CN106974686A - 手术紧固件施加装置 - Google Patents
手术紧固件施加装置 Download PDFInfo
- Publication number
- CN106974686A CN106974686A CN201610901760.9A CN201610901760A CN106974686A CN 106974686 A CN106974686 A CN 106974686A CN 201610901760 A CN201610901760 A CN 201610901760A CN 106974686 A CN106974686 A CN 106974686A
- Authority
- CN
- China
- Prior art keywords
- clamp operation
- operation bar
- surgical fasteners
- bringing device
- section
- 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
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/10—Surgical instruments, devices or methods, e.g. tourniquets for applying or removing wound clamps, e.g. containing only one clamp or staple; Wound clamp magazines
- A61B17/105—Wound clamp magazines
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
- A61B17/07207—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously the staples being applied sequentially
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/0023—Surgical instruments, devices or methods, e.g. tourniquets disposable
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00367—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
- A61B2017/00407—Ratchet means
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
- A61B2017/07214—Stapler heads
- A61B2017/07271—Stapler heads characterised by its cartridge
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B2017/320052—Guides for cutting instruments
-
- 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
- A61B2090/0813—Accessories designed for easy sterilising, i.e. re-usable
Abstract
本公开涉及一种手术紧固件施加装置，用于将紧固件施加到体组织。该装置包括限定有通道构件的钉仓容纳半部、砧座半部和发射组件。通道构件具有远侧部和近侧部。钉仓容纳半部可释放地容纳钉仓。所述近侧部被构造为支撑发射组件，通道构件的近侧部具有内壁，内壁包括向内延伸的凸部。发射组件包括发射操作杆、凸轮杆以及静止外壳，凸轮杆固定地装到所述发射操作杆上，静止外壳支撑发射操作杆和凸轮杆，静止外壳被构造为可释放地支撑在钉仓容纳半部的近侧部中，其中静止外壳包括具有倾斜延伸部的远端，所述倾斜延伸部定位成接合所述通道构件的内壁上的向内延伸的凸部，以便将发射组件的远端可释放地装到细长的通道构件内。
Description
本申请是申请号为201210192027.6、申请日为2012年6月11日、发明名称为“手术紧固件施加装置”的专利申请的分案申请。
本申请要求于2011年6月9日提交的序列号为61/494,993的美国临时专利申请的优先权，其全部内容通过引用合并于此。
技术领域
本公开涉及手术紧固件施加装置，尤其涉及具有可重复使用部件和一次性部件的手术紧固件施加装置。
背景技术
手术紧固件施加装置是本领域中公知的，其中首先将组织抓取或夹紧在相对的钳夹结构之间，然后通过手术紧固件连结组织。在某些此类装置中，设置有用于切割已经被紧固件连结的组织的刀具。紧固件通常为手术吻合钉的形式，但是也可以利用其他手术紧固件，例如夹子或两件式聚合物手术紧固件。
手术紧固件施加装置通常包括两个细长梁构件，所述两个细长梁构件用于在其间捕获或夹紧组织。通常，一个梁构件承载一次性钉仓组件，所述一次性钉仓组件容纳布置为至少两个横排的多个吻合钉，而另一个梁构件包括砧座，所述砧座限定有用于在从钉仓组件中驱出吻合钉时成形吻合钉钉腿的表面。如果使用两件式紧固件，则包括砧座的梁构件承载两件式紧固件的配合件，例如容纳件。通常，吻合钉成形过程会受到一个或多个纵向运动的凸轮构件和一系列单独的吻合钉推进器之间相互作用的影响。当凸轮构件沿纵向行进通过钉仓承载梁构件时，各单独的推进器构件向上偏置到支撑在钉仓组件内的吻合钉的后跨部，以从钉仓中按顺序弹出吻合钉。可以设置在吻合钉排之间与凸轮构件一起行进的刀具，以切割各排成形吻合钉之间的组织。第7,631,794号美国专利公开了此类器械的一个示例，该专利的全部内容通过引用合并于此。
由于存在与灭菌不适当关联的危险，手术紧固件施加装置通常是使用后可丢弃的。虽然可以更换钉仓组件以对单一患者执行多次紧固件施加操作，但是吻合钉施加装置通常在已经对患者完成手术操作后被丢弃。该用后即丢弃的要求会增加与手术操作关联的成本。尽管已经开发出可重复使用的紧固件施加装置，但是此类装置会过度复杂并且证实是难以灭菌的。
本领域需要这样一种紧固件施加装置：包括可重复使用的部件，结构并不过度复杂，并且被构造为便于在手术操作中使用后进行适当灭菌。
发明内容
本公开涉及一种包括砧座半部和钉仓容纳半部的手术紧固件施加装置，所述砧座半部包括远侧砧座部和近侧手柄部，所述钉仓容纳半部限定了细长通道构件。所述细长通道构件具有被定尺寸为可释放地容纳钉仓的远侧部和构造为支撑发射组件的近侧部。所述钉仓容纳半部还包括限定分叉凹部的侧壁，所述分叉凹部具有被凸起的凹部隔挡部隔开的第一凹部部分和第二凹部部分。夹紧操作杆被装至钉仓容纳半部，并具有远侧部和包括手柄部的近侧部。所述夹紧操作杆与砧座半部和钉仓容纳半部可操作地关联，并可以从松开位置运动至夹紧位置，从而将所述砧座半部的砧座部可释放地装成紧邻所述钉仓。所述夹紧操作杆还包括具有凸部的侧壁，该凸部可被定位在分叉凹部的第一凹部部分内以使夹紧操作杆可释放地保持在松开位置，并且所述凸部可以定位在分叉凹部的第二凹部部分内，以使夹紧操作杆可释放地保持在夹紧位置。
在一个实施例中，所述夹紧操作杆可释放地装至钉仓容纳半部。
所述装置还包括发射组件，其被构造为可释放地装在钉仓容纳半部的近侧部内，并且所述发射组件包括发射操作杆和固定地装到发射操作杆上的凸轮杆。所述发射组件还可以包括静止外壳，所述静止外壳被构造为可释放地支撑在钉仓容纳半部的近侧部中。
在一个实施例中，所述静止外壳包括U形框架，所述U形框架包括底壁和一对侧壁，其中侧壁中的每个均具有含有发射组件凸部的近端，所述发射组件凸部被定位为可释放地容纳于形成在细长通道构件的近端中的凹槽中，以使静止外壳可释放地保持在细长通道构件的近侧部内。所述发射组件还可以包括刀具致动杆，所述刀具致动杆被构造为与支撑在一次性使用装载单元内的刀具接合。
在一个实施例中，所述凸部包括平坦的侧壁，当夹紧操作杆处在夹紧位置时，所述侧壁与凸起的凹部隔挡部邻接。所述凸起是可变形的，并且当夹紧操作杆在松开位置和夹紧位置之间运动时，所述凸部可以经过凸起的凹部隔挡部。所述夹紧操作杆可以被枢转地装至钉仓容纳半部，其中，所述夹紧操作杆被枢转以使凸部从分叉凹部的第一凹部部分运动经过凸起的凹部隔挡部进入分叉凹部的第二凹部部分。
在一个实施例中，所述钉仓容纳半部包括一对枢轴构件，每个枢轴构件均具有平坦表面。在一个实施例中，所述平坦表面被定位在枢轴构件的近侧表面处。
在一个实施例中，所述夹紧操作杆包括一对C形凹槽，所述C形凹槽的宽度小于枢轴构件的直径，使得枢轴构件需要沿着平坦表面滑至C形凹槽中，以使夹紧操作杆联接到钉仓容纳半部上。在一个实施例中，所述夹紧操作杆相对于钉仓容纳半部成第一角度以使夹紧操作杆联接到钉仓容纳半部上，并且相对于处于松开位置的钉仓容纳半部成第二更小角度。
在一个实施例中，钉仓容纳半部具有一对U形凹槽以容纳砧座半部的横向支撑构件。钉仓容纳半部的U形凹槽和枢轴构件可以位于分叉凹部的远侧。
附图说明
现在将在此参照附图描述本公开的手术紧固件施加装置的各个实施例，其中：
图1为本公开的处于夹紧位置的手术紧固件施加装置的一个实施例从远端观察时的侧视立体图；
图1A为处于夹紧位置的图1所示的手术紧固件施加装置从近端观察时的侧视立体图；
图2为处于打开位置的图1所示的手术紧固件施加装置的侧视立体图；
图2A为在夹紧操作杆和钉仓容纳半部的组装期间钉仓容纳半部和夹紧操作杆的一部分的侧视图；
图2B为处于闭合、松开位置的图1所示的手术紧固件施加装置的侧视立体图；
图2C为图2所示的细节表示区域的放大视图；
图2D为沿着图1A的剖面线2D-2D截取的剖视图；
图3为图1所示的手术紧固件施加装置的部件分解的侧视立体图；
图3A为图1所示的手术紧固件施加装置的夹紧操作杆的底部侧视剖视图；
图4为手术紧固件施加装置的钉仓容纳半部的侧视立体图，其中一次性使用装载单元(“SULU”)和发射组件被支撑在钉仓容纳半部内；
图5为图4所示的细节表示区域的放大视图；
图6为SULU和发射组件被支撑在其中的手术紧固件施加装置的钉仓容纳半部的俯视立体图；
图7为图6所示的细节表示区域的放大视图；
图8为图3所示的手术紧固件施加装置的发射组件的前端俯视立体图；
图9为图8所示的细节表示区域的放大视图；
图9A为发射组件被可释放地装在其中的通道构件的俯视立体图；
图9B为图9A所示的细节表示区域的放大视图；
图9C为通道构件的中央部的俯视立体图；
图10为图8所示的发射组件的后端俯视立体图；
图11为图10所示的细节表示区域的放大视图；
图12为图10所示的发射组件的部件分解的侧视立体图；
图12A为图12所示的发射组件的凸轮杆从下方观察时的立体图；
图12B为图12所示的发射组件的发射操作杆从下方观察时的立体图；
图13为图1所示的手术紧固件施加装置的SULU的侧视立体图；
图14为图13所示的细节表示区域的放大视图；
图15为图13所示的SULU的前视立体图；
图16为图15所示的细节表示区域的放大视图；
图17为图15所示的SULU的部件分解的侧视立体图；
图18为处于打开位置的图1所示的手术紧固件施加装置的侧视剖视图；
图19为图18所示的细节表示区域的放大视图；
图20为图18所示的细节表示区域的放大视图；
图21为处于打开位置的图18所示的手术紧固件施加装置的近端的立体图；
图22为图1所示的手术紧固件施加装置的钉仓容纳半部和夹紧操作杆在夹紧操作杆处于松开位置时的侧视图；
图23为图22所示的细节表示区域的放大视图；
图24为处于夹紧位置的图1所示的手术紧固件施加装置的侧视立体图；
图25为处于夹紧位置的图24所示的手术紧固件施加装置的侧视剖视图；
图26为图25所示的细节表示区域的放大视图；
图27为图1所示的手术紧固件施加装置的钉仓容纳半部和夹紧操作杆在夹紧操作杆处于夹紧位置时的侧视图；
图27A为图27所示的细节表示区域的放大视图；
图28为沿图26的剖切线28-28所截取的剖视图；
图29为在发射组件运动整个致动行程以从装置中弹出紧固件时图1所示的手术紧固件施加装置的顶视图；
图30为发射组件处于致动位置的图29所示的手术紧固件施加装置的侧视剖视图；
图31为图30所示的细节表示区域的放大视图；
图32为图30所示的细节表示区域的放大视图；
图33为在装置已经发射并运动到打开位置后的图1所示的手术紧固件施加装置的侧视剖视图；以及
图34为图33所示的细节表示区域的放大视图。
具体实施方式
现在将参照附图详细描述根据本公开的手术紧固件施加装置的实施例，其中相同的附图标记表示相似或相同结构的元件。如在此所使用的，按照惯例，术语“近侧”是指装置的较靠近使用者的一端，而术语“远侧”是指装置的较远离使用者的一端。
图1至图34示出了通常标识为手术吻合器10的本公开的手术紧固件施加装置的示例性实施例。具体参照图1至图3，手术吻合器10包括砧座半部12、钉仓容纳半部14、夹紧操作杆16、一次性使用装载单元或钉仓18(下文称为“SULU”)和发射组件20。在一个实施例中，砧座半部12、钉仓容纳半部14和夹紧操作杆16被构造为可重复使用的部件，由此，采用适于灭菌和重复使用的生物相容性材料构造而成，例如不锈钢。不同的是，SULU 18和发射组件20被构造为一次性的，由此，可以采用具有必需强度特性的任何适合的生物相容性材料构造而成，例如塑料、金属及其组合。SULU 18和发射组件20能够被可选择地构造为整体单元，以作为单一单元装载到钉仓容纳半部14中。
参照图3至图7，钉仓容纳半部14限定有细长通道构件22，细长通道构件22限定有大致U形的通道24，通道24具有远侧部24a和近侧部24b，远侧部24a被定尺寸为可释放地容纳SULU18，而近侧部24b被定尺寸为可释放地容纳发射组件20。发射组件20包括静止外壳26(另参见图12)，并且静止外壳26具有这样的近端：该近端包括挠性凸部28，挠性凸部28延伸到形成在钉仓容纳半部14的近侧部中的凹槽30中，从而将发射组件20的近端可释放地装在通道构件22的近侧部24b内。发射组件20的远端限定有延伸部64d，延伸部64d定位成接合形成在通道构件22的内壁上的凸部65(参见图9A至图9C)，从而将发射组件20的远端可释放地装在通道构件22内。凸部65如图9B所示定位在延伸部64d的顶部上。下面将进一步详细地讨论发射组件20的结构。SULU 18包括一对远侧凸部32(图3)，所述一对远侧凸部32定位在形成于通道构件22的远端处的切口34中，从而可释放地将SULU 18装在通道构件22的远侧部24a内。在组装期间，在将SULU 18插入通道构件22的远侧部24a中之前，必须将发射组件20插入通道构件22的近侧部24b中，如下面将讨论的。为了将SULU 18定位在通道构件22中，将SULU 18上的凸部32定位在切口34内，同时SULU 18定位在通道构件22上方并与通道构件22成一角度。其后，能够将SULU 18向下旋转到U形通道24的远侧部24a中。这允许发射组件20的驱动部件与SULU 18的部件适当地对准，而且，有助于发射组件20与支撑在SULU 18内的刀具40(图17)接合。SULU 18的近端包括向外延伸的锯齿面42(图7)，以有助于抓握SULU 18的近端，从而从通道构件22中移除和/或更换SULU 18。在吻合器10运动到夹紧位置之前，锯齿抓握面42不会完全落入通道构件22的远侧部24a内，如下面将讨论的。
参照图8至图12，发射组件20包括静止外壳26、刀具致动杆44、凸轮杆46、导块48、发射操作杆50、滑块52和压板(pedal)54。在一个实施例中，静止外壳26包括U形框架60，U形框架60包括底壁62和一对侧壁64。每个侧壁64的近端支撑相应的挠性凸部28。凸部28能够向内挠曲到通道构件22的凹槽30中(图21)，从而如上面所讨论的将发射组件20可释放地装在通道构件22的近侧部24b内(图3)。每个侧壁64的远端限定有近侧台阶64b、倾斜部64c和远侧倾斜部(延伸部)64d。如上面所讨论的，延伸部64d定位成接合形成在通道构件22的内壁上的凸部65(图9B)，以使发射组件20的远端保持在通道构件22内。每个侧壁64包括伸出部66，用于将滑块52滑动地保持在静止外壳26内。
导块48包括限定有三个纵向狭槽70a-c的本体和一对向外延伸的凸部72。在一个实施例中，每个凸部72大致为圆柱形并包括锥形部72a(图9)。可选择地，可以构想其他凸部构造。凸部72被定尺寸为容纳在形成于静止外壳26的侧壁64中的开口74(图12)中，以使导块48沿轴向固定在静止外壳26的远端内。凸部72允许导块48在U形框架60内进行一定程度的枢转运动。如下面将进一步详细讨论的，作为对吻合器10到夹紧位置的运动的响应，导块48从与刀具致动杆44的凹口49和51锁定接合的第一位置(图19)枢转到与刀具致动杆44的凹口49和51分离的第二位置(图26)。扭转弹簧(未示出)绕凸部72设置以朝第一位置驱动导块48。狭槽70a和70c中的每个都被定尺寸为可滑动地容纳凸轮杆46的相应侧壁114。同样地，狭槽70b被定尺寸为可滑动地容纳刀具致动杆44。
滑块52包括具有弹性指部80a的毂部80，弹性指部80a被构造为卡接到形成在发射操作杆50中的枢轴孔82中。当滑块52处于缩回位置以便于从吻合器10的任一侧致动发射组件20时，发射操作杆50围绕毂部80枢转。压板54被往复地容纳在形成于滑块52中的孔84内。压板54包括裂口式本体部54a，裂口式本体部54a被构造为横跨刀具致动杆44的近端102。在一个实施例中，裂口式本体部54a包括倾斜远侧面86。销88从压板54向上延伸穿过滑块52中的孔84。偏压构件90围绕销88定位在裂口式本体部54a和滑块52之间，以驱动压板54向下运动远离滑块52。在滑块52的缩回位置，压板54被容纳在形成于通道构件22的底壁22a中的切口55中。
发射操作杆50包括第一指状接合构件50a和第二指状接合构件50b，能够选择性地接合任一个指状接合构件，以使发射操作杆50从吻合器10的任一侧运动整个发射行程。弓形凹槽94(图12B)形成在发射操作杆50的底面中，用于可滑动地容纳压板54的销88，以限定发射操作杆50能够围绕滑块52的毂部80枢转的旋转范围。如本文所使用的，发射行程被限定为发射操作杆50从完全缩回位置(图25)到完全推进位置的运动(图30)。止动凹槽94a形成在弓形凹槽94的每一端部处。止动凹槽94a被构造并定尺寸为容纳压板54的销88的端部，以在手术吻合器10的发射行程期间防止发射操作杆50围绕毂部80的枢转运动。更具体地，当致动发射组件20以在静止外壳26内向远侧推进滑块52时，压板54的倾斜远侧面86与通道构件22接合并凸轮运动出切口55(图20)，以向上驱动销88进入止动凹槽94a，从而在发射操作杆50的发射行程运动期间防止发射操作杆50的枢转运动。显然，销88必须定位在止动凹槽94a的下面，以允许压板54从切口55向上提升，从而允许发射操作杆50运动整个发射行程。因而，在发射操作杆50运动发射行程之前，必须先将发射操作杆50枢转到发射组件20的一侧或另一侧。
刀具致动杆44包括具有台阶部100的近端，台阶部100包括具有第一高度的近侧第一台阶102和具有第二高度的第二台阶104，第二高度大于第一高度。致动杆44的远端包括上翘钩部106和上下凹口49和51。指部108在第一台阶102和第二台阶104之间从刀具致动杆44向上凸出。如图20所示，指部108被可滑动地容纳在形成于滑块52的下侧的凹槽110内。当在静止外壳26内向远侧推进滑块52时，指部108在凹槽110内运动，以使滑块52相对于刀具致动杆44运动，直到指部108与限定凹槽110的近端的壁112(图32)接合。当指部108与壁112接合时，滑块52的进一步向远侧运动还将实现刀具致动杆44的向远侧运动。如下面将显而易见的，该配置允许在切割组织之前从SULU 18中弹出吻合钉。
参照图12和图12A，凸轮杆46包括一对侧壁114和底壁116。每个侧壁114的近端114a包括凸起的壁部118。每个凸起的壁部118被构造为固定地容纳在形成于滑块52的下侧的狭槽(未示出)中，以使凸轮杆46的近端固定地装到滑块52。可选择地，可以围绕刀具致动杆44的近端模制滑块52。每个侧壁114的远端包括倾斜凸轮面114b。底壁116限定有向远侧延伸的细长狭槽123(图12A)和向近侧延伸的纵向狭槽121，细长狭槽123从凸轮杆46的远端沿凸轮杆46的大部分长度延伸。狭槽121定位成当滑块52处于缩回位置时，有助于使压板54穿过通道构件22的切口55(参见图20)。
凸轮杆46的侧壁114可滑动地定位在导块48的狭槽70a和70c中，并且刀具致动杆44可滑动地定位在导块48的纵向狭槽70b中。当发射组件20被支撑在通道构件22中并且发射操作杆50枢转到静止外壳26的一侧且被向远侧推动时，滑块52在静止外壳26内向远侧运动。随着滑块52开始向远侧运动，压板54的锥形面86与限定切口55的通道构件22的远侧边接合，以驱动压板54向上运动出切口55，穿过凸轮杆46的狭槽121，并且运动到发射组件20的静止外壳26的内表面上(图20)。这时，压板54的销88运动到止动凹槽94a中，以防止发射操作杆50的进一步枢转运动。如果发射操作杆50没有枢转到使得销88定位在止动凹槽94a的下面这样的位置，则会防止压板54向上运动出切口55，并将防止发射操作杆50运动发射行程。随着发射操作杆50向远侧运动，指部108在凹槽110内运动，以使刀具致动杆44在凸轮杆46向远侧推进时保持静止。当指部108与限定凹槽110的近侧壁112接合时，刀具致动杆44与滑块52和凸轮杆46一起向远侧运动。如下面将讨论的，当凸轮杆46和刀具致动杆44在发射组件20的静止外壳26和通道构件22内向远侧运动时，凸轮杆46的倾斜凸轮面114b运动通过SULU18以从SULU 18中弹出紧固件。同时，虽然预设延迟等于凹槽110(图20)的长度，但是刀具致动杆44驱动刀片40通过SULU 18以切开组织。
第7,631,794号美国专利(“‘794专利”)公开了包括类似上述发射组件的发射组件的手术紧固件施加装置。‘794专利的全部内容通过引用合并于此。
图13至图17示出了SULU 18。SULU 18包括本体120、多个吻合钉推进器122(仅示出一个)、底盖124、具有倾斜尖锐的前沿或刀片40a的刀具40、多个吻合钉126(仅示出一个)和枢转地安装的安全闭锁128。本体120的近端包括柔性指部120a，柔性指部120a略微凸出超过限定本体120的外壁。指部120a与通道构件22(图14)的内壁摩擦接合，以便在SULU 18可释放地定位在通道构件22内时，将SULU 18的近端保持在通道构件22内。在本领域中，已知本体120具有多排吻合钉保持狭槽130，例如4排、6排等，并且线性槽形刀具轨道132居中布置在本体120中。手术吻合器10能够被定尺寸为容纳或适应具有不同吻合钉行长(例如，60mm、80mm和100mm)的SULU。刀具40包括下翘钩部40b，下翘钩部40b定位成当SULU 18定位在通道构件22内时，与刀具致动杆44的上翘钩部106(图12)接合。
在示出的实施例中，本体120包括形成于线性槽形刀具轨道132的任一侧的两排交错槽130。各排交错槽130延伸超出刀具轨道132的远端，以利于吻合钉在刀片40的行程的远端以外成形。
吻合钉推进器122可以被构造为延伸到一个或多个狭槽130中。在一个实施例中，单个推进器与每个狭槽130关联。可选择地，如图17所示，每个推进器122能够被构造为延伸到两个相邻狭槽130中并定位于保持在狭槽130中的相应吻合钉126的下面。在本领域中，已知每个推进器122都包括下部凸轮面122a，下部凸轮面122a定位成与凸轮杆46的远端上的凸轮面114b(图12)中的一个接合，从而使凸轮杆46在SULU 18内的运动按顺序升高相应一个或多个狭槽130内的每个相应推进器122，以从一个或多个狭槽130中弹出吻合钉。
底盖124部分围绕形成在钉仓本体120内的通道125(图18)。纵脊134(图17)形成在底盖124的上表面上并为装于刀具40的底边的刀具支撑构件136提供支承面。通过销、焊接或其他已知的紧固技术，刀具40可以装于支撑构件136。在发射行程期间，随着发射操作杆50推进通过通道构件22，刀具40被沿着刀具轨道132引导。一对狭槽138限定在脊134的侧面和钉仓本体120的外壁之间。纵脊134定位在本体120内并被定尺寸为被可滑动地容纳在凸轮杆46的细长狭槽123(图12a)中，从而使凸轮杆46能够围绕纵脊134可滑动地运动通过钉仓本体120，以从SULU 18中弹出吻合钉126。
安全闭锁128枢转地布置在本体120的上部近端上，并围绕枢轴构件150从锁定方位(图26)枢转到解锁方位(图34)。枢轴构件150被容纳在本体120中的开口154中。偏压构件(例如弹簧152)定位在刀具支撑构件136和安全闭锁128之间，以朝向解锁方位驱动安全闭锁128。安全闭锁128包括近侧钩156，近侧钩156定位成当刀具40处于缩回位置(图19)时，容纳形成在刀具40上的接合构件158以使安全闭锁128保持在锁定方位。当在发射行程期间刀具40朝向推进位置运动时，接合构件158移离近侧钩156，以允许安全闭锁128响应弹簧152的驱动而朝向解锁位置枢转。需要注意的是，当砧座半部12和钉仓容纳半部14处于夹紧位置时，防止了安全闭锁128枢转到解锁位置，因为安全闭锁128的顶面128a与砧座半部12的内表面接合，以防止安全闭锁128的枢转。安全闭锁128限定有狭槽160(图16)，狭槽160被定尺寸为可滑动地容纳刀具40。在刀具40的缩回位置处，刀具40的前沿40a被限制在安全闭锁128的狭槽160内，以防止由于刀具40的前沿40a引起的意外接合和对医务人员的伤害。
再次参照图2至图3，砧座半部12包括近侧手柄部12a和远侧砧座部12b。砧座部12b包括吻合钉变形部198，在本领域中，已知吻合钉变形部198包括多个吻合钉变形凹槽并在SULU 18位于通道构件22中时面向SULU 18的顶面。在本领域中，还已知吻合钉变形部198包括中央纵向狭槽(未示出)，用于当刀具40(图17)运动通过SULU 18时容纳刀具40。吻合钉变形部198能够与砧座半部12一体成形，或者在替换方案中通过紧固处理(如焊接)装于砧座半部12。一对定位指部170定位在砧座部12b的吻合钉变形部198的近端附近并且接合SULU18中的槽，以使SULU 18与吻合钉变形部198适当地对准。
砧座半部12的中央部包括一对圆柱形横向支撑构件172。在砧座半部12和钉仓容纳半部14的组装期间，横向支撑构件172被支撑在形成于钉仓容纳半部14的中央部173(图28)上的U形凹槽174中。横向支撑构件172还定位成当夹紧操作杆16运动至夹紧位置时，被容纳在形成于夹紧操作杆16的间隔的凸缘部178上的切口176中(图1)。近侧手柄部12a人体工学地形成，并包括拇指接合邻接部180和抓握部182。手柄部12a的近端包括向下延伸的指部184(图21)，指部184包括一对相对的泪滴状凸部186，下面将进一步详细讨论。可选择地，凸部186可以采取各种构造。
回到图3，钉仓容纳半部14包括中央部173，中央部173限定有在中央间隔布置的U形凹槽174，而U形凹槽174定位成支撑砧座半部12的横向支撑构件172。中央部173的远侧壁173a限定有组织止动部。一对横向圆柱形枢轴构件187定位在凹槽174下面。每个枢轴构件都限定有平坦部187a(另参见图2A)。钉仓容纳半部14的近端还包括一对垂直支撑构件188。每个垂直支撑构件188都包括具有圆形底面的细长垂直狭槽188a。垂直狭槽188a被定尺寸为在组装期间当砧座半部12被支撑在钉仓容纳半部14上时，容纳形成在砧座半部12的指部184(图21)上的凸部186。通过将凸部186定位在垂直狭槽188a内，砧座半部12能够以剪刀式的运转方式在打开位置和闭合位置之间相对于钉仓容纳半部14枢转。在一个实施例中，凸部186具有泪滴状轮廓。钉仓容纳半部14的至少一个侧壁包括分叉凹部189(参见图3)，下面将进一步详细讨论。
夹紧操作杆16包括具有抓握部190a的手柄部190和拇指接合邻接部192。如上面所讨论的，一对间隔的凸缘部178被支撑在夹紧操作杆16的远端上。每个凸缘部178都限定有切口176，切口176被定尺寸为当吻合器10朝向夹紧位置运动时(图2B)，容纳砧座半部12的相应横向支撑构件172。夹紧操作杆16的远端还限定有一对远侧C形凹槽194，所述一对远侧C形凹槽194被定尺寸为容纳钉仓容纳半部14的枢轴构件187。每个凹槽194都限定有宽度小于枢轴构件187的直径的槽口。因为每个C形凹槽194的槽口的宽度都小于枢轴构件187的直径，所以，当将夹紧操作杆16装于钉仓容纳半部14(图24)时，枢轴构件187必须沿着枢轴构件187的平坦部187a的表面沿图2A的箭头“x”的方向滑入凹槽194中。这样，夹紧操作杆16必须定位成如图2A所示与钉仓容纳半部14成锐角，以使夹紧操作杆16绕钉仓容纳半部14的枢轴构件187枢转地安装。如图所示的，与处在松开位置的夹紧操作杆相对于钉仓容纳半部的角度相比，该锐角是相对于钉仓容纳半部更大的角度。在将枢轴构件187定位在C形凹槽194中后，夹紧操作杆16能够如图2A所示沿逆时针方向旋转到图2所示的位置，以使夹紧操作杆16装至钉仓容纳半部14。
如图3A所示，夹紧操作杆16的凸缘部178的内壁包括具有平坦侧壁201a的圆形凸部201。随着夹紧操作杆16从图2A所示的位置旋转到图2B所示的位置，凸部201向前运动并在钉仓容纳半部14的外壁作用下变形，直到凸部201运动到形成在钉仓容纳半部14的侧壁中的分叉凹部189的第一部分189a(图2A)中。分叉凹部189形成在U形凹槽174的近侧和钉仓容纳半部14的横向支撑构件172的近侧。通过将凸部201定位在凹部189的第一部分189a中，防止夹紧操作杆16旋转到使得夹紧操作杆16会与钉仓容纳半部14分离(图2A)并因此保持在打开位置或松开位置(图22)的位置。在夹紧操作杆16运动至夹紧位置时，可变形的凸部201经过凸起的凹部隔挡部189c(图5)并进入分叉凹部189b的第二部分189b以使夹紧操作杆16保持在夹紧位置(图27A)。在该位置中，凸部201的平坦侧壁201a邻接凹部隔挡部189c。应该注意到，第一和第二凹部部分189a、189b为不同的结构，但是可选地可以为相似的结构。还应该注意到，凹部部分189a、189b可以具有超过凸部201的直径的高度或空间从而为凸部提供在部分189a、189b内运动的空间。
参照图2和图2C，在夹紧操作杆16已经装至钉仓容纳半部14并且SULU18和发射组件20装载到通道构件22中后，能够将砧座部12组装到钉仓容纳半部14。需要注意的是，能够在将夹紧操作杆16装至钉仓容纳半部14之前或之后，将SULU 18和发射组件20装载到通道构件22中。为了将砧座半部12联接到钉仓容纳半部14，将指部184的凸部186定位在钉仓容纳半部14的垂直支撑构件188的垂直狭槽188a中。其后，朝向钉仓容纳半部14旋转砧座半部12，以使横向支撑构件172定位在U形凹槽174中。
为了将手术吻合器10定位在夹紧位置，从图2B所示的位置沿逆时针方向旋转夹紧操作杆16。随着夹紧操作杆16的旋转，横向支撑构件172被容纳在凸缘部178的切口176中，并朝向钉仓容纳半部14做凸轮运动。在图1所示的夹紧位置处，吻合钉变形部198定位成紧邻SULU 18的顶面。
参照图3、图12、图19和图26，如上面所讨论的，导块48被枢转地支撑在发射组件20的静止外壳26中。导块48包括向远侧延伸的鼻部220(图12)，鼻部220在SULU 18被支撑在通道构件22中时安置在SULU 18下面。导块48的内表面包括锁定面222(图19)，锁定面222在吻合器10处于松开位置时被容纳在刀具致动杆44的凹口49和51中。当SULU 18定位在通道构件22中时，在将夹紧操作杆16运动到夹紧位置之前，SULU 18定位在鼻部220上面并且没有完全落入通道构件22中，如上面所讨论的。当吻合器10运动到夹紧位置时，砧座半部的定位指部170(图3)与SULU 18的本体120的顶面接合，以使SULU 18完全落入通道构件22中。之后，定位指部170与SULU 18的槽接合，以使SULU 18相对于砧座部12b适当地定位。随着SULU18完全落入通道构件22中，SULU 18向下挤压导块48的鼻部220，以使导块48围绕凸部72枢转。当导块48枢转时，锁定面222运动出凹口49和51以解锁刀具致动杆44(图26)。该构造防止了在夹紧之前刀具致动杆44相对于导块48的运动，以确保刀具致动杆44和SULU刀具40在使用之前为了操作接合而保持适当的定位。
参照图24至图28，当吻合器10处于夹紧、非发射位置时，发射组件20的滑块52处于位于通道构件22和静止外壳26的近端处的缩回位置(参见图25)。在此位置处，压板54定位在通道构件22的切口55中，而压板54的销88定位在发射操作杆50的弓形凹槽94中、止动凹槽94a下面(见图12B)。这样，发射操作杆50能够枢转以便于从吻合器10的任一侧致动吻合器10。此外，在滑块52的此位置处，刀具致动杆44的指部108定位在滑块52的凹槽110的远侧壁附近。凸部201定位在分叉凹部189的第二部分189b内以使夹紧操作杆16保持在夹紧位置。如上面所述，凸部201的平坦侧壁201a定位为邻接凹部隔挡部189c以防止凸部201从第二部分189b(图27A)无意地移除。
参照图25和图26，当滑块52处于缩回位置时，刀具40和凸轮杆46的凸轮面114b(图9)定位在SULU 18的近端处，而安全闭锁128的近侧钩156定位为与刀具40的接合构件158接合，以使安全闭锁128保持在锁定方位。此外，刀具40的下翘钩部40b与刀具致动杆44的上翘钩部106接合，以使发射组件20连接至SULU 18的刀具40。
参照图29至图32，当发射操作杆50沿图29中箭头“A”指示的方向朝向远侧推进时，滑块52(图32)在发射组件20的静止外壳26内向远侧运动，以实现凸轮杆46的对应运动和刀具致动杆44的延迟运动。如上面所讨论的，刀具致动杆44的延迟运动等于滑块52的凹槽110的长度，并由刀具致动杆44的指部108在滑块52的凹槽110内的运动引起。当指部108邻接凹槽110的近侧壁112时，刀具致动杆44与滑块52开始一起运动。随着凸轮杆46向远侧运动通过发射组件20的静止外壳26，凸轮杆46的侧壁114上的凸轮面114b被推进通过SULU 18，从而按顺序与推进器122接合(图17)，以从本体120的狭槽130中弹出吻合钉126。结果，由于刀具致动杆44的远端与刀具40接合，刀具40在预设延迟后被推进通过SULU 18以在吻合钉行之间切割组织。
如图32中的虚线所示，当滑块52在静止外壳26内向远侧运动时，压板54架置在通道构件22上方并沿着发射组件20的静止外壳26的内表面运动。这时，压板54的销88运动到止动凹槽94a中，以防止发射操作杆50的进一步枢转运动。
参照图32，当刀具40在SULU 18内向远侧运动时，刀具40的接合构件158与安全闭锁128的近侧钩156分离。
参照图33和图34，当将发射操作杆50返回到其最近侧位置以缩回凸轮杆46和刀具40时，手动地枢转夹紧操作杆16以使凸部201与分叉凹部189的第二部分189b分离，以使夹紧操作杆16运动到其松开位置以允许吻合器10运动到打开位置。在打开位置，砧座半部12与钉仓容纳半部14间隔开，而弹簧152(图17)使安全闭锁128沿图34中箭头B指示的方向围绕枢轴构件150枢转到其解锁位置，以使安全闭锁128从SULU 18向上凸出。在解锁位置，安全闭锁128防止吻合器10运动回到夹紧位置。为了重复使用吻合器10，必须使用新的SULU18更换已使用的SULU 18。
在手术操作期间，能够多次更换SULU 18以便对单个患者多次使用吻合器10。如果提供了整体单元，则能够多次更换SULU和发射组件。由于每个SULU 18都设置有新刀具40，因此使得组织撕裂最小化。在手术操作后，可以从通道构件22中移除已经使用的SULU 18和发射组件20，并以合适的方式进行处理。其后，通过将夹紧操作杆16旋转到图2A所示的位置并使枢轴构件187与C形凹槽194分离，能够从钉仓容纳半部14中移除夹紧操作杆16。现在可以将砧座半部12、钉仓容纳半部14和夹紧操作杆16进行灭菌，例如通过高压蒸气进行灭菌，并且按照上述方式与新的SULU 18和发射组件20一起重复使用。
应该理解的是，可以对本公开的手术紧固件施加装置的实施例进行各种改进。因此，上述描述不应被理解为限制，而是仅为实施例的范例。本领域的技术人员可以设想出在本公开的范围和精神之内的其他改进。
Claims (15)
1.一种手术紧固件施加装置，包括：
砧座半部，包括远侧砧座部和近侧手柄部；
钉仓容纳半部，限定有通道构件，所述通道构件具有远侧部和近侧部，所述远侧部被定尺寸为可释放地容纳钉仓，而所述近侧部被构造为支撑发射组件，所述通道构件的近侧部具有内壁，所述内壁包括向内延伸的凸部；
发射组件，其包括发射操作杆、凸轮杆以及静止外壳，所述凸轮杆固定地装到所述发射操作杆上，所述静止外壳支撑所述发射操作杆和凸轮杆，所述静止外壳被构造为可释放地支撑在所述钉仓容纳半部的近侧部中，其中所述静止外壳包括具有倾斜延伸部的远端，所述倾斜延伸部定位成接合所述通道构件的内壁上的向内延伸的凸部，以便将所述发射组件的远端可释放地装到细长的通道构件内。
2.根据权利要求1所述的手术紧固件施加装置，其中，所述静止外壳包括U形框架，所述U形框架包括底壁和一对侧壁，侧壁中的每一个均具有含有发射组件凸部的近端，每一个发射组件凸部均被定位为可释放地容纳于形成在所述通道构件的近端中的凹槽中，以使所述静止外壳可释放地保持在所述通道构件的近侧部内。
3.根据权利要求1所述的手术紧固件施加装置，进一步包括夹紧操作杆，所述夹紧操作杆装至所述钉仓容纳半部，所述夹紧操作杆具有近侧部和远侧部并且包括手柄部。
4.根据权利要求3所述的手术紧固件施加装置，其中，所述钉仓容纳半部包括具有限定了分叉凹部的外表面的侧壁，所述分叉凹部具有被凸起的凹部隔挡部隔开的第一凹部部分和第二凹部部分。
5.根据权利要求4所述的手术紧固件施加装置，其中，所述夹紧操作杆与所述砧座半部和所述钉仓容纳半部可操作地关联，并且能够从松开位置运动到夹紧位置，从而将所述砧座半部的砧座部可释放地装成紧邻所述钉仓，其中，所述夹紧操作杆还包括具有夹紧操作杆凸部的侧壁，所述夹紧操作杆凸部能够定位在所述分叉凹部的第一凹部部分内，以使所述夹紧操作杆可释放地保持在松开位置，并且所述夹紧操作杆凸部能够定位在所述分叉凹部的第二凹部部分内，以使所述夹紧操作杆可释放地保持在夹紧位置。
6.根据权利要求1所述的手术紧固件施加装置，其中，所述发射组件还包括刀具致动杆，所述刀具致动杆被构造为与支撑在容纳于所述钉仓容纳半部的钉仓内的刀具接合。
7.根据权利要求5所述的手术紧固件施加装置，其中，所述夹紧操作杆凸部包括平坦的侧壁，当所述夹紧操作杆处在夹紧位置时，所述侧壁与所述凸起的凹部隔挡部邻接。
8.根据权利要求1所述的手术紧固件施加装置，其中，所述凸部是可变形的，并且当所述夹紧操作杆在松开位置和夹紧位置之间运动时，所述凸部经过所述凸起的凹部隔挡部。
9.根据权利要求5所述的手术紧固件施加装置，其中，所述夹紧操作杆可释放地装至钉仓容纳半部。
10.根据权利要求9所述的手术紧固件施加装置，其中，所述夹紧操作杆被枢转地装至所述钉仓容纳半部，并且所述夹紧操作杆被枢转以使所述凸部从所述分叉凹部的第一凹部部分运动经过所述凸起的凹部隔挡部进入所述分叉凹部的第二凹部部分。
11.根据权利要求1所述的手术紧固件施加装置，其中，所述钉仓容纳半部包括一对枢轴构件，每个枢轴构件均具有平坦表面。
12.根据权利要求11所述的手术紧固件施加装置，其中，所述夹紧操作杆包括一对C形凹槽，每个C形凹槽的宽度均小于所述枢轴构件的直径，使得所述枢轴构件能沿着所述平坦表面而仅滑至所述C形凹槽中，以使所述夹紧操作杆联接到所述钉仓容纳半部上。
13.根据权利要求1所述的手术紧固件施加装置，其中，所述钉仓容纳半部限定有一对U形凹槽并且所述砧座半部包括横向支撑构件，所述一对U形凹槽被构造成容纳所述横向支撑构件。
14.根据权利要求13所述的手术紧固件施加装置，其中，所述钉仓容纳半部包括一对枢轴构件，所述枢轴构件被定位在所述分叉凹部的远侧。
15.根据权利要求5所述的手术紧固件施加装置，其中，所述第一凹部部分和第二凹部部分的高度超过所述凸部的直径。
Applications Claiming Priority (5)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US201161494993P | 2011-06-09 | 2011-06-09 | |
| US61/494,993 | 2011-06-09 | ||
| US13/472,552 US9271728B2 (en) | 2011-06-09 | 2012-05-16 | Surgical fastener applying apparatus |
| US13/472,552 | 2012-05-16 | ||
| CN201210192027.6A CN102940512B (zh) | 2011-06-09 | 2012-06-11 | 手术紧固件施加装置 |
Related Parent Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201210192027.6A Division CN102940512B (zh) | 2011-06-09 | 2012-06-11 | 手术紧固件施加装置 |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN106974686A true CN106974686A (zh) | 2017-07-25 |
| CN106974686B CN106974686B (zh) | 2019-11-26 |
Family
ID=46245487
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201610901760.9A Active CN106974686B (zh) | 2011-06-09 | 2012-06-11 | 手术紧固件施加装置 |
Country Status (4)
| Country | Link |
|---|---|
| US (2) | US9271728B2 (zh) |
| EP (1) | EP2532311B1 (zh) |
| CN (1) | CN106974686B (zh) |
| CA (1) | CA2777989A1 (zh) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN113395939A (zh) * | 2019-02-11 | 2021-09-14 | 柯惠有限合伙公司 | 用于钉仓的装运楔 |
Families Citing this family (162)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5865361A (en) | 1997-09-23 | 1999-02-02 | United States Surgical Corporation | Surgical stapling apparatus |
| US7637410B2 (en) | 2006-10-06 | 2009-12-29 | Tyco Healthcare Group Lp | Surgical instrument including a locking assembly |
| US8061576B2 (en) | 2007-08-31 | 2011-11-22 | Tyco Healthcare Group Lp | Surgical instrument |
| US8628544B2 (en) | 2008-09-23 | 2014-01-14 | Covidien Lp | Knife bar for surgical instrument |
| US7988028B2 (en) | 2008-09-23 | 2011-08-02 | Tyco Healthcare Group Lp | Surgical instrument having an asymmetric dynamic clamping member |
| US9451959B2 (en) * | 2011-06-09 | 2016-09-27 | Covidien Lp | Surgical fastener applying apparatus |
| US9271728B2 (en) | 2011-06-09 | 2016-03-01 | Covidien Lp | Surgical fastener applying apparatus |
| US9155537B2 (en) * | 2011-08-08 | 2015-10-13 | Covidien Lp | Surgical fastener applying apparatus |
| US9539007B2 (en) * | 2011-08-08 | 2017-01-10 | Covidien Lp | Surgical fastener applying aparatus |
| US9724095B2 (en) | 2011-08-08 | 2017-08-08 | Covidien Lp | Surgical fastener applying apparatus |
| US8740036B2 (en) | 2011-12-01 | 2014-06-03 | Covidien Lp | Surgical instrument with actuator spring arm |
| EP2838439A4 (en) * | 2012-04-18 | 2015-11-25 | Cardica Inc | SAFETY LOCK FOR A SURGICAL CLIP DEVICE |
| CN103156656B (zh) * | 2012-12-27 | 2015-12-23 | 苏州天臣国际医疗科技有限公司 | 直线型缝切器 |
| US9814463B2 (en) | 2013-03-13 | 2017-11-14 | Covidien Lp | Surgical stapling apparatus |
| US9629628B2 (en) | 2013-03-13 | 2017-04-25 | Covidien Lp | Surgical stapling apparatus |
| US9717498B2 (en) | 2013-03-13 | 2017-08-01 | Covidien Lp | Surgical stapling apparatus |
| US9888921B2 (en) | 2013-03-13 | 2018-02-13 | Covidien Lp | Surgical stapling apparatus |
| US9662108B2 (en) | 2013-08-30 | 2017-05-30 | Covidien Lp | Surgical stapling apparatus |
| US10542997B2 (en) | 2013-10-23 | 2020-01-28 | University Of Florida Research Foundation, Inc. | Devices and methods for removing unwanted tissue |
| CN110063762B (zh) | 2013-11-04 | 2022-04-15 | 柯惠Lp公司 | 手术紧固件施加装置 |
| CN105682569A (zh) * | 2013-11-04 | 2016-06-15 | 柯惠Lp公司 | 手术紧固件施加装置 |
| EP3065649A1 (en) | 2013-11-04 | 2016-09-14 | Covidien LP | Surgical fastener applying apparatus |
| CN105682567B (zh) | 2013-11-04 | 2021-09-10 | 柯惠Lp公司 | 手术紧固件施加装置 |
| US9867613B2 (en) | 2013-12-19 | 2018-01-16 | Covidien Lp | Surgical staples and end effectors for deploying the same |
| US9848874B2 (en) | 2014-02-14 | 2017-12-26 | Covidien Lp | Small diameter endoscopic stapler |
| US9757126B2 (en) | 2014-03-31 | 2017-09-12 | Covidien Lp | Surgical stapling apparatus with firing lockout mechanism |
| US9668733B2 (en) | 2014-04-21 | 2017-06-06 | Covidien Lp | Stapling device with features to prevent inadvertent firing of staples |
| US9861366B2 (en) | 2014-05-06 | 2018-01-09 | Covidien Lp | Ejecting assembly for a surgical stapler |
| CN110680437B (zh) | 2014-05-15 | 2023-01-31 | 柯惠Lp公司 | 手术紧固件施加装置 |
| US10039545B2 (en) | 2015-02-23 | 2018-08-07 | Covidien Lp | Double fire stapling |
| US10130367B2 (en) | 2015-02-26 | 2018-11-20 | Covidien Lp | Surgical apparatus |
| US10085749B2 (en) | 2015-02-26 | 2018-10-02 | Covidien Lp | Surgical apparatus with conductor strain relief |
| US9918717B2 (en) | 2015-03-18 | 2018-03-20 | Covidien Lp | Pivot mechanism for surgical device |
| US10463368B2 (en) | 2015-04-10 | 2019-11-05 | Covidien Lp | Endoscopic stapler |
| US10117650B2 (en) | 2015-05-05 | 2018-11-06 | Covidien Lp | Adapter assembly and loading units for surgical stapling devices |
| US10299789B2 (en) | 2015-05-05 | 2019-05-28 | Covidie LP | Adapter assembly for surgical stapling devices |
| US10039532B2 (en) | 2015-05-06 | 2018-08-07 | Covidien Lp | Surgical instrument with articulation assembly |
| US10349941B2 (en) | 2015-05-27 | 2019-07-16 | Covidien Lp | Multi-fire lead screw stapling device |
| US10172615B2 (en) | 2015-05-27 | 2019-01-08 | Covidien Lp | Multi-fire push rod stapling device |
| US10548599B2 (en) | 2015-07-20 | 2020-02-04 | Covidien Lp | Endoscopic stapler and staple |
| US9987012B2 (en) | 2015-07-21 | 2018-06-05 | Covidien Lp | Small diameter cartridge design for a surgical stapling instrument |
| US10064622B2 (en) | 2015-07-29 | 2018-09-04 | Covidien Lp | Surgical stapling loading unit with stroke counter and lockout |
| US10045782B2 (en) | 2015-07-30 | 2018-08-14 | Covidien Lp | Surgical stapling loading unit with stroke counter and lockout |
| US10213204B2 (en) | 2015-10-02 | 2019-02-26 | Covidien Lp | Micro surgical instrument and loading unit for use therewith |
| US10772632B2 (en) | 2015-10-28 | 2020-09-15 | Covidien Lp | Surgical stapling device with triple leg staples |
| US10595864B2 (en) | 2015-11-24 | 2020-03-24 | Covidien Lp | Adapter assembly for interconnecting electromechanical surgical devices and surgical loading units, and surgical systems thereof |
| US10111660B2 (en) | 2015-12-03 | 2018-10-30 | Covidien Lp | Surgical stapler flexible distal tip |
| US10966717B2 (en) | 2016-01-07 | 2021-04-06 | Covidien Lp | Surgical fastener apparatus |
| US10660623B2 (en) | 2016-01-15 | 2020-05-26 | Covidien Lp | Centering mechanism for articulation joint |
| US10349937B2 (en) | 2016-02-10 | 2019-07-16 | Covidien Lp | Surgical stapler with articulation locking mechanism |
| US10420559B2 (en) | 2016-02-11 | 2019-09-24 | Covidien Lp | Surgical stapler with small diameter endoscopic portion |
| US10561419B2 (en) | 2016-05-04 | 2020-02-18 | Covidien Lp | Powered end effector assembly with pivotable channel |
| US11065022B2 (en) | 2016-05-17 | 2021-07-20 | Covidien Lp | Cutting member for a surgical instrument |
| US10631857B2 (en) | 2016-11-04 | 2020-04-28 | Covidien Lp | Loading unit for surgical instruments with low profile pushers |
| US11642126B2 (en) | 2016-11-04 | 2023-05-09 | Covidien Lp | Surgical stapling apparatus with tissue pockets |
| US10492784B2 (en) | 2016-11-08 | 2019-12-03 | Covidien Lp | Surgical tool assembly with compact firing assembly |
| US10463371B2 (en) | 2016-11-29 | 2019-11-05 | Covidien Lp | Reload assembly with spent reload indicator |
| US10709901B2 (en) | 2017-01-05 | 2020-07-14 | Covidien Lp | Implantable fasteners, applicators, and methods for brachytherapy |
| US10952767B2 (en) | 2017-02-06 | 2021-03-23 | Covidien Lp | Connector clip for securing an introducer to a surgical fastener applying apparatus |
| US20180235618A1 (en) | 2017-02-22 | 2018-08-23 | Covidien Lp | Loading unit for surgical instruments with low profile pushers |
| US11350915B2 (en) | 2017-02-23 | 2022-06-07 | Covidien Lp | Surgical stapler with small diameter endoscopic portion |
| US10849621B2 (en) | 2017-02-23 | 2020-12-01 | Covidien Lp | Surgical stapler with small diameter endoscopic portion |
| US10299790B2 (en) | 2017-03-03 | 2019-05-28 | Covidien Lp | Adapter with centering mechanism for articulation joint |
| US10660641B2 (en) | 2017-03-16 | 2020-05-26 | Covidien Lp | Adapter with centering mechanism for articulation joint |
| US10603035B2 (en) | 2017-05-02 | 2020-03-31 | Covidien Lp | Surgical loading unit including an articulating end effector |
| US11324502B2 (en) | 2017-05-02 | 2022-05-10 | Covidien Lp | Surgical loading unit including an articulating end effector |
| US10524784B2 (en) | 2017-05-05 | 2020-01-07 | Covidien Lp | Surgical staples with expandable backspan |
| US10390826B2 (en) | 2017-05-08 | 2019-08-27 | Covidien Lp | Surgical stapling device with elongated tool assembly and methods of use |
| US10420551B2 (en) | 2017-05-30 | 2019-09-24 | Covidien Lp | Authentication and information system for reusable surgical instruments |
| US10478185B2 (en) | 2017-06-02 | 2019-11-19 | Covidien Lp | Tool assembly with minimal dead space |
| US10624636B2 (en) | 2017-08-23 | 2020-04-21 | Covidien Lp | Surgical stapling device with floating staple cartridge |
| US10806452B2 (en) | 2017-08-24 | 2020-10-20 | Covidien Lp | Loading unit for a surgical stapling instrument |
| US10925603B2 (en) | 2017-11-14 | 2021-02-23 | Covidien Lp | Reload with articulation stabilization system |
| US10863987B2 (en) | 2017-11-16 | 2020-12-15 | Covidien Lp | Surgical instrument with imaging device |
| US10945732B2 (en) | 2018-01-17 | 2021-03-16 | Covidien Lp | Surgical stapler with self-returning assembly |
| US10631866B2 (en) | 2018-02-06 | 2020-04-28 | Ethicon Llc | Release mechanism for linear surgical stapler |
| US10874398B2 (en) * | 2018-02-06 | 2020-12-29 | Ethicon Llc | Firing lever assembly for linear surgical stapler |
| CA3090020A1 (en) | 2018-03-02 | 2019-09-06 | Covidien Lp | Surgical stapling instrument |
| US10849622B2 (en) | 2018-06-21 | 2020-12-01 | Covidien Lp | Articulated stapling with fire lock |
| US10736631B2 (en) | 2018-08-07 | 2020-08-11 | Covidien Lp | End effector with staple cartridge ejector |
| US10898187B2 (en) | 2018-08-13 | 2021-01-26 | Ethicon Llc | Firing system for linear surgical stapler |
| US11033266B2 (en) | 2018-08-13 | 2021-06-15 | Cilag Gmbh International | Decoupling mechanism for linear surgical stapler |
| US11278285B2 (en) * | 2018-08-13 | 2022-03-22 | Cilag GbmH International | Clamping assembly for linear surgical stapler |
| USD913495S1 (en) * | 2018-08-13 | 2021-03-16 | Ethicon Llc | Linear surgical stapler |
| US10849620B2 (en) | 2018-09-14 | 2020-12-01 | Covidien Lp | Connector mechanisms for surgical stapling instruments |
| US11510669B2 (en) | 2020-09-29 | 2022-11-29 | Covidien Lp | Hand-held surgical instruments |
| US10905419B2 (en) | 2018-10-11 | 2021-02-02 | Ethicon Llc | Closure assembly for linear surgical stapler |
| US11045193B2 (en) | 2018-10-11 | 2021-06-29 | Cilag Gmbh International | Anvil assembly for linear surgical stapler |
| US11090051B2 (en) | 2018-10-23 | 2021-08-17 | Covidien Lp | Surgical stapling device with floating staple cartridge |
| US11197673B2 (en) | 2018-10-30 | 2021-12-14 | Covidien Lp | Surgical stapling instruments and end effector assemblies thereof |
| US10912563B2 (en) | 2019-01-02 | 2021-02-09 | Covidien Lp | Stapling device including tool assembly stabilizing member |
| US11344297B2 (en) | 2019-02-28 | 2022-05-31 | Covidien Lp | Surgical stapling device with independently movable jaws |
| US11259808B2 (en) | 2019-03-13 | 2022-03-01 | Covidien Lp | Tool assemblies with a gap locking member |
| US11284892B2 (en) | 2019-04-01 | 2022-03-29 | Covidien Lp | Loading unit and adapter with modified coupling assembly |
| US11284893B2 (en) | 2019-04-02 | 2022-03-29 | Covidien Lp | Stapling device with articulating tool assembly |
| US11241228B2 (en) | 2019-04-05 | 2022-02-08 | Covidien Lp | Surgical instrument including an adapter assembly and an articulating surgical loading unit |
| USD928319S1 (en) * | 2019-05-01 | 2021-08-17 | Cilag Gmbh International | Linear surgical stapler |
| US11224424B2 (en) | 2019-08-02 | 2022-01-18 | Covidien Lp | Linear stapling device with vertically movable knife |
| US11406385B2 (en) | 2019-10-11 | 2022-08-09 | Covidien Lp | Stapling device with a gap locking member |
| US11123068B2 (en) | 2019-11-08 | 2021-09-21 | Covidien Lp | Surgical staple cartridge |
| US11707274B2 (en) | 2019-12-06 | 2023-07-25 | Covidien Lp | Articulating mechanism for surgical instrument |
| US11109862B2 (en) | 2019-12-12 | 2021-09-07 | Covidien Lp | Surgical stapling device with flexible shaft |
| US11737747B2 (en) | 2019-12-17 | 2023-08-29 | Covidien Lp | Hand-held surgical instruments |
| US11278282B2 (en) | 2020-01-31 | 2022-03-22 | Covidien Lp | Stapling device with selective cutting |
| US11452524B2 (en) | 2020-01-31 | 2022-09-27 | Covidien Lp | Surgical stapling device with lockout |
| WO2021159483A1 (en) | 2020-02-14 | 2021-08-19 | Covidien Lp | Cartridge holder for surgical staples and having ridges in peripheral walls for gripping tissue |
| US11344301B2 (en) | 2020-03-02 | 2022-05-31 | Covidien Lp | Surgical stapling device with replaceable reload assembly |
| US11344302B2 (en) | 2020-03-05 | 2022-05-31 | Covidien Lp | Articulation mechanism for surgical stapling device |
| US11246593B2 (en) | 2020-03-06 | 2022-02-15 | Covidien Lp | Staple cartridge |
| US11707278B2 (en) | 2020-03-06 | 2023-07-25 | Covidien Lp | Surgical stapler tool assembly to minimize bleeding |
| US11317911B2 (en) | 2020-03-10 | 2022-05-03 | Covidien Lp | Tool assembly with replaceable cartridge assembly |
| US11357505B2 (en) | 2020-03-10 | 2022-06-14 | Covidien Lp | Surgical stapling apparatus with firing lockout mechanism |
| US11406383B2 (en) | 2020-03-17 | 2022-08-09 | Covidien Lp | Fire assisted powered EGIA handle |
| US11426159B2 (en) | 2020-04-01 | 2022-08-30 | Covidien Lp | Sled detection device |
| US11331098B2 (en) | 2020-04-01 | 2022-05-17 | Covidien Lp | Sled detection device |
| US11504117B2 (en) | 2020-04-02 | 2022-11-22 | Covidien Lp | Hand-held surgical instruments |
| US11937794B2 (en) | 2020-05-11 | 2024-03-26 | Covidien Lp | Powered handle assembly for surgical devices |
| US11406387B2 (en) | 2020-05-12 | 2022-08-09 | Covidien Lp | Surgical stapling device with replaceable staple cartridge |
| US11191537B1 (en) | 2020-05-12 | 2021-12-07 | Covidien Lp | Stapling device with continuously parallel jaws |
| US11534167B2 (en) | 2020-05-28 | 2022-12-27 | Covidien Lp | Electrotaxis-conducive stapling |
| US11191538B1 (en) | 2020-06-08 | 2021-12-07 | Covidien Lp | Surgical stapling device with parallel jaw closure |
| US11844517B2 (en) | 2020-06-25 | 2023-12-19 | Covidien Lp | Linear stapling device with continuously parallel jaws |
| US11324500B2 (en) | 2020-06-30 | 2022-05-10 | Covidien Lp | Surgical stapling device |
| US11446028B2 (en) | 2020-07-09 | 2022-09-20 | Covidien Lp | Tool assembly with pivotable clamping beam |
| US11517305B2 (en) | 2020-07-09 | 2022-12-06 | Covidien Lp | Contoured staple pusher |
| US11266402B2 (en) | 2020-07-30 | 2022-03-08 | Covidien Lp | Sensing curved tip for surgical stapling instruments |
| US11439392B2 (en) | 2020-08-03 | 2022-09-13 | Covidien Lp | Surgical stapling device and fastener for pathological exam |
| US11395654B2 (en) | 2020-08-07 | 2022-07-26 | Covidien Lp | Surgical stapling device with articulation braking assembly |
| US11602342B2 (en) | 2020-08-27 | 2023-03-14 | Covidien Lp | Surgical stapling device with laser probe |
| US11678878B2 (en) | 2020-09-16 | 2023-06-20 | Covidien Lp | Articulation mechanism for surgical stapling device |
| US11660092B2 (en) | 2020-09-29 | 2023-05-30 | Covidien Lp | Adapter for securing loading units to handle assemblies of surgical stapling instruments |
| US11406384B2 (en) | 2020-10-05 | 2022-08-09 | Covidien Lp | Stapling device with drive assembly stop member |
| US11576674B2 (en) | 2020-10-06 | 2023-02-14 | Covidien Lp | Surgical stapling device with articulation lock assembly |
| US11890007B2 (en) | 2020-11-18 | 2024-02-06 | Covidien Lp | Stapling device with flex cable and tensioning mechanism |
| US11737774B2 (en) | 2020-12-04 | 2023-08-29 | Covidien Lp | Surgical instrument with articulation assembly |
| US11819200B2 (en) | 2020-12-15 | 2023-11-21 | Covidien Lp | Surgical instrument with articulation assembly |
| US11553914B2 (en) | 2020-12-22 | 2023-01-17 | Covidien Lp | Surgical stapling device with parallel jaw closure |
| US11744582B2 (en) | 2021-01-05 | 2023-09-05 | Covidien Lp | Surgical stapling device with firing lockout mechanism |
| US11759206B2 (en) | 2021-01-05 | 2023-09-19 | Covidien Lp | Surgical stapling device with firing lockout mechanism |
| US11517313B2 (en) | 2021-01-27 | 2022-12-06 | Covidien Lp | Surgical stapling device with laminated drive member |
| US11759207B2 (en) | 2021-01-27 | 2023-09-19 | Covidien Lp | Surgical stapling apparatus with adjustable height clamping member |
| US11717300B2 (en) | 2021-03-11 | 2023-08-08 | Covidien Lp | Surgical stapling apparatus with integrated visualization |
| US11497495B2 (en) | 2021-03-31 | 2022-11-15 | Covidien Lp | Continuous stapler strip for use with a surgical stapling device |
| US11666330B2 (en) | 2021-04-05 | 2023-06-06 | Covidien Lp | Surgical stapling device with lockout mechanism |
| US11576670B2 (en) | 2021-05-06 | 2023-02-14 | Covidien Lp | Surgical stapling device with optimized drive assembly |
| US11812956B2 (en) | 2021-05-18 | 2023-11-14 | Covidien Lp | Dual firing radial stapling device |
| US11696755B2 (en) | 2021-05-19 | 2023-07-11 | Covidien Lp | Surgical stapling device with reload assembly removal lockout |
| US11510673B1 (en) | 2021-05-25 | 2022-11-29 | Covidien Lp | Powered stapling device with manual retraction |
| US11771423B2 (en) | 2021-05-25 | 2023-10-03 | Covidien Lp | Powered stapling device with manual retraction |
| US11701119B2 (en) | 2021-05-26 | 2023-07-18 | Covidien Lp | Powered stapling device with rack release |
| US11576675B2 (en) | 2021-06-07 | 2023-02-14 | Covidien Lp | Staple cartridge with knife |
| US11617579B2 (en) | 2021-06-29 | 2023-04-04 | Covidien Lp | Ultra low profile surgical stapling instrument for tissue resections |
| US11707275B2 (en) | 2021-06-29 | 2023-07-25 | Covidien Lp | Asymmetrical surgical stapling device |
| US11602344B2 (en) | 2021-06-30 | 2023-03-14 | Covidien Lp | Surgical stapling apparatus with firing lockout assembly |
| US11540831B1 (en) | 2021-08-12 | 2023-01-03 | Covidien Lp | Staple cartridge with actuation sled detection |
| US11779334B2 (en) | 2021-08-19 | 2023-10-10 | Covidien Lp | Surgical stapling device including a manual retraction assembly |
| US11576671B1 (en) | 2021-08-20 | 2023-02-14 | Covidien Lp | Small diameter linear surgical stapling apparatus |
| US11707277B2 (en) | 2021-08-20 | 2023-07-25 | Covidien Lp | Articulating surgical stapling apparatus with pivotable knife bar guide assembly |
| US11864761B2 (en) | 2021-09-14 | 2024-01-09 | Covidien Lp | Surgical instrument with illumination mechanism |
| US11660094B2 (en) | 2021-09-29 | 2023-05-30 | Covidien Lp | Surgical fastening instrument with two-part surgical fasteners |
| US11653922B2 (en) | 2021-09-29 | 2023-05-23 | Covidien Lp | Surgical stapling device with firing lockout mechanism |
| US11849949B2 (en) | 2021-09-30 | 2023-12-26 | Covidien Lp | Surgical stapling device with firing lockout member |
Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20040164123A1 (en) * | 2000-10-13 | 2004-08-26 | Racenet David C. | Surgical stapling device |
| CN101031246A (zh) * | 2004-09-30 | 2007-09-05 | 伊西康内外科公司 | 外科缝合器械 |
| US20080167665A1 (en) * | 2004-06-14 | 2008-07-10 | Scott Arp | Endoscopic Threaded Clip |
| CN101797174A (zh) * | 2010-03-02 | 2010-08-11 | 瑞奇外科器械(北京)有限公司 | 外科用直线切割吻合器的保险装置 |
Family Cites Families (640)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US3079606A (en) | 1960-01-04 | 1963-03-05 | Bobrov Boris Sergeevich | Instrument for placing lateral gastrointestinal anastomoses |
| US3490675A (en) | 1966-10-10 | 1970-01-20 | United States Surgical Corp | Instrument for placing lateral gastrointestinal anastomoses |
| US3499591A (en) | 1967-06-23 | 1970-03-10 | United States Surgical Corp | Instrument for placing lateral gastro-intestinal anastomoses |
| US3675688A (en) | 1970-04-27 | 1972-07-11 | United States Surgical Corp | Instrument for ligating, suturing and dividing organic tubular structures |
| US3777538A (en) | 1972-03-15 | 1973-12-11 | Weck & Co Edward | Surgical clip applicator |
| DE7318970U (de) | 1973-05-19 | 1973-08-30 | Wolf R Gmbh | Zange zum setzen von tantal-clips |
| US3882854A (en) | 1973-08-23 | 1975-05-13 | Research Corp | Surgical clip and applicator |
| SU659146A1 (ru) | 1974-02-12 | 1979-04-30 | Организация П/Я М-5237 | Хирургический аппарат дл наложени анастомозов между полыми органами |
| US4027510A (en) | 1974-05-15 | 1977-06-07 | Siegfried Hiltebrandt | Forceps |
| GB1555455A (en) | 1976-06-11 | 1979-11-07 | Cox Mastic Appliances Ltd P C | Dispensing gun |
| US4086926A (en) | 1976-10-08 | 1978-05-02 | United States Surgical Corporation | Ligating and dividing organic structures |
| SU728848A1 (ru) | 1977-05-24 | 1980-04-25 | Всесоюзный научно-исследовательский и испытательный институт медицинской техники | Хирургический сшивающий аппарат |
| SU1036324A1 (ru) | 1978-03-31 | 1983-08-23 | Всесоюзный научно-исследовательский и испытательный институт медицинской техники | Хирургический сшивающий аппарат |
| DE2903159A1 (de) | 1979-01-27 | 1980-07-31 | Georg Kirchner | Nadelapparat fuer medizinische zwecke |
| DE2917783C2 (de) | 1979-05-03 | 1982-07-01 | Richard Wolf Gmbh, 7134 Knittlingen | Zange zum Anlegen eines Clips an einen Eileiter |
| AU534210B2 (en) | 1980-02-05 | 1984-01-12 | United States Surgical Corporation | Surgical staples |
| US4429695A (en) | 1980-02-05 | 1984-02-07 | United States Surgical Corporation | Surgical instruments |
| US4319576A (en) | 1980-02-26 | 1982-03-16 | Senco Products, Inc. | Intralumenal anastomosis surgical stapling instrument |
| US4331277A (en) | 1980-05-23 | 1982-05-25 | United States Surgical Corporation | Self-contained gas powered surgical stapler |
| SU980703A1 (ru) | 1980-05-16 | 1982-12-15 | Иркутский Государственный Медицинский Институт | Устройство дл рассечени тканей |
| DE3114135C2 (de) | 1981-04-08 | 1985-01-31 | Aesculap-Werke Ag Vormals Jetter & Scheerer, 7200 Tuttlingen | Verfahren und Schaltung zur Temperaturermittlung bei medizinischen Elektromotoren |
| SU990220A1 (ru) | 1981-06-15 | 1983-01-23 | Московский научно-исследовательский институт микрохирургии глаза | Ирисретрактор |
| EP0096694B1 (en) | 1981-12-22 | 1989-03-01 | Hospital Products Limited | Surgical stapling instrument |
| FR2542188B1 (fr) | 1983-03-11 | 1985-08-16 | Foures Bernard | Pince chirurgicale pour sutures mecaniques lineaires de visceres des cavites thoraciques et abdominales |
| US4527724A (en) | 1983-06-10 | 1985-07-09 | Senmed, Inc. | Disposable linear surgical stapling instrument |
| US4589413A (en) | 1983-07-21 | 1986-05-20 | Malyshev Boris N | Surgical instrument for resection of hollow organs |
| SU1183082A1 (ru) | 1983-08-19 | 1985-10-07 | Всесоюзный научно-исследовательский и испытательный институт медицинской техники | Хирургический сшивающий аппарат |
| US5220928A (en) | 1983-08-22 | 1993-06-22 | Stryker Sales Corporation | Surgical procedure for joining tissue in an internal body cavity |
| US4944443A (en) | 1988-04-22 | 1990-07-31 | Innovative Surgical Devices, Inc. | Surgical suturing instrument and method |
| US4602634A (en) | 1983-09-23 | 1986-07-29 | Ethicon, Inc. | Method and instrument for applying a fastener to a tissue using means to grasp, guide and pull the fastener through the tissue |
| US4530453A (en) | 1983-10-04 | 1985-07-23 | United States Surgical Corporation | Surgical fastener applying apparatus |
| US4505414A (en) | 1983-10-12 | 1985-03-19 | Filipi Charles J | Expandable anvil surgical stapler |
| US4610383A (en) | 1983-10-14 | 1986-09-09 | Senmed, Inc. | Disposable linear surgical stapler |
| US4612933A (en) | 1984-03-30 | 1986-09-23 | Senmed, Inc. | Multiple-load cartridge assembly for a linear surgical stapling instrument |
| GB8422863D0 (en) | 1984-09-11 | 1984-10-17 | Univ London | Sewing machine |
| US4671445A (en) | 1984-08-09 | 1987-06-09 | Baxter Travenol Laboratories, Inc. | Flexible surgical stapler assembly |
| US4633874A (en) | 1984-10-19 | 1987-01-06 | Senmed, Inc. | Surgical stapling instrument with jaw latching mechanism and disposable staple cartridge |
| US4605001A (en) | 1984-10-19 | 1986-08-12 | Senmed, Inc. | Surgical stapling instrument with dual staple height mechanism |
| US4633861A (en) | 1984-10-19 | 1987-01-06 | Senmed, Inc. | Surgical stapling instrument with jaw clamping mechanism |
| US4608981A (en) | 1984-10-19 | 1986-09-02 | Senmed, Inc. | Surgical stapling instrument with staple height adjusting mechanism |
| US4703887A (en) | 1985-01-28 | 1987-11-03 | Ethicon, Inc. | Collapsible purse string aid for use with intraluminal stapling device |
| AU5476586A (en) | 1985-03-14 | 1986-09-18 | Hospital Products Ltd. | Surgical stapler cartridge |
| US4665916A (en) | 1985-08-09 | 1987-05-19 | United States Surgical Corporation | Surgical stapler apparatus |
| US4728020A (en) | 1985-08-30 | 1988-03-01 | United States Surgical Corporation | Articulated surgical fastener applying apparatus |
| US4715520A (en) | 1985-10-10 | 1987-12-29 | United States Surgical Corporation | Surgical fastener applying apparatus with tissue edge control |
| US4700703A (en) | 1986-03-27 | 1987-10-20 | Semion Resnick | Cartridge assembly for a surgical stapling instrument |
| US4752024A (en) | 1986-10-17 | 1988-06-21 | Green David T | Surgical fastener and surgical stapling apparatus |
| US5119983A (en) | 1987-05-26 | 1992-06-09 | United States Surgical Corporation | Surgical stapler apparatus |
| FR2622429A1 (fr) | 1987-11-16 | 1989-05-05 | Blagoveschensky G | Appareil de suture chirurgicale |
| US4951860A (en) | 1987-12-28 | 1990-08-28 | Edward Weck & Co. | Method and apparatus for storing, dispensing and applying surgical staples |
| ATE103160T1 (de) | 1988-01-15 | 1994-04-15 | Ethicon Inc | Druckregler fuer ein chirurgisches klammerinstrument. |
| US5084057A (en) | 1989-07-18 | 1992-01-28 | United States Surgical Corporation | Apparatus and method for applying surgical clips in laparoscopic or endoscopic procedures |
| GB8800909D0 (en) | 1988-01-15 | 1988-02-17 | Ethicon Inc | Gas powered surgical stapler |
| EP0324638A1 (en) | 1988-01-15 | 1989-07-19 | Ethicon, Inc. | Surgical stapler safety and sequencing mechanisms |
| US4863088A (en) | 1988-03-09 | 1989-09-05 | Minnesota Mining And Manufacturing Company | Surgical stapling instrument |
| US4869415A (en) | 1988-09-26 | 1989-09-26 | Ethicon, Inc. | Energy storage means for a surgical stapler |
| US4892244A (en) | 1988-11-07 | 1990-01-09 | Ethicon, Inc. | Surgical stapler cartridge lockout device |
| ES2078231T3 (es) | 1988-11-11 | 1995-12-16 | United States Surgical Corp | Instrumento de cirugia. |
| US5188274A (en) | 1989-01-23 | 1993-02-23 | Moeinzadeh Manssour H | Semi-disposable surgical stapler |
| US4991764A (en) | 1989-01-23 | 1991-02-12 | Edward Weck Incorporated | Surgical stapling instrument |
| US5111987A (en) | 1989-01-23 | 1992-05-12 | Moeinzadeh Manssour H | Semi-disposable surgical stapler |
| US5486185A (en) | 1989-01-30 | 1996-01-23 | Dexide, Inc. | Surgical apparatus |
| US5106008A (en) | 1989-05-26 | 1992-04-21 | United States Surgical Corporation | Locking mechanism for a surgical fastening apparatus |
| US5318221A (en) | 1989-05-26 | 1994-06-07 | United States Surgical Corporation | Apparatus and method for placing staples in laparoscopic or endoscopic procedures |
| US5505363A (en) | 1989-05-26 | 1996-04-09 | United States Surgical Corporation | Surgical staples with plated anvils |
| US5413268A (en) | 1989-05-26 | 1995-05-09 | United States Surgical Corporation | Apparatus and method for placing stables in laparoscopic or endoscopic procedures |
| US5040715B1 (en) | 1989-05-26 | 1994-04-05 | United States Surgical Corp | Apparatus and method for placing staples in laparoscopic or endoscopic procedures |
| US4978049A (en) | 1989-05-26 | 1990-12-18 | United States Surgical Corporation | Three staple drive member |
| US4955959A (en) | 1989-05-26 | 1990-09-11 | United States Surgical Corporation | Locking mechanism for a surgical fastening apparatus |
| US5031814A (en) | 1989-05-26 | 1991-07-16 | United States Surgical Corporation | Locking mechanism for surgical fastening apparatus |
| US5922001A (en) | 1989-12-05 | 1999-07-13 | Yoon; Inbae | Surgical instrument with jaws and a movable internal blade member and method for use thereof |
| US5014899A (en) | 1990-03-30 | 1991-05-14 | United States Surgical Corporation | Surgical stapling apparatus |
| FR2660851A1 (fr) | 1990-04-11 | 1991-10-18 | Cardial Sa | Dispositif de desobstruction de conduits vasculaires tels des arteres. |
| US5074454A (en) | 1990-06-04 | 1991-12-24 | Peters Ronald L | Surgical stapler |
| US5156614A (en) | 1990-09-17 | 1992-10-20 | United States Surgical Corporation | Apparatus for applying two-part surgical fasteners |
| US5253793A (en) | 1990-09-17 | 1993-10-19 | United States Surgical Corporation | Apparatus for applying two-part surgical fasteners |
| US5156315A (en) | 1990-09-17 | 1992-10-20 | United States Surgical Corporation | Arcuate apparatus for applying two-part surgical fasteners |
| US5653373A (en) | 1990-09-17 | 1997-08-05 | United States Surgical Corporation | Arcuate apparatus for applying two-part surgical fasteners |
| DE9117288U1 (de) | 1990-10-05 | 1999-10-21 | United States Surgical Corp | Chirurgisches Klammerinstrument |
| US5282807A (en) | 1990-11-05 | 1994-02-01 | Knoepfler Dennis J | Automatic stapler for laparoscopic procedure with selective cutter, nontraumatic jaws and suction irrigator |
| US5129570A (en) | 1990-11-30 | 1992-07-14 | Ethicon, Inc. | Surgical stapler |
| CA2055943C (en) | 1990-12-06 | 2003-09-23 | Daniel P. Rodak | Surgical fastening apparatus with locking mechanism |
| US5083695A (en) | 1990-12-18 | 1992-01-28 | Minnesota Mining And Manufacturing Company | Stapler and firing device |
| US5141144A (en) | 1990-12-18 | 1992-08-25 | Minnesota Mining And Manufacturing Company | Stapler and firing device |
| JP3310668B2 (ja) | 1990-12-18 | 2002-08-05 | ユナイテッド ステイツ サージカル コーポレイション | 外科用ステープラカートリッジ用の安全装置 |
| CA2061885A1 (en) | 1991-03-14 | 1992-09-15 | David T. Green | Approximating apparatus for surgical jaw structure |
| US5336232A (en) | 1991-03-14 | 1994-08-09 | United States Surgical Corporation | Approximating apparatus for surgical jaw structure and method of using the same |
| US5170925A (en) | 1991-03-18 | 1992-12-15 | Ethicon, Inc. | Laparoscopic stapler with knife means |
| US5065929A (en) | 1991-04-01 | 1991-11-19 | Ethicon, Inc. | Surgical stapler with locking means |
| US5470010A (en) | 1991-04-04 | 1995-11-28 | Ethicon, Inc. | Multiple fire endoscopic stapling mechanism |
| US5171247A (en) | 1991-04-04 | 1992-12-15 | Ethicon, Inc. | Endoscopic multiple ligating clip applier with rotating shaft |
| US5246156A (en) | 1991-09-12 | 1993-09-21 | Ethicon, Inc. | Multiple fire endoscopic stapling mechanism |
| US5339799A (en) | 1991-04-23 | 1994-08-23 | Olympus Optical Co., Ltd. | Medical system for reproducing a state of contact of the treatment section in the operation unit |
| EP0596543B1 (en) | 1991-05-14 | 1999-08-11 | United States Surgical Corporation | Surgical stapler with spent cartridge sensing and lockout means |
| US5221036A (en) | 1991-06-11 | 1993-06-22 | Haruo Takase | Surgical stapler |
| US5173133A (en) | 1991-07-23 | 1992-12-22 | United States Surgical Corporation | Method for annealing stapler anvils |
| FR2681775B1 (fr) | 1991-10-01 | 1998-09-11 | Boutmy Ets | Pince pour chirurgie endoscopique a outil inclinable. |
| CA2075141C (en) | 1991-10-17 | 1998-06-30 | Donald A. Morin | Anvil for surgical staplers |
| US5711472A (en) | 1991-10-18 | 1998-01-27 | United States Surgical Corporation | Self contained gas powered surgical apparatus |
| US5356064A (en) | 1991-10-18 | 1994-10-18 | United States Surgical Corporation | Apparatus and method for applying surgical staples to attach an object to body tissue |
| US5497933A (en) | 1991-10-18 | 1996-03-12 | United States Surgical Corporation | Apparatus and method for applying surgical staples to attach an object to body tissue |
| US5366134A (en) | 1991-10-18 | 1994-11-22 | United States Surgical Corporation | Surgical fastening apparatus |
| US5312023A (en) | 1991-10-18 | 1994-05-17 | United States Surgical Corporation | Self contained gas powered surgical apparatus |
| US5332142A (en) | 1991-10-18 | 1994-07-26 | Ethicon, Inc. | Linear stapling mechanism with cutting means |
| US5431322A (en) | 1991-10-18 | 1995-07-11 | United States Surgical Corporation | Self contained gas powered surgical apparatus |
| CA2078794C (en) | 1991-10-18 | 1998-10-06 | Frank J. Viola | Locking device for an apparatus for applying surgical fasteners |
| US5308576A (en) | 1991-10-18 | 1994-05-03 | United States Surgical Corporation | Injection molded anvils |
| US6250532B1 (en) | 1991-10-18 | 2001-06-26 | United States Surgical Corporation | Surgical stapling apparatus |
| US5307976A (en) | 1991-10-18 | 1994-05-03 | Ethicon, Inc. | Linear stapling mechanism with cutting means |
| AU657364B2 (en) | 1991-10-18 | 1995-03-09 | United States Surgical Corporation | Self contained gas powered surgical apparatus |
| US5289963A (en) | 1991-10-18 | 1994-03-01 | United States Surgical Corporation | Apparatus and method for applying surgical staples to attach an object to body tissue |
| US5364001A (en) | 1991-10-18 | 1994-11-15 | United States Surgical Corporation | Self contained gas powered surgical apparatus |
| US5478003A (en) | 1991-10-18 | 1995-12-26 | United States Surgical Corporation | Surgical apparatus |
| US5326013A (en) | 1991-10-18 | 1994-07-05 | United States Surgical Corporation | Self contained gas powered surgical apparatus |
| DE537571T1 (de) | 1991-10-18 | 1993-10-14 | United States Surgical Corp | Gerät zum Anbringen von chirurgischen Befestigungen. |
| US5397046A (en) | 1991-10-18 | 1995-03-14 | United States Surgical Corporation | Lockout mechanism for surgical apparatus |
| CA2075227C (en) | 1991-10-18 | 2004-02-10 | Robert J. Geiste | Surgical fastening apparatus with shipping interlock |
| US5240163A (en) | 1991-10-30 | 1993-08-31 | American Cyanamid Company | Linear surgical stapling instrument |
| DE69232781T2 (de) | 1991-11-01 | 2003-08-07 | Medical Scient Inc | Elektrochirurgisches schneidwerkzeug |
| US5531744A (en) | 1991-11-01 | 1996-07-02 | Medical Scientific, Inc. | Alternative current pathways for bipolar surgical cutting tool |
| US5665085A (en) | 1991-11-01 | 1997-09-09 | Medical Scientific, Inc. | Electrosurgical cutting tool |
| US5395034A (en) | 1991-11-07 | 1995-03-07 | American Cyanamid Co. | Linear surgical stapling instrument |
| US5383880A (en) | 1992-01-17 | 1995-01-24 | Ethicon, Inc. | Endoscopic surgical system with sensing means |
| US5433721A (en) | 1992-01-17 | 1995-07-18 | Ethicon, Inc. | Endoscopic instrument having a torsionally stiff drive shaft for applying fasteners to tissue |
| FI90622C (fi) | 1992-01-24 | 1994-03-10 | Biocon Oy | Kirurginen asennusinstrumentti |
| US5180092A (en) | 1992-02-05 | 1993-01-19 | Lawrence Crainich | Linear surgical stapling instrument |
| US5163943A (en) | 1992-03-12 | 1992-11-17 | Mohiuddin Mohammed M | Circumcision instrument with staple means |
| US5484095A (en) | 1992-03-31 | 1996-01-16 | United States Surgical Corporation | Apparatus for endoscopically applying staples individually to body tissue |
| US5242457A (en) | 1992-05-08 | 1993-09-07 | Ethicon, Inc. | Surgical instrument and staples for applying purse string sutures |
| US5484451A (en) | 1992-05-08 | 1996-01-16 | Ethicon, Inc. | Endoscopic surgical instrument and staples for applying purse string sutures |
| US5389098A (en) | 1992-05-19 | 1995-02-14 | Olympus Optical Co., Ltd. | Surgical device for stapling and/or fastening body tissues |
| US5431667A (en) | 1992-05-26 | 1995-07-11 | Origin Medsystems, Inc. | Gas-sealed instruments for use in laparoscopic surgery |
| US5658300A (en) | 1992-06-04 | 1997-08-19 | Olympus Optical Co., Ltd. | Tissue fixing surgical instrument, tissue-fixing device, and method of fixing tissues |
| US5263629A (en) | 1992-06-29 | 1993-11-23 | Ethicon, Inc. | Method and apparatus for achieving hemostasis along a staple line |
| CA2099100C (en) | 1992-06-30 | 2005-02-22 | David T. Green | Apparatus for applying surgical fasteners |
| US5330486A (en) | 1992-07-29 | 1994-07-19 | Wilk Peter J | Laparoscopic or endoscopic anastomosis technique and associated instruments |
| CA2437773C (en) | 1992-09-21 | 2005-02-22 | United States Surgical Corporation | Device for applying a meniscal staple |
| US5485952A (en) | 1992-09-23 | 1996-01-23 | United States Surgical Corporation | Apparatus for applying surgical fasteners |
| CA2103507C (en) | 1992-09-23 | 1998-09-15 | David A. Nicholas | Locking mechanism for endoscopic or laparoscopic surgical instruments |
| US5573169A (en) | 1992-10-02 | 1996-11-12 | United States Surgical Corporation | Apparatus for applying two-part surgical fasteners in laparoscopic or endoscopic procedures |
| US5423471A (en) | 1992-10-02 | 1995-06-13 | United States Surgical Corporation | Apparatus for applying two-part surgical fasteners in laparoscopic or endoscopic procedures |
| US5431323A (en) | 1992-10-09 | 1995-07-11 | Ethicon, Inc. | Endoscopic surgical instrument with pivotable and rotatable staple cartridge |
| US5626587A (en) | 1992-10-09 | 1997-05-06 | Ethicon Endo-Surgery, Inc. | Method for operating a surgical instrument |
| US5381943A (en) | 1992-10-09 | 1995-01-17 | Ethicon, Inc. | Endoscopic surgical stapling instrument with pivotable and rotatable staple cartridge |
| US5662662A (en) | 1992-10-09 | 1997-09-02 | Ethicon Endo-Surgery, Inc. | Surgical instrument and method |
| US5330502A (en) | 1992-10-09 | 1994-07-19 | Ethicon, Inc. | Rotational endoscopic mechanism with jointed drive mechanism |
| US5601224A (en) | 1992-10-09 | 1997-02-11 | Ethicon, Inc. | Surgical instrument |
| US5374277A (en) | 1992-10-09 | 1994-12-20 | Ethicon, Inc. | Surgical instrument |
| US5275166A (en) | 1992-11-16 | 1994-01-04 | Ethicon, Inc. | Method and apparatus for performing ultrasonic assisted surgical procedures |
| US5328077A (en) | 1992-11-19 | 1994-07-12 | Lou Ek Seng | Method and apparatus for treating female urinary incontinence |
| US5403312A (en) | 1993-07-22 | 1995-04-04 | Ethicon, Inc. | Electrosurgical hemostatic device |
| DE4300307C2 (de) | 1993-01-08 | 1996-09-19 | Aesculap Ag | Chirurgisches Instrument |
| US5382255A (en) | 1993-01-08 | 1995-01-17 | United States Surgical Corporation | Apparatus and method for assembly of surgical instruments |
| DE69409565T2 (de) | 1993-01-29 | 1998-10-01 | Smith & Nephew Inc | Schwenkbares gekrümmtes Instrument |
| US5397324A (en) | 1993-03-10 | 1995-03-14 | Carroll; Brendan J. | Surgical stapler instrument and method for vascular hemostasis |
| US5540375A (en) | 1993-04-20 | 1996-07-30 | United States Surgical Corporation | Endoscopic stapler |
| US5467911A (en) | 1993-04-27 | 1995-11-21 | Olympus Optical Co., Ltd. | Surgical device for stapling and fastening body tissues |
| US5407293A (en) | 1993-04-29 | 1995-04-18 | Crainich; Lawrence | Coupling apparatus for medical instrument |
| US5464300A (en) | 1993-04-29 | 1995-11-07 | Crainich; Lawrence | Medical instrument and coupling apparatus for same |
| US6716232B1 (en) | 1993-04-30 | 2004-04-06 | United States Surgical Corporation | Surgical instrument having an articulated jaw structure and a detachable knife |
| EP0696179B1 (en) | 1993-04-30 | 1998-10-28 | United States Surgical Corporation | Surgical instrument having an articulated jaw structure |
| US5447265A (en) | 1993-04-30 | 1995-09-05 | Minnesota Mining And Manufacturing Company | Laparoscopic surgical instrument with a mechanism for preventing its entry into the abdominal cavity once it is depleted and removed from the abdominal cavity |
| US5364003A (en) | 1993-05-05 | 1994-11-15 | Ethicon Endo-Surgery | Staple cartridge for a surgical stapler |
| US5415334A (en) | 1993-05-05 | 1995-05-16 | Ethicon Endo-Surgery | Surgical stapler and staple cartridge |
| CA2124109A1 (en) | 1993-05-24 | 1994-11-25 | Mark T. Byrne | Endoscopic surgical instrument with electromagnetic sensor |
| US5810811A (en) | 1993-07-22 | 1998-09-22 | Ethicon Endo-Surgery, Inc. | Electrosurgical hemostatic device |
| GR940100335A (el) | 1993-07-22 | 1996-05-22 | Ethicon Inc. | Ηλεκτροχειρουργικη συσκευη τοποθετησης συρραπτικων αγκυλων. |
| US5344061A (en) | 1993-08-03 | 1994-09-06 | Lawrence Crainich | Ratchet assembly for medical instrument |
| US5441193A (en) | 1993-09-23 | 1995-08-15 | United States Surgical Corporation | Surgical fastener applying apparatus with resilient film |
| US5542594A (en) | 1993-10-06 | 1996-08-06 | United States Surgical Corporation | Surgical stapling apparatus with biocompatible surgical fabric |
| CA2132503C (en) | 1993-10-07 | 2005-05-10 | Donald F. Wilson | Curved knife for linear staplers |
| US5439155A (en) | 1993-10-07 | 1995-08-08 | United States Surgical Corporation | Cartridge for surgical fastener applying apparatus |
| US5560532A (en) | 1993-10-08 | 1996-10-01 | United States Surgical Corporation | Apparatus and method for applying surgical staples to body tissue |
| US5487499A (en) | 1993-10-08 | 1996-01-30 | United States Surgical Corporation | Surgical apparatus for applying surgical fasteners including a counter |
| US5562682A (en) | 1993-10-08 | 1996-10-08 | Richard-Allan Medical Industries, Inc. | Surgical Instrument with adjustable arms |
| US5725554A (en) | 1993-10-08 | 1998-03-10 | Richard-Allan Medical Industries, Inc. | Surgical staple and stapler |
| CA2117744A1 (en) | 1993-10-14 | 1995-04-15 | David T. Green | Gas powered apparatus for applying surgical fasteners to body tissue |
| US5376095A (en) | 1993-11-04 | 1994-12-27 | Ethicon Endo-Surgery | Endoscopic multi-fire flat stapler with low profile |
| US5490856A (en) | 1993-12-14 | 1996-02-13 | Untied States Surgical Corporation | Purse string stapler |
| US5743456A (en) | 1993-12-16 | 1998-04-28 | Stryker Corporation | Hand actuable surgical handpiece |
| US5782397A (en) | 1994-01-04 | 1998-07-21 | Alpha Surgical Technologies, Inc. | Stapling device |
| US5452837A (en) | 1994-01-21 | 1995-09-26 | Ethicon Endo-Surgery, Inc. | Surgical stapler with tissue gripping ridge |
| US5501689A (en) | 1994-02-03 | 1996-03-26 | United States Surgical Corporation | Plaque stapler |
| US5487500A (en) | 1994-02-03 | 1996-01-30 | Ethicon Endo-Surgery, Inc. | Surgical stapler instrument |
| US5597107A (en) | 1994-02-03 | 1997-01-28 | Ethicon Endo-Surgery, Inc. | Surgical stapler instrument |
| US5465895A (en) | 1994-02-03 | 1995-11-14 | Ethicon Endo-Surgery, Inc. | Surgical stapler instrument |
| US5452836A (en) | 1994-02-07 | 1995-09-26 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with improved jaw closure and staple firing actuator mechanism |
| US5503638A (en) | 1994-02-10 | 1996-04-02 | Bio-Vascular, Inc. | Soft tissue stapling buttress |
| US5507773A (en) | 1994-02-18 | 1996-04-16 | Ethicon Endo-Surgery | Cable-actuated jaw assembly for surgical instruments |
| WO1995023557A1 (en) | 1994-03-01 | 1995-09-08 | United States Surgical Corporation | Surgical stapler with anvil sensor and lockout |
| CA2144818C (en) | 1994-04-07 | 2006-07-11 | Henry Bolanos | Graduated anvil for surgical stapling instruments |
| US5415335A (en) | 1994-04-07 | 1995-05-16 | Ethicon Endo-Surgery | Surgical stapler cartridge containing lockout mechanism |
| US5529235A (en) | 1994-04-28 | 1996-06-25 | Ethicon Endo-Surgery, Inc. | Identification device for surgical instrument |
| US5470007A (en) | 1994-05-02 | 1995-11-28 | Minnesota Mining And Manufacturing Company | Laparoscopic stapler with overload sensor and interlock |
| US5489058A (en) | 1994-05-02 | 1996-02-06 | Minnesota Mining And Manufacturing Company | Surgical stapler with mechanisms for reducing the firing force |
| CA2148667A1 (en) | 1994-05-05 | 1995-11-06 | Carlo A. Mililli | Self-contained powered surgical apparatus |
| US5474566A (en) | 1994-05-05 | 1995-12-12 | United States Surgical Corporation | Self-contained powered surgical apparatus |
| US5628446A (en) | 1994-05-05 | 1997-05-13 | United States Surgical Corporation | Self-contained powered surgical apparatus |
| US5814057A (en) | 1994-06-03 | 1998-09-29 | Gunze Limited | Supporting element for staple region |
| US5833695A (en) | 1994-07-13 | 1998-11-10 | Yoon; Inbae | Surgical stapling system and method of applying staples from multiple staple cartridges |
| US5551622A (en) | 1994-07-13 | 1996-09-03 | Yoon; Inbae | Surgical stapler |
| AU694225B2 (en) | 1994-08-02 | 1998-07-16 | Ethicon Endo-Surgery, Inc. | Ultrasonic hemostatic and cutting instrument |
| US5779130A (en) | 1994-08-05 | 1998-07-14 | United States Surgical Corporation | Self-contained powered surgical apparatus |
| US5507426A (en) | 1994-08-05 | 1996-04-16 | United States Surgical Corporation | Apparatus for applying surgical fasteners |
| EP0699418A1 (en) | 1994-08-05 | 1996-03-06 | United States Surgical Corporation | Self-contained powered surgical apparatus |
| US5480089A (en) | 1994-08-19 | 1996-01-02 | United States Surgical Corporation | Surgical stapler apparatus with improved staple pockets |
| US5571116A (en) | 1994-10-02 | 1996-11-05 | United States Surgical Corporation | Non-invasive treatment of gastroesophageal reflux disease |
| US5797538A (en) | 1994-10-05 | 1998-08-25 | United States Surgical Corporation | Articulating apparatus for applying surgical fasteners to body tissue |
| US5901895A (en) | 1994-10-05 | 1999-05-11 | United States Surgical Corporation | Articulating apparatus for applying surgical fasteners to body tissue |
| EP0705571A1 (en) | 1994-10-07 | 1996-04-10 | United States Surgical Corporation | Self-contained powered surgical apparatus |
| US5868760A (en) | 1994-12-07 | 1999-02-09 | Mcguckin, Jr.; James F. | Method and apparatus for endolumenally resectioning tissue |
| US5636779A (en) * | 1994-12-13 | 1997-06-10 | United States Surgical Corporation | Apparatus for applying surgical fasteners |
| US5988479A (en) | 1994-12-13 | 1999-11-23 | United States Surgical Corporation | Apparatus for applying surgical fasteners |
| US5632432A (en) | 1994-12-19 | 1997-05-27 | Ethicon Endo-Surgery, Inc. | Surgical instrument |
| US5704534A (en) | 1994-12-19 | 1998-01-06 | Ethicon Endo-Surgery, Inc. | Articulation assembly for surgical instruments |
| US5713505A (en) | 1996-05-13 | 1998-02-03 | Ethicon Endo-Surgery, Inc. | Articulation transmission mechanism for surgical instruments |
| US5575799A (en) | 1995-03-30 | 1996-11-19 | United States Surgical Corporation | Articulating surgical apparatus |
| US5624452A (en) | 1995-04-07 | 1997-04-29 | Ethicon Endo-Surgery, Inc. | Hemostatic surgical cutting or stapling instrument |
| US5553765A (en) | 1995-04-28 | 1996-09-10 | Ethicon Endo-Surgery, Inc. | Surgical stapler with improved operating lever mounting arrangement |
| US5630540A (en) | 1995-05-24 | 1997-05-20 | United States Surgical Corporation | Surgical staple and staple drive member |
| US5579107A (en) | 1995-05-25 | 1996-11-26 | Horiba Instruments, Inc. | Method and apparatus for dry particle analysis |
| US5653928A (en) | 1995-06-15 | 1997-08-05 | Schnipke Family Partnership | Method for assembling a surgical stapling cartridge |
| US5752644A (en) | 1995-07-11 | 1998-05-19 | United States Surgical Corporation | Disposable loading unit for surgical stapler |
| USRE38708E1 (en) | 1995-07-11 | 2005-03-01 | United States Surgical Corporation | Disposable loading unit for surgical stapler |
| US5702409A (en) | 1995-07-21 | 1997-12-30 | W. L. Gore & Associates, Inc. | Device and method for reinforcing surgical staples |
| US5810855A (en) | 1995-07-21 | 1998-09-22 | Gore Enterprise Holdings, Inc. | Endoscopic device and method for reinforcing surgical staples |
| US5715988A (en) | 1995-08-14 | 1998-02-10 | United States Surgical Corporation | Surgical stapler with lockout mechanism |
| US5718359A (en) | 1995-08-14 | 1998-02-17 | United States Of America Surgical Corporation | Surgical stapler with lockout mechanism |
| US5782396A (en) | 1995-08-28 | 1998-07-21 | United States Surgical Corporation | Surgical stapler |
| US6032849A (en) | 1995-08-28 | 2000-03-07 | United States Surgical | Surgical stapler |
| US5762256A (en) | 1995-08-28 | 1998-06-09 | United States Surgical Corporation | Surgical stapler |
| US5814055A (en) | 1995-09-19 | 1998-09-29 | Ethicon Endo-Surgery, Inc. | Surgical clamping mechanism |
| US5653721A (en) | 1995-10-19 | 1997-08-05 | Ethicon Endo-Surgery, Inc. | Override mechanism for an actuator on a surgical instrument |
| US5697542A (en) | 1995-10-19 | 1997-12-16 | Ethicon Endo-Surgery, Inc. | Endoscopic surgical stapler with compact profile |
| US5651491A (en) | 1995-10-27 | 1997-07-29 | United States Surgical Corporation | Surgical stapler having interchangeable loading units |
| US5941442A (en) | 1995-10-27 | 1999-08-24 | United States Surgical | Surgical stapler |
| JPH09135837A (ja) | 1995-11-13 | 1997-05-27 | Yasumasa Onuki | 結紮縫合装置 |
| US5797537A (en) | 1996-02-20 | 1998-08-25 | Richard-Allan Medical Industries, Inc. | Articulated surgical instrument with improved firing mechanism |
| US6010054A (en) | 1996-02-20 | 2000-01-04 | Imagyn Medical Technologies | Linear stapling instrument with improved staple cartridge |
| US5762255A (en) | 1996-02-20 | 1998-06-09 | Richard-Allan Medical Industries, Inc. | Surgical instrument with improvement safety lockout mechanisms |
| US5725536A (en) | 1996-02-20 | 1998-03-10 | Richard-Allen Medical Industries, Inc. | Articulated surgical instrument with improved articulation control mechanism |
| US5820009A (en) | 1996-02-20 | 1998-10-13 | Richard-Allan Medical Industries, Inc. | Articulated surgical instrument with improved jaw closure mechanism |
| US5673842A (en) | 1996-03-05 | 1997-10-07 | Ethicon Endo-Surgery | Surgical stapler with locking mechanism |
| US5772673A (en) | 1996-03-07 | 1998-06-30 | United States Surgical Corporation | Apparatus for applying surgical clips |
| US5732806A (en) | 1996-03-29 | 1998-03-31 | Pilling Weck, Incorporated | Compensator to prevent backlash in a surgical instrument |
| US5772099A (en) | 1996-04-01 | 1998-06-30 | United States Surgical Corporation | Surgical fastening apparatus with alignment pin |
| US5785232A (en) | 1996-04-17 | 1998-07-28 | Vir Engineering | Surgical stapler |
| US5823066A (en) | 1996-05-13 | 1998-10-20 | Ethicon Endo-Surgery, Inc. | Articulation transmission mechanism for surgical instruments |
| US5792135A (en) | 1996-05-20 | 1998-08-11 | Intuitive Surgical, Inc. | Articulated surgical instrument for performing minimally invasive surgery with enhanced dexterity and sensitivity |
| US6109500A (en) | 1996-10-04 | 2000-08-29 | United States Surgical Corporation | Lockout mechanism for a surgical stapler |
| US5769892A (en) | 1996-10-22 | 1998-06-23 | Mitroflow International Inc. | Surgical stapler sleeve for reinforcing staple lines |
| US5911352A (en) | 1996-12-17 | 1999-06-15 | United States Surgical Corporation | Surgical stapling apparatus |
| US5931847A (en) | 1997-01-09 | 1999-08-03 | Ethicon Endo-Surgery, Inc. | Surgical cutting instrument with improved cutting edge |
| US5919198A (en) | 1997-04-17 | 1999-07-06 | Ethicon Endo-Surgery, Inc. | Disposable cartridge with drivers |
| US5878938A (en) | 1997-08-11 | 1999-03-09 | Ethicon Endo-Surgery, Inc. | Surgical stapler with improved locking mechanism |
| US5865361A (en) | 1997-09-23 | 1999-02-02 | United States Surgical Corporation | Surgical stapling apparatus |
| US5873873A (en) | 1997-10-10 | 1999-02-23 | Ethicon Endo-Surgery, Inc. | Ultrasonic clamp coagulator apparatus having improved clamp mechanism |
| US5980510A (en) | 1997-10-10 | 1999-11-09 | Ethicon Endo-Surgery, Inc. | Ultrasonic clamp coagulator apparatus having improved clamp arm pivot mount |
| US6197017B1 (en) | 1998-02-24 | 2001-03-06 | Brock Rogers Surgical, Inc. | Articulated apparatus for telemanipulator system |
| US6554844B2 (en) | 1998-02-24 | 2003-04-29 | Endovia Medical, Inc. | Surgical instrument |
| US6279809B1 (en) | 1998-03-10 | 2001-08-28 | Enrico Nicolo | Circular stapler for side to end, side to side and end to side anastomosis |
| US6099551A (en) | 1998-03-12 | 2000-08-08 | Shelhigh, Inc. | Pericardial strip and stapler assembly for dividing and sealing visceral tissues and method of use thereof |
| FR2778081B1 (fr) | 1998-04-29 | 2000-08-25 | Fabrice Thevenet | Implants de renfort pour sutures tissulaires |
| US6131790A (en) | 1998-09-02 | 2000-10-17 | Piraka; Hadi A. | Surgical stapler and cartridge |
| WO2000036457A1 (en) | 1998-12-16 | 2000-06-22 | Wesley Jessen Corporation | Multifocal contact lens with aspheric surface |
| US6565554B1 (en) | 1999-04-07 | 2003-05-20 | Intuitive Surgical, Inc. | Friction compensation in a minimally invasive surgical apparatus |
| US6594552B1 (en) | 1999-04-07 | 2003-07-15 | Intuitive Surgical, Inc. | Grip strength with tactile feedback for robotic surgery |
| US8241322B2 (en) | 2005-07-27 | 2012-08-14 | Tyco Healthcare Group Lp | Surgical device |
| US6443973B1 (en) | 1999-06-02 | 2002-09-03 | Power Medical Interventions, Inc. | Electromechanical driver device for use with anastomosing, stapling, and resecting instruments |
| US6264087B1 (en) | 1999-07-12 | 2001-07-24 | Powermed, Inc. | Expanding parallel jaw device for use with an electromechanical driver device |
| US6315184B1 (en) | 1999-06-02 | 2001-11-13 | Powermed, Inc. | Stapling device for use with an electromechanical driver device for use with anastomosing, stapling, and resecting instruments |
| US6325810B1 (en) | 1999-06-30 | 2001-12-04 | Ethicon, Inc. | Foam buttress for stapling apparatus |
| US6488196B1 (en) | 1999-06-30 | 2002-12-03 | Axya Medical, Inc. | Surgical stapler and method of applying plastic staples to body tissue |
| US7850703B2 (en) | 1999-07-28 | 2010-12-14 | Cardica, Inc. | System for performing anastomosis |
| US7063712B2 (en) | 2001-04-27 | 2006-06-20 | Cardica, Inc. | Anastomosis method |
| US7766924B1 (en) | 1999-07-28 | 2010-08-03 | Cardica, Inc. | System for performing anastomosis |
| US6391038B2 (en) | 1999-07-28 | 2002-05-21 | Cardica, Inc. | Anastomosis system and method for controlling a tissue site |
| US7285131B1 (en) | 1999-07-28 | 2007-10-23 | Cardica, Inc. | System for performing anastomosis |
| US20050154406A1 (en) | 1999-07-28 | 2005-07-14 | Cardica, Inc. | Method for anastomosing vessels |
| US7682368B1 (en) | 1999-07-28 | 2010-03-23 | Cardica, Inc. | Anastomosis tool actuated with stored energy |
| US7300444B1 (en) | 1999-07-28 | 2007-11-27 | Cardica, Inc. | Surgical system and method for connecting hollow tissue structures |
| US6269977B1 (en) | 2000-01-26 | 2001-08-07 | Kim Ira Moore | Stackable container cover |
| US9173658B2 (en) | 2000-03-06 | 2015-11-03 | Covidien Lp | Apparatus and method for performing a bypass procedure in a digestive system |
| US6731473B2 (en) | 2000-04-12 | 2004-05-04 | Seagate Technology Llc | Dual pseudo spin valve heads |
| AU2001288462A1 (en) | 2000-08-30 | 2002-03-13 | Cerebral Vascular Applications Inc. | Medical instrument |
| KR100381188B1 (ko) | 2000-09-15 | 2003-04-23 | 엘지전자 주식회사 | 진공 청소기용 파워 브러쉬 어셈블리 |
| JP4014792B2 (ja) | 2000-09-29 | 2007-11-28 | 株式会社東芝 | マニピュレータ |
| WO2002030297A2 (en) | 2000-10-13 | 2002-04-18 | Tyco Healthcare Group Lp | Surgical fastener applying apparatus |
| US7334717B2 (en) * | 2001-10-05 | 2008-02-26 | Tyco Healthcare Group Lp | Surgical fastener applying apparatus |
| US20040267310A1 (en) | 2000-10-20 | 2004-12-30 | Racenet David C | Directionally biased staple and anvil assembly for forming the staple |
| US6439446B1 (en) | 2000-12-01 | 2002-08-27 | Stephen J. Perry | Safety lockout for actuator shaft |
| US6612053B2 (en) | 2000-12-08 | 2003-09-02 | Chu-Yuan Liao | Fluid decoration |
| EP1359851B1 (en) | 2001-01-31 | 2010-09-22 | Rex Medical, Inc. | Apparatus for stapling and resectioning gastro-edophageal tissue |
| CA2662557C (en) | 2001-04-03 | 2011-03-22 | Tyco Healthcare Group Lp | Surgical stapling device |
| US6783524B2 (en) | 2001-04-19 | 2004-08-31 | Intuitive Surgical, Inc. | Robotic surgical tool with ultrasound cauterizing and cutting instrument |
| US6544274B2 (en) | 2001-05-02 | 2003-04-08 | Novare Surgical Systems, Inc. | Clamp having bendable shaft |
| US6503257B2 (en) | 2001-05-07 | 2003-01-07 | Ethicon Endo-Surgery, Inc. | Method for releasing buttress material attached to a surgical fastening device |
| US6592597B2 (en) | 2001-05-07 | 2003-07-15 | Ethicon Endo-Surgery, Inc. | Adhesive for attaching buttress material to a surgical fastening device |
| US6755338B2 (en) | 2001-08-29 | 2004-06-29 | Cerebral Vascular Applications, Inc. | Medical instrument |
| US6587750B2 (en) | 2001-09-25 | 2003-07-01 | Intuitive Surgical, Inc. | Removable infinite roll master grip handle and touch sensor for robotic surgery |
| US8281973B2 (en) | 2001-10-05 | 2012-10-09 | Tyco Healthcare Group Lp | Surgical stapling device |
| JP4245480B2 (ja) | 2001-10-05 | 2009-03-25 | タイコ ヘルスケア グループ エルピー | 外科的ステープリング装置および方法 |
| USD480808S1 (en) | 2001-10-12 | 2003-10-14 | Tyco Healthcare Group Lp | Surgical fastener applying apparatus |
| US7464847B2 (en) | 2005-06-03 | 2008-12-16 | Tyco Healthcare Group Lp | Surgical stapler with timer and feedback display |
| US6602252B2 (en) | 2002-01-03 | 2003-08-05 | Starion Instruments Corporation | Combined dissecting, cauterizing, and stapling device |
| US7128748B2 (en) | 2002-03-26 | 2006-10-31 | Synovis Life Technologies, Inc. | Circular stapler buttress combination |
| NZ518163A (en) | 2002-04-05 | 2005-04-29 | Kiwi Ingenuity Ltd | Embryo modified with a glycolipid to enhance implantation into the endometrium |
| WO2003086206A1 (en) | 2002-04-11 | 2003-10-23 | Tyco Healthcare Group, Lp | Surgical stapling apparatus including an anvil and cartridge each having cooperating mating surfaces |
| AU2003230933B2 (en) | 2002-04-15 | 2008-01-10 | Cook Biotech Incorporated | Apparatus and method for producing a reinforced surgical staple line |
| ES2622453T3 (es) | 2002-04-16 | 2017-07-06 | Covidien Lp | Grapadora quirúrgica y método |
| ES2377483T3 (es) | 2002-04-25 | 2012-03-28 | Tyco Healthcare Group Lp | Instrumentos quirúrgicos que incluyen sistemas microelectromecánicos (MEMS) |
| AU2003239408B2 (en) | 2002-05-10 | 2008-09-04 | Covidien Lp | Wound closure material applicator and stapler |
| DE60307820T2 (de) | 2002-05-10 | 2007-03-29 | Tyco Healthcare Group Lp, Norwalk | Elektrochirurgisches klammergerät |
| ES2357565T3 (es) | 2002-05-10 | 2011-04-27 | Tyco Healthcare Group Lp | Aparato grapador quirúrgico que tiene un conjunto aplicador de material para cierre de heridas. |
| ATE347316T1 (de) | 2002-06-14 | 2006-12-15 | Power Med Interventions Inc | Gerät zum klemmen, schneiden und zusammenheften von gewebe |
| US8454628B2 (en) | 2002-09-20 | 2013-06-04 | Syntheon, Llc | Surgical fastener aligning instrument particularly for transoral treatment of gastroesophageal reflux disease |
| EP1915955B1 (en) | 2002-10-04 | 2011-09-21 | Tyco Healthcare Group, LP | Surgical stapler with universal articulation and tissue pre-clamp |
| EP3225177B1 (en) | 2002-10-04 | 2019-09-18 | Covidien LP | Pneumatic powered surgical stapling device |
| WO2004032762A1 (en) | 2002-10-04 | 2004-04-22 | Tyco Healthcare Group, Lp | Tool assembly for a surgical stapling device |
| DE60315846T2 (de) | 2002-10-04 | 2008-05-21 | Tyco Healthcare Group Lp, Norwalk | Zusammenbau von chirurgischem klammerwerkzeug |
| US7399310B2 (en) | 2002-12-16 | 2008-07-15 | Edrich Vascular Devices, Inc. | Endovascular stapler |
| US7287682B1 (en) | 2003-01-20 | 2007-10-30 | Hazem Ezzat | Surgical device and method |
| DE602004030891D1 (de) | 2003-03-26 | 2011-02-17 | Tyco Healthcare | In feder gespeicherte energie mit kontrollierter freisetzung |
| US20040199181A1 (en) | 2003-04-02 | 2004-10-07 | Knodel Bryan D. | Surgical device for anastomosis |
| US20040199180A1 (en) | 2003-04-02 | 2004-10-07 | Knodel Bryan D. | Method of using surgical device for anastomosis |
| US8714429B2 (en) | 2003-04-29 | 2014-05-06 | Covidien Lp | Dissecting tip for surgical stapler |
| US20040243151A1 (en) | 2003-04-29 | 2004-12-02 | Demmy Todd L. | Surgical stapling device with dissecting tip |
| US7044352B2 (en) | 2003-05-20 | 2006-05-16 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having a single lockout mechanism for prevention of firing |
| US7143923B2 (en) | 2003-05-20 | 2006-12-05 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having a firing lockout for an unclosed anvil |
| US7000818B2 (en) | 2003-05-20 | 2006-02-21 | Ethicon, Endo-Surger, Inc. | Surgical stapling instrument having separate distinct closing and firing systems |
| US7380695B2 (en) | 2003-05-20 | 2008-06-03 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having a single lockout mechanism for prevention of firing |
| US7380696B2 (en) | 2003-05-20 | 2008-06-03 | Ethicon Endo-Surgery, Inc. | Articulating surgical stapling instrument incorporating a two-piece E-beam firing mechanism |
| US20070084897A1 (en) | 2003-05-20 | 2007-04-19 | Shelton Frederick E Iv | Articulating surgical stapling instrument incorporating a two-piece e-beam firing mechanism |
| US6988649B2 (en) | 2003-05-20 | 2006-01-24 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having a spent cartridge lockout |
| US7140528B2 (en) | 2003-05-20 | 2006-11-28 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having an electroactive polymer actuated single lockout mechanism for prevention of firing |
| EP2474272B1 (en) | 2003-06-17 | 2020-11-04 | Covidien LP | Surgical stapling device |
| US7494039B2 (en) | 2003-06-17 | 2009-02-24 | Tyco Healthcare Group Lp | Surgical stapling device |
| ES2551683T3 (es) | 2003-06-20 | 2015-11-23 | Covidien Lp | Instrumento de grapado quirúrgico |
| US6786382B1 (en) | 2003-07-09 | 2004-09-07 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument incorporating an articulation joint for a firing bar track |
| 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 |
| US7111769B2 (en) | 2003-07-09 | 2006-09-26 | Ethicon Endo-Surgery, Inc. | Surgical instrument incorporating an articulation mechanism having rotation about the longitudinal axis |
| US6981628B2 (en) | 2003-07-09 | 2006-01-03 | Ethicon Endo-Surgery, Inc. | Surgical instrument with a lateral-moving articulation control |
| US7055731B2 (en) | 2003-07-09 | 2006-06-06 | Ethicon Endo-Surgery Inc. | Surgical stapling instrument incorporating a tapered firing bar for increased flexibility around the articulation joint |
| 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 |
| US7000819B2 (en) | 2003-09-29 | 2006-02-21 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having multistroke firing incorporating a traction-biased ratcheting mechanism |
| US7083075B2 (en) | 2003-09-29 | 2006-08-01 | Ethicon Endo-Surgery, Inc. | Multi-stroke mechanism with automatic end of stroke retraction |
| US6905057B2 (en) | 2003-09-29 | 2005-06-14 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument incorporating a firing mechanism having a linked rack transmission |
| US7364061B2 (en) | 2003-09-29 | 2008-04-29 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument incorporating a multistroke firing position indicator and retraction mechanism |
| US6959852B2 (en) | 2003-09-29 | 2005-11-01 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with multistroke firing incorporating an anti-backup mechanism |
| US7434715B2 (en) | 2003-09-29 | 2008-10-14 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having multistroke firing with opening lockout |
| US7303108B2 (en) | 2003-09-29 | 2007-12-04 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument incorporating a multi-stroke firing mechanism with a flexible rack |
| US7914543B2 (en) | 2003-10-14 | 2011-03-29 | Satiety, Inc. | Single fold device for tissue fixation |
| US7097650B2 (en) | 2003-10-14 | 2006-08-29 | Satiety, Inc. | System for tissue approximation and fixation |
| US9113880B2 (en) | 2007-10-05 | 2015-08-25 | Covidien Lp | Internal backbone structural chassis for a surgical device |
| ES2380921T3 (es) | 2003-10-17 | 2012-05-21 | Tyco Healthcare Group Lp | Dispositivo de grapado quirúrgico |
| US20090090763A1 (en) | 2007-10-05 | 2009-04-09 | Tyco Healthcare Group Lp | Powered surgical stapling device |
| US7296722B2 (en) | 2003-10-17 | 2007-11-20 | Tyco Healthcare Group Lp | Surgical fastener applying apparatus with controlled beam deflection |
| US10588629B2 (en) | 2009-11-20 | 2020-03-17 | Covidien Lp | Surgical console and hand-held surgical device |
| WO2005037329A2 (en) | 2003-10-17 | 2005-04-28 | Tyco Healthcare Group, Lp | Surgical stapling device with independent tip rotation |
| US7401720B1 (en) | 2004-05-07 | 2008-07-22 | Ayaz Mahmud Durrani | Dual surgical stapler |
| US20050177176A1 (en) | 2004-02-05 | 2005-08-11 | Craig Gerbi | Single-fold system for tissue approximation and fixation |
| US7225963B2 (en) | 2004-02-17 | 2007-06-05 | Tyco Healthcare Group Lp | Surgical stapling apparatus with locking mechanism |
| US7886952B2 (en) | 2004-02-17 | 2011-02-15 | Tyco Healthcare Group Lp | Surgical stapling apparatus with locking mechanism |
| DE602005000938T2 (de) | 2004-02-17 | 2008-01-17 | Tyco Healthcare Group Lp, Norwalk | Chirurgisches Klammernahtgerät mit Verriegelungsmechanismus |
| ES2286725T3 (es) | 2004-02-17 | 2007-12-01 | Tyco Healthcare Group Lp | Aparato de grapado quirurgico. |
| DE602005000891T2 (de) | 2004-02-17 | 2008-01-17 | Tyco Healthcare Group Lp, Norwalk | Chirurgisches Klammernahtgerät mit Verriegelungsmechanismus |
| US6953138B1 (en) | 2004-02-18 | 2005-10-11 | Frank W. Dworak | Surgical stapler anvil with nested staple forming pockets |
| US8252009B2 (en) | 2004-03-09 | 2012-08-28 | Ethicon Endo-Surgery, Inc. | Devices and methods for placement of partitions within a hollow body organ |
| TWM259538U (en) | 2004-04-12 | 2005-03-21 | Shi-Du Wang | Suspended hanger for trowels |
| CA2566794A1 (en) | 2004-05-17 | 2005-12-08 | Datascope Investment Corp. | Surgical stapling system |
| US7367485B2 (en) | 2004-06-30 | 2008-05-06 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument incorporating a multistroke firing mechanism having a rotary transmission |
| US7059508B2 (en) | 2004-06-30 | 2006-06-13 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument incorporating an uneven multistroke firing mechanism having a rotary transmission |
| US7487899B2 (en) | 2004-07-28 | 2009-02-10 | Ethicon Endo-Surgery, Inc. | Surgical instrument incorporating EAP complete firing system lockout mechanism |
| US7147138B2 (en) | 2004-07-28 | 2006-12-12 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having an electroactive polymer actuated buttress deployment mechanism |
| US7407077B2 (en) | 2004-07-28 | 2008-08-05 | Ethicon Endo-Surgery, Inc. | Electroactive polymer-based actuation mechanism for linear surgical stapler |
| US7143925B2 (en) | 2004-07-28 | 2006-12-05 | Ethicon Endo-Surgery, Inc. | Surgical instrument incorporating EAP blocking lockout mechanism |
| US7354447B2 (en) | 2005-11-10 | 2008-04-08 | Ethicon Endo-Surgery, Inc. | Disposable loading unit and surgical instruments including same |
| US7513408B2 (en) | 2004-07-28 | 2009-04-07 | Ethicon Endo-Surgery, Inc. | Multiple firing stroke surgical instrument incorporating electroactive polymer anti-backup mechanism |
| US7143926B2 (en) | 2005-02-07 | 2006-12-05 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument incorporating a multi-stroke firing mechanism with return spring rotary manual retraction system |
| US7506790B2 (en) | 2004-07-28 | 2009-03-24 | Ethicon Endo-Surgery, Inc. | Surgical instrument incorporating an electrically actuated articulation mechanism |
| US7857183B2 (en) | 2004-07-28 | 2010-12-28 | Ethicon Endo-Surgery, Inc. | Surgical instrument incorporating an electrically actuated articulation mechanism |
| US7407074B2 (en) | 2004-07-28 | 2008-08-05 | Ethicon Endo-Surgery, Inc. | Electroactive polymer-based actuation mechanism for multi-fire surgical fastening instrument |
| US7128254B2 (en) | 2004-09-07 | 2006-10-31 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument incorporating a multistroke firing mechanism having a rotary slip-clutch transmission |
| JP4879900B2 (ja) | 2004-09-10 | 2012-02-22 | エシコン・エンド−サージェリィ・インコーポレイテッド | 外科用ステープル器具 |
| KR100646762B1 (ko) | 2004-09-10 | 2006-11-23 | 인하대학교 산학협력단 | 수술용 스테이플 및 이를 구비한 수술용 자동 문합기 |
| ES2539933T3 (es) * | 2004-10-18 | 2015-07-07 | Covidien Lp | Aparato para aplicar material para el tratamiento de heridas usando agujas que penetran en los tejidos |
| US7121446B2 (en) | 2004-12-13 | 2006-10-17 | Niti Medical Technologies Ltd. | Palm-size surgical stapler for single hand operation |
| US7328829B2 (en) | 2004-12-13 | 2008-02-12 | Niti Medical Technologies Ltd. | Palm size surgical stapler for single hand operation |
| US7462185B1 (en) | 2004-12-23 | 2008-12-09 | Cardican Inc. | Intravascular stapling tool |
| US7678121B1 (en) | 2004-12-23 | 2010-03-16 | Cardica, Inc. | Surgical stapling tool |
| US7438208B2 (en) | 2005-01-25 | 2008-10-21 | Entrigue Surgical, Inc. | Septal stapler apparatus |
| US7784662B2 (en) | 2005-02-18 | 2010-08-31 | Ethicon Endo-Surgery, Inc. | Surgical instrument with articulating shaft with single pivot closure and double pivot frame ground |
| US7559452B2 (en) | 2005-02-18 | 2009-07-14 | Ethicon Endo-Surgery, Inc. | Surgical instrument having fluid actuated opposing jaws |
| US7654431B2 (en) | 2005-02-18 | 2010-02-02 | Ethicon Endo-Surgery, Inc. | Surgical instrument with guided laterally moving articulation member |
| US7559450B2 (en) | 2005-02-18 | 2009-07-14 | Ethicon Endo-Surgery, Inc. | Surgical instrument incorporating a fluid transfer controlled articulation mechanism |
| US20060289602A1 (en) | 2005-06-23 | 2006-12-28 | Ethicon Endo-Surgery, Inc. | Surgical instrument with articulating shaft with double pivot closure and single pivot frame ground |
| JP4712409B2 (ja) | 2005-02-28 | 2011-06-29 | マニー株式会社 | 医療用ステープラー |
| US7780055B2 (en) | 2005-04-06 | 2010-08-24 | Tyco Healthcare Group Lp | Loading unit having drive assembly locking mechanism |
| US20100012703A1 (en) | 2005-05-05 | 2010-01-21 | Allison Calabrese | Surgical Gasket |
| US7717312B2 (en) | 2005-06-03 | 2010-05-18 | Tyco Healthcare Group Lp | Surgical instruments employing sensors |
| AU2006255303B2 (en) | 2005-06-03 | 2011-12-15 | Covidien Lp | Battery powered surgical instrument |
| US8579176B2 (en) | 2005-07-26 | 2013-11-12 | Ethicon Endo-Surgery, Inc. | Surgical stapling and cutting device and method for using the device |
| WO2007014354A2 (en) | 2005-07-27 | 2007-02-01 | Power Medical Interventions, Inc. | Staple pocket arrangement for surgical stapler |
| US7559937B2 (en) | 2005-08-09 | 2009-07-14 | Towertech Research Group | Surgical fastener apparatus and reinforcing material |
| US7401721B2 (en) | 2005-08-15 | 2008-07-22 | Tyco Healthcare Group Lp | Surgical stapling instruments including a cartridge having multiple staple sizes |
| US7398908B2 (en) | 2005-08-15 | 2008-07-15 | Tyco Healthcare Group Lp | Surgical stapling instruments including a cartridge having multiple staple sizes |
| US7407075B2 (en) | 2005-08-15 | 2008-08-05 | Tyco Healthcare Group Lp | Staple cartridge having multiple staple sizes for a surgical stapling instrument |
| US20070049951A1 (en) | 2005-08-25 | 2007-03-01 | Microline Pentax Inc. | Apparatus alignment device |
| US7669746B2 (en) | 2005-08-31 | 2010-03-02 | Ethicon Endo-Surgery, Inc. | Staple cartridges for forming staples having differing formed staple heights |
| US7500979B2 (en) | 2005-08-31 | 2009-03-10 | Ethicon Endo-Surgery, Inc. | Surgical stapling device with multiple stacked actuator wedge cams for driving staple drivers |
| US7934630B2 (en) | 2005-08-31 | 2011-05-03 | Ethicon Endo-Surgery, Inc. | Staple cartridges for forming staples having differing formed staple heights |
| US7673781B2 (en) | 2005-08-31 | 2010-03-09 | Ethicon Endo-Surgery, Inc. | Surgical stapling device with staple driver that supports multiple wire diameter staples |
| US7407078B2 (en) | 2005-09-21 | 2008-08-05 | Ehthicon Endo-Surgery, Inc. | Surgical stapling instrument having force controlled spacing end effector |
| US7467740B2 (en) | 2005-09-21 | 2008-12-23 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments having flexible channel and anvil features for adjustable staple heights |
| US7451904B2 (en) | 2005-09-26 | 2008-11-18 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having end effector gripping surfaces |
| US7357287B2 (en) | 2005-09-29 | 2008-04-15 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having preloaded firing assistance mechanism |
| US7635074B2 (en) | 2005-10-04 | 2009-12-22 | Tyco Healthcare Group Lp | Staple drive assembly |
| US7641091B2 (en) | 2005-10-04 | 2010-01-05 | Tyco Healthcare Group Lp | Staple drive assembly |
| US8096459B2 (en) | 2005-10-11 | 2012-01-17 | Ethicon Endo-Surgery, Inc. | Surgical stapler with an end effector support |
| CA2563147C (en) | 2005-10-14 | 2014-09-23 | Tyco Healthcare Group Lp | Surgical stapling device |
| AU2006228045B2 (en) | 2005-10-14 | 2011-11-24 | Covidien Lp | Apparatus for laparoscopic or endoscopic procedures |
| US20070102472A1 (en) | 2005-11-04 | 2007-05-10 | Ethicon Endo-Surgery, Inc. | Electrosurgical stapling instrument with disposable severing / stapling unit |
| US7673783B2 (en) | 2005-11-04 | 2010-03-09 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments structured for delivery of medical agents |
| US7607557B2 (en) | 2005-11-04 | 2009-10-27 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments structured for pump-assisted delivery of medical agents |
| US7328828B2 (en) | 2005-11-04 | 2008-02-12 | Ethicon Endo-Surgery, Inc, | Lockout mechanisms and surgical instruments including same |
| US20070106317A1 (en) | 2005-11-09 | 2007-05-10 | Shelton Frederick E Iv | Hydraulically and electrically actuated articulation joints for surgical instruments |
| US7673780B2 (en) | 2005-11-09 | 2010-03-09 | Ethicon Endo-Surgery, Inc. | Articulation joint with improved moment arm extension for articulating an end effector of a surgical instrument |
| US7799039B2 (en) | 2005-11-09 | 2010-09-21 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a hydraulically actuated end effector |
| US7651017B2 (en) | 2005-11-23 | 2010-01-26 | Ethicon Endo-Surgery, Inc. | Surgical stapler with a bendable end effector |
| US7246734B2 (en) | 2005-12-05 | 2007-07-24 | Ethicon Endo-Surgery, Inc. | Rotary hydraulic pump actuated multi-stroke surgical instrument |
| US7481824B2 (en) | 2005-12-30 | 2009-01-27 | Ethicon Endo-Surgery, Inc. | Surgical instrument with bending articulation controlled articulation pivot joint |
| US7670334B2 (en) | 2006-01-10 | 2010-03-02 | Ethicon Endo-Surgery, Inc. | Surgical instrument having an articulating end effector |
| US8763879B2 (en) | 2006-01-31 | 2014-07-01 | Ethicon Endo-Surgery, Inc. | Accessing data stored in a memory of surgical instrument |
| US7753904B2 (en) | 2006-01-31 | 2010-07-13 | Ethicon Endo-Surgery, Inc. | Endoscopic surgical instrument with a handle that can articulate with respect to the shaft |
| US20110006101A1 (en) | 2009-02-06 | 2011-01-13 | EthiconEndo-Surgery, Inc. | Motor driven surgical fastener device with cutting member lockout arrangements |
| US20110024477A1 (en) | 2009-02-06 | 2011-02-03 | Hall Steven G | Driven Surgical Stapler Improvements |
| US7416101B2 (en) | 2006-01-31 | 2008-08-26 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting and fastening instrument with loading force feedback |
| US7845537B2 (en) | 2006-01-31 | 2010-12-07 | Ethicon Endo-Surgery, Inc. | Surgical instrument having recording capabilities |
| US8708213B2 (en) | 2006-01-31 | 2014-04-29 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a feedback system |
| US20070175955A1 (en) | 2006-01-31 | 2007-08-02 | Shelton Frederick E Iv | Surgical cutting and fastening instrument with closure trigger locking mechanism |
| US20070175950A1 (en) | 2006-01-31 | 2007-08-02 | Shelton Frederick E Iv | Disposable staple cartridge having an anvil with tissue locator for use with a surgical cutting and fastening instrument and modular end effector system therefor |
| US7464846B2 (en) | 2006-01-31 | 2008-12-16 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a removable battery |
| US8186555B2 (en) | 2006-01-31 | 2012-05-29 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting and fastening instrument with mechanical closure system |
| US7422139B2 (en) | 2006-01-31 | 2008-09-09 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting fastening instrument with tactile position feedback |
| US7644848B2 (en) | 2006-01-31 | 2010-01-12 | Ethicon Endo-Surgery, Inc. | Electronic lockouts and surgical instrument including same |
| US7766210B2 (en) | 2006-01-31 | 2010-08-03 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting and fastening instrument with user feedback system |
| US20070175951A1 (en) | 2006-01-31 | 2007-08-02 | Shelton Frederick E Iv | Gearing selector for a powered surgical cutting and fastening instrument |
| US7464849B2 (en) | 2006-01-31 | 2008-12-16 | Ethicon Endo-Surgery, Inc. | Electro-mechanical surgical instrument with closure system and anvil alignment components |
| US8820603B2 (en) | 2006-01-31 | 2014-09-02 | Ethicon Endo-Surgery, Inc. | Accessing data stored in a memory of a surgical instrument |
| US7575144B2 (en) | 2006-01-31 | 2009-08-18 | Ethicon Endo-Surgery, Inc. | Surgical fastener and cutter with single cable actuator |
| US7770775B2 (en) | 2006-01-31 | 2010-08-10 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting and fastening instrument with adaptive user feedback |
| US7568603B2 (en) | 2006-01-31 | 2009-08-04 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting and fastening instrument with articulatable end effector |
| US9629626B2 (en) | 2006-02-02 | 2017-04-25 | Covidien Lp | Mechanically tuned buttress material to assist with proper formation of surgical element in diseased tissue |
| US8721630B2 (en) | 2006-03-23 | 2014-05-13 | Ethicon Endo-Surgery, Inc. | Methods and devices for controlling articulation |
| US20110163146A1 (en) | 2006-03-23 | 2011-07-07 | Ortiz Mark S | Surgical Stapling And Cuttting Device |
| US20070225562A1 (en) | 2006-03-23 | 2007-09-27 | Ethicon Endo-Surgery, Inc. | Articulating endoscopic accessory channel |
| US7278563B1 (en) | 2006-04-25 | 2007-10-09 | Green David T | Surgical instrument for progressively stapling and incising tissue |
| US7552854B2 (en) | 2006-05-19 | 2009-06-30 | Applied Medical Resources Corporation | Surgical stapler with firing lock mechanism |
| US7635373B2 (en) | 2006-05-25 | 2009-12-22 | Ethicon Endo-Surgery, Inc. | Absorbable gastric restriction devices and methods |
| US8322455B2 (en) | 2006-06-27 | 2012-12-04 | Ethicon Endo-Surgery, Inc. | Manually driven surgical cutting and fastening instrument |
| IL176889A0 (en) | 2006-07-16 | 2006-10-31 | Medigus Ltd | Devices and methods for treating morbid obesity |
| US7740159B2 (en) | 2006-08-02 | 2010-06-22 | Ethicon Endo-Surgery, Inc. | Pneumatically powered surgical cutting and fastening instrument with a variable control of the actuating rate of firing with mechanical power assist |
| US20080029575A1 (en) | 2006-08-02 | 2008-02-07 | Shelton Frederick E | Surgical cutting and fastening instrument with distally mounted pneumatically powered rotary drive member |
| US20080029574A1 (en) | 2006-08-02 | 2008-02-07 | Shelton Frederick E | Pneumatically powered surgical cutting and fastening instrument with actuator at distal end |
| US8794496B2 (en) | 2006-09-11 | 2014-08-05 | Covidien Lp | Rotating knob locking mechanism for surgical stapling device |
| US8348131B2 (en) | 2006-09-29 | 2013-01-08 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with mechanical indicator to show levels of tissue compression |
| US20100133317A1 (en) | 2006-09-29 | 2010-06-03 | Shelton Iv Frederick E | Motor-Driven Surgical Cutting And Fastening Instrument with Tactile Position Feedback |
| US20110087276A1 (en) | 2009-10-09 | 2011-04-14 | Ethicon Endo-Surgery, Inc. | Method for forming a staple |
| US7967178B2 (en) | 2006-10-06 | 2011-06-28 | Tyco Healthcare Group Lp | Grasping jaw mechanism |
| US7481348B2 (en) | 2006-10-06 | 2009-01-27 | Tyco Healthcare Group Lp | Surgical instrument with articulating tool assembly |
| US7637410B2 (en) | 2006-10-06 | 2009-12-29 | Tyco Healthcare Group Lp | Surgical instrument including a locking assembly |
| US7866525B2 (en) | 2006-10-06 | 2011-01-11 | Tyco Healthcare Group Lp | Surgical instrument having a plastic surface |
| US7963431B2 (en) | 2006-10-06 | 2011-06-21 | Tyco Healthcare Group, Lp | Grasping jaw mechanism |
| US7845533B2 (en) | 2007-06-22 | 2010-12-07 | Tyco Healthcare Group Lp | Detachable buttress material retention systems for use with a surgical stapling device |
| ES2627615T3 (es) | 2006-10-26 | 2017-07-28 | Covidien Lp | Dispositivo que utiliza aleaciones con memoria de forma para conexión de contrafuerte |
| US7721930B2 (en) | 2006-11-10 | 2010-05-25 | Thicon Endo-Surgery, Inc. | Disposable cartridge with adhesive for use with a stapling device |
| US20080110961A1 (en) | 2006-11-10 | 2008-05-15 | Ethicon Endo-Surgery, Inc. | Initiator Coating of Staples |
| US7434716B2 (en) | 2006-12-21 | 2008-10-14 | Tyco Healthcare Group Lp | Staple driver for articulating surgical stapler |
| US8652120B2 (en) | 2007-01-10 | 2014-02-18 | Ethicon Endo-Surgery, Inc. | Surgical instrument with wireless communication between control unit and sensor transponders |
| US7954682B2 (en) | 2007-01-10 | 2011-06-07 | Ethicon Endo-Surgery, Inc. | Surgical instrument with elements to communicate between control unit and end effector |
| US7900805B2 (en) | 2007-01-10 | 2011-03-08 | Ethicon Endo-Surgery, Inc. | Surgical instrument with enhanced battery performance |
| US8459520B2 (en) | 2007-01-10 | 2013-06-11 | Ethicon Endo-Surgery, Inc. | Surgical instrument with wireless communication between control unit and remote sensor |
| US7721931B2 (en) | 2007-01-10 | 2010-05-25 | Ethicon Endo-Surgery, Inc. | Prevention of cartridge reuse in a surgical instrument |
| US8540128B2 (en) | 2007-01-11 | 2013-09-24 | Ethicon Endo-Surgery, Inc. | Surgical stapling device with a curved end effector |
| US20080169328A1 (en) | 2007-01-11 | 2008-07-17 | Shelton Frederick E | Buttress material for use with a surgical stapler |
| US7950562B2 (en) | 2007-01-31 | 2011-05-31 | Tyco Healthcare Group Lp | Surgical instrument with replaceable loading unit |
| US7753246B2 (en) | 2007-01-31 | 2010-07-13 | Tyco Healthcare Group Lp | Surgical instrument with replaceable loading unit |
| US7682367B2 (en) | 2007-02-28 | 2010-03-23 | Tyco Healthcare Group Lp | Surgical stapling apparatus |
| JP2010520025A (ja) | 2007-03-06 | 2010-06-10 | タイコ ヘルスケア グループ リミテッド パートナーシップ | 手術用ステープリング装置 |
| US8011550B2 (en) | 2009-03-31 | 2011-09-06 | Tyco Healthcare Group Lp | Surgical stapling apparatus |
| US8011555B2 (en) | 2007-03-06 | 2011-09-06 | Tyco Healthcare Group Lp | Surgical stapling apparatus |
| US7473258B2 (en) | 2007-03-08 | 2009-01-06 | Cardica, Inc. | Surgical stapler |
| US7431188B1 (en) | 2007-03-15 | 2008-10-07 | Tyco Healthcare Group Lp | Surgical stapling apparatus with powered articulation |
| US8727197B2 (en) | 2007-03-15 | 2014-05-20 | Ethicon Endo-Surgery, Inc. | Staple cartridge cavity configuration with cooperative surgical staple |
| US7422136B1 (en) | 2007-03-15 | 2008-09-09 | Tyco Healthcare Group Lp | Powered surgical stapling device |
| EP3195814A1 (en) | 2007-03-22 | 2017-07-26 | Covidien LP | Apparatus for forming variable height surgical fasteners |
| US7490749B2 (en) | 2007-03-28 | 2009-02-17 | Ethicon Endo-Surgery, Inc. | Surgical stapling and cutting instrument with manually retractable firing member |
| US8056787B2 (en) | 2007-03-28 | 2011-11-15 | Ethicon Endo-Surgery, Inc. | Surgical stapling and cutting instrument with travel-indicating retraction member |
| US8006885B2 (en) | 2007-04-09 | 2011-08-30 | Tyco Healthcare Group Lp | Surgical stapling apparatus with powered retraction |
| US7950560B2 (en) | 2007-04-13 | 2011-05-31 | Tyco Healthcare Group Lp | Powered surgical instrument |
| US8028882B2 (en) | 2007-05-01 | 2011-10-04 | Tyco Healthcare Group | Anvil position detector for a surgical stapler |
| US7823760B2 (en) | 2007-05-01 | 2010-11-02 | Tyco Healthcare Group Lp | Powered surgical stapling device platform |
| US7798385B2 (en) | 2007-05-16 | 2010-09-21 | The Invention Science Fund I, Llc | Surgical stapling instrument with chemical sealant |
| US20080287987A1 (en) | 2007-05-16 | 2008-11-20 | Searete Llc, A Limited Liability Corporation Of The State Of Delaware | Dispensing system for tissue sealants |
| US7810691B2 (en) | 2007-05-16 | 2010-10-12 | The Invention Science Fund I, Llc | Gentle touch surgical stapler |
| US7922064B2 (en) | 2007-05-16 | 2011-04-12 | The Invention Science Fund, I, LLC | Surgical fastening device with cutter |
| US7832611B2 (en) | 2007-05-16 | 2010-11-16 | The Invention Science Fund I, Llc | Steerable surgical stapler |
| US7823761B2 (en) | 2007-05-16 | 2010-11-02 | The Invention Science Fund I, Llc | Maneuverable surgical stapler |
| US8038045B2 (en) | 2007-05-25 | 2011-10-18 | Tyco Healthcare Group Lp | Staple buttress retention system |
| US8631991B2 (en) | 2007-05-30 | 2014-01-21 | Ethicon Endo-Surgery, Inc. | Surgical instrument |
| US7798386B2 (en) | 2007-05-30 | 2010-09-21 | Ethicon Endo-Surgery, Inc. | Surgical instrument articulation joint cover |
| US7810693B2 (en) | 2007-05-30 | 2010-10-12 | Ethicon Endo-Surgery, Inc. | Surgical stapling and cutting instrument with articulatable end effector |
| US20080296346A1 (en) | 2007-05-31 | 2008-12-04 | Shelton Iv Frederick E | Pneumatically powered surgical cutting and fastening instrument with electrical control and recording mechanisms |
| US8534528B2 (en) | 2007-06-04 | 2013-09-17 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a multiple rate directional switching mechanism |
| US7905380B2 (en) | 2007-06-04 | 2011-03-15 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a multiple rate directional switching mechanism |
| US7819299B2 (en) | 2007-06-04 | 2010-10-26 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a common trigger for actuating an end effector closing system and a staple firing system |
| US7832408B2 (en) | 2007-06-04 | 2010-11-16 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a directional switching mechanism |
| US7950561B2 (en) | 2007-06-18 | 2011-05-31 | Tyco Healthcare Group Lp | Structure for attachment of buttress material to anvils and cartridges of surgical staplers |
| US7731072B2 (en) | 2007-06-18 | 2010-06-08 | Ethicon Endo-Surgery, Inc. | Surgical stapling and cutting instrument with improved anvil opening features |
| US7665646B2 (en) | 2007-06-18 | 2010-02-23 | Tyco Healthcare Group Lp | Interlocking buttress material retention system |
| US7918276B2 (en) | 2007-06-20 | 2011-04-05 | Schlumberger Technology Corporation | System and method for creating a gravel pack |
| US7753245B2 (en) | 2007-06-22 | 2010-07-13 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments |
| US7658311B2 (en) | 2007-06-22 | 2010-02-09 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with a geared return mechanism |
| US8308040B2 (en) | 2007-06-22 | 2012-11-13 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with an articulatable end effector |
| US7604150B2 (en) | 2007-06-22 | 2009-10-20 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with an anti-back up mechanism |
| US7597229B2 (en) | 2007-06-22 | 2009-10-06 | Ethicon Endo-Surgery, Inc. | End effector closure system for a surgical stapling instrument |
| US7441685B1 (en) | 2007-06-22 | 2008-10-28 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with a return mechanism |
| US7600663B2 (en) | 2007-07-05 | 2009-10-13 | Green David T | Apparatus for stapling and incising tissue |
| JP5683775B2 (ja) | 2007-07-16 | 2015-03-11 | エシコン・エンド−サージェリィ・インコーポレイテッドＥｔｈｉｃｏｎ Ｅｎｄｏ−Ｓｕｒｇｅｒｙ，Ｉｎｃ． | 部分的に再利用可能な外科用ステープラー |
| US7556185B2 (en) | 2007-08-15 | 2009-07-07 | Tyco Healthcare Group Lp | Surgical instrument with flexible drive mechanism |
| US7624902B2 (en) | 2007-08-31 | 2009-12-01 | Tyco Healthcare Group Lp | Surgical stapling apparatus |
| US7988026B2 (en) | 2007-09-06 | 2011-08-02 | Cardica, Inc. | Endocutter with staple feed |
| US8556151B2 (en) | 2007-09-11 | 2013-10-15 | Covidien Lp | Articulating joint for surgical instruments |
| AU2008302043B2 (en) | 2007-09-21 | 2013-06-27 | Covidien Lp | Surgical device |
| EP2233081B2 (en) | 2007-09-21 | 2018-03-28 | Covidien LP | Surgical device |
| US7866524B2 (en) | 2007-09-24 | 2011-01-11 | Tyco Healthcare Group Lp | Stapler powered auxiliary device for injecting material between stapler jaws |
| US8678263B2 (en) | 2007-09-24 | 2014-03-25 | Covidien Lp | Materials delivery system for stapling device |
| US7703653B2 (en) | 2007-09-28 | 2010-04-27 | Tyco Healthcare Group Lp | Articulation mechanism for 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 |
| US8012170B2 (en) | 2009-04-27 | 2011-09-06 | Tyco Healthcare Group Lp | Device and method for controlling compression of tissue |
| US8517241B2 (en) | 2010-04-16 | 2013-08-27 | Covidien Lp | Hand-held surgical devices |
| CA2640345C (en) | 2007-10-05 | 2017-11-07 | Tyco Healthcare Group Lp | Surgical stapler having an articulation mechanism |
| US8096460B2 (en) | 2007-10-05 | 2012-01-17 | Tyco Healthcare Group Lp | Surgical stapling apparatus |
| US8967443B2 (en) | 2007-10-05 | 2015-03-03 | Covidien Lp | Method and apparatus for determining parameters of linear motion in a surgical instrument |
| US7922063B2 (en) | 2007-10-31 | 2011-04-12 | Tyco Healthcare Group, Lp | Powered surgical instrument |
| US7954685B2 (en) | 2007-11-06 | 2011-06-07 | Tyco Healthcare Group Lp | Articulation and firing force mechanisms |
| US7954687B2 (en) | 2007-11-06 | 2011-06-07 | Tyco Healthcare Group Lp | Coated surgical staples and an illuminated staple cartridge for a surgical stapling instrument |
| US8561870B2 (en) | 2008-02-13 | 2013-10-22 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument |
| US7766209B2 (en) | 2008-02-13 | 2010-08-03 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with improved firing trigger arrangement |
| US8540133B2 (en) | 2008-09-19 | 2013-09-24 | Ethicon Endo-Surgery, Inc. | Staple cartridge |
| US8453908B2 (en) | 2008-02-13 | 2013-06-04 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with improved firing trigger arrangement |
| US8657174B2 (en) | 2008-02-14 | 2014-02-25 | Ethicon Endo-Surgery, Inc. | Motorized surgical cutting and fastening instrument having handle based power source |
| US7861906B2 (en) | 2008-02-14 | 2011-01-04 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with articulatable components |
| US7857185B2 (en) | 2008-02-14 | 2010-12-28 | Ethicon Endo-Surgery, Inc. | Disposable loading unit for surgical stapling apparatus |
| US7793812B2 (en) | 2008-02-14 | 2010-09-14 | Ethicon Endo-Surgery, Inc. | Disposable motor-driven loading unit for use with a surgical cutting and stapling apparatus |
| US7866527B2 (en) | 2008-02-14 | 2011-01-11 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with interlockable firing system |
| US7819298B2 (en) | 2008-02-14 | 2010-10-26 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with control features operable with one hand |
| US7819296B2 (en) | 2008-02-14 | 2010-10-26 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with retractable firing systems |
| US7913891B2 (en) | 2008-02-14 | 2011-03-29 | Ethicon Endo-Surgery, Inc. | Disposable loading unit with user feedback features and surgical instrument for use therewith |
| US7810692B2 (en) | 2008-02-14 | 2010-10-12 | Ethicon Endo-Surgery, Inc. | Disposable loading unit with firing indicator |
| US7819297B2 (en) | 2008-02-14 | 2010-10-26 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with reprocessible handle assembly |
| US8758391B2 (en) | 2008-02-14 | 2014-06-24 | Ethicon Endo-Surgery, Inc. | Interchangeable tools for surgical instruments |
| US20090206131A1 (en) | 2008-02-15 | 2009-08-20 | Ethicon Endo-Surgery, Inc. | End effector coupling arrangements for a surgical cutting and stapling instrument |
| US7980443B2 (en) | 2008-02-15 | 2011-07-19 | Ethicon Endo-Surgery, Inc. | End effectors for a surgical cutting and stapling instrument |
| US7959051B2 (en) | 2008-02-15 | 2011-06-14 | Ethicon Endo-Surgery, Inc. | Closure systems for a surgical cutting and stapling instrument |
| US8136713B2 (en) | 2008-03-25 | 2012-03-20 | Tyco Healthcare Group Lp | Surgical stapling instrument having transducer effecting vibrations |
| US20090242610A1 (en) | 2008-03-26 | 2009-10-01 | Shelton Iv Frederick E | Disposable loading unit and surgical instruments including same |
| US20090255974A1 (en) | 2008-04-14 | 2009-10-15 | Tyco Healthcare Group Lp | Single loop surgical fastener apparatus for applying variable compression |
| US8231040B2 (en) | 2008-04-14 | 2012-07-31 | Tyco Healthcare Group Lp | Variable compression surgical fastener cartridge |
| US7926691B2 (en) | 2008-04-14 | 2011-04-19 | Tyco Healthcare Group, L.P. | Variable compression surgical fastener cartridge |
| US8100310B2 (en) | 2008-04-14 | 2012-01-24 | Tyco Healthcare Group Lp | Variable compression surgical fastener apparatus |
| US8231041B2 (en) | 2008-04-14 | 2012-07-31 | Tyco Healthcare Group Lp | Variable compression surgical fastener cartridge |
| US8028884B2 (en) | 2008-04-22 | 2011-10-04 | Tyco Healthcare Group Lp | Cartridge for applying varying amounts of tissue compression |
| EP2283784B1 (en) | 2008-04-30 | 2016-06-22 | Educational Foundation Jichi Medical University | Surgical system for natural orifice transluminal endoscopic surgery (notes) |
| US7997468B2 (en) | 2008-05-05 | 2011-08-16 | Tyco Healthcare Group Lp | Surgical instrument with clamp |
| US9016541B2 (en) | 2008-05-09 | 2015-04-28 | Covidien Lp | Varying tissue compression with an anvil configuration |
| US8464922B2 (en) | 2008-05-09 | 2013-06-18 | Covidien Lp | Variable compression surgical fastener cartridge |
| US8091756B2 (en) | 2008-05-09 | 2012-01-10 | Tyco Healthcare Group Lp | Varying tissue compression using take-up component |
| US7922061B2 (en) | 2008-05-21 | 2011-04-12 | Ethicon Endo-Surgery, Inc. | Surgical instrument with automatically reconfigurable articulating end effector |
| US7942303B2 (en) | 2008-06-06 | 2011-05-17 | Tyco Healthcare Group Lp | Knife lockout mechanisms for surgical instrument |
| US8701959B2 (en) | 2008-06-06 | 2014-04-22 | Covidien Lp | Mechanically pivoting cartridge channel for surgical instrument |
| US7789283B2 (en) | 2008-06-06 | 2010-09-07 | Tyco Healthcare Group Lp | Knife/firing rod connection for surgical instrument |
| US20090308907A1 (en) | 2008-06-12 | 2009-12-17 | Nalagatla Anil K | Partially reusable surgical stapler |
| US7543730B1 (en) | 2008-06-24 | 2009-06-09 | Tyco Healthcare Group Lp | Segmented drive member for surgical instruments |
| US8011551B2 (en) | 2008-07-01 | 2011-09-06 | Tyco Healthcare Group Lp | Retraction mechanism with clutch-less drive for use with a surgical apparatus |
| US8074858B2 (en) | 2008-07-17 | 2011-12-13 | Tyco Healthcare Group Lp | Surgical retraction mechanism |
| US20100051668A1 (en) | 2008-09-03 | 2010-03-04 | Milliman Keith L | Surgical instrument with indicator |
| US8083120B2 (en) | 2008-09-18 | 2011-12-27 | Ethicon Endo-Surgery, Inc. | End effector for use with a surgical cutting and stapling instrument |
| US20100069942A1 (en) | 2008-09-18 | 2010-03-18 | Ethicon Endo-Surgery, Inc. | Surgical instrument with apparatus for measuring elapsed time between actions |
| US7954686B2 (en) | 2008-09-19 | 2011-06-07 | Ethicon Endo-Surgery, Inc. | Surgical stapler with apparatus for adjusting staple height |
| US7896214B2 (en) | 2008-09-23 | 2011-03-01 | Tyco Healthcare Group Lp | Tissue stop for surgical instrument |
| US8628544B2 (en) | 2008-09-23 | 2014-01-14 | Covidien Lp | Knife bar for surgical instrument |
| US7988028B2 (en) | 2008-09-23 | 2011-08-02 | Tyco Healthcare Group Lp | Surgical instrument having an asymmetric dynamic clamping member |
| US8608045B2 (en) | 2008-10-10 | 2013-12-17 | Ethicon Endo-Sugery, Inc. | Powered surgical cutting and stapling apparatus with manually retractable firing system |
| US8020743B2 (en) | 2008-10-15 | 2011-09-20 | Ethicon Endo-Surgery, Inc. | Powered articulatable surgical cutting and fastening instrument with flexible drive member |
| US7934631B2 (en) | 2008-11-10 | 2011-05-03 | Barosense, Inc. | Multi-fire stapling systems and methods for delivering arrays of staples |
| US20100147921A1 (en) | 2008-12-16 | 2010-06-17 | Lee Olson | Surgical Apparatus Including Surgical Buttress |
| EP2371301A1 (en) | 2008-12-25 | 2011-10-05 | Senko Medical Instrument Mfg. Co., Ltd. | Clamping member, clamp, and anastomotic apparatus |
| US20100193566A1 (en) | 2009-02-05 | 2010-08-05 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument |
| US8444036B2 (en) | 2009-02-06 | 2013-05-21 | Ethicon Endo-Surgery, Inc. | Motor driven surgical fastener device with mechanisms for adjusting a tissue gap within the end effector |
| US20110024478A1 (en) | 2009-02-06 | 2011-02-03 | Shelton Iv Frederick E | Driven Surgical Stapler Improvements |
| US8245899B2 (en) | 2009-02-06 | 2012-08-21 | Ethicon Endo-Surgery, Inc. | Driven surgical stapler improvements |
| US20100249802A1 (en) | 2009-03-27 | 2010-09-30 | May Thomas C | Soft Tissue Graft Preparation Devices and Methods |
| US7988027B2 (en) | 2009-03-31 | 2011-08-02 | Tyco Healthcare Group Lp | Crimp and release of suture holding buttress material |
| US8016178B2 (en) | 2009-03-31 | 2011-09-13 | Tyco Healthcare Group Lp | Surgical stapling apparatus |
| US8365972B2 (en) | 2009-03-31 | 2013-02-05 | Covidien Lp | Surgical stapling apparatus |
| US7967179B2 (en) | 2009-03-31 | 2011-06-28 | Tyco Healthcare Group Lp | Center cinch and release of buttress material |
| US8113409B2 (en) | 2009-03-31 | 2012-02-14 | Tyco Healthcare Group Lp | Surgical stapling apparatus with clamping assembly |
| US8292154B2 (en) | 2009-04-16 | 2012-10-23 | Tyco Healthcare Group Lp | Surgical apparatus for applying tissue fasteners |
| US8127976B2 (en) | 2009-05-08 | 2012-03-06 | Tyco Healthcare Group Lp | Stapler cartridge and channel interlock |
| US8308043B2 (en) | 2009-05-19 | 2012-11-13 | Covidien Lp | Recognition of interchangeable component of a device |
| US8132706B2 (en) | 2009-06-05 | 2012-03-13 | Tyco Healthcare Group Lp | Surgical stapling apparatus having articulation mechanism |
| US8827134B2 (en) | 2009-06-19 | 2014-09-09 | Covidien Lp | Flexible surgical stapler with motor in the head |
| US20110036891A1 (en) | 2009-08-11 | 2011-02-17 | Tyco Healthcare Group Lp | Surgical stapler with visual positional indicator |
| US8360299B2 (en) | 2009-08-11 | 2013-01-29 | Covidien Lp | Surgical stapling apparatus |
| US8459524B2 (en) | 2009-08-14 | 2013-06-11 | Covidien Lp | Tissue fastening system for a medical device |
| US8342378B2 (en) | 2009-08-17 | 2013-01-01 | Covidien Lp | One handed stapler |
| US8733612B2 (en) | 2009-08-17 | 2014-05-27 | Covidien Lp | Safety method for powered surgical instruments |
| US8387848B2 (en) | 2009-08-20 | 2013-03-05 | Covidien Lp | Surgical staple |
| US8365971B1 (en) * | 2009-09-23 | 2013-02-05 | Cardica, Inc. | True multi-fire linear cutter |
| US8496154B2 (en) | 2009-10-08 | 2013-07-30 | Covidien Lp | Pair of double staple pusher in triple row stapler |
| US8152041B2 (en) | 2009-10-14 | 2012-04-10 | Tyco Healthcare Group Lp | Varying tissue compression aided by elastic members |
| US8157151B2 (en) | 2009-10-15 | 2012-04-17 | Tyco Healthcare Group Lp | Staple line reinforcement for anvil and cartridge |
| US8523042B2 (en) | 2009-10-21 | 2013-09-03 | The General Hospital Corporation | Apparatus and method for preserving a tissue margin |
| US8225979B2 (en) | 2009-10-30 | 2012-07-24 | Tyco Healthcare Group Lp | Locking shipping wedge |
| US8418907B2 (en) | 2009-11-05 | 2013-04-16 | Covidien Lp | Surgical stapler having cartridge with adjustable cam mechanism |
| US8186558B2 (en) | 2009-11-10 | 2012-05-29 | Tyco Healthcare Group Lp | Locking mechanism for use with loading units |
| US8235272B2 (en) | 2009-11-20 | 2012-08-07 | Tyco Healthcare Group Lp | Surgical stapling device with captive anvil |
| US8220688B2 (en) | 2009-12-24 | 2012-07-17 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting instrument with electric actuator directional control assembly |
| US8851354B2 (en) | 2009-12-24 | 2014-10-07 | Ethicon Endo-Surgery, Inc. | Surgical cutting instrument that analyzes tissue thickness |
| US8267300B2 (en) | 2009-12-30 | 2012-09-18 | Ethicon Endo-Surgery, Inc. | Dampening device for endoscopic surgical stapler |
| US8608046B2 (en) | 2010-01-07 | 2013-12-17 | Ethicon Endo-Surgery, Inc. | Test device for a surgical tool |
| US8469254B2 (en) | 2010-01-22 | 2013-06-25 | Covidien Lp | Surgical instrument having a drive assembly |
| US8245897B2 (en) | 2010-01-26 | 2012-08-21 | Zakease Surgical Inc. | Stapling apparatus for performing anastomosis on hollow organs |
| US8328061B2 (en) | 2010-02-02 | 2012-12-11 | Covidien Lp | Surgical instrument for joining tissue |
| US8672209B2 (en) | 2010-02-25 | 2014-03-18 | Design Standards Corporation | Laproscopic stapler |
| US8074859B2 (en) | 2010-03-31 | 2011-12-13 | Tyco Healthcare Group Lp | Surgical instrument |
| US8789740B2 (en) * | 2010-07-30 | 2014-07-29 | Ethicon Endo-Surgery, Inc. | Linear cutting and stapling device with selectively disengageable cutting member |
| US9271728B2 (en) | 2011-06-09 | 2016-03-01 | Covidien Lp | Surgical fastener applying apparatus |
| GB2569208B (en) | 2018-07-19 | 2019-12-04 | Envisics Ltd | A head-up display |
-
2012
- 2012-05-16 US US13/472,552 patent/US9271728B2/en active Active
- 2012-05-25 CA CA 2777989 patent/CA2777989A1/en not_active Abandoned
- 2012-06-08 EP EP12171247.5A patent/EP2532311B1/en active Active
- 2012-06-11 CN CN201610901760.9A patent/CN106974686B/zh active Active
-
2016
- 2016-01-21 US US15/002,701 patent/US10888327B2/en active Active
Patent Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20040164123A1 (en) * | 2000-10-13 | 2004-08-26 | Racenet David C. | Surgical stapling device |
| US20080167665A1 (en) * | 2004-06-14 | 2008-07-10 | Scott Arp | Endoscopic Threaded Clip |
| CN101031246A (zh) * | 2004-09-30 | 2007-09-05 | 伊西康内外科公司 | 外科缝合器械 |
| CN101797174A (zh) * | 2010-03-02 | 2010-08-11 | 瑞奇外科器械(北京)有限公司 | 外科用直线切割吻合器的保险装置 |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN113395939A (zh) * | 2019-02-11 | 2021-09-14 | 柯惠有限合伙公司 | 用于钉仓的装运楔 |
Also Published As
| Publication number | Publication date |
|---|---|
| US20120312859A1 (en) | 2012-12-13 |
| EP2532311B1 (en) | 2020-03-18 |
| EP2532311A3 (en) | 2015-05-20 |
| CN102940512A (zh) | 2013-02-27 |
| EP2532311A2 (en) | 2012-12-12 |
| US20160135811A1 (en) | 2016-05-19 |
| US9271728B2 (en) | 2016-03-01 |
| CN106974686B (zh) | 2019-11-26 |
| CA2777989A1 (en) | 2012-12-09 |
| US10888327B2 (en) | 2021-01-12 |
Similar Documents
| Publication | Publication Date | Title |
|---|---|---|
| CN106974686B (zh) | 手术紧固件施加装置 | |
| CN105832373B (zh) | 手术紧固件施加装置 | |
| CN102860850B (zh) | 手术紧固件施加装置 | |
| CN105682567B (zh) | 手术紧固件施加装置 | |
| CN105682568B (zh) | 手术紧固件施加装置 | |
| CN106687052B (zh) | 手术紧固件施加装置 | |
| US10869667B2 (en) | Surgical fastener applying apparatus | |
| CN103732157B (zh) | 手术紧固件施加装置 | |
| CN104066388B (zh) | 手术紧固件施加设备 | |
| EP2741685B1 (en) | Surgical fastener applying apparatus | |
| CN106456165A (zh) | 手术紧固件施加装置 | |
| CN113518591A (zh) | 具有用于改变组织压缩的倾斜钉平台的外科缝合器 | |
| CN105682569A (zh) | 手术紧固件施加装置 | |
| CN102940512B (zh) | 手术紧固件施加装置 |
Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| PB01 | Publication | ||
| PB01 | Publication | ||
| SE01 | Entry into force of request for substantive examination | ||
| SE01 | Entry into force of request for substantive examination | ||
| GR01 | Patent grant | ||
| GR01 | Patent grant |