CN101133972B - 电动闭锁装置以及包含该装置的外科器械 - Google Patents

电动闭锁装置以及包含该装置的外科器械 Download PDF

Info

Publication number
CN101133972B
CN101133972B CN2007100879080A CN200710087908A CN101133972B CN 101133972 B CN101133972 B CN 101133972B CN 2007100879080 A CN2007100879080 A CN 2007100879080A CN 200710087908 A CN200710087908 A CN 200710087908A CN 101133972 B CN101133972 B CN 101133972B
Authority
CN
China
Prior art keywords
switch
passage
motor
cutting
nail
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Active
Application number
CN2007100879080A
Other languages
English (en)
Other versions
CN101133972A (zh
Inventor
F·E·谢尔顿四世
K·R·多尔
J·S·斯韦兹
E·L·蒂姆珀曼
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Ethicon Endo Surgery Inc
Original Assignee
Ethicon Endo Surgery Inc
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Family has litigation
First worldwide family litigation filed litigation Critical https://patents.darts-ip.com/?family=38024174&utm_source=google_patent&utm_medium=platform_link&utm_campaign=public_patent_search&patent=CN101133972(B) "Global patent litigation dataset” by Darts-ip is licensed under a Creative Commons Attribution 4.0 International License.
Application filed by Ethicon Endo Surgery Inc filed Critical Ethicon Endo Surgery Inc
Publication of CN101133972A publication Critical patent/CN101133972A/zh
Application granted granted Critical
Publication of CN101133972B publication Critical patent/CN101133972B/zh
Active legal-status Critical Current
Anticipated expiration legal-status Critical

Links

Images

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A61B17/07207—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously the staples being applied sequentially
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
    • A61B17/115—Staplers for performing anastomosis in a single operation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/70—Manipulators specially adapted for use in surgery
    • A61B34/76—Manipulators having means for providing feel, e.g. force or tactile feedback
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00367—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
    • A61B2017/00398—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like using powered actuators, e.g. stepper motors, solenoids
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00681—Aspects not otherwise provided for
    • A61B2017/00734—Aspects not otherwise provided for battery operated
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A61B2017/07214—Stapler heads
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A61B17/2909—Handles
    • A61B2017/2912—Handles transmission of forces to actuating rod or piston
    • A61B2017/2923—Toothed members, e.g. rack and pinion
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A61B2017/2926—Details of heads or jaws
    • A61B2017/2927—Details of heads or jaws the angular position of the head being adjustable with respect to the shaft
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/08—Accessories or related features not otherwise provided for
    • A61B2090/0801—Prevention of accidental cutting or pricking
    • A61B2090/08021—Prevention of accidental cutting or pricking of the patient or his organs
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/03—Automatic limiting or abutting means, e.g. for safety

Abstract

公开了一种外科切割和缝合器械。该器械包括端部执行器和手柄。端部执行器包括通道、可枢转地连接在通道上的钉砧、用于对定位在钉砧和通道之间的物体进行切割的可动切割器械、以及被构造成可取出地由通道收纳的钉仓。钉仓包括在切割冲程过程中与切割器械接合的滑块。手柄包括用于通过主驱动轴组件使切割器械致动的马达。该器械还包括能够根据钉仓的位置引发马达操作的第一联锁电路。

Description

电动闭锁装置以及包含该装置的外科器械 
相关申请的交叉引用
本申请涉及以下共同提交的美国专利申请，这些申请在此通过引用并入本文： 
(1)具有使用者反馈系统的马达驱动的外科切割和紧固器械(MOTOR-DRIVEN SURGICAL CUTTING AND FASTENINGINSTRUMENT WITH USER FEEDBACK SYSTEM)；发明人：Frederick E.Shelton，IV，John Ouwerkerk，以及Jerome R.Morgan(代理案卷No.050519/END5687USNP)； 
(2)具有负载力反馈的马达驱动的外科切割和紧固器械(MOTOR-DRIVEN SURGICAL CUTTING AND FASTENINGINSTRUMENT WITH LOADING FORCE FEEDBACK)；发明人：Frederick E.Shelton，IV，John N.Ouwerkerk，Jerome R.Morgan以及Jeffrey S.Swayze(代理案卷No.050516/END5692USNP)； 
(3)具有触摸位置反馈的马达驱动的外科切割和紧固器械(MOTOR-DRIVEN SURGICAL CUTTING AND FASTENINGINSTRUMENT WITH TACTILE POSITION FEEDBACK)；发明人：Frederick E.Shelton，IV，John N.Ouwerkerk，Jerome R.Morgan以及Jeffrey S.Swayze(代理案卷No.050515/END5693USNP)； 
(4)具有自适应使用者反馈的马达驱动的外科切割和紧固器械(MOTOR-DRIVEN SURGICAL CUTTING AND FASTENINGINSTRUMENT WITH ADAPTIVE USER FEEDBACK)；发明人：Frederick E.Shelton，IV，John Ouwerkerk，以及Jerome R.Morgan(代理案卷No.050513/END5694USNP)； 
(5)具有可关节运动端部执行器的马达驱动的外科切割和紧固器械(MOTOR-DRIVEN SURGICAL CUTTING AND FASTENING INSTRUMENT WITH ARTICULATABLE END EFFECTOR)；发明人：Frederick E.Shelton，IV以及Christoph L.Gillum(代理案卷No.050692/END5769USNP)； 
(6)具有机械闭合系统的马达驱动的外科切割和紧固器械(MOTOR-DRIVEN SURGICAL CUTTING AND FASTENINGINSTRUMENT WITH MECHANICAL CLOSURE SYSTEM)；发明人：Frederick E.Shelton，IV以及Christoph L.Gillum(代理案卷No.050693/END5770USNP)； 
(7)具有闭合扳机锁定机构的外科切割和紧固器械(MOTOR-DRIVE SURGICAL CUTTING AND FASTENINGINSTRUMENT WITH CLOSURE TRIGGER LOCKINGMECHANISM)；发明人：Frederick E.Shelton，IV以及Kevin R.Doll(代理案卷No.050694/END5771USNP)； 
(8)用于动力驱动的外科切割和紧固缝合器械的齿轮传动选择器(GEARING SELECTOR FOR A POWERED SURGICAL CUTTINGAND FASTENING STAPLING INSTRUMENT)；发明人：FrederickE.Shelton，IV，Jeffrey S.Swayze以及Eugene L.Timperman(代理案卷No.050697/END5772USNP)； 
(9)具有记录能力的外科器械(SURGICAL INSTRUMENTHAVING RECORDING CAPABILITIES)；发明人：Frederick E.Shelton，IV，John N.Ouwerkerk以及Eugene L.Timperman(代理案卷No.050698/END5773USNP)； 
(10)具有可拆卸的电池的外科器械(SURGICAL INSTRUMENTHAVING A REMOVABLE BATTERY)；发明人：Frederick E.Shelton，IV，Kevin R.Doll，Jeffrey S.Swayze以及Eugene Timperman(代理案卷No.050699/END5774USNP)； 
(11)具有可以相对于轴关节运动的手柄的内窥镜外科器械(ENDOSCOPIC SURGICAL INSTRUMENT WITH A HANDLETHAT CAN ARTICULATE WITH RESPECT TO THE SHAFT)；发明 人：Frederick E.Shelton，IV，Jeffrey S.Swayze，Mark S.Ortiz以及LeslieM.Fugikawa(代理案卷No.050701/END5776USNP)； 
(12)具有带平行闭合和钉砧排列部件的旋转击发和闭合系统的机电式外科切割和紧固器械(ELECTRO-MECHANICAL SURGICALCUTTING AND FASTENING INSTRUMENT HAVING A ROTARYFIRING AND CLOSURE SYSTEMWITH PARALLEL CLOSUREAND ANVIL ALIGNMENT COMPONENTS)；发明人：FrederickE.Shelton，IV，Stephen J.Balek以及Eugene L.Timperman(代理案卷No.050702/END5777USNP)； 
(13)用于外科切割和紧固器械的具有带组织定位器的钉砧的可置换钉仓及其标准端部执行器；发明人：Frederick E.Shelton，IV，Michael S.Cropper，Joshua M.Broehl，Ryan S.Crisp，Jamison J.Float以及Eugene L.Timperman(代理案卷No.050703/END5778USNP)；以及 
(14)具有反馈系统的外科器械(SURGICAL INSTRUMENTHAVING A FEEDBACK SYSTEM)；发明人：Frederick E.Shelton，IV，Jerome R.Morgan，Kevin R.Doll，Jeffrey S.Swayze以及EugeneTimperman(代理案卷No.050705/END5780USNP)。 
技术领域
公开的本发明总体上并以不同实施方式涉及外科缝合和切割器械，该器械被组合并构造成将可重复使用的钉仓中成排的缝钉施放在组织内，同时切割所施放的缝钉排之间的组织。更具体地说，公开的本发明涉及用于机动外科缝合和切割器械的电动联锁装置，其在钉仓未得到安装、未得到正确安装、或者被用完时，或者当外科缝合和切割器械不是处于以安全和/或最佳方式执行缝合和切割操作的状态下时防止切割组织。公开的本发明还涉及用于在缝合和切割操作正在进行的同时，使某些器械特征无效的电动联锁装置。
背景技术
内窥镜外科器械经常比常规的开放式外科装置更得到偏爱，这是因为更小的切口往往可以减少术后的恢复时间和并发症。因而，已经在适于通过套管针的插管在所需手术部位精确放置远侧端部执行器的内窥镜外科器械领域有了显著发展。这些远侧端部执行器以许多方式接合组织，以获得诊断或治疗效果(例如内切割器、抓钳、切割器、缝合器、夹具施放器、接入装置、药物/基因治疗供给装置、以及采用超声波、RF、激光等的能量装置)。 
已知的外科缝合器包括同时在组织上形成纵向切口和在切口的相对两侧施放成排缝钉的端部执行器。该端部执行器包括一对联动的夹爪元件，如果器械被用于内窥镜或腹腔内窥镜的用途，所述夹爪元件能够穿过套管通道。一个夹爪元件容纳具有横向间隔的至少两排缝钉的钉仓。另一个夹爪限定了具有与盒中的缝钉排对准的缝钉形成容室的钉砧。所述器械包括多个往复的楔形件，它们在被向远侧驱动时，穿过钉仓上的开口并接合支承缝钉的驱动器，以执行向钉砧击发缝钉。 
有利的是，端部执行器的设计可以是其可以与外科缝合器一起重复使用。例如，一个患者可以需要一系列的切断和缝合操作。每个操作更换整个端部执行器往往在经济上是低效的，特别是在端部执行器被构造成强度和可靠性满足重复操作的要求。为此，钉仓通常被构造成可更换并在外科手术缝钉的每一操作之前被装配在端部执行器内。 
在授予Knodel等人的名称为“SURGICAL STAPLERINSTRUMENT(外科手术缝钉器械)”的美国专利No.5,465,895中描述了适用于内窥镜用途的外科手术缝钉的实例，该文献公开了具有各自不同的闭合和击发动作的内切割器。因此，临床医生能够闭合作用在组织上的夹爪元件以在击发之前使组织定位。一旦临床医生已经确定夹爪元件适当地夹紧组织，则临床医生随后利用取决于装置的单击发冲程或多击发冲程击发外科手术缝钉。击发外科手术缝钉促使组织的切断和缝合。同时进行的切断和缝合避免了在利用各自仅切断和 缝合的不同外科工具依次执行所述操作时可能产生的并发症。 
能够在击发之前闭合组织的一个特有的优点是临床医生能够通过内窥镜验证已经达到了所需的切割位置，包括在相对的夹爪之间已经获取了足够量的组织。另外，相对的夹爪可以被拉动得更靠近在一起，特别是收聚在它们的远端，并由此不会在切断的组织上有效地形成闭合的缝钉。在另一极端下，过量夹紧的组织会导致粘连和击发不完全。 
由于所需闭合夹爪并同时执行切割和缝合操作的致动力(也就是“用于击发的力”，或者FTF)可能相当大，因此手动产生动力的切割和缝合器械，例如以上所述的器械，不能被在其他方面胜任但不能产生所需FTF的使用者利用。因此，已经开发了动力驱动的切割和缝合器械以降低用于击发的力(FTF)。这种器械通常包括适于补充或取代使用者产生的力以执行切割和缝合操作的马达或其他致动机构。 
尽管动力驱动的器械提供许多优点，但在某些状态下需要防止器械无意的击发。例如，在未安装钉仓的情况下使器械击发，或者在具有安装的钉仓但是空的钉仓的情况下使器械击发会导致在没有同时缝合以使出血降至最少的情况下切割组织。另外，在没有完全闭合夹爪的情况下使器械击发会导致切割和击发操作不符合要求和/或导致对器械的损坏。如果夹爪在切割和击发操作正在进行的同时无意中打开也会产生类似的后果。特别要求应该以不会遭受错误动作的介入的可靠方式实现用于防止所述无意中击发和夹爪操纵的联锁特征。而且，为了易于制造和组装，还要求应该以最少数量的部件实现联锁特征。 
因而，极大地需要提供用于动力驱动的切割和缝合器械上的电动联锁特征，从而在例如上述状态下防止无意中的击发(也就是切割和缝合)和夹爪操纵。 
发明内容
本发明根据不同实施方式公开了一种外科切割和缝合器械。该器 械包括端部执行器和手柄。端部执行器包括通道、可枢转地连接在通道上的钉砧、用于对定位在钉砧和通道之间的物体进行切割的可动切割器械、以及被构造成可取出地由通道收纳的钉仓。钉仓包括在切割冲程过程中与切割器械接合的滑块。手柄包括用于通过主驱动轴组件使切割器械致动的马达。该器械还包括能够根据钉仓的位置引发马达操作的第一联锁电路。 
本发明具体涉及： 
(1)一种外科切割和缝合器械，包括： 
端部执行器，其包括： 
通道； 
可枢转地连接在通道上的钉砧； 
可动切割器械，其用于对定位在钉砧和通道之间的物体进行切割；以及 
钉仓，其被构造成由通道可移除地收纳，所述钉仓包括在切割冲程期间与切割器械接合的滑块； 
手柄，其包括用于通过主驱动轴组件使切割器械致动的马达；以及 
第一联锁电路，其能够根据钉仓的位置引发马达操作。 
(2)如权利要求(1)所述的外科器械，还包括第二联锁电路，用于在切割器械运动期间防止钉砧相对于通道枢转运动。 
(3)如权利要求(2)所述的外科器械，其中，所述第二联锁电路包括机电致动器，其被构造成在切割器械运动过程中防止钉砧相对于通道打开。 
(4)如权利要求(1)所述的外科器械，其中，所述第一联锁电路还能够根据钉砧的位置、滑块在钉仓内的位置、以及器械执行的操作累计次数中的至少一个引发马达操作。 
(5)如权利要求(4)所述的外科器械，其中，所述第一联锁电路包括： 
第一开关，其被构造成当钉仓处于与其由通道收纳相对应的位置 时，保持第一开关状态； 
第二开关，其被构造成当钉砧相对于通道处于闭合位置时保持第二开关状态； 
第三开关，其被构造成当滑块位于钉仓内未击发位置时保持第三开关状态；以及 
第四开关，其被构造成当操作的累计次数小于预定值时保持第四开关状态； 
其中，所述第一、第二、第三、以及第四开关被连接成使得当共同保持相应的第一、第二、第三、以及第四开关状态时，能够引发马达操作。 
(6)如权利要求(5)所述的外科器械，其中，所述第一、第二、第三、以及第四开关中的至少一个从接触致动开关和非接触致动开关中选择。 
(7)如权利要求(5)所述的外科器械，其中，所述第一开关包括布置在通道内并与通道电绝缘的第一开关触点和第二开关触点，其中，第一和第二开关触点被定位成使得钉仓的一部分在当处于与其由通道收纳相对应的位置时，在第一和第二开关触点之间建立导电通道。 
(8)如权利要求(5)所述的外科器械，其中，所述第二开关还能够因钉砧相对于通道处于闭合位置时向第二开关上施加机械力而保持第二开关状态。 
(9)如权利要求(5)所述的外科器械，其中，所述第二开关还被构造成响应于电信号而保持第二开关状态，其中，所述电信号表示钉砧处于闭合位置时由钉砧施加的力。 
(10)如权利要求(5)所述的外科器械，其中，所述第二开关还被构造成在钉砧已经相对于通道处于闭合位置达预定时间段之后保持第二开关状态。 
(11)如权利要求(5)所述的外科器械，其中，所述第三开关还被构造成因位于未击发位置的滑块向第三开关施加的机械力而保 持第三开关状态。 
(12)如权利要求(5)所述的外科器械，还包括与第四开关通信的计数器，其中，所述计数器被构造成保存表示操作累计次数的计数并且当所述计数小于预定值时使第四开关保持第四开关状态。 
(13)如权利要求(12)所述的外科器械，其中，所述计数器还被构造成根据由此接收的机械输入和电子输入中的一个保存所述计数。 
(14)如权利要求(12)所述的外科器械，其中，所述计数器与显示器通信，所述显示器用于指示所保存的计数之一以及预定值和保存的计数之间的差值。 
(15)如权利要求(5)所述的外科器械，还包括显示第一、第二、第三以及第四开关中的至少一个的状态的至少一个指示器。 
(16)如权利要求(5)所述的外科器械，其中，所述第一、第二和第三开关中的每一个都采用常开开关构造，并且第四开关采用常闭开关构造。 
(17)如权利要求(16)所述的外科器械，其中，所述第一、第二、第三和第四开关串联地与马达和马达控制电路中的一个相连，使得当没有保持第一、第二、第三或第四开关状态中的任何状态时防止引发马达操作。 
附图说明
在此结合以下附图通过举例描述本发明的不同实施方式，其中： 
图1和2是根据本发明不同实施方式的外科切割和紧固器械的透视图； 
图3-5是根据本发明不同实施方式的端部执行器和轴的分解视图； 
图6是根据本发明不同实施方式的端部执行器的侧视图； 
图7是根据本发明不同实施方式的器械手柄的分解视图； 
图8和9是根据本发明不同实施方式的手柄的局部透视图；
图10是是根据本发明不同实施方式的手柄的侧视图； 
图11是根据本发明不同实施方式的器械中采用的电路的示意图； 
图12-13是根据本发明其他实施方式的手柄的侧视图； 
图14-22表示根据本发明不同实施方式的用于锁定闭合扳机的不同机构； 
图23A-B表示可以在根据本发明不同实施方式的器械的关节运动点采用的万向接头(“U形接头”)； 
图24A-B表示可以在根据本发明不同实施方式的器械的关节运动点采用的扭转电缆； 
图25-31表示根据本发明另一实施方式的具有动力辅助的外科切割和紧固器械； 
图32-36表示根据本发明又一实施方式的具有动力辅助的外科切割和紧固器械； 
图37-40表示根据本发明实施方式的具有触觉反馈的外科切割和紧固器械； 
图41-42表示根据本发明不同实施方式可以采用的比例传感器；以及 
图43A-44C表示根据本发明不同实施方式的联锁电路的闭锁传感器开关的安装结构和构造。 
具体实施方式
图1和2表示根据本发明不同实施方式的外科切割和紧固器械10。所示的实施方式是内窥镜器械，并且，大体上在此所描述的器械10的实施方式是内窥镜外科切割和紧固器械。然而，应该指出，根据本发明的其他实施方式，所述器械可以是非内窥镜外科切割和紧固器械，例如腹腔镜器械。 
在图1和2中示出的外科器械10包括手柄6、轴8、以及在关节运动枢轴14与轴8枢转连接的关节运动端部执行器12。可以靠近手柄6设置关节运动控制件16，以使端部执行器12可以绕关节运动枢 轴14旋转。在所示的实施方式中，端部执行器12被构造成作为用于夹紧、切断和缝合组织的内切割器，尽管如此，在其他实施方式中，可以采用不同类型的端部执行器，例如用于其他类型的外科装置的端部执行器，例如抓钳、切割器、缝合器、夹具施放器、接入装置、药物/基因治疗供给装置、超声波、RF、激光等等。 
器械10的手柄6可以包括用于使端部执行器12致动的闭合扳机18和击发扳机20。应当理解，具有用于不同外科任务的端部执行器的器械可以具有用于操作端部执行器12的不同数量或类型的扳机或其他适当的控制件。端部执行器12被示出通过优选细长的轴8与手柄16分隔。在一种实施方式中，临床医生或器械10的操作者可以利用关节运动控制件16相对于轴8关节运动端部执行器12，这一点在授予Hueil等人的名称为“SURGICAL INSTRUMENT HAVING ANARTICULATING END EFFECTOR”的待审美国专利申请No.11/329,020中更详细地得到了描述，该文献在此引入作为参考。 
端部执行器12在本实例中尤其包括缝钉通道22和可枢转移动的夹紧元件例如钉砧24，它们保持一定间距以确保有效地缝合和切断夹紧在端部执行器12上的组织。手柄6包括手枪式握把26，闭合扳机18由临床医生向所述手枪式握把26枢转拉动以使钉砧24向端部执行器12的缝钉通道22夹紧或闭合，由此将定位在钉砧24和通道22之间的组织夹紧。击发扳机20在闭合扳机18的更外侧。一旦闭合扳机18如下文进一步描述的那样锁定在闭合位置，则击发扳机20可以略微向手枪式握把26旋转，使得其可以由操作者采用一只手触到。随后操作者可以向手枪式握把26枢转地拉动击发扳机20以缝合并切割夹紧在端部执行器12上的组织。在另一实施方式中，可以采用钉砧24之外的不同类型夹紧元件，例如相对的夹爪等等。 
应当理解，在此参照临床医生握持器械10的手柄6采用术语“近端”和“远端”。因此，端部执行器12相对于更近端的手柄16是处于远端。进一步应当理解，为了方便和清晰，在此相对于图采用空间术语例如“垂直”和“水平”。然而，外科器械可以被用在许多定向 和位置上，并且这些术语并不是用于限制和绝对表示。 
闭合扳机18可以首先致动。一旦临床医生对端部执行器12的定位满意，临床医生就可以将闭合扳机18拉回到其接近手枪式握把26的完全闭合的、锁定的位置。击发扳机20可以随后致动。但临床医生解除压力时击发扳机20回到打开位置(图1和2所示)，这一点将在下文更详尽地进行描述。手柄6上的释放按钮在被压下时可以释放锁定的闭合扳机18。释放按钮可以通过多种形式实现，例如图14所示的滑动释放按钮160，和/或图16所示的按钮172。 
图3是根据不同实施方式的端部执行器12的分解视图。如示意性实施方式所示，端部执行器12除了上述的通道22和钉砧24之外还包括切割器械32、滑块33、可取出地落入通道22内的钉仓34、以及螺杆轴36。切割器械32例如可以是刀。钉砧24可以在与通道22近端相连的枢轴点25可枢转地打开和闭合。钉砧24还可以包括在其远端的突舌27，其被插入到机械闭合系统(下文进一步进行描述)的部件内以打开和闭合钉砧24。当闭合扳机18致动时，也就是由器械10的使用者向内拉动时，钉砧24可以绕枢轴点25枢转到夹紧或闭合位置。如果端部执行器12的夹紧满足要求，则操作者可以使击发扳机20致动，这样如下文更详细地说明的那样促使刀32和滑块33沿通道22纵向移动，由此对夹紧在端部执行器12内的组织进行切割。滑块33沿通道22的移动促使钉仓34中的缝钉(未示出)被驱动穿过切断的组织并压靠在闭合的钉砧24上，所述钉砧24又使缝钉弯曲以紧固切断的组织。授予Shelton，IV等人的名称为“包含E形架击发机构的外科缝合器械(SURGICAL STAPLING INSTRUMENTINCORPORATING AN E-BEAM FIRING MECHANI SM)”的美国专利No.6,978,921在此引入作为参考，其更详细地提出了有关这种两冲程切割和紧固器械的内容。滑块33可以是与盒34一体的部件，使得当刀32在切割操作之后缩回时，滑块33不会缩回。 
应该指出，尽管在此描述的器械10的实施方式采用端部执行器12缝合切断的组织，但在其他实施方式中可以采用不同技术来紧固或 密封切断的组织。例如，还可以采用利用RF能量或胶粘剂紧固切断的组织的端部执行器。授予Yates等人的名称为“电外科止血剂装置(ELECTROSURGICAL HEMOSTATIC DEVICE)”的美国专利No.5,709,680和授予Yates等人的名称为“具有隐藏式和/或偏心式电极的电外科止血剂装置(ELECTOSURGICAL HEMOSTATICDEVICE WITH RECESSED AND/OR OFFSET ELECTRODES”的美国专利No.5,688,270在此引入作为参考，它们公开了采用RF能量紧固切断的组织的切割器械。授予Morgan等人的名称为“被构造成用于供给药剂的外科缝合器械(SURGICAL STAPLING INSTRUMENTSSTRUCTURED FOR DELIVERY OF MEDICAL AGENTS)”的美国专利申请No.11/267,811和授予Shelton IV等人的名称为“被构造成用于借助泵供给药剂的外科缝合器械(SURGICAL STAPLINGINSTRUMENTS STRUCTURED FOR PUMP-ASSISTED DELIVERYOF MEDICAL AGENTS)”的美国专利申请No.11/267,383也在此引入作为参考，它们公开了采用胶粘剂紧固切断的组织的切割器械。因此，尽管在此描述涉及切割/缝合操作并且下文大同，但应该认识到这是示例性实施方式而并不意味着限制。还可以采用其他组织紧固技术。 
图4和5是根据不同实施方式的端部执行器12和轴8的分解视图以及图6是其侧视图。如示意性实施方式所示，轴8可以包括通过枢轴连接件44枢转连接的近端闭合管40和远端闭合管42。远端闭合管42包括开口45，钉砧24上的突舌27插入所述开口45内以打开和闭合钉砧24，这将在下文进一步描述。近端脊状管46可以布置在闭合管40，42内。通过锥齿轮组件52与副(远端)传动轴50相连的主旋转(或近端)传动轴48可以布置在近端脊状管46内。副传动轴50与传动齿轮54相连，该传动齿轮54接合螺杆轴36的近端传动齿轮56。垂直锥齿轮52b可以在近端脊状管46的远端上的开口57内定位并枢转。远端脊状管58可以被用于封装副传动轴50和传动齿轮54，56。总之，主驱动轴48、副传动齿轮50以及关节运动组件(例如锥 齿轮组件52a-c)有时在这里被称为“主驱动轴组件”。 
定位在缝钉通道22远端的轴承38容纳传动螺杆36，从而使传动螺杆36可以相对于通道22自由旋转。传动螺杆36可以与刀32的螺纹开口(未示出)接合，使得轴36的旋转会促使刀32穿过缝钉通道22向远端或向近端(取决于旋转方向)平移。因此，当通过击发扳机20的致动(如下文更详细地说明)促使主驱动轴48旋转时，锥齿轮组件52a-c促使副传动轴50旋转，这样由于传动齿轮54，56的接合又会促使螺杆轴36旋转，从而促使刀驱动元件32沿通道22纵向移动以对夹紧在端部执行器12内的任何组织进行切割。滑块33可以由例如塑料制成并且可以具有倾斜的远端面。当滑块33横切通道22时，倾斜前表面可以向上推动或驱动钉仓34内的缝钉穿过夹紧的组织并压靠在钉砧24上。钉砧24使缝钉弯曲，由此缝合切断的组织。当刀32缩回时，刀32和滑块33可以脱离接合，由此将滑块33留在通道22的远端。 
由于切割/缝合操作缺少使用者反馈，因此在医生中缺乏对仅由按压按钮引发切割/缝合操作的马达驱动的器械的认可。相比之下，本发明的实施方式提供具有对切割器械在端部执行器中的展开、力和/或位置的使用者反馈的马达驱动的内切割器。 
图7-10表示马达驱动的内切割器特别是其手柄6的示例性实施方式，提供了有关切割器械在端部执行器中的展开和负载力的使用者反馈。另外，该实施方式可以采用由使用者在击发扳机20缩回时提供的动力驱动所述装置(所谓的“动力辅助”模式)。如示意性实施方式所示，手柄6包括装配在一起以大体上形成手柄外部的外部下侧部件59，60和外部上侧部件61，62。电池64例如锂离子电池可以设置在手柄6的手枪式握把部分26上。电池64向布置在手柄6的手枪式握把部分26的上部的马达65提供动力。根据不同实施方式，马达65可以是具有大约5000RPM最大旋转的DC电刷驱动马达。马达65可以驱动包括第一锥齿轮68和第二锥齿轮70的90°锥齿轮组件66。锥齿轮组件66可以驱动行星齿轮组件72。行星齿轮组件72可以包括与 传动轴76相连的小齿轮74。小齿轮74可以驱动配合齿圈78，该配合齿圈78通过传动轴82驱动斜齿轮鼓轮80。环84可以通过螺纹接合在斜齿轮鼓轮80上。因此，当马达65旋转时，促使环84通过插入的锥齿轮组件66、行星齿轮组件72以及齿圈78沿斜齿轮鼓轮80移动。 
手柄6还可以包括当击发扳机20被操作者向手柄6的手枪式握把26拉动(或“闭合”)时与击发扳机20相连以进行检测的运转马达传感器110，由此通过端部执行器12引发切割/缝合操作。传感器110可以是比例传感器，例如变阻器或可变电阻器。当击发扳机20被向内拉动时，传感器110检测移动并发送表示供给到马达65的电压(或动力)的电信号。当传感器110是可变电阻器或类似元件时，马达65的旋转可以大体上与击发扳机20的移动量成比例。也就是说，如果操作者仅少量地拉动或闭合击发扳机20，马达65的旋转相对较低。当击发扳机20完全被拉入(或处于完全闭合的位置)时，马达65的旋转处于其最大值。换句话说，使用者拉动击发扳机20的程度越大，施加在马达65上的电压越大，导致转速越高。 
手柄6可以包括靠近击发扳机20上部的中间手柄部件104。手柄6还可以包括连接在中间手柄部件104和击发扳机20上的柱之间相连的偏压弹簧112。偏压弹簧112可以将击发扳机20偏压到其完全打开的位置。这样，当操作者释放击发扳机20时，偏压弹簧112将击发扳机20拉向其打开位置，由此解除传感器110的致动，从而停止马达65的旋转。而且，通过偏压弹簧112，任何时候使用者可以闭合击发扳机20，使用者将会承受闭合操作的阻力，由此使用者具有对马达65施加的旋转量的反馈。此外，操作者可以停止使击发扳机20缩回，由此解除来自传感器100的力并由此使马达65停止。同样，使用者可以停止端部执行器12的展开，由此向操作者提供对切割/紧固操作的控制的测定。 
斜齿轮鼓轮80的远端包括驱动齿圈122的远端传动轴120，齿圈122与小齿轮124啮合。小齿轮124与主驱动轴组件的主驱动轴48 相连。这样，如上所述，马达65的旋转促使主驱动轴组件旋转，从而促使端部执行器12的致动。 
通过螺纹接合在斜齿轮鼓轮80上的环84可以包括布置在开槽臂90的槽88内的柱86。开槽臂90在其相对端94具有开口92，开口92容纳连接在手柄外部侧部件59，60之间的枢轴销96。枢轴销96还布置成穿过击发扳机20上的开口100和中间手柄部件104上的开口102。 
另外，手柄6可以包括反向马达(或冲程结束)传感器130和止动马达(或冲程开始)传感器142。在不同实施方式中，反向马达传感器130可以是位于斜齿轮鼓轮80的远端的限位开关，使得当环84到达斜齿轮鼓轮80的远端时螺纹接合在斜齿轮鼓轮80上的环84与反向马达传感器130接触和脱开。反向马达传感器130在致动时向马达65发送信号以使其旋转方向反向，由此在切割操作之后退出端部执行器12的刀32。 
止动马达传感器142可以是例如常闭限位开关。在不同实施方式中，其可以位于斜齿轮鼓轮80的近端，使得当环84到达斜齿轮鼓轮80的近端时环84与开关142脱开。 
在操作时，当器械10的操作者拉回击发扳机20时，传感器110检测击发扳机20的展开并向马达65发送信号以促使马达65以例如与操作者拉回击发扳机20的剧烈程度成正比的速率正向旋转。马达65的正向旋转又促使齿圈78在行星齿轮组件72的远端旋转，由此促使斜齿轮鼓轮80旋转，从而促使螺纹接合在斜齿轮鼓轮80上的环84沿斜齿轮80鼓轮向远端移动。如上所述斜齿轮鼓轮80的旋转还驱动主驱动轴组件，这样又促使端部执行器12中的刀32的展开。也就是，促使刀32和滑块33沿纵向横切通道22，由此对夹紧在端部执行器12中的组织进行切割。在使用缝合型端部执行器的实施方式中还进行端部执行器12的缝合操作。 
在完成端部执行器12的切割/缝合操作后，斜齿轮鼓轮80上的环84将已经到达斜齿轮鼓轮80的远端，由此促使反向马达传感器130 脱开，从而向马达65发送信号以使马达65的旋转反向。这样又促使刀32缩回，并且还促使斜齿轮鼓轮80上的环84移动回到斜齿轮鼓轮80的近端。 
在图8和9中最清楚地示出，中间手柄部件104包括接合开槽臂90的后侧台肩106。中间手柄部件104还具有接合击发扳机20的前进运动止动件107。如以上说明，通过马达65的旋转控制开槽臂90的移动。当开槽臂90随着环84从斜齿轮鼓轮80的近端移动到远端而逆时针(CCW)旋转时，中间手柄部件104将自由地逆时针旋转。因此，当使用者向内拉动击发扳机20时，击发扳机20将接合中间手柄部件104的前进运动止动件107，从而促使中间手柄部件104逆时针旋转。然而，由于后侧台肩106接合开槽臂90，因此中间手柄部件104仅能在开槽臂90的允许下逆时针旋转。这样，如果马达65出于某种原因应该停止旋转时，开槽臂90将停止旋转，并且由于中间手柄部件104因开槽臂90的存在而不能自由地逆时针旋转，因此使用者不能进一步向内拉动击发扳机20。 
图41和42表示可以作为根据本发明不同实施方式的运转马达传感器110的变量传感器的两种状态。传感器110可以包括面部280、第一电极(A)282、第二马达(B)284、以及在马达282，284之间的可压缩电介质材料286(例如EAP)。传感器110可以定位成使得面部280接触缩回时的击发扳机20。因此，当击发扳机20缩回时，电介质材料286得到压缩，如图42所示，从而电极282，284更靠近在一起。由于电极282，284之间的距离“b”与电极282，284之间的阻抗直接相关，因此距离越大阻抗越大，并且距离越近阻抗越小。这样，电介质材料286因击发扳机20的缩回(在图42中由力“F”表示)而被压缩的量与电极282，284之间的阻抗成比例，这被用于按比例控制马达65。 
还在图7-10中示出了用于通过缩回闭合扳机18而闭合(或夹紧)端部执行器12的钉砧24的示例性闭合系统的部件。在所示实施方式中，闭合系统包括通过销251与闭合扳机18相连的轭250，所述销 251穿过闭合扳机18和轭250上的对准孔。使闭合扳机18绕其枢轴的枢轴销252插过闭合扳机18上的另一开口，该开口偏离销251穿过闭合扳机18的位置。因此，闭合扳机18的缩回促使闭合扳机18通过销251连接轭250的上部逆时针旋转。轭250的端缘通过销254与第一闭合托架256相连。第一闭合托架256与第二闭合托架258相连。总之，闭合托架256，258限定了开口，近端闭合管40的近端(参见图4)落入并固定在该开口中，使得闭合托架256，258的纵向移动促使近端闭合管40的纵向运动。器械10还包括布置在近端闭合管40内的闭合杆260。闭合杆260可以包括窗口261，在一个手柄外部部件例如所示实施方式中的外部下侧部件59上的柱263布置在所述窗口261内以使闭合杆260与手柄6固定连接。这样，近端闭合管40能够相对于闭合杆260纵向移动。闭合杆260还可以包括装配在远端脊状管46上的凹腔269内的并通过盖271保持在其中的远端凸缘267(参见图4)。 
在操作时，当轭250因闭合扳机18的缩回而旋转时，闭合托架256，258促使近端闭合管40向远端移动(也就是远离器械10的手柄6一端)，这样促使远端闭合管42向远端移动，从而促使钉砧24绕枢轴点25旋转到夹紧或闭合位置。当闭合扳机18从锁定位置解锁时，促使近端闭合管40向近端滑动，这样促使远端闭合管42向近端滑动，从而通过插入远端闭合管42的开口45内的突舌27促使钉砧24绕枢轴点25枢转到打开或松开位置。这样，通过缩回并锁定闭合扳机18，操作者可以夹紧钉砧24和通道22之间的组织，并且可以在切割/缝合操作之后通过使闭合扳机18从锁定位置解锁来松开组织。 
图11是根据本发明不同实施方式的器械10的电路的原理图。当操作者在锁定闭合扳机18之后首先向内拉动击发扳机时，传感器110致动，使电流从中流过。如果常开反向马达传感器开关130打开(意味着端部执行器的冲程还没有结束)，电流将流到单级、双投继电器132。由于反向马达传感器开关130未闭合，因此继电器132的线圈134不会被通电，从而继电器132将处于其断电状态。该电路还包括 共同限定联锁电路137的闭锁传感器开关136a-d，当断电时来自继电器132的电流必须经过联锁电路137以电操作马达65起动。每个联锁传感器开关136a-d被构造成分别响应相应状态的出现或缺少而保持打开(也就是非导电)开关状态或闭合(也就是导电)开关状态。在击发器械10时出现的任何相应状态都会导致不符合要求的切割和缝合操作和/或对器械10的损坏。闭锁传感器开关136a-d可以响应的状态包括例如在通道22中缺少钉仓34、在通道22中出现空(例如之前已击发的)钉仓34、以及钉砧24相对于通道22的打开(或未完全闭合)位置。闭锁传感器开关136a-d可以响应的其他状态例如部件磨损可以根据由器械10产生的击发操作的累计次数量进行推断。因此，如果这些状态中的任何状态存在，相应的闭锁传感器开关136a-d都保持打开开关状态，由此防止所需引起马达65操作的电流通过。仅在所有状态都已经得到纠正之后闭锁传感器136a-d才允许电流通过。应当理解，上述状态仅通过举例的方式提出，可以提出另外的闭锁传感器开关以响应对器械10的操作不利的其他状态。同样应当理解，对不存在或不涉及上述一个或多个状态的实施方式来说，闭锁传感器开关的数量可以比所示更少。 
如图11所示，可以采用常开开关构造作为闭锁传感器开关136a，使得当钉仓34处于与其由通道22准确收纳相对应的位置时保持闭合开关状态。当钉仓34未安装在通道22内或安装不准确(例如不对准)时，闭锁传感器开关136a保持打开开关状态。 
可以采用常开开关构造作为闭锁传感器开关136b，使得仅当通道22内存在未用完的钉仓34(也就是钉仓34具有处于未击发位置的滑块33)时才保持闭合开关状态。在通道22内存在空钉仓34促使闭锁传感器开关136b保持打开开关状态。 
可以采用常开开关构造作为闭锁传感器开关136c，使得当钉砧24相对于通道22处于闭合位置时保持闭合开关状态。如下文进一步详细论述的那样，闭锁传感器开关136c可以根据时间延迟特性得到控制，在所述时间延迟特性中仅在钉砧24处于闭合位置预定时间之 后保持闭合开关状态。 
可以采用常闭开关构造作为闭锁传感器开关136d，使得仅当由器械10产生的击发累计次数小于预定值时才保持闭合开关状态。如下文进一步详细描述的那样，闭锁传感器开关136d可以与计数器304相连，该计数器304被构造成保存代表器械执行的击发操作累计次数的计数、并将该计数与预定值进行比较、以及根据比较结果控制闭锁传感器开关136d的开关状态。 
根据不同实施方式，联锁电路137可以包括一个或多个器械10的使用者可视的指示器，用于显示至少一个闭锁传感器开关136a-d的状态。如图11所示，例如，每个闭锁传感器开关136a-d可以具有绿色LED139a和与其联合的红色LED139b。联锁电路137可以被构造成使得当相应的闭锁传感器开关136a-d分别保持在闭合和打开开关状态时LED139a，b被通电。应当理解，闭锁传感器开关136a-d可以包括一个或多个辅助开关触点(未示出)，该辅助开关触点具有适于以上述方式操作LED139a，b的开关构造。 
图43A-44C表示根据本发明不同实施方式的联锁电路137的闭锁传感器开关136a-d的安装结构和构造。如图43A所示，闭锁传感器开关136a可以包括布置在通道22的内壁上并与其电绝缘的第一开关触点288a和第二开关触点288b。第一和第二开关触点288a，b的相应位置被设计成使得钉仓34处于与其由通道22准确收纳相对应的位置，钉仓34的导电或半导电部分290(以钉仓34的金属托盘部分作为示例)接触第一和第二开关触点288a，b以在它们之间形成导电通路。在图43B中最清楚地示出，每个开关触点288a，b可以包括圆形外形，从而当钉仓34被通道22收纳时降低对其的机械阻力并且能够与其导电部分290形成确定的电接触。导电部分290因此起作用以将闭锁传感器开关136a保持在闭合开关状态。尽管开关触点288a，b被示出相邻地定位在通道22的侧壁部分上，但应当理解，每个开关触点288a，b大体上可以位于与导电元件290适当的电接触的通道22内的任何位置。还将认识到可以备选地采用常规接触致动的限位开关作 为闭锁传感器开关136a。根据该实施方式，限位开关可以定位成使得钉仓34当由通道22收纳时通过机械方式使限位开关致动，从而保持闭合开关状态。还应当理解，还可以采用常规非接触致动的限位开关例如磁性簧片限位开关或Hall(霍尔)效应接近开关作为闭锁传感器开关136a。根据该实施方式，钉仓34可以包括磁铁，该磁铁适于在安装钉仓34时促使闭锁传感器开关136a保持在闭合开关状态。 
在图43B中最清楚地示出，闭锁传感器开关136b可以安装在通道22的内部下表面上。根据不同实施方式并如图所示，可以采用常规设计的适于检测线性移动的接触致动的限位开关作为闭锁传感器开关136b。闭锁传感器开关136b的定向被设计成使得其致动位置从通道22的内部下表面向上延伸。闭锁传感器开关136b在通道22下表面上的位置被设计成使得当安装未用完的钉仓34时，滑块33的底部通过机械方式使闭锁传感器开关136b致动并使得由此保持闭合开关状态。因此，出现未用完的钉仓34(也就是钉仓具有处于未击发位置的滑块33)能够使电流通过闭锁传感器开关136b。应当理解，可以采用非接触致动的开关(例如磁性簧片限位开关或Hall效应接近开关)代替作为闭锁传感器开关136b。对这种实施方式来说，滑块33可以包括磁化部分，该磁化部分例如在滑块33出现在未击发位置时使闭锁传感器开关136b致动。 
如图44A所示，闭锁传感器开关136c定位成靠近由通道22的近端限定的一个枢轴凹槽296的远端以接合钉砧24的相应枢轴点25。根据不同实施方式并如图所示，可以采用常规设计的适于检测线性移动的接触致动的限位开关作为闭锁传感器开关136c。然而，应当理解，可以代替地采用非接触致动的限位开关。闭锁传感器开关136c的定向可以被设计成使得其致动部分略微延伸超过相应枢轴凹槽296的远端。当钉砧24相对于通道22处于(如图44A所示)打开位置时，枢轴点25定位在枢轴凹槽296的近端。钉砧24的闭合促使枢轴点25移动到枢轴凹槽296的远端。枢轴点25与闭锁传感器开关136c的致动部分发生的接触促使闭锁传感器开关136c保持闭合开关状态，由 此使电流能够从中通过。 
根据其他实施方式并如图44B所示，闭锁传感器开关136c可以代替地被构造成响应电信号而保持闭合开关状态。电信号可以是例如由布置在通道22的下部内表面上的力传感器298产生的模拟信号，该信号代表钉砧24施加的夹紧力的量级。由此可以在模拟信号的量级足够大的情况下推断钉砧24的闭合位置。因而，可以通过比较电路141接收模拟信号，该比较电路141被构造成确定量级是否超过在其中存储的预定阈值。如果超过阈值，表示钉砧24闭合，则比较电路141促使闭锁传感器开关136c保持闭合开关状态，由此使电流能够从中通过。如果模拟信号的量级小于预定阈值，表示钉砧24没有完全闭合，则比较电路141促使闭锁传感器开关136c保持打开开关状态，由此防止电流从中通过。尽管被示为分开，但应当理解，比较电路141可以与闭锁传感器开关136c一体形成以形成共用装置。还应当理解，可以按照需要调节比较电路141存储的预定阈值以反映代表不同切割和缝合操作下钉砧24闭合的力。 
在某些情况，需要或要求在钉砧24闭合之后延迟开始击发操作一段时间。例如在夹紧和击发操作之间引入延迟可以起到提高夹紧组织的稳定性的作用。因此，参照图44C，本发明的实施方式可以包括定时器300，其具有预设时间延迟(例如12秒)并被构造成根据钉砧24基于时间的位置控制闭锁传感器开关136c的开关状态。尽管被示为分开，但应当理解，定时器300可以与闭锁传感器开关136c一体形成以形成共用装置(例如接通延迟定时器)。优选地，定时器300采用电子装置，尽管如此，应当理解，可以代替地采用机械定时器。以与图44A相同的方式构造的常开限开关302可以与定时器300相连，使得当钉砧24相对于通道22处于闭合位置时开始定时。当预设时间延迟到时后，定时器300促使闭锁传感器开关136c保持闭合开关状态，由此使电流能够从中通过。定时器300可以响应限位开关302的转换被预设到打开开关状态(也就是当钉砧24处于打开位置时)。应当理解，可以按照需要(例如采用一体的电位计调节)选择性调整 定时器300的预设时间延迟。 
再次参照图11，电路可以包括计数器304，其被构造成保存代表由器械10执行的击发操作类似次数的计数并根据该技术控制闭锁传感器开关136d的开关状态。尽管被示为分开，但应当理解，计数器304可以与闭锁传感器开关136d一体形成以形成共用装置。优选地，计数器304采用电子装置，该装置具有输入以根据为其提供的离散电信号的转换增加保存的计数。应当理解，可以代替地采用被构造成根据机械输入(例如击发扳机20的缩回)保存技术的机械计数器。当采用电子装置时，在电路中存在的将每一击发操作转换一次的任何离散信号都可以被用作计数器304的输入。如图11所示，例如，可以利用由冲程结束传感器130的致动引起的离散电信号。计数器304可以控制闭锁传感器开关136d的开关状态，使得当保存的计数小于存储在计数器304内的预定值时保持闭合开关状态。当保存的计数等于预定值时，计数器304促使闭锁传感器开关136d保持打开状态，由此防止电流从中通过。应当理解，可以按照需要选择性地调节计数器304存储的预定值。根据不同实施方式，计数器304可以与显示器305例如LCD显示器相连，所述显示器与器械10结合成一体以向使用者指示保存的计数或者预定值和保存的计数之间的差值。 
当闭锁传感器开关136a-d共同保持闭合开关状态时，单极、单投继电器138被通电。当继电器138被通电时，电流流过继电器138，流过可变电阻器传感器110，并通过双极、双投继电器140到达马达65，由此驱动马达65并使其在正向上旋转。由于一旦通电继电器138的输出会将继电器138保持在通电状态直至继电器132被通电，因此联锁电路137在马达65起动时不会防止其操作，即使是在一个或多个闭锁传感器开关136a-d依次保持打开开关状态。然而，在其他实施方式中，可能需要或要求使联锁电路137与继电器138相连，使得一个或多个闭锁传感器开关136a-d必须保持闭合开关状态以在马达165起动时维持其操作。 
马达在正向上的旋转促使换84向远端移动并由此停止止动马达 传感器开关142。由于开关142是常闭的，因此螺线管306被通电。螺线管306可以是常规的推式螺线管，其在被通电时促使柱塞(未示出)沿轴向伸长。如下文结合图14-22所论述的那样，柱塞的伸长可以起到将闭合扳机18保持在缩回位置的作用，由此防止钉砧24在击发操作正在进行的同时(也就是开关142不致动的同时)打开。当螺线管306断电时，柱塞缩回使得可以手动释放闭合扳机18。 
当端部执行器12冲程结束时，方向马达传感器130将会致动，由此闭合开关130并使继电器132通电。这样促使继电器132表现出其通电状态(在图11中未示出)，从而促使电流绕过联锁电路137和变量电阻器110，并且代替地促使电流流到常闭双极、双投继电器140，但以促使马达65旋转方向反向的方式通过继电器140回到马达65。 
由于止动马达传感器开关142是常闭的，因此电流将流回到继电器132以保持其通电，直至开关142打开。当刀32完全缩回时，止动马达传感器开关142致动，从而促使开关142打开，由此消除了来自马达65的动力并停止螺线管306。 
在其他实施方式中，可以采用开关式传感器代替比例式传感器110。在这些实施方式中，马达65的旋转速率不会与由操作者施加的力成比例。此外，马达65大体上以恒定速率旋转。但由于击发扳机20连接在齿轮传动系内，因此操作者仍然承受受力反馈。 
图12是根据另一实施方式的动力辅助的机动内切割器的手柄6的侧视图。图12的实施方式与图7-10类似，除了在图12的实施方式中，不存在与通过螺纹方式连接在斜齿轮鼓轮80上的环84相连的开槽臂90。代替地，在图12的实施方式中，环84包括传感器部分114，其随着环84在斜齿轮鼓轮80上的向下(和向后)前进而与环84一起移动。传感器部分114包括凹口116。反向马达传感器130可以位于凹口116的远端并且止动马达传感器142可以位于凹口116的近端。当环84沿斜齿轮鼓轮80向下(和向后)移动时，传感器部分与其一起移动。此外，如图12所示，中间部件104可以具有延伸到 凹口116内的臂118。 
在操作时，器械10的操作者向手枪式握把26方向拉动击发扳机20，运转马达传感器110检测运动并发出信号以驱动马达65，这样尤其是促使斜齿轮鼓轮80旋转。当斜齿轮鼓轮80旋转时，螺纹接合在斜齿轮鼓轮80上的环84前进(或缩回、取决于旋转)。同样，由于击发扳机20向内拉动，促使中间部件104在接合了击发扳机20的正向运动止动件107的作用下与击发扳机20一起逆时针旋转。中间部件104的逆时针旋转促使臂118与环84的传感器部分114一起逆时针旋转，使得臂118保持布置在凹口116内。当环84到达斜齿轮鼓轮80的远端时，臂118将接触并由此脱开反向马达传感器130。同样，当环84到达斜齿轮鼓轮80的近端，臂118将接触并由此脱开止动马达传感器142。如上所述，该动作会使马达65反向并停止。 
图13是根据另一实施方式的动力辅助的机动内切割器的手柄6的侧视图。图13的实施方式与图7-10类似，除了在图13的实施方式在臂90上没有槽。代替地，螺纹连接在斜齿轮鼓轮80上的环84包括垂直通道126。取代槽，臂90包括布置在通道126内的柱128。当斜齿轮鼓轮80旋转时，螺纹接合在斜齿轮鼓轮80上的环84前进(或缩回、取决于旋转)。由于柱128布置在通道126内，因此臂90随着环84的前进而逆时针旋转，如图13所示。 
如上所述，采用两冲程机动器械时，操作者首先拉回并锁定闭合扳机18。图14和15表示将闭合扳机18锁定在手柄6的手枪式握把26上的方法的一个实施方式。在所示实施方式中，手枪式握把部分26包括由扭簧152偏压以绕枢轴点151逆时针旋转的钩150。同样，闭合扳机18包括闭合杆154。当操作者向内拉动闭合扳机18时，闭合杆154接合钩150的倾斜部分156，由此使钩150向上(或在图14-15中顺时针)旋转直至闭合杆154使倾斜部分156完全进入钩150的凹入口158内，这样将闭合扳机18锁定在适当位置。操作者可以通过下推手枪式握把部分26后部或相对侧的滑动按钮释放部件160来释放闭合扳机18。下推滑动按钮释放部件160使钩150顺时针旋转，使 得闭合杆154与凹入口158脱开。为了防止钉砧24在击发操作正在进行的同时无意中打开，螺线管306可以定位在手枪式握把26内，使得通电时螺线管306的柱塞308容纳在活动按钮释放部件160的相应开口163内。这样，滑动按钮释放部件160锁定在适当位置，从而防止滑动按钮释放部件160的操作直至完成击发操作时柱塞308从开口163中缩回。 
图16表示根据不同实施方式的另一闭合扳机锁定机构。在图16的实施方式中，闭合扳机18包括具有箭头部分161的楔部160。箭头部分161由片簧162向下(或顺时针)偏压。楔部160和片簧162可以由例如模制塑料制成。当闭合扳机18缩回时，箭头部分161穿过手柄6的手枪式握把部分26上的开口164。箭头部分161的下斜切表面166接合开口164的下侧壁168，从而迫使箭头部分161逆时针旋转。最后下斜切表面166完全通过下侧壁168，解除对箭头部分161的逆时针力，从而促使下侧壁168滑入箭头部分161后面的凹口170上的锁定位置。 
为了使闭合扳机18解锁，使用者向闭合扳机18的相对一侧按下按钮172，从而促使箭头部分161逆时针旋转并且使箭头部分161可以滑出开口164。为了防止钉砧24在击发操作的正在进行的同时无意中打开，螺线管306可以定位在手枪式握把26内，使得通电时螺线管306的柱塞308容纳在由箭头部分161限定的相应开口173内。当容纳在开口173内时，柱塞308起到防止箭头部分161逆时针旋转的作用。这样，使用者可以防止由使用者造成的按钮172的无意操作，直至击发操作完成时柱塞308从开口173中缩回。 
图17-22表示根据另一实施方式的闭合扳机锁定机构。如该实施方式所示，闭合扳机18包括柔性纵向臂176，其包括从中延伸的侧销178。臂176和销178可以由例如模制塑料制成。手柄6的手枪式握把部分26包括开口180，侧向延伸的楔部182布置在其中。当闭合扳机18缩回时，销178接合楔部182，并且销178被楔部182的下表面184迫使向下(也就是臂176顺时针旋转)，如图17和18所示。当 销178完全穿过下表面184时，解除对臂176的顺时针力，并且销178逆时针旋转，使得销178停在楔部182后面的凹口186内，如图19所示，由此锁定闭合扳机18。销178进一步通过从楔部184延伸的柔性止动件188适当保持在锁定位置。 
为了使闭合扳机18解锁，操作者可以进一步挤压闭合扳机18，促使销178接合开口180的倾斜后壁190，从而迫使销178向上经过柔性止动件188，如图20和21所示。销178随后自由向外移动到开口180的上通道192，使得闭合扳机18不再锁定在手枪式握把部分26上，如图22所示。为了防止钉砧24在击发操作正在进行的同时无意中打开，螺线管306可以定位在手枪式握把26内，使得通电时螺线管306的柱塞308容纳在上通道192内。当容纳在上通道192内时，柱塞308起到防止销178从中通过的作用。这样，防止闭合扳机18解锁直至击发操作完成时柱塞308从上通道192中缩回。 
图23A-B表示万向接头(“U形接头”)195。U形接头195的第二部件195-2在第一部件195-1所处的水平平面上旋转。图23A表示U形接头195处于线性(180°)定向并且图23B表示U形接头195处于大致150°的定向。U形接头195可以被用在主驱动轴组件的关节运动点14处代替斜齿轮52a-c(例如参见图4)关节运动端部执行器12。图24A-B表示可以被用于代替斜齿轮52a-c和U形接头195以实现端部执行器12的关节运动的扭转电缆197。 
图25-31表示根据本发明另一实施方式的具有动力辅助的机动、两冲程外科切割和紧固器械10的另一实施方式。图25-31的实施方式与图6-10类似，除了代替斜齿轮鼓轮80，图25-31的实施方式包括备选的齿轮传动组件。图25-31的实施方式包括带有布置在框架201内的多个齿轮的变速箱组件200，其中所述齿轮在传动轴48的近端连接在行星齿轮72和小齿轮124之间。如下文进一步说明的那样，变速箱组件200通过击发扳机20向使用者提供有关端部执行器12的展开和负载力的反馈。同时，使用者可以通过变速箱组件200向系统提供动力以有助于端部执行器12的展开。在那方面，与以上所述的实 施方式相同，图25-31的实施方式是另一种动力辅助、机动的器械10，其向使用者提供有关切割器械32承受的负载力的反馈。 
在所示实施方式中，击发扳机20包括两部分：主体部分202和加强部分204。主体部分202可以由例如塑料制成并且加强部分204可以由更硬的材料例如金属制成。在所示实施方式中，加强部分204靠近主体部分202，但根据其他实施方式，加强部分204可以布置在主体部分202内部。枢轴销207可以穿过击发扳机部件202，204上的开口，并且可以是使击发扳机20绕其旋转的点。另外，弹簧222可以偏压击发扳机20以使其在逆时针方向上旋转。弹簧222可以具有与销224相连的远端，销224与击发扳机20的部件202，204相连。弹簧222的近端可以与手柄外部下侧部件59，60中的一个相连。 
在所示实施方式中，主体部分202和加强部分204包括分别在它们上端部分的齿轮部分206，208。齿轮部分206，208如下文说明的那样接合变速箱组件200内的齿轮，以驱动主驱动轴组件并向使用者提供有关端部执行器12展开的反馈。 
变速箱组件200如示意性实施方式所示可以包括六个(6个)齿轮。变速箱组件200的第一齿轮210接合击发扳机20的齿轮部分206，208。另外，第一齿轮210接合更小的第二齿轮212，更小的第二齿轮212与大的第三齿轮214同轴。第三齿轮214接合更小的第四齿轮216，更小的第四齿轮216与第五齿轮218同轴。第五齿轮218是接合与之配合的90°斜齿轮220的90°斜齿轮(在图31中最清楚地示出)，所述斜齿轮220与驱动主驱动轴48的小齿轮124相连。 
在操作时，当使用者使击发扳机20缩回时，运转马达传感器(未示出)致动，向马达65提供信号，使其以与操作缩回击发扳机20的程度或力成比例的速率旋转。这样促使马达65以与来自传感器的信号成比例的速度旋转。在该实施方式中未示出传感器，但其可以与以上所述的运转马达传感器110类似。该传感器可以位于手柄6内，使得当击发扳机20缩回时其被压下。同样，可以采用开/关式传感器代替比例式传感器。
马达65的旋转促使斜齿轮66，70旋转，这样促使行星齿轮72旋转，从而通过传动轴76促使齿圈122旋转。齿圈122与小齿轮124啮合，小齿轮124与主驱动轴48相连。因此，小齿轮124的旋转驱动主驱动轴48，从而促使端部执行器12的切割/缝合操作的执行。 
小齿轮124的正向旋转又促使斜齿轮220旋转，这样通过变速箱组件200中的其余齿轮促使第一齿轮210旋转。第一齿轮210接合击发扳机20的齿轮部分206，208，由此促使击发扳机20在马达65对端部执行器12提供正向驱动时逆时针旋转(并且在马达65反向旋转以使端部执行器12缩回时逆时针旋转)。这样，使用者通过使用者握紧在击发扳机20上而承受有关端部执行器12负载力和展开的反馈。因此，当使用者缩回击发扳机20时，操作者将承受与端部执行器12承受的负载力相关的阻力。同样，当操作者在切割/缝合操作之后释放击发扳机20使得其能够回到其初始位置时，使用者将承受来自击发扳机20大体上与马达65的反向速度成比例的CW旋转。 
还应该指出，在本实施方式中使用者可以(代替来自马达65的力或在其之外)施加力以通过缩回击发扳机20使主驱动轴组件致动(以及由此引起端部执行器12的切割/缝合操作)。也就是说，缩回击发扳机20促使齿轮部分206，208逆时针旋转，这样促使变速箱组件200中的齿轮旋转，由此促使小齿轮124旋转，进而促使主驱动轴48旋转。 
尽管在图25-31中未示出，但器械10还可以包括反向马达和止动马达传感器。如上所述，反向马达和止动马达传感器可以分别检测切割冲程的结束(刀32和滑块33完全展开)和缩回操作的结束(刀32完全缩回)。可以采用与以上结合图11所述的电路类似的电路适当地驱动马达65。 
图32-36表示根据另一实施方式的具有动力辅助的两冲程、机动的外科切割和紧固器械10。图32-36的实施方式与图25-31类似，除了在图32-36的实施方式中击发扳机20包括下部228和上部230。这两部分228，230与穿过每部分228，230布置的枢轴销207相连并绕 其枢转。上部230包括接合变速箱组件200的第一齿轮210的齿轮部分232。弹簧222与上部230相连，使得上部被偏压在顺时针方向旋转。上部230还可以包括下臂234，其接触击发扳机20的下部228的上表面，使得当促使上部230顺时针旋转时下部228也顺时针旋转，并且当下部228逆时针旋转时上部230也逆时针旋转。类似地，下部228包括接合上部230的下台肩的旋转止动件238。这样，当促使上部230逆时针旋转时下部228也逆时针旋转，并且当下部228顺时针旋转时上部230也顺时针旋转。 
所示的实施方式还包括向马达65传送信号的运转马达传感器110，在不同实施方式中该运转马达传感器110可以促使马达65以与缩回击发扳机20时操作者施加的力成比例的速度旋转。如在此说明的那样，该传感器110可以是例如变阻器或一些其他可变电阻传感器。另外，器械10可以包括反向马达传感器130，其在由击发扳机20的上部230的正面242接触时脱开或转换。当致动时反向马达传感器130向马达65发送信号以使方向反向。同时，器械10可以包括止动马达传感器142，其在由击发扳机20的下部228接触时脱开或致动。当致动时止动马达传感器142发送信号以停止马达65的反向旋转。 
在操作时，当操作者使闭合扳机18缩入锁定位置时，击发扳机20(通过本领域已知机构，包括授予Swayze等人的名称为“包含具有连接齿条传动的击发机构的外科缝合器械(SURGICAL STAPLINGINSTRUMENT INCORPORATING A FIRING MECHANISM HAVINGA LINKED RACK TRANSMISSION)”的美国专利No.6,905,057，该专利在此引入作为参考)略微缩回，使得操作者可以抓紧击发扳机20以引发切割/缝合操作，如图32和33所示。在那时，如图33所示，击发扳机20的上部230的齿轮部分232移动以与变速箱组件200的第一齿轮210啮合。根据不同实施方式，当操作者缩回击发扳机20时，在脱开运转马达传感器110之前，击发扳机20可以小量旋转例如五度，如图34所示。传感器110的致动促使马达65以与操作者施加的缩回力成正比的速率正向旋转。如上所述，马达65的正向旋转 促使主驱动轴48旋转，这样促使端部执行器12上的刀32展开(也就是开始横切通道22)。与主驱动轴48相连的小齿轮124的旋转促使变速箱组件200中的齿轮210-220旋转。由于第一齿轮210与击发扳机20的上部230的齿轮部分232啮合，因此促使上部230逆时针旋转，从而促使下部228也逆时针旋转。 
当刀32完全展开时(也就是切割冲程结束)，上部230的正面242脱开反向马达传感器130，从而向马达65发送信号以使旋转方向反向。这样促使主驱动轴组件的旋转方向反向以缩回刀32。主驱动轴组件的反向旋转促使变速箱组件200内的齿轮210-22方向反向，这又促使击发扳机20的上部230顺时针旋转，从而促使击发扳机20的下部228顺时针旋转直至上部230的正面242在刀32完全缩回时脱开或致动止动马达传感器142，这样促使马达65停止。这样，使用者承受与通过使用者抓紧在击发扳机20上而产生的端部执行器12的展开相关的反馈。因此，当使用者缩回击发扳机20时，操作者将承受与端部执行器12的展开以及特别是刀32承受的负载力相关的阻力。类似地，当操作者在切割/缝合操作之后释放击发扳机20使得其回到原始位置时，使用者将承受来自击发扳机20、大体上与马达65的反向速度成比例的顺时针旋转力。 
还应该指出，在本实施方式中使用者可以(代替来自马达65的力或在其之外)施加力以通过缩回击发扳机20使主驱动轴组件致动(以及由此引起端部执行器12的切割/缝合操作)。也就是说，缩回击发扳机20促使上部230的齿轮部分232逆时针旋转，这样促使变速箱组件200中的齿轮旋转，由此促使小齿轮124旋转，进而促使主驱动轴组件旋转。 
上述实施方式采用动力辅助的使用者反馈系统，具有对两冲程、机动的外科切割和紧固器械的自适应控制(例如采用在马达的闭环系统之外的传感器110，130和142、齿轮传动系、以及端部执行器)。也就是说，可以通过击发扳机20(直接或间接)连接在马达65和主驱动轴48之间的齿轮传动系内使使用者在缩回击发扳机20时施加的 力附加在马达65施加的力上。在本发明的其他实施方式中，使用者可以具有有关端部执行器12中的刀32的位置的触觉反馈，但是在击发扳机20未连接在齿轮传动系内的情况下。图37-40表示具有这种触摸位置反馈系统的机动外科切割和紧固器械10。 
在图37-40所示的实施方式中，与图32-36所示的器械10类似，击发扳机20可以具有下部228和上部230。然而，与图32-36的实施方式不同的是，器械10不具有与齿轮传动系的部件啮合的齿轮部分。代替地，器械10包括第二马达265，其具有螺纹连接在其上的螺纹杆266。当马达265旋转时，螺纹杆266根据旋转方向沿纵向往复进入和离开马达265。器械10还包括响应主驱动轴48的旋转以将主驱动轴48(或主传动组件的其他部件)增加的角运动译成例如响应系列的数字信号的编码器268。在所示实施方式中，小齿轮124包括与编码器268相连的近端驱动轴270。 
器械10还包括控制电路(未示出)，其可以采用从编码器268接收数字信号的微控制器或一些其他类型的集成电路。根据来自编码器268的信号，控制电路可以计算端部执行器12中的刀32的展开阶段。也就是说，控制电路可以计算刀32是否完全展开，完全缩回，或处于中间阶段。根据端部执行器12展开阶段的计算结果，控制电路可以向第二马达265发送信号以控制其旋转，由此控制螺纹杆266的往复移动。 
在操作时，如图37所示，当闭合扳机18未锁定在夹紧位置时，击发扳机20旋转远离手柄6的手枪式握把部分26，使得击发扳机20的上部230的正面242不与螺纹杆266的近端接触。当操作者缩回闭合扳机18并将其锁定在夹紧位置时，击发扳机20向闭合扳机18略微旋转，使得操作者可以抓紧击发扳机20，如图38所示。在这一位置，上部230的正面242接触螺纹连接杆266的近端。 
当使用者随后缩回击发扳机20时，在初始旋转量(例如旋转5度)之后运转马达传感器110可以致动，使得如上所述传感器110向马达65发送信号以使其以与操作者施加在击发扳机20上的缩回力值 成比例的正向速度旋转。马达65的正向旋转通过齿轮传动系促使主驱动轴48旋转，这样促使刀32和滑块33沿通道22移动并切断夹紧在端部执行器12上的组织。控制电路从编码器268接收有关主驱动轴组件增量旋转的输出信号并向第二马达265发送信号以促使第二马达265旋转，从而促使螺纹杆266缩入马达265内。这样可以使击发扳机20的上部230逆时针旋转，从而使击发扳机的下部228也逆时针旋转。这样，由于螺纹杆266的往复移动与主驱动轴组件的旋转有关，因此器械10的操作者通过他/她紧握在击发扳机20上来承受对端部执行器12的位置的触觉反馈。然而，由于在本实施方式中击发扳机20没有连接在齿轮传动系内，因此操作者施加的缩回力并不直接影响主驱动轴组件的传动。 
凭借通过来自编码器268的输出信号跟踪主驱动轴组件的增量旋转，控制电路可以计算出刀32完全展开(也就是完全伸出)的时刻。在这时，控制电路可以向马达65发送信号使方向反向以促使刀32缩回。马达65方向反向促使主驱动轴组件的旋转方向反向，这一点也通过编码器268检测。根据编码器268检测刀的反向旋转，控制电路向第二马达265发送信号以促使其反向旋转，使得螺纹杆266开始从马达265纵向伸出。这种运动迫使击发扳机20的上部230顺时针旋转，从而促使下部228也顺时针旋转。这样，操作者可以承受来自击发扳机20的顺时针力，从而向操作者提供对端部执行器12上的刀32的缩回位置的反馈。控制电路可以确定刀32完全缩回的时刻。在这时，控制电路可以向马达65发送信号以停止旋转。 
根据其他实施方式，如上所述，可以采用反向马达和止动马达传感器，而不是具有确定刀32的位置的控制电路。另外，可以采用转换开关或传感器，而不是采用比例传感器110控制马达65的旋转。在这种实施方式中，操作者不能控制马达65的旋转速率。而只能是所述马达以预定编程速率旋转。 
以上已经结合切割式外科器械描述了本发明的不同实施方式。然而，应该指出，在其他实施方式中在此公开的本发明的外科器械不需 要是切割式外科器械。例如，其可以是非切割内窥镜器械、抓钳、缝合器、夹具施放器、接入装置、药物/基因治疗供给装置、采用超声波、RF、激光等的能量装置。 
尽管在此已经结合某些公开的实施方式描述了本发明，但可以对那些实施方式做出许多修改和变形。例如，可以采用不同类型的端部执行器。同时，对于公开的用于某些部件的材料来说，可以采用其他材料。在前描述和之后的权利要求被用于覆盖所有这样的修改和变形。 
就是说在此通过参考总体或部分地引入的任何专利、出版物、或其他公开内容引入在此仅仅是达到所引入的材料不与本申请公开的内容中提出现有定义、陈述或其他公开内容相矛盾的程度。同样，在必要的范围内，在此明确提出的内容替代通过参考在此引入的任何矛盾的内容。就是说在此通过参考引入的、但与在此提出的现有定义、陈述或其他公开内容相矛盾的任何内容或其一部分仅仅被引入达到在引入的内容和现有公开内容之间不会产生任何矛盾的程度。

Claims (9)

1.一种外科切割和缝合器械，包括：
端部执行器，其包括：
通道；
可枢转地连接在通道上的钉砧；
可动切割器械，其用于对定位在钉砧和通道之间的物体进行切割；以及
钉仓，其被构造成由通道可移除地收纳，所述钉仓包括在切割冲程期间与所述可动切割器械接合的滑块；
手柄，其包括用于通过主驱动轴组件使所述可动切割器械致动的马达；以及
第一联锁电路，其能够根据钉仓的位置引发马达操作；
第二联锁电路，其用于在所述可动切割器械运动期间防止钉砧相对于通道枢转运动。
2.如权利要求1所述的外科切割和缝合器械，其特征在于，所述第二联锁电路包括机电致动器，其被构造成在所述可动切割器械运动过程中防止钉砧相对于通道打开。
3.如权利要求1所述的外科切割和缝合器械，其特征在于，所述第一联锁电路还能够根据钉砧的位置、滑块在钉仓内的位置、以及所述外科切割和缝合器械执行的操作累计次数中的至少一个引发马达操作。
4.如权利要求3所述的外科切割和缝合器械，其特征在于，所述第一联锁电路包括：
第一开关，其被构造成当钉仓处于与其由通道收纳相对应的位置时，保持第一开关状态；
第二开关，其被构造成当钉砧相对于通道处于闭合位置时保持第二开关状态；
第三开关，其被构造成当滑块位于钉仓内未击发位置时保持第三开关状态；以及
第四开关，其被构造成当操作的累计次数小于预定值时保持第四开关状态；
其中，所述第一、第二、第三、以及第四开关被连接成使得当共同保持相应的第一、第二、第三、以及第四开关状态时，能够引发马达操作。
5.如权利要求4所述的外科切割和缝合器械，其特征在于，所述第一、第二、第三、以及第四开关中的至少一个从接触致动开关和非接触致动开关中选择。
6.如权利要求4所述的外科切割和缝合器械，其特征在于，所述第一开关包括布置在通道内并与通道电绝缘的第一开关触点和第二开关触点，其中，第一和第二开关触点被定位成使得钉仓的一部分在当处于与其由通道收纳相对应的位置时，在第一和第二开关触点之间建立导电通道。
7.如权利要求4所述的外科切割和缝合器械，其特征在于，所述第二开关还能够因钉砧相对于通道处于闭合位置时向第二开关上施加机械力而保持第二开关状态。
8.如权利要求4所述的外科切割和缝合器械，其特征在于，所述第二开关还被构造成响应于电信号而保持第二开关状态，其中，所述电信号表示钉砧处于闭合位置时由钉砧施加的力。
9.如权利要求4所述的外科切割和缝合器械，其特征在于，所述第二开关还被构造成在钉砧已经相对于通道处于闭合位置达预定时间段之后保持第二开关状态。
CN2007100879080A 2006-01-31 2007-01-31 电动闭锁装置以及包含该装置的外科器械 Active CN101133972B (zh)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US11/343,439 2006-01-31
US11/343,439 US7644848B2 (en) 2006-01-31 2006-01-31 Electronic lockouts and surgical instrument including same

Publications (2)

Publication Number Publication Date
CN101133972A CN101133972A (zh) 2008-03-05
CN101133972B true CN101133972B (zh) 2011-04-06

Family

ID=38024174

Family Applications (1)

Application Number Title Priority Date Filing Date
CN2007100879080A Active CN101133972B (zh) 2006-01-31 2007-01-31 电动闭锁装置以及包含该装置的外科器械

Country Status (14)

Country Link
US (1) US7644848B2 (zh)
EP (2) EP2272441B1 (zh)
JP (1) JP4970067B2 (zh)
KR (1) KR101369236B1 (zh)
CN (1) CN101133972B (zh)
AT (2) ATE556659T1 (zh)
AU (1) AU2007200357B2 (zh)
BR (1) BRPI0701393B8 (zh)
CA (1) CA2576470C (zh)
DE (1) DE602007013957D1 (zh)
HK (1) HK1106419A1 (zh)
MX (1) MX2007001305A (zh)
RU (1) RU2447850C2 (zh)
SG (1) SG134314A1 (zh)

Families Citing this family (1425)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5865361A (en) 1997-09-23 1999-02-02 United States Surgical Corporation Surgical stapling apparatus
US7285131B1 (en) * 1999-07-28 2007-10-23 Cardica, Inc. System for performing anastomosis
US10835307B2 (en) 2001-06-12 2020-11-17 Ethicon Llc Modular battery powered handheld surgical instrument containing elongated multi-layered shaft
US7464847B2 (en) 2005-06-03 2008-12-16 Tyco Healthcare Group Lp Surgical stapler with timer and feedback display
US10285694B2 (en) 2001-10-20 2019-05-14 Covidien Lp Surgical stapler with timer and feedback display
EP3170459A1 (en) 2003-03-11 2017-05-24 Covidien LP Clip applying apparatus with angled jaw
ES2279231T3 (es) 2003-05-09 2007-08-16 Tyco Healthcare Group Lp Grapa anastomotica con tubo capilar que dispensa fluidos.
US20070084897A1 (en) 2003-05-20 2007-04-19 Shelton Frederick E Iv Articulating surgical stapling instrument incorporating a two-piece e-beam firing mechanism
US9060770B2 (en) 2003-05-20 2015-06-23 Ethicon Endo-Surgery, Inc. Robotically-driven surgical instrument with E-beam driver
US11311291B2 (en) 2003-10-17 2022-04-26 Covidien Lp Surgical adapter assemblies for use between surgical handle assembly and surgical end effectors
US10022123B2 (en) 2012-07-09 2018-07-17 Covidien Lp Surgical adapter assemblies for use between surgical handle assembly and surgical end effectors
US10041822B2 (en) 2007-10-05 2018-08-07 Covidien Lp Methods to shorten calibration times for powered devices
US20090090763A1 (en) * 2007-10-05 2009-04-09 Tyco Healthcare Group Lp Powered surgical stapling device
US8182501B2 (en) 2004-02-27 2012-05-22 Ethicon Endo-Surgery, Inc. Ultrasonic surgical shears and method for sealing a blood vessel using same
US8905977B2 (en) 2004-07-28 2014-12-09 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having an electroactive polymer actuated medical substance dispenser
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
WO2006015319A2 (en) 2004-07-30 2006-02-09 Power Medical Interventions, Inc. Flexible shaft extender and method of using same
JP2006081687A (ja) * 2004-09-15 2006-03-30 Max Co Ltd 医療用ステープラ
JP4783372B2 (ja) 2004-10-08 2011-09-28 タイコ ヘルスケア グループ エルピー 外科用クリップを付与するための装置
EP2641549B1 (en) 2004-10-08 2015-08-12 Covidien LP An endoscopic surgical clip applier
US9763668B2 (en) 2004-10-08 2017-09-19 Covidien Lp Endoscopic surgical clip applier
AU2005295010B2 (en) 2004-10-08 2012-05-31 Ethicon Endo-Surgery, Inc. Ultrasonic surgical instrument
US8876820B2 (en) * 2004-10-20 2014-11-04 Atricure, Inc. Surgical clamp
US11291443B2 (en) * 2005-06-03 2022-04-05 Covidien Lp Surgical stapler with timer and feedback display
EP1937157B1 (en) 2005-06-03 2020-08-05 Covidien LP Surgical stapler with timer and feedback display
US10314583B2 (en) 2005-07-26 2019-06-11 Ethicon Llc Electrically self-powered surgical instrument with manual release
US7479608B2 (en) 2006-05-19 2009-01-20 Ethicon Endo-Surgery, Inc. Force switch
US8028885B2 (en) * 2006-05-19 2011-10-04 Ethicon Endo-Surgery, Inc. Electric surgical instrument with optimized power supply and drive
US8579176B2 (en) 2005-07-26 2013-11-12 Ethicon Endo-Surgery, Inc. Surgical stapling and cutting device and method for using the device
US9662116B2 (en) 2006-05-19 2017-05-30 Ethicon, Llc Electrically self-powered surgical instrument with cryptographic identification of interchangeable part
US8627993B2 (en) * 2007-02-12 2014-01-14 Ethicon Endo-Surgery, Inc. Active braking electrical surgical instrument and method for braking such an instrument
US9554803B2 (en) 2005-07-26 2017-01-31 Ethicon Endo-Surgery, Llc Electrically self-powered surgical instrument with manual release
US7959050B2 (en) * 2005-07-26 2011-06-14 Ethicon Endo-Surgery, Inc Electrically self-powered surgical instrument with manual release
US11751873B2 (en) 2005-07-26 2023-09-12 Cilag Gmbh International Electrically powered surgical instrument with manual release
US8627995B2 (en) 2006-05-19 2014-01-14 Ethicon Endo-Sugery, Inc. Electrically self-powered surgical instrument with cryptographic identification of interchangeable part
US11484312B2 (en) 2005-08-31 2022-11-01 Cilag Gmbh International Staple cartridge comprising a staple driver arrangement
US7669746B2 (en) 2005-08-31 2010-03-02 Ethicon Endo-Surgery, Inc. Staple cartridges for forming staples having differing formed staple heights
US7934630B2 (en) 2005-08-31 2011-05-03 Ethicon Endo-Surgery, Inc. Staple cartridges for forming staples having differing formed staple heights
US20070194082A1 (en) 2005-08-31 2007-08-23 Morgan Jerome R Surgical stapling device with anvil having staple forming pockets of varying depths
US10159482B2 (en) 2005-08-31 2018-12-25 Ethicon Llc Fastener cartridge assembly comprising a fixed anvil and different staple heights
US11246590B2 (en) 2005-08-31 2022-02-15 Cilag Gmbh International Staple cartridge including staple drivers having different unfired heights
US9237891B2 (en) 2005-08-31 2016-01-19 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical stapling devices that produce formed staples having different lengths
US8800838B2 (en) 2005-08-31 2014-08-12 Ethicon Endo-Surgery, Inc. Robotically-controlled cable-based surgical end effectors
US20070191713A1 (en) 2005-10-14 2007-08-16 Eichmann Stephen E Ultrasonic device for cutting and coagulating
US7673783B2 (en) 2005-11-04 2010-03-09 Ethicon Endo-Surgery, Inc. Surgical stapling instruments structured for delivery of medical agents
US20070106317A1 (en) 2005-11-09 2007-05-10 Shelton Frederick E Iv Hydraulically and electrically actuated articulation joints for surgical instruments
US7673780B2 (en) * 2005-11-09 2010-03-09 Ethicon Endo-Surgery, Inc. Articulation joint with improved moment arm extension for articulating an end effector of a surgical instrument
US7799039B2 (en) 2005-11-09 2010-09-21 Ethicon Endo-Surgery, Inc. Surgical instrument having a hydraulically actuated end effector
US7670334B2 (en) 2006-01-10 2010-03-02 Ethicon Endo-Surgery, Inc. Surgical instrument having an articulating end effector
US7621930B2 (en) 2006-01-20 2009-11-24 Ethicon Endo-Surgery, Inc. Ultrasound medical instrument having a medical ultrasonic blade
US8763879B2 (en) 2006-01-31 2014-07-01 Ethicon Endo-Surgery, Inc. Accessing data stored in a memory of surgical instrument
US11793518B2 (en) * 2006-01-31 2023-10-24 Cilag Gmbh International Powered surgical instruments with firing system lockout arrangements
US8708213B2 (en) 2006-01-31 2014-04-29 Ethicon Endo-Surgery, Inc. Surgical instrument having a feedback system
US8820603B2 (en) 2006-01-31 2014-09-02 Ethicon Endo-Surgery, Inc. Accessing data stored in a memory of a surgical instrument
US7770775B2 (en) 2006-01-31 2010-08-10 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with adaptive user feedback
US8161977B2 (en) 2006-01-31 2012-04-24 Ethicon Endo-Surgery, Inc. Accessing data stored in a memory of a surgical instrument
US20110290856A1 (en) 2006-01-31 2011-12-01 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical instrument with force-feedback capabilities
US7753904B2 (en) 2006-01-31 2010-07-13 Ethicon Endo-Surgery, Inc. Endoscopic surgical instrument with a handle that can articulate with respect to the shaft
US20120292367A1 (en) 2006-01-31 2012-11-22 Ethicon Endo-Surgery, Inc. Robotically-controlled end effector
US11224427B2 (en) 2006-01-31 2022-01-18 Cilag Gmbh International Surgical stapling system including a console and retraction assembly
US7766210B2 (en) 2006-01-31 2010-08-03 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with user feedback system
US7845537B2 (en) 2006-01-31 2010-12-07 Ethicon Endo-Surgery, Inc. Surgical instrument having recording capabilities
US8186555B2 (en) 2006-01-31 2012-05-29 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with mechanical closure system
US20110024477A1 (en) * 2009-02-06 2011-02-03 Hall Steven G Driven Surgical Stapler Improvements
US20110006101A1 (en) 2009-02-06 2011-01-13 EthiconEndo-Surgery, Inc. Motor driven surgical fastener device with cutting member lockout arrangements
US9861359B2 (en) * 2006-01-31 2018-01-09 Ethicon Llc Powered surgical instruments with firing system lockout arrangements
US7568603B2 (en) 2006-01-31 2009-08-04 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with articulatable end effector
US11278279B2 (en) 2006-01-31 2022-03-22 Cilag Gmbh International Surgical instrument assembly
US20070225562A1 (en) 2006-03-23 2007-09-27 Ethicon Endo-Surgery, Inc. Articulating endoscopic accessory channel
US8721630B2 (en) 2006-03-23 2014-05-13 Ethicon Endo-Surgery, Inc. Methods and devices for controlling articulation
US8992422B2 (en) 2006-03-23 2015-03-31 Ethicon Endo-Surgery, Inc. Robotically-controlled endoscopic accessory channel
EP2018248B1 (en) 2006-05-19 2015-11-04 Applied Medical Resources Corporation Surgical stapler
JP5147837B2 (ja) * 2006-06-02 2013-02-20 タイコ ヘルスケア グループ リミテッド パートナーシップ タイマーおよびフィードバックディスプレイを有する外科用ステープラ
US8322455B2 (en) 2006-06-27 2012-12-04 Ethicon Endo-Surgery, Inc. Manually driven surgical cutting and fastening instrument
US7740159B2 (en) 2006-08-02 2010-06-22 Ethicon Endo-Surgery, Inc. Pneumatically powered surgical cutting and fastening instrument with a variable control of the actuating rate of firing with mechanical power assist
US8485412B2 (en) 2006-09-29 2013-07-16 Ethicon Endo-Surgery, Inc. Surgical staples having attached drivers and stapling instruments for deploying the same
US10130359B2 (en) 2006-09-29 2018-11-20 Ethicon Llc Method for forming a staple
US20110087276A1 (en) * 2009-10-09 2011-04-14 Ethicon Endo-Surgery, Inc. Method for forming a staple
US10568652B2 (en) 2006-09-29 2020-02-25 Ethicon Llc Surgical staples having attached drivers of different heights and stapling instruments for deploying the same
US20100133317A1 (en) * 2006-09-29 2010-06-03 Shelton Iv Frederick E Motor-Driven Surgical Cutting And Fastening Instrument with Tactile Position Feedback
US8733614B2 (en) * 2006-10-06 2014-05-27 Covidien Lp End effector identification by mechanical features
US7845535B2 (en) 2006-10-06 2010-12-07 Tyco Healthcare Group Lp Surgical instrument having a plastic surface
EP1913881B1 (en) 2006-10-17 2014-06-11 Covidien LP Apparatus for applying surgical clips
US7721936B2 (en) * 2007-01-10 2010-05-25 Ethicon Endo-Surgery, Inc. Interlock and surgical instrument including same
US8684253B2 (en) 2007-01-10 2014-04-01 Ethicon Endo-Surgery, Inc. Surgical instrument with wireless communication between a control unit of a robotic system and remote sensor
US11291441B2 (en) 2007-01-10 2022-04-05 Cilag Gmbh International Surgical instrument with wireless communication between control unit and remote sensor
US8459520B2 (en) 2007-01-10 2013-06-11 Ethicon Endo-Surgery, Inc. Surgical instrument with wireless communication between control unit and remote sensor
US7900805B2 (en) 2007-01-10 2011-03-08 Ethicon Endo-Surgery, Inc. Surgical instrument with enhanced battery performance
US7721931B2 (en) 2007-01-10 2010-05-25 Ethicon Endo-Surgery, Inc. Prevention of cartridge reuse in a surgical instrument
US8652120B2 (en) 2007-01-10 2014-02-18 Ethicon Endo-Surgery, Inc. Surgical instrument with wireless communication between control unit and sensor transponders
US7738971B2 (en) * 2007-01-10 2010-06-15 Ethicon Endo-Surgery, Inc. Post-sterilization programming of surgical instruments
US7954682B2 (en) 2007-01-10 2011-06-07 Ethicon Endo-Surgery, Inc. Surgical instrument with elements to communicate between control unit and end effector
US8701958B2 (en) 2007-01-11 2014-04-22 Ethicon Endo-Surgery, Inc. Curved end effector for a surgical stapling device
US11039836B2 (en) 2007-01-11 2021-06-22 Cilag Gmbh International Staple cartridge for use with a surgical stapling instrument
US8727197B2 (en) 2007-03-15 2014-05-20 Ethicon Endo-Surgery, Inc. Staple cartridge cavity configuration with cooperative surgical staple
US7431188B1 (en) 2007-03-15 2008-10-07 Tyco Healthcare Group Lp Surgical stapling apparatus with powered articulation
US8142461B2 (en) 2007-03-22 2012-03-27 Ethicon Endo-Surgery, Inc. Surgical instruments
US8911460B2 (en) 2007-03-22 2014-12-16 Ethicon Endo-Surgery, Inc. Ultrasonic surgical instruments
US8057498B2 (en) 2007-11-30 2011-11-15 Ethicon Endo-Surgery, Inc. Ultrasonic surgical instrument blades
CA2679523C (en) 2007-03-26 2015-06-23 Tyco Healthcare Group Lp Endoscopic surgical clip applier
US8893946B2 (en) 2007-03-28 2014-11-25 Ethicon Endo-Surgery, Inc. Laparoscopic tissue thickness and clamp load measuring devices
US8056787B2 (en) 2007-03-28 2011-11-15 Ethicon Endo-Surgery, Inc. Surgical stapling and cutting instrument with travel-indicating retraction member
CN101677813B (zh) 2007-04-11 2012-12-05 Tyco医疗健康集团 手术施夹器
US7950560B2 (en) 2007-04-13 2011-05-31 Tyco Healthcare Group Lp Powered surgical instrument
US8800837B2 (en) 2007-04-13 2014-08-12 Covidien Lp Powered surgical instrument
US20080255413A1 (en) 2007-04-13 2008-10-16 Michael Zemlok Powered surgical instrument
US11259802B2 (en) 2007-04-13 2022-03-01 Covidien Lp Powered surgical instrument
US7823760B2 (en) 2007-05-01 2010-11-02 Tyco Healthcare Group Lp Powered surgical stapling device platform
US7931660B2 (en) 2007-05-10 2011-04-26 Tyco Healthcare Group Lp Powered tacker instrument
US7810693B2 (en) * 2007-05-30 2010-10-12 Ethicon Endo-Surgery, Inc. Surgical stapling and cutting instrument with articulatable end effector
US7798386B2 (en) 2007-05-30 2010-09-21 Ethicon Endo-Surgery, Inc. Surgical instrument articulation joint cover
US8157145B2 (en) 2007-05-31 2012-04-17 Ethicon Endo-Surgery, Inc. Pneumatically powered surgical cutting and fastening instrument with electrical feedback
US8931682B2 (en) 2007-06-04 2015-01-13 Ethicon Endo-Surgery, Inc. Robotically-controlled shaft based rotary drive systems for surgical instruments
US8534528B2 (en) 2007-06-04 2013-09-17 Ethicon Endo-Surgery, Inc. Surgical instrument having a multiple rate directional switching mechanism
US7832408B2 (en) * 2007-06-04 2010-11-16 Ethicon Endo-Surgery, Inc. Surgical instrument having a directional switching mechanism
US7905380B2 (en) 2007-06-04 2011-03-15 Ethicon Endo-Surgery, Inc. Surgical instrument having a multiple rate directional switching mechanism
US11672531B2 (en) 2007-06-04 2023-06-13 Cilag Gmbh International Rotary drive systems for surgical instruments
US7819299B2 (en) 2007-06-04 2010-10-26 Ethicon Endo-Surgery, Inc. Surgical instrument having a common trigger for actuating an end effector closing system and a staple firing system
US20080308602A1 (en) * 2007-06-18 2008-12-18 Timm Richard W Surgical stapling and cutting instruments
US8308040B2 (en) 2007-06-22 2012-11-13 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with an articulatable end effector
US7658311B2 (en) 2007-06-22 2010-02-09 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with a geared return mechanism
US7441685B1 (en) 2007-06-22 2008-10-28 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with a return mechanism
US7597229B2 (en) * 2007-06-22 2009-10-06 Ethicon Endo-Surgery, Inc. End effector closure system for a surgical stapling instrument
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
US8808319B2 (en) 2007-07-27 2014-08-19 Ethicon Endo-Surgery, Inc. Surgical instruments
US8523889B2 (en) 2007-07-27 2013-09-03 Ethicon Endo-Surgery, Inc. Ultrasonic end effectors with increased active length
US8512365B2 (en) 2007-07-31 2013-08-20 Ethicon Endo-Surgery, Inc. Surgical instruments
US8430898B2 (en) 2007-07-31 2013-04-30 Ethicon Endo-Surgery, Inc. Ultrasonic surgical instruments
US9044261B2 (en) 2007-07-31 2015-06-02 Ethicon Endo-Surgery, Inc. Temperature controlled ultrasonic surgical instruments
US8061576B2 (en) 2007-08-31 2011-11-22 Tyco Healthcare Group Lp Surgical instrument
US8403956B1 (en) 2007-09-06 2013-03-26 Cardica, Inc. Multiple-use surgical stapler
US9168039B1 (en) 2007-09-06 2015-10-27 Cardica, Inc. Surgical stapler with staples of different sizes
US7988026B2 (en) 2007-09-06 2011-08-02 Cardica, Inc. Endocutter with staple feed
US8070036B1 (en) 2007-09-06 2011-12-06 Cardica, Inc True multi-fire surgical stapler configured to fire staples of different sizes
US8556151B2 (en) * 2007-09-11 2013-10-15 Covidien Lp Articulating joint for surgical instruments
ES2534292T5 (es) * 2007-09-21 2018-07-04 Covidien Lp Dispositivo quirúrgico
WO2009039510A1 (en) * 2007-09-21 2009-03-26 Power Medical Interventions, Inc. Surgical device
US10498269B2 (en) 2007-10-05 2019-12-03 Covidien Lp Powered surgical stapling device
US8623027B2 (en) 2007-10-05 2014-01-07 Ethicon Endo-Surgery, Inc. Ergonomic surgical instruments
US10779818B2 (en) 2007-10-05 2020-09-22 Covidien Lp Powered surgical stapling device
US8967443B2 (en) 2007-10-05 2015-03-03 Covidien Lp Method and apparatus for determining parameters of linear motion in a surgical instrument
US8517241B2 (en) 2010-04-16 2013-08-27 Covidien Lp Hand-held surgical devices
US8960520B2 (en) 2007-10-05 2015-02-24 Covidien Lp Method and apparatus for determining parameters of linear motion in a surgical instrument
US7922063B2 (en) 2007-10-31 2011-04-12 Tyco Healthcare Group, Lp Powered surgical instrument
US10010339B2 (en) 2007-11-30 2018-07-03 Ethicon Llc Ultrasonic surgical blades
US8540133B2 (en) * 2008-09-19 2013-09-24 Ethicon Endo-Surgery, Inc. Staple cartridge
US7766209B2 (en) 2008-02-13 2010-08-03 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with improved firing trigger arrangement
US8561870B2 (en) 2008-02-13 2013-10-22 Ethicon Endo-Surgery, Inc. Surgical stapling instrument
US7905381B2 (en) 2008-09-19 2011-03-15 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with cutting member arrangement
US8453908B2 (en) * 2008-02-13 2013-06-04 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with improved firing trigger arrangement
US8459525B2 (en) 2008-02-14 2013-06-11 Ethicon Endo-Sugery, Inc. Motorized surgical cutting and fastening instrument having a magnetic drive train torque limiting device
US7866527B2 (en) 2008-02-14 2011-01-11 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with interlockable firing system
US8573465B2 (en) 2008-02-14 2013-11-05 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical end effector system with rotary actuated closure systems
US8752749B2 (en) 2008-02-14 2014-06-17 Ethicon Endo-Surgery, Inc. Robotically-controlled disposable motor-driven loading unit
US7861906B2 (en) 2008-02-14 2011-01-04 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with articulatable components
US8584919B2 (en) 2008-02-14 2013-11-19 Ethicon Endo-Sugery, Inc. Surgical stapling apparatus with load-sensitive firing mechanism
US8758391B2 (en) 2008-02-14 2014-06-24 Ethicon Endo-Surgery, Inc. Interchangeable tools for surgical instruments
US7819297B2 (en) 2008-02-14 2010-10-26 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with reprocessible handle assembly
US7913891B2 (en) 2008-02-14 2011-03-29 Ethicon Endo-Surgery, Inc. Disposable loading unit with user feedback features and surgical instrument for use therewith
US7819296B2 (en) 2008-02-14 2010-10-26 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with retractable firing systems
US7810692B2 (en) 2008-02-14 2010-10-12 Ethicon Endo-Surgery, Inc. Disposable loading unit with firing indicator
US8657174B2 (en) 2008-02-14 2014-02-25 Ethicon Endo-Surgery, Inc. Motorized surgical cutting and fastening instrument having handle based power source
US7819298B2 (en) 2008-02-14 2010-10-26 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with control features operable with one hand
US7793812B2 (en) * 2008-02-14 2010-09-14 Ethicon Endo-Surgery, Inc. Disposable motor-driven loading unit for use with a surgical cutting and stapling apparatus
US7857185B2 (en) * 2008-02-14 2010-12-28 Ethicon Endo-Surgery, Inc. Disposable loading unit for surgical stapling apparatus
US8636736B2 (en) 2008-02-14 2014-01-28 Ethicon Endo-Surgery, Inc. Motorized surgical cutting and fastening instrument
US8622274B2 (en) 2008-02-14 2014-01-07 Ethicon Endo-Surgery, Inc. Motorized cutting and fastening instrument having control circuit for optimizing battery usage
US9179912B2 (en) 2008-02-14 2015-11-10 Ethicon Endo-Surgery, Inc. Robotically-controlled motorized surgical cutting and fastening instrument
BRPI0901282A2 (pt) 2008-02-14 2009-11-17 Ethicon Endo Surgery Inc instrumento cirúrgico de corte e fixação dotado de eletrodos de rf
US7980443B2 (en) 2008-02-15 2011-07-19 Ethicon Endo-Surgery, Inc. End effectors for a surgical cutting and stapling instrument
US20090206137A1 (en) * 2008-02-15 2009-08-20 Ethicon Endo-Surgery, Inc. Disposable loading units for a surgical cutting and stapling instrument
US20090206142A1 (en) 2008-02-15 2009-08-20 Ethicon Endo-Surgery, Inc. Buttress material for a surgical stapling instrument
US8608044B2 (en) * 2008-02-15 2013-12-17 Ethicon Endo-Surgery, Inc. Feedback and lockout mechanism for surgical instrument
US20090206131A1 (en) 2008-02-15 2009-08-20 Ethicon Endo-Surgery, Inc. End effector coupling arrangements for a surgical cutting and stapling instrument
US7959051B2 (en) 2008-02-15 2011-06-14 Ethicon Endo-Surgery, Inc. Closure systems for a surgical cutting and stapling instrument
US11272927B2 (en) 2008-02-15 2022-03-15 Cilag Gmbh International Layer arrangements for surgical staple cartridges
US9615826B2 (en) 2010-09-30 2017-04-11 Ethicon Endo-Surgery, Llc Multiple thickness implantable layers for surgical stapling devices
US7922061B2 (en) * 2008-05-21 2011-04-12 Ethicon Endo-Surgery, Inc. Surgical instrument with automatically reconfigurable articulating end effector
US8701959B2 (en) 2008-06-06 2014-04-22 Covidien Lp Mechanically pivoting cartridge channel for surgical instrument
US7789283B2 (en) 2008-06-06 2010-09-07 Tyco Healthcare Group Lp Knife/firing rod connection for surgical instrument
US7942303B2 (en) 2008-06-06 2011-05-17 Tyco Healthcare Group Lp Knife lockout mechanisms for surgical instrument
US7543730B1 (en) 2008-06-24 2009-06-09 Tyco Healthcare Group Lp Segmented drive member for surgical instruments
US8011551B2 (en) 2008-07-01 2011-09-06 Tyco Healthcare Group Lp Retraction mechanism with clutch-less drive for use with a surgical apparatus
US8074858B2 (en) 2008-07-17 2011-12-13 Tyco Healthcare Group Lp Surgical retraction mechanism
US9089360B2 (en) 2008-08-06 2015-07-28 Ethicon Endo-Surgery, Inc. Devices and techniques for cutting and coagulating tissue
US8465502B2 (en) 2008-08-25 2013-06-18 Covidien Lp Surgical clip applier and method of assembly
US8056565B2 (en) 2008-08-25 2011-11-15 Tyco Healthcare Group Lp Surgical clip applier and method of assembly
US8267944B2 (en) 2008-08-29 2012-09-18 Tyco Healthcare Group Lp Endoscopic surgical clip applier with lock out
US8409223B2 (en) 2008-08-29 2013-04-02 Covidien Lp Endoscopic surgical clip applier with clip retention
US9358015B2 (en) 2008-08-29 2016-06-07 Covidien Lp Endoscopic surgical clip applier with wedge plate
US20100069942A1 (en) * 2008-09-18 2010-03-18 Ethicon Endo-Surgery, Inc. Surgical instrument with apparatus for measuring elapsed time between actions
US8083120B2 (en) 2008-09-18 2011-12-27 Ethicon Endo-Surgery, Inc. End effector for use with a surgical cutting and stapling instrument
US7837080B2 (en) * 2008-09-18 2010-11-23 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with device for indicating when the instrument has cut through tissue
PL3476312T3 (pl) 2008-09-19 2024-03-11 Ethicon Llc Stapler chirurgiczny z urządzeniem do dopasowania wysokości zszywek
US7896214B2 (en) 2008-09-23 2011-03-01 Tyco Healthcare Group Lp Tissue stop for surgical instrument
US8215532B2 (en) 2008-09-23 2012-07-10 Tyco Healthcare Group Lp Tissue stop for surgical instrument
US9005230B2 (en) 2008-09-23 2015-04-14 Ethicon Endo-Surgery, Inc. Motorized surgical instrument
US11648005B2 (en) 2008-09-23 2023-05-16 Cilag Gmbh International Robotically-controlled motorized surgical instrument with an end effector
US8210411B2 (en) * 2008-09-23 2012-07-03 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting instrument
US7988028B2 (en) * 2008-09-23 2011-08-02 Tyco Healthcare Group Lp Surgical instrument having an asymmetric dynamic clamping member
US8628544B2 (en) 2008-09-23 2014-01-14 Covidien Lp Knife bar for surgical instrument
US9050083B2 (en) * 2008-09-23 2015-06-09 Ethicon Endo-Surgery, Inc. Motorized surgical instrument
US9386983B2 (en) 2008-09-23 2016-07-12 Ethicon Endo-Surgery, Llc Robotically-controlled motorized surgical instrument
US8608045B2 (en) 2008-10-10 2013-12-17 Ethicon Endo-Sugery, Inc. Powered surgical cutting and stapling apparatus with manually retractable firing system
US8020743B2 (en) 2008-10-15 2011-09-20 Ethicon Endo-Surgery, Inc. Powered articulatable surgical cutting and fastening instrument with flexible drive member
US7918377B2 (en) * 2008-10-16 2011-04-05 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with apparatus for providing anvil position feedback
US9393023B2 (en) * 2009-01-13 2016-07-19 Atricure, Inc. Apparatus and methods for deploying a clip to occlude an anatomical structure
US8517239B2 (en) 2009-02-05 2013-08-27 Ethicon Endo-Surgery, Inc. Surgical stapling instrument comprising a magnetic element driver
US8397971B2 (en) 2009-02-05 2013-03-19 Ethicon Endo-Surgery, Inc. Sterilizable surgical instrument
US8414577B2 (en) 2009-02-05 2013-04-09 Ethicon Endo-Surgery, Inc. Surgical instruments and components for use in sterile environments
US8485413B2 (en) 2009-02-05 2013-07-16 Ethicon Endo-Surgery, Inc. Surgical stapling instrument comprising an articulation joint
JP2012517287A (ja) * 2009-02-06 2012-08-02 エシコン・エンド−サージェリィ・インコーポレイテッド 被駆動式手術用ステープラの改良
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
US20110024478A1 (en) * 2009-02-06 2011-02-03 Shelton Iv Frederick E Driven Surgical Stapler Improvements
US8245899B2 (en) * 2009-02-06 2012-08-21 Ethicon Endo-Surgery, Inc. Driven surgical stapler improvements
US8708211B2 (en) 2009-02-12 2014-04-29 Covidien Lp Powered surgical instrument with secondary circuit board
JP5431749B2 (ja) * 2009-03-04 2014-03-05 テルモ株式会社 医療用マニピュレータ
US8397973B1 (en) 2009-03-09 2013-03-19 Cardica, Inc. Wide handle for true multi-fire surgical stapler
US8066167B2 (en) 2009-03-23 2011-11-29 Ethicon Endo-Surgery, Inc. Circular surgical stapling instrument with anvil locking system
ES2393583T3 (es) * 2009-04-07 2012-12-26 Biedermann Technologies Gmbh & Co. Kg Herramienta utilizable con un anclaje para hueso, en particular para la cirugía vertebral
US8292154B2 (en) 2009-04-16 2012-10-23 Tyco Healthcare Group Lp Surgical apparatus for applying tissue fasteners
US8317072B1 (en) 2009-05-03 2012-11-27 Cardica, Inc. Feeder belt for true multi-fire surgical stapler
US8631992B1 (en) 2009-05-03 2014-01-21 Cardica, Inc. Feeder belt with padded staples for true multi-fire surgical stapler
US8365975B1 (en) 2009-05-05 2013-02-05 Cardica, Inc. Cam-controlled knife for surgical instrument
US8127976B2 (en) 2009-05-08 2012-03-06 Tyco Healthcare Group Lp Stapler cartridge and channel interlock
US8579920B2 (en) * 2009-05-12 2013-11-12 Ethicon, Inc. Surgical fasteners, applicator instruments, and methods for deploying surgical fasteners
US8728098B2 (en) * 2009-05-12 2014-05-20 Ethicon, Inc. Surgical fasteners, applicator instruments, and methods for deploying surgical fasteners
US8308043B2 (en) * 2009-05-19 2012-11-13 Covidien Lp Recognition of interchangeable component of a device
US9700339B2 (en) 2009-05-20 2017-07-11 Ethicon Endo-Surgery, Inc. Coupling arrangements and methods for attaching tools to ultrasonic surgical instruments
US8240538B1 (en) 2009-05-29 2012-08-14 Cardica, Inc. True multi-fire surgical stapler with two-sided staple deployment
US8070034B1 (en) 2009-05-29 2011-12-06 Cardica, Inc. Surgical stapler with angled staple bays
US8225980B1 (en) 2009-06-02 2012-07-24 Cardica, Inc. True multi-fire surgical stapler with buttress strip
US8132706B2 (en) 2009-06-05 2012-03-13 Tyco Healthcare Group Lp Surgical stapling apparatus having articulation mechanism
US8821514B2 (en) 2009-06-08 2014-09-02 Covidien Lp Powered tack applier
US8663220B2 (en) 2009-07-15 2014-03-04 Ethicon Endo-Surgery, Inc. Ultrasonic surgical instruments
US20110036891A1 (en) * 2009-08-11 2011-02-17 Tyco Healthcare Group Lp Surgical stapler with visual positional indicator
US8733612B2 (en) 2009-08-17 2014-05-27 Covidien Lp Safety method for powered surgical instruments
US8342378B2 (en) 2009-08-17 2013-01-01 Covidien Lp One handed stapler
US8747404B2 (en) * 2009-10-09 2014-06-10 Ethicon Endo-Surgery, Inc. Surgical instrument for transmitting energy to tissue comprising non-conductive grasping portions
US8906016B2 (en) * 2009-10-09 2014-12-09 Ethicon Endo-Surgery, Inc. Surgical instrument for transmitting energy to tissue comprising steam control paths
US11090104B2 (en) 2009-10-09 2021-08-17 Cilag Gmbh International Surgical generator for ultrasonic and electrosurgical devices
US8939974B2 (en) * 2009-10-09 2015-01-27 Ethicon Endo-Surgery, Inc. Surgical instrument comprising first and second drive systems actuatable by a common trigger mechanism
US10172669B2 (en) * 2009-10-09 2019-01-08 Ethicon Llc Surgical instrument comprising an energy trigger lockout
US8951248B2 (en) 2009-10-09 2015-02-10 Ethicon Endo-Surgery, Inc. Surgical generator for ultrasonic and electrosurgical devices
US8574231B2 (en) * 2009-10-09 2013-11-05 Ethicon Endo-Surgery, Inc. Surgical instrument for transmitting energy to tissue comprising a movable electrode or insulator
US10441345B2 (en) 2009-10-09 2019-10-15 Ethicon Llc Surgical generator for ultrasonic and electrosurgical devices
US8418907B2 (en) 2009-11-05 2013-04-16 Covidien Lp Surgical stapler having cartridge with adjustable cam mechanism
US8899466B2 (en) 2009-11-19 2014-12-02 Ethicon Endo-Surgery, Inc. Devices and methods for introducing a surgical circular stapling instrument into a patient
US9186136B2 (en) 2009-12-09 2015-11-17 Covidien Lp Surgical clip applier
US8136712B2 (en) 2009-12-10 2012-03-20 Ethicon Endo-Surgery, Inc. Surgical stapler with discrete staple height adjustment and tactile feedback
US8545486B2 (en) 2009-12-15 2013-10-01 Covidien Lp Surgical clip applier
US8220688B2 (en) * 2009-12-24 2012-07-17 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting instrument with electric actuator directional control assembly
US8851354B2 (en) 2009-12-24 2014-10-07 Ethicon Endo-Surgery, Inc. Surgical cutting instrument that analyzes tissue thickness
US8267300B2 (en) * 2009-12-30 2012-09-18 Ethicon Endo-Surgery, Inc. Dampening device for endoscopic surgical stapler
US8608046B2 (en) 2010-01-07 2013-12-17 Ethicon Endo-Surgery, Inc. Test device for a surgical tool
US8328061B2 (en) 2010-02-02 2012-12-11 Covidien Lp Surgical instrument for joining tissue
US8486096B2 (en) 2010-02-11 2013-07-16 Ethicon Endo-Surgery, Inc. Dual purpose surgical instrument for cutting and coagulating tissue
US8951272B2 (en) 2010-02-11 2015-02-10 Ethicon Endo-Surgery, Inc. Seal arrangements for ultrasonically powered surgical instruments
US8469981B2 (en) 2010-02-11 2013-06-25 Ethicon Endo-Surgery, Inc. Rotatable cutting implement arrangements for ultrasonic surgical instruments
US8403945B2 (en) * 2010-02-25 2013-03-26 Covidien Lp Articulating endoscopic surgical clip applier
US8696665B2 (en) 2010-03-26 2014-04-15 Ethicon Endo-Surgery, Inc. Surgical cutting and sealing instrument with reduced firing force
US8074859B2 (en) 2010-03-31 2011-12-13 Tyco Healthcare Group Lp Surgical instrument
US8348127B2 (en) 2010-04-07 2013-01-08 Covidien Lp Surgical fastener applying apparatus
US8496682B2 (en) 2010-04-12 2013-07-30 Ethicon Endo-Surgery, Inc. Electrosurgical cutting and sealing instruments with cam-actuated jaws
US8709035B2 (en) 2010-04-12 2014-04-29 Ethicon Endo-Surgery, Inc. Electrosurgical cutting and sealing instruments with jaws having a parallel closure motion
US8834518B2 (en) 2010-04-12 2014-09-16 Ethicon Endo-Surgery, Inc. Electrosurgical cutting and sealing instruments with cam-actuated jaws
US8535311B2 (en) 2010-04-22 2013-09-17 Ethicon Endo-Surgery, Inc. Electrosurgical instrument comprising closing and firing systems
US8685020B2 (en) 2010-05-17 2014-04-01 Ethicon Endo-Surgery, Inc. Surgical instruments and end effectors therefor
GB2480498A (en) 2010-05-21 2011-11-23 Ethicon Endo Surgery Inc Medical device comprising RF circuitry
US8662369B1 (en) 2010-05-27 2014-03-04 Cardica, Inc. Barbed surgical staple
US8888776B2 (en) 2010-06-09 2014-11-18 Ethicon Endo-Surgery, Inc. Electrosurgical instrument employing an electrode
US9005199B2 (en) 2010-06-10 2015-04-14 Ethicon Endo-Surgery, Inc. Heat management configurations for controlling heat dissipation from electrosurgical instruments
US8753338B2 (en) 2010-06-10 2014-06-17 Ethicon Endo-Surgery, Inc. Electrosurgical instrument employing a thermal management system
US8764747B2 (en) 2010-06-10 2014-07-01 Ethicon Endo-Surgery, Inc. Electrosurgical instrument comprising sequentially activated electrodes
US9149324B2 (en) 2010-07-08 2015-10-06 Ethicon Endo-Surgery, Inc. Surgical instrument comprising an articulatable end effector
US8453906B2 (en) * 2010-07-14 2013-06-04 Ethicon Endo-Surgery, Inc. Surgical instruments with electrodes
US8613383B2 (en) 2010-07-14 2013-12-24 Ethicon Endo-Surgery, Inc. Surgical instruments with electrodes
US8439246B1 (en) 2010-07-20 2013-05-14 Cardica, Inc. Surgical stapler with cartridge-adjustable clamp gap
US8795327B2 (en) 2010-07-22 2014-08-05 Ethicon Endo-Surgery, Inc. Electrosurgical instrument with separate closure and cutting members
US8979843B2 (en) * 2010-07-23 2015-03-17 Ethicon Endo-Surgery, Inc. Electrosurgical cutting and sealing instrument
US9011437B2 (en) 2010-07-23 2015-04-21 Ethicon Endo-Surgery, Inc. Electrosurgical cutting and sealing instrument
US9192431B2 (en) 2010-07-23 2015-11-24 Ethicon Endo-Surgery, Inc. Electrosurgical cutting and sealing instrument
US8403946B2 (en) 2010-07-28 2013-03-26 Covidien Lp Articulating clip applier cartridge
US8968337B2 (en) 2010-07-28 2015-03-03 Covidien Lp Articulating clip applier
US8789740B2 (en) 2010-07-30 2014-07-29 Ethicon Endo-Surgery, Inc. Linear cutting and stapling device with selectively disengageable cutting member
US8783543B2 (en) 2010-07-30 2014-07-22 Ethicon Endo-Surgery, Inc. Tissue acquisition arrangements and methods for surgical stapling devices
US8801735B2 (en) 2010-07-30 2014-08-12 Ethicon Endo-Surgery, Inc. Surgical circular stapler with tissue retention arrangements
US8360296B2 (en) 2010-09-09 2013-01-29 Ethicon Endo-Surgery, Inc. Surgical stapling head assembly with firing lockout for a surgical stapler
US8632525B2 (en) 2010-09-17 2014-01-21 Ethicon Endo-Surgery, Inc. Power control arrangements for surgical instruments and batteries
US9289212B2 (en) 2010-09-17 2016-03-22 Ethicon Endo-Surgery, Inc. Surgical instruments and batteries for surgical instruments
US20120078244A1 (en) 2010-09-24 2012-03-29 Worrell Barry C Control features for articulating surgical device
CN101966093B (zh) * 2010-09-28 2012-01-11 常州市康迪医用吻合器有限公司 带有可更换钉仓的腔镜外科切割吻合器
US8733613B2 (en) 2010-09-29 2014-05-27 Ethicon Endo-Surgery, Inc. Staple cartridge
US20120080498A1 (en) 2010-09-30 2012-04-05 Ethicon Endo-Surgery, Inc. Curved end effector for a stapling instrument
US9220500B2 (en) 2010-09-30 2015-12-29 Ethicon Endo-Surgery, Inc. Tissue thickness compensator comprising structure to produce a resilient load
CA2812553C (en) 2010-09-30 2019-02-12 Ethicon Endo-Surgery, Inc. Fastener system comprising a retention matrix and an alignment matrix
US9113865B2 (en) 2010-09-30 2015-08-25 Ethicon Endo-Surgery, Inc. Staple cartridge comprising a layer
US9232941B2 (en) 2010-09-30 2016-01-12 Ethicon Endo-Surgery, Inc. Tissue thickness compensator comprising a reservoir
US11925354B2 (en) 2010-09-30 2024-03-12 Cilag Gmbh International Staple cartridge comprising staples positioned within a compressible portion thereof
US9351730B2 (en) 2011-04-29 2016-05-31 Ethicon Endo-Surgery, Llc Tissue thickness compensator comprising channels
US9220501B2 (en) 2010-09-30 2015-12-29 Ethicon Endo-Surgery, Inc. Tissue thickness compensators
US9314246B2 (en) 2010-09-30 2016-04-19 Ethicon Endo-Surgery, Llc Tissue stapler having a thickness compensator incorporating an anti-inflammatory agent
US10945731B2 (en) 2010-09-30 2021-03-16 Ethicon Llc Tissue thickness compensator comprising controlled release and expansion
US9386988B2 (en) 2010-09-30 2016-07-12 Ethicon End-Surgery, LLC Retainer assembly including a tissue thickness compensator
US9204880B2 (en) 2012-03-28 2015-12-08 Ethicon Endo-Surgery, Inc. Tissue thickness compensator comprising capsules defining a low pressure environment
US11812965B2 (en) 2010-09-30 2023-11-14 Cilag Gmbh International Layer of material for a surgical end effector
US9414838B2 (en) 2012-03-28 2016-08-16 Ethicon Endo-Surgery, Llc Tissue thickness compensator comprised of a plurality of materials
US9700317B2 (en) 2010-09-30 2017-07-11 Ethicon Endo-Surgery, Llc Fastener cartridge comprising a releasable tissue thickness compensator
US11298125B2 (en) 2010-09-30 2022-04-12 Cilag Gmbh International Tissue stapler having a thickness compensator
US9629814B2 (en) 2010-09-30 2017-04-25 Ethicon Endo-Surgery, Llc Tissue thickness compensator configured to redistribute compressive forces
US9332974B2 (en) 2010-09-30 2016-05-10 Ethicon Endo-Surgery, Llc Layered tissue thickness compensator
US9307989B2 (en) 2012-03-28 2016-04-12 Ethicon Endo-Surgery, Llc Tissue stapler having a thickness compensator incorportating a hydrophobic agent
US8893949B2 (en) 2010-09-30 2014-11-25 Ethicon Endo-Surgery, Inc. Surgical stapler with floating anvil
US9364233B2 (en) 2010-09-30 2016-06-14 Ethicon Endo-Surgery, Llc Tissue thickness compensators for circular surgical staplers
US9044228B2 (en) 2010-09-30 2015-06-02 Ethicon Endo-Surgery, Inc. Fastener system comprising a plurality of fastener cartridges
USD650074S1 (en) 2010-10-01 2011-12-06 Ethicon Endo-Surgery, Inc. Surgical instrument
US8899461B2 (en) 2010-10-01 2014-12-02 Covidien Lp Tissue stop for surgical instrument
US8695866B2 (en) * 2010-10-01 2014-04-15 Ethicon Endo-Surgery, Inc. Surgical instrument having a power control circuit
US8979890B2 (en) 2010-10-01 2015-03-17 Ethicon Endo-Surgery, Inc. Surgical instrument with jaw member
US8628529B2 (en) 2010-10-26 2014-01-14 Ethicon Endo-Surgery, Inc. Surgical instrument with magnetic clamping force
US9017349B2 (en) 2010-10-27 2015-04-28 Atricure, Inc. Appendage clamp deployment assist device
US8308041B2 (en) 2010-11-10 2012-11-13 Tyco Healthcare Group Lp Staple formed over the wire wound closure procedure
US8636754B2 (en) 2010-11-11 2014-01-28 Atricure, Inc. Clip applicator
US8715277B2 (en) 2010-12-08 2014-05-06 Ethicon Endo-Surgery, Inc. Control of jaw compression in surgical instrument having end effector with opposing jaw members
CN101991452B (zh) * 2010-12-10 2012-07-04 苏州天臣国际医疗科技有限公司 一种直线型外科装订仪
US9186153B2 (en) 2011-01-31 2015-11-17 Covidien Lp Locking cam driver and jaw assembly for clip applier
US8986287B2 (en) 2011-02-14 2015-03-24 Adrian E. Park Adjustable laparoscopic instrument handle
US9393017B2 (en) 2011-02-15 2016-07-19 Intuitive Surgical Operations, Inc. Methods and systems for detecting staple cartridge misfire or failure
KR102222672B1 (ko) 2011-02-15 2021-03-05 인튜어티브 서지컬 오퍼레이션즈 인코포레이티드 클램핑 또는 발사 실패를 검출하기 위한 시스템
US8632462B2 (en) 2011-03-14 2014-01-21 Ethicon Endo-Surgery, Inc. Trans-rectum universal ports
US8926598B2 (en) 2011-03-15 2015-01-06 Ethicon Endo-Surgery, Inc. Surgical instruments with articulatable and rotatable end effector
US8857693B2 (en) 2011-03-15 2014-10-14 Ethicon Endo-Surgery, Inc. Surgical instruments with lockable articulating end effector
US9044229B2 (en) 2011-03-15 2015-06-02 Ethicon Endo-Surgery, Inc. Surgical fastener instruments
US8800841B2 (en) 2011-03-15 2014-08-12 Ethicon Endo-Surgery, Inc. Surgical staple cartridges
US8540131B2 (en) 2011-03-15 2013-09-24 Ethicon Endo-Surgery, Inc. Surgical staple cartridges with tissue tethers for manipulating divided tissue and methods of using same
US8636189B1 (en) 2011-04-19 2014-01-28 Cardica, Inc. Active wedge for surgical stapler
US9655615B2 (en) 2011-04-19 2017-05-23 Dextera Surgical Inc. Active wedge and I-beam for surgical stapler
US8631990B1 (en) 2011-04-25 2014-01-21 Cardica, Inc. Staple trap for surgical stapler
US9320519B1 (en) 2011-04-26 2016-04-26 Cardica, Inc. Single-trigger clamping and firing of surgical stapler
US9155536B1 (en) 2011-04-26 2015-10-13 Cardica, Inc. Circular stapler
AU2012250197B2 (en) 2011-04-29 2017-08-10 Ethicon Endo-Surgery, Inc. Staple cartridge comprising staples positioned within a compressible portion thereof
US9775623B2 (en) 2011-04-29 2017-10-03 Covidien Lp Surgical clip applier including clip relief feature
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
WO2012170256A1 (en) * 2011-05-31 2012-12-13 Intuitive Surgical Operations, Inc. Positive control of robotic surgical instrument end effector
CN103596516B (zh) * 2011-05-31 2018-01-16 直观外科手术操作公司 控制检测故障情况的外科器械
US9451959B2 (en) 2011-06-09 2016-09-27 Covidien Lp Surgical fastener applying apparatus
US9289209B2 (en) 2011-06-09 2016-03-22 Covidien Lp Surgical fastener applying apparatus
US9271728B2 (en) 2011-06-09 2016-03-01 Covidien Lp Surgical fastener applying apparatus
US8763876B2 (en) 2011-06-30 2014-07-01 Covidien Lp Surgical instrument and cartridge for use therewith
US20130012958A1 (en) 2011-07-08 2013-01-10 Stanislaw Marczyk Surgical Device with Articulation and Wrist Rotation
US9259265B2 (en) 2011-07-22 2016-02-16 Ethicon Endo-Surgery, Llc Surgical instruments for tensioning tissue
US9724095B2 (en) 2011-08-08 2017-08-08 Covidien Lp Surgical fastener applying apparatus
US9155537B2 (en) 2011-08-08 2015-10-13 Covidien Lp Surgical fastener applying apparatus
US9539007B2 (en) 2011-08-08 2017-01-10 Covidien Lp Surgical fastener applying aparatus
CA3149909A1 (en) 2011-08-15 2013-02-21 Atricure Inc. Surgical device
US8968307B2 (en) * 2011-08-18 2015-03-03 Covidien Lp Surgical forceps
US9044243B2 (en) 2011-08-30 2015-06-02 Ethcon Endo-Surgery, Inc. Surgical cutting and fastening device with descendible second trigger arrangement
US9107663B2 (en) 2011-09-06 2015-08-18 Ethicon Endo-Surgery, Inc. Stapling instrument comprising resettable staple drivers
US9050084B2 (en) 2011-09-23 2015-06-09 Ethicon Endo-Surgery, Inc. Staple cartridge including collapsible deck arrangement
US9333025B2 (en) 2011-10-24 2016-05-10 Ethicon Endo-Surgery, Llc Battery initialization clip
US8672206B2 (en) 2011-10-25 2014-03-18 Covidien Lp Apparatus for endoscopic procedures
US8657177B2 (en) 2011-10-25 2014-02-25 Covidien Lp Surgical apparatus and method for endoscopic surgery
US9016539B2 (en) 2011-10-25 2015-04-28 Covidien Lp Multi-use loading unit
US8899462B2 (en) 2011-10-25 2014-12-02 Covidien Lp Apparatus for endoscopic procedures
US11207089B2 (en) 2011-10-25 2021-12-28 Covidien Lp Apparatus for endoscopic procedures
US9480492B2 (en) 2011-10-25 2016-11-01 Covidien Lp Apparatus for endoscopic procedures
US9492146B2 (en) 2011-10-25 2016-11-15 Covidien Lp Apparatus for endoscopic procedures
US9364231B2 (en) 2011-10-27 2016-06-14 Covidien Lp System and method of using simulation reload to optimize staple formation
US20130131697A1 (en) 2011-11-21 2013-05-23 Covidien Lp Surgical clip applier
US8740036B2 (en) 2011-12-01 2014-06-03 Covidien Lp Surgical instrument with actuator spring arm
US9364239B2 (en) 2011-12-19 2016-06-14 Covidien Lp Jaw closure mechanism for a surgical clip applier
US9364216B2 (en) 2011-12-29 2016-06-14 Covidien Lp Surgical clip applier with integrated clip counter
US10299815B2 (en) 2012-01-19 2019-05-28 Covidien Lp Surgical instrument with clam releases mechanism
US8864010B2 (en) 2012-01-20 2014-10-21 Covidien Lp Curved guide member for articulating instruments
US9282973B2 (en) 2012-01-20 2016-03-15 Atricure, Inc. Clip deployment tool and associated methods
EP2811932B1 (en) 2012-02-10 2019-06-26 Ethicon LLC Robotically controlled surgical instrument
US9044230B2 (en) 2012-02-13 2015-06-02 Ethicon Endo-Surgery, Inc. Surgical cutting and fastening instrument with apparatus for determining cartridge and firing motion status
US9084600B1 (en) 2012-02-17 2015-07-21 Cardica, Inc. Anvil-side staple trap
US8979827B2 (en) 2012-03-14 2015-03-17 Covidien Lp Surgical instrument with articulation mechanism
US9078653B2 (en) 2012-03-26 2015-07-14 Ethicon Endo-Surgery, Inc. Surgical stapling device with lockout system for preventing actuation in the absence of an installed staple cartridge
RU2644272C2 (ru) 2012-03-28 2018-02-08 Этикон Эндо-Серджери, Инк. Узел ограничения, включающий компенсатор толщины ткани
JP6305979B2 (ja) 2012-03-28 2018-04-04 エシコン・エンド−サージェリィ・インコーポレイテッドＥｔｈｉｃｏｎ Ｅｎｄｏ−Ｓｕｒｇｅｒｙ，Ｉｎｃ． 複数の層を含む組織厚さコンペンセーター
US9198662B2 (en) 2012-03-28 2015-12-01 Ethicon Endo-Surgery, Inc. Tissue thickness compensator having improved visibility
BR112014024098B1 (pt) 2012-03-28 2021-05-25 Ethicon Endo-Surgery, Inc. cartucho de grampos
US9439668B2 (en) 2012-04-09 2016-09-13 Ethicon Endo-Surgery, Llc Switch arrangements for ultrasonic surgical instruments
JP5921943B2 (ja) * 2012-04-12 2016-05-24 カール シュトルツ ゲゼルシャフト ミット ベシュレンクテル ハフツング ウント コンパニー コマンディートゲゼルシャフト 医療用マニピュレータ
US9408610B2 (en) 2012-05-04 2016-08-09 Covidien Lp Surgical clip applier with dissector
US9526497B2 (en) 2012-05-07 2016-12-27 Covidien Lp Surgical instrument with articulation mechanism
US11871901B2 (en) 2012-05-20 2024-01-16 Cilag Gmbh International Method for situational awareness for surgical network or surgical network connected device capable of adjusting function based on a sensed situation or usage
US9532787B2 (en) 2012-05-31 2017-01-03 Covidien Lp Endoscopic clip applier
US9597104B2 (en) 2012-06-01 2017-03-21 Covidien Lp Handheld surgical handle assembly, surgical adapters for use between surgical handle assembly and surgical end effectors, and methods of use
US9868198B2 (en) 2012-06-01 2018-01-16 Covidien Lp Hand held surgical handle assembly, surgical adapters for use between surgical handle assembly and surgical loading units, and methods of use
US10080563B2 (en) 2012-06-01 2018-09-25 Covidien Lp Loading unit detection assembly and surgical device for use therewith
US9101358B2 (en) 2012-06-15 2015-08-11 Ethicon Endo-Surgery, Inc. Articulatable surgical instrument comprising a firing drive
US9364220B2 (en) 2012-06-19 2016-06-14 Covidien Lp Apparatus for endoscopic procedures
US9289256B2 (en) 2012-06-28 2016-03-22 Ethicon Endo-Surgery, Llc Surgical end effectors having angled tissue-contacting surfaces
US9204879B2 (en) 2012-06-28 2015-12-08 Ethicon Endo-Surgery, Inc. Flexible drive member
US9125662B2 (en) 2012-06-28 2015-09-08 Ethicon Endo-Surgery, Inc. Multi-axis articulating and rotating surgical tools
US9408606B2 (en) 2012-06-28 2016-08-09 Ethicon Endo-Surgery, Llc Robotically powered surgical device with manually-actuatable reversing system
US9282974B2 (en) 2012-06-28 2016-03-15 Ethicon Endo-Surgery, Llc Empty clip cartridge lockout
BR112014032776B1 (pt) 2012-06-28 2021-09-08 Ethicon Endo-Surgery, Inc Sistema de instrumento cirúrgico e kit cirúrgico para uso com um sistema de instrumento cirúrgico
US9561038B2 (en) 2012-06-28 2017-02-07 Ethicon Endo-Surgery, Llc Interchangeable clip applier
US20140005705A1 (en) 2012-06-29 2014-01-02 Ethicon Endo-Surgery, Inc. Surgical instruments with articulating shafts
US11202631B2 (en) 2012-06-28 2021-12-21 Cilag Gmbh International Stapling assembly comprising a firing lockout
US8747238B2 (en) 2012-06-28 2014-06-10 Ethicon Endo-Surgery, Inc. Rotary drive shaft assemblies for surgical instruments with articulatable end effectors
US20140005640A1 (en) 2012-06-28 2014-01-02 Ethicon Endo-Surgery, Inc. Surgical end effector jaw and electrode configurations
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
US20140001231A1 (en) 2012-06-28 2014-01-02 Ethicon Endo-Surgery, Inc. Firing system lockout arrangements for surgical instruments
JP6290201B2 (ja) 2012-06-28 2018-03-07 エシコン・エンド−サージェリィ・インコーポレイテッドＥｔｈｉｃｏｎ Ｅｎｄｏ−Ｓｕｒｇｅｒｙ，Ｉｎｃ． 空クリップカートリッジ用のロックアウト
US9101385B2 (en) 2012-06-28 2015-08-11 Ethicon Endo-Surgery, Inc. Electrode connections for rotary driven surgical tools
US9119657B2 (en) 2012-06-28 2015-09-01 Ethicon Endo-Surgery, Inc. Rotary actuatable closure arrangement for surgical end effector
US9393037B2 (en) 2012-06-29 2016-07-19 Ethicon Endo-Surgery, Llc Surgical instruments with articulating shafts
US9326788B2 (en) 2012-06-29 2016-05-03 Ethicon Endo-Surgery, Llc Lockout mechanism for use with robotic electrosurgical device
US20140005702A1 (en) 2012-06-29 2014-01-02 Ethicon Endo-Surgery, Inc. Ultrasonic surgical instruments with distally positioned transducers
US9351754B2 (en) 2012-06-29 2016-05-31 Ethicon Endo-Surgery, Llc Ultrasonic surgical instruments with distally positioned jaw assemblies
US9232944B2 (en) 2012-06-29 2016-01-12 Covidien Lp Surgical instrument and bushing
US9408622B2 (en) 2012-06-29 2016-08-09 Ethicon Endo-Surgery, Llc Surgical instruments with articulating shafts
US9226767B2 (en) 2012-06-29 2016-01-05 Ethicon Endo-Surgery, Inc. Closed feedback control for electrosurgical device
US9198714B2 (en) 2012-06-29 2015-12-01 Ethicon Endo-Surgery, Inc. Haptic feedback devices for surgical robot
US9820768B2 (en) 2012-06-29 2017-11-21 Ethicon Llc Ultrasonic surgical instruments with control mechanisms
US9839480B2 (en) 2012-07-09 2017-12-12 Covidien Lp Surgical adapter assemblies for use between surgical handle assembly and surgical end effectors
US9955965B2 (en) 2012-07-09 2018-05-01 Covidien Lp Switch block control assembly of a medical device
US10492814B2 (en) 2012-07-09 2019-12-03 Covidien Lp Apparatus for endoscopic procedures
US9408605B1 (en) 2012-07-12 2016-08-09 Cardica, Inc. Single-trigger clamping and firing of surgical stapler
US9402604B2 (en) 2012-07-20 2016-08-02 Covidien Lp Apparatus for endoscopic procedures
KR101379964B1 (ko) * 2012-09-12 2014-04-01 가톨릭대학교 산학협력단 하비갑개 부분절제술 기구
US9492224B2 (en) 2012-09-28 2016-11-15 EthiconEndo-Surgery, LLC Multi-function bi-polar forceps
US9386985B2 (en) 2012-10-15 2016-07-12 Ethicon Endo-Surgery, Llc Surgical cutting instrument
US9364217B2 (en) 2012-10-16 2016-06-14 Covidien Lp In-situ loaded stapler
US9421014B2 (en) 2012-10-18 2016-08-23 Covidien Lp Loading unit velocity and position feedback
US9095367B2 (en) 2012-10-22 2015-08-04 Ethicon Endo-Surgery, Inc. Flexible harmonic waveguides/blades for surgical instruments
US20140135804A1 (en) 2012-11-15 2014-05-15 Ethicon Endo-Surgery, Inc. Ultrasonic and electrosurgical devices
US9113892B2 (en) 2013-01-08 2015-08-25 Covidien Lp Surgical clip applier
US9968362B2 (en) 2013-01-08 2018-05-15 Covidien Lp Surgical clip applier
JP6382222B2 (ja) 2013-01-18 2018-08-29 エシコン・エンド−サージェリィ・インコーポレイテッドＥｔｈｉｃｏｎ Ｅｎｄｏ−Ｓｕｒｇｅｒｙ，Ｉｎｃ． モータ付き手術用器具
US9782187B2 (en) 2013-01-18 2017-10-10 Covidien Lp Adapter load button lockout
US9750500B2 (en) 2013-01-18 2017-09-05 Covidien Lp Surgical clip applier
US9345480B2 (en) 2013-01-18 2016-05-24 Covidien Lp Surgical instrument and cartridge members for use therewith
US10918364B2 (en) 2013-01-24 2021-02-16 Covidien Lp Intelligent adapter assembly for use with an electromechanical surgical system
US9208429B2 (en) 2013-01-31 2015-12-08 Teleflex Medical Incorporated Multiple delivery device counter and counting method
US9386984B2 (en) 2013-02-08 2016-07-12 Ethicon Endo-Surgery, Llc Staple cartridge comprising a releasable cover
US9421003B2 (en) 2013-02-18 2016-08-23 Covidien Lp Apparatus for endoscopic procedures
US9216013B2 (en) 2013-02-18 2015-12-22 Covidien Lp Apparatus for endoscopic procedures
US9717497B2 (en) 2013-02-28 2017-08-01 Ethicon Llc Lockout feature for movable cutting member of surgical instrument
US9517065B2 (en) 2013-02-28 2016-12-13 Ethicon Endo-Surgery, Llc Integrated tissue positioning and jaw alignment features for surgical stapler
US9795379B2 (en) 2013-02-28 2017-10-24 Ethicon Llc Surgical instrument with multi-diameter shaft
US9867615B2 (en) 2013-02-28 2018-01-16 Ethicon Llc Surgical instrument with articulation lock having a detenting binary spring
US9839421B2 (en) 2013-02-28 2017-12-12 Ethicon Llc Jaw closure feature for end effector of surgical instrument
US9186142B2 (en) 2013-02-28 2015-11-17 Ethicon Endo-Surgery, Inc. Surgical instrument end effector articulation drive with pinion and opposing racks
US10092292B2 (en) 2013-02-28 2018-10-09 Ethicon Llc Staple forming features for surgical stapling instrument
US9808248B2 (en) 2013-02-28 2017-11-07 Ethicon Llc Installation features for surgical instrument end effector cartridge
US9622746B2 (en) 2013-02-28 2017-04-18 Ethicon Endo-Surgery, Llc Distal tip features for end effector of surgical instrument
JP6339114B2 (ja) * 2013-03-01 2018-06-06 エシコン・エンド−サージェリィ・インコーポレイテッドＥｔｈｉｃｏｎ Ｅｎｄｏ−Ｓｕｒｇｅｒｙ，Ｉｎｃ． 複数の自由度を備えた回転動力式の外科用器具
BR112015021098B1 (pt) 2013-03-01 2022-02-15 Ethicon Endo-Surgery, Inc Cobertura para uma junta de articulação e instrumento cirúrgico
US20140249557A1 (en) 2013-03-01 2014-09-04 Ethicon Endo-Surgery, Inc. Thumbwheel switch arrangements for surgical instruments
RU2669463C2 (ru) 2013-03-01 2018-10-11 Этикон Эндо-Серджери, Инк. Хирургический инструмент с мягким упором
US10561432B2 (en) 2013-03-05 2020-02-18 Covidien Lp Pivoting screw for use with a pair of jaw members of a surgical instrument
EP2777524A3 (en) 2013-03-12 2017-04-19 Ethicon Endo-Surgery, Inc. Powered surgical instruments with firing system lockout arrangements
US9345481B2 (en) 2013-03-13 2016-05-24 Ethicon Endo-Surgery, Llc Staple cartridge tissue thickness sensor system
US9492189B2 (en) 2013-03-13 2016-11-15 Covidien Lp Apparatus for endoscopic procedures
US9668728B2 (en) 2013-03-13 2017-06-06 Covidien Lp Surgical stapling apparatus
US9814463B2 (en) 2013-03-13 2017-11-14 Covidien Lp Surgical stapling apparatus
US9717498B2 (en) 2013-03-13 2017-08-01 Covidien Lp Surgical stapling apparatus
US9629628B2 (en) 2013-03-13 2017-04-25 Covidien Lp Surgical stapling apparatus
US9629629B2 (en) 2013-03-14 2017-04-25 Ethicon Endo-Surgey, LLC Control systems for surgical instruments
EP4144303A1 (en) 2013-03-14 2023-03-08 Applied Medical Resources Corporation Surgical stapler with partial pockets
US9883860B2 (en) 2013-03-14 2018-02-06 Ethicon Llc Interchangeable shaft assemblies for use with a surgical instrument
US10226273B2 (en) 2013-03-14 2019-03-12 Ethicon Llc Mechanical fasteners for use with surgical energy devices
ES2803961T3 (es) 2013-03-15 2021-02-01 Applied Med Resources Grapadora quirúrgica con mordaza expandible
US9668732B2 (en) 2013-03-15 2017-06-06 Applied Medical Resources Corporation Surgical stapler handle assembly having actuation mechanism with longitudinally rotatable shaft
US9510827B2 (en) 2013-03-25 2016-12-06 Covidien Lp Micro surgical instrument and loading unit for use therewith
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
US9795384B2 (en) 2013-03-27 2017-10-24 Ethicon Llc Fastener cartridge comprising a tissue thickness compensator and a gap setting element
US9775610B2 (en) 2013-04-09 2017-10-03 Covidien Lp Apparatus for endoscopic procedures
US9700318B2 (en) 2013-04-09 2017-07-11 Covidien Lp Apparatus for endoscopic procedures
BR112015026109B1 (pt) 2013-04-16 2022-02-22 Ethicon Endo-Surgery, Inc Instrumento cirúrgico
US10136887B2 (en) 2013-04-16 2018-11-27 Ethicon Llc Drive system decoupling arrangement for a surgical instrument
US9801646B2 (en) 2013-05-30 2017-10-31 Covidien Lp Adapter load button decoupled from loading unit sensor
US9574644B2 (en) 2013-05-30 2017-02-21 Ethicon Endo-Surgery, Llc Power module for use with a surgical instrument
US9445810B2 (en) 2013-06-12 2016-09-20 Covidien Lp Stapling device with grasping jaw mechanism
US9797486B2 (en) 2013-06-20 2017-10-24 Covidien Lp Adapter direct drive with manual retraction, lockout and connection mechanisms
US9757129B2 (en) 2013-07-08 2017-09-12 Covidien Lp Coupling member configured for use with surgical devices
US9636112B2 (en) * 2013-08-16 2017-05-02 Covidien Lp Chip assembly for reusable surgical instruments
MX369362B (es) * 2013-08-23 2019-11-06 Ethicon Endo Surgery Llc Dispositivos de retraccion de miembros de disparo para instrumentos quirurgicos electricos.
US9924942B2 (en) 2013-08-23 2018-03-27 Ethicon Llc Motor-powered articulatable surgical instruments
US9775624B2 (en) 2013-08-27 2017-10-03 Covidien Lp Surgical clip applier
US9662108B2 (en) 2013-08-30 2017-05-30 Covidien Lp Surgical stapling apparatus
US9295514B2 (en) 2013-08-30 2016-03-29 Ethicon Endo-Surgery, Llc Surgical devices with close quarter articulation features
US9814514B2 (en) 2013-09-13 2017-11-14 Ethicon Llc Electrosurgical (RF) medical instruments for cutting and coagulating tissue
US20140171986A1 (en) 2013-09-13 2014-06-19 Ethicon Endo-Surgery, Inc. Surgical Clip Having Comliant Portion
US9861428B2 (en) 2013-09-16 2018-01-09 Ethicon Llc Integrated systems for electrosurgical steam or smoke control
US9955966B2 (en) 2013-09-17 2018-05-01 Covidien Lp Adapter direct drive with manual retraction, lockout, and connection mechanisms for improper use prevention
US9962157B2 (en) 2013-09-18 2018-05-08 Covidien Lp Apparatus and method for differentiating between tissue and mechanical obstruction in a surgical instrument
US9446517B2 (en) * 2013-10-17 2016-09-20 Intuitive Surgical Operations, Inc. Fault reaction, fault isolation, and graceful degradation in a robotic system
US9974540B2 (en) 2013-10-18 2018-05-22 Covidien Lp Adapter direct drive twist-lock retention mechanism
CA2926748A1 (en) 2013-11-04 2015-05-07 Covidien Lp Surgical fastener applying apparatus
US11033264B2 (en) 2013-11-04 2021-06-15 Covidien Lp Surgical fastener applying apparatus
CN105682568B (zh) 2013-11-04 2018-10-23 柯惠Lp公司 手术紧固件施加装置
US9265926B2 (en) 2013-11-08 2016-02-23 Ethicon Endo-Surgery, Llc Electrosurgical devices
US9295522B2 (en) 2013-11-08 2016-03-29 Covidien Lp Medical device adapter with wrist mechanism
US9526565B2 (en) 2013-11-08 2016-12-27 Ethicon Endo-Surgery, Llc Electrosurgical devices
US10236616B2 (en) 2013-12-04 2019-03-19 Covidien Lp Adapter assembly for interconnecting surgical devices and surgical attachments, and surgical systems thereof
US10561417B2 (en) * 2013-12-09 2020-02-18 Covidien Lp Adapter assembly for interconnecting electromechanical surgical devices and surgical loading units, and surgical systems thereof
ES2755485T3 (es) * 2013-12-09 2020-04-22 Covidien Lp Conjunto de adaptador para la interconexión de dispositivos quirúrgicos electromecánicos y unidades de carga quirúrgica, y sistemas quirúrgicos de los mismos
EP3578119B1 (en) 2013-12-11 2021-03-17 Covidien LP Wrist and jaw assemblies for robotic surgical systems
US10220522B2 (en) 2013-12-12 2019-03-05 Covidien Lp Gear train assemblies for robotic surgical systems
US9808245B2 (en) 2013-12-13 2017-11-07 Covidien Lp Coupling assembly for interconnecting an adapter assembly and a surgical device, and surgical systems thereof
GB2521229A (en) 2013-12-16 2015-06-17 Ethicon Endo Surgery Inc Medical device
GB2521228A (en) 2013-12-16 2015-06-17 Ethicon Endo Surgery Inc Medical device
US9867613B2 (en) 2013-12-19 2018-01-16 Covidien Lp Surgical staples and end effectors for deploying the same
US9681870B2 (en) * 2013-12-23 2017-06-20 Ethicon Llc Articulatable surgical instruments with separate and distinct closing and firing systems
US9724092B2 (en) 2013-12-23 2017-08-08 Ethicon Llc Modular surgical instruments
US9585662B2 (en) 2013-12-23 2017-03-07 Ethicon Endo-Surgery, Llc Fastener cartridge comprising an extendable firing member
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
US9642620B2 (en) 2013-12-23 2017-05-09 Ethicon Endo-Surgery, Llc Surgical cutting and stapling instruments with articulatable end effectors
US9795436B2 (en) 2014-01-07 2017-10-24 Ethicon Llc Harvesting energy from a surgical generator
US9839424B2 (en) 2014-01-17 2017-12-12 Covidien Lp Electromechanical surgical assembly
US9408660B2 (en) 2014-01-17 2016-08-09 Ethicon Endo-Surgery, Llc Device trigger dampening mechanism
US9655616B2 (en) 2014-01-22 2017-05-23 Covidien Lp Apparatus for endoscopic procedures
US10226305B2 (en) 2014-02-12 2019-03-12 Covidien Lp Surgical end effectors and pulley assemblies thereof
US9962161B2 (en) 2014-02-12 2018-05-08 Ethicon Llc Deliverable surgical instrument
US9974541B2 (en) 2014-02-14 2018-05-22 Covidien Lp End stop detection
US9848874B2 (en) 2014-02-14 2017-12-26 Covidien Lp Small diameter endoscopic stapler
EP3434418B1 (en) 2014-02-17 2021-01-27 Teleflex Medical Devices S.à.r.l. Driver for inserting intraosseous device
US9301691B2 (en) 2014-02-21 2016-04-05 Covidien Lp Instrument for optically detecting tissue attributes
US20140166725A1 (en) 2014-02-24 2014-06-19 Ethicon Endo-Surgery, Inc. Staple cartridge including a barbed staple.
CN106232029B (zh) 2014-02-24 2019-04-12 伊西康内外科有限责任公司 包括击发构件锁定件的紧固系统
US9554854B2 (en) 2014-03-18 2017-01-31 Ethicon Endo-Surgery, Llc Detecting short circuits in electrosurgical medical devices
BR112016021943B1 (pt) 2014-03-26 2022-06-14 Ethicon Endo-Surgery, Llc Instrumento cirúrgico para uso por um operador em um procedimento cirúrgico
US9804618B2 (en) 2014-03-26 2017-10-31 Ethicon Llc Systems and methods for controlling a segmented circuit
US20150272580A1 (en) 2014-03-26 2015-10-01 Ethicon Endo-Surgery, Inc. Verification of number of battery exchanges/procedure count
US9820738B2 (en) 2014-03-26 2017-11-21 Ethicon Llc Surgical instrument comprising interactive systems
US9913642B2 (en) 2014-03-26 2018-03-13 Ethicon Llc Surgical instrument comprising a sensor system
US10092310B2 (en) 2014-03-27 2018-10-09 Ethicon Llc Electrosurgical devices
US10463421B2 (en) 2014-03-27 2019-11-05 Ethicon Llc Two stage trigger, clamp and cut bipolar vessel sealer
US10524852B1 (en) 2014-03-28 2020-01-07 Ethicon Llc Distal sealing end effector with spacers
US10660713B2 (en) 2014-03-31 2020-05-26 Covidien Lp Wrist and jaw assemblies for robotic surgical systems
US9737355B2 (en) 2014-03-31 2017-08-22 Ethicon Llc Controlling impedance rise in electrosurgical medical devices
US9757126B2 (en) 2014-03-31 2017-09-12 Covidien Lp Surgical stapling apparatus with firing lockout mechanism
US9913680B2 (en) 2014-04-15 2018-03-13 Ethicon Llc Software algorithms for electrosurgical instruments
US9801628B2 (en) 2014-09-26 2017-10-31 Ethicon Llc Surgical staple and driver arrangements for staple cartridges
JP6532889B2 (ja) 2014-04-16 2019-06-19 エシコン エルエルシーＥｔｈｉｃｏｎ ＬＬＣ 締結具カートリッジ組立体及びステープル保持具カバー配置構成
US20150297222A1 (en) 2014-04-16 2015-10-22 Ethicon Endo-Surgery, Inc. Fastener cartridges including extensions having different configurations
CN106456176B (zh) 2014-04-16 2019-06-28 伊西康内外科有限责任公司 包括具有不同构型的延伸部的紧固件仓
BR112016023825B1 (pt) 2014-04-16 2022-08-02 Ethicon Endo-Surgery, Llc Cartucho de grampos para uso com um grampeador cirúrgico e cartucho de grampos para uso com um instrumento cirúrgico
US11185330B2 (en) 2014-04-16 2021-11-30 Cilag Gmbh International Fastener cartridge assemblies and staple retainer cover arrangements
US10164466B2 (en) 2014-04-17 2018-12-25 Covidien Lp Non-contact surgical adapter electrical interface
US9757186B2 (en) 2014-04-17 2017-09-12 Ethicon Llc Device status feedback for bipolar tissue spacer
US10080552B2 (en) 2014-04-21 2018-09-25 Covidien Lp Adapter assembly with gimbal for interconnecting electromechanical surgical devices and surgical loading units, and surgical systems thereof
US9668733B2 (en) 2014-04-21 2017-06-06 Covidien Lp Stapling device with features to prevent inadvertent firing of staples
US9861366B2 (en) 2014-05-06 2018-01-09 Covidien Lp Ejecting assembly for a surgical stapler
WO2015174985A1 (en) 2014-05-15 2015-11-19 Lp Covidien Surgical fastener applying apparatus
US9713466B2 (en) 2014-05-16 2017-07-25 Covidien Lp Adaptor for surgical instrument for converting rotary input to linear output
ES2758511T3 (es) 2014-06-11 2020-05-05 Applied Med Resources Grapadora quirúrgica con disparo circunferencial
US10045781B2 (en) 2014-06-13 2018-08-14 Ethicon Llc Closure lockout systems for surgical instruments
US9999423B2 (en) 2014-06-25 2018-06-19 Ethicon Llc Translatable articulation joint unlocking feature for surgical stapler
US10292701B2 (en) 2014-06-25 2019-05-21 Ethicon Llc Articulation drive features for surgical stapler
US10064620B2 (en) 2014-06-25 2018-09-04 Ethicon Llc Method of unlocking articulation joint in surgical stapler
US10456132B2 (en) 2014-06-25 2019-10-29 Ethicon Llc Jaw opening feature for surgical stapler
BR112016030332B1 (pt) 2014-06-25 2022-11-01 Ethicon Endo-Surgery, Llc Aparelho de engate por travamento para grampeador cirúrgico
US9693774B2 (en) 2014-06-25 2017-07-04 Ethicon Llc Pivotable articulation joint unlocking feature for surgical stapler
US10335147B2 (en) 2014-06-25 2019-07-02 Ethicon Llc Method of using lockout features for surgical stapler cartridge
US10163589B2 (en) 2014-06-26 2018-12-25 Covidien Lp Adapter assemblies for interconnecting surgical loading units and handle assemblies
US9987095B2 (en) 2014-06-26 2018-06-05 Covidien Lp Adapter assemblies for interconnecting electromechanical handle assemblies and surgical loading units
US9763661B2 (en) 2014-06-26 2017-09-19 Covidien Lp Adapter assembly for interconnecting electromechanical surgical devices and surgical loading units, and surgical systems thereof
US10561418B2 (en) 2014-06-26 2020-02-18 Covidien Lp Adapter assemblies for interconnecting surgical loading units and handle assemblies
US9839425B2 (en) 2014-06-26 2017-12-12 Covidien Lp Adapter assembly for interconnecting electromechanical surgical devices and surgical loading units, and surgical systems thereof
US9700333B2 (en) 2014-06-30 2017-07-11 Ethicon Llc Surgical instrument with variable tissue compression
US10285724B2 (en) 2014-07-31 2019-05-14 Ethicon Llc Actuation mechanisms and load adjustment assemblies for surgical instruments
US10194976B2 (en) 2014-08-25 2019-02-05 Ethicon Llc Lockout disabling mechanism
US9877776B2 (en) 2014-08-25 2018-01-30 Ethicon Llc Simultaneous I-beam and spring driven cam jaw closure mechanism
US10194972B2 (en) 2014-08-26 2019-02-05 Ethicon Llc Managing tissue treatment
US11311294B2 (en) 2014-09-05 2022-04-26 Cilag Gmbh International Powered medical device including measurement of closure state of jaws
US10135242B2 (en) 2014-09-05 2018-11-20 Ethicon Llc Smart cartridge wake up operation and data retention
BR112017004361B1 (pt) 2014-09-05 2023-04-11 Ethicon Llc Sistema eletrônico para um instrumento cirúrgico
EP3949872B1 (en) 2014-09-15 2023-11-22 Applied Medical Resources Corporation Surgical stapler with self-adjusting staple height
US10105142B2 (en) 2014-09-18 2018-10-23 Ethicon Llc Surgical stapler with plurality of cutting elements
US11523821B2 (en) 2014-09-26 2022-12-13 Cilag Gmbh International Method for creating a flexible staple line
MX2017003960A (es) 2014-09-26 2017-12-04 Ethicon Llc Refuerzos de grapas quirúrgicas y materiales auxiliares.
WO2016057225A1 (en) 2014-10-07 2016-04-14 Covidien Lp Handheld electromechanical surgical system
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
US10729443B2 (en) 2014-10-21 2020-08-04 Covidien Lp Adapter, extension, and connector assemblies for surgical devices
US10226254B2 (en) 2014-10-21 2019-03-12 Covidien Lp Adapter, extension, and connector assemblies for surgical devices
US10085750B2 (en) 2014-10-22 2018-10-02 Covidien Lp Adapter with fire rod J-hook lockout
US9949737B2 (en) 2014-10-22 2018-04-24 Covidien Lp Adapter assemblies for interconnecting surgical loading units and handle assemblies
US11141153B2 (en) 2014-10-29 2021-10-12 Cilag Gmbh International Staple cartridges comprising driver arrangements
US10517594B2 (en) 2014-10-29 2019-12-31 Ethicon Llc Cartridge assemblies for surgical staplers
US11504192B2 (en) 2014-10-30 2022-11-22 Cilag Gmbh International Method of hub communication with surgical instrument systems
US9844376B2 (en) 2014-11-06 2017-12-19 Ethicon Llc Staple cartridge comprising a releasable adjunct material
US10702278B2 (en) 2014-12-02 2020-07-07 Covidien Lp Laparoscopic surgical ligation clip applier
US10639092B2 (en) 2014-12-08 2020-05-05 Ethicon Llc Electrode configurations for surgical instruments
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
US10117649B2 (en) 2014-12-18 2018-11-06 Ethicon Llc Surgical instrument assembly comprising a lockable articulation system
US9987000B2 (en) 2014-12-18 2018-06-05 Ethicon Llc Surgical instrument assembly comprising a flexible articulation system
US10004501B2 (en) 2014-12-18 2018-06-26 Ethicon Llc Surgical instruments with improved closure arrangements
US9844375B2 (en) 2014-12-18 2017-12-19 Ethicon Llc Drive arrangements for articulatable surgical instruments
RU2703684C2 (ru) 2014-12-18 2019-10-21 ЭТИКОН ЭНДО-СЕРДЖЕРИ, ЭлЭлСи Хирургический инструмент с упором, который выполнен с возможностью избирательного перемещения относительно кассеты со скобами вокруг дискретной неподвижной оси
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
US10085748B2 (en) 2014-12-18 2018-10-02 Ethicon Llc Locking arrangements for detachable shaft assemblies with articulatable surgical end effectors
US9848937B2 (en) 2014-12-22 2017-12-26 Ethicon Llc End effector with detectable configurations
US10111699B2 (en) 2014-12-22 2018-10-30 Ethicon Llc RF tissue sealer, shear grip, trigger lock mechanism and energy activation
US10092348B2 (en) 2014-12-22 2018-10-09 Ethicon Llc RF tissue sealer, shear grip, trigger lock mechanism and energy activation
US10159524B2 (en) 2014-12-22 2018-12-25 Ethicon Llc High power battery powered RF amplifier topology
US9931124B2 (en) 2015-01-07 2018-04-03 Covidien Lp Reposable clip applier
US10368876B2 (en) 2015-01-15 2019-08-06 Covidien Lp Endoscopic reposable surgical clip applier
US10292712B2 (en) 2015-01-28 2019-05-21 Covidien Lp Surgical clip applier with integrated cutter
US10245095B2 (en) 2015-02-06 2019-04-02 Ethicon Llc Electrosurgical instrument with rotation and articulation mechanisms
US10111665B2 (en) 2015-02-19 2018-10-30 Covidien Lp Electromechanical surgical systems
US10039545B2 (en) 2015-02-23 2018-08-07 Covidien Lp Double fire stapling
US10085749B2 (en) 2015-02-26 2018-10-02 Covidien Lp Surgical apparatus with conductor strain relief
US10285698B2 (en) 2015-02-26 2019-05-14 Covidien Lp Surgical apparatus
US10321907B2 (en) 2015-02-27 2019-06-18 Ethicon Llc System for monitoring whether a surgical instrument needs to be serviced
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
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
US9924961B2 (en) 2015-03-06 2018-03-27 Ethicon Endo-Surgery, Llc Interactive feedback system for powered surgical instruments
US9895148B2 (en) 2015-03-06 2018-02-20 Ethicon Endo-Surgery, Llc Monitoring speed control and precision incrementing of motor for powered surgical instruments
US9993248B2 (en) 2015-03-06 2018-06-12 Ethicon Endo-Surgery, Llc Smart sensors with local signal processing
US10441279B2 (en) 2015-03-06 2019-10-15 Ethicon Llc Multiple level thresholds to modify operation of powered surgical instruments
US10045776B2 (en) 2015-03-06 2018-08-14 Ethicon Llc Control techniques and sub-processor contained within modular shaft with select control processing from handle
JP2020121162A (ja) 2015-03-06 2020-08-13 エシコン エルエルシーＥｔｈｉｃｏｎ ＬＬＣ 測定の安定性要素、クリープ要素、及び粘弾性要素を決定するためのセンサデータの時間依存性評価
US10245033B2 (en) 2015-03-06 2019-04-02 Ethicon Llc Surgical instrument comprising a lockable battery housing
US9901342B2 (en) 2015-03-06 2018-02-27 Ethicon Endo-Surgery, Llc Signal and power communication system positioned on a rotatable shaft
US9808246B2 (en) 2015-03-06 2017-11-07 Ethicon Endo-Surgery, Llc Method of operating a powered surgical instrument
US10052044B2 (en) 2015-03-06 2018-08-21 Ethicon Llc Time dependent evaluation of sensor data to determine stability, creep, and viscoelastic elements of measures
US10617412B2 (en) * 2015-03-06 2020-04-14 Ethicon Llc System for detecting the mis-insertion of a staple cartridge into a surgical stapler
US10687806B2 (en) 2015-03-06 2020-06-23 Ethicon Llc Adaptive tissue compression techniques to adjust closure rates for multiple tissue types
US10159491B2 (en) 2015-03-10 2018-12-25 Covidien Lp Endoscopic reposable surgical clip applier
US10190888B2 (en) 2015-03-11 2019-01-29 Covidien Lp Surgical stapling instruments with linear position assembly
US10342602B2 (en) 2015-03-17 2019-07-09 Ethicon Llc Managing tissue treatment
US10321950B2 (en) 2015-03-17 2019-06-18 Ethicon Llc Managing tissue treatment
US9918717B2 (en) 2015-03-18 2018-03-20 Covidien Lp Pivot mechanism for surgical device
US10595929B2 (en) 2015-03-24 2020-03-24 Ethicon Llc Surgical instruments with firing system overload protection mechanisms
US10390825B2 (en) 2015-03-31 2019-08-27 Ethicon Llc Surgical instrument with progressive rotary drive systems
US10314638B2 (en) 2015-04-07 2019-06-11 Ethicon Llc Articulating radio frequency (RF) tissue seal with articulating state sensing
US10117702B2 (en) 2015-04-10 2018-11-06 Ethicon Llc Surgical generator systems and related methods
US10463368B2 (en) 2015-04-10 2019-11-05 Covidien Lp Endoscopic stapler
US10327779B2 (en) 2015-04-10 2019-06-25 Covidien Lp Adapter, extension, and connector assemblies for surgical devices
US11432902B2 (en) 2015-04-10 2022-09-06 Covidien Lp Surgical devices with moisture control
US10226239B2 (en) 2015-04-10 2019-03-12 Covidien Lp Adapter assembly with gimbal for interconnecting electromechanical surgical devices and surgical loading units, and surgical systems thereof
US10130410B2 (en) 2015-04-17 2018-11-20 Ethicon Llc Electrosurgical instrument including a cutting member decouplable from a cutting member trigger
US11278286B2 (en) 2015-04-22 2022-03-22 Covidien Lp Handheld electromechanical surgical system
WO2016171947A1 (en) 2015-04-22 2016-10-27 Covidien Lp Handheld electromechanical surgical system
US9872725B2 (en) 2015-04-29 2018-01-23 Ethicon Llc RF tissue sealer with mode selection
US10299789B2 (en) 2015-05-05 2019-05-28 Covidie LP Adapter assembly for surgical stapling devices
US10117650B2 (en) 2015-05-05 2018-11-06 Covidien Lp Adapter assembly and loading units for surgical stapling devices
US10039532B2 (en) 2015-05-06 2018-08-07 Covidien Lp Surgical instrument with articulation assembly
JP6420501B6 (ja) 2015-05-08 2018-12-19 ジャストライト サージカル，リミティド ライアビリティ カンパニー 手術用ステープラ
US10172615B2 (en) 2015-05-27 2019-01-08 Covidien Lp Multi-fire push rod stapling device
US10349941B2 (en) 2015-05-27 2019-07-16 Covidien Lp Multi-fire lead screw stapling device
US11020140B2 (en) 2015-06-17 2021-06-01 Cilag Gmbh International Ultrasonic surgical blade for use with ultrasonic surgical instruments
US10405863B2 (en) 2015-06-18 2019-09-10 Ethicon Llc Movable firing beam support arrangements for articulatable surgical instruments
US10517602B2 (en) * 2015-06-26 2019-12-31 Ethicon Llc Surgical stapler with reversible polarity
US10405855B2 (en) 2015-06-26 2019-09-10 Ethicon Llc Firing circuit for surgical stapler
US11141213B2 (en) 2015-06-30 2021-10-12 Cilag Gmbh International Surgical instrument with user adaptable techniques
US10357303B2 (en) 2015-06-30 2019-07-23 Ethicon Llc Translatable outer tube for sealing using shielded lap chole dissector
US11129669B2 (en) 2015-06-30 2021-09-28 Cilag Gmbh International Surgical system with user adaptable techniques based on tissue type
US10898256B2 (en) 2015-06-30 2021-01-26 Ethicon Llc Surgical system with user adaptable techniques based on tissue impedance
US10034704B2 (en) 2015-06-30 2018-07-31 Ethicon Llc Surgical instrument with user adaptable algorithms
US11051873B2 (en) 2015-06-30 2021-07-06 Cilag Gmbh International Surgical system with user adaptable techniques employing multiple energy modalities based on tissue parameters
US10154852B2 (en) 2015-07-01 2018-12-18 Ethicon Llc Ultrasonic surgical blade with improved cutting and coagulation features
US10548599B2 (en) 2015-07-20 2020-02-04 Covidien Lp Endoscopic stapler and staple
US9987012B2 (en) 2015-07-21 2018-06-05 Covidien Lp Small diameter cartridge design for a surgical stapling instrument
US10751058B2 (en) 2015-07-28 2020-08-25 Covidien Lp Adapter assemblies for surgical devices
US10064622B2 (en) 2015-07-29 2018-09-04 Covidien Lp Surgical stapling loading unit with stroke counter and lockout
JP6858746B2 (ja) * 2015-07-30 2021-04-14 エシコン エルエルシーＥｔｈｉｃｏｎ ＬＬＣ 外科用器具の動作工程をバイパスするためのシステムを備える外科用器具
US10045782B2 (en) 2015-07-30 2018-08-14 Covidien Lp Surgical stapling loading unit with stroke counter and lockout
KR20240027156A (ko) 2015-08-06 2024-02-29 어플라이드 메디컬 리소시스 코포레이션 로킹 관절 조인트를 갖는 수술용 스테이플러
US11058425B2 (en) 2015-08-17 2021-07-13 Ethicon Llc Implantable layers for a surgical instrument
BR112018003693B1 (pt) 2015-08-26 2022-11-22 Ethicon Llc Cartucho de grampos cirúrgicos para uso com um instrumento de grampeamento cirúrgico
US10098642B2 (en) 2015-08-26 2018-10-16 Ethicon Llc Surgical staples comprising features for improved fastening of tissue
US10238390B2 (en) 2015-09-02 2019-03-26 Ethicon Llc Surgical staple cartridges with driver arrangements for establishing herringbone staple patterns
MX2022006189A (es) 2015-09-02 2022-06-16 Ethicon Llc Configuraciones de grapas quirurgicas con superficies de leva situadas entre porciones que soportan grapas quirurgicas.
US10085751B2 (en) 2015-09-23 2018-10-02 Ethicon Llc Surgical stapler having temperature-based motor control
US10363036B2 (en) 2015-09-23 2019-07-30 Ethicon Llc Surgical stapler having force-based motor control
US10327769B2 (en) 2015-09-23 2019-06-25 Ethicon Llc Surgical stapler having motor control based on a drive system component
US10238386B2 (en) 2015-09-23 2019-03-26 Ethicon Llc Surgical stapler having motor control based on an electrical parameter related to a motor current
US10076326B2 (en) 2015-09-23 2018-09-18 Ethicon Llc Surgical stapler having current mirror-based motor control
US10105139B2 (en) 2015-09-23 2018-10-23 Ethicon Llc Surgical stapler having downstream current-based motor control
US10806454B2 (en) 2015-09-25 2020-10-20 Covidien Lp Robotic surgical assemblies and instrument drive connectors thereof
US10299878B2 (en) 2015-09-25 2019-05-28 Ethicon Llc Implantable adjunct systems for determining adjunct skew
US10561420B2 (en) 2015-09-30 2020-02-18 Ethicon Llc Tubular absorbable constructs
US11890015B2 (en) 2015-09-30 2024-02-06 Cilag Gmbh International Compressible adjunct with crossing spacer fibers
US10285699B2 (en) 2015-09-30 2019-05-14 Ethicon Llc Compressible adjunct
US10980539B2 (en) 2015-09-30 2021-04-20 Ethicon Llc Implantable adjunct comprising bonded layers
US10687884B2 (en) 2015-09-30 2020-06-23 Ethicon Llc Circuits for supplying isolated direct current (DC) voltage to surgical instruments
US10213204B2 (en) 2015-10-02 2019-02-26 Covidien Lp Micro surgical instrument and loading unit for use therewith
US10371238B2 (en) 2015-10-09 2019-08-06 Covidien Lp Adapter assembly for surgical device
US10413298B2 (en) 2015-10-14 2019-09-17 Covidien Lp Adapter assembly for surgical devices
US10959771B2 (en) 2015-10-16 2021-03-30 Ethicon Llc Suction and irrigation sealing grasper
US10595930B2 (en) 2015-10-16 2020-03-24 Ethicon Llc Electrode wiping surgical device
US10772632B2 (en) 2015-10-28 2020-09-15 Covidien Lp Surgical stapling device with triple leg staples
WO2017075752A1 (en) 2015-11-03 2017-05-11 Covidien Lp Endoscopic surgical clip applier
US10729435B2 (en) 2015-11-06 2020-08-04 Covidien Lp Adapter assemblies for interconnecting surgical loading units and handle assemblies
US10292705B2 (en) 2015-11-06 2019-05-21 Covidien Lp Surgical apparatus
US10939952B2 (en) 2015-11-06 2021-03-09 Covidien Lp Adapter, extension, and connector assemblies for surgical devices
JP6609699B2 (ja) 2015-11-10 2019-11-20 コヴィディエン リミテッド パートナーシップ 内視鏡用の部分使い捨て外科用クリップアプライア
US10390831B2 (en) 2015-11-10 2019-08-27 Covidien Lp Endoscopic reposable surgical clip applier
CA2999906A1 (en) 2015-11-10 2017-05-18 Covidien Lp Endoscopic reposable surgical clip applier
US10595864B2 (en) 2015-11-24 2020-03-24 Covidien Lp Adapter assembly for interconnecting electromechanical surgical devices and surgical loading units, and surgical systems thereof
US10617411B2 (en) 2015-12-01 2020-04-14 Covidien Lp Adapter assembly for surgical device
US10111660B2 (en) 2015-12-03 2018-10-30 Covidien Lp Surgical stapler flexible distal tip
US10433841B2 (en) 2015-12-10 2019-10-08 Covidien Lp Adapter assembly for surgical device
US10253847B2 (en) 2015-12-22 2019-04-09 Covidien Lp Electromechanical surgical devices with single motor drives and adapter assemblies therfor
US10420554B2 (en) 2015-12-22 2019-09-24 Covidien Lp Personalization of powered surgical devices
US10179022B2 (en) 2015-12-30 2019-01-15 Ethicon Llc Jaw position impedance limiter for electrosurgical instrument
US10265068B2 (en) 2015-12-30 2019-04-23 Ethicon Llc Surgical instruments with separable motors and motor control circuits
US10292704B2 (en) 2015-12-30 2019-05-21 Ethicon Llc Mechanisms for compensating for battery pack failure in powered surgical instruments
US10368865B2 (en) 2015-12-30 2019-08-06 Ethicon Llc Mechanisms for compensating for drivetrain failure in powered surgical instruments
US10959806B2 (en) 2015-12-30 2021-03-30 Ethicon Llc Energized medical device with reusable handle
US10575892B2 (en) 2015-12-31 2020-03-03 Ethicon Llc Adapter for electrical surgical instruments
US10314579B2 (en) 2016-01-07 2019-06-11 Covidien Lp Adapter assemblies for interconnecting surgical loading units and handle assemblies
US10966717B2 (en) 2016-01-07 2021-04-06 Covidien Lp Surgical fastener apparatus
WO2017120734A1 (en) 2016-01-11 2017-07-20 Covidien Lp Endoscopic reposable surgical clip applier
US10524797B2 (en) 2016-01-13 2020-01-07 Covidien Lp Adapter assembly including a removable trocar assembly
US10716615B2 (en) 2016-01-15 2020-07-21 Ethicon Llc Modular battery powered handheld surgical instrument with curved end effectors having asymmetric engagement between jaw and blade
US10660623B2 (en) 2016-01-15 2020-05-26 Covidien Lp Centering mechanism for articulation joint
US11129670B2 (en) 2016-01-15 2021-09-28 Cilag Gmbh International Modular battery powered handheld surgical instrument with selective application of energy based on button displacement, intensity, or local tissue characterization
US11229471B2 (en) 2016-01-15 2022-01-25 Cilag Gmbh International Modular battery powered handheld surgical instrument with selective application of energy based on tissue characterization
US10709469B2 (en) 2016-01-15 2020-07-14 Ethicon Llc Modular battery powered handheld surgical instrument with energy conservation techniques
CN108472027B (zh) 2016-01-18 2020-12-29 柯惠有限合伙公司 内窥镜外科手术夹具施用器
US10508720B2 (en) 2016-01-21 2019-12-17 Covidien Lp Adapter assembly with planetary gear drive for interconnecting electromechanical surgical devices and surgical loading units, and surgical systems thereof
BR112018016098B1 (pt) 2016-02-09 2023-02-23 Ethicon Llc Instrumento cirúrgico
US11213293B2 (en) 2016-02-09 2022-01-04 Cilag Gmbh International Articulatable surgical instruments with single articulation link arrangements
US10433837B2 (en) 2016-02-09 2019-10-08 Ethicon Llc Surgical instruments with multiple link articulation arrangements
US10398439B2 (en) 2016-02-10 2019-09-03 Covidien Lp Adapter, extension, and connector assemblies for surgical devices
US10349937B2 (en) 2016-02-10 2019-07-16 Covidien Lp Surgical stapler with articulation locking mechanism
US10420559B2 (en) 2016-02-11 2019-09-24 Covidien Lp Surgical stapler with small diameter endoscopic portion
US10448948B2 (en) 2016-02-12 2019-10-22 Ethicon Llc Mechanisms for compensating for drivetrain failure in powered surgical instruments
US10258331B2 (en) 2016-02-12 2019-04-16 Ethicon Llc Mechanisms for compensating for drivetrain failure in powered surgical instruments
US11224426B2 (en) 2016-02-12 2022-01-18 Cilag Gmbh International Mechanisms for compensating for drivetrain failure in powered surgical instruments
US10555769B2 (en) 2016-02-22 2020-02-11 Ethicon Llc Flexible circuits for electrosurgical instrument
CA2958160A1 (en) 2016-02-24 2017-08-24 Covidien Lp Endoscopic reposable surgical clip applier
CN109310418B (zh) * 2016-04-01 2021-08-20 伊西康有限责任公司 具有可重新构造的握柄部分的外科器械柄部组件
US10485542B2 (en) * 2016-04-01 2019-11-26 Ethicon Llc Surgical stapling instrument comprising multiple lockouts
US11284890B2 (en) 2016-04-01 2022-03-29 Cilag Gmbh International Circular stapling system comprising an incisable tissue support
US10617413B2 (en) 2016-04-01 2020-04-14 Ethicon Llc Closure system arrangements for surgical cutting and stapling devices with separate and distinct firing shafts
CN109310415B (zh) * 2016-04-01 2021-08-27 伊西康有限责任公司 包括多个闭锁件的外科缝合器械
US11045191B2 (en) 2016-04-01 2021-06-29 Cilag Gmbh International Method for operating a surgical stapling system
US10413293B2 (en) 2016-04-01 2019-09-17 Ethicon Llc Interchangeable surgical tool assembly with a surgical end effector that is selectively rotatable about a shaft axis
JP6965265B2 (ja) * 2016-04-01 2021-11-10 エシコン エルエルシーEthicon LLC 組織圧迫ロックアウトを備える外科用ステープル留めシステム
CA3020791A1 (en) 2016-04-12 2017-10-19 Applied Medical Resources Corporation Reload shaft assembly for surgical stapler
AU2017250184B2 (en) 2016-04-12 2022-03-24 Applied Medical Resources Corporation Surgical stapler having articulation mechanism
JP6965268B2 (ja) 2016-04-12 2021-11-10 アプライド メディカル リソーシーズ コーポレイション 電動ハンドル付き外科用ステープラ
US10456137B2 (en) 2016-04-15 2019-10-29 Ethicon Llc Staple formation detection mechanisms
US11607239B2 (en) 2016-04-15 2023-03-21 Cilag Gmbh International Systems and methods for controlling a surgical stapling and cutting instrument
US10335145B2 (en) 2016-04-15 2019-07-02 Ethicon Llc Modular surgical instrument with configurable operating mode
US11179150B2 (en) 2016-04-15 2021-11-23 Cilag Gmbh International Systems and methods for controlling a surgical stapling and cutting instrument
US10492783B2 (en) * 2016-04-15 2019-12-03 Ethicon, Llc Surgical instrument with improved stop/start control during a firing motion
US10405859B2 (en) 2016-04-15 2019-09-10 Ethicon Llc Surgical instrument with adjustable stop/start control during a firing motion
US10426467B2 (en) 2016-04-15 2019-10-01 Ethicon Llc Surgical instrument with detection sensors
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
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
US10478181B2 (en) 2016-04-18 2019-11-19 Ethicon Llc Cartridge lockout arrangements for rotary powered surgical cutting and stapling instruments
EP3235445B1 (en) * 2016-04-18 2022-04-20 Ethicon LLC Surgical instrument comprising a lockout
US10485607B2 (en) 2016-04-29 2019-11-26 Ethicon Llc Jaw structure with distal closure for electrosurgical instruments
US10987156B2 (en) 2016-04-29 2021-04-27 Ethicon Llc Electrosurgical instrument with electrically conductive gap setting member and electrically insulative tissue engaging members
US10702329B2 (en) 2016-04-29 2020-07-07 Ethicon Llc Jaw structure with distal post for electrosurgical instruments
US10646269B2 (en) 2016-04-29 2020-05-12 Ethicon Llc Non-linear jaw gap for electrosurgical instruments
US10856934B2 (en) 2016-04-29 2020-12-08 Ethicon Llc Electrosurgical instrument with electrically conductive gap setting and tissue engaging members
US10456193B2 (en) 2016-05-03 2019-10-29 Ethicon Llc Medical device with a bilateral jaw configuration for nerve stimulation
US10561419B2 (en) 2016-05-04 2020-02-18 Covidien Lp Powered end effector assembly with pivotable channel
US10799239B2 (en) 2016-05-09 2020-10-13 Covidien Lp Adapter assembly with pulley system and worm gear drive for interconnecting electromechanical surgical devices and surgical end effectors
US10588610B2 (en) 2016-05-10 2020-03-17 Covidien Lp Adapter assemblies for surgical devices
US10736637B2 (en) 2016-05-10 2020-08-11 Covidien Lp Brake for adapter assemblies for surgical devices
US10702302B2 (en) 2016-05-17 2020-07-07 Covidien Lp Adapter assembly including a removable trocar assembly
US11065022B2 (en) 2016-05-17 2021-07-20 Covidien Lp Cutting member for a surgical instrument
US10463374B2 (en) 2016-05-17 2019-11-05 Covidien Lp Adapter assembly for a flexible circular stapler
AU2017272075B2 (en) 2016-05-26 2021-04-29 Covidien Lp Robotic surgical assemblies
USD822206S1 (en) 2016-06-24 2018-07-03 Ethicon Llc Surgical fastener
US10675024B2 (en) 2016-06-24 2020-06-09 Ethicon Llc Staple cartridge comprising overdriven staples
CN109310431B (zh) 2016-06-24 2022-03-04 伊西康有限责任公司 包括线材钉和冲压钉的钉仓
USD826405S1 (en) 2016-06-24 2018-08-21 Ethicon Llc Surgical fastener
USD847989S1 (en) 2016-06-24 2019-05-07 Ethicon Llc Surgical fastener cartridge
USD850617S1 (en) 2016-06-24 2019-06-04 Ethicon Llc Surgical fastener cartridge
CN106037849B (zh) * 2016-07-01 2018-04-24 北京派尔特医疗科技股份有限公司 吻合器控制电路及电动吻合器
US10245064B2 (en) 2016-07-12 2019-04-02 Ethicon Llc Ultrasonic surgical instrument with piezoelectric central lumen transducer
US10893883B2 (en) 2016-07-13 2021-01-19 Ethicon Llc Ultrasonic assembly for use with ultrasonic surgical instruments
US10842522B2 (en) 2016-07-15 2020-11-24 Ethicon Llc Ultrasonic surgical instruments having offset blades
US10376305B2 (en) 2016-08-05 2019-08-13 Ethicon Llc Methods and systems for advanced harmonic energy
US10653398B2 (en) 2016-08-05 2020-05-19 Covidien Lp Adapter assemblies for surgical devices
US10285723B2 (en) 2016-08-09 2019-05-14 Ethicon Llc Ultrasonic surgical blade with improved heel portion
US10806464B2 (en) 2016-08-11 2020-10-20 Covidien Lp Endoscopic surgical clip applier and clip applying systems
USD847990S1 (en) 2016-08-16 2019-05-07 Ethicon Llc Surgical instrument
JP2019524326A (ja) 2016-08-25 2019-09-05 コヴィディエン リミテッド パートナーシップ 内視鏡外科手術用クリップアプライヤおよびクリップ適用システム
US10779847B2 (en) 2016-08-25 2020-09-22 Ethicon Llc Ultrasonic transducer to waveguide joining
US10952759B2 (en) 2016-08-25 2021-03-23 Ethicon Llc Tissue loading of a surgical instrument
US10751117B2 (en) 2016-09-23 2020-08-25 Ethicon Llc Electrosurgical instrument with fluid diverter
US10660651B2 (en) 2016-10-31 2020-05-26 Covidien Lp Endoscopic reposable surgical clip applier
US10639044B2 (en) 2016-10-31 2020-05-05 Covidien Lp Ligation clip module and clip applier
US10492795B2 (en) 2016-11-01 2019-12-03 Covidien Lp Endoscopic surgical clip applier
US10426489B2 (en) 2016-11-01 2019-10-01 Covidien Lp Endoscopic reposable surgical clip applier
US10610236B2 (en) 2016-11-01 2020-04-07 Covidien Lp Endoscopic reposable surgical clip applier
US11642126B2 (en) 2016-11-04 2023-05-09 Covidien Lp Surgical stapling apparatus with tissue pockets
US10631857B2 (en) 2016-11-04 2020-04-28 Covidien Lp Loading unit for surgical instruments with low profile pushers
US10492784B2 (en) 2016-11-08 2019-12-03 Covidien Lp Surgical tool assembly with compact firing assembly
US11116594B2 (en) 2016-11-08 2021-09-14 Covidien Lp Surgical systems including adapter assemblies for interconnecting electromechanical surgical devices and end effectors
US10542981B2 (en) 2016-11-14 2020-01-28 Ethicon Llc Atraumatic stapling head features for circular surgical stapler
US10603064B2 (en) 2016-11-28 2020-03-31 Ethicon Llc Ultrasonic transducer
US11266430B2 (en) 2016-11-29 2022-03-08 Cilag Gmbh International End effector control and calibration
US10463371B2 (en) 2016-11-29 2019-11-05 Covidien Lp Reload assembly with spent reload indicator
US20180168648A1 (en) 2016-12-21 2018-06-21 Ethicon Endo-Surgery, Llc Durability features for end effectors and firing assemblies of surgical stapling instruments
US10687810B2 (en) 2016-12-21 2020-06-23 Ethicon Llc Stepped staple cartridge with tissue retention and gap setting features
US10758229B2 (en) 2016-12-21 2020-09-01 Ethicon Llc Surgical instrument comprising improved jaw control
US10426471B2 (en) 2016-12-21 2019-10-01 Ethicon Llc Surgical instrument with multiple failure response modes
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
US10675025B2 (en) 2016-12-21 2020-06-09 Ethicon Llc Shaft assembly comprising separately actuatable and retractable systems
CN110099619B (zh) 2016-12-21 2022-07-15 爱惜康有限责任公司 用于外科端部执行器和可替换工具组件的闭锁装置
US10617414B2 (en) 2016-12-21 2020-04-14 Ethicon Llc Closure member arrangements for surgical instruments
US10675026B2 (en) 2016-12-21 2020-06-09 Ethicon Llc Methods of stapling tissue
US10682138B2 (en) 2016-12-21 2020-06-16 Ethicon Llc Bilaterally asymmetric staple forming pocket pairs
US20180168625A1 (en) 2016-12-21 2018-06-21 Ethicon Endo-Surgery, Llc Surgical stapling instruments with smart staple cartridges
US10945727B2 (en) 2016-12-21 2021-03-16 Ethicon Llc Staple cartridge with deformable driver retention features
MX2019007418A (es) * 2016-12-21 2019-10-30 Ethicon Llc Instrumentos de engrapado quirurgico con cartuchos de grapas inteligentes.
US11684367B2 (en) 2016-12-21 2023-06-27 Cilag Gmbh International Stepped assembly having and end-of-life indicator
JP7086963B2 (ja) * 2016-12-21 2022-06-20 エシコン エルエルシー エンドエフェクタロックアウト及び発射アセンブリロックアウトを備える外科用器具システム
US20180168615A1 (en) 2016-12-21 2018-06-21 Ethicon Endo-Surgery, Llc Method of deforming staples from two different types of staple cartridges with the same surgical stapling instrument
JP7010957B2 (ja) * 2016-12-21 2022-01-26 エシコン エルエルシー ロックアウトを備えるシャフトアセンブリ
US20180168608A1 (en) 2016-12-21 2018-06-21 Ethicon Endo-Surgery, Llc Surgical instrument system comprising an end effector lockout and a firing assembly lockout
US10856868B2 (en) 2016-12-21 2020-12-08 Ethicon Llc Firing member pin configurations
BR112019011947A2 (pt) 2016-12-21 2019-10-29 Ethicon Llc sistemas de grampeamento cirúrgico
US10517595B2 (en) 2016-12-21 2019-12-31 Ethicon Llc Jaw actuated lock arrangements for preventing advancement of a firing member in a surgical end effector unless an unfired cartridge is installed in the end effector
US10993715B2 (en) 2016-12-21 2021-05-04 Ethicon Llc Staple cartridge comprising staples with different clamping breadths
US11134942B2 (en) 2016-12-21 2021-10-05 Cilag Gmbh International Surgical stapling instruments and staple-forming anvils
US10588630B2 (en) 2016-12-21 2020-03-17 Ethicon Llc Surgical tool assemblies with closure stroke reduction features
JP7010956B2 (ja) 2016-12-21 2022-01-26 エシコン エルエルシー 組織をステープル留めする方法
US10588632B2 (en) 2016-12-21 2020-03-17 Ethicon Llc Surgical end effectors and firing members thereof
US10893864B2 (en) 2016-12-21 2021-01-19 Ethicon Staple cartridges and arrangements of staples and staple cavities therein
US10709901B2 (en) 2017-01-05 2020-07-14 Covidien Lp Implantable fasteners, applicators, and methods for brachytherapy
US10709455B2 (en) 2017-02-02 2020-07-14 Covidien Lp Endoscopic surgical clip applier
CN110267606B (zh) 2017-02-06 2022-06-03 柯惠有限合伙公司 具有用户反馈特征的手术夹具施用器
US10758244B2 (en) 2017-02-06 2020-09-01 Covidien Lp Endoscopic surgical clip applier
US10952767B2 (en) 2017-02-06 2021-03-23 Covidien Lp Connector clip for securing an introducer to a surgical fastener applying apparatus
US10660725B2 (en) 2017-02-14 2020-05-26 Covidien Lp Endoscopic surgical clip applier including counter assembly
US11033325B2 (en) 2017-02-16 2021-06-15 Cilag Gmbh International Electrosurgical instrument with telescoping suction port and debris cleaner
US11103244B2 (en) 2017-02-17 2021-08-31 Cilag Gmbh International Surgical stapling end effector jaw with tip deflecting toward other jaw
US11564687B2 (en) 2017-02-17 2023-01-31 Cilag Gmbh International Method of surgical stapling with end effector component having a curved tip
US10806451B2 (en) 2017-02-17 2020-10-20 Ethicon Llc Surgical stapler with cooperating distal tip features on anvil and staple cartridge
US10828031B2 (en) 2017-02-17 2020-11-10 Ethicon Llc Surgical stapler with elastically deformable tip
US11272930B2 (en) 2017-02-17 2022-03-15 Cilag Gmbh International Method of surgical stapling with end effector component having a curved tip
US11564684B2 (en) 2017-02-17 2023-01-31 Cilag Gmbh International Surgical stapling end effector component with tip having varying bend angle
US10758231B2 (en) 2017-02-17 2020-09-01 Ethicon Llc Surgical stapler with bent anvil tip, angled staple cartridge tip, and tissue gripping features
US10729434B2 (en) 2017-02-17 2020-08-04 Ethicon Llc Surgical stapler with insertable distal anvil tip
US20180235618A1 (en) 2017-02-22 2018-08-23 Covidien Lp Loading unit for surgical instruments with low profile pushers
US10603038B2 (en) 2017-02-22 2020-03-31 Covidien Lp Surgical clip applier including inserts for jaw assembly
US10548602B2 (en) 2017-02-23 2020-02-04 Covidien Lp Endoscopic surgical clip applier
US11350915B2 (en) 2017-02-23 2022-06-07 Covidien Lp Surgical stapler with small diameter endoscopic portion
US11583291B2 (en) 2017-02-23 2023-02-21 Covidien Lp Endoscopic surgical clip applier
US10849621B2 (en) 2017-02-23 2020-12-01 Covidien Lp Surgical stapler with small diameter endoscopic portion
US10631945B2 (en) 2017-02-28 2020-04-28 Covidien Lp Autoclavable load sensing device
US10299790B2 (en) 2017-03-03 2019-05-28 Covidien Lp Adapter with centering mechanism for articulation joint
US11272929B2 (en) 2017-03-03 2022-03-15 Covidien Lp Dynamically matching input and output shaft speeds of articulating adapter assemblies for surgical instruments
US20180250002A1 (en) * 2017-03-03 2018-09-06 Covidien Lp Powered surgical devices having tissue sensing function
US10799284B2 (en) 2017-03-15 2020-10-13 Ethicon Llc Electrosurgical instrument with textured jaws
US10660641B2 (en) 2017-03-16 2020-05-26 Covidien Lp Adapter with centering mechanism for articulation joint
US11497546B2 (en) 2017-03-31 2022-11-15 Cilag Gmbh International Area ratios of patterned coatings on RF electrodes to reduce sticking
US11324502B2 (en) 2017-05-02 2022-05-10 Covidien Lp Surgical loading unit including an articulating end effector
US10603035B2 (en) 2017-05-02 2020-03-31 Covidien Lp Surgical loading unit including an articulating end effector
US10390858B2 (en) 2017-05-02 2019-08-27 Covidien Lp Powered surgical device with speed and current derivative motor shut off
US10675043B2 (en) 2017-05-04 2020-06-09 Covidien Lp Reposable multi-fire surgical clip applier
US10524784B2 (en) 2017-05-05 2020-01-07 Covidien Lp Surgical staples with expandable backspan
US10390826B2 (en) 2017-05-08 2019-08-27 Covidien Lp Surgical stapling device with elongated tool assembly and methods of use
US10722235B2 (en) 2017-05-11 2020-07-28 Covidien Lp Spring-release surgical clip
US11311295B2 (en) 2017-05-15 2022-04-26 Covidien Lp Adaptive powered stapling algorithm with calibration factor
US10420551B2 (en) 2017-05-30 2019-09-24 Covidien Lp Authentication and information system for reusable surgical instruments
US10478185B2 (en) 2017-06-02 2019-11-19 Covidien Lp Tool assembly with minimal dead space
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
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
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
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
USD879809S1 (en) 2017-06-20 2020-03-31 Ethicon Llc Display panel with changeable graphical user interface
USD890784S1 (en) 2017-06-20 2020-07-21 Ethicon Llc Display panel with changeable graphical user interface
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
USD879808S1 (en) 2017-06-20 2020-03-31 Ethicon Llc Display panel with graphical user interface
US10888321B2 (en) 2017-06-20 2021-01-12 Ethicon Llc Systems and methods for controlling velocity of a displacement member of a surgical stapling and cutting instrument
US11090046B2 (en) 2017-06-20 2021-08-17 Cilag Gmbh International Systems and methods for controlling displacement member motion of a surgical stapling and cutting instrument
US10980537B2 (en) 2017-06-20 2021-04-20 Ethicon Llc Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on measured time over a specified number of shaft rotations
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
US10646220B2 (en) 2017-06-20 2020-05-12 Ethicon Llc Systems and methods for controlling displacement member velocity for a surgical instrument
US10307170B2 (en) 2017-06-20 2019-06-04 Ethicon Llc Method for closed loop control of motor velocity of a surgical stapling and cutting instrument
US10368864B2 (en) 2017-06-20 2019-08-06 Ethicon Llc Systems and methods for controlling displaying motor velocity for a surgical instrument
US10813639B2 (en) 2017-06-20 2020-10-27 Ethicon Llc Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on system conditions
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
US10881399B2 (en) 2017-06-20 2021-01-05 Ethicon Llc Techniques for adaptive control of motor velocity of a surgical stapling and cutting instrument
US11071554B2 (en) 2017-06-20 2021-07-27 Cilag Gmbh International Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on magnitude of velocity error measurements
US10772629B2 (en) 2017-06-27 2020-09-15 Ethicon Llc Surgical anvil arrangements
US11324503B2 (en) 2017-06-27 2022-05-10 Cilag Gmbh International Surgical firing member arrangements
US10993716B2 (en) 2017-06-27 2021-05-04 Ethicon Llc Surgical anvil arrangements
US11266405B2 (en) 2017-06-27 2022-03-08 Cilag Gmbh International Surgical anvil manufacturing methods
US10856869B2 (en) 2017-06-27 2020-12-08 Ethicon Llc Surgical anvil arrangements
US20180368844A1 (en) 2017-06-27 2018-12-27 Ethicon Llc Staple forming pocket arrangements
US11246592B2 (en) 2017-06-28 2022-02-15 Cilag Gmbh International Surgical instrument comprising an articulation system lockable to a frame
EP3420947B1 (en) 2017-06-28 2022-05-25 Cilag GmbH International Surgical instrument comprising selectively actuatable rotatable couplers
US11298128B2 (en) * 2017-06-28 2022-04-12 Cilag Gmbh International Surgical system couplable with staple cartridge and radio frequency cartridge, and method of using same
USD854151S1 (en) 2017-06-28 2019-07-16 Ethicon Llc Surgical instrument shaft
US10903685B2 (en) 2017-06-28 2021-01-26 Ethicon Llc Surgical shaft assemblies with slip ring assemblies forming capacitive channels
US10211586B2 (en) 2017-06-28 2019-02-19 Ethicon Llc Surgical shaft assemblies with watertight housings
US11564686B2 (en) 2017-06-28 2023-01-31 Cilag Gmbh International Surgical shaft assemblies with flexible interfaces
US11678880B2 (en) 2017-06-28 2023-06-20 Cilag Gmbh International Surgical instrument comprising a shaft including a housing arrangement
US11259805B2 (en) 2017-06-28 2022-03-01 Cilag Gmbh International Surgical instrument comprising firing member supports
US11020114B2 (en) 2017-06-28 2021-06-01 Cilag Gmbh International Surgical instruments with articulatable end effector with axially shortened articulation joint configurations
USD851762S1 (en) 2017-06-28 2019-06-18 Ethicon Llc Anvil
USD869655S1 (en) 2017-06-28 2019-12-10 Ethicon Llc Surgical fastener cartridge
US10716614B2 (en) 2017-06-28 2020-07-21 Ethicon Llc Surgical shaft assemblies with slip ring assemblies with increased contact pressure
US10603117B2 (en) 2017-06-28 2020-03-31 Ethicon Llc Articulation state detection mechanisms
USD906355S1 (en) 2017-06-28 2020-12-29 Ethicon Llc Display screen or portion thereof with a graphical user interface for a surgical instrument
US10765427B2 (en) 2017-06-28 2020-09-08 Ethicon Llc Method for articulating a surgical instrument
US10258418B2 (en) 2017-06-29 2019-04-16 Ethicon Llc System for controlling articulation forces
US10932772B2 (en) 2017-06-29 2021-03-02 Ethicon Llc Methods for closed loop velocity control for robotic surgical instrument
US10398434B2 (en) 2017-06-29 2019-09-03 Ethicon Llc Closed loop velocity control of closure member for robotic surgical instrument
US11007022B2 (en) * 2017-06-29 2021-05-18 Ethicon Llc Closed loop velocity control techniques based on sensed tissue parameters for robotic surgical instrument
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
US10660723B2 (en) 2017-06-30 2020-05-26 Covidien Lp Endoscopic reposable surgical clip applier
US10639032B2 (en) 2017-06-30 2020-05-05 Covidien Lp Endoscopic surgical clip applier including counter assembly
US10820920B2 (en) 2017-07-05 2020-11-03 Ethicon Llc Reusable ultrasonic medical devices and methods of their use
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
US10675112B2 (en) 2017-08-07 2020-06-09 Covidien Lp Endoscopic surgical clip applier including counter assembly
US10932790B2 (en) 2017-08-08 2021-03-02 Covidien Lp Geared actuation mechanism and surgical clip applier including the same
US10786262B2 (en) 2017-08-09 2020-09-29 Covidien Lp Endoscopic reposable surgical clip applier
US10786263B2 (en) 2017-08-15 2020-09-29 Covidien Lp Endoscopic reposable surgical clip applier
US10624636B2 (en) 2017-08-23 2020-04-21 Covidien Lp Surgical stapling device with floating staple cartridge
US10772700B2 (en) 2017-08-23 2020-09-15 Covidien Lp Contactless loading unit detection
US10806452B2 (en) 2017-08-24 2020-10-20 Covidien Lp Loading unit for a surgical stapling instrument
JP2020533061A (ja) 2017-09-06 2020-11-19 コヴィディエン リミテッド パートナーシップ 手術ロボットの境界スケーリング
US10835341B2 (en) 2017-09-12 2020-11-17 Covidien Lp Endoscopic surgical clip applier and handle assemblies for use therewith
US10835260B2 (en) 2017-09-13 2020-11-17 Covidien Lp Endoscopic surgical clip applier and handle assemblies for use therewith
US10653429B2 (en) 2017-09-13 2020-05-19 Covidien Lp Endoscopic surgical clip applier
US10758245B2 (en) 2017-09-13 2020-09-01 Covidien Lp Clip counting mechanism for surgical clip applier
USD907647S1 (en) 2017-09-29 2021-01-12 Ethicon Llc Display screen or portion thereof with animated graphical user interface
US10796471B2 (en) 2017-09-29 2020-10-06 Ethicon Llc Systems and methods of displaying a knife position for a surgical instrument
US10765429B2 (en) 2017-09-29 2020-09-08 Ethicon Llc Systems and methods for providing alerts according to the operational state of a surgical instrument
US10743872B2 (en) 2017-09-29 2020-08-18 Ethicon Llc System and methods for controlling a display of a surgical instrument
US11033323B2 (en) 2017-09-29 2021-06-15 Cilag Gmbh International Systems and methods for managing fluid and suction in electrosurgical systems
USD917500S1 (en) 2017-09-29 2021-04-27 Ethicon Llc Display screen or portion thereof with graphical user interface
USD907648S1 (en) 2017-09-29 2021-01-12 Ethicon Llc Display screen or portion thereof with animated graphical user interface
US11490951B2 (en) 2017-09-29 2022-11-08 Cilag Gmbh International Saline contact with electrodes
US10729501B2 (en) 2017-09-29 2020-08-04 Ethicon Llc Systems and methods for language selection of a surgical instrument
US11484358B2 (en) 2017-09-29 2022-11-01 Cilag Gmbh International Flexible electrosurgical instrument
US11399829B2 (en) 2017-09-29 2022-08-02 Cilag Gmbh International Systems and methods of initiating a power shutdown mode for a surgical instrument
US11291510B2 (en) 2017-10-30 2022-04-05 Cilag Gmbh International Method of hub communication with surgical instrument systems
US11564756B2 (en) 2017-10-30 2023-01-31 Cilag Gmbh International Method of hub communication with surgical instrument systems
US11801098B2 (en) 2017-10-30 2023-10-31 Cilag Gmbh International Method of hub communication with surgical instrument systems
US11229436B2 (en) 2017-10-30 2022-01-25 Cilag Gmbh International Surgical system comprising a surgical tool and a surgical hub
US11129636B2 (en) 2017-10-30 2021-09-28 Cilag Gmbh International Surgical instruments comprising an articulation drive that provides for high articulation angles
US11317919B2 (en) 2017-10-30 2022-05-03 Cilag Gmbh International Clip applier comprising a clip crimping system
US11406390B2 (en) 2017-10-30 2022-08-09 Cilag Gmbh International Clip applier comprising interchangeable clip reloads
US10987104B2 (en) 2017-10-30 2021-04-27 Covidien Lp Apparatus for endoscopic procedures
US11134944B2 (en) 2017-10-30 2021-10-05 Cilag Gmbh International Surgical stapler knife motion controls
US11510741B2 (en) 2017-10-30 2022-11-29 Cilag Gmbh International Method for producing a surgical instrument comprising a smart electrical system
US11090075B2 (en) 2017-10-30 2021-08-17 Cilag Gmbh International Articulation features for surgical end effector
US11311342B2 (en) 2017-10-30 2022-04-26 Cilag Gmbh International Method for communicating with surgical instrument systems
US11911045B2 (en) 2017-10-30 2024-02-27 Cllag GmbH International Method for operating a powered articulating multi-clip applier
US11207066B2 (en) 2017-10-30 2021-12-28 Covidien Lp Apparatus for endoscopic procedures
US10842490B2 (en) 2017-10-31 2020-11-24 Ethicon Llc Cartridge body design with force reduction based on firing completion
US10779903B2 (en) 2017-10-31 2020-09-22 Ethicon Llc Positive shaft rotation lock activated by jaw closure
US10945734B2 (en) 2017-11-03 2021-03-16 Covidien Lp Rotation knob assemblies and surgical instruments including the same
US11376015B2 (en) 2017-11-03 2022-07-05 Covidien Lp Endoscopic surgical clip applier and handle assemblies for use therewith
US10932791B2 (en) 2017-11-03 2021-03-02 Covidien Lp Reposable multi-fire surgical clip applier
US11116513B2 (en) 2017-11-03 2021-09-14 Covidien Lp Modular surgical clip cartridge
US10828036B2 (en) 2017-11-03 2020-11-10 Covidien Lp Endoscopic surgical clip applier and handle assemblies for use therewith
US10925603B2 (en) 2017-11-14 2021-02-23 Covidien Lp Reload with articulation stabilization system
US10863987B2 (en) 2017-11-16 2020-12-15 Covidien Lp Surgical instrument with imaging device
US10722236B2 (en) 2017-12-12 2020-07-28 Covidien Lp Endoscopic reposable surgical clip applier
US10959737B2 (en) 2017-12-13 2021-03-30 Covidien Lp Reposable multi-fire surgical clip applier
US10849630B2 (en) 2017-12-13 2020-12-01 Covidien Lp Reposable multi-fire surgical clip applier
US10743887B2 (en) 2017-12-13 2020-08-18 Covidien Lp Reposable multi-fire surgical clip applier
US10687813B2 (en) 2017-12-15 2020-06-23 Ethicon Llc Adapters with firing stroke sensing arrangements 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
US10743875B2 (en) 2017-12-15 2020-08-18 Ethicon Llc Surgical end effectors with jaw stiffener arrangements configured to permit monitoring of firing member
US10743874B2 (en) 2017-12-15 2020-08-18 Ethicon Llc Sealed adapters for use with electromechanical surgical instruments
US11197670B2 (en) 2017-12-15 2021-12-14 Cilag Gmbh International Surgical end effectors with pivotal jaws configured to touch at their respective distal ends when fully closed
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
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
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
US11071543B2 (en) 2017-12-15 2021-07-27 Cilag Gmbh International Surgical end effectors with clamping assemblies configured to increase jaw aperture ranges
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
US11045270B2 (en) 2017-12-19 2021-06-29 Cilag Gmbh International Robotic attachment comprising exterior drive actuator
US11020112B2 (en) 2017-12-19 2021-06-01 Ethicon Llc Surgical tools configured for interchangeable use with different controller interfaces
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
US10729509B2 (en) 2017-12-19 2020-08-04 Ethicon Llc Surgical instrument comprising closure and firing locking mechanism
US11129680B2 (en) 2017-12-21 2021-09-28 Cilag Gmbh International Surgical instrument comprising a projector
US11179151B2 (en) 2017-12-21 2021-11-23 Cilag Gmbh International Surgical instrument comprising a display
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
CN108042165B (zh) * 2017-12-25 2019-07-23 苏州英途康医疗科技有限公司 用于腔镜吻合器的适配器和腔镜吻合器
US11844579B2 (en) 2017-12-28 2023-12-19 Cilag Gmbh International Adjustments based on airborne particle properties
US11324557B2 (en) 2017-12-28 2022-05-10 Cilag Gmbh International Surgical instrument with a sensing array
US11464559B2 (en) 2017-12-28 2022-10-11 Cilag Gmbh International Estimating state of ultrasonic end effector and control system therefor
US11160605B2 (en) 2017-12-28 2021-11-02 Cilag Gmbh International Surgical evacuation sensing and motor control
US11633237B2 (en) 2017-12-28 2023-04-25 Cilag Gmbh International Usage and technique analysis of surgeon / staff performance against a baseline to optimize device utilization and performance for both current and future procedures
US20190201042A1 (en) 2017-12-28 2019-07-04 Ethicon Llc Determining the state of an ultrasonic electromechanical system according to frequency shift
US10758310B2 (en) 2017-12-28 2020-09-01 Ethicon Llc Wireless pairing of a surgical device with another device within a sterile surgical field based on the usage and situational awareness of devices
US11257589B2 (en) 2017-12-28 2022-02-22 Cilag Gmbh International Real-time analysis of comprehensive cost of all instrumentation used in surgery utilizing data fluidity to track instruments through stocking and in-house processes
US11832840B2 (en) 2017-12-28 2023-12-05 Cilag Gmbh International Surgical instrument having a flexible circuit
US11317937B2 (en) 2018-03-08 2022-05-03 Cilag Gmbh International Determining the state of an ultrasonic end effector
US11678881B2 (en) 2017-12-28 2023-06-20 Cilag Gmbh International Spatial awareness of surgical hubs in operating rooms
US11903601B2 (en) 2017-12-28 2024-02-20 Cilag Gmbh International Surgical instrument comprising a plurality of drive systems
US11529187B2 (en) 2017-12-28 2022-12-20 Cilag Gmbh International Surgical evacuation sensor arrangements
US11786251B2 (en) 2017-12-28 2023-10-17 Cilag Gmbh International Method for adaptive control schemes for surgical network control and interaction
US11744604B2 (en) 2017-12-28 2023-09-05 Cilag Gmbh International Surgical instrument with a hardware-only control circuit
US11266468B2 (en) 2017-12-28 2022-03-08 Cilag Gmbh International Cooperative utilization of data derived from secondary sources by intelligent surgical hubs
US11589888B2 (en) 2017-12-28 2023-02-28 Cilag Gmbh International Method for controlling smart energy devices
US11424027B2 (en) 2017-12-28 2022-08-23 Cilag Gmbh International Method for operating surgical instrument systems
US11304763B2 (en) 2017-12-28 2022-04-19 Cilag Gmbh International Image capturing of the areas outside the abdomen to improve placement and control of a surgical device in use
US11364075B2 (en) 2017-12-28 2022-06-21 Cilag Gmbh International Radio frequency energy device for delivering combined electrical signals
US20190201034A1 (en) * 2017-12-28 2019-07-04 Ethicon Llc Powered stapling device configured to adjust force, advancement speed, and overall stroke of cutting member based on sensed parameter of firing or clamping
US11446052B2 (en) 2017-12-28 2022-09-20 Cilag Gmbh International Variation of radio frequency and ultrasonic power level in cooperation with varying clamp arm pressure to achieve predefined heat flux or power applied to tissue
US11423007B2 (en) 2017-12-28 2022-08-23 Cilag Gmbh International Adjustment of device control programs based on stratified contextual data in addition to the data
US11659023B2 (en) 2017-12-28 2023-05-23 Cilag Gmbh International Method of hub communication
US11864728B2 (en) 2017-12-28 2024-01-09 Cilag Gmbh International Characterization of tissue irregularities through the use of mono-chromatic light refractivity
US11291495B2 (en) 2017-12-28 2022-04-05 Cilag Gmbh International Interruption of energy due to inadvertent capacitive coupling
US11818052B2 (en) 2017-12-28 2023-11-14 Cilag Gmbh International Surgical network determination of prioritization of communication, interaction, or processing based on system or device needs
US11857152B2 (en) 2017-12-28 2024-01-02 Cilag Gmbh International Surgical hub spatial awareness to determine devices in operating theater
US11432885B2 (en) 2017-12-28 2022-09-06 Cilag Gmbh International Sensing arrangements for robot-assisted surgical platforms
US11376002B2 (en) 2017-12-28 2022-07-05 Cilag Gmbh International Surgical instrument cartridge sensor assemblies
US11832899B2 (en) 2017-12-28 2023-12-05 Cilag Gmbh International Surgical systems with autonomously adjustable control programs
US11419667B2 (en) 2017-12-28 2022-08-23 Cilag Gmbh International Ultrasonic energy device which varies pressure applied by clamp arm to provide threshold control pressure at a cut progression location
US11559308B2 (en) 2017-12-28 2023-01-24 Cilag Gmbh International Method for smart energy device infrastructure
US11571234B2 (en) 2017-12-28 2023-02-07 Cilag Gmbh International Temperature control of ultrasonic end effector and control system therefor
US11278281B2 (en) 2017-12-28 2022-03-22 Cilag Gmbh International Interactive surgical system
US11284936B2 (en) 2017-12-28 2022-03-29 Cilag Gmbh International Surgical instrument having a flexible electrode
US11410259B2 (en) 2017-12-28 2022-08-09 Cilag Gmbh International Adaptive control program updates for surgical devices
US10892995B2 (en) 2017-12-28 2021-01-12 Ethicon Llc Surgical network determination of prioritization of communication, interaction, or processing based on system or device needs
US11202570B2 (en) 2017-12-28 2021-12-21 Cilag Gmbh International Communication hub and storage device for storing parameters and status of a surgical device to be shared with cloud based analytics systems
US20190201113A1 (en) 2017-12-28 2019-07-04 Ethicon Llc Controls for robot-assisted surgical platforms
US11166772B2 (en) 2017-12-28 2021-11-09 Cilag Gmbh International Surgical hub coordination of control and communication of operating room devices
US11132462B2 (en) 2017-12-28 2021-09-28 Cilag Gmbh International Data stripping method to interrogate patient records and create anonymized record
US20190200981A1 (en) 2017-12-28 2019-07-04 Ethicon Llc Method of compressing tissue within a stapling device and simultaneously displaying the location of the tissue within the jaws
US11253315B2 (en) 2017-12-28 2022-02-22 Cilag Gmbh International Increasing radio frequency to create pad-less monopolar loop
US11540855B2 (en) 2017-12-28 2023-01-03 Cilag Gmbh International Controlling activation of an ultrasonic surgical instrument according to the presence of tissue
US11179208B2 (en) 2017-12-28 2021-11-23 Cilag Gmbh International Cloud-based medical analytics for security and authentication trends and reactive measures
US11559307B2 (en) 2017-12-28 2023-01-24 Cilag Gmbh International Method of robotic hub communication, detection, and control
US11896443B2 (en) 2017-12-28 2024-02-13 Cilag Gmbh International Control of a surgical system through a surgical barrier
US11786245B2 (en) 2017-12-28 2023-10-17 Cilag Gmbh International Surgical systems with prioritized data transmission capabilities
US11896322B2 (en) 2017-12-28 2024-02-13 Cilag Gmbh International Sensing the patient position and contact utilizing the mono-polar return pad electrode to provide situational awareness to the hub
US11273001B2 (en) 2017-12-28 2022-03-15 Cilag Gmbh International Surgical hub and modular device response adjustment based on situational awareness
US11234756B2 (en) 2017-12-28 2022-02-01 Cilag Gmbh International Powered surgical tool with predefined adjustable control algorithm for controlling end effector parameter
US11100631B2 (en) 2017-12-28 2021-08-24 Cilag Gmbh International Use of laser light and red-green-blue coloration to determine properties of back scattered light
US11311306B2 (en) 2017-12-28 2022-04-26 Cilag Gmbh International Surgical systems for detecting end effector tissue distribution irregularities
US11109866B2 (en) 2017-12-28 2021-09-07 Cilag Gmbh International Method for circular stapler control algorithm adjustment based on situational awareness
US11147607B2 (en) 2017-12-28 2021-10-19 Cilag Gmbh International Bipolar combination device that automatically adjusts pressure based on energy modality
US11576677B2 (en) 2017-12-28 2023-02-14 Cilag Gmbh International Method of hub communication, processing, display, and cloud analytics
US11304720B2 (en) 2017-12-28 2022-04-19 Cilag Gmbh International Activation of energy devices
US11304745B2 (en) 2017-12-28 2022-04-19 Cilag Gmbh International Surgical evacuation sensing and display
US11937769B2 (en) 2017-12-28 2024-03-26 Cilag Gmbh International Method of hub communication, processing, storage and display
US11096693B2 (en) 2017-12-28 2021-08-24 Cilag Gmbh International Adjustment of staple height of at least one row of staples based on the sensed tissue thickness or force in closing
US11389164B2 (en) 2017-12-28 2022-07-19 Cilag Gmbh International Method of using reinforced flexible circuits with multiple sensors to optimize performance of radio frequency devices
US11026751B2 (en) 2017-12-28 2021-06-08 Cilag Gmbh International Display of alignment of staple cartridge to prior linear staple line
US20190201146A1 (en) 2017-12-28 2019-07-04 Ethicon Llc Safety systems for smart powered surgical stapling
US11213359B2 (en) 2017-12-28 2022-01-04 Cilag Gmbh International Controllers for robot-assisted surgical platforms
US11419630B2 (en) 2017-12-28 2022-08-23 Cilag Gmbh International Surgical system distributed processing
US11666331B2 (en) 2017-12-28 2023-06-06 Cilag Gmbh International Systems for detecting proximity of surgical end effector to cancerous tissue
US11602393B2 (en) 2017-12-28 2023-03-14 Cilag Gmbh International Surgical evacuation sensing and generator control
US11308075B2 (en) 2017-12-28 2022-04-19 Cilag Gmbh International Surgical network, instrument, and cloud responses based on validation of received dataset and authentication of its source and integrity
US20190201039A1 (en) 2017-12-28 2019-07-04 Ethicon Llc Situational awareness of electrosurgical systems
US11464535B2 (en) 2017-12-28 2022-10-11 Cilag Gmbh International Detection of end effector emersion in liquid
US11304699B2 (en) 2017-12-28 2022-04-19 Cilag Gmbh International Method for adaptive control schemes for surgical network control and interaction
WO2019136041A1 (en) 2018-01-04 2019-07-11 Covidien Lp Robotic surgical instrument including high articulation wrist assembly with torque transmission and mechanical manipulation
US11051827B2 (en) 2018-01-16 2021-07-06 Covidien Lp Endoscopic surgical instrument and handle assemblies for use therewith
US10945732B2 (en) 2018-01-17 2021-03-16 Covidien Lp Surgical stapler with self-returning assembly
WO2019169010A1 (en) 2018-02-27 2019-09-06 Applied Medical Resources Corporation Surgical stapler having a powered handle
EP3758618A4 (en) 2018-03-02 2021-10-06 Covidien LP SURGICAL STAPLE INSTRUMENT
US11701162B2 (en) 2018-03-08 2023-07-18 Cilag Gmbh International Smart blade application for reusable and disposable devices
US11839396B2 (en) 2018-03-08 2023-12-12 Cilag Gmbh International Fine dissection mode for tissue classification
US11259830B2 (en) 2018-03-08 2022-03-01 Cilag Gmbh International Methods for controlling temperature in ultrasonic device
US11219453B2 (en) 2018-03-28 2022-01-11 Cilag Gmbh International Surgical stapling devices with cartridge compatible closure and firing lockout arrangements
US11589865B2 (en) 2018-03-28 2023-02-28 Cilag Gmbh International Methods for controlling a powered surgical stapler that has separate rotary closure and firing systems
US11278280B2 (en) 2018-03-28 2022-03-22 Cilag Gmbh International Surgical instrument comprising a jaw closure lockout
US11090047B2 (en) 2018-03-28 2021-08-17 Cilag Gmbh International Surgical instrument comprising an adaptive control system
US11471156B2 (en) 2018-03-28 2022-10-18 Cilag Gmbh International Surgical stapling devices with improved rotary driven closure systems
US11207067B2 (en) 2018-03-28 2021-12-28 Cilag Gmbh International Surgical stapling device with separate rotary driven closure and firing systems and firing member that engages both jaws while firing
US11129611B2 (en) * 2018-03-28 2021-09-28 Cilag Gmbh International Surgical staplers with arrangements for maintaining a firing member thereof in a locked configuration unless a compatible cartridge has been installed therein
US11160556B2 (en) 2018-04-23 2021-11-02 Covidien Lp Threaded trocar for adapter assemblies
US11382620B2 (en) * 2018-04-23 2022-07-12 Covidien Lp Staple cartridge assembly for use in a surgical robotic system
US10993721B2 (en) 2018-04-25 2021-05-04 Covidien Lp Surgical clip applier
US11896230B2 (en) 2018-05-07 2024-02-13 Covidien Lp Handheld electromechanical surgical device including load sensor having spherical ball pivots
US11399839B2 (en) 2018-05-07 2022-08-02 Covidien Lp Surgical devices including trocar lock and trocar connection indicator
US11534172B2 (en) 2018-05-07 2022-12-27 Covidien Lp Electromechanical surgical stapler including trocar assembly release mechanism
US20190388091A1 (en) 2018-06-21 2019-12-26 Covidien Lp Powered surgical devices including strain gauges incorporated into flex circuits
US10849622B2 (en) 2018-06-21 2020-12-01 Covidien Lp Articulated stapling with fire lock
US11497490B2 (en) 2018-07-09 2022-11-15 Covidien Lp Powered surgical devices including predictive motor control
US11241233B2 (en) 2018-07-10 2022-02-08 Covidien Lp Apparatus for ensuring strain gauge accuracy in medical reusable device
US10786273B2 (en) 2018-07-13 2020-09-29 Covidien Lp Rotation knob assemblies for handle assemblies
US11160550B2 (en) 2018-07-16 2021-11-02 Cilag Gmbh International Surgical stapling end effector component with articulation and asymmetric deformable tip
US10973515B2 (en) 2018-07-16 2021-04-13 Ethicon Llc Permanent attachment means for curved tip of component of surgical stapling instrument
WO2020016724A2 (en) 2018-07-16 2020-01-23 Ethicon Llc Method of surgical stapling with end effector component having a curved tip
BR112021000654A2 (pt) 2018-07-16 2021-04-13 Ethicon Llc Garra de atuador de extremidade de grampeamento cirúrgico com ponta defletida em direção à outra garra
US10912558B2 (en) 2018-07-16 2021-02-09 Ethicon Llc Surgical stapling end effector component with deformable tip having thick distal end
US10786252B2 (en) 2018-07-16 2020-09-29 Ethicon Llc Surgical stapling end effector component with deformable tip having void
US10912561B2 (en) 2018-07-16 2021-02-09 Ethicon Llc Buttress applier cartridge for surgical stapler having end effector with deflectable curved tip
WO2020016721A1 (en) 2018-07-16 2020-01-23 Ethicon Llc Surgical stapling end effector component with tip having varying bend angle
US11179154B2 (en) 2018-07-16 2021-11-23 Cilag Gmbh International Surgical stapling end effector component with deformable tip skewing in multiple planes
US10736631B2 (en) 2018-08-07 2020-08-11 Covidien Lp End effector with staple cartridge ejector
US11596496B2 (en) 2018-08-13 2023-03-07 Covidien Lp Surgical devices with moisture control
US11051828B2 (en) 2018-08-13 2021-07-06 Covidien Lp Rotation knob assemblies and surgical instruments including same
US11344316B2 (en) 2018-08-13 2022-05-31 Covidien Lp Elongated assemblies for surgical clip appliers and surgical clip appliers incorporating the same
US11219463B2 (en) 2018-08-13 2022-01-11 Covidien Lp Bilateral spring for surgical instruments and surgical instruments including the same
US11246601B2 (en) 2018-08-13 2022-02-15 Covidien Lp Elongated assemblies for surgical clip appliers and surgical clip appliers incorporating the same
US11278267B2 (en) 2018-08-13 2022-03-22 Covidien Lp Latch assemblies and surgical instruments including the same
US11076858B2 (en) 2018-08-14 2021-08-03 Covidien Lp Single use electronics for surgical devices
US11291440B2 (en) 2018-08-20 2022-04-05 Cilag Gmbh International Method for operating a powered articulatable surgical instrument
USD914878S1 (en) 2018-08-20 2021-03-30 Ethicon Llc Surgical instrument anvil
US11324501B2 (en) 2018-08-20 2022-05-10 Cilag Gmbh International Surgical stapling devices with improved closure members
US11207065B2 (en) 2018-08-20 2021-12-28 Cilag Gmbh International Method for fabricating surgical stapler anvils
US11083458B2 (en) 2018-08-20 2021-08-10 Cilag Gmbh International Powered surgical instruments with clutching arrangements to convert linear drive motions to rotary drive motions
US11253256B2 (en) 2018-08-20 2022-02-22 Cilag Gmbh International Articulatable motor powered surgical instruments with dedicated articulation motor arrangements
US11039834B2 (en) 2018-08-20 2021-06-22 Cilag Gmbh International Surgical stapler anvils with staple directing protrusions and tissue stability features
US10842492B2 (en) 2018-08-20 2020-11-24 Ethicon Llc Powered articulatable surgical instruments with clutching and locking arrangements for linking an articulation drive system to a firing drive system
US11045192B2 (en) 2018-08-20 2021-06-29 Cilag Gmbh International Fabricating techniques for surgical stapler anvils
US10856870B2 (en) 2018-08-20 2020-12-08 Ethicon Llc Switching arrangements for motor powered articulatable surgical instruments
US10779821B2 (en) 2018-08-20 2020-09-22 Ethicon Llc Surgical stapler anvils with tissue stop features configured to avoid tissue pinch
US10912559B2 (en) 2018-08-20 2021-02-09 Ethicon Llc Reinforced deformable anvil tip for surgical stapler anvil
US10849620B2 (en) 2018-09-14 2020-12-01 Covidien Lp Connector mechanisms for surgical stapling instruments
US11510669B2 (en) 2020-09-29 2022-11-29 Covidien Lp Hand-held surgical instruments
US11147566B2 (en) 2018-10-01 2021-10-19 Covidien Lp Endoscopic surgical clip applier
US11090051B2 (en) 2018-10-23 2021-08-17 Covidien Lp Surgical stapling device with floating staple cartridge
US11197673B2 (en) 2018-10-30 2021-12-14 Covidien Lp Surgical stapling instruments and end effector assemblies thereof
US11717276B2 (en) 2018-10-30 2023-08-08 Covidien Lp Surgical devices including adapters and seals
US11197734B2 (en) 2018-10-30 2021-12-14 Covidien Lp Load sensing devices for use in surgical instruments
US11369372B2 (en) 2018-11-28 2022-06-28 Covidien Lp Surgical stapler adapter with flexible cable assembly, flexible fingers, and contact clips
USD932621S1 (en) 2018-12-28 2021-10-05 Cilag Gmbh International Buttress assembly for a surgical stapler
US11116505B2 (en) 2018-12-28 2021-09-14 Cilag Gmbh International Applicator for surgical stapler buttress
USD901686S1 (en) 2018-12-28 2020-11-10 Ethicon Llc Applicator for surgical stapler buttress
US11272935B2 (en) 2018-12-28 2022-03-15 Cilag Gmbh International Curved tip surgical stapler buttress assembly applicator with opening feature for curved tip alignment
US11202628B2 (en) 2018-12-28 2021-12-21 Cilag Gmbh International Surgical stapler with tissue engagement features around tissue containment pin
USD922576S1 (en) 2018-12-28 2021-06-15 Cilag Gmbh International Applicator tray for a buttress applicator for a surgical stapler
US11166725B2 (en) 2018-12-28 2021-11-09 Cilag Gmbh International Configuration of buttress for surgical stapler
USD903115S1 (en) 2018-12-28 2020-11-24 Ethicon Llc Applicator for a surgical stapler buttress
US11432817B2 (en) 2018-12-28 2022-09-06 Cilag Gmbh International Packaging for surgical stapler buttress
US11701109B2 (en) 2018-12-28 2023-07-18 Cilag Gmbh International Surgical stapler with sloped staple deck for varying tissue compression
USD926317S1 (en) 2018-12-28 2021-07-27 Cilag Gmbh International Surgical stapler deck with tissue engagement cleat features
US11103243B2 (en) 2018-12-28 2021-08-31 Cilag Gmbh International Curved tip surgical stapler buttress assembly applicator with compression layer pocket feature
US11166724B2 (en) 2018-12-28 2021-11-09 Cilag Gmbh International Adhesive distribution on buttress for surgical stapler
USD926318S1 (en) 2018-12-28 2021-07-27 Cilag Gmbh International Surgical stapler deck with tissue engagement recess features
US10905424B2 (en) 2018-12-28 2021-02-02 Ethicon Llc Curved tip surgical stapler buttress assembly applicator with proximal alignment features
US11033269B2 (en) 2018-12-28 2021-06-15 Cilag Gmbh International Method of applying buttresses to surgically cut and stapled sites
USD933220S1 (en) 2018-12-28 2021-10-12 Cilag Gmbh International Buttress assembly for a surgical stapler
US10912563B2 (en) 2019-01-02 2021-02-09 Covidien Lp Stapling device including tool assembly stabilizing member
CN111466975B (zh) * 2019-01-24 2022-04-15 苏州英途康医疗科技有限公司 外科手术器械和直线型吻合器
US11317912B2 (en) 2019-01-30 2022-05-03 Cilag Gmbh International Surgical stapler with rotatable distal tip
US11304697B2 (en) 2019-01-30 2022-04-19 Cilag Gmbh International Surgical stapler with deflectable distal tip
US11439391B2 (en) 2019-01-30 2022-09-13 Cilag Gmbh International Surgical stapler with toggling distal tip
US11202635B2 (en) 2019-02-04 2021-12-21 Covidien Lp Programmable distal tilt position of end effector for powered surgical devices
US11376006B2 (en) 2019-02-06 2022-07-05 Covidien Lp End effector force measurement with digital drive circuit
US11259807B2 (en) 2019-02-19 2022-03-01 Cilag Gmbh International Staple cartridges with cam surfaces configured to engage primary and secondary portions of a lockout of a surgical stapling device
US11357503B2 (en) 2019-02-19 2022-06-14 Cilag Gmbh International Staple cartridge retainers with frangible retention features and methods of using same
US11317915B2 (en) 2019-02-19 2022-05-03 Cilag Gmbh International Universal cartridge based key feature that unlocks multiple lockout arrangements in different surgical staplers
US11751872B2 (en) 2019-02-19 2023-09-12 Cilag Gmbh International Insertable deactivator element for surgical stapler lockouts
US11369377B2 (en) 2019-02-19 2022-06-28 Cilag Gmbh International Surgical stapling assembly with cartridge based retainer configured to unlock a firing lockout
US11311293B2 (en) 2019-02-27 2022-04-26 Applied Medical Resources Corporation Surgical stapling instrument having a two-position lockout mechanism
US11344297B2 (en) 2019-02-28 2022-05-31 Covidien Lp Surgical stapling device with independently movable jaws
US11219461B2 (en) 2019-03-08 2022-01-11 Covidien Lp Strain gauge stabilization in a surgical device
US11259808B2 (en) 2019-03-13 2022-03-01 Covidien Lp Tool assemblies with a gap locking member
US11524398B2 (en) 2019-03-19 2022-12-13 Covidien Lp Gear drive mechanisms for surgical instruments
US11147553B2 (en) 2019-03-25 2021-10-19 Cilag Gmbh International Firing drive arrangements for surgical systems
US11172929B2 (en) 2019-03-25 2021-11-16 Cilag Gmbh International Articulation drive arrangements for surgical systems
US11696761B2 (en) 2019-03-25 2023-07-11 Cilag Gmbh International Firing drive arrangements for surgical systems
US11147551B2 (en) 2019-03-25 2021-10-19 Cilag Gmbh International Firing drive arrangements for surgical systems
KR20210145248A (ko) 2019-03-29 2021-12-01 어플라이드 메디컬 리소시스 코포레이션 수술용 스테이플링 시스템에 대한 재장전물 커버
US11743665B2 (en) * 2019-03-29 2023-08-29 Cilag Gmbh International Modular surgical energy system with module positional awareness sensing with time counter
US11284892B2 (en) 2019-04-01 2022-03-29 Covidien Lp Loading unit and adapter with modified coupling assembly
US11284893B2 (en) 2019-04-02 2022-03-29 Covidien Lp Stapling device with articulating tool assembly
US11241228B2 (en) 2019-04-05 2022-02-08 Covidien Lp Surgical instrument including an adapter assembly and an articulating surgical loading unit
US11369378B2 (en) 2019-04-18 2022-06-28 Covidien Lp Surgical instrument including an adapter assembly and an articulating surgical loading unit
US11166721B2 (en) 2019-04-26 2021-11-09 Cilag Gmbh International Staple retainer for surgical stapler cartridge
US11324504B2 (en) 2019-04-26 2022-05-10 Cilag Gmbh International Cartridge based lockout mechanism for right angle surgical stapler
US11266403B2 (en) 2019-04-26 2022-03-08 Cilag Gmbh International Tissue cutting washer for right angle surgical stapler
US11202629B2 (en) 2019-04-26 2021-12-21 Cilag Gmbh International Clamping based lockout mechanism for right angle surgical stapler
USD938029S1 (en) 2019-04-26 2021-12-07 Cilag Gmbh International Staple retainer for surgical stapler cartridge
US11648009B2 (en) 2019-04-30 2023-05-16 Cilag Gmbh International Rotatable jaw tip for a surgical instrument
US11471157B2 (en) 2019-04-30 2022-10-18 Cilag Gmbh International Articulation control mapping for a surgical instrument
US11426251B2 (en) 2019-04-30 2022-08-30 Cilag Gmbh International Articulation directional lights on a surgical instrument
US11253254B2 (en) 2019-04-30 2022-02-22 Cilag Gmbh International Shaft rotation actuator on a surgical instrument
US11452528B2 (en) 2019-04-30 2022-09-27 Cilag Gmbh International Articulation actuators for a surgical instrument
US11903581B2 (en) 2019-04-30 2024-02-20 Cilag Gmbh International Methods for stapling tissue using a surgical instrument
US11432816B2 (en) 2019-04-30 2022-09-06 Cilag Gmbh International Articulation pin for a surgical instrument
US11123101B2 (en) 2019-07-05 2021-09-21 Covidien Lp Retaining mechanisms for trocar assemblies
US11426168B2 (en) 2019-07-05 2022-08-30 Covidien Lp Trocar coupling assemblies for a surgical stapler
US11464541B2 (en) 2019-06-24 2022-10-11 Covidien Lp Retaining mechanisms for trocar assembly
US11446035B2 (en) 2019-06-24 2022-09-20 Covidien Lp Retaining mechanisms for trocar assemblies
US11058429B2 (en) 2019-06-24 2021-07-13 Covidien Lp Load sensing assemblies and methods of manufacturing load sensing assemblies
USD950728S1 (en) 2019-06-25 2022-05-03 Cilag Gmbh International Surgical staple cartridge
USD964564S1 (en) 2019-06-25 2022-09-20 Cilag Gmbh International Surgical staple cartridge retainer with a closure system authentication key
USD952144S1 (en) 2019-06-25 2022-05-17 Cilag Gmbh International Surgical staple cartridge retainer with firing system authentication key
US11413102B2 (en) 2019-06-27 2022-08-16 Cilag Gmbh International Multi-access port for surgical robotic systems
US11607278B2 (en) 2019-06-27 2023-03-21 Cilag Gmbh International Cooperative robotic surgical systems
US11612445B2 (en) 2019-06-27 2023-03-28 Cilag Gmbh International Cooperative operation of robotic arms
US11547468B2 (en) 2019-06-27 2023-01-10 Cilag Gmbh International Robotic surgical system with safety and cooperative sensing control
US11723729B2 (en) 2019-06-27 2023-08-15 Cilag Gmbh International Robotic surgical assembly coupling safety mechanisms
US11298127B2 (en) 2019-06-28 2022-04-12 Cilag GmbH Interational Surgical stapling system having a lockout mechanism for an incompatible cartridge
US11638587B2 (en) 2019-06-28 2023-05-02 Cilag Gmbh International RFID identification systems for surgical instruments
US11051807B2 (en) 2019-06-28 2021-07-06 Cilag Gmbh International Packaging assembly including a particulate trap
US11259803B2 (en) 2019-06-28 2022-03-01 Cilag Gmbh International Surgical stapling system having an information encryption protocol
US11553971B2 (en) 2019-06-28 2023-01-17 Cilag Gmbh International Surgical RFID assemblies for display and communication
US11627959B2 (en) 2019-06-28 2023-04-18 Cilag Gmbh International Surgical instruments including manual and powered system lockouts
US11291451B2 (en) 2019-06-28 2022-04-05 Cilag Gmbh International Surgical instrument with battery compatibility verification functionality
US11229437B2 (en) 2019-06-28 2022-01-25 Cilag Gmbh International Method for authenticating the compatibility of a staple cartridge with a surgical instrument
US11497492B2 (en) 2019-06-28 2022-11-15 Cilag Gmbh International Surgical instrument including an articulation lock
US11660163B2 (en) 2019-06-28 2023-05-30 Cilag Gmbh International Surgical system with RFID tags for updating motor assembly parameters
US11771419B2 (en) 2019-06-28 2023-10-03 Cilag Gmbh International Packaging for a replaceable component of a surgical stapling system
US11684434B2 (en) 2019-06-28 2023-06-27 Cilag Gmbh International Surgical RFID assemblies for instrument operational setting control
US11399837B2 (en) 2019-06-28 2022-08-02 Cilag Gmbh International Mechanisms for motor control adjustments of a motorized surgical instrument
US11224497B2 (en) 2019-06-28 2022-01-18 Cilag Gmbh International Surgical systems with multiple RFID tags
US11219455B2 (en) 2019-06-28 2022-01-11 Cilag Gmbh International Surgical instrument including a lockout key
US11426167B2 (en) 2019-06-28 2022-08-30 Cilag Gmbh International Mechanisms for proper anvil attachment surgical stapling head assembly
US11478241B2 (en) 2019-06-28 2022-10-25 Cilag Gmbh International Staple cartridge including projections
US11523822B2 (en) 2019-06-28 2022-12-13 Cilag Gmbh International Battery pack including a circuit interrupter
US11376098B2 (en) 2019-06-28 2022-07-05 Cilag Gmbh International Surgical instrument system comprising an RFID system
US11298132B2 (en) 2019-06-28 2022-04-12 Cilag GmbH Inlernational Staple cartridge including a honeycomb extension
US11464601B2 (en) 2019-06-28 2022-10-11 Cilag Gmbh International Surgical instrument comprising an RFID system for tracking a movable component
US11246678B2 (en) 2019-06-28 2022-02-15 Cilag Gmbh International Surgical stapling system having a frangible RFID tag
US11224424B2 (en) 2019-08-02 2022-01-18 Covidien Lp Linear stapling device with vertically movable knife
US11382704B2 (en) * 2019-08-28 2022-07-12 Cilag Gmbh International Closure mechanism for surgical tool
US11406385B2 (en) 2019-10-11 2022-08-09 Covidien Lp Stapling device with a gap locking member
US11123068B2 (en) 2019-11-08 2021-09-21 Covidien Lp Surgical staple cartridge
US11534163B2 (en) 2019-11-21 2022-12-27 Covidien Lp Surgical stapling instruments
US11076850B2 (en) 2019-11-26 2021-08-03 Covidien Lp Surgical instrument including an adapter assembly and an articulating surgical loading unit
WO2021109592A1 (zh) * 2019-12-05 2021-06-10 山东威瑞外科医用制品有限公司 一种电动吻合器及其控制系统
US11707274B2 (en) 2019-12-06 2023-07-25 Covidien Lp Articulating mechanism for surgical instrument
US11109862B2 (en) 2019-12-12 2021-09-07 Covidien Lp Surgical stapling device with flexible shaft
US11737747B2 (en) 2019-12-17 2023-08-29 Covidien Lp Hand-held surgical instruments
US11291446B2 (en) 2019-12-18 2022-04-05 Covidien Lp Surgical instrument including an adapter assembly and an articulating surgical loading unit
US11844520B2 (en) 2019-12-19 2023-12-19 Cilag Gmbh International Staple cartridge comprising driver retention members
US11304696B2 (en) 2019-12-19 2022-04-19 Cilag Gmbh International Surgical instrument comprising a powered articulation system
US11607219B2 (en) 2019-12-19 2023-03-21 Cilag Gmbh International Staple cartridge comprising a detachable tissue cutting knife
US11701111B2 (en) 2019-12-19 2023-07-18 Cilag Gmbh International Method for operating a surgical stapling instrument
US11504122B2 (en) 2019-12-19 2022-11-22 Cilag Gmbh International Surgical instrument comprising a nested firing member
US11911032B2 (en) 2019-12-19 2024-02-27 Cilag Gmbh International Staple cartridge comprising a seating cam
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
US11529137B2 (en) 2019-12-19 2022-12-20 Cilag Gmbh International Staple cartridge comprising driver retention members
US11559304B2 (en) 2019-12-19 2023-01-24 Cilag Gmbh International Surgical instrument comprising a rapid closure mechanism
US11291447B2 (en) 2019-12-19 2022-04-05 Cilag Gmbh International Stapling instrument comprising independent jaw closing and staple firing systems
US11464512B2 (en) 2019-12-19 2022-10-11 Cilag Gmbh International Staple cartridge comprising a curved deck surface
US11446029B2 (en) 2019-12-19 2022-09-20 Cilag Gmbh International Staple cartridge comprising projections extending from a curved deck surface
US11931033B2 (en) 2019-12-19 2024-03-19 Cilag Gmbh International Staple cartridge comprising a latch lockout
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
US11583275B2 (en) 2019-12-27 2023-02-21 Covidien Lp Surgical instruments including sensor assembly
US11786291B2 (en) 2019-12-30 2023-10-17 Cilag Gmbh International Deflectable support of RF energy electrode with respect to opposing ultrasonic blade
US11937866B2 (en) 2019-12-30 2024-03-26 Cilag Gmbh International Method for an electrosurgical procedure
US11684412B2 (en) 2019-12-30 2023-06-27 Cilag Gmbh International Surgical instrument with rotatable and articulatable surgical end effector
US11452525B2 (en) 2019-12-30 2022-09-27 Cilag Gmbh International Surgical instrument comprising an adjustment system
US20210196344A1 (en) 2019-12-30 2021-07-01 Ethicon Llc Surgical system communication pathways
US11779387B2 (en) 2019-12-30 2023-10-10 Cilag Gmbh International Clamp arm jaw to minimize tissue sticking and improve tissue control
US11812957B2 (en) 2019-12-30 2023-11-14 Cilag Gmbh International Surgical instrument comprising a signal interference resolution system
US11937863B2 (en) 2019-12-30 2024-03-26 Cilag Gmbh International Deflectable electrode with variable compression bias along the length of the deflectable electrode
US11911063B2 (en) 2019-12-30 2024-02-27 Cilag Gmbh International Techniques for detecting ultrasonic blade to electrode contact and reducing power to ultrasonic blade
US11660089B2 (en) 2019-12-30 2023-05-30 Cilag Gmbh International Surgical instrument comprising a sensing system
US11779329B2 (en) 2019-12-30 2023-10-10 Cilag Gmbh International Surgical instrument comprising a flex circuit including a sensor system
US11696776B2 (en) 2019-12-30 2023-07-11 Cilag Gmbh International Articulatable surgical instrument
US11944366B2 (en) 2019-12-30 2024-04-02 Cilag Gmbh International Asymmetric segmented ultrasonic support pad for cooperative engagement with a movable RF electrode
US11589916B2 (en) 2019-12-30 2023-02-28 Cilag Gmbh International Electrosurgical instruments with electrodes having variable energy densities
US11744636B2 (en) 2019-12-30 2023-09-05 Cilag Gmbh International Electrosurgical systems with integrated and external power sources
US11779340B2 (en) 2020-01-02 2023-10-10 Covidien Lp Ligation clip loading device
US11723669B2 (en) 2020-01-08 2023-08-15 Covidien Lp Clip applier with clip cartridge interface
US11452524B2 (en) 2020-01-31 2022-09-27 Covidien Lp Surgical stapling device with lockout
US11278282B2 (en) 2020-01-31 2022-03-22 Covidien Lp Stapling device with selective cutting
US11458244B2 (en) 2020-02-07 2022-10-04 Covidien Lp Irrigating surgical apparatus with positive pressure fluid
US11553913B2 (en) 2020-02-11 2023-01-17 Covidien Lp Electrically-determining tissue cut with surgical stapling apparatus
US11890014B2 (en) 2020-02-14 2024-02-06 Covidien Lp Cartridge holder for surgical staples and having ridges in peripheral walls for gripping tissue
US11344301B2 (en) 2020-03-02 2022-05-31 Covidien Lp Surgical stapling device with replaceable reload assembly
US11344302B2 (en) 2020-03-05 2022-05-31 Covidien Lp Articulation mechanism for surgical stapling device
US11246593B2 (en) 2020-03-06 2022-02-15 Covidien Lp Staple cartridge
US11707278B2 (en) 2020-03-06 2023-07-25 Covidien Lp Surgical stapler tool assembly to minimize bleeding
US11317911B2 (en) 2020-03-10 2022-05-03 Covidien Lp Tool assembly with replaceable cartridge assembly
US11357505B2 (en) 2020-03-10 2022-06-14 Covidien Lp Surgical stapling apparatus with firing lockout mechanism
US11406383B2 (en) 2020-03-17 2022-08-09 Covidien Lp Fire assisted powered EGIA handle
US11331098B2 (en) 2020-04-01 2022-05-17 Covidien Lp Sled detection device
US11426159B2 (en) 2020-04-01 2022-08-30 Covidien Lp Sled detection device
US11504117B2 (en) 2020-04-02 2022-11-22 Covidien Lp Hand-held surgical instruments
US11937794B2 (en) 2020-05-11 2024-03-26 Covidien Lp Powered handle assembly for surgical devices
US11406387B2 (en) 2020-05-12 2022-08-09 Covidien Lp Surgical stapling device with replaceable staple cartridge
US11191537B1 (en) 2020-05-12 2021-12-07 Covidien Lp Stapling device with continuously parallel jaws
US11534167B2 (en) 2020-05-28 2022-12-27 Covidien Lp Electrotaxis-conducive stapling
USD976401S1 (en) 2020-06-02 2023-01-24 Cilag Gmbh International Staple cartridge
USD974560S1 (en) 2020-06-02 2023-01-03 Cilag Gmbh International Staple cartridge
USD975850S1 (en) 2020-06-02 2023-01-17 Cilag Gmbh International Staple cartridge
USD967421S1 (en) 2020-06-02 2022-10-18 Cilag Gmbh International Staple cartridge
USD975851S1 (en) 2020-06-02 2023-01-17 Cilag Gmbh International Staple cartridge
USD966512S1 (en) 2020-06-02 2022-10-11 Cilag Gmbh International Staple cartridge
USD975278S1 (en) 2020-06-02 2023-01-10 Cilag Gmbh International Staple cartridge
US11191538B1 (en) 2020-06-08 2021-12-07 Covidien Lp Surgical stapling device with parallel jaw closure
US11672559B2 (en) 2020-06-17 2023-06-13 Cilag Gmbh International Surgical stapler with cartridge pan retention features
US11844517B2 (en) 2020-06-25 2023-12-19 Covidien Lp Linear stapling device with continuously parallel jaws
US11324500B2 (en) 2020-06-30 2022-05-10 Covidien Lp Surgical stapling device
US11446028B2 (en) 2020-07-09 2022-09-20 Covidien Lp Tool assembly with pivotable clamping beam
US11517305B2 (en) 2020-07-09 2022-12-06 Covidien Lp Contoured staple pusher
US11622768B2 (en) 2020-07-13 2023-04-11 Covidien Lp Methods and structure for confirming proper assembly of powered surgical stapling systems
US20220015761A1 (en) 2020-07-16 2022-01-20 Ethicon Llc Firing circuit and control algorithm for surgical stapler
US20220031350A1 (en) 2020-07-28 2022-02-03 Cilag Gmbh International Surgical instruments with double pivot articulation joint arrangements
US11266402B2 (en) 2020-07-30 2022-03-08 Covidien Lp Sensing curved tip for surgical stapling instruments
US11439392B2 (en) 2020-08-03 2022-09-13 Covidien Lp Surgical stapling device and fastener for pathological exam
US11395654B2 (en) 2020-08-07 2022-07-26 Covidien Lp Surgical stapling device with articulation braking assembly
US20220047260A1 (en) * 2020-08-12 2022-02-17 Covidien Lp Chipped trocar assembly for circular stapling instruments
US11602342B2 (en) 2020-08-27 2023-03-14 Covidien Lp Surgical stapling device with laser probe
US11660091B2 (en) 2020-09-08 2023-05-30 Covidien Lp Surgical device with seal assembly
US11678878B2 (en) 2020-09-16 2023-06-20 Covidien Lp Articulation mechanism for surgical stapling device
US11571192B2 (en) 2020-09-25 2023-02-07 Covidien Lp Adapter assembly for surgical devices
US11660092B2 (en) 2020-09-29 2023-05-30 Covidien Lp Adapter for securing loading units to handle assemblies of surgical stapling instruments
US11406384B2 (en) 2020-10-05 2022-08-09 Covidien Lp Stapling device with drive assembly stop member
US11576674B2 (en) 2020-10-06 2023-02-14 Covidien Lp Surgical stapling device with articulation lock assembly
EP4236821A1 (en) 2020-10-29 2023-09-06 Applied Medical Resources Corporation Surgical stapler having a powered handle
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
US11452526B2 (en) 2020-10-29 2022-09-27 Cilag Gmbh International Surgical instrument comprising a staged voltage regulation start-up system
US11896217B2 (en) 2020-10-29 2024-02-13 Cilag Gmbh International Surgical instrument comprising an articulation lock
US11771428B2 (en) 2020-10-29 2023-10-03 Applied Medical Resources Corporation Actuation shaft retention mechanism for surgical stapler
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
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
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
US11517390B2 (en) 2020-10-29 2022-12-06 Cilag Gmbh International Surgical instrument comprising a limited travel switch
USD980425S1 (en) 2020-10-29 2023-03-07 Cilag Gmbh International Surgical instrument assembly
US11890007B2 (en) 2020-11-18 2024-02-06 Covidien Lp Stapling device with flex cable and tensioning mechanism
US11653919B2 (en) 2020-11-24 2023-05-23 Covidien Lp Stapler line reinforcement continuity
US11744580B2 (en) 2020-11-24 2023-09-05 Covidien Lp Long stapler reloads with continuous cartridge
CN112472177B (zh) * 2020-11-25 2022-05-13 敏捷医疗科技(苏州)有限公司 一种带有预压榨组织厚度反馈提示功能的线性切割吻合器
US11653920B2 (en) 2020-12-02 2023-05-23 Cilag Gmbh International Powered surgical instruments with communication interfaces through sterile barrier
US11849943B2 (en) 2020-12-02 2023-12-26 Cilag Gmbh International Surgical instrument with cartridge release mechanisms
US11653915B2 (en) 2020-12-02 2023-05-23 Cilag Gmbh International Surgical instruments with sled location detection and adjustment features
US11737751B2 (en) 2020-12-02 2023-08-29 Cilag Gmbh International Devices and methods of managing energy dissipated within sterile barriers of surgical instrument housings
US11678882B2 (en) 2020-12-02 2023-06-20 Cilag Gmbh International Surgical instruments with interactive features to remedy incidental sled movements
US11744581B2 (en) 2020-12-02 2023-09-05 Cilag Gmbh International Powered surgical instruments with multi-phase tissue treatment
US11890010B2 (en) 2020-12-02 2024-02-06 Cllag GmbH International Dual-sided reinforced reload for surgical instruments
US11627960B2 (en) 2020-12-02 2023-04-18 Cilag Gmbh International Powered surgical instruments with smart reload with separately attachable exteriorly mounted wiring connections
US11944296B2 (en) 2020-12-02 2024-04-02 Cilag Gmbh International Powered surgical instruments with external connectors
US11737774B2 (en) 2020-12-04 2023-08-29 Covidien Lp Surgical instrument with articulation assembly
US11819200B2 (en) 2020-12-15 2023-11-21 Covidien Lp Surgical instrument with articulation assembly
CN112603405B (zh) * 2020-12-17 2021-11-19 郑州人民医院(郑州人民医院医疗管理中心) 一种切割吻合器的击发保险机构
US11553914B2 (en) 2020-12-22 2023-01-17 Covidien Lp Surgical stapling device with parallel jaw closure
US11744582B2 (en) 2021-01-05 2023-09-05 Covidien Lp Surgical stapling device with firing lockout mechanism
US11759206B2 (en) 2021-01-05 2023-09-19 Covidien Lp Surgical stapling device with firing lockout mechanism
CN112754575B (zh) * 2021-01-23 2022-06-17 常州安康医疗器械有限公司 一种方便拆卸更换电池的电动腔镜吻合器
US11759207B2 (en) 2021-01-27 2023-09-19 Covidien Lp Surgical stapling apparatus with adjustable height clamping member
US11517313B2 (en) 2021-01-27 2022-12-06 Covidien Lp Surgical stapling device with laminated drive member
US11701113B2 (en) 2021-02-26 2023-07-18 Cilag Gmbh International Stapling instrument comprising a separate power antenna and a data transfer antenna
US11751869B2 (en) 2021-02-26 2023-09-12 Cilag Gmbh International Monitoring of multiple sensors over time to detect moving characteristics of tissue
US11744583B2 (en) 2021-02-26 2023-09-05 Cilag Gmbh International Distal communication array to tune frequency of RF systems
US11812964B2 (en) 2021-02-26 2023-11-14 Cilag Gmbh International Staple cartridge comprising a power management circuit
US11925349B2 (en) 2021-02-26 2024-03-12 Cilag Gmbh International Adjustment to transfer parameters to improve available power
US11730473B2 (en) 2021-02-26 2023-08-22 Cilag Gmbh International Monitoring of manufacturing life-cycle
US11793514B2 (en) 2021-02-26 2023-10-24 Cilag Gmbh International Staple cartridge comprising sensor array which may be embedded in cartridge body
US11696757B2 (en) 2021-02-26 2023-07-11 Cilag Gmbh International Monitoring of internal systems to detect and track cartridge motion status
US11723657B2 (en) 2021-02-26 2023-08-15 Cilag Gmbh International Adjustable communication based on available bandwidth and power capacity
US11749877B2 (en) 2021-02-26 2023-09-05 Cilag Gmbh International Stapling instrument comprising a signal antenna
US11717300B2 (en) 2021-03-11 2023-08-08 Covidien Lp Surgical stapling apparatus with integrated visualization
US11723658B2 (en) 2021-03-22 2023-08-15 Cilag Gmbh International Staple cartridge comprising a firing lockout
US11759202B2 (en) 2021-03-22 2023-09-19 Cilag Gmbh International Staple cartridge comprising an implantable layer
US11826012B2 (en) 2021-03-22 2023-11-28 Cilag Gmbh International Stapling instrument comprising a pulsed motor-driven firing rack
US11826042B2 (en) 2021-03-22 2023-11-28 Cilag Gmbh International Surgical instrument comprising a firing drive including a selectable leverage mechanism
US11737749B2 (en) 2021-03-22 2023-08-29 Cilag Gmbh International Surgical stapling instrument comprising a retraction system
US11717291B2 (en) 2021-03-22 2023-08-08 Cilag Gmbh International Staple cartridge comprising staples configured to apply different tissue compression
US11806011B2 (en) 2021-03-22 2023-11-07 Cilag Gmbh International Stapling instrument comprising tissue compression systems
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
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
US11896218B2 (en) 2021-03-24 2024-02-13 Cilag Gmbh International Method of using a powered stapling device
US11849945B2 (en) 2021-03-24 2023-12-26 Cilag Gmbh International Rotary-driven surgical stapling assembly comprising eccentrically driven firing member
US11832816B2 (en) 2021-03-24 2023-12-05 Cilag Gmbh International Surgical stapling assembly comprising nonplanar staples and planar staples
US11849944B2 (en) 2021-03-24 2023-12-26 Cilag Gmbh International Drivers for fastener cartridge assemblies having rotary drive screws
US11793516B2 (en) 2021-03-24 2023-10-24 Cilag Gmbh International Surgical staple cartridge comprising longitudinal support beam
US11744603B2 (en) 2021-03-24 2023-09-05 Cilag Gmbh International Multi-axis pivot joints for surgical instruments and methods for manufacturing same
US11786239B2 (en) 2021-03-24 2023-10-17 Cilag Gmbh International Surgical instrument articulation joint arrangements comprising multiple moving linkage features
US11903582B2 (en) 2021-03-24 2024-02-20 Cilag Gmbh International Leveraging surfaces for cartridge installation
US11896219B2 (en) 2021-03-24 2024-02-13 Cilag Gmbh International Mating features between drivers and underside of a cartridge deck
US11857183B2 (en) 2021-03-24 2024-01-02 Cilag Gmbh International Stapling assembly components having metal substrates and plastic bodies
US11497495B2 (en) 2021-03-31 2022-11-15 Covidien Lp Continuous stapler strip for use with a surgical stapling device
US11666330B2 (en) 2021-04-05 2023-06-06 Covidien Lp Surgical stapling device with lockout mechanism
US11857184B2 (en) 2021-04-30 2024-01-02 Cilag Gmbh International Surgical instrument comprising a rotation-driven and translation-driven tissue cutting knife
US11944295B2 (en) 2021-04-30 2024-04-02 Cilag Gmbh International Surgical instrument comprising end effector with longitudinal sealing step
US11826043B2 (en) 2021-04-30 2023-11-28 Cilag Gmbh International Staple cartridge comprising formation support features
US11918275B2 (en) 2021-04-30 2024-03-05 Cilag Gmbh International Electrosurgical adaptation techniques of energy modality for combination electrosurgical instruments based on shorting or tissue impedance irregularity
US11576670B2 (en) 2021-05-06 2023-02-14 Covidien Lp Surgical stapling device with optimized drive assembly
US11812956B2 (en) 2021-05-18 2023-11-14 Covidien Lp Dual firing radial stapling device
US11696755B2 (en) 2021-05-19 2023-07-11 Covidien Lp Surgical stapling device with reload assembly removal lockout
US11510673B1 (en) 2021-05-25 2022-11-29 Covidien Lp Powered stapling device with manual retraction
US11771423B2 (en) 2021-05-25 2023-10-03 Covidien Lp Powered stapling device with manual retraction
CN113288272B (zh) * 2021-05-25 2022-05-27 常州安康医疗器械有限公司 一种腔镜吻合器钉仓组件
US11701119B2 (en) 2021-05-26 2023-07-18 Covidien Lp Powered stapling device with rack release
US20220378426A1 (en) 2021-05-28 2022-12-01 Cilag Gmbh International Stapling instrument comprising a mounted shaft orientation sensor
US11684362B2 (en) 2021-06-07 2023-06-27 Covidien Lp Handheld electromechanical surgical system
US11576675B2 (en) 2021-06-07 2023-02-14 Covidien Lp Staple cartridge with knife
US11707275B2 (en) 2021-06-29 2023-07-25 Covidien Lp Asymmetrical surgical stapling device
US11771432B2 (en) 2021-06-29 2023-10-03 Covidien Lp Stapling and cutting to default values in the event of strain gauge data integrity loss
US11617579B2 (en) 2021-06-29 2023-04-04 Covidien Lp Ultra low profile surgical stapling instrument for tissue resections
US11931026B2 (en) 2021-06-30 2024-03-19 Cilag Gmbh International Staple cartridge replacement
US11602344B2 (en) 2021-06-30 2023-03-14 Covidien Lp Surgical stapling apparatus with firing lockout assembly
US11786248B2 (en) 2021-07-09 2023-10-17 Covidien Lp Surgical stapling device including a buttress retention assembly
US11819209B2 (en) 2021-08-03 2023-11-21 Covidien Lp Hand-held surgical instruments
US11540831B1 (en) 2021-08-12 2023-01-03 Covidien Lp Staple cartridge with actuation sled detection
US20230051361A1 (en) * 2021-08-16 2023-02-16 Cilag Gmbh International Methods of operating a robotic surgical stapler
US11862884B2 (en) 2021-08-16 2024-01-02 Covidien Lp Surgical instrument with electrical connection
US20230051105A1 (en) * 2021-08-16 2023-02-16 Cilag Gmbh International Proximally located firing lockout mechanism for surgical stapler
US11779334B2 (en) 2021-08-19 2023-10-10 Covidien Lp Surgical stapling device including a manual retraction assembly
US11707277B2 (en) 2021-08-20 2023-07-25 Covidien Lp Articulating surgical stapling apparatus with pivotable knife bar guide assembly
US11576671B1 (en) 2021-08-20 2023-02-14 Covidien Lp Small diameter linear surgical stapling apparatus
US11864761B2 (en) 2021-09-14 2024-01-09 Covidien Lp Surgical instrument with illumination mechanism
CN114041872B (zh) * 2021-09-28 2023-07-18 四川大学华西医院 一种瓣叶分割装置
US11660094B2 (en) 2021-09-29 2023-05-30 Covidien Lp Surgical fastening instrument with two-part surgical fasteners
US11653922B2 (en) 2021-09-29 2023-05-23 Covidien Lp Surgical stapling device with firing lockout mechanism
US11849949B2 (en) 2021-09-30 2023-12-26 Covidien Lp Surgical stapling device with firing lockout member
US11877745B2 (en) 2021-10-18 2024-01-23 Cilag Gmbh International Surgical stapling assembly having longitudinally-repeating staple leg clusters
US11937816B2 (en) 2021-10-28 2024-03-26 Cilag Gmbh International Electrical lead arrangements for surgical instruments
WO2023125564A1 (zh) * 2021-12-30 2023-07-06 江苏风和医疗器材股份有限公司 外科器械
CN114115434B (zh) * 2022-01-28 2022-04-12 极限人工智能(北京)有限公司 延时检测方法、装置、电子设备及存储介质
US11832823B2 (en) 2022-02-08 2023-12-05 Covidien Lp Determination of anvil release during anastomosis
US20230293172A1 (en) * 2022-03-15 2023-09-21 Cilag Gmbh International Surgical stapler cartridge with integrated rfid feature
US11931029B2 (en) 2022-03-23 2024-03-19 Cilag Gmbh International Firing limit feature for powered surgical stapler

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0365153B1 (en) * 1988-09-26 1995-08-23 Ethicon, Inc. Energy storage means for a surgical stapler
US5584425A (en) * 1991-10-18 1996-12-17 United States Surgical Corporation Lockout mechanism for surgical apparatus
US5693042A (en) * 1994-04-28 1997-12-02 Ethicon Endo-Surgery, Inc. Identification device for surgical instrument
CN2650714Y (zh) * 2003-11-04 2004-10-27 上海善之善商务咨询有限公司 夹紧及切割装置
CN1636525A (zh) * 2003-07-09 2005-07-13 伊西康内外科公司 具有支撑触发杆的转动关节支撑板的外科钉合装置

Family Cites Families (536)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE273689C (zh) 1913-08-07 1914-05-08
US2037727A (en) 1934-12-27 1936-04-21 United Shoe Machinery Corp Fastening
US2214870A (en) * 1938-08-10 1940-09-17 William J West Siding cutter
FR1112936A (fr) 1954-10-20 1956-03-20 Moteur électrique et commande à trois vitesses enfermés dans une gaine
US3078465A (en) * 1959-09-09 1963-02-26 Bobrov Boris Sergueevitch Instrument for stitching gastric stump
GB939929A (en) 1959-10-30 1963-10-16 Vasilii Fedotovich Goodov Instrument for stitching blood vessels, intestines, bronchi and other soft tissues
US3490675A (en) * 1966-10-10 1970-01-20 United States Surgical Corp Instrument for placing lateral gastrointestinal anastomoses
US3551987A (en) * 1968-09-12 1971-01-05 Jack E Wilkinson Stapling clamp for gastrointestinal surgery
US3643851A (en) * 1969-08-25 1972-02-22 United States Surgical Corp Skin stapler
US3662939A (en) 1970-02-26 1972-05-16 United States Surgical Corp Surgical stapler for skin and fascia
US3717294A (en) * 1970-12-14 1973-02-20 Surgical Corp Cartridge and powering instrument for stapling skin and fascia
US3734207A (en) 1971-12-27 1973-05-22 M Fishbein Battery powered orthopedic cutting tool
US3940844A (en) 1972-02-22 1976-03-02 Pci Group, Inc. Method of installing an insulating sleeve on a staple
US3819100A (en) 1972-09-29 1974-06-25 United States Surgical Corp Surgical stapling instrument
US3894174A (en) 1974-07-03 1975-07-08 Emhart Corp Insulated staple and method of making the same
FR2446509A1 (fr) 1977-04-29 1980-08-08 Garret Roger Programmateur
AU534210B2 (en) 1980-02-05 1984-01-12 United States Surgical Corporation Surgical staples
US4429695A (en) * 1980-02-05 1984-02-07 United States Surgical Corporation Surgical instruments
US4396139A (en) 1980-02-15 1983-08-02 Technalytics, Inc. Surgical stapling system, apparatus and staple
US4331277A (en) 1980-05-23 1982-05-25 United States Surgical Corporation Self-contained gas powered surgical stapler
US4606343A (en) 1980-08-18 1986-08-19 United States Surgical Corporation Self-powered surgical fastening instrument
US4349028A (en) 1980-10-03 1982-09-14 United States Surgical Corporation Surgical stapling apparatus having self-contained pneumatic system for completing manually initiated motion sequence
US4500024A (en) * 1980-11-19 1985-02-19 Ethicon, Inc. Multiple clip applier
US4526174A (en) 1981-03-27 1985-07-02 Minnesota Mining And Manufacturing Company Staple and cartridge for use in a tissue stapling device and a tissue closing method
US4383634A (en) 1981-05-26 1983-05-17 United States Surgical Corporation Surgical stapler apparatus with pivotally mounted actuator assemblies
US4475679A (en) 1981-08-07 1984-10-09 Fleury Jr George J Multi-staple cartridge for surgical staplers
US4402445A (en) 1981-10-09 1983-09-06 United States Surgical Corporation Surgical fastener and means for applying same
US4415112A (en) 1981-10-27 1983-11-15 United States Surgical Corporation Surgical stapling assembly having resiliently mounted anvil
US4442964A (en) 1981-12-07 1984-04-17 Senco Products, Inc. Pressure sensitive and working-gap controlled surgical stapling instrument
DE3204532C2 (de) 1982-02-10 1983-12-08 B. Braun Melsungen Ag, 3508 Melsungen Chirurgische Hautklammer
US4790225A (en) 1982-11-24 1988-12-13 Panduit Corp. Dispenser of discrete cable ties provided on a continuous ribbon of cable ties
JPS59168848A (ja) 1983-03-11 1984-09-22 エチコン・インコ−ポレ−テツド 非金属製の生物に適合性の無菌の外科装置
US4522327A (en) 1983-05-18 1985-06-11 United States Surgical Corporation Surgical fastener applying apparatus
US4527724A (en) 1983-06-10 1985-07-09 Senmed, Inc. Disposable linear surgical stapling instrument
SU1175891A1 (ru) 1983-08-16 1985-08-30 Предприятие П/Я А-7840 Устройство дл формовани изделий
US4944443A (en) 1988-04-22 1990-07-31 Innovative Surgical Devices, Inc. Surgical suturing instrument and method
US4530453A (en) 1983-10-04 1985-07-23 United States Surgical Corporation Surgical fastener applying apparatus
US4610383A (en) 1983-10-14 1986-09-09 Senmed, Inc. Disposable linear surgical stapler
GB8417562D0 (en) 1984-07-10 1984-08-15 Surgical Design Services Fasteners
US4655222A (en) 1984-07-30 1987-04-07 Ethicon, Inc. Coated surgical staple
US4754909A (en) 1984-08-09 1988-07-05 Barker John M Flexible stapler
US4671445A (en) 1984-08-09 1987-06-09 Baxter Travenol Laboratories, Inc. Flexible surgical stapler assembly
US4767044A (en) 1984-10-19 1988-08-30 United States Surgical Corporation Surgical fastener applying apparatus
US4566620A (en) * 1984-10-19 1986-01-28 United States Surgical Corporation Articulated surgical fastener applying apparatus
US4573622A (en) 1984-10-19 1986-03-04 United States Surgical Corporation Surgical fastener applying apparatus with variable fastener arrays
US4580712A (en) 1984-10-19 1986-04-08 United States Surgical Corporation Surgical fastener applying apparatus with progressive application of fastener
US4728020A (en) 1985-08-30 1988-03-01 United States Surgical Corporation Articulated surgical fastener applying apparatus
SU1377053A1 (ru) 1985-10-02 1988-02-28 В. Г. Сахаутдинов, Р. А. Талипов, Р. М. Халиков и 3. X. Гарифуллин Хирургический сшивающий аппарат
US4715520A (en) 1985-10-10 1987-12-29 United States Surgical Corporation Surgical fastener applying apparatus with tissue edge control
EP0226426B1 (en) 1985-12-06 1990-05-16 Desoutter, Limited Two speed gearbox
US4728876A (en) 1986-02-19 1988-03-01 Minnesota Mining And Manufacturing Company Orthopedic drive assembly
US4817847A (en) 1986-04-21 1989-04-04 Finanzaktiengesellschaft Globe Control Instrument and a procedure for performing an anastomosis
SU1561964A1 (ru) 1986-04-24 1990-05-07 Благовещенский государственный медицинский институт Хирургический сшивающий аппарат
US4709120A (en) 1986-06-06 1987-11-24 Pearson Dean C Underground utility equipment vault
WO1988006021A1 (en) 1987-02-10 1988-08-25 Vaso Products Australia Pty. Limited Venous cuff applicator, cartridge and cuff
US4941623A (en) 1987-05-12 1990-07-17 United States Surgical Corporation Stapling process and device for use on the mesentery of the abdomen
US5027834A (en) 1987-06-11 1991-07-02 United States Surgical Corporation Stapling process for use on the mesenteries of the abdomen
US4821939A (en) 1987-09-02 1989-04-18 United States Surgical Corporation Staple cartridge and an anvilless surgical stapler
US5158567A (en) 1987-09-02 1992-10-27 United States Surgical Corporation One-piece surgical staple
US5100420A (en) 1989-07-18 1992-03-31 United States Surgical Corporation Apparatus and method for applying surgical clips in laparoscopic or endoscopic procedures
US5084057A (en) * 1989-07-18 1992-01-28 United States Surgical Corporation Apparatus and method for applying surgical clips in laparoscopic or endoscopic procedures
US5383881A (en) * 1989-07-18 1995-01-24 United States Surgical Corporation Safety device for use with endoscopic instrumentation
GB8800909D0 (en) 1988-01-15 1988-02-17 Ethicon Inc Gas powered surgical stapler
US4892244A (en) * 1988-11-07 1990-01-09 Ethicon, Inc. Surgical stapler cartridge lockout device
EP0369324B1 (fr) 1988-11-11 1995-11-02 United States Surgical Corporation Instrument de chirurgie
US5111987A (en) 1989-01-23 1992-05-12 Moeinzadeh Manssour H Semi-disposable surgical stapler
US5061269A (en) 1989-02-07 1991-10-29 Joseph J. Berke Surgical rongeur power grip structure and method
US5522817A (en) 1989-03-31 1996-06-04 United States Surgical Corporation Absorbable surgical fastener with bone penetrating elements
US5104397A (en) 1989-04-14 1992-04-14 Codman & Shurtleff, Inc. Multi-position latching mechanism for forceps
US5040715B1 (en) 1989-05-26 1994-04-05 United States Surgical Corp Apparatus and method for placing staples in laparoscopic or endoscopic procedures
US5318221A (en) 1989-05-26 1994-06-07 United States Surgical Corporation Apparatus and method for placing staples in laparoscopic or endoscopic procedures
US5106008A (en) 1989-05-26 1992-04-21 United States Surgical Corporation Locking mechanism for a surgical fastening apparatus
US5031814A (en) 1989-05-26 1991-07-16 United States Surgical Corporation Locking mechanism for surgical fastening apparatus
US5413268A (en) 1989-05-26 1995-05-09 United States Surgical Corporation Apparatus and method for placing stables in laparoscopic or endoscopic procedures
US4955959A (en) 1989-05-26 1990-09-11 United States Surgical Corporation Locking mechanism for a surgical fastening apparatus
CH677728A5 (zh) 1989-10-17 1991-06-28 Bieffe Medital Sa
SU1722476A1 (ru) 1990-04-02 1992-03-30 Свердловский Филиал Научно-Производственного Объединения "Фтизиопульмонология" Устройство дл временной окклюзии трубчатых органов
US5116349A (en) 1990-05-23 1992-05-26 United States Surgical Corporation Surgical fastener apparatus
US5342395A (en) 1990-07-06 1994-08-30 American Cyanamid Co. Absorbable surgical repair devices
US5653373A (en) 1990-09-17 1997-08-05 United States Surgical Corporation Arcuate apparatus for applying two-part surgical fasteners
US5253793A (en) 1990-09-17 1993-10-19 United States Surgical Corporation Apparatus for applying two-part surgical fasteners
US5156315A (en) 1990-09-17 1992-10-20 United States Surgical Corporation Arcuate apparatus for applying two-part surgical fasteners
US5080556A (en) * 1990-09-28 1992-01-14 General Electric Company Thermal seal for a gas turbine spacer disc
DE9117288U1 (de) 1990-10-05 1999-10-21 United States Surgical Corp Chirurgisches Klammerinstrument
US5129570A (en) 1990-11-30 1992-07-14 Ethicon, Inc. Surgical stapler
CA2055943C (en) 1990-12-06 2003-09-23 Daniel P. Rodak Surgical fastening apparatus with locking mechanism
US5083695A (en) * 1990-12-18 1992-01-28 Minnesota Mining And Manufacturing Company Stapler and firing device
DE69119607T2 (de) 1990-12-18 1996-11-14 United States Surgical Corp Sicherheitsvorrichtung für chirurgische klammersetzgeräte
US5188111A (en) * 1991-01-18 1993-02-23 Catheter Research, Inc. Device for seeking an area of interest within a body
CA2061885A1 (en) 1991-03-14 1992-09-15 David T. Green Approximating apparatus for surgical jaw structure
US5065929A (en) 1991-04-01 1991-11-19 Ethicon, Inc. Surgical stapler with locking means
US5246156A (en) 1991-09-12 1993-09-21 Ethicon, Inc. Multiple fire endoscopic stapling mechanism
US5171247A (en) 1991-04-04 1992-12-15 Ethicon, Inc. Endoscopic multiple ligating clip applier with rotating shaft
US5171249A (en) 1991-04-04 1992-12-15 Ethicon, Inc. Endoscopic multiple ligating clip applier
US5339799A (en) 1991-04-23 1994-08-23 Olympus Optical Co., Ltd. Medical system for reproducing a state of contact of the treatment section in the operation unit
US5413267A (en) 1991-05-14 1995-05-09 United States Surgical Corporation Surgical stapler with spent cartridge sensing and lockout means
US5137198A (en) 1991-05-16 1992-08-11 Ethicon, Inc. Fast closure device for linear surgical stapling instrument
US5221036A (en) 1991-06-11 1993-06-22 Haruo Takase Surgical stapler
US5207697A (en) 1991-06-27 1993-05-04 Stryker Corporation Battery powered surgical handpiece
US5391180A (en) * 1991-08-05 1995-02-21 United States Surgical Corporation Articulating endoscopic surgical apparatus
US5282829A (en) * 1991-08-15 1994-02-01 United States Surgical Corporation Hollow body implants
US5200280A (en) 1991-09-05 1993-04-06 Black & Decker Inc. Terminal cover for a battery pack
US5476479A (en) 1991-09-26 1995-12-19 United States Surgical Corporation Handle for endoscopic surgical instruments and jaw structure
US5312023A (en) 1991-10-18 1994-05-17 United States Surgical Corporation Self contained gas powered surgical apparatus
DE537571T1 (de) * 1991-10-18 1993-10-14 United States Surgical Corp Gerät zum Anbringen von chirurgischen Befestigungen.
US5326013A (en) 1991-10-18 1994-07-05 United States Surgical Corporation Self contained gas powered surgical apparatus
AU660712B2 (en) 1991-10-18 1995-07-06 United States Surgical Corporation Apparatus for applying surgical fasteners
US5307976A (en) * 1991-10-18 1994-05-03 Ethicon, Inc. Linear stapling mechanism with cutting means
US5478003A (en) 1991-10-18 1995-12-26 United States Surgical Corporation Surgical apparatus
US5431322A (en) 1991-10-18 1995-07-11 United States Surgical Corporation Self contained gas powered surgical apparatus
US5289963A (en) 1991-10-18 1994-03-01 United States Surgical Corporation Apparatus and method for applying surgical staples to attach an object to body tissue
US5443198A (en) 1991-10-18 1995-08-22 United States Surgical Corporation Surgical fastener applying apparatus
US6250532B1 (en) 1991-10-18 2001-06-26 United States Surgical Corporation Surgical stapling apparatus
AU657364B2 (en) 1991-10-18 1995-03-09 United States Surgical Corporation Self contained gas powered surgical apparatus
US5711472A (en) * 1991-10-18 1998-01-27 United States Surgical Corporation Self contained gas powered surgical apparatus
US5395312A (en) 1991-10-18 1995-03-07 Desai; Ashvin Surgical tool
US5579978A (en) 1991-10-18 1996-12-03 United States Surgical Corporation Apparatus for applying surgical fasteners
CA2078794C (en) 1991-10-18 1998-10-06 Frank J. Viola Locking device for an apparatus for applying surgical fasteners
US5364001A (en) 1991-10-18 1994-11-15 United States Surgical Corporation Self contained gas powered surgical apparatus
US5497933A (en) 1991-10-18 1996-03-12 United States Surgical Corporation Apparatus and method for applying surgical staples to attach an object to body tissue
US5350400A (en) 1991-10-30 1994-09-27 American Cyanamid Company Malleable, bioabsorbable, plastic staple; and method and apparatus for deforming such staple
US5240163A (en) 1991-10-30 1993-08-31 American Cyanamid Company Linear surgical stapling instrument
US5395034A (en) 1991-11-07 1995-03-07 American Cyanamid Co. Linear surgical stapling instrument
ATE241938T1 (de) 1991-11-08 2003-06-15 Boston Scient Ltd Ablationselektrode mit isoliertem temperaturmesselement
US5458579A (en) 1991-12-31 1995-10-17 Technalytics, Inc. Mechanical trocar insertion apparatus
US5383880A (en) * 1992-01-17 1995-01-24 Ethicon, Inc. Endoscopic surgical system with sensing means
US5433721A (en) 1992-01-17 1995-07-18 Ethicon, Inc. Endoscopic instrument having a torsionally stiff drive shaft for applying fasteners to tissue
US5271543A (en) 1992-02-07 1993-12-21 Ethicon, Inc. Surgical anastomosis stapling instrument with flexible support shaft and anvil adjusting mechanism
US5514157A (en) 1992-02-12 1996-05-07 United States Surgical Corporation Articulating endoscopic surgical apparatus
US5282806A (en) * 1992-08-21 1994-02-01 Habley Medical Technology Corporation Endoscopic surgical instrument having a removable, rotatable, end effector assembly
US5484095A (en) 1992-03-31 1996-01-16 United States Surgical Corporation Apparatus for endoscopically applying staples individually to body tissue
GR1002336B (el) 1992-05-06 1996-05-21 Ethicon Inc. Οργανον ενδοσκοπικης απολινωσεως και κοψιματος.
US5484451A (en) * 1992-05-08 1996-01-16 Ethicon, Inc. Endoscopic surgical instrument and staples for applying purse string sutures
US5389098A (en) * 1992-05-19 1995-02-14 Olympus Optical Co., Ltd. Surgical device for stapling and/or fastening body tissues
US5658300A (en) 1992-06-04 1997-08-19 Olympus Optical Co., Ltd. Tissue fixing surgical instrument, tissue-fixing device, and method of fixing tissues
US5906625A (en) 1992-06-04 1999-05-25 Olympus Optical Co., Ltd. Tissue-fixing surgical instrument, tissue-fixing device, and method of fixing tissue
US5258009A (en) 1992-06-30 1993-11-02 American Cyanamid Company Malleable, bioabsorbable,plastic staple having a knotted configuration; and method and apparatus for deforming such staple
US5222975A (en) 1992-07-13 1993-06-29 Lawrence Crainich Surgical staples
US5762458A (en) 1996-02-20 1998-06-09 Computer Motion, Inc. Method and apparatus for performing minimally invasive cardiac procedures
CA2104345A1 (en) 1992-09-02 1994-03-03 David T. Green Surgical clamp apparatus
US5485952A (en) 1992-09-23 1996-01-23 United States Surgical Corporation Apparatus for applying surgical fasteners
US5423471A (en) 1992-10-02 1995-06-13 United States Surgical Corporation Apparatus for applying two-part surgical fasteners in laparoscopic or endoscopic procedures
US5330502A (en) 1992-10-09 1994-07-19 Ethicon, Inc. Rotational endoscopic mechanism with jointed drive mechanism
US5381943A (en) 1992-10-09 1995-01-17 Ethicon, Inc. Endoscopic surgical stapling instrument with pivotable and rotatable staple cartridge
US5662662A (en) 1992-10-09 1997-09-02 Ethicon Endo-Surgery, Inc. Surgical instrument and method
US5626587A (en) 1992-10-09 1997-05-06 Ethicon Endo-Surgery, Inc. Method for operating a surgical instrument
US5431323A (en) 1992-10-09 1995-07-11 Ethicon, Inc. Endoscopic surgical instrument with pivotable and rotatable staple cartridge
US5601224A (en) 1992-10-09 1997-02-11 Ethicon, Inc. Surgical instrument
US5409498A (en) 1992-11-05 1995-04-25 Ethicon, Inc. Rotatable articulating endoscopic fastening instrument
US5403312A (en) 1993-07-22 1995-04-04 Ethicon, Inc. Electrosurgical hemostatic device
US5807393A (en) * 1992-12-22 1998-09-15 Ethicon Endo-Surgery, Inc. Surgical tissue treating device with locking mechanism
US5304204A (en) 1993-02-09 1994-04-19 Ethicon, Inc. Receiverless surgical fasteners
US5342396A (en) 1993-03-02 1994-08-30 Cook Melvin S Staples
US5397324A (en) 1993-03-10 1995-03-14 Carroll; Brendan J. Surgical stapler instrument and method for vascular hemostasis
US5540375A (en) 1993-04-20 1996-07-30 United States Surgical Corporation Endoscopic stapler
EP0625335B1 (en) 1993-04-20 1997-11-19 United States Surgical Corporation Surgical stapler
US5467911A (en) 1993-04-27 1995-11-21 Olympus Optical Co., Ltd. Surgical device for stapling and fastening body tissues
US5431668A (en) 1993-04-29 1995-07-11 Ethicon, Inc. Ligating clip applier
US6716232B1 (en) 1993-04-30 2004-04-06 United States Surgical Corporation Surgical instrument having an articulated jaw structure and a detachable knife
CA2159348A1 (en) 1993-04-30 1994-11-10 Claude A. Vidal Surgical instrument having an articulated jaw structure and a detachable knife
US5415334A (en) 1993-05-05 1995-05-16 Ethicon Endo-Surgery Surgical stapler and staple cartridge
CA2124109A1 (en) 1993-05-24 1994-11-25 Mark T. Byrne Endoscopic surgical instrument with electromagnetic sensor
US5478354A (en) 1993-07-14 1995-12-26 United States Surgical Corporation Wound closing apparatus and method
US5792165A (en) 1993-07-21 1998-08-11 Charles H. Klieman Endoscopic instrument with detachable end effector
WO1995003001A1 (en) 1993-07-21 1995-02-02 Klieman Charles H Surgical instrument for endoscopic and general surgery
US5582617A (en) 1993-07-21 1996-12-10 Charles H. Klieman Surgical instrument for endoscopic and general surgery
US5688270A (en) 1993-07-22 1997-11-18 Ethicon Endo-Surgery,Inc. Electrosurgical hemostatic device with recessed and/or offset electrodes
US5709680A (en) * 1993-07-22 1998-01-20 Ethicon Endo-Surgery, Inc. Electrosurgical hemostatic device
US5810811A (en) 1993-07-22 1998-09-22 Ethicon Endo-Surgery, Inc. Electrosurgical hemostatic device
US5817093A (en) 1993-07-22 1998-10-06 Ethicon Endo-Surgery, Inc. Impedance feedback monitor with query electrode for electrosurgical instrument
US5503320A (en) 1993-08-19 1996-04-02 United States Surgical Corporation Surgical apparatus with indicator
US5405344A (en) 1993-09-30 1995-04-11 Ethicon, Inc. Articulable socket joint assembly for an endoscopic instrument for surgical fastner track therefor
CA2133159A1 (en) 1993-09-30 1995-03-31 Eric J. Butterfield Surgical instrument having improved manipulating means
US5542594A (en) 1993-10-06 1996-08-06 United States Surgical Corporation Surgical stapling apparatus with biocompatible surgical fabric
CA2132917C (en) 1993-10-07 2004-12-14 John Charles Robertson Circular anastomosis device
US5487499A (en) 1993-10-08 1996-01-30 United States Surgical Corporation Surgical apparatus for applying surgical fasteners including a counter
US5562682A (en) 1993-10-08 1996-10-08 Richard-Allan Medical Industries, Inc. Surgical Instrument with adjustable arms
US5725554A (en) 1993-10-08 1998-03-10 Richard-Allan Medical Industries, Inc. Surgical staple and stapler
US5560532A (en) 1993-10-08 1996-10-01 United States Surgical Corporation Apparatus and method for applying surgical staples to body tissue
RU2098025C1 (ru) * 1993-10-11 1997-12-10 Аркадий Вениаминович Дубровский Поворотное устройство
US5465894A (en) 1993-12-06 1995-11-14 Ethicon, Inc. Surgical stapling instrument with articulated stapling head assembly on rotatable and flexible support shaft
US5743456A (en) 1993-12-16 1998-04-28 Stryker Corporation Hand actuable surgical handpiece
AU1558995A (en) 1994-01-04 1995-08-01 Alpha Surgical Technologies, Inc. Stapling device
US5465895A (en) 1994-02-03 1995-11-14 Ethicon Endo-Surgery, Inc. Surgical stapler instrument
US5597107A (en) * 1994-02-03 1997-01-28 Ethicon Endo-Surgery, Inc. Surgical stapler instrument
US5487500A (en) * 1994-02-03 1996-01-30 Ethicon Endo-Surgery, Inc. Surgical stapler instrument
US5503638A (en) 1994-02-10 1996-04-02 Bio-Vascular, Inc. Soft tissue stapling buttress
US5527320A (en) 1994-02-10 1996-06-18 Pilling Weck Inc. Surgical clip applying instrument
JPH0833642A (ja) 1994-02-25 1996-02-06 Ethicon Endo Surgery Inc 外科用ステープラのための改良アンビル承口
WO1995023557A1 (en) 1994-03-01 1995-09-08 United States Surgical Corporation Surgical stapler with anvil sensor and lockout
CA2145723A1 (en) 1994-03-30 1995-10-01 Steven W. Hamblin Surgical stapling instrument with remotely articulated stapling head assembly on rotatable support shaft
US5715987A (en) 1994-04-05 1998-02-10 Tracor Incorporated Constant width, adjustable grip, staple apparatus and method
US5415335A (en) 1994-04-07 1995-05-16 Ethicon Endo-Surgery Surgical stapler cartridge containing lockout mechanism
US5470007A (en) 1994-05-02 1995-11-28 Minnesota Mining And Manufacturing Company Laparoscopic stapler with overload sensor and interlock
US5489058A (en) 1994-05-02 1996-02-06 Minnesota Mining And Manufacturing Company Surgical stapler with mechanisms for reducing the firing force
CA2148667A1 (en) 1994-05-05 1995-11-06 Carlo A. Mililli Self-contained powered surgical apparatus
US5628446A (en) 1994-05-05 1997-05-13 United States Surgical Corporation Self-contained powered surgical apparatus
US5474566A (en) 1994-05-05 1995-12-12 United States Surgical Corporation Self-contained powered surgical apparatus
US5480409A (en) * 1994-05-10 1996-01-02 Riza; Erol D. Laparoscopic surgical instrument
US5782749A (en) 1994-05-10 1998-07-21 Riza; Erol D. Laparoscopic surgical instrument with adjustable grip
US5553675A (en) 1994-06-10 1996-09-10 Minnesota Mining And Manufacturing Company Orthopedic surgical device
US5558665A (en) 1994-06-24 1996-09-24 Archimedes Surgical, Inc. Surgical instrument and method for intraluminal retraction of an anatomic structure
US5551622A (en) 1994-07-13 1996-09-03 Yoon; Inbae Surgical stapler
US5833695A (en) 1994-07-13 1998-11-10 Yoon; Inbae Surgical stapling system and method of applying staples from multiple staple cartridges
DE9412228U1 (de) 1994-07-28 1994-09-22 Loctite Europa Eeig Schlauchpumpe zur genauen Dosierung kleiner Flüssigkeitsmengen
US5779130A (en) 1994-08-05 1998-07-14 United States Surgical Corporation Self-contained powered surgical apparatus
EP0699418A1 (en) 1994-08-05 1996-03-06 United States Surgical Corporation Self-contained powered surgical apparatus
US5507426A (en) 1994-08-05 1996-04-16 United States Surgical Corporation Apparatus for applying surgical fasteners
US5480089A (en) * 1994-08-19 1996-01-02 United States Surgical Corporation Surgical stapler apparatus with improved staple pockets
CA2146508C (en) 1994-08-25 2006-11-14 Robert H. Schnut Anvil for circular stapler
US5609601A (en) 1994-09-23 1997-03-11 United States Surgical Corporation Endoscopic surgical apparatus with rotation lock
DE4434864C2 (de) 1994-09-29 1997-06-19 United States Surgical Corp Chirurgischer Klammerapplikator mit auswechselbarem Klammermagazin
US5571116A (en) 1994-10-02 1996-11-05 United States Surgical Corporation Non-invasive treatment of gastroesophageal reflux disease
US5685474A (en) 1994-10-04 1997-11-11 United States Surgical Corporation Tactile indicator for surgical instrument
US5901895A (en) 1994-10-05 1999-05-11 United States Surgical Corporation Articulating apparatus for applying surgical fasteners to body tissue
US5797538A (en) 1994-10-05 1998-08-25 United States Surgical Corporation Articulating apparatus for applying surgical fasteners to body tissue
EP0705571A1 (en) 1994-10-07 1996-04-10 United States Surgical Corporation Self-contained powered surgical apparatus
US5591170A (en) * 1994-10-14 1997-01-07 Genesis Orthopedics Intramedullary bone cutting saw
US5868760A (en) * 1994-12-07 1999-02-09 Mcguckin, Jr.; James F. Method and apparatus for endolumenally resectioning tissue
US5636779A (en) 1994-12-13 1997-06-10 United States Surgical Corporation Apparatus for applying surgical fasteners
US5988479A (en) 1994-12-13 1999-11-23 United States Surgical Corporation Apparatus for applying surgical fasteners
US5632432A (en) 1994-12-19 1997-05-27 Ethicon Endo-Surgery, Inc. Surgical instrument
US5713505A (en) * 1996-05-13 1998-02-03 Ethicon Endo-Surgery, Inc. Articulation transmission mechanism for surgical instruments
US5704534A (en) * 1994-12-19 1998-01-06 Ethicon Endo-Surgery, Inc. Articulation assembly for surgical instruments
AU701320B2 (en) 1994-12-22 1999-01-28 Ethicon Endo-Surgery, Inc. Impedance feedback monitor with query electrode for electrosurgical instrument
US5735445A (en) 1995-03-07 1998-04-07 United States Surgical Corporation Surgical stapler
US5575799A (en) 1995-03-30 1996-11-19 United States Surgical Corporation Articulating surgical apparatus
US5624452A (en) 1995-04-07 1997-04-29 Ethicon Endo-Surgery, Inc. Hemostatic surgical cutting or stapling instrument
WO1996033468A1 (en) * 1995-04-21 1996-10-24 Intermetro Industries Corporation An electronic control system for a modular storage and support assembly
US5553765A (en) 1995-04-28 1996-09-10 Ethicon Endo-Surgery, Inc. Surgical stapler with improved operating lever mounting arrangement
WO1996035464A1 (en) 1995-05-12 1996-11-14 Perkins Rodney C Translumenal circumferential injector
US5630540A (en) 1995-05-24 1997-05-20 United States Surgical Corporation Surgical staple and staple drive member
US5678748A (en) 1995-05-24 1997-10-21 Vir Engineering Surgical stapler with improved safety mechanism
US5752644A (en) 1995-07-11 1998-05-19 United States Surgical Corporation Disposable loading unit for surgical stapler
USRE38708E1 (en) 1995-07-11 2005-03-01 United States Surgical Corporation Disposable loading unit for surgical stapler
US5706998A (en) 1995-07-17 1998-01-13 United States Surgical Corporation Surgical stapler with alignment pin locking mechanism
US5715988A (en) * 1995-08-14 1998-02-10 United States Surgical Corporation Surgical stapler with lockout mechanism
US5718359A (en) * 1995-08-14 1998-02-17 United States Of America Surgical Corporation Surgical stapler with lockout mechanism
US5839639A (en) * 1995-08-17 1998-11-24 Lasersurge, Inc. Collapsible anvil assembly and applicator instrument
US5931853A (en) 1995-08-25 1999-08-03 Mcewen; James A. Physiologic tourniquet with safety circuit
US5782396A (en) 1995-08-28 1998-07-21 United States Surgical Corporation Surgical stapler
US5762256A (en) 1995-08-28 1998-06-09 United States Surgical Corporation Surgical stapler
US6032849A (en) 1995-08-28 2000-03-07 United States Surgical Surgical stapler
US5814055A (en) 1995-09-19 1998-09-29 Ethicon Endo-Surgery, Inc. Surgical clamping mechanism
US5776130A (en) 1995-09-19 1998-07-07 Valleylab, Inc. Vascular tissue sealing pressure control
US5697542A (en) 1995-10-19 1997-12-16 Ethicon Endo-Surgery, Inc. Endoscopic surgical stapler with compact profile
US5700270A (en) 1995-10-20 1997-12-23 United States Surgical Corporation Surgical clip applier
CA2188738A1 (en) 1995-10-27 1997-04-28 Lisa W. Heaton Surgical stapler having interchangeable loading units
US5941442A (en) 1995-10-27 1999-08-24 United States Surgical Surgical stapler
US5651491A (en) 1995-10-27 1997-07-29 United States Surgical Corporation Surgical stapler having interchangeable loading units
US5797537A (en) 1996-02-20 1998-08-25 Richard-Allan Medical Industries, Inc. Articulated surgical instrument with improved firing mechanism
US5725536A (en) 1996-02-20 1998-03-10 Richard-Allen Medical Industries, Inc. Articulated surgical instrument with improved articulation control mechanism
US6010054A (en) * 1996-02-20 2000-01-04 Imagyn Medical Technologies Linear stapling instrument with improved staple cartridge
US5762255A (en) 1996-02-20 1998-06-09 Richard-Allan Medical Industries, Inc. Surgical instrument with improvement safety lockout mechanisms
US5820009A (en) 1996-02-20 1998-10-13 Richard-Allan Medical Industries, Inc. Articulated surgical instrument with improved jaw closure mechanism
US6099537A (en) 1996-02-26 2000-08-08 Olympus Optical Co., Ltd. Medical treatment instrument
US5673842A (en) 1996-03-05 1997-10-07 Ethicon Endo-Surgery Surgical stapler with locking mechanism
US5697543A (en) 1996-03-12 1997-12-16 Ethicon Endo-Surgery, Inc. Linear stapler with improved firing stroke
US5605272A (en) * 1996-03-12 1997-02-25 Ethicon Endo-Surgery, Inc. Trigger mechanism for surgical instruments
US5785232A (en) 1996-04-17 1998-07-28 Vir Engineering Surgical stapler
US5836503A (en) 1996-04-22 1998-11-17 United States Surgical Corporation Insertion device for surgical apparatus
US6050472A (en) 1996-04-26 2000-04-18 Olympus Optical Co., Ltd. Surgical anastomosis stapler
US5823066A (en) 1996-05-13 1998-10-20 Ethicon Endo-Surgery, Inc. Articulation transmission mechanism for surgical instruments
US6119913A (en) 1996-06-14 2000-09-19 Boston Scientific Corporation Endoscopic stapler
US5735874A (en) 1996-06-21 1998-04-07 Ethicon Endo-Surgery, Inc. Variable position handle locking mechanism
US5702408A (en) 1996-07-17 1997-12-30 Ethicon Endo-Surgery, Inc. Articulating surgical instrument
US5715554A (en) * 1996-07-17 1998-02-10 Trek Bicycle Corporation Bicycle pump and tire repair apparatus
US6083234A (en) 1996-07-23 2000-07-04 Surgical Dynamics, Inc. Anastomosis instrument and method
US6017354A (en) 1996-08-15 2000-01-25 Stryker Corporation Integrated system for powered surgical tools
US5873885A (en) 1996-08-29 1999-02-23 Storz Instrument Company Surgical handpiece
US5730758A (en) 1996-09-12 1998-03-24 Allgeyer; Dean O. Staple and staple applicator for use in skin fixation of catheters
US6109500A (en) 1996-10-04 2000-08-29 United States Surgical Corporation Lockout mechanism for a surgical stapler
US5843132A (en) 1996-10-07 1998-12-01 Ilvento; Joseph P. Self-contained, self-powered temporary intravenous pacing catheter assembly
US6074401A (en) 1997-01-09 2000-06-13 Coalescent Surgical, Inc. Pinned retainer surgical fasteners, instruments and methods for minimally invasive vascular and endoscopic surgery
US5719427A (en) * 1997-01-14 1998-02-17 Pericom Semiconductor Corp. Avalanche-enhanced CMOS transistor for EPROM/EEPROM and ESD-protection structures
US5810821A (en) * 1997-03-28 1998-09-22 Biomet Inc. Bone fixation screw system
USH1904H (en) 1997-05-14 2000-10-03 Ethicon Endo-Surgery, Inc. Electrosurgical hemostatic method and device
USH2037H1 (en) 1997-05-14 2002-07-02 David C. Yates Electrosurgical hemostatic device including an anvil
US5951552A (en) 1997-06-30 1999-09-14 Ethicon Endo-Surgery, Inc. Capacitively coupled cordless electrosurgical instrument
US5948030A (en) 1997-07-25 1999-09-07 General Motors Corporation Steering angle determaination method and apparatus
JP3949177B2 (ja) 1997-07-29 2007-07-25 トーマス アンド ベッツ インターナショナル，インク． 改良されたケーブルタイ分配装置
US5878938A (en) 1997-08-11 1999-03-09 Ethicon Endo-Surgery, Inc. Surgical stapler with improved locking mechanism
AU9478498A (en) 1997-09-11 1999-03-29 Genzyme Corporation Articulating endoscopic implant rotator surgical apparatus and method for using same
US6017356A (en) * 1997-09-19 2000-01-25 Ethicon Endo-Surgery Inc. Method for using a trocar for penetration and skin incision
US5865361A (en) 1997-09-23 1999-02-02 United States Surgical Corporation Surgical stapling apparatus
US5947984A (en) 1997-10-10 1999-09-07 Ethicon Endo-Surger, Inc. Ultrasonic clamp coagulator apparatus having force limiting clamping mechanism
US6086600A (en) 1997-11-03 2000-07-11 Symbiosis Corporation Flexible endoscopic surgical instrument for invagination and fundoplication
US6171330B1 (en) * 1997-12-15 2001-01-09 Sofradim Production Pneumatic surgical instrument for the distribution and placement of connecting or fastening means
US6156056A (en) 1998-01-09 2000-12-05 Ethicon, Inc. Suture buttress
GB2336214A (en) 1998-01-16 1999-10-13 David William Taylor Preventionof multiple use of limited use devices
JP3404289B2 (ja) * 1998-05-22 2003-05-06 富士通株式会社 ディスク制御装置及びその制御方法
US6309403B1 (en) 1998-06-01 2001-10-30 Board Of Trustees Operating Michigan State University Dexterous articulated linkage for surgical applications
US6126058A (en) 1998-06-19 2000-10-03 Scimed Life Systems, Inc. Method and device for full thickness resectioning of an organ
US6601749B2 (en) 1998-06-19 2003-08-05 Scimed Life Systems, Inc. Multi fire full thickness resectioning device
US5951574A (en) 1998-10-23 1999-09-14 Ethicon Endo-Surgery, Inc. Multiple clip applier having a split feeding mechanism
US6102271A (en) 1998-11-23 2000-08-15 Ethicon Endo-Surgery, Inc. Circular stapler for hemorrhoidal surgery
US6126670A (en) 1998-12-16 2000-10-03 Medtronic, Inc. Cordless surgical handpiece with disposable battery; and method
DE19905085A1 (de) 1999-01-29 2000-08-03 Black & Decker Inc N D Ges D S Batteriegetriebenes, handgeführtes Elektrowerkzeug
US6387113B1 (en) 1999-02-02 2002-05-14 Biomet, Inc. Method and apparatus for repairing a torn meniscus
US6083242A (en) 1999-02-17 2000-07-04 Holobeam, Inc. Surgical staples with deformation zones of non-uniform cross section
US6666875B1 (en) 1999-03-05 2003-12-23 Olympus Optical Co., Ltd. Surgical apparatus permitting recharge of battery-driven surgical instrument in noncontact state
WO2000057796A1 (en) 1999-03-31 2000-10-05 Rosenblatt Peter L Systems and methods for soft tissue reconstruction
US6416486B1 (en) 1999-03-31 2002-07-09 Ethicon Endo-Surgery, Inc. Ultrasonic surgical device having an embedding surface and a coagulating surface
US6325805B1 (en) 1999-04-23 2001-12-04 Sdgi Holdings, Inc. Shape memory alloy staple
US6793652B1 (en) 1999-06-02 2004-09-21 Power Medical Interventions, Inc. Electro-mechanical surgical device
US6716233B1 (en) 1999-06-02 2004-04-06 Power Medical Interventions, Inc. Electromechanical driver and remote surgical instrument attachment having computer assisted control capabilities
US6517565B1 (en) * 1999-06-02 2003-02-11 Power Medical Interventions, Inc. Carriage assembly for controlling a steering wire steering mechanism within a flexible shaft
US7951071B2 (en) 1999-06-02 2011-05-31 Tyco Healthcare Group Lp Moisture-detecting shaft for use with an electro-mechanical surgical device
US7695485B2 (en) 2001-11-30 2010-04-13 Power Medical Interventions, Llc Surgical device
US6491201B1 (en) 2000-02-22 2002-12-10 Power Medical Interventions, Inc. Fluid delivery mechanism for use with anastomosing, stapling, and resecting instruments
US8025199B2 (en) 2004-02-23 2011-09-27 Tyco Healthcare Group Lp Surgical cutting and stapling device
US6264087B1 (en) 1999-07-12 2001-07-24 Powermed, Inc. Expanding parallel jaw device for use with an electromechanical driver device
US6443973B1 (en) 1999-06-02 2002-09-03 Power Medical Interventions, Inc. Electromechanical driver device for use with anastomosing, stapling, and resecting instruments
US6981941B2 (en) * 1999-06-02 2006-01-03 Power Medical Interventions Electro-mechanical surgical device
US8241322B2 (en) * 2005-07-27 2012-08-14 Tyco Healthcare Group Lp Surgical device
US7032798B2 (en) 1999-06-02 2006-04-25 Power Medical Interventions, Inc. Electro-mechanical surgical device
US6315184B1 (en) 1999-06-02 2001-11-13 Powermed, Inc. Stapling device for use with an electromechanical driver device for use with anastomosing, stapling, and resecting instruments
US6223833B1 (en) 1999-06-03 2001-05-01 One World Technologies, Inc. Spindle lock and chipping mechanism for hammer drill
US6325810B1 (en) 1999-06-30 2001-12-04 Ethicon, Inc. Foam buttress for stapling apparatus
JP2001035827A (ja) 1999-07-16 2001-02-09 Memc Kk 高濃度オゾン水、同オゾン水の調製方法、および同オゾン水を使用した洗浄方法
WO2001010482A1 (en) 1999-08-05 2001-02-15 Biocardia, Inc. A system and method for delivering thermally sensitive and reverse-thermal gelation matrials
US6358224B1 (en) 1999-09-24 2002-03-19 Tyco Healthcare Group Lp Irrigation system for endoscopic surgery
CA2322061A1 (en) 1999-10-05 2001-04-05 Anil K. Nalagatla Stapling instrument having two staple forming surfaces
US6320123B1 (en) 1999-10-20 2001-11-20 Steven S. Reimers System and method for shielding electrical components from electromagnetic waves
US6184655B1 (en) * 1999-12-10 2001-02-06 Stryker Corporation Battery charging system with internal power manager
US6488197B1 (en) 2000-02-22 2002-12-03 Power Medical Interventions, Inc. Fluid delivery device for use with anastomosing resecting and stapling instruments
EP3146914A1 (en) 2000-02-22 2017-03-29 Covidien LP An electromechanical driver and remote surgical instrument attachment having computer assisted control capabilities
US8016855B2 (en) 2002-01-08 2011-09-13 Tyco Healthcare Group Lp Surgical device
US6273897B1 (en) 2000-02-29 2001-08-14 Ethicon, Inc. Surgical bettress and surgical stapling apparatus
RU2187249C2 (ru) 2000-04-27 2002-08-20 Общество с ограниченной ответственностью "ЭНДОМЕДИУМ+" Хирургический инструмент
DE10026683C2 (de) 2000-05-30 2003-07-10 Ethicon Endo Surgery Europe Chirurgisches Klammersetzgerät
US6805273B2 (en) 2002-11-04 2004-10-19 Federico Bilotti Surgical stapling instrument
US6830174B2 (en) 2000-08-30 2004-12-14 Cerebral Vascular Applications, Inc. Medical instrument
EP1435842B8 (en) 2000-09-08 2011-03-02 Abbott Vascular Inc. Device for locating a puncture hole in a liquid-carrying vessel
US6817508B1 (en) 2000-10-13 2004-11-16 Tyco Healthcare Group, Lp Surgical stapling device
US7055730B2 (en) 2000-10-13 2006-06-06 Tyco Healthcare Group Lp Surgical fastener applying apparatus
WO2003079909A2 (en) 2002-03-19 2003-10-02 Tyco Healthcare Group, Lp Surgical fastener applying apparatus
US6773438B1 (en) 2000-10-19 2004-08-10 Ethicon Endo-Surgery Surgical instrument having a rotary lockout mechanism
US20040267310A1 (en) * 2000-10-20 2004-12-30 Racenet David C Directionally biased staple and anvil assembly for forming the staple
US6945981B2 (en) 2000-10-20 2005-09-20 Ethicon-Endo Surgery, Inc. Finger operated switch for controlling a surgical handpiece
US8286845B2 (en) 2000-11-27 2012-10-16 Boston Scientific Scimed, Inc. Full thickness resection device control handle
JP4202138B2 (ja) 2001-01-31 2008-12-24 レックス メディカル インコーポレイテッド 胃食道組織をステープルおよび切除するための装置および方法
US8313496B2 (en) * 2001-02-02 2012-11-20 Lsi Solutions, Inc. System for endoscopic suturing
ES2296895T3 (es) 2001-02-27 2008-05-01 Tyco Healthcare Group Lp Montaje mezclador extremo.
EP2392267B1 (en) 2001-04-03 2018-07-11 Covidien LP Surgical stapling device for performing circular anastomoses
US7090673B2 (en) 2001-04-06 2006-08-15 Sherwood Services Ag Vessel sealer and divider
AU2002254712A1 (en) * 2001-04-20 2002-11-05 Power Medical Interventions, Inc. Bipolar or ultrasonic surgical device
US6592597B2 (en) 2001-05-07 2003-07-15 Ethicon Endo-Surgery, Inc. Adhesive for attaching buttress material to a surgical fastening device
IES20010547A2 (en) * 2001-06-07 2002-12-11 Christy Cummins Surgical Staple
DE20121753U1 (de) 2001-06-15 2003-04-17 Bema Gmbh & Co Kg Endochirurgi Griff für ein chirurgisches Instrument
CN103065025A (zh) 2001-06-20 2013-04-24 柯惠Lp公司 用于集成医疗跟踪的方法和系统
DE20112837U1 (de) 2001-08-02 2001-10-04 Aesculap Ag & Co Kg Zangen- oder pinzettenförmiges chirurgisches Instrument
IES20010748A2 (en) 2001-08-09 2003-02-19 Christy Cummins Surgical Stapling Device and Method
US6705503B1 (en) 2001-08-20 2004-03-16 Tricord Solutions, Inc. Electrical motor driven nail gun
US6692507B2 (en) 2001-08-23 2004-02-17 Scimed Life Systems, Inc. Impermanent biocompatible fastener
US6629988B2 (en) 2001-08-28 2003-10-07 Ethicon, Inc. Composite staple for completing an anastomosis
US6755338B2 (en) 2001-08-29 2004-06-29 Cerebral Vascular Applications, Inc. Medical instrument
NL1018874C2 (nl) 2001-09-03 2003-03-05 Michel Petronella Hub Vleugels Chirurgisch instrument.
US6578751B2 (en) 2001-09-26 2003-06-17 Scimed Life Systems, Inc. Method of sequentially firing staples using springs and a rotary or linear shutter
CA2695579C (en) 2001-10-05 2012-09-25 Tyco Healthcare Group Lp Surgical stapling device
JP4245480B2 (ja) 2001-10-05 2009-03-25 タイコ ヘルスケア グループ エルピー 外科的ステープリング装置および方法
US7464847B2 (en) * 2005-06-03 2008-12-16 Tyco Healthcare Group Lp Surgical stapler with timer and feedback display
FR2831417B1 (fr) 2001-10-30 2004-08-06 Eurosurgical Instrument chirurgical
DE10158246C1 (de) 2001-11-28 2003-08-21 Ethicon Endo Surgery Europe Chirurgisches Klammersetzinstrument
RU2225170C2 (ru) 2001-12-25 2004-03-10 Дубровский Аркадий Вениаминович Инструмент с поворотным устройством
US6602252B2 (en) 2002-01-03 2003-08-05 Starion Instruments Corporation Combined dissecting, cauterizing, and stapling device
CN100443061C (zh) 2002-01-30 2008-12-17 能量医学介入公司 外科手术成像装置
WO2003070110A1 (fr) 2002-02-20 2003-08-28 New X-National Technology K.K. Procede d'administration de medicament
US7128748B2 (en) 2002-03-26 2006-10-31 Synovis Life Technologies, Inc. Circular stapler buttress combination
US7070083B2 (en) 2002-04-11 2006-07-04 Tyco Healthcare Group Lp Surgical stapling apparatus including an anvil and cartridge each having cooperating mating surfaces
EP2404555B1 (en) 2002-04-16 2017-03-15 Covidien LP Surgical stapler and method
WO2003090630A2 (en) 2002-04-25 2003-11-06 Tyco Healthcare Group, Lp Surgical instruments including micro-electromechanical systems (mems)
WO2003094745A1 (en) 2002-05-10 2003-11-20 Tyco Healthcare Group, Lp Electrosurgical stapling apparatus
WO2003094746A1 (en) 2002-05-10 2003-11-20 Tyco Healthcare Group, Lp Surgical stapling apparatus having a wound closure material applicator assembly
EP1503671B1 (en) 2002-05-10 2006-10-11 Tyco Healthcare Group Lp Wound closure material applicator and stapler
WO2003094747A1 (en) 2002-05-13 2003-11-20 Tyco Healthcare Group, Lp Surgical stapler and disposable loading unit having different size staples
US7967839B2 (en) 2002-05-20 2011-06-28 Rocky Mountain Biosystems, Inc. Electromagnetic treatment of tissues and cells
US7056330B2 (en) 2002-05-31 2006-06-06 Ethicon Endo-Surgery, Inc. Method for applying tissue fastener
CA2489727C (en) 2002-06-14 2011-04-26 Power Medical Interventions, Inc. Surgical device
WO2004006980A2 (en) 2002-07-11 2004-01-22 Sightline Technologies Ltd. Piston-actuated endoscopic steering system
AU2003279147B2 (en) 2002-10-04 2008-10-09 Covidien Lp Surgical stapling device
ES2730694T3 (es) * 2002-10-04 2019-11-12 Covidien Lp Grapadora quirúrgica con articulación universal y sujeción previa de tejidos
JP4448449B2 (ja) 2002-10-04 2010-04-07 タイコ ヘルスケア グループ エルピー 外科用ステープリングデバイスのためのツールアセンブリ
EP2238917B1 (en) 2002-10-04 2012-12-05 Tyco Healthcare Group LP Tool assembly for a surgical stapling device
WO2004032760A2 (en) 2002-10-04 2004-04-22 Tyco Healthcare Group, Lp Pneumatic powered surgical stapling device
DE10257760A1 (de) 2002-11-26 2004-06-17 Stefan Koscher Chirurgisches Instrument
US20040102783A1 (en) 2002-11-27 2004-05-27 Sutterlin Chester E. Powered Kerrison-like Rongeur system
US7343920B2 (en) 2002-12-20 2008-03-18 Toby E Bruce Connective tissue repair system
US20040167572A1 (en) 2003-02-20 2004-08-26 Roth Noah M. Coated medical devices
DE602004030891D1 (de) 2003-03-26 2011-02-17 Tyco Healthcare In feder gespeicherte energie mit kontrollierter freisetzung
DE10314072B4 (de) 2003-03-28 2009-01-15 Aesculap Ag Chirurgisches Instrument
DE10324844A1 (de) 2003-04-01 2004-12-23 Tuebingen Scientific Surgical Products Gmbh Chirurgisches Instrument mit Instrumentengriff und Nullpunkteinstellung
US20040243151A1 (en) 2003-04-29 2004-12-02 Demmy Todd L. Surgical stapling device with dissecting tip
US8714429B2 (en) 2003-04-29 2014-05-06 Covidien Lp Dissecting tip for surgical stapler
US7160299B2 (en) * 2003-05-01 2007-01-09 Sherwood Services Ag Method of fusing biomaterials with radiofrequency energy
US7143923B2 (en) 2003-05-20 2006-12-05 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having a firing lockout for an unclosed anvil
US6988649B2 (en) * 2003-05-20 2006-01-24 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having a spent cartridge lockout
US7140528B2 (en) 2003-05-20 2006-11-28 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having an electroactive polymer actuated single lockout mechanism for prevention of firing
US20070084897A1 (en) 2003-05-20 2007-04-19 Shelton Frederick E Iv Articulating surgical stapling instrument incorporating a two-piece e-beam firing mechanism
US7380695B2 (en) 2003-05-20 2008-06-03 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having a single lockout mechanism for prevention of firing
US7044352B2 (en) 2003-05-20 2006-05-16 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having a single lockout mechanism for prevention of firing
US7380696B2 (en) 2003-05-20 2008-06-03 Ethicon Endo-Surgery, Inc. Articulating surgical stapling instrument incorporating a two-piece E-beam firing mechanism
US6978921B2 (en) 2003-05-20 2005-12-27 Ethicon Endo-Surgery, Inc. Surgical stapling instrument incorporating an E-beam firing mechanism
US20060052825A1 (en) 2003-06-16 2006-03-09 Ransick Mark H Surgical implant alloy
US7905902B2 (en) 2003-06-16 2011-03-15 Ethicon Endo-Surgery, Inc. Surgical implant with preferential corrosion zone
US7494039B2 (en) 2003-06-17 2009-02-24 Tyco Healthcare Group Lp Surgical stapling device
JP4664909B2 (ja) 2003-06-17 2011-04-06 タイコ ヘルスケア グループ リミテッド パートナーシップ 外科用ステープリング装置
US20070093869A1 (en) 2003-06-20 2007-04-26 Medtronic Vascular, Inc. Device, system, and method for contracting tissue in a mammalian body
JP2007516730A (ja) * 2003-06-20 2007-06-28 タイコ・ヘルスケア・グループ・リミテッド・パートナーシップ 外科用ステープリング装置
US7213736B2 (en) 2003-07-09 2007-05-08 Ethicon Endo-Surgery, Inc. Surgical stapling instrument incorporating an electroactive polymer actuated firing bar track through an articulation joint
US7055731B2 (en) 2003-07-09 2006-06-06 Ethicon Endo-Surgery Inc. Surgical stapling instrument incorporating a tapered firing bar for increased flexibility around the articulation joint
US7111769B2 (en) * 2003-07-09 2006-09-26 Ethicon Endo-Surgery, Inc. Surgical instrument incorporating an articulation mechanism having rotation about the longitudinal axis
US6786382B1 (en) 2003-07-09 2004-09-07 Ethicon Endo-Surgery, Inc. Surgical stapling instrument incorporating an articulation joint for a firing bar track
US6981628B2 (en) * 2003-07-09 2006-01-03 Ethicon Endo-Surgery, Inc. Surgical instrument with a lateral-moving articulation control
US7682332B2 (en) * 2003-07-15 2010-03-23 Portaero, Inc. Methods to accelerate wound healing in thoracic anastomosis applications
US20050059997A1 (en) 2003-09-17 2005-03-17 Bauman Ann M. Circular stapler buttress
US7547312B2 (en) 2003-09-17 2009-06-16 Gore Enterprise Holdings, Inc. Circular stapler buttress
US7434715B2 (en) 2003-09-29 2008-10-14 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having multistroke firing with opening lockout
US6959852B2 (en) 2003-09-29 2005-11-01 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with multistroke firing incorporating an anti-backup mechanism
US7083075B2 (en) 2003-09-29 2006-08-01 Ethicon Endo-Surgery, Inc. Multi-stroke mechanism with automatic end of stroke retraction
US6905057B2 (en) 2003-09-29 2005-06-14 Ethicon Endo-Surgery, Inc. Surgical stapling instrument incorporating a firing mechanism having a linked rack transmission
US7303108B2 (en) 2003-09-29 2007-12-04 Ethicon Endo-Surgery, Inc. Surgical stapling instrument incorporating a multi-stroke firing mechanism with a flexible rack
US7364061B2 (en) 2003-09-29 2008-04-29 Ethicon Endo-Surgery, Inc. Surgical stapling instrument incorporating a multistroke firing position indicator and retraction mechanism
US7000819B2 (en) * 2003-09-29 2006-02-21 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having multistroke firing incorporating a traction-biased ratcheting mechanism
US20050070929A1 (en) 2003-09-30 2005-03-31 Dalessandro David A. Apparatus and method for attaching a surgical buttress to a stapling apparatus
CA2542532C (en) 2003-10-17 2012-08-14 Tyco Healthcare Group, Lp Surgical stapling device with independent tip rotation
JP2005160889A (ja) * 2003-12-05 2005-06-23 Nisca Corp 医療用処置具
US20050143759A1 (en) 2003-12-30 2005-06-30 Kelly William D. Curved cutter stapler shaped for male pelvis
US6988650B2 (en) * 2003-12-30 2006-01-24 Ethicon Endo-Surgery, Inc. Retaining pin lever advancement mechanism for a curved cutter stapler
US7207472B2 (en) 2003-12-30 2007-04-24 Ethicon Endo-Surgery, Inc. Cartridge with locking knife for a curved cutter stapler
US20050171522A1 (en) 2004-01-30 2005-08-04 Christopherson Mark A. Transurethral needle ablation system with needle position indicator
EP1563794B1 (en) 2004-02-17 2007-04-25 Tyco Healthcare Group Lp Surgical stapling apparatus with locking mechanism
US6953138B1 (en) 2004-02-18 2005-10-11 Frank W. Dworak Surgical stapler anvil with nested staple forming pockets
US7066944B2 (en) 2004-03-11 2006-06-27 Laufer Michael D Surgical fastening system
CA2560070C (en) 2004-03-19 2012-10-23 Tyco Healthcare Group Lp Anvil assembly with improved cut ring
US7036680B1 (en) 2004-04-07 2006-05-02 Avery Dennison Corporation Device for dispensing plastic fasteners
IES20040368A2 (en) 2004-05-25 2005-11-30 James E Coleman Surgical stapler
US7059508B2 (en) 2004-06-30 2006-06-13 Ethicon Endo-Surgery, Inc. Surgical stapling instrument incorporating an uneven multistroke firing mechanism having a rotary transmission
US7367485B2 (en) * 2004-06-30 2008-05-06 Ethicon Endo-Surgery, Inc. Surgical stapling instrument incorporating a multistroke firing mechanism having a rotary transmission
EP3278763B1 (en) 2004-07-02 2020-08-05 Discus Dental, LLC Illumination system for dentistry applications
US7407077B2 (en) 2004-07-28 2008-08-05 Ethicon Endo-Surgery, Inc. Electroactive polymer-based actuation mechanism for linear surgical stapler
US7143926B2 (en) 2005-02-07 2006-12-05 Ethicon Endo-Surgery, Inc. Surgical stapling instrument incorporating a multi-stroke firing mechanism with return spring rotary manual retraction system
US7354447B2 (en) 2005-11-10 2008-04-08 Ethicon Endo-Surgery, Inc. Disposable loading unit and surgical instruments including same
US7513408B2 (en) 2004-07-28 2009-04-07 Ethicon Endo-Surgery, Inc. Multiple firing stroke surgical instrument incorporating electroactive polymer anti-backup mechanism
US7879070B2 (en) 2004-07-28 2011-02-01 Ethicon Endo-Surgery, Inc. Electroactive polymer-based actuation mechanism for grasper
US7410086B2 (en) 2004-07-28 2008-08-12 Ethicon Endo-Surgery, Inc. Electroactive polymer-based actuation mechanism for circular stapler
US7857183B2 (en) * 2004-07-28 2010-12-28 Ethicon Endo-Surgery, Inc. Surgical instrument incorporating an electrically actuated articulation mechanism
US7506790B2 (en) 2004-07-28 2009-03-24 Ethicon Endo-Surgery, Inc. Surgical instrument incorporating an electrically actuated articulation mechanism
US8905977B2 (en) 2004-07-28 2014-12-09 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having an electroactive polymer actuated medical substance dispenser
US7147138B2 (en) 2004-07-28 2006-12-12 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having an electroactive polymer actuated buttress deployment mechanism
US20060025812A1 (en) 2004-07-28 2006-02-02 Ethicon Endo-Surgery, Inc. Surgical instrument incorporating an electrically actuated pivoting articulation mechanism
US7143925B2 (en) 2004-07-28 2006-12-05 Ethicon Endo-Surgery, Inc. Surgical instrument incorporating EAP blocking lockout mechanism
US7210609B2 (en) 2004-07-30 2007-05-01 Tools For Surgery, Llc Stapling apparatus having a curved anvil and driver
US7128254B2 (en) 2004-09-07 2006-10-31 Ethicon Endo-Surgery, Inc. Surgical stapling instrument incorporating a multistroke firing mechanism having a rotary slip-clutch transmission
FR2876020B1 (fr) 2004-10-06 2007-03-09 Sofradim Production Sa Appareil de stockage, distribution et pose d'attaches chirurgicales
WO2006044581A2 (en) 2004-10-13 2006-04-27 Medtronic, Inc. Single-use transurethral needle ablation device
ES2389208T3 (es) 2004-10-18 2012-10-24 Tyco Healthcare Group Lp Estructura adhesiva anular
US7922743B2 (en) 2004-10-18 2011-04-12 Tyco Healthcare Group Lp Structure for applying sprayable wound treatment material
US7717313B2 (en) 2004-10-18 2010-05-18 Tyco Healthcare Group Lp Surgical apparatus and structure for applying sprayable wound treatment material
JP5001848B2 (ja) 2004-10-18 2012-08-15 タイコ ヘルスケア グループ リミテッド パートナーシップ 創傷処置材料でコーティングされた外科用ファスナー
US20060142772A1 (en) 2004-12-29 2006-06-29 Ralph James D Surgical fasteners and related implant devices having bioabsorbable components
US20060173470A1 (en) 2005-01-31 2006-08-03 Oray B N Surgical fastener buttress material
US20060289602A1 (en) 2005-06-23 2006-12-28 Ethicon Endo-Surgery, Inc. Surgical instrument with articulating shaft with double pivot closure and single pivot frame ground
US7780054B2 (en) 2005-02-18 2010-08-24 Ethicon Endo-Surgery, Inc. Surgical instrument with laterally moved shaft actuator coupled to pivoting articulation joint
US7654431B2 (en) 2005-02-18 2010-02-02 Ethicon Endo-Surgery, Inc. Surgical instrument with guided laterally moving articulation member
US7559450B2 (en) 2005-02-18 2009-07-14 Ethicon Endo-Surgery, Inc. Surgical instrument incorporating a fluid transfer controlled articulation mechanism
US7784662B2 (en) 2005-02-18 2010-08-31 Ethicon Endo-Surgery, Inc. Surgical instrument with articulating shaft with single pivot closure and double pivot frame ground
CA2549224A1 (en) 2005-06-02 2006-12-02 Tyco Healthcare Group Lp Expandable backspan staple
EP1937157B1 (en) * 2005-06-03 2020-08-05 Covidien LP Surgical stapler with timer and feedback display
US7717312B2 (en) 2005-06-03 2010-05-18 Tyco Healthcare Group Lp Surgical instruments employing sensors
US7295907B2 (en) 2005-06-14 2007-11-13 Trw Automotive U.S. Llc Recovery of calibrated center steering position after loss of battery power
US8579176B2 (en) * 2005-07-26 2013-11-12 Ethicon Endo-Surgery, Inc. Surgical stapling and cutting device and method for using the device
CN102988087B (zh) 2005-07-27 2015-09-09 柯惠Lp公司 例如用于机电手术设备的轴
US7398908B2 (en) 2005-08-15 2008-07-15 Tyco Healthcare Group Lp Surgical stapling instruments including a cartridge having multiple staple sizes
US7407075B2 (en) * 2005-08-15 2008-08-05 Tyco Healthcare Group Lp Staple cartridge having multiple staple sizes for a surgical stapling instrument
US20070194082A1 (en) 2005-08-31 2007-08-23 Morgan Jerome R Surgical stapling device with anvil having staple forming pockets of varying depths
US7500979B2 (en) 2005-08-31 2009-03-10 Ethicon Endo-Surgery, Inc. Surgical stapling device with multiple stacked actuator wedge cams for driving staple drivers
US7669746B2 (en) 2005-08-31 2010-03-02 Ethicon Endo-Surgery, Inc. Staple cartridges for forming staples having differing formed staple heights
US7934630B2 (en) 2005-08-31 2011-05-03 Ethicon Endo-Surgery, Inc. Staple cartridges for forming staples having differing formed staple heights
US7472815B2 (en) 2005-09-21 2009-01-06 Ethicon Endo-Surgery, Inc. Surgical stapling instruments with collapsible features for controlling staple height
US7407078B2 (en) 2005-09-21 2008-08-05 Ehthicon Endo-Surgery, Inc. Surgical stapling instrument having force controlled spacing end effector
US20070102472A1 (en) 2005-11-04 2007-05-10 Ethicon Endo-Surgery, Inc. Electrosurgical stapling instrument with disposable severing / stapling unit
US7328828B2 (en) 2005-11-04 2008-02-12 Ethicon Endo-Surgery, Inc, Lockout mechanisms and surgical instruments including same
US7799039B2 (en) 2005-11-09 2010-09-21 Ethicon Endo-Surgery, Inc. Surgical instrument having a hydraulically actuated end effector
US7673780B2 (en) 2005-11-09 2010-03-09 Ethicon Endo-Surgery, Inc. Articulation joint with improved moment arm extension for articulating an end effector of a surgical instrument
US20070106317A1 (en) 2005-11-09 2007-05-10 Shelton Frederick E Iv Hydraulically and electrically actuated articulation joints for surgical instruments
US7651017B2 (en) 2005-11-23 2010-01-26 Ethicon Endo-Surgery, Inc. Surgical stapler with a bendable end effector
US7246734B2 (en) 2005-12-05 2007-07-24 Ethicon Endo-Surgery, Inc. Rotary hydraulic pump actuated multi-stroke surgical instrument
US7416101B2 (en) 2006-01-31 2008-08-26 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with loading force feedback
US7845537B2 (en) 2006-01-31 2010-12-07 Ethicon Endo-Surgery, Inc. Surgical instrument having recording capabilities
US7422139B2 (en) 2006-01-31 2008-09-09 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting fastening instrument with tactile position feedback
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
US7770775B2 (en) 2006-01-31 2010-08-10 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with adaptive user feedback
US20070175951A1 (en) 2006-01-31 2007-08-02 Shelton Frederick E Iv Gearing selector for a powered surgical cutting and fastening instrument
US7568603B2 (en) 2006-01-31 2009-08-04 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with articulatable end effector
US7464846B2 (en) 2006-01-31 2008-12-16 Ethicon Endo-Surgery, Inc. Surgical instrument having a removable battery
US7464849B2 (en) 2006-01-31 2008-12-16 Ethicon Endo-Surgery, Inc. Electro-mechanical surgical instrument with closure system and anvil alignment components
US20070175955A1 (en) 2006-01-31 2007-08-02 Shelton Frederick E Iv Surgical cutting and fastening instrument with closure trigger locking mechanism
US8186555B2 (en) 2006-01-31 2012-05-29 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with mechanical closure system
US7766210B2 (en) 2006-01-31 2010-08-03 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with user feedback system
US20070175950A1 (en) 2006-01-31 2007-08-02 Shelton Frederick E Iv Disposable staple cartridge having an anvil with tissue locator for use with a surgical cutting and fastening instrument and modular end effector system therefor
US8708213B2 (en) 2006-01-31 2014-04-29 Ethicon Endo-Surgery, Inc. Surgical instrument having a feedback system
US7278563B1 (en) 2006-04-25 2007-10-09 Green David T Surgical instrument for progressively stapling and incising tissue
US8322455B2 (en) 2006-06-27 2012-12-04 Ethicon Endo-Surgery, Inc. Manually driven surgical cutting and fastening instrument
US7441684B2 (en) * 2006-08-02 2008-10-28 Ethicon Endo-Surgery, Inc. Pneumatically powered surgical cutting and fastening instrument with audible and visual feedback features
US7740159B2 (en) 2006-08-02 2010-06-22 Ethicon Endo-Surgery, Inc. Pneumatically powered surgical cutting and fastening instrument with a variable control of the actuating rate of firing with mechanical power assist
US20080029574A1 (en) 2006-08-02 2008-02-07 Shelton Frederick E Pneumatically powered surgical cutting and fastening instrument with actuator at distal end
US8485412B2 (en) 2006-09-29 2013-07-16 Ethicon Endo-Surgery, Inc. Surgical staples having attached drivers and stapling instruments for deploying the same
US8459520B2 (en) 2007-01-10 2013-06-11 Ethicon Endo-Surgery, Inc. Surgical instrument with wireless communication between control unit and remote sensor
US7900805B2 (en) 2007-01-10 2011-03-08 Ethicon Endo-Surgery, Inc. Surgical instrument with enhanced battery performance
US8652120B2 (en) 2007-01-10 2014-02-18 Ethicon Endo-Surgery, Inc. Surgical instrument with wireless communication between control unit and sensor transponders
US7738971B2 (en) 2007-01-10 2010-06-15 Ethicon Endo-Surgery, Inc. Post-sterilization programming of surgical instruments
US7721936B2 (en) 2007-01-10 2010-05-25 Ethicon Endo-Surgery, Inc. Interlock and surgical instrument including same
US7954682B2 (en) 2007-01-10 2011-06-07 Ethicon Endo-Surgery, Inc. Surgical instrument with elements to communicate between control unit and end effector
US7721931B2 (en) 2007-01-10 2010-05-25 Ethicon Endo-Surgery, Inc. Prevention of cartridge reuse in a surgical instrument
US8701958B2 (en) 2007-01-11 2014-04-22 Ethicon Endo-Surgery, Inc. Curved end effector for a surgical stapling device
US20080169328A1 (en) 2007-01-11 2008-07-17 Shelton Frederick E Buttress material for use with a surgical stapler
US7422136B1 (en) 2007-03-15 2008-09-09 Tyco Healthcare Group Lp Powered surgical stapling device
US8727197B2 (en) * 2007-03-15 2014-05-20 Ethicon Endo-Surgery, Inc. Staple cartridge cavity configuration with cooperative surgical staple
US7490749B2 (en) 2007-03-28 2009-02-17 Ethicon Endo-Surgery, Inc. Surgical stapling and cutting instrument with manually retractable firing member
US8056787B2 (en) 2007-03-28 2011-11-15 Ethicon Endo-Surgery, Inc. Surgical stapling and cutting instrument with travel-indicating retraction member
US8893946B2 (en) * 2007-03-28 2014-11-25 Ethicon Endo-Surgery, Inc. Laparoscopic tissue thickness and clamp load measuring devices
US7810693B2 (en) 2007-05-30 2010-10-12 Ethicon Endo-Surgery, Inc. Surgical stapling and cutting instrument with articulatable end effector
US7798386B2 (en) 2007-05-30 2010-09-21 Ethicon Endo-Surgery, Inc. Surgical instrument articulation joint cover
US7549564B2 (en) 2007-06-22 2009-06-23 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with an articulating end effector
US20080296346A1 (en) 2007-05-31 2008-12-04 Shelton Iv Frederick E Pneumatically powered surgical cutting and fastening instrument with electrical control and recording mechanisms
US8157145B2 (en) 2007-05-31 2012-04-17 Ethicon Endo-Surgery, Inc. Pneumatically powered surgical cutting and fastening instrument with electrical feedback
US7905380B2 (en) 2007-06-04 2011-03-15 Ethicon Endo-Surgery, Inc. Surgical instrument having a multiple rate directional switching mechanism
US7832408B2 (en) 2007-06-04 2010-11-16 Ethicon Endo-Surgery, Inc. Surgical instrument having a directional switching mechanism
US7819299B2 (en) 2007-06-04 2010-10-26 Ethicon Endo-Surgery, Inc. Surgical instrument having a common trigger for actuating an end effector closing system and a staple firing system
US20080308602A1 (en) 2007-06-18 2008-12-18 Timm Richard W Surgical stapling and cutting instruments
US7597229B2 (en) 2007-06-22 2009-10-06 Ethicon Endo-Surgery, Inc. End effector closure system for a surgical stapling instrument
US7604150B2 (en) 2007-06-22 2009-10-20 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with an anti-back up mechanism
US7441685B1 (en) 2007-06-22 2008-10-28 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with a return mechanism
US7658311B2 (en) 2007-06-22 2010-02-09 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with a geared return mechanism
US7753245B2 (en) 2007-06-22 2010-07-13 Ethicon Endo-Surgery, Inc. Surgical stapling instruments

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0365153B1 (en) * 1988-09-26 1995-08-23 Ethicon, Inc. Energy storage means for a surgical stapler
US5584425A (en) * 1991-10-18 1996-12-17 United States Surgical Corporation Lockout mechanism for surgical apparatus
US5693042A (en) * 1994-04-28 1997-12-02 Ethicon Endo-Surgery, Inc. Identification device for surgical instrument
CN1636525A (zh) * 2003-07-09 2005-07-13 伊西康内外科公司 具有支撑触发杆的转动关节支撑板的外科钉合装置
CN2650714Y (zh) * 2003-11-04 2004-10-27 上海善之善商务咨询有限公司 夹紧及切割装置

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
JP特开平6-125913A 1994.05.10

Also Published As

Publication number Publication date
JP2007203057A (ja) 2007-08-16
DE602007013957D1 (de) 2011-06-01
EP1813207B2 (en) 2020-04-08
EP2272441A1 (en) 2011-01-12
RU2447850C2 (ru) 2012-04-20
AU2007200357B2 (en) 2012-03-15
CA2576470A1 (en) 2007-07-31
BRPI0701393B1 (pt) 2018-07-24
CA2576470C (en) 2014-10-28
EP1813207B1 (en) 2011-04-20
RU2007103538A (ru) 2008-08-10
KR20070079050A (ko) 2007-08-03
JP4970067B2 (ja) 2012-07-04
ATE556659T1 (de) 2012-05-15
KR101369236B1 (ko) 2014-03-04
US7644848B2 (en) 2010-01-12
US20070175956A1 (en) 2007-08-02
BRPI0701393B8 (pt) 2021-06-22
AU2007200357A1 (en) 2007-08-16
CN101133972A (zh) 2008-03-05
ATE506015T1 (de) 2011-05-15
BRPI0701393A (pt) 2007-12-11
HK1106419A1 (en) 2008-03-14
MX2007001305A (es) 2008-11-18
SG134314A1 (en) 2007-08-29
EP2272441B1 (en) 2012-05-09
EP1813207A1 (en) 2007-08-01

Similar Documents

Publication Publication Date Title
CN101133972B (zh) 电动闭锁装置以及包含该装置的外科器械
US20220000478A1 (en) Powered surgical instruments with firing system lockout arrangements
US10675028B2 (en) Powered surgical instruments with firing system lockout arrangements
US20190343514A1 (en) Powered surgical instruments with firing system lockout arrangements
JP5037150B2 (ja) 取り外し可能なバッテリを備えた手術器具
JP5312745B2 (ja) 閉鎖トリガーロック機構を備えた手術用切断／結合器具
JP5172160B2 (ja) 機械式閉鎖システムを備えた手術用電動切断／結合器具
JP5301098B2 (ja) 関節運動可能なエンドエフェクタを備えた手術用電動切断／結合器具
JP5154087B2 (ja) ユーザーフィードバックシステムを備えた手術用電動切断／結合器具
JP5367224B2 (ja) 適応性ユーザーフィードバックを備えた手術用電動切断／結合器具
US9861359B2 (en) Powered surgical instruments with firing system lockout arrangements
JP5154088B2 (ja) 荷重の力のフィードバックを備えた手術用電動切断／結合器具
JP4959357B2 (ja) 位置感覚フィードバックシステムを備えた手術用電動切断／結合器具
JP5259196B2 (ja) バッテリ性能を向上させた外科器具
JP5269324B2 (ja) 記録機能を備えた手術器具
CN102176869B (zh) 具有可手动回缩的击发系统的电动外科切割缝合装置
EP2777524A2 (en) Powered surgical instruments with firing system lockout arrangements
US20070175951A1 (en) Gearing selector for a powered surgical cutting and fastening instrument
WO2012015794A1 (en) Motor driven surgical fastener device with cutting member lockout arrangements

Legal Events

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