982-05-25 | United States Surgical Corporation | Self-contained gas powered surgical stapler |
DE3148619C2 (en) * | 1980-05-23 | 1985-09-19 | United States Surgical Corp., Norwalk, Conn. | Gas operated surgical stapling instrument |
US4407286A (en) * | 1980-08-25 | 1983-10-04 | United States Surgical Corporation | Surgical staples |
US4349028A (en) * | 1980-10-03 | 1982-09-14 | United States Surgical Corporation | Surgical stapling apparatus having self-contained pneumatic system for completing manually initiated motion sequence |
DE3152411C2 (en) * | 1980-10-03 | 1986-08-21 | United States Surgical Corp., Norwalk, Conn. | Surgical instrument for ligating and severing tissue in the body |
US4422567A (en) * | 1981-11-17 | 1983-12-27 | Haynes Taylor H | Medical suturing device |
DE3204532A1 (en) * | 1982-02-10 | 1983-08-25 | B. Braun Melsungen Ag, 3508 Melsungen | SURGICAL SKIN CLIP |
US4470532A (en) * | 1982-07-21 | 1984-09-11 | Minnesota Mining And Manufacturing Company | Medical stapling device |
EP0324637A1 (en) * | 1988-01-15 | 1989-07-19 | Ethicon, Inc. | Surgical stapler pressure regulator |
EP0324638A1 (en) * | 1988-01-15 | 1989-07-19 | Ethicon, Inc. | Surgical stapler safety and sequencing mechanisms |
US4938408A (en) * | 1988-01-15 | 1990-07-03 | Ethicon, Inc. | Surgical stapler safety and sequencing mechanisms |
US4951861A (en) * | 1988-01-15 | 1990-08-28 | Ethicon, Inc. | Surgical stapler pressure regulator |
US4964559A (en) * | 1988-01-15 | 1990-10-23 | Ethicon, Inc. | Pneumatic surgical stapler connectors |
US5018657A (en) * | 1988-01-15 | 1991-05-28 | Ethicon, Inc. | Pneumatically actuated surgical stapler head |
AU614014B2 (en) * | 1988-01-15 | 1991-08-15 | Ethicon Inc. | Surgical stapler safety and sequencing mechanisms |
AU614572B2 (en) * | 1988-01-15 | 1991-09-05 | Ethicon Inc. | Surgical stapler pressure regulator |
GR1000771B (en) * | 1988-01-15 | 1992-12-30 | Ethicon Inc | Surgical stapler pressure regulator |
GR1000772B (en) * | 1988-01-15 | 1992-12-30 | Ethicon Inc | Surgical stapler safety and sequency mechanisms |
US5397046A (en) * | 1991-10-18 | 1995-03-14 | United States Surgical Corporation | Lockout mechanism for surgical apparatus |
US5636780A (en) * | 1991-10-18 | 1997-06-10 | United States Surgical Corporation | Self contained gas powered surgical apparatus |
US5312023A (en) * | 1991-10-18 | 1994-05-17 | United States Surgical Corporation | Self contained gas powered surgical apparatus |
US5326013A (en) * | 1991-10-18 | 1994-07-05 | United States Surgical Corporation | Self contained gas powered surgical apparatus |
US5364001A (en) * | 1991-10-18 | 1994-11-15 | United States Surgical Corporation | Self contained gas powered surgical apparatus |
US7464848B2 (en) | 1991-10-18 | 2008-12-16 | United States Surgical Corporation | Surgical stapling apparatus |
US20090065551A1 (en) * | 1991-10-18 | 2009-03-12 | United States Surgical Corporation | Surgical stapling apparatus |
US5456401A (en) * | 1991-10-18 | 1995-10-10 | United States Surgical Corporation | Surgical apparatus having articulation mechanism |
US20090065550A1 (en) * | 1991-10-18 | 2009-03-12 | United States Surgical Corporation | Surgical stapling apparatus |
US5472132A (en) * | 1991-10-18 | 1995-12-05 | United States Surgical Corporation | Lockout mechanism for surgical apparatus |
US5478003A (en) * | 1991-10-18 | 1995-12-26 | United States Surgical Corporation | Surgical apparatus |
US5482197A (en) * | 1991-10-18 | 1996-01-09 | United States Surgical Corporation | Articulating surgical cartridge assembly |
US7543731B2 (en) | 1991-10-18 | 2009-06-09 | United States Surgical Corporation | Surgical stapling apparatus |
US7296724B2 (en) | 1991-10-18 | 2007-11-20 | United States Surgical Corporation | Surgical stapling apparatus |
US7891533B2 (en) | 1991-10-18 | 2011-02-22 | Tyco Healthcare Group Lp | Surgical stapling apparatus |
US7861907B2 (en) | 1991-10-18 | 2011-01-04 | Tyco Healthcare Group Lp | Surgical stapling apparatus |
US5584425A (en) * | 1991-10-18 | 1996-12-17 | United States Surgical Corporation | Lockout mechanism for surgical apparatus |
US6250532B1 (en) * | 1991-10-18 | 2001-06-26 | United States Surgical Corporation | Surgical stapling apparatus |
US5645209A (en) * | 1991-10-18 | 1997-07-08 | United States Surgical Corporation | Self contained gas powered surgical apparatus |
US5647526A (en) * | 1991-10-18 | 1997-07-15 | United States Surgical Corporation | Self contained gas powered surgical apparatus |
US5711472A (en) * | 1991-10-18 | 1998-01-27 | United States Surgical Corporation | Self contained gas powered surgical apparatus |
US5667517A (en) * | 1992-01-17 | 1997-09-16 | Ethicon, Inc. | Endoscopic surgical system with sensing means |
EP0552050A2 (en) * | 1992-01-17 | 1993-07-21 | Ethicon, Inc. | Endoscopic surgical system with sensing means |
EP0552050A3 (en) * | 1992-01-17 | 1994-03-23 | Ethicon Inc | |
US5518163A (en) * | 1992-01-17 | 1996-05-21 | Ethicon, Inc. | Endoscopic surgical system with sensing means |
US5518164A (en) * | 1992-01-17 | 1996-05-21 | Ethicon, Inc. | Endoscopic surgical system with sensing means |
US5456400A (en) * | 1993-04-22 | 1995-10-10 | United States Surgical Corporation | Apparatus and clip for fastening body tissue |
US5443197A (en) * | 1993-06-16 | 1995-08-22 | United States Surgical Corporation | Locking mechanism for a skin stapler cartridge |
EP0872213A2 (en) | 1993-10-01 | 1998-10-21 | United States Surgical Corporation | Apparatus with anvil for applying surgical fasteners |
US5487499A (en) * | 1993-10-08 | 1996-01-30 | United States Surgical Corporation | Surgical apparatus for applying surgical fasteners including a counter |
US5709334A (en) * | 1993-10-08 | 1998-01-20 | United States Surgical Corporation | Surgical apparatus for applying surgical fasteners |
US5918791A (en) * | 1993-10-08 | 1999-07-06 | United States Surgical Corporation | Surgical apparatus for applying surgical fasteners |
US5862972A (en) * | 1993-10-14 | 1999-01-26 | United States Surgical Corporation | Gas powered apparatus for applying surgical fasteners to body tissue |
NL9401195A (en) * | 1994-07-20 | 1996-03-01 | Univ Delft Tech | Pneumatically actuated hand tool |
US8560426B2 (en) | 1994-11-21 | 2013-10-15 | Bgc Partners, Inc. | Methods and systems for retrieving data stored in database |
US6843403B2 (en) | 1999-06-02 | 2005-01-18 | Power Medical Interventions, Inc. | Surgical clamping, cutting and stapling device |
US8628467B2 (en) | 1999-06-02 | 2014-01-14 | Covidien Lp | Moisture-detecting shaft for use with an electro-mechanical surgical device |
US9662109B2 (en) | 1999-06-02 | 2017-05-30 | Covidien Lp | Electromechanical drive and remote surgical instrument attachment having computer assisted control capabilities |
US9782172B2 (en) | 1999-06-02 | 2017-10-10 | Covidien Lp | Electromechanical drive and remote surgical instrument attachment having computer assisted control capabilities |
US9364200B2 (en) | 1999-06-02 | 2016-06-14 | Covidien Lp | Electro-mechanical surgical device |
US20010031975A1 (en) * | 1999-06-02 | 2001-10-18 | Whitman Michael P. | Electro-mechanical surgical device |
US6315184B1 (en) | 1999-06-02 | 2001-11-13 | Powermed, Inc. | Stapling device for use with an electromechanical driver device for use with anastomosing, stapling, and resecting instruments |
US6716233B1 (en) | 1999-06-02 | 2004-04-06 | Power Medical Interventions, Inc. | Electromechanical driver and remote surgical instrument attachment having computer assisted control capabilities |
US7951071B2 (en) | 1999-06-02 | 2011-05-31 | Tyco Healthcare Group Lp | Moisture-detecting shaft for use with an electro-mechanical surgical device |
US9247940B2 (en) | 1999-06-02 | 2016-02-02 | Covidien Lp | Surgical cutting and stapling device |
US9241716B2 (en) | 1999-06-02 | 2016-01-26 | Covidien Lp | Electromechanical drive and remote surgical instrument attachment having computer assisted control capabilities |
US6793652B1 (en) | 1999-06-02 | 2004-09-21 | Power Medical Interventions, Inc. | Electro-mechanical surgical device |
US7758613B2 (en) | 1999-06-02 | 2010-07-20 | Power Medical Interventions, Llc | Electromechanical driver and remote surgical instrument attachment having computer assisted control capabilities |
US6846308B2 (en) | 1999-06-02 | 2005-01-25 | Power Medical Interventions, Inc. | Electro-mechanical surgical device |
US6846307B2 (en) | 1999-06-02 | 2005-01-25 | Power Medical Interventions, Inc. | Electro-mechanical surgical device |
US6846309B2 (en) | 1999-06-02 | 2005-01-25 | Power Medical Interventions, Inc. | Electro-mechanical surgical device |
US6849071B2 (en) | 1999-06-02 | 2005-02-01 | Power Medical Interventions, Inc. | Electro-mechanical surgical device |
US8016858B2 (en) | 1999-06-02 | 2011-09-13 | Tyco Healthcare Group Ip | Electromechanical driver and remote surgical instrument attachment having computer assisted control capabilities |
US6981941B2 (en) | 1999-06-02 | 2006-01-03 | Power Medical Interventions | Electro-mechanical surgical device |
US7032798B2 (en) | 1999-06-02 | 2006-04-25 | Power Medical Interventions, Inc. | Electro-mechanical surgical device |
US9113847B2 (en) | 1999-06-02 | 2015-08-25 | Covidien Lp | Electro-mechanical surgical device |
US7077856B2 (en) | 1999-06-02 | 2006-07-18 | Power Medical Interventions, Inc. | Electromechanical driver and remote surgical instrument attachment having computer assisted control capabilities |
US8357144B2 (en) | 1999-06-02 | 2013-01-22 | Covidien, LP | Electro-mechanical surgical device |
US9078654B2 (en) | 1999-06-02 | 2015-07-14 | Covidien Lp | Surgical device |
US6443973B1 (en) | 1999-06-02 | 2002-09-03 | Power Medical Interventions, Inc. | Electromechanical driver device for use with anastomosing, stapling, and resecting instruments |
US9033868B2 (en) | 1999-06-02 | 2015-05-19 | Covidien Lp | Couplings for interconnecting components of an electro-mechanical surgical device |
US6517565B1 (en) | 1999-06-02 | 2003-02-11 | Power Medical Interventions, Inc. | Carriage assembly for controlling a steering wire steering mechanism within a flexible shaft |
US10335143B2 (en) | 1999-06-02 | 2019-07-02 | Covidien Lp | Surgical cutting and stapling device |
US10314659B2 (en) | 1999-06-02 | 2019-06-11 | Covidien Lp | Electro-mechanical surgical device |
US8690913B2 (en) | 1999-06-02 | 2014-04-08 | Covidien Lp | Electromechanical drive and remote surgical instrument attachment having computer assisted control capabilities |
US8186559B1 (en) | 1999-07-12 | 2012-05-29 | Tyco Healthcare Group Lp | Expanding parallel jaw device for use with an electromechanical driver device |
US6264087B1 (en) | 1999-07-12 | 2001-07-24 | Powermed, Inc. | Expanding parallel jaw device for use with an electromechanical driver device |
US8459523B2 (en) | 1999-07-12 | 2013-06-11 | Covidien Lp | Expanding parallel jaw device for use with an electromechanical driver device |
US7845538B2 (en) | 1999-07-12 | 2010-12-07 | Power Medical Interventions, Llc | Expanding parallel jaw device for use with an electromechanical driver device |
US7114642B2 (en) | 1999-07-12 | 2006-10-03 | Power Medical Interventions, Inc. | Expanding parallel jaw device for use with an electromechanical driver device |
US8056791B2 (en) | 1999-07-12 | 2011-11-15 | Tyco Healthcare Group Lp | Expanding parallel jaw device for use with an electromechanical driver device |
US20040149802A1 (en) * | 1999-07-12 | 2004-08-05 | Whitman Michael P. | Expanding parallel jaw device for use with an electromechanical driver device |
US7537602B2 (en) | 1999-07-12 | 2009-05-26 | Power Medical Interventions, Inc. | Expanding parallel jaw device for use with an electromechanical driver device |
US6505768B2 (en) | 1999-07-12 | 2003-01-14 | Power Medical Interventions, Inc. | Expanding parallel jaw device for use with an electromechanical driver device |
US8118208B2 (en) | 1999-07-12 | 2012-02-21 | Tyco Healthcare Group Lp | Expanding parallel jaw device for use with an electromechanical driver device |
US6698643B2 (en) | 1999-07-12 | 2004-03-02 | Power Medical Interventions, Inc. | Expanding parallel jaw device for use with an electromechanical driver device |
US6491201B1 (en) | 2000-02-22 | 2002-12-10 | Power Medical Interventions, Inc. | Fluid delivery mechanism for use with anastomosing, stapling, and resecting instruments |
US6533157B1 (en) | 2000-02-22 | 2003-03-18 | Power Medical Interventions, Inc. | Tissue stapling attachment for use with an electromechanical driver device |
US6716230B2 (en) | 2000-02-22 | 2004-04-06 | Power Medical Interventions, Inc. | Vessel and lumen expander attachment for use with an electromechanical driver device |
US6488197B1 (en) | 2000-02-22 | 2002-12-03 | Power Medical Interventions, Inc. | Fluid delivery device for use with anastomosing resecting and stapling instruments |
US6348061B1 (en) | 2000-02-22 | 2002-02-19 | Powermed, Inc. | Vessel and lumen expander attachment for use with an electromechanical driver device |
US6695199B2 (en) | 2000-02-22 | 2004-02-24 | Power Medical Interventions, Inc. | Fluid delivery mechanism for use with anastomosing, stapling, and resecting instruments |
US6681979B2 (en) | 2000-02-22 | 2004-01-27 | Power Medical Interventions, Inc. | Fluid delivery device for use with anastomosing stapling, and resecting instruments |
US20050125009A1 (en) * | 2000-11-27 | 2005-06-09 | Perry Stephen J. | Full thickness resection device control handle |
US8286845B2 (en) * | 2000-11-27 | 2012-10-16 | Boston Scientific Scimed, Inc. | Full thickness resection device control handle |
US8512359B2 (en) | 2001-11-30 | 2013-08-20 | Covidien Lp | Surgical device |
US8021373B2 (en) | 2001-11-30 | 2011-09-20 | Tyco Healthcare Group Lp | Surgical device |
US7695485B2 (en) | 2001-11-30 | 2010-04-13 | Power Medical Interventions, Llc | Surgical device |
US8740932B2 (en) | 2001-11-30 | 2014-06-03 | Covidien Lp | Surgical device |
US20100324541A1 (en) * | 2001-12-04 | 2010-12-23 | Power Medical Interventions, Llc | System and method for calibrating a surgical instrument |
US10758225B2 (en) | 2001-12-04 | 2020-09-01 | Covidien Lp | System and method for calibrating a surgical instrument |
US9743927B2 (en) | 2001-12-04 | 2017-08-29 | Covidien Lp | System and method for calibrating a surgical instrument |
US20030125717A1 (en) * | 2001-12-04 | 2003-07-03 | Whitman Michael P. | System and method for calibrating a surgical instrument |
US7803151B2 (en) | 2001-12-04 | 2010-09-28 | Power Medical Interventions, Llc | System and method for calibrating a surgical instrument |
US9113878B2 (en) | 2002-01-08 | 2015-08-25 | Covidien Lp | Pinion clip for right angle linear cutter |
US8518074B2 (en) | 2002-01-08 | 2013-08-27 | Covidien Lp | Surgical device |
US8016855B2 (en) | 2002-01-08 | 2011-09-13 | Tyco Healthcare Group Lp | Surgical device |
US8858589B2 (en) * | 2002-01-08 | 2014-10-14 | Covidien Lp | Surgical device |
US8540733B2 (en) | 2002-06-14 | 2013-09-24 | Covidien Lp | Surgical method and device having a first jaw and a second jaw in opposed correspondence for clamping, cutting, and stapling tissue |
US20100219227A1 (en) * | 2002-06-14 | 2010-09-02 | Power Medical Interventions, Llc | Surgical device |
US20040094597A1 (en) * | 2002-06-14 | 2004-05-20 | Whitman Michael P. | Surgical device |
US9861362B2 (en) | 2002-06-14 | 2018-01-09 | Covidien Lp | Surgical device |
US7743960B2 (en) | 2002-06-14 | 2010-06-29 | Power Medical Interventions, Llc | Surgical device |
US8056786B2 (en) | 2002-06-14 | 2011-11-15 | Tyco Healthcare Group Lp | Surgical device |
EP2401969A1 (en) * | 2002-10-04 | 2012-01-04 | Tyco Healthcare Group LP | Pneumatic powered surgical stapling device |
EP3225177A1 (en) * | 2002-10-04 | 2017-10-04 | Covidien LP | Pneumatic powered surgical stapling device |
US20060151567A1 (en) * | 2002-10-04 | 2006-07-13 | Tyco Healthcare Lp | Pneumatic powered surgical stapling device |
US7481347B2 (en) | 2002-10-04 | 2009-01-27 | Tyco Healthcare Group Lp | Pneumatic powered surgical stapling device |
US8727200B2 (en) | 2002-10-04 | 2014-05-20 | Covidien Lp | Pneumatic powered surgical stapling device |
EP2430985A3 (en) * | 2002-10-04 | 2014-05-07 | Covidien LP | Pneumatic powered surgical stapling device |
US8181837B2 (en) | 2002-10-04 | 2012-05-22 | Tyco Healthcare Group Lp | Pneumatic powered surgical stapling device |
WO2004032760A3 (en) * | 2002-10-04 | 2004-09-10 | Tyco Healthcare | Pneumatic powered surgical stapling device |
US8783541B2 (en) | 2003-05-20 | 2014-07-22 | Frederick E. Shelton, IV | Robotically-controlled surgical end effector system |
US9060770B2 (en) | 2003-05-20 | 2015-06-23 | Ethicon Endo-Surgery, Inc. | Robotically-driven surgical instrument with E-beam driver |
US7794471B1 (en) | 2003-06-26 | 2010-09-14 | Cardica, Inc. | Compliant anastomosis system |
US8025199B2 (en) | 2004-02-23 | 2011-09-27 | Tyco Healthcare Group Lp | Surgical cutting and stapling device |
US11219452B2 (en) | 2004-02-23 | 2022-01-11 | Covidien Lp | Surgical cutting and stapling device |
US8574246B1 (en) | 2004-06-25 | 2013-11-05 | Cardica, Inc. | Compliant anastomosis system utilizing suture |
US10485547B2 (en) | 2004-07-28 | 2019-11-26 | Ethicon Llc | Surgical staple cartridges |
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 |
US8517244B2 (en) | 2004-07-28 | 2013-08-27 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having a medical substance dispenser |
US9737302B2 (en) | 2004-07-28 | 2017-08-22 | Ethicon Llc | Surgical stapling instrument having a restraining member |
US11890012B2 (en) | 2004-07-28 | 2024-02-06 | Cilag Gmbh International | Staple cartridge comprising cartridge body and attached support |
US10278702B2 (en) | 2004-07-28 | 2019-05-07 | Ethicon Llc | Stapling system comprising a firing bar and a lockout |
US10292707B2 (en) | 2004-07-28 | 2019-05-21 | Ethicon Llc | Articulating surgical stapling instrument incorporating a firing mechanism |
US9603991B2 (en) | 2004-07-28 | 2017-03-28 | Ethicon Endo-Surgery, Llc | Surgical stapling instrument having a medical substance dispenser |
US11882987B2 (en) | 2004-07-28 | 2024-01-30 | Cilag Gmbh International | Articulating surgical stapling instrument incorporating a two-piece E-beam firing mechanism |
US9737303B2 (en) | 2004-07-28 | 2017-08-22 | Ethicon Llc | Articulating surgical stapling instrument incorporating a two-piece E-beam firing mechanism |
US9585663B2 (en) | 2004-07-28 | 2017-03-07 | Ethicon Endo-Surgery, Llc | Surgical stapling instrument configured to apply a compressive pressure to tissue |
US10293100B2 (en) | 2004-07-28 | 2019-05-21 | Ethicon Llc | Surgical stapling instrument having a medical substance dispenser |
US11083456B2 (en) | 2004-07-28 | 2021-08-10 | Cilag Gmbh International | Articulating surgical instrument incorporating a two-piece firing mechanism |
US11812960B2 (en) | 2004-07-28 | 2023-11-14 | Cilag Gmbh International | Method of segmenting the operation of a surgical stapling instrument |
US9510830B2 (en) | 2004-07-28 | 2016-12-06 | Ethicon Endo-Surgery, Llc | Staple cartridge |
US11116502B2 (en) | 2004-07-28 | 2021-09-14 | Cilag Gmbh International | Surgical stapling instrument incorporating a two-piece firing mechanism |
US10314590B2 (en) | 2004-07-28 | 2019-06-11 | Ethicon Llc | Articulating surgical stapling instrument incorporating a two-piece e-beam firing mechanism |
US11135352B2 (en) | 2004-07-28 | 2021-10-05 | Cilag Gmbh International | End effector including a gradually releasable medical adjunct |
US8905977B2 (en) | 2004-07-28 | 2014-12-09 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having an electroactive polymer actuated medical substance dispenser |
US11684365B2 (en) | 2004-07-28 | 2023-06-27 | Cilag Gmbh International | Replaceable staple cartridges for surgical instruments |
US10383634B2 (en) | 2004-07-28 | 2019-08-20 | Ethicon Llc | Stapling system incorporating a firing lockout |
US10568629B2 (en) | 2004-07-28 | 2020-02-25 | Ethicon Llc | Articulating surgical stapling instrument |
US9844379B2 (en) | 2004-07-28 | 2017-12-19 | Ethicon Llc | Surgical stapling instrument having a clearanced opening |
US10687817B2 (en) | 2004-07-28 | 2020-06-23 | Ethicon Llc | Stapling device comprising a firing member lockout |
US10799240B2 (en) | 2004-07-28 | 2020-10-13 | Ethicon Llc | Surgical instrument comprising a staple firing lockout |
US10716563B2 (en) | 2004-07-28 | 2020-07-21 | Ethicon Llc | Stapling system comprising an instrument assembly including a lockout |
US9282966B2 (en) | 2004-07-28 | 2016-03-15 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument |
US20070049951A1 (en) * | 2005-08-25 | 2007-03-01 | Microline Pentax Inc. | Apparatus alignment device |
US10278697B2 (en) | 2005-08-31 | 2019-05-07 | Ethicon Llc | Staple cartridge comprising a staple driver arrangement |
US7934630B2 (en) | 2005-08-31 | 2011-05-03 | Ethicon Endo-Surgery, Inc. | Staple cartridges for forming staples having differing formed staple heights |
US10729436B2 (en) | 2005-08-31 | 2020-08-04 | Ethicon Llc | Robotically-controlled surgical stapling devices that produce formed staples having different lengths |
US11272928B2 (en) | 2005-08-31 | 2022-03-15 | Cilag GmbH Intemational | Staple cartridges for forming staples having differing formed staple heights |
US10159482B2 (en) | 2005-08-31 | 2018-12-25 | Ethicon Llc | Fastener cartridge assembly comprising a fixed anvil and different staple heights |
US11246590B2 (en) | 2005-08-31 | 2022-02-15 | Cilag Gmbh International | Staple cartridge including staple drivers having different unfired heights |
US11399828B2 (en) | 2005-08-31 | 2022-08-02 | Cilag Gmbh International | Fastener cartridge assembly comprising a fixed anvil and different staple heights |
US7673781B2 (en) | 2005-08-31 | 2010-03-09 | Ethicon Endo-Surgery, Inc. | Surgical stapling device with staple driver that supports multiple wire diameter staples |
US9326768B2 (en) | 2005-08-31 | 2016-05-03 | Ethicon Endo-Surgery, Llc | Staple cartridges for forming staples having differing formed staple heights |
US9237891B2 (en) | 2005-08-31 | 2016-01-19 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical stapling devices that produce formed staples having different lengths |
US11484312B2 (en) | 2005-08-31 | 2022-11-01 | Cilag Gmbh International | Staple cartridge comprising a staple driver arrangement |
US11484311B2 (en) | 2005-08-31 | 2022-11-01 | Cilag Gmbh International | Staple cartridge comprising a staple driver arrangement |
US11576673B2 (en) | 2005-08-31 | 2023-02-14 | Cilag Gmbh International | Stapling assembly for forming staples to different heights |
US9839427B2 (en) | 2005-08-31 | 2017-12-12 | Ethicon Llc | Fastener cartridge assembly comprising a fixed anvil and a staple driver arrangement |
US9844373B2 (en) | 2005-08-31 | 2017-12-19 | Ethicon Llc | Fastener cartridge assembly comprising a driver row arrangement |
US11179153B2 (en) | 2005-08-31 | 2021-11-23 | Cilag Gmbh International | Staple cartridges for forming staples having differing formed staple heights |
US9848873B2 (en) | 2005-08-31 | 2017-12-26 | Ethicon Llc | Fastener cartridge assembly comprising a driver and staple cavity arrangement |
US11172927B2 (en) | 2005-08-31 | 2021-11-16 | Cilag Gmbh International | Staple cartridges for forming staples having differing formed staple heights |
US11771425B2 (en) | 2005-08-31 | 2023-10-03 | Cilag Gmbh International | Stapling assembly for forming staples to different formed heights |
US10463369B2 (en) | 2005-08-31 | 2019-11-05 | Ethicon Llc | Disposable end effector for use with a surgical instrument |
US10932774B2 (en) | 2005-08-31 | 2021-03-02 | Ethicon Llc | Surgical end effector for forming staples to different heights |
US10420553B2 (en) | 2005-08-31 | 2019-09-24 | Ethicon Llc | Staple cartridge comprising a staple driver arrangement |
US7500979B2 (en) | 2005-08-31 | 2009-03-10 | Ethicon Endo-Surgery, Inc. | Surgical stapling device with multiple stacked actuator wedge cams for driving staple drivers |
US10869664B2 (en) | 2005-08-31 | 2020-12-22 | Ethicon Llc | End effector for use with a surgical stapling instrument |
US9795382B2 (en) | 2005-08-31 | 2017-10-24 | Ethicon Llc | Fastener cartridge assembly comprising a cam and driver arrangement |
US10245032B2 (en) | 2005-08-31 | 2019-04-02 | Ethicon Llc | Staple cartridges for forming staples having differing formed staple heights |
US8567656B2 (en) | 2005-08-31 | 2013-10-29 | Ethicon Endo-Surgery, Inc. | Staple cartridges for forming staples having differing formed staple heights |
US11730474B2 (en) | 2005-08-31 | 2023-08-22 | Cilag Gmbh International | Fastener cartridge assembly comprising a movable cartridge and a staple driver arrangement |
US8464923B2 (en) | 2005-08-31 | 2013-06-18 | Ethicon Endo-Surgery, Inc. | Surgical stapling devices for forming staples with different formed heights |
US9307988B2 (en) | 2005-08-31 | 2016-04-12 | Ethicon Endo-Surgery, Llc | Staple cartridges for forming staples having differing formed staple heights |
US8317070B2 (en) | 2005-08-31 | 2012-11-27 | Ethicon Endo-Surgery, Inc. | Surgical stapling devices that produce formed staples having different lengths |
US11793512B2 (en) | 2005-08-31 | 2023-10-24 | Cilag Gmbh International | Staple cartridges for forming staples having differing formed staple heights |
US10245035B2 (en) | 2005-08-31 | 2019-04-02 | Ethicon Llc | Stapling assembly configured to produce different formed staple heights |
US10321909B2 (en) | 2005-08-31 | 2019-06-18 | Ethicon Llc | Staple cartridge comprising a staple including deformable members |
US11134947B2 (en) | 2005-08-31 | 2021-10-05 | Cilag Gmbh International | Fastener cartridge assembly comprising a camming sled with variable cam arrangements |
US11090045B2 (en) | 2005-08-31 | 2021-08-17 | Cilag Gmbh International | Staple cartridges for forming staples having differing formed staple heights |
US8800838B2 (en) | 2005-08-31 | 2014-08-12 | Ethicon Endo-Surgery, Inc. | Robotically-controlled cable-based surgical end effectors |
US9561032B2 (en) | 2005-08-31 | 2017-02-07 | Ethicon Endo-Surgery, Llc | Staple cartridge comprising a staple driver arrangement |
US11839375B2 (en) | 2005-08-31 | 2023-12-12 | Cilag Gmbh International | Fastener cartridge assembly comprising an anvil and different staple heights |
US10842489B2 (en) | 2005-08-31 | 2020-11-24 | Ethicon Llc | Fastener cartridge assembly comprising a cam and driver arrangement |
US9592052B2 (en) | 2005-08-31 | 2017-03-14 | Ethicon Endo-Surgery, Llc | Stapling assembly for forming different formed staple heights |
US10070863B2 (en) | 2005-08-31 | 2018-09-11 | Ethicon Llc | Fastener cartridge assembly comprising a fixed anvil |
US10271845B2 (en) | 2005-08-31 | 2019-04-30 | Ethicon Llc | Fastener cartridge assembly comprising a cam and driver arrangement |
US10842488B2 (en) | 2005-08-31 | 2020-11-24 | Ethicon Llc | Fastener cartridge assembly comprising a fixed anvil and different staple heights |
US7669746B2 (en) | 2005-08-31 | 2010-03-02 | Ethicon Endo-Surgery, Inc. | Staple cartridges for forming staples having differing formed staple heights |
US8636187B2 (en) | 2005-08-31 | 2014-01-28 | Ethicon Endo-Surgery, Inc. | Surgical stapling systems that produce formed staples having different lengths |
US10271846B2 (en) | 2005-08-31 | 2019-04-30 | Ethicon Llc | Staple cartridge for use with a surgical stapler |
US7467740B2 (en) | 2005-09-21 | 2008-12-23 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments having flexible channel and anvil features for adjustable staple heights |
US20070083234A1 (en) * | 2005-09-21 | 2007-04-12 | Shelton Frederick E Iv | Surgical stapling instruments having flexible channel and anvil features for adjustable staple heights |
US7472815B2 (en) | 2005-09-21 | 2009-01-06 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments with collapsible features for controlling staple height |
US20070102472A1 (en) * | 2005-11-04 | 2007-05-10 | Ethicon Endo-Surgery, Inc. | Electrosurgical stapling instrument with disposable severing / stapling unit |
US7673783B2 (en) | 2005-11-04 | 2010-03-09 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments structured for delivery of medical agents |
US7607557B2 (en) | 2005-11-04 | 2009-10-27 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments structured for pump-assisted delivery of medical agents |
US11793511B2 (en) | 2005-11-09 | 2023-10-24 | Cilag Gmbh International | Surgical instruments |
US10993713B2 (en) | 2005-11-09 | 2021-05-04 | Ethicon Llc | Surgical instruments |
US10149679B2 (en) | 2005-11-09 | 2018-12-11 | Ethicon Llc | Surgical instrument comprising drive systems |
US10028742B2 (en) | 2005-11-09 | 2018-07-24 | Ethicon Llc | Staple cartridge comprising staples with different unformed heights |
US9968356B2 (en) | 2005-11-09 | 2018-05-15 | Ethicon Llc | Surgical instrument drive systems |
US9895147B2 (en) | 2005-11-09 | 2018-02-20 | Ethicon Llc | End effectors for surgical staplers |
US10806449B2 (en) | 2005-11-09 | 2020-10-20 | Ethicon Llc | End effectors for surgical staplers |
US10918380B2 (en) | 2006-01-31 | 2021-02-16 | Ethicon Llc | Surgical instrument system including a control system |
US11000275B2 (en) | 2006-01-31 | 2021-05-11 | Ethicon Llc | Surgical instrument |
US11648008B2 (en) | 2006-01-31 | 2023-05-16 | Cilag Gmbh International | Surgical instrument having force feedback capabilities |
US11660110B2 (en) | 2006-01-31 | 2023-05-30 | Cilag Gmbh International | Motor-driven surgical cutting and fastening instrument with tactile position feedback |
US11648024B2 (en) | 2006-01-31 | 2023-05-16 | Cilag Gmbh International | Motor-driven surgical cutting and fastening instrument with position feedback |
US10201363B2 (en) | 2006-01-31 | 2019-02-12 | Ethicon Llc | Motor-driven surgical instrument |
US8820603B2 (en) | 2006-01-31 | 2014-09-02 | Ethicon Endo-Surgery, Inc. | Accessing data stored in a memory of a surgical instrument |
US10743849B2 (en) | 2006-01-31 | 2020-08-18 | Ethicon Llc | Stapling system including an articulation system |
US8186555B2 (en) | 2006-01-31 | 2012-05-29 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting and fastening instrument with mechanical closure system |
US7568603B2 (en) | 2006-01-31 | 2009-08-04 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting and fastening instrument with articulatable end effector |
US7644848B2 (en) | 2006-01-31 | 2010-01-12 | Ethicon Endo-Surgery, Inc. | Electronic lockouts and surgical instrument including same |
US10675028B2 (en) | 2006-01-31 | 2020-06-09 | Ethicon Llc | Powered surgical instruments with firing system lockout arrangements |
US8820605B2 (en) | 2006-01-31 | 2014-09-02 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical instruments |
US10653435B2 (en) | 2006-01-31 | 2020-05-19 | Ethicon Llc | Motor-driven surgical cutting and fastening instrument with tactile position feedback |
US10098636B2 (en) | 2006-01-31 | 2018-10-16 | Ethicon Llc | Surgical instrument having force feedback capabilities |
US10653417B2 (en) | 2006-01-31 | 2020-05-19 | Ethicon Llc | Surgical instrument |
US11058420B2 (en) | 2006-01-31 | 2021-07-13 | Cilag Gmbh International | Surgical stapling apparatus comprising a lockout system |
US11051813B2 (en) | 2006-01-31 | 2021-07-06 | Cilag Gmbh International | Powered surgical instruments with firing system lockout arrangements |
US11890008B2 (en) | 2006-01-31 | 2024-02-06 | Cilag Gmbh International | Surgical instrument with firing lockout |
US11103269B2 (en) | 2006-01-31 | 2021-08-31 | Cilag Gmbh International | Motor-driven surgical cutting and fastening instrument with tactile position feedback |
US9113874B2 (en) | 2006-01-31 | 2015-08-25 | Ethicon Endo-Surgery, Inc. | Surgical instrument system |
US9451958B2 (en) | 2006-01-31 | 2016-09-27 | Ethicon Endo-Surgery, Llc | Surgical instrument with firing actuator lockout |
US10806479B2 (en) | 2006-01-31 | 2020-10-20 | Ethicon Llc | Motor-driven surgical cutting and fastening instrument with tactile position feedback |
US10278722B2 (en) | 2006-01-31 | 2019-05-07 | Ethicon Llc | Motor-driven surgical cutting and fastening instrument |
US9861359B2 (en) | 2006-01-31 | 2018-01-09 | Ethicon Llc | Powered surgical instruments with firing system lockout arrangements |
US11051811B2 (en) | 2006-01-31 | 2021-07-06 | Ethicon Llc | End effector for use with a surgical instrument |
US9439649B2 (en) | 2006-01-31 | 2016-09-13 | Ethicon Endo-Surgery, Llc | Surgical instrument having force feedback capabilities |
US10893853B2 (en) | 2006-01-31 | 2021-01-19 | Ethicon Llc | Stapling assembly including motor drive systems |
US10463384B2 (en) | 2006-01-31 | 2019-11-05 | Ethicon Llc | Stapling assembly |
US7721934B2 (en) | 2006-01-31 | 2010-05-25 | Ethicon Endo-Surgery, Inc. | Articulatable drive shaft arrangements for surgical cutting and fastening instruments |
US9743928B2 (en) | 2006-01-31 | 2017-08-29 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a feedback system |
US11020113B2 (en) | 2006-01-31 | 2021-06-01 | Cilag Gmbh International | Surgical instrument having force feedback capabilities |
US7845537B2 (en) | 2006-01-31 | 2010-12-07 | Ethicon Endo-Surgery, Inc. | Surgical instrument having recording capabilities |
US7770775B2 (en) | 2006-01-31 | 2010-08-10 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting and fastening instrument with adaptive user feedback |
US10299817B2 (en) | 2006-01-31 | 2019-05-28 | Ethicon Llc | Motor-driven fastening assembly |
US9370358B2 (en) | 2006-01-31 | 2016-06-21 | Ethicon Endo-Surgery, Llc | Motor-driven surgical cutting and fastening instrument with tactile position feedback |
US10058963B2 (en) | 2006-01-31 | 2018-08-28 | Ethicon Llc | Automated end effector component reloading system for use with a robotic system |
US10709468B2 (en) | 2006-01-31 | 2020-07-14 | Ethicon Llc | Motor-driven surgical cutting and fastening instrument |
US9289225B2 (en) | 2006-01-31 | 2016-03-22 | Ethicon Endo-Surgery, Llc | Endoscopic surgical instrument with a handle that can articulate with respect to the shaft |
US10052099B2 (en) | 2006-01-31 | 2018-08-21 | Ethicon Llc | Surgical instrument system comprising a firing system including a rotatable shaft and first and second actuation ramps |
US11612393B2 (en) | 2006-01-31 | 2023-03-28 | Cilag Gmbh International | Robotically-controlled end effector |
US10052100B2 (en) | 2006-01-31 | 2018-08-21 | Ethicon Llc | Surgical instrument system configured to detect resistive forces experienced by a tissue cutting implement |
US8157153B2 (en) | 2006-01-31 | 2012-04-17 | Ethicon Endo-Surgery, Inc. | Surgical instrument with force-feedback capabilities |
US8763879B2 (en) | 2006-01-31 | 2014-07-01 | Ethicon Endo-Surgery, Inc. | Accessing data stored in a memory of surgical instrument |
US7464849B2 (en) | 2006-01-31 | 2008-12-16 | Ethicon Endo-Surgery, Inc. | Electro-mechanical surgical instrument with closure system and anvil alignment components |
US8161977B2 (en) | 2006-01-31 | 2012-04-24 | Ethicon Endo-Surgery, Inc. | Accessing data stored in a memory of a surgical instrument |
US7464846B2 (en) | 2006-01-31 | 2008-12-16 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a removable battery |
US11166717B2 (en) | 2006-01-31 | 2021-11-09 | Cilag Gmbh International | Surgical instrument with firing lockout |
US10335144B2 (en) | 2006-01-31 | 2019-07-02 | Ethicon Llc | Surgical instrument |
US7766210B2 (en) | 2006-01-31 | 2010-08-03 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting and fastening instrument with user feedback system |
US8167185B2 (en) | 2006-01-31 | 2012-05-01 | Ethicon Endo-Surgery, Inc. | Surgical instrument having recording capabilities |
US10342533B2 (en) | 2006-01-31 | 2019-07-09 | Ethicon Llc | Surgical instrument |
US8292155B2 (en) | 2006-01-31 | 2012-10-23 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting and fastening instrument with tactile position feedback |
US11224454B2 (en) | 2006-01-31 | 2022-01-18 | Cilag Gmbh International | Motor-driven surgical cutting and fastening instrument with tactile position feedback |
US10842491B2 (en) | 2006-01-31 | 2020-11-24 | Ethicon Llc | Surgical system with an actuation console |
US11224427B2 (en) | 2006-01-31 | 2022-01-18 | Cilag Gmbh International | Surgical stapling system including a console and retraction assembly |
US10010322B2 (en) | 2006-01-31 | 2018-07-03 | Ethicon Llc | Surgical instrument |
US11246616B2 (en) | 2006-01-31 | 2022-02-15 | Cilag Gmbh International | Motor-driven surgical cutting and fastening instrument with tactile position feedback |
US10993717B2 (en) | 2006-01-31 | 2021-05-04 | Ethicon Llc | Surgical stapling system comprising a control system |
US9326770B2 (en) | 2006-01-31 | 2016-05-03 | Ethicon Endo-Surgery, Llc | Surgical instrument |
US9326769B2 (en) | 2006-01-31 | 2016-05-03 | Ethicon Endo-Surgery, Llc | Surgical instrument |
US10959722B2 (en) | 2006-01-31 | 2021-03-30 | Ethicon Llc | Surgical instrument for deploying fasteners by way of rotational motion |
US9517068B2 (en) | 2006-01-31 | 2016-12-13 | Ethicon Endo-Surgery, Llc | Surgical instrument with automatically-returned firing member |
US10004498B2 (en) | 2006-01-31 | 2018-06-26 | Ethicon Llc | Surgical instrument comprising a plurality of articulation joints |
US8172124B2 (en) | 2006-01-31 | 2012-05-08 | Ethicon Endo-Surgery, Inc. | Surgical instrument having recording capabilities |
US8708213B2 (en) | 2006-01-31 | 2014-04-29 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a feedback system |
US10499890B2 (en) | 2006-01-31 | 2019-12-10 | Ethicon Llc | Endoscopic surgical instrument with a handle that can articulate with respect to the shaft |
US7575144B2 (en) | 2006-01-31 | 2009-08-18 | Ethicon Endo-Surgery, Inc. | Surgical fastener and cutter with single cable actuator |
US10426463B2 (en) | 2006-01-31 | 2019-10-01 | Ehticon LLC | Surgical instrument having a feedback system |
US10463383B2 (en) | 2006-01-31 | 2019-11-05 | Ethicon Llc | Stapling instrument including a sensing system |
US9320520B2 (en) | 2006-01-31 | 2016-04-26 | Ethicon Endo-Surgery, Inc. | Surgical instrument system |
US11890029B2 (en) | 2006-01-31 | 2024-02-06 | Cilag Gmbh International | Motor-driven surgical cutting and fastening instrument |
US11793518B2 (en) | 2006-01-31 | 2023-10-24 | Cilag Gmbh International | Powered surgical instruments with firing system lockout arrangements |
US11883020B2 (en) | 2006-01-31 | 2024-01-30 | Cilag Gmbh International | Surgical instrument having a feedback system |
US11801051B2 (en) | 2006-01-31 | 2023-10-31 | Cilag Gmbh International | Accessing data stored in a memory of a surgical instrument |
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 |
US11278279B2 (en) | 2006-01-31 | 2022-03-22 | Cilag Gmbh International | Surgical instrument assembly |
US8746529B2 (en) | 2006-01-31 | 2014-06-10 | Ethicon Endo-Surgery, Inc. | Accessing data stored in a memory of a surgical instrument |
US10952728B2 (en) | 2006-01-31 | 2021-03-23 | Ethicon Llc | Powered surgical instruments with firing system lockout arrangements |
US10485539B2 (en) | 2006-01-31 | 2019-11-26 | Ethicon Llc | Surgical instrument with firing lockout |
US8752747B2 (en) | 2006-01-31 | 2014-06-17 | Ethicon Endo-Surgery, Inc. | Surgical instrument having recording capabilities |
US11364046B2 (en) | 2006-01-31 | 2022-06-21 | Cilag Gmbh International | Motor-driven surgical cutting and fastening instrument with tactile position feedback |
US8844789B2 (en) | 2006-01-31 | 2014-09-30 | Ethicon Endo-Surgery, Inc. | Automated end effector component reloading system for use with a robotic system |
US11350916B2 (en) | 2006-01-31 | 2022-06-07 | Cilag Gmbh International | Endoscopic surgical instrument with a handle that can articulate with respect to the shaft |
US10064688B2 (en) | 2006-03-23 | 2018-09-04 | Ethicon Llc | Surgical system with selectively articulatable end effector |
US9301759B2 (en) | 2006-03-23 | 2016-04-05 | Ethicon Endo-Surgery, Llc | Robotically-controlled surgical instrument with selectively articulatable end effector |
US8721630B2 (en) | 2006-03-23 | 2014-05-13 | Ethicon Endo-Surgery, Inc. | Methods and devices for controlling articulation |
US8911471B2 (en) | 2006-03-23 | 2014-12-16 | Ethicon Endo-Surgery, Inc. | Articulatable surgical device |
US9149274B2 (en) | 2006-03-23 | 2015-10-06 | Ethicon Endo-Surgery, Inc. | Articulating endoscopic accessory channel |
US10213262B2 (en) | 2006-03-23 | 2019-02-26 | Ethicon Llc | Manipulatable surgical systems with selectively articulatable fastening device |
US8236010B2 (en) | 2006-03-23 | 2012-08-07 | Ethicon Endo-Surgery, Inc. | Surgical fastener and cutter with mimicking end effector |
US9402626B2 (en) | 2006-03-23 | 2016-08-02 | Ethicon Endo-Surgery, Llc | Rotary actuatable surgical fastener and cutter |
US9492167B2 (en) | 2006-03-23 | 2016-11-15 | Ethicon Endo-Surgery, Llc | Articulatable surgical device with rotary driven cutting member |
US8992422B2 (en) | 2006-03-23 | 2015-03-31 | Ethicon Endo-Surgery, Inc. | Robotically-controlled endoscopic accessory channel |
US10070861B2 (en) | 2006-03-23 | 2018-09-11 | Ethicon Llc | Articulatable surgical device |
US11375999B2 (en) | 2006-05-19 | 2022-07-05 | Applied Medical Resources Corporation | Surgical stapler with firing lock mechanism |
DE102006024758B4 (en) * | 2006-05-27 | 2008-03-27 | Aesculap Ag & Co. Kg | Surgical instrument |
DE102006024758A1 (en) * | 2006-05-27 | 2007-11-29 | Aesculap Ag & Co. Kg | Surgical instrument has compressed gas-operated tool, pressure-tight connection and a receptacle for compressed gas drive, which is movable into using position, in which compressed gas cartridge is applicable |
US8322455B2 (en) | 2006-06-27 | 2012-12-04 | Ethicon Endo-Surgery, Inc. | Manually driven surgical cutting and fastening instrument |
US9320521B2 (en) | 2006-06-27 | 2016-04-26 | Ethicon Endo-Surgery, Llc | Surgical instrument |
US10314589B2 (en) | 2006-06-27 | 2019-06-11 | Ethicon Llc | Surgical instrument including a shifting assembly |
US10420560B2 (en) | 2006-06-27 | 2019-09-24 | Ethicon Llc | Manually driven surgical cutting and fastening instrument |
US11272938B2 (en) | 2006-06-27 | 2022-03-15 | Cilag Gmbh International | Surgical instrument including dedicated firing and retraction assemblies |
US20080029573A1 (en) * | 2006-08-02 | 2008-02-07 | Shelton Frederick E | Pneumatically powered surgical cutting and fastening instrument with replaceable power sources |
US7431189B2 (en) | 2006-08-02 | 2008-10-07 | Ethicon Endo-Surgery, Inc. | Pneumatically powered surgical cutting and fastening instrument with mechanical linkage coupling end effector and trigger motion |
US7441684B2 (en) | 2006-08-02 | 2008-10-28 | Ethicon Endo-Surgery, Inc. | Pneumatically powered surgical cutting and fastening instrument with audible and visual feedback features |
US7448525B2 (en) | 2006-08-02 | 2008-11-11 | Ethicon Endo-Surgery, Inc. | Pneumatically powered surgical cutting and fastening instrument with manually operated retraction apparatus |
US8631987B2 (en) | 2006-08-02 | 2014-01-21 | Ethicon Endo-Surgery, Inc. | Pneumatically powered surgical cutting and fastening instrument with a variable control of the actuating rate of firing with mechanical power assist |
US7740159B2 (en) | 2006-08-02 | 2010-06-22 | Ethicon Endo-Surgery, Inc. | Pneumatically powered surgical cutting and fastening instrument with a variable control of the actuating rate of firing with mechanical power assist |
US11571231B2 (en) | 2006-09-29 | 2023-02-07 | Cilag Gmbh International | Staple cartridge having a driver for driving multiple staples |
US11633182B2 (en) | 2006-09-29 | 2023-04-25 | Cilag Gmbh International | Surgical stapling assemblies |
US8220690B2 (en) | 2006-09-29 | 2012-07-17 | Ethicon Endo-Surgery, Inc. | Connected surgical staples and stapling instruments for deploying the same |
US7966799B2 (en) | 2006-09-29 | 2011-06-28 | Ethicon Endo-Surgery, Inc. | Method of manufacturing staples |
US7794475B2 (en) | 2006-09-29 | 2010-09-14 | Ethicon Endo-Surgery, Inc. | Surgical staples having compressible or crushable members for securing tissue therein and stapling instruments for deploying the same |
US8360297B2 (en) | 2006-09-29 | 2013-01-29 | Ethicon Endo-Surgery, Inc. | Surgical cutting and stapling instrument with self adjusting anvil |
US7506791B2 (en) | 2006-09-29 | 2009-03-24 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with mechanical mechanism for limiting maximum tissue compression |
US8899465B2 (en) | 2006-09-29 | 2014-12-02 | Ethicon Endo-Surgery, Inc. | Staple cartridge comprising drivers for deploying a plurality of staples |
US8365976B2 (en) | 2006-09-29 | 2013-02-05 | Ethicon Endo-Surgery, Inc. | Surgical staples having dissolvable, bioabsorbable or biofragmentable portions and stapling instruments for deploying the same |
US9603595B2 (en) | 2006-09-29 | 2017-03-28 | Ethicon Endo-Surgery, Llc | Surgical instrument comprising an adjustable system configured to accommodate different jaw heights |
US10172616B2 (en) | 2006-09-29 | 2019-01-08 | Ethicon Llc | Surgical staple cartridge |
US8763875B2 (en) | 2006-09-29 | 2014-07-01 | Ethicon Endo-Surgery, Inc. | End effector for use with a surgical fastening instrument |
US8808325B2 (en) | 2006-09-29 | 2014-08-19 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with staples having crown features for increasing formed staple footprint |
US9179911B2 (en) | 2006-09-29 | 2015-11-10 | Ethicon Endo-Surgery, Inc. | End effector for use with a surgical fastening instrument |
US7665647B2 (en) | 2006-09-29 | 2010-02-23 | Ethicon Endo-Surgery, Inc. | Surgical cutting and stapling device with closure apparatus for limiting maximum tissue compression force |
US8973804B2 (en) | 2006-09-29 | 2015-03-10 | Ethicon Endo-Surgery, Inc. | Cartridge assembly having a buttressing member |
US11406379B2 (en) | 2006-09-29 | 2022-08-09 | Cilag Gmbh International | Surgical end effectors with staple cartridges |
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 |
US9408604B2 (en) | 2006-09-29 | 2016-08-09 | Ethicon Endo-Surgery, Llc | Surgical instrument comprising a firing system including a compliant portion |
US9706991B2 (en) | 2006-09-29 | 2017-07-18 | Ethicon Endo-Surgery, Inc. | Staple cartridge comprising staples including a lateral base |
US8348131B2 (en) | 2006-09-29 | 2013-01-08 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with mechanical indicator to show levels of tissue compression |
US8499993B2 (en) | 2006-09-29 | 2013-08-06 | Ethicon Endo-Surgery, Inc. | Surgical staple cartridge |
US8485412B2 (en) | 2006-09-29 | 2013-07-16 | Ethicon Endo-Surgery, Inc. | Surgical staples having attached drivers and stapling instruments for deploying the same |
US10595862B2 (en) | 2006-09-29 | 2020-03-24 | Ethicon Llc | Staple cartridge including a compressible member |
US11622785B2 (en) | 2006-09-29 | 2023-04-11 | Cilag Gmbh International | Surgical staples having attached drivers and stapling instruments for deploying the same |
US10695053B2 (en) | 2006-09-29 | 2020-06-30 | Ethicon Llc | Surgical end effectors with staple cartridges |
US20080082115A1 (en) * | 2006-09-29 | 2008-04-03 | Morgan Jerome R | Method of manufacturing staples |
US10448952B2 (en) | 2006-09-29 | 2019-10-22 | Ethicon Llc | End effector for use with a surgical fastening instrument |
US8720766B2 (en) | 2006-09-29 | 2014-05-13 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments and staples |
US10130359B2 (en) | 2006-09-29 | 2018-11-20 | Ethicon Llc | Method for forming a staple |
US11678876B2 (en) | 2006-09-29 | 2023-06-20 | Cilag Gmbh International | Powered surgical instrument |
US10206678B2 (en) | 2006-10-03 | 2019-02-19 | Ethicon Llc | Surgical stapling instrument with lockout features to prevent advancement of a firing assembly unless an unfired surgical staple cartridge is operably mounted in an end effector portion of the instrument |
US11382626B2 (en) | 2006-10-03 | 2022-07-12 | Cilag Gmbh International | Surgical system including a knife bar supported for rotational and axial travel |
US10342541B2 (en) | 2006-10-03 | 2019-07-09 | Ethicon Llc | Surgical instruments with E-beam driver and rotary drive arrangements |
US11877748B2 (en) | 2006-10-03 | 2024-01-23 | Cilag Gmbh International | Robotically-driven surgical instrument with E-beam driver |
US20080135598A1 (en) * | 2006-11-09 | 2008-06-12 | Stanley Fastening Systems, L.P. | Cordless fastener driving device |
US7845532B2 (en) | 2006-11-09 | 2010-12-07 | Stanley Fastening Systems, L.P. | Cordless fastener driving device |
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 |
US8840603B2 (en) | 2007-01-10 | 2014-09-23 | Ethicon Endo-Surgery, Inc. | Surgical instrument with wireless communication between control unit and sensor transponders |
US11064998B2 (en) | 2007-01-10 | 2021-07-20 | Cilag Gmbh International | Surgical instrument with wireless communication between a control unit of a robotic system and remote sensor |
US11666332B2 (en) | 2007-01-10 | 2023-06-06 | Cilag Gmbh International | Surgical instrument comprising a control circuit configured to adjust the operation of a motor |
US8459520B2 (en) | 2007-01-10 | 2013-06-11 | Ethicon Endo-Surgery, Inc. | Surgical instrument with wireless communication between control unit and remote sensor |
US8479969B2 (en) | 2007-01-10 | 2013-07-09 | Ethicon Endo-Surgery, Inc. | Drive interface for operably coupling a manipulatable surgical tool to a robot |
US10751138B2 (en) | 2007-01-10 | 2020-08-25 | Ethicon Llc | Surgical instrument for use with a robotic system |
US10278780B2 (en) | 2007-01-10 | 2019-05-07 | Ethicon Llc | Surgical instrument for use with robotic system |
US8517243B2 (en) | 2007-01-10 | 2013-08-27 | Ethicon Endo-Surgery, Inc. | Surgical instrument with wireless communication between control unit and remote sensor |
US11134943B2 (en) | 2007-01-10 | 2021-10-05 | Cilag Gmbh International | Powered surgical instrument including a control unit and sensor |
US11006951B2 (en) | 2007-01-10 | 2021-05-18 | Ethicon Llc | Surgical instrument with wireless communication between control unit and sensor transponders |
US7721931B2 (en) | 2007-01-10 | 2010-05-25 | Ethicon Endo-Surgery, Inc. | Prevention of cartridge reuse in a surgical instrument |
US11166720B2 (en) | 2007-01-10 | 2021-11-09 | Cilag Gmbh International | Surgical instrument including a control module for assessing an end effector |
US11000277B2 (en) | 2007-01-10 | 2021-05-11 | Ethicon Llc | Surgical instrument with wireless communication between control unit and remote sensor |
US7721936B2 (en) | 2007-01-10 | 2010-05-25 | Ethicon Endo-Surgery, Inc. | Interlock and surgical instrument including same |
US8632535B2 (en) | 2007-01-10 | 2014-01-21 | Ethicon Endo-Surgery, Inc. | Interlock and surgical instrument including same |
US8652120B2 (en) | 2007-01-10 | 2014-02-18 | Ethicon Endo-Surgery, Inc. | Surgical instrument with wireless communication between control unit and sensor transponders |
US11771426B2 (en) | 2007-01-10 | 2023-10-03 | Cilag Gmbh International | Surgical instrument with wireless communication |
US7900805B2 (en) | 2007-01-10 | 2011-03-08 | Ethicon Endo-Surgery, Inc. | Surgical instrument with enhanced battery performance |
US11291441B2 (en) | 2007-01-10 | 2022-04-05 | Cilag Gmbh International | Surgical instrument with wireless communication between control unit and remote sensor |
US10952727B2 (en) | 2007-01-10 | 2021-03-23 | Ethicon Llc | Surgical instrument for assessing the state of a staple cartridge |
US8746530B2 (en) | 2007-01-10 | 2014-06-10 | Ethicon Endo-Surgery, Inc. | Surgical instrument with wireless communication between control unit and remote sensor |
US11350929B2 (en) | 2007-01-10 | 2022-06-07 | Cilag Gmbh International | Surgical instrument with wireless communication between control unit and sensor transponders |
US7738971B2 (en) | 2007-01-10 | 2010-06-15 | Ethicon Endo-Surgery, Inc. | Post-sterilization programming of surgical instruments |
US11849947B2 (en) | 2007-01-10 | 2023-12-26 | Cilag Gmbh International | Surgical system including a control circuit and a passively-powered transponder |
US10517590B2 (en) | 2007-01-10 | 2019-12-31 | Ethicon Llc | Powered surgical instrument having a transmission system |
US10945729B2 (en) | 2007-01-10 | 2021-03-16 | Ethicon Llc | Interlock and surgical instrument including same |
US11844521B2 (en) | 2007-01-10 | 2023-12-19 | Cilag Gmbh International | Surgical instrument for use with a robotic system |
US9757123B2 (en) | 2007-01-10 | 2017-09-12 | Ethicon Llc | Powered surgical instrument having a transmission system |
US10433918B2 (en) | 2007-01-10 | 2019-10-08 | Ethicon Llc | Surgical instrument system configured to evaluate the load applied to a firing member at the initiation of a firing stroke |
US7954682B2 (en) | 2007-01-10 | 2011-06-07 | Ethicon Endo-Surgery, Inc. | Surgical instrument with elements to communicate between control unit and end effector |
US10918386B2 (en) | 2007-01-10 | 2021-02-16 | Ethicon Llc | Interlock and surgical instrument including same |
US10441369B2 (en) | 2007-01-10 | 2019-10-15 | Ethicon Llc | Articulatable surgical instrument configured for detachable use with a robotic system |
US10517682B2 (en) | 2007-01-10 | 2019-12-31 | Ethicon Llc | Surgical instrument with wireless communication between control unit and remote sensor |
US11812961B2 (en) | 2007-01-10 | 2023-11-14 | Cilag Gmbh International | Surgical instrument including a motor control system |
US9775613B2 (en) | 2007-01-11 | 2017-10-03 | Ethicon Llc | Surgical stapling device with a curved end effector |
US7434717B2 (en) | 2007-01-11 | 2008-10-14 | Ethicon Endo-Surgery, Inc. | Apparatus for closing a curved anvil of a surgical stapling device |
US8827133B2 (en) | 2007-01-11 | 2014-09-09 | Ethicon Endo-Surgery, Inc. | Surgical stapling device having supports for a flexible drive mechanism |
US20080169329A1 (en) * | 2007-01-11 | 2008-07-17 | Shelton Frederick E | Curved end effector for a surgical stapling device |
US9730692B2 (en) | 2007-01-11 | 2017-08-15 | Ethicon Llc | Surgical stapling device with a curved staple cartridge |
US9724091B2 (en) | 2007-01-11 | 2017-08-08 | Ethicon Llc | Surgical stapling device |
US20080169327A1 (en) * | 2007-01-11 | 2008-07-17 | Shelton Frederick E | Apparatus for closing a curved anvil of a surgical stapling device |
US10912575B2 (en) | 2007-01-11 | 2021-02-09 | Ethicon Llc | Surgical stapling device having supports for a flexible drive mechanism |
US9750501B2 (en) | 2007-01-11 | 2017-09-05 | Ethicon Endo-Surgery, Llc | Surgical stapling devices having laterally movable anvils |
US9999431B2 (en) | 2007-01-11 | 2018-06-19 | Ethicon Endo-Surgery, Llc | Surgical stapling device having supports for a flexible drive mechanism |
US11039836B2 (en) | 2007-01-11 | 2021-06-22 | Cilag Gmbh International | Staple cartridge for use with a surgical stapling instrument |
US11839352B2 (en) | 2007-01-11 | 2023-12-12 | Cilag Gmbh International | Surgical stapling device with an end effector |
US9700321B2 (en) | 2007-01-11 | 2017-07-11 | Ethicon Llc | Surgical stapling device having supports for a flexible drive mechanism |
US9675355B2 (en) | 2007-01-11 | 2017-06-13 | Ethicon Llc | Surgical stapling device with a curved end effector |
US8540128B2 (en) | 2007-01-11 | 2013-09-24 | Ethicon Endo-Surgery, Inc. | Surgical stapling device with a curved end effector |
US9603598B2 (en) | 2007-01-11 | 2017-03-28 | Ethicon Endo-Surgery, Llc | Surgical stapling device with a curved end effector |
US9655624B2 (en) | 2007-01-11 | 2017-05-23 | Ethicon Llc | Surgical stapling device with a curved end effector |
US8701958B2 (en) | 2007-01-11 | 2014-04-22 | Ethicon Endo-Surgery, Inc. | Curved end effector for a surgical stapling device |
US9757130B2 (en) | 2007-02-28 | 2017-09-12 | Ethicon Llc | Stapling assembly for forming different formed staple heights |
US7438209B1 (en) | 2007-03-15 | 2008-10-21 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments having a releasable staple-forming pocket |
US8925788B2 (en) | 2007-03-15 | 2015-01-06 | Ethicon Endo-Surgery, Inc. | End effectors for surgical stapling instruments |
US8991676B2 (en) | 2007-03-15 | 2015-03-31 | Ethicon Endo-Surgery, Inc. | Surgical staple having a slidable crown |
US7669747B2 (en) | 2007-03-15 | 2010-03-02 | Ethicon Endo-Surgery, Inc. | Washer for use with a surgical stapling instrument |
US11337693B2 (en) | 2007-03-15 | 2022-05-24 | Cilag Gmbh International | Surgical stapling instrument having a releasable buttress material |
US7604151B2 (en) | 2007-03-15 | 2009-10-20 | Ethicon Endo-Surgery, Inc. | Surgical stapling systems and staple cartridges for deploying surgical staples with tissue compression features |
US9289206B2 (en) | 2007-03-15 | 2016-03-22 | Ethicon Endo-Surgery, Llc | Lateral securement members for surgical staple cartridges |
US7735703B2 (en) | 2007-03-15 | 2010-06-15 | Ethicon Endo-Surgery, Inc. | Re-loadable surgical stapling instrument |
US8186560B2 (en) | 2007-03-15 | 2012-05-29 | Ethicon Endo-Surgery, Inc. | Surgical stapling systems and staple cartridges for deploying surgical staples with tissue compression features |
US8590762B2 (en) | 2007-03-15 | 2013-11-26 | Ethicon Endo-Surgery, Inc. | Staple cartridge cavity configurations |
US8727197B2 (en) | 2007-03-15 | 2014-05-20 | Ethicon Endo-Surgery, Inc. | Staple cartridge cavity configuration with cooperative surgical staple |
US7673782B2 (en) | 2007-03-15 | 2010-03-09 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having a releasable buttress material |
US8668130B2 (en) | 2007-03-15 | 2014-03-11 | Ethicon Endo-Surgery, Inc. | Surgical stapling systems and staple cartridges for deploying surgical staples with tissue compression features |
US9872682B2 (en) | 2007-03-15 | 2018-01-23 | Ethicon Llc | Surgical stapling instrument having a releasable buttress material |
US10702267B2 (en) | 2007-03-15 | 2020-07-07 | Ethicon Llc | Surgical stapling instrument having a releasable buttress material |
US8672208B2 (en) | 2007-03-15 | 2014-03-18 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having a releasable buttress material |
US8893946B2 (en) | 2007-03-28 | 2014-11-25 | Ethicon Endo-Surgery, Inc. | Laparoscopic tissue thickness and clamp load measuring devices |
US7490749B2 (en) | 2007-03-28 | 2009-02-17 | Ethicon Endo-Surgery, Inc. | Surgical stapling and cutting instrument with manually retractable firing member |
US10398433B2 (en) | 2007-03-28 | 2019-09-03 | Ethicon Llc | Laparoscopic clamp load measuring devices |
US8056787B2 (en) | 2007-03-28 | 2011-11-15 | Ethicon Endo-Surgery, Inc. | Surgical stapling and cutting instrument with travel-indicating retraction member |
US7810693B2 (en) | 2007-05-30 | 2010-10-12 | Ethicon Endo-Surgery, Inc. | Surgical stapling and cutting instrument with articulatable end effector |
US7798386B2 (en) | 2007-05-30 | 2010-09-21 | Ethicon Endo-Surgery, Inc. | Surgical instrument articulation joint cover |
US8157145B2 (en) | 2007-05-31 | 2012-04-17 | Ethicon Endo-Surgery, Inc. | Pneumatically powered surgical cutting and fastening instrument with electrical feedback |
US8196796B2 (en) | 2007-06-04 | 2012-06-12 | Ethicon Endo-Surgery, Inc. | Shaft based rotary drive system for surgical instruments |
US11672531B2 (en) | 2007-06-04 | 2023-06-13 | Cilag Gmbh International | Rotary drive systems for surgical instruments |
US8424740B2 (en) | 2007-06-04 | 2013-04-23 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a directional switching mechanism |
US9987003B2 (en) | 2007-06-04 | 2018-06-05 | Ethicon Llc | Robotic actuator assembly |
US11154298B2 (en) | 2007-06-04 | 2021-10-26 | Cilag Gmbh International | Stapling system for use with a robotic surgical system |
US10327765B2 (en) | 2007-06-04 | 2019-06-25 | Ethicon Llc | Drive systems for surgical instruments |
US11147549B2 (en) | 2007-06-04 | 2021-10-19 | Cilag Gmbh International | Stapling instrument including a firing system and a closure system |
US10363033B2 (en) | 2007-06-04 | 2019-07-30 | Ethicon Llc | Robotically-controlled surgical instruments |
US10299787B2 (en) | 2007-06-04 | 2019-05-28 | Ethicon Llc | Stapling system comprising rotary inputs |
US11564682B2 (en) | 2007-06-04 | 2023-01-31 | Cilag Gmbh International | Surgical stapler device |
US10368863B2 (en) | 2007-06-04 | 2019-08-06 | Ethicon Llc | Robotically-controlled shaft based rotary drive systems for surgical instruments |
US11911028B2 (en) | 2007-06-04 | 2024-02-27 | Cilag Gmbh International | Surgical instruments for use with a robotic surgical system |
US11857181B2 (en) | 2007-06-04 | 2024-01-02 | Cilag Gmbh International | Robotically-controlled shaft based rotary drive systems for surgical instruments |
US9795381B2 (en) | 2007-06-04 | 2017-10-24 | Ethicon Endo-Surgery, Llc | Robotically-controlled shaft based rotary drive systems for surgical instruments |
US9585658B2 (en) | 2007-06-04 | 2017-03-07 | Ethicon Endo-Surgery, Llc | Stapling systems |
US9750498B2 (en) | 2007-06-04 | 2017-09-05 | Ethicon Endo Surgery, Llc | Drive systems for surgical instruments |
US8534528B2 (en) | 2007-06-04 | 2013-09-17 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a multiple rate directional switching mechanism |
US8616431B2 (en) | 2007-06-04 | 2013-12-31 | Ethicon Endo-Surgery, Inc. | Shiftable drive interface for robotically-controlled surgical tool |
US11134938B2 (en) | 2007-06-04 | 2021-10-05 | Cilag Gmbh International | Robotically-controlled shaft based rotary drive systems for surgical instruments |
US11559302B2 (en) | 2007-06-04 | 2023-01-24 | Cilag Gmbh International | Surgical instrument including a firing member movable at different speeds |
US10441280B2 (en) | 2007-06-04 | 2019-10-15 | Ethicon Llc | Robotically-controlled shaft based rotary drive systems for surgical instruments |
US8931682B2 (en) | 2007-06-04 | 2015-01-13 | Ethicon Endo-Surgery, Inc. | Robotically-controlled shaft based rotary drive systems for surgical instruments |
US9186143B2 (en) | 2007-06-04 | 2015-11-17 | Ethicon Endo-Surgery, Inc. | Robotically-controlled shaft based rotary drive systems for surgical instruments |
US11648006B2 (en) | 2007-06-04 | 2023-05-16 | Cilag Gmbh International | Robotically-controlled shaft based rotary drive systems for surgical instruments |
US7731072B2 (en) | 2007-06-18 | 2010-06-08 | Ethicon Endo-Surgery, Inc. | Surgical stapling and cutting instrument with improved anvil opening features |
US7588176B2 (en) | 2007-06-18 | 2009-09-15 | Ethicon Endo-Surgery, Inc. | Surgical cutting instrument with improved closure system |
US20080308603A1 (en) * | 2007-06-18 | 2008-12-18 | Shelton Frederick E | Cable driven surgical stapling and cutting instrument with improved cable attachment arrangements |
US7588175B2 (en) | 2007-06-18 | 2009-09-15 | Ethicon Endo-Surgery, Inc. | Surgical stapling and cutting instrument with improved firing system |
US7658311B2 (en) | 2007-06-22 | 2010-02-09 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with a geared return mechanism |
US9138225B2 (en) | 2007-06-22 | 2015-09-22 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with an articulatable end effector |
US8408439B2 (en) | 2007-06-22 | 2013-04-02 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with an articulatable end effector |
US9662110B2 (en) | 2007-06-22 | 2017-05-30 | Ethicon Endo-Surgery, Llc | Surgical stapling instrument with an articulatable end effector |
US7954684B2 (en) | 2007-06-22 | 2011-06-07 | Ehticon Endo-Surgery, Inc. | Surgical stapling instrument with a firing member return mechanism |
US7753245B2 (en) | 2007-06-22 | 2010-07-13 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments |
US8353437B2 (en) | 2007-06-22 | 2013-01-15 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with a geared return mechanism |
US7604150B2 (en) | 2007-06-22 | 2009-10-20 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with an anti-back up mechanism |
US8333313B2 (en) | 2007-06-22 | 2012-12-18 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with a firing member return mechanism |
US7597229B2 (en) | 2007-06-22 | 2009-10-06 | Ethicon Endo-Surgery, Inc. | End effector closure system for a surgical stapling instrument |
US8322589B2 (en) | 2007-06-22 | 2012-12-04 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments |
US11013511B2 (en) | 2007-06-22 | 2021-05-25 | Ethicon Llc | Surgical stapling instrument with an articulatable end effector |
US8308040B2 (en) | 2007-06-22 | 2012-11-13 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with an articulatable end effector |
US7549564B2 (en) | 2007-06-22 | 2009-06-23 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with an articulating end effector |
US11849941B2 (en) | 2007-06-29 | 2023-12-26 | Cilag Gmbh International | Staple cartridge having staple cavities extending at a transverse angle relative to a longitudinal cartridge axis |
US8353440B2 (en) | 2007-09-21 | 2013-01-15 | Covidien Lp | Surgical device having a rotatable jaw portion |
US8342379B2 (en) | 2007-09-21 | 2013-01-01 | Covidien Lp | Surgical device having multiple drivers |
US11317909B2 (en) | 2007-09-21 | 2022-05-03 | Covidien Lp | Surgical device having multiple drivers |
US10881397B2 (en) | 2007-09-21 | 2021-01-05 | Covidien Lp | Surgical device having a rotatable jaw portion |
US9204877B2 (en) | 2007-09-21 | 2015-12-08 | Covidien Lp | Surgical device having a rotatable jaw portion |
US9017371B2 (en) | 2007-09-21 | 2015-04-28 | Covidien Lp | Surgical device having multiple drivers |
US10420548B2 (en) | 2007-09-21 | 2019-09-24 | Covidien Lp | Surgical device having multiple drivers |
US8752748B2 (en) | 2007-09-21 | 2014-06-17 | Covidien Lp | Surgical device having a rotatable jaw portion |
US7918230B2 (en) | 2007-09-21 | 2011-04-05 | Tyco Healthcare Group Lp | Surgical device having a rotatable jaw portion |
US7992758B2 (en) | 2007-09-21 | 2011-08-09 | Tyco Healthcare Group Lp | Surgical device having a rotatable jaw portion |
US8272554B2 (en) | 2007-09-21 | 2012-09-25 | Tyco Healthcare Group Lp | Surgical device having multiple drivers |
US9282961B2 (en) | 2007-09-21 | 2016-03-15 | Covidien Lp | Surgical device having multiple drivers |
US10117651B2 (en) | 2007-09-21 | 2018-11-06 | Covidien Lp | Surgical device having a rotatable jaw portion |
US7963433B2 (en) | 2007-09-21 | 2011-06-21 | Tyco Healthcare Group Lp | Surgical device having multiple drivers |
US8540129B2 (en) | 2008-02-13 | 2013-09-24 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with improved firing trigger arrangement |
US20090200355A1 (en) * | 2008-02-13 | 2009-08-13 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with improved firing trigger arrangement |
US8561870B2 (en) | 2008-02-13 | 2013-10-22 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument |
US10765424B2 (en) | 2008-02-13 | 2020-09-08 | Ethicon Llc | Surgical stapling instrument |
US7766209B2 (en) | 2008-02-13 | 2010-08-03 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with improved firing trigger arrangement |
US8453908B2 (en) | 2008-02-13 | 2013-06-04 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with improved firing trigger arrangement |
US9687231B2 (en) | 2008-02-13 | 2017-06-27 | Ethicon Llc | Surgical stapling instrument |
US10682142B2 (en) | 2008-02-14 | 2020-06-16 | Ethicon Llc | Surgical stapling apparatus including an articulation system |
US10639036B2 (en) | 2008-02-14 | 2020-05-05 | Ethicon Llc | Robotically-controlled motorized surgical cutting and fastening instrument |
US7819298B2 (en) | 2008-02-14 | 2010-10-26 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with control features operable with one hand |
US10206676B2 (en) | 2008-02-14 | 2019-02-19 | Ethicon Llc | Surgical cutting and fastening instrument |
US10238385B2 (en) | 2008-02-14 | 2019-03-26 | Ethicon Llc | Surgical instrument system for evaluating tissue impedance |
US7913891B2 (en) | 2008-02-14 | 2011-03-29 | Ethicon Endo-Surgery, Inc. | Disposable loading unit with user feedback features and surgical instrument for use therewith |
US10238387B2 (en) | 2008-02-14 | 2019-03-26 | Ethicon Llc | Surgical instrument comprising a control system |
US7819296B2 (en) | 2008-02-14 | 2010-10-26 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with retractable firing systems |
US10925605B2 (en) | 2008-02-14 | 2021-02-23 | Ethicon Llc | Surgical stapling system |
US9522029B2 (en) | 2008-02-14 | 2016-12-20 | Ethicon Endo-Surgery, Llc | Motorized surgical cutting and fastening instrument having handle based power source |
US10265067B2 (en) | 2008-02-14 | 2019-04-23 | Ethicon Llc | Surgical instrument including a regulator and a control system |
US8459525B2 (en) | 2008-02-14 | 2013-06-11 | Ethicon Endo-Sugery, Inc. | Motorized surgical cutting and fastening instrument having a magnetic drive train torque limiting device |
US9498219B2 (en) | 2008-02-14 | 2016-11-22 | Ethicon Endo-Surgery, Llc | Detachable motor powered surgical instrument |
US11446034B2 (en) | 2008-02-14 | 2022-09-20 | Cilag Gmbh International | Surgical stapling assembly comprising first and second actuation systems configured to perform different functions |
US10905426B2 (en) | 2008-02-14 | 2021-02-02 | Ethicon Llc | Detachable motor powered surgical instrument |
US11464514B2 (en) | 2008-02-14 | 2022-10-11 | Cilag Gmbh International | Motorized surgical stapling system including a sensing array |
US10905427B2 (en) | 2008-02-14 | 2021-02-02 | Ethicon Llc | Surgical System |
US8540130B2 (en) | 2008-02-14 | 2013-09-24 | Ethicon Endo-Surgery, Inc. | Disposable motor-driven loading unit for use with a surgical cutting and stapling apparatus |
US10898194B2 (en) | 2008-02-14 | 2021-01-26 | Ethicon Llc | Detachable motor powered surgical instrument |
US10898195B2 (en) | 2008-02-14 | 2021-01-26 | Ethicon Llc | Detachable motor powered surgical instrument |
US7810692B2 (en) | 2008-02-14 | 2010-10-12 | Ethicon Endo-Surgery, Inc. | Disposable loading unit with firing indicator |
US10307163B2 (en) | 2008-02-14 | 2019-06-04 | Ethicon Llc | Detachable motor powered surgical instrument |
US7866527B2 (en) | 2008-02-14 | 2011-01-11 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with interlockable firing system |
US8573461B2 (en) | 2008-02-14 | 2013-11-05 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments with cam-driven staple deployment arrangements |
US10888329B2 (en) | 2008-02-14 | 2021-01-12 | Ethicon Llc | Detachable motor powered surgical instrument |
US8573465B2 (en) | 2008-02-14 | 2013-11-05 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical end effector system with rotary actuated closure systems |
US8584919B2 (en) | 2008-02-14 | 2013-11-19 | Ethicon Endo-Sugery, Inc. | Surgical stapling apparatus with load-sensitive firing mechanism |
US7793812B2 (en) | 2008-02-14 | 2010-09-14 | Ethicon Endo-Surgery, Inc. | Disposable motor-driven loading unit for use with a surgical cutting and stapling apparatus |
US11484307B2 (en) | 2008-02-14 | 2022-11-01 | Cilag Gmbh International | Loading unit coupleable to a surgical stapling system |
US10888330B2 (en) | 2008-02-14 | 2021-01-12 | Ethicon Llc | Surgical system |
US7861906B2 (en) | 2008-02-14 | 2011-01-04 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with articulatable components |
US8622274B2 (en) | 2008-02-14 | 2014-01-07 | Ethicon Endo-Surgery, Inc. | Motorized cutting and fastening instrument having control circuit for optimizing battery usage |
US9211121B2 (en) | 2008-02-14 | 2015-12-15 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus |
US10874396B2 (en) | 2008-02-14 | 2020-12-29 | Ethicon Llc | Stapling instrument for use with a surgical robot |
US8636736B2 (en) | 2008-02-14 | 2014-01-28 | Ethicon Endo-Surgery, Inc. | Motorized surgical cutting and fastening instrument |
US11571212B2 (en) | 2008-02-14 | 2023-02-07 | Cilag Gmbh International | Surgical stapling system including an impedance sensor |
US7857185B2 (en) | 2008-02-14 | 2010-12-28 | Ethicon Endo-Surgery, Inc. | Disposable loading unit for surgical stapling apparatus |
US8657178B2 (en) | 2008-02-14 | 2014-02-25 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus |
US9204878B2 (en) | 2008-02-14 | 2015-12-08 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with interlockable firing system |
US8657174B2 (en) | 2008-02-14 | 2014-02-25 | Ethicon Endo-Surgery, Inc. | Motorized surgical cutting and fastening instrument having handle based power source |
US10004505B2 (en) | 2008-02-14 | 2018-06-26 | Ethicon Llc | Detachable motor powered surgical instrument |
US9179912B2 (en) | 2008-02-14 | 2015-11-10 | Ethicon Endo-Surgery, Inc. | Robotically-controlled motorized surgical cutting and fastening instrument |
US9999426B2 (en) | 2008-02-14 | 2018-06-19 | Ethicon Llc | Detachable motor powered surgical instrument |
US8752749B2 (en) | 2008-02-14 | 2014-06-17 | Ethicon Endo-Surgery, Inc. | Robotically-controlled disposable motor-driven loading unit |
US11612395B2 (en) | 2008-02-14 | 2023-03-28 | Cilag Gmbh International | Surgical system including a control system having an RFID tag reader |
US8758391B2 (en) | 2008-02-14 | 2014-06-24 | Ethicon Endo-Surgery, Inc. | Interchangeable tools for surgical instruments |
US10806450B2 (en) | 2008-02-14 | 2020-10-20 | Ethicon Llc | Surgical cutting and fastening instrument having a control system |
US9980729B2 (en) | 2008-02-14 | 2018-05-29 | Ethicon Endo-Surgery, Llc | Detachable motor powered surgical instrument |
US9962158B2 (en) | 2008-02-14 | 2018-05-08 | Ethicon Llc | Surgical stapling apparatuses with lockable end effector positioning systems |
US8196795B2 (en) | 2008-02-14 | 2012-06-12 | Ethicon Endo-Surgery, Inc. | Disposable motor-driven loading unit for use with a surgical cutting and stapling apparatus |
US10779822B2 (en) | 2008-02-14 | 2020-09-22 | Ethicon Llc | System including a surgical cutting and fastening instrument |
US10765432B2 (en) | 2008-02-14 | 2020-09-08 | Ethicon Llc | Surgical device including a control system |
US10463370B2 (en) | 2008-02-14 | 2019-11-05 | Ethicon Llc | Motorized surgical instrument |
US11801047B2 (en) | 2008-02-14 | 2023-10-31 | Cilag Gmbh International | Surgical stapling system comprising a control circuit configured to selectively monitor tissue impedance and adjust control of a motor |
US10470763B2 (en) | 2008-02-14 | 2019-11-12 | Ethicon Llc | Surgical cutting and fastening instrument including a sensing system |
US11638583B2 (en) | 2008-02-14 | 2023-05-02 | Cilag Gmbh International | Motorized surgical system having a plurality of power sources |
US9901345B2 (en) | 2008-02-14 | 2018-02-27 | Ethicon Llc | Stapling assembly |
US9901344B2 (en) | 2008-02-14 | 2018-02-27 | Ethicon Llc | Stapling assembly |
US9095339B2 (en) | 2008-02-14 | 2015-08-04 | Ethicon Endo-Surgery, Inc. | Detachable motor powered surgical instrument |
US10743851B2 (en) | 2008-02-14 | 2020-08-18 | Ethicon Llc | Interchangeable tools for surgical instruments |
US10743870B2 (en) | 2008-02-14 | 2020-08-18 | Ethicon Llc | Surgical stapling apparatus with interlockable firing system |
US9901346B2 (en) | 2008-02-14 | 2018-02-27 | Ethicon Llc | Stapling assembly |
US9084601B2 (en) | 2008-02-14 | 2015-07-21 | Ethicon Endo-Surgery, Inc. | Detachable motor powered surgical instrument |
US10722232B2 (en) | 2008-02-14 | 2020-07-28 | Ethicon Llc | Surgical instrument for use with different cartridges |
US10716568B2 (en) | 2008-02-14 | 2020-07-21 | Ethicon Llc | Surgical stapling apparatus with control features operable with one hand |
US8875971B2 (en) | 2008-02-14 | 2014-11-04 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with interlockable firing system |
US9072515B2 (en) | 2008-02-14 | 2015-07-07 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus |
US10542974B2 (en) | 2008-02-14 | 2020-01-28 | Ethicon Llc | Surgical instrument including a control system |
US9877723B2 (en) | 2008-02-14 | 2018-01-30 | Ethicon Llc | Surgical stapling assembly comprising a selector arrangement |
US8973803B2 (en) | 2008-02-14 | 2015-03-10 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with control features operable with one hand |
US10682141B2 (en) | 2008-02-14 | 2020-06-16 | Ethicon Llc | Surgical device including a control system |
US9872684B2 (en) | 2008-02-14 | 2018-01-23 | Ethicon Llc | Surgical stapling apparatus including firing force regulation |
US9867618B2 (en) | 2008-02-14 | 2018-01-16 | Ethicon Llc | Surgical stapling apparatus including firing force regulation |
US7819297B2 (en) | 2008-02-14 | 2010-10-26 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with reprocessible handle assembly |
US8113410B2 (en) | 2008-02-14 | 2012-02-14 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with control features |
US8991677B2 (en) | 2008-02-14 | 2015-03-31 | Ethicon Endo-Surgery, Inc. | Detachable motor powered surgical instrument |
US8998058B2 (en) | 2008-02-14 | 2015-04-07 | Ethicon Endo-Surgery, Inc. | Detachable motor powered surgical instrument |
US11717285B2 (en) | 2008-02-14 | 2023-08-08 | Cilag Gmbh International | Surgical cutting and fastening instrument having RF electrodes |
US10660640B2 (en) | 2008-02-14 | 2020-05-26 | Ethicon Llc | Motorized surgical cutting and fastening instrument |
US11154297B2 (en) | 2008-02-15 | 2021-10-26 | Cilag Gmbh International | Layer arrangements for surgical staple cartridges |
US10058327B2 (en) | 2008-02-15 | 2018-08-28 | Ethicon Llc | End effector coupling arrangements for a surgical cutting and stapling instrument |
US8371491B2 (en) | 2008-02-15 | 2013-02-12 | Ethicon Endo-Surgery, Inc. | Surgical end effector having buttress retention features |
US11272927B2 (en) | 2008-02-15 | 2022-03-15 | Cilag Gmbh International | Layer arrangements for surgical staple cartridges |
US9585657B2 (en) | 2008-02-15 | 2017-03-07 | Ethicon Endo-Surgery, Llc | Actuator for releasing a layer of material from a surgical end effector |
US10835250B2 (en) | 2008-02-15 | 2020-11-17 | Ethicon Llc | End effector coupling arrangements for a surgical cutting and stapling instrument |
US10390823B2 (en) | 2008-02-15 | 2019-08-27 | Ethicon Llc | End effector comprising an adjunct |
US20090206137A1 (en) * | 2008-02-15 | 2009-08-20 | Ethicon Endo-Surgery, Inc. | Disposable loading units for a surgical cutting and stapling instrument |
US7980443B2 (en) | 2008-02-15 | 2011-07-19 | Ethicon Endo-Surgery, Inc. | End effectors for a surgical cutting and stapling instrument |
US10856866B2 (en) | 2008-02-15 | 2020-12-08 | Ethicon Llc | Surgical end effector having buttress retention features |
US9839429B2 (en) | 2008-02-15 | 2017-12-12 | Ethicon Endo-Surgery, Llc | Stapling system comprising a lockout |
US11058418B2 (en) | 2008-02-15 | 2021-07-13 | Cilag Gmbh International | Surgical end effector having buttress retention features |
US9770245B2 (en) | 2008-02-15 | 2017-09-26 | Ethicon Llc | Layer arrangements for surgical staple cartridges |
US9913647B2 (en) | 2008-02-15 | 2018-03-13 | Ethicon Llc | Disposable loading unit for use with a surgical instrument |
US8875972B2 (en) | 2008-02-15 | 2014-11-04 | Ethicon Endo-Surgery, Inc. | End effector coupling arrangements for a surgical cutting and stapling instrument |
US7959051B2 (en) | 2008-02-15 | 2011-06-14 | Ethicon Endo-Surgery, Inc. | Closure systems for a surgical cutting and stapling instrument |
US7832612B2 (en) | 2008-09-19 | 2010-11-16 | Ethicon Endo-Surgery, Inc. | Lockout arrangement for a surgical stapler |
US11123071B2 (en) | 2008-09-19 | 2021-09-21 | Cilag Gmbh International | Staple cartridge for us with a surgical instrument |
US8540133B2 (en) | 2008-09-19 | 2013-09-24 | Ethicon Endo-Surgery, Inc. | Staple cartridge |
US7954686B2 (en) | 2008-09-19 | 2011-06-07 | Ethicon Endo-Surgery, Inc. | Surgical stapler with apparatus for adjusting staple height |
US9326771B2 (en) | 2008-09-19 | 2016-05-03 | Ethicon Endo-Surgery, Llc | Staple cartridge |
US10258336B2 (en) | 2008-09-19 | 2019-04-16 | Ethicon Llc | Stapling system configured to produce different formed staple heights |
US9289210B2 (en) | 2008-09-19 | 2016-03-22 | Ethicon Endo-Surgery, Llc | Surgical stapler with apparatus for adjusting staple height |
US7857186B2 (en) | 2008-09-19 | 2010-12-28 | Ethicon Endo-Surgery, Inc. | Surgical stapler having an intermediate closing position |
US7905381B2 (en) | 2008-09-19 | 2011-03-15 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with cutting member arrangement |
US8205781B2 (en) | 2008-09-19 | 2012-06-26 | Ethicon Endo-Surgery, Inc. | Surgical stapler with apparatus for adjusting staple height |
US10898184B2 (en) | 2008-09-23 | 2021-01-26 | Ethicon Llc | Motor-driven surgical cutting instrument |
US10130361B2 (en) | 2008-09-23 | 2018-11-20 | Ethicon Llc | Robotically-controller motorized surgical tool with an end effector |
US10765425B2 (en) | 2008-09-23 | 2020-09-08 | Ethicon Llc | Robotically-controlled motorized surgical instrument with an end effector |
US11812954B2 (en) | 2008-09-23 | 2023-11-14 | Cilag Gmbh International | Robotically-controlled motorized surgical instrument with an end effector |
US11617576B2 (en) | 2008-09-23 | 2023-04-04 | Cilag Gmbh International | Motor-driven surgical cutting instrument |
US10456133B2 (en) | 2008-09-23 | 2019-10-29 | Ethicon Llc | Motorized surgical instrument |
US9549732B2 (en) | 2008-09-23 | 2017-01-24 | Ethicon Endo-Surgery, Llc | Motor-driven surgical cutting instrument |
US11406380B2 (en) | 2008-09-23 | 2022-08-09 | Cilag Gmbh International | Motorized surgical instrument |
US9028519B2 (en) | 2008-09-23 | 2015-05-12 | Ethicon Endo-Surgery, Inc. | Motorized surgical instrument |
US11684361B2 (en) | 2008-09-23 | 2023-06-27 | Cilag Gmbh International | Motor-driven surgical cutting instrument |
US9050083B2 (en) | 2008-09-23 | 2015-06-09 | Ethicon Endo-Surgery, Inc. | Motorized surgical instrument |
US11103241B2 (en) | 2008-09-23 | 2021-08-31 | Cilag Gmbh International | Motor-driven surgical cutting instrument |
US10105136B2 (en) | 2008-09-23 | 2018-10-23 | Ethicon Llc | Robotically-controlled motorized surgical instrument with an end effector |
US10420549B2 (en) | 2008-09-23 | 2019-09-24 | Ethicon Llc | Motorized surgical instrument |
US10980535B2 (en) | 2008-09-23 | 2021-04-20 | Ethicon Llc | Motorized surgical instrument with an end effector |
US11045189B2 (en) | 2008-09-23 | 2021-06-29 | Cilag Gmbh International | Robotically-controlled motorized surgical instrument with an end effector |
US11617575B2 (en) | 2008-09-23 | 2023-04-04 | Cilag Gmbh International | Motor-driven surgical cutting instrument |
US9655614B2 (en) | 2008-09-23 | 2017-05-23 | Ethicon Endo-Surgery, Llc | Robotically-controlled motorized surgical instrument with an end effector |
US10045778B2 (en) | 2008-09-23 | 2018-08-14 | Ethicon Llc | Robotically-controlled motorized surgical instrument with an end effector |
US11648005B2 (en) | 2008-09-23 | 2023-05-16 | Cilag Gmbh International | Robotically-controlled motorized surgical instrument with an end effector |
US11871923B2 (en) | 2008-09-23 | 2024-01-16 | Cilag Gmbh International | Motorized surgical instrument |
US9386983B2 (en) | 2008-09-23 | 2016-07-12 | Ethicon Endo-Surgery, Llc | Robotically-controlled motorized surgical instrument |
US10238389B2 (en) | 2008-09-23 | 2019-03-26 | Ethicon Llc | Robotically-controlled motorized surgical instrument with an end effector |
US8602287B2 (en) | 2008-09-23 | 2013-12-10 | Ethicon Endo-Surgery, Inc. | Motor driven surgical cutting instrument |
US10485537B2 (en) | 2008-09-23 | 2019-11-26 | Ethicon Llc | Motorized surgical instrument |
US9005230B2 (en) | 2008-09-23 | 2015-04-14 | Ethicon Endo-Surgery, Inc. | Motorized surgical instrument |
US10736628B2 (en) | 2008-09-23 | 2020-08-11 | Ethicon Llc | Motor-driven surgical cutting instrument |
US8602288B2 (en) | 2008-09-23 | 2013-12-10 | Ethicon Endo-Surgery. Inc. | Robotically-controlled motorized surgical end effector system with rotary actuated closure systems having variable actuation speeds |
US11517304B2 (en) | 2008-09-23 | 2022-12-06 | Cilag Gmbh International | Motor-driven surgical cutting instrument |
US11793521B2 (en) | 2008-10-10 | 2023-10-24 | Cilag Gmbh International | Powered surgical cutting and stapling apparatus with manually retractable firing system |
US11583279B2 (en) | 2008-10-10 | 2023-02-21 | Cilag Gmbh International | Powered surgical cutting and stapling apparatus with manually retractable firing system |
US11730477B2 (en) | 2008-10-10 | 2023-08-22 | Cilag Gmbh International | Powered surgical system with manually retractable firing system |
US8608045B2 (en) | 2008-10-10 | 2013-12-17 | Ethicon Endo-Sugery, Inc. | Powered surgical cutting and stapling apparatus with manually retractable firing system |
US10932778B2 (en) | 2008-10-10 | 2021-03-02 | Ethicon Llc | Powered surgical cutting and stapling apparatus with manually retractable firing system |
US10149683B2 (en) | 2008-10-10 | 2018-12-11 | Ethicon Llc | Powered surgical cutting and stapling apparatus with manually retractable firing system |
US9370364B2 (en) | 2008-10-10 | 2016-06-21 | Ethicon Endo-Surgery, Llc | Powered surgical cutting and stapling apparatus with manually retractable firing system |
US8020743B2 (en) | 2008-10-15 | 2011-09-20 | Ethicon Endo-Surgery, Inc. | Powered articulatable surgical cutting and fastening instrument with flexible drive member |
US8414577B2 (en) | 2009-02-05 | 2013-04-09 | Ethicon Endo-Surgery, Inc. | Surgical instruments and components for use in sterile environments |
US8517239B2 (en) | 2009-02-05 | 2013-08-27 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument comprising a magnetic element driver |
US8485413B2 (en) | 2009-02-05 | 2013-07-16 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument comprising an articulation joint |
US11129615B2 (en) | 2009-02-05 | 2021-09-28 | Cilag Gmbh International | Surgical stapling system |
US8397971B2 (en) | 2009-02-05 | 2013-03-19 | Ethicon Endo-Surgery, Inc. | Sterilizable surgical instrument |
US10758233B2 (en) | 2009-02-05 | 2020-09-01 | Ethicon Llc | Articulatable surgical instrument comprising a firing drive |
US9486214B2 (en) | 2009-02-06 | 2016-11-08 | Ethicon Endo-Surgery, Llc | Motor driven surgical fastener device with switching system configured to prevent firing initiation until activated |
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 |
US9393015B2 (en) | 2009-02-06 | 2016-07-19 | Ethicon Endo-Surgery, Llc | Motor driven surgical fastener device with cutting member reversing mechanism |
US8453907B2 (en) | 2009-02-06 | 2013-06-04 | Ethicon Endo-Surgery, Inc. | Motor driven surgical fastener device with cutting member reversing mechanism |
US10420550B2 (en) | 2009-02-06 | 2019-09-24 | Ethicon Llc | Motor driven surgical fastener device with switching system configured to prevent firing initiation until activated |
US8066167B2 (en) | 2009-03-23 | 2011-11-29 | Ethicon Endo-Surgery, Inc. | Circular surgical stapling instrument with anvil locking system |
US20100237132A1 (en) * | 2009-03-23 | 2010-09-23 | Ethicon Endo-Surgery, Inc. | Circular surgical stapling instrument with anvil locking system |
US8603102B2 (en) | 2009-05-26 | 2013-12-10 | Zimmer, Inc. | Bone fixation tool |
US8221433B2 (en) | 2009-05-26 | 2012-07-17 | Zimmer, Inc. | Bone fixation tool |
US8852202B2 (en) | 2009-05-26 | 2014-10-07 | Zimmer, Inc. | Bone fixation tool |
US20100305624A1 (en) * | 2009-05-26 | 2010-12-02 | Zimmer, Inc. | Bone fixation tool |
US8567302B2 (en) | 2009-07-17 | 2013-10-29 | Aesculap Ag | Compressed gas operated instrument, in particular a surgical instrument |
DE102009033525A1 (en) * | 2009-07-17 | 2011-01-20 | Aesculap Ag | Compressed gas operated instrument, in particular a surgical instrument |
US8348129B2 (en) | 2009-10-09 | 2013-01-08 | Ethicon Endo-Surgery, Inc. | Surgical stapler having a closure mechanism |
US8141762B2 (en) | 2009-10-09 | 2012-03-27 | Ethicon Endo-Surgery, Inc. | Surgical stapler comprising a staple pocket |
US8353439B2 (en) | 2009-11-19 | 2013-01-15 | Ethicon Endo-Surgery, Inc. | Circular stapler introducer with radially-openable distal end portion |
US8899466B2 (en) | 2009-11-19 | 2014-12-02 | Ethicon Endo-Surgery, Inc. | Devices and methods for introducing a surgical circular stapling instrument into a patient |
US8353438B2 (en) | 2009-11-19 | 2013-01-15 | Ethicon Endo-Surgery, Inc. | Circular stapler introducer with rigid cap assembly configured for easy removal |
US8622275B2 (en) | 2009-11-19 | 2014-01-07 | Ethicon Endo-Surgery, Inc. | Circular stapler introducer with rigid distal end portion |
US10751076B2 (en) | 2009-12-24 | 2020-08-25 | Ethicon Llc | Motor-driven surgical cutting instrument with electric actuator directional control assembly |
US11291449B2 (en) | 2009-12-24 | 2022-04-05 | Cilag Gmbh International | Surgical cutting instrument that analyzes tissue thickness |
US8453914B2 (en) | 2009-12-24 | 2013-06-04 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting instrument with electric actuator directional control assembly |
US9675372B2 (en) | 2009-12-24 | 2017-06-13 | Ethicon Llc | Motor-driven surgical cutting instrument with electric actuator directional control assembly |
US8267300B2 (en) | 2009-12-30 | 2012-09-18 | Ethicon Endo-Surgery, Inc. | Dampening device for endoscopic surgical stapler |
US9585660B2 (en) | 2010-01-07 | 2017-03-07 | Ethicon Endo-Surgery, Llc | Method for testing a surgical tool |
US8608046B2 (en) | 2010-01-07 | 2013-12-17 | Ethicon Endo-Surgery, Inc. | Test device for a surgical tool |
US10470770B2 (en) | 2010-07-30 | 2019-11-12 | Ethicon Llc | Circular surgical fastening devices with tissue acquisition arrangements |
US9597075B2 (en) | 2010-07-30 | 2017-03-21 | Ethicon Endo-Surgery, Inc. | Tissue acquisition arrangements and methods for surgical stapling devices |
US8789740B2 (en) | 2010-07-30 | 2014-07-29 | Ethicon Endo-Surgery, Inc. | Linear cutting and stapling device with selectively disengageable cutting member |
US11478247B2 (en) | 2010-07-30 | 2022-10-25 | Cilag Gmbh International | Tissue acquisition arrangements and methods for surgical stapling devices |
US10675035B2 (en) | 2010-09-09 | 2020-06-09 | Ethicon Llc | Surgical stapling head assembly with firing lockout for a surgical stapler |
US9232945B2 (en) | 2010-09-09 | 2016-01-12 | Ethicon Endo-Surgery, Inc. | Surgical stapling head assembly with firing lockout for a surgical stapler |
US8360296B2 (en) | 2010-09-09 | 2013-01-29 | Ethicon Endo-Surgery, Inc. | Surgical stapling head assembly with firing lockout for a surgical stapler |
US8794497B2 (en) | 2010-09-09 | 2014-08-05 | Ethicon Endo-Surgery, Inc. | Surgical stapling head assembly with firing lockout for a surgical stapler |
US8789741B2 (en) | 2010-09-24 | 2014-07-29 | Ethicon Endo-Surgery, Inc. | Surgical instrument with trigger assembly for generating multiple actuation motions |
US9295464B2 (en) | 2010-09-30 | 2016-03-29 | Ethicon Endo-Surgery, Inc. | Surgical stapler anvil comprising a plurality of forming pockets |
US11298125B2 (en) | 2010-09-30 | 2022-04-12 | Cilag Gmbh International | Tissue stapler having a thickness compensator |
US10463372B2 (en) | 2010-09-30 | 2019-11-05 | Ethicon Llc | Staple cartridge comprising multiple regions |
US9924947B2 (en) | 2010-09-30 | 2018-03-27 | Ethicon Llc | Staple cartridge comprising a compressible portion |
US11911027B2 (en) | 2010-09-30 | 2024-02-27 | Cilag Gmbh International | Adhesive film laminate |
US9113865B2 (en) | 2010-09-30 | 2015-08-25 | Ethicon Endo-Surgery, Inc. | Staple cartridge comprising a layer |
US9566061B2 (en) | 2010-09-30 | 2017-02-14 | Ethicon Endo-Surgery, Llc | Fastener cartridge comprising a releasably attached tissue thickness compensator |
US9272406B2 (en) | 2010-09-30 | 2016-03-01 | Ethicon Endo-Surgery, Llc | Fastener cartridge comprising a cutting member for releasing a tissue thickness compensator |
US10835251B2 (en) | 2010-09-30 | 2020-11-17 | Ethicon Llc | Surgical instrument assembly including an end effector configurable in different positions |
US10182819B2 (en) | 2010-09-30 | 2019-01-22 | Ethicon Llc | Implantable layer assemblies |
US9572574B2 (en) | 2010-09-30 | 2017-02-21 | Ethicon Endo-Surgery, Llc | Tissue thickness compensators comprising therapeutic agents |
US9839420B2 (en) | 2010-09-30 | 2017-12-12 | Ethicon Llc | Tissue thickness compensator comprising at least one medicament |
US10485536B2 (en) | 2010-09-30 | 2019-11-26 | Ethicon Llc | Tissue stapler having an anti-microbial agent |
US8393514B2 (en) | 2010-09-30 | 2013-03-12 | Ethicon Endo-Surgery, Inc. | Selectively orientable implantable fastener cartridge |
US10194910B2 (en) | 2010-09-30 | 2019-02-05 | Ethicon Llc | Stapling assemblies comprising a layer |
US10869669B2 (en) | 2010-09-30 | 2020-12-22 | Ethicon Llc | Surgical instrument assembly |
US11083452B2 (en) | 2010-09-30 | 2021-08-10 | Cilag Gmbh International | Staple cartridge including a tissue thickness compensator |
US10149682B2 (en) | 2010-09-30 | 2018-12-11 | Ethicon Llc | Stapling system including an actuation system |
US10136890B2 (en) | 2010-09-30 | 2018-11-27 | Ethicon Llc | Staple cartridge comprising a variable thickness compressible portion |
US8474677B2 (en) | 2010-09-30 | 2013-07-02 | Ethicon Endo-Surgery, Inc. | Fastener system comprising a retention matrix and a cover |
US9320518B2 (en) | 2010-09-30 | 2016-04-26 | Ethicon Endo-Surgery, Llc | Tissue stapler having a thickness compensator incorporating an oxygen generating agent |
US11406377B2 (en) | 2010-09-30 | 2022-08-09 | Cilag Gmbh International | Adhesive film laminate |
US9314246B2 (en) | 2010-09-30 | 2016-04-19 | Ethicon Endo-Surgery, Llc | Tissue stapler having a thickness compensator incorporating an anti-inflammatory agent |
US8529600B2 (en) | 2010-09-30 | 2013-09-10 | Ethicon Endo-Surgery, Inc. | Fastener system comprising a retention matrix |
US9592050B2 (en) | 2010-09-30 | 2017-03-14 | Ethicon Endo-Surgery, Llc | End effector comprising a distal tissue abutment member |
US10213198B2 (en) | 2010-09-30 | 2019-02-26 | Ethicon Llc | Actuator for releasing a tissue thickness compensator from a fastener cartridge |
US9592053B2 (en) | 2010-09-30 | 2017-03-14 | Ethicon Endo-Surgery, Llc | Staple cartridge comprising multiple regions |
US9480476B2 (en) | 2010-09-30 | 2016-11-01 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator comprising resilient members |
US9332974B2 (en) | 2010-09-30 | 2016-05-10 | Ethicon Endo-Surgery, Llc | Layered tissue thickness compensator |
US9345477B2 (en) | 2010-09-30 | 2016-05-24 | Ethicon Endo-Surgery, Llc | Tissue stapler having a thickness compensator comprising incorporating a hemostatic agent |
US11672536B2 (en) | 2010-09-30 | 2023-06-13 | Cilag Gmbh International | Layer of material for a surgical end effector |
US9232941B2 (en) | 2010-09-30 | 2016-01-12 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator comprising a reservoir |
US10123798B2 (en) | 2010-09-30 | 2018-11-13 | Ethicon Llc | Tissue thickness compensator comprising controlled release and expansion |
US9220501B2 (en) | 2010-09-30 | 2015-12-29 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensators |
US8740038B2 (en) | 2010-09-30 | 2014-06-03 | Ethicon Endo-Surgery, Inc. | Staple cartridge comprising a releasable portion |
US11883025B2 (en) | 2010-09-30 | 2024-01-30 | Cilag Gmbh International | Tissue thickness compensator comprising a plurality of layers |
US8740037B2 (en) | 2010-09-30 | 2014-06-03 | Ethicon Endo-Surgery, Inc. | Compressible fastener cartridge |
US9277919B2 (en) | 2010-09-30 | 2016-03-08 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator comprising fibers to produce a resilient load |
US9113862B2 (en) | 2010-09-30 | 2015-08-25 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with a variable staple forming system |
US9615826B2 (en) | 2010-09-30 | 2017-04-11 | Ethicon Endo-Surgery, Llc | Multiple thickness implantable layers for surgical stapling devices |
US9833238B2 (en) | 2010-09-30 | 2017-12-05 | Ethicon Endo-Surgery, Llc | Retainer assembly including a tissue thickness compensator |
US9282962B2 (en) | 2010-09-30 | 2016-03-15 | Ethicon Endo-Surgery, Llc | Adhesive film laminate |
US9629814B2 (en) | 2010-09-30 | 2017-04-25 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator configured to redistribute compressive forces |
US8740034B2 (en) | 2010-09-30 | 2014-06-03 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with interchangeable staple cartridge arrangements |
US8746535B2 (en) | 2010-09-30 | 2014-06-10 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator comprising detachable portions |
US9833242B2 (en) | 2010-09-30 | 2017-12-05 | Ethicon Endo-Surgery, Llc | Tissue thickness compensators |
US9844372B2 (en) | 2010-09-30 | 2017-12-19 | Ethicon Llc | Retainer assembly including a tissue thickness compensator |
US10258330B2 (en) | 2010-09-30 | 2019-04-16 | Ethicon Llc | End effector including an implantable arrangement |
US9044228B2 (en) | 2010-09-30 | 2015-06-02 | Ethicon Endo-Surgery, Inc. | Fastener system comprising a plurality of fastener cartridges |
US10258332B2 (en) | 2010-09-30 | 2019-04-16 | Ethicon Llc | Stapling system comprising an adjunct and a flowable adhesive |
US10265072B2 (en) | 2010-09-30 | 2019-04-23 | Ethicon Llc | Surgical stapling system comprising an end effector including an implantable layer |
US10987102B2 (en) | 2010-09-30 | 2021-04-27 | Ethicon Llc | Tissue thickness compensator comprising a plurality of layers |
US9044227B2 (en) | 2010-09-30 | 2015-06-02 | Ethicon Endo-Surgery, Inc. | Collapsible fastener cartridge |
US9433419B2 (en) | 2010-09-30 | 2016-09-06 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator comprising a plurality of layers |
US10265074B2 (en) | 2010-09-30 | 2019-04-23 | Ethicon Llc | Implantable layers for surgical stapling devices |
US11684360B2 (en) | 2010-09-30 | 2023-06-27 | Cilag Gmbh International | Staple cartridge comprising a variable thickness compressible portion |
US9220500B2 (en) | 2010-09-30 | 2015-12-29 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator comprising structure to produce a resilient load |
US11857187B2 (en) | 2010-09-30 | 2024-01-02 | Cilag Gmbh International | Tissue thickness compensator comprising controlled release and expansion |
US8752699B2 (en) | 2010-09-30 | 2014-06-17 | Ethicon Endo-Surgery, Inc. | Implantable fastener cartridge comprising bioabsorbable layers |
US11395651B2 (en) | 2010-09-30 | 2022-07-26 | Cilag Gmbh International | Adhesive film laminate |
US8757465B2 (en) | 2010-09-30 | 2014-06-24 | Ethicon Endo-Surgery, Inc. | Fastener system comprising a retention matrix and an alignment matrix |
US9833236B2 (en) | 2010-09-30 | 2017-12-05 | Ethicon Llc | Tissue thickness compensator for surgical staplers |
US11850310B2 (en) | 2010-09-30 | 2023-12-26 | Cilag Gmbh International | Staple cartridge including an adjunct |
US9113864B2 (en) | 2010-09-30 | 2015-08-25 | Ethicon Endo-Surgery, Inc. | Surgical cutting and fastening instruments with separate and distinct fastener deployment and tissue cutting systems |
US11849952B2 (en) | 2010-09-30 | 2023-12-26 | Cilag Gmbh International | Staple cartridge comprising staples positioned within a compressible portion thereof |
US8763877B2 (en) | 2010-09-30 | 2014-07-01 | Ethicon Endo-Surgery, Inc. | Surgical instruments with reconfigurable shaft segments |
US9826978B2 (en) | 2010-09-30 | 2017-11-28 | Ethicon Llc | End effectors with same side closure and firing motions |
US8777004B2 (en) | 2010-09-30 | 2014-07-15 | Ethicon Endo-Surgery, Inc. | Compressible staple cartridge comprising alignment members |
US9883861B2 (en) | 2010-09-30 | 2018-02-06 | Ethicon Llc | Retainer assembly including a tissue thickness compensator |
US10624861B2 (en) | 2010-09-30 | 2020-04-21 | Ethicon Llc | Tissue thickness compensator configured to redistribute compressive forces |
US10064624B2 (en) | 2010-09-30 | 2018-09-04 | Ethicon Llc | End effector with implantable layer |
US9168038B2 (en) | 2010-09-30 | 2015-10-27 | Ethicon Endo-Surgery, Inc. | Staple cartridge comprising a tissue thickness compensator |
US8783542B2 (en) | 2010-09-30 | 2014-07-22 | Ethicon Endo-Surgery, Inc. | Fasteners supported by a fastener cartridge support |
US10888328B2 (en) | 2010-09-30 | 2021-01-12 | Ethicon Llc | Surgical end effector |
US11602340B2 (en) | 2010-09-30 | 2023-03-14 | Cilag Gmbh International | Adhesive film laminate |
US9788834B2 (en) | 2010-09-30 | 2017-10-17 | Ethicon Llc | Layer comprising deployable attachment members |
US9814462B2 (en) | 2010-09-30 | 2017-11-14 | Ethicon Llc | Assembly for fastening tissue comprising a compressible layer |
US11812965B2 (en) | 2010-09-30 | 2023-11-14 | Cilag Gmbh International | Layer of material for a surgical end effector |
US10898193B2 (en) | 2010-09-30 | 2021-01-26 | Ethicon Llc | End effector for use with a surgical instrument |
US9386988B2 (en) | 2010-09-30 | 2016-07-12 | Ethicon End-Surgery, LLC | Retainer assembly including a tissue thickness compensator |
US9795383B2 (en) | 2010-09-30 | 2017-10-24 | Ethicon Llc | Tissue thickness compensator comprising resilient members |
US10743877B2 (en) | 2010-09-30 | 2020-08-18 | Ethicon Llc | Surgical stapler with floating anvil |
US8814024B2 (en) | 2010-09-30 | 2014-08-26 | Ethicon Endo-Surgery, Inc. | Fastener system comprising a plurality of connected retention matrix elements |
US11540824B2 (en) | 2010-09-30 | 2023-01-03 | Cilag Gmbh International | Tissue thickness compensator |
US9033203B2 (en) | 2010-09-30 | 2015-05-19 | Ethicon Endo-Surgery, Inc. | Fastening instrument for deploying a fastener system comprising a retention matrix |
US9848875B2 (en) | 2010-09-30 | 2017-12-26 | Ethicon Llc | Anvil layer attached to a proximal end of an end effector |
US11583277B2 (en) | 2010-09-30 | 2023-02-21 | Cilag Gmbh International | Layer of material for a surgical end effector |
US9808247B2 (en) | 2010-09-30 | 2017-11-07 | Ethicon Llc | Stapling system comprising implantable layers |
US10405854B2 (en) | 2010-09-30 | 2019-09-10 | Ethicon Llc | Surgical stapling cartridge with layer retention features |
US10588623B2 (en) | 2010-09-30 | 2020-03-17 | Ethicon Llc | Adhesive film laminate |
US10945731B2 (en) | 2010-09-30 | 2021-03-16 | Ethicon Llc | Tissue thickness compensator comprising controlled release and expansion |
US9301752B2 (en) | 2010-09-30 | 2016-04-05 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator comprising a plurality of capsules |
US8840003B2 (en) | 2010-09-30 | 2014-09-23 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with compact articulation control arrangement |
US10335148B2 (en) | 2010-09-30 | 2019-07-02 | Ethicon Llc | Staple cartridge including a tissue thickness compensator for a surgical stapler |
US9801634B2 (en) | 2010-09-30 | 2017-10-31 | Ethicon Llc | Tissue thickness compensator for a surgical stapler |
US8857694B2 (en) | 2010-09-30 | 2014-10-14 | Ethicon Endo-Surgery, Inc. | Staple cartridge loading assembly |
US10335150B2 (en) | 2010-09-30 | 2019-07-02 | Ethicon Llc | Staple cartridge comprising an implantable layer |
US10548600B2 (en) | 2010-09-30 | 2020-02-04 | Ethicon Llc | Multiple thickness implantable layers for surgical stapling devices |
US10028743B2 (en) | 2010-09-30 | 2018-07-24 | Ethicon Llc | Staple cartridge assembly comprising an implantable layer |
US11559496B2 (en) | 2010-09-30 | 2023-01-24 | Cilag Gmbh International | Tissue thickness compensator configured to redistribute compressive forces |
US9364233B2 (en) | 2010-09-30 | 2016-06-14 | Ethicon Endo-Surgery, Llc | Tissue thickness compensators for circular surgical staplers |
US10398436B2 (en) | 2010-09-30 | 2019-09-03 | Ethicon Llc | Staple cartridge comprising staples positioned within a compressible portion thereof |
US8864007B2 (en) | 2010-09-30 | 2014-10-21 | Ethicon Endo-Surgery, Inc. | Implantable fastener cartridge having a non-uniform arrangement |
US8864009B2 (en) | 2010-09-30 | 2014-10-21 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator for a surgical stapler comprising an adjustable anvil |
US8893949B2 (en) | 2010-09-30 | 2014-11-25 | Ethicon Endo-Surgery, Inc. | Surgical stapler with floating anvil |
US8899463B2 (en) | 2010-09-30 | 2014-12-02 | Ethicon Endo-Surgery, Inc. | Surgical staple cartridges supporting non-linearly arranged staples and surgical stapling instruments with common staple-forming pockets |
US8978954B2 (en) | 2010-09-30 | 2015-03-17 | Ethicon Endo-Surgery, Inc. | Staple cartridge comprising an adjustable distal portion |
US11737754B2 (en) | 2010-09-30 | 2023-08-29 | Cilag Gmbh International | Surgical stapler with floating anvil |
US9301753B2 (en) | 2010-09-30 | 2016-04-05 | Ethicon Endo-Surgery, Llc | Expandable tissue thickness compensator |
US10363031B2 (en) | 2010-09-30 | 2019-07-30 | Ethicon Llc | Tissue thickness compensators for surgical staplers |
US8925782B2 (en) | 2010-09-30 | 2015-01-06 | Ethicon Endo-Surgery, Inc. | Implantable fastener cartridge comprising multiple layers |
US9358005B2 (en) | 2010-09-30 | 2016-06-07 | Ethicon Endo-Surgery, Llc | End effector layer including holding features |
US8978956B2 (en) | 2010-09-30 | 2015-03-17 | Ethicon Endo-Surgery, Inc. | Jaw closure arrangements for surgical instruments |
US9700317B2 (en) | 2010-09-30 | 2017-07-11 | Ethicon Endo-Surgery, Llc | Fastener cartridge comprising a releasable tissue thickness compensator |
US9861361B2 (en) | 2010-09-30 | 2018-01-09 | Ethicon Llc | Releasable tissue thickness compensator and fastener cartridge having the same |
US9301755B2 (en) | 2010-09-30 | 2016-04-05 | Ethicon Endo-Surgery, Llc | Compressible staple cartridge assembly |
US11571215B2 (en) | 2010-09-30 | 2023-02-07 | Cilag Gmbh International | Layer of material for a surgical end effector |
US11154296B2 (en) | 2010-09-30 | 2021-10-26 | Cilag Gmbh International | Anvil layer attached to a proximal end of an end effector |
US9307965B2 (en) | 2010-09-30 | 2016-04-12 | Ethicon Endo-Surgery, Llc | Tissue stapler having a thickness compensator incorporating an anti-microbial agent |
US11529142B2 (en) | 2010-10-01 | 2022-12-20 | Cilag Gmbh International | Surgical instrument having a power control circuit |
US10695062B2 (en) | 2010-10-01 | 2020-06-30 | Ethicon Llc | Surgical instrument including a retractable firing member |
JP2012171055A (en) * | 2011-02-22 | 2012-09-10 | Max Co Ltd | Gas combustion type driving tool |
US11478238B2 (en) | 2011-03-14 | 2022-10-25 | Cilag Gmbh International | Anvil assemblies with collapsible frames for circular staplers |
US11864747B2 (en) | 2011-03-14 | 2024-01-09 | Cilag Gmbh International | Anvil assemblies for circular staplers |
US10987094B2 (en) | 2011-03-14 | 2021-04-27 | Ethicon Llc | Surgical bowel retractor devices |
US10588612B2 (en) | 2011-03-14 | 2020-03-17 | Ethicon Llc | Collapsible anvil plate assemblies for circular surgical stapling devices |
US10751040B2 (en) | 2011-03-14 | 2020-08-25 | Ethicon Llc | Anvil assemblies with collapsible frames for circular staplers |
US10898177B2 (en) | 2011-03-14 | 2021-01-26 | Ethicon Llc | Collapsible anvil plate assemblies for circular surgical stapling devices |
US8800841B2 (en) | 2011-03-15 | 2014-08-12 | Ethicon Endo-Surgery, Inc. | Surgical staple cartridges |
US9351730B2 (en) | 2011-04-29 | 2016-05-31 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator comprising channels |
US9211120B2 (en) | 2011-04-29 | 2015-12-15 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator comprising a plurality of medicaments |
US9241714B2 (en) | 2011-04-29 | 2016-01-26 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator and method for making the same |
US10117652B2 (en) | 2011-04-29 | 2018-11-06 | Ethicon Llc | End effector comprising a tissue thickness compensator and progressively released attachment members |
US11504116B2 (en) | 2011-04-29 | 2022-11-22 | Cilag Gmbh International | Layer of material for a surgical end effector |
US10780539B2 (en) | 2011-05-27 | 2020-09-22 | Ethicon Llc | Stapling instrument for use with a robotic system |
US10335151B2 (en) | 2011-05-27 | 2019-07-02 | Ethicon Llc | Robotically-driven surgical instrument |
US9913648B2 (en) | 2011-05-27 | 2018-03-13 | Ethicon Endo-Surgery, Llc | Surgical system |
US10980534B2 (en) | 2011-05-27 | 2021-04-20 | Ethicon Llc | Robotically-controlled motorized surgical instrument with an end effector |
US11207064B2 (en) | 2011-05-27 | 2021-12-28 | Cilag Gmbh International | Automated end effector component reloading system for use with a robotic system |
US11266410B2 (en) | 2011-05-27 | 2022-03-08 | Cilag Gmbh International | Surgical device for use with a robotic system |
US11129616B2 (en) | 2011-05-27 | 2021-09-28 | Cilag Gmbh International | Surgical stapling system |
US10426478B2 (en) | 2011-05-27 | 2019-10-01 | Ethicon Llc | Surgical stapling systems |
US10524790B2 (en) | 2011-05-27 | 2020-01-07 | Ethicon Llc | Robotically-controlled surgical stapling devices that produce formed staples having different lengths |
US10617420B2 (en) | 2011-05-27 | 2020-04-14 | Ethicon Llc | Surgical system comprising drive systems |
US10736634B2 (en) | 2011-05-27 | 2020-08-11 | Ethicon Llc | Robotically-driven surgical instrument including a drive system |
US10071452B2 (en) | 2011-05-27 | 2018-09-11 | Ethicon Llc | Automated end effector component reloading system for use with a robotic system |
US11612394B2 (en) | 2011-05-27 | 2023-03-28 | Cilag Gmbh International | Automated end effector component reloading system for use with a robotic system |
US11439470B2 (en) | 2011-05-27 | 2022-09-13 | Cilag Gmbh International | Robotically-controlled surgical instrument with selectively articulatable end effector |
US10383633B2 (en) | 2011-05-27 | 2019-08-20 | Ethicon Llc | Robotically-driven surgical assembly |
US9072535B2 (en) | 2011-05-27 | 2015-07-07 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments with rotatable staple deployment arrangements |
US9271799B2 (en) | 2011-05-27 | 2016-03-01 | Ethicon Endo-Surgery, Llc | Robotic surgical system with removable motor housing |
US10813641B2 (en) | 2011-05-27 | 2020-10-27 | Ethicon Llc | Robotically-driven surgical instrument |
US9775614B2 (en) | 2011-05-27 | 2017-10-03 | Ethicon Endo-Surgery, Llc | Surgical stapling instruments with rotatable staple deployment arrangements |
US10420561B2 (en) | 2011-05-27 | 2019-09-24 | Ethicon Llc | Robotically-driven surgical instrument |
US10130366B2 (en) | 2011-05-27 | 2018-11-20 | Ethicon Llc | Automated reloading devices for replacing used end effectors on robotic surgical systems |
US10231794B2 (en) | 2011-05-27 | 2019-03-19 | Ethicon Llc | Surgical stapling instruments with rotatable staple deployment arrangements |
US11583278B2 (en) | 2011-05-27 | 2023-02-21 | Cilag Gmbh International | Surgical stapling system having multi-direction articulation |
US10485546B2 (en) | 2011-05-27 | 2019-11-26 | Ethicon Llc | Robotically-driven surgical assembly |
US10004506B2 (en) | 2011-05-27 | 2018-06-26 | Ethicon Llc | Surgical system |
US8789739B2 (en) | 2011-09-06 | 2014-07-29 | Ethicon Endo-Surgery, Inc. | Continuous stapling instrument |
US9198661B2 (en) | 2011-09-06 | 2015-12-01 | Ethicon Endo-Surgery, Inc. | Stapling instrument comprising a plurality of staple cartridges stored therein |
US8833632B2 (en) | 2011-09-06 | 2014-09-16 | Ethicon Endo-Surgery, Inc. | Firing member displacement system for a stapling instrument |
US9107663B2 (en) | 2011-09-06 | 2015-08-18 | Ethicon Endo-Surgery, Inc. | Stapling instrument comprising resettable staple drivers |
US9050084B2 (en) | 2011-09-23 | 2015-06-09 | Ethicon Endo-Surgery, Inc. | Staple cartridge including collapsible deck arrangement |
US9592054B2 (en) | 2011-09-23 | 2017-03-14 | Ethicon Endo-Surgery, Llc | Surgical stapler with stationary staple drivers |
US9055941B2 (en) | 2011-09-23 | 2015-06-16 | Ethicon Endo-Surgery, Inc. | Staple cartridge including collapsible deck |
US9687237B2 (en) | 2011-09-23 | 2017-06-27 | Ethicon Endo-Surgery, Llc | Staple cartridge including collapsible deck arrangement |
US9216019B2 (en) | 2011-09-23 | 2015-12-22 | Ethicon Endo-Surgery, Inc. | Surgical stapler with stationary staple drivers |
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 |
US10695063B2 (en) | 2012-02-13 | 2020-06-30 | Ethicon Llc | Surgical cutting and fastening instrument with apparatus for determining cartridge and firing motion status |
US9730697B2 (en) | 2012-02-13 | 2017-08-15 | Ethicon Endo-Surgery, Llc | Surgical cutting and fastening instrument with apparatus for determining cartridge and firing motion status |
US10166025B2 (en) | 2012-03-26 | 2019-01-01 | Ethicon Llc | Surgical stapling device with lockout system for preventing actuation in the absence of an installed staple cartridge |
US9078653B2 (en) | 2012-03-26 | 2015-07-14 | Ethicon Endo-Surgery, Inc. | Surgical stapling device with lockout system for preventing actuation in the absence of an installed staple cartridge |
US9974538B2 (en) | 2012-03-28 | 2018-05-22 | Ethicon Llc | Staple cartridge comprising a compressible layer |
US9204880B2 (en) | 2012-03-28 | 2015-12-08 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator comprising capsules defining a low pressure environment |
US11406378B2 (en) | 2012-03-28 | 2022-08-09 | Cilag Gmbh International | Staple cartridge comprising a compressible tissue thickness compensator |
US9517063B2 (en) | 2012-03-28 | 2016-12-13 | Ethicon Endo-Surgery, Llc | Movable member for use with a tissue thickness compensator |
US10667808B2 (en) | 2012-03-28 | 2020-06-02 | Ethicon Llc | Staple cartridge comprising an absorbable adjunct |
US9414838B2 (en) | 2012-03-28 | 2016-08-16 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator comprised of a plurality of materials |
US10441285B2 (en) | 2012-03-28 | 2019-10-15 | Ethicon Llc | Tissue thickness compensator comprising tissue ingrowth features |
US9198662B2 (en) | 2012-03-28 | 2015-12-01 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator having improved visibility |
US9918716B2 (en) | 2012-03-28 | 2018-03-20 | Ethicon Llc | Staple cartridge comprising implantable layers |
US9307989B2 (en) | 2012-03-28 | 2016-04-12 | Ethicon Endo-Surgery, Llc | Tissue stapler having a thickness compensator incorportating a hydrophobic agent |
US9320523B2 (en) | 2012-03-28 | 2016-04-26 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator comprising tissue ingrowth features |
US11793509B2 (en) | 2012-03-28 | 2023-10-24 | Cilag Gmbh International | Staple cartridge including an implantable layer |
US9724098B2 (en) | 2012-03-28 | 2017-08-08 | Ethicon Endo-Surgery, Llc | Staple cartridge comprising an implantable layer |
US9314247B2 (en) | 2012-03-28 | 2016-04-19 | Ethicon Endo-Surgery, Llc | Tissue stapler having a thickness compensator incorporating a hydrophilic agent |
US10959725B2 (en) | 2012-06-15 | 2021-03-30 | Ethicon Llc | Articulatable surgical instrument comprising a firing drive |
US11707273B2 (en) | 2012-06-15 | 2023-07-25 | Cilag Gmbh International | Articulatable surgical instrument comprising a firing drive |
US9101358B2 (en) | 2012-06-15 | 2015-08-11 | Ethicon Endo-Surgery, Inc. | Articulatable surgical instrument comprising a firing drive |
US10064621B2 (en) | 2012-06-15 | 2018-09-04 | Ethicon Llc | Articulatable surgical instrument comprising a firing drive |
US11154299B2 (en) | 2012-06-28 | 2021-10-26 | Cilag Gmbh International | Stapling assembly comprising a firing lockout |
US11109860B2 (en) | 2012-06-28 | 2021-09-07 | Cilag Gmbh International | Surgical end effectors for use with hand-held and robotically-controlled rotary powered surgical systems |
US10874391B2 (en) | 2012-06-28 | 2020-12-29 | Ethicon Llc | Surgical instrument system including replaceable end effectors |
US9072536B2 (en) | 2012-06-28 | 2015-07-07 | Ethicon Endo-Surgery, Inc. | Differential locking arrangements for rotary powered surgical instruments |
US9561038B2 (en) | 2012-06-28 | 2017-02-07 | Ethicon Endo-Surgery, Llc | Interchangeable clip applier |
US11058423B2 (en) | 2012-06-28 | 2021-07-13 | Cilag Gmbh International | Stapling system including first and second closure systems for use with a surgical robot |
US11202631B2 (en) | 2012-06-28 | 2021-12-21 | Cilag Gmbh International | Stapling assembly comprising a firing lockout |
US11464513B2 (en) | 2012-06-28 | 2022-10-11 | Cilag Gmbh International | Surgical instrument system including replaceable end effectors |
US9119657B2 (en) | 2012-06-28 | 2015-09-01 | Ethicon Endo-Surgery, Inc. | Rotary actuatable closure arrangement for surgical end effector |
US9125662B2 (en) | 2012-06-28 | 2015-09-08 | Ethicon Endo-Surgery, Inc. | Multi-axis articulating and rotating surgical tools |
US11197671B2 (en) | 2012-06-28 | 2021-12-14 | Cilag Gmbh International | Stapling assembly comprising a lockout |
US11039837B2 (en) | 2012-06-28 | 2021-06-22 | Cilag Gmbh International | Firing system lockout arrangements for surgical instruments |
US11622766B2 (en) | 2012-06-28 | 2023-04-11 | Cilag Gmbh International | Empty clip cartridge lockout |
US10687812B2 (en) | 2012-06-28 | 2020-06-23 | Ethicon Llc | Surgical instrument system including replaceable end effectors |
US11083457B2 (en) | 2012-06-28 | 2021-08-10 | Cilag Gmbh International | Surgical instrument system including replaceable end effectors |
US11141155B2 (en) | 2012-06-28 | 2021-10-12 | Cilag Gmbh International | Drive system for surgical tool |
US10420555B2 (en) | 2012-06-28 | 2019-09-24 | Ethicon Llc | Hand held rotary powered surgical instruments with end effectors that are articulatable about multiple axes |
US11602346B2 (en) | 2012-06-28 | 2023-03-14 | Cilag Gmbh International | Robotically powered surgical device with manually-actuatable reversing system |
US9226751B2 (en) | 2012-06-28 | 2016-01-05 | Ethicon Endo-Surgery, Inc. | Surgical instrument system including replaceable end effectors |
US10485541B2 (en) | 2012-06-28 | 2019-11-26 | Ethicon Llc | Robotically powered surgical device with manually-actuatable reversing system |
US11007004B2 (en) | 2012-06-28 | 2021-05-18 | Ethicon Llc | Powered multi-axial articulable electrosurgical device with external dissection features |
US11241230B2 (en) | 2012-06-28 | 2022-02-08 | Cilag Gmbh International | Clip applier tool for use with a robotic surgical system |
US10413294B2 (en) | 2012-06-28 | 2019-09-17 | Ethicon Llc | Shaft assembly arrangements for surgical instruments |
US9289256B2 (en) | 2012-06-28 | 2016-03-22 | Ethicon Endo-Surgery, Llc | Surgical end effectors having angled tissue-contacting surfaces |
US11278284B2 (en) | 2012-06-28 | 2022-03-22 | Cilag Gmbh International | Rotary drive arrangements for surgical instruments |
US10258333B2 (en) | 2012-06-28 | 2019-04-16 | Ethicon Llc | Surgical fastening apparatus with a rotary end effector drive shaft for selective engagement with a motorized drive system |
US9282974B2 (en) | 2012-06-28 | 2016-03-15 | Ethicon Endo-Surgery, Llc | Empty clip cartridge lockout |
US8747238B2 (en) | 2012-06-28 | 2014-06-10 | Ethicon Endo-Surgery, Inc. | Rotary drive shaft assemblies for surgical instruments with articulatable end effectors |
US9028494B2 (en) | 2012-06-28 | 2015-05-12 | Ethicon Endo-Surgery, Inc. | Interchangeable end effector coupling arrangement |
US11510671B2 (en) | 2012-06-28 | 2022-11-29 | Cilag Gmbh International | Firing system lockout arrangements for surgical instruments |
US10383630B2 (en) | 2012-06-28 | 2019-08-20 | Ethicon Llc | Surgical stapling device with rotary driven firing member |
US11857189B2 (en) | 2012-06-28 | 2024-01-02 | Cilag Gmbh International | Surgical instrument including first and second articulation joints |
US10639115B2 (en) | 2012-06-28 | 2020-05-05 | Ethicon Llc | Surgical end effectors having angled tissue-contacting surfaces |
US9408606B2 (en) | 2012-06-28 | 2016-08-09 | Ethicon Endo-Surgery, Llc | Robotically powered surgical device with manually-actuatable reversing system |
US9101385B2 (en) | 2012-06-28 | 2015-08-11 | Ethicon Endo-Surgery, Inc. | Electrode connections for rotary driven surgical tools |
US9204879B2 (en) | 2012-06-28 | 2015-12-08 | Ethicon Endo-Surgery, Inc. | Flexible drive member |
US11779420B2 (en) | 2012-06-28 | 2023-10-10 | Cilag Gmbh International | Robotic surgical attachments having manually-actuated retraction assemblies |
US9907620B2 (en) | 2012-06-28 | 2018-03-06 | Ethicon Endo-Surgery, Llc | Surgical end effectors having angled tissue-contacting surfaces |
US11141156B2 (en) | 2012-06-28 | 2021-10-12 | Cilag Gmbh International | Surgical stapling assembly comprising flexible output shaft |
US9364230B2 (en) | 2012-06-28 | 2016-06-14 | Ethicon Endo-Surgery, Llc | Surgical stapling instruments with rotary joint assemblies |
US11534162B2 (en) | 2012-06-28 | 2022-12-27 | Cilag GmbH Inlernational | Robotically powered surgical device with manually-actuatable reversing system |
US10932775B2 (en) | 2012-06-28 | 2021-03-02 | Ethicon Llc | Firing system lockout arrangements for surgical instruments |
US11806013B2 (en) | 2012-06-28 | 2023-11-07 | Cilag Gmbh International | Firing system arrangements for surgical instruments |
US9649111B2 (en) | 2012-06-28 | 2017-05-16 | Ethicon Endo-Surgery, Llc | Replaceable clip cartridge for a clip applier |
US11540829B2 (en) | 2012-06-28 | 2023-01-03 | Cilag Gmbh International | Surgical instrument system including replaceable end effectors |
US9987067B2 (en) | 2012-07-11 | 2018-06-05 | Zimmer, Inc. | Bone fixation tool |
US9566077B2 (en) | 2012-08-08 | 2017-02-14 | Aesculap Ag | Pneumatically actuatable surgical instrument |
US11373755B2 (en) | 2012-08-23 | 2022-06-28 | Cilag Gmbh International | Surgical device drive system including a ratchet mechanism |
US9386984B2 (en) | 2013-02-08 | 2016-07-12 | Ethicon Endo-Surgery, Llc | Staple cartridge comprising a releasable cover |
US10092292B2 (en) | 2013-02-28 | 2018-10-09 | Ethicon Llc | Staple forming features for surgical stapling instrument |
US11246618B2 (en) | 2013-03-01 | 2022-02-15 | Cilag Gmbh International | Surgical instrument soft stop |
US9468438B2 (en) | 2013-03-01 | 2016-10-18 | Eticon Endo-Surgery, LLC | Sensor straightened end effector during removal through trocar |
US9358003B2 (en) | 2013-03-01 | 2016-06-07 | Ethicon Endo-Surgery, Llc | Electromechanical surgical device with signal relay arrangement |
US11529138B2 (en) | 2013-03-01 | 2022-12-20 | Cilag Gmbh International | Powered surgical instrument including a rotary drive screw |
US9326767B2 (en) | 2013-03-01 | 2016-05-03 | Ethicon Endo-Surgery, Llc | Joystick switch assemblies for surgical instruments |
US9554794B2 (en) | 2013-03-01 | 2017-01-31 | Ethicon Endo-Surgery, Llc | Multiple processor motor control for modular surgical instruments |
US9700309B2 (en) | 2013-03-01 | 2017-07-11 | Ethicon Llc | Articulatable surgical instruments with conductive pathways for signal communication |
US10226249B2 (en) | 2013-03-01 | 2019-03-12 | Ethicon Llc | Articulatable surgical instruments with conductive pathways for signal communication |
US9398911B2 (en) | 2013-03-01 | 2016-07-26 | Ethicon Endo-Surgery, Llc | Rotary powered surgical instruments with multiple degrees of freedom |
US10575868B2 (en) | 2013-03-01 | 2020-03-03 | Ethicon Llc | Surgical instrument with coupler assembly |
US10285695B2 (en) | 2013-03-01 | 2019-05-14 | Ethicon Llc | Articulatable surgical instruments with conductive pathways |
US9782169B2 (en) | 2013-03-01 | 2017-10-10 | Ethicon Llc | Rotary powered articulation joints for surgical instruments |
US9307986B2 (en) | 2013-03-01 | 2016-04-12 | Ethicon Endo-Surgery, Llc | Surgical instrument soft stop |
US9345481B2 (en) | 2013-03-13 | 2016-05-24 | Ethicon Endo-Surgery, Llc | Staple cartridge tissue thickness sensor system |
US10617416B2 (en) | 2013-03-14 | 2020-04-14 | Ethicon Llc | Control systems for surgical instruments |
US10470762B2 (en) | 2013-03-14 | 2019-11-12 | Ethicon Llc | Multi-function motor for a surgical instrument |
US11812963B2 (en) | 2013-03-14 | 2023-11-14 | Applied Medical Resources Corporation | Surgical stapler with partial pockets |
US9883860B2 (en) | 2013-03-14 | 2018-02-06 | Ethicon Llc | Interchangeable shaft assemblies for use with a surgical instrument |
US9332987B2 (en) | 2013-03-14 | 2016-05-10 | Ethicon Endo-Surgery, Llc | Control arrangements for a drive member of a surgical instrument |
US11051812B2 (en) | 2013-03-14 | 2021-07-06 | Applied Medical Resources Corporation | Surgical stapler with partial pockets |
US9808244B2 (en) | 2013-03-14 | 2017-11-07 | Ethicon Llc | Sensor arrangements for absolute positioning system for surgical instruments |
US9687230B2 (en) | 2013-03-14 | 2017-06-27 | Ethicon Llc | Articulatable surgical instrument comprising a firing drive |
US10893867B2 (en) | 2013-03-14 | 2021-01-19 | Ethicon Llc | Drive train control arrangements for modular surgical instruments |
US9351727B2 (en) | 2013-03-14 | 2016-05-31 | Ethicon Endo-Surgery, Llc | Drive train control arrangements for modular surgical instruments |
US9351726B2 (en) | 2013-03-14 | 2016-05-31 | Ethicon Endo-Surgery, Llc | Articulation control system for articulatable surgical instruments |
US9629623B2 (en) | 2013-03-14 | 2017-04-25 | Ethicon Endo-Surgery, Llc | Drive system lockout arrangements for modular surgical instruments |
US9888919B2 (en) | 2013-03-14 | 2018-02-13 | Ethicon Llc | Method and system for operating a surgical instrument |
US11266406B2 (en) | 2013-03-14 | 2022-03-08 | Cilag Gmbh International | Control systems for surgical instruments |
US10238391B2 (en) | 2013-03-14 | 2019-03-26 | Ethicon Llc | Drive train control arrangements for modular surgical instruments |
US9629629B2 (en) | 2013-03-14 | 2017-04-25 | Ethicon Endo-Surgey, LLC | Control systems for surgical instruments |
US11389163B2 (en) | 2013-03-15 | 2022-07-19 | Applied Medical Resources Corporation | Surgical stapler with expandable jaw |
US11844491B2 (en) | 2013-03-15 | 2023-12-19 | Applied Medical Resources Corporation | Surgical stapler handle assembly having actuation mechanism with longitudinally rotatable shaft |
US11607220B2 (en) | 2013-03-15 | 2023-03-21 | Applied Medical Resources Corporation | Surgical stapler with expandable jaw |
US10888326B2 (en) | 2013-03-15 | 2021-01-12 | Applied Medical Resources Corporation | Surgical stapler with expandable jaw |
US10912565B2 (en) | 2013-03-15 | 2021-02-09 | Applied Medical Resources Corporation | Surgical stapler handle assembly having actuation mechanism with longitudinally rotatable shaft |
US20210000485A1 (en) * | 2013-03-15 | 2021-01-07 | Teleflex Life Sciences Limited | Drivers and drive systems |
US10595866B2 (en) | 2013-03-15 | 2020-03-24 | Applied Medical Resources Corporation | Surgical stapler handle assembly having actuation mechanism with longitudinally rotatable shaft |
US11737765B2 (en) * | 2013-03-15 | 2023-08-29 | Teleflex Life Sciences Limited | Drivers and drive systems |
US11529141B2 (en) | 2013-03-15 | 2022-12-20 | Applied Medical Resources Corporation | Surgical stapler handle assembly having actuation mechanism with longitudinally rotatable shaft |
US9795384B2 (en) | 2013-03-27 | 2017-10-24 | Ethicon Llc | Fastener cartridge comprising a tissue thickness compensator and a gap setting element |
US9332984B2 (en) | 2013-03-27 | 2016-05-10 | Ethicon Endo-Surgery, Llc | Fastener cartridge assemblies |
US9572577B2 (en) | 2013-03-27 | 2017-02-21 | Ethicon Endo-Surgery, Llc | Fastener cartridge comprising a tissue thickness compensator including openings therein |
US10405857B2 (en) | 2013-04-16 | 2019-09-10 | Ethicon Llc | Powered linear surgical stapler |
US11564679B2 (en) | 2013-04-16 | 2023-01-31 | Cilag Gmbh International | Powered surgical stapler |
US9814460B2 (en) | 2013-04-16 | 2017-11-14 | Ethicon Llc | Modular motor driven surgical instruments with status indication arrangements |
US10149680B2 (en) | 2013-04-16 | 2018-12-11 | Ethicon Llc | Surgical instrument comprising a gap setting system |
US9801626B2 (en) | 2013-04-16 | 2017-10-31 | Ethicon Llc | Modular motor driven surgical instruments with alignment features for aligning rotary drive shafts with surgical end effector shafts |
US11690615B2 (en) | 2013-04-16 | 2023-07-04 | Cilag Gmbh International | Surgical system including an electric motor and a surgical instrument |
US10888318B2 (en) | 2013-04-16 | 2021-01-12 | Ethicon Llc | Powered surgical stapler |
US10136887B2 (en) | 2013-04-16 | 2018-11-27 | Ethicon Llc | Drive system decoupling arrangement for a surgical instrument |
US11406381B2 (en) | 2013-04-16 | 2022-08-09 | Cilag Gmbh International | Powered surgical stapler |
US11633183B2 (en) | 2013-04-16 | 2023-04-25 | Cilag International GmbH | Stapling assembly comprising a retraction drive |
US9826976B2 (en) | 2013-04-16 | 2017-11-28 | Ethicon Llc | Motor driven surgical instruments with lockable dual drive shafts |
US9649110B2 (en) | 2013-04-16 | 2017-05-16 | Ethicon Llc | Surgical instrument comprising a closing drive and a firing drive operated from the same rotatable output |
US10702266B2 (en) | 2013-04-16 | 2020-07-07 | Ethicon Llc | Surgical instrument system |
US9867612B2 (en) | 2013-04-16 | 2018-01-16 | Ethicon Llc | Powered surgical stapler |
US9844368B2 (en) | 2013-04-16 | 2017-12-19 | Ethicon Llc | Surgical system comprising first and second drive systems |
US11395652B2 (en) | 2013-04-16 | 2022-07-26 | Cilag Gmbh International | Powered surgical stapler |
US11638581B2 (en) | 2013-04-16 | 2023-05-02 | Cilag Gmbh International | Powered surgical stapler |
US11622763B2 (en) | 2013-04-16 | 2023-04-11 | Cilag Gmbh International | Stapling assembly comprising a shiftable drive |
US9574644B2 (en) | 2013-05-30 | 2017-02-21 | Ethicon Endo-Surgery, Llc | Power module for use with a surgical instrument |
US9775609B2 (en) | 2013-08-23 | 2017-10-03 | Ethicon Llc | Tamper proof circuit for surgical instrument battery pack |
US11701110B2 (en) | 2013-08-23 | 2023-07-18 | Cilag Gmbh International | Surgical instrument including a drive assembly movable in a non-motorized mode of operation |
US11504119B2 (en) | 2013-08-23 | 2022-11-22 | Cilag Gmbh International | Surgical instrument including an electronic firing lockout |
US10828032B2 (en) | 2013-08-23 | 2020-11-10 | Ethicon Llc | End effector detection systems for surgical instruments |
US10898190B2 (en) | 2013-08-23 | 2021-01-26 | Ethicon Llc | Secondary battery arrangements for powered surgical instruments |
US10201349B2 (en) | 2013-08-23 | 2019-02-12 | Ethicon Llc | End effector detection and firing rate modulation systems for surgical instruments |
US9700310B2 (en) | 2013-08-23 | 2017-07-11 | Ethicon Llc | Firing member retraction devices for powered surgical instruments |
US9808249B2 (en) | 2013-08-23 | 2017-11-07 | Ethicon Llc | Attachment portions for surgical instrument assemblies |
US9987006B2 (en) | 2013-08-23 | 2018-06-05 | Ethicon Llc | Shroud retention arrangement for sterilizable surgical instruments |
US10624634B2 (en) | 2013-08-23 | 2020-04-21 | Ethicon Llc | Firing trigger lockout arrangements for surgical instruments |
US11389160B2 (en) | 2013-08-23 | 2022-07-19 | Cilag Gmbh International | Surgical system comprising a display |
US11026680B2 (en) | 2013-08-23 | 2021-06-08 | Cilag Gmbh International | Surgical instrument configured to operate in different states |
US9510828B2 (en) | 2013-08-23 | 2016-12-06 | Ethicon Endo-Surgery, Llc | Conductor arrangements for electrically powered surgical instruments with rotatable end effectors |
US9924942B2 (en) | 2013-08-23 | 2018-03-27 | Ethicon Llc | Motor-powered articulatable surgical instruments |
US10441281B2 (en) | 2013-08-23 | 2019-10-15 | Ethicon Llc | surgical instrument including securing and aligning features |
US11109858B2 (en) | 2013-08-23 | 2021-09-07 | Cilag Gmbh International | Surgical instrument including a display which displays the position of a firing element |
US11134940B2 (en) | 2013-08-23 | 2021-10-05 | Cilag Gmbh International | Surgical instrument including a variable speed firing member |
US11000274B2 (en) | 2013-08-23 | 2021-05-11 | Ethicon Llc | Powered surgical instrument |
US9445813B2 (en) | 2013-08-23 | 2016-09-20 | Ethicon Endo-Surgery, Llc | Closure indicator systems for surgical instruments |
US11376001B2 (en) | 2013-08-23 | 2022-07-05 | Cilag Gmbh International | Surgical stapling device with rotary multi-turn retraction mechanism |
US10869665B2 (en) | 2013-08-23 | 2020-12-22 | Ethicon Llc | Surgical instrument system including a control system |
US9283054B2 (en) | 2013-08-23 | 2016-03-15 | Ethicon Endo-Surgery, Llc | Interactive displays |
US11133106B2 (en) | 2013-08-23 | 2021-09-28 | Cilag Gmbh International | Surgical instrument assembly comprising a retraction assembly |
US11304702B2 (en) | 2013-09-13 | 2022-04-19 | Cilag Gmbh International | Surgical clip having compliant portion |
US10588624B2 (en) | 2013-12-23 | 2020-03-17 | Ethicon Llc | Surgical staples, staple cartridges and surgical end effectors |
US11759201B2 (en) | 2013-12-23 | 2023-09-19 | Cilag Gmbh International | Surgical stapling system comprising an end effector including an anvil with an anvil cap |
US10925599B2 (en) | 2013-12-23 | 2021-02-23 | Ethicon Llc | Modular surgical instruments |
US11020109B2 (en) | 2013-12-23 | 2021-06-01 | Ethicon Llc | Surgical stapling assembly for use with a powered surgical interface |
US11896223B2 (en) | 2013-12-23 | 2024-02-13 | Cilag Gmbh International | Surgical cutting and stapling instruments with independent jaw control features |
US11123065B2 (en) | 2013-12-23 | 2021-09-21 | Cilag Gmbh International | Surgical cutting and stapling instruments with independent jaw control features |
US11583273B2 (en) | 2013-12-23 | 2023-02-21 | Cilag Gmbh International | Surgical stapling system including a firing beam extending through an articulation region |
US10265065B2 (en) | 2013-12-23 | 2019-04-23 | Ethicon Llc | Surgical staples and staple cartridges |
US11026677B2 (en) | 2013-12-23 | 2021-06-08 | Cilag Gmbh International | Surgical stapling assembly |
US11364028B2 (en) | 2013-12-23 | 2022-06-21 | Cilag Gmbh International | Modular surgical system |
US11246587B2 (en) | 2013-12-23 | 2022-02-15 | Cilag Gmbh International | Surgical cutting and stapling instruments |
US11779327B2 (en) | 2013-12-23 | 2023-10-10 | Cilag Gmbh International | Surgical stapling system including a push bar |
US11020115B2 (en) | 2014-02-12 | 2021-06-01 | Cilag Gmbh International | Deliverable surgical instrument |
US9962161B2 (en) | 2014-02-12 | 2018-05-08 | Ethicon Llc | Deliverable surgical instrument |
US9707005B2 (en) | 2014-02-14 | 2017-07-18 | Ethicon Llc | Lockout mechanisms for surgical devices |
US10842524B2 (en) | 2014-02-14 | 2020-11-24 | Ethicon Llc | Lockout mechanisms for surgical devices |
US9884456B2 (en) | 2014-02-24 | 2018-02-06 | Ethicon Llc | Implantable layers and methods for altering one or more properties of implantable layers for use with fastening instruments |
US9775608B2 (en) | 2014-02-24 | 2017-10-03 | Ethicon Llc | Fastening system comprising a firing member lockout |
US9693777B2 (en) | 2014-02-24 | 2017-07-04 | Ethicon Llc | Implantable layers comprising a pressed region |
US9839422B2 (en) | 2014-02-24 | 2017-12-12 | Ethicon Llc | Implantable layers and methods for altering implantable layers for use with surgical fastening instruments |
US9839423B2 (en) | 2014-02-24 | 2017-12-12 | Ethicon Llc | Implantable layers and methods for modifying the shape of the implantable layers for use with a surgical fastening instrument |
US9757124B2 (en) | 2014-02-24 | 2017-09-12 | Ethicon Llc | Implantable layer assemblies |
US10426481B2 (en) | 2014-02-24 | 2019-10-01 | Ethicon Llc | Implantable layer assemblies |
US10028761B2 (en) | 2014-03-26 | 2018-07-24 | Ethicon Llc | Feedback algorithms for manual bailout systems for surgical instruments |
US9690362B2 (en) | 2014-03-26 | 2017-06-27 | Ethicon Llc | Surgical instrument control circuit having a safety processor |
US10863981B2 (en) | 2014-03-26 | 2020-12-15 | Ethicon Llc | Interface systems for use with surgical instruments |
US9730695B2 (en) | 2014-03-26 | 2017-08-15 | Ethicon Endo-Surgery, Llc | Power management through segmented circuit |
US10588626B2 (en) | 2014-03-26 | 2020-03-17 | Ethicon Llc | Surgical instrument displaying subsequent step of use |
US9804618B2 (en) | 2014-03-26 | 2017-10-31 | Ethicon Llc | Systems and methods for controlling a segmented circuit |
US11259799B2 (en) | 2014-03-26 | 2022-03-01 | Cilag Gmbh International | Interface systems for use with surgical instruments |
US10013049B2 (en) | 2014-03-26 | 2018-07-03 | Ethicon Llc | Power management through sleep options of segmented circuit and wake up control |
US10117653B2 (en) | 2014-03-26 | 2018-11-06 | Ethicon Llc | Systems and methods for controlling a segmented circuit |
US10201364B2 (en) | 2014-03-26 | 2019-02-12 | Ethicon Llc | Surgical instrument comprising a rotatable shaft |
US9913642B2 (en) | 2014-03-26 | 2018-03-13 | Ethicon Llc | Surgical instrument comprising a sensor system |
US10136889B2 (en) | 2014-03-26 | 2018-11-27 | Ethicon Llc | Systems and methods for controlling a segmented circuit |
US9750499B2 (en) | 2014-03-26 | 2017-09-05 | Ethicon Llc | Surgical stapling instrument system |
US10004497B2 (en) | 2014-03-26 | 2018-06-26 | Ethicon Llc | Interface systems for use with surgical instruments |
US9733663B2 (en) | 2014-03-26 | 2017-08-15 | Ethicon Llc | Power management through segmented circuit and variable voltage protection |
US10898185B2 (en) | 2014-03-26 | 2021-01-26 | Ethicon Llc | Surgical instrument power management through sleep and wake up control |
US9820738B2 (en) | 2014-03-26 | 2017-11-21 | Ethicon Llc | Surgical instrument comprising interactive systems |
US9743929B2 (en) | 2014-03-26 | 2017-08-29 | Ethicon Llc | Modular powered surgical instrument with detachable shaft assemblies |
US9826977B2 (en) | 2014-03-26 | 2017-11-28 | Ethicon Llc | Sterilization verification circuit |
US11497488B2 (en) | 2014-03-26 | 2022-11-15 | Cilag Gmbh International | Systems and methods for controlling a segmented circuit |
US10179017B2 (en) | 2014-04-03 | 2019-01-15 | Zimmer, Inc. | Orthopedic tool for bone fixation |
US11596406B2 (en) | 2014-04-16 | 2023-03-07 | Cilag Gmbh International | Fastener cartridges including extensions having different configurations |
US11717294B2 (en) | 2014-04-16 | 2023-08-08 | Cilag Gmbh International | End effector arrangements comprising indicators |
US11517315B2 (en) | 2014-04-16 | 2022-12-06 | Cilag Gmbh International | Fastener cartridges including extensions having different configurations |
US10470768B2 (en) | 2014-04-16 | 2019-11-12 | Ethicon Llc | Fastener cartridge including a layer attached thereto |
US11382627B2 (en) | 2014-04-16 | 2022-07-12 | Cilag Gmbh International | Surgical stapling assembly comprising a firing member including a lateral extension |
US11266409B2 (en) | 2014-04-16 | 2022-03-08 | Cilag Gmbh International | Fastener cartridge comprising a sled including longitudinally-staggered ramps |
US10327776B2 (en) | 2014-04-16 | 2019-06-25 | Ethicon Llc | Surgical stapling buttresses and adjunct materials |
US9877721B2 (en) | 2014-04-16 | 2018-01-30 | Ethicon Llc | Fastener cartridge comprising tissue control features |
US10542988B2 (en) | 2014-04-16 | 2020-01-28 | Ethicon Llc | End effector comprising an anvil including projections extending therefrom |
US9844369B2 (en) | 2014-04-16 | 2017-12-19 | Ethicon Llc | Surgical end effectors with firing element monitoring arrangements |
US11185330B2 (en) | 2014-04-16 | 2021-11-30 | Cilag Gmbh International | Fastener cartridge assemblies and staple retainer cover arrangements |
US11382625B2 (en) | 2014-04-16 | 2022-07-12 | Cilag Gmbh International | Fastener cartridge comprising non-uniform fasteners |
US9833241B2 (en) | 2014-04-16 | 2017-12-05 | Ethicon Llc | Surgical fastener cartridges with driver stabilizing arrangements |
US11298134B2 (en) | 2014-04-16 | 2022-04-12 | Cilag Gmbh International | Fastener cartridge comprising non-uniform fasteners |
US11883026B2 (en) | 2014-04-16 | 2024-01-30 | Cilag Gmbh International | Fastener cartridge assemblies and staple retainer cover arrangements |
US10010324B2 (en) | 2014-04-16 | 2018-07-03 | Ethicon Llc | Fastener cartridge compromising fastener cavities including fastener control features |
US10561422B2 (en) | 2014-04-16 | 2020-02-18 | Ethicon Llc | Fastener cartridge comprising deployable tissue engaging members |
US10299792B2 (en) | 2014-04-16 | 2019-05-28 | Ethicon Llc | Fastener cartridge comprising non-uniform fasteners |
US11666336B2 (en) | 2014-06-11 | 2023-06-06 | Applied Medical Resources Corporation | Surgical stapler with circumferential firing |
US11020117B2 (en) | 2014-06-11 | 2021-06-01 | Applied Medical Resources Corporation | Surgical stapler with circumferential firing |
US10729441B2 (en) | 2014-06-13 | 2020-08-04 | Ethicon Llc | Closure lockout systems for surgical instruments |
US10045781B2 (en) | 2014-06-13 | 2018-08-14 | Ethicon Llc | Closure lockout systems for surgical instruments |
US11547410B2 (en) | 2014-06-13 | 2023-01-10 | Cilag Gmbh International | Closure lockout systems for surgical instruments |
US10182820B2 (en) * | 2014-07-01 | 2019-01-22 | Covidien Lp | Composite drive beam for surgical stapling |
US20170189027A1 (en) * | 2014-07-01 | 2017-07-06 | Covidien Lp | Composite Drive Beam for Surgical Stapling |
US9757128B2 (en) | 2014-09-05 | 2017-09-12 | Ethicon Llc | Multiple sensors with one sensor affecting a second sensor's output or interpretation |
US9788836B2 (en) | 2014-09-05 | 2017-10-17 | Ethicon Llc | Multiple motor control for powered medical device |
US11406386B2 (en) | 2014-09-05 | 2022-08-09 | Cilag Gmbh International | End effector including magnetic and impedance sensors |
US11311294B2 (en) | 2014-09-05 | 2022-04-26 | Cilag Gmbh International | Powered medical device including measurement of closure state of jaws |
US11071545B2 (en) | 2014-09-05 | 2021-07-27 | Cilag Gmbh International | Smart cartridge wake up operation and data retention |
US11076854B2 (en) | 2014-09-05 | 2021-08-03 | Cilag Gmbh International | Smart cartridge wake up operation and data retention |
US11717297B2 (en) | 2014-09-05 | 2023-08-08 | Cilag Gmbh International | Smart cartridge wake up operation and data retention |
US10111679B2 (en) | 2014-09-05 | 2018-10-30 | Ethicon Llc | Circuitry and sensors for powered medical device |
US11389162B2 (en) | 2014-09-05 | 2022-07-19 | Cilag Gmbh International | Smart cartridge wake up operation and data retention |
US10135242B2 (en) | 2014-09-05 | 2018-11-20 | Ethicon Llc | Smart cartridge wake up operation and data retention |
US9724094B2 (en) | 2014-09-05 | 2017-08-08 | Ethicon Llc | Adjunct with integrated sensors to quantify tissue compression |
US10016199B2 (en) | 2014-09-05 | 2018-07-10 | Ethicon Llc | Polarity of hall magnet to identify cartridge type |
US11653918B2 (en) | 2014-09-05 | 2023-05-23 | Cilag Gmbh International | Local display of tissue parameter stabilization |
US9737301B2 (en) | 2014-09-05 | 2017-08-22 | Ethicon Llc | Monitoring device degradation based on component evaluation |
US10905423B2 (en) | 2014-09-05 | 2021-02-02 | Ethicon Llc | Smart cartridge wake up operation and data retention |
US11523825B2 (en) | 2014-09-15 | 2022-12-13 | Applied Medical Resources Corporation | Surgical stapler with self-adjusting staple height |
US10792038B2 (en) | 2014-09-15 | 2020-10-06 | Applied Medical Resources Corporation | Surgical stapler with self-adjusting staple height |
US11284898B2 (en) | 2014-09-18 | 2022-03-29 | Cilag Gmbh International | Surgical instrument including a deployable knife |
US10426477B2 (en) | 2014-09-26 | 2019-10-01 | Ethicon Llc | Staple cartridge assembly including a ramp |
US10751053B2 (en) | 2014-09-26 | 2020-08-25 | Ethicon Llc | Fastener cartridges for applying expandable fastener lines |
US10327764B2 (en) | 2014-09-26 | 2019-06-25 | Ethicon Llc | Method for creating a flexible staple line |
US11523821B2 (en) | 2014-09-26 | 2022-12-13 | Cilag Gmbh International | Method for creating a flexible staple line |
US9801628B2 (en) | 2014-09-26 | 2017-10-31 | Ethicon Llc | Surgical staple and driver arrangements for staple cartridges |
US11202633B2 (en) | 2014-09-26 | 2021-12-21 | Cilag Gmbh International | Surgical stapling buttresses and adjunct materials |
US9801627B2 (en) | 2014-09-26 | 2017-10-31 | Ethicon Llc | Fastener cartridge for creating a flexible staple line |
US10426476B2 (en) | 2014-09-26 | 2019-10-01 | Ethicon Llc | Circular fastener cartridges for applying radially expandable fastener lines |
US10206677B2 (en) | 2014-09-26 | 2019-02-19 | Ethicon Llc | Surgical staple and driver arrangements for staple cartridges |
US10736630B2 (en) | 2014-10-13 | 2020-08-11 | Ethicon Llc | Staple cartridge |
US10076325B2 (en) | 2014-10-13 | 2018-09-18 | Ethicon Llc | Surgical stapling apparatus comprising a tissue stop |
US10052104B2 (en) | 2014-10-16 | 2018-08-21 | Ethicon Llc | Staple cartridge comprising a tissue thickness compensator |
US10905418B2 (en) | 2014-10-16 | 2021-02-02 | Ethicon Llc | Staple cartridge comprising a tissue thickness compensator |
US11701114B2 (en) | 2014-10-16 | 2023-07-18 | Cilag Gmbh International | Staple cartridge |
US11185325B2 (en) | 2014-10-16 | 2021-11-30 | Cilag Gmbh International | End effector including different tissue gaps |
US9924944B2 (en) | 2014-10-16 | 2018-03-27 | Ethicon Llc | Staple cartridge comprising an adjunct material |
US11864760B2 (en) | 2014-10-29 | 2024-01-09 | Cilag Gmbh International | Staple cartridges comprising driver arrangements |
US11241229B2 (en) | 2014-10-29 | 2022-02-08 | Cilag Gmbh International | Staple cartridges comprising driver arrangements |
US11457918B2 (en) | 2014-10-29 | 2022-10-04 | Cilag Gmbh International | Cartridge assemblies for surgical staplers |
US10517594B2 (en) | 2014-10-29 | 2019-12-31 | Ethicon Llc | Cartridge assemblies for surgical staplers |
US11141153B2 (en) | 2014-10-29 | 2021-10-12 | Cilag Gmbh International | Staple cartridges comprising driver arrangements |
US10617417B2 (en) | 2014-11-06 | 2020-04-14 | Ethicon Llc | Staple cartridge comprising a releasable adjunct material |
US9844376B2 (en) | 2014-11-06 | 2017-12-19 | Ethicon Llc | Staple cartridge comprising a releasable adjunct material |
US11337698B2 (en) | 2014-11-06 | 2022-05-24 | Cilag Gmbh International | Staple cartridge comprising a releasable adjunct material |
US10736636B2 (en) | 2014-12-10 | 2020-08-11 | Ethicon Llc | Articulatable surgical instrument system |
US11382628B2 (en) | 2014-12-10 | 2022-07-12 | Cilag Gmbh International | Articulatable surgical instrument system |
US10117649B2 (en) | 2014-12-18 | 2018-11-06 | Ethicon Llc | Surgical instrument assembly comprising a lockable articulation system |
US11547404B2 (en) | 2014-12-18 | 2023-01-10 | Cilag Gmbh International | Surgical instrument assembly comprising a flexible articulation system |
US11678877B2 (en) | 2014-12-18 | 2023-06-20 | Cilag Gmbh International | Surgical instrument including a flexible support configured to support a flexible firing member |
US10945728B2 (en) | 2014-12-18 | 2021-03-16 | Ethicon Llc | Locking arrangements for detachable shaft assemblies with articulatable surgical end effectors |
US10743873B2 (en) | 2014-12-18 | 2020-08-18 | Ethicon Llc | Drive arrangements for articulatable surgical instruments |
US11571207B2 (en) | 2014-12-18 | 2023-02-07 | Cilag Gmbh International | Surgical system including lateral supports for a flexible drive member |
US9987000B2 (en) | 2014-12-18 | 2018-06-05 | Ethicon Llc | Surgical instrument assembly comprising a flexible articulation system |
US11083453B2 (en) | 2014-12-18 | 2021-08-10 | Cilag Gmbh International | Surgical stapling system including a flexible firing actuator and lateral buckling supports |
US9844375B2 (en) | 2014-12-18 | 2017-12-19 | Ethicon Llc | Drive arrangements for articulatable surgical instruments |
US10004501B2 (en) | 2014-12-18 | 2018-06-26 | Ethicon Llc | Surgical instruments with improved closure arrangements |
US11517311B2 (en) | 2014-12-18 | 2022-12-06 | Cilag Gmbh International | Surgical instrument systems comprising an articulatable end effector and means for adjusting the firing stroke of a firing member |
US11399831B2 (en) | 2014-12-18 | 2022-08-02 | Cilag Gmbh International | Drive arrangements for articulatable surgical instruments |
US10188385B2 (en) | 2014-12-18 | 2019-01-29 | Ethicon Llc | Surgical instrument system comprising lockable systems |
US9968355B2 (en) | 2014-12-18 | 2018-05-15 | Ethicon Llc | Surgical instruments with articulatable end effectors and improved firing beam support arrangements |
US10806448B2 (en) | 2014-12-18 | 2020-10-20 | Ethicon Llc | Surgical instrument assembly comprising a flexible articulation system |
US11553911B2 (en) | 2014-12-18 | 2023-01-17 | Cilag Gmbh International | Surgical instrument assembly comprising a flexible articulation system |
US11812958B2 (en) | 2014-12-18 | 2023-11-14 | Cilag Gmbh International | Locking arrangements for detachable shaft assemblies with articulatable surgical end effectors |
US10245027B2 (en) | 2014-12-18 | 2019-04-02 | Ethicon Llc | Surgical instrument with an anvil that is selectively movable about a discrete non-movable axis relative to a staple cartridge |
US10695058B2 (en) | 2014-12-18 | 2020-06-30 | Ethicon Llc | Surgical instrument systems comprising an articulatable end effector and means for adjusting the firing stroke of a firing member |
US11547403B2 (en) | 2014-12-18 | 2023-01-10 | Cilag Gmbh International | Surgical instrument having a laminate firing actuator and lateral buckling supports |
US9943309B2 (en) | 2014-12-18 | 2018-04-17 | Ethicon Llc | Surgical instruments with articulatable end effectors and movable firing beam support arrangements |
US10085748B2 (en) | 2014-12-18 | 2018-10-02 | Ethicon Llc | Locking arrangements for detachable shaft assemblies with articulatable surgical end effectors |
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 |
US11154301B2 (en) | 2015-02-27 | 2021-10-26 | Cilag Gmbh International | Modular stapling assembly |
US11744588B2 (en) | 2015-02-27 | 2023-09-05 | Cilag Gmbh International | Surgical stapling instrument including a removably attachable battery pack |
US11324506B2 (en) | 2015-02-27 | 2022-05-10 | Cilag Gmbh International | Modular stapling assembly |
US10182816B2 (en) | 2015-02-27 | 2019-01-22 | Ethicon Llc | Charging system that enables emergency resolutions for charging a battery |
US10321907B2 (en) | 2015-02-27 | 2019-06-18 | Ethicon Llc | System for monitoring whether a surgical instrument needs to be serviced |
US9931118B2 (en) | 2015-02-27 | 2018-04-03 | Ethicon Endo-Surgery, Llc | Reinforced battery for a surgical instrument |
US10045779B2 (en) | 2015-02-27 | 2018-08-14 | Ethicon Llc | Surgical instrument system comprising an inspection station |
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 |
US10245028B2 (en) | 2015-02-27 | 2019-04-02 | Ethicon Llc | Power adapter for a surgical instrument |
US10159483B2 (en) | 2015-02-27 | 2018-12-25 | Ethicon Llc | Surgical apparatus configured to track an end-of-life parameter |
US10226250B2 (en) | 2015-02-27 | 2019-03-12 | Ethicon Llc | Modular stapling assembly |
US9993258B2 (en) | 2015-02-27 | 2018-06-12 | Ethicon Llc | Adaptable surgical instrument handle |
US10052044B2 (en) | 2015-03-06 | 2018-08-21 | Ethicon Llc | Time dependent evaluation of sensor data to determine stability, creep, and viscoelastic elements of measures |
US10548504B2 (en) | 2015-03-06 | 2020-02-04 | Ethicon Llc | Overlaid multi sensor radio frequency (RF) electrode system to measure tissue compression |
US11350843B2 (en) | 2015-03-06 | 2022-06-07 | Cilag Gmbh International | Time dependent evaluation of sensor data to determine stability, creep, and viscoelastic elements of measures |
US11109859B2 (en) | 2015-03-06 | 2021-09-07 | Cilag Gmbh International | Surgical instrument comprising a lockable battery housing |
US10245033B2 (en) | 2015-03-06 | 2019-04-02 | Ethicon Llc | Surgical instrument comprising a lockable battery housing |
US9895148B2 (en) | 2015-03-06 | 2018-02-20 | Ethicon Endo-Surgery, Llc | Monitoring speed control and precision incrementing of motor for powered surgical instruments |
US10687806B2 (en) | 2015-03-06 | 2020-06-23 | Ethicon Llc | Adaptive tissue compression techniques to adjust closure rates for multiple tissue types |
US9901342B2 (en) | 2015-03-06 | 2018-02-27 | Ethicon Endo-Surgery, Llc | Signal and power communication system positioned on a rotatable shaft |
US11426160B2 (en) | 2015-03-06 | 2022-08-30 | Cilag Gmbh International | Smart sensors with local signal processing |
US10206605B2 (en) | 2015-03-06 | 2019-02-19 | Ethicon Llc | Time dependent evaluation of sensor data to determine stability, creep, and viscoelastic elements of measures |
US10772625B2 (en) | 2015-03-06 | 2020-09-15 | Ethicon Llc | Signal and power communication system positioned on a rotatable shaft |
US9924961B2 (en) | 2015-03-06 | 2018-03-27 | Ethicon Endo-Surgery, Llc | Interactive feedback system for powered surgical instruments |
US10729432B2 (en) | 2015-03-06 | 2020-08-04 | Ethicon Llc | Methods for operating a powered surgical instrument |
US10045776B2 (en) | 2015-03-06 | 2018-08-14 | Ethicon Llc | Control techniques and sub-processor contained within modular shaft with select control processing from handle |
US9993248B2 (en) | 2015-03-06 | 2018-06-12 | Ethicon Endo-Surgery, Llc | Smart sensors with local signal processing |
US10617412B2 (en) | 2015-03-06 | 2020-04-14 | Ethicon Llc | System for detecting the mis-insertion of a staple cartridge into a surgical stapler |
US10524787B2 (en) | 2015-03-06 | 2020-01-07 | Ethicon Llc | Powered surgical instrument with parameter-based firing rate |
US9808246B2 (en) | 2015-03-06 | 2017-11-07 | Ethicon Endo-Surgery, Llc | Method of operating a powered surgical instrument |
US11224423B2 (en) | 2015-03-06 | 2022-01-18 | Cilag Gmbh International | Smart sensors with local signal processing |
US10531887B2 (en) | 2015-03-06 | 2020-01-14 | Ethicon Llc | Powered surgical instrument including speed display |
US11826132B2 (en) | 2015-03-06 | 2023-11-28 | Cilag Gmbh International | Time dependent evaluation of sensor data to determine stability, creep, and viscoelastic elements of measures |
US10966627B2 (en) | 2015-03-06 | 2021-04-06 | Ethicon Llc | Time dependent evaluation of sensor data to determine stability, creep, and viscoelastic elements of measures |
US10390825B2 (en) | 2015-03-31 | 2019-08-27 | Ethicon Llc | Surgical instrument with progressive rotary drive systems |
US10213201B2 (en) | 2015-03-31 | 2019-02-26 | Ethicon Llc | Stapling end effector configured to compensate for an uneven gap between a first jaw and a second jaw |
US10433844B2 (en) | 2015-03-31 | 2019-10-08 | Ethicon Llc | Surgical instrument with selectively disengageable threaded drive systems |
US10052102B2 (en) | 2015-06-18 | 2018-08-21 | Ethicon Llc | Surgical end effectors with dual cam actuated jaw closing features |
US11357504B2 (en) | 2015-08-06 | 2022-06-14 | Applied Medical Resources Corporation | Surgical stapler having locking articulation joint |
US10448949B2 (en) | 2015-08-06 | 2019-10-22 | Applied Medical Resources Corporation | Surgical stapler having locking articulation joint |
US11058425B2 (en) | 2015-08-17 | 2021-07-13 | Ethicon Llc | Implantable layers for a surgical instrument |
US10617418B2 (en) | 2015-08-17 | 2020-04-14 | Ethicon Llc | Implantable layers for a surgical instrument |
US10835249B2 (en) | 2015-08-17 | 2020-11-17 | Ethicon Llc | Implantable layers for a surgical instrument |
US11058426B2 (en) | 2015-08-26 | 2021-07-13 | Cilag Gmbh International | Staple cartridge assembly comprising various tissue compression gaps and staple forming gaps |
US10357251B2 (en) | 2015-08-26 | 2019-07-23 | Ethicon Llc | Surgical staples comprising hardness variations for improved fastening of tissue |
US11510675B2 (en) | 2015-08-26 | 2022-11-29 | Cilag Gmbh International | Surgical end effector assembly including a connector strip interconnecting a plurality of staples |
US11051817B2 (en) | 2015-08-26 | 2021-07-06 | Cilag Gmbh International | Method for forming a staple against an anvil of a surgical stapling instrument |
US10470769B2 (en) | 2015-08-26 | 2019-11-12 | Ethicon Llc | Staple cartridge assembly comprising staple alignment features on a firing member |
US10098642B2 (en) | 2015-08-26 | 2018-10-16 | Ethicon Llc | Surgical staples comprising features for improved fastening of tissue |
US10980538B2 (en) | 2015-08-26 | 2021-04-20 | Ethicon Llc | Surgical stapling configurations for curved and circular stapling instruments |
US10166026B2 (en) | 2015-08-26 | 2019-01-01 | Ethicon Llc | Staple cartridge assembly including features for controlling the rotation of staples when being ejected therefrom |
US11103248B2 (en) | 2015-08-26 | 2021-08-31 | Cilag Gmbh International | Surgical staples for minimizing staple roll |
US10517599B2 (en) | 2015-08-26 | 2019-12-31 | Ethicon Llc | Staple cartridge assembly comprising staple cavities for providing better staple guidance |
US10966724B2 (en) | 2015-08-26 | 2021-04-06 | Ethicon Llc | Surgical staples comprising a guide |
US11219456B2 (en) | 2015-08-26 | 2022-01-11 | Cilag Gmbh International | Surgical staple strips for permitting varying staple properties and enabling easy cartridge loading |
US10433845B2 (en) | 2015-08-26 | 2019-10-08 | Ethicon Llc | Surgical staple strips for permitting varying staple properties and enabling easy cartridge loading |
US10390829B2 (en) | 2015-08-26 | 2019-08-27 | Ethicon Llc | Staples comprising a cover |
US10188394B2 (en) | 2015-08-26 | 2019-01-29 | Ethicon Llc | Staples configured to support an implantable adjunct |
US10213203B2 (en) | 2015-08-26 | 2019-02-26 | Ethicon Llc | Staple cartridge assembly without a bottom cover |
US11213295B2 (en) | 2015-09-02 | 2022-01-04 | Cilag Gmbh International | Surgical staple configurations with camming surfaces located between portions supporting surgical staples |
US10172619B2 (en) | 2015-09-02 | 2019-01-08 | Ethicon Llc | Surgical staple driver arrays |
US11589868B2 (en) | 2015-09-02 | 2023-02-28 | Cilag Gmbh International | Surgical staple configurations with camming surfaces located between portions supporting surgical staples |
US10357252B2 (en) | 2015-09-02 | 2019-07-23 | Ethicon Llc | Surgical staple configurations with camming surfaces located between portions supporting surgical staples |
US10314587B2 (en) | 2015-09-02 | 2019-06-11 | Ethicon Llc | Surgical staple cartridge with improved staple driver configurations |
US11382624B2 (en) | 2015-09-02 | 2022-07-12 | Cilag Gmbh International | Surgical staple cartridge with improved staple driver configurations |
US10238390B2 (en) | 2015-09-02 | 2019-03-26 | Ethicon Llc | Surgical staple cartridges with driver arrangements for establishing herringbone staple patterns |
US10251648B2 (en) | 2015-09-02 | 2019-04-09 | Ethicon Llc | Surgical staple cartridge staple drivers with central support features |
US10863986B2 (en) | 2015-09-23 | 2020-12-15 | Ethicon Llc | Surgical stapler having downstream current-based motor control |
US10085751B2 (en) | 2015-09-23 | 2018-10-02 | Ethicon Llc | Surgical stapler having temperature-based motor control |
US11849946B2 (en) | 2015-09-23 | 2023-12-26 | Cilag Gmbh International | Surgical stapler having downstream current-based motor control |
US10076326B2 (en) | 2015-09-23 | 2018-09-18 | Ethicon Llc | Surgical stapler having current mirror-based motor control |
US11490889B2 (en) | 2015-09-23 | 2022-11-08 | Cilag Gmbh International | Surgical stapler having motor control based on an electrical parameter related to a motor current |
US10363036B2 (en) | 2015-09-23 | 2019-07-30 | Ethicon Llc | Surgical stapler having force-based motor control |
US11026678B2 (en) | 2015-09-23 | 2021-06-08 | Cilag Gmbh International | Surgical stapler having motor control based on an electrical parameter related to a motor current |
US10105139B2 (en) | 2015-09-23 | 2018-10-23 | Ethicon Llc | Surgical stapler having downstream current-based motor control |
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 |
US11344299B2 (en) | 2015-09-23 | 2022-05-31 | Cilag Gmbh International | Surgical stapler having downstream current-based motor control |
US10327769B2 (en) | 2015-09-23 | 2019-06-25 | Ethicon Llc | Surgical stapler having motor control based on a drive system component |
US10299878B2 (en) | 2015-09-25 | 2019-05-28 | Ethicon Llc | Implantable adjunct systems for determining adjunct skew |
US11076929B2 (en) | 2015-09-25 | 2021-08-03 | Cilag Gmbh International | Implantable adjunct systems for determining adjunct skew |
US10433846B2 (en) | 2015-09-30 | 2019-10-08 | Ethicon Llc | Compressible adjunct with crossing spacer fibers |
US11890015B2 (en) | 2015-09-30 | 2024-02-06 | Cilag Gmbh International | Compressible adjunct with crossing spacer fibers |
US10271849B2 (en) | 2015-09-30 | 2019-04-30 | Ethicon Llc | Woven constructs with interlocked standing fibers |
US10172620B2 (en) | 2015-09-30 | 2019-01-08 | Ethicon Llc | Compressible adjuncts with bonding nodes |
US10980539B2 (en) | 2015-09-30 | 2021-04-20 | Ethicon Llc | Implantable adjunct comprising bonded layers |
US11903586B2 (en) | 2015-09-30 | 2024-02-20 | Cilag Gmbh International | Compressible adjunct with crossing spacer fibers |
US11793522B2 (en) | 2015-09-30 | 2023-10-24 | Cilag Gmbh International | Staple cartridge assembly including a compressible adjunct |
US11712244B2 (en) | 2015-09-30 | 2023-08-01 | Cilag Gmbh International | Implantable layer with spacer fibers |
US10524788B2 (en) | 2015-09-30 | 2020-01-07 | Ethicon Llc | Compressible adjunct with attachment regions |
US10561420B2 (en) | 2015-09-30 | 2020-02-18 | Ethicon Llc | Tubular absorbable constructs |
US10603039B2 (en) | 2015-09-30 | 2020-03-31 | Ethicon Llc | Progressively releasable implantable adjunct for use with a surgical stapling instrument |
US10478188B2 (en) | 2015-09-30 | 2019-11-19 | Ethicon Llc | Implantable layer comprising a constricted configuration |
US10327777B2 (en) | 2015-09-30 | 2019-06-25 | Ethicon Llc | Implantable layer comprising plastically deformed fibers |
US11553916B2 (en) | 2015-09-30 | 2023-01-17 | Cilag Gmbh International | Compressible adjunct with crossing spacer fibers |
US10736633B2 (en) | 2015-09-30 | 2020-08-11 | Ethicon Llc | Compressible adjunct with looping members |
US10307160B2 (en) | 2015-09-30 | 2019-06-04 | Ethicon Llc | Compressible adjunct assemblies with attachment layers |
US11690623B2 (en) | 2015-09-30 | 2023-07-04 | Cilag Gmbh International | Method for applying an implantable layer to a fastener cartridge |
US10932779B2 (en) | 2015-09-30 | 2021-03-02 | Ethicon Llc | Compressible adjunct with crossing spacer fibers |
US10285699B2 (en) | 2015-09-30 | 2019-05-14 | Ethicon Llc | Compressible adjunct |
US11484309B2 (en) | 2015-12-30 | 2022-11-01 | Cilag Gmbh International | Surgical stapling system comprising a controller configured to cause a motor to reset a firing sequence |
US11058422B2 (en) | 2015-12-30 | 2021-07-13 | Cilag Gmbh International | Mechanisms for compensating for battery pack failure in powered surgical instruments |
US11759208B2 (en) | 2015-12-30 | 2023-09-19 | Cilag Gmbh International | Mechanisms for compensating for battery pack failure in powered surgical instruments |
US10368865B2 (en) | 2015-12-30 | 2019-08-06 | Ethicon Llc | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US11083454B2 (en) | 2015-12-30 | 2021-08-10 | Cilag Gmbh International | 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 |
US11129613B2 (en) | 2015-12-30 | 2021-09-28 | Cilag Gmbh International | Surgical instruments with separable motors and motor control circuits |
US10245030B2 (en) | 2016-02-09 | 2019-04-02 | Ethicon Llc | Surgical instruments with tensioning arrangements for cable driven articulation systems |
US11730471B2 (en) | 2016-02-09 | 2023-08-22 | Cilag Gmbh International | Articulatable surgical instruments with single articulation link arrangements |
US10588625B2 (en) | 2016-02-09 | 2020-03-17 | Ethicon Llc | Articulatable surgical instruments with off-axis firing beam arrangements |
US10470764B2 (en) | 2016-02-09 | 2019-11-12 | Ethicon Llc | Surgical instruments with closure stroke reduction arrangements |
US10413291B2 (en) | 2016-02-09 | 2019-09-17 | Ethicon Llc | Surgical instrument articulation mechanism with slotted secondary constraint |
US11523823B2 (en) | 2016-02-09 | 2022-12-13 | Cilag Gmbh International | Surgical instruments with non-symmetrical articulation arrangements |
US11213293B2 (en) | 2016-02-09 | 2022-01-04 | Cilag Gmbh International | Articulatable surgical instruments with single articulation link arrangements |
US10245029B2 (en) | 2016-02-09 | 2019-04-02 | Ethicon Llc | Surgical instrument with articulating and axially translatable end effector |
US10433837B2 (en) | 2016-02-09 | 2019-10-08 | Ethicon Llc | Surgical instruments with multiple link articulation arrangements |
US10653413B2 (en) | 2016-02-09 | 2020-05-19 | Ethicon Llc | Surgical instruments with an end effector that is highly articulatable relative to an elongate shaft assembly |
US11779336B2 (en) | 2016-02-12 | 2023-10-10 | Cilag Gmbh International | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US11224426B2 (en) | 2016-02-12 | 2022-01-18 | Cilag Gmbh International | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US11344303B2 (en) | 2016-02-12 | 2022-05-31 | 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 |
US11826045B2 (en) | 2016-02-12 | 2023-11-28 | Cilag Gmbh International | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US10709446B2 (en) | 2016-04-01 | 2020-07-14 | Ethicon Llc | Staple cartridges with atraumatic features |
US10478190B2 (en) | 2016-04-01 | 2019-11-19 | Ethicon Llc | Surgical stapling system comprising a spent cartridge lockout |
US11058421B2 (en) | 2016-04-01 | 2021-07-13 | Cilag Gmbh International | Modular surgical stapling system comprising a display |
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 |
US10413297B2 (en) | 2016-04-01 | 2019-09-17 | Ethicon Llc | Surgical stapling system configured to apply annular rows of staples having different heights |
US10413293B2 (en) | 2016-04-01 | 2019-09-17 | Ethicon Llc | Interchangeable surgical tool assembly with a surgical end effector that is selectively rotatable about a shaft axis |
US11337694B2 (en) | 2016-04-01 | 2022-05-24 | Cilag Gmbh International | Surgical cutting and stapling end effector with anvil concentric drive member |
US10271851B2 (en) | 2016-04-01 | 2019-04-30 | Ethicon Llc | Modular surgical stapling system comprising a display |
US10342543B2 (en) | 2016-04-01 | 2019-07-09 | Ethicon Llc | Surgical stapling system comprising a shiftable transmission |
US20170281174A1 (en) * | 2016-04-01 | 2017-10-05 | Ethicon Endo-Surgery, Llc | Circular stapling system comprising load control |
US10420552B2 (en) | 2016-04-01 | 2019-09-24 | Ethicon Llc | Surgical stapling system configured to provide selective cutting of tissue |
US11064997B2 (en) | 2016-04-01 | 2021-07-20 | Cilag Gmbh International | Surgical stapling instrument |
US10357246B2 (en) | 2016-04-01 | 2019-07-23 | Ethicon Llc | Rotary powered surgical instrument with manually actuatable bailout system |
US11766257B2 (en) | 2016-04-01 | 2023-09-26 | Cilag Gmbh International | Surgical instrument comprising a display |
US11045191B2 (en) | 2016-04-01 | 2021-06-29 | Cilag Gmbh International | Method for operating a surgical stapling system |
US10675021B2 (en) * | 2016-04-01 | 2020-06-09 | Ethicon Llc | Circular stapling system comprising rotary firing system |
US10456140B2 (en) | 2016-04-01 | 2019-10-29 | Ethicon Llc | Surgical stapling system comprising an unclamping lockout |
US10682136B2 (en) * | 2016-04-01 | 2020-06-16 | Ethicon Llc | Circular stapling system comprising load control |
US10314582B2 (en) | 2016-04-01 | 2019-06-11 | Ethicon Llc | Surgical instrument comprising a shifting mechanism |
US20170281169A1 (en) * | 2016-04-01 | 2017-10-05 | Ethicon Endo-Surgery, Llc | Circular stapling system comprising rotary firing system |
US10307159B2 (en) | 2016-04-01 | 2019-06-04 | Ethicon Llc | Surgical instrument handle assembly with reconfigurable grip portion |
US10285705B2 (en) | 2016-04-01 | 2019-05-14 | Ethicon Llc | Surgical stapling system comprising a grooved forming pocket |
US11284890B2 (en) | 2016-04-01 | 2022-03-29 | Cilag Gmbh International | Circular stapling system comprising an incisable tissue support |
US10568632B2 (en) | 2016-04-01 | 2020-02-25 | Ethicon Llc | Surgical stapling system comprising a jaw closure lockout |
US10531874B2 (en) | 2016-04-01 | 2020-01-14 | Ethicon Llc | Surgical cutting and stapling end effector with anvil concentric drive member |
US10376263B2 (en) | 2016-04-01 | 2019-08-13 | Ethicon Llc | Anvil modification members for surgical staplers |
US10433849B2 (en) | 2016-04-01 | 2019-10-08 | Ethicon Llc | Surgical stapling system comprising a display including a re-orientable display field |
US10485542B2 (en) * | 2016-04-01 | 2019-11-26 | Ethicon Llc | Surgical stapling instrument comprising multiple lockouts |
US10856867B2 (en) | 2016-04-01 | 2020-12-08 | Ethicon Llc | Surgical stapling system comprising a tissue compression lockout |
US10542991B2 (en) | 2016-04-01 | 2020-01-28 | Ethicon Llc | Surgical stapling system comprising a jaw attachment lockout |
US10517597B2 (en) | 2016-04-12 | 2019-12-31 | Applied Medical Resources Corporation | Surgical stapler having articulation mechanism |
US11826046B2 (en) | 2016-04-12 | 2023-11-28 | Applied Medical Resources Corporation | Surgical stapler having a powered handle |
US11684366B2 (en) | 2016-04-12 | 2023-06-27 | Applied Medical Resources Corporation | Reload shaft assembly for surgical stapler |
US11272933B2 (en) | 2016-04-12 | 2022-03-15 | Applied Medical Resources Corporation | Surgical stapler having articulation mechanism |
US10905420B2 (en) | 2016-04-12 | 2021-02-02 | Applied Medical Resources Corporation | Reload shaft assembly for surgical stapler |
US11272934B2 (en) | 2016-04-12 | 2022-03-15 | Applied Medical Resources Corporation | Surgical stapler having a powered handle |
US10610225B2 (en) | 2016-04-12 | 2020-04-07 | Applied Medical Resources Corporation | Surgical stapler having a powered handle |
US10357247B2 (en) | 2016-04-15 | 2019-07-23 | Ethicon Llc | Surgical instrument with multiple program responses during a firing motion |
US11026684B2 (en) | 2016-04-15 | 2021-06-08 | Ethicon Llc | Surgical instrument with multiple program responses during a firing motion |
US11051810B2 (en) | 2016-04-15 | 2021-07-06 | Cilag Gmbh International | 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 |
US11771454B2 (en) | 2016-04-15 | 2023-10-03 | Cilag Gmbh International | Stapling assembly including a controller for monitoring a clamping laod |
US11191545B2 (en) | 2016-04-15 | 2021-12-07 | Cilag Gmbh International | Staple formation detection mechanisms |
US11179150B2 (en) | 2016-04-15 | 2021-11-23 | Cilag Gmbh International | Systems and methods for controlling a surgical stapling and cutting instrument |
US10426467B2 (en) | 2016-04-15 | 2019-10-01 | Ethicon Llc | Surgical instrument with detection sensors |
US10828028B2 (en) | 2016-04-15 | 2020-11-10 | Ethicon Llc | Surgical instrument with multiple program responses during a firing motion |
US10492783B2 (en) | 2016-04-15 | 2019-12-03 | Ethicon, Llc | Surgical instrument with improved stop/start control during a firing motion |
US10335145B2 (en) | 2016-04-15 | 2019-07-02 | Ethicon Llc | Modular surgical instrument with configurable operating mode |
US11350932B2 (en) | 2016-04-15 | 2022-06-07 | Cilag Gmbh International | Surgical instrument with improved stop/start control during a firing motion |
US11317910B2 (en) | 2016-04-15 | 2022-05-03 | Cilag Gmbh International | Surgical instrument with detection sensors |
US11284891B2 (en) | 2016-04-15 | 2022-03-29 | Cilag Gmbh International | Surgical instrument with multiple program responses during a firing motion |
US10456137B2 (en) | 2016-04-15 | 2019-10-29 | Ethicon Llc | Staple formation detection mechanisms |
US10405859B2 (en) | 2016-04-15 | 2019-09-10 | Ethicon Llc | Surgical instrument with adjustable stop/start control during a firing motion |
US11311292B2 (en) | 2016-04-15 | 2022-04-26 | Cilag Gmbh International | Surgical instrument with detection sensors |
US11642125B2 (en) | 2016-04-15 | 2023-05-09 | Cilag Gmbh International | Robotic surgical system including a user interface and a control circuit |
US11517306B2 (en) | 2016-04-15 | 2022-12-06 | Cilag Gmbh International | Surgical instrument with detection sensors |
US10363037B2 (en) | 2016-04-18 | 2019-07-30 | Ethicon Llc | Surgical instrument system comprising a magnetic lockout |
US11559303B2 (en) | 2016-04-18 | 2023-01-24 | Cilag Gmbh International | Cartridge lockout arrangements for rotary powered surgical cutting and stapling instruments |
US10433840B2 (en) | 2016-04-18 | 2019-10-08 | Ethicon Llc | Surgical instrument comprising a replaceable cartridge jaw |
US11147554B2 (en) | 2016-04-18 | 2021-10-19 | Cilag Gmbh International | Surgical instrument system comprising a magnetic lockout |
US10478181B2 (en) | 2016-04-18 | 2019-11-19 | Ethicon Llc | Cartridge lockout arrangements for rotary powered surgical cutting and stapling instruments |
US11350928B2 (en) | 2016-04-18 | 2022-06-07 | Cilag Gmbh International | Surgical instrument comprising a tissue thickness lockout and speed control system |
US10368867B2 (en) | 2016-04-18 | 2019-08-06 | Ethicon Llc | Surgical instrument comprising a lockout |
US10426469B2 (en) | 2016-04-18 | 2019-10-01 | Ethicon Llc | Surgical instrument comprising a primary firing lockout and a secondary firing lockout |
US11811253B2 (en) | 2016-04-18 | 2023-11-07 | Cilag Gmbh International | Surgical robotic system with fault state detection configurations based on motor current draw |
US11317917B2 (en) | 2016-04-18 | 2022-05-03 | Cilag Gmbh International | Surgical stapling system comprising a lockable firing assembly |
USD894389S1 (en) | 2016-06-24 | 2020-08-25 | Ethicon Llc | Surgical fastener |
US10893863B2 (en) | 2016-06-24 | 2021-01-19 | Ethicon Llc | Staple cartridge comprising offset longitudinal staple rows |
USD847989S1 (en) | 2016-06-24 | 2019-05-07 | Ethicon Llc | Surgical fastener cartridge |
USD896380S1 (en) | 2016-06-24 | 2020-09-15 | Ethicon Llc | Surgical fastener cartridge |
US10702270B2 (en) | 2016-06-24 | 2020-07-07 | Ethicon Llc | Stapling system for use with wire staples and stamped staples |
US10675024B2 (en) | 2016-06-24 | 2020-06-09 | Ethicon Llc | Staple cartridge comprising overdriven staples |
USD948043S1 (en) | 2016-06-24 | 2022-04-05 | Cilag Gmbh International | Surgical fastener |
US11786246B2 (en) | 2016-06-24 | 2023-10-17 | Cilag Gmbh International | Stapling system for use with wire staples and stamped staples |
US10542979B2 (en) | 2016-06-24 | 2020-01-28 | Ethicon Llc | Stamped staples and staple cartridges using the same |
US11000278B2 (en) | 2016-06-24 | 2021-05-11 | Ethicon Llc | Staple cartridge comprising wire staples and stamped staples |
US11690619B2 (en) | 2016-06-24 | 2023-07-04 | Cilag Gmbh International | Staple cartridge comprising staples having different geometries |
USD896379S1 (en) | 2016-06-24 | 2020-09-15 | Ethicon Llc | Surgical fastener cartridge |
USD850617S1 (en) | 2016-06-24 | 2019-06-04 | Ethicon Llc | Surgical fastener cartridge |
US10966704B2 (en) | 2016-11-09 | 2021-04-06 | Biomet Sports Medicine, Llc | Methods and systems for stitching soft tissue to bone |
US11191539B2 (en) | 2016-12-21 | 2021-12-07 | Cilag Gmbh International | Shaft assembly comprising a manually-operable retraction system for use with a motorized surgical instrument system |
US10959727B2 (en) | 2016-12-21 | 2021-03-30 | Ethicon Llc | Articulatable surgical end effector with asymmetric shaft arrangement |
US11653917B2 (en) | 2016-12-21 | 2023-05-23 | Cilag Gmbh International | Surgical stapling systems |
US10485543B2 (en) | 2016-12-21 | 2019-11-26 | Ethicon Llc | Anvil having a knife slot width |
US10448950B2 (en) | 2016-12-21 | 2019-10-22 | Ethicon Llc | Surgical staplers with independently actuatable closing and firing systems |
US11350934B2 (en) | 2016-12-21 | 2022-06-07 | Cilag Gmbh International | Staple forming pocket arrangement to accommodate different types of staples |
US11350935B2 (en) | 2016-12-21 | 2022-06-07 | Cilag Gmbh International | Surgical tool assemblies with closure stroke reduction features |
US11090048B2 (en) | 2016-12-21 | 2021-08-17 | Cilag Gmbh International | Method for resetting a fuse of a surgical instrument shaft |
US11317913B2 (en) | 2016-12-21 | 2022-05-03 | Cilag Gmbh International | Lockout arrangements for surgical end effectors and replaceable tool assemblies |
US10492785B2 (en) | 2016-12-21 | 2019-12-03 | Ethicon Llc | Shaft assembly comprising a lockout |
US10499914B2 (en) | 2016-12-21 | 2019-12-10 | Ethicon Llc | Staple forming pocket arrangements |
US10758229B2 (en) | 2016-12-21 | 2020-09-01 | Ethicon Llc | Surgical instrument comprising improved jaw control |
US10517596B2 (en) | 2016-12-21 | 2019-12-31 | Ethicon Llc | Articulatable surgical instruments with articulation stroke amplification features |
US11369376B2 (en) | 2016-12-21 | 2022-06-28 | Cilag Gmbh International | Surgical stapling systems |
US11096689B2 (en) | 2016-12-21 | 2021-08-24 | Cilag Gmbh International | Shaft assembly comprising a lockout |
US10517595B2 (en) | 2016-12-21 | 2019-12-31 | Ethicon Llc | Jaw actuated lock arrangements for preventing advancement of a firing member in a surgical end effector unless an unfired cartridge is installed in the end effector |
US10758230B2 (en) | 2016-12-21 | 2020-09-01 | Ethicon Llc | Surgical instrument with primary and safety processors |
US11000276B2 (en) | 2016-12-21 | 2021-05-11 | Ethicon Llc | Stepped staple cartridge with asymmetrical staples |
US10779823B2 (en) | 2016-12-21 | 2020-09-22 | Ethicon Llc | Firing member pin angle |
US10524789B2 (en) | 2016-12-21 | 2020-01-07 | Ethicon Llc | Laterally actuatable articulation lock arrangements for locking an end effector of a surgical instrument in an articulated configuration |
US10993715B2 (en) | 2016-12-21 | 2021-05-04 | Ethicon Llc | Staple cartridge comprising staples with different clamping breadths |
US10537325B2 (en) | 2016-12-21 | 2020-01-21 | Ethicon Llc | Staple forming pocket arrangement to accommodate different types of staples |
US10537324B2 (en) | 2016-12-21 | 2020-01-21 | Ethicon Llc | Stepped staple cartridge with asymmetrical staples |
US10980536B2 (en) | 2016-12-21 | 2021-04-20 | Ethicon Llc | No-cartridge and spent cartridge lockout arrangements for surgical staplers |
US10542982B2 (en) | 2016-12-21 | 2020-01-28 | Ethicon Llc | Shaft assembly comprising first and second articulation lockouts |
US10973516B2 (en) | 2016-12-21 | 2021-04-13 | Ethicon Llc | Surgical end effectors and adaptable firing members therefor |
US10568624B2 (en) | 2016-12-21 | 2020-02-25 | Ethicon Llc | Surgical instruments with jaws that are pivotable about a fixed axis and include separate and distinct closure and firing systems |
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 |
US11134942B2 (en) | 2016-12-21 | 2021-10-05 | Cilag Gmbh International | Surgical stapling instruments and staple-forming anvils |
US10813638B2 (en) | 2016-12-21 | 2020-10-27 | Ethicon Llc | Surgical end effectors with expandable tissue stop arrangements |
US10835245B2 (en) | 2016-12-21 | 2020-11-17 | Ethicon Llc | Method for attaching a shaft assembly to a surgical instrument and, alternatively, to a surgical robot |
US10568626B2 (en) | 2016-12-21 | 2020-02-25 | Ethicon Llc | Surgical instruments with jaw opening features for increasing a jaw opening distance |
US10568625B2 (en) | 2016-12-21 | 2020-02-25 | Ethicon Llc | Staple cartridges and arrangements of staples and staple cavities therein |
US10582928B2 (en) | 2016-12-21 | 2020-03-10 | Ethicon Llc | Articulation lock arrangements for locking an end effector in an articulated position in response to actuation of a jaw closure system |
US10835247B2 (en) | 2016-12-21 | 2020-11-17 | Ethicon Llc | Lockout arrangements for surgical end effectors |
US11571210B2 (en) | 2016-12-21 | 2023-02-07 | Cilag Gmbh International | Firing assembly comprising a multiple failed-state fuse |
US11564688B2 (en) | 2016-12-21 | 2023-01-31 | Cilag Gmbh International | Robotic surgical tool having a retraction mechanism |
US10695055B2 (en) | 2016-12-21 | 2020-06-30 | Ethicon Llc | Firing assembly comprising a lockout |
US10945727B2 (en) | 2016-12-21 | 2021-03-16 | Ethicon Llc | Staple cartridge with deformable driver retention features |
US10687810B2 (en) | 2016-12-21 | 2020-06-23 | Ethicon Llc | Stepped staple cartridge with tissue retention and gap setting features |
US10588632B2 (en) | 2016-12-21 | 2020-03-17 | Ethicon Llc | Surgical end effectors and firing members thereof |
US11419606B2 (en) | 2016-12-21 | 2022-08-23 | Cilag Gmbh International | Shaft assembly comprising a clutch configured to adapt the output of a rotary firing member to two different systems |
US11684367B2 (en) | 2016-12-21 | 2023-06-27 | Cilag Gmbh International | Stepped assembly having and end-of-life indicator |
US10588630B2 (en) | 2016-12-21 | 2020-03-17 | Ethicon Llc | Surgical tool assemblies with closure stroke reduction features |
US10687809B2 (en) | 2016-12-21 | 2020-06-23 | Ethicon Llc | Surgical staple cartridge with movable camming member configured to disengage firing member lockout features |
US11766259B2 (en) | 2016-12-21 | 2023-09-26 | Cilag Gmbh International | Method of deforming staples from two different types of staple cartridges with the same surgical stapling instrument |
US10682138B2 (en) | 2016-12-21 | 2020-06-16 | Ethicon Llc | Bilaterally asymmetric staple forming pocket pairs |
US10918385B2 (en) | 2016-12-21 | 2021-02-16 | Ethicon Llc | Surgical system comprising a firing member rotatable into an articulation state to articulate an end effector of the surgical system |
US11766260B2 (en) | 2016-12-21 | 2023-09-26 | Cilag Gmbh International | Methods of stapling tissue |
US10588631B2 (en) | 2016-12-21 | 2020-03-17 | Ethicon Llc | Surgical instruments with positive jaw opening features |
US11160553B2 (en) | 2016-12-21 | 2021-11-02 | Cilag Gmbh International | Surgical stapling systems |
US10856868B2 (en) | 2016-12-21 | 2020-12-08 | Ethicon Llc | Firing member pin configurations |
US11160551B2 (en) | 2016-12-21 | 2021-11-02 | Cilag Gmbh International | Articulatable surgical stapling instruments |
US10426471B2 (en) | 2016-12-21 | 2019-10-01 | Ethicon Llc | Surgical instrument with multiple failure response modes |
US10675025B2 (en) | 2016-12-21 | 2020-06-09 | Ethicon Llc | Shaft assembly comprising separately actuatable and retractable systems |
US11849948B2 (en) | 2016-12-21 | 2023-12-26 | Cilag Gmbh International | Method for resetting a fuse of a surgical instrument shaft |
US10603036B2 (en) | 2016-12-21 | 2020-03-31 | Ethicon Llc | Articulatable surgical instrument with independent pivotable linkage distal of an articulation lock |
US10905422B2 (en) | 2016-12-21 | 2021-02-02 | Ethicon Llc | Surgical instrument for use with a robotic surgical system |
US10898186B2 (en) | 2016-12-21 | 2021-01-26 | Ethicon Llc | Staple forming pocket arrangements comprising primary sidewalls and pocket sidewalls |
US10610224B2 (en) | 2016-12-21 | 2020-04-07 | Ethicon Llc | Lockout arrangements for surgical end effectors and replaceable tool assemblies |
US11701115B2 (en) | 2016-12-21 | 2023-07-18 | Cilag Gmbh International | Methods of stapling tissue |
US10617414B2 (en) | 2016-12-21 | 2020-04-14 | Ethicon Llc | Closure member arrangements for surgical instruments |
US11179155B2 (en) | 2016-12-21 | 2021-11-23 | Cilag Gmbh International | Anvil arrangements for surgical staplers |
US10675026B2 (en) | 2016-12-21 | 2020-06-09 | Ethicon Llc | Methods of stapling tissue |
US10893864B2 (en) | 2016-12-21 | 2021-01-19 | Ethicon | Staple cartridges and arrangements of staples and staple cavities therein |
US11224428B2 (en) | 2016-12-21 | 2022-01-18 | Cilag Gmbh International | Surgical stapling systems |
US10667810B2 (en) | 2016-12-21 | 2020-06-02 | Ethicon Llc | Closure members with cam surface arrangements for surgical instruments with separate and distinct closure and firing systems |
US10881401B2 (en) | 2016-12-21 | 2021-01-05 | Ethicon Llc | Staple firing member comprising a missing cartridge and/or spent cartridge lockout |
US11191540B2 (en) | 2016-12-21 | 2021-12-07 | Cilag Gmbh International | Protective cover arrangements for a joint interface between a movable jaw and actuator shaft of a surgical instrument |
US10667809B2 (en) | 2016-12-21 | 2020-06-02 | Ethicon Llc | Staple cartridge and staple cartridge channel comprising windows defined therein |
US10667811B2 (en) | 2016-12-21 | 2020-06-02 | Ethicon Llc | Surgical stapling instruments and staple-forming anvils |
US10624635B2 (en) | 2016-12-21 | 2020-04-21 | Ethicon Llc | Firing members with non-parallel jaw engagement features for surgical end effectors |
US11191543B2 (en) | 2016-12-21 | 2021-12-07 | Cilag Gmbh International | Assembly comprising a lock |
US10639035B2 (en) | 2016-12-21 | 2020-05-05 | Ethicon Llc | Surgical stapling instruments and replaceable tool assemblies thereof |
US11497499B2 (en) | 2016-12-21 | 2022-11-15 | Cilag Gmbh International | Articulatable surgical stapling instruments |
US10888322B2 (en) | 2016-12-21 | 2021-01-12 | Ethicon Llc | Surgical instrument comprising a cutting member |
US10639034B2 (en) | 2016-12-21 | 2020-05-05 | Ethicon Llc | Surgical instruments with lockout arrangements for preventing firing system actuation unless an unspent staple cartridge is present |
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 |
US10881396B2 (en) | 2017-06-20 | 2021-01-05 | Ethicon Llc | Surgical instrument with variable duration trigger arrangement |
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 |
US11517325B2 (en) | 2017-06-20 | 2022-12-06 | Cilag Gmbh International | Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on measured displacement distance traveled over a specified time interval |
USD890784S1 (en) | 2017-06-20 | 2020-07-21 | Ethicon Llc | Display panel with changeable graphical user interface |
US10888321B2 (en) | 2017-06-20 | 2021-01-12 | Ethicon Llc | Systems and methods for controlling velocity of a displacement member of a surgical stapling and cutting instrument |
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 |
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 |
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 |
US11871939B2 (en) | 2017-06-20 | 2024-01-16 | Cilag Gmbh International | Method for closed loop control of motor velocity of a surgical stapling and cutting instrument |
US11090046B2 (en) | 2017-06-20 | 2021-08-17 | Cilag Gmbh International | Systems and methods for controlling displacement member motion of a surgical stapling and cutting instrument |
US10368864B2 (en) | 2017-06-20 | 2019-08-06 | Ethicon Llc | Systems and methods for controlling displaying motor velocity for a surgical instrument |
USD879809S1 (en) | 2017-06-20 | 2020-03-31 | Ethicon Llc | Display panel with changeable graphical user interface |
US11672532B2 (en) | 2017-06-20 | 2023-06-13 | Cilag Gmbh International | Techniques for adaptive control of motor velocity of a surgical stapling and cutting instrument |
US11793513B2 (en) | 2017-06-20 | 2023-10-24 | Cilag Gmbh International | Systems and methods for controlling motor speed according to user input for a surgical instrument |
US11653914B2 (en) | 2017-06-20 | 2023-05-23 | Cilag Gmbh International | Systems and methods for controlling motor velocity of a surgical stapling and cutting instrument according to articulation angle of end effector |
US10595882B2 (en) | 2017-06-20 | 2020-03-24 | Ethicon Llc | Methods for closed loop control of motor velocity of a surgical stapling and cutting instrument |
US11213302B2 (en) | 2017-06-20 | 2022-01-04 | Cilag Gmbh International | Method for closed loop control of motor velocity of a surgical stapling and cutting instrument |
US10881399B2 (en) | 2017-06-20 | 2021-01-05 | Ethicon Llc | Techniques for adaptive control of motor velocity of a surgical stapling and cutting instrument |
USD879808S1 (en) | 2017-06-20 | 2020-03-31 | Ethicon Llc | Display panel with 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 |
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 |
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 |
US10993716B2 (en) | 2017-06-27 | 2021-05-04 | Ethicon Llc | Surgical anvil arrangements |
US10631859B2 (en) | 2017-06-27 | 2020-04-28 | Ethicon Llc | Articulation systems for surgical instruments |
US10856869B2 (en) | 2017-06-27 | 2020-12-08 | Ethicon Llc | Surgical anvil arrangements |
US10772629B2 (en) | 2017-06-27 | 2020-09-15 | Ethicon Llc | Surgical anvil arrangements |
US11090049B2 (en) | 2017-06-27 | 2021-08-17 | Cilag Gmbh International | Staple forming pocket arrangements |
US11141154B2 (en) | 2017-06-27 | 2021-10-12 | Cilag Gmbh International | Surgical end effectors and anvils |
US11324503B2 (en) | 2017-06-27 | 2022-05-10 | Cilag Gmbh International | Surgical firing member arrangements |
US11266405B2 (en) | 2017-06-27 | 2022-03-08 | Cilag Gmbh International | Surgical anvil manufacturing methods |
US11766258B2 (en) | 2017-06-27 | 2023-09-26 | Cilag Gmbh International | Surgical anvil arrangements |
US11696759B2 (en) | 2017-06-28 | 2023-07-11 | Cilag Gmbh International | Surgical stapling instruments comprising shortened staple cartridge noses |
US11000279B2 (en) | 2017-06-28 | 2021-05-11 | Ethicon Llc | Surgical instrument comprising an articulation system ratio |
US11058424B2 (en) | 2017-06-28 | 2021-07-13 | Cilag Gmbh International | Surgical instrument comprising an offset articulation joint |
US11259805B2 (en) | 2017-06-28 | 2022-03-01 | Cilag Gmbh International | Surgical instrument comprising firing member supports |
US10695057B2 (en) | 2017-06-28 | 2020-06-30 | Ethicon Llc | Surgical instrument lockout arrangement |
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 |
US10211586B2 (en) | 2017-06-28 | 2019-02-19 | Ethicon Llc | Surgical shaft assemblies with watertight housings |
US11083455B2 (en) | 2017-06-28 | 2021-08-10 | Cilag Gmbh International | Surgical instrument comprising an articulation system ratio |
US11826048B2 (en) | 2017-06-28 | 2023-11-28 | Cilag Gmbh International | Surgical instrument comprising selectively actuatable rotatable couplers |
US11642128B2 (en) | 2017-06-28 | 2023-05-09 | Cilag Gmbh International | Method for articulating a surgical instrument |
US11020114B2 (en) | 2017-06-28 | 2021-06-01 | Cilag Gmbh International | Surgical instruments with articulatable end effector with axially shortened articulation joint configurations |
US10716614B2 (en) | 2017-06-28 | 2020-07-21 | Ethicon Llc | Surgical shaft assemblies with slip ring assemblies with increased contact pressure |
USD854151S1 (en) | 2017-06-28 | 2019-07-16 | Ethicon Llc | Surgical instrument shaft |
US10639037B2 (en) | 2017-06-28 | 2020-05-05 | Ethicon Llc | Surgical instrument with axially movable closure member |
US11246592B2 (en) | 2017-06-28 | 2022-02-15 | Cilag Gmbh International | Surgical instrument comprising an articulation system lockable to a frame |
US11389161B2 (en) | 2017-06-28 | 2022-07-19 | Cilag Gmbh International | Surgical instrument comprising selectively actuatable rotatable couplers |
US11484310B2 (en) | 2017-06-28 | 2022-11-01 | Cilag Gmbh International | Surgical instrument comprising a shaft including a closure tube profile |
US11478242B2 (en) | 2017-06-28 | 2022-10-25 | Cilag Gmbh International | Jaw retainer arrangement for retaining a pivotable surgical instrument jaw in pivotable retaining engagement with a second surgical instrument jaw |
USD906355S1 (en) | 2017-06-28 | 2020-12-29 | Ethicon Llc | Display screen or portion thereof with a graphical user interface for a surgical instrument |
US11678880B2 (en) | 2017-06-28 | 2023-06-20 | Cilag Gmbh International | Surgical instrument comprising a shaft including a housing arrangement |
US10786253B2 (en) | 2017-06-28 | 2020-09-29 | Ethicon Llc | Surgical end effectors with improved jaw aperture arrangements |
US10779824B2 (en) | 2017-06-28 | 2020-09-22 | Ethicon Llc | Surgical instrument comprising an articulation system lockable by a closure system |
USD851762S1 (en) | 2017-06-28 | 2019-06-18 | Ethicon Llc | Anvil |
US10765427B2 (en) | 2017-06-28 | 2020-09-08 | Ethicon Llc | Method for articulating a surgical instrument |
USD869655S1 (en) | 2017-06-28 | 2019-12-10 | Ethicon Llc | Surgical fastener cartridge |
US11529140B2 (en) | 2017-06-28 | 2022-12-20 | Cilag Gmbh International | Surgical instrument lockout arrangement |
US10758232B2 (en) | 2017-06-28 | 2020-09-01 | Ethicon Llc | Surgical instrument with positive jaw opening features |
US10903685B2 (en) | 2017-06-28 | 2021-01-26 | Ethicon Llc | Surgical shaft assemblies with slip ring assemblies forming capacitive channels |
US11007022B2 (en) | 2017-06-29 | 2021-05-18 | Ethicon Llc | Closed loop velocity control techniques based on sensed tissue parameters for robotic surgical instrument |
US10258418B2 (en) | 2017-06-29 | 2019-04-16 | Ethicon Llc | System for controlling articulation forces |
US10398434B2 (en) | 2017-06-29 | 2019-09-03 | Ethicon Llc | Closed loop velocity control of closure member for robotic surgical instrument |
US10932772B2 (en) | 2017-06-29 | 2021-03-02 | Ethicon Llc | Methods for closed loop velocity control for robotic surgical instrument |
US11890005B2 (en) | 2017-06-29 | 2024-02-06 | Cilag Gmbh International | 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 |
RU2780507C2 (en) * | 2017-07-11 | 2022-09-26 | Эскулап Аг | Loading and unloading of cartridge of surgical stapler |
US10588634B2 (en) * | 2017-07-11 | 2020-03-17 | Aesculap Ag | Surgical stapler cartridge loading and unloading |
US11109861B2 (en) | 2017-07-11 | 2021-09-07 | Aesculap Ag | Surgical stapler cartridge loading and unloading |
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 |
US11399829B2 (en) | 2017-09-29 | 2022-08-02 | Cilag Gmbh International | Systems and methods of initiating a power shutdown mode for a surgical instrument |
USD907647S1 (en) | 2017-09-29 | 2021-01-12 | Ethicon Llc | Display screen or portion thereof with animated graphical user interface |
USD907648S1 (en) | 2017-09-29 | 2021-01-12 | Ethicon Llc | Display screen or portion thereof with animated graphical user interface |
US10729501B2 (en) | 2017-09-29 | 2020-08-04 | Ethicon Llc | Systems and methods for language selection of a surgical instrument |
USD917500S1 (en) | 2017-09-29 | 2021-04-27 | Ethicon Llc | Display screen or portion thereof with graphical user interface |
US10796471B2 (en) | 2017-09-29 | 2020-10-06 | Ethicon Llc | Systems and methods of displaying a knife position for a surgical instrument |
US10743872B2 (en) | 2017-09-29 | 2020-08-18 | Ethicon Llc | System and methods for controlling a display of a surgical instrument |
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 |
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 |
US11478244B2 (en) | 2017-10-31 | 2022-10-25 | Cilag Gmbh International | 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 |
US10842490B2 (en) | 2017-10-31 | 2020-11-24 | Ethicon Llc | Cartridge body design with force reduction based on firing completion |
US11918209B2 (en) | 2017-11-10 | 2024-03-05 | Cilag Gmbh International | Torque optimization for surgical instruments |
US10828033B2 (en) | 2017-12-15 | 2020-11-10 | Ethicon Llc | Handheld electromechanical surgical instruments with improved motor control arrangements for positioning components of an adapter coupled thereto |
US11197670B2 (en) | 2017-12-15 | 2021-12-14 | Cilag Gmbh International | Surgical end effectors with pivotal jaws configured to touch at their respective distal ends when fully closed |
US10869666B2 (en) | 2017-12-15 | 2020-12-22 | Ethicon Llc | Adapters with control systems for controlling multiple motors of an electromechanical surgical instrument |
US11071543B2 (en) | 2017-12-15 | 2021-07-27 | Cilag Gmbh International | Surgical end effectors with clamping assemblies configured to increase jaw aperture ranges |
US11033267B2 (en) | 2017-12-15 | 2021-06-15 | Ethicon Llc | Systems and methods of controlling a clamping member firing rate of a surgical instrument |
US10687813B2 (en) | 2017-12-15 | 2020-06-23 | Ethicon Llc | Adapters with firing stroke sensing arrangements for use in connection with electromechanical surgical instruments |
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 |
US10779826B2 (en) | 2017-12-15 | 2020-09-22 | Ethicon Llc | Methods of operating surgical end effectors |
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 |
US10743875B2 (en) | 2017-12-15 | 2020-08-18 | Ethicon Llc | Surgical end effectors with jaw stiffener arrangements configured to permit monitoring of firing member |
US11896222B2 (en) | 2017-12-15 | 2024-02-13 | Cilag Gmbh International | Methods of operating surgical end effectors |
US10779825B2 (en) | 2017-12-15 | 2020-09-22 | Ethicon Llc | Adapters with end effector position sensing and control arrangements for use in connection with electromechanical surgical instruments |
US10729509B2 (en) | 2017-12-19 | 2020-08-04 | Ethicon Llc | Surgical instrument comprising closure and firing locking mechanism |
US10716565B2 (en) | 2017-12-19 | 2020-07-21 | Ethicon Llc | Surgical instruments with dual articulation drivers |
USD910847S1 (en) | 2017-12-19 | 2021-02-16 | Ethicon Llc | Surgical instrument assembly |
US11020112B2 (en) | 2017-12-19 | 2021-06-01 | Ethicon Llc | Surgical tools configured for interchangeable use with different controller interfaces |
US11284953B2 (en) | 2017-12-19 | 2022-03-29 | Cilag Gmbh International | Method for determining the position of a rotatable jaw of a surgical instrument attachment assembly |
US11045270B2 (en) | 2017-12-19 | 2021-06-29 | Cilag Gmbh International | Robotic attachment comprising exterior drive actuator |
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 |
US11583274B2 (en) | 2017-12-21 | 2023-02-21 | Cilag Gmbh International | Self-guiding stapling instrument |
US11179151B2 (en) | 2017-12-21 | 2021-11-23 | Cilag Gmbh International | Surgical instrument comprising a display |
US11129680B2 (en) | 2017-12-21 | 2021-09-28 | Cilag Gmbh International | Surgical instrument comprising a projector |
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 |
US11849939B2 (en) | 2017-12-21 | 2023-12-26 | Cilag Gmbh International | Continuous use self-propelled stapling instrument |
US11179152B2 (en) | 2017-12-21 | 2021-11-23 | Cilag Gmbh International | Surgical instrument comprising a tissue grasping system |
US10743868B2 (en) | 2017-12-21 | 2020-08-18 | Ethicon Llc | Surgical instrument comprising a pivotable distal head |
US11369368B2 (en) | 2017-12-21 | 2022-06-28 | Cilag Gmbh International | Surgical instrument comprising synchronized drive systems |
US11576668B2 (en) | 2017-12-21 | 2023-02-14 | Cilag Gmbh International | Staple instrument comprising a firing path display |
US11364027B2 (en) | 2017-12-21 | 2022-06-21 | Cilag Gmbh International | Surgical instrument comprising speed control |
US11311290B2 (en) | 2017-12-21 | 2022-04-26 | Cilag Gmbh International | Surgical instrument comprising an end effector dampener |
US11883019B2 (en) | 2017-12-21 | 2024-01-30 | Cilag Gmbh International | Stapling instrument comprising a staple feeding system |
US11337691B2 (en) | 2017-12-21 | 2022-05-24 | Cilag Gmbh International | Surgical instrument configured to determine firing path |
US10682134B2 (en) | 2017-12-21 | 2020-06-16 | Ethicon Llc | Continuous use self-propelled stapling instrument |
US11064999B2 (en) | 2018-02-27 | 2021-07-20 | Applied Medical Resources Corporation | Surgical stapler having a powered handle |
WO2019199991A1 (en) * | 2018-04-14 | 2019-10-17 | Muhammad Anwar | Device and method for making vertical mattress sutures with surgical staples |
US11045192B2 (en) | 2018-08-20 | 2021-06-29 | Cilag Gmbh International | Fabricating techniques for surgical stapler anvils |
US10912559B2 (en) | 2018-08-20 | 2021-02-09 | Ethicon Llc | Reinforced deformable anvil tip for surgical stapler anvil |
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 |
US11253256B2 (en) | 2018-08-20 | 2022-02-22 | Cilag Gmbh International | Articulatable motor powered surgical instruments with dedicated articulation motor arrangements |
US10856870B2 (en) | 2018-08-20 | 2020-12-08 | Ethicon Llc | Switching arrangements for motor powered articulatable surgical instruments |
US11324501B2 (en) | 2018-08-20 | 2022-05-10 | Cilag Gmbh International | Surgical stapling devices with improved closure members |
US11207065B2 (en) | 2018-08-20 | 2021-12-28 | Cilag Gmbh International | Method for fabricating surgical stapler anvils |
USD914878S1 (en) | 2018-08-20 | 2021-03-30 | Ethicon Llc | Surgical instrument 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 |
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 |
US11918211B2 (en) | 2018-12-28 | 2024-03-05 | Cilag Gmbh International | Surgical stapling instrument for use with a robotic system |
US11751871B2 (en) | 2019-02-27 | 2023-09-12 | Applied Medical Resources Corporation | Surgical stapling instrument having a two-position lockout mechanism |
US11311293B2 (en) | 2019-02-27 | 2022-04-26 | Applied Medical Resources Corporation | Surgical stapling instrument having a two-position lockout mechanism |
US11172929B2 (en) | 2019-03-25 | 2021-11-16 | Cilag Gmbh International | Articulation drive arrangements for surgical systems |
US11696761B2 (en) | 2019-03-25 | 2023-07-11 | Cilag Gmbh International | Firing drive arrangements for surgical systems |
US11147551B2 (en) | 2019-03-25 | 2021-10-19 | Cilag Gmbh International | Firing drive arrangements for surgical systems |
US11147553B2 (en) | 2019-03-25 | 2021-10-19 | Cilag Gmbh International | Firing drive arrangements for surgical systems |
US11717293B2 (en) | 2019-03-29 | 2023-08-08 | Applied Medical Resources Corporation | Reload cover for surgical stapling system |
US11426251B2 (en) | 2019-04-30 | 2022-08-30 | Cilag Gmbh International | Articulation directional lights on a surgical instrument |
US11452528B2 (en) | 2019-04-30 | 2022-09-27 | Cilag Gmbh International | Articulation actuators for a surgical instrument |
US11648009B2 (en) | 2019-04-30 | 2023-05-16 | Cilag Gmbh International | Rotatable jaw tip for a surgical instrument |
US11253254B2 (en) | 2019-04-30 | 2022-02-22 | Cilag Gmbh International | Shaft rotation actuator on a surgical instrument |
US11903581B2 (en) | 2019-04-30 | 2024-02-20 | Cilag Gmbh International | Methods for stapling tissue using a surgical instrument |
US11471157B2 (en) | 2019-04-30 | 2022-10-18 | Cilag Gmbh International | Articulation control mapping for a surgical instrument |
US11432816B2 (en) | 2019-04-30 | 2022-09-06 | Cilag Gmbh International | Articulation pin for a surgical instrument |
US11241235B2 (en) | 2019-06-28 | 2022-02-08 | Cilag Gmbh International | Method of using multiple RFID chips with a surgical assembly |
US11246678B2 (en) | 2019-06-28 | 2022-02-15 | Cilag Gmbh International | Surgical stapling system having a frangible RFID tag |
US11638587B2 (en) | 2019-06-28 | 2023-05-02 | Cilag Gmbh International | RFID identification systems for surgical instruments |
US11660163B2 (en) | 2019-06-28 | 2023-05-30 | Cilag Gmbh International | Surgical system with RFID tags for updating motor assembly parameters |
US11627959B2 (en) | 2019-06-28 | 2023-04-18 | Cilag Gmbh International | Surgical instruments including manual and powered system lockouts |
US11291451B2 (en) | 2019-06-28 | 2022-04-05 | Cilag Gmbh International | Surgical instrument with battery compatibility verification functionality |
US11426167B2 (en) | 2019-06-28 | 2022-08-30 | Cilag Gmbh International | Mechanisms for proper anvil attachment surgical stapling head assembly |
US11219455B2 (en) | 2019-06-28 | 2022-01-11 | Cilag Gmbh International | Surgical instrument including a lockout key |
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 |
US11399837B2 (en) | 2019-06-28 | 2022-08-02 | Cilag Gmbh International | Mechanisms for motor control adjustments of a motorized surgical instrument |
US11229437B2 (en) | 2019-06-28 | 2022-01-25 | Cilag Gmbh International | Method for authenticating the compatibility of a staple cartridge with a surgical instrument |
US11744593B2 (en) | 2019-06-28 | 2023-09-05 | Cilag Gmbh International | Method for authenticating the compatibility of a staple cartridge with a surgical instrument |
US11684369B2 (en) | 2019-06-28 | 2023-06-27 | Cilag Gmbh International | Method of using multiple RFID chips with a surgical assembly |
US11464601B2 (en) | 2019-06-28 | 2022-10-11 | Cilag Gmbh International | Surgical instrument comprising an RFID system for tracking a movable component |
US11298127B2 (en) | 2019-06-28 | 2022-04-12 | Cilag GmbH Interational | Surgical stapling system having a lockout mechanism for an incompatible cartridge |
US11259803B2 (en) | 2019-06-28 | 2022-03-01 | Cilag Gmbh International | Surgical stapling system having an information encryption protocol |
US11051807B2 (en) | 2019-06-28 | 2021-07-06 | Cilag Gmbh International | Packaging assembly including a particulate trap |
US11523822B2 (en) | 2019-06-28 | 2022-12-13 | Cilag Gmbh International | Battery pack including a circuit interrupter |
US11684434B2 (en) | 2019-06-28 | 2023-06-27 | Cilag Gmbh International | Surgical RFID assemblies for instrument operational setting control |
US11376098B2 (en) | 2019-06-28 | 2022-07-05 | Cilag Gmbh International | Surgical instrument system comprising an RFID system |
US11478241B2 (en) | 2019-06-28 | 2022-10-25 | Cilag Gmbh International | Staple cartridge including projections |
US11553919B2 (en) | 2019-06-28 | 2023-01-17 | Cilag Gmbh International | Method for authenticating the compatibility of a staple cartridge with a surgical instrument |
US11350938B2 (en) | 2019-06-28 | 2022-06-07 | Cilag Gmbh International | Surgical instrument comprising an aligned rfid sensor |
US11497492B2 (en) | 2019-06-28 | 2022-11-15 | Cilag Gmbh International | Surgical instrument including an articulation lock |
US11553971B2 (en) | 2019-06-28 | 2023-01-17 | Cilag Gmbh International | Surgical RFID assemblies for display and communication |
US11298132B2 (en) | 2019-06-28 | 2022-04-12 | Cilag GmbH Inlernational | Staple cartridge including a honeycomb extension |
US11918212B2 (en) | 2019-08-12 | 2024-03-05 | Cilag Gmbh International | Surgical instrument with selectively disengageable drive systems |
US11918213B2 (en) | 2019-08-20 | 2024-03-05 | Cilag Gmbh International | Surgical stapler including couplers for attaching a shaft to an end effector |
US11918220B2 (en) | 2019-08-30 | 2024-03-05 | Cilag Gmbh International | Tissue thickness compensator comprising tissue ingrowth features |
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 |
US11234698B2 (en) | 2019-12-19 | 2022-02-01 | Cilag Gmbh International | Stapling system comprising a clamp lockout and a firing lockout |
US11701111B2 (en) | 2019-12-19 | 2023-07-18 | Cilag Gmbh International | Method for operating a surgical stapling instrument |
US11559304B2 (en) | 2019-12-19 | 2023-01-24 | Cilag Gmbh International | Surgical instrument comprising a rapid closure mechanism |
US11529137B2 (en) | 2019-12-19 | 2022-12-20 | Cilag Gmbh International | Staple cartridge comprising driver retention members |
US11844520B2 (en) | 2019-12-19 | 2023-12-19 | Cilag Gmbh International | Staple cartridge comprising driver retention members |
US11529139B2 (en) | 2019-12-19 | 2022-12-20 | Cilag Gmbh International | Motor driven surgical instrument |
US11911032B2 (en) | 2019-12-19 | 2024-02-27 | Cilag Gmbh International | Staple cartridge comprising a seating cam |
US11446029B2 (en) | 2019-12-19 | 2022-09-20 | Cilag Gmbh International | Staple cartridge comprising projections extending from a curved deck surface |
US11607219B2 (en) | 2019-12-19 | 2023-03-21 | Cilag Gmbh International | Staple cartridge comprising a detachable tissue cutting knife |
US11304696B2 (en) | 2019-12-19 | 2022-04-19 | Cilag Gmbh International | Surgical instrument comprising a powered articulation system |
US11291447B2 (en) | 2019-12-19 | 2022-04-05 | Cilag Gmbh International | Stapling instrument comprising independent jaw closing and staple firing systems |
US11504122B2 (en) | 2019-12-19 | 2022-11-22 | Cilag Gmbh International | Surgical instrument comprising a nested firing member |
US11464512B2 (en) | 2019-12-19 | 2022-10-11 | Cilag Gmbh International | Staple cartridge comprising a curved deck surface |
USD975851S1 (en) | 2020-06-02 | 2023-01-17 | Cilag Gmbh International | Staple cartridge |
USD975850S1 (en) | 2020-06-02 | 2023-01-17 | Cilag Gmbh International | Staple cartridge |
USD966512S1 (en) | 2020-06-02 | 2022-10-11 | Cilag Gmbh International | Staple cartridge |
USD967421S1 (en) | 2020-06-02 | 2022-10-18 | Cilag Gmbh International | Staple cartridge |
USD974560S1 (en) | 2020-06-02 | 2023-01-03 | Cilag Gmbh International | Staple cartridge |
USD976401S1 (en) | 2020-06-02 | 2023-01-24 | Cilag Gmbh International | Staple cartridge |
USD975278S1 (en) | 2020-06-02 | 2023-01-10 | Cilag Gmbh International | Staple cartridge |
US11737748B2 (en) | 2020-07-28 | 2023-08-29 | Cilag Gmbh International | Surgical instruments with double spherical articulation joints with pivotable links |
US11857182B2 (en) | 2020-07-28 | 2024-01-02 | Cilag Gmbh International | Surgical instruments with combination function articulation joint arrangements |
US11638582B2 (en) | 2020-07-28 | 2023-05-02 | Cilag Gmbh International | Surgical instruments with torsion spine drive arrangements |
US11883024B2 (en) | 2020-07-28 | 2024-01-30 | Cilag Gmbh International | Method of operating a surgical instrument |
US11660090B2 (en) | 2020-07-28 | 2023-05-30 | Cllag GmbH International | Surgical instruments with segmented flexible drive arrangements |
US11826013B2 (en) | 2020-07-28 | 2023-11-28 | Cilag Gmbh International | Surgical instruments with firing member closure features |
US11871925B2 (en) | 2020-07-28 | 2024-01-16 | Cilag Gmbh International | Surgical instruments with dual spherical articulation joint arrangements |
US11864756B2 (en) | 2020-07-28 | 2024-01-09 | Cilag Gmbh International | Surgical instruments with flexible ball chain drive arrangements |
USD1013170S1 (en) | 2020-10-29 | 2024-01-30 | Cilag Gmbh International | Surgical instrument assembly |
US11617577B2 (en) | 2020-10-29 | 2023-04-04 | Cilag Gmbh International | Surgical instrument comprising a sensor configured to sense whether an articulation drive of the surgical instrument is actuatable |
US11779330B2 (en) | 2020-10-29 | 2023-10-10 | Cilag Gmbh International | Surgical instrument comprising a jaw alignment system |
US11452526B2 (en) | 2020-10-29 | 2022-09-27 | Cilag Gmbh International | Surgical instrument comprising a staged voltage regulation start-up system |
US11717289B2 (en) | 2020-10-29 | 2023-08-08 | Cilag Gmbh International | Surgical instrument comprising an indicator which indicates that an articulation drive is actuatable |
US11844518B2 (en) | 2020-10-29 | 2023-12-19 | Cilag Gmbh International | Method for operating a surgical instrument |
USD980425S1 (en) | 2020-10-29 | 2023-03-07 | Cilag Gmbh International | Surgical instrument assembly |
US11896217B2 (en) | 2020-10-29 | 2024-02-13 | Cilag Gmbh International | Surgical instrument comprising an articulation lock |
US11534259B2 (en) | 2020-10-29 | 2022-12-27 | Cilag Gmbh International | Surgical instrument comprising an articulation indicator |
US11517390B2 (en) | 2020-10-29 | 2022-12-06 | Cilag Gmbh International | Surgical instrument comprising a limited travel switch |
US11771428B2 (en) | 2020-10-29 | 2023-10-03 | Applied Medical Resources Corporation | Actuation shaft retention mechanism for surgical stapler |
US11730475B2 (en) | 2020-10-29 | 2023-08-22 | Applied Medical Resources Corporation | Surgical stapler having a powered handle |
US11737751B2 (en) | 2020-12-02 | 2023-08-29 | Cilag Gmbh International | Devices and methods of managing energy dissipated within sterile barriers of surgical instrument housings |
US11627960B2 (en) | 2020-12-02 | 2023-04-18 | Cilag Gmbh International | Powered surgical instruments with smart reload with separately attachable exteriorly mounted wiring connections |
US11678882B2 (en) | 2020-12-02 | 2023-06-20 | Cilag Gmbh International | Surgical instruments with interactive features to remedy incidental sled movements |
US11890010B2 (en) | 2020-12-02 | 2024-02-06 | Cllag GmbH International | Dual-sided reinforced reload for surgical instruments |
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 |
US11849943B2 (en) | 2020-12-02 | 2023-12-26 | Cilag Gmbh International | Surgical instrument with cartridge release mechanisms |
US11744581B2 (en) | 2020-12-02 | 2023-09-05 | Cilag Gmbh International | Powered surgical instruments with multi-phase tissue treatment |
US11730473B2 (en) | 2021-02-26 | 2023-08-22 | Cilag Gmbh International | Monitoring of manufacturing life-cycle |
US11793514B2 (en) | 2021-02-26 | 2023-10-24 | Cilag Gmbh International | Staple cartridge comprising sensor array which may be embedded in cartridge body |
US11925349B2 (en) | 2021-02-26 | 2024-03-12 | Cilag Gmbh International | Adjustment to transfer parameters to improve available power |
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 |
US11723657B2 (en) | 2021-02-26 | 2023-08-15 | Cilag Gmbh International | Adjustable communication based on available bandwidth and power capacity |
US11744583B2 (en) | 2021-02-26 | 2023-09-05 | Cilag Gmbh International | Distal communication array to tune frequency of RF systems |
US11749877B2 (en) | 2021-02-26 | 2023-09-05 | Cilag Gmbh International | Stapling instrument comprising a signal antenna |
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 |
US11806011B2 (en) | 2021-03-22 | 2023-11-07 | Cilag Gmbh International | Stapling instrument comprising tissue compression systems |
US11737749B2 (en) | 2021-03-22 | 2023-08-29 | Cilag Gmbh International | Surgical stapling instrument comprising a retraction system |
US11717291B2 (en) | 2021-03-22 | 2023-08-08 | Cilag Gmbh International | Staple cartridge comprising staples configured to apply different tissue compression |
US11723658B2 (en) | 2021-03-22 | 2023-08-15 | Cilag Gmbh International | Staple cartridge comprising a firing lockout |
US11826042B2 (en) | 2021-03-22 | 2023-11-28 | Cilag Gmbh International | Surgical instrument comprising a firing drive including a selectable leverage mechanism |
US11826012B2 (en) | 2021-03-22 | 2023-11-28 | Cilag Gmbh International | Stapling instrument comprising a pulsed motor-driven firing rack |
US11759202B2 (en) | 2021-03-22 | 2023-09-19 | Cilag Gmbh International | Staple cartridge comprising an implantable layer |
US11857183B2 (en) | 2021-03-24 | 2024-01-02 | Cilag Gmbh International | Stapling assembly components having metal substrates and plastic bodies |
US11832816B2 (en) | 2021-03-24 | 2023-12-05 | Cilag Gmbh International | Surgical stapling assembly comprising nonplanar staples and planar staples |
US11896219B2 (en) | 2021-03-24 | 2024-02-13 | Cilag Gmbh International | Mating features between drivers and underside of a cartridge deck |
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 |
US11849944B2 (en) | 2021-03-24 | 2023-12-26 | Cilag Gmbh International | Drivers for fastener cartridge assemblies having rotary drive screws |
US11896218B2 (en) | 2021-03-24 | 2024-02-13 | Cilag Gmbh International | Method of using a powered stapling device |
US11849945B2 (en) | 2021-03-24 | 2023-12-26 | Cilag Gmbh International | Rotary-driven surgical stapling assembly comprising eccentrically driven firing member |
US11786239B2 (en) | 2021-03-24 | 2023-10-17 | Cilag Gmbh International | Surgical instrument articulation joint arrangements comprising multiple moving linkage features |
US11786243B2 (en) | 2021-03-24 | 2023-10-17 | Cilag Gmbh International | Firing members having flexible portions for adapting to a load during a surgical firing stroke |
US11793516B2 (en) | 2021-03-24 | 2023-10-24 | Cilag Gmbh International | Surgical staple cartridge comprising longitudinal support beam |
US11723662B2 (en) | 2021-05-28 | 2023-08-15 | Cilag Gmbh International | Stapling instrument comprising an articulation control display |
US11826047B2 (en) | 2021-05-28 | 2023-11-28 | Cilag Gmbh International | Stapling instrument comprising jaw mounts |
US11918215B2 (en) | 2021-09-27 | 2024-03-05 | Cilag Gmbh International | Staple cartridge with array of staple pockets |
US11877745B2 (en) | 2021-10-18 | 2024-01-23 | Cilag Gmbh International | Surgical stapling assembly having longitudinally-repeating staple leg clusters |
US11925354B2 (en) | 2021-11-22 | 2024-03-12 | Cilag Gmbh International | Staple cartridge comprising staples positioned within a compressible portion thereof |
US11925353B2 (en) | 2021-11-22 | 2024-03-12 | Cilag Gmbh International | Surgical stapling instrument comprising internal passage between stapling cartridge and elongate channel |
US11925351B2 (en) | 2022-02-18 | 2024-03-12 | Applied Medical Resources Corporation | Surgical stapler having articulation mechanism |
US11918222B2 (en) | 2022-03-30 | 2024-03-05 | Cilag Gmbh International | Stapling assembly having firing member viewing windows |
US11918208B2 (en) | 2022-04-12 | 2024-03-05 | Cilag Gmbh International | Robotically-controlled shaft based rotary drive systems for surgical instruments |
US11918217B2 (en) | 2022-04-25 | 2024-03-05 | Cilag Gmbh International | Stapling instrument comprising a staple cartridge insertion stop |
US11925346B2 (en) | 2022-05-20 | 2024-03-12 | Cilag Gmbh International | Surgical staple cartridge including tissue supporting surfaces |
US11918210B2 (en) | 2022-06-13 | 2024-03-05 | Cilag Gmbh International | Staple cartridge comprising a cartridge body including a plurality of wells |
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