WO1997035533A1 - Surgical mesh prosthetic material and methods of use - Google Patents
Surgical mesh prosthetic material and methods of use Download PDFInfo
- Publication number
- WO1997035533A1 WO1997035533A1 PCT/US1997/004918 US9704918W WO9735533A1 WO 1997035533 A1 WO1997035533 A1 WO 1997035533A1 US 9704918 W US9704918 W US 9704918W WO 9735533 A1 WO9735533 A1 WO 9735533A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- outer layer
- prosthesis
- hernia
- operative position
- sheet
- Prior art date
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/0063—Implantable repair or support meshes, e.g. hernia meshes
Definitions
- the present invention relates to a mesh prosthesis.
- the present invention relates to a universal, surgical mesh prosthesis for hernia repair in the form of a foldable sheet.
- Surgical mesh prostheses of various different types have long been known and used in the prior art.
- surgical mesh prostheses have long been used for hernia repair.
- the general surgical technique for hernia repair is to utilize a mesh prosthesis or hernia patch over the hernia defect.
- the hernia patch which has sufficient strength to resist the tendency of the hernia sack to protrude, is placed over the hernia defect and sutured to the surrounding tissue. This technique avoids undesirable, additional tension on the musculofascial tissue and is useful in minimizing the reoccurrence of a hernia.
- the hernia patches described in the prior art generally fall in two classes.
- the first class of hernia patches utilized in hernia surgery is formed of polypropylene material such as that marketed by C R. Bard, Inc. under the trademark MARLEX ® and is also sold under United States Surgical Corporation's trademark SURGIPRO®.
- a second class of hernia patch is mesh material formed of polytetrafluoroethylene (PTFE) such as marketed by W. L. Gore & Associates, Inc. under the trademark GORE-TEX ® .
- PTFE polytetrafluoroethylene
- the two above-identified classes of hernia repair patches of the prior art each provide distinct advantages and disadvantages.
- the patches formed of polypropylene provide an excellent degree of tissue ingrowth for muscles and provide a sufficiently strong patch.
- the polypropylene hernia repair patches can result in unwanted adhesion of the abdominal viscera. When such adhesions occur, a "reopening" of the patient becomes increasingly difficult.
- the reopening of a patient in which unwanted adhesion occurred requires painstaking removal and separation of the abdominal viscera from the prosthetic material. Such a situation increases the danger of injury to the abdominal viscera as well as significantly increasing the length of the operation.
- such reopenings are not uncommon in hernia operations.
- the polytetrafluoroethylene hernia patches provide the advantage of minimizing or eliminating the adherence of the abdominal viscera to the hernia patch.
- the polytetrafluoroethylene hernia patches can easily be cut through without complications in a reopening procedure.
- the polytetrafluoroethylene hernia patches are not as readily attachable to the muscle wall as the polypropylene meshes of the hernia patches described above.
- the polypropylene hernia repair patches are better suited than the polytetrafluoroethylene hernia patches and vice versa for other applications.
- many applications find that none of the hernia patches of the prior art is entirely satisfactory.
- the object of my present invention is to overcome the aforementioned drawbacks of the prior art.
- a further object of my invention is to provide a universal, surgical mesh prosthesis which is easily adapted for a wide variety of surgical procedures.
- a further object of my invention is to provide a surgical mesh prosthesis which is easy to utilize and cost effective to manufacture.
- the objects of my invention are achieved by providing a universal, surgical mesh prosthesis in the form of a foldable sheet which is particularly well adapted for hernia repair.
- the prosthesis includes a first outer layer formed of a material adapted to promote biological tissue adherence thereto and a second outer layer coupled to and opposed from the first outer layer, the second outer layer formed of a material adapted to prevent biological tissue adherence thereto.
- the first outer layer may be formed of a polyolefin such as polypropylene, and the second outer layer may be formed of a fluoropolymer such as polytetrafluoroethylene.
- the second layer may be attached directly to the first layer by various bonding techniques such as laminating-type processes using heat and/or pressure or mechanical coupling using biologically inert adhesives or coupling elements.
- the sheet of my present invention is adapted to be manipulated to an operative position to exhibit between
- a further aspect of my present invention includes a method of surgically repairing a hernia defect utilizing the universal, surgical mesh prosthetic sheet of my invention.
- the method includes manipulating the prosthetic sheet into an operative position wherein 0-100% of the first outer layer and a corresponding 100-0% of the second outer layer are exhibited on an exterior of the prosthetic sheet when in the operative position.
- the prosthetic sheet in the operative position is positioned over the hernia defect, and the prosthetic sheet is attached to the biological tissue surrounding the hernia defect.
- my invention may be utilized in a ventral hernia operation wherein the first outer layer is prevented from contacting the abdominal viscera.
- the universal, surgical mesh of my invention is folded to an .operative position in which the abdominal viscera is positioned adjacent the second outer layer while the first outer layer is positioned adjacent the abdominal wall muscles.
- the operative position of the mesh will generally provide for greater than 50% of the first outer layer and less than 50% of the second outer layer to be exhibited on an exterior of the prosthetic sheet when in the operative position.
- my invention is also particularly well adapted for inguinal hernia operations in which the second outer layer is positioned adjacent the spermatic cord and the first outer layer is positioned adjacent muscle tissue when in the operative position.
- the specific uses are intended to be only examples of the various types of distinct operations to which my universal hernia prosthesis is easily adapted.
- FIG. 1 is a perspective view of a universal, surgical mesh prosthesis according to my present invention
- Fig. 2 is a cross section of the universal, surgical mesh prosthesis illustrated in Fig. 1;
- FIG. 3 schematically illustrates an operative position of the universal, surgical mesh prosthesis illustrated in Figs. 1-2 in a ventral hernia operation
- Fig. 4 schematically illustrates an operative position of the universal, surgical mesh prosthesis of Figs. 1-2 in an inguinal hernia operation
- Fig. 5 is a side view, partially in section, of a modified universal, surgical mesh prosthesis according to my present invention
- Figs. 6a-6c illustrate various alternative shapes for the universal, ' surgical mesh prosthesis shown in Fig. i ;
- Figs. 7a-7c illustrate various alternative shapes for the universal, surgical mesh prosthesis shown in Fig. 5;
- Fig. 8 illustrates a shape for the universal, surgical prosthesis shown in Fig. 1 which is specifically designed for vascular applications.
- Fig. 1 illustrates a universal, surgical mesh prosthesis 10 according to my invention.
- the mesh prosthesis 10 is in the form of a foldable sheet and is particularly well adapted for hernia repair as will be described hereinafter. Consequently, the mesh prosthesis 10 may also be generally referred to as a universal hernia patch.
- the mesh prosthesis 10 can be formed as a rectangular sheet as shown in Fig. l provided in a large range of sizes. Additionally, the sheet may be preformed as circles, ellipses or any particular shape desired as demonstrated in Figs. 6a-6c.
- the foldable sheet is easily cut to the size needed for the particular operation. However, by sizing the sheet appropriately to the more generally useful or utilized configurations, the need for trimming excess material can be minimized, further saving valuable time in an operating environment.
- the mesh prosthesis 10 of the present invention includes a first outer layer 12 formed of a material adapted to promote biological tissue adherence thereto.
- the first outer layer 12 is formed to promote fibroplasia.
- the first outer layer 12 may effectively be formed of a polyolefin material such as polypropylene.
- Polyethylene also forms an acceptable polyolefin material for forming the first outer layer 12.
- Appropriate polypropylene material is sold under the trademarks MARLEX ® , TRELEX NATURALTM and SURGIPRO ® .
- a second outer layer 14 is coupled to and opposed from the first outer layer 12.
- the second outer layer 14 is formed of a material adapted to prevent biological tissue adherence thereto.
- the second outer layer 14 is formed to prevent fibroplasia.
- the second outer layer 14 may be effectively formed of a fluoropolymer material such as polytetrafluoroethylene (PTFE) .
- PTFE polytetrafluoroethylene
- FEP Fluorinated ethylene propylene
- TFE tetrafluoroethylene
- ETFE ethylene tetrafluoroethylene
- PTFE materials can be purchased under the brand names GORE-TEX ® or TEFLON ® .
- the second outer layer 14 may also be formed of a polyethylene terephthalate which is sold under the trademarks DACRON ® and MYLAR ® .
- the second outer layer 14 is attached directly to the first outer layer 12.
- the second outer layer 14 may be bonded to the first outer layer 12 by known bonding techniques such as plasma treating or mechanical bridging through corona treatment of the layers 12 and 14 in a gas environment. The ⁇ nobonding using heat and pressure or pressure bonding using pressure alone may be used in la inating-type techniques.
- the second outer layer 14 may be attached to the first outer layer 12 by mechanical connection such as stitching or by use of a biologically inert adhesive.
- One aspect of the present invention contemplates using an adhesive having a high shear strength such that the first outer layer 12 and the second outer layer 14 are permanently attached together.
- An alternative aspect of the present invention is to select an adhesive with a relatively low shear strength which will provide two additional features of the present invention.
- First, with an adhesive with low shear strength the first outer layer 12 and the second outer layer 14 may be separated from each other prior to use if either the first outer layer 12 or the second outer layer 14 is not desired for the specific surgical procedure being performed.
- the second feature of using an adhesive with a relatively low shear strength is that after the universal mesh prosthesis 10 is installed, the relatively low shear strength will provide for minimal movement between the first outer layer 12 and the second outer layer 14 relative to each other.
- the first outer layer 12 and the second outer layer 14 would not become completely separated from each other in the operative position since, when installed, the surrounding portions of the surgical mesh prosthesis 10 will be secured to the surrounding biological tissue as will be described hereinafter.
- the mesh prosthesis 10 of the present invention is formed as a foldable sheet which is adapted to be manipulated to an operative position which exhibits between 0-100% of the first outer layer 12 on an exterior of the prosthesis 10 when in the operative position. A corresponding 100-0% of the second outer layer 14 will be on the exterior of the prosthesis 10 in the same operative position.
- the exterior surface of the mesh prosthesis 10 is formed with a 50-50% relationship between the first outer layer 12 and the second outer layer 14 (i.e., the first outer layer 12 forming one entire side and the second outer layer 14 forming the other entire side of the mesh prosthesis) , this relationship can be easily adjusted by appropriately folding the mesh prosthesis 10.
- This feature of the present invention can be best illustrated by reviewing the use of the universal, surgical mesh prosthesis 10 of the present invention in distinct operations.
- Fig. 3 illustrates the surgical mesh prosthesis 10 of the present invention utilized in a ventral hernia operation.
- the universal, surgical mesh prosthesis 10 is folded such that greater than 50% of the first outer layer 12 and less than 50% of the second outer layer 14 are exhibited on an exterior of the prosthesis 10 in the operative position as shown in Fig. 3. In the operative position, the second outer layer 14 is essentially surrounded by the first outer layer 12 on one side of the prosthesis 10.
- the other side of the prosthesis 10 in the operative position is formed entirely of the first outer layer 12.
- the prosthesis 10 in the operative position is positioned over the hernia defect with the abdominal viscera 16 adjacent the second outer layer 14 and the abdominal wall muscles 18 adjacent the first outer layer 12.
- the prosthesis 10 is attached to the biological tissue surrounding the hernia defect such as by stitching, stapling or other conventional means. With this configuration, tissue adherence of the abdominal wall muscles 18 is promoted while tissue adherence of the abdominal viscera 16 is prevented. As discussed above, adherence of the abdominal viscera 16 to a hernia patch would make later separation and follow-up work quite difficult.
- Fig. 4 illustrates the prosthesis 10 of the present invention utilized in an inguinal hernia operation.
- the desired adhesion characteristics of the prosthesis 10 are substantially the opposite of the ventral hernia operation described above.
- the lower.surface of the prosthesis 10 it is desired that the lower.surface of the prosthesis 10 be biologically adherent. Consequently, in the inguinal hernia operation, the universal, surgical mesh prosthesis 10 is positioned in an operative position wherein the spermatic cord 20 is positioned adjacent the second outer layer 14 and the first outer layer 12 is positioned adjacent the muscle tissue 22 as shown.
- the prosthesis 10 is attached to the biological tissue surrounding the hernia defect by stitching or other conventional means.
- hernia operations described above are merely intended to be examples of the type of uses of the universal hernia patch of my invention.
- With the dual- sided hernia patch of my invention a large number of operations can be performed utilizing a single type of patch. This will significantly reduce inventory requirements without adversely affecting performance.
- Fig. 5 schematically illustrates a modified surgical prosthesis 10' according to my invention.
- the modified prosthesis 10' includes a first outer layer 12 and a second outer layer 14 formed of appropriate materials as described above in connection with prosthesis 10.
- the modified prosthesis 10' includes an expandable cavity 30 formed by first outer layer 12 to form a plug member.
- the cavity 30, which is shown relatively large in Fig. 5 for ease of understanding, is specifically adapted to be placed into the hernia defect as a plug type of hernia prosthesis. When placed in the hernia defect, the cavity 30 may be filled with an inert gas or other appropriate inert material to expand and fill the hernia defect.
- the prosthesis 10' still maintains the advantages of the distinct layers 12 and 14 described above in connection with prosthesis 10.
- the prosthesis 10' is also foldable like the prosthesis 10 described above so that the appropriate exterior surface may be presented by the prosthesis 10' in the operative position.
- the prosthesis 10' may be formed by the user or preformed (i.e., manufactured) in a variety of usable shapes as shown in Figs. 7a-7c.
- the placing of the plug member formed by the expandable cavity 30 within the hernia defect provides several distinct advantages.
- the cavity 30 will fill and provide support in the hernia defect whether or not the cavity 30 is subsequently filled.
- the insertion of the cavity 30 within the hernia defect will serve to anchor the prosthesis 10' . This may be particularly relevant where the prosthesis 10' is attached to the perineum overlaying the hernia defect.
- the use of prosthesis 10' combines the benefits of a hernia plug and a hernia patch into a single prosthesis and can significantly reduce operating time over conventional hernia patches or hernia plugs.
- the prosthesis 10 may be used in a general form as shown in Fig. 1 or preformed (i.e., manufactured) as shown in Fig. 6a. As discussed above, the user may form or shape the prosthesis 10 into any desired configuration. The preshaping of the prosthesis 10 as shown in Figs. 6a-6c is merely intended to minimize additional forming/shaping steps by the user.
- the prosthesis 10' may also be used in open, inguinal hernia operations in a general non-preshaped form as shown in Fig.
- the cavity 30 is preferably formed off-center to better accommodate the spermatic cord as will be recognized in the art.
- the prosthesis 10 may be used in the general form shown in Fig. l or the prosthesis 10' may be used in the general non-preshaped form shown in Fig. 7b.
- the cavity 30 of the prosthesis 10 no longer needs to be off- center as shown in Fig. 7a and may be positioned in the center of the prosthesis 10' as shown in Fig. 7b to maximize strength.
- the prosthesis 10 would be used either in the general form shown in Fig. 1 or with cutouts (formed or preformed) as shown in Figs. 6b-6c to facilitate folding of the prosthesis 10 (similar to Fig. 3) without excess material.
- cutouts formed or preformed
- Figs. 6b-6c to facilitate folding of the prosthesis 10 (similar to Fig. 3) without excess material.
- the prostheses 10 and 10' of my invention while particularly well suited for hernia operations, are not specifically limited thereto and may have various other applications where a combination of biologically adherent and non-biologically adherent materials would be useful, such as thoracoplasty or in vascular surgery.
- the prosthesis 10 of my invention as shown in Fig. 1 can be used for the reconstruction of the thoracic wall.
- the second outer layer 14, formed of PTFE or the like, will face the thoracic cavity.
- the prosthesis 10 may be preformed in a tubal fashion as shown in Fig. 8 where the inner surface of the tube is formed by the second layer 14 (PTFE or the like) and the outer surface of the tube is formed by the first outer layer 12 (polypropylene or the like) .
Abstract
A mesh prosthesis (10) is disclosed which includes a first outer layer (12) and a second outer layer (14) coupled to, and opposed from, the first layer (12). The first outer layer (12) is formed to promote fibroplasia; the material of the first outer layer (12) is a poly-olefin material such as polypropylene. The second outer layer (14) is formed of a material which prevents fibroplasia; the material of the second outer layer is a fluoro-polymer such as polytetrafluoroethylene (PTFE). Fluorinated ethylene propylene (FEP), tetra fluoro-ethylene (TFE), and ethylene tetra fluoro-ethylene (ETFE) are other acceptable fluoro-polymers for construction of the second outer layer (14).
Description
SURGICAL MESH PROSTHETIC MATERIAL AND METHODS OF USE
BACKGROUND OF THE INVENTION
1. Field of the Invention
The present invention relates to a mesh prosthesis. In particular, the present invention relates to a universal, surgical mesh prosthesis for hernia repair in the form of a foldable sheet.
2. Description of the Prior Art
Surgical mesh prostheses of various different types have long been known and used in the prior art. In particular, surgical mesh prostheses have long been used for hernia repair. The general surgical technique for hernia repair is to utilize a mesh prosthesis or hernia patch over the hernia defect. The hernia patch, which has sufficient strength to resist the tendency of the hernia sack to protrude, is placed over the hernia defect and sutured to the surrounding tissue. This technique avoids undesirable, additional tension on the musculofascial tissue and is useful in minimizing the reoccurrence of a hernia.
Examples of surgical mesh prostheses for hernia repairs can be found in U.S. Patents Nos. 5,368,602; 5,356,432; 5,326,355; 5,292,328; 5,290,217; 5,254,133; and 5,147,374. Endoscopic and laparoscopic surgical techniques have been developed for repairing hernias with a hernia patch. Examples of these techniques can be found in U.S. Patents Nos. 4,769,038; 5,379,754; and 5,370,650.
The hernia patches described in the prior art generally fall in two classes. The first class of hernia patches utilized in hernia surgery is formed of polypropylene material such as that marketed by C R. Bard, Inc. under the trademark MARLEX® and is also sold under United States Surgical Corporation's trademark SURGIPRO®. A second class of hernia patch is mesh material formed of polytetrafluoroethylene (PTFE) such as marketed by W. L. Gore & Associates, Inc. under the trademark GORE-TEX®.
The two above-identified classes of hernia repair patches of the prior art each provide distinct advantages
and disadvantages. The patches formed of polypropylene provide an excellent degree of tissue ingrowth for muscles and provide a sufficiently strong patch. However, the polypropylene hernia repair patches can result in unwanted adhesion of the abdominal viscera. When such adhesions occur, a "reopening" of the patient becomes increasingly difficult. The reopening of a patient in which unwanted adhesion occurred requires painstaking removal and separation of the abdominal viscera from the prosthetic material. Such a situation increases the danger of injury to the abdominal viscera as well as significantly increasing the length of the operation. As described in the above-noted patents, such reopenings are not uncommon in hernia operations. The polytetrafluoroethylene hernia patches provide the advantage of minimizing or eliminating the adherence of the abdominal viscera to the hernia patch. The polytetrafluoroethylene hernia patches can easily be cut through without complications in a reopening procedure. However, the polytetrafluoroethylene hernia patches are not as readily attachable to the muscle wall as the polypropylene meshes of the hernia patches described above. In view of the above discussion, it is clear that, in certain situations, the polypropylene hernia repair patches are better suited than the polytetrafluoroethylene hernia patches and vice versa for other applications. However, many applications find that none of the hernia patches of the prior art is entirely satisfactory.
SUMMARY OF THE INVENTION The object of my present invention is to overcome the aforementioned drawbacks of the prior art. A further object of my invention is to provide a universal, surgical mesh prosthesis which is easily adapted for a wide variety of surgical procedures. A further object of my invention is to provide a surgical mesh prosthesis which is easy to utilize and cost effective to manufacture.
The objects of my invention are achieved by providing a universal, surgical mesh prosthesis in the form of a foldable sheet which is particularly well adapted for hernia repair. The prosthesis includes a first outer layer formed of a material adapted to promote biological tissue adherence thereto and a second outer layer coupled to and opposed from the first outer layer, the second outer layer formed of a material adapted to prevent biological tissue adherence thereto. The first outer layer may be formed of a polyolefin such as polypropylene, and the second outer layer may be formed of a fluoropolymer such as polytetrafluoroethylene. The second layer may be attached directly to the first layer by various bonding techniques such as laminating-type processes using heat and/or pressure or mechanical coupling using biologically inert adhesives or coupling elements.
The sheet of my present invention is adapted to be manipulated to an operative position to exhibit between
0-100% of the first outer layer and a corresponding 100-0% of the second outer layer on an exterior of the mesh when in the operative position.
A further aspect of my present invention includes a method of surgically repairing a hernia defect utilizing the universal, surgical mesh prosthetic sheet of my invention. The method includes manipulating the prosthetic sheet into an operative position wherein 0-100% of the first outer layer and a corresponding 100-0% of the second outer layer are exhibited on an exterior of the prosthetic sheet when in the operative position. The prosthetic sheet in the operative position is positioned over the hernia defect, and the prosthetic sheet is attached to the biological tissue surrounding the hernia defect.
Several specific examples of distinct operations utilizing the universal, surgical mesh prosthesis of my invention are disclosed. For example, my invention may be utilized in a ventral hernia operation wherein the first outer layer is prevented from contacting the abdominal
viscera. The universal, surgical mesh of my invention is folded to an .operative position in which the abdominal viscera is positioned adjacent the second outer layer while the first outer layer is positioned adjacent the abdominal wall muscles. In ventral hernia operations, the operative position of the mesh will generally provide for greater than 50% of the first outer layer and less than 50% of the second outer layer to be exhibited on an exterior of the prosthetic sheet when in the operative position. Further, my invention is also particularly well adapted for inguinal hernia operations in which the second outer layer is positioned adjacent the spermatic cord and the first outer layer is positioned adjacent muscle tissue when in the operative position. The specific uses are intended to be only examples of the various types of distinct operations to which my universal hernia prosthesis is easily adapted.
These and other advantages of my present invention will be clarified in the brief description of the preferred embodiments taken together with the attached figures wherein like reference numerals represent like elements throughout.
BRIEF DESCRIPTION OF THE DRAWINGS Fig. 1 is a perspective view of a universal, surgical mesh prosthesis according to my present invention; Fig. 2 is a cross section of the universal, surgical mesh prosthesis illustrated in Fig. 1;
Fig. 3 schematically illustrates an operative position of the universal, surgical mesh prosthesis illustrated in Figs. 1-2 in a ventral hernia operation; Fig. 4 schematically illustrates an operative position of the universal, surgical mesh prosthesis of Figs. 1-2 in an inguinal hernia operation;
Fig. 5 is a side view, partially in section, of a modified universal, surgical mesh prosthesis according to my present invention;
Figs. 6a-6c illustrate various alternative shapes for the universal,' surgical mesh prosthesis shown in Fig. i ;
Figs. 7a-7c illustrate various alternative shapes for the universal, surgical mesh prosthesis shown in Fig. 5; and
Fig. 8 illustrates a shape for the universal, surgical prosthesis shown in Fig. 1 which is specifically designed for vascular applications.
BRIEF DESCRIPTION OF THE PREFERRED EMBODIMENTS
Fig. 1 illustrates a universal, surgical mesh prosthesis 10 according to my invention. The mesh prosthesis 10 is in the form of a foldable sheet and is particularly well adapted for hernia repair as will be described hereinafter. Consequently, the mesh prosthesis 10 may also be generally referred to as a universal hernia patch. The mesh prosthesis 10 can be formed as a rectangular sheet as shown in Fig. l provided in a large range of sizes. Additionally, the sheet may be preformed as circles, ellipses or any particular shape desired as demonstrated in Figs. 6a-6c. Furthermore, the foldable sheet is easily cut to the size needed for the particular operation. However, by sizing the sheet appropriately to the more generally useful or utilized configurations, the need for trimming excess material can be minimized, further saving valuable time in an operating environment.
As shown in Fig. 2, the mesh prosthesis 10 of the present invention includes a first outer layer 12 formed of a material adapted to promote biological tissue adherence thereto. The first outer layer 12 is formed to promote fibroplasia. The first outer layer 12 may effectively be formed of a polyolefin material such as polypropylene. Polyethylene also forms an acceptable polyolefin material for forming the first outer layer 12. Easy availability of polypropylene together with its long history of acceptable use in surgical applications makes polypropylene a
preferred material. Appropriate polypropylene material is sold under the trademarks MARLEX®, TRELEX NATURAL™ and SURGIPRO®.
A second outer layer 14 is coupled to and opposed from the first outer layer 12. The second outer layer 14 is formed of a material adapted to prevent biological tissue adherence thereto. The second outer layer 14 is formed to prevent fibroplasia. The second outer layer 14 may be effectively formed of a fluoropolymer material such as polytetrafluoroethylene (PTFE) . Fluorinated ethylene propylene (FEP) , tetrafluoroethylene (TFE) and ethylene tetrafluoroethylene (ETFE) are other acceptable fluoropolymers. As with polypropylene discussed above, availability and acceptance in surgical applications make PTFE a generally preferred material for the second outer layer 14. Appropriate PTFE materials can be purchased under the brand names GORE-TEX® or TEFLON®. The second outer layer 14 may also be formed of a polyethylene terephthalate which is sold under the trademarks DACRON® and MYLAR®.
The second outer layer 14 is attached directly to the first outer layer 12. The second outer layer 14 may be bonded to the first outer layer 12 by known bonding techniques such as plasma treating or mechanical bridging through corona treatment of the layers 12 and 14 in a gas environment. Theπnobonding using heat and pressure or pressure bonding using pressure alone may be used in la inating-type techniques. Alternatively, the second outer layer 14 may be attached to the first outer layer 12 by mechanical connection such as stitching or by use of a biologically inert adhesive.
One aspect of the present invention contemplates using an adhesive having a high shear strength such that the first outer layer 12 and the second outer layer 14 are permanently attached together. An alternative aspect of the present invention is to select an adhesive with a relatively low shear strength which will provide two
additional features of the present invention. First, with an adhesive with low shear strength, the first outer layer 12 and the second outer layer 14 may be separated from each other prior to use if either the first outer layer 12 or the second outer layer 14 is not desired for the specific surgical procedure being performed. The second feature of using an adhesive with a relatively low shear strength is that after the universal mesh prosthesis 10 is installed, the relatively low shear strength will provide for minimal movement between the first outer layer 12 and the second outer layer 14 relative to each other. However, the first outer layer 12 and the second outer layer 14 would not become completely separated from each other in the operative position since, when installed, the surrounding portions of the surgical mesh prosthesis 10 will be secured to the surrounding biological tissue as will be described hereinafter.
With the dual-sided universal, surgical mesh prosthesis 10 of the present invention, a number of surgical procedures can be addressed by simply folding the prosthesis 10 as needed. The mesh prosthesis 10 of the present invention is formed as a foldable sheet which is adapted to be manipulated to an operative position which exhibits between 0-100% of the first outer layer 12 on an exterior of the prosthesis 10 when in the operative position. A corresponding 100-0% of the second outer layer 14 will be on the exterior of the prosthesis 10 in the same operative position. Consequently, although the exterior surface of the mesh prosthesis 10 is formed with a 50-50% relationship between the first outer layer 12 and the second outer layer 14 (i.e., the first outer layer 12 forming one entire side and the second outer layer 14 forming the other entire side of the mesh prosthesis) , this relationship can be easily adjusted by appropriately folding the mesh prosthesis 10. This feature of the present invention can be best illustrated by reviewing the
use of the universal, surgical mesh prosthesis 10 of the present invention in distinct operations.
Fig. 3 illustrates the surgical mesh prosthesis 10 of the present invention utilized in a ventral hernia operation. In such an operation, it is preferable to prevent the abdominal viscera 16 from contacting the first outer layer 12 which is adapted to promote biological tissue adherence thereto. However, it is advantageous to have the abdominal wall muscles 18 be positioned adjacent the first outer layer 12 to promote the biological tissue adherence thereto. With these criteria in mind, the universal, surgical mesh prosthesis 10 is folded such that greater than 50% of the first outer layer 12 and less than 50% of the second outer layer 14 are exhibited on an exterior of the prosthesis 10 in the operative position as shown in Fig. 3. In the operative position, the second outer layer 14 is essentially surrounded by the first outer layer 12 on one side of the prosthesis 10. The other side of the prosthesis 10 in the operative position is formed entirely of the first outer layer 12. The prosthesis 10 in the operative position is positioned over the hernia defect with the abdominal viscera 16 adjacent the second outer layer 14 and the abdominal wall muscles 18 adjacent the first outer layer 12. The prosthesis 10 is attached to the biological tissue surrounding the hernia defect such as by stitching, stapling or other conventional means. With this configuration, tissue adherence of the abdominal wall muscles 18 is promoted while tissue adherence of the abdominal viscera 16 is prevented. As discussed above, adherence of the abdominal viscera 16 to a hernia patch would make later separation and follow-up work quite difficult.
Fig. 4 illustrates the prosthesis 10 of the present invention utilized in an inguinal hernia operation. In such inguinal hernia operations, the desired adhesion characteristics of the prosthesis 10 are substantially the opposite of the ventral hernia operation described above.
In the inguinal hernia operation as shown, it is desired that the lower.surface of the prosthesis 10 be biologically adherent. Consequently, in the inguinal hernia operation, the universal, surgical mesh prosthesis 10 is positioned in an operative position wherein the spermatic cord 20 is positioned adjacent the second outer layer 14 and the first outer layer 12 is positioned adjacent the muscle tissue 22 as shown. The prosthesis 10 is attached to the biological tissue surrounding the hernia defect by stitching or other conventional means.
The hernia operations described above are merely intended to be examples of the type of uses of the universal hernia patch of my invention. With the dual- sided hernia patch of my invention, a large number of operations can be performed utilizing a single type of patch. This will significantly reduce inventory requirements without adversely affecting performance.
Fig. 5 schematically illustrates a modified surgical prosthesis 10' according to my invention. The modified prosthesis 10' includes a first outer layer 12 and a second outer layer 14 formed of appropriate materials as described above in connection with prosthesis 10. The modified prosthesis 10' includes an expandable cavity 30 formed by first outer layer 12 to form a plug member. The cavity 30, which is shown relatively large in Fig. 5 for ease of understanding, is specifically adapted to be placed into the hernia defect as a plug type of hernia prosthesis. When placed in the hernia defect, the cavity 30 may be filled with an inert gas or other appropriate inert material to expand and fill the hernia defect. The prosthesis 10' still maintains the advantages of the distinct layers 12 and 14 described above in connection with prosthesis 10. The prosthesis 10' is also foldable like the prosthesis 10 described above so that the appropriate exterior surface may be presented by the prosthesis 10' in the operative position. The prosthesis 10' may be formed by the user or preformed (i.e.,
manufactured) in a variety of usable shapes as shown in Figs. 7a-7c. The placing of the plug member formed by the expandable cavity 30 within the hernia defect provides several distinct advantages. The cavity 30 will fill and provide support in the hernia defect whether or not the cavity 30 is subsequently filled. The insertion of the cavity 30 within the hernia defect will serve to anchor the prosthesis 10' . This may be particularly relevant where the prosthesis 10' is attached to the perineum overlaying the hernia defect. Without the cavity 30 extending into the hernia defect, relative movement could occur between the peritonea (to which the prosthesis 10' may be attached) and the hernia defect such that the hernia patch is no longer overlaying the hernia defect. The anchoring nature of the cavity 30 prevents this unwanted migration, regardless of where the prosthesis 10' is attached. The cavity 30 will stimulate fibroplasia within the defect. Further, when the expandable cavity 30 is filled with gas such as through use of an appropriately small gauge needle, as schematically shown in Fig. 5, the cavity 30 can be collapsed over time due to tissue contraction around the hernia defect, thereby minimizing the defect. The gas displaced from the cavity 30 by tissue contraction will be harmlessly absorbed by the body. The use of prosthesis 10' combines the benefits of a hernia plug and a hernia patch into a single prosthesis and can significantly reduce operating time over conventional hernia patches or hernia plugs.
A summary of various hernia operations, in connection with both surgical mesh prostheses 10 and 10' described above, will help clarify the versatility of my invention. In open (i.e., non-laparoscopic) inguinal hernia operations, the prosthesis 10 may be used in a general form as shown in Fig. 1 or preformed (i.e., manufactured) as shown in Fig. 6a. As discussed above, the user may form or shape the prosthesis 10 into any desired configuration. The preshaping of the prosthesis 10 as
shown in Figs. 6a-6c is merely intended to minimize additional forming/shaping steps by the user. The prosthesis 10' may also be used in open, inguinal hernia operations in a general non-preshaped form as shown in Fig. 7a or a preshaped form as shown in Fig. 7c. In the non- preshaped prosthesis 10' of Fig. 7a, the cavity 30 is preferably formed off-center to better accommodate the spermatic cord as will be recognized in the art. In laparoscopic inguinal hernia operations, the prosthesis 10 may be used in the general form shown in Fig. l or the prosthesis 10' may be used in the general non-preshaped form shown in Fig. 7b. For laparoscopic procedures, the cavity 30 of the prosthesis 10 no longer needs to be off- center as shown in Fig. 7a and may be positioned in the center of the prosthesis 10' as shown in Fig. 7b to maximize strength. For incisional hernia operations, the prosthesis 10 would be used either in the general form shown in Fig. 1 or with cutouts (formed or preformed) as shown in Figs. 6b-6c to facilitate folding of the prosthesis 10 (similar to Fig. 3) without excess material. These examples are not exhaustive and are intended merely to demonstrate the wide variety of uses of my present invention.
The prostheses 10 and 10' of my invention, while particularly well suited for hernia operations, are not specifically limited thereto and may have various other applications where a combination of biologically adherent and non-biologically adherent materials would be useful, such as thoracoplasty or in vascular surgery. For example, the prosthesis 10 of my invention as shown in Fig. 1 can be used for the reconstruction of the thoracic wall. The second outer layer 14, formed of PTFE or the like, will face the thoracic cavity. In vascular surgery, the prosthesis 10 may be preformed in a tubal fashion as shown in Fig. 8 where the inner surface of the tube is formed by the second layer 14 (PTFE or the like) and the outer
surface of the tube is formed by the first outer layer 12 (polypropylene or the like) .
Although my invention has been described with particularity, it will be apparent to those of ordinary skill in the art that various modifications and changes may be made to my invention without departing from the spirit and scope thereof. Consequently, the scope of my invention is intended to be defined by the attached claims.
Claims
1. A surgical mesh prosthesis comprising: a first outer layer formed of a material adapted to promote biological tissue adherence thereto; and a second outer layer coupled to and opposed from said first outer layer, said second outer layer formed of a material adapted to prevent biological tissue adherence thereto.
2. The prosthesis of claim 1 wherein said first outer layer is formed of a polyolefin material.
3. The prosthesis of claim 2 wherein said second outer layer is formed of a fluoropolymer.
4. The prosthesis of claim 3 wherein said second layer is attached directly to said first layer.
5. The prosthesis of claim 4 further including a cavity forming a plug member in said prosthesis.
6. The prosthesis of claim 4 wherein said first layer is attached to said second layer by a biologically inert adhesive.
7. The prosthesis of claim 3 wherein said mesh is a foldable sheet adapted to be manipulated to an operative position to exhibit between 0-100% of said first outer layer on an exterior of said mesh in said operative position.
8. A universal, surgical mesh prosthesis for hernia repair in the form of a foldable sheet, said prosthesis including a polypropylene outer layer forming a first side of said sheet and a polytetrafluoroethylene outer layer attached to said polypropylene outer layer, said polytetrafluoroethylene outer layer forming a second side of said sheet.
9. The surgical mesh prosthesis of claim 8 wherein said sheet is adapted to be manipulated into an operative position which exhibits 0-100% of said polypropylene outer layer and 100-0% of said polytetrafluoroethylene outer layer on an exterior of said mesh in said operative position.
10. The surgical mesh prosthesis of claim 9 wherein said polytetrafluoroethylene outer layer is bonded to said polypropylene outer layer.
11. The surgical mesh prosthesis of claim 9 further including an expandable cavity forming a plug member in said prosthesis.
12. A surgical mesh prosthesis for hernia operations, said prosthesis comprising a patch member adapted to overlay a hernia defect and be attached to biological tissue surrounding the hernia defect, and a plug member formed in said patch member, wherein said plug member is adapted to be inserted into the hernia defect.
13. A method of surgically repairing a hernia defect comprising the steps of: a) providing a universal, surgical mesh prosthetic sheet having a first outer layer formed of a material adapted to promote biological tissue adherence thereto and a second outer layer attached to said first outer layer, said second outer layer formed of a material adapted to prevent biological tissue adherence thereto; b) manipulating said prosthetic sheet into an operative position wherein 0-100% of said first outer layer and 100-0% of said second outer layer are exhibited on an exterior of said prosthetic sheet when in said operative position; c) positioning said prosthetic sheet in said operative position over said hernia defect; and d) attaching said prosthetic sheet to biological tissues surrounding said hernia defect.
14. The method of claim 13 wherein said first outer layer of said universal, surgical mesh prosthetic sheet is formed of polypropylene.
15. The method of claim 14 wherein said second outer layer of said universal, surgical mesh prosthetic sheet is formed of polytetrafluoroethylene.
16. The method of claim 15 wherein greater than 50% of said first outer layer and less than 50% of said second outer layer are exhibited on said exterior of said prosthetic sheet in said operative position.
17. The method of claim 15 wherein less than 50% of said first outer layer and greater than 50% of said second outer layer are exhibited on an exterior of said prosthetic sheet in said operative position.
18. The method of claim 15 wherein said hernia defect is a ventral hernia and, in said operative position, said first outer layer is positioned adjacent abdominal wall muscles and said second outer layer is positioned adjacent the abdominal viscera.
19. The method of claim 15 wherein said hernia defect is an inguinal hernia and in said operative position said second outer layer is positioned adjacent the spermatic cord and said first outer layer is positioned adjacent muscle tissue.
20. The method of claim 13 wherein said prosthetic sheet includes a cavity forming a plug member and said positioning of said prosthetic sheet includes the step of inserting said plug member within said hernia defect.
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US62147596A | 1996-03-25 | 1996-03-25 | |
US08/621,475 | 1996-03-25 |
Publications (1)
Publication Number | Publication Date |
---|---|
WO1997035533A1 true WO1997035533A1 (en) | 1997-10-02 |
Family
ID=24490312
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/US1997/004918 WO1997035533A1 (en) | 1996-03-25 | 1997-03-25 | Surgical mesh prosthetic material and methods of use |
Country Status (2)
Country | Link |
---|---|
US (1) | US6652595B1 (en) |
WO (1) | WO1997035533A1 (en) |
Cited By (66)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
EP0943298A2 (en) | 1998-03-20 | 1999-09-22 | Cousin Biotech (S.A.S.) | Surgical patch |
WO2000067663A1 (en) * | 1999-05-10 | 2000-11-16 | C.R. Bard, Inc. | Prosthetic repair fabric |
WO2001008594A1 (en) | 1999-07-28 | 2001-02-08 | C.R. Bard, Inc. | Hernia prosthesis |
WO2002022047A1 (en) * | 2000-09-14 | 2002-03-21 | C.R. Bard, Inc. | Implantable prosthesis |
US6383201B1 (en) | 1999-05-14 | 2002-05-07 | Tennison S. Dong | Surgical prosthesis for repairing a hernia |
FR2829922A1 (en) * | 2001-09-21 | 2003-03-28 | Sofradim Production | Anterior access hernia repair implant comprises biocompatible layer of knitted filaments with cylindrical protuberance on one side |
WO2003094783A1 (en) * | 2002-05-10 | 2003-11-20 | C.R. Bard, Inc. | Prosthetic repair fabric with erosion resistant edge |
US6652595B1 (en) | 1996-03-25 | 2003-11-25 | Davol Inc. | Method of repairing inguinal hernias |
US6712859B2 (en) | 2001-06-28 | 2004-03-30 | Ethicon, Inc. | Hernia repair prosthesis and methods for making same |
US6736823B2 (en) | 2002-05-10 | 2004-05-18 | C.R. Bard, Inc. | Prosthetic repair fabric |
US6755868B2 (en) | 2002-03-22 | 2004-06-29 | Ethicon, Inc. | Hernia repair device |
EP1595512A1 (en) * | 2004-05-14 | 2005-11-16 | Urogyn | Hernia repair prosthesis |
WO2006008429A1 (en) * | 2004-07-20 | 2006-01-26 | Stephen George Edward Barker | Umbilical or paraumbilical hernia repair prosthesis |
WO2006023444A2 (en) | 2004-08-17 | 2006-03-02 | Tyco Healthcare Group, Lp | Anti-adhesion barrier |
US7011688B2 (en) | 2002-05-10 | 2006-03-14 | C.R. Bard, Inc. | Prosthetic repair fabric |
WO2009030867A1 (en) * | 2007-09-07 | 2009-03-12 | Cousin Biotech | Textile implant, in particular for repairing hernias |
DE102007062273A1 (en) * | 2007-12-14 | 2009-06-18 | Aesculap Ag | Fluorinated implant |
EP2165680A1 (en) * | 2008-09-17 | 2010-03-24 | University of Bern | Textile Implant |
DE102008050122A1 (en) * | 2008-10-06 | 2010-04-08 | Global Medical Consulting Gmbh | Postoperative adhesion prophylaxis |
US7785334B2 (en) | 2002-08-02 | 2010-08-31 | C.R. Bard, Inc. | Implantable prosthesis |
CN102058442A (en) * | 2010-12-21 | 2011-05-18 | 常州市三联星海医疗器械制造有限公司 | Compound anti-adhesion herniorrhaphy tablet and manufacturing method thereof |
US8317808B2 (en) | 2008-02-18 | 2012-11-27 | Covidien Lp | Device and method for rolling and inserting a prosthetic patch into a body cavity |
US8753359B2 (en) | 2008-02-18 | 2014-06-17 | Covidien Lp | Device and method for deploying and attaching an implant to a biological tissue |
US8758373B2 (en) | 2008-02-18 | 2014-06-24 | Covidien Lp | Means and method for reversibly connecting a patch to a patch deployment device |
US8776716B2 (en) | 2011-08-09 | 2014-07-15 | Biomet Biologics, Llc | Surgical mesh spray and delivery system |
US8808314B2 (en) | 2008-02-18 | 2014-08-19 | Covidien Lp | Device and method for deploying and attaching an implant to a biological tissue |
US8888811B2 (en) | 2008-10-20 | 2014-11-18 | Covidien Lp | Device and method for attaching an implant to biological tissue |
US8906045B2 (en) | 2009-08-17 | 2014-12-09 | Covidien Lp | Articulating patch deployment device and method of use |
US9034002B2 (en) | 2008-02-18 | 2015-05-19 | Covidien Lp | Lock bar spring and clip for implant deployment device |
US9044235B2 (en) | 2008-02-18 | 2015-06-02 | Covidien Lp | Magnetic clip for implant deployment device |
US9072586B2 (en) | 2008-10-03 | 2015-07-07 | C.R. Bard, Inc. | Implantable prosthesis |
US9242026B2 (en) | 2008-06-27 | 2016-01-26 | Sofradim Production | Biosynthetic implant for soft tissue repair |
US9301826B2 (en) | 2008-02-18 | 2016-04-05 | Covidien Lp | Lock bar spring and clip for implant deployment device |
US9308068B2 (en) | 2007-12-03 | 2016-04-12 | Sofradim Production | Implant for parastomal hernia |
US9393093B2 (en) | 2008-02-18 | 2016-07-19 | Covidien Lp | Clip for implant deployment device |
US9393002B2 (en) | 2008-02-18 | 2016-07-19 | Covidien Lp | Clip for implant deployment device |
US9398944B2 (en) | 2008-02-18 | 2016-07-26 | Covidien Lp | Lock bar spring and clip for implant deployment device |
US9445883B2 (en) | 2011-12-29 | 2016-09-20 | Sofradim Production | Barbed prosthetic knit and hernia repair mesh made therefrom as well as process for making said prosthetic knit |
US9499927B2 (en) | 2012-09-25 | 2016-11-22 | Sofradim Production | Method for producing a prosthesis for reinforcing the abdominal wall |
US9526603B2 (en) | 2011-09-30 | 2016-12-27 | Covidien Lp | Reversible stiffening of light weight mesh |
US9554887B2 (en) | 2011-03-16 | 2017-01-31 | Sofradim Production | Prosthesis comprising a three-dimensional and openworked knit |
US9622843B2 (en) | 2011-07-13 | 2017-04-18 | Sofradim Production | Umbilical hernia prosthesis |
US9636203B2 (en) | 2008-10-01 | 2017-05-02 | Enrico Nicolo | Method and apparatus of tension free inguinal hernia repair reconstructing physiology using inguinal hernia prosthetic having lateral non-encircling cord locating structure |
US9693841B2 (en) | 2007-04-02 | 2017-07-04 | Ension, Inc. | Surface treated staples, sutures and dental floss and methods of manufacturing the same |
US9750837B2 (en) | 2012-09-25 | 2017-09-05 | Sofradim Production | Haemostatic patch and method of preparation |
US9833240B2 (en) | 2008-02-18 | 2017-12-05 | Covidien Lp | Lock bar spring and clip for implant deployment device |
US9839505B2 (en) | 2012-09-25 | 2017-12-12 | Sofradim Production | Prosthesis comprising a mesh and a strengthening means |
US9877820B2 (en) | 2014-09-29 | 2018-01-30 | Sofradim Production | Textile-based prosthesis for treatment of inguinal hernia |
US9931198B2 (en) | 2015-04-24 | 2018-04-03 | Sofradim Production | Prosthesis for supporting a breast structure |
US9932695B2 (en) | 2014-12-05 | 2018-04-03 | Sofradim Production | Prosthetic porous knit |
US9980802B2 (en) | 2011-07-13 | 2018-05-29 | Sofradim Production | Umbilical hernia prosthesis |
US9999424B2 (en) | 2009-08-17 | 2018-06-19 | Covidien Lp | Means and method for reversibly connecting an implant to a deployment device |
US10080639B2 (en) | 2011-12-29 | 2018-09-25 | Sofradim Production | Prosthesis for inguinal hernia |
US10159555B2 (en) | 2012-09-28 | 2018-12-25 | Sofradim Production | Packaging for a hernia repair device |
US10184032B2 (en) | 2015-02-17 | 2019-01-22 | Sofradim Production | Method for preparing a chitosan-based matrix comprising a fiber reinforcement member |
US10213283B2 (en) | 2013-06-07 | 2019-02-26 | Sofradim Production | Textile-based prosthesis for laparoscopic surgery |
US10327882B2 (en) | 2014-09-29 | 2019-06-25 | Sofradim Production | Whale concept—folding mesh for TIPP procedure for inguinal hernia |
US10363690B2 (en) | 2012-08-02 | 2019-07-30 | Sofradim Production | Method for preparing a chitosan-based porous layer |
US10405960B2 (en) | 2013-06-07 | 2019-09-10 | Sofradim Production | Textile-based prothesis for laparoscopic surgery |
US10549015B2 (en) | 2014-09-24 | 2020-02-04 | Sofradim Production | Method for preparing an anti-adhesion barrier film |
US10646321B2 (en) | 2016-01-25 | 2020-05-12 | Sofradim Production | Prosthesis for hernia repair |
US10675137B2 (en) | 2017-05-02 | 2020-06-09 | Sofradim Production | Prosthesis for inguinal hernia repair |
US10682215B2 (en) | 2016-10-21 | 2020-06-16 | Sofradim Production | Method for forming a mesh having a barbed suture attached thereto and the mesh thus obtained |
US10743976B2 (en) | 2015-06-19 | 2020-08-18 | Sofradim Production | Synthetic prosthesis comprising a knit and a non porous film and method for forming same |
US10865505B2 (en) | 2009-09-04 | 2020-12-15 | Sofradim Production | Gripping fabric coated with a bioresorbable impenetrable layer |
US11471257B2 (en) | 2018-11-16 | 2022-10-18 | Sofradim Production | Implants suitable for soft tissue repair |
Families Citing this family (513)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
FR2811218B1 (en) | 2000-07-05 | 2003-02-28 | Patrice Suslian | IMPLANTABLE DEVICE FOR CORRECTING URINARY INCONTINENCE |
US8167785B2 (en) | 2000-10-12 | 2012-05-01 | Coloplast A/S | Urethral support system |
GB0025068D0 (en) | 2000-10-12 | 2000-11-29 | Browning Healthcare Ltd | Apparatus and method for treating female urinary incontinence |
US20060205995A1 (en) | 2000-10-12 | 2006-09-14 | Gyne Ideas Limited | Apparatus and method for treating female urinary incontinence |
GB0108088D0 (en) | 2001-03-30 | 2001-05-23 | Browning Healthcare Ltd | Surgical implant |
US8501165B2 (en) | 2001-12-12 | 2013-08-06 | Promethean Surgical Devices Llc | In situ bonds |
US6790213B2 (en) * | 2002-01-07 | 2004-09-14 | C.R. Bard, Inc. | Implantable prosthesis |
US7641958B2 (en) * | 2002-04-25 | 2010-01-05 | Gore Enterprise Holdings, Inc. | Membrane for use in sutured or sutureless surgical procedures |
DE60334919D1 (en) | 2002-08-02 | 2010-12-23 | Bard Inc C R | SELF-ANCHORING SLING AND INTRODUCTION SYSTEM |
US20040093444A1 (en) * | 2002-11-12 | 2004-05-13 | Ming-Zhen Liao | PDA with business card dedicated build-in scanner |
GB0307082D0 (en) | 2003-03-27 | 2003-04-30 | Gyne Ideas Ltd | Drug delivery device and method |
US9060770B2 (en) | 2003-05-20 | 2015-06-23 | Ethicon Endo-Surgery, Inc. | Robotically-driven surgical instrument with E-beam driver |
US20070084897A1 (en) | 2003-05-20 | 2007-04-19 | Shelton Frederick E Iv | Articulating surgical stapling instrument incorporating a two-piece e-beam firing mechanism |
GB0325442D0 (en) * | 2003-10-31 | 2003-12-03 | Mpathy Medical Devices Ltd | Plug |
US20050129733A1 (en) * | 2003-12-09 | 2005-06-16 | Milbocker Michael T. | Surgical adhesive and uses therefore |
US7758654B2 (en) * | 2004-05-20 | 2010-07-20 | Kensey Nash Corporation | Anti-adhesion device |
GB0411360D0 (en) | 2004-05-21 | 2004-06-23 | Mpathy Medical Devices Ltd | Implant |
US11896225B2 (en) | 2004-07-28 | 2024-02-13 | Cilag Gmbh International | Staple cartridge comprising a pan |
US8215531B2 (en) | 2004-07-28 | 2012-07-10 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having a medical substance dispenser |
US8298290B2 (en) * | 2004-09-20 | 2012-10-30 | Davol, Inc. | Implantable prosthesis for soft tissue repair |
US7845536B2 (en) * | 2004-10-18 | 2010-12-07 | Tyco Healthcare Group Lp | Annular adhesive structure |
US7629928B2 (en) * | 2005-03-23 | 2009-12-08 | Kyocera Wireless Corp. | Patch antenna with electromagnetic shield counterpoise |
US20070194079A1 (en) | 2005-08-31 | 2007-08-23 | Hueil Joseph C | Surgical stapling device with staple drivers of different height |
US7934630B2 (en) | 2005-08-31 | 2011-05-03 | Ethicon Endo-Surgery, Inc. | Staple cartridges for forming staples having differing formed staple heights |
US11484312B2 (en) | 2005-08-31 | 2022-11-01 | Cilag Gmbh International | Staple cartridge comprising a staple driver arrangement |
US9237891B2 (en) | 2005-08-31 | 2016-01-19 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical stapling devices that produce formed staples having different lengths |
US10159482B2 (en) | 2005-08-31 | 2018-12-25 | Ethicon Llc | Fastener cartridge assembly comprising a fixed anvil and different staple heights |
US7669746B2 (en) | 2005-08-31 | 2010-03-02 | Ethicon Endo-Surgery, Inc. | Staple cartridges for forming staples having differing formed staple heights |
US11246590B2 (en) | 2005-08-31 | 2022-02-15 | Cilag Gmbh International | Staple cartridge including staple drivers having different unfired heights |
US20070106317A1 (en) | 2005-11-09 | 2007-05-10 | Shelton Frederick E Iv | Hydraulically and electrically actuated articulation joints for surgical instruments |
US11224427B2 (en) | 2006-01-31 | 2022-01-18 | Cilag Gmbh International | Surgical stapling system including a console and retraction assembly |
US20120292367A1 (en) | 2006-01-31 | 2012-11-22 | Ethicon Endo-Surgery, Inc. | Robotically-controlled end effector |
US7845537B2 (en) | 2006-01-31 | 2010-12-07 | Ethicon Endo-Surgery, Inc. | Surgical instrument having recording capabilities |
US11278279B2 (en) | 2006-01-31 | 2022-03-22 | Cilag Gmbh International | Surgical instrument assembly |
US20110295295A1 (en) | 2006-01-31 | 2011-12-01 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical instrument having recording capabilities |
US9861359B2 (en) | 2006-01-31 | 2018-01-09 | Ethicon Llc | Powered surgical instruments with firing system lockout arrangements |
US11793518B2 (en) | 2006-01-31 | 2023-10-24 | Cilag Gmbh International | Powered surgical instruments with firing system lockout arrangements |
US8186555B2 (en) | 2006-01-31 | 2012-05-29 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting and fastening instrument with mechanical closure system |
US8708213B2 (en) | 2006-01-31 | 2014-04-29 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a feedback system |
US20110024477A1 (en) | 2009-02-06 | 2011-02-03 | Hall Steven G | Driven Surgical Stapler Improvements |
US7753904B2 (en) | 2006-01-31 | 2010-07-13 | Ethicon Endo-Surgery, Inc. | Endoscopic surgical instrument with a handle that can articulate with respect to the shaft |
US8820603B2 (en) | 2006-01-31 | 2014-09-02 | Ethicon Endo-Surgery, Inc. | Accessing data stored in a memory of a surgical instrument |
US20070225562A1 (en) | 2006-03-23 | 2007-09-27 | Ethicon Endo-Surgery, Inc. | Articulating endoscopic accessory channel |
US8992422B2 (en) | 2006-03-23 | 2015-03-31 | Ethicon Endo-Surgery, Inc. | Robotically-controlled endoscopic accessory channel |
US20070265710A1 (en) * | 2006-05-10 | 2007-11-15 | Minnesota Medical Development | Method of making hernia patch and resulting product |
US8322455B2 (en) | 2006-06-27 | 2012-12-04 | Ethicon Endo-Surgery, Inc. | Manually driven surgical cutting and fastening instrument |
US10568652B2 (en) | 2006-09-29 | 2020-02-25 | Ethicon Llc | Surgical staples having attached drivers of different heights and stapling instruments for deploying the same |
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 |
US10130359B2 (en) | 2006-09-29 | 2018-11-20 | Ethicon Llc | Method for forming a staple |
US9289279B2 (en) * | 2006-10-06 | 2016-03-22 | Promethean Surgical Devices, Llc | Apparatus and method for limiting surgical adhesions |
US7614258B2 (en) | 2006-10-19 | 2009-11-10 | C.R. Bard, Inc. | Prosthetic repair fabric |
US8652154B2 (en) * | 2006-12-28 | 2014-02-18 | Orthovita, Inc. | Non-resorbable implantable guides |
US11291441B2 (en) | 2007-01-10 | 2022-04-05 | Cilag Gmbh International | Surgical instrument with wireless communication between control unit and remote sensor |
US8652120B2 (en) | 2007-01-10 | 2014-02-18 | Ethicon Endo-Surgery, Inc. | Surgical instrument with wireless communication between control unit and sensor transponders |
US8684253B2 (en) | 2007-01-10 | 2014-04-01 | Ethicon Endo-Surgery, Inc. | Surgical instrument with wireless communication between a control unit of a robotic system and remote sensor |
US11039836B2 (en) | 2007-01-11 | 2021-06-22 | Cilag Gmbh International | Staple cartridge for use with a surgical stapling instrument |
US8540128B2 (en) | 2007-01-11 | 2013-09-24 | Ethicon Endo-Surgery, Inc. | Surgical stapling device with a curved end effector |
US7735703B2 (en) | 2007-03-15 | 2010-06-15 | Ethicon Endo-Surgery, Inc. | Re-loadable surgical stapling instrument |
US8893946B2 (en) | 2007-03-28 | 2014-11-25 | Ethicon Endo-Surgery, Inc. | Laparoscopic tissue thickness and clamp load measuring devices |
US8931682B2 (en) | 2007-06-04 | 2015-01-13 | Ethicon Endo-Surgery, Inc. | Robotically-controlled shaft based rotary drive systems for surgical instruments |
US11857181B2 (en) | 2007-06-04 | 2024-01-02 | Cilag Gmbh International | Robotically-controlled shaft based rotary drive systems for surgical instruments |
US8408439B2 (en) | 2007-06-22 | 2013-04-02 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with an articulatable end effector |
US7753245B2 (en) | 2007-06-22 | 2010-07-13 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments |
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 |
US8123817B2 (en) * | 2007-12-28 | 2012-02-28 | Boston Scientific Scimed, Inc. | Meshes of variable construction |
US8561870B2 (en) | 2008-02-13 | 2013-10-22 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument |
US7905381B2 (en) | 2008-09-19 | 2011-03-15 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with cutting member arrangement |
US7819298B2 (en) | 2008-02-14 | 2010-10-26 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with control features operable with one hand |
US8657174B2 (en) | 2008-02-14 | 2014-02-25 | Ethicon Endo-Surgery, Inc. | Motorized surgical cutting and fastening instrument having handle based power source |
US8636736B2 (en) | 2008-02-14 | 2014-01-28 | Ethicon Endo-Surgery, Inc. | Motorized surgical cutting and fastening instrument |
RU2493788C2 (en) | 2008-02-14 | 2013-09-27 | Этикон Эндо-Серджери, Инк. | Surgical cutting and fixing instrument, which has radio-frequency electrodes |
US8758391B2 (en) | 2008-02-14 | 2014-06-24 | Ethicon Endo-Surgery, Inc. | Interchangeable tools for surgical instruments |
US9179912B2 (en) | 2008-02-14 | 2015-11-10 | Ethicon Endo-Surgery, Inc. | Robotically-controlled motorized surgical cutting and fastening instrument |
US8573465B2 (en) | 2008-02-14 | 2013-11-05 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical end effector system with rotary actuated closure systems |
US7866527B2 (en) | 2008-02-14 | 2011-01-11 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with interlockable firing system |
US11272927B2 (en) | 2008-02-15 | 2022-03-15 | Cilag Gmbh International | Layer arrangements for surgical staple cartridges |
US20130153641A1 (en) | 2008-02-15 | 2013-06-20 | Ethicon Endo-Surgery, Inc. | Releasable layer of material and surgical end effector having the same |
AU2009223228B2 (en) * | 2008-03-13 | 2013-10-03 | Atex Technologies, Inc. | Elongation resistant fabric and devices |
BRPI0914996B1 (en) * | 2008-06-10 | 2018-10-30 | Cook Biotech Inc | surgical graft and method for manufacturing a surgical graft |
PL3476312T3 (en) | 2008-09-19 | 2024-03-11 | Ethicon Llc | Surgical stapler with apparatus for adjusting staple height |
US8210411B2 (en) | 2008-09-23 | 2012-07-03 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting instrument |
US9005230B2 (en) | 2008-09-23 | 2015-04-14 | Ethicon Endo-Surgery, Inc. | Motorized surgical instrument |
US9386983B2 (en) | 2008-09-23 | 2016-07-12 | Ethicon Endo-Surgery, Llc | Robotically-controlled motorized surgical instrument |
US11648005B2 (en) | 2008-09-23 | 2023-05-16 | Cilag Gmbh International | Robotically-controlled motorized surgical instrument with an end effector |
US8608045B2 (en) | 2008-10-10 | 2013-12-17 | Ethicon Endo-Sugery, Inc. | Powered surgical cutting and stapling apparatus with manually retractable firing system |
US8517239B2 (en) | 2009-02-05 | 2013-08-27 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument comprising a magnetic element driver |
US8444036B2 (en) | 2009-02-06 | 2013-05-21 | Ethicon Endo-Surgery, Inc. | Motor driven surgical fastener device with mechanisms for adjusting a tissue gap within the end effector |
RU2525225C2 (en) | 2009-02-06 | 2014-08-10 | Этикон Эндо-Серджери, Инк. | Improvement of drive surgical suturing instrument |
US8453907B2 (en) | 2009-02-06 | 2013-06-04 | Ethicon Endo-Surgery, Inc. | Motor driven surgical fastener device with cutting member reversing mechanism |
US8220688B2 (en) | 2009-12-24 | 2012-07-17 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting instrument with electric actuator directional control assembly |
US8851354B2 (en) | 2009-12-24 | 2014-10-07 | Ethicon Endo-Surgery, Inc. | Surgical cutting instrument that analyzes tissue thickness |
US9987114B2 (en) | 2010-03-24 | 2018-06-05 | Covidien Lp | Combination three-dimensional surgical implant |
FR2962646B1 (en) | 2010-07-16 | 2012-06-22 | Sofradim Production | PROSTHETIC WITH RADIO OPAQUE ELEMENT |
US8783543B2 (en) | 2010-07-30 | 2014-07-22 | Ethicon Endo-Surgery, Inc. | Tissue acquisition arrangements and methods for surgical stapling devices |
US8733613B2 (en) | 2010-09-29 | 2014-05-27 | Ethicon Endo-Surgery, Inc. | Staple cartridge |
US9301753B2 (en) | 2010-09-30 | 2016-04-05 | Ethicon Endo-Surgery, Llc | Expandable tissue thickness compensator |
US9320523B2 (en) | 2012-03-28 | 2016-04-26 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator comprising tissue ingrowth features |
US11849952B2 (en) | 2010-09-30 | 2023-12-26 | Cilag Gmbh International | Staple cartridge comprising staples positioned within a compressible portion thereof |
US9232941B2 (en) | 2010-09-30 | 2016-01-12 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator comprising a reservoir |
US9241714B2 (en) | 2011-04-29 | 2016-01-26 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator and method for making the same |
US9332974B2 (en) | 2010-09-30 | 2016-05-10 | Ethicon Endo-Surgery, Llc | Layered tissue thickness compensator |
US9314246B2 (en) | 2010-09-30 | 2016-04-19 | Ethicon Endo-Surgery, Llc | Tissue stapler having a thickness compensator incorporating an anti-inflammatory agent |
US9220501B2 (en) | 2010-09-30 | 2015-12-29 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensators |
US9861361B2 (en) | 2010-09-30 | 2018-01-09 | Ethicon Llc | Releasable tissue thickness compensator and fastener cartridge having the same |
US9364233B2 (en) | 2010-09-30 | 2016-06-14 | Ethicon Endo-Surgery, Llc | Tissue thickness compensators for circular surgical staplers |
US9307989B2 (en) | 2012-03-28 | 2016-04-12 | Ethicon Endo-Surgery, Llc | Tissue stapler having a thickness compensator incorportating a hydrophobic agent |
US11298125B2 (en) | 2010-09-30 | 2022-04-12 | Cilag Gmbh International | Tissue stapler having a thickness compensator |
US9480476B2 (en) | 2010-09-30 | 2016-11-01 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator comprising resilient members |
US9301752B2 (en) | 2010-09-30 | 2016-04-05 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator comprising a plurality of capsules |
US8783542B2 (en) | 2010-09-30 | 2014-07-22 | Ethicon Endo-Surgery, Inc. | Fasteners supported by a fastener cartridge support |
US9629814B2 (en) | 2010-09-30 | 2017-04-25 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator configured to redistribute compressive forces |
US11812965B2 (en) | 2010-09-30 | 2023-11-14 | Cilag Gmbh International | Layer of material for a surgical end effector |
US8893949B2 (en) | 2010-09-30 | 2014-11-25 | Ethicon Endo-Surgery, Inc. | Surgical stapler with floating anvil |
US9168038B2 (en) | 2010-09-30 | 2015-10-27 | Ethicon Endo-Surgery, Inc. | Staple cartridge comprising a tissue thickness compensator |
US20120080498A1 (en) | 2010-09-30 | 2012-04-05 | Ethicon Endo-Surgery, Inc. | Curved end effector for a stapling instrument |
AU2011308701B2 (en) | 2010-09-30 | 2013-11-14 | Ethicon Endo-Surgery, Inc. | Fastener system comprising a retention matrix and an alignment matrix |
US10945731B2 (en) | 2010-09-30 | 2021-03-16 | Ethicon Llc | Tissue thickness compensator comprising controlled release and expansion |
US8695866B2 (en) | 2010-10-01 | 2014-04-15 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a power control circuit |
WO2012064552A1 (en) | 2010-11-12 | 2012-05-18 | C.R. Bard, Inc. | Fabric prosthesis for repairing a tissue wall defect in proximity of a tube-like structure |
WO2012082581A2 (en) * | 2010-12-13 | 2012-06-21 | Richard Massen | Hernia mesh apparatus and method |
CN102068325A (en) * | 2010-12-21 | 2011-05-25 | 常州市三联星海医疗器械制造有限公司 | Compound anti-blocking herniorrhaphy patch and preparation method thereof |
BR112013027794B1 (en) | 2011-04-29 | 2020-12-15 | Ethicon Endo-Surgery, Inc | CLAMP CARTRIDGE SET |
US11207064B2 (en) | 2011-05-27 | 2021-12-28 | Cilag Gmbh International | Automated end effector component reloading system for use with a robotic system |
US9072535B2 (en) | 2011-05-27 | 2015-07-07 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments with rotatable staple deployment arrangements |
US9492170B2 (en) * | 2011-08-10 | 2016-11-15 | Ethicon Endo-Surgery, Inc. | Device for applying adjunct in endoscopic procedure |
US9050084B2 (en) | 2011-09-23 | 2015-06-09 | Ethicon Endo-Surgery, Inc. | Staple cartridge including collapsible deck arrangement |
PT105907A (en) | 2011-09-26 | 2013-03-26 | Alrc Tecn E Materiais Cirurgicos Lda Zona Franca Da Madeira | IMPLANTABLE ROLL-OUT PROSTHETICS FOR REPAIR OF ABDOMINAL WALL DEFECTS OR WEAKNESSES |
US9005308B2 (en) | 2011-10-25 | 2015-04-14 | Covidien Lp | Implantable film/mesh composite for passage of tissue therebetween |
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 |
US9198662B2 (en) | 2012-03-28 | 2015-12-01 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator having improved visibility |
RU2639857C2 (en) | 2012-03-28 | 2017-12-22 | Этикон Эндо-Серджери, Инк. | Tissue thickness compensator containing capsule for medium with low pressure |
BR112014024194B1 (en) | 2012-03-28 | 2022-03-03 | Ethicon Endo-Surgery, Inc | STAPLER CARTRIDGE SET FOR A SURGICAL STAPLER |
RU2014143258A (en) | 2012-03-28 | 2016-05-20 | Этикон Эндо-Серджери, Инк. | FABRIC THICKNESS COMPENSATOR CONTAINING MANY LAYERS |
US10206769B2 (en) * | 2012-03-30 | 2019-02-19 | Covidien Lp | Implantable devices including a film providing folding characteristics |
US9820837B2 (en) | 2012-04-10 | 2017-11-21 | Ethicon, Inc. | Single plane tissue repair patch |
US9820838B2 (en) | 2012-04-10 | 2017-11-21 | Ethicon, Inc. | Single plane tissue repair patch |
US9820839B2 (en) | 2012-04-10 | 2017-11-21 | Ethicon, Inc. | Single plane tissue repair patch having a locating structure |
US9101358B2 (en) | 2012-06-15 | 2015-08-11 | Ethicon Endo-Surgery, Inc. | Articulatable surgical instrument comprising a firing drive |
US11278284B2 (en) | 2012-06-28 | 2022-03-22 | Cilag Gmbh International | Rotary drive arrangements for surgical instruments |
US20140001234A1 (en) | 2012-06-28 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Coupling arrangements for attaching surgical end effectors to drive systems therefor |
US20140001231A1 (en) | 2012-06-28 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Firing system lockout arrangements for surgical instruments |
US9289256B2 (en) | 2012-06-28 | 2016-03-22 | Ethicon Endo-Surgery, Llc | Surgical end effectors having angled tissue-contacting surfaces |
BR112014032776B1 (en) | 2012-06-28 | 2021-09-08 | Ethicon Endo-Surgery, Inc | SURGICAL INSTRUMENT SYSTEM AND SURGICAL KIT FOR USE WITH A SURGICAL INSTRUMENT SYSTEM |
US20140005718A1 (en) | 2012-06-28 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Multi-functional powered surgical device with external dissection features |
US9649111B2 (en) | 2012-06-28 | 2017-05-16 | Ethicon Endo-Surgery, Llc | Replaceable clip cartridge for a clip applier |
US9561038B2 (en) | 2012-06-28 | 2017-02-07 | Ethicon Endo-Surgery, Llc | Interchangeable clip applier |
US9125662B2 (en) | 2012-06-28 | 2015-09-08 | Ethicon Endo-Surgery, Inc. | Multi-axis articulating and rotating surgical tools |
US9072536B2 (en) | 2012-06-28 | 2015-07-07 | Ethicon Endo-Surgery, Inc. | Differential locking arrangements for rotary powered surgical instruments |
US9028494B2 (en) | 2012-06-28 | 2015-05-12 | Ethicon Endo-Surgery, Inc. | Interchangeable end effector coupling arrangement |
US9119657B2 (en) | 2012-06-28 | 2015-09-01 | Ethicon Endo-Surgery, Inc. | Rotary actuatable closure arrangement for surgical end effector |
FR2992662B1 (en) | 2012-06-28 | 2014-08-08 | Sofradim Production | KNIT WITH PICOTS |
BR112014032740A2 (en) | 2012-06-28 | 2020-02-27 | Ethicon Endo Surgery Inc | empty clip cartridge lock |
US9101385B2 (en) | 2012-06-28 | 2015-08-11 | Ethicon Endo-Surgery, Inc. | Electrode connections for rotary driven surgical tools |
FR2992547B1 (en) | 2012-06-29 | 2015-04-24 | Sofradim Production | PROSTHETIC FOR HERNIA |
US9011550B2 (en) | 2012-07-09 | 2015-04-21 | Bard Shannon Limited | Method of mending a groin defect |
US20150297334A1 (en) * | 2012-12-04 | 2015-10-22 | Alfredo Fernandez | Implantable Hernia Patch |
CN103055346B (en) * | 2013-01-30 | 2015-01-28 | 常州市三联星海医疗器械制造有限公司 | Anti-adhesion hernia repair patch and weaving method thereof |
US9386984B2 (en) | 2013-02-08 | 2016-07-12 | Ethicon Endo-Surgery, Llc | Staple cartridge comprising a releasable cover |
US9358003B2 (en) | 2013-03-01 | 2016-06-07 | Ethicon Endo-Surgery, Llc | Electromechanical surgical device with signal relay arrangement |
BR112015021098B1 (en) | 2013-03-01 | 2022-02-15 | Ethicon Endo-Surgery, Inc | COVERAGE FOR A JOINT JOINT AND SURGICAL INSTRUMENT |
RU2669463C2 (en) | 2013-03-01 | 2018-10-11 | Этикон Эндо-Серджери, Инк. | Surgical instrument with soft stop |
US20140263552A1 (en) | 2013-03-13 | 2014-09-18 | Ethicon Endo-Surgery, Inc. | Staple cartridge tissue thickness sensor system |
US9629629B2 (en) | 2013-03-14 | 2017-04-25 | Ethicon Endo-Surgey, LLC | Control systems for surgical instruments |
US9883860B2 (en) | 2013-03-14 | 2018-02-06 | Ethicon Llc | Interchangeable shaft assemblies for use with a surgical instrument |
US9795384B2 (en) | 2013-03-27 | 2017-10-24 | Ethicon Llc | Fastener cartridge comprising a tissue thickness compensator and a gap setting element |
US9332984B2 (en) | 2013-03-27 | 2016-05-10 | Ethicon Endo-Surgery, Llc | Fastener cartridge assemblies |
US9572577B2 (en) | 2013-03-27 | 2017-02-21 | Ethicon Endo-Surgery, Llc | Fastener cartridge comprising a tissue thickness compensator including openings therein |
BR112015026109B1 (en) | 2013-04-16 | 2022-02-22 | Ethicon Endo-Surgery, Inc | surgical instrument |
US9844368B2 (en) | 2013-04-16 | 2017-12-19 | Ethicon Llc | Surgical system comprising first and second drive systems |
US9574644B2 (en) | 2013-05-30 | 2017-02-21 | Ethicon Endo-Surgery, Llc | Power module for use with a surgical instrument |
US9283054B2 (en) | 2013-08-23 | 2016-03-15 | Ethicon Endo-Surgery, Llc | Interactive displays |
MX369362B (en) | 2013-08-23 | 2019-11-06 | Ethicon Endo Surgery Llc | Firing member retraction devices for powered surgical instruments. |
US10342650B2 (en) | 2013-09-27 | 2019-07-09 | Covidien Lp | Skirted hernia repair device |
US9549735B2 (en) | 2013-12-23 | 2017-01-24 | Ethicon Endo-Surgery, Llc | Fastener cartridge comprising a firing member including fastener transfer surfaces |
US9724092B2 (en) | 2013-12-23 | 2017-08-08 | Ethicon Llc | Modular surgical instruments |
US20150173756A1 (en) | 2013-12-23 | 2015-06-25 | Ethicon Endo-Surgery, Inc. | Surgical cutting and stapling methods |
US9839428B2 (en) | 2013-12-23 | 2017-12-12 | Ethicon Llc | Surgical cutting and stapling instruments with independent jaw control features |
US9962161B2 (en) | 2014-02-12 | 2018-05-08 | Ethicon Llc | Deliverable surgical instrument |
US9775608B2 (en) | 2014-02-24 | 2017-10-03 | Ethicon Llc | Fastening system comprising a firing member lockout |
BR112016019387B1 (en) | 2014-02-24 | 2022-11-29 | Ethicon Endo-Surgery, Llc | SURGICAL INSTRUMENT SYSTEM AND FASTENER CARTRIDGE FOR USE WITH A SURGICAL FIXING INSTRUMENT |
RU2699811C1 (en) | 2014-03-07 | 2019-09-11 | Айконлаб Инк. | Multipurpose implant with specified surface structure for soft tissue reconstruction |
US10588732B2 (en) | 2014-03-07 | 2020-03-17 | IconLab USA, Inc. | Multipurpose implant with modeled surface structure for soft tissue reconstruction |
US20150272557A1 (en) | 2014-03-26 | 2015-10-01 | Ethicon Endo-Surgery, Inc. | Modular surgical instrument system |
US9913642B2 (en) | 2014-03-26 | 2018-03-13 | Ethicon Llc | Surgical instrument comprising a sensor system |
BR112016021943B1 (en) | 2014-03-26 | 2022-06-14 | Ethicon Endo-Surgery, Llc | SURGICAL INSTRUMENT FOR USE BY AN OPERATOR IN A SURGICAL PROCEDURE |
US10013049B2 (en) | 2014-03-26 | 2018-07-03 | Ethicon Llc | Power management through sleep options of segmented circuit and wake up control |
US9750499B2 (en) | 2014-03-26 | 2017-09-05 | Ethicon Llc | Surgical stapling instrument system |
CN106456159B (en) | 2014-04-16 | 2019-03-08 | 伊西康内外科有限责任公司 | Fastener cartridge assembly and nail retainer lid arragement construction |
US9801627B2 (en) | 2014-09-26 | 2017-10-31 | Ethicon Llc | Fastener cartridge for creating a flexible staple line |
JP6612256B2 (en) | 2014-04-16 | 2019-11-27 | エシコン エルエルシー | Fastener cartridge with non-uniform fastener |
US10542988B2 (en) | 2014-04-16 | 2020-01-28 | Ethicon Llc | End effector comprising an anvil including projections extending therefrom |
US20150297225A1 (en) | 2014-04-16 | 2015-10-22 | Ethicon Endo-Surgery, Inc. | Fastener cartridges including extensions having different configurations |
BR112016023698B1 (en) | 2014-04-16 | 2022-07-26 | Ethicon Endo-Surgery, Llc | FASTENER CARTRIDGE FOR USE WITH A SURGICAL INSTRUMENT |
US10045781B2 (en) | 2014-06-13 | 2018-08-14 | Ethicon Llc | Closure lockout systems for surgical instruments |
US11311294B2 (en) | 2014-09-05 | 2022-04-26 | Cilag Gmbh International | Powered medical device including measurement of closure state of jaws |
US10111679B2 (en) | 2014-09-05 | 2018-10-30 | Ethicon Llc | Circuitry and sensors for powered medical device |
BR112017004361B1 (en) | 2014-09-05 | 2023-04-11 | Ethicon Llc | ELECTRONIC SYSTEM FOR A SURGICAL INSTRUMENT |
US10105142B2 (en) | 2014-09-18 | 2018-10-23 | Ethicon Llc | Surgical stapler with plurality of cutting elements |
US11523821B2 (en) | 2014-09-26 | 2022-12-13 | Cilag Gmbh International | Method for creating a flexible staple line |
BR112017005981B1 (en) | 2014-09-26 | 2022-09-06 | Ethicon, Llc | ANCHOR MATERIAL FOR USE WITH A SURGICAL STAPLE CARTRIDGE AND SURGICAL STAPLE CARTRIDGE FOR USE WITH A SURGICAL INSTRUMENT |
US10076325B2 (en) | 2014-10-13 | 2018-09-18 | Ethicon Llc | Surgical stapling apparatus comprising a tissue stop |
US9924944B2 (en) | 2014-10-16 | 2018-03-27 | Ethicon Llc | Staple cartridge comprising an adjunct material |
US10517594B2 (en) | 2014-10-29 | 2019-12-31 | Ethicon Llc | Cartridge assemblies for surgical staplers |
US11141153B2 (en) | 2014-10-29 | 2021-10-12 | Cilag Gmbh International | Staple cartridges comprising driver arrangements |
US9844376B2 (en) | 2014-11-06 | 2017-12-19 | Ethicon Llc | Staple cartridge comprising a releasable adjunct material |
US20170367806A1 (en) * | 2014-12-08 | 2017-12-28 | Viscus Biologics, Llc | Tissue repair implants and methods for making and using same |
US10736636B2 (en) | 2014-12-10 | 2020-08-11 | Ethicon Llc | Articulatable surgical instrument system |
US10188385B2 (en) | 2014-12-18 | 2019-01-29 | Ethicon Llc | Surgical instrument system comprising lockable systems |
US10004501B2 (en) | 2014-12-18 | 2018-06-26 | Ethicon Llc | Surgical instruments with improved closure arrangements |
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 |
US9844375B2 (en) | 2014-12-18 | 2017-12-19 | Ethicon Llc | Drive arrangements for articulatable surgical instruments |
US10117649B2 (en) | 2014-12-18 | 2018-11-06 | Ethicon Llc | Surgical instrument assembly comprising a lockable articulation system |
MX2017008108A (en) | 2014-12-18 | 2018-03-06 | Ethicon Llc | Surgical instrument with an anvil that is selectively movable about a discrete non-movable axis relative to a staple cartridge. |
US10085748B2 (en) | 2014-12-18 | 2018-10-02 | Ethicon Llc | Locking arrangements for detachable shaft assemblies with articulatable surgical end effectors |
US9987000B2 (en) | 2014-12-18 | 2018-06-05 | Ethicon Llc | Surgical instrument assembly comprising a flexible articulation system |
US10478281B2 (en) | 2014-12-24 | 2019-11-19 | C.R. Bard, Inc. | Implantable prosthesis for soft tissue repair |
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 |
US9931118B2 (en) | 2015-02-27 | 2018-04-03 | Ethicon Endo-Surgery, Llc | Reinforced battery for a surgical instrument |
US10226250B2 (en) | 2015-02-27 | 2019-03-12 | Ethicon Llc | Modular stapling assembly |
US11154301B2 (en) | 2015-02-27 | 2021-10-26 | Cilag Gmbh International | Modular stapling assembly |
US10245033B2 (en) | 2015-03-06 | 2019-04-02 | Ethicon Llc | Surgical instrument comprising a lockable battery housing |
US10045776B2 (en) | 2015-03-06 | 2018-08-14 | Ethicon Llc | Control techniques and sub-processor contained within modular shaft with select control processing from handle |
US9924961B2 (en) | 2015-03-06 | 2018-03-27 | Ethicon Endo-Surgery, Llc | Interactive feedback system for powered surgical instruments |
JP2020121162A (en) | 2015-03-06 | 2020-08-13 | エシコン エルエルシーEthicon LLC | Time dependent evaluation of sensor data to determine stability element, creep element and viscoelastic element of measurement |
US9993248B2 (en) | 2015-03-06 | 2018-06-12 | Ethicon Endo-Surgery, Llc | Smart sensors with local signal processing |
US9895148B2 (en) | 2015-03-06 | 2018-02-20 | Ethicon Endo-Surgery, Llc | Monitoring speed control and precision incrementing of motor for powered surgical instruments |
US9808246B2 (en) | 2015-03-06 | 2017-11-07 | Ethicon Endo-Surgery, Llc | Method of operating a powered 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 |
US10687806B2 (en) | 2015-03-06 | 2020-06-23 | Ethicon Llc | Adaptive tissue compression techniques to adjust closure rates for multiple tissue types |
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 |
US10441279B2 (en) | 2015-03-06 | 2019-10-15 | Ethicon Llc | Multiple level thresholds to modify operation of 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 |
CN110934660B (en) | 2015-03-24 | 2022-06-07 | 海克斯工健康公司 | Gender specific mesh implant with barrier for inguinal hernia repair |
US10433844B2 (en) | 2015-03-31 | 2019-10-08 | Ethicon Llc | Surgical instrument with selectively disengageable threaded drive systems |
US10178992B2 (en) | 2015-06-18 | 2019-01-15 | Ethicon Llc | Push/pull articulation drive systems for articulatable surgical instruments |
WO2017004136A1 (en) | 2015-06-30 | 2017-01-05 | Tela Bio, Inc. | Corner-lock stitch patterns |
WO2017015421A1 (en) * | 2015-07-21 | 2017-01-26 | Tela Bio, Inc. | Compliance control stitching in substrate materials |
US10835249B2 (en) | 2015-08-17 | 2020-11-17 | Ethicon Llc | Implantable layers for a surgical instrument |
US10390829B2 (en) | 2015-08-26 | 2019-08-27 | Ethicon Llc | Staples comprising a cover |
JP6828018B2 (en) | 2015-08-26 | 2021-02-10 | エシコン エルエルシーEthicon LLC | Surgical staple strips that allow you to change the characteristics of staples and facilitate filling into cartridges |
US10314587B2 (en) | 2015-09-02 | 2019-06-11 | Ethicon Llc | Surgical staple cartridge with improved staple driver configurations |
MX2022006189A (en) | 2015-09-02 | 2022-06-16 | Ethicon Llc | Surgical staple configurations with camming surfaces located between portions supporting surgical staples. |
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 |
US10076326B2 (en) | 2015-09-23 | 2018-09-18 | Ethicon Llc | Surgical stapler having current mirror-based motor control |
US10363036B2 (en) | 2015-09-23 | 2019-07-30 | Ethicon Llc | Surgical stapler having force-based motor control |
US10085751B2 (en) | 2015-09-23 | 2018-10-02 | Ethicon Llc | Surgical stapler having temperature-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 |
US11890015B2 (en) | 2015-09-30 | 2024-02-06 | Cilag Gmbh International | Compressible adjunct with crossing spacer fibers |
US20170086829A1 (en) | 2015-09-30 | 2017-03-30 | Ethicon Endo-Surgery, Llc | Compressible adjunct with intermediate supporting structures |
US10980539B2 (en) | 2015-09-30 | 2021-04-20 | Ethicon Llc | Implantable adjunct comprising bonded layers |
US11690623B2 (en) | 2015-09-30 | 2023-07-04 | Cilag Gmbh International | Method for applying an implantable layer to a fastener cartridge |
US10292704B2 (en) | 2015-12-30 | 2019-05-21 | Ethicon Llc | 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 |
US10265068B2 (en) | 2015-12-30 | 2019-04-23 | Ethicon Llc | Surgical instruments with separable motors and motor control circuits |
US11213293B2 (en) | 2016-02-09 | 2022-01-04 | Cilag Gmbh International | Articulatable surgical instruments with single articulation link arrangements |
US10245030B2 (en) | 2016-02-09 | 2019-04-02 | Ethicon Llc | Surgical instruments with tensioning arrangements for cable driven articulation systems |
JP6911054B2 (en) | 2016-02-09 | 2021-07-28 | エシコン エルエルシーEthicon LLC | Surgical instruments with asymmetric joint composition |
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 |
US11224426B2 (en) | 2016-02-12 | 2022-01-18 | Cilag Gmbh International | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
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 |
US10376263B2 (en) | 2016-04-01 | 2019-08-13 | Ethicon Llc | Anvil modification members for surgical staplers |
US10357247B2 (en) | 2016-04-15 | 2019-07-23 | Ethicon Llc | Surgical instrument with multiple program responses during a firing motion |
US10828028B2 (en) | 2016-04-15 | 2020-11-10 | Ethicon Llc | Surgical instrument with multiple program responses during a firing motion |
US11179150B2 (en) | 2016-04-15 | 2021-11-23 | Cilag Gmbh International | Systems and methods for controlling a surgical stapling and cutting instrument |
US10456137B2 (en) | 2016-04-15 | 2019-10-29 | Ethicon Llc | Staple formation detection mechanisms |
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 |
US10426467B2 (en) | 2016-04-15 | 2019-10-01 | Ethicon Llc | Surgical instrument with detection sensors |
US10405859B2 (en) | 2016-04-15 | 2019-09-10 | Ethicon Llc | Surgical instrument with adjustable stop/start control during a firing motion |
US11607239B2 (en) | 2016-04-15 | 2023-03-21 | Cilag Gmbh International | Systems and methods for controlling a surgical stapling and cutting instrument |
US11317917B2 (en) | 2016-04-18 | 2022-05-03 | Cilag Gmbh International | Surgical stapling system comprising a lockable firing assembly |
US20170296173A1 (en) | 2016-04-18 | 2017-10-19 | Ethicon Endo-Surgery, Llc | Method for operating a surgical instrument |
US10363037B2 (en) | 2016-04-18 | 2019-07-30 | Ethicon Llc | Surgical instrument system comprising a magnetic lockout |
US9820843B2 (en) | 2016-04-26 | 2017-11-21 | Tela Bio, Inc. | Hernia repair grafts having anti-adhesion barriers |
CN109310431B (en) | 2016-06-24 | 2022-03-04 | 伊西康有限责任公司 | Staple cartridge comprising wire staples and punch staples |
US11000278B2 (en) | 2016-06-24 | 2021-05-11 | Ethicon Llc | Staple cartridge comprising wire staples and stamped staples |
USD826405S1 (en) | 2016-06-24 | 2018-08-21 | Ethicon Llc | Surgical fastener |
USD850617S1 (en) | 2016-06-24 | 2019-06-04 | Ethicon Llc | Surgical fastener cartridge |
USD847989S1 (en) | 2016-06-24 | 2019-05-07 | Ethicon Llc | Surgical fastener cartridge |
JP2020501779A (en) | 2016-12-21 | 2020-01-23 | エシコン エルエルシーEthicon LLC | Surgical stapling system |
US11134942B2 (en) | 2016-12-21 | 2021-10-05 | Cilag Gmbh International | Surgical stapling instruments and staple-forming anvils |
US10993715B2 (en) | 2016-12-21 | 2021-05-04 | Ethicon Llc | Staple cartridge comprising staples with different clamping breadths |
US20180168615A1 (en) | 2016-12-21 | 2018-06-21 | Ethicon Endo-Surgery, Llc | Method of deforming staples from two different types of staple cartridges with the same surgical stapling instrument |
US10524789B2 (en) | 2016-12-21 | 2020-01-07 | Ethicon Llc | Laterally actuatable articulation lock arrangements for locking an end effector of a surgical instrument in an articulated configuration |
US10537324B2 (en) | 2016-12-21 | 2020-01-21 | Ethicon Llc | Stepped staple cartridge with asymmetrical staples |
US10945727B2 (en) | 2016-12-21 | 2021-03-16 | Ethicon Llc | Staple cartridge with deformable driver retention features |
US10695055B2 (en) | 2016-12-21 | 2020-06-30 | Ethicon Llc | Firing assembly comprising a lockout |
US10588632B2 (en) | 2016-12-21 | 2020-03-17 | Ethicon Llc | Surgical end effectors and firing members thereof |
US10687810B2 (en) | 2016-12-21 | 2020-06-23 | Ethicon Llc | Stepped staple cartridge with tissue retention and gap setting features |
US10682138B2 (en) | 2016-12-21 | 2020-06-16 | Ethicon Llc | Bilaterally asymmetric staple forming pocket pairs |
US10426471B2 (en) | 2016-12-21 | 2019-10-01 | Ethicon Llc | Surgical instrument with multiple failure response modes |
US10588630B2 (en) | 2016-12-21 | 2020-03-17 | Ethicon Llc | Surgical tool assemblies with closure stroke reduction features |
US10448950B2 (en) | 2016-12-21 | 2019-10-22 | Ethicon Llc | Surgical staplers with independently actuatable closing and firing systems |
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 |
US10675026B2 (en) | 2016-12-21 | 2020-06-09 | Ethicon Llc | Methods of stapling tissue |
US10856868B2 (en) | 2016-12-21 | 2020-12-08 | Ethicon Llc | Firing member pin configurations |
JP6983893B2 (en) | 2016-12-21 | 2021-12-17 | エシコン エルエルシーEthicon LLC | Lockout configuration for surgical end effectors and replaceable tool assemblies |
JP7010956B2 (en) | 2016-12-21 | 2022-01-26 | エシコン エルエルシー | How to staple tissue |
US20180168625A1 (en) | 2016-12-21 | 2018-06-21 | Ethicon Endo-Surgery, Llc | Surgical stapling instruments with smart staple cartridges |
US10881401B2 (en) | 2016-12-21 | 2021-01-05 | Ethicon Llc | Staple firing member comprising a missing cartridge and/or spent cartridge lockout |
US10893864B2 (en) | 2016-12-21 | 2021-01-19 | Ethicon | Staple cartridges and arrangements of staples and staple cavities therein |
US11684367B2 (en) | 2016-12-21 | 2023-06-27 | Cilag Gmbh International | Stepped assembly having and end-of-life indicator |
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 |
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 |
US10646220B2 (en) | 2017-06-20 | 2020-05-12 | Ethicon Llc | Systems and methods for controlling displacement member velocity for a surgical 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 |
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 |
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 |
USD890784S1 (en) | 2017-06-20 | 2020-07-21 | Ethicon Llc | Display panel with changeable graphical user interface |
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 |
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 |
USD879809S1 (en) | 2017-06-20 | 2020-03-31 | Ethicon Llc | Display panel with changeable graphical user interface |
US10327767B2 (en) | 2017-06-20 | 2019-06-25 | Ethicon Llc | Control of motor velocity of a surgical stapling and cutting instrument based on angle of articulation |
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 |
US10624633B2 (en) | 2017-06-20 | 2020-04-21 | Ethicon Llc | Systems and methods for controlling motor velocity of a surgical stapling and cutting instrument |
US10881396B2 (en) | 2017-06-20 | 2021-01-05 | Ethicon Llc | Surgical instrument with variable duration trigger arrangement |
US10368864B2 (en) | 2017-06-20 | 2019-08-06 | Ethicon Llc | Systems and methods for controlling displaying motor velocity for a surgical instrument |
US10980537B2 (en) | 2017-06-20 | 2021-04-20 | Ethicon Llc | Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on measured time over a specified number of shaft rotations |
US10881399B2 (en) | 2017-06-20 | 2021-01-05 | Ethicon Llc | Techniques for adaptive control of motor velocity of a surgical stapling and cutting instrument |
US11090046B2 (en) | 2017-06-20 | 2021-08-17 | Cilag Gmbh International | Systems and methods for controlling displacement member motion of a surgical stapling and cutting instrument |
USD879808S1 (en) | 2017-06-20 | 2020-03-31 | Ethicon Llc | Display panel with graphical user interface |
US11382638B2 (en) | 2017-06-20 | 2022-07-12 | Cilag Gmbh International | Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on measured time over a specified displacement distance |
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 |
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 |
US10772629B2 (en) | 2017-06-27 | 2020-09-15 | Ethicon Llc | Surgical anvil arrangements |
US10631859B2 (en) | 2017-06-27 | 2020-04-28 | Ethicon Llc | Articulation systems for surgical instruments |
US10993716B2 (en) | 2017-06-27 | 2021-05-04 | Ethicon Llc | Surgical anvil arrangements |
US10856869B2 (en) | 2017-06-27 | 2020-12-08 | Ethicon Llc | Surgical anvil arrangements |
US11564686B2 (en) | 2017-06-28 | 2023-01-31 | Cilag Gmbh International | Surgical shaft assemblies with flexible interfaces |
US10716614B2 (en) | 2017-06-28 | 2020-07-21 | Ethicon Llc | Surgical shaft assemblies with slip ring assemblies with increased contact pressure |
US11259805B2 (en) | 2017-06-28 | 2022-03-01 | Cilag Gmbh International | Surgical instrument comprising firing member supports |
US11000279B2 (en) | 2017-06-28 | 2021-05-11 | Ethicon Llc | Surgical instrument comprising an articulation system ratio |
US10786253B2 (en) | 2017-06-28 | 2020-09-29 | Ethicon Llc | Surgical end effectors with improved jaw aperture arrangements |
US10765427B2 (en) | 2017-06-28 | 2020-09-08 | Ethicon Llc | Method for articulating a surgical instrument |
EP4070740A1 (en) | 2017-06-28 | 2022-10-12 | Cilag GmbH International | Surgical instrument comprising selectively actuatable rotatable couplers |
US10211586B2 (en) | 2017-06-28 | 2019-02-19 | Ethicon Llc | Surgical shaft assemblies with watertight housings |
USD869655S1 (en) | 2017-06-28 | 2019-12-10 | Ethicon Llc | Surgical fastener cartridge |
US11246592B2 (en) | 2017-06-28 | 2022-02-15 | Cilag Gmbh International | Surgical instrument comprising an articulation system lockable to a frame |
USD906355S1 (en) | 2017-06-28 | 2020-12-29 | Ethicon Llc | Display screen or portion thereof with a graphical user interface for a surgical instrument |
US10903685B2 (en) | 2017-06-28 | 2021-01-26 | Ethicon Llc | Surgical shaft assemblies with slip ring assemblies forming capacitive channels |
USD851762S1 (en) | 2017-06-28 | 2019-06-18 | Ethicon Llc | Anvil |
USD854151S1 (en) | 2017-06-28 | 2019-07-16 | Ethicon Llc | Surgical instrument shaft |
US10932772B2 (en) | 2017-06-29 | 2021-03-02 | Ethicon Llc | Methods for closed loop velocity control for robotic surgical instrument |
US11007022B2 (en) | 2017-06-29 | 2021-05-18 | Ethicon Llc | Closed loop velocity control techniques based on sensed tissue parameters for robotic surgical instrument |
US10398434B2 (en) | 2017-06-29 | 2019-09-03 | Ethicon Llc | Closed loop velocity control of closure member for robotic surgical instrument |
US10258418B2 (en) | 2017-06-29 | 2019-04-16 | Ethicon Llc | System for controlling articulation forces |
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 |
US11944300B2 (en) | 2017-08-03 | 2024-04-02 | Cilag Gmbh International | Method for operating a surgical system bailout |
US11471155B2 (en) | 2017-08-03 | 2022-10-18 | Cilag Gmbh International | Surgical system bailout |
US11304695B2 (en) | 2017-08-03 | 2022-04-19 | Cilag Gmbh International | Surgical system shaft interconnection |
USD907647S1 (en) | 2017-09-29 | 2021-01-12 | Ethicon Llc | Display screen or portion thereof with animated graphical user interface |
US10765429B2 (en) | 2017-09-29 | 2020-09-08 | Ethicon Llc | Systems and methods for providing alerts according to the operational state of a surgical instrument |
USD917500S1 (en) | 2017-09-29 | 2021-04-27 | Ethicon Llc | Display screen or portion thereof with graphical user interface |
US11399829B2 (en) | 2017-09-29 | 2022-08-02 | Cilag Gmbh International | Systems and methods of initiating a power shutdown mode for a surgical instrument |
USD907648S1 (en) | 2017-09-29 | 2021-01-12 | Ethicon Llc | Display screen or portion thereof with animated graphical user interface |
US10796471B2 (en) | 2017-09-29 | 2020-10-06 | Ethicon Llc | Systems and methods of displaying a knife position for a surgical instrument |
US10743872B2 (en) | 2017-09-29 | 2020-08-18 | Ethicon Llc | System and methods for controlling a display of a surgical instrument |
US10729501B2 (en) | 2017-09-29 | 2020-08-04 | Ethicon Llc | Systems and methods for language selection of a surgical instrument |
US11134944B2 (en) | 2017-10-30 | 2021-10-05 | Cilag Gmbh International | Surgical stapler knife motion controls |
US11090075B2 (en) | 2017-10-30 | 2021-08-17 | Cilag Gmbh International | Articulation features for surgical end effector |
US10779903B2 (en) | 2017-10-31 | 2020-09-22 | Ethicon Llc | Positive shaft rotation lock activated by jaw closure |
US10842490B2 (en) | 2017-10-31 | 2020-11-24 | Ethicon Llc | Cartridge body design with force reduction based on firing completion |
US11071543B2 (en) | 2017-12-15 | 2021-07-27 | Cilag Gmbh International | Surgical end effectors with clamping assemblies configured to increase jaw aperture ranges |
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 |
US11033267B2 (en) | 2017-12-15 | 2021-06-15 | Ethicon Llc | Systems and methods of controlling a clamping member firing rate of a surgical instrument |
US11197670B2 (en) | 2017-12-15 | 2021-12-14 | Cilag Gmbh International | Surgical end effectors with pivotal jaws configured to touch at their respective distal ends when fully closed |
US10743874B2 (en) | 2017-12-15 | 2020-08-18 | Ethicon Llc | Sealed adapters for use with electromechanical surgical instruments |
US10779826B2 (en) | 2017-12-15 | 2020-09-22 | Ethicon Llc | Methods of operating surgical end effectors |
US10869666B2 (en) | 2017-12-15 | 2020-12-22 | Ethicon Llc | Adapters with control systems for controlling multiple motors of an electromechanical surgical instrument |
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 |
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 |
US10779825B2 (en) | 2017-12-15 | 2020-09-22 | Ethicon Llc | Adapters with end effector position sensing and control arrangements for use in connection with electromechanical surgical instruments |
US10743875B2 (en) | 2017-12-15 | 2020-08-18 | Ethicon Llc | Surgical end effectors with jaw stiffener arrangements configured to permit monitoring of firing member |
US11045270B2 (en) | 2017-12-19 | 2021-06-29 | Cilag Gmbh International | Robotic attachment comprising exterior drive actuator |
US10729509B2 (en) | 2017-12-19 | 2020-08-04 | Ethicon Llc | Surgical instrument comprising closure and firing locking mechanism |
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 |
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 |
US11076853B2 (en) | 2017-12-21 | 2021-08-03 | Cilag Gmbh International | Systems and methods of displaying a knife position during transection for a surgical instrument |
US11311290B2 (en) | 2017-12-21 | 2022-04-26 | Cilag Gmbh International | Surgical instrument comprising an end effector dampener |
US10682134B2 (en) | 2017-12-21 | 2020-06-16 | Ethicon Llc | Continuous use self-propelled stapling instrument |
US11129680B2 (en) | 2017-12-21 | 2021-09-28 | Cilag Gmbh International | Surgical instrument comprising a projector |
US11590262B2 (en) | 2018-03-09 | 2023-02-28 | Tela Bio, Inc. | Surgical repair graft |
US11324501B2 (en) | 2018-08-20 | 2022-05-10 | Cilag Gmbh International | Surgical stapling devices with improved closure members |
US10779821B2 (en) | 2018-08-20 | 2020-09-22 | Ethicon Llc | Surgical stapler anvils with tissue stop features configured to avoid tissue pinch |
US10856870B2 (en) | 2018-08-20 | 2020-12-08 | Ethicon Llc | Switching arrangements for motor powered articulatable surgical instruments |
US11083458B2 (en) | 2018-08-20 | 2021-08-10 | Cilag Gmbh International | Powered surgical instruments with clutching arrangements to convert linear drive motions to rotary drive motions |
US11045192B2 (en) | 2018-08-20 | 2021-06-29 | Cilag Gmbh International | Fabricating techniques for surgical stapler anvils |
US11291440B2 (en) | 2018-08-20 | 2022-04-05 | Cilag Gmbh International | Method for operating a powered articulatable surgical instrument |
US10912559B2 (en) | 2018-08-20 | 2021-02-09 | Ethicon Llc | Reinforced deformable anvil tip for surgical stapler anvil |
US10842492B2 (en) | 2018-08-20 | 2020-11-24 | Ethicon Llc | Powered articulatable surgical instruments with clutching and locking arrangements for linking an articulation drive system to a firing drive system |
USD914878S1 (en) | 2018-08-20 | 2021-03-30 | Ethicon Llc | Surgical instrument anvil |
US11253256B2 (en) | 2018-08-20 | 2022-02-22 | Cilag Gmbh International | Articulatable motor powered surgical instruments with dedicated articulation motor arrangements |
US11039834B2 (en) | 2018-08-20 | 2021-06-22 | Cilag Gmbh International | Surgical stapler anvils with staple directing protrusions and tissue stability features |
US11207065B2 (en) | 2018-08-20 | 2021-12-28 | Cilag Gmbh International | Method for fabricating surgical stapler anvils |
EP3934575A4 (en) | 2019-03-08 | 2022-12-28 | Tela Bio, Inc. | Textured medical textiles |
US11696761B2 (en) | 2019-03-25 | 2023-07-11 | Cilag Gmbh International | Firing drive arrangements for surgical systems |
US11147553B2 (en) | 2019-03-25 | 2021-10-19 | Cilag Gmbh International | Firing drive arrangements for surgical systems |
US11147551B2 (en) | 2019-03-25 | 2021-10-19 | Cilag Gmbh International | Firing drive arrangements for surgical systems |
US11172929B2 (en) | 2019-03-25 | 2021-11-16 | Cilag Gmbh International | Articulation drive arrangements for surgical systems |
US11452528B2 (en) | 2019-04-30 | 2022-09-27 | Cilag Gmbh International | Articulation actuators for a surgical instrument |
US11432816B2 (en) | 2019-04-30 | 2022-09-06 | Cilag Gmbh International | Articulation pin for 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 |
US11426251B2 (en) | 2019-04-30 | 2022-08-30 | Cilag Gmbh International | Articulation directional lights on 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 |
US11399837B2 (en) | 2019-06-28 | 2022-08-02 | Cilag Gmbh International | Mechanisms for motor control adjustments of a motorized surgical instrument |
US11464601B2 (en) | 2019-06-28 | 2022-10-11 | Cilag Gmbh International | Surgical instrument comprising an RFID system for tracking a movable component |
US11426167B2 (en) | 2019-06-28 | 2022-08-30 | Cilag Gmbh International | Mechanisms for proper anvil attachment surgical stapling head assembly |
US11051807B2 (en) | 2019-06-28 | 2021-07-06 | Cilag Gmbh International | Packaging assembly including a particulate trap |
US11497492B2 (en) | 2019-06-28 | 2022-11-15 | Cilag Gmbh International | Surgical instrument including an articulation lock |
US11478241B2 (en) | 2019-06-28 | 2022-10-25 | Cilag Gmbh International | Staple cartridge including projections |
US11298127B2 (en) | 2019-06-28 | 2022-04-12 | Cilag GmbH Interational | Surgical stapling system having a lockout mechanism for an incompatible cartridge |
US11376098B2 (en) | 2019-06-28 | 2022-07-05 | Cilag Gmbh International | Surgical instrument system comprising an RFID system |
US11771419B2 (en) | 2019-06-28 | 2023-10-03 | Cilag Gmbh International | Packaging for a replaceable component of a surgical stapling system |
US11259803B2 (en) | 2019-06-28 | 2022-03-01 | Cilag Gmbh International | Surgical stapling system having an information encryption protocol |
US11638587B2 (en) | 2019-06-28 | 2023-05-02 | Cilag Gmbh International | RFID identification systems for surgical instruments |
US11224497B2 (en) | 2019-06-28 | 2022-01-18 | Cilag Gmbh International | Surgical systems with multiple RFID tags |
US11660163B2 (en) | 2019-06-28 | 2023-05-30 | Cilag Gmbh International | Surgical system with RFID tags for updating motor assembly parameters |
US11291451B2 (en) | 2019-06-28 | 2022-04-05 | Cilag Gmbh International | Surgical instrument with battery compatibility verification functionality |
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 |
US11246678B2 (en) | 2019-06-28 | 2022-02-15 | Cilag Gmbh International | Surgical stapling system having a frangible RFID tag |
US11298132B2 (en) | 2019-06-28 | 2022-04-12 | Cilag GmbH Inlernational | Staple cartridge including a honeycomb extension |
US11229437B2 (en) | 2019-06-28 | 2022-01-25 | Cilag Gmbh International | Method for authenticating the compatibility of a staple cartridge with a surgical instrument |
US11219455B2 (en) | 2019-06-28 | 2022-01-11 | Cilag Gmbh International | Surgical instrument including a lockout key |
US11553971B2 (en) | 2019-06-28 | 2023-01-17 | Cilag Gmbh International | Surgical RFID assemblies for display and communication |
US11627959B2 (en) | 2019-06-28 | 2023-04-18 | Cilag Gmbh International | Surgical instruments including manual and powered system lockouts |
US11559304B2 (en) | 2019-12-19 | 2023-01-24 | Cilag Gmbh International | Surgical instrument comprising a rapid closure mechanism |
US11701111B2 (en) | 2019-12-19 | 2023-07-18 | Cilag Gmbh International | Method for operating a surgical stapling instrument |
US11529137B2 (en) | 2019-12-19 | 2022-12-20 | Cilag Gmbh International | Staple cartridge comprising driver retention members |
US11446029B2 (en) | 2019-12-19 | 2022-09-20 | Cilag Gmbh International | Staple cartridge comprising projections extending from a curved deck surface |
US11291447B2 (en) | 2019-12-19 | 2022-04-05 | Cilag Gmbh International | Stapling instrument comprising independent jaw closing and staple firing systems |
US11304696B2 (en) | 2019-12-19 | 2022-04-19 | Cilag Gmbh International | Surgical instrument comprising a powered articulation system |
US11931033B2 (en) | 2019-12-19 | 2024-03-19 | Cilag Gmbh International | Staple cartridge comprising a latch lockout |
US11911032B2 (en) | 2019-12-19 | 2024-02-27 | Cilag Gmbh International | Staple cartridge comprising a seating cam |
US11607219B2 (en) | 2019-12-19 | 2023-03-21 | Cilag Gmbh International | Staple cartridge comprising a detachable tissue cutting knife |
US11844520B2 (en) | 2019-12-19 | 2023-12-19 | Cilag Gmbh International | Staple cartridge comprising driver retention members |
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 |
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 |
US11529139B2 (en) | 2019-12-19 | 2022-12-20 | Cilag Gmbh International | Motor driven surgical instrument |
USD975851S1 (en) | 2020-06-02 | 2023-01-17 | 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 |
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 |
USD975278S1 (en) | 2020-06-02 | 2023-01-10 | Cilag Gmbh International | Staple cartridge |
USD975850S1 (en) | 2020-06-02 | 2023-01-17 | Cilag Gmbh International | Staple cartridge |
US11864756B2 (en) | 2020-07-28 | 2024-01-09 | Cilag Gmbh International | Surgical instruments with flexible ball chain drive arrangements |
US11717289B2 (en) | 2020-10-29 | 2023-08-08 | Cilag Gmbh International | Surgical instrument comprising an indicator which indicates that an articulation drive is actuatable |
USD1013170S1 (en) | 2020-10-29 | 2024-01-30 | Cilag Gmbh International | Surgical instrument assembly |
US11452526B2 (en) | 2020-10-29 | 2022-09-27 | Cilag Gmbh International | Surgical instrument comprising a staged voltage regulation start-up system |
US11779330B2 (en) | 2020-10-29 | 2023-10-10 | Cilag Gmbh International | Surgical instrument comprising a jaw alignment system |
US11844518B2 (en) | 2020-10-29 | 2023-12-19 | Cilag Gmbh International | Method for operating a surgical instrument |
US11517390B2 (en) | 2020-10-29 | 2022-12-06 | Cilag Gmbh International | Surgical instrument comprising a limited travel switch |
US11617577B2 (en) | 2020-10-29 | 2023-04-04 | Cilag Gmbh International | Surgical instrument comprising a sensor configured to sense whether an articulation drive of the surgical instrument is actuatable |
US11534259B2 (en) | 2020-10-29 | 2022-12-27 | Cilag Gmbh International | Surgical instrument comprising an articulation indicator |
US11931025B2 (en) | 2020-10-29 | 2024-03-19 | Cilag Gmbh International | Surgical instrument comprising a releasable closure drive lock |
USD980425S1 (en) | 2020-10-29 | 2023-03-07 | Cilag Gmbh International | Surgical instrument assembly |
US11896217B2 (en) | 2020-10-29 | 2024-02-13 | Cilag Gmbh International | Surgical instrument comprising an articulation lock |
US11944296B2 (en) | 2020-12-02 | 2024-04-02 | Cilag Gmbh International | Powered surgical instruments with external connectors |
US11627960B2 (en) | 2020-12-02 | 2023-04-18 | Cilag Gmbh International | Powered surgical instruments with smart reload with separately attachable exteriorly mounted wiring connections |
US11890010B2 (en) | 2020-12-02 | 2024-02-06 | Cllag GmbH International | Dual-sided reinforced reload for surgical instruments |
US11678882B2 (en) | 2020-12-02 | 2023-06-20 | Cilag Gmbh International | Surgical instruments with interactive features to remedy incidental sled movements |
US11849943B2 (en) | 2020-12-02 | 2023-12-26 | Cilag Gmbh International | Surgical instrument with cartridge release mechanisms |
US11653920B2 (en) | 2020-12-02 | 2023-05-23 | Cilag Gmbh International | Powered surgical instruments with communication interfaces through sterile barrier |
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 |
US11744581B2 (en) | 2020-12-02 | 2023-09-05 | Cilag Gmbh International | Powered surgical instruments with multi-phase tissue treatment |
US11653915B2 (en) | 2020-12-02 | 2023-05-23 | Cilag Gmbh International | Surgical instruments with sled location detection and adjustment features |
US11723657B2 (en) | 2021-02-26 | 2023-08-15 | Cilag Gmbh International | Adjustable communication based on available bandwidth and power capacity |
US11950777B2 (en) | 2021-02-26 | 2024-04-09 | Cilag Gmbh International | Staple cartridge comprising an information access control system |
US11701113B2 (en) | 2021-02-26 | 2023-07-18 | Cilag Gmbh International | Stapling instrument comprising a separate power antenna and a data transfer antenna |
US11950779B2 (en) | 2021-02-26 | 2024-04-09 | Cilag Gmbh International | Method of powering and communicating with a staple cartridge |
US11751869B2 (en) | 2021-02-26 | 2023-09-12 | Cilag Gmbh International | Monitoring of multiple sensors over time to detect moving characteristics of tissue |
US11925349B2 (en) | 2021-02-26 | 2024-03-12 | Cilag Gmbh International | Adjustment to transfer parameters to improve available power |
US11744583B2 (en) | 2021-02-26 | 2023-09-05 | Cilag Gmbh International | Distal communication array to tune frequency of RF systems |
US11696757B2 (en) | 2021-02-26 | 2023-07-11 | Cilag Gmbh International | Monitoring of internal systems to detect and track cartridge motion status |
US11749877B2 (en) | 2021-02-26 | 2023-09-05 | Cilag Gmbh International | Stapling instrument comprising a signal antenna |
US11812964B2 (en) | 2021-02-26 | 2023-11-14 | Cilag Gmbh International | Staple cartridge comprising a power management circuit |
US11793514B2 (en) | 2021-02-26 | 2023-10-24 | Cilag Gmbh International | Staple cartridge comprising sensor array which may be embedded in cartridge body |
US11730473B2 (en) | 2021-02-26 | 2023-08-22 | Cilag Gmbh International | Monitoring of manufacturing life-cycle |
US11737749B2 (en) | 2021-03-22 | 2023-08-29 | Cilag Gmbh International | Surgical stapling instrument comprising a retraction system |
US11806011B2 (en) | 2021-03-22 | 2023-11-07 | Cilag Gmbh International | Stapling instrument comprising tissue compression systems |
US11759202B2 (en) | 2021-03-22 | 2023-09-19 | Cilag Gmbh International | Staple cartridge comprising an implantable layer |
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 |
US11723658B2 (en) | 2021-03-22 | 2023-08-15 | Cilag Gmbh International | Staple cartridge comprising a firing lockout |
US11717291B2 (en) | 2021-03-22 | 2023-08-08 | Cilag Gmbh International | Staple cartridge comprising staples configured to apply different tissue compression |
US11857183B2 (en) | 2021-03-24 | 2024-01-02 | Cilag Gmbh International | Stapling assembly components having metal substrates and plastic bodies |
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 |
US11849944B2 (en) | 2021-03-24 | 2023-12-26 | Cilag Gmbh International | Drivers for fastener cartridge assemblies having rotary drive screws |
US11832816B2 (en) | 2021-03-24 | 2023-12-05 | Cilag Gmbh International | Surgical stapling assembly comprising nonplanar staples and planar staples |
US11944336B2 (en) | 2021-03-24 | 2024-04-02 | Cilag Gmbh International | Joint arrangements for multi-planar alignment and support of operational drive shafts in articulatable surgical instruments |
US11903582B2 (en) | 2021-03-24 | 2024-02-20 | Cilag Gmbh International | Leveraging surfaces for cartridge installation |
US11849945B2 (en) | 2021-03-24 | 2023-12-26 | Cilag Gmbh International | Rotary-driven surgical stapling assembly comprising eccentrically driven firing member |
US11793516B2 (en) | 2021-03-24 | 2023-10-24 | Cilag Gmbh International | Surgical staple cartridge comprising longitudinal support beam |
US11896219B2 (en) | 2021-03-24 | 2024-02-13 | Cilag Gmbh International | Mating features between drivers and underside of a cartridge deck |
US11786239B2 (en) | 2021-03-24 | 2023-10-17 | Cilag Gmbh International | Surgical instrument articulation joint arrangements comprising multiple moving linkage features |
US11896218B2 (en) | 2021-03-24 | 2024-02-13 | Cilag Gmbh International | Method of using a powered stapling device |
US11744603B2 (en) | 2021-03-24 | 2023-09-05 | Cilag Gmbh International | Multi-axis pivot joints for surgical instruments and methods for manufacturing same |
US20220378424A1 (en) | 2021-05-28 | 2022-12-01 | Cilag Gmbh International | Stapling instrument comprising a firing lockout |
US11877745B2 (en) | 2021-10-18 | 2024-01-23 | Cilag Gmbh International | Surgical stapling assembly having longitudinally-repeating staple leg clusters |
US11957337B2 (en) | 2021-10-18 | 2024-04-16 | Cilag Gmbh International | Surgical stapling assembly with offset ramped drive surfaces |
US11937816B2 (en) | 2021-10-28 | 2024-03-26 | Cilag Gmbh International | Electrical lead arrangements for surgical instruments |
Citations (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO1993017635A1 (en) * | 1992-03-04 | 1993-09-16 | C.R. Bard, Inc. | Composite prosthesis and method for limiting the incidence of postoperative adhesions |
US5254133A (en) * | 1991-04-24 | 1993-10-19 | Seid Arnold S | Surgical implantation device and related method of use |
US5456720A (en) * | 1991-02-08 | 1995-10-10 | Schultz; Leonard S. | Prosthesis for repair of direct space and indirect space inguinal hernias |
Family Cites Families (77)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US2621145A (en) | 1949-08-17 | 1952-12-09 | Machteld E Sano | Bone mat compositions |
US2671444A (en) | 1951-12-08 | 1954-03-09 | Jr Benjamin F Pease | Nonmetallic mesh surgical insert for hernia repair |
US3054406A (en) | 1958-10-17 | 1962-09-18 | Phillips Petroleum Co | Surgical mesh |
US3272204A (en) | 1965-09-22 | 1966-09-13 | Ethicon Inc | Absorbable collagen prosthetic implant with non-absorbable reinforcing strands |
US3625209A (en) | 1969-06-26 | 1971-12-07 | Medical Supply Co | Bandage with compress pad |
IT964474B (en) | 1971-07-09 | 1974-01-21 | Cutter Lab | PROSTHETIC SUPPORT FOR PARTS OF THE HUMAN BODY SLIDING BETWEEN THEM |
US3810467A (en) | 1972-08-31 | 1974-05-14 | Dow Corning | Device for hernia correction |
US4051848A (en) | 1976-03-01 | 1977-10-04 | Levine Norman S | Synthetic skin wound dressing |
US4725279A (en) | 1979-01-22 | 1988-02-16 | Sterling Drug Inc. | Bio compatible and blood compatible materials and methods |
US4576608A (en) | 1980-11-06 | 1986-03-18 | Homsy Charles A | Porous body-implantable polytetrafluoroethylene |
US4400833A (en) | 1981-06-10 | 1983-08-30 | Kurland Kenneth Z | Means and method of implanting bioprosthetics |
US4585458A (en) | 1981-06-10 | 1986-04-29 | Kurland Kenneth Z | Means and method of implanting bioprosthetics |
US4633873A (en) | 1984-04-26 | 1987-01-06 | American Cyanamid Company | Surgical repair mesh |
FR2577807B1 (en) | 1985-02-22 | 1993-12-03 | Ethnor | ABSORBABLE COMPOSITE SURGICAL MATERIAL, PREPARATION METHOD, RESORBABLE PROSTHESIS MADE FROM SUCH MATERIAL AND USE OF SUCH A PROSTHESIS |
US4997440A (en) | 1985-04-25 | 1991-03-05 | American Cyanamid Company | Vascular graft with absorbable and nonabsorbable components |
US4655221A (en) | 1985-05-06 | 1987-04-07 | American Cyanamid Company | Method of using a surgical repair mesh |
US5002551A (en) | 1985-08-22 | 1991-03-26 | Johnson & Johnson Medical, Inc. | Method and material for prevention of surgical adhesions |
US5007916A (en) | 1985-08-22 | 1991-04-16 | Johnson & Johnson Medical, Inc. | Method and material for prevention of surgical adhesions |
US4693720A (en) | 1985-09-23 | 1987-09-15 | Katecho, Incorporated | Device for surgically repairing soft tissues and method for making the same |
US4792336A (en) | 1986-03-03 | 1988-12-20 | American Cyanamid Company | Flat braided ligament or tendon implant device having texturized yarns |
US4769038A (en) | 1986-03-18 | 1988-09-06 | C. R. Bard, Inc. | Prostheses and techniques and repair of inguinal and femoral hernias |
US4854316A (en) | 1986-10-03 | 1989-08-08 | Davis Emsley A | Apparatus and method for repairing and preventing para-stomal hernias |
CA1322262C (en) | 1987-06-26 | 1993-09-21 | Yoshito Ikada | Artificial skin |
CA1302140C (en) | 1988-03-23 | 1992-06-02 | Melvin Bernard Herrin | Method for assembling composite carton blanks |
US5092884A (en) | 1988-03-24 | 1992-03-03 | American Cyanamid Company | Surgical composite structure having absorbable and nonabsorbable components |
US4917089A (en) | 1988-08-29 | 1990-04-17 | Sideris Eleftherios B | Buttoned device for the transvenous occlusion of intracardiac defects |
US5186711A (en) | 1989-03-07 | 1993-02-16 | Albert Einstein College Of Medicine Of Yeshiva University | Hemostasis apparatus and method |
US5222987A (en) | 1989-04-12 | 1993-06-29 | Imperial Chemical Industries Plc | Composite material for use in a prosthetic device |
US5104400A (en) | 1989-05-26 | 1992-04-14 | Impra, Inc. | Blood vessel patch |
US5100422A (en) | 1989-05-26 | 1992-03-31 | Impra, Inc. | Blood vessel patch |
NL8901350A (en) | 1989-05-29 | 1990-12-17 | Wouter Matthijs Muijs Van De M | CLOSURE ASSEMBLY. |
NL8902237A (en) | 1989-09-06 | 1991-04-02 | Hc Implants Bv | ART SKIN. |
SU1718857A1 (en) | 1989-11-25 | 1992-03-15 | Р.В.Сенютович, САПацей и В.П.Цым- балюк | Device for fixing an organ in the operation field |
US5141522A (en) | 1990-02-06 | 1992-08-25 | American Cyanamid Company | Composite material having absorbable and non-absorbable components for use with mammalian tissue |
US5122155A (en) | 1990-10-11 | 1992-06-16 | Eberbach Mark A | Hernia repair apparatus and method of use |
US5141515A (en) | 1990-10-11 | 1992-08-25 | Eberbach Mark A | Apparatus and methods for repairing hernias |
US5116357A (en) | 1990-10-11 | 1992-05-26 | Eberbach Mark A | Hernia plug and introducer apparatus |
DE69121587T3 (en) | 1990-12-06 | 2000-05-31 | Gore & Ass | IMPLANTABLE BIORESORBABLE ITEMS |
US5116360A (en) | 1990-12-27 | 1992-05-26 | Corvita Corporation | Mesh composite graft |
JP3269830B2 (en) | 1991-07-08 | 2002-04-02 | アルケア株式会社 | Substrate for holding curable resin composition for orthopedic surgery |
US5290217A (en) | 1991-10-10 | 1994-03-01 | Earl K. Sipes | Method and apparatus for hernia repair |
US5292328A (en) | 1991-10-18 | 1994-03-08 | United States Surgical Corporation | Polypropylene multifilament warp knitted mesh and its use in surgery |
US5524633A (en) | 1991-11-25 | 1996-06-11 | Advanced Surgical, Inc. | Self-deploying isolation bag |
US5258000A (en) | 1991-11-25 | 1993-11-02 | Cook Incorporated | Tissue aperture repair device |
US5147374A (en) | 1991-12-05 | 1992-09-15 | Alfredo Fernandez | Prosthetic mesh patch for hernia repair |
CA2128338C (en) | 1992-01-21 | 2004-10-12 | Gladwin S. Das | Septal defect closure device |
CA2090000A1 (en) | 1992-02-24 | 1993-08-25 | H. Jonathan Tovey | Articulating mesh deployment apparatus |
AU670136B2 (en) | 1992-04-24 | 1996-07-04 | Chienna B.V. | Devices for preventing tissue adhesion |
US5766246A (en) | 1992-05-20 | 1998-06-16 | C. R. Bard, Inc. | Implantable prosthesis and method and apparatus for loading and delivering an implantable prothesis |
US5379754A (en) | 1992-07-30 | 1995-01-10 | United States Surgical Corporation | Method using approximating apparatus for hernia repair |
US5725577A (en) | 1993-01-13 | 1998-03-10 | Saxon; Allen | Prosthesis for the repair of soft tissue defects |
US5743917A (en) | 1993-01-13 | 1998-04-28 | Saxon; Allen | Prosthesis for the repair of soft tissue defects |
CA2114282A1 (en) | 1993-01-28 | 1994-07-29 | Lothar Schilder | Multi-layered implant |
US5356432B1 (en) | 1993-02-05 | 1997-02-04 | Bard Inc C R | Implantable mesh prosthesis and method for repairing muscle or tissue wall defects |
US5368602A (en) | 1993-02-11 | 1994-11-29 | De La Torre; Roger A. | Surgical mesh with semi-rigid border members |
US5433996A (en) | 1993-02-18 | 1995-07-18 | W. L. Gore & Associates, Inc. | Laminated patch tissue repair sheet material |
US5425740A (en) | 1994-05-17 | 1995-06-20 | Hutchinson, Jr.; William B. | Endoscopic hernia repair clip and method |
US5527610A (en) | 1994-05-20 | 1996-06-18 | The Uab Research Foundation | Elastomeric polypeptide matrices for preventing adhesion of biological materials |
US5634931A (en) | 1994-09-29 | 1997-06-03 | Surgical Sense, Inc. | Hernia mesh patches and methods of their use |
US5916225A (en) | 1994-09-29 | 1999-06-29 | Surgical Sense, Inc. | Hernia mesh patch |
US5769864A (en) | 1994-09-29 | 1998-06-23 | Surgical Sense, Inc. | Hernia mesh patch |
IT1275080B (en) | 1994-11-09 | 1997-07-30 | Gabriele Valenti | DYNAMIC PROSTHESIS IN DOUBLE LAYER FOR SURGICAL TREATMENT OF INGUINAL HERNIA |
US5601579A (en) | 1994-12-29 | 1997-02-11 | Medex, Inc. | Method for the treatment of bowel adhesions |
FR2728776B1 (en) | 1994-12-30 | 1997-07-18 | Cogent Sarl | PROSTHETIC ELEMENT FOR THE TREATMENT OF HERNIA OF THE GROWTH, PARTICULARLY BY COELIOSCOPIC |
US5733337A (en) | 1995-04-07 | 1998-03-31 | Organogenesis, Inc. | Tissue repair fabric |
DE19521642C2 (en) | 1995-06-14 | 2000-11-09 | Aesculap Ag & Co Kg | Implant, its use in surgery and process for its manufacture |
US5569273A (en) | 1995-07-13 | 1996-10-29 | C. R. Bard, Inc. | Surgical mesh fabric |
FR2744906B1 (en) | 1996-02-21 | 1998-04-24 | Cousin Biotech | HERNIA REPAIR PLATE |
WO1997035533A1 (en) | 1996-03-25 | 1997-10-02 | Enrico Nicolo | Surgical mesh prosthetic material and methods of use |
US5716408A (en) | 1996-05-31 | 1998-02-10 | C.R. Bard, Inc. | Prosthesis for hernia repair and soft tissue reconstruction |
EP0827724A3 (en) | 1996-09-09 | 1998-05-06 | Herniamesh S.r.l. | Prosthesis for hernioplasty with preformed monofilament polypropylene mesh |
WO1998014134A2 (en) | 1996-10-04 | 1998-04-09 | Ethicon, Inc. | Knitted surgical mesh |
US5716409A (en) | 1996-10-16 | 1998-02-10 | Debbas; Elie | Reinforcement sheet for use in surgical repair |
US6120539A (en) * | 1997-05-01 | 2000-09-19 | C. R. Bard Inc. | Prosthetic repair fabric |
US6669735B1 (en) | 1998-07-31 | 2003-12-30 | Davol, Inc. | Prosthesis for surgical treatment of hernia |
DE29817682U1 (en) | 1998-10-05 | 1999-03-04 | Medimex Holfeld Gmbh & Co | Network for surgical treatment of hernias |
US6258124B1 (en) | 1999-05-10 | 2001-07-10 | C. R. Bard, Inc. | Prosthetic repair fabric |
-
1997
- 1997-03-25 WO PCT/US1997/004918 patent/WO1997035533A1/en active Application Filing
-
1998
- 1998-01-09 US US09/488,724 patent/US6652595B1/en not_active Expired - Lifetime
Patent Citations (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5456720A (en) * | 1991-02-08 | 1995-10-10 | Schultz; Leonard S. | Prosthesis for repair of direct space and indirect space inguinal hernias |
US5254133A (en) * | 1991-04-24 | 1993-10-19 | Seid Arnold S | Surgical implantation device and related method of use |
WO1993017635A1 (en) * | 1992-03-04 | 1993-09-16 | C.R. Bard, Inc. | Composite prosthesis and method for limiting the incidence of postoperative adhesions |
Cited By (123)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US6652595B1 (en) | 1996-03-25 | 2003-11-25 | Davol Inc. | Method of repairing inguinal hernias |
EP0943298A3 (en) * | 1998-03-20 | 2003-03-12 | Cousin Biotech (S.A.S.) | Surgical patch |
FR2776179A1 (en) * | 1998-03-20 | 1999-09-24 | Cousin Biotech | SURGICAL PLATE |
EP0943298A2 (en) | 1998-03-20 | 1999-09-22 | Cousin Biotech (S.A.S.) | Surgical patch |
WO2000067663A1 (en) * | 1999-05-10 | 2000-11-16 | C.R. Bard, Inc. | Prosthetic repair fabric |
US6258124B1 (en) | 1999-05-10 | 2001-07-10 | C. R. Bard, Inc. | Prosthetic repair fabric |
US6383201B1 (en) | 1999-05-14 | 2002-05-07 | Tennison S. Dong | Surgical prosthesis for repairing a hernia |
WO2001008594A1 (en) | 1999-07-28 | 2001-02-08 | C.R. Bard, Inc. | Hernia prosthesis |
US6497650B1 (en) | 1999-07-28 | 2002-12-24 | C. R. Bard, Inc. | Hernia prosthesis |
US8182545B2 (en) | 2000-09-14 | 2012-05-22 | C.R. Bard, Inc. | Implantable prosthesis |
WO2002022047A1 (en) * | 2000-09-14 | 2002-03-21 | C.R. Bard, Inc. | Implantable prosthesis |
JP2004508134A (en) * | 2000-09-14 | 2004-03-18 | シー・アール・バード・インコーポレーテッド | Implantable prosthesis |
EP1491159A2 (en) | 2000-09-14 | 2004-12-29 | C.R. Bard, Inc. | Implantable prosthesis |
US6712859B2 (en) | 2001-06-28 | 2004-03-30 | Ethicon, Inc. | Hernia repair prosthesis and methods for making same |
FR2829922A1 (en) * | 2001-09-21 | 2003-03-28 | Sofradim Production | Anterior access hernia repair implant comprises biocompatible layer of knitted filaments with cylindrical protuberance on one side |
WO2003026530A1 (en) | 2001-09-21 | 2003-04-03 | Sofradim Production | Complete and universal implant for front path hernia repair |
US6755868B2 (en) | 2002-03-22 | 2004-06-29 | Ethicon, Inc. | Hernia repair device |
US6736854B2 (en) | 2002-05-10 | 2004-05-18 | C. R. Bard, Inc. | Prosthetic repair fabric with erosion resistant edge |
US6736823B2 (en) | 2002-05-10 | 2004-05-18 | C.R. Bard, Inc. | Prosthetic repair fabric |
JP2005525166A (en) * | 2002-05-10 | 2005-08-25 | シー・アール・バード・インコーポレーテッド | Prosthetic repair fibers with erosion resistant edges |
WO2003094783A1 (en) * | 2002-05-10 | 2003-11-20 | C.R. Bard, Inc. | Prosthetic repair fabric with erosion resistant edge |
US7011688B2 (en) | 2002-05-10 | 2006-03-14 | C.R. Bard, Inc. | Prosthetic repair fabric |
JP4733384B2 (en) * | 2002-05-10 | 2011-07-27 | シー・アール・バード・インコーポレーテッド | Restoration textile prosthesis with erosion resistant edges |
US7879108B2 (en) | 2002-05-10 | 2011-02-01 | C. R. Bard, Inc. | Prosthetic repair fabric with erosion resistant edge |
US7785334B2 (en) | 2002-08-02 | 2010-08-31 | C.R. Bard, Inc. | Implantable prosthesis |
US8956373B2 (en) | 2002-08-02 | 2015-02-17 | C.R. Bard, Inc. | Implantable prosthesis |
US7806905B2 (en) | 2002-08-02 | 2010-10-05 | C.R. Bard, Inc. | Implantable prosthesis |
EP1595512A1 (en) * | 2004-05-14 | 2005-11-16 | Urogyn | Hernia repair prosthesis |
FR2870110A1 (en) * | 2004-05-14 | 2005-11-18 | Mi Tex Sarl | PROSTHESIS OF ANATOMICAL REFECTION |
WO2006008429A1 (en) * | 2004-07-20 | 2006-01-26 | Stephen George Edward Barker | Umbilical or paraumbilical hernia repair prosthesis |
EP1778144A4 (en) * | 2004-08-17 | 2009-08-19 | Tyco Healthcare | Anti-adhesion barrier |
AU2005277591B2 (en) * | 2004-08-17 | 2011-07-14 | Covidien Lp | Anti-adhesion barrier |
US9034357B2 (en) | 2004-08-17 | 2015-05-19 | Covidien Lp | Anti-adhesion barrier |
WO2006023444A2 (en) | 2004-08-17 | 2006-03-02 | Tyco Healthcare Group, Lp | Anti-adhesion barrier |
EP1778144A2 (en) * | 2004-08-17 | 2007-05-02 | Tyco Healthcare Group Lp | Anti-adhesion barrier |
US10456227B2 (en) | 2007-04-02 | 2019-10-29 | Ension Inc. | Methods of surface treating tubular medical products |
US9693841B2 (en) | 2007-04-02 | 2017-07-04 | Ension, Inc. | Surface treated staples, sutures and dental floss and methods of manufacturing the same |
US9427298B2 (en) | 2007-09-07 | 2016-08-30 | Bard Shannon Limited | Textile implant, in particular for repairing hernias |
FR2920671A1 (en) * | 2007-09-07 | 2009-03-13 | Cousin Biotech Soc Par Actions | TEXTILE IMPLANT, IN PARTICULAR FOR THE REFECTION OF HERNIES |
WO2009030867A1 (en) * | 2007-09-07 | 2009-03-12 | Cousin Biotech | Textile implant, in particular for repairing hernias |
EP2556845A1 (en) * | 2007-09-07 | 2013-02-13 | Cousin Biotech | Textile implant, in particular for repairing hernias |
US10368971B2 (en) | 2007-12-03 | 2019-08-06 | Sofradim Production | Implant for parastomal hernia |
US9308068B2 (en) | 2007-12-03 | 2016-04-12 | Sofradim Production | Implant for parastomal hernia |
DE102007062273A1 (en) * | 2007-12-14 | 2009-06-18 | Aesculap Ag | Fluorinated implant |
US9393002B2 (en) | 2008-02-18 | 2016-07-19 | Covidien Lp | Clip for implant deployment device |
US10159554B2 (en) | 2008-02-18 | 2018-12-25 | Covidien Lp | Clip for implant deployment device |
US10182898B2 (en) | 2008-02-18 | 2019-01-22 | Covidien Lp | Clip for implant deployment device |
US8808314B2 (en) | 2008-02-18 | 2014-08-19 | Covidien Lp | Device and method for deploying and attaching an implant to a biological tissue |
US10695155B2 (en) | 2008-02-18 | 2020-06-30 | Covidien Lp | Device and method for deploying and attaching an implant to a biological tissue |
US9005241B2 (en) | 2008-02-18 | 2015-04-14 | Covidien Lp | Means and method for reversibly connecting a patch to a patch deployment device |
US9034002B2 (en) | 2008-02-18 | 2015-05-19 | Covidien Lp | Lock bar spring and clip for implant deployment device |
US8758373B2 (en) | 2008-02-18 | 2014-06-24 | Covidien Lp | Means and method for reversibly connecting a patch to a patch deployment device |
US9044235B2 (en) | 2008-02-18 | 2015-06-02 | Covidien Lp | Magnetic clip for implant deployment device |
US9833240B2 (en) | 2008-02-18 | 2017-12-05 | Covidien Lp | Lock bar spring and clip for implant deployment device |
US9107726B2 (en) | 2008-02-18 | 2015-08-18 | Covidien Lp | Device and method for deploying and attaching an implant to a biological tissue |
US9398944B2 (en) | 2008-02-18 | 2016-07-26 | Covidien Lp | Lock bar spring and clip for implant deployment device |
US9301826B2 (en) | 2008-02-18 | 2016-04-05 | Covidien Lp | Lock bar spring and clip for implant deployment device |
US8753359B2 (en) | 2008-02-18 | 2014-06-17 | Covidien Lp | Device and method for deploying and attaching an implant to a biological tissue |
US8317808B2 (en) | 2008-02-18 | 2012-11-27 | Covidien Lp | Device and method for rolling and inserting a prosthetic patch into a body cavity |
US9393093B2 (en) | 2008-02-18 | 2016-07-19 | Covidien Lp | Clip for implant deployment device |
US9242026B2 (en) | 2008-06-27 | 2016-01-26 | Sofradim Production | Biosynthetic implant for soft tissue repair |
US10070948B2 (en) | 2008-06-27 | 2018-09-11 | Sofradim Production | Biosynthetic implant for soft tissue repair |
EP2165680A1 (en) * | 2008-09-17 | 2010-03-24 | University of Bern | Textile Implant |
US9636203B2 (en) | 2008-10-01 | 2017-05-02 | Enrico Nicolo | Method and apparatus of tension free inguinal hernia repair reconstructing physiology using inguinal hernia prosthetic having lateral non-encircling cord locating structure |
US9072586B2 (en) | 2008-10-03 | 2015-07-07 | C.R. Bard, Inc. | Implantable prosthesis |
EP2172163B1 (en) * | 2008-10-06 | 2016-11-30 | Global Medical Consulting Gmbh | Post-operative adhesion prophylaxis |
DE102008050122A1 (en) * | 2008-10-06 | 2010-04-08 | Global Medical Consulting Gmbh | Postoperative adhesion prophylaxis |
US20100089409A1 (en) * | 2008-10-06 | 2010-04-15 | Rudolf Bertagnoli | Postoperative Adhesion Prophylactic |
US8888811B2 (en) | 2008-10-20 | 2014-11-18 | Covidien Lp | Device and method for attaching an implant to biological tissue |
US8906045B2 (en) | 2009-08-17 | 2014-12-09 | Covidien Lp | Articulating patch deployment device and method of use |
US9999424B2 (en) | 2009-08-17 | 2018-06-19 | Covidien Lp | Means and method for reversibly connecting an implant to a deployment device |
US10865505B2 (en) | 2009-09-04 | 2020-12-15 | Sofradim Production | Gripping fabric coated with a bioresorbable impenetrable layer |
CN102058442A (en) * | 2010-12-21 | 2011-05-18 | 常州市三联星海医疗器械制造有限公司 | Compound anti-adhesion herniorrhaphy tablet and manufacturing method thereof |
US9554887B2 (en) | 2011-03-16 | 2017-01-31 | Sofradim Production | Prosthesis comprising a three-dimensional and openworked knit |
US10472750B2 (en) | 2011-03-16 | 2019-11-12 | Sofradim Production | Prosthesis comprising a three-dimensional and openworked knit |
US11612472B2 (en) | 2011-03-16 | 2023-03-28 | Sofradim Production | Prosthesis comprising a three-dimensional and openworked knit |
US9622843B2 (en) | 2011-07-13 | 2017-04-18 | Sofradim Production | Umbilical hernia prosthesis |
US11039912B2 (en) | 2011-07-13 | 2021-06-22 | Sofradim Production | Umbilical hernia prosthesis |
US11903807B2 (en) | 2011-07-13 | 2024-02-20 | Sofradim Production | Umbilical hernia prosthesis |
US10709538B2 (en) | 2011-07-13 | 2020-07-14 | Sofradim Production | Umbilical hernia prosthesis |
US9980802B2 (en) | 2011-07-13 | 2018-05-29 | Sofradim Production | Umbilical hernia prosthesis |
US9345623B2 (en) | 2011-08-09 | 2016-05-24 | Biomet Biologics, Llc | Surgical mesh spray and delivery system |
US8776716B2 (en) | 2011-08-09 | 2014-07-15 | Biomet Biologics, Llc | Surgical mesh spray and delivery system |
US9526603B2 (en) | 2011-09-30 | 2016-12-27 | Covidien Lp | Reversible stiffening of light weight mesh |
US11471256B2 (en) | 2011-12-29 | 2022-10-18 | Sofradim Production | Prosthesis for inguinal hernia |
US11266489B2 (en) | 2011-12-29 | 2022-03-08 | Sofradim Production | Barbed prosthetic knit and hernia repair mesh made therefrom as well as process for making said prosthetic knit |
US10342652B2 (en) | 2011-12-29 | 2019-07-09 | Sofradim Production | Barbed prosthetic knit and hernia repair mesh made therefrom as well as process for making said prosthetic knit |
US10080639B2 (en) | 2011-12-29 | 2018-09-25 | Sofradim Production | Prosthesis for inguinal hernia |
US9445883B2 (en) | 2011-12-29 | 2016-09-20 | Sofradim Production | Barbed prosthetic knit and hernia repair mesh made therefrom as well as process for making said prosthetic knit |
US11925543B2 (en) | 2011-12-29 | 2024-03-12 | Sofradim Production | Barbed prosthetic knit and hernia repair mesh made therefrom as well as process for making said prosthetic knit |
US10363690B2 (en) | 2012-08-02 | 2019-07-30 | Sofradim Production | Method for preparing a chitosan-based porous layer |
US9839505B2 (en) | 2012-09-25 | 2017-12-12 | Sofradim Production | Prosthesis comprising a mesh and a strengthening means |
US9750837B2 (en) | 2012-09-25 | 2017-09-05 | Sofradim Production | Haemostatic patch and method of preparation |
US9499927B2 (en) | 2012-09-25 | 2016-11-22 | Sofradim Production | Method for producing a prosthesis for reinforcing the abdominal wall |
US10159555B2 (en) | 2012-09-28 | 2018-12-25 | Sofradim Production | Packaging for a hernia repair device |
US11622845B2 (en) | 2013-06-07 | 2023-04-11 | Sofradim Production | Textile-based prothesis for laparoscopic surgery |
US11304790B2 (en) | 2013-06-07 | 2022-04-19 | Sofradim Production | Textile-based prothesis for laparoscopic surgery |
US10213283B2 (en) | 2013-06-07 | 2019-02-26 | Sofradim Production | Textile-based prosthesis for laparoscopic surgery |
US10405960B2 (en) | 2013-06-07 | 2019-09-10 | Sofradim Production | Textile-based prothesis for laparoscopic surgery |
US10549015B2 (en) | 2014-09-24 | 2020-02-04 | Sofradim Production | Method for preparing an anti-adhesion barrier film |
US10327882B2 (en) | 2014-09-29 | 2019-06-25 | Sofradim Production | Whale concept—folding mesh for TIPP procedure for inguinal hernia |
US9877820B2 (en) | 2014-09-29 | 2018-01-30 | Sofradim Production | Textile-based prosthesis for treatment of inguinal hernia |
US11589974B2 (en) | 2014-09-29 | 2023-02-28 | Sofradim Production | Textile-based prosthesis for treatment of inguinal hernia |
US11291536B2 (en) | 2014-09-29 | 2022-04-05 | Sofradim Production | Whale concept-folding mesh for TIPP procedure for inguinal hernia |
US10653508B2 (en) | 2014-09-29 | 2020-05-19 | Sofradim Production | Textile-based prosthesis for treatment of inguinal hernia |
US10745835B2 (en) | 2014-12-05 | 2020-08-18 | Sofradim Production | Prosthetic porous knit |
US11713526B2 (en) | 2014-12-05 | 2023-08-01 | Sofradim Production | Prosthetic porous knit |
US11359313B2 (en) | 2014-12-05 | 2022-06-14 | Sofradim Production | Prosthetic porous knit |
US9932695B2 (en) | 2014-12-05 | 2018-04-03 | Sofradim Production | Prosthetic porous knit |
US10184032B2 (en) | 2015-02-17 | 2019-01-22 | Sofradim Production | Method for preparing a chitosan-based matrix comprising a fiber reinforcement member |
US10815345B2 (en) | 2015-02-17 | 2020-10-27 | Sofradim Production | Method for preparing a chitosan-based matrix comprising a fiber reinforcement member |
US11439498B2 (en) | 2015-04-24 | 2022-09-13 | Sofradim Production | Prosthesis for supporting a breast structure |
US10660741B2 (en) | 2015-04-24 | 2020-05-26 | Sofradim Production | Prosthesis for supporting a breast structure |
US9931198B2 (en) | 2015-04-24 | 2018-04-03 | Sofradim Production | Prosthesis for supporting a breast structure |
US10743976B2 (en) | 2015-06-19 | 2020-08-18 | Sofradim Production | Synthetic prosthesis comprising a knit and a non porous film and method for forming same |
US11826242B2 (en) | 2015-06-19 | 2023-11-28 | Sofradim Production | Synthetic prosthesis comprising a knit and a non porous film and method for forming same |
US10646321B2 (en) | 2016-01-25 | 2020-05-12 | Sofradim Production | Prosthesis for hernia repair |
US11389282B2 (en) | 2016-01-25 | 2022-07-19 | Sofradim Production | Prosthesis for hernia repair |
US10682215B2 (en) | 2016-10-21 | 2020-06-16 | Sofradim Production | Method for forming a mesh having a barbed suture attached thereto and the mesh thus obtained |
US11696819B2 (en) | 2016-10-21 | 2023-07-11 | Sofradim Production | Method for forming a mesh having a barbed suture attached thereto and the mesh thus obtained |
US11672636B2 (en) | 2017-05-02 | 2023-06-13 | Sofradim Production | Prosthesis for inguinal hernia repair |
US10675137B2 (en) | 2017-05-02 | 2020-06-09 | Sofradim Production | Prosthesis for inguinal hernia repair |
US11471257B2 (en) | 2018-11-16 | 2022-10-18 | Sofradim Production | Implants suitable for soft tissue repair |
Also Published As
Publication number | Publication date |
---|---|
US6652595B1 (en) | 2003-11-25 |
Similar Documents
Publication | Publication Date | Title |
---|---|---|
WO1997035533A1 (en) | Surgical mesh prosthetic material and methods of use | |
US6383201B1 (en) | Surgical prosthesis for repairing a hernia | |
US6066776A (en) | Self-forming prosthesis for repair of soft tissue defects | |
EP1847233B1 (en) | Implantable prosthesis | |
JP4064464B2 (en) | Improved prosthesis for hernia repair and soft tissue reconstruction | |
US9694108B2 (en) | Medical device ameneable to fenestration | |
US6755868B2 (en) | Hernia repair device | |
AU777027B2 (en) | Hernia prosthesis | |
US20230000607A1 (en) | Implantable prosthesis for soft tissue repair | |
US20050288691A1 (en) | Hernia patch | |
US20080103587A1 (en) | Multi-furcated ePTFE grafts and stent-graft prostheses and methods of making the same | |
JP2008532573A (en) | Modular stent graft with bifurcated graft and leg-attached stent elements | |
WO2010039249A1 (en) | Implantable prosthesis | |
AU5274700A (en) | Stent-graft with increased flexibility |
Legal Events
Date | Code | Title | Description |
---|---|---|---|
AK | Designated states |
Kind code of ref document: A1 Designated state(s): CA |
|
AL | Designated countries for regional patents |
Kind code of ref document: A1 Designated state(s): AT BE CH DE DK ES FI FR GB GR IE IT LU MC NL PT SE |
|
121 | Ep: the epo has been informed by wipo that ep was designated in this application | ||
NENP | Non-entry into the national phase |
Ref country code: CA |
|
122 | Ep: pct application non-entry in european phase |