CA2154172A1 - A laparoscopic dissection tension retractor device and method - Google Patents
A laparoscopic dissection tension retractor device and methodInfo
- Publication number
- CA2154172A1 CA2154172A1 CA002154172A CA2154172A CA2154172A1 CA 2154172 A1 CA2154172 A1 CA 2154172A1 CA 002154172 A CA002154172 A CA 002154172A CA 2154172 A CA2154172 A CA 2154172A CA 2154172 A1 CA2154172 A1 CA 2154172A1
- Authority
- CA
- Canada
- Prior art keywords
- instrument
- tissue
- patient
- tubular support
- dissector
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Abandoned
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
- A61B17/0218—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors for minimally invasive surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
- A61B2017/00353—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery one mechanical instrument performing multiple functions, e.g. cutting and grasping
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B2017/2901—Details of shaft
- A61B2017/2906—Multiple forceps
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/30—Surgical pincettes without pivotal connections
- A61B2017/306—Surgical pincettes without pivotal connections holding by means of suction
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
- A61B17/3421—Cannulas
- A61B2017/3445—Cannulas used as instrument channel for multiple instruments
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Engineering & Computer Science (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Ophthalmology & Optometry (AREA)
- Surgical Instruments (AREA)
Abstract
A minimally invasive retractor and dissector (10) for internal surgical use on a patient has a tubular support (11) for passing into the body; the tubular support (11) has a passage (16) for access along an axis "A" thereof during operative procedures on the patient's internal tissue. A proximal end (12) on the tubular support (11) is located outside the patient in position to be accessed by the surgeon when a distal end (13) is inside. One or more jointed articulated members (15) are movably positioned and capable of holding and pulling tissue disposed beyond the distal end (13) and each member has a distal tip (17) to hold tissue. An instrument capable of moving independent of any member functions cooperatively on the tissue and passes through the passage (16) from the proximal end (12) to beyond the distal end (13) as the members position the tissue. The instrument is a surgical tool and the tissue is maneuvered by the members within the body into a position relative to the tool. A control (19) at the proximal end (12) manipulates the members relative to the axis "A" permitting holding and pulling tissue disposed beyond the distal end (13); the control (19) is capable of moving the instrument independent of the members for operating on the held and maneuvered tissue. A grip (34) manipulates the members and positions the instrument. A method for using the minimally invasive retractor and dissector (10) has the steps of making an opening for a tubular support (11) to pass into the body, leaving the proximal end (12) on the tubular support (11) outside the body, positioning the distal end (13) thereof inside, and moving members carried on the tubular support (11). Holding and pulling tissue disposed beyond the distal end (13) and using the passage (16) for access along the axis thereof for operating on internal tissue are added steps. Another step is moving an instrument in the passage (16) independent of the members.
Description
WO 94/18893 PCT/US94/0L~62 21~417~
Field of the Invention This relates to minimally invasive instruments for operali"g through an opening into a patient's body on tissue therein and more particularly, the ability to stretch and surgically alter the tissue with a minimally invasive dissector and retractor passing 10 through the opening.
Backqround of the Disclosure Frequently, during minimally invasive procedures several trocars are placed through the patient's body for access intc a cavity therein. One trocar could provide illumination and video, another insufflation and another minimally invasive operative 1 5 instruments.
Surgery through a trocar inserted opening through for example, the tissue of thepatient's abdominal wall has become an important means to Ir,i"i,~ e the extent of surgical invasion. The lessening of invasion improves the cosmetic result, shortens recovery and lowers the cost. Minimally invasive intemal surgical procedures and20 equipment are available and in use for a variety of medical operations including gall - bladder, bowel arld gyllecolog;~al surgery. A proper and simple instrument to retract and dissect through the opening is needed.
Tension on tissue is the fundan,ental tenet of all surgical technique. When the dissection field is held under tension, tissue being cut readily spreads away from the cutting tool. This allows for the safe and rapid ider,l;~ic~ on of underlying structures, and provides a clear dissection path through which the surgeon can focus in on the deeper target.
In the minimally invasive setting, with as few as three instrument carrying openings or portals into the abdomen, the ability to cut tissue under tension is currently not feasible. The two instruments in use are often taken up holding larger structures (i.e., the gallbladder, or bowel) out of the way. This compels the surgeon to bite and tear away the overlying friable fascia using forceps, leaving clumps of tissue and debris at the sides of the microsurgical site. Often, underlying structures are inadvertently cut or misidentified due to the inability of the surgeon to create tension at the site.
If the surgeon had a reliable way of plac,ng tension on the tissue at the wound,without giving up other instrumentation or creating another transabdominal puncture, this could reduce significantly the number of bile duct and vascular injury WO 94/18893 PCT/US9410L~62 215~1~2 -2-complications, and increase the ease with which the procedure is accomplished. Bile duct injuries occur at a rate of 0.2 to 3%, are a serious complication when present, and sometimes require open surgical revision.
Currently, disposable minimally invasive graspers and dissectors for laparoscopy5 account for millions in sales, with strong growth expected.
There is a wide variety of generic scissor:, and yl~sri.,g forceps, as well as some slightly more specis~ ed tools intended for yl sF .. ,g specific organs such as the gall bladder or bowel. Less invasive or minimally invasive surgical procedures are growing in frequency of use and complexity. Such proceJ-Ires include: laparoscopy, 10 thoracoscopy, endoscopy, etc.
Summarv of the Invention The dissector and ret,d.,tor may have one or more yl aS~i. 19 or tissue holding tips at the end of one or more artic~ ted members and a passage through which another instrument may be passed. The members are designed such that they may 15 be moved away from the axis of their tubular support so that tension may be created on internal tissue. The passage is designed to allow other instruments (i.e., cutters, graspers, scissors, or energized devices-laser, ele~tlucautery, scopes, staples and clip aprl.~r~, etc.) to be passed therethrough so they may be directed towards the tissue under tension. The members may be separate designed to swing apart, lock together 20 or slide longitudinally with respect to each other, and may be used interchangeably.
The retractor and dissector provides for direct tissue tension and support by the surgeon while cutting (and that is not always possible with current instrumentation), the tension members are carried on the tubular support and the instrument for operating may use the passage therein, reducing the number of openings necessary for 25 operation. Use of the d;sse-,tor and retractor may sl~h '~e the cutting implement with respect to the tissue under tension in a way not possible with current instrumentation.
The tubular support acts as a safety extension of the opening al!owing instruments to be exchanged quickly without tne need to move an observation scope during entry.The distal end of the tubular support is located such that rapid exchange of the30 instruments through the tubular support is facilitated. The ~iissector and retractor is compatible with the techn- jue of not using gas to insufflate the abdomen and may be used around the scope. It can dissect a path for the scope, and subsequently stabilize its position in difficult to reach areas, or areas that are moving.
WO 94/18893 PCT/US94/OL~62 ~1~417~
The minimally invasive r~.aclor and ~lissector for intemal surgical use on a patient may have a tubular support for passing into the body. A proximal end on the tubular support is preferably located outside the patient's body in position to be ~ccessed by the surgeon and may include a gas lock in the nature of a hemostasis5 valve. A distal end on the tubular support is preferably located inside the patient's body in posilion to provide access for the surgeon. A means movably carried on the tubular support may have one or more jointed articul~ted members movably posilionable ancap?ble of holding and pulling tissue d;sposed beyond the distal end.
The tubular support includes a passage through which access may be gained 10 suL,st~nlially along an axis thereof during operative procedures on the intemal tissue of the patient. An instrument capable of moving independent of the means for cooperative functioning on the tissue most pref~rably simultaneously passes through the passage from the proximal end to beyond the distal end so the means may position the tissue relative to the patient and the instrument. The instrument is preferably a 15 surgical tool and the tissue is maneuvered by the means within the body into a position relative to the surgical tool. The surgical tool may be an ele ~bosurgical device.
The means include at least one member exter,~ y beyond the distal end and movable relative thereto; the member for holding and pulling tissue within the patient when the instrument is movable relative to tissue held by the member. The means may 20 altemately include a pair of arms disposed beyond the distal end and movable relative thereto, the pair of members hold tissue therebetween and the surgical instrument is movable relative to tissue held between the pair of members. Each member has a distal tip configured to hold tissue. Each tip may include at least a hook located II,ereon for access to the tissue or each tip may include a pair of y~aspe~a mounted 25 thereon for gripping or spreading tissue thereadjacent or each tip may include a pair - of scissors mounted thereon for gripping, spreading or cutting tissue thereadjacent.
The members may be forceps extending beyond the distal end; the forceps can be operative for opening, closing and holding the tissue. One or more of the members might include a suction tube for holding and maneuvering tissue beyond the distal end 30 and within the patient.
A control at the proximal end may preferably be provided to manipulate the means; the control permits holding and pulling tissue disposed beyond the distal end relative to the axis. The control is capable of moving the instrument independent of the WO 94/18893 . PCT/US94/OL~62 ?.,lSI~ 4 means for oper~li"g on the held and maneuvered tissue within the body beyond thedistal end. The means may be articulated by the control for movement within the body relative to the axis. The instrument may also be articul~ted by the control for movement within the body relative to the axis. The control may have a grip for manipulating the 5 means and a handle for operating the instrument.
The tubular support is on one embodiment a pair of U-shaped channels that cooperate to form an elol)gale tube composed of conjugating parts movable in thedirection of the axis relative to one another.
A method for using a minimally invasive retractor and ~lissector for internal 10 surgery on a patient may have steps. A step may be making an opening for a tubular support for passing into the body followed by the step of leaving a proximal end on the tubular support located outside the patient's body in position to be ~ccessed by the surgeon. Then the next step may be positioning a distal end on the tubular support inside the palient's body in position to provide access for the surgeon. Another step 15 is moving a means carried on the tubular support and having one or more jointed articu~otPd members positioned and cap-'le of holding and pulling tissue disposed beyond the distal end.
The added steps may pre~, ably be holding and pulling tissue disposed beyond the distal end of the tubular support. The added step of using a passage through the 20 tubular support for access subslarltially along an axis thereof during operative proceJures on the intemal tissue of the patient may also be followed. A further added step of moving an instrument in the passage and independent of the means for cooperative functioning on the tissue simuHaneously may be desirable.
Brief Descri, lion of the Drawinqs Figure 1 is a perspective view of the minimally invasive retractor ~lissector of the present invention shown partially cut away to depict the operalion of the members by the control.
Figure 2 is an enlarged partial perspective view of the members and an instrument therebetween wherein the tissue when held t~ut can be operated on by the 30 instrument.
Figure 3 is a partial perspective view of a particular tubular support having cooperative U-shaped conjugating channels that are able to slide axially relative to one another.
WO 94/188g3 PCT/US94/01362 21$~ 7~
Figure 4 is an enlarged cross sectional view taken along line 4-4 of Figure 3 and showing the conjugation of the U-shaped chanr,els.
Figure S A through F illustrates in per:,pe.,ti~/e various tip configurations that may be used with each member as altemates.
Figure 6 is a side cross section showing a way in which the minimally invasive retractor Jissector may collapse to ft through the tubular support.
Detailed Descii~ulion of the Invention Figure 1 shows a partially cut away perspective view of a minimally invasive ret.~ctor and ~I;sse~,10r 10 for intemal surgical use on a patient. There is a tubular 10 support 11 for passing into the body such as through a trocar opening or a cannula placed in the body. In a particular example for laparoscopic use a trocar or cannula placed through the abdominal wall into an insufflated body cavity would be an appropriate place for the tubular support 11. The tubular support 11 has a proximal end 12 located outside the patient's body and posilioned to be ~ccessed by the 15 surgeon; a gas ;ock in the form of a hemostasis valve can be used. A distal end 13 on the tubular support 11 is positioned inside the body to provide access to the organs within the insufll~ted cavity. Means 14 are movably carried on the tubular support 11 near the distal end 13 thereof. Specif,c~lly, one or more jointed artic~ ted members 15 are movably positioned and c~pP~le of holding and pulling tissue disposed beyond 20 the distal end 13. The tubular support 11 in Figure 1 includes a passage 16 in the form of a lumen through which access may be gained su6star,lially along an axis ~A"
thereof during an operative procedure on the intemal tissue of the patient. The p~s~ge 16 perrnits free axial access to the area between the articu~-ted members 15 for use as an extra way for an additional instrument to enter the body through the 25 p~cs~ge 16 of the tubular support 11.
The additional instrument capable of moving independently of the means 14 provides a cooperative functioning ability to handle the tissue simultanecusly. In particular, the instrument passes through the passage 16 from the proximal end 12 to beyond the distal end 13 so that while the means 14 position the tissue relative to the 30 patient and the instrument, the instrument can be independently moved and function.
In one approach, the instrument is a surgical tool and the tissue is maneuvered by the means 14 within the body into position relative to the surgical tool. A particular surgical tool could be a scalpel, an electrosurgical device such as a coagulating or cutter, or 2~
merely video or scope, see Figure 2 for an example of the cooperation of the tool or instrument and the means 14.
The means 14 include at least one member 15; in the various Figures 1, 2, 3, and 6, two members 15 are shown but that is not required. If the passage 16 needs to be larger than it is with two members 15, one member 15 is sufficient, however in circl"nslances where the maximum flexibility is required, two members 15 may be used with varying tips 17, as wil! be ex~l~"ed in connectiGn with Figures 5A through F. The members 15 extend beyond the distal end and are movable relative thereto. In some of the views, such as Figure 1, 2, 3 and 6, the rnel))bel~ 15 are pivotally mounted o the distal end 13 of the tubular support 11 and it is also possible that the members 15 could be carried for further axial movement relative to the distal end 13 instead of pivoting or swinging relative thereto since that might be a more straight forward, simpler type mechanism wherein the member 15 slides relative to and along an inside wall 18 of the tubular support 11. Figure 6 suggests such an approach. The tip 17 of themember 15 is moveable relative to its member such that when it is positioned within the cavity and relative to the axis ~A~ of the tubular support 11, tissue may be held.
Consequently, the maneuvering of intemal organs or tissue is easily acco,nr ' shed by means of having the member 15 carried on the tubular support 11 movable relativethereto.
in Figure 1, there is a control 19 at the proximal end 12 of the tubular support11. The control 19 man;p~ tPS the means 14 and the tips 17. The control 19 permits holding and pulling tissue disposed beyond the distal end 13 in directions relative to the axis ~A~ of the tubular support 11. The control 19 permits movjng the instrument within the passage 16 independent of the means 14 for oper~li"g on the held and maneuvered tissue within the body beyond the distal end 13 thereof.
Members 15 are pref~,ably in the form of a pair of arms disposed beyond the distal end 13 and carried for movement relative to the distal ~nd 13 for maximumflexibility in use. Such an arrangement could tend to restrict the window provided by the passage 16 through the tubular support 11. Shown in the partially cut away portion of Figure 1 is one form of the control 19 for the members 15 wherein a pair of conjugating rings 20 carried about the proximal end 12 of the tubular support 11 are used tooperate the tips 17 of the members 15. These rings 20 freely rotate relative to one another thus allowing the surgeon to rotate the control 19 relative to the tip 17 during 3 PCTtUS94/0L~62 21~172 placement which will make the minimally invasive r~tlactor ~I;sse-,tor 10 easy to use.
An inner ring 21 is connected by a depending cable 22 to the tip 17 so that axial movement of the cable 22 will close the tip 17 into a clar.l~..,g position. In particular, if the tip 17 is a forceps 23 as in Figure 5F in a tube 24, then axial movement in the 5 direction of the arrows will draw the forceps 23 into the tube 24 and thus together to pinch tissue therebetween. The cable 22 extends along the inside wall 18 of the tubular support 11 from beyond the distal end 13 to the proximal end 12. The cable 22 isguided along the members 15 to the tip 17 to connect to the normally open graspers 25 in Figure 5D or forceps 23 thereat for control thereof.
To operate the cable 22 there is an outer ring 26 circumscribing a depending wall 27 on the inner ring 21 and conjugating with an inward tumed flange 28 on which the inner ring 21 sits and within which the depending wall 27 coniug~tes. Lifting the outer ring 26 will in tum raise the inner ring 21 and axially move the cable 22 attached to the inside thereof. The outer and inner rings 26 and 21 allow free rotary motion 15 therebetween while control of the closure of the tips 17 rel l I&il 15 unaffected by rotation.
Specifically, to raise the outer ring 26 a bell crank 29 pivotally mounted to the control 19 is used. The bell crank 29 has an inward point 30 that engages the outer ring 26 and a button ~ctu~tor 31 located through the control 19 for easy access by the surgeon. Push on the button ~chl~tors 31 will lift the cables 22 and the conjugate outer 20 and inner rings 26 and 21 while still allow rotalion of the control 19 relative to the tubular support 11. Another set of rings 20 are used when there are two sets of tips 17 to be operated. The second set of rings 20 can function the same as the first and are positioned axially above the first in Figure 1. A se"ated band 32 about the base of the control 19 may be used to rotate it relative to the positioned tips 17 to enhance 25 use and easing hand position relative to the location of the tips 17.
A dil t:ctiGnal olive 33 is located at the distal end 13 of the tubular support 11 so that the members 15 mounted thereto are able to swing relative thereto in more than one plane. In particular, the normal positlon of the members 15 are juxtaposed as shown in Figure 1 and the members 15 are spring loaded to rest in that position. When 30 it is desired to separate the members 15, then one tip 17 is clamped onto some tissue as will be explained herein and as shown in Figure 2 so that at least one of themembers 15 is applied. After that the tubular support 11 can be maneuvered to separate the members 15 so that the free member 15 is pointed to another area of WO 94118893 PCT/US94/OL~62 tissue and then clamped thereto. Tension can then be applied to the tissue spanning between the tips 17 by way of a spreader grip 34 on the control 19. Specifically, the spreader grip 34 in Figure 1 is connected to rods 35 that pass along the inside wall from the spreader grip 34 to the members 15 near the directional olive 33. Axial5 movement of the rods 35 pulls on the members 15 to spread them apart at their tips 17. Remembering that the normal positiGn of the members 15 is together the force of the rods 35 acts to separate then against the spring load. The directional olive 33 allows the members 15 to pivot while maintaining the passage 16 open; that is, the olive 33 is centrally unimpeded and while able to pivot relative to the distal end 13 does 10 not i"~ ele with the passage 16. The spring loading of the members 15 can be integral with the members 15 so that they each are made from an elastic material which is bent to load them into a normally closed position with enough force. Similarly, the graspers 25 at the tips 17 could be spring loaded to be normally closed and can be pulled open by the cables 22 although that is not the pr~r..ad approach.
Shown in the cut away in Figure 1 is a latch 36 for each of the A~tu~tor buttons31. There is a tooth edge 37 on the housing that can engage one or more steps oneach s~ct~ tor buttons 31. To release the engage",ent, the ~ tor button is pulled back against a spring 38 to sephra~e the step from the tooth edge 37. A similar lock 39 is provided for the spreader grip 34 so that the members 15 can be held in position, i.e. spread apart.
In Figures 3 and 4, an altemate embodiment of the tubular support is shown as a pair of U-shaped channels 40 that cooperate and form an elongate tube 41 cGn.posed of conjugating parts movable in the direction of the axis ~A~ relative to one another. Figure 4 specifically shows one way in which the conjugating parts are associated with one another. It is clear that the relative movement of the U-shaped channels 40 provides an additional degree of flexibility for the members 15 relative to one another so that they may be not only be swung apart from one another, but also moved axially relative to one another. The end cross sectional view of Figure 4 is enlarged to show the detail of conjugation.
The tubular support 11 can be made out of any material appropriate for the nature of its use and in particular a medical grade plastics, metals or ceran,ics may be used, however, the choice of material will undoubtedly be determined by the function of the particular configuration. While elongate tube 41 can be easily extruded U-shaped 1 7 ~
channels 40, machining in addition to extrusion, or molding may be needed to obtain the desired cross-sectional configuration necessary. It is ex~ ected that skilled artisans will be able to fashion a tubular support 11 from single or multiple pieces in a way which provides a thin wall and allows a maximum passage 16 theretl,ruugh while 5 providing adequate strength for carrying the members 15 at the distal end 13 thereof.
Flgure 5 illustrates a variety of tips 17; each tip 17 d;sclosed may be used to hold and/or move tissue or organs within the body. These various tips 17 are located at the end of the members 15 in position for placement within the body. Specifically, Figure 5A has a r~t.acti"g hook 42 which can be slid axially in the direction of the 10 arrows to pinch or hold the tissue therewithin. A tube 24 and cooperating hook 42 are shown for that purpose and the double arrow therein illustrates the directions of axial movement of the hook 42 relative to the tube 24, although it is prefe"ed that the hook 42 be normally open and merely pulled closed.
Figure SB shows a suction tube which can also be used to hold the tissue.
15 Vacuum applied to the suction tube 24 can be i"le" "itlently activated in order to catch tissue and hold it. The suction tube 24 should be a semi rigid ",a~erial to afford maximum control. Figure 5C shows a pair of plates 43 in the nature of a vise which can be axially moved relative to one another in order to clamp tissue therebetween.
Figure 5D shows a pair of g,aspera 25 in the nature of the jaws of a pliers which may 20 be used to clamp tissue. The y,aspera 25 are normally apart and are pulled together to hold tissue.
Figure 5E has a pair of tongs 44 which may be used to hold the tissue instead of Y,i~F..,g it with the teeth o~ the ylaapera 25 shown in Figure 5D. The various configurations shown are not limiting. Other arrangements may be used as desired for 25 specific needs in connection with the members 15 and medical proce-lures. In particular, scissGra can be mounted instead of the y,aspera 25 shown in Figure 5D.
Forceps 23 can be mounted so that they are a pair of bent together leaf sprir.gs which are held within the tube 24; the cable 22 pulls them into the tube 24 or pushes them axially out of the tube 24 as desired. The bend of the forceps 23 being contained 30 within the tube 24 is attached to the member 15 which is movable relative to the distal end 13 of the tubular support 11.
In Figure 6 is shown a schematic rendering of how each member 15 could contain a tip 17 arrangement. The tubular support 11 encases a pair of members 15 WO 94/1~93 PCTrUS94/0~62 held therein and when the members 15 are moved axially into and out of the tubular support 11, they may spread apart or move together laterally, respectively.
Specifically, an instrument within the passage 16 may be moved axially relative to the tubular support 11 into and out of the body cavity while the means 14 are5 moved, for example, by su:.,y;~lg or rotali"g away from the axis ~A~ such that the maximum use may be obt~i. ,ed from the entry portal occupied by the tubular support 11 through the patient's body wall. As described, the means 14 may be artic~ ted by rods 35 connected to the spreader grip 34 and bell cranks 29 to the actuator buttons 31 operate the tips 17 so that the members 15 spread within the body while tissue is 10 held. It is also possible that the rods 35 could be used to slide a pair of distally supported members 15 axially into and out of the tubular support 11 and rr,ove them relative to the instrument which can be handled individually and manually as it passes from the proximal end 12 to the distal end 13 through the p~cs~ge 16. Therefore,while all motion might be axial, it can be independent.
A method for using the minimally invasive retractor and . I;ssector 10 for internal surgery on a patient includes various steps. Making an opening for the tubular support 11 for passing into the body through, for exam r le, an abdominal wall in a laparoscopic procedure for removal of gall bladder or a uterus or the like is ordinarily accomF' shed by a trocar with a flesh cutting end which passes through the body and leaves an20 opening of about 10 mm in diameter. After the opening has been prepared, the tubular support 11 can be inserted into the opening and positioned within the body so that its distal end 13is in the cavity and the members 15 associated therewith are in position for handling tissue therewithin. Another step in the method is leaving the proximal end 12 of the tubular support 11 located outside the pdtient's body and posilioned to be 25 ~ccessed by the surgeon such that control of the means 14 within the body is easily accomplished. The surgeon may then position the distal end 13 on the tubular support 11 relative to the patient's body and allow access for the surgeon ~y way of the means 14 therein to handle the tissue or organs during a procedure. It is the means 14 which are moved by the surgeon through the control 19 so that tissue in the body can be held 30 or pulled as desired even though it is disposed beyond the distal end 13 of the tubular support 11. The tubular support 11 can, to some degree, be moved in and out of the bociy or relative to the abdominal wall for example such that the distal end 13is positioned near the tissue or organ of interest, so that the means 14 within the body WO 94/18893 PCT/US94/0L~62 2 I ~ 1 1 7~
are able to be used most effectively. The passage 16 through the tubular support 11 can then be used for access subst~ltially aiong its axis ~A~ during the operative pruceJure on the internai tissue of the patient and in particular a video, surgical device or other instrument may be passed through the passage 16 into the body cavity. The 5 instrument may thereby may be able to cooperatively function on the tissue simultaneously but independently of the means 14. The instrument is inserted into a placed trocar while the distai end 13 thereof is viewed with a camera or scope in another portai during the entry of the instrument. The surgeon can rotate the tubular support 11 by its control 19 so that s~tisfs~ctory hand position is achieved. The 10 minimally invasive retractor dissector 10 may then be advanced toward the tissue to be retracted and/or ~;sse~ted. A member 15 with a tip 17 having a forceps 23 or grasper 25 is clamped on a piece of tissue located slightly lateral with respect to the desired plane of dissection. The opposite member 15 is positioned by means of the control 19 over toward the other side of the lissection plane and the tip 17 thereon is applied to 15 the tissue thereat. After the tips 17 are in posilion holdins the tissue the members 16 are spread apart by the surgeon with pressure on the grip 34 that cGr,l, ols the member 15 positions. Tension on the .Ji~se~;tion site is thereby obtained and can be gradually applied as desired and needed by the surgeon.
A second surgical instrument may then be i"se,led through the passage 16 or 20 any other port for ~ I;sse.,1ion of the tissue under tension. As the tissue is rlissected by the surgeon additionai tension may be applied to pull or spread the fascia away from the site. As required or desired one or both of the graspers 25 or forceps 23 at the tips 17 of each member 15 can be repositiGned to clamp tissue at a di~erent place forfurther dissection after suitable tension retraction. If required the surgeon can at any 25 time release the cla",i .,9 or tension as easily as the placement was attained. If the passage 16 is used for the surgicai instrument, then movement of the tubular support 11 will act to guide the surgical instrument. An olive 33 located near the distal end 13 of the tubular support 11 acts to guide the instrument inserted ther~tl,rough during movement of the tubular support 11 relative to the tensioning members 15.
Field of the Invention This relates to minimally invasive instruments for operali"g through an opening into a patient's body on tissue therein and more particularly, the ability to stretch and surgically alter the tissue with a minimally invasive dissector and retractor passing 10 through the opening.
Backqround of the Disclosure Frequently, during minimally invasive procedures several trocars are placed through the patient's body for access intc a cavity therein. One trocar could provide illumination and video, another insufflation and another minimally invasive operative 1 5 instruments.
Surgery through a trocar inserted opening through for example, the tissue of thepatient's abdominal wall has become an important means to Ir,i"i,~ e the extent of surgical invasion. The lessening of invasion improves the cosmetic result, shortens recovery and lowers the cost. Minimally invasive intemal surgical procedures and20 equipment are available and in use for a variety of medical operations including gall - bladder, bowel arld gyllecolog;~al surgery. A proper and simple instrument to retract and dissect through the opening is needed.
Tension on tissue is the fundan,ental tenet of all surgical technique. When the dissection field is held under tension, tissue being cut readily spreads away from the cutting tool. This allows for the safe and rapid ider,l;~ic~ on of underlying structures, and provides a clear dissection path through which the surgeon can focus in on the deeper target.
In the minimally invasive setting, with as few as three instrument carrying openings or portals into the abdomen, the ability to cut tissue under tension is currently not feasible. The two instruments in use are often taken up holding larger structures (i.e., the gallbladder, or bowel) out of the way. This compels the surgeon to bite and tear away the overlying friable fascia using forceps, leaving clumps of tissue and debris at the sides of the microsurgical site. Often, underlying structures are inadvertently cut or misidentified due to the inability of the surgeon to create tension at the site.
If the surgeon had a reliable way of plac,ng tension on the tissue at the wound,without giving up other instrumentation or creating another transabdominal puncture, this could reduce significantly the number of bile duct and vascular injury WO 94/18893 PCT/US9410L~62 215~1~2 -2-complications, and increase the ease with which the procedure is accomplished. Bile duct injuries occur at a rate of 0.2 to 3%, are a serious complication when present, and sometimes require open surgical revision.
Currently, disposable minimally invasive graspers and dissectors for laparoscopy5 account for millions in sales, with strong growth expected.
There is a wide variety of generic scissor:, and yl~sri.,g forceps, as well as some slightly more specis~ ed tools intended for yl sF .. ,g specific organs such as the gall bladder or bowel. Less invasive or minimally invasive surgical procedures are growing in frequency of use and complexity. Such proceJ-Ires include: laparoscopy, 10 thoracoscopy, endoscopy, etc.
Summarv of the Invention The dissector and ret,d.,tor may have one or more yl aS~i. 19 or tissue holding tips at the end of one or more artic~ ted members and a passage through which another instrument may be passed. The members are designed such that they may 15 be moved away from the axis of their tubular support so that tension may be created on internal tissue. The passage is designed to allow other instruments (i.e., cutters, graspers, scissors, or energized devices-laser, ele~tlucautery, scopes, staples and clip aprl.~r~, etc.) to be passed therethrough so they may be directed towards the tissue under tension. The members may be separate designed to swing apart, lock together 20 or slide longitudinally with respect to each other, and may be used interchangeably.
The retractor and dissector provides for direct tissue tension and support by the surgeon while cutting (and that is not always possible with current instrumentation), the tension members are carried on the tubular support and the instrument for operating may use the passage therein, reducing the number of openings necessary for 25 operation. Use of the d;sse-,tor and retractor may sl~h '~e the cutting implement with respect to the tissue under tension in a way not possible with current instrumentation.
The tubular support acts as a safety extension of the opening al!owing instruments to be exchanged quickly without tne need to move an observation scope during entry.The distal end of the tubular support is located such that rapid exchange of the30 instruments through the tubular support is facilitated. The ~iissector and retractor is compatible with the techn- jue of not using gas to insufflate the abdomen and may be used around the scope. It can dissect a path for the scope, and subsequently stabilize its position in difficult to reach areas, or areas that are moving.
WO 94/18893 PCT/US94/OL~62 ~1~417~
The minimally invasive r~.aclor and ~lissector for intemal surgical use on a patient may have a tubular support for passing into the body. A proximal end on the tubular support is preferably located outside the patient's body in position to be ~ccessed by the surgeon and may include a gas lock in the nature of a hemostasis5 valve. A distal end on the tubular support is preferably located inside the patient's body in posilion to provide access for the surgeon. A means movably carried on the tubular support may have one or more jointed articul~ted members movably posilionable ancap?ble of holding and pulling tissue d;sposed beyond the distal end.
The tubular support includes a passage through which access may be gained 10 suL,st~nlially along an axis thereof during operative procedures on the intemal tissue of the patient. An instrument capable of moving independent of the means for cooperative functioning on the tissue most pref~rably simultaneously passes through the passage from the proximal end to beyond the distal end so the means may position the tissue relative to the patient and the instrument. The instrument is preferably a 15 surgical tool and the tissue is maneuvered by the means within the body into a position relative to the surgical tool. The surgical tool may be an ele ~bosurgical device.
The means include at least one member exter,~ y beyond the distal end and movable relative thereto; the member for holding and pulling tissue within the patient when the instrument is movable relative to tissue held by the member. The means may 20 altemately include a pair of arms disposed beyond the distal end and movable relative thereto, the pair of members hold tissue therebetween and the surgical instrument is movable relative to tissue held between the pair of members. Each member has a distal tip configured to hold tissue. Each tip may include at least a hook located II,ereon for access to the tissue or each tip may include a pair of y~aspe~a mounted 25 thereon for gripping or spreading tissue thereadjacent or each tip may include a pair - of scissors mounted thereon for gripping, spreading or cutting tissue thereadjacent.
The members may be forceps extending beyond the distal end; the forceps can be operative for opening, closing and holding the tissue. One or more of the members might include a suction tube for holding and maneuvering tissue beyond the distal end 30 and within the patient.
A control at the proximal end may preferably be provided to manipulate the means; the control permits holding and pulling tissue disposed beyond the distal end relative to the axis. The control is capable of moving the instrument independent of the WO 94/18893 . PCT/US94/OL~62 ?.,lSI~ 4 means for oper~li"g on the held and maneuvered tissue within the body beyond thedistal end. The means may be articulated by the control for movement within the body relative to the axis. The instrument may also be articul~ted by the control for movement within the body relative to the axis. The control may have a grip for manipulating the 5 means and a handle for operating the instrument.
The tubular support is on one embodiment a pair of U-shaped channels that cooperate to form an elol)gale tube composed of conjugating parts movable in thedirection of the axis relative to one another.
A method for using a minimally invasive retractor and ~lissector for internal 10 surgery on a patient may have steps. A step may be making an opening for a tubular support for passing into the body followed by the step of leaving a proximal end on the tubular support located outside the patient's body in position to be ~ccessed by the surgeon. Then the next step may be positioning a distal end on the tubular support inside the palient's body in position to provide access for the surgeon. Another step 15 is moving a means carried on the tubular support and having one or more jointed articu~otPd members positioned and cap-'le of holding and pulling tissue disposed beyond the distal end.
The added steps may pre~, ably be holding and pulling tissue disposed beyond the distal end of the tubular support. The added step of using a passage through the 20 tubular support for access subslarltially along an axis thereof during operative proceJures on the intemal tissue of the patient may also be followed. A further added step of moving an instrument in the passage and independent of the means for cooperative functioning on the tissue simuHaneously may be desirable.
Brief Descri, lion of the Drawinqs Figure 1 is a perspective view of the minimally invasive retractor ~lissector of the present invention shown partially cut away to depict the operalion of the members by the control.
Figure 2 is an enlarged partial perspective view of the members and an instrument therebetween wherein the tissue when held t~ut can be operated on by the 30 instrument.
Figure 3 is a partial perspective view of a particular tubular support having cooperative U-shaped conjugating channels that are able to slide axially relative to one another.
WO 94/188g3 PCT/US94/01362 21$~ 7~
Figure 4 is an enlarged cross sectional view taken along line 4-4 of Figure 3 and showing the conjugation of the U-shaped chanr,els.
Figure S A through F illustrates in per:,pe.,ti~/e various tip configurations that may be used with each member as altemates.
Figure 6 is a side cross section showing a way in which the minimally invasive retractor Jissector may collapse to ft through the tubular support.
Detailed Descii~ulion of the Invention Figure 1 shows a partially cut away perspective view of a minimally invasive ret.~ctor and ~I;sse~,10r 10 for intemal surgical use on a patient. There is a tubular 10 support 11 for passing into the body such as through a trocar opening or a cannula placed in the body. In a particular example for laparoscopic use a trocar or cannula placed through the abdominal wall into an insufflated body cavity would be an appropriate place for the tubular support 11. The tubular support 11 has a proximal end 12 located outside the patient's body and posilioned to be ~ccessed by the 15 surgeon; a gas ;ock in the form of a hemostasis valve can be used. A distal end 13 on the tubular support 11 is positioned inside the body to provide access to the organs within the insufll~ted cavity. Means 14 are movably carried on the tubular support 11 near the distal end 13 thereof. Specif,c~lly, one or more jointed artic~ ted members 15 are movably positioned and c~pP~le of holding and pulling tissue disposed beyond 20 the distal end 13. The tubular support 11 in Figure 1 includes a passage 16 in the form of a lumen through which access may be gained su6star,lially along an axis ~A"
thereof during an operative procedure on the intemal tissue of the patient. The p~s~ge 16 perrnits free axial access to the area between the articu~-ted members 15 for use as an extra way for an additional instrument to enter the body through the 25 p~cs~ge 16 of the tubular support 11.
The additional instrument capable of moving independently of the means 14 provides a cooperative functioning ability to handle the tissue simultanecusly. In particular, the instrument passes through the passage 16 from the proximal end 12 to beyond the distal end 13 so that while the means 14 position the tissue relative to the 30 patient and the instrument, the instrument can be independently moved and function.
In one approach, the instrument is a surgical tool and the tissue is maneuvered by the means 14 within the body into position relative to the surgical tool. A particular surgical tool could be a scalpel, an electrosurgical device such as a coagulating or cutter, or 2~
merely video or scope, see Figure 2 for an example of the cooperation of the tool or instrument and the means 14.
The means 14 include at least one member 15; in the various Figures 1, 2, 3, and 6, two members 15 are shown but that is not required. If the passage 16 needs to be larger than it is with two members 15, one member 15 is sufficient, however in circl"nslances where the maximum flexibility is required, two members 15 may be used with varying tips 17, as wil! be ex~l~"ed in connectiGn with Figures 5A through F. The members 15 extend beyond the distal end and are movable relative thereto. In some of the views, such as Figure 1, 2, 3 and 6, the rnel))bel~ 15 are pivotally mounted o the distal end 13 of the tubular support 11 and it is also possible that the members 15 could be carried for further axial movement relative to the distal end 13 instead of pivoting or swinging relative thereto since that might be a more straight forward, simpler type mechanism wherein the member 15 slides relative to and along an inside wall 18 of the tubular support 11. Figure 6 suggests such an approach. The tip 17 of themember 15 is moveable relative to its member such that when it is positioned within the cavity and relative to the axis ~A~ of the tubular support 11, tissue may be held.
Consequently, the maneuvering of intemal organs or tissue is easily acco,nr ' shed by means of having the member 15 carried on the tubular support 11 movable relativethereto.
in Figure 1, there is a control 19 at the proximal end 12 of the tubular support11. The control 19 man;p~ tPS the means 14 and the tips 17. The control 19 permits holding and pulling tissue disposed beyond the distal end 13 in directions relative to the axis ~A~ of the tubular support 11. The control 19 permits movjng the instrument within the passage 16 independent of the means 14 for oper~li"g on the held and maneuvered tissue within the body beyond the distal end 13 thereof.
Members 15 are pref~,ably in the form of a pair of arms disposed beyond the distal end 13 and carried for movement relative to the distal ~nd 13 for maximumflexibility in use. Such an arrangement could tend to restrict the window provided by the passage 16 through the tubular support 11. Shown in the partially cut away portion of Figure 1 is one form of the control 19 for the members 15 wherein a pair of conjugating rings 20 carried about the proximal end 12 of the tubular support 11 are used tooperate the tips 17 of the members 15. These rings 20 freely rotate relative to one another thus allowing the surgeon to rotate the control 19 relative to the tip 17 during 3 PCTtUS94/0L~62 21~172 placement which will make the minimally invasive r~tlactor ~I;sse-,tor 10 easy to use.
An inner ring 21 is connected by a depending cable 22 to the tip 17 so that axial movement of the cable 22 will close the tip 17 into a clar.l~..,g position. In particular, if the tip 17 is a forceps 23 as in Figure 5F in a tube 24, then axial movement in the 5 direction of the arrows will draw the forceps 23 into the tube 24 and thus together to pinch tissue therebetween. The cable 22 extends along the inside wall 18 of the tubular support 11 from beyond the distal end 13 to the proximal end 12. The cable 22 isguided along the members 15 to the tip 17 to connect to the normally open graspers 25 in Figure 5D or forceps 23 thereat for control thereof.
To operate the cable 22 there is an outer ring 26 circumscribing a depending wall 27 on the inner ring 21 and conjugating with an inward tumed flange 28 on which the inner ring 21 sits and within which the depending wall 27 coniug~tes. Lifting the outer ring 26 will in tum raise the inner ring 21 and axially move the cable 22 attached to the inside thereof. The outer and inner rings 26 and 21 allow free rotary motion 15 therebetween while control of the closure of the tips 17 rel l I&il 15 unaffected by rotation.
Specifically, to raise the outer ring 26 a bell crank 29 pivotally mounted to the control 19 is used. The bell crank 29 has an inward point 30 that engages the outer ring 26 and a button ~ctu~tor 31 located through the control 19 for easy access by the surgeon. Push on the button ~chl~tors 31 will lift the cables 22 and the conjugate outer 20 and inner rings 26 and 21 while still allow rotalion of the control 19 relative to the tubular support 11. Another set of rings 20 are used when there are two sets of tips 17 to be operated. The second set of rings 20 can function the same as the first and are positioned axially above the first in Figure 1. A se"ated band 32 about the base of the control 19 may be used to rotate it relative to the positioned tips 17 to enhance 25 use and easing hand position relative to the location of the tips 17.
A dil t:ctiGnal olive 33 is located at the distal end 13 of the tubular support 11 so that the members 15 mounted thereto are able to swing relative thereto in more than one plane. In particular, the normal positlon of the members 15 are juxtaposed as shown in Figure 1 and the members 15 are spring loaded to rest in that position. When 30 it is desired to separate the members 15, then one tip 17 is clamped onto some tissue as will be explained herein and as shown in Figure 2 so that at least one of themembers 15 is applied. After that the tubular support 11 can be maneuvered to separate the members 15 so that the free member 15 is pointed to another area of WO 94118893 PCT/US94/OL~62 tissue and then clamped thereto. Tension can then be applied to the tissue spanning between the tips 17 by way of a spreader grip 34 on the control 19. Specifically, the spreader grip 34 in Figure 1 is connected to rods 35 that pass along the inside wall from the spreader grip 34 to the members 15 near the directional olive 33. Axial5 movement of the rods 35 pulls on the members 15 to spread them apart at their tips 17. Remembering that the normal positiGn of the members 15 is together the force of the rods 35 acts to separate then against the spring load. The directional olive 33 allows the members 15 to pivot while maintaining the passage 16 open; that is, the olive 33 is centrally unimpeded and while able to pivot relative to the distal end 13 does 10 not i"~ ele with the passage 16. The spring loading of the members 15 can be integral with the members 15 so that they each are made from an elastic material which is bent to load them into a normally closed position with enough force. Similarly, the graspers 25 at the tips 17 could be spring loaded to be normally closed and can be pulled open by the cables 22 although that is not the pr~r..ad approach.
Shown in the cut away in Figure 1 is a latch 36 for each of the A~tu~tor buttons31. There is a tooth edge 37 on the housing that can engage one or more steps oneach s~ct~ tor buttons 31. To release the engage",ent, the ~ tor button is pulled back against a spring 38 to sephra~e the step from the tooth edge 37. A similar lock 39 is provided for the spreader grip 34 so that the members 15 can be held in position, i.e. spread apart.
In Figures 3 and 4, an altemate embodiment of the tubular support is shown as a pair of U-shaped channels 40 that cooperate and form an elongate tube 41 cGn.posed of conjugating parts movable in the direction of the axis ~A~ relative to one another. Figure 4 specifically shows one way in which the conjugating parts are associated with one another. It is clear that the relative movement of the U-shaped channels 40 provides an additional degree of flexibility for the members 15 relative to one another so that they may be not only be swung apart from one another, but also moved axially relative to one another. The end cross sectional view of Figure 4 is enlarged to show the detail of conjugation.
The tubular support 11 can be made out of any material appropriate for the nature of its use and in particular a medical grade plastics, metals or ceran,ics may be used, however, the choice of material will undoubtedly be determined by the function of the particular configuration. While elongate tube 41 can be easily extruded U-shaped 1 7 ~
channels 40, machining in addition to extrusion, or molding may be needed to obtain the desired cross-sectional configuration necessary. It is ex~ ected that skilled artisans will be able to fashion a tubular support 11 from single or multiple pieces in a way which provides a thin wall and allows a maximum passage 16 theretl,ruugh while 5 providing adequate strength for carrying the members 15 at the distal end 13 thereof.
Flgure 5 illustrates a variety of tips 17; each tip 17 d;sclosed may be used to hold and/or move tissue or organs within the body. These various tips 17 are located at the end of the members 15 in position for placement within the body. Specifically, Figure 5A has a r~t.acti"g hook 42 which can be slid axially in the direction of the 10 arrows to pinch or hold the tissue therewithin. A tube 24 and cooperating hook 42 are shown for that purpose and the double arrow therein illustrates the directions of axial movement of the hook 42 relative to the tube 24, although it is prefe"ed that the hook 42 be normally open and merely pulled closed.
Figure SB shows a suction tube which can also be used to hold the tissue.
15 Vacuum applied to the suction tube 24 can be i"le" "itlently activated in order to catch tissue and hold it. The suction tube 24 should be a semi rigid ",a~erial to afford maximum control. Figure 5C shows a pair of plates 43 in the nature of a vise which can be axially moved relative to one another in order to clamp tissue therebetween.
Figure 5D shows a pair of g,aspera 25 in the nature of the jaws of a pliers which may 20 be used to clamp tissue. The y,aspera 25 are normally apart and are pulled together to hold tissue.
Figure 5E has a pair of tongs 44 which may be used to hold the tissue instead of Y,i~F..,g it with the teeth o~ the ylaapera 25 shown in Figure 5D. The various configurations shown are not limiting. Other arrangements may be used as desired for 25 specific needs in connection with the members 15 and medical proce-lures. In particular, scissGra can be mounted instead of the y,aspera 25 shown in Figure 5D.
Forceps 23 can be mounted so that they are a pair of bent together leaf sprir.gs which are held within the tube 24; the cable 22 pulls them into the tube 24 or pushes them axially out of the tube 24 as desired. The bend of the forceps 23 being contained 30 within the tube 24 is attached to the member 15 which is movable relative to the distal end 13 of the tubular support 11.
In Figure 6 is shown a schematic rendering of how each member 15 could contain a tip 17 arrangement. The tubular support 11 encases a pair of members 15 WO 94/1~93 PCTrUS94/0~62 held therein and when the members 15 are moved axially into and out of the tubular support 11, they may spread apart or move together laterally, respectively.
Specifically, an instrument within the passage 16 may be moved axially relative to the tubular support 11 into and out of the body cavity while the means 14 are5 moved, for example, by su:.,y;~lg or rotali"g away from the axis ~A~ such that the maximum use may be obt~i. ,ed from the entry portal occupied by the tubular support 11 through the patient's body wall. As described, the means 14 may be artic~ ted by rods 35 connected to the spreader grip 34 and bell cranks 29 to the actuator buttons 31 operate the tips 17 so that the members 15 spread within the body while tissue is 10 held. It is also possible that the rods 35 could be used to slide a pair of distally supported members 15 axially into and out of the tubular support 11 and rr,ove them relative to the instrument which can be handled individually and manually as it passes from the proximal end 12 to the distal end 13 through the p~cs~ge 16. Therefore,while all motion might be axial, it can be independent.
A method for using the minimally invasive retractor and . I;ssector 10 for internal surgery on a patient includes various steps. Making an opening for the tubular support 11 for passing into the body through, for exam r le, an abdominal wall in a laparoscopic procedure for removal of gall bladder or a uterus or the like is ordinarily accomF' shed by a trocar with a flesh cutting end which passes through the body and leaves an20 opening of about 10 mm in diameter. After the opening has been prepared, the tubular support 11 can be inserted into the opening and positioned within the body so that its distal end 13is in the cavity and the members 15 associated therewith are in position for handling tissue therewithin. Another step in the method is leaving the proximal end 12 of the tubular support 11 located outside the pdtient's body and posilioned to be 25 ~ccessed by the surgeon such that control of the means 14 within the body is easily accomplished. The surgeon may then position the distal end 13 on the tubular support 11 relative to the patient's body and allow access for the surgeon ~y way of the means 14 therein to handle the tissue or organs during a procedure. It is the means 14 which are moved by the surgeon through the control 19 so that tissue in the body can be held 30 or pulled as desired even though it is disposed beyond the distal end 13 of the tubular support 11. The tubular support 11 can, to some degree, be moved in and out of the bociy or relative to the abdominal wall for example such that the distal end 13is positioned near the tissue or organ of interest, so that the means 14 within the body WO 94/18893 PCT/US94/0L~62 2 I ~ 1 1 7~
are able to be used most effectively. The passage 16 through the tubular support 11 can then be used for access subst~ltially aiong its axis ~A~ during the operative pruceJure on the internai tissue of the patient and in particular a video, surgical device or other instrument may be passed through the passage 16 into the body cavity. The 5 instrument may thereby may be able to cooperatively function on the tissue simultaneously but independently of the means 14. The instrument is inserted into a placed trocar while the distai end 13 thereof is viewed with a camera or scope in another portai during the entry of the instrument. The surgeon can rotate the tubular support 11 by its control 19 so that s~tisfs~ctory hand position is achieved. The 10 minimally invasive retractor dissector 10 may then be advanced toward the tissue to be retracted and/or ~;sse~ted. A member 15 with a tip 17 having a forceps 23 or grasper 25 is clamped on a piece of tissue located slightly lateral with respect to the desired plane of dissection. The opposite member 15 is positioned by means of the control 19 over toward the other side of the lissection plane and the tip 17 thereon is applied to 15 the tissue thereat. After the tips 17 are in posilion holdins the tissue the members 16 are spread apart by the surgeon with pressure on the grip 34 that cGr,l, ols the member 15 positions. Tension on the .Ji~se~;tion site is thereby obtained and can be gradually applied as desired and needed by the surgeon.
A second surgical instrument may then be i"se,led through the passage 16 or 20 any other port for ~ I;sse.,1ion of the tissue under tension. As the tissue is rlissected by the surgeon additionai tension may be applied to pull or spread the fascia away from the site. As required or desired one or both of the graspers 25 or forceps 23 at the tips 17 of each member 15 can be repositiGned to clamp tissue at a di~erent place forfurther dissection after suitable tension retraction. If required the surgeon can at any 25 time release the cla",i .,9 or tension as easily as the placement was attained. If the passage 16 is used for the surgicai instrument, then movement of the tubular support 11 will act to guide the surgical instrument. An olive 33 located near the distal end 13 of the tubular support 11 acts to guide the instrument inserted ther~tl,rough during movement of the tubular support 11 relative to the tensioning members 15.
Claims (26)
1. A minimally invasive retractor and dissector for internal surgical use on a patient's body comprising:
a tubular support for passing into the patient's body;
a proximal end on the tubular support located outside the patient's body in position to provide access for the surgeon;
a distal end on the tubular support located inside the patient's body in position to provide access for the surgeon;
a control located at the proximal end of the tubular support;
one or more articulated members movably positioned relative to the distal end of the tubular support and each of the plurality of articulated members for allowing swinging thereof relative to the distal end, and a rotator connected to the proximal end of the tubular support and the articulated members within the patient's body for movement relative to the control.
a tubular support for passing into the patient's body;
a proximal end on the tubular support located outside the patient's body in position to provide access for the surgeon;
a distal end on the tubular support located inside the patient's body in position to provide access for the surgeon;
a control located at the proximal end of the tubular support;
one or more articulated members movably positioned relative to the distal end of the tubular support and each of the plurality of articulated members for allowing swinging thereof relative to the distal end, and a rotator connected to the proximal end of the tubular support and the articulated members within the patient's body for movement relative to the control.
2. The minimally invasive retractor and dissector 10 of Claim 1 wherein the tubular support 11 includes the passage 16 passing from the proximal end to the distal end thereof through which access may be gained substantially along the axis "A"
thereof during operative procedures on the internal tissue of the patient.
thereof during operative procedures on the internal tissue of the patient.
3. The minimally invasive retractor and dissector 10 and instrument of Claim 20 wherein the passage is unimpeded to receive the instrument capable of moving independently of the articulated members and movably carried to cooperatively function on the tissue, the instrument arranged to simultaneously pass through the passage 16 from the proximal end 12 to beyond the distal end 13 so the articulated members may hold and position the tissue relative to the patient's body and the instrument, the instrument may thereby operate on the tissue held by the articulated members.
4. The minimally invasive retractor and dissector 10 and instrument of Claim 20 wherein the instrument is a surgical tool and the tissue is maneuvered into tension by the articulated members within the patient's body into a position relative to the surgical tool.
5. The minimally invasive retractor and dissector 10 and instrument of Claim 4 wherein the surgical tool is an electrosurgical device.
6. The minimally invasive retractor and dissector 10 of Claim 3 wherein the articulated members carry at least one articulatable member 15 extending beyond the distal end 13 and the member is movable relative thereto, the member for holding and then pulling tissue within the patient's body while the instrument is movable relative to tissue held by the means.
7. The minimally invasive retractor and dissector 10 and instrument of Claim 20 wherein the articulated members 15 disposed beyond the distal end 13 are movable independently of one another and hold tissue therebetween and the instrument is movable independently of one another and relative to tissue held between the articulated members 15.
8. The minimally invasive retractor dissector 10 and instrument of Claim 7 wherein each member 15 has a distal tip 17 configured and movable to hold tissue.
9. The minimally invasive retractor and dissector 10 and instrument of Claim 8 wherein each tip 17 includes at least a hook 42 located thereon for access to the tissue.
10. The minimally invasive retractor and dissector 10 and instrument of Claim 8 wherein each tip 17 includes a pair of graspers mounted thereon for independently gripping or spreading tissue thereadjacent.
11. The minimally invasive retractor and dissector 10 and instrument of Claim 8 wherein each tip 17 includes a pair of scissors mounted thereon for independently gripping, spreading or cutting tissue thereadjacent.
12. The minimally invasive retractor and dissector 10 of Claim 1 wherein the articulated members 15 include forceps 23 extending beyond the distal end 13, the forceps 23 independently operative for opening, closing and holding the tissue.
13. The minimally invasive retractor and dissector 10 of Claim 1 wherein one or more of the articulated members 15 include a suction tube 24 for holding and maneuvering tissue beyond the distal end and within the patient independently of the other of the members.
14. The minimally invasive retractor and dissector 10 of Claim 1 wherein a control 19 at the proximal end 12 manipulates the articulated members, the control 19 thereby permitting the independent holding and pulling tissue disposed beyond the distal end 13 relative to an axis "A".
15. The minimally invasive retractor and dissector 10 and instrument of Claim 20 wherein the control 19 is capable of moving the tubular support and thereby affecting the instrument passing through the passage somewhat independently of the articulated members for operating on the held and maneuvered tissue within the patient's body beyond the distal end 13.
16. The minimally invasive retractor and dissector 10 of Claim 14 wherein one or more of the articulated members is articulated by the control 19 for independent movement of the members within the patient's body relative to the axis "A".
17. The minimally invasive retractor and dissector 10 and instrument of Claim 15 wherein the instrument is moved separately for movement independent of the articulated members within the patient's body relative to the axis "A".
18. The minimally invasive retractor and dissector 10 and instrument of Claim 15 wherein the control 19 has a grip 34 for independently manipulating the articulated members and the instrument is separate for independently maneuvering.
19. The minimally invasive retractor and dissector 10 of Claim 27 wherein the tubular support 11 is a pair of U-shaped channels 40 that cooperate to form an elongate tube 41 composed of associated parts independently movable in the direction of the axis "A" relative to one another.
20. A minimally invasive retractor and dissector and an instrument for internal surgical use by a surgeon on a patient's body comprising:
a tubular support for passing into the patient's body includes a passage through which access may be gained substantially along an axis "A" thereof during operative procedures on the internal tissue of the patient;
a proximal end on the tubular support located outside the patient's body in position to provide access for the surgeon;
a distal end on the tubular support located inside the patient's body in position to provide access for the surgeon;
a control located at the proximal end of the tubular support permitting holding and pulling tissue disposed beyond the distal end relative to the axis "A";
one or more articulated members movably positioned relative to the distal end of the tubular support and each of the plurality of articulated members for allowing swinging thereof relative to the distal end in more than one plane;
a distal tip on each articulated member, each distal tip configured to move independently of each other distal tip and hold tissue so the articulated members are capable of holding and pulling tissue disposed beyond the distal end of the tubular support;
a rotator connected to the proximal end of the tubular support and the articulated members within the patient's body for movement relative to the control, and an instrument capable of moving independent of the tubular support, the articulated members and the distal tips for cooperatively functioning on the tissue so the instrument passes simultaneously through the passage from the proximal end to beyond the distal end so the articulated members may position the tissue relative to the patient and wherein the instrument is a surgical tool and the tissue is maneuvered by the articulated members within the patient's body into a position relative to the surgical tool.
a tubular support for passing into the patient's body includes a passage through which access may be gained substantially along an axis "A" thereof during operative procedures on the internal tissue of the patient;
a proximal end on the tubular support located outside the patient's body in position to provide access for the surgeon;
a distal end on the tubular support located inside the patient's body in position to provide access for the surgeon;
a control located at the proximal end of the tubular support permitting holding and pulling tissue disposed beyond the distal end relative to the axis "A";
one or more articulated members movably positioned relative to the distal end of the tubular support and each of the plurality of articulated members for allowing swinging thereof relative to the distal end in more than one plane;
a distal tip on each articulated member, each distal tip configured to move independently of each other distal tip and hold tissue so the articulated members are capable of holding and pulling tissue disposed beyond the distal end of the tubular support;
a rotator connected to the proximal end of the tubular support and the articulated members within the patient's body for movement relative to the control, and an instrument capable of moving independent of the tubular support, the articulated members and the distal tips for cooperatively functioning on the tissue so the instrument passes simultaneously through the passage from the proximal end to beyond the distal end so the articulated members may position the tissue relative to the patient and wherein the instrument is a surgical tool and the tissue is maneuvered by the articulated members within the patient's body into a position relative to the surgical tool.
21. The minimally invasive retractor and dissector 10 and instrument of Claim 20 wherein the directional olive is articulated independently by the control 19 for movement within the patient's body relative to the axis "A" and wherein the instrument within the passage is affected by the movement of the tubular support for movement within the patient's body relative to the axis "A".
22. The minimally invasive retractor and dissector 10 and instrument of Claim 21 wherein the control 19 has a grip 34 for independently manipulating the articulated members and there is the tubular support for independently maneuvering the instrument.
23. A method for using a minimally invasive retractor and dissector 10 and instrument for internal surgery by a surgeon on a patient's body includes the following steps:
making an opening for a tubular support 11 for passing into the patient's body;
leaving a proximal end 12 on the tubular support 11 located outside the patient's body in position to be accessed by the surgeon;
positioning a distal end 13 on the tubular support 11 inside the patient's body in position to provide access for the surgeon to the inside of the patient's body;
providing a rotator on the proximal end of the tubular support for rotary movement of the distal end;
moving one or more articulated members 15 positioned for movement independently of one another and capable of holding and pulling tissue disposed beyond the distal end 13.
making an opening for a tubular support 11 for passing into the patient's body;
leaving a proximal end 12 on the tubular support 11 located outside the patient's body in position to be accessed by the surgeon;
positioning a distal end 13 on the tubular support 11 inside the patient's body in position to provide access for the surgeon to the inside of the patient's body;
providing a rotator on the proximal end of the tubular support for rotary movement of the distal end;
moving one or more articulated members 15 positioned for movement independently of one another and capable of holding and pulling tissue disposed beyond the distal end 13.
24. The method of using the minimally invasive retractor and dissector 10 and instrument of Claim 23 further comprising holding, pulling and rotating tissue disposed beyond the distal end 13 of the tubular support 11.
25. The method of using the minimally invasive retractor and dissector 10 and instrument of Claim 23 with the added step of using a passage 16 through thetubular support 11 for access of the instrument substantially along an axis "A" thereof during operative procedures on the internal tissue of the patient.
26. The method of using the minimally invasive retractor and dissector 10 and instrument of Claim 23 with the added step of moving the instrument in the passage and independent of the articulated members for cooperative functioning on the tissue simultaneously.
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US2049493A | 1993-02-22 | 1993-02-22 | |
US08/020,494 | 1993-02-22 |
Publications (1)
Publication Number | Publication Date |
---|---|
CA2154172A1 true CA2154172A1 (en) | 1994-09-01 |
Family
ID=21798914
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CA002154172A Abandoned CA2154172A1 (en) | 1993-02-22 | 1994-01-25 | A laparoscopic dissection tension retractor device and method |
Country Status (9)
Country | Link |
---|---|
US (2) | US5474057A (en) |
EP (1) | EP0684789A1 (en) |
JP (1) | JPH08502438A (en) |
KR (1) | KR960700656A (en) |
CN (1) | CN1093894A (en) |
AU (1) | AU6236794A (en) |
CA (1) | CA2154172A1 (en) |
FI (1) | FI940808A (en) |
WO (1) | WO1994018893A1 (en) |
Families Citing this family (843)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US6406480B1 (en) | 1992-11-13 | 2002-06-18 | American Med Syst | Bone anchor inserter with retractable shield |
US5972000A (en) | 1992-11-13 | 1999-10-26 | Influence Medical Technologies, Ltd. | Non-linear anchor inserter device and bone anchors |
US6635058B2 (en) | 1992-11-13 | 2003-10-21 | Ams Research Corporation | Bone anchor |
AU6236794A (en) * | 1993-02-22 | 1994-09-14 | Valleylab, Inc. | A laparoscopic dissection tension retractor device and method |
WO1995035064A1 (en) * | 1994-06-20 | 1995-12-28 | Slotman Gus J | Tissue spreading surgical instrument |
CA2157744C (en) * | 1994-10-07 | 2005-08-23 | Charles R. Sherts | Endoscopic vascular suturing apparatus |
US5752973A (en) * | 1994-10-18 | 1998-05-19 | Archimedes Surgical, Inc. | Endoscopic surgical gripping instrument with universal joint jaw coupler |
US7384423B1 (en) | 1995-07-13 | 2008-06-10 | Origin Medsystems, Inc. | Tissue dissection method |
DE19627992A1 (en) * | 1996-07-11 | 1998-01-22 | Storz Karl Gmbh & Co | Instrument with two independent jaws |
US5776075A (en) * | 1996-08-09 | 1998-07-07 | Symbiosis Corporation | Endoscopic bioptome jaw assembly having three or more jaws and an endoscopic instrument incorporating same |
US5807235A (en) * | 1996-09-27 | 1998-09-15 | Heff; Allan | Surgical tool holding and positioning device |
US6165184A (en) * | 1996-11-18 | 2000-12-26 | Smith & Nephew, Inc. | Systems methods and instruments for minimally invasive surgery |
AU742708B2 (en) * | 1996-11-18 | 2002-01-10 | Ethicon Endo-Surgery, Inc. | Systems, methods, and instruments for minimally invasive surgery |
US5984932A (en) * | 1996-11-27 | 1999-11-16 | Yoon; Inbae | Suturing instrument with one or more spreadable needle holders mounted for arcuate movement |
US5759188A (en) * | 1996-11-27 | 1998-06-02 | Yoon; Inbae | Suturing instrument with rotatably mounted needle driver and catcher |
US5993466A (en) * | 1997-06-17 | 1999-11-30 | Yoon; Inbae | Suturing instrument with multiple rotatably mounted spreadable needle holders |
US6159224A (en) * | 1996-11-27 | 2000-12-12 | Yoon; Inbae | Multiple needle suturing instrument and method |
US5957937A (en) * | 1996-11-27 | 1999-09-28 | Yoon; Inbae | Suturing instrument with spreadable needle holder mounted for arcuate movement |
US5993467A (en) * | 1996-11-27 | 1999-11-30 | Yoon; Inbae | Suturing instrument with rotatably mounted spreadable needle holder |
US5895361A (en) * | 1997-02-14 | 1999-04-20 | Symbiosis Corporation | Esophageal biopsy jaw assembly and endoscopic instrument incorporating the same |
US6039686A (en) | 1997-03-18 | 2000-03-21 | Kovac; S. Robert | System and a method for the long term cure of recurrent urinary female incontinence |
US6017358A (en) * | 1997-05-01 | 2000-01-25 | Inbae Yoon | Surgical instrument with multiple rotatably mounted offset end effectors |
US6004332A (en) * | 1997-05-01 | 1999-12-21 | Yoon; Inbae | Suturing instrument with multiple rotatably mounted offset needle holders and method of using the same |
US6126665A (en) * | 1997-05-01 | 2000-10-03 | Yoon; Inbae | Surgical instrument with arcuately movable offset end effectors and method of using the same |
US6080180A (en) | 1997-05-01 | 2000-06-27 | Yoon; Inbae | Surgical instrument with rotatably mounted offset end effector and method of using the same |
US6143005A (en) * | 1997-05-01 | 2000-11-07 | Yoon; Inbae | Suturing instrument with rotatably mounted offset needle holder and method of using the same |
US5908428A (en) * | 1997-05-27 | 1999-06-01 | United States Surgical Corporation | Stitching devices for heart valve replacement surgery |
WO1999000059A1 (en) | 1997-06-27 | 1999-01-07 | The Trustees Of Columbia University In The City Of New York | Method and apparatus for circulatory valve repair |
US5954731A (en) * | 1997-07-29 | 1999-09-21 | Yoon; Inbae | Surgical instrument with multiple rotatably mounted spreadable end effectors |
FR2768324B1 (en) * | 1997-09-12 | 1999-12-10 | Jacques Seguin | SURGICAL INSTRUMENT FOR PERCUTANEOUSLY FIXING TWO AREAS OF SOFT TISSUE, NORMALLY MUTUALLY REMOTE, TO ONE ANOTHER |
US6171316B1 (en) | 1997-10-10 | 2001-01-09 | Origin Medsystems, Inc. | Endoscopic surgical instrument for rotational manipulation |
US5993461A (en) * | 1998-01-07 | 1999-11-30 | Abae; Mick | Laparoscopic instrument for manipulating the uterus during laparoscopic surgery |
DE19800917A1 (en) * | 1998-01-14 | 1999-07-15 | Storz Karl Gmbh & Co | Instrument for insertion during endoscopic operations |
US7901399B2 (en) | 1998-02-24 | 2011-03-08 | Hansen Medical, Inc. | Interchangeable surgical instrument |
US7758569B2 (en) * | 1998-02-24 | 2010-07-20 | Hansen Medical, Inc. | Interchangeable surgical instrument |
US6860878B2 (en) * | 1998-02-24 | 2005-03-01 | Endovia Medical Inc. | Interchangeable instrument |
US8303576B2 (en) | 1998-02-24 | 2012-11-06 | Hansen Medical, Inc. | Interchangeable surgical instrument |
US5997567A (en) * | 1998-03-10 | 1999-12-07 | Cangelosi; Joseph | Forked suture forceps |
US6382214B1 (en) | 1998-04-24 | 2002-05-07 | American Medical Systems, Inc. | Methods and apparatus for correction of urinary and gynecological pathologies including treatment of male incontinence and female cystocele |
US7326178B1 (en) | 1998-06-22 | 2008-02-05 | Origin Medsystems, Inc. | Vessel retraction device and method |
US6976957B1 (en) | 1998-06-22 | 2005-12-20 | Origin Medsystems, Inc. | Cannula-based surgical instrument and method |
US6830546B1 (en) | 1998-06-22 | 2004-12-14 | Origin Medsystems, Inc. | Device and method for remote vessel ligation |
EP0979635A2 (en) | 1998-08-12 | 2000-02-16 | Origin Medsystems, Inc. | Tissue dissector apparatus |
US7682370B2 (en) * | 1998-08-20 | 2010-03-23 | Zimmer Spine, Inc. | Surgical tool for use in expanding a cannula |
USD429331S (en) * | 1998-09-21 | 2000-08-08 | Koros Tibor B | Valve retractor holder |
WO2000038574A1 (en) | 1998-12-23 | 2000-07-06 | Nuvasive, Inc. | Nerve surveillance cannulae systems |
US6730110B1 (en) * | 1999-01-08 | 2004-05-04 | Ams Research Corporation | Tack device |
CA2591678C (en) | 1999-03-07 | 2008-05-20 | Active Implants Corporation | Method and apparatus for computerized surgery |
US10327743B2 (en) | 1999-04-09 | 2019-06-25 | Evalve, Inc. | Device and methods for endoscopic annuloplasty |
ATE484241T1 (en) | 1999-04-09 | 2010-10-15 | Evalve Inc | METHOD AND DEVICE FOR HEART VALVE REPAIR |
US7811296B2 (en) | 1999-04-09 | 2010-10-12 | Evalve, Inc. | Fixation devices for variation in engagement of tissue |
US6752813B2 (en) | 1999-04-09 | 2004-06-22 | Evalve, Inc. | Methods and devices for capturing and fixing leaflets in valve repair |
US20040044350A1 (en) | 1999-04-09 | 2004-03-04 | Evalve, Inc. | Steerable access sheath and methods of use |
US7563267B2 (en) | 1999-04-09 | 2009-07-21 | Evalve, Inc. | Fixation device and methods for engaging tissue |
ATE236580T1 (en) * | 1999-05-07 | 2003-04-15 | Andrews Emmet Joseph Howard Pe | SURGICAL FORCEPS |
US8287554B2 (en) | 1999-06-22 | 2012-10-16 | Ethicon Endo-Surgery, Inc. | Method and devices for tissue reconfiguration |
US6821285B2 (en) | 1999-06-22 | 2004-11-23 | Ndo Surgical, Inc. | Tissue reconfiguration |
US6663639B1 (en) * | 1999-06-22 | 2003-12-16 | Ndo Surgical, Inc. | Methods and devices for tissue reconfiguration |
US6074344A (en) * | 1999-07-14 | 2000-06-13 | Paschall, Jr.; Jack | Grasping retractor |
US6287250B1 (en) * | 1999-09-21 | 2001-09-11 | Origin Medsystems, Inc. | Method and apparatus for cardiac lifting during beating heart surgery using pericardial clips |
JP4854900B2 (en) | 1999-11-24 | 2012-01-18 | ヌバシブ, インコーポレイテッド | EMG measurement method |
US6443944B1 (en) * | 2000-05-19 | 2002-09-03 | Rajiv Doshi | Surgical devices comprising articulated members and methods for using the same |
FR2811218B1 (en) | 2000-07-05 | 2003-02-28 | Patrice Suslian | IMPLANTABLE DEVICE FOR CORRECTING URINARY INCONTINENCE |
US6638211B2 (en) | 2000-07-05 | 2003-10-28 | Mentor Corporation | Method for treating urinary incontinence in women and implantable device intended to correct urinary incontinence |
US8167785B2 (en) | 2000-10-12 | 2012-05-01 | Coloplast A/S | Urethral support system |
US20060205995A1 (en) * | 2000-10-12 | 2006-09-14 | Gyne Ideas Limited | Apparatus and method for treating female urinary incontinence |
GB0025068D0 (en) | 2000-10-12 | 2000-11-29 | Browning Healthcare Ltd | Apparatus and method for treating female urinary incontinence |
US7033373B2 (en) | 2000-11-03 | 2006-04-25 | Satiety, Inc. | Method and device for use in minimally invasive placement of space-occupying intragastric devices |
US6558313B1 (en) | 2000-11-17 | 2003-05-06 | Embro Corporation | Vein harvesting system and method |
US7070556B2 (en) | 2002-03-07 | 2006-07-04 | Ams Research Corporation | Transobturator surgical articles and methods |
US7229453B2 (en) | 2001-01-23 | 2007-06-12 | Ams Research Corporation | Pelvic floor implant system and method of assembly |
US20020147382A1 (en) | 2001-01-23 | 2002-10-10 | Neisz Johann J. | Surgical articles and methods |
US6612977B2 (en) | 2001-01-23 | 2003-09-02 | American Medical Systems Inc. | Sling delivery system and method of use |
GB0108088D0 (en) | 2001-03-30 | 2001-05-23 | Browning Healthcare Ltd | Surgical implant |
US7037305B2 (en) * | 2001-04-30 | 2006-05-02 | Ethicon, Inc. | Heart presentation device and method |
US6558400B2 (en) | 2001-05-30 | 2003-05-06 | Satiety, Inc. | Obesity treatment tools and methods |
US20020183762A1 (en) * | 2001-06-01 | 2002-12-05 | Ams Research Corporation | Bone anchor inserters and methods |
EP1417000B1 (en) | 2001-07-11 | 2018-07-11 | Nuvasive, Inc. | System for determining nerve proximity during surgery |
US7407480B2 (en) | 2001-07-27 | 2008-08-05 | Ams Research Corporation | Method and apparatus for correction of urinary and gynecological pathologies, including treatment of incontinence cystocele |
WO2003026482A2 (en) | 2001-09-25 | 2003-04-03 | Nuvasive, Inc. | System and methods for performing surgical procedures and assessments |
US6648921B2 (en) | 2001-10-03 | 2003-11-18 | Ams Research Corporation | Implantable article |
US7048754B2 (en) | 2002-03-01 | 2006-05-23 | Evalve, Inc. | Suture fasteners and methods of use |
US7357773B2 (en) | 2002-03-07 | 2008-04-15 | Ams Research Corporation | Handle and surgical article |
US6911003B2 (en) | 2002-03-07 | 2005-06-28 | Ams Research Corporation | Transobturator surgical articles and methods |
US7041113B2 (en) * | 2002-05-07 | 2006-05-09 | Terumo Corporation | Minimal invasive endoscopic methods and apparatus for harvesting blood vessels |
US8147421B2 (en) | 2003-01-15 | 2012-04-03 | Nuvasive, Inc. | System and methods for determining nerve direction to a surgical instrument |
US7582058B1 (en) | 2002-06-26 | 2009-09-01 | Nuvasive, Inc. | Surgical access system and related methods |
US7037276B2 (en) | 2002-07-02 | 2006-05-02 | Precision Medical Devices, Inc. | Biopsy device |
EP1545285B1 (en) | 2002-08-02 | 2010-11-10 | C.R. Bard, Inc. | Self anchoring sling and introducer system |
US6746460B2 (en) | 2002-08-07 | 2004-06-08 | Satiety, Inc. | Intra-gastric fastening devices |
US7214233B2 (en) | 2002-08-30 | 2007-05-08 | Satiety, Inc. | Methods and devices for maintaining a space occupying device in a relatively fixed location within a stomach |
US7033384B2 (en) | 2002-08-30 | 2006-04-25 | Satiety, Inc. | Stented anchoring of gastric space-occupying devices |
US8137284B2 (en) | 2002-10-08 | 2012-03-20 | Nuvasive, Inc. | Surgical access system and related methods |
US7018381B2 (en) * | 2002-10-18 | 2006-03-28 | Zimmer Technology, Inc. | Apparatus for removing an osteophyte |
US7220237B2 (en) | 2002-10-23 | 2007-05-22 | Satiety, Inc. | Method and device for use in endoscopic organ procedures |
US20040093000A1 (en) * | 2002-10-23 | 2004-05-13 | Stephen Kerr | Direct vision port site dissector |
US7056329B2 (en) * | 2002-10-23 | 2006-06-06 | Intellimed Surgical Solutions, Llc | Laparoscopic direct vision dissecting port |
US7691057B2 (en) | 2003-01-16 | 2010-04-06 | Nuvasive, Inc. | Surgical access system and related methods |
US7819801B2 (en) | 2003-02-27 | 2010-10-26 | Nuvasive, Inc. | Surgical access system and related methods |
GB0307082D0 (en) * | 2003-03-27 | 2003-04-30 | Gyne Ideas Ltd | Drug delivery device and method |
US7494495B2 (en) | 2003-03-28 | 2009-02-24 | Coloplast A/S | Method and implant for curing cystocele |
CA2520818A1 (en) | 2003-03-28 | 2004-10-28 | Analytic Biosurgical Solutions Abiss | Implant for treatment of a rectocele and device for placement of said implant |
US7175638B2 (en) | 2003-04-16 | 2007-02-13 | Satiety, Inc. | Method and devices for modifying the function of a body organ |
US10646229B2 (en) | 2003-05-19 | 2020-05-12 | Evalve, Inc. | Fixation devices, systems and methods for engaging tissue |
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 |
US7347812B2 (en) | 2003-09-22 | 2008-03-25 | Ams Research Corporation | Prolapse repair |
WO2005030318A1 (en) | 2003-09-25 | 2005-04-07 | Nuvasive, Inc. | Surgical access system and related methods |
US7905840B2 (en) | 2003-10-17 | 2011-03-15 | Nuvasive, Inc. | Surgical access system and related methods |
US7097650B2 (en) | 2003-10-14 | 2006-08-29 | Satiety, Inc. | System for tissue approximation and fixation |
US7914543B2 (en) | 2003-10-14 | 2011-03-29 | Satiety, Inc. | Single fold device for tissue fixation |
US8313430B1 (en) | 2006-01-11 | 2012-11-20 | Nuvasive, Inc. | Surgical access system and related methods |
US20050125015A1 (en) * | 2003-12-04 | 2005-06-09 | Mcnally-Heintzelman Karen M. | Tissue-handling apparatus, system and method |
US20050177176A1 (en) | 2004-02-05 | 2005-08-11 | Craig Gerbi | Single-fold system for tissue approximation and fixation |
EP1713402B1 (en) | 2004-02-13 | 2018-07-04 | Ethicon Endo-Surgery, Inc. | Device for reducing stomach volume |
US7708684B2 (en) | 2004-02-27 | 2010-05-04 | Satiety, Inc. | Methods and devices for reducing hollow organ volume |
US8449560B2 (en) | 2004-03-09 | 2013-05-28 | Satiety, Inc. | Devices and methods for placement of partitions within a hollow body organ |
US8252009B2 (en) | 2004-03-09 | 2012-08-28 | Ethicon Endo-Surgery, Inc. | Devices and methods for placement of partitions within a hollow body organ |
US8628547B2 (en) | 2004-03-09 | 2014-01-14 | Ethicon Endo-Surgery, Inc. | Devices and methods for placement of partitions within a hollow body organ |
US9028511B2 (en) | 2004-03-09 | 2015-05-12 | Ethicon Endo-Surgery, Inc. | Devices and methods for placement of partitions within a hollow body organ |
WO2005097012A2 (en) | 2004-03-26 | 2005-10-20 | Satiety, Inc. | Systems and methods for treating obesity |
JP2005296412A (en) * | 2004-04-13 | 2005-10-27 | Olympus Corp | Endoscopic treatment apparatus |
US7351197B2 (en) | 2004-05-07 | 2008-04-01 | Ams Research Corporation | Method and apparatus for cystocele repair |
US7811222B2 (en) | 2004-04-30 | 2010-10-12 | Ams Research Corporation | Method and apparatus for treating pelvic organ prolapse |
US7500945B2 (en) | 2004-04-30 | 2009-03-10 | Ams Research Corporation | Method and apparatus for treating pelvic organ prolapse |
GB0411360D0 (en) * | 2004-05-21 | 2004-06-23 | Mpathy Medical Devices Ltd | Implant |
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 |
US8905977B2 (en) | 2004-07-28 | 2014-12-09 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having an electroactive polymer actuated medical substance dispenser |
US20060041194A1 (en) * | 2004-08-23 | 2006-02-23 | Mark Sorochkin | Surgical gripper with foldable head |
US7635329B2 (en) | 2004-09-27 | 2009-12-22 | Evalve, Inc. | Methods and devices for tissue grasping and assessment |
US8052592B2 (en) | 2005-09-27 | 2011-11-08 | Evalve, Inc. | Methods and devices for tissue grasping and assessment |
WO2006042241A2 (en) | 2004-10-08 | 2006-04-20 | Nuvasive, Inc. | Surgical access system and related methods |
US20060106288A1 (en) | 2004-11-17 | 2006-05-18 | Roth Alex T | Remote tissue retraction device |
CA2597066C (en) | 2005-02-07 | 2014-04-15 | Evalve, Inc. | Methods, systems and devices for cardiac valve repair |
WO2007002071A1 (en) | 2005-06-21 | 2007-01-04 | Ams Research Corporation | Apparatus for securing a urethral sling to pubic bone |
WO2007002012A1 (en) | 2005-06-21 | 2007-01-04 | Ams Research Corporation | Apparatus for securing a urethral sling to pubic bone |
BRPI0613896A2 (en) | 2005-07-26 | 2016-11-16 | Ams Res Corp | pelvic implant set and kit |
US8328851B2 (en) | 2005-07-28 | 2012-12-11 | Nuvasive, Inc. | Total disc replacement system and related methods |
US11246590B2 (en) | 2005-08-31 | 2022-02-15 | Cilag Gmbh International | Staple cartridge including staple drivers having different unfired heights |
US8800838B2 (en) | 2005-08-31 | 2014-08-12 | Ethicon Endo-Surgery, Inc. | Robotically-controlled cable-based surgical end effectors |
US10159482B2 (en) | 2005-08-31 | 2018-12-25 | Ethicon Llc | Fastener cartridge assembly comprising a fixed anvil and different staple heights |
US7669746B2 (en) | 2005-08-31 | 2010-03-02 | Ethicon Endo-Surgery, Inc. | Staple cartridges for forming staples having differing formed staple heights |
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 |
US9237891B2 (en) | 2005-08-31 | 2016-01-19 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical stapling devices that produce formed staples having different lengths |
US20070194079A1 (en) | 2005-08-31 | 2007-08-23 | Hueil Joseph C | Surgical stapling device with staple drivers of different height |
US9055942B2 (en) * | 2005-10-03 | 2015-06-16 | Boston Scienctific Scimed, Inc. | Endoscopic plication devices and methods |
US20070106317A1 (en) | 2005-11-09 | 2007-05-10 | Shelton Frederick E Iv | Hydraulically and electrically actuated articulation joints for surgical instruments |
WO2007059199A2 (en) | 2005-11-14 | 2007-05-24 | C.R. Bard, Inc. | Sling anchor system |
US8556805B2 (en) * | 2006-01-13 | 2013-10-15 | Olympus Medical Systems Corp. | Rotational force transmission mechanism, force-attenuating apparatus, medical device, and medical instrument-operation mechanism |
US9308049B2 (en) * | 2006-01-13 | 2016-04-12 | Olympus Corporation | Medical treatment endoscope |
US8439828B2 (en) * | 2006-01-13 | 2013-05-14 | Olympus Medical Systems Corp. | Treatment endoscope |
US8021293B2 (en) * | 2006-01-13 | 2011-09-20 | Olympus Medical Systems Corp. | Medical treatment endoscope |
US9173550B2 (en) * | 2006-01-13 | 2015-11-03 | Olympus Corporation | Medical apparatus |
US8617054B2 (en) * | 2006-01-13 | 2013-12-31 | Olympus Medical Systems Corp. | Medical treatment endoscope |
US8092371B2 (en) * | 2006-01-13 | 2012-01-10 | Olympus Medical Systems Corp. | Medical treatment endoscope |
US9289112B2 (en) * | 2006-01-13 | 2016-03-22 | Olympus Corporation | Medical treatment endoscope having an operation stick formed to allow a procedure instrument to pass |
US8763879B2 (en) | 2006-01-31 | 2014-07-01 | Ethicon Endo-Surgery, Inc. | Accessing data stored in a memory of surgical instrument |
US20110290856A1 (en) | 2006-01-31 | 2011-12-01 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical instrument with force-feedback capabilities |
US11224427B2 (en) | 2006-01-31 | 2022-01-18 | Cilag Gmbh International | Surgical stapling system including a console and retraction assembly |
US11793518B2 (en) | 2006-01-31 | 2023-10-24 | Cilag Gmbh International | Powered surgical instruments with firing system lockout arrangements |
US20120292367A1 (en) | 2006-01-31 | 2012-11-22 | Ethicon Endo-Surgery, Inc. | Robotically-controlled end effector |
US8186555B2 (en) | 2006-01-31 | 2012-05-29 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting and fastening instrument with mechanical closure system |
US8161977B2 (en) | 2006-01-31 | 2012-04-24 | Ethicon Endo-Surgery, Inc. | Accessing data stored in a memory of a surgical instrument |
US7845537B2 (en) | 2006-01-31 | 2010-12-07 | Ethicon Endo-Surgery, Inc. | Surgical instrument having recording capabilities |
US8708213B2 (en) | 2006-01-31 | 2014-04-29 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a feedback system |
US11278279B2 (en) | 2006-01-31 | 2022-03-22 | Cilag Gmbh International | Surgical instrument assembly |
US8820603B2 (en) | 2006-01-31 | 2014-09-02 | Ethicon Endo-Surgery, Inc. | Accessing data stored in a memory of a surgical instrument |
US7753904B2 (en) | 2006-01-31 | 2010-07-13 | Ethicon Endo-Surgery, Inc. | Endoscopic surgical instrument with a handle that can articulate with respect to the shaft |
US20110024477A1 (en) | 2009-02-06 | 2011-02-03 | Hall Steven G | Driven Surgical Stapler Improvements |
US9861359B2 (en) | 2006-01-31 | 2018-01-09 | Ethicon Llc | Powered surgical instruments with firing system lockout arrangements |
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 |
US7867228B2 (en) * | 2006-04-28 | 2011-01-11 | Ethicon Endo-Surgery, Inc. | Apparatus and method for performing an endoscopic mucosal resection |
US20070270643A1 (en) * | 2006-05-19 | 2007-11-22 | Ifung Lu | Lumen stabilizer for endoscopic mucosal resection |
US9084664B2 (en) | 2006-05-19 | 2015-07-21 | Ams Research Corporation | Method and articles for treatment of stress urinary incontinence |
US9770230B2 (en) | 2006-06-01 | 2017-09-26 | Maquet Cardiovascular Llc | Endoscopic vessel harvesting system components |
AU2007261550B2 (en) | 2006-06-16 | 2013-04-18 | Boston Scientific Scimed, Inc. | Surgical implants and tools for treating pelvic conditions |
EP2049039A2 (en) | 2006-06-22 | 2009-04-22 | AMS Research Corporation | Adjustable tension incontinence sling assemblies |
US8322455B2 (en) | 2006-06-27 | 2012-12-04 | Ethicon Endo-Surgery, Inc. | Manually driven surgical cutting and fastening instrument |
US7740159B2 (en) | 2006-08-02 | 2010-06-22 | Ethicon Endo-Surgery, Inc. | Pneumatically powered surgical cutting and fastening instrument with a variable control of the actuating rate of firing with mechanical power assist |
WO2008022257A2 (en) * | 2006-08-16 | 2008-02-21 | Pneumrx, Inc. | Devices, systems, methods and kits for performing selective dissection of lung tissue |
US8480559B2 (en) | 2006-09-13 | 2013-07-09 | C. R. Bard, Inc. | Urethral support system |
US10130359B2 (en) | 2006-09-29 | 2018-11-20 | Ethicon Llc | Method for forming a staple |
US10568652B2 (en) | 2006-09-29 | 2020-02-25 | Ethicon Llc | Surgical staples having attached drivers of different heights and stapling instruments for deploying the same |
US20080078802A1 (en) | 2006-09-29 | 2008-04-03 | Hess Christopher J | Surgical staples and stapling instruments |
WO2008041226A2 (en) * | 2006-10-03 | 2008-04-10 | Virtual Ports Ltd | A clip device, system and method for assisting surgical procedures |
EP3045120A1 (en) | 2006-10-26 | 2016-07-20 | AMS Research Corporation | Surgical articles for treating pelvic conditions |
US8951185B2 (en) | 2007-10-26 | 2015-02-10 | Ams Research Corporation | Surgical articles and methods for treating pelvic conditions |
US11291441B2 (en) | 2007-01-10 | 2022-04-05 | Cilag Gmbh International | Surgical instrument with wireless communication between control unit and remote sensor |
US8684253B2 (en) | 2007-01-10 | 2014-04-01 | Ethicon Endo-Surgery, Inc. | Surgical instrument with wireless communication between a control unit of a robotic system and remote sensor |
US8652120B2 (en) | 2007-01-10 | 2014-02-18 | Ethicon Endo-Surgery, Inc. | Surgical instrument with wireless communication between control unit and sensor transponders |
US8459520B2 (en) | 2007-01-10 | 2013-06-11 | Ethicon Endo-Surgery, Inc. | Surgical instrument with wireless communication between control unit and remote sensor |
US11039836B2 (en) | 2007-01-11 | 2021-06-22 | Cilag Gmbh International | Staple cartridge for use with a surgical stapling instrument |
US20080169332A1 (en) | 2007-01-11 | 2008-07-17 | Shelton Frederick E | Surgical stapling device with a curved cutting member |
US20090001121A1 (en) | 2007-03-15 | 2009-01-01 | Hess Christopher J | Surgical staple having an expandable portion |
US8852216B2 (en) * | 2007-03-23 | 2014-10-07 | Ethicon Endo-Surgery, Inc. | Tissue approximation methods |
US8893946B2 (en) | 2007-03-28 | 2014-11-25 | Ethicon Endo-Surgery, Inc. | Laparoscopic tissue thickness and clamp load measuring devices |
US9596980B2 (en) * | 2007-04-25 | 2017-03-21 | Karl Storz Endovision, Inc. | Endoscope system with pivotable arms |
US8591399B2 (en) | 2007-04-25 | 2013-11-26 | Karl Storz Endovision, Inc. | Surgical method utilizing transluminal endoscope and instruments |
US8157145B2 (en) | 2007-05-31 | 2012-04-17 | Ethicon Endo-Surgery, Inc. | Pneumatically powered surgical cutting and fastening instrument with electrical feedback |
US8931682B2 (en) | 2007-06-04 | 2015-01-13 | Ethicon Endo-Surgery, Inc. | Robotically-controlled shaft based rotary drive systems for surgical instruments |
US8534528B2 (en) | 2007-06-04 | 2013-09-17 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a multiple rate directional switching mechanism |
US11672531B2 (en) | 2007-06-04 | 2023-06-13 | Cilag Gmbh International | Rotary drive systems for surgical instruments |
US7832408B2 (en) | 2007-06-04 | 2010-11-16 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a directional switching mechanism |
US7905380B2 (en) | 2007-06-04 | 2011-03-15 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a multiple rate directional switching mechanism |
US8408439B2 (en) | 2007-06-22 | 2013-04-02 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with an articulatable end effector |
US7753245B2 (en) | 2007-06-22 | 2010-07-13 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments |
US11849941B2 (en) | 2007-06-29 | 2023-12-26 | Cilag Gmbh International | Staple cartridge having staple cavities extending at a transverse angle relative to a longitudinal cartridge axis |
US8702731B2 (en) | 2007-07-03 | 2014-04-22 | Ceterix Orthopaedics, Inc. | Suturing and repairing tissue using in vivo suture loading |
US9861354B2 (en) | 2011-05-06 | 2018-01-09 | Ceterix Orthopaedics, Inc. | Meniscus repair |
US8465505B2 (en) | 2011-05-06 | 2013-06-18 | Ceterix Orthopaedics, Inc. | Suture passer devices and methods |
US8911456B2 (en) | 2007-07-03 | 2014-12-16 | Ceterix Orthopaedics, Inc. | Methods and devices for preventing tissue bridging while suturing |
US8663253B2 (en) * | 2007-07-03 | 2014-03-04 | Ceterix Orthopaedics, Inc. | Methods of meniscus repair |
US10441273B2 (en) | 2007-07-03 | 2019-10-15 | Ceterix Orthopaedics, Inc. | Pre-tied surgical knots for use with suture passers |
US9211119B2 (en) | 2007-07-03 | 2015-12-15 | Ceterix Orthopaedics, Inc. | Suture passers and methods of passing suture |
US9314234B2 (en) | 2007-07-03 | 2016-04-19 | Ceterix Orthopaedics, Inc. | Pre-tied surgical knots for use with suture passers |
US8500809B2 (en) | 2011-01-10 | 2013-08-06 | Ceterix Orthopaedics, Inc. | Implant and method for repair of the anterior cruciate ligament |
US8137263B2 (en) * | 2007-08-24 | 2012-03-20 | Karl Storz Endovision, Inc. | Articulating endoscope instrument |
CN104138278B (en) | 2007-09-21 | 2017-10-24 | Ams研究公司 | It is surgically inserted into instrument and its engaging member combined with the extension of implant |
EP2211725A4 (en) | 2007-11-05 | 2015-04-01 | Ceterix Orthopedics Inc | Suture passing instrument and method |
US8206280B2 (en) | 2007-11-13 | 2012-06-26 | C. R. Bard, Inc. | Adjustable tissue support member |
US7905381B2 (en) | 2008-09-19 | 2011-03-15 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with cutting member arrangement |
US8453908B2 (en) | 2008-02-13 | 2013-06-04 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with improved firing trigger arrangement |
US8540133B2 (en) | 2008-09-19 | 2013-09-24 | Ethicon Endo-Surgery, Inc. | Staple cartridge |
US7766209B2 (en) | 2008-02-13 | 2010-08-03 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with improved firing trigger arrangement |
US8561870B2 (en) | 2008-02-13 | 2013-10-22 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument |
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 |
US9179912B2 (en) | 2008-02-14 | 2015-11-10 | Ethicon Endo-Surgery, Inc. | Robotically-controlled motorized surgical cutting and fastening instrument |
US8584919B2 (en) | 2008-02-14 | 2013-11-19 | Ethicon Endo-Sugery, Inc. | Surgical stapling apparatus with load-sensitive firing mechanism |
BRPI0901282A2 (en) | 2008-02-14 | 2009-11-17 | Ethicon Endo Surgery Inc | surgical cutting and fixation instrument with rf electrodes |
US8758391B2 (en) | 2008-02-14 | 2014-06-24 | Ethicon Endo-Surgery, Inc. | Interchangeable tools for surgical instruments |
US8622274B2 (en) | 2008-02-14 | 2014-01-07 | Ethicon Endo-Surgery, Inc. | Motorized cutting and fastening instrument having control circuit for optimizing battery usage |
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 |
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 |
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 |
US7819298B2 (en) | 2008-02-14 | 2010-10-26 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with control features operable with one hand |
US8752749B2 (en) | 2008-02-14 | 2014-06-17 | Ethicon Endo-Surgery, Inc. | Robotically-controlled disposable motor-driven loading unit |
US11272927B2 (en) | 2008-02-15 | 2022-03-15 | Cilag Gmbh International | Layer arrangements for surgical staple cartridges |
US20090206139A1 (en) | 2008-02-15 | 2009-08-20 | Ethicon Endo-Surgery, Inc. | Buttress material for a surgical instrument |
US8608044B2 (en) | 2008-02-15 | 2013-12-17 | Ethicon Endo-Surgery, Inc. | Feedback and lockout mechanism for surgical instrument |
US10390823B2 (en) | 2008-02-15 | 2019-08-27 | Ethicon Llc | End effector comprising an adjunct |
US20090206131A1 (en) | 2008-02-15 | 2009-08-20 | Ethicon Endo-Surgery, Inc. | End effector coupling arrangements for a surgical cutting and stapling instrument |
WO2009120953A2 (en) * | 2008-03-27 | 2009-10-01 | Mayo Foundation For Medical Education And Research | Navigation and tissue capture systems and methods |
EP2265196B9 (en) | 2008-03-31 | 2013-10-02 | Applied Medical Resources Corporation | Electrosurgical system with means for measuring permittivity and conductivity of tissue |
US7997468B2 (en) * | 2008-05-05 | 2011-08-16 | Tyco Healthcare Group Lp | Surgical instrument with clamp |
EP2282664A4 (en) * | 2008-06-03 | 2013-07-31 | Virtual Ports Ltd | A multi-components device, system and method for assisting minimally invasive procedures |
DE202008007775U1 (en) * | 2008-06-11 | 2008-08-07 | Ovesco Endoscopy Gmbh | Medical gripping device |
US8727963B2 (en) | 2008-07-31 | 2014-05-20 | Ams Research Corporation | Methods and implants for treating urinary incontinence |
US8652202B2 (en) | 2008-08-22 | 2014-02-18 | Edwards Lifesciences Corporation | Prosthetic heart valve and delivery apparatus |
US9017243B2 (en) | 2008-08-25 | 2015-04-28 | Ams Research Corporation | Minimally invasive implant and method |
JP2012500712A (en) | 2008-08-25 | 2012-01-12 | エーエムエス リサーチ コーポレイション | Implants and methods with minimal invasion |
US8083120B2 (en) | 2008-09-18 | 2011-12-27 | Ethicon Endo-Surgery, Inc. | End effector for use with a surgical cutting and stapling instrument |
PL3476312T3 (en) | 2008-09-19 | 2024-03-11 | Ethicon Llc | Surgical stapler with apparatus for adjusting staple height |
US9050083B2 (en) | 2008-09-23 | 2015-06-09 | Ethicon Endo-Surgery, Inc. | Motorized surgical instrument |
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 |
US9005230B2 (en) | 2008-09-23 | 2015-04-14 | Ethicon Endo-Surgery, Inc. | Motorized surgical instrument |
US11648005B2 (en) | 2008-09-23 | 2023-05-16 | Cilag Gmbh International | Robotically-controlled motorized surgical instrument with an end effector |
US8608045B2 (en) | 2008-10-10 | 2013-12-17 | Ethicon Endo-Sugery, Inc. | Powered surgical cutting and stapling apparatus with manually retractable firing system |
CN102245111B (en) | 2008-10-27 | 2014-07-16 | Ams研究公司 | Surgical needle and anchor system with retractable features |
US8992558B2 (en) | 2008-12-18 | 2015-03-31 | Osteomed, Llc | Lateral access system for the lumbar spine |
AU2009329873A1 (en) | 2008-12-26 | 2011-11-03 | Scott Spann | Minimally-invasive retroperitoneal lateral approach for spinal surgery |
US20110230723A1 (en) * | 2008-12-29 | 2011-09-22 | Salvatore Castro | Active Instrument Port System for Minimally-Invasive Surgical Procedures |
US8485413B2 (en) | 2009-02-05 | 2013-07-16 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument comprising an articulation joint |
US8517239B2 (en) | 2009-02-05 | 2013-08-27 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument comprising a magnetic element driver |
US8397971B2 (en) | 2009-02-05 | 2013-03-19 | Ethicon Endo-Surgery, Inc. | Sterilizable surgical instrument |
US8414577B2 (en) | 2009-02-05 | 2013-04-09 | Ethicon Endo-Surgery, Inc. | Surgical instruments and components for use in sterile environments |
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 |
US8453907B2 (en) | 2009-02-06 | 2013-06-04 | Ethicon Endo-Surgery, Inc. | Motor driven surgical fastener device with cutting member reversing mechanism |
BRPI1008667A2 (en) | 2009-02-06 | 2016-03-08 | Ethicom Endo Surgery Inc | improvement of the operated surgical stapler |
CA2748894C (en) | 2009-02-10 | 2018-11-13 | Ams Research Corporation | Surgical articles and methods for treating urinary incontinence |
US8066167B2 (en) | 2009-03-23 | 2011-11-29 | Ethicon Endo-Surgery, Inc. | Circular surgical stapling instrument with anvil locking system |
US8113409B2 (en) | 2009-03-31 | 2012-02-14 | Tyco Healthcare Group Lp | Surgical stapling apparatus with clamping assembly |
EP2416710A2 (en) | 2009-04-03 | 2012-02-15 | Mitchell A. Hardenbrook | Surgical retractor system |
US9351845B1 (en) | 2009-04-16 | 2016-05-31 | Nuvasive, Inc. | Method and apparatus for performing spine surgery |
US8287597B1 (en) | 2009-04-16 | 2012-10-16 | Nuvasive, Inc. | Method and apparatus for performing spine surgery |
JP5582561B2 (en) * | 2009-07-03 | 2014-09-03 | 国立大学法人九州大学 | Forceps support device |
US8182495B2 (en) * | 2009-07-21 | 2012-05-22 | Distefano James G | Suture tensioner with gauge |
EP2477555B1 (en) | 2009-09-15 | 2013-12-25 | Evalve, Inc. | Device for cardiac valve repair |
US8141762B2 (en) | 2009-10-09 | 2012-03-27 | Ethicon Endo-Surgery, Inc. | Surgical stapler comprising a staple pocket |
US20110213356A1 (en) | 2009-11-05 | 2011-09-01 | Wright Robert E | Methods and systems for spinal radio frequency neurotomy |
US9848868B2 (en) | 2011-01-10 | 2017-12-26 | Ceterix Orthopaedics, Inc. | Suture methods for forming locking loops stitches |
US11744575B2 (en) | 2009-11-09 | 2023-09-05 | Ceterix Orthopaedics, Inc. | Suture passer devices and methods |
US9011454B2 (en) | 2009-11-09 | 2015-04-21 | Ceterix Orthopaedics, Inc. | Suture passer with radiused upper jaw |
EP2498688B1 (en) | 2009-11-09 | 2016-03-23 | Ceterix Orthopedics, Inc. | Devices, systems and methods for meniscus repair |
US8899466B2 (en) | 2009-11-19 | 2014-12-02 | Ethicon Endo-Surgery, Inc. | Devices and methods for introducing a surgical circular stapling instrument into a patient |
US8449599B2 (en) | 2009-12-04 | 2013-05-28 | Edwards Lifesciences Corporation | Prosthetic valve for replacing mitral valve |
US8136712B2 (en) | 2009-12-10 | 2012-03-20 | Ethicon Endo-Surgery, Inc. | Surgical stapler with discrete staple height adjustment and tactile feedback |
US8220688B2 (en) | 2009-12-24 | 2012-07-17 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting instrument with electric actuator directional control assembly |
US8851354B2 (en) | 2009-12-24 | 2014-10-07 | Ethicon Endo-Surgery, Inc. | Surgical cutting instrument that analyzes tissue thickness |
US8267300B2 (en) | 2009-12-30 | 2012-09-18 | Ethicon Endo-Surgery, Inc. | Dampening device for endoscopic surgical stapler |
WO2011082220A1 (en) | 2009-12-30 | 2011-07-07 | Ams Research Corporation | Elongate implant system and method for treating pelvic conditions |
WO2011082287A1 (en) | 2009-12-30 | 2011-07-07 | Ams Research Corporation | Implant systems with tensioning feedback |
EP2519186B1 (en) | 2009-12-30 | 2018-10-24 | Boston Scientific Scimed, Inc. | Implantable slings systems |
US9393091B2 (en) | 2009-12-31 | 2016-07-19 | Astora Women's Health, Llc | Suture-less tissue fixation for implantable device |
US8608046B2 (en) | 2010-01-07 | 2013-12-17 | Ethicon Endo-Surgery, Inc. | Test device for a surgical tool |
US9445881B2 (en) | 2010-02-23 | 2016-09-20 | Boston Scientific Scimed, Inc. | Surgical articles and methods |
CA2789786C (en) | 2010-02-23 | 2019-04-16 | Ams Research Corporation | Surgical articles and methods |
JP2013526940A (en) | 2010-05-21 | 2013-06-27 | ニンバス・コンセプツ・エルエルシー | Systems and methods for tissue ablation |
US10028813B2 (en) | 2010-07-22 | 2018-07-24 | Boston Scientific Scimed, Inc. | Coated pelvic implant device and method |
US8783543B2 (en) | 2010-07-30 | 2014-07-22 | Ethicon Endo-Surgery, Inc. | Tissue acquisition arrangements and methods for surgical stapling devices |
US8789740B2 (en) | 2010-07-30 | 2014-07-29 | Ethicon Endo-Surgery, Inc. | Linear cutting and stapling device with selectively disengageable cutting member |
US8672207B2 (en) | 2010-07-30 | 2014-03-18 | Ethicon Endo-Surgery, Inc. | Transwall visualization arrangements and methods for surgical circular staplers |
US8360296B2 (en) | 2010-09-09 | 2013-01-29 | Ethicon Endo-Surgery, Inc. | Surgical stapling head assembly with firing lockout for a surgical stapler |
US9289212B2 (en) | 2010-09-17 | 2016-03-22 | Ethicon Endo-Surgery, Inc. | Surgical instruments and batteries for surgical instruments |
US8632525B2 (en) | 2010-09-17 | 2014-01-21 | Ethicon Endo-Surgery, Inc. | Power control arrangements for surgical instruments and batteries |
US20120078244A1 (en) | 2010-09-24 | 2012-03-29 | Worrell Barry C | Control features for articulating surgical device |
WO2012050961A1 (en) | 2010-09-29 | 2012-04-19 | Ams Research Corporation | Systems, tools, and methods for treatments of pelvic conditions |
US8733613B2 (en) | 2010-09-29 | 2014-05-27 | Ethicon Endo-Surgery, Inc. | Staple cartridge |
US9949814B2 (en) | 2010-09-29 | 2018-04-24 | Boston Scientific Scimed, Inc. | Systems, tools, and methods for treatments of pelvic conditions |
US8840003B2 (en) | 2010-09-30 | 2014-09-23 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with compact articulation control arrangement |
US9861361B2 (en) | 2010-09-30 | 2018-01-09 | Ethicon Llc | Releasable tissue thickness compensator and fastener cartridge having the same |
US20120080498A1 (en) | 2010-09-30 | 2012-04-05 | Ethicon Endo-Surgery, Inc. | Curved end effector for a stapling instrument |
US9364233B2 (en) | 2010-09-30 | 2016-06-14 | Ethicon Endo-Surgery, Llc | Tissue thickness compensators for circular surgical staplers |
US11298125B2 (en) | 2010-09-30 | 2022-04-12 | Cilag Gmbh International | Tissue stapler having a thickness compensator |
US10945731B2 (en) | 2010-09-30 | 2021-03-16 | Ethicon Llc | Tissue thickness compensator comprising controlled release and expansion |
US9629814B2 (en) | 2010-09-30 | 2017-04-25 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator configured to redistribute compressive forces |
US9414838B2 (en) | 2012-03-28 | 2016-08-16 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator comprised of a plurality of materials |
US9232941B2 (en) | 2010-09-30 | 2016-01-12 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator comprising a reservoir |
CN103140178B (en) | 2010-09-30 | 2015-09-23 | 伊西康内外科公司 | Comprise the closure system keeping matrix and alignment matrix |
US11812965B2 (en) | 2010-09-30 | 2023-11-14 | Cilag Gmbh International | Layer of material for a surgical end effector |
US9332974B2 (en) | 2010-09-30 | 2016-05-10 | Ethicon Endo-Surgery, Llc | Layered tissue thickness compensator |
US9307989B2 (en) | 2012-03-28 | 2016-04-12 | Ethicon Endo-Surgery, Llc | Tissue stapler having a thickness compensator incorportating a hydrophobic agent |
US8864009B2 (en) | 2010-09-30 | 2014-10-21 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator for a surgical stapler comprising an adjustable anvil |
US10123798B2 (en) | 2010-09-30 | 2018-11-13 | Ethicon Llc | Tissue thickness compensator comprising controlled release and expansion |
US9204880B2 (en) | 2012-03-28 | 2015-12-08 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator comprising capsules defining a low pressure environment |
US9839420B2 (en) | 2010-09-30 | 2017-12-12 | Ethicon Llc | Tissue thickness compensator comprising at least one medicament |
US9220501B2 (en) | 2010-09-30 | 2015-12-29 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensators |
US9314246B2 (en) | 2010-09-30 | 2016-04-19 | Ethicon Endo-Surgery, Llc | Tissue stapler having a thickness compensator incorporating an anti-inflammatory agent |
US9386988B2 (en) | 2010-09-30 | 2016-07-12 | Ethicon End-Surgery, LLC | Retainer assembly including a tissue thickness compensator |
US8893949B2 (en) | 2010-09-30 | 2014-11-25 | Ethicon Endo-Surgery, Inc. | Surgical stapler with floating anvil |
US11849952B2 (en) | 2010-09-30 | 2023-12-26 | Cilag Gmbh International | Staple cartridge comprising staples positioned within a compressible portion thereof |
USD650074S1 (en) | 2010-10-01 | 2011-12-06 | Ethicon Endo-Surgery, Inc. | Surgical instrument |
EP2621389B1 (en) | 2010-10-01 | 2015-03-18 | Applied Medical Resources Corporation | Electrosurgical instrument with jaws and with an electrode |
US8695866B2 (en) | 2010-10-01 | 2014-04-15 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a power control circuit |
US9017246B2 (en) * | 2010-11-19 | 2015-04-28 | Boston Scientific Scimed, Inc. | Biliary catheter systems including stabilizing members |
US9572648B2 (en) | 2010-12-21 | 2017-02-21 | Justin M. Crank | Implantable slings and anchor systems |
US9913638B2 (en) | 2011-01-10 | 2018-03-13 | Ceterix Orthopaedics, Inc. | Transosteal anchoring methods for tissue repair |
US8840638B2 (en) * | 2011-02-10 | 2014-09-23 | Danny A. Sherwinter | Laparoscopic retractor |
US8632462B2 (en) | 2011-03-14 | 2014-01-21 | Ethicon Endo-Surgery, Inc. | Trans-rectum universal ports |
US8857693B2 (en) | 2011-03-15 | 2014-10-14 | Ethicon Endo-Surgery, Inc. | Surgical instruments with lockable articulating end effector |
US8540131B2 (en) | 2011-03-15 | 2013-09-24 | Ethicon Endo-Surgery, Inc. | Surgical staple cartridges with tissue tethers for manipulating divided tissue and methods of using same |
US8800841B2 (en) | 2011-03-15 | 2014-08-12 | Ethicon Endo-Surgery, Inc. | Surgical staple cartridges |
US9044229B2 (en) | 2011-03-15 | 2015-06-02 | Ethicon Endo-Surgery, Inc. | Surgical fastener instruments |
US8926598B2 (en) | 2011-03-15 | 2015-01-06 | Ethicon Endo-Surgery, Inc. | Surgical instruments with articulatable and rotatable end effector |
US8808162B2 (en) | 2011-03-28 | 2014-08-19 | Ams Research Corporation | Implants, tools, and methods for treatment of pelvic conditions |
US20120253108A1 (en) | 2011-03-28 | 2012-10-04 | Fischer Brian G | Implants, tools, and methods for treatment of pelvic conditions |
US9492259B2 (en) | 2011-03-30 | 2016-11-15 | Astora Women's Health, Llc | Expandable implant system |
US8790406B1 (en) | 2011-04-01 | 2014-07-29 | William D. Smith | Systems and methods for performing spine surgery |
JP6026509B2 (en) | 2011-04-29 | 2016-11-16 | 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. | Staple cartridge including staples disposed within a compressible portion of the staple cartridge itself |
US9072535B2 (en) | 2011-05-27 | 2015-07-07 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments with rotatable staple deployment arrangements |
US11207064B2 (en) | 2011-05-27 | 2021-12-28 | Cilag Gmbh International | Automated end effector component reloading system for use with a robotic system |
US10058240B2 (en) | 2011-06-29 | 2018-08-28 | Boston Scientific Scimed, Inc. | Systems, implants, tools, and methods for treatments of pelvic conditions |
US9351723B2 (en) | 2011-06-30 | 2016-05-31 | Astora Women's Health, Llc | Implants, tools, and methods for treatments of pelvic conditions |
US9414903B2 (en) | 2011-07-22 | 2016-08-16 | Astora Women's Health, Llc | Pelvic implant system and method |
EP2734148B1 (en) | 2011-07-22 | 2019-06-05 | Boston Scientific Scimed, Inc. | Pelvic implant system |
US9492191B2 (en) | 2011-08-04 | 2016-11-15 | Astora Women's Health, Llc | Tools and methods for treatment of pelvic conditions |
US20130035555A1 (en) | 2011-08-05 | 2013-02-07 | Alexander James A | Systems, implants, tools, and methods for treatment of pelvic conditions |
WO2013028571A1 (en) | 2011-08-19 | 2013-02-28 | Lanx, Inc. | Surgical retractor system and methods of use |
US10098721B2 (en) | 2011-09-01 | 2018-10-16 | Boston Scientific Scimed, Inc. | Pelvic implant needle system and method |
US9107663B2 (en) | 2011-09-06 | 2015-08-18 | Ethicon Endo-Surgery, Inc. | Stapling instrument comprising resettable staple drivers |
US8945177B2 (en) | 2011-09-13 | 2015-02-03 | Abbott Cardiovascular Systems Inc. | Gripper pusher mechanism for tissue apposition systems |
US9011468B2 (en) | 2011-09-13 | 2015-04-21 | Abbott Cardiovascular Systems Inc. | Independent gripper |
US9050084B2 (en) | 2011-09-23 | 2015-06-09 | Ethicon Endo-Surgery, Inc. | Staple cartridge including collapsible deck arrangement |
US9492162B2 (en) | 2013-12-16 | 2016-11-15 | Ceterix Orthopaedics, Inc. | Automatically reloading suture passer devices and methods |
US10537321B2 (en) | 2014-04-08 | 2020-01-21 | Ceterix Orthopaedics, Inc. | Suture passers adapted for use in constrained regions |
US10524778B2 (en) | 2011-09-28 | 2020-01-07 | Ceterix Orthopaedics | Suture passers adapted for use in constrained regions |
US10265152B2 (en) | 2011-10-13 | 2019-04-23 | Boston Scientific Scimed, Inc. | Pelvic implant sizing systems and methods |
US9198765B1 (en) | 2011-10-31 | 2015-12-01 | Nuvasive, Inc. | Expandable spinal fusion implants and related methods |
US8795167B2 (en) | 2011-11-15 | 2014-08-05 | Baxano Surgical, Inc. | Spinal therapy lateral approach access instruments |
US8419720B1 (en) | 2012-02-07 | 2013-04-16 | National Advanced Endoscopy Devices, Incorporated | Flexible laparoscopic device |
US9192458B2 (en) | 2012-02-09 | 2015-11-24 | Ams Research Corporation | Implants, tools, and methods for treatments of pelvic conditions |
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 |
ITCS20120032A1 (en) * | 2012-09-07 | 2014-03-08 | Calabrian High Tech Srl | NEW VERSION DOUBLE CLAMP FOR LAPAROSCOPIA MONO ACCESS |
ITCS20130001A1 (en) * | 2013-01-11 | 2014-07-12 | Calabrian High Tech Cht S R L | THIRD VERSION OF THE DOUBLE CLAMP FOR LAPAROSCOPY MONO ACCESS |
ITCS20120006A1 (en) * | 2012-02-21 | 2013-08-22 | Calabrian High Tech Srl | DOUBLE CLAMP FOR MONOACCESS LAPAROSCOPY |
US9655638B2 (en) | 2012-02-21 | 2017-05-23 | Calabrian High Tech Srl | Twin forceps for single access laparoscopy |
US9078653B2 (en) | 2012-03-26 | 2015-07-14 | Ethicon Endo-Surgery, Inc. | Surgical stapling device with lockout system for preventing actuation in the absence of an installed staple cartridge |
US9198662B2 (en) | 2012-03-28 | 2015-12-01 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator having improved visibility |
BR112014024098B1 (en) | 2012-03-28 | 2021-05-25 | Ethicon Endo-Surgery, Inc. | staple cartridge |
MX353040B (en) | 2012-03-28 | 2017-12-18 | Ethicon Endo Surgery Inc | Retainer assembly including a tissue thickness compensator. |
JP6305979B2 (en) | 2012-03-28 | 2018-04-04 | エシコン・エンド−サージェリィ・インコーポレイテッドEthicon Endo−Surgery,Inc. | Tissue thickness compensator with multiple layers |
US9101358B2 (en) | 2012-06-15 | 2015-08-11 | Ethicon Endo-Surgery, Inc. | Articulatable surgical instrument comprising a firing drive |
US11202631B2 (en) | 2012-06-28 | 2021-12-21 | Cilag Gmbh International | Stapling assembly comprising a firing lockout |
US8747238B2 (en) | 2012-06-28 | 2014-06-10 | Ethicon Endo-Surgery, Inc. | Rotary drive shaft assemblies for surgical instruments with articulatable end effectors |
US9125662B2 (en) | 2012-06-28 | 2015-09-08 | Ethicon Endo-Surgery, Inc. | Multi-axis articulating and rotating surgical tools |
US9289256B2 (en) | 2012-06-28 | 2016-03-22 | Ethicon Endo-Surgery, Llc | Surgical end effectors having angled tissue-contacting surfaces |
US9649111B2 (en) | 2012-06-28 | 2017-05-16 | Ethicon Endo-Surgery, Llc | Replaceable clip cartridge for a clip applier |
US20140001234A1 (en) | 2012-06-28 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Coupling arrangements for attaching surgical end effectors to drive systems therefor |
US9028494B2 (en) | 2012-06-28 | 2015-05-12 | Ethicon Endo-Surgery, Inc. | Interchangeable end effector coupling arrangement |
US9101385B2 (en) | 2012-06-28 | 2015-08-11 | Ethicon Endo-Surgery, Inc. | Electrode connections for rotary driven surgical tools |
EP2866686A1 (en) | 2012-06-28 | 2015-05-06 | Ethicon Endo-Surgery, Inc. | Empty clip cartridge lockout |
US9561038B2 (en) | 2012-06-28 | 2017-02-07 | Ethicon Endo-Surgery, Llc | Interchangeable clip applier |
US9204879B2 (en) | 2012-06-28 | 2015-12-08 | Ethicon Endo-Surgery, Inc. | Flexible drive member |
US9072536B2 (en) | 2012-06-28 | 2015-07-07 | Ethicon Endo-Surgery, Inc. | Differential locking arrangements for rotary powered surgical instruments |
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 |
US20140001231A1 (en) | 2012-06-28 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Firing system lockout arrangements for surgical instruments |
US9119657B2 (en) | 2012-06-28 | 2015-09-01 | Ethicon Endo-Surgery, Inc. | Rotary actuatable closure arrangement for surgical end effector |
US9386985B2 (en) | 2012-10-15 | 2016-07-12 | Ethicon Endo-Surgery, Llc | Surgical cutting instrument |
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 |
US20140249557A1 (en) | 2013-03-01 | 2014-09-04 | Ethicon Endo-Surgery, Inc. | Thumbwheel switch arrangements for surgical instruments |
BR112015021098B1 (en) | 2013-03-01 | 2022-02-15 | Ethicon Endo-Surgery, Inc | COVERAGE FOR A JOINT JOINT AND SURGICAL 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 |
US20140263552A1 (en) | 2013-03-13 | 2014-09-18 | Ethicon Endo-Surgery, Inc. | Staple cartridge tissue thickness sensor system |
US20140276914A1 (en) | 2013-03-14 | 2014-09-18 | Gyrus ACMI. Inc., d.b.a. Olympus Surgical Technologies America | Vaginal cuff closure tool and method |
US9629629B2 (en) | 2013-03-14 | 2017-04-25 | Ethicon Endo-Surgey, LLC | Control systems for surgical instruments |
US9808244B2 (en) | 2013-03-14 | 2017-11-07 | Ethicon Llc | Sensor arrangements for absolute positioning system for surgical instruments |
US9572577B2 (en) | 2013-03-27 | 2017-02-21 | Ethicon Endo-Surgery, Llc | Fastener cartridge comprising a tissue thickness compensator including openings therein |
US9795384B2 (en) | 2013-03-27 | 2017-10-24 | Ethicon Llc | Fastener cartridge comprising a tissue thickness compensator and a gap setting element |
US9332984B2 (en) | 2013-03-27 | 2016-05-10 | Ethicon Endo-Surgery, Llc | Fastener cartridge assemblies |
US9867612B2 (en) | 2013-04-16 | 2018-01-16 | Ethicon Llc | Powered surgical stapler |
BR112015026109B1 (en) | 2013-04-16 | 2022-02-22 | Ethicon Endo-Surgery, Inc | surgical instrument |
US9574644B2 (en) | 2013-05-30 | 2017-02-21 | Ethicon Endo-Surgery, Llc | Power module for use with a surgical instrument |
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 |
US9775609B2 (en) | 2013-08-23 | 2017-10-03 | Ethicon Llc | Tamper proof circuit for surgical instrument battery pack |
WO2015033368A1 (en) * | 2013-09-05 | 2015-03-12 | Calabrian High Tech Srl | Twin forceps for single access laparoscopy |
ITCS20130023A1 (en) * | 2013-09-05 | 2015-03-06 | Calabrian High Tech Srl | FOURTH GROUP OF POSSIBLE VERSIONS OF THE DOUBLE CLAMP FOR LAPAROSCOPY MONO ACCESS |
US20140171986A1 (en) | 2013-09-13 | 2014-06-19 | Ethicon Endo-Surgery, Inc. | Surgical Clip Having Comliant Portion |
US9247935B2 (en) | 2013-09-23 | 2016-02-02 | Ceterix Orthopaedics, Inc. | Arthroscopic knot pusher and suture cutter |
US10058311B1 (en) | 2013-10-09 | 2018-08-28 | Rogelio A. Insignares | Ergonomic multi-functional handle for use with a medical instrument |
US9717485B1 (en) | 2013-10-09 | 2017-08-01 | Daniel Glenn Doerr | Ergonomic multi-functional handle for use with a medical instrument |
KR101557008B1 (en) * | 2013-11-06 | 2015-10-02 | 주식회사 비씨엠 | Operation device for Lumen in Body |
US9681870B2 (en) | 2013-12-23 | 2017-06-20 | Ethicon Llc | Articulatable surgical instruments with separate and distinct closing and firing systems |
US9642620B2 (en) | 2013-12-23 | 2017-05-09 | Ethicon Endo-Surgery, Llc | Surgical cutting and stapling instruments with articulatable end effectors |
US20150173756A1 (en) | 2013-12-23 | 2015-06-25 | Ethicon Endo-Surgery, Inc. | Surgical cutting and stapling methods |
US9839428B2 (en) | 2013-12-23 | 2017-12-12 | Ethicon Llc | Surgical cutting and stapling instruments with independent jaw control features |
US9687232B2 (en) | 2013-12-23 | 2017-06-27 | Ethicon Llc | Surgical staples |
US9724092B2 (en) | 2013-12-23 | 2017-08-08 | Ethicon Llc | Modular surgical instruments |
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 |
US10390943B2 (en) | 2014-03-17 | 2019-08-27 | Evalve, Inc. | Double orifice device for transcatheter mitral valve replacement |
US9572666B2 (en) | 2014-03-17 | 2017-02-21 | Evalve, Inc. | Mitral valve fixation device removal devices and methods |
US9750499B2 (en) | 2014-03-26 | 2017-09-05 | Ethicon Llc | Surgical stapling instrument system |
US9913642B2 (en) | 2014-03-26 | 2018-03-13 | Ethicon Llc | Surgical instrument comprising a sensor system |
US9826977B2 (en) | 2014-03-26 | 2017-11-28 | Ethicon Llc | Sterilization verification circuit |
BR112016021943B1 (en) | 2014-03-26 | 2022-06-14 | Ethicon Endo-Surgery, Llc | SURGICAL INSTRUMENT FOR USE BY AN OPERATOR IN A SURGICAL PROCEDURE |
US9820738B2 (en) | 2014-03-26 | 2017-11-21 | Ethicon Llc | Surgical instrument comprising interactive systems |
US9801628B2 (en) | 2014-09-26 | 2017-10-31 | Ethicon Llc | Surgical staple and driver arrangements for staple cartridges |
US20150297223A1 (en) | 2014-04-16 | 2015-10-22 | Ethicon Endo-Surgery, Inc. | Fastener cartridges including extensions having different configurations |
US10299792B2 (en) | 2014-04-16 | 2019-05-28 | Ethicon Llc | Fastener cartridge comprising non-uniform fasteners |
CN106456158B (en) | 2014-04-16 | 2019-02-05 | 伊西康内外科有限责任公司 | Fastener cartridge including non-uniform fastener |
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 |
BR112016023807B1 (en) | 2014-04-16 | 2022-07-12 | Ethicon Endo-Surgery, Llc | CARTRIDGE SET OF FASTENERS FOR USE WITH A SURGICAL INSTRUMENT |
AU2015258819B2 (en) | 2014-05-16 | 2019-12-12 | Applied Medical Resources Corporation | Electrosurgical system |
EP3369392A1 (en) | 2014-05-30 | 2018-09-05 | Applied Medical Resources Corporation | Electrosurgical seal and dissection systems |
US10045781B2 (en) | 2014-06-13 | 2018-08-14 | Ethicon Llc | Closure lockout systems for surgical instruments |
US10016199B2 (en) | 2014-09-05 | 2018-07-10 | Ethicon Llc | Polarity of hall magnet to identify cartridge type |
BR112017004361B1 (en) | 2014-09-05 | 2023-04-11 | Ethicon Llc | ELECTRONIC SYSTEM FOR A SURGICAL INSTRUMENT |
US11311294B2 (en) | 2014-09-05 | 2022-04-26 | Cilag Gmbh International | Powered medical device including measurement of closure state of jaws |
US10105142B2 (en) | 2014-09-18 | 2018-10-23 | Ethicon Llc | Surgical stapler with plurality of cutting elements |
US11523821B2 (en) | 2014-09-26 | 2022-12-13 | Cilag Gmbh International | Method for creating a flexible staple line |
BR112017005981B1 (en) | 2014-09-26 | 2022-09-06 | Ethicon, Llc | ANCHOR MATERIAL FOR USE WITH A SURGICAL STAPLE CARTRIDGE AND SURGICAL STAPLE CARTRIDGE FOR USE WITH A SURGICAL INSTRUMENT |
US10076325B2 (en) | 2014-10-13 | 2018-09-18 | Ethicon Llc | Surgical stapling apparatus comprising a tissue stop |
US10194892B2 (en) | 2014-10-15 | 2019-02-05 | Karl Storz Endovision, Inc. | Detachable articulating endoscopic tool cartridge |
US9924944B2 (en) | 2014-10-16 | 2018-03-27 | Ethicon Llc | Staple cartridge comprising an adjunct material |
WO2016065225A1 (en) | 2014-10-24 | 2016-04-28 | GYRUS ACMI, INC. (d/b/a OLYMPUS SURGICAL TECHNOLOGIES AMERICA) | Instrument comprising a forceps with resilient jaws |
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 |
EP3226810A4 (en) | 2014-12-04 | 2018-08-15 | Edwards Lifesciences Corporation | Percutaneous clip for repairing a heart valve |
US10736636B2 (en) | 2014-12-10 | 2020-08-11 | Ethicon Llc | Articulatable surgical instrument system |
US10117649B2 (en) | 2014-12-18 | 2018-11-06 | Ethicon Llc | Surgical instrument assembly comprising a lockable articulation system |
US9987000B2 (en) | 2014-12-18 | 2018-06-05 | Ethicon Llc | Surgical instrument assembly comprising a flexible articulation system |
BR112017012996B1 (en) | 2014-12-18 | 2022-11-08 | Ethicon Llc | SURGICAL INSTRUMENT WITH AN ANvil WHICH IS SELECTIVELY MOVABLE ABOUT AN IMMOVABLE GEOMETRIC AXIS DIFFERENT FROM A STAPLE CARTRIDGE |
US9844375B2 (en) | 2014-12-18 | 2017-12-19 | Ethicon Llc | Drive arrangements for articulatable surgical instruments |
US10085748B2 (en) | 2014-12-18 | 2018-10-02 | Ethicon Llc | Locking arrangements for detachable shaft assemblies with articulatable surgical end effectors |
US10188385B2 (en) | 2014-12-18 | 2019-01-29 | Ethicon Llc | Surgical instrument system comprising lockable systems |
US9943309B2 (en) | 2014-12-18 | 2018-04-17 | Ethicon Llc | Surgical instruments with articulatable end effectors and movable firing beam support arrangements |
US9844374B2 (en) | 2014-12-18 | 2017-12-19 | Ethicon Llc | Surgical instrument systems comprising an articulatable end effector and means for adjusting the firing stroke of a firing member |
US10188392B2 (en) | 2014-12-19 | 2019-01-29 | Abbott Cardiovascular Systems, Inc. | Grasping for tissue repair |
US10420603B2 (en) | 2014-12-23 | 2019-09-24 | Applied Medical Resources Corporation | Bipolar electrosurgical sealer and divider |
USD748259S1 (en) | 2014-12-29 | 2016-01-26 | Applied Medical Resources Corporation | Electrosurgical instrument |
US10869592B2 (en) | 2015-02-23 | 2020-12-22 | Uroviu Corp. | Handheld surgical endoscope |
US11154301B2 (en) | 2015-02-27 | 2021-10-26 | Cilag Gmbh International | Modular stapling assembly |
US9931118B2 (en) | 2015-02-27 | 2018-04-03 | Ethicon Endo-Surgery, Llc | Reinforced battery for a surgical instrument |
US10226250B2 (en) | 2015-02-27 | 2019-03-12 | Ethicon Llc | Modular stapling assembly |
US10180463B2 (en) | 2015-02-27 | 2019-01-15 | Ethicon Llc | Surgical apparatus configured to assess whether a performance parameter of the surgical apparatus is within an acceptable performance band |
US9924961B2 (en) | 2015-03-06 | 2018-03-27 | Ethicon Endo-Surgery, Llc | Interactive feedback system for powered surgical instruments |
US10441279B2 (en) | 2015-03-06 | 2019-10-15 | Ethicon Llc | Multiple level thresholds to modify operation of powered surgical instruments |
US9901342B2 (en) | 2015-03-06 | 2018-02-27 | Ethicon Endo-Surgery, Llc | Signal and power communication system positioned on a rotatable shaft |
US9993248B2 (en) | 2015-03-06 | 2018-06-12 | Ethicon Endo-Surgery, Llc | Smart sensors with local signal processing |
US10687806B2 (en) | 2015-03-06 | 2020-06-23 | Ethicon Llc | Adaptive tissue compression techniques to adjust closure rates for multiple tissue types |
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 |
US9808246B2 (en) | 2015-03-06 | 2017-11-07 | Ethicon Endo-Surgery, Llc | Method of operating a powered surgical instrument |
US10617412B2 (en) | 2015-03-06 | 2020-04-14 | Ethicon Llc | System for detecting the mis-insertion of a staple cartridge into a surgical stapler |
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 |
US9895148B2 (en) | 2015-03-06 | 2018-02-20 | Ethicon Endo-Surgery, Llc | Monitoring speed control and precision incrementing of motor for powered surgical instruments |
US10052044B2 (en) | 2015-03-06 | 2018-08-21 | Ethicon Llc | Time dependent evaluation of sensor data to determine stability, creep, and viscoelastic elements of measures |
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 |
US10398459B2 (en) | 2015-04-02 | 2019-09-03 | Aod Holdings Llc | Combination device for endoscopic and arthroscopic surgical procedures |
US10524912B2 (en) | 2015-04-02 | 2020-01-07 | Abbott Cardiovascular Systems, Inc. | Tissue fixation devices and methods |
US10517726B2 (en) | 2015-05-14 | 2019-12-31 | Edwards Lifesciences Corporation | Heart valve sealing devices and delivery devices therefor |
US10368861B2 (en) | 2015-06-18 | 2019-08-06 | Ethicon Llc | Dual articulation drive system arrangements for articulatable surgical instruments |
US10376673B2 (en) | 2015-06-19 | 2019-08-13 | Evalve, Inc. | Catheter guiding system and methods |
US10238494B2 (en) | 2015-06-29 | 2019-03-26 | Evalve, Inc. | Self-aligning radiopaque ring |
US10226245B2 (en) | 2015-07-21 | 2019-03-12 | Ceterix Orthopaedics, Inc. | Automatically reloading suture passer devices that prevent entanglement |
US10667815B2 (en) | 2015-07-21 | 2020-06-02 | Evalve, Inc. | Tissue grasping devices and related methods |
US10413408B2 (en) | 2015-08-06 | 2019-09-17 | Evalve, Inc. | Delivery catheter systems, methods, and devices |
US11058425B2 (en) | 2015-08-17 | 2021-07-13 | Ethicon Llc | Implantable layers for a surgical instrument |
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 |
MX2022009705A (en) | 2015-08-26 | 2022-11-07 | Ethicon Llc | Surgical staples comprising hardness variations for improved fastening of tissue. |
US10166026B2 (en) | 2015-08-26 | 2019-01-01 | Ethicon Llc | Staple cartridge assembly including features for controlling the rotation of staples when being ejected therefrom |
MX2022006192A (en) | 2015-09-02 | 2022-06-16 | Ethicon Llc | Surgical staple configurations with camming surfaces located between portions supporting surgical staples. |
US10357252B2 (en) | 2015-09-02 | 2019-07-23 | Ethicon Llc | Surgical staple configurations with camming surfaces located between portions supporting surgical staples |
US10238386B2 (en) | 2015-09-23 | 2019-03-26 | Ethicon Llc | Surgical stapler having motor control based on an electrical parameter related to a motor current |
US10085751B2 (en) | 2015-09-23 | 2018-10-02 | Ethicon Llc | Surgical stapler having temperature-based motor control |
US10363036B2 (en) | 2015-09-23 | 2019-07-30 | Ethicon Llc | Surgical stapler having force-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 |
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 |
US10736633B2 (en) | 2015-09-30 | 2020-08-11 | Ethicon Llc | Compressible adjunct with looping members |
US10478188B2 (en) | 2015-09-30 | 2019-11-19 | Ethicon Llc | Implantable layer comprising a constricted configuration |
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 |
US10405853B2 (en) | 2015-10-02 | 2019-09-10 | Ceterix Orthpaedics, Inc. | Knot tying accessory |
US10238495B2 (en) | 2015-10-09 | 2019-03-26 | Evalve, Inc. | Delivery catheter handle and methods of use |
US10342540B2 (en) | 2015-10-15 | 2019-07-09 | Boston Scientific Scimed, Inc. | Tissue retraction devices and related methods of use |
US10265068B2 (en) | 2015-12-30 | 2019-04-23 | Ethicon Llc | Surgical instruments with separable motors and motor control circuits |
US10292704B2 (en) | 2015-12-30 | 2019-05-21 | Ethicon Llc | Mechanisms for compensating for battery pack failure in powered surgical instruments |
US10368865B2 (en) | 2015-12-30 | 2019-08-06 | Ethicon Llc | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
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 |
US10245029B2 (en) | 2016-02-09 | 2019-04-02 | Ethicon Llc | Surgical instrument with articulating and axially translatable end effector |
US11224426B2 (en) | 2016-02-12 | 2022-01-18 | Cilag Gmbh International | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US10258331B2 (en) | 2016-02-12 | 2019-04-16 | Ethicon Llc | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US10448948B2 (en) | 2016-02-12 | 2019-10-22 | Ethicon Llc | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US10799675B2 (en) | 2016-03-21 | 2020-10-13 | Edwards Lifesciences Corporation | Cam controlled multi-direction steerable handles |
US10835714B2 (en) | 2016-03-21 | 2020-11-17 | Edwards Lifesciences Corporation | Multi-direction steerable handles for steering catheters |
US10799677B2 (en) | 2016-03-21 | 2020-10-13 | Edwards Lifesciences Corporation | Multi-direction steerable handles for steering catheters |
US11219746B2 (en) | 2016-03-21 | 2022-01-11 | Edwards Lifesciences Corporation | Multi-direction steerable handles for steering catheters |
US10799676B2 (en) | 2016-03-21 | 2020-10-13 | Edwards Lifesciences Corporation | Multi-direction steerable handles for steering catheters |
US10485542B2 (en) | 2016-04-01 | 2019-11-26 | Ethicon Llc | Surgical stapling instrument comprising multiple lockouts |
US10413293B2 (en) | 2016-04-01 | 2019-09-17 | Ethicon Llc | Interchangeable surgical tool assembly with a surgical end effector that is selectively rotatable about a shaft axis |
US11284890B2 (en) | 2016-04-01 | 2022-03-29 | Cilag Gmbh International | Circular stapling system comprising an incisable tissue support |
US10617413B2 (en) | 2016-04-01 | 2020-04-14 | Ethicon Llc | Closure system arrangements for surgical cutting and stapling devices with separate and distinct firing shafts |
US10456140B2 (en) | 2016-04-01 | 2019-10-29 | Ethicon Llc | Surgical stapling system comprising an unclamping lockout |
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 |
US10828028B2 (en) | 2016-04-15 | 2020-11-10 | Ethicon Llc | Surgical instrument with multiple program responses during a firing motion |
US10405859B2 (en) | 2016-04-15 | 2019-09-10 | Ethicon Llc | Surgical instrument with adjustable stop/start control during a firing motion |
US10456137B2 (en) | 2016-04-15 | 2019-10-29 | Ethicon Llc | Staple formation detection mechanisms |
US10492783B2 (en) | 2016-04-15 | 2019-12-03 | Ethicon, Llc | Surgical instrument with improved stop/start control during a firing motion |
US10357247B2 (en) | 2016-04-15 | 2019-07-23 | Ethicon Llc | Surgical instrument with multiple program responses during a firing motion |
US11179150B2 (en) | 2016-04-15 | 2021-11-23 | Cilag Gmbh International | Systems and methods for controlling a surgical stapling and cutting instrument |
US11607239B2 (en) | 2016-04-15 | 2023-03-21 | Cilag Gmbh International | Systems and methods for controlling a surgical stapling and cutting instrument |
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 |
US10426469B2 (en) | 2016-04-18 | 2019-10-01 | Ethicon Llc | Surgical instrument comprising a primary firing lockout and a secondary firing lockout |
JP7008910B2 (en) | 2016-06-20 | 2022-01-25 | エバルブ,インコーポレイティド | Transapex removal device |
CN109310431B (en) | 2016-06-24 | 2022-03-04 | 伊西康有限责任公司 | Staple cartridge comprising wire staples and punch staples |
US10702270B2 (en) | 2016-06-24 | 2020-07-07 | Ethicon Llc | Stapling system for use with wire staples and stamped staples |
USD850617S1 (en) | 2016-06-24 | 2019-06-04 | Ethicon Llc | Surgical fastener cartridge |
USD826405S1 (en) | 2016-06-24 | 2018-08-21 | Ethicon Llc | Surgical fastener |
USD847989S1 (en) | 2016-06-24 | 2019-05-07 | Ethicon Llc | Surgical fastener cartridge |
US10736632B2 (en) | 2016-07-06 | 2020-08-11 | Evalve, Inc. | Methods and devices for valve clip excision |
US10973638B2 (en) | 2016-07-07 | 2021-04-13 | Edwards Lifesciences Corporation | Device and method for treating vascular insufficiency |
US11166709B2 (en) | 2016-08-23 | 2021-11-09 | Stryker European Operations Holdings Llc | Instrumentation and methods for the implantation of spinal implants |
US10420574B2 (en) * | 2016-09-19 | 2019-09-24 | Richard Devere Thrasher, III | Double forceps |
US11071564B2 (en) | 2016-10-05 | 2021-07-27 | Evalve, Inc. | Cardiac valve cutting device |
US10653862B2 (en) | 2016-11-07 | 2020-05-19 | Edwards Lifesciences Corporation | Apparatus for the introduction and manipulation of multiple telescoping catheters |
US10363138B2 (en) | 2016-11-09 | 2019-07-30 | Evalve, Inc. | Devices for adjusting the curvature of cardiac valve structures |
US10398553B2 (en) | 2016-11-11 | 2019-09-03 | Evalve, Inc. | Opposing disk device for grasping cardiac valve tissue |
US10426616B2 (en) | 2016-11-17 | 2019-10-01 | Evalve, Inc. | Cardiac implant delivery system |
US10779837B2 (en) | 2016-12-08 | 2020-09-22 | Evalve, Inc. | Adjustable arm device for grasping tissues |
US10314586B2 (en) | 2016-12-13 | 2019-06-11 | Evalve, Inc. | Rotatable device and method for fixing tricuspid valve tissue |
US20180168619A1 (en) | 2016-12-21 | 2018-06-21 | Ethicon Endo-Surgery, Llc | Surgical stapling systems |
US10893864B2 (en) | 2016-12-21 | 2021-01-19 | Ethicon | Staple cartridges and arrangements of staples and staple cavities therein |
US10856868B2 (en) | 2016-12-21 | 2020-12-08 | Ethicon Llc | Firing member pin configurations |
US11160551B2 (en) | 2016-12-21 | 2021-11-02 | Cilag Gmbh International | Articulatable surgical stapling instruments |
US10568626B2 (en) | 2016-12-21 | 2020-02-25 | Ethicon Llc | Surgical instruments with jaw opening features for increasing a jaw opening distance |
US10758229B2 (en) | 2016-12-21 | 2020-09-01 | Ethicon Llc | Surgical instrument comprising improved jaw control |
US10667809B2 (en) | 2016-12-21 | 2020-06-02 | Ethicon Llc | Staple cartridge and staple cartridge channel comprising windows defined therein |
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 |
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 |
JP7010956B2 (en) | 2016-12-21 | 2022-01-26 | エシコン エルエルシー | How to staple tissue |
US10898186B2 (en) | 2016-12-21 | 2021-01-26 | Ethicon Llc | Staple forming pocket arrangements comprising primary sidewalls and pocket sidewalls |
US20180168615A1 (en) | 2016-12-21 | 2018-06-21 | Ethicon Endo-Surgery, Llc | Method of deforming staples from two different types of staple cartridges with the same surgical stapling instrument |
US10687810B2 (en) | 2016-12-21 | 2020-06-23 | Ethicon Llc | Stepped staple cartridge with tissue retention and gap setting features |
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 |
CN110087565A (en) | 2016-12-21 | 2019-08-02 | 爱惜康有限责任公司 | Surgical stapling system |
US10993715B2 (en) | 2016-12-21 | 2021-05-04 | Ethicon Llc | Staple cartridge comprising staples with different clamping breadths |
US10675026B2 (en) | 2016-12-21 | 2020-06-09 | Ethicon Llc | Methods of stapling tissue |
US10758230B2 (en) | 2016-12-21 | 2020-09-01 | Ethicon Llc | Surgical instrument with primary and safety processors |
US10426471B2 (en) | 2016-12-21 | 2019-10-01 | Ethicon Llc | Surgical instrument with multiple failure response modes |
US10945727B2 (en) | 2016-12-21 | 2021-03-16 | Ethicon Llc | Staple cartridge with deformable driver retention features |
US10537324B2 (en) | 2016-12-21 | 2020-01-21 | Ethicon Llc | Stepped staple cartridge with asymmetrical staples |
US11134942B2 (en) | 2016-12-21 | 2021-10-05 | Cilag Gmbh International | Surgical stapling instruments and staple-forming anvils |
US10835245B2 (en) | 2016-12-21 | 2020-11-17 | Ethicon Llc | Method for attaching a shaft assembly to a surgical instrument and, alternatively, to a surgical robot |
US11684367B2 (en) | 2016-12-21 | 2023-06-27 | Cilag Gmbh International | Stepped assembly having and end-of-life indicator |
US10905554B2 (en) | 2017-01-05 | 2021-02-02 | Edwards Lifesciences Corporation | Heart valve coaptation device |
AU2018250564A1 (en) * | 2017-04-10 | 2019-10-17 | 11:11, Llc | Hair grasping device |
US11369379B2 (en) | 2017-04-10 | 2022-06-28 | 11:11, Llc | Hair grasping device |
ES2906137T3 (en) | 2017-04-18 | 2022-04-13 | Edwards Lifesciences Corp | Heart valve sealing devices and delivery devices therefor |
US11224511B2 (en) | 2017-04-18 | 2022-01-18 | Edwards Lifesciences Corporation | Heart valve sealing devices and delivery devices therefor |
US10799312B2 (en) | 2017-04-28 | 2020-10-13 | Edwards Lifesciences Corporation | Medical device stabilizing apparatus and method of use |
US10959846B2 (en) | 2017-05-10 | 2021-03-30 | Edwards Lifesciences Corporation | Mitral valve spacer device |
US11065119B2 (en) | 2017-05-12 | 2021-07-20 | Evalve, Inc. | Long arm valve repair clip |
US10624633B2 (en) | 2017-06-20 | 2020-04-21 | Ethicon Llc | Systems and methods for controlling motor velocity of a surgical stapling and cutting instrument |
US11653914B2 (en) | 2017-06-20 | 2023-05-23 | Cilag Gmbh International | Systems and methods for controlling motor velocity of a surgical stapling and cutting instrument according to articulation angle of end effector |
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 |
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 |
US11382638B2 (en) | 2017-06-20 | 2022-07-12 | Cilag Gmbh International | Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on measured time over a specified displacement distance |
US10888321B2 (en) | 2017-06-20 | 2021-01-12 | Ethicon Llc | Systems and methods for controlling velocity of a displacement member of a surgical stapling and cutting instrument |
USD890784S1 (en) | 2017-06-20 | 2020-07-21 | 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 |
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 |
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 |
US10881399B2 (en) | 2017-06-20 | 2021-01-05 | Ethicon Llc | Techniques for adaptive 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 |
US10646220B2 (en) | 2017-06-20 | 2020-05-12 | Ethicon Llc | Systems and methods for controlling displacement member velocity for a surgical instrument |
US11071554B2 (en) | 2017-06-20 | 2021-07-27 | Cilag Gmbh International | Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on magnitude of velocity error measurements |
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 |
USD879808S1 (en) | 2017-06-20 | 2020-03-31 | Ethicon Llc | Display panel with graphical user interface |
US10881396B2 (en) | 2017-06-20 | 2021-01-05 | Ethicon Llc | Surgical instrument with variable duration trigger arrangement |
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 |
US10772629B2 (en) | 2017-06-27 | 2020-09-15 | Ethicon Llc | Surgical anvil arrangements |
US10856869B2 (en) | 2017-06-27 | 2020-12-08 | Ethicon Llc | Surgical anvil arrangements |
US11141154B2 (en) | 2017-06-27 | 2021-10-12 | Cilag Gmbh International | Surgical end effectors and anvils |
US11324503B2 (en) | 2017-06-27 | 2022-05-10 | Cilag Gmbh International | Surgical firing member arrangements |
US10993716B2 (en) | 2017-06-27 | 2021-05-04 | Ethicon Llc | Surgical anvil arrangements |
US11266405B2 (en) | 2017-06-27 | 2022-03-08 | Cilag Gmbh International | Surgical anvil manufacturing methods |
USD906355S1 (en) | 2017-06-28 | 2020-12-29 | Ethicon Llc | Display screen or portion thereof with a graphical user interface for a surgical instrument |
US10765427B2 (en) | 2017-06-28 | 2020-09-08 | Ethicon Llc | Method for articulating a surgical instrument |
US11259805B2 (en) | 2017-06-28 | 2022-03-01 | Cilag Gmbh International | Surgical instrument comprising firing member supports |
US11246592B2 (en) | 2017-06-28 | 2022-02-15 | Cilag Gmbh International | Surgical instrument comprising an articulation system lockable to a frame |
USD851762S1 (en) | 2017-06-28 | 2019-06-18 | Ethicon Llc | Anvil |
USD854151S1 (en) | 2017-06-28 | 2019-07-16 | Ethicon Llc | Surgical instrument shaft |
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 |
US10588633B2 (en) | 2017-06-28 | 2020-03-17 | Ethicon Llc | Surgical instruments with open and closable jaws and axially movable firing member that is initially parked in close proximity to the jaws prior to firing |
EP4070740A1 (en) | 2017-06-28 | 2022-10-12 | Cilag GmbH International | Surgical instrument comprising selectively actuatable rotatable couplers |
US11058424B2 (en) | 2017-06-28 | 2021-07-13 | Cilag Gmbh International | Surgical instrument comprising an offset articulation joint |
US10903685B2 (en) | 2017-06-28 | 2021-01-26 | Ethicon Llc | Surgical shaft assemblies with slip ring assemblies forming capacitive channels |
US10211586B2 (en) | 2017-06-28 | 2019-02-19 | Ethicon Llc | Surgical shaft assemblies with watertight housings |
USD869655S1 (en) | 2017-06-28 | 2019-12-10 | Ethicon Llc | Surgical fastener cartridge |
US10398434B2 (en) | 2017-06-29 | 2019-09-03 | Ethicon Llc | Closed loop velocity control of closure member for robotic surgical instrument |
US10898183B2 (en) | 2017-06-29 | 2021-01-26 | Ethicon Llc | Robotic surgical instrument with closed loop feedback techniques for advancement of closure member during firing |
US10258418B2 (en) | 2017-06-29 | 2019-04-16 | Ethicon Llc | System for controlling articulation forces |
US11007022B2 (en) | 2017-06-29 | 2021-05-18 | Ethicon Llc | Closed loop velocity control techniques based on sensed tissue parameters for robotic surgical instrument |
US10932772B2 (en) | 2017-06-29 | 2021-03-02 | Ethicon Llc | Methods for closed loop velocity control for robotic surgical instrument |
US11944300B2 (en) | 2017-08-03 | 2024-04-02 | Cilag Gmbh International | Method for operating a surgical system bailout |
US11304695B2 (en) | 2017-08-03 | 2022-04-19 | Cilag Gmbh International | Surgical system shaft interconnection |
US11471155B2 (en) | 2017-08-03 | 2022-10-18 | Cilag Gmbh International | Surgical system bailout |
US11051940B2 (en) | 2017-09-07 | 2021-07-06 | Edwards Lifesciences Corporation | Prosthetic spacer device for heart valve |
US11065117B2 (en) | 2017-09-08 | 2021-07-20 | Edwards Lifesciences Corporation | Axisymmetric adjustable device for treating mitral regurgitation |
US11040174B2 (en) | 2017-09-19 | 2021-06-22 | Edwards Lifesciences Corporation | Multi-direction steerable handles for steering catheters |
USD917500S1 (en) | 2017-09-29 | 2021-04-27 | Ethicon Llc | Display screen or portion thereof with graphical user interface |
US10796471B2 (en) | 2017-09-29 | 2020-10-06 | Ethicon Llc | Systems and methods of displaying a knife position for a surgical instrument |
US10765429B2 (en) | 2017-09-29 | 2020-09-08 | Ethicon Llc | Systems and methods for providing alerts according to the operational state of a surgical instrument |
US11399829B2 (en) | 2017-09-29 | 2022-08-02 | Cilag Gmbh International | Systems and methods of initiating a power shutdown mode for a surgical instrument |
US10743872B2 (en) | 2017-09-29 | 2020-08-18 | Ethicon Llc | System and methods for controlling a display of a surgical instrument |
USD907647S1 (en) | 2017-09-29 | 2021-01-12 | Ethicon Llc | Display screen or portion thereof with animated graphical user interface |
US10729501B2 (en) | 2017-09-29 | 2020-08-04 | Ethicon Llc | Systems and methods for language selection of a surgical instrument |
USD907648S1 (en) | 2017-09-29 | 2021-01-12 | Ethicon Llc | Display screen or portion thereof with animated graphical user interface |
US11090075B2 (en) | 2017-10-30 | 2021-08-17 | Cilag Gmbh International | Articulation features for surgical end effector |
US11134944B2 (en) | 2017-10-30 | 2021-10-05 | Cilag Gmbh International | Surgical stapler knife motion controls |
US10842490B2 (en) | 2017-10-31 | 2020-11-24 | Ethicon Llc | Cartridge body design with force reduction based on firing completion |
US10779903B2 (en) | 2017-10-31 | 2020-09-22 | Ethicon Llc | Positive shaft rotation lock activated by jaw closure |
CN109893078B (en) * | 2017-12-11 | 2021-12-03 | 梅达布蒂奇股份有限公司 | Laparoscope |
US11033267B2 (en) | 2017-12-15 | 2021-06-15 | Ethicon Llc | Systems and methods of controlling a clamping member firing rate of a surgical instrument |
US10743874B2 (en) | 2017-12-15 | 2020-08-18 | Ethicon Llc | Sealed adapters for use with electromechanical surgical instruments |
US10743875B2 (en) | 2017-12-15 | 2020-08-18 | Ethicon Llc | Surgical end effectors with jaw stiffener arrangements configured to permit monitoring of firing member |
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 |
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 |
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 |
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 |
US10779826B2 (en) | 2017-12-15 | 2020-09-22 | Ethicon Llc | Methods of operating surgical end effectors |
US10869666B2 (en) | 2017-12-15 | 2020-12-22 | Ethicon Llc | Adapters with control systems for controlling multiple motors of an electromechanical surgical instrument |
US11071543B2 (en) | 2017-12-15 | 2021-07-27 | Cilag Gmbh International | Surgical end effectors with clamping assemblies configured to increase jaw aperture ranges |
US10687813B2 (en) | 2017-12-15 | 2020-06-23 | Ethicon Llc | Adapters with firing stroke sensing arrangements for use in connection with electromechanical surgical instruments |
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 |
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 |
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 |
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 |
US11045270B2 (en) | 2017-12-19 | 2021-06-29 | Cilag Gmbh International | Robotic attachment comprising exterior drive actuator |
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 |
US11583274B2 (en) | 2017-12-21 | 2023-02-21 | Cilag Gmbh International | Self-guiding stapling instrument |
US11311290B2 (en) | 2017-12-21 | 2022-04-26 | Cilag Gmbh International | Surgical instrument comprising an end effector dampener |
US10231837B1 (en) | 2018-01-09 | 2019-03-19 | Edwards Lifesciences Corporation | Native valve repair devices and procedures |
US10123873B1 (en) | 2018-01-09 | 2018-11-13 | Edwards Lifesciences Corporation | Native valve repair devices and procedures |
US10245144B1 (en) | 2018-01-09 | 2019-04-02 | Edwards Lifesciences Corporation | Native valve repair devices and procedures |
US10238493B1 (en) | 2018-01-09 | 2019-03-26 | Edwards Lifesciences Corporation | Native valve repair devices and procedures |
US10076415B1 (en) | 2018-01-09 | 2018-09-18 | Edwards Lifesciences Corporation | Native valve repair devices and procedures |
US10136993B1 (en) | 2018-01-09 | 2018-11-27 | Edwards Lifesciences Corporation | Native valve repair devices and procedures |
US10973639B2 (en) | 2018-01-09 | 2021-04-13 | Edwards Lifesciences Corporation | Native valve repair devices and procedures |
US10111751B1 (en) | 2018-01-09 | 2018-10-30 | Edwards Lifesciences Corporation | Native valve repair devices and procedures |
US10105222B1 (en) | 2018-01-09 | 2018-10-23 | Edwards Lifesciences Corporation | Native valve repair devices and procedures |
EP3964175A1 (en) | 2018-01-09 | 2022-03-09 | Edwards Lifesciences Corporation | Native valve repair devices and procedures |
US10159570B1 (en) | 2018-01-09 | 2018-12-25 | Edwards Lifesciences Corporation | Native valve repair devices and procedures |
EP3545857B1 (en) | 2018-03-30 | 2024-01-03 | Stryker European Operations Holdings LLC | Lateral access retractor and core insertion |
US11389297B2 (en) | 2018-04-12 | 2022-07-19 | Edwards Lifesciences Corporation | Mitral valve spacer device |
US11207181B2 (en) | 2018-04-18 | 2021-12-28 | Edwards Lifesciences Corporation | Heart valve sealing devices and delivery devices therefor |
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 |
US10856870B2 (en) | 2018-08-20 | 2020-12-08 | Ethicon Llc | Switching arrangements for motor powered articulatable surgical instruments |
US11045192B2 (en) | 2018-08-20 | 2021-06-29 | Cilag Gmbh International | Fabricating techniques for surgical stapler anvils |
US10912559B2 (en) | 2018-08-20 | 2021-02-09 | Ethicon Llc | Reinforced deformable anvil tip for surgical stapler anvil |
US11039834B2 (en) | 2018-08-20 | 2021-06-22 | Cilag Gmbh International | Surgical stapler anvils with staple directing protrusions and tissue stability features |
USD914878S1 (en) | 2018-08-20 | 2021-03-30 | Ethicon Llc | Surgical instrument anvil |
US10842492B2 (en) | 2018-08-20 | 2020-11-24 | Ethicon Llc | Powered articulatable surgical instruments with clutching and locking arrangements for linking an articulation drive system to a firing drive system |
US11207065B2 (en) | 2018-08-20 | 2021-12-28 | Cilag Gmbh International | Method for fabricating surgical stapler anvils |
US11083458B2 (en) | 2018-08-20 | 2021-08-10 | Cilag Gmbh International | Powered surgical instruments with clutching arrangements to convert linear drive motions to rotary drive motions |
US11253256B2 (en) | 2018-08-20 | 2022-02-22 | Cilag Gmbh International | Articulatable motor powered surgical instruments with dedicated articulation motor arrangements |
US10779821B2 (en) | 2018-08-20 | 2020-09-22 | Ethicon Llc | Surgical stapler anvils with tissue stop features configured to avoid tissue pinch |
US11864812B2 (en) | 2018-09-05 | 2024-01-09 | Applied Medical Resources Corporation | Electrosurgical generator control system |
US10945844B2 (en) | 2018-10-10 | 2021-03-16 | Edwards Lifesciences Corporation | Heart valve sealing devices and delivery devices therefor |
KR20210092263A (en) | 2018-11-16 | 2021-07-23 | 어플라이드 메디컬 리소시스 코포레이션 | electrosurgical system |
CN114206264A (en) | 2019-02-14 | 2022-03-18 | 爱德华兹生命科学公司 | Heart valve sealing device and delivery device thereof |
US11147551B2 (en) | 2019-03-25 | 2021-10-19 | Cilag Gmbh International | Firing drive arrangements for surgical systems |
US11147553B2 (en) | 2019-03-25 | 2021-10-19 | Cilag Gmbh International | Firing drive arrangements for surgical systems |
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 |
US11432816B2 (en) | 2019-04-30 | 2022-09-06 | Cilag Gmbh International | Articulation pin for a surgical instrument |
US11471157B2 (en) | 2019-04-30 | 2022-10-18 | Cilag Gmbh International | Articulation control mapping for a surgical instrument |
US11648009B2 (en) | 2019-04-30 | 2023-05-16 | Cilag Gmbh International | Rotatable jaw tip for a surgical instrument |
US11253254B2 (en) | 2019-04-30 | 2022-02-22 | Cilag Gmbh International | Shaft rotation actuator on a surgical instrument |
US11903581B2 (en) | 2019-04-30 | 2024-02-20 | Cilag Gmbh International | Methods for stapling tissue using a surgical instrument |
US11426251B2 (en) | 2019-04-30 | 2022-08-30 | Cilag Gmbh International | Articulation directional lights on a surgical instrument |
US11452528B2 (en) | 2019-04-30 | 2022-09-27 | Cilag Gmbh International | Articulation actuators for a surgical instrument |
US11534303B2 (en) | 2020-04-09 | 2022-12-27 | Evalve, Inc. | Devices and systems for accessing and repairing a heart valve |
US11771419B2 (en) | 2019-06-28 | 2023-10-03 | Cilag Gmbh International | Packaging for a replaceable component of a surgical stapling system |
US11426167B2 (en) | 2019-06-28 | 2022-08-30 | Cilag Gmbh International | Mechanisms for proper anvil attachment surgical stapling head assembly |
US11219455B2 (en) | 2019-06-28 | 2022-01-11 | Cilag Gmbh International | Surgical instrument including a lockout key |
US11399837B2 (en) | 2019-06-28 | 2022-08-02 | Cilag Gmbh International | Mechanisms for motor control adjustments of a motorized surgical instrument |
US11259803B2 (en) | 2019-06-28 | 2022-03-01 | Cilag Gmbh International | Surgical stapling system having an information encryption protocol |
US11298132B2 (en) | 2019-06-28 | 2022-04-12 | Cilag GmbH Inlernational | Staple cartridge including a honeycomb extension |
US11376098B2 (en) | 2019-06-28 | 2022-07-05 | Cilag Gmbh International | Surgical instrument system comprising an RFID system |
US11553971B2 (en) | 2019-06-28 | 2023-01-17 | Cilag Gmbh International | Surgical RFID assemblies for display and communication |
US11684434B2 (en) | 2019-06-28 | 2023-06-27 | Cilag Gmbh International | Surgical RFID assemblies for instrument operational setting control |
US11224497B2 (en) | 2019-06-28 | 2022-01-18 | Cilag Gmbh International | Surgical systems with multiple RFID tags |
US11051807B2 (en) | 2019-06-28 | 2021-07-06 | Cilag Gmbh International | Packaging assembly including a particulate trap |
US11241235B2 (en) | 2019-06-28 | 2022-02-08 | Cilag Gmbh International | Method of using multiple RFID chips with a surgical assembly |
US11660163B2 (en) | 2019-06-28 | 2023-05-30 | Cilag Gmbh International | Surgical system with RFID tags for updating motor assembly parameters |
US11523822B2 (en) | 2019-06-28 | 2022-12-13 | Cilag Gmbh International | Battery pack including a circuit interrupter |
US11627959B2 (en) | 2019-06-28 | 2023-04-18 | Cilag Gmbh International | Surgical instruments including manual and powered system lockouts |
US11246678B2 (en) | 2019-06-28 | 2022-02-15 | Cilag Gmbh International | Surgical stapling system having a frangible RFID tag |
US11478241B2 (en) | 2019-06-28 | 2022-10-25 | Cilag Gmbh International | Staple cartridge including projections |
US11291451B2 (en) | 2019-06-28 | 2022-04-05 | Cilag Gmbh International | Surgical instrument with battery compatibility verification functionality |
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 |
US11497492B2 (en) | 2019-06-28 | 2022-11-15 | Cilag Gmbh International | Surgical instrument including an articulation lock |
US11638587B2 (en) | 2019-06-28 | 2023-05-02 | Cilag Gmbh International | RFID identification systems for surgical instruments |
EP3998993A1 (en) | 2019-07-15 | 2022-05-25 | Evalve, Inc. | Proximal element actuator fixation and release mechanisms |
JP2022541221A (en) | 2019-07-15 | 2022-09-22 | エバルブ,インコーポレイティド | Wide clip with non-deforming wings |
EP4003138A4 (en) * | 2019-07-25 | 2023-08-30 | Uroviu Corp. | Disposable endoscopy cannula with integrated grasper |
US11350955B2 (en) | 2019-09-12 | 2022-06-07 | First Pass, Llc | Intravascular articulating retrieval apparatus |
WO2021062103A1 (en) | 2019-09-26 | 2021-04-01 | Evalve, Inc. | Systems for intra-procedural cardiac pressure monitoring |
EP4041136A1 (en) | 2019-10-11 | 2022-08-17 | Evalve, Inc. | Repair clip for variable tissue thickness |
US11622859B2 (en) | 2019-11-08 | 2023-04-11 | Evalve, Inc. | Medical device delivery system with locking system |
WO2021097089A1 (en) | 2019-11-14 | 2021-05-20 | Evalve, Inc. | Kit with coaptation aid and fixation system and methods for valve repair |
WO2021097124A1 (en) | 2019-11-14 | 2021-05-20 | Evalve, Inc. | Catheter assembly with coaptation aid and methods for valve repair |
US11564674B2 (en) | 2019-11-27 | 2023-01-31 | K2M, Inc. | Lateral access system and method of use |
US11844520B2 (en) | 2019-12-19 | 2023-12-19 | Cilag Gmbh International | Staple cartridge comprising driver retention members |
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 |
US11607219B2 (en) | 2019-12-19 | 2023-03-21 | Cilag Gmbh International | Staple cartridge comprising a detachable tissue cutting knife |
US11931033B2 (en) | 2019-12-19 | 2024-03-19 | Cilag Gmbh International | Staple cartridge comprising a latch lockout |
US11464512B2 (en) | 2019-12-19 | 2022-10-11 | Cilag Gmbh International | Staple cartridge comprising a curved deck surface |
US11911032B2 (en) | 2019-12-19 | 2024-02-27 | Cilag Gmbh International | Staple cartridge comprising a seating cam |
US11234698B2 (en) | 2019-12-19 | 2022-02-01 | Cilag Gmbh International | Stapling system comprising a clamp lockout and a firing lockout |
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 |
US11529137B2 (en) | 2019-12-19 | 2022-12-20 | Cilag Gmbh International | Staple cartridge comprising driver retention members |
US11559304B2 (en) | 2019-12-19 | 2023-01-24 | Cilag Gmbh International | Surgical instrument comprising a rapid closure mechanism |
US11504122B2 (en) | 2019-12-19 | 2022-11-22 | Cilag Gmbh International | Surgical instrument comprising a nested firing member |
US11446029B2 (en) | 2019-12-19 | 2022-09-20 | Cilag Gmbh International | Staple cartridge comprising projections extending from a curved deck surface |
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 |
USD974560S1 (en) | 2020-06-02 | 2023-01-03 | Cilag Gmbh International | Staple cartridge |
USD975850S1 (en) | 2020-06-02 | 2023-01-17 | Cilag Gmbh International | Staple cartridge |
USD967421S1 (en) | 2020-06-02 | 2022-10-18 | Cilag Gmbh International | Staple cartridge |
USD976401S1 (en) | 2020-06-02 | 2023-01-24 | Cilag Gmbh International | Staple cartridge |
USD966512S1 (en) | 2020-06-02 | 2022-10-11 | Cilag Gmbh International | Staple cartridge |
US20220031320A1 (en) | 2020-07-28 | 2022-02-03 | Cilag Gmbh International | Surgical instruments with flexible firing member actuator constraint arrangements |
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 |
US11517390B2 (en) | 2020-10-29 | 2022-12-06 | Cilag Gmbh International | Surgical instrument comprising a limited travel switch |
USD980425S1 (en) | 2020-10-29 | 2023-03-07 | Cilag Gmbh International | Surgical instrument assembly |
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 |
US11534259B2 (en) | 2020-10-29 | 2022-12-27 | Cilag Gmbh International | Surgical instrument comprising an articulation indicator |
US11931025B2 (en) | 2020-10-29 | 2024-03-19 | Cilag Gmbh International | Surgical instrument comprising a releasable closure drive lock |
US11844518B2 (en) | 2020-10-29 | 2023-12-19 | Cilag Gmbh International | Method for operating a surgical instrument |
USD1013170S1 (en) | 2020-10-29 | 2024-01-30 | Cilag Gmbh International | Surgical instrument assembly |
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 |
US11653920B2 (en) | 2020-12-02 | 2023-05-23 | Cilag Gmbh International | Powered surgical instruments with communication interfaces through sterile barrier |
US11944296B2 (en) | 2020-12-02 | 2024-04-02 | Cilag Gmbh International | Powered surgical instruments with external connectors |
US11627960B2 (en) | 2020-12-02 | 2023-04-18 | Cilag Gmbh International | Powered surgical instruments with smart reload with separately attachable exteriorly mounted wiring connections |
US11744581B2 (en) | 2020-12-02 | 2023-09-05 | Cilag Gmbh International | Powered surgical instruments with multi-phase tissue treatment |
US11653915B2 (en) | 2020-12-02 | 2023-05-23 | Cilag Gmbh International | Surgical instruments with sled location detection and adjustment features |
US11678882B2 (en) | 2020-12-02 | 2023-06-20 | Cilag Gmbh International | Surgical instruments with interactive features to remedy incidental sled movements |
US11890010B2 (en) | 2020-12-02 | 2024-02-06 | Cllag GmbH International | Dual-sided reinforced reload for surgical instruments |
US11849943B2 (en) | 2020-12-02 | 2023-12-26 | Cilag Gmbh International | Surgical instrument with cartridge release mechanisms |
US11793514B2 (en) | 2021-02-26 | 2023-10-24 | Cilag Gmbh International | Staple cartridge comprising sensor array which may be embedded in cartridge body |
US11701113B2 (en) | 2021-02-26 | 2023-07-18 | Cilag Gmbh International | Stapling instrument comprising a separate power antenna and a data transfer antenna |
US11812964B2 (en) | 2021-02-26 | 2023-11-14 | Cilag Gmbh International | Staple cartridge comprising a power management circuit |
US11950779B2 (en) | 2021-02-26 | 2024-04-09 | Cilag Gmbh International | Method of powering and communicating with a staple cartridge |
US11730473B2 (en) | 2021-02-26 | 2023-08-22 | Cilag Gmbh International | Monitoring of manufacturing life-cycle |
US11950777B2 (en) | 2021-02-26 | 2024-04-09 | Cilag Gmbh International | Staple cartridge comprising an information access control system |
US11696757B2 (en) | 2021-02-26 | 2023-07-11 | Cilag Gmbh International | Monitoring of internal systems to detect and track cartridge motion status |
US11751869B2 (en) | 2021-02-26 | 2023-09-12 | Cilag Gmbh International | Monitoring of multiple sensors over time to detect moving characteristics of tissue |
US11744583B2 (en) | 2021-02-26 | 2023-09-05 | Cilag Gmbh International | Distal communication array to tune frequency of RF systems |
US11749877B2 (en) | 2021-02-26 | 2023-09-05 | Cilag Gmbh International | Stapling instrument comprising a signal antenna |
US11723657B2 (en) | 2021-02-26 | 2023-08-15 | Cilag Gmbh International | Adjustable communication based on available bandwidth and power capacity |
US11925349B2 (en) | 2021-02-26 | 2024-03-12 | Cilag Gmbh International | Adjustment to transfer parameters to improve available power |
US11723658B2 (en) | 2021-03-22 | 2023-08-15 | Cilag Gmbh International | Staple cartridge comprising a firing lockout |
US11806011B2 (en) | 2021-03-22 | 2023-11-07 | Cilag Gmbh International | Stapling instrument comprising tissue compression systems |
US11826012B2 (en) | 2021-03-22 | 2023-11-28 | Cilag Gmbh International | Stapling instrument comprising a pulsed motor-driven firing rack |
US11717291B2 (en) | 2021-03-22 | 2023-08-08 | Cilag Gmbh International | Staple cartridge comprising staples configured to apply different tissue compression |
US11826042B2 (en) | 2021-03-22 | 2023-11-28 | Cilag Gmbh International | Surgical instrument comprising a firing drive including a selectable leverage mechanism |
US11759202B2 (en) | 2021-03-22 | 2023-09-19 | Cilag Gmbh International | Staple cartridge comprising an implantable layer |
US11737749B2 (en) | 2021-03-22 | 2023-08-29 | Cilag Gmbh International | Surgical stapling instrument comprising a retraction system |
US11849945B2 (en) | 2021-03-24 | 2023-12-26 | Cilag Gmbh International | Rotary-driven surgical stapling assembly comprising eccentrically driven firing member |
US11786239B2 (en) | 2021-03-24 | 2023-10-17 | Cilag Gmbh International | Surgical instrument articulation joint arrangements comprising multiple moving linkage features |
US11832816B2 (en) | 2021-03-24 | 2023-12-05 | Cilag Gmbh International | Surgical stapling assembly comprising nonplanar staples and planar staples |
US11857183B2 (en) | 2021-03-24 | 2024-01-02 | Cilag Gmbh International | Stapling assembly components having metal substrates and plastic bodies |
US11896219B2 (en) | 2021-03-24 | 2024-02-13 | Cilag Gmbh International | Mating features between drivers and underside of a cartridge deck |
US11744603B2 (en) | 2021-03-24 | 2023-09-05 | Cilag Gmbh International | Multi-axis pivot joints for surgical instruments and methods for manufacturing same |
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 |
US11849944B2 (en) | 2021-03-24 | 2023-12-26 | Cilag Gmbh International | Drivers for fastener cartridge assemblies having rotary drive screws |
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 |
US11793516B2 (en) | 2021-03-24 | 2023-10-24 | Cilag Gmbh International | Surgical staple cartridge comprising longitudinal support beam |
US11896218B2 (en) | 2021-03-24 | 2024-02-13 | Cilag Gmbh International | Method of using a powered stapling device |
US11826047B2 (en) | 2021-05-28 | 2023-11-28 | Cilag Gmbh International | Stapling instrument comprising jaw mounts |
US11957337B2 (en) | 2021-10-18 | 2024-04-16 | Cilag Gmbh International | Surgical stapling assembly with offset ramped drive surfaces |
US11877745B2 (en) | 2021-10-18 | 2024-01-23 | Cilag Gmbh International | Surgical stapling assembly having longitudinally-repeating staple leg clusters |
US11937816B2 (en) | 2021-10-28 | 2024-03-26 | Cilag Gmbh International | Electrical lead arrangements for surgical instruments |
Family Cites Families (32)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US3035582A (en) * | 1959-10-16 | 1962-05-22 | Seiger Harry Wright | Multiple forceps tissue holding instrument |
US4054143A (en) * | 1975-04-26 | 1977-10-18 | Richard Wolf Gmbh | Single-pole coagulation forceps |
US4378810A (en) * | 1981-03-26 | 1983-04-05 | The Regents Of The University Of California | Assembly for performing biopsies using a combination probe-guide |
US4517965A (en) * | 1983-06-27 | 1985-05-21 | Ellison Arthur E | Tissue retractor |
US4919152A (en) * | 1987-03-02 | 1990-04-24 | Ralph Ger | Method of closing the opening of a hernial sac |
DE3344934A1 (en) * | 1983-12-13 | 1985-06-20 | Richard Wolf Gmbh, 7134 Knittlingen | ENDOSCOPE WITH DISTALLY DEFLECTABLE AUXILIARY INSTRUMENT |
EP0165472B1 (en) * | 1984-05-18 | 1991-02-06 | Harald Maslanka | Surgical gripping instrument |
DE3504292C1 (en) * | 1985-02-08 | 1986-07-24 | Richard Wolf Gmbh, 7134 Knittlingen | Instrument for endoscopic interventions, especially for percutaneous gallstone removal or gallbladder surgery |
US4763668A (en) * | 1985-10-28 | 1988-08-16 | Mill Rose Laboratories | Partible forceps instrument for endoscopy |
US4763669A (en) * | 1986-01-09 | 1988-08-16 | Jaeger John C | Surgical instrument with adjustable angle of operation |
US5059198A (en) * | 1986-04-21 | 1991-10-22 | Gimpelson Richard J | Gynecological tenaculum |
SU1342650A1 (en) * | 1986-06-02 | 1987-10-07 | Ленинградский институт текстильной и легкой промышленности им.С.М.Кирова | Flux for soldering with low-temperature solders |
US4872456A (en) * | 1987-11-12 | 1989-10-10 | Hasson Harrith M | Template incision device |
SU1597177A1 (en) * | 1987-12-14 | 1990-10-07 | Смоленский государственный медицинский институт | Device for biopsy of skin |
US4880015A (en) * | 1988-06-03 | 1989-11-14 | Nierman David M | Biopsy forceps |
US5152780A (en) * | 1990-05-31 | 1992-10-06 | Tnco, Inc. | Micro-instrument |
FR2668695B1 (en) * | 1990-11-06 | 1995-09-29 | Ethnor | ENDOSCOPIC SURGICAL INSTRUMENT FOR MOVING TISSUES OR ORGANS. |
US5209747A (en) * | 1990-12-13 | 1993-05-11 | Knoepfler Dennis J | Adjustable angle medical forceps |
US5195505A (en) * | 1990-12-27 | 1993-03-23 | United States Surgical Corporation | Surgical retractor |
DE4104755A1 (en) * | 1991-02-15 | 1992-08-20 | Heidmueller Harald | SURGICAL INSTRUMENT |
GB9109109D0 (en) * | 1991-04-26 | 1991-06-12 | Wild Andrew M | Surgical instruments |
US5201759A (en) * | 1991-04-29 | 1993-04-13 | Ferzli George S | Laparoscopic instrument |
US5147373A (en) * | 1991-04-29 | 1992-09-15 | Ferzli George S | Laparoscopic instrument |
DE4116970A1 (en) * | 1991-05-24 | 1992-11-26 | Heidmueller Harald | SURGICAL INSTRUMENT WITH INTERCHANGEABLE HANDLE |
US5176699A (en) * | 1991-06-05 | 1993-01-05 | Harold Markham | Surgical device with double jaw actuation |
US5195506A (en) * | 1991-10-18 | 1993-03-23 | Life Medical Products, Inc. | Surgical retractor for puncture operation |
US5281220A (en) * | 1992-01-13 | 1994-01-25 | Blake Joseph W Iii | Endoscopic instrument |
US5282826A (en) * | 1992-03-05 | 1994-02-01 | Quadtello Corporation | Dissector for endoscopic and laparoscopic use |
US5263967B1 (en) * | 1992-05-15 | 2000-12-19 | Brimfield Prec Inc | Medical instrument with dual action drive |
US5312391A (en) * | 1992-07-29 | 1994-05-17 | Wilk Peter J | Laparoscopic instrument assembly |
US5318013A (en) * | 1992-11-06 | 1994-06-07 | Wilk Peter J | Surgical clamping assembly and associated method |
AU6236794A (en) * | 1993-02-22 | 1994-09-14 | Valleylab, Inc. | A laparoscopic dissection tension retractor device and method |
-
1994
- 1994-01-25 AU AU62367/94A patent/AU6236794A/en not_active Abandoned
- 1994-01-25 WO PCT/US1994/001362 patent/WO1994018893A1/en not_active Application Discontinuation
- 1994-01-25 EP EP94909562A patent/EP0684789A1/en not_active Withdrawn
- 1994-01-25 JP JP6519013A patent/JPH08502438A/en active Pending
- 1994-01-25 CA CA002154172A patent/CA2154172A1/en not_active Abandoned
- 1994-01-25 KR KR1019950703501A patent/KR960700656A/en not_active Application Discontinuation
- 1994-02-21 FI FI940808A patent/FI940808A/en not_active Application Discontinuation
- 1994-02-21 CN CN94101371A patent/CN1093894A/en active Pending
- 1994-07-21 US US08/278,976 patent/US5474057A/en not_active Expired - Lifetime
-
1995
- 1995-12-12 US US08/570,921 patent/US5683349A/en not_active Expired - Lifetime
Also Published As
Publication number | Publication date |
---|---|
AU6236794A (en) | 1994-09-14 |
JPH08502438A (en) | 1996-03-19 |
US5683349A (en) | 1997-11-04 |
FI940808A (en) | 1994-08-23 |
WO1994018893A1 (en) | 1994-09-01 |
US5474057A (en) | 1995-12-12 |
CN1093894A (en) | 1994-10-26 |
FI940808A0 (en) | 1994-02-21 |
EP0684789A1 (en) | 1995-12-06 |
KR960700656A (en) | 1996-02-24 |
Similar Documents
Publication | Publication Date | Title |
---|---|---|
US5474057A (en) | Laparoscopic dissection tension retractor device and method | |
US5984932A (en) | Suturing instrument with one or more spreadable needle holders mounted for arcuate movement | |
US5304183A (en) | Tethered clamp retractor | |
US5957937A (en) | Suturing instrument with spreadable needle holder mounted for arcuate movement | |
US5993466A (en) | Suturing instrument with multiple rotatably mounted spreadable needle holders | |
AU742708B2 (en) | Systems, methods, and instruments for minimally invasive surgery | |
EP1861020B1 (en) | Multi-clip device | |
US6214028B1 (en) | Surgical instrument with multiple rotatably mounted offset end effectors and method of using the same | |
US5993467A (en) | Suturing instrument with rotatably mounted spreadable needle holder | |
EP0920280B1 (en) | Fingertip-mounted minimally invasive surgical instruments | |
US5415666A (en) | Tethered clamp retractor | |
US6165184A (en) | Systems methods and instruments for minimally invasive surgery | |
US5450842A (en) | Endoscopic surgical retractor | |
EP3054831B1 (en) | Device for supporting an endoscopic tool | |
AU2009217466A1 (en) | Methods and devices for performing gastrectomies and gastroplasties | |
CA2569878A1 (en) | Surgical closure instrument and methods | |
US20220280151A1 (en) | Trans-vaginal cuff anchor and method of deploying same | |
US11864752B2 (en) | Endoscopic stitching device for supporting suture needles in various orientations | |
WO2014052809A1 (en) | Surgical dissector device | |
WO1999005976A1 (en) | Surgical instrument with multiple spreadable end effectors mounted for arcuate movement | |
EP3730064A1 (en) | Port site incision closure device | |
US20190388080A1 (en) | Surgical retractors |
Legal Events
Date | Code | Title | Description |
---|---|---|---|
EEER | Examination request | ||
FZDE | Discontinued |