CA2066365C - Surgical staple with modified 'b' shaped configuration - Google Patents
Surgical staple with modified 'b' shaped configuration Download PDFInfo
- Publication number
- CA2066365C CA2066365C CA002066365A CA2066365A CA2066365C CA 2066365 C CA2066365 C CA 2066365C CA 002066365 A CA002066365 A CA 002066365A CA 2066365 A CA2066365 A CA 2066365A CA 2066365 C CA2066365 C CA 2066365C
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- Prior art keywords
- staple
- anvil
- crown
- staples
- driver
- Prior art date
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Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/064—Surgical staples, i.e. penetrating the tissue
- A61B17/0644—Surgical staples, i.e. penetrating the tissue penetrating the tissue, deformable to closed position
Abstract
A surgical staple is used in joining the skin or fascia of a patient, and is especially desired to be used with mesh placed over a cut organ, such as the kidney.
The staple is adapted to be formed about a central anvil and former. The configuration of the staple is such that at initial contact the points of the staple are formed at acute angles to the central portion of the staple. In this fashion, upon forming, a modified "B" shape is derived. This configuration has proven useful to reduce rotation of the staple when emplaced over mesh.
The staple is adapted to be formed about a central anvil and former. The configuration of the staple is such that at initial contact the points of the staple are formed at acute angles to the central portion of the staple. In this fashion, upon forming, a modified "B" shape is derived. This configuration has proven useful to reduce rotation of the staple when emplaced over mesh.
Description
.. - 1 - ~~~~~~~1 SURGICAL STAPLE WITH MODIFIED
"B" SHAPED CONFIGURATION
BACKGROUND OI~ THE INVENTION
Surgeons have come to use staples for closing wounds or incisions in the skin and fascia instead of conventional thread sutures in surgical operations. One of the main reasons for this trend is that the conventional suture which involves insertion of a thread means of a curved .needle and then tying the ends of the thread is quite time-consuming. There are various operations in which a large number of sutures must be used. Thus, for eaample, in heart surgery where coronary by-pass procedures are performed, the by-passes are usually made from the saphenous vein in the leg. It is common to perform .as many as six incisions in the leg from the ankle to the groin in dissecting out the saphenous vein from wh::ch the by-passes are to be made. The several incisions involved may vary from perhaps two inches in length to six or seven inches in length. With conventional thread sutures the closing of souch wounds would take perhaps an hour to an hour and a half, whereas with surgical. staples as many as fifty staples may be emplaced in a matter of ten to twenty minutes. This saving of time is of great importance in that it not only saves the surgeon's time but it reduces fatigue on the part of the surgeon and it substantially reduces the length of time the patient must be maintained under anesthesia. It is generally recognized that the shorter the time the patient is under anesthesia, the more rapid is his recovery and the less trauma is involved.
._ - 2 - ~Q~~i3~
Some presently available surgical staples are generally shaped like conventional staples that are used in wood or paper except that they are generally wider and have short legs. They are formed about an anvil into a box configuration. There as been observed a tendency for the points of such staples to slide across the skin along their cut surfaces before penetrating and in doing so the staples may tend to :separate the wound before the points actually penetrate tree skin. In the conventional staple, the points are relatively close to the forming corners of the anvil about which they are formed when the staple first contacts the sl~;in and again when the staple contacts the anvil. Thus, they do not always obtain a secure and effective wound closing since in order to accomplish this the staple must gather skin and tissue sufficiently to close the wound and t:o cause the edges of the wound to be brought into approximation.
The staple according to Rothfuss, U.S. Patent 4,014,492 prior to emplacement is configured with a central portion, a straight portion extending upwardly and outwardly from each e:nd of the central portion at an obtuse angle, and a relatively short straight portion extending downwardly and outwardly from each of said upwardly and outwardly extending portions. The downwardly and outwardly extending portions have vertical cuts to produce sharp points at the ends of the downwardly and outwardly extending portions. The vertical cuts will be normal to the surfaces of the skin at the time of initial contact. The disposition of the points with respect to the forming anvil produces an eversion of the wound which insures proper approximation and better and more rapid healing.
.. -3-In Becht, et al.,, U.S. Patent No. 4,261,244, there is provided in a surgical staple for use in suturing the skin or fascia of a patient and of the type having an elongated, sub:;tantially horizontal crown portion terminating in downwardly depending leg portions having points formed at their free ends, the surgical staple, together with ~~ plur<3lity of identical surgical staples, being adapted t:o straddle and to be fed along guide means and to the anvil of a surgical stapling instrument which bends end portions oi= the surgical staple crown downwardly so that the lec~ port-.ions are substantially coaxial with their points approaching each other.
The improvement :in Becht '244 comprises a first pair of diametrically opposed front and rear flats and a second pair of diametrically opposed top and bottom flats on the surgical staple. The' front and rear flats of the first pair extend respecti~rely along the front and rear of the crown and leg F~ortions of the surgical staple. The diametrically appose~i flats of the second pair are disposed at 90° to the first pair of flats. The top flat of the second Fair eactends along the upper surface of the surgical staple crown portion and the outsides of its leg portions and th.e bottom flat of the second pair extends along the underside of the surgical staple crown portion and along the insides of its leg portions. The front and rear flats of the fii:st pair, cooperate with similar flats on adjacent surgical staples, to assure proper feeding of the surgical staple along the surgical instrument guide means. The top and bottom flats of the second pair, cooperate respective7_y with the surgical stapling instrument former and anvil, to prevent undesirable axial rotation of the surgical staple crown portion during the forming and implanting thereof in the skin or fascia of a patient.
- 4 - 24~~~
Staples of 'the referenced art and of the present invention are provided in a cartridge, and the configuration o:E the staple disclosed herein substantially improves the sp~3ce factor and makes it possible to stack more staples in a given space in a cartridge than is possible with svaples of conventional form.
Yet, certain deficiencies have been noted in current surgical staples. If the user wishes to staple mesh around, for insi~ance, a blood vessel, or an organ needed to closed, it is difficult to staple current shaped staples into this mesh. That is, the staples hold the mesh materials Loosely, and in some instances too loosely. It would be more desirable to have a staple which holds mesh more snugly, and yet remains easy to form. Also, of course, it would be desirable that this staple is capable of emplacement, either in tissue or in mesh, without rotation. The staples of this sort are more conducive, also, if they are not "box" shaped. At times, the box shaped ataples are difficult to form so that the entire box is closed, and appropriate tissue eversion is derived. There:Eore, at times it may be more preferential to form a surgical staple in a non-box shaped configuration.
Summary of the :Inv n ion Therefore, :it is an object of the invention to provide a staple capable of being formed in mesh, either with or without an anvil.
It is furthE~r an object of the invention to form a surgical staple containing a shape such that it is conducive to appropriate tissue eversion, if that is so desired.
20 66 36 ~
It is yet another object of the invention to form a surgical staple such that rotation is not capable after the staple is formed.
Finally, it is another object of the invention to form a staple in a non-box shaped configuration so that the appropriate closure and tissue eversion of the staple is created.
These and other objects of the invention are provided in a surgical staple having a crown length and containing legs which are formed at acute angles to the crown. The legs may be formed angles at up to 60° with the crown. The crown itself may be in a standard straight form or a "gull wing" form, much as is disclosed in t:he previously cited references.
When formed, t:he staple is wrapped around a central anvil and shaped by a forming mechanism such that the angularly displaced legs are shaped such that the final version is mu<:h like an indented rectangle, or a modified "E." shape. This shape is capable of producing the desired effects, and is useful in situations where conventional staples shapes were heretofore less desirable.
According to .a further broad aspect of the present invention there is provided in combination a surgical stapler having an anvil, and a driver for forming staples about the anvil. A plurality of staples are contained in the stapler and each staple has a preformed configuration with a straight crown having a driver facing side and an anvil facing side.
The crown has two ends. The staple also has a pair of intermediate straight portions each extending from an end of tree crown, and each the intermediate portion forms an obtuse angle with the crown on the A
driver facing side of the staple. The staple also has a pair of straight leg portions each having two ends and attached to an intermediate portion at one of the leg portion ends. The intermediate portions and the leg portions form an acute angle toward the anvil facing side of the crown. The leg portions have a sharpened tip at the second of the ends. The staples are engageable with the anvil and the driver, such that the driver is capable of causing a staple to end about the anvil. A staple formed by the driver has a B shape with the B shape having only straight segments.
The invention will be better understood with reference to the attached drawings and detailed description of the invention.
DETAILED DESCRIPTION OF THE DRAWINGS
Figures 1, 1A and 1B are elevational views of a prior art aurgical staple and two different embodiments o:E surgical staples according to the invention;
A
- 6 - ~Q ~~i~
Figures 2, 2A and 2B are end elevational views of the staples corresponding to the Figure 1 views;
Figures 3, 3A and 3B are views showing the prior art staple and the two different embodiments of the present invention in relation to a forming anvil, a forming die and wound which is to be closed;
Figures 4, 4A and 4B are views similar to those in the Figure 3 drawings showing the staples in the process of being formed;
Figures 5, 5A and 5B are similar views of the completely formed staples closing the wound;
Figures 6, 6A, 613 and 7A are views similar to those in the Figure 5 drawings showing the wound after the tool and anvil have been remolded; and Figure 7 shows a series of staples of Figures 6A and 6B, as emplaced in tissue.
Detailed Description of the Invention As seen in Figure 1 the prior art staple has a central portion 10 with upwardly and outwardly extending portions 11 which extend at an obtuse angle to the portion 10.
From the ends of the portions 11 there extend downwardly and outwardly t:he portions 12 which are shown as disposed at substantial7.y right angles to the portions 11. The ends of the portions 12 are cut vertically as at 13 to provide the sharp points 14.
In Figures 3, 4, 5 and 6 inclusive, the emplacement of a staple to close the wound is shown progressively. In these Figures, the forming anvil about which the staple is formed is indicated at 15 and the forming die is indicated at 16. The skin of the patient is indicated at 17 and the underlying tissues at 18. The incision which is being closed is indicated at 19.
Figures 3 Nerves to illustrate the disposition of the points 14 with respe~~t to the anvil 15. It will be noted that the upper corners of the anvil are curved as indicated at 20 and 'the radii of curvature of the curves are indicated by 'the points 21. It will be observed that the points 14 o:f the staple are approximately in the 15 plane of the centers of curvature 21 of the curves 20.
This configuration insures that the first bending effort of the die 6 against the portions 11 produces a penetration of the sl~~in by the points 14 rather than a sliding of the points along the skin and insures greater 20 skin gathering than hitherto obtained.
In Figure << the points 14 have penetrated the skin 17 and underlying tissues 18 and it will be seen that the portions 11 and 12 of the staple are being bent in a curve about the points 21.
In Figure ~~ the staple has been completely formed and in Figure 6 the tool and anvil have been withdrawn, i.e.
the formed stag>le has been ejected from the tool and anvil. It will. be semen that the incision is nicely closed and is properly evert:ed to produce the desired approximation and to enhance the healing process.
_ 8 _ 2~~~~
Alternately, in other staples like staple 50 in Figure 7A, the final shape is formed in a curve, so that the box shape is refined. This staple uses an anvil 60 for forming, such as those found in interval surgical stapling devices.
Now, as seen in Figures 1A and 1B, the staple of this invention has a central portion 110, 210. In Figure 1A, this central portion 110 has upwardly and outwardly extending portions 1:L1, which extend at an obtuse angle to the portion 110. they staple as in Figure 1B does not contain such an. upwardly and outwardly extending portion.
From the end of the portions 111, or the central portion 210 in Figure 1B, thE~re extends downwardly the portions 112, 212. These leg portions form the essential aspects of this invention. 7Che leg portions, 112, 212 are disposed at sut~stant~~ally acute angles to the portions 111, 210. This acute angle is indicated as angle a and differs from th.e essesntially right angle formed between portions 111 anal 112 as seen in Figure 1. The ends of the portions 112, 212 are cut vertically as at 113, 213 to provide sharp anoints 114, 214.
As seen in FigurE~s 2A and 2B these staples are formed with very similar end views as with the staple shown in Figure 1.
As seen in Figure's 3A, 4A, 5A, 6A and Figures 3B, 4B, 5B and 6B inclusive, the placement of the staple of this invention to close a wound or be closed over mesh is shown progressively.
As seen in each of these Figures, there is included a mesh covering ;such a;s may be found over those mesh coverings used in treatment of kidney closure or other organ closures. This mesh is labeled in each of the Figures as M. In these Figures, the forming anvil about which the stap7.e is :Formed is the same anvil 15 and the forming die is the same die 16 as indicated in the set of Figures 3-6. The skin of the patient is again indicated at 17 and the underlying tissues at 18. The incision which is to be closed is indicated at 19.
Figures 3A and 3B serve to illustrate that this position of the: poini~s 114, 214 with respect to anvil 15.
It will be noted than the upper corners of the anvil are curved so as to again curve the staples 100, 200. The points 114, 219 of each of these staples are approximately in the plane, c~r above, the centers of curvature 21 of each of the curves 20. The configuration as created in the staples of this invention insures that the first bending effort of the: die 16 against the portions 10 produces an inverted penetration of the skin by the points 14, or even a desired missing of the skin and enclosure over mesh. Again, however, there is no sliding of points along the skin so that, if desired, greater skin gathering is still obtained.
In Figures 4A and 4B, it will be noticed that the penetration of the staples is now identical and that the points 114, 214 have penetrated the skin and mesh and the underlying tissues lEt and it will be seen that the portion 110, 210 of the stap7.es 100, 200 are bent in a curve around the points 21.
._. - to - ~O~~i~~
In Figures 5A and 5B, the staple has been completely formed and in Figures 6A, 6H, the tool and anvil have been withdrawn. Now, the formed staples 100, 200 are ejected from the stapler and it is seen that the incision is nicely closed and yei; gathered in an upward B position.
Or, as in Figure 6B, the user has closed the staple such that the tissues has not been gathered and only the mesh is gathered. This. may also be done over areas were it is desired only to gather mesh and not to close wounds.
In this way, each of the staples 100, 200 as seen in Figures 6A, 6B have now been properly closed and formed a modified "B" shape. In this way, also. each of the staples has gathered only the appropriate amounts of tissue and is not shaped in a boz. This reduces the possibility of rotation of the staples during staple forming, essentially by creating an additional dimension in the place of the staple, so that an additional degree of freedom in t:he st<iple is defeated. As seen in Figure 7, the closed mound with the wound properly everted and the modified B shapeii staple with mesh contained therein is shown.
It is to be: noted, that the angle a as between the formed legs in this staple should be no more than 75° and preferably less than 60°. It has been found that enclosed angles of up tc 45° may be desirable, in cases where rotation of the: staple is expressly desired to be limited, such as in the use of: very loose meshes.
Again, as in the referenced art, the staples are easy to stack and take up only as much space as the prior art staples. They are also easy to drive into tissue, and like the prior art, may be formed in square, rectangular c~ ~ r~
or circular cross-sections. It is therefore to be understood that the embodiments of the invention are to be derived from the following claims and there equivalents.
"B" SHAPED CONFIGURATION
BACKGROUND OI~ THE INVENTION
Surgeons have come to use staples for closing wounds or incisions in the skin and fascia instead of conventional thread sutures in surgical operations. One of the main reasons for this trend is that the conventional suture which involves insertion of a thread means of a curved .needle and then tying the ends of the thread is quite time-consuming. There are various operations in which a large number of sutures must be used. Thus, for eaample, in heart surgery where coronary by-pass procedures are performed, the by-passes are usually made from the saphenous vein in the leg. It is common to perform .as many as six incisions in the leg from the ankle to the groin in dissecting out the saphenous vein from wh::ch the by-passes are to be made. The several incisions involved may vary from perhaps two inches in length to six or seven inches in length. With conventional thread sutures the closing of souch wounds would take perhaps an hour to an hour and a half, whereas with surgical. staples as many as fifty staples may be emplaced in a matter of ten to twenty minutes. This saving of time is of great importance in that it not only saves the surgeon's time but it reduces fatigue on the part of the surgeon and it substantially reduces the length of time the patient must be maintained under anesthesia. It is generally recognized that the shorter the time the patient is under anesthesia, the more rapid is his recovery and the less trauma is involved.
._ - 2 - ~Q~~i3~
Some presently available surgical staples are generally shaped like conventional staples that are used in wood or paper except that they are generally wider and have short legs. They are formed about an anvil into a box configuration. There as been observed a tendency for the points of such staples to slide across the skin along their cut surfaces before penetrating and in doing so the staples may tend to :separate the wound before the points actually penetrate tree skin. In the conventional staple, the points are relatively close to the forming corners of the anvil about which they are formed when the staple first contacts the sl~;in and again when the staple contacts the anvil. Thus, they do not always obtain a secure and effective wound closing since in order to accomplish this the staple must gather skin and tissue sufficiently to close the wound and t:o cause the edges of the wound to be brought into approximation.
The staple according to Rothfuss, U.S. Patent 4,014,492 prior to emplacement is configured with a central portion, a straight portion extending upwardly and outwardly from each e:nd of the central portion at an obtuse angle, and a relatively short straight portion extending downwardly and outwardly from each of said upwardly and outwardly extending portions. The downwardly and outwardly extending portions have vertical cuts to produce sharp points at the ends of the downwardly and outwardly extending portions. The vertical cuts will be normal to the surfaces of the skin at the time of initial contact. The disposition of the points with respect to the forming anvil produces an eversion of the wound which insures proper approximation and better and more rapid healing.
.. -3-In Becht, et al.,, U.S. Patent No. 4,261,244, there is provided in a surgical staple for use in suturing the skin or fascia of a patient and of the type having an elongated, sub:;tantially horizontal crown portion terminating in downwardly depending leg portions having points formed at their free ends, the surgical staple, together with ~~ plur<3lity of identical surgical staples, being adapted t:o straddle and to be fed along guide means and to the anvil of a surgical stapling instrument which bends end portions oi= the surgical staple crown downwardly so that the lec~ port-.ions are substantially coaxial with their points approaching each other.
The improvement :in Becht '244 comprises a first pair of diametrically opposed front and rear flats and a second pair of diametrically opposed top and bottom flats on the surgical staple. The' front and rear flats of the first pair extend respecti~rely along the front and rear of the crown and leg F~ortions of the surgical staple. The diametrically appose~i flats of the second pair are disposed at 90° to the first pair of flats. The top flat of the second Fair eactends along the upper surface of the surgical staple crown portion and the outsides of its leg portions and th.e bottom flat of the second pair extends along the underside of the surgical staple crown portion and along the insides of its leg portions. The front and rear flats of the fii:st pair, cooperate with similar flats on adjacent surgical staples, to assure proper feeding of the surgical staple along the surgical instrument guide means. The top and bottom flats of the second pair, cooperate respective7_y with the surgical stapling instrument former and anvil, to prevent undesirable axial rotation of the surgical staple crown portion during the forming and implanting thereof in the skin or fascia of a patient.
- 4 - 24~~~
Staples of 'the referenced art and of the present invention are provided in a cartridge, and the configuration o:E the staple disclosed herein substantially improves the sp~3ce factor and makes it possible to stack more staples in a given space in a cartridge than is possible with svaples of conventional form.
Yet, certain deficiencies have been noted in current surgical staples. If the user wishes to staple mesh around, for insi~ance, a blood vessel, or an organ needed to closed, it is difficult to staple current shaped staples into this mesh. That is, the staples hold the mesh materials Loosely, and in some instances too loosely. It would be more desirable to have a staple which holds mesh more snugly, and yet remains easy to form. Also, of course, it would be desirable that this staple is capable of emplacement, either in tissue or in mesh, without rotation. The staples of this sort are more conducive, also, if they are not "box" shaped. At times, the box shaped ataples are difficult to form so that the entire box is closed, and appropriate tissue eversion is derived. There:Eore, at times it may be more preferential to form a surgical staple in a non-box shaped configuration.
Summary of the :Inv n ion Therefore, :it is an object of the invention to provide a staple capable of being formed in mesh, either with or without an anvil.
It is furthE~r an object of the invention to form a surgical staple containing a shape such that it is conducive to appropriate tissue eversion, if that is so desired.
20 66 36 ~
It is yet another object of the invention to form a surgical staple such that rotation is not capable after the staple is formed.
Finally, it is another object of the invention to form a staple in a non-box shaped configuration so that the appropriate closure and tissue eversion of the staple is created.
These and other objects of the invention are provided in a surgical staple having a crown length and containing legs which are formed at acute angles to the crown. The legs may be formed angles at up to 60° with the crown. The crown itself may be in a standard straight form or a "gull wing" form, much as is disclosed in t:he previously cited references.
When formed, t:he staple is wrapped around a central anvil and shaped by a forming mechanism such that the angularly displaced legs are shaped such that the final version is mu<:h like an indented rectangle, or a modified "E." shape. This shape is capable of producing the desired effects, and is useful in situations where conventional staples shapes were heretofore less desirable.
According to .a further broad aspect of the present invention there is provided in combination a surgical stapler having an anvil, and a driver for forming staples about the anvil. A plurality of staples are contained in the stapler and each staple has a preformed configuration with a straight crown having a driver facing side and an anvil facing side.
The crown has two ends. The staple also has a pair of intermediate straight portions each extending from an end of tree crown, and each the intermediate portion forms an obtuse angle with the crown on the A
driver facing side of the staple. The staple also has a pair of straight leg portions each having two ends and attached to an intermediate portion at one of the leg portion ends. The intermediate portions and the leg portions form an acute angle toward the anvil facing side of the crown. The leg portions have a sharpened tip at the second of the ends. The staples are engageable with the anvil and the driver, such that the driver is capable of causing a staple to end about the anvil. A staple formed by the driver has a B shape with the B shape having only straight segments.
The invention will be better understood with reference to the attached drawings and detailed description of the invention.
DETAILED DESCRIPTION OF THE DRAWINGS
Figures 1, 1A and 1B are elevational views of a prior art aurgical staple and two different embodiments o:E surgical staples according to the invention;
A
- 6 - ~Q ~~i~
Figures 2, 2A and 2B are end elevational views of the staples corresponding to the Figure 1 views;
Figures 3, 3A and 3B are views showing the prior art staple and the two different embodiments of the present invention in relation to a forming anvil, a forming die and wound which is to be closed;
Figures 4, 4A and 4B are views similar to those in the Figure 3 drawings showing the staples in the process of being formed;
Figures 5, 5A and 5B are similar views of the completely formed staples closing the wound;
Figures 6, 6A, 613 and 7A are views similar to those in the Figure 5 drawings showing the wound after the tool and anvil have been remolded; and Figure 7 shows a series of staples of Figures 6A and 6B, as emplaced in tissue.
Detailed Description of the Invention As seen in Figure 1 the prior art staple has a central portion 10 with upwardly and outwardly extending portions 11 which extend at an obtuse angle to the portion 10.
From the ends of the portions 11 there extend downwardly and outwardly t:he portions 12 which are shown as disposed at substantial7.y right angles to the portions 11. The ends of the portions 12 are cut vertically as at 13 to provide the sharp points 14.
In Figures 3, 4, 5 and 6 inclusive, the emplacement of a staple to close the wound is shown progressively. In these Figures, the forming anvil about which the staple is formed is indicated at 15 and the forming die is indicated at 16. The skin of the patient is indicated at 17 and the underlying tissues at 18. The incision which is being closed is indicated at 19.
Figures 3 Nerves to illustrate the disposition of the points 14 with respe~~t to the anvil 15. It will be noted that the upper corners of the anvil are curved as indicated at 20 and 'the radii of curvature of the curves are indicated by 'the points 21. It will be observed that the points 14 o:f the staple are approximately in the 15 plane of the centers of curvature 21 of the curves 20.
This configuration insures that the first bending effort of the die 6 against the portions 11 produces a penetration of the sl~~in by the points 14 rather than a sliding of the points along the skin and insures greater 20 skin gathering than hitherto obtained.
In Figure << the points 14 have penetrated the skin 17 and underlying tissues 18 and it will be seen that the portions 11 and 12 of the staple are being bent in a curve about the points 21.
In Figure ~~ the staple has been completely formed and in Figure 6 the tool and anvil have been withdrawn, i.e.
the formed stag>le has been ejected from the tool and anvil. It will. be semen that the incision is nicely closed and is properly evert:ed to produce the desired approximation and to enhance the healing process.
_ 8 _ 2~~~~
Alternately, in other staples like staple 50 in Figure 7A, the final shape is formed in a curve, so that the box shape is refined. This staple uses an anvil 60 for forming, such as those found in interval surgical stapling devices.
Now, as seen in Figures 1A and 1B, the staple of this invention has a central portion 110, 210. In Figure 1A, this central portion 110 has upwardly and outwardly extending portions 1:L1, which extend at an obtuse angle to the portion 110. they staple as in Figure 1B does not contain such an. upwardly and outwardly extending portion.
From the end of the portions 111, or the central portion 210 in Figure 1B, thE~re extends downwardly the portions 112, 212. These leg portions form the essential aspects of this invention. 7Che leg portions, 112, 212 are disposed at sut~stant~~ally acute angles to the portions 111, 210. This acute angle is indicated as angle a and differs from th.e essesntially right angle formed between portions 111 anal 112 as seen in Figure 1. The ends of the portions 112, 212 are cut vertically as at 113, 213 to provide sharp anoints 114, 214.
As seen in FigurE~s 2A and 2B these staples are formed with very similar end views as with the staple shown in Figure 1.
As seen in Figure's 3A, 4A, 5A, 6A and Figures 3B, 4B, 5B and 6B inclusive, the placement of the staple of this invention to close a wound or be closed over mesh is shown progressively.
As seen in each of these Figures, there is included a mesh covering ;such a;s may be found over those mesh coverings used in treatment of kidney closure or other organ closures. This mesh is labeled in each of the Figures as M. In these Figures, the forming anvil about which the stap7.e is :Formed is the same anvil 15 and the forming die is the same die 16 as indicated in the set of Figures 3-6. The skin of the patient is again indicated at 17 and the underlying tissues at 18. The incision which is to be closed is indicated at 19.
Figures 3A and 3B serve to illustrate that this position of the: poini~s 114, 214 with respect to anvil 15.
It will be noted than the upper corners of the anvil are curved so as to again curve the staples 100, 200. The points 114, 219 of each of these staples are approximately in the plane, c~r above, the centers of curvature 21 of each of the curves 20. The configuration as created in the staples of this invention insures that the first bending effort of the: die 16 against the portions 10 produces an inverted penetration of the skin by the points 14, or even a desired missing of the skin and enclosure over mesh. Again, however, there is no sliding of points along the skin so that, if desired, greater skin gathering is still obtained.
In Figures 4A and 4B, it will be noticed that the penetration of the staples is now identical and that the points 114, 214 have penetrated the skin and mesh and the underlying tissues lEt and it will be seen that the portion 110, 210 of the stap7.es 100, 200 are bent in a curve around the points 21.
._. - to - ~O~~i~~
In Figures 5A and 5B, the staple has been completely formed and in Figures 6A, 6H, the tool and anvil have been withdrawn. Now, the formed staples 100, 200 are ejected from the stapler and it is seen that the incision is nicely closed and yei; gathered in an upward B position.
Or, as in Figure 6B, the user has closed the staple such that the tissues has not been gathered and only the mesh is gathered. This. may also be done over areas were it is desired only to gather mesh and not to close wounds.
In this way, each of the staples 100, 200 as seen in Figures 6A, 6B have now been properly closed and formed a modified "B" shape. In this way, also. each of the staples has gathered only the appropriate amounts of tissue and is not shaped in a boz. This reduces the possibility of rotation of the staples during staple forming, essentially by creating an additional dimension in the place of the staple, so that an additional degree of freedom in t:he st<iple is defeated. As seen in Figure 7, the closed mound with the wound properly everted and the modified B shapeii staple with mesh contained therein is shown.
It is to be: noted, that the angle a as between the formed legs in this staple should be no more than 75° and preferably less than 60°. It has been found that enclosed angles of up tc 45° may be desirable, in cases where rotation of the: staple is expressly desired to be limited, such as in the use of: very loose meshes.
Again, as in the referenced art, the staples are easy to stack and take up only as much space as the prior art staples. They are also easy to drive into tissue, and like the prior art, may be formed in square, rectangular c~ ~ r~
or circular cross-sections. It is therefore to be understood that the embodiments of the invention are to be derived from the following claims and there equivalents.
Claims (6)
1. In combination:
a surgical stapler having an anvil, and a driver for forming staples about said anvil, and a plurality of staples contained in said stapler, each said staple having:
a preformed configuration with a straight crown having a driver facing side and an anvil facing side, and said crown having two ends; a pair of intermediate straight portions, each said intermediate straight portion extending from an end of said crown, and each said intermediate portion forming an obtuse angle with said crown on the driver facing side of said staple; and a pair of straight leg portions, each said leg portion with two ends and attached to an intermediate portion at one of said leg portion ends, said intermediate portions and said leg portions forming an acute angle toward said anvil facing side of said crown; and said leg portions having a sharpened tip at the second of said ends;
said staples engageable with said anvil and said driver, such that said driver is capable of causing a said staple to end about said anvil; and wherein a staple formed by said driver has a B shape, with said B shape having only straight segments.
a surgical stapler having an anvil, and a driver for forming staples about said anvil, and a plurality of staples contained in said stapler, each said staple having:
a preformed configuration with a straight crown having a driver facing side and an anvil facing side, and said crown having two ends; a pair of intermediate straight portions, each said intermediate straight portion extending from an end of said crown, and each said intermediate portion forming an obtuse angle with said crown on the driver facing side of said staple; and a pair of straight leg portions, each said leg portion with two ends and attached to an intermediate portion at one of said leg portion ends, said intermediate portions and said leg portions forming an acute angle toward said anvil facing side of said crown; and said leg portions having a sharpened tip at the second of said ends;
said staples engageable with said anvil and said driver, such that said driver is capable of causing a said staple to end about said anvil; and wherein a staple formed by said driver has a B shape, with said B shape having only straight segments.
2. The staple of claim 1 wherein said acute angles are between about 30° and 75°.
3. The combination of claim 1 wherein said crown is approximately the length of said anvil.
4. A method for forming staples comprising:
providing a surgical stapler having an anvil, and a driver for forming staples about said anvil; and a plurality of staples, each said staple having:
a preformed configuration with a straight crown having a driver facing side and an anvil facing side, and said crown having two ends; a pair of intermediate straight portions, each said intermediate straight portion extending from an end of said crown, and each said intermediate portion forming an obtuse angle with said crown on the driver facing side of said staple; and a pair of straight leg portions, each said leg portion with two ends and attached to an intermediate portion at one of said leg portion ends, said intermediate portions and said leg portions forming an acute angle toward said anvil facing side of said crown; and said leg portions having a sharpened tip at the second of said ends;
said staples engageable with said anvil and said driver, such that said river is capable of causing a said staple to bend about said anvil;
moving said driver toward said anvil with a said staple crown placed on said anvil; and using said driver to bend said staple about said anvil, wherein a staple formed by said driver has a B shape, with said B shape having only straight segments.
providing a surgical stapler having an anvil, and a driver for forming staples about said anvil; and a plurality of staples, each said staple having:
a preformed configuration with a straight crown having a driver facing side and an anvil facing side, and said crown having two ends; a pair of intermediate straight portions, each said intermediate straight portion extending from an end of said crown, and each said intermediate portion forming an obtuse angle with said crown on the driver facing side of said staple; and a pair of straight leg portions, each said leg portion with two ends and attached to an intermediate portion at one of said leg portion ends, said intermediate portions and said leg portions forming an acute angle toward said anvil facing side of said crown; and said leg portions having a sharpened tip at the second of said ends;
said staples engageable with said anvil and said driver, such that said river is capable of causing a said staple to bend about said anvil;
moving said driver toward said anvil with a said staple crown placed on said anvil; and using said driver to bend said staple about said anvil, wherein a staple formed by said driver has a B shape, with said B shape having only straight segments.
5. The method of claim 4 wherein said acute angles are between about 30° and 75°.
6. The method of claim 4 wherein said crown is approximately the length of said anvil.
Applications Claiming Priority (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US07/686,646 US5297714A (en) | 1991-04-17 | 1991-04-17 | Surgical staple with modified "B" shaped configuration |
| US686,646 | 1991-04-17 |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CA2066365A1 CA2066365A1 (en) | 1992-10-18 |
| CA2066365C true CA2066365C (en) | 2002-12-10 |
Family
ID=24757151
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CA002066365A Expired - Lifetime CA2066365C (en) | 1991-04-17 | 1992-04-16 | Surgical staple with modified 'b' shaped configuration |
Country Status (10)
| Country | Link |
|---|---|
| US (1) | US5297714A (en) |
| EP (1) | EP0509815B1 (en) |
| JP (1) | JPH05130997A (en) |
| AT (1) | ATE145537T1 (en) |
| AU (1) | AU647908B2 (en) |
| BR (1) | BR9201394A (en) |
| CA (1) | CA2066365C (en) |
| DE (1) | DE69215418T2 (en) |
| ES (1) | ES2094291T3 (en) |
| GR (1) | GR1002288B (en) |
Families Citing this family (512)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5582616A (en) * | 1994-08-05 | 1996-12-10 | Origin Medsystems, Inc. | Surgical helical fastener with applicator |
| US6524326B1 (en) | 1995-12-07 | 2003-02-25 | Loma Linda University Medical Center | Tissue opening locator and everter and method |
| US6425901B1 (en) | 1995-12-07 | 2002-07-30 | Loma Linda University Medical Center | Vascular wound closure system |
| US6287322B1 (en) | 1995-12-07 | 2001-09-11 | Loma Linda University Medical Center | Tissue opening locator and everter and method |
| US6149660A (en) * | 1996-04-22 | 2000-11-21 | Vnus Medical Technologies, Inc. | Method and apparatus for delivery of an appliance in a vessel |
| US20010003800A1 (en) * | 1996-11-21 | 2001-06-14 | Steven J. Frank | Interventional photonic energy emitter system |
| US6241768B1 (en) | 1997-08-27 | 2001-06-05 | Ethicon, Inc. | Prosthetic device for the repair of a hernia |
| FR2767671B1 (en) | 1997-08-27 | 1999-11-26 | Ethnor | PROSTHETIC SHUTTER DEVICE FOR SHUTTERING HERNARY CHANNELS |
| FR2767672B1 (en) * | 1997-08-27 | 1999-11-26 | Ethnor | PROSTHESES FOR SEALING HERNIA CANALS |
| US6890342B2 (en) | 2000-08-02 | 2005-05-10 | Loma Linda University | Method and apparatus for closing vascular puncture using hemostatic material |
| US6767356B2 (en) * | 2000-09-01 | 2004-07-27 | Angiolink Corporation | Advanced wound site management systems and methods |
| US6755842B2 (en) * | 2000-09-01 | 2004-06-29 | Angiolink Corporation | Advanced wound site management systems and methods |
| US20040093024A1 (en) * | 2000-09-01 | 2004-05-13 | James Lousararian | Advanced wound site management systems and methods |
| ES2360938T3 (en) * | 2002-04-17 | 2011-06-10 | Tyco Healthcare Group Lp | SEWING TOOL. |
| US7229452B2 (en) * | 2002-04-22 | 2007-06-12 | Tyco Healthcare Group Lp | Tack and tack applier |
| US7950559B2 (en) * | 2002-06-25 | 2011-05-31 | Incisive Surgical, Inc. | Mechanical method and apparatus for bilateral tissue fastening |
| US6726705B2 (en) * | 2002-06-25 | 2004-04-27 | Incisive Surgical, Inc. | Mechanical method and apparatus for bilateral tissue fastening |
| US8074857B2 (en) | 2002-06-25 | 2011-12-13 | Incisive Surgical, Inc. | Method and apparatus for tissue fastening with single translating trigger operation |
| US7112214B2 (en) * | 2002-06-25 | 2006-09-26 | Incisive Surgical, Inc. | Dynamic bioabsorbable fastener for use in wound closure |
| US20120145765A1 (en) | 2002-06-25 | 2012-06-14 | Peterson James A | Mechanical method and apparatus for bilateral tissue fastening |
| US7267682B1 (en) * | 2002-12-04 | 2007-09-11 | Cardica, Inc. | Anastomosis staple |
| US20070084897A1 (en) | 2003-05-20 | 2007-04-19 | Shelton Frederick E Iv | Articulating surgical stapling instrument incorporating a two-piece e-beam firing mechanism |
| US9060770B2 (en) | 2003-05-20 | 2015-06-23 | Ethicon Endo-Surgery, Inc. | Robotically-driven surgical instrument with E-beam driver |
| US8215531B2 (en) | 2004-07-28 | 2012-07-10 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having a medical substance dispenser |
| US11890012B2 (en) | 2004-07-28 | 2024-02-06 | Cilag Gmbh International | Staple cartridge comprising cartridge body and attached support |
| US20060180633A1 (en) * | 2005-02-17 | 2006-08-17 | Tyco Healthcare Group, Lp | Surgical staple |
| DE202005009061U1 (en) * | 2005-05-31 | 2006-10-12 | Karl Storz Gmbh & Co. Kg | Clip and clip setter for closing blood vessels |
| WO2007013906A2 (en) | 2005-07-15 | 2007-02-01 | Incisive Surgical, Inc. | Mechanical method and apparatus for sequential tissue fastening |
| US10159482B2 (en) | 2005-08-31 | 2018-12-25 | Ethicon Llc | Fastener cartridge assembly comprising a fixed anvil and different staple heights |
| US11484312B2 (en) | 2005-08-31 | 2022-11-01 | Cilag Gmbh International | Staple cartridge comprising a staple driver arrangement |
| US7934630B2 (en) | 2005-08-31 | 2011-05-03 | Ethicon Endo-Surgery, Inc. | Staple cartridges for forming staples having differing formed staple heights |
| US11246590B2 (en) | 2005-08-31 | 2022-02-15 | Cilag Gmbh International | Staple cartridge including staple drivers having different unfired heights |
| US20070194079A1 (en) | 2005-08-31 | 2007-08-23 | Hueil Joseph C | Surgical stapling device with staple drivers of different height |
| US8800838B2 (en) | 2005-08-31 | 2014-08-12 | Ethicon Endo-Surgery, Inc. | Robotically-controlled cable-based surgical end effectors |
| US7669746B2 (en) | 2005-08-31 | 2010-03-02 | Ethicon Endo-Surgery, Inc. | Staple cartridges for forming staples having differing formed staple heights |
| US9237891B2 (en) | 2005-08-31 | 2016-01-19 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical stapling devices that produce formed staples having different lengths |
| US20070106317A1 (en) | 2005-11-09 | 2007-05-10 | Shelton Frederick E Iv | Hydraulically and electrically actuated articulation joints for surgical instruments |
| US11224427B2 (en) | 2006-01-31 | 2022-01-18 | Cilag Gmbh International | Surgical stapling system including a console and retraction assembly |
| US9861359B2 (en) | 2006-01-31 | 2018-01-09 | Ethicon Llc | Powered surgical instruments with firing system lockout arrangements |
| US8161977B2 (en) | 2006-01-31 | 2012-04-24 | Ethicon Endo-Surgery, Inc. | Accessing data stored in a memory of a surgical instrument |
| US8763879B2 (en) | 2006-01-31 | 2014-07-01 | Ethicon Endo-Surgery, Inc. | Accessing data stored in a memory of surgical instrument |
| US11278279B2 (en) | 2006-01-31 | 2022-03-22 | Cilag Gmbh International | Surgical instrument assembly |
| US20110290856A1 (en) | 2006-01-31 | 2011-12-01 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical instrument with force-feedback capabilities |
| US11793518B2 (en) | 2006-01-31 | 2023-10-24 | Cilag Gmbh International | Powered surgical instruments with firing system lockout arrangements |
| US20110006101A1 (en) | 2009-02-06 | 2011-01-13 | EthiconEndo-Surgery, Inc. | Motor driven surgical fastener device with cutting member lockout arrangements |
| US20120292367A1 (en) | 2006-01-31 | 2012-11-22 | Ethicon Endo-Surgery, Inc. | Robotically-controlled end effector |
| US8708213B2 (en) | 2006-01-31 | 2014-04-29 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a feedback system |
| US7753904B2 (en) | 2006-01-31 | 2010-07-13 | Ethicon Endo-Surgery, Inc. | Endoscopic surgical instrument with a handle that can articulate with respect to the shaft |
| US8820603B2 (en) | 2006-01-31 | 2014-09-02 | Ethicon Endo-Surgery, Inc. | Accessing data stored in a memory of a surgical instrument |
| US8186555B2 (en) | 2006-01-31 | 2012-05-29 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting and fastening instrument with mechanical closure system |
| US20110024477A1 (en) | 2009-02-06 | 2011-02-03 | Hall Steven G | Driven Surgical Stapler Improvements |
| US7845537B2 (en) | 2006-01-31 | 2010-12-07 | Ethicon Endo-Surgery, Inc. | Surgical instrument having recording capabilities |
| US8992422B2 (en) | 2006-03-23 | 2015-03-31 | Ethicon Endo-Surgery, Inc. | Robotically-controlled endoscopic accessory channel |
| US20070225562A1 (en) | 2006-03-23 | 2007-09-27 | Ethicon Endo-Surgery, Inc. | Articulating endoscopic accessory channel |
| CN101489727A (en) * | 2006-05-23 | 2009-07-22 | 阿科布兰茨美国公司 | Partially-formed staple sheet and stapler for using same |
| US8322455B2 (en) | 2006-06-27 | 2012-12-04 | Ethicon Endo-Surgery, Inc. | Manually driven surgical cutting and fastening instrument |
| US10568652B2 (en) | 2006-09-29 | 2020-02-25 | Ethicon Llc | Surgical staples having attached drivers of different heights and stapling instruments for deploying the same |
| US7506791B2 (en) | 2006-09-29 | 2009-03-24 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with mechanical mechanism for limiting maximum tissue compression |
| US10130359B2 (en) | 2006-09-29 | 2018-11-20 | Ethicon Llc | Method for forming a staple |
| US8459520B2 (en) | 2007-01-10 | 2013-06-11 | Ethicon Endo-Surgery, Inc. | Surgical instrument with wireless communication between control unit and remote sensor |
| US8684253B2 (en) | 2007-01-10 | 2014-04-01 | Ethicon Endo-Surgery, Inc. | Surgical instrument with wireless communication between a control unit of a robotic system and remote sensor |
| US8652120B2 (en) | 2007-01-10 | 2014-02-18 | Ethicon Endo-Surgery, Inc. | Surgical instrument with wireless communication between control unit and sensor transponders |
| US11291441B2 (en) | 2007-01-10 | 2022-04-05 | Cilag Gmbh International | Surgical instrument with wireless communication between control unit and remote sensor |
| US8540128B2 (en) | 2007-01-11 | 2013-09-24 | Ethicon Endo-Surgery, Inc. | Surgical stapling device with a curved end effector |
| US11039836B2 (en) | 2007-01-11 | 2021-06-22 | Cilag Gmbh International | Staple cartridge for use with a surgical stapling instrument |
| US8727197B2 (en) | 2007-03-15 | 2014-05-20 | Ethicon Endo-Surgery, Inc. | Staple cartridge cavity configuration with cooperative surgical staple |
| US8893946B2 (en) | 2007-03-28 | 2014-11-25 | Ethicon Endo-Surgery, Inc. | Laparoscopic tissue thickness and clamp load measuring devices |
| US20080249563A1 (en) * | 2007-04-04 | 2008-10-09 | Peterson James A | Method and apparatus for tissue fastening |
| US7832408B2 (en) | 2007-06-04 | 2010-11-16 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a directional switching mechanism |
| 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 |
| US11857181B2 (en) | 2007-06-04 | 2024-01-02 | Cilag Gmbh International | Robotically-controlled shaft based rotary drive systems for surgical instruments |
| US8931682B2 (en) | 2007-06-04 | 2015-01-13 | Ethicon Endo-Surgery, Inc. | Robotically-controlled shaft based rotary drive systems for surgical instruments |
| US7753245B2 (en) | 2007-06-22 | 2010-07-13 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments |
| US8308040B2 (en) | 2007-06-22 | 2012-11-13 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with an articulatable end effector |
| US11849941B2 (en) | 2007-06-29 | 2023-12-26 | Cilag Gmbh International | Staple cartridge having staple cavities extending at a transverse angle relative to a longitudinal cartridge axis |
| US7942304B2 (en) * | 2007-10-19 | 2011-05-17 | Tyco Healthcare Group Lp | Two piece anvil for surgical stapler |
| US8771312B1 (en) | 2007-11-05 | 2014-07-08 | Cardica, Inc. | Anastomosis fasteners |
| US8561870B2 (en) | 2008-02-13 | 2013-10-22 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument |
| US8459525B2 (en) | 2008-02-14 | 2013-06-11 | Ethicon Endo-Sugery, Inc. | Motorized surgical cutting and fastening instrument having a magnetic drive train torque limiting device |
| US8622274B2 (en) | 2008-02-14 | 2014-01-07 | Ethicon Endo-Surgery, Inc. | Motorized cutting and fastening instrument having control circuit for optimizing battery usage |
| US8758391B2 (en) | 2008-02-14 | 2014-06-24 | Ethicon Endo-Surgery, Inc. | Interchangeable tools for surgical instruments |
| BRPI0901282A2 (en) | 2008-02-14 | 2009-11-17 | Ethicon Endo Surgery Inc | surgical cutting and fixation instrument with rf electrodes |
| US8752749B2 (en) | 2008-02-14 | 2014-06-17 | Ethicon Endo-Surgery, Inc. | Robotically-controlled disposable motor-driven loading unit |
| US8657174B2 (en) | 2008-02-14 | 2014-02-25 | Ethicon Endo-Surgery, Inc. | Motorized surgical cutting and fastening instrument having handle based power source |
| US8636736B2 (en) | 2008-02-14 | 2014-01-28 | Ethicon Endo-Surgery, Inc. | Motorized surgical cutting and fastening instrument |
| 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 |
| US9179912B2 (en) | 2008-02-14 | 2015-11-10 | Ethicon Endo-Surgery, Inc. | Robotically-controlled motorized surgical cutting and fastening instrument |
| US7819298B2 (en) | 2008-02-14 | 2010-10-26 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with control features operable with one hand |
| US8573465B2 (en) | 2008-02-14 | 2013-11-05 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical end effector system with rotary actuated closure systems |
| US7866527B2 (en) | 2008-02-14 | 2011-01-11 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with interlockable firing system |
| US8584919B2 (en) | 2008-02-14 | 2013-11-19 | Ethicon Endo-Sugery, Inc. | Surgical stapling apparatus with load-sensitive firing mechanism |
| US9770245B2 (en) | 2008-02-15 | 2017-09-26 | Ethicon Llc | Layer arrangements for surgical staple cartridges |
| US11272927B2 (en) | 2008-02-15 | 2022-03-15 | Cilag Gmbh International | Layer arrangements for surgical staple cartridges |
| WO2009114779A2 (en) * | 2008-03-14 | 2009-09-17 | Safestitch Medical, Inc. | Hernia stapler with integrated mesh manipulator |
| US8870049B2 (en) | 2008-03-14 | 2014-10-28 | Transenterix, Inc. | Hernia stapler |
| PL3476312T3 (en) | 2008-09-19 | 2024-03-11 | Ethicon Llc | Surgical stapler with apparatus for adjusting staple height |
| US7857186B2 (en) | 2008-09-19 | 2010-12-28 | Ethicon Endo-Surgery, Inc. | Surgical stapler having an intermediate closing position |
| US9005230B2 (en) | 2008-09-23 | 2015-04-14 | Ethicon Endo-Surgery, Inc. | Motorized surgical instrument |
| US9050083B2 (en) | 2008-09-23 | 2015-06-09 | Ethicon Endo-Surgery, Inc. | Motorized surgical instrument |
| US11648005B2 (en) | 2008-09-23 | 2023-05-16 | Cilag Gmbh International | Robotically-controlled motorized surgical instrument with an end effector |
| US8210411B2 (en) | 2008-09-23 | 2012-07-03 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting instrument |
| US9386983B2 (en) | 2008-09-23 | 2016-07-12 | Ethicon Endo-Surgery, Llc | Robotically-controlled motorized surgical instrument |
| US8608045B2 (en) | 2008-10-10 | 2013-12-17 | Ethicon Endo-Sugery, Inc. | Powered surgical cutting and stapling apparatus with manually retractable firing system |
| US8397971B2 (en) | 2009-02-05 | 2013-03-19 | Ethicon Endo-Surgery, Inc. | Sterilizable surgical instrument |
| US8517239B2 (en) | 2009-02-05 | 2013-08-27 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument comprising a magnetic element driver |
| US8414577B2 (en) | 2009-02-05 | 2013-04-09 | Ethicon Endo-Surgery, Inc. | Surgical instruments and components for use in sterile environments |
| CN102341048A (en) | 2009-02-06 | 2012-02-01 | 伊西康内外科公司 | Driven surgical stapler improvements |
| 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 |
| US10194904B2 (en) * | 2009-10-08 | 2019-02-05 | Covidien Lp | Surgical staple and method of use |
| US8851354B2 (en) | 2009-12-24 | 2014-10-07 | Ethicon Endo-Surgery, Inc. | Surgical cutting instrument that analyzes tissue thickness |
| US8220688B2 (en) | 2009-12-24 | 2012-07-17 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting instrument with electric actuator directional control assembly |
| US8783543B2 (en) | 2010-07-30 | 2014-07-22 | Ethicon Endo-Surgery, Inc. | Tissue acquisition arrangements and methods for surgical stapling devices |
| US9877720B2 (en) | 2010-09-24 | 2018-01-30 | Ethicon Llc | Control features for articulating surgical device |
| US8733613B2 (en) | 2010-09-29 | 2014-05-27 | Ethicon Endo-Surgery, Inc. | Staple cartridge |
| US11298125B2 (en) | 2010-09-30 | 2022-04-12 | Cilag Gmbh International | Tissue stapler having a thickness compensator |
| US9629814B2 (en) | 2010-09-30 | 2017-04-25 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator configured to redistribute compressive forces |
| US9282962B2 (en) | 2010-09-30 | 2016-03-15 | Ethicon Endo-Surgery, Llc | Adhesive film laminate |
| US11849952B2 (en) | 2010-09-30 | 2023-12-26 | Cilag Gmbh International | Staple cartridge comprising staples positioned within a compressible portion thereof |
| US9414838B2 (en) | 2012-03-28 | 2016-08-16 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator comprised of a plurality of materials |
| US9055941B2 (en) | 2011-09-23 | 2015-06-16 | Ethicon Endo-Surgery, Inc. | Staple cartridge including collapsible deck |
| US11812965B2 (en) | 2010-09-30 | 2023-11-14 | Cilag Gmbh International | Layer of material for a surgical end effector |
| US9517063B2 (en) | 2012-03-28 | 2016-12-13 | Ethicon Endo-Surgery, Llc | Movable member for use with a tissue thickness compensator |
| US10945731B2 (en) | 2010-09-30 | 2021-03-16 | Ethicon Llc | Tissue thickness compensator comprising controlled release and expansion |
| US20120080478A1 (en) | 2010-09-30 | 2012-04-05 | Ethicon Endo-Surgery, Inc. | Surgical staple cartridges with detachable support structures and surgical stapling instruments with systems for preventing actuation motions when a cartridge is not present |
| US9211120B2 (en) | 2011-04-29 | 2015-12-15 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator comprising a plurality of medicaments |
| US9314246B2 (en) | 2010-09-30 | 2016-04-19 | Ethicon Endo-Surgery, Llc | Tissue stapler having a thickness compensator incorporating an anti-inflammatory agent |
| US9204880B2 (en) | 2012-03-28 | 2015-12-08 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator comprising capsules defining a low pressure environment |
| US9332974B2 (en) | 2010-09-30 | 2016-05-10 | Ethicon Endo-Surgery, Llc | Layered tissue thickness compensator |
| US9433419B2 (en) | 2010-09-30 | 2016-09-06 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator comprising a plurality of layers |
| US8893949B2 (en) | 2010-09-30 | 2014-11-25 | Ethicon Endo-Surgery, Inc. | Surgical stapler with floating anvil |
| EP2621356B1 (en) | 2010-09-30 | 2018-03-07 | Ethicon LLC | Fastener system comprising a retention matrix and an alignment matrix |
| US9220501B2 (en) | 2010-09-30 | 2015-12-29 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensators |
| US9386988B2 (en) | 2010-09-30 | 2016-07-12 | Ethicon End-Surgery, LLC | Retainer assembly including a tissue thickness compensator |
| US9016542B2 (en) | 2010-09-30 | 2015-04-28 | Ethicon Endo-Surgery, Inc. | Staple cartridge comprising compressible distortion resistant components |
| US9364233B2 (en) | 2010-09-30 | 2016-06-14 | Ethicon Endo-Surgery, Llc | Tissue thickness compensators for circular surgical staplers |
| US9307989B2 (en) | 2012-03-28 | 2016-04-12 | Ethicon Endo-Surgery, Llc | Tissue stapler having a thickness compensator incorportating a hydrophobic agent |
| US8695866B2 (en) | 2010-10-01 | 2014-04-15 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a power control circuit |
| CA2834649C (en) | 2011-04-29 | 2021-02-16 | Ethicon Endo-Surgery, Inc. | Staple cartridge comprising staples positioned within a compressible portion thereof |
| US11207064B2 (en) | 2011-05-27 | 2021-12-28 | Cilag Gmbh International | Automated end effector component reloading system for use with a robotic system |
| US9072535B2 (en) | 2011-05-27 | 2015-07-07 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments with rotatable staple deployment arrangements |
| US9050084B2 (en) | 2011-09-23 | 2015-06-09 | Ethicon Endo-Surgery, Inc. | Staple cartridge including collapsible deck arrangement |
| US9044230B2 (en) | 2012-02-13 | 2015-06-02 | Ethicon Endo-Surgery, Inc. | Surgical cutting and fastening instrument with apparatus for determining cartridge and firing motion status |
| BR112014024098B1 (en) | 2012-03-28 | 2021-05-25 | Ethicon Endo-Surgery, Inc. | staple cartridge |
| US9198662B2 (en) | 2012-03-28 | 2015-12-01 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator having improved visibility |
| CN104379068B (en) | 2012-03-28 | 2017-09-22 | 伊西康内外科公司 | Holding device assembly including tissue thickness compensation part |
| BR112014024102B1 (en) | 2012-03-28 | 2022-03-03 | Ethicon Endo-Surgery, Inc | CLAMP CARTRIDGE ASSEMBLY FOR A SURGICAL INSTRUMENT AND END ACTUATOR ASSEMBLY FOR A SURGICAL INSTRUMENT |
| US9101358B2 (en) | 2012-06-15 | 2015-08-11 | Ethicon Endo-Surgery, Inc. | Articulatable surgical instrument comprising a firing drive |
| US20140001231A1 (en) | 2012-06-28 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Firing system lockout arrangements for surgical instruments |
| US9028494B2 (en) | 2012-06-28 | 2015-05-12 | Ethicon Endo-Surgery, Inc. | Interchangeable end effector coupling arrangement |
| US11278284B2 (en) | 2012-06-28 | 2022-03-22 | Cilag Gmbh International | Rotary drive arrangements for surgical instruments |
| US9226751B2 (en) | 2012-06-28 | 2016-01-05 | Ethicon Endo-Surgery, Inc. | Surgical instrument system including replaceable end effectors |
| US9289256B2 (en) | 2012-06-28 | 2016-03-22 | Ethicon Endo-Surgery, Llc | Surgical end effectors having angled tissue-contacting surfaces |
| US9101385B2 (en) | 2012-06-28 | 2015-08-11 | Ethicon Endo-Surgery, Inc. | Electrode connections for rotary driven surgical tools |
| US9282974B2 (en) | 2012-06-28 | 2016-03-15 | Ethicon Endo-Surgery, Llc | Empty clip cartridge lockout |
| US9119657B2 (en) | 2012-06-28 | 2015-09-01 | Ethicon Endo-Surgery, Inc. | Rotary actuatable closure arrangement for surgical end effector |
| US8747238B2 (en) | 2012-06-28 | 2014-06-10 | Ethicon Endo-Surgery, Inc. | Rotary drive shaft assemblies for surgical instruments with articulatable end effectors |
| US9072536B2 (en) | 2012-06-28 | 2015-07-07 | Ethicon Endo-Surgery, Inc. | Differential locking arrangements for rotary powered surgical instruments |
| US9125662B2 (en) | 2012-06-28 | 2015-09-08 | Ethicon Endo-Surgery, Inc. | Multi-axis articulating and rotating surgical tools |
| JP6290201B2 (en) | 2012-06-28 | 2018-03-07 | エシコン・エンド−サージェリィ・インコーポレイテッドＥｔｈｉｃｏｎ Ｅｎｄｏ−Ｓｕｒｇｅｒｙ，Ｉｎｃ． | Lockout for empty clip cartridge |
| US9204879B2 (en) | 2012-06-28 | 2015-12-08 | Ethicon Endo-Surgery, Inc. | Flexible drive member |
| BR112014032776B1 (en) | 2012-06-28 | 2021-09-08 | Ethicon Endo-Surgery, Inc | SURGICAL INSTRUMENT SYSTEM AND SURGICAL KIT FOR USE WITH A SURGICAL INSTRUMENT SYSTEM |
| US9561038B2 (en) | 2012-06-28 | 2017-02-07 | Ethicon Endo-Surgery, Llc | Interchangeable clip applier |
| US9386984B2 (en) | 2013-02-08 | 2016-07-12 | Ethicon Endo-Surgery, Llc | Staple cartridge comprising a releasable cover |
| US10092292B2 (en) | 2013-02-28 | 2018-10-09 | Ethicon Llc | Staple forming features for surgical stapling instrument |
| JP6345707B2 (en) | 2013-03-01 | 2018-06-20 | 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． | Surgical instrument with soft stop |
| US20140246475A1 (en) | 2013-03-01 | 2014-09-04 | Ethicon Endo-Surgery, Inc. | Control methods for surgical instruments with removable implement portions |
| JP6382235B2 (en) | 2013-03-01 | 2018-08-29 | エシコン・エンド−サージェリィ・インコーポレイテッドＥｔｈｉｃｏｎ Ｅｎｄｏ−Ｓｕｒｇｅｒｙ，Ｉｎｃ． | Articulatable surgical instrument with a conductive path for signal communication |
| US11083451B2 (en) * | 2013-03-11 | 2021-08-10 | Boston Scientific Scimed, Inc. | Tissue anchor with insertion device |
| US20140263552A1 (en) | 2013-03-13 | 2014-09-18 | Ethicon Endo-Surgery, Inc. | Staple cartridge tissue thickness sensor system |
| US9332987B2 (en) | 2013-03-14 | 2016-05-10 | Ethicon Endo-Surgery, Llc | Control arrangements for a drive member of a surgical instrument |
| US9629629B2 (en) | 2013-03-14 | 2017-04-25 | Ethicon Endo-Surgey, LLC | Control systems for surgical instruments |
| US9332984B2 (en) | 2013-03-27 | 2016-05-10 | Ethicon Endo-Surgery, Llc | Fastener cartridge assemblies |
| US9795384B2 (en) | 2013-03-27 | 2017-10-24 | Ethicon Llc | Fastener cartridge comprising a tissue thickness compensator and a gap setting element |
| US9572577B2 (en) | 2013-03-27 | 2017-02-21 | Ethicon Endo-Surgery, Llc | Fastener cartridge comprising a tissue thickness compensator including openings therein |
| BR112015026109B1 (en) | 2013-04-16 | 2022-02-22 | Ethicon Endo-Surgery, Inc | surgical instrument |
| US9844368B2 (en) | 2013-04-16 | 2017-12-19 | Ethicon Llc | Surgical system comprising first and second drive systems |
| US9574644B2 (en) | 2013-05-30 | 2017-02-21 | Ethicon Endo-Surgery, Llc | Power module for use with a surgical instrument |
| US20150053746A1 (en) | 2013-08-23 | 2015-02-26 | Ethicon Endo-Surgery, Inc. | Torque optimization for surgical instruments |
| JP6416260B2 (en) | 2013-08-23 | 2018-10-31 | エシコン エルエルシー | Firing member retractor for a powered surgical instrument |
| US9724092B2 (en) | 2013-12-23 | 2017-08-08 | Ethicon Llc | Modular surgical instruments |
| US9839428B2 (en) | 2013-12-23 | 2017-12-12 | Ethicon Llc | Surgical cutting and stapling instruments with independent jaw control features |
| US9968354B2 (en) | 2013-12-23 | 2018-05-15 | Ethicon Llc | Surgical staples and methods for making the same |
| US20150173756A1 (en) | 2013-12-23 | 2015-06-25 | Ethicon Endo-Surgery, Inc. | Surgical cutting and stapling methods |
| US9962161B2 (en) | 2014-02-12 | 2018-05-08 | Ethicon Llc | Deliverable surgical instrument |
| US9839422B2 (en) | 2014-02-24 | 2017-12-12 | Ethicon Llc | Implantable layers and methods for altering implantable layers for use with surgical fastening instruments |
| CN106232029B (en) | 2014-02-24 | 2019-04-12 | 伊西康内外科有限责任公司 | Fastening system including firing member locking piece |
| US9913642B2 (en) | 2014-03-26 | 2018-03-13 | Ethicon Llc | Surgical instrument comprising a sensor system |
| US10201364B2 (en) | 2014-03-26 | 2019-02-12 | Ethicon Llc | Surgical instrument comprising a rotatable shaft |
| BR112016021943B1 (en) | 2014-03-26 | 2022-06-14 | Ethicon Endo-Surgery, Llc | SURGICAL INSTRUMENT FOR USE BY AN OPERATOR IN A SURGICAL PROCEDURE |
| US9733663B2 (en) | 2014-03-26 | 2017-08-15 | Ethicon Llc | Power management through segmented circuit and variable voltage protection |
| US10004497B2 (en) | 2014-03-26 | 2018-06-26 | Ethicon Llc | Interface systems for use with surgical instruments |
| US10561422B2 (en) | 2014-04-16 | 2020-02-18 | Ethicon Llc | Fastener cartridge comprising deployable tissue engaging members |
| JP6532889B2 (en) | 2014-04-16 | 2019-06-19 | エシコン エルエルシーＥｔｈｉｃｏｎ ＬＬＣ | Fastener cartridge assembly and staple holder cover arrangement |
| US10327764B2 (en) | 2014-09-26 | 2019-06-25 | Ethicon Llc | Method for creating a flexible staple line |
| BR112016023825B1 (en) | 2014-04-16 | 2022-08-02 | Ethicon Endo-Surgery, Llc | STAPLE CARTRIDGE FOR USE WITH A SURGICAL STAPLER AND STAPLE CARTRIDGE FOR USE WITH A SURGICAL INSTRUMENT |
| US20150297223A1 (en) | 2014-04-16 | 2015-10-22 | Ethicon Endo-Surgery, Inc. | Fastener cartridges including extensions having different configurations |
| JP6636452B2 (en) | 2014-04-16 | 2020-01-29 | エシコン エルエルシーＥｔｈｉｃｏｎ ＬＬＣ | Fastener cartridge including extension having different configurations |
| US9844377B2 (en) | 2014-04-25 | 2017-12-19 | Incisive Surgical, Inc. | Method and apparatus for wound closure with sequential tissue positioning and retention |
| US10045781B2 (en) | 2014-06-13 | 2018-08-14 | Ethicon Llc | Closure lockout systems for surgical instruments |
| US11311294B2 (en) | 2014-09-05 | 2022-04-26 | Cilag Gmbh International | Powered medical device including measurement of closure state of jaws |
| US10111679B2 (en) | 2014-09-05 | 2018-10-30 | Ethicon Llc | Circuitry and sensors for powered medical device |
| BR112017004361B1 (en) | 2014-09-05 | 2023-04-11 | Ethicon Llc | ELECTRONIC SYSTEM FOR A SURGICAL INSTRUMENT |
| US10105142B2 (en) | 2014-09-18 | 2018-10-23 | Ethicon Llc | Surgical stapler with plurality of cutting elements |
| US11523821B2 (en) | 2014-09-26 | 2022-12-13 | Cilag Gmbh International | Method for creating a flexible staple line |
| JP6648119B2 (en) | 2014-09-26 | 2020-02-14 | エシコン エルエルシーＥｔｈｉｃｏｎ ＬＬＣ | Surgical stapling buttress and accessory materials |
| US10076325B2 (en) | 2014-10-13 | 2018-09-18 | Ethicon Llc | Surgical stapling apparatus comprising a tissue stop |
| US9924944B2 (en) | 2014-10-16 | 2018-03-27 | Ethicon Llc | Staple cartridge comprising an adjunct material |
| US10517594B2 (en) | 2014-10-29 | 2019-12-31 | Ethicon Llc | Cartridge assemblies for surgical staplers |
| US11141153B2 (en) | 2014-10-29 | 2021-10-12 | Cilag Gmbh International | Staple cartridges comprising driver arrangements |
| US9844376B2 (en) | 2014-11-06 | 2017-12-19 | Ethicon Llc | Staple cartridge comprising a releasable adjunct material |
| US10736636B2 (en) | 2014-12-10 | 2020-08-11 | Ethicon Llc | Articulatable surgical instrument system |
| US10085748B2 (en) | 2014-12-18 | 2018-10-02 | Ethicon Llc | Locking arrangements for detachable shaft assemblies with articulatable surgical end effectors |
| US9987000B2 (en) | 2014-12-18 | 2018-06-05 | Ethicon Llc | Surgical instrument assembly comprising a flexible articulation system |
| US10188385B2 (en) | 2014-12-18 | 2019-01-29 | Ethicon Llc | Surgical instrument system comprising lockable systems |
| US10004501B2 (en) | 2014-12-18 | 2018-06-26 | Ethicon Llc | Surgical instruments with improved closure arrangements |
| US10117649B2 (en) | 2014-12-18 | 2018-11-06 | Ethicon Llc | Surgical instrument assembly comprising a lockable articulation system |
| US9844375B2 (en) | 2014-12-18 | 2017-12-19 | Ethicon Llc | Drive arrangements for articulatable surgical instruments |
| MX2017008108A (en) | 2014-12-18 | 2018-03-06 | Ethicon Llc | Surgical instrument with an anvil that is selectively movable about a discrete non-movable axis relative to a staple cartridge. |
| US9844374B2 (en) | 2014-12-18 | 2017-12-19 | Ethicon Llc | Surgical instrument systems comprising an articulatable end effector and means for adjusting the firing stroke of a firing member |
| USD752219S1 (en) | 2015-01-02 | 2016-03-22 | Incisive Surgical, Inc. | Tissue fastening instrument |
| US10180463B2 (en) | 2015-02-27 | 2019-01-15 | Ethicon Llc | Surgical apparatus configured to assess whether a performance parameter of the surgical apparatus is within an acceptable performance band |
| US10321907B2 (en) | 2015-02-27 | 2019-06-18 | Ethicon Llc | System for monitoring whether a surgical instrument needs to be serviced |
| US9993258B2 (en) | 2015-02-27 | 2018-06-12 | Ethicon Llc | Adaptable surgical instrument handle |
| US11154301B2 (en) | 2015-02-27 | 2021-10-26 | Cilag Gmbh International | Modular stapling assembly |
| US9808246B2 (en) | 2015-03-06 | 2017-11-07 | Ethicon Endo-Surgery, Llc | Method of operating a powered surgical instrument |
| US10245033B2 (en) | 2015-03-06 | 2019-04-02 | Ethicon Llc | Surgical instrument comprising a lockable battery housing |
| US10045776B2 (en) | 2015-03-06 | 2018-08-14 | Ethicon Llc | Control techniques and sub-processor contained within modular shaft with select control processing from handle |
| US9993248B2 (en) | 2015-03-06 | 2018-06-12 | Ethicon Endo-Surgery, Llc | Smart sensors with local signal processing |
| US9895148B2 (en) | 2015-03-06 | 2018-02-20 | Ethicon Endo-Surgery, Llc | Monitoring speed control and precision incrementing of motor for powered surgical instruments |
| US10441279B2 (en) | 2015-03-06 | 2019-10-15 | Ethicon Llc | Multiple level thresholds to modify operation of powered surgical instruments |
| US9924961B2 (en) | 2015-03-06 | 2018-03-27 | Ethicon Endo-Surgery, Llc | Interactive feedback system for powered surgical instruments |
| JP2020121162A (en) | 2015-03-06 | 2020-08-13 | エシコン エルエルシーＥｔｈｉｃｏｎ ＬＬＣ | Time dependent evaluation of sensor data to determine stability element, creep element and viscoelastic element of measurement |
| US10548504B2 (en) | 2015-03-06 | 2020-02-04 | Ethicon Llc | Overlaid multi sensor radio frequency (RF) electrode system to measure tissue compression |
| US9901342B2 (en) | 2015-03-06 | 2018-02-27 | Ethicon Endo-Surgery, Llc | Signal and power communication system positioned on a rotatable shaft |
| US10687806B2 (en) | 2015-03-06 | 2020-06-23 | Ethicon Llc | Adaptive tissue compression techniques to adjust closure rates for multiple tissue types |
| US10617412B2 (en) | 2015-03-06 | 2020-04-14 | Ethicon Llc | System for detecting the mis-insertion of a staple cartridge into a surgical stapler |
| US10213201B2 (en) | 2015-03-31 | 2019-02-26 | Ethicon Llc | Stapling end effector configured to compensate for an uneven gap between a first jaw and a second jaw |
| US10368861B2 (en) | 2015-06-18 | 2019-08-06 | Ethicon Llc | Dual articulation drive system arrangements for articulatable surgical instruments |
| US11058425B2 (en) | 2015-08-17 | 2021-07-13 | Ethicon Llc | Implantable layers for a surgical instrument |
| US10357251B2 (en) | 2015-08-26 | 2019-07-23 | Ethicon Llc | Surgical staples comprising hardness variations for improved fastening of tissue |
| JP6828018B2 (en) | 2015-08-26 | 2021-02-10 | エシコン エルエルシーＥｔｈｉｃｏｎ ＬＬＣ | Surgical staple strips that allow you to change the characteristics of staples and facilitate filling into cartridges |
| MX2022006192A (en) | 2015-09-02 | 2022-06-16 | Ethicon Llc | Surgical staple configurations with camming surfaces located between portions supporting surgical staples. |
| US10238390B2 (en) | 2015-09-02 | 2019-03-26 | Ethicon Llc | Surgical staple cartridges with driver arrangements for establishing herringbone staple patterns |
| US10085747B2 (en) | 2015-09-11 | 2018-10-02 | Incisive Surgical, Inc. | Surgical fastening instrument |
| US10363036B2 (en) | 2015-09-23 | 2019-07-30 | Ethicon Llc | Surgical stapler having force-based motor control |
| US10085751B2 (en) | 2015-09-23 | 2018-10-02 | Ethicon Llc | Surgical stapler having temperature-based motor control |
| US10076326B2 (en) | 2015-09-23 | 2018-09-18 | Ethicon Llc | Surgical stapler having current mirror-based motor control |
| US10105139B2 (en) | 2015-09-23 | 2018-10-23 | Ethicon Llc | Surgical stapler having downstream current-based motor control |
| US10238386B2 (en) | 2015-09-23 | 2019-03-26 | Ethicon Llc | Surgical stapler having motor control based on an electrical parameter related to a motor current |
| US10327769B2 (en) | 2015-09-23 | 2019-06-25 | Ethicon Llc | Surgical stapler having motor control based on a drive system component |
| US10299878B2 (en) | 2015-09-25 | 2019-05-28 | Ethicon Llc | Implantable adjunct systems for determining adjunct skew |
| US10327777B2 (en) | 2015-09-30 | 2019-06-25 | Ethicon Llc | Implantable layer comprising plastically deformed fibers |
| US10285699B2 (en) | 2015-09-30 | 2019-05-14 | Ethicon Llc | Compressible adjunct |
| US11890015B2 (en) | 2015-09-30 | 2024-02-06 | Cilag Gmbh International | Compressible adjunct with crossing spacer fibers |
| US10980539B2 (en) | 2015-09-30 | 2021-04-20 | Ethicon Llc | Implantable adjunct comprising bonded layers |
| US10368865B2 (en) | 2015-12-30 | 2019-08-06 | Ethicon Llc | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
| US10265068B2 (en) | 2015-12-30 | 2019-04-23 | Ethicon Llc | Surgical instruments with separable motors and motor control circuits |
| US10292704B2 (en) | 2015-12-30 | 2019-05-21 | Ethicon Llc | Mechanisms for compensating for battery pack failure in powered surgical instruments |
| US20170224332A1 (en) | 2016-02-09 | 2017-08-10 | Ethicon Endo-Surgery, Llc | Surgical instruments with non-symmetrical articulation arrangements |
| US11213293B2 (en) | 2016-02-09 | 2022-01-04 | Cilag Gmbh International | Articulatable surgical instruments with single articulation link arrangements |
| BR112018016098B1 (en) | 2016-02-09 | 2023-02-23 | Ethicon Llc | SURGICAL INSTRUMENT |
| US10258331B2 (en) | 2016-02-12 | 2019-04-16 | Ethicon Llc | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
| US11224426B2 (en) | 2016-02-12 | 2022-01-18 | Cilag Gmbh International | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
| US10448948B2 (en) | 2016-02-12 | 2019-10-22 | Ethicon Llc | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
| US10617413B2 (en) | 2016-04-01 | 2020-04-14 | Ethicon Llc | Closure system arrangements for surgical cutting and stapling devices with separate and distinct firing shafts |
| US11064997B2 (en) | 2016-04-01 | 2021-07-20 | Cilag Gmbh International | Surgical stapling instrument |
| US11179150B2 (en) | 2016-04-15 | 2021-11-23 | Cilag Gmbh International | Systems and methods for controlling a surgical stapling and cutting instrument |
| US10405859B2 (en) | 2016-04-15 | 2019-09-10 | Ethicon Llc | Surgical instrument with adjustable stop/start control during a firing motion |
| US10828028B2 (en) | 2016-04-15 | 2020-11-10 | Ethicon Llc | Surgical instrument with multiple program responses during a firing motion |
| US11607239B2 (en) | 2016-04-15 | 2023-03-21 | Cilag Gmbh International | Systems and methods for controlling a surgical stapling and cutting instrument |
| US10456137B2 (en) | 2016-04-15 | 2019-10-29 | Ethicon Llc | Staple formation detection mechanisms |
| US10426467B2 (en) | 2016-04-15 | 2019-10-01 | Ethicon Llc | Surgical instrument with detection sensors |
| US10335145B2 (en) | 2016-04-15 | 2019-07-02 | Ethicon Llc | Modular surgical instrument with configurable operating mode |
| US10492783B2 (en) | 2016-04-15 | 2019-12-03 | Ethicon, Llc | Surgical instrument with improved stop/start control during a firing motion |
| US10357247B2 (en) | 2016-04-15 | 2019-07-23 | Ethicon Llc | Surgical instrument with multiple program responses during a firing motion |
| US10368867B2 (en) | 2016-04-18 | 2019-08-06 | Ethicon Llc | Surgical instrument comprising a lockout |
| US20170296173A1 (en) | 2016-04-18 | 2017-10-19 | Ethicon Endo-Surgery, Llc | Method for operating a surgical instrument |
| US11317917B2 (en) | 2016-04-18 | 2022-05-03 | Cilag Gmbh International | Surgical stapling system comprising a lockable firing assembly |
| US10702270B2 (en) | 2016-06-24 | 2020-07-07 | Ethicon Llc | Stapling system for use with wire staples and stamped staples |
| USD847989S1 (en) | 2016-06-24 | 2019-05-07 | Ethicon Llc | Surgical fastener cartridge |
| USD826405S1 (en) | 2016-06-24 | 2018-08-21 | Ethicon Llc | Surgical fastener |
| JP6957532B2 (en) | 2016-06-24 | 2021-11-02 | エシコン エルエルシーＥｔｈｉｃｏｎ ＬＬＣ | Staple cartridges including wire staples and punched staples |
| USD850617S1 (en) | 2016-06-24 | 2019-06-04 | Ethicon Llc | Surgical fastener cartridge |
| US20180168633A1 (en) | 2016-12-21 | 2018-06-21 | Ethicon Endo-Surgery, Llc | Surgical stapling instruments and staple-forming anvils |
| US10426471B2 (en) | 2016-12-21 | 2019-10-01 | Ethicon Llc | Surgical instrument with multiple failure response modes |
| US11134942B2 (en) | 2016-12-21 | 2021-10-05 | Cilag Gmbh International | Surgical stapling instruments and staple-forming anvils |
| US10588631B2 (en) | 2016-12-21 | 2020-03-17 | Ethicon Llc | Surgical instruments with positive jaw opening features |
| JP7010956B2 (en) | 2016-12-21 | 2022-01-26 | エシコン エルエルシー | How to staple tissue |
| CN110099619B (en) | 2016-12-21 | 2022-07-15 | 爱惜康有限责任公司 | Lockout device for surgical end effector and replaceable tool assembly |
| US11090048B2 (en) | 2016-12-21 | 2021-08-17 | Cilag Gmbh International | Method for resetting a fuse of a surgical instrument shaft |
| US10918385B2 (en) | 2016-12-21 | 2021-02-16 | Ethicon Llc | Surgical system comprising a firing member rotatable into an articulation state to articulate an end effector of the surgical system |
| MX2019007311A (en) | 2016-12-21 | 2019-11-18 | Ethicon Llc | Surgical stapling systems. |
| US10687810B2 (en) | 2016-12-21 | 2020-06-23 | Ethicon Llc | Stepped staple cartridge with tissue retention and gap setting features |
| US11419606B2 (en) | 2016-12-21 | 2022-08-23 | Cilag Gmbh International | Shaft assembly comprising a clutch configured to adapt the output of a rotary firing member to two different systems |
| US10568624B2 (en) | 2016-12-21 | 2020-02-25 | Ethicon Llc | Surgical instruments with jaws that are pivotable about a fixed axis and include separate and distinct closure and firing systems |
| US11684367B2 (en) | 2016-12-21 | 2023-06-27 | Cilag Gmbh International | Stepped assembly having and end-of-life indicator |
| US10888322B2 (en) | 2016-12-21 | 2021-01-12 | Ethicon Llc | Surgical instrument comprising a cutting member |
| US10682138B2 (en) | 2016-12-21 | 2020-06-16 | Ethicon Llc | Bilaterally asymmetric staple forming pocket pairs |
| US10695055B2 (en) | 2016-12-21 | 2020-06-30 | Ethicon Llc | Firing assembly comprising a lockout |
| US20180168648A1 (en) | 2016-12-21 | 2018-06-21 | Ethicon Endo-Surgery, Llc | Durability features for end effectors and firing assemblies of surgical stapling instruments |
| US10856868B2 (en) | 2016-12-21 | 2020-12-08 | Ethicon Llc | Firing member pin configurations |
| US20180168625A1 (en) | 2016-12-21 | 2018-06-21 | Ethicon Endo-Surgery, Llc | Surgical stapling instruments with smart staple cartridges |
| US20180168615A1 (en) | 2016-12-21 | 2018-06-21 | Ethicon Endo-Surgery, Llc | Method of deforming staples from two different types of staple cartridges with the same surgical stapling instrument |
| US10959727B2 (en) | 2016-12-21 | 2021-03-30 | Ethicon Llc | Articulatable surgical end effector with asymmetric shaft arrangement |
| US10973516B2 (en) | 2016-12-21 | 2021-04-13 | Ethicon Llc | Surgical end effectors and adaptable firing members therefor |
| US10993715B2 (en) | 2016-12-21 | 2021-05-04 | Ethicon Llc | Staple cartridge comprising staples with different clamping breadths |
| US10945727B2 (en) | 2016-12-21 | 2021-03-16 | Ethicon Llc | Staple cartridge with deformable driver retention features |
| US10646220B2 (en) | 2017-06-20 | 2020-05-12 | Ethicon Llc | Systems and methods for controlling displacement member velocity for a surgical instrument |
| US11517325B2 (en) | 2017-06-20 | 2022-12-06 | Cilag Gmbh International | Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on measured displacement distance traveled over a specified time interval |
| US10624633B2 (en) | 2017-06-20 | 2020-04-21 | Ethicon Llc | Systems and methods for controlling motor velocity of a surgical stapling and cutting instrument |
| US11090046B2 (en) | 2017-06-20 | 2021-08-17 | Cilag Gmbh International | Systems and methods for controlling displacement member motion of a surgical stapling and cutting instrument |
| US11653914B2 (en) | 2017-06-20 | 2023-05-23 | Cilag Gmbh International | Systems and methods for controlling motor velocity of a surgical stapling and cutting instrument according to articulation angle of end effector |
| US10368864B2 (en) | 2017-06-20 | 2019-08-06 | Ethicon Llc | Systems and methods for controlling displaying motor velocity for a surgical instrument |
| USD879809S1 (en) | 2017-06-20 | 2020-03-31 | Ethicon Llc | Display panel with changeable graphical user interface |
| US10980537B2 (en) | 2017-06-20 | 2021-04-20 | Ethicon Llc | Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on measured time over a specified number of shaft rotations |
| US10390841B2 (en) | 2017-06-20 | 2019-08-27 | Ethicon Llc | Control of motor velocity of a surgical stapling and cutting instrument based on angle of articulation |
| US10327767B2 (en) | 2017-06-20 | 2019-06-25 | Ethicon Llc | Control of motor velocity of a surgical stapling and cutting instrument based on angle of articulation |
| US10779820B2 (en) | 2017-06-20 | 2020-09-22 | Ethicon Llc | Systems and methods for controlling motor speed according to user input for a surgical instrument |
| USD879808S1 (en) | 2017-06-20 | 2020-03-31 | Ethicon Llc | Display panel with graphical user interface |
| US10888321B2 (en) | 2017-06-20 | 2021-01-12 | Ethicon Llc | Systems and methods for controlling velocity of a displacement member of a surgical stapling and cutting instrument |
| USD890784S1 (en) | 2017-06-20 | 2020-07-21 | Ethicon Llc | Display panel with changeable graphical user interface |
| US10881396B2 (en) | 2017-06-20 | 2021-01-05 | Ethicon Llc | Surgical instrument with variable duration trigger arrangement |
| US10881399B2 (en) | 2017-06-20 | 2021-01-05 | Ethicon Llc | Techniques for adaptive control of motor velocity of a surgical stapling and cutting instrument |
| US11071554B2 (en) | 2017-06-20 | 2021-07-27 | Cilag Gmbh International | Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on magnitude of velocity error measurements |
| US10307170B2 (en) | 2017-06-20 | 2019-06-04 | Ethicon Llc | Method for closed loop control of motor velocity of a surgical stapling and cutting instrument |
| US10813639B2 (en) | 2017-06-20 | 2020-10-27 | Ethicon Llc | Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on system conditions |
| US11382638B2 (en) | 2017-06-20 | 2022-07-12 | Cilag Gmbh International | Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on measured time over a specified displacement distance |
| US11266405B2 (en) | 2017-06-27 | 2022-03-08 | Cilag Gmbh International | Surgical anvil manufacturing methods |
| US10856869B2 (en) | 2017-06-27 | 2020-12-08 | Ethicon Llc | Surgical anvil arrangements |
| US20180368844A1 (en) | 2017-06-27 | 2018-12-27 | Ethicon Llc | Staple forming pocket arrangements |
| US11324503B2 (en) | 2017-06-27 | 2022-05-10 | Cilag Gmbh International | Surgical firing member arrangements |
| US10993716B2 (en) | 2017-06-27 | 2021-05-04 | Ethicon Llc | Surgical anvil arrangements |
| US10772629B2 (en) | 2017-06-27 | 2020-09-15 | Ethicon Llc | Surgical anvil arrangements |
| US11478242B2 (en) | 2017-06-28 | 2022-10-25 | Cilag Gmbh International | Jaw retainer arrangement for retaining a pivotable surgical instrument jaw in pivotable retaining engagement with a second surgical instrument jaw |
| US11246592B2 (en) | 2017-06-28 | 2022-02-15 | Cilag Gmbh International | Surgical instrument comprising an articulation system lockable to a frame |
| US11259805B2 (en) | 2017-06-28 | 2022-03-01 | Cilag Gmbh International | Surgical instrument comprising firing member supports |
| US10211586B2 (en) | 2017-06-28 | 2019-02-19 | Ethicon Llc | Surgical shaft assemblies with watertight housings |
| US10716614B2 (en) | 2017-06-28 | 2020-07-21 | Ethicon Llc | Surgical shaft assemblies with slip ring assemblies with increased contact pressure |
| US11564686B2 (en) | 2017-06-28 | 2023-01-31 | Cilag Gmbh International | Surgical shaft assemblies with flexible interfaces |
| USD851762S1 (en) | 2017-06-28 | 2019-06-18 | Ethicon Llc | Anvil |
| US11484310B2 (en) | 2017-06-28 | 2022-11-01 | Cilag Gmbh International | Surgical instrument comprising a shaft including a closure tube profile |
| US10765427B2 (en) | 2017-06-28 | 2020-09-08 | Ethicon Llc | Method for articulating a surgical instrument |
| USD854151S1 (en) | 2017-06-28 | 2019-07-16 | Ethicon Llc | Surgical instrument shaft |
| US10903685B2 (en) | 2017-06-28 | 2021-01-26 | Ethicon Llc | Surgical shaft assemblies with slip ring assemblies forming capacitive channels |
| EP3420947B1 (en) | 2017-06-28 | 2022-05-25 | Cilag GmbH International | Surgical instrument comprising selectively actuatable rotatable couplers |
| USD869655S1 (en) | 2017-06-28 | 2019-12-10 | Ethicon Llc | Surgical fastener cartridge |
| USD906355S1 (en) | 2017-06-28 | 2020-12-29 | Ethicon Llc | Display screen or portion thereof with a graphical user interface for a surgical instrument |
| US10398434B2 (en) | 2017-06-29 | 2019-09-03 | Ethicon Llc | Closed loop velocity control of closure member for robotic surgical instrument |
| US10258418B2 (en) | 2017-06-29 | 2019-04-16 | Ethicon Llc | System for controlling articulation forces |
| US10898183B2 (en) | 2017-06-29 | 2021-01-26 | Ethicon Llc | Robotic surgical instrument with closed loop feedback techniques for advancement of closure member during firing |
| US10932772B2 (en) | 2017-06-29 | 2021-03-02 | Ethicon Llc | Methods for closed loop velocity control for robotic surgical instrument |
| US11007022B2 (en) | 2017-06-29 | 2021-05-18 | Ethicon Llc | Closed loop velocity control techniques based on sensed tissue parameters for robotic surgical instrument |
| US11471155B2 (en) | 2017-08-03 | 2022-10-18 | Cilag Gmbh International | Surgical system bailout |
| US11304695B2 (en) | 2017-08-03 | 2022-04-19 | Cilag Gmbh International | Surgical system shaft interconnection |
| US11944300B2 (en) | 2017-08-03 | 2024-04-02 | Cilag Gmbh International | Method for operating a surgical system bailout |
| US10765429B2 (en) | 2017-09-29 | 2020-09-08 | Ethicon Llc | Systems and methods for providing alerts according to the operational state of a surgical instrument |
| US10796471B2 (en) | 2017-09-29 | 2020-10-06 | Ethicon Llc | Systems and methods of displaying a knife position for a surgical instrument |
| USD907648S1 (en) | 2017-09-29 | 2021-01-12 | Ethicon Llc | Display screen or portion thereof with animated graphical user interface |
| US10743872B2 (en) | 2017-09-29 | 2020-08-18 | Ethicon Llc | System and methods for controlling a display of a surgical instrument |
| US11399829B2 (en) | 2017-09-29 | 2022-08-02 | Cilag Gmbh International | Systems and methods of initiating a power shutdown mode for a surgical instrument |
| USD907647S1 (en) | 2017-09-29 | 2021-01-12 | Ethicon Llc | Display screen or portion thereof with animated graphical user interface |
| USD917500S1 (en) | 2017-09-29 | 2021-04-27 | Ethicon Llc | Display screen or portion thereof with graphical user interface |
| US10729501B2 (en) | 2017-09-29 | 2020-08-04 | Ethicon Llc | Systems and methods for language selection of a surgical instrument |
| US11134944B2 (en) | 2017-10-30 | 2021-10-05 | Cilag Gmbh International | Surgical stapler knife motion controls |
| US11090075B2 (en) | 2017-10-30 | 2021-08-17 | Cilag Gmbh International | Articulation features for surgical end effector |
| US10842490B2 (en) | 2017-10-31 | 2020-11-24 | Ethicon Llc | Cartridge body design with force reduction based on firing completion |
| US10779903B2 (en) | 2017-10-31 | 2020-09-22 | Ethicon Llc | Positive shaft rotation lock activated by jaw closure |
| US10779826B2 (en) | 2017-12-15 | 2020-09-22 | Ethicon Llc | Methods of operating surgical end effectors |
| US10743875B2 (en) | 2017-12-15 | 2020-08-18 | Ethicon Llc | Surgical end effectors with jaw stiffener arrangements configured to permit monitoring of firing member |
| US10869666B2 (en) | 2017-12-15 | 2020-12-22 | Ethicon Llc | Adapters with control systems for controlling multiple motors of an electromechanical surgical instrument |
| US10966718B2 (en) | 2017-12-15 | 2021-04-06 | Ethicon Llc | Dynamic clamping assemblies with improved wear characteristics for use in connection with electromechanical surgical instruments |
| US10828033B2 (en) | 2017-12-15 | 2020-11-10 | Ethicon Llc | Handheld electromechanical surgical instruments with improved motor control arrangements for positioning components of an adapter coupled thereto |
| US11033267B2 (en) | 2017-12-15 | 2021-06-15 | Ethicon Llc | Systems and methods of controlling a clamping member firing rate of a surgical instrument |
| US10779825B2 (en) | 2017-12-15 | 2020-09-22 | Ethicon Llc | Adapters with end effector position sensing and control arrangements for use in connection with electromechanical surgical instruments |
| US10743874B2 (en) | 2017-12-15 | 2020-08-18 | Ethicon Llc | Sealed adapters for use with electromechanical surgical instruments |
| US11006955B2 (en) | 2017-12-15 | 2021-05-18 | Ethicon Llc | End effectors with positive jaw opening features for use with adapters for electromechanical surgical instruments |
| US11071543B2 (en) | 2017-12-15 | 2021-07-27 | Cilag Gmbh International | Surgical end effectors with clamping assemblies configured to increase jaw aperture ranges |
| US11197670B2 (en) | 2017-12-15 | 2021-12-14 | Cilag Gmbh International | Surgical end effectors with pivotal jaws configured to touch at their respective distal ends when fully closed |
| US10687813B2 (en) | 2017-12-15 | 2020-06-23 | Ethicon Llc | Adapters with firing stroke sensing arrangements for use in connection with electromechanical surgical instruments |
| US11045270B2 (en) | 2017-12-19 | 2021-06-29 | Cilag Gmbh International | Robotic attachment comprising exterior drive actuator |
| US10729509B2 (en) | 2017-12-19 | 2020-08-04 | Ethicon Llc | Surgical instrument comprising closure and firing locking mechanism |
| US11020112B2 (en) | 2017-12-19 | 2021-06-01 | Ethicon Llc | Surgical tools configured for interchangeable use with different controller interfaces |
| US10835330B2 (en) | 2017-12-19 | 2020-11-17 | Ethicon Llc | Method for determining the position of a rotatable jaw of a surgical instrument attachment assembly |
| USD910847S1 (en) | 2017-12-19 | 2021-02-16 | Ethicon Llc | Surgical instrument assembly |
| US10716565B2 (en) | 2017-12-19 | 2020-07-21 | Ethicon Llc | Surgical instruments with dual articulation drivers |
| US11179152B2 (en) | 2017-12-21 | 2021-11-23 | Cilag Gmbh International | Surgical instrument comprising a tissue grasping system |
| US11311290B2 (en) | 2017-12-21 | 2022-04-26 | Cilag Gmbh International | Surgical instrument comprising an end effector dampener |
| US11129680B2 (en) | 2017-12-21 | 2021-09-28 | Cilag Gmbh International | Surgical instrument comprising a projector |
| US11076853B2 (en) | 2017-12-21 | 2021-08-03 | Cilag Gmbh International | Systems and methods of displaying a knife position during transection for a surgical instrument |
| US10856870B2 (en) | 2018-08-20 | 2020-12-08 | Ethicon Llc | Switching arrangements for motor powered articulatable surgical instruments |
| US11253256B2 (en) | 2018-08-20 | 2022-02-22 | Cilag Gmbh International | Articulatable motor powered surgical instruments with dedicated articulation motor arrangements |
| US11045192B2 (en) | 2018-08-20 | 2021-06-29 | Cilag Gmbh International | Fabricating techniques for surgical stapler anvils |
| US11207065B2 (en) | 2018-08-20 | 2021-12-28 | Cilag Gmbh International | Method for fabricating surgical stapler anvils |
| US10842492B2 (en) | 2018-08-20 | 2020-11-24 | Ethicon Llc | Powered articulatable surgical instruments with clutching and locking arrangements for linking an articulation drive system to a firing drive system |
| USD914878S1 (en) | 2018-08-20 | 2021-03-30 | Ethicon Llc | Surgical instrument anvil |
| US10779821B2 (en) | 2018-08-20 | 2020-09-22 | Ethicon Llc | Surgical stapler anvils with tissue stop features configured to avoid tissue pinch |
| US11324501B2 (en) | 2018-08-20 | 2022-05-10 | Cilag Gmbh International | Surgical stapling devices with improved closure members |
| US11291440B2 (en) | 2018-08-20 | 2022-04-05 | Cilag Gmbh International | Method for operating a powered articulatable surgical instrument |
| US10912559B2 (en) | 2018-08-20 | 2021-02-09 | Ethicon Llc | Reinforced deformable anvil tip for surgical stapler anvil |
| US11083458B2 (en) | 2018-08-20 | 2021-08-10 | Cilag Gmbh International | Powered surgical instruments with clutching arrangements to convert linear drive motions to rotary drive motions |
| US11039834B2 (en) | 2018-08-20 | 2021-06-22 | Cilag Gmbh International | Surgical stapler anvils with staple directing protrusions and tissue stability features |
| US11147551B2 (en) | 2019-03-25 | 2021-10-19 | Cilag Gmbh International | Firing drive arrangements for surgical systems |
| US11696761B2 (en) | 2019-03-25 | 2023-07-11 | Cilag Gmbh International | Firing drive arrangements for surgical systems |
| US11172929B2 (en) | 2019-03-25 | 2021-11-16 | Cilag Gmbh International | Articulation drive arrangements for surgical systems |
| US11147553B2 (en) | 2019-03-25 | 2021-10-19 | Cilag Gmbh International | Firing drive arrangements for surgical systems |
| US11426251B2 (en) | 2019-04-30 | 2022-08-30 | Cilag Gmbh International | Articulation directional lights on a surgical instrument |
| US11253254B2 (en) | 2019-04-30 | 2022-02-22 | Cilag Gmbh International | Shaft rotation actuator on a surgical instrument |
| US11903581B2 (en) | 2019-04-30 | 2024-02-20 | Cilag Gmbh International | Methods for stapling tissue using a surgical instrument |
| US11471157B2 (en) | 2019-04-30 | 2022-10-18 | Cilag Gmbh International | Articulation control mapping for a surgical instrument |
| US11648009B2 (en) | 2019-04-30 | 2023-05-16 | Cilag Gmbh International | Rotatable jaw tip for a surgical instrument |
| US11432816B2 (en) | 2019-04-30 | 2022-09-06 | Cilag Gmbh International | Articulation pin for a surgical instrument |
| US11452528B2 (en) | 2019-04-30 | 2022-09-27 | Cilag Gmbh International | Articulation actuators for a surgical instrument |
| US11350938B2 (en) | 2019-06-28 | 2022-06-07 | Cilag Gmbh International | Surgical instrument comprising an aligned rfid sensor |
| US11298132B2 (en) | 2019-06-28 | 2022-04-12 | Cilag GmbH Inlernational | Staple cartridge including a honeycomb extension |
| US11638587B2 (en) | 2019-06-28 | 2023-05-02 | Cilag Gmbh International | RFID identification systems for surgical instruments |
| US11523822B2 (en) | 2019-06-28 | 2022-12-13 | Cilag Gmbh International | Battery pack including a circuit interrupter |
| US11771419B2 (en) | 2019-06-28 | 2023-10-03 | Cilag Gmbh International | Packaging for a replaceable component of a surgical stapling system |
| US11224497B2 (en) | 2019-06-28 | 2022-01-18 | Cilag Gmbh International | Surgical systems with multiple RFID tags |
| US11399837B2 (en) | 2019-06-28 | 2022-08-02 | Cilag Gmbh International | Mechanisms for motor control adjustments of a motorized surgical instrument |
| US11298127B2 (en) | 2019-06-28 | 2022-04-12 | Cilag GmbH Interational | Surgical stapling system having a lockout mechanism for an incompatible cartridge |
| US11464601B2 (en) | 2019-06-28 | 2022-10-11 | Cilag Gmbh International | Surgical instrument comprising an RFID system for tracking a movable component |
| US11051807B2 (en) | 2019-06-28 | 2021-07-06 | Cilag Gmbh International | Packaging assembly including a particulate trap |
| US11660163B2 (en) | 2019-06-28 | 2023-05-30 | Cilag Gmbh International | Surgical system with RFID tags for updating motor assembly parameters |
| US11478241B2 (en) | 2019-06-28 | 2022-10-25 | Cilag Gmbh International | Staple cartridge including projections |
| US11376098B2 (en) | 2019-06-28 | 2022-07-05 | Cilag Gmbh International | Surgical instrument system comprising an RFID system |
| US11219455B2 (en) | 2019-06-28 | 2022-01-11 | Cilag Gmbh International | Surgical instrument including a lockout key |
| US11553971B2 (en) | 2019-06-28 | 2023-01-17 | Cilag Gmbh International | Surgical RFID assemblies for display and communication |
| US11291451B2 (en) | 2019-06-28 | 2022-04-05 | Cilag Gmbh International | Surgical instrument with battery compatibility verification functionality |
| US11497492B2 (en) | 2019-06-28 | 2022-11-15 | Cilag Gmbh International | Surgical instrument including an articulation lock |
| US11426167B2 (en) | 2019-06-28 | 2022-08-30 | Cilag Gmbh International | Mechanisms for proper anvil attachment surgical stapling head assembly |
| US11246678B2 (en) | 2019-06-28 | 2022-02-15 | Cilag Gmbh International | Surgical stapling system having a frangible RFID tag |
| US11259803B2 (en) | 2019-06-28 | 2022-03-01 | Cilag Gmbh International | Surgical stapling system having an information encryption protocol |
| US11627959B2 (en) | 2019-06-28 | 2023-04-18 | Cilag Gmbh International | Surgical instruments including manual and powered system lockouts |
| US11684434B2 (en) | 2019-06-28 | 2023-06-27 | Cilag Gmbh International | Surgical RFID assemblies for instrument operational setting control |
| US11291447B2 (en) | 2019-12-19 | 2022-04-05 | Cilag Gmbh International | Stapling instrument comprising independent jaw closing and staple firing systems |
| US11576672B2 (en) | 2019-12-19 | 2023-02-14 | Cilag Gmbh International | Surgical instrument comprising a closure system including a closure member and an opening member driven by a drive screw |
| US11529139B2 (en) | 2019-12-19 | 2022-12-20 | Cilag Gmbh International | Motor driven surgical instrument |
| US11931033B2 (en) | 2019-12-19 | 2024-03-19 | Cilag Gmbh International | Staple cartridge comprising a latch lockout |
| US11701111B2 (en) | 2019-12-19 | 2023-07-18 | Cilag Gmbh International | Method for operating a surgical stapling instrument |
| US11304696B2 (en) | 2019-12-19 | 2022-04-19 | Cilag Gmbh International | Surgical instrument comprising a powered articulation system |
| US11234698B2 (en) | 2019-12-19 | 2022-02-01 | Cilag Gmbh International | Stapling system comprising a clamp lockout and a firing lockout |
| US11844520B2 (en) | 2019-12-19 | 2023-12-19 | Cilag Gmbh International | Staple cartridge comprising driver retention members |
| US11446029B2 (en) | 2019-12-19 | 2022-09-20 | Cilag Gmbh International | Staple cartridge comprising projections extending from a curved deck surface |
| US11559304B2 (en) | 2019-12-19 | 2023-01-24 | Cilag Gmbh International | Surgical instrument comprising a rapid closure mechanism |
| US11504122B2 (en) | 2019-12-19 | 2022-11-22 | Cilag Gmbh International | Surgical instrument comprising a nested firing member |
| US11911032B2 (en) | 2019-12-19 | 2024-02-27 | Cilag Gmbh International | Staple cartridge comprising a seating cam |
| US11529137B2 (en) | 2019-12-19 | 2022-12-20 | Cilag Gmbh International | Staple cartridge comprising driver retention members |
| US11464512B2 (en) | 2019-12-19 | 2022-10-11 | Cilag Gmbh International | Staple cartridge comprising a curved deck surface |
| US11607219B2 (en) | 2019-12-19 | 2023-03-21 | Cilag Gmbh International | Staple cartridge comprising a detachable tissue cutting knife |
| USD966512S1 (en) | 2020-06-02 | 2022-10-11 | Cilag Gmbh International | Staple cartridge |
| USD967421S1 (en) | 2020-06-02 | 2022-10-18 | Cilag Gmbh International | Staple cartridge |
| USD976401S1 (en) | 2020-06-02 | 2023-01-24 | Cilag Gmbh International | Staple cartridge |
| USD975850S1 (en) | 2020-06-02 | 2023-01-17 | Cilag Gmbh International | Staple cartridge |
| USD974560S1 (en) | 2020-06-02 | 2023-01-03 | Cilag Gmbh International | Staple cartridge |
| USD975851S1 (en) | 2020-06-02 | 2023-01-17 | Cilag Gmbh International | Staple cartridge |
| USD975278S1 (en) | 2020-06-02 | 2023-01-10 | Cilag Gmbh International | Staple cartridge |
| US20220031320A1 (en) | 2020-07-28 | 2022-02-03 | Cilag Gmbh International | Surgical instruments with flexible firing member actuator constraint arrangements |
| US11931025B2 (en) | 2020-10-29 | 2024-03-19 | Cilag Gmbh International | Surgical instrument comprising a releasable closure drive lock |
| USD1013170S1 (en) | 2020-10-29 | 2024-01-30 | Cilag Gmbh International | Surgical instrument assembly |
| US11534259B2 (en) | 2020-10-29 | 2022-12-27 | Cilag Gmbh International | Surgical instrument comprising an articulation indicator |
| USD980425S1 (en) | 2020-10-29 | 2023-03-07 | Cilag Gmbh International | Surgical instrument assembly |
| US11617577B2 (en) | 2020-10-29 | 2023-04-04 | Cilag Gmbh International | Surgical instrument comprising a sensor configured to sense whether an articulation drive of the surgical instrument is actuatable |
| US11896217B2 (en) | 2020-10-29 | 2024-02-13 | Cilag Gmbh International | Surgical instrument comprising an articulation lock |
| US11844518B2 (en) | 2020-10-29 | 2023-12-19 | Cilag Gmbh International | Method for operating a surgical instrument |
| US11717289B2 (en) | 2020-10-29 | 2023-08-08 | Cilag Gmbh International | Surgical instrument comprising an indicator which indicates that an articulation drive is actuatable |
| US11452526B2 (en) | 2020-10-29 | 2022-09-27 | Cilag Gmbh International | Surgical instrument comprising a staged voltage regulation start-up system |
| US11779330B2 (en) | 2020-10-29 | 2023-10-10 | Cilag Gmbh International | Surgical instrument comprising a jaw alignment system |
| US11517390B2 (en) | 2020-10-29 | 2022-12-06 | Cilag Gmbh International | Surgical instrument comprising a limited travel switch |
| US11653915B2 (en) | 2020-12-02 | 2023-05-23 | Cilag Gmbh International | Surgical instruments with sled location detection and adjustment features |
| US11849943B2 (en) | 2020-12-02 | 2023-12-26 | Cilag Gmbh International | Surgical instrument with cartridge release mechanisms |
| US11737751B2 (en) | 2020-12-02 | 2023-08-29 | Cilag Gmbh International | Devices and methods of managing energy dissipated within sterile barriers of surgical instrument housings |
| US11890010B2 (en) | 2020-12-02 | 2024-02-06 | Cllag GmbH International | Dual-sided reinforced reload for surgical instruments |
| US11627960B2 (en) | 2020-12-02 | 2023-04-18 | Cilag Gmbh International | Powered surgical instruments with smart reload with separately attachable exteriorly mounted wiring connections |
| US11678882B2 (en) | 2020-12-02 | 2023-06-20 | Cilag Gmbh International | Surgical instruments with interactive features to remedy incidental sled movements |
| US11944296B2 (en) | 2020-12-02 | 2024-04-02 | Cilag Gmbh International | Powered surgical instruments with external connectors |
| US11744581B2 (en) | 2020-12-02 | 2023-09-05 | Cilag Gmbh International | Powered surgical instruments with multi-phase tissue treatment |
| US11653920B2 (en) | 2020-12-02 | 2023-05-23 | Cilag Gmbh International | Powered surgical instruments with communication interfaces through sterile barrier |
| US11812964B2 (en) | 2021-02-26 | 2023-11-14 | Cilag Gmbh International | Staple cartridge comprising a power management circuit |
| US11950777B2 (en) | 2021-02-26 | 2024-04-09 | Cilag Gmbh International | Staple cartridge comprising an information access control system |
| US11793514B2 (en) | 2021-02-26 | 2023-10-24 | Cilag Gmbh International | Staple cartridge comprising sensor array which may be embedded in cartridge body |
| US11723657B2 (en) | 2021-02-26 | 2023-08-15 | Cilag Gmbh International | Adjustable communication based on available bandwidth and power capacity |
| US11730473B2 (en) | 2021-02-26 | 2023-08-22 | Cilag Gmbh International | Monitoring of manufacturing life-cycle |
| US11696757B2 (en) | 2021-02-26 | 2023-07-11 | Cilag Gmbh International | Monitoring of internal systems to detect and track cartridge motion status |
| US11701113B2 (en) | 2021-02-26 | 2023-07-18 | Cilag Gmbh International | Stapling instrument comprising a separate power antenna and a data transfer antenna |
| US11744583B2 (en) | 2021-02-26 | 2023-09-05 | Cilag Gmbh International | Distal communication array to tune frequency of RF systems |
| US11950779B2 (en) | 2021-02-26 | 2024-04-09 | Cilag Gmbh International | Method of powering and communicating with a staple cartridge |
| US11749877B2 (en) | 2021-02-26 | 2023-09-05 | Cilag Gmbh International | Stapling instrument comprising a signal antenna |
| US11925349B2 (en) | 2021-02-26 | 2024-03-12 | Cilag Gmbh International | Adjustment to transfer parameters to improve available power |
| US11751869B2 (en) | 2021-02-26 | 2023-09-12 | Cilag Gmbh International | Monitoring of multiple sensors over time to detect moving characteristics of tissue |
| US11717291B2 (en) | 2021-03-22 | 2023-08-08 | Cilag Gmbh International | Staple cartridge comprising staples configured to apply different tissue compression |
| US11759202B2 (en) | 2021-03-22 | 2023-09-19 | Cilag Gmbh International | Staple cartridge comprising an implantable layer |
| US11826042B2 (en) | 2021-03-22 | 2023-11-28 | Cilag Gmbh International | Surgical instrument comprising a firing drive including a selectable leverage mechanism |
| US11806011B2 (en) | 2021-03-22 | 2023-11-07 | Cilag Gmbh International | Stapling instrument comprising tissue compression systems |
| US11723658B2 (en) | 2021-03-22 | 2023-08-15 | Cilag Gmbh International | Staple cartridge comprising a firing lockout |
| US11737749B2 (en) | 2021-03-22 | 2023-08-29 | Cilag Gmbh International | Surgical stapling instrument comprising a retraction system |
| US11826012B2 (en) | 2021-03-22 | 2023-11-28 | Cilag Gmbh International | Stapling instrument comprising a pulsed motor-driven firing rack |
| US11832816B2 (en) | 2021-03-24 | 2023-12-05 | Cilag Gmbh International | Surgical stapling assembly comprising nonplanar staples and planar staples |
| US11786239B2 (en) | 2021-03-24 | 2023-10-17 | Cilag Gmbh International | Surgical instrument articulation joint arrangements comprising multiple moving linkage features |
| US11944336B2 (en) | 2021-03-24 | 2024-04-02 | Cilag Gmbh International | Joint arrangements for multi-planar alignment and support of operational drive shafts in articulatable surgical instruments |
| US11793516B2 (en) | 2021-03-24 | 2023-10-24 | Cilag Gmbh International | Surgical staple cartridge comprising longitudinal support beam |
| US11903582B2 (en) | 2021-03-24 | 2024-02-20 | Cilag Gmbh International | Leveraging surfaces for cartridge installation |
| US11786243B2 (en) | 2021-03-24 | 2023-10-17 | Cilag Gmbh International | Firing members having flexible portions for adapting to a load during a surgical firing stroke |
| US11849945B2 (en) | 2021-03-24 | 2023-12-26 | Cilag Gmbh International | Rotary-driven surgical stapling assembly comprising eccentrically driven firing member |
| US11896218B2 (en) | 2021-03-24 | 2024-02-13 | Cilag Gmbh International | Method of using a powered stapling device |
| US11857183B2 (en) | 2021-03-24 | 2024-01-02 | Cilag Gmbh International | Stapling assembly components having metal substrates and plastic bodies |
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Family Cites Families (10)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| DE1159127B (en) * | 1960-01-18 | 1963-12-12 | Wassili F Gudow | Surgical device for connecting blood vessel, intestinal, bronchial plugs and other soft tissues |
| US4014492A (en) * | 1975-06-11 | 1977-03-29 | Senco Products, Inc. | Surgical staple |
| US4467805A (en) * | 1982-08-25 | 1984-08-28 | Mamoru Fukuda | Skin closure stapling device for surgical procedures |
| US4787387A (en) * | 1984-11-08 | 1988-11-29 | American Cyanamid Company | Surgical closure element |
| DE3581484D1 (en) * | 1984-11-08 | 1991-02-28 | American Cyanamid Co | SURGICAL CLOSURE ELEMENT. |
| US4610251A (en) * | 1985-04-19 | 1986-09-09 | Kumar Sarbjeet S | Surgical staple |
| CA1286185C (en) * | 1986-07-14 | 1991-07-16 | Harold E. Froehlich | Bent back box staple and staple closing mechanism with split actuator |
| US4762260A (en) * | 1986-09-11 | 1988-08-09 | Ophthalmic Ventures Limited Partnership | Surgical microstapler |
| US4719917A (en) * | 1987-02-17 | 1988-01-19 | Minnesota Mining And Manufacturing Company | Surgical staple |
| US4887601A (en) * | 1987-11-06 | 1989-12-19 | Ophthalmic Ventures Limited Partnership | Adjustable surgical staple and method of using the same |
-
1991
- 1991-04-17 US US07/686,646 patent/US5297714A/en not_active Expired - Lifetime
-
1992
- 1992-03-26 GR GR920100124A patent/GR1002288B/en not_active IP Right Cessation
- 1992-04-14 AU AU14906/92A patent/AU647908B2/en not_active Expired
- 1992-04-15 BR BR929201394A patent/BR9201394A/en not_active Application Discontinuation
- 1992-04-16 ES ES92303432T patent/ES2094291T3/en not_active Expired - Lifetime
- 1992-04-16 CA CA002066365A patent/CA2066365C/en not_active Expired - Lifetime
- 1992-04-16 EP EP92303432A patent/EP0509815B1/en not_active Expired - Lifetime
- 1992-04-16 DE DE69215418T patent/DE69215418T2/en not_active Expired - Lifetime
- 1992-04-16 JP JP4121073A patent/JPH05130997A/en active Pending
- 1992-04-16 AT AT92303432T patent/ATE145537T1/en not_active IP Right Cessation
Also Published As
| Publication number | Publication date |
|---|---|
| GR1002288B (en) | 1996-05-02 |
| BR9201394A (en) | 1992-12-01 |
| EP0509815B1 (en) | 1996-11-27 |
| ATE145537T1 (en) | 1996-12-15 |
| DE69215418D1 (en) | 1997-01-09 |
| CA2066365A1 (en) | 1992-10-18 |
| AU1490692A (en) | 1992-10-22 |
| JPH05130997A (en) | 1993-05-28 |
| EP0509815A1 (en) | 1992-10-21 |
| GR920100124A (en) | 1993-03-16 |
| DE69215418T2 (en) | 1997-04-03 |
| US5297714A (en) | 1994-03-29 |
| AU647908B2 (en) | 1994-03-31 |
| ES2094291T3 (en) | 1997-01-16 |
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| EEER | Examination request | ||
| MKEX | Expiry |