CN101836875A - 内窥镜手术施夹器 - Google Patents

内窥镜手术施夹器 Download PDF

Info

Publication number
CN101836875A
CN101836875A CN201010138649A CN201010138649A CN101836875A CN 101836875 A CN101836875 A CN 101836875A CN 201010138649 A CN201010138649 A CN 201010138649A CN 201010138649 A CN201010138649 A CN 201010138649A CN 101836875 A CN101836875 A CN 101836875A
Authority
CN
China
Prior art keywords
jaw
clip
clapboard
equipment according
equipment
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
CN201010138649A
Other languages
English (en)
Other versions
CN101836875B (zh
Inventor
肯尼斯·H·惠特菲尔德
格雷戈里·索伦蒂诺
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.)
Covidien LP
Original Assignee
Tyco Healthcare Group LP
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Tyco Healthcare Group LP filed Critical Tyco Healthcare Group LP
Publication of CN101836875A publication Critical patent/CN101836875A/zh
Application granted granted Critical
Publication of CN101836875B publication Critical patent/CN101836875B/zh
Active legal-status Critical Current
Anticipated expiration legal-status Critical

Links

Images

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/128—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for applying or removing clamps or clips
    • A61B17/1285—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for applying or removing clamps or clips for minimally invasive surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00017—Electrical control of surgical instruments
    • A61B2017/00221—Electrical control of surgical instruments with wireless transmission of data, e.g. by infrared radiation or radiowaves
    • 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
    • A61B2090/0803—Counting the number of times an instrument is used

Abstract

本发明公开了一种将手术夹子施加于身体组织的设备，具有：手柄部和从所述手柄部向远侧延伸并限定纵轴的本体。该设备还具有设置在所述本体内的多个手术夹子和邻近所述本体的远端部安装的钳口组件。所述钳口组件包括在分隔位置与接近位置之间可活动的第一及第二钳口部。所述设备还具有在所述第一及第二钳口部之间可纵向活动的楔形板，及当所述钳口部在分隔位置时被配置以将手术夹子逐个向远侧推进至所述钳口组件的夹子推进器；设备进一步还具有至少部分设置在所述本体中并响应所述手柄部的致动能够纵向活动的致动器，及邻近所述第一及第二钳口部定位以将所述钳口部运动至接近位置的钳口闭合构件。

Description

内窥镜手术施夹器
相关专利申请的交叉引用
本申请为同时待审的于2005年10月7日提交的序列号为11/245,528的美国专利申请的部分持续申请，该美国专利申请要求享有于2004年10月8日提交的序列号为60/617,104的美国临时专利申请，及于2004年10月8日提交的序列号为60/617,016的美国临时专利申请的权益及优先权，每个申请的全部内容通过引用合并于此。
技术领域
本公开的技术领域涉及手术施夹器。本公开尤其涉及一种具有用于在插入手术夹子期间稳定钳口结构的机构的内窥镜手术施夹器。
背景技术
内窥镜缝合器和施夹器在本领域中是公知的并且用于多个不同且有用的手术程序。在腹腔镜手术程序的情况下，通过插入皮肤中的小进入切口的窄管子或套管来实现进入腹部的内部。而在身体上的其它部位执行的微创程序通常一般被称作内窥镜程序。典型地，管子或者套管装置通过进入切口伸入患者的身体中，以便提供入口。此种入口允许外科医生利用套管针插入多个不同的手术器械并且用于在远离切口的地方执行手术程序。
在大多数的这些程序中，外科医生经常必须终止血液或其它液体通过一根或多根脉管的流动。在程序期间，外科医生经常会将手术夹子施加到血管或其它导管上，以防止体液流过这些导管。内窥镜施夹器用于在进入体腔时施加单个夹子，这在本领域中是公知的。典型地，这样的单个夹子由生物相容性材料制成并且通常被压布在脉管上。一旦施加到脉管上，该被压布的夹子就终止液体通过导管的流动。
在共同转让给格林(Green)等人的第5,084,057和5,100,420号美国专利中描述了在单次进入体腔的过程中能够在内窥镜或腹腔镜程序中施加多个夹子的内窥镜施夹器，上述两项专利的全部内容通过引用合并于此。在共同转让给布拉德(Pratt)等人的第5,607,436号美国专利中公开了另一种复合内窥镜施夹器，该专利的全部内容同样通过引用合并于此。这些装置被典型地用在单个手术程序中，但这不是必须的。在序列号为08/515,341的美国专利申请，即现在授予给皮埃尔(Pier)等人的第5,695,502号美国专利中公开了一种可重复消毒的手术施夹器，该专利所公开的内容通过引用合并于此。该施夹器在单次插入体腔的过程中推进并形成多个夹子。所述可重复消毒的施夹器被配置成容纳并与可更换的弹夹(clip magazine)合作，以便在单次进入体腔过程中推进和形成多个夹子。一个重要的设计目标是，将手术夹子装在钳口之间，而装载程序不会对夹子造成任何压缩。装载过程中夹子的这些弯曲或扭转经常会有许多无意的后果。装载过程中的这种压缩可能会略微地改变夹子在钳口之间的对准。这会导致外科医生把夹子从钳口之间移除而丢弃夹子。另外，这种预载压缩可能会轻微地压缩夹子的某些部分而改变夹子的几何形状。这将导致外科医生将被压缩的夹子从钳口之间移除而丢弃夹子。
经常在远离切口的地方执行内窥镜或者腹腔镜程序。因此，对于位于装置近端的用户而言，视野或者触觉反馈的减小可能使夹子的施加复杂化。因此希望通过向用户提供单个夹子被发射的指示、装载单元中所含夹子的消耗的指示或者任何其它手术事件的指示来改善器械的操作。还希望提供这样一种手术施夹器：其促进了夹子的成功装载并且用楔子固定(wedge)使该手术施夹器的钳口分开，然后将夹子装在钳口之间以便防止夹子的任何损坏或者过度压缩，并在发射前防止钳口对夹子的压缩。
执行程序的外科医生或内科医生在手术期间经常需要来自所使用的手术装置的反馈以帮助做出决定。在手术装置上提供数字计数装置可以有效地提供这样的反馈。使用数字计数装置(例如由光传感器或无线连接器操作的)的优点在于增加可靠性。通过使用电子传感器或者Wi-Fi技术除去机械部件可减少这些故障。
发明内容
根据本公开的第一方案，提供了一种将手术夹子施加到身体组织的设备，具有：手柄部和从所述手柄部向远侧延伸并限定纵轴的本体。该设备还具有设置在所述本体内的多个手术夹子和邻近所述本体的远端部安装的钳口组件。所述钳口组件包括在分隔位置与接近位置之间可活动的第一及第二钳口部。所述设备还具有在所述第一及第二钳口部之间可纵向活动的楔形板，及被配置以当所述钳口部在分隔位置时将手术夹子逐个向远侧推进至所述钳口组件的夹子推进器。所述设备进一步还具有至少部分设置在所述本体中并响应所述手柄部的致动能够纵向活动的致动器，及邻近所述第一及第二钳口部定位以将所述钳口部运动至接近位置的钳口闭合构件。
根据本公开的另一个方案，所述设备具有楔形板，当楔形板在所述第一及第二钳口部之间纵向运动时，所述楔形板偏置所述第一及第二钳口部。在装载夹子期间所述楔形板将所述第一及第二钳口部保持为固定的预定关系。所述固定的预定关系防止了夹子装载期间所述第一及第二钳口构件的挠曲。
根据本公开的再一个方案，所述设备具有的楔形板具有导圆的远端头。
根据本公开的又一个方案，所述设备具有的楔形板具有第一近侧窗口。所述第一近侧窗口适于被设置在所述本体中的构件啮合，且被配置以将所述楔形板维持在最远侧位置。所述最远侧位置在所述第一及第二钳口构件之间。
根据本公开的又一个方案，所述设备具有的楔形板具有第二近侧窗口。所述第二近侧窗口适于被所述构件啮合，且所述第二近侧窗口被配置为以将所述楔形板保持在最近侧位置。所述最近侧位置为从所述第一及第二钳口构件缩回的位置。所述楔形板的所述最近侧位置被配置以允许所述第一及第二钳口构件压缩所述夹子。
根据本公开的又一个方案，通过所述致动器，所述设备具有的所述构件从所述第二近侧窗口能够运动至第一近侧窗口。所述致动器将所述楔形板向远侧移动。当所述楔形板向远侧运动时，所述构件从所述第二近侧窗口运动至所述第一近侧窗口。
根据本公开的又一个方案，所述致动器进一步包括凸轮连杆。所述凸轮连杆可与在所述楔形板中的凸轮狭槽啮合。所述凸轮连杆将所述楔形板向远侧运动。
根据本公开的又一个方案，所述构件为柔性支腿。
根据本公开的又一个方案，所述设备具有的凸轮狭槽具有驱动棱边。所述凸轮连杆啮合所述驱动棱边。所述凸轮连杆被配置以将所述楔形板向远侧纵向运动。
根据本公开的又一个方案，当所述致动器被向远侧驱动时所述凸轮连杆被向远侧驱动。所述凸轮连杆啮合所述凸轮狭槽的所述驱动棱边。所述凸轮连杆使所述楔形板纵向运动以使所述导圆的远端头运动至所述第一及第二钳口构件之间。所述构件啮合所述第一近侧窗口以将所述楔形板保持在所述第一及第二钳口之间，从而用于装载。
根据本公开的又一个方案，当所述凸轮连杆被进一步向远侧驱动时，所述凸轮连杆脱开所述驱动棱边并在所述凸轮狭槽中来回移动(traverse)。所述凸轮连杆允许所述楔形板使所述导圆的远端头从所述第一及第二钳口构件之间向近侧运动。所述构件啮合所述第二近侧窗口以将所述楔形板保持在所述最近侧位置。
根据本公开的又一个方案，提供一种将手术夹子施加于身体组织的设备。该设备具有手柄部、从所述手柄部向远侧延伸并限定纵轴的本体、设置在所述本体内的多个手术夹子。该设备还具有邻近所述本体的远端部安装的钳口组件，和被配置以将手术夹子逐个向远侧推进至所述钳口组件的夹子推进器。该设备进一步包括至少部分设置在所述本体中并响应所述具有计数机构的手柄部的致动能够纵向活动的致动器。所述计数机构与所述手柄部相关连，且所述计数机构响应于所述手柄部的致动而计数(index)。
根据本公开的又一个方案，所述计数机构包括液晶显示器。
根据本公开的又一个方案，所述计数机构包括背部照明件。
根据本公开的又一个方案，当所述手柄部完全致动时使所述计数机构计数。
根据本公开的又一个方案，所述设备具有由所述致动器触发的计数机构。
根据本公开的又一个方案，所述计数机构位于手柄中并且连接至所述致动器。所述计数机构具有连接至所述致动器的构件。所述计数机构具有带显示器触点(display contact)的液晶显示器。所述显示器触点在所述构件接触所述显示器触点时被激活。
根据本公开的又一个方案，所述构件为可转动的。所述构件响应所述致动器的纵向运动而转动以接触所述显示器触点。
根据本公开的又一个方案，所述计数机构为带有透镜的液晶显示器。所述液晶显示器显示图像。所述透镜放大所述图像。
根据本公开的又一个方案，所述致动器包括开口。具有所述构件的所述计数机构具有第一臂与第二臂。所述第一臂连接至所述开口。当所述致动器向远侧方向纵向运动时，所述致动器将所述第一臂偏置且所述构件响应所述运动而转动。所述第二臂响应所述构件的转动而接触所述显示器触点。所述显示器触点在所述第二臂接触所述显示器触点时被激活。
根据本公开的又一个方案，一种将手术夹子施加于身体组织的设备具有手柄部和从所述手柄部向远侧延伸并限定纵轴的本体。该设备还具有设置在所述本体内的多个手术固定件，和邻近所述本体的远端部安装的钳口组件。所述钳口组件包括在分隔位置与接近位置之间可活动的第一及第二钳口部。所述设备还具有被配置以将手术固定件逐个向远侧推进至所述钳口组件的驱动构件。所述设备进一步还具有至少部分设置在所述本体中并响应所述手柄部的致动能够纵向活动的致动器，及被支撑在所述手柄部中且被配置以显示事件发生次数和事件发生剩余次数中的至少一个的计数装置。所述无线技术可以为WI-FI
Figure GSA00000051755600051
和/或蓝牙技术
Figure GSA00000051755600052
。所述无线技术可以为呈监控器和/或记录信息系统形式的外部电子装置。
根据本公开的又一个方案，提供一种将手术夹子施加于身体组织的设备。该设备具有手柄部、从所述手柄部向远侧延伸并限定纵轴的本体、设置在所述本体内的多个手术夹子和邻近所述本体的远端部安装的钳口组件。所述钳口组件包括可在分隔位置和接近位置之间活动的第一和第二钳口部。所述设备还具有被配置以当所述钳口部在分隔位置时将手术夹子逐个向远侧推进至所述钳口组件的夹子推进器，及至少部分设置在所述本体中并响应所述手柄部的致动能够纵向活动的致动器。该设备还具有邻近所述第一及第二钳口部定位以将所述钳口部运动至接近位置的钳口闭合构件，和被配置以与所述夹子推进器啮合以防止当多个夹子基本用尽时将手术夹施加于组织的闭锁机构。
根据本公开的又一个方案，所述闭锁机构具有一构件。所述构件与所述致动器一起可纵向运动至最远侧位置。所述构件到达所述最远侧位置且所述构件啮合所述夹子推进器。所述构件防止所述夹子推进器将手术夹向远侧推进至所述钳口组件。
根据本公开的又一个方案，所述设备进一步包括夹子输出器(clipfollower)。所述夹子输出器将设置在所述本体中的夹子向远侧偏置。所述闭锁机构包括一构件。所述构件可与所述致动器一起纵向运动至最远侧位置。所述构件到达所述最远侧位置且所述构件啮合所述输出器。所述构件防止所述输出器向近侧回缩。一旦所述夹子推进器回缩，所述夹子推进器啮合所述输出器。所述构件防止所述夹子推进器将所述手术夹子向远侧推进至所述钳口组件。
根据本公开的又一个方案，所述构件为闭锁楔。
根据本公开的又一个方案，所述构件具有至少一个构件倾斜面。所述致动器具有至少一个致动器倾斜面。随着所述致动器向近侧回缩，至少一个致动器倾斜面与所述构件倾斜面啮合。所述啮合防止所述致动器向近侧回缩至最近侧位置。
根据本公开的又一个方案，提供一种将手术夹子施加于身体组织的设备。该设备具有手柄部，和从所述手柄部向远侧延伸并限定纵轴的本体。该设备还具有设置在所述本体内的多个手术夹子，和邻近所述本体的远端部安装的钳口组件。所述钳口组件包括可在分隔位置和接近位置之间活动的第一和第二钳口部。所述设备还具有当所述钳口部在分隔位置时被配置以将手术夹子逐个向远侧推进至所述钳口组件的夹子推进器。所述设备进一步还具有至少部分设置在所述本体中并响应于所述手柄部的致动能够纵向活动的致动器。所述设备还具有邻近所述第一及第二钳口部定位以将所述钳口部运动至接近位置的钳口闭合构件，和连接至所述致动器的具有多个棘轮齿的齿板。所述设备还具有带有至少一个被配置以啮合棘轮齿的齿的棘爪。所述棘爪被偏置在所述手柄部中。随着所述致动器纵向运动，所述棘轮齿越过所述棘爪。所述棘爪被配置以防止在所述设备完全致动之前所述致动器无意的返回。所述设备还具有在所述第一及第二钳口部之间可纵向活动的楔形板。
根据本公开的又一个方案，所述棘爪被爪簧偏置。所述爪簧将棘爪偏置至与所述齿板啮合。
根据本公开的又一个方案，所述设备进一步包括连接至所述手柄部内侧的第一及第二柱。所述第一及第二柱被配置以支撑所述爪簧。
根据本公开的又一个方案，提供一种将手术夹子施加于身体组织的设备。该设备还具有手柄部、从所述手柄部向远侧延伸并限定纵轴的本体、设置在所述本体内的多个手术夹子和邻近所述本体的远端部安装的钳口组件。所述钳口组件包括在分隔位置与接近位置之间可活动的第一及第二钳口部。所述设备还具有被配置以当所述钳口部在分隔位置时将手术夹子逐个向远侧推进至所述钳口组件的夹子推进器，及至少部分设置在所述本体中并响应于所述手柄部的致动能够纵向活动的致动器。所述设备进一步具有邻近所述第一及第二钳口部定位以将所述钳口部运动至接近位置的钳口闭合构件。所述本体部具有外径。所述钳口组件在分隔位置具有宽度。所述宽度小于或等于所述本体的外径。
根据本公开的又一个方案，所述设备具有的本体具有一长度。所述长度适合便于在超体重手术中的使用。根据本公开的又一个方案，具有适合便于在超体重手术中使用的所述长度的设备的长度大于三十厘米。
附图说明
在此，参照附图公开了手术施夹器的特定实施例，其中：
图1为手术施夹器的立体图；
图2为图1的手术施夹器的另一个立体图；
图3为手术施夹器的钳口结构的放大立体图；
图4为手术施夹器的俯视图；
图5为手术施夹器的侧视图；
图6为除去一半本体的手术施夹器的手柄组件的侧视图；
图6A及图6B为除去一半本体的手术施夹器的手柄组件的立体图；
图6C为除去一半本体的手术施夹器的手柄组件的侧视图；
图6D为从相反侧看去除一半本体的手术施夹器的手柄组件的立体图；
图6E及图6F为根据本公开的计数装置的另一个实施例的示意图；
图6G为根据本公开的计数装置的另一个实施例的示意图；
图6H为根据本公开的计数装置的又一实施例的示意图；
图6I为描述结合有无线技术的手术施夹器的实施例的示意图；
图7为结合轴组件的施夹器的手柄的分解立体图；
图7A为驱动连杆及推杆连接的立体图；
图7B为球形柄(knob)、衬套及止动销的横向截面图；
图7C为球形柄的立体图；
图7D为外管的近端的立体图；
图7E为装配了衬套的外管的近端立体图；
图8为棘爪的立体图；
图9为齿板的立体图；
图9A为齿板的另一个立体图；
图9B及图9C为致动器板(actuator plate)从两侧看的立体图；
图9D及图9E为肘节臂从两侧看的立体图；
图9F及图9G为叉形连杆从两侧看的立体图；
图10为手术施夹器的轴组件的分解立体图；
图10A为进给杆的立体图；
图10B为输出器及手术夹子的立体图；
图10C及图10D为脱扣挡块(trip block)的相对立体图；
图10E为推杆的立体图；
图10F为图10E的细节的放大图；
图10G为图10E的细节的放大图；
图10H为示出输出器下侧的接合面的输出器的立体图；
图11为推杆的远端及驱动器的立体图；
图12为推杆上的脱扣杠杆机构及闭锁楔的立体图；
图13为楔形板及偏置弹簧的立体图；
图14及图15为填充部件(filler component)从两侧看的立体图；
图16为轴组件及旋转球形柄的立体图；
图17为过压组件的立体图；
图18为推杆及钳口组件的立体图；
图19为图18的推杆及钳口组件的细节的放大图；
图20为图18的推杆及脱扣杠杆的细节的放大图；
图21为卸去外管的手术施夹器的远端的放大图；
图22为卸去部件的手术施夹器轴组件的立体图；
图23为图22的细节的放大图；
图24为图22的细节的放大图；
图25为图22的细节的放大图；
图26为推杆、驱动器及钳口组件的立体图；
图27为图26的细节的放大图；
图28为凸轮连杆及楔形板组件的立体图；
图29为图28的细节的放大图；
图30为图29的细节的放大图；
图31为填充部件及钳口组件的立体图；
图32为图31的钳口组件的放大立体图；
图33及图34为包括楔形板及驱动器的推杆的远端的立体图；
图35为处于预发射状态的手术施夹器的侧视图，其中局部以截面图示出；
图36为图35的细节的放大图；
图37为图35的细节的放大图；
图38为图37的细节的放大图，示出脱扣杠杆；
图39为图37的细节的放大图，示出输出器；
图40为图37的细节的放大图；
图41为图40的细节的放大图；
图42为以截面图示出的图37的手术施夹器的远端的侧视图；
图42A为以截面图示出的通道上的反馈推进器及矛状件的侧视图；
图43为楔形板及钳口组件的立体图；
图44为图43的细节的放大图，示出楔形板及钳口构件；
图45为沿着线45-45的图43的俯视图；
图46为图45的细节放大图，示出钳口及楔形板；
图47为图45的细节放大图，示出楔形板及凸轮连杆；
图48为以截面图示出的手柄壳体在最初行程开始时的侧视图；
图49为图48的细节的放大图，示出齿板及棘爪；
图50与图49相似为图48的细节的放大图；
图51为以截面图示出的进给杆及脱扣杠杆的侧视图；
图52为以截面图示出的输出器的侧视图；
图53为以截面图示出的手术施夹器的内窥镜部分的侧视图；
图54为图53的细节放大图，示出推杆的运动；
图55为楔形板及填充部件的俯视图，示出凸轮连杆的运动；
图56为以截面图示出的示出推进夹子的进给杆的侧视图；
图57为楔形板及凸轮连杆向远侧运动的俯视图；
图58为以截面图示出的示出柔性支腿凸轮运动出楔形板窗口的运动的侧视图；
图59为以截面图示出的示出夹子进入钳口的侧视图；
图60为凸轮连杆及楔形板运动的又一俯视图；
图61为以截面图示出的柔性支腿及楔形板分离的侧视图；
图62为楔形板进入钳口结构的俯视图；
图63为示出楔形板凸轮运动打开钳口结构的立体图；
图64为示出楔形板中凸轮连杆进一步推进的俯视图；
图65为以截面图示出的示出脱扣杠杆与进给杆啮合的侧视图；
图66为以截面图示出的示出推杆使柔性支腿凸轮运动与楔形板分离的侧视图；
图67为以截面图示出的示出进给杆将夹子装载入钳口结构的侧视图；
图68为以截面图示出的示出通过脱扣挡块使脱扣杠杆凸轮运动与进给杆分离的侧视图；
图69为以截面图示出的示出楔形板及进给杆的回缩的侧视图；
图69A为示出了去除一半本体的初始致动的立体图；
图70为以截面图示出的示出推杆的进一步推进的侧视图；
图71为以截面图示出的示出楔形板的回缩及杆的进一步推进的侧视图；
图72为楔形板从钳口结构回缩的立体图；
图73为以截面图示出的推杆与驱动器啮合且卡齿牵开器(latch retractor)与推杆啮合的侧视图；
图74为扳机在全行程时手柄壳体的侧视图；
图75为图74的细节的放大图，棘爪离开齿板上的齿；
图76为以截面图示出的驱动器凸轮带动钳口围绕手术夹子闭合的侧视图；
图77至图79为驱动器凸轮带动钳口围绕手术夹子闭合的顺序图；
图80为以截面图示出的包括冲击弹簧的过压机构的侧视图；
图81为形成在脉管上的手术夹子的立体图；
图82为棘爪重置的细节的放大图；
图83为以截面图示出的示出卡齿牵开器重置的侧视图；
图84为以截面图示出的示出推杆回缩的侧视图；及
图85及图86为示出凸轮连杆在楔形板中重置的俯视图；
图87示出输出器与矛状件啮合的手术施夹器的远端的侧视图；
图88为部分以截面图示出的闭锁楔与推杆啮合的侧视图；以及
图89为棘爪与齿板在闭锁状态下的放大图。
具体实施方式
本申请公开一种新颖的内窥镜手术施夹器，其具有钳口控制机构，钳口控制机构被配置以在手术夹子插入期间使手术施夹器的钳口维持在分隔及稳定位置。应当注意的是，虽然所公开的钳口控制机构示出及描述为在内窥镜手术施夹器中，但是所公开的钳口控制机构可应用于任何手术施夹器或具有一对可压缩钳口的其他器械。
现在参照图1至图5，手术施夹器10通常包括手柄组件12及内窥镜部，内窥镜部包括从手柄组件12向远侧延伸的细长管状构件14。手柄组件12由塑性材料形成而细长管状构件14由例如不锈钢的生物适合性材料形成。手术施夹器10的细长管状构件14可以根据预期的用途而具有不同的外径，例如外径为5mm或10mm。而且，细长管状构件根据预期的用途，例如在超体重手术中，可以具有不同的延长或缩短的长度。在一个实施例中，细长管状构件14在超体重手术中可以具有超出30厘米的长度。在超体重手术的优选实施例中，细长管状构件14的长度为33厘米。在另一个优选的实施例中，用于超体重手术的细长管状构件14的长度为37厘米。在又一个优选的实施例中，用于超体重手术的细长管状构件14的长度为40厘米，然而本领域技术人员应该理解外部管状构件14可以具有超出30厘米的任意的长度且本公开不限定于上述任意一个实施例。一对钳口16安装在细长管状构件14的远端并由可活动地安装在手柄组件12中的扳机18致动。钳口16也由例如不锈钢或钛的生物适合性材料形成。特别的，在一些实施例中，当钳口16处于彼此相对打开的状态时，钳口16的最大宽度尺寸小于或等于细长管状构件14的外径，以在打开状态下通过套管或身体中的其他部分插入。这对于10mm的施夹器是特别适用的。钳口16安装为它们相对于细长管状构件14是纵向不动的。球形柄20可转动地安装在手柄组件12的远端，并且固定在细长管状构件14上来为细长管状构件14及钳口16提供围绕其纵轴的360度的转动。目前参照图3，钳口16限定槽道22用于在其中容纳手术夹子。
如图2及图4最佳所示，窗口200设置在手柄组件12中以观察指示器，指示器例如为与手柄组件12相关联的计数机构。
现在参照图6至图7，显示了施夹器10的手柄组件12。手柄组件12包括通过叉形连杆204连接至扳机18的纵向可运动的齿板202。销206被设置以将叉形连杆204连接至齿板202。齿板202被设置用于响应扳机18的致动而推进钳口16之间的手术夹子并使钳口16之间的手术夹子弯曲。齿板202通过位于齿板202与安装在壳体12中的轴颈36中的衬套210之间的复位弹簧208而被偏置至近侧位置。
为了防止在手术器械10完全致动之前扳机18及齿板202的无意复位，棘爪212可活动地安装在爪销214上。棘爪212与齿板202按照下述将更详细讨论的方式啮合。爪簧216设置在弹簧柱218之间以将棘爪212偏置与齿板202啮合。
目前参照图8，棘爪212包括用于将棘爪212安装在爪销214上的棘爪孔220。棘爪212还包括按照下述的方式与齿板202啮合的棘爪齿222。
参照图7、图9及图9A，齿板202通常包括用于通过销206将齿板202连接至叉形连杆204的齿板孔224。齿板202还包括齿板齿226，齿板齿226与棘爪齿222可啮合以限制齿板202在手柄组件12中的纵向运动。齿板202还设置有远侧凹槽228及近侧凹槽230。凹槽228及230被设置以当齿板202反向朝近侧运动时，允许棘爪212反向并在齿板202上返回。远侧钩232设置在齿板202上以按照下述的方式使得齿板202与各种驱动机构啮合。因此，扳机18的致动会驱动叉形连杆204，从而通过叉形连杆204并且对抗复位弹簧208的偏置来将齿板202向远侧驱动。
目前参照图9F及图9G，如上所述，叉形连杆204被设置以将扳机18连接至齿板202。特别地，叉形连杆204包括与扳机18上的柱(未示出)可啮合的钩扣适配端或闭锁结构件(locking feature)234。形成在叉形连杆204的相对端处的孔236被设置以安装在齿板销206上。狭槽238设置在叉形连杆204中使得叉形连杆204从其两侧支撑齿板202。包括扳机18及叉形连杆204的连杆机构提供较大机械优势，同时最小化连杆机构在手柄组件12中占用的空间。球形柄20包括可转动地安装在壳体12中的轴颈36中的凸缘34。
现在参照图6A及图6B，如上所述，手柄组件12在其近端设置有显示与手柄组件12相关联的指示器机构的窗口200。从而，设置有新颖的计数机构240，其被设置以提供关于已经发射的夹子的数量或仍在手术器械10中的夹子的数量的指示。计数机构240通过致动器242被触发，致动器242经由可枢转地安装至手柄组件12的肘节臂244与手柄组件12关联。计数机构240通常包括计数器246，计数器246具有响应于扳机18的致动而由肘节臂244脱扣或致动的诸如叶片弹簧、接触器、按钮等的致动结构件(actuation feature)248。透镜250被设置在计数器246与计数器窗口200之间以在操作期间保护计数器246或提高字母-数字数码的放大倍率。计数器246可以为液晶显示器(LCD)、发光二极管(LED)或模拟/机械类型。计数器246还可以包括印刷电路板、电池及背光或发光显示器。计数器246可以被配置以从最初设置在手术器械10中的手术夹子的总数量递减计数来指示剩下的夹子的数量。可选地，计数器246能够从0计数至已经发射夹子的总数。一个期望的计数器246为可从Golden View Display公司获得的LCD计数器模块。计数器246可以为本领域中公知的提供事件指示的任意装置。该事件可以与施夹器10的程序或操作相关。在优选的实施例中，计数器246可以为不同类型的液晶显示器。然而，在另一实施例中，显示器可以为一个或更多发光二极管、发光显示器、多彩显示器、数字显示器、模拟显示器、被动式显示器、主动式显示器、所谓“扭转向列”显示器、所谓“超扭转向列”显示器、“双重扫描”显示器、反射式显示器、背光式显示器、字母数字显示器、黑白显示器、所谓“低温多晶硅薄膜晶体管”或者LPTS TFT显示器、或者指示与程序或施夹器10相关的参数、信息或者图像的任意其他显示器。在一个实施例中，显示器为液晶显示器或“LCD”。LCD可以为向外科医生显示施夹器10的一种或更多参数的黑白或彩色显示器。在一个实施例中，所显示的参数可以为剩余夹子的数量、已使用夹子的数量、位置参数、手术使用时间或者其他任意关于程序的参数。
目前参照图9B及图9C，现在将描述致动器242的具体结构。如上所述，致动器242被配置以响应扳机18的运动使计数机构240进行计数，因此致动器242包括被配置以围绕贯穿齿板202及叉形连杆204的销206定位的驱动狭槽252。驱动狭槽252允许在销206啮合致动器242之前手术器械10被致动穿过预定的行程长度。连接狭槽254被设置以啮合肘节臂244上相应的销，以使肘节臂244相对计数器246偏置。为了防止致动器242在手柄组件12中回缩运动期间致动器242的挠曲或摆动，致动器242设置有一对抓手(finger)256，抓手256被配置以沿着形成在手柄组件12中的壳体导轨258行进(图6B)。挡片(tab)260(图6C及图6D)被设置在致动器242上以按照下面详细介绍的方式啮合复位弹簧。
目前参照图9D及图9E，计数器杠杆244(counter lever)包括枢转地安装入壳体组件12的柱262。肘节臂244的第一端包括与致动器242中的连接狭槽254可啮合的销264，从而使得致动器242在壳体组件12中的纵向运动使计数器杠杆244围绕螺柱(stub)262作枢轴运动。肘节臂244的相反端包括接触杆268，接触杆268被配置以啮合并压下计数器246上的计数器按钮248，从而以使计数器246数字上增或减的多种预定模式使计数器246触发或递变(increment)。
在图6B至图6D中更好地示出了安装在手柄组件中的计数机构240、致动器242及计数器杠杆244的不同部件的布局。先参照图6B，为简明起见，其中齿板202已经卸去，可以看到致动器242的抓手256沿着形成在手柄组件12中的壳体导轨258行进。与叉形连杆204关联的销206在驱动狭槽252中行进(ride)。在致动器242的近端处，计数器杠杆244上的销264被设置在连接狭槽254中。
现在参照图6C及图6D，为了使计数器杠杆244在扳机18触发之前保持不与计数机构240啮合，设置了与致动器242上的挡片260可啮合的压力弹簧270。压力弹簧270的相反端与形成在手柄组件12壳体的相对面上的相应的凸起啮合以将致动器242朝最近侧方向偏置。
参照图6E至图6H，根据本公开的可选实施例，设备10可以设置有数字计数装置300。数字计数装置300被配置以警告外科/内科医生在手术程序期间出现的手术任务、性能、结果等数字或类型的变化。在实施例中，可以考虑到数字计数装置300可以连接至用于监控和显示各种各样的远程装置和/或患者数据的监视器及中央处理单元(未示出)。
数字计数装置300可以包括与手柄组件12相关联并且对外科医生可见的的指示机构302。指示机构302可以为LCD计数器，用于数字地显示文字数字或者其他期望的图形、艺术字(art)、图标等。数字计数装置300可以包括传感器304，传感器304用于监控设备10的例如其部件的运动的事件。传感器304和LCD计数器被连接至电源，例如任意类型的电池、AC/DC连接器或其他公知的电源。
可以通过多种不同的形式完成LCD计数器的循环，例如机械的、无线的、光学的或上述任意的组合。如图6F所示，传感器304可以为光传感器，当例如手术施夹器的夹子完成成形时，光传感器使LCD计数器光学地循环和/或递变式改变(incremently change)。光传感器可以包括产生在检测器310上显示的持续红外光束308的电子眼或者光纤导线306，使得红外光束308或者红外光束308的中断可以转换成电子信号。
操作中，红外光束308被物理障碍，例如被设备10的部件(例如夹子、驱动构件、推进器构件、扳机机构)打断，阻止图像检测器310检测光束308的存在。此时，传感器304触发LCD计数器以改变或循环。数字计数装置可以被配置以递增计算(count up)已使用夹子的数量或递减计算(countdown)剩余夹子的数量，或以其他方式改变显示。然后，只要物理障碍被除去，图像检测器310再次检测到红外光束，从而完成红外光束连接以便为下一次序重设LCD计数器。
可选地，如图6H所示，光导线306和/或检测器310可以被可运动地支撑在设备10中或者设备10的可动构件上，使得在设备10的发射期间，使光导线306和检测器310相对彼此移动和/或倾斜从而不重合，使得光导线306的光束308无法击中检测器310。
使数字计数装置循环的另一种方法是通过使用无线操作。如图6G所示，传感器可以使用任何形式的无线技术以传送信息而不使用电导体或导线。射频(RF)；WI-FI
Figure GSA00000051755600151
(Wi-Fi Alliance，Austin TX)，其是基于电气电子工程师协会(IEEE)802.11标准的无线局域网(WLAN)；蓝牙技术
Figure GSA00000051755600152
(Bluetooth SIG，Inc.，Bellevue WA)，其是工作于免授权的2.4GHz至2.485GHz的工业科学医学(ISM)频段中的短距离通信技术、使用扩展频谱、频率跳变、全双工信号理论频率为1600hops/sec；红外光；激光；或者可以从设置在或未设置在设备300中的发射器312发送至设置在或未设置在设备300中的接受器314的微波通信，以使LCD计数器循环或与LCD计数器通信。使用中，通信链路经由已建立的发射源被建立至LCD计数器。来自发射源的信息被转换为电信号，引起在LCD计数器上的显示循环或递变式改变。
如图6I所示，无线技术可以包括在手术施夹器10外部或者远离手术施夹器10的电子装置。例如，无线技术可以包括至少一个监视器322用于显示操作的参数和/或手术施夹器10的参数，和/或至少一个记录信息系统324用于存储和/或升级整个手术程序中的操作的参数和/或手术施夹器的参数。
下面介绍与施夹器10相关的不同部件及机构的结合。
参照图10，包括止动销50的衬套48被设置以将衬套210固定至球形柄20。驱动连杆272被连接至齿板202(图6及图7)使得驱动连杆272的近端啮合齿板202。尤其是，齿板202的远侧钩232啮合驱动连杆272的近端中的狭槽274。包括冲击弹簧56的过压机构围绕外管14设置，位于衬套48和球形柄20之间且被收纳或容纳在球形柄20的孔内，以在器械按照下面详述的方式致动期间防止钳口16的过压。驱动连杆272延伸入球形柄20的孔58中。
位于细长管状构件14的近端的凸缘邻接衬套48的近端(图7D及图7E)。
继续参照图10，为了致动不同的部件，设置了致动机构或推杆60，致动机构或推杆60安装为用于纵向运动穿过细长管状构件14。推杆60包括在其近端处的凸起物62，凸起物62与在推动连杆272的远端上的凹槽276可啮合。通过将推杆60的凸起物62定位在推动连杆272的凹槽276中(图7A)，推杆60能够独立于推动连杆272和推杆60的纵向运动与外管组件一起转动。如图7B最佳所示，衬套48位于球形柄20内且通过止动销50固定在其中。
目前参照图7C和图7E，衬套48设置有用于定位的一对相对的纵向肋条278，纵向肋条278安装在球形柄20中相应的狭槽280中。
现在参照图7D和图7E，可以看出形成在衬套48的近端的内表面上的翼片282，其被配置以与外管14上相应的剪切块(cutout)284啮合。因此，外管14可以响应球形柄20的转动而转动。
参照图10，包括驱动器66及滑动接头68的凸轮机构从推杆60的远端延伸出以使得闭合的钳口16围绕手术夹子凸轮运动(cam)。
施夹器10被配置以保持多个用于施加到组织的手术夹子。施夹器10包括被配置以保持多个手术夹子72及将手术夹子72传送至钳口16的细长槽道构件70。应该理解的是，槽道构件70及钳口16不能相对细长管状构件14纵向运动。输出器74被弹簧76偏置以在槽道构件70中将手术夹子72向远侧推动。槽道罩78覆盖在槽道70上以保持和引导其中的弹簧76及手术夹子72。鼻状物80被设置在槽道罩78的远端以协助引导手术夹子72进入钳口16。
供给机构包括供给杆82，供给杆82被设置用于相对槽道罩78纵向运动以将各个夹子72推进入钳口16。具有导引销86和进给杆弹簧88的脱扣挡块84邻近槽道罩78的近端设置，以将进给杆82沿近侧方向偏置。特别地，导引销86的近端90与进给杆82下侧的钩92互连且穿过脱扣挡块84中的狭槽94。(还参照图10)为了使推杆60移动进给杆82，推杆60设置有脱扣杠杆96及偏置弹簧98。脱扣杠杆96与进给杆82的近端可按照下面详细描述的方式啮合。
本公开的施夹器10的显著的优点为设置有楔形板100，楔形板100被配置为：其在手术施夹器10致动期间被推入钳口16，并当接收手术夹子72时将钳口16保持在分隔状态。穿过楔形板100形成的凸轮狭槽136(图13，以下将详细描述)及安装在细长管状构件14中的填充部件102与设置在推杆60上的凸轮连杆104连接协作，以相对填充部件102及钳口16移动楔形板100。填充部件102位于钳口16的正后方，并且相对细长管状构件14不运动。
转至图10A，如上所述，进给杆82被设置以将手术夹子72运动入钳口16。进给杆82被推杆60上的脱扣杠杆96驱动。(参照图10。)特别地，进给杆82设置有狭长窗口106，狭长窗口106被配置以当推杆60被向远侧驱动时被脱扣杠杆96啮合。进给杆82还包括用于接收如下述的闭锁结构的窗口286。为了便于夹子插入钳口16，进给杆82在其远端设置有推进器108，推进器108被配置以将单独的夹子72推出夹子72的列并进入钳口16。如图10B所示，输出器74位于夹子的列的后侧以通过手术施夹器10推进夹子72。如图10H所示，输出器74包括用于与位于夹子槽道70远端的更远的闭锁结构啮合的接合面288。
参照图10C，如上所述，脱扣挡块84包括狭槽94以容纳进给杆82的钩92。如图10D最佳所示，为了使脱扣杠杆96脱开窗口106进而脱开进给杆82，脱扣挡块84设置有倾斜面110，倾斜面110被配置以啮合脱扣杠杆96及使脱扣杠杆96从进给杆82的窗口106中脱开。
现在参照图10E至图10G，下面将介绍推杆60的各种特征。图10E中示出独立于其他部件的推杆60的立体图。具体参照图10F，在近端，推杆60包括用于在其近端连接脱扣杠杆96的枢轴点112。另外，凸起物114设置在推杆60中，用于连接偏置弹簧98以将脱扣杠杆96偏置与进给杆82的窗口106啮合。设置倾斜面290以将推杆60与闭锁结构啮合，并防止在最后一个夹子发射之后推杆完全的收回。参照图10G，在远端，推杆60设置有用于固定凸轮连杆104的凸起物116。附加地，推杆60设置有隆起结构件(raisedfeature)118，隆起结构件功能为使填充部件102从楔形板100按照下面详述的方式脱开。
参照图11，推杆60被设置以将驱动器66推进与钳口16啮合以使钳口16在手术夹子已经定位在钳口16中之后围绕手术夹子闭合。滑动接头68的远端120处于驱动器66的凹槽122中。滑动接头68的近端凸起124在推杆60远端中的纵向狭槽126中行进。纵向狭槽126的长度允许推杆60在啮合驱动器66及纵向移动驱动器66以使钳口16围绕夹子72闭合之前运动预定纵向距离。卡齿牵开器128整体成形在滑动接头68的狭槽130中，以便在楔形板100已经被按照下面详述的方式向近侧收回后允许驱动器66被朝远侧驱动。
参照图12，施夹器10设置有新颖的闭锁结构以防止最后一个夹子72发送之后施夹器10的致动。施夹器10包括闭锁楔292，闭锁楔292可活动地装在推杆60中的槽道294中。闭锁楔292包括被配置以相对推杆60上的倾斜面290凸轮运动的倾斜面296。隆起的凸起298与进给杆82中的窗口286紧密配合以在其纵向运动期间将闭锁楔292固定至进给杆82。
现在参照图13，将详细描述楔形板100。如上所述，设置楔形板100以在手术夹子72装载在钳口16中期间将钳口16偏置并保持在分隔状态。另外，楔形板100的存在为钳口16提供了稳定性以防止钳口16在装载手术夹子72期间挠曲。如所示，楔形板100包括远端头134，远端头134被配置以啮合钳口16并使钳口16凸轮运动而打开并将钳口16保持在分隔状态。另外，楔形板100包括凸轮狭槽136，凸轮狭槽136被配置为与安装在推杆60上的凸轮连杆104配合以按照下面详述的方式控制楔形板100的运动。而且，远侧窗口138及近侧窗口140分别被设置以啮合填充部件102上的柔性结构。偏置弹簧142设置在底座(mount)144上以将楔形板100在细长管状构件14内大体朝近侧偏置。最后，止挡件146被配置以啮合填充部件102上相应的结构。
现在参照图14及图15，将描述填充部件102的不同的方案。填充部件102包括柔性支腿152，柔性支腿152被配置以啮合楔形板100中的远侧窗口138及近侧窗口140。填充部件102还包括被配置以接收凸轮连杆104的一部分的狭长凸轮狭槽148。分离棱边150设置在凸轮狭槽148中以利于凸轮连杆104从楔形板100中的凸轮狭槽136中分离。另外，填充部件102还包括用于与楔形板100上的舌片146(图13)啮合的止挡件154，以限制楔形板100向近侧的回缩，还包括纵向凹槽156以容纳楔形板100的一段长度的复位弹簧142。
图16及图17图示了冲击弹簧56相对转动球形柄20的位置。如上所述，冲击弹簧56被设置为过压机构以防止在手术夹子72按照与手术施夹器10的操作相关的下面将详细描述的方式弯曲期间钳口16的过压。过压机构被设计以防止外科医生使用扳机18时扳过头从而最终防止钳口16的损坏。
参照图18至图20，卸去细长管状构件14来示出推杆60及相关的驱动部件。特别地，参照图19，进给杆82的推进器108延伸穿过鼻状物80中的狭槽158以啮合手术夹子72。相似的，如图20所示，在推杆60的近端，脱扣杠杆96延伸穿过进给杆82中的窗口106。在此位置，脱扣杠杆96能够啮合狭槽106的边缘以将进给杆82沿着推杆60向远侧驱动穿过细长管状构件14。闭锁楔292在推杆60中的槽道294中为纵向可运动的。在闭锁楔上的凸起298与进给杆82中的窗口286紧密配合。
参照图21，与图19相似，然而，已经卸去鼻状物80以示出推进器108啮合位于槽道70中的手术夹子72。T状翼片300设置在槽道70上以保持槽道罩78与鼻状物80牢牢地固定至槽道70。
现在参照图22，卸去进给杆82以示出推杆60及相关联部件。
参照图23，示出了位于槽道70中的用于供给至在推杆60远端的钳口16的多个夹子72。夹子72纵向排列在槽道70中。固位指71设置在槽道70的远端以限制槽道70中的一叠夹子72直至夹子72被进给杆82推入钳口16。槽道70上的矛状件(lance)302被配置以啮合进给杆82上的接合面288。
参照图24，示出了装配了输出器74及输出器弹簧76的推杆60的中段部分。如所述，弹簧76将输出器74相对于推杆60向远侧偏置。
参照图25，示出了装配了脱扣杠杆96与偏置弹簧98的推杆60，脱扣杠杆96被偏置弹簧98向上偏置到最上方位置。闭锁楔292位于槽道294中。
参照图26及图27，示出装配了驱动器66的推杆60的与钳口16相对的一侧。如上所述，驱动器66被配置以使钳口16凸轮运动以围绕手术夹闭合。因此，钳口16包括倾斜凸轮面160用于容纳驱动器66的相应的凸轮面184(图34)。钳口16近端中的凹处187(图31)限制驱动器66的回缩。特别地，滑动接头68的凸起186啮合钳口16的凹处187(参照图31及图34)。
参照图28至图30，将描述槽道70、脱扣挡块84、楔形板100及填充部件102的相对装配位置。首先参照图29及图30，填充部件102位于槽道70上。填充部件102的近端邻近位于槽道70上的止挡件162。楔形板100以所示的方式位于填充部件102上方。如图30最佳所示，填充部件102包括具有形成在凸轮狭槽148中的分离棱边150的凸轮狭槽148。相似地，楔形板100包括凸轮狭槽136。如上所述，凸轮连杆104被设置为连接到推杆60(未示出)以将楔形板100向远侧驱动。为了便于驱动楔形板100，凸轮连杆104设置有凸轮连杆凸块164，凸轮连杆凸块164在楔形板100及填充部件102相应的凸轮狭槽136和148中行进。随着凸轮连杆104被相对于楔形板100向远侧推进，凸轮连杆凸块164啮合楔形板100的驱动棱边166以将楔形板100向远侧驱动。在之后描述的方式中，只要凸轮连杆104且尤其是凸轮连杆凸块164啮合填充部件102的分离棱边150，则凸轮连杆凸块164凸轮运动而脱离与驱动棱边166的啮合。
参照图30，填充部件102设置有柔性支腿152，柔性支腿152在楔形板100相应的远侧窗口138与近侧窗口140之间为可活动的。为了使柔性支腿152凸轮运动离开近侧窗口或远侧窗口中的一个，在柔性支腿152上设置凸轮面168，凸轮面168响应楔形板100相对于填充部件102的相对运动使柔性支腿152凸轮运动出窗口。
如上所述，钳口16被设置以接收及弯曲位于其中的手术夹子72。参照图31及图32，钳口16通常包括固定在基座172上的一对柔性支腿170。钳口构件16a及16b位于柔性支腿170的远端。一对锁臂174从基座172向远侧延伸并且终止于翼片176。翼片176被配置以啮合细长管14(图10)上的相应的孔177而将钳口16固定至细长管14。钳口16包括用于容纳手术夹子72的槽道22。如所示，填充部件102设置在钳口16的正后方，并且与钳口16一样，填充部件102不会相对于外部管状构件14纵向运动。
目前参照图32，钳口16被配置以容纳楔形板100，从而使得在手术夹子插入钳口16期间楔形板100的远端头134用于最初分离钳口部16a及16b并将钳口部维持在分离且对准配置。如上所述，当手术夹子72装载在钳口部中时这样防止钳口16a相对于钳口16b的任何扭曲或挠曲。柔性支腿170中的每一个包括凸轮边缘178(参照图44和图63)以将楔形板100的远端头134引导到钳口16中。
参照图33，示出了楔形板100位于推杆60上使得卡齿牵开器128延伸穿过楔形板100中的狭槽182。如图34所示，卸去楔形板100，可以看到驱动器66的远端设置有凸轮面184。凸轮面184与钳口16上的凸轮面160配合(参照图27)，以响应驱动器66相对于钳口16的纵向运动而与钳口16一起凸轮运动。滑动接头68上的凸起186延伸穿过楔形板100中的狭槽188以限制滑动接头68相对于钳口16的回缩。
下面将描述手术施夹器10在例如血管的目标组织周围弯曲手术夹的操作。参照图35和图36，扳机18通常与齿板202一起为未压缩状态，因此推杆60被复位弹簧208偏置至最近侧位置。另外，致动器242处于最近侧位置使计数器杠杆244保持与计数器246分离。棘爪212位于齿板202上的远侧凹槽228中。如图37至图42及最初参照的图38最佳所示，在未发射状态，脱扣杠杆96由推杆60承载，被偏置弹簧98向上偏置，与进给杆82中的狭槽邻近并接触。脱扣挡块84在相对于脱扣杠杆96的远侧位置。固定至进给杆82的闭锁楔在近侧位置。
参照图39，输出器74被弹簧76向远侧偏置，使得夹子72向远侧方向被偏置。
参照图40，推杆60和进给杆82与被偏置至向上位置的卡齿牵开器128一起为不动的。
参照图41，填充部件102的柔性支腿152在楔形板100的远侧窗口138中。推杆60上的隆起结构件118在柔性支腿152的近侧。
如图42最佳示出的，在手术施夹器10的远端，当静止于未发射状态时，楔形板100及进给杆82在相对钳口16的最近侧位置。推进器108在矛状件302的远端(图42A)。
图43至图47示出了楔形板100、钳口16及填充部件102的初始静止位置。
首先参照图43和图44，如所示，楔形板100处于相对于钳口16的最近侧位置。如图43所示，柔性支腿152在楔形板100的远侧窗口138中，而凸轮连杆104在相对于楔形板100中的凸轮狭槽136的最近侧位置。
如图45与图46最佳所示，楔形板100在相对于钳口16的最近侧位置，远端头134在钳口16的凸轮边缘178的近侧。
参照图47，楔形板100在相对于填充部件102的最近侧位置，使得楔形板100的驱动棱边166在填充部件102的分离棱边150的近侧。
参照图48，为了初始致动施夹器10，扳机18被移动，通过最初悬挂的叉形连杆204将齿板202向远侧驱动，从而将推杆60向远侧驱动。当销206移动穿过致动器242中的驱动狭槽252时，致动器242保持在最近侧位置。目前参照图50，如果扳机18在该点被释放，则齿板齿226将阻止棘爪齿222向近侧运动，从而防止了扳机18的释放和手术施夹器10部分的或无意部分的致动。
在初始行程期间，推杆60运动预定距离。关于图51，随着推杆60被向远侧驱动初始距离，脱扣杠杆96啮合进给杆82的狭长窗口106并将进给杆82向远侧移动相似的距离。闭锁楔292被进给杆82向远侧带动。如图42和图51所示，当进给杆82被向远侧驱动且夹子72被驱动入钳口16时，由于弹簧76的偏置，输出器74向远侧运动以将一叠手术夹子72向远侧推进。
参照图49，随着齿板202向远侧运动，棘爪212顺时针转动使得棘爪齿222移出远侧凹槽228并开始与齿板齿226啮合。
参照图53与图54，随着推杆60和进给杆82向远侧运动，推杆60将凸轮连杆104向远侧驱动初始距离，使得凸轮连杆104上的凸轮连杆凸块164啮合楔形板100。如所示，填充部件102的柔性支腿152位于楔形板100的最远侧窗口138中。
如图55所示，随着凸轮连杆104与推杆60一起向远侧运动，凸轮连杆凸块164啮合楔形板100上的驱动棱边166以将楔形板100相对于填充部件102向远侧推进。
参照图56，随着进给杆82向远侧运动，进给杆82远端的推进器108啮合夹子72并开始将夹子72推进入钳口16。明显的，在该点，推杆60还没有与驱动器66接触，从而防止在手术夹子72完全插入之前钳口16的压缩。
再次参照图55，随着手术施夹器10被致动穿过第二预定距离，凸轮连杆104上的凸轮凸块164继续向远侧驱动楔形板100，且柔性支腿152被凸轮面168凸轮运动出远侧窗口138并凸轮运动入近侧窗口140，以使楔形板100与填充部件102啮合。如图57和图58所示，在该点，进给杆82、楔形板100、推杆60、夹子72和输出器74(图52)全部沿最远侧方向运动。
参照图59，进给杆82继续相对手术夹子72推进进给杆82远端的推进器108，以将夹子72推进入钳口16。保留在槽道70中的手术夹子72被输出器74(图52)沿远侧方向偏置，且楔形板100(图54)继续向远侧运动而驱动器66相对于细长管状构件14保持静止。
参照图60，随着推杆60进一步移动，如图60箭头最佳所示，凸轮连杆104的凸轮凸块164通过在填充部件102中形成的分离棱边150凸轮运动而脱开与楔形板100的驱动棱边166的啮合。在进一步预定距离行程期间，填充部件102的柔性支腿152扣入楔形板100的近侧窗口140中，从而防止楔形板100从其最远侧位置的回缩。
如图61所示，柔性支腿152位于楔形板100的近侧窗口140中，从而防止楔形板100回缩，而进给杆82和推杆60继续沿如箭头所示方向向远侧运动。
如图62与图63所示，楔形板100的远端头134通过与钳口构件16a及16b中的凸轮面178啮合而促使钳口构件16a及16b分开。如上所示，通过将楔形板100定位在钳口构件16a及16b的凸轮面178中，楔形板100不仅将钳口16分开以适当的容纳手术夹子72，而且附加地防止每一个单独的钳口构件16a及16b相对彼此挠曲，从而阻止当夹子72插入钳口16时夹子72的任何扭曲。
参照图64，如上所述，柔性支腿152防止楔形板100向近端回缩，同时凸轮连杆104继续推进穿过填充部件102的狭槽148和楔形板100的狭槽136(图64)。
如图65最佳所示，随着推杆60继续向远侧运动所述行程，脱扣杠杆96被与推杆60一起向远侧推进直至脱扣杠杆96啮合脱扣挡块84的凸轮面110(参照图10D)。随着脱扣挡块84的凸轮面110(图10D)被推进抵住脱扣杠杆96，脱扣杠杆96将被凸轮运动脱离与进给杆82的狭长窗口106的啮合，由于进给杆弹簧88(参照图10)的偏置允许进给杆82返回至近侧位置。
目前参照图66，随着推杆60继续运动穿过其行程，推杆60上的隆起结构件118开始使柔性支腿152凸轮运动出楔形板100的近侧窗口140，使得楔形板100能够在之前缩回，且使得手术夹子72在钳口16之间弯曲。这些在图67中最佳示出，其中进给杆82已经完全将夹子72插入钳口16中，且楔形板100已经回缩至最近侧位置。
图68示出了脱扣杠杆96被脱扣挡块84的凸轮面110凸轮运动脱开与进给杆82的啮合，且克服偏置弹簧98的偏置，使得进给杆82与脱扣杠杆96分开且进给杆82能够开始向近侧回缩。如所示，在图69中，当楔形板100回缩而夹子72插入钳口16时，进给杆82的推进器108被回缩至下一个最远侧夹子72后侧的近侧位置。
参照图69A，随着扳机18被继续压缩，致动器242上的驱动狭槽252中的销206向远侧推进，直至销206啮合驱动狭槽252的远端304。此后，随着扳机18被进一步压缩，销206使致动器242向远侧运动。肘节臂244上的销264在连接狭槽254中顺时针转动，从而将肘节臂244上的接触臂268向致动结构件248驱动。
参照图70，脱扣杠杆96被脱扣挡块84上的凸轮面110完全凸轮运动向下，且推杆60继续向远侧运动穿过另一预定行程。
目前参照图71，由于楔形板100向近侧回缩而推杆60继续向远侧运动，填充部件102上的柔性支腿152扣入楔形板100的远侧窗口138。如图72中所示，楔形板100被回缩至相对钳口16的近侧位置。
参照图73，当卡齿牵开器128相对推杆60向下凸轮运动时，推杆60已经向远侧运动了预定的距离。推杆60现在啮合驱动器66，推杆60的活动向远侧推动驱动器66。驱动器66牵引滑动接头68且同时滑动接头68向远侧机械地牵引卡齿牵开器128，使得卡齿牵开器128的凸轮面向下至钳口衬垫172的下侧并使得卡齿牵开器128与推杆60的狭槽126啮合。
参照图74和图75，随着扳机18被完全压缩以将推杆60驱动至最远侧位置，当扳机18完成压缩且夹子72完全成形时，参照图74，计数器杠杆完全顺时针转动，驱动缓冲器268抵住计数器按钮248，从而使计数器246显示的数字递变。
如上所述，在计数器246中示出的数字的递变可以是从最初手术缝合器中所含手术夹子72的全部量减少，或者可以是递增计算以显示已由手术器械10发射的夹子的数量。
参照图75，在手术器械10完全发射时，棘爪齿222与齿板齿226分开并留在近端凹槽230中。显著的，推杆60的完整行程需要将夹子72从最初位置带至完全插入钳口16的位置。当推杆60运动穿过其最远侧位置时，其使驱动器66按照上述方式运动以弯曲手术夹子72。例如，参照图76至图79，驱动器66相对钳口16a及16b上的凸轮面160向远侧推进，使得驱动器66上的凸轮面184使钳口16a及16b凸轮运动，从而闭合在其间保持的手术夹子72。
目前参照图80，设置安全机构以防止扳过头状态，因此防止夹子72过压而损坏组织、钳口16或驱动器66。如果扳机18被继续挤压超过期望的用于夹子72完全形成的行程，冲击弹簧56压在球形柄20与衬套48之间限定的空间，从而防止推杆60的进一步向远侧的运动。
图81示出在血管V周围形成的完全成形的夹子。
参照图82，当扳机18被释放(未示出)，现在棘爪212克服爪簧216的偏置逆时针转动，使得棘爪齿222沿齿板齿226行进以重置手柄组件。如图83所示，当驱动器66回缩时，卡齿牵开器128再次向上偏置入其最上侧位置，从而重置驱动机构。
参照图84至图86，随着推杆60回缩，推杆60的隆起结构件118运动经过填充部件102中的柔性支腿152。应该理解为，当楔形板100已经完全缩回时楔形板100不会活动。随着推杆60缩回，推杆60将楔形板100中狭槽136与填充部件102中狭槽148中的凸轮连杆104向近侧牵动至其最初位置。如图86最佳所示，在该位置，施夹器10再次处于最初位置以重新发射并因此将另一个夹子附着至血管。
现在参照图87至图89，首先参照图87，只要所有手术夹子72被从手术施夹器10中发射出，输出器74在最远侧位置使得接合面288啮合槽道70上的矛状件302，从而锁住或防止输出器74的向近侧的缩回。如所示，进给杆82上的推进器108在缩回时啮合输出器74并且楔在鼻状物80与输出器74之间使得进给杆82不能向近侧缩回。
如图88所示，由于进给杆82被限制在最远侧位置，固定至进给杆82的闭锁楔292也被限制在最远侧位置。因此，当推杆60试图向近侧缩回时，闭锁楔292上的倾斜面296啮合推杆60上的倾斜面290，从而防止推杆60的进一步缩回。
参照图89，因为推杆60不能向近侧完全缩回，所以齿板202不能向近侧完全缩回。齿板齿226啮合棘爪齿222并防止棘爪212向回转动入远端凹槽228，从而防止施夹器10的重设。以这种方式，施夹器10在最后的手术夹子72发射之后完全锁住阻止进一步的发射的企图。因为棘爪齿222和齿板齿226防止驱动机构的任何向远侧的运动，所以阻止了尤其扳机18被进一步挤压。
应该理解本公开的实施例可以作出不同的改进。因此，以上描述不作为限定，仅仅作为对优选实施例的示例。本领域技术人员将在所附的权利要求书的范围和精神下设想其他的改进。

Claims (16)

1.一种将手术固定件施加于身体组织的设备，该设备包括：
a)手柄部；
b)从所述手柄部向远侧延伸并限定纵轴的本体；
c)设置在所述本体内的多个手术固定件；
d)邻近所述本体的远端部安装的钳口组件，所述钳口组件包括在分隔位置与接近位置之间可活动的第一及第二钳口部；
e)驱动构件，其被配置为当所述钳口部在分隔位置时，其将手术固定件逐个向远侧推进至所述钳口组件；
f)致动机构，其至少部分设置在所述本体中，并响应所述手柄部的致动能够纵向活动；及
g)支撑在所述手柄部中的计数装置，其中，所述计数装置被配置以显示事件发生次数与事件剩余发生次数中的至少一个。
2.根据权利要求1所述的设备，其中所述计数装置为数字计数装置。
3.根据权利要求1所述的设备，其中所述计数装置包括用于触发显示器中的响应的光传感器。
4.根据权利要求3所述的设备，其中所述光传感器包括恒定光的光源和用于所述恒定光的检测器，其中当由所述恒定光的光源产生的恒定光被中断时所述光传感器触发响应。
5.根据权利要求4所述的设备，其中在发射次序中对应于一个手术固定件的完全成形的时刻，所述恒定光被所述设备的部件临时中断，其中所述显示器上显示的发生次数的值改变1。
6.根据权利要求5所述的设备，其中所述显示器上显示的剩余发生次数的值减少1。
7.根据权利要求4所述的设备，其中所述恒定光的光源产生红外线光束。
8.根据权利要求1所述的设备，其中所述计数装置被操作地连接至所述手柄部。
9.根据权利要求1所述的设备，其中所述计数装置为液晶显示器。
10.根据权利要求1所述的设备，其中所述计数装置为发光二极管。
11.根据权利要求1所述的设备，进一步包括位于所述致动机构的远侧并邻近所述第一及第二钳口部的钳口闭合构件，以当所述致动机构纵向运动时使所述钳口部运动至接近位置。
12.根据权利要求1所述的设备，进一步包括连接至进给杆的闭锁机构，闭锁机构被配置及尺寸设计为防止在施加最后一个手术固定件之后所述设备的再致动。
13.根据权利要求3所述的设备，进一步包括无线技术以在所述传感器与所述计数装置之间传送信息。
14.根据权利要求13所述的设备，其中所述无线技术为WI-FI
Figure FSA00000051755500021
与蓝牙技术
Figure FSA00000051755500022
中的至少一个。
15.根据权利要求13所述的设备，其中所述无线技术为外部电子装置。
16.根据权利要求15所述的设备，其中所述外部电子装置为监视器与记录信息系统中的至少一个。
CN201010138649.1A 2009-03-18 2010-03-18 内窥镜手术施夹器 Active CN101836875B (zh)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US12/406,345 2009-03-18
US12/406,345 US8409222B2 (en) 2004-10-08 2009-03-18 Endoscopic surgical clip applier

Publications (2)

Publication Number Publication Date
CN101836875A true CN101836875A (zh) 2010-09-22
CN101836875B CN101836875B (zh) 2014-01-15

Family

ID=42115701

Family Applications (1)

Application Number Title Priority Date Filing Date
CN201010138649.1A Active CN101836875B (zh) 2009-03-18 2010-03-18 内窥镜手术施夹器

Country Status (6)

Country Link
US (1) US8409222B2 (zh)
EP (1) EP2229895A1 (zh)
JP (1) JP5580084B2 (zh)
CN (1) CN101836875B (zh)
AU (1) AU2010200641B2 (zh)
CA (1) CA2695074A1 (zh)

Cited By (17)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103932754A (zh) * 2013-01-18 2014-07-23 柯惠Lp公司 手术施夹器
CN104363853A (zh) * 2012-06-15 2015-02-18 佳能株式会社 医疗用机械手、包括其的医疗系统、医疗穿刺系统和活检系统
CN104840252A (zh) * 2014-02-14 2015-08-19 柯惠Lp公司 止端检测
WO2016112509A1 (en) * 2015-01-15 2016-07-21 Covidien Lp Endoscopic reposable surgical clip applier
CN105962985A (zh) * 2015-03-10 2016-09-28 柯惠Lp公司 内窥镜可回收手术施夹器
CN106073852A (zh) * 2016-05-26 2016-11-09 艾科美医疗器械（深圳）有限公司 带计数功能的止血钳
CN106308873A (zh) * 2015-06-18 2017-01-11 北京派尔特医疗科技股份有限公司 一种钛夹钳
WO2017079890A1 (en) * 2015-11-10 2017-05-18 Covidien Lp Endoscopic reposable surgical clip applier
CN108720878A (zh) * 2017-03-22 2018-11-02 柯惠Lp公司 内窥镜手术施夹器
CN109394293A (zh) * 2017-08-18 2019-03-01 台湾先进手术医疗器材股份有限公司 血管施夹器的枪把装置
CN109561897A (zh) * 2016-08-11 2019-04-02 柯惠有限合伙公司 内窥镜手术施夹器和施夹系统
WO2019136604A1 (en) * 2018-01-09 2019-07-18 Covidien Lp Reposable multi-fire surgical clip applier
CN110051400A (zh) * 2018-01-16 2019-07-26 柯惠Lp公司 内窥镜手术器械和与其一起使用的手柄组件
CN110267606A (zh) * 2017-02-06 2019-09-20 柯惠有限合伙公司 具有用户反馈特征的手术夹具施用器
CN110740696A (zh) * 2017-03-21 2020-01-31 泰利福医疗公司 具有稳定构件的施夹器
CN112155637A (zh) * 2020-10-13 2021-01-01 常州安康医疗器械有限公司 一种钳头分体式钛夹钳
CN113712629A (zh) * 2017-12-12 2021-11-30 捷锐士阿希迈公司(以奥林巴斯美国外科技术名义) 电外科装置

Families Citing this family (569)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP1608272B1 (en) 2003-03-11 2017-01-25 Covidien LP Clip applying apparatus with angled jaw
US9060770B2 (en) 2003-05-20 2015-06-23 Ethicon Endo-Surgery, Inc. Robotically-driven surgical instrument with E-beam driver
US20070084897A1 (en) 2003-05-20 2007-04-19 Shelton Frederick E Iv Articulating surgical stapling instrument incorporating a two-piece e-beam firing mechanism
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
US9763668B2 (en) 2004-10-08 2017-09-19 Covidien Lp Endoscopic surgical clip applier
US7819886B2 (en) 2004-10-08 2010-10-26 Tyco Healthcare Group Lp Endoscopic surgical clip applier
US8920438B2 (en) 2004-10-08 2014-12-30 Covidien Lp Apparatus for applying surgical clips
ES2547214T3 (es) 2004-10-08 2015-10-02 Covidien Lp Un aplicador endoscópico de clips o grapas quirúrgicos
US8409222B2 (en) 2004-10-08 2013-04-02 Covidien Lp Endoscopic surgical clip applier
US7669746B2 (en) 2005-08-31 2010-03-02 Ethicon Endo-Surgery, Inc. Staple cartridges for forming staples having differing formed staple heights
US10159482B2 (en) 2005-08-31 2018-12-25 Ethicon Llc Fastener cartridge assembly comprising a fixed anvil and different staple heights
US11484312B2 (en) 2005-08-31 2022-11-01 Cilag Gmbh International Staple cartridge comprising a staple driver arrangement
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
US20070194079A1 (en) 2005-08-31 2007-08-23 Hueil Joseph C Surgical stapling device with staple drivers of different height
US7934630B2 (en) 2005-08-31 2011-05-03 Ethicon Endo-Surgery, Inc. Staple cartridges for forming staples having differing formed staple heights
US20070106317A1 (en) 2005-11-09 2007-05-10 Shelton Frederick E Iv Hydraulically and electrically actuated articulation joints for surgical instruments
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
US8186555B2 (en) 2006-01-31 2012-05-29 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with mechanical closure system
US11224427B2 (en) 2006-01-31 2022-01-18 Cilag Gmbh International Surgical stapling system including a console and retraction assembly
US8708213B2 (en) 2006-01-31 2014-04-29 Ethicon Endo-Surgery, Inc. Surgical instrument having a feedback system
US20110295295A1 (en) 2006-01-31 2011-12-01 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical instrument having recording capabilities
US20120292367A1 (en) 2006-01-31 2012-11-22 Ethicon Endo-Surgery, Inc. Robotically-controlled end effector
US11278279B2 (en) 2006-01-31 2022-03-22 Cilag Gmbh International Surgical instrument assembly
US9861359B2 (en) 2006-01-31 2018-01-09 Ethicon Llc Powered surgical instruments with firing system lockout arrangements
US8820603B2 (en) 2006-01-31 2014-09-02 Ethicon Endo-Surgery, Inc. Accessing data stored in a memory of a surgical instrument
US7845537B2 (en) 2006-01-31 2010-12-07 Ethicon Endo-Surgery, Inc. Surgical instrument having recording capabilities
US11793518B2 (en) 2006-01-31 2023-10-24 Cilag Gmbh International Powered surgical instruments with firing system lockout arrangements
US20110024477A1 (en) 2009-02-06 2011-02-03 Hall Steven G Driven Surgical Stapler Improvements
US20070225562A1 (en) 2006-03-23 2007-09-27 Ethicon Endo-Surgery, Inc. Articulating endoscopic accessory channel
US8992422B2 (en) 2006-03-23 2015-03-31 Ethicon Endo-Surgery, Inc. Robotically-controlled endoscopic accessory channel
US8322455B2 (en) 2006-06-27 2012-12-04 Ethicon Endo-Surgery, Inc. Manually driven surgical cutting and fastening instrument
US10130359B2 (en) 2006-09-29 2018-11-20 Ethicon Llc Method for forming a staple
US7665647B2 (en) 2006-09-29 2010-02-23 Ethicon Endo-Surgery, Inc. Surgical cutting and stapling device with closure apparatus for limiting maximum tissue compression force
US10568652B2 (en) 2006-09-29 2020-02-25 Ethicon Llc Surgical staples having attached drivers of different heights and stapling instruments for deploying the same
EP2314232B1 (en) 2006-10-17 2015-03-25 Covidien LP Apparatus for applying surgical clips
US8652120B2 (en) 2007-01-10 2014-02-18 Ethicon Endo-Surgery, Inc. Surgical instrument with wireless communication between control unit and sensor transponders
US11291441B2 (en) * 2007-01-10 2022-04-05 Cilag Gmbh International Surgical instrument with wireless communication between control unit and remote sensor
US8684253B2 (en) * 2007-01-10 2014-04-01 Ethicon Endo-Surgery, Inc. Surgical instrument with wireless communication between a control unit of a robotic system and remote sensor
US11039836B2 (en) 2007-01-11 2021-06-22 Cilag Gmbh International Staple cartridge for use with a surgical stapling instrument
US8540128B2 (en) 2007-01-11 2013-09-24 Ethicon Endo-Surgery, Inc. Surgical stapling device with a curved end effector
US7735703B2 (en) 2007-03-15 2010-06-15 Ethicon Endo-Surgery, Inc. Re-loadable surgical stapling instrument
EP3189796B1 (en) 2007-03-26 2019-09-25 Covidien 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
CN102327136B (zh) 2007-04-11 2014-04-23 柯惠Lp公司 手术施夹器
US11857181B2 (en) 2007-06-04 2024-01-02 Cilag Gmbh International Robotically-controlled shaft based rotary drive systems for surgical instruments
US8931682B2 (en) 2007-06-04 2015-01-13 Ethicon Endo-Surgery, Inc. Robotically-controlled shaft based rotary drive systems for surgical instruments
US8408439B2 (en) 2007-06-22 2013-04-02 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with an articulatable end effector
US7753245B2 (en) 2007-06-22 2010-07-13 Ethicon Endo-Surgery, Inc. Surgical stapling instruments
US11849941B2 (en) 2007-06-29 2023-12-26 Cilag Gmbh International Staple cartridge having staple cavities extending at a transverse angle relative to a longitudinal cartridge axis
US8967443B2 (en) 2007-10-05 2015-03-03 Covidien Lp Method and apparatus for determining parameters of linear motion in a surgical instrument
US8960520B2 (en) 2007-10-05 2015-02-24 Covidien Lp Method and apparatus for determining parameters of linear motion in a surgical instrument
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
US9179912B2 (en) 2008-02-14 2015-11-10 Ethicon Endo-Surgery, Inc. Robotically-controlled motorized surgical cutting and fastening instrument
RU2493788C2 (ru) 2008-02-14 2013-09-27 Этикон Эндо-Серджери, Инк. Хирургический режущий и крепежный инструмент, имеющий радиочастотные электроды
US7819298B2 (en) 2008-02-14 2010-10-26 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with control features operable with one hand
US8636736B2 (en) 2008-02-14 2014-01-28 Ethicon Endo-Surgery, Inc. Motorized surgical cutting and fastening instrument
US8573465B2 (en) 2008-02-14 2013-11-05 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical end effector system with rotary actuated closure systems
US8657174B2 (en) 2008-02-14 2014-02-25 Ethicon Endo-Surgery, Inc. Motorized surgical cutting and fastening instrument having handle based power source
US7866527B2 (en) 2008-02-14 2011-01-11 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with interlockable firing system
US8758391B2 (en) 2008-02-14 2014-06-24 Ethicon Endo-Surgery, Inc. Interchangeable tools for surgical instruments
US11272927B2 (en) 2008-02-15 2022-03-15 Cilag Gmbh International Layer arrangements for surgical staple cartridges
US20130153641A1 (en) 2008-02-15 2013-06-20 Ethicon Endo-Surgery, Inc. Releasable layer of material and surgical end effector having the same
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
US20110208212A1 (en) 2010-02-19 2011-08-25 Zergiebel Earl M Surgical clip applier
US9358015B2 (en) 2008-08-29 2016-06-07 Covidien Lp Endoscopic surgical clip applier with wedge plate
US8585717B2 (en) 2008-08-29 2013-11-19 Covidien Lp Single stroke endoscopic surgical clip applier
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
PL3476312T3 (pl) 2008-09-19 2024-03-11 Ethicon Llc Stapler chirurgiczny z urządzeniem do dopasowania wysokości zszywek
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
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
US8517239B2 (en) 2009-02-05 2013-08-27 Ethicon Endo-Surgery, Inc. Surgical stapling instrument comprising a magnetic element driver
US8444036B2 (en) 2009-02-06 2013-05-21 Ethicon Endo-Surgery, Inc. Motor driven surgical fastener device with mechanisms for adjusting a tissue gap within the end effector
RU2525225C2 (ru) 2009-02-06 2014-08-10 Этикон Эндо-Серджери, Инк. Усовершенствование приводного хирургического сшивающего инструмента
US8453907B2 (en) 2009-02-06 2013-06-04 Ethicon Endo-Surgery, Inc. Motor driven surgical fastener device with cutting member reversing mechanism
US8430892B2 (en) * 2009-10-06 2013-04-30 Covidien Lp Surgical clip applier having a wireless clip counter
US8734469B2 (en) * 2009-10-13 2014-05-27 Covidien Lp Suture clip applier
US9186136B2 (en) 2009-12-09 2015-11-17 Covidien Lp Surgical clip applier
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
US8403945B2 (en) 2010-02-25 2013-03-26 Covidien Lp Articulating endoscopic surgical clip applier
US20110218400A1 (en) * 2010-03-05 2011-09-08 Tyco Healthcare Group Lp Surgical instrument with integrated wireless camera
US9597089B2 (en) 2010-03-10 2017-03-21 Conmed Corporation Surgical clips for laparoscopic procedures
AU2014253457B2 (en) * 2010-03-16 2016-03-03 Covidien Lp Method and apparatus for determining parameters of linear motion in a surgical instrument
US8715299B2 (en) 2010-04-06 2014-05-06 Endodynamix, Inc. Hermetic rotating handle assembly for a surgical clip applier for laparoscopic procedures
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
US8783543B2 (en) 2010-07-30 2014-07-22 Ethicon Endo-Surgery, Inc. Tissue acquisition arrangements and methods for surgical stapling devices
US9301753B2 (en) 2010-09-30 2016-04-05 Ethicon Endo-Surgery, Llc Expandable tissue thickness compensator
US9629814B2 (en) 2010-09-30 2017-04-25 Ethicon Endo-Surgery, Llc Tissue thickness compensator configured to redistribute compressive forces
US11812965B2 (en) 2010-09-30 2023-11-14 Cilag Gmbh International Layer of material for a surgical end effector
US9301752B2 (en) 2010-09-30 2016-04-05 Ethicon Endo-Surgery, Llc Tissue thickness compensator comprising a plurality of capsules
US8893949B2 (en) 2010-09-30 2014-11-25 Ethicon Endo-Surgery, Inc. Surgical stapler with floating anvil
US9307989B2 (en) 2012-03-28 2016-04-12 Ethicon Endo-Surgery, Llc Tissue stapler having a thickness compensator incorportating a hydrophobic agent
US9332974B2 (en) 2010-09-30 2016-05-10 Ethicon Endo-Surgery, Llc Layered tissue thickness compensator
US9232941B2 (en) 2010-09-30 2016-01-12 Ethicon Endo-Surgery, Inc. Tissue thickness compensator comprising a reservoir
US20120080498A1 (en) 2010-09-30 2012-04-05 Ethicon Endo-Surgery, Inc. Curved end effector for a stapling instrument
US9861361B2 (en) 2010-09-30 2018-01-09 Ethicon Llc Releasable tissue thickness compensator and fastener cartridge having the same
US9320523B2 (en) 2012-03-28 2016-04-26 Ethicon Endo-Surgery, Llc Tissue thickness compensator comprising tissue ingrowth features
US9364233B2 (en) 2010-09-30 2016-06-14 Ethicon Endo-Surgery, Llc Tissue thickness compensators for circular surgical staplers
US11849952B2 (en) 2010-09-30 2023-12-26 Cilag Gmbh International Staple cartridge comprising staples positioned within a compressible portion thereof
US9168038B2 (en) 2010-09-30 2015-10-27 Ethicon Endo-Surgery, Inc. Staple cartridge comprising a tissue thickness compensator
AU2011308701B2 (en) 2010-09-30 2013-11-14 Ethicon Endo-Surgery, Inc. Fastener system comprising a retention matrix and an alignment matrix
US9314246B2 (en) 2010-09-30 2016-04-19 Ethicon Endo-Surgery, Llc Tissue stapler having a thickness compensator incorporating an anti-inflammatory agent
US9241714B2 (en) 2011-04-29 2016-01-26 Ethicon Endo-Surgery, Inc. Tissue thickness compensator and method for making the same
US11298125B2 (en) 2010-09-30 2022-04-12 Cilag Gmbh International Tissue stapler having a thickness compensator
US10945731B2 (en) 2010-09-30 2021-03-16 Ethicon Llc Tissue thickness compensator comprising controlled release and expansion
US9480476B2 (en) 2010-09-30 2016-11-01 Ethicon Endo-Surgery, Llc Tissue thickness compensator comprising resilient members
US9220501B2 (en) 2010-09-30 2015-12-29 Ethicon Endo-Surgery, Inc. Tissue thickness compensators
US8695866B2 (en) 2010-10-01 2014-04-15 Ethicon Endo-Surgery, Inc. Surgical instrument having a power control circuit
US9011464B2 (en) 2010-11-02 2015-04-21 Covidien Lp Self-centering clip and jaw
US10959769B2 (en) 2010-11-05 2021-03-30 Ethicon Llc Surgical instrument with slip ring assembly to power ultrasonic transducer
US9072523B2 (en) * 2010-11-05 2015-07-07 Ethicon Endo-Surgery, Inc. Medical device with feature for sterile acceptance of non-sterile reusable component
US9526921B2 (en) 2010-11-05 2016-12-27 Ethicon Endo-Surgery, Llc User feedback through end effector of surgical instrument
US9186153B2 (en) 2011-01-31 2015-11-17 Covidien Lp Locking cam driver and jaw assembly for clip applier
BR112013027794B1 (pt) 2011-04-29 2020-12-15 Ethicon Endo-Surgery, Inc Conjunto de cartucho de grampos
US9775623B2 (en) 2011-04-29 2017-10-03 Covidien Lp Surgical clip applier including clip relief feature
US9072535B2 (en) 2011-05-27 2015-07-07 Ethicon Endo-Surgery, Inc. Surgical stapling instruments with rotatable staple deployment arrangements
US11207064B2 (en) 2011-05-27 2021-12-28 Cilag Gmbh International Automated end effector component reloading system for use with a robotic system
CN104039248A (zh) 2011-09-15 2014-09-10 泰利福医疗公司 手动外科结扎夹钳施用器
US9050084B2 (en) 2011-09-23 2015-06-09 Ethicon Endo-Surgery, Inc. Staple cartridge including collapsible deck arrangement
US20130131697A1 (en) 2011-11-21 2013-05-23 Covidien Lp Surgical clip applier
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
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
RU2014143258A (ru) 2012-03-28 2016-05-20 Этикон Эндо-Серджери, Инк. Компенсатор толщины ткани, содержащий множество слоев
US9198662B2 (en) 2012-03-28 2015-12-01 Ethicon Endo-Surgery, Inc. Tissue thickness compensator having improved visibility
BR112014024194B1 (pt) 2012-03-28 2022-03-03 Ethicon Endo-Surgery, Inc Conjunto de cartucho de grampos para um grampeador cirúrgico
RU2639857C2 (ru) 2012-03-28 2017-12-22 Этикон Эндо-Серджери, Инк. Компенсатор толщины ткани, содержащий капсулу для среды с низким давлением
US9408610B2 (en) 2012-05-04 2016-08-09 Covidien Lp Surgical clip applier with dissector
US9532787B2 (en) 2012-05-31 2017-01-03 Covidien Lp Endoscopic clip applier
US9101358B2 (en) 2012-06-15 2015-08-11 Ethicon Endo-Surgery, Inc. Articulatable surgical instrument comprising a firing drive
US9649111B2 (en) 2012-06-28 2017-05-16 Ethicon Endo-Surgery, Llc Replaceable clip cartridge for a clip applier
BR112014032776B1 (pt) 2012-06-28 2021-09-08 Ethicon Endo-Surgery, Inc Sistema de instrumento cirúrgico e kit cirúrgico para uso com um sistema de instrumento cirúrgico
US20140001231A1 (en) 2012-06-28 2014-01-02 Ethicon Endo-Surgery, Inc. Firing system lockout arrangements for surgical instruments
US20140005718A1 (en) 2012-06-28 2014-01-02 Ethicon Endo-Surgery, Inc. Multi-functional powered surgical device with external dissection features
US9289256B2 (en) 2012-06-28 2016-03-22 Ethicon Endo-Surgery, Llc Surgical end effectors having angled tissue-contacting surfaces
US9561038B2 (en) 2012-06-28 2017-02-07 Ethicon Endo-Surgery, Llc Interchangeable clip applier
US9101385B2 (en) 2012-06-28 2015-08-11 Ethicon Endo-Surgery, Inc. Electrode connections for rotary driven surgical tools
US9125662B2 (en) 2012-06-28 2015-09-08 Ethicon Endo-Surgery, Inc. Multi-axis articulating and rotating surgical tools
BR112014032740A2 (pt) 2012-06-28 2020-02-27 Ethicon Endo Surgery Inc bloqueio de cartucho de clipes vazio
US20140001234A1 (en) 2012-06-28 2014-01-02 Ethicon Endo-Surgery, Inc. Coupling arrangements for attaching surgical end effectors to drive systems therefor
US9119657B2 (en) 2012-06-28 2015-09-01 Ethicon Endo-Surgery, Inc. Rotary actuatable closure arrangement for surgical end effector
US9028494B2 (en) 2012-06-28 2015-05-12 Ethicon Endo-Surgery, Inc. Interchangeable end effector coupling arrangement
US9072536B2 (en) 2012-06-28 2015-07-07 Ethicon Endo-Surgery, Inc. Differential locking arrangements for rotary powered surgical instruments
US11278284B2 (en) 2012-06-28 2022-03-22 Cilag Gmbh International Rotary drive arrangements for surgical instruments
US9232944B2 (en) * 2012-06-29 2016-01-12 Covidien Lp Surgical instrument and bushing
US9968362B2 (en) 2013-01-08 2018-05-15 Covidien Lp Surgical clip applier
US9113892B2 (en) 2013-01-08 2015-08-25 Covidien Lp Surgical clip applier
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
BR112015021098B1 (pt) 2013-03-01 2022-02-15 Ethicon Endo-Surgery, Inc Cobertura para uma junta de articulação e instrumento cirúrgico
RU2669463C2 (ru) 2013-03-01 2018-10-11 Этикон Эндо-Серджери, Инк. Хирургический инструмент с мягким упором
US9358003B2 (en) 2013-03-01 2016-06-07 Ethicon Endo-Surgery, Llc Electromechanical surgical device with signal relay arrangement
US20140263552A1 (en) 2013-03-13 2014-09-18 Ethicon Endo-Surgery, Inc. Staple cartridge tissue thickness sensor system
US9629629B2 (en) 2013-03-14 2017-04-25 Ethicon Endo-Surgey, LLC Control systems for surgical instruments
US9883860B2 (en) 2013-03-14 2018-02-06 Ethicon Llc Interchangeable shaft assemblies for use with a surgical instrument
US9795384B2 (en) 2013-03-27 2017-10-24 Ethicon Llc Fastener cartridge comprising a tissue thickness compensator and a gap setting element
US9572577B2 (en) 2013-03-27 2017-02-21 Ethicon Endo-Surgery, Llc Fastener cartridge comprising a tissue thickness compensator including openings therein
US9332984B2 (en) 2013-03-27 2016-05-10 Ethicon Endo-Surgery, Llc Fastener cartridge assemblies
BR112015026109B1 (pt) 2013-04-16 2022-02-22 Ethicon Endo-Surgery, Inc Instrumento cirúrgico
US9844368B2 (en) 2013-04-16 2017-12-19 Ethicon Llc Surgical system comprising first and second drive systems
US9574644B2 (en) 2013-05-30 2017-02-21 Ethicon Endo-Surgery, Llc Power module for use with a surgical instrument
US9283054B2 (en) 2013-08-23 2016-03-15 Ethicon Endo-Surgery, Llc Interactive displays
MX369362B (es) 2013-08-23 2019-11-06 Ethicon Endo Surgery Llc Dispositivos de retraccion de miembros de disparo para instrumentos quirurgicos electricos.
US9775624B2 (en) 2013-08-27 2017-10-03 Covidien Lp Surgical clip applier
US9839428B2 (en) 2013-12-23 2017-12-12 Ethicon Llc Surgical cutting and stapling instruments with independent jaw control features
US9549735B2 (en) 2013-12-23 2017-01-24 Ethicon Endo-Surgery, Llc Fastener cartridge comprising a firing member including fastener transfer surfaces
US9724092B2 (en) 2013-12-23 2017-08-08 Ethicon Llc Modular surgical instruments
US20150173756A1 (en) 2013-12-23 2015-06-25 Ethicon Endo-Surgery, Inc. Surgical cutting and stapling methods
US10792041B2 (en) * 2014-01-10 2020-10-06 Conmed Corporation Devices and methods for applying surgical clips
US9962161B2 (en) 2014-02-12 2018-05-08 Ethicon Llc Deliverable surgical instrument
US9775608B2 (en) 2014-02-24 2017-10-03 Ethicon Llc Fastening system comprising a firing member lockout
BR112016019387B1 (pt) 2014-02-24 2022-11-29 Ethicon Endo-Surgery, Llc Sistema de instrumento cirúrgico e cartucho de prendedores para uso com um instrumento cirúrgico de fixação
US10013049B2 (en) 2014-03-26 2018-07-03 Ethicon Llc Power management through sleep options of segmented circuit and wake up control
US9913642B2 (en) 2014-03-26 2018-03-13 Ethicon Llc Surgical instrument comprising a sensor system
BR112016021943B1 (pt) 2014-03-26 2022-06-14 Ethicon Endo-Surgery, Llc Instrumento cirúrgico para uso por um operador em um procedimento cirúrgico
US20150272557A1 (en) 2014-03-26 2015-10-01 Ethicon Endo-Surgery, Inc. Modular surgical instrument system
US9750499B2 (en) 2014-03-26 2017-09-05 Ethicon Llc Surgical stapling instrument system
US10542988B2 (en) 2014-04-16 2020-01-28 Ethicon Llc End effector comprising an anvil including projections extending therefrom
CN106456159B (zh) 2014-04-16 2019-03-08 伊西康内外科有限责任公司 紧固件仓组件和钉保持器盖布置结构
US9801627B2 (en) 2014-09-26 2017-10-31 Ethicon Llc Fastener cartridge for creating a flexible staple line
JP6612256B2 (ja) 2014-04-16 2019-11-27 エシコン エルエルシー 不均一な締結具を備える締結具カートリッジ
US20150297225A1 (en) 2014-04-16 2015-10-22 Ethicon Endo-Surgery, Inc. Fastener cartridges including extensions having different configurations
BR112016023698B1 (pt) 2014-04-16 2022-07-26 Ethicon Endo-Surgery, Llc Cartucho de prendedores para uso com um instrumento cirúrgico
US10045781B2 (en) 2014-06-13 2018-08-14 Ethicon Llc Closure lockout systems for surgical instruments
US10111679B2 (en) 2014-09-05 2018-10-30 Ethicon Llc Circuitry and sensors for powered medical device
BR112017004361B1 (pt) 2014-09-05 2023-04-11 Ethicon Llc Sistema eletrônico para um instrumento cirúrgico
US11311294B2 (en) 2014-09-05 2022-04-26 Cilag Gmbh International Powered medical device including measurement of closure state of jaws
US10105142B2 (en) 2014-09-18 2018-10-23 Ethicon Llc Surgical stapler with plurality of cutting elements
BR112017005981B1 (pt) 2014-09-26 2022-09-06 Ethicon, Llc Material de escora para uso com um cartucho de grampos cirúrgicos e cartucho de grampos cirúrgicos para uso com um instrumento cirúrgico
US11523821B2 (en) 2014-09-26 2022-12-13 Cilag Gmbh International Method for creating a flexible staple line
US10076325B2 (en) 2014-10-13 2018-09-18 Ethicon Llc Surgical stapling apparatus comprising a tissue stop
US9924944B2 (en) 2014-10-16 2018-03-27 Ethicon Llc Staple cartridge comprising an adjunct material
US11141153B2 (en) 2014-10-29 2021-10-12 Cilag Gmbh International Staple cartridges comprising driver arrangements
US10517594B2 (en) 2014-10-29 2019-12-31 Ethicon Llc Cartridge assemblies for surgical staplers
US9844376B2 (en) 2014-11-06 2017-12-19 Ethicon Llc Staple cartridge comprising a releasable adjunct material
US10702278B2 (en) 2014-12-02 2020-07-07 Covidien Lp Laparoscopic surgical ligation clip applier
US10736636B2 (en) 2014-12-10 2020-08-11 Ethicon Llc Articulatable surgical instrument system
MX2017008108A (es) 2014-12-18 2018-03-06 Ethicon Llc Instrumento quirurgico con un yunque que puede moverse de manera selectiva sobre un eje discreto no movil con relacion a un cartucho de grapas.
US10085748B2 (en) 2014-12-18 2018-10-02 Ethicon Llc Locking arrangements for detachable shaft assemblies with articulatable surgical end effectors
US9844375B2 (en) 2014-12-18 2017-12-19 Ethicon Llc Drive arrangements for articulatable surgical instruments
US10188385B2 (en) 2014-12-18 2019-01-29 Ethicon Llc Surgical instrument system comprising lockable systems
US9987000B2 (en) 2014-12-18 2018-06-05 Ethicon Llc Surgical instrument assembly comprising a flexible articulation system
US10117649B2 (en) 2014-12-18 2018-11-06 Ethicon Llc Surgical instrument assembly comprising a lockable articulation system
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
US10004501B2 (en) 2014-12-18 2018-06-26 Ethicon Llc Surgical instruments with improved closure arrangements
US9931124B2 (en) 2015-01-07 2018-04-03 Covidien Lp Reposable clip applier
US10292712B2 (en) 2015-01-28 2019-05-21 Covidien Lp Surgical clip applier with integrated cutter
US10226250B2 (en) 2015-02-27 2019-03-12 Ethicon Llc 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
US11154301B2 (en) 2015-02-27 2021-10-26 Cilag Gmbh International Modular stapling assembly
US9931118B2 (en) 2015-02-27 2018-04-03 Ethicon Endo-Surgery, Llc Reinforced battery for a surgical instrument
US9895148B2 (en) 2015-03-06 2018-02-20 Ethicon Endo-Surgery, Llc Monitoring speed control and precision incrementing of motor for powered surgical instruments
US10687806B2 (en) 2015-03-06 2020-06-23 Ethicon Llc Adaptive tissue compression techniques to adjust closure rates for multiple tissue types
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
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
US9993248B2 (en) 2015-03-06 2018-06-12 Ethicon Endo-Surgery, Llc Smart sensors with local signal processing
US9808246B2 (en) 2015-03-06 2017-11-07 Ethicon Endo-Surgery, Llc Method of operating a powered surgical instrument
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
US9924961B2 (en) 2015-03-06 2018-03-27 Ethicon Endo-Surgery, Llc Interactive feedback system for powered surgical instruments
US10052044B2 (en) 2015-03-06 2018-08-21 Ethicon Llc Time dependent evaluation of sensor data to determine stability, creep, and viscoelastic elements of measures
US10617412B2 (en) 2015-03-06 2020-04-14 Ethicon Llc System for detecting the mis-insertion of a staple cartridge into a surgical stapler
US10433844B2 (en) 2015-03-31 2019-10-08 Ethicon Llc Surgical instrument with selectively disengageable threaded drive systems
TWI597045B (zh) * 2015-06-11 2017-09-01 台灣先進手術醫療器材股份有限公司 自動施夾器
US10178992B2 (en) 2015-06-18 2019-01-15 Ethicon Llc Push/pull articulation drive systems for articulatable surgical instruments
US10835249B2 (en) 2015-08-17 2020-11-17 Ethicon Llc Implantable layers for a surgical instrument
US10390829B2 (en) 2015-08-26 2019-08-27 Ethicon Llc Staples comprising a cover
JP6828018B2 (ja) 2015-08-26 2021-02-10 エシコン エルエルシーＥｔｈｉｃｏｎ ＬＬＣ ステープルの特性変更を可能にし、カートリッジへの充填を容易にする外科用ステープルストリップ
US10314587B2 (en) 2015-09-02 2019-06-11 Ethicon Llc Surgical staple cartridge with improved staple driver configurations
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.
US10105139B2 (en) 2015-09-23 2018-10-23 Ethicon Llc Surgical stapler having downstream current-based motor control
US10327769B2 (en) 2015-09-23 2019-06-25 Ethicon Llc Surgical stapler having motor control based on a drive system component
US10076326B2 (en) 2015-09-23 2018-09-18 Ethicon Llc Surgical stapler having current mirror-based motor control
US10363036B2 (en) 2015-09-23 2019-07-30 Ethicon Llc Surgical stapler having force-based motor control
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
US10085751B2 (en) 2015-09-23 2018-10-02 Ethicon Llc Surgical stapler having temperature-based motor control
US10299878B2 (en) 2015-09-25 2019-05-28 Ethicon Llc Implantable adjunct systems for determining adjunct skew
US10980539B2 (en) 2015-09-30 2021-04-20 Ethicon Llc Implantable adjunct comprising bonded layers
US11890015B2 (en) 2015-09-30 2024-02-06 Cilag Gmbh International Compressible adjunct with crossing spacer fibers
US11690623B2 (en) 2015-09-30 2023-07-04 Cilag Gmbh International Method for applying an implantable layer to a fastener cartridge
US20170086829A1 (en) 2015-09-30 2017-03-30 Ethicon Endo-Surgery, Llc Compressible adjunct with intermediate supporting structures
JP6626197B2 (ja) 2015-11-03 2019-12-25 コヴィディエン リミテッド パートナーシップ 内視鏡外科用クリップアプライヤ
AU2015414380B2 (en) 2015-11-10 2020-10-15 Covidien Lp Endoscopic reposable surgical clip applier
US10390831B2 (en) 2015-11-10 2019-08-27 Covidien Lp Endoscopic reposable surgical clip applier
US10292704B2 (en) 2015-12-30 2019-05-21 Ethicon Llc Mechanisms for compensating for battery pack failure in powered surgical instruments
US10368865B2 (en) 2015-12-30 2019-08-06 Ethicon Llc Mechanisms for compensating for drivetrain failure in powered surgical instruments
US10265068B2 (en) 2015-12-30 2019-04-23 Ethicon Llc Surgical instruments with separable motors and motor control circuits
CN108472044B (zh) 2016-01-11 2021-04-16 柯惠有限合伙公司 内窥镜可搁置手术施夹器
WO2017124217A1 (en) 2016-01-18 2017-07-27 Covidien Lp Endoscopic surgical clip applier
US10300587B2 (en) * 2016-02-04 2019-05-28 Toyota Motor Engineering & Manufacturing North America, Inc. Clip installation tool
US11213293B2 (en) 2016-02-09 2022-01-04 Cilag Gmbh International Articulatable surgical instruments with single articulation link arrangements
JP6911054B2 (ja) 2016-02-09 2021-07-28 エシコン エルエルシーＥｔｈｉｃｏｎ ＬＬＣ 非対称の関節構成を備えた外科用器具
US10245030B2 (en) 2016-02-09 2019-04-02 Ethicon Llc Surgical instruments with tensioning arrangements for cable driven articulation systems
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
US10448948B2 (en) 2016-02-12 2019-10-22 Ethicon Llc Mechanisms for compensating for drivetrain failure in powered surgical instruments
CA2958160A1 (en) 2016-02-24 2017-08-24 Covidien Lp Endoscopic reposable surgical clip applier
US10376263B2 (en) 2016-04-01 2019-08-13 Ethicon Llc Anvil modification members for surgical staplers
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
US11179150B2 (en) 2016-04-15 2021-11-23 Cilag Gmbh International Systems and methods for controlling a surgical stapling and cutting instrument
US10405859B2 (en) 2016-04-15 2019-09-10 Ethicon Llc Surgical instrument with adjustable stop/start control during a firing motion
US10492783B2 (en) 2016-04-15 2019-12-03 Ethicon, Llc Surgical instrument with improved stop/start control during a firing motion
US10357247B2 (en) 2016-04-15 2019-07-23 Ethicon Llc Surgical instrument with multiple program responses during a firing motion
US10335145B2 (en) 2016-04-15 2019-07-02 Ethicon Llc Modular surgical instrument with configurable operating mode
US11607239B2 (en) 2016-04-15 2023-03-21 Cilag Gmbh International Systems and methods for controlling a surgical stapling and cutting instrument
US10828028B2 (en) 2016-04-15 2020-11-10 Ethicon Llc Surgical instrument with multiple program responses during a firing motion
US10456137B2 (en) 2016-04-15 2019-10-29 Ethicon Llc Staple formation detection mechanisms
US10426467B2 (en) 2016-04-15 2019-10-01 Ethicon Llc Surgical instrument with detection sensors
US11317917B2 (en) 2016-04-18 2022-05-03 Cilag Gmbh International Surgical stapling system comprising a lockable firing assembly
US20170296173A1 (en) 2016-04-18 2017-10-19 Ethicon Endo-Surgery, Llc Method for operating a surgical instrument
US10363037B2 (en) 2016-04-18 2019-07-30 Ethicon Llc Surgical instrument system comprising a magnetic lockout
USD850617S1 (en) 2016-06-24 2019-06-04 Ethicon Llc Surgical fastener cartridge
USD826405S1 (en) 2016-06-24 2018-08-21 Ethicon Llc Surgical fastener
USD847989S1 (en) 2016-06-24 2019-05-07 Ethicon Llc Surgical fastener cartridge
US11000278B2 (en) 2016-06-24 2021-05-11 Ethicon Llc Staple cartridge comprising wire staples and stamped 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
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
US10639044B2 (en) 2016-10-31 2020-05-05 Covidien Lp Ligation clip module and clip applier
US10660651B2 (en) 2016-10-31 2020-05-26 Covidien Lp Endoscopic reposable 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
US10492795B2 (en) 2016-11-01 2019-12-03 Covidien Lp Endoscopic surgical clip applier
US10682138B2 (en) 2016-12-21 2020-06-16 Ethicon Llc Bilaterally asymmetric staple forming pocket pairs
US11684367B2 (en) 2016-12-21 2023-06-27 Cilag Gmbh International Stepped assembly having and end-of-life indicator
US10893864B2 (en) 2016-12-21 2021-01-19 Ethicon Staple cartridges and arrangements of staples and staple cavities therein
JP6983893B2 (ja) 2016-12-21 2021-12-17 エシコン エルエルシーEthicon LLC 外科用エンドエフェクタ及び交換式ツールアセンブリのためのロックアウト構成
US11134942B2 (en) 2016-12-21 2021-10-05 Cilag Gmbh International Surgical stapling instruments and staple-forming anvils
US10675026B2 (en) 2016-12-21 2020-06-09 Ethicon Llc Methods of stapling tissue
US10835245B2 (en) 2016-12-21 2020-11-17 Ethicon Llc Method for attaching a shaft assembly to a surgical instrument and, alternatively, to a surgical robot
US10537324B2 (en) 2016-12-21 2020-01-21 Ethicon Llc Stepped staple cartridge with asymmetrical staples
US10588632B2 (en) 2016-12-21 2020-03-17 Ethicon Llc Surgical end effectors and firing members thereof
US10588630B2 (en) 2016-12-21 2020-03-17 Ethicon Llc Surgical tool assemblies with closure stroke reduction features
US10695055B2 (en) 2016-12-21 2020-06-30 Ethicon Llc Firing assembly comprising a lockout
US20180168625A1 (en) 2016-12-21 2018-06-21 Ethicon Endo-Surgery, Llc Surgical stapling instruments with smart staple cartridges
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
US10687810B2 (en) 2016-12-21 2020-06-23 Ethicon Llc Stepped staple cartridge with tissue retention and gap setting features
US10993715B2 (en) 2016-12-21 2021-05-04 Ethicon Llc Staple cartridge comprising staples with different clamping breadths
US10856868B2 (en) 2016-12-21 2020-12-08 Ethicon Llc Firing member pin configurations
US10945727B2 (en) 2016-12-21 2021-03-16 Ethicon Llc Staple cartridge with deformable driver retention features
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
US10524789B2 (en) 2016-12-21 2020-01-07 Ethicon Llc Laterally actuatable articulation lock arrangements for locking an end effector of a surgical instrument in an articulated configuration
JP2020501779A (ja) 2016-12-21 2020-01-23 エシコン エルエルシーＥｔｈｉｃｏｎ ＬＬＣ 外科用ステープル留めシステム
US10881401B2 (en) 2016-12-21 2021-01-05 Ethicon Llc Staple firing member comprising a missing cartridge and/or spent cartridge lockout
US10448950B2 (en) 2016-12-21 2019-10-22 Ethicon Llc Surgical staplers with independently actuatable closing and firing systems
US10426471B2 (en) 2016-12-21 2019-10-01 Ethicon Llc Surgical instrument with multiple failure response modes
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
US10709455B2 (en) 2017-02-02 2020-07-14 Covidien Lp Endoscopic surgical clip applier
US10758244B2 (en) 2017-02-06 2020-09-01 Covidien Lp Endoscopic surgical clip applier
US10660725B2 (en) 2017-02-14 2020-05-26 Covidien Lp Endoscopic surgical clip applier including counter assembly
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
US11583291B2 (en) 2017-02-23 2023-02-21 Covidien Lp Endoscopic surgical clip applier
US10675043B2 (en) 2017-05-04 2020-06-09 Covidien Lp Reposable multi-fire surgical clip applier
US10722235B2 (en) 2017-05-11 2020-07-28 Covidien Lp Spring-release surgical clip
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
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
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
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
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
US10881396B2 (en) 2017-06-20 2021-01-05 Ethicon Llc Surgical instrument with variable duration trigger arrangement
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
USD879808S1 (en) 2017-06-20 2020-03-31 Ethicon Llc Display panel with graphical user interface
US11517325B2 (en) 2017-06-20 2022-12-06 Cilag Gmbh International Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on measured displacement distance traveled over a specified time interval
USD890784S1 (en) 2017-06-20 2020-07-21 Ethicon Llc Display panel with changeable graphical user interface
US10646220B2 (en) 2017-06-20 2020-05-12 Ethicon Llc Systems and methods for controlling displacement member velocity for a surgical instrument
US10624633B2 (en) 2017-06-20 2020-04-21 Ethicon Llc Systems and methods for controlling motor velocity of a surgical stapling and cutting instrument
US11653914B2 (en) 2017-06-20 2023-05-23 Cilag Gmbh International Systems and methods for controlling motor velocity of a surgical stapling and cutting instrument according to articulation angle of end effector
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
US10813639B2 (en) 2017-06-20 2020-10-27 Ethicon Llc Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on system conditions
US10779820B2 (en) 2017-06-20 2020-09-22 Ethicon Llc Systems and methods for controlling motor speed according to user input for a surgical instrument
US10368864B2 (en) 2017-06-20 2019-08-06 Ethicon Llc Systems and methods for controlling displaying motor velocity for a surgical instrument
US10881399B2 (en) 2017-06-20 2021-01-05 Ethicon Llc Techniques for adaptive control of motor velocity of a surgical stapling and cutting instrument
USD879809S1 (en) 2017-06-20 2020-03-31 Ethicon Llc Display panel with changeable graphical user interface
US11266405B2 (en) 2017-06-27 2022-03-08 Cilag Gmbh International Surgical anvil manufacturing methods
US10856869B2 (en) 2017-06-27 2020-12-08 Ethicon Llc Surgical anvil arrangements
US11324503B2 (en) 2017-06-27 2022-05-10 Cilag Gmbh International Surgical firing member arrangements
US10993716B2 (en) 2017-06-27 2021-05-04 Ethicon Llc Surgical anvil arrangements
US10631859B2 (en) 2017-06-27 2020-04-28 Ethicon Llc Articulation systems for surgical instruments
US10772629B2 (en) 2017-06-27 2020-09-15 Ethicon Llc Surgical anvil arrangements
USD869655S1 (en) 2017-06-28 2019-12-10 Ethicon Llc Surgical fastener cartridge
USD854151S1 (en) 2017-06-28 2019-07-16 Ethicon Llc Surgical instrument shaft
US10786253B2 (en) 2017-06-28 2020-09-29 Ethicon Llc Surgical end effectors with improved jaw aperture arrangements
US11564686B2 (en) 2017-06-28 2023-01-31 Cilag Gmbh International Surgical shaft assemblies with flexible interfaces
US10765427B2 (en) 2017-06-28 2020-09-08 Ethicon Llc Method for articulating a surgical instrument
USD851762S1 (en) 2017-06-28 2019-06-18 Ethicon Llc Anvil
EP4070740A1 (en) 2017-06-28 2022-10-12 Cilag GmbH International Surgical instrument comprising selectively actuatable rotatable couplers
USD906355S1 (en) 2017-06-28 2020-12-29 Ethicon Llc Display screen or portion thereof with a graphical user interface for a surgical instrument
US10903685B2 (en) 2017-06-28 2021-01-26 Ethicon Llc Surgical shaft assemblies with slip ring assemblies forming capacitive channels
US10716614B2 (en) 2017-06-28 2020-07-21 Ethicon Llc Surgical shaft assemblies with slip ring assemblies with increased contact pressure
US11259805B2 (en) 2017-06-28 2022-03-01 Cilag Gmbh International Surgical instrument comprising firing member supports
US10211586B2 (en) 2017-06-28 2019-02-19 Ethicon Llc Surgical shaft assemblies with watertight housings
US11246592B2 (en) 2017-06-28 2022-02-15 Cilag Gmbh International Surgical instrument comprising an articulation system lockable to a frame
US11000279B2 (en) 2017-06-28 2021-05-11 Ethicon Llc Surgical instrument comprising an articulation system ratio
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
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
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
US11471155B2 (en) 2017-08-03 2022-10-18 Cilag Gmbh International Surgical system bailout
US11944300B2 (en) 2017-08-03 2024-04-02 Cilag Gmbh International Method for operating a surgical system bailout
US11304695B2 (en) 2017-08-03 2022-04-19 Cilag Gmbh International Surgical system shaft interconnection
US10675112B2 (en) 2017-08-07 2020-06-09 Covidien Lp Endoscopic surgical clip applier including counter assembly
US10863992B2 (en) 2017-08-08 2020-12-15 Covidien Lp Endoscopic surgical clip applier
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
US10966720B2 (en) 2017-09-01 2021-04-06 RevMedica, Inc. Surgical stapler with removable power pack
US11331099B2 (en) 2017-09-01 2022-05-17 Rev Medica, Inc. Surgical stapler with removable power pack and interchangeable battery pack
US10695060B2 (en) 2017-09-01 2020-06-30 RevMedica, Inc. Loadable power pack for surgical instruments
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
US10743872B2 (en) 2017-09-29 2020-08-18 Ethicon Llc System and methods for controlling a display of a surgical instrument
USD907647S1 (en) 2017-09-29 2021-01-12 Ethicon Llc Display screen or portion thereof with animated graphical user interface
US10765429B2 (en) 2017-09-29 2020-09-08 Ethicon Llc Systems and methods for providing alerts according to the operational state of a surgical instrument
US10796471B2 (en) 2017-09-29 2020-10-06 Ethicon Llc Systems and methods of displaying a knife position for a surgical instrument
US11399829B2 (en) 2017-09-29 2022-08-02 Cilag Gmbh International Systems and methods of initiating a power shutdown mode for a surgical instrument
USD907648S1 (en) 2017-09-29 2021-01-12 Ethicon Llc Display screen or portion thereof with animated graphical user interface
USD917500S1 (en) 2017-09-29 2021-04-27 Ethicon Llc Display screen or portion thereof with graphical user interface
US10729501B2 (en) 2017-09-29 2020-08-04 Ethicon Llc Systems and methods for language selection of a surgical instrument
US11090075B2 (en) 2017-10-30 2021-08-17 Cilag Gmbh International Articulation features for surgical end effector
US11406390B2 (en) * 2017-10-30 2022-08-09 Cilag Gmbh International Clip applier comprising interchangeable clip reloads
US11134944B2 (en) 2017-10-30 2021-10-05 Cilag Gmbh International Surgical stapler knife motion controls
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
US11376015B2 (en) 2017-11-03 2022-07-05 Covidien Lp Endoscopic surgical clip applier and handle assemblies for use therewith
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
US10932791B2 (en) 2017-11-03 2021-03-02 Covidien Lp Reposable multi-fire surgical clip applier
US10945734B2 (en) 2017-11-03 2021-03-16 Covidien Lp Rotation knob assemblies and surgical instruments including the same
US10722236B2 (en) 2017-12-12 2020-07-28 Covidien Lp Endoscopic reposable 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
US10959737B2 (en) 2017-12-13 2021-03-30 Covidien Lp Reposable multi-fire surgical clip applier
US11071543B2 (en) 2017-12-15 2021-07-27 Cilag Gmbh International Surgical end effectors with clamping assemblies configured to increase jaw aperture ranges
US11006955B2 (en) 2017-12-15 2021-05-18 Ethicon Llc End effectors with positive jaw opening features for use with adapters for electromechanical surgical instruments
US10743875B2 (en) 2017-12-15 2020-08-18 Ethicon Llc Surgical end effectors with jaw stiffener arrangements configured to permit monitoring of firing member
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
US11197670B2 (en) 2017-12-15 2021-12-14 Cilag Gmbh International Surgical end effectors with pivotal jaws configured to touch at their respective distal ends when fully closed
US11033267B2 (en) 2017-12-15 2021-06-15 Ethicon Llc Systems and methods of controlling a clamping member firing rate of a surgical instrument
US10828033B2 (en) 2017-12-15 2020-11-10 Ethicon Llc Handheld electromechanical surgical instruments with improved motor control arrangements for positioning components of an adapter coupled thereto
US10687813B2 (en) 2017-12-15 2020-06-23 Ethicon Llc Adapters with firing stroke sensing arrangements for use in connection with electromechanical surgical instruments
US10966718B2 (en) 2017-12-15 2021-04-06 Ethicon Llc Dynamic clamping assemblies with improved wear characteristics for use in connection with electromechanical surgical instruments
US10743874B2 (en) 2017-12-15 2020-08-18 Ethicon Llc Sealed adapters for use with electromechanical surgical instruments
US10779825B2 (en) 2017-12-15 2020-09-22 Ethicon Llc Adapters with end effector position sensing and control arrangements for use in connection with electromechanical surgical instruments
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
US11020112B2 (en) 2017-12-19 2021-06-01 Ethicon Llc Surgical tools configured for interchangeable use with different controller interfaces
US11045270B2 (en) 2017-12-19 2021-06-29 Cilag Gmbh International Robotic attachment comprising exterior drive actuator
US10729509B2 (en) 2017-12-19 2020-08-04 Ethicon Llc Surgical instrument comprising closure and firing locking mechanism
USD910847S1 (en) 2017-12-19 2021-02-16 Ethicon Llc Surgical instrument assembly
US10716565B2 (en) 2017-12-19 2020-07-21 Ethicon Llc Surgical instruments with dual articulation drivers
US10682134B2 (en) 2017-12-21 2020-06-16 Ethicon Llc Continuous use self-propelled stapling instrument
US11311290B2 (en) 2017-12-21 2022-04-26 Cilag Gmbh International Surgical instrument comprising an end effector dampener
US11129680B2 (en) 2017-12-21 2021-09-28 Cilag Gmbh International Surgical instrument comprising a projector
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
US10828043B2 (en) * 2018-02-08 2020-11-10 Ethicon Llc Surgical clip applier employing arcuate surgical clips
US10993721B2 (en) 2018-04-25 2021-05-04 Covidien Lp Surgical clip applier
US10786273B2 (en) 2018-07-13 2020-09-29 Covidien Lp Rotation knob assemblies for handle assemblies
US11344316B2 (en) 2018-08-13 2022-05-31 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
US11051828B2 (en) 2018-08-13 2021-07-06 Covidien Lp Rotation knob assemblies and surgical instruments including same
US11246601B2 (en) 2018-08-13 2022-02-15 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
US10912559B2 (en) 2018-08-20 2021-02-09 Ethicon Llc Reinforced deformable anvil tip for surgical stapler anvil
US11039834B2 (en) 2018-08-20 2021-06-22 Cilag Gmbh International Surgical stapler anvils with staple directing protrusions and tissue stability features
US10779821B2 (en) 2018-08-20 2020-09-22 Ethicon Llc Surgical stapler anvils with tissue stop features configured to avoid tissue pinch
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
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
USD914878S1 (en) 2018-08-20 2021-03-30 Ethicon Llc Surgical instrument anvil
US11253256B2 (en) 2018-08-20 2022-02-22 Cilag Gmbh International Articulatable motor powered surgical instruments with dedicated articulation motor arrangements
US11291440B2 (en) 2018-08-20 2022-04-05 Cilag Gmbh International Method for operating a powered articulatable surgical instrument
US10856870B2 (en) 2018-08-20 2020-12-08 Ethicon Llc Switching arrangements for motor powered articulatable surgical instruments
US11696791B2 (en) 2018-09-07 2023-07-11 Cilag Gmbh International Surgical instrument utilizing drive signal to power secondary function
US11147566B2 (en) 2018-10-01 2021-10-19 Covidien Lp Endoscopic surgical clip applier
US11524398B2 (en) 2019-03-19 2022-12-13 Covidien Lp Gear drive mechanisms for surgical instruments
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
US11172929B2 (en) 2019-03-25 2021-11-16 Cilag Gmbh International Articulation drive arrangements for surgical systems
US11147553B2 (en) 2019-03-25 2021-10-19 Cilag Gmbh International Firing drive arrangements for surgical systems
US11903581B2 (en) 2019-04-30 2024-02-20 Cilag Gmbh International Methods for stapling tissue using a surgical instrument
US11253254B2 (en) 2019-04-30 2022-02-22 Cilag Gmbh International Shaft rotation actuator on a surgical instrument
US11648009B2 (en) 2019-04-30 2023-05-16 Cilag Gmbh International Rotatable jaw tip for a surgical instrument
US11452528B2 (en) 2019-04-30 2022-09-27 Cilag Gmbh International Articulation actuators for a surgical instrument
US11426251B2 (en) 2019-04-30 2022-08-30 Cilag Gmbh International Articulation directional lights on a surgical instrument
US11432816B2 (en) 2019-04-30 2022-09-06 Cilag Gmbh International Articulation pin for a surgical instrument
US11471157B2 (en) 2019-04-30 2022-10-18 Cilag Gmbh International Articulation control mapping for a surgical instrument
US11478241B2 (en) 2019-06-28 2022-10-25 Cilag Gmbh International Staple cartridge including projections
US11229437B2 (en) 2019-06-28 2022-01-25 Cilag Gmbh International Method for authenticating the compatibility of a staple cartridge with a surgical instrument
US11660163B2 (en) 2019-06-28 2023-05-30 Cilag Gmbh International Surgical system with RFID tags for updating motor assembly parameters
US11399837B2 (en) 2019-06-28 2022-08-02 Cilag Gmbh International Mechanisms for motor control adjustments of a motorized surgical instrument
US11376098B2 (en) 2019-06-28 2022-07-05 Cilag Gmbh International Surgical instrument system comprising an RFID system
US11684434B2 (en) 2019-06-28 2023-06-27 Cilag Gmbh International Surgical RFID assemblies for instrument operational setting control
US11638587B2 (en) 2019-06-28 2023-05-02 Cilag Gmbh International RFID identification systems for surgical instruments
US11259803B2 (en) 2019-06-28 2022-03-01 Cilag Gmbh International Surgical stapling system having an information encryption protocol
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
US11298132B2 (en) 2019-06-28 2022-04-12 Cilag GmbH Inlernational Staple cartridge including a honeycomb extension
US11246678B2 (en) 2019-06-28 2022-02-15 Cilag Gmbh International Surgical stapling system having a frangible RFID tag
US11497492B2 (en) 2019-06-28 2022-11-15 Cilag Gmbh International Surgical instrument including an articulation lock
US11224497B2 (en) 2019-06-28 2022-01-18 Cilag Gmbh International Surgical systems with multiple RFID tags
US11627959B2 (en) 2019-06-28 2023-04-18 Cilag Gmbh International Surgical instruments including manual and powered system lockouts
US11553971B2 (en) 2019-06-28 2023-01-17 Cilag Gmbh International Surgical RFID assemblies for display and communication
US11298127B2 (en) 2019-06-28 2022-04-12 Cilag GmbH Interational Surgical stapling system having a lockout mechanism for an incompatible cartridge
US11523822B2 (en) 2019-06-28 2022-12-13 Cilag Gmbh International Battery pack including a circuit interrupter
US11291451B2 (en) 2019-06-28 2022-04-05 Cilag Gmbh International Surgical instrument with battery compatibility verification functionality
US11051807B2 (en) 2019-06-28 2021-07-06 Cilag Gmbh International Packaging assembly including a particulate trap
US11771419B2 (en) 2019-06-28 2023-10-03 Cilag Gmbh International Packaging for a replaceable component of a surgical stapling system
US11464601B2 (en) 2019-06-28 2022-10-11 Cilag Gmbh International Surgical instrument comprising an RFID system for tracking a movable component
WO2021016006A1 (en) 2019-07-19 2021-01-28 RevMedica, Inc. Surgical stapler with removable power pack
US11529139B2 (en) 2019-12-19 2022-12-20 Cilag Gmbh International Motor driven surgical instrument
US11701111B2 (en) 2019-12-19 2023-07-18 Cilag Gmbh International Method for operating a surgical stapling instrument
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
US11464512B2 (en) 2019-12-19 2022-10-11 Cilag Gmbh International Staple cartridge comprising a curved deck surface
US11607219B2 (en) 2019-12-19 2023-03-21 Cilag Gmbh International Staple cartridge comprising a detachable tissue cutting knife
US11559304B2 (en) 2019-12-19 2023-01-24 Cilag Gmbh International Surgical instrument comprising a rapid closure mechanism
US11234698B2 (en) 2019-12-19 2022-02-01 Cilag Gmbh International Stapling system comprising a clamp lockout and a firing lockout
US11529137B2 (en) 2019-12-19 2022-12-20 Cilag Gmbh International Staple cartridge comprising driver retention members
US11931033B2 (en) 2019-12-19 2024-03-19 Cilag Gmbh International Staple cartridge comprising a latch lockout
US11446029B2 (en) 2019-12-19 2022-09-20 Cilag Gmbh International Staple cartridge comprising projections extending from a curved deck surface
US11291447B2 (en) 2019-12-19 2022-04-05 Cilag Gmbh International Stapling instrument comprising independent jaw closing and staple firing systems
US11304696B2 (en) 2019-12-19 2022-04-19 Cilag Gmbh International Surgical instrument comprising a powered articulation system
US11504122B2 (en) 2019-12-19 2022-11-22 Cilag Gmbh International Surgical instrument comprising a nested firing member
US11844520B2 (en) 2019-12-19 2023-12-19 Cilag Gmbh International Staple cartridge comprising driver retention members
US11911032B2 (en) 2019-12-19 2024-02-27 Cilag Gmbh International Staple cartridge comprising a seating cam
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
USD966512S1 (en) 2020-06-02 2022-10-11 Cilag Gmbh International Staple cartridge
USD975851S1 (en) 2020-06-02 2023-01-17 Cilag Gmbh International Staple cartridge
USD975278S1 (en) 2020-06-02 2023-01-10 Cilag Gmbh International Staple cartridge
USD967421S1 (en) 2020-06-02 2022-10-18 Cilag Gmbh International Staple cartridge
USD975850S1 (en) 2020-06-02 2023-01-17 Cilag Gmbh International Staple cartridge
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
US11864756B2 (en) 2020-07-28 2024-01-09 Cilag Gmbh International Surgical instruments with flexible ball chain drive arrangements
USD980425S1 (en) 2020-10-29 2023-03-07 Cilag Gmbh International Surgical instrument assembly
US11844518B2 (en) 2020-10-29 2023-12-19 Cilag Gmbh International Method for operating a surgical instrument
US11717289B2 (en) 2020-10-29 2023-08-08 Cilag Gmbh International Surgical instrument comprising an indicator which indicates that an articulation drive is actuatable
US11779330B2 (en) 2020-10-29 2023-10-10 Cilag Gmbh International Surgical instrument comprising a jaw alignment system
US11517390B2 (en) 2020-10-29 2022-12-06 Cilag Gmbh International Surgical instrument comprising a limited travel switch
US11931025B2 (en) 2020-10-29 2024-03-19 Cilag Gmbh International Surgical instrument comprising a releasable closure drive lock
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
USD1013170S1 (en) 2020-10-29 2024-01-30 Cilag Gmbh International Surgical instrument assembly
US11896217B2 (en) 2020-10-29 2024-02-13 Cilag Gmbh International Surgical instrument comprising an articulation lock
US11534259B2 (en) 2020-10-29 2022-12-27 Cilag Gmbh International Surgical instrument comprising an articulation indicator
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
US11944296B2 (en) 2020-12-02 2024-04-02 Cilag Gmbh International Powered surgical instruments with external connectors
US11653920B2 (en) 2020-12-02 2023-05-23 Cilag Gmbh International Powered surgical instruments with communication interfaces through sterile barrier
US11627960B2 (en) 2020-12-02 2023-04-18 Cilag Gmbh International Powered surgical instruments with smart reload with separately attachable exteriorly mounted wiring connections
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
US11849943B2 (en) 2020-12-02 2023-12-26 Cilag Gmbh International Surgical instrument with cartridge release mechanisms
US11678882B2 (en) 2020-12-02 2023-06-20 Cilag Gmbh International Surgical instruments with interactive features to remedy incidental sled movements
US11653915B2 (en) 2020-12-02 2023-05-23 Cilag Gmbh International Surgical instruments with sled location detection and adjustment features
US11749877B2 (en) 2021-02-26 2023-09-05 Cilag Gmbh International Stapling instrument comprising a signal antenna
US11730473B2 (en) 2021-02-26 2023-08-22 Cilag Gmbh International Monitoring of manufacturing life-cycle
US11701113B2 (en) 2021-02-26 2023-07-18 Cilag Gmbh International Stapling instrument comprising a separate power antenna and a data transfer antenna
US11950779B2 (en) 2021-02-26 2024-04-09 Cilag Gmbh International Method of powering and communicating with a staple cartridge
US11812964B2 (en) 2021-02-26 2023-11-14 Cilag Gmbh International Staple cartridge comprising a power management circuit
US11744583B2 (en) 2021-02-26 2023-09-05 Cilag Gmbh International Distal communication array to tune frequency of RF systems
US11925349B2 (en) 2021-02-26 2024-03-12 Cilag Gmbh International Adjustment to transfer parameters to improve available power
US11950777B2 (en) 2021-02-26 2024-04-09 Cilag Gmbh International Staple cartridge comprising an information access control system
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
US11751869B2 (en) 2021-02-26 2023-09-12 Cilag Gmbh International Monitoring of multiple sensors over time to detect moving characteristics of tissue
US11723657B2 (en) 2021-02-26 2023-08-15 Cilag Gmbh International Adjustable communication based on available bandwidth and power capacity
US11826012B2 (en) 2021-03-22 2023-11-28 Cilag Gmbh International Stapling instrument comprising a pulsed motor-driven firing rack
US11806011B2 (en) 2021-03-22 2023-11-07 Cilag Gmbh International Stapling instrument comprising tissue compression systems
US11723658B2 (en) 2021-03-22 2023-08-15 Cilag Gmbh International Staple cartridge comprising a firing lockout
US11737749B2 (en) 2021-03-22 2023-08-29 Cilag Gmbh International Surgical stapling instrument comprising a retraction system
US11717291B2 (en) 2021-03-22 2023-08-08 Cilag Gmbh International Staple cartridge comprising staples configured to apply different tissue compression
US11759202B2 (en) 2021-03-22 2023-09-19 Cilag Gmbh International Staple cartridge comprising an implantable layer
US11826042B2 (en) 2021-03-22 2023-11-28 Cilag Gmbh International Surgical instrument comprising a firing drive including a selectable leverage mechanism
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
US11896218B2 (en) 2021-03-24 2024-02-13 Cilag Gmbh International Method of using a powered stapling device
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
US11903582B2 (en) 2021-03-24 2024-02-20 Cilag Gmbh International Leveraging surfaces for cartridge installation
US11849945B2 (en) 2021-03-24 2023-12-26 Cilag Gmbh International Rotary-driven surgical stapling assembly comprising eccentrically driven firing member
US11793516B2 (en) 2021-03-24 2023-10-24 Cilag Gmbh International Surgical staple cartridge comprising longitudinal support beam
US11857183B2 (en) 2021-03-24 2024-01-02 Cilag Gmbh International Stapling assembly components having metal substrates and plastic bodies
US11896219B2 (en) 2021-03-24 2024-02-13 Cilag Gmbh International Mating features between drivers and underside of a cartridge deck
US11849944B2 (en) 2021-03-24 2023-12-26 Cilag Gmbh International Drivers for fastener cartridge assemblies having rotary drive screws
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
US11832816B2 (en) 2021-03-24 2023-12-05 Cilag Gmbh International Surgical stapling assembly comprising nonplanar staples and planar staples
US11950860B2 (en) 2021-03-30 2024-04-09 Cilag Gmbh International User interface mitigation techniques for modular energy systems
US20220378424A1 (en) 2021-05-28 2022-12-01 Cilag Gmbh International Stapling instrument comprising a firing lockout
US11957337B2 (en) 2021-10-18 2024-04-16 Cilag Gmbh International Surgical stapling assembly with offset ramped drive surfaces
US11877745B2 (en) 2021-10-18 2024-01-23 Cilag Gmbh International Surgical stapling assembly having longitudinally-repeating staple leg clusters
US11937816B2 (en) 2021-10-28 2024-03-26 Cilag Gmbh International Electrical lead arrangements for surgical instruments

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN101011273A (zh) * 2006-01-31 2007-08-08 伊西康内外科公司 具有反馈系统的外科器械
US7270670B1 (en) * 2003-04-21 2007-09-18 Cardica, Inc. Minimally-invasive surgical system utilizing a stabilizer
EP1908423A2 (en) * 2006-10-02 2008-04-09 Tyco Healthcare Group, LP Endosopic surgical clip applier
WO2008118928A2 (en) * 2007-03-26 2008-10-02 Tyco Healthcare Group Lp Endoscopic surgical clip applier

Family Cites Families (503)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3120230A (en) 1960-10-24 1964-02-04 Jack H Sanders Surgical clamp
US3638847A (en) 1970-07-06 1972-02-01 United States Surgical Corp Ratchet-driven cartridge for surgical instruments
US4611595A (en) 1977-08-05 1986-09-16 Charles H. Klieman Spring activated hemostatic clip applicator
US4242902A (en) 1978-05-11 1981-01-06 United States Surgical Corporation Surgical clip applicator
US4296751A (en) 1979-08-02 1981-10-27 Blake Joseph W Iii Surgical device
US4662374A (en) 1979-08-02 1987-05-05 American Hospital Supply Corp. Ligator device
US4372316A (en) 1979-08-02 1983-02-08 Blake Joseph W Iii Surgical device
US4532925A (en) 1979-08-02 1985-08-06 Joseph W. Blake, III Ligator device
US4480640A (en) 1980-04-22 1984-11-06 Senco Products, Inc. Ligating device
US4408603A (en) 1980-10-24 1983-10-11 Blake Joseph W Iii Surgical device
US4500024A (en) 1980-11-19 1985-02-19 Ethicon, Inc. Multiple clip applier
US4522207A (en) 1981-02-06 1985-06-11 Charles H. Klieman Spring activated hemostatic clip applicator
US4646740A (en) 1981-02-23 1987-03-03 Edward Weck & Co., Inc. Automatic hemoclip applier
US4576166A (en) 1981-06-29 1986-03-18 American Cyanamid Company Surgical ligating instrument
US4662373A (en) 1981-06-29 1987-05-05 American Cyanamid Company Surgical ligating instrument
US4498476A (en) 1981-08-27 1985-02-12 Ethicon, Inc. Non-metallic, bio-compatible hemostatic clips with interlocking latch means
US4487204A (en) 1981-10-14 1984-12-11 Nomel Device for applying haemostatic clips
US4480641A (en) 1982-02-05 1984-11-06 Ethicon, Inc. Tip configuration for a ligating clip applier
US4491133A (en) 1982-02-05 1985-01-01 Ethicon, Inc. Folding cartridge for a multiple clip applier
DE3204522A1 (de) 1982-02-10 1983-08-25 B. Braun Melsungen Ag, 3508 Melsungen Chirurgisches hautklammergeraet
US4509518A (en) 1982-02-17 1985-04-09 United States Surgical Corporation Apparatus for applying surgical clips
US4487205A (en) 1982-04-26 1984-12-11 Ethicon, Inc. Non-metallic, bio-compatible hemostatic clips
US4827930A (en) 1982-06-28 1989-05-09 Codman & Shurtleff, Inc. Reinforcing closer for aneurysm clip
US4545377A (en) 1982-09-24 1985-10-08 Ethicon, Inc. Non-metallic, bio-compatible hemostatic clips (two piece configured to lock tighter the larger the vessel being closed)
US4815466A (en) 1982-09-30 1989-03-28 Perlin Alfred R Surgical clip
US4492232A (en) 1982-09-30 1985-01-08 United States Surgical Corporation Surgical clip applying apparatus having fixed jaws
US4512345A (en) 1982-09-30 1985-04-23 United States Surgical Corporation Surgical clip applying apparatus, and clips and clip train for use therein
US4674504A (en) 1982-10-06 1987-06-23 Klieman Charles H Spring activated hemostatic clip applicator
US4534351A (en) 1982-10-20 1985-08-13 Senmed, Inc. Ligator
US4796625A (en) 1982-11-15 1989-01-10 Codman & Shurtleff, Inc. Aneurysm clip
US4562839A (en) 1983-01-06 1986-01-07 Blake Joseph W Iii Surgical instrument
US4556058A (en) 1983-08-17 1985-12-03 United States Surgical Corporation Apparatus for ligation and division with fixed jaws
US4602631A (en) 1983-09-08 1986-07-29 Noboru Funatsu Forceps for clamping surgical clips
US4637395A (en) 1983-10-04 1987-01-20 Aesculap-Werke Ag Applicator for C-shaped scalp clips
DE3335985C2 (de) 1983-10-04 1986-12-04 Aesculap-Werke Ag Vormals Jetter & Scheerer, 7200 Tuttlingen Magazin zur Aufnahme von C-förmigen Scalpclips
US4549544A (en) 1983-10-31 1985-10-29 Senmed, Inc. Clip stop for a surgical ligating instrument
US4733664A (en) 1983-12-01 1988-03-29 University Of New Mexico Surgical clip, applier, and method
US4929240A (en) 1983-12-01 1990-05-29 University Of New Mexico Surgical clip and applier
US4557263A (en) 1984-01-23 1985-12-10 United States Surgical Corporation Apparatus for applying surgical clips
US4576165A (en) 1984-01-23 1986-03-18 United States Surgical Corporation Surgical ligation and cutting device with safety means
US4932955A (en) 1984-06-29 1990-06-12 Baxter International Inc. Clip
US4616650A (en) 1984-07-27 1986-10-14 United States Surgical Corporation Apparatus for applying surgical clips
US4598711A (en) 1984-08-09 1986-07-08 American Cyanamid Company Surgical instrument
US4590937A (en) 1985-01-07 1986-05-27 American Cyanamid Company Nonmetallic surgical clip
US5127915A (en) 1984-10-29 1992-07-07 Mattson Philip D Surgical instrument for severing and clamping an umbilical cord
US4572183A (en) 1984-11-26 1986-02-25 Senmed, Inc. Positive feed system for a surgical ligating instrument
GB2168990B (en) 1984-12-22 1988-07-06 Hoechst Gosei Kk Dispersion of solvent-suspendible pressure sensitive adhesive particles and pressure sensitive adhesive sheet utilizing the dispersion
US4821721A (en) 1985-01-14 1989-04-18 Thomas J. Fogarty Apparatus and method for applying hemostatic scalp clips
US4671278A (en) 1985-01-14 1987-06-09 Thomas J. Fogarty Scalp hemostatic clip and dispenser therefor
US5122150A (en) 1985-03-27 1992-06-16 Puig Ana E Neurosurgical clip applier
US4616651A (en) 1985-04-15 1986-10-14 Ethicon, Inc. Surgical clip applier instrument adapter jaws
US4712549A (en) 1985-07-01 1987-12-15 Edward Weck & Co. Automatic hemostatic clip applier
US5047038A (en) * 1985-07-01 1991-09-10 Edward Weck Incorporated Automatic hemostatic clip applier
US4702247A (en) 1985-08-20 1987-10-27 American Hospital Supply Corporation Ligating clip
US4706668A (en) 1985-09-16 1987-11-17 B & B Tools Aneurysm clip pliers
DE3533423A1 (de) 1985-09-19 1987-03-26 Wolf Gmbh Richard Applikator-zangeneinsatz fuer chirurgische handhabe zur anwendung in der endoskopie
US4671282A (en) 1985-10-04 1987-06-09 Tretbar Lawrence L Clip apparatus
US4696396A (en) 1985-12-19 1987-09-29 Samuels Peter B Hemostatic clip cartridge
US4658822A (en) 1985-12-31 1987-04-21 Kees Jr George Aneurysm clip
US4681107A (en) 1985-12-31 1987-07-21 Kees Surgical Specialty Co. Device for holding an aneurysm clip
US4660558A (en) 1985-12-31 1987-04-28 Kees Jr George Aneurysm clip and method of manufacture
US4733666A (en) 1986-01-13 1988-03-29 Texas Tech University Health Sciences Center Surgical clip for cholangiography
US4777950A (en) 1986-04-11 1988-10-18 Kees Surgical Specialty Co. Vascular clip
US4967949A (en) 1986-07-11 1990-11-06 Vastech Medical Products Inc. Apparatus for effecting occlusion of the vas deferens
US4856517A (en) 1986-09-22 1989-08-15 Collins Jason H Umbilical cord clamp apparatus
DE3704760C1 (de) 1987-02-16 1988-03-03 Aesculap Werke Ag Anlegegeraet fuer C-foermige Scalpclips
US4929239A (en) 1987-02-16 1990-05-29 Aesculap-Werke Ag Vormals Jetter & Scheerer Device for filling the magazine of a scalp clip applicator with C-shaped scalp clips
US4765335A (en) 1987-03-16 1988-08-23 Intermar, Inc. Aneurysm clip
US4850355A (en) 1987-04-06 1989-07-25 Richard-Allan Medical Industries, Inc. Hemostatic clip applicator for applying multiple hemostatic clips
US4799481A (en) 1987-04-08 1989-01-24 Ethicon, Inc. Surgical hemostatic clips
US4777949A (en) 1987-05-08 1988-10-18 Metatech Corporation Surgical clip for clamping small blood vessels in brain surgery and the like
US4822348A (en) 1987-05-13 1989-04-18 Donn Casey Surgical clips
US5366459A (en) 1987-05-14 1994-11-22 Inbae Yoon Surgical clip and clip application procedures
US5171250A (en) 1987-05-14 1992-12-15 Inbae Yoon Surgical clips and surgical clip applicator and cutting and transection device
US5542949A (en) 1987-05-14 1996-08-06 Yoon; Inbae Multifunctional clip applier instrument
US4817604A (en) 1987-09-11 1989-04-04 Smith Iii Ray C Disposable cholangiogram clip
US4834096A (en) 1987-10-26 1989-05-30 Edward Weck Incorporated Plastic ligating clips
GB2212201B (en) 1987-11-10 1992-06-03 Donn Casey Surgical clip
US6974475B1 (en) 1987-12-08 2005-12-13 Wall W Henry Angioplasty stent
US4951860A (en) 1987-12-28 1990-08-28 Edward Weck & Co. Method and apparatus for storing, dispensing and applying surgical staples
US5030226A (en) 1988-01-15 1991-07-09 United States Surgical Corporation Surgical clip applicator
US5197970A (en) 1988-01-15 1993-03-30 United States Surgical Corporation Surgical clip applicator
US5084057A (en) 1989-07-18 1992-01-28 United States Surgical Corporation Apparatus and method for applying surgical clips in laparoscopic or endoscopic procedures
US5100420A (en) 1989-07-18 1992-03-31 United States Surgical Corporation Apparatus and method for applying surgical clips in laparoscopic or endoscopic procedures
US5129885A (en) 1990-02-13 1992-07-14 United States Surgical Corporation Safety device for trocars and surgical instruments therefor
US5383881A (en) 1989-07-18 1995-01-24 United States Surgical Corporation Safety device for use with endoscopic instrumentation
US5049152A (en) 1989-03-07 1991-09-17 Richard-Allan Medical Industries Hemostatic clip applicator
JPH01310654A (ja) 1988-06-09 1989-12-14 Shigekiyo Fujita 脳動脈瘤クリップ
US5053045A (en) 1988-09-16 1991-10-01 Schmidt Ferenc J Surgical clip
US4957500A (en) 1988-10-27 1990-09-18 Montefiore Hospital Association Of Western Pennsylvania Normally closed clamp
US5059202A (en) 1988-10-27 1991-10-22 The Montefiore Hospital Association Of Western Pennsylvania Tendon approximator
US4983176A (en) 1989-03-06 1991-01-08 University Of New Mexico Deformable plastic surgical clip
US5062846A (en) 1989-03-28 1991-11-05 Edward Weck Incorporated Penetrating plastic ligating clip
US5062563A (en) 1989-04-10 1991-11-05 United States Surgical Corporation Fascia stapler
US5104395A (en) 1989-07-03 1992-04-14 Edward Weck Incorporated Automatic hemostatic clip applicator
US5382254A (en) * 1989-07-18 1995-01-17 United States Surgical Corporation Actuating handle for surgical instruments
US4966603A (en) 1989-07-24 1990-10-30 Rms Company Aneurysm clip
US4931058A (en) 1989-08-16 1990-06-05 Applied Vascular Devices, Inc. Parallel jaw spring clip and method of making same
US5030224A (en) 1989-09-25 1991-07-09 Pioneering Technologies, Inc. Coronary artery retraction clip
US5100416A (en) 1989-10-17 1992-03-31 Edward Weck Incorporated Ligating clip applying instrument
US5026379A (en) 1989-12-05 1991-06-25 Inbae Yoon Multi-functional instruments and stretchable ligating and occluding devices
US5217473A (en) 1989-12-05 1993-06-08 Inbae Yoon Multi-functional instruments and stretchable ligating and occluding devices
US5049153A (en) 1989-12-26 1991-09-17 Nakao Naomi L Endoscopic stapling device and method
US4988355A (en) 1990-01-16 1991-01-29 Leveen Eric G Arterial clamp
US5035692A (en) 1990-02-13 1991-07-30 Nicholas Herbert Hemostasis clip applicator
US5032127A (en) 1990-03-07 1991-07-16 Frazee John G Hemostatic clip and applicator therefor
US5078731A (en) 1990-06-05 1992-01-07 Hayhurst John O Suture clip
DE4024106C1 (zh) 1990-07-30 1992-04-23 Ethicon Gmbh & Co Kg, 2000 Norderstedt, De
US5207692A (en) 1990-07-30 1993-05-04 Codman & Shurtleff, Inc. Surgical clip applier with reciprocating clip sleeve and dual ratchet mechanism
US5282807A (en) 1990-11-05 1994-02-01 Knoepfler Dennis J Automatic stapler for laparoscopic procedure with selective cutter, nontraumatic jaws and suction irrigator
US5104394A (en) 1990-11-05 1992-04-14 Knoepfler Dennis J Automatic stapler for laparoscopic procedure with selective cutter and suction irrigator
USRE36720E (en) 1990-12-13 2000-05-30 United States Surgical Corporation Apparatus and method for applying latchless surgical clips
US5366458A (en) 1990-12-13 1994-11-22 United States Surgical Corporation Latchless surgical clip
US5171252A (en) 1991-02-05 1992-12-15 Friedland Thomas W Surgical fastening clip formed of a shape memory alloy, a method of making such a clip and a method of using such a clip
US5171253A (en) 1991-03-22 1992-12-15 Klieman Charles H Velcro-like closure system with absorbable suture materials for absorbable hemostatic clips and surgical strips
US5395375A (en) 1992-11-18 1995-03-07 Symbiosis Corporation Arthroscopic surgical instruments
US5171249A (en) 1991-04-04 1992-12-15 Ethicon, Inc. Endoscopic multiple ligating clip applier
US5171247A (en) 1991-04-04 1992-12-15 Ethicon, Inc. Endoscopic multiple ligating clip applier with rotating shaft
US5112343A (en) 1991-04-05 1992-05-12 Edward Weck Incorporated Endoscopic clip appliers
US5160339A (en) 1991-06-18 1992-11-03 Ethicon, Inc. Endoscopic suture clip
US5201746A (en) 1991-10-16 1993-04-13 United States Surgical Corporation Surgical hemostatic clip
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
US5199566A (en) 1991-10-18 1993-04-06 Ethicon, Inc. Surgical clip applier
US5163945A (en) 1991-10-18 1992-11-17 Ethicon, Inc. Surgical clip applier
US5207691A (en) 1991-11-01 1993-05-04 Medical Scientific, Inc. Electrosurgical clip applicator
US5290299A (en) 1991-12-11 1994-03-01 Ventritex, Inc. Double jaw apparatus for attaching implanted materials to body tissue
US6963792B1 (en) 1992-01-21 2005-11-08 Sri International Surgical method
CA2088883A1 (en) 1992-02-13 1993-08-14 David T. Green Endoscopic ligating instrument
US5201900A (en) 1992-02-27 1993-04-13 Medical Scientific, Inc. Bipolar surgical clip
US5219353A (en) 1992-02-28 1993-06-15 Garvey Iii Thomas Q Surgical endoclip
US5171251A (en) 1992-03-02 1992-12-15 Ethicon, Inc. Surgical clip having hole therein and method of anchoring suture
CA2090980C (en) 1992-03-06 2004-11-30 David Stefanchik Ligating clip applier
US5246450A (en) 1992-03-10 1993-09-21 Edward Weck Incorporated High capacity medical clip feeding and dispensing mechanism
US5304183A (en) 1992-03-23 1994-04-19 Laparomed Corporation Tethered clamp retractor
CA2094463A1 (en) 1992-04-28 1993-10-29 Claude Vidal Vessel clips
AU662407B2 (en) 1992-05-06 1995-08-31 Ethicon Inc. Endoscopic ligation and division instrument
DE4215449C1 (zh) 1992-05-11 1993-09-02 Ethicon Gmbh & Co Kg, 2000 Norderstedt, De
US5431667A (en) 1992-05-26 1995-07-11 Origin Medsystems, Inc. Gas-sealed instruments for use in laparoscopic surgery
US5269792A (en) 1992-05-26 1993-12-14 Origin Medsystems, Inc. Surgical clip
US5192288A (en) 1992-05-26 1993-03-09 Origin Medsystems, Inc. Surgical clip applier
US5658300A (en) 1992-06-04 1997-08-19 Olympus Optical Co., Ltd. Tissue fixing surgical instrument, tissue-fixing device, and method of fixing tissues
NL9201118A (nl) 1992-06-24 1994-01-17 Leuven K U Res & Dev Gereedschapset voor laparoscopische vaginale hysterectomie.
US5354304A (en) 1992-10-13 1994-10-11 American Cyanamid Co. Modular ligation clip applicator
US5306283A (en) 1992-06-30 1994-04-26 American Cyanamid Company Two-part surgical ligation clip
CA2104345A1 (en) 1992-09-02 1994-03-03 David T. Green Surgical clamp apparatus
DE4230102C2 (de) 1992-09-09 1994-08-04 Kernforschungsz Karlsruhe Clip zur Anwendung in der Chirurgie und Clipapplikator
US5342373A (en) 1992-09-14 1994-08-30 Ethicon, Inc. Sterile clips and instrument for their placement
CA2107635C (en) 1992-10-09 1999-08-17 David T. Green Surgical clip applier
CA2133687C (en) 1992-10-09 2007-03-27 David T. Green Surgical clip applier
US5282832A (en) 1992-10-09 1994-02-01 United States Surgical Corporation Suture clip
US5868761A (en) 1992-10-09 1999-02-09 United States Surgical Corporation Surgical clip applier
US5300081A (en) 1992-10-09 1994-04-05 United States Surgical Corporation Surgical clip applier having clip advancement control
US5330442A (en) 1992-10-09 1994-07-19 United States Surgical Corporation Suture retaining clip
US5725538A (en) 1992-10-09 1998-03-10 United States Surgical Corporation Surgical clip applier
US5409498A (en) 1992-11-05 1995-04-25 Ethicon, Inc. Rotatable articulating endoscopic fastening instrument
US5464416A (en) 1992-11-10 1995-11-07 Ethicon, Inc. Ligating clip
US5281228A (en) 1992-11-23 1994-01-25 Fred Wolfson Umbilical clamp identification device for infants
US5330487A (en) 1992-12-17 1994-07-19 Tfi Acquistion Corp. Drive mechanism for surgical instruments
US5662679A (en) 1992-12-21 1997-09-02 Shatzu Health Products, Inc. Tragus acupressure clip with over-opening prevention and pressure adjustment
US5403327A (en) 1992-12-31 1995-04-04 Pilling Weck Incorporated Surgical clip applier
WO1994015535A1 (en) 1993-01-07 1994-07-21 Hayhurst, John, O. Clip for suture
US5382255A (en) 1993-01-08 1995-01-17 United States Surgical Corporation Apparatus and method for assembly of surgical instruments
US5569274A (en) 1993-02-22 1996-10-29 Heartport, Inc. Endoscopic vascular clamping system and method
US5382253A (en) 1993-03-05 1995-01-17 Unisurge, Inc. Clip applier tool
US5312426A (en) 1993-03-12 1994-05-17 Mizuho Ika Kogyo Kabushiki Kaisha Surgical clip
FR2702647B1 (fr) 1993-03-18 1995-05-05 Baudet Jacques Procédé de micro-anastomose de vaisseaux sanguins et pince automatique pour sa mise en Óoeuvre.
CA2120828C (en) 1993-04-16 1999-11-02 Paul J. Phillips Surgical hemostatic clip
FR2704135B1 (fr) 1993-04-19 1995-07-07 Savornin Claude Agrafe d'osteosynthese.
ATE153231T1 (de) 1993-04-27 1997-06-15 American Cyanamid Co Automatischer, laparoskopischer applikator für abbindeklammern
US5431668A (en) 1993-04-29 1995-07-11 Ethicon, Inc. Ligating clip applier
US5439468A (en) 1993-05-07 1995-08-08 Ethicon Endo-Surgery Surgical clip applier
DE4319829C1 (de) 1993-06-16 1994-08-25 Lerch Karl Dieter Set zur Behandlung von Gefäßmißbildungen
US5562687A (en) 1993-07-12 1996-10-08 Mitek Surgical Products, Inc. Surgical repair kit and its method of use
US5431669A (en) 1993-07-16 1995-07-11 Origin Medsystems, Inc. Surgical clip applier with distal hook
US5368600A (en) 1993-07-23 1994-11-29 Ethicon, Inc. Steerable bulldog clamp applier
US5858018A (en) 1993-08-25 1999-01-12 Apollo Camera, Llc Low profile tool for applying spring action ligation clips
AU7568994A (en) 1993-08-25 1995-03-21 Apollo Camera, L.L.C. Surgical ligation clip
DK110193A (da) 1993-09-30 1995-03-31 Per Baunsgaard Klemmeanordning
US5487499A (en) 1993-10-08 1996-01-30 United States Surgical Corporation Surgical apparatus for applying surgical fasteners including a counter
US5607436A (en) 1993-10-08 1997-03-04 United States Surgical Corporation Apparatus for applying surgical clips
US5776147A (en) 1993-10-20 1998-07-07 Applied Medical Resources Corporation Laparoscopic surgical clamp
US5776146A (en) 1993-10-20 1998-07-07 Applied Medical Resources Laparoscopic surgical clamp
US5462555A (en) 1993-12-30 1995-10-31 United States Surgical Corporation Umbilical cord clip and applicator
GB9400739D0 (en) 1994-01-15 1994-03-16 Femcare Ltd Medical clip
US5527320A (en) 1994-02-10 1996-06-18 Pilling Weck Inc. Surgical clip applying instrument
CH687060A5 (de) 1994-02-11 1996-09-13 Alice Walder Utz Dr Einstueckige Wundklammer.
US5501698A (en) 1994-02-14 1996-03-26 Heartport, Inc. Endoscopic microsurgical instruments and methods
US5681330A (en) 1994-03-02 1997-10-28 Ethicon Endo-Surgery, Inc. Sterile occlusion fasteners and instrument and method for their placement
US5833700A (en) 1995-03-15 1998-11-10 Ethicon Endo-Surgery, Inc. Sterile occlusion fasteners and instrument and method for their placement
CA2143560C (en) 1994-03-02 2007-01-16 Mark Fogelberg Sterile occlusion fasteners and instrument and method for their placement
US5529235A (en) * 1994-04-28 1996-06-25 Ethicon Endo-Surgery, Inc. Identification device for surgical instrument
DE4415521C2 (de) 1994-05-04 2003-01-30 Storz Reling Sybill Gesamthand Instrument zum Einsatz bei endoskopischen Eingriffen
USRE38445E1 (en) 1994-05-05 2004-02-24 Tyco Healthcare Group, Lp Pistols for setting surgical clamps
DE4415891A1 (de) 1994-05-05 1995-11-09 Wilo Medizintechnik Gmbh Pistole zum Setzen chirurgischer Klammern
US5474566A (en) 1994-05-05 1995-12-12 United States Surgical Corporation Self-contained powered surgical apparatus
US5425740A (en) 1994-05-17 1995-06-20 Hutchinson, Jr.; William B. Endoscopic hernia repair clip and method
DE4422621C1 (de) 1994-06-28 1995-08-31 Aesculap Ag Chirurgisches Instrument
US5501693A (en) 1994-07-06 1996-03-26 United States Surgical Corporation Surgical hemostatic clip
US5833695A (en) 1994-07-13 1998-11-10 Yoon; Inbae Surgical stapling system and method of applying staples from multiple staple cartridges
AU694225B2 (en) 1994-08-02 1998-07-16 Ethicon Endo-Surgery, Inc. Ultrasonic hemostatic and cutting instrument
US5462558A (en) 1994-08-29 1995-10-31 United States Surgical Corporation Suture clip applier
US5626585A (en) 1994-09-16 1997-05-06 United States Surgical Corporation Ligating clip advance
DE4434864C2 (de) 1994-09-29 1997-06-19 United States Surgical Corp Chirurgischer Klammerapplikator mit auswechselbarem Klammermagazin
US5487746A (en) 1994-11-23 1996-01-30 Yu; George W. Surgical clip having a longitudinal opening through which clamped tissue protrudes
US5620452A (en) 1994-12-22 1997-04-15 Yoon; Inbae Surgical clip with ductile tissue penetrating members
US5976159A (en) 1995-02-24 1999-11-02 Heartport, Inc. Surgical clips and methods for tissue approximation
US6464710B1 (en) 1995-03-06 2002-10-15 Cook Urological Incorporated Releasable, surgical clamp
US5897565A (en) 1995-03-06 1999-04-27 Vance Products Incorporated Releasable, surgical clamp
US5695505A (en) 1995-03-09 1997-12-09 Yoon; Inbae Multifunctional spring clips and cartridges and applicators therefor
SI0732078T1 (en) 1995-03-15 2000-12-31 Ethicon Endo-Surgery, Inc. Instrument for applying surgical clips
US5571121A (en) 1995-03-28 1996-11-05 Heifetz; Milton D. Atraumatic clamp for temporary occlusion of blood vessels
US5665097A (en) 1995-04-21 1997-09-09 Baker; John W. Clip applicator
US5593421A (en) 1995-06-06 1997-01-14 Bauer; William Suture element delivery device and method
US5653720A (en) 1995-07-18 1997-08-05 Applied Medical Resources Surgical clip and method of assembly
US5683405A (en) 1995-08-25 1997-11-04 Research Medical Inc. Vascular occluder
US5676676A (en) 1995-08-30 1997-10-14 Porter; Wayne Ligating clip having ramp-shaped vessel-clamping members
US5713912A (en) 1995-08-30 1998-02-03 Stress Management, Inc. Ligating clip having ramp-shaped vessel clamping members and tool for applying same
US5584840A (en) 1995-09-05 1996-12-17 Ramsey; James E. Umbilical cord cutting and clamping device
DE19534322A1 (de) 1995-09-15 1997-03-20 Aesculap Ag Chirurgischer Clip, insbesondere Gefäßclip
US5700270A (en) 1995-10-20 1997-12-23 United States Surgical Corporation Surgical clip applier
US5700271A (en) 1995-10-20 1997-12-23 United States Surgical Corporation Apparatus for applying surgical clips
US5582615A (en) 1995-10-30 1996-12-10 Pilling Weck, Incorporated Handle for surgical clip applicator systems
US5810853A (en) 1996-01-16 1998-09-22 Yoon; Inbae Knotting element for use in suturing anatomical tissue and methods therefor
US5846255A (en) 1996-01-31 1998-12-08 Casey Medical Products Limited Surgical clip
DE19603889C2 (de) 1996-02-03 1999-05-06 Aesculap Ag & Co Kg Chirurgisches Anlegegerät
US5797922A (en) 1996-02-06 1998-08-25 Balagan Medical Inc. Umbilical cord clamping device
US6099537A (en) 1996-02-26 2000-08-08 Olympus Optical Co., Ltd. Medical treatment instrument
JP3776529B2 (ja) 1996-02-29 2006-05-17 オリンパス株式会社 クリップ装置
US5782844A (en) 1996-03-05 1998-07-21 Inbae Yoon Suture spring device applicator
US5772673A (en) 1996-03-07 1998-06-30 United States Surgical Corporation Apparatus for applying surgical clips
US5817116A (en) 1996-04-01 1998-10-06 Piolax Inc. Detaching tool for a tube for medical treatment
EP0893969B1 (en) 1996-04-18 2005-06-29 Applied Medical Resources Corporation Malleable clip applier
US6139555A (en) 1996-04-19 2000-10-31 Applied Medical Resources Corporation Grasping clip applier
US5769857A (en) 1996-06-11 1998-06-23 Mgf Group Inc. Ligating clip applier
US5876410A (en) 1996-07-22 1999-03-02 Phillip J. Petillo Hydraulic powered surgical device
DE29616632U1 (de) 1996-09-24 1996-11-28 Aesculap Ag Chirurgisches Anlegegerät für U-förmige Clipse
US5722982A (en) 1996-09-26 1998-03-03 University Technology Corporation Strabismus surgery apparatus and method
US5792149A (en) 1996-10-03 1998-08-11 United States Surgical Corporation Clamp applicator
US5833696A (en) 1996-10-03 1998-11-10 United States Surgical Corporation Apparatus for applying surgical clips
US5713911A (en) 1996-10-03 1998-02-03 United States Surgical Corporation Surgical clip
WO1998033437A1 (en) 1997-02-03 1998-08-06 Applied Medical Resources Corporation Surgical instruments with improved traction
US6579304B1 (en) 1997-02-03 2003-06-17 Applied Medical Resources Corporation Surgical clamp with improved traction
US5861005A (en) 1997-02-11 1999-01-19 X-Site, L.L.C. Arterial stapling device
JP2001514563A (ja) 1997-03-10 2001-09-11 アプライド メディカル リソーシーズ コーポレイション 外科手術用クリップおよびクランプ
US5913862A (en) 1997-04-25 1999-06-22 James Ramsey Umbilical cord cutting and clamping device
US6017358A (en) 1997-05-01 2000-01-25 Inbae Yoon Surgical instrument with multiple rotatably mounted offset end effectors
US5921996A (en) 1997-05-02 1999-07-13 Cardio Thoracic Systems, Inc. Surgical clamp applier/remover and detachable clamp
US5843101A (en) 1997-05-02 1998-12-01 Fry; William R. Disposable clip for temporary vessel occulsion
US5976158A (en) 1997-06-02 1999-11-02 Boston Scientific Corporation Method of using a textured ligating band
US5928251A (en) 1997-09-18 1999-07-27 United States Surgical Corporation Occlusion clamp and occlusion clamp applicator
US5972003A (en) 1997-10-01 1999-10-26 Sherwood Services Ag Single-free ligation clip module
US5868759A (en) 1997-10-10 1999-02-09 United States Surgical Corporation Surgical clip applier
DE19752331C1 (de) 1997-11-26 1999-09-30 Aesculap Ag & Co Kg Magazin für ein chirurgisches Clipanlegegerät
DE19752332C1 (de) 1997-11-26 1999-04-08 Aesculap Ag & Co Kg Clipanlegegerät
US20020087148A1 (en) 1998-02-24 2002-07-04 Brock David L. Flexible instrument
US6241740B1 (en) 1998-04-09 2001-06-05 Origin Medsystems, Inc. System and method of use for ligating and cutting tissue
FR2778081B1 (fr) 1998-04-29 2000-08-25 Fabrice Thevenet Implants de renfort pour sutures tissulaires
US6514265B2 (en) 1999-03-01 2003-02-04 Coalescent Surgical, Inc. Tissue connector apparatus with cable release
US6322571B1 (en) 1998-06-05 2001-11-27 Brian D. Adams Apparatus and method for placing sutures in the lacerated end of a tendon and similar body tissues
US6059799A (en) * 1998-06-25 2000-05-09 United States Surgical Corporation Apparatus for applying surgical clips
US6261302B1 (en) 1998-06-26 2001-07-17 Ethicon Endo-Surgery, Inc. Applier for implantable surgical marker
US6228098B1 (en) 1998-07-10 2001-05-08 General Surgical Innovations, Inc. Apparatus and method for surgical fastening
US5951574A (en) 1998-10-23 1999-09-14 Ethicon Endo-Surgery, Inc. Multiple clip applier having a split feeding mechanism
US6530933B1 (en) 1998-12-31 2003-03-11 Teresa T. Yeung Methods and devices for fastening bulging or herniated intervertebral discs
US6193732B1 (en) 1999-01-08 2001-02-27 Cardiothoracic System Surgical clips and apparatus and method for clip placement
US6217590B1 (en) 1999-01-22 2001-04-17 Scion International, Inc. Surgical instrument for applying multiple staples and cutting blood vessels and organic structures and method therefor
US6228097B1 (en) 1999-01-22 2001-05-08 Scion International, Inc. Surgical instrument for clipping and cutting blood vessels and organic structures
US6896683B1 (en) 1999-01-25 2005-05-24 Applied Material Resources Corporation Surgical instrument with improved handle assembly
US8529588B2 (en) 1999-01-25 2013-09-10 Applied Medical Resources Corporation Multiple clip applier apparatus and method
US6350269B1 (en) 1999-03-01 2002-02-26 Apollo Camera, L.L.C. Ligation clip and clip applier
US6964668B2 (en) 1999-03-04 2005-11-15 Abbott Laboratories Articulating suturing device and method
US7666204B2 (en) 1999-04-09 2010-02-23 Evalve, Inc. Multi-catheter steerable guiding system and methods of use
IT1312196B1 (it) 1999-04-21 2002-04-09 Implant Italia S R L Graffa a compressione semirigida per sternotomia, e pinza per la suaappplicazione.
US20050222665A1 (en) 1999-04-23 2005-10-06 Ernest Aranyi Endovascular fastener applicator
US8241322B2 (en) 2005-07-27 2012-08-14 Tyco Healthcare Group Lp Surgical device
US6835200B2 (en) 1999-06-22 2004-12-28 Ndo Surgical. Inc. Method and devices for tissue reconfiguration
DE19934634C1 (de) 1999-07-23 2000-12-21 Aesculap Ag & Co Kg Anlegeinstrument für chirurgische Clips
US7214232B2 (en) 1999-07-23 2007-05-08 Ethicon, Inc. Graft fixation device
DE19935904C1 (de) 1999-07-30 2001-07-12 Karlsruhe Forschzent Applikatorspitze eines chirurgischen Applikators zum Setzen von Clips/Klammern für die Verbindung von Gewebe
EP1207789A4 (en) 1999-08-30 2006-05-31 Applied Med Resources IMPROVED SURGICAL CLIP
US7341595B2 (en) 1999-09-13 2008-03-11 Rex Medical, L.P Vascular hole closure device
FR2799118B1 (fr) 1999-10-01 2002-07-12 Medical Innovation Dev Implant gastrique reglable
US6610073B1 (en) 1999-10-19 2003-08-26 Scion International, Inc. Surgical clip, clip applicator and method therefor
US6926730B1 (en) 2000-10-10 2005-08-09 Medtronic, Inc. Minimally invasive valve repair procedure and apparatus
US6387104B1 (en) 1999-11-12 2002-05-14 Scimed Life Systems, Inc. Method and apparatus for endoscopic repair of the lower esophageal sphincter
IL132913A (en) 1999-11-14 2004-09-27 Porat Michael Device and method for clamping and cutting a flexible deformable tube
US6428548B1 (en) 1999-11-18 2002-08-06 Russell F. Durgin Apparatus and method for compressing body tissue
IT1306690B1 (it) 1999-11-18 2001-10-02 Gianfranco Bidoia Dispositivo di sutura a compressione.
US6911032B2 (en) 1999-11-18 2005-06-28 Scimed Life Systems, Inc. Apparatus and method for compressing body tissue
US6695854B1 (en) 1999-11-29 2004-02-24 General Surgical Innovations, Inc. Blood vessel clip and applicator
US6932825B2 (en) 1999-12-03 2005-08-23 Applied Medical Resources Corporation Vessel occlusion clamp
US6942674B2 (en) 2000-01-05 2005-09-13 Integrated Vascular Systems, Inc. Apparatus and methods for delivering a closure device
ES2281407T3 (es) 2000-01-18 2007-10-01 Tyco Healthcare Group Lp Instrumento para anastomosis.
MXPA02007506A (es) 2000-02-04 2004-08-23 Imagyn Medical Technologies Ca Aplicador de grapas quirurgicas.
US6306149B1 (en) 2000-02-15 2001-10-23 Microline, Inc. Medical clip device with cyclical pusher mechanism
US7141056B2 (en) 2000-02-15 2006-11-28 Microline Pentax Inc. Multiplier extension arrangement
US6277131B1 (en) 2000-02-15 2001-08-21 Microline, Inc Ladder-type medical clip feeding mechanism
US6569171B2 (en) 2001-02-28 2003-05-27 Microline, Inc. Safety locking mechanism for a medical clip device
US6840945B2 (en) 2001-02-28 2005-01-11 Microline, Inc. Medical clip applier safety arrangement
US6911033B2 (en) 2001-08-21 2005-06-28 Microline Pentax Inc. Medical clip applying device
US7770773B2 (en) 2005-07-27 2010-08-10 Power Medical Interventions, Llc Surgical device
US6648898B1 (en) 2000-03-02 2003-11-18 Cardiothoracic Systems, Inc. Clip applying apparatuses and methods for vascular ligation
US6423079B1 (en) 2000-03-07 2002-07-23 Blake, Iii Joseph W Repeating multi-clip applier
TW580377B (en) 2000-03-07 2004-03-21 Metacardia Inc Everting staple devices and methods
US6391035B1 (en) 2000-03-24 2002-05-21 Timothy Appleby Hemostatic clip removal instrument
DE20007177U1 (de) 2000-04-19 2000-08-03 Storz Karl Gmbh & Co Kg Medizinisches Instrument mit sperrbarem Kraftübertragungselement
US6546935B2 (en) 2000-04-27 2003-04-15 Atricure, Inc. Method for transmural ablation
US6896684B2 (en) 2000-06-12 2005-05-24 Niti Medical Technologies Ltd. Surgical clip applicator device
US7264625B1 (en) 2000-06-19 2007-09-04 Buncke Harry J Surgical clip applier with remote operation
AU2001268587A1 (en) 2000-06-19 2002-01-02 Image-Guided Neurologics, Inc. System and method of minimally-invasive exovascular aneurysm treatment
US6494886B1 (en) 2000-06-22 2002-12-17 Granit Medical Innovation, Inc. Off-set clamp mechanism and associated method for minimally invasive surgery
US6676659B2 (en) 2000-08-14 2004-01-13 Scimed Life Systems, Inc. Steerable sphincterotome and methods for cannulation, papillotomy and sphincterotomy
CA2441883A1 (en) 2000-09-01 2002-03-07 Onux Medical, Inc. Multi-fastener surgical apparatus and method
JP4014792B2 (ja) 2000-09-29 2007-11-28 株式会社東芝 マニピュレータ
JP4472217B2 (ja) 2000-10-16 2010-06-02 オリンパス株式会社 生体組織のクリップ装置
US7485124B2 (en) 2000-10-19 2009-02-03 Ethicon Endo-Surgery, Inc. Surgical instrument having a fastener delivery mechanism
US6773438B1 (en) 2000-10-19 2004-08-10 Ethicon Endo-Surgery Surgical instrument having a rotary lockout mechanism
US6551333B2 (en) 2000-10-19 2003-04-22 Ethicon Endo-Surgery, Inc. Method for attaching hernia mesh
US6599298B1 (en) 2000-10-23 2003-07-29 Vitalitec International, S.A. Automatic surgical clip applier
US6966917B1 (en) 2000-11-09 2005-11-22 Innovation Interventional Technologies B.V. Deformable connector for mechanically connecting hollow structures
US6896682B1 (en) 2000-11-14 2005-05-24 Biomedical Engineering Solutions, Inc. Method and system for internal ligation of tubular structures
US6716226B2 (en) 2001-06-25 2004-04-06 Inscope Development, Llc Surgical clip
DK1339330T3 (da) 2000-12-06 2007-11-05 Wilson Cook Medical Inc Apparat til påsætning af ligaturbånd
US7232445B2 (en) 2000-12-06 2007-06-19 Id, Llc Apparatus for the endoluminal treatment of gastroesophageal reflux disease (GERD)
US8062314B2 (en) 2000-12-06 2011-11-22 Ethicon Endo-Surgery, Inc. Methods for the endoluminal treatment of gastroesophageal reflux disease (GERD)
AU2002242071B2 (en) 2001-01-31 2006-10-19 Rex Medical, Inc. Apparatus and method for stapling and resectioning gastro-esophageal tissue
JP4097924B2 (ja) 2001-02-05 2008-06-11 オリンパス株式会社 生体組織のクリップ装置
US6723109B2 (en) 2001-02-07 2004-04-20 Karl Storz Endoscopy-America, Inc. Deployable surgical clamp with delivery/retrieval device and actuator
US6494884B2 (en) 2001-02-09 2002-12-17 Concentric Medical, Inc. Methods and devices for delivering occlusion elements
US6981505B2 (en) 2001-02-13 2006-01-03 Krause William R Urological device for the incontinent male
US7041119B2 (en) 2001-02-27 2006-05-09 Green David T Apparatus for suturing a blood vessel
JP4578708B2 (ja) 2001-03-26 2010-11-10 オリンパス株式会社 生体組織のクリップ装置
WO2002078549A2 (en) 2001-03-28 2002-10-10 Vascular Control Systems, Inc. Method and apparatus for the detection and ligation of uterine arteries
KR100401574B1 (ko) 2001-03-29 2003-10-17 이용우 자동 크립드라이버
DE10120367A1 (de) 2001-04-25 2002-10-31 Arnold Pier Chirurgischer Klammerapplicator
US20020173803A1 (en) 2001-05-01 2002-11-21 Stephen Ainsworth Self-closing surgical clip for tissue
US6685715B2 (en) 2001-05-02 2004-02-03 Novare Surgical Systems Clamp having bendable shaft
US6808491B2 (en) 2001-05-21 2004-10-26 Syntheon, Llc Methods and apparatus for on-endoscope instruments having end effectors and combinations of on-endoscope and through-endoscope instruments
JP4689099B2 (ja) 2001-07-24 2011-05-25 株式会社トップ 外科用クリップ付与装置
US6972023B2 (en) 2001-07-05 2005-12-06 Converge Medical, Inc. Distal anastomosis system
ES2393918T3 (es) 2001-07-09 2013-01-02 Covidien Lp Aplicador de clips o grapas en ángulo recto
US6824547B2 (en) 2001-07-13 2004-11-30 Pilling Weck Incorporated Endoscopic clip applier and method
AUPR668901A0 (en) 2001-07-31 2001-08-23 Research Surgical Pty Ltd Surgical clamps
JP3926119B2 (ja) 2001-08-10 2007-06-06 株式会社東芝 医療用マニピュレータ
US7338503B2 (en) 2002-08-08 2008-03-04 Interrad Medical, Inc. Non-invasive surgical ligation clip system and method of using
US7179265B2 (en) 2001-08-21 2007-02-20 Microline Pentax, Inc. Reduced diameter clip applying arrangement
US20050267495A1 (en) 2004-05-17 2005-12-01 Gateway Medical, Inc. Systems and methods for closing internal tissue defects
US6776784B2 (en) 2001-09-06 2004-08-17 Core Medical, Inc. Clip apparatus for closing septal defects and methods of use
US7037315B2 (en) 2001-09-14 2006-05-02 Dvl Aquisition Sub, Inc. Surgical suturing instrument and method of use
JP3921681B2 (ja) 2001-10-01 2007-05-30 ニプロ株式会社 心臓内縫合装置
CA2433040A1 (en) 2001-10-24 2003-05-01 John J. Damarati Multiple hemoclip system for an endoscope
US20050149069A1 (en) 2001-12-04 2005-07-07 Bertolero Arthur A. Left atrial appendage devices and methods
US20050277956A1 (en) 2004-06-14 2005-12-15 Francese Jose L Clip storage for endoscopic clip applier
WO2003053256A1 (fr) 2001-12-13 2003-07-03 Sumitomo Bakelite Company Limited Dispositif de pince pour endoscope et pince pour endoscope utilisee dans ce dispositif
US6974462B2 (en) 2001-12-19 2005-12-13 Boston Scientific Scimed, Inc. Surgical anchor implantation device
US6729119B2 (en) 2001-12-28 2004-05-04 The Schnipke Family Limited Liability Company Robotic loader for surgical stapling cartridge
US6602252B2 (en) 2002-01-03 2003-08-05 Starion Instruments Corporation Combined dissecting, cauterizing, and stapling device
US6869435B2 (en) 2002-01-17 2005-03-22 Blake, Iii John W Repeating multi-clip applier
US6869436B2 (en) 2002-02-07 2005-03-22 Scimed Life Systems, Inc. Surgical clip with a self-releasing fluid reservoir
US6743241B2 (en) 2002-03-01 2004-06-01 Intellimed Surgical Solutions Llc Laparoscopic port site fascial closure device
US6939356B2 (en) 2002-03-06 2005-09-06 Elie G. Debbas Medical instrument for closure of trocar site openings and method for use of same
US6802848B2 (en) 2002-03-12 2004-10-12 Novare Surgical Systems, Inc. Surgical clip with adjustable biasing force
US6942676B2 (en) 2002-03-21 2005-09-13 Novare Surgical Systems, Inc. Surgical clamp pads with deflecting elements
US6953465B2 (en) 2002-03-25 2005-10-11 Concentric Medical, Inc. Containers and methods for delivering vaso-occluding filaments and particles
WO2003086207A1 (en) 2002-04-10 2003-10-23 Tyco Healthcare Group, Lp Surgical clip applier with high torque jaws
US7374544B2 (en) * 2002-04-19 2008-05-20 Pelikan Technologies, Inc. Method and apparatus for penetrating tissue
WO2003092473A2 (en) 2002-04-29 2003-11-13 Tyco Healthcare Group, Lp Ligation clip applier and method
US20030225423A1 (en) 2002-05-30 2003-12-04 Huitema Thomas W. Surgical clip
US7056330B2 (en) 2002-05-31 2006-06-06 Ethicon Endo-Surgery, Inc. Method for applying tissue fastener
US7232447B2 (en) 2002-06-12 2007-06-19 Boston Scientific Scimed, Inc. Suturing instrument with deflectable head
US9226825B2 (en) 2002-06-13 2016-01-05 Guided Delivery Systems, Inc. Delivery devices and methods for heart valve repair
EP1530441B1 (en) 2002-06-13 2017-08-02 Ancora Heart, Inc. Devices and methods for heart valve repair
AU2003279116A1 (en) 2002-06-20 2004-01-06 Tyco Healthcare Group, Lp Method and apparatus for anastomosis including annular joining member
US8074857B2 (en) 2002-06-25 2011-12-13 Incisive Surgical, Inc. Method and apparatus for tissue fastening with single translating trigger operation
US6972027B2 (en) 2002-06-26 2005-12-06 Stryker Endoscopy Soft tissue repair system
US6773440B2 (en) 2002-07-02 2004-08-10 Satiety, Inc. Method and device for use in tissue approximation and fixation
JP2005533562A (ja) 2002-07-23 2005-11-10 アプライド メディカル リソーシーズ コーポレイション 内部ラチェットを有するクリップアプライヤ・カートリッジ
US7727247B2 (en) 2002-08-21 2010-06-01 Olympus Corporation Living tissue ligation device
US7211091B2 (en) 2002-08-27 2007-05-01 Pilling Weck Incorporated Fingertip-actuated surgical clip applier and related methods
WO2004021872A2 (en) 2002-09-06 2004-03-18 C.R. Bard, Inc. Tissue capturing devices
WO2004023976A2 (en) 2002-09-13 2004-03-25 Damage Control Surgical Technologies, Inc. Method and apparatus for vascular and visceral clipping
US6966919B2 (en) 2002-09-20 2005-11-22 Id, Llc Instrument for applying a surgical fastener particularly for the transoral treatment of gastroesophageal reflux disease (GERD)
EP1545335A1 (en) 2002-10-04 2005-06-29 Tyco Healthcare Group Lp Angled surgical fastener apparatus
US6945978B1 (en) 2002-11-15 2005-09-20 Advanced Cardiovascular Systems, Inc. Heart valve catheter
US7052504B2 (en) 2002-11-19 2006-05-30 Teleflex Incorporated Automated-feed surgical clip applier and related methods
US7211092B2 (en) 2002-11-19 2007-05-01 Pilling Weck Incorporated Automated-feed surgical clip applier and related methods
US7316708B2 (en) 2002-12-05 2008-01-08 Cardiac Dimensions, Inc. Medical device delivery system
AU2003298861A1 (en) 2002-12-10 2004-06-30 Joseph W. Blake Iii Anti-backup mechanism for repeating multi-clip applier
US6849079B1 (en) 2002-12-10 2005-02-01 Joseph W. Blake, III Clip detent spring for repeating multi-clip applier
CA2507967A1 (en) 2002-12-17 2004-07-15 Applied Medical Resources Corporation Surgical staple-clip and applier
US6821284B2 (en) 2003-01-22 2004-11-23 Novare Surgical Systems, Inc. Surgical clamp inserts with micro-tractive surfaces
GB0302098D0 (en) 2003-01-29 2003-02-26 Univ London Improvements in and relating to surgical clips
US8202293B2 (en) 2003-01-30 2012-06-19 Integrated Vascular Systems, Inc. Clip applier and methods of use
US7857828B2 (en) 2003-01-30 2010-12-28 Integrated Vascular Systems, Inc. Clip applier and methods of use
FR2851451B1 (fr) 2003-02-24 2005-05-20 Sofradim Production Dispositif pour ligaturer une structure anatomique
WO2004080275A2 (en) 2003-03-06 2004-09-23 Applied Medical Resources Corporation Spring clip and method for assembling same
EP1608272B1 (en) 2003-03-11 2017-01-25 Covidien LP Clip applying apparatus with angled jaw
GB0305976D0 (en) 2003-03-14 2003-04-23 Wild Andrew M Surgical clip
WO2004082488A1 (ja) 2003-03-17 2004-09-30 Sumitomo Bakelite Company Limited クリップ及び生体組織のクリップ装置
US20050107871A1 (en) 2003-03-30 2005-05-19 Fidel Realyvasquez Apparatus and methods for valve repair
US20040246122A1 (en) * 2003-06-06 2004-12-09 Bailey Robert T. Detection system and signaling device
US8172870B2 (en) 2003-06-09 2012-05-08 Microline Surgical, Inc. Ligation clip applier
US7144402B2 (en) 2003-06-16 2006-12-05 Synovis Life Technologies, Inc. Vascular clamp
US7213736B2 (en) 2003-07-09 2007-05-08 Ethicon Endo-Surgery, Inc. Surgical stapling instrument incorporating an electroactive polymer actuated firing bar track through an articulation joint
US6964363B2 (en) 2003-07-09 2005-11-15 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having articulation joint support plates for supporting a firing bar
US6981628B2 (en) 2003-07-09 2006-01-03 Ethicon Endo-Surgery, Inc. Surgical instrument with a lateral-moving articulation control
EP1647286B1 (en) 2003-07-17 2010-09-29 Gunze Limited Stitching reinforcement material for automatic stitching device
US7182769B2 (en) 2003-07-25 2007-02-27 Medtronic, Inc. Sealing clip, delivery systems, and methods
DE10334083A1 (de) 2003-07-26 2005-02-24 Carl Stahl Gmbh Verfahren und Vorrichtung zur endoskopischen Applizierung von sich schließenden medizinischen Clips
US6959852B2 (en) 2003-09-29 2005-11-01 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with multistroke firing incorporating an anti-backup mechanism
AU2004277994B2 (en) 2003-09-30 2010-04-01 Boston Scientific Limited Through the scope tension member release clip
US6960218B2 (en) 2003-10-20 2005-11-01 Henry Rennich External incontinence clamp
US7572266B2 (en) 2003-10-21 2009-08-11 Young Wayne P Clip applier tool having a discharge configuration
US20050096671A1 (en) 2003-10-31 2005-05-05 Parris Wellman Control mechanism for a surgical instrument
US20050096670A1 (en) 2003-10-31 2005-05-05 Parris Wellman Surgical end effector
WO2005046489A1 (en) 2003-11-07 2005-05-26 Scimed Life Systems, Inc. Endoscopic hemoscopic clipping apparatus
US7736372B2 (en) 2003-11-13 2010-06-15 Usgi Medical, Inc. Apparatus and methods for endoscopic suturing
US7175648B2 (en) 2003-11-18 2007-02-13 Granit Medical Innovations, Llc Deep endoscopic staple and stapler
US20050149068A1 (en) 2003-12-17 2005-07-07 Mathew Williams Left atrial appendage exclusion device
US7326223B2 (en) 2004-01-22 2008-02-05 Teleflex Medical Incorporated Ligating clip with integral cutting guide
US7316696B2 (en) 2004-01-22 2008-01-08 Teleflex Medical Incorporated Ligating clip with integral interlocking latch mechanism
US7585304B2 (en) 2004-02-02 2009-09-08 Teleflex Medical Incorporated Endoscopic clip applying apparatus with improved aperture for clip release and related method
US20050177176A1 (en) 2004-02-05 2005-08-11 Craig Gerbi Single-fold system for tissue approximation and fixation
US20060009792A1 (en) 2004-02-20 2006-01-12 Esophyx, Inc. Tissue fixation assembly having prepositioned fasteners and method
WO2005086793A2 (en) 2004-03-08 2005-09-22 Lutheran Medical Center Surgical dynamic compression staple
US9028511B2 (en) 2004-03-09 2015-05-12 Ethicon Endo-Surgery, Inc. Devices and methods for placement of partitions within a hollow body organ
US8628547B2 (en) 2004-03-09 2014-01-14 Ethicon Endo-Surgery, Inc. Devices and methods for placement of partitions within a hollow body organ
US20050216036A1 (en) 2004-03-29 2005-09-29 Nakao Naomi L Endoscopic fastening system with multiple fasteners
US8475473B2 (en) 2004-03-30 2013-07-02 Applied Medical Resources Corporation Convertible surgical clip applier system
US7578827B2 (en) 2004-04-02 2009-08-25 Applied Medical Resources Corporation Suture clip with stop ribs and method for making same
US7621926B2 (en) 2004-04-16 2009-11-24 Applied Medical Resources Corporation Multi-fire surgical clip applier
US20050273122A1 (en) 2004-06-02 2005-12-08 Microline, Inc. Clip with enhanced gripping arrangement
US8216255B2 (en) 2004-06-14 2012-07-10 Ethicon Endo-Surgery, Inc. Endoscopic clip applier actuator
US8986343B2 (en) 2004-06-16 2015-03-24 Smith & Nephew Suture passing
WO2006009729A2 (en) 2004-06-18 2006-01-26 Medtronic, Inc. Methods and devices for occlusion of an atrial appendage
US20060004388A1 (en) 2004-06-18 2006-01-05 Ablatrics, Inc. System for tissue cavity closure
US20050288689A1 (en) 2004-06-25 2005-12-29 Kammerer Gene W Applicator and method for deploying a surgical fastener
BRMU8401529U (pt) 2004-07-02 2006-02-21 Milton Tatsuo Tanaka clip cirúrgico curvo laparoscópico
US7914551B2 (en) 2004-07-28 2011-03-29 Ethicon Endo-Surgery, Inc. Electroactive polymer-based articulation mechanism for multi-fire surgical fastening instrument
US7261725B2 (en) 2005-01-13 2007-08-28 Binmoeller Kenneth F Endoscopic device with independently actuated legs
CA2580931C (en) 2004-09-23 2013-05-07 Tyco Healthcare Group Lp Clip applying apparatus and ligation clip
ES2547214T3 (es) 2004-10-08 2015-10-02 Covidien Lp Un aplicador endoscópico de clips o grapas quirúrgicos
US8409222B2 (en) 2004-10-08 2013-04-02 Covidien Lp Endoscopic surgical clip applier
JP4758173B2 (ja) 2004-12-24 2011-08-24 オリンパス株式会社 結紮装置
US20060173470A1 (en) 2005-01-31 2006-08-03 Oray B N Surgical fastener buttress material
US20060190013A1 (en) 2005-02-22 2006-08-24 Microline, Inc. Curved closure jaw arrangement for a medical clip applier device
US20060217749A1 (en) 2005-03-24 2006-09-28 Pilling Weck Incorporated Reduced closure force ligating clip
US7458978B1 (en) 2005-03-28 2008-12-02 Cardica, Inc. Vascular closure system utilizing a staple
US7344544B2 (en) 2005-03-28 2008-03-18 Cardica, Inc. Vascular closure system
US20060224170A1 (en) 2005-03-30 2006-10-05 Michael Duff Surgical marker clip and method for cholangiography
US7686820B2 (en) 2005-04-14 2010-03-30 Ethicon Endo-Surgery, Inc. Surgical clip applier ratchet mechanism
US7297149B2 (en) 2005-04-14 2007-11-20 Ethicon Endo-Surgery, Inc. Surgical clip applier methods
US7731724B2 (en) 2005-04-14 2010-06-08 Ethicon Endo-Surgery, Inc. Surgical clip advancement and alignment mechanism
US7261724B2 (en) 2005-04-14 2007-08-28 Ethicon Endo-Surgery, Inc. Surgical clip advancement mechanism
US7740641B2 (en) 2005-04-14 2010-06-22 Ethicon Endo-Surgery, Inc. Clip applier with migrational resistance features
US8523882B2 (en) 2005-04-14 2013-09-03 Ethicon Endo-Surgery, Inc. Clip advancer mechanism with alignment features
US7288098B2 (en) 2005-04-14 2007-10-30 Ethicon Endo-Surgery, Inc. Force limiting mechanism for medical instrument
US8038686B2 (en) 2005-04-14 2011-10-18 Ethicon Endo-Surgery, Inc. Clip applier configured to prevent clip fallout
US20080045981A1 (en) 2005-04-22 2008-02-21 Ilya Margolin Ligating clip and ligating clip applicator
US8313497B2 (en) 2005-07-01 2012-11-20 Abbott Laboratories Clip applier and methods of use
US8945151B2 (en) 2005-07-13 2015-02-03 Atricure, Inc. Surgical clip applicator and apparatus including the same
US7871416B2 (en) 2005-07-22 2011-01-18 Phillips Edward H Clamp device to plicate the stomach
US7559937B2 (en) 2005-08-09 2009-07-14 Towertech Research Group Surgical fastener apparatus and reinforcing material
US20070038233A1 (en) 2005-08-11 2007-02-15 Medical Device Concepts Llc Surgical clips, systems and methods thereof
US20070049949A1 (en) 2005-08-25 2007-03-01 Microline Pentax Inc Clip feeder mechanism for clip applying device
US20070185504A1 (en) 2005-08-25 2007-08-09 Microline Pentax, Inc. Medical clip feeding mechanism
US20070049947A1 (en) 2005-08-25 2007-03-01 Microline Pentax Inc. Cinch control device
WO2007041132A1 (en) 2005-09-29 2007-04-12 Applied Medical Resources Corporation Manually actuated surgical clip applier
US20070083218A1 (en) 2005-10-12 2007-04-12 A Morris Steven Coated ligating clip
US8192449B2 (en) 2005-10-25 2012-06-05 Brainlab Ag Non-penetrating fixing device
US7901420B2 (en) 2005-11-02 2011-03-08 University Of Massachusetts Tissue clamp
US20070112365A1 (en) 2005-11-15 2007-05-17 Applied Medical Resources Corporation Partial occlusion surgical guide clip
US20070118161A1 (en) 2005-11-22 2007-05-24 Kennedy Daniel L Non-snag polymer ligating clip
US7896895B2 (en) 2005-11-23 2011-03-01 Ethicon Endo-Surgery, Inc. Surgical clip and applier device and method of use
US9486225B2 (en) 2005-12-22 2016-11-08 Robert E. Michler Exclusion of the left atrial appendage
US9480480B2 (en) 2005-12-22 2016-11-01 Albert N. Santilli Vascular and intestinal occlusion
DE202006000329U1 (de) 2006-01-11 2006-03-02 Aesculap Ag & Co. Kg Chirurgischer Ligaturclip
US7892244B2 (en) 2006-03-09 2011-02-22 Niti Surgical Solutions Ltd. Surgical compression clips
JP5175833B2 (ja) 2006-03-10 2013-04-03 クック メディカル テクノロジーズ エルエルシー 対象組織をクリップアーム収容チャンバ内に引き入れられる医療装置
US8808310B2 (en) 2006-04-20 2014-08-19 Integrated Vascular Systems, Inc. Resettable clip applier and reset tools
WO2007124579A1 (en) 2006-04-29 2007-11-08 Klassen James B Surgical clip, applicator, and applicator methods
WO2007142977A2 (en) 2006-06-01 2007-12-13 Wilson-Cook Medical Inc. Release mechanisms for a clip device
EP2314232B1 (en) 2006-10-17 2015-03-25 Covidien LP Apparatus for applying surgical clips
US20080147092A1 (en) 2006-10-23 2008-06-19 Michael Rogge Hybrid energy instrument combined with clip application capability
JP4716513B2 (ja) 2006-11-09 2011-07-06 Ｈｏｙａ株式会社 内視鏡用クリップ装置
JP4584230B2 (ja) 2006-11-14 2010-11-17 オリンパスメディカルシステムズ株式会社 クリップ装置
US20070118174A1 (en) 2006-11-16 2007-05-24 Chu David Z J Laparoscopic surgical clamp and suturing methods
US20080125796A1 (en) 2006-11-28 2008-05-29 Stryker Development Llc Gastrotomy closure device
US8585716B2 (en) 2006-12-13 2013-11-19 Boston Scientific Scimed, Inc. Apparatus for applying hemostatic clips
US20080188872A1 (en) 2006-12-13 2008-08-07 Michael Duff Multi-mode clip applier, and associated method
US7721931B2 (en) * 2007-01-10 2010-05-25 Ethicon Endo-Surgery, Inc. Prevention of cartridge reuse in a surgical instrument
US8845658B2 (en) 2007-02-26 2014-09-30 Boston Scientific Scimed, Inc. Hemostatic clip and delivery system
US7473258B2 (en) 2007-03-08 2009-01-06 Cardica, Inc. Surgical stapler
US20080228199A1 (en) 2007-03-16 2008-09-18 Ethicon Endo-Surgery, Inc. Endoscopic tissue approximation method
US20080228202A1 (en) 2007-03-16 2008-09-18 Ethicon Endo-Surgery, Inc. Endoscopic tissue approximation system
US20080255589A1 (en) 2007-04-11 2008-10-16 Terumo Cardiovascular Systems Corporation Multi-function clipping and harvesting device
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
US8162959B2 (en) 2007-05-03 2012-04-24 Boston Scientific Scimed, Inc. Single stage hemostasis clipping device
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
JP2008302045A (ja) 2007-06-08 2008-12-18 Hoya Corp 内視鏡用クリップ装置
JP2008302097A (ja) 2007-06-11 2008-12-18 Hoya Corp 内視鏡用クリップ装置
JP2008307168A (ja) 2007-06-13 2008-12-25 Hoya Corp 内視鏡用クリップ装置

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7270670B1 (en) * 2003-04-21 2007-09-18 Cardica, Inc. Minimally-invasive surgical system utilizing a stabilizer
CN101011273A (zh) * 2006-01-31 2007-08-08 伊西康内外科公司 具有反馈系统的外科器械
EP1908423A2 (en) * 2006-10-02 2008-04-09 Tyco Healthcare Group, LP Endosopic surgical clip applier
WO2008118928A2 (en) * 2007-03-26 2008-10-02 Tyco Healthcare Group Lp Endoscopic surgical clip applier

Cited By (30)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN104363853A (zh) * 2012-06-15 2015-02-18 佳能株式会社 医疗用机械手、包括其的医疗系统、医疗穿刺系统和活检系统
CN108652697B (zh) * 2013-01-18 2021-05-11 柯惠Lp公司 手术施夹器
CN103932754A (zh) * 2013-01-18 2014-07-23 柯惠Lp公司 手术施夹器
CN103932754B (zh) * 2013-01-18 2018-05-29 柯惠Lp公司 手术施夹器
CN108652697A (zh) * 2013-01-18 2018-10-16 柯惠Lp公司 手术施夹器
CN104840252B (zh) * 2014-02-14 2019-02-01 柯惠Lp公司 止端检测
CN104840252A (zh) * 2014-02-14 2015-08-19 柯惠Lp公司 止端检测
WO2016112509A1 (en) * 2015-01-15 2016-07-21 Covidien Lp Endoscopic reposable surgical clip applier
CN105962985A (zh) * 2015-03-10 2016-09-28 柯惠Lp公司 内窥镜可回收手术施夹器
CN105962985B (zh) * 2015-03-10 2020-11-24 柯惠Lp公司 内窥镜可回收手术施夹器
CN106308873A (zh) * 2015-06-18 2017-01-11 北京派尔特医疗科技股份有限公司 一种钛夹钳
CN106308873B (zh) * 2015-06-18 2019-01-22 北京派尔特医疗科技股份有限公司 一种钛夹钳
WO2017079890A1 (en) * 2015-11-10 2017-05-18 Covidien Lp Endoscopic reposable surgical clip applier
US10905425B2 (en) 2015-11-10 2021-02-02 Covidien Lp Endoscopic reposable surgical clip applier
CN106073852B (zh) * 2016-05-26 2019-04-16 艾科美医疗器械（深圳）有限公司 带计数功能的止血钳
CN106073852A (zh) * 2016-05-26 2016-11-09 艾科美医疗器械（深圳）有限公司 带计数功能的止血钳
CN109561897A (zh) * 2016-08-11 2019-04-02 柯惠有限合伙公司 内窥镜手术施夹器和施夹系统
CN109561897B (zh) * 2016-08-11 2022-03-01 柯惠有限合伙公司 内窥镜手术施夹器和施夹系统
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
CN110267606A (zh) * 2017-02-06 2019-09-20 柯惠有限合伙公司 具有用户反馈特征的手术夹具施用器
CN110740696B (zh) * 2017-03-21 2023-04-07 泰利福医疗公司 具有稳定构件的施夹器
CN110740696A (zh) * 2017-03-21 2020-01-31 泰利福医疗公司 具有稳定构件的施夹器
CN108720878A (zh) * 2017-03-22 2018-11-02 柯惠Lp公司 内窥镜手术施夹器
CN109394293B (zh) * 2017-08-18 2021-04-09 台湾先进手术医疗器材股份有限公司 血管施夹器的枪把装置
CN109394293A (zh) * 2017-08-18 2019-03-01 台湾先进手术医疗器材股份有限公司 血管施夹器的枪把装置
CN113712629A (zh) * 2017-12-12 2021-11-30 捷锐士阿希迈公司(以奥林巴斯美国外科技术名义) 电外科装置
CN111479521A (zh) * 2018-01-09 2020-07-31 柯惠有限合伙公司 可再用的多发外科施夹器
WO2019136604A1 (en) * 2018-01-09 2019-07-18 Covidien Lp Reposable multi-fire surgical clip applier
CN110051400A (zh) * 2018-01-16 2019-07-26 柯惠Lp公司 内窥镜手术器械和与其一起使用的手柄组件
CN112155637A (zh) * 2020-10-13 2021-01-01 常州安康医疗器械有限公司 一种钳头分体式钛夹钳

Also Published As

Publication number Publication date
AU2010200641B2 (en) 2015-06-18
US8409222B2 (en) 2013-04-02
US20090228024A1 (en) 2009-09-10
JP2010214104A (ja) 2010-09-30
AU2010200641A1 (en) 2010-10-07
JP5580084B2 (ja) 2014-08-27
CN101836875B (zh) 2014-01-15
CA2695074A1 (en) 2010-09-18
EP2229895A1 (en) 2010-09-22

Similar Documents

Publication Publication Date Title
CN101836875B (zh) 内窥镜手术施夹器
CN101641051B (zh) 内窥镜手术施夹器
CN103083059B (zh) 具有连接板的内窥镜手术施夹器
CN101664332B (zh) 单行程内窥镜手术施夹器
CN100522080C (zh) 外科夹具推进和对准机构
US10485538B2 (en) Endoscopic surgical clip applier
CN101073508B (zh) 用于打结元件和缝线锚固器的组合式施放装置
CN1846636B (zh) 外科夹具施放器棘轮机构
CN100571640C (zh) 用于医疗器械的力限制机构
CN100571641C (zh) 外科夹具推进机构
CN202960627U (zh) 缝线穿引器设备
CN1853579B (zh) 外科夹子施加器
CN102160813B (zh) 外科施夹器
CN100571642C (zh) 构造为防止夹具掉出的夹具施放器
ATE474505T1 (de) Chirurgisches klammernahtgerät zum durchführen einer vielzahl von klammersetzvorgängen umfassend eine segmentierte zahnstange
ATE474506T1 (de) Chirurgisches klammernahtgerät mit einer positionsanzeige zum durchführen einer vielzahl von klammersetzvorgängen sowie einem rückstellmechanismus
US20230310042A1 (en) Surgical cord tensioning devices, systems, and methods
CN102695464A (zh) 具有可取出压板的牵开器
AU2011203118B2 (en) Endoscopic surgical clip applier

Legal Events

Date Code Title Description
C06 Publication
PB01 Publication
C10 Entry into substantive examination
SE01 Entry into force of request for substantive examination
C53 Correction of patent of invention or patent application
CB02 Change of applicant information

Address after: American Connecticut

Applicant after: Covidien LP

Address before: American Connecticut

Applicant before: TYCO Healthcare

COR Change of bibliographic data

Free format text: CORRECT: APPLICANT; FROM: TYCO HEALTHCARE TO: COVIDIEN LP COMPANY

C14 Grant of patent or utility model
GR01 Patent grant