CN104334094A - 包括组织向内生长特征结构的组织厚度补偿件 - Google Patents
包括组织向内生长特征结构的组织厚度补偿件 Download PDFInfo
- Publication number
- CN104334094A CN104334094A CN201380027413.2A CN201380027413A CN104334094A CN 104334094 A CN104334094 A CN 104334094A CN 201380027413 A CN201380027413 A CN 201380027413A CN 104334094 A CN104334094 A CN 104334094A
- Authority
- CN
- China
- Prior art keywords
- nail
- nail bin
- layer
- anvil block
- compensating part
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Granted
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00491—Surgical glue applicators
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/10—Surgical instruments, devices or methods, e.g. tourniquets for applying or removing wound clamps, e.g. containing only one clamp or staple; Wound clamp magazines
- A61B17/105—Wound clamp magazines
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/064—Surgical staples, i.e. penetrating the tissue
- A61B17/0643—Surgical staples, i.e. penetrating the tissue with separate closing member, e.g. for interlocking with staple
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/064—Surgical staples, i.e. penetrating the tissue
- A61B17/0644—Surgical staples, i.e. penetrating the tissue penetrating the tissue, deformable to closed position
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
- A61B17/07207—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously the staples being applied sequentially
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
- A61B17/07292—Reinforcements for staple line, e.g. pledgets
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
- A61B17/115—Staplers for performing anastomosis in a single operation
- A61B17/1155—Circular staplers comprising a plurality of staples
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B17/2909—Handles
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00004—(bio)absorbable, (bio)resorbable, resorptive
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00477—Coupling
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00491—Surgical glue applicators
- A61B2017/00495—Surgical glue applicators for two-component glue
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00526—Methods of manufacturing
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00526—Methods of manufacturing
- A61B2017/0053—Loading magazines or sutures into applying tools
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00743—Type of operation; Specification of treatment sites
- A61B2017/00818—Treatment of the gastro-intestinal system
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00831—Material properties
- A61B2017/00884—Material properties enhancing wound closure
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00831—Material properties
- A61B2017/00893—Material properties pharmaceutically effective
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
- A61B2017/07214—Stapler heads
- A61B2017/07228—Arrangement of the staples
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
- A61B2017/07214—Stapler heads
- A61B2017/07235—Stapler heads containing different staples, e.g. staples of different shapes, sizes or materials
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
- A61B2017/07214—Stapler heads
- A61B2017/07242—Stapler heads achieving different staple heights during the same shot, e.g. using an anvil anvil having different heights or staples of different sizes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
- A61B2017/07214—Stapler heads
- A61B2017/0725—Stapler heads with settable gap between anvil and cartridge, e.g. for different staple heights at different shots
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
- A61B2017/07214—Stapler heads
- A61B2017/07257—Stapler heads characterised by its anvil
- A61B2017/07264—Stapler heads characterised by its anvil characterised by its staple forming cavities, e.g. geometry or material
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
- A61B2017/07214—Stapler heads
- A61B2017/07271—Stapler heads characterised by its cartridge
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
- A61B2017/07214—Stapler heads
- A61B2017/07278—Stapler heads characterised by its sled or its staple holder
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
- A61B2017/07214—Stapler heads
- A61B2017/07285—Stapler heads characterised by its cutter
-
- 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
- A61B2017/2908—Multiple segments connected by articulations
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B17/2909—Handles
- A61B2017/2912—Handles transmission of forces to actuating rod or piston
- A61B2017/2919—Handles transmission of forces to actuating rod or piston details of linkages or pivot points
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B17/2909—Handles
- A61B2017/2912—Handles transmission of forces to actuating rod or piston
- A61B2017/2923—Toothed members, e.g. rack and pinion
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B2017/2926—Details of heads or jaws
- A61B2017/2927—Details of heads or jaws the angular position of the head being adjustable with respect to the shaft
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B2017/2926—Details of heads or jaws
- A61B2017/2932—Transmission of forces to jaw members
- A61B2017/2933—Transmission of forces to jaw members camming or guiding means
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B2017/2926—Details of heads or jaws
- A61B2017/2932—Transmission of forces to jaw members
- A61B2017/2933—Transmission of forces to jaw members camming or guiding means
- A61B2017/2936—Pins in guiding slots
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B2017/320052—Guides for cutting instruments
-
- Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
- Y10T—TECHNICAL SUBJECTS COVERED BY FORMER US CLASSIFICATION
- Y10T428/00—Stock material or miscellaneous articles
- Y10T428/24—Structurally defined web or sheet [e.g., overall dimension, etc.]
- Y10T428/24058—Structurally defined web or sheet [e.g., overall dimension, etc.] including grain, strips, or filamentary elements in respective layers or components in angular relation
- Y10T428/24124—Fibers
-
- Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
- Y10T—TECHNICAL SUBJECTS COVERED BY FORMER US CLASSIFICATION
- Y10T428/00—Stock material or miscellaneous articles
- Y10T428/24—Structurally defined web or sheet [e.g., overall dimension, etc.]
- Y10T428/24273—Structurally defined web or sheet [e.g., overall dimension, etc.] including aperture
- Y10T428/24322—Composite web or sheet
- Y10T428/24331—Composite web or sheet including nonapertured component
-
- Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
- Y10T—TECHNICAL SUBJECTS COVERED BY FORMER US CLASSIFICATION
- Y10T428/00—Stock material or miscellaneous articles
- Y10T428/24—Structurally defined web or sheet [e.g., overall dimension, etc.]
- Y10T428/24479—Structurally defined web or sheet [e.g., overall dimension, etc.] including variation in thickness
- Y10T428/24612—Composite web or sheet
Abstract
本发明公开一种补偿件,在各种实施例中,补偿件能够附接到紧固器械的砧座(22760)。所述补偿件可包括能够附接到所述砧座的支撑层(24226)以及附接到所述支撑层的支架(24222)。在至少一个实施例中,所述支架可包括多个腔体和由生物相容性材料构成的多个支架层(24227),其中所述多个支架层和所述多个腔体可限定对组织和细胞向内生长有利的基质。
Description
背景技术
本发明涉及一种外科器械,并且在各种实施例中,本发明涉及被设计成用于切割和缝合组织的外科切割和缝合器械及其钉仓。
发明内容
以下为受权利要求书保护或可受权利要求书保护的本发明的实施例的不完全列表。
1.一种补偿件,所述补偿件能够附接到紧固器械的砧座,其中所述砧座包括成形表面,并且其中所述补偿件包括:
能够附接到所述砧座的支撑层;
附接到所述支撑层的支架,所述支架包括:
由生物相容性材料构成的多个支架层;以及
多个腔体,其中所述多个支架层和所述多个腔体限定对组织和细胞向内生长有利的基质。
2.根据实施例1所述的补偿件,其中每个支架层由纤维编织物构成。
3.根据实施例1或实施例2所述的补偿件,其中所述多个支架层包括第一层和第二层,其中所述第一层包括第一纤维图案并且所述第二层包括第二纤维图案,并且其中所述第一纤维图案不同于所述第二纤维图案。
4.根据前述实施例中任一项所述的补偿件,其中所述多个支架层包括第一层和第二层,其中所述第一层包括沿第一方向取向的纤维,其中所述第二层包括沿第二方向取向的纤维,并且其中所述第一方向斜向于所述第二方向。
5.根据前述实施例中任一项所述的补偿件,还包括包含在所述多个支架层内的药物。
6.根据前述实施例中任一项所述的补偿件,其中所述多个支架层包括第一层和第二层,其中所述第一层由第一材料构成并且所述第二层由第二材料构成,并且其中所述第一材料不同于所述第二材料。
7.根据前述实施例中任一项所述的补偿件,其中所述多个支架层包括第一层和第二层,其中第一药物吸收在所述第一层内并且第二药物吸收在所述第二层内,并且其中所述第一药物不同于所述第二药物。
8.根据前述实施例中任一项所述的补偿件,其中所述支架包括外表面,并且其中每个腔体包括位于所述外表面中的开口。
9.一种补偿件,所述补偿件能够附接到紧固器械的砧座,其中所述砧座包括成形表面,并且其中所述补偿件包括:
能够附接到所述砧座的附接层;
附接到所述附接层的结构化基质,所述结构化基质包括:
由生物相容性材料构成的多个基质层;和
多个井凹,其中所述基质层和所述井凹限定对组织和细胞向内生长有利的结构化支撑件。
10.根据实施例9所述的补偿件,其中每个基质层由纤维编织物构成。
11.根据实施例9或实施例10所述的补偿件,其中所述多个基质层包括第一层和第二层,其中所述第一层包括第一纤维图案并且所述第二层包括第二纤维图案,并且其中所述第一纤维图案不同于所述第二纤维图案。
12.根据实施例9-11中任一项所述的补偿件,其中所述多个基质层包括第一层和第二层,其中所述第一层包括沿第一方向取向的纤维,其中所述第二层包括沿第二方向取向的纤维,并且其中所述第一方向斜向于所述第二方向。
13.根据实施例9-12中任一项所述的补偿件,还包括包含在所述多个基质层内的药物。
14.根据实施例9-13中任一项所述的补偿件,其中所述多个基质层包括第一层和第二层,其中所述第一层由第一材料构成并且所述第二层由第二材料构成,并且其中所述第一材料不同于所述第二材料。
15.根据实施例9-14中任一项所述的补偿件,其中所述多个基质层包括第一层和第二层,其中第一药物吸收在所述第一层内并且第二药物吸收在所述第二层内,并且其中所述第一药物不同于所述第二药物。
16.根据实施例9-15中任一项所述的补偿件,其中所述结构化基质包括外表面,并且其中每个井凹包括位于所述外表面中的开口。
17.一种与紧固器械一起使用的缝合组件,所述缝合组件包括:
砧座,所述砧座包括成形表面;
补偿件,所述补偿件包括:
附接到所述砧座的支撑层;
附接到所述支撑层的支架,所述支架包括:
由生物相容性材料构成的多个支架层;
嵌入所述支架层中的药物;和
多个腔体,其中所述层和所述腔体限定对组织和细胞向内生长有利的基质。
附图说明
通过结合附图来参考本发明实施例的以下说明,本发明的特征及优点及其获取方法将会变得更加明显,并可更好地理解发明本身,其中:
图1是外科器械实施例的剖视图;
图1A是植入式钉仓的一个实施例的透视图;
图1B-图1E示出了用植入式钉仓夹持和缝合组织的端部执行器的部分;
图2是联接到外科器械的一部分的另一个端部执行器的局部横截面侧视图,其中端部执行器支撑外科钉仓并且其砧座处于打开位置;
图3是处于闭合位置的图2的端部执行器的另一个局部横截面侧视图;
图4是图2和图3的端部执行器在刀杆开始穿过端部执行器推进时的另一个局部横截面侧视图;
图5是图2-图4的端部执行器在刀杆被部分地推进穿过其中时的另一个局部横截面侧视图;
图6是安装在外科切割和缝合装置中的可供选择的钉仓实施例的透视图;
图7是图6所示装置的外科钉仓和细长通道的顶视图;
图8是安装在端部执行器的细长通道中的另一个外科钉仓实施例的顶视图;
图9是砧座的底视图;
图10是形成钉线的一部分的多个钉的局部透视图;
图11是图10的钉线的另一个局部透视图,其中所述钉线的钉在与外科切割和缝合装置的砧座接触之后形成;
图12是形成另一条钉线的一部分的可供选择的钉的局部透视图;
图13是形成另一条钉线的一部分的可供选择的钉的局部透视图;
图14是形成另一条钉线实施例的一部分的可供选择的钉的局部透视图;
图15是支撑钉仓的端部执行器的剖视图;
图16是图15的端部执行器的细长通道部分在从其移除植入式钉仓主体部分和钉之后的剖视图;
图17是支撑另一个钉仓的端部执行器的剖视图;
图18A-图18D根据至少一个实施例描绘定位在可塌缩钉仓体内的外科钉的变形;
图19A是示出定位在可压溃钉仓体中的钉的示意图;
图19B是示出图19A的可压溃钉仓体被砧座压溃的示意图;
图19C是示出图19A的可压溃钉仓体被砧座进一步压溃的示意图;
图19D是示出图19A的钉处于完全成形构型并且图19A的可压溃钉仓处于完全压溃条件的示意图;
图20是描绘抵靠钉仓支撑表面而定位的钉并且示出钉与钉仓支撑表面之间的潜在相对运动的示意图;
图21是钉仓支撑表面的剖视图,该钉仓支撑表面包括狭槽或槽,其能够稳定图20的钉的基部;
图22是根据至少一个另选的实施例的钉的剖视图,该钉包括重叠注塑的冠部和能够接收该冠部的一部分的狭槽或槽;
图23是根据至少一个实施例的钉仓的顶视图,该钉仓包括嵌入可塌缩钉仓体中的钉;
图24是图23的钉仓的正视图;
图25是根据至少一个实施例的钉仓的正视图,该钉仓包括围绕定位在可塌缩钉仓体内的钉的保护层;
图26是沿着图25的线26-26截取的图25的钉仓的剖视图;
图27是根据至少一个实施例的钉仓的正视图,该钉仓包括至少部分地延伸于可塌缩钉仓体之外的钉和围绕钉仓体的保护层;
图28是沿着图27的线28-28截取的图27的钉仓的剖视图;
图29是根据至少一个实施例的钉仓的局部切除视图,该钉仓包括至少部分地嵌入可塌缩钉仓体中的钉,该钉至少部分地定位于钉仓体中的钉腔空隙中;
图30是沿着图29的线30-30截取的图29的钉仓的剖视图;
图31是根据至少一个实施例的钉仓的局部切除视图;
图32是根据至少一个实施例的钉仓的局部切除视图,该钉仓包括至少部分地嵌入可塌缩钉仓体内的钉以及连接钉并且使钉相对于彼此对齐的对齐矩阵;
图33是沿着图32的线33-33截取的图32的钉仓的剖视图;
图34是可压缩钉仓体的内层的局部剖视图;
图35是示出了在传送板和支撑板之间被压缩的图34的内层的示意图;
图36是示出钉被插入图35的经压缩内层中的示意图;
图37是示出图35的支撑板从内层被移除的示意图;
图38是包括图34的内层和被插入外层中的图36的钉的子组件的示意图;
图39是示出图38的外层被密封以形成密封钉仓的示意图;
图40是图39的密封钉仓的剖视图;
图41是根据至少一个实施例的钉仓和钉仓通道的剖视图;
图42是示出图41的钉仓的一部分处于变形状态的示意图;
图43是外科缝合器的端部执行器的正视图,该端部执行器包括处于打开位置的砧座和定位在钉仓通道内的钉仓;
图44是图43的端部执行器的正视图,其示出了处于闭合位置的砧座和被压缩于砧座与钉仓通道之间的钉仓;
图45是图43的端部执行器的正视图,其示出了以替代方式定位在钉仓通道内的图43的钉仓;
图46是外科缝合器的端部执行器的剖视图,该端部执行器包括定位在钉仓通道内的可压缩钉仓和附接到砧座的一块支撑物材料;
图47是图46的端部执行器的剖视图,其示出了处于闭合位置的砧座;
图48是外科缝合器的端部执行器的另选的实施例的剖视图,该端部执行器包括具有不透水层的钉仓;
图49是外科缝合器的端部执行器的另一个另选的实施例的剖视图;
图50是外科缝合器的端部执行器的另选的实施例的剖视图,该端部执行器包括阶梯式砧座和具有阶梯式仓体的钉仓;
图51是外科缝合器的端部执行器的另一个另选的实施例的剖视图;
图52是外科缝合器的端部执行器的另选的实施例的剖视图,该端部执行器包括倾斜的组织接触表面;
图53是外科缝合器的端部执行器的另一个另选的实施例的剖视图,该端部执行器包括倾斜的组织接触表面;
图54是外科缝合器的端部执行器的另选的实施例的剖视图,该端部执行器包括能够支撑钉仓的支撑插入件;
图55是外科缝合器的端部执行器的另选的实施例的剖视图,该端部执行器包括具有多个可压缩层的钉仓;
图56是外科缝合器的端部执行器的另选的实施例的剖视图,该端部执行器包括具有阶梯式可压缩仓体的钉仓;
图57是外科缝合器的端部执行器的另一个另选的实施例的剖视图,该端部执行器包括具有阶梯式可压缩仓体的钉仓;
图58是外科缝合器的端部执行器的另选的实施例的剖视图,该端部执行器包括具有弯曲组织接触表面的钉仓;
图59是外科缝合器的端部执行器的另选的实施例的剖视图,该端部执行器包括具有倾斜组织接触表面的钉仓;
图60是可压缩钉仓的剖视图,该可压缩钉仓包括钉和储存于其中的至少一种药物;
图61是示出图60的可压缩钉仓在其被压缩并且其中所容纳的钉已发生变形之后的示意图;
图62是根据至少一个实施例的钉仓的局部剖视图;
图63为图62的钉仓的剖视图;
图64是根据至少一个另选的实施例的所植入钉仓的透视图;
图65是图64的所植入钉仓的剖视图;
图66是钉仓的另选的实施例的透视图,该钉仓包括自钉仓的外层延伸的可变形构件;
图67是钉仓的另选的实施例的透视图,该钉仓包括被组装到内层的钉仓的外层;
图68是钉仓的另选的实施例的剖视图,该钉仓包括多个钉、可压缩层和脱脂棉层;
图69是图68所示脱脂棉层的透视图;
图70是自图68的脱脂棉层分割出的脱脂棉以及与脱脂棉中的沟槽对齐的钉的透视图;
图71是来自图68的脱脂棉层的两个相连脱脂棉的透视图;
图72是图68的脱脂棉层的脱脂棉支撑框架被从所分割出的脱脂棉移除的透视图;
图73是可压缩钉仓的另选的实施例的分解透视图,该可压缩钉仓中包括钉和用于抵靠砧座而驱动钉的系统;
图73A是图73的钉仓的另选的实施例的局部剖视图;
图74为图73的钉仓的剖视图;
图75是能够横贯图73的钉仓并使钉朝砧座运动的滑动件的正视图;
图76是钉驱动器的示意图,该钉驱动器可由图75的滑动件朝砧座提升;
图77是根据至少一个另选的实施例的钉仓的切除视图,该钉仓包括定位在钉驱动器内的钉;
图78是图77的钉仓定位在钉仓通道内时的剖视图;
图79是图77的钉仓的剖视图,其示出了运动到闭合位置的砧座和通过砧座而变形的容纳在钉仓内的钉;
图80是图77的钉仓的剖视图,其示出了朝砧座向上运动的钉;
图81是钉仓的另选的实施例的透视图,该钉仓包括连接钉仓的柔性侧的带;
图82是滑动件和切割构件组件的透视图;
图83是使用图82的滑动件和切割构件组件来提升图77的钉仓的钉的示意图;
图84是示出能够接合钉并朝砧座提升钉的滑动件和能够选择性地允许滑动件向远侧运动的锁定系统的示意图;
图85A-图85C示出将钉插入钉冠部中的过程;
图86是包括支撑盘或保持器的钉仓的剖视图;
图87是根据至少一个另选的实施例的可压缩钉仓的局部剖视图;
图88是示出图87的钉仓处于植入条件下的示意图;
图89是根据至少一个另选的实施例的可压缩钉仓的局部剖视图;
图90是图89的钉仓的局部剖视图;
图91是示出图89的钉仓处于植入条件下的示意图;
图92是根据至少一个另选的实施例的可压溃钉仓的局部剖视图;
图93是根据至少一个实施例的包括多个可塌缩元件的可塌缩钉仓的局部剖视图;
图94是图93的可塌缩元件处于非塌缩状态下的透视图;
图95是图94的可塌缩元件处于塌缩状态下的透视图;
图96A是外科缝合器械的端部执行器的局部剖视图,该端部执行器包括钳口、与钳口相对地定位的钉仓通道、以及定位在钉仓通道内的钉仓,其中钳口包括附接到其上的保持矩阵;
图96B是图96A的端部执行器的局部剖视图,其示出了朝钉仓通道运动的钳口、被砧座和保持矩阵压缩的钉仓、以及钉,该钉至少部分地延伸穿过定位在保持矩阵与钉仓之间的组织;
图96C是图96A的端部执行器的局部剖视图,其示出了处于最终位置的钳口以及与图96B的钉接合的保持矩阵;
图96D是图96A的端部执行器的局部剖视图,其示出了钳口和钉仓通道远离植入的钉仓和保持矩阵运动;
图97是根据至少一个另选的实施例的保持矩阵的保持孔的透视图,该保持孔包括多个保持构件,该保持构件能够接合延伸穿过其中的紧固件支腿;
图98是根据至少一个另选的实施例的保持矩阵的保持孔的透视图,该保持孔包括六个保持构件;
图99是根据至少一个另选的实施例的保持矩阵的保持孔的透视图,该保持孔包括八个保持构件;
图100是根据至少一个另选的实施例的保持矩阵的保持孔的透视图,该保持孔包括多个保持构件,该保持构件能够接合延伸穿过其中的紧固件支腿;
图101是根据至少一个另选的实施例的保持矩阵的保持孔的透视图,该保持孔包括六个保持构件;
图102是根据至少一个另选的实施例的保持矩阵的保持孔的透视图,该保持孔包括八个保持构件;
图103是根据至少一个另选的实施例的保持矩阵的保持孔的透视图,该保持孔包括由金属片冲压而成的多个保持构件;
图104是根据至少一个另选的实施例的保持矩阵的保持孔的透视图,该保持孔包括围绕保持孔的周边延伸的多个孔;
图105是根据至少一个另选的实施例的保持矩阵的保持孔的顶视图;
图106是根据至少一个另选的实施例的保持矩阵的保持孔的顶视图;
图107是根据至少一个另选的实施例的保持矩阵的保持孔的顶视图;
图108是根据至少一个另选的实施例的保持矩阵的保持孔的顶视图;
图109是根据至少一个另选的实施例的保持矩阵的保持孔的顶视图;
图110是根据至少一个实施例的保持矩阵的保持孔的顶视图,该保持孔包括延伸到保持孔中的保持插片;
图111是根据至少一个另选的实施例的保持矩阵的保持孔的顶视图,该保持孔包括延伸到保持孔中的保持插片;
图112是紧固系统的透视图,该紧固系统包括多个钉、与钉接合的保持矩阵以及能够对齐钉的对齐矩阵;
图113是图112所示保持矩阵的透视图;
图114是图112所示对齐矩阵的透视图;
图115是图112的保持矩阵与图112的钉接合的局部顶视图;
图116是图112的保持矩阵与图112的钉接合的局部底视图;
图117是图112的紧固系统的局部正视图;
图118是图112的紧固系统的局部透视图;
图119是图112的保持矩阵与图112的钉接合的局部剖视图;
图120是图112的紧固系统的局部剖视图;
图121是图112的紧固系统的透视图,该紧固系统还包括组装到钉腿的保护帽;
图122是图121所示紧固系统结构的底部透视图;
图123是图121的紧固系统构造的局部透视图;
图124是图121的紧固系统构造的局部剖视图;
图125是根据至少一个实施例的端部执行器的正视图,该端部执行器包括处于打开位置的钳口、定位在钳口中的保持矩阵和多个保护帽以及定位在钉仓通道中的钉仓;
图126是图125的端部执行器处于闭合位置时的正视图;
图127是图125的端部执行器处于击发位置时的正视图;
图128是图125的保持矩阵和保护帽组装至图125的钉仓时的正视图;
图129是图128的构造的细部图;
图130是图125的端部执行器的正视图,其示出了处于打开位置的钳口以及定位于保持矩阵与钉仓之间的较薄组织;
图131是图125的端部执行器的正视图,其示出了处于闭合位置的钳口抵靠图130的较薄组织;
图132是图125的端部执行器的正视图,其示出了处于击发位置以在保持矩阵与钉仓之间捕获图130的较薄组织的钳口;
图133是图125的保持矩阵和保护帽组装至图125的钉仓并使图130的薄组织定位在其间的正视图;
图134是图133的构造的细部图;
图135是根据至少一个另选的实施例的定位在钉腿顶端上的保护帽的剖视图;
图136是嵌入材料片内的多个保护帽的透视图;
图137是钳口的透视图,该钳口包括多个凹槽,该凹槽能够将多个保护帽接收于其中;
图138是钳口的一部分的细部图,该一部分包括覆盖定位在图137的钳口内的保护帽的薄片;
图139是根据至少一个另选的实施例的定位在钉腿顶端上的保护帽的剖视图,其中保护帽包括内部成形表面;
图140是图139的保护帽的另一个剖视图,其示出了抵靠成形表面而变形的钉腿;
图141是保持矩阵的另选的实施例的顶视图,该保持矩阵包括多个相连的矩阵元件;
图142是保持矩阵的另选的实施例的顶视图,该保持矩阵包括多个相连的矩阵元件;
图143是保持矩阵的另选的实施例的顶视图,该保持矩阵包括多个相连的矩阵元件;
图144是一些列保持矩阵的另选的实施例的顶视图,该保持矩阵阵列包括多个相连的矩阵元件;
图145是保持矩阵的另选的实施例的顶视图,该保持矩阵包括多个相连的矩阵元件;
图146是包括保持矩阵的钳口的局部分解视图,该保持矩阵包括可压缩盖;
图147是图146所示保持矩阵的细部图;
图148是包括保持矩阵的紧固系统的局部剖视图,该保持矩阵包括可压缩层和封装一种或多种药物的多个单元;
图149是示出钉腿在与保持矩阵接合时刺穿图148的单元的示意图;
图150是包括保持矩阵的紧固系统的局部剖视图,该保持矩阵包括可压缩层;
图151是紧固件仓插入组件的正视图,该紧固件仓插入组件包括夹持器、第一紧固件仓和第二紧固件仓;
图152是外科缝合器的端部执行器的正视图,该端部执行器包括第一钳口和第二钳口,该第二钳口被示为处于打开构型;
图153是图152的端部执行器的正视图,其示出了处于闭合构型的第二钳口以及用于用第一仓加载第一钳口并且用第二仓加载第二钳口的图151的紧固件仓插入组件;
图154是已加载的图153的端部执行器的正视图,其示出了从端部执行器移除的仓插入组件、再次处于打开构型的第二钳口以及定位在第一钳口与第二钳口之间的组织;
图155是图154的已加载端部执行器处于击发构型的正视图;
图156是第一仓和第二仓处于植入条件下的正视图;
图157是根据至少一个实施例的图152的端部执行器的正视图,其示出了仍与第一钳口接合的第一仓的一部分;
图158是紧固件仓插入组件的另选的实施例的正视图,该紧固件仓插入组件包括夹持器、第一紧固件仓和第二紧固件仓;
图159是图158的紧固件仓插入组件的正视图,该紧固件仓插入组件用于用第一仓加载端部执行器的第一钳口并且用第二仓加载第二钳口;
图160是图159的已加载端部执行器的剖视图;
图161是根据至少一个实施例的包括底部钳口和顶部钳口的外科缝合器的透视图,其中示出外科缝合器的部分已被移除;
图162是已移除顶部钳口的图161的外科缝合器的透视图;
图163是图161的外科缝合器的顶部钳口的可滑动砧座系统的透视图,该可滑动砧座系统包括第一可滑动砧座和第二可滑动砧座;
图164是图163的可滑动砧座系统的端视图;
图165是图163的可滑动砧座系统的顶视图;
图166是示出图163的可滑动砧座系统处于未击发条件下的示意图;
图167是示出图163的可滑动砧座系统的第一可滑动砧座处于未击发位置并且定位在底部钳口内的钉处于未部署位置的示意图;
图168是示出底部钳口中的钉处于已部署构型并且图167的第一可滑动砧座被拉向近侧以使第一组钉的钉腿变形的示意图;
图169是示出图168的第一组钉变形至完全变形状态的示意图;
图170是示出图163的可滑动砧座系统的第二可滑动砧座被推向远侧以使第二组钉腿变形的示意图;
图171是在至少一个实施例中的包括多个成形凹坑的砧座的局部透视图;
图172是图171的砧座的剖面端视图;
图173是示出制造图171的成形凹坑的第一步骤的示意图;
图174是示出制造图171的成形凹坑的第二步骤的示意图;
图175是图171的砧座的成形凹坑构造的顶视图;
图176是示出用于制造砧座的制造工艺的第一步骤的示意图;
图177是示出图176的制造工艺的第二步骤的示意图;
图178是示出图176的制造工艺的第三步骤的示意图;
图179是外科缝合和切断器械的左前透视图,其中柄部部分包括连杆触发的自动回缩机构和棘轮手动回缩机构;
图180是图179的外科缝合和切断器械的右后透视图,其中细长轴的一部分被切除并且柄部外壳的右半壳被移除以显示自动击发端行进回缩机构以及手动击发回缩机构;
图181是图179的外科缝合和切断器械的柄部部分和细长轴的右后透视拆解视图;
图182是图31的外科缝合和切断器械的右后透视图,其中右半壳和执行部分的外部被移除以显示处于初始状态下的闭合和击发机构;
图183是图182的部分拆解的外科缝合和切断器械的右侧正视图;
图184是图182的部分拆解的外科缝合和切断器械的右后透视图,其中闭合机构闭合和夹紧,并且侧棘爪击发机构完成第一行程,并且其中手动回缩机构被移除以显示链接齿条的远侧连杆,该远侧连杆触发击发机构的自动回缩;
图185是图183的部分拆解的外科缝合和切断器械的右后透视图,其中侧棘爪击发机构脱离并且远侧连杆接近自动回缩;
图186是处于初始状态的图183的部分拆解的外科缝合和切断器械的左侧正视图,在该初始状态时,端部执行器打开并且防倒转机构被接合;
图187是图186的柄部部分的右半壳和防倒转释放杠杆的左侧细部图;
图188是图179的拆解的外科缝合和切断器械的左侧细部正视图,其中闭合触发器被夹紧、击发触发器执行最终行程并且远侧连杆被定位成触发自动回缩;
图189是远侧连杆已朝向防倒转释放杠杆被致动并锁定从而使链接齿条回缩之后的图188的拆解的外科缝合和切断器械的左侧细部正视图;
图190是图179的外科缝合和切断器械的手动回缩机构的空转齿轮和后齿轮以及手动回缩杠杆以及棘轮制转杆的右拆解透视图;
图191是图190的手动回缩机构的右透视图,其中手动回缩杠杆被部分切除以在接合棘轮制转杆的后齿轮上显示较小直径的棘轮齿轮;
图192是图179的外科缝合和切断器械的部分拆解的左侧正视图,其中防倒转机构接合到完全击发的链接齿条,在图190的手动回缩杠杆致动之前,该链接齿条与组合张力/压缩弹簧脱离;
图193是图192的外科缝合和切断器械的部分拆解的左侧正视图,其中防倒转释放杠杆、后齿轮以及手动击发释放杠杆的隐藏部分以虚线显示;
图194是手动击发释放杠杆的致动已使链接齿条手动回缩之后的图193的外科缝合和切断器械的部分拆解的左侧正视图;
图195是图194的外科缝合和切断器械的部分拆解的左侧正视图,其中链接齿条被省略,示出了手动击发释放杠杆与防倒转机构脱离;
图196是用于图179的外科缝合和切断器械的可供选择防倒转释放杠杆和柄部外壳的左侧细部图;
图197是图196的可供选择防倒转释放杠、后齿轮轴以及自动回缩凸轮的左透视拆解视图;
图198是图196的可供选择防倒转释放机构的右侧正视图,其中链接齿条处于回缩位置,并且防倒转释放杠杆朝近侧被定位,其中防倒转板接合到激发连杆;
图198A是图198的后齿轮、自动回缩凸轮以及最远侧连杆的右侧细部正视图;
图199是在第一击发行程之后的图198的防倒转释放机构的右侧正视图;
图199A是图199的后齿轮、自动回缩凸轮以及第二连杆的右侧细部正视图;
图200是在第二击发行程之后的图199的防倒转释放机构的右侧正视图;
图200A是图200的后齿轮、自动回缩凸轮以及第三连杆的右侧细部正视图;
图201是在第三击发以及最后行程之后的图200的防倒转释放机构的右侧细部正视图;
图201A是图201的后齿轮、自动回缩凸轮以及最近侧第四连杆的右侧细部正视图;
图202是在另一个击发行程使自动回缩凸轮向远侧滑动并锁定防倒转释放杠杆,从而与防倒转释放机构脱离之后的图201的自动释放机构的右侧正视图;
图203是打开的钉施用组件的左前透视图,其中可替换钉仓的右半部分包括在钉通道中;
图204是图203的具有完整的可替换钉仓和非关节运动的轴构型的钉施用组件的分解透视图;
图205是图203的钉施用组件的二片刀和击发杆(“E型横梁”)的透视图;
图206是钉施用组件的钉仓的楔形滑动件的透视图;
图207是沿图203的钉施用组件的中心线207-207在纵向横截面中截取的左侧正视图;
图208是图203的打开的钉施用组件的透视图,其中没有可替换钉仓、邻近二片刀和击发杆的中间销的钉通道的一部分,并且没有钉通道的远侧部分;
图209是沿图203的钉施用组件的中心线209-209在横截面中截取的前正视图,其示出了钉仓的内部钉驱动器以及二片刀和击发杆的各部分;
图210是大体沿图203的闭合钉施用组件的纵向轴线207-207截取的左侧正视图,以包括位于二片刀和楔形滑动件之间的中心接触点,但也侧向偏移以示出钉仓内的钉和钉驱动器;
图211是图210的钉施用组件的左侧细部正视图,其中二片刀回缩略多,这对于钉仓替换而言是典型的情况;
图212是图211的钉施用组件的左侧细部正视图,其中二片刀开始击发,对应于图210所示的构型;
图213是二片刀和击发杆向远侧击发之后图210的闭合钉施用组件的左侧剖面正视图;
图214是在钉仓的击发以及二片刀的回缩之后的图213的闭合钉施用组件的左侧剖面正视图;
图215是图214的钉施用组件的左侧剖面细部正视图,其中二片刀被允许落入锁定位置中;
图216是根据本发明的至少一个实施例的钉仓的透视图,该钉仓包括与外科缝合器械一起使用的刚性支撑部分和可压缩组织厚度补偿件;
图217是图216的钉仓的局部分解图;
图218是图216的钉仓的完全分解图;
图219是图216的钉仓的另一个分解图,该钉仓没有覆盖组织厚度补偿件的包裹物;
图220是图216的钉仓的仓体或支撑部分的透视图;
图221是滑动件的顶部透视图,该滑动件可在图216的钉仓内运动以从钉仓部署钉;
图222是图221的滑动件的底部透视图;
图223是图221的滑动件的正视图;
图224是驱动器的顶部透视图,该驱动器能够支撑一个或多个钉并被图221的滑动件向上提升以将钉从钉仓射出;
图225是图224的驱动器的底部透视图;
图226是能够至少部分地围绕钉仓的可压缩组织厚度补偿件的包裹物;
图227是钉仓的局部剖视图,该钉仓包括刚性支撑部分和可压缩的组织厚度补偿件,示出了钉在第一序列期间从未击发位置运动到击发位置;
图228是图227的钉仓的正视图;
图229是图227的钉仓的细部正视图;
图230是图227的钉仓的剖面端视图;
图231是图227的钉仓的底视图;
图232是图227的钉仓的细部底视图;
图233是钉仓和处于闭合位置的砧座的纵向剖视图,该钉仓包括刚性支撑部分和可压缩的组织厚度补偿件,示出了钉在第一序列期间从未击发位置运动到击发位置;
图234是图233的砧座和钉仓的另一个剖视图,其示出了击发序列完成之后处于打开位置的砧座;
图235是图233的钉仓的局部细部图,其示出了处于未击发位置的钉;
图236是钉仓的剖面正视图,该钉仓包括刚性支撑部分和可压缩的组织厚度补偿件,示出了处于未击发位置的钉;
图237为图236的钉仓的细部图;
图238是钉仓和处于打开位置的砧座的正视图,该钉仓包括刚性支撑部分和可压缩的组织厚度补偿件,示出了处于未击发位置的钉;
图239是钉仓和处于闭合位置的砧座的正视图,该钉仓包括刚性支撑部分和可压缩的组织厚度补偿件,示出了处于未击发位置的钉以及被捕获在砧座和组织厚度补偿件之间的组织;
图240是图239的砧座和钉仓的细部图;
图241是钉仓和处于闭合位置的砧座的正视图,该钉仓包括刚性支撑部分和可压缩的组织厚度补偿件,示出了处于未击发位置的钉,示出了被定位在砧座和钉仓之间的较厚组织;
图242是图241的砧座和钉仓的细部图;
图243是图241的砧座和钉仓的正视图,其示出了被定位在砧座和钉仓之间的具有不同厚度的组织;
图244是图241的砧座和钉仓的细部图,如图243所示;
图245是示出了对被捕获在不同钉内的不同组织厚度进行补偿的组织厚度补偿件的示意图;
图246是示出了组织厚度补偿件向被钉线横切的一根或多根血管施加压缩压力的示意图;
图247是示出了其中一个或多个钉未恰当成形的情况的示意图;
图248是示出了可补偿未恰当成形钉的组织厚度补偿件的示意图;
图249是示出了被定位在其中多个钉线相交的组织区域中的组织厚度补偿件的示意图;
图250是示出了被捕获在钉内的组织的示意图;
图251是示出了被捕获在钉内的组织和组织厚度补偿件的示意图;
图252是示出了被捕获在钉内的组织的示意图;
图253是示出了被捕获在钉内的厚组织和组织厚度补偿件的示意图;
图254是示出了被捕获在钉内的薄组织和组织厚度补偿件的示意图;
图255是示出了被捕获在钉内的组织厚度补偿件以及具有中间厚度的组织的示意图;
图256是示出了被捕获在钉内的组织厚度补偿件以及具有另一中间厚度的组织的示意图;
图257是示出了被捕获在钉内的厚组织和组织厚度补偿件的示意图;
图258是外科缝合器械的端部执行器的局部剖视图,其示出了处于回缩、未击发位置的击发杆和钉击发滑动件;
图259是图258的端部执行器的另一个局部剖视图,其示出了处于部分推进位置的击发杆和钉击发滑动件;
图260是图258的端部执行器的剖视图,其示出了处于完全推进或击发位置的击发杆;
图261是图258的端部执行器的剖视图,其示出了在被击发后处于回缩位置的击发杆以及留在其完全击发位置的钉击发滑动件;
图262是图261的处于回缩位置的击发杆的细部图;
图263是包括钉仓的外科缝合器械的端部执行器的局部剖视图,该钉仓包括组织厚度补偿件和至少部分定位在其中的钉;
图264是图263的端部执行器的另一个局部剖视图,其示出了相对于被定位在钉仓对面的砧座至少部分地运动和/或旋转的钉;
图265是根据至少一个实施例的外科缝合器械的端部执行器的局部剖视图;
图266是根据至少一个另选的实施例的端部执行器的局部剖视图;
图267是根据另一个另选的实施例的端部执行器的局部剖视图;
图268是根据至少一个实施例的外科缝合器械的端部执行器的透视图;
图269是示为处于挠曲条件的图268的端部执行器的局部剖视图;
图270是处于释放条件的图269的端部执行器的局部剖视图;
图271是包括组织厚度补偿件套的端部执行器的透视图;
图272是图271中的组织厚度补偿件套的后透视图;
图273是包括多个导轨的端部执行器的透视图,所述多个导轨从支撑部分以及具有限定于其中的纵向腔体的组织厚度补偿件延伸;
图274是图273的组织厚度补偿件的透视图;
图275是包括多个齿状物的端部执行器的透视图,所述多个齿状物从支撑部以及与其接合的组织厚度补偿件延伸;
图276是根据至少一个实施例的包括凹坑阵列的砧座的透视图;
图277是图276的砧座的局部细部图;
图278是图276的砧座的局部纵向剖视图;
图279是图276的砧座的横向剖视图;
图280是包括基本上B形构型的击发钉的正视图;
图281是包括向内变形的一条腿和向外变形的一条腿的击发钉的正视图;
图282是包括向外成形的两条腿的击发钉的正视图;
图283是钉仓的支撑部分的局部透视图,该钉仓包括可拆卸和/或可替换的钉腿导向器;
图284是图283的钉仓的局部剖视图,其示出了从钉仓部署的钉;
图285是在钉仓已被击发后图284的剖视图的细部图;
图286是包括组织厚度补偿件的钉仓的分解图,该组织厚度补偿件包括限定于其中的空隙;
图287是示出了抵靠组织被植入的图286的组织厚度补偿件的示意图;
图288是示出了抵靠组织被植入的图286的组织厚度补偿件的另一个示意图;
图289是包括侧向保持构件的钉仓的剖面透视图,该侧向保持构件从其支撑部分延伸,其能够将组织厚度补偿件保持就位;
图290是用于缝合组织的图289的钉仓的剖视图;
图291是图289的钉仓的另一个剖视图,其示出了正运动远离植入的组织厚度补偿件的支撑部分;
图292是钉仓的剖面透视图,该钉仓包括能够将组织厚度补偿件保持到支撑部分的侧向保持构件;
图293是用于缝合组织的图292的钉仓的剖视图;
图294是图292的钉仓的另一个剖视图,其示出了正运动远离植入的组织厚度补偿件的支撑部分;
图295是根据至少一个实施例的将组织厚度补偿件保持到钉仓的支撑部分的保持器的剖面细部图;
图296是根据至少一个实施例的包括具有不同高度的钉驱动器的钉仓的局部剖视图;
图296A是示出了图296的钉驱动器以及支撑于其上的具有不同未击发高度的钉的示意图;
图297是示出了包括变化厚度的组织厚度补偿件、具有不同高度的钉驱动器以及具有不同未成形高度的钉的示意图;
图298是示出了被植入到组织的图297的钉和组织厚度补偿件的示意图;
图299是根据至少一个实施例的包括具有不同厚度的组织厚度补偿件的钉仓的局部剖视图;
图300是处于打开构型的外科缝合器械的端部执行器的剖视图;
图301是示出为处于部分击发构型的图300的端部执行器的剖视图;
图302是示出为处于再次打开构型的图300的端部执行器的剖视图;
图303是根据至少一个实施例的外科缝合器械的端部执行器的剖视图,该外科缝合器械包括具有不同高度和波状平台表面的钉驱动器;
图304是根据至少一个实施例的外科缝合器的端部执行器的剖视图,该外科缝合器械包括具有不同高度和阶梯式平台表面的钉驱动器;
图305是使用钉仓施用装置被加载到外科缝合器械的执行器中的钉仓的透视图;
图306是图305的钉仓施用装置的底部透视图;
图307是组装到钉仓的图305的钉仓施用装置的侧视图;
图308为图307的组件的剖视图;
图309是根据至少一个实施例的钉仓施用装置组件的透视图,该钉仓施用装置组件还包括定位在钉仓施用装置的顶部表面上的上部组织厚度补偿件;
图310是图309的上部组织厚度补偿件和钉仓施用装置的分解图;
图310A是包括牵拉构件的钉仓施用装置组件的分解图,该牵拉构件能够使附着到钉仓施用装置的上部组织厚度补偿件分离;
图311是根据至少一个另选的实施例的钉仓施用装置组件的局部分解图;
图312是钉仓施用装置组件的透视图,该钉仓施用装置组件包括上部组织厚度补偿件和钉仓,该上部组织厚度补偿件包括从其延伸的多个保持特征结构并且该钉仓包括下部组织厚度补偿件;
图313是定位在钉仓通道内的图312的钉仓施用装置组件和被闭合至钉仓施用装置组件上的砧座的正视图;
图314是处于再次打开位置的图313的砧座以及正从端部执行器移除的图312的钉仓施用装置的正视图;
图314A是定位在图312的上部组织厚度补偿件和下部组织厚度补偿件中间的组织的剖视图;
图314B是示出了缝合到组织并被切割构件切断的上部组织厚度补偿件和下部组织厚度补偿件的剖视图;
图315是示出根据至少一个实施例将组织厚度补偿件插入到砧座中的示意图;
图316是图的组织厚度补偿件的剖面细部图;315
图317是根据至少一个另选的实施例的组织厚度补偿件和砧座的分解图;
图318是根据至少一个实施例的钉仓施用装置组件的透视图,该钉仓施用装置组件包括能够附接到砧座的上部组织厚度补偿件;
图319是图318的钉仓施用装置组件的正视图,该钉仓施用装置组件被定位在钉仓通道以及正朝向上部组织厚度补偿件运动的砧座内;
图320示出了在上部组织厚度补偿件已与砧座接合之后,从端部执行器被移除的图318的钉仓施用装置;
图321是朝向图318的上部组织厚度补偿件运动的砧座的剖面端视图;
图322是与上部组织厚度补偿件接合的砧座的剖面端视图;
图323是包括钉仓的外科缝合器械的端部执行器的剖视图,该钉仓包括通过多个紧固件附接到钉仓的支撑部分的可分段的组织厚度补偿件;
图324是图323的端部执行器的剖视图,其示出了处于部分击发位置的击发构件;
图325是图323的端部执行器的剖视图,其示出了正运动远离部分植入的组织厚度补偿件的支撑部分;
图326是图323的支撑部分的局部透视图;
图327是根据至少一个实施例的钉部署滑动件的透视图;
图328是图327的滑动件的正视图;
图329是包括钉仓的外科缝合器械的端部执行器的透视图,该钉仓包括组织厚度补偿件和定位在组织厚度补偿件上的多个钉导向器;
图330是处于未击发构型的图329的组织厚度补偿件和钉导向器的局部剖视图;
图331是处于击发构型的图329的组织厚度补偿件和钉导向器的局部剖视图;
图332是根据至少一个实施例的包括组织厚度补偿件和支撑部分的钉仓的剖视图;
图333是组织厚度补偿件、钉导向层以及处于未击发位置的钉的局部剖视图;
图334是根据至少一个另选的实施例的组织厚度补偿件、钉导向层以及处于未击发位置的钉的局部剖视图;
图335是根据至少一个另选的实施例的组织厚度补偿件、钉导向层以及处于未击发位置的钉的局部剖视图;
图336是根据至少一个另选的实施例的组织厚度补偿件、钉导向层以及处于未击发位置的钉的局部剖视图;
图337是根据至少一个另选的实施例的组织厚度补偿件、钉导向层以及处于未击发位置的钉的局部剖视图;
图338是根据至少一个另选的实施例的组织厚度补偿件、钉导向层以及处于未击发位置的钉的局部剖视图;
图339是根据至少一个另选的实施例的组织厚度补偿件、钉导向层以及处于未击发位置的钉的局部剖视图;
图340是围绕图339的钉的顶端的区域的细部图;
图341是根据至少一个另选的实施例的组织厚度补偿件、钉导向层以及处于未击发位置的钉的局部剖视图;
图342是围绕图的钉的顶端的区域的细部图;341
图343是根据至少一个另选的实施例的组织厚度补偿件、钉导向层以及处于未击发位置的钉的局部剖视图;
图344是根据至少一个另选的实施例的钉导向层和处于未击发位置的多个钉的透视图;
图345是能够与圆形外科缝合器一起使用的组织厚度补偿件的端视图;
图346是图345的组织厚度补偿件和圆形外科缝合器的透视图;
图347是根据至少一个另选的实施例的能够与圆形外科缝合器一起使用的组织厚度补偿件的端视图;
图348是图347的组织厚度补偿件和圆形外科缝合器的透视图;
图349是能够与圆形外科缝合器一起使用的组织厚度补偿件的端视图;
图350是处于部分扩展构型的图349的组织厚度补偿件的端视图;
图351是根据至少一个实施例的包括钉仓的外科缝合器械的正视图;
图352是相对于组织定位的图351的外科缝合器械的端视图;
图353是图351的外科缝合器械的端视图,该外科缝合器械还包括定位在钉仓与组织之间的组织厚度补偿件;
图354是从不具有组织厚度补偿件的图351的外科缝合器械部署到组织中的钉的局部透视图;
图355是从具有组织厚度补偿件的图351的外科缝合器械部署到组织中的钉的局部透视图;
图356是图351的外科缝合器械的端部执行器的局部剖视图,包括处于第一位置的砧座板;
图357是图351的外科缝合器械的端部执行器的局部剖视图,其示出了处于第二位置的图356的砧座板;
图358是包括钉仓的外科缝合器械的端部执行器的剖视图,该钉仓包括间隙设定元件;
图359是示出击发构件的透视图,该击发构件在击发构件的击发行程结束时切割图358的间隙设定元件;
图360是包括钉仓的外科缝合器械的端部执行器的剖视图,该钉仓包括柔性鼻部;
图361是图360的端部执行器的剖视图,其示出了处于挠曲构型的鼻部;
图362是包括钉仓的外科缝合器械的端部执行器的剖视图,该钉仓包括可滑动部分;
图363是图362的端部执行器的剖视图,其示出了向远侧滑动的可滑动部分;
图364是包括支撑部分和组织厚度补偿件的外科缝合器械的端部执行器的剖视图,该支撑部分包括倾斜的平台表面并且该组织厚度补偿件包括不同厚度;
图365是包括支撑部分和组织厚度补偿件的外科缝合器械的端部执行器的剖视图,该支撑部分包括倾斜的平台表面并且该组织厚度补偿件包括一致的厚度;
图366是包括具有不同厚度的组织厚度补偿件的钉仓的透视图;
图367是图366的钉仓的端视图;
图368是包括纵向层的组织厚度补偿件的剖面透视图;
图369是根据至少一个另选的实施例的包括多个层的组织厚度补偿件的剖面透视图;
图370是一次性加载单元的透视图,该一次性加载单元包括能够将组织厚度补偿件可释放地保持到其上的保持构件;
图371是组织厚度补偿件的透视图,该组织厚度补偿件包括能够将组织厚度补偿件可释放地保持到一次性加载单元的保持构件;
图372是附接到一次性加载单元的图371的组织厚度补偿件的透视图;
图373是图372的一次性加载单元的端视图;
图374是组织厚度补偿件的透视图,该组织厚度补偿件包括能够将组织厚度补偿件可释放地保持到一次性加载单元的保持构件;
图375是附接到一次性加载单元的图374的组织厚度补偿件的透视图;
图376是图375的一次性加载单元的端视图;
图377是组织厚度补偿件的透视图,该组织厚度补偿件包括能够将组织厚度补偿件可释放地保持到一次性加载单元的保持构件;
图378是附接到一次性加载单元的图377的组织厚度补偿件的透视图;
图379是定位在一次性加载单元的执行器内的组织厚度补偿件施用装置的透视图;
图380是图379的组织厚度补偿件施用装置的顶部透视图;
图381是图379的组织厚度补偿件施用装置的底部透视图;
图382是根据至少一个另选的实施例被定位在一次性加载单元的执行器内的组织厚度补偿件施用装置的透视图;
图383是图382的组织厚度补偿件施用装置的顶部透视图;
图384是图382的组织厚度补偿件施用装置的底部透视图;
图385是一次性加载单元的正视图,该一次性加载单元包括能够支撑钉仓的可枢转钳口;
图386是根据至少一个实施例的钉仓的剖视图,该钉仓包括附接到钉仓的支撑部分的组织厚度补偿件;
图387是根据至少一个实施例的钉仓的剖视图,该钉仓包括附接到钉仓的支撑部分的组织厚度补偿件;
图388是根据至少一个实施例的钉仓的剖视图,该钉仓包括附接到钉仓的支撑部分的组织厚度补偿件;
图389是图387的组织厚度补偿片的透视图;
图390是根据至少一个实施例的包括保持器和两个组织厚度补偿件的保持器组件的分解图;
图391是图390所示的保持器组件的透视图;
图392是可与图390的保持器组件一起使用的砧座的透视图;
图393是示出图390所示的保持器组件的图示,所述保持器组件被插入外科缝合器的端部执行器中,所述端部执行器包括砧座和钉仓;
图394是与图393的钉仓接合的图390所示的保持器组件的侧视图;
图395是与图393的钉仓和砧座接合的图390所示的保持器组件的侧视图,其示出了处于闭合位置的砧座;
图396是从图393的端部执行器移出的图390的保持器组件的侧视图;
图397是保持器的透视图;
图398是图397的保持器以及附接到其底部表面和顶部表面的组织厚度补偿件的侧视图,其示出了与包括砧座的外科缝合器中的钉仓接合的组织厚度补偿件中的一个;
图399是示出处于闭合位置的图398的砧座的侧视图;
图400是根据至少一个实施例的保持器和组织厚度补偿件的分解透视图;
图401是图400的组织厚度补偿件和外科缝合器的砧座的分解透视图;
图402是根据至少一个实施例的保持器和组织厚度补偿件的分解顶部透视图;
图403是图402的保持器和组织厚度补偿件的分解底部透视图;
图404是与外科缝合器接合的图402的保持器和组织厚度补偿件的顶部透视图;
图405是与图404的外科缝合器接合的图402的保持器和组织厚度补偿件的底部透视图;
图406是与图404的外科缝合器接合的图402的保持器和组织厚度补偿件的侧视图;
图407是图402的保持器和组织厚度补偿件的底部透视图,其示出了附接到图404的外科缝合器的组织厚度补偿件;
图408是图402的保持器和组织厚度补偿件的顶部透视图,其示出了附接到图407的砧座的组织厚度补偿件;
图409是附接到图407的砧座的图402的组织厚度补偿件的侧视图;
图410是附接到外科缝合器的钉仓和通道的图402和图403的保持器和组织厚度补偿件的剖视图;
图411是附接到图410的外科缝合器的钉仓和通道的图402和图403的保持器和组织厚度补偿件的剖视图,其示出了与组织厚度补偿件接合的外科缝合器的砧座;
图412是附接到外科缝合器的砧座并且正移动远离保持器的图402的组织厚度补偿件的剖视图;
图413是根据至少一个实施例的保持器组件的剖视图,所述保持器组件包括保持器、安装在保持器的第一表面和第二表面上的组织厚度补偿件、和穿过保持器中的孔穴的连接器;
图414是图413的保持器组件的透视图,其中示出组织厚度补偿件的一部分因图示目的而被移除;
图415是与外科缝合器接合的图413的保持器组件的侧视图,所述外科缝合器包括被示为处于打开位置的砧座;
图416是图413的保持器组件和被示为处于闭合位置的图415的砧座的侧视图;
图417是图413的保持器组件的侧视图,其示出了正从保持器组件的组织厚度补偿件之间移出的保持器;
图418是从图413的组织厚度补偿件移出的保持器的侧视图;
图419是根据至少一个实施例的能够接合外科缝合器的砧座的保持器的透视图;
图420是图419的保持器的顶视图;
图421是图419的保持器的侧视图;
图422是图419的保持器的底视图;
图423示出了保持器组件,所述保持器组件包括图419的保持器和附接到用于外科缝合器的钉仓的组织厚度补偿件;
图424示出了接合外科缝合器的端部执行器的砧座的图423的保持器组件和钉仓;
图425示出了接合图424的外科缝合器的端部执行器的砧座的图423的保持器组件和钉仓;
图426示出了接合在图424的外科缝合器的砧座上的图423的保持器组件和钉仓;
图427示出了接合在图424的外科缝合器的砧座上的图423的保持器组件和钉仓以及正移动到闭合位置的砧座;
图428示出了处于打开位置的图424的外科缝合器的砧座,所述砧座具有附接到其的组织厚度补偿件和与外科缝合器的钉仓通道接合的保持器;
图429示出了与图424的外科缝合器的钉仓通道接合的图423的保持器和处于打开位置的砧座;
图430是包括组织厚度补偿件的保持器的剖视图,所述组织厚度补偿件包括能够接合外科缝合器的砧座的突起或翼;
图431是包括组织厚度补偿件的保持器的剖视图,所述组织厚度补偿件包括能够接合外科缝合器的砧座的承套;
图432是根据至少一个实施例的包括由铰链连接的两个板的保持器的透视图;
图433是图432的保持器的侧视图;
图434是能够与图432的保持器一起使用的插入工具的实施例的后透视图;
图435是图434的插入工具的顶部透视图;
图436是图434的插入工具的后透视图,其中插入工具的一部分因图示目的而被移除;
图437是图434的插入工具的侧视图,其中插入工具的一部分因图示目的而被移除;
图438是图434的插入工具的顶视图;
图439是保持器组件的透视图,所述保持器组件包括图432的保持器、定位在保持器上的组织厚度补偿件、定位在保持器上的钉仓、以及与保持器接合的图434的插入工具,其中插入工具的一部分因图示目的而被移除;
图440是保持器组件的侧视图,所述保持器组件包括图432的保持器、定位在保持器上的组织厚度补偿件、以及与保持器接合的图434的插入工具,其中插入工具的一部分因图示目的而被移除;
图441示出了被插入包括砧座和钉仓通道的外科器械内的图439的保持器组件,其中插入工具的一部分因图示目的而被移除;
图442示出了被插入包括砧座和钉仓通道的外科器械内的图439的保持器组件,其中插入工具的一部分因图示目的而被移除;
图443示出了正相对于保持器移动以接合钉仓通道中的钉仓并且接合随同砧座的组织厚度补偿件的图434的插入工具,其中插入工具的一部分因图示目的而被移除;
图444示出了正相对于保持器移动以使保持器从组织厚度补偿件和钉仓脱离的图434的插入工具,其中插入工具的一部分因图示目的而被移除;
图445是根据至少一个实施例的附接到外科缝合器械的砧座的组织厚度补偿件的剖视图;
图446是示出变形钉的示意图,所述变形钉在其中至少部分地捕获图445的组织厚度补偿件;
图447是根据至少一个实施例的包括钉仓和砧座的外科缝合器械的端部执行器的剖视图,所述钉仓包括第一组织厚度补偿件,所述砧座包括第二组织厚度补偿件;
图448是图447的端部执行器的剖视图,其示出了得自钉仓的从未击发位置移动到击发位置的钉;
图449是根据至少一个实施例的附接到端部执行器的砧座的组织厚度补偿件的透视图,其中组织厚度补偿件包括多个囊;
图449A是图449的组织厚度补偿件的局部透视图;
图450是正从未击发位置移动到击发位置以刺穿图449的组织厚度补偿件的囊的钉的剖视图;
图451是根据至少一个实施例的砧座和组织厚度补偿件的分解图;
图452是根据至少一个实施例的砧座和组织厚度补偿件的剖视图,所述砧座包括多个钉成形凹坑,所述组织厚度补偿件包括与成形凹坑对齐的多个囊;
图453是图452的组织厚度补偿件的囊的细部图;
图454是示出相对于组织进行定位的图452的砧座和组织厚度补偿件的示意图,所述组织将通过得自定位在组织的相对侧的钉仓的钉进行缝合;
图455是示出正朝图454的钉仓移动的图452的砧座和从钉仓部分地击发的钉的示意图;
图456是示出处于完全击发构型的图452的钉和处于破裂状态的图455的组织厚度补偿件的囊的示意图;
图457是示出处于未击发状态的图455的钉的示意图;
图458是示出处于完全击发构型的图455的钉和处于至少部分横切状态的图452的组织厚度补偿件的示意图;
图459是根据至少一个实施例的组织厚度补偿件的另选的实施例的剖面透视图;
图460是组织厚度补偿件的另选的实施例的透视图,所述组织厚度补偿件包括与外科缝合器械的切割构件对齐的多个囊;
图461是图460的囊的细部图;
图462是图460的组织厚度补偿件的剖视图,所述组织厚度补偿件包括与外科缝合器械的砧座的刀狭槽对齐的多个囊;
图463和图464示出了正附接到砧座的组织厚度补偿件的另选的实施例;
图465是根据至少一个实施例的砧座和补偿件的剖面分解图;
图466示出了附接到砧座的图465的补偿件;
图467是根据至少一个实施例的组织厚度补偿件和切割组织厚度补偿件的切割构件的局部透视图;
图468是根据至少一个实施例的组织厚度补偿件的另选的实施例的局部剖视图;
图469是根据至少一个实施例的组织厚度补偿件的另一个另选的实施例的局部剖视图;
图470是示出根据各种实施例的组织厚度补偿件的示意图,所述组织厚度补偿件包括多个不规则和/或非对称的腔体;
图471是根据至少一个实施例的附接到外科缝合器械的砧座的组织厚度补偿件的局部剖视图;
图472是根据至少一个实施例的组织厚度补偿件的无缝挤出壳体或外管的透视图;
图473是根据至少一个实施例的组织厚度补偿件的另一个无缝挤出壳体或外管的透视图;
图474是氧化再生纤维素纤维的透视图;
图475是短于图474的纤维的氧化再生纤维素纤维的透视图;
图476是示出正利用图475的纤维织造成股线的图474的纤维的示意图;
图477示出了正被松散并且正被至少部476分地切割的图的股线;
图478示出了插过组织厚度补偿件的壳体或外管并且被定位成抓紧图476的股线的抓紧器;
图479示出了正从套管退出的图478的抓紧器和正被牵拉穿过壳体的图476的股线;
图480示出了正被分割的图479的壳体和股线;
图481示出了正进行加热焊接和/或密封的壳体的末端;
图482示出了用于产生不具有横向接缝的组织厚度补偿件的方法;
图483示出了外科缝合器的砧座和可选择性地附接到砧座的多个补偿件,其中补偿件中的每一个包括毛细管通道阵列;
图484是能够附接到砧座的补偿件的平面图;
图485是图484的补偿件的一部分的细部图;
图486是外科缝合器械的端部执行器的透视图;
图487是图486的端部执行器的另一个透视图,其示出了布置在端部执行器的组织厚度补偿件上的流体;
图488是图488的端部执行器的另一个透视图,其示出了附接到端部执行器的砧座的补偿件;
图489是位于图488的补偿件上的毛细管通道阵列的细部图;
图490是根据至少一个实施例的包括多个层的补偿件的分解图;
图491是根据至少一个实施例的外科缝合器械的补偿件和砧座的分解图;
图492是图491的补偿件和砧座的局部剖视图;
图493是根据至少一个实施例的包括细胞向内生长基质的补偿件的分解图;
图494是图493的补偿件的透视图;
图495是用于补偿件的纤维材料层的透视图;
图496是根据至少一个实施例的彼此堆叠在一起的多个纤维层的透视图;
图497是根据至少一个实施例的彼此堆叠在一起的另一多个纤维层的透视图;
图498是用于补偿件的纤维材料层的透视图;
图499是根据至少一个实施例的彼此堆叠在一起的多个纤维层的透视图,其中所述纤维沿着不同方向进行布置;
图500是根据至少一个实施例的彼此堆叠在一起的另一多个纤维层的透视图;
图501是根据至少一个实施例的外科器械的端部执行器插入件和端部执行器的透视图;
图502是根据至少一个实施例的定位在外科器械的端部执行器中的组织厚度补偿件的正视图;
图503是根据至少一个实施例的定位在外科器械的端部执行器中的组织厚度补偿件的正视图;
图504是根据至少一个实施例的定位在外科器械的端部执行器的砧座上的套管的透视图;
图505是图504的套管的分叉部的平面图;
图506是图504的套管的分叉部的正视图;
图507是图504的套管的分叉部的端视图;
图508是图504的套管的分叉部的透视图;
图509是根据至少一个实施例的套筒的组织补偿件的平面图;
图510是图509的组织补偿件的透视图;
图511是图509的组织补偿件的正视图;
图512是根据至少一个实施例的套筒的组织补偿件的平面图;
图513是图512的组织补偿件的透视图;
图514是图512的组织补偿件的正视图;
图515是图504的套管的鼻部的透视图;
图516是图515的鼻部的另一个透视图;
图517是图515的鼻部的平面图,其以虚线示出了内部几何形状;
图518是图515的鼻部的正视图,其以虚线示出了内部几何形状;
图519是定位在砧座上的图504的套管的另一个透视图;
图520是定位在砧座上的图504的套管的平面图;
图521是定位在砧座上的图504的套管的正视图;
图522是定位在砧座上的图504的套管的平面图,其示出了以虚线显示的平移击发杆;
图523是定位在砧座上的图504的套管的正视图,其示出了以虚线显示的平移击发杆;
图524是定位在砧座上的图504的套管的平面图,其示出了从套管释放的鼻部;
图525是定位在砧座上的图504的套管的正视图,其示出了从套管释放的鼻部;
图526是定位在砧座上的图504的套管的平面图,其以虚线示出了击发杆并且示出了从套管释放的鼻部;
图527是定位在砧座上的图504的套管的正视图,其以虚线示出了击发杆并且示出了从套管释放的鼻部;
图528是图526的套管、砧座、和击发杆的局部透视图;
图529是图526的套管、砧座、和击发杆的另一个局部透视图;
图530是图504的套管和砧座的正剖视图;
图531是图504的砧座的正剖视图,其示出了从套管释放的组织补偿件;
图532是根据至少一个实施例的端部执行器插入件的平面图;
图533是图532的端部执行器插入件的正视图;
图534是图534的端部执行器插入件的透视图;
图535是图532的端部执行器插入件的局部透视图,其示出了接合外科器械的端部执行器的砧座的端部执行器插入件;
图536是图532的端部执行器插入件的局部透视图,其示出了接合外科器械的端部执行器的钉仓的端部执行器插入件;
图537是图532的端部执行器插入件的正视图,其示出了接合外科器械的端部执行器的端部执行器插入件;
图538是定位在外科器械的端部执行器中的图532的端部执行器插入件的正视图;
图539是根据至少一个实施例的定位在端部执行器中的组织厚度补偿件的透视图,其中示出组织厚度补偿件的一部分被切除;
图540是通过静电荷固定到端部执行器的砧座的图539的组织厚度补偿件的透视图;
图541是通过抽吸元件固定到端部执行器的砧座的图539的组织厚度补偿件的透视图;
图542是通过钩-环紧固件固定到端部执行器的砧座的图539的组织厚度补偿件的透视图;
图543是通过带固定到端部执行器的砧座的图539的组织厚度补偿件的局部透视图;
图544是通过组织厚度补偿件的远侧末端处的承套固定到端部执行器的砧座的图539的组织厚度补偿件的局部透视图;
图545是根据至少一个实施例的固定到外科器械的端部执行器的砧座的组织厚度补偿件的局部透视剖视图;
图546是图545的组织厚度补偿件的正剖视图;
图547是图545的组织厚度补偿件的另一个正剖视图;
图548是根据至少一个实施例的固定到外科器械的端部执行器的砧座的组织厚度补偿件的正剖视图,其示出了处于闭合位置的闩锁;
图549是图548的组织厚度补偿件的正剖视图,其示出了处于打开位置的闩锁;
图550是根据至少一个实施例的固定到外科器械的端部执行器的砧座的组织厚度补偿件的正剖视图;
图551是根据至少一个实施例的固定到外科器械的端部执行器的砧座的组织厚度补偿件的正剖视图;
图552是根据至少一个实施例的固定到外科器械的端部执行器的砧座的组织厚度补偿件的正剖视图;
图553是根据至少一个实施例的固定到外科器械的端部执行器的砧座的组织厚度补偿件的正剖视图;
图554是根据至少一个实施例的固定到外科器械的端部执行器的砧座的组织厚度补偿件的透视剖视分解图;
图555是图554的组织厚度补偿件的透视图,其示出了朝砧座移动的组织厚度补偿件;
图556是与砧座接合的图554的组织厚度补偿件的正剖视图;
图557是根据至少一个实施例的固定到外科器械的端部执行器的砧座的组织厚度补偿件的透视剖视图;
图558是图557的组织厚度补偿件和砧座的透视剖视分解图;
图559是根据至少一个实施例的组织厚度补偿件的正视图;
图560是图559的组织厚度补偿件的透视图;
图561是图559的组织厚度补偿件的另一个透视图;
图562是图559的组织厚度补偿件的透视图,其示出了朝外科器械的端部执行器的砧座移动的组织厚度补偿件;
图563是定位在砧座上的图559的组织厚度补偿件的剖视图;
图564是定位在砧座上的图559的组织厚度补偿件的透视图;
图565是定位在砧座上的图559的组织厚度补偿件的透视图,其示出了切断组织厚度补偿件的切割元件;
图566是根据至少一个实施例的外科缝合器械的端部执行器的剖视正视图,所述端部执行器包括砧座和充电层;
图567是图566的砧座和充电层的底视图;
图568是图566的砧座和充电层以及可释放地附接到充电层的组织厚度补偿件的分解图;
图569是根据至少一个实施例的组织厚度补偿件的透视图;
图570是图569的组织厚度补偿件的平面图;
图569A是根据至少一个另选的实施例的组织厚度补偿件的透视图;
图570A是图569A的组织厚度补偿件的平面图;
图571是根据至少一个另选的实施例的组织厚度补偿件的透视图;
图572是图571的组织厚度补偿件的平面图;
图573是根据至少一个实施例的组织厚度补偿件的透视图;
图574是根据至少一个实施例的附接到砧座的组织厚度补偿件的透视图;
图575是图574的砧座和组织厚度补偿件的剖视图;
图576是图574的组织厚度补偿件的横截面图;
图577是根据至少一个另选的实施例的附接到砧座的组织厚度补偿件的透视图;
图578是图577的砧座和组织厚度补偿件的剖视图;
图579是处于打开构型的图577的组织厚度补偿件的剖视图;
图580是根据至少一个另选的实施例的附接到砧座的组织厚度补偿件的透视图;
图581是图580的砧座和组织厚度补偿件的剖视图;
图582是根据至少一个另选的实施例的附接到砧座的组织厚度补偿件的透视图;
图583是图582的砧座和组织厚度补偿件的剖视图;
图584是根据至少一个另选的实施例的附接到砧座的组织厚度补偿件的透视图;
图585是图584的砧座和组织厚度补偿件的剖视图;
图586是根据至少一个另选的实施例的附接到砧座的组织厚度补偿件的透视图;并且
图587是图586的砧座和组织厚度补偿件的剖视图。
贯穿多个视图,对应的参考符号指示对应的部件。本文示出的范例以一种形式示出了本发明的某些实施例,并且不应将此类范例理解为以任何方式限制本发明的范围。
具体实施方式
本申请的申请人还拥有以下的美国专利申请,这些专利申请以引用的方式各自完全并入本文:
名称为“SURGICAL INSTRUMENTS WITH RECONFIGURABLESHAFT SEGMENTS”(代理人案卷号END6734USNP/100058)的美国专利申请序列号12/894,311;
名称为“SURGICAL STAPLE CARTRIDGES SUPPORTING NON-LINEARLY ARRANGED STAPLES AND SURGICAL STAPLINGINSTRUMENTS WITH COMMON STAPLE-FORMING POCKETS”(代理人案卷号END6735USNP/100059)的美国专利申请序列号12/894,340;
名称为“JAW CLOSURE ARRANGEMENTS FOR SURGICALINSTRUMENTS”(代理人案卷号END6736USNP/100060)的美国专利申请序列号12/894,327;
名称为“SURGICAL CUTTING AND FASTENING INSTRUMENTSWITH SEPARATE AND DISTINCT FASTENER DEPLOYMENT ANDTISSUE CUTTING SYSTEMS”(代理人案卷号END6839USNP/100524)的美国专利申请序列号12/894,351;
名称为“IMPLANTABLE FASTENER CARTRIDGE HAVING A NON-UNIFORM ARRANGEMENT”(代理人案卷号END6840USNP/100525)的美国专利申请序列号12/894,338;
名称为“IMPLANTABLE FASTENER CARTRIDGE COMPRISING ASUPPORT RETAINER”(代理人案卷号END6841USNP/100526)的美国专利申请序列号12/894,369;
名称为“IMPLANTABLE FASTENER CARTRIDGE COMPRISINGMULTIPLE LAYERS”(代理人案卷号END6842USNP/100527)的美国专利申请序列号12/894,312;
名称为“SELECTIVELY ORIENTABLE IMPLANTABLE FASTENERCARTRIDGE”(代理人案卷号END6843USNP/100528)的美国专利申请序列号12/894,377;
名称为“SURGICAL STAPLING INSTRUMENT WITH COMPACTARTICULATION CONTROL ARRANGEMENT”(代理人案卷号END6847USNP/100532)的美国专利申请序列号12/894,339;
名称为“SURGICAL STAPLING INSTRUMENT WITH A VARIABLESTAPLE FORMING SYSTEM”(代理人案卷号END6848USNP/100533)的美国专利申请序列号12/894,360;
名称为“SURGICAL STAPLING INSTRUMENT WITHINTERCHANGEABLE STAPLE CARTRIDGE ARRANGEMENTS”(代理人案卷号END6849USNP/100534)的美国专利申请序列号12/894,322;
名称为“SURGICAL STAPLE CARTRIDGES WITH DETACHABLESUPPORT STRUCTURES AND SURGICAL STAPLING INSTRUMENTSWITH SYSTEMS FOR PREVENTING ACTUATION MOTIONS WHEN ACARTRIDGE IS NOT PRESENT”(代理人案卷号END6855USNP/100540)的美国专利申请序列号12/894,350;
名称为“IMPLANTABLE FASTENER CARTRIDGE COMPRISINGBIOABSORBABLE LAYERS”(代理人案卷号END6856USNP/100541)的美国专利申请序列号12/894,383;
名称为“COMPRESSIBLE FASTENER CARTRIDGE”(代理人案卷号END6857USNP/100542)的美国专利申请序列号12/894,389;
名称为“FASTENERS SUPPORTED BY A FASTENER CARTRIDGESUPPORT”(代理人案卷号END6858USNP/100543)的美国专利申请序列号12/894,345;
名称为“COLLAPSIBLE FASTENER CARTRIDGE”(代理人案卷号END6859USNP/100544)的美国专利申请序列号12/894,306;
名称为“FASTENER SYSTEM COMPRISING A PLURALITY OFCONNECTED RETENTION MATRIX ELEMENTS”(代理人案卷号END6860USNP/100546)的美国专利申请序列号12/894,318;
名称为“FASTENER SYSTEM COMPRISING A RETENTIONMATRIX AND AN ALIGNMENT MATRIX”(代理人案卷号END6861USNP/100547)的美国专利申请序列号12/894,330;
名称为“FASTENER SYSTEM COMPRISING A RETENTIONMATRIX”(代理人案卷号END6862USNP/100548)的美国专利申请序列号12/894,361;
名称为“FASTENER SYSTEM COMPRISING A RETENTIONMATRIX”(代理人案卷号END6863USNP/100549)的美国专利申请序列号12/894,367;
名称为“FASTENER SYSTEM COMPRISING A RETENTIONMATRIX AND A COVER”(代理人案卷号END6864USNP/100550)的美国专利申请序列号12/894,388;
名称为“FASTENER SYSTEM COMPRISING A PLURALITY OFFASTENER CARTRIDGES”(代理人案卷号END6865USNP/100551)的美国专利申请序列号12/894,376;
名称为“SURGICAL STAPLER ANVIL COMPRISING A PLURALITYOF FORMING POCKETS”(代理人案卷号END6735USCIP1/100059CIP1)的美国专利申请序列号13/097,865;
名称为“TISSUE THICKNESS COMPENSATOR FOR A SURGICALSTAPLER”(代理人案卷号END6736USCIP1/100060CIP1)的美国专利申请序列号13/097,936;
名称为“STAPLE CARTRIDGE COMPRISING A VARIABLETHICKNESS COMPRESSIBLE PORTION”(代理人案卷号END6840USCIP1/100525CIP1)的美国专利申请序列号13/097,954;
名称为“STAPLE CARTRIDGE COMPRISING STAPLESPOSITIONED WITHIN A COMPRESSIBLE PORTION THEREOF”(代理人案卷号END6841USCIP1/100526CIP1)的美国专利申请序列号13/097,856;
名称为“TISSUE THICKNESS COMPENSATOR COMPRISINGDETACHABLE PORTIONS”(代理人案卷号END6842USCIP1/100527CIP1)的美国专利申请序列号13/097,928;
名称为“TISSUE THICKNESS COMPENSATOR FOR A SURGICALSTAPLER COMPRISING AN ADJUSTABLE ANVIL”(代理人案卷号END6843USCIP1/100528CIP1)的美国专利申请序列号13/097,891;
名称为“STAPLE CARTRIDGE COMPRISING AN ADJUSTABLEDISTAL PORTION”(代理人案卷号END6847USCIP1/100532CIP1)的美国专利申请序列号13/097,948;
名称为“COMPRESSIBLE STAPLE CARTRIDGE ASSEMBLY”(代理人案卷号END6848USCIP1/100533CIP1)的美国专利申请序列号13/097,907;
名称为“TISSUE THICKNESS COMPENSATOR COMPRISINGPORTIONS HAVING DIFFERENT PROPERTIES”(代理人案卷号END6849USCIP1/100534CIP1)的美国专利申请序列号13/097,861;
名称为“STAPLE CARTRIDGE LOADING ASSEMBLY”(代理人案卷号END6855USCIP1/100540CIP1)的美国专利申请序列号13/097,869;
名称为“COMPRESSIBLE STAPLE CARTRIDGE COMPRISINGALIGNMENT MEMBERS”(代理人案卷号END6856USCIP1/100541CIP1)的美国专利申请序列号13/097,917;
名称为“STAPLE CARTRIDGE COMPRISING A RELEASABLEPORTION”(代理人案卷号END6857USCIP1/100542CIP1)的美国专利申请序列号13/097,873;
名称为“STAPLE CARTRIDGE COMPRISING COMPRESSIBLEDISTORTION RESISTANT COMPONENTS”(代理人案卷号END6858USCIP1/100543CIP1)的美国专利申请序列号13/097,938;
名称为“STAPLE CARTRIDGE COMPRISING A TISSUE THICKNESSCOMPENSATOR”(代理人案卷号END6859USCIP1/100544CIP1)的美国专利申请序列号13/097,924;
名称为“SURGICAL STAPLER WITH FLOATING ANVIL”(代理人案卷号END6841USCIP2/100526CIP2)的美国专利申请序列号13/242,029;
名称为“CURVED END EFFECTOR FOR A STAPLINGINSTRUMENT”(代理人案卷号END6841USCIP3/100526CIP3)的美国专利申请序列号13/242,066;
名称为“STAPLE CARTRIDGE INCLUDING COLLAPSIBLE DECK”(代理人案卷号END7020USNP/110374)的美国专利申请序列号13/242,086;
名称为“STAPLE CARTRIDGE INCLUDING COLLAPSIBLE DECKARRANGEMENT”(代理人案卷号END7019USNP/110375)的美国专利申请序列号13/241,912;
名称为“SURGICAL STAPLER WITH STATIONARY STAPLEDRIVERS”(代理人案卷号END7013USNP/110377)的美国专利申请序列号13/241,922;
名称为“SURGICAL INSTRUMENT WITH TRIGGER ASSEMBLYFOR GENERATING MULTIPLE ACTUATION MOTIONS”(代理人案卷号END6888USNP3/110378)的美国专利申请序列号13/241,637;和
名称为“SURGICAL INSTRUMENT WITH SELECTIVELYARTICULATABLE END EFFECTOR”(代理人案卷号END6888USNP2/110379)的美国专利申请序列号13/241,629。
本申请的申请人还拥有以下的美国专利申请,这些专利申请与本申请同一天提交,并且每个都以引用方式各自整体并入本文:
名称为“TISSUE THICKNESS COMPENSATOR COMPRISING APLURALITY OF CAPSULES”(代理人案卷号END6864USCIP1/100550CIP1)的美国专利申请序列号_______________;
名称为“TISSUE THICKNESS COMPENSATOR COMPRISING APLURALITY OF LAYERS”(代理人案卷号END6864USCIP2/100550CIP2)的美国专利申请序列号_______________;
名称为“EXPANDABLE TISSUE THICKNESS COMPENSATOR”(代理人案卷号END6843USCIP2/100528CIP2)的美国专利申请序列号_______________。
名称为“TISSUE THICKNESS COMPENSATOR COMPRISING ARESERVOIR”(代理人案卷号END6843USCIP3/100528CIP3)的美国专利申请序列号_______________;
名称为“RETAINER ASSEMBLY INCLUDING A TISSUETHICKNESS COMPENSATOR”(代理人案卷号END6843USCIP4/100528CIP4)的美国专利申请序列号_______________;
名称为“TISSUE THICKNESS COMPENSATOR COMPRISING ATLEAST ONE MEDICAMENT”(代理人案卷号END6843USCIP5/100528CIP5)的美国专利申请序列号_______________;
名称为“TISSUE THICKNESS COMPENSATOR COMPRISINGCONTROLLED RELEASE AND EXPANSION”(代理人案卷号END6843USCIP6/100528CIP6)的美国专利申请序列号_______________;
名称为“TISSUE TISSUE THICKNESS COMPENSATORCOMPRISING FIBERS TO PRODUCE A RESILIENT LOAD”(代理人案卷号END6843USCIP7/100528CIP7)的美国专利申请序列号_______________;
名称为“TISSUE TISSUE THICKNESS COMPENSATORCOMPRISING STRUCTURE TO PRODUCE A RESILIENT LOAD”(代理人案卷号END6843USCIP8/100528CIP8)的美国专利申请序列号_______________;
名称为“TISSUE TISSUE THICKNESS COMPENSATORCOMPRISING RESILIENT MEMBERS”(代理人案卷号END6843USCIP9/100528CIP9)的美国专利申请序列号_______________;
名称为“METHODS FOR FORMING TISSUE THICKNESSCOMPENSATOR ARRANGEMENTS FOR SURGICAL STAPLERS”(代理人案卷号END6843USCIP10/100528CP10)的美国专利申请序列号_______________;
名称为“TISSUE THICKNESS COMPENSATORS”(代理人案卷号END6843USCIP11/100528CP11)的美国专利申请序列号_______________;
名称为“LAYERED TISSUE THICKNESS COMPENSATOR”(代理人案卷号END6843USCIP12/100528CP12)的美国专利申请序列号_______________;
名称为“TISSUE THICKNESS COMPENSATORS FOR CIRCULARSURGICAL STAPLERS”(代理人案卷号END6843USCIP13/100528CP13)的美国专利申请序列号_______________;
名称为“TISSUE TISSUE THICKNESS COMPENSATORCOMPRISING CAPSULES DEFINING A LOW PRESSUREENVIRONMENT”(代理人案卷号END7100USNP/110601)的美国专利申请序列号_______________;
名称为“TISSUE THICKNESS COMPENSATOR COMPRISED OF APLURALITY OF MATERIALS”(代理人案卷号END7101USNP/110602)的美国专利申请序列号_______________;
名称为“MOVABLE MEMBER FOR USE WITH A TISSUETHICKNESS COMPENSATOR”(代理人案卷号END7107USNP/110603)的美国专利申请序列号_______________;
名称为“TISSUE TISSUE THICKNESS COMPENSATORCOMPRISING A PLURALITY OF MEDICAMENTS”(代理人案卷号END7102USNP/110604)的美国专利申请序列号_______________;
名称为“TISSUE TISSUE THICKNESS COMPENSATOR ANDMETHOD FOR MAKING THE SAME”(代理人案卷号END7103USNP/110605)的美国专利申请序列号_______________;
名称为“TISSUE THICKNESS COMPENSATOR COMPRISINGCHANNELS”(代理人案卷号END7104USNP/110606)的美国专利申请序列号_______________;以及
名称为“DEVICES AND METHODS FOR ATTACHING TISSUETHICKNESS COMPENSATING MATERIALS TO SURGICAL STAPLINGINSTRUMENTS”(代理人案卷号END7106USNP/110608)的美国专利申请序列号_______________。
现在将描述某些示例性实施例,以从整体上理解本文所公开的装置和方法的结构、功能、制造和用途。这些实施例的一个或多个实例在附图中示出。本领域普通技术人员应当理解文中具体描述并用附图示出的装置与方法均为非限制的示例性实施例。结合一个示例性实施例示出或描述的结构可与其它实施例的结构相组合。这种修改形式和变型形式包括在本发明的范围内。
本文公开的或受权利要求书保护的用于制造、形成或换句话讲制备制品或产品的方法中的任何一个可用于制造、形成或换句话讲制备所考虑的制品或产品中的全部或部分,并且在此类方法用于制造、形成或换句话讲制备所考虑的制品或产品的部分的情况下,制品或产品的其余部分可以任何方式(包括使用本文公开的或受权利要求书保护的用于制造、形成或换句话讲制备制品或产品的其它方法中的任何一个)来制备,并且可将如此制备的各个部分以任何方式进行组合。相似地,本文公开的或受权利要求书保护的任何制品或产品可单独存在,或者可结合与其兼容的本发明所公开的任何其它制品或产品而存在,或者可作为与其兼容的本发明所公开的任何其它制品或产品的一体部分而存在。因此,结合一种制品、产品或方法示出或描述的特定特征、结构、或特性可完全地或部分地(非限制地)与一种或多种其它兼容制品、产品或方法的特征、结构、或特性进行结合。这种修改形式和变型形式包括在本发明的范围内。
在本文参照特定附图或其它方式公开本发明的特定实施例,或者特定制品,产品或方法可包括特定结构、特性、或特征的情况下,读者应当理解,这意味着这些结构、特性、或特征可以任何合适的组合实施于所考虑的制品、产品或方法中。具体地讲,多个任选结构、特性、或特征的此类公开内容应被理解为公开这些结构、特性、或特征的全部组合,例外情况是被公开作为彼此的替代形式的结构、特性、或特征。在此类结构、特性、或特征被公开作为彼此的替代形式的情况下,这应被理解为公开作为彼此的替换物的这些替代形式。
本文所用术语“近侧”和“远侧”是相对于操纵外科器械的柄部部分的临床医生而言的。术语“近侧”是指最靠近临床医生的部分,术语“远侧”是指远离临床医生的部分。还应当理解,为简洁和清楚起见,本文可以结合附图使用诸如“竖直”、“水平”、“上”和“下”之类的空间术语。然而,外科器械在许多方向和位置中使用,并且这些术语并非限制性的和/或绝对的。
提供了各种示例性装置和方法以执行腹腔镜式和微创外科手术操作。然而,读者将容易理解,本文所公开的各种方法和装置可用于多种外科手术和应用(包括与开放式外科手术结合)中。继续参阅本具体实施方式,读者将进一步理解,本文所公开的各种器械可以任何方式插入体内,例如通过自然腔道、通过形成于组织中的切口或穿刺孔等。器械的工作部分或端部执行器部分可直接插入患者体内或可通过具有工作通道的进入装置插入,外科器械的端部执行器和细长轴可通过所述工作通道推进。
转到附图,其中在多个视图中,类似的数字表示类似的组件,图1示出了能够实践若干独特益处的外科器械10。外科缝合器械10被设计成用于操纵和/或致动可操作地附接到其上的各种形式及尺寸的端部执行器12。在图1-图1E中,例如端部执行器12包括细长通道14,该细长通道形成端部执行器12的下钳口13。细长通道14能够支撑“植入式”钉仓30并且还能够运动地支撑用作端部执行器12的上钳口15的砧座20。
细长通道14可由例如300&400系列,17-4&17-7不锈钢、钛等制成,并且可与间隔开的侧壁16一起形成。砧座20可由例如300&400系列,17-4&17-7不锈钢、钛等制成,并且可具有钉成形下表面(通常标记为22),所述钉成形下表面具有形成于其中的多个钉成形凹坑23。参见图1B-图1E。另外,砧座20具有从其向近侧突起的分为两部分的滑道组件24。砧座销26从滑道组件24的每个侧面突起,以接收在细长通道14的侧壁16中的对应狭槽或开口18内,从而有利于将砧座销可运动或可枢转地附接到所述对应狭槽或开口上。
各种形式的植入式钉仓可与本文所公开的外科器械一起使用。以下将更详细地论述特定的钉仓构型和构造。然而,在图1A中,示出了植入式钉仓30。钉仓30具有主体部分31,该主体部分由可压缩的止血材料(诸如氧化再生纤维素(“ORC”)或可生物吸收的泡沫)构成,其中支撑有多行未成形的金属钉32。为防止钉受影响并且防止止血材料在引入和定位过程期间被活化,整个仓可涂覆有或包裹有可生物降解的膜38,诸如以商标出售的六环酮膜或聚甘油癸二酸酯(PGS)膜或由PGA(聚乙醇酸,以商标Vicryl出售)、PCL(聚己内酯)、PLA或PLLA(聚乳酸)、PHA(聚羟基链烷酸酯)、PGCL(聚卡普隆25,以商标Monocryl出售)或PGA、PCL、PLA、PDS的复合物形成的其他可生物降解的膜,所述膜只有在破裂时才可渗透。钉仓30的主体31的尺寸被设定成可移除地支撑在如图所示的细长通道14内,使得当砧座20被驱动至与钉仓30形成接触时,其中的每个钉32均与砧座中对应的钉成形凹坑23对齐。
在使用中,一旦端部执行器12邻近靶组织而定位,端部执行器12便被操纵成将靶组织捕获或夹紧于钉仓30的顶部表面36与砧座20的钉成形表面22之间。钉32通过如下方式成形:使砧座20在基本上平行于细长通道14的路径中运动,以使钉成形表面22且更具体地使其中的钉成形凹坑23基本上同时接触钉仓30的顶部表面36。当砧座20继续运动至钉仓30中时,钉32的腿34在砧座20中接触对应的钉成形凹坑23,该钉成形凹坑用于使钉腿34弯曲以使钉32成形为“B形”。砧座20朝细长通道14的进一步运动将进一步压缩钉32并使其成形为期望的最终成形高度“FF”。
上述钉成形过程大体绘示于图1B-图1E中。例如,图1B示出端部执行器12,其中靶组织“T”位于砧座20与植入式钉仓30的顶部表面36之间。图1C示出砧座20的初始夹紧位置,其中砧座20已被合拢至靶组织“T”上,以将靶组织“T”夹紧于砧座20与钉仓30的顶部表面36之间。图1D示出初始钉成形,其中砧座20已开始压缩钉仓30,使得钉32的腿34开始通过砧座20中的钉成形凹坑23而成形。图1E示出穿过靶组织“T”而处于最终成形条件的钉32,为清晰起见已移除砧座20。一旦钉32成形并紧固至靶组织“T”,外科医生便使砧座20运动至打开位置,以在自患者撤出端部执行器12时使仓体31及钉32能够保持附连到靶组织。当两个钳口13,15共同夹紧时,端部执行器12使所有的钉同时成形。其余“被压溃的”主体材料31用作止血剂(ORC)和钉线增强剂(PGA、PDS或任何上述其他膜组合物38)。此外,由于钉32在成形期间不必离开仓体31,因此钉32在成形期间变为畸形的可能性被最小化。如本文所用,术语“植入式”是指除钉之外,支撑钉的仓体材料也将被保持在患者体内并可最终被患者身体吸收。此类植入式钉仓区别于先前的钉仓结构,该先前的钉仓构造在其已被击发之后仍然完整地定位在端部执行器内。
在各种具体实施中,端部执行器12能够联接到自柄部组件100突起的细长轴组件40。端部执行器12(在闭合时)和细长轴组件40可具有相似的横截面形状,并且其尺寸被设定成以另一种进入器械形式操作地穿过套管针管或工作通道。如本文所用,术语“可操作地穿过”是指端部执行器和细长轴组件的至少一部分可通过通道或管开口插入或可穿过通道或管开口,并可视需要在通道或管开口中对其进行操纵以完成外科缝合手术。当处于闭合位置时,端部执行器12的钳口13和15可为端部执行器提供大体圆形的横截面形状以利于其穿过圆形的通路/开口。然而,可设想本发明的端部执行器以及细长轴组件设有其他横截面形状,从而可以其他方式穿过具有非圆形横截面形状的进入通路和开口。因此,闭合的端部执行器的横截面的总体尺寸将与端部执行器打算穿过的通道或开口的尺寸相关。因此,一个端部执行器例如可被称为“5mm”端部执行器,这是指其能够可操作地穿过直径至少为大约5mm的开口。
细长轴组件40可具有与处于闭合位置的端部执行器12的外径基本相等的外径。例如,5mm端部执行器可联接到具有5mm横截面直径的细长轴组件40。然而,继续参阅本具体实施方式,将显而易见的是,本发明可有效地结合不同尺寸的端部执行器使用。例如,10mm端部执行器可附接到具有5mm横截面直径的细长轴。相反,对于其中提供10mm或更大的进入开口或通道的应用而言,细长轴组件40可具有10mm(或更大)的横截面直径,但也能够致动5mm或10mm端部执行器。因此,外轴40的外径可与附接到其上的闭合的端部执行器12的外径相同或不同。
如图所示,细长轴组件40从柄部组件100大体上沿着直线向远侧延伸,以限定纵向轴线A-A。例如,细长轴组件40可为约9-16英寸(229-406mm)长。然而,细长轴组件40可设置为其他长度,或者可在其中具有接头或以其他方式能够有利于端部执行器12相对于轴或柄部组件的其他部分进行关节运动,如下文将更详细地论述。细长轴组件40包括脊构件50,该脊构件从柄部组件100延伸到端部执行器12。端部执行器12的细长通道14的近侧末端具有从其突起的一对保持耳轴17,该对保持耳轴的尺寸被设定成接收在脊构件50的远侧末端中所提供的对应的耳轴开口或支架52中,以使端部执行器12能够可移除地联接细长轴组件40。脊构件50可由例如6061或7075铝、不锈钢、钛等制成。
柄部组件100包括手枪抓握型外壳,该手枪抓握型外壳可出于组装目的而被制成两个或更多个部分。例如,如图所示的柄部组件100包括由聚合物或塑性材料模塑或换句话讲制成的、并被设计成配合在一起的右手壳体构件102和左手壳体构件(未示出)。可通过在其中模塑或换句话讲形成的按扣特征结构、栓、和承窝、和/或通过粘合剂、螺钉等而将此类壳体构件附接到一起。脊构件50具有近侧末端54,在该近侧末端上形成有凸缘56。凸缘56能够可旋转地支撑在沟槽106中,该沟槽由从壳体构件102,104中的每个向内突起的配合肋108形成。此类构造有利于脊构件50附接到柄部组件100,同时使脊构件50能够相对于柄部组件100沿360°路径围绕纵向轴线A-A旋转。
如在图1中可进一步看出,脊构件50穿过安装轴衬60并由安装轴衬60支撑,该安装轴衬60可旋转地附连到柄部组件100。安装轴衬60具有近侧凸缘62和远侧凸缘64,其限定旋转沟槽65,该旋转沟槽能够将柄部组件100的前缘部分101可旋转地接收在其间。这种构造使安装轴衬60能够相对于柄部组件100围绕纵向轴线A-A旋转。脊构件50通过脊销66不可旋转地销接至安装轴衬60。另外,旋钮70附接到安装轴衬60。例如,旋钮70具有中空安装凸缘部72,该中空安装凸缘部的尺寸被设定成将安装轴衬60的一部分接收在其中。旋钮70可由例如玻璃或碳填充尼龙、聚碳酸酯、等制成,并且也通过脊销66附连到安装轴衬60。此外,向内突起的保持凸缘74形成在安装凸缘部72上并能够延伸至形成于安装轴衬60中的径向沟槽68中。因此,外科医生可通过抓紧旋钮70并使其相对于柄部组件100旋转,而使脊构件50(和附接到其上的端部执行器12)围绕纵向轴线A-A沿360°路径旋转。
砧座20由砧座弹簧21和/或另一个偏置构造保持在打开位置。通过大体被标记为109的击发系统,砧座20可从打开位置选择性地运动到各种闭合或夹紧位置以及击发位置。击发系统109包括“击发构件”110,其包括中空击发管110。中空击发管110可在脊构件50上轴向地运动,因此形成细长轴组件40的外部。击发管110可由聚合物或其他合适的材料制成,并具有附接到击发系统109的击发轭114的近侧末端。例如,击发轭114可模压到击发管110的近侧末端。然而,也可采用其他紧固件构造。
如在图1中可看出,击发轭114能够可旋转地支撑在支撑衬圈120中,该支撑衬圈能够在柄部组件100中轴向运动。支撑衬圈120具有一对侧向延伸的翅片,该对翅片的尺寸设定成可滑动地接收在形成于左手壳体构件和右手壳体构件中的翅片狭槽内。因此,支撑衬圈120可在柄部外壳100中轴向滑动,同时使击发轭114和击发管110能够相对于支撑衬圈120围绕纵向轴线A-A旋转。根据本发明,穿过击发管110设置有纵向狭槽,以使脊销66能够穿过其中延伸到脊构件50中,同时有利于击发管110在脊构件50上轴向行进。
击发系统109还包括击发触发器130,该击发触发器用于控制击发管110在脊构件50上的轴向行进。参见图1。沿着击发管110的远侧方向形成与砧座20击发交互的此类轴向运动在本文中称为“击发动作”。如在图1中可看出,击发触发器130通过枢轴销132可运动地或者可枢转地联接到柄部组件100。采用扭转弹簧135来偏置击发触发器130远离柄部组件100的手枪式握把部107而到达未致动的“打开”或起始位置。如在图1中可看出,击发触发器130具有上部134,该上部可运动地附接(销接)到击发链节136,该击发链节可运动地附接(销接)到支撑衬圈120。因此,击发触发器130从起始位置(图1)朝邻近柄部组件100的手枪式握把部107的终止位置的运动将导致击发轭114和击发管110沿着远侧方向“DD”运动。击发触发器130远离柄部组件100的手枪式握把部107的运动(在扭转弹簧135的偏置力下)将导致击发轭114和击发管110在脊构件50上沿着近侧方向“PD”运动。
本发明可与不同尺寸和构型的植入式钉仓一起使用。例如,当结合第一击发衔接子140使用时,外科器械10可与支撑植入式钉仓30的约20mm长(或以其他长度)的5mm端部执行器12一起使用。这种端部执行器尺寸可尤其非常适用于例如实现相对精细的解剖及血管处理。然而,如下文所更详细所述,例如也可通过将第一击发衔接子140更换为第二击发衔接子而将外科器械10与其他尺寸的端部执行器和钉仓结合使用。作为另外的替代形式,细长轴组件40能够附接到仅一种形式或尺寸的端部执行器。
现在将阐释一种将端部执行器12可移除地联接到脊构件50的方法。通过将细长通道14上的保持耳轴17插入脊构件50中的耳轴支架52中来开始联接过程。随后,外科医生将击发触发器130朝向外壳组件100的手枪式握把107推进,以将击发管110和第一击发衔接子140向远侧推进到细长通道14的近侧末端部分47之上,从而将耳轴17保持在其各自的支架52中。第一击发衔接子140在耳轴17上的这种位置在本文中称为“联接位置”。本发明还可具有端部执行器锁定组件以用于在端部执行器12已附接到脊构件50之后将击发触发器130锁定在适当位置。
更具体地讲,端部执行器锁定组件160的一个实施例包括保持销162,该保持销被可运动地支撑在击发触发器130的上部134中。如上所述,击发管110必须首先向远侧被推进至联接位置,其中第一击发衔接子140将端部执行器12的保持耳轴17保持在脊构件50中的耳轴支架52中。外科医生通过从起始位置朝手枪式握把107牵拉击发触发器130而将击发衔接子140向远侧推进到联接位置。当击发触发器130被首先致动时,保持销162向远侧运动,直到击发管110将第一击发衔接子140推进到联接位置,此时保持销162被偏置到形成于壳体构件中的锁定腔164中。任选地,当保持销162进入锁定腔164中时,销162可发出可听见的“咔嗒”声或其他声音,而且为外科医生提供端部执行器12已被“锁定”到脊构件50上的触觉指示。另外,只要不有意地将保持销162偏置出锁定腔164,外科医生便不会无意间继续致动击发触发器130以开始使端部执行器12中的钉32成形。相似地,如果外科医生释放处于联接位置的击发触发器130,则保持销162会使击发触发器130保持在该位置,以防止击发触发器130返回至起始位置并因此从脊构件50释放端部执行器12。
本发明还可包括击发系统锁定按钮137,该击发系统锁定按钮以能够枢转的方式附接到柄部组件100。在一种形式中,击发系统锁定按钮137具有在其远侧末端上形成的闩锁138,该闩锁被取向成当击发释放按钮处于第一闩锁位置时接合击发轭114。如在图1中可看出,闩锁弹簧139用于将击发系统锁定按钮137偏置到第一闩锁位置。在各种情况下,闩锁138用于在以下点处接合击发轭114:在该点处,脊构件50上的击发轭114的位置对应于其中第一击发衔接子140即将朝远侧推进到砧座20上的夹紧滑道28上的点。应当理解,随着第一击发衔接子140轴向地向夹紧滑道28上推进,砧座20将沿路径运动,使得钉成形表面部分22基本上平行于钉仓30的顶部表面36。
在端部执行器12联接到脊构件50之后,通过首先压下击发系统锁定按钮137而开始钉成形过程,以使击发轭114能够在脊构件50上进一步向远侧运动并最终将砧座20压缩到钉仓30中。在压下击发系统锁定按钮137之后,外科医生继续朝手枪式握把107致动击发触发器130,从而将第一钉衬圈140的驱动到对应的钉成形滑道29上,以迫使砧座20与钉仓30中的钉32成形接触。击发系统锁定按钮137防止在外科医生准备好开始该过程之前无意地使钉32成形。在该实施例中,外科医生必须在击发触发器130可被进一步致动之前压下击发系统锁定按钮137以开始钉成形过程。
外科器械10可视需要而仅用作组织缝合装置。然而,本发明也可包括组织切割系统,该组织切割系统大体被标记为170。在至少一种形式中,组织切割系统170包括刀构件172,可通过致动刀行进触发器200将该刀构件选择性地从邻近侧末端部执行器12的近侧末端的未致动位置推进到致动位置。刀构件172可运动地被支撑在脊构件50内,并附接到刀杆180或换句话讲从刀杆180突起。刀构件172可由例如具有大于38HRC(洛氏硬度C级)的硬度的420或440不锈钢制成,并可具有形成于其远侧末端174上的组织切割刃176,并能够可滑动地延伸穿过砧座20中的狭槽以及在钉仓30中居中设置的狭槽33,以切穿夹紧于端部执行器12中的组织。刀杆180延伸穿过脊构件50并且具有与刀传送装置传动交接的近侧末端部分,该刀传送装置可操作地附接到刀行进触发器200。刀行进触发器200附接到枢轴销132,使得其可在无需致动击发触发器130的情况下进行枢转或换句话讲被致动。根据本发明,第一刀齿轮192也附接到枢轴销132,使得刀行进触发器200的致动也使第一刀齿轮192枢转。第一刀齿轮192与柄部壳体100之间附接有击发返回弹簧202,以将刀行进触发器200偏置到起始位置或未致动位置。
刀传送装置还包括第二刀齿轮194,该第二刀齿轮可旋转地支撑在第二齿轮轴上并与第一刀齿轮192啮合。第二刀齿轮194与支撑在第三齿轮轴上的第三刀齿轮196啮合。第四刀齿轮198也被支撑在第三齿轮轴195上。第四刀齿轮198能够传动接合在刀杆180的近侧末端上的一系列环形齿轮齿或环。因此,这种构造使第四刀齿轮198能够沿远侧方向“DD”或近侧方向“PD”轴向地驱动刀杆180,同时使击发杆180相对于第四刀齿轮198围绕纵向轴线A-A旋转。因此,外科医生可通过朝柄部组件100的手枪式握把107牵拉刀行进触发器200而使击发杆180轴向地推进并最终朝远侧推动刀构件172。
本发明还包括刀锁定系统210,该刀锁定系统防止刀构件172的推进,除非击发触发器130已被牵拉至完全击发位置。因此,这种结构将防止刀推进系统170的激活,除非钉已首先被击发或成形于组织中。如在图1中可看出,刀锁定系统210的各种具体实施包括刀锁定杆211,该刀锁定杆以能够枢转的方式支撑在柄部组件100的手枪式握把部107中。刀锁定杆211具有激活端212,当击发触发器130处于完全击发位置时,激活端212能够被击发触发器130接合。另外,刀锁定杆211在其另一端上具有保持吊钩214,该保持吊钩能够以吊钩方式接合第一切割齿轮192上的闩锁杆216。采用刀锁定弹簧218来将刀锁定杆211偏置到“锁定”位置,其中保持吊钩214保持与闩锁杆216接合,从而防止刀行进触发器200的致动,除非击发触发器130处于完全击发位置。
在钉被“击发”(成形)至靶组织中之后,外科医生可压下击发触发器释放按钮167,以使击发触发器130能够在扭转弹簧135的偏置下返回至起始位置,从而使砧座20能够在弹簧21的偏置下偏置到打开位置。当处于打开位置时,外科医生可撤出端部执行器12而留下植入式钉仓30和钉32。在其中端部执行器穿过通道、工作通道等而被插入的应用中,外科医生将通过激活击发触发器130而使砧座20返回至闭合位置,以使端部执行器12能够通过通道或工作通道被撤出。然而,如果外科医生想要在击发钉之后切割靶组织,则外科医生以上述方式激活刀行进触发器200,以驱动刀杆172穿过靶组织到达端部执行器的端部。随后,外科医生可释放刀行进触发器200,以使击发返回弹簧202能够使击发传送装置将刀杆172返回至起始(未致动)位置。一旦刀杆172返回至起始位置,外科医生便可打开端部执行器钳口13、15,以将植入式仓30释放于患者体内并随后从患者体内撤出端部执行器12。因此,此类外科器械有利于使用可通过相对较小的工作通道和通道而被插入的小的植入式钉仓,同时为外科医生提供如下选择:在不切割组织的情况下击发钉、或视需要在击发钉之后还切割组织。
本发明的各种独特和新型实施例采用可压缩的钉仓,所述可压缩的钉仓支撑处于基本上固定位置以用于被砧座成形接触的钉。将砧座驱动到未成形钉中,其中例如所达到的钉成形的程度取决于砧座被驱动到钉中多远。此类构造使得外科医生能够调节施加至钉的成形或击发压力的量,从而改变钉的最终成形高度。在本发明的其他实施例中,外科缝合构造可采用钉驱动元件,该钉驱动元件可将钉朝向砧座抬起。下文对这些实施例进行了更详细的描述。
任选地,参照上文,施加到可移动砧座的击发动作的量取决于击发触发器的致动的程度。例如,如果外科医生想要获得仅部分成形的钉,则仅需朝手枪式握把107部分地向内压下击发触发器。要获得更多的钉成形,外科医生仅需进一步压紧击发触发器,使得砧座被进一步驱动以与钉进行成形接触。如本文所用,术语“成形接触”是指钉成形表面或钉成形凹坑已接触钉腿的末端并已开始将腿成形或弯曲至成形位置。钉成形的程度是指钉腿被折叠的程度且最终是指上文所提及的钉的成形高度。本领域中的普通技术人员将进一步理解,因为在对砧座20施加击发动作时,砧座20是以与钉仓基本上平行的关系进行运动,所以钉基本上同时成形并具有基本上相同的成形高度。
图2和图3示出了可供选择的端部执行器12",除以下能够容纳刀杆172’的不同点之外,端部执行器12"类似于上述端部执行器12’。刀杆172’联接到刀杆180或自刀杆180突起,并且除此之外以上文中关于刀杆172所述的方式进行操作。然而,在该实施例中,刀杆172’足够长以横贯端部执行器12"的整个长度,因此端部执行器12"中未采用单独的远侧刀构件。刀杆172’上形成有上横向构件173’和下横向构件175’。上横向构件173’被取向成滑动地横贯砧座20"中的对应细长狭槽250,并且下横向构件175’被取向成横贯端部执行器12"的细长通道14"中的细长狭槽252。脱离狭槽(未示出)也设置在砧座20"中,使得当刀杆172’已被驱动到端部执行器12"内的终止位置时,上横向构件173’下降穿过对应的狭槽以允许砧座20"运动到打开位置以脱离缝合和切割的组织。砧座20"可除此之外与上述砧座20相同,并且细长通道14"可除此之外与上述细长通道14相同。
在这些实施例中,砧座20"被弹簧或其他打开构造(未示出)偏置到完全打开位置(图2)。砧座20"通过击发衔接子150以上述方式进行的轴向行进而在打开位置与完全夹紧位置之间运动。一旦击发衔接子150推进至完全夹紧位置(图3),外科医生便可随后以上述方式朝远侧推进刀杆172"。如果外科医生想要将端部执行器用作抓紧装置来操纵组织,则可将击发衔接子朝近侧运动,以允许砧座20"远离细长通道14"运动,如图4中的虚线所示。在该实施例中,随着刀杆172"朝远侧运动,上横向构件173’和下横向构件175’一起拉动砧座20"和细长通道14",以在刀杆172"穿过端部执行器12"朝远侧推进时实现期望的钉成形。参见图5。因此,在该实施例中,钉成形是与组织切割同时发生,但钉本身可在刀杆172"朝远侧驱动时依序成形。
本发明的各种外科钉仓及外科器械的独特且新型的结构使所述钉仓中的钉能够排列成一条或多条线性或非线性的线。细长狭槽的每个侧上可设有多条这种钉线,所述细长狭槽居中地设置在钉仓内,以用于接收穿过其中的组织切割构件。在一种构造中,例如成一条线的钉可大体上平行于在钉的相邻线中的钉但与其偏离。作为另外的替代形式,一条或多条钉线可本质上为非线性的。也就是说,钉线中的至少一个钉的基部可沿基本上与同一钉线中的其他钉的基部横切的轴线延伸。例如,如下文将更详细地论述,作为另外一种选择,细长狭槽每侧的钉线可具有锯齿形外观。比起现有技术的钉仓中所采用的各种线性钉构造,此类非线性的钉构造可使用更少的钉获得更好的组织紧固结果。
图6示出了端部执行器实施例612’中外科钉仓实施例900的使用。如在图6和图7中可看出,外科钉仓900的实施例具有仓体902,该仓体具有居中设置的细长狭槽904,该细长狭槽穿过近侧末端903而延伸至与远侧末端905相邻的区域。细长狭槽904能够在以上述方式进行组织切割操作期间允许刀主体穿过其中轴向运动。仓体902由例如氧化再生纤维素(“ORC”)或例如由PGA(聚乙醇酸,以商标Vicryl出售)、PCL(聚己内酯)、PLA或PLLA(聚乳酸)、PDS(聚二氧杂环己酮)、PHA(聚羟基链烷酸酯)、PGCL(聚卡普隆25,以商标Monocryl出售)或PGA、PCL、PLA及PDS的复合物制成的可生物吸收的泡沫的可压缩的止血材料构成,在该可压缩的止血材料中支撑有未成形缝钉922的线920,930。然而,仓体902可由其他材料制成,该材料用于将未成形钉922支撑在期望取向中,使得当砧座910’与其接触时,其可被压缩。钉仓900为植入式的,并且在缝合手术完成之后保持附接到被缝合的组织。为防止钉922受影响以及止血材料在引入和定位过程期间被活化,整个仓900可涂覆有或包裹于可生物降解的膜906中,诸如以商标出售的六环酮膜或聚甘油癸二酸酯(PGS)膜、或例如由PGA(聚乙醇酸,以商标Vicryl出售)、PCL(聚己内酯)、PLA或PLLA(聚乳酸)、PHA(聚羟基链烷酸酯)、PGCL(聚卡普隆25,以商标Monocryl出售)或PGA、PCL、PLA、PDS的复合物形成的其他可生物降解的膜,该膜只有在破裂时才可渗透。钉仓900的仓体902的尺寸设定成被可移除地支撑在端部执行器612’的细长通道内。
在图6、图10和图11中,外科钉仓900可操作地在细长狭槽904的一个横向侧907上支撑钉922的第一线920,并在细长狭槽904的另一横向侧909上支撑钉922的第二线930。钉922可由诸如钛、钛合金(例如6Al-4V钛、3al-2.5V钛)、不锈钢等金属材料制成并且具有钉基部924以及从其突起的两个直立的钉腿926。每个钉腿926上可形成有组织刺穿顶端928。在钉922的第一线920中,至少一个钉922的钉基部924与另一个钉922的钉基部重叠。优选地,除了在第一钉线920每个端部上的最后钉922的基部924之外,每个钉922的钉基部924均与两个相邻钉922的钉基部924重叠。参见图10。因此,第一钉线920具有基本上非线性的形状。更具体地讲,当从上方观察时,第一钉线920具有基本上锯齿形的外观。
如在图9中可看出,砧座90具有两个顺序的纵向钉成形凹坑912,每个纵向钉成形凹坑具有与钉922的第一线920的形状对应的基本上锯齿形形状,使得当砧座910与钉922进行成形接触时,钉的腿926如图11所示成形。因此,一个钉的远侧腿与在纵向上的下一钉的近侧腿共享同一凹坑。这种构造允许更密集的凹坑图案,甚至达到钉自身进行相互作用(例如跨过彼此而折叠)的程度。在现有技术的钉凹坑构造中,一般来讲,一组凹坑与下一组凹坑之间必须具有0.005和0.015英寸之间的金属/空间。然而,例如,本发明的该实施例具有0至0.02英寸的干涉/重叠间隔构造(本质上,a-0.020"),这是因为一个钉与下一个钉配合。这种构造允许在相同的空间中多出15%至30%的钉。此外,当各钉联锁时,对多个侧向钉行的需求减少。现有的构造通常在组织切割线的每一侧上采用三行钉,以防止存在血液可流过的开放路径。联锁钉线形成血液可流过的路径的可能性更小。本发明的各种联锁钉构造所提供的另一个明显的优点涉及与撕开钉线开口所需力的量相关的改善“破裂强度”。
另一个钉成形凹坑构造可包括共用的钉成形凹坑。如本文所用,术语“共用的钉成形凹坑”是指,与其中针对每个预成形钉的每条腿来设置独立形成凹坑的现有技术的砧座设计不同,一个成形凹坑可使单个钉线中的所有钉成形。
图12示出又一个钉实施例922’,其中基部924’具有偏移部929,以利于各基部924’进行更紧密的重叠。如上所述,钉仓900具有支撑在细长狭槽904的第二横向侧909上的钉922的第二线930。钉922的第二线930与钉922的第一线920基本上相同。因此,砧座910具有对应于第二钉线930的第二共用钉成形凹坑912,以与第二钉线930成形接触。然而,作为另外一种选择,钉922的第二线930可在形状上并可能在钉数目上不同于钉的第一线920。
图8示出除支撑于其中的钉922的线920’、930’之外,与上述钉仓900基本上相同的外科钉仓900’。例如,在该实施例中,钉922的线920’相对于彼此被设定成使得至少一个钉基部924的基部轴线S-S基本上横切至少另一个相邻钉922的钉基部924的基部轴线S-S。当从上方观察时,这种预定的钉图案包括基本上锯齿形的构造。在图13中,钉922的各个基部924上可另外重叠注塑有基部支撑构件927,如图所示。基部支撑构件927可由例如不可吸收的塑料(诸如聚醚醚酮“PEEK”)或可吸收的塑料(诸如聚乙醇酸“PGA”、聚乳酸“PLA”或“PLLA”、聚二氧杂环己酮“PDS”、PCL(聚己内酯)、PHA(聚羟基链烷酸酯)、PGCL(聚卡普隆25,以商标Monocryl出售)或PGS、PDS、PLA、PGA、和PCL的各种复合混合物)制成。基部支撑构件927有利于在不使钉自身重叠的情况下使钉之间进行联锁。因此,这种构造可在不使钉自身的腿重叠的情况下使钉成形为“B”形或倒“W”形。然而,由于冠部通过基部支撑构件相连,所以它们像重叠钉一样起作用。此类构造允许组合凹坑具有针对每条腿的两条离散路径。
图14采用钉线920",其中邻近钉922的腿926通过以模塑或换句话讲附接到腿926的联接器部929联接在一起。每个联接器部929可由例如聚醚醚酮“PEEK”或可吸收的塑料(例如聚乙醇酸“PGA”、聚乳酸“PLA”或“PLLA”、聚二氧杂环己酮“PDS”、PCL(聚己内酯)、PHA(聚羟基链烷酸酯)、PGCL(聚卡普隆25,以商标Monocryl出售)或PGS、PDS、PLA、PGA、和PCL的各种复合混合物)制成。当从上方观察时,这种钉线920"具有基本上锯齿形外观。尽管已结合端部执行器612’的使用来解释各种外科钉仓实施例900,900’,然而应当理解,钉仓900,900’可有效地与上文所述的各种其他端部执行器及外科器械一起使用,其中这些器械的砧座中设置有合适的钉成形凹坑构造,以便在砧座运动到与钉成形接触时达到期望的钉成形量。
图15和图16示出了支撑在外科器械10的细长通道14中的另一个外科钉仓940实施例。外科钉仓940包括仓体942,该仓体具有居中设置的细长狭槽944,该细长狭槽至少部分地延伸穿过其中。细长狭槽944能够在以上述方式进行组织切割操作期间允许外科器械10的刀主体穿过其中轴向运动。仓体942由诸如氧化再生纤维素(“ORC”)或者上述或下述类型的可生物吸收的泡沫的可压缩的止血材料构成,其中支撑有未成形钉922的线946,948,950,952。为防止钉922受影响以及止血材料在引入和定位过程期间被活化,整个仓940可涂覆有或包裹于可生物降解的膜954中,诸如以商标出售的六环酮膜或聚甘油癸二酸酯(PGS)膜、或例如由PGA(聚乙醇酸,以商标Vicryl出售)、PCL(聚己内酯)、PLA或PLLA(聚乳酸)、PHA(聚羟基链烷酸酯)、PGCL(聚卡普隆25,以商标Monocryl出售)或PGA、PCL、PLA、PDS的复合物形成的其他可生物降解的膜,该膜只有在破裂时才可渗透。
在图15中,仓940还包括联接到仓体942的仓支撑构件960。仓支撑构件960可由诸如钛、不锈钢、铝、上述任何合金等刚性材料制成,并可部分地嵌入仓体942内。仓支撑构件960可由例如膜954保持就位。作为另外一种选择,在需要限制性结合的情况下,可零星地使用氰基丙烯酸盐粘合剂来将两个组件“胶合”在一起。作为另外的替代形式,可将仓体942加热并且“焊接”或“熔融”到仓支撑构件960。仓支撑构件960形成仓体942的底部表面的至少一部分以与细长通道14配合。仓支撑构件960具有自其突起的一个或多个按扣特征结构962,以用于将仓支撑构件960可释放地联接到细长通道14。可采用其他形式的按扣特征结构/紧固件构造将仓支撑构件960可释放地联接到细长通道14。
仓支撑构件960上形成有一系列支撑脊964,966,968,970,972,974,976,以向钉线946,948,950,952中的钉922的基部924提供一些侧向支撑,如图15所示。因此,支撑脊与钉线基本上共同延伸。图17示出可供选择的与仓940基本上相同的钉仓实施例940’,不同之处在于,钉仓实施例940’包括分别从支撑脊964,966,968,970,972,976突起以对钉922提供额外侧向支撑的直立翅片部978,979,980,981,982,983。翅片部可与仓支撑构件960形成为一体,并且其高度可为仓高度的约1/2或更小。因此,例如,支撑泡沫的任何直立结构均无法延伸到泡沫的最大压缩高度以上。因此,如果仓被设计成例如在被击发时压缩至其原始高度的1/3,则翅片将在未压缩高度的66%一路下降到未压缩高度的10%之间。
在使用中,一旦钉922通过以上述方式接触砧座20而成形,则将砧座20打开并将端部执行器12拉离经缝合的组织。当将端部执行器12拉离经缝合的组织时,仓体942保持紧固至经缝合的组织并随后与保持联接到细长通道14的仓支撑构件960分离。仓支撑构件960的颜色不同于包括仓体942的材料的颜色以及细长通道14的颜色。此类构造为外科医生提供端部执行器中不存在钉仓的可容易识别的指示。因此,外科医生将不会无意地尝试在未在端部执行器中安装新的钉仓的情况下再次插入/使用端部执行器。为此,外科医生仅需将仓支撑构件960的按扣特征结构从细长通道14脱离,以使新的钉仓940的仓支撑构件960能够被放置在其中。尽管参考外科器械10解释钉仓940,940’,然而应当理解,在不脱离本发明的精神和范围的情况下,这些仓可有效地与本文所公开的许多其他外科器械一起采用。
根据本发明,钉仓可包括仓体和储存在仓体内的多个钉。在使用中,可将钉仓引入手术部位中并将其定位在所处理的组织的侧面。另外,可将钉成形砧座定位在组织的相对侧上。砧座可由第一钳口携载并且钉仓可由第二钳口携载,其中第一钳口和/或第二钳口可朝另一钳口运动。一旦钉仓及砧座相对于组织被定位,则可从钉仓体中射出钉,使得钉可刺穿组织并接触钉成形砧座。一旦从钉仓体中部署钉,则然后可从手术部位移除钉仓体。钉仓或钉仓的至少一部分中可植入有钉。例如,如下文所更详细地描述,钉仓可包括仓体,当砧座从打开位置运动到闭合位置时,该仓体可被砧座压缩、压碎和/或塌缩。当仓体被压缩、压溃和/或塌缩时,定位在仓体中的钉可通过砧座而变形。作为另外一种选择,支撑钉仓的钳口可朝砧座运动至闭合位置。在两种情形的任一种中,当钉至少部分地定位在仓体内时,钉可变形。在一些情况下,钉可不从钉仓射出,而在其他情况下,钉可随同仓体的一部分一起从钉仓射出。
现在参见图18A-图18D,可压缩钉仓(诸如钉仓1000)例如可包括可压缩、植入式仓体1010,以及此外定位在可压缩仓体1010中的多个钉1020,但图18A-图18D仅示出一个钉1020。图18A示出由钉仓支撑件或钉仓通道1030支撑的钉仓1000,其中钉仓1000被示为处于未压缩条件。在这种未压缩条件中,砧座1040可接触或不接触组织T。在使用中,砧座1040可从打开位置运动至接触组织T,如图18B所示,以及将组织T抵靠仓体1010定位。即使砧座1040可将组织T定位成抵靠钉仓体1010的组织接触表面1019,然而再次参见图18B,钉仓体1010此时可经受极少的(如果有的话)压缩力或压力,并且钉1020可保持在未成形或未击发条件。如图18A和图18B所示,钉仓体1010可包括一个或多个层,并且钉1020的钉腿1021可穿过这些层向上延伸。仓体1010可包括第一层1011、第二层1012、第三层1013和第四层1014,其中第二层1012可定位在第一层1011与第三层1013中间,其中第三层1013可定位在第二层1012与第四层1014中间。例如,钉1020的基部1022可定位在第四层1014中的腔体1015中,并且钉腿1021可从基部1022向上延伸并且穿过第四层1014、第三层1013和第二层1012。任选地,每个可变形腿1021可包括顶端,诸如锋利的顶端1023,例如当钉仓1000处于未压缩条件时,该锋利的顶端可定位在第二层1012中。例如,顶端1023可不延伸至和/或穿过第一层1011,其中当钉仓1000处于未压缩条件时,顶端1023可不突起穿过组织接触表面1019。当钉仓处于未压缩条件时,锋利的顶端1023可定位在第三层1013和/或任何其他合适的层中。作为另外一种选择,钉仓的仓体可具有任何合适的层数目,例如少于四层或多于四层。
任选地,如下文所更详细地描述,第一层1011可由支撑物材料和/或塑性材料(例如,聚二氧杂环己酮(PDS)和/或聚乙醇酸(PGA))构成,并且第二层1012可由可生物吸收的泡沫材料和/或可压缩止血材料(例如,氧化再生纤维素(ORC))构成。任选地,第一层1011、第二层1012、第三层1013和第四层1014中的一者或多者可将钉1020保持在钉仓体1010中,并且另外可使钉1020保持相互对齐。第三层1013可由支撑物材料或相当不可压缩的或非弹性材料构成,该材料能够将钉1020的钉腿1021相对于彼此保持在适当位置。此外,定位在第三层1013的相对侧上的第二层1012和第四层1014可稳定或减少钉1020的运动,即使第二层1012和第四层1014可由可压缩的泡沫或弹性材料构成。钉腿1021的钉顶端1023可至少部分地嵌入第一层1011中。例如,第一层1011和第三层1013能够可协作地并且稳固地将钉腿1021保持在适当位置。第一层1011和第三层1013可分别由例如可生物吸收材料(诸如以商品名Vicryl出售的聚乙醇酸(PGA)、聚乳酸(PLA或PLLA)、聚二氧杂环己酮(PDS)、聚羟基链烷酸酯(PHA)、以商品名Monocryl出售的聚卡普隆25(PGCL)、聚己内酯(PCL)、和/或PGA、PLA、PDS、PHA、PGCL和/或PCL的复合物)的薄片构成,并且第二层1012和第四层1014可分别由至少一种止血材料或止血剂构成。
尽管第一层1011可为可压缩的,然而第二层1012可基本上比第一层1011更可压缩。例如,第二层1012的可压缩性可为第一层1011的大约两倍、大约三倍、大约四倍、大约五倍和/或大约十倍。换句话讲,针对给定的力,第二层1012的压缩程度可为第一层1011的大约两倍、大约三倍、大约四倍、大约五倍、和/或大约十倍。第二层1012的可压缩性例如可在第一层1011的大约两倍与大约十倍之间。第二层1012可包括限定于其中的多个气隙,其中第二层1012中的气隙的量和/或尺寸可被控制以提供第二层1012的期望可压缩性。与上文相似,尽管第三层1013可为可压缩的,然而第四层1014能够比第三层1013基本上更具可压缩性。例如,第四层1014的可压缩性可为第三层1013的大约两倍、大约三倍、大约四倍、大约五倍、和/或大约十倍。换句话讲,针对给定的力,第四层1014的压缩程度可为第三层1013的大约两倍、大约三倍、大约四倍、大约五倍、和/或大约十倍。第四层1014的可压缩性可在第三层1013的大约两倍与大约十倍之间。第四层1014可包括限定于其中的多个气隙,其中第四层1014中的气隙的量和/或尺寸可被控制以便提供第四层1014的期望可压缩性。在各种情况下,可通过压缩率(即,层针对给定大小的力所压缩的距离)来表达仓体或仓体层的可压缩性。例如,与具有较低压缩率的层相比,具有高压缩率的层针对施加至该层的给定大小的压缩力将压缩更大的距离。如此而言,第二层1012可比第一层1011具有更高的压缩率;相似地,第四层1014可比第三层1013具有更高的压缩率。第二层1012和第四层1014可由相同的材料构成并且可具有相同的压缩率。第二层1012和第四层1014可由具有不同压缩率的材料构成。相似地,第一层1011和第三层1013可由相同的材料构成并且可具有相同的压缩率。第一层1011和第三层1013可由具有不同压缩率的材料构成。
当砧座1040朝其闭合位置行进时,砧座1040可接触组织T并对组织T和钉仓1000施加压缩力,如图18C所示。在这种情况下,砧座1040可朝钉仓支撑件1030向下推动仓体1010的顶部表面或组织接触表面1019。钉仓支撑件1030可包括仓支撑表面1031,其能够在钉仓1000被压缩于仓支撑表面1031与砧座1040的组织接触表面1041之间时支撑钉仓1000。由于砧座1040所施加的压力,仓体1010可被压缩并且砧座1040可接触钉1020。更具体地讲,仓体1010的压缩和组织接触表面1019的向下运动可使钉腿1021的顶端1023刺穿仓体1010的第一层1011、刺穿组织T并且进入砧座1040中的成形凹坑1042中。当仓体1010被砧座1040进一步压缩时,顶端1023可接触限定成形凹坑1042的壁,并且例如因此腿1021可向内变形或卷曲,如图18C所示。当钉腿1021被变形时,同样如图18C所示,钉1020的基部1022可接触钉仓支撑件1030或由钉仓支撑件1030支撑。任选地,如下文更详细地描述,钉仓支撑件1030可包括多个支撑结构,诸如例如钉支撑沟槽、狭槽或槽1032,所述多个支撑结构能够在钉1020被变形时支撑钉1020或至少钉1020的基部1022。同样如图18C所示,施加至钉仓体1010的压缩力可使第四层1014中的腔体1015塌缩。除腔体1015之外,钉仓体1010还可包括一个或多个空隙(诸如空隙1016),例如所述一个或多个空隙中可包括或不包括定位在其中的钉的一部分,所述一个或多个空隙能够允许仓体1010塌缩。腔体1015和/或空隙1016能够塌缩,使得限定腔体和/或壁的壁向下偏转并接触仓支撑表面1031和/或接触仓体1010的定位于腔体和/或空隙下方的层。
在比较图18B和图18C时,显然,第二层1012及第四层1014被砧座1040所施加的压缩压力基本上压缩。也可注意,第一层1011和第三层1013也被压缩。当砧座1040运动至其闭合位置时,砧座1040可通过朝钉仓支撑件1030向下推动组织接触表面1019而继续进一步压缩仓体1010。当仓体1010被进一步压缩时,砧座1040可使钉1020变形至其完全成形形状,如图18D所示。参见图18D,每个钉1020的腿1021可朝每个钉1020的基部1022向下变形,以便将组织T、第一层1011、第二层1012、第三层1013和第四层1014的至少一部分捕获在可变形腿1021与基部1022之间。在比较图18C和图18D时,更显然,第二层1012和第四层1014进一步被砧座1040所施加的压缩压力显著压缩。在比较图18C和图18D时也可注意,第一层1011和第三层1013也被进一步压缩。在钉1020被完全或至少充分地成形之后,砧座1040可远离组织T而被抬起,并且钉仓支撑件1030可远离和/或脱离钉仓1000运动。如图18D所示并由于上文所述,仓体1010可植入有钉1020。在各种实施例中,被植入的仓体1010可沿钉线支撑组织。在一些情况下,植入的仓体1010中包含的止血剂和/或任何其他适合的治疗药物可随着时间推移来处理组织。如上所述的止血剂可减少缝合和/或切割的组织出血,同时键合剂或组织粘合剂可随着时间推移为组织提供强度。所植入的仓体1010可由诸如ORC(氧化再生纤维素)、蛋白质基质、以商品名Vicryl出售的聚乙醇酸(PGA)、聚乳酸(PLA或PLLA)、聚二氧杂环己酮(PDS)、聚羟基链烷酸酯(PHA)、以商品名Monocryl出售的聚卡普隆25(PGCL)、聚己内酯(PCL)、和/或PGA、PLA、PDS、PHA、PGCL和/或PCL的复合物的材料构成。在某些情况下,仓体1010可包括例如能够减小手术部位感染的可能性的抗生和/或抗菌材料,诸如胶体银和/或三氯生。
仓体1010的层可相互连接。例如,可利用至少一种粘合剂(诸如血纤维蛋白和/或蛋白水凝胶)将第二层1012粘附至第一层1011,将第三层1013粘附至第二层1012,并且将第四层1014粘附至第三层1013。尽管未示出,但仓体1010的层可通过联锁机械结构连接在一起。例如,第一层1011和第二层1012可各自包括相对应的联锁结构,诸如榫槽结构和/或燕尾榫结构。相似地,第二层1012和第三层1013可各自包括相对应的联锁结构,同时第三层1013和第四层1014可各自包括相对应的联锁结构。尽管未示出,但钉仓1000可包括例如一个或多个铆钉,该一个或多个铆钉可延伸穿过仓体1010的一个或多个层。例如,每个铆钉可包括邻近第一层1011定位的第一末端或头部以及邻近第四层1014而定位的第二头部,该第四层可被组装到铆钉的第二末端或由铆钉的第二末端形成。例如,由于仓体1010的可压缩性质,铆钉可压缩仓体1010,使得铆钉的头部可相对于仓体1010的组织接触表面1019和/或底部表面1018凹陷。例如,铆钉可由可生物吸收的材料(诸如以商品名Vicryl出售的聚乙醇酸(PGA)、聚乳酸(PLA或PLLA)、聚二氧杂环己酮(PDS)、聚羟基链烷酸酯(PHA)、以商品名Monocryl出售的聚卡普隆25(PGCL)、聚己内酯(PCL)、和/或PGA、PLA、PDS、PHA、PGCL和/或PCL的复合物)构成。除通过仓体1010中所容纳的钉1020之外,仓体1010的层可不彼此连接。例如,钉腿1021与仓体1010之间的摩擦接合例如可将仓体1010的层保持在一起,并且一旦钉成形,则所述层可被捕获在钉1020中。钉腿1021的至少一部分可包括可以增大钉1020与仓体1010之间的摩擦力的粗糙化表面或粗糙涂层。
如上所述,外科器械可包括第一钳口及第二钳口,第一钳口包括钉仓支撑件1030,第二钳口包括砧座1040。任选地,如下文所更详细描述,钉仓1000可包括一个或多个保持特征结构,该一个或多个保持特征结构能够接合钉仓支撑件1030并且因此将钉仓1000可释放地保持到钉仓支撑件1030。例如,可通过至少一种粘合剂(诸如,血纤维蛋白和/或蛋白水凝胶)将钉仓1000粘附到钉仓支撑件1030。在使用中,在至少一种情况下,尤其是在腹腔镜式和/或内窥镜式手术中,第二钳口可运动至与第一钳口相对的闭合位置,例如使得第一钳口和第二钳口可通过套管针而被插入手术部位中。例如,套管针可限定约5mm的孔或插管,第一钳口和第二钳口可通过其而被插入。第二钳口可运动至处于打开位置与闭合位置之间的部分闭合位置,该部分闭合位置可允许第一钳口和第二钳口穿过套管针被插入,而无需使钉仓体1010中所容纳的钉1020变形。例如,当第二钳口处于其部分闭合的中间位置时,砧座1040可不对钉仓体1010施加压缩力,但当第二钳口处于其部分闭合的中间位置时,砧座1040可压缩钉仓体1010。尽管当砧座1040处于这种中间位置时可压缩钉仓体1010,然而砧座1040可不完全地压缩钉仓体1010,使得砧座1040接触钉1020和/或使得钉1020被砧座1040变形。一旦第一钳口和第二钳口通过套管针而被插入手术部位中,则第二钳口可被再次打开,并且砧座1040及钉仓1000可如上所述相对于靶组织进行定位。
现在参见图19A-图19D,外科缝合器的端部执行器可包括定位于砧座1140与钉仓支撑件1130中间的植入式钉仓1100。与上文相似,砧座1140可包括组织接触表面1141,钉仓1100可包括组织接触表面1119,并且钉仓支撑件1130可包括能够支撑钉仓1100的支撑表面1131。参见图19A,可利用砧座1140将组织T定位成抵靠钉仓1100的组织接触表面1119而不使钉仓1100变形,并且当砧座1140处于这种位置时,组织接触表面1141可被定位成与钉仓支撑表面1131相距距离1101a,并且组织接触表面1119可被定位成与钉仓支撑表面1131相距距离1102a。随后,当砧座1140朝钉仓支撑件1130运动时,现在参见图19B,砧座1140可向下推动钉仓1100的顶部表面或组织接触表面1119并压缩仓体1110的第一层1111和第二层1112。随着层1111和层1112被压缩,再次参见图19B,第二层1112可被压溃,并且钉1120的腿1121可刺穿第一层1111并进入到组织T中。例如,钉1120可至少部分地定位在第二层1112中的钉腔或空隙1115中,并且当第二层1112被压缩时,钉腔1115可塌缩并因此允许第二层1112围绕钉1120塌缩。第二层1112可包括盖部分1116,该盖部分可延伸于钉腔1115之上并包围或至少部分地包围钉腔1115。图19B示出了被向下压溃至钉腔1115中的覆盖部1116。第二层1112可包括一个或多个弱化部分,其可有利于第二层1112的塌缩。任选地,此类弱化部分可包括例如能够有利于仓体1110的可控塌缩的划痕、穿孔和/或薄的横截面。第一层1111可包括能够有利于钉腿1121穿透第一层1111的一个或多个弱化部分。任选地,此类弱化部分可包括例如能够与钉腿1121对齐或至少基本上对齐的划痕、穿孔和/或薄的横截面。
再次参见图19A,当砧座1140处于部分闭合的未击发位置时,砧座1140可被定位成与仓支撑表面1131相距距离1101a,使得其间限定有间隙。此间隙可由具有钉仓高度1102a的钉仓1100及组织T填充。当砧座1140向下运动以压缩钉仓1100时,再次参见图19B,组织接触表面1141与仓支撑表面1131之间的距离可由短于距离1101a的距离1101b限定。在各种情况下,砧座1140的组织接触表面1141与仓支撑表面1131之间的由距离1101b限定的间隙可大于原始的未变形的钉仓高度1102a。现在参见图19C,当砧座1140运动至更靠近仓支撑表面1131时,第二层1112可继续塌缩并且钉腿1121与成形凹坑1142之间的距离可减小。相似地,组织接触表面1141与仓支撑表面1131之间的距离可减小到距离1101c,该距离可大于、等于或小于原始的未变形仓高度1102a。现在参见图19D,砧座1140可运动至最终的击发位置,其中钉1120完全成形或至少成形至期望高度。在这种位置中,砧座1140的组织接触表面1141可与仓支撑表面1131相距距离1101d,其中距离1101d可短于原始的未变形仓高度1102a。同样如图19D所示,钉腔1115可完全或至少基本上塌缩,并且钉1120可完全或至少基本上被塌缩的第二层1112围绕。在各种情况下,砧座1140可随后远离钉仓1100运动。例如,一旦砧座1140从钉仓1100脱离,则仓体1110可例如至少部分地再次扩展于各种位置(即,相邻的钉1120之间的位置)中。压溃的仓体1110可能并不回弹性地再次扩展。成形的钉1120和另外定位在相邻的钉1120之间的仓体1110可对组织T施加压力或压缩力,这可提供各种治疗益处。
如上所述,再次参见图19A,每个钉1120可包括自其延伸的钉腿1121。例如,尽管钉1120被绘示为包括两个钉腿1121,然而也可利用可包括一个钉腿或作为另外一种选择包括超过两个钉腿(诸如三个钉腿或四个钉腿)的各种钉。如图19A所示,每个钉腿1121均可嵌入仓体1110的第二层1112中,使得钉1120固定于第二层1112中。钉1120可被插入仓体1110中的钉腔1115中,使得钉腿1121的顶端1123在基部1122之前进入腔体1115中。在顶端1123被插入腔体1115之后,顶端1123可被按压到盖部分1116中并切割第二层1112。钉1120可被坐置到第二层1112中的足够深度处,使得钉1120相对于第二层1112不运动或至少基本上不运动。钉1120可被坐置到第二层1112中的足够深度处,使得基部1122被定位或嵌入钉腔1115中。作为另外一种选择,基部1122可不被定位或嵌入第二层1112中。再次参见图19A,基部1122可在仓体1110的底部表面1118下方延伸。基部1122可承靠于仓支撑表面1130上或直接抵靠仓支撑表面1130定位。仓支撑表面1130可包括从其延伸和/或限定在其中的支撑结构,例如,钉1120的基部1122可被定位在例如钉仓支撑件1130中的一个或多个支撑沟槽、狭槽或槽1132中或由该一个或多个支撑沟槽、狭槽或槽1132支撑,如下文将更详细地描述。
除上述以外,现在参见图20,钉1120的基部1122可直接抵靠钉仓支撑件1130的支撑表面1131而定位。任选地,包括在钉基部1122包括圆形或弓形底部表面1124的情况下,例如钉基部1122可沿钉仓支撑表面1131运动或滑动。当砧座1140在钉成形过程期间被压抵钉腿1121的顶端1123时会发生这种滑动。如上所述并且现在参见图21,钉仓支撑件1130可在其中包括一个或多个支撑狭槽1132,该一个或多个支撑狭槽能够消除或至少减少钉基部1122与仓支撑表面1131之间的相对运动。例如,每个支撑狭槽1132均可由表面轮廓限定,该表面轮廓与定位在其中的钉底部表面的轮廓匹配或至少基本上匹配。例如,图21所示的基部1122的底部表面1124可包括圆形或至少基本上圆形的表面,并且支撑狭槽1132也可包括圆形或至少基本上圆形的表面。例如,限定狭槽1132的表面可由大于或等于限定底部表面1124的曲率半径的曲率半径限定。尽管狭槽1132可帮助防止或减少钉1120与钉仓支撑件1130之间的相对滑动运动,然而狭槽1132也能够防止或减少钉1120与钉仓支撑件1130之间的相对旋转运动。更具体地,狭槽1132能够紧密地接收基部1122,以便防止或减少钉1120围绕轴线1129的旋转,例如使得钉1120在变形时不会旋转或扭曲。
对上文进行进一步描述,每个钉1120均可由圆的或至少基本上圆的线材形成。例如,每个钉的腿和基部均可由具有非圆形横截面(诸如矩形横截面)的线材形成。例如,钉仓支撑件1130可包括对应的非圆形狭槽(诸如矩形狭槽),该非圆形狭槽能够接收此类钉的基部。现在参见图22,每个钉1120均可包括重叠注塑到基座1122上的冠部,诸如冠部1125,其中每个冠部1125均可定位在钉仓支撑件1130中的支撑狭槽内。例如,每个冠部1125均可包括例如正方形和/或矩形的横截面,该横截面能够被接收在例如钉仓支撑件1130中的正方形和/或矩形的狭槽1134内。冠部1125可由可生物吸收的塑料(诸如以商品名Vicryl出售的聚乙醇酸(PGA)、聚乳酸(PLA或PLLA)、聚二氧杂环己酮(PDS)、聚羟基链烷酸酯(PHA)、以商品名Monocryl出售的聚卡普隆25(PGCL)、聚己内酯(PCL)、和/或PGA、PLA、PDS、PHA、PGCL和/或PCL的复合物)构成,并可通过例如注模方法围绕钉1120的基部1122而形成。各种冠部以及用于形成各种冠部的方法公开于2006年9月29日提交的名称为“SURGICAL STAPLESHAVING COMPRESSIBLE OR CRUSHABLE MEMBERS FOR SECURINGTISSUE THEREIN AND STAPLING INSTRUMENTS FOR DEPLOYINGTHE SAME”的美国专利申请No.11/541,123中,该专利的全部公开内容以引用方式并入本文。再次参见图22,狭槽1134还可包括导入部或斜角1135,该导入部或斜角能够有利于将冠部1125插入狭槽1134中。当将钉仓1100组装至钉仓支撑件1130时,钉1120的基部和/或冠部可定位在狭槽1134内。当将钉仓1100组装至钉仓支撑件1130时,钉1120的冠部1125可与狭槽1134对齐。例如,冠部1125可不进入狭槽1134中,直至对钉腿1121施加压缩力并且钉1120的基部和/或冠部被向下推动至狭槽1134中。
现在参见图23和图24,钉仓(诸如钉仓1200)例如可包括可压缩的植入式仓体1210,该仓体包括外层1211和内层1212。与上文相似,钉仓1200可包括定位在仓体1210内的多个钉1220。任选地,每个钉1220均可包括基部1222以及从其延伸的一个或多个钉腿1221。例如,钉腿1221可插入内层1212中并被坐置到例如使钉1220的基部1222邻接和/或邻近内层1212的底部表面1218定位的深度。在图23和图24中,内层1212不包括能够接收钉1220的一部分的钉腔,而作为另外一种选择,内层1212可包括此类钉腔。对上文进行进一步描述,内层1212可由能够允许仓体1210在对其施加压缩负载时塌缩的可压缩材料(诸如可生物吸收的泡沫和/或氧化再生纤维素(ORC))构成。内层1212可由例如包含聚乳酸(PLA)和/或聚乙醇酸(PGA)的冻干泡沫构成。ORC可以商品名Surgicel商购获得并且可包括松散的织造织物(像外科海绵一样)、松散的纤维(像棉球一样)和/或泡沫。内层1212可由其中包含和/或上面涂覆有药物(诸如冷冻干燥的凝血酶和/或血纤维蛋白)的材料构成,该药物例如可被患者体内的流体水活化和/或活化。例如,冷冻干燥的凝血酶和/或血纤维蛋白可保持在例如Vicryl(PGA)基质上。然而,在某些情况下,例如当钉仓1200被插入患者体内的手术部位中时,可活化的药物可被无意地活化。再次参见图23和图24,外层1211可由不透水的或至少基本上不透水的材料构成,使得液体不接触或至少基本上不接触内层1212,直到仓体1210已被压缩并且钉腿已穿透外层1211之后和/或外层1211已被以一些方式切割之后。例如,外层1211可由支撑物材料和/或塑性材料(诸如聚二氧杂环己酮(PDS)和/或聚乙醇酸(PGA))构成。外层1211可包括环绕内层1212和钉1220的包裹物。更具体地讲,钉1220可被插入内层1212和外层1211中并围绕包括内层1212和钉1220的子组件而被包裹并随后被密封。
现在参见图25和图26,钉仓(诸如钉仓1300)例如可包括可压缩的植入式仓体1310,该仓体包括外层1311和内层1312。与上文相似,钉仓1300还可包括定位在仓体1310内的钉1320,其中每个钉1320均可包括基部1322以及从其延伸的一个或多个腿1321。类似于钉仓1200,钉1320的基部1322可在内层1312的底部表面1318下方延伸,并且外层1311可围绕基部1322。例如,外层1311可具有足够的柔性以便包围每个钉基部1322,使得外层1311适形于基部1322的轮廓。作为另外一种选择,再次参见图24,外层1211可具有足够的刚性,使得其围绕基部1222延伸而不适形于每个基部1222。在任何情形中,外层1311可被定位在钉1320的基部1322与支撑钉仓1300的钉仓支撑表面(诸如支撑表面1031或1131)之间。例如,外层1311可被定位在基部1322与限定在钉仓支撑表面中的支撑狭槽(诸如狭槽1032或1132)之间。例如,对上文进行进一步描述,外层1311能够限制基部1322的运动和/或增大基部1322与钉仓支撑表面和/或支撑狭槽之间的摩擦系数以便减少其间的相对运动。作为另外一种选择,现在参见图27和图28,钉仓(诸如钉仓1400)的外层例如可不完全地围绕定位在其中的钉。例如,在钉1420的钉腿1421插入仓体1410中之前,可压缩的植入式仓体1410的外层1411可被组装至内层1412。例如,由于上文所述,钉1420的基部1422可延伸于外层1411的外面,并且例如基部1422可直接定位在钉仓支撑表面1031或1131内的支撑狭槽1032或1132中。当钉腿1421插入穿过外层1411时,钉腿1421可切割外层1411。在各种情况下,由钉腿1421形成的孔穴可紧密地围绕钉腿1421,使得钉腿1421与外层1411之间泄漏极少(如果存在的话)的流体,这能够减少或防止钉仓体1410中容纳的药物被过早地活化和/或泄漏出仓体1410的可能性。
如上所述,再次参见图23和图24,钉1220的腿1221可嵌入仓体1210内,并且钉1220的基部1222可自内层1212的底部表面1218向外延伸。对上文进行进一步描述,内层1212可不包括能够接收钉1220的钉腔。作为另外一种选择,现在参见图29和图30,钉仓(诸如钉仓1500)例如可包括可压缩的植入式仓体1510,该仓体包括能够在其中接收钉1520的至少一部分的钉腔1515。例如,钉1520的钉腿1521的顶部可嵌入内层1512中,而钉腿1521的底部和基部1522可定位在钉腔1515内。基部1522可完全定位在钉腔1515中,或者基部1522可至少部分地在内层1512的底部表面1518下方延伸。与上文相似,外层1511可围绕内层1512和位于内层1512中的钉1520。作为另外一种选择,现在参见图31,钉仓1600可包括定位在可压缩的植入式仓体1610中的钉腔1615内的钉1620,其中钉1620的至少一部分未被外层1611包围。例如,每个钉1620均可包括至少部分地嵌入内层1612中的钉腿1621以及另外围绕外层1611向外延伸的基部1622。
现在参见图32和图33,钉仓(诸如钉仓1700)例如可包括可压缩的植入式仓体1710以及至少部分地定位在仓体1710内的多个钉1720。仓体1710可包括外层1711、内层1712以及另外对齐矩阵1740,该对齐矩阵能够将钉1720对齐和/或在仓体1710内保持在适当位置。内层1712可包括能够在其中接收对齐矩阵1740的凹槽1741。对齐矩阵1140可压配于凹槽1741内和/或换句话讲利用至少一种粘合剂(诸如血纤维蛋白和/或蛋白水凝胶)适当地固定至内层1712。凹槽1741能够使得对齐矩阵1740的底部表面1742与内层1712的底部表面1718对齐或至少基本上对齐。对齐矩阵的底部表面1742可相对于第二层1712的底部表面1718凹陷和/或从其1718延伸。任选地,每个钉1720均可包括基部1722以及从基部1722延伸的一个或多个腿1721,其中钉腿1721的至少一部分可延伸穿过对齐矩阵1740。对齐矩阵1740还可包括例如延伸穿过其中的多个孔和/或狭槽,所述多个孔和/或狭槽能够在其中接收钉腿1721。例如,每个孔均能够紧密地接收钉腿1721,使得钉腿1721与孔的侧壁之间发生很小的(如果有的话)相对运动。对齐矩阵孔可不完全延伸穿过对齐矩阵1740,并且当钉腿1721被推动穿过其中时,钉腿1721可需要切割对齐矩阵1740。
对齐矩阵1740可由模塑的塑性主体构成,该主体可例如比内层1712和/或外层1711更硬或可压缩性更低。例如,对齐矩阵1740可由塑性材料和/或任何其他适合的材料(例如聚二氧杂环己酮(PDS)和/或聚乙醇酸(PGA))构成。对齐矩阵1740可组装至内层1712,并且随后钉腿1721可插穿对齐矩阵1740并嵌入内层1712中。对齐矩阵1740的底部表面1742可包括能够至少部分地接收钉1720的基部1722的一个或多个沟槽、狭槽或槽。与上文相似,外层1711可放置在包括内层1712、对齐矩阵1740、和钉1720的子组件的周围。作为另外一种选择,外层1711可放置在包括内层1712及对齐矩阵1740的子组件的周围,其中钉1720可随后插入穿过外层1711、对齐矩阵1740和内层1712。在任一情形中,由于上文所述,内层1712、对齐矩阵1740和/或外层1711能够将钉1720保持在适当位置,直到和/或在钉1720如上文所述通过砧座变形之后。例如,对齐矩阵1740可用于在钉仓1700被植入患者体内之前将钉1720保持在适当位置,以及另外在钉仓1700被植入之后沿钉线固定组织。例如,钉1720可被固定在对齐矩阵1740内而不被嵌入内层1712和/或外层1711中。
现在参见图34-图40,可通过压缩内层1812、将诸如钉1820的钉插入内层1812中、并用外层1811包裹内层1812来组装诸如钉仓1800的钉仓。首先参见图34,可压缩的内层1812被示为包括限定在其中的多个钉腔1815,然而也可设想出如上所述其中内层1812不包括钉腔的替代形式。现在参见图35,可压缩的内层1812可被定位在传送板1850与支撑板1860之间并被分别压缩于其压缩表面1852与1862之间。如图35所示,内层1812的顶部表面及底部表面可朝向彼此而被压缩,并且响应于此,内层1812可在侧向方向上向外膨胀。内层1812可被压缩至例如其原始高度的大约三分之一的高度,并且在其压缩状态中可具有例如大约0.06"至大约0.08"之间的高度或厚度。同样如图35所示,传送板1850还可包括例如定位在多个钉井1853内的多个钉诸如钉1820。另外,传送板1850还可包括多个驱动器1851,所述多个驱动器能够将钉1820向上推出钉井1853外。现在参见图36,可利用驱动器1851将钉1820的钉腿1821推入压缩的内层1812中并使其穿过压缩的内层1812。驱动器1851能够使得当钉1820从传送板1850的钉井1853被完全部署时,驱动器1851的顶部表面被定位成与传送板1850的压缩表面1852齐平或至少几乎齐平。同样如图36所示,支撑板1860可包括多个接收孔1861,其能够在钉腿1821被推动穿过内层1812之后,接收钉腿1821或至少钉腿1821的顶端。在内层1812已被压缩至短于钉1820高度的高度的情况下,接收孔1861或类似结构可为必需的,因此当钉1820从钉井1853中完全射出时,钉腿1821可从压缩的内层1812的顶部表面突起。内层1812可被压缩至高于钉1820高度的高度,因此可不需要支撑板1860中的接收孔1861。
现在参见图37,在钉1820被插入内层1812中之后,支撑板1860可远离传送板1850而运动,以便允许内层1812减压。在这种情况下,内层1812可以弹性方式再次扩展至其原始或至少接近原始的未压缩高度。当内层1812再次扩展时,内层1812的高度可增大至超过钉1820的高度并且使得钉1820的钉腿1821不再从内层1812的顶部表面突起。在各种情况下,接收孔1861能够将钉腿1821保持在适当位置,至少直到支撑板1860已运动至足够远而使腿1821不再定位在接收孔1861内。在这种情况下,接收孔1861可在内层1812再次扩展时有助于内层1812内的钉1820保持相对对齐。在各种情况下,内层1812及位于其中的钉1820可包括子组件1801,现在参见图38,该子组件可例如被插入外层1811中。例如,外层1811可包括限定在其中的腔体1802,该腔体能够在其中接收子组件1801。在各种情况下,可利用工具(诸如镊子1855)将外层1811牵拉至子组件1801上。现在参见图39,一旦子组件1801完全定位在外层1811内,则外层1811可被密封。可利用对外层1811的一部分施加的热能来密封外层1811。更具体地,外层1811可由塑性材料构成,其中外层1811的开口端可由一种或多种被加热的元素或铁1856热铆焊,以便将外层1811的开口端的周边结合和/或密封在一起。例如,现在参见图40,外层1811的多余部分1857可被移除,并且随后可如本文所述来使用钉仓1800。
如上所述,钉仓可定位在钉仓附接部中和/或固定到钉仓附接部。现在参见图41和图42,钉仓附接部可包括钉仓通道(诸如钉仓通道1930),该钉仓通道例如能够在其中接收钉仓(诸如钉仓1900)的至少一部分。钉仓通道1930可包括底部支撑表面1931、第一侧向支撑壁1940和第二侧向支撑壁1941。在使用中,钉仓1900可被定位在钉仓通道1930内,使得钉仓1900抵靠和/或邻近底部支撑表面1931定位,并定位在第一侧向支撑壁1940与第二侧向支撑壁1941之间。第一侧向支撑壁1940与第二侧向支撑壁1941之间可限定侧向间隙。例如,钉仓1900可包括侧向宽度1903,该侧向宽度相同于和/或宽于支撑壁1940与1941之间所限定的侧向间隙,使得钉仓1900的可压缩的植入式仓体1910可牢固地配合于壁1940与1941之间。钉仓1900的侧向宽度1903可比在第一侧壁1940与第二侧壁1941之间限定的间隙短。任选地,壁1940和1941的至少一部分和底部支撑表面1931可由冲压的金属通道限定,或者作为另外一种选择,侧向支撑壁1940和/或侧向支撑壁1941的至少一部分可由柔性材料(诸如弹性体材料)构成。首先参见图41,钉仓通道1930的第一侧壁1940和第二侧壁1941均可由从底部支撑表面1931向上延伸的刚性部分1933以及从刚性部分1933向上延伸的柔性部分1934构成。
对上文进行进一步描述,钉仓1900的仓体1910可由一种或多种可压缩的层(诸如第一层1911和第二层1912)构成。当仓体1910被砧座如上所述抵靠底部支撑表面1931压缩时,仓体1910的侧部可侧向地扩展。在钉仓1930由刚性侧壁构成的情况下,刚性侧壁可防止或至少限制仓体1910的侧向扩展,因此仓体1910内可产生显著量的内部压力或应力。在钉仓1930的至少一部分由柔性侧壁构成的情况下,柔性侧壁能够侧向地挠曲并且允许仓体1910的侧部侧向扩展,从而减小仓体1910内所产生的内部压力或应力。在仓通道不包括横向侧壁或所包括的横向侧壁相对地短于钉仓的情况下,钉仓的侧部可不受抑制地或至少基本上不受抑制地侧向扩展。现在参见图42,在任何情形中,钉仓通道2030可包括横向侧壁2040和2041,该横向侧壁可完全由柔性材料(诸如弹性体材料)构成。钉仓通道2030还可包括沿钉仓通道2030的底部支撑表面2031的侧面延伸的侧向狭槽2033,该侧向狭槽能够在其中接收并固定横向侧壁2040和2041的至少一部分。横向侧壁2040和2041可经由搭扣配合和/或压配构造而固定在狭槽2033中,而横向侧壁2040和2041可通过一种或多种粘合剂固定在狭槽2033中。侧壁2040和2041可在使用期间与底部支撑表面2031分离。在任何情形中,当仓体2010中植入有钉2020时,可压缩的植入式仓体2010可与横向侧壁2040和2041分离和/或脱离。
现在参见图43,外科器械可包括轴2150以及从轴2150的远侧末端延伸的端部执行器。与上文相似,端部执行器可包括钉仓通道2130、可在打开位置与闭合位置之间运动的砧座2140、以及定位在钉仓通道2130与砧座2140之间的钉仓2100。同样类似于上文,钉仓2100可包括可压缩的植入式仓体2110以及位于仓体2110中的多个钉2120。钉仓通道2130可包括1)底部支撑表面2131,钉仓2100可抵靠该底部支撑表面而定位,2)远侧末端2135,和3)近侧末端2136。如图43所示,钉仓2100可包括第一末端2105和第二末端2106,该第一末端2105可被定位在钉仓通道2130的远侧末端2135中,该第二末端2106可被定位在钉仓通道2130的近侧末端2136中。钉仓通道2130的远侧末端2135可包括至少一个远侧保持特征结构(诸如保持壁2137);相似地,近侧末端2136可包括例如至少一个近侧保持特征结构(诸如保持壁2138)。例如,远侧保持壁2137与近侧保持壁2138之间可限定有间隙,该间隙可等于或小于钉仓2100的长度,使得当钉仓2100被插入钉仓通道2130中时,钉仓2100可牢固地配合于钉仓通道2130内。
再次参见图23和图24,钉仓(诸如钉仓1200)例如可包括平坦的或至少基本上平坦的组织接触表面1219。例如,钉仓1200的钉仓体1210可包括第一末端1205和第二末端1206,该第一末端可由第一高度或厚度1207限定,该第二末端1206可由第二高度或厚度1208限定,其中第一高度1207可等于或至少基本上等于第二高度1208。仓体1210可在第一末端1205与第二末端1206之间包括恒定的或至少基本上恒定的高度或厚度。例如,组织接触表面1219可平行或至少基本上平行于仓体1210的底部表面1218。再次参见图43,钉仓2100的仓体2110的第一末端2105可由第一高度2107限定,该第一高度不同于第二末端2106的第二高度2108。如图所示,第一高度2107大于第二高度2108,但作为另外一种选择,第二高度2108可大于第一高度2107。仓体2110的高度可在第一末端2105与第二末端2106之间线性地和/或几何地减小。例如,在第一末端2105与第二末端2106之间延伸的组织接触表面2119可沿其间限定的角度进行取向。例如,组织接触表面2119可不平行于仓体2110的底部表面2118和/或不平行于钉仓通道2130的支撑表面2131。
再次参见图43和图44,砧座2140可包括组织接触表面2141,当砧座2140处于闭合位置时,该组织接触表面可平行于或至少基本上平行于钉仓通道2130的支撑表面2131,如图44所示。当砧座2140处于闭合位置时,砧座2140能够对钉仓2100的第一末端2105的压缩程度大于第二末端2106,这是因为第一末端2105的高度较高,而第二末端2106的高度较低。在一些情况下,包括其中定位在组织接触表面2119与2141之间的组织T具有恒定的或至少基本上恒定的厚度的情况,组织T及仓2100中在端部执行器的远侧末端处所产生的压力可大于在端部执行器的近侧末端处所产生的压力。更具体地讲,当砧座2140与钉仓2100之间的组织T具有基本上恒定的厚度时,定位在砧座2140的远侧末端2145与钉仓2100的第一末端2105之间的组织T被压缩的程度可大于定位在砧座2140的近侧末端2146与钉仓2100的第二末端2106之间的组织T。根据本发明,端部执行器的近侧末端与远侧末端之间的组织T中可产生压力梯度。更具体地讲,当砧座2140与钉仓2100之间的组织T具有基本上恒定的厚度并且钉仓2100的高度从端部执行器的远侧末端到近侧末端线性地减小时,组织T中的压力可从端部执行器的远侧末端到端部执行器的近侧末端线性地减小。相似地,当砧座2140与钉仓2100之间的组织T具有基本上恒定的厚度并且钉仓2100的高度从端部执行器的远侧末端到近侧末端几何地减小时,组织T中的压力可从端部执行器的远侧末端到端部执行器的近侧末端几何地减小。
再次参见图43,定位在钉仓2100与砧座2140中间的组织T可不具有遍及其中的恒定的厚度。在至少一个这种情况下,定位在砧座2140的近侧末端2146与钉仓2100的第二末端2106之间的组织T可厚于定位在砧座2140的远侧末端2145与钉仓2100的第一末端2105之间的组织T。因此,在这种情况下,较厚的组织T可通常定位在钉仓2100的较低近侧末端2106上方,并且较薄的组织T可通常位于较高远侧末端2105上方。在使用中,轴2150的击发衬圈2152可沿轴脊2151朝远侧推进,使得击发衬圈2152接合砧座2140的凸轮部2143,并且使砧座2140朝钉仓2100旋转,如图44所示。一旦砧座2140旋转至完全闭合的位置,则组织T可被压缩于组织接触表面2119与2141之间,并且尽管钉仓2100的高度可在端部执行器的近侧末端与远侧末端之间不恒定,但是施加至组织T的压力或压缩力在组织T中可为恒定的或至少基本上恒定的。更具体地讲,当较薄的组织T可与钉仓2100的较高的高度相关且较厚的组织T可与钉仓2100的较低的高度相关时,组织T及钉仓2100的累加高度或高度之和可在端部执行器的近侧末端与远侧末端之间为恒定的或至少基本上恒定的,因此砧座2140对此累加高度的压缩在累加高度中可为恒定的或至少基本上恒定的。
再次参见图43和图44,钉仓2100可包括非对称构型。例如,钉仓2100在其第一末端2105处的高度可高于钉仓2100在其第二末端2106处的高度。钉仓2100和/或钉仓通道2130可包括一个或多个对齐和/或保持特征结构,其能够确保钉仓2100可以仅在一个取向(即,其中第一末端2105定位于钉仓通道2130的远侧末端2135中并且第二末端2106定位于近侧末端2136中的取向)上定位在钉仓通道2130内。作为另外一种选择,钉仓2100和/或钉仓通道2130可包括一个或多个对齐和/或保持特征结构,其能够允许钉仓2100在不止一个取向上定位在钉仓通道2130内。现在参见图45,例如钉仓2100可被定位在钉仓通道2130内,使得钉仓2100的第一末端2105可被定位在钉仓通道2130的近侧末端2136中,而第二末端2106可被定位在远侧末端2135中。任选地,因此,较低高度的钉仓2100可邻近远侧保持壁2137定位,而较高高度的钉仓2100可邻近近侧保持壁2138定位。例如,钉仓2100可被合适地布置以对在端部执行器的远侧末端内具有较厚部分而在端部执行器的近侧末端内具有较薄部分的组织T施加恒定的或至少基本上恒定的夹紧压力。钉仓2100例如可在钉仓通道2130内选择性地取向。例如,钉仓2100的对齐和/或保持特征结构可为对称的,并且外科医生可沿例如图43和图45所示的方向在钉仓通道2130内对钉仓2100进行选择性取向。
对上文进行进一步描述,植入式仓体2110可包括纵向轴线2109,当钉仓2100被定位在钉仓通道2130中时,该纵向轴线可在端部执行器的近侧末端与远侧末端之间延伸。仓体2110的厚度可在第一末端2105与第二末端2106之间沿着纵向轴线2109大体减小和/或大体增大。例如,底部表面2118与组织接触表面2119之间的距离或高度可在第一末端2105与第二末端2106之间大体减小和/或大体增大。仓体2110的厚度沿着纵向轴线2109既可增大也可减小。例如,仓体2110的厚度可包括在厚度上增大的一个或多个部分以及在厚度上可减小的一个或多个部分。钉仓2100可包括定位在其中的多个钉2120。在使用中,如上所述,当砧座2140运动至闭合位置中时,钉2120可变形。每个钉2120可具有相同的或至少基本上相同的高度。例如,可例如从钉基部的底部到钉最高腿的顶部或顶端来测量钉的高度。
钉仓内的钉可具有不同的钉高度。例如,钉仓可包括具有第一钉高度的第一组钉和具有第二钉高度的第二组钉,该第一组钉被定位在可压缩的仓体的第一部分中,并且第二组钉被定位在可压缩的仓体的第二部分中。第一钉高度可高于第二钉高度,并且第一组钉可被定位在钉仓2100的第一末端2105中,而第二组钉可被定位在第二末端2106中。作为另外一种选择,较高的第一组钉可被定位在钉仓2100的第二末端2106中,而较低的第二组钉可被定位在第一末端2105中。可利用多个钉组,其中每组具有不同的钉高度。例如,具有中间钉高度的第三组可被定位在第一组钉与第二组钉中间的仓体2110中。任选地,钉仓中的钉行内的每个钉可包括不同的钉高度。钉行内的最高钉可被定位在钉行的第一末端上,并且最低的钉可被定位在该钉行的相对端部上。例如,定位在最高钉与最低钉之间的钉可被布置为使得钉高度例如在最高钉与最低钉之间下降。
现在参见图46,外科缝合器的端部执行器可包括砧座2240、钉仓通道2230以及由钉仓通道2230支撑的钉仓2200。钉仓2200可包括可压缩的植入式仓体2210以及例如定位在仓体2210中的多个钉,诸如钉2220a和钉2220b。钉仓通道2230可包括仓支撑表面2231以及例如限定在其中的多个钉支撑狭槽,诸如支撑狭槽2232a和2232b。例如,钉仓2200可包括两外行钉2220a和两内行钉2220b,其中支撑狭槽2232a能够支撑钉2220a,并且支撑狭槽2232b能够支撑钉2220b。参见图46和图47,砧座2240可包括限定在其中的多个钉成形凹坑2242,当砧座2240朝钉仓2200运动时,所述多个钉成形凹坑能够接收钉2220a和2220b并使其变形。例如,支撑狭槽2232a的底部表面可与钉成形凹坑2242的顶部表面相距第一距离2201a,而支撑狭槽2232b的底部表面可与钉成形凹坑2242的顶部表面相距第二距离2201b。例如,由于其中限定有支撑狭槽2232b的支撑表面2231中具有升高的台阶,因此支撑狭槽2232b更靠近砧座2240定位。由于具有不同的距离2201a和2201b,外行钉2220a和内行钉2220b可变形至不同的成形高度。在各种情况下,变形至不同成形高度的钉可对所缝合的组织T施加不同的夹紧压力或力。对上文进行进一步描述,钉可在起初具有不同的未成形钉高度。例如,再次参见图46,外侧钉2220a的初始未成形高度可大于内侧钉2220b的初始未成形高度。如图46和图47所示,未成形高度低于外侧钉2220a的内侧钉2220b也可具有低于外侧钉2220b的成形高度。作为另外一种选择,内侧钉2220b可具有高于外侧钉2220a的未成形高度而具有低于外侧钉2220a的变形钉高度。
对上文进行进一步描述,如图47所示,砧座2240可运动到闭合位置,以便压缩仓体2210并使钉2220a和2220b变形。例如,包括图46和图47所示的端部执行器的外科缝合器还可包括切割构件,该切割构件能够横切定位于砧座2240与钉仓2200中间的组织T。例如,砧座2240、钉仓通道2230和/或钉仓2200可限定狭槽,该狭槽能够在其中可滑动地接收切割构件。更具体地讲,砧座2240可包括狭槽部2249,钉仓通道2230可包括狭槽部2239,并且钉仓2200可包括狭槽部2203,当砧座2240处于闭合位置或至少基本上处于闭合位置时,所述狭槽部可相互对齐或至少基本上对齐。在砧座2240被闭合并且钉2220a,2220b变形之后,切割构件可从端部执行器的近侧末端朝端部执行器的远侧末端运动。切割构件可以与钉变形过程不相关的方式运动。切割构件可在钉变形的同时推进。在任何情形中,切割构件能够沿定位在内钉行2220b中间的路径切割组织。
任选地,如图47所示,内侧钉2220b可被成形至低于外侧钉2220a的高度,其中内侧钉2220b可对与切割构件所形成的切割线相邻的组织施加较大的夹紧压力或力。例如,内侧钉2220b所形成的较大夹紧压力或力可提供各种治疗益处,诸如使被切割组织T减少出血,而外侧钉2220a所形成的较小的夹紧压力可在缝合的组织内提供灵活性。再次参见图46和图47,砧座2240还可包括例如附接到其上的至少一块支撑物材料,诸如支撑物材料2260。例如,钉2220a,2220b的腿能够在钉仓2200被砧座2240压缩并随后接触砧座2240中的钉成形凹坑2242时切割支撑物材料2260和/或穿过支撑物材料2260中的孔。当钉2220a,2220b的腿变形时,所述腿可再次接触和/或切割支撑物材料2260。支撑物材料2260可改善所缝合组织的止血能力和/或为所缝合组织提供强度。
再次参见图46和图47,仓体2210的底部表面可包括阶梯式轮廓,该阶梯式轮廓与仓支撑表面2231的阶梯式轮廓匹配或至少基本上匹配。仓体2210的底部表面可变形以匹配或至少基本上匹配仓支撑表面2231的轮廓。现在参见图48,类似于图46所示端部执行器的端部执行器例如可包括定位在其中的钉仓2300。钉仓2300可包括具有内层2312和外层2311的可压缩的植入式主体2310,其中对上文进行进一步描述,外层2311可由水不可渗透的材料构成。外层2311可围绕钉2220a,2220b延伸并可分别定位在钉2220a,2220b与支撑狭槽2232a,2232b中间。现在参见图49,类似于图46所示端部执行器的端部执行器例如可包括定位在其中的钉仓2400。类似于钉仓2300,钉仓2400的可压缩、植入式仓体2410可包括内层2412和外层2411;然而,仓体2410可在其中不包括切割构件狭槽。例如,切割构件可需要例如在其穿过钉仓而被推进时切割内层2412和/或外层2411。
现在参见图50,外科缝合器的端部执行器可包括砧座2540、钉仓通道2530、以及定位在钉仓通道2530中的钉仓2500。与上文相似,钉仓2500可包括可压缩的植入式仓体2510、外行钉2220a、以及内行钉2220b。钉仓通道2530可包括平坦的或至少基本上平坦的仓支撑表面2531及限定在其中的钉支撑狭槽2532。砧座2540可包括阶梯式表面2541以及限定在其中的多个钉成形凹坑(诸如成形凹坑2542a和2542b)。与上文相似,成形凹坑2542a与支撑狭槽2532之间可限定有距离,所述距离大于成形凹坑2452b与支撑狭槽2532之间的距离。砧座2540还可包括附接到砧座2540的阶梯式表面2541的一块支撑物材料2560。例如,支撑物材料2560可适形于或至少基本上适形于阶梯式表面2541。支撑物材料2560可通过至少一种粘合剂(例如,血纤维蛋白和/或蛋白水凝胶)可移除地附接到表面2541。仓体2510还可包括阶梯式外形,该阶梯式外形例如平行于或至少基本上平行于砧座2540的阶梯式表面2541。更具体地讲,砧座2540可包括朝钉仓2500延伸的台阶2548,其中台阶2548可包括台阶高度,该台阶高度等于或至少基本上等于从仓体2510延伸的台阶2508的台阶高度。例如,由于上文所述,例如可压缩仓体2510在第一钉2220a中可被捕获的量可不同于可压缩仓体2510在第二钉2220b中可被捕获的量。
现在参见图51,端部执行器可包括砧座2640、钉仓通道2530、以及定位在其中的钉仓2600。钉仓2600可包括可压缩的植入式仓体2610,该仓体包括内层2612、外层2611、以及定位在其中的多个钉(诸如钉2220a和2200b)。砧座2640可在表面2641中包括多个钉成形凹坑2642,并且钉仓通道2530可包括限定在支撑表面2531中的多个钉成形狭槽2532。如图51所示,砧座表面2641可平行于或至少基本上平行于仓支撑表面2531,其中每个成形凹坑2642可被定位成与相对的且对应的钉支撑狭槽2532相距相等或至少基本上相等的距离。钉仓2600可包括钉,该钉可具有相同或至少基本上相同的初始未成形钉高度以及相同或至少基本上相同的成形钉高度。外侧钉行可包括钉2220a并且内侧钉行可包括钉2220b,其中如上所述,钉2220a和2220b可具有不同的未成形钉高度。当砧座2640朝钉仓2600运动至闭合位置时,钉2220a和2220b可被成形为使得它们具有相同的或至少基本上相同的成形钉高度。例如,由于上文所述,成形的外侧钉2220a和内侧钉2220b可具有相同的、或至少基本上相同的容纳在其中的可压缩仓体2610的量;然而,例如,当外侧钉2220a具有比内侧钉2220b更高的未成形钉高度但可具有相同的成形钉高度时,在外侧钉2220a中可产生比内侧钉2220b中更高的夹紧压力。
现在参见图52,外科缝合器的端部执行器可包括砧座2740、钉仓通道2530、以及定位在钉仓通道2530中的钉仓2700。与上文相似,钉仓2700可包括可压缩的植入式仓体2710,该仓体包括内层2712、外层2711、以及定位在其中的多个钉(诸如钉2220a和2220b)。仓体2710的厚度可在其整个宽度上发生变化。例如,仓体2710可包括中心部2708和侧部2709,其中中心部2708的厚度可大于侧部2709的厚度。仓体2710的最厚的部分可位于中心部2708处,而仓体2710的最薄的部分可位于侧部2709处。例如,仓体2710的厚度可在中心部2708与侧部2709之间逐渐减小。仓体2710的厚度可在中心部2708与侧部2709之间线性地和/或几何地减小。例如,仓体2710的组织接触表面2719可包括从中心部2708朝侧部2709向下倾斜的两个倾斜或成角度的表面。砧座2740可包括两个倾斜或成角度的表面,所述表面平行于或至少基本上平行于倾斜的组织接触表面2719。砧座2740还可包括附接到砧座2740的倾斜表面的至少一块支撑物材料2760。
对上文进行进一步描述,钉仓2700中的内侧钉行可包括较高的钉2220a并且外侧钉行可包括较低的钉2220b。较高的钉2220a可被定位在较厚的中心部2708中和/或与其相邻,而钉2220b可被定位在侧部2709中和/或与其相邻。例如,由于上文所述,较高的钉2220a可比较低的钉2220b捕获更多的植入式仓体2710的材料。这种情况可使钉2220a比钉2220b对组织T施加更大的夹紧压力。尽管较高的钉2220a可比较低的钉2220b捕获更多的仓体2710的材料,然而由于钉成形凹坑2742a和2742b的倾斜构造,因此较高的钉2220a可比较低的钉2220b具有更高的成形钉高度。可利用这种考虑因素在钉2220a和2220b所捕获的组织中实现期望的夹紧压力,其中作为结果,例如钉2220a中的夹紧压力可大于、小于、或等于钉2220b对组织施加的夹紧压力。作为图52所示端部执行器的替代形式,较低的钉2220b可被定位在仓体2710的较厚的中心部2708中和/或与其相邻,并且较高的钉2220a可被定位在较薄的侧部2709中和/或与其相邻。此外,尽管钉仓2700被示为包括内侧及外侧钉行,然而钉仓2700可包括额外钉行,诸如定位在内侧钉行与外侧钉行之间的钉行。例如,中间钉行的未成形钉高度可介于钉2220a的未成形钉高度与钉2220b的未成形钉高度之间,并且中间钉行的成形钉高度介于钉2220a的成形钉高度与钉2220b的成形钉高度之间。
现在参见图53,外科缝合器的端部执行器可包括砧座2840、钉仓通道2530、以及定位在钉仓通道2530中的钉仓2800。与上文相似,钉仓2800可包括可压缩的植入式仓体2810,该仓体包括内层2812、外层2811、以及定位在其中的多个钉(诸如钉2220a和2220b)。仓体2810的厚度可在其整个宽度上发生变化。例如,仓体2810可包括中心部2808和侧部2809,其中中心部2808的厚度可小于侧部2809的厚度。仓体2810的最薄的部分可位于中心部2808处,而仓体2810的最厚的部分可位于侧部2809处。例如,仓体2810的厚度可在中心部2808与侧部2809之间逐渐增大。仓体2810的厚度可在中心部2808与侧部2809之间线性地和/或几何地增大。例如,仓体2810的组织接触表面2819可包括从中心部2808朝侧部2809向上倾斜的两个倾斜或成角度的表面。砧座2840可包括两个倾斜或成角度的表面,所述表面平行于或至少基本上平行于倾斜的组织接触表面2819。砧座2840还可包括附接到砧座2840的倾斜表面的至少一块支撑物材料2860。对上文进行进一步描述,钉仓2800中的外侧钉行可包括较高的钉2220a并且内侧钉行可包括较低的钉2220b。较高的钉2220a可被定位在较厚的侧部2809中和/或与较厚的侧部2809相邻,而钉2220b可被定位在中心部2808中和/或与中心部2808相邻。例如,由于上文所述,较高的钉2220a可比较低的钉2220b捕获更多的植入式仓体2810的材料。
如上文参照图46所述,例如,钉仓通道2230可包括阶梯式支撑表面2231,该阶梯式支撑表面能够相对于砧座2240将钉2220a和2220b支撑在不同高度处。钉仓通道2230可由金属构成,并且支撑表面2231中的台阶可通过例如研磨操作而形成于支撑表面2231中。现在参见图54,外科器械的端部执行器可包括钉仓通道2930,该钉仓通道包括定位在其中的支撑插入件2935。更具体地讲,钉仓通道2930可被形成为使得其具有例如平坦的或至少基本上平坦的支撑表面2931,该支撑表面能够支撑插入件2935,该插入件包括用于将钉仓2200的钉2220a和2220b支撑在不同高度处的阶梯式表面。例如,插入件2935可包括平坦的或至少基本上平坦的底部表面,该底部表面可抵靠支撑表面2931而定位。插入件2935还可包括支撑狭槽、沟槽、或槽2932a和2932b,其能够将钉2220a和2220b分别支撑在不同高度处。与上文相似,插入件2935可包括限定在其中的刀狭槽2939,该刀狭槽能够允许切割构件穿过其中。钉仓通道2930可由相同或不同于支撑插入件2935的材料构成。钉仓通道2930和支撑插入件2935两者均可例如由金属构成,而作为另外一种选择,钉仓通道2930可例如由金属构成,而支撑插入件2935可例如由塑料构成。支撑插入件2935可被紧固和/或焊接到钉仓通道2930中。支撑插入件2935可搭扣配合和/或压配到钉仓通道2930中。可使用粘合剂将支撑插入件2935固定在钉仓通道2930中。
现在参见图55,外科缝合器的端部执行器可包括砧座3040、钉仓通道3030、以及定位于钉仓通道3030中的可压缩的植入式钉仓3000。与上文相似,砧座3040可包括限定在其中的多个钉成形凹坑3042以及能够将切割构件可滑动地接收在其中的刀狭槽3049。同样类似于上文,钉仓通道3030可包括限定在其中的多个钉支撑狭槽3032以及也能够将切割构件可滑动地接收在其中的刀狭槽3039。钉仓3000可包括第一层3011、第二层3012、以及例如定位在其中的多个钉(诸如钉3020a及3020b)。钉3020a的未成形钉高度可高于钉3020b的未成形钉高度。第一层3011可由第一可压缩材料构成,并且第二层3012可由第二可压缩材料构成。第一可压缩材料的压缩率可高于第二可压缩材料,而另外,第一可压缩材料的压缩率可低于第二可压缩材料。第一可压缩材料可由可具有第一弹簧劲度系数的弹性材料构成,并且第二可压缩材料可由可具有二弹簧劲度系数的弹性材料构成,所述第二弹簧劲度系数不同于所述第一弹簧劲度系数。第一可压缩材料的弹簧劲度系数可大于第二可压缩材料的弹簧劲度系数。第一可压缩材料的弹簧劲度系数可小于第二可压缩材料的弹簧劲度系数。第一可压缩层可具有第一刚度,并且第二可压缩层可具有第二刚度,其中第一刚度不同于第二刚度。第一可压缩层的刚度可大于第二可压缩层的刚度。第一可压缩层的刚度可小于第二可压缩层的刚度。
再次参见图55,钉仓3000的第二层3012可在其整个宽度上包括恒定的或至少基本上恒定的厚度。第一层3011的厚度可在其整个宽度上发生变化。例如,第一层3011可包括一个或多个台阶3008,该台阶可在仓体3010的某些部分(诸如中心部)中增大仓体3010的厚度。再次参见图55,较低的钉3020b可被定位在台阶3008(即仓体3010的较厚部分)中或与台阶3008对齐,并且较高的钉3020a可被定位在仓体3010的较薄部分中或与所述较薄部分对齐。任选地,作为仓体3010的较厚部分及较薄部分的结果,仓体3010的沿钉3020b的内侧行的刚度可大于沿钉3020a的外侧行的刚度。第一层3011可连接到第二层3012。例如,第一层3011和第二层3012可包括联锁结构,该联锁结构可将层3011和3012保持在一起。第一层3011可包括第一层合物并且第二层3012可包括第二层合物,其中第一层合物可通过一种或多种粘合剂粘附到第二层合物。钉仓3000可包括刀狭槽3003,该刀狭槽能够在其中可滑动地接收切割构件。
现在参见图56,钉仓3100可包括可压缩的植入式仓体3110,该仓体包括单层可压缩材料以及另外例如定位在其中的多个钉(诸如钉3020b)。仓体3110的厚度可在其整个宽度上变化。例如,仓体3110可包括沿其侧部延伸的台阶3108。现在参见图57,钉仓3200可包括可压缩的植入式仓体3210,该仓体包括单层可压缩材料以及另外例如定位在其中的多个钉(诸如钉3020b)。仓体3210的厚度可在其整个宽度上变化。例如,仓体3210可包括沿其侧部延伸的台阶3208。现在参见图58,钉仓3300可包括可压缩的植入式仓体3310,其中与上文相似,仓体3310的厚度可在其整个宽度上变化。仓体3310的厚度可在仓体3310的侧部与中心部之间几何地增大。例如,仓体3310的厚度可由弓形或弯曲的外形限定并可包括弓形或弯曲的组织接触表面3319。仓体3310的厚度及组织接触表面3319的轮廓可由例如一个曲率半径,或作为另外一种选择由若干曲率半径限定。现在参见图59,钉仓3400可包括可压缩的植入式仓体3410,其中仓体3410的厚度可在仓体3410的侧部与中心部之间线性地或至少基本上线性地增大。
现在参见图60,钉仓3500可包括可压缩的植入式仓体3510以及定位在其中的多个钉3520。植入式仓体3510可包括第一内层3512、第二内层3513、和外层3511。第一内层3512可包括第一厚度并且第二内层3513可包括第二厚度,其中第二内层3513可厚于第一内层3512。作为另外一种选择,第一内层3512可比第二内层3513厚。作为另一替代形式,第一内层3512与第二内层3513可具有相同或至少基本上相同的厚度。每个钉3520可包括基座3522以及从基座3522延伸的一个或多个可变形腿3521。任选地,每个腿3521可包括嵌入第一内层3511中的顶端3523,另外钉3520的每个基部3522可嵌入第二内层3512中。第一内层3512和/或第二内层3513可包括储存在其中的至少一种药物并且外层3511可封装并密封第一内层3512和第二内层3513,使得直到外层3511被钉3520刺穿之后药物才流出钉仓体3510。更具体地讲,对上文进行进一步描述,可抵靠着抵靠钉仓3500的组织接触表面3519而定位的组织向下推动砧座,使得仓体3510被压缩且表面3519朝钉顶端3523并至少部分地在钉顶端3523下方向下运动,使得顶端3523使外层3511破裂或刺穿外层3511。在钉腿3521使外层3511破裂之后,至少一种药物M可流出围绕钉腿3521的仓体3510。在各种情况下,仓体3510的额外压缩可将附加的药物M挤出仓体3510,如图61所示。
再次参见图60,外层3511可包括水不可渗透的或至少基本上不可渗透的包裹物,所述包裹物能够一、防止药物过早地流出钉仓3500;以及二、防止例如手术部位内的流体过早地进入钉仓3500中。第一内层3512可包括储存或吸收于其中的第一药物,并且第二内层3513可包括储存或吸收于其中的第二药物,其中第二药物可不同于第一药物。仓体3510的使外层3511破裂的初始压缩通常可使第一内层3512释放出第一药物,并且仓体3510的后续压缩通常可使第二内层3513释放出第二药物。然而,在这种情况下,第一药物和第二药物的部分可同时被释放,但最初被释放的药物的大部分可由第一药物构成,而随后被释放的药物的大部分可由第二药物构成。对上文进行进一步描述,第一内层3512可由比第二内层3513具有更大可压缩性的材料构成,使得可低于后续压缩力或压力的初始压缩力或压力可在第一内层3512中产生比第二内层3513中更大的初始挠曲。第一内层3512中的这种较大的初始挠曲可使从第一内层3512中释放出的第一药物的部分大于从第二内层3513中释放出的第二药物。第一内层3512可比第二内层3513更加多孔和/或更具柔性。例如,第一内层3512可包括限定在其中的多个孔或空隙3508,并且第二内层3513可包括限定在其中的多个孔或空隙3509,其中孔3508能够将第一药物储存在第一内层3512中,并且孔3509能够将第二药物储存在第二内层3513中。第一内层3512中的孔3508和第二内层3513中的孔3509的尺寸及密度可被选择以提供本文所述的所需结果。
再次参见图60和图61,外层3511、第一内层3512和/或第二内层3513可由可生物吸收的材料构成。第一内层3512可由第一可生物吸收的材料构成,第二内层3513可由第二可生物吸收的材料构成,并且外层3511可由第三可生物吸收的材料构成,其中第一可生物吸收的材料、第二可生物吸收的材料和/或第三可生物吸收的材料可由不同的材料构成。第一可生物吸收的材料可以第一速率被生物吸收,第二可生物吸收的材料可以第二速率被生物吸收,并且第三可生物吸收的材料可以第三速率被生物吸收,其中第一速率、第二速率和/或第三速率可不同。例如,当材料以特定的速率被生物吸收时,这种速率可被定义成在单位时间内被患者身体吸收的材料质量的量。众所周知,不同患者的身体可以不同的速率吸收不同的材料,因此这种速率可被表达成平均速率以便解释这种可变性。在任何情形中,比起较慢的速率相,较快的速率可为其中在单位时间内更多的质量被吸收的速率。再次参见图60和图61,第一内层3512和/或第二内层3513的构成材料可比外层3511的构成材料更快地被生物吸收。例如,第一内层3512和/或第二内层3513可由可生物吸收的泡沫、组织密封剂、和/或止血材料(诸如氧化再生纤维素(ORC))构成,并且例如外层3511可由支撑物材料和/或塑性材料(诸如以商品名Vicryl出售的聚乙醇酸(PGA)、聚乳酸(PLA或PLLA)、聚二氧杂环己酮(PDS)、聚羟基链烷酸酯(PHA)、以商品名Monocryl出售的聚卡普隆25(PGCL)、聚己内酯(PCL)、和/或PGA、PLA、PDS、PHA、PGCL和/或PCL的复合物)构成。在这种情况下,第一内层3512和/或第二内层3513例如可立即处理组织并且可减少组织出血,例如其中外层3514可提供长期的结构支撑并可以较慢的速率被生物吸收。
对上文进行进一步描述,由于外层3511的可生物吸收的速率较慢,因此外层3511可在钉线内的组织愈合时支撑组织或在结构上增强组织。第一内层3512和第二内层3513之一的构成材料可比另一者的构成材料更快地被生物吸收,所述层之一可提供治疗材料的初始释放,并且另一层可提供相同治疗材料和/或不同治疗材料的缓释。例如,其中治疗材料可从层3512,3513被释放的速率可取决于其中吸收或分散有药物的基底层的可吸收性。例如,包括第一内层3512的基底可比包括第二内层3513的基底更快地被生物吸收,因此例如药物从第一内层3512释放的速度可快于从第二内层3513的释放的速度。任选地,如本文所述,仓体3510的层3511、3512和3513中的一个或多个可通过例如至少一种粘合剂(例如,血纤维蛋白和/或蛋白水凝胶)相互粘附。粘合剂可为可水溶的并且能够在钉仓3500被植入时和/或被植入某段时间之后释放各层之间的连接。例如,粘合剂能够比外层3511、第一内层3512和/或第二内层3513更快地被生物吸收。
现在参见图62和图63,例如,诸如钉仓3600的钉仓可包括仓体3610,该仓体包括可压缩的第一层3611、附接到第一层3611的第二层3612、以及附接到第二层3612的可移除的可压缩层3613。例如,第一层3611可由可压缩的泡沫材料构成,第二层3612可包括利用一种或多种粘合剂粘附到第一层3611的层合材料,并且第三层3613可包括利用一种或多种粘合剂可移除地粘附到第二层3612的可压缩泡沫材料。钉仓3600还可包括例如定位在仓体3610中的多个钉(诸如钉3620)。例如,每个钉3620可包括定位于第三层3613中的基部3622以及从基部3622穿过第二层3612而向上延伸到第一层3611中的一个或多个可变形腿3621。在使用中,对上文进行进一步描述,钉仓体3610的顶部表面3619可被砧座向下推动,直至钉腿3621穿透顶部表面3619及靶组织并接触砧座。在钉腿3621完全变形之后,砧座可远离钉仓3600运动,使得钉仓3600的可压缩层可至少部分地再次扩展。在各种情况下,钉穿过组织而插入时可使组织出血。第三层3613可由吸收材料(诸如蛋白水凝胶)构成,所述吸收材料例如可从被缝合的组织吸除血液。除上文之外或作为上文的替代,第三层3613可由止血材料和/或组织密封剂(诸如经冷冻干燥的凝血酶和/或血纤维蛋白)构成,所述止血材料和/或组织密封剂能够减少组织出血。第三层3613可对第一层3611和第二层3612提供结构支撑,其中第三层3613可由可生物吸收的材料和/或不可生物吸收的材料构成。在任何情形中,在钉仓3610被植入之后,第三层3613可与第二层3612分离。在第三层3613包括具有植入式特性的材料的情况中,外科医生可选择是否移除仓体3610的第三层3613。第三层3613能够以整体形式从第二层3612移除。
第一层3611可由第一泡沫材料构成,并且第三层3613可由第二泡沫材料构成,该第二泡沫材料可不同于第一泡沫材料。第一泡沫材料可具有第一密度并且第二泡沫材料可具有第二密度,其中第一密度可不同于第二密度。例如,第二密度可高于第一密度,其中作为结果,第三层3613可比第一层3611的可压缩性更小或具有更低的压缩率。作为另外一种选择,第一密度可高于第二密度,其中作为结果,第一层3611可比第三层3613的可压缩性更小或具有更低的压缩率。现在参见图64和图65,类似于钉仓3600,钉仓3700可包括仓体3710,该仓体包括第一可压缩的泡沫层3711、附接到第一层3711的第二层3712、以及可移除地附接到第二层3712的可拆卸的第三可压缩泡沫层3713。例如,第三层3713可包括多个钉接收狭槽或切口3709,其各自能够在其中接收钉3620的至少一部分(诸如钉基部3622)。钉3620能够在钉接收狭槽3709中滑动,或换句话讲,例如当钉仓3700抵靠靶组织而定位并被砧座压缩时,第三层3713能够相对于钉3620滑动。接收狭槽3709能够使钉3620与接收狭槽3709的侧壁之间存在空隙。例如,由于上文所述,当钉3620变形时,钉3620可不将第三层3713的一部分捕获在其中,如图64和图65所示。钉接收狭槽3709的邻近第二层3712的端部可由第三层3713的一部分闭合,因此当钉3620变形时,第三层3713的至少一部分可被捕获在钉3620内。在任何情形中,第三层3713例如可包括一个或多个穿孔和/或划痕3708,其能够允许第三层3713以两部分或更多部分从第二层3712被移除,如图64所示。在图64中,第三层3713的其中一部分被示为通过工具3755移除。穿孔3708可沿定位在第一行钉与第二行钉中间的线布置。
再次参见图64和图65,钉3620的基部3622可位于接收狭槽3709中,其中接收狭槽3709的侧壁能够接触钉腿3621并将钉腿3621可释放地保持在适当位置。尽管未示出,然而第三层3713可包括围绕钉线内所有钉的细长狭槽。例如,包括四个钉行的钉仓例如可包括与钉仓底层中的每个钉行对齐的细长狭槽。对上文进行进一步描述,钉仓3600和/或钉仓3700的至少一部分可被植入患者体内,并且钉仓的至少一部分可从患者体内移除。再次参见图64和图65,第一层3711和第二层3712可被捕获在钉3620内并可与钉3620一起被植入,而第三层3713可被任选地从钉仓3700中移除或分离。在各种情况下,移除已植入钉仓的一部分可减少患者身体必须再吸收的材料的量,这可提供各种治疗益处。在诸如通过腹腔镜式工具3755将钉仓的一部分分离并移除的情形中,所分离的钉仓部分可通过套管针(诸如具有5mm孔的套管针)从手术部位被移除。仓体可包括不止一个可被移除的层。例如,仓体3710可包括第四层,其中仓体3710的第三层3713可由止血材料构成,并且第四层可由支撑层构成。例如,外科医生例如可移除支撑层并且随后选择是否移除止血层。
现在参见图66,钉仓(诸如钉仓3800)例如可包括仓体3810,该仓体包括外层3811和内层3812。内层3812可由可压缩的泡沫材料构成,并且外层3811可至少部分地围绕内层3812进行包裹。例如,外层3811可包括第一部分3811a和第二部分3811b,该第一部分能够定位在内层3812的第一侧上,该第二部分能够定位在内层3812的第二侧上,其中第一部分3811a和第二部分3811b可通过柔性铰链(诸如铰链3809)连接。例如,可对内层3812的第一侧和/或第二侧涂覆至少一种粘合剂(诸如血纤维蛋白和/或蛋白水凝胶)以便将外层3811的部分固定到其上。外层3811可包括从其延伸的一个或多个紧固构件。例如,外层3811可包括自外层3811的一侧延伸并可被坐置于可压缩内层3812中的多个可变形腿3821。例如,腿3821可不从内层3812的第二侧突起,而作为另一种选择,腿3821可从内层3812至少部分地突起。当可压缩的仓体3810被压缩时,在使用中,腿3821能够刺穿内层3812及外层3811的第二部分3811b。外层3811的第二部分3811b可包括例如限定在其中的孔(诸如孔3808),该孔能够接收钉腿3821。钉仓3800的至少某些部分可包括刀狭槽3803,该刀狭槽能够在其中可滑动地接收切割构件。例如,刀狭槽3803可不完全穿过仓体3810的厚度而延伸,因此当切割构件相对于仓体3810运动时,切割构件可切割仓体3810。
现在参见图67,与钉仓3800相似的钉仓3900可包括仓体3910,该仓体包括内层3812及外层3811,其中外层3811可包括邻近内层3812的第一侧而定位的第一部分3811a以及邻近内层3812的第二侧而定位的第二部分3811b。与上文相似,外层3811可包括自其延伸的一个或多个紧固构件。例如,外层3811可包括自外层3811的一侧延伸并可被坐置于可压缩内层3812中的多个可变形腿3921。每个可变形腿3921可包括从其突起的至少一个吊钩或倒钩3923,所述至少一个吊钩或倒钩能够接合外层3811的第二部分3811b,并且因此将外层3811保持到内层3812。例如,倒钩3923能够从内层3812的第二侧突起并且延伸穿过外层3811的第二部分3811b中的孔3808,使得倒钩3923可接合外层3811的外表面并将外层3811锁定到内层3812。为构造钉仓3900,内层3812可被至少部分地压缩,以便使倒钩从其突起并且进入孔3808中。例如,当钉仓3900被插入钉仓中时,钉仓3900可被至少部分地预压缩。对上文进行进一步描述,腿3921的至少一部分可嵌入外层3811的第一部分3811a中,其中外层3811可由塑性材料(诸如聚二氧杂环己酮(PDS)和/或聚乙醇酸(PGA))构成,并且例如所述塑性材料可围绕腿3921的至少一部分重叠注塑。
现在参见图68-图72,例如,诸如钉仓4000的钉仓可包括仓体4010,所述仓体包括可压缩的第一层4011和第二层4012、以及另外定位在仓体4010中的多个钉4020。参见图70,每个钉4020可包括基部4022以及从基部4022延伸的至少一个可变形腿4023。参见图68,钉仓4000可被定位在钉仓通道4030与外科缝合器的端部执行器的砧座4040之间,其中仓体4010的第二层4012和/或钉4020的基部4022可抵靠钉仓通道4030定位。现在参见图69,第二层4012可包括一层脱脂棉4060,其通过脱脂棉支撑框架4061彼此互连。例如,脱脂棉4060和脱脂棉支撑框架4061可由模塑的塑性材料(诸如聚乙醇酸(PGA))构成。每个脱脂棉4060可包括一个或多个孔或狭槽4062,所述一个或多个孔或狭槽能够接收延伸穿过其中的钉腿4021,如图70和图71所示。每个脱脂棉4060还可包括限定在其中的接收狭槽4063,该接收狭槽能够接收钉4020的基部4022。再次参见图69,脱脂棉4060和/或脱脂棉支撑框架4061可包括多个划痕、穿孔等,其能够允许脱脂棉4060在期望位置处与脱脂棉支撑框架4061分离。相似地,参见图71,一个或多个脱脂棉4060例如可沿包括穿孔和/或划痕4064的线彼此连接。在使用中,可压缩的泡沫层4011可抵靠靶组织T而定位,并且仓体4010可由砧座4040压缩,使得砧座4040可使钉4020变形。当钉4020变形时,每个钉4020的钉腿4021可将组织T、第一层4011的一部分、以及脱脂棉4060捕获在变形的钉内。当钉仓通道4030远离已植入的钉仓4060运动时,例如脱脂棉支撑框架4061可与脱脂棉4060分离和/或脱脂棉4060可彼此分离。在某些情况下,当钉4020被砧座4040如上所述变形时,脱脂棉4060可与框架4061分离和/或彼此分离。
如本文所述,当砧座运动到闭合位置时,钉仓的钉可由砧座完全成形。作为另外一种选择,现在参见图73-图76,诸如钉仓4100的钉仓的钉例如可通过当砧座运动到闭合位置时的砧座,以及另外通过使钉朝闭合的砧座运动的钉驱动器系统而变形。钉仓4100可包括可压缩的仓体4110,该可压缩的仓体可例如由泡沫材料以及至少部分地定位在可压缩仓体4110内的多个钉4120构成。钉驱动器系统可包括驱动器夹持器4160、定位在驱动器夹持器4160内的多个钉驱动器4162、以及钉仓盘4180,该钉仓盘能够将钉驱动器4162保持在驱动器夹持器4160中。例如,钉驱动器4162可定位在驱动器夹持器4160中的一个或多个狭槽4163内,其中狭槽4163的侧壁可帮助朝砧座向上引导钉驱动器4162。钉4120可由钉驱动器4162支撑在狭槽4163内,其中当钉4120和钉驱动器4162处于其未击发位置时,钉4120可完全定位在狭槽4163中。作为另外一种选择,当钉4120和钉驱动器4162处于其未击发位置时,钉4120的至少一部分可穿过狭槽4163的开口端4161向上延伸。例如,现在主要参见图74,钉4120的基部可被定位在驱动器夹持器4160内,并且钉4120的顶端可嵌入可压缩仓体4110内。钉4120的大约三分之一的高度可定位在驱动器夹持器4160内,并且钉4120的大约三分之二的高度可定位在仓体4110内。参见图73A,例如钉仓4100还可包括围绕仓体4110和驱动器夹持器4160的水不可渗透的包裹物或膜4111。
在使用中,例如,钉仓4100可定位在钉仓通道内,并且砧座可朝钉仓4100运动到闭合位置。当砧座运动至其闭合位置时,砧座可接触并压缩可压缩的仓体4110。当砧座处于其闭合位置时,砧座可不接触钉4120。当砧座运动至其闭合位置时,砧座可接触钉4120的腿并且至少部分地使钉4120变形。在任一情形中,钉仓4100还可包括一个或多个滑动件4170,所述一个或多个滑动件可在钉仓4100沿纵向推进,使得滑动件4170可随后接合钉驱动器4162并且使钉驱动器4162和钉4120朝砧座运动。滑动件4170可在钉仓盘4180与钉驱动器4162之间滑动。在砧座的闭合已使钉4120的成形过程开始的情况下,钉4120朝砧座向上运动可完成成形过程并使钉4120变形至其完全成形的高度或至少期望的高度。在砧座的闭合未使钉4120变形的情况下,钉4120朝砧座向上运动可开始并完成成形过程并且使钉4120变形至其完全成形的高度或至少期望的高度。滑动件4170可从钉仓4100的近侧末端推进到钉仓4100的远侧末端,使得在定位于钉仓4100的远侧末端中的钉4120完全成形之前,定位于钉仓4100的近侧末端中的钉4120完全成形。参见图75,滑动件4170可各自包括至少一个成角度的或倾斜的表面4711,其能够在钉驱动器4162下方滑动并如图76所示提升钉驱动器4162。
对上文进行进一步描述,钉4120可被成形,以便将组织T的至少一部分和钉仓4100的可压缩仓体4110的至少一部分捕获在其中。在钉4120成形之后,外科缝合器的砧座和钉仓通道4130可远离已植入的钉仓4100运动。在各种情况下,仓盘4180可以固定地接合钉仓通道4130,其中作为结果,当钉仓通道4130被拉离已植入的仓体4110时,仓盘4180可与可压缩的仓体4110分离。再次参见图73,仓盘4180可包括相对的侧壁4181,仓体4110能够可移除地定位在该相对的侧壁4181之间。例如,可压缩仓体4110可被压缩于侧壁4181之间,使得在使用期间仓体4110能够可移除地保持在其间,并且当仓盘4180被拉离时,仓体4110从仓盘4180可释放地脱离。例如,驱动器夹持器4160可连接到仓盘4180,使得当仓盘4180从手术部位移除时,驱动器保持器4160、驱动器4162和/或滑动件4170可保持在仓盘4180中。驱动器4162可从驱动器夹持器4160射出并且留在手术部位中。例如,驱动器4162可由可生物吸收的材料(诸如以商品名Vicryl出售的聚乙醇酸(PGA)、聚乳酸(PLA或PLLA)、聚二氧杂环己酮(PDS)、聚羟基链烷酸酯(PHA)、以商品名Monocryl出售的聚卡普隆25(PGCL)、聚己内酯(PCL)、和/或PGA、PLA、PDS、PHA、PGCL和/或PCL的复合物)构成。驱动器4162可附接到钉4120,使得驱动器4162部署有钉4120。例如,每个驱动器4162可包括例如能够接收钉4120的基部的槽,其中所述槽能够以压力配合方式和/或搭扣配合方式接收钉基部。
对上文进行进一步描述,驱动器夹持器4160和/或滑动件4170可从仓盘4180射出。例如,滑动件4170可在仓盘4180与驱动器夹持器4160之间滑动,使得当滑动件4170推进以向上驱动钉驱动器4162和钉4120时,滑动件4170也可使驱动器夹持器4160向上运动到仓盘4180之外。例如,驱动器夹持器4160和/或滑动件4170可由可生物吸收的材料(诸如以商品名Vicryl出售的聚乙醇酸(PGA)、聚乳酸(PLA或PLLA)、聚二氧杂环己酮(PDS),、聚羟基链烷酸酯(PHA)、以商品名Monocryl出售的聚卡普隆25(PGCL)、聚己内酯(PCL)、和/或PGA、PLA、PDS、PHA、PGCL和/或PCL的复合物)构成。滑动件4170可整体地形成和/或附接到驱动棒或切割构件,所述驱动棒或切割构件穿过钉仓4100而推动滑动件4170。在这种情况下,滑动件4170可不从仓盘4180射出并且可与外科缝合器保持在一起,而在其中滑动件4170不附接到驱动棒的其他情况中,滑动件4170可留在手术部位中。在任何情形中,对上文进行进一步描述,仓体4110的可压缩性可允许在外科缝合器的端部执行器中使用较厚的钉仓,这是因为当缝合器的砧座闭合时,仓体4110可压缩或塌缩。作为在砧座闭合时钉被至少部分地变形的结果,可使用较高的钉(诸如具有大约0.18"钉高度的钉),例如其中大约0.12"的钉高度可被定位在可压缩层4110中,并且其中可压缩层4110可具有大约0.14"的未压缩高度。
现在参见图77-图80,例如,诸如钉仓4200的钉仓可包括可压缩仓体4210、定位于其中的多个钉4220、以及多个柔性侧向支撑构件4234。现在参见图78,钉仓4200可被定位在砧座4240与钉仓通道4230中间,其中侧向支撑构件4234可附接到钉仓通道4230。当砧座4240向下运动以压缩仓体4210并且至少部分地使钉4220变形时,如图79所示,仓体4210的侧部可侧向地膨胀并向外推动侧向支撑构件4234。例如,侧向支撑构件4234可附接到仓体4210,并且当仓体4210如上所述侧向地膨胀时,侧向支撑构件4234可与仓体4210分离,如图79所示。侧向支撑构件4234可利用至少一种粘合剂(诸如血纤维蛋白和/或蛋白水凝胶)粘附到仓体4210。与上文相似,砧座4240的闭合可仅部分地使钉4220变形,其中可通过如图80所示穿过钉仓4200推进一个或多个滑动件4270来完成钉4220的成形。现在参见图82和图83,滑动件4270可被切割构件4280从钉仓4200的近侧末端推进到钉仓4200的远侧末端。例如,切割构件4280可包括切割元件或刀4283,所述切割元件或刀4283可穿过组织T和/或可压缩仓体4210而推进。切割构件4280可包括凸轮构件4282,该凸轮构件可沿钳口4230和4240的外表面行进并将钳口运动或保持在适当位置。任选地,由于上文所述,钉4220可在组织T被切割的同时或至少基本上同时被成形至其最终形状。例如,滑动件4270可相对于刀4283被定位在远侧,例如使得仅在组织的推进部分被完全缝合时组织T才被切割。
再次参见图82和图83,滑动件4270可包括单独的可滑动构件,所述可滑动构件一起由切割构件4280推进。例如,滑动件4270可被容纳在钉仓4200中,并且切割构件4280可被击发杆4281推进至钉仓4200中,使得切割构件4280接合滑动件4270并朝远侧推进滑动件4270。该滑动件4270可彼此连接。在任一种情形中,每个滑动件4270可包括成角度的表面或凸轮4271,该成角度的表面或凸轮能够提升在钉行中对齐的钉4220。成角度的表面4271可与切割构件4280一体形成。再次参见图82和图83,每个钉4200可包括基部及冠部4229,至少一个可变形构件从基部延伸,并且冠部4229重叠注塑到钉4200的基部和/或可变形构件的至少一部分上,和/或围绕所述至少一部分而定位。任选地,例如,这种冠部4229能够由滑动件4270直接驱动。更具体地讲,钉4220的冠部4229能够使得在滑动件4270的成角度的表面4271与冠部4229之间未定位有钉驱动器的情况下,成角度的表面4271可在冠部4229下方滑动并直接接触冠部4229。在这种情况下,每个冠部4229均包括至少一个协作的成角度或倾斜的表面,该表面可由滑动件4270的成角度的表面4271接合,使得当滑动件4270在钉4220下方滑动时,协作的成角度表面可向上驱动钉4220。
现在参见图81,例如,诸如钉仓4300的钉仓可包括可压缩主体4310以及定位在可压缩主体4310内的多个钉4320。与上文相似,钉仓4300可包括柔性的侧向支撑件4334,该柔性的侧向支撑件可附接到钉仓通道和/或粘附到可压缩的主体4310。除上文所述之外,柔性的侧向支撑件4334可由一个或多个支柱或连接构件4335连接到一起,所述一个或多个支柱或连接构件能够将侧向支撑件4334保持在一起。在使用中,连接构件4335能够防止或至少抑制侧向支撑件4334过早地与仓体4310分离。连接构件4335能够在钉仓4300被砧座压缩之后将侧向支撑件4334保持在一起。在这种情况下,侧向支撑件4334可抵抗仓体4310的侧部的侧向膨胀或位移。切割构件(诸如切割构件4280)例如能够在切割构件4280在仓体4310中朝远侧运动时横切连接构件4335。例如,切割构件4280能够朝远侧推动一个或多个滑动件(诸如滑动件4270),以便使钉4320抵靠砧座而成形。滑动件4270可引导切割刃4283,使得切割构件4280不会横切连接构件4335,直至邻近连接构件4335的冯钉4320完全成形或至少成形至期望高度为止。在各种情况下,连接构件4335与侧向支撑件4334协作可防止或至少减少可压缩仓体4310的侧向运动并且同时防止或至少减少定位在仓体4310内的钉4320的侧向运动。在这种情况下,连接构件4335可将钉4320保持在适当位置,直至钉4320变形,并且连接构件4335可随后切割以释放仓体4310的侧部。如上所述,侧向支撑件4334可连接到钉仓通道,因此在钉仓4300被植入之后,侧向支撑件4334可与钉仓通道一起从手术部位移除。侧向支撑件4334可由植入式材料构成并且可被留在手术部位中。连接构件4335可被定位在仓体4310与组织T中间,并且在连接构件4335与侧向支撑件4334分离之后,连接构件4335可保持植入在患者体内。例如,连接构件4335可由植入式材料构成,并且连接构件4335可例如由与侧向支撑件4334相同的材料构成。连接构件4335和/或侧向支撑件4334可由柔性可生物吸收的材料(诸如以商品名Vicryl出售的聚乙醇酸(PGA)、聚乳酸(PLA或PLLA)、聚二氧杂环己酮(PDS)、聚羟基链烷酸酯(PHA)、以商品名Monocryl出售的聚卡普隆25(PGCL)、聚己内酯(PCL)、和/或PGA、PLA、PDS、PHA、PGCL和/或PCL的复合物)构成。根据本发明,连接构件可包括连接侧向支撑件4334的材料片。钉仓可包括延伸穿过仓体4310的顶部表面的连接构件,以及另外围绕仓体4310的底部表面而延伸的连接构件。
现在参见图84,钉仓可包括钉(诸如钉4420),所述钉例如可包括插入到冠部中的线材部。线材部可由金属(诸如钛和/或不锈钢)和/或塑料(诸如聚二氧杂环己酮(PDS)和/或聚乙醇酸(PGA)构成。冠部分可由金属(诸如钛和/或不锈钢)和/或塑料(诸如聚二氧杂环己酮(PDS)和/或聚乙醇酸(PGA))构成。每个钉4420的线材部可包括基部4422以及从基部4422延伸的可变形腿4421,其中每个钉4420的冠部可包括冠4429,该冠能够在其中接收基部4422的至少一部分。现在参见图85A-图85C,为组装每个钉4420的部分,可将线材部的腿4421插入冠部4429中的开口4426中,其中开口4426能够将腿4421引导至基部腔室4427中。线材部还可被插入冠4429中,使得腿4421离开基部腔室4427并且线材部的基部4422进入基部腔室4427中。例如,基部腔室4427能够使得当基部4422进入基部腔室4427时,线材部在冠4429中旋转,使得钉腿4421指向向上的或至少基本上向上的方向。再次参见图84,冠4429可包括出口孔4425,该出口孔能够在其中接收钉腿4421。
对上文进行进一步描述,外科缝合器可包括滑动件4470,该滑动件能够横贯钉仓4400和钉仓通道4430并且使容纳在仓体4410内的钉4420朝砧座运动。在各种情况下,滑动件4470可从钉仓通道4430的近侧末端运动到仓通道4430的远侧末端,以便植入仓体4410和钉缝4420。在某些情况下,滑动件4470可缩回或返回到仓通道4430的近侧末端,并且另一个钉仓4400可被插入仓通道4430中。一旦新的钉仓4400被定位在仓通道4430中,则滑动件4470可再次朝远侧推进。外科缝合器可包括一个或多个锁定结构,所述一个或多个锁定结构可在仓通道4430中未定位有新的钉仓4400的情况下防止滑动件4470再次朝远侧推进。例如,再次参见图84,钉仓通道4430可包括锁定肩部4439,该锁定肩部能够防止或至少限制滑动件4470朝远侧运动。更具体地讲,除非滑动件4470由提升结构4428至少部分地向上提升超过肩部4439,否则滑动件4470能够邻接肩部4439,该提升结构4428例如在钉仓4400内的最近侧钉4420之间延伸。换句话讲,当新的钉仓4400中不存在最近侧钉4420时,滑动件4470无法推进。因此,当仓通道4430中存在已用过的钉仓4400时或仓通道4430中根本不存在钉仓4400时,滑动件4470无法在仓通道4430中推进。
对上文进行进一步描述,现在参见图86,钉仓(诸如钉仓4500)例如可被定位在钉仓通道4530中并可包括可压缩的仓体4510、定位在仓体4510中的多个钉4520、以及仓盘或保持器4580。可压缩的仓体4510可包括外层4511及内层4512,其中外层4511可以密封方式包围内层4512。例如,外层4511可在内层4512与仓盘4580之间延伸。外层4511可仅部分地围绕内层4512,并且例如,外层4511和仓盘4580可协作以包围或至少基本上包围内层4512。对上文进行进一步描述,钉4520可由仓盘4580支撑,其中仓盘4580可包括能够支撑钉4520的一个或多个钉支撑通道。仓盘4580可附接到仓体4510,其中例如仓体4510可在仓盘4580的相对的侧壁之间被侧向地压缩。仓盘4580的侧壁可侧向地支撑仓体4510,并且例如,仓盘4580可包括从底部支撑件4583向上延伸到仓体4510中的一个或多个壁或翅片4582。例如,仓体4510中可包括一个或多个狭槽或通道,其中所述一个或多个狭槽或通道能够接收壁4582和/或与壁4582联锁。壁4582可部分地或几乎全部地延伸穿过仓体4510。例如,壁4582可在钉4520的第一行与钉4520的第二行之间沿纵向延伸穿过钉仓4500。
仓体4510和/或仓盘4580可包括协作保持特征结构,该协作保持特征结构可在仓盘4580与仓体4510之间提供搭扣配合。钉仓4500可被定位在仓通道4530中,使得仓盘4580抵靠仓通道4530而定位和/或附接到仓通道4530。仓盘4580能够可分离地联接到仓通道4530,使得在钉仓4500被砧座4540压缩并且钉4520变形之后,仓盘4580可与仓通道4530分离并且可与仓体4510一起被植入。例如,仓盘4580可由可生物吸收的材料(诸如以商品名Vicryl出售的聚乙醇酸(PGA)、聚乳酸(PLA或PLLA)、聚二氧杂环己酮(PDS)、聚羟基链烷酸酯(PHA)、以商品名Monocryl出售的聚卡普隆25(PGCL)、聚己内酯(PCL)、和/或PGA、PLA、PDS、PHA、PGCL和/或PCL的复合物)构成。外科缝合器还可包括击发机构和/或驱动器,所述击发机构和/或驱动器可在仓盘4580上在钉仓通道4530与底部驱动表面中间滑动,所述底部驱动表面能够从仓通道4530中提升或射出仓盘4580。仓体4510可以可分离地联接到仓盘4580,使得在钉仓4500被砧座4540压缩并且钉4520变形之后,仓体4510可与仓盘4580分离。例如,仓盘4580可保持固定地接合仓通道4530,使得仓盘4580与仓通道4530一起从手术部位被移除。外科缝合器还可包括击发机构和/或驱动器,该击发机构和/或驱动器可在仓体4510上在钉仓盘4580与底部驱动表面中间滑动,所述底部驱动表面能够从仓盘4580中提升或射出仓体4510。例如,钉仓4500还可包括定位在仓盘4580与钉4520中间的钉驱动器,使得当击发机构朝远侧滑动时,钉驱动器和钉4520可朝砧座被向上驱动。例如,钉驱动器可至少部分地嵌入可压缩的仓体4510中。
任选地,与上文相似,钉仓4500可包括锁定结构,所述锁定结构能够防止或至少限制切割构件朝远侧运动,除非钉仓通道4530中已定位有未击发的钉仓4500。钉仓盘4580可包括例如在钉仓通道4530内向上提升切割构件并使其超过锁定表面的表面。在仓通道4530中不存在包括仓盘4580的钉仓4500的情形中,切割构件无法推进。钉仓4500内的最近侧钉和/或任何其他适合的钉可包括提升表面,该提升表面可完全将切割构件提升超过锁定表面。除上文所述之外或替代上文所述,钉仓4500的各部分可由具有不同颜色的材料构成。在这种情况下,外科医生能够在视觉上识别钉仓通道4530中何时存在未击发和/或击发的钉仓。例如,仓体4510的外层4511可具有第一颜色,仓盘4580可具有第二颜色,并且钉仓通道4530可具有第三颜色。如果外科医生看到第一颜色,则外科医生可知道未击发的钉仓4500存在于钉仓通道4530中;如果外科医生看到第二颜色,则外科医生可知道击发的钉仓4500存在于钉仓通道4530中并且剩余的仓盘4580需要被移除;并且如果外科医生看到第三颜色,则外科医生可知道钉仓4500的任何部分均未保留在钉仓通道4530内。
现在参见图87,钉仓(诸如钉仓4600)例如可包括可压缩的植入式仓体4610以及定位在其中的多个钉4620。仓体4610可包括外层4611和内层4612。内层4612可包括例如限定在其中的多个凹坑(诸如凹坑或腔体4615),所述多个凹坑可有利于仓体4610的塌缩。例如,内层4612可包括波纹形或蜂窝构型的晶格,所述晶格能够承受压缩力或压力,只要该压缩力或压力不超过特定的阈值即可。当未超过阈值时,内层4612可关于所施加的压缩力或压力而以线性的或至少基本上线性的速率变形。在压缩力或压力超过阈值之后,内层4612可由于压缩负载而突然被压垮至大挠曲并塌缩或弯曲。内层4612的晶格可由能够连接在一起的多个亚层4612a构成。每个亚层4612a可包括多个交替的沟与脊或波,所述多个交替的沟与脊或波可与相邻亚层4612a的交替的沟与脊对齐。例如,第一亚层4612a的沟可被定位成与第二亚层4612a的脊相邻;并且相似地,第一亚层4612a的脊可被定位成与第二亚层4612a的沟相邻。相邻的亚层4612a可通过至少一种粘合剂(诸如血纤维蛋白和/或蛋白水凝胶)相互粘附和/或粘附到外层4611。图88示出了在仓体4610已塌缩、并且钉4620已变形以抵靠仓体4610捕获并保持组织T之后的钉仓4600。
现在参见图89-图91,例如,钉仓(诸如钉仓4700)可包括可压缩的植入式仓体4710以及定位在仓体4710中的多个钉4720。与上文相似,仓体4710可包括外层4711和内层4712,其中内层4712可包括多个亚层4712a。同样与上文相似,每个亚层4712a可包括交替的沟4717和脊4718,所述交替的沟和脊可相互对齐以在其间限定凹坑或腔体4715。例如,沟4717和/或脊4718可沿着相互平行的和/或平行于纵向轴线4709的轴线延伸。钉4720可在多个钉行中对齐,所述多个钉行可沿相互平行的和/或平行于纵向轴线4709的轴线延伸。作为另外一种选择,再次参见图87和图88,仓体4600中所容纳的钉4620可沿着轴线延伸,所述轴线横贯或垂直于由亚层4612a的沟和脊所限定的轴线。再次参见图89-图91,钉4720可延伸穿过沟4717和脊4718,其中钉4720与亚层4712a之间的摩擦力可将钉4720保持在仓体4710中。多个亚层4712a可由支撑物材料和/或塑性材料(诸如聚二氧杂环己酮(PDS)和/或聚乙醇酸(PGA)构成,所述支撑物材料和/或塑性材料例如能够将钉4720保持在直立的取向、和/或将钉4720保持成相对于彼此对齐,如图89和图90所示。图91示出在仓体4710已塌缩、并且钉4720已变形以抵靠仓体4710捕获并保持组织T之后的钉仓4700。
再次参见图89-图91,当仓体4710被压缩时,仓体4710可有回弹力地或以弹性方式塌缩。例如,当仓体4710被压缩时,沟4717和脊4718在每个亚层4712a中所形成的波可被平化或至少基本上被平化,这可使沟4717与脊4718之间所限定的腔体4715塌缩或至少基本上塌缩。在各种情况下,在从仓体4710移除压缩力或压力之后,仓体4710或仓体4710的至少部分可有回弹力地或以弹性方式再次扩展。例如,当仓体4710被压缩时,相邻亚层4712a的沟4717与脊4718之间的连接可保持未受损或至少基本上未受损,使得在从仓体4710上移除压缩力之后,亚层4712a可偏置沟4717与脊4718本身使其远离彼此,并且因此使仓体4710至少部分地再次扩展。当仓体4710被压缩时,其可以塑性方式变形或被压溃,因此在从仓体4710上移除压缩力或压力之后,仓体4710可不再次扩展。现在参见图92,钉仓(例如钉仓4800)例如可包括可压溃的仓体4810,该可压溃的仓体包括外层4811和内层4812,其中内层4812可包括波纹形的、蜂窝构型的晶格,所述晶格具有在其中限定的多个凹坑或腔体4815。限定内层4812的晶格的壁可包括一个或多个弱化的或薄的横截面4819,所述一个或多个弱化的或薄的横截面能够允许限定晶格的壁在仓体4810被压缩时破裂。在这种情况下,当钉仓4800被植入时,仓体4810可被压溃。
现在参见图93-图95,钉仓(诸如钉仓4900)例如可包括仓体4910,该仓体包括例如外层4911以及定位在外层4911的顶部与底部之间的多个可塌缩元件4912。首先参见图93和图94,钉仓4900还可包括多个钉4920,其中每个钉4920可被定位在可塌缩元件4912中。更具体地讲,每个可塌缩元件4912可包括第一部分4912a、第二部分4012b、和第三部分4012c,所述第一部分4912a、第二部分4012b和第三部分4012c可协作以在其中限定腔体4915,所述腔体能够接收钉4920。在使用中,对上文进行进一步描述,钉仓4900可被定位在钉仓通道中并且可对组织接触表面4919施加压缩力以便压缩仓体4910。当组织接触表面4919向下运动时,可塌缩元件4912可塌缩。在这种情况下,每个可塌缩元件4912的第二部分4912b可塌缩至对应的第一部分4912a中;相似地,每个可塌缩元件4912的第三部分4912c可塌缩至对应的第二部分4912b中。当仓体4910被压缩并且可塌缩元件4912塌缩时,定位在可塌缩元件4912中的钉4920可变形,如图95所示。每个可塌缩元件4912的第二部分4912b可摩擦地接合对应的第一部分4912a和/或压配于对应的第一部分4912a中,使得一旦对可塌缩元件4912施加的压缩力超过用于将第一部分4912a和第二部分4912b保持在其延伸位置(图94)中的保持力,则第一部分4912a和第二部分4912b可开始相对于彼此滑动。相似地,每个可塌缩元件4912的第三部分4912c可摩擦地接合对应的第二部分4912b和/或压配于对应的第二部分4912b中,使得一旦对可塌缩元件4912施加的压缩力超过用于将第二部分4912b和第三部分4912c保持在其延伸位置(图94)中的保持力,则第二部分4912b和第三部分4912c可开始相对于彼此滑动。
如本文所述,钉仓在其中可包括多个钉。任选地,此类钉可由被变形为基本上U形构型并具有两个钉腿的金属线材构成。可设想出其中钉可包括不同构型(诸如被接合在一起并具有三个或更多个钉腿的两个或更多个线材)的替代形式。用于形成钉的一个或多个线材可包括圆的或至少基本上圆的横截面。钉线材可包括任何其他合适的横截面,诸如正方形和/或矩形的横截面。钉可由塑料线材构成。钉可由涂覆有塑料的金属线材构成。根据本发明,仓可包括除钉之外或取代钉的任何合适类型的紧固件。例如,这种紧固件可包括可枢转的臂,所述臂在被砧座接合时会被折叠。可使用两部分的紧固件。例如,钉仓可包括多个第一紧固件部,并且砧座可包括多个第二紧固件部;当砧座抵靠钉仓而被压缩时,第二紧固件部连接到第一紧固件部。如上所述,可在钉仓内推进滑动件或驱动器以便完成钉的成形过程。可在砧座内推进滑动件或驱动器,以便使一个或多个成形构件向下运动至与相对的钉仓和钉或定位在钉仓中的紧固件接合。
如本文所述,钉仓可包括储存于其中的四个钉行。所述四个钉行可被设置成两个内侧钉行和两个外侧钉行。例如,内侧钉行和外侧钉行可被定位在钉仓内的切割构件或刀狭槽的第一侧上;相似地,内侧钉行和外侧钉行可被定位在切割构件或刀狭槽的第二侧上。钉仓可不包括切割构件狭槽;然而,作为钉仓狭槽的替代,这种钉仓可包括能够由切割构件切割的指定部分。相似地,可将内侧钉行布置在钉仓内,使得其与切割构件狭槽等距地或至少基本上等距地间隔开。相似地,可将外侧钉行布置在钉仓内,使得其与切割构件狭槽等距地或至少基本上等距地间隔开。根据本发明,钉仓可包括储存在钉仓内的多于或少于四个钉行。钉仓可包括六个钉行。例如,钉仓可在切割构件狭槽的第一侧上包括三个钉行,并且在切割构件狭槽的第二侧上包括三个钉行。钉仓可包括奇数个钉行。例如,钉仓可在切割构件狭槽的第一侧上包括两个钉行,并且在切割构件狭槽的第二侧上包括三个钉行。钉排可包括具有相同或至少基本上相同的未成形钉高度的钉。作为另外一种选择,一个或多个钉行可包括具有与其他钉不同的未成形钉高度的钉。例如,切割构件狭槽的第一侧上的钉可具有第一未成形高度,并且切割构件狭槽的第二侧上的钉可具有第二未成形高度,该第二未成形高度不同于第一高度。
现在参见图96A-图96D,外科缝合器的端部执行器可包括例如仓附接部(诸如钉仓通道5030),可移除地定位在钉仓通道5030中的紧固件仓(诸如钉仓5000),以及与钉仓5000和钉仓通道5030相对地定位的钳口5040。钉仓5000可包括可压缩主体5010及多个钉5020、和/或至少部分地定位在可压缩主体5010中的任何其他合适的紧固件。例如,每个钉5020可包括基部5022,以及另外从基部5022向上延伸的腿5021,其中腿5021的至少一部分可被嵌入仓体5010中。可压缩主体5010可包括顶部表面或组织接触表面5019及底部表面5018,其中底部表面5018可抵靠钉仓通道5030的支撑表面5031而定位并由该支撑表面5031支撑。与上文相似,支撑表面5031例如可包括例如限定在其中的多个支撑狭槽5032(图96D),所述多个支撑狭槽5032能够接收并且支撑钉5020的基部5022。外科缝合器的端部执行器还可包括保持矩阵(诸如保持矩阵5050),所述保持矩阵能够接合钉5020,并且将组织捕获于其间。例如,保持矩阵5050可移除地安装到钳口5040。在使用中,一旦钉仓5000被定位在钉仓通道5030中,则钳口5040及附接到其上的保持矩阵5050可朝钉仓5000和钉仓通道5030运动。钳口5040可沿轴线5099向下运动,使得当钳口5040闭合时,钳口5040及钉仓通道5030保持彼此平行或至少基本上平行。更具体地讲,例如,钳口5040可以某种方式闭合,使得当钳口5040朝钉仓5000运动时,保持矩阵5050的组织接触表面5051平行于或至少基本上平行于钉仓5000的组织接触表面5019。
现在参见图96A,保持矩阵5050可以可分离地固定到钳口5040,使得当保持矩阵5050附接到钳口5040时,保持矩阵5050与钳口5040之间存在很少的(如果有的话)相对运动。钳口5040可包括一个或多个保持特征结构,所述一个或多个保持特征结构能够将保持矩阵5050保持在适当位置。例如,保持矩阵5050可搭扣配合和/或压力配合到钳口5040中。可利用至少一种粘合剂将保持矩阵5050粘附至钳口5040。在任何情形中,钳口5040可运动至其中保持矩阵5050接触组织T并且组织T抵靠钉仓5000的组织接触表面5019而定位的位置中。当组织T被钳口5040定位成抵靠钉仓5000时,钉仓5000的可压缩主体5010可被钳口5040压缩或可不被其压缩。在任一种情况下,钉5200的腿5021可不穿过钉仓5000的组织接触表面5019突起,如图96A所示。此外,同样如图96A所示,在保留矩阵5050不接合钉5020的情况下,钳口5040可抵靠可压缩主体5010来保持组织T。这些形式可允许外科医生多次打开和闭合钳口5040,以便例如在不损坏组织T的情况下获得端部执行器在手术部位中的期望定位。然而,设想了替代形式,其中钉顶端5023能够在仓体5010被砧座5040压缩之前从组织接触表面5019突起。现在参见图96B,一旦端部执行器被适当地定位,则钳口5040可朝钉仓通道5030向下运动,使得可压缩主体5010被砧座5040压缩,并且使得组织接触表面5019相对于钉5020被向下推动。当组织接触表面5019被向下推动时,钉腿5021的顶端5023可刺穿组织接触表面5019并且刺穿组织T的至少一部分。在这种情况下,保持矩阵5050可被定位在钉5020上方,使得保持矩阵5050的保持孔5052与钉腿5021的顶端5023对齐或至少基本上对齐。
现在参见图96C,当沿轴线5099向下推动保持矩阵5050时,钉5020的钉腿5021可进入保持孔5052中。钉腿5021可接合保持孔5052的侧壁。如下文所更详细描述,保持矩阵5050可包括延伸至保持孔5052中和/或围绕保持孔5052的一个或多个保持构件,所述一个或多个保持构件可接合钉腿5021。在任一种情形中,钉腿5021可被保持在保持孔5052中。在各种情况下,钉腿5021的顶端5023可进入保持孔5052中并可摩擦地接合保持构件和/或孔5052的侧壁。当保持矩阵5050朝钉5020的基部5022被推动时,钉腿5021可相对于侧壁和/或保持构件滑动。由于上文所述,钉腿5021与保持矩阵5050之间可产生滑动摩擦力,其中这种滑动摩擦力可抵抗保持矩阵5050插入到钉5020上。当保持矩阵5050沿钉5020的钉腿5021向下滑动时,保持矩阵5050与钉5020之间的滑动摩擦力可为恒定的或至少基本上恒定的。例如,由于钉腿5021、保持孔5052和/或延伸至保持孔5052中和/或围绕保持孔5052的保持构件在几何形状上的变化,当保持矩阵5050沿钉腿5021向下滑动时,滑动摩擦力可增大和/或减小。钉仓5000的可压缩主体5010也可抵抗保持矩阵5050插入到钉5020中。更具体地讲,可压缩主体5010可由弹性材料构成,所述弹性材料例如可对保持矩阵5050施加抗力;当其中可压缩主体5010被压缩的距离增大时,所述抗力增大。例如,由仓体5010所产生的抗力的增大可相对于其中仓体5010被压缩的距离线性地成比例或至少基本上线性地成比例。由仓体5010所产生的抗力的增大可相对于其中仓体5010被压缩的距离几何地成比例。
对上文进行进一步描述,可对钳口5040和保持矩阵5050施加足够的击发力,以便克服上述抗力及摩擦力。在使用中,保持矩阵5050可相对于钉5020被坐置到任何合适的深度处。保持矩阵5050可相对于钉5020的基部5022被坐置到一定深度处,以便将两层或更多层组织固定到一起并且在组织内产生压缩力或压力。在各种情况下,包括保持矩阵5050及钉5020的系统可允许外科医生通过选择其中保持矩阵5050被坐置的深度来选择对组织施加的压缩力或压力的量。例如,保持矩阵5050可朝钉5020的钉基部5022被向下推动,直至保持矩阵5050被坐置到与支撑狭槽5032的底部相距一定深度5011为止,其中较浅的深度5011可产生施加至组织T的较高的压缩力或压力,而较深的深度5011可产生施加至组织T的较低的压缩力或压力。施加到组织T的压缩力或压力可与其中保持矩阵5050被坐置的深度5011线性地成比例或至少基本上线性地成比例。在各种情况下,施加到组织T的压缩力或压力可取决于定位在保持矩阵5050与钉仓5020之间的组织T的厚度。更具体地讲,对于给定的距离5011,较厚组织T的存在可比较薄组织T的存在产生更高的压缩力或压力。
在各种情况下,对上文进行进一步描述,外科医生可调整其中保持矩阵5050被坐置的深度,以便说明定位在端部执行器内的较厚和/或较薄的组织,并且以与组织厚度无关的方式对组织T施加一定的或预定的压力。例如,当紧固较薄的组织T时,外科医生可将保持矩阵5050坐置到较浅的深度5011,或当紧固较厚的组织T时将其坐置到较深的深度5011,以便在组织内达到相同或至少基本上相同的压缩力。对上文进行进一步描述,外科医生可选择性地确定对定位在保持矩阵5050与钉仓5010之间的组织T施加的压缩力的量。在各种情况下,外科医生可将保持矩阵5050与钉5020接合,并将保持矩阵5050定位成与钉5020的基部5022相距第一距离,以便对组织施加第一压缩压力。作为另外一种选择,外科医生可将保持矩阵5050定位成与基部5022相距第二距离,所述第二距离短于所述第一距离,以便对组织施加大于第一压力的第二压缩压力。作为另外一种选择,外科医生可将保持矩阵5050定位成与基部5022相距第三距离,所述第三距离短于所述第二距离,以便对组织施加大于第二压力的第三压缩压力。包括保持矩阵5050和钉5020的紧固系统能够允许外科医生对靶组织施加宽范围的压缩压力。
现在参见图96D,钉腿5021可穿过保持矩阵5050而被插入,使得钉腿顶端5023延伸至保持矩阵5050的顶部表面上方。再次参见图96C,钳口5040还可包括限定在其中的间隙孔5042,当钉腿顶端5023穿过保持矩阵5050中的保持孔5052时,该间隙孔能够接收钉腿顶端5023。例如,间隙孔5042可与保持孔5052对齐,使得腿5021不接触钳口5040。间隙孔5042可具有足够的深度,使得不论其中保持矩阵5050被坐置的距离为何,钉腿5021均不接触钳口5040。现在参见图96D,在保持矩阵5050与钉5020接合并且被坐置到所需位置之后,钉仓通道5030和钳口5040可远离组织T运动。更具体地讲,钉仓通道5030可与所植入的钉仓5000分离,并且砧座5040可与所植入的保持矩阵5050分离。当钳口5040远离保持矩阵5050运动并且钉支撑件5032远离钉基部5022运动时,尽管钳口5040和钉仓通道5030不再对保持矩阵5050及基部5022提供支撑,然而仍可保持保持矩阵5050与基部5022的底部之间的距离5011。尽管被压缩的仓体5010和/或被压缩的组织T对保持矩阵5050施加偏置力,然而钉腿5021与保持矩阵5050之间的静摩擦力可足以将保持矩阵5050保持在适当位置。例如,仓体5010可由弹性材料构成,所述弹性材料在被压缩时可以某种方式对保持矩阵5050和钉5020施加弹性偏置力,使得所述弹性偏置力趋于推动保持矩阵5050和钉5020以使其分开,然而这种运动受到钉腿5021与保持矩阵5050之间的摩擦接合的对抗。
任选地,如上所述,保持矩阵可包括多个保持孔,其中每个保持孔能够在其中接收紧固件的腿。现在参见图97,其中示出保持矩阵5150的一部分,该部分可包括由周边5156限定的保持孔5152。孔5152的周边5156可包括圆形或至少基本上圆形的外形和/或任何其他合适的外形。保持矩阵5150可包括例如一个或多个保持构件(诸如保持构件5153),所述一个或多个保持构件延伸至孔5152中并且能够在紧固件支腿插入其中时接合该紧固件支腿。例如,每个保持构件5153可包括朝中心轴线5159(即,朝孔5152的中心)向内延伸的悬臂。任选地,每个悬臂可包括第一末端和第二末端,所述第一末端附接到保持矩阵主体5158,所述第二末端形成保持孔5152的周边5156。保持孔5152的周边5156可由第一直径或宽度限定,并且紧固件支腿可由第二直径或宽度限定,其中第二直径可大于所述第一直径。例如,紧固件支腿能够接触保持构件5153中的一个或多个并使其偏转,以便在紧固件支腿插入保持孔5152中时使保持孔5152的直径增大。对上文进行进一步描述,紧固件支腿所限定的周边可大于保持孔5152的周边5156,使得当紧固件支腿插入周边5156中时,紧固件支腿可使周边5156扩展。
再次参见图97,孔5152可由可变形构件5153限定,其中每个可变形构件5153能够相对于或独立于其他可变形构件5153偏转。例如,相邻的可变形构件5153可被狭槽5154分开,该狭槽5154能够允许每个可变形构件5153相对于其他可变形构件5153挠曲。每个狭槽5154可包括位于保持矩阵主体5158中的第一末端5155、开口到保持孔5152中的第二末端、以及在第一末端5155与第二末端之间延伸的恒定的或至少基本上恒定的宽度。作为另外一种选择,每个狭槽5154的宽度可不一致,并且每个狭槽5154在其第一末端与第二末端之间的宽度可增大和/或减小。狭槽5154的第一末端5155可包括放大部(诸如圆形部),所述放大部既可为附接到保持矩阵主体5158的可变形构件5153的基部提供张力释放,也可增大可变形构件5153的柔性。可变形构件5153和/或狭槽5154的几何形状可被选择成为可变形构件5153提供所需柔性。例如,狭槽5154可被加长,以便形成更长的可变形构件5153,该更长的可变形构件可比具有较短长度的可变形构件5153更具柔性。每个可变形构件5153的宽度可被选择成为其提供所需柔性。更具体地讲,具有较薄宽度的可变形构件可比具有较厚宽度的可变形构件更具柔性。再次参见图97,可变形构件5153的悬臂的附接到保持矩阵主体5158的第一末端可宽于悬臂的第二末端。例如,悬臂可在其第一末端与第二末端之间以线性或至少基本上线性的方式逐渐变细。
再次参见图97,保持矩阵主体5158可包括平坦或至少基本上平坦的材料片,其具有组织接触表面5151和顶部表面5157。例如,组织接触表面5151与顶部表面5157可相互平行或至少基本上相互平行。任选地,每个可变形构件5153可包括第一部分5153a和第二部分5153b,其中第一部分5153a可在第一方向上延伸,并且第二部分5153b可在不同方向或第二方向上延伸。保持矩阵主体5158可限定平面,并且可变形构件5153的第一部分5153a可位于此平面内。可变形构件5153的第二部分5153b可相对于第一部分5153a成角度地延伸。例如,第二部分5153b可在远离保持矩阵主体5158的顶部表面5157的方向上延伸,并且第二部分5153b可朝保持孔5152的中心轴线5159会聚。在任何情形中,第二部分5153b能够在紧固件支腿穿过第二部分而插入时远离中心轴线5159偏转。在钉5020的钉腿5021插入保持孔5152中的情况下,可变形构件5153可在大致远离钉5120的基部5122的方向上变形。因此,可变形构件5153可在与钉腿5021被插入的方向相同或至少基本上相同的大致方向上偏转。
再次参见图BD,可变形构件5153的第二部分5153b例如可各自包括锋利的顶端,所述锋利的顶端能够在钉腿5021插入其中时抵靠钉腿5021滑动。如果钉腿5021在相反方向上(即,将钉腿5021从保持孔5052移除的方向)被牵拉,则第二部分5153b的锋利的顶端也能够咬合到钉腿5021中。在某些情况下,第二部分5153b可相对于钉腿5021的边倾斜大于90度的角度,因此当钉腿5021受到趋于从保持孔5052中撤出钉腿5021的力时,第二部分5153b可挖入或掘入钉腿5021的边中。钉腿5021例如可在其表面中包括压痕和/或凹陷(诸如微压痕),所述压痕和/或凹陷能够例如在其中接收可变形构件5053的顶端。例如,当对钉腿5021施加撤出力时,可变形构件5053的顶端可困于或掘入钉腿5021的压痕中。任选地,作为第二部分5153b掘入钉腿5021中的结果,为从保持孔5022中移除钉腿5021而作用的力可仅将第二部分5153b坐置到钉腿5021中的更深处并且增大移除钉腿5021所需的力。此外,由于第二部分5153b向上倾斜,第二部分5153b可更允许钉腿5021插入保持孔5152中并且更抵抗钉腿5021的撤出。因此,将钉腿5021插入保持孔5022中所需的力可小于从保持孔5022中移除钉腿5021所需的力。例如,从保持孔5022中移除钉腿5021所需的力可大于将钉腿5021插入保持孔5022中所需的力约50%。作为另外一种选择,例如,移除钉腿5021所需的力可大于插入钉腿5021所需的力约10%至约100%之间。例如,移除钉腿5021所需的力可大于插入钉腿5021所述的力约100%、约150%、约200%、和/或大于200%。
再次参见图97,第二部分5153b可围绕孔5152沿圆周布置并且可在第二部分5153b与孔5152之间限定凹坑。更具体地讲,第二部分5153b可限定凹坑5160,该凹坑能够在紧固件支腿被插入保持孔5152中时接收紧固件支腿的顶端。可变形构件5153的第二部分5153b可包括环形的或至少基本上环形的轮廓,该轮廓例如可协作地限定凹坑1560的环形的或至少基本上环形的外形。例如,第二部分5153b可限定锥形的或截锥形的凹坑。凹坑可由合适数目的可变形构件(诸如四个可变形构件5153(图97)、六个可变形构件5153(图98)、或八个可变形构件5153(图99))限定。现在参见图100,保持矩阵(诸如保持矩阵5250)的可变形构件例如可形成锥体形状或至少基本上为锥体的形状。根据本发明,保持矩阵5250例如可包括多个保持孔(诸如保持孔5252),所述多个保持孔可由周边5256限定。周边5256可包括多边形的或至少基本上为多边形的外形和/或其他合适的外形。保持矩阵5250可包括一个或多个保持构件(诸如保持构件5253),所述一个或多个保持构件延伸至孔5252中并且能够在紧固件支腿插入孔5252中时接合该紧固件支腿。例如,每个保持构件5253可包括朝中心轴线5259(即,朝孔5252的中心)向内延伸的悬臂。任选地,每个悬臂可包括第一末端和第二末端,所述第一末端附接到保持矩阵主体5258,所述第二末端形成保持孔5252的周边5256。保持孔5252的周边5256可由第一直径或宽度限定,并且紧固件支腿可由第二直径或宽度限定,其中第二直径可大于所述第一直径。例如,紧固件支腿能够接触保持构件5253中的一个或多个并使其偏转,以便在紧固件支腿插入保持孔5252中时使保持孔5252的直径增大。对上文进行进一步描述,紧固件支腿所限定的周边可大于保持孔5252的周边5256,使得当紧固件支腿插入周边5256中时,紧固件支腿可使周边5256扩展。
再次参见图100,孔5252可由可变形构件5253限定,其中每个可变形构件5253能够相对于或独立于其他可变形构件5253偏转。例如,相邻的可变形构件5253可被狭槽5254分开,该狭槽5254能够允许每个可变形构件5253相对于其他可变形构件5253挠曲。保持矩阵主体5258可包括具有组织接触表面5251和顶部表面5257的平坦的或至少基本上平坦的材料片。例如,组织接触表面5251与顶部表面5257可相互平行或至少基本上相互平行。任选地,每个可变形构件5253可包括第一部分5253a和第二部分5253b,其中第一部分5253a可在第一方向上延伸,并且第二部分5253b可在不同方向或第二方向上延伸。例如,保持矩阵主体5258可限定平面,并且可变形构件5253的第一部分5253a可位于此平面内。可变形构件5253的第二部分5253b可相对于第一部分5253a成角度地延伸。例如,第二部分5253b可在远离保持矩阵主体5258的顶部表面5257的方向上延伸,并且第二部分5253b可朝保持孔5252的中心轴线5259会聚。在任何情形中,第二部分5253b能够在紧固件支腿穿过第二部分而插入时远离中心轴线5259偏转。再次参见图100,第二部分5253b可围绕孔5252沿圆周布置并可在第二部分与孔5252之间限定凹坑。更具体地讲,第二部分5253b可限定凹坑,所述凹坑能够在紧固件支腿插入保持孔5252中时接收紧固件支腿的顶端。可变形构件5253的第二部分5253b例如可限定多边形或至少基本上为多边形的凹坑。凹坑可由合适数目的可变形构件(例如可限定正方形的四个可变形构件5253(图100)、可限定六边形的六个可变形构件5253(图101)、或可限定八边形的八个可变形构件5253(图102))限定。
现在参见图103,保持矩阵(诸如保持矩阵5350)例如可由平坦的或至少基本上平坦的材料片(例如,钛和/或不锈钢)形成。例如,可通过一个或多个冲压过程在保持矩阵5350的主体5358中形成多个孔5352。材料片可被定位在冲压模具中,该模具在致动时可将材料的某些部分冲压出,以便形成例如狭槽5354、狭槽5354的孔5355和/或保持孔5352的周边5356。冲压模具也能够将可变形构件5353弯曲成合适的构型。例如,冲压模具可使第二部分5353b沿折痕线5353c相对于第一部分5353a向上变形。现在参见图104,保持矩阵(诸如保持矩阵5450)例如可包括多个保持孔5452。与上文相似,每个保持孔5452的周边5456可由被狭槽或狭缝5454间隔开的多个可变形构件5453限定。例如,每个可变形构件5453的整体均可被向上弯曲,其中包括可变形构件5453的悬臂的自由端可限定周边5456。保持矩阵5450可包括环绕或至少基本上环绕保持孔5452的多个孔5455。例如,孔5455可围绕或包围由可变形构件5453的悬臂的固定端限定的周边而被布置成圆形阵列。每个孔5455可包括圆形或至少基本上圆形的周边和/或任何其他合适的周边。在使用中,孔5455既可为附接到保持矩阵主体5458的可变形构件5453的基部提供张力释放,又可增大可变形构件5453的柔性。任选地,较大的孔5455与较小的孔5455相比可为可变形构件5453提供更大的柔性。此外,更靠近可变形构件5453的孔5455与更远的孔5455相比可提供更大的柔性。
现在参见图105,保持矩阵(诸如保持矩阵5550)例如可包括多个保持孔5552。每个保持孔5552均可包括细长狭槽5554,该细长狭槽具有放大的圆形或至少基本上圆形的端部5555。例如,端部5555可由宽于狭槽5554的直径限定。细长狭槽5554和端部5555可沿纵向轴线5559定位和/或居中。狭槽5554和端部5555可限定两个相对的插片5553,所述两个相对的插片5553能够接合紧固件的腿,并且在紧固件支腿穿过插片5553而被插入时使两个相对的插片5553偏转。具有较大周长或直径的端部5555可限定较长的插片5553,所述插片5553可比具有较小周长或直径的端部5555所限定的插片5553更具柔性。端部5555可具有相同的周长和直径,例如,每个插片5553可关于与纵向轴线5559垂直或至少基本上垂直的轴线对称。作为另外一种选择,端部5555可具有不同的周长和/或直径,其中每个插片5553可不关于其轴线对称。例如,当紧固件支腿穿过保持孔5552而被插入时,插片5553可围绕其轴线扭曲。现在参见图106,保持矩阵(诸如保持矩阵5650)例如可包括多个保持孔5652。每个保持孔5652均可包括细长狭槽5654,该细长狭槽包括圆形或至少基本上圆形的端部5655。例如,细长狭槽5654和端部5655可沿纵向轴线5659定位和/或居中。任选地,每个端部5655均可由与狭槽5654的宽度相同或至少基本上相同的直径限定。
现在参见图107,保持矩阵(诸如保持矩阵5750)例如可包括多个保持孔5752。每个保持孔5752可包括例如具有放大端部5755的多个狭槽(诸如狭槽5754)。例如,狭槽5754和端部5755可沿着纵向轴线5759定位和/或居中。轴线5759可在相互垂直或横跨的方向上延伸。狭槽5754和端部5755可例如限定四个插片5753,所述四个插片5753能够接合紧固件支腿,并且在紧固件支腿穿过保持孔5752而被插入时偏转。例如,每个插片5753可包括三角形的或至少基本上为三角形的构型(诸如等边三角形)。作为另外一种选择,现在参见图108,保持矩阵(诸如保持矩阵5850)例如可包括多个保持孔5852。每个保持孔5852可包括具有端部5855的多个狭槽(诸如狭槽5854),其中狭槽5854和端部5855可沿纵向轴线5859定位和/或居中。轴线5859可在相互垂直或横跨的方向上延伸。狭槽5854和端部5855可限定插片5853,插片5853能够接合紧固件支腿,并且在紧固件支腿穿过保持孔5852而被插入时偏转。每个插片5853可包括弓形的外形。更具体地讲,与图105中所示的尖的端部不同,每个插片5853可包括弯曲的端部,所述端部能够接触紧固件支腿。
现在参见图109,保持矩阵(诸如保持矩阵5950)例如可包括多个保持孔5952。每个保持孔5952例如可包括多个狭槽(诸如狭槽5954),其中每个狭槽5954可沿轴线5959延伸和/或居中。轴线5959可横向于彼此,例如,轴线5959可被布置成使得所有轴线5959延伸穿过保持孔5952的中心且彼此等距地或至少基本上等距地间隔开。每个狭槽5954可包括面向保持孔5952的中心的开口端以及在狭槽5954的相对端处的第二末端或封闭端5955。与上文相似,狭槽5954和端部5955可例如限定三个插片5953,所述三个插片5953能够接合紧固件支腿,并且在紧固件支腿穿过保持孔5952而被插入时偏转。任选地,每个插片5953可包括在狭槽5954的相邻端部5955之间延伸的弓形构型。现在参见图110,保持矩阵(诸如保持矩阵6050)例如可包括多个保持孔6052。每个保持孔6052可包括插片6053,插片6053能够接合紧固件支腿,并且在紧固件支腿被插入保持孔6052中时偏转。例如,插片6053可包括固定到保持矩阵主体6058的基部以及包括弓形或弯曲外形6056的自由端,所述自由端能够接触紧固件支腿。紧固件支腿可为由圆形线材构成的钉腿,其中弯曲外形6056能够与圆形线材的弯曲外表面匹配或至少基本上匹配。
再次参见图110,保持矩阵主体6058可包括多个狭槽6054和孔6055,所述多个狭槽和孔能够限定插片6053和保持孔6052的各个部分。插片6053可包括矩形构型,所述矩形构型包括平行的或至少基本上平行的边。现在参见图111,保持矩阵(诸如保持矩阵6150)例如可包括多个保持孔6152。每个保持孔6152可包括插片6153,该插片能够接合紧固件支腿,并且在紧固件支腿被插入保持孔6152中时偏转。例如,插片6153可包括固定到保持矩阵主体6158的基部以及包括弓形或弯曲外形6156的自由端,所述自由端能够接触紧固件支腿。保持矩阵主体6158可包括多个狭槽6154和孔6155,所述多个狭槽和孔能够限定插片6153和保持孔6152的各个部分。插片6153可包括渐缩的构型,所述渐缩的构型包括弓形的边。例如,插片6153可几何地逐渐变细,例如使得基部宽于自由端。
任选地,如上所述,紧固系统可包括多个钉,所述多个钉包括穿过保持矩阵中的多个保持孔而插入的钉腿。如下文所更详细地描述,钉可被保持在第一钳口中,并且保持矩阵可被保持在第二钳口中,其中第一钳口与第二钳口中的至少一者可朝另一者运动。在各种情况下,定位在第一钳口中的钉可被固定在其中,使得当保持矩阵与钉腿接合时,钉腿与保持孔对齐。参见图112和图113,紧固件系统可包括例如定位在外科缝合器的第一钳口中的钉仓6200,以及例如定位在外科缝合器的第二钳口中的保持矩阵6250。现在参见图119和图120,对上文进行进一步描述,保持矩阵6250可包括多个保持孔6252,其中每个保持孔6252可包括由一个或多个可挠曲构件6253限定的周边6256。例如,对上文进行进一步描述,限定每个孔6252的可挠曲构件6253可限定凹坑6201。任选地,每个凹坑6201可包括例如弯曲和/或凹形表面,所述弯曲和/或凹形表面能够在钉腿与保持孔6252未对齐并且首先接触可挠曲构件6253和/或组织接触表面6251的情形中将钉腿的顶端引导到孔6252中。
对上文进行进一步描述,紧固系统还可包括多个钉6220,所述多个钉6220包括可穿过保持矩阵6250中的保持孔6252而插入的钉腿6221。例如,每个钉6220可包括例如基本上U形的构型,所述构型包括基部6222,钉腿6221可从该基部6222向上延伸。现在参见图115和图116,例如,保持矩阵6250中的保持孔6252可被布置成两个平行的或至少基本上平行的纵向行,所述纵向行可沿着保持矩阵的纵向轴线或平行于所述纵向轴线延伸。第一行中的保持孔6252可相对于第二行中的保持孔6252偏移或错列。例如,每个钉6220可包括定位在第一行中的保持孔6252中的第一钉腿6221以及定位在第二行中的保持孔6252中的第二钉腿6221,其中作为结果,基部6222可在横跨保持矩阵6250的纵向轴线的方向上延伸。例如,钉6220可相互平行或至少基本上相互平行。更具体地讲,例如钉6220a的基部6222a可平行于或至少基本上平行于钉6220b的基部6222b,所述钉6220b的基部6222b可平行于或至少基本上平行于钉6220c的基部6222c。例如钉6220a的钉腿6221a所限定的平面可平行于或至少基本上平行于钉6220b的钉腿6221b所限定的平面,所述钉6220b的钉腿6221b所限定的平面可平行于或至少基本上平行于钉6220c的钉腿6221所限定的平面。
现在参见图112和图114,钉仓6200可包括多个钉6220,以及另外具有多个对齐导向器(诸如狭槽、沟槽和/或孔)的对齐矩阵6260,所述多个对齐导向器能够对齐钉6220。在各种情况下,对齐矩阵6260能够使得在保持矩阵6250接合钉腿6221之前,钉6220的钉腿6221与保持矩阵6250中的保持孔6252对齐。现在参见图117和图118,对齐矩阵6260可包括多个对齐孔6262,所述多个对齐孔能够紧密地接收钉6220的钉腿6221。例如,每个钉6220可包括基部6222以及从基部6222延伸的两个钉腿6221,其中钉6220的基部6222可围绕保持矩阵6260的底部表面6264延伸,并且钉腿6221可穿过对齐孔6262而向上延伸。每个对齐孔6262可为圆形的或至少基本上圆形的,并且限定对齐孔6262的直径可等于或稍大于穿过其中而延伸的钉腿6221的直径。对齐矩阵6260还可包括多个凸起构件6263,所述多个凸起构件可从对齐矩阵6260的顶部表面6261向上延伸并且环绕或至少部分地环绕对齐孔6262。凸起构件6263可提供较长的对齐孔6262,其中在各种情况下,较长的孔6262可比较短的孔6262更好地控制钉腿6221的对齐。
在使用中,支撑钉仓6200的第一钳口可定位在待缝合的组织的一侧上,并且支撑保持矩阵6250的第二钳口可被定位在组织的另一侧上。一旦钳口相对于组织被适当地定位,则第二钳口和保持矩阵6250可朝钉仓6200运动。当钉腿6221穿过保持矩阵6250的保持孔6252而被插入时,保持矩阵6250的组织接触表面或底部表面6251可接触组织并将组织压抵于对齐矩阵6260的组织接触表面或顶部表面6261上。作为另外一种选择,如下文将更详细地描述,钉仓6200还可例如包括定位于对齐矩阵6260的顶部表面6261上方并可接触组织的可压缩仓体。再次参见图114和图118,对齐矩阵6260还可包括限定在其中的一个或多个孔6203;当对齐矩阵6260抵靠组织而定位时,所述一个或多个孔能够在其中接收组织的一部分。在可压缩仓体定位于对齐矩阵6260上方和/或抵靠对齐矩阵6260的情况下,当仓体被压缩时,可压缩仓体的一部分可进入孔6203中。相似地,保持矩阵6250可包括多个孔6202,所述多个孔6202能够在保持矩阵6250抵靠组织而定位时在其中接收组织的至少一部分。
对上文进行进一步描述,当钉6220的钉腿6221穿过保持矩阵6250的保持孔6252而插入时,钉腿6221的顶端可从保持矩阵6250的顶部表面6257向上突起。在各种情况下,如上所述,钉腿6221的顶端可在穿过保持孔6252而被插入之后保持未弯曲。现在参见图121-图124,包括钉仓6200和保持矩阵6250的紧固系统还可包括多个保护帽或盖(诸如帽6270),所述多个保护帽或盖可组装到突起于保持矩阵6250上方的钉腿6221上。任选地,每个帽6270可完全或至少部分地覆盖钉腿6221的锋利的端部,使得所述锋利的端部不接触与其相邻定位的组织。现在参见图124,每个帽6270可包括限定在其中的孔6271,该孔能够在其中紧密地接收钉腿6221的顶端。例如帽6270可由弹性材料(诸如硅氧烷、聚异戊二烯、山都平(santoprene)和/或天然橡胶)构成。孔6271的周长或直径可小于插入其中的钉腿6221的周长或直径。例如,保护帽6270中的孔6271可扩展以便在其中接收钉腿6221。作为另外一种选择,帽6270可不包括孔,并且钉腿6221的顶端能够在腿6221插入帽6270中时切割帽6270。在任何情况下,每个帽6270均可被坐置到钉腿6221上,直到帽6270的基部6272邻接或邻近保持矩阵6250的顶部表面6257而定位。在各种情况下,帽6270能够使得其被紧密地坐置到钉腿6221的顶端上,以使其不会轻易地从所述顶端上被移除。每个帽6270可例如包括锥形的或至少基本上为锥形的外表面。帽6270可包括任何合适的形状,诸如包括抛物线形或至少基本上为抛物线形的外表面的形状。
例如可使用图125-图127中所示的外科缝合器来部署例如上述紧固件系统。端部执行器可包括第一钳口或钉仓通道6230和第二钳口6240,第一钳口或钉仓通道6230能够将钉仓6200支撑在其中,并且第二钳口6240能够支撑保持矩阵6250和所述多个保护帽6270。首先参见图125,其示出处于打开构型的第二钳口6240,钳口6230和6240可相对于组织T被定位成使得组织T定位在保持矩阵6250与钉仓6200之间。任选地,如上所述,钉仓6200还可包括可压缩仓体(诸如仓体6210),例如,其中可定位有钉6220和对齐矩阵6260。例如,组织T可抵靠仓体6210的顶部表面而定位。第二钳口6240可包括多个凹槽或孔6245以及另外一个或多个保持特征结构或保持器,所述多个凹槽或孔6245能够接收多个保护帽6270,所述一个或多个保持特征结构或保持器能够在帽6270上将保持矩阵6250保持在适当位置。例如,保持矩阵6250能够将帽6270保持在孔6245中。现在参见图137,每个孔6245均能够将帽6270的一部分或全部接收于其中。例如孔6245的尺寸被足够地设定成且能够使得可通过压配和/或搭扣配合构造中的至少一者将帽6270固定在孔6245中。可利用至少一种粘合剂来将帽6270固定在孔6245中。例如,这种粘合剂可被选择成使得在帽6270已接合钉腿6221并且第二钳口6240移动远离已植入的紧固件组件之后,帽6270可与第二钳口6240分离。现在参见图138,第二钳口6240还可包括至少一个覆盖片6246,所述至少一个覆盖片可组装至第二钳口6240并且可在帽6270上方延伸且将帽6270保持在孔6245中。例如可利用至少一种粘合剂将覆盖片6246的至少一部分固定到钳口6240。在使用中,在端部执行器插入手术部位之前,覆盖片6246可至少部分地与钳口6240分离。覆盖片6246可由植入式材料(诸如PDS和/或PGA)构成,例如,当钉腿6221从保持矩阵6250露出时,所述植入式材料可被钉腿6221切割。例如,覆盖片6246可在盖6270与保持矩阵6250中间被固定在紧固系统中。
现在参见图126,对上文进行进一步描述,钳口6240可从打开位置运动到闭合位置,其中组织T抵靠保持矩阵6250及仓体6210而定位。在这种位置中,保持矩阵6250可不接合钉6220。钳口6240可通过致动器6235而在其打开位置与其闭合位置之间运动。例如,钳口6240可包括自其延伸的远侧销6243和近侧销6244,其中远侧销6243可在限定在仓通道6230中的远侧狭槽6233内竖直地或至少基本上竖直地滑动,并且其中近侧销6244可在同样限定在钉仓通道6230中的近侧狭槽6234内竖直地或至少基本上竖直地滑动。在使用中,致动器6235可朝近侧缩回,以便将销6243和6244驱动至其相应的狭槽6233和6234的上端中,如图126所示。例如,致动器6235可包括远侧驱动狭槽6236和近侧驱动狭槽6237,其中驱动狭槽6236和6237的侧壁能够分别接触远侧销6243和近侧销6244,并在致动器6235朝近侧运动时向上驱动销6243和6244。更具体地讲,当致动器6235朝近侧运动时,远侧销6243可使远侧驱动狭槽6236的倾斜的第一部分6236a向上滑动至中间部分或第二部分6236b中;相似地,近侧销6244可使远侧驱动狭槽6237的倾斜的第一部分6237a向上滑动至中间部分或第二部分6237b中。当销6243和6244两者均向上运动时,钳口6240可朝组织T向下旋转至闭合位置。
现在参见图127,对上文进行进一步描述,致动器6235可进一步朝近侧被拉动,以便朝第一钳口6230向下推动第二钳口6240,压缩仓体6210,并且使保持矩阵6250及多个保护帽6270与钉6220的钉腿接合。例如,致动器6235的附加的近侧运动可使驱动狭槽6236和6237的侧壁分别接触销6243和6244,并且分别朝狭槽6233和6234的底端向下驱动销6243和6244。在这种情况下,致动器6235可朝近侧被牵拉,使得远侧销6243离开驱动狭槽6236的第二部分6236b并进入倾斜的第三部分6236c,并且相似地,近侧销6244离开驱动狭槽6237的第二部分6237b并进入倾斜的第三部分6237c。当销6243和6244两者均向下运动时,第二钳口6240可朝第一钳口6230向下运动至击发位置。例如,第二钳口6240可向下运动,使得保持矩阵6250保持平行于或至少基本上平行于仓体6210的顶部表面和/或平行于或至少基本上平行于对齐矩阵6260。在任何情形中,一旦保持矩阵6250及保护帽6270接合钉6220的钉腿6221,如图129所示,则第二钳口6240可返回至打开的或至少基本上打开的位置。例如,致动器6235可朝远侧被推动,以将销6243和6244分别驱动至狭槽6233和6234的顶端,并且随后一旦销穿过相应的驱动狭槽6236和6237的中间部分6236b和6237b,则致动器6235朝狭槽6233和6234的底端被向下驱动。一旦第二钳口6240被打开,则第一钳口6230可与已植入的钉仓6200分离,并且第一钳口6230和第二钳口6240可远离已植入的紧固件组件而被移除,如图128所示。
再次参见图127,读者应注意,尽管保持矩阵6250和帽6270已接合钉腿6221,然而图中并未将销6243及6244示出为被坐置于其相应狭槽6233和6234的最底部中。当厚组织T定位在保持矩阵6250与仓体6210之间时会发生这种情况。现在参见图130,在较薄组织T定位在保持矩阵6250与仓体6210之间的情况中,销6243和6244可进一步被向下驱动至其相应的狭槽6233和6234中,如图132所示。一般来讲,例如,致动器6235可朝近侧被牵拉,以便通过上述和图130-图132所示的进程来向上及向下驱动销6243和6244,并且由于组织T较薄,保持矩阵6250和保护帽6270可进一步被驱动到钉6220的钉腿6221上,如图133和图134所示。任选地,作为保持矩阵6250所提供的可调整性的结果,无论捕获在端部执行器内的组织是厚的还是薄的,均可在所紧固的组织中获得相同的或至少基本上相同的压缩压力。保持矩阵6250所提供的可调整性可允许外科医生通过选择保持矩阵6250被坐置的深度来选择对组织施加较大的压缩压力还是较小的压缩压力。例如,其中保持矩阵6250可被坐置到钉腿6221上的范围例如可通过狭槽6233和6234的长度或范围确定。
任选地,如上所述,保护帽6270可由例如能够抓紧钉腿6221的端部的柔软的或柔性的材料构成。保护帽6270可由可生物吸收的塑料(诸如以商品名Vicryl出售的聚乙醇酸(PGA)、聚乳酸(PLA或PLLA)、聚二氧杂环己酮(PDS)、聚羟基链烷酸酯(PHA)、以商品名Monocryl出售的聚卡普隆25(PGCL)、聚己内酯(PCL)、和/或PGA、PLA、PDS、PHA、PGCL和/或PCL的复合物)和/或生物相容性金属(诸如钛和/或不锈钢)构成。如图124所示,每个帽6270可不连接至其他帽6270。作为另外一种选择,一个或多个帽6270可被安装到保持矩阵6250。例如,帽6270可例如通过至少一种粘合剂连接到保持矩阵6250,其中帽6270中的孔6271可与保持矩阵6270中的保持孔6252对齐或至少基本上对齐。现在参见图135,保护帽(诸如帽6370)例如可限定内腔或圆顶6374,所述内腔或圆顶例如能够将钉腿6221的顶端接收于其中。例如,帽6370可包括底部6372和延伸穿过底部6372的孔6371。孔6371可由一个或多个可挠曲构件6373限定,所述一个或多个可挠曲构件6373能够在钉腿6221穿过其中而被插入时偏转。例如两个或更多个帽6370可连接在一起以形成帽6370的阵列。例如,现在参见图136,多个帽6370可通过材料片6375而连接在一起。片6375可具有足够的刚性以便保持帽6370的期望的排列和/或对齐方式。帽6370可由生物相容性金属(诸如钛和/或不锈钢)构成,并且片6375可由可生物吸收的塑料(诸如以商品名Vicryl出售的聚乙醇酸(PGA)、聚乳酸(PLA或PLLA)、聚二氧杂环己酮(PDS)、聚羟基链烷酸酯(PHA)、以商品名Monocryl出售的聚卡普隆25(PGCL)、聚己内酯(PCL)、和/或PGA、PLA、PDS、PHA、PGCL和/或PCL的复合物)构成。根据本发明,片6375可由其中储存和/或分散有抗菌剂(诸如胶体银和/或三氯生)的可生物吸收的材料构成,例如在片6375被生物吸收时,所述抗菌剂可被释放。
对上文进行进一步描述,可利用注模方法将片6375注模于帽6370周围,例如使得帽6370被嵌入片6375中。例如可利用注模方法来模塑片6375,其中例如在注模方法期间和/或注模方法之后,可利用冲压方法在片6375中形成孔6376。在任一种情形中,可将帽6370插入孔6376中并利用压配和/或搭扣配合互连和/或至少一种粘合剂将其固定在孔6376中。每个帽6370可包括围绕或至少部分地围绕帽6370周边的环形沟槽,所述环形沟槽能够将孔6376的周边接收在其中。片6375可由能够允许帽6370之间进行相对运动的柔性和/或柔韧材料构成。例如,柔性片6375可由例如橡胶、塑料、和/或硅氧烷材料构成,并且帽6370可由刚性材料(例如金属)构成。与上文相似,可将柔性材料模塑于帽6370周围。例如可将帽6370按压到预先模塑的片6375中。可将柔性材料的硬度选择成提供片6375所需的刚度。片6375能够使得其包括柔性带。在任何情形中,片6375可有利于将帽6370组装至端部执行器中,这是因为可同时将多个帽6370定位和/或对齐于端部执行器中。此外,连接帽6370的片6375一旦被植入,则可例如沿钉线来强化或支持组织。除了连接帽6370的片之外或作为所述片的替代,帽6370可通过多个链节连接在一起。例如,这种链节可为柔性的并可允许帽6370之间进行相对运动。
现在参见图139和图140,保护帽(诸如帽6470)例如可包括成形表面,所述成形表面能够使钉腿的顶端变形。例如,帽6470可包括基部6472,该基部可包括延伸穿过其中的孔6471。孔6471能够将钉腿(诸如钉腿6221)紧密地接收于其中。限定孔6471的直径或周长可等于或大于钉腿6221的直径或周长。帽6470还可包括腔体或圆顶6474,该腔体或圆顶能够在钉腿6221插入帽6470中时接收钉腿6221的顶端。首先参见图140,帽6470还可包括砧座或成形表面6473,该砧座或成形表面能够使钉腿6221偏转和变形。在各种情况下,成形表面6473例如可为弯曲的和/或凹形的,并且能够在钉腿6221被插入帽6470时使钉腿6221卷曲。钉腿6221可被充分地变形以使其无法通过孔6471而被撤出,因此帽6470可被锁定至钉腿6221。例如,帽6470的基部6472可限定围绕孔6471而延伸的唇缘,所述唇缘可防止已变形的钉腿6221从腔体6474中被移除。在各种情况下,由于上文所述,一个或多个帽6470可防止或抑制保持矩阵(诸如保持矩阵6250)从钉6220倒退或脱离。任选地,尽管未示出,然而帽6470可对称地或至少基本上对称地形成,并且孔6471可沿着穿过帽6470延伸的中心轴线6479定位。作为另外一种选择,再次参见图139,孔6471可相对于中心轴线6479偏移。例如,偏移的孔6471可允许钉腿6221接触成形表面6473的一侧并卷曲到成形表面6473的另一侧,而不是接触成形表面6473的中心,如在上述包括居中设置的孔6471的实施例中可能发生的一样。
任选地,如上所述,保持矩阵(诸如保持矩阵6250)可由材料片及穿过其中延伸的多个保持孔6252构成。构成保持矩阵6250的材料片可为刚性的或基本上不可挠曲的。作为另外一种选择,保持矩阵可由保持矩阵元件的阵列以及连接保持矩阵元件的多个柔性连接件或链节构成。现在参见图141,保持矩阵或保持矩阵6550的一部分可包括多个元件主体6505,所述多个元件主体可由一个或多个连接链节6507连接在一起。每个元件主体6505均可包括多个可变形构件6553,所述多个可变形构件可在其中限定保持孔6552。保持矩阵6550的元件主体6505及连接链节6507可一体形成并且可包括一体式材料块。保持矩阵6550可例如由金属材料(诸如钛和/或不锈钢)冲压或浇铸而成。保持矩阵6550可例如由塑料(例如聚醚醚酮(PEEK)、以商品名普理灵(Prolene)出售的聚丙烯、聚酯、以商品名Ethibond和Mersilene出售的聚对苯二甲酸乙二醇酯、聚偏二氟乙烯、聚偏二氟乙烯-共-六氟丙烯、以商品名Pronova出售的聚六氟丙烯-VDF、和/或以商品名Ethilon&Nurolon出售的长链脂族聚合物尼龙6和尼龙6,6构成,并且可例如通过注塑工艺来形成。元件主体6505可不与连接链节6507一体形成。根据本发明,可产生多个单一元件主体6505,所述多个单一元件主体6505随后被连接在一起并嵌入保持矩阵中。例如,元件主体6505可由金属材料(诸如钛和/或不锈钢)冲压而成并被放置在塑料注射模具中,其中可将塑性材料注入模具中以形成环绕或至少部分地环绕元件主体6505的边缘6506以及从边缘6506延伸的连接链节6507。作为另外一种选择,一个或多个连接件晶格可被形成为包括限定在多个边缘6506中的孔,其中每个这种孔均能够将元件主体6505接收在其中。每个元件主体6505可包括圆形的或至少基本上为圆形的外周边;相似地,每个边缘6506中可限定有圆形的或至少基本上为圆形的孔,其中所述孔的直径可等于或小于元件主体6505的直径。例如,元件主体6505可压配或嵌入边缘6505中的孔中。可利用至少一种粘合剂将元件主体6505固定在孔中。
对上文进行进一步描述,保持矩阵可包括多个元件主体6505以及多个连接链节6507,所述多个连接链节6507可以任何合适的阵列(诸如图142-图145所示的那些)来连接元件主体6505。不论阵列的图案为何,连接链节6507能够允许元件主体6505与保持孔6552相对于彼此运动。例如,构成保持矩阵6550的元件主体6505及连接链节6507的晶格一旦与组织接合便能够拉伸、扭曲、回缩、和/或换句话讲挠曲,以便允许组织内的至少一些运动而同时抵抗组织进行较大的运动。任选地,每个连接链节6507可包括柔性构件,所述柔性构件能够拉伸、扭曲、和/或回缩,以便例如允许保持矩阵6550在保持矩阵元素6505中间挠曲。再次参见图141,限定自边缘6506延伸的每个链节6507的宽度可窄于元件主体6505和/或边缘6506的宽度。参见图142-图145,一个或多个链节6507可包括直的部分,所述直的部分例如沿着相邻元件主体6506之间的线延伸。例如,每个链节6507可包括附接到第一边缘6506的第一末端和附接到第二边缘6506的第二末端。再次参见图141,两个或更多个链节6507可彼此连接。例如,两个或更多个链节6507可被连接在中间铰链6509处。例如铰链6509的横截面厚度与链节6507的横截面厚度相比可沿一个或多个方向减小,这可允许相连的链节6507相对于彼此运动。保持矩阵6550还可包括铰链6508,铰链6508可将链节6507连接到边缘6506并且允许链节6507与边缘6506之间的相对运动。与铰链6509相似,例如铰链6508的横截面厚度与链节6507的横截面厚度相比可沿一个或多个方向减小。
对上文进行进一步描述,相连的链节6507可在不同的方向上延伸。例如,第一链节6507可在第一方向上延伸,并且第二链节6507可在第二方向上延伸,其中所述第一方向可不同于所述第二方向。例如第一链节6507可沿第一线延伸,并且第二链节6507可沿第二线延伸,其中所述第一线与所述第二线可成角度(诸如大约30度、大约45度、大约60度、和/或大约90度)地相交。铰链6508和/或铰链6509可包括活动铰链,所述活动铰链可允许链节6507相对于彼此多次运动而不会断裂。铰链6508和/或铰链6509可包括易碎或易断裂的部分,所述易碎或易断裂的部分可在过度挠曲和/或过多次挠曲时断裂。例如,这种易碎部可允许保持矩阵6550的一个或多个部分与保持矩阵6550的另一部分断开。铰链6508和/或铰链6509例如可包括保持矩阵6550的段,该段比保持矩阵6550的其他部分更易于切割。更具体地讲,已植入的保持矩阵及由已植入的保持矩阵紧固的组织可时常出于各种原因被切割构件切割,并且为了有利于进行这种横切,铰链6508和/或铰链6509例如可提供途径或薄段,切割构件可穿过所述途径或薄段更容易地穿过保持矩阵6550。对上文进行进一步描述,连接链节6507可包括例如限定在其中的一个或多个铸造结构或材料镦锻,所述一个或多个铸造结构或材料镦锻可有利于连接链节6507的弯曲、断裂、和/或切割。
根据本发明,保持矩阵可包括多个保持矩阵元件(诸如矩阵元件主体6505),例如所述多个保持矩阵元件可嵌入柔性材料片或材料带中。柔性材料片可由可生物吸收的弹性体材料(诸如硅氧烷)形成,其中所述柔性片可产生有限定在其中的多个孔。例如,可模塑出实心的柔性片并且可在所述柔性片中穿出多个孔。作为另外一种选择,可模塑柔性片并且可在模塑过程中形成限定在其中的孔。在任一种情形中,保持矩阵元件6505例如可被插入并且保持在柔性片中。作为另外一种选择,与上文相似,柔性片可形成于矩阵元件6505周围。柔性片可例如由机织网和/或任何其他适合的材料构成。对上文进行进一步描述,这种机织网可易于横切。
现在参见图146和图147,包括保持矩阵(诸如保持矩阵6250)的紧固件系统还可包括盖(诸如盖6670),例如当钉腿6221的顶端延伸至保持矩阵6250的顶部表面6257上方时,所述盖可覆盖所述顶端。盖6670可附接到保持矩阵6250。盖6670和/或保持矩阵6250可包括保持特征结构,所述保持特征结构能够将盖6670保持到保持矩阵6250。可利用至少一种粘合剂将盖6670粘附到保持矩阵6250。盖6670可由单个层构成,然而盖6670被示出为包括两个层,如下文所更详细地描述。首先参见图147,钉腿6221的顶端可延伸穿过盖6670的底部表面6673;然而,盖6670可包括足够的厚度以使得钉顶端未延伸穿过盖6670的顶部表面6675。因此,例如,钉腿6221的顶端可不从盖6670突起。盖6670可包括多个层。例如,盖6670可包括第一层6671和第二层6672。第一层6671和第二层6672可相互附接,其中第二层6672可包括附接到第一层6671的底部表面6676。第一层6671和第二层6672可包括不同的厚度,然而它们可包括相同的厚度。第一层6671和第二层6672可包括基本上相同的宽度和/或长度。作为另外一种选择,层6671和6672可包括不同的宽度和/或长度。
对上文进行进一步描述,第一层6671可由例如能够被钉腿6211切割的可压缩泡沫、网状材料、和/或水凝胶构成。第二层6672可由例如更坚韧的材料或皮肤(诸如PGA和/或PDS)和/或任何合适的支撑物材料构成。例如,钉腿6221能够穿透第一层6671;然而,钉腿6221可不能够穿透第二层6672。第二层6672可由具有足够弹性和/或韧性的材料构成,所述材料可允许第二层6672被钉腿6221接触并移位,但不被钉腿6221的钉顶端切割或仅被少量地切割。尽管未示出,然而盖可包括不止两个层,其中这些层中的一个或多个可为耐渗透的。在使用中,例如,保持矩阵6250可抵靠待紧固的组织而定位并且被向下推动,使得钉6220的钉腿6221穿过组织T及保持矩阵6250中的保持孔6252而被推动,并且进入盖6270的第一层6271中。钉腿6221的顶端可不进入或至少基本上不进入盖6270的第二层6272中。在保持矩阵6250被适当地定位之后,钳口6240可被打开,并且盖6670及保持矩阵6250可与钳口6240分离,如图146所示。如图146所示,钳口6640能够保持不止一个保持矩阵6250及盖6670。例如,钳口6640可包括两个通道6679,所述两个通道6679能够在其中接收盖6670以及在其上定位的保持矩阵6250,使得每个保持矩阵6250的组织接触表面6251从钳口6240的底部向下靠。例如,保持矩阵6250和盖6270可在刀狭槽6678的每侧上容纳在钳口6640中。在使用中,保持矩阵6250和盖6670两者可同时被部署和/或相对于穿过其而定位的相对的钉仓(诸如仓6200)被部署于相同的深度处。随后,可由横贯刀狭槽6678的切割构件沿着切割线切割紧固组织,其中钳口6640可随后被再次打开。盖6670可不附接到保持矩阵6250。例如,盖6670可被定位在通道6679中并可通过能够被固定到钳口6640的保持矩阵6250而保持在通道6679中。每个保持矩阵6250可宽于和/或长于其相应的盖6670,使得保持矩阵6250可将其盖6670的整体保持在适当位置。每个保持矩阵6250可例如与其相应的盖6670包括相同的宽度和/或长度。
任选地,如上所述,紧固件系统可包括例如能够附接到保持矩阵(诸如保持矩阵6250)的材料层。现在参见图150,材料层6870可附接到保持矩阵6250的底部表面6251。层6870和/或保持矩阵6250可包括保持特征结构,所述保持特征结构能够将层6870保持到保持矩阵6250。可利用至少一种粘合剂将层6870粘附到保持矩阵6250。在任何情形中,层6870可包括底部表面或组织接触表面6873,该底部表面或组织接触表面能够在保持矩阵6250朝钉6220向下运动以使保持孔6252与钉腿6221接合时接触组织T。例如,层6870可由例如可压缩材料(诸如可生物吸收的泡沫)构成,所述可压缩材料可被压缩于保持矩阵6250的底部表面6251与组织T之间。层6870还可包括储存和/或吸收于其中的至少一种药物,所述至少一种药物可在层6870被压缩时从层6870中释放。所述药物可包括例如至少一种组织密封剂、止血剂、和/或抗菌材料(例如电离的银和/或三氯生)。层6870的压缩可从层6870中挤出药物,使得组织T的表面的全部或至少很大一部分涂覆有药物。此外,当层6870被压缩并且钉腿6221穿透组织T和层6870时,药物可例如沿钉腿6221流下并且治疗刚刚被钉腿6221切割的组织。保持矩阵6250的主体可包括例如由生物相容性材料(诸如钛和/或不锈钢)构成的第一层,并且底层6870可包括例如由可生物吸收的材料(诸如氧化再生纤维素(ORC)、如(液态的或被冷冻干燥的)血纤维蛋白和/或凝血酶等生物活性剂、甘油、处于蓬松或泡沫构型的可吸收猪明胶、和/或诸如电离的银和/或三氯生的抗菌物)构成的第二层。另外的可生物吸收材料可包括例如Surgicel Nu-Knit、Surgicel Fibrillar、以商品名Promogran出售的胶原/ORC(其为与胶原矩阵形式构建物的混合物)、以商品名Vicryl出售的聚乙醇酸(PGA)、聚乳酸(PLA或PLLA)、聚二氧杂环己酮(PDS)、聚羟基链烷酸酯(PHA)、以商品名Monocryl出售的聚卡普隆25(PGCL)、聚己内酯(PCL)、和/或PGA、PLA、PDS、PHA、PGCL和/或PCL的复合物。尽管图150中仅示出一个层6870,然而可使用任何合适数目的层。包括第一药物的第一层可附接到保持矩阵6250,并且包括第二药物或不同药物的第二层可附接到第一层。例如,可使用多个层,其中每个层可包括容纳在其中的不同药物和/或不同的药物组合。
现在参见图148,紧固件系统可包括附接到保持矩阵6250的底部表面6251的材料层6770。层6770和/或保持矩阵6250可包括保持特征结构,所述保持特征结构能够将层6770保持到保持矩阵6250。可利用至少一种粘合剂将层6770粘附到保持矩阵6250。在任何情形中,层6770可包括底部表面或组织接触表面6773,该底部表面或组织接触表面能够在保持矩阵6250朝钉6220向下运动以使保持孔6252与钉腿6221接合时接触组织T。例如,层6770可由例如可压缩材料(诸如可生物吸收的泡沫)构成,所述可压缩材料可被压缩于保持矩阵6250的表面6251与组织T之间。层6770还可包括一个或多个封装件或单元6774,所述一个或多个封装件或单元6774能够在其中储存至少一种药物。参见图149,封装件6774可与保持孔6252对齐或至少基本上对齐,使得当钉腿6221穿过组织T和层6770而被推动时,钉腿6221可刺穿封装件6774和/或换句话讲使封装件6774破裂。在封装件6774破裂之后,储存在封装件6774中的至少一种药物M可流出至组织T上。例如,药物M可包括流体,所述流体可沿钉腿6221流下或向下芯吸并且治疗被钉腿切割的组织T。由于上文所述,储存在封装件6774中的药物可对组织提供局部治疗。片6770中的封装件6774中可包括储存在其中的不同药物。例如,第一组封装件6774中可包括储存在其中的第一药物或第一药物组合,并且第二组封装件中可包括储存在其中的不同的药物或不同的药物组合。层6770可由柔性的硅氧烷片构成,并且封装件6774可代表硅氧烷片中的空隙。例如,硅氧烷片可包括能够相互附接的两个层,其中封装件6774可被限定在所述两个层之间。层6770可包括例如一个或多个薄段或弱化部分(诸如局部穿孔),所述一个或多个薄段或弱化部分可有利于腿6221切割层6770并使封装件6774破裂。封装件6774的至少一部分可被定位在圆顶6777中,其中圆顶6777可从片6770向上延伸。例如,圆顶6777和/或封装件6774的至少一部分可被定位在保持矩阵6250中所形成的凹坑6201内。封装件6774可包括不彼此连接的独立的单元。作为另外一种选择,封装件6774中的一个或多个可经由例如延伸穿过层6770的一个或多个通路、导管、和/或通道而相互流体连通。公布于2010年8月24日的名称为“ADHESIVE AND MECHANICAL FASTENER”的美国专利No.7,780,685的公开内容据此全文以引用方式并入本文。
对上文进行进一步描述,其中包括仓体、钉、和/或对齐矩阵的钉仓可被加载至端部执行器的第一钳口中,并且相似地,保持矩阵和/或一个或多个盖可被加载至端部执行器的第二钳口中。现在参见图151,例如可使用器械(诸如仓装填器6990)将两个或更多个紧固件仓同时插入端部执行器中。例如仓加载器6990可包括柄部6991和仓载体6992,其中仓载体6992可包括第一保持部和第二保持部,所述第一保持部能够将钉仓6200的仓体6210保持到仓载体6992,并且另外所述第二保持部能够保持仓体6980,该仓体6980在其中支撑多个保护帽6270并沿其底部表面支撑保持矩阵6250。第一保持部和第二保持部可各自包括一个或多个保持构件,所述一个或多个保持构件能够可释放地接合仓体6210和6980。现在参见图152和图153,在使用中,端部执行器可包括第一钳口或底部钳口6230以及第二钳口或顶部钳口6940,其中钉仓6200可被加载至第一钳口6230中,并且仓体6980可被加载至第二钳口6940中。在各种情况下,顶部钳口6940可通过致动器6235而从打开位置(图152)旋转到闭合位置(图153),其中致动器6235的操作如上所述,为简明起见此处不再赘述。现在参见图153,一旦顶部钳口6940处于其闭合位置,则仓载体6992的远侧末端6993可被插入端部执行器中,使得钉仓6200穿过第一钳口6930的远侧末端6938而滑动至第一钳口6230中的第一附接部或通道6939中。相似地,仓载体6992的远侧末端6993可被插入端部执行器中,使得仓体6980穿过第二钳口6940的远侧末端6948而滑动至第二钳口6940中的第二附接部或通道6949中。手持仓加载器6990的柄部6991的外科医生或其他临床医生可分别穿过通道6939和6949而推动钉仓6200和仓体6980,直至钉仓6200和仓体6980被完全坐置于通道6939和6949中。
当钉仓6200和仓体6980被坐置时,钉仓6200和仓体6980可分别接合其相应的钳口6230和6940中的一个或多个保持部,如下文所更详细地描述。现在参见图154,在任何情形中,一旦钉仓6200和仓体6980被坐置,则仓加载器6990可与钉仓6200及仓体6980分离并从端部执行器上移除。例如,将钉仓6200保持在第一钳口6230中的保持力可大于将钉仓6200保持到仓载体6992的保持力,使得当仓载体6992朝远侧被推出端部执行器时,钉仓6200可保持在第一钳口6230后方。相似地,将仓体6980保持在第二钳口6940中的保持力可大于将仓体6940保持到仓载体6992的保持力,使得当仓载体6992朝远侧被推出端部执行器时,仓体6940可保持在第二钳口6940后方。一旦仓加载器6990从端部执行器被移除,则所加载的第一钳口6230及所加载的第二钳口6940可相对于待缝合的组织T定位。现在参见图155,第二钳口6940可从打开位置(图154)运动到击发位置(图155),以便使仓体6980所携载的保持矩阵6250以及多个保护帽6270与定位在钉仓6200中的钉6220接合。
现在参见图156和图157,第二钳口6940可被再次打开,并且多个保护帽6270和保持矩阵6250可与仓体6980分离,使得帽6270和保持矩阵6250可保持与组织T和钉仓6200接合。仓体6980可包括多个凹坑以及一个或多个保持狭槽,多个帽6270能够可移除地定位在所述多个凹坑中,并且所述一个或多个保持狭槽能够将保持矩阵6250可移除地保持到其上。在第二钳口6940打开之后,第二钳口6940的与仓体6980接合的保持构件可将仓体6980保持在第二钳口6940中。仓体6980能够在第二钳口6940打开时撕裂,使得仓体6980的一部分与帽6270和保持矩阵6250一起被植入,并且仓体6980的一部分保留在第二钳口6940中。相似地,再次参见图156和图157,在第二钳口6940打开之后,第一钳口6230的与仓体6210接合的保持构件可将仓体6210保持在第一钳口6230中。仓体6210能够在第一钳口6230远离已植入的仓6200被牵拉时撕裂,使得仓体6210的一部分与钉6220和对齐矩阵6260一起被植入,并且仓体6210的一部分保留于第一钳口6230中。现在参见图158-图160,钉仓(诸如钉仓6900)例如可包括沿仓体6910的长度延伸的一个或多个纵向保持狭槽6913,当钉仓6900被插入钳口6930中时,所述一个或多个纵向保持狭槽6913例如能够在其中接收从钳口6930延伸的一个或多个纵向保持导轨6916。在使用中,例如在钉仓6900穿过保持通道6939的远侧末端6938滑动之前,保持狭槽6913的端部可与保持导轨6916的远侧末端对齐。
再次参见图160,钳口6940可包括两个保持通道6949,其中每个保持通道6949能够在其中接收包括多个帽6270和保持矩阵6250的仓体6980。每个仓体6980可包括一个或多个纵向保持肩部6917,当仓体6980被插入钳口6940中的其相应的保持通道6949中时,所述一个或多个纵向保持肩部6917沿着第二钳口6940的一个或多个纵向保持导轨6918滑动。当仓体6980与储存于其中的帽6270和保持矩阵6250分离时,保持导轨6918和保持肩部6917可协作以将仓体6980保持在第二钳口6940中。现在参见图159,第二钳口6940还可包括自其延伸的一个或多个远侧凸块或保持构件6915,所述一个或多个远侧凸块或保持构件能够将仓体6980可移除地锁定在其相应的保持通道中。例如,第二钳口6940可包括远侧凸块6915,远侧凸块6915相对于每个保持通道6949能够和定位成使得当仓体6980被插入通道6949中时,每个仓体6980可围绕凸块6915挠曲,其中就在仓体6915被完全坐置于通道6949中时,仓体6980的远侧末端可清洁凸块6915并搭扣于凸块6915上方。为在仓体6980被用过之后将其移除,如上所述,可将仓体6980拉回到凸块6915上方并将其从保持通道6949上移除。与上文相似,第一钳口6930可包括从其延伸的一个或多个远侧保持凸块6914,所述一个或多个远侧保持凸块6914能够在钉仓6900被完全砧座时被接收在仓体6910中的一个或多个保持沟槽或狭槽6912(图158)中。
对上文进行进一步描述,其中定位有多个第一紧固件的第一紧固件仓可被定位在外科紧固装置的第一钳口中,并且其中定位有多个第二紧固件的第二紧固件仓可被定位在外科紧固装置的第二钳口中。在使用中,第一钳口和/或第二钳口可朝另一者运动,以便使第一紧固件与第二紧固件接合并将组织固定在其间。当第一紧固件与第二紧固件接合时,第一紧固件仓可与第二紧固件仓彼此接合。第一紧固件仓的主体可由第一可压缩材料构成,并且第二紧固件仓的主体可由第二可压缩材料构成,其中第一主体和/或第二主体可抵靠被紧固的组织而被压缩。在组织被紧固之后,第一钳口可远离已植入的第一紧固件仓运动,并且第二钳口可远离已植入的第二紧固件仓运动。随后,第一钳口可再次加载有另一个第一紧固件仓或类似元件,并且第二钳口可再次加载有另一个第二紧固件仓或类似元件,并可再次使用外科紧固器械。尽管可使用钉,然而也可设想出包括其他类型的紧固件(诸如在相互接合时锁定在一起的分为两部分的紧固件)的替代形式。例如,第一紧固件仓可包括用于储存第一紧固件部的第一储存部,并且第二紧固件仓可包括用于储存第二紧固件部的第二储存部。本文所述的紧固系统可利用包括任何合适类型的材料和/或形式的紧固件。紧固件可包括穿透构件。这种穿透构件可例如由聚合物、复合物和/或多层式基板构成。多层式基板的例子可为具有弹性体或聚合物涂层的线材或薄片基板。其可为薄片,并且被形成为使得穿透构件被取向成垂直于或至少基本上垂直于连接构件。穿透构件可包括矩形的外形、半圆形的外形、和/或任何横梁外形。可利用任何适合的方法(诸线材挤出方法)来制造本文所述的紧固件。另一种可能性是使用精密加工方法来形成中空的穿透构件。这些穿透构件可由不同于线材挤出方法且使用材料组合的方法加工而成。
如上所述,钉腿穿过保持矩阵突起的顶端可由一个或多个帽和/或盖覆盖。钉腿的顶端在其插入穿过保持矩阵之后可变形。保持保持矩阵的钳口还可包括定位在保持孔上方和/或与保持孔对齐的砧座凹坑,所述砧座凹坑能够在钉腿突起于保持矩阵上方时使钉腿变形。每个钉的钉腿可例如朝彼此和/或朝钉的中心向内卷曲。作为另外一种选择,钉的钉腿中的一个或多个可远离其他钉腿和/或远离钉的中心而向外卷曲。任选地,不论钉腿沿着哪一方向卷曲,钉腿的顶端均可接触保持矩阵的主体并且可不再次进入已被钉紧固的组织中。钉腿在穿过保持矩阵之后的变形可将保持矩阵锁定在适当位置。
现在参见图161和图162,外科缝合器械(诸如外科缝合器7000)可包括第一钳口7030和第二钳口7040,其中第二钳口7040可通过致动器6235的运动而朝向和远离第一钳口7030运动。致动器6235的操作如上所述,为简明起见此处不再赘述。第一钳口7030可包括远侧末端7031及近侧末端7032,其中第一钳口7030可限定在远侧末端7031与近侧末端7032之间延伸的通道,所述通道能够接收钉仓。为便于图示,图161中未示出这种钉仓的仓体,然而这种钉仓可包括仓体、定位在仓体内的钉6220、以及定位在钉6220下方的钉驱动器7012。尽管为简明起见未在图161中示出,然而第二钳口7040能够将保持矩阵(诸如保持矩阵6250)保持例如在钉6220上方和/或如上所述将保持矩阵运动到与钉6220的腿接合。外科缝合器7000还可包括例如定位于第一钳口7030中的滑动件7010,该滑动件7010可从第一钳口7030的远侧末端7031朝近侧末端7032滑动并朝第二钳口7040的保持矩阵提升钉驱动器7012和支撑在其上的钉6220。作为另外一种选择,例如滑动件7010可从近侧末端7032朝远侧末端7031运动,以便部署钉6020。滑动件7010可包括一个或多个倾斜的斜坡或凸轮7011,所述一个或多个倾斜的斜坡或凸轮能够在钉驱动器7012下方滑动并向上提升钉驱动器7012。外科缝合器7000还可包括例如可操作地联接到滑动件7010的拉杆或推杆,所述拉杆或推杆可通过位于外科缝合器7000的柄部和/或轴上的致动器而朝近侧和/或朝远侧运动。
再次参见图161,外科缝合器7000的第二钳口7040可包括框架7041、远侧末端7048、及与远侧末端7048相对定位的近侧末端7049。第二钳口7040还可包括引导系统,所述引导系统包括沿着框架7041的纵向轴线延伸的一个或多个导轨(诸如导轨7045和7046),如下文所更详细地描述,所述一个或多个导轨能够引导可以在钉6220的钉腿6221穿过保持矩阵之后接合钉6220的钉腿并使其变形的一个或多个砧座或凸轮。例如,导轨7045和7046可包括引导线材或缆线,所述引导线材或缆线例如沿框架7041的顶部或顶部表面围绕远侧柱7047,并且返回沿框架7041的顶部或顶部表面而延伸。任选地,如上所述,并且现在首先参见图163和图165,第二钳口7040还可包括一个或多个砧座或凸轮(诸如第一砧座7050和第二砧座7060),所述一个或多个砧座或凸轮可沿第二钳口7040纵向地运动,以便在钉6220的腿穿过保持矩阵之后使所述腿变形。外科缝合器7000还可包括连接到和/或可操作地联接到第一砧座7050的第一砧座驱动器或致动器7051,所述第一砧座驱动器或致动器能够朝近侧牵拉第一砧座7050和/或朝远侧推动第一砧座7050。相似地,外科缝合器7000还可包括连接到和/或可操作地联接到第二砧座7060的第二砧座驱动器或致动器,所述第二砧座驱动器或致动器能够朝远侧推动第二砧座7060和/或朝近侧牵拉第二砧座7060。第一砧座7050可包括引导狭槽7052,并且第二砧座7060可包括引导狭槽7062,所述引导狭槽7052和引导狭槽7062可各自能够将导轨7045或导轨7046可滑动地接收于其中。例如,导轨7045和7046可被紧密地接收在引导狭槽7052和7062内,使得可防止或至少限制导轨7045和7046与引导狭槽7052和7062之间的相对侧向运动或左右运动。
对上文进行进一步描述,可朝近侧牵拉第一砧座7050并可朝远侧牵拉第二砧座7060。参见图161,导轨7045和7046以及远侧柱7047可包括滑轮系统,所述滑轮系统能够朝远侧牵拉第二砧座7060和/或朝近侧牵拉第二砧座7060。例如,导轨7045和导轨7046可包括围绕远侧柱7047而延伸的连续线材或缆线,其中所述连续线材的一部分可被牵拉以使线材围绕远侧柱7047而轮转。导轨7046例如可被安装到第二砧座7060,使得当连续缆线在第一方向上轮转时,第二砧座7060可朝钳口7040的远侧末端7048而被拉向远侧,并且当连续缆线沿着第二方向或相反方向轮转时,第二砧座7060可朝近侧末端7049而被拉向近侧。现在参见图163,导轨7046可被固定在引导狭槽7062中,使得可在其间传递牵拉力。例如,导轨7045能够在其他引导狭槽7062内滑动。第一砧座7050可以与第二砧座7060无关的方式工作,并且滑轮系统和限定在第一砧座7050中的引导狭槽7052能够可滑动地接收导轨7045及7046,使得允许滑轮系统及引导狭槽7052与导轨7045及7046之间的相对运动。构成导轨7045及7046的连续缆线可具有足够的柔性,以便适应顶部钳口7040的打开和闭合。连续缆线也可具有足够的柔性以便适应第二钳口7060朝向及远离底部钳口7030的垂直运动,下文将更详细地描述。
再次参见图163和图165,第一砧座7050可包括从其延伸的凸轮从动件7055,该凸轮从动件7055能够骑跨于限定在第二钳口7040的框架7041中的一个或多个凸轮狭槽或引导狭槽,诸如凸轮狭槽7070(图166)中。更具体地讲,框架7041可包括沿着框架7041的第一侧纵向延伸的第一凸轮狭槽7070以及沿着框架7041的第二侧或相对侧纵向延伸的第二凸轮7070,其中从第一砧座7050的第一侧延伸的凸轮从动件7055可骑跨于第一凸轮狭槽7070中,并且从第一砧座7050的第二侧延伸的凸轮从动件7055可骑跨于第二凸轮狭槽7070中。例如,每个凸轮狭槽7070的轮廓可为相同的或至少基本上相同的,并且可相互对齐或至少基本上相互对齐。相似地,第二砧座7060可包括自其延伸的凸轮从动件7065,该凸轮从动件7065能够骑跨于限定在第二钳口7040的框架7041中的凸轮狭槽7070(图166)中。更具体地讲,从第二砧座7060的第一侧延伸的凸轮从动件7065可骑跨于第一凸轮狭槽7070中,并且从第二砧座7060的第二侧延伸的凸轮从动件7065可骑跨于第二凸轮狭槽7070中。在使用中,第一砧座7050的凸轮从动件7055和第二砧座7060的凸轮从动件7065可在凸轮狭槽7070内滑动,使得当第一砧座7050和第二砧座7060被拉向近侧和/或被推向远侧时,第一砧座7050和第二砧座7060沿凸轮狭槽7070的轮廓推进。任选地,每个凸轮狭槽7070可包括多个停歇部分或上部7071以及多个驱动器部或下部7072,所述多个停歇部或上部7071以及所述多个驱动器部分或下部7072能够在砧座7050和7060纵向(即,在框架7041的远侧末端7048与近侧末端7049之间)运动的同时垂直地(即,朝向和远离底部钳口7030)运动砧座7050和7060,如下文所更详细地描述。
当外科缝合器7000处于未击发状态时,参见图166,第一砧座7050可定位在框架7041的远侧末端7048处,并且第二砧座7060可定位在框架7041的近侧末端7049处;此外,现在参见图167,当外科缝合器7000处于未击发状态时,定位在第一钳口7030中的钉6220可尚未插入到组织T内和/或定位在其上的保持矩阵内。现在参见图168,在使用中,钉驱动器7012可在钉仓的钉腔7033内向上驱动钉6220;另外,第一砧座7050可从框架7041的远侧末端7048朝远侧末端7049向近侧运动,以便接合钉6220的钉腿6221。在第一砧座7050与钉6220的钉腿6221接合之前可向上驱动钉6220。任选地,在第一砧座7050被推进到接触钉腿6221之前,滑动件7010可向上部署所有的钉6220,或作为另一种选择,滑动件7010可在第一砧座7050朝近侧运动的同时朝近侧运动,然而滑动件7010可充分地引导第一砧座7050以将钉6220部署于第一砧座7050前方。任选地,如图168所示,例如,凸轮狭槽7070能够和被布置为使得当第一凸轮7050穿过停歇部或上部时,第一凸轮7050的成形表面(诸如成形表面或凸轮表面7053和7054)可接触钉腿6221中的至少一些。在各种情况下,第一砧座7050的凸轮从动件7055可分别被定位在凸轮狭槽7070的停歇部7071中,使得成形表面7053和7054处于抬高的位置,并使得当砧座7050由此穿过停歇位置中时,钉腿6221仅部分地变形。当第一凸轮7050沿凸轮狭槽7070进一步运动时,如图169所示,第一砧座7050的凸轮从动件7055可被驱动至凸轮狭槽7070的驱动部或下部7072中,使得成形表面7053和7054朝钉腿6021向下垂直运动,以便将钉腿6021驱动至其最终成形的构型中。随后,当第一砧座7050进一步沿凸轮狭槽7070推进时,第一砧座7050可被向上垂直驱动至凸轮狭槽7070的另一组停歇部7071中。如图168和图169所示,读者应注意,第一砧座7050可仅接合某些钉腿而不接合其他钉腿。例如,第一砧座7050能够例如仅使包括钉6220的远侧钉腿6221的一组钉腿变形。例如,第一砧座7050能够使远侧钉腿6221朝钉6220的中心变形。任选地,每个近侧钉腿6221均可两次被第一砧座7050(即,被第一成形表面7053及与第一成形表面7053对齐的第二成形表面7054)接触。例如,当第一砧座7050处于停歇部或上部中时,第一成形表面7053可使远侧钉腿6221变形至部分变形构型,并且当第一砧座7050运动至驱动部或下部中时,第二成形表面7054可使远侧钉腿6221变形至完全成形构型。现在参见图163和图164,第一砧座7050可包括多个第一成形表面7053和多个第二成形表面7054,以便在钉腿6221被布置成不止一行或一排时使钉6220的远侧钉腿6221变形。任选地,如下文所更详细地描述,例如第二砧座7060可使钉6020的近侧钉腿6221变形。
对上文进行进一步描述,第一砧座7050可从框架7041的远侧末端7048运动至近侧末端7049,以便使钉6220的所有远侧钉腿6221变形。读者应注意,第一砧座7050可相对于未变形的近侧钉腿6221向上和向下运动,并且为适应这种相对运动,第一砧座7050可包括一个或多个间隙狭槽7057(图165),所述一个或多个间隙狭槽7057能够在第一砧座7050使远侧钉腿6221弯曲时接收未弯曲的近侧钉腿6221。相似地,再次参见图163,第二砧座7060可包括间隙狭槽7067,该间隙狭槽能够在第一砧座7050如上所述在其停歇部与驱动部之间运动时适应上下运动的第一凸轮致动器7051的垂直运动。在所有远侧钉腿6221被弯曲之后,砧座致动器7061可使第二砧座7060从框架7041的近侧末端7049运动到远侧末端7048。与上文相似,现在参见图170,例如第二砧座7060的凸轮从动件7065可在凸轮狭槽7070内滑动,使得第二砧座7060在停歇部或上部与驱动部或下部之间运动,以便使近侧钉腿6221朝钉6220的中心向内变形。与上文相似,第二砧座7060可包括多个第一成形或凸轮表面7063以及多个第二成形或凸轮表面7064,所述多个第一成形或凸轮表面7063以及所述多个第二成形或凸轮表面7064可分别能够使近侧钉腿6021中的一个或多个至少部分地变形和/或完全变形。再次参见图164,第二砧座7060可包括多个第一成形表面7063及多个第二成形表面7064,所述多个第一成形表面7063及所述多个第二成形表面7064能够使排列成多个行或多排的钉6220的近侧钉腿6221变形。同样如图164所示,第二砧座7060的第一成形表面7063和第二成形表面7064可不与第一砧座7050的第一成形表面7053和第二成形表面7054对齐,其中作为结果,钉6220的近侧腿6221可与钉6220的远侧腿6221位于不同的行或排中。读者还应注意,当第二砧座7060朝远侧运动时,第二砧座7060可推动第一砧座7050。例如,第二砧座7060可将第一砧座7050推回到框架7041的远侧末端7048中,使得第一砧座7050可返回到其初始位置或未击发位置。在钉6220的所有近侧钉腿6221均变形之后,第二砧座7060可朝近侧缩回并返回至其初始位置或未击发位置。通过这种方式,外科缝合器7000可复位成使得可在第一钳口7030中定位新的钉仓,并且可在第二钳口7040中定位新的保持矩阵,以便再次使用外科缝合器7000。
任选地,如上所述,外科缝合器可包括两个或更多个砧座,所述两个或更多个砧座可纵向地行进以便在横向方向上接合多个钉的腿。外科缝合器可包括朝近侧运动的砧座,例如以便使第一组钉腿变形,并且例如使第二组钉腿变形。例如,这种砧座可包括例如面向近侧的成形表面及面向远侧的成形表面。
现在参见图171,砧座(诸如砧座7140)例如可包括底部表面或组织接触表面7141以及限定在其中的多个成形凹坑7142。砧座7140可包括例如可以焊接到框架7144中的不止一个板,诸如凹坑板7143。例如,每个凹坑板7143均可被定位在框架7144中的板通道7145中并且通过延伸穿过框架7144的焊接狭槽7146而被焊接到框架7144以便形成纵向焊接件7147。在各种实施例中,纵向焊接件7147可包括例如沿焊接狭槽7146的整个长度延伸的连续焊接件或沿其长度延伸的一系列在空间上间隔开的焊接点。任选地,每个凹坑板7143均可包括已被焊接在一起的两个或更多个板部分。例如,每个凹坑板7143均可包括可以沿着接缝7148焊接到一起的第一板部分7143a和第二板部分7143b。在板7143被焊接到框架7144中的板通道7145中之前,每个板7143的第一板部分7143a和第二板部分7143b可被焊接到一起。例如,第一板部分7143a和第二板部分7143b可包括可以配合到一起以形成紧密接缝7148的协作外形,诸如图171中所示的齿状外形。每个板7143可包括例如约.02"的高度,所述高度可高于板通道7145的深度,使得其组织接触表面7141从砧座7040的框架7044延伸。现在参见图172,例如,板7143可通过在板7143的远侧末端处的至少一个焊接件7149而连接到一起。
如图171和图172所示,每个凹坑板7143均可包括限定在其中的多个成形凹坑7142。可通过任何合适的制造方法(诸如研磨方法和/或电极燃烧方法)在板7143中形成成形凹坑7142。例如,现在参见图173和图174,可通过例如以下所述来制造每个成形凹坑7142:首先形成深井7150,然后围绕深井7150形成弓形的或弯曲表面7151,然后在弯曲表面7151中形成导向沟槽7152。作为另外一种选择,这些步骤可以任何合适的顺序来执行。现在参见图175,钉成形凹坑7142可被形成为使得以一致的或至少基本上一致的间隙7154间隔开该成形凹坑的内边缘7153。例如,间隙7154可为大约.008"。此外,例如,成形凹坑7142可沿着两个或更多个行或排定位,其中心线可被一致的或至少基本上一致的间距7155间隔开。例如,中心线之间的间距7155可为大约.035"。再次参见图175,每个成形凹坑7142可在窄的宽度7156与宽的宽度7157之间逐渐变细。例如,窄的宽度7156可为大约.045",并且宽的宽度7157可为例如大约.075"。板7143可由与框架7144相同的材料构成。例如,板7143和框架7144两者均可由例如不锈钢(诸如300系列或400系列不锈钢)和/或钛构成。作为另外一种选择,板7143和框架7144可由不同的材料构成。例如,板7143可由例如陶瓷材料构成,并且框架7144可由例如不锈钢和/或钛构成。在各种情况下,根据所使用的材料,例如除上述焊接方法之外或作为上述焊接方法的替代,还可使用至少一种硬钎焊方法将板7143固定在框架7144中。
现在参见图176-图178,砧座7240可包括框架7244以及可被插入框架7244中的多个凹坑板7243。与上文相似,每个凹坑板7243可包括限定在其中的多个成形凹坑7242。砧座框架7244可包括限定在其中的保持狭槽7246,该保持狭槽各自能够接收从凹坑板7243延伸的保持导轨7247。为将凹坑板7243组装到砧座框架7244,该砧座框架7244的侧壁7245可向外挠曲或展开,如图177所示,以使保持狭槽7246变宽,使得每个保持狭槽7246可在其中接收凹坑板7243的保持导轨7247。一旦保持导轨7247被定位在保持狭槽7246中,侧壁7245即可被释放,如图178所示,从而允许框架7244以弹性方式缩回和/或返回至其未挠曲状态。在这种情况下,保持狭槽7246可缩回并因此将保持导轨7247捕获在其中。保持导轨7247和/或保持狭槽7246可包括一个或多个协作的锥形表面;在挠曲的保持狭槽7246被释放之后,所述一个或多个协作的锥形表面可形成能够将保持导轨7247保持在保持狭槽7246中的锥形锁定接合。与上文相似,凹坑板7243可由与框架7244相同或不同的材料构成。例如,板7243可由例如陶瓷材料构成,并且框架7244可由例如不锈钢和/或钛构成。在各种情况下,根据所使用的材料,例如可使用至少一种硬钎焊方法和/或至少一种焊接方法将板7243固定在框架7244中。
在图179和图180中,外科缝合和切断器械8010可包括砧座8014,该砧座可围绕其到细长钉通道8016的枢转附接而被反复打开和闭合。钉施用组件8012可包括砧座8014和通道8016,其中组件8012可朝近侧附接到形成执行部分8022的细长轴8018。当钉施用组件8012闭合时,或至少基本上闭合时,执行部分8022可呈现足够小的横截面,该横截面适于使钉施用组件8012通过套管针插入。组件8012可由连接至轴8018的柄部8020操纵。柄部8020可包括用户控件诸如旋钮8030,该旋钮使细长轴8018和钉施用组件8012围绕轴8018的纵向轴线旋转。闭合触发器8026可被压下以闭合钉施用组件8012,该闭合触发器可在手枪式握把8036前围绕横跨柄部外壳8154侧向接合的闭合触发器销8152(图181)枢转。根据本发明,当闭合触发器8026被夹紧时,闭合释放按钮8038可向外存在于柄部8020上,使得释放按钮8038可被压下以松开闭合触发器8026并打开钉施用组件8012,如下文更详细所述。可在闭合触发器8026前枢转的击发触发器8034可使钉施用组件8012同时切断和缝合被夹持在其中的组织。在各种情况下,如下文更详细所述,可使用击发触发器8034采用多个击发行程以减少每行程需要由外科医生的手所施加的力的量。柄部8020可包括可指示击发进度的可旋转的右指示器轮8040和/或左指示器轮8041(图181)。例如,完全击发行程可能需要击发触发器8034的三个完全击发行程,因而指示器轮8040,8041各自可在击发触发器8034的每行程旋转至多三分之一转。如下文更详细所述,如果需要,手动击发释放杠杆8042可允许击发系统在完全击发行程完成之前回缩,并且此外,如果击发系统卡住和/或失效,击发释放杠杆8042可允许外科医生或其他临床医生使击发系统回缩。
结合图179和181,细长轴8018可包括外部结构,该外部结构包括在纵向上往复运动的闭合管8024,该闭合管响应于柄部8020的闭合触发器8026的近侧下压而使砧座8014朝向其闭合位置枢转。细长通道8018可通过闭合管8024内部的框架8028(图181)连接至柄部8020。框架8028可旋转地接合至柄部8020,使得旋钮8030(图179)的旋转可使执行部分8022旋转。具体参见图181,旋钮8030可由两个半壳构成,该两个半壳可包括一个或多个向内突出部8031,该突出部可延伸穿过闭合管8024中的一个或多个细长侧开口8070并接合框架8028。因此,旋钮8030和框架8028可一起或同时被旋转,使得旋钮8030的旋转位置决定执行部分8022的旋转位置。较长开口8070的纵向长度足够长,以允许闭合管8024的纵向闭合运动和打开运动。关于产生闭合管8024的闭合运动,首先参见图181和图183,闭合触发器8026的上部8160可通过闭合连杆8164向前推动闭合轭8162。闭合连杆8164在其远侧末端处通过闭合轭销8166以能够枢转的方式附接至闭合轭8162,并且在其近侧末端处通过闭合连杆销8168被以能够枢转的方式附接。闭合触发器8026可被闭合触发器拉伸弹簧8246推进至打开位置,该拉伸弹簧朝近侧连接至闭合触发器8026的上部8160以及由右半壳8156和左半壳8158形成的柄部外壳8154。由拉伸弹簧8246施加的张力可被施加至闭合触发器8026的闭合力克服,以便朝远侧推进轭8162、闭合连杆8164以及闭合管8024。
当闭合触发器8026被致动或压下时,如上所述,如果需要,闭合释放按钮8038可被定位成使得外科医生或其他临床医生能够按下闭合释放按钮8038,并且使闭合触发器8026以及外科器械的其余部分返回至未致动状态。闭合释放按钮8038可通过中央侧向枢轴8173连接至枢转锁定臂8172,使得运动可在释放按钮8038和锁定臂8172之间转移。再次参见图181,压缩弹簧8174可将闭合释放按钮8038朝近侧偏置,即,如从右面观察,围绕中央侧向枢轴8173顺时针偏置,并且闭合触发器8026的上部8160可包括具有后凹口8171的近侧齿顶8170。当闭合触发器8026被压下时,枢转锁定臂8172可骑跨在近侧齿顶8170上,并且当闭合触发器8026到达其完全压下位置时,应当理解,后凹口8171存在于枢转锁定臂8172下面,该枢转锁定臂在压缩弹簧8174的迫使下落入并锁紧后凹口8171。此时,闭合释放按钮8038的手动下压使枢转锁定臂8172向上并从后凹口8171中旋转出,从而将闭合触发器8026解锁并使闭合触发器8026返回至其未夹紧位置。
一旦闭合触发器8026朝近侧被夹紧,如上所述,则击发触发器8034可被拉向手枪式握把8036,以便从柄部8020朝远侧推进击发连杆8032。击发触发器8034可围绕击发触发器销8202枢转,该击发触发器销横向穿过柄部8020的右半壳8156和左半壳8158并与其接合。当被致动时,击发触发器8034可推进链接传动击发机构8150。链接传动击发机构8150可被弹簧8184迫使至回缩的、未击发位置,该弹簧一、附接至柄部8020的手枪式握把8036;以及二、附接至例如链接传动击发机构8150的其中一个连杆,如下文更详细所述。弹簧8184可包括连接至外壳8154的非运动端部8186和连接至钢带8192的近侧末端8190的运动端部8188。钢带8192的设置于远侧的端部8194可附接至多个连杆8196a-8196d中的前连杆8196a上的附接结构8195,所述多个连杆形成链接齿条8200。链接齿条8200可为柔性的,使得其可容易地回缩进手枪式握把8036并最小化柄部8020的长度,然而形成直的刚性的齿条组件,该齿条组件可将显著的击发力传递至和/或穿过击发连杆8032。如下文更详细所述,击发触发器8034可在击发触发器8034的第一致动期间与第一连杆8196a接合,在击发触发器8034的第二致动期间与第二连杆8196b接合,在击发触发器8034的第三致动期间与第三连杆8196c接合,并且在击发触发器8034的第四致动期间与第四连杆8196d接合,其中击发触发器8034的每次致动可将链接齿条8200朝远侧推进递增的量。对上文进行进一步描述,击发触发器1034的多个冲程可使右指示器轮1040和左指示器轮1041旋转,以指示链接齿条8200已推进的距离。
现在参见图181和图183,防倒转机构8250可防止组合拉伸/压缩弹簧8184使链接齿条8200在击发行程之间回缩。根据本发明,联接滑动管8131邻接第一连杆8196a并且连接至击发连杆8032以传递击发运动。击发连杆8032朝近侧延伸出框架8028的近侧末端并延伸穿过防倒转板8266的通孔8408。通孔8408的尺寸设定成当与击发连杆8032垂直对齐时滑动地接收击发连杆8032,而当倾斜时使击发连杆在通孔中轧紧不动。下部插片附接件8271从框架8028的近侧末端的下唇缘朝近侧延伸,延伸穿过防倒转板8266的下边缘上的孔8269。该下部插片附接件8271将防倒转板8266的下部拉动到邻近框架8028,使得当击发连杆8032朝远侧被推进时防倒转板8266为垂直的,并且当击发连杆8032试图回缩时抗允许顶部向后倾斜至束缚状态。防倒转压缩弹簧8264被框架8028的近侧末端朝远侧约束,并且朝近侧邻接防倒转板8266的顶部,从而将防倒转板8266偏置到锁定状态。防倒转凸轮管8268抵抗弹簧偏置而滑动地环绕联接滑动管8131并且邻接防倒转板8266。附接至防倒转凸轮管8268的朝近侧突出的防倒转轭8256延伸超出闭合轭8162。
参见图181,连杆触发的自动回缩机构8289结合到外科缝合和切断器械8010中,以使刀在完全击发行程结束时回缩。为此,远侧连杆8196d包括柄脚8290,当远侧连杆8196d被推进至形成于闭合轭8162中的齿条通道8291(图181)中时该柄脚向上突起。对齐该柄脚8290以启动防倒转释放杠杆8248(图186)上的底部近侧凸轮8292。具体参见图186和图187,形成于右半壳8156和左半壳8158中的结构约束防倒转释放杠杆8248的运动。分别形成于右半壳8156和左半壳8158之间的销插座8296和圆形销8293穿过纵向细长的孔8294被接收,该孔形成于底部近侧凸轮8292远侧的防倒转释放杠杆8248中,从而允许纵向平移以及围绕圆形销8293旋转。在右半壳8156中,朝近侧打开的通道8295包括与向上地且朝远侧成角度的部分8295b连通的近侧水平部分8295a,该向上地且朝远侧成角度的部分8295b接收防倒转释放杠杆8248的近侧末端附近的向右的后销8297(图187),从而当防倒转释放杠杆8248到达其平移的最远侧部分时,该向上地且朝远侧成角度的部分8295b赋予向上的旋转。一旦防倒转释放杠杆8248被组装,形成于邻近防倒转释放杠杆8248的右半壳8156中的阻挡结构防止防倒转释放杠杆8248朝近侧运动,以使向右的后销8297保持在朝近侧打开的通道8295中。
对上文进行进一步描述,如图187和图188所示,防倒转释放杠杆8248的远侧末端8254因而朝远侧及向下被驱使,使向右的前销8298落入形成于右半壳8156中的朝远侧打开的阶梯结构8299中,该接合通过将压缩弹簧8300(图188)固定至位于向右的前销8298和纵向细长的孔8294之间的防倒转释放杠杆8248上的向左的钩8301而实现。压缩弹簧8300的另一端附接至形成于右半壳8156中在闭合轭8266的紧上方更近且更低的位置处的钩8302(图186、188、189)。压缩弹簧8300因而将防倒转释放杠杆8248的远侧末端8254向下和向后牵拉,使向右的前销8298在朝远侧被推进时锁定到朝远侧打开的阶梯结构8299中。因此,一旦被松开,参见图189,防倒转释放杠杆8248保持向前,垂直地保持防倒转板8266,从而使链接齿条8200回缩。当在松开端部执行器8012的情况下闭合轭8266随后回缩时,闭合轭8266上的向上突起的复位柄脚8303接触防倒转释放杠杆8248的底部远侧凸轮8305,将向右的前销8298从朝远侧打开的阶梯结构8299中抬起,使得防倒转压缩弹簧8264可将防倒转凸轮管8268和防倒转释放杠杆8248朝近侧推动至其回缩位置(图186)上的底部近侧凸轮8292。
参见图179和图189,击发触发器8034能够以任何合适的方式可操作地接合至链接齿条8200。具体参见图180和图185,击发触发器8034围绕连接至外壳8154的击发触发器销8202枢转。当击发触发器8034朝手枪式握把8036压下时,击发触发器8034的上部8204围绕击发触发器销8202朝远侧运动,从而将朝近侧放置的击发触发器拉伸弹簧8206(图181)拉伸,该拉伸弹簧朝近侧连接在击发触发器8034的上部8204与外壳8154之间。在每次击发触发器下压期间,击发触发器8034的上部8204经由弹簧偏置的侧制转杆机构8210接合链接齿条8200。当击发触发器被释放时,侧制转杆机构与链接齿条8200分离,并且击发触发器可返回至未压下或未击发位置。在使用中,由连杆8196a-8196d的每个中面向近侧和向右的斜面8284所形成的倾斜的右侧轨道由侧制转杆组件8285接合。具体地讲,制转杆滑块8270(图181和图183)具有左下部导向器和右下部导向器8272,该左下部导向器和右下部导向器分别在形成于齿条通道8291下方的闭合轭8266中的左轨道8274(图181)中并且在闭合轭导轨8276中的右轨道8275中滑动,该闭合轭导轨8276平行于齿条通道8291并附接至齿条通道盖8277,该齿条通道盖关闭闭合轭8266中的齿条通道8291的向右打开部分,所述向右打开部分位于制转杆滑块8270的行进的远侧。在图181、图182和图185中,压缩弹簧8278被附接在闭合轭导轨8276上的顶部近侧位置上的钩8279以及制转杆滑块8270的远侧末端右侧上的钩8280之间,这使得制转杆滑块8270朝近侧推进与击发触发器8034的上部8204接触。
具体参见图181,制转杆块8318位于制转杆滑块8270上,围绕垂直的后销8320枢转,该后销穿过制转杆块8318和制转杆滑块8270的左侧近侧拐角。踢出块凹槽8322形成于块8318的顶部表面的远侧部分上,以接收由垂直销8326以能够枢转的方式固定于其中的踢出块8324,该垂直销的底部末端延伸到制转杆滑块8270的顶部表面上的制转杆弹簧凹槽8328中。制转杆弹簧凹槽8328中的制转杆弹簧8330延伸到垂直的前销8326的右侧,迫使制转杆块8318在从上方观察时逆时针旋转至与倾斜的右侧轨道8282接合。踢出块凹槽8322中的小的卷簧8332迫使踢出块8324在从上方观察时顺时针旋转,使其近侧末端被迫与形成于齿条通道8291上方的闭合轭8266中的波状唇缘8334接触。如图184所示,制转杆弹簧8330相较于小的卷簧8332而言所具有的更强的机械优势意味着制转杆块8318易于与顺时针旋转的踢出块8324接合。在图185中,当击发触发器8034被完全压下并开始被释放时,踢出块8324在制转杆滑块8270回缩时遇到波状唇缘8334的脊8336,迫使踢出块8324在从上方观察时顺时针旋转,从而将制转杆块8318踢出与链接齿条8200的接合。踢出块凹槽8322的形状使踢出块8324的顺时针旋转停止,使其处于垂直于波状唇缘8334的方向,在完全回缩期间保持该脱离从而消除棘轮噪音。
在图181、图183、图190和图195中,外科缝合和切断器械8010可包括手动回缩机构8500,该手动回缩机构提供击发机构的手动释放、手动回缩,并且在一种型式(图196-图202)中在完全击发行程结束时还执行自动回缩。现在参见图181、图190和图191,具体地讲,前空转齿轮8220与链接齿条8200的齿状左上表面8222接合,其中前空转齿轮8220还接合具有较小右侧棘轮齿轮8231的后空转齿轮8230。前空转齿轮8220和后空转齿轮8230可旋转地连接至分别位于前空转轮轴8232和后空转轮轴8234上的柄部外壳8154。后空转轮轴8232的每端延伸穿过相应的右半壳8156和左半壳8158,并且附接至左指示器轮8040和右指示器轮8041,并且由于后轮轴8234在柄部外壳8154中自由旋转并以键合方式接合至后齿轮8230,因此指示器轮8040,8041和后齿轮8230一起旋转。可有利地选择链接齿条8200、空转齿轮8220和后齿轮8230之间的齿轮关系,使得齿状上表面8222具有强度适当的齿尺寸,并且使得在链接传动击发机构8150的完全击发行程期间,后齿轮8230的转动不超过一圈。齿轮机构8502除了直观地指示击发行程或进度之外,齿轮机构8502还可用于使刀手动回缩。后空转齿轮8230的较小的右侧棘轮齿轮8231延伸到手动回缩杠杆8042的轮毂8506中,具体地讲与将轮毂8506对分的垂直的纵向对齐狭槽8508(图190)对齐。轮毂8506的侧向通孔8510和上部凹槽8512连通。前部8514被成形为接收朝近侧引导的锁定制转杆8516,该锁定制转杆围绕形成于上部凹槽8512的远侧末端中的向右的侧向销8518枢转。后部8520被成形为接收L形弹簧插片8522,该弹簧插片迫使锁定制转杆8516向下与右侧较小的棘轮齿轮8231接合。阻挡结构8524(图186和图193)从右半壳8156突起到上部凹槽8512中;当手动回缩杠杆8042向下时(图193),该阻挡结构阻止锁定制转杆8516接合较小的右侧棘轮齿轮8231。卷簧8525(图181)迫使手动回缩杠杆8042向下。
在使用中,如图192和图193所示,组合拉伸/压缩弹簧8184可与定位在远侧的链接齿条脱离。在图194和图195中,当手动回缩杠杆8042抬起时,锁定制转杆8516顺时针旋转并且不再被阻挡结构8524阻止,并接合较小的右侧棘轮齿轮8231,从而使后空转齿轮8230在从左侧观察时顺时针旋转。因此,前空转齿轮8220逆时针响应,使链接齿条8200回缩。此外,向右的弯曲脊8510从轮毂8506突出,并且其尺寸设定成接触并朝远侧运动防倒转释放杠杆8248,以在手动回缩杠杆8042旋转时释放防倒转机构8250。
在图196-图202中,外科缝合和切断器械8010a的自动回缩机构8600可在完全击发行程结束时将自动回缩结合到具有齿8602的前空转齿轮8220a中;该前空转齿轮在凸轮8606中的圆形沟槽8604内运动,直到在对应于三个击发行程的将近全程旋转之后遇到阻碍物8608。在此类情况下,向右的脊8610向上旋转到接触底部凸轮凹槽8612,以朝远侧运动防倒转释放杠杆8248a。具体参见图197,防倒转释放杠杆8248a包括如在前所述操作的远侧末端8254。分别形成于右半壳8156和左半壳8158之间的圆形销8293和销插座8296穿过形成于底部凸轮8192后面的防倒转释放杠杆8248a中的大体矩形的孔8294a被接收,从而允许纵向平移以及防倒转释放杠杆8248a的远侧末端8254的向下锁定运动。在右半壳8156中,水平的朝近侧打开的通道8295a接收防倒转释放杠杆8248a的近侧末端附近的向右的后销8297。
在操作中,在图198、图198A中的击发之前,链接齿条8200和防倒转凸轮管8268处于回缩位置,从而当防倒转压缩弹簧8264使防倒转板8266朝近侧倾斜时,防倒转机构8250被锁定。自动回缩机构8600处于初始状态,其中防倒转释放杠杆8248a回缩,连杆8196a与前空转齿轮8220a接触。齿8602处于六点整的位置,其中圆形沟槽8604的全行程逆时针进行,向右的脊8610刚好邻近齿8602。在图199、图199A中,已发生一个击发行程,将一个远侧连杆8196b向上运动到与前空转齿轮8220a接触。齿8602已通过固定凸轮8606的圆形沟槽8604前进了三分之一转。在图200、图200A中,已发生第二个击发行程,将又一个连杆8196c向上运动到与前空转齿轮8220a接触。齿8602已通过固定凸轮8606的圆形沟槽8604前进了三分之二转。在图201、图201A中,已发生第三个击发行程,将一个远侧连杆8196d向上运动到与前空转齿轮8220a接触。齿8602已围绕圆形沟槽8604全程前进到与阻碍物8608接触,从而启动凸轮8606的逆时针旋转(当从右侧观察时),从而使向右的脊8608与防倒转释放杠杆8248a接触。在图202中,防倒转释放杠杆8248a作为响应已朝远侧运动,从而将向右的前销8298锁定到朝远侧打开的阶梯结构8299中并且释放防倒转机构8250。相似的外科缝合器械公开于2006年8月1日公布的美国专利No.7,083,075中,该专利的全部公开内容以引用方式并入本文。
参见图203,外科缝合器械9010的钉施用组件9012实现如下功能:在组织上夹紧、通过沿轴9016相对于轴架9070纵向向下传递的两种不同运动来驱动钉以及切断组织。轴架9070朝近侧附接至外科缝合器械的柄部并联接至其,以围绕纵向轴线旋转。用于外科缝合和切断器械的例证性多行程柄部在共同未决以及共同拥有的名称为“SURGICAL STAPLINGINSTRUMENT INCORPORATING A MULTISTROKE FIRING POSITIONINDICATOR AND RETRACTION MECHANISM”的美国专利申请No.10/374,026中进行了更详细的描述,该专利申请的公开内容据此全文以引用方式并入。符合本发明的其他应用可结合单击发行程,诸如在共同未决以及共同拥有的名称为“SURGICAL STAPLING INSTRUMENT HAVINGSEPARATE DISTINCT CLOSING AND FIRING SYSTEMS”美国专利申请No.10/441,632中所描述的,该专利申请的公开内容据此全文以引用方式并入。
具体参见图204,轴架9070的远侧末端附接至钉通道9018。砧座9022具有近侧枢转端9072,该近侧枢转端以能够枢转的方式接收在钉通道9018的近侧末端9074内,正好位于其与轴架9070接合处的远侧。当砧座9022向下枢转时,砧座9022使组织接触表面9028和成形凹坑9026朝相对的钉仓运动,如下文进一步更详细所述。砧座9022的枢转端9072包括闭合结构9076,该闭合结构邻近其与钉通道9018的枢转附接处但是在其与钉通道枢转附接处的远侧。因此,闭合管9078(其远侧末端包括接合该闭合结构9076的马蹄形孔9080)选择性地在近侧纵向运动期间将打开运动赋予砧座9022,并且在闭合管9078的远侧纵向运动期间将闭合运动赋予砧座9022,该闭合管9078响应于闭合触发器在轴架9070之上滑动,类似于上文所述。轴架9070促使并引导击发动作从柄部穿过纵向往复运动的二片刀和击发杆9090。具体地讲,轴架9070包括纵向击发杆狭槽9092,该纵向击发杆狭槽接收二片刀和击发杆9090的近侧部分,具体地讲为层合渐缩的击发杆9094。应当理解,层合渐缩的击发杆9094可由实心的击发杆和/或任何其他合适的材料代替。
E型横梁9102为二片刀和击发杆9090的远侧部分,其有利于单独闭合和击发,以及在击发期间将砧座9022和细长钉通道9018间隔开。具体参见图204和图205,除了任何附接处理诸如硬钎焊或粘合剂外,刀和击发杆9090还由形成于E型横梁9102中的凹形垂直附接孔9104形成,该孔接收由层合渐缩的击发杆9094在远侧呈现的相应的凸形附接构件9106,从而使每个部分由适于其不同功能(例如强度、柔韧性、摩擦力)的选定的材料和方法形成。E型横梁9102可有利地由具有合适材料特性的材料形成,以形成一对顶部销9110、一对中间销9112以及底部销或支脚9114,以及能够获得锋利刀刃9116。此外,托住刀刃9116的每个垂直端的一体成型且朝近侧突出的顶部导向器9118和中间导向器9120还限定了组织集结区域9122,有助于在切断组织前将组织引导至锋利刀刃9116。中间导向器9120还用于通过邻接楔形滑动件9126(图206)的阶梯式中央构件9124来接合并击发钉施用设备9012,从而通过钉施用组件9012实现钉的成形,如下文更详细所述。相比于由多个部件来进行组装而言,与E型横梁9102整体地形成这些结构(例如,顶部销9110、中间销9112和底部支脚9114)有利于在相对于彼此更紧密度的容限下进行制造,从而确保了在击发和/或与钉施用组件9012的各种锁定结构的有效相互作用期间进行期望的操作。
在图207和图208中,钉施用组件9012被示为打开的,其中E型横梁9102完全回缩。在组装期间,E型横梁9102的下部支脚9114穿过扩大孔9130落入钉通道9018中,并且E型横梁9102随后被推进,使得E型横梁9102沿着形成于钉通道9018中的下轨道9132朝远侧滑动。具体地讲,下轨道9132包括狭窄狭槽9133,其在钉通道9018的下表面上打开作为扩大狭槽9134,以在侧向横截面中形成反转的T形,如在图208和图209中具体所示;该狭窄狭槽9133与扩大孔9130连通。一旦被组装,在近侧联接至层合渐缩的击发杆9094的组件不允许下部支脚9114再次朝近侧行进至扩大孔9130以允许脱离。参见图210,层合渐缩的击发杆9094有利于将钉施用组件9012穿过套管针插入。具体地讲,当E型横梁9102完全回缩时,更远侧的向下的突出部9136抬起E型横梁9102。这通过向下的突出部9136在某一点发生位移来实现;在该点处,该突出部在钉通道9018中的扩大孔9130的近侧边缘上向上凸轮。现在参见图211,层合渐缩的击发杆9094还增强某些锁定结构的操作,所述锁定结构可通过包括更近侧的向上的突出部9138而结合到钉通道9018中;所述突出部在击发行程的初始部分期间由轴架9070向下驱使。具体地讲,侧向杆9140被限定在轴架9070(图204)中的一对方形孔9142之间。向下包围侧向杆9140的夹子弹簧9144迫使层合渐缩的击发杆9094的一部分从纵向击发杆狭槽9092中朝远侧突出,确保适当的时候某些有利的锁定结构被接合。当向上的突出部9138接触夹子弹簧9144时,该推动力更为明显或仅局限于击发行程的那部分。
在图207和图208中,E型横梁9102回缩,其顶部销9110位于砧座9022的枢转近侧末端附近的砧座凹坑9150内。向下打开的垂直砧座狭槽9152(图203)将砧座9022侧向扩大成砧座内部轨道9154,当E型横梁9102的顶部销9110在击发期间朝远侧推进时,砧座内部轨道捕获E型横梁9102的顶部销9110,如图210和211所示,将砧座9022与钉通道9018断然间隔开。因此,当E型横梁9102回缩后,外科医生能够反复打开和闭合钉施用组件9012,直到对捕获于其中待缝合和切断的组织的放置和取向感到满意,而且E型横梁9102甚至对于具有减少的直径和相应地减少刚度的钉施用组件9012而言也有助于组织的恰当定位。在图203、图204、图206、图207、图209和图215中,钉施用组件9012示出为具有包括楔形滑动件9126的可替换钉仓9020。纵向对齐且平行的多个向下打开的楔形狭槽9202(图209)接收楔形滑动件9126必需的相应的楔形物9204。在图209-图211中,楔形滑动件9126因此向上凸轮运动多个钉驱动器9206,所述多个钉驱动器在钉驱动器凹槽9208内可垂直滑动。在该例证性型式中,每个钉驱动器9206包括两个垂直插针,每个垂直插针向上平移到相应的钉孔9210或腔体9024中,以将靠在砧座9022的钉成形表面9214(图211)上的钉9023向上挤出并使其变形。限定在邻近钉通道9018的钉仓9020内的中央击发凹槽9216(图204)允许楔形滑动件9126的底部水平部分9218(图206)以及E型横梁9102的中间销9112通过。具体地讲,钉仓托盘9220(图204、图209)附接至聚合物钉仓体9222并位于其下面;该聚合物钉仓体具有形成于其中的钉驱动器凹槽9208、钉孔9210和中央击发凹槽9216。当钉9023因此在任一侧成形时,锋利刀刃9116进入垂直通槽9230,除了该垂直通槽的仅最远侧末端之外,该垂直通槽穿过钉仓9020的纵向轴线。
如图211所示,当将二片刀和击发杆9090朝近侧牵拉直到向下的突出部9136将E型横梁9102上的中间导向器9120向上和向后凸轮时,开始击发钉施用组件9012,从而当砧座9022如图203和图207打开时,使新的钉仓9020插入钉通道9018中。在图212中,二片刀和击发杆9090已朝远侧被推进一小段距离,从而使得当夹子弹簧9144作用于层合渐缩的击发杆9094的向上的突出部9138时,向下的突出部9136落入下轨道9132的扩大孔9130中。中间导向器9120防止由于抵靠在楔形滑动件9126的阶梯式中央构件9124上而产生的进一步的向下旋转,从而将E型横梁的中间销9112保持在中央击发凹槽9216内。在图213中,二片刀和击发杆9090已朝远侧被击发,从而推进楔形滑动件9126,以当将夹持在砧座9022和具有锋利刀刃9116的钉仓9020之间的组织9242切断时使钉9023成形。随后,在图214中,二片刀和击发杆9090回缩,使楔形滑动件9126在远侧定位。在图215中,中间销9112被允许向下平移到形成于钉通道9018(还可参见图208、图211)中的锁定凹槽9240内。因此,当楔形滑动件9126(未在图215中示出)没有在近侧定位(例如,钉仓9020缺失或钉仓9020耗尽)时,如果中间销9112遇到锁定凹槽9240的远侧边缘,则操作者将会接收到触觉指示。类似的外科缝合器械在2008年6月3日公布的美国专利No.7,380,696中有所公开,该专利的全部公开内容以引用方式并入本文。
任选地,如上所述,钉仓可包括仓体,该仓体包括多个限定在其中的钉腔。仓体可包括平台和顶部平台表面,其中每个钉腔可限定平台表面中的开口。还如上所述,钉可被定位在每个钉腔内,使得钉被储存在仓体内直到其从仓体被射出。在从仓体被射出之前,钉可被容纳在仓体内,使得钉不突起到平台表面上方。在此类情况下,当钉被定位在平台表面下方时,可减少钉被损坏和/或过早接触目标组织的可能性。在各种情况下,钉可在未击发位置和击发位置之间运动,在未击发位置中,其不从仓体突起,在击发位置中,其已从仓体露出并可接触被定位在钉仓对面的砧座。砧座和/或限定于砧座内的成形凹坑可被定位成距平台表面上方预定距离,使得当钉从仓体被部署时,钉变形至预定的成形高度。在一些情况下,被捕获在砧座和钉仓之间的组织的厚度可变化,因此,较厚的组织可被捕获在某些钉内而较薄的组织可被捕获在某些其他钉内。在任一种情况下,由钉施加到组织的夹紧压力或力例如可因钉而异,或在钉行的一端上的钉和钉行的另一端上的钉之间变化。在某些情况下,可控制砧座和钉仓平台之间的间隙,使得钉在每个钉内施加某一最小的夹紧压力。然而在一些此类情况下,在不同的钉内的夹紧压力的显著变化可能仍然存在。
如本文所述,钉仓可包括如下装置:该装置用于对从钉仓部署的钉内捕获的组织的厚度进行补偿。参见图216,钉仓(诸如钉仓10000)例如可包括刚性的第一部分(诸如支撑部分10010)以及可压缩的第二部分(诸如组织厚度补偿件10020)。首先参见图218,支撑部分10010可包括仓体、顶部平台表面10011和多个钉腔10012。其中,类似于上文所述,每个钉腔10012可限定平台表面10011中的开口。钉10030例如可被可移除地定位在每个钉腔10012中。例如,首先参见图245并且如下文更详细所述,每个钉10030可包括基部10031和从基部10031延伸的一个或多个腿10032。在钉10030被部署之前,还如下文更详细所述,钉10030的基部10031可由定位在支撑部分10010内的钉驱动器支撑,并且同时,钉10030的腿10032可至少被部分容纳在钉腔10012内。钉10030可在未击发位置和击发位置之间被部署,使得腿10032运动穿过组织厚度补偿件10020,穿透组织厚度补偿件10020的顶部表面,穿透组织T,并且接触被定位在钉仓10000对面的砧座。当腿10032抵靠砧座变形时,每个钉10030的腿10032可捕获组织厚度补偿件10020的一部分以及每个钉10030内的组织T的一部分,并且将压缩力施加到组织。对上文进行进一步描述,可使每个钉10030的腿10032向下朝钉的基部10031变形,以形成钉截留区域10039,在该钉截留区域,组织T和组织厚度补偿件10020可被捕获。在各种情况下,钉截留区域10039可被限定在已变形的腿10032的内表面和基部10031的内表面之间。钉截留区域的尺寸可取决于若干因素,例如腿的长度、腿的直径、基部的宽度、和/或例如腿变形的程度。
此前,外科医生常常需要针对正被缝合的组织来选择具有适当钉高度的适当钉。例如,外科医生可选择高的钉与厚组织一起使用以及选择低的钉与薄组织一起使用。然而在一些情形下,正被缝合的组织不具有一致的厚度,因此,一些钉无法实现期望的击发构型。例如,图250示出了用于薄组织中的高的钉。现在参见图251,当组织厚度补偿件(诸如组织厚度补偿件10020)例如与薄组织一起使用时,例如较大的钉可成形为期望的击发构型。
由于组织厚度补偿件的压缩率,组织厚度补偿件可对捕获在每个钉内的组织的厚度进行补偿。更具体地讲,现在参见图245和图246,组织厚度补偿件(诸如组织厚度补偿件10020)例如可根据钉截留区域10039内容纳的组织的厚度和/或类型来占据每个钉10030的钉截留区域10039的较大和/或较小的部分。例如,在较厚的组织T被捕获在钉10030内的情况下,如果较薄的组织T被捕获在钉10030内,则组织厚度补偿件10020可占据钉截留区域10039的较大部分。相应地,相较于较薄的组织T被捕获在钉10030内的情况,如果较厚的组织T被捕获在钉10030内,则组织厚度补偿件10020可占据钉截留区域10039的较小部分。这样,组织厚度补偿件可补偿较薄组织和/或较厚组织,并确保压缩力被施加到组织,而不论或至少基本上不论被捕获在钉内的组织厚度如何。除了上文所述之外,组织厚度补偿件10020可对被捕获在不同钉10030内的不同类型或不同压缩率的组织进行补偿。现在参见图246,组织厚度补偿件10020可将压缩力施加到可包括血管V的血管组织T,并因此限制血液流过不太可压缩的血管V,但是仍然将期望的压缩力施加到周围的组织T。在各种情况下,对上文进行进一步描述,组织厚度补偿件10020还可补偿已变形的钉。参见图247,各种钉10030的变形可导致限定在此类钉内的较大的钉截留区域10039。由于组织厚度补偿件10020的回弹力,现在参见图248,即使被限定在这种已变形钉10030内的钉截留区域10039可被扩大,定位在该已变形钉10030内的组织厚度补偿件10020仍然可将足够的压缩压力施加到组织T。在各种情况下,位于相邻钉10030中间的组织厚度补偿件10020可被已变形钉10030周围的适当成形的钉10030抵靠组织T偏置,并因此将压缩压力施加到例如围绕和/或被捕获在已变形钉10030内的组织。在各种情况下,组织厚度补偿件可补偿不同的组织密度,所述不同的组织密度可例如由于钙化、纤维区域、和/或先前已缝合或处理的组织而产生。
根据本发明,固定的或不可改变的组织间隙可被限定在支撑部分和砧座之间,因此不论被捕获在钉内的组织的厚度如何均可使钉变形至预定的高度。当组织厚度补偿件用于此类情况时,组织厚度补偿件可适应被捕获在砧座和支撑部分钉仓之间的组织,并且由于组织厚度补偿件的回弹力,组织厚度补偿件可将附加的压缩力施加到组织。现在参见图252-图257,钉10030已成形为预定义的高度H。参照图252,组织厚度补偿件没有被使用,并且组织T占据了整个钉截留区域10039。参照图259,组织厚度补偿件10020的一部分已被捕获在钉10030内,已将组织T压缩,并且已占据钉截留区域10039的至少一部分。现在参见图254,薄组织T已被捕获在钉10030内。在该实施例中,被压缩的组织T具有大约2/9H的高度,并且被压缩的组织厚度补偿件10020具有例如大约7/9H的高度。现在参见图255,具有中间厚度的组织T已被捕获在钉10030内。在该实施例中,被压缩的组织T具有大约4/9H的高度,并且被压缩的组织厚度补偿件10020具有例如大约5/9H的高度。现在参见图256,具有中间厚度的组织T已被捕获在钉10030内。在该实施例中,被压缩的组织T具有大约2/3H的高度,并且被压缩的组织厚度补偿件10020具有例如大约1/3H的高度。现在参见图255,厚组织T已被捕获在钉10030内。在该实施例中,被压缩的组织T具有大约8/9H的高度,并且被压缩的组织厚度补偿件10020具有例如大约1/9H的高度。在各种情况下,组织厚度补偿件可包括压缩高度,该压缩高度包括:例如大约10%的钉截留高度、大约20%的钉截留高度、大约30%的钉截留高度、大约40%的钉截留高度、大约50%的钉截留高度、大约60%的钉截留高度、大约70%的钉截留高度、大约80%的钉截留高度、和/或大约90%的钉截留高度。
钉10030可包括任何合适的未成形高度。钉10030可包括例如介于大约2mm和大约4.8mm之间的未成形高度。钉10030可包括例如大约2.0mm、大约2.5mm、大约3.0mm、大约3.4mm、大约3.5mm、大约3.8mm、大约4.0mm、大约4.1mm、和/或大约4.8mm的未成形高度。钉可变形的高度H可由支撑部分10010的平台表面10011和相对的砧座之间的距离来决定。平台表面10011和砧座的组织接触表面之间的距离可例如为大约0.097"。高度H还可由限定在砧座内的成形凹坑的深度决定。成形凹坑可例如具有从组织接触表面测得的深度。任选地,如下文更详细所述,钉仓10000还可包括钉驱动器,该钉驱动器可将钉10030朝砧座抬起,并且将钉抬起或“过度驱动”到平台表面10011上方。在这种情况下,钉10030的成形高度H还可由钉10030被过度驱动的距离来决定。例如,钉10030可被过度驱动例如大约.028",并且可导致钉10030被成形为例如大约0.189"的高度。钉10030可被成形为例如大约0.8mm、大约1.0mm、大约1.5mm、大约1.8mm、大约2.0mm、和/或大约2.25mm的高度。钉可被成形为例如介于大约2.25mm和大约3.0mm之间的高度。对上文进行进一步描述,钉的钉截留区域的高度可由钉的成形高度以及包括钉的线材的宽度和直径所决定。钉10030的钉截留区域10039的高度可包括钉的成形高度H减去线材的两个直径宽度。钉线材可包括例如大约0.0089"的直径。钉线材可包括例如介于大约0.0069"和大约0.0119"之间的直径。例如,钉10030的成形高度H可为大约0.189",并且钉线材直径可为大约0.0089",从而例如产生大约0.171"的钉截留高度。
对上文进行进一步描述,组织厚度补偿件可包括未压缩的或预部署的高度,并且能够变形为多个压缩高度中的一个。组织厚度补偿件可包括例如大约0.125"的未压缩高度。组织厚度补偿件可包括例如大于或等于大约0.080"的未压缩高度。组织厚度补偿件可包括未压缩的或预部署的高度,该高度大于钉的未击发高度。组织厚度补偿件的未压缩的或预部署的高度可比钉的未击发高度例如高大约10%、高大约20%、高大约30%、高大约40%、高大约50%、高大约60%、高大约70%、高大约80%、高大约90%、和/或高大约100%。组织厚度补偿件的未压缩的或预部署的高度可比钉的未击发高度高例如至多大约100%。组织厚度补偿件的未压缩的或预部署的高度可比钉的未击发高度高例如超过100%。组织厚度补偿件可包括等于钉的未击发高度的未压缩高度。组织厚度补偿件可包括小于钉的未击发高度的未压缩高度。组织厚度补偿件的未压缩的或预部署的高度可比钉的未击发高度例如低大约10%、低大约20%、低大约30%、低大约40%、低大约50%、低大约60%、低大约70%、低大约80%、和/或低大约90%。可压缩的第二部分可包括未压缩高度,该未压缩高度高于正被缝合的组织T的未压缩高度。组织厚度补偿件可包括未压缩高度,该未压缩高度等于正被缝合的组织T的未压缩高度。组织厚度补偿件可包括未压缩高度,该未压缩高度低于正被缝合的组织T的未压缩高度。
如上所述,不论是厚组织还是薄组织被捕获在钉内,组织厚度补偿件均可在多个成形钉内被压缩。例如,可使钉线或钉行内的钉变形,使得每个钉的钉截留区域包括例如大约2.0mm的高度,其中组织T和组织厚度补偿件可被压缩到该高度以内。在某些情形下,组织T可包括在钉截留区域内的大约1.75mm的压缩高度,而组织厚度补偿件可包括在钉截留区域内的大约0.25mm的压缩高度,从而得到总计为例如大约2.0mm的钉截留区域高度。在某些情形下,组织T可包括在钉截留区域内的大约1.50mm的压缩高度,而组织厚度补偿件可包括在钉截留区域内的大约0.50mm的压缩高度,从而得到总计为例如大约2.0mm的钉截留区域高度。在某些情形下,组织T可包括在钉截留区域内的大约1.25mm的压缩高度,而组织厚度补偿件可包括在钉截留区域内的大约0.75mm的压缩高度,从而得到总计为例如大约2.0mm的钉截留区域高度。在某些情形下,组织T可包括在钉截留区域内的大约1.0mm的压缩高度,而组织厚度补偿件可包括在钉截留区域内的大约1.0mm的压缩高度,从而得到总计为例如大约2.0mm的钉截留区域高度。在某些情形下,组织T可包括在钉截留区域内的大约0.75mm的压缩高度,而组织厚度补偿件可包括在钉截留区域内的大约1.25mm的压缩高度,从而得到总计为例如大约2.0mm的钉截留区域高度。在某些情形下,组织T可包括在钉截留区域内的大约1.50mm的压缩高度,而组织厚度补偿件可包括在钉截留区域内的大约0.50mm的压缩高度,从而得到总计为例如大约2.0mm的钉截留区域高度。在某些情形下,组织T可包括在钉截留区域内的大约0.25mm的压缩高度,而组织厚度补偿件可包括在钉截留区域内的大约1.75mm的压缩高度,从而得到总计为例如大约2.0mm的钉截留区域高度。
对上文进行进一步描述,组织厚度补偿件可包括小于钉的击发高度的未压缩高度。组织厚度补偿件可包括等于钉的击发高度的未压缩高度。组织厚度补偿件可包括高于钉的击发高度的未压缩高度。例如,组织厚度补偿件的未压缩高度可包括例如以下厚度,该厚度为成形钉高度的大约110%、成形钉高度的大约120%、成形钉高度的大约130%、成形钉高度的大约140%、成形钉高度的大约150%、成形钉高度的大约160%、成形钉高度的大约170%、成形钉高度的大约180%、成形钉高度的大约190%、和/或成形钉高度的大约200%。组织厚度补偿件可包括未压缩高度,该未压缩高度为钉的击发高度的两倍以上。组织厚度补偿件可包括压缩高度,该压缩高度为例如成形钉高度的大约85%至大约150%。任选地,如上所述,组织厚度补偿件可被压缩成介于未压缩厚度和压缩厚度之间。组织厚度补偿件的压缩厚度可例如为其未压缩厚度的大约10%、其未压缩厚度的大约20%、其未压缩厚度的大约30%、其未压缩厚度的大约40%、其未压缩厚度的大约50%、其未压缩厚度的大约60%、其未压缩厚度的大约70%、其未压缩厚度的大约80%、和/或其未压缩厚度的大约90%。组织厚度补偿件的未压缩厚度可例如比其压缩厚度厚大约两倍、大约十倍、大约五十倍、和/或大约一百倍。组织厚度补偿件的压缩厚度可介于其未压缩厚度的大约60%和大约99%之间。组织厚度补偿件的未压缩厚度可比其压缩厚度厚至少50%。组织厚度补偿件的未压缩厚度可比其压缩厚度厚至多一百倍。可压缩的第二部分可为弹性的,或至少部分弹性的,并且可将组织T抵靠钉的变形腿偏置。例如,可压缩的第二部分可在组织T和钉的基部之间弹性扩展,以便抵靠钉的腿推压组织T。如下文进一步详细所述,组织厚度补偿件可被定位在组织T和变形钉腿中间。在各种情况下,由于上文所述,组织厚度补偿件能够消除钉截留区域内的任何间隙。
组织厚度补偿件可包括聚合物组合物。聚合物组合物可包括一种或多种合成聚合物和/或一种或多种非合成聚合物。合成聚合物可包括合成的可吸收聚合物和/或合成的非可吸收聚合物。聚合物组合物可包括例如生物相容性泡沫。生物相容性泡沫可包括例如多孔的开孔泡沫和/或多孔的闭孔泡沫。生物相容性泡沫可具有均匀的孔形态或可具有梯度孔形态(即,在一个方向的整个泡沫厚度上,小孔尺寸逐渐增加变成大孔)。聚合物组合物可包括多孔支架、多孔基质、凝胶基质、水凝胶基质、溶液基质、丝状基质、管状基质、复合基质、膜基质、生物稳定聚合物和可生物降解的聚合物中的一种或多种、以及它们的组合。例如,组织厚度补偿件可包括通过丝状基质增强的泡沫,或可包括具有附加的水凝胶层的泡沫,该附加的水凝胶层在体液存在下扩展,以在组织上进一步提供压缩。根据本发明,组织厚度补偿件还可由材料和/或第二层或第三层上的涂层构成,该涂层在体液存在下扩展,以在组织上进一步提供压缩。此类层可为水凝胶,该水凝胶可为合成的和/或天然源材料,并且例如可为生物耐用的和/或可生物降解的。可利用能够提供附加柔韧性、刚度、和/或强度的纤维非织造材料或纤维网眼类型元件来增强组织厚度补偿件。根据本发明,组织厚度补偿件具有多孔形态,该多孔形态表现出梯度结构,例如在一个表面上的小孔以及在另一个表面上的较大的孔。此类形态对于组织生长或止血行为而言更为理想。此外,梯度还可与变化的生物吸收剖面相组合。短期吸收剖面可为优选的,以解决止血问题,而长期吸收剖面可解决无渗漏情形下使组织更好愈合的问题。
非合成聚合物的例子包括但不限于冻干多糖、糖蛋白类、弹性蛋白、蛋白聚糖、明胶、胶原和氧化再生纤维素(ORC)。合成的可吸收聚合物的例子包括但不限于聚(乳酸)(PLA)、聚(L-乳酸)(PLLA)、聚己内酯(PCL)、聚乙醇酸(PGA)、聚(三亚甲基碳酸酯)(TMC)、聚对苯二甲酸乙二酯(PET)、多羟基链烷酸酯(PHA)、乙交酯和ε-己内酯(PGCL)的共聚物、乙交酯和三亚甲基碳酸酯的共聚物、聚(癸二酸甘油酯)(PGS)、聚对二氧环己酮、聚(原酸酯)、聚酸酐、多糖、聚(酯-酰胺)、酪氨酸基聚芳酯、酪氨酸基聚亚氨碳酸酯、酪氨酸基聚碳酸酯、聚(D,L-丙交酯-氨基甲酸酯)、聚(B-羟基丁酸)、聚(E-己内酯)、聚乙二醇(PEG)、聚[二(羧基苯氧基)磷腈]、聚(氨基酸)、拟聚(氨基酸)、可吸收的聚氨酯以及它们的组合。聚合物组合物可包括例如按重量计大约50%到大约90%的PLLA的聚合物组合物、以及按重量计大约50%到大约10%的PCL的聚合物组合物。聚合物组合物可包括例如按重量计大约70%的PLLA、以及按重量计大约30%的PCL。聚合物组合物可包括例如按重量计大约55%到大约85%的PGA的聚合物组合物、以及按重量计15%到45%的PCL的聚合物组合物。聚合物组合物可包括例如按重量计大约65%的PGA、以及按重量计大约35%的PCL。聚合物组合物可包括例如按重量计大约90%到大约95%的PGA的聚合物组合物、以及按重量计大约5%到大约10%的PLA的聚合物组合物。
合成的可吸收聚合物可包括可生物吸收的、生物相容性的弹性体共聚物。合适的可生物吸收的、生物相容性的弹性体共聚物包括但不限于epsilon-己内酯和乙交酯的共聚物(epsilon-己内酯与乙交酯的摩尔比优选地为约30:70至约70:30,优选地为35:65至约65:35,更优选地为45:55至35:65);epsilon-己内酯和丙交酯(包括L-丙交酯、D-丙交酯、它们的共混物或乳酸共聚物)的弹性体共聚物(epsilon-己内酯与丙交酯的摩尔比优选地为约35:65至约65:35,并且更优选地为45:55至30:70);对二氧杂环己酮(1,4-二氧杂环己烷-2-酮)和丙交酯(包括L-丙交酯、D-丙交酯和乳酸)的弹性体共聚物(对二氧杂环己酮与丙交酯的摩尔比优选地为约40:60至约60:40);epsilon-己内酯和对二氧杂环己酮的弹性体共聚物(epsilon-己内酯与对二氧杂环己酮的摩尔比优选地为约30:70至约70:30);对二氧杂环己酮和三亚甲基碳酸酯的弹性体共聚物(对二氧杂环己酮与三亚甲基碳酸酯的摩尔比优选为约30:70至约70:30);三亚甲基碳酸酯和乙交酯的弹性体共聚物(三亚甲基碳酸酯与乙交酯的摩尔比优选为约30:70至约70:30);三亚甲基碳酸酯和丙交酯的弹性体共聚物,包括L-丙交酯、D-丙交酯、它们的共混物或乳酸共聚物(三亚甲基碳酸酯与丙交酯的摩尔比优选为约30:70至约70:30);以及它们的共混物。弹性体共聚物可为乙交酯和ε-己内酯的共聚物。作为另外一种选择,弹性体共聚物为丙交酯和ε-己内酯的共聚物。
公布于1995年11月21日的名称为“ELASTOMERIC MEDICALDEVICE”的美国专利5,468,253以及公布于2001年12月4日的名称为“FOAM BUTTRESS FOR STAPLING APPARATUS”用于的美国专利6,325,810的公开内容各自全文以引用的方式并入本文。
合成的可吸收聚合物可包括例如可以商标名称VICRYL(polyglactic910)从Ethicon,Inc.商购获得的90/10聚(乙交酯-L-丙交酯)共聚物、可以商标名称DEXON从American Cyanamid Co.商购获得的聚乙交酯、可以商标名称PDS从Ethicon,Inc.商购获得的聚二氧杂环己酮、可以商标名称MAXON从American Cyanamid Co.商购获得的聚(乙交酯-三亚甲基碳酸酯)无规嵌段共聚物、可以商标名称MONOCRYL从Ethicon商购获得的75/25聚(乙交酯-E-己内酯-poliglecaprolactone 25)共聚物中的一种或多种。
合成的非可吸收聚合物包括但不限于聚氨酯泡沫塑料、聚丙烯(PP)、聚乙烯(PE)、聚碳酸酯、聚酰胺,例如尼龙、聚氯乙烯(PVC)、聚甲基丙烯酸甲酯(PMMA)、聚苯乙烯(PS)、聚酯、聚醚醚酮(PEEK)、聚四氟乙烯(PTFE)、聚三氟氯乙烯(PTFCE)、聚氟乙烯(PVF)、氟化乙烯丙烯(FEP)、聚缩醛、聚砜、以及它们的组合。合成的非可吸收聚合物可包括但不限于弹性体泡沫塑料和多孔弹性体,例如硅氧烷、聚异戊二烯和橡胶。合成聚合物可包括可以商标名称GORE-TEX软组织补片从W.L.Gore&Associates,Inc.商购获得的膨体聚四氟乙烯(ePTFE),以及可以商标名称NASOPORE从Polyganics商购获得的共-聚醚酯氨基甲酸酯泡沫塑料。
组织厚度补偿件的聚合物组合物的特征在于例如百分孔隙率、孔尺寸、和/或硬度。聚合物组合物可具有例如按体积计大约30%到大约99%的百分孔隙率。聚合物组合物可具有例如按体积计大约60%到大约98%的百分孔隙率。聚合物组合物可具有例如按体积计大约85%到大约97%的百分孔隙率。聚合物组合物可包括例如按重量计大约70%的PLLA和按重量计大约30%的PCL,并且可包括例如按体积计大约90%的孔隙率。例如,因此,聚合物组合物将包括按体积计大约10%的共聚物。聚合物组合物可包括例如按重量计大约65%的PGA和按重量计大约35%的PCL,并且可具有例如按体积计大约93%到大约95%的百分孔隙率。聚合物组合物可包括按体积计大于85%的孔隙率。聚合物组合物可具有例如大约5微米到大约2000微米的孔尺寸。聚合物组合物可具有例如介于大约10微米到大约100微米之间的孔尺寸。例如,聚合物组合物可包括例如PGA和PCL的共聚物。聚合物组合物可具有例如介于大约100微米到大约1000微米之间的孔尺寸。例如,聚合物组合物可包括例如PLLA和PCL的共聚物。根据某些方面,聚合物组合物的硬度可以肖氏硬度表示。该肖氏硬度可被定义为诸如由肖氏硬度计所测定的对材料的永久凹痕的耐受性。为了评估给定材料的硬度计值,根据名称为“Standard Test Method for Rubber Property-Durometer Hardness”的ASTM程序D2240-00,用硬度计压头脚将压力施加至材料,其全文以引用的方式并入本文。可将硬度计压头脚施用到材料并持续足够的一段时间,诸如15秒,例如,其中读数从合适的标度读取。根据所用的标度类型,当压头脚完全穿透材料时,可获得读数0,并且当材料未被穿透时,可获得读数100。该读数无量纲。可例如根据ASTMD2240-00利用任何合适的标度(例如,A类和/或OO类标度)来决定硬度计。组织厚度补偿件的聚合物组合物可具有大约4A到大约16A的肖氏A硬度值,该肖氏A硬度值例如在大约45OO到大约65OO的肖氏OO范围。例如,聚合物组合物可包括例如PLLA/PCL共聚物或PGA/PCL共聚物。组织厚度补偿件的聚合物组合物可具有小于15A的肖氏A硬度值。组织厚度补偿件的聚合物组合物可具有小于10A的肖氏A硬度值。组织厚度补偿件的聚合物组合物可具有小于5A的肖氏A硬度值。聚合物材料可具有例如大约35OO到大约75OO的肖氏OO组合物值。
聚合物组合物可具有上述识别出的特性中的至少两种。聚合物组合物可具有上述识别出的特性中的至少三种。聚合物组合物可具有例如按体积计85%到97%的孔隙率、5微米到2000微米的孔尺寸、和4A到16A的肖氏A硬度值以及45OO到65OO的肖氏OO硬度值。聚合物组合物可包括按重量计70%的PLLA的聚合物组合物以及按重量计30%的PCL的聚合物组合物;所述聚合物组合物具有例如按体积计90%的孔隙率、100微米到1000微米的孔尺寸、和4A到16A的肖氏A硬度值以及45OO到65OO的肖氏OO硬度值。聚合物组合物可包括按重量计65%的PGA的聚合物组合物以及按重量计35%的PCL的聚合物组合物;所述聚合物组合物具有例如按体积计93%到95%的孔隙率、10微米到100微米的孔尺寸、和4A到16A的肖氏A硬度值以及45OO到65OO的肖氏OO硬度值。
聚合物组合物可包括药物活性剂。聚合物组合物可释放治疗有效量的药物活性剂。药物活性剂可在聚合物组合物被解吸或吸收时释放。药物活性剂可被释放到流经聚合物组合物之上或穿过聚合物组合物的流体(例如,血液)内。药物活性剂的例子可包括但不限于止血剂和药物,例如血纤维蛋白、凝血酶和氧化再生纤维素(ORC);抗炎剂药物,例如双氯芬酸、阿司匹林、萘普生、舒林酸和氢化可的松;抗生素和抗微生物药物或抗微生物剂,例如三氯生、离子银、氨苄青霉素、庆大霉素、多粘菌素B、氯霉素;以及抗癌剂,例如顺铂、丝裂霉素、阿霉素。
现在参见图216,钉仓(诸如钉仓10000)例如可包括支撑部分10010和可压缩的组织厚度补偿件10020。现在参见图218-图220,支撑部分10010可包括平台表面10011和限定在支撑部分10010中的多个钉腔10012。每个钉腔10012的尺寸例如可设定成并能够在其中可移除地储存钉,诸如钉10030。钉仓10000还可包括多个钉驱动器10040,当钉10030和钉驱动器10040处于其未击发位置时,每个钉驱动器能够支撑钉腔10012内的一个或多个钉10030。例如,首先参见图224和图225,每个钉驱动器10040可包括例如一个或多个支架或槽10041,该支架或槽能够支撑钉并限制钉10030和钉驱动器10040之间的相对运动。再次参见图218,钉仓10000还可包括钉击发滑动件10050;该钉击发滑动件可从钉仓的近侧末端10001运动到钉仓的远侧末端10002,以便依次将钉驱动器10040和钉10030从其未击发位置向被定位在钉仓10000对面的砧座抬起。首先参见图218和图220,每个钉10030可包括基部10031和从基部10031延伸的一个或多个腿10032,其中每个钉可为例如基本U形和基本V形中的至少一者。钉10030能够使得当钉10030处于其未击发位置时,钉腿10032的顶端相对于支撑部分10010的平台表面10011凹陷。钉10030能够使得当钉10030处于其未击发位置时,钉腿10032的顶端相对于支撑部分10010的平台表面10011齐平。钉10030能够使得当钉10030处于其未击发位置时,钉腿10032的顶端或钉腿10032的至少某部分延伸到支撑部分10010的平台表面10011上方。在这种情况下,当钉10030处于其未击发位置时,钉腿10032可延伸到进入并被嵌入到组织厚度补偿件10020中。例如,钉腿10032可例如延伸到平台表面10011上方大约0.075"。钉腿10032可例如延伸到平台表面10011上方大约0.025"和大约0.125"之间的距离。对上文进行进一步描述,组织厚度补偿件10020可包括例如大约0.08"和大约0.125"之间的未压缩厚度。
在使用中,对上文进行进一步描述并首先参见图233,砧座诸如砧座10060例如可运动到与钉仓10000相对的闭合位置。如下文更详细所述,砧座10060可将组织抵靠组织厚度补偿件10020定位以及例如将组织厚度补偿件10020压向支撑部分10010的平台表面10011。一旦砧座10060已被恰当定位,则可部署钉10030,同样如图233所示。任选地,如上所述,钉击发滑动件10050可从钉仓10000的近侧末端10001向远侧末端10002移动,如图234所示。当滑动件10050被推进时,滑动件10050可接触钉驱动器10040并在钉腔10012内将钉驱动器10040向上抬起。滑动件10050和钉驱动器10040可各自包括一个或多个斜坡或斜面,该一个或多个斜坡或斜面可协作以使钉驱动器10040从其未击发位置向上运动。例如,参见图221-图225,每个钉驱动器10040可包括至少一个斜面10042,并且滑动件10050可包括一个或多个斜面10052,其能够使得当滑动件10050在钉仓内朝远侧被推进时,斜面10052在斜面10042下滑动。当钉驱动器10040在其各自的钉腔10012内被向上抬起时,钉驱动器10040可将钉10030向上抬起,使得钉10030可通过钉平台10011中的开口从其钉腔10012中露出。在示例性击发序列期间,首先参见图227-图229,滑动件10050可首先接触钉10030a并且开始将钉10030a向上抬起。当滑动件10050朝远侧被进一步推进时,滑动件10050可开始将钉10030b,10030c,10030d,10030e和10030f以及任何其他后续钉按顺序抬起。如图229所示,滑动件10050可将钉10030向上驱动,使得与相对的砧座接触的钉的腿10032变形至期望的形状,并且从支撑部分10010被射出。在各种情况下,作为击发序列的一部分,滑动件10030可同时将多个钉向上运动。参照图229所示的击发序列,钉10030a和10030b已运动至其完全击发位置并且从支撑部分10010被射出,钉10030c和10030d处于被击发的过程中并且被至少部分地容纳在支撑部分10010内,并且钉10030e和10030f仍然处于其未击发位置。
如上所述并参见图235,当钉10030处于其未击发位置时,钉10030的钉腿10032可延伸到支撑部分10010的平台表面10011上方。进一步参照图229所示的击发序列,钉10030e和10030f示出为处于其未击发位置,并且其钉腿10032延伸到平台表面10011上方并且延伸到组织厚度补偿件10020中。当钉10030处于其未击发位置时,钉腿10032的顶端或钉腿10032的任何其他部分可能不凸穿组织厚度补偿件10020的顶部组织接触表面10021。如图229所示,当钉10030从其未击发位置运动到其击发位置时,钉腿的末端可凸穿组织接触表面10032。钉腿10032的顶端可包括能够切割和穿透组织厚度补偿件10020的锋利的顶端。组织厚度补偿件10020可包括多个孔,所述多个孔能够接收钉腿10032并且允许钉腿10032相对于组织厚度补偿件10020滑动。支撑部分10010还可包括从平台表面10011延伸的多个导向器10013。导向器10013可被定位成邻近平台表面10011的钉腔开口,使得钉腿10032可至少部分地由导向器10013支撑。导向器10013可被定位在钉腔开口的近侧末端和/或远侧末端处。根据本发明,第一导向器10013可被定位在每个钉腔开口的第一末端,并且第二导向器10013可被定位在每个钉腔开口的第二末端,使得每个第一导向器10013可支撑钉10030的第一钉腿10032,并且每个第二导向器10013可支撑钉的第二钉腿10032。参见图235,每个导向器10013可包括沟槽或狭槽,诸如沟槽10016,例如钉腿10032可被滑动地接收在该沟槽10016中。任选地,每个导向器10013可包括可从平台表面10011延伸并可延伸到组织厚度补偿件10020中的防滑钉、突起、和/或长钉。如下文更详细所述,防滑钉、突起、和/或长钉可减小组织厚度补偿件10020和支撑部分10010之间的相对运动。钉腿10032的顶端可被定位在导向器10013中并且当钉10030处于其未击发位置时可不延伸到导向器10013的顶部表面上方。例如,导向器10013可限定导向高度,并且当钉10030处于其未击发位置时可不延伸到该导向高度上方。
根据本发明,组织厚度补偿件(诸如组织厚度补偿件10020)例如可由单个材料片构成。组织厚度补偿件可包括连续材料片,该连续材料片可覆盖支撑部分10010的整个顶部平台表面10011,或作为另外一种选择,覆盖小于整个平台表面10011。材料片可覆盖支撑部分10010中的钉腔开口,然而作为另外一种选择,材料片可包括可与钉腔开口对齐的或至少部分对齐的开口。根据本发明,组织厚度补偿件可由例如多个材料层构成。现在参见图217,组织厚度补偿件可包括可压缩芯和围绕可压缩芯的包裹物。包裹物10022能够将可压缩芯可释放地保持到支撑部分10010。例如,支撑部分10010可包括例如从其延伸的一个或多个突出部,诸如突出部10014(图220),该突出部可接收在一个或多个孔和/或狭槽内,诸如限定在包裹物10022中的孔10024内。突出部10014和孔10024能够使得突出部10014可将包裹物10022保持到支撑部分10010。突出部10014的端部可例如通过热铆焊处理而变形,以便扩大突出部10014的端部,并且因此限制包裹物10022和支撑部分10010之间的相对运动。包裹物10022可包括一个或多个穿孔10025,其可有利于将包裹物10022从支撑部分10010释放,如图217所示。现在参见图226,组织厚度补偿件可包括包裹物10222,该包裹物包括多个孔10223,其中孔10223可与支撑部分10010中的钉腔开口对齐或至少部分对齐。组织厚度补偿件的芯还可包括与包裹物10222中的孔10223对齐或至少部分对齐的孔。作为另外一种选择,组织厚度补偿件的芯可包括连续主体并且可延伸到孔10223的下面,使得连续主体覆盖平台表面10011中的钉腔开口。
任选地,如上所述,组织厚度补偿件可包括用于将可压缩芯可释放地保持到支撑部分10010的包裹物。例如,参见图218,钉仓还可包括保持器夹具10026,该保持器夹具能够抑制包裹物和可压缩芯过早地与支撑部分10010分离。任选地,每个保持器夹具10026可包括能够接收从支撑部分10010延伸的突出部10014的孔10028,使得保持器夹具10026可被保持到支撑部分10010。保持器夹具10026可各自包括至少一个平底部分10027,该平底部分可延伸到支撑部分10010的下面并在支撑部分10010内支撑并保持钉驱动器10040。如上所述,组织厚度补偿件可通过钉10030可移除地附接至支撑部分10010。更具体地讲,还如上所述,当钉10030处于其未击发位置时,钉10030的腿可延伸到组织厚度补偿件10020中,并因此将组织厚度补偿件10020可释放地保持到支撑部分10010。钉10030的腿可与其相应的钉腔10012的侧壁接触,其中,由于钉腿10032和侧壁之间的摩擦,钉10030和组织厚度补偿件10020可被保持在适当位置,直到钉10030从钉仓10000被部署。当钉10030被部署后,组织厚度补偿件10020可被捕获在钉10030内并且抵靠缝合的组织T被保持。当砧座随后运动到打开位置以释放组织T时,支撑部分10010可运动远离已固定至组织的组织厚度补偿件10020。可使用粘合剂以将组织厚度补偿件10020可移除地保持到支撑部分10010。可使用两部分粘合剂,其中,粘合剂的第一部分可被放置到平台表面10011上,并且粘合剂的第二部分可被放置到组织厚度补偿件10020上,使得当组织厚度补偿件10020紧贴平台表面10011放置时,第一部分可接触第二部分以启用粘合剂并将组织厚度补偿件10020可分离地粘结至支撑部分10010。任选地,可使用任何其他合适的方法将组织厚度补偿件可分离地保持到钉仓的支撑部分。
对上文进行进一步描述,滑动件10050可从近侧末端10001被推进到远侧末端10002以完全部署被容纳在钉仓10000内的所有钉10030。现在参见图258-图262,滑动件10050可在支撑部分10010内的纵向腔体10016中由击发构件或外科缝合器的刀杆10052朝远侧推进。在使用中,钉仓10000可被插入外科缝合器的钳口中的钉仓通道内,例如钉仓通道10070内,并且击发构件10052可被推进到与滑动件10050接触,如图258所示。当滑动件10050由击发构件10052朝远侧推进时,滑动件10050可接触最近侧的钉驱动器或驱动器10040,并且将钉10030从仓体10010击发或射出,如上所述。如图258所示,击发构件10052还可包括切刃10053,当钉10030被击发时,该切刃可通过支撑部分10010中的刀狭槽朝远侧被推进。根据本发明,相应的刀狭槽可延伸穿过被定位在钉仓10000对面的砧座,使得切刃10053可在砧座和支撑部分10010之间延伸并切割被定位在其间的组织和组织厚度补偿件。在各种情况下,滑动件10050可由击发构件10052朝远侧推进,直到滑动件10050到达钉仓10000的远侧末端10002,如图260所示。此时,击发构件10052可朝近侧回缩。滑动件10050可随击发构件10052朝近侧回缩,但是现在参见图261,当击发构件10052回缩时,滑动件10050可被留在钉仓10000的远侧末端10002中。一旦击发构件10052已充分回缩,砧座可被再次打开,组织厚度补偿件10020可与支撑部分10010分离,并且已耗尽钉仓10000的剩余的非植入部分,包括支撑部分10010,可从钉仓通道10070中被移除。
当已耗尽钉仓10000已从钉仓通道中被移除后,对上文进行进一步描述,新的钉仓10000或任何其他合适的钉仓可被插入钉仓通道10070中。对上文进行进一步描述,钉仓通道10070、击发构件10052、和/或钉仓10000可包括协作结构,该协作结构可在新的未击发钉仓10000没有被定位在钉仓通道10070中时防止击发构件10052再次或随后朝远侧被推进。更具体地讲,再次参见图258,当击发构件10052被推进到与滑动件10050接触时,并且当滑动件10050处于其近侧未击发位置时,击发构件10052的支撑鼻部10055可被定位在滑动件10050上的支撑凸缘10056上和/或之上,使得击发构件10052被保持在足够向上的位置,以防止从击发构件10052延伸的锁或横梁10054落入被限定在钉仓通道内的锁凹槽中。由于锁10054不会落入锁凹槽时,在此类情况下,当击发构件10052被推进时,锁10054可不邻接锁凹槽的远侧侧壁10057。当击发构件10052将滑动件10050朝远侧推动时,击发构件10052可由于靠在支撑凸缘10056上的支撑鼻部10055而被支撑在其向上击发位置。当击发构件10052相对于滑动件10050回缩时,如上所述并如图261所示,当支撑鼻部10055不再靠在滑动件10050的支撑凸缘10056上时,击发构件10052可从其向上位置下落。例如,外科钉可包括能够将击发构件10052偏置到其向下位置的弹簧10058和/或任何其他合适的偏置元件。一旦击发构件10052已完全回缩,如图262所示,击发构件10052不能再次穿过用尽的钉仓10000朝远侧被推进。更具体地讲,当此时处于操作顺序的滑动件10050已被留在钉仓10000的远侧末端10002处时,击发构件10052不能被滑动件10050保持在其上部位置。因此,如上所述,如果击发构件10052在没有替换钉仓的情况下被再次推进,则锁横梁10054将接触锁凹槽的侧壁10057,这将防止击发构件10052再次朝远侧被推进到钉仓10000中。换句话讲,一旦用尽的钉仓10000已被新的钉仓替换,新的钉仓将具有近侧定位的滑动件10050,该近侧定位的滑动件可将击发构件10052保持在其向上位置,并且使击发构件10052再次朝远侧被推进。
如上所述,滑动件10050能够将钉驱动器10040在第一未击发位置和第二击发位置之间运动,以便将钉10030从支撑部分10010中射出。在钉10030已从支撑部分10010被射出以后,钉驱动器10040可被容纳在钉腔10012内。支撑部分10010可包括能够阻止钉驱动器10040从钉腔10012中射出或掉出的一个或多个保持特征结构。作为另外一种选择,滑动件10050能够将钉驱动器10040从具有钉10030的支撑部分10010中射出。例如,钉驱动器10040可由例如可生物吸收的和/或生物相容性材料构成,诸如聚醚酰亚胺(Ultem)。钉驱动器可附接到钉10030。例如,钉驱动器可被模塑在每个钉10030的基部之上和/或周围,使得驱动器与钉一体形成。2006年9月29日提交的名称为“SURGICAL STAPLES HAVING COMPRESSIBLEOR CRUSHABLE MEMBERS FOR SECURING TISSUE THEREIN ANDSTAPLING INSTRUMENTS FOR DEPLOYING THE SAME”美国专利申请No.11/541,123全文以引用方式并入本文。
在各种实施例中,对上文进行进一步描述,可压缩的组织厚度补偿件可相对于钉仓的下面的刚性支撑部分运动、扭曲、和/或偏转。支撑部分和/或钉仓的任何其他合适的部分可包括能够限制组织厚度补偿件和支撑部分之间相对运动的一个或多个结构。如上所述,钉10030的至少一部分可延伸到支撑部分10010的平台表面10011上方,其中,在某些情况下,现在参见图263和图264,施加到组织厚度补偿件10120的侧向力例如可被从支撑部分10010延伸的钉10030和/或防滑钉10013抵挡。在各种情况下,钉10030在抵挡组织厚度补偿件10120的侧向运动时可在钉腔10012内倾斜和/或弯曲,其中,钉腔10012和钉10030的尺寸可设定成并且能够保持钉10030的腿10032和相对的砧座10060中的成形凹坑10062之间的相对对齐,使得钉10000在钉成形过程期间正确成形。钉10030和/或防滑钉10013能够防止或至少限制组织厚度补偿件10020内的侧向变形,如图264所示。例如,钉10030和/或防滑钉10013例如能够加强或限制组织厚度补偿件的第一或组织接触表面10021相对于第二或底部表面10029的侧向和/或纵向运动。根据本发明,钉仓和/或其中定位有钉仓的钉仓通道可包括至少一个扭曲最小化构件,该扭曲最小化构件可向上延伸以限制组织厚度补偿件的侧向和/或纵向运动或变形。如上所述,至少部分地围绕组织厚度补偿件的包裹物也可防止或至少限制组织厚度补偿件的侧向和/或纵向运动或变形。
再次参见图263和图264,组织厚度补偿件(诸如组织厚度补偿件10120)例如可包括芯10128和外皮10122。外皮10122和可压缩芯10128可由不同材料或相同材料构成。在任一种情况下,外皮10122可具有比芯10128更高的密度。在外皮10122包括组织厚度补偿件10120的顶部的情况下,钉腿10032的顶端可嵌入外皮10122中。在外皮包括组织厚度补偿件10120的底部的情况下,钉腿10032可延伸穿过外皮并且进入芯中。在任一种情况下,组织厚度补偿件的外皮可有助于保持钉腿10032与砧座10060的成形凹坑10062对齐。外皮10122可包括如下密度:该密度例如比芯10128的密度大大约10%、比芯10128的密度大大约20%、比芯10128的密度大大约30%、比芯10128的密度大大约40%、比芯10128的密度大大约50%、比芯10128的密度大大约60%、比芯10128的密度大大约70%、比芯10128的密度大大约80%、比芯10128的密度大大约90%、比芯10128的密度大大约100%。外皮10122可包括如下密度,该密度例如大于芯10128的密度并且小于芯10128的密度的两倍。外皮10122可包括如下密度,该密度例如大于芯10128的密度的两倍。对上文进行进一步描述,外皮10122和芯10128可同时被成形或制造。例如,包含本文所公开的任何合适材料的流体可被倒入碟中或被模塑,并且当流体凝固时,流体可形成具有比剩余材料更高密度的外皮或层。任选地,材料中的多个层可通过使用如下方法形成:在该方法中,材料的一个或多个后续层被倾倒到先前固化的层上。两个或更多个层可利用例如粘合剂彼此粘合。两个或更多个层可通过例如一个或更多个紧固件和/或一个或更多个机械联锁结构附接到彼此。例如,相邻层可通过例如一个或多个燕尾接合连接在一起。外皮可包括可防止或至少限制流体穿过其中流动的密封表面。外皮可包括例如开孔的多孔结构。
对上文进行进一步描述,可从组织厚度补偿件中剪掉外皮。组织厚度补偿件可从较大的材料块切除,使得组织厚度补偿件不包括外皮。例如,组织厚度补偿件可由例如包括大孔的均一材料或至少基本上均一的材料构成。
根据本发明,钉仓可包括多个钉腔,每个钉腔容纳定位在其中的钉,其中钉腔可被布置成多行,并且其中被定位在钉仓对面的砧座可包括与钉仓中的钉腔对应的多个成形凹坑。换句话讲,砧座可包括多个成形凹坑行,其中每个成形凹坑可被定位在钉仓中的钉腔的对面。任选地,每个成形凹坑可包括能够接收钉10030的钉腿10032的两个成形杯,其中每个成形杯能够接收钉腿10032,并且使钉腿10032例如朝向其他钉腿10032成形或卷曲。在各种情况下,腿10032可能未进入成形杯或没有正确地进入成形杯,因此钉腿10032可能在击发序列期间发生变形。如本文所述,砧座可包括成形凹坑阵列或网格,其各自能够接收并形成钉腿。例如,成形凹坑阵列可包括一定量的成形凹坑,该成形凹坑的数量超过钉仓内容纳的钉的数量。钉仓可包括例如六个纵向行的钉腔,其中砧座可包括与六行钉腔对齐的六行成形凹坑,并且此外成形凹坑被定位在成形凹坑行的中间。例如,在砧座的一侧上,砧座可包括可被定位在第一行钉腔之上的第一行成形凹坑、可被定位在邻近第一行钉腔的第二行钉腔之上的第二行成形凹坑、以及此外被定位在第一行成形凹坑和第二行成形凹坑中间的一行成形凹坑。现在参见图276-图279,砧座10260可包括六行成形凹坑10261,其能够被放置在钉仓10200中的相应的六行钉腔之上。例如,多行中间成形凹坑10262可被定位在多行成形凹坑10261中间和/或邻近多行成形凹坑10261。现在参见图277、图278和图280,每个成形凹坑10261和10262可包括两个成形杯,其中每个成形杯包括能够使钉腿10032朝近侧成形或卷曲的远侧部分10263以及能够使钉腿10032朝远侧成形或卷曲的近侧部分10264。在各种其他情况下,钉10030可通过多种其他方式成形。例如,钉10030可成形为使得一个腿10032向外成形并且另一个腿10032向内成形(图281),或使得两个腿10032都向外成形(图282),这取决于例如1)钉腿10032进入成形杯,和/或2)腿10032是否进入每个成形杯的近侧部分10263或远侧部分10064。
对上文进行进一步描述,每个成形凹坑10261和/或成形凹坑10262可包括例如三角形或菱形形状。成形凹坑的每个远侧部分10263和/或每个近侧部分10264可包括三角形形状,其中例如,远侧部分10263和近侧部分10264的三角形形状可被布置成使得其具有指向相对方向的顶点。砧座可包括例如一系列基本上正方形的成形凹坑。例如,每个正方形的成形凹坑的成形表面可包括在正方形的侧面之间延伸的弓形表面。砧座可包括例如一系列圆形或球形凹坑。上文进行进一步描述,成形凹坑10261可沿一条或多条线被定位,并且相似地,成形凹坑10262也可沿一条或多条线被定位。作为另外一种选择,成形凹坑10261和/或成形凹坑10262可被布置成一个或多个圆形行。例如,成形凹坑10261可沿主圆周被布置,并且成形凹坑10262可沿不同的圆周被布置。主圆周和不同的圆周可为同心的或基本上同心的。成形凹坑10262可例如沿内圆周和/或外圆周被布置;所述内圆周相对于主圆周径向向内定位,所述外圆周相对于主圆周径向向外定位。主圆周可由主直径限定,内圆周可由内直径限定,并且外圆周可由外直径限定。例如,内直径可短于主直径,并且外直径可长于主直径。
任选地,如上所述,砧座例如可从打开位置运动到闭合位置,以便抵靠钉仓的组织厚度补偿件诸如组织厚度补偿件10020压紧组织。在各种情况下,在组织厚度补偿件相对于组织定位之前,组织厚度补偿件可邻近钉仓的支撑部分定位。组织厚度补偿件10020可处于如下位置:在该位置,在砧座被移动到其闭合位置之前,组织厚度补偿件邻接支撑部分10018。组织厚度补偿件10020可处于如下位置:在该位置,间隙存在于组织厚度补偿件10020和支撑部分10018之间。例如,砧座可使组织和组织厚度补偿件10020向下位移,直到组织厚度补偿件10020邻接支撑部分10018,其中在这个时候,砧座此时可运动到其闭合位置并且在组织内产生压缩。如果外科医生对砧座和钉仓之间的组织的定位感到不满意,则外科医生可打开砧座,调整砧座和钉仓的位置,并且再次闭合砧座。由于钉仓相对于组织的此类定位和重新定位,在各种情况下,组织厚度补偿件10020的远侧末端可例如与支撑部分10010分离。在一些此类情况下,组织厚度补偿件10020的远侧末端可接触组织,并从支撑部分10010剥离或相对于支撑部分10010卷起。任选地,如下文进一步所述,钉仓可包括能够将组织厚度补偿件可释放地保持到钉仓的下面的支撑部分的一个或多个结构。
现在参见图265,钉仓10300可包括支撑部分10310、由支撑部分10310支撑的组织厚度补偿件10320、以及包括鼻部10303的远侧末端10302,该鼻部能够将组织厚度补偿件10320的远侧末端10325可释放地保持在适当位置。鼻部10303可包括能够接收组织厚度补偿件10320的远侧末端10325的狭槽10305。远侧末端10325可被压缩或楔入在狭槽10305中,使得当钉仓10300相对于组织定位时,远侧末端10325可被保持在适当位置。例如,狭槽10305可沿平行于或至少基本平行于支撑部分10310的平台表面10311的方向取向。狭槽10305可相对于平台表面10311为水平的。作为另外一种选择,现在参见图266,钉仓10400可包括支撑部分、由支撑部分支撑的组织厚度补偿件10420、以及包括鼻部10403的远侧末端10402,该鼻部能够将组织厚度补偿件10420的远侧末端10425可释放地保持在适当位置。远侧末端10425可包括从其延伸的突出部,并且鼻部10403可包括能够接收远侧末端10425的突出部的竖直狭槽10405。远侧末端10425和/或从其延伸的突出部可被压缩或楔入在狭槽10405中,使得当钉仓10400相对于组织定位时,远侧末端10425可被保持在适当位置。组织厚度补偿件10420例如可包括狭槽诸如狭槽10429,该狭槽能够在其中接收鼻部10403的至少一部分。狭槽10405可沿垂直于或至少基本垂直于支撑部分的平台表面10411的方向取向。现在参见图267,钉仓10500可包括支撑部分、由支撑部分支撑的组织厚度补偿件10520、以及包括鼻部的远侧末端10502,该鼻部能够将组织厚度补偿件10520的远侧末端10525可释放地保持在适当位置。鼻部可包括能够接收组织厚度补偿件10520的远侧末端10525的狭槽10505。远侧末端10525可被压缩或楔入在狭槽10505中,使得当钉仓10500相对于组织定位时,远侧末端10525可被保持在适当位置。
再次参见图265,组织厚度补偿件10320可包括顶部表面10324,该顶部表面可被定位在鼻部10303的顶部表面10304上方。图238示出了另一个例子,在该例子中,组织厚度补偿件的顶部表面被定位在钉仓的鼻部上方,其中组织厚度补偿件10720的顶部表面10721例如被定位在鼻部10003的顶部表面10004上方。在使用中,再次参见图265,组织可在鼻部10303的顶部表面10304之上滑动,并且在一些情况下,组织可接触组织厚度补偿件10320的远侧末端10325,并且可将力施加到组织厚度补偿件10320,从而使组织厚度补偿件10320从支撑部分10310剥离。该剥离力可被鼻部10303内楔入的远侧末端10325的部分所抵抗。在任何情况下,一旦组织已相对于钉仓13000恰当定位,砧座可被旋转到闭合位置以抵靠支撑部分10310压缩组织和组织厚度补偿件10320。例如,砧座可被旋转到如下位置:在该位置,砧座接触鼻部10303的顶部表面10304,因此可防止砧座进一步旋转。在各种情况下,由于组织厚度补偿件10320的顶部表面10324被定位在鼻部10303的顶部表面10304上方,当砧座正被闭合时,顶部表面10324可朝支撑部分10310被向下推动,并且在一些情况下,顶部表面10324例如可被推动到鼻部10303的顶部表面10304下方。如本文所述,当容纳在钉仓10300内的钉已被部署并且组织厚度补偿件10320已被切割后,支撑部分10310和鼻部10303可运动远离组织厚度补偿件10320,使得组织厚度补偿件10320的远侧末端10325可滑出狭槽10305。
如上所述,砧座(诸如砧座10060)例如可被旋转到闭合位置,其中砧座10060接触钉仓(诸如钉仓10000)的顶部鼻部表面10004。一旦砧座已到达其闭合位置,则组织厚度补偿件(诸如组织厚度补偿件10020)被压缩的量除了别的之外将取决于组织厚度补偿件的未压缩厚度或高度以及组织的厚度。现在参见图236和图237,组织厚度补偿件10920可包括与鼻部10003的顶部表面10004齐平或至少基本齐平的顶部表面。在这种情况下,组织厚度补偿件10920的顶部表面可被推动到鼻部10003的顶部表面10004下方。现在参见图241和图242,组织厚度补偿件(诸如组织厚度补偿件10820)例如可包括顶部表面10821,在组织厚度补偿件10820被组织T和砧座10060压缩之前,该顶部表面被定位在顶部鼻部表面10004下方。如图239和图240所示,在组织T相对较薄的情况下,组织厚度补偿件10920可能经受相对较小的压缩。现在参见图241和图242,当组织T相对较厚时,组织厚度补偿件10820可能经受较大的压缩。如图243和图244所示,在组织T同时具有薄段和较厚段的情况下,组织厚度补偿件10820可当其被定位在较厚组织T下面时被压缩较大量,并且当其被定位在较薄组织下面时被压缩较小的量。如上所述,以这种方式,组织厚度补偿件可补偿不同的组织厚度。
现在参见图268-270,外科缝合器械可包括一、能够接收钉仓16600的仓通道16670,以及二、以能够枢转的方式联接至仓通道16670的砧座16660。钉仓16600可包括支撑部分16610和组织厚度补偿件16620,其中组织厚度补偿件16620的远侧末端16625可由钉仓16600的远侧末端16602处的鼻部16603可释放地保持到支撑部分16610。鼻部16603可包括狭槽16605,并且可由柔性材料构成。在使用中,首先参见图269,鼻部16603可向下挠曲,以便扩大狭槽16605的开口。鼻部16603可包括凹口或切口16606,该凹口或切口能够使鼻部16603向下挠曲。在任何情况下,在各种情况下,狭槽16605的扩大的开口可有利于将组织厚度补偿件16620的远侧末端16625插入狭槽16605中。一旦组织厚度补偿件16620已恰当定位,鼻部16603可被释放,并且由于组成鼻部16603的材料的回弹力,鼻部16603可返回或至少基本返回至其未挠曲状态,并在平台表面16611上捕获组织厚度补偿件16620的远侧末端16625,如图270所示。在使用中,类似于上文所述,当支撑部分16610运动远离缝合的组织时,远侧末端16625可被牵拉出狭槽16605。在各种情况下,当组织厚度补偿件16620与支撑部分16610分离时,柔性鼻部16603能够偏转。再次参见图270,组织厚度补偿件16620可包括与鼻部16603的顶部表面16604对齐或至少基本对齐的顶部表面16621。
参见图271,外科缝合器械可包括1)能够接收钉仓10700的通道10770,以及2)可旋转地联接至通道10770的砧座10760。钉仓10700可包括支撑部分10710和组织厚度补偿件10720。组织厚度补偿件10720可由鼻部套10703保持就位,该鼻部套可在支撑部分10710之上滑动。首先参见图272,鼻部套10703可包括一个或多个侧狭槽10707,该一个或多个侧狭槽能够可移除地接收例如沿支撑部分10710延伸的一个或多个附接导轨。组织厚度补偿件10720可被定位在侧狭槽10707中间。鼻部套10703还可包括远侧末端10702和限定在远侧末端10702中的腔10706,其中腔10706还能够在其中接收例如支撑部分10710的至少一部分。在使用中,鼻部套10703可在支撑部分10710上从远侧至近侧的方向滑动。组织厚度补偿件10720可被可移除地安装至鼻部套10703,使得在钉已击发穿过组织厚度补偿件10720后,当支撑部分10710和鼻部套10703运动远离组织厚度补偿件10720时,组织厚度补偿件10720可与鼻部套10703分离。组织厚度补偿件10720的顶部表面10721可被定位在鼻部10703的顶部表面10704下方。
现在参见图273和图274,外科缝合器械可包括1)能够接收钉仓11000的钉仓通道11070,以及2)可旋转地联接至通道11070的砧座11060。钉仓11000可包括支撑部分11010和组织厚度补偿件11020。组织厚度补偿件11020可由从支撑部分11010的平台11011延伸的一个或多个纵向导轨11019保持就位。纵向导轨11019可被嵌入在组织厚度补偿件11020中。首先参见图274,组织厚度补偿件11020可包括能够接收纵向导轨11019的纵向凹槽11029。例如,凹槽11029的尺寸可设定成并且能够接收例如压配式构造的导轨11019。对上文进行进一步描述,此类特征结构能够防止或至少限制组织厚度补偿件11020和支撑部分11010之间相对的侧向运动,并且此外,限制组织厚度补偿件11020例如被过早地从支撑部分11010释放。现在参见图275,外科缝合器械可包括1)能够接收钉仓11100的钉仓通道11170,以及2)可旋转地联接至通道11170的砧座11160。钉仓11100可包括支撑部分11110和组织厚度补偿件11120。组织厚度补偿件11120可由从支撑部分11110的平台11111延伸的一个或多个纵行长钉或齿状物11119保持就位。纵行长钉11119可被嵌入在组织厚度补偿件11120中。
参照图273,对上文进行进一步描述,当钉从限定在其中的钉腔10012被射出时,钉仓11000的组织厚度补偿件11020可从支撑部分11010被逐渐释放。更具体地,对上文进行进一步描述,定位在钉腔10012中的钉可在钉仓11000的近侧末端11001和钉仓11000的远侧末端11002之间被依次射出,使得当钉被射出时,钉将向上的偏置力施加到组织厚度补偿件11020,该偏置力作用以将组织厚度补偿件11020推离导轨11019。在这种情况下,当钉从最近侧钉腔10012被射出时,组织厚度补偿件11020的近侧末端11006可从支撑部分11010被释放。当钉从钉仓11000的近侧末端11001和远侧末端11002之间的支撑部分11010被逐渐射出时,组织厚度补偿件11020随后可从支撑部分11010被逐渐释放。当定位在最远侧钉腔10012内的钉从支撑部分11010被射出时,组织厚度补偿件11020的远侧末端11007可从支撑部分11010被释放。参照图275,当钉从近侧末端11101和远侧末端11102之间的钉仓被逐渐射出时,组织厚度补偿件11120可从自支撑部分11110延伸的长钉1119被逐渐释放。
如上所述,当钉从支撑部分被逐渐射出并接触组织厚度补偿件时,组织厚度补偿件可从钉仓的支撑部分被逐渐释放。例如在没有将组织厚度补偿件从支撑部分释放的情况下,钉的腿诸如钉腿10032能够穿过组织厚度补偿件。在此类情况下,组织厚度补偿件可保持与支撑部分接合,直到钉的基部诸如基部10031接触组织厚度补偿件并将其向上推动。然而,任选地,防滑钉和/或从支撑部分延伸的其他保持特征结构例如可阻碍组织厚度补偿件从支撑部分的释放。如下文更详细所述,支撑部分可包括保持特征结构,当钉从钉仓被逐渐击发时,该保持特征结构能够逐渐将组织厚度补偿件从支撑部分释放。现在参见图283,钉仓诸如钉仓11200例如可包括支撑部分11210,该支撑部分包括能够将组织厚度补偿件11220(图284)可释放地保持到支撑部分11210的保持特征结构11213。保持特征结构11213可被定位在例如每个钉腔11212的端部处,其中每个保持特征结构11213可包括限定在其中的导向沟槽11216,该导向沟槽能够可滑动地接收钉10030的钉腿10032。在此类情况下,钉腿10032和保持特征结构11213能够将组织厚度补偿件11220可释放地保持到支撑部分11210。在使用中,现在参见图284,容纳在支撑部分11210内的钉驱动器10040可由滑动件10050向上驱动,如上所述,其中钉驱动器10040能够接触保持特征结构11213,使保持特征结构11213与支撑部分11210至少部分地分离,并且使保持特征结构11213向外并远离钉10030和钉腔11212位移。当保持特征结构11213与支撑部分11210分离和/或向外位移时,如图284所示,保持特征结构11213可不再能够将组织厚度补偿件11220保持到支撑部分11210,因此,组织厚度补偿件11220可从支撑部分11210被释放。类似于上文所述,当钉10030例如从钉仓朝砧座诸如砧座11260被逐渐射出时,组织厚度补偿件11220可从支撑部分11210被逐渐释放。当钉驱动器10040的顶部表面例如与支撑部分11210的平台表面11211共平面或至少基本上共平面时,钉驱动器10040可接触保持特征结构11213。在此类情况下,在钉10030被形成为其完全成形或完全击发构型的同时和/或就在钉10030被形成为其完全成形或完全击发构型之前,组织厚度补偿件11220可从支撑部分11210释放。例如,首先参见图285,驱动器10040可被过度驱动,使得其被推动到平台表面11211上方以使钉10030完全成形,并且在被过度驱动的过程期间,使保持特征结构11213与支撑部分11210脱离。再次参见图284,保持特征结构11213在分离或向外位移之前可延伸到或悬垂到钉腔11212之上并进入到钉腔中,使得刚好当驱动器10040到达平台表面11211时,驱动器10040可接触保持特征结构11213。在任何情况下,一旦组织厚度补偿件11220已从支撑部分11210被释放,现在参见图285,则支撑部分11210可运动远离植入的组织厚度补偿件11220。
如上所述,当钉从钉仓被击发或部署时,钉仓的可压缩的组织厚度补偿件可从钉仓的支撑部分或仓体被逐渐释放。在各种情况下,此类释放可包括使组织厚度补偿件从支撑部分逐渐松开,其中在一些情况下,直到砧座被打开并且支撑部分运动远离植入的组织厚度补偿件,组织厚度补偿件才可能与支撑部分完全分离。现在参见图289,钉仓诸如钉仓11300例如可包括可释放地保持到支撑部分11310的组织厚度补偿件11320。支撑部分11310可包括从其延伸的多个保持构件11313,该多个保持构件能够将组织厚度补偿件11320的纵向侧可释放地压缩并保持到支撑部分11310。例如,每个保持构件11313可包括能够在其中接收组织厚度补偿件11320的纵向侧的面向内的通道或狭槽11316。在各种情况下,多个保持构件11313可沿支撑部分11310的第一纵向侧延伸,并且多个保持构件11313可沿支撑部分11310的第二纵向侧延伸。其中,在某些情况下,保持构件11313能够防止或至少限制组织厚度补偿件11320和支撑部分11310之间相对的侧向运动,并且此外防止或至少限制组织厚度补偿件11320过早地从支撑部分11310释放。保持构件11313可与支撑部分11310一体成型,并且参见图290,保持构件11313能够与支撑部分11310分离或至少部分分离,以便使组织厚度补偿件11320与支撑部分11310分离,例如如图291所示。砧座诸如砧座11360例如能够压缩组织厚度补偿件11320,并且响应于组织厚度补偿件11320中产生的压力,组织厚度补偿件11320可侧向扩展至使保持构件11313与组织厚度补偿件11320至少部分地分离或脱离。如上所述,推进刀构件穿过砧座11360和钉仓11300可部署被容纳在其中的钉,并且同时挤压砧座11360和钉仓11300使其更靠近彼此,这可将增加的压缩力施加到组织厚度补偿件11320,从而当刀构件穿过钉仓11300时使保持构件11313依次分离。
现在参见图292-294,钉仓诸如钉仓11400例如可包括可移除地附接到支撑部分11410的组织厚度补偿件11420。钉仓11400可包括能够将组织厚度补偿件11420的纵向侧保持到平台表面11411的一个或多个保持器杆11413。例如,每个保持器杆11413可包括相对臂11418,该相对臂可限定其间的通道11416。在此类情况下,臂11418中的一个能够延伸到组织厚度补偿件11420之上,并且另一个臂11418能够延伸到从支撑部分11410延伸的唇缘11419下面。首先参见图292,每个保持器杆11413的通道11416的尺寸可设定成并且能够在使用钉仓11400前将压缩力施加到组织厚度补偿件11420的纵向侧。在使用期间,首先参见图293,钉仓11400可被定位在钉仓通道内,并且一旦钉仓11400已恰当定位,砧座诸如砧座11460例如可运动到其可压缩组织厚度补偿件11420的位置中。类似于上文所述,当被压缩时,组织厚度补偿件11420可侧向或向外扩展,并因此使保持器杆11413与钉仓11400分离。砧座11460的闭合可使保持器杆11413不与钉仓分离或不与钉仓完全分离。例如,如上所述,推进击发杆穿过钉仓11400可从支撑部分11410部署钉10030,并且同时挤压砧座11460和钉仓11400使其更靠近彼此,以便将压缩力施加到组织厚度补偿件11420,该压缩力足以使组织厚度补偿件11420侧向扩展,并且使保持器杆11413与钉仓11400分离。一旦保持器杆11413已与钉仓11400分离,参见图294,支撑部分11410可运动远离植入的组织厚度补偿件11420并从手术部位移除。作为另外一种选择,现在参见图295,钉仓11400’可包括保持器杆11413’,该保持器杆类似于上文所述可包括从其延伸的臂11418’。例如,臂11418’中的每个可包括能够将保持器杆11413’可释放地闩锁到钉仓11400’的楔-锁斜面11417’。更具体地,钉仓11400’的支撑部分11410’可包括底切11419’,该底切与楔-锁斜面11417’协作,能够将保持器杆11413’可释放地保持到钉仓11400,并抑制组织厚度补偿件11420过早地与支撑部分11410’分离。在使用期间,类似于上文所述,当足够的压缩力被施加到组织厚度补偿件11420时,保持器杆11413’可与钉仓11400’分离。
在各种情况下,如上所述并再次参见图259和260,钉仓10000的滑动件10050和外科缝合器械的击发构件10052可从钉仓10000的近侧末端10001运动到钉仓10000的远侧末端10002(图219),以便从支撑部分10010部署钉10030。在至少一种此类情况下,每个钉10030可从未击发位置运动到击发位置,并从支撑部分10010射出以在定位于砧座10060和钉仓10000之间的组织上捕获整个组织厚度补偿件10020。在某些情况下,外科医生可能不需要从钉仓10000中击发所有钉10030,并且外科医生可能使滑动件10050和击发杆10052的前进被阻挡于位于钉仓10000的近侧末端10001和远侧末端10002中间的点处。在这种情况下,组织厚度补偿件10020可仅被部分植入组织T内,以便使组织厚度补偿件10020的未植入部分与支撑部分10010分离。外科医生可将支撑部分10010远离部分植入的组织厚度补偿件10020牵拉,使得未植入部分从支撑部分10010剥离或脱落。尽管这些例子适于各种情况,但图300-302示出了改进,其中组织厚度补偿件诸如钉仓11500的组织厚度补偿件11520例如可包括能够彼此分离的多个连接片段。例如,组织厚度补偿件11520可包括第一或最近侧片段11520a、可移除地连接至第一片段11520a的第二片段11520b、可移除地连接至第二片段11520b的第三片段11520c、可移除地连接至第三片段11520c的第四片段11520d和可移除地连接至第四片段11520d的第五片段11520e。组织厚度补偿件11520可包括定位在任意两个相邻片段11520a-11520e中间的能够限定预定的破裂点或分离点的至少一个薄段11529,组织厚度补偿件片段可在该破裂点或分离点彼此分离。组织厚度补偿件可包括任何合适的穿孔构造、薄段、和/或用于在组织厚度补偿件内产生分离点的任何其他装置。首先参见图301,砧座11560示为处于闭合位置,并且击发构件10052示为已被部分推进穿过钉仓11500,使得第一片段11520a、第二片段11520b和第三片段11520c下面的钉10030被击发以在组织T上捕获组织厚度补偿件11520。在该位置,击发构件10052还未被推进以部署例如第四片段11520d和第五片段11520e下面的钉10030。现在参见图302,砧座11560已运动到打开位置,并且钉仓11500的支撑部分11510已运动远离组织厚度补偿件11520的植入部分。如图302所示,位于第三片段11520c和第四片段11520d中间的薄段11529(图300)已使组织厚度补偿件11520的未植入部分与植入部分分离。
对上文进行进一步描述,钉仓可包括多个紧固件,该多个紧固件能够将组织厚度补偿件可释放地保持到钉仓的支撑部分。支撑部分可包括例如限定在平台表面中的多个孔,其中紧固件可延伸穿过组织厚度补偿件并且可被可释放地保持在支撑部分孔中。在使用中,当钉从支撑部分被逐渐射出时,紧固件可从支撑部分被逐渐释放。例如,紧固件可随组织厚度补偿件一起被植入,并且紧固件可例如由至少一种可生物吸收的材料构成。在组织厚度补偿件已被至少部分植入之后,并且当支撑部分运动远离植入的组织厚度补偿件时,紧固件可与支撑部分分离。现在参见图323-325,钉仓诸如钉仓11600例如可包括通过多个紧固件11613被可释放地安装到支撑部分11610的组织厚度补偿件11620。每个紧固件11613可包括嵌入组织厚度补偿件11620内和/或与组织厚度补偿件11620接合的第一末端11618、与支撑部分11610接合的第二末端11618、以及将第一末端11618连接至第二末端11618的连接器11616。紧固件11613可延伸穿过限定在支撑部分11610中的刀狭槽11615。在使用中,如上所述,击发构件10052可使刀刃运动穿过支撑部分11610中的刀狭槽11615并且切割紧固件11613,以便从支撑部分11610释放组织厚度补偿件11620。例如,击发杆10052可从钉仓11600的近侧末端11601被推进到钉仓11600的远侧末端11602,以便1)将滑动件10050朝远侧推进并逐渐击发钉10030,如上所述,并且2)逐渐切割紧固件11613和/或使紧固件11613断裂以从支撑部分11610逐渐释放组织厚度补偿件11620。类似于上文所述,组织厚度补偿件11620可包括多个可分离片段11620a-11620e,该多个可分离片段例如可各自通过一个或多个紧固件11613保持到支撑部分11610。如图324所示,如果击发构件10052被阻挡于钉仓11600的近侧末端11601和远侧末端11602中间,在砧座11660被打开并且支撑部分11610运动远离组织T之后,如图325所示,紧固件11613可有助于将组织厚度补偿件11620的未植入部分保持到支撑部分11610。对上文进行进一步描述,击发构件10052的切刃10053能够切割紧固件11613和/或使紧固件11613断裂。作为另外一种选择,现在参见图327和328,钉部署滑动件诸如滑动件11650例如可包括刀刃11653,当滑动件11650横贯钉仓11600时,该刀刃能够切割紧固件11613的连接器11616。例如,每个连接器11616可包括在紧固件11613的T形端部11618之间延伸的圆柱形构件,其中刀刃11653可包括内弧形面11653,该内弧形面例如能够接收圆柱形连接器11616。
如上所述,钉仓可被装载到外科缝合器械的钉仓通道内。在各种情况下,外科医生或其他临床医生可通过将向下的力施加到钉仓上而将钉仓插入钉仓通道中以将钉仓锁定就位。在某些此类情况下,临床医生可例如将其拇指放置在钉仓的顶部表面上来施加此类向下的力。钉仓的顶部表面可包括组织厚度补偿件的顶部表面,其中,如上所述,组织厚度补偿件可为可压缩的,并且施加到组织厚度补偿件的向下的力可使组织厚度补偿件压缩到如下的点:在该点,临床医生的拇指与储存在支撑部分中的钉的顶端接触。根据本发明,可利用钉仓施用装置将钉仓插入钉仓通道中,该钉仓施用装置能够防止或至少限制临床医生触碰到钉仓中的钉的可能性。在钉仓已被正确定位在钉仓通道中之后,如下文更详细所述,施用装置可与钉仓分离。
现在参见图305和306,钉仓施用装置可例如包括可附接到钉仓10000的刚性盖诸如盖10080。对上文进行进一步描述,当钉仓10000被插入钉仓通道中时,盖10080能够例如防止或至少抑制临床医生的拇指接触定位在钉仓10000内的钉10030的顶端。现在参见图307和308,盖10080可延伸到组织厚度补偿件10020的顶部表面10021或顶部表面10021的至少一部分之上,并且可包括1)可延伸到组织厚度补偿件10020之上和/或邻接组织厚度补偿件10020的底部表面10081,以及2)可为临床医生提供按压表面以向其施加向下的力的顶部表面10082。在使用中,临床医生可抓握盖10080的柄部部分10084,将钉仓10000的支撑部分10010与钉仓通道对齐,并至少部分地将钉仓10000插入钉仓通道内。然后,临床医生可通过向盖10880的顶部表面10082施加向下的力来使钉仓10000完全坐置在钉仓通道中,该向下的力可被直接传递到支撑部分10010。例如,盖10080可包括近侧支撑件10087,该支撑件可向下延伸并接触支撑部分的平台表面10011。盖10080还可包括能够邻接鼻部10003的远侧支撑部分10083。当向盖10080施加向下的力时,该向下的力可通过近侧支撑件10087和/或远侧支撑部分10083被传递,而不会或至少基本上不会将该向下的力通过组织厚度补偿件10020传递到支撑部分10010。在各种情况下,由于上文所述,临床医生可不直接接触组织厚度补偿件10020。还由于上文所述,当钉仓10000被插入钉仓通道中时,盖10080可不压缩或至少基本上不压缩组织厚度补偿件10020。根据本发明,盖可包括任何合适数量的支撑件,该支撑件能够将向下的力传递到支撑部分,而不会或至少基本上不会通过组织厚度补偿件传递该向下的力。支撑件可延伸到组织厚度补偿件的近侧末端、远侧末端、和/或纵向侧的周围。支撑件可延伸穿过组织厚度补偿件。例如,支撑件可延伸穿过组织厚度补偿件中的孔并邻接支撑部分的平台。支撑件中的至少一些可在向下的力施加到盖之前不接触平台;然而,盖能够向下挠曲或运动,直至支撑件接触支撑部分的平台。此时,可阻止或至少基本上阻止盖的向下的挠曲或运动进一步挠曲。
如上所述,盖10080可附接到钉仓10000并可用于调控钉仓10000的位置。盖10080可包括任何合适数量的夹持构件,该夹持构件例如能够将盖10080可释放地保持到钉仓10000的支撑部分10010。例如,盖10080例如还可包括一个或多个保持构件,诸如锁臂10088和/或10089。锁臂10089能够延伸到鼻部10003的侧面周围并接合鼻部10003的底部表面10009(图306)。相似地,锁臂10088可延伸到锁突出部10008的侧面周围,该锁突出部从支撑部分10010延伸并接合锁突出部10008的底部表面。这些锁臂能够将盖10080定位在如下区或区域之上:在该区或区域中,钉被储存在支撑部分10010中。在任何情况下,一旦钉仓10000已被正确定位,盖10080可与钉仓10000分离。临床医生可向柄部10084施加向上的提升力,以便将盖10080的远侧末端与钉仓10000的远侧末端10002分离。例如,在柄部10084被向上抬起时,锁臂10088和10089可向外挠曲,使得锁臂10088和10089可分别围绕锁突出部10008和鼻部10003挠曲。然后,盖10080的近侧末端可被提离钉仓的近侧末端10001,并且盖10080可运动远离钉仓10000。
现在参见图309和图310,除了将钉仓诸如钉仓10600例如定位在钉仓通道内之外,钉仓施用装置诸如钉仓施用装置10680例如还能够将上部组织厚度补偿件诸如组织厚度补偿件10690例如相对于砧座定位。类似于上文所述,施用装置10680可包括能够与锁突出部10608可释放地接合的锁臂10688,该锁突出部从钉仓10600的支撑部分10610延伸,使得施用装置10680可被保持在钉仓10600的组织厚度补偿件10620之上的位置处。上部组织厚度补偿件10690能够可移除地附接到钉仓施用装置10680,使得外科器械的砧座诸如砧座10060例如可在施用装置10680上闭合,接合组织厚度补偿件10690,并使组织厚度补偿件10690与施用装置10680分离。组织厚度补偿件10690和/或砧座10060可包括一个或多个保持特征结构,该保持特征结构能够将组织厚度补偿件10690可释放地保持到砧座10060。例如,组织厚度补偿件10690可包括例如从组织厚度补偿件10690的顶部表面10691延伸的纵向导轨10695,该纵向导轨可被接收于限定在砧座10060内的纵向刀狭槽10065中。组织厚度补偿件10690和纵向导轨10695可例如由任何合适的可压缩材料构成,诸如描述于该专利申请中的那些,其中纵向导轨10695例如可被压缩和/或楔入在刀狭槽10065内。一旦砧座10060已与组织厚度补偿件10690接合,则砧座10060可返回到打开位置,并且在这种情况下,组织厚度补偿件10690可与施用装置10680分离。然后,施用装置10680可与钉仓10600分离,使得砧座10060和钉仓10600可相对于将被缝合和/或切割的组织定位。在使用中,钉部署滑动件诸如滑动件10050(图236)例如可由击发构件10052(图236)朝远侧推进穿过钉仓10600,例如以便将钉从钉仓10060射出,如上所述。由于钉变形,因此每个钉可捕获抵靠组织的顶部表面的组织厚度补偿件10690的一部分并且捕获抵靠组织的底部表面的组织厚度补偿件10620的一部分。同时,击发构件10052可推进刀刃10053(图236)穿过组织厚度补偿件10620和/或组织厚度补偿件10690,其中刀刃10053可通过纵向导轨10695被推进,以便切割导轨10695并且使组织厚度补偿件10690与砧座10060逐渐分离。在钉已被部署之后,砧座10060可被再次打开并运动远离植入的组织厚度补偿件10690,并且类似地,钉仓10600的支撑部分10610可运动远离植入的组织厚度补偿件10620。对上文进行进一步描述,组织厚度补偿件10620和/或组织厚度补偿件10690可包括多个可分离片段。如果仅组织厚度补偿件10620和10690的部分被通过钉植入时,可分离片段能够彼此分离。
对上文进行进一步描述,施用装置10680可包括能够将组织厚度补偿件10690可释放地保持到施用装置10680的一个或多个保持特征结构。例如,首先参见图310,施用装置10680可包括能够被接收在纵向保持狭槽10694中的纵向保持导轨10685,该纵向保持狭槽以压配合方式被限定在组织厚度补偿件10690的底部表面10692中。在各种情况下,保持导轨10685和保持狭槽10694能够将组织厚度补偿件10690保持到施用装置10680,直到通过砧座10060向组织厚度补偿件10690施加足够的向上的提升力,如上所述。例如,从施用装置10680延伸的保持导轨10685还可包括定位在保持导轨10685的近侧末端和远侧末端处的端部止挡件10686,该端部止挡件能够防止或至少限制组织厚度补偿件10690和施用装置10680之间的相对纵向运动。再次参见图310,一种或多种粘合剂诸如纵向粘合带10693例如可被置于组织厚度补偿件10690的接触表面10691上,使得当砧座10060接触组织厚度补偿件10690时,如上所述,粘合剂能够将组织厚度补偿件10690可释放地附接到砧座10060。任选地,除了上述可压缩的保持特征结构外或代替上述可压缩的保持特征结构,例如可使用一种或多种粘合剂。可使用一种或多种粘合剂将组织厚度补偿件可释放地保持到钉仓施用装置。现在参见图310A,盖10080例如可包括一个或多个粘结垫12185,该一个或多个粘结垫能够将上部组织厚度补偿件诸如组织厚度补偿件12190例如可释放地保持到盖10080的顶部表面10082。例如,类似于上文所述,砧座可在组织厚度补偿件12190上被闭合以接合组织厚度补偿件12190的纵向保持导轨12195。释放机构可被定位在组织厚度补偿件12190和盖10080中间。该释放机构可用于打破将组织厚度补偿件12190保持到盖10080的粘结,并且使组织厚度补偿件12190与盖10080分离。释放机构可包括拉舌12196和套环12197,其中套环12197可包括附接到拉舌12196的第一末端和第二末端。套环12197可例如包括缝线,该缝线可限定界定粘结垫12185的周边,使得当拉舌12196朝远侧被牵拉时,缝线可在组织厚度补偿件12190和盖10080之间滑动并接触组织垫12185。在这种情况下,缝线例如可完成以下功能中的至少一种:使粘结垫12185与组织厚度补偿件12190分离;使粘结垫12185与盖10080分离;和/或切断粘结垫12185。
现在参见图311,钉仓可例如包括支撑部分10710。类似于上文所述,该支撑部分可包括贯穿延伸的纵向刀狭槽10715。例如,钉仓施用装置诸如施用装置10780例如可包括纵向保持和对齐构件10786,该纵向保持和对齐构件可延伸到支撑部分10710中的刀狭槽10715内。保持构件10786例如能够以压配合方式接合刀狭槽10715的侧壁,使得施用装置10780能够被可释放地保持到支撑部分10710。任选地,尽管未示出,组织厚度补偿件的第一部分可被定位在保持构件10786的第一侧上,并且组织厚度补偿件的第二部分可被定位在保持构件10786的相对的或第二侧上。类似于上文所述,组织厚度补偿件的第一部分和第二部分例如可通过保持构件10013被安装到钉仓的支撑部分10710。还类似于上文所述,上部组织厚度补偿件10790能够通过从施用装置10780的装载表面10782延伸的纵向保持构件10785而被可移除地安装到施用装置10780。其中保持构件10785例如能够被可释放地压配到限定在组织厚度补偿件10790的底部表面10792中的纵向狭槽10794内。任选地,还类似于上文所述,组织厚度补偿件10790还可包括从组织厚度补偿件10790的顶部表面10791延伸的纵向保持构件10795,该纵向保持构件例如能够被可释放地保持在限定于砧座10060内的纵向刀狭槽10065中。例如,纵向保持构件10795可包括楔形横截面,该楔形横截面包括大于底部的顶部,其中底部例如可将保持构件10795附接到组织厚度补偿件10790。
现在参见图312和图313,例如,可使用钉仓施用装置10880将包括支撑部分10810和组织厚度补偿件10820的钉仓10800装载到钉仓通道中。类似于上文所述,钉仓施用装置10880例如还能够将上部组织厚度补偿件10890相对于砧座诸如砧座10060定位,使得当砧座10060闭合时,砧座10060可接触并接合组织厚度补偿件10890。组织厚度补偿件10890可包括从组织厚度补偿件10890的顶部表面10891延伸的多个保持腿10895,该保持腿能够接合砧座10060并将组织厚度补偿件10890可释放地保持到砧座10060。例如,腿10895可被布置成纵向行,其中每个腿10895可包括至少一个脚,该脚能够进入并接合被限定在砧座10060中的刀狭槽10065。腿10895的一些脚可沿一个方向延伸,而其他脚可沿另一个方向延伸。一些脚可沿相对的方向延伸。在任何情况下,一旦砧座10060已与组织厚度补偿件10890接合,现在参见图313和314,砧座10060可被再次打开,并且临床医生可将钉仓施用装置10880移离组织厚度补偿件10820和10890。然后,参见图314A,上部组织厚度补偿件10890可被定位在目标组织的第一侧,并且可包括下部组织厚度补偿件的组织厚度补偿件10820可被定位在组织的第二侧上。当组织厚度补偿件10820和10890已被正确定位后,现在参见图314B,击发构件的刀刃诸如刀刃10053例如可被推进穿过组织和组织厚度补偿件。现在参见图318,钉仓施用装置诸如施用装置12280例如可包括可分离地安装到其的组织厚度补偿件12290。如图319所示,当砧座10060运动到闭合位置时,该组织厚度补偿件可类似于上文所述被插入钉仓通道中并由砧座10060接合。例如,组织厚度补偿件12290可包括从组织厚度补偿件12290的顶部表面12291向上延伸的多个保持构件12295。其中每个保持构件12295可包括多个柔性腿12296,该多个柔性腿能够插入砧座10060中的刀狭槽10065内。首先参见图321和322,每个保持构件12295的柔性腿12296可被间隙12298分开,使得当腿12296插入刀狭槽10065中时,腿12296可向内挠曲,并且一旦柔性腿12296的扩大的脚已穿过刀狭槽10065,则腿12296随后向外弹性返回。柔性腿12296的扩大的脚可在被限定于砧座10060中的相对的保持唇缘12297后面挠曲,并且由于腿12296和唇缘12297的相互作用,组织厚度补偿件12290可被保持到砧座10060。然后,钉仓施用装置12280可运动远离组织厚度补偿件12290,如图320所示。在使用中,一旦组织厚度补偿件12290例如已通过从钉仓10000部署的钉抵靠组织而被植入,则砧座10060可被再次打开,并且当砧座10060运动远离植入的组织厚度补偿件12290时,保持构件12995的腿12296可向内挠曲,使得其可从刀狭槽10065被牵拉出。
现在参见图315和图316,组织厚度补偿件诸如组织厚度补偿件11990例如可被纵向装载到砧座诸如砧座11960中。更具体地,组织厚度补偿件11990可包括一个或多个纵向导轨11995,该一个或多个纵向导轨可插入砧座11960的刀狭槽11965中的远侧开口内,并随后朝近侧推动,直到组织厚度补偿件11990已恰当地坐置在砧座11960中。例如,每个导轨11995可包括可被定位在纵向保持唇缘11997后面的纵向保持脚11996,该纵向保持唇缘例如至少部分限定刀狭槽11965。如图316所示,脚11996可沿相对的方向延伸,以便被定位在保持唇缘11997的后面,该保持唇缘被定位在刀狭槽11965的相对侧上。根据本发明,纵向间隙11998可被限定在导轨11995之间,当组织厚度补偿件11990与砧座11960分离时,该纵向间隙能够使导轨11995朝向彼此向内挠曲。现在参见图317,组织厚度补偿件诸如组织厚度补偿件12090例如可包括延伸到砧座诸如砧座12060的侧面周围的一个或多个锁臂12098。在使用中,锁臂12098可接合砧座12060并将组织厚度补偿件12090可释放地保持到砧座12060。例如,砧座12060例如可包括一个或多个凹口或锁肩12097,该一个或多个凹口或锁肩各自能够接收从锁臂12098延伸的脚。在使用中,在组织厚度补偿件12090已至少被部分植入之后,当砧座12060运动远离组织厚度补偿件12090时,臂12098可向外挠曲且与砧座12060分离。
如上所述,外科缝合器械可包括能够接收钉仓的钉仓通道、可旋转地联接到钉仓通道的砧座、和包括刀刃的击发构件,该击发构件可相对于砧座和钉仓通道运动。在使用中,钉仓可被定位在钉仓通道内,并且当钉仓被至少部分地消耗后,钉仓可从钉仓通道移除并被新的钉仓替换。例如,外科缝合器械的钉仓通道、砧座、和/或击发构件可与替换钉仓一起被重复使用。作为另外一种选择,钉仓可包括一次性加载单元组件的一部分,该一次性加载单元组件例如可包括钉仓通道、砧座、和/或击发构件,这些可作为替换一次性加载单元组件的一部分随钉仓一起被替换。某些一次性加载单元组件公开于2008年2月15日提交的名称为“END EFFECTORCOUPLING ARRANGEMENTS FOR A SURGICAL CUTTING ANDSTAPLING INSTRUMENT”的美国专利申请No.12/031,817中,该专利申请的全部公开内容以引用方式并入本文。现在参见图370,一次性加载单元诸如一次性加载单元12500例如可包括支撑部分12510、可旋转地联接到支撑部分12510的砧座12560、以及从支撑部分12510延伸的伸长轴12570。类似于本文所述的钉仓,支撑部分12510可包括多个钉腔10012和钉,例如定位在每个钉腔10012中的钉10030。一次性加载单元12500还可包括击发构件12552,该击发构件可朝远侧被推进以便将砧座12560从打开位置运动到闭合位置,如图370所示。一次性加载单元12500还可包括定位在支撑部分12510上和/或附接到支撑部分12510的组织厚度补偿件12520。其中,当砧座12560处于其闭合位置时,砧座12560可被定位在组织厚度补偿件12520的对面,并且在一些情况下,当砧座12560处于其闭合位置时,砧座12560可至少部分地压缩组织厚度补偿件12520。在任一种情况下,击发构件12552可被进一步推进,以便将钉从支撑部分12510射出。当钉被射出后,钉可通过砧座12560变形,并捕获其中的组织厚度补偿件12520的至少一部分。然后,击发构件12552可朝近侧回缩,砧座12560可被再次打开,并且支撑部分12510可运动远离植入的组织厚度补偿件12520。
对上文进行进一步描述,组织厚度补偿件12520可被可分离地安装到支撑部分12510。例如,支撑部分12510可包括安装到其每个侧的纵向保持导轨12526,其中每个导轨12526可包括一个或多个孔12528,该一个或多个孔能够在其中接收组织厚度补偿件12520的至少一部分。一旦组织厚度补偿件12520已至少被部分植入,则在支撑部分12510被移离时可将组织厚度补偿件12520从孔12528中牵拉出。现在参见图371-373,一次性加载单元12600可包括支撑部分12610、可分离地安装到支撑部分12610的组织厚度补偿件12620,和一个或多个保持导轨12626,该一个或多个保持导轨能够在组织厚度补偿件12620下面延伸,并且将组织厚度补偿件12620安装到支撑部分12610。每个保持导轨12626例如可包括多个保持钩12628,该多个保持钩可通过例如限定在支撑部分12610中的保持狭槽12614接合到支撑部分12610。在使用中,例如,当组织厚度补偿件12620至少被部分植入并且支撑部分12610运动远离组织厚度补偿件12620之后,组织厚度补偿件12620能够与保持导轨12626分离。现在参见图374-376,一次性加载单元12700可包括一个或多个保持导轨12726,该一个或多个保持导轨可各自包括可在组织厚度补偿件12720下面延伸的底杆12725、以及可在组织厚度补偿件12620的顶部表面12621上方延伸的顶杆12727。组织厚度补偿件12620可在顶杆12727和底杆12725之间至少被部分压缩,使得保持导轨12726可相对于支撑部分12610可释放地保持组织厚度补偿件12620。例如,每个保持导轨12726可包括一个或多个保持钩12728,该一个或多个保持钩可与支撑部分12610接合以将保持导轨12726保持到支撑部分12610。
现在参见图377和图378,一次性加载单元12800可包括保持构件12822,该保持构件能够将组织厚度补偿件12620安装到支撑部分12610。例如,保持构件12822可包括抵靠支撑部分的平台表面12611定位的材料片,其中组织厚度补偿件12620例如可通过至少一种粘合剂附接到材料片。保持构件12822还可包括纵向保持导轨12825,该纵向保持导轨能够向下延伸到限定在支撑部分12610中的刀狭槽12615内。例如,保持导轨12825的尺寸可设定成并且被配置成使得其在刀狭槽12615的侧壁之间被压缩。在使用中,击发构件12552可包括刀刃,在击发构件12552朝远侧被推进并纵向横切组织厚度补偿件12620和保持导轨12825时,该刀刃可穿过刀狭槽12615。另外,在使用中,从支撑部分12610射出的钉可穿透保持构件12822、组织厚度补偿件12820、以及定位在组织厚度补偿件12820和砧座12560之间的组织。保持构件12822可由生物相容性和/或可生物吸收的材料构成。保持构件12822可由可充分压缩的材料构成,以包括组织厚度补偿件12620下面的组织厚度补偿件。现在参见图379-381,一次性加载单元12900可包括加载组件,该加载组件包括能够可移除地附接到支撑部分12610的底部12922、能够可移除地附接到砧座12560的顶部12990,以及连接底部12922和顶部12990的柔性接头12991。类似于上文所述,纵向保持导轨12825可从底部12922向下延伸到限定在支撑部分12610中的刀狭槽12615内,使得底部12922可被可释放地保持到支撑部分12610。相似地,纵向保持导轨12995可从顶部12990向上延伸到限定在砧座12560中的刀狭槽内,使得顶部12990可被可释放地保持到砧座12560。如图380和381所示,组织厚度补偿件12620可被安装到加载组件的底部12922,其中,为了相对于支撑部分12610定位组织厚度补偿件12620,临床医生可使顶部12990和底部12922朝彼此挠曲,将加载组件定位在砧座12560和支撑部分12610之间,并且释放挠曲的加载组件,使得加载组件可抵靠砧座12560来弹性扩展和偏置顶部12990,并抵靠支撑部分12610来弹性扩展和偏置底部12922。现在参见图382-384,加载组件还可包括例如从其延伸的一个或多个锁钩诸如锁钩12994,该锁钩能够将顶部12990可释放地连接至砧座12560,和/或将底部12922可释放地连接至支撑部分12610。
现在参见图385,一次性加载单元15900例如可包括砧座15960和钉仓通道15970,其中钉仓通道15970可相对于砧座15960旋转。例如,砧座15960可能不能旋转。组织可被定位在砧座15960和钉仓通道15970之间,并且随后钉仓通道15970可朝组织旋转以抵靠砧座夹持组织。例如,一次性加载单元15900还可包括能够接触组织的组织厚度补偿件15920。
如上所述并参见图332,钉仓诸如钉仓10000例如可包括支撑部分10010和组织厚度补偿件10020,其中多个钉10030可至少被部分储存在支撑部分10010中,并且当钉10030处于其未击发位置时可延伸到组织厚度补偿件10020中。当钉10030处于其未击发位置时,钉10030的顶端不从组织厚度补偿件10020突起。当钉10030被钉驱动器10040从其未击发位置运动到其击发位置时,如上所述,钉10030的顶端可穿过组织厚度补偿件10020和/或穿过上层或外皮10022。作为另外一种选择,当钉10030处于其未击发位置时,钉10030的顶端可凸穿组织厚度补偿件10020的顶部表面和/或外皮10022。在任一种情况下,当钉10030在被部署之前向上延伸出支撑部分10010时,钉10030可相对于支撑部分倾斜和/或偏转,同样如上所述。现在参见图329,钉仓诸如钉仓13000例如可包括多个导向构件或保持器,该多个导向构件或保持器能够限制钉仓13000的支撑部分13010和定位在其中的钉的顶端之间的相对运动。首先参见图330,钉仓13000可包括安装到支撑部分13010的组织厚度补偿件13020,以及此外附接到组织厚度补偿件13020的顶部表面13021的多个脱脂棉13022。任选地,每个脱脂棉13022可包括限定在其中的多个孔13029,该多个孔能够在其中可滑动地接收和/或引导钉13030的腿13022。除了孔之外或代替孔,脱脂棉例如可包括任何合适的开口,诸如狭槽、导向器、和/或沟槽,其能够可滑动地接收和/或引导腿13022。如图330所示,当钉13030处于其未击发位置时,钉腿13032的顶端可被定位在孔13029内。例如,当钉处于其未击发位置时,钉腿13032的顶端可突起到脱脂棉13022上方。当钉13030处于其未击发位置时,钉腿13032的顶端可被定位在刚好位于脱脂棉13022的下方,使得当钉13030被向上运动穿过组织厚度补偿件13020时,钉腿13032可进入脱脂棉13022的孔13029中并滑动穿过该孔。在任何情况下,当钉13030的腿13032被定位在脱脂棉内时,可限制钉腿13032的侧向和/或纵向运动,而当钉13030被部署时不阻止钉腿13032的向上运动。当钉13030被部署时,现在参见图331,钉腿13032可向上滑动穿过脱脂棉13022,以穿透组织T,接触定位在钉仓13030对面的砧座,并向下变形以捕获其中的组织T和组织厚度补偿件13030。
对上文进行进一步描述,脱脂棉13022例如可使用至少一种生物相容性和/或可生物吸收的粘合剂附接到组织厚度补偿件13020。脱脂棉13022和/或从每个脱脂棉延伸的保持构件可至少部分嵌入组织厚度补偿件13020中。例如,组织厚度补偿件13020可包括限定在其中的能够至少部分接收脱脂棉13022的凹坑。在模塑制造过程中,组织厚度补偿件13020可被整体模塑或在脱脂棉13022周围形成。脱脂棉13022可包括可彼此独立运动的离散的保持器。首先参见图330,每个脱脂棉13022可包括联锁和/或键合结构,该联锁和/或键合结构能够允许并一定程度上限制脱脂棉13022之间相对的侧向和纵向运动。例如,每个脱脂棉13022例如可包括突出部13026和一个或多个凹槽13027,其中第一脱脂棉13022的突出部13026可被定位在相邻的第二脱脂棉和第三脱脂棉13022的凹槽13027内,和/或相对于相邻的第二脱脂棉和第三脱脂棉13022的凹槽13027对齐。任选地,间隙可存在于相邻的脱脂棉13022之间,该间隙可使脱脂棉13022相对于彼此运动或滑动,直到其接触相邻的脱脂棉13022。脱脂棉13022可松散地互连。脱脂棉13022能够可分离地连接至彼此。例如,脱脂棉13022可被制造为一片互连的脱脂棉,其中,当向该片施加足够的力时,脱脂棉13022中的一个或多个可与其他脱脂棉脱离。再次参见图329,脱脂棉13022的第一片13024可被定位在纵向狭槽13025的第一侧上,并且脱脂棉13022的第二片13024可被定位在狭槽13025的第二侧上。对上文进行进一步描述,延伸穿过组织厚度补偿件13020的纵向狭槽13025能够有利于击发构件的刀刃穿过组织厚度补偿件13020,并且当击发构件经过时,击发构件可向所述片13024施加压缩力,并且使脱脂棉13022中的至少一些分开或分离。
脱脂棉13022例如可由生物相容性和/或可生物吸收的塑料构成。脱脂棉13022例如可由固体材料、半固体材料,和/或柔性材料构成。脱脂棉13022可嵌入组织厚度补偿件内,使得脱脂棉13022随组织厚度补偿件运动。例如,脱脂棉13022可为足够柔性的,使得其可随组织厚度补偿件的顶部表面挠曲。脱脂棉13022能够保持被嵌入到组织厚度补偿件中,而脱脂棉13022能够从组织厚度补偿件弹出或与组织厚度补偿件分离。脱脂棉13022可包括与组织厚度补偿件的顶部表面齐平的顶部表面。脱脂棉13022的顶部表面可被定位在组织厚度补偿件的顶部表面上方和/或下方。脱脂棉13022的顶部表面可被设置成使得当从组织厚度补偿件的顶部表面观察时其为可见的,而作为另外一种选择,脱脂棉13022的顶部表面例如可被定位在组织厚度补偿件的层的下方。导向结构例如可被模塑到组织厚度补偿件的顶部表面中。例如,组织厚度补偿件可不包含复合材料,并且例如可包含一块整体的材料。
现在参见图338,钉仓例如可包括组织厚度补偿件13620以及外皮或顶层13621。例如,一个或多个脱脂棉或保持器13622例如可嵌入外皮13621。每个保持器13622可包括在其中限定的一个或多个孔13629,当钉13030处于其未击发位置时,该一个或多个孔能够在其中接收钉13030的钉腿13032,如图338所示。在使用中,对上文进行进一步描述,当钉13030从其未击发位置运动到其击发位置时,钉腿10032可滑动穿过孔13629,直到钉13030的基部13031接触组织厚度补偿件13620,并且例如抵靠脱脂棉13622的底部表面来压缩组织厚度补偿件13620的至少一部分。现在参见图333,钉仓例如可包括组织厚度补偿件13120以及外皮或顶层13122。例如,组织厚度补偿件13120例如可包括可从组织厚度补偿件13120的顶部表面13121向上延伸的锥形耳轴、突出部,和/或突起部13128。当钉13030处于其未击发位置时,突出部13128能够接收和包封钉13030的钉腿13032的顶端,如图333所示。顶层13122还可包括与突出部13128对齐或至少基本上对齐的锥形耳轴、突出部、和/或突起部13129在使用中,钉腿10032可穿透突出部13128和13129,并从组织厚度补偿件13120露出。现在参见图337,钉仓例如可包括组织厚度补偿件13520以及外皮或顶层13522。例如,外皮13522例如可包括可从组织厚度补偿件13520的顶部表面13521向上延伸的锥形耳轴、突出部,和/或突起部13529。类似于上文所述,当钉13030处于其未击发位置时,突出部13529能够接收和包封钉13030的钉腿13032的顶端,如图337所示。在使用中,钉腿10032可穿透突出部13529并从外皮13522露出。
现在参见图334,钉仓例如可包括组织厚度补偿件13220以及外皮或顶层13222。例如,组织厚度补偿件13220例如可包括可向下延伸到组织厚度补偿件13220的顶部表面13221中的锥形凹坑和/或凹槽13128。当钉13030处于其未击发位置时,钉腿13032的顶端可延伸穿过凹槽13128,如图334所示。顶层13222还可包括可与凹槽13228对齐或至少基本上对齐的锥形凹坑和/或凹槽13229。现在参见图335,钉仓例如可包括组织厚度补偿件13320以及外皮或顶层13322。例如,外皮13320可包括可向下延伸到组织厚度补偿件13320的顶部表面13321中的厚的部分13329。在各种实施例中,当钉13030处于其未击发位置时,厚的部分13329能够在其中接收钉13030的钉腿13032的至少一部分,如图335所示。在此类情况下,厚的部分13329可将钉腿13032保持就位,使得腿13032与定位在组织厚度补偿件13320对面的砧座的钉成形凹坑对齐或至少基本上对齐。现在参见图336,钉仓例如可包括组织厚度补偿件13420以及外皮或顶层13422。例如,外皮13422可包括可从组织厚度补偿件13420的顶部表面13421向上延伸的厚的部分13429。在各种实施例中,当钉13030处于其未击发位置时,厚的部分13429能够在其中接收钉13030的钉腿13032的至少一部分,如图336所示。在此类情况下,厚的部分13429可将钉腿13032保持就位,使得腿13032与定位在组织厚度补偿件13420对面的砧座的钉成形凹坑对齐或至少基本上对齐。
现在参见图339和340,钉仓例如可包括组织厚度补偿件13720以及外皮或顶层13721。例如,组织厚度补偿件13720例如可包括可从组织厚度补偿件13720的顶部表面13721向上延伸的锥形和/或阶梯式耳轴、突出部,和/或突起部13728。当钉13030处于其未击发位置时,突出部13728能够接收并包封钉13030的钉腿13032的顶端,如图340所示。相似地,顶层13721可包括可与突出部13728对齐或至少基本上对齐的锥形和/或阶梯式耳轴、突出部、和/或突起部13729。外皮13721还可包括从突出部13729向上延伸的一个或多个齿状物13727,该齿状物能够接合抵靠顶层13721定位的组织,并且防止或至少限制组织、顶层13721,和/或钉腿13032的顶端之间相对的侧向和/或纵向运动。在使用中,当钉13030从其未击发位置运动到其击发位置时,钉腿13032可穿透突出部13728和13729并从组织厚度补偿件13720露出。现在参见图341和342,钉仓例如可包括组织厚度补偿件13820以及外皮或顶层13821。例如,组织厚度补偿件13820例如可包括可从组织厚度补偿件13820的顶部表面13821向上延伸的锥形和/或阶梯式耳轴、突出部,和/或突起部13828。当钉13030处于其未击发位置时,突出部13828能够接收并包封钉13030的钉腿13032的顶端,如图342所示。相似地,顶层13821可包括可与突出部13828对齐或至少基本上对齐的锥形和/或阶梯式耳轴、突出部、和/或突起部13829。顶层13821还可包括向下延伸到组织厚度补偿件13820中的一个或多个齿状物13827,该齿状物例如能够防止或至少限制顶层13821和组织厚度补偿件13820之间相对的侧向和/或纵向运动。在使用中,当钉13030从其未击发位置运动到其击发位置时,钉腿10032可穿透突出部13828和13829并从组织厚度补偿件13820露出。
现在参见图343,钉仓可包括组织厚度补偿件诸如组织厚度补偿件13920,该组织厚度补偿件例如可包括限定在其中的脊13923和谷13924,谷13924可被限定在脊13923之间。任选地,每个脊13923可包括相同的高度、基本上相同的高度、或不同的高度。相似地,每个谷13924可包括相同的深度、基本上相同的深度、或不同的深度。根据本发明,多个钉13030可至少部分储存在组织厚度补偿件13920中,使得钉13030的顶端可被定位在脊13923中。例如,当钉13030被储存于其未击发位置时,钉13030的钉腿13032例如可不从组织厚度补偿件13920和/或附接到组织厚度补偿件13920的外皮或顶层13921突起。脊13923和/或谷13924可横跨钉仓侧向延伸。例如,钉仓可包括纵向刀狭槽,其中脊13923和谷13924可沿横向于和/或垂直于刀狭槽的方向延伸。在各种情况下,脊13923能够将钉腿13032的顶端保持就位,直到钉13030从其未击发位置运动到其击发位置。现在参见图344,组织厚度补偿件和/或覆盖组织厚度补偿件的外皮可包括纵向脊和/或谷。例如,组织厚度补偿件可包括由脊14023和谷14024限定的顶部表面,其中谷14024例如可被限定在脊14023之间。组织厚度补偿件可包括外皮14021,该外皮可包括限定在其中的多个孔14029,每个孔各自能够接收钉腿13032。孔14029可被限定在脊14023中,其中钉腿13032的顶端可被定位在脊14029的顶点14028下方、被定位成与顶点14028齐平,和/或被定位在顶点14028上方。除了上文所述之外或代替上文所述,孔14029例如可被限定在谷14024中。每个孔例如可被压花围绕或至少部分围绕,该压花可增强围绕孔的外皮和/或组织厚度补偿件。在任何情况下,对上文进行进一步描述,外皮14021可以任何合适的方式附接到组织厚度补偿件,例如包括使用至少一种粘合剂。
如上所述并再次参见图233,外科缝合器械例如可包括砧座诸如砧座10060,该砧座可在打开位置和闭合位置之间运动,以便例如抵靠钉仓10000的组织厚度补偿件10020压缩组织T。在各种情况下,砧座10060可朝钉仓10000旋转,直到其向下运动被钉仓10000的某部分和/或定位有钉仓10000的通道的某部分所阻止。在至少一个此类实施例中,砧座10060可向下旋转,直到其向下运动被钉仓10000的鼻部10003和/或定位在鼻部10003和钉仓10000中间的组织T所抵抗。在一些情况下,砧座10060可充分压缩组织厚度补偿件10020,以使组织T接触钉10030的顶端。在某些情况下,根据组织T的厚度,砧座10060可充分压缩组织厚度补偿件10020,使得等到砧座10060已到达其完全闭合位置时,砧座10060与钉10030接触。换句话讲,在这种情况下,在击发构件10052被推进到钉仓10000中以击发钉10030之前,砧座10060可使钉10030变形。此类情况可适用于某些情形;然而现在参见图358和359,设想了替代形式,在所述替代形式中,例如可使用远侧间隙设定元件诸如元件10059来限制如下距离:在击发杆10052被推进到钉仓10000中之前,砧座10060可在该距离处被闭合。元件10059可从组织厚度补偿件10020的顶部表面10021向上延伸,使得当组织T抵靠元件10059被压缩并且其间产生抗力时,砧座10060的向下运动可被阻止。在使用中,如上所述,击发构件10052可朝远侧朝向钉仓10000的远侧末端10002被推进到钉仓10000中,以便将钉10030从支撑部分10010射出。同时,击发构件10052可接合砧座10060,并将砧座10060定位在正被成形的钉10030之上、距支撑部分10010的平台表面10011(图218)期望距离。这样,击发构件10052可控制砧座10060的组织接触表面和在具体位置处的平台表面10011之间的距离或间隙。其中,当击发构件10052朝远侧被推进时,该具体位置可朝远侧被推进。在各种情况下,该间隙距离可短于砧座10060和平台表面10011之间的间隙,该间隙由组织厚度补偿件10020的远侧末端处的远侧间隙设定元件10059所控制或决定。现在参见图359,当击发构件10052到达组织厚度补偿件10020的远侧末端时,击发构件10052的刀刃10053能够横切远侧间隙设定元件10059,使得当元件10059已被横切之后,击发构件10052可将砧座10060朝向支撑部分10010向下牵拉,并且当在钉仓10000的远侧末端处击发钉10030时,将间隙闭合至期望的间隙高度。作为另外一种选择,当击发构件接近钉仓的远侧末端时,远侧间隙设定元件能够塌缩。例如,远侧间隙设定元件可包括柱形物,该柱形物可如上所述提供针对砧座的阻力,并且当击发构件接近钉仓的远侧末端时一旦达到间隙设定元件的扣紧强度,则该柱形物然后突然扣紧。该扣紧力例如可为约10磅力。当向间隙设定元件施加例如超过预定量的力时,间隙设定元件能够向下落入支撑部分的平台中。远侧间隙可被钉仓的鼻部控制。例如,砧座10060的向下运动可被鼻部限制,直到击发构件已到达仓的远侧末端,其中,施加到鼻部的压缩力此时可使鼻部塌缩。鼻部可包括由腔壁限定的腔。一旦施加到腔的压缩力超过预定的力,则可使腔塌缩。例如,腔可由可塌缩的壁限定。
任选地,如上所述,砧座诸如砧座10060例如可在打开位置和闭合位置之间运动,以便在砧座和钉仓的支撑部分之间压缩组织厚度补偿件。在某些情况下,现在参见图360和361,当组织厚度补偿件14120抵靠钉仓14100的支撑部分14110被压缩时,钉仓的组织厚度补偿件诸如钉仓14100的组织厚度补偿件14120例如可侧向和/或纵向扩展。组织厚度补偿件14120的端部和/或侧面可不被支撑部分14110和/或砧座10060约束。因此,在组织厚度补偿件14120内不产生压缩压力或至少非期望的压缩压力的情况下,组织厚度补偿件14120可沿那些方向扩展。在此类情况下,击发构件诸如穿过组织厚度补偿件14120的击发构件10052(图236)例如可不会被组织厚度补偿件14120中非期望的压缩力不当阻止。作为另外一种选择,再次参见图360,组织厚度补偿件14120的远侧末端14125例如可被钉仓14100的鼻部14103约束。在该具体实施例中,类似于上文所述,组织厚度补偿件14120的远侧末端14125可被鼻部14103约束,以便减少组织厚度补偿件14120与支撑部分14110过早分离的可能性。在任何情况下,由于上文所述,大的内部压力可产生于远侧末端14125内,该内部压力可阻止击发构件10052的推进,尤其当击发构件10052到达远侧末端14125时。更具体地,在某些情况下,当击发构件10052横切组织厚度补偿件14120时,击发构件可朝远侧推动、犁除、和/或转移组织厚度补偿件14120。因此,甚至更大的内部压力可产生于组织厚度补偿件14120的远侧末端14125内。为了至少部分消除组织厚度补偿件14120内的该压力,鼻部14103可由柔性材料构成。该柔性材料可使鼻部14103例如朝远侧挠曲,并为组织厚度补偿件14120产生附加的空间。现在参见图362和图363,钉仓的鼻部可包括可朝远侧滑动的部分。更具体地,钉仓14200的鼻部14203可包括可滑动部分14204,该可滑动部分能够可滑动地连接至鼻部14203,使得当砧座10060被闭合和/或击发构件10052被推进到钉仓14200的远侧末端中时,可滑动部分14204可朝远侧滑动并为组织厚度补偿件14200产生附加的空间,并且至少部分缓解其中的内部压力。鼻部14203和可滑动部分14204中的一者可包括一个或多个导轨,并且鼻部14203和可滑动部分14204中的另一者可包括能够在其中滑动地接收导轨的一个或多个通道。例如,通道和导轨例如能够协作限制可滑动部分14204到纵向远侧通道的运动。
在各种情况下,对上文进行进一步描述,钉仓内的诸如最远侧钉例如可捕获组织厚度补偿件的相较于钉仓内的近侧钉而言更大的部分。在这种情况下,因此,相较于近侧钉而言,可向远侧钉中所捕获的组织施加大的夹紧压力。如上所述,尽管组织厚度补偿件可由具有基本上恒定厚度的基本上同质的材料构成,但是当组织厚度补偿件的至少一部分在使用期间被转移到和/或聚集到钉仓的远侧末端处时,可出现这些情况。在各种情况下,期望某些钉与其他钉相比向组织施加更大的夹紧压力,其中支撑部分和/或组织厚度补偿件可被构造成并被布置成控制哪些钉可向组织施加较大的夹紧力以及哪些钉可向组织施加较小的夹紧压力。现在参见图364,钉仓14300可包括支撑部分14310,并且除此之外定位在支撑部分14310的平台表面14311上的组织厚度补偿件14320。与本专利申请中所公开的包括具有平坦的或至少基本上平坦的平台表面的支撑部分14310的其他实施例相比,平台表面14311可在支撑部分14310的远侧末端14305和近侧末端14306之间倾斜和/或下降。支撑部分14310的平台表面14311可包括其远侧末端14305处的平台高度,该平台高度低于其近侧末端14306处的平台高度。例如,钉仓14300的远侧末端处的钉10030相比于近侧末端处的钉10030可延伸到平台表面14311上方更大的距离。作为另外一种选择,支撑部分的平台表面可包括其远侧末端处的高度,该高度高于其近侧末端处的高度。再次参见图364,组织厚度补偿件14320可包括沿其纵向长度不同的厚度。组织厚度补偿件14320例如可包括其远侧末端14325处的厚度,该厚度厚于其近侧末端14326。例如,组织厚度补偿件14322可包括底部表面14322,该底部表面可倾斜或下降,以匹配或至少基本上匹配支撑部分14310的倾斜或下降的平台表面14311。因此,组织厚度补偿件14320的顶部或组织接触表面14321可包括上面可定位有组织T的平坦的或至少基本上平坦的表面。在任何情况下,由于组织厚度补偿件14320在其远侧末端14325处较厚,因此远侧钉10030相比于近侧钉10030可捕获其中的组织厚度补偿件14320的较大部分。因此,远侧钉10030可向组织T施加更大的压缩力,尤其当砧座10060和平台表面14311之间的间隙距离在钉仓的近侧末端和远侧末端处为恒定的或至少基本上恒定的时。然而在某些情况下,砧座10060可能无法到达完全闭合位置,因此砧座10060和平台表面14311之间的间隙距离在钉仓14300的远侧末端处可比近侧末端处更大。在各种情况下,远侧钉10030可能没有完全成形,因此远侧钉10030可能不向组织T施加期望的夹紧压力。在组织厚度补偿件在钉仓的远侧末端处较厚的情况下,组织厚度补偿件可补偿未成形钉并向组织T施加足够的压力。
现在参见图365,钉仓诸如钉仓14400例如可包括支撑部分14410以及除此之外被定位在支撑部分14410的平台表面14411上的组织厚度补偿件14420。类似于上文所述,平台表面14411可倾斜和/或下降,使得支撑部分14410的远侧末端14405例如可具有低于近侧末端14406处的平台高度的平台高度。组织厚度补偿件14420沿其长度可包括恒定的或至少基本上恒定的厚度。因此,组织厚度补偿件14420的顶部或组织接触表面14421可平行于或至少基本上平行于平台表面14411的轮廓。当钉10030处于其未击发位置时,钉仓14400的钉10030可完全嵌入组织厚度补偿件14420和支撑部分14410内。当钉10030处于其未击发位置时,被定位在钉仓14400的近侧末端处的钉10030可完全嵌入组织厚度补偿件14420和支撑部分14410内;而由于平台14411和顶部表面14421的下降斜坡,当钉10030处于其未击发位置时,某些钉10030(包括被定位在钉仓14400的远侧末端处的钉10030)的顶端,可凸穿组织厚度补偿件14420的顶部表面14421。
任选地,如上所述,组织厚度补偿件可由单个材料构成,其中整个组织厚度补偿件可例如自始至终具有相同的或至少基本上相同的材料特性,诸如密度、刚度、弹簧劲度系数、硬度,和/或弹性。作为另外一种选择,现在参见图368,组织厚度补偿件诸如组织厚度补偿件14520例如可包括多种材料或材料层。组织厚度补偿件14520可包括第一或中央层14520a、在其相对侧上附接到第一层14520a的第二或中间层14520b,以及附接到第二层14520b中的每一个的第三或外层14520c。可使用至少一种粘合剂将中间层14520b附接到中央层14520a,并且相似地,可使用至少一种粘合剂将外层14520c附接到第二层14520。除了粘合剂之外或代替粘合剂,例如可通过一个或多个联锁结构和/或紧固件将层14520a-14520c保持在一起。在任何情况下,内层14520a例如可由具有第一组材料特性的第一材料构成;中间层14520b可由具有第二组材料特性的第二材料构成;并且外层14520c可由具有第三组材料特性的第三材料构成。这几组材料特性例如可包括密度、刚度、弹簧劲度系数、硬度、和/或弹性。钉仓例如可包括六行钉10030,其中一行钉10030例如可至少被部分定位在外层14520c中的每一个中以及内层14520b中的每一个中,并且其中两行钉10030可至少被部分定位在内层14520a中。在使用中,类似于上文所述,钉10030可从钉仓射出,使得钉10030的钉腿10032穿透组织厚度补偿件14520的顶部表面14521,穿透由砧座抵靠顶部表面14521而定位的组织、并随后接触砧座,使得腿10032变形以捕获钉10030内的组织厚度补偿件14520和组织。还类似于上文所述,当击发构件被推进穿过钉仓时,组织厚度补偿件14520可被击发构件横切。例如,击发构件例如可沿由轴线14529限定的路径横切内层14520a和组织。
对上文进行进一步描述,定位在内层14520a中的多行钉10030可包括最接近被横切的组织的边缘的钉行。相应地,定位在外层14520c中的多行钉10030可包括离被横切的组织的边缘最远的钉行。构成内层14520a的第一材料例如可包括如下密度:该密度高于构成中间层14520b的第二材料的密度;并且相似地,第二材料的密度可高于构成外层14520c的第三材料的密度。在各种情况下,因此,相较于被定位在中间层14520b和外层14520c中的钉10030内产生的压缩力而言,更大的压缩力可在被定位于内层14520a中的钉10030内产生。相似地,相较于被定位在外层14520c中的钉10030内产生的压缩力而言,更大的压缩力可在被定位于中间层14520b中的钉10030内产生。作为另外一种选择,构成内层14520a的第一材料例如可包括如下密度:该密度低于构成中间层14520b的第二材料的密度;并且相似地,第二材料的密度可低于构成外层14520c的第三材料的密度。在各种情况下,因此,相较于被定位在中间层14520b和内层14520a中的钉10030内产生的压缩力而言,更大的压缩力可在被定位于外层14520c中的钉10030内产生。相似地,相较于被定位在内层14520a中的钉10030内产生的压缩力而言,更大的压缩力可在被定位于中间层14520b中的钉10030内产生。作为另外一种选择,可使用任何其他合适构造的层、材料,和/或材料特性。在任何情况下,组织厚度补偿件14520的层14520a-14520c能够在其被植入后保持彼此附接。组织厚度补偿件14520的层14520a-14520c能够在其被植入后彼此分离。例如,层14520a-14520c可利用一种或多种可生物吸收的粘合剂结合到一起,该一种或多种可生物吸收的粘合剂可首先将层保持到一起,然后随时间推移使层从彼此释放。
如上所述,钉仓的组织厚度补偿件诸如组织厚度补偿件14520例如可包括多个纵向层。作为另外一种选择,现在参见图369,钉仓可包括组织厚度补偿件诸如组织厚度补偿件14620,该组织厚度补偿件例如可包括多个水平层。例如,组织厚度补偿件14620可包括第一或底层14620a、附接到底层14620a的第二或中间层14620b,以及附接到中间层14620b的第三或顶层14620c。第一层14620a例如可包括平坦的或基本上平坦的底部表面14626a以及三角形或锥形的顶部表面14625a。例如,第二层14620b可包括三角形或锥形的底部表面14626b,该底部表面可平行于并邻接第一层14620a的顶部表面14625a。类似于上文所述,第二层14620b可包括三角形或锥形的顶部表面14625b,该顶部表面例如可平行于并邻接第三层14620c的底部三角形或锥形的底部表面14626c。第三层14626c的顶部表面可包括平坦的或至少基本上平坦的组织接触表面14621。还类似于上文所述,组织厚度补偿件14620例如能够在其中至少部分地储存六排钉诸如钉10030,其中击发构件例如可沿延伸穿过轴线14629的通道横切两个最内侧的钉排之间的组织厚度补偿件14620。类似于上文所述,每个层14620a,14620b和14620c可由包括不同材料特性的不同材料构成,并且由于层14620a-14620c的三角形或锥形构型,组织厚度补偿件14620可在其内各个位置处具有不同的总体特性。例如,最外侧的多行钉10030可在其中捕获比第一层14620a更多的第三层14620c,而最内侧的多行钉10030可捕获比第一层14620a更少的第三层14620c。因此,尽管组织厚度补偿件14620可具有横跨其的相同的或至少基本上相同的总体厚度,但是组织厚度补偿件14620例如可以不同于压缩被捕获在最内侧钉10030内的组织的方式来压缩被捕获在最外侧钉10030内的组织。
现在参见图286,钉仓的组织厚度补偿件诸如钉仓14700的组织厚度补偿件14720例如可包括限定在其中的可使组织厚度补偿件14720的厚度发生变化的空隙、凹坑、通道,和/或沟槽。例如,组织厚度补偿件14720可抵靠钉仓14700的支撑部分14710的平台表面14711定位,使得限定在组织厚度补偿件14720的底部表面14722中的空隙14723可覆在某些钉腔10012上面而不是其他钉腔上。空隙14723例如可横向于支撑部分14710的刀狭槽14715、垂直于刀狭槽14715,和/或平行于刀狭槽14715延伸。空隙14723可在组织厚度补偿件14720的底部表面14722中限定支承面图案。在任何情况下,当钉诸如钉10030例如从支撑部分14710被部署时,现在参见图287和288,某些钉10030可在包含空隙14723的区域内捕获组织厚度补偿件14720;而其他钉10030可在被定位于空隙14723中间的区域内捕获组织厚度补偿件14720。除了上文所述之外或代替上文所述,组织厚度补偿件14720例如可包括限定在顶部或组织接触表面14721中的空隙、凹坑、通道、和/或沟槽。现在参见图366和图367,钉仓14800可包括组织厚度补偿件14820,该组织厚度补偿件可包括多个支承面14823,该多个支承面例如为以下情况中的至少一种:从组织厚度补偿件14820的顶部表面14821向上延伸、朝中央沟槽14825向内延伸,和/或朝钉仓14800的远侧末端朝远侧延伸。例如,支承面14823例如可被通道、狭槽,和/或沟槽诸如通道14824分开。在各种情况下,由于上文所述,组织厚度补偿件的总体厚度可在钉行之间变化和/或在钉行内的钉之间变化。在某些情况下,支承面或厚的部分可被构造为并布置成使得当组织厚度补偿件被压缩时,支承面或厚的部分可沿期望的方向诸如向内流动。
现在参见图303,钉仓诸如钉仓14900例如可包括支撑部分14910以及除此之外抵靠支撑部分14910被定位的组织厚度补偿件14920。类似于上文所述,支撑部分14910可包括可由钉部署滑动件向上抬起的钉驱动器,以便抬起钉诸如钉10030,该钉例如朝向砧座,诸如被定位在钉仓14900对面的砧座10060而至少被部分定位在支撑部分14910中。支撑部分14910例如可包括六行钉腔,诸如外侧的两行钉腔、内侧的两行钉腔,以及定位在内侧行和外侧行中间的中间两行钉腔,其中砧座10060可包括与钉腔对齐或至少基本上对齐的六行成形凹坑10062。内侧行钉腔可包括定位在其中的钉驱动器14940a;中间行钉腔可包括定位在其中的钉驱动器14940b;并且外侧行钉腔可包括定位在其中的钉驱动器14940c。其中钉驱动器14940a中的每一个可包括能够支撑钉10030的支架14949a;其中钉驱动器14940b中的每一个可包括能够支撑钉10030的支架14949b;并且其中钉驱动器14940c中的每一个可包括能够支撑钉10030的支架14949c。在其未击发位置处,即,当钉驱动器14940a-14940c被置于延伸到支撑部分14910下面的驱动器支撑件14926上时,相比于钉驱动器14940b的支架14949b和钉驱动器14940c的支架14949c,钉驱动器14940a的支架14949a可更靠近砧座10060定位。在此类位置,第一成形距离可被限定在支架14949a和定位在支架14949a上方的成形凹坑10062之间;第二成形距离可被限定在支架14949b和定位在支架14949b上方的成形凹坑10062之间;并且第三成形距离可被限定在支架14949c和定位在支架14949c上方的成形凹坑10062之间。其中例如第一成形距离可短于第二成形距离,并且第二成形距离可短于第三成形距离。当钉驱动器14940a-14940c从其未击发位置(图303)运动到其击发位置时,每个钉驱动器14940a-14940c可被钉部署滑动件朝砧座10060向上运动相等的或至少基本上相等的距离,使得第一驱动器14940a将其各自的钉10030驱动第一成形高度;第二驱动器14940b将其各自的钉10030驱动第二成形高度;并且第三驱动器14940c将其各自的钉10030驱动第三成形高度。其中,例如第一成形高度可短于第二成形高度,并且第二成形高度可短于第三成形高度。设想了各种替代形式,其中第一钉驱动器14940a被向上移位第一距离;第二钉驱动器14940b被向上移位第二距离,并且第三钉驱动器14940c被向上移位第三距离。其中,第一距离、第二距离、第三距离中的一个或多个可不同。
再次参见图303,相对于砧座10060的组织接触表面10061,支撑部分14910的平台表面14911可在高度上有所变化。该高度变化可在侧向上产生,并且围绕内侧行钉腔的平台表面14911的高度例如可高于围绕外侧行钉腔的平台表面14911的高度。组织厚度补偿件14920的底部表面14922可平行于或至少基本上平行于支撑部分14910的平台表面14911。对上文进行进一步描述,组织厚度补偿件14920还可在厚度上有所变化。其中组织厚度补偿件14920的顶部或组织接触表面14921可从其外边缘或侧向边缘向内倾斜。例如,由于上文所述,组织厚度补偿件14920例如可在被定位于内侧行钉腔上方的区域内较薄,并且在被定位于外侧行钉腔上方的区域内较厚。现在参见图304,支撑部分15010的平台表面例如可包括阶梯式平台表面,其中阶梯式表面的最高台阶例如可围绕内侧行钉腔,并且阶梯式表面的最低台阶可围绕外侧行钉腔。例如,具有中间高度的台阶可围绕中间行钉腔。组织厚度补偿件诸如组织厚度补偿件15020例如可包括底部表面,该底部表面可平行于且邻接支撑部分15010的平台表面。组织厚度补偿件的顶部或组织接触表面15021例如可包括弓形的、抛物线的,和/或弯曲的表面,该表面可从组织厚度补偿件15020的第一横向侧延伸到组织厚度补偿件15020的第二横向侧,其中顶点例如与钉仓15000的中心对齐或至少基本上对齐。现在参见图299,钉仓15300例如可包括支撑部分15310、可运动地定位在限定于支撑部分15310中的钉腔内的多个钉驱动器15340,以及定位在支撑部分15310的平台表面15311上方的组织厚度补偿件15320。钉仓15300还可包括一个或多个平底部分15326,该平底部分可附接到支撑部分15310并延伸到支撑部分15310的底部周围,并支撑驱动器15340和处于其未击发位置的钉15330。当钉部署滑动件被推进穿过钉仓时,随着滑动件将钉驱动器15340和钉15330向上抬起穿过组织厚度补偿件15320,滑动件还可由底部平底部分15326支撑。组织厚度补偿件15320可包括定位在内侧行钉腔上方的第一或内部部分15322a、定位在中间行钉腔上方的第二或中间部分15322b,以及定位在一行钉腔上方的第三或外部部分15322c。其中,例如内部部分15322a可厚于中间部分15322b,并且中间部分15322b可厚于外部部分15322c。组织厚度补偿件15320例如可包括限定在其中的纵向通道,该纵向通道可产生组织厚度补偿件15320的较薄部分15322b和15322c。作为另外一种选择,纵向通道可被限定在组织厚度补偿件的顶部表面和/或底部表面中。组织厚度补偿件15320的顶部表面15321例如可包括平坦的或至少基本上平坦的表面。
现在参见图296,钉仓例如可包括组织厚度补偿件诸如组织厚度补偿件15120,该组织厚度补偿件可包括具有不同厚度的多个部分。组织厚度补偿件15120可包括可具有第一厚度的第一或内部部分15122a、从第一部分15122a延伸的可各自具有第二厚度的第二或中间部分15122b,以及从第二部分15122b延伸的可各自具有第三厚度的第三或外部部分15122c。例如,第三厚度可厚于第二厚度,并且第二厚度可厚于第一厚度,但例如可使用任何合适的厚度。组织厚度补偿件15120的部分15122a-15122c可包括具有不同厚度的台阶。类似于上文所述,钉仓可包括多行钉10030和具有不同高度的多个钉驱动器,该钉驱动器可使钉10030变形至不同的成形高度。还类似于上文所述,钉仓可包括第一钉驱动器15140a,其可驱动支撑在其上的钉10030至第一成形高度、第二钉驱动器15140b,其可驱动支撑在其上的钉10030至第二成形高度、以及第三钉驱动器,其可驱动支撑在其上的钉10030至第三成形高度。其中,例如第一成形高度可短于第二成形高度,并且第二成形高度可短于第三成形高度。任选地,如图296所示,每个钉10030可包括相同的或基本上相同的未成形或未击发高度。作为另外一种选择,现在参见图296A,第一驱动器15140a、第二驱动器15140b和/或第三驱动器15140c可支撑具有不同未成形高度的钉。例如,第一钉驱动器15140a可支撑具有第一未成形高度的钉15130a,第二钉驱动器15140b可支撑具有第二未成形高度的钉15130b,并且第三钉驱动器15140c可支撑具有第三未成形高度的钉15130c,其中,例如第一未成形高度可短于第二未成形高度,并且第二未成形高度可短于第三未成形高度。再次参见图296A,钉15130a、15130b和/或15130c的顶端可位于或至少基本上位于相同的平面中,而作为另一种选择,钉15130a、15130b和/或15130c的顶端可不位于相同的平面中。现在参见图297,钉仓可包括具有多个部分的组织厚度补偿件15220,该多个部分具有不同的厚度,该组织厚度补偿件可通过钉15130a、15130b和15130c被抵靠组织T而植入,如上所述。现在参见图298,钉15130a、15130b和/或15130c可变形至不同的成形高度,其中第一钉15130a可成形为第一成形高度,第二钉15130b可成形为第二成形高度,并且第三钉15130c可成形为第三成形高度,并且其中第一成形高度例如可短于第二成形高度,并且第二成形高度可短于第三成形高度。设想了替代形式,其中钉15130a、15130b和15130c可成形为任何合适的成形高度和/或任何相对的成形高度。
任选地,如上所述,外科缝合器械的砧座可在打开位置和闭合位置之间运动。在这种情况下,当砧座运动到其闭合位置时,砧座的组织接触表面可运动到其最终的或成形位置。一旦砧座处于其闭合位置,组织接触表面可不再为可调节的。作为另外一种选择,现在参见图351,外科缝合器诸如外科缝合器15500例如可包括砧座通道15560以及定位在砧座通道15560内的可调节组织接触砧座调节板15561。在此类情况下,砧座板15561可在砧座通道15560内被提升和/或降低,以便相对于定位在砧座板15561对面的钉仓来调节砧座板15561的组织接触表面的位置。外科缝合器15500可包括调节滑块15564。参见图356和357,该调节滑块可在砧座通道15560和砧座板15561中间滑动,以便控制砧座板15561和钉仓之间的距离。再次参见图351和352,外科缝合器15500还可包括联接至调节滑块15564的致动器15562,该致动器可朝近侧滑动以便使调节滑块15564朝近侧滑动,和/或朝远侧滑动以便使调节滑块15564朝远侧滑动。再次参见图356和357,致动器15562可在两个或更多个预定义的位置之间滑动,以便分别在两个或更多个位置之间调节砧座板15561。此类预定义的位置例如可在外科缝合器15500上被划分为分界线15563(图351)。参见图357,调节滑块15564例如可包括多个支撑表面,诸如第一支撑表面15565a、第二支撑表面15565b和第三支撑表面15565c,该多个支撑表面可分别与砧座板15561的背面上的多个板定位表面对齐,诸如第一定位表面15569a、第二定位表面15569b和第三定位表面15569c,以便将砧座板15561定位在第一位置。为了将砧座板15561定位在第二位置中,致动器15562和滑块15564例如可朝近侧滑动,以便将滑块15564的支撑表面15565a-15565c相对于砧座板15561的定位表面15569a-15569c重新对齐。更具体地,参见图356,滑块15564可朝远侧滑动,使得滑块15564的第一支撑表面15565a可被定位在砧座板15561的第二定位表面15569b后面,并且使得滑块15564的第二支撑表面15565b可被定位在砧座板15561的第三定位表面15569c后面,以便将砧座板15561运动到更靠近钉仓。当砧座板15561从其第一位置运动到其第二位置时,在这种情况下,可调节砧座板15561可进一步压缩定位在砧座板15561和钉仓之间的组织T。除了上文所述之外,当砧座板15561被调节并且限定在砧座板15561中的成形凹坑将运动到更靠近和/或更远离钉仓时,钉的成形高度可由砧座板15561相对于钉仓的位置来控制。尽管上文仅描述了两个位置,但是滑块15564可滑动到合适数量的位置中,以将砧座板15561运动到更靠近和/或更远离钉仓。在任何情况下,一旦砧座板15561已被正确定位,钉部署滑动件15550可在钉仓内朝远侧滑动,以便将钉驱动器15540和钉15530朝向砧座板15561抬起并缝合组织T,如图354所示。相似的外科缝合器公开于2011年2月28日提交的名称为“SURGICAL STAPLING INSTRUMENT”的美国专利申请No.13/036,647,其全部公开内容以引用方式并入本文。
现在参见图353,钉仓可被定位在外科缝合器15500的钉仓通道15570内,该钉仓通道例如可包括组织厚度补偿件,诸如组织厚度补偿件15520。当砧座板15561朝钉仓运动时,如上所述,砧座板15561可压缩组织厚度补偿件15520和/或定位在砧座板15561和组织厚度补偿件15520中间的组织T。当钉15530从钉仓被部署时,参见图355,钉15530可抵靠组织T压缩并植入组织厚度补偿件15520。任选地,当砧座板15561抵靠滑块15564定位并且组织还未被置于砧座板15561和组织厚度补偿件15520之间时,可当砧座板15561处于第一位置时在砧座板15561和组织厚度补偿件15520的顶部表面15521之间限定间隙。当砧座板15561运动到第二位置时,砧座板15561可接触组织厚度补偿件15520。作为另外一种选择,当砧座板15561抵靠滑块15564定位并且组织还未被置于砧座板15561和组织厚度补偿件15520之间时,可当砧座板15561处于第一位置和/或第二位置时在砧座板15561和组织厚度补偿件15520的顶部表面15521之间限定间隙。例如,砧座板15561可不与组织厚度补偿件15520接触。作为另外一种选择,当砧座板15561抵靠滑块15564定位并且组织还未被置于砧座板15561和组织厚度补偿件15520之间时,砧座板15561例如可与组织厚度补偿件15520的顶部表面15521接触,而不论砧座板15561是否处于第一位置和/或第二位置。尽管本文仅描述了砧座板15611的两个位置,砧座板15611可被定位或索引到任何合适数量的位置中。
任选地,由于上文所述,外科缝合器械可包括用于调节钉的成形高度的装置,该装置可在各种情况下补偿不同的组织厚度。此外,外科缝合器械例如可包括用于补偿不同的组织厚度和/或组织内的厚度变化的装置。例如,砧座板15561可被向上调节或调节成远离相对的钉仓,以增加钉的成形或击发高度。相应地,砧座板15561可被向下或朝向相对的钉仓调节,以减少钉的成形或击发高度。对砧座板15561的调节例如可调节限定在砧座板15561中的成形凹坑之间的间隙、以及钉驱动器的击发高度、或更具体地例如钉驱动器支架的击发高度。即使具有调节钉的成形高度的此类能力以例如负责处理较厚和/或较薄的组织,组织厚度补偿件还可补偿较厚和/或较薄的组织,和/或补偿组织内的厚度变化,如上所述。在此类情况下,可在同一个外科缝合器械内为外科医生提供多个补偿装置。
如上所述,外科缝合器械可使用钉仓,该钉仓具有线性构造的钉腔和钉,其中击发构件可朝远侧被推进穿过钉仓以从钉腔部署钉。钉仓可包括弯曲的多行钉腔和钉。现在参见图345和图346,外科缝合器械诸如缝合器15600,例如可包括限定在圆形或环形支撑部分15610中的一个或多个圆形或环形钉腔行。此类圆形钉行例如可包括圆形的内侧钉腔15612行和圆形的外侧钉腔15613行。例如,圆形的钉腔行可围绕限定在缝合器15600中的圆形或环形孔15615,该孔可容纳可运动地定位在其中的圆形或环形刀。在使用中,组织可抵靠支撑部分15610的平台表面15611定位,并且砧座(未示出)可通过延伸穿过和/或定位在孔15615内的致动器组装到外科缝合器15600,使得当致动器被致动时,砧座可朝支撑部分15610被夹紧,并且抵靠平台表面15611压缩组织。一旦组织已被充分压缩,定位在钉腔15612和15613中的钉可从支撑部分15610射出并穿过组织,使得钉可接触砧座并充分变形以捕获其中的组织。当钉正被击发和/或当钉已被击发之后,圆形刀可被推进以横切组织。然后,砧座可运动远离支撑部分15610和/或与外科缝合器15600分离,使得砧座和外科缝合器15600可从手术部位被移除。此类外科缝合器15600和此类外科技术可用于例如连接大肠的两部分。在各种情况下,圆形钉线能够在组织愈合的情况下将大肠的多个部分保持在一起,并与此同时使大肠的多个部分弹性扩展。相似的外科缝合器械和外科技术公开于1994年2月15日提交的名称为“SURGICALANASTOMOSIS STAPLING INSTRUMENT”的美国专利No.5,285,945中,其全部公开内容以引用方式并入本文。
对上文进行进一步描述,组织厚度补偿件例如可抵靠外科缝合器15600的支撑部分15610定位和/或附接到外科缝合器15600的支撑部分15610。组织厚度补偿件可由圆形或环形材料环构成,该材料环例如包括内半径和外半径。在某些情况下,组织可抵靠该材料环定位,并且当砧座用于将组织朝支撑部分15610运动时,组织厚度补偿件可在组织和平台表面15611之间被压缩。在使用期间,钉可被击发穿过组织厚度补偿件和组织,使得钉可接触砧座并变形至其击发位置,以将组织和组织厚度补偿件的部分捕获在钉内。在各种情况下,对上文进行进一步描述,包括组织厚度补偿件的材料环必须足够有弹性,以使围绕钉线的大肠的多个部分扩展。再次参见图345和图346,柔性的组织厚度补偿件15620例如可包括圆形或环形的柔性内环15624,该内环例如可限定圆形或环形孔15625。内环15624可被配置成使其不被捕获在从外科缝合器15600部署的钉内;相反,内环15624可相对于内侧行钉腔15612定位在径向内侧。例如,组织厚度补偿件15620可包括例如从其延伸的多个附接件,诸如内附接件15622和外附接件15623,使得当钉变形时附接件可至少被部分捕获在钉内。更具体地,首先参见图345,每个内附接件15622可包括如下头部:该头部被定位在限定于外科缝合器15600中的钉腔15612之上,其中头部例如可通过颈部15626附接到内环15624;并且相似地每个外附接件15623可包括如下头部:该头部被定位在限定于外科缝合器15600中的钉腔15613之上,其中头部例如可通过颈部15627附接到内环15624。内附接件15622和外附接件15623的头部例如可包括任何合适的形状,诸如圆形、卵形和/或椭圆形。颈部15626和/或15627还可包括任何合适的形状,其中,将外附接件15623的头部连接到内环15624的颈部15627能够在支撑部分15610中的相邻的内侧钉腔15612之间延伸,使得颈部15627不被捕获在从内侧钉腔15612部署的钉内。
现在参见图347和图348,柔性的组织厚度补偿件15720例如可包括圆形的或环形的柔性外环15724。外环15724可被配置成使其不被捕获在从外科缝合器15600部署的钉内;相反,外环15624可相对于外侧行钉腔15613定位在径向外侧。例如,组织厚度补偿件15720可包括例如从其延伸的多个附接件,诸如内附接件15622和外附接件15623,使得当钉变形时附接件可至少被部分捕获在钉内。更具体地,首先参见图347,每个内附接件15622可包括如下头部:该头部被定位在限定于外科缝合器15600中的钉腔15612之上,其中头部例如可通过颈部15726附接到外环15724;并且相似地每个外附接件15623可包括如下头部:该头部被定位在限定于外科缝合器15600中的钉腔15613之上,其中头部例如可通过颈部15727附接到外环15724。内附接件15622和外附接件15623的头部例如可包括任何合适的形状,诸如圆形、卵形和/或椭圆形。颈部15726和/或15727还可包括任何合适的形状,其中,将内附接件15622的头部连接到外环15724的颈部15726能够在相邻的外侧钉腔15613之间延伸,使得颈部15726不被捕获在从外侧钉腔15613部署的钉内。作为另外一种选择,组织厚度补偿件可包括圆形或环形的柔性内环、圆形或环形的柔性外环、以及除此之外可连接至内环和/或外环的多个附接件。某些附接件可连接至内环,并且某些其他附接件可连接至外环。附接件中的至少一些可连接至内环和外环两者。在任何情况下,对上文进行进一步描述,组织厚度补偿件15620的内环15624、组织厚度补偿件15720的外环15724、和/或任何其他合适的组织厚度补偿件能够弹性扩展和/或收缩,以便适应组织的扩展和/或收缩,该组织厚度补偿件已抵靠该组织被植入。此外,尽管各种实施例在本文被描述为包括圆形或环形支撑环,但是组织厚度补偿件可包括用于将附接件连接至其的任何合适形状的支撑结构。对上文进行进一步描述,由外科缝合器推进以对被捕获在砧座和支撑部分之间的组织进行切割的圆形刀还可切割支撑材料。例如,刀可例如通过切割附接件的颈部将内支撑环与附接件分开。
对上文进行进一步描述,组织厚度补偿件可包括可分离的和/或相对可运动的位置,该位置能够使组织厚度补偿件扩展和/或收缩,以便适应组织的运动,该组织厚度补偿件已抵靠该组织被植入。现在参见图349和350,当组织厚度补偿件15820正抵靠组织被植入时,圆形或环形的组织厚度补偿件15820可抵靠可被保持在未扩展位置(图349)的外科缝合器15600的平台表面15611定位,和/或由可被保持在未扩展位置的外科缝合器15600的平台表面15611支撑;当组织厚度补偿件15820已被植入后,组织厚度补偿件15820能够向外扩展,如图350所示。组织厚度补偿件15820可包括多个弓形部分15822,该多个弓形部分例如可通过内环15824被连接在一起。弓形部分15822可被接缝15828彼此分开。作为另外一种选择,弓形部分15822可彼此连接,其中例如穿孔构造可使弓形部分15822彼此分开。在任何一种情况下,弓形部分15822例如可各自包括联锁结构,诸如突出部15826和凹口15823,该联锁结构可协作以在组织厚度补偿件15820被植入之前限制弓形部分15822之间的相对运动。对上文进行进一步描述,每个弓形部分15822例如可通过一个或多个连接器15827连接至内环15824,该一个或多个连接器能够将弓形部分15822可释放地保持就位。当已使用钉诸如储存在支撑部分15610内的钉10030来抵靠组织植入组织厚度补偿件15620后,首先参见图350,连接器15827可与内环15824分离,并使组织厚度补偿件15820至少部分扩展以适应下面的组织内的运动。在各种情况下,所有弓形部分15822可与内环15824分离,而在其他情况下,弓形部分15822中的仅一些可与内环15824分离。作为另外一种选择,弓形部分15822可由柔性部分连接,该柔性部分可使弓形部分15822相对于彼此运动但不彼此分离。例如,柔性部分可不在其中接收钉,并能够扩展和/或收缩以适应弓形部分15822的相对运动。在图349和图350中,组织厚度补偿件15820例如可包括八个弓形部分15822。作为另外一种选择,组织厚度补偿件例如可包括任何合适数量的弓形部分,诸如两个或更多个弓形部分。
对上文进行进一步描述,组织厚度补偿件15620、15720和/或15820例如能够补偿被捕获在砧座和外科器械15600的支撑部分15610之间的较厚和/或较薄的组织。任选地,类似于上文所述,可通过使砧座朝向和/或远离支撑部分15610运动来调节钉的成形或击发高度。更具体地,砧座可运动到更靠近支撑部分15610以减少钉的成形高度,而相应地,砧座可被进一步运动到远离支撑部分15610以增加钉的成形高度。在此类情况下,因此,外科医生可将砧座调节成远离支撑部分15610以负责处理厚组织,并且调节成朝向支撑部分15610以负责处理薄组织。在各种其他实施例中,外科医生可决定不调节砧座,并依靠组织厚度补偿件来负责处理较薄和/或较厚的组织。因此,任选地,外科器械15600可包括至少两个用于补偿不同的组织厚度和/或组织厚度变化的装置。
任选地,如上所述,组织厚度补偿件可附接到钉仓的支撑部分。组织厚度补偿件的底部表面可包括钩层或套环层中的一者,而支撑部分的平台表面可包括钩层和套环层中的另一者。例如,钩和套环能够彼此接合并将组织厚度补偿件可释放地保持到支撑部分。任选地,每个钩例如可包括从颈部延伸的扩大的头部。包括套环的多个垫例如可粘合到组织厚度补偿件的底部表面,而包括钩的多个垫可粘合到支撑部分的平台表面。支撑部分例如可包括一个或多个孔和/或凹槽,该一个或多个孔和/或凹槽能够在其中接收包括钩和/或套环的插入物。除了上文所述之外或代替上文所述,组织厚度补偿件例如能够使用此类钩和套环构造被可移除地安装到砧座。钩和套环例如可包括纤维表面。
任选地,如上所述,钉仓可包括支撑部分和附接到支撑部分的组织厚度补偿件。还如上所述,支撑部分可包括能够在其中接收切割构件的纵向狭槽,并且组织厚度补偿件可包括可被保持在纵向狭槽中的保持构件。现在参见图386,钉仓16000可包括支撑部分16010,该支撑部分包括平台表面16011和纵向狭槽16015。钉仓16000还可包括定位在平台表面16011上方的组织厚度补偿件16020。组织厚度补偿件16020可包括向下延伸到纵向狭槽16015中的纵向保持构件16025。例如,保持构件16025可被下压到狭槽16015中,使得保持构件16025和狭槽16015之间的相互作用可抵制支撑部分16010和组织厚度补偿件16020之间的相对运动。组织厚度补偿件16020的主体可由第一材料构成,并且保持构件16025可由第二或不同材料构成。组织厚度补偿件16020的主体可由具有第一硬度的材料构成,并且保持构件16025可由具有第二硬度的材料构成,其中第二硬度例如可高于第一硬度。在使用中,钉10030可被钉驱动器10040向上推动,使得钉10030的顶端可穿过组织厚度补偿件16020的主体并从组织接触表面16021露出,并抵靠目标组织捕获组织厚度补偿件16020的至少一部分。根据本发明,当钉10030正被部署时,穿过狭槽16015的切割构件可横切保持构件16025。一旦组织厚度补偿件16020已被植入,各种保持构件16025可被牵拉出狭槽16015。组织厚度补偿件16020的主体能够与保持构件16025分离。
现在参见图387和389,钉仓17000可包括支撑部分17010,该支撑部分包括平台表面17011和纵向狭槽17015。钉仓17000还可包括定位在平台表面17011上方的组织厚度补偿件17020。组织厚度补偿件17020可包括向下延伸到纵向狭槽17015中的纵向保持构件17025。例如,保持构件17025可被下压到狭槽17015中,使得保持构件17025和狭槽17015之间的相互作用可抵制支撑部分17010和组织厚度补偿件17020之间的相对运动。保持构件17025可延伸穿过整个组织厚度补偿件17020至其顶部表面17021,其中组织厚度补偿件17020的主体部分17024可附接到保持构件17025的相对侧。例如,保持构件17025还能够例如抵制组织厚度补偿件17020的侧向偏转。主体部分17024可由第一材料构成,并且保持构件17025可由第二或不同材料构成。主体部分17024可由具有第一硬度的材料构成,并且保持构件17025可由具有第二硬度的材料构成,其中第二硬度例如可高于第一硬度。对上文进行进一步描述,当钉10030正被部署时,穿过狭槽17015的切割构件可横切保持构件17025。一旦组织厚度补偿件17020已被植入,各种保持构件17025可被牵拉出狭槽17015。主体部分17024能够与保持构件17025分离。
现在参见图388,钉仓18000可包括支撑部分18010,该支撑部分包括平台表面18011和纵向狭槽18015。钉仓18000还可包括定位在平台表面18011上方的组织厚度补偿件18020。组织厚度补偿件18020可包括向下延伸到纵向狭槽18015中的纵向保持构件18025。例如,保持构件18025可被下压到狭槽18015中,使得保持构件18025和狭槽18015之间的相互作用可抵制支撑部分18010和组织厚度补偿件18020之间的相对运动。保持构件18025可延伸穿过整个组织厚度补偿件18020至其顶部表面18021,其中组织厚度补偿件18020的主体部分18024可附接到保持构件18025的相对侧。保持构件18025可包括放大的部分18026,该放大部分可接收在限定于狭槽18015中的腔体18016内。例如,放大部分18026可抵制保持构件18025从狭槽18015撤出。
现在参见图445,组织厚度补偿件(例如,组织厚度补偿件22020)可例如附接到外科缝合器械的砧座(例如,砧座22060)。组织厚度补偿件22020可包括限定在第一膜22026和第二膜22027之间的腔体22024,其中第一膜22026的至少部分附接到第二膜22027。例如,第一膜22026可沿着例如横向接缝22028a和横向接缝22028b附接到第二膜22027。第一膜22026可沿密封的周边附接到第二膜22027,以便密封地包封腔体22024。第一膜22026和第二膜22027可例如沿横向接缝22028a、22028b和/或连接膜22026和膜22027的任何其他接缝来进行热焊接。再次参见图445,砧座22060可包括多个钉成形凹坑22062,所述多个钉成形凹坑22062各自能够接收钉的腿并且使其变形,其中第二膜22027可包括可延伸到成形凹坑22062内的突出部22022。突出部22022的尺寸和构造可设定成使其紧密地配合在成形凹坑22062内并且能够将组织厚度补偿件22020保持到砧座22060。如图所示,砧座22060可包括例如六行成形凹坑22062,其中组织厚度补偿件22020可类似地包括与成形凹坑22062对齐的六行突出部22022。可使用包括多于或少于六行成形凹坑22062和/或突出部22022的其他实施例。可使用一种或多种粘合剂来将组织厚度补偿件22020保持到砧座20060。
如上所述,组织厚度补偿件22020可包括限定于其中的腔体22024。腔体22024可沿着砧座22060纵向延伸。再次参见图445,组织厚度补偿件22020可包括定位在腔体22024内的可压缩材料。现在参见图446,钉(例如钉22030)可例如从钉仓射出,以使得钉22030在接触砧座22060之前穿透组织T并且随后穿透组织厚度补偿件22020。当钉22030的腿通过砧座22060进行变形时,腿可向下翻转,以再次穿透组织厚度补偿件22020。在任何情况下,一旦钉22030已穿透组织厚度补偿件22020,容纳在腔体22024内的一种或多种流体就例如可从组织厚度补偿件22020流出或渗出到组织T上。腔体22024可包括例如容纳于其中的一种或多种粉末,所述粉末在组织厚度补偿件22020一旦已被钉22030至少部分地破裂就可逸出腔体22024。根据本发明,定位在腔体22024内的材料22025可在钉22030变形成其击发构型时被压缩或挤压在钉22030内,以使得储存在材料22025内的流体可例如从材料22025压出。再次参见图446,钉22030还能够捕获组织厚度补偿件(例如,补偿件22029),所述补偿件例如可移除地附接到紧靠组织T的另一侧的钉仓。
对上文进行进一步描述,材料22025可包括例如冷冻干燥的凝血酶、冷冻干燥的血纤维蛋白、和/或细纤维非织造氧化再生纤维素。材料22025可包括压缩的粉末晶片。密封腔体22024可包括内部气体,所述内部气体的压力低于围绕组织厚度补偿件22020的大气的压力。在这种情况下,内部腔体22024中的气体与大气之间的压差可导致膜22027和膜22028被向内拖曳。当内部腔体22024被钉22030破裂之后,如上所述,内部腔体22024内的真空可与周围大气取得平衡并且材料22025可逸出内部腔体22024,另外如上所述。在此类情况下,组织厚度补偿件22020可向捕获在钉20030内的组织T扩展并施加压缩力。在材料22025被真空封装在组织厚度补偿件22020内的情况下,材料22025可在内部腔体22024已被刺穿之后扩展。膜22026、22027可由可生物吸收性材料构成,并且能够在一旦放置在患者内时就溶解。每个膜22026、22027可由层或层合体构成,所述层或层合体具有例如介于大约0.25密耳和大约0.50密耳之间的厚度。在任何情况下,对上文进行进一步描述,当钉22030从其钉仓击发时,包括材料22025的组织厚度补偿件22020可被切割元件横切。
再次参见图445,组织厚度补偿件22020的腔体22024和材料22025可被定位在钉成形凹坑22062的四个内侧行下面,而接缝22028a、22028b可被定位在成形凹坑22062的外侧行下面。在这种情况下,外侧钉行中的钉可不接合材料22025,并且因此它们可在其中不捕获材料22025。相反,此类钉可仅沿着接缝22028a、22028b来捕获膜22026和膜22027。作为另外一种选择,现在参见图447和图448,组织厚度补偿件22120可按照类似于上文的方式包括第一膜22126、第二膜22127、以及捕获在第一膜22126和第二膜22127之间的多个材料22125a-d。例如,主要参见图447,第一材料22125a可与钉仓22000中的钉22030的外侧行和砧座22060中的钉腔22062的外侧行对齐,第二材料22125b和第三材料22125c可各自与钉22030和钉腔22062的两个内侧行对齐,并且第四材料22126d可与钉22030和钉腔22062的另一个外侧行对齐。在这种情况下,现在参见图448,钉22030中的全部可被布置成使其可在其中捕获材料22125a-22125d中的至少一者。如图447和图448所示,对上文进行进一步描述,钉22030可在未击发位置和击发位置之间通过定位在钉仓22000内的钉驱动器22040来向上提升。
再次参见图447和图448,层22126和层22127可限定其中可设置材料22125a-d的一个或多个密封腔体。层22126和层22127可沿着周边例如利用任何合适的方法(例如,热焊接和/或激光焊接)密封在一起,所述周边可包括横向接缝22128a和横向接缝22128b。材料22125a-22125d中的每一者可密封在单独腔体内,而作为另外一种选择,材料22125a-22125d中的两者或更多者可密封在同一腔体内。材料22125a-22125d可由相同的材料构成,而作为另外一种选择,材料22125a-22125d中的一者或多者可由不同的材料构成。材料22125a-22125d中的一者或多者可由例如硬脂酸钠和/或LAE构成。材料22125a-22125d可包括润滑剂。在此类情况下,当钉腿穿透组织厚度补偿件22120的材料22125a-22125d时,可使钉22030的腿暴露于润滑剂。在腿穿过组织厚度补偿件22120之后,腿可接触砧座22060,其中润滑剂可降低钉腿与砧座22060之间的摩擦系数和摩擦力。在此类情况下,可降低击发钉22030所需的力。由于组织厚度补偿件22120紧靠砧座22060的定位,钉22030的钉腿可在离开组织厚度补偿件22120之后直接接触砧座22060,由此降低了在钉腿接触砧座22060之前可从钉腿擦掉润滑剂的可能性。相似地,钉22030的钉腿可在暴露于组织厚度补偿件22120内的一种或多种药物之后直接接触砧座22060,由此降低了在钉腿重新进入组织T之前可从钉腿擦掉药物的可能性。在一些情况下,当钉腿向下变形时,钉腿可重新进入组织厚度补偿件22120,以使得钉腿可例如在重新进入组织T之前重新暴露于药物。任选地,与上文相似,第二膜22127可包括例如可紧密地接收在钉腔22062内的多个突出部22122,以便例如将组织厚度补偿件22120保持到砧座22060。
现在参见图449和图450,外科缝合器械的端部执行器可包括组织厚度补偿件(例如,补偿件22220),所组织厚度补偿件可例如包括与砧座22060的钉成形凹坑22062对齐的多个腔体22222。补偿件22220可由第一层或底层22226和第二层或顶层22227构成,其中第一层22226和/或第二层22227可包括可限定腔体22222的多个凸起部分或局部气泡。如图449所示,补偿件22220可附接到砧座22060,以使得腔体22222与砧座22060的钉成形凹坑22062对齐或至少基本上对齐。任选地,每个腔体22222可包括容纳于其中的一种或多种药物,例如,氧化再生纤维素、钙、和/或藻酸盐。在使用期间,每个腔体22222可在例如由从钉仓22000射出的钉22030刺穿之前处于密封、未刺穿状态。现在参见图450,在钉22030的腿已穿过组织T之后,每个钉腿可刺穿和穿透第一层22226并且进入腔体22222,其中钉腿随后可在刺穿和穿透第二层22227之前穿过容纳于其中的一种或多种药物。与上文相似,钉22030的腿可随后接触砧座22060。
腔体22222可在破裂之前保持储存于其中的一种或多种药物处于干燥状态或至少基本上干燥的状态。在腔体22222已破裂之后,流体(例如,血液)可进入腔体22222并且与一种或多种药物混合。流体与药物的混合物可导致药物在腔体22222内膨胀,其中例如药物可包括例如至少一种水凝胶。药物可包括例如至少一种止血材料。第一层22226和/或第二层22227可由柔性材料构成,所述柔性材料可拉伸以适应药物的膨胀。层22226、22227可由例如CAP/GLY材料构成。在任何情况下,药物的膨胀可例如对捕获在钉22030内和/或定位在钉22030周围的组织施加压缩力。在各种情况下,药物的膨胀可导致腔体22222破裂。例如,第一组腔体22222可在其中包括第一药物,而第二组腔体22222可在其中包括第二药物。例如,第一药物能够膨胀第一量和/或以第一速率膨胀,而第二药物能够膨胀第二量和/或以第二速率膨胀,例如,其中第一量可不同于第二量并且/或者第一速率可不同于第二速率。对上文进行进一步描述,一个或多个腔体22222可包括储存在每个腔体中的一种或多种药物,其中药物可包括例如第一药物和第二药物。腔体22222可在破裂之前保持第一药物和第二药物处于干燥状态或至少基本上干燥的状态。如上所述,在腔体22222已破裂之后,血液例如可进入腔体22222内并且与第一药物和第二药物混合,其中第一药物和第二药物可形成膨胀的凝胶。
现在参见图451-453,组织厚度补偿件(例如,补偿件22320)可包括可分别与钉成形凹坑22062a和钉成形凹坑22062b对齐的多个第一腔体22322a和多个第二腔体22322b。主要参见图452,钉成形凹坑22062a和钉成形凹坑22062b可限定在砧座22060上的单独阶梯表面中。更具体地讲,例如,成形凹坑22062a可限定在砧座22060的第一表面22069a中,并且成形凹坑22062b可限定在第二表面22069b中,其中第一表面22069a可被定位成偏离或高于第二表面22069b组织厚度补偿件22320的第一腔体22322a可大于第二腔体22322b,其中例如第一腔体22322a可高于第二腔体22322b而延伸。由于上文所述,第一腔体22322a可向上延伸到第一钉成形凹坑22062a中,同时第二腔体22322可向上延伸到第二钉成形凹坑22062b中。任选地,每个第一腔体22322a能够例如比第二腔体22322b包含更大的药物量。作为另外一种选择,第一腔体22322a和第二腔体22322b可在其中包含相同或至少基本上相同的药物量,即使腔体22322a和腔体22322b可具有不同的尺寸。
对上文进行进一步描述,第一腔体22322a可被布置在特定行中,而第二腔体22322b可被布置在不同行中。组织厚度补偿件可包括与每个成形凹坑对齐的腔体,而作为另外一种选择,参见图459,组织厚度补偿件(例如,补偿件22420)例如可包括与成形凹坑中的仅一些对齐的腔体。再次参见图452,补偿件22320可附接到砧座22060。腔体22322a和/或腔体22322b可被构造成使其分别紧密地配合在钉成形凹坑22062a和/或钉成形凹坑22062b内。补偿件22320可被组装到砧座22060,以使得补偿件22320的第二层22327被定位成紧靠砧座22060的第二表面22069b。作为另外一种选择,现在参见图454和455,补偿件22320可被定位成邻近砧座22060,以使得当砧座22060朝钉仓22000移动以将组织T压缩在其间时,补偿件22320可邻接砧座22060。现在参见图456,一旦钉22030已从钉仓22000击发并且通过砧座22060进行变形,补偿件22320就可紧靠组织T被钉22030捕获并且砧座22060就可移动远离补偿件22320。在某些情况下,现在参见图457,钉22030中的一个或多个可未通过砧座22030得到正确地变形。在此类情况下,现在参见图458,当钉被击发时,覆在未击发或未成形的钉上面的组织厚度补偿件中的腔体可未被刺穿。例如,组织厚度补偿件可由可生物吸收性材料构成,所述可生物吸收性材料可溶解并随后释放容纳在未刺穿腔体中的药物。
对上文进行进一步描述,组织厚度补偿件22320的第一腔体22322a和/或第二腔体22322b可包括例如密封在其中的气体,例如,空气、二氧化碳、和/或氮气。腔体22322a和/或腔体22322b可包括气泡,所述气泡可在钉22030击发穿过腔体22322a和/或腔体22322b时爆裂,以释放容纳在其中的气体。这种爆裂可为正在使腔体22322a和腔体22322b破裂的外科医生提供声音反馈。然而,在一些情况下,一些钉22030可为未击发的,如上所述,并且与其相关联的腔体22322a和腔体22322b可未被爆裂。在各种情况下,外科医生可对缝合的组织扫描任何未爆裂的气泡、或腔体22322a和腔体22322b,并且确定是否需要采取任何纠正措施。
如上所述,现在参见图460,外科缝合器械可包括击发构件,例如,击发构件22080,所述击发构件22080可包括切割构件或切割刃22081,所述切割构件或切割刃22081可在击发构件22080推进穿过仓22000以从其部署钉22030时推进穿过组织T和一个或多个组织厚度补偿件。主要参见图462,补偿件(例如,补偿件22520)可附接到外科缝合器械的砧座22060,其中砧座22060可包括尺寸和构造设定成接收切割构件22081的至少一部分的刀狭槽22061。相似地,钉仓22000可包括尺寸和构造也可设定成接收切割构件22081的至少一部分的刀狭槽22011。再次参见图460,补偿件22520可包括例如沿补偿件22520的切割线22521定位的一个或多个腔体,例如,腔体22522,其中腔体22522可与限定在砧座22060中的刀狭槽22061对齐。当切割构件22081朝远侧行进穿过钉仓22000以部署钉22030时,切割构件22081可切割组织T和补偿件22520的腔体22522。与上文相似,主要参见图461,每个腔体22522可限定密封的腔体22524,所述密封的腔体22524可在其中包含一种或多种药物22525。腔体22522中的一个或多个能够包含流体,所述流体可在腔体22522被切割构件22081至少部分地切割时释放。在各种情况下,切割构件22081可连续地切割腔体22522,并且因此可连续地释放包含于其中的药物。
主要参见图462,补偿件22520可包括沿其侧面延伸的横向突出部或翼22529。突出部22529可利用例如一种或多种粘合剂固定到砧座表面22069a和/或砧座表面22069b。突出部22522的尺寸和构造可设定成紧密地配合在砧座22060的刀狭槽22061内,以使得例如突出部22522可将补偿件22520保持到砧座22060。横向突出部22529的尺寸和构造可设定成使其延伸到或覆在钉成形凹坑22062b和/或钉成形凹坑22062a上。作为另外一种选择,现在参见图463和图464,补偿件22620可包括横向突出部22629,所述横向突出部22629并未延伸到或覆在例如砧座22060的钉成形凹坑22062a和22062b和/或任何其他钉成形凹坑上。例如,补偿件22620可未被捕获在从钉仓22030射出的钉22030内。在任何情况下,再次参见图460,切割构件22081可在补偿件22520被钉22030固定到组织T时横切补偿件22520。在此类情况下,补偿件22520可与砧座22060分离并且与组织T保持在一起。再次参见图463和图464所示的补偿件22620,钉22030可未将补偿件22620固定到砧座22060,并且可在切割构件22081已横切补偿件22620之后将补偿件保持附接到砧座22060。
现在参见图465和图466,外科缝合器械的端部执行器可包括组织厚度补偿件,例如补偿件22720,所述补偿件22720可附接到或者能够附接到砧座,例如砧座22760等等。与上文相似,砧座22760可包括多个钉成形凹坑22762和纵向刀狭槽22761,所述纵向刀狭槽22761在切割构件推进穿过端部执行器时能够在其中接收切割构件。补偿件22720可包括可彼此附接以限定腔体22724的第一膜层22726和第二膜层22727。例如,第一膜层22726可沿密封的外周边22728附接到第二膜层22727,其中密封的外周边22728可例如容纳腔体22724中的至少一种药物22725。如图466所示,腔体22724和药物22725可在全部钉腔22762下方延伸,并且密封的周边22728可相对于最外侧钉腔22762横向地定位。补偿件22720还可包括例如纵向肋22721,所述纵向肋22721能够向上延伸到刀狭槽22761内。例如,肋22721的尺寸和构造可设定成紧密地配合在刀狭槽22761内,以便将补偿件22720固定到砧座22760。肋22721能够使补偿件22720与砧座22760对齐或中心对准。相似地,参见图467,组织厚度补偿件22820可包括保持肋22821,所述保持肋22821可例如被定位在刀狭槽22761内,以便将补偿件22820固定到砧座22760。再次参见图466,在各种情况下,当切割构件推进穿过刀狭槽22761时,切割构件可横切肋22721并且使补偿件22720从砧座22760释放。例如,这种切割构件在图467中示为击发构件22080的一部分。
再次参见图467,组织厚度补偿件22820可包括第一层22826和第二层22827,所述第一层22826和第二层22827可被构造和布置成限定多个第一封包22824a和多个第二封包22824b。第一封包22824a中的每一个能够包含第一药物,并且第二封包22824b中的每一个能够包含第二药物,其中第二药物可不同于第一药物。第一封包22824a和第二封包22824b可被布置成交替构型。例如,第一封包22824a和第二封包22824b可横向地延伸横跨组织厚度补偿件22820,以使得例如第二封包22824b定位在两个第一封包22824a中间并且第一封包22824a定位在两个第二封包22824b中间。当切割构件22080行进穿过补偿件22820时,如图467所示,切割构件22080可横切第一封包22824a,之后是第二封包22824b,之后是第一封包22824a,之后是第二封包22824b等等。相应地,在此类情况下,切割构件22080可连续地释放例如容纳在第一封包22824a中的第一药物和容纳在第二封包22824b中的第二药物,所述第一封包22824a和所述第二封包22824b呈交替构型。在第一封包22824a和第二封包22824b被定位成彼此相邻的情况下,当第一药物和第二药物从其相应的第一封包22824a和第二封包22824b释放时,第一药物能够与第二药物混合。例如,切割构件穿过补偿件22820的推进可使得第一药物与第二药物混合。
对上文进行进一步描述,第一药物可包括第一粉末,而第二药物可包括第二粉末。第一药物和/或第二药物可由例如止血材料、氧化再生纤维素、藻酸盐、和/或钙构成。第一药物和/或第二药物可包括流体。第一封包22824a中的一个或多个和/或第二封包22824b中的一个或多个可包括润滑剂,所述润滑剂可减小推进击发构件22080穿过补偿件22820和/或组织T所需的力。第一膜层22826和/或第二膜层22827可由例如可生物吸收材料(例如PDS)构成。第一膜层22826和第二膜层22827可彼此附接,以使得第一封包22824a在被击发构件22080切割之前与第二封包22824b密封隔离。第一封包22824a和/或第二封包22825b可具有一定的破裂强度,以便耐受一定的破裂压力。更具体地讲,当砧座(例如,砧座22760)朝着背对砧座22760定位的钉仓移动补偿件22820时,封包22824a、封包22824b可被定位成紧靠设置在封包22824a、封包22824b与钉仓中间的组织,其中砧座22760可随后向下朝钉仓推压或夹紧,以便压缩定位在其间的组织。在此类情况下,封包22824a、封包22824b可经受压缩压力。在一些情况下,期望封包22824a和/或封包22824b保持完整,直至它们被切割构件22080切割和/或由从钉仓击发的钉刺穿。在某些其他情况下,期望封包22824a和/或封包22824b因施加到其的压缩夹紧负荷而破裂。
如上所述,第一封包22824a和第二封包22842b可横向地延伸横跨补偿件22820。例如,第一封包22824a可沿着横向轴线22823a延伸,而第二封包22824b可沿着横向轴线22823b延伸。第一轴线22823a和/或第二轴线22823b可垂直于、或至少基本上垂直于补偿件22820的纵向轴线22083。例如,纵向轴线22083可限定击发构件22080的切割路径。第一轴线22823a和/或第二轴线22823b可不垂直于纵向轴线22083并且可相对于纵向轴线22083倾斜。任选地,如上所述,第一封包22824a和第二封包22824b可被布置成交替构型。作为另外一种选择,可使用第一封包22824a和第二封包22824b的任何其他合适的构型。例如,布置在组织厚度补偿件中的封包序列可包括第一封包22824a、第二封包22824b、第二封包22824b、和第一封包22824a。组织厚度补偿件还可包括多个第三封包,所述第三封包包括不同于第一药物和第二药物的第三药物。例如,第一封包、第二封包、和第三封包可被布置成交替构型。例如,布置在组织厚度补偿件中的封包序列可包括例如第一封包、之后是第二封包、之后是第三封包。
再次参见图467,组织厚度补偿件22820的第一封包22824a和/或第二封包22824b可限定例如U形的、或至少基本上U形的横截面。现在参见图468,组织厚度补偿件22920的封包22924可限定例如圆形的、或至少基本上圆形的横截面。现在参见图469,组织厚度补偿件23020的封包23024可限定例如卵圆形的和/或椭圆形的横截面。再次参见图467,第一腔体22824a和第二腔体22824b可包括限定在平行的或至少基本上平行的行中的对称的或至少几乎对称的构型。作为另外一种选择,现在参见图470,组织厚度补偿件(例如,补偿件23120)可包括限定在其中的非对称腔体23122,所述非对称腔体23122可具有例如不规则的和/或非重复的图案。例如,腔体23122中的每一个可在其中包含一种或多种不同的药物。
现在参见图471,组织厚度补偿件(例如,组织厚度补偿件23220)可包括壳体23226,所述壳体23226限定其中的腔体23224和定位在腔体23224内的材料23225。壳体23226可由例如可吸收聚合物、PDS、PGA、PLLA、Cap Gly、和/或PCL构成,而材料23225可由例如止血剂、氧化再生纤维素、Hercules、血纤维蛋白、和/或凝血酶构成,所述材料23225可采用任何合适的形式,例如粉末、纤维、和/或凝胶。可利用挤出工艺来制造壳体23226。在此类情况下,壳体23226可包括沿其长度恒定的或至少基本上恒定的横截面,所述壳体23226可在不必焊接有接缝的情况下来产生。例如,腔体23224可由围绕其整个周边延伸的侧壁限定,所述侧壁不具有限定于其中的开口。壳体23226可由具有限定于其中的开口的网片和/或稻草状材料构成。可在壳体23226中通过例如激光切割工艺和/或冲切工艺来切割开口。
作为制造材料23225的一部分,现在参见图474-476,纱股线可利用纤维和/或纤维材料(例如,氧化再生纤维素)来形成。可将图474所示的较长纤维23325和图475所示的较短纤维23425按照图476所示的方式混合在一起,以形成材料23225的纱股线。纱股线可在张力下进行拉延和/或可设置在张力下,以便沿纵向方向来拉伸包含于其中的纤维。现在参见图477,材料23225的纱股线可通过抓紧器23290进行松散,所述抓紧器23290可抓紧和扭曲材料23225以增加纱股线的体积。例如,当纱股线正相对于例如抓紧器23290移动时,抓紧器23290可松散材料23225。再次参见图477,可例如在材料23225的纱股线中利用切割构件23291来制备小切口和/或微切口。与上文相似,当纱股线正相对于切割构件23291移动时,切割构件23291可切割材料23225。材料23225的纱股线可在制备上述切口之前被松散,而作为另外一种选择,材料23225的纱股线可在其松散之前被切割。
一旦材料23225的纱股线已被合适地制备,就可将材料23225定位在壳体23226内。现在参见图478,两个或多个壳体23226可作为上述挤出工艺的一部分形成在一起,其中壳体23226可连接在一起以作为管23227的一部分。材料23225的纱股线可定位在或拉延到限定于管23227中的腔体23224内。材料23225的纱股线可被定位在腔体23224的第一开口端23221附近和/或内部,其中可通过腔体23224的第二开口端23222插入抓紧器23292。然后可推压抓紧器23292穿过腔体23224,直到抓紧器23292的钳口23292a穿过第一开口端23222并且/或者相对于第一开口端23222进行定位,以使得抓紧器钳口23292a可被操纵以抓紧材料23225的纱股线。抓紧器可包括例如钩构件,所述钩构件能够抓紧材料23225的纱股线。在任何情况下,一旦抓紧器23292已充分地抓紧材料23225的纱股线,抓紧器23292就可撤回腔体23224内,以便将材料23225的纱股线牵拉到腔体23224内。抓紧器23292能够在纱股线被牵拉到管23227内之前、期间、和/或之后来扭曲材料23225的纱股线。
一旦材料23225的纱股线已合适地定位在管23227内,抓紧器23292就可随后被操纵以释放材料23225的纱股线。可在纱股线已被牵拉穿过管23227的第二开口端23222之前释放纱股线,而作为另外一种选择,可在纱股线已被牵拉穿过第二开口端23222之后释放纱股线,如图479所示。在某些情况下,可将纱股线牵拉穿过第二开口端23222,以使得当释放纱股线时,纱股线可通过第二开口端23222收缩或回弹到管23227内。在各种情况下,可在邻近第一开口端23221的位置处切割纱股线,以使得纱股线可通过第一开口端23222收缩或回弹到管23227内,与上文相似。在各种情况下,对上文进行进一步描述,抓紧器23292可对材料23225的纱股线施加张力,以使得当抓紧器23292释放纱股线和/或当纱股线被切割时,纱股线内的张力可被释放,从而允许纱股线收缩。
现在参见图480,一旦材料23225的纱股线已充分地定位在管23227内,就可将管23227和材料23225切割成多个区段,其中每个区段可被制备成例如组织厚度补偿件23220。延伸穿过每个此类区段的覆盖件23226的腔体23224可包括位于其相对末端的开口端。例如,可通过例如热铆焊、热焊接、和/或激光焊接工艺来封闭和/或密封开口端中的一者或两者。参见图481,可将包括覆盖件23226和其中的材料23225的一部分的区段定位在模具内,所述模具能够封闭和/或密封覆盖件23226的开口端。更具体地讲,模具可例如包括基座23294和可移动部分23296,其中区段可被定位在限定于基座23294中的腔体23295内。一旦被定位,可移动部分23296就可向下移动,以对区段施加力。任选地,可经由基座23294和/或可移动部分23296来对区段加热,其中施加到区段的热和/或力可使覆盖件23226变形。更具体地讲,可移动部分23296可限定凹坑23297,所述凹坑23297可为成轮廓的以对覆盖件23226的某些部分(例如其开口端)施加夹紧力,以便封闭、压平、和/或颈缩组织厚度补偿件23220的这些部分。例如,凹坑23297能够形成组织厚度补偿件23220的封闭端23228并且压平定位在封闭端23228中间的组织厚度补偿件23220部分。在组织厚度补偿件23220已合适地形成之后,可将可移动部分23296移动到打开位置并且可从模具移出组织厚度补偿件23220。然后可将组织厚度补偿件23220定位在冷却容器中,其中可允许补偿件23220冷却到室温和/或任何其他合适的温度。
作为另外一种选择,对上文进行进一步描述,可在材料23225已定位在管23227中之后来将该管定位在热成形模具内。在管23227和定位在其中的材料23225已成形之后,则可将管23227和材料23225分割成例如多个组织厚度补偿件23220。再次参见图471,组织厚度补偿件23220可包括例如能够附接到砧座22060的横向翼或夹具23229。例如,当在模具部分23294和模具部分23296之间形成组织厚度补偿件23220时,可在覆盖件23226中形成横向翼23229,如上所述。现在参见图472,组织厚度补偿件23320可包括从覆盖件23326延伸的横向翼23329。现在参见图473,组织厚度补偿件23420可例如包括具有一个或多个横向挠性接合部23428的覆盖件23426,所述一个或多个横向挠性接合部23428可允许覆盖件23426当在上述热成形模具中经受压缩压力时挠曲和变平。任选地,由于上文所述,组织厚度补偿件23220可不包括横向接缝。在此类情况下,再次参见图471,材料23225可例如延伸到砧座22060的横向边缘。
如上所述,可将纱股线牵拉穿过管并且随后切割成一定长度以形成一个或多个组织厚度补偿件。对上文进行进一步描述,可利用刚性材料股线来将纱股线牵拉或推压穿过管。可将聚合物材料(例如PCL)的刚性股线例如加热到超过其玻璃化转变温度并且拉伸成变形的形状。例如,刚性股线可包括未变形的螺线形状,所述未变形的螺线形状在拉伸成其变形形状时可包括例如直线的或至少基本上直线的形状。然后,可将刚性股线冷却到低于玻璃化转变温度,同时约束刚性股线以使刚性股线可保持其变形形状。一旦刚性股线处于其变形形状的ORC纤维中,就可例如围绕刚性股线形成纱股线。ORC纱股线可例如卷绕、聚集、和/或折叠在刚性股线上。作为另外一种选择,例如,可将刚性股线插入到ORC纤维内。刚性股线可包括能够卷在和/或浸在ORC纤维内的粘性表面。在任何情况下,随后可将刚性股线和ORC纤维插入到管内,与上文相似,并且再次加热到超过刚性股线的玻璃化转变温度。在此类情况下,刚性股线可为无约束的或至少基本上无约束的,并且可允许返回或至少基本上返回到其初始未变形的形状。例如,刚性股线可在返回其初始形状时收缩并且使ORC纤维回缩到管内。当刚性管收缩时,可夹紧管的中心以将刚性股线和ORC纤维保持在管的中心。与上文相似,可密封管的末端,以包封其中的刚性股线和ORC纤维。
现在参见图573,组织厚度补偿件33320可包括外壳33326、定位在外壳33326内的可压缩芯、和能够将可压缩芯容纳在外壳33326内的封闭端33328。对上文进行进一步描述,外壳33326可由连续挤出工艺制得并且可包括沿其长度的连续横截面形状。现在参见图574-576,组织厚度补偿件33420可包括外壳33426、限定在外壳33426中的腔体33424、和定位在腔体33424内的芯33425。例如,外壳33426可包括由连续挤出形状形成的膜主体,并且芯33425可包括纤维药物芯,例如ORC。外壳33426可包括一个或多个柔性腿33423,所述一个或多个柔性腿33423能够延伸到限定于砧座22060中的刀狭槽22063内并且将组织厚度补偿件33420可释放地保持到砧座22060。现在参见图577-579,组织厚度补偿件33520可包括外壳33526、限定在外壳33526中的腔体33524、和定位在腔体33524内的芯33425。例如,外壳33526可包括由连续挤出形状形成的膜主体,并且芯33425可包括纤维药物芯,例如ORC。外壳33526可包括一个或多个保持构件33528,所述一个或多个保持构件33528能够围绕砧座22060的外表面延伸并且可将组织厚度补偿件33520可释放地保持到砧座22060。例如,主要参见图579,外壳33526可包括可移动部分33527和限定在可移动部分33527之间的间隙33523,其中在组织厚度补偿件33520已与砧座22060分离之后,可移动部分33527可弹开以暴露容纳于其中的芯33425。现在参见图580-581,组织厚度补偿件33620可包括外壳33626、限定在外壳33626中的腔体33424、和定位在腔体33424内的芯33425。例如,外壳33626可包括由连续挤出形状形成的膜主体,并且芯33425可包括纤维药物芯,例如ORC。外壳33626可包括薄部33623,所述薄段33623可与限定在砧座22060中的刀狭槽22063对齐,以使得穿过组织厚度补偿件33620的切割构件可穿过薄段33623并且减小横切组织厚度补偿件33620所需的力或能量。现在参见图582-583,组织厚度补偿件33720可包括外壳33726、限定在外壳33726中的腔体33424、和定位在腔体33424内的芯33425。例如,外壳33726可包括由连续挤出形状形成的膜主体,并且芯33425可包括纤维药物芯,例如ORC。外壳33726可包括一个或多个保持构件33723,所述保持构件33723能够包绕砧座22060的外表面并且可将组织厚度补偿件33720可释放地保持到砧座22060。现在参见图584-585,组织厚度补偿件33820可包括外壳33826、限定在外壳33826中的腔体33424、和定位在腔体33424内的芯33425。例如,外壳33826可包括由连续挤出形状形成的膜主体,并且芯33425可包括纤维药物芯,例如ORC。例如,外壳33826可包括基本上矩形的腔体33424和基本上平坦的组织接触表面33829,相比之下,图583中示出了弧形的腔体33424和组织接触表面。现在参见图586-587,组织厚度补偿件33920可包括外壳33926、限定在外壳33926中的多个腔体33924、和定位在每个腔体33924内的芯33925。例如,外壳33926可包括由连续挤出形状形成的膜主体,并且芯33925可各自包括纤维药物芯,例如ORC。芯33925可由不同的材料构成。外壳33926可包括一个或多个保持构件33923,所述保持构件33923能够延伸到砧座22060的刀狭槽22063中。
现在参见图482,可利用折叠工序来形成组织厚度补偿件。根据本发明,可将材料23525(例如,氧化再生纤维素)放置在覆盖片23526上,所述覆盖片23526可被折叠并且随后被密封以便包封材料23525。例如,覆盖片23526可由例如细胞骨架相关蛋白质甘氨酸构成。可利用连续工序,其中覆盖片23526可在料斗23592下穿过,所述料斗23592能够将材料23525分配到覆盖片23526上。例如,在将材料23525放置在覆盖片23526上之前,可在辊23591和砧座23590之间压平覆盖片23526。可将材料23525放置在覆盖片23526的一个侧面或半部上,其中可将覆盖片23526的另一侧面或半部折叠或翻转到材料23525上。在材料23525已放置在覆盖片23526上之前、期间和/或之后,可折叠或至少部分地折叠覆盖片23526。砧座23590可包括例如凸轮表面23594,所述凸轮表面23594能够例如提升纵向移动覆盖片23526的边缘或侧面并且随后对折覆盖片23526。凸轮表面23594可包括三维凸轮或圆筒凸轮,所述三维凸轮或圆筒凸轮在覆盖片23526经过凸轮表面23594时逐步提升并且翻转覆盖片23526的一部分。
在覆盖片23526已被折叠到材料23525上之后,折叠的覆盖片23526和定位在其中的材料23525可穿过模具23593,所述模具23593可压缩和/或压实折叠的覆盖片23526和材料23525以形成管23527。可利用诸如热焊接和/或激光焊接之类的任何合适工艺来密封折叠的覆盖片23526的边缘。管23527还可例如在管23527的侧壁已被密封之前通过一个或多个辊23595来压平。管23527还可在管23527的侧壁已被密封之后通过一个或多个辊来压平。在任何情况下,可将管23527分割成部分以产生单独的组织厚度补偿件。可利用诸如热焊接和/或激光焊接之类的任何合适工艺来密封组织厚度补偿件的末端,然而作为另外一种选择,组织厚度补偿件的一个或两个末端可保持在开口构型。
现在参见图483,补偿件可附接到砧座,例如,砧座22060,其中补偿件能够在其中储存至少一种药物。补偿件23620可包括中央主体部分23626以及能够附接到砧座22060的横向附接部分23628。补偿件23620还可包括限定在补偿件23620的组织接触表面23625中的毛细管通道23627的阵列,其中毛细管通道23627能够在其中储存一种或多种药物。例如,药物可包括流体,所述流体因流体张力而可被保持在毛细管通道23627的侧壁之间。在各种情况下,可在补偿件23620附接到砧座22060之前来将药物施用到补偿件23620,而在一些情况下,可例如在补偿件已附接到砧座22060之后来将药物施用到补偿件23620。在任何情况下,补偿件23620能够接触定位在砧座22060和背对砧座22060的钉仓之间的组织,其中储存于毛细管通道23627中的药物可流到组织上。在各种情况下,药物可流到毛细管通道23627内。
再次参见图483所示的补偿件23620,所述系列的毛细管通道23627可被构造和布置成交叉影线图案,其中第一数量的通道23627可沿着第一方向延伸并且第二数量的通道23627可沿着第二方向延伸。第一数量的通道23627可与第二数量的通道23627相交并且流体连通。现在参见图484,补偿件23920可包括主体23926,所述主体23926包括限定于组织接触表面23925中的毛细管通道23927的阵列。通道23927可沿着线性路径来限定,同时通道23927可沿着非线性路径来限定。例如,第一数量的通道23927可沿着轴线23923延伸,而第二数量的通道23927可沿着轴线23924延伸,其中轴线23923可沿着不同于轴线23924的方向延伸。轴线23923可垂直于或者至少基本上垂直于轴线23924,其中通道23627可在其间限定岛状物23922。例如,岛状物23922的顶部表面可限定补偿件23920的组织接触表面23925。补偿件23920可包括纵向轴线23921并且通道23627可沿着相对于纵向轴线23921横向或斜向的方向延伸。再次参见图483,补偿件23720可包括主体23726和限定于主体23726中的多个毛细管通道23727。补偿件23720还可包括可与毛细管通道23727流体连通的纵向通道23721。任选地,可将一种或多种药物储存在纵向通道23721中,其中药物可例如在通道23721和毛细管通道23727之间流动。通道23721可限定可向上延伸到限定于砧座22060中的纵向刀狭槽22061内的纵向突起。
如上所述,再次参见图483,限定于补偿件中的毛细管通道阵列可包括交叉影线图案。然而,作为另外一种选择,毛细管通道阵列可包括任何合适的形状或构型。例如,参见图483所示的补偿件23820,限定于补偿件23820的主体23826中的通道23827可包括例如平行、倾向通道,所述平行、倾向通道朝着中央通道23821会聚并且/或者远离中央通道23821而发散。现在参见图487,外科缝合器械的端部执行器可包括钉仓24000,所述钉仓24000包括组织厚度补偿件24010,其中组织厚度补偿件24010可在其中和/或在其上包括至少一种药物,例如,药物24001。现在参见图488,可将附接到砧座24060的补偿件24020例如移动到闭合位置,以便将补偿件24020放置成与组织厚度补偿件24010接触。在此类情况下,可将药物24001例如从组织厚度补偿件24010转移到补偿件24020。现在参见图489,补偿件24020可包括可与组织厚度补偿件24010接触的组织接触表面24025,其中药物24001可流到限定于组织接触表面24025中的毛细管通道24027内。现在参见图486,补偿件24020可在其上和/或在其中包括诸如药物24002之类的至少一种药物,所述至少一种药物可从补偿件24020转移到组织厚度补偿件24010。
现在参见图569和图570,组织厚度补偿件33020可包括限定于其表面中的多个通道和/或井凹。组织厚度补偿件33020可包括沿着穿过组织厚度补偿件33020限定的纵向轴线延伸的纵向通道33026。例如,纵向通道33026的末端可与组织厚度补偿件33020的周边流体连通。组织厚度补偿件33020还可包括多个井凹33022以及与井凹33022和纵向通道33026流体连通的多个斜向通道33024。组织厚度补偿件33020还可包括可与井凹33022和组织厚度补偿件33020的周边流体连通的多个入口-出口通道33027。任选地,由于上文所述,流体可在组织厚度补偿件已被植入到患者组织之前、期间、和/或之后流入和/或流出组织厚度补偿件33020。限定于组织厚度补偿件33020的组织接触表面33025中的通道33024、33026和33027以及井凹33022的图案可限定抓持边缘,所述抓持边缘能够接触组织并且限制组织厚度补偿件33020和组织之间的滑动。现在参见图569A和图570A,组织厚度补偿件33120可包括限定于其表面中的多个圆形通道。组织厚度补偿件33120可包括同心圆形通道33127,所述同心圆形通道33127包括限定于组织厚度补偿件33120的周边中的开口。与上文相似,流体可通过通道33127流入和/或流出组织厚度补偿件33120。组织厚度补偿件33120可包括同心圆形通道33122,所述同心圆形通道33122可不包括限定于组织厚度补偿件33120的周边中的开口。现在参见图571和图572,组织厚度补偿件33220可包括从其延伸的多个脊33227,所述脊33227能够抓持紧靠组织厚度补偿件33220定位的组织。例如,脊33227可为直的或者脊33227可包括弯曲轮廓。尽管上述的脊和通道可用于组织厚度补偿件,但此类脊和通道可与任何合适的可生物吸收的和/或生物相容性的层一起使用。
根据本发明,补偿件可由多个层构成。例如,补偿件可包括第一层和附接到第一层的第二层。第一层可包括组织接触表面和限定于组织接触表面中的多个毛细管通道。第一层还可包括限定于面向第二层并且背向组织接触表面的侧面中的毛细管通道。第二层可包括限定于其中的毛细管通道。井凹可限定在补偿件的第一层和第二层之间。可例如在形成层的模塑工艺期间和/或在热铆焊工艺期间利用任何合适的方法来将毛细管通道形成于补偿件的层中。例如,可利用热铆焊工艺来将补偿件的层彼此附接在一起。例如,层可由下述材料构成,所述材料在被施加热时可变成可变形的,例如,CAP/GLY(36/64)。在任何情况下,限定于补偿件的组织接触表面中的毛细管通道可在其间限定抓持表面,所述抓持表面可改善可施加到定位在外科缝合器械的砧座和钉仓之间的组织的抓持和控制。换句话讲,限定于补偿件的组织接触表面的毛细管通道可减小补偿件可接触组织的面积。在此类情况下,对于给定的力而言,补偿件和组织之间的较小接触面积可导致较高的接触压力。在各种情况下,较高的接触压力可降低补偿件和组织之间的滑动。
任选地,可将一种或多种药物定位在限定于第一层和第二层内和/或之间的毛细管通道和/或空隙内。构成补偿件的多个层可包括一组治疗剂层或治疗剂。例如,第一层可由第一药物构成并且第二层可由第二药物构成,其中第一药物可不同于第二药物。例如,限定于第一层中的毛细管通道可储存第三药物,并且限定于第二层中的毛细管通道可储存第四药物,其中第一药物、第二药物、第三药物和/或第四药物可例如为不同的。第一药物、第二药物、第三药物和/或第四药物可例如为不同的。现在参见图490,补偿件24120可包括多个层,例如,层24121-24125。第一层24121和/或第五层24125可包括可夹置第二层24122、第三层24123和/或第四层24124的平材料片。任选地,层24121-24125中的一个或多个可包括限定于其中的一个或多个通道24127。通道24127可从补偿件24120的一端延伸到另一端,并且通道24127可从补偿件24120的一侧延伸到另一侧。通道24127可在补偿件24120的任何合适的侧面和/或末端之间沿着任何合适的方向延伸。现在参见图493和图494,补偿件24820可包括例如可限定横向通道24822的两个或更多个内层24827,所述横向通道24822从补偿件24820的一侧延伸到另一侧。再次参见图490,限定于层24121-24125中的一个内的通道24127可与限定于与其相邻定位的层中的通道对齐。限定于层24121-24125中的一个内的通道24127可面向或开口朝向与其相邻定位的层上的平坦表面。再次参见图490,层24121-24125中的一个或多个可包括限定于其中的至少一个井凹24129。井凹24129可与限定于层中的一个或多个通道24127流体连通。与上文相似,井凹24129可包括开口朝向或面向相邻层的开口,其中相邻层可覆盖开口。
对上文进行进一步描述,通道24127和/或井凹24129能够在其中包含一种或多种药物。通道24127可包括可允许药物流出通道24127的一个或多个开口端。相似地,通道24127可包括能够允许流体(例如,血液)流到通道24127内的一个或多个开口。在此类情况下,流体可流到补偿件24120内、吸收药物和/或层24121-24125的至少一部分、并且随后流出补偿件24120。再次参见图493和图494,补偿件24820可包括例如限定于外层24826中的孔24828。再次参见图490,层24121-24125可由任何合适的材料构成,例如,可生物吸收的聚合物、PLA、和/或PGA。层24121-24125中的全部可由相同的材料构成。作为另外一种选择,层24121-24125中的一个或多个可由不同的材料构成。任选地,层24121-24125的一个或多个可包括贯穿延伸的通孔24128,所述通孔24128例如能够允许诸如血液之类的流体流到通道24127内、井凹24126内、和/或层24121-21135中的两个或更多个之间。可利用例如热焊接和/或激光焊接工艺来将层24121-24125中的一个或多个彼此连接在一起。在此类情况下,流到补偿件24120内的流体可溶解层24121-24125的焊接部分,并且允许层24121-24125分离和/或剥离。层24121-24125中的一个或多个可由以下材料构成,所述材料以快于和/或慢于构成其他层24121-24125的材料的速率溶解。例如,补偿件24120的内层24122-24124可由例如以快于构成外层24121和24125的材料的速率溶解的材料构成。在此类情况下,当补偿件24120的内部被溶解掉时,补偿件24120可保持一致的或者至少基本上一致的整体形状。补偿件的最外层可由例如以快于构成补偿件的最内层的材料的速率溶解的材料构成。例如,层可包括具有介于大约1密耳和大约4密耳之间的厚度的材料片。
现在参见图491和图492,诸如补偿件24220之类的补偿件可包括能够附接到砧座(例如,砧座22060)和/或钉仓的支撑层24226。补偿件24220还可包括附接到支撑层24226的支架24222,其中支架24222可包括多个支架层24227。支架可包括例如三维结构化基质。任选地,支架层24227中的每一个可由多个纤维构成。现在参见图495,每个支架层24227可由纤维编织物构成,所述纤维编织物包括沿第一方向延伸的第一多个纤维24228和沿第二或不同方向延伸的第二多个纤维24229。每个纤维编织物可包括多个凹坑或腔体24223,其中层24227、纤维24228、24229、以及腔体24223可限定有助于组织和细胞向内生长的基质。纤维24228、24229和/或任何其他合适的纤维可由可生物吸收材料构成。纤维可由例如止血剂、结合活性剂(例如,具有生物活性和/或药理学活性的那些)、和/或支撑构件(其可彼此交织在一起)构成。在任何情况下,可选择纤维的材料以导致所需的生物反应,例如,细胞迁移到支架24222内、ECM分泌、和/或结构化支撑细胞的增殖。
对上文进行进一步描述,支撑层24226能够在结构上支撑支架24222。可例如利用一种或多种可生物吸收粘合剂来将支架24222附接到支撑层24226。相似地,可利用例如一种或多种生物相容性粘合剂来将支撑层24226附接到砧座或钉仓。可以任何合适的方式来布置或堆叠支架24222的层24227。每个层24227可包括纤维图案,其中层24227可被布置在支架24222中以使得层24227的图案为彼此对齐的。参见图496,可将层24227堆叠在彼此之上,使得第一层24227中的纤维24228与第二层24227中的纤维24228对齐。同样,可将层24227堆叠在彼此之上,使得第一层24227中的纤维24229与第二层24227中的纤维24229对齐。现在参见图497,支架24422可包括多个支架层24427,其中每个支架层24427中的纤维24429沿着相同方向进行取向,例如,纵向方向。现在参见图499,每个支架层24227可包括纤维图案,其中层24227可被布置在支架24322中以使得层24227的图案彼此不对齐。可将层24227堆叠在彼此之上,使得第一层24227中的纤维24228沿着横向于或者斜向于第二层24227中的纤维24228的方向延伸。同样,可将层24227堆叠在彼此之上,使得第一层24227中的纤维24229沿着横向于或者斜向于第二层24227中的纤维24229的方向延伸。现在参见图500,支架24522可包括例如多个支架层24427,所述多个支架层24427被取向成使得每个支架层24427中的纤维24229沿着不同方向进行取向。
对上文进行进一步描述,支架24222的第一支架层24227例如可由第一材料构成,而支架24222的第二支架层24227可由第二或不同材料构成。例如,第一材料可包括第一药物,而第二材料可包括第二或不同药物。对上文进行进一步描述,例如,支架24222的第一支架层24227例如可包括被吸收到其纤维内的第一药物,而支架24222的第二支架层24227可包括被吸收到其纤维内的第二或不同药物。例如,第一材料可包括第一药物,而第二材料可包括第二或不同药物。支架可包括具有任何合适纤维密度的任何合适数目的层,所述纤维由任何合适数目的材料构成。
可利用保持器来将组织厚度补偿件安装在外科装置(例如,外科切割和缝合装置)中。保持器可包括抓持表面并且允许外科医生、护士、技术人员或其他人员将组织厚度补偿件中的一个或多个与外科器械的特征(例如,砧座和/或钉仓)对齐。保持器可包括通过接合外科器械的钉仓来对齐一个或多个组织厚度补偿件的特征。保持器可包括通过接合外科器械的砧座来对齐一个或多个组织厚度补偿件的特征。用于外科器械的钉仓可与保持器包括在一起,并且使保持器与外科器械接合可将钉仓安装在外科器械中并可对齐组织厚度补偿件中的一个或多个。在组织厚度补偿件已对齐并且附接到外科器械之后,可使保持器与组织厚度补偿件分离,并且随后从外科器械移除。
图390-396示出了例如可用于将第一组织厚度补偿件19002附接到砧座19040并且将第二组织厚度补偿件19004附接到外科缝合器的钉仓19050的保持器19000的实施例。可提供包括保持器19000、第一组织厚度补偿件19002和第二组织厚度补偿件19004的保持器组件19060。一般来讲,在使用期间,可将保持器组件19060插入到砧座19040和能够支撑钉仓19050的通道之间。然后,可闭合砧座19040。通过闭合砧座19040,可将砧座19040向下推压到第一组织厚度补偿件19002上,以使得第一组织厚度补偿件19002可附接到砧座19040。闭合砧座19040向下推压保持器19000并且将钉仓19050设置在外科器械的通道内。当重新打开砧座19040时,第一组织厚度补偿件19002可与保持器19000分离,并且当随后从外科装置移除保持器19000时,保持器19000可与第二组织厚度补偿件19004分离。外科装置随后准备就绪,以与附接到砧座19040的第一组织厚度补偿件19002和附接到钉仓19050的第二组织厚度补偿件19004一起使用。
参见图390,保持器19000可包括抓持件19014,所述抓持件19014可供准备外科器械的人员(例如,外科医生、护士或技术人员)抓持保持器19000。保持器19000可包括其上可定位第一组织厚度补偿件19002的第一表面19001和其上可定位第二组织厚度补偿件19004的相对的第二表面19003。任选地,可将一种或多种粘合剂施用到第一表面19001和/或第二表面19003,以用于向其附接第一组织厚度补偿件19002和第二组织厚度补偿件19004。保持器19000还可包括例如可接合外科装置的钉仓19050的夹具。参见图393,保持器19000可包括能够接合钉仓19050的远侧末端处的凹槽19056的远侧夹具19108、和/或能够接合钉仓19050上的脊或边缘19054的近侧夹具19106。
参见图390,第一组织厚度补偿件19002可包括面向保持器表面19006和面向砧座表面19010。可通过例如粘合剂和/或接合特征来将面向保持器表面19006附接到保持器19000的第一表面19001。面向砧座表面19010可在其上包括至少一种粘合剂,所述粘合剂可将第一组织厚度补偿件19002附接到外科装置的砧座19040。例如,粘合剂可包括可附着到砧座19040的钉成形表面19044(图392)的可活化粘合剂。
参见图390和图392-395,第一组织厚度补偿件的面向砧座表面19010可包括接合砧座19040上的相似接合特征19042的接合特征19020。因此,第一保持力可将第一组织厚度补偿件19002保持到保持器19000,并且第二保持力可将第一组织厚度补偿件19002保持到砧座19040。第二保持力可大于第一保持力,以使得当从端部执行器移除保持器19000时,第一组织厚度补偿件19002可保持附接到砧座19040并且可与保持器19000分离。
再次参见图390,第二组织厚度补偿件19004可包括面向保持器表面19008和面向钉仓表面19012。可通过一种或多种粘合剂和/或接合特征来将面向保持器表面19006附接到保持器19000的第一表面19001。面向钉仓表面19012可在其上包括粘合剂,所述粘合剂可将第二组织厚度补偿件19004附接到外科装置的钉仓19050。例如,参见图393,粘合剂可将第二组织厚度补偿件19004附着到钉仓19050的钉平台19052。面向钉仓表面19012还可包括接合钉仓19050上的协作接合特征的接合特征。因此,第一保持力可将第二组织厚度补偿件19004保持到保持器19000,并且第二保持力可将第二组织厚度补偿件19004保持到钉仓19050。第二保持力可大于第一保持力,以使得当从端部执行器移除保持器19000时,第二组织厚度补偿件19004可保持附接到钉仓19050并且可与保持器19000分离。
如图393所示,可将保持器组件19060按照箭头A所示的方式附接到钉仓19050。如上所述,保持器19000上的远侧夹具19018可接合钉仓中的凹槽19056,并且保持器上的近侧夹具19016可接合钉仓19050上的边缘或脊19054。此时,保持器19000附接到钉仓19050,如图394所示,并且第二组织厚度补偿件19004可附接到钉仓19050。如图395所示,外科装置的砧座19040沿箭头B方向的闭合可使得砧座的表面19044(例如,钉成形表面和/或组织接触表面)与第一组织厚度补偿件19002接触。如上所述,接触第一组织厚度补偿件19002的砧座19040可使得第一组织厚度补偿件19002附接到砧座19040。
在保持器组件19060已附接到钉仓19050并且砧座19040已闭合之后,可将第一组织厚度补偿件19002附接到砧座19040,并且可将第二组织厚度补偿件19004附接到钉仓19050。如上所述,将第一组织厚度补偿件19002保持到保持器19000的保持力可小于将第一组织厚度补偿件19002保持到砧座19040的保持力。因此,当重新打开砧座19040时,第一组织厚度补偿件19002可与保持器19000分离并且可与砧座19040保持在一起,如图396所示。另外如上所述,将第二组织厚度补偿件19004保持到保持器19000的保持力可小于将第一组织厚度补偿件19004保持到钉仓19050的保持力。因此,当沿着图396所示的箭头C和D的方向移除保持器19000时,保持器19000可与第二组织厚度补偿件19004分离。图396所示的外科缝合器包括附接到砧座19040的第一组织厚度补偿件19002和附接到钉仓19050的第二组织厚度补偿件19004,并且已准备就绪可供使用。
图390-396示出了正与第一组织厚度补偿件19002和第二组织厚度补偿件19004一起使用的保持器19000。保持器19000还可与第一组织厚度补偿件19002和第二组织厚度补偿件19004中的仅一者一起使用。例如,可省去第一组织厚度补偿件19002。
图397-399示出了可包括表面19101上的接合特征19108的保持器19100的实施例。如图398和图399所示,保持器19100上的接合特征19108接合第一组织厚度补偿件19102上的协作接合特征19109。
图400-401示出了可包括能够将组织厚度补偿件19210对齐和附接到砧座19230的表面19202的保持器19200的实施例。保持器19200可包括从表面19202延伸的对齐栓19204。图400和图401所示的保持器19200包括四个对齐栓19204,但可提供更多或更少的对齐栓19204。参见图401,组织厚度补偿件19210可包括主体19212,所述主体19212包括孔穴19216,所述孔穴19216可被定位成使其对应于从保持器19200延伸的对齐栓19204的位置。组织厚度补偿件19210中的每个孔穴19216配合在对齐栓19204上,并且由于孔穴19216和栓19204之间的紧密配合,可将组织厚度补偿件19210与保持器19200对齐。任选地,每个孔穴19216可略小于其对应的栓19204,使得每个孔穴19216在置于其栓19204上时扩展。这种扩展可将孔穴19216保持在栓19204上。每个孔穴19216可在其中包括粘合剂,以在栓19204和组织厚度补偿件19210之间产生可释放的粘结。
组织厚度补偿件19220可包括从组织厚度补偿件19220的主体19212延伸的能够被砧座19230中的狭槽19234接收的插片19220。砧座19230中的狭槽19234可例如定位在钉成形表面19232中。在保持器19200已附接到钉仓之后,与上文相似,砧座19230可紧靠保持器19200上的组织厚度补偿件19210进行闭合。当砧座19230闭合时,参见图401,组织厚度补偿件19210上的插片19220可接合狭槽19234,从而将组织厚度补偿件19210附接到砧座19230。主要参见图400,每个插片19220可包括将插片19220引导到砧座19230的狭槽19234内的渐缩部分19222。渐缩部分19222可包括倾斜壁并且可具有沿其长度递增的横截面积。每个插片19220的基体部分19226可具有小于渐缩部分19222的最大横截面积的横截面积。渐缩部分19222可包括锁定表面19224,其中当插片19220进入狭槽19234时,锁定表面19224可卡扣到狭槽19234的唇缘19235上。因此,锁定表面19224可将插片19220保持在狭槽19234内,从而将组织厚度补偿件19210保持到砧座19230。限定于组织厚度补偿件19210中并且延伸在插片19220之间的狭槽19228可允许插片19220向内挠曲并且配合在狭槽19234内。正利用狭槽19234保持的插片19220可限定将组织厚度补偿件19210保持到砧座19230的第一保持力,并且正保持在栓19204上的组织厚度补偿件19210中的孔穴19216可限定第二保持力。第一保持力可大于第二保持力,使得当从端部执行器移除保持器19200时,第一组织厚度补偿件19210可保持附接到砧座19230并且可与保持器19200分离。
图400和图401中的组织厚度补偿件19210的主体19212还可在其内限定狭槽19214。狭槽19214可沿着组织厚度补偿件19210的纵向轴线对齐。例如,可将狭槽19214布置在纵向轴线上,使得当将组织厚度补偿件19210附接到砧座19230时,狭槽19214与外科装置的切割刀的纵向路径对齐。狭槽19214可降低切割刀切穿组织厚度补偿件19210所需的能量值。
图402-412示出了包括夹具19310的保持器19300的实施例,所述夹具19310能够将组织厚度补偿件19340保持在保持器19300的第一表面19302上。当砧座19360闭合在保持器19300上时,与上文相似,砧座19360可向外推压和移动夹具19310,并且由此使保持器19300从组织厚度补偿件19340脱离。当重新打开砧座19360时,砧座19360紧靠组织厚度补偿件19340进行挤压并且移动远离保持器19300,由此使得组织厚度补偿件19340可附接到砧座19360。
保持器19300可包括钉仓安装夹具19312和19314,所述钉仓安装夹具19312和19314可与上文相对于图390-399所述的那些相似。除了上文所述的第一表面19302之外,保持器19300还可包括能够承载第二组织厚度补偿件的第二表面19304。第二表面19304可包括对齐结构,例如,凸起脊19308。凸起脊19308可接合例如第二组织厚度补偿件中的狭槽和/或钉仓19370中的狭槽。
参见图404-406,在使用期间,可通过夹具19314和19312来将保持器19300附接到钉仓19370。第一组织厚度补偿件19340可定位在保持器19300处的第一表面19302上,并且可通过夹具19310保持固定。主要参见图410-412,每个夹具包括可紧靠保持器19300的第一表面19302夹持第一组织厚度补偿件19340的扁平件19313。每个夹具19310可包括面向内的锥形或弯曲表面19311。当砧座19360沿着箭头E的方向移动时,参见图411,砧座19360的边缘19366可接触夹具19310的面向内的弯曲表面19311。当砧座19360继续沿着箭头E的方向移动时,砧座19360的边缘19366和夹具19310的弯曲表面19311之间的干扰可沿着箭头F的方向向外推压夹具19310,如图411所示。当夹具19310沿着箭头F的方向移动时,第一组织厚度补偿件19340从夹具19310的扁平件19313释放。
当砧座19360继续沿着箭头E的方向移动时,其还接触并且附接到组织厚度补偿件19340。例如,当砧座19360沿着箭头E的方向移动时,组织厚度补偿件19340上的接合特征(例如,凸起脊19344)接合砧座19360中的通道19364。凸起脊19344能够与通道19364具有过盈配合,以使得组织厚度补偿件19340附接到砧座19360。组织厚度补偿件19340可包括附着到砧座19360的表面的粘合剂。凸起脊19344可包括附着到通道19364的表面的粘合剂。同样,组织厚度补偿件19340的主体19342的表面可包括附着到砧座19360的表面19362的粘合剂。在组织厚度补偿件19340附接到砧座19360之后,当砧座19360通过沿着箭头G的方向移动而返回到其打开位置时,如图412所示,组织厚度补偿件19340可从保持器19300提升并且可与砧座19360保持在一起。
图413示出了保持器19400的实施例的剖视侧视图。第一组织厚度补偿件19410定位在保持器19400的第一侧面19402上,并且第二组织厚度补偿件19420定位在保持器19400的第二侧面19404上。保持器19400限定贯穿延伸的一个或多个孔穴19406。通过延伸穿过孔穴19406的连接件19430并穿过孔穴来连接第一组织厚度补偿件19410和第二组织厚度补偿件19420。第一组织厚度补偿件19410、第二组织厚度补偿件19420、以及连接件19430全部可由单一材料形成。例如,可将第一组织厚度补偿件19410、第二组织厚度补偿件19420、以及连接件19430重叠注塑到保持器19400上。作为另外一种选择,连接件19430可形成为组织厚度补偿件中的一者(例如,第一组织厚度补偿件19410)的部分。连接件19430可穿过孔穴19406,并且随后附接到剩余的组织厚度补偿件,例如,第二组织厚度补偿件19420。可例如通过利用粘合剂或通过连接件的末端与第二组织厚度补偿件19420中的接收端口(未示出)之间的过盈配合来将连接件19430附接到第二组织厚度补偿件19420。连接件19430可为单独部件,所述单独部件放置在孔穴19406内并且可通过例如利用粘合剂或者连接件19430的末端与第一组织厚度补偿件19410和第二组织厚度补偿件19420中的接收端口之间的过盈配合来附接到第一组织厚度补偿件19410和第二组织厚度补偿件19410。
在保持器19400已放置在钉仓19450上之后,例如,可将外科装置的砧座19440沿着箭头H的方向移动到闭合位置。当砧座19440闭合时,第一组织厚度补偿件19410的表面19414上的粘合剂和/或接合特征可将第一组织厚度补偿件19410附接到砧座19440。同样,第二组织厚度补偿件19420的表面19424上的粘合剂和/或接合特征可将第二组织厚度补偿件19420附接到钉仓19450。在砧座19440闭合并且第一组织厚度补偿件19410和第二组织厚度补偿件19420分别附接到砧座19440和钉仓19450之后,可沿着箭头I的方向(图417)牵拉保持器19400以从第一组织厚度补偿件19410和第二组织厚度补偿件19420之间移除保持器19400并且使连接件19430断裂。如图418所示,在连接件19430断裂和保持器19400已被移除之后,可重新打开砧座19440,第一组织厚度补偿件19410将附接到砧座19440并且第二组织厚度补偿件19420将附接到钉仓19450。
根据本发明,保持器19400中的每个孔穴19406的近侧部分19407可包括切割刃。当沿着箭头I(图417)的方向牵拉保持器时,通过孔穴19406的近侧部分19407传送牵拉力以使连接件断裂。每个孔穴19406的近侧部分19407处的切割刃将传送的力集中在每个连接件的相对较小的区域上。因此,连接件将较容易地断裂并且可需要较小的牵拉力来从第一组织厚度补偿件19410和第二组织厚度补偿件19420之间移除保持器19400。
如上所述,保持器组件可包括定位在第一组织厚度补偿件和第二组织厚度补偿件之间的保持器,其中在两个组织厚度补偿件已插入并且附接到外科器械的端部执行器时,保持器可从组织厚度补偿件之间进行牵拉并且可从端部执行器移除。保持器可提供第一组织厚度补偿件和第二组织厚度补偿件之间的屏障。一旦从第一组织厚度补偿件和第二组织厚度补偿件之间移除保持器,第一组织厚度补偿件之中和/或之上的物质就例如可与第二组织厚度补偿件之中和/或之上的物质发生反应。组织厚度补偿件中的一个或两个可包括可将物质包封在组织厚度补偿件的膜。可将膜附接到保持器,其中当从组织厚度补偿件之间牵拉保持器时,如上所述,保持器可牵拉膜远离组织厚度补偿件以暴露容纳于其中的物质。此时,每个组织厚度补偿件内的物质均可彼此相互作用。
图419-429示出了接合外科装置(例如,外科缝合器)的砧座的保持器的实施例。保持器可将第一组织厚度补偿件与砧座对齐并且将第二组织厚度补偿件与钉仓对齐。闭合砧座导致第一组织厚度补偿件附接到砧座,并且导致第二组织厚度补偿件附接到钉仓。保持器还可承载钉仓,其中组织厚度补偿件任选地设置在保持器和钉仓之间。闭合砧座导致钉仓附接到外科缝合器的通道并且导致第一组织厚度补偿件附接到砧座。
图419-422示出了保持器19500的实施例。保持器19500包括可供外科医生、护士、技术人员或其他人员操纵保持器19500的抓持件19502。抓持件19502可包括可提供较好的抓持表面的纹理化表面,例如凸起部分19503。保持器19500可包括其上可安装组织厚度补偿件的表面19504。表面19504可包括一个或多个突出部19506,其中突出部19506可接合组织厚度补偿件中的凹槽并且相对于保持器19500的表面19504来对齐组织厚度补偿件。组织厚度补偿件中的凹槽可略小于突出部19506,使得当与凹槽接合时,突出部19506可将组织厚度补偿件保持到表面19504。突出部19506可穿过组织厚度补偿件中的孔穴并且接合狭槽(例如,图424所示的砧座19550中的切割刀狭槽19558),从而使组织厚度补偿件与保持器19500对齐并且提供保持器19500与砧座19550的附加对齐。组织厚度补偿件19540可包括如上所述的表面19542上的粘合剂和/或接合特征以用于将组织厚度补偿件附接到砧座19550。
如图423a所示,可将钉仓19530附接到保持器19500。可通过从保持器19500延伸的夹具19510和19512来将钉仓19530附接到保持器19500。保持器19500上的夹具19512可接合钉仓19530中的狭槽19534。保持器19500的夹具19510可围绕钉仓19532的底部19532。根据本发明,可将第二组织厚度补偿件附接到钉仓19530。可将第二组织厚度补偿件附接到钉仓19530的钉平台19536。
如图424和图425所示,可将包括保持器19500、组织厚度补偿件19540和钉仓19530的保持器组件19590沿着箭头L的方向滑动到外科装置(例如,外科缝合器)的砧座19550上。保持器19500上的引导插片19508可围绕砧座19550的边缘19552,并且相对于砧座19550来定位保持器组件19590。在保持器组件19590接合到砧座19550上之后,如图426和图427所示,可沿着箭头M的方向来闭合砧座。砧座19550的闭合可将钉仓19530定位在外科装置的通道19560中。砧座19550的闭合可导致从保持器19500延伸的夹具19510接合通道19560的脊19562,以便将钉仓19530牢固地定位在通道19560中。当沿着箭头N的方向重新打开砧座19550时,现在参见图428和图429,组织厚度补偿件19540可保持附接到砧座19550并且与保持器19500分离。然后可沿着箭头O(图428和图429)的方向来从外科器械移除保持器19500,从而留下位于外科装置的通道19560中的钉仓19530和附接到砧座19550的组织厚度补偿件19540。
图430和图431分别示出了组织厚度补偿件19570和19580的两个另选的实施例的例子。图430是附接到保持器19501的组织厚度补偿件19570的剖视图,其中组织厚度补偿件19570可包括突起19574,所述突起19574可接触砧座19550的边缘19552并且部分地围绕砧座19550的外表面19556。突起可抓持砧座19550和/或可利用一种或多种粘合剂附接到砧座19550。为了在已相对患者组织植入补偿件19570之后从砧座19550释放组织厚度补偿件19570,突起19574可从砧座19550向外挠曲,从而允许组织厚度补偿件19570被牵拉远离砧座19550。图431是附接到图430所示的保持器19501的组织厚度补偿件19580的剖视图。组织厚度补偿件19580包括承套19584,所述承套19584可包围砧座19550以使组织厚度补偿件19580与砧座19550对齐并且/或者将组织厚度补偿件19580保持在砧座19550上。承套19584可将组织厚度补偿件19580保持在砧座19550上。为了使承套19584与砧座19550分离,组织厚度补偿件19580例如可在穿孔19586处撕裂以离开承套19584。因此,承套19584可保持在砧座19550上,而组织厚度补偿件19580的其余部分可保持缝合到患者组织。
组织厚度补偿件(例如,组织厚度补偿件19570)可包括内部部分,所述内部部分包括定位在其中的生物相容性物质。生物相容性物质可包括例如抗炎剂、凝结剂、和/或抗生素。根据本发明,可将诸如晶片之类的主体插入到组织厚度补偿件内的内部部分中。例如,可将晶片通过组织厚度补偿件的开口端插入到限定于其中的腔体内。晶片可通过过盈配合保持在组织厚度补偿件的腔体内。用于将晶片组装到组织厚度补偿件内的步骤可包括加热组织厚度补偿件以使组织厚度补偿件扩张的第一步骤。当组织厚度补偿件扩张时,限定于其中的腔体也可扩张。当组织厚度补偿件处于扩张状态时,根据第二步骤,可将晶片插入到腔体内。然后,当组织厚度补偿件冷却时,根据第三步骤,腔体可收缩到晶片上并且将晶片保持在腔体内的适当位置。
图432-444示出了包括独立插入工具的保持器的实施例。插入工具可用于将组件插入到诸如外科缝合器之类的外科器械内。插入工具还可将保持器组件的钉仓和一个或多个组织厚度补偿件挤压到外科器械内的适当位置。参见图432和图433,保持器19600可包括第一板19620和第二板19622。第一板19620和第二板19622可通过铰链19612进行连接。铰链19612可将第一板19620定位成相对于第二板19622成一角度,并且还可允许第一板19620相对于第二板19622围绕铰链19612旋转。
第一板19620可包括向外表面19604和向内表面19606。同样,第二板19622可包括向外表面19610和向内表面19608。第一板19620的向内表面19606可包括凸轮突起19614。相似地,第二板19622的向内表面19608可包括凸轮突起19616。参见图439-444,第一板的向外表面19604可包括定位在其上的组织厚度补偿件。第二板19622的向外表面19601也可包括定位在其上的组织厚度补偿件。可利用粘合剂、接合特征、和/或其他合适的附接部件(例如上文相对于图318-322所述的保持构件12295)将组织厚度补偿件附接到外表面19604和19610。保持器19600可包括从第二板19622延伸的能够接合钉仓19690的夹具19618,如图439和图441-444所示。
现在参见图434-438,插入工具19630可包括第一末端19632和第二末端19634。第一末端19632可为足够大的,以供例如外科医生、护士和/或技术人员抓紧。第二末端19634限定腔体19640,其中腔体可包括定位在其中的凸轮19648。凸轮19648的第一侧面可包括第一突出部19642、第二突出部19644、和定位在两者间的第一下凹部19646。凸轮19648的第二侧面可包括第三突出部19643、第四突出部19645、和定位在两者间的第二下凹部19647。例如,突出部和下凹部可以镜像方式进行布置。换句话讲,可将第一突出部19642以正对凸轮19648的第二侧面上的第三突出部19643的方式布置在凸轮19648的第一侧面上。同样,可将第二突出部19644以正对凸轮19648的第二侧面上的第四突出部19645的方式布置在凸轮19648的第一侧面上。另外,可将第一下凹部19464以正对凸轮19648的第二侧面上的第二下凹部19647的方式布置在凸轮19648的第一侧面上。
在使用期间,可将插入工具19630的第二末端19634放置在保持器19600的第一板19620和第二板19622之间,使得例如第一板19620上的凸轮突起19614与下凹部19646接合并且使得第二板19622上的凸轮突起19616与下凹部19647接合。如图441和图442所示,可将包括保持器19600、插入工具19630、一个或多个组织厚度补偿件、和钉仓19690的插入组件19700插入到外科器械内。外科器械(例如,外科缝合器)可包括砧座19720和能够接收钉仓19690的通道19740。可将插入组件19700沿着箭头P的方向(图442)插入到外科器械内以将钉仓19690锁定在通道19740内。在此位置中,凸轮19614和19616可分别与下凹部19646和19647对齐。
在钉仓19690锁定在通道19740内之后,如图443所示,插入工具19600可相对于外科器械继续沿着箭头Q的方向进行移动。插入工具19600沿箭头Q的方向的进一步移动可使第一突出部19642与第一凸轮突起19614对齐,并且使第三突出部19634与第二凸轮突起19616对齐。这种对齐可导致保持器板19620和19622围绕铰链19612沿着箭头R的方向(图443)以彼此远离的方式旋转。在此类情况下,保持器板19620和组织厚度补偿件19670可移向砧座19720,并且保持器板19622可移向且接触砧座19720。任选地,由于上文所述,可将组织厚度补偿件19670置于砧座19720上。在组织厚度补偿件19670附接到砧座19720之后,可沿着箭头S的方向(图444所示)回缩或移动插入工具19630。插入工具19630沿箭头S的方向的移动可导致凸轮突起19614和19616分别与第一突出部19642和第三突出部19643分离,并且变为分别与第一下凹部19646和第二下凹部19647再次对齐。第二突出部19642和第四突出部19645可分别邻接凸轮突起19614和19616,并且可阻止插入工具19630与保持器19600完全分离。在凸轮突起19614和19616与下凹部19646和19647再次对齐的情况下,第一板19620可围绕铰链19612至少部分地朝着第二板19622并且远离砧座19720而旋转。还可使保持器19600与通道19740分离,并且随后沿着箭头S的方向移出,从而留下例如附接到砧座19720的组织厚度补偿件19670。
如本文所述,保持器组件可用于将一个或多个组织厚度补偿件安装到外科缝合器械的端部执行器内。保持器组件可将除组织厚度补偿件之外的层安装到外科器械内。层可包括例如可吸收材料和/或生物相容性材料。
参见图501,端部执行器12能够接收端部执行器插入件25002。端部执行器12可包括下钳口25070以及能够相对于下钳口25070枢转的砧座25060。端部执行器插入件25002可包括能够枢转地连接到砧座插入件25004的钉仓25000。端部执行器12能够接收端部执行器插入件25002,使得钉仓25000配合在例如下钳口25070的钉仓通道25072内并且使得砧座插入件25004接触例如砧座25060。下钳口25070可包括能够将钉仓25000固定到钉仓通道25072的多个固定构件25074。砧座插入件25004可包括能够接合砧座25060中的至少一个保持沟槽的至少一个保持突起。砧座插入件25004能够在砧座25060朝下钳口25070枢转时相应地朝钉仓25000枢转,如本文更详细地描述。
仍参见图501,端部执行器插入件25002还可包括保持器25010。保持器25010可牢固地接合钉仓25000和砧座插入件25004中的至少一者。保持器25010可包括可夹住、接合、卡扣、夹紧、和/或勾住钉仓25000的至少一个固定夹具25012。如图501所示,保持器25010可包括例如位于其每一纵向侧的两个固定夹具25012。例如,固定夹具25012能够夹在例如钉仓25000的一部分上。根据本发明,组织厚度补偿件可通过保持器25010来相对于端部执行器插入件25002保持固定。例如,可将组织厚度补偿件定位在保持器25010和钉仓25000之间。
任选地,当操作者正将端部执行器插入件25002插入到端部执行器12内时,保持器25010可提供固体的或基本上固体的元件以供操作者抓紧。此外,保持器25010可阻止由例如保持器25010限定的组织厚度补偿件的过早变形。可在利用端部执行器12切割和/或紧固组织之前将保持器25010从端部执行器12移除。作为另外一种选择,保持器25010可保持定位在端部执行器12中。例如,当钉从钉仓25000的腔体25002(图536)击发时,可通过切割元件25052(图536)横切保持器25010。保持器25010可包括聚合物组合物,例如,可生物吸收的生物相容性弹性体聚合物。保持器25010还可包括可生物吸收的聚合物,例如,冻干多糖、糖蛋白类、弹性蛋白、蛋白聚糖、明胶、胶原和/或氧化再生纤维素(ORC)。保持器25010可包括至少一种治疗剂,例如药物活性剂或药物。
参见图502,端部执行器26012可包括砧座26060和下钳口26070。根据本发明,可将组织补偿件26020可释放地固定到砧座26060、下钳口26070、和/或砧座26060和下钳口26070两者。例如,可将第一组织补偿件26020可释放地固定到下钳口26070中的钉仓26000,并且可将第二组织补偿件26022可释放地固定到砧座26060。第一组织补偿件26020和第二组织补偿件26022可为可变形的和/或弹性的,这类似于本文所述的至少一个组织厚度补偿件。例如,第一组织补偿件26020和第二组织补偿件26022可包括聚合物组合物,例如可生物吸收的生物相容性弹性体聚合物。第一组织补偿件26020和第二组织补偿件26022还可包括可生物吸收的聚合物,例如,冻干多糖、糖蛋白类、弹性蛋白、蛋白聚糖、明胶、胶原和/或氧化再生纤维素(ORC)。第一组织补偿件26020和第二组织补偿件26022可包括至少一种治疗剂,例如药物活性剂或药物。
组织补偿件26020、26022可包括牢固的或基本上牢固的保护帽26024、26026。例如,第一保护帽26024可定位在第一组织补偿件26020的远侧末端处,并且第二保护帽26026可定位在第二组织补偿件26022的远侧末端处。保护帽26024、26026可阻止或限制组织补偿件26020、26022的过早变形。例如,当组织补偿件26020、26022例如移动穿过套管针和/或围绕患者组织进行操作时,保护帽26024、26026可保护组织补偿件26020、26022。相似地,参见图503,端部执行器12可包括可释放地固定到下钳口25070中的钉仓25000的第一组织补偿件25020、以及可释放地固定到砧座25060的第二组织补偿件25022。根据本发明,可将保护帽25026定位在第二组织补偿件25022的远侧末端处。可将保护帽25026定位成邻近组织补偿件25022的可变形/弹性部分。保护帽25026可在组织补偿件25022之上和/或周围延伸,使得保护帽25026保护组织补偿件25022的远侧末端和中间部分。
参见图504-531,套管27010能够接合例如外科器械的端部执行器12的砧座25060。套管27010可包括分叉部27040(图505-508)、鼻部27080(图515-518)和补偿件27120(图509-511)。套管27010能够在平移击发杆25052(图525)接近侧末端部执行器12的远侧末端时释放补偿件27020。补偿件27020可为可变形的和/或弹性的,这类似于本文所述的至少一个组织厚度补偿件。例如,补偿件27020可包括聚合物组合物,例如可生物吸收的生物相容性弹性体聚合物。补偿件27020还可包括可生物吸收的聚合物,例如,冻干多糖、糖蛋白类、弹性蛋白、蛋白聚糖、明胶、胶原和/或氧化再生纤维素(ORC)。补偿件27020可包括至少一种治疗剂,例如药物活性剂或药物。主要参见图504,可将分叉部27040定位在砧座25060的外表面25061之上和/或周围。可将套管27010的鼻部27080定位在砧座25060的远侧部分处和/或周围。可将补偿件27020定位在砧座25060的内表面之上和/或周围。
仍参见图504,分叉部27040可包括至少一个叉27042a。任选地,如图505-508所示,分叉部27040可包括第一叉27042a和第二叉27042b。例如,叉27042a、27042b可为对称的或者基本上对称的。第一叉27042a可相对于第二叉27042b为对称的。第一叉27042a和/或第二叉27042b可在其远侧末端处变窄。例如,每个叉27042a、27042b可包括狭窄末端27048。主要参见图507,分叉部27040可例如为成轮廓的。再次参见图504,分叉部27040的轮廓可例如匹配或者基本上匹配砧座25060的外表面25061的轮廓。主要参见图507和图508,分叉部27040还可包括从第一叉27042a延伸的至少一个扣件27044a。第一扣件27044a可定位在分叉部27040的第一侧,并且第二扣件27044b可定位在分叉部27040的第二侧。扣件27044a、27044b可例如定位在分叉部27040的近侧末端处或附近。扣件27044a、27044b可例如沿着第一叉27042a和/或第二叉27042b定位在分叉部27040的远侧末端处或附近。扣件27044a、27044b可沿着分叉部27040的较长长度和/或分叉部27040的较短长度延伸。例如,多个扣件27044a、27044b可沿着分叉部的每一纵向侧进行定位。主要参见图508,第一扣件27044a可包括第一扣件延伸件27046a和/或第二扣件27044b可包括第二扣件延伸件27046b。例如,第一扣件延伸件27046a可从扣件27044a的至少一部分突出,并且第二扣件延伸件27046b可从扣件27044b的至少一部分突出。此外,第一扣件延伸件27046a和第二扣件延伸件27046b各自能够接合补偿件27020中的间隙27128(图510),如本文更详细地描述。
现在参见图530,用于套管27010的补偿件27020可包括纵向突起27024和位于补偿件27020的每一纵向侧的边缘27026。可将补偿件27020定位成邻近邻砧座25060的内表面25063。另外,当将套管27010定位在砧座25060上时,纵向突起27024可基本上对齐砧座25060中的纵向狭槽25062并且/或者定位在砧座25060中的纵向狭槽25062内。补偿件27020的边缘27026可朝着外表面25061至少部分地包绕砧座25060。主要参见图509-511,用于套管27110的补偿件27120可包括主体27122,所述主体27122具有沿其至少一部分延伸的纵向突起27124。例如,纵向突起27124可限定沿主体27122的中线的纵向路径。当将套管27110定位在砧座25060上时,纵向突起27124可被砧座25060中的纵向狭槽25062(图530)接收。主要参见图511,纵向突起27124可包括圆形突出部。例如,纵向突起27124的横截面可形成弧和/或部分圆环。作为另外一种选择,纵向突起27124可包括有角的和/或阶梯状的突出部。补偿件27120还可包括边缘27126,所述边缘27126可为例如直的、弯曲的、有凹槽的、波浪形的、和/或之字形的。边缘27126可包括间隙27128,所述间隙27128能够在组装的套管27110定位在砧座25060上时接收扣件延伸件27046a、27046b(图508)。扣件延伸件27046a、27046b可配合穿过间隙27128以接合砧座25060,使得扣件延伸件27046a,27046b例如有助于将套管27110固定到砧座25060。
主要参见图512-514,用于套管27210的补偿件27220可包括主体27222,所述主体27222包括沿其至少一部分延伸的纵向突起27224。任选地,与上文相似,当将套管27210定位在砧座25060上时,纵向突起27224可被砧座25060中的纵向狭槽25062(图531)接收。主要参见图514,纵向突起27224可包括有角的突出部,使得突出70224的横截面形成基本上矩形的形状。补偿件27220还可包括边缘27226,所述边缘27226可为例如直的、弯曲的、有凹槽的、波浪形的、和/或之字形的。边缘27226可包括间隙27228,所述间隙27228能够在组装的套管27210定位在砧座25060上时接收扣件延伸件27046a、27046b(图508)。扣件延伸件27046a、27046b可配合穿过间隙27228并且接合砧座25060,使得扣件延伸件27046a,27046b例如有助于将套管27210固定到砧座25060。补偿件27220还可包括横贯补偿件27220的主体27222的多个肋27229。当将套管27210定位在砧座25060并且/或者当补偿件27220接触组织时,肋27229可支撑补偿件27220的主体27222。
参见图515-519,套管27010的鼻部27080可包括对齐脊27082,所述对齐脊27082可与砧座25060中的纵向狭槽25062(图530)基本上对齐。当对齐脊27082与纵向狭槽25062对齐时和当套管27010定位在砧座25060上时,鼻部27082可至少部分地包围套管27010的分叉部27040的远侧部分。例如,当将套管27010定位在砧座25060上时,每个叉27042a、27042b的狭窄末端27048可定位在鼻部27080内。如本文更详细地描述,当将分叉部27042与鼻部27080接合时,鼻部27080可使叉27042a、27042b以彼此更靠近和/或向下的方式挠曲。此外,如图519所示,当将分叉部27040的狭窄末端27048定位在鼻部27080内时,分叉部27040上的扣件27044a、27044b可接合例如补偿件27020的边缘27026。由于这种接合,可将补偿件27010固定到砧座25060。
参见图520-524,当鼻部27080与套管27010的分叉部27040接合时,可将补偿件27020固定到砧座25060。当击发杆25050沿着砧座25060中的纵向狭槽25062的一部分平移时,鼻部27080可保持与分叉部27040接合。现在参见图524-529,当击发杆25050上的切割元件25052和/或击发杆25050的任何其他合适部分(例如,保持凸缘25054)接近砧座25060的远侧末端时,击发杆25050可使鼻部27080与分叉部27040分离。击发杆25050可例如接触鼻部27080并且将鼻部27080推离砧座25060,使得鼻部27080与套管27010的分叉部27040分离。现在参见图531,当鼻部27080与分叉部27040分离时,第一叉27042a和第二叉27042b能够挠曲远离砧座25060。例如,当分叉部27070与鼻部27080接合时,叉27042a、27042b可朝向砧座25060以彼此更靠近和/或向下的方式进行挠曲并且可通过鼻部27080保持在这种位置。可通过鼻部27080将叉27042a、27042b保持在弹簧负荷下,使得叉27042a、27042b在鼻部27080一旦与叉27042a、27042b分离,就试图回弹到中立构型。作为另外一种选择,叉27042a、27042b可为充分变形的,使得叉27042a、27042b在鼻部27080一旦与其分离,就可通过击发杆25050向外变形或扩展。当叉27042a、27042b移动远离砧座25060时,沿每个叉27042a、27042b的纵向侧的扣件27044a、27044b可脱离补偿件27020,这可允许从砧座25060释放补偿件27020。
参见图532-538,外科器械的端部执行器12例如能够接收端部执行器插入件28010。端部执行器插入件28010可包括补偿件主体28012和至少一个夹具28014a、28014b。端部执行器插入件28010可包括例如补偿件主体28012的近侧末端处的近侧夹具28014b、和补偿件主体28012的远侧末端处的远侧夹具28014a。主要参见图535,可将远侧夹具28014a在砧座25060的远侧末端处或附近固定到端部执行器12的砧座25060。例如,远侧夹具28014a可与砧座25060的纵向狭槽25062基本上对齐并且/或者可部分定位在砧座25060的纵向狭槽25062内。主要参见图536,可将近侧夹具28014b固定到端部执行器12的下钳口25070中的钉仓25000(图537)。可将近侧夹具28014b在钉仓25000的近侧末端处或附近固定到钉仓25000。例如,近侧末端夹具28014b可与钉仓25000中的纵向狭槽25004基本上对齐并且/或者可定位在钉仓25000中的纵向狭槽25004内。
现在参见图537和538,可将端部执行器插入件28010插入到外科器械的端部执行器12内。任选地,端部执行器插入件28010的至少一部分(例如,补偿件主体28012、远侧夹具28014a、和/或近侧夹具28014b)可例如为可变形的和/或弹性的。当将端部执行器插入件28010插入到端部执行器12内时,远侧和/或近侧夹具28014a、28014b可弯曲或挠曲。当夹具28014a、28014b例如挠曲时,夹具28014a、28014b例如可试图返回其初始未变形的构型并且可产生相应的回弹力或恢复力。任选地,当将端部执行器插入件28010定位在端部执行器12内时,端部执行器插入件28010可对端部执行器12施加弹簧负荷。端部执行器插入件28010可为固体的或基本上固体的,使得操作者在正将端部执行器插入件28010和钉仓25000插入到端部执行器12内时可抓紧插入件28010。
端部执行器插入件28010可在端部执行器12的切割和/或紧固操作之前来从端部执行器12移除。作为另外一种选择,端部执行器插入件28010可在切割和/或击发操作期间保持定位在端部执行器12中。例如,当钉从其钉仓25000中的钉腔25002(图536)击发时,可通过切割元件25052横切端部执行器插入件28010。端部执行器插入件28010可包括组织厚度补偿材料,这类似于本文所述的组织厚度补偿件中的至少一个。例如,端部执行器插入件28010可包括聚合物组合物,例如可生物吸收的生物相容性弹性体聚合物。端部执行器插入件28010还可包括可生物吸收的聚合物,例如,冻干多糖、糖蛋白类、弹性蛋白、蛋白聚糖、明胶、胶原和/或氧化再生纤维素(ORC)。端部执行器插入件28010可包括至少一种治疗剂,例如药物活性剂或药物。
参见图539-544,可将组织厚度补偿件29020定位在外科器械的端部执行器12中。组织厚度补偿件29020可基本上类似于本文所述的组织厚度补偿件中的至少一个。例如,组织厚度补偿件29020可为充分变形的和弹性的,使得组织厚度补偿件29020的变形产生回弹力或恢复力。主要参见图540,静电荷可将组织厚度补偿件29020吸引到端部执行器12的砧座25060,使得静电荷将组织厚度补偿件29020固定到砧座25060。可中和静电荷,使得砧座25060释放组织厚度补偿件29020。除此之外或作为另外一种选择,现在参见图541,可通过至少一个吸力元件29022来将组织厚度补偿件29020固定到砧座25060。例如,组织厚度补偿件29020的表面上的多个微吸力元件29022可将组织厚度补偿件29020可释放地固定到砧座25060。除此之外或作为另外一种选择,参见图542,钩-环紧固件29024可将组织厚度补偿件29020固定到砧座25060。例如,组织厚度补偿件29020的表面可包括多个钩紧固件29024a,并且砧座25060的表面可包括例如多个环紧固件29024b。钩紧固件29024a可接合环紧固件29024b,使得组织厚度补偿件29020可释放地固定到砧座25060。
除此之外或作为另外一种选择,现在参见图543,可通过带29026来将组织厚度补偿件29020固定到砧座25060。带29026可包括弹性体聚合物并且/或者可围绕砧座25060系结或打结。当从砧座25060移除带29026时,可从砧座25060释放组织厚度补偿件29020。为了有利于带29026的移除,其例如可进行拉伸和/或切割。根据本发明,多个带29026可将组织厚度补偿件29020固定到砧座25060。作为另外一种选择或除此之外,现在参见图544,可通过定位在组织厚度补偿件29020的远侧末端处的承套29028来将组织厚度补偿件29020固定到砧座25060。承套29028能够在其中接收例如砧座25060的远侧末端。组织厚度补偿件29020上的对齐边缘29029可与砧座25060中的纵向狭槽25062对齐并且/或者可定位在砧座25060中的纵向狭槽25062内。例如,当将组织厚度补偿件29020定位在砧座25060上和/或从砧座25060移除时,对齐边缘29029可在纵向狭槽25062内滑动。
参见图545-547,可将组织厚度补偿件30020定位在外科器械的端部执行器12的砧座25060上。组织厚度补偿件30020可包括主体30022和凹坑30024。例如,可将补偿件材料30026保持在主体30022和凹坑30024之间。补偿件材料30026可包括可生物吸收的聚合物,例如冻干多糖、糖蛋白类、弹性蛋白、蛋白聚糖、明胶、胶原和/或氧化再生纤维素(ORC)。除此之外或作为另外一种选择,补偿件材料30026可包括至少一种治疗剂,例如药物活性剂或药物。组织厚度补偿件30020可为可变形的和/或弹性的,这类似于本文所述的至少一个组织厚度补偿件。例如,组织厚度补偿件30020可包括聚合物组合物,例如可生物吸收的生物相容性弹性体聚合物。组织厚度补偿件30020还可包括可生物吸收的聚合物,例如,冻干多糖、糖蛋白类、弹性蛋白、蛋白聚糖、明胶、胶原和/或氧化再生纤维素(ORC)。
主要参见图546,组织厚度补偿件30020的主体30022可包括对齐元件30028,所述对齐元件30028可在组织厚度补偿件30020固定到砧座25060时接收在砧座25060的纵向狭槽25062内。主体30022可包括阶梯状厚度,使得主体30022的几何结构基本上相应于砧座25060的几何结构。另外,主体30022可包括纵向凸缘30029。例如,纵向凸缘30029可例如沿着组织厚度补偿件30020的主体30022的每个纵向侧延伸。纵向凸缘30029可至少部分地包绕砧座25060以将组织厚度补偿件30020固定到砧座25060。另外,例如,纵向凸缘30029可为充分弹性的,使得纵向凸缘30029可挠曲以适应和/或接合砧座25060。当凸缘30029接合砧座25060时,纵向凸缘30029可对砧座25060施加夹紧力。凹坑30024可包括凹痕30025。当将组织厚度补偿件30020固定到砧座25060时,可例如使凹痕30025与砧座25060中的纵向狭槽25062基本上对齐。组织厚度补偿件30020在凹痕30025处可较薄,使得平移切割元件25052(图536)在较薄位置处切断组织厚度补偿件30020。
现在参见图548和图549,组织厚度补偿件30120可包括主体30122,所述主体30122能够在其中保持补偿材料30026。组织厚度补偿件30120可包括对齐元件30128、凹痕30125、和/或纵向凸缘30129。组织厚度补偿件30120还可包括可在打开位置与闭合位置之间移动的闩锁30124。当闩锁30124处于闭合位置时,如图548所示,可将补偿材料30026包封在组织厚度补偿件30120的主体30122内,并且当闩锁30124处于打开位置时,如图549所示,补偿材料30026可从主体30122逸出。类似于本文所述的组织厚度补偿件中的至少一个,组织厚度补偿件30120可为可变形的和/或弹性的。例如,组织厚度补偿件30120可包括聚合物组合物,例如可生物吸收的生物相容性弹性体聚合物。组织厚度补偿件30120还可包括可生物吸收的聚合物,例如,冻干多糖、糖蛋白类、弹性蛋白、蛋白聚糖、明胶、胶原和/或氧化再生纤维素(ORC)。由于组织厚度补偿件30120的弹性,主体30122的至少一部分可进行挠曲以使闩锁30124在打开位置和闭合位置之间移动。当从外科部位移除砧座时,组织厚度补偿件30120的主体30122可保持附接到砧座。例如,主体30122能够撕裂以离开其中可已经捕获主体30122的任何钉。
参见图550,组织厚度补偿件30220可包括主体30222和凹坑30224。例如,可将补偿件材料30026保持在主体30222和凹坑30224之间。组织厚度补偿件30220可包括对齐元件、凹痕和/或纵向凸缘30229。此外,至少一个纵向凸缘30229可包括沟槽或狭槽30228,所述沟槽或狭槽30228能够接收从组织厚度补偿件30220的凹坑30224延伸的插片30225。在这种情况下,沟槽30228与插片30225的接合可连接主体30222和凹坑30224。此外,在这种情况下,沟槽30028与插片30025的连接可将补偿材料30026包封和/或保持在组织厚度补偿件30220内。现在参见图551a,组织厚度补偿件30320的凹坑30324可包括从其延伸的锚定件30325。此外,组织厚度补偿件30320可包括具有开口30328的主体30322。锚定件30325可从凹坑30324延伸以接合主体30322中的开口30328。在这种构型中,凹坑30324和主体30222可包封两者间的补偿材料30026。组织厚度补偿件30320还可包括一个或多个凸缘30229,所述一个或多个凸缘30229可安装到砧座以便将主体30322保持到砧座。
现在参见图552,组织厚度补偿件30420可包括主体30422和凹坑30424。可将补偿材料30026保持在组织厚度补偿件30420的主体30422和凹坑30424之间。主体30422可包括孔口30428,并且凹坑30424可包括锚定件30425。例如,锚定件30425可从凹坑30424并且穿过主体30422的孔口30428延伸。例如,当将组织厚度补偿件30420固定到砧座25060时,锚定件30425可接合砧座25060。锚定件30525可为充分可变形的和弹性的,使得锚定件30425在接合砧座25060时挠曲。此外,挠曲的锚定件30425可对砧座25060施加夹紧力以将组织厚度补偿件30420固定或辅助固定到砧座25060。作为另外一种选择,锚定件可未完全延伸穿过补偿件主体中的孔口。参见图553,组织厚度补偿件30520的凹坑30524上的锚定件30525可接合组织厚度补偿件30520的主体30522中的孔口30528。锚定件30525可接合孔口30528以将凹坑30524固定到主体30522。例如,孔口30528可包括延伸到承窝的颈缩部分。锚定件30525可包括固定边缘,所述固定边缘可穿过颈缩部分并且接合承窝以将锚定件20525固定在孔口30528内。例如,组织厚度补偿件30520还可包括对齐元件、凹痕和/或纵向凸缘30529。
参见图554-556,组织厚度补偿件31020能够接合外科器械的端部执行器31012的砧座31060。组织厚度补偿件31020可包括外膜31022、内膜31024、以及定位在两者间的补偿材料31026。组织厚度补偿件31020可为可变形的和/或弹性的,这类似于本文所述的组织厚度补偿件中的至少一个。例如,补偿材料31026可包括聚合物组合物,例如可生物吸收的生物相容性弹性体聚合物。组织厚度补偿件31020还可包括可生物吸收的聚合物,例如,冻干多糖、糖蛋白类、弹性蛋白、蛋白聚糖、明胶、胶原和/或氧化再生纤维素(ORC)。组织厚度补偿件31020可包括至少一种治疗剂,例如药物活性剂或药物。组织厚度补偿件31020的补偿材料31206可包括治疗剂。
例如,可将内膜31024定位成邻近砧座31060中的钉成形凹坑31066。主要参见图554,内膜31024可包括阶梯状几何形状,使得内膜31024的几何形状基本上对应于砧座31060的几何形状。内膜31024还可包括对齐脊31028,所述对齐脊31028可例如与砧座31060中的纵向狭槽31062基本上对齐和/或平行。如本文更详细地描述,内膜31024可包括从内膜31024的每个纵向侧延伸并且端接在扣件31027中的内凸缘31025。外膜31022可包括例如主体31021和至少一个外凸缘31023。任选地,例如,外凸缘31023可从主体31021的每个纵向侧延伸。可将外凸缘31023固定到内凸缘31025,使得补偿材料31026保持在外膜31022和内膜31024之间。
主要参见图556,砧座31060可包括外表面31061和沿着外表面31061的至少一部分的至少一个沟槽31064。根据本发明,可将内膜31024a的内凸缘31025上的扣件31027定位在沟槽31064内。参见图555,例如,组织厚度补偿件31020可围绕砧座31060进行滑动。砧座31060上的沟槽31064可延伸到砧座31060的远侧末端。在此类情况下,组织厚度补偿件31020的扣件31027可在沟槽31064内并且沿着组织厚度补偿件31020的长度滑动。
现在参见图557和图558,组织厚度补偿件31120可包括补偿材料31026和至少一个连接件31124。每个连接件31124可围绕补偿材料31026延伸并且可在其相对末端端接在扣件31127中。可将扣件31127定位在砧座31060的沟槽31064内以将组织厚度补偿件31120紧固到砧座31060。砧座31060上的沟槽31164可延伸到砧座31060的远侧末端。在此类情况下,连接件31124的扣件31127可滑动到沟槽31064内。作为另外一种选择,连接件31224可为弹性的,使得它们可围绕砧座31060挠曲和卡扣。在使用期间,连接件31224可将补偿材料31026保持在适当的位置,直至补偿材料31026与砧座31060分离。在某些情况下,连接件31224可保持附接到砧座31060并且可与砧座一起从外科部位移除。在某些其他情况下,连接件31224可与砧座31060分离并且可与补偿材料31026一起被植入。
参考图559-图565,组织厚度补偿件32020可包括主体部分32022、至少一个纵向凸缘32024、和至少一个凹坑32026。组织厚度补偿件31020可为可变形的和/或弹性的,这类似于本文所述的组织厚度补偿件中的至少一个。例如,补偿材料31026可包括聚合物组合物,例如可生物吸收的生物相容性弹性体聚合物。组织厚度补偿件31020还可包括可生物吸收的聚合物,例如,冻干多糖、糖蛋白类、弹性蛋白、蛋白聚糖、明胶、胶原和/或氧化再生纤维素(ORC)。纵向凸缘32024可沿主体部分32022的每个纵向侧延伸。主要参见图562,组织厚度补偿件32020的纵向凸缘32024能够接合砧座25060。例如,组织厚度补偿件32020可滑动到砧座25060和纵向凸缘32024上,并且可至少部分地包绕砧座25060的一部分。在此类情况下,例如,凸缘32024可将组织厚度补偿件32020固定到砧座25060。任选地,当将组织厚度补偿件32020固定到砧座时,组织厚度补偿件32020的主体部分32022可与砧座25060表面上的钉成形凹坑25066重叠。
对上文进行进一步描述,多个凹坑32026可横向地横贯主体部分32022。主要参见图563,多个凹坑32026可包括至少一种治疗剂,例如药物活性剂或药物。根据本发明,多个第一凹坑32026a可包括第一治疗剂或其组合,并且多个第二凹坑32026b可包括第二治疗剂或其组合。第一凹坑32026a和第二凹坑32026b可例如沿着主体部分32022交替地进行定位。此外,当从第一凹坑32026a释放第一治疗剂并且从第二凹坑32026b释放第二治疗剂时,第一治疗剂和第二治疗剂能够彼此发生反应。参见图565,例如,当击发杆25050上的切割元件25052沿着砧座25060中的纵向狭槽25062平移时,凹坑32026可释放保持在其中的治疗剂。
现在参见图566,外科缝合器械的端部执行器可包括砧座32560和具有组织厚度补偿件32520的钉仓32500。与上文相似,钉仓32500可包括至少部分地容纳于其中的多个钉32530,所述多个钉32530可从钉仓射出以在其中捕获组织厚度补偿件32520。另外与上文相似,钉32530可穿透组织厚度补偿件32520并且接触限定于砧座32560中的钉成形凹坑32562。现在参见图568,砧座32560还可包括与其附接的层32570,所述层32570能够将组织厚度补偿件32580保持到砧座32560。例如,层32570可包括充电层,所述充电层能够保持和/或产生静电荷并且吸引组织厚度补偿件32580。更具体地讲,范德瓦尔斯分子力(无论主动致动还是被动致动)例如可将组织厚度补偿件32580保持到层32570。充电层32570可与外科缝合器械的柄部电连通,所述柄部可包括控制件,所述控制件能够使充电层32570与电源选择性地联接并且因此允许在充电层32570内选择性地产生静电荷。例如,充电层32570可包括例如嵌入在聚合物内的导电电极。在任何情况下,静电层32570可吸引组织厚度补偿件32580中的带相反电荷的颗粒,并且将组织厚度补偿件32580保持到砧座。现在参见图567,充电层32570可包括彼此电连通的导体32571的网格或栅格。例如,导体可被定位和布置成使得它们围绕限定于砧座32560中的钉成形凹坑32562。在此类情况下,钉32530可从钉仓32500射出,随后可通过砧座32560进行变形,且不会在其中捕获导体32571。在各种情况下,可在钉32530已与组织厚度补偿件32580接合之后,使充电层32570与电源断开,以使得层32570中的静电荷可耗散。在某些其他情况下,可在钉32530正被击发之前来使充电层32570与电源断开。在任何情况下,当静电荷耗散时,可重新打开砧座32560并且可将层32570移动远离组织厚度补偿件32580。静电荷可需要在层32570可从组织厚度补偿件32580分离之前完全耗散,而作为另外一种选择,层32570可在层32570中的静电荷已完全耗散之前从组织厚度补偿件32580分离。由于上文所述,可在不使用化学粘合剂的情况下来将组织厚度补偿件32580附接到砧座32560。
对上文进行进一步描述,层32570还可为外科缝合器械的柄部提供反馈能力。例如,层32570可为压敏的并且能够通过例如砧座32560来检测正对其施加的夹紧压力。
对上文进行进一步描述,组织厚度补偿件可由生物相容性材料构成。生物相容性材料(例如,泡沫)可包括增粘剂、表面活性剂、填料、交联剂、颜料、染料、抗氧化剂、和其它稳定剂、和/或它们的组合,从而为材料提供所需的特性。生物相容性泡沫可包括表面活性剂。表面活性剂可施用到材料的表面和/或可分散在材料内。不受任何具体理论的束缚,施用到生物相容性材料的表面活性剂可降低接触材料的流体的表面张力。例如,表面活性剂可降低接触材料的水的表面张力,以促进水渗透到材料内。水可充当催化剂。表面活性剂可增加材料的亲水性。
表面活性剂可包括阴离子表面活性剂、阳离子表面活性剂、和/或非离子表面活性剂。表面活性剂例子包括但不限于聚丙烯酸、methalose、甲基纤维素、乙基纤维素、丙基纤维素、羟乙基纤维素、羧甲基纤维素、聚氧乙烯鲸蜡基醚、聚氧乙烯月桂基醚、聚氧乙烯辛基醚、聚氧乙烯辛基苯基醚、聚氧乙烯油基醚、聚氧乙烯山梨糖醇单月桂酸酯、聚氧乙烯硬脂基醚、聚氧乙烯壬基苯基醚、二烷基苯氧基聚(乙烯氧)乙醇、泊洛沙姆、以及它们的组合。表面活性剂可包括聚乙二醇和聚丙二醇的共聚物。表面活性剂可包括磷脂表面活性剂。磷脂表面活性剂可提供抗菌稳定特性,并且/或者可将其它材料分散在生物相容性材料中。
组织厚度补偿件可包括至少一种药物。组织厚度补偿件可包括本文所述的天然材料、非合成材料、和/或合成材料中的一种或多种。组织厚度补偿件可包括生物相容性泡沫,所述生物相容性泡沫包含明胶、胶原、透明质酸、氧化再生纤维素、聚乙醇酸、聚己内酯、聚乳酸、聚二氧杂环己酮、多羟基链烷酸酯、聚卡普隆、以及它们的组合。组织厚度补偿件可包括含有至少一种药物的膜。组织厚度补偿件可包括含有至少一种药物的可生物降解膜。药物可包括液体、凝胶、和/或粉末。药物可包括抗癌药,例如,顺铂、丝裂霉素、和/或阿霉素。
组织厚度补偿件可包含生物降解材料,以在生物降解材料降解时提供至少一种药物的受控洗脱或释放。当可生物降解材料接触激活剂(例如,激活剂流体)时,可生物降解材料可降解、可分解、或损失结构完整性。激活剂流体可包括例如盐水溶液或任何其它电解质溶液。可生物降解材料可通过常规技术(包括但不限于喷涂、浸渍、和/或刷涂)来接触激活剂流体。使用时,例如,外科医生可将包括含至少一种药物的组织厚度补偿件的端部执行器和/或钉仓浸渍到激活剂流体(包括盐溶液,例如,氯化钠、氯化钙、和/或氯化钾)内。当组织厚度补偿件降解时,组织厚度补偿件可释放药物。药物从组织厚度补偿件的洗脱或释放可由快速的初始洗脱或释放速率和较慢的持续洗脱或释放速率来表征。
根据本发明,组织厚度补偿件例如可由生物相容性材料构成,所述生物相容性材料可包括氧化剂。氧化剂可为有机过氧化物和/或无机过氧化物。氧化剂的例子可包括但不限于过氧化氢、过氧化脲、过氧化钙、和过氧化镁、以及过碳酸钠。氧化剂可包括过氧基氧化剂和次氯酸基氧化剂,例如,过氧化氢、次氯酸、次氯酸盐、hypocodites和过碳酸盐。氧化剂可包括碱金属亚氯酸盐、次氯酸盐和过硼酸盐,例如,亚氯化钠、次氯酸钠和过硼酸钠。氧化剂可包括钒酸盐。氧化剂可包括抗坏血酸。氧化剂可包括活性氧生成物。根据本发明,组织支架可包括含氧化剂的生物相容性材料。
生物相容性材料可包括液体、凝胶、和/或粉末。氧化剂可包括例如微粒和/或纳米颗粒。例如,可将氧化剂研磨成微粒和/或纳米颗粒。可通过使氧化剂悬浮于聚合物溶液中来将氧化剂掺入到生物相容性材料中。可在低压冻干过程中来将氧化剂掺入到生物相容性材料中。在低压冻干之后,氧化剂可附接到生物相容性材料的单元壁,以在接触时与组织相互作用。氧化剂可并非化学键合到生物相容性材料。可将过碳酸盐干粉嵌入在生物相容性泡沫内,以通过氧气的缓慢释放来提供长效生物效应。可将过碳酸盐干粉嵌入在具有非织造结构的聚合物纤维内,以通过氧气的缓慢释放来提供长效生物效应。生物相容性材料可包括氧化剂和药物,例如,强力霉素和抗坏血酸。
生物相容性材料可包括快速释放的氧化剂和/或较慢持续释放的氧化剂。氧化剂从生物相容性材料的洗脱或释放可由快速的初始洗脱或释放速率和较慢的持续洗脱或释放速率来表征。当氧化剂接触体液(例如,水)时,氧化剂可产生氧气。体液的例子可包括但不限于血液、血浆、腹膜液、脑脊髓液、尿液、淋巴液、滑液、玻璃体液、唾液、胃肠腔内容物、和/或胆汁。不受任何具体理论的束缚,氧化剂可降低细胞死亡、增强组织活力、并且/或者保持可在切割和/或缝合期间损害的组织-组织的机械强度。
生物相容性材料可包括至少一个微粒和/或纳米颗粒。生物相容性材料可包括本文所述的天然材料、非合成材料、和合成材料中的一种或多种。生物相容性材料可包括具有约10nm到约100nm和/或约10μm到约100μm(例如45-50nm和/或45-50μm)的平均直径的颗粒。生物相容性材料可包括生物相容性泡沫,所述生物相容性泡沫包括嵌入其中的至少一个微粒和/或纳米颗粒。微粒和/或纳米颗粒可并非化学键合到生物相容性材料。微粒和/或纳米颗粒可提供药物的受控释放。微粒和/或纳米颗粒可包括至少一种药物。微粒和/或纳米颗粒可包括例如止血剂、抗微生物剂、和/或氧化剂。组织厚度补偿件可包括生物相容性泡沫,所述生物相容性泡沫包括含氧化再生纤维素的止血剂、含强力霉素和/或庆大霉素的抗微生物剂、和/或含percarbant的氧化剂。微粒和/或纳米颗粒可提供例如至多三天的药物受控释放。
微粒和/或纳米颗粒可在制造过程期间嵌入到生物相容性材料中。例如,生物相容性聚合物(例如,PGA/PCL)可接触溶剂(例如,二氧杂环己烷)以形成混合物。生物相容性聚合物可进行研磨以形成颗粒。含有或不含有ORC颗粒的干燥颗粒可接触混合物以形成悬浮液。可冻干悬浮液以形成生物相容性泡沫,所述生物相容性泡沫包含PGA/PCL,所述PGA/PCL具有干燥颗粒和/或嵌入其中的ORC颗粒。
本文所公开的组织厚度补偿件或层可由例如可吸收聚合物构成。组织厚度补偿件可由例如以下物质构成:泡沫、膜、纤维织造物、纤维非织造物PGA、PGA/PCL(聚(乙醇酸-共-己内酯))、PLA/PCL(聚(乳酸-共-聚己内酯))、PLLA/PCL、PGA/TMC(聚(乙醇酸-共-三亚甲基碳酸酯))、PDS、PEPBO、或其它可吸收的聚氨酯、聚酯、聚碳酸酯、聚原酸酯、聚酐、聚酯酰胺、和/或聚含氧酸酯。根据本发明,组织厚度补偿件由例如PGA/PLA(聚(乙醇酸-共-乳酸))和/或PDS/PLA(聚(对-二氧环己酮-共-乳酸))构成。根据本发明,组织厚度补偿件可由例如有机材料构成。组织厚度补偿件可由例如羧甲基纤维素、藻酸钠、交联透明质酸、和/或氧化再生纤维素构成。根据本发明,组织厚度补偿件可包括例如3-7肖氏A硬度(30-50肖氏OO硬度)范围内的硬度计,其中最大刚度为15肖氏A硬度(65肖氏OO硬度)。组织厚度补偿件在3lbf负荷下可发生40%的压缩,在6lbf负荷下可发生60%的压缩,并且/或者在20lbf负荷下可发生80%的压缩。一种或多种气体(例如,空气、氮气、二氧化碳、和/或氧气)可被鼓入组织厚度补偿件中并且/或者可容纳在组织厚度补偿件内。组织厚度补偿件可在其中包括颗粒,所述颗粒可占构成组织厚度补偿件的材料硬度的大约50%至大于75%。
根据本发明,组织厚度补偿件可包括例如透明质酸、营养素、血纤维蛋白、凝血酶、富含血小板的血浆、柳氮磺吡啶(–5ASA+磺胺吡啶偶氮键))–前体药物–结肠细菌(偶氮还原酶)、氨水杨酸(具有用于延缓释放的不同前体药物结构的5ASA)、(5ASA+丙烯酸树脂-S涂布的–pH>7(涂层溶解))、(5ASA+乙基纤维素涂布的–时间/pH依赖型缓释)、(5ASA+丙烯酸树脂-L涂布的–pH>6)、奥沙拉嗪(5ASA+5ASA–结肠细菌(偶氮还原酶))、巴柳氮(5ASA+4氨基苯甲酰基-B-丙氨酸)-结肠细菌(偶氮还原酶))、粒状氨水杨酸、Lialda(氨水杨酸的缓释和SR制剂)、HMPL-004(可抑制TNF-α、白介素-1β、和核-k B激活的草本植物混合物)、CCX282-B(干扰T淋巴细胞运输到肠粘膜内的口服趋化因子受体拮抗剂)、利福昔明(不可吸收的广谱抗生素)、英夫利昔单抗、murine chymieric(靶向于TNF-α的单克隆抗体,所述TNF-α被核准用于降低迹象/症状、保持服用中等量/重度量苯巴比妥的成年/儿童患者的临床缓解、并且对不充分反应常规治疗的Crohn病造瘘)、阿达木单抗、人IgG1(抗-TNF-α单克隆抗体-被核准用于降低Crohn病的迹象/症状并且可用于降低和保持患有不充分反应常规治疗的中度/重度活性Crohn病或者不耐受英夫利昔单抗的成年患者的临床缓解)、Certolizumab pegoll、人化的抗-TNF FAB’(链接到聚乙二醇的单克隆抗体片段-被核准用于降低Crohn病的迹象/症状并且可用于降低和保持患有不充分反应常规治疗的中度/重度病的成年患者的反应)、那他珠单抗、第一非-TNF-α抑制剂(被核准用于Crohn病的生物化合物)、人化的单克隆IgG4抗体(靶向于α-4整联蛋白-被FDA核准用于诱导和保持患有存在炎症迹象的中度/重度疾病并且不充分反应或不能够耐受常规Crohn治疗和TNF-α抑制剂的患者的临床反应和缓解)、可能与英夫利昔单抗一起给药的伴随免疫调制剂)、硫唑嘌呤-6-巯嘌呤(嘌呤合成抑制剂-前体药物)、甲氨蝶呤(结合二氢叶酸还原(DHFR)酶,其参与四氢叶酸酯合成、抑制所有的嘌呤合成物)、别嘌呤醇和硫唑嘌呤治疗、PPI、用于酸抑制以保护愈合线的H2、C-Diff–Flagyl、万古霉素(粪便易位处理;有益菌种;正常腔内菌群的再增殖)、和/或利福昔明(细菌过度生长的治疗(显著地肝性脑病);未被胃肠道吸收且不作用于管腔内细菌)。
如本文所述,组织厚度补偿件可例如补偿组织厚度的变化,所述组织被捕获在从钉仓射出的钉内和/或被容纳在钉线内。换句话讲,钉线内的某些钉可捕获组织的较厚部分,而钉线内的其它钉可捕获组织的较薄部分。在此类情况下,组织厚度补偿件可在钉内呈现不同的高度或厚度,并且可将压缩力施加到捕获在钉内的组织,而不管所捕获的组织厚还是薄。根据本发明,组织厚度补偿件可补偿组织硬度的变化。例如,钉线内的某些钉可捕获组织的高度压缩部分,而钉线内的其它钉可捕获组织的较低压缩部分。在此类情况下,组织厚度补偿件能够例如在已捕获具有较低压缩率或较高硬度的组织的钉内呈现较小的高度,并且相对应地,在已捕获具有较高压缩率或较低硬度的组织的钉内呈现较大的高度。在任何情况下,组织厚度补偿件例如无论是否补偿组织厚度变化和/或组织硬度变化均可称为例如“组织补偿件”和/或“补偿件”。
可将本发明所公开的装置设计为单次使用后即进行处理,或者可将它们设计为可多次使用。然而,在任一种情况下,所述装置均可进行修复,以在至少一次使用后再次使用。重新恢复可包括如下步骤的任意组合:拆卸该装置、然后清洗或替换某些部分以及随后组装。特别是,所述装置可以拆卸,而且可以任意组合选择性地替换或移除该装置任意数目的特定零件或部分。清洗和/或替换特定部分后,该装置可以在修复设施处重新组装以便随后使用,或者在即将进行外科手术前由外科手术队重新组装。本领域的技术人员将会知道,装置的修复可利用多种用于拆卸、清洗/替换和重新组装的技术。这些技术的使用以及所得的修复装置均在本发明的范围内。
优选的是,本文所述的本发明将在手术前得以处理。首先,获取新的或用过的装置,并在必要时对装置进行清洁。然后对装置进行消毒。在一种消毒技术中,将该装置置于闭合并密封的容器中,例如塑料或TYVEK袋中。然后将容器和装置置于能够穿透该容器的辐射区,例如γ辐射、x-射线或高能电子。辐射将装置上和容器中的细菌杀死。然后将灭菌后的装置保存在消毒容器中。该密封容器将器械保持无菌,直到在医疗设备中打开该容器。
以引用方式全文或部分地并入本文的任何专利、专利公开或其它公开材料均仅在所并入的材料不与本发明所述的现有定义、陈述或其它公开材料相冲突的范围内并入本文。由此,在必要的程度下,本文所明确阐述的公开内容将取代以引用方式并入本文的任何相冲突的材料。如果据述以引用方式并入本文但与本文所述的现有定义、陈述或其它公开材料相冲突的任何材料或其部分,仅在所并入的材料和现有的公开材料之间不产生冲突的程度下并入本文。
尽管已经将本发明作为示例性设计进行了描述,但还可以在本公开的精神和范围内对本发明进行另外的修改。因此本专利申请旨在涵盖采用本发明一般原理的任何变型、用途或适应型式。此外,本专利申请旨在涵盖本发明所属领域中出自已知或惯有实践范围内的背离本公开的型式。
Claims (17)
1.一种补偿件,所述补偿件能够附接到紧固器械的砧座,其中所述砧座
包括成形表面,并且其中所述补偿件包括:
支撑层,所述支撑层能够附接到所述砧座;
支架,所述支架附接到所述支撑层,所述支架包括:
多个支架层,所述多个支架层由生物相容性材料构成;和
多个腔体,其中所述多个支架层和所述多个腔体限定对组织和细胞向内生长有利的基质。
2.根据权利要求1所述的补偿件,其中每个支架层由纤维编织物构成。
3.根据权利要求1或权利要求2所述的补偿件,其中所述多个支架层包括第一层和第二层,其中所述第一层包括第一纤维图案并且所述第二层包括第二纤维图案,并且其中所述第一纤维图案不同于所述第二纤维图案。
4.根据前述权利要求中任一项所述的补偿件,其中所述多个支架层包括第一层和第二层,其中所述第一层包含沿第一方向取向的纤维,其中所述第二层包含沿第二方向取向的纤维,并且其中所述第一方向斜向于所述第二方向。
5.根据前述权利要求中任一项所述的补偿件,还包含药物,所述药物包含在所述多个支架层内。
6.根据前述权利要求中任一项所述的补偿件,其中所述多个支架层包括第一层和第二层,其中所述第一层由第一材料构成并且所述第二层由第二材料构成,并且其中所述第一材料不同于所述第二材料。
7.根据前述权利要求中任一项所述的补偿件,其中所述多个支架层包括第一层和第二层,其中第一药物吸收在所述第一层内并且第二药物吸收在所述第二层内,并且其中所述第一药物不同于所述第二药物。
8.根据前述权利要求中任一项所述的补偿件,其中所述支架包括外表面,并且其中每个腔体包括位于所述外表面中的开口。
9.一种补偿件,所述补偿件能够附接到紧固器械的砧座,其中所述砧座包括成形表面,并且其中所述补偿件包括:
附接层,所述附接层能够附接到所述砧座;
结构化基质,所述结构化基质附接到所述附接层,所述结构化基质包括:
多个基质层,所述多个基质层由生物相容性材料构成;和
多个井凹,其中所述基质层和所述井凹限定对组织和细胞向内生长有利的结构化支撑件。
10.根据权利要求9所述的补偿件,其中每个基质层由纤维编织物构成。
11.根据权利要求9或权利要求10所述的补偿件,其中所述多个基质层包括第一层和第二层,其中所述第一层包括第一纤维图案并且所述第二层包括第二纤维图案,并且其中所述第一纤维图案不同于所述第二纤维图案。
12.根据权利要求9-11中任一项所述的补偿件,其中所述多个基质层包括第一层和第二层,其中所述第一层包含沿第一方向取向的纤维,其中所述第二层包含沿第二方向取向的纤维,并且其中所述第一方向斜向于所述第二方向。
13.根据权利要求9-12中任一项所述的补偿件,还包含药物,所述药物包含在所述多个基质层内。
14.根据权利要求9-13中任一项所述的补偿件,其中所述多个基质层包括第一层和第二层,其中所述第一层由第一材料构成并且所述第二层由第二材料构成,并且其中所述第一材料不同于所述第二材料。
15.根据权利要求9-14中任一项所述的补偿件,其中所述多个基质层包括第一层和第二层,其中第一药物吸收在所述第一层内并且第二药物吸收在所述第二层内,并且其中所述第一药物不同于所述第二药物。
16.根据权利要求9-15中任一项所述的补偿件,其中所述结构化基质包括外表面,并且其中每个井凹包括位于所述外表面中的开口。
17.一种与紧固器械一起使用的缝合组件,所述缝合组件包括:
砧座,所述砧座包括成形表面;
补偿件,所述补偿件包括:
支撑层,所述支撑层附接到所述砧座;
支架,所述支架附接到所述支撑层,所述支架包括:
多个支架层,所述多个支架层由生物相容性材料构成;
药物,所述药物嵌入所述支架层中;和
多个腔体,其中所述多个支架层和所述多个腔体限定对组织和细胞向内生长有利的基质。
Applications Claiming Priority (4)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US13/433,114 US9386988B2 (en) | 2010-09-30 | 2012-03-28 | Retainer assembly including a tissue thickness compensator |
US13/433,126 | 2012-03-28 | ||
US13/433,126 US9320523B2 (en) | 2012-03-28 | 2012-03-28 | Tissue thickness compensator comprising tissue ingrowth features |
PCT/US2013/034099 WO2013148834A2 (en) | 2012-03-28 | 2013-03-27 | Tissue thickness compensator comprising tissue ingrowth features |
Publications (2)
Publication Number | Publication Date |
---|---|
CN104334094A true CN104334094A (zh) | 2015-02-04 |
CN104334094B CN104334094B (zh) | 2017-03-29 |
Family
ID=50732697
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CN201380027413.2A Active CN104334094B (zh) | 2012-03-28 | 2013-03-27 | 包括组织向内生长特征结构的组织厚度补偿件 |
Country Status (4)
Country | Link |
---|---|
US (4) | US9320523B2 (zh) |
EP (3) | EP2644121B1 (zh) |
CN (1) | CN104334094B (zh) |
WO (2) | WO2013148834A2 (zh) |
Cited By (7)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
TWI564462B (zh) * | 2014-11-19 | 2017-01-01 | Ihi股份有限公司 | 圓筒型槽的建構方法 |
TWI568661B (zh) * | 2015-05-15 | 2017-02-01 | 神戶製鋼所股份有限公司 | And the like, and a pressure treatment method using the same |
CN108289672A (zh) * | 2015-09-30 | 2018-07-17 | 伊西康有限责任公司 | 可压缩附属物及其制作方法 |
CN108348250A (zh) * | 2015-08-31 | 2018-07-31 | 伊西康有限责任公司 | 促进结肠组织生长的附属材料 |
CN108366796A (zh) * | 2015-09-30 | 2018-08-03 | 伊西康有限责任公司 | 包括收紧构型的可植入层 |
CN110312480A (zh) * | 2017-02-17 | 2019-10-08 | 爱惜康有限责任公司 | 外科端部执行器辅料附接物 |
CN111246807A (zh) * | 2017-10-20 | 2020-06-05 | 伊西康公司 | 低温线性外科缝合器及其使用方法 |
Families Citing this family (915)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5865361A (en) | 1997-09-23 | 1999-02-02 | United States Surgical Corporation | Surgical stapling apparatus |
EP2228019B1 (en) | 2002-06-17 | 2013-08-14 | Covidien LP | Annular support structures |
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 |
US11896225B2 (en) | 2004-07-28 | 2024-02-13 | Cilag Gmbh International | Staple cartridge comprising a pan |
US8215531B2 (en) | 2004-07-28 | 2012-07-10 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having a medical substance dispenser |
US8905977B2 (en) | 2004-07-28 | 2014-12-09 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having an electroactive polymer actuated medical substance dispenser |
US7845536B2 (en) | 2004-10-18 | 2010-12-07 | Tyco Healthcare Group Lp | Annular adhesive structure |
US7938307B2 (en) | 2004-10-18 | 2011-05-10 | Tyco Healthcare Group Lp | Support structures and methods of using the same |
US9364229B2 (en) | 2005-03-15 | 2016-06-14 | Covidien Lp | Circular anastomosis structures |
US11246590B2 (en) | 2005-08-31 | 2022-02-15 | Cilag Gmbh International | Staple cartridge including staple drivers having different unfired heights |
US7669746B2 (en) | 2005-08-31 | 2010-03-02 | Ethicon Endo-Surgery, Inc. | Staple cartridges for forming staples having differing formed staple heights |
US9237891B2 (en) | 2005-08-31 | 2016-01-19 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical stapling devices that produce formed staples having different lengths |
US7934630B2 (en) | 2005-08-31 | 2011-05-03 | 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 |
US8317070B2 (en) | 2005-08-31 | 2012-11-27 | Ethicon Endo-Surgery, Inc. | Surgical stapling devices that produce formed staples having different lengths |
US8800838B2 (en) | 2005-08-31 | 2014-08-12 | Ethicon Endo-Surgery, Inc. | Robotically-controlled cable-based surgical end effectors |
US10159482B2 (en) | 2005-08-31 | 2018-12-25 | Ethicon Llc | Fastener cartridge assembly comprising a fixed anvil and different staple heights |
US20070106317A1 (en) | 2005-11-09 | 2007-05-10 | Shelton Frederick E Iv | Hydraulically and electrically actuated articulation joints for surgical instruments |
US20110006101A1 (en) | 2009-02-06 | 2011-01-13 | EthiconEndo-Surgery, Inc. | Motor driven surgical fastener device with cutting member lockout arrangements |
US8820603B2 (en) | 2006-01-31 | 2014-09-02 | Ethicon Endo-Surgery, Inc. | Accessing data stored in a memory of a surgical instrument |
US11224427B2 (en) | 2006-01-31 | 2022-01-18 | Cilag Gmbh International | Surgical stapling system including a console and retraction assembly |
US20110024477A1 (en) | 2009-02-06 | 2011-02-03 | Hall Steven G | Driven Surgical Stapler Improvements |
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 |
US9861359B2 (en) | 2006-01-31 | 2018-01-09 | Ethicon Llc | Powered surgical instruments with firing system lockout arrangements |
US8763879B2 (en) | 2006-01-31 | 2014-07-01 | Ethicon Endo-Surgery, Inc. | Accessing data stored in a memory of surgical instrument |
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 |
US20120292367A1 (en) | 2006-01-31 | 2012-11-22 | Ethicon Endo-Surgery, Inc. | Robotically-controlled end effector |
US7845537B2 (en) | 2006-01-31 | 2010-12-07 | Ethicon Endo-Surgery, Inc. | Surgical instrument having recording capabilities |
US11793518B2 (en) | 2006-01-31 | 2023-10-24 | Cilag Gmbh International | Powered surgical instruments with firing system lockout arrangements |
US20110295295A1 (en) | 2006-01-31 | 2011-12-01 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical instrument having recording capabilities |
US7753904B2 (en) | 2006-01-31 | 2010-07-13 | Ethicon Endo-Surgery, Inc. | Endoscopic surgical instrument with a handle that can articulate with respect to the shaft |
US7793813B2 (en) | 2006-02-28 | 2010-09-14 | Tyco Healthcare Group Lp | Hub for positioning annular structure on a surgical device |
US20070225562A1 (en) | 2006-03-23 | 2007-09-27 | Ethicon Endo-Surgery, Inc. | Articulating endoscopic accessory channel |
US8992422B2 (en) | 2006-03-23 | 2015-03-31 | Ethicon Endo-Surgery, Inc. | Robotically-controlled endoscopic accessory channel |
US8322455B2 (en) | 2006-06-27 | 2012-12-04 | Ethicon Endo-Surgery, Inc. | Manually driven surgical cutting and fastening instrument |
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 |
US8220690B2 (en) | 2006-09-29 | 2012-07-17 | Ethicon Endo-Surgery, Inc. | Connected surgical staples and stapling instruments for deploying the same |
US10130359B2 (en) | 2006-09-29 | 2018-11-20 | Ethicon Llc | Method for forming a staple |
US8584921B2 (en) | 2006-10-06 | 2013-11-19 | Covidien Lp | Surgical instrument with articulating tool assembly |
US7845533B2 (en) | 2007-06-22 | 2010-12-07 | Tyco Healthcare Group Lp | Detachable buttress material retention systems for use with a surgical stapling device |
WO2008057281A2 (en) | 2006-10-26 | 2008-05-15 | Tyco Healthcare Group Lp | Methods of using shape memory alloys for buttress attachment |
US8652120B2 (en) | 2007-01-10 | 2014-02-18 | Ethicon Endo-Surgery, Inc. | Surgical instrument with wireless communication between control unit and sensor transponders |
US11291441B2 (en) | 2007-01-10 | 2022-04-05 | Cilag Gmbh International | Surgical instrument with wireless communication between control unit and remote sensor |
US8684253B2 (en) | 2007-01-10 | 2014-04-01 | Ethicon Endo-Surgery, Inc. | Surgical instrument with wireless communication between a control unit of a robotic system and remote sensor |
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 |
US8827133B2 (en) | 2007-01-11 | 2014-09-09 | Ethicon Endo-Surgery, Inc. | Surgical stapling device having supports for a flexible drive mechanism |
CA2680148C (en) | 2007-03-06 | 2015-09-01 | Tyco Healthcare Group Lp | Surgical stapling apparatus |
US7669747B2 (en) | 2007-03-15 | 2010-03-02 | Ethicon Endo-Surgery, Inc. | Washer for use with a surgical stapling instrument |
US8893946B2 (en) | 2007-03-28 | 2014-11-25 | Ethicon Endo-Surgery, Inc. | Laparoscopic tissue thickness and clamp load measuring devices |
US8038045B2 (en) | 2007-05-25 | 2011-10-18 | Tyco Healthcare Group Lp | Staple buttress retention system |
US8931682B2 (en) | 2007-06-04 | 2015-01-13 | Ethicon Endo-Surgery, Inc. | Robotically-controlled shaft based rotary drive systems for surgical instruments |
US8534528B2 (en) | 2007-06-04 | 2013-09-17 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a multiple rate directional switching mechanism |
US7832408B2 (en) | 2007-06-04 | 2010-11-16 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a directional switching mechanism |
US11857181B2 (en) | 2007-06-04 | 2024-01-02 | Cilag Gmbh International | Robotically-controlled shaft based rotary drive systems for surgical instruments |
US7665646B2 (en) | 2007-06-18 | 2010-02-23 | Tyco Healthcare Group Lp | Interlocking buttress material retention system |
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 |
US8062330B2 (en) | 2007-06-27 | 2011-11-22 | Tyco Healthcare Group Lp | Buttress and surgical stapling apparatus |
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 |
US8061576B2 (en) | 2007-08-31 | 2011-11-22 | Tyco Healthcare Group Lp | Surgical instrument |
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 |
US8453908B2 (en) | 2008-02-13 | 2013-06-04 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with improved firing trigger arrangement |
US7866527B2 (en) | 2008-02-14 | 2011-01-11 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with interlockable firing system |
US8573465B2 (en) | 2008-02-14 | 2013-11-05 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical end effector system with rotary actuated closure systems |
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 |
US7819298B2 (en) | 2008-02-14 | 2010-10-26 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with control features operable with one hand |
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 |
US8636736B2 (en) | 2008-02-14 | 2014-01-28 | Ethicon Endo-Surgery, Inc. | Motorized surgical cutting and fastening instrument |
US7793812B2 (en) | 2008-02-14 | 2010-09-14 | Ethicon Endo-Surgery, Inc. | Disposable motor-driven loading unit for use with a surgical cutting and stapling apparatus |
BRPI0901282A2 (pt) | 2008-02-14 | 2009-11-17 | Ethicon Endo Surgery Inc | instrumento cirúrgico de corte e fixação dotado de eletrodos de rf |
US8752749B2 (en) | 2008-02-14 | 2014-06-17 | Ethicon Endo-Surgery, Inc. | Robotically-controlled disposable motor-driven loading unit |
US8657174B2 (en) | 2008-02-14 | 2014-02-25 | Ethicon Endo-Surgery, Inc. | Motorized surgical cutting and fastening instrument having handle based power source |
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 |
US20090206131A1 (en) | 2008-02-15 | 2009-08-20 | Ethicon Endo-Surgery, Inc. | End effector coupling arrangements for a surgical cutting and stapling instrument |
US11272927B2 (en) | 2008-02-15 | 2022-03-15 | Cilag Gmbh International | Layer arrangements for surgical staple cartridges |
US8608044B2 (en) | 2008-02-15 | 2013-12-17 | Ethicon Endo-Surgery, Inc. | Feedback and lockout mechanism for surgical instrument |
US9770245B2 (en) | 2008-02-15 | 2017-09-26 | Ethicon Llc | Layer arrangements for surgical staple cartridges |
US7832612B2 (en) | 2008-09-19 | 2010-11-16 | Ethicon Endo-Surgery, Inc. | Lockout arrangement for a surgical stapler |
PL3476312T3 (pl) | 2008-09-19 | 2024-03-11 | Ethicon Llc | Stapler chirurgiczny z urządzeniem do dopasowania wysokości zszywek |
US8628544B2 (en) | 2008-09-23 | 2014-01-14 | Covidien Lp | Knife bar for surgical instrument |
US9005230B2 (en) | 2008-09-23 | 2015-04-14 | 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 |
US11648005B2 (en) | 2008-09-23 | 2023-05-16 | Cilag Gmbh International | Robotically-controlled motorized surgical instrument with an end effector |
US7988028B2 (en) | 2008-09-23 | 2011-08-02 | Tyco Healthcare Group Lp | Surgical instrument having an asymmetric dynamic clamping member |
US9050083B2 (en) | 2008-09-23 | 2015-06-09 | Ethicon Endo-Surgery, Inc. | Motorized surgical instrument |
US8608045B2 (en) | 2008-10-10 | 2013-12-17 | Ethicon Endo-Sugery, Inc. | Powered surgical cutting and stapling apparatus with manually retractable firing system |
US20100147921A1 (en) * | 2008-12-16 | 2010-06-17 | Lee Olson | Surgical Apparatus Including Surgical Buttress |
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 |
US8517239B2 (en) | 2009-02-05 | 2013-08-27 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument comprising a magnetic element driver |
US8444036B2 (en) | 2009-02-06 | 2013-05-21 | Ethicon Endo-Surgery, Inc. | Motor driven surgical fastener device with mechanisms for adjusting a tissue gap within the end effector |
CA2751664A1 (en) | 2009-02-06 | 2010-08-12 | Ethicon Endo-Surgery, Inc. | Driven surgical stapler improvements |
US8365972B2 (en) | 2009-03-31 | 2013-02-05 | Covidien Lp | Surgical stapling apparatus |
US7967179B2 (en) | 2009-03-31 | 2011-06-28 | Tyco Healthcare Group Lp | Center cinch and release of buttress material |
US8016178B2 (en) | 2009-03-31 | 2011-09-13 | Tyco Healthcare Group Lp | Surgical stapling apparatus |
US9486215B2 (en) | 2009-03-31 | 2016-11-08 | Covidien Lp | Surgical stapling apparatus |
US8157151B2 (en) | 2009-10-15 | 2012-04-17 | Tyco Healthcare Group Lp | Staple line reinforcement for anvil and cartridge |
US20150231409A1 (en) | 2009-10-15 | 2015-08-20 | Covidien Lp | Buttress brachytherapy and integrated staple line markers for margin identification |
US9610080B2 (en) | 2009-10-15 | 2017-04-04 | Covidien Lp | Staple line reinforcement for anvil and cartridge |
US9693772B2 (en) | 2009-10-15 | 2017-07-04 | Covidien Lp | Staple line reinforcement for anvil and cartridge |
US10293553B2 (en) | 2009-10-15 | 2019-05-21 | Covidien Lp | Buttress brachytherapy and integrated staple line markers for margin identification |
US10842485B2 (en) | 2009-10-15 | 2020-11-24 | Covidien Lp | Brachytherapy buttress |
US8622275B2 (en) | 2009-11-19 | 2014-01-07 | Ethicon Endo-Surgery, Inc. | Circular stapler introducer with rigid distal end portion |
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 |
US8608046B2 (en) | 2010-01-07 | 2013-12-17 | Ethicon Endo-Surgery, Inc. | Test device for a surgical tool |
US8783543B2 (en) | 2010-07-30 | 2014-07-22 | Ethicon Endo-Surgery, Inc. | Tissue acquisition arrangements and methods for surgical stapling devices |
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 |
US8632525B2 (en) | 2010-09-17 | 2014-01-21 | Ethicon Endo-Surgery, Inc. | Power control arrangements for surgical instruments and batteries |
US9289212B2 (en) | 2010-09-17 | 2016-03-22 | Ethicon Endo-Surgery, Inc. | Surgical instruments and batteries for surgical instruments |
US9877720B2 (en) | 2010-09-24 | 2018-01-30 | Ethicon Llc | Control features for articulating surgical device |
US8733613B2 (en) | 2010-09-29 | 2014-05-27 | Ethicon Endo-Surgery, Inc. | Staple cartridge |
US20120080478A1 (en) | 2010-09-30 | 2012-04-05 | Ethicon Endo-Surgery, Inc. | Surgical staple cartridges with detachable support structures and surgical stapling instruments with systems for preventing actuation motions when a cartridge is not present |
BR112013007717B1 (pt) | 2010-09-30 | 2020-09-24 | Ethicon Endo-Surgery, Inc. | Sistema de grampeamento cirúrgico |
US9351730B2 (en) | 2011-04-29 | 2016-05-31 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator comprising channels |
US9320523B2 (en) | 2012-03-28 | 2016-04-26 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator comprising tissue ingrowth features |
US9216019B2 (en) | 2011-09-23 | 2015-12-22 | Ethicon Endo-Surgery, Inc. | Surgical stapler with stationary staple drivers |
US9301753B2 (en) | 2010-09-30 | 2016-04-05 | Ethicon Endo-Surgery, Llc | Expandable tissue thickness compensator |
US9220500B2 (en) | 2010-09-30 | 2015-12-29 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator comprising structure to produce a resilient load |
US8893949B2 (en) | 2010-09-30 | 2014-11-25 | Ethicon Endo-Surgery, Inc. | Surgical stapler with floating anvil |
US9314246B2 (en) | 2010-09-30 | 2016-04-19 | Ethicon Endo-Surgery, Llc | Tissue stapler having a thickness compensator incorporating an anti-inflammatory agent |
US9307989B2 (en) | 2012-03-28 | 2016-04-12 | Ethicon Endo-Surgery, Llc | Tissue stapler having a thickness compensator incorportating a hydrophobic agent |
US11812965B2 (en) | 2010-09-30 | 2023-11-14 | Cilag Gmbh International | Layer of material for a surgical end effector |
US9414838B2 (en) | 2012-03-28 | 2016-08-16 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator comprised of a plurality of materials |
US8978954B2 (en) | 2010-09-30 | 2015-03-17 | Ethicon Endo-Surgery, Inc. | Staple cartridge comprising an adjustable distal portion |
US9592050B2 (en) | 2010-09-30 | 2017-03-14 | Ethicon Endo-Surgery, Llc | End effector comprising a distal tissue abutment member |
US9629814B2 (en) | 2010-09-30 | 2017-04-25 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator configured to redistribute compressive forces |
US9517063B2 (en) | 2012-03-28 | 2016-12-13 | Ethicon Endo-Surgery, Llc | Movable member for use with a tissue thickness compensator |
US9364233B2 (en) | 2010-09-30 | 2016-06-14 | Ethicon Endo-Surgery, Llc | Tissue thickness compensators for circular surgical staplers |
US11849952B2 (en) | 2010-09-30 | 2023-12-26 | Cilag Gmbh International | Staple cartridge comprising staples positioned within a compressible portion thereof |
US10945731B2 (en) | 2010-09-30 | 2021-03-16 | Ethicon Llc | Tissue thickness compensator comprising controlled release and expansion |
US9332974B2 (en) | 2010-09-30 | 2016-05-10 | Ethicon Endo-Surgery, Llc | Layered tissue thickness compensator |
US9220501B2 (en) | 2010-09-30 | 2015-12-29 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensators |
US11298125B2 (en) | 2010-09-30 | 2022-04-12 | Cilag Gmbh International | Tissue stapler having a thickness compensator |
US8695866B2 (en) | 2010-10-01 | 2014-04-15 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a power control circuit |
US9084602B2 (en) | 2011-01-26 | 2015-07-21 | Covidien Lp | Buttress film with hemostatic action for surgical stapling apparatus |
US8479968B2 (en) | 2011-03-10 | 2013-07-09 | Covidien Lp | Surgical instrument buttress attachment |
US9113884B2 (en) | 2011-03-14 | 2015-08-25 | Ethicon Endo-Surgery, Inc. | Modular surgical tool systems |
US8926598B2 (en) | 2011-03-15 | 2015-01-06 | Ethicon Endo-Surgery, Inc. | Surgical instruments with articulatable and rotatable end effector |
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 |
CA2834649C (en) | 2011-04-29 | 2021-02-16 | Ethicon Endo-Surgery, Inc. | Staple cartridge comprising staples positioned within a compressible portion thereof |
US11207064B2 (en) | 2011-05-27 | 2021-12-28 | Cilag Gmbh International | Automated end effector component reloading system for use with a robotic system |
US9072535B2 (en) | 2011-05-27 | 2015-07-07 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments with rotatable staple deployment arrangements |
US8789739B2 (en) | 2011-09-06 | 2014-07-29 | Ethicon Endo-Surgery, Inc. | Continuous stapling instrument |
US9050084B2 (en) | 2011-09-23 | 2015-06-09 | Ethicon Endo-Surgery, Inc. | Staple cartridge including collapsible deck arrangement |
US8740036B2 (en) | 2011-12-01 | 2014-06-03 | Covidien Lp | Surgical instrument with actuator spring arm |
US8967448B2 (en) | 2011-12-14 | 2015-03-03 | Covidien Lp | Surgical stapling apparatus including buttress attachment via tabs |
US9351731B2 (en) | 2011-12-14 | 2016-05-31 | Covidien Lp | Surgical stapling apparatus including releasable surgical buttress |
US9351732B2 (en) | 2011-12-14 | 2016-05-31 | Covidien Lp | Buttress attachment to degradable polymer zones |
US9237892B2 (en) | 2011-12-14 | 2016-01-19 | Covidien Lp | Buttress attachment to the cartridge surface |
US9010608B2 (en) | 2011-12-14 | 2015-04-21 | Covidien Lp | Releasable buttress retention on a surgical stapler |
US9113885B2 (en) | 2011-12-14 | 2015-08-25 | Covidien Lp | Buttress assembly for use with surgical stapling device |
US9010612B2 (en) | 2012-01-26 | 2015-04-21 | Covidien Lp | Buttress support design for EEA anvil |
US9010609B2 (en) | 2012-01-26 | 2015-04-21 | Covidien Lp | Circular stapler including buttress |
US9326773B2 (en) | 2012-01-26 | 2016-05-03 | Covidien Lp | Surgical device including buttress material |
US9931116B2 (en) | 2012-02-10 | 2018-04-03 | Covidien Lp | Buttress composition |
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 |
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 |
JP6224070B2 (ja) | 2012-03-28 | 2017-11-01 | 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. | 組織厚さコンペンセータを含む保持具アセンブリ |
US9198662B2 (en) | 2012-03-28 | 2015-12-01 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator having improved visibility |
JP6305979B2 (ja) | 2012-03-28 | 2018-04-04 | エシコン・エンド−サージェリィ・インコーポレイテッドEthicon Endo−Surgery,Inc. | 複数の層を含む組織厚さコンペンセーター |
CN104334098B (zh) | 2012-03-28 | 2017-03-22 | 伊西康内外科公司 | 包括限定低压强环境的胶囊剂的组织厚度补偿件 |
US11871901B2 (en) | 2012-05-20 | 2024-01-16 | Cilag Gmbh International | Method for situational awareness for surgical network or surgical network connected device capable of adjusting function based on a sensed situation or usage |
US9101358B2 (en) | 2012-06-15 | 2015-08-11 | Ethicon Endo-Surgery, Inc. | Articulatable surgical instrument comprising a firing drive |
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 |
US9125662B2 (en) | 2012-06-28 | 2015-09-08 | Ethicon Endo-Surgery, Inc. | Multi-axis articulating and rotating surgical tools |
US9028494B2 (en) | 2012-06-28 | 2015-05-12 | Ethicon Endo-Surgery, Inc. | Interchangeable end effector coupling arrangement |
US9561038B2 (en) | 2012-06-28 | 2017-02-07 | Ethicon Endo-Surgery, Llc | Interchangeable clip applier |
US9101385B2 (en) | 2012-06-28 | 2015-08-11 | Ethicon Endo-Surgery, Inc. | Electrode connections for rotary driven surgical tools |
US20140001234A1 (en) | 2012-06-28 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Coupling arrangements for attaching surgical end effectors to drive systems therefor |
US8747238B2 (en) | 2012-06-28 | 2014-06-10 | Ethicon Endo-Surgery, Inc. | Rotary drive shaft assemblies for surgical instruments with articulatable end effectors |
CN104487005B (zh) | 2012-06-28 | 2017-09-08 | 伊西康内外科公司 | 空夹仓闭锁件 |
US11278284B2 (en) | 2012-06-28 | 2022-03-22 | Cilag Gmbh International | Rotary drive arrangements for surgical instruments |
BR112014032776B1 (pt) | 2012-06-28 | 2021-09-08 | Ethicon Endo-Surgery, Inc | Sistema de instrumento cirúrgico e kit cirúrgico para uso com um sistema de instrumento cirúrgico |
US20140001231A1 (en) | 2012-06-28 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Firing system lockout arrangements for surgical instruments |
US9072536B2 (en) | 2012-06-28 | 2015-07-07 | Ethicon Endo-Surgery, Inc. | Differential locking arrangements for rotary powered surgical instruments |
US9119657B2 (en) | 2012-06-28 | 2015-09-01 | Ethicon Endo-Surgery, Inc. | Rotary actuatable closure arrangement for surgical end effector |
US20140005718A1 (en) | 2012-06-28 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Multi-functional powered surgical device with external dissection features |
US9572576B2 (en) | 2012-07-18 | 2017-02-21 | Covidien Lp | Surgical apparatus including surgical buttress |
US20140048580A1 (en) | 2012-08-20 | 2014-02-20 | Covidien Lp | Buttress attachment features for surgical stapling apparatus |
US9161753B2 (en) | 2012-10-10 | 2015-10-20 | Covidien Lp | Buttress fixation for a circular stapler |
US9386985B2 (en) | 2012-10-15 | 2016-07-12 | Ethicon Endo-Surgery, Llc | Surgical cutting instrument |
US20140131418A1 (en) | 2012-11-09 | 2014-05-15 | Covidien Lp | Surgical Stapling Apparatus Including Buttress Attachment |
US9192384B2 (en) | 2012-11-09 | 2015-11-24 | Covidien Lp | Recessed groove for better suture retention |
US8920419B2 (en) | 2012-11-30 | 2014-12-30 | Gyrus Acmi, Inc. | Apparatus and method for tubeset with drive axle |
AU2013353422B2 (en) * | 2012-11-30 | 2017-09-07 | GYRUS ACMI, INC. (d/b/a OLYMPUS SURGICAL TECHNOLOGIES AMERICA) | A microdebrider with interchangeable replaceable parts and a method of installing the parts |
US9681936B2 (en) | 2012-11-30 | 2017-06-20 | Covidien Lp | Multi-layer porous film material |
US9295466B2 (en) | 2012-11-30 | 2016-03-29 | Covidien Lp | Surgical apparatus including surgical buttress |
US9402627B2 (en) | 2012-12-13 | 2016-08-02 | Covidien Lp | Folded buttress for use with a surgical apparatus |
CN103156660B (zh) * | 2012-12-26 | 2015-05-06 | 苏州天臣国际医疗科技有限公司 | 圆管型吻合器 |
US9204881B2 (en) | 2013-01-11 | 2015-12-08 | Covidien Lp | Buttress retainer for EEA anvil |
US9433420B2 (en) | 2013-01-23 | 2016-09-06 | Covidien Lp | Surgical apparatus including surgical buttress |
US9192383B2 (en) | 2013-02-04 | 2015-11-24 | Covidien Lp | Circular stapling device including buttress material |
US9414839B2 (en) | 2013-02-04 | 2016-08-16 | Covidien Lp | Buttress attachment for circular stapling device |
MX365654B (es) | 2013-02-08 | 2019-06-10 | Ethicon Endo Surgery Inc | Capas implantables de múltiples grosores para dispositivos de engrapado quirúrgicos. |
RU2661147C2 (ru) * | 2013-02-08 | 2018-07-11 | Этикон Эндо-Серджери, Инк. | Кассета с крепежными элементами, содержащая разъемно прикрепленный компенсатор толщины ткани |
US20140224857A1 (en) | 2013-02-08 | 2014-08-14 | Ethicon Endo-Surgery, Inc. | Staple cartridge comprising a compressible portion |
JP6400606B2 (ja) * | 2013-02-08 | 2018-10-03 | 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. | ステープラのアンビル用の展開可能なアタッチメント部材を備える組織厚さ補償層 |
BR112015018699B1 (pt) * | 2013-02-08 | 2022-01-11 | Ethicon Endo-Surgery, Inc | Conjunto de atuador de extremidade para uso com um instrumento cirúrgico |
BR112015018956B1 (pt) * | 2013-02-08 | 2022-02-08 | Ethicon Endo-Surgery, Inc | Conjunto de cartucho de grampos com elementos de retenção de camada |
US9386984B2 (en) | 2013-02-08 | 2016-07-12 | Ethicon Endo-Surgery, Llc | Staple cartridge comprising a releasable cover |
US9504470B2 (en) | 2013-02-25 | 2016-11-29 | Covidien Lp | Circular stapling device with buttress |
US20140239047A1 (en) | 2013-02-28 | 2014-08-28 | Covidien Lp | Adherence concepts for non-woven absorbable felt buttresses |
US10092292B2 (en) | 2013-02-28 | 2018-10-09 | Ethicon Llc | Staple forming features for surgical stapling instrument |
US9517065B2 (en) | 2013-02-28 | 2016-12-13 | Ethicon Endo-Surgery, Llc | Integrated tissue positioning and jaw alignment features for surgical stapler |
US9700309B2 (en) | 2013-03-01 | 2017-07-11 | Ethicon Llc | Articulatable surgical instruments with conductive pathways for signal communication |
MX368026B (es) | 2013-03-01 | 2019-09-12 | Ethicon Endo Surgery Inc | Instrumento quirúrgico articulable con vías conductoras para la comunicación de la señal. |
MX364729B (es) | 2013-03-01 | 2019-05-06 | Ethicon Endo Surgery Inc | Instrumento quirúrgico con una parada suave. |
US9782173B2 (en) | 2013-03-07 | 2017-10-10 | Covidien Lp | Circular stapling device including buttress release mechanism |
US9706993B2 (en) * | 2013-03-08 | 2017-07-18 | Covidien Lp | Staple cartridge with shipping wedge |
US9814463B2 (en) | 2013-03-13 | 2017-11-14 | Covidien Lp | Surgical stapling apparatus |
US9717498B2 (en) | 2013-03-13 | 2017-08-01 | Covidien Lp | Surgical stapling apparatus |
US20140263552A1 (en) | 2013-03-13 | 2014-09-18 | Ethicon Endo-Surgery, Inc. | Staple cartridge tissue thickness sensor system |
US9629628B2 (en) | 2013-03-13 | 2017-04-25 | Covidien Lp | Surgical stapling apparatus |
US9668729B2 (en) | 2013-03-13 | 2017-06-06 | Covidien Lp | Surgical stapling apparatus |
US9629623B2 (en) | 2013-03-14 | 2017-04-25 | Ethicon Endo-Surgery, Llc | Drive system lockout arrangements for modular surgical instruments |
US9629629B2 (en) | 2013-03-14 | 2017-04-25 | Ethicon Endo-Surgey, LLC | Control systems for surgical instruments |
US9592056B2 (en) * | 2013-03-14 | 2017-03-14 | Covidien Lp | Powered stapling apparatus |
US9572577B2 (en) | 2013-03-27 | 2017-02-21 | Ethicon Endo-Surgery, Llc | Fastener cartridge comprising a tissue thickness compensator including openings therein |
US9332984B2 (en) | 2013-03-27 | 2016-05-10 | Ethicon Endo-Surgery, Llc | Fastener cartridge assemblies |
US20140291379A1 (en) | 2013-03-27 | 2014-10-02 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator comprising a cutting member path |
US9795384B2 (en) | 2013-03-27 | 2017-10-24 | Ethicon Llc | Fastener cartridge comprising a tissue thickness compensator and a gap setting element |
US10405857B2 (en) | 2013-04-16 | 2019-09-10 | Ethicon Llc | Powered linear surgical stapler |
BR112015026109B1 (pt) | 2013-04-16 | 2022-02-22 | Ethicon Endo-Surgery, Inc | Instrumento cirúrgico |
US9574644B2 (en) | 2013-05-30 | 2017-02-21 | Ethicon Endo-Surgery, Llc | Power module for use with a surgical instrument |
US9808249B2 (en) | 2013-08-23 | 2017-11-07 | Ethicon Llc | Attachment portions for surgical instrument assemblies |
CN106028966B (zh) | 2013-08-23 | 2018-06-22 | 伊西康内外科有限责任公司 | 用于动力外科器械的击发构件回缩装置 |
US9662108B2 (en) | 2013-08-30 | 2017-05-30 | Covidien Lp | Surgical stapling apparatus |
US20140171986A1 (en) | 2013-09-13 | 2014-06-19 | Ethicon Endo-Surgery, Inc. | Surgical Clip Having Comliant Portion |
US9655620B2 (en) | 2013-10-28 | 2017-05-23 | Covidien Lp | Circular surgical stapling device including buttress material |
AU2013403917A1 (en) | 2013-11-04 | 2016-04-28 | Covidien Lp | Surgical fastener applying apparatus |
EP3065648A1 (en) | 2013-11-04 | 2016-09-14 | Covidien LP | Surgical fastener applying apparatus |
CN110063762B (zh) | 2013-11-04 | 2022-04-15 | 柯惠Lp公司 | 手术紧固件施加装置 |
US9867613B2 (en) | 2013-12-19 | 2018-01-16 | Covidien Lp | Surgical staples and end effectors for deploying the same |
US9724092B2 (en) | 2013-12-23 | 2017-08-08 | Ethicon Llc | Modular surgical instruments |
US9839428B2 (en) | 2013-12-23 | 2017-12-12 | Ethicon Llc | Surgical cutting and stapling instruments with independent jaw control features |
US20150173756A1 (en) | 2013-12-23 | 2015-06-25 | Ethicon Endo-Surgery, Inc. | Surgical cutting and stapling methods |
US9642620B2 (en) | 2013-12-23 | 2017-05-09 | Ethicon Endo-Surgery, Llc | Surgical cutting and stapling instruments with articulatable end effectors |
US9687232B2 (en) | 2013-12-23 | 2017-06-27 | Ethicon Llc | Surgical staples |
US9681870B2 (en) | 2013-12-23 | 2017-06-20 | Ethicon Llc | Articulatable surgical instruments with separate and distinct closing and firing systems |
US9962161B2 (en) | 2014-02-12 | 2018-05-08 | Ethicon Llc | Deliverable surgical instrument |
US9848874B2 (en) | 2014-02-14 | 2017-12-26 | Covidien Lp | Small diameter endoscopic stapler |
BR112016019424B1 (pt) * | 2014-02-24 | 2022-07-12 | Ethicon Endo-Surgery, Llc | Método para modificar um compensador de espessura de tecido |
JP6462004B2 (ja) | 2014-02-24 | 2019-01-30 | エシコン エルエルシー | 発射部材ロックアウトを備える締結システム |
US20140166726A1 (en) | 2014-02-24 | 2014-06-19 | Ethicon Endo-Surgery, Inc. | Staple cartridge including a barbed staple |
US10499908B2 (en) | 2014-03-04 | 2019-12-10 | Maquet Cardiovascular Llc | Surgical implant and method and instrument for installing the same |
US20150250474A1 (en) * | 2014-03-04 | 2015-09-10 | Maquet Cardiovascular Llc | Surgical implant and method and instrument for installing the same |
US9733663B2 (en) | 2014-03-26 | 2017-08-15 | Ethicon Llc | Power management through segmented circuit and variable voltage protection |
BR112016021943B1 (pt) | 2014-03-26 | 2022-06-14 | Ethicon Endo-Surgery, Llc | Instrumento cirúrgico para uso por um operador em um procedimento cirúrgico |
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 |
US9820738B2 (en) | 2014-03-26 | 2017-11-21 | Ethicon Llc | Surgical instrument comprising interactive systems |
US9757126B2 (en) | 2014-03-31 | 2017-09-12 | Covidien Lp | Surgical stapling apparatus with firing lockout mechanism |
BR112016023807B1 (pt) | 2014-04-16 | 2022-07-12 | Ethicon Endo-Surgery, Llc | Conjunto de cartucho de prendedores para uso com um instrumento cirúrgico |
US10299792B2 (en) | 2014-04-16 | 2019-05-28 | Ethicon Llc | Fastener cartridge comprising non-uniform fasteners |
CN106456176B (zh) | 2014-04-16 | 2019-06-28 | 伊西康内外科有限责任公司 | 包括具有不同构型的延伸部的紧固件仓 |
BR112016023825B1 (pt) | 2014-04-16 | 2022-08-02 | Ethicon Endo-Surgery, Llc | Cartucho de grampos para uso com um grampeador cirúrgico e cartucho de grampos para uso com um instrumento cirúrgico |
US20150297225A1 (en) | 2014-04-16 | 2015-10-22 | Ethicon Endo-Surgery, Inc. | Fastener cartridges including extensions having different configurations |
US9801627B2 (en) | 2014-09-26 | 2017-10-31 | Ethicon Llc | Fastener cartridge for creating a flexible staple line |
US9668733B2 (en) | 2014-04-21 | 2017-06-06 | Covidien Lp | Stapling device with features to prevent inadvertent firing of staples |
US9861366B2 (en) | 2014-05-06 | 2018-01-09 | Covidien Lp | Ejecting assembly for a surgical stapler |
CN110680437B (zh) | 2014-05-15 | 2023-01-31 | 柯惠Lp公司 | 手术紧固件施加装置 |
US10390828B2 (en) | 2014-06-10 | 2019-08-27 | Ethicon Llc | Devices and methods for sealing staples in tissue |
CN106572852B (zh) * | 2014-06-10 | 2019-12-10 | 伊西康内外科有限责任公司 | 用于将钉密封在组织中的装置 |
US20150351753A1 (en) * | 2014-06-10 | 2015-12-10 | Ethicon Endo-Surgery, Inc. | Methods and Devices for Reinforcing a Staple Line |
US10172611B2 (en) | 2014-06-10 | 2019-01-08 | Ethicon Llc | Adjunct materials and methods of using same in surgical methods for tissue sealing |
JP6556760B2 (ja) * | 2014-06-10 | 2019-08-07 | エシコン エルエルシーEthicon LLC | 組織中でステープルを封止するための装置 |
US10045781B2 (en) | 2014-06-13 | 2018-08-14 | Ethicon Llc | Closure lockout systems for surgical instruments |
US9730694B2 (en) * | 2014-07-01 | 2017-08-15 | Covidien Lp | Loading unit including shipping assembly |
US10135242B2 (en) | 2014-09-05 | 2018-11-20 | Ethicon Llc | Smart cartridge wake up operation and data retention |
US11311294B2 (en) | 2014-09-05 | 2022-04-26 | Cilag Gmbh International | Powered medical device including measurement of closure state of jaws |
BR112017004361B1 (pt) | 2014-09-05 | 2023-04-11 | Ethicon Llc | Sistema eletrônico para um instrumento cirúrgico |
WO2016044216A1 (en) * | 2014-09-15 | 2016-03-24 | Applied Medical Resources Corporation | Surgical stapler with self-adjusting staple height |
US10105142B2 (en) | 2014-09-18 | 2018-10-23 | Ethicon Llc | Surgical stapler with plurality of cutting elements |
CN107427300B (zh) | 2014-09-26 | 2020-12-04 | 伊西康有限责任公司 | 外科缝合支撑物和辅助材料 |
US11523821B2 (en) | 2014-09-26 | 2022-12-13 | Cilag Gmbh International | Method for creating a flexible staple line |
US10076325B2 (en) | 2014-10-13 | 2018-09-18 | Ethicon Llc | Surgical stapling apparatus comprising a tissue stop |
US9924944B2 (en) | 2014-10-16 | 2018-03-27 | Ethicon Llc | Staple cartridge comprising an adjunct material |
US11141153B2 (en) | 2014-10-29 | 2021-10-12 | Cilag Gmbh International | Staple cartridges comprising driver arrangements |
US10517594B2 (en) | 2014-10-29 | 2019-12-31 | Ethicon Llc | Cartridge assemblies for surgical staplers |
US11504192B2 (en) | 2014-10-30 | 2022-11-22 | Cilag Gmbh International | Method of hub communication with surgical instrument systems |
US9844376B2 (en) | 2014-11-06 | 2017-12-19 | Ethicon Llc | Staple cartridge comprising a releasable adjunct material |
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 |
US10188385B2 (en) | 2014-12-18 | 2019-01-29 | Ethicon Llc | Surgical instrument system comprising lockable systems |
US9987000B2 (en) | 2014-12-18 | 2018-06-05 | Ethicon Llc | Surgical instrument assembly comprising a flexible articulation system |
US9968355B2 (en) | 2014-12-18 | 2018-05-15 | Ethicon Llc | Surgical instruments with articulatable end effectors and improved 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 |
US10085748B2 (en) | 2014-12-18 | 2018-10-02 | Ethicon Llc | Locking arrangements for detachable shaft assemblies with articulatable surgical end effectors |
US9844375B2 (en) | 2014-12-18 | 2017-12-19 | Ethicon Llc | Drive arrangements for articulatable surgical instruments |
BR112017012996B1 (pt) | 2014-12-18 | 2022-11-08 | Ethicon Llc | Instrumento cirúrgico com uma bigorna que é seletivamente móvel sobre um eixo geométrico imóvel distinto em relação a um cartucho de grampos |
US10835216B2 (en) | 2014-12-24 | 2020-11-17 | Covidien Lp | Spinneret for manufacture of melt blown nonwoven fabric |
US10470767B2 (en) | 2015-02-10 | 2019-11-12 | Covidien Lp | Surgical stapling instrument having ultrasonic energy delivery |
US10039545B2 (en) | 2015-02-23 | 2018-08-07 | Covidien Lp | Double fire stapling |
US10085749B2 (en) | 2015-02-26 | 2018-10-02 | Covidien Lp | Surgical apparatus with conductor strain relief |
US10130367B2 (en) | 2015-02-26 | 2018-11-20 | Covidien Lp | Surgical apparatus |
US10321907B2 (en) | 2015-02-27 | 2019-06-18 | Ethicon Llc | System for monitoring whether a surgical instrument needs to be serviced |
US11154301B2 (en) | 2015-02-27 | 2021-10-26 | Cilag Gmbh International | Modular stapling assembly |
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 |
US9901342B2 (en) | 2015-03-06 | 2018-02-27 | Ethicon Endo-Surgery, Llc | Signal and power communication system positioned on a rotatable shaft |
US10245033B2 (en) | 2015-03-06 | 2019-04-02 | Ethicon Llc | Surgical instrument comprising a lockable battery housing |
US9808246B2 (en) | 2015-03-06 | 2017-11-07 | Ethicon Endo-Surgery, Llc | Method of operating a powered surgical instrument |
US10548504B2 (en) | 2015-03-06 | 2020-02-04 | Ethicon Llc | Overlaid multi sensor radio frequency (RF) electrode system to measure tissue compression |
US10687806B2 (en) | 2015-03-06 | 2020-06-23 | Ethicon Llc | Adaptive tissue compression techniques to adjust closure rates for multiple tissue types |
US9895148B2 (en) | 2015-03-06 | 2018-02-20 | Ethicon Endo-Surgery, Llc | Monitoring speed control and precision incrementing of motor for powered surgical instruments |
US9924961B2 (en) | 2015-03-06 | 2018-03-27 | Ethicon Endo-Surgery, Llc | Interactive feedback system for powered surgical instruments |
JP2020121162A (ja) | 2015-03-06 | 2020-08-13 | エシコン エルエルシーEthicon LLC | 測定の安定性要素、クリープ要素、及び粘弾性要素を決定するためのセンサデータの時間依存性評価 |
US9993248B2 (en) | 2015-03-06 | 2018-06-12 | Ethicon Endo-Surgery, Llc | Smart sensors with local signal processing |
US10617412B2 (en) | 2015-03-06 | 2020-04-14 | Ethicon Llc | System for detecting the mis-insertion of a staple cartridge into a surgical stapler |
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 |
US10441279B2 (en) | 2015-03-06 | 2019-10-15 | Ethicon Llc | Multiple level thresholds to modify operation of powered surgical instruments |
US9918717B2 (en) | 2015-03-18 | 2018-03-20 | Covidien Lp | Pivot mechanism for surgical device |
US10136891B2 (en) | 2015-03-25 | 2018-11-27 | Ethicon Llc | Naturally derived bioabsorbable polymer gel adhesive for releasably attaching a staple buttress to a surgical stapler |
US10548593B2 (en) * | 2015-03-25 | 2020-02-04 | Ethicon Llc | Flowable bioabsorbable polymer adhesive for releasably attaching a staple buttress to a surgical stapler |
US10390825B2 (en) | 2015-03-31 | 2019-08-27 | Ethicon Llc | Surgical instrument with progressive rotary drive systems |
EP3291745A4 (en) | 2015-04-10 | 2019-02-13 | Covidien LP | SURGICAL CLAMP DEVICE WITH INTEGRATED BUBBLE |
US10463368B2 (en) | 2015-04-10 | 2019-11-05 | Covidien Lp | Endoscopic stapler |
US10299789B2 (en) | 2015-05-05 | 2019-05-28 | Covidie LP | Adapter assembly for surgical stapling devices |
US10117650B2 (en) | 2015-05-05 | 2018-11-06 | Covidien Lp | Adapter assembly and loading units for surgical stapling devices |
US10039532B2 (en) | 2015-05-06 | 2018-08-07 | Covidien Lp | Surgical instrument with articulation assembly |
US10349941B2 (en) | 2015-05-27 | 2019-07-16 | Covidien Lp | Multi-fire lead screw stapling device |
US10172615B2 (en) | 2015-05-27 | 2019-01-08 | Covidien Lp | Multi-fire push rod stapling device |
US10178992B2 (en) | 2015-06-18 | 2019-01-15 | Ethicon Llc | Push/pull articulation drive systems for articulatable surgical instruments |
US10548599B2 (en) | 2015-07-20 | 2020-02-04 | Covidien Lp | Endoscopic stapler and staple |
US9987012B2 (en) | 2015-07-21 | 2018-06-05 | Covidien Lp | Small diameter cartridge design for a surgical stapling instrument |
US10064622B2 (en) | 2015-07-29 | 2018-09-04 | Covidien Lp | Surgical stapling loading unit with stroke counter and lockout |
US10045782B2 (en) | 2015-07-30 | 2018-08-14 | Covidien Lp | Surgical stapling loading unit with stroke counter and lockout |
US10617418B2 (en) | 2015-08-17 | 2020-04-14 | Ethicon Llc | Implantable layers for a surgical instrument |
US10166023B2 (en) | 2015-08-24 | 2019-01-01 | Ethicon Llc | Method of applying a buttress to a surgical stapler end effector |
US11039832B2 (en) * | 2015-08-24 | 2021-06-22 | Cilag Gmbh International | Surgical stapler buttress applicator with spent staple cartridge lockout |
BR112018003693B1 (pt) | 2015-08-26 | 2022-11-22 | Ethicon Llc | Cartucho de grampos cirúrgicos para uso com um instrumento de grampeamento cirúrgico |
US10357251B2 (en) | 2015-08-26 | 2019-07-23 | Ethicon Llc | Surgical staples comprising hardness variations for improved fastening of tissue |
JP6858754B2 (ja) * | 2015-08-26 | 2021-04-14 | エシコン エルエルシーEthicon LLC | 様々な組織圧縮用隙間及びステープル成形用隙間を含むステープルカートリッジアセンブリ |
US10245034B2 (en) * | 2015-08-31 | 2019-04-02 | Ethicon Llc | Inducing tissue adhesions using surgical adjuncts and medicants |
US10213520B2 (en) * | 2015-08-31 | 2019-02-26 | Ethicon Llc | Surgical adjuncts having medicants controllably releasable therefrom |
US10569071B2 (en) | 2015-08-31 | 2020-02-25 | Ethicon Llc | Medicant eluting adjuncts and methods of using medicant eluting adjuncts |
MX2022006192A (es) | 2015-09-02 | 2022-06-16 | Ethicon Llc | Configuraciones de grapas quirurgicas con superficies de leva situadas entre porciones que soportan grapas quirurgicas. |
US10172619B2 (en) | 2015-09-02 | 2019-01-08 | Ethicon Llc | Surgical staple driver arrays |
US10105139B2 (en) | 2015-09-23 | 2018-10-23 | Ethicon Llc | Surgical stapler having downstream current-based motor control |
US10363036B2 (en) | 2015-09-23 | 2019-07-30 | Ethicon Llc | Surgical stapler having force-based motor control |
US10327769B2 (en) | 2015-09-23 | 2019-06-25 | Ethicon Llc | Surgical stapler having motor control based on a drive system component |
US10085751B2 (en) | 2015-09-23 | 2018-10-02 | Ethicon Llc | Surgical stapler having temperature-based motor control |
US10238386B2 (en) | 2015-09-23 | 2019-03-26 | Ethicon Llc | Surgical stapler having motor control based on an electrical parameter related to a motor current |
US10076326B2 (en) | 2015-09-23 | 2018-09-18 | Ethicon Llc | Surgical stapler having current mirror-based motor control |
US10299878B2 (en) | 2015-09-25 | 2019-05-28 | Ethicon Llc | Implantable adjunct systems for determining adjunct skew |
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 |
US10213204B2 (en) | 2015-10-02 | 2019-02-26 | Covidien Lp | Micro surgical instrument and loading unit for use therewith |
US10342535B2 (en) * | 2015-10-15 | 2019-07-09 | Ethicon Llc | Method of applying staples to liver and other organs |
US11141159B2 (en) | 2015-10-15 | 2021-10-12 | Cilag Gmbh International | Surgical stapler end effector with multi-staple driver crossing center line |
US10772632B2 (en) | 2015-10-28 | 2020-09-15 | Covidien Lp | Surgical stapling device with triple leg staples |
US10314588B2 (en) * | 2015-10-29 | 2019-06-11 | Ethicon Llc | Fluid penetrable buttress assembly for a surgical stapler |
US10441286B2 (en) * | 2015-10-29 | 2019-10-15 | Ethicon Llc | Multi-layer surgical stapler buttress assembly |
US10765430B2 (en) * | 2015-11-06 | 2020-09-08 | Intuitive Surgical Operations, Inc. | Knife with mechanical fuse |
US10595864B2 (en) | 2015-11-24 | 2020-03-24 | Covidien Lp | Adapter assembly for interconnecting electromechanical surgical devices and surgical loading units, and surgical systems thereof |
US10111660B2 (en) | 2015-12-03 | 2018-10-30 | Covidien Lp | Surgical stapler flexible distal tip |
US10292704B2 (en) | 2015-12-30 | 2019-05-21 | Ethicon Llc | Mechanisms for compensating for battery pack failure in powered surgical instruments |
US10265068B2 (en) | 2015-12-30 | 2019-04-23 | Ethicon Llc | Surgical instruments with separable motors and motor control circuits |
US10368865B2 (en) | 2015-12-30 | 2019-08-06 | Ethicon Llc | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US10966717B2 (en) | 2016-01-07 | 2021-04-06 | Covidien Lp | Surgical fastener apparatus |
US10660623B2 (en) | 2016-01-15 | 2020-05-26 | Covidien Lp | Centering mechanism for articulation joint |
CN108882932B (zh) | 2016-02-09 | 2021-07-23 | 伊西康有限责任公司 | 具有非对称关节运动构造的外科器械 |
US11213293B2 (en) | 2016-02-09 | 2022-01-04 | Cilag Gmbh International | Articulatable surgical instruments with single articulation link arrangements |
US10588625B2 (en) | 2016-02-09 | 2020-03-17 | Ethicon Llc | Articulatable surgical instruments with off-axis firing beam arrangements |
US10349937B2 (en) | 2016-02-10 | 2019-07-16 | Covidien Lp | Surgical stapler with articulation locking mechanism |
US10420559B2 (en) | 2016-02-11 | 2019-09-24 | Covidien Lp | Surgical stapler with small diameter endoscopic portion |
US10448948B2 (en) | 2016-02-12 | 2019-10-22 | Ethicon Llc | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
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 |
US10278703B2 (en) * | 2016-03-21 | 2019-05-07 | Ethicon, Inc. | Temporary fixation tools for use with circular anastomotic staplers |
US10617413B2 (en) | 2016-04-01 | 2020-04-14 | Ethicon Llc | Closure system arrangements for surgical cutting and stapling devices with separate and distinct firing shafts |
US10271851B2 (en) | 2016-04-01 | 2019-04-30 | Ethicon Llc | Modular surgical stapling system comprising a display |
US20170281182A1 (en) * | 2016-04-01 | 2017-10-05 | Ethicon, Inc. | Anastomotic Stapling Reinforcing Buttress and Methods of Deployment |
US11284890B2 (en) | 2016-04-01 | 2022-03-29 | Cilag Gmbh International | Circular stapling system comprising an incisable tissue support |
US11064997B2 (en) | 2016-04-01 | 2021-07-20 | Cilag Gmbh International | Surgical stapling instrument |
US10307159B2 (en) | 2016-04-01 | 2019-06-04 | Ethicon Llc | Surgical instrument handle assembly with reconfigurable grip portion |
US11607239B2 (en) | 2016-04-15 | 2023-03-21 | Cilag Gmbh International | Systems and methods for controlling a surgical stapling and cutting instrument |
US10405859B2 (en) | 2016-04-15 | 2019-09-10 | Ethicon Llc | Surgical instrument with adjustable stop/start control during a firing motion |
US10492783B2 (en) | 2016-04-15 | 2019-12-03 | Ethicon, Llc | Surgical instrument with improved stop/start control during a firing motion |
US10335145B2 (en) | 2016-04-15 | 2019-07-02 | Ethicon Llc | Modular surgical instrument with configurable operating mode |
US11179150B2 (en) | 2016-04-15 | 2021-11-23 | Cilag Gmbh International | Systems and methods for controlling a surgical stapling and cutting instrument |
US10456137B2 (en) | 2016-04-15 | 2019-10-29 | Ethicon Llc | Staple formation detection mechanisms |
US10357247B2 (en) | 2016-04-15 | 2019-07-23 | Ethicon Llc | Surgical instrument with multiple program responses during a firing motion |
US10828028B2 (en) | 2016-04-15 | 2020-11-10 | Ethicon Llc | Surgical instrument with multiple program responses during a firing motion |
US10426467B2 (en) | 2016-04-15 | 2019-10-01 | Ethicon Llc | Surgical instrument with detection sensors |
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 |
US10363037B2 (en) | 2016-04-18 | 2019-07-30 | Ethicon Llc | Surgical instrument system comprising a magnetic lockout |
US10561419B2 (en) | 2016-05-04 | 2020-02-18 | Covidien Lp | Powered end effector assembly with pivotable channel |
US11065022B2 (en) | 2016-05-17 | 2021-07-20 | Covidien Lp | Cutting member for a surgical instrument |
US10959731B2 (en) | 2016-06-14 | 2021-03-30 | Covidien Lp | Buttress attachment for surgical stapling instrument |
USD826405S1 (en) | 2016-06-24 | 2018-08-21 | Ethicon Llc | Surgical fastener |
CN109310431B (zh) | 2016-06-24 | 2022-03-04 | 伊西康有限责任公司 | 包括线材钉和冲压钉的钉仓 |
US10702270B2 (en) | 2016-06-24 | 2020-07-07 | Ethicon Llc | Stapling system for use with wire staples and stamped staples |
USD847989S1 (en) | 2016-06-24 | 2019-05-07 | Ethicon Llc | Surgical fastener cartridge |
USD822206S1 (en) | 2016-06-24 | 2018-07-03 | Ethicon Llc | Surgical fastener |
USD850617S1 (en) | 2016-06-24 | 2019-06-04 | Ethicon Llc | Surgical fastener cartridge |
US10707531B1 (en) | 2016-09-27 | 2020-07-07 | New Dominion Enterprises Inc. | All-inorganic solvents for electrolytes |
US11642126B2 (en) | 2016-11-04 | 2023-05-09 | Covidien Lp | Surgical stapling apparatus with tissue pockets |
US10631857B2 (en) | 2016-11-04 | 2020-04-28 | Covidien Lp | Loading unit for surgical instruments with low profile pushers |
US10492784B2 (en) | 2016-11-08 | 2019-12-03 | Covidien Lp | Surgical tool assembly with compact firing assembly |
US11026686B2 (en) | 2016-11-08 | 2021-06-08 | Covidien Lp | Structure for attaching buttress to anvil and/or cartridge of surgical stapling instrument |
US10463371B2 (en) | 2016-11-29 | 2019-11-05 | Covidien Lp | Reload assembly with spent reload indicator |
US20180168598A1 (en) | 2016-12-21 | 2018-06-21 | Ethicon Endo-Surgery, Llc | Staple forming pocket arrangements comprising zoned forming surface grooves |
JP6983893B2 (ja) | 2016-12-21 | 2021-12-17 | エシコン エルエルシーEthicon LLC | 外科用エンドエフェクタ及び交換式ツールアセンブリのためのロックアウト構成 |
US10945727B2 (en) | 2016-12-21 | 2021-03-16 | Ethicon Llc | Staple cartridge with deformable driver retention features |
US20180168575A1 (en) | 2016-12-21 | 2018-06-21 | Ethicon Endo-Surgery, Llc | Surgical stapling systems |
JP7010956B2 (ja) | 2016-12-21 | 2022-01-26 | エシコン エルエルシー | 組織をステープル留めする方法 |
US10980536B2 (en) | 2016-12-21 | 2021-04-20 | Ethicon Llc | No-cartridge and spent cartridge lockout arrangements for surgical staplers |
US10993715B2 (en) | 2016-12-21 | 2021-05-04 | Ethicon Llc | Staple cartridge comprising staples with different clamping breadths |
US10881401B2 (en) | 2016-12-21 | 2021-01-05 | Ethicon Llc | Staple firing member comprising a missing cartridge and/or spent cartridge lockout |
US10492785B2 (en) | 2016-12-21 | 2019-12-03 | Ethicon Llc | Shaft assembly comprising a lockout |
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 |
US20180168625A1 (en) | 2016-12-21 | 2018-06-21 | Ethicon Endo-Surgery, Llc | Surgical stapling instruments with smart staple cartridges |
US20180168615A1 (en) | 2016-12-21 | 2018-06-21 | Ethicon Endo-Surgery, Llc | Method of deforming staples from two different types of staple cartridges with the same surgical stapling instrument |
US10687810B2 (en) | 2016-12-21 | 2020-06-23 | Ethicon Llc | Stepped staple cartridge with tissue retention and gap setting features |
US20180168609A1 (en) | 2016-12-21 | 2018-06-21 | Ethicon Endo-Surgery, Llc | Firing assembly comprising a fuse |
US20180168647A1 (en) | 2016-12-21 | 2018-06-21 | Ethicon Endo-Surgery, Llc | Surgical stapling instruments having end effectors with positive opening features |
US10736629B2 (en) | 2016-12-21 | 2020-08-11 | Ethicon Llc | Surgical tool assemblies with clutching arrangements for shifting between closure systems with closure stroke reduction features and articulation and firing systems |
US10537325B2 (en) | 2016-12-21 | 2020-01-21 | Ethicon Llc | Staple forming pocket arrangement to accommodate different types of staples |
US10568625B2 (en) * | 2016-12-21 | 2020-02-25 | Ethicon Llc | Staple cartridges and arrangements of staples and staple cavities therein |
MX2019007311A (es) | 2016-12-21 | 2019-11-18 | Ethicon Llc | Sistemas de engrapado quirurgico. |
US11684367B2 (en) | 2016-12-21 | 2023-06-27 | Cilag Gmbh International | Stepped assembly having and end-of-life indicator |
US10973516B2 (en) | 2016-12-21 | 2021-04-13 | Ethicon Llc | Surgical end effectors and adaptable firing members therefor |
US10426471B2 (en) | 2016-12-21 | 2019-10-01 | Ethicon Llc | Surgical instrument with multiple failure response modes |
US11134942B2 (en) | 2016-12-21 | 2021-10-05 | Cilag Gmbh International | Surgical stapling instruments and staple-forming anvils |
US10485543B2 (en) | 2016-12-21 | 2019-11-26 | Ethicon Llc | Anvil having a knife slot width |
US10709901B2 (en) | 2017-01-05 | 2020-07-14 | Covidien Lp | Implantable fasteners, applicators, and methods for brachytherapy |
US10874768B2 (en) | 2017-01-20 | 2020-12-29 | Covidien Lp | Drug eluting medical device |
US10952767B2 (en) | 2017-02-06 | 2021-03-23 | Covidien Lp | Connector clip for securing an introducer to a surgical fastener applying apparatus |
US11202632B2 (en) * | 2017-02-17 | 2021-12-21 | Cilag Gmbh International | Adjunct material with mating features |
US10485544B2 (en) * | 2017-02-17 | 2019-11-26 | Ethicon Llc | End effector having extension features for mating with adjuncts |
US20180235618A1 (en) | 2017-02-22 | 2018-08-23 | Covidien Lp | Loading unit for surgical instruments with low profile pushers |
US10849621B2 (en) | 2017-02-23 | 2020-12-01 | Covidien Lp | Surgical stapler with small diameter endoscopic portion |
US11350915B2 (en) | 2017-02-23 | 2022-06-07 | Covidien Lp | Surgical stapler with small diameter endoscopic portion |
US10925607B2 (en) | 2017-02-28 | 2021-02-23 | Covidien Lp | Surgical stapling apparatus with staple sheath |
US10299790B2 (en) | 2017-03-03 | 2019-05-28 | Covidien Lp | Adapter with centering mechanism for articulation joint |
US10368868B2 (en) | 2017-03-09 | 2019-08-06 | Covidien Lp | Structure for attaching buttress material to anvil and cartridge of surgical stapling instrument |
US10792060B2 (en) | 2017-03-14 | 2020-10-06 | Gyrus Acmi, Inc. | Instrument with a controlled jaw movement |
US10660641B2 (en) | 2017-03-16 | 2020-05-26 | Covidien Lp | Adapter with centering mechanism for articulation joint |
US11096610B2 (en) | 2017-03-28 | 2021-08-24 | Covidien Lp | Surgical implants including sensing fibers |
US10603035B2 (en) | 2017-05-02 | 2020-03-31 | Covidien Lp | Surgical loading unit including an articulating end effector |
US11324502B2 (en) | 2017-05-02 | 2022-05-10 | Covidien Lp | Surgical loading unit including an articulating end effector |
US10524784B2 (en) | 2017-05-05 | 2020-01-07 | Covidien Lp | Surgical staples with expandable backspan |
US10390826B2 (en) | 2017-05-08 | 2019-08-27 | Covidien Lp | Surgical stapling device with elongated tool assembly and methods of use |
US10420551B2 (en) | 2017-05-30 | 2019-09-24 | Covidien Lp | Authentication and information system for reusable surgical instruments |
US10478185B2 (en) | 2017-06-02 | 2019-11-19 | Covidien Lp | Tool assembly with minimal dead space |
US11058804B2 (en) | 2017-06-13 | 2021-07-13 | Ethicon Llc | Surgical fastener device for the prevention of ECM degradation |
US20180353174A1 (en) * | 2017-06-13 | 2018-12-13 | Ethicon Llc | Surgical Stapler with Controlled Healing |
US10939911B2 (en) | 2017-06-13 | 2021-03-09 | Ethicon Llc | Surgical stapler with end effector coating |
US10307170B2 (en) | 2017-06-20 | 2019-06-04 | Ethicon Llc | Method for closed loop control of motor velocity of a surgical stapling and cutting instrument |
US10368864B2 (en) | 2017-06-20 | 2019-08-06 | Ethicon Llc | Systems and methods for controlling displaying motor velocity for a surgical instrument |
US10888321B2 (en) | 2017-06-20 | 2021-01-12 | Ethicon Llc | Systems and methods for controlling velocity of a displacement member of a surgical stapling and cutting instrument |
USD890784S1 (en) | 2017-06-20 | 2020-07-21 | Ethicon Llc | Display panel with changeable graphical user interface |
US10881396B2 (en) | 2017-06-20 | 2021-01-05 | Ethicon Llc | Surgical instrument with variable duration trigger arrangement |
US11090046B2 (en) | 2017-06-20 | 2021-08-17 | Cilag Gmbh International | Systems and methods for controlling displacement member motion of a surgical stapling and cutting instrument |
US10813639B2 (en) | 2017-06-20 | 2020-10-27 | Ethicon Llc | Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on system conditions |
US10646220B2 (en) | 2017-06-20 | 2020-05-12 | Ethicon Llc | Systems and methods for controlling displacement member velocity for a surgical instrument |
US10624633B2 (en) | 2017-06-20 | 2020-04-21 | Ethicon Llc | Systems and methods for controlling motor velocity of a surgical stapling and cutting instrument |
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 |
US10881399B2 (en) | 2017-06-20 | 2021-01-05 | Ethicon Llc | Techniques for adaptive control of motor velocity of a surgical stapling and cutting instrument |
USD879809S1 (en) | 2017-06-20 | 2020-03-31 | Ethicon Llc | Display panel with changeable graphical user interface |
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 |
USD879808S1 (en) | 2017-06-20 | 2020-03-31 | Ethicon Llc | Display panel with graphical user interface |
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 |
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 |
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 |
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 |
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 |
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 |
US10631859B2 (en) | 2017-06-27 | 2020-04-28 | Ethicon Llc | Articulation systems for surgical instruments |
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 |
US10856869B2 (en) | 2017-06-27 | 2020-12-08 | Ethicon Llc | Surgical anvil arrangements |
US11266405B2 (en) | 2017-06-27 | 2022-03-08 | Cilag Gmbh International | Surgical anvil manufacturing methods |
US10772629B2 (en) | 2017-06-27 | 2020-09-15 | Ethicon Llc | Surgical anvil arrangements |
USD869655S1 (en) | 2017-06-28 | 2019-12-10 | Ethicon Llc | Surgical fastener cartridge |
US11246592B2 (en) | 2017-06-28 | 2022-02-15 | Cilag Gmbh International | Surgical instrument comprising an articulation system lockable to a frame |
US11564686B2 (en) | 2017-06-28 | 2023-01-31 | Cilag Gmbh International | Surgical shaft assemblies with flexible interfaces |
US11389161B2 (en) | 2017-06-28 | 2022-07-19 | Cilag Gmbh International | Surgical instrument comprising selectively actuatable rotatable couplers |
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 |
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 |
US10716614B2 (en) | 2017-06-28 | 2020-07-21 | Ethicon Llc | Surgical shaft assemblies with slip ring assemblies with increased contact pressure |
USD851762S1 (en) | 2017-06-28 | 2019-06-18 | Ethicon Llc | Anvil |
US11259805B2 (en) | 2017-06-28 | 2022-03-01 | Cilag Gmbh International | Surgical instrument comprising firing member supports |
USD854151S1 (en) | 2017-06-28 | 2019-07-16 | Ethicon Llc | Surgical instrument shaft |
US10765427B2 (en) | 2017-06-28 | 2020-09-08 | Ethicon Llc | Method for articulating a surgical instrument |
EP3420947B1 (en) | 2017-06-28 | 2022-05-25 | Cilag GmbH International | Surgical instrument comprising selectively actuatable rotatable couplers |
USD906355S1 (en) | 2017-06-28 | 2020-12-29 | Ethicon Llc | Display screen or portion thereof with a graphical user interface for a surgical instrument |
US10898183B2 (en) | 2017-06-29 | 2021-01-26 | Ethicon Llc | Robotic surgical instrument with closed loop feedback techniques for advancement of closure member during firing |
US10932772B2 (en) | 2017-06-29 | 2021-03-02 | Ethicon Llc | Methods for closed loop velocity control for robotic surgical instrument |
US11007022B2 (en) | 2017-06-29 | 2021-05-18 | Ethicon Llc | Closed loop velocity control techniques based on sensed tissue parameters for robotic surgical instrument |
US10258418B2 (en) | 2017-06-29 | 2019-04-16 | Ethicon Llc | System for controlling articulation forces |
US10398434B2 (en) | 2017-06-29 | 2019-09-03 | Ethicon Llc | Closed loop velocity control of closure member for robotic surgical instrument |
US11304695B2 (en) | 2017-08-03 | 2022-04-19 | Cilag Gmbh International | Surgical system shaft interconnection |
US11944300B2 (en) | 2017-08-03 | 2024-04-02 | Cilag Gmbh International | Method for operating a surgical system bailout |
US11471155B2 (en) | 2017-08-03 | 2022-10-18 | Cilag Gmbh International | Surgical system bailout |
US10849625B2 (en) | 2017-08-07 | 2020-12-01 | Covidien Lp | Surgical buttress retention systems for surgical stapling apparatus |
US10624636B2 (en) | 2017-08-23 | 2020-04-21 | Covidien Lp | Surgical stapling device with floating staple cartridge |
US10945733B2 (en) | 2017-08-23 | 2021-03-16 | Covidien Lp | Surgical buttress reload and tip attachment assemblies for surgical stapling apparatus |
US10806452B2 (en) | 2017-08-24 | 2020-10-20 | Covidien Lp | Loading unit for a surgical stapling instrument |
USD907647S1 (en) | 2017-09-29 | 2021-01-12 | Ethicon Llc | Display screen or portion thereof with animated graphical user interface |
US10765429B2 (en) | 2017-09-29 | 2020-09-08 | Ethicon Llc | Systems and methods for providing alerts according to the operational state of a surgical instrument |
USD917500S1 (en) | 2017-09-29 | 2021-04-27 | Ethicon Llc | Display screen or portion thereof with graphical user interface |
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 |
US10729501B2 (en) | 2017-09-29 | 2020-08-04 | Ethicon Llc | Systems and methods for language selection of a surgical instrument |
US10796471B2 (en) | 2017-09-29 | 2020-10-06 | Ethicon Llc | Systems and methods of displaying a knife position for a surgical instrument |
USD907648S1 (en) | 2017-09-29 | 2021-01-12 | Ethicon Llc | Display screen or portion thereof with animated graphical user interface |
US11911045B2 (en) | 2017-10-30 | 2024-02-27 | Cllag GmbH International | Method for operating a powered articulating multi-clip applier |
US11311342B2 (en) | 2017-10-30 | 2022-04-26 | Cilag Gmbh International | Method for communicating with surgical instrument systems |
US11510741B2 (en) | 2017-10-30 | 2022-11-29 | Cilag Gmbh International | Method for producing a surgical instrument comprising a smart electrical system |
US11141160B2 (en) | 2017-10-30 | 2021-10-12 | Cilag Gmbh International | Clip applier comprising a motor controller |
US11291510B2 (en) | 2017-10-30 | 2022-04-05 | Cilag Gmbh International | Method of hub communication with surgical instrument systems |
US11229436B2 (en) | 2017-10-30 | 2022-01-25 | Cilag Gmbh International | Surgical system comprising a surgical tool and a surgical hub |
US11801098B2 (en) | 2017-10-30 | 2023-10-31 | Cilag Gmbh International | Method of hub communication with surgical instrument systems |
US11317919B2 (en) | 2017-10-30 | 2022-05-03 | Cilag Gmbh International | Clip applier comprising a clip crimping system |
US11090075B2 (en) | 2017-10-30 | 2021-08-17 | Cilag Gmbh International | Articulation features for surgical end effector |
US11564756B2 (en) | 2017-10-30 | 2023-01-31 | Cilag Gmbh International | Method of hub communication with surgical instrument systems |
US10959744B2 (en) | 2017-10-30 | 2021-03-30 | Ethicon Llc | Surgical dissectors and manufacturing techniques |
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 |
US10925603B2 (en) | 2017-11-14 | 2021-02-23 | Covidien Lp | Reload with articulation stabilization system |
US10863987B2 (en) | 2017-11-16 | 2020-12-15 | Covidien Lp | Surgical instrument with imaging device |
US11141151B2 (en) | 2017-12-08 | 2021-10-12 | Covidien Lp | Surgical buttress for circular stapling |
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 |
US10779826B2 (en) | 2017-12-15 | 2020-09-22 | Ethicon Llc | Methods of operating surgical end effectors |
US10687813B2 (en) | 2017-12-15 | 2020-06-23 | Ethicon Llc | Adapters with firing stroke sensing arrangements for use in connection with electromechanical surgical instruments |
US10743874B2 (en) | 2017-12-15 | 2020-08-18 | Ethicon Llc | Sealed adapters for use with electromechanical surgical instruments |
US11197670B2 (en) | 2017-12-15 | 2021-12-14 | Cilag Gmbh International | Surgical end effectors with pivotal jaws configured to touch at their respective distal ends when fully closed |
US11033267B2 (en) | 2017-12-15 | 2021-06-15 | Ethicon Llc | Systems and methods of controlling a clamping member firing rate of a surgical instrument |
US11071543B2 (en) | 2017-12-15 | 2021-07-27 | Cilag Gmbh International | Surgical end effectors with clamping assemblies configured to increase jaw aperture ranges |
US11006955B2 (en) | 2017-12-15 | 2021-05-18 | Ethicon Llc | End effectors with positive jaw opening features for use with adapters for electromechanical surgical instruments |
US10869666B2 (en) | 2017-12-15 | 2020-12-22 | Ethicon Llc | Adapters with control systems for controlling multiple motors of an electromechanical surgical instrument |
US10743875B2 (en) | 2017-12-15 | 2020-08-18 | Ethicon Llc | Surgical end effectors with jaw stiffener arrangements configured to permit monitoring of firing member |
US10779825B2 (en) | 2017-12-15 | 2020-09-22 | Ethicon Llc | Adapters with end effector position sensing and control arrangements for use in connection with electromechanical surgical instruments |
US10828033B2 (en) | 2017-12-15 | 2020-11-10 | Ethicon Llc | Handheld electromechanical surgical instruments with improved motor control arrangements for positioning components of an adapter coupled thereto |
US10729509B2 (en) | 2017-12-19 | 2020-08-04 | Ethicon Llc | Surgical instrument comprising closure and firing locking mechanism |
US11045270B2 (en) | 2017-12-19 | 2021-06-29 | Cilag Gmbh International | Robotic attachment comprising exterior drive actuator |
US10716565B2 (en) | 2017-12-19 | 2020-07-21 | Ethicon Llc | Surgical instruments with dual articulation drivers |
US10835330B2 (en) | 2017-12-19 | 2020-11-17 | Ethicon Llc | Method for determining the position of a rotatable jaw of a surgical instrument attachment assembly |
USD910847S1 (en) | 2017-12-19 | 2021-02-16 | Ethicon Llc | Surgical instrument assembly |
US11020112B2 (en) | 2017-12-19 | 2021-06-01 | Ethicon Llc | Surgical tools configured for interchangeable use with different controller interfaces |
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 |
US11129680B2 (en) | 2017-12-21 | 2021-09-28 | Cilag Gmbh International | Surgical instrument comprising a projector |
US11751867B2 (en) | 2017-12-21 | 2023-09-12 | Cilag Gmbh International | Surgical instrument comprising sequenced systems |
US11311290B2 (en) | 2017-12-21 | 2022-04-26 | Cilag Gmbh International | Surgical instrument comprising an end effector dampener |
US10932872B2 (en) | 2017-12-28 | 2021-03-02 | Ethicon Llc | Cloud-based medical analytics for linking of local usage trends with the resource acquisition behaviors of larger data set |
US11304745B2 (en) | 2017-12-28 | 2022-04-19 | Cilag Gmbh International | Surgical evacuation sensing and display |
US11304720B2 (en) | 2017-12-28 | 2022-04-19 | Cilag Gmbh International | Activation of energy devices |
US11446052B2 (en) | 2017-12-28 | 2022-09-20 | Cilag Gmbh International | Variation of radio frequency and ultrasonic power level in cooperation with varying clamp arm pressure to achieve predefined heat flux or power applied to tissue |
US10987178B2 (en) | 2017-12-28 | 2021-04-27 | Ethicon Llc | Surgical hub control arrangements |
US11576677B2 (en) | 2017-12-28 | 2023-02-14 | Cilag Gmbh International | Method of hub communication, processing, display, and cloud analytics |
US11304763B2 (en) | 2017-12-28 | 2022-04-19 | Cilag Gmbh International | Image capturing of the areas outside the abdomen to improve placement and control of a surgical device in use |
US11419630B2 (en) | 2017-12-28 | 2022-08-23 | Cilag Gmbh International | Surgical system distributed processing |
US11659023B2 (en) | 2017-12-28 | 2023-05-23 | Cilag Gmbh International | Method of hub communication |
US11633237B2 (en) | 2017-12-28 | 2023-04-25 | Cilag Gmbh International | Usage and technique analysis of surgeon / staff performance against a baseline to optimize device utilization and performance for both current and future procedures |
US11100631B2 (en) | 2017-12-28 | 2021-08-24 | Cilag Gmbh International | Use of laser light and red-green-blue coloration to determine properties of back scattered light |
US11464535B2 (en) | 2017-12-28 | 2022-10-11 | Cilag Gmbh International | Detection of end effector emersion in liquid |
US11291495B2 (en) | 2017-12-28 | 2022-04-05 | Cilag Gmbh International | Interruption of energy due to inadvertent capacitive coupling |
US20190201139A1 (en) | 2017-12-28 | 2019-07-04 | Ethicon Llc | Communication arrangements for robot-assisted surgical platforms |
US11937769B2 (en) | 2017-12-28 | 2024-03-26 | Cilag Gmbh International | Method of hub communication, processing, storage and display |
US11896443B2 (en) | 2017-12-28 | 2024-02-13 | Cilag Gmbh International | Control of a surgical system through a surgical barrier |
US11389164B2 (en) | 2017-12-28 | 2022-07-19 | Cilag Gmbh International | Method of using reinforced flexible circuits with multiple sensors to optimize performance of radio frequency devices |
US11069012B2 (en) | 2017-12-28 | 2021-07-20 | Cilag Gmbh International | Interactive surgical systems with condition handling of devices and data capabilities |
US11273001B2 (en) | 2017-12-28 | 2022-03-15 | Cilag Gmbh International | Surgical hub and modular device response adjustment based on situational awareness |
US10892899B2 (en) | 2017-12-28 | 2021-01-12 | Ethicon Llc | Self describing data packets generated at an issuing instrument |
US11786245B2 (en) | 2017-12-28 | 2023-10-17 | Cilag Gmbh International | Surgical systems with prioritized data transmission capabilities |
US11432885B2 (en) | 2017-12-28 | 2022-09-06 | Cilag Gmbh International | Sensing arrangements for robot-assisted surgical platforms |
US11304699B2 (en) | 2017-12-28 | 2022-04-19 | Cilag Gmbh International | Method for adaptive control schemes for surgical network control and interaction |
US20190201039A1 (en) | 2017-12-28 | 2019-07-04 | Ethicon Llc | Situational awareness of electrosurgical systems |
US11666331B2 (en) | 2017-12-28 | 2023-06-06 | Cilag Gmbh International | Systems for detecting proximity of surgical end effector to cancerous tissue |
US11266468B2 (en) | 2017-12-28 | 2022-03-08 | Cilag Gmbh International | Cooperative utilization of data derived from secondary sources by intelligent surgical hubs |
US11571234B2 (en) | 2017-12-28 | 2023-02-07 | Cilag Gmbh International | Temperature control of ultrasonic end effector and control system therefor |
US10849697B2 (en) | 2017-12-28 | 2020-12-01 | Ethicon Llc | Cloud interface for coupled surgical devices |
US10595887B2 (en) | 2017-12-28 | 2020-03-24 | Ethicon Llc | Systems for adjusting end effector parameters based on perioperative information |
US11311306B2 (en) | 2017-12-28 | 2022-04-26 | Cilag Gmbh International | Surgical systems for detecting end effector tissue distribution irregularities |
US20190200981A1 (en) | 2017-12-28 | 2019-07-04 | Ethicon Llc | Method of compressing tissue within a stapling device and simultaneously displaying the location of the tissue within the jaws |
US11559308B2 (en) | 2017-12-28 | 2023-01-24 | Cilag Gmbh International | Method for smart energy device infrastructure |
US11786251B2 (en) | 2017-12-28 | 2023-10-17 | Cilag Gmbh International | Method for adaptive control schemes for surgical network control and interaction |
US11278281B2 (en) | 2017-12-28 | 2022-03-22 | Cilag Gmbh International | Interactive surgical system |
US11559307B2 (en) | 2017-12-28 | 2023-01-24 | Cilag Gmbh International | Method of robotic hub communication, detection, and control |
US11612444B2 (en) | 2017-12-28 | 2023-03-28 | Cilag Gmbh International | Adjustment of a surgical device function based on situational awareness |
US11308075B2 (en) | 2017-12-28 | 2022-04-19 | Cilag Gmbh International | Surgical network, instrument, and cloud responses based on validation of received dataset and authentication of its source and integrity |
US11202570B2 (en) | 2017-12-28 | 2021-12-21 | Cilag Gmbh International | Communication hub and storage device for storing parameters and status of a surgical device to be shared with cloud based analytics systems |
US11317937B2 (en) | 2018-03-08 | 2022-05-03 | Cilag Gmbh International | Determining the state of an ultrasonic end effector |
US10892995B2 (en) | 2017-12-28 | 2021-01-12 | Ethicon Llc | Surgical network determination of prioritization of communication, interaction, or processing based on system or device needs |
US11602393B2 (en) | 2017-12-28 | 2023-03-14 | Cilag Gmbh International | Surgical evacuation sensing and generator control |
US11234756B2 (en) | 2017-12-28 | 2022-02-01 | Cilag Gmbh International | Powered surgical tool with predefined adjustable control algorithm for controlling end effector parameter |
US11096693B2 (en) | 2017-12-28 | 2021-08-24 | Cilag Gmbh International | Adjustment of staple height of at least one row of staples based on the sensed tissue thickness or force in closing |
US11324557B2 (en) | 2017-12-28 | 2022-05-10 | Cilag Gmbh International | Surgical instrument with a sensing array |
US11076921B2 (en) | 2017-12-28 | 2021-08-03 | Cilag Gmbh International | Adaptive control program updates for surgical hubs |
US11529187B2 (en) | 2017-12-28 | 2022-12-20 | Cilag Gmbh International | Surgical evacuation sensor arrangements |
US11109866B2 (en) | 2017-12-28 | 2021-09-07 | Cilag Gmbh International | Method for circular stapler control algorithm adjustment based on situational awareness |
US11257589B2 (en) | 2017-12-28 | 2022-02-22 | Cilag Gmbh International | Real-time analysis of comprehensive cost of all instrumentation used in surgery utilizing data fluidity to track instruments through stocking and in-house processes |
US10758310B2 (en) | 2017-12-28 | 2020-09-01 | Ethicon Llc | Wireless pairing of a surgical device with another device within a sterile surgical field based on the usage and situational awareness of devices |
US11424027B2 (en) | 2017-12-28 | 2022-08-23 | Cilag Gmbh International | Method for operating surgical instrument systems |
US11364075B2 (en) | 2017-12-28 | 2022-06-21 | Cilag Gmbh International | Radio frequency energy device for delivering combined electrical signals |
US11832840B2 (en) | 2017-12-28 | 2023-12-05 | Cilag Gmbh International | Surgical instrument having a flexible circuit |
US11051876B2 (en) | 2017-12-28 | 2021-07-06 | Cilag Gmbh International | Surgical evacuation flow paths |
US11612408B2 (en) | 2017-12-28 | 2023-03-28 | Cilag Gmbh International | Determining tissue composition via an ultrasonic system |
US11423007B2 (en) | 2017-12-28 | 2022-08-23 | Cilag Gmbh International | Adjustment of device control programs based on stratified contextual data in addition to the data |
US11179208B2 (en) | 2017-12-28 | 2021-11-23 | Cilag Gmbh International | Cloud-based medical analytics for security and authentication trends and reactive measures |
US11419667B2 (en) | 2017-12-28 | 2022-08-23 | Cilag Gmbh International | Ultrasonic energy device which varies pressure applied by clamp arm to provide threshold control pressure at a cut progression location |
US11540855B2 (en) | 2017-12-28 | 2023-01-03 | Cilag Gmbh International | Controlling activation of an ultrasonic surgical instrument according to the presence of tissue |
US11857152B2 (en) | 2017-12-28 | 2024-01-02 | Cilag Gmbh International | Surgical hub spatial awareness to determine devices in operating theater |
US11678881B2 (en) | 2017-12-28 | 2023-06-20 | Cilag Gmbh International | Spatial awareness of surgical hubs in operating rooms |
US11026751B2 (en) | 2017-12-28 | 2021-06-08 | Cilag Gmbh International | Display of alignment of staple cartridge to prior linear staple line |
US11058498B2 (en) | 2017-12-28 | 2021-07-13 | Cilag Gmbh International | Cooperative surgical actions for robot-assisted surgical platforms |
US11818052B2 (en) | 2017-12-28 | 2023-11-14 | Cilag Gmbh International | Surgical network determination of prioritization of communication, interaction, or processing based on system or device needs |
US11896322B2 (en) | 2017-12-28 | 2024-02-13 | Cilag Gmbh International | Sensing the patient position and contact utilizing the mono-polar return pad electrode to provide situational awareness to the hub |
US11376002B2 (en) | 2017-12-28 | 2022-07-05 | Cilag Gmbh International | Surgical instrument cartridge sensor assemblies |
US11464559B2 (en) | 2017-12-28 | 2022-10-11 | Cilag Gmbh International | Estimating state of ultrasonic end effector and control system therefor |
US10966791B2 (en) | 2017-12-28 | 2021-04-06 | Ethicon Llc | Cloud-based medical analytics for medical facility segmented individualization of instrument function |
US11589888B2 (en) | 2017-12-28 | 2023-02-28 | Cilag Gmbh International | Method for controlling smart energy devices |
US10943454B2 (en) | 2017-12-28 | 2021-03-09 | Ethicon Llc | Detection and escalation of security responses of surgical instruments to increasing severity threats |
US11864728B2 (en) | 2017-12-28 | 2024-01-09 | Cilag Gmbh International | Characterization of tissue irregularities through the use of mono-chromatic light refractivity |
US11056244B2 (en) | 2017-12-28 | 2021-07-06 | Cilag Gmbh International | Automated data scaling, alignment, and organizing based on predefined parameters within surgical networks |
US11832899B2 (en) | 2017-12-28 | 2023-12-05 | Cilag Gmbh International | Surgical systems with autonomously adjustable control programs |
US11284936B2 (en) | 2017-12-28 | 2022-03-29 | Cilag Gmbh International | Surgical instrument having a flexible electrode |
US11166772B2 (en) | 2017-12-28 | 2021-11-09 | Cilag Gmbh International | Surgical hub coordination of control and communication of operating room devices |
US11903601B2 (en) | 2017-12-28 | 2024-02-20 | Cilag Gmbh International | Surgical instrument comprising a plurality of drive systems |
US10898622B2 (en) | 2017-12-28 | 2021-01-26 | Ethicon Llc | Surgical evacuation system with a communication circuit for communication between a filter and a smoke evacuation device |
US11253315B2 (en) | 2017-12-28 | 2022-02-22 | Cilag Gmbh International | Increasing radio frequency to create pad-less monopolar loop |
US11410259B2 (en) | 2017-12-28 | 2022-08-09 | Cilag Gmbh International | Adaptive control program updates for surgical devices |
US10944728B2 (en) | 2017-12-28 | 2021-03-09 | Ethicon Llc | Interactive surgical systems with encrypted communication capabilities |
US11160605B2 (en) | 2017-12-28 | 2021-11-02 | Cilag Gmbh International | Surgical evacuation sensing and motor control |
US11147607B2 (en) | 2017-12-28 | 2021-10-19 | Cilag Gmbh International | Bipolar combination device that automatically adjusts pressure based on energy modality |
US11744604B2 (en) | 2017-12-28 | 2023-09-05 | Cilag Gmbh International | Surgical instrument with a hardware-only control circuit |
US11132462B2 (en) | 2017-12-28 | 2021-09-28 | Cilag Gmbh International | Data stripping method to interrogate patient records and create anonymized record |
US10945732B2 (en) | 2018-01-17 | 2021-03-16 | Covidien Lp | Surgical stapler with self-returning assembly |
US10682139B2 (en) * | 2018-02-11 | 2020-06-16 | Chul Hi Park | Device and method for assisting selection of surgical staple height |
USD885574S1 (en) | 2018-02-21 | 2020-05-26 | Ethicon Llc | Knitted tissue scaffold |
US11155946B2 (en) * | 2018-02-21 | 2021-10-26 | Cilag Gmbh International | Knitted tissue scaffolds |
BR112020016895A2 (pt) | 2018-02-21 | 2020-12-15 | Ethicon Llc | Arcabouços entrelaçados para tecido |
US11065000B2 (en) | 2018-02-22 | 2021-07-20 | Covidien Lp | Surgical buttresses for surgical stapling apparatus |
CA3090020A1 (en) | 2018-03-02 | 2019-09-06 | Covidien Lp | Surgical stapling instrument |
US11589915B2 (en) | 2018-03-08 | 2023-02-28 | Cilag Gmbh International | In-the-jaw classifier based on a model |
US11389188B2 (en) | 2018-03-08 | 2022-07-19 | Cilag Gmbh International | Start temperature of blade |
US11259830B2 (en) | 2018-03-08 | 2022-03-01 | Cilag Gmbh International | Methods for controlling temperature in ultrasonic device |
US11589865B2 (en) | 2018-03-28 | 2023-02-28 | Cilag Gmbh International | Methods for controlling a powered surgical stapler that has separate rotary closure and firing systems |
US11090047B2 (en) | 2018-03-28 | 2021-08-17 | Cilag Gmbh International | Surgical instrument comprising an adaptive control system |
US11197668B2 (en) | 2018-03-28 | 2021-12-14 | Cilag Gmbh International | Surgical stapling assembly comprising a lockout and an exterior access orifice to permit artificial unlocking of the lockout |
US11278280B2 (en) | 2018-03-28 | 2022-03-22 | Cilag Gmbh International | Surgical instrument comprising a jaw closure lockout |
US11207067B2 (en) | 2018-03-28 | 2021-12-28 | Cilag Gmbh International | Surgical stapling device with separate rotary driven closure and firing systems and firing member that engages both jaws while firing |
US10973520B2 (en) | 2018-03-28 | 2021-04-13 | Ethicon Llc | Surgical staple cartridge with firing member driven camming assembly that has an onboard tissue cutting feature |
US11096688B2 (en) | 2018-03-28 | 2021-08-24 | Cilag Gmbh International | Rotary driven firing members with different anvil and channel engagement features |
US11219453B2 (en) | 2018-03-28 | 2022-01-11 | Cilag Gmbh International | Surgical stapling devices with cartridge compatible closure and firing lockout arrangements |
US11471156B2 (en) | 2018-03-28 | 2022-10-18 | Cilag Gmbh International | Surgical stapling devices with improved rotary driven closure systems |
US10758237B2 (en) | 2018-04-30 | 2020-09-01 | Covidien Lp | Circular stapling apparatus with pinned buttress |
US11426163B2 (en) | 2018-05-09 | 2022-08-30 | Covidien Lp | Universal linear surgical stapling buttress |
US11432818B2 (en) | 2018-05-09 | 2022-09-06 | Covidien Lp | Surgical buttress assemblies |
US11284896B2 (en) | 2018-05-09 | 2022-03-29 | Covidien Lp | Surgical buttress loading and attaching/detaching assemblies |
US10849622B2 (en) | 2018-06-21 | 2020-12-01 | Covidien Lp | Articulated stapling with fire lock |
US11219460B2 (en) | 2018-07-02 | 2022-01-11 | Covidien Lp | Surgical stapling apparatus with anvil buttress |
US10736631B2 (en) | 2018-08-07 | 2020-08-11 | Covidien Lp | End effector with staple cartridge ejector |
US11039834B2 (en) | 2018-08-20 | 2021-06-22 | Cilag Gmbh International | Surgical stapler anvils with staple directing protrusions and tissue stability features |
US10912559B2 (en) | 2018-08-20 | 2021-02-09 | Ethicon Llc | Reinforced deformable anvil tip for surgical stapler anvil |
USD914878S1 (en) | 2018-08-20 | 2021-03-30 | Ethicon Llc | Surgical instrument anvil |
US11083458B2 (en) | 2018-08-20 | 2021-08-10 | Cilag Gmbh International | Powered surgical instruments with clutching arrangements to convert linear drive motions to rotary drive motions |
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 |
US10856870B2 (en) | 2018-08-20 | 2020-12-08 | Ethicon Llc | Switching arrangements for motor powered articulatable surgical instruments |
US10779821B2 (en) | 2018-08-20 | 2020-09-22 | Ethicon Llc | Surgical stapler anvils with tissue stop features configured to avoid tissue pinch |
US11045192B2 (en) | 2018-08-20 | 2021-06-29 | Cilag Gmbh International | Fabricating techniques for surgical stapler anvils |
US11207065B2 (en) | 2018-08-20 | 2021-12-28 | Cilag Gmbh International | Method for fabricating surgical stapler anvils |
US11253256B2 (en) | 2018-08-20 | 2022-02-22 | Cilag Gmbh International | Articulatable motor powered surgical instruments with dedicated articulation motor arrangements |
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 |
US10849620B2 (en) | 2018-09-14 | 2020-12-01 | Covidien Lp | Connector mechanisms for surgical stapling instruments |
US10806459B2 (en) | 2018-09-14 | 2020-10-20 | Covidien Lp | Drug patterned reinforcement material for circular anastomosis |
US11510669B2 (en) | 2020-09-29 | 2022-11-29 | Covidien Lp | Hand-held surgical instruments |
US10952729B2 (en) * | 2018-10-03 | 2021-03-23 | Covidien Lp | Universal linear buttress retention/release assemblies and methods |
US11090051B2 (en) | 2018-10-23 | 2021-08-17 | Covidien Lp | Surgical stapling device with floating staple cartridge |
US11197673B2 (en) | 2018-10-30 | 2021-12-14 | Covidien Lp | Surgical stapling instruments and end effector assemblies thereof |
US11116505B2 (en) * | 2018-12-28 | 2021-09-14 | Cilag Gmbh International | Applicator for surgical stapler buttress |
US11166724B2 (en) * | 2018-12-28 | 2021-11-09 | Cilag Gmbh International | Adhesive distribution on buttress for surgical stapler |
US10912563B2 (en) | 2019-01-02 | 2021-02-09 | Covidien Lp | Stapling device including tool assembly stabilizing member |
US11331100B2 (en) | 2019-02-19 | 2022-05-17 | Cilag Gmbh International | Staple cartridge retainer system with authentication keys |
US11751872B2 (en) | 2019-02-19 | 2023-09-12 | Cilag Gmbh International | Insertable deactivator element for surgical stapler lockouts |
US11357503B2 (en) | 2019-02-19 | 2022-06-14 | Cilag Gmbh International | Staple cartridge retainers with frangible retention features and methods of using same |
US11369377B2 (en) | 2019-02-19 | 2022-06-28 | Cilag Gmbh International | Surgical stapling assembly with cartridge based retainer configured to unlock a firing lockout |
US11317915B2 (en) | 2019-02-19 | 2022-05-03 | Cilag Gmbh International | Universal cartridge based key feature that unlocks multiple lockout arrangements in different surgical staplers |
US11344297B2 (en) | 2019-02-28 | 2022-05-31 | Covidien Lp | Surgical stapling device with independently movable jaws |
US11259808B2 (en) | 2019-03-13 | 2022-03-01 | Covidien Lp | Tool assemblies with a gap locking member |
US11172929B2 (en) | 2019-03-25 | 2021-11-16 | Cilag Gmbh International | Articulation drive arrangements for surgical systems |
US11696761B2 (en) | 2019-03-25 | 2023-07-11 | Cilag Gmbh International | Firing drive arrangements for surgical systems |
US11147553B2 (en) | 2019-03-25 | 2021-10-19 | Cilag Gmbh International | Firing drive arrangements for surgical systems |
US11147551B2 (en) | 2019-03-25 | 2021-10-19 | Cilag Gmbh International | Firing drive arrangements for surgical systems |
US11284892B2 (en) | 2019-04-01 | 2022-03-29 | Covidien Lp | Loading unit and adapter with modified coupling assembly |
US11284893B2 (en) | 2019-04-02 | 2022-03-29 | Covidien Lp | Stapling device with articulating tool assembly |
US11241228B2 (en) | 2019-04-05 | 2022-02-08 | Covidien Lp | Surgical instrument including an adapter assembly and an articulating surgical loading unit |
US11730472B2 (en) | 2019-04-25 | 2023-08-22 | Covidien Lp | Surgical system and surgical loading units thereof |
US11452528B2 (en) | 2019-04-30 | 2022-09-27 | Cilag Gmbh International | Articulation actuators for a surgical instrument |
US11471157B2 (en) | 2019-04-30 | 2022-10-18 | Cilag Gmbh International | Articulation control mapping for a surgical instrument |
US11432816B2 (en) | 2019-04-30 | 2022-09-06 | Cilag Gmbh International | Articulation pin for a surgical instrument |
US11426251B2 (en) | 2019-04-30 | 2022-08-30 | Cilag Gmbh International | Articulation directional lights on a surgical instrument |
US11253254B2 (en) | 2019-04-30 | 2022-02-22 | Cilag Gmbh International | Shaft rotation actuator on a surgical instrument |
US11648009B2 (en) | 2019-04-30 | 2023-05-16 | Cilag Gmbh International | Rotatable jaw tip for a surgical instrument |
US11903581B2 (en) | 2019-04-30 | 2024-02-20 | Cilag Gmbh International | Methods for stapling tissue using a surgical instrument |
US11478245B2 (en) | 2019-05-08 | 2022-10-25 | Covidien Lp | Surgical stapling device |
US11596403B2 (en) | 2019-05-08 | 2023-03-07 | Covidien Lp | Surgical stapling device |
USD964564S1 (en) | 2019-06-25 | 2022-09-20 | Cilag Gmbh International | Surgical staple cartridge retainer with a closure system authentication key |
USD952144S1 (en) | 2019-06-25 | 2022-05-17 | Cilag Gmbh International | Surgical staple cartridge retainer with firing system authentication key |
USD950728S1 (en) | 2019-06-25 | 2022-05-03 | Cilag Gmbh International | Surgical staple cartridge |
US11523822B2 (en) | 2019-06-28 | 2022-12-13 | Cilag Gmbh International | Battery pack including a circuit interrupter |
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 |
US11259803B2 (en) | 2019-06-28 | 2022-03-01 | Cilag Gmbh International | Surgical stapling system having an information encryption protocol |
US11660163B2 (en) | 2019-06-28 | 2023-05-30 | Cilag Gmbh International | Surgical system with RFID tags for updating motor assembly parameters |
US11464601B2 (en) | 2019-06-28 | 2022-10-11 | Cilag Gmbh International | Surgical instrument comprising an RFID system for tracking a movable component |
US11638587B2 (en) | 2019-06-28 | 2023-05-02 | Cilag Gmbh International | RFID identification systems for surgical instruments |
US11478241B2 (en) * | 2019-06-28 | 2022-10-25 | Cilag Gmbh International | Staple cartridge including projections |
US11376098B2 (en) | 2019-06-28 | 2022-07-05 | Cilag Gmbh International | Surgical instrument system comprising an RFID system |
US11241235B2 (en) | 2019-06-28 | 2022-02-08 | Cilag Gmbh International | Method of using multiple RFID chips with a surgical assembly |
US11553971B2 (en) | 2019-06-28 | 2023-01-17 | Cilag Gmbh International | Surgical RFID assemblies for display and communication |
US11399837B2 (en) | 2019-06-28 | 2022-08-02 | Cilag Gmbh International | Mechanisms for motor control adjustments of a motorized surgical instrument |
US11246678B2 (en) | 2019-06-28 | 2022-02-15 | Cilag Gmbh International | Surgical stapling system having a frangible RFID tag |
US11497492B2 (en) | 2019-06-28 | 2022-11-15 | Cilag Gmbh International | Surgical instrument including an articulation lock |
US11426167B2 (en) | 2019-06-28 | 2022-08-30 | Cilag Gmbh International | Mechanisms for proper anvil attachment surgical stapling head assembly |
US11627959B2 (en) | 2019-06-28 | 2023-04-18 | Cilag Gmbh International | Surgical instruments including manual and powered system lockouts |
US11771419B2 (en) | 2019-06-28 | 2023-10-03 | Cilag Gmbh International | Packaging for a replaceable component of a surgical stapling system |
US11298132B2 (en) | 2019-06-28 | 2022-04-12 | Cilag GmbH Inlernational | Staple cartridge including a honeycomb extension |
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 |
US11684434B2 (en) | 2019-06-28 | 2023-06-27 | Cilag Gmbh International | Surgical RFID assemblies for instrument operational setting control |
US11219455B2 (en) | 2019-06-28 | 2022-01-11 | Cilag Gmbh International | Surgical instrument including a lockout key |
WO2021016428A1 (en) * | 2019-07-24 | 2021-01-28 | Boston Scientific Scimed, Inc. | Device for fastening tissue |
US11224424B2 (en) | 2019-08-02 | 2022-01-18 | Covidien Lp | Linear stapling device with vertically movable knife |
US11284894B2 (en) * | 2019-08-05 | 2022-03-29 | Chul Hi Park | Device and method for assisting selection of surgical staple height |
US11197669B2 (en) * | 2019-10-09 | 2021-12-14 | Chul Hi Park | Device and method for assisting selection of surgical staple height |
US11571208B2 (en) | 2019-10-11 | 2023-02-07 | Covidien Lp | Surgical buttress loading units |
US11406385B2 (en) | 2019-10-11 | 2022-08-09 | Covidien Lp | Stapling device with a gap locking member |
US11123068B2 (en) | 2019-11-08 | 2021-09-21 | Covidien Lp | Surgical staple cartridge |
US11707274B2 (en) | 2019-12-06 | 2023-07-25 | Covidien Lp | Articulating mechanism for surgical instrument |
US11109862B2 (en) | 2019-12-12 | 2021-09-07 | Covidien Lp | Surgical stapling device with flexible shaft |
JP7397646B2 (ja) * | 2019-12-12 | 2023-12-13 | グンゼ株式会社 | 自動縫合器用縫合補強材 |
US11523824B2 (en) | 2019-12-12 | 2022-12-13 | Covidien Lp | Anvil buttress loading for a surgical stapling apparatus |
US11737747B2 (en) | 2019-12-17 | 2023-08-29 | Covidien Lp | Hand-held surgical instruments |
US11234698B2 (en) | 2019-12-19 | 2022-02-01 | Cilag Gmbh International | Stapling system comprising a clamp lockout and a firing lockout |
US11529137B2 (en) | 2019-12-19 | 2022-12-20 | Cilag Gmbh International | Staple cartridge comprising driver retention members |
US11291447B2 (en) | 2019-12-19 | 2022-04-05 | Cilag Gmbh International | Stapling instrument comprising independent jaw closing and staple firing systems |
US11701111B2 (en) | 2019-12-19 | 2023-07-18 | Cilag Gmbh International | Method for operating a surgical stapling instrument |
US11464512B2 (en) | 2019-12-19 | 2022-10-11 | Cilag Gmbh International | Staple cartridge comprising a curved deck surface |
US11446029B2 (en) | 2019-12-19 | 2022-09-20 | Cilag Gmbh International | Staple cartridge comprising projections extending from a curved deck surface |
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 |
US11504122B2 (en) | 2019-12-19 | 2022-11-22 | Cilag Gmbh International | Surgical instrument comprising a nested firing member |
US11559304B2 (en) | 2019-12-19 | 2023-01-24 | Cilag Gmbh International | Surgical instrument comprising a rapid closure mechanism |
US11529139B2 (en) | 2019-12-19 | 2022-12-20 | Cilag Gmbh International | Motor driven surgical instrument |
US11931033B2 (en) | 2019-12-19 | 2024-03-19 | Cilag Gmbh International | Staple cartridge comprising a latch lockout |
US11911032B2 (en) | 2019-12-19 | 2024-02-27 | Cilag Gmbh International | Staple cartridge comprising a seating cam |
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 |
US11844520B2 (en) | 2019-12-19 | 2023-12-19 | Cilag Gmbh International | Staple cartridge comprising driver retention members |
US11452524B2 (en) | 2020-01-31 | 2022-09-27 | Covidien Lp | Surgical stapling device with lockout |
US11278282B2 (en) | 2020-01-31 | 2022-03-22 | Covidien Lp | Stapling device with selective cutting |
EP4103070A4 (en) | 2020-02-14 | 2023-11-08 | Covidien LP | CARTRIDGE HOLDER FOR SURGICAL STAPLES HAVING RIBS IN THE CIRCUMFERENT WALLS FOR GRABING TISSUE |
US11344301B2 (en) | 2020-03-02 | 2022-05-31 | Covidien Lp | Surgical stapling device with replaceable reload assembly |
US11344302B2 (en) | 2020-03-05 | 2022-05-31 | Covidien Lp | Articulation mechanism for surgical stapling device |
US11707278B2 (en) | 2020-03-06 | 2023-07-25 | Covidien Lp | Surgical stapler tool assembly to minimize bleeding |
US11246593B2 (en) | 2020-03-06 | 2022-02-15 | Covidien Lp | Staple cartridge |
US11357505B2 (en) | 2020-03-10 | 2022-06-14 | Covidien Lp | Surgical stapling apparatus with firing lockout mechanism |
US11317911B2 (en) | 2020-03-10 | 2022-05-03 | Covidien Lp | Tool assembly with replaceable cartridge assembly |
US11406383B2 (en) | 2020-03-17 | 2022-08-09 | Covidien Lp | Fire assisted powered EGIA handle |
US11547407B2 (en) | 2020-03-19 | 2023-01-10 | Covidien Lp | Staple line reinforcement for surgical stapling apparatus |
US11426159B2 (en) | 2020-04-01 | 2022-08-30 | Covidien Lp | Sled detection device |
US11331098B2 (en) | 2020-04-01 | 2022-05-17 | Covidien Lp | Sled detection device |
US11504117B2 (en) | 2020-04-02 | 2022-11-22 | Covidien Lp | Hand-held surgical instruments |
US11337699B2 (en) | 2020-04-28 | 2022-05-24 | Covidien Lp | Magnesium infused surgical buttress for surgical stapler |
US11937794B2 (en) | 2020-05-11 | 2024-03-26 | Covidien Lp | Powered handle assembly for surgical devices |
US11406387B2 (en) | 2020-05-12 | 2022-08-09 | Covidien Lp | Surgical stapling device with replaceable staple cartridge |
US11191537B1 (en) | 2020-05-12 | 2021-12-07 | Covidien Lp | Stapling device with continuously parallel jaws |
US11534167B2 (en) | 2020-05-28 | 2022-12-27 | Covidien Lp | Electrotaxis-conducive stapling |
USD967421S1 (en) | 2020-06-02 | 2022-10-18 | Cilag Gmbh International | Staple cartridge |
USD975278S1 (en) | 2020-06-02 | 2023-01-10 | 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 |
USD974560S1 (en) | 2020-06-02 | 2023-01-03 | Cilag Gmbh International | Staple cartridge |
USD975851S1 (en) | 2020-06-02 | 2023-01-17 | Cilag Gmbh International | Staple cartridge |
USD975850S1 (en) | 2020-06-02 | 2023-01-17 | Cilag Gmbh International | Staple cartridge |
US11191538B1 (en) | 2020-06-08 | 2021-12-07 | Covidien Lp | Surgical stapling device with parallel jaw closure |
US11844517B2 (en) | 2020-06-25 | 2023-12-19 | Covidien Lp | Linear stapling device with continuously parallel jaws |
US11324500B2 (en) | 2020-06-30 | 2022-05-10 | Covidien Lp | Surgical stapling device |
US11446028B2 (en) | 2020-07-09 | 2022-09-20 | Covidien Lp | Tool assembly with pivotable clamping beam |
US11517305B2 (en) | 2020-07-09 | 2022-12-06 | Covidien Lp | Contoured staple pusher |
US20220031351A1 (en) | 2020-07-28 | 2022-02-03 | Cilag Gmbh International | Surgical instruments with differential articulation joint arrangements for accommodating flexible actuators |
US11266402B2 (en) | 2020-07-30 | 2022-03-08 | Covidien Lp | Sensing curved tip for surgical stapling instruments |
US11439392B2 (en) | 2020-08-03 | 2022-09-13 | Covidien Lp | Surgical stapling device and fastener for pathological exam |
US11395654B2 (en) | 2020-08-07 | 2022-07-26 | Covidien Lp | Surgical stapling device with articulation braking assembly |
US11602342B2 (en) | 2020-08-27 | 2023-03-14 | Covidien Lp | Surgical stapling device with laser probe |
US11707276B2 (en) | 2020-09-08 | 2023-07-25 | Covidien Lp | Surgical buttress assemblies and techniques for surgical stapling |
US11766261B2 (en) * | 2020-09-16 | 2023-09-26 | Cilag Gmbh International | Apparatus and method to apply buttress to end effector of surgical stapler via fixed base |
US11678878B2 (en) | 2020-09-16 | 2023-06-20 | Covidien Lp | Articulation mechanism for surgical stapling device |
US11660092B2 (en) | 2020-09-29 | 2023-05-30 | Covidien Lp | Adapter for securing loading units to handle assemblies of surgical stapling instruments |
US11406384B2 (en) | 2020-10-05 | 2022-08-09 | Covidien Lp | Stapling device with drive assembly stop member |
US11576674B2 (en) | 2020-10-06 | 2023-02-14 | Covidien Lp | Surgical stapling device with articulation lock assembly |
US11399833B2 (en) | 2020-10-19 | 2022-08-02 | Covidien Lp | Anvil buttress attachment for surgical stapling apparatus |
US11896217B2 (en) | 2020-10-29 | 2024-02-13 | Cilag Gmbh International | Surgical instrument comprising an articulation lock |
US11779330B2 (en) | 2020-10-29 | 2023-10-10 | Cilag Gmbh International | Surgical instrument comprising a jaw alignment system |
US11931025B2 (en) | 2020-10-29 | 2024-03-19 | Cilag Gmbh International | Surgical instrument comprising a releasable closure drive lock |
USD980425S1 (en) | 2020-10-29 | 2023-03-07 | Cilag Gmbh International | Surgical instrument assembly |
USD1013170S1 (en) | 2020-10-29 | 2024-01-30 | 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 |
US11844518B2 (en) | 2020-10-29 | 2023-12-19 | Cilag Gmbh International | Method for operating a surgical instrument |
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 |
US11517390B2 (en) | 2020-10-29 | 2022-12-06 | Cilag Gmbh International | Surgical instrument comprising a limited travel switch |
US11534259B2 (en) | 2020-10-29 | 2022-12-27 | Cilag Gmbh International | Surgical instrument comprising an articulation indicator |
US11890007B2 (en) | 2020-11-18 | 2024-02-06 | Covidien Lp | Stapling device with flex cable and tensioning mechanism |
US11678883B2 (en) | 2020-11-25 | 2023-06-20 | Cilag Gmbh International | Compressible knitted adjuncts with varying interconnections |
US11446027B2 (en) | 2020-11-25 | 2022-09-20 | Cilag Gmbh International | Compressible knitted adjuncts with surface features |
US11690617B2 (en) | 2020-11-25 | 2023-07-04 | Cilag Gmbh International | Compressible knitted adjuncts with finished edges |
US11707279B2 (en) | 2020-11-25 | 2023-07-25 | Cilag Gmbh International | Compressible knitted adjuncts with finished edges |
US11648007B2 (en) | 2020-11-25 | 2023-05-16 | Cilag Gmbh International | Compressible knitted adjuncts with varying fiber features |
US11744581B2 (en) | 2020-12-02 | 2023-09-05 | Cilag Gmbh International | Powered surgical instruments with multi-phase tissue treatment |
US11890010B2 (en) | 2020-12-02 | 2024-02-06 | Cllag GmbH International | Dual-sided reinforced reload for surgical instruments |
US11944296B2 (en) | 2020-12-02 | 2024-04-02 | Cilag Gmbh International | Powered surgical instruments with external connectors |
US11849943B2 (en) | 2020-12-02 | 2023-12-26 | Cilag Gmbh International | Surgical instrument with cartridge release mechanisms |
US11653920B2 (en) | 2020-12-02 | 2023-05-23 | Cilag Gmbh International | Powered surgical instruments with communication interfaces through sterile barrier |
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 |
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 |
US11627960B2 (en) | 2020-12-02 | 2023-04-18 | Cilag Gmbh International | Powered surgical instruments with smart reload with separately attachable exteriorly mounted wiring connections |
US11737774B2 (en) | 2020-12-04 | 2023-08-29 | Covidien Lp | Surgical instrument with articulation assembly |
US11819200B2 (en) | 2020-12-15 | 2023-11-21 | Covidien Lp | Surgical instrument with articulation assembly |
US11553914B2 (en) | 2020-12-22 | 2023-01-17 | Covidien Lp | Surgical stapling device with parallel jaw closure |
US11534170B2 (en) | 2021-01-04 | 2022-12-27 | Covidien Lp | Anvil buttress attachment for surgical stapling apparatus |
US11744582B2 (en) | 2021-01-05 | 2023-09-05 | Covidien Lp | Surgical stapling device with firing lockout mechanism |
US11759206B2 (en) | 2021-01-05 | 2023-09-19 | Covidien Lp | Surgical stapling device with firing lockout mechanism |
US11759207B2 (en) | 2021-01-27 | 2023-09-19 | Covidien Lp | Surgical stapling apparatus with adjustable height clamping member |
US11517313B2 (en) | 2021-01-27 | 2022-12-06 | Covidien Lp | Surgical stapling device with laminated drive member |
US11749877B2 (en) | 2021-02-26 | 2023-09-05 | Cilag Gmbh International | Stapling instrument comprising a signal antenna |
US11925349B2 (en) | 2021-02-26 | 2024-03-12 | Cilag Gmbh International | Adjustment to transfer parameters to improve available power |
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 |
US11744583B2 (en) | 2021-02-26 | 2023-09-05 | Cilag Gmbh International | Distal communication array to tune frequency of RF systems |
US11751869B2 (en) | 2021-02-26 | 2023-09-12 | Cilag Gmbh International | Monitoring of multiple sensors over time to detect moving characteristics of tissue |
US11723657B2 (en) | 2021-02-26 | 2023-08-15 | Cilag Gmbh International | Adjustable communication based on available bandwidth and power capacity |
US11696757B2 (en) | 2021-02-26 | 2023-07-11 | Cilag Gmbh International | Monitoring of internal systems to detect and track cartridge motion status |
US11793514B2 (en) | 2021-02-26 | 2023-10-24 | Cilag Gmbh International | Staple cartridge comprising sensor array which may be embedded in cartridge body |
US11730473B2 (en) | 2021-02-26 | 2023-08-22 | Cilag Gmbh International | Monitoring of manufacturing life-cycle |
US11717300B2 (en) | 2021-03-11 | 2023-08-08 | Covidien Lp | Surgical stapling apparatus with integrated visualization |
US11717291B2 (en) | 2021-03-22 | 2023-08-08 | Cilag Gmbh International | Staple cartridge comprising staples configured to apply different tissue compression |
US11806011B2 (en) | 2021-03-22 | 2023-11-07 | Cilag Gmbh International | Stapling instrument comprising tissue compression systems |
US11723658B2 (en) | 2021-03-22 | 2023-08-15 | Cilag Gmbh International | Staple cartridge comprising a firing lockout |
US11759202B2 (en) * | 2021-03-22 | 2023-09-19 | Cilag Gmbh International | Staple cartridge comprising an implantable layer |
US11826012B2 (en) | 2021-03-22 | 2023-11-28 | Cilag Gmbh International | Stapling instrument comprising a pulsed motor-driven firing rack |
US11826042B2 (en) | 2021-03-22 | 2023-11-28 | Cilag Gmbh International | Surgical instrument comprising a firing drive including a selectable leverage mechanism |
US11737749B2 (en) | 2021-03-22 | 2023-08-29 | Cilag Gmbh International | Surgical stapling instrument comprising a retraction system |
US11849944B2 (en) | 2021-03-24 | 2023-12-26 | Cilag Gmbh International | Drivers for fastener cartridge assemblies having rotary drive screws |
US11849945B2 (en) | 2021-03-24 | 2023-12-26 | Cilag Gmbh International | Rotary-driven surgical stapling assembly comprising eccentrically driven firing member |
US11903582B2 (en) | 2021-03-24 | 2024-02-20 | Cilag Gmbh International | Leveraging surfaces for cartridge installation |
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 |
US11793516B2 (en) | 2021-03-24 | 2023-10-24 | Cilag Gmbh International | Surgical staple cartridge comprising longitudinal support beam |
US11786239B2 (en) | 2021-03-24 | 2023-10-17 | Cilag Gmbh International | Surgical instrument articulation joint arrangements comprising multiple moving linkage features |
US11744603B2 (en) | 2021-03-24 | 2023-09-05 | Cilag Gmbh International | Multi-axis pivot joints for surgical instruments and methods for manufacturing same |
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 |
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 |
US11832816B2 (en) | 2021-03-24 | 2023-12-05 | Cilag Gmbh International | Surgical stapling assembly comprising nonplanar staples and planar staples |
US11896218B2 (en) | 2021-03-24 | 2024-02-13 | Cilag Gmbh International | Method of using a powered stapling device |
US11497495B2 (en) | 2021-03-31 | 2022-11-15 | Covidien Lp | Continuous stapler strip for use with a surgical stapling device |
US11666330B2 (en) | 2021-04-05 | 2023-06-06 | Covidien Lp | Surgical stapling device with lockout mechanism |
US11576670B2 (en) | 2021-05-06 | 2023-02-14 | Covidien Lp | Surgical stapling device with optimized drive assembly |
US11812956B2 (en) | 2021-05-18 | 2023-11-14 | Covidien Lp | Dual firing radial stapling device |
US11696755B2 (en) | 2021-05-19 | 2023-07-11 | Covidien Lp | Surgical stapling device with reload assembly removal lockout |
US11771423B2 (en) | 2021-05-25 | 2023-10-03 | Covidien Lp | Powered stapling device with manual retraction |
US11510673B1 (en) | 2021-05-25 | 2022-11-29 | Covidien Lp | Powered stapling device with manual retraction |
US11701119B2 (en) | 2021-05-26 | 2023-07-18 | Covidien Lp | Powered stapling device with rack release |
US11826047B2 (en) | 2021-05-28 | 2023-11-28 | Cilag Gmbh International | Stapling instrument comprising jaw mounts |
US11576675B2 (en) | 2021-06-07 | 2023-02-14 | Covidien Lp | Staple cartridge with knife |
US11596399B2 (en) | 2021-06-23 | 2023-03-07 | Covidien Lp | Anvil buttress attachment for surgical stapling apparatus |
US11510670B1 (en) | 2021-06-23 | 2022-11-29 | Covidien Lp | Buttress attachment for surgical stapling apparatus |
US11672538B2 (en) | 2021-06-24 | 2023-06-13 | Covidien Lp | Surgical stapling device including a buttress retention assembly |
US11617579B2 (en) | 2021-06-29 | 2023-04-04 | Covidien Lp | Ultra low profile surgical stapling instrument for tissue resections |
US11707275B2 (en) | 2021-06-29 | 2023-07-25 | Covidien Lp | Asymmetrical surgical stapling device |
US11602344B2 (en) | 2021-06-30 | 2023-03-14 | Covidien Lp | Surgical stapling apparatus with firing lockout assembly |
US11678879B2 (en) | 2021-07-01 | 2023-06-20 | Covidien Lp | Buttress attachment for surgical stapling apparatus |
US11684368B2 (en) | 2021-07-14 | 2023-06-27 | Covidien Lp | Surgical stapling device including a buttress retention assembly |
US11540831B1 (en) | 2021-08-12 | 2023-01-03 | Covidien Lp | Staple cartridge with actuation sled detection |
US11779334B2 (en) | 2021-08-19 | 2023-10-10 | Covidien Lp | Surgical stapling device including a manual retraction assembly |
US11576671B1 (en) | 2021-08-20 | 2023-02-14 | Covidien Lp | Small diameter linear surgical stapling apparatus |
US11707277B2 (en) | 2021-08-20 | 2023-07-25 | Covidien Lp | Articulating surgical stapling apparatus with pivotable knife bar guide assembly |
US11801052B2 (en) | 2021-08-30 | 2023-10-31 | Covidien Lp | Assemblies for surgical stapling instruments |
US11864761B2 (en) | 2021-09-14 | 2024-01-09 | Covidien Lp | Surgical instrument with illumination mechanism |
US11653922B2 (en) | 2021-09-29 | 2023-05-23 | Covidien Lp | Surgical stapling device with firing lockout mechanism |
US11660094B2 (en) | 2021-09-29 | 2023-05-30 | Covidien Lp | Surgical fastening instrument with two-part surgical fasteners |
US11849949B2 (en) | 2021-09-30 | 2023-12-26 | Covidien Lp | Surgical stapling device with firing lockout member |
US11717299B2 (en) * | 2021-10-12 | 2023-08-08 | Covidien Lp | Surgical stapling device with probiotics |
US11751875B2 (en) | 2021-10-13 | 2023-09-12 | Coviden Lp | Surgical buttress attachment assemblies for surgical stapling apparatus |
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 |
US20230140285A1 (en) | 2021-10-29 | 2023-05-04 | Cilag Gmbh International | Compressible adjunct for surgical stapler |
US20230139479A1 (en) | 2021-10-29 | 2023-05-04 | Cilag Gmbh International | Displaceable adjunct attachment features for surgical stapler |
WO2023073573A1 (en) | 2021-10-29 | 2023-05-04 | Cilag Gmbh International | Discrete adjunct attachment features for surgical stapler |
US11806017B2 (en) | 2021-11-23 | 2023-11-07 | Covidien Lp | Anvil buttress loading system for surgical stapling apparatus |
US20230320742A1 (en) | 2022-03-25 | 2023-10-12 | Cilag Gmbh International | Tissue cushion adjunct with staple leg support features for surgical stapler end effector |
US20230301656A1 (en) | 2022-03-25 | 2023-09-28 | Cilag Gmbh International | Tissue cushion adjuncts for surgical stapler end effector |
US20230301674A1 (en) | 2022-03-25 | 2023-09-28 | Cilag Gmbh International | Tissue cushion adjunct for surgical stapler end effector |
US20230301657A1 (en) | 2022-03-25 | 2023-09-28 | Cilag Gmbh International | Thermally formed tissue cushion adjunct for surgical stapler end effector |
US20230301675A1 (en) | 2022-03-25 | 2023-09-28 | Cilag Gmbh International | Surgical stapler features for stapling variable thickness tissue |
Citations (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO2006083748A1 (en) * | 2005-01-31 | 2006-08-10 | Synovis Life Technologies, Inc. | Surgical fastener buttress materials |
CN101336835A (zh) * | 2007-06-22 | 2009-01-07 | Tyco医疗健康集团 | 用于手术吻合装置中的可分离的支撑件材料固定系统 |
EP2564791A1 (en) * | 2007-06-27 | 2013-03-06 | Covidien LP | Buttress and surgical stapling apparatus |
Family Cites Families (6601)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US1314601A (en) | 1919-09-02 | Flexible shaft | ||
DE273689C (zh) | 1913-08-07 | 1914-05-08 | ||
US66052A (en) | 1867-06-25 | smith | ||
US2120951A (en) | 1938-06-14 | Steering repeater compass | ||
US1306107A (en) | 1919-06-10 | Assigotob to amebxcak | ||
US662587A (en) | 1900-05-18 | 1900-11-27 | Charles Chandler Blake | Insulated support for electric conductors. |
US670748A (en) | 1900-10-25 | 1901-03-26 | Paul Weddeler | Flexible shafting. |
US719487A (en) | 1901-09-16 | 1903-02-03 | William E Minor | Dilator. |
US804229A (en) | 1904-07-27 | 1905-11-14 | Thomas C Hutchinson | Forceps and the like. |
US903739A (en) | 1908-07-30 | 1908-11-10 | William Lesemann | Gearing. |
US951393A (en) | 1909-04-06 | 1910-03-08 | John N Hahn | Staple. |
FR459743A (fr) | 1912-09-14 | 1913-11-12 | Bariquant Et Marre Des Atel | Transmission flexible |
US1082105A (en) | 1912-10-17 | 1913-12-23 | George A Anderson | Releasable driving mechanism. |
US1075556A (en) | 1913-05-12 | 1913-10-14 | American Carbon & Battery Company | Battery. |
US1188721A (en) | 1915-05-05 | 1916-06-27 | Frank Bittner | Pipe-wrench. |
US1466128A (en) | 1921-11-28 | 1923-08-28 | Baker Bros | Drill-press control |
US1677337A (en) | 1924-09-27 | 1928-07-17 | Thomas E Grove | Antrum drill |
US1849427A (en) | 1927-10-17 | 1932-03-15 | Westminster Tool And Electric | Handle of tools driven by flexible shafts |
US1794907A (en) | 1929-07-19 | 1931-03-03 | Joseph N Kelly | Worm and gear |
US1944116A (en) | 1930-05-26 | 1934-01-16 | Edward A Stratman | Lever locking device |
US1954048A (en) | 1931-01-06 | 1934-04-10 | Jeffrey Mfg Co | Tool holder |
US1912783A (en) | 1931-04-20 | 1933-06-06 | Meyer Josephine | Sanitary pad holder |
US2028635A (en) | 1933-09-11 | 1936-01-21 | Wappler Frederick Charles | Forcipated surgical instrument |
US2037727A (en) | 1934-12-27 | 1936-04-21 | United Shoe Machinery Corp | Fastening |
US2132295A (en) | 1937-05-05 | 1938-10-04 | Hawkins Earl | Stapling device |
US2211117A (en) | 1937-09-06 | 1940-08-13 | Rieter Joh Jacob & Cie Ag | Device for drawing rovings in speeders and spinning machines |
US2256295A (en) | 1937-11-26 | 1941-09-16 | H A Douglas Mfg Co | Electric switch |
US2161632A (en) | 1937-12-20 | 1939-06-06 | Martin L Nattenheimer | Fastening device |
US2214870A (en) | 1938-08-10 | 1940-09-17 | William J West | Siding cutter |
US2224108A (en) | 1939-04-15 | 1940-12-03 | Ingersoll Milling Machine Co | Machine tool |
US2224882A (en) | 1939-08-01 | 1940-12-17 | Herbert G Peck | Umbrella |
US2329440A (en) | 1941-04-02 | 1943-09-14 | Bocjl Corp | Fastener |
US2318379A (en) | 1941-04-17 | 1943-05-04 | Walter S Davis | Suture package |
US2406389A (en) | 1942-11-30 | 1946-08-27 | Lee Engineering Res Corp | Electric motor |
US2420552A (en) | 1942-12-05 | 1947-05-13 | Gen Electric | Driving mechanism |
US2377581A (en) | 1944-03-09 | 1945-06-05 | Matthew J Shaffrey | Divided nut construction |
US2441096A (en) | 1944-09-04 | 1948-05-04 | Singer Mfg Co | Control means for portable electric tools |
US2448741A (en) | 1945-04-25 | 1948-09-07 | American Cystoscope Makers Inc | Endoscopic surgical instrument |
US2578686A (en) | 1945-04-27 | 1951-12-18 | Tubing Appliance Co Inc | Open-sided-socket ratchet wrench |
US2450527A (en) | 1945-10-27 | 1948-10-05 | P & V Quicklocking Co | Semiautomatic coupling |
US2507872A (en) | 1946-01-18 | 1950-05-16 | Unsinger Ap Corp | Implement or toolholder |
US2491872A (en) | 1946-06-15 | 1949-12-20 | Int Resistance Co | Liquid cooled resistor |
US2526902A (en) | 1947-07-31 | 1950-10-24 | Norman C Rublee | Insulating staple |
US2527256A (en) | 1947-11-07 | 1950-10-24 | Earle R Jackson | Connector for brushes, brooms, and the like |
FR999646A (fr) | 1949-11-16 | 1952-02-04 | Dispositif serre-câble | |
US2742955A (en) | 1951-01-13 | 1956-04-24 | Richard A Dominguez | Collapsible seat structure |
US2638901A (en) | 1951-07-30 | 1953-05-19 | Everett D Sugarbaker | Surgical clamp |
US2701489A (en) | 1951-09-12 | 1955-02-08 | Leonard C Osborn | Cam-actuated slidable jaw wrench |
US2674149A (en) | 1952-03-01 | 1954-04-06 | Jerry S Benson | Multiple pronged fastener device with spreading means |
US2711461A (en) | 1953-12-24 | 1955-06-21 | Singer Mfg Co | Portable electric tool handle assemblies |
US2724289A (en) | 1954-04-27 | 1955-11-22 | Janette Electric Mfg Co | Coupling apparatus |
US2804848A (en) | 1954-09-30 | 1957-09-03 | Chicago Pneumatic Tool Co | Drilling apparatus |
FR1112936A (fr) | 1954-10-20 | 1956-03-20 | Moteur électrique et commande à trois vitesses enfermés dans une gaine | |
US2887004A (en) | 1954-11-04 | 1959-05-19 | William H Stewart | Staple having flat depressed head with reinforcing ridge |
US2825178A (en) | 1955-10-07 | 1958-03-04 | Havilah S Hawkins | Articulated toy set of building blocks |
US2808482A (en) | 1956-04-12 | 1957-10-01 | Miniature Switch Corp | Toggle switch construction |
US2853074A (en) | 1956-06-15 | 1958-09-23 | Edward A Olson | Stapling instrument for surgical purposes |
US2856192A (en) | 1956-10-29 | 1958-10-14 | Hi Shear Rivet Tool Company | Collet with spring jaws |
US3060972A (en) | 1957-08-22 | 1962-10-30 | Bausch & Lomb | Flexible tube structures |
US3972734A (en) | 1957-12-27 | 1976-08-03 | Catalyst Research Corporation | Thermal deferred action battery |
US2959974A (en) | 1958-05-28 | 1960-11-15 | Melvin H Emrick | Forward and reverse friction drive tapping attachment |
DE1775926U (de) | 1958-06-11 | 1958-10-16 | Rudolf W Dipl Ing Ihmig | Kugelschreibermine. |
US2957353A (en) | 1958-08-26 | 1960-10-25 | Teleflex Inc | Connector |
US3032769A (en) | 1959-08-18 | 1962-05-08 | John R Palmer | Method of making a bracket |
US3078465A (en) | 1959-09-09 | 1963-02-26 | Bobrov Boris Sergueevitch | Instrument for stitching gastric stump |
US3080564A (en) | 1959-09-10 | 1963-03-12 | Strekopitov Alexey Alexeevich | Instrument for stitching hollow organs |
GB939929A (en) | 1959-10-30 | 1963-10-16 | Vasilii Fedotovich Goodov | Instrument for stitching blood vessels, intestines, bronchi and other soft tissues |
US3079606A (en) | 1960-01-04 | 1963-03-05 | Bobrov Boris Sergeevich | Instrument for placing lateral gastrointestinal anastomoses |
US3075062A (en) | 1960-02-02 | 1963-01-22 | J B T Instr Inc | Toggle switch |
US3035256A (en) | 1960-02-02 | 1962-05-15 | Thompson Ramo Wooldridge Inc | Remote frequency indicator |
US4034143A (en) | 1960-02-24 | 1977-07-05 | Catalyst Research Corporation | Thermal deferred action battery with interconnecting, foldable electrodes |
SU143738A1 (ru) | 1960-06-15 | 1960-11-30 | А.А. Стрекопытов | Способ ушивани ткани легкого двухр дными погружными швами |
US3026744A (en) | 1960-07-14 | 1962-03-27 | Cutler Hammer Inc | Motor operated and overriding manual drive for rotatable shaft operated devices |
US3204731A (en) | 1961-05-26 | 1965-09-07 | Gardner Denver Co | Positive engaging jaw clutch or brake |
US3196869A (en) | 1962-06-13 | 1965-07-27 | William M Scholl | Buttress pad and method of making the same |
US3166072A (en) | 1962-10-22 | 1965-01-19 | Jr John T Sullivan | Barbed clips |
US3180236A (en) | 1962-12-20 | 1965-04-27 | Beckett Harcum Co | Fluid motor construction |
US3252643A (en) | 1962-12-24 | 1966-05-24 | Strekopytov Alexey Alexcevich | Instrument for suturing living tissue |
US3181708A (en) | 1963-05-27 | 1965-05-04 | Symington Wayne Corp | Automatic coupler |
US3266494A (en) | 1963-08-26 | 1966-08-16 | Possis Machine Corp | Powered forceps |
US3317105A (en) | 1964-03-25 | 1967-05-02 | Niiex Khirurgicheskoi Apparatu | Instrument for placing lateral intestinal anastomoses |
US3269630A (en) | 1964-04-30 | 1966-08-30 | Fleischer Harry | Stapling instrument |
US3269631A (en) | 1964-06-19 | 1966-08-30 | Takaro Timothy | Surgical stapler |
US3359978A (en) | 1964-10-26 | 1967-12-26 | Jr Raymond M Smith | Guide needle for flexible catheters |
US3317103A (en) | 1965-05-03 | 1967-05-02 | Cullen | Apparatus for handling hose or similar elongate members |
US3275211A (en) | 1965-05-10 | 1966-09-27 | United States Surgical Corp | Surgical stapler with replaceable cartridge |
US3357296A (en) | 1965-05-14 | 1967-12-12 | Keuneth W Lefever | Staple fastener |
US3315863A (en) | 1965-07-06 | 1967-04-25 | United States Surgical Corp | Medical instrument |
US3726755A (en) | 1966-09-29 | 1973-04-10 | Owens Corning Fiberglass Corp | High-strength foam material |
US3509629A (en) | 1966-10-01 | 1970-05-05 | Mitsubishi Electric Corp | Portable and adjustable contra-angle dental instrument |
GB1210522A (en) | 1966-10-10 | 1970-10-28 | United States Surgical Corp | Instrument for placing lateral gastro-intestinal anastomoses |
US3490675A (en) | 1966-10-10 | 1970-01-20 | United States Surgical Corp | Instrument for placing lateral gastrointestinal anastomoses |
US3494533A (en) | 1966-10-10 | 1970-02-10 | United States Surgical Corp | Surgical stapler for stitching body organs |
US3377893A (en) | 1967-03-06 | 1968-04-16 | John A. Shorb | Wrench having pivoted jaws adjustable by a lockable exterior camming sleeve |
US3499591A (en) | 1967-06-23 | 1970-03-10 | United States Surgical Corp | Instrument for placing lateral gastro-intestinal anastomoses |
NL6710441A (zh) * | 1967-07-28 | 1969-01-30 | ||
US3480193A (en) | 1967-09-15 | 1969-11-25 | Robert E Ralston | Power-operable fastener applying device |
DE1791114B1 (de) | 1967-09-19 | 1971-12-02 | Vnii Chirurgitscheskoj Apparat | Chirurgisches Geraet zum Klammernaehen von Geweben |
US3503396A (en) | 1967-09-21 | 1970-03-31 | American Hospital Supply Corp | Atraumatic surgical clamp |
GB1217159A (en) | 1967-12-05 | 1970-12-31 | Coventry Gauge & Tool Co Ltd | Torque limiting device |
US3583393A (en) | 1967-12-26 | 1971-06-08 | Olympus Optical Co | Bendable tube assembly |
JPS4711908Y1 (zh) | 1968-01-18 | 1972-05-02 | ||
DE1775926A1 (de) | 1968-08-28 | 1972-01-27 | Ver Deutsche Metallwerke Ag | Versfaerkungen fuer Kunststoff-Bowdenzugfuehrungsschlaeuche ohne Drahtverstaerkung |
US3568675A (en) | 1968-08-30 | 1971-03-09 | Clyde B Harvey | Fistula and penetrating wound dressing |
US3551987A (en) | 1968-09-12 | 1971-01-05 | Jack E Wilkinson | Stapling clamp for gastrointestinal surgery |
US4369013A (en) | 1969-02-13 | 1983-01-18 | Velo-Bind, Inc. | Bookbinding strips |
US3640317A (en) | 1969-03-21 | 1972-02-08 | Jack Panfili | Clip for closing fragile stuffed casings |
US3661339A (en) | 1969-03-27 | 1972-05-09 | Nippon Kogaku Kk | Film rewinding mechanism for cameras |
US3797494A (en) | 1969-04-01 | 1974-03-19 | Alza Corp | Bandage for the administration of drug by controlled metering through microporous materials |
US3572159A (en) | 1969-06-12 | 1971-03-23 | Teleflex Inc | Motion transmitting remote control assembly |
US3635394A (en) | 1969-07-30 | 1972-01-18 | Rohe Scientific Corp | Automated clinical laboratory |
US3604561A (en) | 1969-08-07 | 1971-09-14 | Codman & Shurtleff | Multiple stapler cartridge |
US3643851A (en) | 1969-08-25 | 1972-02-22 | United States Surgical Corp | Skin stapler |
US3688966A (en) | 1969-11-10 | 1972-09-05 | Spotnails | Magazine and feed assembly for a fastener-driving tool |
US3709221A (en) | 1969-11-21 | 1973-01-09 | Pall Corp | Microporous nonadherent surgical dressing |
US3598943A (en) | 1969-12-01 | 1971-08-10 | Illinois Tool Works | Actuator assembly for toggle switch |
US3744495A (en) | 1970-01-02 | 1973-07-10 | M Johnson | Method of securing prolapsed vagina in cattle |
US3608549A (en) | 1970-01-15 | 1971-09-28 | Merrill Edward Wilson | Method of administering drugs and capsule therefor |
US3662939A (en) | 1970-02-26 | 1972-05-16 | United States Surgical Corp | Surgical stapler for skin and fascia |
FR2084475A5 (zh) | 1970-03-16 | 1971-12-17 | Brumlik George | |
US3618842A (en) | 1970-03-20 | 1971-11-09 | United States Surgical Corp | Surgical stapling cartridge with cylindrical driving cams |
US3902247A (en) | 1970-05-15 | 1975-09-02 | Siemens Ag | Device for operating dental hand pieces |
US3638652A (en) | 1970-06-01 | 1972-02-01 | James L Kelley | Surgical instrument for intraluminal anastomosis |
US3695646A (en) | 1970-06-18 | 1972-10-03 | Metal Matic Inc | Ball and socket pipe joint with clip spring |
US3685250A (en) | 1970-07-09 | 1972-08-22 | Woodman Co | Cam interrupted sealing jaws for product stripping |
US3661666A (en) | 1970-08-06 | 1972-05-09 | Philip Morris Inc | Method for making swab applicators |
US3650453A (en) | 1970-08-13 | 1972-03-21 | United States Surgical Corp | Staple cartridge with drive belt |
US3740994A (en) | 1970-10-13 | 1973-06-26 | Surgical Corp | Three stage medical instrument |
BE758685A (fr) | 1970-10-14 | 1971-05-10 | Vnii Khirurgicheskoi Apparatur | Appareil chirurgical pour la suture de tissus par des agrafes |
US3837555A (en) | 1970-12-14 | 1974-09-24 | Surgical Corp | Powering instrument for stapling skin and fascia |
US3717294A (en) | 1970-12-14 | 1973-02-20 | Surgical Corp | Cartridge and powering instrument for stapling skin and fascia |
US3799151A (en) | 1970-12-21 | 1974-03-26 | Olympus Optical Co | Controllably bendable tube of an endoscope |
US3727904A (en) | 1971-03-12 | 1973-04-17 | E Gabbey | Concentricity coil for screw threads |
US3746002A (en) | 1971-04-29 | 1973-07-17 | J Haller | Atraumatic surgical clamp |
US3724237A (en) | 1971-06-07 | 1973-04-03 | Black & Decker Mfg Co | Attachment coupling for power tool |
US3836171A (en) | 1971-07-07 | 1974-09-17 | Tokai Rika Co Ltd | Safety belt locking device |
CA960189A (en) | 1971-07-12 | 1974-12-31 | Hilti Aktiengesellschaft | Nail holder assembly |
US3752161A (en) | 1971-08-02 | 1973-08-14 | Minnesota Mining & Mfg | Fluid operated surgical tool |
US3747692A (en) | 1971-08-30 | 1973-07-24 | Parrott Bell Seltzer Park & Gi | Stonesetter{40 s hand tool |
US3851196A (en) | 1971-09-08 | 1974-11-26 | Xynetics Inc | Plural axis linear motor structure |
US3747603A (en) | 1971-11-03 | 1973-07-24 | B Adler | Cervical dilators |
US3883624A (en) | 1971-11-18 | 1975-05-13 | Grandview Ind Limited | Recovery and utilization of scrap in production of foamed thermoplastic polymeric products |
US3734207A (en) | 1971-12-27 | 1973-05-22 | M Fishbein | Battery powered orthopedic cutting tool |
US3825007A (en) | 1972-01-07 | 1974-07-23 | R Rand | Pledgets |
US3940844A (en) | 1972-02-22 | 1976-03-02 | Pci Group, Inc. | Method of installing an insulating sleeve on a staple |
US3751902A (en) | 1972-02-22 | 1973-08-14 | Emhart Corp | Apparatus for installing insulation on a staple |
US4198734A (en) | 1972-04-04 | 1980-04-22 | Brumlik George C | Self-gripping devices with flexible self-gripping means and method |
GB1339394A (en) | 1972-04-06 | 1973-12-05 | Vnii Khirurgicheskoi Apparatur | Dies for surgical stapling instruments |
USRE28932E (en) | 1972-09-29 | 1976-08-17 | United States Surgical Corporation | Surgical stapling instrument |
US3819100A (en) | 1972-09-29 | 1974-06-25 | United States Surgical Corp | Surgical stapling instrument |
US3892228A (en) | 1972-10-06 | 1975-07-01 | Olympus Optical Co | Apparatus for adjusting the flexing of the bending section of an endoscope |
US3821919A (en) | 1972-11-10 | 1974-07-02 | Illinois Tool Works | Staple |
US3887393A (en) | 1972-12-15 | 1975-06-03 | Bell & Howell Co | Battery holder assembly |
US3822818A (en) | 1973-02-20 | 1974-07-09 | A Strekopytov | Surgical instrument for joining osseous tissues by staples |
US3959879A (en) | 1973-02-26 | 1976-06-01 | Rockwell International Corporation | Electrically powered grass trimmer |
US3944163A (en) | 1973-03-24 | 1976-03-16 | Kabushiki Kaisha Tokai Rika Denki Seisakusho | Seat belt retractor |
US3826978A (en) | 1973-04-03 | 1974-07-30 | Dynalysis Of Princeton | Waveguide refractometer |
US3863940A (en) | 1973-04-04 | 1975-02-04 | Philip T Cummings | Wide opening collet |
US3808452A (en) | 1973-06-04 | 1974-04-30 | Gte Automatic Electric Lab Inc | Power supply system having redundant d. c. power supplies |
SU511939A1 (ru) | 1973-07-13 | 1976-04-30 | Центральная Научно-Исследовательская Лаборатория При 4-М Главном Управлении | Аппарат дл наложени дугообразного шва на большую кривизну желудка |
JPS5033988U (zh) | 1973-07-21 | 1975-04-11 | ||
US3885491A (en) | 1973-12-21 | 1975-05-27 | Illinois Tool Works | Locking staple |
US3899829A (en) | 1974-02-07 | 1975-08-19 | Fred Storm Ind Designs Inc | Holder and actuator means for surgical instruments |
JPS552966Y2 (zh) | 1974-02-08 | 1980-01-24 | ||
JPS543B2 (zh) | 1974-02-28 | 1979-01-05 | ||
US3952747A (en) | 1974-03-28 | 1976-04-27 | Kimmell Jr Garman O | Filter and filter insertion instrument |
US3863639A (en) | 1974-04-04 | 1975-02-04 | Richard N Kleaveland | Disposable visceral retainer |
CA1015829A (en) | 1974-05-23 | 1977-08-16 | Kurt Pokrandt | Current sensing circuitry |
US4459519A (en) | 1974-06-24 | 1984-07-10 | General Electric Company | Electronically commutated motor systems and control therefor |
US4169990A (en) | 1974-06-24 | 1979-10-02 | General Electric Company | Electronically commutated motor |
US3894174A (en) | 1974-07-03 | 1975-07-08 | Emhart Corp | Insulated staple and method of making the same |
US3973179A (en) | 1974-08-23 | 1976-08-03 | The Black And Decker Manufacturing Company | Modular cordless tools |
US3993072A (en) | 1974-08-28 | 1976-11-23 | Alza Corporation | Microporous drug delivery device |
DE2442260A1 (de) | 1974-09-04 | 1976-03-18 | Bosch Gmbh Robert | Handwerkzeugmaschine |
US3955581A (en) | 1974-10-18 | 1976-05-11 | United States Surgical Corporation | Three-stage surgical instrument |
DE2530261C2 (de) | 1974-10-22 | 1986-10-23 | Asea S.p.A., Mailand/Milano | Programmiereinrichtung für einen Manipulator |
US4129059A (en) | 1974-11-07 | 1978-12-12 | Eck William F Van | Staple-type fastener |
US3950686A (en) | 1974-12-11 | 1976-04-13 | Trw Inc. | Series redundant drive system |
US3999110A (en) | 1975-02-06 | 1976-12-21 | The Black And Decker Manufacturing Company | Battery pack and latch |
GB1491083A (en) | 1975-03-19 | 1977-11-09 | Newage Kitchens Ltd | Joint assemblies |
US4108211A (en) | 1975-04-28 | 1978-08-22 | Fuji Photo Optical Co., Ltd. | Articulated, four-way bendable tube structure |
SU566574A1 (ru) | 1975-05-04 | 1977-07-30 | Всесоюзный научно-исследовательский и испытательный институт медицинской техники | Аппарат дл наложени линейного скобочного шва на органы и ткани |
US4185701A (en) | 1975-05-19 | 1980-01-29 | Sps Technologies, Inc. | Tightening apparatus |
US4060089A (en) | 1975-09-03 | 1977-11-29 | United States Surgical Corporation | Surgical fastening method and device therefor |
US4027746A (en) | 1975-09-05 | 1977-06-07 | Shimano Industrial Company, Limited | Center-pull type caliper brake for a bicycle |
US4085337A (en) | 1975-10-07 | 1978-04-18 | Moeller Wolfgang W | Electric drill multi-functional apparatus |
US4047654A (en) | 1976-06-23 | 1977-09-13 | Alfredo Alvarado | Surgical stapler |
DE2628508A1 (de) | 1976-06-25 | 1977-12-29 | Hilti Ag | Schwenkmutter mit zwei u-foermigen scheiben |
US4054108A (en) | 1976-08-02 | 1977-10-18 | General Motors Corporation | Internal combustion engine |
US4100820A (en) | 1976-09-13 | 1978-07-18 | Joel Evett | Shift lever and integral handbrake apparatus |
US4226242A (en) | 1977-09-13 | 1980-10-07 | United States Surgical Corporation | Repeating hemostatic clip applying instruments and multi-clip cartridges therefor |
AU518664B2 (en) | 1976-10-08 | 1981-10-15 | K. Jarvik Robert | Surgical' clip applicator |
US4127227A (en) | 1976-10-08 | 1978-11-28 | United States Surgical Corporation | Wide fascia staple cartridge |
DE2649052C2 (de) | 1976-10-28 | 1979-01-25 | Roland Offsetmaschinenfabrik Faber & Schleicher Ag, 6050 Offenbach | Vorrichtung zum Ausschalten des Lagerspiels an Druckzylindern von Druckmaschinen, insbesondere Rotationsoffsetdruckmaschinen |
SU674747A1 (ru) | 1976-11-24 | 1979-07-25 | Всесоюзный научно-исследовательский и испытательный институт медицинской техники | Аппарат дл механического сшивани тканей |
FR2446509A1 (fr) | 1977-04-29 | 1980-08-08 | Garret Roger | Programmateur |
SU728848A1 (ru) | 1977-05-24 | 1980-04-25 | Всесоюзный научно-исследовательский и испытательный институт медицинской техники | Хирургический сшивающий аппарат |
US4573468A (en) | 1977-05-26 | 1986-03-04 | United States Surgical Corporation | Hollow body organ stapling instrument and disposable cartridge employing relief vents |
US4304236A (en) | 1977-05-26 | 1981-12-08 | United States Surgical Corporation | Stapling instrument having an anvil-carrying part of particular geometric shape |
US4135517A (en) | 1977-07-21 | 1979-01-23 | Minnesota Mining And Manufacturing Company | Femoral prosthesis trial fitting device |
CA1124605A (en) | 1977-08-05 | 1982-06-01 | Charles H. Klieman | Surgical stapler |
US4452376A (en) | 1977-08-05 | 1984-06-05 | Charles H. Klieman | Hemostatic clip applicator |
US4169476A (en) | 1977-08-12 | 1979-10-02 | Wolf Medical Instruments Corporation | Applicator for surgical clip |
USD261356S (en) | 1977-09-07 | 1981-10-20 | Ofrex Group Limited | Strip of insulated cable clips |
US6264617B1 (en) | 1977-09-12 | 2001-07-24 | Symbiosis Corporation | Radial jaw biopsy forceps |
US5133727A (en) | 1990-05-10 | 1992-07-28 | Symbiosis Corporation | Radial jaw biopsy forceps |
US4154122A (en) | 1977-09-16 | 1979-05-15 | Severin Hubert J | Hand-powered tool |
US4106620A (en) | 1977-10-03 | 1978-08-15 | Brimmer Frances M | Surgical blade dispenser |
JPS6060024B2 (ja) | 1977-10-19 | 1985-12-27 | 株式会社日立製作所 | エンジン制御方法 |
US4203444A (en) | 1977-11-07 | 1980-05-20 | Dyonics, Inc. | Surgical instrument suitable for closed surgery such as of the knee |
US4241861A (en) | 1977-12-20 | 1980-12-30 | Fleischer Harry N | Scissor-type surgical stapler |
US4160857A (en) | 1978-02-16 | 1979-07-10 | Codman & Shurtleff, Inc. | Canister and removable battery pack unit therefor |
US4900303A (en) | 1978-03-10 | 1990-02-13 | Lemelson Jerome H | Dispensing catheter and method |
US4190042A (en) | 1978-03-16 | 1980-02-26 | Manfred Sinnreich | Surgical retractor for endoscopes |
US4207898A (en) | 1978-03-27 | 1980-06-17 | Senco Products, Inc. | Intralumenal anastomosis surgical stapling instrument |
US4321002A (en) | 1978-03-27 | 1982-03-23 | Minnesota Mining And Manufacturing Company | Medical stapling device |
US4274304A (en) | 1978-03-29 | 1981-06-23 | Cooper Industries, Inc. | In-line reversing mechanism |
SU1036324A1 (ru) | 1978-03-31 | 1983-08-23 | Всесоюзный научно-исследовательский и испытательный институт медицинской техники | Хирургический сшивающий аппарат |
US4198982A (en) | 1978-03-31 | 1980-04-22 | Memorial Hospital For Cancer And Allied Diseases | Surgical stapling instrument and method |
US4191377A (en) | 1978-04-03 | 1980-03-04 | Bally Manufacturing Corporation | Indexing means for rotating drums of amusement apparatus |
DE2815486C2 (de) | 1978-04-10 | 1986-10-30 | Thermo Murg KG Apparatebau, 7886 Murg | Brennerofen |
GB2024012B (en) | 1978-04-10 | 1982-07-28 | Johnson & Johnson | Oxygen-generating surgical dressing |
US4180285A (en) | 1978-05-11 | 1979-12-25 | Reneau Bobby J | Articulated ball connector for use with pipeline |
DE2839990C2 (de) | 1978-09-14 | 1980-05-14 | Audi Nsu Auto Union Ag, 7107 Neckarsulm | Verfahren zum Umschmelzhärten der Oberfläche eines um seine Drehachse rotierenden Werkstücks, welche Oberfläche unterschiedlichen Abstand von der Drehachse hat |
US4321746A (en) | 1978-11-01 | 1982-03-30 | White Consolidated Industries, Inc. | Tool changer for vertical boring machine |
SU886897A1 (ru) | 1978-12-25 | 1981-12-07 | Всесоюзный Научно-Исследовательский Институт Медицинской Техники | Хирургический аппарат дл наложени боковых желудочнокишечных анастомозов |
SE419421B (sv) | 1979-03-16 | 1981-08-03 | Ove Larson | Bojlig arm i synnerhet robotarm |
US4340331A (en) | 1979-03-26 | 1982-07-20 | Savino Dominick J | Staple and anviless stapling apparatus therefor |
SU886900A1 (ru) | 1979-03-26 | 1981-12-07 | Всесоюзный научно-исследовательский и испытательный институт медицинской техники | Хирургический сшивающий аппарат дл наложени линейных швов |
JPS55138634A (en) | 1979-04-16 | 1980-10-29 | Kansai Electric Power Co Inc:The | Fault diagnosis apparatus of apparatus |
US4512038A (en) | 1979-04-27 | 1985-04-23 | University Of Medicine And Dentistry Of New Jersey | Bio-absorbable composite tissue scaffold |
US4274398A (en) | 1979-05-14 | 1981-06-23 | Scott Jr Frank B | Surgical retractor utilizing elastic tubes frictionally held in spaced notches |
US4261244A (en) | 1979-05-14 | 1981-04-14 | Senco Products, Inc. | Surgical staple |
US4289131A (en) | 1979-05-17 | 1981-09-15 | Ergo Instruments, Inc. | Surgical power tool |
US4272662A (en) | 1979-05-21 | 1981-06-09 | C & K Components, Inc. | Toggle switch with shaped wire spring contact |
US4275813A (en) | 1979-06-04 | 1981-06-30 | United States Surgical Corporation | Coherent surgical staple array |
US4272002A (en) | 1979-07-23 | 1981-06-09 | Lawrence M. Smith | Internal surgical stapler |
US4296654A (en) | 1979-08-20 | 1981-10-27 | Mercer Albert E | Adjustable angled socket wrench extension |
US4250436A (en) | 1979-09-24 | 1981-02-10 | The Singer Company | Motor braking arrangement and method |
SU942719A1 (ru) | 1979-11-23 | 1982-07-15 | Всесоюзный научно-исследовательский и испытательный институт медицинской техники | Хирургический сшивающий аппарат дл наложени линейных швов |
US4357940A (en) | 1979-12-13 | 1982-11-09 | Detroit Neurosurgical Foundation | Tissue pneumatic separator structure |
SU1022703A1 (ru) | 1979-12-20 | 1983-06-15 | Всесоюзный научно-исследовательский и испытательный институт медицинской техники | Хирургический аппарат дл наложени компрессионных швов |
US4278091A (en) | 1980-02-01 | 1981-07-14 | Howmedica, Inc. | Soft tissue retainer for use with bone implants, especially bone staples |
CA1205525A (en) | 1980-02-01 | 1986-06-03 | Russell H. Taggart | Current detector |
AU534210B2 (en) | 1980-02-05 | 1984-01-12 | United States Surgical Corporation | Surgical staples |
US4429695A (en) | 1980-02-05 | 1984-02-07 | United States Surgical Corporation | Surgical instruments |
US4376380A (en) | 1980-02-05 | 1983-03-15 | John D. Brush & Co., Inc. | Combination lock |
JPS56112235A (en) | 1980-02-07 | 1981-09-04 | Vnii Ispytatel Med Tech | Surgical suturing implement for suturing staple |
SU1042742A1 (ru) | 1980-02-08 | 1983-09-23 | Всесоюзный Научно-Исследовательский Институт Клинической И Экспериментальной Хирургии | Хирургический сшивающий аппарат дл наложени линейных швов |
US4368731A (en) | 1980-02-12 | 1983-01-18 | Schramm Heinrich W | Pistol-type syringe |
US4396139A (en) | 1980-02-15 | 1983-08-02 | Technalytics, Inc. | Surgical stapling system, apparatus and staple |
US4317451A (en) | 1980-02-19 | 1982-03-02 | Ethicon, Inc. | Plastic surgical staple |
US4319576A (en) | 1980-02-26 | 1982-03-16 | Senco Products, Inc. | Intralumenal anastomosis surgical stapling instrument |
US4312363A (en) | 1980-02-26 | 1982-01-26 | Senco Products, Inc. | Surgical tissue thickness measuring instrument |
US4289133A (en) | 1980-02-28 | 1981-09-15 | Senco Products, Inc. | Cut-through backup washer for the scalpel of an intraluminal surgical stapling instrument |
US4361057A (en) | 1980-02-28 | 1982-11-30 | John Sigan | Handlebar adjusting device |
US4296881A (en) | 1980-04-03 | 1981-10-27 | Sukoo Lee | Surgical stapler using cartridge |
US4428376A (en) | 1980-05-02 | 1984-01-31 | Ethicon Inc. | Plastic surgical staple |
US4331277A (en) | 1980-05-23 | 1982-05-25 | United States Surgical Corporation | Self-contained gas powered surgical stapler |
US5445604A (en) | 1980-05-22 | 1995-08-29 | Smith & Nephew Associated Companies, Ltd. | Wound dressing with conformable elastomeric wound contact layer |
US4293604A (en) | 1980-07-11 | 1981-10-06 | Minnesota Mining And Manufacturing Company | Flocked three-dimensional network mat |
US4380312A (en) | 1980-07-17 | 1983-04-19 | Minnesota Mining And Manufacturing Company | Stapling tool |
US4606343A (en) | 1980-08-18 | 1986-08-19 | United States Surgical Corporation | Self-powered surgical fastening instrument |
US4328839A (en) | 1980-09-19 | 1982-05-11 | Drilling Development, Inc. | Flexible drill pipe |
US4353371A (en) | 1980-09-24 | 1982-10-12 | Cosman Eric R | Longitudinally, side-biting, bipolar coagulating, surgical instrument |
DE3036217C2 (de) | 1980-09-25 | 1986-12-18 | Siemens AG, 1000 Berlin und 8000 München | Fernbedienbares medizinisches Gerät |
US4349028A (en) | 1980-10-03 | 1982-09-14 | United States Surgical Corporation | Surgical stapling apparatus having self-contained pneumatic system for completing manually initiated motion sequence |
AU542936B2 (en) | 1980-10-17 | 1985-03-28 | United States Surgical Corporation | Self centering staple |
JPS5778844A (en) | 1980-11-04 | 1982-05-17 | Kogyo Gijutsuin | Lasre knife |
US4430997A (en) | 1980-11-19 | 1984-02-14 | Ethicon, Inc. | Multiple clip applier |
US4500024A (en) | 1980-11-19 | 1985-02-19 | Ethicon, Inc. | Multiple clip applier |
US4347450A (en) | 1980-12-10 | 1982-08-31 | Colligan Wallace M | Portable power tool |
SU1235495A1 (ru) | 1980-12-29 | 1986-06-07 | Всесоюзный научно-исследовательский и испытательный институт медицинской техники | Устройство дл наложени компрессионных анастомозов |
US4451743A (en) | 1980-12-29 | 1984-05-29 | Citizen Watch Company Limited | DC-to-DC Voltage converter |
US4382326A (en) | 1981-01-19 | 1983-05-10 | Minnesota Mining & Manufacturing Company | Staple supporting and staple removing strip |
US4409057A (en) | 1981-01-19 | 1983-10-11 | Minnesota Mining & Manufacturing Company | Staple supporting and removing strip |
US4394613A (en) | 1981-01-19 | 1983-07-19 | California Institute Of Technology | Full-charge indicator for battery chargers |
US4348603A (en) | 1981-01-29 | 1982-09-07 | Black & Decker Inc. | Printed-circuit board and trigger-switch arrangement for a portable electric tool |
FR2499395A1 (fr) | 1981-02-10 | 1982-08-13 | Amphoux Andre | Conduit deformable tel que bras d'aspiration de fluide gazeux |
FR2499782A1 (fr) | 1981-02-11 | 1982-08-13 | Faiveley Sa | Procede pour regler l'alimentation d'un moteur a courant continu et dispositif pour sa mise en oeuvre |
US4379457A (en) | 1981-02-17 | 1983-04-12 | United States Surgical Corporation | Indicator for surgical stapler |
US4350151A (en) | 1981-03-12 | 1982-09-21 | Lone Star Medical Products, Inc. | Expanding dilator |
SU1009439A1 (ru) | 1981-03-24 | 1983-04-07 | Предприятие П/Я Р-6094 | Хирургический сшивающий аппарат дл наложени анастомозов на пищеварительном тракте |
US4389963A (en) | 1981-03-26 | 1983-06-28 | Pearson Richard W | Apparatus and method for monitoring periodic dispensation of pills |
US4526174A (en) | 1981-03-27 | 1985-07-02 | Minnesota Mining And Manufacturing Company | Staple and cartridge for use in a tissue stapling device and a tissue closing method |
SU982676A1 (ru) | 1981-04-07 | 1982-12-23 | Всесоюзный научно-исследовательский и испытательный институт медицинской техники | Хирургическа скобка |
DE3115192C2 (de) | 1981-04-15 | 1983-05-19 | Christian Prof. Dr.med. 2400 Lübeck Krüger | Medizinisches Instrument |
US4406621A (en) | 1981-05-04 | 1983-09-27 | Young Dental Manufacturing Company, Inc. | Coupling ensemble for dental handpiece |
US4383634A (en) | 1981-05-26 | 1983-05-17 | United States Surgical Corporation | Surgical stapler apparatus with pivotally mounted actuator assemblies |
JPS57211361A (en) | 1981-06-23 | 1982-12-25 | Terumo Corp | Liquid injecting apparatus |
US4485816A (en) | 1981-06-25 | 1984-12-04 | Alchemia | Shape-memory surgical staple apparatus and method for use in surgical suturing |
US4421264A (en) | 1981-06-26 | 1983-12-20 | International Business Machines Corporation | Variable thickness set compensation for stapler |
US4486928A (en) | 1981-07-09 | 1984-12-11 | Magnavox Government And Industrial Electronics Company | Apparatus for tool storage and selection |
FR2509490B1 (fr) | 1981-07-09 | 1985-02-22 | Tractel Sa | Mecanisme de debrayage pour appareil de traction agissant sur un cable qui le traverse |
US4373147A (en) | 1981-07-23 | 1983-02-08 | General Signal Corporation | Torque compensated electric motor |
US4475679A (en) | 1981-08-07 | 1984-10-09 | Fleury Jr George J | Multi-staple cartridge for surgical staplers |
US4632290A (en) | 1981-08-17 | 1986-12-30 | United States Surgical Corporation | Surgical stapler apparatus |
US4417890A (en) | 1981-08-17 | 1983-11-29 | Baxter Travenol Laboratories, Inc. | Antibacterial closure |
US4576167A (en) | 1981-09-03 | 1986-03-18 | United States Surgical Corporation | Surgical stapler apparatus with curved shaft |
US4461305A (en) | 1981-09-04 | 1984-07-24 | Cibley Leonard J | Automated biopsy device |
JPS5844033A (ja) | 1981-09-11 | 1983-03-14 | 富士写真光機株式会社 | 内視鏡用アダプタ−型処置具導入装置 |
JPS5861747A (ja) | 1981-10-08 | 1983-04-12 | 馬渕 健一 | 美容具 |
US4402445A (en) | 1981-10-09 | 1983-09-06 | United States Surgical Corporation | Surgical fastener and means for applying same |
DE3277287D1 (en) | 1981-10-15 | 1987-10-22 | Olympus Optical Co | Endoscope system with an electric bending mechanism |
US4483562A (en) | 1981-10-16 | 1984-11-20 | Arnold Schoolman | Locking flexible shaft device with live distal end attachment |
US4809695A (en) | 1981-10-21 | 1989-03-07 | Owen M. Gwathmey | Suturing assembly and method |
US4416276A (en) | 1981-10-26 | 1983-11-22 | Valleylab, Inc. | Adaptive, return electrode monitoring system |
US4415112A (en) | 1981-10-27 | 1983-11-15 | United States Surgical Corporation | Surgical stapling assembly having resiliently mounted anvil |
JPS5878639A (ja) | 1981-11-04 | 1983-05-12 | オリンパス光学工業株式会社 | 内視鏡 |
US4423456A (en) | 1981-11-13 | 1983-12-27 | Medtronic, Inc. | Battery reversal protection |
JPS5887494U (ja) | 1981-12-05 | 1983-06-14 | 株式会社モリタ製作所 | 医療用小型モ−タの速度制御装置 |
US4442964A (en) | 1981-12-07 | 1984-04-17 | Senco Products, Inc. | Pressure sensitive and working-gap controlled surgical stapling instrument |
US4448194A (en) | 1982-02-03 | 1984-05-15 | Ethicon, Inc. | Full stroke compelling mechanism for surgical instrument with drum drive |
US4471781A (en) | 1982-02-03 | 1984-09-18 | Ethicon, Inc. | Surgical instrument with rotatable front housing and latch mechanism |
US4586502A (en) | 1982-02-03 | 1986-05-06 | Ethicon, Inc. | Surgical instrument actuator with non-collinear hydraulic pistons |
US4724840A (en) | 1982-02-03 | 1988-02-16 | Ethicon, Inc. | Surgical fastener applier with rotatable front housing and laterally extending curved needle for guiding a flexible pusher |
US4478220A (en) | 1982-02-05 | 1984-10-23 | Ethicon, Inc. | Ligating clip cartridge |
US4480641A (en) | 1982-02-05 | 1984-11-06 | Ethicon, Inc. | Tip configuration for a ligating clip applier |
US4471780A (en) | 1982-02-05 | 1984-09-18 | Ethicon, Inc. | Multiple ligating clip applier instrument |
DE3204532C2 (de) | 1982-02-10 | 1983-12-08 | B. Braun Melsungen Ag, 3508 Melsungen | Chirurgische Hautklammer |
SU1114405A1 (ru) | 1982-02-23 | 1984-09-23 | Всесоюзный научно-исследовательский и испытательный институт медицинской техники | Хирургический сшивающий аппарат дл наложени компрессионных анастомозов на органы пищеварительного тракта |
US4425915A (en) | 1982-02-26 | 1984-01-17 | Ethicon, Inc. | Surgical clip applier with in-line cartridge and interruptable biased feeder |
DE3210466A1 (de) | 1982-03-22 | 1983-09-29 | Peter Dipl.-Kfm. Dr. 6230 Frankfurt Gschaider | Verfahren und vorrichtung zur durchfuehrung von handhabungsprozessen |
USD278081S (en) | 1982-04-02 | 1985-03-19 | United States Surgical Corporation | Linear anastomosis surgical staple cartridge |
US4408692A (en) | 1982-04-12 | 1983-10-11 | The Kendall Company | Sterile cover for instrument |
US4523707A (en) | 1982-05-04 | 1985-06-18 | Blake Joseph W Iii | Surgical stapler |
US4664305A (en) | 1982-05-04 | 1987-05-12 | Blake Joseph W Iii | Surgical stapler |
US4473077A (en) | 1982-05-28 | 1984-09-25 | United States Surgical Corporation | Surgical stapler apparatus with flexible shaft |
US4485817A (en) | 1982-05-28 | 1984-12-04 | United States Surgical Corporation | Surgical stapler apparatus with flexible shaft |
US4467805A (en) | 1982-08-25 | 1984-08-28 | Mamoru Fukuda | Skin closure stapling device for surgical procedures |
US4488523A (en) | 1982-09-24 | 1984-12-18 | United States Surgical Corporation | Flexible, hydraulically actuated device for applying surgical fasteners |
JPS5949356U (ja) | 1982-09-25 | 1984-04-02 | 新正工業株式会社 | カセツト式乾電池ケ−ス |
US4476864A (en) | 1982-09-29 | 1984-10-16 | Jirayr Tezel | Combined multiple punch and single punch hair transplant cutting device |
FR2534801A1 (fr) | 1982-10-21 | 1984-04-27 | Claracq Michel | Dispositif d'occlusion partielle d'un vaisseau, en particulier de la veine cave caudale, et partie constitutive de ce dispositif |
US4604786A (en) | 1982-11-05 | 1986-08-12 | The Grigoleit Company | Method of making a composite article including a body having a decorative metal plate attached thereto |
US4790225A (en) | 1982-11-24 | 1988-12-13 | Panduit Corp. | Dispenser of discrete cable ties provided on a continuous ribbon of cable ties |
US4676245A (en) | 1983-02-09 | 1987-06-30 | Mamoru Fukuda | Interlocking surgical staple assembly |
JPS59163608A (ja) | 1983-03-08 | 1984-09-14 | Hitachi Koki Co Ltd | ジグソ− |
JPS59168848A (ja) | 1983-03-11 | 1984-09-22 | エチコン・インコ−ポレ−テツド | 非金属製の生物に適合性の無菌の外科装置 |
US4652820A (en) | 1983-03-23 | 1987-03-24 | North American Philips Corporation | Combined position sensor and magnetic motor or bearing |
US4556058A (en) | 1983-08-17 | 1985-12-03 | United States Surgical Corporation | Apparatus for ligation and division with fixed jaws |
US4506671A (en) | 1983-03-30 | 1985-03-26 | United States Surgical Corporation | Apparatus for applying two-part surgical fasteners |
US4569346A (en) | 1983-03-30 | 1986-02-11 | United States Surgical Corporation | Safety apparatus for surgical occluding and cutting device |
US4481458A (en) | 1983-04-11 | 1984-11-06 | Levitt-Safety Limited | Miners lamp power pack |
US4530357A (en) | 1983-04-18 | 1985-07-23 | Pawloski James A | Fluid actuated orthopedic tool |
GB2138298B (en) | 1983-04-21 | 1986-11-05 | Hundon Forge Ltd | Pellet implanter |
US4522327A (en) | 1983-05-18 | 1985-06-11 | United States Surgical Corporation | Surgical fastener applying apparatus |
US4527724A (en) | 1983-06-10 | 1985-07-09 | Senmed, Inc. | Disposable linear surgical stapling instrument |
GR81919B (zh) | 1983-06-20 | 1984-12-12 | Ethicon Inc | |
US4532927A (en) | 1983-06-20 | 1985-08-06 | Ethicon, Inc. | Two-piece tissue fastener with non-reentry bent leg staple and retaining receiver |
US4548202A (en) | 1983-06-20 | 1985-10-22 | Ethicon, Inc. | Mesh tissue fasteners |
US4693248A (en) | 1983-06-20 | 1987-09-15 | Ethicon, Inc. | Two-piece tissue fastener with deformable retaining receiver |
US4531522A (en) | 1983-06-20 | 1985-07-30 | Ethicon, Inc. | Two-piece tissue fastener with locking top and method for applying same |
US4573469A (en) | 1983-06-20 | 1986-03-04 | Ethicon, Inc. | Two-piece tissue fastener with coinable leg staple and retaining receiver and method and instrument for applying same |
DE3325282C2 (de) | 1983-07-13 | 1986-09-25 | Howmedica International, Inc., 2301 Schönkirchen | Verfahren zur Ladung eines Akkumulators |
SU1175891A1 (ru) | 1983-08-16 | 1985-08-30 | Предприятие П/Я А-7840 | Устройство дл формовани изделий |
US4944443A (en) | 1988-04-22 | 1990-07-31 | Innovative Surgical Devices, Inc. | Surgical suturing instrument and method |
US4669647A (en) | 1983-08-26 | 1987-06-02 | Technalytics, Inc. | Surgical stapler |
US4530453A (en) | 1983-10-04 | 1985-07-23 | United States Surgical Corporation | Surgical fastener applying apparatus |
US4589416A (en) | 1983-10-04 | 1986-05-20 | United States Surgical Corporation | Surgical fastener retainer member assembly |
US4667674A (en) | 1983-10-04 | 1987-05-26 | United States Surgical Corporation | Surgical fastener exhibiting improved hemostasis |
US4505414A (en) | 1983-10-12 | 1985-03-19 | Filipi Charles J | Expandable anvil surgical stapler |
US4610383A (en) | 1983-10-14 | 1986-09-09 | Senmed, Inc. | Disposable linear surgical stapler |
US4571213A (en) | 1983-11-17 | 1986-02-18 | Nikko Co., Ltd. | Direction-converting device for a toy car |
JPS60113007A (ja) | 1983-11-24 | 1985-06-19 | Nissan Motor Co Ltd | 内燃機関の吸・排気弁制御装置 |
US4565109A (en) | 1983-12-27 | 1986-01-21 | Tsay Chi Chour | Instantaneous direction changing rotation mechanism |
US4576165A (en) | 1984-01-23 | 1986-03-18 | United States Surgical Corporation | Surgical ligation and cutting device with safety means |
US4635638A (en) | 1984-02-07 | 1987-01-13 | Galil Advanced Technologies Ltd. | Power-driven gripping tool particularly useful as a suturing device |
US4589870A (en) | 1984-02-21 | 1986-05-20 | Indicon, Inc. | Incremental actuator for syringe |
USD287278S (en) | 1984-02-21 | 1986-12-16 | Senmed, Inc. | Flexible surgical stapler |
JPS60137406U (ja) | 1984-02-24 | 1985-09-11 | シ−アイ化成株式会社 | マグネツトシ−ト |
US4600037A (en) | 1984-03-19 | 1986-07-15 | Texas Eastern Drilling Systems, Inc. | Flexible drill pipe |
US4612933A (en) | 1984-03-30 | 1986-09-23 | Senmed, Inc. | Multiple-load cartridge assembly for a linear surgical stapling instrument |
US4608980A (en) | 1984-04-13 | 1986-09-02 | Osada Electric Co., Ltd. | Laser hand piece |
US4619391A (en) | 1984-04-18 | 1986-10-28 | Acme United Corporation | Surgical stapling instrument |
US4607638A (en) | 1984-04-20 | 1986-08-26 | Design Standards Corporation | Surgical staples |
JPS60232124A (ja) | 1984-05-04 | 1985-11-18 | 旭光学工業株式会社 | 内視鏡の湾曲操作装置 |
US4894051A (en) | 1984-05-14 | 1990-01-16 | Surgical Systems & Instruments, Inc. | Atherectomy system with a biasing sleeve and method of using the same |
US5002553A (en) | 1984-05-14 | 1991-03-26 | Surgical Systems & Instruments, Inc. | Atherectomy system with a clutch |
US4628636A (en) | 1984-05-18 | 1986-12-16 | Holmes-Hally Industries, Inc. | Garage door operator mechanism |
DE3419477C1 (de) | 1984-05-24 | 1985-11-28 | Hörmann KG Antriebs- und Steuerungstechnik, 4834 Harsewinkel | Getriebe zur UEberfuehrung einer rotatorischen in eine translatorische Bewegung |
US5464013A (en) | 1984-05-25 | 1995-11-07 | Lemelson; Jerome H. | Medical scanning and treatment system and method |
US4781186A (en) | 1984-05-30 | 1988-11-01 | Devices For Vascular Intervention, Inc. | Atherectomy device having a flexible housing |
GB8417562D0 (en) | 1984-07-10 | 1984-08-15 | Surgical Design Services | Fasteners |
US4741336A (en) | 1984-07-16 | 1988-05-03 | Ethicon, Inc. | Shaped staples and slotted receivers (case VII) |
US4607636A (en) | 1984-07-16 | 1986-08-26 | Ethicon, Inc. | Surgical instrument for applying fasteners having tissue locking means for maintaining the tissue in the instrument while applying the fasteners (case I) |
US4591085A (en) | 1984-07-16 | 1986-05-27 | Ethicon, Inc. | Surgical instrument for applying fasteners, said instrument having an improved trigger interlocking mechanism (Case VI) |
DE3426173A1 (de) | 1984-07-16 | 1986-01-23 | Hilti Ag, Schaan | Eintreibgeraet fuer befestigungselemente, wie naegel, klammern und dergleichen |
US4605004A (en) | 1984-07-16 | 1986-08-12 | Ethicon, Inc. | Surgical instrument for applying fasteners said instrument including force supporting means (case IV) |
IN165375B (zh) | 1984-07-16 | 1989-10-07 | Ethicon Inc | |
US4585153A (en) | 1984-07-16 | 1986-04-29 | Ethicon, Inc. | Surgical instrument for applying two-piece fasteners comprising frictionally held U-shaped staples and receivers (Case III) |
DE3427329A1 (de) | 1984-07-25 | 1986-01-30 | Mannesmann Kienzle GmbH, 7730 Villingen-Schwenningen | Verfahren zum positionieren eines einem geschwindigkeitsbegrenzer zugeordneten schalters |
US4655222A (en) | 1984-07-30 | 1987-04-07 | Ethicon, Inc. | Coated surgical staple |
US4754909A (en) | 1984-08-09 | 1988-07-05 | Barker John M | Flexible stapler |
US4671445A (en) | 1984-08-09 | 1987-06-09 | Baxter Travenol Laboratories, Inc. | Flexible surgical stapler assembly |
US4589582A (en) | 1984-08-23 | 1986-05-20 | Senmed, Inc. | Cartridge and driver assembly for a surgical stapling instrument |
US4560915A (en) | 1984-08-23 | 1985-12-24 | Wen Products, Inc. | Electronic charging circuit for battery operated appliances |
IL73079A (en) | 1984-09-26 | 1989-01-31 | Porat Michael | Gripper means for medical instruments |
USD286180S (en) | 1984-10-16 | 1986-10-14 | United States Surgical Corporation | Surgical fastener |
US4608981A (en) | 1984-10-19 | 1986-09-02 | Senmed, Inc. | Surgical stapling instrument with staple height adjusting mechanism |
US4566620A (en) | 1984-10-19 | 1986-01-28 | United States Surgical Corporation | Articulated surgical fastener applying apparatus |
US4767044A (en) | 1984-10-19 | 1988-08-30 | United States Surgical Corporation | Surgical fastener applying apparatus |
US4633861A (en) | 1984-10-19 | 1987-01-06 | Senmed, Inc. | Surgical stapling instrument with jaw clamping mechanism |
US4573622A (en) | 1984-10-19 | 1986-03-04 | United States Surgical Corporation | Surgical fastener applying apparatus with variable fastener arrays |
US4605001A (en) | 1984-10-19 | 1986-08-12 | Senmed, Inc. | Surgical stapling instrument with dual staple height mechanism |
US4633874A (en) | 1984-10-19 | 1987-01-06 | Senmed, Inc. | Surgical stapling instrument with jaw latching mechanism and disposable staple cartridge |
US4580712A (en) | 1984-10-19 | 1986-04-08 | United States Surgical Corporation | Surgical fastener applying apparatus with progressive application of fastener |
IT1180106B (it) | 1984-11-05 | 1987-09-23 | Olivetti & Co Spa | Circuito per il pilotaggio dei motori elettrici di selezione tabulazione ed interlinea di una macchina per scrivere elettronica |
US4949707A (en) | 1984-11-08 | 1990-08-21 | Minnesota Scientific, Inc. | Retractor apparatus |
US4787387A (en) | 1984-11-08 | 1988-11-29 | American Cyanamid Company | Surgical closure element |
DE3543096A1 (de) | 1984-12-05 | 1986-06-05 | Olympus Optical Co., Ltd., Tokio/Tokyo | Vorrichtung zur zertruemmerung von steinen, wie nieren- und gallensteinen oder dergleichen |
US4646722A (en) | 1984-12-10 | 1987-03-03 | Opielab, Inc. | Protective endoscope sheath and method of installing same |
SU1271497A1 (ru) | 1985-01-07 | 1986-11-23 | Научно-производственное объединение "Мединструмент" | Устройство дл сведени краев раны |
US4828542A (en) | 1986-08-29 | 1989-05-09 | Twin Rivers Engineering | Foam substrate and micropackaged active ingredient particle composite dispensing materials |
US4671278A (en) | 1985-01-14 | 1987-06-09 | Thomas J. Fogarty | Scalp hemostatic clip and dispenser therefor |
US4641076A (en) | 1985-01-23 | 1987-02-03 | Hall Surgical-Division Of Zimmer, Inc. | Method and apparatus for sterilizing and charging batteries |
US4705038A (en) | 1985-01-23 | 1987-11-10 | Dyonics, Inc. | Surgical system for powered instruments |
US4643173A (en) | 1985-01-29 | 1987-02-17 | Bell John H | Heated traction belt |
JPS61129692U (zh) | 1985-02-02 | 1986-08-14 | ||
US4651734A (en) | 1985-02-08 | 1987-03-24 | The United States Of America As Represented By The United States Department Of Energy | Electrosurgical device for both mechanical cutting and coagulation of bleeding |
JPH0663165B2 (ja) * | 1985-11-20 | 1994-08-17 | ユニ・チヤ−ム株式会社 | 不織布の製造方法および装置 |
US4569469A (en) | 1985-02-15 | 1986-02-11 | Minnesota Mining And Manufacturing Company | Bone stapler cartridge |
IL74405A0 (en) | 1985-02-21 | 1985-05-31 | Moshe Meller | Illuminated dental drill |
US4617935A (en) * | 1985-03-12 | 1986-10-21 | Ndm Corporation | Medical electrode |
JPS61209647A (ja) | 1985-03-14 | 1986-09-17 | 須广 久善 | 血管吻合用の切開口拡開器 |
JPS635697Y2 (zh) | 1985-04-04 | 1988-02-17 | ||
JPS61235446A (ja) | 1985-04-11 | 1986-10-20 | Karupu Kogyo Kk | 産業ロボツト用外被管 |
SU1377052A1 (ru) | 1985-04-17 | 1988-02-28 | Всесоюзный онкологический научный центр | Устройство дл соединени полых органов |
US4833937A (en) | 1985-04-22 | 1989-05-30 | Shimano Industrial Company Limited | Adjusting device for a control cable for a bicycle |
US4807628A (en) | 1985-04-26 | 1989-02-28 | Edward Weck & Company, Inc. | Method and apparatus for storing, dispensing, and applying surgical staples |
DE3515659C1 (de) | 1985-05-02 | 1986-08-28 | Goetze Ag, 5093 Burscheid | Kolbenring |
US4671280A (en) | 1985-05-13 | 1987-06-09 | Ethicon, Inc. | Surgical fastening device and method for manufacture |
US5012411A (en) | 1985-07-23 | 1991-04-30 | Charles J. Policastro | Apparatus for monitoring, storing and transmitting detected physiological information |
US4642618A (en) | 1985-07-23 | 1987-02-10 | Ibm Corporation | Tool failure detector |
US4665916A (en) | 1985-08-09 | 1987-05-19 | United States Surgical Corporation | Surgical stapler apparatus |
US4643731A (en) | 1985-08-16 | 1987-02-17 | Alza Corporation | Means for providing instant agent from agent dispensing system |
US4750902A (en) | 1985-08-28 | 1988-06-14 | Sonomed Technology, Inc. | Endoscopic ultrasonic aspirators |
US4750488A (en) | 1986-05-19 | 1988-06-14 | Sonomed Technology, Inc. | Vibration apparatus preferably for endoscopic ultrasonic aspirator |
US4728020A (en) | 1985-08-30 | 1988-03-01 | United States Surgical Corporation | Articulated surgical fastener applying apparatus |
CH670753A5 (zh) | 1985-09-10 | 1989-07-14 | Vnii Ispytatel Med Tech | |
SU1377053A1 (ru) | 1985-10-02 | 1988-02-28 | В. Г. Сахаутдинов, Р. А. Талипов, Р. М. Халиков и 3. X. Гарифуллин | Хирургический сшивающий аппарат |
US4610250A (en) | 1985-10-08 | 1986-09-09 | United States Surgical Corporation | Two-part surgical fastener for fascia wound approximation |
US4715520A (en) | 1985-10-10 | 1987-12-29 | United States Surgical Corporation | Surgical fastener applying apparatus with tissue edge control |
US4721099A (en) | 1985-10-30 | 1988-01-26 | Kabushiki Kaisha Machida Seisakusho | Operating mechanism for bendable section of endoscope |
US4729260A (en) | 1985-12-06 | 1988-03-08 | Desoutter Limited | Two speed gearbox |
SU1333319A2 (ru) | 1985-12-10 | 1987-08-30 | Петрозаводский государственный университет им.О.В.Куусинена | Ушиватель полых органов |
US4634419A (en) | 1985-12-13 | 1987-01-06 | Cooper Lasersonics, Inc. | Angulated ultrasonic surgical handpieces and method for their production |
USD297764S (en) | 1985-12-18 | 1988-09-20 | Ethicon, Inc. | Surgical staple cartridge |
US4679719A (en) | 1985-12-27 | 1987-07-14 | Senco Products, Inc. | Electronic control for a pneumatic fastener driving tool |
USD286442S (en) | 1985-12-31 | 1986-10-28 | United States Surgical Corporation | Surgical fastener |
US4763669A (en) | 1986-01-09 | 1988-08-16 | Jaeger John C | Surgical instrument with adjustable angle of operation |
DE3603121A1 (de) | 1986-02-01 | 1987-10-29 | Hoermann Kg Antrieb Steuertec | Geraet zur ueberfuehrung einer rotatorischen in eine translatorische bewegung mittels zweier in speichertrommeln ueberfuehrbaren straenge |
US4728876A (en) | 1986-02-19 | 1988-03-01 | Minnesota Mining And Manufacturing Company | Orthopedic drive assembly |
US4672964A (en) | 1986-02-21 | 1987-06-16 | Dee Robert N | Scalpel with universally adjustable blade |
US4662555A (en) | 1986-03-11 | 1987-05-05 | Edward Weck & Company, Inc. | Surgical stapler |
US4675944A (en) | 1986-03-17 | 1987-06-30 | Wells Daryl F | Pneumatic meat saw |
JPS62221897A (ja) | 1986-03-24 | 1987-09-29 | Mitsubishi Electric Corp | 電動機の制御装置 |
US4903697A (en) | 1986-03-27 | 1990-02-27 | Semion Resnick | Cartridge assembly for a surgical stapling instrument |
US4700703A (en) | 1986-03-27 | 1987-10-20 | Semion Resnick | Cartridge assembly for a surgical stapling instrument |
US4909789A (en) | 1986-03-28 | 1990-03-20 | Olympus Optical Co., Ltd. | Observation assisting forceps |
US4827911A (en) | 1986-04-02 | 1989-05-09 | Cooper Lasersonics, Inc. | Method and apparatus for ultrasonic surgical fragmentation and removal of tissue |
US4988334A (en) | 1986-04-09 | 1991-01-29 | Valleylab, Inc. | Ultrasonic surgical system with aspiration tubulation connector |
US4747820A (en) | 1986-04-09 | 1988-05-31 | Cooper Lasersonics, Inc. | Irrigation/aspiration manifold and fittings for ultrasonic surgical aspiration system |
JPS62170011U (zh) | 1986-04-16 | 1987-10-28 | ||
ATE96633T1 (de) | 1986-04-21 | 1993-11-15 | Globe Control Finanz Aktienges | Vorrichtung zur herstellung einer anastomose. |
SU1561964A1 (ru) | 1986-04-24 | 1990-05-07 | Благовещенский государственный медицинский институт | Хирургический сшивающий аппарат |
US4688555A (en) | 1986-04-25 | 1987-08-25 | Circon Corporation | Endoscope with cable compensating mechanism |
US4691703A (en) | 1986-04-25 | 1987-09-08 | Board Of Regents, University Of Washington | Thermal cautery system |
EP0251444A1 (en) | 1986-04-30 | 1988-01-07 | Minnesota Mining And Manufacturing Company | Anvil assembly |
FR2598905B1 (fr) | 1986-05-22 | 1993-08-13 | Chevalier Jean Michel | Dispositif d'interruption de la circulation d'un fluide dans un conduit a paroi souple, notamment un viscere creux et ensemble de pince comportant ce dispositif |
US4709120A (en) | 1986-06-06 | 1987-11-24 | Pearson Dean C | Underground utility equipment vault |
USD298967S (en) | 1986-06-09 | 1988-12-13 | Ethicon, Inc. | Surgical staple cartridge |
US5190544A (en) | 1986-06-23 | 1993-03-02 | Pfizer Hospital Products Group, Inc. | Modular femoral fixation system |
US4744363A (en) | 1986-07-07 | 1988-05-17 | Hasson Harrith M | Intra-abdominal organ stabilizer, retractor and tissue manipulator |
DE8620714U1 (zh) | 1986-08-01 | 1986-11-20 | C. & E. Fein Gmbh & Co, 7000 Stuttgart, De | |
US4727308A (en) | 1986-08-28 | 1988-02-23 | International Business Machines Corporation | FET power converter with reduced switching loss |
US4743214A (en) | 1986-09-03 | 1988-05-10 | Tai Cheng Yang | Steering control for toy electric vehicles |
US4875486A (en) | 1986-09-04 | 1989-10-24 | Advanced Techtronics, Inc. | Instrument and method for non-invasive in vivo testing for body fluid constituents |
US4890613A (en) | 1986-09-19 | 1990-01-02 | Ethicon, Inc. | Two piece internal organ fastener |
US4893622A (en) | 1986-10-17 | 1990-01-16 | United States Surgical Corporation | Method of stapling tubular body organs |
US4752024A (en) | 1986-10-17 | 1988-06-21 | Green David T | Surgical fastener and surgical stapling apparatus |
CH674058A5 (zh) | 1986-10-22 | 1990-04-30 | Festo Kg | |
US4933843A (en) | 1986-11-06 | 1990-06-12 | Storz Instrument Company | Control system for ophthalmic surgical instruments |
US4970656A (en) | 1986-11-07 | 1990-11-13 | Alcon Laboratories, Inc. | Analog drive for ultrasonic probe with tunable phase angle |
US4954960A (en) | 1986-11-07 | 1990-09-04 | Alcon Laboratories | Linear power control for ultrasonic probe with tuned reactance |
JPH0418209Y2 (zh) | 1986-11-14 | 1992-04-23 | ||
JPH0755222B2 (ja) | 1986-12-12 | 1995-06-14 | オリンパス光学工業株式会社 | 処置具 |
SE457680B (sv) | 1987-01-15 | 1989-01-16 | Toecksfors Verkstads Ab | Elektronisk brytare innefattande en i ett hoelje roerlig manoeverdel |
US4832158A (en) | 1987-01-20 | 1989-05-23 | Delaware Capital Formation, Inc. | Elevator system having microprocessor-based door operator |
US4865030A (en) | 1987-01-21 | 1989-09-12 | American Medical Systems, Inc. | Apparatus for removal of objects from body passages |
WO1988006021A1 (en) | 1987-02-10 | 1988-08-25 | Vaso Products Australia Pty. Limited | Venous cuff applicator, cartridge and cuff |
US4873977A (en) | 1987-02-11 | 1989-10-17 | Odis L. Avant | Stapling method and apparatus for vesicle-urethral re-anastomosis following retropubic prostatectomy and other tubular anastomosis |
US4719917A (en) | 1987-02-17 | 1988-01-19 | Minnesota Mining And Manufacturing Company | Surgical staple |
US5217478A (en) | 1987-02-18 | 1993-06-08 | Linvatec Corporation | Arthroscopic surgical instrument drive system |
GB8704265D0 (en) | 1987-02-24 | 1987-04-01 | Yang T H | Manual electric tools(1) |
US4950268A (en) | 1987-02-27 | 1990-08-21 | Xintec Corporation | Laser driver and control circuit |
DE3807004A1 (de) | 1987-03-02 | 1988-09-15 | Olympus Optical Co | Ultraschall-behandlungsgeraet |
DE3709067A1 (de) | 1987-03-19 | 1988-09-29 | Ewald Hensler | Medizinisches, insbesondere chirurgisches instrument |
US5001649A (en) | 1987-04-06 | 1991-03-19 | Alcon Laboratories, Inc. | Linear power control for ultrasonic probe with tuned reactance |
US4730726A (en) | 1987-04-21 | 1988-03-15 | United States Surgical Corporation | Sealed sterile package |
US4777780A (en) | 1987-04-21 | 1988-10-18 | United States Surgical Corporation | Method for forming a sealed sterile package |
SU1443874A1 (ru) | 1987-04-23 | 1988-12-15 | Всесоюзный научно-исследовательский и испытательный институт медицинской техники | Хирургический аппарат дл наложени компрессионных анастомозов |
JPS63270040A (ja) | 1987-04-28 | 1988-11-08 | Haruo Takase | 外科手術における縫合方法および縫合器 |
US4941623A (en) | 1987-05-12 | 1990-07-17 | United States Surgical Corporation | Stapling process and device for use on the mesentery of the abdomen |
US5542949A (en) | 1987-05-14 | 1996-08-06 | Yoon; Inbae | Multifunctional clip applier instrument |
US4928699A (en) | 1987-05-18 | 1990-05-29 | Olympus Optical Co., Ltd. | Ultrasonic diagnosis device |
US4838859A (en) | 1987-05-19 | 1989-06-13 | Steve Strassmann | Steerable catheter |
US5158222A (en) | 1987-05-26 | 1992-10-27 | United States Surgical Corp. | Surgical stapler apparatus |
US5285944A (en) | 1987-05-26 | 1994-02-15 | United States Surgical Corporation | Surgical stapler apparatus |
USD309350S (en) | 1987-06-01 | 1990-07-17 | Pfizer Hospital Products Group, Inc. | Surgical sternotomy band tightening instrument |
US4844068A (en) | 1987-06-05 | 1989-07-04 | Ethicon, Inc. | Bariatric surgical instrument |
US4761326A (en) | 1987-06-09 | 1988-08-02 | Precision Fabrics Group, Inc. | Foam coated CSR/surgical instrument wrap fabric |
SU1475611A1 (ru) | 1987-06-10 | 1989-04-30 | Предприятие П/Я А-3697 | Устройство дл соединени трубчатых органов |
US4930503A (en) | 1987-06-11 | 1990-06-05 | Pruitt J Crayton | Stapling process and device for use on the mesenteries of the abdomen |
US5027834A (en) | 1987-06-11 | 1991-07-02 | United States Surgical Corporation | Stapling process for use on the mesenteries of the abdomen |
US4848637A (en) | 1987-06-11 | 1989-07-18 | Pruitt J Crayton | Staple device for use on the mesenteries of the abdomen |
US4773420A (en) | 1987-06-22 | 1988-09-27 | U.S. Surgical Corporation | Purse string applicator |
JPS63318824A (ja) | 1987-06-22 | 1988-12-27 | Oki Electric Ind Co Ltd | 容量結合形ロ−タリカプラ |
DE3723310A1 (de) | 1987-07-15 | 1989-01-26 | John Urquhart | Pharmazeutisches praeparat und verfahren zu seiner herstellung |
US4817643A (en) | 1987-07-30 | 1989-04-04 | Olson Mary Lou C | Chinese finger cuff dental floss |
US4821939A (en) | 1987-09-02 | 1989-04-18 | United States Surgical Corporation | Staple cartridge and an anvilless surgical stapler |
US5158567A (en) | 1987-09-02 | 1992-10-27 | United States Surgical Corporation | One-piece surgical staple |
SU1509051A1 (ru) | 1987-09-14 | 1989-09-23 | Институт прикладной физики АН СССР | Ушиватель органов |
GB2209673B (en) | 1987-09-15 | 1991-06-12 | Wallace Ltd H G | Catheter and cannula assembly |
US5025559A (en) | 1987-09-29 | 1991-06-25 | Food Industry Equipment International, Inc. | Pneumatic control system for meat trimming knife |
US4931047A (en) | 1987-09-30 | 1990-06-05 | Cavitron, Inc. | Method and apparatus for providing enhanced tissue fragmentation and/or hemostasis |
US5015227A (en) | 1987-09-30 | 1991-05-14 | Valleylab Inc. | Apparatus for providing enhanced tissue fragmentation and/or hemostasis |
US4921479A (en) | 1987-10-02 | 1990-05-01 | Joseph Grayzel | Catheter sheath with longitudinal seam |
US4834096A (en) | 1987-10-26 | 1989-05-30 | Edward Weck Incorporated | Plastic ligating clips |
US4805617A (en) | 1987-11-05 | 1989-02-21 | Ethicon, Inc. | Surgical fastening systems made from polymeric materials |
US4830855A (en) | 1987-11-13 | 1989-05-16 | Landec Labs, Inc. | Temperature-controlled active agent dispenser |
FR2622429A1 (fr) | 1987-11-16 | 1989-05-05 | Blagoveschensky G | Appareil de suture chirurgicale |
GB2212433B (en) | 1987-11-16 | 1992-07-29 | Canon Kk | A sheet stapler |
US5106627A (en) | 1987-11-17 | 1992-04-21 | Brown University Research Foundation | Neurological therapy devices |
US5018515A (en) | 1987-12-14 | 1991-05-28 | The Kendall Company | See through absorbent dressing |
US5062491A (en) | 1987-12-23 | 1991-11-05 | Honda Giken Kogyo Kabushiki Kaisha | Apparatus for controlling nut runner |
US4834720A (en) | 1987-12-24 | 1989-05-30 | Becton, Dickinson And Company | Implantable port septum |
US4951860A (en) | 1987-12-28 | 1990-08-28 | Edward Weck & Co. | Method and apparatus for storing, dispensing and applying surgical staples |
US4819853A (en) | 1987-12-31 | 1989-04-11 | United States Surgical Corporation | Surgical fastener cartridge |
USD316875S (en) | 1988-01-11 | 1991-05-14 | Eastman Kodak Company | Electro-optical display for cameras or the like |
US5084057A (en) | 1989-07-18 | 1992-01-28 | United States Surgical Corporation | Apparatus and method for applying surgical clips in laparoscopic or endoscopic procedures |
US5197970A (en) | 1988-01-15 | 1993-03-30 | United States Surgical Corporation | Surgical clip applicator |
US5030226A (en) | 1988-01-15 | 1991-07-09 | United States Surgical Corporation | Surgical clip applicator |
US5100420A (en) | 1989-07-18 | 1992-03-31 | United States Surgical Corporation | Apparatus and method for applying surgical clips in laparoscopic or endoscopic procedures |
GB8800909D0 (en) | 1988-01-15 | 1988-02-17 | Ethicon Inc | Gas powered surgical stapler |
US5383881A (en) | 1989-07-18 | 1995-01-24 | United States Surgical Corporation | Safety device for use with endoscopic instrumentation |
JPH01182196A (ja) | 1988-01-18 | 1989-07-20 | Sanshin Ind Co Ltd | シフト補助装置 |
US4870966A (en) | 1988-02-01 | 1989-10-03 | American Cyanamid Company | Bioabsorbable surgical device for treating nerve defects |
DE3805179A1 (de) | 1988-02-19 | 1989-08-31 | Wolf Gmbh Richard | Geraet mit einem rotierend angetriebenen chirurgischen instrument |
US5060658A (en) | 1988-02-23 | 1991-10-29 | Vance Products Incorporated | Fine-needle aspiration cell sampling apparatus |
US4860644A (en) | 1988-02-29 | 1989-08-29 | Donaldson Company, Inc. | Articulatable fume exhauster trunk |
US4827552A (en) | 1988-03-14 | 1989-05-09 | Better Health Concepts, Inc. | Rotary electric toothbrush |
US4862891A (en) | 1988-03-14 | 1989-09-05 | Canyon Medical Products | Device for sequential percutaneous dilation |
FR2628488B1 (fr) | 1988-03-14 | 1990-12-28 | Ecia Equip Composants Ind Auto | Attache rapide du type a baionnette perfectionnee |
US4790314A (en) | 1988-03-16 | 1988-12-13 | Kenneth Weaver | Orifice dilator |
US4805823A (en) | 1988-03-18 | 1989-02-21 | Ethicon, Inc. | Pocket configuration for internal organ staplers |
US4856078A (en) | 1988-03-23 | 1989-08-08 | Zenith Electronics Corporation | DC fan speed control |
FR2631396B1 (fr) | 1988-05-11 | 1991-01-04 | Marot Jacques | Dispositif d'assemblage pour elements demontables ou modulaires |
US4933800A (en) | 1988-06-03 | 1990-06-12 | Yang Tai Her | Motor overload detection with predetermined rotation reversal |
US4880015A (en) | 1988-06-03 | 1989-11-14 | Nierman David M | Biopsy forceps |
GB2220919B (en) | 1988-06-10 | 1992-04-08 | Seikosha Kk | Automatic feeder |
JPH01313783A (ja) | 1988-06-14 | 1989-12-19 | Philips Kk | 電池の容量計測回路 |
US5193731A (en) | 1988-07-01 | 1993-03-16 | United States Surgical Corporation | Anastomosis surgical stapling instrument |
KR920001244Y1 (ko) | 1988-07-06 | 1992-02-20 | 이재희 | 호치키스 |
US4919039A (en) | 1988-07-25 | 1990-04-24 | General Electric Company | Hydraulic turning gear |
US5185717A (en) | 1988-08-05 | 1993-02-09 | Ryoichi Mori | Tamper resistant module having logical elements arranged in multiple layers on the outer surface of a substrate to protect stored information |
US5444113A (en) | 1988-08-08 | 1995-08-22 | Ecopol, Llc | End use applications of biodegradable polymers |
ES2011110A6 (es) | 1988-09-02 | 1989-12-16 | Lopez Hervas Pedro | Aparato hidraulico de cuerpo flexible para anastomosis quirurgicas. |
CA1327424C (en) | 1988-09-16 | 1994-03-08 | James C. Armour | Compact tampon applicator |
DE3831607A1 (de) | 1988-09-17 | 1990-03-22 | Haubold Kihlberg Gmbh | Durch druckluft betriebenes schlaggeraet mit entlueftungsventil fuer das hauptventil |
US5024671A (en) | 1988-09-19 | 1991-06-18 | Baxter International Inc. | Microporous vascular graft |
US5071052A (en) | 1988-09-22 | 1991-12-10 | United States Surgical Corporation | Surgical fastening apparatus with activation lockout |
US5024652A (en) | 1988-09-23 | 1991-06-18 | Dumenek Vladimir A | Ophthalmological device |
DE3832528C1 (zh) | 1988-09-24 | 1989-11-16 | Fresenius Ag, 6380 Bad Homburg, De | |
US4869415A (en) | 1988-09-26 | 1989-09-26 | Ethicon, Inc. | Energy storage means for a surgical stapler |
US4948327A (en) | 1988-09-28 | 1990-08-14 | Crupi Jr Theodore P | Towing apparatus for coupling to towed vehicle undercarriage |
CA1308782C (en) | 1988-10-13 | 1992-10-13 | Gyrus Medical Limited | Screening and monitoring instrument |
JP2625176B2 (ja) | 1988-10-14 | 1997-07-02 | 株式会社テック | 充電式電気かみそり |
US4892244A (en) | 1988-11-07 | 1990-01-09 | Ethicon, Inc. | Surgical stapler cartridge lockout device |
US4962681A (en) | 1988-11-09 | 1990-10-16 | Yang Tai Her | Modular manual electric appliance |
ES2078231T3 (es) | 1988-11-11 | 1995-12-16 | United States Surgical Corp | Instrumento de cirugia. |
US5197648A (en) | 1988-11-29 | 1993-03-30 | Gingold Bruce S | Surgical stapling apparatus |
US4915100A (en) | 1988-12-19 | 1990-04-10 | United States Surgical Corporation | Surgical stapler apparatus with tissue shield |
US4978333A (en) | 1988-12-20 | 1990-12-18 | Valleylab, Inc. | Resonator for surgical handpiece |
US4986808A (en) | 1988-12-20 | 1991-01-22 | Valleylab, Inc. | Magnetostrictive transducer |
US5098360A (en) | 1988-12-26 | 1992-03-24 | Tochigifujisangyo Kabushiki Kaisha | Differential gear with limited slip and locking mechanism |
US5108368A (en) | 1990-01-04 | 1992-04-28 | Pilot Cardiovascular System, Inc. | Steerable medical device |
US5111987A (en) | 1989-01-23 | 1992-05-12 | Moeinzadeh Manssour H | Semi-disposable surgical stapler |
US5089606A (en) | 1989-01-24 | 1992-02-18 | Minnesota Mining And Manufacturing Company | Water-insoluble polysaccharide hydrogel foam for medical applications |
US4919679A (en) | 1989-01-31 | 1990-04-24 | Osteonics Corp. | Femoral stem surgical instrument system |
US5077506A (en) | 1989-02-03 | 1991-12-31 | Dyonics, Inc. | Microprocessor controlled arthroscopic surgical system |
US5061269A (en) | 1989-02-07 | 1991-10-29 | Joseph J. Berke | Surgical rongeur power grip structure and method |
EP0389102B1 (en) | 1989-02-22 | 1995-05-10 | United States Surgical Corporation | Skin fastener |
US4930674A (en) | 1989-02-24 | 1990-06-05 | Abiomed, Inc. | Surgical stapler |
US5186711A (en) | 1989-03-07 | 1993-02-16 | Albert Einstein College Of Medicine Of Yeshiva University | Hemostasis apparatus and method |
IT1234756B (it) | 1989-03-17 | 1992-05-26 | Orthofix Srl | Fissatore esterno particolarmente adatto per essere applicato sui bacini. |
US5522817A (en) | 1989-03-31 | 1996-06-04 | United States Surgical Corporation | Absorbable surgical fastener with bone penetrating elements |
US5062563A (en) | 1989-04-10 | 1991-11-05 | United States Surgical Corporation | Fascia stapler |
US5104397A (en) | 1989-04-14 | 1992-04-14 | Codman & Shurtleff, Inc. | Multi-position latching mechanism for forceps |
US5038247A (en) | 1989-04-17 | 1991-08-06 | Delco Electronics Corporation | Method and apparatus for inductive load control with current simulation |
US5119009A (en) | 1989-04-20 | 1992-06-02 | Motorola, Inc. | Lithium battery deactivator |
US5164652A (en) | 1989-04-21 | 1992-11-17 | Motorola, Inc. | Method and apparatus for determining battery type and modifying operating characteristics |
US5009661A (en) | 1989-04-24 | 1991-04-23 | Michelson Gary K | Protective mechanism for surgical rongeurs |
US6200320B1 (en) | 1989-04-24 | 2001-03-13 | Gary Karlin Michelson | Surgical rongeur |
CA2053909A1 (en) | 1989-05-03 | 1990-11-04 | Robert A. Roth | Instrument and method for intraluminally relieving stenosis |
US5222976A (en) | 1989-05-16 | 1993-06-29 | Inbae Yoon | Suture devices particularly useful in endoscopic surgery |
SU1708312A1 (ru) | 1989-05-16 | 1992-01-30 | Всесоюзный научно-исследовательский и испытательный институт медицинской техники | Хирургический аппарат дл сшивани костной ткани |
US5100422A (en) | 1989-05-26 | 1992-03-31 | Impra, Inc. | Blood vessel patch |
US5031814A (en) | 1989-05-26 | 1991-07-16 | United States Surgical Corporation | Locking mechanism for surgical fastening apparatus |
US4978049A (en) | 1989-05-26 | 1990-12-18 | United States Surgical Corporation | Three staple drive member |
US5040715B1 (en) | 1989-05-26 | 1994-04-05 | United States Surgical Corp | Apparatus and method for placing staples in laparoscopic or endoscopic procedures |
US5318221A (en) | 1989-05-26 | 1994-06-07 | United States Surgical Corporation | Apparatus and method for placing staples in laparoscopic or endoscopic procedures |
US5106008A (en) | 1989-05-26 | 1992-04-21 | United States Surgical Corporation | Locking mechanism for a surgical fastening apparatus |
US5413268A (en) | 1989-05-26 | 1995-05-09 | United States Surgical Corporation | Apparatus and method for placing stables in laparoscopic or endoscopic procedures |
US5505363A (en) | 1989-05-26 | 1996-04-09 | United States Surgical Corporation | Surgical staples with plated anvils |
US5104400A (en) | 1989-05-26 | 1992-04-14 | Impra, Inc. | Blood vessel patch |
US4955959A (en) | 1989-05-26 | 1990-09-11 | United States Surgical Corporation | Locking mechanism for a surgical fastening apparatus |
US5035040A (en) | 1989-05-30 | 1991-07-30 | Duo-Fast Corporation | Hog ring fastener, tool and methods |
US5151102A (en) | 1989-05-31 | 1992-09-29 | Kyocera Corporation | Blood vessel coagulation/stanching device |
JPH034831A (ja) | 1989-06-01 | 1991-01-10 | Toshiba Corp | 内視鏡装置 |
US4946067A (en) | 1989-06-07 | 1990-08-07 | Wickes Manufacturing Company | Inflation valve with actuating lever interlock |
US4987049A (en) | 1989-07-21 | 1991-01-22 | Konica Corporation | Image-receiving element for heat transfer type dye image |
AU614401B2 (en) | 1989-07-24 | 1991-08-29 | Ming-Long Her | Diving case massager |
USD327323S (en) | 1989-08-02 | 1992-06-23 | Ethicon,Inc. | Combination skin stapler and rotating head |
US6004330A (en) | 1989-08-16 | 1999-12-21 | Medtronic, Inc. | Device or apparatus for manipulating matter |
US4932960A (en) | 1989-09-01 | 1990-06-12 | United States Surgical Corporation | Absorbable surgical fastener |
DE3929575A1 (de) | 1989-09-06 | 1991-03-07 | Vascomed Kathetertech | Dilatationskatheter zum erweitern von blutgefaessen mit motorantrieb |
US5155941A (en) | 1989-09-18 | 1992-10-20 | Olympus Optical Co., Ltd. | Industrial endoscope system having a rotary treatment member |
US4965709A (en) | 1989-09-25 | 1990-10-23 | General Electric Company | Switching converter with pseudo-resonant DC link |
US4984564A (en) | 1989-09-27 | 1991-01-15 | Frank Yuen | Surgical retractor device |
CH677728A5 (zh) | 1989-10-17 | 1991-06-28 | Bieffe Medital Sa | |
US4949927A (en) | 1989-10-17 | 1990-08-21 | John Madocks | Articulable column |
US5264218A (en) | 1989-10-25 | 1993-11-23 | C. R. Bard, Inc. | Modifiable, semi-permeable, wound dressing |
GB8924806D0 (en) | 1989-11-03 | 1989-12-20 | Neoligaments Ltd | Prosthectic ligament system |
US5188126A (en) | 1989-11-16 | 1993-02-23 | Fabian Carl E | Surgical implement detector utilizing capacitive coupling |
US5239981A (en) | 1989-11-16 | 1993-08-31 | Effner Biomet Gmbh | Film covering to protect a surgical instrument and an endoscope to be used with the film covering |
US5176677A (en) | 1989-11-17 | 1993-01-05 | Sonokinetics Group | Endoscopic ultrasonic rotary electro-cauterizing aspirator |
JPH0737603Y2 (ja) | 1989-11-30 | 1995-08-30 | 晴夫 高瀬 | 外科手術用縫合器 |
US5922001A (en) | 1989-12-05 | 1999-07-13 | Yoon; Inbae | Surgical instrument with jaws and a movable internal blade member and method for use thereof |
US5893863A (en) | 1989-12-05 | 1999-04-13 | Yoon; Inbae | Surgical instrument with jaws and movable internal hook member for use thereof |
JPH0527929Y2 (zh) | 1989-12-19 | 1993-07-16 | ||
US5098004A (en) | 1989-12-19 | 1992-03-24 | Duo-Fast Corporation | Fastener driving tool |
US5156609A (en) | 1989-12-26 | 1992-10-20 | Nakao Naomi L | Endoscopic stapling device and method |
US5109722A (en) | 1990-01-12 | 1992-05-05 | The Toro Company | Self-detenting transmission shift key |
JP3021571B2 (ja) | 1990-07-31 | 2000-03-15 | オリンパス光学工業株式会社 | 超音波手術用ハンドピース |
US5195968A (en) | 1990-02-02 | 1993-03-23 | Ingemar Lundquist | Catheter steering mechanism |
US6033378A (en) | 1990-02-02 | 2000-03-07 | Ep Technologies, Inc. | Catheter steering mechanism |
AU7082091A (en) | 1990-02-13 | 1991-08-15 | Ethicon Inc. | Rotating head skin stapler |
US5100042A (en) | 1990-03-05 | 1992-03-31 | United States Surgical Corporation | Surgical fastener apparatus |
US5244462A (en) | 1990-03-15 | 1993-09-14 | Valleylab Inc. | Electrosurgical apparatus |
US5217457A (en) | 1990-03-15 | 1993-06-08 | Valleylab Inc. | Enhanced electrosurgical apparatus |
US5088997A (en) | 1990-03-15 | 1992-02-18 | Valleylab, Inc. | Gas coagulation device |
US5014899A (en) | 1990-03-30 | 1991-05-14 | United States Surgical Corporation | Surgical stapling apparatus |
SU1722476A1 (ru) | 1990-04-02 | 1992-03-30 | Свердловский Филиал Научно-Производственного Объединения "Фтизиопульмонология" | Устройство дл временной окклюзии трубчатых органов |
US5005754A (en) | 1990-04-04 | 1991-04-09 | Ethicon, Inc. | Bladder and mandrel for use with surgical stapler |
US5002543A (en) | 1990-04-09 | 1991-03-26 | Bradshaw Anthony J | Steerable intramedullary fracture reduction device |
US5343391A (en) | 1990-04-10 | 1994-08-30 | Mushabac David R | Device for obtaining three dimensional contour data and for operating on a patient and related method |
US5124990A (en) | 1990-05-08 | 1992-06-23 | Caterpillar Inc. | Diagnostic hardware for serial datalink |
US5454378A (en) | 1993-02-11 | 1995-10-03 | Symbiosis Corporation | Biopsy forceps having a detachable proximal handle and distal jaws |
US5613499A (en) | 1990-05-10 | 1997-03-25 | Symbiosis Corporation | Endoscopic biopsy forceps jaws and instruments incorporating same |
US5431645A (en) | 1990-05-10 | 1995-07-11 | Symbiosis Corporation | Remotely activated endoscopic tools such as endoscopic biopsy forceps |
US5331971A (en) | 1990-05-10 | 1994-07-26 | Symbiosis Corporation | Endoscopic surgical instruments |
US5086401A (en) | 1990-05-11 | 1992-02-04 | International Business Machines Corporation | Image-directed robotic system for precise robotic surgery including redundant consistency checking |
CA2042006C (en) | 1990-05-11 | 1995-08-29 | Morito Idemoto | Surgical ultrasonic horn |
US5290271A (en) | 1990-05-14 | 1994-03-01 | Jernberg Gary R | Surgical implant and method for controlled release of chemotherapeutic agents |
US5116349A (en) | 1990-05-23 | 1992-05-26 | United States Surgical Corporation | Surgical fastener apparatus |
US5396635A (en) | 1990-06-01 | 1995-03-07 | Vadem Corporation | Power conservation apparatus having multiple power reduction levels dependent upon the activity of the computer system |
US5074454A (en) | 1990-06-04 | 1991-12-24 | Peters Ronald L | Surgical stapler |
US5342395A (en) | 1990-07-06 | 1994-08-30 | American Cyanamid Co. | Absorbable surgical repair devices |
NL9001564A (nl) | 1990-07-09 | 1992-02-03 | Optische Ind De Oude Delft Nv | In het lichaam brengbare buis voorzien van een manipulator. |
SU1752361A1 (ru) | 1990-07-10 | 1992-08-07 | Производственное Объединение "Челябинский Тракторный Завод Им.В.И.Ленина" | Хирургический сшивающий аппарат |
US5483630A (en) | 1990-07-12 | 1996-01-09 | Hitachi, Ltd. | Method and apparatus for representing motion of multiple-jointed object, computer graphic apparatus, and robot controller |
RU2008830C1 (ru) | 1990-07-13 | 1994-03-15 | Константин Алексеевич Додонов | Электрохирургический аппарат |
US5163598A (en) | 1990-07-23 | 1992-11-17 | Rudolph Peters | Sternum stapling apparatus |
US5033552A (en) | 1990-07-24 | 1991-07-23 | Hu Cheng Te | Multi-function electric tool |
US5234447A (en) | 1990-08-28 | 1993-08-10 | Robert L. Kaster | Side-to-end vascular anastomotic staple apparatus |
US5094247A (en) | 1990-08-31 | 1992-03-10 | Cordis Corporation | Biopsy forceps with handle having a flexible coupling |
US5389102A (en) | 1990-09-13 | 1995-02-14 | United States Surgical Corporation | Apparatus and method for subcuticular stapling of body tissue |
US5156614A (en) | 1990-09-17 | 1992-10-20 | United States Surgical Corporation | Apparatus for applying two-part surgical fasteners |
US5653373A (en) | 1990-09-17 | 1997-08-05 | United States Surgical Corporation | Arcuate apparatus for applying two-part surgical fasteners |
US5253793A (en) | 1990-09-17 | 1993-10-19 | United States Surgical Corporation | Apparatus for applying two-part surgical fasteners |
US5156315A (en) | 1990-09-17 | 1992-10-20 | United States Surgical Corporation | Arcuate apparatus for applying two-part surgical fasteners |
US5104025A (en) | 1990-09-28 | 1992-04-14 | Ethicon, Inc. | Intraluminal anastomotic surgical stapler with detached anvil |
US5080556A (en) | 1990-09-28 | 1992-01-14 | General Electric Company | Thermal seal for a gas turbine spacer disc |
DE484677T1 (de) | 1990-10-05 | 1993-11-25 | United States Surgical Corp | Verfahren und Vorrichtung zum Anbringen von Klammern bei laparoskopischen oder endoskopischen Eingriffen. |
US5088979A (en) | 1990-10-11 | 1992-02-18 | Wilson-Cook Medical Inc. | Method for esophageal invagination and devices useful therein |
US5042707A (en) | 1990-10-16 | 1991-08-27 | Taheri Syde A | Intravascular stapler, and method of operating same |
USD330699S (en) | 1990-10-19 | 1992-11-03 | W. W. Cross, Inc. | Insulated staple |
FR2668361A1 (fr) | 1990-10-30 | 1992-04-30 | Mai Christian | Agrafe et plaque d'osteosynthese a compression dynamique auto-retentive. |
US5344454A (en) | 1991-07-24 | 1994-09-06 | Baxter International Inc. | Closed porous chambers for implanting tissue in a host |
US5658307A (en) | 1990-11-07 | 1997-08-19 | Exconde; Primo D. | Method of using a surgical dissector instrument |
GB9025131D0 (en) | 1990-11-19 | 1991-01-02 | Ofrex Group Holdings Plc | Improvements in or relating to a stapling machine |
US5129570A (en) | 1990-11-30 | 1992-07-14 | Ethicon, Inc. | Surgical stapler |
CA2055943C (en) | 1990-12-06 | 2003-09-23 | Daniel P. Rodak | Surgical fastening apparatus with locking mechanism |
DE69121587T3 (de) | 1990-12-06 | 2000-05-31 | Gore & Ass | Implantierbare bioresorbierbare artikel |
US5470009A (en) | 1990-12-06 | 1995-11-28 | United States Surgical Corporation | Surgical fastening apparatus with locking mechanism |
USRE36720E (en) | 1990-12-13 | 2000-05-30 | United States Surgical Corporation | Apparatus and method for applying latchless surgical clips |
US5209747A (en) | 1990-12-13 | 1993-05-11 | Knoepfler Dennis J | Adjustable angle medical forceps |
US7384417B2 (en) | 1990-12-14 | 2008-06-10 | Cucin Robert L | Air-powered tissue-aspiration instrument system employing curved bipolar-type electro-cauterizing dual cannula assembly |
US5122156A (en) | 1990-12-14 | 1992-06-16 | United States Surgical Corporation | Apparatus for securement and attachment of body organs |
US5083695A (en) | 1990-12-18 | 1992-01-28 | Minnesota Mining And Manufacturing Company | Stapler and firing device |
US5141144A (en) | 1990-12-18 | 1992-08-25 | Minnesota Mining And Manufacturing Company | Stapler and firing device |
AU662719B2 (en) | 1990-12-18 | 1995-09-14 | United States Surgical Corporation | Safety device for a surgical stapler cartridge |
CA2055985A1 (en) | 1990-12-20 | 1992-06-21 | Daniel Shichman | Fascia clip |
US5195505A (en) | 1990-12-27 | 1993-03-23 | United States Surgical Corporation | Surgical retractor |
EP0566694A1 (en) | 1991-01-09 | 1993-10-27 | EndoMedix Corporation | Method and device for intracorporeal liquidization of tissue and/or intracorporeal fragmentation of calculi during endoscopic surgical procedures |
US5354303A (en) | 1991-01-09 | 1994-10-11 | Endomedix Corporation | Devices for enclosing, manipulating, debulking and removing tissue through minimal incisions |
US5222963A (en) | 1991-01-17 | 1993-06-29 | Ethicon, Inc. | Pull-through circular anastomosic intraluminal stapler with absorbable fastener means |
US5188111A (en) | 1991-01-18 | 1993-02-23 | Catheter Research, Inc. | Device for seeking an area of interest within a body |
US5425355A (en) | 1991-01-28 | 1995-06-20 | Laserscope | Energy discharging surgical probe and surgical process having distal energy application without concomitant proximal movement |
US5342385A (en) | 1991-02-05 | 1994-08-30 | Norelli Robert A | Fluid-expandable surgical retractor |
CA2060635A1 (en) | 1991-02-12 | 1992-08-13 | Keith D'alessio | Bioabsorbable medical implants |
US5690675A (en) | 1991-02-13 | 1997-11-25 | Fusion Medical Technologies, Inc. | Methods for sealing of staples and other fasteners in tissue |
US5156151A (en) | 1991-02-15 | 1992-10-20 | Cardiac Pathways Corporation | Endocardial mapping and ablation system and catheter probe |
DE4104755A1 (de) | 1991-02-15 | 1992-08-20 | Heidmueller Harald | Chirurgisches instrument |
US5168605A (en) | 1991-02-15 | 1992-12-08 | Russell Bartlett | Method and apparatus for securing a tarp |
US5329923A (en) | 1991-02-15 | 1994-07-19 | Lundquist Ingemar H | Torquable catheter |
AU1102192A (en) | 1991-02-19 | 1992-08-27 | Ethicon Inc. | Surgical staple for insertion into tissue |
US5571285A (en) | 1991-02-19 | 1996-11-05 | Ethicon, Inc. | Surgical staple for insertion into tissue |
US5324489A (en) | 1991-03-04 | 1994-06-28 | Johnson & Johnson Medical, Inc. | Medical instrument sterilization container with a contaminant plug |
US5219111A (en) | 1991-03-11 | 1993-06-15 | Ethicon, Inc. | Pneumatically actuated linear stapling device |
JPH0747031B2 (ja) | 1991-03-12 | 1995-05-24 | 株式会社江川 | 歯冠修復用補填物の作製装置 |
US5438997A (en) | 1991-03-13 | 1995-08-08 | Sieben; Wayne | Intravascular imaging apparatus and methods for use and manufacture |
US5353798A (en) | 1991-03-13 | 1994-10-11 | Scimed Life Systems, Incorporated | Intravascular imaging apparatus and methods for use and manufacture |
US5445155A (en) | 1991-03-13 | 1995-08-29 | Scimed Life Systems Incorporated | Intravascular imaging apparatus and methods for use and manufacture |
US5336232A (en) | 1991-03-14 | 1994-08-09 | United States Surgical Corporation | Approximating apparatus for surgical jaw structure and method of using the same |
CA2061885A1 (en) | 1991-03-14 | 1992-09-15 | David T. Green | Approximating apparatus for surgical jaw structure |
JP2760666B2 (ja) | 1991-03-15 | 1998-06-04 | 株式会社東芝 | Pwmコンバ―タの制御方法及び装置 |
US5217453A (en) | 1991-03-18 | 1993-06-08 | Wilk Peter J | Automated surgical system and apparatus |
US5170925A (en) | 1991-03-18 | 1992-12-15 | Ethicon, Inc. | Laparoscopic stapler with knife means |
SU1814161A1 (en) | 1991-03-19 | 1993-05-07 | Penzen Nii Elektronno Mekh Pri | Electric motor |
USD338729S (en) | 1991-03-22 | 1993-08-24 | Ethicon, Inc. | Linear surgical stapler |
US5171253A (en) | 1991-03-22 | 1992-12-15 | Klieman Charles H | Velcro-like closure system with absorbable suture materials for absorbable hemostatic clips and surgical strips |
US5300087A (en) | 1991-03-22 | 1994-04-05 | Knoepfler Dennis J | Multiple purpose forceps |
US5065929A (en) | 1991-04-01 | 1991-11-19 | Ethicon, Inc. | Surgical stapler with locking means |
US5171247A (en) | 1991-04-04 | 1992-12-15 | Ethicon, Inc. | Endoscopic multiple ligating clip applier with rotating shaft |
US5171249A (en) | 1991-04-04 | 1992-12-15 | Ethicon, Inc. | Endoscopic multiple ligating clip applier |
US5470010A (en) | 1991-04-04 | 1995-11-28 | Ethicon, Inc. | Multiple fire endoscopic stapling mechanism |
US5246156A (en) | 1991-09-12 | 1993-09-21 | Ethicon, Inc. | Multiple fire endoscopic stapling mechanism |
US5359993A (en) | 1992-12-31 | 1994-11-01 | Symbiosis Corporation | Apparatus for counting the number of times a medical instrument has been used |
JPH05226945A (ja) | 1991-04-09 | 1993-09-03 | Olympus Optical Co Ltd | 電圧電流変換回路及び該回路を有する差動増幅回路 |
JPH05208014A (ja) | 1991-04-10 | 1993-08-20 | Olympus Optical Co Ltd | 処置具 |
US5297714A (en) | 1991-04-17 | 1994-03-29 | Ethicon, Inc. | Surgical staple with modified "B" shaped configuration |
US5339799A (en) | 1991-04-23 | 1994-08-23 | Olympus Optical Co., Ltd. | Medical system for reproducing a state of contact of the treatment section in the operation unit |
USD337962S (en) | 1991-04-25 | 1993-08-03 | Raymond Corporation | Material handling vehicle operator display |
US5180375A (en) | 1991-05-02 | 1993-01-19 | Feibus Miriam H | Woven surgical drain and woven surgical sponge |
US5338317A (en) | 1991-05-03 | 1994-08-16 | Vance Products Incorporated | Rotational surgical instrument handle |
US5257713A (en) | 1991-05-07 | 1993-11-02 | United States Surgical Corporation | Surgical fastening device |
AU671685B2 (en) | 1991-05-14 | 1996-09-05 | United States Surgical Corporation | Surgical stapler with spent cartridge sensing and lockout means |
US5413267A (en) | 1991-05-14 | 1995-05-09 | United States Surgical Corporation | Surgical stapler with spent cartridge sensing and lockout means |
US5137198A (en) | 1991-05-16 | 1992-08-11 | Ethicon, Inc. | Fast closure device for linear surgical stapling instrument |
DE4116343A1 (de) | 1991-05-18 | 1992-11-19 | Bosch Gmbh Robert | Handgefuehrtes elektrowerkzeug, insbesondere bohrmaschine |
US5181514A (en) | 1991-05-21 | 1993-01-26 | Hewlett-Packard Company | Transducer positioning system |
JP2581082Y2 (ja) | 1991-05-24 | 1998-09-17 | 三洋電機株式会社 | 電池装置 |
FI93607C (fi) | 1991-05-24 | 1995-05-10 | John Koivukangas | Leikkaustoimenpidelaite |
US5361752A (en) | 1991-05-29 | 1994-11-08 | Origin Medsystems, Inc. | Retraction apparatus and methods for endoscopic surgery |
US5370134A (en) | 1991-05-29 | 1994-12-06 | Orgin Medsystems, Inc. | Method and apparatus for body structure manipulation and dissection |
US5527264A (en) | 1991-05-29 | 1996-06-18 | Origin Medsystem, Inc. | Methods of using endoscopic inflatable retraction devices |
FR2677167B1 (fr) | 1991-05-29 | 1994-07-08 | Dav | Commutateur electrique, notamment pour la commande d'equipements et accessoires automobiles. |
US5258010A (en) | 1991-05-30 | 1993-11-02 | United States Surgical Corporation | Anvilless surgical apparatus for applying surgical fasteners |
US5190517A (en) | 1991-06-06 | 1993-03-02 | Valleylab Inc. | Electrosurgical and ultrasonic surgical system |
US5221036A (en) | 1991-06-11 | 1993-06-22 | Haruo Takase | Surgical stapler |
US5190560A (en) | 1991-06-20 | 1993-03-02 | Woods John B | Instrument for ligation and castration |
US5262678A (en) | 1991-06-21 | 1993-11-16 | Lutron Electronics Co., Inc. | Wallbox-mountable switch and dimmer |
US5268622A (en) | 1991-06-27 | 1993-12-07 | Stryker Corporation | DC powered surgical handpiece having a motor control circuit |
US5207697A (en) | 1991-06-27 | 1993-05-04 | Stryker Corporation | Battery powered surgical handpiece |
US5735290A (en) | 1993-02-22 | 1998-04-07 | Heartport, Inc. | Methods and systems for performing thoracoscopic coronary bypass and other procedures |
US5176688A (en) | 1991-07-17 | 1993-01-05 | Perinchery Narayan | Stone extractor and method |
US5135483A (en) | 1991-07-22 | 1992-08-04 | Dow Corning Wright Corporation | Atherectomy device with a removable drive system |
US5190657A (en) * | 1991-07-22 | 1993-03-02 | Lydall, Inc. | Blood filter and method of filtration |
US5261877A (en) | 1991-07-22 | 1993-11-16 | Dow Corning Wright | Method of performing a thrombectomy procedure |
US5173133A (en) | 1991-07-23 | 1992-12-22 | United States Surgical Corporation | Method for annealing stapler anvils |
US6773458B1 (en) | 1991-07-24 | 2004-08-10 | Baxter International Inc. | Angiogenic tissue implant systems and methods |
US5187422A (en) | 1991-07-31 | 1993-02-16 | Stryker Corporation | Charger for batteries of different type |
US5391180A (en) | 1991-08-05 | 1995-02-21 | United States Surgical Corporation | Articulating endoscopic surgical apparatus |
US5383888A (en) | 1992-02-12 | 1995-01-24 | United States Surgical Corporation | Articulating endoscopic surgical apparatus |
US5490819A (en) | 1991-08-05 | 1996-02-13 | United States Surgical Corporation | Articulating endoscopic surgical apparatus |
US5251801A (en) | 1991-08-05 | 1993-10-12 | Edward Weck Incorporated | Surgical stapler |
AU2063592A (en) | 1991-08-09 | 1993-02-11 | Emerson Electric Co. | Cordless power tool |
US5282829A (en) | 1991-08-15 | 1994-02-01 | United States Surgical Corporation | Hollow body implants |
US5302148A (en) | 1991-08-16 | 1994-04-12 | Ted Heinz | Rotatable demountable blocks of several shapes on a central elastic anchor |
GR920100358A (el) | 1991-08-23 | 1993-06-07 | Ethicon Inc | Οργανο συρραφής χειρουργικής αναστομώσεως. |
US5350104A (en) | 1991-08-23 | 1994-09-27 | Ethicon, Inc. | Sealing means for endoscopic surgical anastomosis stapling instrument |
US5333773A (en) | 1991-08-23 | 1994-08-02 | Ethicon, Inc. | Sealing means for endoscopic surgical anastomosis stapling instrument |
US5259835A (en) | 1991-08-29 | 1993-11-09 | Tri-Point Medical L.P. | Wound closure means and method using flowable adhesive |
US5263973A (en) | 1991-08-30 | 1993-11-23 | Cook Melvin S | Surgical stapling method |
US5142932A (en) | 1991-09-04 | 1992-09-01 | The United States Of America As Represented By The Administrator Of The National Aeronautics And Space Administration | Flexible robotic arm |
US5200280A (en) | 1991-09-05 | 1993-04-06 | Black & Decker Inc. | Terminal cover for a battery pack |
IT1251206B (it) | 1991-09-18 | 1995-05-04 | Magneti Marelli Spa | Impianto elettrico di un autoveicolo, comprendente almeno un supercondensatore. |
US5476479A (en) | 1991-09-26 | 1995-12-19 | United States Surgical Corporation | Handle for endoscopic surgical instruments and jaw structure |
CA2075319C (en) | 1991-09-26 | 1998-06-30 | Ernie Aranyi | Handle for surgical instruments |
US5431654A (en) | 1991-09-30 | 1995-07-11 | Stryker Corporation | Bone cement injector |
US5220269A (en) | 1991-10-04 | 1993-06-15 | Innova Electronics Corporation | Power supply unit |
US5369565A (en) | 1991-10-04 | 1994-11-29 | Innova Electronics Corp. | Modular power supply system |
JP2817749B2 (ja) | 1991-10-07 | 1998-10-30 | 三菱電機株式会社 | レーザ加工装置 |
US5697909A (en) | 1992-01-07 | 1997-12-16 | Arthrocare Corporation | Methods and apparatus for surgical cutting |
USD347474S (en) | 1991-10-11 | 1994-05-31 | Ethicon, Inc. | Endoscopic stapler |
USD348930S (en) | 1991-10-11 | 1994-07-19 | Ethicon, Inc. | Endoscopic stapler |
US5275608A (en) | 1991-10-16 | 1994-01-04 | Implemed, Inc. | Generic endoscopic instrument |
CA2075141C (en) | 1991-10-17 | 1998-06-30 | Donald A. Morin | Anvil for surgical staplers |
US5397046A (en) | 1991-10-18 | 1995-03-14 | United States Surgical Corporation | Lockout mechanism for surgical apparatus |
CA2075227C (en) | 1991-10-18 | 2004-02-10 | Robert J. Geiste | Surgical fastening apparatus with shipping interlock |
US5356064A (en) | 1991-10-18 | 1994-10-18 | United States Surgical Corporation | Apparatus and method for applying surgical staples to attach an object to body tissue |
US5443198A (en) | 1991-10-18 | 1995-08-22 | United States Surgical Corporation | Surgical fastener applying apparatus |
US5431322A (en) | 1991-10-18 | 1995-07-11 | United States Surgical Corporation | Self contained gas powered surgical apparatus |
US6250532B1 (en) | 1991-10-18 | 2001-06-26 | United States Surgical Corporation | Surgical stapling apparatus |
US5366134A (en) | 1991-10-18 | 1994-11-22 | United States Surgical Corporation | Surgical fastening apparatus |
AU660712B2 (en) | 1991-10-18 | 1995-07-06 | United States Surgical Corporation | Apparatus for applying surgical fasteners |
US5474223A (en) | 1991-10-18 | 1995-12-12 | United States Surgical Corporation | Surgical fastener applying apparatus |
US5307976A (en) | 1991-10-18 | 1994-05-03 | Ethicon, Inc. | Linear stapling mechanism with cutting means |
US5326013A (en) | 1991-10-18 | 1994-07-05 | United States Surgical Corporation | Self contained gas powered surgical apparatus |
US5312023A (en) | 1991-10-18 | 1994-05-17 | United States Surgical Corporation | Self contained gas powered surgical apparatus |
US5478003A (en) | 1991-10-18 | 1995-12-26 | United States Surgical Corporation | Surgical apparatus |
US5711472A (en) | 1991-10-18 | 1998-01-27 | United States Surgical Corporation | Self contained gas powered surgical apparatus |
DE537571T1 (de) | 1991-10-18 | 1993-10-14 | United States Surgical Corp | Gerät zum Anbringen von chirurgischen Befestigungen. |
US5395312A (en) | 1991-10-18 | 1995-03-07 | Desai; Ashvin | Surgical tool |
US5579978A (en) | 1991-10-18 | 1996-12-03 | United States Surgical Corporation | Apparatus for applying surgical fasteners |
US5289963A (en) | 1991-10-18 | 1994-03-01 | United States Surgical Corporation | Apparatus and method for applying surgical staples to attach an object to body tissue |
US5497933A (en) | 1991-10-18 | 1996-03-12 | United States Surgical Corporation | Apparatus and method for applying surgical staples to attach an object to body tissue |
US5308576A (en) | 1991-10-18 | 1994-05-03 | United States Surgical Corporation | Injection molded anvils |
AU657364B2 (en) | 1991-10-18 | 1995-03-09 | United States Surgical Corporation | Self contained gas powered surgical apparatus |
US5364001A (en) | 1991-10-18 | 1994-11-15 | United States Surgical Corporation | Self contained gas powered surgical apparatus |
CA2078794C (en) | 1991-10-18 | 1998-10-06 | Frank J. Viola | Locking device for an apparatus for applying surgical fasteners |
US5332142A (en) | 1991-10-18 | 1994-07-26 | Ethicon, Inc. | Linear stapling mechanism with cutting means |
US5197649A (en) | 1991-10-29 | 1993-03-30 | The Trustees Of Columbia University In The City Of New York | Gastrointestinal endoscoptic stapler |
EP0540461A1 (de) | 1991-10-29 | 1993-05-05 | SULZER Medizinaltechnik AG | Steriles Punktiergerät für Blutgefässe mit nichtsteriler Ultraschallsonde und Vorrichtung zum Vorbereiten des Geräts |
US5290310A (en) | 1991-10-30 | 1994-03-01 | Howmedica, Inc. | Hemostatic implant introducer |
US5240163A (en) | 1991-10-30 | 1993-08-31 | American Cyanamid Company | Linear surgical stapling instrument |
DE69233321T2 (de) | 1991-10-30 | 2005-03-17 | Sherwood Services Ag | Klammergerät beinhaltend aus dehnbarem, bioabsorbierbarem Kunststoff hergestellte Klammern |
US5350400A (en) | 1991-10-30 | 1994-09-27 | American Cyanamid Company | Malleable, bioabsorbable, plastic staple; and method and apparatus for deforming such staple |
US5665085A (en) | 1991-11-01 | 1997-09-09 | Medical Scientific, Inc. | Electrosurgical cutting tool |
US5531744A (en) | 1991-11-01 | 1996-07-02 | Medical Scientific, Inc. | Alternative current pathways for bipolar surgical cutting tool |
US5713896A (en) | 1991-11-01 | 1998-02-03 | Medical Scientific, Inc. | Impedance feedback electrosurgical system |
EP0610326B1 (en) | 1991-11-01 | 2002-09-18 | Medical Scientific, Inc. | Electrosurgical cutting tool |
JPH05123325A (ja) | 1991-11-01 | 1993-05-21 | Olympus Optical Co Ltd | 処置具 |
US5741271A (en) | 1991-11-05 | 1998-04-21 | Nakao; Naomi L. | Surgical retrieval assembly and associated method |
US5395034A (en) | 1991-11-07 | 1995-03-07 | American Cyanamid Co. | Linear surgical stapling instrument |
US5383874A (en) | 1991-11-08 | 1995-01-24 | Ep Technologies, Inc. | Systems for identifying catheters and monitoring their use |
JP3530528B2 (ja) | 1991-11-08 | 2004-05-24 | ボストン サイエンティフィック リミテッド | 絶縁された温度感知素子を有する切除電極 |
WO1993009843A1 (de) | 1991-11-15 | 1993-05-27 | Schoendorf Erhard | Elektrotherapie-gerät |
RU2069981C1 (ru) | 1991-11-15 | 1996-12-10 | Ялмар Яковлевич Татти | Хирургический сшивающий аппарат |
US5236629A (en) | 1991-11-15 | 1993-08-17 | Xerox Corporation | Conductive composite particles and processes for the preparation thereof |
US5242456A (en) | 1991-11-21 | 1993-09-07 | Kensey Nash Corporation | Apparatus and methods for clamping tissue and reflecting the same |
US5173053A (en) | 1991-11-26 | 1992-12-22 | Caterpillar Inc. | Electrical connector for an electromechanical device |
US5439467A (en) | 1991-12-03 | 1995-08-08 | Vesica Medical, Inc. | Suture passer |
US5458579A (en) | 1991-12-31 | 1995-10-17 | Technalytics, Inc. | Mechanical trocar insertion apparatus |
WO1993013704A1 (en) | 1992-01-09 | 1993-07-22 | Endomedix Corporation | Bi-directional miniscope |
US5383880A (en) | 1992-01-17 | 1995-01-24 | Ethicon, Inc. | Endoscopic surgical system with sensing means |
US5433721A (en) | 1992-01-17 | 1995-07-18 | Ethicon, Inc. | Endoscopic instrument having a torsionally stiff drive shaft for applying fasteners to tissue |
US6963792B1 (en) | 1992-01-21 | 2005-11-08 | Sri International | Surgical method |
EP0776739B1 (en) | 1992-01-21 | 2003-04-23 | Sri International | Surgical System |
US5631973A (en) | 1994-05-05 | 1997-05-20 | Sri International | Method for telemanipulation with telepresence |
KR0145453B1 (ko) | 1992-01-21 | 1998-07-01 | 알렌 제이 | 전기외과용 투관침 제어장치 |
US5284128A (en) | 1992-01-24 | 1994-02-08 | Applied Medical Resources Corporation | Surgical manipulator |
ATE155054T1 (de) | 1992-02-07 | 1997-07-15 | Valleylab Inc | Chirurgische ultraschallvorrichtung |
AU3610693A (en) | 1992-02-07 | 1993-09-03 | Nakao, Naomi | Endoscope with disposable insertion member |
US5271543A (en) | 1992-02-07 | 1993-12-21 | Ethicon, Inc. | Surgical anastomosis stapling instrument with flexible support shaft and anvil adjusting mechanism |
US5348259A (en) | 1992-02-10 | 1994-09-20 | Massachusetts Institute Of Technology | Flexible, articulable column |
US5514157A (en) | 1992-02-12 | 1996-05-07 | United States Surgical Corporation | Articulating endoscopic surgical apparatus |
US5350355A (en) | 1992-02-14 | 1994-09-27 | Automated Medical Instruments, Inc. | Automated surgical instrument |
WO1993015694A1 (en) | 1992-02-14 | 1993-08-19 | Board Of Regents, The University Of Texas System | Multi-phase bioerodible implant/carrier and method of manufacturing and using same |
US5626595A (en) | 1992-02-14 | 1997-05-06 | Automated Medical Instruments, Inc. | Automated surgical instrument |
US5261922A (en) | 1992-02-20 | 1993-11-16 | Hood Larry L | Improved ultrasonic knife |
US5282806A (en) | 1992-08-21 | 1994-02-01 | Habley Medical Technology Corporation | Endoscopic surgical instrument having a removable, rotatable, end effector assembly |
CA2089999A1 (en) | 1992-02-24 | 1993-08-25 | H. Jonathan Tovey | Resilient arm mesh deployer |
DE4305667B4 (de) | 1992-02-24 | 2007-11-29 | Syron Engineering & Manufacturing, LLC, Saline | Gelenkelement für ein Kugelgelenk |
US5658238A (en) | 1992-02-25 | 1997-08-19 | Olympus Optical Co., Ltd. | Endoscope apparatus capable of being switched to a mode in which a curvature operating lever is returned and to a mode in which the curvature operating lever is not returned |
US5282826A (en) | 1992-03-05 | 1994-02-01 | Quadtello Corporation | Dissector for endoscopic and laparoscopic use |
US5352235A (en) | 1992-03-16 | 1994-10-04 | Tibor Koros | Laparoscopic grasper and cutter |
GR1002537B (el) | 1992-03-30 | 1997-01-27 | Ethicon Inc. | Χειρουργικος συνδετηρας για εισαγωγη εντος ιστου. |
US5281216A (en) | 1992-03-31 | 1994-01-25 | Valleylab, Inc. | Electrosurgical bipolar treating apparatus |
US5484095A (en) | 1992-03-31 | 1996-01-16 | United States Surgical Corporation | Apparatus for endoscopically applying staples individually to body tissue |
US5223675A (en) | 1992-04-02 | 1993-06-29 | Taft Anthony W | Cable fastener |
US5478308A (en) | 1992-04-02 | 1995-12-26 | New Dimensions In Medicine, Inc. | Wound packing and package therefor |
DE4211230C2 (de) | 1992-04-03 | 1997-06-26 | Ivoclar Ag | Wiederaufladbares Lichthärtgerät |
US5314424A (en) | 1992-04-06 | 1994-05-24 | United States Surgical Corporation | Surgical instrument locking mechanism |
US5411481A (en) | 1992-04-08 | 1995-05-02 | American Cyanamid Co. | Surgical purse string suturing instrument and method |
FR2689749B1 (fr) | 1992-04-13 | 1994-07-22 | Toledano Haviv | Instrument d'agrafage chirurgical flexible pour anastomoses circulaires. |
US5602449A (en) | 1992-04-13 | 1997-02-11 | Smith & Nephew Endoscopy, Inc. | Motor controlled surgical system and method having positional control |
WO1993020886A1 (en) | 1992-04-13 | 1993-10-28 | Ep Technologies, Inc. | Articulated systems for cardiac ablation |
US5672945A (en) | 1992-04-13 | 1997-09-30 | Smith & Nephew Endoscopy, Inc. | Motor controlled surgical system and method having self clearing motor control |
US5563481A (en) | 1992-04-13 | 1996-10-08 | Smith & Nephew Endoscopy, Inc. | Brushless motor |
US5314466A (en) | 1992-04-13 | 1994-05-24 | Ep Technologies, Inc. | Articulated unidirectional microwave antenna systems for cardiac ablation |
US5236440A (en) | 1992-04-14 | 1993-08-17 | American Cyanamid Company | Surgical fastener |
US5620459A (en) | 1992-04-15 | 1997-04-15 | Microsurge, Inc. | Surgical instrument |
DK50592A (da) | 1992-04-15 | 1993-10-16 | Jane Noeglebaek Christensen | Baekkenbundstraeningsapparat |
US5318589A (en) | 1992-04-15 | 1994-06-07 | Microsurge, Inc. | Surgical instrument for endoscopic surgery |
US5355897A (en) | 1992-04-16 | 1994-10-18 | Ethicon, Inc. | Method of performing a pyloroplasty/pylorectomy using a stapler having a shield |
US5603318A (en) | 1992-04-21 | 1997-02-18 | University Of Utah Research Foundation | Apparatus and method for photogrammetric surgical localization |
US5417203A (en) | 1992-04-23 | 1995-05-23 | United States Surgical Corporation | Articulating endoscopic surgical apparatus |
US5261135A (en) | 1992-05-01 | 1993-11-16 | Mitchell Brent R | Screw gun router for drywall installation |
US5443463A (en) | 1992-05-01 | 1995-08-22 | Vesta Medical, Inc. | Coagulating forceps |
AU662407B2 (en) | 1992-05-06 | 1995-08-31 | Ethicon Inc. | Endoscopic ligation and division instrument |
US5211655A (en) | 1992-05-08 | 1993-05-18 | Hasson Harrith M | Multiple use forceps for endoscopy |
US5242457A (en) | 1992-05-08 | 1993-09-07 | Ethicon, Inc. | Surgical instrument and staples for applying purse string sutures |
US5484451A (en) | 1992-05-08 | 1996-01-16 | Ethicon, Inc. | Endoscopic surgical instrument and staples for applying purse string sutures |
US5258007A (en) | 1992-05-14 | 1993-11-02 | Robert F. Spetzler | Powered surgical instrument |
JPH0630945A (ja) | 1992-05-19 | 1994-02-08 | Olympus Optical Co Ltd | 縫合器 |
US5344059A (en) | 1992-05-19 | 1994-09-06 | United States Surgical Corporation | Surgical apparatus and anvil delivery system therefor |
US5389098A (en) | 1992-05-19 | 1995-02-14 | Olympus Optical Co., Ltd. | Surgical device for stapling and/or fastening body tissues |
US5405378A (en) | 1992-05-20 | 1995-04-11 | Strecker; Ernst P. | Device with a prosthesis implantable in the body of a patient |
US5197966A (en) | 1992-05-22 | 1993-03-30 | Sommerkamp T Greg | Radiodorsal buttress blade plate implant for repairing distal radius fractures |
US5192288A (en) | 1992-05-26 | 1993-03-09 | Origin Medsystems, Inc. | Surgical clip applier |
US5658300A (en) | 1992-06-04 | 1997-08-19 | Olympus Optical Co., Ltd. | Tissue fixing surgical instrument, tissue-fixing device, and method of fixing tissues |
US5906625A (en) | 1992-06-04 | 1999-05-25 | Olympus Optical Co., Ltd. | Tissue-fixing surgical instrument, tissue-fixing device, and method of fixing tissue |
JPH0647050A (ja) | 1992-06-04 | 1994-02-22 | Olympus Optical Co Ltd | 組織縫合結紮器 |
US5279416A (en) | 1992-06-05 | 1994-01-18 | Edward Weck Incorporated | Ligating device cartridge with separable retainer |
US5236424A (en) | 1992-06-05 | 1993-08-17 | Cardiac Pathways Corporation | Catheter with retractable cannula for delivering a plurality of chemicals |
US5361902A (en) | 1992-06-05 | 1994-11-08 | Leonard Bloom | Surgical blade dispenser and disposal system for use during an operating procedure and method thereof |
JP3442423B2 (ja) | 1992-06-05 | 2003-09-02 | 積水化学工業株式会社 | 簡易コルセット及び簡易コルセット貼付体 |
US5389072A (en) | 1992-06-05 | 1995-02-14 | Mircor Biomedical, Inc. | Mechanism for manipulating a tool and flexible elongate device using the same |
US7928281B2 (en) | 1992-06-19 | 2011-04-19 | Arizant Technologies Llc | Wound covering |
US5263629A (en) | 1992-06-29 | 1993-11-23 | Ethicon, Inc. | Method and apparatus for achieving hemostasis along a staple line |
US5258009A (en) | 1992-06-30 | 1993-11-02 | American Cyanamid Company | Malleable, bioabsorbable,plastic staple having a knotted configuration; and method and apparatus for deforming such staple |
US5221281A (en) | 1992-06-30 | 1993-06-22 | Valleylab Inc. | Electrosurgical tubular trocar |
US5258012A (en) | 1992-06-30 | 1993-11-02 | Ethicon, Inc. | Surgical fasteners |
US5341807A (en) | 1992-06-30 | 1994-08-30 | American Cardiac Ablation Co., Inc. | Ablation catheter positioning system |
US5368606A (en) | 1992-07-02 | 1994-11-29 | Marlow Surgical Technologies, Inc. | Endoscopic instrument system |
US5222975A (en) | 1992-07-13 | 1993-06-29 | Lawrence Crainich | Surgical staples |
JPH0636757A (ja) | 1992-07-21 | 1994-02-10 | Ricoh Co Ltd | バッテリパック装置 |
US5360428A (en) | 1992-07-22 | 1994-11-01 | Hutchinson Jr William B | Laparoscopic instrument with electrical cutting wires |
US5313967A (en) | 1992-07-24 | 1994-05-24 | Medtronic, Inc. | Helical guidewire |
US5511564A (en) | 1992-07-29 | 1996-04-30 | Valleylab Inc. | Laparoscopic stretching instrument and associated method |
US5258008A (en) | 1992-07-29 | 1993-11-02 | Wilk Peter J | Surgical stapling device and associated method |
US5330486A (en) | 1992-07-29 | 1994-07-19 | Wilk Peter J | Laparoscopic or endoscopic anastomosis technique and associated instruments |
US5524180A (en) | 1992-08-10 | 1996-06-04 | Computer Motion, Inc. | Automated endoscope system for optimal positioning |
US5762458A (en) | 1996-02-20 | 1998-06-09 | Computer Motion, Inc. | Method and apparatus for performing minimally invasive cardiac procedures |
US5657429A (en) | 1992-08-10 | 1997-08-12 | Computer Motion, Inc. | Automated endoscope system optimal positioning |
WO1994004938A1 (en) | 1992-08-14 | 1994-03-03 | British Telecommunications Public Limited Company | Position location system |
US5375588A (en) | 1992-08-17 | 1994-12-27 | Yoon; Inbae | Method and apparatus for use in endoscopic procedures |
US5291133A (en) | 1992-08-24 | 1994-03-01 | General Motors Corporation | Multi-bit encoder signal conditioning circuit having common mode disturbance compensation |
US5308358A (en) | 1992-08-25 | 1994-05-03 | Bond Albert L | Rigid-shaft surgical instruments that can be disassembled for improved cleaning |
DE4228909C2 (de) | 1992-08-28 | 1994-06-09 | Ethicon Gmbh | Endoskopisches Instrument zur Applizierung von Ligaturbindern und Ligaturbinder |
US5308353A (en) | 1992-08-31 | 1994-05-03 | Merrimac Industries, Inc. | Surgical suturing device |
EP0658090B1 (en) | 1992-09-01 | 1998-11-04 | Edwin L. Adair | Sterilizable endoscope with separable disposable tube assembly |
US5630782A (en) | 1992-09-01 | 1997-05-20 | Adair; Edwin L. | Sterilizable endoscope with separable auxiliary assembly |
CA2104345A1 (en) | 1992-09-02 | 1994-03-03 | David T. Green | Surgical clamp apparatus |
US5368215A (en) | 1992-09-08 | 1994-11-29 | United States Surgical Corporation | Surgical apparatus and detachable anvil rod therefor |
US5285381A (en) | 1992-09-09 | 1994-02-08 | Vanderbilt University | Multiple control-point control system and method of use |
US5772597A (en) | 1992-09-14 | 1998-06-30 | Sextant Medical Corporation | Surgical tool end effector |
CA2437773C (en) | 1992-09-21 | 2005-02-22 | United States Surgical Corporation | Device for applying a meniscal staple |
US5485952A (en) | 1992-09-23 | 1996-01-23 | United States Surgical Corporation | Apparatus for applying surgical fasteners |
US5465819A (en) | 1992-09-29 | 1995-11-14 | Borg-Warner Automotive, Inc. | Power transmitting assembly |
US5281400A (en) | 1992-09-30 | 1994-01-25 | Carr Metal Products | Plastic autoclave tray and lid combination |
US5423471A (en) | 1992-10-02 | 1995-06-13 | United States Surgical Corporation | Apparatus for applying two-part surgical fasteners in laparoscopic or endoscopic procedures |
US5573169A (en) | 1992-10-02 | 1996-11-12 | United States Surgical Corporation | Apparatus for applying two-part surgical fasteners in laparoscopic or endoscopic procedures |
US5383460A (en) | 1992-10-05 | 1995-01-24 | Cardiovascular Imaging Systems, Inc. | Method and apparatus for ultrasound imaging and atherectomy |
US5569161A (en) | 1992-10-08 | 1996-10-29 | Wendell V. Ebling | Endoscope with sterile sleeve |
US5368599A (en) | 1992-10-08 | 1994-11-29 | United States Surgical Corporation | Surgical fastening apparatus with suture array |
US5381943A (en) | 1992-10-09 | 1995-01-17 | Ethicon, Inc. | Endoscopic surgical stapling instrument with pivotable and rotatable staple cartridge |
US5662662A (en) | 1992-10-09 | 1997-09-02 | Ethicon Endo-Surgery, Inc. | Surgical instrument and method |
US5431323A (en) | 1992-10-09 | 1995-07-11 | Ethicon, Inc. | Endoscopic surgical instrument with pivotable and rotatable staple cartridge |
US5454824A (en) | 1992-10-09 | 1995-10-03 | United States Surgical Corporation | Fragmentable ring applier |
US5286253A (en) | 1992-10-09 | 1994-02-15 | Linvatec Corporation | Angled rotating surgical instrument |
US5374277A (en) | 1992-10-09 | 1994-12-20 | Ethicon, Inc. | Surgical instrument |
US5601224A (en) | 1992-10-09 | 1997-02-11 | Ethicon, Inc. | Surgical instrument |
US5626587A (en) | 1992-10-09 | 1997-05-06 | Ethicon Endo-Surgery, Inc. | Method for operating a surgical instrument |
US5330502A (en) | 1992-10-09 | 1994-07-19 | Ethicon, Inc. | Rotational endoscopic mechanism with jointed drive mechanism |
US5222945A (en) | 1992-10-13 | 1993-06-29 | Basnight Robert W | Hypodermic syringe with protective shield |
US5350391A (en) | 1992-10-19 | 1994-09-27 | Benedetto Iacovelli | Laparoscopic instruments |
US5718548A (en) | 1992-10-20 | 1998-02-17 | Clipmaster Corporation Pty Ltd | Staple assembly |
CA2108605A1 (en) | 1992-10-21 | 1994-04-22 | Nagabhushanam Totakura | Bioabsorbable foam pledget |
US5309927A (en) | 1992-10-22 | 1994-05-10 | Ethicon, Inc. | Circular stapler tissue retention spring method |
US5578052A (en) | 1992-10-27 | 1996-11-26 | Koros; Tibor | Insulated laparoscopic grasper with removable shaft |
US5259366A (en) | 1992-11-03 | 1993-11-09 | Boris Reydel | Method of using a catheter-sleeve assembly for an endoscope |
US5409498A (en) | 1992-11-05 | 1995-04-25 | Ethicon, Inc. | Rotatable articulating endoscopic fastening instrument |
GB2272159A (en) | 1992-11-10 | 1994-05-11 | Andreas G Constantinides | Surgical/diagnostic aid |
IL103737A (en) | 1992-11-13 | 1997-02-18 | Technion Res & Dev Foundation | Stapler device particularly useful in medical suturing |
US5441483A (en) | 1992-11-16 | 1995-08-15 | Avitall; Boaz | Catheter deflection control |
US5389104A (en) | 1992-11-18 | 1995-02-14 | Symbiosis Corporation | Arthroscopic surgical instruments |
US5346504A (en) | 1992-11-19 | 1994-09-13 | Ethicon, Inc. | Intraluminal manipulator with a head having articulating links |
DE9321021U1 (de) | 1992-11-30 | 1995-09-07 | Valleylab Inc | Chirurgisches Ultraschallhandstück und Energieinitiator zum Aufrechterhalten der Schwingungen und der linearen Dynamik |
US5372602A (en) | 1992-11-30 | 1994-12-13 | Device For Vascular Intervention, Inc. | Method of removing plaque using catheter cutter with torque control |
US5769640A (en) | 1992-12-02 | 1998-06-23 | Cybernet Systems Corporation | Method and system for simulating medical procedures including virtual reality and control method and system for use therein |
US5333422A (en) | 1992-12-02 | 1994-08-02 | The United States Of America As Represented By The United States Department Of Energy | Lightweight extendable and retractable pole |
US5400267A (en) | 1992-12-08 | 1995-03-21 | Hemostatix Corporation | Local in-device memory feature for electrically powered medical equipment |
US5356006A (en) | 1992-12-16 | 1994-10-18 | Ethicon, Inc. | Sterile package for surgical devices |
US5330487A (en) | 1992-12-17 | 1994-07-19 | Tfi Acquistion Corp. | Drive mechanism for surgical instruments |
JP3042816B2 (ja) | 1992-12-18 | 2000-05-22 | 矢崎総業株式会社 | 給電コネクタ |
US5403312A (en) | 1993-07-22 | 1995-04-04 | Ethicon, Inc. | Electrosurgical hemostatic device |
US5558671A (en) | 1993-07-22 | 1996-09-24 | Yates; David C. | Impedance feedback monitor for electrosurgical instrument |
US5807393A (en) | 1992-12-22 | 1998-09-15 | Ethicon Endo-Surgery, Inc. | Surgical tissue treating device with locking mechanism |
FR2699806B1 (fr) | 1992-12-30 | 1995-03-24 | Duthoit Francois | Instrument, destiné notamment à permettre l'extraction de tronçons veineux pathologiques tels que des varices. |
EP0604789A1 (de) | 1992-12-31 | 1994-07-06 | K. Widmann Ag | Für chirurgische Zwecke bestimmtes Klemmelement zur Herstellung einer Tabaksbeutelnaht |
US5313935A (en) | 1992-12-31 | 1994-05-24 | Symbiosis Corporation | Apparatus for counting the number of times a surgical instrument has been used |
US5236269A (en) | 1993-01-14 | 1993-08-17 | Mattel, Inc. | Battery-powered dispenser for hot melt adhesive |
US5468253A (en) | 1993-01-21 | 1995-11-21 | Ethicon, Inc. | Elastomeric medical device |
US5358510A (en) | 1993-01-26 | 1994-10-25 | Ethicon, Inc. | Two part surgical fastener |
JP2857555B2 (ja) | 1993-01-27 | 1999-02-17 | 三菱電機株式会社 | 電動式パワーステアリング装置 |
CA2114282A1 (en) | 1993-01-28 | 1994-07-29 | Lothar Schilder | Multi-layered implant |
ATE164992T1 (de) | 1993-01-29 | 1998-05-15 | Smith & Nephew Inc | Schwenkbares gekrümmtes instrument |
US5336229A (en) | 1993-02-09 | 1994-08-09 | Laparomed Corporation | Dual ligating and dividing apparatus |
US5304204A (en) | 1993-02-09 | 1994-04-19 | Ethicon, Inc. | Receiverless surgical fasteners |
US5383895A (en) | 1993-02-10 | 1995-01-24 | Unisurge, Inc. | Endoscopic surgical grasper and method |
US5342381A (en) | 1993-02-11 | 1994-08-30 | Everest Medical Corporation | Combination bipolar scissors and forceps instrument |
US5553624A (en) | 1993-02-11 | 1996-09-10 | Symbiosis Corporation | Endoscopic biopsy forceps jaws and instruments incorporating same |
US5263937A (en) | 1993-02-11 | 1993-11-23 | Shipp John I | Trocar with profile to reduce insertion force |
JPH06237937A (ja) | 1993-02-12 | 1994-08-30 | Olympus Optical Co Ltd | 外科用縫合器 |
US5403276A (en) | 1993-02-16 | 1995-04-04 | Danek Medical, Inc. | Apparatus for minimally invasive tissue removal |
DE4304571A1 (de) | 1993-02-16 | 1994-08-18 | Mdc Med Diagnostic Computing | Verfahren zur Planung und Kontrolle eines chirurgischen Eingriffs |
WO1994018893A1 (en) | 1993-02-22 | 1994-09-01 | Valleylab, Inc. | A laparoscopic dissection tension retractor device and method |
US5613937A (en) | 1993-02-22 | 1997-03-25 | Heartport, Inc. | Method of retracting heart tissue in closed-chest heart surgery using endo-scopic retraction |
US5643294A (en) | 1993-03-01 | 1997-07-01 | United States Surgical Corporation | Surgical apparatus having an increased range of operability |
US5749968A (en) | 1993-03-01 | 1998-05-12 | Focal, Inc. | Device for priming for improved adherence of gels to substrates |
JP2672713B2 (ja) | 1993-03-02 | 1997-11-05 | ホロビーム インコーポレイティド | 外科用装置 |
US5342396A (en) | 1993-03-02 | 1994-08-30 | Cook Melvin S | Staples |
US5336130A (en) | 1993-03-04 | 1994-08-09 | Metal-Fab, Inc. | Adjustable exhauster arm assembly |
DE4306786C1 (de) | 1993-03-04 | 1994-02-10 | Wolfgang Daum | Chirurgischer Manipulator |
US5431676A (en) | 1993-03-05 | 1995-07-11 | Innerdyne Medical, Inc. | Trocar system having expandable port |
US5397324A (en) | 1993-03-10 | 1995-03-14 | Carroll; Brendan J. | Surgical stapler instrument and method for vascular hemostasis |
DE4308454A1 (de) | 1993-03-17 | 1994-09-22 | Ferdinand Dr Koeckerling | Chirurgische Nahtklemme, insbesondere Tabaksbeutel-Nahtklemme |
US5360305A (en) | 1993-03-19 | 1994-11-01 | Duo-Fast Corporation | Clinch staples and method of manufacturing and applying clinch staples |
US5343382A (en) | 1993-04-05 | 1994-08-30 | Delco Electronics Corp. | Adaptive current control |
US5312329A (en) | 1993-04-07 | 1994-05-17 | Valleylab Inc. | Piezo ultrasonic and electrosurgical handpiece |
US5456917A (en) | 1993-04-12 | 1995-10-10 | Cambridge Scientific, Inc. | Method for making a bioerodible material for the sustained release of a medicament and the material made from the method |
US5303606A (en) | 1993-04-15 | 1994-04-19 | Kokinda Mark A | Anti-backlash nut having a free floating insert for applying an axial force to a lead screw |
USD352780S (en) | 1993-04-19 | 1994-11-22 | Valleylab Inc. | Combined suction, irrigation and electrosurgical handle |
US5370645A (en) | 1993-04-19 | 1994-12-06 | Valleylab Inc. | Electrosurgical processor and method of use |
DE69406845T2 (de) | 1993-04-20 | 1998-04-09 | United States Surgical Corp | Chirurgisches Klammerinstrument |
US5540375A (en) | 1993-04-20 | 1996-07-30 | United States Surgical Corporation | Endoscopic stapler |
CA2121861A1 (en) | 1993-04-23 | 1994-10-24 | William D. Fox | Mechanical morcellator |
JPH06304176A (ja) | 1993-04-27 | 1994-11-01 | Olympus Optical Co Ltd | 縫合結紮装置 |
US5467911A (en) | 1993-04-27 | 1995-11-21 | Olympus Optical Co., Ltd. | Surgical device for stapling and fastening body tissues |
ATE153231T1 (de) | 1993-04-27 | 1997-06-15 | American Cyanamid Co | Automatischer, laparoskopischer applikator für abbindeklammern |
US5407293A (en) | 1993-04-29 | 1995-04-18 | Crainich; Lawrence | Coupling apparatus for medical instrument |
US5431668A (en) | 1993-04-29 | 1995-07-11 | Ethicon, Inc. | Ligating clip applier |
US5464300A (en) | 1993-04-29 | 1995-11-07 | Crainich; Lawrence | Medical instrument and coupling apparatus for same |
US6716232B1 (en) | 1993-04-30 | 2004-04-06 | United States Surgical Corporation | Surgical instrument having an articulated jaw structure and a detachable knife |
US5447265A (en) | 1993-04-30 | 1995-09-05 | Minnesota Mining And Manufacturing Company | Laparoscopic surgical instrument with a mechanism for preventing its entry into the abdominal cavity once it is depleted and removed from the abdominal cavity |
WO1994024947A1 (en) | 1993-04-30 | 1994-11-10 | Minnesota Mining And Manufacturing Company | Surgical instrument having an articulated jaw structure and a detachable knife |
GB9309142D0 (en) | 1993-05-04 | 1993-06-16 | Gyrus Medical Ltd | Laparoscopic instrument |
GB9309151D0 (en) | 1993-05-04 | 1993-06-16 | Zeneca Ltd | Syringes and syringe pumps |
US5364003A (en) | 1993-05-05 | 1994-11-15 | Ethicon Endo-Surgery | Staple cartridge for a surgical stapler |
US5415334A (en) | 1993-05-05 | 1995-05-16 | Ethicon Endo-Surgery | Surgical stapler and staple cartridge |
US5509918A (en) | 1993-05-11 | 1996-04-23 | David Romano | Method and apparatus for drilling a curved bore in an object |
US5449370A (en) | 1993-05-12 | 1995-09-12 | Ethicon, Inc. | Blunt tipped ultrasonic trocar |
US5352229A (en) | 1993-05-12 | 1994-10-04 | Marlowe Goble E | Arbor press staple and washer and method for its use |
US5388748A (en) | 1993-05-13 | 1995-02-14 | Avery Dennison Corp. | Electric powered apparatus for dispensing individual plastic fasteners from fastener stock |
JP2665052B2 (ja) | 1993-05-14 | 1997-10-22 | エスアールアイ インターナショナル | 遠隔中心位置決め装置 |
US5549621A (en) | 1993-05-14 | 1996-08-27 | Byron C. Sutherland | Apparatus and method for performing vertical banded gastroplasty |
US6406472B1 (en) | 1993-05-14 | 2002-06-18 | Sri International, Inc. | Remote center positioner |
US5791231A (en) | 1993-05-17 | 1998-08-11 | Endorobotics Corporation | Surgical robotic system and hydraulic actuator therefor |
JPH06327684A (ja) | 1993-05-19 | 1994-11-29 | Olympus Optical Co Ltd | 外科用縫合具 |
CA2124109A1 (en) | 1993-05-24 | 1994-11-25 | Mark T. Byrne | Endoscopic surgical instrument with electromagnetic sensor |
JP3172977B2 (ja) | 1993-05-26 | 2001-06-04 | 富士重工業株式会社 | 車載バッテリの残存容量計 |
US5601604A (en) | 1993-05-27 | 1997-02-11 | Inamed Development Co. | Universal gastric band |
US5489290A (en) | 1993-05-28 | 1996-02-06 | Snowden-Pencer, Inc. | Flush port for endoscopic surgical instruments |
US5404870A (en) | 1993-05-28 | 1995-04-11 | Ethicon, Inc. | Method of using a transanal inserter |
US5381649A (en) | 1993-06-04 | 1995-01-17 | Webb; Stephen A. | Medical staple forming die and punch |
US5443197A (en) | 1993-06-16 | 1995-08-22 | United States Surgical Corporation | Locking mechanism for a skin stapler cartridge |
RU2066128C1 (ru) | 1993-06-21 | 1996-09-10 | Иван Александрович Корольков | Хирургический сшивающий аппарат и скобка |
US5354215A (en) | 1993-06-24 | 1994-10-11 | Viracola Joseph R | Circuit interconnect for a power tool |
US5409703A (en) | 1993-06-24 | 1995-04-25 | Carrington Laboratories, Inc. | Dried hydrogel from hydrophilic-hygroscopic polymer |
US5341724A (en) | 1993-06-28 | 1994-08-30 | Bronislav Vatel | Pneumatic telescoping cylinder and method |
US5651762A (en) | 1993-07-09 | 1997-07-29 | Bridges; Doye R. | Apparatus for holding intestines out of an operative field |
US6063025A (en) | 1993-07-09 | 2000-05-16 | Bioenterics Corporation | Apparatus for holding intestines out of an operative field |
GB9314391D0 (en) | 1993-07-12 | 1993-08-25 | Gyrus Medical Ltd | A radio frequency oscillator and an electrosurgical generator incorporating such an oscillator |
DE4323585A1 (de) | 1993-07-14 | 1995-01-19 | Delma Elektro Med App | Bipolares Hochfrequenz-Chirurgieinstrument |
US5478354A (en) | 1993-07-14 | 1995-12-26 | United States Surgical Corporation | Wound closing apparatus and method |
DE4323815C2 (de) | 1993-07-15 | 1997-09-25 | Siemens Ag | Verfahren und Vorrichtung zur hygienischen Aufbereitung von medizinischen, insbesondere zahnmedizinischen Instrumenten |
US5501654A (en) | 1993-07-15 | 1996-03-26 | Ethicon, Inc. | Endoscopic instrument having articulating element |
DE9310601U1 (de) | 1993-07-15 | 1993-09-02 | Siemens Ag | Kassette zur Aufnahme ärztlicher, insbesondere zahnärztlicher Instrumente |
US5805140A (en) | 1993-07-16 | 1998-09-08 | Immersion Corporation | High bandwidth force feedback interface using voice coils and flexures |
CA2167367A1 (en) | 1993-07-21 | 1995-02-02 | Charles H. Klieman | Surgical instrument for endoscopic and general surgery |
US5582617A (en) | 1993-07-21 | 1996-12-10 | Charles H. Klieman | Surgical instrument for endoscopic and general surgery |
US5792165A (en) | 1993-07-21 | 1998-08-11 | Charles H. Klieman | Endoscopic instrument with detachable end effector |
US5827323A (en) | 1993-07-21 | 1998-10-27 | Charles H. Klieman | Surgical instrument for endoscopic and general surgery |
CA2124505C (en) | 1993-07-21 | 2000-01-04 | William A. S. Buxton | User interface having simultaneously movable tools and cursor |
US5693051A (en) | 1993-07-22 | 1997-12-02 | Ethicon Endo-Surgery, Inc. | Electrosurgical hemostatic device with adaptive electrodes |
GR940100335A (el) | 1993-07-22 | 1996-05-22 | Ethicon Inc. | Ηλεκτροχειρουργικη συσκευη τοποθετησης συρραπτικων αγκυλων. |
US5688270A (en) | 1993-07-22 | 1997-11-18 | Ethicon Endo-Surgery,Inc. | Electrosurgical hemostatic device with recessed and/or offset electrodes |
US5709680A (en) | 1993-07-22 | 1998-01-20 | Ethicon Endo-Surgery, Inc. | Electrosurgical hemostatic device |
US5810811A (en) | 1993-07-22 | 1998-09-22 | Ethicon Endo-Surgery, Inc. | Electrosurgical hemostatic device |
US5817093A (en) | 1993-07-22 | 1998-10-06 | Ethicon Endo-Surgery, Inc. | Impedance feedback monitor with query electrode for electrosurgical instrument |
US5372596A (en) | 1993-07-27 | 1994-12-13 | Valleylab Inc. | Apparatus for leakage control and method for its use |
JPH079622U (ja) | 1993-07-27 | 1995-02-10 | 和光化成工業株式会社 | 車両用サンバイザのホルダー構造 |
US5441494A (en) | 1993-07-29 | 1995-08-15 | Ethicon, Inc. | Manipulable hand for laparoscopy |
US5503320A (en) | 1993-08-19 | 1996-04-02 | United States Surgical Corporation | Surgical apparatus with indicator |
US5447417A (en) | 1993-08-31 | 1995-09-05 | Valleylab Inc. | Self-adjusting pump head and safety manifold cartridge for a peristaltic pump |
USD357981S (en) | 1993-09-01 | 1995-05-02 | United States Surgical Corporation | Surgical stapler |
CH689906A5 (de) | 1993-09-16 | 2000-01-14 | Whitaker Corp | Modulartige elektrische Kontaktanordnung. |
US5441193A (en) | 1993-09-23 | 1995-08-15 | United States Surgical Corporation | Surgical fastener applying apparatus with resilient film |
EP0677297B1 (en) | 1993-09-24 | 2000-12-13 | Takiron Co. Ltd. | Implantation material |
US5419766A (en) | 1993-09-28 | 1995-05-30 | Critikon, Inc. | Catheter with stick protection |
US5405344A (en) | 1993-09-30 | 1995-04-11 | Ethicon, Inc. | Articulable socket joint assembly for an endoscopic instrument for surgical fastner track therefor |
CA2133159A1 (en) | 1993-09-30 | 1995-03-31 | Eric J. Butterfield | Surgical instrument having improved manipulating means |
DE4333983A1 (de) | 1993-10-05 | 1995-04-06 | Delma Elektro Med App | Elektrochirurgisches Hochfrequenz-Instrument |
US5542594A (en) | 1993-10-06 | 1996-08-06 | United States Surgical Corporation | Surgical stapling apparatus with biocompatible surgical fabric |
CA2132917C (en) | 1993-10-07 | 2004-12-14 | John Charles Robertson | Circular anastomosis device |
US6210403B1 (en) | 1993-10-07 | 2001-04-03 | Sherwood Services Ag | Automatic control for energy from an electrosurgical generator |
US5496312A (en) | 1993-10-07 | 1996-03-05 | Valleylab Inc. | Impedance and temperature generator control |
US5439155A (en) | 1993-10-07 | 1995-08-08 | United States Surgical Corporation | Cartridge for surgical fastener applying apparatus |
US5725554A (en) | 1993-10-08 | 1998-03-10 | Richard-Allan Medical Industries, Inc. | Surgical staple and stapler |
US5560532A (en) | 1993-10-08 | 1996-10-01 | United States Surgical Corporation | Apparatus and method for applying surgical staples to body tissue |
US5487499A (en) | 1993-10-08 | 1996-01-30 | United States Surgical Corporation | Surgical apparatus for applying surgical fasteners including a counter |
US5562682A (en) | 1993-10-08 | 1996-10-08 | Richard-Allan Medical Industries, Inc. | Surgical Instrument with adjustable arms |
US5607436A (en) | 1993-10-08 | 1997-03-04 | United States Surgical Corporation | Apparatus for applying surgical clips |
RU2098025C1 (ru) | 1993-10-11 | 1997-12-10 | Аркадий Вениаминович Дубровский | Поворотное устройство |
US5556416A (en) | 1993-10-12 | 1996-09-17 | Valleylab, Inc. | Endoscopic instrument |
US5724025A (en) | 1993-10-21 | 1998-03-03 | Tavori; Itzchak | Portable vital signs monitor |
US5427298A (en) | 1993-10-28 | 1995-06-27 | Tegtmeier; C. Allen | Method and apparatus for indicating quantity of fasteners in a fastening device |
GB9322464D0 (en) | 1993-11-01 | 1993-12-22 | Gyrus Medical Ltd | Electrosurgical apparatus |
US5571100B1 (en) | 1993-11-01 | 1998-01-06 | Gyrus Medical Ltd | Electrosurgical apparatus |
JP3414455B2 (ja) | 1993-11-02 | 2003-06-09 | オリンパス光学工業株式会社 | 縫合装置 |
US5376095A (en) | 1993-11-04 | 1994-12-27 | Ethicon Endo-Surgery | Endoscopic multi-fire flat stapler with low profile |
US5487377A (en) | 1993-11-05 | 1996-01-30 | Clinical Innovation Associates, Inc. | Uterine manipulator and manipulator tip assembly |
US5531305A (en) | 1993-11-05 | 1996-07-02 | Borg-Warner Automotive, Inc. | Synchronizer clutch assembly for multiple ratio gearing |
US5658298A (en) | 1993-11-09 | 1997-08-19 | Inamed Development Company | Laparoscopic tool |
US5503635A (en) | 1993-11-12 | 1996-04-02 | United States Surgical Corporation | Apparatus and method for performing compressional anastomoses |
US5562690A (en) | 1993-11-12 | 1996-10-08 | United States Surgical Corporation | Apparatus and method for performing compressional anastomoses |
US5449355A (en) | 1993-11-24 | 1995-09-12 | Valleylab Inc. | Retrograde tissue splitter and method |
US5633374A (en) | 1993-11-26 | 1997-05-27 | The Upjohn Company | Pyrimidine, cyanoguanidines as K-channel blockers |
DE4340707C2 (de) | 1993-11-30 | 1997-03-27 | Wolf Gmbh Richard | Manipulator |
US5514129A (en) | 1993-12-03 | 1996-05-07 | Valleylab Inc. | Automatic bipolar control for an electrosurgical generator |
US5465894A (en) | 1993-12-06 | 1995-11-14 | Ethicon, Inc. | Surgical stapling instrument with articulated stapling head assembly on rotatable and flexible support shaft |
US5405073A (en) | 1993-12-06 | 1995-04-11 | Ethicon, Inc. | Flexible support shaft assembly |
US5543695A (en) | 1993-12-15 | 1996-08-06 | Stryker Corporation | Medical instrument with programmable torque control |
US5743456A (en) | 1993-12-16 | 1998-04-28 | Stryker Corporation | Hand actuable surgical handpiece |
US5470008A (en) | 1993-12-20 | 1995-11-28 | United States Surgical Corporation | Apparatus for applying surgical fasteners |
US5422567A (en) | 1993-12-27 | 1995-06-06 | Valleylab Inc. | High frequency power measurement |
US5564658A (en) | 1993-12-29 | 1996-10-15 | B-Line Systems, Inc. | Support system for data transmission lines |
US5643293A (en) | 1993-12-29 | 1997-07-01 | Olympus Optical Co., Ltd. | Suturing instrument |
DE9490469U1 (de) | 1993-12-30 | 1996-08-29 | Valleylab Inc | Bipolare Ultraschallchirurgie |
US5441191A (en) | 1993-12-30 | 1995-08-15 | Linden; Gerald E. | Indicating "staples low" in a paper stapler |
US5782397A (en) | 1994-01-04 | 1998-07-21 | Alpha Surgical Technologies, Inc. | Stapling device |
US5437681A (en) | 1994-01-13 | 1995-08-01 | Suturtek Inc. | Suturing instrument with thread management |
US5452837A (en) | 1994-01-21 | 1995-09-26 | Ethicon Endo-Surgery, Inc. | Surgical stapler with tissue gripping ridge |
US5382247A (en) | 1994-01-21 | 1995-01-17 | Valleylab Inc. | Technique for electrosurgical tips and method of manufacture and use |
DE9490471U1 (de) | 1994-01-31 | 1996-09-26 | Valleylab Inc | Teleskopierbare bipolare Elektrode für nicht-invasive medizinische Verfahren |
US5597107A (en) | 1994-02-03 | 1997-01-28 | Ethicon Endo-Surgery, Inc. | Surgical stapler instrument |
US5465895A (en) | 1994-02-03 | 1995-11-14 | Ethicon Endo-Surgery, Inc. | Surgical stapler instrument |
US5487500A (en) | 1994-02-03 | 1996-01-30 | Ethicon Endo-Surgery, Inc. | Surgical stapler instrument |
US5452836A (en) | 1994-02-07 | 1995-09-26 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with improved jaw closure and staple firing actuator mechanism |
US5527320A (en) | 1994-02-10 | 1996-06-18 | Pilling Weck Inc. | Surgical clip applying instrument |
US5503638A (en) | 1994-02-10 | 1996-04-02 | Bio-Vascular, Inc. | Soft tissue stapling buttress |
US5413107A (en) | 1994-02-16 | 1995-05-09 | Tetrad Corporation | Ultrasonic probe having articulated structure and rotatable transducer head |
US5508080A (en) | 1994-02-17 | 1996-04-16 | Takashimaya Nippatsu Kogyo Co. Ltd. | Flexible laminated surface material and method of producing the same |
US5507773A (en) | 1994-02-18 | 1996-04-16 | Ethicon Endo-Surgery | Cable-actuated jaw assembly for surgical instruments |
US5431666A (en) | 1994-02-24 | 1995-07-11 | Lasersurge, Inc. | Surgical suture instrument |
JPH0833642A (ja) | 1994-02-25 | 1996-02-06 | Ethicon Endo Surgery Inc | 外科用ステープラのための改良アンビル承口 |
WO1995023557A1 (en) | 1994-03-01 | 1995-09-08 | United States Surgical Corporation | Surgical stapler with anvil sensor and lockout |
CA2143560C (en) | 1994-03-02 | 2007-01-16 | Mark Fogelberg | Sterile occlusion fasteners and instrument and method for their placement |
US5445142A (en) | 1994-03-15 | 1995-08-29 | Ethicon Endo-Surgery, Inc. | Surgical trocars having optical tips defining one or more viewing ports |
DE9404459U1 (de) | 1994-03-16 | 1994-07-14 | Renz Chr Gmbh & Co | Vorrichtung zum Verpacken von Bindeelementen |
CA2144211C (en) | 1994-03-16 | 2005-05-24 | David T. Green | Surgical instruments useful for endoscopic spinal procedures |
JP3421117B2 (ja) | 1994-03-17 | 2003-06-30 | テルモ株式会社 | 外科用器具 |
US5484398A (en) | 1994-03-17 | 1996-01-16 | Valleylab Inc. | Methods of making and using ultrasonic handpiece |
US5561881A (en) | 1994-03-22 | 1996-10-08 | U.S. Philips Corporation | Electric toothbrush |
RU2052979C1 (ru) | 1994-03-22 | 1996-01-27 | Товарищество с ограниченной ответственностью "Дипы" ЛТД | Аппарат для наложения зажимающих скрепок и магазин для прошивающих скобок или зажимающих скрепок |
US5472442A (en) | 1994-03-23 | 1995-12-05 | Valleylab Inc. | Moveable switchable electrosurgical handpiece |
US5860581A (en) | 1994-03-24 | 1999-01-19 | United States Surgical Corporation | Anvil for circular stapler |
US5541376A (en) | 1994-03-28 | 1996-07-30 | Valleylab Inc | Switch and connector |
CA2145723A1 (en) | 1994-03-30 | 1995-10-01 | Steven W. Hamblin | Surgical stapling instrument with remotely articulated stapling head assembly on rotatable support shaft |
US5715987A (en) | 1994-04-05 | 1998-02-10 | Tracor Incorporated | Constant width, adjustable grip, staple apparatus and method |
US5695524A (en) | 1994-04-05 | 1997-12-09 | Tracor Aerospace, Inc. | Constant width, adjustable grip, staple apparatus and method |
CA2144818C (en) | 1994-04-07 | 2006-07-11 | Henry Bolanos | Graduated anvil for surgical stapling instruments |
US5415335A (en) | 1994-04-07 | 1995-05-16 | Ethicon Endo-Surgery | Surgical stapler cartridge containing lockout mechanism |
US5626979A (en) | 1994-04-08 | 1997-05-06 | Sony Corporation | Battery device and electronic equipment employing the battery device as power source |
US5653677A (en) | 1994-04-12 | 1997-08-05 | Fuji Photo Optical Co. Ltd | Electronic endoscope apparatus with imaging unit separable therefrom |
JPH07285089A (ja) | 1994-04-14 | 1995-10-31 | Mitsubishi Heavy Ind Ltd | 5指手腕機構 |
US5529235A (en) | 1994-04-28 | 1996-06-25 | Ethicon Endo-Surgery, Inc. | Identification device for surgical instrument |
US5489058A (en) | 1994-05-02 | 1996-02-06 | Minnesota Mining And Manufacturing Company | Surgical stapler with mechanisms for reducing the firing force |
US5470007A (en) | 1994-05-02 | 1995-11-28 | Minnesota Mining And Manufacturing Company | Laparoscopic stapler with overload sensor and interlock |
CA2148667A1 (en) | 1994-05-05 | 1995-11-06 | Carlo A. Mililli | Self-contained powered surgical apparatus |
US5474566A (en) | 1994-05-05 | 1995-12-12 | United States Surgical Corporation | Self-contained powered surgical apparatus |
US5628446A (en) | 1994-05-05 | 1997-05-13 | United States Surgical Corporation | Self-contained powered surgical apparatus |
US5498164A (en) | 1994-05-09 | 1996-03-12 | Ward; Mark C. | Automotive steering column electrical connector |
US5843021A (en) | 1994-05-09 | 1998-12-01 | Somnus Medical Technologies, Inc. | Cell necrosis apparatus |
US5782749A (en) | 1994-05-10 | 1998-07-21 | Riza; Erol D. | Laparoscopic surgical instrument with adjustable grip |
US5480409A (en) | 1994-05-10 | 1996-01-02 | Riza; Erol D. | Laparoscopic surgical instrument |
US6704210B1 (en) | 1994-05-20 | 2004-03-09 | Medtronic, Inc. | Bioprothesis film strip for surgical stapler and method of attaching the same |
US5454827A (en) | 1994-05-24 | 1995-10-03 | Aust; Gilbert M. | Surgical instrument |
US5510138A (en) | 1994-05-24 | 1996-04-23 | Delco Electronics Corporation | Hot melt conformal coating materials |
USRE38335E1 (en) | 1994-05-24 | 2003-11-25 | Endius Incorporated | Surgical instrument |
DE69511483T2 (de) | 1994-05-30 | 2000-03-16 | Canon Kk | Wiederaufladbare Batterien |
US5814057A (en) * | 1994-06-03 | 1998-09-29 | Gunze Limited | Supporting element for staple region |
GB9411429D0 (en) | 1994-06-08 | 1994-07-27 | Seton Healthcare Group Plc | Wound dressings |
US5553675A (en) | 1994-06-10 | 1996-09-10 | Minnesota Mining And Manufacturing Company | Orthopedic surgical device |
US5522831A (en) | 1994-06-13 | 1996-06-04 | Dennis R. Sleister | Incising trocar and cannula assembly |
US5473204A (en) | 1994-06-16 | 1995-12-05 | Temple; Thomas D. | Time delay switch |
EP0765137B1 (en) | 1994-06-17 | 2003-07-30 | Heartport, Inc. | Surgical stapling instrument |
US5881943A (en) | 1994-06-17 | 1999-03-16 | Heartport, Inc. | Surgical anastomosis apparatus and method thereof |
US5732872A (en) | 1994-06-17 | 1998-03-31 | Heartport, Inc. | Surgical stapling instrument |
US5558665A (en) | 1994-06-24 | 1996-09-24 | Archimedes Surgical, Inc. | Surgical instrument and method for intraluminal retraction of an anatomic structure |
US5807376A (en) | 1994-06-24 | 1998-09-15 | United States Surgical Corporation | Apparatus and method for performing surgical tasks during laparoscopic procedures |
US5746224A (en) | 1994-06-24 | 1998-05-05 | Somnus Medical Technologies, Inc. | Method for ablating turbinates |
US5651821A (en) | 1994-06-27 | 1997-07-29 | Ricoh Company, Ltd. | Battery disposal and collection apparatus |
DE4422621C1 (de) | 1994-06-28 | 1995-08-31 | Aesculap Ag | Chirurgisches Instrument |
GB9413070D0 (en) | 1994-06-29 | 1994-08-17 | Gyrus Medical Ltd | Electrosurgical apparatus |
US5833695A (en) | 1994-07-13 | 1998-11-10 | Yoon; Inbae | Surgical stapling system and method of applying staples from multiple staple cartridges |
US5551622A (en) | 1994-07-13 | 1996-09-03 | Yoon; Inbae | Surgical stapler |
US5623582A (en) | 1994-07-14 | 1997-04-22 | Immersion Human Interface Corporation | Computer interface or control input device for laparoscopic surgical instrument and other elongated mechanical objects |
US5629577A (en) | 1994-07-15 | 1997-05-13 | Micro Medical Devices | Miniature linear motion actuator |
US5533521A (en) | 1994-07-15 | 1996-07-09 | United States Surgical Corporation | Interchangeable tissue measuring device |
US5712460A (en) | 1994-07-19 | 1998-01-27 | Linvatec Corporation | Multi-function surgical device control system |
US5583114A (en) | 1994-07-27 | 1996-12-10 | Minnesota Mining And Manufacturing Company | Adhesive sealant composition |
US5544802A (en) | 1994-07-27 | 1996-08-13 | Crainich; Lawrence | Surgical staple and stapler device therefor |
DE9412228U1 (de) | 1994-07-28 | 1994-09-22 | Loctite Europa Eeig | Schlauchpumpe zur genauen Dosierung kleiner Flüssigkeitsmengen |
US5582907A (en) | 1994-07-28 | 1996-12-10 | Pall Corporation | Melt-blown fibrous web |
AU694225B2 (en) | 1994-08-02 | 1998-07-16 | Ethicon Endo-Surgery, Inc. | Ultrasonic hemostatic and cutting instrument |
US5607303A (en) | 1994-08-03 | 1997-03-04 | Nakamura; Shoukou | Accessory apparatus of dentistry drills for putting oral cavity organs out of way |
RU2104671C1 (ru) | 1994-08-03 | 1998-02-20 | Виктор Алексеевич Липатов | Хирургический сшиватель |
US5507426A (en) | 1994-08-05 | 1996-04-16 | United States Surgical Corporation | Apparatus for applying surgical fasteners |
EP0699418A1 (en) | 1994-08-05 | 1996-03-06 | United States Surgical Corporation | Self-contained powered surgical apparatus |
US5779130A (en) | 1994-08-05 | 1998-07-14 | United States Surgical Corporation | Self-contained powered surgical apparatus |
US5509916A (en) | 1994-08-12 | 1996-04-23 | Valleylab Inc. | Laser-assisted electrosurgery system |
US5480089A (en) | 1994-08-19 | 1996-01-02 | United States Surgical Corporation | Surgical stapler apparatus with improved staple pockets |
CA2146508C (en) | 1994-08-25 | 2006-11-14 | Robert H. Schnut | Anvil for circular stapler |
US6120433A (en) | 1994-09-01 | 2000-09-19 | Olympus Optical Co., Ltd. | Surgical manipulator system |
JPH08136626A (ja) | 1994-09-16 | 1996-05-31 | Seiko Epson Corp | バッテリー残存容量計及びバッテリー残存容量の演算方法 |
US5569284A (en) | 1994-09-23 | 1996-10-29 | United States Surgical Corporation | Morcellator |
US5609601A (en) | 1994-09-23 | 1997-03-11 | United States Surgical Corporation | Endoscopic surgical apparatus with rotation lock |
DE4434864C2 (de) | 1994-09-29 | 1997-06-19 | United States Surgical Corp | Chirurgischer Klammerapplikator mit auswechselbarem Klammermagazin |
US5916225A (en) | 1994-09-29 | 1999-06-29 | Surgical Sense, Inc. | Hernia mesh patch |
US5571116A (en) | 1994-10-02 | 1996-11-05 | United States Surgical Corporation | Non-invasive treatment of gastroesophageal reflux disease |
US5685474A (en) | 1994-10-04 | 1997-11-11 | United States Surgical Corporation | Tactile indicator for surgical instrument |
US5797538A (en) | 1994-10-05 | 1998-08-25 | United States Surgical Corporation | Articulating apparatus for applying surgical fasteners to body tissue |
US5901895A (en) | 1994-10-05 | 1999-05-11 | United States Surgical Corporation | Articulating apparatus for applying surgical fasteners to body tissue |
US5540374A (en) | 1994-10-06 | 1996-07-30 | Minnesota Mining And Manufacturing Company | Bone stapler cartridge |
US5575805A (en) | 1994-10-07 | 1996-11-19 | Li Medical Technologies, Inc. | Variable tip-pressure surgical grasper |
EP0705571A1 (en) | 1994-10-07 | 1996-04-10 | United States Surgical Corporation | Self-contained powered surgical apparatus |
US5571090A (en) | 1994-10-07 | 1996-11-05 | United States Surgical Corporation | Vascular suturing apparatus |
CA2157744C (en) | 1994-10-07 | 2005-08-23 | Charles R. Sherts | Endoscopic vascular suturing apparatus |
US5718714A (en) | 1994-10-11 | 1998-02-17 | Circon Corporation | Surgical instrument with removable shaft assembly |
CN1163558A (zh) | 1994-10-11 | 1997-10-29 | 查尔斯·H·克利曼 | 具有可拆卸的端部操作装置的内窥镜仪器 |
US5562694A (en) | 1994-10-11 | 1996-10-08 | Lasersurge, Inc. | Morcellator |
US5591170A (en) | 1994-10-14 | 1997-01-07 | Genesis Orthopedics | Intramedullary bone cutting saw |
US5599852A (en) | 1994-10-18 | 1997-02-04 | Ethicon, Inc. | Injectable microdispersions for soft tissue repair and augmentation |
AU706434B2 (en) | 1994-10-18 | 1999-06-17 | Ethicon Inc. | Injectable liquid copolymers for soft tissue repair and augmentation |
US5549627A (en) | 1994-10-21 | 1996-08-27 | Kieturakis; Maciej J. | Surgical instruments and method for applying progressive intracorporeal traction |
US5752973A (en) | 1994-10-18 | 1998-05-19 | Archimedes Surgical, Inc. | Endoscopic surgical gripping instrument with universal joint jaw coupler |
JP3115197B2 (ja) | 1994-10-21 | 2000-12-04 | 本田技研工業株式会社 | 自動車用表示装置 |
US5620454A (en) | 1994-10-25 | 1997-04-15 | Becton, Dickinson And Company | Guarded surgical scalpel |
USD381077S (en) | 1994-10-25 | 1997-07-15 | Ethicon Endo-Surgery | Multifunctional surgical stapling instrument |
US5575789A (en) | 1994-10-27 | 1996-11-19 | Valleylab Inc. | Energizable surgical tool safety device and method |
US5549637A (en) | 1994-11-10 | 1996-08-27 | Crainich; Lawrence | Articulated medical instrument |
JPH08136628A (ja) | 1994-11-11 | 1996-05-31 | Fujitsu Ltd | 電池容量監視装置 |
US5989244A (en) | 1994-11-15 | 1999-11-23 | Gregory; Kenton W. | Method of use of a sheet of elastin or elastin-based material |
US5891558A (en) | 1994-11-22 | 1999-04-06 | Tissue Engineering, Inc. | Biopolymer foams for use in tissue repair and reconstruction |
US5709934A (en) | 1994-11-22 | 1998-01-20 | Tissue Engineering, Inc. | Bipolymer foams having extracellular matrix particulates |
US6206897B1 (en) | 1994-12-02 | 2001-03-27 | Ethicon, Inc. | Enhanced visualization of the latching mechanism of latching surgical devices |
US7235089B1 (en) | 1994-12-07 | 2007-06-26 | Boston Scientific Corporation | Surgical apparatus and method |
US5868760A (en) | 1994-12-07 | 1999-02-09 | Mcguckin, Jr.; James F. | Method and apparatus for endolumenally resectioning tissue |
US5636779A (en) | 1994-12-13 | 1997-06-10 | United States Surgical Corporation | Apparatus for applying surgical fasteners |
JPH08164141A (ja) | 1994-12-13 | 1996-06-25 | Olympus Optical Co Ltd | 処置具 |
US5569270A (en) | 1994-12-13 | 1996-10-29 | Weng; Edward E. | Laparoscopic surgical instrument |
US5988479A (en) | 1994-12-13 | 1999-11-23 | United States Surgical Corporation | Apparatus for applying surgical fasteners |
US5541489A (en) | 1994-12-15 | 1996-07-30 | Intel Corporation | Smart battery power availability feature based on battery-specific characteristics |
US5632432A (en) | 1994-12-19 | 1997-05-27 | Ethicon Endo-Surgery, Inc. | Surgical instrument |
US5713505A (en) | 1996-05-13 | 1998-02-03 | Ethicon Endo-Surgery, Inc. | Articulation transmission mechanism for surgical instruments |
US5704534A (en) | 1994-12-19 | 1998-01-06 | Ethicon Endo-Surgery, Inc. | Articulation assembly for surgical instruments |
US5492671A (en) | 1994-12-20 | 1996-02-20 | Zimmer, Inc. | Sterilization case and method of sterilization |
US5628743A (en) | 1994-12-21 | 1997-05-13 | Valleylab Inc. | Dual mode ultrasonic surgical apparatus |
GB9425781D0 (en) | 1994-12-21 | 1995-02-22 | Gyrus Medical Ltd | Electrosurgical instrument |
US5613966A (en) | 1994-12-21 | 1997-03-25 | Valleylab Inc | System and method for accessory rate control |
AU701320B2 (en) | 1994-12-22 | 1999-01-28 | Ethicon Endo-Surgery, Inc. | Impedance feedback monitor with query electrode for electrosurgical instrument |
US5620452A (en) | 1994-12-22 | 1997-04-15 | Yoon; Inbae | Surgical clip with ductile tissue penetrating members |
US5695494A (en) | 1994-12-22 | 1997-12-09 | Valleylab Inc | Rem output stage topology |
US5713895A (en) | 1994-12-30 | 1998-02-03 | Valleylab Inc | Partially coated electrodes |
US5466020A (en) | 1994-12-30 | 1995-11-14 | Valleylab Inc. | Bayonet connector for surgical handpiece |
US6430298B1 (en) | 1995-01-13 | 2002-08-06 | Lonnie Joe Kettl | Microphone mounting structure for a sound amplifying respirator and/or bubble suit |
US5637110A (en) | 1995-01-31 | 1997-06-10 | Stryker Corporation | Electrocautery surgical tool with relatively pivoted tissue engaging jaws |
CA2168404C (en) | 1995-02-01 | 2007-07-10 | Dale Schulze | Surgical instrument with expandable cutting element |
WO1996023448A1 (en) | 1995-02-03 | 1996-08-08 | Valleylab, Inc. | Electrosurgical aspirator combined with a pencil |
AU4763296A (en) | 1995-02-03 | 1996-08-21 | Inbae Yoon | Cannula with distal end valve |
USD372086S (en) | 1995-02-03 | 1996-07-23 | Valleylab Inc. | Aspirator attachment for a surgical device |
DE69610723T2 (de) | 1995-02-10 | 2001-10-18 | Raymond Corp | Flurförderfahrzeug mit interner Temperaturüberwachung |
US5669907A (en) | 1995-02-10 | 1997-09-23 | Valleylab Inc. | Plasma enhanced bipolar electrosurgical system |
US6409722B1 (en) | 1998-07-07 | 2002-06-25 | Medtronic, Inc. | Apparatus and method for creating, maintaining, and controlling a virtual electrode used for the ablation of tissue |
US5695504A (en) | 1995-02-24 | 1997-12-09 | Heartport, Inc. | Devices and methods for performing a vascular anastomosis |
US6110187A (en) | 1995-02-24 | 2000-08-29 | Heartport, Inc. | Device and method for minimizing heart displacements during a beating heart surgical procedure |
US6213999B1 (en) | 1995-03-07 | 2001-04-10 | Sherwood Services Ag | Surgical gas plasma ignition apparatus and method |
US5669904A (en) | 1995-03-07 | 1997-09-23 | Valleylab Inc. | Surgical gas plasma ignition apparatus and method |
US5735445A (en) | 1995-03-07 | 1998-04-07 | United States Surgical Corporation | Surgical stapler |
US5681341A (en) | 1995-03-14 | 1997-10-28 | Origin Medsystems, Inc. | Flexible lifting apparatus |
DE19509115C2 (de) | 1995-03-16 | 1997-11-27 | Deutsche Forsch Luft Raumfahrt | Chirurgisches Gerät zum Vorbereiten einer Anastomose in minimal invasiver Operationstechnik |
DE19509116C2 (de) | 1995-03-16 | 2000-01-05 | Deutsch Zentr Luft & Raumfahrt | Flexible Struktur |
US5575799A (en) | 1995-03-30 | 1996-11-19 | United States Surgical Corporation | Articulating surgical apparatus |
AU5528296A (en) | 1995-03-31 | 1996-10-16 | Rockwell International Corporation | Yoke connections for universal joints |
US5599350A (en) | 1995-04-03 | 1997-02-04 | Ethicon Endo-Surgery, Inc. | Electrosurgical clamping device with coagulation feedback |
US5618307A (en) | 1995-04-03 | 1997-04-08 | Heartport, Inc. | Clamp assembly and method of use |
US5619992A (en) | 1995-04-06 | 1997-04-15 | Guthrie; Robert B. | Methods and apparatus for inhibiting contamination of reusable pulse oximetry sensors |
US6669690B1 (en) | 1995-04-06 | 2003-12-30 | Olympus Optical Co., Ltd. | Ultrasound treatment system |
US6056735A (en) | 1996-04-04 | 2000-05-02 | Olympus Optical Co., Ltd. | Ultrasound treatment system |
US5624452A (en) | 1995-04-07 | 1997-04-29 | Ethicon Endo-Surgery, Inc. | Hemostatic surgical cutting or stapling instrument |
AU5561196A (en) | 1995-04-21 | 1996-11-07 | W.L. Gore & Associates, Inc. | A surgical pledget dispensing system |
JPH08289895A (ja) | 1995-04-21 | 1996-11-05 | Olympus Optical Co Ltd | 縫合器 |
US5553765A (en) | 1995-04-28 | 1996-09-10 | Ethicon Endo-Surgery, Inc. | Surgical stapler with improved operating lever mounting arrangement |
US5773991A (en) | 1995-05-02 | 1998-06-30 | Texas Instruments Incorporated | Motor current sense circuit using H bridge circuits |
US5657417A (en) | 1995-05-02 | 1997-08-12 | Burndy Corporation | Control for battery powered tool |
US6575969B1 (en) | 1995-05-04 | 2003-06-10 | Sherwood Services Ag | Cool-tip radiofrequency thermosurgery electrode system for tumor ablation |
JP3526487B2 (ja) | 1995-05-08 | 2004-05-17 | 株式会社伊垣医療設計 | 医療用縫合材 |
JP3795100B2 (ja) | 1995-05-08 | 2006-07-12 | 株式会社伊垣医療設計 | 医療用縫合材 |
AU5741296A (en) | 1995-05-12 | 1996-11-29 | Rodney C. Perkins | Translumenal circumferential injector |
US5540705A (en) | 1995-05-19 | 1996-07-30 | Suturtek, Inc. | Suturing instrument with thread management |
CA2176047C (en) | 1995-05-22 | 2000-04-11 | Mohi Sobhani | Spring loaded rotary connector |
US6123241A (en) | 1995-05-23 | 2000-09-26 | Applied Tool Development Corporation | Internal combustion powered tool |
US5630540A (en) | 1995-05-24 | 1997-05-20 | United States Surgical Corporation | Surgical staple and staple drive member |
US5678748A (en) | 1995-05-24 | 1997-10-21 | Vir Engineering | Surgical stapler with improved safety mechanism |
US5599344A (en) | 1995-06-06 | 1997-02-04 | Valleylab Inc. | Control apparatus for electrosurgical generator power output |
WO1996039086A1 (en) | 1995-06-06 | 1996-12-12 | Valleylab Inc. | Power control for an electrosurgical generator |
CA2220909C (en) | 1995-06-06 | 2001-02-27 | Valleylab, Inc. | Digital waveform generation for electrosurgical generators |
US5628745A (en) | 1995-06-06 | 1997-05-13 | Bek; Robin B. | Exit spark control for an electrosurgical generator |
US5720744A (en) | 1995-06-06 | 1998-02-24 | Valleylab Inc | Control system for neurosurgery |
US5814038A (en) | 1995-06-07 | 1998-09-29 | Sri International | Surgical manipulator for a telerobotic system |
US5649956A (en) | 1995-06-07 | 1997-07-22 | Sri International | System and method for releasably holding a surgical instrument |
US5667864A (en) | 1995-06-07 | 1997-09-16 | Landoll; Leo M. | Absorbant laminates and method of making same |
US5614887A (en) | 1995-06-07 | 1997-03-25 | Buchbinder; Dale | Patient monitoring system and method thereof |
US5620326A (en) | 1995-06-09 | 1997-04-15 | Simulab Corporation | Anatomical simulator for videoendoscopic surgical training |
DE19521257C2 (de) | 1995-06-10 | 1999-01-28 | Winter & Ibe Olympus | Chirurgische Zange |
FR2735350B1 (fr) | 1995-06-15 | 1997-12-26 | Maurice Lanzoni | Dispositif developpeur d'efforts d'une pince coupante |
US5849011A (en) | 1995-06-19 | 1998-12-15 | Vidamed, Inc. | Medical device with trigger actuation assembly |
GB9526627D0 (en) | 1995-12-29 | 1996-02-28 | Gyrus Medical Ltd | An electrosurgical instrument and an electrosurgical electrode assembly |
US6780180B1 (en) | 1995-06-23 | 2004-08-24 | Gyrus Medical Limited | Electrosurgical instrument |
GB9600377D0 (en) | 1996-01-09 | 1996-03-13 | Gyrus Medical Ltd | Electrosurgical instrument |
ES2233239T3 (es) | 1995-06-23 | 2005-06-16 | Gyrus Medical Limited | Instrumento electroquirurgico. |
US6293942B1 (en) | 1995-06-23 | 2001-09-25 | Gyrus Medical Limited | Electrosurgical generator method |
GB9604770D0 (en) | 1995-06-23 | 1996-05-08 | Gyrus Medical Ltd | An electrosurgical generator and system |
US6015406A (en) | 1996-01-09 | 2000-01-18 | Gyrus Medical Limited | Electrosurgical instrument |
ES2154824T5 (es) | 1995-06-23 | 2005-04-01 | Gyrus Medical Limited | Instrumento electroquirurgico. |
US6185356B1 (en) | 1995-06-27 | 2001-02-06 | Lumitex, Inc. | Protective cover for a lighting device |
US6077280A (en) | 1995-06-29 | 2000-06-20 | Thomas Jefferson University | Surgical clamp |
US5902312A (en) | 1995-07-03 | 1999-05-11 | Frater; Dirk A. | System for mounting bolster material on tissue staplers |
US5878607A (en) | 1995-07-06 | 1999-03-09 | Johnson & Johnson Professional, Inc. | Surgical cast cutter |
US5752644A (en) | 1995-07-11 | 1998-05-19 | United States Surgical Corporation | Disposable loading unit for surgical stapler |
USRE38708E1 (en) | 1995-07-11 | 2005-03-01 | United States Surgical Corporation | Disposable loading unit for surgical stapler |
US5591187A (en) | 1995-07-14 | 1997-01-07 | Dekel; Moshe | Laparoscopic tissue retrieval device and method |
US5706998A (en) | 1995-07-17 | 1998-01-13 | United States Surgical Corporation | Surgical stapler with alignment pin locking mechanism |
US6447518B1 (en) | 1995-07-18 | 2002-09-10 | William R. Krause | Flexible shaft components |
EP0840572B1 (en) | 1995-07-18 | 2004-10-27 | Garland U. Edwards | Flexible shaft |
US5749896A (en) | 1995-07-18 | 1998-05-12 | Cook; Melvin S. | Staple overlap |
US5702409A (en) | 1995-07-21 | 1997-12-30 | W. L. Gore & Associates, Inc. | Device and method for reinforcing surgical staples |
US5556020A (en) | 1995-07-21 | 1996-09-17 | Hou; Chang F. | Power staple gun |
US5810855A (en) * | 1995-07-21 | 1998-09-22 | Gore Enterprise Holdings, Inc. | Endoscopic device and method for reinforcing surgical staples |
JP3264607B2 (ja) | 1995-07-28 | 2002-03-11 | 株式会社モリタ製作所 | 歯科用ハンドピースのモータ制御装置 |
US6023638A (en) | 1995-07-28 | 2000-02-08 | Scimed Life Systems, Inc. | System and method for conducting electrophysiological testing using high-voltage energy pulses to stun tissue |
US5810846A (en) | 1995-08-03 | 1998-09-22 | United States Surgical Corporation | Vascular hole closure |
RU2110965C1 (ru) | 1995-08-03 | 1998-05-20 | Ярослав Петрович Кулик | Устройство для осуществления лапароскопических вмешательств |
US5549583A (en) | 1995-08-04 | 1996-08-27 | Adam Spence Corporation | Surgical connector |
JP3359472B2 (ja) | 1995-08-07 | 2002-12-24 | 京セラ株式会社 | 電池パック |
US5611709A (en) | 1995-08-10 | 1997-03-18 | Valleylab Inc | Method and assembly of member and terminal |
US5718359A (en) | 1995-08-14 | 1998-02-17 | United States Of America Surgical Corporation | Surgical stapler with lockout mechanism |
US5715988A (en) | 1995-08-14 | 1998-02-10 | United States Surgical Corporation | Surgical stapler with lockout mechanism |
US5839639A (en) | 1995-08-17 | 1998-11-24 | Lasersurge, Inc. | Collapsible anvil assembly and applicator instrument |
US5931853A (en) | 1995-08-25 | 1999-08-03 | Mcewen; James A. | Physiologic tourniquet with safety circuit |
US6032849A (en) | 1995-08-28 | 2000-03-07 | United States Surgical | Surgical stapler |
US5782396A (en) | 1995-08-28 | 1998-07-21 | United States Surgical Corporation | Surgical stapler |
US5762256A (en) | 1995-08-28 | 1998-06-09 | United States Surgical Corporation | Surgical stapler |
US5574431A (en) | 1995-08-29 | 1996-11-12 | Checkpoint Systems, Inc. | Deactivateable security tag |
US5664404A (en) | 1995-08-31 | 1997-09-09 | Ethicon, Inc. | Automatic zipper package winding and packaging machine |
US5667526A (en) | 1995-09-07 | 1997-09-16 | Levin; John M. | Tissue retaining clamp |
US5891094A (en) | 1995-09-07 | 1999-04-06 | Innerdyne, Inc. | System for direct heating of fluid solution in a hollow body organ and methods |
US6075441A (en) | 1996-09-05 | 2000-06-13 | Key-Trak, Inc. | Inventoriable-object control and tracking system |
DE19534043A1 (de) | 1995-09-14 | 1997-03-20 | Carisius Christensen Gmbh Dr | Chirurgische Arbeitsmaschine |
DE19534112A1 (de) | 1995-09-14 | 1997-03-20 | Wolf Gmbh Richard | Endoskopisches Instrument |
US5704087A (en) | 1995-09-19 | 1998-01-06 | Strub; Richard | Dental care apparatus and technique |
US5776130A (en) | 1995-09-19 | 1998-07-07 | Valleylab, Inc. | Vascular tissue sealing pressure control |
US5662667A (en) | 1995-09-19 | 1997-09-02 | Ethicon Endo-Surgery, Inc. | Surgical clamping mechanism |
US5827271A (en) | 1995-09-19 | 1998-10-27 | Valleylab | Energy delivery system for vessel sealing |
US5814055A (en) | 1995-09-19 | 1998-09-29 | Ethicon Endo-Surgery, Inc. | Surgical clamping mechanism |
US5797959A (en) | 1995-09-21 | 1998-08-25 | United States Surgical Corporation | Surgical apparatus with articulating jaw structure |
DE19535179A1 (de) | 1995-09-22 | 1997-03-27 | Wolf Gmbh Richard | Abwinkelbares Rohr und Verfahren zu seiner Herstellung |
US5797927A (en) | 1995-09-22 | 1998-08-25 | Yoon; Inbae | Combined tissue clamping and suturing instrument |
US5772659A (en) | 1995-09-26 | 1998-06-30 | Valleylab Inc. | Electrosurgical generator power control circuit and method |
US5702387A (en) | 1995-09-27 | 1997-12-30 | Valleylab Inc | Coated electrosurgical electrode |
US5732821A (en) | 1995-09-28 | 1998-03-31 | Biomet, Inc. | System for sterilizing medical devices |
US5707392A (en) | 1995-09-29 | 1998-01-13 | Symbiosis Corporation | Hermaphroditic stamped forceps jaw for disposable endoscopic biopsy forceps and method of making the same |
US5796188A (en) | 1995-10-05 | 1998-08-18 | Xomed Surgical Products, Inc. | Battery-powered medical instrument with power booster |
US5804726A (en) | 1995-10-16 | 1998-09-08 | Mtd Products Inc. | Acoustic signature analysis for a noisy enviroment |
US5697542A (en) | 1995-10-19 | 1997-12-16 | Ethicon Endo-Surgery, Inc. | Endoscopic surgical stapler with compact profile |
US5809441A (en) | 1995-10-19 | 1998-09-15 | Case Corporation | Apparatus and method of neutral start control of a power transmission |
US5653721A (en) | 1995-10-19 | 1997-08-05 | Ethicon Endo-Surgery, Inc. | Override mechanism for an actuator on a surgical instrument |
US5839369A (en) | 1995-10-20 | 1998-11-24 | Eastman Kodak Company | Method of controlled laser imaging of zirconia alloy ceramic lithographic member to provide localized melting in exposed areas |
US5700270A (en) | 1995-10-20 | 1997-12-23 | United States Surgical Corporation | Surgical clip applier |
US5997552A (en) | 1995-10-20 | 1999-12-07 | United States Surgical Corporation | Meniscal fastener applying device |
GB9521772D0 (en) | 1995-10-24 | 1996-01-03 | Gyrus Medical Ltd | An electrosurgical instrument |
CA2188738A1 (en) | 1995-10-27 | 1997-04-28 | Lisa W. Heaton | Surgical stapler having interchangeable loading units |
US5941442A (en) | 1995-10-27 | 1999-08-24 | United States Surgical | Surgical stapler |
US5651491A (en) | 1995-10-27 | 1997-07-29 | United States Surgical Corporation | Surgical stapler having interchangeable loading units |
US5804936A (en) | 1995-10-31 | 1998-09-08 | Smith & Nephew, Inc. | Motor controlled surgical system |
US5827298A (en) | 1995-11-17 | 1998-10-27 | Innovasive Devices, Inc. | Surgical fastening system and method for using the same |
US5860953A (en) | 1995-11-21 | 1999-01-19 | Catheter Imaging Systems, Inc. | Steerable catheter having disposable module and sterilizable handle and method of connecting same |
US5746770A (en) | 1995-11-22 | 1998-05-05 | Zeitels; Jerrold Roy | Endoscopic retriever |
JPH09149941A (ja) | 1995-12-01 | 1997-06-10 | Tokai Rika Co Ltd | 体内挿入用医療器具のセンサ |
US5658281A (en) | 1995-12-04 | 1997-08-19 | Valleylab Inc | Bipolar electrosurgical scissors and method of manufacture |
US5656917A (en) | 1995-12-14 | 1997-08-12 | Motorola, Inc. | Battery identification apparatus and associated method |
US5638582A (en) | 1995-12-20 | 1997-06-17 | Flexible Steel Lacing Company | Belt fastener with pre-set staples |
US5865638A (en) | 1995-12-21 | 1999-02-02 | Alcoa Fujikura Ltd. | Electrical connector |
US5971916A (en) | 1995-12-27 | 1999-10-26 | Koren; Arie | Video camera cover |
BR9612395A (pt) | 1995-12-29 | 1999-07-13 | Gyrus Medical Ltd | Instrumento eletrocirúrgico e um conjunto de eltrodo eletrocirúrgico |
GB9600354D0 (en) | 1996-01-09 | 1996-03-13 | Gyrus Medical Ltd | Electrosurgical instrument |
US6090106A (en) | 1996-01-09 | 2000-07-18 | Gyrus Medical Limited | Electrosurgical instrument |
US6013076A (en) | 1996-01-09 | 2000-01-11 | Gyrus Medical Limited | Electrosurgical instrument |
US5683432A (en) | 1996-01-11 | 1997-11-04 | Medtronic, Inc. | Adaptive, performance-optimizing communication system for communicating with an implanted medical device |
US5755717A (en) | 1996-01-16 | 1998-05-26 | Ethicon Endo-Surgery, Inc. | Electrosurgical clamping device with improved coagulation feedback |
US5738648A (en) | 1996-01-23 | 1998-04-14 | Valleylab Inc | Method and apparatus for a valve and irrigator |
USD395645S (en) | 1996-01-24 | 1998-06-30 | Pacesetter, Inc. | Display screen with an icon |
US6015417A (en) | 1996-01-25 | 2000-01-18 | Reynolds, Jr.; Walker | Surgical fastener |
DE19603889C2 (de) | 1996-02-03 | 1999-05-06 | Aesculap Ag & Co Kg | Chirurgisches Anlegegerät |
US7166117B2 (en) | 1996-02-07 | 2007-01-23 | Hellenkamp Johann F | Automatic surgical device and control assembly for cutting a cornea |
US20070244496A1 (en) | 1996-02-07 | 2007-10-18 | Hellenkamp Johann F | Automatic surgical device and control assembly for cutting a cornea |
GB9602580D0 (en) | 1996-02-08 | 1996-04-10 | Dual Voltage Ltd | Plastics flexible core |
US5624398A (en) | 1996-02-08 | 1997-04-29 | Symbiosis Corporation | Endoscopic robotic surgical tools and methods |
US5620289A (en) | 1996-02-09 | 1997-04-15 | Curry; Rinda M. | Colored staples |
EP0880338B1 (en) | 1996-02-13 | 2005-10-26 | ConMed Corporation | Surgical access device |
US5749889A (en) | 1996-02-13 | 1998-05-12 | Imagyn Medical, Inc. | Method and apparatus for performing biopsy |
US5713128A (en) | 1996-02-16 | 1998-02-03 | Valleylab Inc | Electrosurgical pad apparatus and method of manufacture |
US5762255A (en) | 1996-02-20 | 1998-06-09 | Richard-Allan Medical Industries, Inc. | Surgical instrument with improvement safety lockout mechanisms |
US6436107B1 (en) | 1996-02-20 | 2002-08-20 | Computer Motion, Inc. | Method and apparatus for performing minimally invasive surgical procedures |
CA2197614C (en) | 1996-02-20 | 2002-07-02 | Charles S. Taylor | Surgical instruments and procedures for stabilizing the beating heart during coronary artery bypass graft surgery |
US5820009A (en) | 1996-02-20 | 1998-10-13 | Richard-Allan Medical Industries, Inc. | Articulated surgical instrument with improved jaw closure mechanism |
US6010054A (en) | 1996-02-20 | 2000-01-04 | Imagyn Medical Technologies | Linear stapling instrument with improved staple cartridge |
US6063095A (en) | 1996-02-20 | 2000-05-16 | Computer Motion, Inc. | Method and apparatus for performing minimally invasive surgical procedures |
US5855583A (en) | 1996-02-20 | 1999-01-05 | Computer Motion, Inc. | Method and apparatus for performing minimally invasive cardiac procedures |
US5725536A (en) | 1996-02-20 | 1998-03-10 | Richard-Allen Medical Industries, Inc. | Articulated surgical instrument with improved articulation control mechanism |
US5894843A (en) | 1996-02-20 | 1999-04-20 | Cardiothoracic Systems, Inc. | Surgical method for stabilizing the beating heart during coronary artery bypass graft surgery |
US6699177B1 (en) | 1996-02-20 | 2004-03-02 | Computer Motion, Inc. | Method and apparatus for performing minimally invasive surgical procedures |
US5797537A (en) | 1996-02-20 | 1998-08-25 | Richard-Allan Medical Industries, Inc. | Articulated surgical instrument with improved firing mechanism |
US5868664A (en) | 1996-02-23 | 1999-02-09 | Envision Medical Corporation | Electrically isolated sterilizable endoscopic video camera head |
US6402780B2 (en) | 1996-02-23 | 2002-06-11 | Cardiovascular Technologies, L.L.C. | Means and method of replacing a heart valve in a minimally invasive manner |
US5891160A (en) | 1996-02-23 | 1999-04-06 | Cardiovascular Technologies, Llc | Fastener delivery and deployment mechanism and method for placing the fastener in minimally invasive surgery |
US5716370A (en) | 1996-02-23 | 1998-02-10 | Williamson, Iv; Warren | Means for replacing a heart valve in a minimally invasive manner |
US5800379A (en) | 1996-02-23 | 1998-09-01 | Sommus Medical Technologies, Inc. | Method for ablating interior sections of the tongue |
US6099537A (en) | 1996-02-26 | 2000-08-08 | Olympus Optical Co., Ltd. | Medical treatment instrument |
DE19607123C2 (de) | 1996-02-26 | 1998-07-16 | Aesculap Ag & Co Kg | Bohrmaschine für chirurgische Zwecke |
US5951575A (en) | 1996-03-01 | 1999-09-14 | Heartport, Inc. | Apparatus and methods for rotationally deploying needles |
US5810721A (en) | 1996-03-04 | 1998-09-22 | Heartport, Inc. | Soft tissue retractor and method for providing surgical access |
US5673842A (en) | 1996-03-05 | 1997-10-07 | Ethicon Endo-Surgery | Surgical stapler with locking mechanism |
US5605272A (en) | 1996-03-12 | 1997-02-25 | Ethicon Endo-Surgery, Inc. | Trigger mechanism for surgical instruments |
US5697543A (en) | 1996-03-12 | 1997-12-16 | Ethicon Endo-Surgery, Inc. | Linear stapler with improved firing stroke |
US5810240A (en) | 1996-03-15 | 1998-09-22 | United States Surgical Corporation | Surgical fastener applying device |
IL117607A0 (en) | 1996-03-21 | 1996-07-23 | Dev Of Advanced Medical Produc | Surgical stapler and method of surgical fastening |
WO1997035533A1 (en) | 1996-03-25 | 1997-10-02 | Enrico Nicolo | Surgical mesh prosthetic material and methods of use |
US5747953A (en) | 1996-03-29 | 1998-05-05 | Stryker Corporation | Cordless, battery operated surical tool |
US5772099A (en) | 1996-04-01 | 1998-06-30 | United States Surgical Corporation | Surgical fastening apparatus with alignment pin |
USD416089S (en) | 1996-04-08 | 1999-11-02 | Richard-Allan Medical Industries, Inc. | Endoscopic linear stapling and dividing surgical instrument |
US5785232A (en) | 1996-04-17 | 1998-07-28 | Vir Engineering | Surgical stapler |
US5728121A (en) | 1996-04-17 | 1998-03-17 | Teleflex Medical, Inc. | Surgical grasper devices |
US6149660A (en) | 1996-04-22 | 2000-11-21 | Vnus Medical Technologies, Inc. | Method and apparatus for delivery of an appliance in a vessel |
US5836503A (en) | 1996-04-22 | 1998-11-17 | United States Surgical Corporation | Insertion device for surgical apparatus |
US6050472A (en) | 1996-04-26 | 2000-04-18 | Olympus Optical Co., Ltd. | Surgical anastomosis stapler |
JP3791856B2 (ja) | 1996-04-26 | 2006-06-28 | オリンパス株式会社 | 医療用縫合器 |
US5880733A (en) | 1996-04-30 | 1999-03-09 | Microsoft Corporation | Display system and method for displaying windows of an operating system to provide a three-dimensional workspace for a computer system |
US6221007B1 (en) | 1996-05-03 | 2001-04-24 | Philip S. Green | System and method for endoscopic imaging and endosurgery |
US5928137A (en) | 1996-05-03 | 1999-07-27 | Green; Philip S. | System and method for endoscopic imaging and endosurgery |
US5741305A (en) | 1996-05-06 | 1998-04-21 | Physio-Control Corporation | Keyed self-latching battery pack for a portable defibrillator |
DE19618291A1 (de) | 1996-05-07 | 1998-01-29 | Storz Karl Gmbh & Co | Instrument mit einem abwinkelbaren Handgriff |
US5823066A (en) | 1996-05-13 | 1998-10-20 | Ethicon Endo-Surgery, Inc. | Articulation transmission mechanism for surgical instruments |
US5792135A (en) | 1996-05-20 | 1998-08-11 | Intuitive Surgical, Inc. | Articulated surgical instrument for performing minimally invasive surgery with enhanced dexterity and sensitivity |
US5797900A (en) | 1996-05-20 | 1998-08-25 | Intuitive Surgical, Inc. | Wrist mechanism for surgical instrument for performing minimally invasive surgery with enhanced dexterity and sensitivity |
US5772379A (en) | 1996-05-24 | 1998-06-30 | Evensen; Kenneth | Self-filling staple fastener |
JPH09323068A (ja) | 1996-06-07 | 1997-12-16 | Chowa Kogyo Kk | 起振用偏心重錘の位相差制御方法、および同位相差制御機構 |
US6119913A (en) | 1996-06-14 | 2000-09-19 | Boston Scientific Corporation | Endoscopic stapler |
GB2314274A (en) | 1996-06-20 | 1997-12-24 | Gyrus Medical Ltd | Electrode construction for an electrosurgical instrument |
US5735874A (en) | 1996-06-21 | 1998-04-07 | Ethicon Endo-Surgery, Inc. | Variable position handle locking mechanism |
US6911916B1 (en) | 1996-06-24 | 2005-06-28 | The Cleveland Clinic Foundation | Method and apparatus for accessing medical data over a network |
US5736271A (en) | 1996-06-28 | 1998-04-07 | Telxon Corporation | Battery pack for portable electronic device |
US5853366A (en) | 1996-07-08 | 1998-12-29 | Kelsey, Inc. | Marker element for interstitial treatment and localizing device and method using same |
US5782748A (en) | 1996-07-10 | 1998-07-21 | Symbiosis Corporation | Endoscopic surgical instruments having detachable proximal and distal portions |
US5957831A (en) | 1996-07-12 | 1999-09-28 | Adair; Edwin L. | Sterile encapsulated endoscopic video monitor |
US5732712A (en) | 1996-07-12 | 1998-03-31 | Adair; Edwin L. | Sterile encapsulated operating room video monitor and video monitor support device |
US5765565A (en) | 1996-07-12 | 1998-06-16 | Adair; Edwin L. | Sterile encapsulated operating room video monitor and video monitor support device |
US5812188A (en) | 1996-07-12 | 1998-09-22 | Adair; Edwin L. | Sterile encapsulated endoscopic video monitor |
US5702408A (en) | 1996-07-17 | 1997-12-30 | Ethicon Endo-Surgery, Inc. | Articulating surgical instrument |
US6024748A (en) | 1996-07-23 | 2000-02-15 | United States Surgical Corporation | Singleshot anastomosis instrument with detachable loading unit and method |
US6440146B2 (en) | 1996-07-23 | 2002-08-27 | United States Surgical Corporation | Anastomosis instrument and method |
US6083234A (en) | 1996-07-23 | 2000-07-04 | Surgical Dynamics, Inc. | Anastomosis instrument and method |
US5785647A (en) | 1996-07-31 | 1998-07-28 | United States Surgical Corporation | Surgical instruments useful for spinal surgery |
US6054142A (en) | 1996-08-01 | 2000-04-25 | Cyto Therapeutics, Inc. | Biocompatible devices with foam scaffolds |
JP3752737B2 (ja) | 1996-08-12 | 2006-03-08 | トヨタ自動車株式会社 | 角速度検出装置 |
US5830598A (en) | 1996-08-15 | 1998-11-03 | Ericsson Inc. | Battery pack incorporating battery pack contact assembly and method |
US6017354A (en) | 1996-08-15 | 2000-01-25 | Stryker Corporation | Integrated system for powered surgical tools |
USD393067S (en) | 1996-08-27 | 1998-03-31 | Valleylab Inc. | Electrosurgical pencil |
US5997528A (en) | 1996-08-29 | 1999-12-07 | Bausch & Lomb Surgical, Inc. | Surgical system providing automatic reconfiguration |
US5873885A (en) | 1996-08-29 | 1999-02-23 | Storz Instrument Company | Surgical handpiece |
US6065679A (en) | 1996-09-06 | 2000-05-23 | Ivi Checkmate Inc. | Modular transaction terminal |
US6364888B1 (en) | 1996-09-09 | 2002-04-02 | Intuitive Surgical, Inc. | Alignment of master and slave in a minimally invasive surgical apparatus |
US5730758A (en) | 1996-09-12 | 1998-03-24 | Allgeyer; Dean O. | Staple and staple applicator for use in skin fixation of catheters |
US20050143769A1 (en) | 2002-08-19 | 2005-06-30 | White Jeffrey S. | Ultrasonic dissector |
US5833696A (en) | 1996-10-03 | 1998-11-10 | United States Surgical Corporation | Apparatus for applying surgical clips |
US6109500A (en) | 1996-10-04 | 2000-08-29 | United States Surgical Corporation | Lockout mechanism for a surgical stapler |
US6036667A (en) | 1996-10-04 | 2000-03-14 | United States Surgical Corporation | Ultrasonic dissection and coagulation system |
US5843132A (en) | 1996-10-07 | 1998-12-01 | Ilvento; Joseph P. | Self-contained, self-powered temporary intravenous pacing catheter assembly |
US5904647A (en) | 1996-10-08 | 1999-05-18 | Asahi Kogyo Kabushiki Kaisha | Treatment accessories for an endoscope |
US5851179A (en) | 1996-10-10 | 1998-12-22 | Nellcor Puritan Bennett Incorporated | Pulse oximeter sensor with articulating head |
JP3091420B2 (ja) | 1996-10-18 | 2000-09-25 | 株式会社貝印刃物開発センター | 内視鏡用処置具 |
US5752965A (en) | 1996-10-21 | 1998-05-19 | Bio-Vascular, Inc. | Apparatus and method for producing a reinforced surgical fastener suture line |
US5769892A (en) | 1996-10-22 | 1998-06-23 | Mitroflow International Inc. | Surgical stapler sleeve for reinforcing staple lines |
US6043626A (en) | 1996-10-29 | 2000-03-28 | Ericsson Inc. | Auxiliary battery holder with multicharger functionality |
US6162537A (en) | 1996-11-12 | 2000-12-19 | Solutia Inc. | Implantable fibers and medical articles |
US6033105A (en) | 1996-11-15 | 2000-03-07 | Barker; Donald | Integrated bone cement mixing and dispensing system |
BR9713075A (pt) | 1996-11-15 | 2000-04-11 | Gardner Michael Stuart | Aplicador de etiqueta para orelha. |
US6165184A (en) | 1996-11-18 | 2000-12-26 | Smith & Nephew, Inc. | Systems methods and instruments for minimally invasive surgery |
DE69735501T2 (de) | 1996-11-18 | 2006-12-14 | The University Of Massachusetts, Boston | Systeme und instrumente zur minimal invasiven chirurgie |
US6159224A (en) | 1996-11-27 | 2000-12-12 | Yoon; Inbae | Multiple needle suturing instrument and method |
US5993466A (en) | 1997-06-17 | 1999-11-30 | Yoon; Inbae | Suturing instrument with multiple rotatably mounted spreadable needle holders |
FR2756574B1 (fr) | 1996-11-29 | 1999-01-08 | Staubli Lyon | Dispositif de selection, mecanique d'armure a trois positions et metier a tisser equipe d'une telle mecanique d'armure |
US6102926A (en) | 1996-12-02 | 2000-08-15 | Angiotrax, Inc. | Apparatus for percutaneously performing myocardial revascularization having means for sensing tissue parameters and methods of use |
US6165188A (en) | 1996-12-02 | 2000-12-26 | Angiotrax, Inc. | Apparatus for percutaneously performing myocardial revascularization having controlled cutting depth and methods of use |
US5899915A (en) | 1996-12-02 | 1999-05-04 | Angiotrax, Inc. | Apparatus and method for intraoperatively performing surgery |
US5766186A (en) | 1996-12-03 | 1998-06-16 | Simon Fraser University | Suturing device |
US6162211A (en) | 1996-12-05 | 2000-12-19 | Thermolase Corporation | Skin enhancement using laser light |
CA2224366C (en) | 1996-12-11 | 2006-10-31 | Ethicon, Inc. | Meniscal repair device |
US8206406B2 (en) | 1996-12-12 | 2012-06-26 | Intuitive Surgical Operations, Inc. | Disposable sterile surgical adaptor |
US6331181B1 (en) | 1998-12-08 | 2001-12-18 | Intuitive Surgical, Inc. | Surgical robotic tools, data architecture, and use |
US6132368A (en) | 1996-12-12 | 2000-10-17 | Intuitive Surgical, Inc. | Multi-component telepresence system and method |
US9050119B2 (en) | 2005-12-20 | 2015-06-09 | Intuitive Surgical Operations, Inc. | Cable tensioning in a robotic surgical system |
US6019780A (en) | 1996-12-17 | 2000-02-01 | Tnco, Inc. | Dual pin and groove pivot for micro-instrument |
GB9626512D0 (en) | 1996-12-20 | 1997-02-05 | Gyrus Medical Ltd | An improved electrosurgical generator and system |
US6063098A (en) | 1996-12-23 | 2000-05-16 | Houser; Kevin | Articulable ultrasonic surgical apparatus |
US5966126A (en) | 1996-12-23 | 1999-10-12 | Szabo; Andrew J. | Graphic user interface for database system |
IL119883A0 (en) | 1996-12-23 | 1997-03-18 | Dev Of Advanced Medical Produc | Connector of rod posts in surgical stapler apparatus |
US5849023A (en) | 1996-12-27 | 1998-12-15 | Mericle; Robert William | Disposable remote flexible drive cutting apparatus |
US6007521A (en) | 1997-01-07 | 1999-12-28 | Bidwell; Robert E. | Drainage catheter system |
DE19700402C2 (de) | 1997-01-08 | 1999-12-30 | Ferdinand Peer | Instrument zur Kompensation des Handzitterns bei der Manipulation feiner Strukturen |
US5931847A (en) | 1997-01-09 | 1999-08-03 | Ethicon Endo-Surgery, Inc. | Surgical cutting instrument with improved cutting edge |
US6074401A (en) | 1997-01-09 | 2000-06-13 | Coalescent Surgical, Inc. | Pinned retainer surgical fasteners, instruments and methods for minimally invasive vascular and endoscopic surgery |
US5769748A (en) | 1997-01-16 | 1998-06-23 | Hughes Electronics Corporation | Gimbal employing differential combination of offset drives |
JPH10200699A (ja) | 1997-01-16 | 1998-07-31 | Ricoh Co Ltd | 画像形成装置のスキャナにおけるサーボ制御装置 |
GB2323744B (en) | 1997-01-17 | 1999-03-24 | Connell Anne O | Method of supporting unknown addresses in an interface for data transmission in an asynchronous transfer mode |
US6485667B1 (en) | 1997-01-17 | 2002-11-26 | Rayonier Products And Financial Services Company | Process for making a soft, strong, absorbent material for use in absorbent articles |
US5784934A (en) | 1997-01-30 | 1998-07-28 | Shinano Pneumatic Industries, Inc. | Ratchet wrench with pivotable head |
US5908402A (en) | 1997-02-03 | 1999-06-01 | Valleylab | Method and apparatus for detecting tube occlusion in argon electrosurgery system |
US6545384B1 (en) | 1997-02-07 | 2003-04-08 | Sri International | Electroactive polymer devices |
US6376971B1 (en) | 1997-02-07 | 2002-04-23 | Sri International | Electroactive polymer electrodes |
US5899824A (en) | 1997-02-12 | 1999-05-04 | Accudart Corporation | Snap-fit dart and adapter |
DE19705737C2 (de) | 1997-02-14 | 2000-04-27 | Spinnerei C B Goeldner Gmbh & | Medizinischer Saugkörper und Verfahren zu seiner Herstellung |
US5797637A (en) | 1997-02-21 | 1998-08-25 | Ervin; Scott P. | Roll mover and method of using |
DE19707373C1 (de) | 1997-02-25 | 1998-02-05 | Storz Karl Gmbh & Co | Bajonettkupplung zum lösbaren Verbinden zweier Rohrschaftinstrumente oder -instrumententeile |
US5907211A (en) | 1997-02-28 | 1999-05-25 | Massachusetts Institute Of Technology | High-efficiency, large stroke electromechanical actuator |
IT1291164B1 (it) | 1997-03-04 | 1998-12-29 | Coral Spa | Condotto universale di convogliamento di fumi o gas nocivi da un posto di lavorazione. |
US6626901B1 (en) | 1997-03-05 | 2003-09-30 | The Trustees Of Columbia University In The City Of New York | Electrothermal instrument for sealing and joining or cutting tissue |
PT1011494E (pt) | 1997-03-05 | 2007-04-30 | Univ Columbia | Dispositivo elctrotérmico para fecho e ligação ou corte de tecidos |
US7083613B2 (en) | 1997-03-05 | 2006-08-01 | The Trustees Of Columbia University In The City Of New York | Ringed forceps |
US5908149A (en) | 1997-03-12 | 1999-06-01 | Ethicon Endo-Surgery, Inc. | Skin stapler with multi-directional release mechanism |
US5810821A (en) | 1997-03-28 | 1998-09-22 | Biomet Inc. | Bone fixation screw system |
JP4122066B2 (ja) | 1997-03-31 | 2008-07-23 | 株式会社京都医療設計 | 医療用縫合保持部材 |
US6050172A (en) | 1997-04-04 | 2000-04-18 | Emhart Glass S.A. | Pneumatically operated mechanism |
US5843169A (en) | 1997-04-08 | 1998-12-01 | Taheri; Syde A. | Apparatus and method for stapling graft material to a blood vessel wall while preserving the patency of orifices |
US5846254A (en) | 1997-04-08 | 1998-12-08 | Ethicon Endo-Surgery, Inc. | Surgical instrument for forming a knot |
US6033399A (en) | 1997-04-09 | 2000-03-07 | Valleylab, Inc. | Electrosurgical generator with adaptive power control |
US6270916B1 (en) | 1997-04-10 | 2001-08-07 | Alcatel | Complete discharge device for lithium battery |
USD462437S1 (en) | 1997-04-14 | 2002-09-03 | Baxter International Inc. | Manually operable irrigation surgical instrument |
RU2144791C1 (ru) | 1997-04-14 | 2000-01-27 | Дубровский Аркадий Вениаминович | Пологое поворотное устройство |
TW473600B (en) | 1997-04-15 | 2002-01-21 | Swagelok Co | Tube fitting, rear ferrule for a two ferrule tube fitting and ferrule for a tube fitting and a non-flared tube fitting |
US5919198A (en) | 1997-04-17 | 1999-07-06 | Ethicon Endo-Surgery, Inc. | Disposable cartridge with drivers |
DE29720616U1 (de) | 1997-04-18 | 1998-08-20 | Kaltenbach & Voigt | Handstück für medizinische Zwecke, insbesondere für eine ärztliche oder zahnärztliche Behandlungseinrichtung, vorzugsweise für eine spanabhebende Bearbeitung eines Zahn-Wurzelkanals |
US5893855A (en) | 1997-04-18 | 1999-04-13 | Jacobs; Robert A. | Surgical stapler |
US5893878A (en) | 1997-04-24 | 1999-04-13 | Pierce; Javin | Micro traumatic tissue manipulator apparatus |
GB9708268D0 (en) | 1997-04-24 | 1997-06-18 | Gyrus Medical Ltd | An electrosurgical instrument |
JPH10296660A (ja) | 1997-04-25 | 1998-11-10 | Hitachi Koki Co Ltd | 電池式携帯用工具 |
US5906577A (en) | 1997-04-30 | 1999-05-25 | University Of Massachusetts | Device, surgical access port, and method of retracting an incision into an opening and providing a channel through the incision |
US6157169A (en) | 1997-04-30 | 2000-12-05 | Samsung Electronics Co., Ltd. | Monitoring technique for accurately determining residual capacity of a battery |
US6017358A (en) | 1997-05-01 | 2000-01-25 | Inbae Yoon | Surgical instrument with multiple rotatably mounted offset end effectors |
US6037724A (en) | 1997-05-01 | 2000-03-14 | Osteomed Corporation | Electronic controlled surgical power tool |
US5922003A (en) | 1997-05-09 | 1999-07-13 | Xomed Surgical Products, Inc. | Angled rotary tissue cutting instrument and method of fabricating the same |
US6867248B1 (en) | 1997-05-12 | 2005-03-15 | Metabolix, Inc. | Polyhydroxyalkanoate compositions having controlled degradation rates |
USH2037H1 (en) | 1997-05-14 | 2002-07-02 | David C. Yates | Electrosurgical hemostatic device including an anvil |
USH1904H (en) | 1997-05-14 | 2000-10-03 | Ethicon Endo-Surgery, Inc. | Electrosurgical hemostatic method and device |
US7048716B1 (en) | 1997-05-15 | 2006-05-23 | Stanford University | MR-compatible devices |
DE19721076A1 (de) | 1997-05-20 | 1998-11-26 | Trw Repa Gmbh | Verfahren zum Herstellen eines Seilabschnittes mit einem Befestigungselement für ein Fahrzeuginsassen-Rückhaltesystem sowie mit diesem Verfahren hergestellter Seilabschnitt |
US5817091A (en) | 1997-05-20 | 1998-10-06 | Medical Scientific, Inc. | Electrosurgical device having a visible indicator |
US5997952A (en) | 1997-05-23 | 1999-12-07 | The Dow Chemical Company | Fast-setting latex coating and formulations |
US5851212A (en) | 1997-06-11 | 1998-12-22 | Endius Incorporated | Surgical instrument |
US5899914A (en) | 1997-06-11 | 1999-05-04 | Endius Incorporated | Surgical instrument |
US6231565B1 (en) | 1997-06-18 | 2001-05-15 | United States Surgical Corporation | Robotic arm DLUs for performing surgical tasks |
US5947996A (en) | 1997-06-23 | 1999-09-07 | Medicor Corporation | Yoke for surgical instrument |
US5951552A (en) | 1997-06-30 | 1999-09-14 | Ethicon Endo-Surgery, Inc. | Capacitively coupled cordless electrosurgical instrument |
US5849020A (en) | 1997-06-30 | 1998-12-15 | Ethicon Endo-Surgery, Inc. | Inductively coupled electrosurgical instrument |
US7021878B1 (en) | 1997-07-03 | 2006-04-04 | Trackers Company | Categorizing fasteners and construction connectors using visual identifiers |
US6049145A (en) | 1997-07-07 | 2000-04-11 | Motorola, Inc. | Tamper proof safety circuit |
FR2765794B1 (fr) | 1997-07-11 | 1999-09-03 | Joel Bardeau | Dispositif d'eveinage notamment pour endoeveinage |
US6338737B1 (en) | 1997-07-17 | 2002-01-15 | Haviv Toledano | Flexible annular stapler for closed surgery of hollow organs |
DE19731021A1 (de) | 1997-07-18 | 1999-01-21 | Meyer Joerg | In vivo abbaubares metallisches Implantat |
WO1999003407A1 (en) | 1997-07-18 | 1999-01-28 | Gyrus Medical Limited | An electrosurgical instrument |
GB9900964D0 (en) | 1999-01-15 | 1999-03-10 | Gyrus Medical Ltd | An electrosurgical system |
GB2327352A (en) | 1997-07-18 | 1999-01-27 | Gyrus Medical Ltd | Electrosurgical instrument |
US5937951A (en) | 1997-07-18 | 1999-08-17 | Ethicon Endo-Surgery, Inc. | Skin stapler with rack and pinion staple feed mechanism |
US7278994B2 (en) | 1997-07-18 | 2007-10-09 | Gyrus Medical Limited | Electrosurgical instrument |
US6923803B2 (en) | 1999-01-15 | 2005-08-02 | Gyrus Medical Limited | Electrosurgical system and method |
JP2001510068A (ja) | 1997-07-18 | 2001-07-31 | ガイラス・メディカル・リミテッド | 電気外科用器具 |
EP0996377A1 (en) | 1997-07-18 | 2000-05-03 | Gyrus Medical Limited | An electrosurgical instrument |
WO1999004844A1 (en) | 1997-07-24 | 1999-02-04 | Mcguckin James F Jr | Stationary central tunnel dialysis catheter with optional separable sheath |
US5948030A (en) | 1997-07-25 | 1999-09-07 | General Motors Corporation | Steering angle determaination method and apparatus |
US6532958B1 (en) | 1997-07-25 | 2003-03-18 | Minnesota Innovative Technologies & Instruments Corporation | Automated control and conservation of supplemental respiratory oxygen |
US6371114B1 (en) | 1998-07-24 | 2002-04-16 | Minnesota Innovative Technologies & Instruments Corporation | Control device for supplying supplemental respiratory oxygen |
EP1579883A3 (en) | 1997-07-25 | 2005-10-12 | Minnesota Innovative Technologies & Instruments Corporation (MITI) | Control device for supplying supplemental respiratory oxygen |
AU8586298A (en) | 1997-07-25 | 1999-02-16 | University Of Massachusetts | Designed protein pores as components for biosensors |
AU728803B2 (en) | 1997-07-29 | 2001-01-18 | Thomas & Betts International, Inc. | Improved cable tie dispensing apparatus |
JP3811291B2 (ja) | 1998-07-02 | 2006-08-16 | オリンパス株式会社 | 内視鏡システム |
US5878938A (en) | 1997-08-11 | 1999-03-09 | Ethicon Endo-Surgery, Inc. | Surgical stapler with improved locking mechanism |
US6024750A (en) | 1997-08-14 | 2000-02-15 | United States Surgical | Ultrasonic curved blade |
US5904702A (en) | 1997-08-14 | 1999-05-18 | University Of Massachusetts | Instrument for thoracic surgical procedures |
US6024764A (en) | 1997-08-19 | 2000-02-15 | Intermedics, Inc. | Apparatus for imparting physician-determined shapes to implantable tubular devices |
US6211626B1 (en) | 1997-08-26 | 2001-04-03 | Color Kinetics, Incorporated | Illumination components |
US6083223A (en) | 1997-08-28 | 2000-07-04 | Baker; James A. | Methods and apparatus for welding blood vessels |
AUPO889497A0 (en) | 1997-09-01 | 1997-09-25 | N.J. Phillips Pty. Limited | An applicator |
US6731976B2 (en) | 1997-09-03 | 2004-05-04 | Medtronic, Inc. | Device and method to measure and communicate body parameters |
US6267761B1 (en) | 1997-09-09 | 2001-07-31 | Sherwood Services Ag | Apparatus and method for sealing and cutting tissue |
EP1011493B1 (en) | 1997-09-10 | 2005-03-23 | Sherwood Services AG | Bipolar instrument for vessel fusion |
WO1999012483A1 (en) | 1997-09-11 | 1999-03-18 | Genzyme Corporation | Articulating endoscopic implant rotator surgical apparatus and method for using same |
EP2362284B1 (en) | 1997-09-19 | 2015-05-20 | Massachusetts Institute Of Technology | Robotic apparatus |
US6214001B1 (en) | 1997-09-19 | 2001-04-10 | Oratec Interventions, Inc. | Electrocauterizing tool for orthopedic shave devices |
US5980569A (en) | 1997-09-19 | 1999-11-09 | United States Surgical Corp. | Prosthetic valve holder and method of use |
US6017356A (en) | 1997-09-19 | 2000-01-25 | Ethicon Endo-Surgery Inc. | Method for using a trocar for penetration and skin incision |
US20040236352A1 (en) | 1997-09-22 | 2004-11-25 | Yulun Wang | Method and apparatus for performing minimally invasive cardiac procedures |
US5865361A (en) | 1997-09-23 | 1999-02-02 | United States Surgical Corporation | Surgical stapling apparatus |
US5921956A (en) | 1997-09-24 | 1999-07-13 | Smith & Nephew, Inc. | Surgical instrument |
WO1999016347A1 (en) | 1997-09-29 | 1999-04-08 | Scimed Life Systems, Inc. | Intravascular imaging guidewire |
US6173074B1 (en) | 1997-09-30 | 2001-01-09 | Lucent Technologies, Inc. | Acoustic signature recognition and identification |
US6174318B1 (en) | 1998-04-23 | 2001-01-16 | Scimed Life Systems, Inc. | Basket with one or more moveable legs |
AU734010B2 (en) | 1997-10-02 | 2001-05-31 | Boston Scientific Limited | Device and method for delivering fiber into a body |
GB2329840C (en) | 1997-10-03 | 2007-10-05 | Johnson & Johnson Medical | Biopolymer sponge tubes |
US7030904B2 (en) | 1997-10-06 | 2006-04-18 | Micro-Medical Devices, Inc. | Reduced area imaging device incorporated within wireless endoscopic devices |
WO1999017672A1 (en) | 1997-10-06 | 1999-04-15 | Somnus Medical Technologies, Inc. | Electro-surgical instrument with a graphical user interface |
US5944172A (en) | 1997-10-06 | 1999-08-31 | Allen-Bradley Company, Llc | Biasing assembly for a switching device |
US5984949A (en) | 1997-10-06 | 1999-11-16 | Levin; John M. | Tissue hooks and tools for applying same |
US6066144A (en) | 1997-10-07 | 2000-05-23 | Ethicon Endo-Surgery, Inc. | Surgical anastomosis method |
US5993464A (en) | 1998-01-23 | 1999-11-30 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument |
US6206894B1 (en) | 1997-10-09 | 2001-03-27 | Ethicon Endo-Surgery, Inc. | Electrically powered needle holder to assist in suturing |
AU1187899A (en) | 1997-10-09 | 1999-05-03 | Camran Nezhat | Methods and systems for organ resection |
US5947984A (en) | 1997-10-10 | 1999-09-07 | Ethicon Endo-Surger, Inc. | Ultrasonic clamp coagulator apparatus having force limiting clamping mechanism |
US5893835A (en) | 1997-10-10 | 1999-04-13 | Ethicon Endo-Surgery, Inc. | Ultrasonic clamp coagulator apparatus having dual rotational positioning |
US6171316B1 (en) | 1997-10-10 | 2001-01-09 | Origin Medsystems, Inc. | Endoscopic surgical instrument for rotational manipulation |
US6241723B1 (en) | 1997-10-15 | 2001-06-05 | Team Medical Llc | Electrosurgical system |
US6224617B1 (en) | 1997-10-17 | 2001-05-01 | Angiotrax, Inc. | Methods and apparatus for defibrillating a heart refractory to electrical stimuli |
US6511468B1 (en) | 1997-10-17 | 2003-01-28 | Micro Therapeutics, Inc. | Device and method for controlling injection of liquid embolic composition |
US6117148A (en) | 1997-10-17 | 2000-09-12 | Ravo; Biagio | Intraluminal anastomotic device |
US6142149A (en) | 1997-10-23 | 2000-11-07 | Steen; Scot Kenneth | Oximetry device, open oxygen delivery system oximetry device and method of controlling oxygen saturation |
US5903117A (en) | 1997-10-28 | 1999-05-11 | Xomed Surgical Products, Inc. | Method and adaptor for connecting a powered surgical instrument to a medical console |
USD422545S (en) | 1997-10-30 | 2000-04-11 | Lear Automotive Dearborn, Inc. | Icon for vehicle speedometer display |
JP4121615B2 (ja) | 1997-10-31 | 2008-07-23 | オリンパス株式会社 | 内視鏡 |
US6086600A (en) | 1997-11-03 | 2000-07-11 | Symbiosis Corporation | Flexible endoscopic surgical instrument for invagination and fundoplication |
US6050996A (en) | 1997-11-12 | 2000-04-18 | Sherwood Services Ag | Bipolar electrosurgical instrument with replaceable electrodes |
US6187003B1 (en) | 1997-11-12 | 2001-02-13 | Sherwood Services Ag | Bipolar electrosurgical instrument for sealing vessels |
US7435249B2 (en) | 1997-11-12 | 2008-10-14 | Covidien Ag | Electrosurgical instruments which reduces collateral damage to adjacent tissue |
US5946978A (en) | 1997-11-13 | 1999-09-07 | Shimano Inc. | Cable adjustment device |
US6228083B1 (en) | 1997-11-14 | 2001-05-08 | Sherwood Services Ag | Laparoscopic bipolar electrosurgical instrument |
FR2771145B1 (fr) | 1997-11-19 | 2000-02-25 | Car X | Gaine souple a soufflet pour joint articule et outillages de mise en place de cette gaine |
US6010513A (en) | 1997-11-26 | 2000-01-04 | Bionx Implants Oy | Device for installing a tissue fastener |
US6273876B1 (en) | 1997-12-05 | 2001-08-14 | Intratherapeutics, Inc. | Catheter segments having circumferential supports with axial projection |
US6254642B1 (en) * | 1997-12-09 | 2001-07-03 | Thomas V. Taylor | Perorally insertable gastroesophageal anti-reflux valve prosthesis and tool for implantation thereof |
US6068627A (en) | 1997-12-10 | 2000-05-30 | Valleylab, Inc. | Smart recognition apparatus and method |
US6171330B1 (en) | 1997-12-15 | 2001-01-09 | Sofradim Production | Pneumatic surgical instrument for the distribution and placement of connecting or fastening means |
US6472784B2 (en) | 1997-12-16 | 2002-10-29 | Fred N. Miekka | Methods and apparatus for increasing power of permanent magnet motors |
US6248116B1 (en) | 1997-12-16 | 2001-06-19 | B. Braun Celsa | Medical treatment of a diseased anatomical duct |
EP0923907A1 (en) | 1997-12-19 | 1999-06-23 | Gyrus Medical Limited | An electrosurgical instrument |
US6055062A (en) | 1997-12-19 | 2000-04-25 | Hewlett-Packard Company | Electronic printer having wireless power and communications connections to accessory units |
US6228089B1 (en) | 1997-12-19 | 2001-05-08 | Depuy International Limited | Device for positioning and guiding a surgical instrument during orthopaedic interventions |
JPH11178833A (ja) | 1997-12-24 | 1999-07-06 | Olympus Optical Co Ltd | 超音波処置具 |
US6033427A (en) | 1998-01-07 | 2000-03-07 | Lee; Benjamin I. | Method and device for percutaneous sealing of internal puncture sites |
US6620166B1 (en) | 1998-01-09 | 2003-09-16 | Ethicon, Inc. | Suture buttress system |
US6156056A (en) | 1998-01-09 | 2000-12-05 | Ethicon, Inc. | Suture buttress |
US6245081B1 (en) | 1998-01-09 | 2001-06-12 | Steven M. Bowman | Suture buttress |
GB2336214A (en) | 1998-01-16 | 1999-10-13 | David William Taylor | Preventionof multiple use of limited use devices |
US6200311B1 (en) | 1998-01-20 | 2001-03-13 | Eclipse Surgical Technologies, Inc. | Minimally invasive TMR device |
US6148979A (en) | 1998-01-20 | 2000-11-21 | Brigham Young University | Compliant overrunning clutch with centrifugal throw-out |
US6072299A (en) | 1998-01-26 | 2000-06-06 | Medtronic Physio-Control Manufacturing Corp. | Smart battery with maintenance and testing functions |
US6096074A (en) | 1998-01-27 | 2000-08-01 | United States Surgical | Stapling apparatus and method for heart valve replacement |
US6228454B1 (en) | 1998-02-02 | 2001-05-08 | Fort James Corporation | Sheet material having weakness zones and a system for dispensing the material |
US6165175A (en) | 1999-02-02 | 2000-12-26 | Ethicon Endo-Surgery, Inc. | RF bipolar mesentery takedown device including improved bipolar end effector |
US6296640B1 (en) | 1998-02-06 | 2001-10-02 | Ethicon Endo-Surgery, Inc. | RF bipolar end effector for use in electrosurgical instruments |
US6457625B1 (en) | 1998-02-17 | 2002-10-01 | Bionx Implants, Oy | Device for installing a tissue fastener |
US7052499B2 (en) | 1998-02-18 | 2006-05-30 | Walter Lorenz Surgical, Inc. | Method and apparatus for bone fracture fixation |
US6645201B1 (en) | 1998-02-19 | 2003-11-11 | Curon Medical, Inc. | Systems and methods for treating dysfunctions in the intestines and rectum |
US7090683B2 (en) | 1998-02-24 | 2006-08-15 | Hansen Medical, Inc. | Flexible instrument |
US7775972B2 (en) | 1998-02-24 | 2010-08-17 | Hansen Medical, Inc. | Flexible instrument |
US6843793B2 (en) | 1998-02-24 | 2005-01-18 | Endovia Medical, Inc. | Surgical instrument |
US6554844B2 (en) | 1998-02-24 | 2003-04-29 | Endovia Medical, Inc. | Surgical instrument |
US7713190B2 (en) | 1998-02-24 | 2010-05-11 | Hansen Medical, Inc. | Flexible instrument |
US20020087048A1 (en) | 1998-02-24 | 2002-07-04 | Brock David L. | Flexible instrument |
US7214230B2 (en) | 1998-02-24 | 2007-05-08 | Hansen Medical, Inc. | Flexible instrument |
US6949106B2 (en) | 1998-02-24 | 2005-09-27 | Endovia Medical, Inc. | Surgical instrument |
US8414598B2 (en) | 1998-02-24 | 2013-04-09 | Hansen Medical, Inc. | Flexible instrument |
US7789875B2 (en) | 1998-02-24 | 2010-09-07 | Hansen Medical, Inc. | Surgical instruments |
US6183442B1 (en) | 1998-03-02 | 2001-02-06 | Board Of Regents Of The University Of Texas System | Tissue penetrating device and methods for using same |
US5909062A (en) | 1998-03-10 | 1999-06-01 | Krietzman; Mark Howard | Secondary power supply for use with handheld illumination devices |
RU2141279C1 (ru) | 1998-03-11 | 1999-11-20 | Кондратюк Георгий Константинович | Универсальная насадка |
US6099551A (en) | 1998-03-12 | 2000-08-08 | Shelhigh, Inc. | Pericardial strip and stapler assembly for dividing and sealing visceral tissues and method of use thereof |
US7491232B2 (en) | 1998-09-18 | 2009-02-17 | Aptus Endosystems, Inc. | Catheter-based fastener implantation apparatus and methods with implantation force resolution |
US6042601A (en) | 1998-03-18 | 2000-03-28 | United States Surgical Corporation | Apparatus for vascular hole closure |
US6592538B1 (en) | 1998-03-20 | 2003-07-15 | New York Society For The Ruptured And Crippled Maintaining The Hospital For Special Surgery | Dynamic orthopedic braces |
US20020025921A1 (en) | 1999-07-26 | 2002-02-28 | Petito George D. | Composition and method for growing, protecting, and healing tissues and cells |
WO1999048430A1 (en) | 1998-03-26 | 1999-09-30 | Gyrus Medical Limited | An electrosurgical instrument |
GB9807303D0 (en) | 1998-04-03 | 1998-06-03 | Gyrus Medical Ltd | An electrode assembly for an electrosurgical instrument |
US6626938B1 (en) | 2000-11-16 | 2003-09-30 | Cordis Corporation | Stent graft having a pleated graft member |
GB2335858A (en) | 1998-04-03 | 1999-10-06 | Gyrus Medical Ltd | Resectoscope having pivoting electrode assembly |
US6347241B2 (en) | 1999-02-02 | 2002-02-12 | Senorx, Inc. | Ultrasonic and x-ray detectable biopsy site marker and apparatus for applying it |
US6482217B1 (en) | 1998-04-10 | 2002-11-19 | Endicor Medical, Inc. | Neuro thrombectomy catheter |
US6001112A (en) | 1998-04-10 | 1999-12-14 | Endicor Medical, Inc. | Rotational atherectomy device |
US6249076B1 (en) | 1998-04-14 | 2001-06-19 | Massachusetts Institute Of Technology | Conducting polymer actuator |
US6047861A (en) | 1998-04-15 | 2000-04-11 | Vir Engineering, Inc. | Two component fluid dispenser |
FR2777443B1 (fr) | 1998-04-21 | 2000-06-30 | Tornier Sa | Ancillaire pour la mise en place et le retrait d'un implant et plus particulierement d'une ancre de suture |
US6450989B2 (en) | 1998-04-27 | 2002-09-17 | Artemis Medical, Inc. | Dilating and support apparatus with disease inhibitors and methods for use |
US6023641A (en) | 1998-04-29 | 2000-02-08 | Medtronic, Inc. | Power consumption reduction in medical devices employing multiple digital signal processors |
US6003517A (en) | 1998-04-30 | 1999-12-21 | Ethicon Endo-Surgery, Inc. | Method for using an electrosurgical device on lung tissue |
US6030384A (en) | 1998-05-01 | 2000-02-29 | Nezhat; Camran | Bipolar surgical instruments having focused electrical fields |
US6514252B2 (en) | 1998-05-01 | 2003-02-04 | Perfect Surgical Techniques, Inc. | Bipolar surgical instruments having focused electrical fields |
US6010520A (en) | 1998-05-01 | 2000-01-04 | Pattison; C. Phillip | Double tapered esophageal dilator |
US6171305B1 (en) | 1998-05-05 | 2001-01-09 | Cardiac Pacemakers, Inc. | RF ablation apparatus and method having high output impedance drivers |
US6558378B2 (en) | 1998-05-05 | 2003-05-06 | Cardiac Pacemakers, Inc. | RF ablation system and method having automatic temperature control |
US6517566B1 (en) | 1998-05-11 | 2003-02-11 | Surgical Connections, Inc. | Devices and methods for treating e.g. urinary stress incontinence |
US6062360A (en) | 1998-05-13 | 2000-05-16 | Brunswick Corporation | Synchronizer for a gear shift mechanism for a marine propulsion system |
US6039126A (en) | 1998-05-15 | 2000-03-21 | Hsieh; An-Fu | Multi-usage electric tool with angle-changeable grip |
US6165929A (en) | 1998-05-18 | 2000-12-26 | Phillips Petroleum Company | Compositions that can produce polymers |
US6261679B1 (en) | 1998-05-22 | 2001-07-17 | Kimberly-Clark Worldwide, Inc. | Fibrous absorbent material and methods of making the same |
US20050283188A1 (en) | 1998-05-29 | 2005-12-22 | By-Pass, Inc. | Vascular closure device |
JP2002516696A (ja) | 1998-05-29 | 2002-06-11 | バイ−パス・インク. | 脈管手術のための方法およびデバイス |
US6309403B1 (en) | 1998-06-01 | 2001-10-30 | Board Of Trustees Operating Michigan State University | Dexterous articulated linkage for surgical applications |
US6740101B2 (en) | 1998-06-10 | 2004-05-25 | Converge Medical, Inc. | Sutureless anastomosis systems |
JP3331172B2 (ja) | 1998-06-12 | 2002-10-07 | 旭光学工業株式会社 | 内視鏡用異物回収具 |
JP2000002228A (ja) | 1998-06-12 | 2000-01-07 | Chuo Spring Co Ltd | プルケーブルの端末構造 |
US6126058A (en) | 1998-06-19 | 2000-10-03 | Scimed Life Systems, Inc. | Method and device for full thickness resectioning of an organ |
US6629630B2 (en) | 1998-06-19 | 2003-10-07 | Scimed Life Systems, Inc. | Non-circular resection device and endoscope |
US6478210B2 (en) | 2000-10-25 | 2002-11-12 | Scimed Life Systems, Inc. | Method and device for full thickness resectioning of an organ |
US6585144B2 (en) | 1998-06-19 | 2003-07-01 | Acimed Life Systems, Inc. | Integrated surgical staple retainer for a full thickness resectioning device |
US6601749B2 (en) | 1998-06-19 | 2003-08-05 | Scimed Life Systems, Inc. | Multi fire full thickness resectioning device |
US6018227A (en) | 1998-06-22 | 2000-01-25 | Stryker Corporation | Battery charger especially useful with sterilizable, rechargeable battery packs |
US5941890A (en) | 1998-06-26 | 1999-08-24 | Ethicon Endo-Surgery, Inc. | Implantable surgical marker |
CA2276313C (en) | 1998-06-29 | 2008-01-29 | Ethicon Endo-Surgery, Inc. | Balanced ultrasonic blade including a plurality of balance asymmetries |
US6309400B2 (en) | 1998-06-29 | 2001-10-30 | Ethicon Endo-Surgery, Inc. | Curved ultrasonic blade having a trapezoidal cross section |
CA2276316C (en) | 1998-06-29 | 2008-02-12 | Ethicon Endo-Surgery, Inc. | Method of balancing asymmetric ultrasonic surgical blades |
US6066132A (en) | 1998-06-30 | 2000-05-23 | Ethicon, Inc. | Articulating endometrial ablation device |
US6228098B1 (en) | 1998-07-10 | 2001-05-08 | General Surgical Innovations, Inc. | Apparatus and method for surgical fastening |
JP3806518B2 (ja) | 1998-07-17 | 2006-08-09 | オリンパス株式会社 | 内視鏡治療装置 |
US6352503B1 (en) | 1998-07-17 | 2002-03-05 | Olympus Optical Co., Ltd. | Endoscopic surgery apparatus |
US5977746A (en) | 1998-07-21 | 1999-11-02 | Stryker Corporation | Rechargeable battery pack and method for manufacturing same |
US6157303A (en) | 1998-07-24 | 2000-12-05 | Terrapin Communications Inc. | Water safety portable transmitter and receiver |
JP2000055752A (ja) | 1998-08-03 | 2000-02-25 | Kayaba Ind Co Ltd | トルク検出装置 |
WO2000007503A1 (en) | 1998-08-04 | 2000-02-17 | Intuitive Surgical, Inc. | Manipulator positioning linkage for robotic surgery |
AU771701B2 (en) | 1998-08-14 | 2004-04-01 | Genzyme Corporation | Methods, instruments and materials for chondrocyte cell transplantation |
US6818018B1 (en) | 1998-08-14 | 2004-11-16 | Incept Llc | In situ polymerizable hydrogels |
DE19836950B4 (de) | 1998-08-17 | 2004-09-02 | Deutsches Zentrum für Luft- und Raumfahrt e.V. | Chirurgisches Instrument in Form eines Nahtklammergerätes |
DE19837258A1 (de) | 1998-08-17 | 2000-03-02 | Deutsch Zentr Luft & Raumfahrt | Vorrichtung zum Betätigen eines chirurgischen Instrumentariums zur Anastomose von Hohlorganen |
US6554798B1 (en) | 1998-08-18 | 2003-04-29 | Medtronic Minimed, Inc. | External infusion device with remote programming, bolus estimator and/or vibration alarm capabilities |
US6050989A (en) | 1998-08-24 | 2000-04-18 | Linvatec Corporation | Angularly adjustable powered surgical handpiece |
US6458147B1 (en) | 1998-11-06 | 2002-10-01 | Neomend, Inc. | Compositions, systems, and methods for arresting or controlling bleeding or fluid leakage in body tissue |
USH2086H1 (en) * | 1998-08-31 | 2003-10-07 | Kimberly-Clark Worldwide | Fine particle liquid filtration media |
US6726651B1 (en) | 1999-08-04 | 2004-04-27 | Cardeon Corporation | Method and apparatus for differentially perfusing a patient during cardiopulmonary bypass |
US6131790A (en) | 1998-09-02 | 2000-10-17 | Piraka; Hadi A. | Surgical stapler and cartridge |
DE19840163A1 (de) | 1998-09-03 | 2000-03-16 | Webasto Karosseriesysteme | Antriebsvorrichtung und Verfahren zum Verstellen eines Fahrzeugteils |
US6924781B1 (en) | 1998-09-11 | 2005-08-02 | Visible Tech-Knowledgy, Inc. | Smart electronic label employing electronic ink |
CA2344393C (en) | 1998-09-15 | 2008-11-18 | Medtronic, Inc. | Method and apparatus for temporarily immobilizing a local area of tissue |
FR2783429B1 (fr) | 1998-09-18 | 2002-04-12 | Imedex Biomateriaux | Materiau collagenique bicomposite,son procede d'obtention et ses applications therapeutiques |
US6402748B1 (en) | 1998-09-23 | 2002-06-11 | Sherwood Services Ag | Electrosurgical device having a dielectrical seal |
US6445530B1 (en) | 1998-09-25 | 2002-09-03 | Seagate Technology Llc | Class AB H-bridge using current sensing MOSFETs |
JP3766552B2 (ja) | 1998-10-01 | 2006-04-12 | 富士写真フイルム株式会社 | データ写し込み装置付きレンズ付きフイルムユニット |
US6262216B1 (en) | 1998-10-13 | 2001-07-17 | Affymetrix, Inc. | Functionalized silicon compounds and methods for their synthesis and use |
US6245084B1 (en) | 1998-10-20 | 2001-06-12 | Promex, Inc. | System for controlling a motor driven surgical cutting instrument |
DE69942436D1 (de) | 1998-10-23 | 2010-07-08 | Boston Scient Ltd | Verbessertes System zur intraluminalen Bildgebung |
US7267677B2 (en) | 1998-10-23 | 2007-09-11 | Sherwood Services Ag | Vessel sealing instrument |
US6398779B1 (en) | 1998-10-23 | 2002-06-04 | Sherwood Services Ag | Vessel sealing system |
EP1123051A4 (en) | 1998-10-23 | 2003-01-02 | Applied Med Resources | SURGICAL PLIERS WITH INSERTS AND METHOD FOR USE |
ES2241369T3 (es) | 1998-10-23 | 2005-10-16 | Sherwood Services Ag | Forceps bipolar electroquirurgico endoscopico. |
ES2251260T3 (es) | 1998-10-23 | 2006-04-16 | Sherwood Services Ag | Forceps de obturacion de vasos abiertos con miembro de tope. |
US7137980B2 (en) | 1998-10-23 | 2006-11-21 | Sherwood Services Ag | Method and system for controlling output of RF medical generator |
US5951574A (en) | 1998-10-23 | 1999-09-14 | Ethicon Endo-Surgery, Inc. | Multiple clip applier having a split feeding mechanism |
US6270508B1 (en) | 1998-10-26 | 2001-08-07 | Charles H. Klieman | End effector and instrument for endoscopic and general surgery needle control |
JP2000210299A (ja) | 1999-01-20 | 2000-08-02 | Olympus Optical Co Ltd | 手術装置 |
DE19851291A1 (de) | 1998-11-06 | 2000-01-05 | Siemens Ag | Operationsarbeitsplatztaugliches Dateneingabegerät |
JP3034508B1 (ja) | 1998-11-12 | 2000-04-17 | 本田技研工業株式会社 | 電動機駆動装置 |
US6249105B1 (en) | 1998-11-13 | 2001-06-19 | Neal Andrews | System and method for detecting performance components of a battery pack |
US6887710B2 (en) | 1998-11-13 | 2005-05-03 | Mesosystems Technology, Inc. | Robust system for screening mail for biological agents |
US6459926B1 (en) | 1998-11-20 | 2002-10-01 | Intuitive Surgical, Inc. | Repositioning and reorientation of master/slave relationship in minimally invasive telesurgery |
US6398726B1 (en) | 1998-11-20 | 2002-06-04 | Intuitive Surgical, Inc. | Stabilizer for robotic beating-heart surgery |
US6659939B2 (en) | 1998-11-20 | 2003-12-09 | Intuitive Surgical, Inc. | Cooperative minimally invasive telesurgical system |
US6102271A (en) | 1998-11-23 | 2000-08-15 | Ethicon Endo-Surgery, Inc. | Circular stapler for hemorrhoidal surgery |
US6142933A (en) | 1998-11-23 | 2000-11-07 | Ethicon Endo-Surgery, Inc. | Anoscope for hemorrhoidal surgery |
US6200330B1 (en) | 1998-11-23 | 2001-03-13 | Theodore V. Benderev | Systems for securing sutures, grafts and soft tissue to bone and periosteum |
US6723106B1 (en) | 1998-11-23 | 2004-04-20 | Microdexterity Systems, Inc. | Surgical manipulator |
US6167185A (en) | 1998-11-24 | 2000-12-26 | Jds Fitel Inc. | Adjustable optical attenuator |
US7537564B2 (en) | 1998-12-01 | 2009-05-26 | Atropos Limited | Wound retractor device |
US6254534B1 (en) | 1999-10-14 | 2001-07-03 | Atropos Limited | Retractor |
US6522906B1 (en) | 1998-12-08 | 2003-02-18 | Intuitive Surgical, Inc. | Devices and methods for presenting and regulating auxiliary information on an image display of a telesurgical system to assist an operator in performing a surgical procedure |
US7125403B2 (en) | 1998-12-08 | 2006-10-24 | Intuitive Surgical | In vivo accessories for minimally invasive robotic surgery |
JP2000171730A (ja) | 1998-12-08 | 2000-06-23 | Olympus Optical Co Ltd | バッテリ式携帯内視鏡装置 |
US6309397B1 (en) | 1999-12-02 | 2001-10-30 | Sri International | Accessories for minimally invasive robotic surgery and methods |
US6620173B2 (en) | 1998-12-08 | 2003-09-16 | Intuitive Surgical, Inc. | Method for introducing an end effector to a surgical site in minimally invasive surgery |
JP4233656B2 (ja) | 1998-12-11 | 2009-03-04 | ジョンソン・エンド・ジョンソン株式会社 | 自動吻合器及び該吻合器に装着可能な案内バルーン |
US6828902B2 (en) | 1998-12-14 | 2004-12-07 | Soundcraft, Inc. | Wireless data input to RFID reader |
EP1142054A1 (en) | 1998-12-15 | 2001-10-10 | Electric Fuel Limited | Battery pack design for metal-air battery cells |
US6126670A (en) | 1998-12-16 | 2000-10-03 | Medtronic, Inc. | Cordless surgical handpiece with disposable battery; and method |
US6887244B1 (en) | 1998-12-16 | 2005-05-03 | Medtronic, Inc. | Cordless surgical handpiece with disposable battery; and method |
DE19858512C1 (de) | 1998-12-18 | 2000-05-25 | Storz Karl Gmbh & Co Kg | Bipolares medizinisches Instrument |
DE19860444C2 (de) | 1998-12-28 | 2001-03-29 | Storz Karl Gmbh & Co Kg | Handgriff für ein medizinisches Rohrschaftinstrument |
DE19860611C1 (de) | 1998-12-29 | 2000-03-23 | Fraunhofer Ges Forschung | Verfahren zur Herstellung von Formkörpern aus Polymer-Schaumpartikeln |
US6147135A (en) | 1998-12-31 | 2000-11-14 | Ethicon, Inc. | Fabrication of biocompatible polymeric composites |
US6806867B1 (en) | 1998-12-31 | 2004-10-19 | A.T.X. International, Inc. | Palm pad system |
US6113618A (en) | 1999-01-13 | 2000-09-05 | Stryker Corporation | Surgical saw with spring-loaded, low-noise cutting blade |
US7001380B2 (en) | 1999-01-15 | 2006-02-21 | Gyrus Medical Limited | Electrosurgical system and method |
US20040030333A1 (en) | 1999-01-15 | 2004-02-12 | Gyrus Medical Ltd. | Electrosurgical system and method |
US6554861B2 (en) | 1999-01-19 | 2003-04-29 | Gyrus Ent L.L.C. | Otologic prosthesis |
US6273252B1 (en) | 1999-01-20 | 2001-08-14 | Burke H. Mitchell | Protective covering for a hand-held device |
ES2153313B1 (es) | 1999-01-21 | 2001-11-16 | Biomed S A | Aparato para la aplicacion guiada de una grapa retractil para el cierre precutaneo de orificios, incisiones o laceraciones en vasos, conductos o estructuras anatomicas humanas, grapa retractil y procedimiento para su aplicacion. |
US6394998B1 (en) | 1999-01-22 | 2002-05-28 | Intuitive Surgical, Inc. | Surgical tools for use in minimally invasive telesurgical applications |
US8529588B2 (en) | 1999-01-25 | 2013-09-10 | Applied Medical Resources Corporation | Multiple clip applier apparatus and method |
DE19905085A1 (de) | 1999-01-29 | 2000-08-03 | Black & Decker Inc N D Ges D S | Batteriegetriebenes, handgeführtes Elektrowerkzeug |
US6387113B1 (en) | 1999-02-02 | 2002-05-14 | Biomet, Inc. | Method and apparatus for repairing a torn meniscus |
US6174309B1 (en) | 1999-02-11 | 2001-01-16 | Medical Scientific, Inc. | Seal & cut electrosurgical instrument |
DE19906191A1 (de) | 1999-02-15 | 2000-08-17 | Ingo F Herrmann | Endoskop |
US6295888B1 (en) | 1999-02-16 | 2001-10-02 | Shimano Inc. | Gear indicator for a bicycle |
US6083242A (en) | 1999-02-17 | 2000-07-04 | Holobeam, Inc. | Surgical staples with deformation zones of non-uniform cross section |
US6065919A (en) | 1999-02-18 | 2000-05-23 | Peck; Philip D. | Self-tapping screw with an improved thread design |
USD429252S (en) | 1999-02-22 | 2000-08-08 | 3Com Corporation | Computer icon for a display screen |
US6806808B1 (en) | 1999-02-26 | 2004-10-19 | Sri International | Wireless event-recording device with identification codes |
US6582427B1 (en) | 1999-03-05 | 2003-06-24 | Gyrus Medical Limited | Electrosurgery system |
GB9905210D0 (en) | 1999-03-05 | 1999-04-28 | Gyrus Medical Ltd | Electrosurgical system |
GB9905211D0 (en) | 1999-03-05 | 1999-04-28 | Gyrus Medical Ltd | Electrosurgery system and instrument |
US20020022836A1 (en) | 1999-03-05 | 2002-02-21 | Gyrus Medical Limited | Electrosurgery system |
US6666875B1 (en) | 1999-03-05 | 2003-12-23 | Olympus Optical Co., Ltd. | Surgical apparatus permitting recharge of battery-driven surgical instrument in noncontact state |
GB9905209D0 (en) | 1999-03-05 | 1999-04-28 | Gyrus Medical Ltd | Electrosurgery system |
US6398781B1 (en) | 1999-03-05 | 2002-06-04 | Gyrus Medical Limited | Electrosurgery system |
US6190386B1 (en) | 1999-03-09 | 2001-02-20 | Everest Medical Corporation | Electrosurgical forceps with needle electrodes |
US6159146A (en) | 1999-03-12 | 2000-12-12 | El Gazayerli; Mohamed Mounir | Method and apparatus for minimally-invasive fundoplication |
US6179776B1 (en) | 1999-03-12 | 2001-01-30 | Scimed Life Systems, Inc. | Controllable endoscopic sheath apparatus and related method of use |
US6512360B1 (en) | 1999-03-15 | 2003-01-28 | Amiteq Co., Ltd | Self-induction-type stroke sensor |
DE19912038C1 (de) | 1999-03-17 | 2001-01-25 | Storz Karl Gmbh & Co Kg | Handgriff für ein medizinisches Instrument |
US6470207B1 (en) | 1999-03-23 | 2002-10-22 | Surgical Navigation Technologies, Inc. | Navigational guidance via computer-assisted fluoroscopic imaging |
JP2000271141A (ja) | 1999-03-23 | 2000-10-03 | Olympus Optical Co Ltd | 手術装置 |
DE60036863T2 (de) | 1999-03-25 | 2008-07-31 | Metabolix, Inc., Cambridge | Medizinische vorrichtungen und verwendungen von polyhydroxyalkanoatpolymeren |
US6186957B1 (en) | 1999-03-30 | 2001-02-13 | Michael W. Milam | Stethoscope cover |
US6416486B1 (en) | 1999-03-31 | 2002-07-09 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical device having an embedding surface and a coagulating surface |
US6120462A (en) | 1999-03-31 | 2000-09-19 | Ethicon Endo-Surgery, Inc. | Control method for an automated surgical biopsy device |
US6086544A (en) | 1999-03-31 | 2000-07-11 | Ethicon Endo-Surgery, Inc. | Control apparatus for an automated surgical biopsy device |
WO2000057796A1 (en) | 1999-03-31 | 2000-10-05 | Rosenblatt Peter L | Systems and methods for soft tissue reconstruction |
JP2000287987A (ja) | 1999-04-01 | 2000-10-17 | Olympus Optical Co Ltd | 充電式医療装置 |
DE19915291A1 (de) | 1999-04-03 | 2000-10-05 | Gardena Kress & Kastner Gmbh | Fluid-Kupplungsanordnung |
US6228084B1 (en) | 1999-04-06 | 2001-05-08 | Kirwan Surgical Products, Inc. | Electro-surgical forceps having recessed irrigation channel |
US6424885B1 (en) | 1999-04-07 | 2002-07-23 | Intuitive Surgical, Inc. | Camera referenced control in a minimally invasive surgical apparatus |
US6565554B1 (en) | 1999-04-07 | 2003-05-20 | Intuitive Surgical, Inc. | Friction compensation in a minimally invasive surgical apparatus |
US6594552B1 (en) | 1999-04-07 | 2003-07-15 | Intuitive Surgical, Inc. | Grip strength with tactile feedback for robotic surgery |
US10327743B2 (en) | 1999-04-09 | 2019-06-25 | Evalve, Inc. | Device and methods for endoscopic annuloplasty |
ATE484241T1 (de) | 1999-04-09 | 2010-10-15 | Evalve Inc | Verfahren und vorrichtung zur herzklappenreperation |
US7226467B2 (en) | 1999-04-09 | 2007-06-05 | Evalve, Inc. | Fixation device delivery catheter, systems and methods of use |
US6182673B1 (en) | 1999-04-12 | 2001-02-06 | Mike Kindermann Marketing/Vertriebs Gmbh | Dump facility for cassette sewage tanks |
US6308089B1 (en) | 1999-04-14 | 2001-10-23 | O.B. Scientific, Inc. | Limited use medical probe |
US7160311B2 (en) | 1999-04-16 | 2007-01-09 | Integrated Vascular Interventional Technologies, L.C. (Ivit Lc) | Locking compression plate anastomosis apparatus |
US6569173B1 (en) | 1999-12-14 | 2003-05-27 | Integrated Vascular Interventional Technologies, L.C. | Compression plate anastomosis apparatus |
US6689153B1 (en) | 1999-04-16 | 2004-02-10 | Orthopaedic Biosystems Ltd, Inc. | Methods and apparatus for a coated anchoring device and/or suture |
US6248117B1 (en) | 1999-04-16 | 2001-06-19 | Vital Access Corp | Anastomosis apparatus for use in intraluminally directed vascular anastomosis |
JP2000304153A (ja) | 1999-04-19 | 2000-11-02 | Honda Motor Co Ltd | 電磁石アクチュエータ駆動装置 |
US6319510B1 (en) | 1999-04-20 | 2001-11-20 | Alayne Yates | Gum pad for delivery of medication to mucosal tissues |
US20050222665A1 (en) | 1999-04-23 | 2005-10-06 | Ernest Aranyi | Endovascular fastener applicator |
US6325805B1 (en) | 1999-04-23 | 2001-12-04 | Sdgi Holdings, Inc. | Shape memory alloy staple |
TNSN00089A1 (fr) | 1999-04-26 | 2002-05-30 | Int Paper Co | Scelleur a machoires multiples |
US6181105B1 (en) | 1999-04-26 | 2001-01-30 | Exonix Corporation | Self contained transportable power source maintenance and charge |
DE59900101D1 (de) | 1999-04-29 | 2001-06-28 | Storz Karl Gmbh & Co Kg | Medizinisches Instrument zum Präparieren von Gewebe |
US6383201B1 (en) | 1999-05-14 | 2002-05-07 | Tennison S. Dong | Surgical prosthesis for repairing a hernia |
JP4503725B2 (ja) | 1999-05-17 | 2010-07-14 | オリンパス株式会社 | 内視鏡治療装置 |
AU5150600A (en) | 1999-05-18 | 2000-12-05 | Vascular Innovations, Inc. | Tissue punch |
US6921412B1 (en) | 1999-05-18 | 2005-07-26 | Cryolife, Inc. | Self-supporting, shaped, three-dimensional biopolymeric materials and methods |
GB9911954D0 (en) | 1999-05-21 | 1999-07-21 | Gyrus Medical Ltd | Electrosurgery system and instrument |
US6547786B1 (en) | 1999-05-21 | 2003-04-15 | Gyrus Medical | Electrosurgery system and instrument |
US6063020A (en) | 1999-05-21 | 2000-05-16 | Datex-Ohmeda, Inc. | Heater door safety interlock for infant warming apparatus |
GB9911956D0 (en) | 1999-05-21 | 1999-07-21 | Gyrus Medical Ltd | Electrosurgery system and method |
US6762339B1 (en) | 1999-05-21 | 2004-07-13 | 3M Innovative Properties Company | Hydrophilic polypropylene fibers having antimicrobial activity |
US6454781B1 (en) | 1999-05-26 | 2002-09-24 | Ethicon Endo-Surgery, Inc. | Feedback control in an ultrasonic surgical instrument for improved tissue effects |
DE19924311A1 (de) | 1999-05-27 | 2000-11-30 | Walter A Rau | Klammerschneidegerät und Zusatzvorrichtung für ein solches |
GB9912625D0 (en) | 1999-05-28 | 1999-07-28 | Gyrus Medical Ltd | An electrosurgical generator and system |
GB9912627D0 (en) | 1999-05-28 | 1999-07-28 | Gyrus Medical Ltd | An electrosurgical instrument |
US6409724B1 (en) | 1999-05-28 | 2002-06-25 | Gyrus Medical Limited | Electrosurgical instrument |
US7032798B2 (en) | 1999-06-02 | 2006-04-25 | Power Medical Interventions, Inc. | Electro-mechanical surgical device |
US7695485B2 (en) | 2001-11-30 | 2010-04-13 | Power Medical Interventions, Llc | Surgical device |
US6981941B2 (en) | 1999-06-02 | 2006-01-03 | Power Medical Interventions | Electro-mechanical surgical device |
US6716233B1 (en) | 1999-06-02 | 2004-04-06 | Power Medical Interventions, Inc. | Electromechanical driver and remote surgical instrument attachment having computer assisted control capabilities |
US6517565B1 (en) | 1999-06-02 | 2003-02-11 | Power Medical Interventions, Inc. | Carriage assembly for controlling a steering wire steering mechanism within a flexible shaft |
US6491201B1 (en) | 2000-02-22 | 2002-12-10 | Power Medical Interventions, Inc. | Fluid delivery mechanism for use with anastomosing, stapling, and resecting instruments |
US6443973B1 (en) | 1999-06-02 | 2002-09-03 | Power Medical Interventions, Inc. | Electromechanical driver device for use with anastomosing, stapling, and resecting instruments |
US6264087B1 (en) | 1999-07-12 | 2001-07-24 | Powermed, Inc. | Expanding parallel jaw device for use with an electromechanical driver device |
US8025199B2 (en) | 2004-02-23 | 2011-09-27 | Tyco Healthcare Group Lp | Surgical cutting and stapling device |
US8229549B2 (en) | 2004-07-09 | 2012-07-24 | Tyco Healthcare Group Lp | Surgical imaging device |
US7751870B2 (en) | 2002-01-30 | 2010-07-06 | Power Medical Interventions, Llc | Surgical imaging device |
US7951071B2 (en) | 1999-06-02 | 2011-05-31 | Tyco Healthcare Group Lp | Moisture-detecting shaft for use with an electro-mechanical surgical device |
US6315184B1 (en) | 1999-06-02 | 2001-11-13 | Powermed, Inc. | Stapling device for use with an electromechanical driver device for use with anastomosing, stapling, and resecting instruments |
US8241322B2 (en) | 2005-07-27 | 2012-08-14 | Tyco Healthcare Group Lp | Surgical device |
US6793652B1 (en) | 1999-06-02 | 2004-09-21 | Power Medical Interventions, Inc. | Electro-mechanical surgical device |
US6223833B1 (en) | 1999-06-03 | 2001-05-01 | One World Technologies, Inc. | Spindle lock and chipping mechanism for hammer drill |
EP1058177A1 (en) | 1999-06-04 | 2000-12-06 | Alps Electric Co., Ltd. | Input device for game machine |
GB9913652D0 (en) | 1999-06-11 | 1999-08-11 | Gyrus Medical Ltd | An electrosurgical generator |
US6273902B1 (en) | 1999-06-18 | 2001-08-14 | Novare Surgical Systems, Inc. | Surgical clamp having replaceable pad |
SE519023C2 (sv) | 1999-06-21 | 2002-12-23 | Micromuscle Ab | Kateterburna mikrokirurgiska verktygsset |
US6494888B1 (en) | 1999-06-22 | 2002-12-17 | Ndo Surgical, Inc. | Tissue reconfiguration |
FR2795301B1 (fr) | 1999-06-25 | 2001-08-31 | Prec | Instrument de chirurgie endoscopique |
US7637905B2 (en) | 2003-01-15 | 2009-12-29 | Usgi Medical, Inc. | Endoluminal tool deployment system |
US6257351B1 (en) | 1999-06-29 | 2001-07-10 | Microaire Surgical Instruments, Inc. | Powered surgical instrument having locking systems and a clutch mechanism |
US6175290B1 (en) | 1999-06-30 | 2001-01-16 | Gt Development Corporation | Contactless stalk mounted control switch |
US6306424B1 (en) | 1999-06-30 | 2001-10-23 | Ethicon, Inc. | Foam composite for the repair or regeneration of tissue |
US6333029B1 (en) | 1999-06-30 | 2001-12-25 | Ethicon, Inc. | Porous tissue scaffoldings for the repair of regeneration of tissue |
US6355699B1 (en) | 1999-06-30 | 2002-03-12 | Ethicon, Inc. | Process for manufacturing biomedical foams |
US6325810B1 (en) | 1999-06-30 | 2001-12-04 | Ethicon, Inc. | Foam buttress for stapling apparatus |
US6488196B1 (en) | 1999-06-30 | 2002-12-03 | Axya Medical, Inc. | Surgical stapler and method of applying plastic staples to body tissue |
US6104304A (en) | 1999-07-06 | 2000-08-15 | Conexant Systems, Inc. | Self-test and status reporting system for microcontroller-controlled devices |
JP3293802B2 (ja) | 1999-07-07 | 2002-06-17 | エスエムシー株式会社 | 位置検出機能付きチャック |
US6117158A (en) | 1999-07-07 | 2000-09-12 | Ethicon Endo-Surgery, Inc. | Ratchet release mechanism for hand held instruments |
US6168605B1 (en) | 1999-07-08 | 2001-01-02 | Ethicon Endo-Surgery, Inc. | Curved laparoscopic scissor having arcs of curvature |
JP2001035827A (ja) | 1999-07-16 | 2001-02-09 | Memc Kk | 高濃度オゾン水、同オゾン水の調製方法、および同オゾン水を使用した洗浄方法 |
RU2161450C1 (ru) | 1999-07-22 | 2001-01-10 | Каншин Николай Николаевич | Хирургический сшиватель |
US6436110B2 (en) | 1999-07-23 | 2002-08-20 | Ethicon, Inc. | Method of securing a graft using a graft fixation device |
US6402766B2 (en) | 1999-07-23 | 2002-06-11 | Ethicon, Inc. | Graft fixation device combination |
US20050154406A1 (en) | 1999-07-28 | 2005-07-14 | Cardica, Inc. | Method for anastomosing vessels |
US7682368B1 (en) | 1999-07-28 | 2010-03-23 | Cardica, Inc. | Anastomosis tool actuated with stored energy |
US7766924B1 (en) | 1999-07-28 | 2010-08-03 | Cardica, Inc. | System for performing anastomosis |
US7063712B2 (en) | 2001-04-27 | 2006-06-20 | Cardica, Inc. | Anastomosis method |
US7285131B1 (en) | 1999-07-28 | 2007-10-23 | Cardica, Inc. | System for performing anastomosis |
US6391038B2 (en) | 1999-07-28 | 2002-05-21 | Cardica, Inc. | Anastomosis system and method for controlling a tissue site |
DE19935725C2 (de) | 1999-07-29 | 2003-11-13 | Wolf Gmbh Richard | Medizinisches Instrument, insbesondere Rektoskop |
US6927315B1 (en) | 1999-07-30 | 2005-08-09 | 3M Innovative Properties Company | Adhesive composite having distinct phases |
DE19935904C1 (de) | 1999-07-30 | 2001-07-12 | Karlsruhe Forschzent | Applikatorspitze eines chirurgischen Applikators zum Setzen von Clips/Klammern für die Verbindung von Gewebe |
US20020116063A1 (en) | 1999-08-02 | 2002-08-22 | Bruno Giannetti | Kit for chondrocyte cell transplantation |
US6788018B1 (en) | 1999-08-03 | 2004-09-07 | Intuitive Surgical, Inc. | Ceiling and floor mounted surgical robot set-up arms |
AU6517900A (en) | 1999-08-03 | 2001-02-19 | Smith & Nephew, Inc. | Controlled release implantable devices |
US6527785B2 (en) | 1999-08-03 | 2003-03-04 | Onux Medical, Inc. | Surgical suturing instrument and method of use |
IT1307263B1 (it) | 1999-08-05 | 2001-10-30 | Sorin Biomedica Cardio Spa | Stent per angioplastica con azione antagonista della restenosi,relativo corredo e componenti. |
AU6519100A (en) | 1999-08-05 | 2001-03-05 | Biocardia, Inc. | A system and method for delivering thermally sensitive and reverse-thermal gelation matrials |
EP1206254A1 (en) | 1999-08-06 | 2002-05-22 | The Board Of Regents, The University Of Texas System | Drug releasing biodegradable fiber implant |
US6358197B1 (en) | 1999-08-13 | 2002-03-19 | Enteric Medical Technologies, Inc. | Apparatus for forming implants in gastrointestinal tract and kit for use therewith |
US6666860B1 (en) | 1999-08-24 | 2003-12-23 | Olympus Optical Co., Ltd. | Electric treatment system |
JP2001069758A (ja) | 1999-08-26 | 2001-03-16 | Asahi Optical Co Ltd | 内視鏡用電源装置 |
US6338738B1 (en) | 1999-08-31 | 2002-01-15 | Edwards Lifesciences Corp. | Device and method for stabilizing cardiac tissue |
DE19941859C2 (de) | 1999-09-02 | 2002-06-13 | Siemens Audiologische Technik | Digitales Hörhilfegerät |
US6611793B1 (en) | 1999-09-07 | 2003-08-26 | Scimed Life Systems, Inc. | Systems and methods to identify and disable re-use single use devices based on detecting environmental changes |
US6387092B1 (en) | 1999-09-07 | 2002-05-14 | Scimed Life Systems, Inc. | Systems and methods to identify and disable re-used single use devices based on time elapsed from first therapeutic use |
US6237604B1 (en) | 1999-09-07 | 2001-05-29 | Scimed Life Systems, Inc. | Systems and methods for preventing automatic identification of re-used single use devices |
EP1235522B1 (de) | 1999-09-09 | 2007-05-30 | Tuebingen Scientific Medical GmbH | Chirurgisches instrument für minimal invasive eingriffe |
US6077290A (en) | 1999-09-10 | 2000-06-20 | Tnco, Incorporated | Endoscopic instrument with removable front end |
US6104162A (en) | 1999-09-11 | 2000-08-15 | Sainsbury; Simon R. | Method and apparatus for multi-power source for power tools |
US7662161B2 (en) | 1999-09-13 | 2010-02-16 | Rex Medical, L.P | Vascular hole closure device |
US7267679B2 (en) | 1999-09-13 | 2007-09-11 | Rex Medical, L.P | Vascular hole closure device |
US6317616B1 (en) | 1999-09-15 | 2001-11-13 | Neil David Glossop | Method and system to facilitate image guided surgery |
US7075770B1 (en) | 1999-09-17 | 2006-07-11 | Taser International, Inc. | Less lethal weapons and methods for halting locomotion |
US6636412B2 (en) | 1999-09-17 | 2003-10-21 | Taser International, Inc. | Hand-held stun gun for incapacitating a human target |
US6356072B1 (en) | 1999-09-24 | 2002-03-12 | Jacob Chass | Hall effect sensor of displacement of magnetic core |
US6358224B1 (en) | 1999-09-24 | 2002-03-19 | Tyco Healthcare Group Lp | Irrigation system for endoscopic surgery |
JP2001087272A (ja) | 1999-09-24 | 2001-04-03 | Motoko Iwabuchi | 生体組織切除用自動縫合器 |
CA2322061A1 (en) | 1999-10-05 | 2001-04-05 | Anil K. Nalagatla | Stapling instrument having two staple forming surfaces |
US6458142B1 (en) | 1999-10-05 | 2002-10-01 | Ethicon Endo-Surgery, Inc. | Force limiting mechanism for an ultrasonic surgical instrument |
US6325811B1 (en) | 1999-10-05 | 2001-12-04 | Ethicon Endo-Surgery, Inc. | Blades with functional balance asymmetries for use with ultrasonic surgical instruments |
JP4233742B2 (ja) | 1999-10-05 | 2009-03-04 | エシコン・エンド−サージェリィ・インコーポレイテッド | 超音波外科用器具と共に使用される湾曲クランプアームと組織パッドの連結 |
US6312435B1 (en) | 1999-10-08 | 2001-11-06 | Intuitive Surgical, Inc. | Surgical instrument with extended reach for use in minimally invasive surgery |
US6206903B1 (en) | 1999-10-08 | 2001-03-27 | Intuitive Surgical, Inc. | Surgical tool with mechanical advantage |
EP1092487A3 (de) | 1999-10-15 | 2004-08-25 | Gustav Klauke GmbH | Verpressgerät mit Pressbacken |
US7887535B2 (en) | 1999-10-18 | 2011-02-15 | Covidien Ag | Vessel sealing wave jaw |
US6320123B1 (en) | 1999-10-20 | 2001-11-20 | Steven S. Reimers | System and method for shielding electrical components from electromagnetic waves |
US6749560B1 (en) | 1999-10-26 | 2004-06-15 | Circon Corporation | Endoscope shaft with slotted tube |
US6780151B2 (en) | 1999-10-26 | 2004-08-24 | Acmi Corporation | Flexible ureteropyeloscope |
EP1095627A1 (en) | 1999-10-27 | 2001-05-02 | Everest Medical Corporation | Electrosurgical probe for surface treatment |
US6471659B2 (en) | 1999-12-27 | 2002-10-29 | Neothermia Corporation | Minimally invasive intact recovery of tissue |
DE19951940C2 (de) | 1999-10-28 | 2001-11-29 | Karlsruhe Forschzent | Endoskopisch einsetzbares Klammernahtgerät |
US6716215B1 (en) | 1999-10-29 | 2004-04-06 | Image-Guided Neurologics | Cranial drill with sterile barrier |
SE515391C2 (sv) | 1999-11-08 | 2001-07-23 | Tagmaster Ab | Identifieringsbricka och läsare med interferensskydd |
DE19954497C1 (de) | 1999-11-11 | 2001-04-19 | Norbert Lemke | Vorrichtung zum Ansteuern eines elektrischen Gerätes für den Einsatz im Sterilbereich bei medizinischen Operationen |
US6666846B1 (en) | 1999-11-12 | 2003-12-23 | Edwards Lifesciences Corporation | Medical device introducer and obturator and methods of use |
US6482063B1 (en) | 1999-11-18 | 2002-11-19 | Charles Raymond Frigard | Articulating blocks toy |
GB9927338D0 (en) | 1999-11-18 | 2000-01-12 | Gyrus Medical Ltd | Electrosurgical system |
DE19955412A1 (de) | 1999-11-18 | 2001-05-23 | Hilti Ag | Bohr- und Meisselgerät |
US6592572B1 (en) | 1999-11-22 | 2003-07-15 | Olympus Optical Co., Ltd. | Surgical operation apparatus |
US6324339B1 (en) | 1999-11-29 | 2001-11-27 | Eveready Battery Company, Inc. | Battery pack including input and output waveform modification capability |
US6494896B1 (en) | 1999-11-30 | 2002-12-17 | Closure Medical Corporation | Applicator for laparoscopic or endoscopic surgery |
US20020022810A1 (en) | 1999-12-07 | 2002-02-21 | Alex Urich | Non-linear flow restrictor for a medical aspiration system |
US6184655B1 (en) | 1999-12-10 | 2001-02-06 | Stryker Corporation | Battery charging system with internal power manager |
US6352532B1 (en) | 1999-12-14 | 2002-03-05 | Ethicon Endo-Surgery, Inc. | Active load control of ultrasonic surgical instruments |
US6736825B2 (en) | 1999-12-14 | 2004-05-18 | Integrated Vascular Interventional Technologies, L C (Ivit Lc) | Paired expandable anastomosis devices and related methods |
US6428487B1 (en) | 1999-12-17 | 2002-08-06 | Ethicon Endo-Surgery, Inc. | Surgical biopsy system with remote control for selecting an operational mode |
TW429637B (en) | 1999-12-17 | 2001-04-11 | Synergy Scientech Corp | Electrical energy storage device |
US6432065B1 (en) | 1999-12-17 | 2002-08-13 | Ethicon Endo-Surgery, Inc. | Method for using a surgical biopsy system with remote control for selecting and operational mode |
USD535657S1 (en) | 1999-12-20 | 2007-01-23 | Apple Computer, Inc. | User interface for computer display |
US6254619B1 (en) | 1999-12-28 | 2001-07-03 | Antoine Garabet | Microkeratome |
US6197042B1 (en) | 2000-01-05 | 2001-03-06 | Medical Technology Group, Inc. | Vascular sheath with puncture site closure apparatus and methods of use |
US6942674B2 (en) | 2000-01-05 | 2005-09-13 | Integrated Vascular Systems, Inc. | Apparatus and methods for delivering a closure device |
US6364828B1 (en) | 2000-01-06 | 2002-04-02 | Hubert K. Yeung | Elongated flexible inspection neck |
RU2181566C2 (ru) | 2000-01-10 | 2002-04-27 | Дубровский Аркадий Вениаминович | Управляемый поворотный механизм |
US6361546B1 (en) | 2000-01-13 | 2002-03-26 | Endotex Interventional Systems, Inc. | Deployable recoverable vascular filter and methods for use |
US6770078B2 (en) | 2000-01-14 | 2004-08-03 | Peter M. Bonutti | Movable knee implant and methods therefor |
US6699214B2 (en) | 2000-01-19 | 2004-03-02 | Scimed Life Systems, Inc. | Shear-sensitive injectable delivery system |
US8221402B2 (en) | 2000-01-19 | 2012-07-17 | Medtronic, Inc. | Method for guiding a medical device |
AU2001229321A1 (en) | 2000-01-20 | 2001-07-31 | Bioaccess, Inc. | A method and apparatus for introducing a non-sterile component into a sterile device |
US6193129B1 (en) | 2000-01-24 | 2001-02-27 | Ethicon Endo-Surgery, Inc. | Cutting blade for a surgical anastomosis stapling instrument |
HU225908B1 (en) | 2000-01-24 | 2007-12-28 | Ethicon Endo Surgery Europe | Surgical circular stapling head |
DE10003020C2 (de) | 2000-01-25 | 2001-12-06 | Aesculap Ag & Co Kg | Bipolares Faßinstrument |
US6377011B1 (en) | 2000-01-26 | 2002-04-23 | Massachusetts Institute Of Technology | Force feedback user interface for minimally invasive surgical simulator and teleoperator and other similar apparatus |
US20010034530A1 (en) | 2000-01-27 | 2001-10-25 | Malackowski Donald W. | Surgery system |
US6429611B1 (en) | 2000-01-28 | 2002-08-06 | Hui Li | Rotary and linear motor |
JP2001208655A (ja) | 2000-01-28 | 2001-08-03 | Rion Co Ltd | 故障診断方法及びその装置 |
DE10004264C2 (de) | 2000-02-01 | 2002-06-13 | Storz Karl Gmbh & Co Kg | Vorrichtung zur intrakorporalen, minimal-invasiven Behandlung eines Patienten |
WO2001056455A2 (en) | 2000-02-04 | 2001-08-09 | Imagyn Medical Technologies California, Inc. | Surgical clip applier |
GB0223348D0 (en) | 2002-10-08 | 2002-11-13 | Gyrus Medical Ltd | A surgical instrument |
GB0002849D0 (en) | 2000-02-08 | 2000-03-29 | Gyrus Medical Ltd | An electrosurgical instrument and an electosurgery system including such an instrument |
US20040181219A1 (en) | 2000-02-08 | 2004-09-16 | Gyrus Medical Limited | Electrosurgical instrument and an electrosugery system including such an instrument |
US20040068307A1 (en) | 2000-02-08 | 2004-04-08 | Gyrus Medical Limited | Surgical instrument |
US6758846B2 (en) | 2000-02-08 | 2004-07-06 | Gyrus Medical Limited | Electrosurgical instrument and an electrosurgery system including such an instrument |
US7963964B2 (en) | 2000-02-10 | 2011-06-21 | Santilli Albert N | Surgical clamp assembly with electrodes |
US6756705B2 (en) | 2000-02-10 | 2004-06-29 | Tri-Tech., Inc | Linear stepper motor |
US6569171B2 (en) | 2001-02-28 | 2003-05-27 | Microline, Inc. | Safety locking mechanism for a medical clip device |
US6306149B1 (en) | 2000-02-15 | 2001-10-23 | Microline, Inc. | Medical clip device with cyclical pusher mechanism |
US6589164B1 (en) | 2000-02-15 | 2003-07-08 | Transvascular, Inc. | Sterility barriers for insertion of non-sterile apparatus into catheters or other medical devices |
US6911033B2 (en) | 2001-08-21 | 2005-06-28 | Microline Pentax Inc. | Medical clip applying device |
DE10007919C2 (de) | 2000-02-21 | 2003-07-17 | Wolf Gmbh Richard | Zange zum Freipräparieren von Gewebe in einer Körperhöhle |
US6723091B2 (en) | 2000-02-22 | 2004-04-20 | Gyrus Medical Limited | Tissue resurfacing |
US6348061B1 (en) | 2000-02-22 | 2002-02-19 | Powermed, Inc. | Vessel and lumen expander attachment for use with an electromechanical driver device |
US7335199B2 (en) | 2000-02-22 | 2008-02-26 | Rhytec Limited | Tissue resurfacing |
US6629974B2 (en) | 2000-02-22 | 2003-10-07 | Gyrus Medical Limited | Tissue treatment method |
US6488197B1 (en) | 2000-02-22 | 2002-12-03 | Power Medical Interventions, Inc. | Fluid delivery device for use with anastomosing resecting and stapling instruments |
US8016855B2 (en) | 2002-01-08 | 2011-09-13 | Tyco Healthcare Group Lp | Surgical device |
ATE522179T1 (de) | 2000-02-22 | 2011-09-15 | Tyco Healthcare | Elektromechanische antriebsvorrichtung und ferngesteuerter chirurgischer gerätevorsatz mit computergestützten steuerungmöglichkeiten |
US7770773B2 (en) | 2005-07-27 | 2010-08-10 | Power Medical Interventions, Llc | Surgical device |
GB0004179D0 (en) | 2000-02-22 | 2000-04-12 | Gyrus Medical Ltd | Tissue resurfacing |
US6533157B1 (en) | 2000-02-22 | 2003-03-18 | Power Medical Interventions, Inc. | Tissue stapling attachment for use with an electromechanical driver device |
US6603050B2 (en) | 2000-02-23 | 2003-08-05 | Uxb International, Inc. | Destruction of energetic materials |
US6582441B1 (en) | 2000-02-24 | 2003-06-24 | Advanced Bionics Corporation | Surgical insertion tool |
WO2001062173A2 (en) | 2000-02-25 | 2001-08-30 | The Board Of Trustees Of The Leland Stanford Junior University | Methods and apparatuses for maintaining a trajectory in sterotaxi for tracking a target inside a body |
US6463824B1 (en) | 2000-02-29 | 2002-10-15 | S-B Power Tool Company | Right angle attachment for power hand tool |
US6273897B1 (en) | 2000-02-29 | 2001-08-14 | Ethicon, Inc. | Surgical bettress and surgical stapling apparatus |
US6904909B2 (en) | 2000-03-04 | 2005-06-14 | Emphasys Medical, Inc. | Methods and devices for use in performing pulmonary procedures |
EP1416861B1 (en) | 2000-03-06 | 2008-12-03 | Tyco Healthcare Group Lp | Apparatus for performing a bypass procedure in a digestive system |
US6763307B2 (en) | 2000-03-06 | 2004-07-13 | Bioseek, Inc. | Patient classification |
US6953461B2 (en) | 2002-05-16 | 2005-10-11 | Tissuelink Medical, Inc. | Fluid-assisted medical devices, systems and methods |
US6423079B1 (en) | 2000-03-07 | 2002-07-23 | Blake, Iii Joseph W | Repeating multi-clip applier |
USD455758S1 (en) | 2000-03-08 | 2002-04-16 | Ethicon Endo-Surgery, Inc. | Operational mode icon for a display screen of a control unit for a surgical device |
GB0005897D0 (en) | 2000-03-10 | 2000-05-03 | Black & Decker Inc | Power tool |
US6663623B1 (en) | 2000-03-13 | 2003-12-16 | Olympus Optical Co., Ltd. | Electric surgical operation apparatus |
US6525499B2 (en) | 2000-03-15 | 2003-02-25 | Keihin Corporation | System for controlling vehicle power sliding door |
US6510854B2 (en) | 2000-03-16 | 2003-01-28 | Gyrus Medical Limited | Method of treatment of prostatic adenoma |
IL138632A (en) | 2000-09-21 | 2008-06-05 | Minelu Zonnenschein | A multi-eyed endoscope |
IL139788A (en) | 2000-11-20 | 2006-10-05 | Minelu Zonnenschein | Stapler for endoscopes |
JP4477280B2 (ja) | 2000-03-16 | 2010-06-09 | メディガス リミテッド | 胃底皺壁形成装置 |
US7819799B2 (en) | 2000-03-16 | 2010-10-26 | Immersion Medical, Inc. | System and method for controlling force applied to and manipulation of medical instruments |
US6770070B1 (en) | 2000-03-17 | 2004-08-03 | Rita Medical Systems, Inc. | Lung treatment apparatus and method |
US9314339B2 (en) | 2000-03-27 | 2016-04-19 | Formae, Inc. | Implants for replacing cartilage, with negatively-charged hydrogel surfaces and flexible matrix reinforcement |
DE10015398A1 (de) | 2000-03-28 | 2001-10-11 | Bosch Gmbh Robert | Elektrogerät |
JP2001276091A (ja) | 2000-03-29 | 2001-10-09 | Toshiba Corp | 医療用マニピュレータ |
US6778846B1 (en) | 2000-03-30 | 2004-08-17 | Medtronic, Inc. | Method of guiding a medical device and system regarding same |
US6802822B1 (en) | 2000-03-31 | 2004-10-12 | 3M Innovative Properties Company | Dispenser for an adhesive tissue sealant having a flexible link |
WO2001074251A2 (en) | 2000-03-31 | 2001-10-11 | Rita Medical Systems Inc. | Tissue biopsy and treatment apparatus and method |
JP2001275941A (ja) | 2000-03-31 | 2001-10-09 | Olympus Optical Co Ltd | 電動湾曲内視鏡装置 |
US6837846B2 (en) | 2000-04-03 | 2005-01-04 | Neo Guide Systems, Inc. | Endoscope having a guide tube |
EP1662972A4 (en) | 2000-04-03 | 2010-08-25 | Intuitive Surgical Inc | ACTIVATED POLYMER GENTLE INSTRUMENTS AND INTRODUCTION METHOD |
US6858005B2 (en) | 2000-04-03 | 2005-02-22 | Neo Guide Systems, Inc. | Tendon-driven endoscope and methods of insertion |
US8888688B2 (en) | 2000-04-03 | 2014-11-18 | Intuitive Surgical Operations, Inc. | Connector device for a controllable instrument |
US6984203B2 (en) | 2000-04-03 | 2006-01-10 | Neoguide Systems, Inc. | Endoscope with adjacently positioned guiding apparatus |
IL135571A0 (en) | 2000-04-10 | 2001-05-20 | Doron Adler | Minimal invasive surgery imaging system |
US6517528B1 (en) | 2000-04-13 | 2003-02-11 | Scimed Life Systems, Inc. | Magnetic catheter drive shaft clutch |
JP4716594B2 (ja) | 2000-04-17 | 2011-07-06 | オリンパス株式会社 | 内視鏡 |
USD445745S1 (en) | 2000-04-18 | 2001-07-31 | Honda Giken Kogyo Kabushiki Kaisha | Indicator icon for a vehicle display screen |
US6415542B1 (en) | 2000-04-19 | 2002-07-09 | International Business Machines Corporation | Location-based firearm discharge prevention |
US6905498B2 (en) | 2000-04-27 | 2005-06-14 | Atricure Inc. | Transmural ablation device with EKG sensor and pacing electrode |
EP1278471B1 (en) | 2000-04-27 | 2005-06-15 | Medtronic, Inc. | Vibration sensitive ablation apparatus |
RU2187249C2 (ru) | 2000-04-27 | 2002-08-20 | Общество с ограниченной ответственностью "ЭНДОМЕДИУМ+" | Хирургический инструмент |
US6412639B1 (en) | 2000-04-28 | 2002-07-02 | Closure Medical Corporation | Medical procedure kit having medical adhesive |
US6387114B2 (en) | 2000-04-28 | 2002-05-14 | Scimed Life Systems, Inc. | Gastrointestinal compression clips |
DE10058796A1 (de) | 2000-05-09 | 2001-11-15 | Heidelberger Druckmasch Ag | Sammelhefter mit getrennten Antrieben |
FR2808674B1 (fr) | 2000-05-12 | 2002-08-02 | Cie Euro Etude Rech Paroscopie | Anneau de gastroplastie a pattes de prehension |
US6305891B1 (en) | 2000-05-15 | 2001-10-23 | Mark S. Burlingame | Fastening device and a spacer, and a method of using the same |
US6361542B1 (en) | 2000-05-17 | 2002-03-26 | Prism Enterprises, Inc. | Obstetrical vacuum extractor cup with force measuring capabilities |
US6819269B2 (en) | 2000-05-17 | 2004-11-16 | Omega Patents, L.L.C. | Vehicle tracker including battery monitoring feature and related methods |
US7172615B2 (en) | 2000-05-19 | 2007-02-06 | Coapt Systems, Inc. | Remotely anchored tissue fixation device |
US7510566B2 (en) | 2000-05-19 | 2009-03-31 | Coapt Systems, Inc. | Multi-point tissue tension distribution device and method, a chin lift variation |
US6485503B2 (en) | 2000-05-19 | 2002-11-26 | Coapt Systems, Inc. | Multi-point tissue tension distribution device, a brow and face lift variation, and a method of tissue approximation using the device |
US6419695B1 (en) | 2000-05-22 | 2002-07-16 | Shlomo Gabbay | Cardiac prosthesis for helping improve operation of a heart valve |
DE10026683C2 (de) | 2000-05-30 | 2003-07-10 | Ethicon Endo Surgery Europe | Chirurgisches Klammersetzgerät |
US6805273B2 (en) | 2002-11-04 | 2004-10-19 | Federico Bilotti | Surgical stapling instrument |
AU2001275112A1 (en) | 2000-06-01 | 2001-12-11 | Allegrix, Inc. | Systems and methods for application service provision |
US6306423B1 (en) | 2000-06-02 | 2001-10-23 | Allergan Sales, Inc. | Neurotoxin implant |
US6602262B2 (en) | 2000-06-02 | 2003-08-05 | Scimed Life Systems, Inc. | Medical device having linear to rotation control |
US6883199B1 (en) | 2000-06-06 | 2005-04-26 | Koninklijke Philips Electronics, N.V. | Short-life power toothbrush for trial use |
US6527782B2 (en) | 2000-06-07 | 2003-03-04 | Sterotaxis, Inc. | Guide for medical devices |
GB0014059D0 (en) | 2000-06-09 | 2000-08-02 | Chumas Paul D | Method and apparatus |
GB0014120D0 (en) | 2000-06-10 | 2000-08-02 | Sinton Richard T | Hand instrument |
US6492785B1 (en) | 2000-06-27 | 2002-12-10 | Deere & Company | Variable current limit control for vehicle electric drive system |
DE10031436A1 (de) | 2000-06-28 | 2002-01-10 | Alexander Von Fuchs | Gleitschutz für einen Gehäusekopf medizinischer Instrumente |
US6863694B1 (en) | 2000-07-03 | 2005-03-08 | Osteotech, Inc. | Osteogenic implants derived from bone |
JP3789733B2 (ja) | 2000-07-06 | 2006-06-28 | アルプス電気株式会社 | 複合操作スイッチ |
DE10033344B4 (de) | 2000-07-08 | 2011-04-07 | Robert Bosch Gmbh | Verfahren und Vorrichtung zur Auswertung eines Sensorsignals |
US6660008B1 (en) | 2001-06-07 | 2003-12-09 | Opus Medical, Inc. | Method and apparatus for attaching connective tissues to bone using a suture anchoring device |
JP3897962B2 (ja) | 2000-07-19 | 2007-03-28 | 株式会社モリタ製作所 | 識別型のインスツルメント体、識別型のアダプタ、識別型のチューブ、これらを用いた診療装置 |
US20100241137A1 (en) | 2000-07-20 | 2010-09-23 | Mark Doyle | Hand-actuated articulating surgical tool |
JP2004504095A (ja) | 2000-07-20 | 2004-02-12 | ティヴァ メディカル インコーポレイテッド | 手作動で関節運動する外科器具 |
AU2002224520A1 (en) | 2000-07-21 | 2002-02-05 | Atropos Limited | A cannula |
US6447799B1 (en) | 2000-07-24 | 2002-09-10 | Joseph M. Ullman | Thromboplastic system |
US6494882B1 (en) | 2000-07-25 | 2002-12-17 | Verimetra, Inc. | Cutting instrument having integrated sensors |
CA2416581A1 (en) | 2000-07-25 | 2002-04-25 | Rita Medical Systems, Inc. | Apparatus for detecting and treating tumors using localized impedance measurement |
US6902560B1 (en) | 2000-07-27 | 2005-06-07 | Intuitive Surgical, Inc. | Roll-pitch-roll surgical tool |
US6746443B1 (en) | 2000-07-27 | 2004-06-08 | Intuitive Surgical Inc. | Roll-pitch-roll surgical tool |
US6392854B1 (en) | 2000-07-27 | 2002-05-21 | Motorola, Inc. | Method and system for testing continuity of a motor and associated drive circuitry |
US6585664B2 (en) | 2000-08-02 | 2003-07-01 | Ethicon Endo-Surgery, Inc. | Calibration method for an automated surgical biopsy device |
US8366787B2 (en) | 2000-08-04 | 2013-02-05 | Depuy Products, Inc. | Hybrid biologic-synthetic bioabsorbable scaffolds |
JP5162782B2 (ja) | 2000-08-07 | 2013-03-13 | 株式会社小松製作所 | 作業機械の表示装置 |
JP2002054903A (ja) | 2000-08-10 | 2002-02-20 | Nippon Densan Corp | 変位検出装置 |
JP2002051974A (ja) | 2000-08-14 | 2002-02-19 | Fuji Photo Optical Co Ltd | 内視鏡処置具 |
US6572629B2 (en) | 2000-08-17 | 2003-06-03 | Johns Hopkins University | Gastric reduction endoscopy |
GB0020461D0 (en) | 2000-08-18 | 2000-10-11 | Oliver Crispin Consulting Ltd | Improvements in and relating to the robotic positioning of a work tool to a sensor |
US6533723B1 (en) | 2000-08-25 | 2003-03-18 | Ge Marquette Medical Systems, Inc. | Multiple-link cable management apparatus |
AU2001288462A1 (en) | 2000-08-30 | 2002-03-13 | Cerebral Vascular Applications Inc. | Medical instrument |
US6876850B2 (en) | 2000-08-30 | 2005-04-05 | Sony Corporation | Communication apparatus and communication method |
JP2002074322A (ja) | 2000-08-31 | 2002-03-15 | Sony Corp | 情報処理装置及び情報処理方法並びにデータ記録媒体 |
US20040093024A1 (en) | 2000-09-01 | 2004-05-13 | James Lousararian | Advanced wound site management systems and methods |
US6767356B2 (en) | 2000-09-01 | 2004-07-27 | Angiolink Corporation | Advanced wound site management systems and methods |
GB0021799D0 (en) | 2000-09-05 | 2000-10-18 | Gyrus Medical Ltd | Electrosurgery system |
AU2001288945A1 (en) | 2000-09-07 | 2002-03-22 | Eva Arkin | Fluorescent surgical device |
CA2421856A1 (en) | 2000-09-08 | 2002-03-14 | James E. Coleman | Surgical staple |
JP2002078674A (ja) | 2000-09-08 | 2002-03-19 | Fuji Photo Optical Co Ltd | 内視鏡の湾曲部構造 |
US6712773B1 (en) | 2000-09-11 | 2004-03-30 | Tyco Healthcare Group Lp | Biopsy system |
JP4297603B2 (ja) | 2000-09-19 | 2009-07-15 | 株式会社トップ | 外科用ステープラ |
ES2291353T3 (es) | 2000-09-24 | 2008-03-01 | Medtronic, Inc. | Sistema de control de un motor para una pieza manual quirurgica. |
WO2002026143A1 (en) | 2000-09-27 | 2002-04-04 | Applied Medical Resources | Surgical apparatus with detachable handle assembly |
JP4014792B2 (ja) | 2000-09-29 | 2007-11-28 | 株式会社東芝 | マニピュレータ |
US6296607B1 (en) | 2000-10-20 | 2001-10-02 | Praxis, Llc. | In situ bulking device |
US6755843B2 (en) | 2000-09-29 | 2004-06-29 | Olympus Optical Co., Ltd. | Endoscopic suturing device |
AU2000274011A1 (en) | 2000-10-04 | 2002-04-15 | Synthes Ag, Chur | Device for supplying an electro-pen with electrical energy |
US7007176B2 (en) | 2000-10-10 | 2006-02-28 | Primarion, Inc. | System and method for highly phased power regulation using adaptive compensation control |
US6817508B1 (en) | 2000-10-13 | 2004-11-16 | Tyco Healthcare Group, Lp | Surgical stapling device |
US7334717B2 (en) | 2001-10-05 | 2008-02-26 | Tyco Healthcare Group Lp | Surgical fastener applying apparatus |
WO2003079909A2 (en) | 2002-03-19 | 2003-10-02 | Tyco Healthcare Group, Lp | Surgical fastener applying apparatus |
EP1324708B1 (en) | 2000-10-13 | 2008-09-24 | Tyco Healthcare Group Lp | Surgical fastener applying apparatus |
US7407076B2 (en) | 2000-10-13 | 2008-08-05 | Tyco Healthcare Group Lp | Surgical stapling device |
US6551333B2 (en) | 2000-10-19 | 2003-04-22 | Ethicon Endo-Surgery, Inc. | Method for attaching hernia mesh |
CA2422782C (en) | 2000-10-19 | 2012-02-07 | Applied Medical Resources Corporation | Surgical access apparatus and method |
US6773438B1 (en) | 2000-10-19 | 2004-08-10 | Ethicon Endo-Surgery | Surgical instrument having a rotary lockout mechanism |
US7485124B2 (en) | 2000-10-19 | 2009-02-03 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a fastener delivery mechanism |
WO2002034122A2 (en) | 2000-10-20 | 2002-05-02 | Onux Medical, Inc. | Surgical suturing instrument and method of use |
US7273483B2 (en) | 2000-10-20 | 2007-09-25 | Ethicon Endo-Surgery, Inc. | Apparatus and method for alerting generator functions in an ultrasonic surgical system |
US6908472B2 (en) | 2000-10-20 | 2005-06-21 | Ethicon Endo-Surgery, Inc. | Apparatus and method for altering generator functions in an ultrasonic surgical system |
US20040267310A1 (en) | 2000-10-20 | 2004-12-30 | Racenet David C | Directionally biased staple and anvil assembly for forming the staple |
US6945981B2 (en) | 2000-10-20 | 2005-09-20 | Ethicon-Endo Surgery, Inc. | Finger operated switch for controlling a surgical handpiece |
US6913608B2 (en) | 2000-10-23 | 2005-07-05 | Viacor, Inc. | Automated annular plication for mitral valve repair |
US6656177B2 (en) | 2000-10-23 | 2003-12-02 | Csaba Truckai | Electrosurgical systems and techniques for sealing tissue |
US7665995B2 (en) | 2000-10-23 | 2010-02-23 | Toly Christopher C | Medical training simulator including contact-less sensors |
US6500176B1 (en) | 2000-10-23 | 2002-12-31 | Csaba Truckai | Electrosurgical systems and techniques for sealing tissue |
US20020188287A1 (en) | 2001-05-21 | 2002-12-12 | Roni Zvuloni | Apparatus and method for cryosurgery within a body cavity |
US6605090B1 (en) | 2000-10-25 | 2003-08-12 | Sdgi Holdings, Inc. | Non-metallic implant devices and intra-operative methods for assembly and fixation |
US6793661B2 (en) | 2000-10-30 | 2004-09-21 | Vision Sciences, Inc. | Endoscopic sheath assemblies having longitudinal expansion inhibiting mechanisms |
US20030139741A1 (en) | 2000-10-31 | 2003-07-24 | Gyrus Medical Limited | Surgical instrument |
US6843789B2 (en) | 2000-10-31 | 2005-01-18 | Gyrus Medical Limited | Electrosurgical system |
US6893435B2 (en) | 2000-10-31 | 2005-05-17 | Gyrus Medical Limited | Electrosurgical system |
GB0026586D0 (en) | 2000-10-31 | 2000-12-13 | Gyrus Medical Ltd | An electrosurgical system |
FR2815842B1 (fr) | 2000-10-31 | 2003-05-09 | Assist Publ Hopitaux De Paris | Pince-agrafeuse mecanique pour chirurgie du rectum |
JP2002149860A (ja) | 2000-11-07 | 2002-05-24 | Japan Institute Of Plant Maintenance | 製造業務における設備の保全管理方法および保全管理支援システム |
JP2002143078A (ja) | 2000-11-08 | 2002-05-21 | Olympus Optical Co Ltd | 内視鏡用外付チューブ |
US6506197B1 (en) | 2000-11-15 | 2003-01-14 | Ethicon, Inc. | Surgical method for affixing a valve to a heart using a looped suture combination |
US6749600B1 (en) | 2000-11-15 | 2004-06-15 | Impulse Dynamics N.V. | Braided splittable catheter sheath |
JP3822433B2 (ja) | 2000-11-16 | 2006-09-20 | オリンパス株式会社 | 処置具、処置具用制御装置および医療用処置システム |
US6498480B1 (en) | 2000-11-22 | 2002-12-24 | Wabash Technologies, Inc. | Magnetic non-contacting rotary transducer |
US6821282B2 (en) | 2000-11-27 | 2004-11-23 | Scimed Life Systems, Inc. | Full thickness resection device control handle |
US6520971B1 (en) | 2000-11-27 | 2003-02-18 | Scimed Life Systems, Inc. | Full thickness resection device control handle |
US8286845B2 (en) | 2000-11-27 | 2012-10-16 | Boston Scientific Scimed, Inc. | Full thickness resection device control handle |
JP2002159500A (ja) | 2000-11-28 | 2002-06-04 | Koseki Ika Kk | 靭帯固定システム |
EP2441394B1 (en) | 2000-11-28 | 2017-04-05 | Intuitive Surgical Operations, Inc. | Irrigator for an endoscopic instrument |
US7081114B2 (en) | 2000-11-29 | 2006-07-25 | St. Jude Medical, Atrial Fibrillation Division, Inc. | Electrophysiology/ablation catheter having lariat configuration of variable radius |
US6899915B2 (en) | 2000-11-29 | 2005-05-31 | President And Fellows Of Harvard College | Methods and compositions for culturing a biological tooth |
US6398795B1 (en) | 2000-11-30 | 2002-06-04 | Scimed Life Systems, Inc. | Stapling and cutting in resectioning for full thickness resection devices |
JP2002170622A (ja) | 2000-11-30 | 2002-06-14 | Sumitomo Wiring Syst Ltd | コネクタ |
US6439446B1 (en) | 2000-12-01 | 2002-08-27 | Stephen J. Perry | Safety lockout for actuator shaft |
US20020138086A1 (en) | 2000-12-06 | 2002-09-26 | Robert Sixto | Surgical clips particularly useful in the endoluminal treatment of gastroesophageal reflux disease (GERD) |
US6569085B2 (en) | 2001-08-16 | 2003-05-27 | Syntheon, Llc | Methods and apparatus for delivering a medical instrument over an endoscope while the endoscope is in a body lumen |
US6588931B2 (en) | 2000-12-07 | 2003-07-08 | Delphi Technologies, Inc. | Temperature sensor with flexible circuit substrate |
WO2002056800A2 (en) | 2000-12-08 | 2002-07-25 | Osteotech, Inc. | Implant for orthopedic applications |
US20020127265A1 (en) | 2000-12-21 | 2002-09-12 | Bowman Steven M. | Use of reinforced foam implants with enhanced integrity for soft tissue repair and regeneration |
US6406440B1 (en) | 2000-12-21 | 2002-06-18 | Ethicon Endo-Surgery, Inc. | Specimen retrieval bag |
US6852330B2 (en) | 2000-12-21 | 2005-02-08 | Depuy Mitek, Inc. | Reinforced foam implants with enhanced integrity for soft tissue repair and regeneration |
CA2365376C (en) | 2000-12-21 | 2006-03-28 | Ethicon, Inc. | Use of reinforced foam implants with enhanced integrity for soft tissue repair and regeneration |
US6599323B2 (en) | 2000-12-21 | 2003-07-29 | Ethicon, Inc. | Reinforced tissue implants and methods of manufacture and use |
US20020185514A1 (en) | 2000-12-22 | 2002-12-12 | Shane Adams | Control module for flywheel operated hand tool |
US6503259B2 (en) | 2000-12-27 | 2003-01-07 | Ethicon, Inc. | Expandable anastomotic device |
KR100498302B1 (ko) | 2000-12-27 | 2005-07-01 | 엘지전자 주식회사 | 리니어 컴프레샤의 용량가변형 모터 |
US7041868B2 (en) | 2000-12-29 | 2006-05-09 | Kimberly-Clark Worldwide, Inc. | Bioabsorbable wound dressing |
US6840938B1 (en) | 2000-12-29 | 2005-01-11 | Intuitive Surgical, Inc. | Bipolar cauterizing instrument |
US6482200B2 (en) | 2001-01-03 | 2002-11-19 | Ronald D. Shippert | Cautery apparatus and method |
DE60218814T2 (de) | 2001-01-03 | 2007-12-06 | Santa Fe Science and Technology, Inc., Santa Fe | Stabile, konjugiertes polymer enthaltende elektrochrome vorrichtungen mit ionischen flüssigkeiten |
US20020105534A1 (en) | 2001-01-04 | 2002-08-08 | Edward Balassanian | Universal media bar for controlling different types of media |
US20020151770A1 (en) | 2001-01-04 | 2002-10-17 | Noll Austin F. | Implantable medical device with sensor |
US20020133131A1 (en) | 2001-01-09 | 2002-09-19 | Krishnakumar Rangachari | Absorbent material incorporating synthetic fibers and process for making the material |
US7037314B2 (en) | 2001-01-09 | 2006-05-02 | Armstrong David N | Multiple band ligator and anoscope system and method for using same |
AU2002225304A1 (en) | 2001-01-11 | 2002-07-24 | Given Imaging Ltd. | Device and system for in-vivo procedures |
US6439439B1 (en) | 2001-01-12 | 2002-08-27 | Telios Orthopedic Systems, Inc. | Bone cement delivery apparatus and hand-held fluent material dispensing apparatus |
US6494885B1 (en) | 2001-01-17 | 2002-12-17 | Avtar S. Dhindsa | Endoscopic stone extraction device with rotatable basket |
JP4121730B2 (ja) | 2001-01-19 | 2008-07-23 | 富士通コンポーネント株式会社 | ポインティングデバイス及び携帯型情報機器 |
US6695774B2 (en) | 2001-01-19 | 2004-02-24 | Endactive, Inc. | Apparatus and method for controlling endoscopic instruments |
US6554829B2 (en) | 2001-01-24 | 2003-04-29 | Ethicon, Inc. | Electrosurgical instrument with minimally invasive jaws |
US6620161B2 (en) | 2001-01-24 | 2003-09-16 | Ethicon, Inc. | Electrosurgical instrument with an operational sequencing element |
CA2435209C (en) | 2001-01-24 | 2009-08-25 | Tyco Healthcare Group Lp | Anastomosis instrument and method for performing same |
US6626834B2 (en) | 2001-01-25 | 2003-09-30 | Shane Dunne | Spiral scanner with electronic control |
US20020111624A1 (en) | 2001-01-26 | 2002-08-15 | Witt David A. | Coagulating electrosurgical instrument with tissue dam |
DE60226410D1 (de) | 2001-01-29 | 2008-06-19 | Acrobot Co Ltd | Roboter mit aktiven beschränkungen |
US20020134811A1 (en) | 2001-01-29 | 2002-09-26 | Senco Products, Inc. | Multi-mode power tool utilizing attachment |
US6835199B2 (en) | 2001-01-31 | 2004-12-28 | Rex Medical, L.P. | Apparatus and method for resectioning gastro-esophageal tissue |
US20020103494A1 (en) | 2001-01-31 | 2002-08-01 | Pacey John Allen | Percutaneous cannula delvery system for hernia patch |
US6997931B2 (en) | 2001-02-02 | 2006-02-14 | Lsi Solutions, Inc. | System for endoscopic suturing |
US8313496B2 (en) | 2001-02-02 | 2012-11-20 | Lsi Solutions, Inc. | System for endoscopic suturing |
US9050192B2 (en) | 2001-02-05 | 2015-06-09 | Formae, Inc. | Cartilage repair implant with soft bearing surface and flexible anchoring device |
JP3939158B2 (ja) | 2001-02-06 | 2007-07-04 | オリンパス株式会社 | 内視鏡装置 |
US6723109B2 (en) | 2001-02-07 | 2004-04-20 | Karl Storz Endoscopy-America, Inc. | Deployable surgical clamp with delivery/retrieval device and actuator |
US20080214967A1 (en) | 2004-02-17 | 2008-09-04 | Ernest Aranyi | Ultrasonic surgical instrument |
US6302743B1 (en) | 2001-02-09 | 2001-10-16 | Pen-Li Chiu | Electric outlet assembly with rotary receptacles |
US7008433B2 (en) | 2001-02-15 | 2006-03-07 | Depuy Acromed, Inc. | Vertebroplasty injection device |
US7699835B2 (en) | 2001-02-15 | 2010-04-20 | Hansen Medical, Inc. | Robotically controlled surgical instruments |
AU2002251958A1 (en) | 2001-02-15 | 2002-09-04 | Brock Rogers Surgical, Inc. | Surgical master/slave system |
EP1303228B1 (en) | 2001-02-15 | 2012-09-26 | Hansen Medical, Inc. | Flexible surgical instrument |
US20030135204A1 (en) | 2001-02-15 | 2003-07-17 | Endo Via Medical, Inc. | Robotically controlled medical instrument with a flexible section |
US7766894B2 (en) | 2001-02-15 | 2010-08-03 | Hansen Medical, Inc. | Coaxial catheter system |
DE10108732A1 (de) | 2001-02-23 | 2002-09-05 | Philips Corp Intellectual Pty | Vorrichtung mit einem magnetischen Positionssensor |
US6533784B2 (en) | 2001-02-24 | 2003-03-18 | Csaba Truckai | Electrosurgical working end for transecting and sealing tissue |
EP1234587B1 (en) | 2001-02-26 | 2005-11-23 | Ethicon, Inc. | Biocompatible foam composite |
WO2002067798A1 (en) | 2001-02-26 | 2002-09-06 | Ntero Surgical, Inc. | System and method for reducing post-surgical complications |
USD454951S1 (en) | 2001-02-27 | 2002-03-26 | Visionary Biomedical, Inc. | Steerable catheter |
CA2766682A1 (en) | 2001-02-27 | 2002-09-06 | Tyco Healthcare Group Lp | External mixer assembly |
US7139016B2 (en) | 2001-02-28 | 2006-11-21 | Eastman Kodak Company | Intra-oral camera system with chair-mounted display |
US6682527B2 (en) | 2001-03-13 | 2004-01-27 | Perfect Surgical Techniques, Inc. | Method and system for heating tissue with a bipolar instrument |
US6551356B2 (en) | 2001-03-19 | 2003-04-22 | Ethicon, Inc. | Pocketed hernia repair |
US6582387B2 (en) | 2001-03-20 | 2003-06-24 | Therox, Inc. | System for enriching a bodily fluid with a gas |
US20020135474A1 (en) | 2001-03-21 | 2002-09-26 | Sylliassen Douglas G. | Method and device for sensor-based power management of a consumer electronic device |
US6802844B2 (en) | 2001-03-26 | 2004-10-12 | Nuvasive, Inc | Spinal alignment apparatus and methods |
US7605826B2 (en) | 2001-03-27 | 2009-10-20 | Siemens Corporate Research, Inc. | Augmented reality guided instrument positioning with depth determining graphics |
JP2002282269A (ja) | 2001-03-28 | 2002-10-02 | Gc Corp | 歯科用組織再生膜固定用ピン |
US20030181900A1 (en) | 2002-03-25 | 2003-09-25 | Long Gary L. | Endoscopic ablation system with a plurality of electrodes |
US6861954B2 (en) | 2001-03-30 | 2005-03-01 | Bruce H. Levin | Tracking medical products with integrated circuits |
US7097644B2 (en) | 2001-03-30 | 2006-08-29 | Ethicon Endo-Surgery, Inc. | Medical device with improved wall construction |
US6769590B2 (en) | 2001-04-02 | 2004-08-03 | Susan E. Vresh | Luminal anastomotic device and method |
US6605669B2 (en) | 2001-04-03 | 2003-08-12 | E. I. Du Pont De Nemours And Company | Radiation-curable coating compounds |
AU2002257122B2 (en) | 2001-04-03 | 2006-09-14 | Covidien Lp | Surgical stapling device for performing circular anastomoses |
US20060177796A9 (en) | 2001-04-05 | 2006-08-10 | Heasley John M | Rubber Dams With Operative Inserts Which Isolate Anatomical Structures by Effectively Resisting External Vector Forces of Displacement |
US7101372B2 (en) | 2001-04-06 | 2006-09-05 | Sherwood Sevices Ag | Vessel sealer and divider |
US7473253B2 (en) | 2001-04-06 | 2009-01-06 | Covidien Ag | Vessel sealer and divider with non-conductive stop members |
US7101371B2 (en) | 2001-04-06 | 2006-09-05 | Dycus Sean T | Vessel sealer and divider |
US7090673B2 (en) | 2001-04-06 | 2006-08-15 | Sherwood Services Ag | Vessel sealer and divider |
DE10117597C1 (de) | 2001-04-07 | 2002-11-28 | Itt Mfg Enterprises Inc | Wippschalter |
US6638285B2 (en) | 2001-04-16 | 2003-10-28 | Shlomo Gabbay | Biological tissue strip and system and method to seal tissue |
JP2002314298A (ja) | 2001-04-18 | 2002-10-25 | Matsushita Electric Ind Co Ltd | 電子部品実装装置 |
DE60218240T2 (de) | 2001-04-18 | 2007-11-22 | Olympus Corporation | Chirurgisches Instrument |
US6994708B2 (en) | 2001-04-19 | 2006-02-07 | Intuitive Surgical | Robotic tool with monopolar electro-surgical scissors |
US6783524B2 (en) | 2001-04-19 | 2004-08-31 | Intuitive Surgical, Inc. | Robotic surgical tool with ultrasound cauterizing and cutting instrument |
US7824401B2 (en) | 2004-10-08 | 2010-11-02 | Intuitive Surgical Operations, Inc. | Robotic tool with wristed monopolar electrosurgical end effectors |
US7367973B2 (en) | 2003-06-30 | 2008-05-06 | Intuitive Surgical, Inc. | Electro-surgical instrument with replaceable end-effectors and inhibited surface conduction |
EP1381302B1 (en) | 2001-04-20 | 2008-06-18 | Power Medical Interventions, Inc. | Imaging device |
US20040110439A1 (en) | 2001-04-20 | 2004-06-10 | Chaikof Elliot L | Native protein mimetic fibers, fiber networks and fabrics for medical use |
WO2002085254A1 (en) | 2001-04-20 | 2002-10-31 | The Research Foundation Of State University Of Newyork | Apparatus and method for fixation of vascular grafts |
AU2002254712A1 (en) | 2001-04-20 | 2002-11-05 | Power Medical Interventions, Inc. | Bipolar or ultrasonic surgical device |
US6620111B2 (en) | 2001-04-20 | 2003-09-16 | Ethicon Endo-Surgery, Inc. | Surgical biopsy device having automatic rotation of the probe for taking multiple samples |
EP1383504A1 (en) | 2001-04-26 | 2004-01-28 | Control Delivery Systems, Inc. | Sustained release drug delivery system containing codrugs |
US20020188170A1 (en) | 2001-04-27 | 2002-12-12 | Santamore William P. | Prevention of myocardial infarction induced ventricular expansion and remodeling |
US20020158593A1 (en) | 2001-04-27 | 2002-10-31 | Henderson Jeffery L. | Circuit for controlling dynamic braking of a motor shaft in a power tool |
US7225959B2 (en) | 2001-04-30 | 2007-06-05 | Black & Decker, Inc. | Portable, battery-powered air compressor for a pneumatic tool system |
US6586898B2 (en) | 2001-05-01 | 2003-07-01 | Magnon Engineering, Inc. | Systems and methods of electric motor control |
US6535764B2 (en) | 2001-05-01 | 2003-03-18 | Intrapace, Inc. | Gastric treatment and diagnosis device and method |
US6913579B2 (en) | 2001-05-01 | 2005-07-05 | Surgrx, Inc. | Electrosurgical working end and method for obtaining tissue samples for biopsy |
NZ511444A (en) | 2001-05-01 | 2004-01-30 | Deep Video Imaging Ltd | Information display |
DE10121305A1 (de) | 2001-05-02 | 2002-12-12 | Ethicon Endo Surgery Europe | Chirurgisches Instrument |
US6349868B1 (en) | 2001-05-03 | 2002-02-26 | Chris A. Mattingly | Multipurpose stapler |
US7276044B2 (en) | 2001-05-06 | 2007-10-02 | Stereotaxis, Inc. | System and methods for advancing a catheter |
US6656193B2 (en) | 2001-05-07 | 2003-12-02 | Ethicon Endo-Surgery, Inc. | Device for attachment of buttress material to a surgical fastening device |
US6503257B2 (en) | 2001-05-07 | 2003-01-07 | Ethicon Endo-Surgery, Inc. | Method for releasing buttress material attached to a surgical fastening device |
US6827725B2 (en) | 2001-05-10 | 2004-12-07 | Gyrus Medical Limited | Surgical instrument |
CN100518685C (zh) | 2001-05-10 | 2009-07-29 | 脉管动力股份有限公司 | 组织消融设备 |
US6588277B2 (en) | 2001-05-21 | 2003-07-08 | Ethicon Endo-Surgery | Method for detecting transverse mode vibrations in an ultrasonic hand piece/blade |
US6630047B2 (en) | 2001-05-21 | 2003-10-07 | 3M Innovative Properties Company | Fluoropolymer bonding composition and method |
US20020177848A1 (en) | 2001-05-24 | 2002-11-28 | Csaba Truckai | Electrosurgical working end for sealing tissue |
US20050010158A1 (en) | 2001-05-24 | 2005-01-13 | Brugger James M. | Drop-in blood treatment cartridge with filter |
US6766957B2 (en) | 2001-05-25 | 2004-07-27 | Sony Corporation | Optical device for bar-code reading, method for manufacturing an optical device, and light projection/receiving package |
US6558400B2 (en) | 2001-05-30 | 2003-05-06 | Satiety, Inc. | Obesity treatment tools and methods |
IES20010547A2 (en) | 2001-06-07 | 2002-12-11 | Christy Cummins | Surgical Staple |
EP2067451B1 (de) | 2001-06-07 | 2013-11-20 | Kaltenbach & Voigt GmbH | Medizinisches oder dentalmedizinisches Instrument und/oder Versorgungsgerät und/oder Pflegegerät und/oder System für das medizinische oder dentalmedizinische Instrument |
US7025774B2 (en) | 2001-06-12 | 2006-04-11 | Pelikan Technologies, Inc. | Tissue penetration device |
US7371403B2 (en) | 2002-06-14 | 2008-05-13 | Providence Health System-Oregon | Wound dressing and method for controlling severe, life-threatening bleeding |
EP2292157B1 (en) | 2001-06-14 | 2020-06-24 | Intuitive Surgical Operations Inc. | Apparatus for surgical suturing with thread management |
DE20121753U1 (de) | 2001-06-15 | 2003-04-17 | Bema Gmbh & Co Kg Endochirurgi | Griff für ein chirurgisches Instrument |
US20030040670A1 (en) | 2001-06-15 | 2003-02-27 | Assaf Govari | Method for measuring temperature and of adjusting for temperature sensitivity with a medical device having a position sensor |
USD465226S1 (en) | 2001-06-18 | 2002-11-05 | Bellsouth Intellecutal Property Corporation | Display screen with a user interface icon |
US20030009154A1 (en) | 2001-06-20 | 2003-01-09 | Whitman Michael P. | Method and system for integrated medical tracking |
EP1408843A2 (en) | 2001-06-22 | 2004-04-21 | Power Medical Interventions, Inc. | Electro-mechanical surgical device |
US7000911B2 (en) | 2001-06-22 | 2006-02-21 | Delaware Capital Formation, Inc. | Motor pack for automated machinery |
US6726706B2 (en) | 2001-06-26 | 2004-04-27 | Steven Dominguez | Suture tape and method for use |
EP1408846B1 (en) | 2001-06-29 | 2012-03-07 | Intuitive Surgical Operations, Inc. | Platform link wrist mechanism |
US20060178556A1 (en) | 2001-06-29 | 2006-08-10 | Intuitive Surgical, Inc. | Articulate and swapable endoscope for a surgical robot |
US20050182298A1 (en) | 2002-12-06 | 2005-08-18 | Intuitive Surgical Inc. | Cardiac tissue ablation instrument with flexible wrist |
US6817974B2 (en) | 2001-06-29 | 2004-11-16 | Intuitive Surgical, Inc. | Surgical tool having positively positionable tendon-actuated multi-disk wrist joint |
US20060199999A1 (en) | 2001-06-29 | 2006-09-07 | Intuitive Surgical Inc. | Cardiac tissue ablation instrument with flexible wrist |
US20040243147A1 (en) | 2001-07-03 | 2004-12-02 | Lipow Kenneth I. | Surgical robot and robotic controller |
US7607189B2 (en) | 2004-07-14 | 2009-10-27 | Colgate-Palmolive | Oral care implement |
JP3646162B2 (ja) | 2001-07-04 | 2005-05-11 | 独立行政法人産業技術総合研究所 | 軟骨組織の再生用移植体 |
CN2488482Y (zh) | 2001-07-05 | 2002-05-01 | 天津市华志计算机应用有限公司 | 机械臂的关节锁紧机构 |
ES2393918T3 (es) | 2001-07-09 | 2013-01-02 | Covidien Lp | Aplicador de clips o grapas en ángulo recto |
US6696814B2 (en) | 2001-07-09 | 2004-02-24 | Tyco Electronics Corporation | Microprocessor for controlling the speed and frequency of a motor shaft in a power tool |
US7137949B2 (en) | 2001-07-13 | 2006-11-21 | United States Surgical Corporation | Surgical instrument |
US7056123B2 (en) | 2001-07-16 | 2006-06-06 | Immersion Corporation | Interface apparatus with cable-driven force feedback and grounded actuators |
US8025896B2 (en) | 2001-07-16 | 2011-09-27 | Depuy Products, Inc. | Porous extracellular matrix scaffold and method |
WO2003007788A2 (en) | 2001-07-16 | 2003-01-30 | Depuy Products, Inc. | Unitary surgical device and method |
DE60239342D1 (de) | 2001-07-16 | 2011-04-14 | Depuy Products Inc | Gerät zur reparatur von knorpelmaterial |
IL144446A0 (en) | 2001-07-19 | 2002-05-23 | Prochon Biotech Ltd | Plasma protein matrices and methods for their preparation |
DE50109817D1 (de) | 2001-07-19 | 2006-06-22 | Hilti Ag | Bolzensetzgerät mit Setztiefenregelung |
US7510534B2 (en) | 2001-07-20 | 2009-03-31 | Ethicon Endo-Surgery, Inc. | Method for operating biopsy device |
US7011668B2 (en) | 2001-07-23 | 2006-03-14 | Dvl Acquistion Sub, Inc. | Surgical suturing instrument and method of use |
JP3646163B2 (ja) | 2001-07-31 | 2005-05-11 | 国立大学法人 東京大学 | 能動鉗子 |
US6755854B2 (en) | 2001-07-31 | 2004-06-29 | Advanced Cardiovascular Systems, Inc. | Control device and mechanism for deploying a self-expanding medical device |
DE20112837U1 (de) | 2001-08-02 | 2001-10-04 | Aesculap Ag & Co Kg | Zangen- oder pinzettenförmiges chirurgisches Instrument |
WO2003013374A1 (en) | 2001-08-06 | 2003-02-20 | Penn State Research Foundation | Multifunctional tool and method for minimally invasive surgery |
EP1285633B1 (en) | 2001-08-07 | 2006-12-13 | Universitair Medisch Centrum Utrecht | Device for connecting a surgical instrument to a stable basis |
JP4235105B2 (ja) | 2001-08-07 | 2009-03-11 | 並木精密宝石株式会社 | 磁気式マイクロエンコーダ及びマイクロモータ |
EP2305143B1 (en) | 2001-08-08 | 2016-11-09 | Stryker Corporation | Motorized surgical handpiece that drives a cutting accessory and that includes a coil for reading data from the accessory |
DE10139153A1 (de) | 2001-08-09 | 2003-02-27 | Ingo F Herrmann | Einweg-Endoskopmantel |
IES20010748A2 (en) | 2001-08-09 | 2003-02-19 | Christy Cummins | Surgical Stapling Device and Method |
US6592608B2 (en) | 2001-12-07 | 2003-07-15 | Biopsy Sciences, Llc | Bioabsorbable sealant |
WO2003019182A1 (de) | 2001-08-10 | 2003-03-06 | Roche Diagnostics Gmbh | Verfahren zur herstellung von protein-beladenen mikropartikeln |
JP3926119B2 (ja) | 2001-08-10 | 2007-06-06 | 株式会社東芝 | 医療用マニピュレータ |
US6705503B1 (en) | 2001-08-20 | 2004-03-16 | Tricord Solutions, Inc. | Electrical motor driven nail gun |
WO2004052595A1 (en) | 2002-03-07 | 2004-06-24 | Tricord Solutions, Inc. | Enhanced electrical motor driven nail gun |
US6692507B2 (en) | 2001-08-23 | 2004-02-17 | Scimed Life Systems, Inc. | Impermanent biocompatible fastener |
US7563862B2 (en) | 2001-08-24 | 2009-07-21 | Neuren Pharmaceuticals Limited | Neural regeneration peptides and methods for their use in treatment of brain damage |
US7282048B2 (en) | 2001-08-27 | 2007-10-16 | Gyrus Medical Limited | Electrosurgical generator and system |
DE60239778D1 (de) | 2001-08-27 | 2011-06-01 | Gyrus Medical Ltd | Elektrochirurgische Vorrichtung |
US6966907B2 (en) | 2001-08-27 | 2005-11-22 | Gyrus Medical Limited | Electrosurgical generator and system |
US6808525B2 (en) | 2001-08-27 | 2004-10-26 | Gyrus Medical, Inc. | Bipolar electrosurgical hook probe for cutting and coagulating tissue |
WO2004078051A2 (en) | 2001-08-27 | 2004-09-16 | Gyrus Medial Limited | Electrosurgical system |
US7344532B2 (en) | 2001-08-27 | 2008-03-18 | Gyrus Medical Limited | Electrosurgical generator and system |
GB0425051D0 (en) | 2004-11-12 | 2004-12-15 | Gyrus Medical Ltd | Electrosurgical generator and system |
US6929641B2 (en) | 2001-08-27 | 2005-08-16 | Gyrus Medical Limited | Electrosurgical system |
US6629988B2 (en) | 2001-08-28 | 2003-10-07 | Ethicon, Inc. | Composite staple for completing an anastomosis |
US6755338B2 (en) | 2001-08-29 | 2004-06-29 | Cerebral Vascular Applications, Inc. | Medical instrument |
US20030045835A1 (en) | 2001-08-30 | 2003-03-06 | Vascular Solutions, Inc. | Method and apparatus for coagulation and closure of pseudoaneurysms |
NL1018874C2 (nl) | 2001-09-03 | 2003-03-05 | Michel Petronella Hub Vleugels | Chirurgisch instrument. |
JP2003070804A (ja) | 2001-09-05 | 2003-03-11 | Olympus Optical Co Ltd | 遠隔医療支援システム |
US6747121B2 (en) | 2001-09-05 | 2004-06-08 | Synthes (Usa) | Poly(L-lactide-co-glycolide) copolymers, methods for making and using same, and devices containing same |
JP4857504B2 (ja) | 2001-09-10 | 2012-01-18 | マックス株式会社 | 電動ステープラのステープル検出機構 |
KR100431690B1 (ko) | 2001-09-12 | 2004-05-17 | 김중한 | 와이어 결속장치 |
US6802843B2 (en) | 2001-09-13 | 2004-10-12 | Csaba Truckai | Electrosurgical working end with resistive gradient electrodes |
US6799669B2 (en) | 2001-09-13 | 2004-10-05 | Siemens Vdo Automotive Corporation | Dynamic clutch control |
US6773409B2 (en) | 2001-09-19 | 2004-08-10 | Surgrx Llc | Surgical system for applying ultrasonic energy to tissue |
US6955864B1 (en) | 2001-09-21 | 2005-10-18 | Defibtech, Llc | Medical device battery pack with active status indication |
GB2379878B (en) | 2001-09-21 | 2004-11-10 | Gyrus Medical Ltd | Electrosurgical system and method |
DE10147145C2 (de) | 2001-09-25 | 2003-12-18 | Kunz Reiner | Multifunktionsinstrument für die mikroinvasive Chirurgie |
US6587750B2 (en) | 2001-09-25 | 2003-07-01 | Intuitive Surgical, Inc. | Removable infinite roll master grip handle and touch sensor for robotic surgery |
US6578751B2 (en) | 2001-09-26 | 2003-06-17 | Scimed Life Systems, Inc. | Method of sequentially firing staples using springs and a rotary or linear shutter |
JP3557186B2 (ja) | 2001-09-26 | 2004-08-25 | 三洋電機株式会社 | Dc−dcコンバータ |
CN100450456C (zh) | 2001-09-28 | 2009-01-14 | 锐达医疗系统公司 | 阻抗控制的组织切除仪器 |
US7108701B2 (en) | 2001-09-28 | 2006-09-19 | Ethicon, Inc. | Drug releasing anastomosis devices and methods for treating anastomotic sites |
SE523684C2 (sv) | 2001-10-04 | 2004-05-11 | Isaberg Rapid Ab | Styranordning för en drivmotor i en häftapparat |
ES2763929T3 (es) | 2001-10-05 | 2020-06-01 | Covidien Lp | Dispositivo de grapado quirúrgico |
CA2462536C (en) | 2001-10-05 | 2010-03-30 | Tyco Healthcare Group Lp | Tilt top anvil for a surgical fastener device |
US6835173B2 (en) | 2001-10-05 | 2004-12-28 | Scimed Life Systems, Inc. | Robotic endoscope |
JP2005518827A (ja) | 2001-10-05 | 2005-06-30 | サーモディクス,インコーポレイテッド | 粒子固定化コーティングおよびその使用 |
US6770027B2 (en) | 2001-10-05 | 2004-08-03 | Scimed Life Systems, Inc. | Robotic endoscope with wireless interface |
EP2550920B1 (en) | 2001-10-05 | 2015-01-28 | Covidien LP | Surgical stapling apparatus adjustment method |
US20050267464A1 (en) | 2001-10-18 | 2005-12-01 | Surgrx, Inc. | Electrosurgical instrument and method of use |
US7070597B2 (en) | 2001-10-18 | 2006-07-04 | Surgrx, Inc. | Electrosurgical working end for controlled energy delivery |
US6929644B2 (en) | 2001-10-22 | 2005-08-16 | Surgrx Inc. | Electrosurgical jaw structure for controlled energy delivery |
US7464847B2 (en) | 2005-06-03 | 2008-12-16 | Tyco Healthcare Group Lp | Surgical stapler with timer and feedback display |
US10285694B2 (en) | 2001-10-20 | 2019-05-14 | Covidien Lp | Surgical stapler with timer and feedback display |
US7052454B2 (en) | 2001-10-20 | 2006-05-30 | Applied Medical Resources Corporation | Sealed surgical access device |
US6905497B2 (en) | 2001-10-22 | 2005-06-14 | Surgrx, Inc. | Jaw structure for electrosurgical instrument |
US7041102B2 (en) | 2001-10-22 | 2006-05-09 | Surgrx, Inc. | Electrosurgical working end with replaceable cartridges |
US7011657B2 (en) | 2001-10-22 | 2006-03-14 | Surgrx, Inc. | Jaw structure for electrosurgical instrument and method of use |
US7125409B2 (en) | 2001-10-22 | 2006-10-24 | Surgrx, Inc. | Electrosurgical working end for controlled energy delivery |
US7354440B2 (en) | 2001-10-22 | 2008-04-08 | Surgrx, Inc. | Electrosurgical instrument and method of use |
US7311709B2 (en) | 2001-10-22 | 2007-12-25 | Surgrx, Inc. | Electrosurgical instrument and method of use |
US7083619B2 (en) | 2001-10-22 | 2006-08-01 | Surgrx, Inc. | Electrosurgical instrument and method of use |
US20030216732A1 (en) | 2002-05-20 | 2003-11-20 | Csaba Truckai | Medical instrument with thermochromic or piezochromic surface indicators |
US6770072B1 (en) | 2001-10-22 | 2004-08-03 | Surgrx, Inc. | Electrosurgical jaw structure for controlled energy delivery |
US6926716B2 (en) | 2001-11-09 | 2005-08-09 | Surgrx Inc. | Electrosurgical instrument |
JP2005514681A (ja) | 2001-10-23 | 2005-05-19 | イマージョン コーポレーション | 電子デバイスのユーザに静的な状態を伝達することによる触覚フィードバックを用いる方法 |
US6677687B2 (en) | 2001-10-23 | 2004-01-13 | Sun Microsystems, Inc. | System for distributing power in CPCI computer architecture |
US20060020336A1 (en) | 2001-10-23 | 2006-01-26 | Liddicoat John R | Automated annular plication for mitral valve repair |
FR2831417B1 (fr) | 2001-10-30 | 2004-08-06 | Eurosurgical | Instrument chirurgical |
JP2003135473A (ja) | 2001-11-01 | 2003-05-13 | Mizuho Co Ltd | 内視鏡手術用能動鉗子 |
AUPR865901A0 (en) | 2001-11-02 | 2002-01-24 | Poly Systems Pty Ltd | Projectile firing device |
FR2832262A1 (fr) | 2001-11-09 | 2003-05-16 | France Telecom | Procede et dispositif d'alimentation en energie electrique d'un appareil |
US8089509B2 (en) | 2001-11-09 | 2012-01-03 | Karl Storz Imaging, Inc. | Programmable camera control unit with updatable program |
US7061292B2 (en) | 2001-11-09 | 2006-06-13 | The Regents Of The University Of Colorado | Adaptive voltage regulator for powered digital devices |
US6716223B2 (en) | 2001-11-09 | 2004-04-06 | Micrus Corporation | Reloadable sheath for catheter system for deploying vasoocclusive devices |
US6471106B1 (en) | 2001-11-15 | 2002-10-29 | Intellectual Property Llc | Apparatus and method for restricting the discharge of fasteners from a tool |
GB2382226A (en) | 2001-11-20 | 2003-05-21 | Black & Decker Inc | Switch mechanism for a power tool |
US6997935B2 (en) | 2001-11-20 | 2006-02-14 | Advanced Medical Optics, Inc. | Resonant converter tuning for maintaining substantially constant phaco handpiece power under increased load |
US6993200B2 (en) | 2001-11-20 | 2006-01-31 | Sony Corporation | System and method for effectively rendering high dynamic range images |
JP2003164066A (ja) | 2001-11-21 | 2003-06-06 | Hitachi Koki Co Ltd | 電池パック |
US6605078B2 (en) | 2001-11-26 | 2003-08-12 | Scimed Life Systems, Inc. | Full thickness resection device |
US20070073389A1 (en) | 2001-11-28 | 2007-03-29 | Aptus Endosystems, Inc. | Endovascular aneurysm devices, systems, and methods |
US9320503B2 (en) | 2001-11-28 | 2016-04-26 | Medtronic Vascular, Inc. | Devices, system, and methods for guiding an operative tool into an interior body region |
US6671185B2 (en) | 2001-11-28 | 2003-12-30 | Landon Duval | Intelligent fasteners |
DE10158246C1 (de) | 2001-11-28 | 2003-08-21 | Ethicon Endo Surgery Europe | Chirurgisches Klammersetzinstrument |
EP2116343B1 (en) | 2001-11-29 | 2010-09-01 | Max Co., Ltd. | Electric stapler |
JP2003170381A (ja) | 2001-11-30 | 2003-06-17 | Seiko Epson Corp | 操作装置 |
US10098640B2 (en) | 2001-12-04 | 2018-10-16 | Atricure, Inc. | Left atrial appendage devices and methods |
US7542807B2 (en) | 2001-12-04 | 2009-06-02 | Endoscopic Technologies, Inc. | Conduction block verification probe and method of use |
JP4458464B2 (ja) | 2001-12-04 | 2010-04-28 | パワー メディカル インターベンションズ, エルエルシー | 外科器具を校正するためのシステムおよび方法 |
US7591818B2 (en) | 2001-12-04 | 2009-09-22 | Endoscopic Technologies, Inc. | Cardiac ablation devices and methods |
US7367939B2 (en) | 2004-06-14 | 2008-05-06 | Ethicon Endo-Surgery, Inc. | Rotational, translational and torqueing control members for an endoscopic instrument |
US7918867B2 (en) | 2001-12-07 | 2011-04-05 | Abbott Laboratories | Suture trimmer |
US20030121586A1 (en) | 2001-12-11 | 2003-07-03 | 3M Innovative Properties Company | Tack-on-pressure films for temporary surface protection and surface modification |
US7131978B2 (en) | 2001-12-11 | 2006-11-07 | Dvl Acquisition Sub, Inc. | Surgical suturing instrument and method of use |
US20030114851A1 (en) | 2001-12-13 | 2003-06-19 | Csaba Truckai | Electrosurgical jaws for controlled application of clamping pressure |
GB2383006A (en) | 2001-12-13 | 2003-06-18 | Black & Decker Inc | Mechanism for use in a power tool and a power tool including such a mechanism |
US6723087B2 (en) | 2001-12-14 | 2004-04-20 | Medtronic, Inc. | Apparatus and method for performing surgery on a patient |
US6974462B2 (en) | 2001-12-19 | 2005-12-13 | Boston Scientific Scimed, Inc. | Surgical anchor implantation device |
US7122028B2 (en) | 2001-12-19 | 2006-10-17 | Allegiance Corporation | Reconfiguration surgical apparatus |
US6939358B2 (en) | 2001-12-20 | 2005-09-06 | Gore Enterprise Holdings, Inc. | Apparatus and method for applying reinforcement material to a surgical stapler |
US7729742B2 (en) | 2001-12-21 | 2010-06-01 | Biosense, Inc. | Wireless position sensor |
EP1465555B1 (en) | 2001-12-21 | 2015-05-06 | QuickRing Medical Technologies Ltd. | Implantation system for annuloplasty rings |
DE10163106A1 (de) | 2001-12-24 | 2003-07-10 | Univ Hannover | Medizinische Implantate, Prothesen, Protheseteile, medizinische Instrumente, Geräte und Hilfsmittel aus einem halogenid-modifizierten Magnesiumwerkstoff |
RU2225170C2 (ru) | 2001-12-25 | 2004-03-10 | Дубровский Аркадий Вениаминович | Инструмент с поворотным устройством |
US20060264929A1 (en) | 2001-12-27 | 2006-11-23 | Gyrus Group Plc | Surgical system |
GB0130975D0 (en) | 2001-12-27 | 2002-02-13 | Gyrus Group Plc | A surgical instrument |
CN100362969C (zh) | 2001-12-27 | 2008-01-23 | 盖勒斯集团股份有限公司 | 电外科器械 |
US6942662B2 (en) | 2001-12-27 | 2005-09-13 | Gyrus Group Plc | Surgical Instrument |
GB0425842D0 (en) | 2004-11-24 | 2004-12-29 | Gyrus Group Plc | An electrosurgical instrument |
US6729119B2 (en) | 2001-12-28 | 2004-05-04 | The Schnipke Family Limited Liability Company | Robotic loader for surgical stapling cartridge |
US6913594B2 (en) | 2001-12-31 | 2005-07-05 | Biosense Webster, Inc. | Dual-function catheter handle |
US6602252B2 (en) | 2002-01-03 | 2003-08-05 | Starion Instruments Corporation | Combined dissecting, cauterizing, and stapling device |
US6740030B2 (en) | 2002-01-04 | 2004-05-25 | Vision Sciences, Inc. | Endoscope assemblies having working channels with reduced bending and stretching resistance |
IL162696A0 (en) | 2002-01-09 | 2005-11-20 | Neoguide Systems Inc | Apparatus and method for endoscopiccolectomy |
US6985870B2 (en) | 2002-01-11 | 2006-01-10 | Baxter International Inc. | Medication delivery system |
US7199537B2 (en) | 2002-01-16 | 2007-04-03 | Toyota Jidosha Kabushiki Kaisha | Voltage converter control apparatus, and method |
EP1471844A2 (en) | 2002-01-16 | 2004-11-03 | Eva Corporation | Catheter hand-piece apparatus and method of using the same |
US6869435B2 (en) | 2002-01-17 | 2005-03-22 | Blake, Iii John W | Repeating multi-clip applier |
US6999821B2 (en) | 2002-01-18 | 2006-02-14 | Pacesetter, Inc. | Body implantable lead including one or more conductive polymer electrodes and methods for fabricating same |
US7091412B2 (en) | 2002-03-04 | 2006-08-15 | Nanoset, Llc | Magnetically shielded assembly |
WO2003061456A2 (en) | 2002-01-22 | 2003-07-31 | Sciogen Llc | Electrosurgical instrument and method of use |
US6676660B2 (en) | 2002-01-23 | 2004-01-13 | Ethicon Endo-Surgery, Inc. | Feedback light apparatus and method for use with an electrosurgical instrument |
DE10203282A1 (de) | 2002-01-29 | 2003-08-21 | Behrens Ag Friedrich Joh | Befestigungsmittel und Verfahren zu seiner Herstellung |
US7530985B2 (en) | 2002-01-30 | 2009-05-12 | Olympus Corporation | Endoscopic suturing system |
US20030149406A1 (en) | 2002-02-07 | 2003-08-07 | Lucie Martineau | Multi-layer dressing as medical drug delivery system |
US7501198B2 (en) | 2002-02-07 | 2009-03-10 | Linvatec Corporation | Sterile transfer battery container |
WO2003068046A2 (en) | 2002-02-13 | 2003-08-21 | Applied Medical Resources Corporation | Tissue fusion/welder apparatus corporation |
EP1336392A1 (de) | 2002-02-14 | 2003-08-20 | John S. Geis | Gefässstütze und Kathetersystem |
US7494499B2 (en) | 2002-02-15 | 2009-02-24 | Olympus Corporation | Surgical therapeutic instrument |
US6524180B1 (en) | 2002-02-19 | 2003-02-25 | Maury Simms | Adjustable duct assembly for fume and dust removal |
CN101898004A (zh) | 2002-02-20 | 2010-12-01 | 21世纪国际新技术株式会社 | 施用药物的装置 |
US7400752B2 (en) | 2002-02-21 | 2008-07-15 | Alcon Manufacturing, Ltd. | Video overlay system for surgical apparatus |
US6646307B1 (en) | 2002-02-21 | 2003-11-11 | Advanced Micro Devices, Inc. | MOSFET having a double gate |
US7197965B1 (en) | 2002-02-25 | 2007-04-03 | Anderson Steven P | Hinged socket wrench speed handle |
US6847190B2 (en) | 2002-02-26 | 2005-01-25 | Linvatec Corporation | Method and apparatus for charging sterilizable rechargeable batteries |
US6747300B2 (en) | 2002-03-04 | 2004-06-08 | Ternational Rectifier Corporation | H-bridge drive utilizing a pair of high and low side MOSFETs in a common insulation housing |
US7831292B2 (en) | 2002-03-06 | 2010-11-09 | Mako Surgical Corp. | Guidance system and method for surgical procedures with improved feedback |
US8010180B2 (en) | 2002-03-06 | 2011-08-30 | Mako Surgical Corp. | Haptic guidance system and method |
US7747311B2 (en) | 2002-03-06 | 2010-06-29 | Mako Surgical Corp. | System and method for interactive haptic positioning of a medical device |
USD473239S1 (en) | 2002-03-08 | 2003-04-15 | Dca Design International Limited | Portion of a display panel with a computer icon image |
US7289139B2 (en) | 2002-03-12 | 2007-10-30 | Karl Storz Imaging, Inc. | Endoscope reader |
GB0206208D0 (en) | 2002-03-15 | 2002-05-01 | Gyrus Medical Ltd | A surgical instrument |
US7660988B2 (en) | 2002-03-18 | 2010-02-09 | Cognomina, Inc. | Electronic notary |
AU2003218190A1 (en) | 2002-03-18 | 2003-10-08 | Optim, Inc. | Charing a client for the use of a reusable instrument |
US9155544B2 (en) | 2002-03-20 | 2015-10-13 | P Tech, Llc | Robotic systems and methods |
USD484596S1 (en) | 2002-03-22 | 2003-12-30 | Gyrus Ent L.L.C. | Surgical tool blade holder |
USD484595S1 (en) | 2002-03-22 | 2003-12-30 | Gyrus Ent L.L.C. | Surgical tool blade holder |
USD484977S1 (en) | 2002-03-22 | 2004-01-06 | Gyrus Ent L.L.C. | Surgical tool blade holder |
USD484243S1 (en) | 2002-03-22 | 2003-12-23 | Gyrus Ent L.L.C. | Surgical tool blade holder |
USD478665S1 (en) | 2002-03-22 | 2003-08-19 | Gyrus Ent L.L.C. | Disposable trigger |
US7247161B2 (en) | 2002-03-22 | 2007-07-24 | Gyrus Ent L.L.C. | Powered surgical apparatus, method of manufacturing powered surgical apparatus, and method of using powered surgical apparatus |
USD478986S1 (en) | 2002-03-22 | 2003-08-26 | Gyrus Ent L.L.C. | Surgical tool |
US6991146B2 (en) | 2002-03-25 | 2006-01-31 | Design Circle, Inc. | Stapler having detached base |
JP4071642B2 (ja) | 2002-03-25 | 2008-04-02 | 株式会社リコー | 用紙処理装置及び画像形成システム |
US7137981B2 (en) | 2002-03-25 | 2006-11-21 | Ethicon Endo-Surgery, Inc. | Endoscopic ablation system with a distally mounted image sensor |
US7128748B2 (en) | 2002-03-26 | 2006-10-31 | Synovis Life Technologies, Inc. | Circular stapler buttress combination |
AU2003228445A1 (en) | 2002-04-04 | 2003-10-27 | W.R. Grace And Company | Tissue composites and uses thereof |
EP1492585B1 (en) | 2002-04-09 | 2016-06-22 | Jae Hwang Kim | Indwelling fecal diverting device |
JP2003300416A (ja) | 2002-04-10 | 2003-10-21 | Kyowa Sangyo Kk | 車両用サンバイザ |
WO2003086206A1 (en) | 2002-04-11 | 2003-10-23 | Tyco Healthcare Group, Lp | Surgical stapling apparatus including an anvil and cartridge each having cooperating mating surfaces |
EP1494601B1 (en) | 2002-04-15 | 2012-01-11 | Tyco Healthcare Group LP | Instrument introducer |
WO2003088844A1 (en) | 2002-04-15 | 2003-10-30 | Cook Biotech Incorporated | Apparatus and method for producing a reinforced surgical staple line |
EP2404555B1 (en) | 2002-04-16 | 2017-03-15 | Covidien LP | Surgical stapler and method |
US7547287B2 (en) | 2002-04-19 | 2009-06-16 | Pelikan Technologies, Inc. | Method and apparatus for penetrating tissue |
US6846811B2 (en) | 2002-04-22 | 2005-01-25 | Wisconsin Alumni Research Foundation | (20S) 1α-hydroxy-2α-methyl and 2β-methyl-19-nor-vitamin D3 and their uses |
KR101090667B1 (ko) | 2002-04-22 | 2011-12-07 | 마시오 마크 아우렐리오 마틴스 애브리우 | 생물학적 파라미터 측정 장치 및 방법 |
US8241308B2 (en) | 2002-04-24 | 2012-08-14 | Boston Scientific Scimed, Inc. | Tissue fastening devices and processes that promote tissue adhesion |
US7141055B2 (en) | 2002-04-24 | 2006-11-28 | Surgical Connections, Inc. | Resection and anastomosis devices and methods |
US7161580B2 (en) | 2002-04-25 | 2007-01-09 | Immersion Corporation | Haptic feedback using rotary harmonic moving mass |
WO2003090628A1 (en) | 2002-04-25 | 2003-11-06 | Terumo Kabushiki Kaisha | Organism tissue suturing apparatus |
WO2003090630A2 (en) | 2002-04-25 | 2003-11-06 | Tyco Healthcare Group, Lp | Surgical instruments including micro-electromechanical systems (mems) |
US6692692B2 (en) | 2002-04-29 | 2004-02-17 | Eric J. Stetzel | Dental drill sterilization through application of high amperage current |
US6969385B2 (en) | 2002-05-01 | 2005-11-29 | Manuel Ricardo Moreyra | Wrist with decoupled motion transmission |
US7674270B2 (en) | 2002-05-02 | 2010-03-09 | Laparocision, Inc | Apparatus for positioning a medical instrument |
AU2003228858A1 (en) | 2002-05-02 | 2003-11-17 | Scimed Life Systems, Inc. | Energetically-controlled delivery of biologically active material from an implanted medical device |
AU2003224567A1 (en) | 2002-05-08 | 2003-11-11 | Radi Medical Systems Ab | Dissolvable medical sealing device |
US7215517B2 (en) | 2002-05-08 | 2007-05-08 | Seiko Epson Corporation | Constant-voltage switching power supply provided with overvoltage output protecting circuit, and electronic apparatus provided with overvoltage protecting circuit |
CN1625457A (zh) | 2002-05-09 | 2005-06-08 | 龟山俊之 | 订书器用盒及订书器 |
US6736854B2 (en) | 2002-05-10 | 2004-05-18 | C. R. Bard, Inc. | Prosthetic repair fabric with erosion resistant edge |
US7431730B2 (en) | 2002-05-10 | 2008-10-07 | Tyco Healthcare Group Lp | Surgical stapling apparatus having a wound closure material applicator assembly |
EP1503671B1 (en) | 2002-05-10 | 2006-10-11 | Tyco Healthcare Group Lp | Wound closure material applicator and stapler |
CA2484635C (en) | 2002-05-10 | 2011-01-04 | Tyco Healthcare Group Lp | Electrosurgical stapling apparatus |
TWI237916B (en) | 2002-05-13 | 2005-08-11 | Sun Bridge Corp | Cordless device system |
AU2003234551A1 (en) | 2002-05-13 | 2003-11-11 | Tyco Healthcare Group, Lp | Surgical stapler and disposable loading unit having different size staples |
US20040158261A1 (en) | 2002-05-15 | 2004-08-12 | Vu Dinh Q. | Endoscopic device for spill-proof laparoscopic ovarian cystectomy |
US20040254455A1 (en) | 2002-05-15 | 2004-12-16 | Iddan Gavriel J. | Magneic switch for use in a system that includes an in-vivo device, and method of use thereof |
CA2486123A1 (en) | 2002-05-16 | 2003-11-27 | Scott Laboratories, Inc. | System and method for permitting sterile operation of a sedation and analgesia system |
US7968569B2 (en) | 2002-05-17 | 2011-06-28 | Celgene Corporation | Methods for treatment of multiple myeloma using 3-(4-amino-1-oxo-1,3-dihydro-isoindol-2-yl)-piperidine-2,6-dione |
US7967839B2 (en) | 2002-05-20 | 2011-06-28 | Rocky Mountain Biosystems, Inc. | Electromagnetic treatment of tissues and cells |
US8147421B2 (en) | 2003-01-15 | 2012-04-03 | Nuvasive, Inc. | System and methods for determining nerve direction to a surgical instrument |
US6638297B1 (en) | 2002-05-30 | 2003-10-28 | Ethicon Endo-Surgery, Inc. | Surgical staple |
US7075412B1 (en) | 2002-05-30 | 2006-07-11 | Thingmagic L.L.C. | Methods and apparatus for operating a radio device |
US6989034B2 (en) | 2002-05-31 | 2006-01-24 | Ethicon, Inc. | Attachment of absorbable tissue scaffolds to fixation devices |
US7004174B2 (en) | 2002-05-31 | 2006-02-28 | Neothermia Corporation | Electrosurgery with infiltration anesthesia |
US7056330B2 (en) | 2002-05-31 | 2006-06-06 | Ethicon Endo-Surgery, Inc. | Method for applying tissue fastener |
WO2008033873A2 (en) | 2006-09-12 | 2008-03-20 | Vidacare Corporation | Medical procedures trays and related methods |
US6769594B2 (en) | 2002-05-31 | 2004-08-03 | Tyco Healthcare Group, Lp | End-to-end anastomosis instrument and method for performing same |
US6543456B1 (en) | 2002-05-31 | 2003-04-08 | Ethicon Endo-Surgery, Inc. | Method for minimally invasive surgery in the digestive system |
US20030225439A1 (en) | 2002-05-31 | 2003-12-04 | Cook Alonzo D. | Implantable product with improved aqueous interface characteristics and method for making and using same |
US6861142B1 (en) | 2002-06-06 | 2005-03-01 | Hills, Inc. | Controlling the dissolution of dissolvable polymer components in plural component fibers |
EP1369208B1 (en) | 2002-06-07 | 2008-04-23 | Black & Decker Inc. | A power tool provided with a locking mechanism |
JP3738843B2 (ja) | 2002-06-11 | 2006-01-25 | ソニー株式会社 | 画像検出装置、画像検出方法および画像検出プログラム |
US6837847B2 (en) | 2002-06-13 | 2005-01-04 | Usgi Medical, Inc. | Shape lockable apparatus and method for advancing an instrument through unsupported anatomy |
US7166133B2 (en) | 2002-06-13 | 2007-01-23 | Kensey Nash Corporation | Devices and methods for treating defects in the tissue of a living being |
US20050137455A1 (en) | 2002-06-13 | 2005-06-23 | Usgi Medical Corp. | Shape lockable apparatus and method for advancing an instrument through unsupported anatomy |
CN101803938B (zh) | 2002-06-14 | 2012-06-20 | Tyco医疗健康集团 | 用于夹紧、切割及缝合组织的器械 |
US7717873B2 (en) | 2002-06-14 | 2010-05-18 | Mcneil-Ppc, Inc. | Applicator device for suppositories and the like |
EP2228019B1 (en) | 2002-06-17 | 2013-08-14 | Covidien LP | Annular support structures |
EP1719461B1 (en) | 2002-06-17 | 2009-06-03 | Tyco Healthcare Group Lp | Annular support structures |
US20030234194A1 (en) | 2002-06-21 | 2003-12-25 | Clark Dan Warren | Protective shield for a patient control unit |
US7063671B2 (en) | 2002-06-21 | 2006-06-20 | Boston Scientific Scimed, Inc. | Electronically activated capture device |
US6635838B1 (en) | 2002-06-24 | 2003-10-21 | Brent A. Kornelson | Switch actuating device and method of mounting same |
RU2284160C2 (ru) | 2002-06-24 | 2006-09-27 | Аркадий Вениаминович Дубровский | Устройство для поворота инструмента с дистанционным управлением |
US6726705B2 (en) | 2002-06-25 | 2004-04-27 | Incisive Surgical, Inc. | Mechanical method and apparatus for bilateral tissue fastening |
US7112214B2 (en) | 2002-06-25 | 2006-09-26 | Incisive Surgical, Inc. | Dynamic bioabsorbable fastener for use in wound closure |
US9126317B2 (en) | 2002-06-27 | 2015-09-08 | Snap-On Incorporated | Tool apparatus system and method of use |
US7699856B2 (en) | 2002-06-27 | 2010-04-20 | Van Wyk Robert A | Method, apparatus, and kit for thermal suture cutting |
GB2390024B (en) | 2002-06-27 | 2005-09-21 | Gyrus Medical Ltd | Electrosurgical system |
US7220260B2 (en) | 2002-06-27 | 2007-05-22 | Gyrus Medical Limited | Electrosurgical system |
AUPS322702A0 (en) | 2002-06-28 | 2002-07-18 | Cochlear Limited | Cochlear implant electrode array |
US8287561B2 (en) | 2002-06-28 | 2012-10-16 | Boston Scientific Scimed, Inc. | Balloon-type actuator for surgical applications |
US7033356B2 (en) | 2002-07-02 | 2006-04-25 | Gyrus Medical, Inc. | Bipolar electrosurgical instrument for cutting desiccating and sealing tissue |
US20040006340A1 (en) | 2002-07-02 | 2004-01-08 | Gyrus Medical, Inc. | Bipolar electrosurgical instrument for cutting, desiccating and sealing tissue |
US6932218B2 (en) | 2002-07-03 | 2005-08-23 | Monica Rich Kosann Photography Llc | Folding photo case |
DE60326397D1 (de) | 2002-07-03 | 2009-04-09 | Abbott Vascular Inc | Chirurgische Klammersetzvorrichtung |
US20040006335A1 (en) | 2002-07-08 | 2004-01-08 | Garrison Lawrence L. | Cauterizing surgical saw |
US7029439B2 (en) | 2002-07-09 | 2006-04-18 | Welch Allyn, Inc. | Medical diagnostic instrument |
US7035762B2 (en) | 2002-07-11 | 2006-04-25 | Alcatel Canada Inc. | System and method for tracking utilization data for an electronic device |
US20060089535A1 (en) | 2002-07-11 | 2006-04-27 | Dan Raz | Piston-actuated endoscopic steering system |
US20040006860A1 (en) | 2002-07-15 | 2004-01-15 | Haytayan Harry M. | Method and apparatus for attaching structural components with fasteners |
US20040166169A1 (en) | 2002-07-15 | 2004-08-26 | Prasanna Malaviya | Porous extracellular matrix scaffold and method |
US7769427B2 (en) | 2002-07-16 | 2010-08-03 | Magnetics, Inc. | Apparatus and method for catheter guidance control and imaging |
US7054696B2 (en) | 2002-07-18 | 2006-05-30 | Black & Decker Inc. | System and method for data retrieval in AC power tools via an AC line cord |
KR20050037557A (ko) | 2002-07-22 | 2005-04-22 | 아스펜 에어로겔, 인코퍼레이티드 | 폴리이미드 에어로겔, 탄소 에어로겔 및 금속 카바이드에어로겔, 및 이들의 제조방법 |
IL150853A0 (en) | 2002-07-22 | 2003-02-12 | Niti Medical Technologies Ltd | Imppoved intussusception and anastomosis apparatus |
JP4046569B2 (ja) | 2002-07-30 | 2008-02-13 | オリンパス株式会社 | 外科用処置具 |
US8016881B2 (en) | 2002-07-31 | 2011-09-13 | Icon Interventional Systems, Inc. | Sutures and surgical staples for anastamoses, wound closures, and surgical closures |
JP4063166B2 (ja) | 2002-07-31 | 2008-03-19 | 日産自動車株式会社 | 電動機の制御装置 |
WO2004011037A2 (en) | 2002-07-31 | 2004-02-05 | Tyco Heathcare Group, Lp | Tool member cover and cover deployment device |
US6960894B2 (en) | 2002-08-01 | 2005-11-01 | Stryker Corporation | Cordless, powered surgical tool |
US7179223B2 (en) | 2002-08-06 | 2007-02-20 | Olympus Optical Co., Ltd. | Endoscope apparatus having an internal channel |
US6969395B2 (en) | 2002-08-07 | 2005-11-29 | Boston Scientific Scimed, Inc. | Electroactive polymer actuated medical devices |
JP4142369B2 (ja) | 2002-08-07 | 2008-09-03 | オリンパス株式会社 | 内視鏡処置システム |
US9271753B2 (en) | 2002-08-08 | 2016-03-01 | Atropos Limited | Surgical device |
US6720734B2 (en) | 2002-08-08 | 2004-04-13 | Datex-Ohmeda, Inc. | Oximeter with nulled op-amp current feedback |
AU2003257309A1 (en) | 2002-08-13 | 2004-02-25 | Microbotics Corporation | Microsurgical robot system |
US6863668B2 (en) | 2002-08-16 | 2005-03-08 | Edwards Lifesciences Corporation | Articulation mechanism for medical devices |
US20040044295A1 (en) | 2002-08-19 | 2004-03-04 | Orthosoft Inc. | Graphical user interface for computer-assisted surgery |
US7494460B2 (en) | 2002-08-21 | 2009-02-24 | Medtronic, Inc. | Methods and apparatus providing suction-assisted tissue engagement through a minimally invasive incision |
IL159830A0 (en) | 2002-08-21 | 2004-07-25 | Neothermia Corp | Minimally invasive intact recovery of tissue |
WO2004019803A1 (de) | 2002-08-28 | 2004-03-11 | Heribert Schmid | Zahnmedizinisches behandlungssystem |
US6784775B2 (en) | 2002-08-29 | 2004-08-31 | Ljm Associates, Inc. | Proximity safety switch suitable for use in a hair dryer for disabling operation |
US20040044364A1 (en) | 2002-08-29 | 2004-03-04 | Devries Robert | Tissue fasteners and related deployment systems and methods |
US6981978B2 (en) | 2002-08-30 | 2006-01-03 | Satiety, Inc. | Methods and devices for maintaining a space occupying device in a relatively fixed location within a stomach |
US7174636B2 (en) | 2002-09-04 | 2007-02-13 | Scimed Life Systems, Inc. | Method of making an embolic filter |
DE10240719B4 (de) | 2002-09-04 | 2006-01-19 | Hilti Ag | Elektrohandwerkzeugmaschine mit Sanftanlauf |
US20040049121A1 (en) | 2002-09-06 | 2004-03-11 | Uri Yaron | Positioning system for neurological procedures in the brain |
WO2004021868A2 (en) | 2002-09-06 | 2004-03-18 | C.R. Bard, Inc. | External endoscopic accessory control system |
AU2003270549A1 (en) | 2002-09-09 | 2004-03-29 | Brian Kelleher | Device and method for endoluminal therapy |
US6925849B2 (en) | 2002-09-10 | 2005-08-09 | Acco Brands, Inc. | Stapler anvil |
US8298161B2 (en) | 2002-09-12 | 2012-10-30 | Intuitive Surgical Operations, Inc. | Shape-transferring cannula system and method of use |
US6895176B2 (en) | 2002-09-12 | 2005-05-17 | General Electric Company | Method and apparatus for controlling electronically commutated motor operating characteristics |
US7096972B2 (en) | 2002-09-17 | 2006-08-29 | Orozco Jr Efrem | Hammer drill attachment |
KR100450086B1 (ko) | 2002-09-18 | 2004-09-30 | 삼성테크윈 주식회사 | 전지수납수단 |
JP3680050B2 (ja) | 2002-09-18 | 2005-08-10 | 株式会社東芝 | 医療用マニピュレータ及びその制御方法 |
GB0221707D0 (en) | 2002-09-18 | 2002-10-30 | Gyrus Medical Ltd | Electrical system |
US20040059362A1 (en) | 2002-09-20 | 2004-03-25 | Knodel Bryan D. | Method of performing surgery using surgical device with expandable member |
US8454628B2 (en) | 2002-09-20 | 2013-06-04 | Syntheon, Llc | Surgical fastener aligning instrument particularly for transoral treatment of gastroesophageal reflux disease |
US7033378B2 (en) | 2002-09-20 | 2006-04-25 | Id, Llc | Surgical fastener, particularly for the endoluminal treatment of gastroesophageal reflux disease (GERD) |
US6814154B2 (en) | 2002-09-23 | 2004-11-09 | Wen San Chou | Power tool having automatically selective driving direction |
US7256695B2 (en) | 2002-09-23 | 2007-08-14 | Microstrain, Inc. | Remotely powered and remotely interrogated wireless digital sensor telemetry system |
WO2004028402A2 (en) | 2002-09-26 | 2004-04-08 | Bioaccess, Inc. | Orthopedic medical device with unitary components |
WO2004032783A1 (de) | 2002-09-27 | 2004-04-22 | Aesculap Ag & Co. Kg | Instrumentenset für eine chirurgische operation |
WO2006047598A1 (en) | 2002-09-27 | 2006-05-04 | Surgifile, Inc. | Surgical file system |
JP2006500986A (ja) | 2002-09-30 | 2006-01-12 | サイトライン テクノロジーズ リミテッド | ピストンにより駆動される内視鏡ツール |
US7326203B2 (en) | 2002-09-30 | 2008-02-05 | Depuy Acromed, Inc. | Device for advancing a functional element through tissue |
US7087054B2 (en) | 2002-10-01 | 2006-08-08 | Surgrx, Inc. | Electrosurgical instrument and method of use |
JP3912251B2 (ja) | 2002-10-02 | 2007-05-09 | 株式会社日立製作所 | マニピュレータ |
JP4049217B2 (ja) | 2002-10-02 | 2008-02-20 | イーメックス株式会社 | 導電性高分子成形品及び積層体を用いた装置 |
US20040068224A1 (en) | 2002-10-02 | 2004-04-08 | Couvillon Lucien Alfred | Electroactive polymer actuated medication infusion pumps |
US20040068161A1 (en) | 2002-10-02 | 2004-04-08 | Couvillon Lucien Alfred | Thrombolysis catheter |
US6836611B2 (en) | 2002-10-03 | 2004-12-28 | J. W. Speaker Corporation | Light guide and lateral illuminator |
ES2379348T3 (es) | 2002-10-04 | 2012-04-25 | Tyco Healthcare Group Lp | Dispositivo de grapado quirúrgico motorizado neumáticamente |
US7083626B2 (en) | 2002-10-04 | 2006-08-01 | Applied Medical Resources Corporation | Surgical access device with pendent valve |
US7276068B2 (en) | 2002-10-04 | 2007-10-02 | Sherwood Services Ag | Vessel sealing instrument with electrical cutting mechanism |
AU2012268848B2 (en) | 2002-10-04 | 2016-01-28 | Covidien Lp | Surgical stapler with universal articulation and tissue pre-clamp |
DE60322450D1 (de) | 2002-10-04 | 2008-09-04 | Tyco Healthcare | Chirurgisches Klammergerät mit einer Gelenkkupplung und einer Klemmeinrichtung |
US7135027B2 (en) | 2002-10-04 | 2006-11-14 | Baxter International, Inc. | Devices and methods for mixing and extruding medically useful compositions |
DE60327227D1 (de) | 2002-10-04 | 2009-05-28 | Tyco Healthcare | Chirurgische klammersetzvorrichtung |
ES2337248T3 (es) | 2002-10-04 | 2010-04-22 | Tyco Healthcare Group Lp | Conjunto de herramienta para un dispositivo de grapado quirurgico. |
ES2289334T3 (es) | 2002-10-04 | 2008-02-01 | Tyco Healthcare Group Lp | Conjunto de herramienta para dispositivo de grapado quirurgico. |
US20040070369A1 (en) | 2002-10-11 | 2004-04-15 | Makita Corporation | Adapters for battery chargers |
US7041088B2 (en) | 2002-10-11 | 2006-05-09 | Ethicon, Inc. | Medical devices having durable and lubricious polymeric coating |
US6958035B2 (en) | 2002-10-15 | 2005-10-25 | Dusa Pharmaceuticals, Inc | Medical device sheath apparatus and method of making and using same |
US7023159B2 (en) | 2002-10-18 | 2006-04-04 | Black & Decker Inc. | Method and device for braking a motor |
US20040092992A1 (en) | 2002-10-23 | 2004-05-13 | Kenneth Adams | Disposable battery powered rotary tissue cutting instruments and methods therefor |
US8100872B2 (en) | 2002-10-23 | 2012-01-24 | Tyco Healthcare Group Lp | Medical dressing containing antimicrobial agent |
AU2003287204B2 (en) | 2002-10-28 | 2008-12-11 | Covidien Lp | Fast curing compositions |
JP4086621B2 (ja) | 2002-10-28 | 2008-05-14 | 株式会社トップ | 外科用器具のハンドル構造 |
US6923093B2 (en) | 2002-10-29 | 2005-08-02 | Rizwan Ullah | Tool drive system |
US7083620B2 (en) | 2002-10-30 | 2006-08-01 | Medtronic, Inc. | Electrosurgical hemostat |
US20040085180A1 (en) | 2002-10-30 | 2004-05-06 | Cyntec Co., Ltd. | Current sensor, its production substrate, and its production process |
US7037344B2 (en) | 2002-11-01 | 2006-05-02 | Valentx, Inc. | Apparatus and methods for treatment of morbid obesity |
US20090149871A9 (en) | 2002-11-01 | 2009-06-11 | Jonathan Kagan | Devices and methods for treating morbid obesity |
US8142515B2 (en) | 2002-11-04 | 2012-03-27 | Sofradim Production | Prosthesis for reinforcement of tissue structures |
US20040218451A1 (en) | 2002-11-05 | 2004-11-04 | Said Joe P. | Accessible user interface and navigation system and method |
US6884392B2 (en) | 2002-11-12 | 2005-04-26 | Minntech Corporation | Apparatus and method for steam reprocessing flexible endoscopes |
US6951562B2 (en) | 2002-11-13 | 2005-10-04 | Ralph Fritz Zwirnmann | Adjustable length tap and method for drilling and tapping a bore in bone |
US20040138558A1 (en) | 2002-11-14 | 2004-07-15 | Dunki-Jacobs Robert J | Methods and devices for detecting tissue cells |
US20050256452A1 (en) | 2002-11-15 | 2005-11-17 | Demarchi Thomas | Steerable vascular sheath |
DE10253572A1 (de) | 2002-11-15 | 2004-07-29 | Vega Grieshaber Kg | Drahtlose Kommunikation |
US7211092B2 (en) | 2002-11-19 | 2007-05-01 | Pilling Weck Incorporated | Automated-feed surgical clip applier and related methods |
CN1486667A (zh) | 2002-11-22 | 2004-04-07 | 带有一次性鞘套的内窥镜系统 | |
US7896897B2 (en) | 2002-11-22 | 2011-03-01 | Tyco Healthcare Group Lp | Sheath introduction apparatus and method |
DE10257760A1 (de) | 2002-11-26 | 2004-06-17 | Stefan Koscher | Chirurgisches Instrument |
US20040101822A1 (en) | 2002-11-26 | 2004-05-27 | Ulrich Wiesner | Fluorescent silica-based nanoparticles |
US20040102783A1 (en) | 2002-11-27 | 2004-05-27 | Sutterlin Chester E. | Powered Kerrison-like Rongeur system |
US6801009B2 (en) | 2002-11-27 | 2004-10-05 | Siemens Vdo Automotive Inc. | Current limitation process of brush and brushless DC motors during severe voltage changes |
WO2004050971A2 (en) | 2002-11-29 | 2004-06-17 | Liddicoat John R | Apparatus and method for manipulating tissue |
EP1572259A2 (en) | 2002-12-05 | 2005-09-14 | Cardio Incorporated | Layered bioresorbable implant |
US7386365B2 (en) | 2004-05-04 | 2008-06-10 | Intuitive Surgical, Inc. | Tool grip calibration for robotic surgery |
KR100486596B1 (ko) | 2002-12-06 | 2005-05-03 | 엘지전자 주식회사 | 왕복동식 압축기의 운전장치 및 제어방법 |
JP3686947B2 (ja) | 2002-12-09 | 2005-08-24 | 国立大学法人 東京大学 | 能動鉗子用高剛性鉗子先端部構体およびそれを具える能動鉗子 |
US8712549B2 (en) | 2002-12-11 | 2014-04-29 | Proteus Digital Health, Inc. | Method and system for monitoring and treating hemodynamic parameters |
CA2509622C (en) | 2002-12-16 | 2012-02-21 | Gunze Limited | Medical film comprising gelatin and reinforcing material |
CA2507967A1 (en) | 2002-12-17 | 2004-07-15 | Applied Medical Resources Corporation | Surgical staple-clip and applier |
US7119534B2 (en) | 2002-12-18 | 2006-10-10 | Koninklijke Philips Electronics N.V. | Magnetic position sensor |
US20040122419A1 (en) | 2002-12-18 | 2004-06-24 | Ceramoptec Industries, Inc. | Medical device recognition system with write-back feature |
US20040147909A1 (en) | 2002-12-20 | 2004-07-29 | Gyrus Ent L.L.C. | Surgical instrument |
US7682686B2 (en) | 2002-12-20 | 2010-03-23 | The Procter & Gamble Company | Tufted fibrous web |
US7507459B2 (en) | 2002-12-20 | 2009-03-24 | The Procter & Gamble Company | Compression resistant nonwovens |
US7343920B2 (en) | 2002-12-20 | 2008-03-18 | Toby E Bruce | Connective tissue repair system |
US7348763B1 (en) | 2002-12-20 | 2008-03-25 | Linvatec Corporation | Method for utilizing temperature to determine a battery state |
US7249267B2 (en) | 2002-12-21 | 2007-07-24 | Power-One, Inc. | Method and system for communicating filter compensation coefficients for a digital power control system |
US20040119185A1 (en) | 2002-12-23 | 2004-06-24 | Chen Ching Hsi | Method for manufacturing opened-cell plastic foams |
US6863924B2 (en) | 2002-12-23 | 2005-03-08 | Kimberly-Clark Worldwide, Inc. | Method of making an absorbent composite |
GB0230055D0 (en) | 2002-12-23 | 2003-01-29 | Gyrus Medical Ltd | Electrosurgical method and apparatus |
US6931830B2 (en) | 2002-12-23 | 2005-08-23 | Chase Liao | Method of forming a wire package |
US7131445B2 (en) | 2002-12-23 | 2006-11-07 | Gyrus Medical Limited | Electrosurgical method and apparatus |
US20040186349A1 (en) | 2002-12-24 | 2004-09-23 | Usgi Medical Corp. | Apparatus and methods for achieving endoluminal access |
JP4160381B2 (ja) | 2002-12-27 | 2008-10-01 | ローム株式会社 | 音声出力装置を有する電子装置 |
JP2004208922A (ja) | 2002-12-27 | 2004-07-29 | Olympus Corp | 医療装置及び医療用マニピュレータ並びに医療装置の制御方法 |
US7455687B2 (en) | 2002-12-30 | 2008-11-25 | Advanced Cardiovascular Systems, Inc. | Polymer link hybrid stent |
US7914561B2 (en) | 2002-12-31 | 2011-03-29 | Depuy Spine, Inc. | Resilient bone plate and screw system allowing bi-directional assembly |
JP2004209042A (ja) | 2003-01-06 | 2004-07-29 | Olympus Corp | 超音波処置装置 |
US7195627B2 (en) | 2003-01-09 | 2007-03-27 | Gyrus Medical Limited | Electrosurgical generator |
GB0426648D0 (en) | 2004-12-03 | 2005-01-05 | Gyrus Medical Ltd | An electrosurgical generator |
WO2004062516A1 (en) | 2003-01-09 | 2004-07-29 | Gyrus Medical Limited | An electrosurgical generator |
US7287682B1 (en) | 2003-01-20 | 2007-10-30 | Hazem Ezzat | Surgical device and method |
US7028570B2 (en) | 2003-01-21 | 2006-04-18 | Honda Motor Co., Ltd. | Transmission |
US20040143297A1 (en) | 2003-01-21 | 2004-07-22 | Maynard Ramsey | Advanced automatic external defibrillator powered by alternative and optionally multiple electrical power sources and a new business method for single use AED distribution and refurbishment |
US6960220B2 (en) | 2003-01-22 | 2005-11-01 | Cardia, Inc. | Hoop design for occlusion device |
US6821284B2 (en) | 2003-01-22 | 2004-11-23 | Novare Surgical Systems, Inc. | Surgical clamp inserts with micro-tractive surfaces |
US6852122B2 (en) | 2003-01-23 | 2005-02-08 | Cordis Corporation | Coated endovascular AAA device |
US20040225186A1 (en) | 2003-01-29 | 2004-11-11 | Horne Guy E. | Composite flexible endoscope insertion shaft with tubular substructure |
US7341591B2 (en) | 2003-01-30 | 2008-03-11 | Depuy Spine, Inc. | Anterior buttress staple |
JP2004229976A (ja) | 2003-01-31 | 2004-08-19 | Nippon Zeon Co Ltd | 鉗子型電気処置器具 |
EP1442720A1 (en) | 2003-01-31 | 2004-08-04 | Tre Esse Progettazione Biomedica S.r.l | Apparatus for the maneuvering of flexible catheters in the human cardiovascular system |
DE602004032279D1 (de) | 2003-02-05 | 2011-06-01 | Makita Corp | Kraftgetriebenes Werkzeug mit Drehmomentbegrenzung unter ausschliesslicher Benutzung eines Drehwinkelsensors |
US20090318557A1 (en) | 2003-12-22 | 2009-12-24 | Stockel Richard F | Dermatological compositions |
US7067038B2 (en) | 2003-02-06 | 2006-06-27 | The Procter & Gamble Company | Process for making unitary fibrous structure comprising randomly distributed cellulosic fibers and non-randomly distributed synthetic fibers |
US7045026B2 (en) | 2003-02-06 | 2006-05-16 | The Procter & Gamble Company | Process for making a fibrous structure comprising cellulosic and synthetic fibers |
KR101052148B1 (ko) | 2003-02-07 | 2011-07-26 | 막스 가부시키가이샤 | 스테이플용 리필 |
DE602004015729D1 (de) | 2003-02-11 | 2008-09-25 | Olympus Corp | Überrohr |
US7169146B2 (en) | 2003-02-14 | 2007-01-30 | Surgrx, Inc. | Electrosurgical probe and method of use |
US7133601B2 (en) | 2003-02-18 | 2006-11-07 | Black & Decker Inc. | Amperage control for protection of battery over current in power tools |
US20040167572A1 (en) | 2003-02-20 | 2004-08-26 | Roth Noah M. | Coated medical devices |
EP1949867B1 (en) | 2003-02-20 | 2013-07-31 | Covidien AG | Motion detector for controlling electrosurgical output |
US7083615B2 (en) | 2003-02-24 | 2006-08-01 | Intuitive Surgical Inc | Surgical tool having electrocautery energy supply conductor with inhibited current leakage |
EP1596745B1 (en) | 2003-02-25 | 2016-02-17 | Tria Beauty, Inc. | Self-contained, diode-laser-based dermatologic treatment apparatus |
EP1603462B1 (en) | 2003-02-25 | 2015-07-15 | Devicor Medical Products, Inc. | Biopsy device with variable speed cutter advance |
EP2604216B1 (en) | 2003-02-25 | 2018-08-22 | Tria Beauty, Inc. | Self-contained, diode-laser-based dermatologic treatment apparatus |
US7252641B2 (en) | 2003-02-25 | 2007-08-07 | Ethicon Endo-Surgery, Inc. | Method of operating a biopsy device |
JP4231707B2 (ja) | 2003-02-25 | 2009-03-04 | オリンパス株式会社 | カプセル型医療装置 |
US7476237B2 (en) | 2003-02-27 | 2009-01-13 | Olympus Corporation | Surgical instrument |
WO2004089576A1 (en) | 2003-03-04 | 2004-10-21 | Anderson Steven P | Hinged socket wrench speed handle |
JP4805814B2 (ja) | 2003-03-04 | 2011-11-02 | ノートン・ヘルスケアー リミテッド | 内部医薬リザーバの状態を表すディスプレイを有する医薬分与装置 |
AU2004216886B9 (en) | 2003-03-05 | 2010-02-25 | Gyrus Medical Limited | Electrosurgical generator and system |
US7368124B2 (en) | 2003-03-07 | 2008-05-06 | Depuy Mitek, Inc. | Method of preparation of bioabsorbable porous reinforced tissue implants and implants thereof |
US8197837B2 (en) | 2003-03-07 | 2012-06-12 | Depuy Mitek, Inc. | Method of preparation of bioabsorbable porous reinforced tissue implants and implants thereof |
IL154814A0 (en) | 2003-03-09 | 2003-10-31 | Edward G Shifrin | Sternal closure system, method and apparatus therefor |
US7126879B2 (en) | 2003-03-10 | 2006-10-24 | Healthtrac Systems, Inc. | Medication package and method |
FR2852226B1 (fr) | 2003-03-10 | 2005-07-15 | Univ Grenoble 1 | Instrument medical localise a ecran orientable |
US20060064086A1 (en) | 2003-03-13 | 2006-03-23 | Darren Odom | Bipolar forceps with multiple electrode array end effector assembly |
EP3222218A1 (en) | 2003-03-17 | 2017-09-27 | Covidien LP | Endoscopic tissue removal apparatus and method |
CA2433205A1 (en) | 2003-03-18 | 2004-09-18 | James Alexander Keenan | Drug delivery, bodily fluid drainage, and biopsy device with enhanced ultrasonic visibility |
US6928902B1 (en) | 2003-03-20 | 2005-08-16 | Luis P. Eyssallenne | Air powered wrench device with pivotable head and method of using |
US20060041188A1 (en) | 2003-03-25 | 2006-02-23 | Dirusso Carlo A | Flexible endoscope |
US20040193189A1 (en) | 2003-03-25 | 2004-09-30 | Kortenbach Juergen A. | Passive surgical clip |
US7559449B2 (en) | 2003-03-26 | 2009-07-14 | Tyco Healthcare Group Lp | Energy stored in spring with controlled release |
DE10314072B4 (de) | 2003-03-28 | 2009-01-15 | Aesculap Ag | Chirurgisches Instrument |
US7014640B2 (en) | 2003-03-28 | 2006-03-21 | Depuy Products, Inc. | Bone graft delivery device and method of use |
WO2005018926A2 (en) | 2003-03-28 | 2005-03-03 | Webcore Technologies, Inc. | Fiber reinforced composite cores and panels |
US7572298B2 (en) | 2003-03-28 | 2009-08-11 | Ethicon, Inc. | Implantable medical devices and methods for making same |
US7295893B2 (en) | 2003-03-31 | 2007-11-13 | Kabushiki Kaisha Toshiba | Manipulator and its control apparatus and method |
JP3752494B2 (ja) | 2003-03-31 | 2006-03-08 | 株式会社東芝 | マスタスレーブマニピュレータ、その制御装置及び制御方法 |
JP3944108B2 (ja) | 2003-03-31 | 2007-07-11 | 株式会社東芝 | 医療用マニピュレータの動力伝達機構およびマニピュレータ |
US7527632B2 (en) | 2003-03-31 | 2009-05-05 | Cordis Corporation | Modified delivery device for coated medical devices |
US7591783B2 (en) | 2003-04-01 | 2009-09-22 | Boston Scientific Scimed, Inc. | Articulation joint for video endoscope |
DE10314827B3 (de) | 2003-04-01 | 2004-04-22 | Tuebingen Scientific Surgical Products Gmbh | Chirurgisches Instrument |
DE10330604A1 (de) | 2003-04-01 | 2004-10-28 | Tuebingen Scientific Surgical Products Gmbh | Chirurgisches Instrument |
DE10324844A1 (de) | 2003-04-01 | 2004-12-23 | Tuebingen Scientific Surgical Products Gmbh | Chirurgisches Instrument mit Instrumentengriff und Nullpunkteinstellung |
US20040197375A1 (en) | 2003-04-02 | 2004-10-07 | Alireza Rezania | Composite scaffolds seeded with mammalian cells |
US20040199181A1 (en) | 2003-04-02 | 2004-10-07 | Knodel Bryan D. | Surgical device for anastomosis |
US20040243163A1 (en) | 2003-04-02 | 2004-12-02 | Gyrus Ent L.L.C | Surgical instrument |
US20070010702A1 (en) | 2003-04-08 | 2007-01-11 | Xingwu Wang | Medical device with low magnetic susceptibility |
US20040204735A1 (en) | 2003-04-11 | 2004-10-14 | Shiroff Jason Alan | Subcutaneous dissection tool incorporating pharmacological agent delivery |
US20040230230A1 (en) | 2003-04-11 | 2004-11-18 | Lindstrom Curtis Charles | Methods and systems involving subcutaneous electrode positioning relative to a heart |
US6754959B1 (en) | 2003-04-15 | 2004-06-29 | Guiette, Iii William E. | Hand-held, cartridge-actuated cutter |
US20050116673A1 (en) | 2003-04-18 | 2005-06-02 | Rensselaer Polytechnic Institute | Methods and systems for controlling the operation of a tool |
CN100515381C (zh) | 2003-04-23 | 2009-07-22 | 株式会社大塚制药工厂 | 填充了药液的塑料安瓿及其制造方法 |
JP4939054B2 (ja) | 2003-04-23 | 2012-05-23 | 株式会社大塚製薬工場 | 薬液充填プラスチックアンプルおよびその製造方法 |
EP1619996B1 (en) | 2003-04-25 | 2012-12-05 | Applied Medical Resources Corporation | Steerable kink-resistant sheath |
US9597078B2 (en) | 2003-04-29 | 2017-03-21 | Covidien Lp | Surgical stapling device with dissecting tip |
US8714429B2 (en) | 2003-04-29 | 2014-05-06 | Covidien Lp | Dissecting tip for surgical stapler |
TWI231076B (en) | 2003-04-29 | 2005-04-11 | Univ Nat Chiao Tung | Evanescent-field optical amplifiers and lasers |
US20040243151A1 (en) | 2003-04-29 | 2004-12-02 | Demmy Todd L. | Surgical stapling device with dissecting tip |
RU32984U1 (ru) | 2003-04-30 | 2003-10-10 | Институт экспериментальной ветеринарии Сибири и Дальнего Востока СО РАСХН | Кутиметр |
US7160299B2 (en) | 2003-05-01 | 2007-01-09 | Sherwood Services Ag | Method of fusing biomaterials with radiofrequency energy |
US8128624B2 (en) | 2003-05-01 | 2012-03-06 | Covidien Ag | Electrosurgical instrument that directs energy delivery and protects adjacent tissue |
EP1617778A2 (en) | 2003-05-01 | 2006-01-25 | Sherwood Services AG | Electrosurgical instrument which reduces thermal damage to adjacent tissue |
ATE359101T1 (de) | 2003-05-06 | 2007-05-15 | Enpath Medical Inc | Drehbarer leitungseinführer |
JP4391762B2 (ja) | 2003-05-08 | 2009-12-24 | オリンパス株式会社 | 外科用処置具 |
WO2004105621A1 (en) | 2003-05-09 | 2004-12-09 | Tyco Healthcare Group, Lp | Anastomotic staple with fluid dispensing capillary |
US6722550B1 (en) | 2003-05-09 | 2004-04-20 | Illinois Tool Works Inc. | Fuel level indicator for combustion tools |
US7404449B2 (en) | 2003-05-12 | 2008-07-29 | Bermingham Construction Limited | Pile driving control apparatus and pile driving system |
US7025775B2 (en) | 2003-05-15 | 2006-04-11 | Applied Medical Resources Corporation | Surgical instrument with removable shaft apparatus and method |
US7615003B2 (en) | 2005-05-13 | 2009-11-10 | Ethicon Endo-Surgery, Inc. | Track for medical devices |
US7615005B2 (en) | 2003-05-16 | 2009-11-10 | Ethicon Endo-Surgery, Inc. | Medical apparatus for use with an endoscope |
US7815565B2 (en) | 2003-05-16 | 2010-10-19 | Ethicon Endo-Surgery, Inc. | Endcap for use with an endoscope |
US7561637B2 (en) | 2003-05-19 | 2009-07-14 | Telefonaktiebolaget L M Ericsson (Publ) | Determination of a channel estimate of a transmission channel |
US7044352B2 (en) | 2003-05-20 | 2006-05-16 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having a single lockout mechanism for prevention of firing |
US7380696B2 (en) | 2003-05-20 | 2008-06-03 | Ethicon Endo-Surgery, Inc. | Articulating surgical stapling instrument incorporating a two-piece E-beam firing mechanism |
US9060770B2 (en) | 2003-05-20 | 2015-06-23 | Ethicon Endo-Surgery, Inc. | Robotically-driven surgical instrument with E-beam driver |
US6988649B2 (en) | 2003-05-20 | 2006-01-24 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having a spent cartridge lockout |
US20070010838A1 (en) | 2003-05-20 | 2007-01-11 | Shelton Frederick E Iv | Surgical stapling instrument having a firing lockout for an unclosed anvil |
US7143923B2 (en) | 2003-05-20 | 2006-12-05 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having a firing lockout for an unclosed anvil |
US6978921B2 (en) | 2003-05-20 | 2005-12-27 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument incorporating an E-beam firing mechanism |
US7380695B2 (en) | 2003-05-20 | 2008-06-03 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having a single lockout mechanism for prevention of firing |
US20070084897A1 (en) | 2003-05-20 | 2007-04-19 | Shelton Frederick E Iv | Articulating surgical stapling instrument incorporating a two-piece e-beam firing mechanism |
US7140528B2 (en) | 2003-05-20 | 2006-11-28 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having an electroactive polymer actuated single lockout mechanism for prevention of firing |
US7286850B2 (en) | 2003-05-20 | 2007-10-23 | Agere Systems Inc. | Wireless communication module system and method for performing a wireless communication |
USD502994S1 (en) | 2003-05-21 | 2005-03-15 | Blake, Iii Joseph W | Repeating multi-clip applier |
US8100824B2 (en) | 2003-05-23 | 2012-01-24 | Intuitive Surgical Operations, Inc. | Tool with articulation lock |
US7090637B2 (en) | 2003-05-23 | 2006-08-15 | Novare Surgical Systems, Inc. | Articulating mechanism for remote manipulation of a surgical or diagnostic tool |
US7410483B2 (en) | 2003-05-23 | 2008-08-12 | Novare Surgical Systems, Inc. | Hand-actuated device for remote manipulation of a grasping tool |
NL1023532C2 (nl) | 2003-05-26 | 2004-11-29 | Innosource B V | Toerentalregeling voor een borstelloze gelijkstroommotor. |
US7413563B2 (en) | 2003-05-27 | 2008-08-19 | Cardia, Inc. | Flexible medical device |
US6965183B2 (en) | 2003-05-27 | 2005-11-15 | Pratt & Whitney Canada Corp. | Architecture for electric machine |
US7583063B2 (en) | 2003-05-27 | 2009-09-01 | Pratt & Whitney Canada Corp. | Architecture for electric machine |
US6921397B2 (en) | 2003-05-27 | 2005-07-26 | Cardia, Inc. | Flexible delivery device |
DE10325393B3 (de) | 2003-05-28 | 2005-01-05 | Karl Storz Gmbh & Co. Kg | Retraktor |
WO2004105603A1 (en) | 2003-05-28 | 2004-12-09 | Koninklijke Philips Electronics N.V. | Device including moveable support for examining persons |
JP3521910B1 (ja) | 2003-05-29 | 2004-04-26 | 清輝 司馬 | 内視鏡の外部鉗子チャンネル装置 |
US7346344B2 (en) | 2003-05-30 | 2008-03-18 | Aol Llc, A Delaware Limited Liability Company | Identity-based wireless device configuration |
US6796921B1 (en) | 2003-05-30 | 2004-09-28 | One World Technologies Limited | Three speed rotary power tool |
US20040247415A1 (en) | 2003-06-04 | 2004-12-09 | Mangone Peter G. | Slotted fastener and fastening method |
US7850621B2 (en) | 2003-06-06 | 2010-12-14 | Pelikan Technologies, Inc. | Method and apparatus for body fluid sampling and analyte sensing |
US8007511B2 (en) | 2003-06-06 | 2011-08-30 | Hansen Medical, Inc. | Surgical instrument design |
EP1515112B1 (en) | 2003-06-09 | 2013-03-27 | Mitutoyo Corporation | Measuring instrument |
WO2004110553A1 (en) | 2003-06-09 | 2004-12-23 | The University Of Cincinnati | Actuation mechanisms for a heart actuation device |
EP1635702A4 (en) | 2003-06-11 | 2009-01-21 | Pelikan Technologies Inc | METHOD AND APPARATUS FOR SAMPLING BODY LIQUID AND ANALYTE DETECTION |
DE10326677A1 (de) | 2003-06-13 | 2005-01-20 | Zf Friedrichshafen Ag | Planetengetriebe |
US7597693B2 (en) | 2003-06-13 | 2009-10-06 | Covidien Ag | Vessel sealer and divider for use with small trocars and cannulas |
US7156846B2 (en) | 2003-06-13 | 2007-01-02 | Sherwood Services Ag | Vessel sealer and divider for use with small trocars and cannulas |
US7905902B2 (en) | 2003-06-16 | 2011-03-15 | Ethicon Endo-Surgery, Inc. | Surgical implant with preferential corrosion zone |
US20060052825A1 (en) | 2003-06-16 | 2006-03-09 | Ransick Mark H | Surgical implant alloy |
US20040254590A1 (en) | 2003-06-16 | 2004-12-16 | Hoffman Gary H. | Method and instrument for the performance of stapled anastamoses |
US20060052824A1 (en) | 2003-06-16 | 2006-03-09 | Ransick Mark H | Surgical implant |
US7862546B2 (en) | 2003-06-16 | 2011-01-04 | Ethicon Endo-Surgery, Inc. | Subcutaneous self attaching injection port with integral moveable retention members |
EP1635713B1 (en) | 2003-06-17 | 2012-04-11 | Tyco Healthcare Group LP | Surgical stapling device |
US7038421B2 (en) | 2003-06-17 | 2006-05-02 | International Business Machines Corporation | Method and system for multiple servo motor control |
AU2012200594B2 (en) | 2003-06-17 | 2014-03-27 | Covidien Lp | Surgical stapling device |
US20040260315A1 (en) | 2003-06-17 | 2004-12-23 | Dell Jeffrey R. | Expandable tissue support member and method of forming the support member |
US7494039B2 (en) | 2003-06-17 | 2009-02-24 | Tyco Healthcare Group Lp | Surgical stapling device |
WO2004112652A2 (en) | 2003-06-20 | 2004-12-29 | Medtronic Vascular, Inc. | Device, system, and method for contracting tissue in a mammalian body |
JP4665432B2 (ja) | 2003-06-20 | 2011-04-06 | 日立工機株式会社 | 燃焼式動力工具 |
AU2004249287B2 (en) | 2003-06-20 | 2009-12-24 | Covidien Lp | Surgical stapling device |
US20060154546A1 (en) | 2003-06-25 | 2006-07-13 | Andover Coated Products, Inc. | Air permeable pressure-sensitive adhesive tapes |
GB0314863D0 (en) | 2003-06-26 | 2003-07-30 | Univ Dundee | Medical apparatus and method |
SE526852C2 (sv) | 2003-06-26 | 2005-11-08 | Kongsberg Automotive Ab | Metod och arrangemang för styrning av likströmsmotor |
DE10328934B4 (de) | 2003-06-27 | 2005-06-02 | Christoph Zepf | Motorischer Antrieb für chirurgische Instrumente |
JP2005013573A (ja) | 2003-06-27 | 2005-01-20 | Olympus Corp | 電子内視鏡システム |
DE102004063606B4 (de) | 2004-02-20 | 2015-10-22 | Carl Zeiss Meditec Ag | Haltevorrichtung, insbesondere für ein medizinisch-optisches Instrument, mit einer Einrichtung zur aktiven Schwingungsdämpfung |
US9002518B2 (en) | 2003-06-30 | 2015-04-07 | Intuitive Surgical Operations, Inc. | Maximum torque driving of robotic surgical tools in robotic surgical systems |
US8226715B2 (en) | 2003-06-30 | 2012-07-24 | Depuy Mitek, Inc. | Scaffold for connective tissue repair |
US6998816B2 (en) | 2003-06-30 | 2006-02-14 | Sony Electronics Inc. | System and method for reducing external battery capacity requirement for a wireless card |
US20050010213A1 (en) | 2003-07-08 | 2005-01-13 | Depuy Spine, Inc. | Attachment mechanism for surgical instrument |
US7126303B2 (en) | 2003-07-08 | 2006-10-24 | Board Of Regents Of The University Of Nebraska | Robot for surgical applications |
US7042184B2 (en) | 2003-07-08 | 2006-05-09 | Board Of Regents Of The University Of Nebraska | Microrobot for surgical applications |
US7147648B2 (en) | 2003-07-08 | 2006-12-12 | Board Of Supervisors Of Louisiana State University And Agricultural And Mechanical College | Device for cutting and holding a cornea during a transplant procedure |
US6981628B2 (en) | 2003-07-09 | 2006-01-03 | Ethicon Endo-Surgery, Inc. | Surgical instrument with a lateral-moving articulation control |
US6786382B1 (en) | 2003-07-09 | 2004-09-07 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument incorporating an articulation joint for a firing bar track |
US6964363B2 (en) | 2003-07-09 | 2005-11-15 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having articulation joint support plates for supporting a firing bar |
US7111769B2 (en) | 2003-07-09 | 2006-09-26 | Ethicon Endo-Surgery, Inc. | Surgical instrument incorporating an articulation mechanism having rotation about the longitudinal axis |
US7213736B2 (en) | 2003-07-09 | 2007-05-08 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument incorporating an electroactive polymer actuated firing bar track through an articulation joint |
US7055731B2 (en) | 2003-07-09 | 2006-06-06 | Ethicon Endo-Surgery Inc. | Surgical stapling instrument incorporating a tapered firing bar for increased flexibility around the articulation joint |
US7066879B2 (en) | 2003-07-15 | 2006-06-27 | The Trustees Of Columbia University In The City Of New York | Insertable device and system for minimal access procedure |
EP1498077B8 (de) | 2003-07-15 | 2005-12-28 | University Of Dundee | Medizinisches Greif- und/oder Schneidinstrument |
US7931695B2 (en) | 2003-07-15 | 2011-04-26 | Kensey Nash Corporation | Compliant osteosynthesis fixation plate |
US6959851B2 (en) | 2003-07-16 | 2005-11-01 | Tyco Healthcare Group Lp | Surgical stapling device with tissue tensioner |
KR100582697B1 (ko) | 2003-07-16 | 2006-05-23 | 동경 엘렉트론 주식회사 | 피처리 기판의 반송 장치 및 회전 위치를 검출하는 기능을갖는 구동 기구 |
US7183737B2 (en) | 2003-07-17 | 2007-02-27 | Asmo Co., Ltd. | Motor control device and motor control method |
ES2350912T3 (es) | 2003-07-17 | 2011-01-28 | Gunze Limited | Material de refuerzo de sutura para un dispositivo de sutura automático. |
US7354398B2 (en) | 2003-07-18 | 2008-04-08 | Pentax Corporation | Capsule-type device and capsule-type device controlling system |
JP4124041B2 (ja) | 2003-07-18 | 2008-07-23 | 日立工機株式会社 | 充電機能付き直流電源装置 |
US7712182B2 (en) | 2003-07-25 | 2010-05-11 | Milwaukee Electric Tool Corporation | Air flow-producing device, such as a vacuum cleaner or a blower |
US6949196B2 (en) | 2003-07-28 | 2005-09-27 | Fkos, Llc | Methods and systems for improved dosing of a chemical treatment, such as chlorine dioxide, into a fluid stream, such as a wastewater stream |
US7121773B2 (en) | 2003-08-01 | 2006-10-17 | Nitto Kohki Co., Ltd. | Electric drill apparatus |
US20050033136A1 (en) | 2003-08-01 | 2005-02-10 | Assaf Govari | Catheter with electrode strip |
US20050032511A1 (en) | 2003-08-07 | 2005-02-10 | Cardiac Pacemakers, Inc. | Wireless firmware download to an external device |
JP4472395B2 (ja) | 2003-08-07 | 2010-06-02 | オリンパス株式会社 | 超音波手術システム |
FI120333B (fi) * | 2003-08-20 | 2009-09-30 | Bioretec Oy | Huokoinen lääketieteellinen väline ja menetelmä sen valmistamiseksi |
JP3853807B2 (ja) | 2003-08-28 | 2006-12-06 | 本田技研工業株式会社 | 音振解析装置及び音振解析方法並びに音振解析用のプログラムを記録したコンピュータ読み取り可能な記録媒体及び音振解析用のプログラム |
US7313430B2 (en) | 2003-08-28 | 2007-12-25 | Medtronic Navigation, Inc. | Method and apparatus for performing stereotactic surgery |
US7686201B2 (en) | 2003-09-01 | 2010-03-30 | Tyco Healthcare Group Lp | Circular stapler for hemorrhoid operations |
CA2439536A1 (en) | 2003-09-04 | 2005-03-04 | Jacek Krzyzanowski | Variations of biopsy jaw and clevis and method of manufacture |
JP4190983B2 (ja) | 2003-09-04 | 2008-12-03 | ジョンソン・エンド・ジョンソン株式会社 | ステープル装置 |
US7205959B2 (en) | 2003-09-09 | 2007-04-17 | Sony Ericsson Mobile Communications Ab | Multi-layered displays providing different focal lengths with optically shiftable viewing formats and terminals incorporating the same |
JP4722849B2 (ja) | 2003-09-12 | 2011-07-13 | マイルストーン サイアンティフィック インク | 圧力検知を使用した組織を同定した薬剤注入装置 |
AU2004281641B2 (en) | 2003-09-15 | 2010-06-17 | Apollo Endosurgery, Inc. | Implantable device fastening system and methods of use |
US20050058890A1 (en) | 2003-09-15 | 2005-03-17 | Kenneth Brazell | Removable battery pack for a portable electric power tool |
US20050059997A1 (en) * | 2003-09-17 | 2005-03-17 | Bauman Ann M. | Circular stapler buttress |
US7547312B2 (en) | 2003-09-17 | 2009-06-16 | Gore Enterprise Holdings, Inc. | Circular stapler buttress |
US20090325859A1 (en) | 2003-09-19 | 2009-12-31 | Northwestern University | Citric acid polymers |
JP4533695B2 (ja) | 2003-09-23 | 2010-09-01 | オリンパス株式会社 | 処置用内視鏡 |
US7434715B2 (en) | 2003-09-29 | 2008-10-14 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having multistroke firing with opening lockout |
US7000819B2 (en) | 2003-09-29 | 2006-02-21 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having multistroke firing incorporating a traction-biased ratcheting mechanism |
US7094202B2 (en) | 2003-09-29 | 2006-08-22 | Ethicon Endo-Surgery, Inc. | Method of operating an endoscopic device with one hand |
US7364061B2 (en) | 2003-09-29 | 2008-04-29 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument incorporating a multistroke firing position indicator and retraction mechanism |
DE20321118U1 (de) | 2003-09-29 | 2005-12-22 | Robert Bosch Gmbh | Akkuschrauber |
US7083075B2 (en) | 2003-09-29 | 2006-08-01 | Ethicon Endo-Surgery, Inc. | Multi-stroke mechanism with automatic end of stroke retraction |
US6905057B2 (en) | 2003-09-29 | 2005-06-14 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument incorporating a firing mechanism having a linked rack transmission |
US6959852B2 (en) | 2003-09-29 | 2005-11-01 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with multistroke firing incorporating an anti-backup mechanism |
US7303108B2 (en) | 2003-09-29 | 2007-12-04 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument incorporating a multi-stroke firing mechanism with a flexible rack |
JP4296894B2 (ja) | 2003-09-30 | 2009-07-15 | 東海ゴム工業株式会社 | 流体移送用チューブのブラケット |
US20050070929A1 (en) | 2003-09-30 | 2005-03-31 | Dalessandro David A. | Apparatus and method for attaching a surgical buttress to a stapling apparatus |
US20050075561A1 (en) | 2003-10-01 | 2005-04-07 | Lucent Medical Systems, Inc. | Method and apparatus for indicating an encountered obstacle during insertion of a medical device |
US7202576B1 (en) | 2003-10-03 | 2007-04-10 | American Power Conversion Corporation | Uninterruptible power supply systems and enclosures |
US7556647B2 (en) | 2003-10-08 | 2009-07-07 | Arbor Surgical Technologies, Inc. | Attachment device and methods of using the same |
US7097650B2 (en) | 2003-10-14 | 2006-08-29 | Satiety, Inc. | System for tissue approximation and fixation |
US7533906B2 (en) | 2003-10-14 | 2009-05-19 | Water Pik, Inc. | Rotatable and pivotable connector |
US7914543B2 (en) | 2003-10-14 | 2011-03-29 | Satiety, Inc. | Single fold device for tissue fixation |
US20060161050A1 (en) | 2003-10-15 | 2006-07-20 | John Butler | A surgical sealing device |
US7029435B2 (en) | 2003-10-16 | 2006-04-18 | Granit Medical Innovation, Llc | Endoscope having multiple working segments |
US20090090763A1 (en) | 2007-10-05 | 2009-04-09 | Tyco Healthcare Group Lp | Powered surgical stapling device |
USD509297S1 (en) | 2003-10-17 | 2005-09-06 | Tyco Healthcare Group, Lp | Surgical instrument |
EP2298181B1 (en) | 2003-10-17 | 2017-04-12 | Covidien LP | Tilt anvil assembly for a surgical stapling device |
US10022123B2 (en) | 2012-07-09 | 2018-07-17 | Covidien Lp | Surgical adapter assemblies for use between surgical handle assembly and surgical end effectors |
US7840253B2 (en) | 2003-10-17 | 2010-11-23 | Medtronic Navigation, Inc. | Method and apparatus for surgical navigation |
AU2004281832B2 (en) | 2003-10-17 | 2010-11-18 | Covidien Lp | Surgical stapling device with independent tip rotation |
US8806973B2 (en) | 2009-12-02 | 2014-08-19 | Covidien Lp | Adapters for use between surgical handle assembly and surgical end effector |
US8968276B2 (en) | 2007-09-21 | 2015-03-03 | Covidien Lp | Hand held surgical handle assembly, surgical adapters for use between surgical handle assembly and surgical end effectors, and methods of use |
US10041822B2 (en) | 2007-10-05 | 2018-08-07 | Covidien Lp | Methods to shorten calibration times for powered devices |
US7296722B2 (en) | 2003-10-17 | 2007-11-20 | Tyco Healthcare Group Lp | Surgical fastener applying apparatus with controlled beam deflection |
US9113880B2 (en) | 2007-10-05 | 2015-08-25 | Covidien Lp | Internal backbone structural chassis for a surgical device |
US10588629B2 (en) | 2009-11-20 | 2020-03-17 | Covidien Lp | Surgical console and hand-held surgical device |
US10105140B2 (en) | 2009-11-20 | 2018-10-23 | Covidien Lp | Surgical console and hand-held surgical device |
US9055943B2 (en) | 2007-09-21 | 2015-06-16 | Covidien Lp | Hand held surgical handle assembly, surgical adapters for use between surgical handle assembly and surgical end effectors, and methods of use |
USD509589S1 (en) | 2003-10-17 | 2005-09-13 | Tyco Healthcare Group, Lp | Handle for surgical instrument |
US20050090817A1 (en) | 2003-10-22 | 2005-04-28 | Scimed Life Systems, Inc. | Bendable endoscopic bipolar device |
AU2003284929B2 (en) | 2003-10-23 | 2010-07-22 | Covidien Ag | Redundant temperature monitoring in electrosurgical systems for safety mitigation |
US7556814B2 (en) | 2003-10-23 | 2009-07-07 | Karp Nelson M | Immunogenic compositions comprising UV-irradiated, psoralen-inactivated, desialated human immunodeficiency virus (HIV) devoid of CD55 and CD59 in the viral membrane |
US7190147B2 (en) | 2003-10-24 | 2007-03-13 | Eagle-Picher Technologies, Llc | Battery with complete discharge device |
WO2005039835A1 (en) | 2003-10-24 | 2005-05-06 | The University Of Western Ontario | Force reflective robotic control system and minimally invasive surgical device |
AU2004284018C1 (en) | 2003-10-28 | 2010-10-07 | Ibex Industries Limited | Powered hand tool |
US7842028B2 (en) | 2005-04-14 | 2010-11-30 | Cambridge Endoscopic Devices, Inc. | Surgical instrument guide device |
US7338513B2 (en) | 2003-10-30 | 2008-03-04 | Cambridge Endoscopic Devices, Inc. | Surgical instrument |
US7686826B2 (en) | 2003-10-30 | 2010-03-30 | Cambridge Endoscopic Devices, Inc. | Surgical instrument |
CN1925879B (zh) | 2003-10-30 | 2011-07-13 | 麦克内尔-Ppc股份有限公司 | 复合材料、其制备方法、以及含有该复合材料的化妆品和药物组合物 |
US7147650B2 (en) | 2003-10-30 | 2006-12-12 | Woojin Lee | Surgical instrument |
JP2005131164A (ja) | 2003-10-31 | 2005-05-26 | Olympus Corp | 内視鏡用の外付けチャンネル |
JP2005131163A (ja) | 2003-10-31 | 2005-05-26 | Olympus Corp | 内視鏡用の外付けチャンネル |
JP2005131212A (ja) | 2003-10-31 | 2005-05-26 | Olympus Corp | 内視鏡用の外付けチャンネル及び内視鏡装置 |
JP2005131173A (ja) | 2003-10-31 | 2005-05-26 | Olympus Corp | 内視鏡用外付けチャンネル |
JP2005131211A (ja) | 2003-10-31 | 2005-05-26 | Olympus Corp | 内視鏡用の外付けチャンネル |
US20050096683A1 (en) | 2003-11-01 | 2005-05-05 | Medtronic, Inc. | Using thinner laminations to reduce operating temperature in a high speed hand-held surgical power tool |
JP2005137423A (ja) | 2003-11-04 | 2005-06-02 | Olympus Corp | 内視鏡用の外付けチャンネルおよび外付けチャンネル用分岐部材 |
US7397364B2 (en) | 2003-11-11 | 2008-07-08 | Biosense Webster, Inc. | Digital wireless position sensor |
JP4614965B2 (ja) | 2003-11-12 | 2011-01-19 | アプライド メディカル リソーシーズ コーポレイション | オーバーモールド把持ジョー |
US20050108643A1 (en) | 2003-11-17 | 2005-05-19 | Nokia Corporation | Topographic presentation of media files in a media diary application |
DE10353846A1 (de) | 2003-11-18 | 2005-06-16 | Maquet Gmbh & Co. Kg | Verfahren zur Vorbereitung von für die Durchführung von medizinischen oder chirurgischen Eingriffen bestimmten Geräten |
WO2005050378A2 (en) | 2003-11-18 | 2005-06-02 | Burke Robert M Ii | System for regulating access to and distributing content in a network |
US6899593B1 (en) | 2003-11-18 | 2005-05-31 | Dieter Moeller | Grinding apparatus for blending defects on turbine blades and associated method of use |
JP4594612B2 (ja) | 2003-11-27 | 2010-12-08 | オリンパス株式会社 | 挿入補助具 |
GB0327904D0 (en) | 2003-12-02 | 2004-01-07 | Qinetiq Ltd | Gear change mechanism |
US8257393B2 (en) | 2003-12-04 | 2012-09-04 | Ethicon, Inc. | Active suture for the delivery of therapeutic fluids |
US8133500B2 (en) | 2003-12-04 | 2012-03-13 | Kensey Nash Bvf Technology, Llc | Compressed high density fibrous polymers suitable for implant |
US8389588B2 (en) | 2003-12-04 | 2013-03-05 | Kensey Nash Corporation | Bi-phasic compressed porous reinforcement materials suitable for implant |
GB2408936B (en) | 2003-12-09 | 2007-07-18 | Gyrus Group Plc | A surgical instrument |
US7439354B2 (en) | 2003-12-11 | 2008-10-21 | E.I. Du Pont De Nemours And Company | Process for preparing amide acetals |
US7317955B2 (en) | 2003-12-12 | 2008-01-08 | Conmed Corporation | Virtual operating room integration |
US7246719B2 (en) | 2003-12-12 | 2007-07-24 | Automated Merchandising Systems Inc. | Adjustable storage rack for a vending machine |
US7378817B2 (en) | 2003-12-12 | 2008-05-27 | Microsoft Corporation | Inductive power adapter |
US7375493B2 (en) | 2003-12-12 | 2008-05-20 | Microsoft Corporation | Inductive battery charger |
US7604118B2 (en) | 2003-12-15 | 2009-10-20 | Panasonic Corporation | Puncture needle cartridge and lancet for blood collection |
JP4460890B2 (ja) | 2003-12-15 | 2010-05-12 | 衛 光石 | 多自由度マニピュレータ |
US20050131457A1 (en) | 2003-12-15 | 2005-06-16 | Ethicon, Inc. | Variable stiffness shaft |
CA2550431A1 (en) | 2003-12-19 | 2005-07-14 | Osteotech, Inc. | Tissue-derived mesh for orthopedic regeneration |
US7091191B2 (en) | 2003-12-19 | 2006-08-15 | Ethicon, Inc. | Modified hyaluronic acid for use in musculoskeletal tissue repair |
US8221424B2 (en) | 2004-12-20 | 2012-07-17 | Spinascope, Inc. | Surgical instrument for orthopedic surgery |
JP4552435B2 (ja) | 2003-12-22 | 2010-09-29 | 住友化学株式会社 | オキシムの製造方法 |
US7742036B2 (en) | 2003-12-22 | 2010-06-22 | Immersion Corporation | System and method for controlling haptic devices having multiple operational modes |
DE10361942A1 (de) | 2003-12-24 | 2005-07-21 | Restate Patent Ag | Radioopaker Marker für medizinische Implantate |
US8590764B2 (en) | 2003-12-24 | 2013-11-26 | Boston Scientific Scimed, Inc. | Circumferential full thickness resectioning device |
JP4398716B2 (ja) | 2003-12-24 | 2010-01-13 | 呉羽テック株式会社 | 鮮明なエンボス模様が施された高伸縮性不織布、及びその製造方法 |
CN1634601A (zh) | 2003-12-26 | 2005-07-06 | 吉林省中立实业有限公司 | 一种用于医疗器械灭菌的方法 |
US7618427B2 (en) | 2003-12-29 | 2009-11-17 | Ethicon Endo-Surgery, Inc. | Device and method for intralumenal anastomosis |
US6988650B2 (en) | 2003-12-30 | 2006-01-24 | Ethicon Endo-Surgery, Inc. | Retaining pin lever advancement mechanism for a curved cutter stapler |
US7204404B2 (en) | 2003-12-30 | 2007-04-17 | Ethicon Endo-Surgery, Inc. | Slotted pins guiding knife in a curved cutter stapler |
US7147140B2 (en) | 2003-12-30 | 2006-12-12 | Ethicon Endo - Surgery, Inc. | Cartridge retainer for a curved cutter stapler |
US7147139B2 (en) | 2003-12-30 | 2006-12-12 | Ethicon Endo-Surgery, Inc | Closure plate lockout for a curved cutter stapler |
US20050145672A1 (en) | 2003-12-30 | 2005-07-07 | Schwemberger Richard F. | Curved cutter stapler with aligned tissue retention feature |
US7549563B2 (en) | 2003-12-30 | 2009-06-23 | Ethicon Endo-Surgery, Inc. | Rotating curved cutter stapler |
US7207472B2 (en) | 2003-12-30 | 2007-04-24 | Ethicon Endo-Surgery, Inc. | Cartridge with locking knife for a curved cutter stapler |
US7766207B2 (en) | 2003-12-30 | 2010-08-03 | Ethicon Endo-Surgery, Inc. | Articulating curved cutter stapler |
US20050139636A1 (en) | 2003-12-30 | 2005-06-30 | Schwemberger Richard F. | Replaceable cartridge module for a surgical stapling and cutting instrument |
US7134587B2 (en) | 2003-12-30 | 2006-11-14 | Ethicon Endo-Surgery, Inc. | Knife retraction arm for a curved cutter stapler |
US20050143759A1 (en) | 2003-12-30 | 2005-06-30 | Kelly William D. | Curved cutter stapler shaped for male pelvis |
US20050191936A1 (en) | 2004-01-07 | 2005-09-01 | Marine Jon C. | Doll |
US6995729B2 (en) | 2004-01-09 | 2006-02-07 | Biosense Webster, Inc. | Transponder with overlapping coil antennas on a common core |
TWI228850B (en) | 2004-01-14 | 2005-03-01 | Asia Optical Co Inc | Laser driver circuit for burst mode and making method thereof |
GB2410161B (en) | 2004-01-16 | 2008-09-03 | Btg Int Ltd | Method and system for calculating and verifying the integrity of data in data transmission system |
US7146191B2 (en) | 2004-01-16 | 2006-12-05 | United States Thermoelectric Consortium | Wireless communications apparatus and method |
US20050197859A1 (en) | 2004-01-16 | 2005-09-08 | Wilson James C. | Portable electronic data storage and retreival system for group data |
US7219980B2 (en) | 2004-01-21 | 2007-05-22 | Silverbrook Research Pty Ltd | Printhead assembly with removable cover |
EP1670362B2 (en) | 2004-01-23 | 2014-10-22 | Apollo Endosurgery, Inc. | Implantable device fastening system and methods of use |
US20050171522A1 (en) | 2004-01-30 | 2005-08-04 | Christopherson Mark A. | Transurethral needle ablation system with needle position indicator |
JP2005211455A (ja) | 2004-01-30 | 2005-08-11 | Olympus Corp | 外科用切除装置 |
US7204835B2 (en) | 2004-02-02 | 2007-04-17 | Gyrus Medical, Inc. | Surgical instrument |
DE102004005709A1 (de) | 2004-02-05 | 2005-08-25 | Polydiagnost Gmbh | Endoskop mit einer flexiblen Sonde |
US20050177176A1 (en) | 2004-02-05 | 2005-08-11 | Craig Gerbi | Single-fold system for tissue approximation and fixation |
DE102004029611A1 (de) | 2004-02-06 | 2005-08-25 | Restate Patent Ag | Implantat zur Freisetzung eines Wirkstoffs in ein von einem Körpermedium durchströmtes Gefäß |
JP4845382B2 (ja) | 2004-02-06 | 2011-12-28 | キヤノン株式会社 | 画像処理装置及びその制御方法、並びに、コンピュータプログラム及びコンピュータ可読記憶媒体 |
US11395865B2 (en) | 2004-02-09 | 2022-07-26 | DePuy Synthes Products, Inc. | Scaffolds with viable tissue |
KR100855957B1 (ko) | 2004-02-09 | 2008-09-02 | 삼성전자주식회사 | 화면 주변부의 밝기를 보상하는 고체 촬상 소자 및 그구동 방법 |
WO2005077450A2 (en) | 2004-02-10 | 2005-08-25 | Synecor, Llc | Intravascular delivery system for therapeutic agents |
US7979137B2 (en) | 2004-02-11 | 2011-07-12 | Ethicon, Inc. | System and method for nerve stimulation |
GB0403020D0 (en) | 2004-02-11 | 2004-03-17 | Pa Consulting Services | Portable charging device |
US7376467B2 (en) | 2004-02-12 | 2008-05-20 | Ndi Medical, Inc. | Portable assemblies, systems and methods for providing functional or therapeutic neuromuscular stimulation |
US7886952B2 (en) | 2004-02-17 | 2011-02-15 | Tyco Healthcare Group Lp | Surgical stapling apparatus with locking mechanism |
GB2451777B (en) | 2004-02-17 | 2009-04-08 | Cook Biotech Inc | Medical devices and methods useful for applying bolster material |
DE602005000938T2 (de) | 2004-02-17 | 2008-01-17 | Tyco Healthcare Group Lp, Norwalk | Chirurgisches Klammernahtgerät mit Verriegelungsmechanismus |
ES2286725T3 (es) | 2004-02-17 | 2007-12-01 | Tyco Healthcare Group Lp | Aparato de grapado quirurgico. |
ES2285587T3 (es) | 2004-02-17 | 2007-11-16 | Tyco Healthcare Group Lp | Aparato quirurgico de grapado con mecanismo de bloqueo. |
US20100191292A1 (en) | 2004-02-17 | 2010-07-29 | Demeo Joseph | Oriented polymer implantable device and process for making same |
ES2365547T3 (es) | 2004-02-17 | 2011-10-06 | Tyco Healthcare Group Lp | Aparato quirúrgico de grapado con mecanismo de bloqueo. |
US6953138B1 (en) | 2004-02-18 | 2005-10-11 | Frank W. Dworak | Surgical stapler anvil with nested staple forming pockets |
US20050182443A1 (en) | 2004-02-18 | 2005-08-18 | Closure Medical Corporation | Adhesive-containing wound closure device and method |
US7086267B2 (en) | 2004-02-18 | 2006-08-08 | Frank W. Dworak | Metal-forming die and method for manufacturing same |
US20050187545A1 (en) | 2004-02-20 | 2005-08-25 | Hooven Michael D. | Magnetic catheter ablation device and method |
US8046049B2 (en) | 2004-02-23 | 2011-10-25 | Biosense Webster, Inc. | Robotically guided catheter |
US20050186240A1 (en) | 2004-02-23 | 2005-08-25 | Ringeisen Timothy A. | Gel suitable for implantation and delivery system |
GB2411527B (en) | 2004-02-26 | 2006-06-28 | Itt Mfg Enterprises Inc | Electrical connector |
US7780662B2 (en) | 2004-03-02 | 2010-08-24 | Covidien Ag | Vessel sealing system using capacitive RF dielectric heating |
JP2005279253A (ja) | 2004-03-02 | 2005-10-13 | Olympus Corp | 内視鏡 |
US20050209614A1 (en) | 2004-03-04 | 2005-09-22 | Fenter Felix W | Anastomosis apparatus and methods with computer-aided, automated features |
US8052636B2 (en) | 2004-03-05 | 2011-11-08 | Hansen Medical, Inc. | Robotic catheter system and methods |
US7972298B2 (en) | 2004-03-05 | 2011-07-05 | Hansen Medical, Inc. | Robotic catheter system |
US20060100610A1 (en) | 2004-03-05 | 2006-05-11 | Wallace Daniel T | Methods using a robotic catheter system |
US8252009B2 (en) | 2004-03-09 | 2012-08-28 | 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 |
US8449560B2 (en) | 2004-03-09 | 2013-05-28 | Satiety, Inc. | Devices and methods for placement of partitions within a hollow body organ |
WO2005087125A2 (en) | 2004-03-10 | 2005-09-22 | Depuy International Ltd | Orthopaedic operating systems, methods, implants and instruments |
JP4610934B2 (ja) | 2004-06-03 | 2011-01-12 | オリンパス株式会社 | 外科用処置具 |
EP1723913A1 (en) | 2004-03-10 | 2006-11-22 | Olympus Corporation | Treatment tool for surgery |
US20050203550A1 (en) | 2004-03-11 | 2005-09-15 | Laufer Michael D. | Surgical fastener |
GB2412232A (en) | 2004-03-15 | 2005-09-21 | Ims Nanofabrication Gmbh | Particle-optical projection system |
US7118528B1 (en) | 2004-03-16 | 2006-10-10 | Gregory Piskun | Hemorrhoids treatment method and associated instrument assembly including anoscope and cofunctioning tissue occlusion device |
AU2005221424B2 (en) | 2004-03-18 | 2011-02-17 | Kimberly-Clark Worldwide, Inc. | Apparatus for the prevention of urinary incontinence in females |
FI20040415A (fi) | 2004-03-18 | 2005-09-19 | Stora Enso Oyj | Einespakkaus ja sen valmistusmenetelmä |
AU2005226643B2 (en) | 2004-03-19 | 2010-07-22 | Covidien Lp | Anvil assembly with improved cut ring |
US7093492B2 (en) | 2004-03-19 | 2006-08-22 | Mechworks Systems Inc. | Configurable vibration sensor |
US8181840B2 (en) | 2004-03-19 | 2012-05-22 | Tyco Healthcare Group Lp | Tissue tensioner assembly and approximation mechanism for surgical stapling device |
US7625388B2 (en) | 2004-03-22 | 2009-12-01 | Alcon, Inc. | Method of controlling a surgical system based on a load on the cutting tip of a handpiece |
JP5051767B2 (ja) | 2004-03-22 | 2012-10-17 | ボディーメディア インコーポレイテッド | 人間の状態パラメータをモニターするためのデバイス |
JP4727158B2 (ja) | 2004-03-23 | 2011-07-20 | オリンパス株式会社 | 内視鏡システム |
DE102004014011A1 (de) | 2004-03-23 | 2005-10-20 | Airtec Pneumatic Gmbh | Stoßwellen-Therapiegerät |
TWI234339B (en) | 2004-03-25 | 2005-06-11 | Richtek Techohnology Corp | High-efficiency voltage transformer |
EP1584300A3 (en) | 2004-03-30 | 2006-07-05 | Kabushiki Kaisha Toshiba | Manipulator apparatus |
DE102004015667B3 (de) | 2004-03-31 | 2006-01-19 | Sutter Medizintechnik Gmbh | Bipolares Doppelgelenkinstrument |
DE602005006462D1 (de) | 2004-04-02 | 2008-06-19 | Black & Decker Inc | Befestigungswerkzeug mit Moduswahlschalter |
US7331403B2 (en) | 2004-04-02 | 2008-02-19 | Black & Decker Inc. | Lock-out for activation arm mechanism in a power tool |
US7036680B1 (en) | 2004-04-07 | 2006-05-02 | Avery Dennison Corporation | Device for dispensing plastic fasteners |
JP2005296412A (ja) | 2004-04-13 | 2005-10-27 | Olympus Corp | 内視鏡治療装置 |
WO2006033671A2 (en) | 2004-04-15 | 2006-03-30 | Wilson-Cook Medical Inc. | Endoscopic surgical access devices and methods of articulating an external accessory channel |
US6960107B1 (en) | 2004-04-16 | 2005-11-01 | Brunswick Corporation | Marine transmission with a cone clutch used for direct transfer of torque |
WO2005102193A2 (en) | 2004-04-19 | 2005-11-03 | Acumed, Llc | Placement of fasteners into bone |
US7361168B2 (en) | 2004-04-21 | 2008-04-22 | Acclarent, Inc. | Implantable device and methods for delivering drugs and other substances to treat sinusitis and other disorders |
US7758612B2 (en) | 2004-04-27 | 2010-07-20 | Tyco Healthcare Group Lp | Surgery delivery device and mesh anchor |
US7377918B2 (en) | 2004-04-28 | 2008-05-27 | Gyrus Medical Limited | Electrosurgical method and apparatus |
US7098794B2 (en) | 2004-04-30 | 2006-08-29 | Kimberly-Clark Worldwide, Inc. | Deactivating a data tag for user privacy or tamper-evident packaging |
US7948381B2 (en) | 2004-04-30 | 2011-05-24 | Binforma Group Limited Liability Company | Reversibly deactivating a radio frequency identification data tag |
US7336183B2 (en) | 2004-04-30 | 2008-02-26 | Kimberly-Clark Worldwide, Inc. | Decommissioning an electronic data tag |
US7151455B2 (en) | 2004-04-30 | 2006-12-19 | Kimberly-Clark Worldwide, Inc. | Activating a data tag by load or orientation or user control |
CA2562096A1 (en) * | 2004-05-03 | 2005-11-24 | Ams Research Corporation | Surgical implants and related methods |
US7348875B2 (en) | 2004-05-04 | 2008-03-25 | Battelle Memorial Institute | Semi-passive radio frequency identification (RFID) tag with active beacon |
ES2407684T3 (es) | 2004-05-05 | 2013-06-13 | Direct Flow Medical, Inc. | Válvula cardiaca sin estent con estructura de soporte formada en el sitio |
EP1750595A4 (en) | 2004-05-07 | 2008-10-22 | Valentx Inc | DEVICES AND METHOD FOR FIXING AN ENDOLUMINAL GASTROINTESTINAL IMPLANT |
US7736374B2 (en) | 2004-05-07 | 2010-06-15 | Usgi Medical, Inc. | Tissue manipulation and securement system |
US20050251063A1 (en) | 2004-05-07 | 2005-11-10 | Raghuveer Basude | Safety device for sampling tissue |
US8333764B2 (en) | 2004-05-12 | 2012-12-18 | Medtronic, Inc. | Device and method for determining tissue thickness and creating cardiac ablation lesions |
US20050267529A1 (en) | 2004-05-13 | 2005-12-01 | Heber Crockett | Devices, systems and methods for tissue repair |
US8251891B2 (en) | 2004-05-14 | 2012-08-28 | Nathan Moskowitz | Totally wireless electronically embedded action-ended endoscope utilizing differential directional illumination with digitally controlled mirrors and/or prisms |
JP2005328882A (ja) | 2004-05-18 | 2005-12-02 | Olympus Corp | 内視鏡用処置具及び内視鏡システム |
US7158032B2 (en) | 2004-05-20 | 2007-01-02 | Xerox Corporation | Diagnosis of programmable modules |
GB2414185A (en) | 2004-05-20 | 2005-11-23 | Gyrus Medical Ltd | Morcellating device using cutting electrodes on end-face of tube |
US7260431B2 (en) | 2004-05-20 | 2007-08-21 | Cardiac Pacemakers, Inc. | Combined remodeling control therapy and anti-remodeling therapy by implantable cardiac device |
JP2005335432A (ja) | 2004-05-24 | 2005-12-08 | Nissan Motor Co Ltd | 後輪転舵制御装置 |
IES20040368A2 (en) | 2004-05-25 | 2005-11-30 | James E Coleman | Surgical stapler |
IL162187A (en) | 2004-05-27 | 2010-05-31 | Elazar Sonnenschein | Stapling device |
US7450991B2 (en) | 2004-05-28 | 2008-11-11 | Advanced Neuromodulation Systems, Inc. | Systems and methods used to reserve a constant battery capacity |
US7828808B2 (en) | 2004-06-07 | 2010-11-09 | Novare Surgical Systems, Inc. | Link systems and articulation mechanisms for remote manipulation of surgical or diagnostic tools |
DE102004027850A1 (de) | 2004-06-08 | 2006-01-05 | Henke-Sass Wolf Gmbh | Biegbarer Abschnitt eines Einführtubus eines Endoskopes und Verfahren zu dessen Herstellung |
US7695493B2 (en) | 2004-06-09 | 2010-04-13 | Usgi Medical, Inc. | System for optimizing anchoring force |
US7446131B1 (en) | 2004-06-10 | 2008-11-04 | The United States Of America As Represented By The Secretary Of Agriculture | Porous polymeric matrices made of natural polymers and synthetic polymers and optionally at least one cation and methods of making |
US8663245B2 (en) | 2004-06-18 | 2014-03-04 | Medtronic, Inc. | Device for occlusion of a left atrial appendage |
GB2415140A (en) | 2004-06-18 | 2005-12-21 | Gyrus Medical Ltd | A surgical instrument |
US20050283226A1 (en) | 2004-06-18 | 2005-12-22 | Scimed Life Systems, Inc. | Medical devices |
US7331406B2 (en) | 2004-06-21 | 2008-02-19 | Duraspin Products Llc | Apparatus for controlling a fastener driving tool, with user-adjustable torque limiting control |
USD530339S1 (en) | 2004-06-23 | 2006-10-17 | Cellco Partnership | Animated icon for a cellularly communicative electronic device |
US20060020272A1 (en) | 2004-06-24 | 2006-01-26 | Gildenberg Philip L | Semi-robotic suturing device |
USD511525S1 (en) | 2004-06-24 | 2005-11-15 | Verizon Wireless | Icon for the display screen of a cellulary communicative electronic device |
WO2006005061A2 (en) | 2004-06-30 | 2006-01-12 | Sitzmann James V | Medical devices for minimally invasive surgeries and other internal procedures |
US7367485B2 (en) | 2004-06-30 | 2008-05-06 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument incorporating a multistroke firing mechanism having a rotary transmission |
US7229408B2 (en) | 2004-06-30 | 2007-06-12 | Ethicon, Inc. | Low profile surgical retractor |
US7059508B2 (en) | 2004-06-30 | 2006-06-13 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument incorporating an uneven multistroke firing mechanism having a rotary transmission |
EP3278763B1 (en) | 2004-07-02 | 2020-08-05 | Discus Dental, LLC | Illumination system for dentistry applications |
US7443547B2 (en) | 2004-07-03 | 2008-10-28 | Science Forge, Inc. | Portable electronic faxing, scanning, copying, and printing device |
US7966236B2 (en) | 2004-07-07 | 2011-06-21 | Ubs Financial Services Inc. | Method and system for real time margin calculation |
US7472624B2 (en) | 2004-07-07 | 2009-01-06 | Ventra Group Inc. | Push to release brake actuating assembly for a vehicle |
US7485133B2 (en) | 2004-07-14 | 2009-02-03 | Warsaw Orthopedic, Inc. | Force diffusion spinal hook |
JP4257270B2 (ja) | 2004-07-14 | 2009-04-22 | オリンパス株式会社 | 生体組織縫合方法及び生体組織縫合器 |
US20060020258A1 (en) | 2004-07-20 | 2006-01-26 | Medtronic, Inc. | Surgical apparatus with a manually actuatable assembly and a method of operating same |
JP4596844B2 (ja) | 2004-07-23 | 2010-12-15 | テルモ株式会社 | 医療用物品及び医療用物品の受発注システム |
RU42750U1 (ru) | 2004-07-26 | 2004-12-20 | Альбертин Сергей Викторович | Устройство для дозированной подачи веществ |
WO2006014881A2 (en) | 2004-07-26 | 2006-02-09 | Van Lue Stephen J | Surgical stapler with magnetically secured components |
US8075476B2 (en) | 2004-07-27 | 2011-12-13 | Intuitive Surgical Operations, Inc. | Cannula system and method of use |
US7857183B2 (en) | 2004-07-28 | 2010-12-28 | Ethicon Endo-Surgery, Inc. | Surgical instrument incorporating an electrically actuated articulation mechanism |
US7147138B2 (en) | 2004-07-28 | 2006-12-12 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having an electroactive polymer actuated buttress deployment mechanism |
US7143925B2 (en) | 2004-07-28 | 2006-12-05 | Ethicon Endo-Surgery, Inc. | Surgical instrument incorporating EAP blocking lockout mechanism |
US20060025812A1 (en) | 2004-07-28 | 2006-02-02 | Ethicon Endo-Surgery, Inc. | Surgical instrument incorporating an electrically actuated pivoting articulation mechanism |
US7404509B2 (en) | 2004-07-28 | 2008-07-29 | Ethicon Endo-Surgery, Inc. | Electroactive polymer-based articulation mechanism for linear stapler |
US7879070B2 (en) | 2004-07-28 | 2011-02-01 | Ethicon Endo-Surgery, Inc. | Electroactive polymer-based actuation mechanism for grasper |
US7143926B2 (en) | 2005-02-07 | 2006-12-05 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument incorporating a multi-stroke firing mechanism with return spring rotary manual retraction system |
US7487899B2 (en) | 2004-07-28 | 2009-02-10 | Ethicon Endo-Surgery, Inc. | Surgical instrument incorporating EAP complete firing system lockout mechanism |
US7410086B2 (en) | 2004-07-28 | 2008-08-12 | Ethicon Endo-Surgery, Inc. | Electroactive polymer-based actuation mechanism for circular stapler |
US8057508B2 (en) | 2004-07-28 | 2011-11-15 | Ethicon Endo-Surgery, Inc. | Surgical instrument incorporating an electrically actuated articulation locking mechanism |
AU2005203215B2 (en) | 2004-07-28 | 2011-06-09 | Ethicon Endo-Surgery, Inc. | Surgical instrument incorporating an electrically actuated pivoting articulation mechanism |
US7914551B2 (en) | 2004-07-28 | 2011-03-29 | Ethicon Endo-Surgery, Inc. | Electroactive polymer-based articulation mechanism for multi-fire surgical fastening instrument |
US7506790B2 (en) | 2004-07-28 | 2009-03-24 | Ethicon Endo-Surgery, Inc. | Surgical instrument incorporating an electrically actuated articulation mechanism |
US7513408B2 (en) | 2004-07-28 | 2009-04-07 | Ethicon Endo-Surgery, Inc. | Multiple firing stroke surgical instrument incorporating electroactive polymer anti-backup mechanism |
US11896225B2 (en) | 2004-07-28 | 2024-02-13 | Cilag Gmbh International | Staple cartridge comprising a pan |
US8905977B2 (en) | 2004-07-28 | 2014-12-09 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having an electroactive polymer actuated medical substance dispenser |
US7354447B2 (en) | 2005-11-10 | 2008-04-08 | Ethicon Endo-Surgery, Inc. | Disposable loading unit and surgical instruments including same |
US8215531B2 (en) | 2004-07-28 | 2012-07-10 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having a medical substance dispenser |
AU2005203213C1 (en) | 2004-07-28 | 2012-07-05 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having an electroactive polymer actuated medical substance dispenser |
US7210609B2 (en) | 2004-07-30 | 2007-05-01 | Tools For Surgery, Llc | Stapling apparatus having a curved anvil and driver |
DE202004012389U1 (de) | 2004-07-30 | 2004-09-30 | Aesculap Ag & Co. Kg | Chirurgische Maschine |
DE102004038415A1 (de) | 2004-07-30 | 2006-03-23 | Aesculap Ag & Co. Kg | Chirurgische Maschine und Verfahren zum Steuern und/oder Regeln einer chirurgischen Maschine |
WO2006015319A2 (en) | 2004-07-30 | 2006-02-09 | Power Medical Interventions, Inc. | Flexible shaft extender and method of using same |
DE102004038414A1 (de) | 2004-07-30 | 2006-03-23 | Aesculap Ag & Co. Kg | Chirurgische Maschine und Verfahren zum Betreiben einer chirurgischen Maschine |
EP1774037B1 (en) | 2004-08-06 | 2011-05-11 | Genentech, Inc. | Assays and methods using biomarkers |
CN2716900Y (zh) | 2004-08-09 | 2005-08-10 | 陈永 | 新感觉鼠标 |
US7779737B2 (en) | 2004-08-12 | 2010-08-24 | The Chisel Works, LLC. | Multi-axis panel saw |
WO2006023578A2 (en) | 2004-08-17 | 2006-03-02 | Tyco Healthcare Group, Lp | Stapling support structures |
WO2006023486A1 (en) | 2004-08-19 | 2006-03-02 | Tyco Healthcare Group, Lp | Water-swellable copolymers and articles and coating made therefrom |
US7395116B2 (en) | 2004-08-19 | 2008-07-01 | Medtronic, Inc. | Lead body-to-connector transition zone |
US7644016B2 (en) | 2004-08-25 | 2010-01-05 | Warsaw Orthopedic, Inc. | Automated pass-through surgical instrument tray reader |
DE102004041871B4 (de) | 2004-08-27 | 2014-01-30 | W.O.M. World Of Medicine Ag | Verfahren zur Herstellung einer autoklavierbaren Fernbedienung und autoklavierbare Fernbedienung |
US7182239B1 (en) | 2004-08-27 | 2007-02-27 | Myers Stephan R | Segmented introducer device for a circular surgical stapler |
US8157839B2 (en) | 2004-08-31 | 2012-04-17 | Wadsworth Medical Technologies, Inc. | Systems and methods for closing a tissue opening |
US8657808B2 (en) | 2004-08-31 | 2014-02-25 | Medtronic, Inc. | Surgical apparatus including a hand-activated, cable assembly and method of using same |
WO2006026520A2 (en) | 2004-08-31 | 2006-03-09 | Surgical Solutions Llc | Medical device with articulating shaft |
DE102004042886A1 (de) | 2004-09-04 | 2006-03-30 | Roche Diagnostics Gmbh | Lanzettenvorrichtung zum Erzeugen einer Einstichwunde |
WO2006029092A1 (en) | 2004-09-05 | 2006-03-16 | Gateway Plastics, Inc. | Closure for a container |
US7128254B2 (en) | 2004-09-07 | 2006-10-31 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument incorporating a multistroke firing mechanism having a rotary slip-clutch transmission |
WO2006027014A1 (en) | 2004-09-10 | 2006-03-16 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument |
KR100646762B1 (ko) | 2004-09-10 | 2006-11-23 | 인하대학교 산학협력단 | 수술용 스테이플 및 이를 구비한 수술용 자동 문합기 |
US7162758B2 (en) | 2004-09-14 | 2007-01-16 | Skinner Lyle J | Multipurpose gripping tool |
DE502004007253D1 (de) | 2004-09-15 | 2008-07-03 | Ao Technology Ag | Kalibriervorrichtung |
US7391164B2 (en) | 2004-09-15 | 2008-06-24 | Research In Motion Limited | Visual notification methods for candy-bar type cellphones |
JP2006081687A (ja) | 2004-09-15 | 2006-03-30 | Max Co Ltd | 医療用ステープラ |
US8123764B2 (en) | 2004-09-20 | 2012-02-28 | Endoevolution, Llc | Apparatus and method for minimally invasive suturing |
GB0519252D0 (en) | 2005-09-21 | 2005-10-26 | Dezac Ltd | Laser hair removal device |
US7540872B2 (en) | 2004-09-21 | 2009-06-02 | Covidien Ag | Articulating bipolar electrosurgical instrument |
US20070055305A1 (en) | 2004-09-23 | 2007-03-08 | Guido Schnyder | Biodegradable and/or bioabsorbable member for vascular sealing |
US7336184B2 (en) | 2004-09-24 | 2008-02-26 | Intel Corporation | Inertially controlled switch and RFID tag |
US20070016272A1 (en) | 2004-09-27 | 2007-01-18 | Thompson Russell B | Systems and methods for treating a hollow anatomical structure |
US7422582B2 (en) | 2004-09-29 | 2008-09-09 | Stryker Corporation | Control console to which powered surgical handpieces are connected, the console configured to simultaneously energize more than one and less than all of the handpieces |
US20070187857A1 (en) | 2004-09-30 | 2007-08-16 | Riley Susan L | Methods for making and using composites, polymer scaffolds, and composite scaffolds |
US20110097402A1 (en) | 2004-09-30 | 2011-04-28 | Covalon Technologies Inc. | Non-adhesive elastic gelatin matrices |
ES2303648T3 (es) | 2004-09-30 | 2008-08-16 | Ethicon Endo-Surgery, Inc. | Instrumento de grapado quirurgico. |
US9261172B2 (en) | 2004-09-30 | 2016-02-16 | Intuitive Surgical Operations, Inc. | Multi-ply strap drive trains for surgical robotic arms |
US10646292B2 (en) | 2004-09-30 | 2020-05-12 | Intuitive Surgical Operations, Inc. | Electro-mechanical strap stack in robotic arms |
USD541418S1 (en) | 2004-10-06 | 2007-04-24 | Sherwood Services Ag | Lung sealing device |
FR2876020B1 (fr) | 2004-10-06 | 2007-03-09 | Sofradim Production Sa | Appareil de stockage, distribution et pose d'attaches chirurgicales |
US20120016239A1 (en) | 2004-10-06 | 2012-01-19 | Guided Therapy Systems, Llc | Systems for cosmetic treatment |
PL1802245T3 (pl) | 2004-10-08 | 2017-01-31 | Ethicon Endosurgery Llc | Ultradźwiękowy przyrząd chirurgiczny |
US9763668B2 (en) | 2004-10-08 | 2017-09-19 | Covidien Lp | Endoscopic surgical clip applier |
CA2869759A1 (en) | 2004-10-08 | 2006-04-20 | Tyco Healthcare Group Lp | Apparatus for applying surgical clips |
US8409222B2 (en) | 2004-10-08 | 2013-04-02 | Covidien Lp | Endoscopic surgical clip applier |
US7819886B2 (en) | 2004-10-08 | 2010-10-26 | Tyco Healthcare Group Lp | Endoscopic surgical clip applier |
US7717926B2 (en) | 2004-10-08 | 2010-05-18 | Tyco Healthcare Group Lp | Endoscopic surgical clip applier |
WO2006044581A2 (en) | 2004-10-13 | 2006-04-27 | Medtronic, Inc. | Single-use transurethral needle ablation device |
US8372094B2 (en) | 2004-10-15 | 2013-02-12 | Covidien Lp | Seal element for anastomosis |
US7857813B2 (en) | 2006-08-29 | 2010-12-28 | Baxano, Inc. | Tissue access guidewire system and method |
US20100331883A1 (en) | 2004-10-15 | 2010-12-30 | Schmitz Gregory P | Access and tissue modification systems and methods |
US8257356B2 (en) | 2004-10-15 | 2012-09-04 | Baxano, Inc. | Guidewire exchange systems to treat spinal stenosis |
US7938307B2 (en) | 2004-10-18 | 2011-05-10 | Tyco Healthcare Group Lp | Support structures and methods of using the same |
EP1805863B1 (en) | 2004-10-18 | 2013-06-26 | Black & Decker, Inc. | Cordless power system |
US7455682B2 (en) | 2004-10-18 | 2008-11-25 | Tyco Healthcare Group Lp | Structure containing wound treatment material |
CA2583800C (en) | 2004-10-18 | 2013-12-10 | Tyco Healthcare Group Lp | Apparatus for applying wound treatment material using tissue-penetrating needles |
JP4801083B2 (ja) | 2004-10-18 | 2011-10-26 | タイコ ヘルスケア グループ エルピー | スプレー可能な創傷処置材料を付与するための構造物 |
CA2584022C (en) | 2004-10-18 | 2013-12-10 | Tyco Healthcare Group Lp | Surgical fasteners coated with wound treatment materials |
JP5043670B2 (ja) | 2004-10-18 | 2012-10-10 | タイコ ヘルスケア グループ リミテッド パートナーシップ | 管腔外シーラント塗布器 |
US7717313B2 (en) | 2004-10-18 | 2010-05-18 | Tyco Healthcare Group Lp | Surgical apparatus and structure for applying sprayable wound treatment material |
ES2530775T3 (es) | 2004-10-18 | 2015-03-05 | Covidien Lp | Estructura adhesiva anular |
US7845536B2 (en) | 2004-10-18 | 2010-12-07 | Tyco Healthcare Group Lp | Annular adhesive structure |
DE102004052204A1 (de) | 2004-10-19 | 2006-05-04 | Karl Storz Gmbh & Co. Kg | Auslenkbares endoskopisches Instrument |
US9070068B2 (en) | 2004-10-19 | 2015-06-30 | Michael E. Coveley | Passive tamper-resistant seal and applications therefor |
ATE554717T1 (de) | 2004-10-20 | 2012-05-15 | Atricure Inc | Chirurgische klemme |
US8128662B2 (en) | 2004-10-20 | 2012-03-06 | Vertiflex, Inc. | Minimally invasive tooling for delivery of interspinous spacer |
EP1802358B1 (en) | 2004-10-20 | 2015-02-25 | Ethicon, Inc. | A reinforced absorbable multilayered fabric for use in medical devices and method of manufacture |
US20060087746A1 (en) | 2004-10-22 | 2006-04-27 | Kenneth Lipow | Remote augmented motor-sensory interface for surgery |
US9463012B2 (en) | 2004-10-26 | 2016-10-11 | P Tech, Llc | Apparatus for guiding and positioning an implant |
US20060086032A1 (en) | 2004-10-27 | 2006-04-27 | Joseph Valencic | Weapon and input device to record information |
EP1827217B1 (en) | 2004-11-02 | 2010-08-11 | Medtronic, Inc. | Techniques for data reporting in an implantable medical device |
US20060097699A1 (en) | 2004-11-05 | 2006-05-11 | Mathews Associates, Inc. | State of charge indicator for battery |
KR20060046933A (ko) | 2004-11-12 | 2006-05-18 | 노틸러스효성 주식회사 | 핀패드 모듈의 보호장치 |
US20060106369A1 (en) | 2004-11-12 | 2006-05-18 | Desai Jaydev P | Haptic interface for force reflection in manipulation tasks |
CN2738962Y (zh) | 2004-11-15 | 2005-11-09 | 胡建坤 | 电动剃须刀及带有充电器的电动剃须刀 |
US20060226957A1 (en) | 2004-11-15 | 2006-10-12 | Miller Ronald H | Health care operating system with radio frequency information transfer |
US7641671B2 (en) | 2004-11-22 | 2010-01-05 | Design Standards Corporation | Closing assemblies for clamping device |
US7492261B2 (en) | 2004-11-22 | 2009-02-17 | Warsaw Orthopedic, Inc. | Control system for an RFID-based system for assembling and verifying outbound surgical equipment corresponding to a particular surgery |
WO2006073581A2 (en) | 2004-11-23 | 2006-07-13 | Novare Surgical Systems, Inc. | Articulating mechanisms and link systems with torque transmission in remote manipulation of instruments and tools |
US9700334B2 (en) | 2004-11-23 | 2017-07-11 | Intuitive Surgical Operations, Inc. | Articulating mechanisms and link systems with torque transmission in remote manipulation of instruments and tools |
US7182763B2 (en) | 2004-11-23 | 2007-02-27 | Instrasurgical, Llc | Wound closure device |
GB0425843D0 (en) | 2004-11-24 | 2004-12-29 | Gyrus Group Plc | An electrosurgical instrument |
US7255012B2 (en) | 2004-12-01 | 2007-08-14 | Rosemount Inc. | Process fluid flow device with variable orifice |
CA2526541C (en) | 2004-12-01 | 2013-09-03 | Tyco Healthcare Group Lp | Novel biomaterial drug delivery and surface modification compositions |
EP1827615A1 (en) | 2004-12-02 | 2007-09-05 | Baylor University | Exercise circuit system and method |
JP2006158525A (ja) | 2004-12-03 | 2006-06-22 | Olympus Medical Systems Corp | 超音波手術装置及び超音波処置具の駆動方法 |
US20060142656A1 (en) | 2004-12-09 | 2006-06-29 | Don Malackowski | Wireless system for providing instrument and implant data to a surgical navigation unit |
US7121446B2 (en) | 2004-12-13 | 2006-10-17 | Niti Medical Technologies Ltd. | Palm-size surgical stapler for single hand operation |
US7328829B2 (en) | 2004-12-13 | 2008-02-12 | Niti Medical Technologies Ltd. | Palm size surgical stapler for single hand operation |
US7568619B2 (en) | 2004-12-15 | 2009-08-04 | Alcon, Inc. | System and method for identifying and controlling ophthalmic surgical devices and components |
US7384403B2 (en) | 2004-12-17 | 2008-06-10 | Depuy Products, Inc. | Wireless communication system for transmitting information from a medical device |
US7678121B1 (en) | 2004-12-23 | 2010-03-16 | Cardica, Inc. | Surgical stapling tool |
US7611474B2 (en) | 2004-12-29 | 2009-11-03 | Ethicon Endo-Surgery, Inc. | Core sampling biopsy device with short coupled MRI-compatible driver |
US7896869B2 (en) | 2004-12-29 | 2011-03-01 | Depuy Products, Inc. | System and method for ensuring proper medical instrument use in an operating room |
US20060142772A1 (en) | 2004-12-29 | 2006-06-29 | Ralph James D | Surgical fasteners and related implant devices having bioabsorbable components |
US8182422B2 (en) | 2005-12-13 | 2012-05-22 | Avantis Medical Systems, Inc. | Endoscope having detachable imaging device and method of using |
US7118020B2 (en) | 2005-01-05 | 2006-10-10 | Chung-Heng Lee | Stapler |
US7419321B2 (en) | 2005-01-05 | 2008-09-02 | Misha Tereschouk | Hand applicator of encapsulated liquids |
JP4681961B2 (ja) | 2005-01-14 | 2011-05-11 | オリンパスメディカルシステムズ株式会社 | 外科用処置具 |
US7686804B2 (en) | 2005-01-14 | 2010-03-30 | Covidien Ag | Vessel sealer and divider with rotating sealer and cutter |
US7713542B2 (en) | 2005-01-14 | 2010-05-11 | Ada Foundation | Three dimensional cell protector/pore architecture formation for bone and tissue constructs |
US20060161185A1 (en) | 2005-01-14 | 2006-07-20 | Usgi Medical Inc. | Methods and apparatus for transmitting force to an end effector over an elongate member |
EP1847225B1 (en) | 2005-01-26 | 2011-12-21 | Suzhou Touchstone International Medical Science Co., Ltd. | Surgical stapler having a stapling head with a rotatable cutter |
WO2006081491A2 (en) | 2005-01-27 | 2006-08-03 | Vector Surgical | Surgical marker |
US20060176031A1 (en) | 2005-02-04 | 2006-08-10 | Ess Technology, Inc. | Dual output switching regulator and method of operation |
WO2006086223A2 (en) | 2005-02-08 | 2006-08-17 | Blue Belt Technologies, Inc. | Augmented reality device and method |
US8007440B2 (en) | 2005-02-08 | 2011-08-30 | Volcano Corporation | Apparatus and methods for low-cost intravascular ultrasound imaging and for crossing severe vascular occlusions |
EP1690638A1 (en) | 2005-02-09 | 2006-08-16 | BLACK & DECKER INC. | Power tool gear-train and torque overload clutch therefor |
WO2006085389A1 (en) | 2005-02-09 | 2006-08-17 | Johnson & Johnson Kabushiki Kaisha | Stapling instrument |
JP2006218129A (ja) | 2005-02-10 | 2006-08-24 | Olympus Corp | 手術支援システム |
US7706853B2 (en) | 2005-02-10 | 2010-04-27 | Terumo Cardiovascular Systems Corporation | Near infrared spectroscopy device with reusable portion |
GB2423199B (en) | 2005-02-11 | 2009-05-13 | Pa Consulting Services | Power supply systems for electrical devices |
US7283096B2 (en) | 2005-02-11 | 2007-10-16 | Radatec, Inc. | Microstrip patch antenna for high temperature environments |
JP2006218228A (ja) | 2005-02-14 | 2006-08-24 | Olympus Corp | バッテリユニット、そのバッテリユニットを有するバッテリ装置、医療機器および内視鏡 |
US20060180633A1 (en) | 2005-02-17 | 2006-08-17 | Tyco Healthcare Group, Lp | Surgical staple |
US7784662B2 (en) | 2005-02-18 | 2010-08-31 | Ethicon Endo-Surgery, Inc. | Surgical instrument with articulating shaft with single pivot closure and double pivot frame ground |
US7559452B2 (en) | 2005-02-18 | 2009-07-14 | Ethicon Endo-Surgery, Inc. | Surgical instrument having fluid actuated opposing jaws |
US7654431B2 (en) | 2005-02-18 | 2010-02-02 | Ethicon Endo-Surgery, Inc. | Surgical instrument with guided laterally moving articulation member |
US7559450B2 (en) | 2005-02-18 | 2009-07-14 | Ethicon Endo-Surgery, Inc. | Surgical instrument incorporating a fluid transfer controlled articulation mechanism |
US20060289602A1 (en) | 2005-06-23 | 2006-12-28 | Ethicon Endo-Surgery, Inc. | Surgical instrument with articulating shaft with double pivot closure and single pivot frame ground |
US7572285B2 (en) | 2005-02-18 | 2009-08-11 | Smiths Medical Asd, Inc. | System for providing actuated optimal inflation to multiple temperature regulated blankets and method therefor |
US7780054B2 (en) | 2005-02-18 | 2010-08-24 | Ethicon Endo-Surgery, Inc. | Surgical instrument with laterally moved shaft actuator coupled to pivoting articulation joint |
US7878981B2 (en) | 2005-03-01 | 2011-02-01 | Checkpoint Surgical, Llc | Systems and methods for intra-operative stimulation |
GB2423931B (en) | 2005-03-03 | 2009-08-26 | Michael John Radley Young | Ultrasonic cutting tool |
US7674263B2 (en) | 2005-03-04 | 2010-03-09 | Gyrus Ent, L.L.C. | Surgical instrument and method |
US7699846B2 (en) | 2005-03-04 | 2010-04-20 | Gyrus Ent L.L.C. | Surgical instrument and method |
JP5484674B2 (ja) | 2005-03-04 | 2014-05-07 | シー・アール・バード・インコーポレーテッド | アクセスポートおよびその識別方法 |
US20060206100A1 (en) | 2005-03-09 | 2006-09-14 | Brasseler Usa Medical Llc | Surgical apparatus and power module for same, and a method of preparing a surgical apparatus |
US20060217729A1 (en) | 2005-03-09 | 2006-09-28 | Brasseler Usa Medical Llc | Surgical apparatus and tools for same |
US20060201989A1 (en) | 2005-03-11 | 2006-09-14 | Ojeda Herminio F | Surgical anvil and system for deploying the same |
US7064509B1 (en) | 2005-03-14 | 2006-06-20 | Visteon Global Technologies, Inc. | Apparatus for DC motor position detection with capacitive ripple current extraction |
US9364229B2 (en) | 2005-03-15 | 2016-06-14 | Covidien Lp | Circular anastomosis structures |
AU2012200178B2 (en) | 2005-03-15 | 2013-07-11 | Covidien Lp | Anastomosis composite gasket |
US7942890B2 (en) | 2005-03-15 | 2011-05-17 | Tyco Healthcare Group Lp | Anastomosis composite gasket |
US20070203510A1 (en) | 2006-02-28 | 2007-08-30 | Bettuchi Michael J | Annular disk for reduction of anastomotic tension and methods of using the same |
US7431230B2 (en) | 2005-03-16 | 2008-10-07 | Medtronic Ps Medical, Inc. | Apparatus and method for bone morselization for surgical grafting |
CN2785249Y (zh) | 2005-03-16 | 2006-05-31 | 刘文辉 | 一种h桥串联电压型逆变器中h桥功率模块的旁路电路 |
US9504521B2 (en) | 2005-03-17 | 2016-11-29 | Stryker Corporation | Surgical tool arrangement |
US7784663B2 (en) | 2005-03-17 | 2010-08-31 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having load sensing control circuitry |
JP4887838B2 (ja) | 2005-03-18 | 2012-02-29 | 株式会社ジェイ・エム・エス | 多孔質体の製造方法およびそれを用いた多孔質体 |
US7116100B1 (en) | 2005-03-21 | 2006-10-03 | Hr Textron, Inc. | Position sensing for moveable mechanical systems and associated methods and apparatus |
CN2796654Y (zh) | 2005-03-21 | 2006-07-19 | 强生(上海)医疗器材有限公司 | 直线型切割缝合器 |
EP1861022A2 (en) | 2005-03-22 | 2007-12-05 | Atropos Limited | A surgical instrument |
US20060252993A1 (en) | 2005-03-23 | 2006-11-09 | Freed David I | Medical devices and systems |
US7918848B2 (en) | 2005-03-25 | 2011-04-05 | Maquet Cardiovascular, Llc | Tissue welding and cutting apparatus and method |
US7670337B2 (en) | 2005-03-25 | 2010-03-02 | Boston Scientific Scimed, Inc. | Ablation probe having a plurality of arrays of electrodes |
JP2006271697A (ja) | 2005-03-29 | 2006-10-12 | Fujinon Corp | 電子内視鏡 |
ATE543455T1 (de) | 2005-03-29 | 2012-02-15 | Toshiba Kk | Manipulator |
US9138226B2 (en) | 2005-03-30 | 2015-09-22 | Covidien Lp | Cartridge assembly for a surgical stapling device |
US8945095B2 (en) | 2005-03-30 | 2015-02-03 | Intuitive Surgical Operations, Inc. | Force and torque sensing for surgical instruments |
JP4857585B2 (ja) | 2005-04-04 | 2012-01-18 | 日立工機株式会社 | コードレス電動工具 |
US7780055B2 (en) | 2005-04-06 | 2010-08-24 | Tyco Healthcare Group Lp | Loading unit having drive assembly locking mechanism |
WO2006108144A2 (en) * | 2005-04-06 | 2006-10-12 | Boston Scientific Scimed, Inc. | Systems, devices, and methods for sub-urethral support |
US7408310B2 (en) | 2005-04-08 | 2008-08-05 | Lg Electronics Inc. | Apparatus for controlling driving of reciprocating compressor and method thereof |
US20060241691A1 (en) | 2005-04-12 | 2006-10-26 | Wilk Patent, Llc | Medical treatment method and device utilizing magnetic elements |
US7211979B2 (en) | 2005-04-13 | 2007-05-01 | The Broad Of Trustees Of The Leland Stanford Junior University | Torque-position transformer for task control of position controlled robots |
US8038686B2 (en) | 2005-04-14 | 2011-10-18 | Ethicon Endo-Surgery, Inc. | Clip applier configured to prevent clip fallout |
US7731724B2 (en) | 2005-04-14 | 2010-06-08 | Ethicon Endo-Surgery, Inc. | Surgical clip advancement and alignment mechanism |
US7297149B2 (en) | 2005-04-14 | 2007-11-20 | Ethicon Endo-Surgery, Inc. | Surgical clip applier methods |
US7699860B2 (en) | 2005-04-14 | 2010-04-20 | Ethicon Endo-Surgery, Inc. | Surgical clip |
US8523882B2 (en) | 2005-04-14 | 2013-09-03 | Ethicon Endo-Surgery, Inc. | Clip advancer mechanism with alignment features |
EP1868485B1 (en) | 2005-04-15 | 2016-06-08 | Surgisense Corporation | Surgical instruments with sensors for detecting tissue properties, and systems using such instruments |
WO2006111173A1 (de) | 2005-04-16 | 2006-10-26 | Aesculap Ag & Co. Kg | Chirurgische maschine und verfahren zum steuern und/oder regeln einer chirurgischen maschine |
CA2605360C (en) | 2005-04-21 | 2017-03-28 | Asthmatx, Inc. | Control methods and devices for energy delivery |
CA2603773A1 (en) | 2005-04-26 | 2006-11-02 | Rimon Therapeutics Ltd. | Pro-angiogenic polymer scaffolds |
US8268344B2 (en) | 2005-04-27 | 2012-09-18 | The Regents Of The University Of Michigan | Particle-containing complex porous materials |
US7837694B2 (en) | 2005-04-28 | 2010-11-23 | Warsaw Orthopedic, Inc. | Method and apparatus for surgical instrument identification |
US20060244460A1 (en) | 2005-04-29 | 2006-11-02 | Weaver Jeffrey S | System and method for battery management |
US8084001B2 (en) | 2005-05-02 | 2011-12-27 | Cornell Research Foundation, Inc. | Photoluminescent silica-based sensors and methods of use |
DE102005020377B4 (de) | 2005-05-02 | 2021-08-12 | Robert Bosch Gmbh | Verfahren zum Betreiben einer Elektrowerkzeugmaschine |
US20100016888A1 (en) | 2005-05-05 | 2010-01-21 | Allison Calabrese | Surgical Gasket |
US20090177226A1 (en) | 2005-05-05 | 2009-07-09 | Jon Reinprecht | Bioabsorbable Surgical Compositions |
US20100100124A1 (en) | 2005-05-05 | 2010-04-22 | Tyco Healthcare Group Lp | Bioabsorbable surgical composition |
US20100012703A1 (en) | 2005-05-05 | 2010-01-21 | Allison Calabrese | Surgical Gasket |
US7418078B2 (en) | 2005-05-06 | 2008-08-26 | Siemens Medical Solutions Usa, Inc. | Spot-size effect reduction |
US20060252990A1 (en) | 2005-05-06 | 2006-11-09 | Melissa Kubach | Systems and methods for endoscope integrity testing |
US7806871B2 (en) | 2005-05-09 | 2010-10-05 | Boston Scientific Scimed, Inc. | Method and device for tissue removal and for delivery of a therapeutic agent or bulking agent |
NZ563249A (en) | 2005-05-10 | 2010-08-27 | Carefusion 303 Inc | Medication safety system featuring a multiplexed RFID interrogator panel |
WO2006122279A2 (en) | 2005-05-11 | 2006-11-16 | Mayo Foundation For Medical Education And Research | Apparatus and methods for internal surgical procedures |
JP4339275B2 (ja) | 2005-05-12 | 2009-10-07 | 株式会社エスティック | インパクト式のネジ締め装置の制御方法および装置 |
US20060258904A1 (en) | 2005-05-13 | 2006-11-16 | David Stefanchik | Feeding tube and track |
US7648457B2 (en) | 2005-05-13 | 2010-01-19 | Ethicon Endo-Surgery, Inc. | Method of positioning a device on an endoscope |
US8108072B2 (en) | 2007-09-30 | 2012-01-31 | Intuitive Surgical Operations, Inc. | Methods and systems for robotic instrument tool tracking with adaptive fusion of kinematics information and image information |
US7557534B2 (en) | 2005-05-17 | 2009-07-07 | Milwaukee Electric Tool Corporation | Power tool, battery, charger and method of operating the same |
SG127831A1 (en) | 2005-05-17 | 2006-12-29 | Ethicon Endo Surgery Inc | Surgical stapler having a plastic closure plate |
DE102005000062A1 (de) | 2005-05-18 | 2006-11-23 | Hilti Ag | Elektrisch betriebenes Eintreibgerät |
US7415827B2 (en) | 2005-05-18 | 2008-08-26 | United Technologies Corporation | Arrangement for controlling fluid jets injected into a fluid stream |
US7682561B2 (en) | 2005-05-19 | 2010-03-23 | Sage Products, Inc. | Needleless hub disinfection device and method |
US8840876B2 (en) | 2005-05-19 | 2014-09-23 | Ethicon, Inc. | Antimicrobial polymer compositions and the use thereof |
US20060263444A1 (en) | 2005-05-19 | 2006-11-23 | Xintian Ming | Antimicrobial composition |
US8157815B2 (en) | 2005-05-20 | 2012-04-17 | Neotract, Inc. | Integrated handle assembly for anchor delivery system |
US7758594B2 (en) | 2005-05-20 | 2010-07-20 | Neotract, Inc. | Devices, systems and methods for treating benign prostatic hyperplasia and other conditions |
US20060264832A1 (en) | 2005-05-20 | 2006-11-23 | Medtronic, Inc. | User interface for a portable therapy delivery device |
US20060261763A1 (en) | 2005-05-23 | 2006-11-23 | Masco Corporation | Brushed motor position control based upon back current detection |
CA2508161C (en) | 2005-05-24 | 2010-03-30 | Lawrence Wayne Vereschagin | Automatic banding device and method |
AU2006251051B2 (en) | 2005-05-25 | 2009-07-16 | Gyrus Medical, Inc. | A surgical instrument |
US20060271042A1 (en) | 2005-05-26 | 2006-11-30 | Gyrus Medical, Inc. | Cutting and coagulating electrosurgical forceps having cam controlled jaw closure |
DE202005009061U1 (de) | 2005-05-31 | 2006-10-12 | Karl Storz Gmbh & Co. Kg | Clip und Clipsetzer zum Verschließen von Blutgefäßen |
JP2006334029A (ja) | 2005-05-31 | 2006-12-14 | Olympus Medical Systems Corp | 外科用手術装置 |
CA2549209C (en) | 2005-06-02 | 2014-03-25 | Tyco Healthcare Group Lp | Multiple coil staple and staple applier |
CA2549224A1 (en) | 2005-06-02 | 2006-12-02 | Tyco Healthcare Group Lp | Expandable backspan staple |
US11291443B2 (en) | 2005-06-03 | 2022-04-05 | Covidien Lp | Surgical stapler with timer and feedback display |
WO2007142625A2 (en) | 2006-06-02 | 2007-12-13 | Tyco Healthcare Group Lp | Surgical stapler with timer and feedback display |
CA2609970C (en) | 2005-06-03 | 2014-08-12 | Tyco Healthcare Group Lp | Battery powered surgical instrument |
AU2012203035B2 (en) | 2005-06-03 | 2014-10-23 | Covidien Lp | Surgical stapler with timer and feedback display |
US7717312B2 (en) | 2005-06-03 | 2010-05-18 | Tyco Healthcare Group Lp | Surgical instruments employing sensors |
US7909191B2 (en) | 2005-06-03 | 2011-03-22 | Greatbatch Ltd. | Connectable instrument trays for creating a modular case |
US20060276726A1 (en) | 2005-06-03 | 2006-12-07 | Holsten Henry E | Tissue tension detection system |
US7330004B2 (en) | 2005-06-06 | 2008-02-12 | Lutron Electronics Co., Inc. | Method and apparatus for quiet variable motor speed control |
US7824579B2 (en) | 2005-06-07 | 2010-11-02 | E. I. Du Pont De Nemours And Company | Aluminum thick film composition(s), electrode(s), semiconductor device(s) and methods of making thereof |
TW200642841A (en) | 2005-06-08 | 2006-12-16 | Nanoforce Technologies Corp | After glow lighting film having UV filtering and explosion-proof |
US7265374B2 (en) | 2005-06-10 | 2007-09-04 | Arima Computer Corporation | Light emitting semiconductor device |
US7295907B2 (en) | 2005-06-14 | 2007-11-13 | Trw Automotive U.S. Llc | Recovery of calibrated center steering position after loss of battery power |
EP1736112B1 (en) | 2005-06-20 | 2011-08-17 | Heribert Schmid | Medical device |
US7655003B2 (en) | 2005-06-22 | 2010-02-02 | Smith & Nephew, Inc. | Electrosurgical power control |
EP1919376B1 (en) | 2005-06-28 | 2010-07-21 | Stryker Corporation | Powered surgical tool with control module that contains a sensor for remotely monitoring the tool power generating unit |
KR100846472B1 (ko) | 2005-06-29 | 2008-07-17 | 엘지전자 주식회사 | 리니어 모터 |
US7898198B2 (en) | 2005-06-29 | 2011-03-01 | Drs Test & Energy Management, Llc | Torque controller in an electric motor |
US9597063B2 (en) | 2006-06-28 | 2017-03-21 | Abbott Laboratories | Expandable introducer sheath to preserve guidewire access |
CN103192388B (zh) | 2005-06-30 | 2016-02-10 | 直观外科手术操作公司 | 一种机器人医疗系统 |
US8241271B2 (en) | 2005-06-30 | 2012-08-14 | Intuitive Surgical Operations, Inc. | Robotic surgical instruments with a fluid flow control system for irrigation, aspiration, and blowing |
US7709136B2 (en) | 2005-07-01 | 2010-05-04 | Perimeter Technologies Incorporated | Battery pack assembly |
USD605201S1 (en) | 2005-07-01 | 2009-12-01 | Roche Diagnostics Operations, Inc. | Image for a risk evaluation system for a portion of a computer screen |
US20080312686A1 (en) | 2005-07-01 | 2008-12-18 | Abbott Laboratories | Antimicrobial closure element and closure element applier |
KR100751733B1 (ko) | 2005-07-07 | 2007-08-24 | 한국과학기술연구원 | 겔 방사 성형법을 이용한 조직공학용 다공성 고분자지지체의 제조 방법 |
JP4879645B2 (ja) | 2005-07-12 | 2012-02-22 | ローム株式会社 | モータ駆動装置及びこれを用いた電気機器 |
US7837685B2 (en) | 2005-07-13 | 2010-11-23 | Covidien Ag | Switch mechanisms for safe activation of energy on an electrosurgical instrument |
US8409175B2 (en) | 2005-07-20 | 2013-04-02 | Woojin Lee | Surgical instrument guide device |
JP4756943B2 (ja) | 2005-07-22 | 2011-08-24 | オリンパス株式会社 | 内視鏡用縫合装置 |
US20070055228A1 (en) | 2005-07-22 | 2007-03-08 | Berg Howard K | Ultrasonic scalpel device |
US7871416B2 (en) | 2005-07-22 | 2011-01-18 | Phillips Edward H | Clamp device to plicate the stomach |
US7554343B2 (en) | 2005-07-25 | 2009-06-30 | Piezoinnovations | Ultrasonic transducer control method and system |
US7597699B2 (en) | 2005-07-25 | 2009-10-06 | Rogers William G | Motorized surgical handpiece |
US8579176B2 (en) | 2005-07-26 | 2013-11-12 | Ethicon Endo-Surgery, Inc. | Surgical stapling and cutting device and method for using the device |
US8573462B2 (en) | 2006-05-19 | 2013-11-05 | Ethicon Endo-Surgery, Inc. | Electrical surgical instrument with optimized power supply and drive |
US8627993B2 (en) | 2007-02-12 | 2014-01-14 | Ethicon Endo-Surgery, Inc. | Active braking electrical surgical instrument and method for braking such an instrument |
US8627995B2 (en) | 2006-05-19 | 2014-01-14 | Ethicon Endo-Sugery, Inc. | Electrically self-powered surgical instrument with cryptographic identification of interchangeable part |
JP4336386B2 (ja) | 2005-07-26 | 2009-09-30 | エシコン エンド−サージェリー,インク. | 外科用ステープリング及び切断デバイスおよびこのデバイスの使用方法 |
US7959050B2 (en) | 2005-07-26 | 2011-06-14 | Ethicon Endo-Surgery, Inc | Electrically self-powered surgical instrument with manual release |
US7479608B2 (en) | 2006-05-19 | 2009-01-20 | Ethicon Endo-Surgery, Inc. | Force switch |
US10314583B2 (en) | 2005-07-26 | 2019-06-11 | Ethicon Llc | Electrically self-powered surgical instrument with manual release |
US9554803B2 (en) | 2005-07-26 | 2017-01-31 | Ethicon Endo-Surgery, Llc | Electrically self-powered surgical instrument with manual release |
US8679154B2 (en) | 2007-01-12 | 2014-03-25 | Ethicon Endo-Surgery, Inc. | Adjustable compression staple and method for stapling with adjustable compression |
US9662116B2 (en) | 2006-05-19 | 2017-05-30 | Ethicon, Llc | Electrically self-powered surgical instrument with cryptographic identification of interchangeable part |
US8123523B2 (en) | 2005-07-26 | 2012-02-28 | Angstrom Manufacturing, Inc. | Prophy angle and adapter |
WO2007014353A2 (en) | 2005-07-27 | 2007-02-01 | Power Medical Interventions, Inc. | System and method for forming staple pockets of a surgical stapler |
EP1917125B1 (en) | 2005-07-27 | 2011-09-07 | Tyco Healthcare Group LP | Staple pocket arrangement for surgical stapler |
CA2617122C (en) | 2005-07-27 | 2013-12-10 | Power Medical Interventions, Inc. | Shaft, e.g., for an electro-mechanical surgical device |
US20070026039A1 (en) | 2005-07-29 | 2007-02-01 | Drumheller Paul D | Composite self-cohered web materials |
US20070026040A1 (en) | 2005-07-29 | 2007-02-01 | Crawley Jerald M | Composite self-cohered web materials |
US20070027551A1 (en) | 2005-07-29 | 2007-02-01 | Farnsworth Ted R | Composite self-cohered web materials |
US20070155010A1 (en) | 2005-07-29 | 2007-07-05 | Farnsworth Ted R | Highly porous self-cohered fibrous tissue engineering scaffold |
EP1910964A1 (en) | 2005-07-29 | 2008-04-16 | Alcon, Inc. | Method and system for configuring and data populating a surgical device |
US8048503B2 (en) | 2005-07-29 | 2011-11-01 | Gore Enterprise Holdings, Inc. | Highly porous self-cohered web materials |
US7655288B2 (en) | 2005-07-29 | 2010-02-02 | Gore Enterprise Holdings, Inc. | Composite self-cohered web materials |
US7604668B2 (en) | 2005-07-29 | 2009-10-20 | Gore Enterprise Holdings, Inc. | Composite self-cohered web materials |
AU2006276044B2 (en) | 2005-07-29 | 2010-02-11 | W. L. Gore & Associates, Inc. | Highly porous self-cohered web materials having haemostatic properties |
US7655584B2 (en) | 2005-07-29 | 2010-02-02 | Gore Enterprise Holdings, Inc. | Highly porous self-cohered web materials |
US20070027468A1 (en) | 2005-08-01 | 2007-02-01 | Wales Kenneth S | Surgical instrument with an articulating shaft locking mechanism |
NZ565412A (en) | 2005-08-01 | 2011-03-31 | Miret Lab | Preservative systems comprising cationic surfactants |
JP4675709B2 (ja) | 2005-08-03 | 2011-04-27 | 株式会社リコー | 光走査装置及び画像形成装置 |
US7641092B2 (en) | 2005-08-05 | 2010-01-05 | Ethicon Endo - Surgery, Inc. | Swing gate for device lockout in a curved cutter stapler |
US7559937B2 (en) | 2005-08-09 | 2009-07-14 | Towertech Research Group | Surgical fastener apparatus and reinforcing material |
US7101187B1 (en) | 2005-08-11 | 2006-09-05 | Protex International Corp. | Rotatable electrical connector |
US8579178B2 (en) | 2005-08-15 | 2013-11-12 | Covidien Lp | Surgical stapling instruments including a cartridge having multiple staples sizes |
US7398908B2 (en) | 2005-08-15 | 2008-07-15 | Tyco Healthcare Group Lp | Surgical stapling instruments including a cartridge having multiple staple sizes |
US7407075B2 (en) | 2005-08-15 | 2008-08-05 | Tyco Healthcare Group Lp | Staple cartridge having multiple staple sizes for a surgical stapling instrument |
US7401721B2 (en) | 2005-08-15 | 2008-07-22 | Tyco Healthcare Group Lp | Surgical stapling instruments including a cartridge having multiple staple sizes |
US7388484B2 (en) | 2005-08-16 | 2008-06-17 | Honeywell International Inc. | Conductive tamper switch for security devices |
DE102005038919A1 (de) | 2005-08-17 | 2007-03-15 | BSH Bosch und Siemens Hausgeräte GmbH | Elektromotorisches Küchengerät mit elektrischer oder elektronischer Verriegelung |
US7771440B2 (en) | 2005-08-18 | 2010-08-10 | Ethicon Endo-Surgery, Inc. | Method and apparatus for endoscopically performing gastric reduction surgery in a single pass |
JP4402629B2 (ja) | 2005-08-19 | 2010-01-20 | オリンパスメディカルシステムズ株式会社 | 超音波凝固切開装置 |
US8657814B2 (en) | 2005-08-22 | 2014-02-25 | Medtronic Ablation Frontiers Llc | User interface for tissue ablation system |
CA2620196A1 (en) | 2005-08-24 | 2007-03-01 | Traxtal Inc. | System, method and devices for navigated flexible endoscopy |
US7828794B2 (en) | 2005-08-25 | 2010-11-09 | Covidien Ag | Handheld electrosurgical apparatus for controlling operating room equipment |
US7419495B2 (en) | 2005-08-25 | 2008-09-02 | Microline Pentax Inc. | Trigger lockout device for clip applying instrument |
US20080177392A1 (en) | 2005-08-30 | 2008-07-24 | Williams Michael S | Closed system artificial intervertebral disc |
US11484312B2 (en) | 2005-08-31 | 2022-11-01 | Cilag Gmbh International | Staple cartridge comprising a staple driver arrangement |
US8317070B2 (en) | 2005-08-31 | 2012-11-27 | Ethicon Endo-Surgery, Inc. | Surgical stapling devices that produce formed staples having different lengths |
US8800838B2 (en) | 2005-08-31 | 2014-08-12 | Ethicon Endo-Surgery, Inc. | Robotically-controlled cable-based surgical end effectors |
US11246590B2 (en) | 2005-08-31 | 2022-02-15 | Cilag Gmbh International | Staple cartridge including staple drivers having different unfired heights |
US7500979B2 (en) | 2005-08-31 | 2009-03-10 | Ethicon Endo-Surgery, Inc. | Surgical stapling device with multiple stacked actuator wedge cams for driving staple drivers |
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 |
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 |
CN2815700Y (zh) | 2005-09-01 | 2006-09-13 | 煜日升电子(深圳)有限公司 | 电动订书机 |
US20070051375A1 (en) | 2005-09-06 | 2007-03-08 | Milliman Keith L | Instrument introducer |
US7778004B2 (en) | 2005-09-13 | 2010-08-17 | Taser International, Inc. | Systems and methods for modular electronic weaponry |
WO2007033379A2 (en) | 2005-09-14 | 2007-03-22 | Neoguide Systems, Inc. | Methods and apparatus for performing transluminal and other procedures |
CA2520413C (en) | 2005-09-21 | 2016-10-11 | Sherwood Services Ag | Bipolar forceps with multiple electrode array end effector assembly |
US7472815B2 (en) | 2005-09-21 | 2009-01-06 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments with collapsible features for controlling staple height |
US7407078B2 (en) | 2005-09-21 | 2008-08-05 | Ehthicon Endo-Surgery, Inc. | Surgical stapling instrument having force controlled spacing end effector |
EP1948044A1 (en) | 2005-09-21 | 2008-07-30 | BHC Pharmaceuticals Pty Ltd | Cutting instrument |
EP1767163A1 (en) | 2005-09-22 | 2007-03-28 | Sherwood Services AG | Bipolar forceps with multiple electrode array end effector assembly |
US7772725B2 (en) | 2005-09-22 | 2010-08-10 | Eastman Kodak Company | Apparatus and method for current control in H-Bridge load drivers |
US7691106B2 (en) | 2005-09-23 | 2010-04-06 | Synvasive Technology, Inc. | Transverse acting surgical saw blade |
US7451904B2 (en) | 2005-09-26 | 2008-11-18 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having end effector gripping surfaces |
JP4190530B2 (ja) | 2005-09-26 | 2008-12-03 | オリンパスメディカルシステムズ株式会社 | 超音波診断装置 |
JP2007097252A (ja) | 2005-09-27 | 2007-04-12 | Nayuta:Kk | 電源装置およびその双方向昇降圧コンバータ |
JP4927371B2 (ja) | 2005-09-28 | 2012-05-09 | 興和株式会社 | 眼内レンズ |
KR100699467B1 (ko) | 2005-09-28 | 2007-03-26 | 삼성전자주식회사 | Rf-id 태그, rf-id 사생활보호 시스템 및 그 방법 |
US8079950B2 (en) | 2005-09-29 | 2011-12-20 | Intuitive Surgical Operations, Inc. | Autofocus and/or autoscaling in telesurgery |
US7357287B2 (en) | 2005-09-29 | 2008-04-15 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having preloaded firing assistance mechanism |
US7722607B2 (en) | 2005-09-30 | 2010-05-25 | Covidien Ag | In-line vessel sealer and divider |
EP1769765B1 (en) | 2005-09-30 | 2012-03-21 | Covidien AG | Insulating boot for electrosurgical forceps |
DE102005047320A1 (de) | 2005-09-30 | 2007-04-05 | Biotronik Crm Patent Ag | Detektor für atriales Flimmern und Flattern |
AU2006222753B2 (en) | 2005-09-30 | 2012-09-27 | Ethicon Endo-Surgery, Inc. | Electroactive polymer-based actuation mechanism for linear surgical stapler |
US9055942B2 (en) | 2005-10-03 | 2015-06-16 | Boston Scienctific Scimed, Inc. | Endoscopic plication devices and methods |
US20080190989A1 (en) | 2005-10-03 | 2008-08-14 | Crews Samuel T | Endoscopic plication device and method |
US20070078484A1 (en) | 2005-10-03 | 2007-04-05 | Joseph Talarico | Gentle touch surgical instrument and method of using same |
US7635074B2 (en) | 2005-10-04 | 2009-12-22 | Tyco Healthcare Group Lp | Staple drive assembly |
US7641091B2 (en) | 2005-10-04 | 2010-01-05 | Tyco Healthcare Group Lp | Staple drive assembly |
CA2625359A1 (en) | 2005-10-11 | 2007-04-19 | Blake Podaima | Smart medical compliance method and system |
US8096459B2 (en) | 2005-10-11 | 2012-01-17 | Ethicon Endo-Surgery, Inc. | Surgical stapler with an end effector support |
CA2625730C (en) | 2005-10-14 | 2015-04-14 | Applied Medical Resources Corporation | Split hoop wound retractor with gel pad |
AU2006228045B2 (en) | 2005-10-14 | 2011-11-24 | Covidien Lp | Apparatus for laparoscopic or endoscopic procedures |
CA2563147C (en) | 2005-10-14 | 2014-09-23 | Tyco Healthcare Group Lp | Surgical stapling device |
US8266232B2 (en) | 2005-10-15 | 2012-09-11 | International Business Machines Corporation | Hardware processing of commands within virtual client computing environment |
US20070173870A2 (en) | 2005-10-18 | 2007-07-26 | Jaime Zacharias | Precision Surgical System |
US7966269B2 (en) | 2005-10-20 | 2011-06-21 | Bauer James D | Intelligent human-machine interface |
US20070244471A1 (en) | 2005-10-21 | 2007-10-18 | Don Malackowski | System and method for managing the operation of a battery powered surgical tool and the battery used to power the tool |
DE602006018510D1 (de) | 2005-10-21 | 2011-01-05 | Stryker Corp | System und verfahren zum wiederaufladen einer harschen umgebung ausgesetzten batterie |
US20070103437A1 (en) | 2005-10-26 | 2007-05-10 | Outland Research, Llc | Haptic metering for minimally invasive medical procedures |
US8080004B2 (en) | 2005-10-26 | 2011-12-20 | Earl Downey | Laparoscopic surgical instrument |
US7850623B2 (en) | 2005-10-27 | 2010-12-14 | Boston Scientific Scimed, Inc. | Elongate medical device with continuous reinforcement member |
EP1780867B1 (en) | 2005-10-28 | 2016-11-30 | Black & Decker Inc. | Battery pack for cordless power tools |
EP2919295B1 (en) | 2005-10-31 | 2018-08-29 | Black & Decker, Inc. | Method of arranging the components of a battery pack |
US7656131B2 (en) | 2005-10-31 | 2010-02-02 | Black & Decker Inc. | Methods of charging battery packs for cordless power tool systems |
EP1780937A1 (en) | 2005-11-01 | 2007-05-02 | Black & Decker, Inc. | Method and system for authenticating a smart battery system |
US20070102472A1 (en) | 2005-11-04 | 2007-05-10 | Ethicon Endo-Surgery, Inc. | Electrosurgical stapling instrument with disposable severing / stapling unit |
US7607557B2 (en) | 2005-11-04 | 2009-10-27 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments structured for pump-assisted delivery of medical agents |
US7328828B2 (en) | 2005-11-04 | 2008-02-12 | Ethicon Endo-Surgery, Inc, | Lockout mechanisms and surgical instruments including same |
US7673783B2 (en) | 2005-11-04 | 2010-03-09 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments structured for delivery of medical agents |
US8182444B2 (en) | 2005-11-04 | 2012-05-22 | Medrad, Inc. | Delivery of agents such as cells to tissue |
US20070106113A1 (en) | 2005-11-07 | 2007-05-10 | Biagio Ravo | Combination endoscopic operative delivery system |
US7799039B2 (en) | 2005-11-09 | 2010-09-21 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a hydraulically actuated end effector |
US7673780B2 (en) | 2005-11-09 | 2010-03-09 | Ethicon Endo-Surgery, Inc. | Articulation joint with improved moment arm extension for articulating an end effector of a surgical instrument |
US20070106317A1 (en) | 2005-11-09 | 2007-05-10 | Shelton Frederick E Iv | Hydraulically and electrically actuated articulation joints for surgical instruments |
CN2868212Y (zh) | 2005-11-11 | 2007-02-14 | 钟李宽 | 随换式腹腔镜手术钳 |
CN101351236B (zh) | 2005-11-15 | 2013-05-29 | 约翰霍普金斯大学 | 一种用于生物感应和外科手术的活性套管 |
EP1785703B1 (de) | 2005-11-15 | 2011-12-21 | Mettler-Toledo AG | Verfahren zur Überwachung und/oder zur Bestimmung des Zustandes einer Kraftmessvorrichtung und Kraftmessvorrichtung |
US7272002B2 (en) | 2005-11-16 | 2007-09-18 | Adc Dsl Systems, Inc. | Auxiliary cooling methods and systems for electrical device housings |
EP1973494A2 (en) | 2005-11-17 | 2008-10-01 | Calypso Medical Technologies, INC. | Apparatus and methods for using an electromagnetic transponder in orthopedic procedures |
US20070118115A1 (en) | 2005-11-22 | 2007-05-24 | Sherwood Services Ag | Bipolar electrosurgical sealing instrument having an improved tissue gripping device |
US7651017B2 (en) | 2005-11-23 | 2010-01-26 | Ethicon Endo-Surgery, Inc. | Surgical stapler with a bendable end effector |
US7896895B2 (en) | 2005-11-23 | 2011-03-01 | Ethicon Endo-Surgery, Inc. | Surgical clip and applier device and method of use |
US7246734B2 (en) | 2005-12-05 | 2007-07-24 | Ethicon Endo-Surgery, Inc. | Rotary hydraulic pump actuated multi-stroke surgical instrument |
DE102005058107A1 (de) | 2005-12-05 | 2007-07-26 | Müller, Erich Johann, Dr. med. | Chirurgisches Bearbeitungswerkzeug |
EP1957695B1 (en) | 2005-12-07 | 2011-02-09 | Ramot at Tel-Aviv University Ltd. | Drug-delivering composite structures |
US8498691B2 (en) | 2005-12-09 | 2013-07-30 | Hansen Medical, Inc. | Robotic catheter system and methods |
US8190238B2 (en) | 2005-12-09 | 2012-05-29 | Hansen Medical, Inc. | Robotic catheter system and methods |
CN2868208Y (zh) | 2005-12-14 | 2007-02-14 | 苏州天臣国际医疗科技有限公司 | 设有自动保险机构的圆管型装订仪 |
US20070135686A1 (en) | 2005-12-14 | 2007-06-14 | Pruitt John C Jr | Tools and methods for epicardial access |
US9241767B2 (en) | 2005-12-20 | 2016-01-26 | Intuitive Surgical Operations, Inc. | Method for handling an operator command exceeding a medical device state limitation in a medical robotic system |
CN101340852B (zh) | 2005-12-20 | 2011-12-28 | 直观外科手术操作公司 | 机器人外科系统的器械对接装置 |
US8672922B2 (en) | 2005-12-20 | 2014-03-18 | Intuitive Surgical Operations, Inc. | Wireless communication in a robotic surgical system |
US7464845B2 (en) | 2005-12-22 | 2008-12-16 | Welcome Co., Ltd. | Hand-held staple gun having a safety device |
RU61114U1 (ru) | 2005-12-23 | 2007-02-27 | Мирзакарим Санакулович Норбеков | Аппарат для развития мозговой деятельности |
CN101346204B (zh) | 2005-12-26 | 2010-12-29 | 日东工器株式会社 | 移动式钻床 |
US20100145146A1 (en) | 2005-12-28 | 2010-06-10 | Envisionier Medical Technologies, Inc. | Endoscopic digital recording system with removable screen and storage device |
WO2007074430A1 (en) | 2005-12-28 | 2007-07-05 | Given Imaging Ltd. | Device, system and method for activation of an in vivo device |
TWI288526B (en) | 2005-12-30 | 2007-10-11 | Yen Sun Technology Corp | Speed transmission control circuit of a brushless DC motor |
US7930065B2 (en) | 2005-12-30 | 2011-04-19 | Intuitive Surgical Operations, Inc. | Robotic surgery system including position sensors using fiber bragg gratings |
US7553173B2 (en) | 2005-12-30 | 2009-06-30 | Click, Inc. | Vehicle connector lockout apparatus and method of using same |
US7481824B2 (en) | 2005-12-30 | 2009-01-27 | Ethicon Endo-Surgery, Inc. | Surgical instrument with bending articulation controlled articulation pivot joint |
US8628518B2 (en) | 2005-12-30 | 2014-01-14 | Intuitive Surgical Operations, Inc. | Wireless force sensor on a distal portion of a surgical instrument and method |
USD552623S1 (en) | 2006-01-04 | 2007-10-09 | Microsoft Corporation | User interface for a portion of a display screen |
US7835823B2 (en) | 2006-01-05 | 2010-11-16 | Intuitive Surgical Operations, Inc. | Method for tracking and reporting usage events to determine when preventive maintenance is due for a medical robotic system |
US7955257B2 (en) | 2006-01-05 | 2011-06-07 | Depuy Spine, Inc. | Non-rigid surgical retractor |
JP4597871B2 (ja) | 2006-01-05 | 2010-12-15 | 富士フイルム株式会社 | デジタルカメラ |
US8202535B2 (en) | 2006-01-06 | 2012-06-19 | Acelrx Pharmaceuticals, Inc. | Small-volume oral transmucosal dosage forms |
US7670334B2 (en) | 2006-01-10 | 2010-03-02 | Ethicon Endo-Surgery, Inc. | Surgical instrument having an articulating end effector |
KR100752548B1 (ko) | 2006-01-10 | 2007-08-29 | (주)이앤아이 | 하이브리드 전동기의 제어 장치 및 그 제어 방법 |
DE102006001677B3 (de) | 2006-01-12 | 2007-05-03 | Gebr. Brasseler Gmbh & Co. Kg | Chirurgische Kupplungsvorrichtung |
WO2007080783A1 (ja) | 2006-01-13 | 2007-07-19 | Olympus Medical Systems Corp. | 回転自走式内視鏡システム、プログラム、回転自走式内視鏡システムの駆動方法 |
US20120064483A1 (en) | 2010-09-13 | 2012-03-15 | Kevin Lint | Hard-wired and wireless system with footswitch for operating a dental or medical treatment apparatus |
US20070173872A1 (en) | 2006-01-23 | 2007-07-26 | Ethicon Endo-Surgery, Inc. | Surgical instrument for cutting and coagulating patient tissue |
US20070173813A1 (en) | 2006-01-24 | 2007-07-26 | Sherwood Services Ag | System and method for tissue sealing |
CA2574934C (en) | 2006-01-24 | 2015-12-29 | Sherwood Services Ag | System and method for closed loop monitoring of monopolar electrosurgical apparatus |
US8147485B2 (en) | 2006-01-24 | 2012-04-03 | Covidien Ag | System and method for tissue sealing |
US8248232B2 (en) | 2006-01-25 | 2012-08-21 | Greatbatch Ltd. | Hermetically sealed RFID microelectronic chip connected to a biocompatible RFID antenna |
JP5355094B2 (ja) | 2006-01-27 | 2013-11-27 | スターテック インコーポレイテッド | 組織閉鎖装置および方法 |
US7705559B2 (en) | 2006-01-27 | 2010-04-27 | Stryker Corporation | Aseptic battery with a removal cell cluster, the cell cluster configured for charging in a socket that receives a sterilizable battery |
US20070198039A1 (en) | 2006-01-27 | 2007-08-23 | Wilson-Cook Medical, Inc. | Intragastric device for treating obesity |
US7845537B2 (en) | 2006-01-31 | 2010-12-07 | Ethicon Endo-Surgery, Inc. | Surgical instrument having recording capabilities |
GB2435214B (en) | 2006-01-31 | 2010-01-20 | Michael John Radley Young | Ultrasonic Cutting Tool |
US7766210B2 (en) | 2006-01-31 | 2010-08-03 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting and fastening instrument with user feedback system |
US7416101B2 (en) | 2006-01-31 | 2008-08-26 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting and fastening instrument with loading force feedback |
US7770775B2 (en) | 2006-01-31 | 2010-08-10 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting and fastening instrument with adaptive user feedback |
US7464846B2 (en) | 2006-01-31 | 2008-12-16 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a removable battery |
US11278279B2 (en) | 2006-01-31 | 2022-03-22 | Cilag Gmbh International | Surgical instrument assembly |
US20070175955A1 (en) | 2006-01-31 | 2007-08-02 | Shelton Frederick E Iv | Surgical cutting and fastening instrument with closure trigger locking mechanism |
US7422139B2 (en) | 2006-01-31 | 2008-09-09 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting fastening instrument with tactile position feedback |
US20070175951A1 (en) | 2006-01-31 | 2007-08-02 | Shelton Frederick E Iv | Gearing selector for a powered surgical cutting and fastening instrument |
US8161977B2 (en) | 2006-01-31 | 2012-04-24 | Ethicon Endo-Surgery, Inc. | Accessing data stored in a memory of a surgical instrument |
US7639598B2 (en) | 2006-01-31 | 2009-12-29 | Szabolcs Sovenyi | Simultaneous full-duplex communication over a single electrical conductor |
US11224427B2 (en) | 2006-01-31 | 2022-01-18 | Cilag Gmbh International | Surgical stapling system including a console and retraction assembly |
US8820603B2 (en) | 2006-01-31 | 2014-09-02 | Ethicon Endo-Surgery, Inc. | Accessing data stored in a memory of a surgical instrument |
US20110295295A1 (en) | 2006-01-31 | 2011-12-01 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical instrument having recording capabilities |
US9861359B2 (en) | 2006-01-31 | 2018-01-09 | Ethicon Llc | Powered surgical instruments with firing system lockout arrangements |
US11793518B2 (en) | 2006-01-31 | 2023-10-24 | Cilag Gmbh International | Powered surgical instruments with firing system lockout arrangements |
US7644848B2 (en) | 2006-01-31 | 2010-01-12 | Ethicon Endo-Surgery, Inc. | Electronic lockouts and surgical instrument including same |
US20070175950A1 (en) | 2006-01-31 | 2007-08-02 | Shelton Frederick E Iv | Disposable staple cartridge having an anvil with tissue locator for use with a surgical cutting and fastening instrument and modular end effector system therefor |
US8763879B2 (en) | 2006-01-31 | 2014-07-01 | Ethicon Endo-Surgery, Inc. | Accessing data stored in a memory of surgical instrument |
US8186555B2 (en) | 2006-01-31 | 2012-05-29 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting and fastening instrument with mechanical closure system |
US20120292367A1 (en) | 2006-01-31 | 2012-11-22 | Ethicon Endo-Surgery, Inc. | Robotically-controlled end effector |
US7464849B2 (en) | 2006-01-31 | 2008-12-16 | Ethicon Endo-Surgery, Inc. | Electro-mechanical surgical instrument with closure system and anvil alignment components |
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 |
US7891531B1 (en) | 2006-01-31 | 2011-02-22 | Ward Gary L | Sub-miniature surgical staple cartridge |
US7575144B2 (en) | 2006-01-31 | 2009-08-18 | Ethicon Endo-Surgery, Inc. | Surgical fastener and cutter with single cable actuator |
US20110006101A1 (en) | 2009-02-06 | 2011-01-13 | EthiconEndo-Surgery, Inc. | Motor driven surgical fastener device with cutting member lockout arrangements |
US8708213B2 (en) | 2006-01-31 | 2014-04-29 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a feedback system |
US7568603B2 (en) | 2006-01-31 | 2009-08-04 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting and fastening instrument with articulatable end effector |
US7422138B2 (en) | 2006-02-01 | 2008-09-09 | Ethicon Endo-Surgery, Inc. | Elliptical intraluminal surgical stapler for anastomosis |
US7595642B2 (en) | 2006-02-01 | 2009-09-29 | Qualcomm Incorporated | Battery management system for determining battery charge sufficiency for a task |
US9629626B2 (en) | 2006-02-02 | 2017-04-25 | Covidien Lp | Mechanically tuned buttress material to assist with proper formation of surgical element in diseased tissue |
US8062236B2 (en) | 2006-02-02 | 2011-11-22 | Tyco Healthcare Group, Lp | Method and system to determine an optimal tissue compression time to implant a surgical element |
EP1815950A1 (en) | 2006-02-03 | 2007-08-08 | The European Atomic Energy Community (EURATOM), represented by the European Commission | Robotic surgical system for performing minimally invasive medical procedures |
GB0602192D0 (en) | 2006-02-03 | 2006-03-15 | Tissuemed Ltd | Tissue-adhesive materials |
EP1837041A1 (en) | 2006-03-20 | 2007-09-26 | Tissuemed Limited | Tissue-adhesive materials |
US20070185545A1 (en) | 2006-02-06 | 2007-08-09 | Medtronic Emergency Response Systems, Inc. | Post-download patient data protection in a medical device |
WO2007092852A2 (en) | 2006-02-06 | 2007-08-16 | Mynosys Cellular Devices, Inc. | Microsurgical cutting instruments |
DE102006005998B4 (de) | 2006-02-08 | 2008-05-08 | Schnier, Dietmar, Dr. | Schraubenmutter mit mindestens zwei Teilen |
WO2007095005A1 (en) | 2006-02-10 | 2007-08-23 | Z-Medica Corporation | Agents and devices for providing blood clotting functions to wounds |
US7854735B2 (en) | 2006-02-16 | 2010-12-21 | Ethicon Endo-Surgery, Inc. | Energy-based medical treatment system and method |
DE212007000029U1 (de) | 2006-02-20 | 2008-10-09 | Black & Decker Inc., Newark | Gleichstrommotor mit Dual-Kommutatorlamellensatz und wahlweise in Reihe und parallel geschalteten Wicklungen |
US20070208375A1 (en) | 2006-02-23 | 2007-09-06 | Kouji Nishizawa | Surgical device |
JP4910423B2 (ja) | 2006-02-27 | 2012-04-04 | ソニー株式会社 | バッテリパック、電子機器、およびバッテリ残量検出方法 |
US8500628B2 (en) | 2006-02-28 | 2013-08-06 | Olympus Endo Technology America, Inc. | Rotate-to-advance catheterization system |
US20070208359A1 (en) | 2006-03-01 | 2007-09-06 | Hoffman Douglas B | Method for stapling tissue |
US20070207010A1 (en) | 2006-03-03 | 2007-09-06 | Roni Caspi | Split nut with magnetic coupling |
US8585753B2 (en) | 2006-03-04 | 2013-11-19 | John James Scanlon | Fibrillated biodegradable prosthesis |
US8706316B1 (en) | 2006-03-14 | 2014-04-22 | Snap-On Incorporated | Method and system for enhanced scanner user interface |
US7955380B2 (en) | 2006-03-17 | 2011-06-07 | Medtronic Vascular, Inc. | Prosthesis fixation apparatus and methods |
US7771396B2 (en) | 2006-03-22 | 2010-08-10 | Ethicon Endo-Surgery, Inc. | Intubation device for enteral feeding |
US20110163146A1 (en) | 2006-03-23 | 2011-07-07 | Ortiz Mark S | Surgical Stapling And Cuttting Device |
US20070225562A1 (en) | 2006-03-23 | 2007-09-27 | Ethicon Endo-Surgery, Inc. | Articulating endoscopic accessory channel |
US8348959B2 (en) | 2006-03-23 | 2013-01-08 | Symmetry Medical Manufacturing, Inc. | Angled surgical driver |
US8992422B2 (en) | 2006-03-23 | 2015-03-31 | Ethicon Endo-Surgery, Inc. | Robotically-controlled endoscopic accessory channel |
US8721630B2 (en) | 2006-03-23 | 2014-05-13 | Ethicon Endo-Surgery, Inc. | Methods and devices for controlling articulation |
JP4689511B2 (ja) | 2006-03-24 | 2011-05-25 | 株式会社エヌ・ティ・ティ・ドコモ | 可搬型基地局装置 |
US20070270660A1 (en) | 2006-03-29 | 2007-11-22 | Caylor Edward J Iii | System and method for determining a location of an orthopaedic medical device |
US9675375B2 (en) | 2006-03-29 | 2017-06-13 | Ethicon Llc | Ultrasonic surgical system and method |
EP2007466A4 (en) | 2006-03-31 | 2012-01-18 | Automated Medical Instr Inc | SYSTEM AND METHOD FOR ADVANCING, ORIENTATION, AND IMMOBILIZATION ON AN INTERNAL BODY TISSUE OF A CATHETER OR ANY OTHER THERAPEUTIC DEVICE |
US20090020958A1 (en) | 2006-03-31 | 2009-01-22 | Soul David F | Methods and apparatus for operating an internal combustion engine |
US7836400B2 (en) | 2006-03-31 | 2010-11-16 | Research In Motion Limited | Snooze support for event reminders |
US7635922B2 (en) | 2006-04-03 | 2009-12-22 | C.E. Niehoff & Co. | Power control system and method |
JP4102409B2 (ja) | 2006-04-03 | 2008-06-18 | オリンパス株式会社 | 縫合・結紮具アプライヤー |
US8485970B2 (en) | 2008-09-30 | 2013-07-16 | Ethicon Endo-Surgery, Inc. | Surgical access device |
US8915842B2 (en) | 2008-07-14 | 2014-12-23 | Ethicon Endo-Surgery, Inc. | Methods and devices for maintaining visibility and providing irrigation and/or suction during surgical procedures |
US20100081883A1 (en) | 2008-09-30 | 2010-04-01 | Ethicon Endo-Surgery, Inc. | Methods and devices for performing gastroplasties using a multiple port access device |
US8926506B2 (en) | 2009-03-06 | 2015-01-06 | Ethicon Endo-Surgery, Inc. | Methods and devices for providing access into a body cavity |
EP2010266A4 (en) | 2006-04-07 | 2010-07-14 | Commercialisation Des Produits | INTEGRATED ACRYLIC CEMENT DELIVERY SYSTEM FOR BONE INCREASE PROCEDURES AND METHODS |
AU2007238826B2 (en) | 2006-04-11 | 2012-09-13 | Kpr U.S., Llc | Wound dressings with anti-microbial and zinc-containing agents |
KR101019341B1 (ko) | 2006-04-11 | 2011-03-07 | 닛본 세이고 가부시끼가이샤 | 전동 파워 스티어링장치 및 그 조립방법 |
KR100739165B1 (ko) | 2006-04-13 | 2007-07-13 | 엘지전자 주식회사 | 리니어 압축기의 운전제어장치 및 방법 |
US7741273B2 (en) | 2006-04-13 | 2010-06-22 | Warsaw Orthopedic, Inc. | Drug depot implant designs |
US20070243227A1 (en) | 2006-04-14 | 2007-10-18 | Michael Gertner | Coatings for surgical staplers |
US7450010B1 (en) | 2006-04-17 | 2008-11-11 | Tc License Ltd. | RFID mutual authentication verification session |
US8267849B2 (en) | 2006-04-18 | 2012-09-18 | Wazer David E | Radioactive therapeutic fastening instrument |
US8398668B2 (en) | 2006-04-19 | 2013-03-19 | Vibrynt, Inc. | Devices and methods for treatment of obesity |
WO2007133329A2 (en) | 2006-04-20 | 2007-11-22 | Illinois Tool Works Inc. | Fastener-driving tool having trigger control mechanism for alternatively permitting bump firing and sequential firing modes of operation |
US8518024B2 (en) | 2006-04-24 | 2013-08-27 | Transenterix, Inc. | System and method for multi-instrument surgical access using a single access port |
US20070246505A1 (en) | 2006-04-24 | 2007-10-25 | Medical Ventures Inc. | Surgical buttress assemblies and methods of uses thereof |
US7650185B2 (en) | 2006-04-25 | 2010-01-19 | Cardiac Pacemakers, Inc. | System and method for walking an implantable medical device from a sleep state |
US7278563B1 (en) | 2006-04-25 | 2007-10-09 | Green David T | Surgical instrument for progressively stapling and incising tissue |
JP4566943B2 (ja) | 2006-04-26 | 2010-10-20 | 株式会社マキタ | 充電装置 |
WO2007125532A2 (en) | 2006-04-28 | 2007-11-08 | Biomagnesium Systems Ltd. | Biodegradable magnesium alloys and uses thereof |
EP2012697A4 (en) | 2006-04-29 | 2010-07-21 | Univ Texas | DEVICE FOR USE IN TRANSLUMINAL AND ENDOLUMINAL SURGERY |
JP5148598B2 (ja) | 2006-05-03 | 2013-02-20 | ラプトール リッジ, エルエルシー | 組織閉鎖のシステムおよび方法 |
US20070260132A1 (en) | 2006-05-04 | 2007-11-08 | Sterling Bernhard B | Method and apparatus for processing signals reflecting physiological characteristics from multiple sensors |
US20070262592A1 (en) | 2006-05-08 | 2007-11-15 | Shih-Ming Hwang | Mounting plate for lock and lock therewith |
WO2007129121A1 (en) | 2006-05-08 | 2007-11-15 | Tayside Health Board | Device and method for improved surgical suturing |
JP2007306710A (ja) | 2006-05-11 | 2007-11-22 | Mitsubishi Electric Corp | 電動パワーステアリング装置 |
JP4829005B2 (ja) | 2006-05-12 | 2011-11-30 | テルモ株式会社 | マニピュレータ |
JP4584186B2 (ja) | 2006-05-15 | 2010-11-17 | トヨタ自動車株式会社 | 故障診断方法及び故障診断装置 |
JP2007312515A (ja) | 2006-05-18 | 2007-11-29 | Sony Corp | スイッチング電源装置、電子機器及びスイッチング電源回路の制御方法 |
JP2009537231A (ja) | 2006-05-19 | 2009-10-29 | マコ サージカル コーポレーション | 触覚デバイスを制御するための方法および装置 |
EP2486865A3 (en) | 2006-05-19 | 2014-04-02 | Ethicon Endo-Surgery, Inc. | Method of configuring a surgical instrument having a surgical tissue-compressing device |
CA2725183C (en) | 2006-05-19 | 2014-09-02 | Ethicon Endo-Surgery, Inc. | Electrical surgical instrument |
EP2018248B1 (en) | 2006-05-19 | 2015-11-04 | Applied Medical Resources Corporation | Surgical stapler |
US7586289B2 (en) | 2006-05-23 | 2009-09-08 | Ultralife Corporation | Complete discharge device |
US8105350B2 (en) | 2006-05-23 | 2012-01-31 | Cambridge Endoscopic Devices, Inc. | Surgical instrument |
US20070275035A1 (en) | 2006-05-24 | 2007-11-29 | Microchips, Inc. | Minimally Invasive Medical Implant Devices for Controlled Drug Delivery |
US20070276409A1 (en) | 2006-05-25 | 2007-11-29 | Ethicon Endo-Surgery, Inc. | Endoscopic gastric restriction methods and devices |
US20080039746A1 (en) | 2006-05-25 | 2008-02-14 | Medtronic, Inc. | Methods of using high intensity focused ultrasound to form an ablated tissue area containing a plurality of lesions |
CA2653354A1 (en) | 2006-06-01 | 2007-12-06 | Mor Research Applications Ltd. | Membrane augmentation, such as of for treatment of cardiac valves, and fastening devices for membrane augmentation |
EP3192463A1 (en) | 2006-06-02 | 2017-07-19 | Ethicon Endo-Surgery, Inc. | Surgical device |
US7615067B2 (en) | 2006-06-05 | 2009-11-10 | Cambridge Endoscopic Devices, Inc. | Surgical instrument |
IL176133A0 (en) | 2006-06-05 | 2006-10-05 | Medigus Ltd | Stapler |
US7530984B2 (en) | 2006-06-05 | 2009-05-12 | Medigus Ltd. | Transgastric method for carrying out a partial fundoplication |
US20070286892A1 (en) | 2006-06-13 | 2007-12-13 | Uri Herzberg | Compositions and methods for preventing or reducing postoperative ileus and gastric stasis in mammals |
US8551076B2 (en) | 2006-06-13 | 2013-10-08 | Intuitive Surgical Operations, Inc. | Retrograde instrument |
US9561045B2 (en) | 2006-06-13 | 2017-02-07 | Intuitive Surgical Operations, Inc. | Tool with rotation lock |
DE202007003114U1 (de) | 2006-06-13 | 2007-06-21 | Olympus Winter & Ibe Gmbh | Medizinische Zange mit Bajonettverbindung |
US9549663B2 (en) | 2006-06-13 | 2017-01-24 | Intuitive Surgical Operations, Inc. | Teleoperated surgical retractor system |
US7862554B2 (en) | 2007-04-16 | 2011-01-04 | Intuitive Surgical Operations, Inc. | Articulating tool with improved tension member system |
WO2007146984A2 (en) | 2006-06-13 | 2007-12-21 | Intuitive Surgical, Inc. | Control system configured to compensate for non-ideal actuator-to-joint linkage characteristics in a medical robotic system |
WO2007143859A1 (en) | 2006-06-14 | 2007-12-21 | Macdonald Dettwiler & Associates Inc. | Surgical manipulator with right-angle pulley drive mechanisms |
EP2029213A2 (en) | 2006-06-14 | 2009-03-04 | Cornova, Inc. | Method and apparatus for identifying and treating myocardial infarction |
US8560047B2 (en) | 2006-06-16 | 2013-10-15 | Board Of Regents Of The University Of Nebraska | Method and apparatus for computer aided surgery |
CN101506538A (zh) | 2006-06-20 | 2009-08-12 | 奥尔特克斯公司 | 扭矩轴和扭矩驱动 |
AU2006344926B2 (en) | 2006-06-21 | 2013-02-14 | Rudolf Steffen | Device for introducing and positioning surgical instruments and corresponding method |
US9579088B2 (en) | 2007-02-20 | 2017-02-28 | Board Of Regents Of The University Of Nebraska | Methods, systems, and devices for surgical visualization and device manipulation |
JP5069891B2 (ja) * | 2006-06-23 | 2012-11-07 | ユニ・チャーム株式会社 | 不織布 |
US8974542B2 (en) | 2006-06-27 | 2015-03-10 | University of Pittsburgh—of the Commonwealth System of Higher Education | Biodegradable elastomeric patch for treating cardiac or cardiovascular conditions |
US8322455B2 (en) | 2006-06-27 | 2012-12-04 | Ethicon Endo-Surgery, Inc. | Manually driven surgical cutting and fastening instrument |
EP2140818B1 (en) | 2006-06-29 | 2013-05-22 | University Of Dundee | Medical instrument for grasping an object, in particular needle holder |
US9718190B2 (en) | 2006-06-29 | 2017-08-01 | Intuitive Surgical Operations, Inc. | Tool position and identification indicator displayed in a boundary area of a computer display screen |
US20080003196A1 (en) | 2006-06-30 | 2008-01-03 | Jonn Jerry Y | Absorbable cyanoacrylate compositions |
US20080200835A1 (en) | 2006-06-30 | 2008-08-21 | Monson Gavin M | Energy Biopsy Device for Tissue Penetration and Hemostasis |
US7391173B2 (en) | 2006-06-30 | 2008-06-24 | Intuitive Surgical, Inc | Mechanically decoupled capstan drive |
US9492192B2 (en) | 2006-06-30 | 2016-11-15 | Atheromed, Inc. | Atherectomy devices, systems, and methods |
US8574199B2 (en) | 2006-07-03 | 2013-11-05 | Novo Nordisk A/S | Coupling for injection devices |
JP4157574B2 (ja) | 2006-07-04 | 2008-10-01 | オリンパスメディカルシステムズ株式会社 | 外科用処置具 |
EP2428555A1 (en) | 2006-07-06 | 2012-03-14 | Nippon Oil Corporation | Metalworking oil composition |
US7776037B2 (en) | 2006-07-07 | 2010-08-17 | Covidien Ag | System and method for controlling electrode gap during tissue sealing |
EP1875868B1 (en) | 2006-07-07 | 2010-11-03 | Ethicon Endo-Surgery, Inc. | A surgical stapling instrument and a staple cartridge and staple for such an instrument |
EP1875870B1 (en) | 2006-07-07 | 2009-12-02 | Ethicon Endo-Surgery, Inc. | A surgical stapling instrument. |
US7993360B2 (en) | 2006-07-11 | 2011-08-09 | Arthrex, Inc. | Rotary shaver with improved connection between flexible and rigid rotatable tubes |
DE102006031971A1 (de) | 2006-07-11 | 2008-01-17 | Karl Storz Gmbh & Co. Kg | Medizinisches Instrument |
CA2592221C (en) | 2006-07-11 | 2014-10-07 | Tyco Healthcare Group Lp | Skin staples with thermal properties |
FR2903696B1 (fr) | 2006-07-12 | 2011-02-11 | Provence Technologies | Procede de purification de composes diaminophenothiazium |
RU61122U1 (ru) | 2006-07-14 | 2007-02-27 | Нина Васильевна Гайгерова | Хирургический сшиватель |
IL176889A0 (en) | 2006-07-16 | 2006-10-31 | Medigus Ltd | Devices and methods for treating morbid obesity |
WO2008011351A2 (en) | 2006-07-19 | 2008-01-24 | Boston Scientific Scimed, Inc. | Apparatus for tissue resection |
DE102007020583B4 (de) | 2006-07-19 | 2012-10-11 | Erbe Elektromedizin Gmbh | Elektrodeneinrichtung mit einerImnpedanz-Messeinrichtung und Verfahren zum Herstellen einer derartigen Elektrodeneinrichtung |
US7748632B2 (en) | 2006-07-25 | 2010-07-06 | Hand Held Products, Inc. | Portable data terminal and battery therefor |
WO2008013863A2 (en) | 2006-07-26 | 2008-01-31 | Cytori Therapeutics, Inc. | Generation of adipose tissue and adipocytes |
US7740159B2 (en) | 2006-08-02 | 2010-06-22 | Ethicon Endo-Surgery, Inc. | Pneumatically powered surgical cutting and fastening instrument with a variable control of the actuating rate of firing with mechanical power assist |
US20080029574A1 (en) | 2006-08-02 | 2008-02-07 | Shelton Frederick E | Pneumatically powered surgical cutting and fastening instrument with actuator at distal end |
US20080029570A1 (en) | 2006-08-02 | 2008-02-07 | Shelton Frederick E | Pneumatically powered surgical cutting and fastening instrument with improved volume storage |
US20080030170A1 (en) | 2006-08-03 | 2008-02-07 | Bruno Dacquay | Safety charging system for surgical hand piece |
JP4755047B2 (ja) | 2006-08-08 | 2011-08-24 | テルモ株式会社 | 作業機構及びマニピュレータ |
JP2010500130A (ja) | 2006-08-09 | 2010-01-07 | コヒーレックス メディカル インコーポレイテッド | 内部組織孔の寸法を減少させる装置 |
US7708758B2 (en) | 2006-08-16 | 2010-05-04 | Cambridge Endoscopic Devices, Inc. | Surgical instrument |
US20080042861A1 (en) | 2006-08-16 | 2008-02-21 | Bruno Dacquay | Safety battery meter system for surgical hand piece |
CN200942099Y (zh) | 2006-08-17 | 2007-09-05 | 苏州天臣国际医疗科技有限公司 | 装订仪保险机构 |
DE102006038515A1 (de) | 2006-08-17 | 2008-02-21 | Karl Storz Gmbh & Co. Kg | Medizinisches Rohrschaftinstrument |
US7674253B2 (en) | 2006-08-18 | 2010-03-09 | Kensey Nash Corporation | Catheter for conducting a procedure within a lumen, duct or organ of a living being |
US20080051833A1 (en) | 2006-08-25 | 2008-02-28 | Vincent Gramuglia | Suture passer and method of passing suture material |
US20080196253A1 (en) | 2006-08-28 | 2008-08-21 | Richard Simon Ezra | Precision knife and blade dispenser for the same |
US20080125749A1 (en) | 2006-08-29 | 2008-05-29 | Boston Scientific Scimed, Inc. | Self-powered medical devices |
WO2008026319A1 (fr) | 2006-08-30 | 2008-03-06 | Rohm Co., Ltd. | Circuit de commande de moteur, procédé de commande, unité de moteur et dispositif électronique utilisant l'unité de moteur |
DE102006041951B4 (de) | 2006-08-30 | 2022-05-05 | Deltatech Controls Usa, Llc | Wippschalter |
US8323789B2 (en) | 2006-08-31 | 2012-12-04 | Cambridge Enterprise Limited | Nanomaterial polymer compositions and uses thereof |
US20080071328A1 (en) | 2006-09-06 | 2008-03-20 | Medtronic, Inc. | Initiating medical system communications |
US8230235B2 (en) | 2006-09-07 | 2012-07-24 | International Business Machines Corporation | Selective encryption of data stored on removable media in an automated data storage library |
US8982195B2 (en) | 2006-09-07 | 2015-03-17 | Abbott Medical Optics Inc. | Digital video capture system and method with customizable graphical overlay |
US8136711B2 (en) | 2006-09-08 | 2012-03-20 | Tyco Healthcare Group Lp | Dissection tip and introducer for surgical instrument |
US8403196B2 (en) | 2006-09-08 | 2013-03-26 | Covidien Lp | Dissection tip and introducer for surgical instrument |
US20080064920A1 (en) | 2006-09-08 | 2008-03-13 | Ethicon Endo-Surgery, Inc. | Medical drive system for providing motion to at least a portion of a medical apparatus |
DE602006008783D1 (de) | 2006-09-08 | 2009-10-08 | Ethicon Endo Surgery Inc | Chirurgisches Instrument und Betätigungsvorrichtung zur Bewegungsübertragung dafür |
US20080065153A1 (en) | 2006-09-08 | 2008-03-13 | Warsaw Orthopedic, Inc. | Surgical staple |
CN100464715C (zh) | 2006-09-11 | 2009-03-04 | 苏州天臣国际医疗科技有限公司 | 外科装订仪装订机构 |
JP5148092B2 (ja) | 2006-09-11 | 2013-02-20 | オリンパスメディカルシステムズ株式会社 | エネルギ手術装置 |
US8794496B2 (en) | 2006-09-11 | 2014-08-05 | Covidien Lp | Rotating knob locking mechanism for surgical stapling device |
US8944069B2 (en) | 2006-09-12 | 2015-02-03 | Vidacare Corporation | Assemblies for coupling intraosseous (IO) devices to powered drivers |
US7648519B2 (en) | 2006-09-13 | 2010-01-19 | Cambridge Endoscopic Devices, Inc. | Surgical instrument |
EP1900336B1 (de) | 2006-09-15 | 2010-06-09 | BrainLAB AG | Vorrichtung und Verfahren zum Messen geometrischer Eigenschaften medizintechnischer Behandlungsvorrichtungen, insbesondere zur automatischen Verifikation, Kalibrierung und Vermessung von Instrumenten für computerassistierte Chirurgie |
US7887755B2 (en) | 2006-09-20 | 2011-02-15 | Binforma Group Limited Liability Company | Packaging closures integrated with disposable RFID devices |
US7780663B2 (en) | 2006-09-22 | 2010-08-24 | Ethicon Endo-Surgery, Inc. | End effector coatings for electrosurgical instruments |
US8015506B2 (en) | 2006-09-22 | 2011-09-06 | Microsoft Corporation | Customizing a menu in a discovery interface |
US20080082114A1 (en) | 2006-09-29 | 2008-04-03 | Mckenna Robert H | Adhesive Mechanical Fastener for Lumen Creation Utilizing Tissue Necrosing Means |
US20200038018A1 (en) | 2006-09-29 | 2020-02-06 | Ethicon Llc | End effector for use with a surgical fastening instrument |
US10130359B2 (en) | 2006-09-29 | 2018-11-20 | Ethicon Llc | Method for forming a staple |
US20100133317A1 (en) | 2006-09-29 | 2010-06-03 | Shelton Iv Frederick E | Motor-Driven Surgical Cutting And Fastening Instrument with Tactile Position Feedback |
US8220690B2 (en) | 2006-09-29 | 2012-07-17 | Ethicon Endo-Surgery, Inc. | Connected surgical staples and stapling instruments for deploying the same |
US20190269402A1 (en) | 2006-09-29 | 2019-09-05 | Ethicon Llc | Surgical staple having a deformable member with a non-circular cross-sectional geometry |
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 |
US20080081948A1 (en) | 2006-10-03 | 2008-04-03 | Ethicon Endo-Surgery, Inc. | Apparatus for cleaning a distal scope end of a medical viewing scope |
US20220218350A1 (en) | 2006-10-03 | 2022-07-14 | Cilag Gmbh International | Robotically-driven surgical instrument with e-beam driver |
EP2081481B1 (en) | 2006-10-05 | 2015-03-11 | Covidien LP | Flexible endoscopic stitching devices |
DE102006047204B4 (de) | 2006-10-05 | 2015-04-23 | Erbe Elektromedizin Gmbh | Rohrschaftinstrument |
US8708210B2 (en) | 2006-10-05 | 2014-04-29 | Covidien Lp | Method and force-limiting handle mechanism for a surgical instrument |
EP2083702B1 (en) | 2006-10-05 | 2019-02-13 | Covidien LP | Axial stitching device |
US7952464B2 (en) | 2006-10-05 | 2011-05-31 | Intermec Ip Corp. | Configurable RFID tag with protocol and band selection |
DE602006007712D1 (de) | 2006-10-06 | 2009-08-20 | Ethicon Endo Surgery Inc | Verbesserungen betreffend einen Applikator zum Anbringen von Anastomosenringen |
CN101273908A (zh) | 2006-10-06 | 2008-10-01 | 伊西康内外科公司 | 减轻手术后肠梗阻的装置 |
CN101522127B (zh) | 2006-10-06 | 2011-11-16 | Tyco医疗健康集团 | 具有柔性铰接轴的内窥镜血管密封及分割装置 |
US7866525B2 (en) | 2006-10-06 | 2011-01-11 | Tyco Healthcare Group Lp | Surgical instrument having a plastic surface |
US8475453B2 (en) | 2006-10-06 | 2013-07-02 | Covidien Lp | Endoscopic vessel sealer and divider having a flexible articulating shaft |
US8584921B2 (en) | 2006-10-06 | 2013-11-19 | Covidien Lp | Surgical instrument with articulating tool assembly |
US8807414B2 (en) | 2006-10-06 | 2014-08-19 | Covidien Lp | System and method for non-contact electronic articulation sensing |
US8733614B2 (en) | 2006-10-06 | 2014-05-27 | Covidien Lp | End effector identification by mechanical features |
US7967178B2 (en) | 2006-10-06 | 2011-06-28 | Tyco Healthcare Group Lp | Grasping jaw mechanism |
US20080085296A1 (en) | 2006-10-06 | 2008-04-10 | Powell Darrel M | Methods for reduction of post operative ileus. |
US7481348B2 (en) | 2006-10-06 | 2009-01-27 | Tyco Healthcare Group Lp | Surgical instrument with articulating tool assembly |
US20080086078A1 (en) | 2006-10-06 | 2008-04-10 | Powell Darrel M | Devices for reduction of post operative ileus |
DE102006047882B3 (de) | 2006-10-10 | 2007-08-02 | Rasmussen Gmbh | Steckverbindungsanordnung für einen Schlauch und ein Rohr |
US7736254B2 (en) | 2006-10-12 | 2010-06-15 | Intuitive Surgical Operations, Inc. | Compact cable tension tender device |
US20080094228A1 (en) | 2006-10-12 | 2008-04-24 | Welch James P | Patient monitor using radio frequency identification tags |
US20080091072A1 (en) | 2006-10-13 | 2008-04-17 | Terumo Kabushiki Kaisha | Manipulator |
EP2314232B1 (en) | 2006-10-17 | 2015-03-25 | Covidien LP | Apparatus for applying surgical clips |
US7862502B2 (en) | 2006-10-20 | 2011-01-04 | Ellipse Technologies, Inc. | Method and apparatus for adjusting a gastrointestinal restriction device |
US8226635B2 (en) | 2006-10-23 | 2012-07-24 | Boston Scientific Scimed, Inc. | Device for circulating heated fluid |
US8157793B2 (en) | 2006-10-25 | 2012-04-17 | Terumo Kabushiki Kaisha | Manipulator for medical use |
JP5198014B2 (ja) | 2006-10-25 | 2013-05-15 | テルモ株式会社 | 医療用マニピュレータ |
EP1915963A1 (en) | 2006-10-25 | 2008-04-30 | The European Atomic Energy Community (EURATOM), represented by the European Commission | Force estimation for a minimally invasive robotic surgery system |
JP5085996B2 (ja) | 2006-10-25 | 2012-11-28 | テルモ株式会社 | マニピュレータシステム |
WO2008057281A2 (en) | 2006-10-26 | 2008-05-15 | Tyco Healthcare Group Lp | Methods of using shape memory alloys for buttress attachment |
US7828854B2 (en) | 2006-10-31 | 2010-11-09 | Ethicon, Inc. | Implantable repair device |
TR201807193T4 (tr) | 2006-11-03 | 2018-06-21 | Koninklijke Philips Nv | Pille çalışan diş fırçalarının performansını korumak için sistem. |
US20080129253A1 (en) | 2006-11-03 | 2008-06-05 | Advanced Desalination Inc. | Battery energy reclamation apparatus and method thereby |
US8822934B2 (en) | 2006-11-03 | 2014-09-02 | Accuray Incorporated | Collimator changer |
JP2008114339A (ja) | 2006-11-06 | 2008-05-22 | Terumo Corp | マニピュレータ |
SE0602364L (sv) | 2006-11-08 | 2008-04-15 | Atlas Copco Tools Ab | Kraftverktyg med utbytbar växelenhet |
US7708180B2 (en) * | 2006-11-09 | 2010-05-04 | Ethicon Endo-Surgery, Inc. | Surgical fastening device with initiator impregnation of a matrix or buttress to improve adhesive application |
US7780685B2 (en) | 2006-11-09 | 2010-08-24 | Ethicon Endo-Surgery, Inc. | Adhesive and mechanical fastener |
US7946453B2 (en) | 2006-11-09 | 2011-05-24 | Ethicon Endo-Surgery, Inc. | Surgical band fluid media dispenser |
US7721930B2 (en) | 2006-11-10 | 2010-05-25 | Thicon Endo-Surgery, Inc. | Disposable cartridge with adhesive for use with a stapling device |
US20080114250A1 (en) | 2006-11-10 | 2008-05-15 | Penrith Corporation | Transducer array imaging system |
US8834498B2 (en) | 2006-11-10 | 2014-09-16 | Ethicon Endo-Surgery, Inc. | Method and device for effecting anastomosis of hollow organ structures using adhesive and fasteners |
US7935130B2 (en) | 2006-11-16 | 2011-05-03 | Intuitive Surgical Operations, Inc. | Two-piece end-effectors for robotic surgical tools |
FR2908626B1 (fr) * | 2006-11-16 | 2010-01-15 | Newdeal | Implant d'arthrodese inter-phalangienne,kit chirurgical et procede de fabrication correspondants |
US9011439B2 (en) | 2006-11-20 | 2015-04-21 | Poly-Med, Inc. | Selectively absorbable/biodegradable, fibrous composite constructs and applications thereof |
WO2008061566A1 (en) | 2006-11-23 | 2008-05-29 | Tte Germany Gmbh | Power failure detection circuit |
CN200984209Y (zh) | 2006-11-24 | 2007-12-05 | 苏州天臣国际医疗科技有限公司 | 外科装订仪钉砧成型槽 |
US20080140159A1 (en) | 2006-12-06 | 2008-06-12 | Transoma Medical, Inc. | Implantable device for monitoring biological signals |
US8114100B2 (en) | 2006-12-06 | 2012-02-14 | Ethicon Endo-Surgery, Inc. | Safety fastener for tissue apposition |
US20080154299A1 (en) | 2006-12-08 | 2008-06-26 | Steve Livneh | Forceps for performing endoscopic surgery |
US7871440B2 (en) | 2006-12-11 | 2011-01-18 | Depuy Products, Inc. | Unitary surgical device and method |
US20080308504A1 (en) | 2006-12-12 | 2008-12-18 | Hallan Matthew J | Element loading mechanism and method |
US8062306B2 (en) | 2006-12-14 | 2011-11-22 | Ethicon Endo-Surgery, Inc. | Manually articulating devices |
CN200991269Y (zh) | 2006-12-20 | 2007-12-19 | 张红 | 消化道缝合器的钉仓结构 |
US7434716B2 (en) | 2006-12-21 | 2008-10-14 | Tyco Healthcare Group Lp | Staple driver for articulating surgical stapler |
WO2008080148A2 (en) | 2006-12-21 | 2008-07-03 | Doheny Eye Institute | Disposable vitrectomy handpiece |
US8292801B2 (en) | 2006-12-22 | 2012-10-23 | Olympus Medical Systems Corp. | Surgical treatment apparatus |
WO2008078879A1 (en) | 2006-12-22 | 2008-07-03 | Hyun Duk Uhm | Structure of staple magazine having permanent magnet |
JP2008154804A (ja) | 2006-12-25 | 2008-07-10 | Cyber Firm Inc | 生体状態鑑別用装置及びレーザ血流計 |
CN201001747Y (zh) | 2006-12-25 | 2008-01-09 | 苏州天臣国际医疗科技有限公司 | 可照明圆管型外科手术装订仪 |
ES1070456Y (es) | 2007-01-02 | 2009-11-25 | La Torre Martinez Ruben De | Pinza de clampado con sistema de seguridad e identificacion |
CN201029899Y (zh) | 2007-01-05 | 2008-03-05 | 苏州天臣国际医疗科技有限公司 | 微创外科侧侧装订器械 |
US8459520B2 (en) | 2007-01-10 | 2013-06-11 | Ethicon Endo-Surgery, Inc. | Surgical instrument with wireless communication between control unit and remote sensor |
US8684253B2 (en) | 2007-01-10 | 2014-04-01 | Ethicon Endo-Surgery, Inc. | Surgical instrument with wireless communication between a control unit of a robotic system and remote sensor |
US7721931B2 (en) | 2007-01-10 | 2010-05-25 | Ethicon Endo-Surgery, Inc. | Prevention of cartridge reuse in a surgical instrument |
US7900805B2 (en) | 2007-01-10 | 2011-03-08 | Ethicon Endo-Surgery, Inc. | Surgical instrument with enhanced battery performance |
US7721936B2 (en) | 2007-01-10 | 2010-05-25 | Ethicon Endo-Surgery, Inc. | Interlock and surgical instrument including same |
US8652120B2 (en) | 2007-01-10 | 2014-02-18 | Ethicon Endo-Surgery, Inc. | Surgical instrument with wireless communication between control unit and sensor transponders |
US7738971B2 (en) | 2007-01-10 | 2010-06-15 | Ethicon Endo-Surgery, Inc. | Post-sterilization programming of surgical instruments |
US7954682B2 (en) | 2007-01-10 | 2011-06-07 | Ethicon Endo-Surgery, Inc. | Surgical instrument with elements to communicate between control unit and end effector |
US20110174861A1 (en) | 2007-01-10 | 2011-07-21 | Shelton Iv Frederick E | Surgical Instrument With Wireless Communication Between Control Unit and Remote Sensor |
US11291441B2 (en) | 2007-01-10 | 2022-04-05 | Cilag Gmbh International | Surgical instrument with wireless communication between control unit and remote sensor |
US8827133B2 (en) | 2007-01-11 | 2014-09-09 | Ethicon Endo-Surgery, Inc. | Surgical stapling device having supports for a flexible drive mechanism |
US20220061862A1 (en) | 2007-01-11 | 2022-03-03 | Cilag Gmbh International | Surgical stapling device with a curved end effector |
US20080169328A1 (en) | 2007-01-11 | 2008-07-17 | Shelton Frederick E | Buttress material for use with a surgical stapler |
US11039836B2 (en) | 2007-01-11 | 2021-06-22 | Cilag Gmbh International | Staple cartridge for use with a surgical stapling instrument |
AU2011218702B2 (en) | 2007-01-12 | 2013-06-06 | Ethicon Endo-Surgery, Inc | Adjustable compression staple and method for stapling with adjustable compression |
WO2008089404A2 (en) | 2007-01-19 | 2008-07-24 | Synovis Life Technologies, Inc. | Circular stapler anvil introducer |
AU2008207816B2 (en) | 2007-01-25 | 2012-02-23 | Energizer Brands, Llc | Portable power supply |
US7753246B2 (en) | 2007-01-31 | 2010-07-13 | Tyco Healthcare Group Lp | Surgical instrument with replaceable loading unit |
US7950562B2 (en) | 2007-01-31 | 2011-05-31 | Tyco Healthcare Group Lp | Surgical instrument with replaceable loading unit |
US20110125149A1 (en) | 2007-02-06 | 2011-05-26 | Rizk El-Galley | Universal surgical function control system |
US7789883B2 (en) | 2007-02-14 | 2010-09-07 | Olympus Medical Systems Corp. | Curative treatment system, curative treatment device, and treatment method for living tissue using energy |
US20080200755A1 (en) | 2007-02-15 | 2008-08-21 | Bakos Gregory J | Method and device for retrieving suture tags |
US7655004B2 (en) | 2007-02-15 | 2010-02-02 | Ethicon Endo-Surgery, Inc. | Electroporation ablation apparatus, system, and method |
WO2008101228A2 (en) | 2007-02-15 | 2008-08-21 | Hansen Medical, Inc. | Robotic medical instrument system |
US20080200933A1 (en) | 2007-02-15 | 2008-08-21 | Bakos Gregory J | Surgical devices and methods for forming an anastomosis between organs by gaining access thereto through a natural orifice in the body |
US20080200934A1 (en) | 2007-02-15 | 2008-08-21 | Fox William D | Surgical devices and methods using magnetic force to form an anastomosis |
US20080200911A1 (en) | 2007-02-15 | 2008-08-21 | Long Gary L | Electrical ablation apparatus, system, and method |
US7430675B2 (en) | 2007-02-16 | 2008-09-30 | Apple Inc. | Anticipatory power management for battery-powered electronic device |
US20080200762A1 (en) | 2007-02-16 | 2008-08-21 | Stokes Michael J | Flexible endoscope shapelock |
CA2621045A1 (en) | 2007-02-16 | 2008-08-16 | Serge Dube | Build-up monitoring system for refrigerated enclosures |
EP1961433A1 (en) | 2007-02-20 | 2008-08-27 | National University of Ireland Galway | Porous substrates for implantation |
US7681725B2 (en) | 2007-02-23 | 2010-03-23 | The Procter And Gamble Company | Container with ability to transfer a material to container content |
US9265559B2 (en) | 2007-02-25 | 2016-02-23 | Avent, Inc. | Electrosurgical method |
US7682367B2 (en) | 2007-02-28 | 2010-03-23 | Tyco Healthcare Group Lp | Surgical stapling apparatus |
JP5096020B2 (ja) | 2007-03-02 | 2012-12-12 | オリエンタルモーター株式会社 | インダクタンス負荷制御装置 |
EP1983312B1 (en) | 2007-03-05 | 2018-02-28 | LG Electronics Inc. | Automatic Liquid Dispenser And Refrigerator With The Same |
US20100076489A1 (en) | 2007-03-06 | 2010-03-25 | Joshua Stopek | Wound closure material |
CA2680148C (en) | 2007-03-06 | 2015-09-01 | Tyco Healthcare Group Lp | Surgical stapling apparatus |
US8011550B2 (en) | 2009-03-31 | 2011-09-06 | Tyco Healthcare Group Lp | Surgical stapling apparatus |
CA2678889A1 (en) | 2007-03-06 | 2008-09-12 | Tyco Healthcare Group Lp | Wound closure material |
US9888924B2 (en) | 2007-03-06 | 2018-02-13 | Covidien Lp | Wound closure material |
US8011555B2 (en) | 2007-03-06 | 2011-09-06 | Tyco Healthcare Group Lp | Surgical stapling apparatus |
US7533790B1 (en) | 2007-03-08 | 2009-05-19 | Cardica, Inc. | Surgical stapler |
US7815662B2 (en) | 2007-03-08 | 2010-10-19 | Ethicon Endo-Surgery, Inc. | Surgical suture anchors and deployment device |
US7473258B2 (en) | 2007-03-08 | 2009-01-06 | Cardica, Inc. | Surgical stapler |
US20080216704A1 (en) | 2007-03-09 | 2008-09-11 | Fisher Controls International Llc | Conformal Coating |
US20110016960A1 (en) | 2007-03-13 | 2011-01-27 | Franck Debrailly | Device For Detecting Angular Position, Electric Motor, Steering Column And Reduction Gear |
EP2131879B1 (en) | 2007-03-13 | 2019-10-09 | Smith & Nephew, Inc. | Internal fixation devices |
US8500777B2 (en) | 2007-03-13 | 2013-08-06 | Longevity Surgical, Inc. | Methods for approximation and fastening of soft tissue |
US20150127021A1 (en) | 2007-03-13 | 2015-05-07 | Longevity Surgical, Inc. | Devices for reconfiguring a portion of the gastrointestinal tract |
EP1969919B1 (en) | 2007-03-14 | 2012-01-18 | Robert Bosch Gmbh | Hedge cutting or trimming apparatus |
US7431188B1 (en) | 2007-03-15 | 2008-10-07 | Tyco Healthcare Group Lp | Surgical stapling apparatus with powered articulation |
US7422136B1 (en) | 2007-03-15 | 2008-09-09 | Tyco Healthcare Group Lp | Powered surgical stapling device |
US7669747B2 (en) | 2007-03-15 | 2010-03-02 | Ethicon Endo-Surgery, Inc. | Washer for use with a surgical stapling instrument |
US20110052660A1 (en) | 2007-03-16 | 2011-03-03 | Board Of Regents Of The University Of Texas System | Ceramic scaffolds for bone repair |
US7776065B2 (en) | 2007-03-20 | 2010-08-17 | Symmetry Medical New Bedford Inc | End effector mechanism for a surgical instrument |
JP4916011B2 (ja) | 2007-03-20 | 2012-04-11 | 株式会社日立製作所 | マスタ・スレーブ式マニピュレータシステム |
US8308725B2 (en) | 2007-03-20 | 2012-11-13 | Minos Medical | Reverse sealing and dissection instrument |
JP5394265B2 (ja) | 2007-03-22 | 2014-01-22 | コヴィディエン リミテッド パートナーシップ | 可変の高さの手術用ファスナを形成する装置 |
US8911460B2 (en) | 2007-03-22 | 2014-12-16 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical instruments |
US20080234709A1 (en) | 2007-03-22 | 2008-09-25 | Houser Kevin L | Ultrasonic surgical instrument and cartilage and bone shaping blades therefor |
US8226675B2 (en) | 2007-03-22 | 2012-07-24 | Ethicon Endo-Surgery, Inc. | Surgical instruments |
US8142461B2 (en) | 2007-03-22 | 2012-03-27 | Ethicon Endo-Surgery, Inc. | Surgical instruments |
ES2369417T3 (es) | 2007-03-23 | 2011-11-30 | Stryker Trauma Gmbh | Dispositivo de implantación, procedimeinto para la producción y para la aplicación del mismo. |
US8142200B2 (en) | 2007-03-26 | 2012-03-27 | Liposonix, Inc. | Slip ring spacer and method for its use |
CA2868909A1 (en) | 2007-03-26 | 2008-10-02 | Tyco Healthcare Group Lp | Endoscopic surgical clip applier |
US8608745B2 (en) | 2007-03-26 | 2013-12-17 | DePuy Synthes Products, LLC | System, apparatus, and method for cutting bone during an orthopaedic surgical procedure |
US7490749B2 (en) | 2007-03-28 | 2009-02-17 | Ethicon Endo-Surgery, Inc. | Surgical stapling and cutting instrument with manually retractable firing member |
US8056787B2 (en) | 2007-03-28 | 2011-11-15 | Ethicon Endo-Surgery, Inc. | Surgical stapling and cutting instrument with travel-indicating retraction member |
US20080243088A1 (en) | 2007-03-28 | 2008-10-02 | Docusys, Inc. | Radio frequency identification drug delivery device and monitoring system |
US8893946B2 (en) | 2007-03-28 | 2014-11-25 | Ethicon Endo-Surgery, Inc. | Laparoscopic tissue thickness and clamp load measuring devices |
US8496153B2 (en) | 2007-03-29 | 2013-07-30 | Covidien Lp | Anvil-mounted dissecting tip for surgical stapling device |
US7630841B2 (en) | 2007-03-30 | 2009-12-08 | Texas Instruments Incorporated | Supervising and sequencing commonly driven power supplies with digital information |
ES2639382T3 (es) | 2007-03-30 | 2017-10-26 | Covidien Lp | Conjunto de adaptador de paso laparoscópico |
US8377044B2 (en) | 2007-03-30 | 2013-02-19 | Ethicon Endo-Surgery, Inc. | Detachable end effectors |
US7923144B2 (en) | 2007-03-31 | 2011-04-12 | Tesla Motors, Inc. | Tunable frangible battery pack system |
USD570868S1 (en) | 2007-04-02 | 2008-06-10 | Tokyo Electron Limited | Computer generated image for a display panel or screen |
US20080242939A1 (en) | 2007-04-02 | 2008-10-02 | William Johnston | Retractor system for internal in-situ assembly during laparoscopic surgery |
JP5090045B2 (ja) | 2007-04-03 | 2012-12-05 | テルモ株式会社 | マニピュレータ及びその制御方法 |
JP5006093B2 (ja) | 2007-04-03 | 2012-08-22 | テルモ株式会社 | マニピュレータシステム及び制御装置 |
US20080249608A1 (en) | 2007-04-04 | 2008-10-09 | Vipul Dave | Bioabsorbable Polymer, Bioabsorbable Composite Stents |
JP4728996B2 (ja) | 2007-04-04 | 2011-07-20 | 三菱電機株式会社 | 粒子線治療装置及び粒子線照射線量算出方法 |
FR2914554B1 (fr) | 2007-04-05 | 2009-07-17 | Germitec Soc Par Actions Simpl | Procede de suivi de l'uitilisation d'un appareil medical. |
US8951274B2 (en) | 2007-04-06 | 2015-02-10 | Hologic, Inc. | Methods of high rate, low profile tissue removal |
US8006885B2 (en) | 2007-04-09 | 2011-08-30 | Tyco Healthcare Group Lp | Surgical stapling apparatus with powered retraction |
JP5602010B2 (ja) | 2007-04-09 | 2014-10-08 | クレアトイベ スルギカル,エルエルシー | フレーム装置 |
US20080255420A1 (en) | 2007-04-10 | 2008-10-16 | Cambridge Endoscopic Devices, Inc. | Surgical instrument |
WO2008127968A2 (en) | 2007-04-11 | 2008-10-23 | Tyco Healthcare Group Lp | Surgical clip applier |
US8800837B2 (en) | 2007-04-13 | 2014-08-12 | Covidien Lp | Powered surgical instrument |
USD582934S1 (en) | 2007-04-13 | 2008-12-16 | Samsung Electronics Co., Ltd. | Transitional video image display for portable phone |
US20080255413A1 (en) | 2007-04-13 | 2008-10-16 | Michael Zemlok | Powered surgical instrument |
US20080255663A1 (en) | 2007-04-13 | 2008-10-16 | Akpek Esen K | Artificial Cornea and Method of Making Same |
US7950560B2 (en) | 2007-04-13 | 2011-05-31 | Tyco Healthcare Group Lp | Powered surgical instrument |
US9050123B2 (en) | 2007-04-16 | 2015-06-09 | Smith & Nephew, Inc. | Powered surgical system |
US7708182B2 (en) | 2007-04-17 | 2010-05-04 | Tyco Healthcare Group Lp | Flexible endoluminal surgical instrument |
US7839109B2 (en) | 2007-04-17 | 2010-11-23 | Lutron Electronics Co., Inc. | Method of controlling a motorized window treatment |
US8323271B2 (en) | 2007-04-20 | 2012-12-04 | Doheny Eye Institute | Sterile surgical tray |
JP2010524593A (ja) | 2007-04-20 | 2010-07-22 | ドヘニー アイ インスティテュート | 独立手術センター |
DE102007019409B3 (de) | 2007-04-23 | 2008-11-13 | Lösomat Schraubtechnik Neef Gmbh | Kraftschrauber |
JP4668946B2 (ja) | 2007-04-25 | 2011-04-13 | 株式会社デンソー | 車載エアコン用操作ユニット及びそれを用いた車載エアコン制御装置 |
EP1986123A1 (en) | 2007-04-27 | 2008-10-29 | Italdata Ingegneria Dell'Idea S.p.A. | Data survey device, integrated with an anti-tamper system |
US8028882B2 (en) | 2007-05-01 | 2011-10-04 | Tyco Healthcare Group | Anvil position detector for a surgical stapler |
US7823760B2 (en) | 2007-05-01 | 2010-11-02 | Tyco Healthcare Group Lp | Powered surgical stapling device platform |
US8486047B2 (en) | 2007-05-03 | 2013-07-16 | Covidien Lp | Packaged medical device |
US9636111B2 (en) | 2007-05-07 | 2017-05-02 | Covidien Lp | Method of stapling tissues with a staple assembly |
US20080281332A1 (en) | 2007-05-07 | 2008-11-13 | Warsaw Orthopedic, Inc. | Surgical screwdriver |
JP2007289715A (ja) | 2007-05-07 | 2007-11-08 | Olympus Corp | 超音波診断治療システム |
US20080281171A1 (en) | 2007-05-08 | 2008-11-13 | Abbott Diabetes Care, Inc. | Analyte monitoring system and methods |
US7931660B2 (en) | 2007-05-10 | 2011-04-26 | Tyco Healthcare Group Lp | Powered tacker instrument |
JP4348714B2 (ja) | 2007-05-10 | 2009-10-21 | シャープ株式会社 | データ送信システム及びデータ送信方法 |
JP5331104B2 (ja) | 2007-05-12 | 2013-10-30 | バロセンス、インク | 胃分割用の装置および方法 |
DE102007023585B4 (de) | 2007-05-16 | 2009-08-20 | Esab Cutting Systems Gmbh | Einrichtung und Verfahren zum Einmessen von Schwenkaggregaten, insbesondere an Schneidmaschinen |
US7823761B2 (en) | 2007-05-16 | 2010-11-02 | The Invention Science Fund I, Llc | Maneuverable surgical stapler |
US7810691B2 (en) | 2007-05-16 | 2010-10-12 | The Invention Science Fund I, Llc | Gentle touch surgical stapler |
US7832611B2 (en) | 2007-05-16 | 2010-11-16 | The Invention Science Fund I, Llc | Steerable surgical stapler |
US9545258B2 (en) | 2007-05-17 | 2017-01-17 | Boston Scientific Scimed, Inc. | Tissue aperture securing and sealing apparatuses and related methods of use |
US8910846B2 (en) | 2007-05-17 | 2014-12-16 | Covidien Lp | Gear driven knife drive mechanism |
US7981102B2 (en) | 2007-05-21 | 2011-07-19 | Asante Solutions, Inc. | Removable controller for an infusion pump |
US20080293910A1 (en) | 2007-05-24 | 2008-11-27 | Tyco Healthcare Group Lp | Adhesive formulatiions |
US8409234B2 (en) | 2007-05-25 | 2013-04-02 | Hansen Medical, Inc. | Rotational apparatus system and method for a robotic instrument system |
US8038045B2 (en) | 2007-05-25 | 2011-10-18 | Tyco Healthcare Group Lp | Staple buttress retention system |
US7810693B2 (en) | 2007-05-30 | 2010-10-12 | Ethicon Endo-Surgery, Inc. | Surgical stapling and cutting instrument with articulatable end effector |
US7549564B2 (en) | 2007-06-22 | 2009-06-23 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with an articulating end effector |
US7798386B2 (en) | 2007-05-30 | 2010-09-21 | Ethicon Endo-Surgery, Inc. | Surgical instrument articulation joint cover |
US7971414B1 (en) | 2007-05-30 | 2011-07-05 | Walgreen Co. | Multi-dose filling machine |
US20080297287A1 (en) | 2007-05-30 | 2008-12-04 | Magnetecs, Inc. | Magnetic linear actuator for deployable catheter tools |
US8157145B2 (en) | 2007-05-31 | 2012-04-17 | Ethicon Endo-Surgery, Inc. | Pneumatically powered surgical cutting and fastening instrument with electrical feedback |
US20080296346A1 (en) | 2007-05-31 | 2008-12-04 | Shelton Iv Frederick E | Pneumatically powered surgical cutting and fastening instrument with electrical control and recording mechanisms |
US7939152B2 (en) | 2007-06-01 | 2011-05-10 | M-Tech Corporation | Heat-shrinkable anti-fomitic device |
US11857181B2 (en) | 2007-06-04 | 2024-01-02 | Cilag Gmbh International | Robotically-controlled shaft based rotary drive systems for surgical instruments |
KR101349639B1 (ko) | 2007-06-04 | 2014-01-09 | 타이코 일렉트로닉스 저팬 지.케이. | 일체형 감지스위치를 갖는 메모리카드 및 sim카드장착소켓 |
US7819299B2 (en) | 2007-06-04 | 2010-10-26 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a common trigger for actuating an end effector closing system and a staple firing system |
US8534528B2 (en) | 2007-06-04 | 2013-09-17 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a multiple rate directional switching mechanism |
US7832408B2 (en) | 2007-06-04 | 2010-11-16 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a directional switching mechanism |
US7905380B2 (en) | 2007-06-04 | 2011-03-15 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a multiple rate directional switching mechanism |
US8931682B2 (en) | 2007-06-04 | 2015-01-13 | Ethicon Endo-Surgery, Inc. | Robotically-controlled shaft based rotary drive systems for surgical instruments |
US20080298784A1 (en) | 2007-06-04 | 2008-12-04 | Mark Allen Kastner | Method of Sensing Speed of Electric Motors and Generators |
US7780309B2 (en) | 2007-06-05 | 2010-08-24 | Eveready Battery Company, Inc. | Preparedness flashlight |
US8016841B2 (en) | 2007-06-11 | 2011-09-13 | Novus Scientific Pte. Ltd. | Mesh implant with an interlocking knitted structure |
JP2008307383A (ja) | 2007-06-12 | 2008-12-25 | Tyco Healthcare Group Lp | 外科手術用ファスナー |
US8899460B2 (en) | 2007-06-12 | 2014-12-02 | Black & Decker Inc. | Magazine assembly for nailer |
US8620473B2 (en) | 2007-06-13 | 2013-12-31 | Intuitive Surgical Operations, Inc. | Medical robotic system with coupled control modes |
US9301807B2 (en) | 2007-06-13 | 2016-04-05 | Intuitive Surgical Operations, Inc. | Surgical system counterbalance |
JP5331389B2 (ja) | 2007-06-15 | 2013-10-30 | 株式会社半導体エネルギー研究所 | 表示装置の作製方法 |
US7731072B2 (en) | 2007-06-18 | 2010-06-08 | Ethicon Endo-Surgery, Inc. | Surgical stapling and cutting instrument with improved anvil opening features |
US7950561B2 (en) | 2007-06-18 | 2011-05-31 | Tyco Healthcare Group Lp | Structure for attachment of buttress material to anvils and cartridges of surgical staplers |
US7665646B2 (en) | 2007-06-18 | 2010-02-23 | Tyco Healthcare Group Lp | Interlocking buttress material retention system |
USD578644S1 (en) | 2007-06-20 | 2008-10-14 | Abbott Laboratories | Medical device delivery handle |
US7441685B1 (en) | 2007-06-22 | 2008-10-28 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with a return mechanism |
US7658311B2 (en) | 2007-06-22 | 2010-02-09 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with a geared return mechanism |
US7604150B2 (en) | 2007-06-22 | 2009-10-20 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with an anti-back up mechanism |
PT2164553T (pt) | 2007-06-22 | 2018-06-18 | Medical Components Inc | Canhão para um conjunto de bainha destacável com válvula de hemostasia |
US7597229B2 (en) | 2007-06-22 | 2009-10-06 | Ethicon Endo-Surgery, Inc. | End effector closure system for a surgical stapling instrument |
US7753245B2 (en) | 2007-06-22 | 2010-07-13 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments |
US8408439B2 (en) | 2007-06-22 | 2013-04-02 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with an articulatable end effector |
US20090004455A1 (en) | 2007-06-27 | 2009-01-01 | Philippe Gravagna | Reinforced composite implant |
US20090007014A1 (en) | 2007-06-27 | 2009-01-01 | Microsoft Corporation | Center locked lists |
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 |
CA2698728C (en) | 2007-06-29 | 2016-08-02 | Ethicon Endo-Surgery, Inc. | Washer for use with a surgical stapling instrument |
US10219832B2 (en) | 2007-06-29 | 2019-03-05 | Actuated Medical, Inc. | Device and method for less forceful tissue puncture |
CN101873834B (zh) | 2007-06-29 | 2012-12-05 | 伊西康内外科公司 | 与外科手术缝合器械一起使用的垫圈 |
US8093572B2 (en) | 2007-06-29 | 2012-01-10 | Accuray Incorporated | Integrated variable-aperture collimator and fixed-aperture collimator |
DE102007031008A1 (de) | 2007-07-04 | 2009-01-08 | Braun Gmbh | Vorrichtung mit elektrischem Gerät und Ladestation |
US7600663B2 (en) | 2007-07-05 | 2009-10-13 | Green David T | Apparatus for stapling and incising tissue |
US8758366B2 (en) | 2007-07-09 | 2014-06-24 | Neotract, Inc. | Multi-actuating trigger anchor delivery system |
US9492278B2 (en) | 2007-07-10 | 2016-11-15 | Warsaw Orthopedic, Inc. | Delivery system |
US8348972B2 (en) | 2007-07-11 | 2013-01-08 | Covidien Lp | Surgical staple with augmented compression area |
US7823076B2 (en) | 2007-07-13 | 2010-10-26 | Adobe Systems Incorporated | Simplified user interface navigation |
US7967791B2 (en) | 2007-07-23 | 2011-06-28 | Ethicon Endo-Surgery, Inc. | Surgical access device |
JP2009028157A (ja) | 2007-07-25 | 2009-02-12 | Terumo Corp | 医療用マニピュレータシステム |
US9539061B2 (en) | 2007-07-25 | 2017-01-10 | Karl Storz Gmbh & Co. Kg | Medical manipulator and welding method |
EP2182922A4 (en) | 2007-07-26 | 2010-07-28 | Sanofi Pasteur Ltd | ANTIGEN-ADJUVANS COMPOSITIONS AND METHOD |
US8808319B2 (en) | 2007-07-27 | 2014-08-19 | Ethicon Endo-Surgery, Inc. | Surgical instruments |
JP5042738B2 (ja) | 2007-07-30 | 2012-10-03 | テルモ株式会社 | 医療用マニピュレータの作業機構及び洗浄方法 |
US8430898B2 (en) | 2007-07-31 | 2013-04-30 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical instruments |
US9044261B2 (en) | 2007-07-31 | 2015-06-02 | Ethicon Endo-Surgery, Inc. | Temperature controlled ultrasonic surgical instruments |
WO2009019837A1 (ja) | 2007-08-07 | 2009-02-12 | Panasonic Corporation | 炭化珪素半導体素子およびその製造方法 |
US7747146B2 (en) | 2007-08-08 | 2010-06-29 | Allegro Microsystems, Inc. | Motor controller having a multifunction port |
US7787256B2 (en) | 2007-08-10 | 2010-08-31 | Gore Enterprise Holdings, Inc. | Tamper respondent system |
US20090048589A1 (en) | 2007-08-14 | 2009-02-19 | Tomoyuki Takashino | Treatment device and treatment method for living tissue |
EP2626006B1 (en) | 2007-08-14 | 2019-10-09 | Koninklijke Philips N.V. | Robotic instrument systems utilizing optical fiber sensors |
US8202549B2 (en) | 2007-08-14 | 2012-06-19 | The Regents Of The University Of California | Mesocellular oxide foams as hemostatic compositions and methods of use |
JP5475662B2 (ja) | 2007-08-15 | 2014-04-16 | ボード オブ リージェンツ オブ ザ ユニバーシティ オブ ネブラスカ | モジュール式およびセグメント化医療装置ならびに関連するシステム |
US7556185B2 (en) | 2007-08-15 | 2009-07-07 | Tyco Healthcare Group Lp | Surgical instrument with flexible drive mechanism |
US7714334B2 (en) | 2007-08-16 | 2010-05-11 | Lin Peter P W | Polarless surface mounting light emitting diode |
US8165663B2 (en) | 2007-10-03 | 2012-04-24 | The Invention Science Fund I, Llc | Vasculature and lymphatic system imaging and ablation |
US20090053288A1 (en) | 2007-08-20 | 2009-02-26 | Eskridge Jr E Stan | Hemostatic woven fabric |
JP2009050288A (ja) | 2007-08-23 | 2009-03-12 | Terumo Corp | 医療用マニピュレータの作業機構 |
US9005238B2 (en) | 2007-08-23 | 2015-04-14 | Covidien Lp | Endoscopic surgical devices |
US8465515B2 (en) | 2007-08-29 | 2013-06-18 | Ethicon Endo-Surgery, Inc. | Tissue retractors |
US7967181B2 (en) | 2007-08-29 | 2011-06-28 | Tyco Healthcare Group Lp | Rotary knife cutting systems |
USD580942S1 (en) | 2007-08-30 | 2008-11-18 | Microsoft Corporation | Graphical user interface for a portion of a display screen |
KR101387404B1 (ko) | 2007-08-30 | 2014-04-21 | 삼성전자주식회사 | 디지털 영상 처리장치의 제어장치 및 그 방법 |
JP2009056164A (ja) | 2007-08-31 | 2009-03-19 | Terumo Corp | 医療用マニピュレータシステム |
US8061576B2 (en) | 2007-08-31 | 2011-11-22 | Tyco Healthcare Group Lp | Surgical instrument |
US8262655B2 (en) | 2007-11-21 | 2012-09-11 | Ethicon Endo-Surgery, Inc. | Bipolar forceps |
US7624902B2 (en) | 2007-08-31 | 2009-12-01 | Tyco Healthcare Group Lp | Surgical stapling apparatus |
US8579897B2 (en) | 2007-11-21 | 2013-11-12 | Ethicon Endo-Surgery, Inc. | Bipolar forceps |
US9168039B1 (en) | 2007-09-06 | 2015-10-27 | Cardica, Inc. | Surgical stapler with staples of different sizes |
US7988026B2 (en) | 2007-09-06 | 2011-08-02 | Cardica, Inc. | Endocutter with staple feed |
FR2920683B1 (fr) | 2007-09-06 | 2010-02-12 | Pellenc Sa | Appareils electroportatifs polyvalents. |
US8556151B2 (en) | 2007-09-11 | 2013-10-15 | Covidien Lp | Articulating joint for surgical instruments |
GB2452720A (en) | 2007-09-11 | 2009-03-18 | Ethicon Inc | Wound dressing with an antimicrobial absorbent layer and an apertured cover sheet |
US8257386B2 (en) | 2007-09-11 | 2012-09-04 | Cambridge Endoscopic Devices, Inc. | Surgical instrument |
US8317790B2 (en) | 2007-09-14 | 2012-11-27 | W. L. Gore & Associates, Inc. | Surgical staple line reinforcements |
JP2009084281A (ja) | 2007-09-18 | 2009-04-23 | Ethicon Endo Surgery Inc | 術後イレウスの低減のための方法 |
US20090076506A1 (en) | 2007-09-18 | 2009-03-19 | Surgrx, Inc. | Electrosurgical instrument and method |
US7513407B1 (en) | 2007-09-20 | 2009-04-07 | Acuman Power Tools Corp. | Counterforce-counteracting device for a nailer |
JP5357161B2 (ja) | 2007-09-21 | 2013-12-04 | コヴィディエン リミテッド パートナーシップ | 外科用装置 |
US9023014B2 (en) | 2007-09-21 | 2015-05-05 | Covidien Lp | Quick connect assembly for use between surgical handle assembly and surgical accessories |
CN101801284B (zh) | 2007-09-21 | 2012-10-03 | Tyco医疗健康集团 | 手术器械 |
US9597080B2 (en) | 2007-09-24 | 2017-03-21 | Covidien Lp | Insertion shroud for surgical instrument |
US8678263B2 (en) | 2007-09-24 | 2014-03-25 | Covidien Lp | Materials delivery system for stapling device |
US8721666B2 (en) | 2007-09-26 | 2014-05-13 | Ethicon, Inc. | Method of facial reconstructive surgery using a self-anchoring tissue lifting device |
US20090088659A1 (en) | 2007-09-27 | 2009-04-02 | Immersion Corporation | Biological Sensing With Haptic Feedback |
US20090132400A1 (en) | 2007-09-28 | 2009-05-21 | Verizon Services Organization Inc. | Data metering |
US7703653B2 (en) | 2007-09-28 | 2010-04-27 | Tyco Healthcare Group Lp | Articulation mechanism for surgical instrument |
US9050120B2 (en) | 2007-09-30 | 2015-06-09 | Intuitive Surgical Operations, Inc. | Apparatus and method of user interface with alternate tool mode for robotic surgical tools |
US8084969B2 (en) | 2007-10-01 | 2011-12-27 | Allegro Microsystems, Inc. | Hall-effect based linear motor controller |
US9707003B2 (en) | 2007-10-02 | 2017-07-18 | Covidien Lp | Articulating surgical instrument |
US8285367B2 (en) | 2007-10-05 | 2012-10-09 | The Invention Science Fund I, Llc | Vasculature and lymphatic system imaging and ablation associated with a reservoir |
US7945798B2 (en) | 2007-10-03 | 2011-05-17 | Lenovo (Singapore) Pte. Ltd. | Battery pack for portable computer |
US8012170B2 (en) | 2009-04-27 | 2011-09-06 | Tyco Healthcare Group Lp | Device and method for controlling compression of tissue |
US10779818B2 (en) | 2007-10-05 | 2020-09-22 | Covidien Lp | Powered surgical stapling device |
US10271844B2 (en) | 2009-04-27 | 2019-04-30 | Covidien Lp | Surgical stapling apparatus employing a predictive stapling algorithm |
US8517241B2 (en) | 2010-04-16 | 2013-08-27 | Covidien Lp | Hand-held surgical devices |
US8960520B2 (en) | 2007-10-05 | 2015-02-24 | Covidien Lp | Method and apparatus for determining parameters of linear motion in a surgical instrument |
US10500309B2 (en) | 2007-10-05 | 2019-12-10 | Cook Biotech Incorporated | Absorbable adhesives and their formulation for use in medical applications |
US8967443B2 (en) | 2007-10-05 | 2015-03-03 | Covidien Lp | Method and apparatus for determining parameters of linear motion in a surgical instrument |
US20130214025A1 (en) | 2007-10-05 | 2013-08-22 | Covidien Lp | Powered surgical stapling device |
US10498269B2 (en) | 2007-10-05 | 2019-12-03 | Covidien Lp | Powered surgical stapling device |
JP5403783B2 (ja) | 2007-10-05 | 2014-01-29 | コヴィディエン リミテッド パートナーシップ | 関節運動メカニズムを有する外科ステープラ |
US20110022032A1 (en) | 2007-10-05 | 2011-01-27 | Tyco Healthcare Group Lp | Battery ejection design for a surgical device |
US8763874B2 (en) | 2007-10-05 | 2014-07-01 | Senco Brands, Inc. | Gas spring fastener driving tool with improved lifter and latch mechanisms |
AU2008311321B2 (en) | 2007-10-08 | 2012-11-08 | W. L. Gore & Associates, Inc. | Apparatus for supplying surgical staple line reinforcement |
US20120289979A1 (en) | 2007-10-08 | 2012-11-15 | Sherif Eskaros | Apparatus for Supplying Surgical Staple Line Reinforcement |
WO2009047664A1 (en) | 2007-10-09 | 2009-04-16 | St Wireless Sa | Non-recursive adaptive filter for predicting the mean processing performance of a complex system´s processing core |
US8044536B2 (en) | 2007-10-10 | 2011-10-25 | Ams Research Corporation | Powering devices having low and high voltage circuits |
US8992409B2 (en) | 2007-10-11 | 2015-03-31 | Peter Forsell | Method for controlling flow in a bodily organ |
US20090099579A1 (en) | 2007-10-16 | 2009-04-16 | Tyco Healthcare Group Lp | Self-adherent implants and methods of preparation |
US7945792B2 (en) | 2007-10-17 | 2011-05-17 | Spansion Llc | Tamper reactive memory device to secure data from tamper attacks |
CN101188900B (zh) | 2007-10-17 | 2011-07-20 | 廖云峰 | 双床双管医用诊断x射线高频高压发生器 |
US8500762B2 (en) | 2007-10-17 | 2013-08-06 | Davol, Inc. (a C.R. Bard Company) | Fixating means between a mesh and mesh deployment means especially useful for hernia repair surgeries and methods thereof |
EP2052678A1 (de) | 2007-10-24 | 2009-04-29 | F. Hoffmann-Roche AG | Medizinisches System mit Verbrauchsmittel-Überwachung |
US8142425B2 (en) | 2007-10-30 | 2012-03-27 | Hemostatix Medical Techs, LLC | Hemostatic surgical blade, system and method of blade manufacture |
CN101203085B (zh) | 2007-10-30 | 2011-08-10 | 杨扬 | 医用诊断x射线高频高压发生器 |
JP5011067B2 (ja) | 2007-10-31 | 2012-08-29 | 株式会社東芝 | マニピュレータシステム |
JP5364255B2 (ja) | 2007-10-31 | 2013-12-11 | テルモ株式会社 | 医療用マニピュレータ |
US20090112234A1 (en) | 2007-10-31 | 2009-04-30 | Lawrence Crainich | Reloadable laparoscopic fastener deploying device for use in a gastric volume reduction procedure |
US8790684B2 (en) | 2007-10-31 | 2014-07-29 | Cordis Corporation | Vascular closure device |
US7922063B2 (en) | 2007-10-31 | 2011-04-12 | Tyco Healthcare Group, Lp | Powered surgical instrument |
US20090118762A1 (en) | 2007-10-31 | 2009-05-07 | Lawrence Crainch | Disposable cartridge for use in a gastric volume reduction procedure |
KR100877721B1 (ko) | 2007-11-05 | 2009-01-07 | (주)건양트루넷 | 리벳팅장치 |
US7954685B2 (en) | 2007-11-06 | 2011-06-07 | Tyco Healthcare Group Lp | Articulation and firing force mechanisms |
US7954687B2 (en) | 2007-11-06 | 2011-06-07 | Tyco Healthcare Group Lp | Coated surgical staples and an illuminated staple cartridge for a surgical stapling instrument |
JP2009115640A (ja) | 2007-11-07 | 2009-05-28 | Honda Motor Co Ltd | ナビゲーション装置 |
CA2704380A1 (en) | 2007-11-08 | 2009-05-14 | Ceapro Inc. | Avenanthramide-containing compositions |
US8425600B2 (en) | 2007-11-14 | 2013-04-23 | G. Patrick Maxwell | Interfaced medical implant assembly |
US8125168B2 (en) | 2007-11-19 | 2012-02-28 | Honeywell International Inc. | Motor having controllable torque |
US20090131819A1 (en) | 2007-11-20 | 2009-05-21 | Ritchie Paul G | User Interface On Biopsy Device |
WO2009067649A2 (en) | 2007-11-21 | 2009-05-28 | Ethicon Endo-Surgery, Inc. | Bipolar forceps having a cutting element |
WO2009066106A1 (en) | 2007-11-21 | 2009-05-28 | Smith & Nephew Plc | Wound dressing |
AU2008327660B2 (en) | 2007-11-21 | 2014-02-13 | Smith & Nephew Plc | Wound dressing |
GB0722820D0 (en) | 2007-11-21 | 2008-01-02 | Smith & Nephew | Vacuum assisted wound dressing |
US8457757B2 (en) | 2007-11-26 | 2013-06-04 | Micro Transponder, Inc. | Implantable transponder systems and methods |
DE102007057033A1 (de) | 2007-11-27 | 2009-05-28 | Robert Bosch Gmbh | Elektrisch antreibbare Handwerkzeugmaschine |
US7791009B2 (en) | 2007-11-27 | 2010-09-07 | University Of Washington | Eliminating illumination crosstalk while using multiple imaging devices with plural scanning devices, each coupled to an optical fiber |
US9050098B2 (en) | 2007-11-28 | 2015-06-09 | Covidien Ag | Cordless medical cauterization and cutting device |
US8377059B2 (en) | 2007-11-28 | 2013-02-19 | Covidien Ag | Cordless medical cauterization and cutting device |
JP5283209B2 (ja) | 2007-11-29 | 2013-09-04 | マニー株式会社 | 医療用ステイプル |
WO2009073577A2 (en) | 2007-11-29 | 2009-06-11 | Surgiquest, Inc. | Surgical instruments with improved dexterity for use in minimally invasive surgical procedures |
US20090143855A1 (en) | 2007-11-29 | 2009-06-04 | Boston Scientific Scimed, Inc. | Medical Device Including Drug-Loaded Fibers |
JP5377944B2 (ja) | 2007-11-30 | 2013-12-25 | 住友ベークライト株式会社 | 胃瘻用シース、シース付きダイレータ、挿入補助具付き胃瘻用シース、胃瘻カテーテルキット |
US8338726B2 (en) | 2009-08-26 | 2012-12-25 | Covidien Ag | Two-stage switch for cordless hand-held ultrasonic cautery cutting device |
US8435257B2 (en) | 2007-12-03 | 2013-05-07 | Covidien Ag | Cordless hand-held ultrasonic cautery cutting device and method |
US9017355B2 (en) | 2007-12-03 | 2015-04-28 | Covidien Ag | Battery-powered hand-held ultrasonic surgical cautery cutting device |
US9107690B2 (en) | 2007-12-03 | 2015-08-18 | Covidien Ag | Battery-powered hand-held ultrasonic surgical cautery cutting device |
US8663262B2 (en) | 2007-12-03 | 2014-03-04 | Covidien Ag | Battery assembly for battery-powered surgical instruments |
US7772720B2 (en) | 2007-12-03 | 2010-08-10 | Spx Corporation | Supercapacitor and charger for secondary power |
US8419757B2 (en) | 2007-12-03 | 2013-04-16 | Covidien Ag | Cordless hand-held ultrasonic cautery cutting device |
US9314261B2 (en) | 2007-12-03 | 2016-04-19 | Covidien Ag | Battery-powered hand-held ultrasonic surgical cautery cutting device |
US8061014B2 (en) | 2007-12-03 | 2011-11-22 | Covidien Ag | Method of assembling a cordless hand-held ultrasonic cautery cutting device |
USD601578S1 (en) | 2007-12-04 | 2009-10-06 | Somfy Sas | Icon for a portion of a display screen |
US8511308B2 (en) | 2007-12-06 | 2013-08-20 | Cpair, Inc. | CPR system with feed back instruction |
JP5235394B2 (ja) | 2007-12-06 | 2013-07-10 | 株式会社ハーモニック・エイディ | 切替式回転駆動装置 |
US8319002B2 (en) | 2007-12-06 | 2012-11-27 | Nanosys, Inc. | Nanostructure-enhanced platelet binding and hemostatic structures |
US8180458B2 (en) | 2007-12-17 | 2012-05-15 | Thermage, Inc. | Method and apparatus for digital signal processing for radio frequency surgery measurements |
US8561473B2 (en) | 2007-12-18 | 2013-10-22 | Intuitive Surgical Operations, Inc. | Force sensor temperature compensation |
US8352004B2 (en) | 2007-12-21 | 2013-01-08 | Covidien Lp | Medical sensor and technique for using the same |
WO2009086261A1 (en) | 2007-12-21 | 2009-07-09 | Smith & Nephew, Inc. | Surgical drilling aimer |
JP5071103B2 (ja) | 2007-12-29 | 2012-11-14 | ブラザー工業株式会社 | 表示体及び表示体構造 |
US20090171147A1 (en) | 2007-12-31 | 2009-07-02 | Woojin Lee | Surgical instrument |
TWI348086B (en) | 2008-01-02 | 2011-09-01 | Mstar Semiconductor Inc | Dc power converter and mode-switching method |
US8727199B2 (en) | 2008-01-03 | 2014-05-20 | Covidien Lp | Surgical stapler |
US9192376B2 (en) | 2008-01-04 | 2015-11-24 | Luis Jose Almodovar | Rotational driver |
JP5116490B2 (ja) | 2008-01-08 | 2013-01-09 | 株式会社マキタ | モータ制御装置とそれを用いた電動工具 |
US8647258B2 (en) | 2008-01-10 | 2014-02-11 | Covidien Lp | Apparatus for endoscopic procedures |
CA2711130C (en) | 2008-01-10 | 2016-08-30 | Power Medical Interventions, Llc | Imaging system for a surgical device |
US8031069B2 (en) | 2008-01-14 | 2011-10-04 | Oded Yair Cohn | Electronic security seal and system |
US20090181290A1 (en) | 2008-01-14 | 2009-07-16 | Travis Baldwin | System and Method for an Automated Battery Arrangement |
US8490851B2 (en) | 2008-01-15 | 2013-07-23 | Covidien Lp | Surgical stapling apparatus |
JP5146734B2 (ja) | 2008-01-15 | 2013-02-20 | 日立工機株式会社 | 留め具打込機 |
WO2009091497A2 (en) | 2008-01-16 | 2009-07-23 | John Hyoung Kim | Minimally invasive surgical instrument |
AU2009207489B2 (en) | 2008-01-25 | 2014-09-11 | Smith & Nephew Plc | Multilayer scaffold |
US8192350B2 (en) | 2008-01-28 | 2012-06-05 | Ethicon Endo-Surgery, Inc. | Methods and devices for measuring impedance in a gastric restriction system |
WO2009097468A2 (en) | 2008-01-29 | 2009-08-06 | Kliman Gilbert H | Drug delivery devices, kits and methods therefor |
BRPI0906746A8 (pt) | 2008-01-29 | 2019-05-14 | Implantica Patent Ltd | aparelho para tratamento de doença de refluxo gastresofágico |
US20090192534A1 (en) | 2008-01-29 | 2009-07-30 | Ethicon Endo-Surgery, Inc. | Sensor trigger |
US8006365B2 (en) | 2008-01-30 | 2011-08-30 | Easylap Ltd. | Device and method for applying rotary tacks |
JP4672031B2 (ja) | 2008-01-31 | 2011-04-20 | オリンパスメディカルシステムズ株式会社 | 医療器具 |
CN101219648B (zh) | 2008-01-31 | 2010-12-08 | 北京经纬恒润科技有限公司 | 车灯转向驱动装置 |
US20100249947A1 (en) | 2009-03-27 | 2010-09-30 | Evera Medical, Inc. | Porous implant with effective extensibility and methods of forming an implant |
US8870867B2 (en) | 2008-02-06 | 2014-10-28 | Aesculap Ag | Articulable electrosurgical instrument with a stabilizable articulation actuator |
US20090198272A1 (en) | 2008-02-06 | 2009-08-06 | Lawrence Kerver | Method and apparatus for articulating the wrist of a laparoscopic grasping instrument |
US20090204925A1 (en) | 2008-02-08 | 2009-08-13 | Sony Ericsson Mobile Communications Ab | Active Desktop with Changeable Desktop Panels |
US8114345B2 (en) | 2008-02-08 | 2012-02-14 | Ethicon Endo-Surgery, Inc. | System and method of sterilizing an implantable medical device |
US8561870B2 (en) | 2008-02-13 | 2013-10-22 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument |
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 |
US8453908B2 (en) | 2008-02-13 | 2013-06-04 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with improved firing trigger arrangement |
US7866527B2 (en) | 2008-02-14 | 2011-01-11 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with interlockable firing system |
US7861906B2 (en) | 2008-02-14 | 2011-01-04 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with articulatable components |
US8622274B2 (en) | 2008-02-14 | 2014-01-07 | Ethicon Endo-Surgery, Inc. | Motorized cutting and fastening instrument having control circuit for optimizing battery usage |
US8573465B2 (en) | 2008-02-14 | 2013-11-05 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical end effector system with rotary actuated closure systems |
BRPI0903064B8 (pt) | 2008-02-14 | 2021-06-22 | Ethicon Endo Surgery Inc | instrumento cirúrgico de corte e fixação acionado a motor com circuito de controle para otimizar o uso de bateria |
US7819297B2 (en) | 2008-02-14 | 2010-10-26 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with reprocessible handle assembly |
BRPI0901282A2 (pt) | 2008-02-14 | 2009-11-17 | Ethicon Endo Surgery Inc | instrumento cirúrgico de corte e fixação dotado de eletrodos de rf |
US8752749B2 (en) | 2008-02-14 | 2014-06-17 | Ethicon Endo-Surgery, Inc. | Robotically-controlled disposable motor-driven loading unit |
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 |
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 |
US8758391B2 (en) | 2008-02-14 | 2014-06-24 | Ethicon Endo-Surgery, Inc. | Interchangeable tools for surgical instruments |
US7913891B2 (en) | 2008-02-14 | 2011-03-29 | Ethicon Endo-Surgery, Inc. | Disposable loading unit with user feedback features and surgical instrument for use therewith |
US7857185B2 (en) | 2008-02-14 | 2010-12-28 | Ethicon Endo-Surgery, Inc. | Disposable loading unit for surgical stapling apparatus |
US8657174B2 (en) | 2008-02-14 | 2014-02-25 | Ethicon Endo-Surgery, Inc. | Motorized surgical cutting and fastening instrument having handle based power source |
US7819298B2 (en) | 2008-02-14 | 2010-10-26 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with control features operable with one hand |
US20090206133A1 (en) | 2008-02-14 | 2009-08-20 | Ethicon Endo-Surgery, Inc. | Articulatable loading units for surgical stapling and cutting instruments |
US9179912B2 (en) | 2008-02-14 | 2015-11-10 | Ethicon Endo-Surgery, Inc. | Robotically-controlled motorized surgical cutting and fastening instrument |
US7819296B2 (en) | 2008-02-14 | 2010-10-26 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with retractable firing systems |
US7810692B2 (en) | 2008-02-14 | 2010-10-12 | Ethicon Endo-Surgery, Inc. | Disposable loading unit with firing indicator |
US8636736B2 (en) | 2008-02-14 | 2014-01-28 | Ethicon Endo-Surgery, Inc. | 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 |
US20220387031A1 (en) | 2008-02-14 | 2022-12-08 | Cilag Gmbh International | Robotically-controlled motorized surgical cutting and fastening instrument |
US20220175372A1 (en) | 2008-02-15 | 2022-06-09 | Cilag Gmbh International | Releasable layer of material and surgical end effector having the same |
US8398673B2 (en) | 2008-02-15 | 2013-03-19 | Surgical Innovations V.O.F. | Surgical instrument for grasping and cutting tissue |
US8608044B2 (en) | 2008-02-15 | 2013-12-17 | Ethicon Endo-Surgery, Inc. | Feedback and lockout mechanism for surgical instrument |
US20090206139A1 (en) | 2008-02-15 | 2009-08-20 | Ethicon Endo-Surgery, Inc. | Buttress material for a surgical instrument |
US7980443B2 (en) | 2008-02-15 | 2011-07-19 | Ethicon Endo-Surgery, Inc. | End effectors for a surgical cutting and stapling instrument |
US7959051B2 (en) | 2008-02-15 | 2011-06-14 | Ethicon Endo-Surgery, Inc. | Closure systems for a surgical cutting and stapling instrument |
US20090206131A1 (en) | 2008-02-15 | 2009-08-20 | Ethicon Endo-Surgery, Inc. | End effector coupling arrangements for a surgical cutting and stapling instrument |
US9770245B2 (en) | 2008-02-15 | 2017-09-26 | Ethicon Llc | Layer arrangements for surgical staple cartridges |
JP5507093B2 (ja) | 2008-02-15 | 2014-05-28 | エシコン・エンド−サージェリィ・インコーポレイテッド | 支持体保持特徴部を有する外科手術用エンドエフェクタ |
US8047100B2 (en) | 2008-02-15 | 2011-11-01 | Black & Decker Inc. | Tool assembly having telescoping fastener support |
US20090206137A1 (en) | 2008-02-15 | 2009-08-20 | Ethicon Endo-Surgery, Inc. | Disposable loading units for a surgical cutting and stapling instrument |
US11272927B2 (en) | 2008-02-15 | 2022-03-15 | Cilag Gmbh International | Layer arrangements for surgical staple cartridges |
US8864750B2 (en) | 2008-02-18 | 2014-10-21 | Texas Scottish Rite Hospital For Children | Tool and method for external fixation strut adjustment |
JP5377991B2 (ja) | 2008-02-26 | 2013-12-25 | テルモ株式会社 | マニピュレータ |
JP2009207260A (ja) | 2008-02-27 | 2009-09-10 | Denso Corp | モータ制御装置 |
US8733611B2 (en) | 2008-03-12 | 2014-05-27 | Covidien Lp | Ratcheting mechanism for surgical stapling device |
US8870049B2 (en) | 2008-03-14 | 2014-10-28 | Transenterix, Inc. | Hernia stapler |
US8118206B2 (en) | 2008-03-15 | 2012-02-21 | Surgisense Corporation | Sensing adjunct for surgical staplers |
US20090234273A1 (en) | 2008-03-17 | 2009-09-17 | Alfred Intoccia | Surgical trocar with feedback |
US8020741B2 (en) | 2008-03-18 | 2011-09-20 | Barosense, Inc. | Endoscopic stapling devices and methods |
US8328802B2 (en) | 2008-03-19 | 2012-12-11 | Covidien Ag | Cordless medical cauterization and cutting device |
US8491581B2 (en) | 2008-03-19 | 2013-07-23 | Covidien Ag | Method for powering a surgical instrument |
US8197501B2 (en) | 2008-03-20 | 2012-06-12 | Medtronic Xomed, Inc. | Control for a powered surgical instrument |
JP2009226028A (ja) | 2008-03-24 | 2009-10-08 | Terumo Corp | マニピュレータ |
US8136713B2 (en) | 2008-03-25 | 2012-03-20 | Tyco Healthcare Group Lp | Surgical stapling instrument having transducer effecting vibrations |
WO2009117844A1 (en) | 2008-03-25 | 2009-10-01 | Alcatel Shanghai Bell Co., Ltd. | Methods and entities using ipsec esp to support security functionality for udp-based oma enablers |
US20090247901A1 (en) | 2008-03-25 | 2009-10-01 | Brian Zimmer | Latching side removal spacer |
US20090242610A1 (en) | 2008-03-26 | 2009-10-01 | Shelton Iv Frederick E | Disposable loading unit and surgical instruments including same |
US8317744B2 (en) | 2008-03-27 | 2012-11-27 | St. Jude Medical, Atrial Fibrillation Division, Inc. | Robotic catheter manipulator assembly |
US8684962B2 (en) | 2008-03-27 | 2014-04-01 | St. Jude Medical, Atrial Fibrillation Division, Inc. | Robotic catheter device cartridge |
US20090248100A1 (en) | 2008-03-28 | 2009-10-01 | Defibtech, Llc | System and Method for Conditioning a Lithium Battery in an Automatic External Defibrillator |
US8808164B2 (en) | 2008-03-28 | 2014-08-19 | Intuitive Surgical Operations, Inc. | Controlling a robotic surgical tool with a display monitor |
US7886743B2 (en) | 2008-03-31 | 2011-02-15 | Intuitive Surgical Operations, Inc. | Sterile drape interface for robotic surgical instrument |
US20090247368A1 (en) | 2008-03-31 | 2009-10-01 | Boson Technology Co., Ltd. | Sports health care apparatus with physiological monitoring function |
US7843158B2 (en) | 2008-03-31 | 2010-11-30 | Intuitive Surgical Operations, Inc. | Medical robotic system adapted to inhibit motions resulting in excessive end effector forces |
ES2428719T3 (es) | 2008-03-31 | 2013-11-11 | Applied Medical Resources Corporation | Sistema electroquirúrgico con medios para medir permitividad y conductividad del tejido |
US9895813B2 (en) | 2008-03-31 | 2018-02-20 | Intuitive Surgical Operations, Inc. | Force and torque sensing in a surgical robot setup arm |
US10368838B2 (en) | 2008-03-31 | 2019-08-06 | Intuitive Surgical Operations, Inc. | Surgical tools for laser marking and laser cutting |
JP2009240605A (ja) | 2008-03-31 | 2009-10-22 | Gc Corp | 細胞工学用支持体及びその製造方法 |
EP2268218B1 (en) | 2008-04-01 | 2016-02-10 | CardioMems, Inc. | System and apparatus for in-vivo assessment of relative position of an implant |
FR2929544B1 (fr) | 2008-04-02 | 2010-09-03 | Facom | Appareil electrique portatif autonome a verrouillage du bloc d'alimentation electrique. |
US8534527B2 (en) | 2008-04-03 | 2013-09-17 | Black & Decker Inc. | Cordless framing nailer |
JP5301867B2 (ja) | 2008-04-07 | 2013-09-25 | オリンパスメディカルシステムズ株式会社 | 医療用マニピュレータシステム |
JP5145103B2 (ja) | 2008-04-08 | 2013-02-13 | ローム株式会社 | インバータおよびその制御回路、制御方法、ならびにそれらを用いた液晶ディスプレイ装置 |
DE102008018158A1 (de) | 2008-04-10 | 2009-10-15 | Aesculap Ag | Ligaturklammermagazin und Lagerkörper zur Verwendung in diesem |
US8100310B2 (en) | 2008-04-14 | 2012-01-24 | Tyco Healthcare Group Lp | Variable compression surgical fastener apparatus |
US20090255974A1 (en) | 2008-04-14 | 2009-10-15 | Tyco Healthcare Group Lp | Single loop surgical fastener apparatus for applying variable compression |
US8231040B2 (en) | 2008-04-14 | 2012-07-31 | Tyco Healthcare Group Lp | Variable compression surgical fastener cartridge |
US8231041B2 (en) | 2008-04-14 | 2012-07-31 | Tyco Healthcare Group Lp | Variable compression surgical fastener cartridge |
US7926691B2 (en) | 2008-04-14 | 2011-04-19 | Tyco Healthcare Group, L.P. | Variable compression surgical fastener cartridge |
US8170241B2 (en) | 2008-04-17 | 2012-05-01 | Intouch Technologies, Inc. | Mobile tele-presence system with a microphone system |
US9078671B2 (en) | 2008-04-17 | 2015-07-14 | Warsaw Orthopedic, Inc. | Surgical tool |
US20090261141A1 (en) | 2008-04-18 | 2009-10-22 | Stratton Lawrence D | Ergonomic stapler and method for setting staples |
US8021375B2 (en) | 2008-04-21 | 2011-09-20 | Conmed Corporation | Surgical clip applicator |
US20090262078A1 (en) | 2008-04-21 | 2009-10-22 | David Pizzi | Cellular phone with special sensor functions |
US8357158B2 (en) | 2008-04-22 | 2013-01-22 | Covidien Lp | Jaw closure detection system |
US8028884B2 (en) | 2008-04-22 | 2011-10-04 | Tyco Healthcare Group Lp | Cartridge for applying varying amounts of tissue compression |
WO2009133875A1 (ja) | 2008-04-30 | 2009-11-05 | 学校法人自治医科大学 | 自然開口部越管腔内視鏡手術(notes)用外科手術システム及び外科手術方法 |
US7997468B2 (en) | 2008-05-05 | 2011-08-16 | Tyco Healthcare Group Lp | Surgical instrument with clamp |
CA2665017A1 (en) | 2008-05-05 | 2009-11-05 | Tyco Healthcare Group Lp | Surgical instrument with sequential clamping and cutting |
CA2722972A1 (en) | 2008-05-05 | 2009-11-12 | Stryker Corporation | Surgical tool system including a tool and a console, the console capable of reading data from a memory integral with the tool over the conductors over which power is sourced to the tool |
EP3406291B8 (en) | 2008-05-06 | 2020-01-15 | Corindus, Inc. | Catheter system |
DE102008001664B4 (de) | 2008-05-08 | 2015-07-30 | Deutsches Zentrum für Luft- und Raumfahrt e.V. | Medizinischer Roboter und Verfahren zur Erfüllung der Performanceanforderung eines medizinischen Roboters |
EP2116272B1 (en) | 2008-05-09 | 2013-04-03 | Greatbatch Ltd. | Bi-directional sheath deflection mechanism |
US8091756B2 (en) | 2008-05-09 | 2012-01-10 | Tyco Healthcare Group Lp | Varying tissue compression using take-up component |
US8967446B2 (en) | 2008-05-09 | 2015-03-03 | Covidien Lp | Variable compression surgical fastener cartridge |
WO2009137761A2 (en) | 2008-05-09 | 2009-11-12 | Elmer Valin | Laparoscopic gastric and intestinal trocar |
US9016541B2 (en) | 2008-05-09 | 2015-04-28 | Covidien Lp | Varying tissue compression with an anvil configuration |
JP5145113B2 (ja) | 2008-05-09 | 2013-02-13 | Hoya株式会社 | 内視鏡用処置具の操作部 |
US8464922B2 (en) | 2008-05-09 | 2013-06-18 | Covidien Lp | Variable compression surgical fastener cartridge |
US8186556B2 (en) | 2008-05-09 | 2012-05-29 | Tyco Healthcare Group Lp | Variable compression surgical fastener apparatus |
US8006577B2 (en) | 2008-05-09 | 2011-08-30 | The Schnipke Family, LLC | Method and apparatus for testing for the presence of excess drivers in a surgical cartridge |
DE102008024438A1 (de) | 2008-05-14 | 2009-11-19 | Aesculap Ag | Chirurgische Antriebseinheit, chirurgisches Instrument und chirurgisches Antriebssystem |
US8409079B2 (en) | 2008-05-14 | 2013-04-02 | Olympus Medical Systems Corp. | Electric bending operation device and medical treatment system including electric bending operation device |
US7430849B1 (en) | 2008-05-16 | 2008-10-07 | Practical Inventions, Llc | Conveyor chain pin remover |
US8273404B2 (en) | 2008-05-19 | 2012-09-25 | Cordis Corporation | Extraction of solvents from drug containing polymer reservoirs |
US20090290016A1 (en) | 2008-05-20 | 2009-11-26 | Hoya Corporation | Endoscope system |
US7922061B2 (en) | 2008-05-21 | 2011-04-12 | Ethicon Endo-Surgery, Inc. | Surgical instrument with automatically reconfigurable articulating end effector |
GB2471815A (en) | 2008-05-21 | 2011-01-12 | Cook Biotech Inc | Devices and methods for applying bolster materials to surgical fastening apparatus |
US9402679B2 (en) | 2008-05-27 | 2016-08-02 | Maquet Cardiovascular Llc | Surgical instrument and method |
US8179705B2 (en) | 2008-05-27 | 2012-05-15 | Power-One, Inc. | Apparatus and method of optimizing power system efficiency using a power loss model |
US8771260B2 (en) | 2008-05-30 | 2014-07-08 | Ethicon Endo-Surgery, Inc. | Actuating and articulating surgical device |
ES2797126T3 (es) | 2008-05-30 | 2020-12-01 | Xbiotech Inc | Usos de anticuerpos IL-1 alfa |
US8016176B2 (en) | 2008-06-04 | 2011-09-13 | Tyco Healthcare Group, Lp | Surgical stapling instrument with independent sequential firing |
US8403926B2 (en) | 2008-06-05 | 2013-03-26 | Ethicon Endo-Surgery, Inc. | Manually articulating devices |
US7789283B2 (en) | 2008-06-06 | 2010-09-07 | Tyco Healthcare Group Lp | Knife/firing rod connection for surgical instrument |
US7942303B2 (en) | 2008-06-06 | 2011-05-17 | Tyco Healthcare Group Lp | Knife lockout mechanisms for surgical instrument |
US20090306639A1 (en) | 2008-06-06 | 2009-12-10 | Galil Medical Ltd. | Cryoprobe incorporating electronic module, and system utilizing same |
US8701959B2 (en) | 2008-06-06 | 2014-04-22 | Covidien Lp | Mechanically pivoting cartridge channel for surgical instrument |
RU2496615C2 (ru) | 2008-06-10 | 2013-10-27 | Макита Корпорейшн | Циркулярная пила |
EP2303353B1 (en) | 2008-06-12 | 2018-01-10 | Ramot at Tel-Aviv University Ltd. | Drug-eluting medical devices |
US8267951B2 (en) | 2008-06-12 | 2012-09-18 | Ncontact Surgical, Inc. | Dissecting cannula and methods of use thereof |
RU2500360C2 (ru) | 2008-06-12 | 2013-12-10 | Этикон Эндо-Серджери, Инк. | Хирургический аппарат для наложения скобок с компонентами многоразового использования |
US8007513B2 (en) | 2008-06-12 | 2011-08-30 | Ethicon Endo-Surgery, Inc. | Partially reusable surgical stapler |
US8628545B2 (en) | 2008-06-13 | 2014-01-14 | Covidien Lp | Endoscopic stitching devices |
US9396669B2 (en) | 2008-06-16 | 2016-07-19 | Microsoft Technology Licensing, Llc | Surgical procedure capture, modelling, and editing interactive playback |
US11083364B2 (en) | 2008-06-17 | 2021-08-10 | Apollo Endosurgery Us, Inc. | Endoscopic tissue grasping systems and methods |
US20140100558A1 (en) | 2012-10-05 | 2014-04-10 | Gregory P. Schmitz | Micro-articulated surgical instruments using micro gear actuation |
US7543730B1 (en) | 2008-06-24 | 2009-06-09 | Tyco Healthcare Group Lp | Segmented drive member for surgical instruments |
DE102008002641A1 (de) | 2008-06-25 | 2009-12-31 | Biotronik Vi Patent Ag | Faserstrang und implantierbarer Stützkörper mit einem Faserstrang |
US8414469B2 (en) | 2008-06-27 | 2013-04-09 | Intuitive Surgical Operations, Inc. | Medical robotic system having entry guide controller with instrument tip velocity limiting |
US9179832B2 (en) | 2008-06-27 | 2015-11-10 | Intuitive Surgical Operations, Inc. | Medical robotic system with image referenced camera control using partitionable orientational and translational modes |
US8704849B2 (en) | 2008-07-01 | 2014-04-22 | Canon Kabushiki Kaisha | Display control apparatus and display control method |
US8011551B2 (en) | 2008-07-01 | 2011-09-06 | Tyco Healthcare Group Lp | Retraction mechanism with clutch-less drive for use with a surgical apparatus |
DE102008040061A1 (de) | 2008-07-02 | 2010-01-07 | Robert Bosch Gmbh | Elektrowerkzeugmaschine |
US20100005035A1 (en) | 2008-07-02 | 2010-01-07 | Cake Financial Corporation | Systems and Methods for a Cross-Linked Investment Trading Platform |
US8206482B2 (en) | 2008-07-04 | 2012-06-26 | Emerson Electric Co. | Vacuum appliance filter assemblies and associated vacuum systems |
AU2009268582B2 (en) | 2008-07-08 | 2014-08-07 | Covidien Lp | Surgical attachment for use with a robotic surgical system |
WO2010006091A1 (en) | 2008-07-09 | 2010-01-14 | Access Business Group International Llc | Wireless charging system |
DE102008040341A1 (de) | 2008-07-11 | 2010-01-14 | Robert Bosch Gmbh | Akkumulator mit mehreren Akkumulatorzellen |
US8888792B2 (en) | 2008-07-14 | 2014-11-18 | Ethicon Endo-Surgery, Inc. | Tissue apposition clip application devices and methods |
US8834465B2 (en) | 2008-07-15 | 2014-09-16 | Immersion Corporation | Modular tool with signal feedback |
US8487487B2 (en) | 2008-07-15 | 2013-07-16 | Ethicon Endo-Surgery, Inc. | Magnetostrictive actuator of a medical ultrasound transducer assembly, and a medical ultrasound handpiece and a medical ultrasound system having such actuator |
US9186221B2 (en) | 2008-07-16 | 2015-11-17 | Intuitive Surgical Operations Inc. | Backend mechanism for four-cable wrist |
US9204923B2 (en) | 2008-07-16 | 2015-12-08 | Intuitive Surgical Operations, Inc. | Medical instrument electronically energized using drive cables |
US8771270B2 (en) | 2008-07-16 | 2014-07-08 | Intuitive Surgical Operations, Inc. | Bipolar cautery instrument |
US8074858B2 (en) | 2008-07-17 | 2011-12-13 | Tyco Healthcare Group Lp | Surgical retraction mechanism |
WO2010009536A1 (en) | 2008-07-21 | 2010-01-28 | Kirk Schroeder | Portable power supply device |
WO2010011661A1 (en) | 2008-07-21 | 2010-01-28 | Atricure, Inc. | Apparatus and methods for occluding an anatomical structure |
US20100022824A1 (en) | 2008-07-22 | 2010-01-28 | Cybulski James S | Tissue modification devices and methods of using the same |
US20100023024A1 (en) | 2008-07-25 | 2010-01-28 | Zeiner Mark S | Reloadable laparoscopic fastener deploying device with disposable cartridge for use in a gastric volume reduction procedure |
US9061392B2 (en) | 2008-07-25 | 2015-06-23 | Sylvain Forgues | Controlled electro-pneumatic power tools and interactive consumable |
US20110088921A1 (en) | 2008-07-25 | 2011-04-21 | Sylvain Forgues | Pneumatic hand tool rotational speed control method and portable apparatus |
US8317437B2 (en) | 2008-08-01 | 2012-11-27 | The Boeing Company | Adaptive positive feed drilling system |
US8801752B2 (en) | 2008-08-04 | 2014-08-12 | Covidien Lp | Articulating surgical device |
US8968355B2 (en) | 2008-08-04 | 2015-03-03 | Covidien Lp | Articulating surgical device |
US9089360B2 (en) | 2008-08-06 | 2015-07-28 | Ethicon Endo-Surgery, Inc. | Devices and techniques for cutting and coagulating tissue |
US8058771B2 (en) | 2008-08-06 | 2011-11-15 | Ethicon Endo-Surgery, Inc. | Ultrasonic device for cutting and coagulating with stepped output |
US20100036370A1 (en) | 2008-08-07 | 2010-02-11 | Al Mirel | Electrosurgical instrument jaw structure with cutting tip |
US8109426B2 (en) | 2008-08-12 | 2012-02-07 | Tyco Healthcare Group Lp | Surgical tilt anvil assembly |
DE102008038911A1 (de) | 2008-08-13 | 2010-02-18 | Technische Universität Darmstadt | Manipulationsvorrichtung für ein chirurgisches Instrument |
US8413661B2 (en) | 2008-08-14 | 2013-04-09 | Ethicon, Inc. | Methods and devices for treatment of obstructive sleep apnea |
US8211125B2 (en) | 2008-08-15 | 2012-07-03 | Ethicon Endo-Surgery, Inc. | Sterile appliance delivery device for endoscopic procedures |
US8465475B2 (en) | 2008-08-18 | 2013-06-18 | Intuitive Surgical Operations, Inc. | Instrument with multiple articulation locks |
US8532747B2 (en) | 2008-08-22 | 2013-09-10 | Devicor Medical Products, Inc. | Biopsy marker delivery device |
US7954688B2 (en) | 2008-08-22 | 2011-06-07 | Medtronic, Inc. | Endovascular stapling apparatus and methods of use |
US8454551B2 (en) | 2008-08-22 | 2013-06-04 | Zevex, Inc. | Removable adapter for phacoemulsification handpiece having irrigation and aspiration fluid paths |
US8465502B2 (en) | 2008-08-25 | 2013-06-18 | Covidien Lp | Surgical clip applier and method of assembly |
JP2010054718A (ja) | 2008-08-27 | 2010-03-11 | Sony Corp | 表示装置 |
US9358015B2 (en) | 2008-08-29 | 2016-06-07 | Covidien Lp | Endoscopic surgical clip applier with wedge plate |
US8409223B2 (en) | 2008-08-29 | 2013-04-02 | Covidien Lp | Endoscopic surgical clip applier with clip retention |
US8834353B2 (en) | 2008-09-02 | 2014-09-16 | Olympus Medical Systems Corp. | Medical manipulator, treatment system, and treatment method |
US8113405B2 (en) | 2008-09-03 | 2012-02-14 | Tyco Healthcare Group, Lp | Surgical instrument with indicator |
US20100051668A1 (en) | 2008-09-03 | 2010-03-04 | Milliman Keith L | Surgical instrument with indicator |
US20100057118A1 (en) | 2008-09-03 | 2010-03-04 | Dietz Timothy G | Ultrasonic surgical blade |
US20120125792A1 (en) | 2008-09-08 | 2012-05-24 | Mayo Foundation For Medical Education And Research | Devices, kits and methods for surgical fastening |
US20110230713A1 (en) | 2008-09-09 | 2011-09-22 | Olympus Winter & Ibe Gmbh | Laparoscope with adjustable shaft |
US8808294B2 (en) | 2008-09-09 | 2014-08-19 | William Casey Fox | Method and apparatus for a multiple transition temperature implant |
JP5089537B2 (ja) | 2008-09-10 | 2012-12-05 | 三菱電機株式会社 | 電動送風機の故障診断装置及びそれを搭載した電気機器 |
CN101669833A (zh) | 2008-09-11 | 2010-03-17 | 苏州天臣国际医疗科技有限公司 | 自动荷包缝合器 |
US9107688B2 (en) | 2008-09-12 | 2015-08-18 | Ethicon Endo-Surgery, Inc. | Activation feature for surgical instrument with pencil grip |
WO2010030850A2 (en) | 2008-09-12 | 2010-03-18 | Ethicon Endo-Surgery, Inc. | Ultrasonic device for fingertip control |
US8047236B2 (en) | 2008-09-12 | 2011-11-01 | Boston Scientific Scimed, Inc. | Flexible conduit with locking element |
EP2163209A1 (en) | 2008-09-15 | 2010-03-17 | Zhiqiang Weng | Lockout mechanism for a surgical stapler |
US20100069942A1 (en) | 2008-09-18 | 2010-03-18 | Ethicon Endo-Surgery, Inc. | Surgical instrument with apparatus for measuring elapsed time between actions |
US8290883B2 (en) | 2008-09-18 | 2012-10-16 | Honda Motor Co., Ltd. | Learning system and learning method comprising an event list database |
US7837080B2 (en) | 2008-09-18 | 2010-11-23 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with device for indicating when the instrument has cut through tissue |
US8083120B2 (en) | 2008-09-18 | 2011-12-27 | Ethicon Endo-Surgery, Inc. | End effector for use with a surgical cutting and stapling instrument |
BRPI0904975B1 (pt) | 2008-09-19 | 2019-09-10 | Ethicon Endo Surgery Inc | grampeador cirúrgico |
US7832612B2 (en) | 2008-09-19 | 2010-11-16 | Ethicon Endo-Surgery, Inc. | Lockout arrangement for a surgical stapler |
JP5631568B2 (ja) | 2008-09-19 | 2014-11-26 | 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. | 切断部材構造を備えた外科用ステープリング器具 |
US9005230B2 (en) | 2008-09-23 | 2015-04-14 | Ethicon Endo-Surgery, Inc. | Motorized surgical instrument |
US8360298B2 (en) | 2008-09-23 | 2013-01-29 | Covidien Lp | Surgical instrument and loading unit for use therewith |
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 |
US8852473B1 (en) | 2008-09-23 | 2014-10-07 | Wright Materials Research Co. | Reinforced polymer composite foams and method of manufacture |
US7896214B2 (en) | 2008-09-23 | 2011-03-01 | Tyco Healthcare Group Lp | Tissue stop for surgical instrument |
US7988028B2 (en) | 2008-09-23 | 2011-08-02 | Tyco Healthcare Group Lp | Surgical instrument having an asymmetric dynamic clamping member |
US8628544B2 (en) | 2008-09-23 | 2014-01-14 | Covidien Lp | Knife bar for surgical instrument |
US8215532B2 (en) | 2008-09-23 | 2012-07-10 | Tyco Healthcare Group Lp | Tissue stop for surgical instrument |
US9050083B2 (en) | 2008-09-23 | 2015-06-09 | Ethicon Endo-Surgery, Inc. | Motorized surgical instrument |
US11648005B2 (en) | 2008-09-23 | 2023-05-16 | Cilag Gmbh International | Robotically-controlled motorized surgical instrument with an end effector |
US9327061B2 (en) | 2008-09-23 | 2016-05-03 | Senorx, Inc. | Porous bioabsorbable implant |
JP2010075242A (ja) | 2008-09-24 | 2010-04-08 | Terumo Corp | 医療用マニピュレータ |
US20120256494A1 (en) | 2008-09-27 | 2012-10-11 | Kesler Morris P | Tunable wireless energy transfer for medical applications |
US8937408B2 (en) | 2008-09-27 | 2015-01-20 | Witricity Corporation | Wireless energy transfer for medical applications |
US9259274B2 (en) | 2008-09-30 | 2016-02-16 | Intuitive Surgical Operations, Inc. | Passive preload and capstan drive for surgical instruments |
US9339342B2 (en) | 2008-09-30 | 2016-05-17 | Intuitive Surgical Operations, Inc. | Instrument interface |
JP5475262B2 (ja) | 2008-10-01 | 2014-04-16 | テルモ株式会社 | 医療用マニピュレータ |
US8608045B2 (en) | 2008-10-10 | 2013-12-17 | Ethicon Endo-Sugery, Inc. | Powered surgical cutting and stapling apparatus with manually retractable firing system |
US8808308B2 (en) | 2008-10-13 | 2014-08-19 | Alcon Research, Ltd. | Automated intraocular lens injector device |
US8020743B2 (en) | 2008-10-15 | 2011-09-20 | Ethicon Endo-Surgery, Inc. | Powered articulatable surgical cutting and fastening instrument with flexible drive member |
US8287487B2 (en) | 2008-10-15 | 2012-10-16 | Asante Solutions, Inc. | Infusion pump system and methods |
US20100094340A1 (en) | 2008-10-15 | 2010-04-15 | Tyco Healthcare Group Lp | Coating compositions |
US7918377B2 (en) | 2008-10-16 | 2011-04-05 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with apparatus for providing anvil position feedback |
JP2010098844A (ja) | 2008-10-16 | 2010-04-30 | Toyota Motor Corp | 車両の電源システム |
US9889230B2 (en) | 2008-10-17 | 2018-02-13 | Covidien Lp | Hemostatic implant |
US20100100123A1 (en) | 2008-10-17 | 2010-04-22 | Confluent Surgical, Inc. | Hemostatic implant |
US8063619B2 (en) | 2008-10-20 | 2011-11-22 | Dell Products L.P. | System and method for powering an information handling system in multiple power states |
US8996165B2 (en) | 2008-10-21 | 2015-03-31 | Intouch Technologies, Inc. | Telepresence robot with a camera boom |
US9211125B2 (en) | 2008-10-23 | 2015-12-15 | Microline Surgical, Inc. | Flexible clip applier |
US9370341B2 (en) | 2008-10-23 | 2016-06-21 | Covidien Lp | Surgical retrieval apparatus |
CN101721236A (zh) | 2008-10-29 | 2010-06-09 | 苏州天臣国际医疗科技有限公司 | 外科切割装订器械 |
US8561617B2 (en) | 2008-10-30 | 2013-10-22 | Ethicon, Inc. | Implant systems and methods for treating obstructive sleep apnea |
MX2011004313A (es) | 2008-10-31 | 2011-06-16 | Dsm Ip Assets Bv | Composicion mejorada para producir un producto lacteo. |
KR101075363B1 (ko) | 2008-10-31 | 2011-10-19 | 정창욱 | 최소 침습 수술 도구를 포함하는 수술용 로봇 시스템 |
US8231042B2 (en) | 2008-11-06 | 2012-07-31 | Tyco Healthcare Group Lp | Surgical stapler |
US9119898B2 (en) | 2008-11-07 | 2015-09-01 | Sofradim Production | Medical implant including a 3D mesh of oxidized cellulose and a collagen sponge |
US7934631B2 (en) | 2008-11-10 | 2011-05-03 | Barosense, Inc. | Multi-fire stapling systems and methods for delivering arrays of staples |
US20110009694A1 (en) | 2009-07-10 | 2011-01-13 | Schultz Eric E | Hand-held minimally dimensioned diagnostic device having integrated distal end visualization |
US9782217B2 (en) | 2008-11-13 | 2017-10-10 | Covidien Ag | Radio frequency generator and method for a cordless medical cauterization and cutting device |
EP2355720A4 (en) | 2008-11-14 | 2015-11-11 | Cole Isolation Tech Llc | FOLLICULAR DISSECTION DEVICE AND METHOD THEREOF |
US8657821B2 (en) | 2008-11-14 | 2014-02-25 | Revascular Therapeutics Inc. | Method and system for reversibly controlled drilling of luminal occlusions |
CA2742787C (en) | 2008-11-17 | 2018-05-15 | Vytronus, Inc. | Systems and methods for ablating body tissue |
JP5212039B2 (ja) | 2008-11-18 | 2013-06-19 | 宇部興産株式会社 | 繊維混入抄造板及びその製造方法 |
JP4752900B2 (ja) | 2008-11-19 | 2011-08-17 | ソニー株式会社 | 画像処理装置、画像表示方法および画像表示プログラム |
US7886951B2 (en) | 2008-11-24 | 2011-02-15 | Tyco Healthcare Group Lp | Pouch used to deliver medication when ruptured |
TWI414713B (zh) | 2008-11-24 | 2013-11-11 | Everlight Electronics Co Ltd | 發光二極體燈具製造方法 |
US8157834B2 (en) | 2008-11-25 | 2012-04-17 | Ethicon Endo-Surgery, Inc. | Rotational coupling device for surgical instrument with flexible actuators |
CN101756727A (zh) | 2008-11-27 | 2010-06-30 | 苏州天臣国际医疗科技有限公司 | 直线型切割闭合器的钉仓 |
US8539866B2 (en) | 2008-12-01 | 2013-09-24 | Castrax, L.L.C. | Method and apparatus to remove cast from an individual |
USD600712S1 (en) | 2008-12-02 | 2009-09-22 | Microsoft Corporation | Icon for a display screen |
USD600703S1 (en) | 2008-12-02 | 2009-09-22 | Microsoft Corporation | Icon for a display screen |
GB0822110D0 (en) | 2008-12-03 | 2009-01-07 | Angiomed Ag | Catheter sheath for implant delivery |
GB2466180B (en) | 2008-12-05 | 2013-07-10 | Surgical Innovations Ltd | Surgical instrument, handle for a surgical instrument and surgical instrument system |
US8348837B2 (en) | 2008-12-09 | 2013-01-08 | Covidien Lp | Anoscope |
US8034363B2 (en) | 2008-12-11 | 2011-10-11 | Advanced Technologies And Regenerative Medicine, Llc. | Sustained release systems of ascorbic acid phosphate |
USD607010S1 (en) | 2008-12-12 | 2009-12-29 | Microsoft Corporation | Icon for a portion of a display screen |
US20100331856A1 (en) | 2008-12-12 | 2010-12-30 | Hansen Medical Inc. | Multiple flexible and steerable elongate instruments for minimally invasive operations |
US8060250B2 (en) | 2008-12-15 | 2011-11-15 | GM Global Technology Operations LLC | Joint-space impedance control for tendon-driven manipulators |
US20100147921A1 (en) | 2008-12-16 | 2010-06-17 | Lee Olson | Surgical Apparatus Including Surgical Buttress |
US8245594B2 (en) | 2008-12-23 | 2012-08-21 | Intuitive Surgical Operations, Inc. | Roll joint and method for a surgical apparatus |
US8770460B2 (en) | 2008-12-23 | 2014-07-08 | George E. Belzer | Shield for surgical stapler and method of use |
US20100168741A1 (en) | 2008-12-29 | 2010-07-01 | Hideo Sanai | Surgical operation apparatus |
US8374723B2 (en) | 2008-12-31 | 2013-02-12 | Intuitive Surgical Operations, Inc. | Obtaining force information in a minimally invasive surgical procedure |
US9477649B1 (en) | 2009-01-05 | 2016-10-25 | Perceptive Pixel, Inc. | Multi-layer telestration on a multi-touch display device |
US8632539B2 (en) | 2009-01-14 | 2014-01-21 | Covidien Lp | Vessel sealer and divider |
US8281974B2 (en) | 2009-01-14 | 2012-10-09 | Tyco Healthcare, Group LP | Surgical stapler with suture locator |
WO2010083110A1 (en) | 2009-01-16 | 2010-07-22 | Rhaphis Medical, Inc. | Surgical suturing latch |
US20130268062A1 (en) | 2012-04-05 | 2013-10-10 | Zeus Industrial Products, Inc. | Composite prosthetic devices |
US20100180711A1 (en) | 2009-01-19 | 2010-07-22 | Comau, Inc. | Robotic end effector system and method |
US20100191262A1 (en) | 2009-01-26 | 2010-07-29 | Harris Jason L | Surgical stapler for applying a large staple through small delivery port and a method of using the stapler to secure a tissue fold |
US9713468B2 (en) | 2009-01-26 | 2017-07-25 | Ethicon Endo-Surgery, Inc. | Surgical stapler for applying a large staple through a small delivery port and a method of using the stapler to secure a tissue fold |
US8833219B2 (en) | 2009-01-26 | 2014-09-16 | Illinois Tool Works Inc. | Wire saw |
US20100191255A1 (en) | 2009-01-26 | 2010-07-29 | Lawrence Crainich | Method for Applying A Surgical Staple |
US20120330329A1 (en) | 2011-06-21 | 2012-12-27 | Harris Jason L | Methods of forming a laparoscopic greater curvature plication using a surgical stapler |
US20100187285A1 (en) | 2009-01-26 | 2010-07-29 | Harris Jason L | Surgical stapler for applying a large staple though a small delivery port and a method of using the stapler to secure a tissue fold |
CN102365065B (zh) | 2009-01-29 | 2014-10-22 | 米卢克斯控股股份有限公司 | 肥胖症的治疗 |
US20110278343A1 (en) | 2009-01-29 | 2011-11-17 | Cardica, Inc. | Clamping of Hybrid Surgical Instrument |
US8228048B2 (en) | 2009-01-30 | 2012-07-24 | Hewlett-Packard Development Company, L.P. | Method and system of regulating voltages |
US8037591B2 (en) | 2009-02-02 | 2011-10-18 | Ethicon Endo-Surgery, Inc. | Surgical scissors |
WO2010090292A2 (en) | 2009-02-03 | 2010-08-12 | Terumo Kabushiki Kaisha | Medical manipulator |
US8397971B2 (en) | 2009-02-05 | 2013-03-19 | Ethicon Endo-Surgery, Inc. | Sterilizable surgical instrument |
US8517239B2 (en) | 2009-02-05 | 2013-08-27 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument comprising a magnetic element driver |
US20100193566A1 (en) | 2009-02-05 | 2010-08-05 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument |
US8485413B2 (en) | 2009-02-05 | 2013-07-16 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument comprising an articulation joint |
US8414577B2 (en) | 2009-02-05 | 2013-04-09 | Ethicon Endo-Surgery, Inc. | Surgical instruments and components for use in sterile environments |
US20120007442A1 (en) | 2009-02-06 | 2012-01-12 | Mark Rhodes | Rotary data and power transfer system |
US8245899B2 (en) | 2009-02-06 | 2012-08-21 | Ethicon Endo-Surgery, Inc. | Driven surgical stapler improvements |
US20110024478A1 (en) | 2009-02-06 | 2011-02-03 | Shelton Iv Frederick E | Driven Surgical Stapler Improvements |
US8444036B2 (en) | 2009-02-06 | 2013-05-21 | Ethicon Endo-Surgery, Inc. | Motor driven surgical fastener device with mechanisms for adjusting a tissue gap within the end effector |
CA2751664A1 (en) | 2009-02-06 | 2010-08-12 | Ethicon Endo-Surgery, Inc. | Driven surgical stapler improvements |
CN102316823B (zh) | 2009-02-11 | 2016-06-08 | 新加坡南洋理工大学 | 多层外科用假体 |
USD622286S1 (en) | 2009-02-11 | 2010-08-24 | Ricoh Company, Ltd. | Portion of liquid crystal panel with icon image |
US9011537B2 (en) | 2009-02-12 | 2015-04-21 | Warsaw Orthopedic, Inc. | Delivery system cartridge |
US20100204717A1 (en) | 2009-02-12 | 2010-08-12 | Cardica, Inc. | Surgical Device for Multiple Clip Application |
US8708211B2 (en) | 2009-02-12 | 2014-04-29 | Covidien Lp | Powered surgical instrument with secondary circuit board |
US8690776B2 (en) | 2009-02-17 | 2014-04-08 | Inneroptic Technology, Inc. | Systems, methods, apparatuses, and computer-readable media for image guided surgery |
US20100298636A1 (en) | 2009-02-19 | 2010-11-25 | Salvatore Castro | Flexible rigidizing instruments |
US8349987B2 (en) | 2009-02-19 | 2013-01-08 | Covidien Lp | Adhesive formulations |
JP2010193994A (ja) | 2009-02-24 | 2010-09-09 | Fujifilm Corp | クリップパッケージ及び連発式クリップシステム、並びに連発式クリップシステムの誤装填防止機構 |
WO2010098871A2 (en) | 2009-02-26 | 2010-09-02 | Amir Belson | Improved apparatus and methods for hybrid endoscopic and laparoscopic surgery |
US8393516B2 (en) | 2009-02-26 | 2013-03-12 | Covidien Lp | Surgical stapling apparatus with curved cartridge and anvil assemblies |
DE102009012175A1 (de) | 2009-02-27 | 2010-09-02 | Andreas Stihl Ag & Co. Kg | Elektroarbeitsgerät mit einem Akkupack |
US9030169B2 (en) | 2009-03-03 | 2015-05-12 | Robert Bosch Gmbh | Battery system and method for system state of charge determination |
JP5431749B2 (ja) | 2009-03-04 | 2014-03-05 | テルモ株式会社 | 医療用マニピュレータ |
US20100228250A1 (en) | 2009-03-05 | 2010-09-09 | Intuitive Surgical Operations, Inc. | Cut and seal instrument |
US8858547B2 (en) | 2009-03-05 | 2014-10-14 | Intuitive Surgical Operations, Inc. | Cut and seal instrument |
US8423182B2 (en) | 2009-03-09 | 2013-04-16 | Intuitive Surgical Operations, Inc. | Adaptable integrated energy control system for electrosurgical tools in robotic surgical systems |
US8120301B2 (en) | 2009-03-09 | 2012-02-21 | Intuitive Surgical Operations, Inc. | Ergonomic surgeon control console in robotic surgical systems |
US8317071B1 (en) | 2009-03-09 | 2012-11-27 | Cardica, Inc. | Endocutter with auto-feed buttress |
US7918376B1 (en) | 2009-03-09 | 2011-04-05 | Cardica, Inc. | Articulated surgical instrument |
US8397973B1 (en) | 2009-03-09 | 2013-03-19 | Cardica, Inc. | Wide handle for true multi-fire surgical stapler |
US8418073B2 (en) | 2009-03-09 | 2013-04-09 | Intuitive Surgical Operations, Inc. | User interfaces for electrosurgical tools in robotic surgical systems |
US8356740B1 (en) | 2009-03-09 | 2013-01-22 | Cardica, Inc. | Controlling compression applied to tissue by surgical tool |
US8007370B2 (en) | 2009-03-10 | 2011-08-30 | Cobra Golf, Inc. | Metal injection molded putter |
JP5177683B2 (ja) | 2009-03-12 | 2013-04-03 | 株式会社リコー | 画像読取装置および複写機 |
JP4875117B2 (ja) | 2009-03-13 | 2012-02-15 | 株式会社東芝 | 画像処理装置 |
DE102009013034B4 (de) | 2009-03-16 | 2015-11-19 | Olympus Winter & Ibe Gmbh | Autoklavierbare Aufladevorrichtung für einen Energiespeicher eines chirurgischen Instruments sowie Verfahren zum Aufladen eines wiederaufladbaren Energiespeichers in einem autoklavierten chirurgischen Instrument oder für ein autoklaviertes chirurgisches Instrument |
US8597287B2 (en) | 2009-03-17 | 2013-12-03 | Stryker Corporation | Method and system for varying output intensity of energy applied to an electrosurgical probe |
US8366719B2 (en) | 2009-03-18 | 2013-02-05 | Integrated Spinal Concepts, Inc. | Image-guided minimal-step placement of screw into bone |
US8066167B2 (en) | 2009-03-23 | 2011-11-29 | Ethicon Endo-Surgery, Inc. | Circular surgical stapling instrument with anvil locking system |
US8439830B2 (en) | 2009-03-27 | 2013-05-14 | EndoSphere Surgical, Inc. | Cannula with integrated camera and illumination |
JP5292155B2 (ja) | 2009-03-27 | 2013-09-18 | Tdkラムダ株式会社 | 電源供給制御装置、電源装置および電源供給制御方法 |
US8092443B2 (en) | 2009-03-30 | 2012-01-10 | Medtronic, Inc. | Element for implantation with medical device |
US8110208B1 (en) | 2009-03-30 | 2012-02-07 | Biolife, L.L.C. | Hemostatic compositions for arresting blood flow from an open wound or surgical site |
US20100249497A1 (en) | 2009-03-30 | 2010-09-30 | Peine William J | Surgical instrument |
US7967179B2 (en) | 2009-03-31 | 2011-06-28 | Tyco Healthcare Group Lp | Center cinch and release of buttress material |
US8365972B2 (en) | 2009-03-31 | 2013-02-05 | Covidien Lp | Surgical stapling apparatus |
US8348126B2 (en) | 2009-03-31 | 2013-01-08 | Covidien Lp | Crimp and release of suture holding buttress material |
US20100249520A1 (en) | 2009-03-31 | 2010-09-30 | Shelton Iv Frederick E | Method Of Surgical Access |
US8016178B2 (en) | 2009-03-31 | 2011-09-13 | Tyco Healthcare Group Lp | Surgical stapling apparatus |
US7988027B2 (en) | 2009-03-31 | 2011-08-02 | Tyco Healthcare Group Lp | Crimp and release of suture holding buttress material |
JP2010239817A (ja) | 2009-03-31 | 2010-10-21 | Brother Ind Ltd | 情報表示装置 |
US9486215B2 (en) | 2009-03-31 | 2016-11-08 | Covidien Lp | Surgical stapling apparatus |
US9277969B2 (en) | 2009-04-01 | 2016-03-08 | Covidien Lp | Microwave ablation system with user-controlled ablation size and method of use |
US8945163B2 (en) | 2009-04-01 | 2015-02-03 | Ethicon Endo-Surgery, Inc. | Methods and devices for cutting and fastening tissue |
KR101132659B1 (ko) | 2009-04-02 | 2012-04-02 | 한국과학기술원 | 4 자유도를 가진 복강경 수술장치 |
SG174985A1 (en) | 2009-04-03 | 2011-11-28 | Univ Leland Stanford Junior | Surgical device and method |
US20100256675A1 (en) | 2009-04-03 | 2010-10-07 | Romans Matthew L | Absorbable surgical staple |
US8801801B2 (en) | 2009-04-03 | 2014-08-12 | Biomerix Corporation | At least partially resorbable reticulated elastomeric matrix elements and methods of making same |
FR2943906B1 (fr) | 2009-04-03 | 2013-03-22 | Univ Pierre Et Marie Curie Paris 6 | Instrument chirurgical. |
US8257251B2 (en) | 2009-04-08 | 2012-09-04 | Ethicon Endo-Surgery, Inc. | Methods and devices for providing access into a body cavity |
US8419635B2 (en) | 2009-04-08 | 2013-04-16 | Ethicon Endo-Surgery, Inc. | Surgical access device having removable and replaceable components |
US20100267525A1 (en) | 2009-04-16 | 2010-10-21 | Mark Tanner | Athletic Training Aid and Method |
US8444549B2 (en) | 2009-04-16 | 2013-05-21 | Covidien Lp | Self-steering endoscopic device |
US9131977B2 (en) | 2009-04-17 | 2015-09-15 | Domain Surgical, Inc. | Layered ferromagnetic coated conductor thermal surgical tool |
US8523852B2 (en) | 2009-04-17 | 2013-09-03 | Domain Surgical, Inc. | Thermally adjustable surgical tool system |
US20100274160A1 (en) | 2009-04-22 | 2010-10-28 | Chie Yachi | Switching structure and surgical equipment |
US8922163B2 (en) | 2009-04-24 | 2014-12-30 | Murray MacDonald | Automated battery and data delivery system |
WO2010126912A1 (en) | 2009-04-27 | 2010-11-04 | Intersect Ent, Inc. | Devices and methods for treating pain associated with tonsillectomies |
PL2424458T3 (pl) | 2009-04-29 | 2019-09-30 | Erbe Elektromedizin Gmbh | Chirurgiczny generator wysokoczęstotliwościowy i sposób zasilania takiego chirurgicznego generatora wysokoczęstotliwościowego |
WO2010126129A1 (ja) | 2009-04-30 | 2010-11-04 | テルモ株式会社 | 医療用マニピュレータ |
US9192430B2 (en) | 2009-05-01 | 2015-11-24 | Covidien Lp | Electrosurgical instrument with time limit circuit |
US8631992B1 (en) | 2009-05-03 | 2014-01-21 | Cardica, Inc. | Feeder belt with padded staples for true multi-fire surgical stapler |
US8365975B1 (en) | 2009-05-05 | 2013-02-05 | Cardica, Inc. | Cam-controlled knife for surgical instrument |
US9038881B1 (en) | 2009-05-05 | 2015-05-26 | Cardica, Inc. | Feeder belt actuation mechanism for true multi-fire surgical stapler |
US8167898B1 (en) | 2009-05-05 | 2012-05-01 | Cardica, Inc. | Flexible cutter for surgical stapler |
US8328064B2 (en) | 2009-05-06 | 2012-12-11 | Covidien Lp | Pin locking mechanism for a surgical instrument |
US8523881B2 (en) | 2010-07-26 | 2013-09-03 | Valtech Cardio, Ltd. | Multiple anchor delivery tool |
US8127976B2 (en) | 2009-05-08 | 2012-03-06 | Tyco Healthcare Group Lp | Stapler cartridge and channel interlock |
JP2010260139A (ja) | 2009-05-08 | 2010-11-18 | Ntn Corp | 遠隔操作型加工ロボット |
US8324585B2 (en) | 2009-05-11 | 2012-12-04 | General Electric Company | Digital image detector |
US8728099B2 (en) | 2009-05-12 | 2014-05-20 | Ethicon, Inc. | Surgical fasteners, applicator instruments, and methods for deploying surgical fasteners |
US20100292540A1 (en) | 2009-05-12 | 2010-11-18 | Hess Christopher J | Surgical retractor and method |
JP5428515B2 (ja) | 2009-05-15 | 2014-02-26 | マックス株式会社 | 電動ステープラおよび電動ステープラのモータ駆動方法 |
US9023069B2 (en) | 2009-05-18 | 2015-05-05 | Covidien Lp | Attachable clamp for use with surgical instruments |
US8308043B2 (en) | 2009-05-19 | 2012-11-13 | Covidien Lp | Recognition of interchangeable component of a device |
WO2010134913A1 (en) | 2009-05-20 | 2010-11-25 | California Institute Of Technology | Endoscope and system and method of operation thereof |
US9004339B1 (en) | 2009-05-26 | 2015-04-14 | Cardica, Inc. | Cartridgizable feeder belt for surgical stapler |
WO2010138538A1 (en) | 2009-05-26 | 2010-12-02 | Zimmer, Inc. | Handheld tool for driving a bone pin into a fractured bone |
DE102009042491A1 (de) | 2009-05-29 | 2010-12-02 | Aesculap Ag | Chirurgisches Instrument |
US8070034B1 (en) | 2009-05-29 | 2011-12-06 | Cardica, Inc. | Surgical stapler with angled staple bays |
SG10201402759QA (en) | 2009-05-29 | 2014-08-28 | Univ Nanyang Tech | Robotic System for Flexible Endoscopy |
US8418909B2 (en) | 2009-06-02 | 2013-04-16 | Covidien Lp | Surgical instrument and method for performing a resection |
US9383881B2 (en) | 2009-06-03 | 2016-07-05 | Synaptics Incorporated | Input device and method with pressure-sensitive layer |
US8056789B1 (en) | 2009-06-03 | 2011-11-15 | Cardica, Inc. | Staple and feeder belt configurations for surgical stapler |
US20100310623A1 (en) | 2009-06-05 | 2010-12-09 | Laurencin Cato T | Synergetic functionalized spiral-in-tubular bone scaffolds |
US9086875B2 (en) | 2009-06-05 | 2015-07-21 | Qualcomm Incorporated | Controlling power consumption of a mobile device based on gesture recognition |
US8132706B2 (en) | 2009-06-05 | 2012-03-13 | Tyco Healthcare Group Lp | Surgical stapling apparatus having articulation mechanism |
US8821514B2 (en) | 2009-06-08 | 2014-09-02 | Covidien Lp | Powered tack applier |
CH701320B1 (it) | 2009-06-16 | 2013-10-15 | Frii S A | Dispositivo per trattamenti di resezione/rimozione endoscopica dei tessuti. |
CA2765956C (en) | 2009-06-19 | 2015-10-06 | Google Inc. | User interface visualizations |
US8827134B2 (en) | 2009-06-19 | 2014-09-09 | Covidien Lp | Flexible surgical stapler with motor in the head |
US8087562B1 (en) | 2009-06-22 | 2012-01-03 | Cardica, Inc. | Anvil for surgical instrument |
US8701960B1 (en) | 2009-06-22 | 2014-04-22 | Cardica, Inc. | Surgical stapler with reduced clamp gap for insertion |
USD604325S1 (en) | 2009-06-26 | 2009-11-17 | Microsoft Corporation | Animated image for a portion of a display screen |
US8784404B2 (en) | 2009-06-29 | 2014-07-22 | Carefusion 2200, Inc. | Flexible wrist-type element and methods of manufacture and use thereof |
US9463260B2 (en) | 2009-06-29 | 2016-10-11 | Covidien Lp | Self-sealing compositions |
CN101940844A (zh) | 2009-07-03 | 2011-01-12 | 林翠琼 | 模拟狗尾摆动装置 |
CN101944753A (zh) | 2009-07-03 | 2011-01-12 | 株式会社尼康 | 电子设备、供给电力控制方法及电流供给方法 |
KR101180665B1 (ko) | 2009-07-03 | 2012-09-07 | 주식회사 이턴 | 하이브리드 수술용 로봇 시스템 및 수술용 로봇 제어방법 |
EP2451367B1 (en) | 2009-07-08 | 2020-01-22 | Edge Systems Corporation | Devices for treating the skin using time-release substances |
WO2011005335A1 (en) | 2009-07-10 | 2011-01-13 | Tyco Healthcare Group Lp | Shaft constructions for medical devices with an articulating tip |
US8276802B2 (en) | 2009-07-11 | 2012-10-02 | Tyco Healthcare Group Lp | Surgical instrument with double cartridge and anvil assemblies |
US8146790B2 (en) | 2009-07-11 | 2012-04-03 | Tyco Healthcare Group Lp | Surgical instrument with safety mechanism |
WO2011008672A2 (en) | 2009-07-15 | 2011-01-20 | Ethicon Endo-Surgery, Inc. | Electrosurgery generator for ultrasonic surgical instruments |
US8343150B2 (en) | 2009-07-15 | 2013-01-01 | Covidien Lp | Mechanical cycling of seal pressure coupled with energy for tissue fusion |
US20110011916A1 (en) | 2009-07-16 | 2011-01-20 | New York University | Anastomosis device |
USD606992S1 (en) | 2009-07-21 | 2009-12-29 | Micro-Star Int'l Co., Ltd. | Laptop computer |
US8328062B2 (en) | 2009-07-21 | 2012-12-11 | Covidien Lp | Surgical instrument with curvilinear tissue-contacting surfaces |
US8143520B2 (en) | 2009-07-22 | 2012-03-27 | Paul Cutler | Universal wall plate thermometer |
US8205779B2 (en) | 2009-07-23 | 2012-06-26 | Tyco Healthcare Group Lp | Surgical stapler with tactile feedback system |
US20110021871A1 (en) | 2009-07-27 | 2011-01-27 | Gerry Berkelaar | Laparoscopic surgical instrument |
US20110025311A1 (en) | 2009-07-29 | 2011-02-03 | Logitech Europe S.A. | Magnetic rotary system for input devices |
US9592108B2 (en) | 2009-07-29 | 2017-03-14 | Covidien Lp | System and method of laparoscopic use of hemostatic patch |
US9314908B2 (en) | 2009-07-29 | 2016-04-19 | Hitachi Koki Co., Ltd. | Impact tool |
JP5440766B2 (ja) | 2009-07-29 | 2014-03-12 | 日立工機株式会社 | インパクト工具 |
FR2948594B1 (fr) | 2009-07-31 | 2012-07-20 | Dexterite Surgical | Manipulateur ergonomique et semi-automatique et applications aux instruments pour chirurgie mini-invasive |
EP2281506B1 (en) | 2009-08-03 | 2013-01-16 | Fico Mirrors, S.A. | Method and system for determining an individual's state of attention |
US8172004B2 (en) | 2009-08-05 | 2012-05-08 | Techtronic Power Tools Technology Limited | Automatic transmission for a power tool |
US8968358B2 (en) | 2009-08-05 | 2015-03-03 | Covidien Lp | Blunt tissue dissection surgical instrument jaw designs |
US10383629B2 (en) | 2009-08-10 | 2019-08-20 | Covidien Lp | System and method for preventing reprocessing of a powered surgical instrument |
US8360299B2 (en) | 2009-08-11 | 2013-01-29 | Covidien Lp | Surgical stapling apparatus |
DE202009011312U1 (de) | 2009-08-11 | 2010-12-23 | C. & E. Fein Gmbh | Handwerkzeug mit einem Oszillationsantrieb |
US8276801B2 (en) | 2011-02-01 | 2012-10-02 | Tyco Healthcare Group Lp | Surgical stapling apparatus |
US20110036891A1 (en) | 2009-08-11 | 2011-02-17 | Tyco Healthcare Group Lp | Surgical stapler with visual positional indicator |
US8955732B2 (en) | 2009-08-11 | 2015-02-17 | Covidien Lp | Surgical stapling apparatus |
JP5749265B2 (ja) | 2009-08-14 | 2015-07-15 | 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. | 超音波外科装置及びケイ素導波管、並びにその使用方法 |
US8459524B2 (en) | 2009-08-14 | 2013-06-11 | Covidien Lp | Tissue fastening system for a medical device |
US8342378B2 (en) | 2009-08-17 | 2013-01-01 | Covidien Lp | One handed stapler |
EP2467314A1 (en) | 2009-08-17 | 2012-06-27 | Culligan, Patrick John | Apparatus for housing a plurality of needles and method of use therefor |
US8733612B2 (en) | 2009-08-17 | 2014-05-27 | Covidien Lp | Safety method for powered surgical instruments |
US9271718B2 (en) | 2009-08-18 | 2016-03-01 | Karl Storz Gmbh & Co. Kg | Suturing and ligating method |
US9265500B2 (en) | 2009-08-19 | 2016-02-23 | Covidien Lp | Surgical staple |
US8387848B2 (en) | 2009-08-20 | 2013-03-05 | Covidien Lp | Surgical staple |
USD623194S1 (en) | 2009-09-08 | 2010-09-07 | Rain Bird Corporation | Graphical user interface for a wireless rain sensor |
US8162965B2 (en) | 2009-09-09 | 2012-04-24 | Tyco Healthcare Group Lp | Low profile cutting assembly with a return spring |
JP2011079510A (ja) | 2009-09-10 | 2011-04-21 | Makita Corp | 電動車 |
US8258745B2 (en) | 2009-09-10 | 2012-09-04 | Syntheon, Llc | Surgical sterilizer with integrated battery charging device |
TWI394362B (zh) | 2009-09-11 | 2013-04-21 | Anpec Electronics Corp | 驅動直流馬達的方法及其相關電路 |
US20110066156A1 (en) | 2009-09-14 | 2011-03-17 | Warsaw Orthopedic, Inc. | Surgical Tool |
EP2296350B1 (en) | 2009-09-14 | 2018-11-07 | Alcatel Lucent | Management of application server-related user data |
US8974932B2 (en) | 2009-09-14 | 2015-03-10 | Warsaw Orthopedic, Inc. | Battery powered surgical tool with guide wire |
US9168144B2 (en) | 2009-09-14 | 2015-10-27 | Evgeny Rivin | Prosthesis for replacement of cartilage |
US9579039B2 (en) | 2011-01-10 | 2017-02-28 | Masimo Corporation | Non-invasive intravascular volume index monitor |
DE102009041329A1 (de) | 2009-09-15 | 2011-03-24 | Celon Ag Medical Instruments | Kombiniertes Ultraschall- und HF Chirurgisches System |
DE102009042411A1 (de) | 2009-09-21 | 2011-03-31 | Richard Wolf Gmbh | Medizinisches Instrument |
US8623028B2 (en) | 2009-09-23 | 2014-01-07 | Intuitive Surgical Operations, Inc. | Surgical port feature |
EP2485079B1 (en) | 2009-09-29 | 2016-12-21 | Olympus Corporation | Endoscope system |
JP2011072574A (ja) | 2009-09-30 | 2011-04-14 | Terumo Corp | 医療用マニピュレータ |
WO2011041488A2 (en) | 2009-09-30 | 2011-04-07 | Mayo Foundation For Medical Education And Research | Tissue capture and occlusion systems and methods |
US20110082538A1 (en) | 2009-10-01 | 2011-04-07 | Jonathan Dahlgren | Medical device, kit and method for constricting tissue or a bodily orifice, for example, a mitral valve |
US8470355B2 (en) | 2009-10-01 | 2013-06-25 | Covidien Lp | Mesh implant |
US8970507B2 (en) | 2009-10-02 | 2015-03-03 | Blackberry Limited | Method of waking up and a portable electronic device configured to perform the same |
US8430892B2 (en) | 2009-10-06 | 2013-04-30 | Covidien Lp | Surgical clip applier having a wireless clip counter |
US8236011B2 (en) | 2009-10-06 | 2012-08-07 | Ethicon Endo-Surgery, Inc. | Method for deploying fasteners for use in a gastric volume reduction procedure |
US8257634B2 (en) | 2009-10-06 | 2012-09-04 | Tyco Healthcare Group Lp | Actuation sled having a curved guide member and method |
US9474540B2 (en) | 2009-10-08 | 2016-10-25 | Ethicon-Endo-Surgery, Inc. | Laparoscopic device with compound angulation |
US10194904B2 (en) | 2009-10-08 | 2019-02-05 | Covidien Lp | Surgical staple and method of use |
US8496154B2 (en) | 2009-10-08 | 2013-07-30 | Covidien Lp | Pair of double staple pusher in triple row stapler |
CA2777105C (en) | 2009-10-09 | 2018-03-27 | Ethicon Endo-Surgery, Inc. | Surgical instrument surgical instrument comprising first and second drive systems actuatable by a common trigger mechanism |
US9039695B2 (en) | 2009-10-09 | 2015-05-26 | Ethicon Endo-Surgery, Inc. | Surgical generator for ultrasonic and electrosurgical devices |
US10172669B2 (en) | 2009-10-09 | 2019-01-08 | Ethicon Llc | Surgical instrument comprising an energy trigger lockout |
US10441345B2 (en) | 2009-10-09 | 2019-10-15 | Ethicon Llc | Surgical generator for ultrasonic and electrosurgical devices |
US9168054B2 (en) | 2009-10-09 | 2015-10-27 | Ethicon Endo-Surgery, Inc. | Surgical generator for ultrasonic and electrosurgical devices |
US8141762B2 (en) | 2009-10-09 | 2012-03-27 | Ethicon Endo-Surgery, Inc. | Surgical stapler comprising a staple pocket |
US8152041B2 (en) | 2009-10-14 | 2012-04-10 | Tyco Healthcare Group Lp | Varying tissue compression aided by elastic members |
US8157151B2 (en) | 2009-10-15 | 2012-04-17 | Tyco Healthcare Group Lp | Staple line reinforcement for anvil and cartridge |
US10293553B2 (en) | 2009-10-15 | 2019-05-21 | Covidien Lp | Buttress brachytherapy and integrated staple line markers for margin identification |
US9693772B2 (en) | 2009-10-15 | 2017-07-04 | Covidien Lp | Staple line reinforcement for anvil and cartridge |
US20150231409A1 (en) | 2009-10-15 | 2015-08-20 | Covidien Lp | Buttress brachytherapy and integrated staple line markers for margin identification |
US9610080B2 (en) | 2009-10-15 | 2017-04-04 | Covidien Lp | Staple line reinforcement for anvil and cartridge |
US8038693B2 (en) | 2009-10-21 | 2011-10-18 | Tyco Healthcare Group Ip | Methods for ultrasonic tissue sensing and feedback |
US8523042B2 (en) | 2009-10-21 | 2013-09-03 | The General Hospital Corporation | Apparatus and method for preserving a tissue margin |
US20110095064A1 (en) | 2009-10-22 | 2011-04-28 | Taylor Walter J | Fuel level monitoring system for combustion-powered tools |
ES2388867B1 (es) | 2009-10-27 | 2013-09-18 | Universitat Politècnica De Catalunya | Pinzas para cirugia laparoscópica mínimamente invasiva. |
US8322590B2 (en) | 2009-10-28 | 2012-12-04 | Covidien Lp | Surgical stapling instrument |
WO2011052391A1 (ja) | 2009-10-28 | 2011-05-05 | オリンパスメディカルシステムズ株式会社 | 医療用装置 |
US8413872B2 (en) | 2009-10-28 | 2013-04-09 | Covidien Lp | Surgical fastening apparatus |
US8430292B2 (en) | 2009-10-28 | 2013-04-30 | Covidien Lp | Surgical fastening apparatus |
JP4704520B1 (ja) | 2009-10-28 | 2011-06-15 | オリンパスメディカルシステムズ株式会社 | 高周波手術装置及び医療機器の作動方法 |
EP2493424A4 (en) | 2009-10-29 | 2014-04-30 | Prosidyan Inc | MATERIAL FOR BONE GRAFT |
US8657175B2 (en) | 2009-10-29 | 2014-02-25 | Medigus Ltd. | Medical device comprising alignment systems for bringing two portions into alignment |
US8357161B2 (en) | 2009-10-30 | 2013-01-22 | Covidien Lp | Coaxial drive |
US8398633B2 (en) | 2009-10-30 | 2013-03-19 | Covidien Lp | Jaw roll joint |
US8225979B2 (en) | 2009-10-30 | 2012-07-24 | Tyco Healthcare Group Lp | Locking shipping wedge |
WO2011055244A1 (en) | 2009-11-04 | 2011-05-12 | Koninklijke Philips Electronics N.V. | Disposable tip with sheath |
US8418907B2 (en) | 2009-11-05 | 2013-04-16 | Covidien Lp | Surgical stapler having cartridge with adjustable cam mechanism |
US20110112530A1 (en) | 2009-11-06 | 2011-05-12 | Keller Craig A | Battery Powered Electrosurgery |
US20110112517A1 (en) | 2009-11-06 | 2011-05-12 | Peine Willliam J | Surgical instrument |
US8162138B2 (en) | 2009-11-09 | 2012-04-24 | Containmed, Inc. | Universal surgical fastener sterilization caddy |
US8186558B2 (en) | 2009-11-10 | 2012-05-29 | Tyco Healthcare Group Lp | Locking mechanism for use with loading units |
CN102596087B (zh) | 2009-11-13 | 2015-07-22 | 直观外科手术操作公司 | 用于独立转动构件中的平行驱动轴的电动机接口 |
CN106974733B (zh) | 2009-11-13 | 2020-04-03 | 直观外科手术操作公司 | 具有紧凑腕部的手术工具 |
US20110118708A1 (en) | 2009-11-13 | 2011-05-19 | Intuitive Surgical Operations, Inc. | Double universal joint |
KR102009224B1 (ko) | 2009-11-13 | 2019-08-09 | 인튜어티브 서지컬 오퍼레이션즈 인코포레이티드 | 여분의 닫힘 메커니즘을 구비한 단부 작동기 |
US8622275B2 (en) | 2009-11-19 | 2014-01-07 | Ethicon Endo-Surgery, Inc. | Circular stapler introducer with rigid distal end portion |
US8235272B2 (en) | 2009-11-20 | 2012-08-07 | Tyco Healthcare Group Lp | Surgical stapling device with captive anvil |
US9226686B2 (en) | 2009-11-23 | 2016-01-05 | Rf Surgical Systems, Inc. | Method and apparatus to account for transponder tagged objects used during medical procedures |
JP5211022B2 (ja) | 2009-11-30 | 2013-06-12 | 株式会社日立製作所 | リチウムイオン二次電池 |
JP5073733B2 (ja) | 2009-11-30 | 2012-11-14 | シャープ株式会社 | 蓄電池の強制放電機構及び安全スイッチ装置 |
US8167622B2 (en) | 2009-12-02 | 2012-05-01 | Mig Technology Inc. | Power plug with a freely rotatable delivery point |
DE102009060987A1 (de) | 2009-12-07 | 2011-06-09 | Deutsches Zentrum für Luft- und Raumfahrt e.V. | Chirurgisches Manipulationsinstrument |
US8136712B2 (en) | 2009-12-10 | 2012-03-20 | Ethicon Endo-Surgery, Inc. | Surgical stapler with discrete staple height adjustment and tactile feedback |
FR2953752B1 (fr) | 2009-12-11 | 2012-01-20 | Prospection & Inventions | Outil de fixation a moteur a combustion interne a butee de chambre unique d'ouverture et de fermeture |
CN101716090A (zh) | 2009-12-15 | 2010-06-02 | 李东瑞 | 管型吻合器的盖帽 |
DE102009059196A1 (de) | 2009-12-17 | 2011-06-22 | Aesculap AG, 78532 | Chirurgisches System zum Verbinden von Körpergewebe |
GB2476461A (en) | 2009-12-22 | 2011-06-29 | Neosurgical Ltd | Laparoscopic surgical device with jaws biased closed |
DE102009060495A1 (de) | 2009-12-23 | 2011-06-30 | Karl Storz GmbH & Co. KG, 78532 | Haltevorrichtung für medizinische Instrumente |
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 |
US8561871B2 (en) | 2009-12-31 | 2013-10-22 | Covidien Lp | Indicators for surgical staplers |
US8714430B2 (en) | 2009-12-31 | 2014-05-06 | Covidien Lp | Indicator for surgical stapler |
US8261958B1 (en) | 2010-01-06 | 2012-09-11 | Cardica, Inc. | Stapler cartridge with staples frangibly affixed thereto |
US9475180B2 (en) | 2010-01-07 | 2016-10-25 | Black & Decker Inc. | Power tool having rotary input control |
US8608046B2 (en) | 2010-01-07 | 2013-12-17 | Ethicon Endo-Surgery, Inc. | Test device for a surgical tool |
GB2490447A (en) | 2010-01-07 | 2012-10-31 | Black & Decker Inc | Power screwdriver having rotary input control |
WO2011086989A1 (ja) * | 2010-01-14 | 2011-07-21 | 国立大学法人横浜国立大学 | マイクロファスナー、マイクロファスナーの製造方法、及びマイクロファスナー素子 |
US8313509B2 (en) | 2010-01-19 | 2012-11-20 | Covidien Lp | Suture and retainer assembly and SULU |
WO2012082164A1 (en) | 2010-01-21 | 2012-06-21 | Orthallgn, Inc. | Systems and methods for joint replacement |
US10911515B2 (en) | 2012-05-24 | 2021-02-02 | Deka Products Limited Partnership | System, method, and apparatus for electronic patient care |
EP2526883A4 (en) | 2010-01-22 | 2017-07-12 | Olympus Corporation | Treatment tool, treatment device, and treatment method |
US8469254B2 (en) | 2010-01-22 | 2013-06-25 | Covidien Lp | Surgical instrument having a drive assembly |
JP5805668B2 (ja) | 2010-01-26 | 2015-11-04 | アータック メディカル (2013) リミテッド | 関節運動式医療機器 |
US8322901B2 (en) | 2010-01-28 | 2012-12-04 | Michelotti William M | Illuminated vehicle wheel with bearing seal slip ring assembly |
US9510925B2 (en) | 2010-02-02 | 2016-12-06 | Covidien Lp | Surgical meshes |
US8328061B2 (en) | 2010-02-02 | 2012-12-11 | Covidien Lp | Surgical instrument for joining tissue |
DE102010006845B4 (de) | 2010-02-03 | 2019-05-16 | Leica Microsystems (Schweiz) Ag | Medizintechnische Vorrichtung mit kabellosem Fussschaltgerät |
US8381834B2 (en) | 2010-02-04 | 2013-02-26 | Robert Bosch Gmbh | Drive system for interconnecting attachment devices and handheld rotary power tools |
EP2533737B1 (en) | 2010-02-08 | 2014-01-08 | On Demand Therapeutics, Inc. | Low-permeability, laser-activated drug delivery device |
JP5432761B2 (ja) | 2010-02-12 | 2014-03-05 | 株式会社マキタ | 複数のバッテリパックを電源とする電動工具 |
JP5461221B2 (ja) | 2010-02-12 | 2014-04-02 | 株式会社マキタ | 複数のバッテリパックを電源とする電動工具 |
US20110199225A1 (en) | 2010-02-15 | 2011-08-18 | Honeywell International Inc. | Use of token switch to indicate unauthorized manipulation of a protected device |
US8672209B2 (en) | 2010-02-25 | 2014-03-18 | Design Standards Corporation | Laproscopic stapler |
US8403945B2 (en) | 2010-02-25 | 2013-03-26 | Covidien Lp | Articulating endoscopic surgical clip applier |
CN101779977B (zh) | 2010-02-25 | 2011-12-14 | 上海创亿医疗器械技术有限公司 | 外科线形切割缝合器的钉仓 |
US8403832B2 (en) | 2010-02-26 | 2013-03-26 | Covidien Lp | Drive mechanism for articulation of a surgical instrument |
WO2011106792A2 (en) | 2010-02-26 | 2011-09-01 | Myskin, Inc. | Analytic methods of tissue evaluation |
US9610412B2 (en) | 2010-03-02 | 2017-04-04 | Covidien Lp | Internally pressurized medical devices |
WO2011109520A1 (en) | 2010-03-03 | 2011-09-09 | Gavin Braithwaite | Gastric volume filling construct |
US20110218400A1 (en) | 2010-03-05 | 2011-09-08 | Tyco Healthcare Group Lp | Surgical instrument with integrated wireless camera |
US20110218550A1 (en) | 2010-03-08 | 2011-09-08 | Tyco Healthcare Group Lp | System and method for determining and adjusting positioning and orientation of a surgical device |
DE102010002702A1 (de) | 2010-03-09 | 2011-09-15 | Robert Bosch Gmbh | Elektrogerät, insbesondere Elektrohandwerkzeug |
US8623004B2 (en) | 2010-03-10 | 2014-01-07 | Covidien Lp | Method for determining proximity relative to a critical structure |
US8864761B2 (en) | 2010-03-10 | 2014-10-21 | Covidien Lp | System and method for determining proximity relative to a critical structure |
AU2011200961B2 (en) | 2010-03-12 | 2014-05-29 | Covidien Lp | Method and apparatus for determining parameters of linear motion in a surgical instrument |
EP2548529B1 (en) | 2010-03-15 | 2018-10-24 | Karl Storz SE & Co. KG | Medical manipulator |
US8575880B2 (en) | 2010-03-17 | 2013-11-05 | Alan Lyndon Grantz | Direct current motor with independently driven and switchable stators |
US8288984B2 (en) | 2010-03-17 | 2012-10-16 | Tai-Her Yang | DC brushless motor drive circuit with speed variable-voltage |
US20110172495A1 (en) | 2010-03-26 | 2011-07-14 | Armstrong David N | Surgical retractor |
US8696665B2 (en) | 2010-03-26 | 2014-04-15 | Ethicon Endo-Surgery, Inc. | Surgical cutting and sealing instrument with reduced firing force |
DE102010003339B4 (de) | 2010-03-26 | 2012-02-02 | Leica Microsystems (Schweiz) Ag | Sterile Bedieneinheit mit Sensorbildschirm |
DE102010013150A1 (de) | 2010-03-27 | 2011-09-29 | Volkswagen Ag | Vorrichtung zur thermischen Isolierung mindestens einer Fahrzeugbatterie |
US20110241597A1 (en) | 2010-03-30 | 2011-10-06 | Lin Engineering | H-bridge drive circuit for step motor control |
WO2011122516A1 (ja) | 2010-03-30 | 2011-10-06 | テルモ株式会社 | 医療用マニピュレータシステム |
US8074859B2 (en) | 2010-03-31 | 2011-12-13 | Tyco Healthcare Group Lp | Surgical instrument |
WO2011123703A1 (en) | 2010-03-31 | 2011-10-06 | Smart Medical Devices, Inc. | Depth controllable and measurable medical driver devices |
CN201719298U (zh) | 2010-04-01 | 2011-01-26 | 江苏瑞安贝医疗器械有限公司 | 直线切割吻合器活动手柄防脱机构 |
USD667018S1 (en) | 2010-04-02 | 2012-09-11 | Kewaunee Scientific Corporation | Display screen of a biological safety cabinet with graphical user interface |
WO2011127137A1 (en) | 2010-04-06 | 2011-10-13 | Pavel Menn | Articulating steerable clip applier for laparoscopic procedures |
US9722334B2 (en) | 2010-04-07 | 2017-08-01 | Black & Decker Inc. | Power tool with light unit |
US8348127B2 (en) | 2010-04-07 | 2013-01-08 | Covidien Lp | Surgical fastener applying apparatus |
US8662370B2 (en) | 2010-04-08 | 2014-03-04 | Hidehisa Thomas Takei | Introducer system and assembly for surgical staplers |
US8961504B2 (en) | 2010-04-09 | 2015-02-24 | Covidien Lp | Optical hydrology arrays and system and method for monitoring water displacement during treatment of patient tissue |
US8597295B2 (en) | 2010-04-12 | 2013-12-03 | Covidien Lp | Surgical instrument with non-contact electrical coupling |
US8834518B2 (en) | 2010-04-12 | 2014-09-16 | Ethicon Endo-Surgery, Inc. | Electrosurgical cutting and sealing instruments with cam-actuated jaws |
ES2387255T3 (es) | 2010-04-14 | 2012-09-19 | Tuebingen Scientific Medical Gmbh | Instrumento quirúrgico con cabeza de instrumento elásticamente movible |
US8734831B2 (en) | 2010-04-16 | 2014-05-27 | Snu R&Db Foundation | Method for manufacturing a porous ceramic scaffold having an organic/inorganic hybrid coating layer containing a bioactive factor |
IT1399603B1 (it) | 2010-04-26 | 2013-04-26 | Scuola Superiore Di Studi Universitari E Di Perfez | Apparato robotico per interventi di chirurgia minimamente invasiva |
US9451938B2 (en) | 2010-04-27 | 2016-09-27 | DePuy Synthes Products, Inc. | Insertion instrument for anchor assembly |
BR112012027700B1 (pt) | 2010-04-29 | 2020-04-07 | Ethicon Endo Surgery Llc | sutura de autorretenção |
US20110271186A1 (en) | 2010-04-30 | 2011-11-03 | John Colin Owens | Visual audio mixing system and method thereof |
US20110276083A1 (en) | 2010-05-07 | 2011-11-10 | Ethicon Endo-Surgery, Inc. | Bendable shaft for handle positioning |
US20110275901A1 (en) | 2010-05-07 | 2011-11-10 | Ethicon Endo-Surgery, Inc. | Laparoscopic devices with articulating end effectors |
US9226760B2 (en) | 2010-05-07 | 2016-01-05 | Ethicon Endo-Surgery, Inc. | Laparoscopic devices with flexible actuation mechanisms |
US8562592B2 (en) | 2010-05-07 | 2013-10-22 | Ethicon Endo-Surgery, Inc. | Compound angle laparoscopic methods and devices |
US8646674B2 (en) | 2010-05-11 | 2014-02-11 | Ethicon Endo-Surgery, Inc. | Methods and apparatus for delivering tissue treatment compositions to stapled tissue |
US8464925B2 (en) * | 2010-05-11 | 2013-06-18 | Ethicon Endo-Surgery, Inc. | Methods and apparatus for delivering tissue treatment compositions to stapled tissue |
CN101828940A (zh) | 2010-05-12 | 2010-09-15 | 苏州天臣国际医疗科技有限公司 | 弯曲型线性闭合切割器 |
US8689901B2 (en) | 2010-05-12 | 2014-04-08 | X'pole Precision Tools Inc. | Electric power tool |
US8603077B2 (en) | 2010-05-14 | 2013-12-10 | Intuitive Surgical Operations, Inc. | Force transmission for robotic surgical instrument |
US8958860B2 (en) | 2010-05-17 | 2015-02-17 | Covidien Lp | Optical sensors for intraoperative procedures |
US8685020B2 (en) | 2010-05-17 | 2014-04-01 | Ethicon Endo-Surgery, Inc. | Surgical instruments and end effectors therefor |
JP5085684B2 (ja) | 2010-05-19 | 2012-11-28 | オリンパスメディカルシステムズ株式会社 | 処置具システム及びマニピュレータシステム |
JP5534327B2 (ja) | 2010-05-19 | 2014-06-25 | 日立工機株式会社 | 電動工具 |
DE102010029100A1 (de) | 2010-05-19 | 2011-11-24 | Osram Gesellschaft mit beschränkter Haftung | Schaltungsanordnung zum Betreiben mindestens einer Entladungslampe und mindestens einer LED |
US20110285507A1 (en) | 2010-05-21 | 2011-11-24 | Nelson Erik T | Tamper Detection RFID Tape |
US20110293690A1 (en) | 2010-05-27 | 2011-12-01 | Tyco Healthcare Group Lp | Biodegradable Polymer Encapsulated Microsphere Particulate Film and Method of Making Thereof |
US20110292258A1 (en) | 2010-05-28 | 2011-12-01 | C2Cure, Inc. | Two sensor imaging systems |
US9091588B2 (en) | 2010-05-28 | 2015-07-28 | Prognost Systems Gmbh | System and method of mechanical fault detection based on signature detection |
US8491624B2 (en) | 2010-06-02 | 2013-07-23 | Covidien Lp | Apparatus for performing an electrosurgical procedure |
USD666209S1 (en) | 2010-06-05 | 2012-08-28 | Apple Inc. | Display screen or portion thereof with graphical user interface |
KR101095099B1 (ko) | 2010-06-07 | 2011-12-16 | 삼성전기주식회사 | 편평형 진동모터 |
CN101856250B (zh) | 2010-06-07 | 2011-08-31 | 常州威克医疗器械有限公司 | 一次性自动保险圆形吻合器 |
US9144455B2 (en) | 2010-06-07 | 2015-09-29 | Just Right Surgical, Llc | Low power tissue sealing device and method |
US8795276B2 (en) | 2010-06-09 | 2014-08-05 | Ethicon Endo-Surgery, Inc. | Electrosurgical instrument employing a plurality of electrodes |
FR2961087B1 (fr) | 2010-06-09 | 2013-06-28 | Allflex Europ | Outil de prelevement d'un echantillon de tissu animal. |
WO2011156776A2 (en) | 2010-06-10 | 2011-12-15 | The Regents Of The University Of California | Smart electric vehicle (ev) charging and grid integration apparatus and methods |
US8825164B2 (en) | 2010-06-11 | 2014-09-02 | Enteromedics Inc. | Neural modulation devices and methods |
US20120130217A1 (en) | 2010-11-23 | 2012-05-24 | Kauphusman James V | Medical devices having electrodes mounted thereon and methods of manufacturing therefor |
US20110313894A1 (en) | 2010-06-18 | 2011-12-22 | Dye Alan W | System and Method for Surgical Pack Manufacture, Monitoring, and Tracking |
US8596515B2 (en) | 2010-06-18 | 2013-12-03 | Covidien Lp | Staple position sensor system |
KR20110139127A (ko) | 2010-06-21 | 2011-12-28 | 엔비전 에너지 (덴마크) 에이피에스 | 풍력터빈 및 풍력터빈용 축 |
US8302323B2 (en) | 2010-06-21 | 2012-11-06 | Confluent Surgical, Inc. | Hemostatic patch |
US9028495B2 (en) | 2010-06-23 | 2015-05-12 | Covidien Lp | Surgical instrument with a separable coaxial joint |
US8366559B2 (en) | 2010-06-23 | 2013-02-05 | Lenkbar, Llc | Cannulated flexible drive shaft |
WO2011162753A1 (en) | 2010-06-23 | 2011-12-29 | Mako Sugical Corp. | Inertially tracked objects |
US20110315413A1 (en) | 2010-06-25 | 2011-12-29 | Mako Surgical Corp. | Kit-Of Parts for Multi-Functional Tool, Drive Unit, and Operating Members |
USD650789S1 (en) | 2010-06-25 | 2011-12-20 | Microsoft Corporation | Display screen with in-process indicator |
KR101143469B1 (ko) | 2010-07-02 | 2012-05-08 | 에스케이하이닉스 주식회사 | 반도체 메모리의 출력 인에이블 신호 생성 회로 |
US20120004636A1 (en) | 2010-07-02 | 2012-01-05 | Denny Lo | Hemostatic fibrous material |
US20120008880A1 (en) | 2010-07-06 | 2012-01-12 | Landy Toth | Isolation system for a mobile computing device |
EP2405439B1 (en) | 2010-07-07 | 2013-01-23 | Crocus Technology S.A. | Magnetic device with optimized heat confinement |
US10737398B2 (en) | 2010-07-08 | 2020-08-11 | Vanderbilt University | Continuum devices and control methods thereof |
WO2012006306A2 (en) | 2010-07-08 | 2012-01-12 | Ethicon Endo-Surgery, Inc. | Surgical instrument comprising an articulatable end effector |
US9149324B2 (en) | 2010-07-08 | 2015-10-06 | Ethicon Endo-Surgery, Inc. | Surgical instrument comprising an articulatable end effector |
US8834466B2 (en) | 2010-07-08 | 2014-09-16 | Ethicon Endo-Surgery, Inc. | Surgical instrument comprising an articulatable end effector |
US9089600B2 (en) | 2010-07-12 | 2015-07-28 | University Of Southern California | Systems and methods for in vitro and in vivo imaging of cells on a substrate |
US8613383B2 (en) | 2010-07-14 | 2013-12-24 | Ethicon Endo-Surgery, Inc. | Surgical instruments with electrodes |
US8453906B2 (en) | 2010-07-14 | 2013-06-04 | Ethicon Endo-Surgery, Inc. | Surgical instruments with electrodes |
JP2012023847A (ja) | 2010-07-14 | 2012-02-02 | Panasonic Electric Works Co Ltd | 充電式電気機器 |
US8439246B1 (en) | 2010-07-20 | 2013-05-14 | Cardica, Inc. | Surgical stapler with cartridge-adjustable clamp gap |
US8663270B2 (en) | 2010-07-23 | 2014-03-04 | Conmed Corporation | Jaw movement mechanism and method for a surgical tool |
US8979843B2 (en) | 2010-07-23 | 2015-03-17 | Ethicon Endo-Surgery, Inc. | Electrosurgical cutting and sealing instrument |
US8840609B2 (en) | 2010-07-23 | 2014-09-23 | Conmed Corporation | Tissue fusion system and method of performing a functional verification test |
US9011437B2 (en) | 2010-07-23 | 2015-04-21 | Ethicon Endo-Surgery, Inc. | Electrosurgical cutting and sealing instrument |
WO2012013577A1 (en) | 2010-07-26 | 2012-02-02 | Laboratorios Miret, S.A. | Composition for coating medical devices containing lae and a polycationic amphoteric polymer |
US8403946B2 (en) | 2010-07-28 | 2013-03-26 | Covidien Lp | Articulating clip applier cartridge |
US8968337B2 (en) | 2010-07-28 | 2015-03-03 | Covidien Lp | Articulating clip applier |
US8672207B2 (en) | 2010-07-30 | 2014-03-18 | Ethicon Endo-Surgery, Inc. | Transwall visualization arrangements and methods for surgical circular staplers |
JP5686236B2 (ja) | 2010-07-30 | 2015-03-18 | 日立工機株式会社 | 電動工具及びネジ締め用電動工具 |
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 |
US8900267B2 (en) | 2010-08-05 | 2014-12-02 | Microline Surgical, Inc. | Articulable surgical instrument |
CN102378503A (zh) | 2010-08-06 | 2012-03-14 | 鸿富锦精密工业(深圳)有限公司 | 电子装置组合 |
JP5881606B2 (ja) | 2010-08-06 | 2016-03-09 | 大日本住友製薬株式会社 | 脊髄損傷治療用製剤 |
US8852199B2 (en) | 2010-08-06 | 2014-10-07 | Abyrx, Inc. | Method and device for handling bone adhesives |
USD652048S1 (en) | 2010-08-09 | 2012-01-10 | Management Insight, LLC | Display screen of a communications terminal with graphical user interface |
US8675820B2 (en) | 2010-08-10 | 2014-03-18 | Varian Medical Systems, Inc. | Electronic conical collimator verification |
EP2417925B1 (en) | 2010-08-12 | 2016-12-07 | Immersion Corporation | Electrosurgical tool having tactile feedback |
CN101912284B (zh) | 2010-08-13 | 2012-07-18 | 李东瑞 | 弧形切割吻合器 |
US8298233B2 (en) | 2010-08-20 | 2012-10-30 | Tyco Healthcare Group Lp | Surgical instrument configured for use with interchangeable hand grips |
CA2750482C (en) | 2010-08-25 | 2016-11-01 | Syntheon, Llc | Battery-powered hand-held ultrasonic surgical cautery cutting device |
US20120059286A1 (en) | 2010-09-07 | 2012-03-08 | Roger Hastings | Self-Powered Ablation Catheter for Renal Denervation |
EP2613714B1 (en) | 2010-09-09 | 2021-08-11 | Queen Mary & Westfield College, University of London | Apparatus for forming stoma trephines and anastomoses |
US8360296B2 (en) | 2010-09-09 | 2013-01-29 | Ethicon Endo-Surgery, Inc. | Surgical stapling head assembly with firing lockout for a surgical stapler |
EP2618161A1 (en) | 2010-09-17 | 2013-07-24 | Universal Bio Research Co., Ltd. | Cartridge and automatic analysis device |
US8632525B2 (en) | 2010-09-17 | 2014-01-21 | Ethicon Endo-Surgery, Inc. | Power control arrangements for surgical instruments and batteries |
US9289212B2 (en) | 2010-09-17 | 2016-03-22 | Ethicon Endo-Surgery, Inc. | Surgical instruments and batteries for surgical instruments |
US9402682B2 (en) | 2010-09-24 | 2016-08-02 | Ethicon Endo-Surgery, Llc | Articulation joint features for articulating surgical device |
US20130131651A1 (en) | 2010-09-24 | 2013-05-23 | Ethicon Endo-Surgery, Inc. | Features providing linear actuation through articulation joint in surgical instrument |
US9877720B2 (en) | 2010-09-24 | 2018-01-30 | Ethicon Llc | Control features for articulating surgical device |
US9545253B2 (en) | 2010-09-24 | 2017-01-17 | Ethicon Endo-Surgery, Llc | Surgical instrument with contained dual helix actuator assembly |
US8733613B2 (en) | 2010-09-29 | 2014-05-27 | Ethicon Endo-Surgery, Inc. | Staple cartridge |
US10231653B2 (en) | 2010-09-29 | 2019-03-19 | Dexcom, Inc. | Advanced continuous analyte monitoring system |
US9629814B2 (en) | 2010-09-30 | 2017-04-25 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator configured to redistribute compressive forces |
US9301753B2 (en) | 2010-09-30 | 2016-04-05 | Ethicon Endo-Surgery, Llc | Expandable tissue thickness compensator |
US8978954B2 (en) | 2010-09-30 | 2015-03-17 | Ethicon Endo-Surgery, Inc. | Staple cartridge comprising an adjustable distal portion |
US20220175370A1 (en) | 2010-09-30 | 2022-06-09 | Cilag Gmbh International | Tissue thickness compensator comprising at least one medicament |
US9414838B2 (en) | 2012-03-28 | 2016-08-16 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator comprised of a plurality of materials |
US10945731B2 (en) | 2010-09-30 | 2021-03-16 | Ethicon Llc | Tissue thickness compensator comprising controlled release and expansion |
US9320523B2 (en) | 2012-03-28 | 2016-04-26 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator comprising tissue ingrowth features |
US9307989B2 (en) | 2012-03-28 | 2016-04-12 | Ethicon Endo-Surgery, Llc | Tissue stapler having a thickness compensator incorportating a hydrophobic agent |
US9517063B2 (en) | 2012-03-28 | 2016-12-13 | Ethicon Endo-Surgery, Llc | Movable member for use with a tissue thickness compensator |
US11812965B2 (en) | 2010-09-30 | 2023-11-14 | Cilag Gmbh International | Layer of material for a surgical end effector |
US9364233B2 (en) | 2010-09-30 | 2016-06-14 | Ethicon Endo-Surgery, Llc | Tissue thickness compensators for circular surgical staplers |
CN103458808B (zh) | 2010-09-30 | 2016-10-05 | 伊西康内外科公司 | 具有紧凑铰接控制装置的外科缝合器械 |
US20220338870A1 (en) | 2010-09-30 | 2022-10-27 | Cilag Gmbh International | Tissue thickness compensator comprising a reservoir |
CN103384500B (zh) | 2010-09-30 | 2016-05-18 | 伊西康内外科公司 | 具有可互换钉仓结构的外科缝合器械 |
US9332974B2 (en) | 2010-09-30 | 2016-05-10 | Ethicon Endo-Surgery, Llc | Layered tissue thickness compensator |
US9351730B2 (en) | 2011-04-29 | 2016-05-31 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator comprising channels |
US20120248169A1 (en) | 2010-09-30 | 2012-10-04 | Ethicon Endo-Surgery, Inc. | Methods for forming tissue thickness compensator arrangements for surgical staplers |
RU2576225C2 (ru) | 2010-09-30 | 2016-02-27 | Этикон Эндо-Серджери, Инк. | Имплантируемая кассета с крепежными элементами, содержащая опорный фиксатор |
BR112013007717B1 (pt) | 2010-09-30 | 2020-09-24 | Ethicon Endo-Surgery, Inc. | Sistema de grampeamento cirúrgico |
RU2599210C2 (ru) | 2010-09-30 | 2016-10-10 | Этикон Эндо-Серджери, Инк. | Хирургические рассекающие и сшивающие инструменты с отдельными и раздельными системами наложения крепежных элементов и рассечения ткани |
CA2813230C (en) | 2010-09-30 | 2019-01-15 | Ethicon Endo-Surgery, Inc. | Compressible fastener cartridge |
US9314246B2 (en) | 2010-09-30 | 2016-04-19 | Ethicon Endo-Surgery, Llc | Tissue stapler having a thickness compensator incorporating an anti-inflammatory agent |
US11849952B2 (en) | 2010-09-30 | 2023-12-26 | Cilag Gmbh International | Staple cartridge comprising staples positioned within a compressible portion thereof |
US9216019B2 (en) | 2011-09-23 | 2015-12-22 | Ethicon Endo-Surgery, Inc. | Surgical stapler with stationary staple drivers |
US11298125B2 (en) | 2010-09-30 | 2022-04-12 | Cilag Gmbh International | Tissue stapler having a thickness compensator |
US9592050B2 (en) | 2010-09-30 | 2017-03-14 | Ethicon Endo-Surgery, Llc | End effector comprising a distal tissue abutment member |
US9220500B2 (en) | 2010-09-30 | 2015-12-29 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator comprising structure to produce a resilient load |
US20120080478A1 (en) | 2010-09-30 | 2012-04-05 | Ethicon Endo-Surgery, Inc. | Surgical staple cartridges with detachable support structures and surgical stapling instruments with systems for preventing actuation motions when a cartridge is not present |
CN102440813B (zh) | 2010-09-30 | 2013-05-08 | 上海创亿医疗器械技术有限公司 | 带有链条关节的腔镜外科切割吻合器 |
US8893949B2 (en) | 2010-09-30 | 2014-11-25 | Ethicon Endo-Surgery, Inc. | Surgical stapler with floating anvil |
US9220501B2 (en) | 2010-09-30 | 2015-12-29 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensators |
US8695866B2 (en) | 2010-10-01 | 2014-04-15 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a power control circuit |
US9750502B2 (en) | 2010-10-01 | 2017-09-05 | Covidien Lp | Surgical stapling device for performing circular anastomosis and surgical staples for use therewith |
US8998061B2 (en) | 2010-10-01 | 2015-04-07 | Covidien Lp | Surgical fastener applying apparatus |
USD690614S1 (en) | 2010-10-01 | 2013-10-01 | Honda Motor Company, Ltd. | Display screen |
US8979890B2 (en) | 2010-10-01 | 2015-03-17 | Ethicon Endo-Surgery, Inc. | Surgical instrument with jaw member |
CN103429182B (zh) | 2010-10-01 | 2016-01-20 | 伊西康内外科公司 | 具有钳口构件的外科器械 |
USD650074S1 (en) | 2010-10-01 | 2011-12-06 | Ethicon Endo-Surgery, Inc. | Surgical instrument |
US8888809B2 (en) | 2010-10-01 | 2014-11-18 | Ethicon Endo-Surgery, Inc. | Surgical instrument with jaw member |
US8899461B2 (en) | 2010-10-01 | 2014-12-02 | Covidien Lp | Tissue stop for surgical instrument |
JP5636247B2 (ja) | 2010-10-06 | 2014-12-03 | Hoya株式会社 | 電子内視鏡用プロセッサ及び電子内視鏡装置 |
EP2627278B1 (en) | 2010-10-11 | 2015-03-25 | Ecole Polytechnique Fédérale de Lausanne (EPFL) | Mechanical manipulator for surgical instruments |
CN103154851B (zh) | 2010-10-12 | 2016-08-03 | 惠普发展公司,有限责任合伙企业 | 使用多个电源向电子设备供电 |
US8828046B2 (en) | 2010-10-14 | 2014-09-09 | Ethicon Endo-Surgery, Inc. | Laparoscopic device with distal handle |
US20110225105A1 (en) | 2010-10-21 | 2011-09-15 | Ford Global Technologies, Llc | Method and system for monitoring an energy storage system for a vehicle for trip planning |
US9039694B2 (en) | 2010-10-22 | 2015-05-26 | Just Right Surgical, Llc | RF generator system for surgical vessel sealing |
US8628529B2 (en) | 2010-10-26 | 2014-01-14 | Ethicon Endo-Surgery, Inc. | Surgical instrument with magnetic clamping force |
CN102452074A (zh) | 2010-10-27 | 2012-05-16 | 鸿富锦精密工业(深圳)有限公司 | 并联机器人 |
US20120109186A1 (en) | 2010-10-29 | 2012-05-03 | Parrott David A | Articulating laparoscopic surgical instruments |
US8568425B2 (en) | 2010-11-01 | 2013-10-29 | Covidien Lp | Wire spool for passing of wire through a rotational coupling |
US8292150B2 (en) | 2010-11-02 | 2012-10-23 | Tyco Healthcare Group Lp | Adapter for powered surgical devices |
US9017849B2 (en) | 2010-11-05 | 2015-04-28 | Ethicon Endo-Surgery, Inc. | Power source management for medical device |
US9597143B2 (en) | 2010-11-05 | 2017-03-21 | Ethicon Endo-Surgery, Llc | Sterile medical instrument charging device |
US9421062B2 (en) | 2010-11-05 | 2016-08-23 | Ethicon Endo-Surgery, Llc | Surgical instrument shaft with resiliently biased coupling to handpiece |
US9375255B2 (en) | 2010-11-05 | 2016-06-28 | Ethicon Endo-Surgery, Llc | Surgical instrument handpiece with resiliently biased coupling to modular shaft and end effector |
US9072523B2 (en) | 2010-11-05 | 2015-07-07 | Ethicon Endo-Surgery, Inc. | Medical device with feature for sterile acceptance of non-sterile reusable component |
US9011471B2 (en) | 2010-11-05 | 2015-04-21 | Ethicon Endo-Surgery, Inc. | Surgical instrument with pivoting coupling to modular shaft and end effector |
US20120116261A1 (en) | 2010-11-05 | 2012-05-10 | Mumaw Daniel J | Surgical instrument with slip ring assembly to power ultrasonic transducer |
US9510895B2 (en) | 2010-11-05 | 2016-12-06 | Ethicon Endo-Surgery, Llc | Surgical instrument with modular shaft and end effector |
US20120116381A1 (en) | 2010-11-05 | 2012-05-10 | Houser Kevin L | Surgical instrument with charging station and wireless communication |
US9089338B2 (en) | 2010-11-05 | 2015-07-28 | Ethicon Endo-Surgery, Inc. | Medical device packaging with window for insertion of reusable component |
US9526921B2 (en) | 2010-11-05 | 2016-12-27 | Ethicon Endo-Surgery, Llc | User feedback through end effector of surgical instrument |
US9000720B2 (en) | 2010-11-05 | 2015-04-07 | Ethicon Endo-Surgery, Inc. | Medical device packaging with charging interface |
US9381058B2 (en) | 2010-11-05 | 2016-07-05 | Ethicon Endo-Surgery, Llc | Recharge system for medical devices |
US20120116265A1 (en) | 2010-11-05 | 2012-05-10 | Houser Kevin L | Surgical instrument with charging devices |
US9017851B2 (en) | 2010-11-05 | 2015-04-28 | Ethicon Endo-Surgery, Inc. | Sterile housing for non-sterile medical device component |
US9782214B2 (en) | 2010-11-05 | 2017-10-10 | Ethicon Llc | Surgical instrument with sensor and powered control |
US9039720B2 (en) | 2010-11-05 | 2015-05-26 | Ethicon Endo-Surgery, Inc. | Surgical instrument with ratcheting rotatable shaft |
US9161803B2 (en) | 2010-11-05 | 2015-10-20 | Ethicon Endo-Surgery, Inc. | Motor driven electrosurgical device with mechanical and electrical feedback |
US8308041B2 (en) | 2010-11-10 | 2012-11-13 | Tyco Healthcare Group Lp | Staple formed over the wire wound closure procedure |
US20120123463A1 (en) | 2010-11-11 | 2012-05-17 | Moises Jacobs | Mechanically-guided transoral bougie |
EP2640301B1 (en) | 2010-11-15 | 2016-03-30 | Intuitive Surgical Operations, Inc. | Decoupling instrument shaft roll and end effector actuation in a surgical instrument |
US8480703B2 (en) | 2010-11-19 | 2013-07-09 | Covidien Lp | Surgical device |
US20120175398A1 (en) | 2010-11-22 | 2012-07-12 | Mayo Foundation For Medical Education And Research | Stapling apparatus and methods of assembling or operating the same |
US8679093B2 (en) | 2010-11-23 | 2014-03-25 | Microchips, Inc. | Multi-dose drug delivery device and method |
KR20120059105A (ko) | 2010-11-30 | 2012-06-08 | 현대자동차주식회사 | 고전압 배터리팩의 수분 배출장치 |
US20120132663A1 (en) | 2010-11-30 | 2012-05-31 | Tyco Healthcare Group Lp | Jaw Restraint |
WO2012072133A1 (en) | 2010-12-01 | 2012-06-07 | Ethicon Endo-Surgery, Inc. | A surgical stapling device and a method for anchoring a liner to a hollow organ |
JP5530911B2 (ja) | 2010-12-02 | 2014-06-25 | Hoya株式会社 | ズーム式電子内視鏡 |
EP2645943A1 (en) | 2010-12-02 | 2013-10-09 | Agile Endosurgery, Inc. | Surgical tool |
CN103237632A (zh) | 2010-12-02 | 2013-08-07 | 株式会社牧田 | 电动工具 |
CN102038532A (zh) | 2010-12-07 | 2011-05-04 | 苏州天臣国际医疗科技有限公司 | 钉仓组件 |
US8801710B2 (en) | 2010-12-07 | 2014-08-12 | Immersion Corporation | Electrosurgical sealing tool having haptic feedback |
US8523043B2 (en) | 2010-12-07 | 2013-09-03 | Immersion Corporation | Surgical stapler having haptic feedback |
DE102010053811A1 (de) | 2010-12-08 | 2012-06-14 | Moog Gmbh | Störungssicheres Betätigungssystem |
US20130331826A1 (en) | 2010-12-09 | 2013-12-12 | Agile Endosurgery, Inc. | Surgical instrument |
US20120239068A1 (en) | 2010-12-10 | 2012-09-20 | Morris James R | Surgical instrument |
CN101991453B (zh) | 2010-12-10 | 2012-07-18 | 苏州天臣国际医疗科技有限公司 | 直线型切割缝合器 |
US8348130B2 (en) | 2010-12-10 | 2013-01-08 | Covidien Lp | Surgical apparatus including surgical buttress |
CN101991452B (zh) | 2010-12-10 | 2012-07-04 | 苏州天臣国际医疗科技有限公司 | 一种直线型外科装订仪 |
CN201949071U (zh) | 2010-12-10 | 2011-08-31 | 苏州天臣国际医疗科技有限公司 | 直线型切割缝合器 |
US8714352B2 (en) | 2010-12-10 | 2014-05-06 | Covidien Lp | Cartridge shipping aid |
FR2968564B1 (fr) * | 2010-12-13 | 2013-06-21 | Perouse Medical | Dispositif medical destine a entrer en contact avec un tissu d'un patient et procede de fabrication associe. |
CN102068290B (zh) | 2010-12-16 | 2013-06-05 | 苏州天臣国际医疗科技有限公司 | 直线型切割缝合器 |
US8736212B2 (en) | 2010-12-16 | 2014-05-27 | St. Jude Medical, Atrial Fibrillation Division, Inc. | System and method of automatic detection and prevention of motor runaway |
US8540735B2 (en) | 2010-12-16 | 2013-09-24 | Apollo Endosurgery, Inc. | Endoscopic suture cinch system |
CN201879759U (zh) | 2010-12-21 | 2011-06-29 | 南京迈迪欣医疗器械有限公司 | 可控制组织厚度的一次性使用旋转切割吻合器的钉仓装置 |
BR112013015782B1 (pt) | 2010-12-21 | 2020-12-15 | Stryker Corporation | Ferramenta cirúrgica motorizada |
WO2012083468A1 (en) | 2010-12-24 | 2012-06-28 | Ao Technology Ag | Surgical instrument |
US9124097B2 (en) | 2010-12-29 | 2015-09-01 | International Safety And Development, Inc. | Polarity correcting device |
CN102228387B (zh) | 2010-12-29 | 2012-11-07 | 北京中法派尔特医疗设备有限公司 | 数控外科装订器械 |
US8936614B2 (en) | 2010-12-30 | 2015-01-20 | Covidien Lp | Combined unilateral/bilateral jaws on a surgical instrument |
DE102011002404A1 (de) | 2011-01-03 | 2012-07-05 | Robert Bosch Gmbh | Handwerkzeugmaschinen-Energieversorgungseinheit |
JP2012143283A (ja) | 2011-01-07 | 2012-08-02 | Tomato Inc:Kk | 光学式美容機器及びこれに用いられるハンドピース |
DE102012100086A1 (de) | 2011-01-07 | 2012-08-02 | Z-Medical Gmbh & Co. Kg | Chirurgisches Instrument |
WO2012097381A1 (en) | 2011-01-14 | 2012-07-19 | Biomerix Corporation | At least partially resorbable reticulated elastomeric matrix elements and methods of making same |
CN104736070B (zh) | 2011-01-14 | 2017-04-12 | 新希望投资公司 | 外科手术缝合设备以及方法 |
US8603089B2 (en) | 2011-01-19 | 2013-12-10 | Covidien Lp | Surgical instrument including inductively coupled accessory |
JPWO2012101728A1 (ja) | 2011-01-25 | 2014-06-30 | パナソニック株式会社 | 電池モジュール及びそれに用いる組電池 |
US9084602B2 (en) | 2011-01-26 | 2015-07-21 | Covidien Lp | Buttress film with hemostatic action for surgical stapling apparatus |
US20120197239A1 (en) | 2011-01-31 | 2012-08-02 | Paul Smith | Endoscopic medical device with articulating joints |
EP2670317B1 (en) | 2011-01-31 | 2021-09-15 | Boston Scientific Scimed, Inc. | Medical devices having releasable coupling |
US9730717B2 (en) | 2011-02-03 | 2017-08-15 | Karl Storz Gmbh & Co. Kg | Medical manipulator system |
US8336754B2 (en) | 2011-02-04 | 2012-12-25 | Covidien Lp | Locking articulation mechanism for surgical stapler |
US8348124B2 (en) | 2011-02-08 | 2013-01-08 | Covidien Lp | Knife bar with geared overdrive |
US8698885B2 (en) | 2011-02-14 | 2014-04-15 | Intuitive Surgical Operations, Inc. | Methods and apparatus for demosaicing images with highly correlated color channels |
WO2012112251A1 (en) | 2011-02-15 | 2012-08-23 | Intuitive Surgical Operations, Inc. | Systems for indicating a clamping prediction |
US9393017B2 (en) | 2011-02-15 | 2016-07-19 | Intuitive Surgical Operations, Inc. | Methods and systems for detecting staple cartridge misfire or failure |
KR102222672B1 (ko) | 2011-02-15 | 2021-03-05 | 인튜어티브 서지컬 오퍼레이션즈 인코포레이티드 | 클램핑 또는 발사 실패를 검출하기 위한 시스템 |
KR101918531B1 (ko) | 2011-02-15 | 2018-11-14 | 인튜어티브 서지컬 오퍼레이션즈 인코포레이티드 | 구동 샤프트에 의해 가동되는 관절식 말단 작동기를 구비한 수술 기구를 위한 시일 및 실링 방법 |
JP6113666B2 (ja) | 2011-02-15 | 2017-04-12 | インテュイティブ サージカル オペレーションズ, インコーポレイテッド | ステープル又は血管シール器具におけるナイフ位置のインジケータ |
EP2675369B1 (en) | 2011-02-15 | 2015-07-15 | Zimmer Surgical SA | Battery housing for powered surgical tool |
DE102011011497A1 (de) | 2011-02-17 | 2012-08-23 | Kuka Roboter Gmbh | Chirurgisches Instrument |
US9055961B2 (en) | 2011-02-18 | 2015-06-16 | Intuitive Surgical Operations, Inc. | Fusing and cutting surgical instrument and related methods |
WO2012109760A1 (en) | 2011-02-18 | 2012-08-23 | Traumis Surgical Systems Inc. | Tool with integrated navigation and guidance system and related apparatus and methods |
US20120211542A1 (en) | 2011-02-23 | 2012-08-23 | Tyco Healthcare Group I.P | Controlled tissue compression systems and methods |
US8968340B2 (en) | 2011-02-23 | 2015-03-03 | Covidien Lp | Single actuating jaw flexible endolumenal stitching device |
US9585672B2 (en) | 2011-02-25 | 2017-03-07 | Thd S.P.A. | Device for implanting a prosthesis in a tissue |
US8479968B2 (en) | 2011-03-10 | 2013-07-09 | Covidien Lp | Surgical instrument buttress attachment |
CN103402707B (zh) | 2011-03-11 | 2016-06-22 | S·D·温纳德 | 手持式驱动装置 |
USD679726S1 (en) | 2011-03-12 | 2013-04-09 | Omron Corporation | Display screen portion with icon |
US9113884B2 (en) | 2011-03-14 | 2015-08-25 | Ethicon Endo-Surgery, Inc. | Modular surgical tool systems |
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 |
US20120234895A1 (en) | 2011-03-15 | 2012-09-20 | Ethicon Endo-Surgery, Inc. | Surgical staple cartridges and end effectors with vessel measurement arrangements |
US8926598B2 (en) | 2011-03-15 | 2015-01-06 | Ethicon Endo-Surgery, Inc. | Surgical instruments with articulatable and rotatable end effector |
US8800841B2 (en) | 2011-03-15 | 2014-08-12 | Ethicon Endo-Surgery, Inc. | Surgical staple cartridges |
US8857693B2 (en) | 2011-03-15 | 2014-10-14 | Ethicon Endo-Surgery, Inc. | Surgical instruments with lockable articulating end effector |
US8556935B1 (en) | 2011-03-15 | 2013-10-15 | Cardica, Inc. | Method of manufacturing surgical staples |
US9044229B2 (en) | 2011-03-15 | 2015-06-02 | Ethicon Endo-Surgery, Inc. | Surgical fastener instruments |
US8397972B2 (en) | 2011-03-18 | 2013-03-19 | Covidien Lp | Shipping wedge with lockout |
WO2012127462A1 (en) | 2011-03-22 | 2012-09-27 | Human Extensions Ltd. | Motorized surgical instruments |
US9949754B2 (en) | 2011-03-28 | 2018-04-24 | Avinger, Inc. | Occlusion-crossing devices |
US8575895B2 (en) | 2011-03-29 | 2013-11-05 | Rally Manufacturing, Inc. | Method and device for voltage detection and charging of electric battery |
EP2691037B1 (en) | 2011-03-30 | 2021-03-10 | Covidien LP | Ultrasonic surgical instruments |
WO2012135721A1 (en) | 2011-03-30 | 2012-10-04 | Tyco Healthcare Group Lp | Ultrasonic surgical instruments |
US20120253328A1 (en) | 2011-03-30 | 2012-10-04 | Tyco Healthcare Group Lp | Combined presentation unit for reposable battery operated surgical system |
US20120251861A1 (en) | 2011-03-31 | 2012-10-04 | De Poan Pneumatic Corp. | Shock proof structure of battery pack for receiving battery cell |
US20140330579A1 (en) | 2011-03-31 | 2014-11-06 | Healthspot, Inc. | Medical Kiosk and Method of Use |
US9370362B2 (en) | 2011-04-07 | 2016-06-21 | Wake Forest University Health Sciences | Surgical staplers with tissue protection and related methods |
US10146423B1 (en) | 2011-04-07 | 2018-12-04 | Wells Fargo Bank, N.A. | System and method for generating a position based user interface |
JP5395277B2 (ja) | 2011-04-08 | 2014-01-22 | オリンパスメディカルシステムズ株式会社 | 装着ユニット及び内視鏡 |
DE102011007121A1 (de) | 2011-04-11 | 2012-10-11 | Karl Storz Gmbh & Co. Kg | Handhabungseinrichtung für ein mikroinvasiv-chirurgisches Instrument |
WO2012141679A1 (en) | 2011-04-11 | 2012-10-18 | Hassan Chandra | Surgical technique(s) and/or device(s) |
CA2774751C (en) | 2011-04-15 | 2018-11-06 | Covidien Ag | Battery powered hand-held ultrasonic surgical cautery cutting device |
US9131950B2 (en) | 2011-04-15 | 2015-09-15 | Endoplus, Inc. | Laparoscopic instrument |
EP2600440B1 (en) | 2011-04-18 | 2016-06-08 | Huawei Device Co., Ltd. | Battery, battery component and subscriber equipment |
US8540646B2 (en) | 2011-04-18 | 2013-09-24 | Jose Arturo Mendez-Coll | Biopsy and sutureless device |
US9021684B2 (en) | 2011-04-19 | 2015-05-05 | Tyco Electronics Corporation | Method of fabricating a slip ring component |
US9655615B2 (en) | 2011-04-19 | 2017-05-23 | Dextera Surgical Inc. | Active wedge and I-beam for surgical stapler |
CN102743201B (zh) | 2011-04-20 | 2014-03-12 | 苏州天臣国际医疗科技有限公司 | 直线型切割缝合器 |
WO2012143913A2 (en) | 2011-04-21 | 2012-10-26 | Novogate Medical Ltd | Tissue closure device and method of delivery and uses thereof |
JP5839828B2 (ja) | 2011-04-25 | 2016-01-06 | キヤノン株式会社 | 画像形成装置、画像形成装置の制御方法、及びプログラム |
US8631990B1 (en) | 2011-04-25 | 2014-01-21 | Cardica, Inc. | Staple trap for surgical stapler |
US10603044B2 (en) | 2011-04-27 | 2020-03-31 | Covidien Lp | Surgical instruments for use with diagnostic scanning devices |
US8789737B2 (en) | 2011-04-27 | 2014-07-29 | Covidien Lp | Circular stapler and staple line reinforcement material |
CN103814499B (zh) | 2011-04-28 | 2018-07-10 | 佐尔循环公司 | 用于向设备供电的电池组以及智能电池组 |
WO2012149482A2 (en) | 2011-04-28 | 2012-11-01 | Zoll Circulation, Inc. | System and method for tracking and archiving battery performance data |
EP2702666A4 (en) | 2011-04-28 | 2014-10-29 | Zoll Circulation Inc | VIRAL DISTRIBUTION OF BATTERY MANAGEMENT PARAMETERS |
CA2834419C (en) | 2011-04-29 | 2019-09-03 | Ethicon Endo-Surgery, Inc. | Staple cartridge loading assembly |
US9289476B2 (en) | 2011-04-29 | 2016-03-22 | Selecta Biosciences, Inc. | Tolerogenic synthetic nanocarriers for allergy therapy |
CN102125450B (zh) | 2011-04-29 | 2012-07-25 | 常州市康迪医用吻合器有限公司 | 外科用切割吻合器 |
AU2012201645B2 (en) | 2011-04-29 | 2015-04-16 | Covidien Lp | Surgical stapling apparatus |
CA2834649C (en) | 2011-04-29 | 2021-02-16 | Ethicon Endo-Surgery, Inc. | Staple cartridge comprising staples positioned within a compressible portion thereof |
US9901412B2 (en) | 2011-04-29 | 2018-02-27 | Vanderbilt University | Dexterous surgical manipulator and method of use |
AU2012250195B2 (en) | 2011-04-29 | 2016-10-06 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator for a surgical stapler |
BR112013027776B1 (pt) | 2011-04-29 | 2021-03-09 | Ethicon Endo-Surgery, Inc. | cartucho de grampos |
CN102247182A (zh) | 2011-04-29 | 2011-11-23 | 常州市康迪医用吻合器有限公司 | 外科用电动吻合器 |
CA2835081A1 (en) | 2011-05-03 | 2012-11-08 | Endosee Corporation | Method and apparatus for hysteroscopy and endometrial biopsy |
JP5816457B2 (ja) | 2011-05-12 | 2015-11-18 | オリンパス株式会社 | 術具装置 |
US9820741B2 (en) | 2011-05-12 | 2017-11-21 | Covidien Lp | Replaceable staple cartridge |
US20120289811A1 (en) | 2011-05-13 | 2012-11-15 | Tyco Healthcare Group Lp | Mask on monitor hernia locator |
US8733615B2 (en) | 2011-05-19 | 2014-05-27 | Ethicon Endo-Surgery, Inc. | Circular stapler with frictional reducing member |
FR2975534B1 (fr) | 2011-05-19 | 2013-06-28 | Electricite De France | Accumulateur metal-air avec dispositif de protection de l'electrode a air |
US8852185B2 (en) | 2011-05-19 | 2014-10-07 | Covidien Lp | Apparatus for performing an electrosurgical procedure |
JP5159918B2 (ja) | 2011-05-20 | 2013-03-13 | 浩平 窪田 | 医療用打ち込み式ステープル |
US20120296342A1 (en) | 2011-05-22 | 2012-11-22 | Kathleen Haglund Wendelschafer | Electric hand-held grooming tool |
US9161807B2 (en) | 2011-05-23 | 2015-10-20 | Covidien Lp | Apparatus for performing an electrosurgical procedure |
WO2012160163A1 (en) | 2011-05-25 | 2012-11-29 | Sanofi-Aventis Deutschland Gmbh | Medicament delivery device with cap |
US9072535B2 (en) | 2011-05-27 | 2015-07-07 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments with rotatable staple deployment arrangements |
US10542978B2 (en) | 2011-05-27 | 2020-01-28 | Covidien Lp | Method of internally potting or sealing a handheld medical device |
US11207064B2 (en) | 2011-05-27 | 2021-12-28 | Cilag Gmbh International | Automated end effector component reloading system for use with a robotic system |
KR102012698B1 (ko) | 2011-05-31 | 2019-08-21 | 인튜어티브 서지컬 오퍼레이션즈 인코포레이티드 | 로봇 수술 기구에서의 파지력 제어 |
WO2012166817A2 (en) | 2011-05-31 | 2012-12-06 | Intuitive Surgical Operations, Inc. | Surgical instrument with single drive input for two end effector mechanisms |
US9050089B2 (en) | 2011-05-31 | 2015-06-09 | Covidien Lp | Electrosurgical apparatus with tissue site sensing and feedback control |
JP6038901B2 (ja) | 2011-05-31 | 2016-12-07 | インテュイティブ サージカル オペレーションズ, インコーポレイテッド | 検出された故障状態のための制御を有する手術器具 |
US9358065B2 (en) | 2011-06-23 | 2016-06-07 | Covidien Lp | Shaped electrode bipolar resection apparatus, system and methods of use |
WO2012170256A1 (en) | 2011-05-31 | 2012-12-13 | Intuitive Surgical Operations, Inc. | Positive control of robotic surgical instrument end effector |
US8523787B2 (en) | 2011-06-03 | 2013-09-03 | Biosense Webster (Israel), Ltd. | Detection of tenting |
CN102217963A (zh) | 2011-06-08 | 2011-10-19 | 刘忠臣 | 三明治钉书机式消化道吻合切割闭合器 |
US9289209B2 (en) | 2011-06-09 | 2016-03-22 | Covidien Lp | Surgical fastener applying apparatus |
US9561030B2 (en) | 2011-06-14 | 2017-02-07 | Changzhou Kangdi Medical Stapler Co., Ltd. | Surgical staple and staple pocket for forming kidney-shaped staple |
US8715302B2 (en) | 2011-06-17 | 2014-05-06 | Estech, Inc. (Endoscopic Technologies, Inc.) | Left atrial appendage treatment systems and methods |
CN102835977A (zh) | 2011-06-21 | 2012-12-26 | 达华国际股份有限公司 | 微创医疗装置 |
WO2012178075A2 (en) | 2011-06-24 | 2012-12-27 | Abbott Laboratories | Tamper-evident packaging |
US9498231B2 (en) | 2011-06-27 | 2016-11-22 | Board Of Regents Of The University Of Nebraska | On-board tool tracking system and methods of computer assisted surgery |
CN102243850B (zh) | 2011-06-27 | 2013-03-06 | 青岛海信电器股份有限公司 | 背光源驱动电路及其驱动方法、液晶电视机 |
US9381010B2 (en) | 2011-06-27 | 2016-07-05 | Covidien Lp | Surgical instrument with adapter for facilitating multi-direction end effector articulation |
CN106913366B (zh) | 2011-06-27 | 2021-02-26 | 内布拉斯加大学评议会 | 工具承载的追踪系统和计算机辅助外科方法 |
US9474513B2 (en) | 2011-06-30 | 2016-10-25 | Karl Storz Gmbh & Co. Kg | Medical manipulator |
US8763876B2 (en) | 2011-06-30 | 2014-07-01 | Covidien Lp | Surgical instrument and cartridge for use therewith |
US20130012983A1 (en) | 2011-07-08 | 2013-01-10 | Tyco Healthcare Group Lp | Surgical Instrument with Flexible Shaft |
WO2013009252A2 (en) | 2011-07-11 | 2013-01-17 | Medical Vision Research & Development Ab | Status control for electrically powered surgical tool systems |
US20140188159A1 (en) | 2011-07-11 | 2014-07-03 | Agile Endosurgery, Inc. | Surgical tool |
US20140358163A1 (en) | 2011-07-11 | 2014-12-04 | EON Surgical Ltd. | Laparoscopic graspers |
WO2013009795A1 (en) | 2011-07-13 | 2013-01-17 | Cook Medical Technologies Llc | Foldable surgical retractor |
US9521996B2 (en) | 2011-07-13 | 2016-12-20 | Cook Medical Technologies Llc | Surgical retractor device |
US8960521B2 (en) | 2011-07-15 | 2015-02-24 | Covidien Lp | Loose staples removal system |
US9421682B2 (en) | 2011-07-18 | 2016-08-23 | Black & Decker Inc. | Multi-head power tool with reverse lock-out capability |
US8603135B2 (en) | 2011-07-20 | 2013-12-10 | Covidien Lp | Articulating surgical apparatus |
CN106087596B (zh) | 2011-07-20 | 2019-01-22 | 国际纸业公司 | 用于壁板接缝带的基材及其制造方法 |
US8574263B2 (en) | 2011-07-20 | 2013-11-05 | Covidien Lp | Coaxial coil lock |
US20130023910A1 (en) | 2011-07-21 | 2013-01-24 | Solomon Clifford T | Tissue-identifying surgical instrument |
US9259265B2 (en) | 2011-07-22 | 2016-02-16 | Ethicon Endo-Surgery, Llc | Surgical instruments for tensioning tissue |
US9182244B2 (en) | 2011-07-26 | 2015-11-10 | Gogoro Inc. | Apparatus, method and article for authentication, security and control of power storage devices, such as batteries |
JP5758051B2 (ja) | 2011-07-26 | 2015-08-05 | ゴゴロ インク | 車両の電力蓄積デバイスを物理的に保障する装置、方法、および物品 |
US9017331B2 (en) | 2011-07-27 | 2015-04-28 | William Casey Fox | Bone staple, instrument and method of use and manufacturing |
US8998059B2 (en) | 2011-08-01 | 2015-04-07 | Ethicon Endo-Surgery, Inc. | Adjunct therapy device having driver with cavity for hemostatic agent |
US9519341B2 (en) | 2011-08-04 | 2016-12-13 | Olympus Corporation | Medical manipulator and surgical support apparatus |
JP5841451B2 (ja) | 2011-08-04 | 2016-01-13 | オリンパス株式会社 | 手術器具およびその制御方法 |
WO2013021233A1 (en) | 2011-08-05 | 2013-02-14 | Mt Bilgi Teknolojileri Dis Tic, A.S. | Multi-communication featured, touch-operated or keyboard cash register with contact and non-contact credit card reader |
US9724095B2 (en) | 2011-08-08 | 2017-08-08 | Covidien Lp | Surgical fastener applying apparatus |
US20130041292A1 (en) | 2011-08-09 | 2013-02-14 | Tyco Healthcare Group Lp | Customizable Haptic Assisted Robot Procedure System with Catalog of Specialized Diagnostic Tips |
US9492170B2 (en) | 2011-08-10 | 2016-11-15 | Ethicon Endo-Surgery, Inc. | Device for applying adjunct in endoscopic procedure |
KR20130017624A (ko) | 2011-08-11 | 2013-02-20 | 주식회사 모바수 | 관절 구조를 고정시키기 위한 장치 |
EP2946733B1 (en) | 2011-08-21 | 2017-10-04 | M.S.T. Medical Surgery Technologies Ltd. | Device for assisting laparoscopic surgery |
EP2747675B1 (en) | 2011-08-25 | 2016-10-05 | Endocontrol | Surgical instrument with disengageable handle |
USD661314S1 (en) | 2011-08-31 | 2012-06-05 | Nike, Inc. | Display screen with color icon |
US9004799B1 (en) | 2011-08-31 | 2015-04-14 | Skylar Tibbits | Transformable linked self-assembly system |
US8956342B1 (en) | 2011-09-01 | 2015-02-17 | Microaire Surgical Instruments Llc | Method and device for ergonomically and ambidextrously operable surgical device |
USD661315S1 (en) | 2011-09-02 | 2012-06-05 | Nike, Inc. | Display screen with color icon |
EP2750620B1 (en) | 2011-09-02 | 2017-04-26 | Stryker Corporation | Surgical instrument including a cutting accessory extending from a housing and actuators that establish the position of the cutting accessory relative to the housing |
US8789739B2 (en) | 2011-09-06 | 2014-07-29 | Ethicon Endo-Surgery, Inc. | Continuous stapling instrument |
WO2013035870A1 (ja) | 2011-09-08 | 2013-03-14 | オリンパスメディカルシステムズ株式会社 | 多自由度鉗子 |
US9099863B2 (en) | 2011-09-09 | 2015-08-04 | Covidien Lp | Surgical generator and related method for mitigating overcurrent conditions |
USD677273S1 (en) | 2011-09-12 | 2013-03-05 | Microsoft Corporation | Display screen with icon |
USD667450S1 (en) | 2011-09-12 | 2012-09-18 | Microsoft Corporation | Display screen with icon |
US8998060B2 (en) | 2011-09-13 | 2015-04-07 | Ethicon Endo-Surgery, Inc. | Resistive heated surgical staple cartridge with phase change sealant |
US8679098B2 (en) | 2011-09-13 | 2014-03-25 | Covidien Lp | Rotation knobs for surgical instruments |
US9101359B2 (en) | 2011-09-13 | 2015-08-11 | Ethicon Endo-Surgery, Inc. | Surgical staple cartridge with self-dispensing staple buttress |
EP4193907A1 (en) | 2011-09-13 | 2023-06-14 | Glaukos Corporation | Intraocular physiological sensor |
EP3321042A1 (en) | 2011-09-13 | 2018-05-16 | Medrobotics Corporation | Highly articulated probes with anti-twist link arrangement |
US9999408B2 (en) | 2011-09-14 | 2018-06-19 | Ethicon Endo-Surgery, Inc. | Surgical instrument with fluid fillable buttress |
DE102011113126B4 (de) | 2011-09-14 | 2015-05-13 | Olaf Storz | Leistungseinheit und medizinisches Handgerät |
DE102011113127B4 (de) | 2011-09-14 | 2015-05-13 | Olaf Storz | Medizinisches Handgerät und Leistungseinheit |
US8814025B2 (en) | 2011-09-15 | 2014-08-26 | Ethicon Endo-Surgery, Inc. | Fibrin pad matrix with suspended heat activated beads of adhesive |
US20130068816A1 (en) | 2011-09-15 | 2013-03-21 | Venkataramanan Mandakolathur Vasudevan | Surgical instrument and buttress material |
WO2013042118A1 (en) | 2011-09-20 | 2013-03-28 | A.A. Cash Technology Ltd | Methods and devices for occluding blood flow to an organ |
WO2013043844A1 (en) | 2011-09-20 | 2013-03-28 | The Regents Of The University Of California | Light emitting diode with conformal surface electrical contacts with glass encapsulation |
US9393018B2 (en) | 2011-09-22 | 2016-07-19 | Ethicon Endo-Surgery, Inc. | Surgical staple assembly with hemostatic feature |
US9198644B2 (en) | 2011-09-22 | 2015-12-01 | Ethicon Endo-Surgery, Inc. | Anvil cartridge for surgical fastening device |
US20130075447A1 (en) | 2011-09-22 | 2013-03-28 | II William B. Weisenburgh | Adjunct therapy device for applying hemostatic agent |
US8985429B2 (en) | 2011-09-23 | 2015-03-24 | Ethicon Endo-Surgery, Inc. | Surgical stapling device with adjunct material application feature |
US9050084B2 (en) | 2011-09-23 | 2015-06-09 | Ethicon Endo-Surgery, Inc. | Staple cartridge including collapsible deck arrangement |
USD680646S1 (en) | 2011-09-23 | 2013-04-23 | Ethicon Endo-Surgery, Inc. | Circular stapler |
US8911448B2 (en) | 2011-09-23 | 2014-12-16 | Orthosensor, Inc | Device and method for enabling an orthopedic tool for parameter measurement |
CN103874465A (zh) | 2011-09-30 | 2014-06-18 | 柯惠Lp公司 | 具有可溶胀抓紧部件的可植入装置 |
SG11201401919TA (en) | 2011-09-30 | 2014-10-30 | Life Technologies Corp | Optical systems and methods for biological analysis |
CN104025126B (zh) | 2011-09-30 | 2017-08-18 | 日立化成株式会社 | Rfid标签 |
US8899464B2 (en) | 2011-10-03 | 2014-12-02 | Ethicon Endo-Surgery, Inc. | Attachment of surgical staple buttress to cartridge |
US9089326B2 (en) | 2011-10-07 | 2015-07-28 | Ethicon Endo-Surgery, Inc. | Dual staple cartridge for surgical stapler |
US9629652B2 (en) | 2011-10-10 | 2017-04-25 | Ethicon Endo-Surgery, Llc | Surgical instrument with clutching slip ring assembly to power ultrasonic transducer |
USD733727S1 (en) | 2011-10-11 | 2015-07-07 | Proteus Digital Health, Inc. | Display screen portion having a graphical user interface for patient monitoring |
US8585721B2 (en) | 2011-10-12 | 2013-11-19 | Covidien Lp | Mesh fixation system |
US9153994B2 (en) | 2011-10-14 | 2015-10-06 | Welch Allyn, Inc. | Motion sensitive and capacitor powered handheld device |
DE102011084499A1 (de) | 2011-10-14 | 2013-04-18 | Robert Bosch Gmbh | Werkzeugvorsatz |
US8931679B2 (en) | 2011-10-17 | 2015-01-13 | Covidien Lp | Surgical stapling apparatus |
US8708212B2 (en) | 2011-10-18 | 2014-04-29 | Covidien Lp | Tilt top anvil with torsion spring |
US9060794B2 (en) | 2011-10-18 | 2015-06-23 | Mako Surgical Corp. | System and method for robotic surgery |
US20130096568A1 (en) | 2011-10-18 | 2013-04-18 | Warsaw Orthopedic, Inc. | Modular tool apparatus and method |
US9370400B2 (en) | 2011-10-19 | 2016-06-21 | Ethicon Endo-Surgery, Inc. | Clip applier adapted for use with a surgical robot |
US8968308B2 (en) | 2011-10-20 | 2015-03-03 | Covidien Lp | Multi-circuit seal plates |
US9421060B2 (en) | 2011-10-24 | 2016-08-23 | Ethicon Endo-Surgery, Llc | Litz wire battery powered device |
US9161855B2 (en) | 2011-10-24 | 2015-10-20 | Ethicon, Inc. | Tissue supporting device and method |
US9480492B2 (en) | 2011-10-25 | 2016-11-01 | Covidien Lp | Apparatus for endoscopic procedures |
US9016539B2 (en) | 2011-10-25 | 2015-04-28 | Covidien Lp | Multi-use loading unit |
US8672206B2 (en) | 2011-10-25 | 2014-03-18 | Covidien Lp | Apparatus for endoscopic procedures |
US11207089B2 (en) | 2011-10-25 | 2021-12-28 | Covidien Lp | Apparatus for endoscopic procedures |
US8657177B2 (en) | 2011-10-25 | 2014-02-25 | Covidien Lp | Surgical apparatus and method for endoscopic surgery |
US20130098970A1 (en) | 2011-10-25 | 2013-04-25 | David Racenet | Surgical Apparatus and Method for Endoluminal Surgery |
US8899462B2 (en) | 2011-10-25 | 2014-12-02 | Covidien Lp | Apparatus for endoscopic procedures |
US9492146B2 (en) | 2011-10-25 | 2016-11-15 | Covidien Lp | Apparatus for endoscopic procedures |
KR102179204B1 (ko) | 2011-10-26 | 2020-11-17 | 인튜어티브 서지컬 오퍼레이션즈 인코포레이티드 | 카트리지 상태 및 존재 검출 방법 및 장치 |
WO2013063522A2 (en) | 2011-10-26 | 2013-05-02 | Reid Robert Cyrus | Surgical instrument motor pack latch |
US9675351B2 (en) | 2011-10-26 | 2017-06-13 | Covidien Lp | Buttress release from surgical stapler by knife pushing |
US8418908B1 (en) | 2011-10-26 | 2013-04-16 | Covidien Lp | Staple feeding and forming apparatus |
KR102073600B1 (ko) | 2011-10-26 | 2020-03-03 | 인튜어티브 서지컬 오퍼레이션즈 인코포레이티드 | 일체형 나이프 블레이드를 가진 수술 기구 |
US9364231B2 (en) | 2011-10-27 | 2016-06-14 | Covidien Lp | System and method of using simulation reload to optimize staple formation |
JP2013099120A (ja) | 2011-10-31 | 2013-05-20 | Sanyo Electric Co Ltd | 充電器、電池パック装着ユニット、及び電池パックユニット |
JP5855423B2 (ja) | 2011-11-01 | 2016-02-09 | オリンパス株式会社 | 手術支援装置 |
US9393354B2 (en) | 2011-11-01 | 2016-07-19 | J&M Shuler Medical, Inc. | Mechanical wound therapy for sub-atmospheric wound care system |
US8584920B2 (en) | 2011-11-04 | 2013-11-19 | Covidien Lp | Surgical stapling apparatus including releasable buttress |
WO2013063674A1 (en) | 2011-11-04 | 2013-05-10 | Titan Medical Inc. | Apparatus and method for controlling an end-effector assembly |
CN202313537U (zh) | 2011-11-07 | 2012-07-11 | 苏州天臣国际医疗科技有限公司 | 直线型缝切器的钉仓组件 |
CN103083053A (zh) | 2011-11-07 | 2013-05-08 | 苏州天臣国际医疗科技有限公司 | 缝合器、缝切器的钉头组件 |
US20130123816A1 (en) * | 2011-11-10 | 2013-05-16 | Gerald Hodgkinson | Hydrophilic medical devices |
US9486213B2 (en) | 2011-11-14 | 2016-11-08 | Thd Lap Ltd. | Drive mechanism for articulating tacker |
US8992042B2 (en) | 2011-11-14 | 2015-03-31 | Halma Holdings, Inc. | Illumination devices using natural light LEDs |
US20130131477A1 (en) | 2011-11-15 | 2013-05-23 | Oneeros, Inc. | Pulse oximetry system |
JP6230541B2 (ja) | 2011-11-15 | 2017-11-15 | インテュイティブ サージカル オペレーションズ, インコーポレイテッド | しまい込めるナイフブレードを持つ手術器具 |
US8968312B2 (en) | 2011-11-16 | 2015-03-03 | Covidien Lp | Surgical device with powered articulation wrist rotation |
EP2781195B1 (en) | 2011-11-16 | 2016-10-26 | Olympus Corporation | Medical instrument |
DE102011086826A1 (de) | 2011-11-22 | 2013-05-23 | Robert Bosch Gmbh | System mit einem Handwerkzeugakku und zumindest einer Handwerkzeugakkuladevorrichtung |
US9283334B2 (en) | 2011-11-23 | 2016-03-15 | Northgate Technologies Inc. | System for identifying the presence and correctness of a medical device accessory |
JP5591213B2 (ja) | 2011-11-25 | 2014-09-17 | 三菱電機株式会社 | インバータ装置、およびそれを備えた空気調和機 |
WO2013137942A1 (en) | 2012-03-13 | 2013-09-19 | Eca Medical Instruments | Bidirectional ramped disposable torque limiting device |
WO2013082310A1 (en) | 2011-12-02 | 2013-06-06 | Barosense, Inc. | Positioning device and articulation assembly for remote positioning of a tool |
US9486186B2 (en) | 2011-12-05 | 2016-11-08 | Devicor Medical Products, Inc. | Biopsy device with slide-in probe |
US9259268B2 (en) | 2011-12-06 | 2016-02-16 | Covidien Lp | Vessel sealing using microwave energy |
US9125651B2 (en) | 2011-12-07 | 2015-09-08 | Ethicon Endo-Surgery, Inc. | Reusable linear stapler cartridge device for tissue thickness measurement |
WO2013087092A1 (en) | 2011-12-13 | 2013-06-20 | Ethicon Endo-Surgery, Inc. | An applier and a method for anchoring a lining to a hollow organ |
US9351732B2 (en) | 2011-12-14 | 2016-05-31 | Covidien Lp | Buttress attachment to degradable polymer zones |
US9351731B2 (en) | 2011-12-14 | 2016-05-31 | Covidien Lp | Surgical stapling apparatus including releasable surgical buttress |
US8967448B2 (en) | 2011-12-14 | 2015-03-03 | Covidien Lp | Surgical stapling apparatus including buttress attachment via tabs |
US9113885B2 (en) * | 2011-12-14 | 2015-08-25 | Covidien Lp | Buttress assembly for use with surgical stapling device |
US9010608B2 (en) | 2011-12-14 | 2015-04-21 | Covidien Lp | Releasable buttress retention on a surgical stapler |
US9237892B2 (en) | 2011-12-14 | 2016-01-19 | Covidien Lp | Buttress attachment to the cartridge surface |
US9119615B2 (en) | 2011-12-15 | 2015-09-01 | Ethicon Endo-Surgery, Inc. | Devices and methods for endoluminal plication |
US9173657B2 (en) | 2011-12-15 | 2015-11-03 | Ethicon Endo-Surgery, Inc. | Devices and methods for endoluminal plication |
USD681674S1 (en) | 2011-12-16 | 2013-05-07 | Microsoft Corporation | Display screen with icon |
US9603599B2 (en) | 2011-12-16 | 2017-03-28 | Ethicon Endo-Surgery, Llc | Feature to reengage safety switch of tissue stapler |
US9364239B2 (en) | 2011-12-19 | 2016-06-14 | Covidien Lp | Jaw closure mechanism for a surgical clip applier |
CN103169493A (zh) | 2011-12-20 | 2013-06-26 | 通用电气公司 | 超声探针引导装置、方法及超声系统 |
CN202568350U (zh) | 2011-12-21 | 2012-12-05 | 常州市康迪医用吻合器有限公司 | 外科线形切割吻合器的夹紧厚度调节机构 |
CN202426586U (zh) | 2011-12-22 | 2012-09-12 | 苏州天臣国际医疗科技有限公司 | 外科缝切器的钉仓 |
US8920368B2 (en) | 2011-12-22 | 2014-12-30 | St. Jude Medical, Atrial Fibrillation Division, Inc. | Multi-user touch-based control of a remote catheter guidance system (RCGS) |
USD701238S1 (en) | 2011-12-23 | 2014-03-18 | Citrix Systems, Inc. | Display screen with animated graphical user interface |
CA2796525A1 (en) | 2011-12-23 | 2013-06-23 | Covidien Lp | Apparatus for endoscopic procedures |
JP5361983B2 (ja) | 2011-12-27 | 2013-12-04 | 株式会社東芝 | 情報処理装置及び制御方法 |
US9220502B2 (en) | 2011-12-28 | 2015-12-29 | Covidien Lp | Staple formation recognition for a surgical device |
CN202397539U (zh) | 2011-12-29 | 2012-08-29 | 瑞奇外科器械(中国)有限公司 | 手术缝合器械及其缝钉驱动器 |
CN104135959A (zh) | 2011-12-29 | 2014-11-05 | 波士顿科学西美德公司 | 用于肾神经调变监测的装置和方法 |
US9402555B2 (en) | 2011-12-29 | 2016-08-02 | St. Jude Medical, Atrial Fibrillation Division, Inc. | Drive assembly for use in a robotic control and guidance system |
CN202489990U (zh) | 2011-12-30 | 2012-10-17 | 苏州天臣国际医疗科技有限公司 | 一种外科用直线缝切器 |
US9186148B2 (en) | 2012-01-05 | 2015-11-17 | Ethicon Endo-Surgery, Inc. | Tissue stapler anvil feature to prevent premature jaw opening |
US20130175315A1 (en) | 2012-01-11 | 2013-07-11 | Covidien Lp | Method and device for performing a surgical anastomosis |
US9168042B2 (en) | 2012-01-12 | 2015-10-27 | Covidien Lp | Circular stapling instruments |
US8894647B2 (en) | 2012-01-13 | 2014-11-25 | Covidien Lp | System and method for performing surgical procedures with a reusable instrument module |
USD736792S1 (en) | 2012-01-13 | 2015-08-18 | Htc Corporation | Display screen with graphical user interface |
US9636091B2 (en) | 2012-01-13 | 2017-05-02 | Covidien Lp | Hand-held electromechanical surgical system |
CN104066388B (zh) | 2012-01-18 | 2017-05-31 | 柯惠Lp公司 | 手术紧固件施加设备 |
US8864010B2 (en) | 2012-01-20 | 2014-10-21 | Covidien Lp | Curved guide member for articulating instruments |
US20130211244A1 (en) | 2012-01-25 | 2013-08-15 | Surgix Ltd. | Methods, Devices, Systems, Circuits and Associated Computer Executable Code for Detecting and Predicting the Position, Orientation and Trajectory of Surgical Tools |
US9326812B2 (en) | 2012-01-25 | 2016-05-03 | Covidien Lp | Portable surgical instrument |
US9098153B2 (en) | 2012-02-01 | 2015-08-04 | Qualcomm Technologies, Inc. | Touch panel excitation using a drive signal having time-varying characteristics |
KR102088541B1 (ko) | 2012-02-02 | 2020-03-13 | 그레이트 빌리프 인터내셔널 리미티드 | 기계화된 다중기구 수술 시스템 |
US9265510B2 (en) | 2012-02-06 | 2016-02-23 | Zimmer, Inc. | Cone lock quick connect mechanism |
US9931116B2 (en) | 2012-02-10 | 2018-04-03 | Covidien Lp | Buttress composition |
JP6165780B2 (ja) | 2012-02-10 | 2017-07-19 | 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. | ロボット制御式の手術器具 |
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 |
JP5620932B2 (ja) | 2012-02-14 | 2014-11-05 | 富士フイルム株式会社 | 内視鏡システム、内視鏡システムのプロセッサ装置、及び内視鏡システムの作動方法 |
USD686244S1 (en) | 2012-02-23 | 2013-07-16 | JVC Kenwood Corporation | Display screen with an animated dial for a wireless communication device |
US8820606B2 (en) | 2012-02-24 | 2014-09-02 | Covidien Lp | Buttress retention system for linear endostaplers |
USD725674S1 (en) | 2012-02-24 | 2015-03-31 | Samsung Electronics Co., Ltd. | Display screen or portion thereof with transitional graphical user interface |
US20130231661A1 (en) | 2012-03-01 | 2013-09-05 | Hasan M. Sh. Sh. Alshemari | Electrosurgical midline clamping scissors |
ES2422332B1 (es) | 2012-03-05 | 2014-07-01 | Iv�n Jes�s ARTEAGA GONZ�LEZ | Dispositivo quirúrgico |
KR101965892B1 (ko) | 2012-03-05 | 2019-04-08 | 삼성디스플레이 주식회사 | 전원 생성부 및 이를 이용한 유기전계발광 표시장치 |
WO2013134411A1 (en) | 2012-03-06 | 2013-09-12 | Briteseed, Llc | Surgical tool with integrated sensor |
US8752264B2 (en) | 2012-03-06 | 2014-06-17 | Covidien Lp | Surgical tissue sealer |
US10456122B2 (en) | 2012-03-13 | 2019-10-29 | Medtronic Xomed, Inc. | Surgical system including powered rotary-type handpiece |
JP2013188812A (ja) | 2012-03-13 | 2013-09-26 | Hitachi Koki Co Ltd | インパクト工具 |
US9113881B2 (en) | 2012-03-16 | 2015-08-25 | Covidien Lp | Travel clip for surgical staple cartridge |
US20130253480A1 (en) | 2012-03-22 | 2013-09-26 | Cory G. Kimball | Surgical instrument usage data management |
US9364249B2 (en) | 2012-03-22 | 2016-06-14 | Ethicon Endo-Surgery, Llc | Method and apparatus for programming modular surgical instrument |
PL2827914T3 (pl) | 2012-03-22 | 2019-09-30 | Trb Chemedica International S.A. | Sposób naprawy więzadła lub ścięgna |
US8855822B2 (en) | 2012-03-23 | 2014-10-07 | Innovative Surgical Solutions, Llc | Robotic surgical system with mechanomyography feedback |
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 |
WO2013147335A1 (ko) | 2012-03-27 | 2013-10-03 | (주)루트로닉 | 고주파 수술용 전극, 고주파 수술장치 및 이의 제어방법 |
MX354564B (es) | 2012-03-28 | 2018-03-09 | Ethicon Endo Surgery Inc | Compensador de grosor de tejido que comprende al menos un medicamento. |
CN104334098B (zh) | 2012-03-28 | 2017-03-22 | 伊西康内外科公司 | 包括限定低压强环境的胶囊剂的组织厚度补偿件 |
JP6153997B2 (ja) | 2012-03-28 | 2017-06-28 | エシコン・エンド−サージェリィ・インコーポレイテッドEthicon Endo−Surgery,Inc. | 複数の材料で構成された組織厚さコンペンセーター |
US9198662B2 (en) | 2012-03-28 | 2015-12-01 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator having improved visibility |
JP6224070B2 (ja) | 2012-03-28 | 2017-11-01 | 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. | 組織厚さコンペンセータを含む保持具アセンブリ |
RU2635007C2 (ru) | 2012-03-28 | 2017-11-08 | Этикон Эндо-Серджери, Инк. | Компенсатор толщины ткани, содержащий структуру для приложения упругой нагрузки |
RU2648884C2 (ru) | 2012-03-28 | 2018-03-28 | Этикон Эндо-Серджери, Инк. | Расширяемый компенсатор толщины ткани |
JP6193353B2 (ja) | 2012-03-28 | 2017-09-06 | エシコン・エンド−サージェリィ・インコーポレイテッドEthicon Endo−Surgery,Inc. | 複数のカプセルを含む組織厚さコンペンセータ |
MX2014011670A (es) | 2012-03-28 | 2015-02-13 | Ethicon Endo Surgery Inc | Compensador de grosor de tejido que comprende una expansión y liberación controladas. |
JP6305979B2 (ja) | 2012-03-28 | 2018-04-04 | エシコン・エンド−サージェリィ・インコーポレイテッドEthicon Endo−Surgery,Inc. | 複数の層を含む組織厚さコンペンセーター |
US20130256373A1 (en) | 2012-03-28 | 2013-10-03 | Ethicon Endo-Surgery, Inc. | Devices and methods for attaching tissue thickness compensating materials to surgical stapling instruments |
AU344228S (en) | 2012-03-29 | 2012-09-05 | Samsung Electronics Co Ltd | Display screen with icon for an electronic device |
JP2015513978A (ja) | 2012-04-04 | 2015-05-18 | カーディカ インコーポレイテッド | 屈曲自在な先端部を有する外科用ステープルカートリッジ |
US9526563B2 (en) | 2012-04-06 | 2016-12-27 | Covidien Lp | Spindle assembly with mechanical fuse for surgical instruments |
EP2837172A4 (en) | 2012-04-09 | 2015-12-30 | Intel Corp | PARALLEL PROCESSING OF IMAGE DATA HAVING DEPENDENT PIXELS OF THE UPPER LEFT CORNER |
US9241731B2 (en) | 2012-04-09 | 2016-01-26 | Ethicon Endo-Surgery, Inc. | Rotatable electrical connection for ultrasonic surgical instruments |
AU2013201737B2 (en) | 2012-04-09 | 2014-07-10 | Covidien Lp | Surgical fastener applying apparatus |
US9724118B2 (en) | 2012-04-09 | 2017-08-08 | Ethicon Endo-Surgery, Llc | Techniques for cutting and coagulating tissue for ultrasonic surgical instruments |
US9439668B2 (en) | 2012-04-09 | 2016-09-13 | Ethicon Endo-Surgery, Llc | Switch arrangements for ultrasonic surgical instruments |
US9144456B2 (en) | 2012-04-09 | 2015-09-29 | Intuitive Surgical Operations, Inc. | Surgical instrument control |
EP2836123B1 (en) | 2012-04-09 | 2017-05-10 | Facet Technologies, LLC | Push-to-charge lancing device |
US9237921B2 (en) | 2012-04-09 | 2016-01-19 | Ethicon Endo-Surgery, Inc. | Devices and techniques for cutting and coagulating tissue |
US9044238B2 (en) | 2012-04-10 | 2015-06-02 | Covidien Lp | Electrosurgical monopolar apparatus with arc energy vascular coagulation control |
US9113887B2 (en) | 2012-04-10 | 2015-08-25 | Covidien Lp | Electrosurgical generator |
EP3066991B1 (en) | 2012-04-11 | 2018-09-19 | Covidien LP | Apparatus for endoscopic procedures |
JP5883343B2 (ja) | 2012-04-12 | 2016-03-15 | 株式会社スズキプレシオン | 医療用マニピュレータ |
US9788851B2 (en) | 2012-04-18 | 2017-10-17 | Ethicon Llc | Surgical instrument with tissue density sensing |
EP2838439A4 (en) | 2012-04-18 | 2015-11-25 | Cardica Inc | SAFETY LOCK FOR A SURGICAL CLIP DEVICE |
CN103702625B (zh) | 2012-04-19 | 2016-06-22 | 沃尔德马连接两合公司 | 可拆分的外科钳子 |
US9539726B2 (en) | 2012-04-20 | 2017-01-10 | Vanderbilt University | Systems and methods for safe compliant insertion and hybrid force/motion telemanipulation of continuum robots |
US9507399B2 (en) | 2012-04-24 | 2016-11-29 | Analog Devices, Inc. | Accelerometer-controlled master power switch for electronic devices |
US8818523B2 (en) | 2012-04-25 | 2014-08-26 | Medtronic, Inc. | Recharge of an implantable device in the presence of other conductive objects |
US20130284792A1 (en) | 2012-04-26 | 2013-10-31 | Covidien Lp | Surgical Stapling Device Including A Camera |
KR101800189B1 (ko) | 2012-04-30 | 2017-11-23 | 삼성전자주식회사 | 수술 로봇의 힘 제어 장치 및 방법 |
US9331721B2 (en) | 2012-04-30 | 2016-05-03 | The Trustees Of Columbia University In The City Of New York | Systems, devices, and methods for continuous time signal processing |
US9668807B2 (en) | 2012-05-01 | 2017-06-06 | Covidien Lp | Simplified spring load mechanism for delivering shaft force of a surgical instrument |
US9204920B2 (en) | 2012-05-02 | 2015-12-08 | Covidien Lp | External reader for device management |
AU2013259633B2 (en) | 2012-05-09 | 2015-09-24 | Boston Scientific Scimed, Inc. | Bushing arm deformation mechanism |
US9459781B2 (en) | 2012-05-09 | 2016-10-04 | Apple Inc. | Context-specific user interfaces for displaying animated sequences |
DE102012207707A1 (de) | 2012-05-09 | 2013-11-28 | Deutsches Zentrum für Luft- und Raumfahrt e.V. | Minimalinvasives Instrument für die robotische Chirurgie |
CA2873076A1 (en) | 2012-05-10 | 2013-11-14 | The Trustees Of The Stevens Institute Of Technology | Biphasic osteochondral scaffold for reconstruction of articular cartilage |
US9364228B2 (en) | 2012-05-11 | 2016-06-14 | Ethicon, Llc | Applicator instruments having distal end caps for facilitating the accurate placement of surgical fasteners during open repair procedures |
US10575716B2 (en) | 2012-05-11 | 2020-03-03 | Ethicon Llc | Applicator instruments with imaging systems for dispensing surgical fasteners during open repair procedures |
US11871901B2 (en) | 2012-05-20 | 2024-01-16 | Cilag Gmbh International | Method for situational awareness for surgical network or surgical network connected device capable of adjusting function based on a sensed situation or usage |
WO2013177228A1 (en) | 2012-05-22 | 2013-11-28 | Loma Linda University | Generation of integration/transgene-free stem cells |
EP3903698A1 (en) | 2012-05-23 | 2021-11-03 | Stryker Corporation | A battery and control module for use with a surgical tool unit |
US8973805B2 (en) | 2012-05-25 | 2015-03-10 | Covidien Lp | Surgical fastener applying apparatus including a knife guard |
US9572592B2 (en) | 2012-05-31 | 2017-02-21 | Ethicon Endo-Surgery, Llc | Surgical instrument with orientation sensing |
AU2013203675B2 (en) | 2012-05-31 | 2014-11-27 | Covidien Lp | Hand held surgical handle assembly, surgical adapters for use between surgical handle assembly and surgical end effectors, and methods of use |
US9681884B2 (en) | 2012-05-31 | 2017-06-20 | Ethicon Endo-Surgery, Llc | Surgical instrument with stress sensor |
US9868198B2 (en) | 2012-06-01 | 2018-01-16 | Covidien Lp | Hand held surgical handle assembly, surgical adapters for use between surgical handle assembly and surgical loading units, and methods of use |
US9597104B2 (en) | 2012-06-01 | 2017-03-21 | Covidien Lp | Handheld surgical handle assembly, surgical adapters for use between surgical handle assembly and surgical end effectors, and methods of use |
CA2789488C (en) | 2012-06-07 | 2014-01-28 | Jae E. Dauvin | Flexible transmission device for tool extensions and the like |
US20130327552A1 (en) | 2012-06-08 | 2013-12-12 | Black & Decker Inc. | Power tool having multiple operating modes |
US10039440B2 (en) | 2012-06-11 | 2018-08-07 | Intuitive Surgical Operations, Inc. | Systems and methods for cleaning a minimally invasive instrument |
US20130334280A1 (en) | 2012-06-14 | 2013-12-19 | Covidien Lp | Sliding Anvil/Retracting Cartridge Reload |
US9101358B2 (en) | 2012-06-15 | 2015-08-11 | Ethicon Endo-Surgery, Inc. | Articulatable surgical instrument comprising a firing drive |
US9364220B2 (en) | 2012-06-19 | 2016-06-14 | Covidien Lp | Apparatus for endoscopic procedures |
US11589771B2 (en) | 2012-06-21 | 2023-02-28 | Globus Medical Inc. | Method for recording probe movement and determining an extent of matter removed |
USD692916S1 (en) | 2012-06-22 | 2013-11-05 | Mako Surgical Corp. | Display device or portion thereof with graphical user interface |
US20140107697A1 (en) | 2012-06-25 | 2014-04-17 | Castle Surgical, Inc. | Clamping Forceps and Associated Methods |
US9641122B2 (en) | 2012-06-26 | 2017-05-02 | Johnson Controls Technology Company | HVAC actuator with automatic end stop recalibration |
US20140001234A1 (en) | 2012-06-28 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Coupling arrangements for attaching surgical end effectors to drive systems therefor |
US9119657B2 (en) | 2012-06-28 | 2015-09-01 | Ethicon Endo-Surgery, Inc. | Rotary actuatable closure arrangement for surgical end effector |
US9289256B2 (en) | 2012-06-28 | 2016-03-22 | Ethicon Endo-Surgery, Llc | Surgical end effectors having angled tissue-contacting surfaces |
US20140005640A1 (en) | 2012-06-28 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Surgical end effector jaw and electrode configurations |
US9101385B2 (en) | 2012-06-28 | 2015-08-11 | Ethicon Endo-Surgery, Inc. | Electrode connections for rotary driven surgical tools |
US9561038B2 (en) | 2012-06-28 | 2017-02-07 | Ethicon Endo-Surgery, Llc | Interchangeable clip applier |
CN104487005B (zh) | 2012-06-28 | 2017-09-08 | 伊西康内外科公司 | 空夹仓闭锁件 |
US11278284B2 (en) | 2012-06-28 | 2022-03-22 | Cilag Gmbh International | Rotary drive arrangements for surgical instruments |
BR112014032776B1 (pt) | 2012-06-28 | 2021-09-08 | Ethicon Endo-Surgery, Inc | Sistema de instrumento cirúrgico e kit cirúrgico para uso com um sistema de instrumento cirúrgico |
US9028494B2 (en) | 2012-06-28 | 2015-05-12 | Ethicon Endo-Surgery, Inc. | Interchangeable end effector coupling arrangement |
RU2686954C2 (ru) | 2012-06-28 | 2019-05-06 | Конинклейке Филипс Н.В. | Навигация с помощью оптоволоконного датчика для визуализации и мониторинга сосудов |
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 |
US20140001231A1 (en) | 2012-06-28 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Firing system lockout arrangements for surgical instruments |
US9649111B2 (en) | 2012-06-28 | 2017-05-16 | Ethicon Endo-Surgery, Llc | Replaceable clip cartridge for a clip applier |
US20140005718A1 (en) | 2012-06-28 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Multi-functional powered surgical device with external dissection features |
US9072536B2 (en) | 2012-06-28 | 2015-07-07 | Ethicon Endo-Surgery, Inc. | Differential locking arrangements for rotary powered surgical instruments |
WO2014003848A1 (en) | 2012-06-29 | 2014-01-03 | Gyrus Acmi, Inc. | Blade retention mechanism for surgical instrument |
US9326788B2 (en) | 2012-06-29 | 2016-05-03 | Ethicon Endo-Surgery, Llc | Lockout mechanism for use with robotic electrosurgical device |
CN103505240B (zh) | 2012-06-29 | 2018-05-22 | 通用电气公司 | 超声成像设备和用于自动调整用户界面布局的装置及方法 |
US9408622B2 (en) | 2012-06-29 | 2016-08-09 | Ethicon Endo-Surgery, Llc | Surgical instruments with articulating shafts |
US9226767B2 (en) | 2012-06-29 | 2016-01-05 | Ethicon Endo-Surgery, Inc. | Closed feedback control for electrosurgical device |
US9820768B2 (en) | 2012-06-29 | 2017-11-21 | Ethicon Llc | Ultrasonic surgical instruments with control mechanisms |
US10881339B2 (en) | 2012-06-29 | 2021-01-05 | Dexcom, Inc. | Use of sensor redundancy to detect sensor failures |
US9220570B2 (en) | 2012-06-29 | 2015-12-29 | Children's National Medical Center | Automated surgical and interventional procedures |
US9039691B2 (en) | 2012-06-29 | 2015-05-26 | Covidien Lp | Surgical forceps |
JP2014011047A (ja) | 2012-06-29 | 2014-01-20 | Canon Components Inc | シールドケーブル、その製造方法および無線通信モジュール |
US9283045B2 (en) | 2012-06-29 | 2016-03-15 | Ethicon Endo-Surgery, Llc | Surgical instruments with fluid management system |
US20140005702A1 (en) | 2012-06-29 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical instruments with distally positioned transducers |
AU2013286733B2 (en) | 2012-07-02 | 2017-09-14 | Boston Scientific Scimed, Inc. | Stapler for forming multiple tissue plications |
WO2014005689A2 (de) | 2012-07-03 | 2014-01-09 | Kuka Laboratories Gmbh | Chirurgische instrumentenanordnung und antriebsstranganordnung für ein, insbesondere robotergeführtes, chirurgisches instrument und chirurgisches instrument |
DE102012211886A1 (de) | 2012-07-06 | 2014-01-09 | Technische Universität Berlin | Medizinisches Instrument und Verfahren zum Verschwenken eines solchen medizinischen Instruments |
US9973021B2 (en) | 2012-07-06 | 2018-05-15 | Energous Corporation | Receivers for wireless power transmission |
US10492814B2 (en) | 2012-07-09 | 2019-12-03 | Covidien Lp | Apparatus for endoscopic procedures |
US9955965B2 (en) | 2012-07-09 | 2018-05-01 | Covidien Lp | Switch block control assembly of a medical device |
US9839480B2 (en) | 2012-07-09 | 2017-12-12 | Covidien Lp | Surgical adapter assemblies for use between surgical handle assembly and surgical end effectors |
US9408605B1 (en) | 2012-07-12 | 2016-08-09 | Cardica, Inc. | Single-trigger clamping and firing of surgical stapler |
US9110587B2 (en) | 2012-07-13 | 2015-08-18 | Samsung Electronics Co., Ltd. | Method for transmitting and receiving data between memo layer and application and electronic device using the same |
KR20150036650A (ko) | 2012-07-16 | 2015-04-07 | 미라빌리스 메디카 인코포레이티드 | 초음파 유도 치료를 위한 인간 인터페이스 및 장치 |
US8939975B2 (en) | 2012-07-17 | 2015-01-27 | Covidien Lp | Gap control via overmold teeth and hard stops |
AU2013206807A1 (en) | 2012-07-18 | 2014-02-06 | Covidien Lp | Apparatus for endoscopic procedures |
US9572576B2 (en) | 2012-07-18 | 2017-02-21 | Covidien Lp | Surgical apparatus including surgical buttress |
US10194907B2 (en) | 2012-07-18 | 2019-02-05 | Covidien Lp | Multi-fire stapler with electronic counter, lockout, and visual indicator |
US9554796B2 (en) | 2012-07-18 | 2017-01-31 | Covidien Lp | Multi-fire surgical stapling apparatus including safety lockout and visual indicator |
US9402604B2 (en) | 2012-07-20 | 2016-08-02 | Covidien Lp | Apparatus for endoscopic procedures |
US20140022283A1 (en) | 2012-07-20 | 2014-01-23 | University Health Network | Augmented reality apparatus |
CN104507397A (zh) | 2012-07-24 | 2015-04-08 | 理查德·沃尔夫有限公司 | 具有可运动部分的医疗器械的杆 |
WO2014018946A1 (en) | 2012-07-26 | 2014-01-30 | Smith & Nephew, Inc. | Knotless anchor for instability repair |
DE102012213322A1 (de) | 2012-07-30 | 2014-01-30 | Siemens Aktiengesellschaft | Medizingerät und Sterilabdeckung für ein entsprechendes Medizingerät |
US9161769B2 (en) | 2012-07-30 | 2015-10-20 | Covidien Lp | Endoscopic instrument |
US9629632B2 (en) | 2012-07-30 | 2017-04-25 | Conextions, Inc. | Soft tissue repair devices, systems, and methods |
US9572552B1 (en) | 2012-08-09 | 2017-02-21 | Integrated Medical Systems International, Inc. | Battery pack for power surgical hand piece with heat dissipating means |
US9468447B2 (en) | 2012-08-14 | 2016-10-18 | Insurgical, LLC | Limited-use tool system and method of reprocessing |
KR101359053B1 (ko) | 2012-08-14 | 2014-02-06 | 정창욱 | 관절 구조를 고정시키기 위한 장치 |
US9277957B2 (en) | 2012-08-15 | 2016-03-08 | Ethicon Endo-Surgery, Inc. | Electrosurgical devices and methods |
KR102283182B1 (ko) | 2012-08-15 | 2021-07-29 | 인튜어티브 서지컬 오퍼레이션즈 인코포레이티드 | 수술용 장착 플랫폼의 사용자 개시 브레이크-어웨이 클러칭 |
AU2013206804B2 (en) | 2012-08-15 | 2017-12-07 | Covidien Lp | Buttress attachment to degradable polymer zones |
US8690893B2 (en) | 2012-08-16 | 2014-04-08 | Coloplast A/S | Vaginal manipulator head with tissue index and head extender |
CN102783741B (zh) | 2012-08-16 | 2014-10-15 | 东华大学 | 多级展开散热的防火绝热复合织物、制备方法及用途 |
US9154189B2 (en) | 2012-08-17 | 2015-10-06 | Qualcomm Incorporated | Wireless power system with capacitive proximity sensing |
US20140048580A1 (en) | 2012-08-20 | 2014-02-20 | Covidien Lp | Buttress attachment features for surgical stapling apparatus |
US9610068B2 (en) | 2012-08-29 | 2017-04-04 | Boston Scientific Scimed, Inc. | Articulation joint with bending member |
US9131957B2 (en) | 2012-09-12 | 2015-09-15 | Gyrus Acmi, Inc. | Automatic tool marking |
US9353917B2 (en) | 2012-09-14 | 2016-05-31 | Cree, Inc. | High efficiency lighting device including one or more solid state light emitters, and method of lighting |
EP2895098B1 (en) | 2012-09-17 | 2022-08-10 | Intuitive Surgical Operations, Inc. | Methods and systems for assigning input devices to teleoperated surgical instrument functions |
US9713474B2 (en) | 2012-09-17 | 2017-07-25 | The Cleveland Clinic Foundation | Endoscopic stapler |
CN102885641B (zh) | 2012-09-18 | 2015-04-01 | 上海逸思医疗科技有限公司 | 一种改进的外科器械的执行器 |
US20150230697A1 (en) | 2012-09-19 | 2015-08-20 | Nanyang Technological University | Flexible master - slave robotic endoscopy system |
JP6082553B2 (ja) | 2012-09-26 | 2017-02-15 | カール シュトルツ ゲゼルシャフト ミット ベシュレンクテル ハフツング ウント コンパニー コマンディートゲゼルシャフト | ブレーキ解除機構及びこれを備えた医療用マニピュレータ |
JP2014069252A (ja) | 2012-09-28 | 2014-04-21 | Hitachi Koki Co Ltd | 電動工具 |
US20140094681A1 (en) | 2012-10-02 | 2014-04-03 | Covidien Lp | System for navigating surgical instruments adjacent tissue of interest |
US9526564B2 (en) | 2012-10-08 | 2016-12-27 | Covidien Lp | Electric stapler device |
US10842357B2 (en) | 2012-10-10 | 2020-11-24 | Moskowitz Family Llc | Endoscopic surgical system |
US8906001B2 (en) | 2012-10-10 | 2014-12-09 | Covidien Lp | Electromechanical surgical apparatus including wire routing clock spring |
US9161753B2 (en) | 2012-10-10 | 2015-10-20 | Covidien Lp | Buttress fixation for a circular stapler |
US9386985B2 (en) | 2012-10-15 | 2016-07-12 | Ethicon Endo-Surgery, Llc | Surgical cutting instrument |
US9364217B2 (en) | 2012-10-16 | 2016-06-14 | Covidien Lp | In-situ loaded stapler |
US10478182B2 (en) | 2012-10-18 | 2019-11-19 | Covidien Lp | Surgical device identification |
US9421014B2 (en) | 2012-10-18 | 2016-08-23 | Covidien Lp | Loading unit velocity and position feedback |
US9044281B2 (en) | 2012-10-18 | 2015-06-02 | Ellipse Technologies, Inc. | Intramedullary implants for replacing lost bone |
US20140115229A1 (en) | 2012-10-19 | 2014-04-24 | Lsi Corporation | Method and system to reduce system boot loader download time for spi based flash memories |
US10201365B2 (en) | 2012-10-22 | 2019-02-12 | Ethicon Llc | Surgeon feedback sensing and display methods |
US9095367B2 (en) | 2012-10-22 | 2015-08-04 | Ethicon Endo-Surgery, Inc. | Flexible harmonic waveguides/blades for surgical instruments |
US9265585B2 (en) | 2012-10-23 | 2016-02-23 | Covidien Lp | Surgical instrument with rapid post event detection |
USD686240S1 (en) | 2012-10-25 | 2013-07-16 | Advanced Mediwatch Co., Ltd. | Display screen with graphical user interface for a sports device |
JP6304661B2 (ja) | 2012-10-26 | 2018-04-04 | 勝行 戸津 | 自動ねじ締め制御方法および装置 |
US9368991B2 (en) | 2012-10-30 | 2016-06-14 | The Board Of Trustees Of The University Of Alabama | Distributed battery power electronics architecture and control |
JP5154710B1 (ja) | 2012-11-01 | 2013-02-27 | 株式会社テクノプロジェクト | 医用画像交換システム、画像中継サーバ、医用画像送信システム及び医用画像受信システム |
EP3791822A1 (en) | 2012-11-02 | 2021-03-17 | Intuitive Surgical Operations, Inc. | Self-antagonistic drive for medical instruments |
US9192384B2 (en) | 2012-11-09 | 2015-11-24 | Covidien Lp | Recessed groove for better suture retention |
US20140131418A1 (en) | 2012-11-09 | 2014-05-15 | Covidien Lp | Surgical Stapling Apparatus Including Buttress Attachment |
US9610397B2 (en) | 2012-11-20 | 2017-04-04 | Medimop Medical Projects Ltd. | System and method to distribute power to both an inertial device and a voltage sensitive device from a single current limited power source |
JP5608837B1 (ja) | 2012-11-20 | 2014-10-15 | オリンパスメディカルシステムズ株式会社 | 組織切除装置 |
USD748668S1 (en) | 2012-11-23 | 2016-02-02 | Samsung Electronics Co., Ltd. | Display screen or portion thereof with transitional graphical user interface |
CN103829981A (zh) | 2012-11-26 | 2014-06-04 | 天津瑞贝精密机械技术研发有限公司 | 电动腔镜吻合器 |
CN103841802B (zh) | 2012-11-27 | 2017-04-05 | 华硕电脑股份有限公司 | 电子装置 |
US20140148803A1 (en) | 2012-11-28 | 2014-05-29 | Covidien Lp | External actuator for an electrosurgical instrument |
US9289207B2 (en) | 2012-11-29 | 2016-03-22 | Ethicon Endo-Surgery, Llc | Surgical staple with integral pledget for tip deflection |
USD729274S1 (en) | 2012-11-30 | 2015-05-12 | Google Inc. | Portion of a display screen with icon |
US9295466B2 (en) | 2012-11-30 | 2016-03-29 | Covidien Lp | Surgical apparatus including surgical buttress |
US9681936B2 (en) | 2012-11-30 | 2017-06-20 | Covidien Lp | Multi-layer porous film material |
US9566062B2 (en) | 2012-12-03 | 2017-02-14 | Ethicon Endo-Surgery, Llc | Surgical instrument with secondary jaw closure feature |
US10034344B2 (en) | 2012-12-05 | 2018-07-24 | Kenji Yoshida | Control interface facility management system |
US20140158747A1 (en) | 2012-12-06 | 2014-06-12 | Ethicon Endo-Surgery, Inc. | Surgical stapler with varying staple widths along different circumferences |
US9050100B2 (en) | 2012-12-10 | 2015-06-09 | Ethicon Endo-Surgery, Inc. | Surgical instrument with feedback at end effector |
US9445808B2 (en) | 2012-12-11 | 2016-09-20 | Ethicon Endo-Surgery, Llc | Electrosurgical end effector with tissue tacking features |
US8815594B2 (en) | 2012-12-12 | 2014-08-26 | Southwest Research Institute | Hybrid tissue scaffold for tissue engineering |
US9402627B2 (en) | 2012-12-13 | 2016-08-02 | Covidien Lp | Folded buttress for use with a surgical apparatus |
CN102973300B (zh) | 2012-12-13 | 2014-10-15 | 常州市新能源吻合器总厂有限公司 | 直线形切割吻合器的组织夹持件及其钉仓座 |
US9173655B2 (en) | 2012-12-13 | 2015-11-03 | Ethicon Endo-Surgery, Inc. | Needle driver and pawl mechanism for circular needle applier |
KR101484208B1 (ko) | 2012-12-14 | 2015-01-21 | 현대자동차 주식회사 | 연료전지자동차의 모터속도 보정장치 및 보정방법. |
JP6422879B2 (ja) | 2012-12-17 | 2018-11-14 | コーニンクレッカ フィリップス エヌ ヴェKoninklijke Philips N.V. | 医用デバイスの適応セルフテスト及びストレス解析 |
EP3391748B1 (en) | 2012-12-17 | 2021-03-03 | Koninklijke Philips N.V. | A device for preparing extrudable food products |
US9463022B2 (en) | 2012-12-17 | 2016-10-11 | Ethicon Endo-Surgery, Llc | Motor driven rotary input circular stapler with lockable flexible shaft |
US9445816B2 (en) | 2012-12-17 | 2016-09-20 | Ethicon Endo-Surgery, Llc | Circular stapler with selectable motorized and manual control |
USD741895S1 (en) | 2012-12-18 | 2015-10-27 | 2236008 Ontario Inc. | Display screen or portion thereof with graphical user interface |
CN103860225B (zh) | 2012-12-18 | 2016-03-09 | 苏州天臣国际医疗科技有限公司 | 直线型缝切器 |
CN103860221B (zh) | 2012-12-18 | 2016-08-17 | 苏州天臣国际医疗科技有限公司 | 直线缝切器钉头组件 |
US9470297B2 (en) | 2012-12-19 | 2016-10-18 | Covidien Lp | Lower anterior resection 90 degree instrument |
AU2013266989A1 (en) | 2012-12-19 | 2014-07-03 | Covidien Lp | Buttress attachment to the cartridge surface |
US9566065B2 (en) | 2012-12-21 | 2017-02-14 | Cardica, Inc. | Apparatus and methods for surgical stapler clamping and deployment |
US9099922B2 (en) | 2012-12-21 | 2015-08-04 | Silicon Laboratories Inc. | System and method for adaptive current limit of a switching regulator |
JP6024446B2 (ja) | 2012-12-22 | 2016-11-16 | 日立工機株式会社 | インパクト工具 |
DE102012025393A1 (de) | 2012-12-24 | 2014-06-26 | Festool Group Gmbh & Co. Kg | Elektrogerät in Gestalt einer Hand-Werkzeugmaschine oder eines Sauggeräts |
US20140181710A1 (en) | 2012-12-26 | 2014-06-26 | Harman International Industries, Incorporated | Proximity location system |
US9614258B2 (en) | 2012-12-28 | 2017-04-04 | Semiconductor Energy Laboratory Co., Ltd. | Power storage device and power storage system |
CN103908313A (zh) | 2012-12-29 | 2014-07-09 | 苏州天臣国际医疗科技有限公司 | 外科手术器械 |
US9498215B2 (en) | 2012-12-31 | 2016-11-22 | Intuitive Surgical Operations, Inc. | Surgical staple cartridge with enhanced knife clearance |
GB2509523A (en) | 2013-01-07 | 2014-07-09 | Anish Kumar Mampetta | Surgical instrument with flexible members and a motor |
USD750129S1 (en) | 2013-01-09 | 2016-02-23 | Samsung Electronics Co., Ltd. | Display screen or portion thereof with graphical user interface |
US20140194874A1 (en) | 2013-01-10 | 2014-07-10 | Ethicon Endo-Surgery, Inc. | Electrosurgical end effector with independent closure feature and blade |
US9204881B2 (en) | 2013-01-11 | 2015-12-08 | Covidien Lp | Buttress retainer for EEA anvil |
US9675354B2 (en) | 2013-01-14 | 2017-06-13 | Intuitive Surgical Operations, Inc. | Torque compensation |
US9522003B2 (en) | 2013-01-14 | 2016-12-20 | Intuitive Surgical Operations, Inc. | Clamping instrument |
US10265090B2 (en) | 2013-01-16 | 2019-04-23 | Covidien Lp | Hand held electromechanical surgical system including battery compartment diagnostic display |
US9345480B2 (en) | 2013-01-18 | 2016-05-24 | Covidien Lp | Surgical instrument and cartridge members for use therewith |
MX364730B (es) | 2013-01-18 | 2019-05-06 | Ethicon Endo Surgery Inc | Instrumento quirurgico motorizado. |
US9782187B2 (en) | 2013-01-18 | 2017-10-10 | Covidien Lp | Adapter load button lockout |
US9433420B2 (en) | 2013-01-23 | 2016-09-06 | Covidien Lp | Surgical apparatus including surgical buttress |
US20140207124A1 (en) | 2013-01-23 | 2014-07-24 | Ethicon Endo-Surgery, Inc. | Surgical instrument with selectable integral or external power source |
US10918364B2 (en) | 2013-01-24 | 2021-02-16 | Covidien Lp | Intelligent adapter assembly for use with an electromechanical surgical system |
WO2014115508A1 (en) | 2013-01-24 | 2014-07-31 | Hitachi Koki Co., Ltd. | Power tool |
US20140209658A1 (en) | 2013-01-25 | 2014-07-31 | Covidien Lp | Foam application to stapling device |
US9241758B2 (en) | 2013-01-25 | 2016-01-26 | Ethicon Endo-Surgery, Inc. | Surgical instrument with blade compliant along vertical cutting edge plane |
US9149325B2 (en) | 2013-01-25 | 2015-10-06 | Ethicon Endo-Surgery, Inc. | End effector with compliant clamping jaw |
US9610114B2 (en) | 2013-01-29 | 2017-04-04 | Ethicon Endo-Surgery, Llc | Bipolar electrosurgical hand shears |
US10175739B2 (en) | 2013-01-29 | 2019-01-08 | Avago Technologies International Sales Pte. Limited | Wearable device-aware supervised power management for mobile platforms |
JP6033698B2 (ja) | 2013-02-01 | 2016-11-30 | 株式会社マキタ | 電動工具 |
US9028510B2 (en) | 2013-02-01 | 2015-05-12 | Olympus Medical Systems Corp. | Tissue excision method |
DE102013101158A1 (de) | 2013-02-06 | 2014-08-07 | Karl Storz Gmbh & Co. Kg | Medizinische Vorrichtung und Verfahren zum Konfigurieren eines medizinischen Systems |
JP6339109B2 (ja) | 2013-02-08 | 2018-06-06 | エシコン・エンド−サージェリィ・インコーポレイテッドEthicon Endo−Surgery,Inc. | 解放可能なカバーを含むステープルカートリッジ |
US9386984B2 (en) | 2013-02-08 | 2016-07-12 | Ethicon Endo-Surgery, Llc | Staple cartridge comprising a releasable cover |
US20140224857A1 (en) | 2013-02-08 | 2014-08-14 | Ethicon Endo-Surgery, Inc. | Staple cartridge comprising a compressible portion |
MX365654B (es) | 2013-02-08 | 2019-06-10 | Ethicon Endo Surgery Inc | Capas implantables de múltiples grosores para dispositivos de engrapado quirúrgicos. |
BR112015018699B1 (pt) | 2013-02-08 | 2022-01-11 | Ethicon Endo-Surgery, Inc | Conjunto de atuador de extremidade para uso com um instrumento cirúrgico |
JP5733332B2 (ja) | 2013-02-13 | 2015-06-10 | 株式会社豊田自動織機 | 電池モジュール |
USD759063S1 (en) | 2013-02-14 | 2016-06-14 | Healthmate International, LLC | Display screen with graphical user interface for an electrotherapy device |
US10231728B2 (en) | 2013-02-15 | 2019-03-19 | Surgimatix, Inc. | Medical fastening device |
US9421003B2 (en) | 2013-02-18 | 2016-08-23 | Covidien Lp | Apparatus for endoscopic procedures |
US9216013B2 (en) | 2013-02-18 | 2015-12-22 | Covidien Lp | Apparatus for endoscopic procedures |
US9839421B2 (en) | 2013-02-28 | 2017-12-12 | Ethicon Llc | Jaw closure feature for end effector of surgical instrument |
US9622746B2 (en) | 2013-02-28 | 2017-04-18 | Ethicon Endo-Surgery, Llc | Distal tip features for end effector of surgical instrument |
US9517065B2 (en) | 2013-02-28 | 2016-12-13 | Ethicon Endo-Surgery, Llc | Integrated tissue positioning and jaw alignment features for surgical stapler |
US9186142B2 (en) | 2013-02-28 | 2015-11-17 | Ethicon Endo-Surgery, Inc. | Surgical instrument end effector articulation drive with pinion and opposing racks |
US9867615B2 (en) | 2013-02-28 | 2018-01-16 | Ethicon Llc | Surgical instrument with articulation lock having a detenting binary spring |
US9808248B2 (en) | 2013-02-28 | 2017-11-07 | Ethicon Llc | Installation features for surgical instrument end effector cartridge |
US20140239047A1 (en) | 2013-02-28 | 2014-08-28 | Covidien Lp | Adherence concepts for non-woven absorbable felt buttresses |
US10092292B2 (en) | 2013-02-28 | 2018-10-09 | Ethicon Llc | Staple forming features for surgical stapling instrument |
US9717497B2 (en) | 2013-02-28 | 2017-08-01 | Ethicon Llc | Lockout feature for movable cutting member of surgical instrument |
US9795379B2 (en) | 2013-02-28 | 2017-10-24 | Ethicon Llc | Surgical instrument with multi-diameter shaft |
US9700309B2 (en) | 2013-03-01 | 2017-07-11 | Ethicon Llc | Articulatable surgical instruments with conductive pathways for signal communication |
MX364729B (es) | 2013-03-01 | 2019-05-06 | Ethicon Endo Surgery Inc | Instrumento quirúrgico con una parada suave. |
BR112015021113B1 (pt) | 2013-03-01 | 2022-04-12 | Ethicon Endo-Surgery, Inc. | Instrumento cirúrgico |
MX368026B (es) | 2013-03-01 | 2019-09-12 | Ethicon Endo Surgery Inc | Instrumento quirúrgico articulable con vías conductoras para la comunicación de la señal. |
JP2014194211A (ja) | 2013-03-01 | 2014-10-09 | Aisan Ind Co Ltd | 電動バキュームポンプ |
US9483095B2 (en) | 2013-03-04 | 2016-11-01 | Abbott Medical Optics Inc. | Apparatus and method for providing a modular power supply with multiple adjustable output voltages |
US10561432B2 (en) | 2013-03-05 | 2020-02-18 | Covidien Lp | Pivoting screw for use with a pair of jaw members of a surgical instrument |
AU2014200501B2 (en) | 2013-03-07 | 2017-08-24 | Covidien Lp | Powered surgical stapling device |
US9839481B2 (en) | 2013-03-07 | 2017-12-12 | Intuitive Surgical Operations, Inc. | Hybrid manual and robotic interventional instruments and methods of use |
US10080576B2 (en) | 2013-03-08 | 2018-09-25 | Auris Health, Inc. | Method, apparatus, and a system for facilitating bending of an instrument in a surgical or medical robotic environment |
US9706993B2 (en) | 2013-03-08 | 2017-07-18 | Covidien Lp | Staple cartridge with shipping wedge |
EP2777524A3 (en) | 2013-03-12 | 2017-04-19 | Ethicon Endo-Surgery, Inc. | Powered surgical instruments with firing system lockout arrangements |
US9936951B2 (en) | 2013-03-12 | 2018-04-10 | Covidien Lp | Interchangeable tip reload |
USD711905S1 (en) | 2013-03-12 | 2014-08-26 | Arthrocare Corporation | Display screen for electrosurgical controller with graphical user interface |
US20140263535A1 (en) | 2013-03-12 | 2014-09-18 | Techtronic Power Tools Technology Limited | Direct current fastening device and related control methods |
US9717498B2 (en) | 2013-03-13 | 2017-08-01 | Covidien Lp | Surgical stapling apparatus |
US20140263552A1 (en) | 2013-03-13 | 2014-09-18 | Ethicon Endo-Surgery, Inc. | Staple cartridge tissue thickness sensor system |
US9492189B2 (en) | 2013-03-13 | 2016-11-15 | Covidien Lp | Apparatus for endoscopic procedures |
US9629628B2 (en) | 2013-03-13 | 2017-04-25 | Covidien Lp | Surgical stapling apparatus |
US9254170B2 (en) | 2013-03-13 | 2016-02-09 | Ethicon Endo-Surgery, Inc. | Electrosurgical device with disposable shaft having modular subassembly |
US9402687B2 (en) | 2013-03-13 | 2016-08-02 | Ethicon Endo-Surgery, Llc | Robotic electrosurgical device with disposable shaft |
EP3135225B1 (en) | 2013-03-13 | 2019-08-14 | Covidien LP | Surgical stapling apparatus |
US9107685B2 (en) | 2013-03-13 | 2015-08-18 | Ethicon Endo-Surgery, Inc. | Electrosurgical device with disposable shaft having clamshell coupling |
US9668729B2 (en) | 2013-03-13 | 2017-06-06 | Covidien Lp | Surgical stapling apparatus |
US9814463B2 (en) | 2013-03-13 | 2017-11-14 | Covidien Lp | Surgical stapling apparatus |
US10314559B2 (en) | 2013-03-14 | 2019-06-11 | Inneroptic Technology, Inc. | Medical device guidance |
US9629629B2 (en) | 2013-03-14 | 2017-04-25 | Ethicon Endo-Surgey, LLC | Control systems for surgical instruments |
US9592056B2 (en) | 2013-03-14 | 2017-03-14 | Covidien Lp | Powered stapling apparatus |
US9867620B2 (en) | 2013-03-14 | 2018-01-16 | Covidien Lp | Articulation joint for apparatus for endoscopic procedures |
US9655613B2 (en) | 2013-03-14 | 2017-05-23 | Dextera Surgical Inc. | Beltless staple chain for cartridge and cartridgeless surgical staplers |
US9352071B2 (en) | 2013-03-14 | 2016-05-31 | Ethicon, Inc. | Method of forming an implantable device |
US9629623B2 (en) | 2013-03-14 | 2017-04-25 | Ethicon Endo-Surgery, Llc | Drive system lockout arrangements for modular surgical instruments |
JP6114583B2 (ja) | 2013-03-14 | 2017-04-12 | カール シュトルツ ゲゼルシャフト ミット ベシュレンクテル ハフツング ウント コンパニー コマンディートゲゼルシャフト | 医療用マニピュレータ |
US20140276730A1 (en) | 2013-03-14 | 2014-09-18 | Ethicon Endo-Surgery, Inc. | Surgical instrument with reinforced articulation section |
WO2014152912A1 (en) | 2013-03-14 | 2014-09-25 | Applied Medical Resources Corporation | Surgical stapler with partial pockets |
AU2014233662B2 (en) | 2013-03-15 | 2019-01-17 | Sri International | Hyperdexterous surgical system |
US9283028B2 (en) | 2013-03-15 | 2016-03-15 | Covidien Lp | Crest-factor control of phase-shifted inverter |
US9615816B2 (en) | 2013-03-15 | 2017-04-11 | Vidacare LLC | Drivers and drive systems |
US10303851B2 (en) | 2013-03-15 | 2019-05-28 | Md24 Patent Technology, Llc | Physician-centric health care delivery platform |
KR20240039202A (ko) | 2013-03-15 | 2024-03-26 | 어플라이드 메디컬 리소시스 코포레이션 | 회전가능 샤프트를 구비한 구동 메커니즘을 갖는 수술용 스테이플러 |
US9722236B2 (en) | 2013-03-15 | 2017-08-01 | General Atomics | Apparatus and method for use in storing energy |
SG11201507292VA (en) | 2013-03-15 | 2015-10-29 | Somark Innovations Inc | Microelectronic animal identification |
US8961191B2 (en) | 2013-03-15 | 2015-02-24 | Garmin Switzerland Gmbh | Electrical connector for pedal spindle |
US10105149B2 (en) | 2013-03-15 | 2018-10-23 | Board Of Regents Of The University Of Nebraska | On-board tool tracking system and methods of computer assisted surgery |
US20140263558A1 (en) | 2013-03-15 | 2014-09-18 | Cardica, Inc. | Extended curved tip for surgical apparatus |
AU2014228789A1 (en) | 2013-03-15 | 2015-10-29 | Board Of Regents Of The University Of Nebraska | On-board tool tracking system and methods of computer assisted surgery |
JP6554089B2 (ja) | 2013-03-19 | 2019-07-31 | サージセンス コーポレイション | 組織酸素化の測定用の器具、システムおよびメソッド |
US9112253B2 (en) | 2013-03-19 | 2015-08-18 | Texas Instruments Incorporated | Dielectric waveguide combined with electrical cable |
FR3003660B1 (fr) | 2013-03-22 | 2016-06-24 | Schneider Electric Ind Sas | Systeme de dialogue homme-machine |
US9510827B2 (en) | 2013-03-25 | 2016-12-06 | Covidien Lp | Micro surgical instrument and loading unit for use therewith |
US9332984B2 (en) | 2013-03-27 | 2016-05-10 | Ethicon Endo-Surgery, Llc | Fastener cartridge assemblies |
US20140291379A1 (en) | 2013-03-27 | 2014-10-02 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator comprising a cutting member path |
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 |
US20140303660A1 (en) | 2013-04-04 | 2014-10-09 | Elwha Llc | Active tremor control in surgical instruments |
US9700318B2 (en) | 2013-04-09 | 2017-07-11 | Covidien Lp | Apparatus for endoscopic procedures |
US9775610B2 (en) | 2013-04-09 | 2017-10-03 | Covidien Lp | Apparatus for endoscopic procedures |
BR112015026109B1 (pt) | 2013-04-16 | 2022-02-22 | Ethicon Endo-Surgery, Inc | Instrumento cirúrgico |
CN105307577B (zh) | 2013-04-16 | 2018-04-06 | 伊西康内外科公司 | 包括由相同可旋转输出装置操作的闭合驱动装置和击发驱动装置的外科器械 |
US10405857B2 (en) | 2013-04-16 | 2019-09-10 | Ethicon Llc | Powered linear surgical stapler |
CN110547851B (zh) | 2013-04-17 | 2023-05-12 | 马鲁霍医药有限公司 | 用于使缝合线穿过的方法和设备 |
ITMI20130666A1 (it) | 2013-04-23 | 2014-10-24 | Valuebiotech S R L | Struttura di robot, particolarmente per chirurgia mini-invasiva attraverso singola incisione parietale o orifizio naturale. |
JP2016516534A (ja) | 2013-04-25 | 2016-06-09 | インテュイティブ サージカル オペレーションズ, インコーポレイテッド | 外科機器制御入力視覚化場 |
WO2014175894A1 (en) | 2013-04-25 | 2014-10-30 | Cardica, Inc. | Active wedge and i-beam for surgical stapler |
KR20140129702A (ko) | 2013-04-30 | 2014-11-07 | 삼성전자주식회사 | 수술 로봇 시스템 및 그 제어방법 |
USD741882S1 (en) | 2013-05-01 | 2015-10-27 | Viber Media S.A.R.L. | Display screen or a portion thereof with graphical user interface |
US20140330298A1 (en) | 2013-05-03 | 2014-11-06 | Ethicon Endo-Surgery, Inc. | Clamp arm features for ultrasonic surgical instrument |
US9956677B2 (en) | 2013-05-08 | 2018-05-01 | Black & Decker Inc. | Power tool with interchangeable power heads |
US9687233B2 (en) | 2013-05-09 | 2017-06-27 | Dextera Surgical Inc. | Surgical stapling and cutting apparatus—deployment mechanisms, systems and methods |
CN107529427A (zh) | 2013-05-10 | 2018-01-02 | 竹斯柔公司 | 榨汁系统 |
US9237900B2 (en) | 2013-05-10 | 2016-01-19 | Ethicon Endo-Surgery, Inc. | Surgical instrument with split jaw |
US9700319B2 (en) | 2013-05-15 | 2017-07-11 | Dextera Surgical Inc. | Surgical stapling and cutting apparatus, clamp mechanisms, systems and methods |
USD730393S1 (en) | 2013-05-28 | 2015-05-26 | Deere & Company | Display screen or portion thereof with icon |
US9240740B2 (en) | 2013-05-30 | 2016-01-19 | The Boeing Company | Active voltage controller for an electric motor |
US11020016B2 (en) | 2013-05-30 | 2021-06-01 | Auris Health, Inc. | System and method for displaying anatomy and devices on a movable display |
US9574644B2 (en) | 2013-05-30 | 2017-02-21 | Ethicon Endo-Surgery, Llc | Power module for use with a surgical instrument |
WO2014194317A1 (en) | 2013-05-31 | 2014-12-04 | Covidien Lp | Surgical device with an end-effector assembly and system for monitoring of tissue during a surgical procedure |
US9504520B2 (en) | 2013-06-06 | 2016-11-29 | Ethicon Endo-Surgery, Llc | Surgical instrument with modular motor |
USD742893S1 (en) | 2013-06-09 | 2015-11-10 | Apple Inc. | Display screen or portion thereof with graphical user interface |
USD740851S1 (en) | 2013-06-10 | 2015-10-13 | Apple Inc. | Display screen or portion thereof with icon |
USD742894S1 (en) | 2013-06-10 | 2015-11-10 | Apple Inc. | Display screen or portion thereof with graphical user interface |
US20140373003A1 (en) | 2013-06-13 | 2014-12-18 | L'oreal | Appliance-based firmware upgrade system |
DE102013106277A1 (de) | 2013-06-17 | 2014-12-18 | Aesculap Ag | Chirurgischer Clip-Applikator |
US20140367445A1 (en) | 2013-06-18 | 2014-12-18 | Covidien Lp | Emergency retraction for electro-mechanical surgical devices and systems |
US10117654B2 (en) | 2013-06-18 | 2018-11-06 | Covidien Lp | Method of emergency retraction for electro-mechanical surgical devices and systems |
TWM473838U (zh) | 2013-06-19 | 2014-03-11 | Mouldex Co Ltd | 可旋轉式醫療用連接器 |
US9797486B2 (en) | 2013-06-20 | 2017-10-24 | Covidien Lp | Adapter direct drive with manual retraction, lockout and connection mechanisms |
CN203328751U (zh) | 2013-06-20 | 2013-12-11 | 瑞奇外科器械(中国)有限公司 | 外科手术器械及其驱动装置 |
CN104224254B (zh) | 2013-06-20 | 2016-03-30 | 瑞奇外科器械(中国)有限公司 | 外科手术器械及其驱动装置 |
US9351728B2 (en) | 2013-06-28 | 2016-05-31 | Covidien Lp | Articulating apparatus for endoscopic procedures |
US9668730B2 (en) | 2013-06-28 | 2017-06-06 | Covidien Lp | Articulating apparatus for endoscopic procedures with timing system |
US9358004B2 (en) | 2013-06-28 | 2016-06-07 | Covidien Lp | Articulating apparatus for endoscopic procedures |
US10085746B2 (en) | 2013-06-28 | 2018-10-02 | Covidien Lp | Surgical instrument including rotating end effector and rotation-limiting structure |
EP3014394B1 (en) | 2013-07-05 | 2022-06-22 | Rubin, Jacob A. | Whole-body human-computer interface |
US9757129B2 (en) | 2013-07-08 | 2017-09-12 | Covidien Lp | Coupling member configured for use with surgical devices |
KR101550600B1 (ko) | 2013-07-10 | 2015-09-07 | 현대자동차 주식회사 | 자동변속기의 유압회로 |
US9750503B2 (en) | 2013-07-11 | 2017-09-05 | Covidien Lp | Methods and devices for performing a surgical anastomosis |
KR102113853B1 (ko) | 2013-07-17 | 2020-06-03 | 삼성전자주식회사 | 커플링 영역 검출 방법 및 장치 |
JP6157258B2 (ja) | 2013-07-26 | 2017-07-05 | オリンパス株式会社 | マニピュレータ及びマニピュレータシステム |
US10285750B2 (en) | 2013-07-29 | 2019-05-14 | Covidien Lp | Systems and methods for operating an electrosurgical generator |
USD757028S1 (en) | 2013-08-01 | 2016-05-24 | Palantir Technologies Inc. | Display screen or portion thereof with graphical user interface |
US10828089B2 (en) | 2013-08-02 | 2020-11-10 | Biosense Webster (Israel) Ltd. | Catheter with improved irrigated tip electrode having two-piece construction, and method of manufacturing therefor |
USD749623S1 (en) | 2013-08-07 | 2016-02-16 | Robert Bosch Gmbh | Display screen with an animated graphical user interface |
CN104337556B (zh) | 2013-08-09 | 2016-07-13 | 瑞奇外科器械(中国)有限公司 | 弯转控制装置及外科手术器械 |
CN103391037B (zh) | 2013-08-13 | 2016-01-20 | 山东大学 | 基于arm单片机混沌映射控制的混沌搅拌控制系统 |
US9561029B2 (en) | 2013-08-15 | 2017-02-07 | Ethicon Endo-Surgery, Llc | Surgical stapler with rolling anvil |
US9597074B2 (en) | 2013-08-15 | 2017-03-21 | Ethicon Endo-Surgery, Llc | Endoluminal stapler with rotating wheel cam for multi-staple firing |
US9833235B2 (en) | 2013-08-16 | 2017-12-05 | Covidien Lp | Chip assembly for reusable surgical instruments |
JP6090576B2 (ja) | 2013-08-19 | 2017-03-08 | 日立工機株式会社 | 電動工具 |
WO2015025493A1 (ja) | 2013-08-23 | 2015-02-26 | 日本電産コパル電子株式会社 | 減速機構 |
RU2676863C2 (ru) | 2013-08-23 | 2019-01-11 | ЭТИКОН ЭНДО-СЕРДЖЕРИ, ЭлЭлСи | Хирургические инструменты с приводом от двигателя, выполненные с возможностью шарнирного поворота |
CN106028966B (zh) | 2013-08-23 | 2018-06-22 | 伊西康内外科有限责任公司 | 用于动力外科器械的击发构件回缩装置 |
US9808249B2 (en) | 2013-08-23 | 2017-11-07 | Ethicon Llc | Attachment portions for surgical instrument assemblies |
CN105658154B (zh) | 2013-08-23 | 2019-04-26 | 伊西康内外科有限责任公司 | 用于动力外科器械的辅助电池构造 |
US9539006B2 (en) | 2013-08-27 | 2017-01-10 | Covidien Lp | Hand held electromechanical surgical handle assembly for use with surgical end effectors, and methods of use |
USD740414S1 (en) | 2013-08-30 | 2015-10-06 | Karl Storz Gmbh & Co. Kg | Operation handle for medical manipulator system |
US9662108B2 (en) | 2013-08-30 | 2017-05-30 | Covidien Lp | Surgical stapling apparatus |
US9295514B2 (en) | 2013-08-30 | 2016-03-29 | Ethicon Endo-Surgery, Llc | Surgical devices with close quarter articulation features |
WO2015032797A1 (en) | 2013-09-03 | 2015-03-12 | Frank Wenger | Intraluminal stapler |
US20150067582A1 (en) | 2013-09-05 | 2015-03-05 | Storehouse Media, Inc. | Content navigation structure and transition mechanism |
US9220508B2 (en) | 2013-09-06 | 2015-12-29 | Ethicon Endo-Surgery, Inc. | Surgical clip applier with articulation section |
WO2015035178A2 (en) | 2013-09-06 | 2015-03-12 | Brigham And Women's Hospital, Inc. | System and method for a tissue resection margin measurement device |
CN104422849A (zh) | 2013-09-09 | 2015-03-18 | 南京南瑞继保电气有限公司 | 一种短路模拟试验电路及其试验方法 |
WO2015038947A1 (en) | 2013-09-13 | 2015-03-19 | Boston Scientific Scimed, Inc. | Ablation balloon with vapor deposited cover layer |
US20140018832A1 (en) | 2013-09-13 | 2014-01-16 | Ethicon Endo-Surgery, Inc. | Method For Applying A Surgical Clip Having A Compliant Portion |
USD751082S1 (en) | 2013-09-13 | 2016-03-08 | Airwatch Llc | Display screen with a graphical user interface for an email application |
US20140014707A1 (en) | 2013-09-16 | 2014-01-16 | Ethicon Endo-Surgery, Inc. | Surgical Stapling Instrument Having An Improved Coating |
US20140014704A1 (en) | 2013-09-16 | 2014-01-16 | Ethicon Endo-Surgery, Inc. | Medical Device Having An Improved Coating |
US20150076211A1 (en) | 2013-09-17 | 2015-03-19 | Covidien Lp | Surgical instrument controls with illuminated feedback |
US10172636B2 (en) | 2013-09-17 | 2019-01-08 | Ethicon Llc | Articulation features for ultrasonic surgical instrument |
US9955966B2 (en) | 2013-09-17 | 2018-05-01 | Covidien Lp | Adapter direct drive with manual retraction, lockout, and connection mechanisms for improper use prevention |
CN103505264B (zh) | 2013-09-18 | 2015-06-24 | 大连理工大学 | 经椎弓根通道治疗胸腰椎爆裂骨折的微创手术器械 |
US10271840B2 (en) | 2013-09-18 | 2019-04-30 | Covidien Lp | Apparatus and method for differentiating between tissue and mechanical obstruction in a surgical instrument |
US9642642B2 (en) | 2013-09-20 | 2017-05-09 | Kok Hoo LIM | Guide tip introducer and method to create thereof |
USD768152S1 (en) | 2013-09-20 | 2016-10-04 | ACCO Brands Corporation | Display screen including a graphical user interface |
US20150088547A1 (en) | 2013-09-22 | 2015-03-26 | Ricoh Company, Ltd. | Mobile Information Gateway for Home Healthcare |
US10709452B2 (en) | 2013-09-23 | 2020-07-14 | Ethicon Llc | Methods and systems for performing circular stapling |
US10478189B2 (en) | 2015-06-26 | 2019-11-19 | Ethicon Llc | Method of applying an annular array of staples to tissue |
US9936949B2 (en) | 2013-09-23 | 2018-04-10 | Ethicon Llc | Surgical stapling instrument with drive assembly having toggle features |
US20180132849A1 (en) | 2016-11-14 | 2018-05-17 | Ethicon Endo-Surgery, Llc | Staple forming pocket configurations for circular surgical stapler anvil |
CN203564285U (zh) | 2013-09-23 | 2014-04-30 | 瑞奇外科器械(中国)有限公司 | 末端执行器、外科手术器械和荷包钳 |
CN203564287U (zh) | 2013-09-23 | 2014-04-30 | 瑞奇外科器械(中国)有限公司 | 末端执行器、外科手术器械和荷包钳 |
US9907552B2 (en) | 2013-09-23 | 2018-03-06 | Ethicon Llc | Control features for motorized surgical stapling instrument |
US20150087952A1 (en) | 2013-09-24 | 2015-03-26 | Alivecor, Inc. | Smartphone and ecg device microbial shield |
US10695119B2 (en) | 2013-09-24 | 2020-06-30 | Covidien Lp | Power and bi directional data interface assembly and surgical system including the same |
US9392885B2 (en) | 2013-09-24 | 2016-07-19 | Marketing Impact Limited | Modular manual lift dispenser security systems and methods for assembling, manufacturing and/or utilizing said security systems |
US20150082624A1 (en) | 2013-09-24 | 2015-03-26 | Covidien Lp | Aseptic bag to encapsulate an energy source of a surgical instrument |
US20150088127A1 (en) | 2013-09-24 | 2015-03-26 | Covidien Lp | Aseptic bag to encapsulate an energy source of a surgical instrument |
WO2015047573A1 (en) | 2013-09-25 | 2015-04-02 | Covidien Lp | Surgical instrument with magnetic sensor |
EP3050527A4 (en) | 2013-09-27 | 2017-07-12 | Olympus Corporation | Treatment tool and treatment system |
US20140175150A1 (en) | 2013-10-01 | 2014-06-26 | Ethicon Endo-Surgery, Inc. | Providing Near Real Time Feedback To A User of A Surgical Instrument |
USD749128S1 (en) | 2013-10-04 | 2016-02-09 | Microsoft Corporation | Display screen with icon |
CN104580654B (zh) | 2013-10-09 | 2019-05-10 | 中兴通讯股份有限公司 | 一种终端及电子防水的方法 |
WO2015053905A1 (en) | 2013-10-10 | 2015-04-16 | GYRUS ACMI, INC. (d/b/a OLYMPUS SURGICAL TECHNOLOGIES AMERICA) | Laparoscopic forceps assembly |
US9295565B2 (en) | 2013-10-18 | 2016-03-29 | Spine Wave, Inc. | Method of expanding an intradiscal space and providing an osteoconductive path during expansion |
CN203597997U (zh) | 2013-10-31 | 2014-05-21 | 山东威瑞外科医用制品有限公司 | 一种吻合器的钉仓及吻合器 |
US11504346B2 (en) | 2013-11-03 | 2022-11-22 | Arizona Board Of Regents On Behalf Of The University Of Arizona | Redox-activated pro-chelators |
DE102013018499B3 (de) | 2013-11-04 | 2014-12-24 | Wagner GmbH Fabrik für medizinische Geräte | Belüftungsventil-Anordnung für einen unter Unterdruck stehenden Sterilisierbehälter |
US9295522B2 (en) | 2013-11-08 | 2016-03-29 | Covidien Lp | Medical device adapter with wrist mechanism |
US20150134077A1 (en) | 2013-11-08 | 2015-05-14 | Ethicon Endo-Surgery, Inc. | Sealing materials for use in surgical stapling |
US9936950B2 (en) | 2013-11-08 | 2018-04-10 | Ethicon Llc | Hybrid adjunct materials for use in surgical stapling |
USD746459S1 (en) | 2013-11-14 | 2015-12-29 | Karl Storz Gmbh & Co. Kg | Laparoscopic vacuum grasper |
US9901358B2 (en) | 2013-11-15 | 2018-02-27 | Ethicon Llc | Ultrasonic surgical instrument with integral blade cleaning feature |
US9907600B2 (en) | 2013-11-15 | 2018-03-06 | Ethicon Llc | Ultrasonic anastomosis instrument with piezoelectric sealing head |
JP6007357B2 (ja) | 2013-11-18 | 2016-10-12 | 日信工業株式会社 | 電子制御装置および車両用ブレーキ液圧制御装置 |
WO2015076780A1 (en) | 2013-11-19 | 2015-05-28 | Perfecseal, Inc | A vented rigid gas sterilization packaging tray |
US10368892B2 (en) | 2013-11-22 | 2019-08-06 | Ethicon Llc | Features for coupling surgical instrument shaft assembly with instrument body |
CN104682792B (zh) | 2013-11-27 | 2020-01-31 | 德昌电机(深圳)有限公司 | 直流电机控制电路 |
EP2878274A1 (en) | 2013-12-02 | 2015-06-03 | Ethicon Endo-Surgery, Inc. | Electrically self-powered surgical instrument with cryptographic identification of interchangeable part |
KR20160094397A (ko) | 2013-12-04 | 2016-08-09 | 오발론 테라퓨틱스 인코퍼레이티드 | 위 내 장치를 위치시키고 및/또는 특징화하는 시스템 및 방법 |
USD750122S1 (en) | 2013-12-04 | 2016-02-23 | Medtronic, Inc. | Display screen or portion thereof with graphical user interface |
USD746854S1 (en) | 2013-12-04 | 2016-01-05 | Medtronic, Inc. | Display screen or portion thereof with graphical user interface |
ES2755485T3 (es) | 2013-12-09 | 2020-04-22 | Covidien Lp | Conjunto de adaptador para la interconexión de dispositivos quirúrgicos electromecánicos y unidades de carga quirúrgica, y sistemas quirúrgicos de los mismos |
CN105813582B (zh) | 2013-12-11 | 2019-05-28 | 柯惠Lp公司 | 用于机器人手术系统的腕组件及钳夹组件 |
US9782193B2 (en) | 2013-12-11 | 2017-10-10 | Medos International Sàrl | Tissue shaving device having a fluid removal path |
EP3079609B1 (en) | 2013-12-12 | 2019-07-17 | Covidien LP | Gear train assemblies for robotic surgical systems |
WO2015095333A1 (en) | 2013-12-17 | 2015-06-25 | Standard Bariatrics, Inc. | Resection line guide for a medical procedure and method of using same |
USD744528S1 (en) | 2013-12-18 | 2015-12-01 | Aliphcom | Display screen or portion thereof with animated graphical user interface |
USD769930S1 (en) | 2013-12-18 | 2016-10-25 | Aliphcom | Display screen or portion thereof with animated graphical user interface |
US9867613B2 (en) | 2013-12-19 | 2018-01-16 | Covidien Lp | Surgical staples and end effectors for deploying the same |
US20150173789A1 (en) | 2013-12-23 | 2015-06-25 | Ethicon Endo-Surgery, Inc. | Surgical instruments with articulatable shaft arrangements |
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 |
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 |
USD775336S1 (en) | 2013-12-23 | 2016-12-27 | Ethicon Endo-Surgery, Llc | Surgical fastener |
WO2015096530A1 (zh) | 2013-12-27 | 2015-07-02 | 瑞奇外科器械(中国)有限公司 | 柔性驱动元件、末端执行器和外科手术器械 |
EP3087928A4 (en) | 2013-12-27 | 2017-11-08 | Olympus Corporation | Treatment tool handle and treatment tool |
TWI548388B (zh) | 2013-12-30 | 2016-09-11 | 國立臺灣大學 | 骨科手術之手持式機器人以及其控制方法 |
CN203736251U (zh) | 2013-12-30 | 2014-07-30 | 瑞奇外科器械(中国)有限公司 | 柔性驱动元件的支撑件、末端执行器和外科手术器械 |
CN103690212B (zh) | 2013-12-31 | 2015-08-12 | 上海创亿医疗器械技术有限公司 | 具有自换切割刀功能的外科线形吻合器 |
CN103750872B (zh) | 2013-12-31 | 2016-05-11 | 苏州天臣国际医疗科技有限公司 | 直线缝合切割装置 |
US20150201918A1 (en) | 2014-01-02 | 2015-07-23 | Osseodyne Surgical Solutions, Llc | Surgical Handpiece |
CN203693685U (zh) | 2014-01-09 | 2014-07-09 | 杨宗德 | 一种高速自停脊椎椎板钻 |
US9655616B2 (en) | 2014-01-22 | 2017-05-23 | Covidien Lp | Apparatus for endoscopic procedures |
US9802033B2 (en) | 2014-01-28 | 2017-10-31 | Ethicon Llc | Surgical devices having controlled tissue cutting and sealing |
US9629627B2 (en) | 2014-01-28 | 2017-04-25 | Coviden Lp | Surgical apparatus |
US9700312B2 (en) | 2014-01-28 | 2017-07-11 | Covidien Lp | Surgical apparatus |
US9801679B2 (en) | 2014-01-28 | 2017-10-31 | Ethicon Llc | Methods and devices for controlling motorized surgical devices |
CN203815517U (zh) | 2014-01-29 | 2014-09-10 | 上海创亿医疗器械技术有限公司 | 带有弯钉沟的外科吻合钉成形槽 |
US9936952B2 (en) | 2014-02-03 | 2018-04-10 | Covidien Lp | Introducer assembly for a surgical fastener applying apparatus |
US9706674B2 (en) | 2014-02-04 | 2017-07-11 | Covidien Lp | Authentication system for reusable surgical instruments |
WO2015120080A1 (en) | 2014-02-06 | 2015-08-13 | Faculty Physicians And Surgeons Of Loma Linda University School Of Medicine | Methods and devices for performing abdominal surgery |
US10213266B2 (en) | 2014-02-07 | 2019-02-26 | Covidien Lp | Robotic surgical assemblies and adapter assemblies thereof |
USD787547S1 (en) | 2014-02-10 | 2017-05-23 | What Watch Ag | Display screen or portion thereof with animated graphical user interface |
US11090109B2 (en) | 2014-02-11 | 2021-08-17 | Covidien Lp | Temperature-sensing electrically-conductive tissue-contacting plate configured for use in an electrosurgical jaw member, electrosurgical system including same, and methods of controlling vessel sealing using same |
USD758433S1 (en) | 2014-02-11 | 2016-06-07 | Samsung Electronics Co., Ltd. | Display screen or portion thereof with graphical user interface |
US9962161B2 (en) | 2014-02-12 | 2018-05-08 | Ethicon Llc | Deliverable surgical instrument |
US10420607B2 (en) | 2014-02-14 | 2019-09-24 | Arthrocare Corporation | Methods and systems related to an electrosurgical controller |
US9707005B2 (en) | 2014-02-14 | 2017-07-18 | Ethicon Llc | Lockout mechanisms for surgical devices |
US9974541B2 (en) | 2014-02-14 | 2018-05-22 | Covidien Lp | End stop detection |
EP3108447B1 (en) | 2014-02-17 | 2020-03-25 | Children's National Medical Center | Method and system for providing recommendation for optimal execution of surgical procedures |
JP6218634B2 (ja) | 2014-02-20 | 2017-10-25 | オリンパス株式会社 | 内視鏡システム及び内視鏡の作動方法 |
KR102367993B1 (ko) | 2014-02-21 | 2022-02-25 | 인튜어티브 서지컬 오퍼레이션즈 인코포레이티드 | 구속 운동을 갖는 관절운동가능 부재 및 그 관련 장치와 방법 |
US9301691B2 (en) | 2014-02-21 | 2016-04-05 | Covidien Lp | Instrument for optically detecting tissue attributes |
US11033182B2 (en) | 2014-02-21 | 2021-06-15 | 3Dintegrated Aps | Set comprising a surgical instrument |
KR102410823B1 (ko) | 2014-02-21 | 2022-06-21 | 인튜어티브 서지컬 오퍼레이션즈 인코포레이티드 | 기계식 조인트들, 및 관련된 시스템들과 방법들 |
USD756373S1 (en) | 2014-02-21 | 2016-05-17 | Aliphcom | Display screen or portion thereof with graphical user interface |
US20140166726A1 (en) | 2014-02-24 | 2014-06-19 | Ethicon Endo-Surgery, Inc. | Staple cartridge including a barbed staple |
JP6462004B2 (ja) | 2014-02-24 | 2019-01-30 | エシコン エルエルシー | 発射部材ロックアウトを備える締結システム |
USD755196S1 (en) | 2014-02-24 | 2016-05-03 | Kennedy-Wilson, Inc. | Display screen or portion thereof with graphical user interface |
CA2940510C (en) | 2014-02-24 | 2022-07-05 | Ethicon Endo-Surgery, Llc | Implantable layers comprising a pressed region |
US20150238118A1 (en) | 2014-02-27 | 2015-08-27 | Biorasis, Inc. | Detection of the spatial location of an implantable biosensing platform and method thereof |
US9325516B2 (en) | 2014-03-07 | 2016-04-26 | Ubiquiti Networks, Inc. | Power receptacle wireless access point devices for networked living and work spaces |
CN103829983A (zh) | 2014-03-07 | 2014-06-04 | 常州威克医疗器械有限公司 | 具有多种钉高的防滑钉仓 |
WO2015138708A1 (en) | 2014-03-12 | 2015-09-17 | Proximed, Llc | Surgical guidance systems, devices, and methods |
WO2015137040A1 (ja) | 2014-03-14 | 2015-09-17 | ソニー株式会社 | ロボットアーム装置、ロボットアーム制御方法及びプログラム |
US9861261B2 (en) | 2014-03-14 | 2018-01-09 | Hrayr Karnig Shahinian | Endoscope system and method of operation thereof |
CN117653293A (zh) | 2014-03-17 | 2024-03-08 | 直观外科手术操作公司 | 外科手术套管安装件及相关的系统和方法 |
KR102356213B1 (ko) | 2014-03-17 | 2022-01-28 | 인튜어티브 서지컬 오퍼레이션즈 인코포레이티드 | 원격조정 의료 장치를 위한 안내 설정 |
EP3119322B1 (en) | 2014-03-17 | 2020-05-06 | Intuitive Surgical Operations, Inc. | Systems and methods for confirming disc engagement |
US9554854B2 (en) | 2014-03-18 | 2017-01-31 | Ethicon Endo-Surgery, Llc | Detecting short circuits in electrosurgical medical devices |
JP2017508590A (ja) | 2014-03-20 | 2017-03-30 | ステップワイズ エルティーディーStepwise Ltd | コンバーチブル外科組織ステープラー及びその適用方法 |
JP6204858B2 (ja) | 2014-03-25 | 2017-09-27 | 富士フイルム株式会社 | タッチパネルモジュールおよび電子機器 |
JP6517228B2 (ja) | 2014-03-26 | 2019-05-22 | エシコン エルエルシー | 外科用ステープル留め器具システム |
US20180132850A1 (en) | 2014-03-26 | 2018-05-17 | Ethicon Llc | Surgical instrument comprising a sensor system |
US9820738B2 (en) | 2014-03-26 | 2017-11-21 | Ethicon Llc | Surgical instrument comprising interactive systems |
US9733663B2 (en) | 2014-03-26 | 2017-08-15 | Ethicon Llc | Power management through segmented circuit and variable voltage protection |
BR112016021815B1 (pt) | 2014-03-26 | 2022-07-19 | Ethicon Endo-Surgery, Llc. | Método para controlar um instrumento cirúrgico |
US9750499B2 (en) | 2014-03-26 | 2017-09-05 | Ethicon Llc | Surgical stapling instrument system |
JP6518686B2 (ja) | 2014-03-26 | 2019-05-22 | エシコン エルエルシー | 外科用器具の手動脱出システムのフィードバックアルゴリズム |
US9913642B2 (en) | 2014-03-26 | 2018-03-13 | Ethicon Llc | Surgical instrument comprising a sensor system |
US20220218344A1 (en) | 2014-03-26 | 2022-07-14 | Cilag Gmbh International | Surgical instrument comprising a sensor system |
BR112016021943B1 (pt) | 2014-03-26 | 2022-06-14 | Ethicon Endo-Surgery, Llc | Instrumento cirúrgico para uso por um operador em um procedimento cirúrgico |
US10130382B2 (en) | 2014-03-27 | 2018-11-20 | Medtronic Xomed, Inc. | Powered surgical handpiece having a surgical tool with an RFID tag |
US9526518B2 (en) | 2014-03-28 | 2016-12-27 | Ethicon Endo-Surgery, Llc | Surgical cutting devices and methods that include a self-adjusting cutting blade |
JP6854237B2 (ja) | 2014-03-28 | 2021-04-07 | インテュイティブ サージカル オペレーションズ, インコーポレイテッド | 視野内の器具の定量的三次元視覚化 |
US9724096B2 (en) | 2014-03-29 | 2017-08-08 | Standard Bariatrics, Inc. | End effectors, surgical stapling devices, and methods of using same |
US9936953B2 (en) | 2014-03-29 | 2018-04-10 | Standard Bariatrics, Inc. | End effectors, surgical stapling devices, and methods of using same |
US9549750B2 (en) | 2014-03-31 | 2017-01-24 | Ethicon Endo-Surgery, Llc | Surgical devices with articulating end effectors and methods of using surgical devices with articulating end effectors |
WO2015153642A1 (en) | 2014-03-31 | 2015-10-08 | Intuitive Surgical Operations, Inc. | Surgical instrument with shiftable transmission |
US9757126B2 (en) | 2014-03-31 | 2017-09-12 | Covidien Lp | Surgical stapling apparatus with firing lockout mechanism |
US10420577B2 (en) | 2014-03-31 | 2019-09-24 | Covidien Lp | Apparatus and method for tissue thickness sensing |
US10285763B2 (en) | 2014-04-02 | 2019-05-14 | Intuitive Surgical Operations, Inc. | Actuation element guide with twisting channels |
US11116383B2 (en) | 2014-04-02 | 2021-09-14 | Asensus Surgical Europe S.à.R.L. | Articulated structured light based-laparoscope |
US9675405B2 (en) | 2014-04-08 | 2017-06-13 | Ethicon Llc | Methods and devices for controlling motorized surgical devices |
WO2015157459A1 (en) | 2014-04-08 | 2015-10-15 | Acuitybio Corporation | Delivery system for positioning and affixing surgical mesh or surgical buttress covering a surgical margin |
US9980769B2 (en) | 2014-04-08 | 2018-05-29 | Ethicon Llc | Methods and devices for controlling motorized surgical devices |
US9918730B2 (en) | 2014-04-08 | 2018-03-20 | Ethicon Llc | Methods and devices for controlling motorized surgical devices |
WO2015154188A1 (en) | 2014-04-09 | 2015-10-15 | The University Of British Columbia | Drill cover and chuck mechanism |
US10105126B2 (en) | 2014-04-09 | 2018-10-23 | Lsi Solutions, Inc. | Self-articulating joint for a minimally invasive surgical apparatus |
BR112016023825B1 (pt) | 2014-04-16 | 2022-08-02 | Ethicon Endo-Surgery, Llc | Cartucho de grampos para uso com um grampeador cirúrgico e cartucho de grampos para uso com um instrumento cirúrgico |
CN106456176B (zh) | 2014-04-16 | 2019-06-28 | 伊西康内外科有限责任公司 | 包括具有不同构型的延伸部的紧固件仓 |
US20150297225A1 (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 |
US11055980B2 (en) | 2014-04-16 | 2021-07-06 | Murata Vios, Inc. | Patient care and health information management systems and methods |
US9801627B2 (en) | 2014-09-26 | 2017-10-31 | Ethicon Llc | Fastener cartridge for creating a flexible staple line |
BR112016023807B1 (pt) | 2014-04-16 | 2022-07-12 | Ethicon Endo-Surgery, Llc | Conjunto de cartucho de prendedores para uso com um instrumento cirúrgico |
DE102015201574A1 (de) | 2014-04-17 | 2015-10-22 | Robert Bosch Gmbh | Akkuvorrichtung |
US20150297200A1 (en) | 2014-04-17 | 2015-10-22 | Covidien Lp | End of life transmission system for surgical instruments |
US10164466B2 (en) | 2014-04-17 | 2018-12-25 | Covidien Lp | Non-contact surgical adapter electrical interface |
USD756377S1 (en) | 2014-04-17 | 2016-05-17 | Google Inc. | Portion of a display panel with an animated computer icon |
US9668733B2 (en) | 2014-04-21 | 2017-06-06 | Covidien Lp | Stapling device with features to prevent inadvertent firing of staples |
US10080552B2 (en) | 2014-04-21 | 2018-09-25 | Covidien Lp | Adapter assembly with gimbal for interconnecting electromechanical surgical devices and surgical loading units, and surgical systems thereof |
US9855108B2 (en) | 2014-04-22 | 2018-01-02 | Bio-Medical Engineering (HK) Limited | Robotic devices and systems for performing single incision procedures and natural orifice translumenal endoscopic surgical procedures, and methods of configuring robotic devices and systems |
CN105358072B (zh) | 2014-04-22 | 2018-11-09 | 香港生物医学工程有限公司 | 单进入通道外科机器人装置和系统以及配置单进入通道外科机器人装置和系统的方法 |
US10258363B2 (en) | 2014-04-22 | 2019-04-16 | Ethicon Llc | Method of operating an articulating ultrasonic surgical instrument |
US10133248B2 (en) | 2014-04-28 | 2018-11-20 | Covidien Lp | Systems and methods for determining an end of life state for surgical devices |
US9844378B2 (en) | 2014-04-29 | 2017-12-19 | Covidien Lp | Surgical stapling apparatus and methods of adhering a surgical buttress thereto |
WO2015168441A1 (en) | 2014-04-30 | 2015-11-05 | Vanderbilt University | Surgical grasper |
USD786280S1 (en) | 2014-05-01 | 2017-05-09 | Beijing Qihoo Technology Company Limited | Display screen with a graphical user interface |
USD716820S1 (en) | 2014-05-02 | 2014-11-04 | Nike, Inc. | Display screen with graphical user interface |
US10175127B2 (en) | 2014-05-05 | 2019-01-08 | Covidien Lp | End-effector force measurement drive circuit |
US9872722B2 (en) | 2014-05-05 | 2018-01-23 | Covidien Lp | Wake-up system and method for powered surgical instruments |
US9861366B2 (en) | 2014-05-06 | 2018-01-09 | Covidien Lp | Ejecting assembly for a surgical stapler |
US9675368B2 (en) | 2014-05-07 | 2017-06-13 | Stmicroelectronics Asia Pacific Pte Ltd. | Touch panel scanning method, circuit and system |
US20150324317A1 (en) | 2014-05-07 | 2015-11-12 | Covidien Lp | Authentication and information system for reusable surgical instruments |
USD754679S1 (en) | 2014-05-08 | 2016-04-26 | Express Scripts, Inc. | Display screen with a graphical user interface |
CN103981635B (zh) | 2014-05-09 | 2017-01-11 | 浙江省纺织测试研究院 | 一种多孔纤维无纺布制备方法 |
EP3142568A1 (en) | 2014-05-15 | 2017-03-22 | Covidien LP | Surgical fastener applying apparatus |
CN110680437B (zh) | 2014-05-15 | 2023-01-31 | 柯惠Lp公司 | 手术紧固件施加装置 |
US9713466B2 (en) | 2014-05-16 | 2017-07-25 | Covidien Lp | Adaptor for surgical instrument for converting rotary input to linear output |
US9901341B2 (en) | 2014-05-16 | 2018-02-27 | Covidien Lp | Surgical instrument |
US9668734B2 (en) | 2014-05-16 | 2017-06-06 | Covidien Lp | In-situ loaded stapler |
JP2015217112A (ja) | 2014-05-16 | 2015-12-07 | キヤノン株式会社 | 移動型放射線撮影装置及び移動型放射線発生用装置 |
US9751176B2 (en) | 2014-05-30 | 2017-09-05 | Black & Decker Inc. | Power tool accessory attachment system |
JP1517663S (zh) | 2014-05-30 | 2015-02-16 | ||
USD771112S1 (en) | 2014-06-01 | 2016-11-08 | Apple Inc. | Display screen or portion thereof with graphical user interface |
USD823858S1 (en) | 2014-06-02 | 2018-07-24 | Mitsubishi Electric Corporation | Information display for a vehicle with a graphical user interface |
WO2015187107A1 (en) | 2014-06-05 | 2015-12-10 | Eae Elektri̇k Asansör Endüstri̇si̇ İnşaat Sanayi̇ Ve Ti̇caret Anoni̇m Şi̇rketi̇ | Rotary connection mechanism carrying cable in the wind turbines |
CN104027145B (zh) | 2014-06-06 | 2016-07-06 | 山东威瑞外科医用制品有限公司 | 防误操作型切割吻合器 |
US10251725B2 (en) | 2014-06-09 | 2019-04-09 | Covidien Lp | Authentication and information system for reusable surgical instruments |
US10390828B2 (en) | 2014-06-10 | 2019-08-27 | Ethicon Llc | Devices and methods for sealing staples in tissue |
US10172611B2 (en) | 2014-06-10 | 2019-01-08 | Ethicon Llc | Adjunct materials and methods of using same in surgical methods for tissue sealing |
US9848871B2 (en) | 2014-06-10 | 2017-12-26 | Ethicon Llc | Woven and fibrous materials for reinforcing a staple line |
WO2015191887A1 (en) | 2014-06-11 | 2015-12-17 | Applied Medical Resources Corporation | Surgical stapler with circumferential firing |
US10045781B2 (en) | 2014-06-13 | 2018-08-14 | Ethicon Llc | Closure lockout systems for surgical instruments |
US9918714B2 (en) | 2014-06-13 | 2018-03-20 | Cook Medical Technologies Llc | Stapling device and method |
US9987099B2 (en) | 2014-06-18 | 2018-06-05 | Covidien Lp | Disposable housings for encasing handle assemblies |
WO2015192241A1 (en) | 2014-06-18 | 2015-12-23 | The University Of Ottawa | Tension-limiting temporary epicardial pacing wire extraction device |
US9471969B2 (en) | 2014-06-23 | 2016-10-18 | Exxonmobil Upstream Research Company | Methods for differential image quality enhancement for a multiple detector system, systems and use thereof |
US9693774B2 (en) | 2014-06-25 | 2017-07-04 | Ethicon Llc | Pivotable articulation joint unlocking feature for surgical stapler |
JP2016007800A (ja) | 2014-06-25 | 2016-01-18 | 株式会社リコー | 異常検知システム、電子機器、異常検知方法およびプログラム |
US10335147B2 (en) | 2014-06-25 | 2019-07-02 | Ethicon Llc | Method of using lockout features for surgical stapler cartridge |
US10064620B2 (en) | 2014-06-25 | 2018-09-04 | Ethicon Llc | Method of unlocking articulation joint in surgical stapler |
US10292701B2 (en) | 2014-06-25 | 2019-05-21 | Ethicon Llc | Articulation drive features for surgical stapler |
US9999423B2 (en) | 2014-06-25 | 2018-06-19 | Ethicon Llc | Translatable articulation joint unlocking feature for surgical stapler |
US10456132B2 (en) | 2014-06-25 | 2019-10-29 | Ethicon Llc | Jaw opening feature for surgical stapler |
US10561418B2 (en) | 2014-06-26 | 2020-02-18 | Covidien Lp | Adapter assemblies for interconnecting surgical loading units and handle assemblies |
US10163589B2 (en) | 2014-06-26 | 2018-12-25 | Covidien Lp | Adapter assemblies for interconnecting surgical loading units and handle assemblies |
US9987095B2 (en) | 2014-06-26 | 2018-06-05 | Covidien Lp | Adapter assemblies for interconnecting electromechanical handle assemblies and surgical loading units |
US20150374372A1 (en) | 2014-06-26 | 2015-12-31 | Covidien Lp | Hand held surgical handle assembly, surgical adapters for use between surgical handle assembly and surgical end effectors, and methods of use |
USD753167S1 (en) | 2014-06-27 | 2016-04-05 | Opower, Inc. | Display screen of a communications terminal with graphical user interface |
US9629631B2 (en) | 2014-07-01 | 2017-04-25 | Covidien Lp | Composite drive beam for surgical stapling |
DE102014009893B4 (de) | 2014-07-04 | 2016-04-28 | gomtec GmbH | Endeffektor für ein Instrument |
US10064649B2 (en) | 2014-07-07 | 2018-09-04 | Covidien Lp | Pleated seal for surgical hand or instrument access |
CN112862775A (zh) | 2014-07-25 | 2021-05-28 | 柯惠Lp公司 | 增强手术现实环境 |
JP6265859B2 (ja) | 2014-07-28 | 2018-01-24 | オリンパス株式会社 | 処置具駆動装置 |
US10717179B2 (en) | 2014-07-28 | 2020-07-21 | Black & Decker Inc. | Sound damping for power tools |
US10542976B2 (en) | 2014-07-31 | 2020-01-28 | Covidien Lp | Powered surgical instrument with pressure sensitive motor speed control |
US10285724B2 (en) | 2014-07-31 | 2019-05-14 | Ethicon Llc | Actuation mechanisms and load adjustment assemblies for surgical instruments |
US10058395B2 (en) | 2014-08-01 | 2018-08-28 | Intuitive Surgical Operations, Inc. | Active and semi-active damping in a telesurgical system |
JP6006460B2 (ja) | 2014-08-04 | 2016-10-12 | オリンパス株式会社 | 手術用器具及び組織切離ユニット |
US9759265B2 (en) | 2014-08-14 | 2017-09-12 | Steering Solutions Ip Holding Corporation | Centering mechanism for double cardan joints |
GB2546022B (en) | 2014-08-20 | 2020-09-16 | Synaptive Medical Barbados Inc | Intra-operative determination of dimensions for fabrication of artificial bone flap |
US20160051316A1 (en) | 2014-08-25 | 2016-02-25 | Ethicon Endo-Surgery, Inc. | Electrosurgical electrode mechanism |
US10194976B2 (en) | 2014-08-25 | 2019-02-05 | Ethicon Llc | Lockout disabling mechanism |
US9877776B2 (en) | 2014-08-25 | 2018-01-30 | Ethicon Llc | Simultaneous I-beam and spring driven cam jaw closure mechanism |
EP3185933B1 (en) | 2014-08-28 | 2020-08-19 | UNL Holdings LLC | Sensor systems for drug delivery devices |
US9848877B2 (en) | 2014-09-02 | 2017-12-26 | Ethicon Llc | Methods and devices for adjusting a tissue gap of an end effector of a surgical device |
US9877722B2 (en) | 2014-09-02 | 2018-01-30 | Ethicon Llc | Devices and methods for guiding surgical fasteners |
US9788835B2 (en) | 2014-09-02 | 2017-10-17 | Ethicon Llc | Devices and methods for facilitating ejection of surgical fasteners from cartridges |
USD762659S1 (en) | 2014-09-02 | 2016-08-02 | Apple Inc. | Display screen or portion thereof with graphical user interface |
US10004500B2 (en) | 2014-09-02 | 2018-06-26 | Ethicon Llc | Devices and methods for manually retracting a drive shaft, drive beam, and associated components of a surgical fastening device |
US9795380B2 (en) | 2014-09-02 | 2017-10-24 | Ethicon Llc | Devices and methods for facilitating closing and clamping of an end effector of a surgical device |
US9700320B2 (en) | 2014-09-02 | 2017-07-11 | Ethicon Llc | Devices and methods for removably coupling a cartridge to an end effector of a surgical device |
US9943312B2 (en) | 2014-09-02 | 2018-04-17 | Ethicon Llc | Methods and devices for locking a surgical device based on loading of a fastener cartridge in the surgical device |
US9413128B2 (en) | 2014-09-04 | 2016-08-09 | Htc Corporation | Connector module having a rotating element disposed within and rotatable relative to a case |
BR112017004361B1 (pt) | 2014-09-05 | 2023-04-11 | Ethicon Llc | Sistema eletrônico para um instrumento cirúrgico |
US11311294B2 (en) | 2014-09-05 | 2022-04-26 | Cilag Gmbh International | Powered medical device including measurement of closure state of jaws |
US10135242B2 (en) | 2014-09-05 | 2018-11-20 | Ethicon Llc | Smart cartridge wake up operation and data retention |
CN204092074U (zh) | 2014-09-05 | 2015-01-14 | 瑞奇外科器械(中国)有限公司 | 外科手术器械的驱动装置及外科手术器械 |
US20160069449A1 (en) | 2014-09-08 | 2016-03-10 | Nidec Copal Electronics Corporation | Thin-type gear motor and muscle force assisting device using thin-type gear motor |
WO2016037529A1 (zh) | 2014-09-12 | 2016-03-17 | 瑞奇外科器械(中国)有限公司 | 末端执行器及其钉匣组件、外科手术器械 |
US10820939B2 (en) | 2014-09-15 | 2020-11-03 | Covidien Lp | Vessel-sealing device including force-balance interface and electrosurgical system including same |
WO2016044216A1 (en) | 2014-09-15 | 2016-03-24 | Applied Medical Resources Corporation | Surgical stapler with self-adjusting staple height |
US10105142B2 (en) | 2014-09-18 | 2018-10-23 | Ethicon Llc | Surgical stapler with plurality of cutting elements |
WO2016048898A2 (en) | 2014-09-22 | 2016-03-31 | Boston Scientific Scimed, Inc. | Hinged needle |
CN204158441U (zh) | 2014-09-26 | 2015-02-18 | 重庆康美唯外科器械有限公司 | 直线吻合器钉仓结构 |
US11523821B2 (en) | 2014-09-26 | 2022-12-13 | Cilag Gmbh International | Method for creating a flexible staple line |
CN107427300B (zh) | 2014-09-26 | 2020-12-04 | 伊西康有限责任公司 | 外科缝合支撑物和辅助材料 |
CN204158440U (zh) | 2014-09-26 | 2015-02-18 | 重庆康美唯外科器械有限公司 | 直线吻合器缝合钉仓结构 |
US9953193B2 (en) | 2014-09-30 | 2018-04-24 | Tego, Inc. | Operating systems for an RFID tag |
US10039564B2 (en) | 2014-09-30 | 2018-08-07 | Ethicon Llc | Surgical devices having power-assisted jaw closure and methods for compressing and sensing tissue |
US9924943B2 (en) | 2014-10-01 | 2018-03-27 | Covidien Lp | Method of manufacturing jaw members for surgical stapling instrument |
US9901406B2 (en) | 2014-10-02 | 2018-02-27 | Inneroptic Technology, Inc. | Affected region display associated with a medical device |
US10603128B2 (en) | 2014-10-07 | 2020-03-31 | Covidien Lp | Handheld electromechanical surgical system |
USD766261S1 (en) | 2014-10-10 | 2016-09-13 | Salesforce.Com, Inc. | Display screen or portion thereof with animated graphical user interface |
US10076325B2 (en) | 2014-10-13 | 2018-09-18 | Ethicon Llc | Surgical stapling apparatus comprising a tissue stop |
US9974539B2 (en) | 2014-10-15 | 2018-05-22 | Ethicon Llc | Surgical instrument battery pack with voltage polling |
GB2531994B (en) | 2014-10-15 | 2020-06-24 | Cmr Surgical Ltd | Surgical articulation |
US9924944B2 (en) | 2014-10-16 | 2018-03-27 | Ethicon Llc | Staple cartridge comprising an adjunct material |
USD780803S1 (en) | 2014-10-16 | 2017-03-07 | Orange Research, Inc. | Display panel portion with icon |
USD761309S1 (en) | 2014-10-17 | 2016-07-12 | Samsung Electronics Co., Ltd. | Display screen or portion thereof with animated graphical user interface |
EP3103381A4 (en) | 2014-10-20 | 2017-11-15 | Olympus Corporation | Solid-state imaging device and electronic endoscope provided with solid-state imaging device |
US10729443B2 (en) | 2014-10-21 | 2020-08-04 | Covidien Lp | Adapter, extension, and connector assemblies for surgical devices |
US10085750B2 (en) | 2014-10-22 | 2018-10-02 | Covidien Lp | Adapter with fire rod J-hook lockout |
US9991069B2 (en) | 2014-10-22 | 2018-06-05 | Covidien Lp | Surgical instruments and switch assemblies thereof |
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 |
US11504192B2 (en) | 2014-10-30 | 2022-11-22 | Cilag Gmbh International | Method of hub communication with surgical instrument systems |
WO2016069830A2 (en) | 2014-10-30 | 2016-05-06 | Stryker Far East, Inc. | Surgical tool with an aseptic power module that enters a specific operating state based on the type of handpiece to which the module is attached |
US9844376B2 (en) | 2014-11-06 | 2017-12-19 | Ethicon Llc | Staple cartridge comprising a releasable adjunct material |
US20160135895A1 (en) | 2014-11-07 | 2016-05-19 | Corium International, Inc. | Medical device packaging |
JP6010269B1 (ja) | 2014-11-11 | 2016-10-19 | オリンパス株式会社 | 処置具及び処置システム |
USD772905S1 (en) | 2014-11-14 | 2016-11-29 | Volvo Car Corporation | Display screen with graphical user interface |
US20170319047A1 (en) | 2014-11-17 | 2017-11-09 | Lina Medical Aps | Device for use in hysteroscopy |
EP3032443A1 (en) | 2014-12-08 | 2016-06-15 | Roche Diagnostics GmbH | Pairing of a medical apparatus with a control unit |
US9651032B2 (en) | 2014-12-09 | 2017-05-16 | General Electric Company | Submersible power generators and method of operating thereof |
US10736636B2 (en) | 2014-12-10 | 2020-08-11 | Ethicon Llc | Articulatable surgical instrument system |
CN108135593B (zh) | 2014-12-10 | 2020-12-11 | 爱德华兹生命科学股份公司 | 多次发射固定装置及其使用和制造方法 |
USD777773S1 (en) | 2014-12-11 | 2017-01-31 | Lenovo (Beijing) Co., Ltd. | Display screen or portion thereof with graphical user interface |
JP6518766B2 (ja) | 2014-12-17 | 2019-05-22 | コヴィディエン リミテッド パートナーシップ | ファイアリング表示体を有する外科用ステープリングデバイス |
WO2016100682A1 (en) | 2014-12-17 | 2016-06-23 | Maquet Cardiovascular Llc | Surgical device |
US10117649B2 (en) | 2014-12-18 | 2018-11-06 | Ethicon Llc | Surgical instrument assembly comprising a lockable articulation system |
US9844374B2 (en) | 2014-12-18 | 2017-12-19 | Ethicon Llc | Surgical instrument systems comprising an articulatable end effector and means for adjusting the firing stroke of a firing member |
US10085748B2 (en) | 2014-12-18 | 2018-10-02 | Ethicon Llc | Locking arrangements for detachable shaft assemblies with articulatable surgical end effectors |
US9968355B2 (en) | 2014-12-18 | 2018-05-15 | Ethicon Llc | Surgical instruments with articulatable end effectors and improved firing beam support arrangements |
US9844375B2 (en) | 2014-12-18 | 2017-12-19 | Ethicon Llc | Drive arrangements for articulatable surgical instruments |
BR112017012996B1 (pt) | 2014-12-18 | 2022-11-08 | Ethicon Llc | Instrumento cirúrgico com uma bigorna que é seletivamente móvel sobre um eixo geométrico imóvel distinto em relação a um cartucho de grampos |
US9987000B2 (en) | 2014-12-18 | 2018-06-05 | Ethicon Llc | Surgical instrument assembly comprising a flexible articulation system |
US10188385B2 (en) | 2014-12-18 | 2019-01-29 | Ethicon Llc | Surgical instrument system comprising lockable systems |
US9993284B2 (en) | 2014-12-19 | 2018-06-12 | Ethicon Llc | Electrosurgical instrument with jaw cleaning mode |
USD785794S1 (en) | 2014-12-23 | 2017-05-02 | Gyrus Acmi, Inc. | Adapter for a surgical device |
WO2016107585A1 (zh) | 2014-12-30 | 2016-07-07 | 苏州天臣国际医疗科技有限公司 | 一种钉头组件以及腔镜外科手术缝切装置 |
WO2016107586A1 (zh) | 2014-12-30 | 2016-07-07 | 苏州天臣国际医疗科技有限公司 | 一种钉头组件以及腔镜外科手术缝切装置 |
CN104490440B (zh) | 2014-12-30 | 2016-09-14 | 苏州天臣国际医疗科技有限公司 | 外科手术器械 |
CN104434250B (zh) | 2014-12-30 | 2017-01-18 | 苏州天臣国际医疗科技有限公司 | 钉仓组件及使用该钉仓组件的医用吻合器 |
EP3241504A4 (en) | 2014-12-31 | 2018-07-25 | Touchstone International Medical Science Co., Ltd. | Staple cartridge assembly and medical anastomat using same |
US9775611B2 (en) | 2015-01-06 | 2017-10-03 | Covidien Lp | Clam shell surgical stapling loading unit |
US20170106302A1 (en) | 2015-01-16 | 2017-04-20 | Kma Concepts Limited | Toy Figure with Articulating Limbs and Body |
AU2016200084B2 (en) | 2015-01-16 | 2020-01-16 | Covidien Lp | Powered surgical stapling device |
CN104586463A (zh) | 2015-01-19 | 2015-05-06 | 鲁仁义 | 医用一次性电动锯钻 |
EP3865081A1 (en) | 2015-01-20 | 2021-08-18 | Talon Medical, LLC | Tissue engagement devices and systems |
US11026750B2 (en) | 2015-01-23 | 2021-06-08 | Queen's University At Kingston | Real-time surgical navigation |
USD798319S1 (en) | 2015-02-02 | 2017-09-26 | Scanmaskin Sverige Ab | Portion of an electronic display panel with changeable computer-generated screens and icons |
US9396369B1 (en) | 2015-02-03 | 2016-07-19 | Apple Inc. | Electronic tag transmissions corresponding to physical disturbance of tag |
US10470767B2 (en) | 2015-02-10 | 2019-11-12 | Covidien Lp | Surgical stapling instrument having ultrasonic energy delivery |
US10111658B2 (en) | 2015-02-12 | 2018-10-30 | Covidien Lp | Display screens for medical devices |
CN204520822U (zh) | 2015-02-15 | 2015-08-05 | 王超航 | 一种用于外科缝合器的可换钉仓装置 |
US10111665B2 (en) | 2015-02-19 | 2018-10-30 | Covidien Lp | Electromechanical surgical systems |
US10034668B2 (en) | 2015-02-19 | 2018-07-31 | Covidien Lp | Circular knife blade for linear staplers |
USD791784S1 (en) | 2015-02-20 | 2017-07-11 | Google Inc. | Portion of a display panel with a graphical user interface with icons |
US10039545B2 (en) | 2015-02-23 | 2018-08-07 | Covidien Lp | Double fire stapling |
EP3261702A2 (en) | 2015-02-26 | 2018-01-03 | Stryker Corporation | Surgical instrument with articulation region |
US10085749B2 (en) | 2015-02-26 | 2018-10-02 | Covidien Lp | Surgical apparatus with conductor strain relief |
US10130367B2 (en) | 2015-02-26 | 2018-11-20 | Covidien Lp | Surgical apparatus |
USD767624S1 (en) | 2015-02-26 | 2016-09-27 | Samsung Electronics Co., Ltd. | Display screen or portion thereof with animated graphical user interface |
US10226250B2 (en) | 2015-02-27 | 2019-03-12 | Ethicon Llc | Modular stapling assembly |
USD770515S1 (en) | 2015-02-27 | 2016-11-01 | Samsung Electronics Co., Ltd. | Display screen or portion thereof with graphical user interface |
US11154301B2 (en) | 2015-02-27 | 2021-10-26 | Cilag Gmbh International | Modular stapling assembly |
US10180463B2 (en) | 2015-02-27 | 2019-01-15 | Ethicon Llc | Surgical apparatus configured to assess whether a performance parameter of the surgical apparatus is within an acceptable performance band |
US10321907B2 (en) | 2015-02-27 | 2019-06-18 | Ethicon Llc | System for monitoring whether a surgical instrument needs to be serviced |
BR112017018222A2 (pt) | 2015-02-27 | 2018-04-17 | Ethicon Llc | sistema de instrumento cirúrgico que compreende uma estação de inspeção |
US9855040B2 (en) | 2015-03-04 | 2018-01-02 | Covidien Lp | Surgical stapling loading unit having articulating jaws |
US10064642B2 (en) | 2015-03-04 | 2018-09-04 | Covidien Lp | Surgical instrument for dissecting tissue |
US20160256159A1 (en) | 2015-03-05 | 2016-09-08 | Covidien Lp | Jaw members and methods of manufacture |
US20160256221A1 (en) | 2015-03-05 | 2016-09-08 | Donald L. Smith | Anesthesia cover system |
US10687806B2 (en) | 2015-03-06 | 2020-06-23 | Ethicon Llc | Adaptive tissue compression techniques to adjust closure rates for multiple tissue types |
US9993248B2 (en) | 2015-03-06 | 2018-06-12 | Ethicon Endo-Surgery, Llc | Smart sensors with local signal processing |
US9808246B2 (en) | 2015-03-06 | 2017-11-07 | Ethicon Endo-Surgery, Llc | Method of operating a powered surgical instrument |
US9895148B2 (en) | 2015-03-06 | 2018-02-20 | Ethicon Endo-Surgery, Llc | Monitoring speed control and precision incrementing of motor for powered surgical instruments |
US10245033B2 (en) | 2015-03-06 | 2019-04-02 | Ethicon Llc | Surgical instrument comprising a lockable battery housing |
US9901342B2 (en) | 2015-03-06 | 2018-02-27 | Ethicon Endo-Surgery, Llc | Signal and power communication system positioned on a rotatable shaft |
US10548504B2 (en) | 2015-03-06 | 2020-02-04 | Ethicon Llc | Overlaid multi sensor radio frequency (RF) electrode system to measure tissue compression |
US10617412B2 (en) | 2015-03-06 | 2020-04-14 | Ethicon Llc | System for detecting the mis-insertion of a staple cartridge into a surgical stapler |
US10045776B2 (en) | 2015-03-06 | 2018-08-14 | Ethicon Llc | Control techniques and sub-processor contained within modular shaft with select control processing from handle |
JP2020121162A (ja) | 2015-03-06 | 2020-08-13 | エシコン エルエルシーEthicon LLC | 測定の安定性要素、クリープ要素、及び粘弾性要素を決定するためのセンサデータの時間依存性評価 |
US10441279B2 (en) | 2015-03-06 | 2019-10-15 | Ethicon Llc | Multiple level thresholds to modify operation of powered surgical instruments |
US9924961B2 (en) | 2015-03-06 | 2018-03-27 | Ethicon Endo-Surgery, Llc | Interactive feedback system for powered surgical instruments |
US10190888B2 (en) | 2015-03-11 | 2019-01-29 | Covidien Lp | Surgical stapling instruments with linear position assembly |
CN204636451U (zh) | 2015-03-12 | 2015-09-16 | 葛益飞 | 动静脉切开及吻合装置 |
US10159506B2 (en) | 2015-03-16 | 2018-12-25 | Ethicon Llc | Methods and devices for actuating surgical instruments |
US10092290B2 (en) | 2015-03-17 | 2018-10-09 | Covidien Lp | Surgical instrument, loading unit for use therewith and related methods |
US9918717B2 (en) | 2015-03-18 | 2018-03-20 | Covidien Lp | Pivot mechanism for surgical device |
US10004552B1 (en) | 2015-03-19 | 2018-06-26 | Expandoheat, L.L.C. | End effector structure for stapling apparatus |
US9883843B2 (en) | 2015-03-19 | 2018-02-06 | Medtronic Navigation, Inc. | Apparatus and method of counterbalancing axes and maintaining a user selected position of a X-Ray scanner gantry |
US10595929B2 (en) | 2015-03-24 | 2020-03-24 | Ethicon Llc | Surgical instruments with firing system overload protection mechanisms |
US10568621B2 (en) | 2015-03-25 | 2020-02-25 | Ethicon Llc | Surgical staple buttress with integral adhesive for releasably attaching to a surgical stapler |
US10172618B2 (en) | 2015-03-25 | 2019-01-08 | Ethicon Llc | Low glass transition temperature bioabsorbable polymer adhesive for releasably attaching a staple buttress to a surgical stapler |
US10863984B2 (en) | 2015-03-25 | 2020-12-15 | Ethicon Llc | Low inherent viscosity bioabsorbable polymer adhesive for releasably attaching a staple buttress to a surgical stapler |
US10172617B2 (en) | 2015-03-25 | 2019-01-08 | Ethicon Llc | Malleable bioabsorbable polymer adhesive for releasably attaching a staple buttress to a surgical stapler |
US10548593B2 (en) | 2015-03-25 | 2020-02-04 | Ethicon Llc | Flowable bioabsorbable polymer adhesive for releasably attaching a staple buttress to a surgical stapler |
US10349939B2 (en) | 2015-03-25 | 2019-07-16 | Ethicon Llc | Method of applying a buttress to a surgical stapler |
US10478187B2 (en) | 2015-03-25 | 2019-11-19 | Ethicon Llc | Biologically derived extracellular matrix with infused viscous absorbable copolymer for releasably attaching a staple buttress to a surgical stapler |
US10136891B2 (en) | 2015-03-25 | 2018-11-27 | Ethicon Llc | Naturally derived bioabsorbable polymer gel adhesive for releasably attaching a staple buttress to a surgical stapler |
USD832301S1 (en) | 2015-03-30 | 2018-10-30 | Creed Smith | Display screen or portion thereof with animated graphical user interface |
US10390825B2 (en) | 2015-03-31 | 2019-08-27 | Ethicon Llc | Surgical instrument with progressive rotary drive systems |
CA2980685A1 (en) | 2015-04-01 | 2016-10-06 | Artack Medical (2013) Ltd. | Articulating medical device |
US20160287279A1 (en) | 2015-04-01 | 2016-10-06 | Auris Surgical Robotics, Inc. | Microsurgical tool for robotic applications |
AU2016243992B2 (en) | 2015-04-03 | 2019-02-21 | Conmed Corporation | Autoclave tolerant battery powered motorized surgical hand piece tool and motor control method |
US10016656B2 (en) | 2015-04-07 | 2018-07-10 | Ohio State Innovation Foundation | Automatically adjustable treadmill control system |
USD768167S1 (en) | 2015-04-08 | 2016-10-04 | Anthony M Jones | Display screen with icon |
US10226239B2 (en) | 2015-04-10 | 2019-03-12 | Covidien Lp | Adapter assembly with gimbal for interconnecting electromechanical surgical devices and surgical loading units, and surgical systems thereof |
US10111698B2 (en) | 2015-04-16 | 2018-10-30 | Ethicon Llc | Surgical instrument with rotatable shaft having plurality of locking positions |
US10342567B2 (en) | 2015-04-16 | 2019-07-09 | Ethicon Llc | Ultrasonic surgical instrument with opposing thread drive for end effector articulation |
US10226274B2 (en) | 2015-04-16 | 2019-03-12 | Ethicon Llc | Ultrasonic surgical instrument with articulation joint having plurality of locking positions |
US10029125B2 (en) | 2015-04-16 | 2018-07-24 | Ethicon Llc | Ultrasonic surgical instrument with articulation joint having integral stiffening members |
ES2755833T3 (es) | 2015-04-20 | 2020-04-23 | Medi Tulip Co Ltd | Grapadora lineal quirúrgica |
EP3287084A4 (en) | 2015-04-21 | 2018-12-19 | Olympus Corporation | Energy treatment tool |
US11278286B2 (en) | 2015-04-22 | 2022-03-22 | Covidien Lp | Handheld electromechanical surgical system |
CN107530078B (zh) | 2015-04-22 | 2021-03-05 | 柯惠Lp公司 | 手持式机电外科系统 |
US20160314717A1 (en) | 2015-04-27 | 2016-10-27 | KindHeart, Inc. | Telerobotic surgery system for remote surgeon training using robotic surgery station coupled to remote surgeon trainee and instructor stations and associated methods |
US20160314711A1 (en) | 2015-04-27 | 2016-10-27 | KindHeart, Inc. | Telerobotic surgery system for remote surgeon training using robotic surgery station and remote surgeon station with display of actual animal tissue images and associated methods |
US10117650B2 (en) | 2015-05-05 | 2018-11-06 | Covidien Lp | Adapter assembly and loading units for surgical stapling devices |
US10299789B2 (en) | 2015-05-05 | 2019-05-28 | Covidie LP | Adapter assembly for surgical stapling devices |
US10039532B2 (en) | 2015-05-06 | 2018-08-07 | Covidien Lp | Surgical instrument with articulation assembly |
US10143474B2 (en) | 2015-05-08 | 2018-12-04 | Just Right Surgical, Llc | Surgical stapler |
EP3692940B1 (en) | 2015-05-15 | 2023-12-13 | Intuitive Surgical Operations, Inc. | A computer assisted medical device with torque limit compensation |
CA3029355A1 (en) | 2015-05-22 | 2016-11-22 | Covidien Lp | Surgical instruments and methods for performing tonsillectomy, adenoidectomy, and other surgical procedures |
CA2986480A1 (en) | 2015-05-25 | 2016-12-01 | Covidien Lp | Small diameter surgical stapling device |
US10022120B2 (en) | 2015-05-26 | 2018-07-17 | Ethicon Llc | Surgical needle with recessed features |
US10172615B2 (en) | 2015-05-27 | 2019-01-08 | Covidien Lp | Multi-fire push rod stapling device |
US10349941B2 (en) | 2015-05-27 | 2019-07-16 | Covidien Lp | Multi-fire lead screw stapling device |
US10722293B2 (en) | 2015-05-29 | 2020-07-28 | Covidien Lp | Surgical device with an end effector assembly and system for monitoring of tissue before and after a surgical procedure |
US10426555B2 (en) | 2015-06-03 | 2019-10-01 | Covidien Lp | Medical instrument with sensor for use in a system and method for electromagnetic navigation |
USD772269S1 (en) | 2015-06-05 | 2016-11-22 | Apple Inc. | Display screen or portion thereof with graphical user interface |
USD764498S1 (en) | 2015-06-07 | 2016-08-23 | Apple Inc. | Display screen or portion thereof with graphical user interface |
WO2016201198A1 (en) | 2015-06-10 | 2016-12-15 | Intuitive Surgical Operations, Inc. | System and method for patient-side instrument control |
US10201381B2 (en) | 2015-06-11 | 2019-02-12 | Conmed Corporation | Hand instruments with shaped shafts for use in laparoscopic surgery |
US9888914B2 (en) | 2015-06-16 | 2018-02-13 | Ethicon Endo-Surgery, Llc | Suturing instrument with motorized needle drive |
KR101719208B1 (ko) | 2015-06-17 | 2017-03-23 | 주식회사 하이딥 | 디스플레이 모듈을 포함하는 압력 검출 가능한 터치 입력 장치 |
US10178992B2 (en) | 2015-06-18 | 2019-01-15 | Ethicon Llc | Push/pull articulation drive systems for articulatable surgical instruments |
US10905415B2 (en) | 2015-06-26 | 2021-02-02 | Ethicon Llc | Surgical stapler with electromechanical lockout |
US10194911B2 (en) | 2015-06-26 | 2019-02-05 | Ethicon Llc | Surgical stapler with ready state indicator |
US10226276B2 (en) | 2015-06-26 | 2019-03-12 | Covidien Lp | Tissue-removing catheter including operational control mechanism |
US10271841B2 (en) | 2015-06-26 | 2019-04-30 | Ethicon Llc | Bailout assembly for surgical stapler |
US9839470B2 (en) | 2015-06-30 | 2017-12-12 | Covidien Lp | Electrosurgical generator for minimizing neuromuscular stimulation |
CN104921730B (zh) | 2015-06-30 | 2017-09-12 | 上海理工大学 | 测量组织厚度的智能器械 |
US11051873B2 (en) | 2015-06-30 | 2021-07-06 | Cilag Gmbh International | Surgical system with user adaptable techniques employing multiple energy modalities based on tissue parameters |
US10709894B2 (en) | 2015-07-01 | 2020-07-14 | Btl Medical Technologies S.R.O. | Aesthetic method of biological structure treatment by magnetic field |
USD769315S1 (en) | 2015-07-09 | 2016-10-18 | Monthly Gift Inc. | Display screen or portion thereof with graphical user interface |
JP6776327B2 (ja) | 2015-07-21 | 2020-10-28 | スリーディインテグレイテッド アーペーエス3Dintegrated Aps | カニューレアセンブリキット、套管針アセンブリキット、スリーブアセンブリ、低侵襲性手術システム及び方法 |
GB201512964D0 (en) | 2015-07-22 | 2015-09-02 | Cambridge Medical Robotics Ltd | Communication paths for robot arms |
GB2540757B (en) | 2015-07-22 | 2021-03-31 | Cmr Surgical Ltd | Torque sensors |
US10201348B2 (en) | 2015-07-28 | 2019-02-12 | Ethicon Llc | Surgical stapler cartridge with compression features at staple driver edges |
US10314580B2 (en) | 2015-07-28 | 2019-06-11 | Ethicon Llc | Surgical staple cartridge with compression feature at knife slot |
US10194912B2 (en) | 2015-07-28 | 2019-02-05 | Ethicon Llc | Surgical staple cartridge with outer edge compression features |
US10194981B2 (en) | 2015-07-29 | 2019-02-05 | Medlumics S.L. | Radiofrequency ablation catheter with optical tissue evaluation |
US10064622B2 (en) | 2015-07-29 | 2018-09-04 | Covidien Lp | Surgical stapling loading unit with stroke counter and lockout |
US10045782B2 (en) | 2015-07-30 | 2018-08-14 | Covidien Lp | Surgical stapling loading unit with stroke counter and lockout |
US10194913B2 (en) | 2015-07-30 | 2019-02-05 | Ethicon Llc | Surgical instrument comprising systems for assuring the proper sequential operation of the surgical instrument |
US11154300B2 (en) | 2015-07-30 | 2021-10-26 | Cilag Gmbh International | Surgical instrument comprising separate tissue securing and tissue cutting systems |
USD768709S1 (en) | 2015-07-31 | 2016-10-11 | Gen-Probe Incorporated | Display screen or portion thereof with animated graphical user interface |
USD763277S1 (en) | 2015-08-06 | 2016-08-09 | Fore Support Services, Llc | Display screen with an insurance authorization/preauthorization dashboard graphical user interface |
AU2016304601B2 (en) | 2015-08-06 | 2020-10-22 | Applied Medical Resources Corporation | Surgical stapler having locking articulation joint |
CN107920819A (zh) | 2015-08-07 | 2018-04-17 | 奥林巴斯株式会社 | 处置装置 |
US10136949B2 (en) | 2015-08-17 | 2018-11-27 | Ethicon Llc | Gathering and analyzing data for robotic surgical systems |
US10617418B2 (en) | 2015-08-17 | 2020-04-14 | Ethicon Llc | Implantable layers for a surgical instrument |
US11039832B2 (en) | 2015-08-24 | 2021-06-22 | Cilag Gmbh International | Surgical stapler buttress applicator with spent staple cartridge lockout |
US10349940B2 (en) | 2015-08-24 | 2019-07-16 | Ethicon Llc | Surgical stapler buttress applicator with state indicator |
US10166023B2 (en) | 2015-08-24 | 2019-01-01 | Ethicon Llc | Method of applying a buttress to a surgical stapler end effector |
US10342542B2 (en) | 2015-08-24 | 2019-07-09 | Ethicon Llc | Surgical stapler buttress applicator with end effector actuated release mechanism |
BR112018003693B1 (pt) | 2015-08-26 | 2022-11-22 | Ethicon Llc | Cartucho de grampos cirúrgicos para uso com um instrumento de grampeamento cirúrgico |
USD803234S1 (en) | 2015-08-26 | 2017-11-21 | General Electric Company | Display screen or portion thereof with graphical user interface |
US10357251B2 (en) | 2015-08-26 | 2019-07-23 | Ethicon Llc | Surgical staples comprising hardness variations for improved fastening of tissue |
USD770476S1 (en) | 2015-08-27 | 2016-11-01 | Google Inc. | Display screen with animated graphical user interface |
US10130738B2 (en) | 2015-08-31 | 2018-11-20 | Ethicon Llc | Adjunct material to promote tissue growth |
US10245034B2 (en) | 2015-08-31 | 2019-04-02 | Ethicon Llc | Inducing tissue adhesions using surgical adjuncts and medicants |
US10569071B2 (en) | 2015-08-31 | 2020-02-25 | Ethicon Llc | Medicant eluting adjuncts and methods of using medicant eluting adjuncts |
US10188389B2 (en) | 2015-08-31 | 2019-01-29 | Ethicon Llc | Adjunct material for delivery to colon tissue |
US9829698B2 (en) | 2015-08-31 | 2017-11-28 | Panasonic Corporation | Endoscope |
US10172619B2 (en) | 2015-09-02 | 2019-01-08 | Ethicon Llc | Surgical staple driver arrays |
MX2022006192A (es) | 2015-09-02 | 2022-06-16 | Ethicon Llc | Configuraciones de grapas quirurgicas con superficies de leva situadas entre porciones que soportan grapas quirurgicas. |
CA2997315A1 (en) | 2015-09-03 | 2017-03-09 | Stryker Corporation | Powered surgical drill with integral depth gauge that includes a probe that slides over the drill bit |
US20170066054A1 (en) | 2015-09-08 | 2017-03-09 | Caterpillar Inc. | Powdered metal compacting |
CA2998456A1 (en) | 2015-09-15 | 2017-03-23 | Alfacyte Ltd | Compositions and methods relating to the treatment of diseases |
US10363036B2 (en) | 2015-09-23 | 2019-07-30 | Ethicon Llc | Surgical stapler having force-based motor control |
US10238386B2 (en) | 2015-09-23 | 2019-03-26 | Ethicon Llc | Surgical stapler having motor control based on an electrical parameter related to a motor current |
US10076326B2 (en) | 2015-09-23 | 2018-09-18 | Ethicon Llc | Surgical stapler having current mirror-based motor control |
US10327769B2 (en) | 2015-09-23 | 2019-06-25 | Ethicon Llc | Surgical stapler having motor control based on a drive system component |
US10105139B2 (en) | 2015-09-23 | 2018-10-23 | Ethicon Llc | Surgical stapler having downstream current-based motor control |
US10085751B2 (en) | 2015-09-23 | 2018-10-02 | Ethicon Llc | Surgical stapler having temperature-based motor control |
US20170079642A1 (en) | 2015-09-23 | 2017-03-23 | Ethicon Endo-Surgery, Llc | Surgical stapler having magnetic field-based motor control |
US10258419B2 (en) | 2015-09-25 | 2019-04-16 | Ethicon Llc | Methods for hybrid robotic laparoscopic surgery |
US10299878B2 (en) | 2015-09-25 | 2019-05-28 | Ethicon Llc | Implantable adjunct systems for determining adjunct skew |
US10642633B1 (en) | 2015-09-29 | 2020-05-05 | EMC IP Holding Company LLC | Intelligent backups with dynamic proxy in virtualized environment |
US10182813B2 (en) | 2015-09-29 | 2019-01-22 | Ethicon Llc | Surgical stapling instrument with shaft release, powered firing, and powered articulation |
US10314578B2 (en) | 2015-09-29 | 2019-06-11 | Ethicon Llc | Battery drain circuit for surgical instrument |
US10980539B2 (en) | 2015-09-30 | 2021-04-20 | Ethicon Llc | Implantable adjunct comprising bonded layers |
US10271849B2 (en) | 2015-09-30 | 2019-04-30 | Ethicon Llc | Woven constructs with interlocked standing fibers |
US10524788B2 (en) | 2015-09-30 | 2020-01-07 | Ethicon Llc | Compressible adjunct with attachment regions |
US11890015B2 (en) | 2015-09-30 | 2024-02-06 | Cilag Gmbh International | Compressible adjunct with crossing spacer fibers |
US10085810B2 (en) | 2015-10-02 | 2018-10-02 | Ethicon Llc | User input device for robotic surgical system |
US9987097B2 (en) | 2015-10-02 | 2018-06-05 | Elucent Medical, Inc. | Signal tag detection components, devices, and systems |
US10213204B2 (en) | 2015-10-02 | 2019-02-26 | Covidien Lp | Micro surgical instrument and loading unit for use therewith |
BR112018006826A2 (pt) | 2015-10-05 | 2018-10-16 | Flexdex Inc | dispositivos médicos que têm juntas multi-cluster que se articulam suavemente |
US10404136B2 (en) | 2015-10-14 | 2019-09-03 | Black & Decker Inc. | Power tool with separate motor case compartment |
US10499917B2 (en) | 2015-10-15 | 2019-12-10 | Ethicon Llc | Surgical stapler end effector with knife position indicators |
US11141159B2 (en) | 2015-10-15 | 2021-10-12 | Cilag Gmbh International | Surgical stapler end effector with multi-staple driver crossing center line |
US10265073B2 (en) | 2015-10-15 | 2019-04-23 | Ethicon Llc | Surgical stapler with terminal staple orientation crossing center line |
US10226251B2 (en) | 2015-10-15 | 2019-03-12 | Ethicon Llc | Surgical staple actuating sled with actuation stroke having minimized distance relative to distal staple |
US10342535B2 (en) | 2015-10-15 | 2019-07-09 | Ethicon Llc | Method of applying staples to liver and other organs |
US20170105727A1 (en) | 2015-10-15 | 2017-04-20 | Ethicon Endo-Surgery, Llc | Surgical stapler with progressively driven asymmetric alternating staple drivers |
USD788140S1 (en) | 2015-10-16 | 2017-05-30 | Nasdaq, Inc. | Display screen or portion thereof with animated graphical user interface |
US10595930B2 (en) | 2015-10-16 | 2020-03-24 | Ethicon Llc | Electrode wiping surgical device |
USD788123S1 (en) | 2015-10-20 | 2017-05-30 | 23Andme, Inc. | Display screen or portion thereof with a graphical user interface for conveying genetic information |
EP3364892B1 (en) | 2015-10-20 | 2023-01-18 | Lumendi Ltd. | Medical instruments for performing minimally-invasive procedures |
US10561412B2 (en) | 2015-10-21 | 2020-02-18 | Ethicon Llc | Suturing instrument with integrated cover needle release |
USD788792S1 (en) | 2015-10-28 | 2017-06-06 | Technogym S.P.A. | Portion of a display screen with a graphical user interface |
US10772632B2 (en) | 2015-10-28 | 2020-09-15 | Covidien Lp | Surgical stapling device with triple leg staples |
US10517592B2 (en) | 2015-10-29 | 2019-12-31 | Ethicon Llc | Surgical stapler buttress assembly with adhesion to wet end effector |
US10314588B2 (en) | 2015-10-29 | 2019-06-11 | Ethicon Llc | Fluid penetrable buttress assembly for a surgical stapler |
WO2017075541A1 (en) | 2015-10-29 | 2017-05-04 | Sharp Fluidics Llc | Systems and methods for data capture in an operating room |
US10251649B2 (en) | 2015-10-29 | 2019-04-09 | Ethicon Llc | Surgical stapler buttress applicator with data communication |
US10357248B2 (en) | 2015-10-29 | 2019-07-23 | Ethicon Llc | Extensible buttress assembly for surgical stapler |
US10499918B2 (en) | 2015-10-29 | 2019-12-10 | Ethicon Llc | Surgical stapler buttress assembly with features to interact with movable end effector components |
US10433839B2 (en) | 2015-10-29 | 2019-10-08 | Ethicon Llc | Surgical stapler buttress assembly with gel adhesive retainer |
US10441286B2 (en) | 2015-10-29 | 2019-10-15 | Ethicon Llc | Multi-layer surgical stapler buttress assembly |
US10729435B2 (en) | 2015-11-06 | 2020-08-04 | Covidien Lp | Adapter assemblies for interconnecting surgical loading units and handle assemblies |
US10765430B2 (en) | 2015-11-06 | 2020-09-08 | Intuitive Surgical Operations, Inc. | Knife with mechanical fuse |
DE102015221998B4 (de) | 2015-11-09 | 2019-01-17 | Siemens Healthcare Gmbh | Verfahren zur Unterstützung eines Befunders bei der Ortsbeschreibung einer Zielstruktur in einer Brust, Vorrichtung und Computerprogramm |
WO2017083201A1 (en) | 2015-11-11 | 2017-05-18 | Intuitive Surgical Operations, Inc. | Reconfigurable end effector architecture |
US10143514B2 (en) | 2015-11-13 | 2018-12-04 | Ethicon Llc | Electronic bailout for motorized RF device |
US10709495B2 (en) | 2015-11-13 | 2020-07-14 | Ethicon Llc | Dual step bailout for motorized RF device |
US10307204B2 (en) | 2015-11-13 | 2019-06-04 | Ethicon Llc | Integrated bailout for motorized RF device |
WO2017083129A1 (en) | 2015-11-13 | 2017-05-18 | Intuitive Surgical Operations, Inc. | Stapler anvil with compliant tip |
WO2017083125A1 (en) | 2015-11-13 | 2017-05-18 | Intuitive Surgical Operations, Inc. | Stapler with composite cardan and screw drive |
WO2017083130A1 (en) | 2015-11-13 | 2017-05-18 | Intuitive Surgical Operations, Inc. | Push-pull stapler with two degree of freedom wrist |
WO2017083126A1 (en) | 2015-11-13 | 2017-05-18 | Intuitive Surgical Operations, Inc. | Staple pusher with lost motion between ramps |
WO2017083989A1 (en) | 2015-11-16 | 2017-05-26 | Ao Technology Ag | Surgical power drill including a measuring unit suitable for bone screw length determination |
WO2017091335A1 (en) | 2015-11-25 | 2017-06-01 | Smith And Nephew, Inc. | System and methods of controlling temperature related to electrosurgical procedures |
US10617411B2 (en) | 2015-12-01 | 2020-04-14 | Covidien Lp | Adapter assembly for surgical device |
US10111660B2 (en) | 2015-12-03 | 2018-10-30 | Covidien Lp | Surgical stapler flexible distal tip |
EP3359060B1 (en) | 2015-12-03 | 2021-12-01 | Boston Scientific Scimed, Inc. | Electrocautery hemostasis clip |
USD803235S1 (en) | 2015-12-04 | 2017-11-21 | Capital One Services, Llc | Display screen with a graphical user interface |
JP6318312B2 (ja) | 2015-12-07 | 2018-04-25 | オリンパス株式会社 | 処置具 |
USD789384S1 (en) | 2015-12-09 | 2017-06-13 | Facebook, Inc. | Display screen with animated graphical user interface |
US10952726B2 (en) | 2015-12-10 | 2021-03-23 | Covidien Lp | Handheld electromechanical surgical instruments |
GB201521803D0 (en) | 2015-12-10 | 2016-01-27 | Cambridge Medical Robotics Ltd | Surgical instrument articulation |
USD800766S1 (en) | 2015-12-11 | 2017-10-24 | Samsung Electronics Co., Ltd. | Display screen or portion thereof with graphical user interface |
US10338259B2 (en) | 2015-12-14 | 2019-07-02 | Covidien Lp | Surgical adapter assemblies and wireless detection of surgical loading units |
AU2016262637B2 (en) | 2015-12-17 | 2020-12-10 | Covidien Lp | Multi-fire stapler with electronic counter, lockout, and visual indicator |
USD795919S1 (en) | 2015-12-17 | 2017-08-29 | The Procter & Gamble Company | Display screen with icon |
US10624616B2 (en) | 2015-12-18 | 2020-04-21 | Covidien Lp | Surgical instruments including sensors |
USD864388S1 (en) | 2015-12-21 | 2019-10-22 | avateramedical GmBH | Instrument unit |
CN105411642B (zh) | 2015-12-22 | 2018-09-11 | 苏州英途康医疗科技有限公司 | 电动吻合器及其闭合、击发控制方法 |
US10420554B2 (en) | 2015-12-22 | 2019-09-24 | Covidien Lp | Personalization of powered surgical devices |
DE102015122802A1 (de) | 2015-12-23 | 2017-06-29 | Karl Storz Gmbh & Co. Kg | Gelenkanordnung, Führungsvorrichtung, Herstellung sowie Verwendung einer Gelenkanordnung |
WO2017115425A1 (ja) | 2015-12-28 | 2017-07-06 | オリンパス株式会社 | 医療用マニピュレータシステム |
US10265068B2 (en) | 2015-12-30 | 2019-04-23 | Ethicon Llc | Surgical instruments with separable motors and motor control circuits |
US10368865B2 (en) | 2015-12-30 | 2019-08-06 | Ethicon Llc | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US10292704B2 (en) | 2015-12-30 | 2019-05-21 | Ethicon Llc | Mechanisms for compensating for battery pack failure in powered surgical instruments |
US10561474B2 (en) | 2015-12-31 | 2020-02-18 | Ethicon Llc | Surgical stapler with end of stroke indicator |
US10314579B2 (en) | 2016-01-07 | 2019-06-11 | Covidien Lp | Adapter assemblies for interconnecting surgical loading units and handle assemblies |
US10966717B2 (en) | 2016-01-07 | 2021-04-06 | Covidien Lp | Surgical fastener apparatus |
CN113274123A (zh) | 2016-01-11 | 2021-08-20 | 捷锐士阿希迈公司(以奥林巴斯美国外科技术名义) | 具有组织止动件的夹钳 |
US10786248B2 (en) | 2016-01-11 | 2020-09-29 | Ethicon. Inc. | Intra dermal tissue fixation device |
GB201600546D0 (en) | 2016-01-12 | 2016-02-24 | Gyrus Medical Ltd | Electrosurgical device |
EP3192491B1 (de) | 2016-01-15 | 2020-01-08 | Evonik Operations GmbH | Zusammensetzung enthaltend polyglycerinester und hydroxy-alkylmodifiziertes guar |
US10709469B2 (en) | 2016-01-15 | 2020-07-14 | Ethicon Llc | Modular battery powered handheld surgical instrument with energy conservation techniques |
US11129670B2 (en) | 2016-01-15 | 2021-09-28 | Cilag Gmbh International | Modular battery powered handheld surgical instrument with selective application of energy based on button displacement, intensity, or local tissue characterization |
US10508720B2 (en) | 2016-01-21 | 2019-12-17 | Covidien Lp | Adapter assembly with planetary gear drive for interconnecting electromechanical surgical devices and surgical loading units, and surgical systems thereof |
CN113576559B (zh) | 2016-01-29 | 2023-10-31 | 直观外科手术操作公司 | 用于可变速外科手术器械的系统和方法 |
US10695123B2 (en) | 2016-01-29 | 2020-06-30 | Covidien Lp | Surgical instrument with sensor |
USD782530S1 (en) | 2016-02-01 | 2017-03-28 | Microsoft Corporation | Display screen with animated graphical user interface |
EP3410957B1 (en) | 2016-02-04 | 2020-06-03 | Covidien LP | Circular stapler with visual indicator mechanism |
US11213293B2 (en) | 2016-02-09 | 2022-01-04 | Cilag Gmbh International | Articulatable surgical instruments with single articulation link arrangements |
CN108882932B (zh) | 2016-02-09 | 2021-07-23 | 伊西康有限责任公司 | 具有非对称关节运动构造的外科器械 |
WO2017138905A1 (en) | 2016-02-09 | 2017-08-17 | Gnatenko Vitaliy I | Scissors |
US10588625B2 (en) | 2016-02-09 | 2020-03-17 | Ethicon Llc | Articulatable surgical instruments with off-axis firing beam arrangements |
US10349937B2 (en) | 2016-02-10 | 2019-07-16 | Covidien Lp | Surgical stapler with articulation locking mechanism |
US10420559B2 (en) | 2016-02-11 | 2019-09-24 | Covidien Lp | Surgical stapler with small diameter endoscopic portion |
US10448948B2 (en) | 2016-02-12 | 2019-10-22 | Ethicon Llc | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
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 |
US20170231628A1 (en) | 2016-02-12 | 2017-08-17 | Ethicon Endo-Surgery, Llc | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US10555769B2 (en) | 2016-02-22 | 2020-02-11 | Ethicon Llc | Flexible circuits for electrosurgical instrument |
US20170242455A1 (en) | 2016-02-24 | 2017-08-24 | Shavena Dickens | Sterile Screen Protector |
US9824251B2 (en) | 2016-03-04 | 2017-11-21 | Motorola Mobility Llc | Automating device testing using RFID |
US11045626B2 (en) | 2016-03-06 | 2021-06-29 | Andrew N. Ellingson | Guide wire device and method |
US10315566B2 (en) | 2016-03-07 | 2019-06-11 | Lg Electronics Inc. | Vehicle control device mounted on vehicle and method for controlling the vehicle |
US10625062B2 (en) | 2016-03-08 | 2020-04-21 | Acclarent, Inc. | Dilation catheter assembly with rapid change components |
USD800904S1 (en) | 2016-03-09 | 2017-10-24 | Ethicon Endo-Surgery, Llc | Surgical stapling instrument |
US20170262110A1 (en) | 2016-03-10 | 2017-09-14 | Synaptics Incorporated | Hybrid force sensor |
US9861446B2 (en) | 2016-03-12 | 2018-01-09 | Philipp K. Lang | Devices and methods for surgery |
US10631858B2 (en) | 2016-03-17 | 2020-04-28 | Intuitive Surgical Operations, Inc. | Stapler with cable-driven advanceable clamping element and distal pulley |
US10350016B2 (en) | 2016-03-17 | 2019-07-16 | Intuitive Surgical Operations, Inc. | Stapler with cable-driven advanceable clamping element and dual distal pulleys |
US10278703B2 (en) | 2016-03-21 | 2019-05-07 | Ethicon, Inc. | Temporary fixation tools for use with circular anastomotic staplers |
USD800742S1 (en) | 2016-03-25 | 2017-10-24 | Illumina, Inc. | Display screen or portion thereof with graphical user interface |
WO2017168267A1 (en) | 2016-03-31 | 2017-10-05 | Snpshot Trustee Limited | Biological sampler, collector and storage container |
US10271851B2 (en) | 2016-04-01 | 2019-04-30 | Ethicon Llc | Modular surgical stapling system comprising a display |
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 |
CN109219399B (zh) | 2016-04-01 | 2022-05-03 | 伊西康有限责任公司 | 外科缝合器械 |
US11064997B2 (en) | 2016-04-01 | 2021-07-20 | Cilag Gmbh International | Surgical stapling instrument |
US10307159B2 (en) | 2016-04-01 | 2019-06-04 | Ethicon Llc | Surgical instrument handle assembly with reconfigurable grip portion |
JP6938533B2 (ja) | 2016-04-01 | 2021-09-22 | エシコン エルエルシーEthicon LLC | 外科用ステープル留めシステム |
US10743850B2 (en) | 2016-04-04 | 2020-08-18 | Ethicon Llc | Surgical instrument with locking articulation drive wheel |
US10507034B2 (en) | 2016-04-04 | 2019-12-17 | Ethicon Llc | Surgical instrument with motorized articulation drive in shaft rotation knob |
US10722233B2 (en) | 2016-04-07 | 2020-07-28 | Intuitive Surgical Operations, Inc. | Stapling cartridge |
ES2938241T3 (es) | 2016-04-12 | 2023-04-05 | Applied Med Resources | Grapadora quirúrgica con un mango motorizado |
EP3442430B1 (en) | 2016-04-12 | 2021-07-14 | Applied Medical Resources Corporation | Reload shaft assembly for surgical stapler |
US20170297099A1 (en) | 2016-04-14 | 2017-10-19 | Desktop Metal, Inc. | Fused filament fabrication system configured to fabricate interface layers for breakaway support |
US11607239B2 (en) | 2016-04-15 | 2023-03-21 | Cilag Gmbh International | Systems and methods for controlling a surgical stapling and cutting instrument |
US10357247B2 (en) | 2016-04-15 | 2019-07-23 | Ethicon Llc | Surgical instrument with multiple program responses during a firing motion |
US10335145B2 (en) | 2016-04-15 | 2019-07-02 | Ethicon Llc | Modular surgical instrument with configurable operating mode |
US10426467B2 (en) | 2016-04-15 | 2019-10-01 | Ethicon Llc | Surgical instrument with detection sensors |
US10828028B2 (en) | 2016-04-15 | 2020-11-10 | Ethicon Llc | Surgical instrument with multiple program responses during a firing motion |
US10456137B2 (en) | 2016-04-15 | 2019-10-29 | Ethicon Llc | Staple formation detection mechanisms |
US11179150B2 (en) | 2016-04-15 | 2021-11-23 | Cilag Gmbh International | Systems and methods for controlling a surgical stapling and cutting instrument |
US10492783B2 (en) | 2016-04-15 | 2019-12-03 | Ethicon, Llc | Surgical instrument with improved stop/start control during a firing motion |
US10405859B2 (en) | 2016-04-15 | 2019-09-10 | Ethicon Llc | Surgical instrument with adjustable stop/start control during a firing motion |
US11317917B2 (en) | 2016-04-18 | 2022-05-03 | Cilag Gmbh International | Surgical stapling system comprising a lockable firing assembly |
US10363037B2 (en) | 2016-04-18 | 2019-07-30 | Ethicon Llc | Surgical instrument system comprising a magnetic lockout |
US20170296173A1 (en) | 2016-04-18 | 2017-10-19 | Ethicon Endo-Surgery, Llc | Method for operating a surgical instrument |
EP3235445B1 (en) | 2016-04-18 | 2022-04-20 | Ethicon LLC | Surgical instrument comprising a lockout |
US10285700B2 (en) | 2016-04-20 | 2019-05-14 | Ethicon Llc | Surgical staple cartridge with hydraulic staple deployment |
USD786896S1 (en) | 2016-04-29 | 2017-05-16 | Salesforce.Com, Inc. | Display screen or portion thereof with animated graphical user interface |
US10561419B2 (en) | 2016-05-04 | 2020-02-18 | Covidien Lp | Powered end effector assembly with pivotable channel |
AU2017267979B2 (en) | 2016-05-19 | 2022-03-03 | Mannkind Corporation | Apparatus, system and method for detecting and monitoring inhalations |
US20170348042A1 (en) | 2016-06-01 | 2017-12-07 | Covidien Lp | Cutting mechanisms for surgical end effector assemblies, instruments, and systems |
US11076908B2 (en) | 2016-06-02 | 2021-08-03 | Gyrus Acmi, Inc. | Two-stage electrosurgical device for vessel sealing |
US20170348010A1 (en) | 2016-06-03 | 2017-12-07 | Orion Biotech Inc. | Surgical drill and method of controlling the automatic stop thereof |
USD790575S1 (en) | 2016-06-12 | 2017-06-27 | Apple Inc. | Display screen or portion thereof with graphical user interface |
US10349963B2 (en) | 2016-06-14 | 2019-07-16 | Gyrus Acmi, Inc. | Surgical apparatus with jaw force limiter |
US10251645B2 (en) | 2016-06-14 | 2019-04-09 | Covidien Lp | Surgical fastening with W-shaped surgical fasteners |
US10959731B2 (en) | 2016-06-14 | 2021-03-30 | Covidien Lp | Buttress attachment for surgical stapling instrument |
US20170360441A1 (en) | 2016-06-15 | 2017-12-21 | Covidien Lp | Tool assembly for leak resistant tissue dissection |
EP3293617B1 (en) | 2016-06-16 | 2020-01-29 | Shenzhen Goodix Technology Co., Ltd. | Touch sensor, touch detection apparatus and detection method, and touch control device |
USD826405S1 (en) | 2016-06-24 | 2018-08-21 | Ethicon Llc | Surgical fastener |
USD850617S1 (en) | 2016-06-24 | 2019-06-04 | Ethicon Llc | Surgical fastener cartridge |
US10702270B2 (en) | 2016-06-24 | 2020-07-07 | Ethicon Llc | Stapling system for use with wire staples and stamped staples |
USD847989S1 (en) | 2016-06-24 | 2019-05-07 | Ethicon Llc | Surgical fastener cartridge |
USD822206S1 (en) | 2016-06-24 | 2018-07-03 | Ethicon Llc | Surgical fastener |
USD819682S1 (en) | 2016-06-29 | 2018-06-05 | Rockwell Collins, Inc. | Ground system display screen portion with transitional graphical user interface |
CN105997173A (zh) | 2016-06-30 | 2016-10-12 | 江苏风和医疗器材有限公司 | 用于外科器械的钉仓及外科器械 |
CN105919642A (zh) | 2016-06-30 | 2016-09-07 | 江苏风和医疗器材有限公司 | 用于外科器械的钉仓及外科器械 |
US10512464B2 (en) | 2016-07-11 | 2019-12-24 | Chul Hi Park | Surgical brace device for stapled tissue |
JP6602979B2 (ja) | 2016-07-11 | 2019-11-06 | オリンパス株式会社 | 内視鏡装置 |
WO2018011664A1 (en) | 2016-07-12 | 2018-01-18 | Stepwise Ltd | Asymmetric stapler heads and applications thereof |
USD813899S1 (en) | 2016-07-20 | 2018-03-27 | Facebook, Inc. | Display screen with animated graphical user interface |
US10682154B2 (en) | 2016-08-02 | 2020-06-16 | Covidien Lp | Cutting mechanisms for surgical end effector assemblies, instruments, and systems |
US10856933B2 (en) | 2016-08-02 | 2020-12-08 | Covidien Lp | Surgical instrument housing incorporating a channel and methods of manufacturing the same |
USD844666S1 (en) | 2016-08-02 | 2019-04-02 | Smule, Inc. | Display screen or portion thereof with graphical user interface |
USD845342S1 (en) | 2016-08-02 | 2019-04-09 | Smule, Inc. | Display screen or portion thereof with graphical user interface |
USD844667S1 (en) | 2016-08-02 | 2019-04-02 | Smule, Inc. | Display screen or portion thereof with graphical user interface |
US10383631B2 (en) | 2016-08-04 | 2019-08-20 | Covidien Lp | Variable speed control of powered surgical device |
CA2972840A1 (en) | 2016-08-11 | 2018-02-11 | Ronald Aho | Hammer drill adaptors and methods of use |
US10595951B2 (en) | 2016-08-15 | 2020-03-24 | Covidien Lp | Force sensor for surgical devices |
US10765428B2 (en) | 2016-08-15 | 2020-09-08 | Covidien Lp | Hermetic force sensors for surgical devices |
US10413373B2 (en) | 2016-08-16 | 2019-09-17 | Ethicon, Llc | Robotic visualization and collision avoidance |
US10993760B2 (en) | 2016-08-16 | 2021-05-04 | Ethicon, Llc | Modular surgical robotic tool |
US9943377B2 (en) | 2016-08-16 | 2018-04-17 | Ethicon Endo-Surgery, Llc | Methods, systems, and devices for causing end effector motion with a robotic surgical system |
US10548673B2 (en) | 2016-08-16 | 2020-02-04 | Ethicon Llc | Surgical tool with a display |
US10687904B2 (en) | 2016-08-16 | 2020-06-23 | Ethicon Llc | Robotics tool exchange |
US10849698B2 (en) | 2016-08-16 | 2020-12-01 | Ethicon Llc | Robotics tool bailouts |
US10736702B2 (en) | 2016-08-16 | 2020-08-11 | Ethicon Llc | Activating and rotating surgical end effectors |
US10952759B2 (en) | 2016-08-25 | 2021-03-23 | Ethicon Llc | Tissue loading of a surgical instrument |
US10682137B2 (en) | 2016-08-29 | 2020-06-16 | Ethicon Llc | Surgical stapler |
WO2018044997A1 (en) | 2016-09-02 | 2018-03-08 | Saudi Arabian Oil Company | Controlling hydrocarbon production |
US10345165B2 (en) | 2016-09-08 | 2019-07-09 | Covidien Lp | Force sensor for surgical devices |
US11364029B2 (en) | 2016-09-09 | 2022-06-21 | Intuitive Surgical Operations, Inc. | Stapler reload detection and identification |
KR102467745B1 (ko) | 2016-09-09 | 2022-11-17 | 인튜어티브 서지컬 오퍼레이션즈 인코포레이티드 | 리스트 구조 |
CN109788952A (zh) | 2016-09-09 | 2019-05-21 | 直观外科手术操作公司 | 缝合器梁结构 |
CN109937013B (zh) | 2016-09-14 | 2023-03-24 | 直观外科手术操作公司 | 具有交叉轴线挠曲枢轴的关节组件 |
CN106344091B (zh) | 2016-09-23 | 2018-09-14 | 普瑞斯星(常州)医疗器械有限公司 | 一次性腔内切割切缘吻合器的钉仓组件 |
WO2018064400A1 (en) | 2016-09-28 | 2018-04-05 | Project Moray, Inc. | Base station, charging station, and/or server for robotic catheter systems and other uses, and improved articulated devices and systems |
WO2018064646A2 (en) | 2016-09-30 | 2018-04-05 | Kerr Corporation | Electronic tool recognition system for dental devices |
US10482292B2 (en) | 2016-10-03 | 2019-11-19 | Gary L. Sharpe | RFID scanning device |
USD806108S1 (en) | 2016-10-07 | 2017-12-26 | General Electric Company | Display screen portion with graphical user interface for a healthcare command center computing system |
EP3525688B1 (en) | 2016-10-11 | 2023-09-06 | Intuitive Surgical Operations, Inc. | Stapler cartridge with an integral knife |
CN107967874B (zh) | 2016-10-19 | 2020-04-28 | 元太科技工业股份有限公司 | 像素结构 |
WO2018081485A1 (en) | 2016-10-26 | 2018-05-03 | Pribanic Virginia Flavin | System and method for synthetic interaction with user and devices |
US10610236B2 (en) | 2016-11-01 | 2020-04-07 | Covidien Lp | Endoscopic reposable surgical clip applier |
US11642126B2 (en) | 2016-11-04 | 2023-05-09 | Covidien Lp | Surgical stapling apparatus with tissue pockets |
USD819684S1 (en) | 2016-11-04 | 2018-06-05 | Microsoft Corporation | Display screen with graphical user interface |
US10631857B2 (en) | 2016-11-04 | 2020-04-28 | Covidien Lp | Loading unit for surgical instruments with low profile pushers |
US11116594B2 (en) | 2016-11-08 | 2021-09-14 | Covidien Lp | Surgical systems including adapter assemblies for interconnecting electromechanical surgical devices and end effectors |
EP3530197B1 (en) | 2016-11-10 | 2024-04-03 | Reach Surgical, Inc. | Surgical instrument with interlocking function |
USD833608S1 (en) | 2016-11-14 | 2018-11-13 | Ethicon Llc | Stapling head feature for surgical stapler |
KR20180053811A (ko) | 2016-11-14 | 2018-05-24 | 재단법인 오송첨단의료산업진흥재단 | 종양의 실시간 위치 파악이 가능한 거리 검출 시스템 및 이를 이용한 거리 검출 방법 |
USD830550S1 (en) | 2016-11-14 | 2018-10-09 | Ethicon Llc | Surgical stapler |
US10603041B2 (en) | 2016-11-14 | 2020-03-31 | Ethicon Llc | Circular surgical stapler with angularly asymmetric deck features |
US10736648B2 (en) | 2016-11-16 | 2020-08-11 | Ethicon Llc | Surgical instrument with removable portion to facilitate cleaning |
USD820307S1 (en) | 2016-11-16 | 2018-06-12 | Airbnb, Inc. | Display screen with graphical user interface for a video pagination indicator |
US11382649B2 (en) | 2016-11-17 | 2022-07-12 | Covidien Lp | Rotation control systems for surgical instruments |
USD810099S1 (en) | 2016-11-17 | 2018-02-13 | Nasdaq, Inc. | Display screen or portion thereof with graphical user interface |
US10337148B2 (en) | 2016-11-23 | 2019-07-02 | Kimberly-Clark Worldwide, Inc. | Hesperaloe tissue having improved cross-machine direction properties |
US10463371B2 (en) | 2016-11-29 | 2019-11-05 | Covidien Lp | Reload assembly with spent reload indicator |
US10251716B2 (en) | 2016-12-19 | 2019-04-09 | Ethicon Llc | Robotic surgical system with selective motion control decoupling |
US10881446B2 (en) | 2016-12-19 | 2021-01-05 | Ethicon Llc | Visual displays of electrical pathways |
USD841667S1 (en) | 2016-12-19 | 2019-02-26 | Coren Intellect LLC | Display screen with employee survey graphical user interface |
US10405932B2 (en) | 2016-12-20 | 2019-09-10 | Ethicon Llc | Robotic endocutter drivetrain with bailout and manual opening |
USD808989S1 (en) | 2016-12-20 | 2018-01-30 | Abbott Laboratories | Display screen with graphical user interface |
US10398460B2 (en) | 2016-12-20 | 2019-09-03 | Ethicon Llc | Robotic endocutter drivetrain with bailout and manual opening |
USD831676S1 (en) | 2016-12-20 | 2018-10-23 | Hancom, Inc. | Display screen or portion thereof with icon |
US11134942B2 (en) | 2016-12-21 | 2021-10-05 | Cilag Gmbh International | Surgical stapling instruments and staple-forming anvils |
US10736629B2 (en) | 2016-12-21 | 2020-08-11 | Ethicon Llc | Surgical tool assemblies with clutching arrangements for shifting between closure systems with closure stroke reduction features and articulation and firing systems |
US10471282B2 (en) | 2016-12-21 | 2019-11-12 | Ethicon Llc | Ultrasonic robotic tool actuation |
JP7059278B2 (ja) | 2016-12-21 | 2022-04-25 | エシコン エルエルシー | スマートステープルカートリッジを備える、外科用ステープル留め器具 |
JP7086963B2 (ja) | 2016-12-21 | 2022-06-20 | エシコン エルエルシー | エンドエフェクタロックアウト及び発射アセンブリロックアウトを備える外科用器具システム |
MX2019007311A (es) | 2016-12-21 | 2019-11-18 | Ethicon Llc | Sistemas de engrapado quirurgico. |
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 |
US10687810B2 (en) | 2016-12-21 | 2020-06-23 | Ethicon Llc | Stepped staple cartridge with tissue retention and gap setting features |
US10993715B2 (en) | 2016-12-21 | 2021-05-04 | Ethicon Llc | Staple cartridge comprising staples with different clamping breadths |
US10568625B2 (en) | 2016-12-21 | 2020-02-25 | Ethicon Llc | Staple cartridges and arrangements of staples and staple cavities therein |
US20180168575A1 (en) | 2016-12-21 | 2018-06-21 | Ethicon Endo-Surgery, Llc | Surgical stapling systems |
US10980536B2 (en) | 2016-12-21 | 2021-04-20 | Ethicon Llc | No-cartridge and spent cartridge lockout arrangements for surgical staplers |
JP7010957B2 (ja) | 2016-12-21 | 2022-01-26 | エシコン エルエルシー | ロックアウトを備えるシャフトアセンブリ |
US20180168598A1 (en) | 2016-12-21 | 2018-06-21 | Ethicon Endo-Surgery, Llc | Staple forming pocket arrangements comprising zoned forming surface grooves |
US10492785B2 (en) | 2016-12-21 | 2019-12-03 | Ethicon Llc | Shaft assembly comprising a lockout |
CN110139612A (zh) | 2016-12-21 | 2019-08-16 | 爱惜康有限责任公司 | 外科缝合系统 |
US20180168609A1 (en) | 2016-12-21 | 2018-06-21 | Ethicon Endo-Surgery, Llc | Firing assembly comprising a fuse |
JP7010956B2 (ja) | 2016-12-21 | 2022-01-26 | エシコン エルエルシー | 組織をステープル留めする方法 |
US10973516B2 (en) | 2016-12-21 | 2021-04-13 | Ethicon Llc | Surgical end effectors and adaptable firing members therefor |
MX2019007299A (es) | 2016-12-21 | 2019-10-15 | Ethicon Llc | Método para acoplar una unidad de vástago a un instrumento quirúrgico y, alternativamente, a un robot quirúrgico. |
US10881401B2 (en) | 2016-12-21 | 2021-01-05 | Ethicon Llc | Staple firing member comprising a missing cartridge and/or spent cartridge lockout |
US20180168647A1 (en) | 2016-12-21 | 2018-06-21 | Ethicon Endo-Surgery, Llc | Surgical stapling instruments having end effectors with positive opening features |
US20180168625A1 (en) | 2016-12-21 | 2018-06-21 | Ethicon Endo-Surgery, Llc | Surgical stapling instruments with smart staple cartridges |
US10485543B2 (en) | 2016-12-21 | 2019-11-26 | Ethicon Llc | Anvil having a knife slot width |
US10945727B2 (en) | 2016-12-21 | 2021-03-16 | Ethicon Llc | Staple cartridge with deformable driver retention features |
JP6983893B2 (ja) | 2016-12-21 | 2021-12-17 | エシコン エルエルシーEthicon LLC | 外科用エンドエフェクタ及び交換式ツールアセンブリのためのロックアウト構成 |
US10426471B2 (en) | 2016-12-21 | 2019-10-01 | Ethicon Llc | Surgical instrument with multiple failure response modes |
US10537325B2 (en) | 2016-12-21 | 2020-01-21 | Ethicon Llc | Staple forming pocket arrangement to accommodate different types of staples |
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 |
JP2018107934A (ja) | 2016-12-27 | 2018-07-05 | 日本電産株式会社 | モータ寿命推定方法、モータ制御システム、送風機システム、およびマルチコプターシステム |
JP1593572S (zh) | 2016-12-28 | 2021-01-18 | ||
USD820867S1 (en) | 2016-12-30 | 2018-06-19 | Facebook, Inc. | Display screen with animated graphical user interface |
US10758298B2 (en) | 2017-01-20 | 2020-09-01 | Ethicon Llc | Articulating electrosurgical tools |
US10952767B2 (en) | 2017-02-06 | 2021-03-23 | Covidien Lp | Connector clip for securing an introducer to a surgical fastener applying apparatus |
US10575787B2 (en) | 2017-02-13 | 2020-03-03 | Wright State University | Hydration sensor |
US20180231111A1 (en) | 2017-02-14 | 2018-08-16 | Disney Enterprises, Inc. | Drive system using balls within a conduit for transmission of motive power |
US10828031B2 (en) | 2017-02-17 | 2020-11-10 | Ethicon Llc | Surgical stapler with elastically deformable tip |
US10729434B2 (en) | 2017-02-17 | 2020-08-04 | Ethicon Llc | Surgical stapler with insertable distal anvil tip |
US10716564B2 (en) * | 2017-02-17 | 2020-07-21 | Ethicon Llc | Stapling adjunct attachment |
US10758231B2 (en) | 2017-02-17 | 2020-09-01 | Ethicon Llc | Surgical stapler with bent anvil tip, angled staple cartridge tip, and tissue gripping features |
US10806451B2 (en) | 2017-02-17 | 2020-10-20 | Ethicon Llc | Surgical stapler with cooperating distal tip features on anvil and staple cartridge |
US11564684B2 (en) | 2017-02-17 | 2023-01-31 | Cilag Gmbh International | Surgical stapling end effector component with tip having varying bend angle |
US11141150B2 (en) | 2017-02-17 | 2021-10-12 | Cilag Gmbh International | Buttress loader for surgical staplers |
US11564687B2 (en) | 2017-02-17 | 2023-01-31 | Cilag Gmbh International | Method of surgical stapling with end effector component having a curved tip |
US10869663B2 (en) | 2017-02-17 | 2020-12-22 | Ethicon Llc | End effector configured to mate with adjunct materials |
US20180235618A1 (en) | 2017-02-22 | 2018-08-23 | Covidien Lp | Loading unit for surgical instruments with low profile pushers |
US10849621B2 (en) | 2017-02-23 | 2020-12-01 | Covidien Lp | Surgical stapler with small diameter endoscopic portion |
US20180247711A1 (en) | 2017-02-27 | 2018-08-30 | Applied Logic, Inc. | System and method for managing the use of surgical instruments |
US20180242970A1 (en) | 2017-02-28 | 2018-08-30 | Covidien Lp | Reusable powered surgical devices having improved durability |
DE112018001058B4 (de) | 2017-02-28 | 2020-12-03 | Sony Corporation | Medizinisches tragarmsystem und steuervorrichtung |
US10813710B2 (en) | 2017-03-02 | 2020-10-27 | KindHeart, Inc. | Telerobotic surgery system using minimally invasive surgical tool with variable force scaling and feedback and relayed communications between remote surgeon and surgery station |
US10299790B2 (en) | 2017-03-03 | 2019-05-28 | Covidien Lp | Adapter with centering mechanism for articulation joint |
USD854032S1 (en) | 2017-03-03 | 2019-07-16 | Deere & Company | Display screen with a graphical user interface |
US20180250002A1 (en) | 2017-03-03 | 2018-09-06 | Covidien Lp | Powered surgical devices having tissue sensing function |
US20180271526A1 (en) | 2017-03-22 | 2018-09-27 | Covidien Lp | Endoscopic surgical clip applier |
US10743899B2 (en) | 2017-03-24 | 2020-08-18 | Ethicon Llc | Surgical instrument with articulating and rotating end effector and flexible coaxial drive |
US11078945B2 (en) | 2017-03-26 | 2021-08-03 | Verb Surgical Inc. | Coupler to attach robotic arm to surgical table |
USD837244S1 (en) | 2017-03-27 | 2019-01-01 | Vudu, Inc. | Display screen or portion thereof with interactive graphical user interface |
USD837245S1 (en) | 2017-03-27 | 2019-01-01 | Vudu, Inc. | Display screen or portion thereof with graphical user interface |
EP3599977A4 (en) | 2017-03-30 | 2020-12-30 | Shifamed Holdings, LLC | MEDICAL TOOL POSITIONING DEVICES, USE AND MANUFACTURING SYSTEMS AND PROCESSES |
USD819072S1 (en) | 2017-03-30 | 2018-05-29 | Facebook, Inc. | Display panel of a programmed computer system with a graphical user interface |
JP6557274B2 (ja) | 2017-03-31 | 2019-08-07 | ファナック株式会社 | 部品実装位置ガイダンス装置、部品実装位置ガイダンスシステム、及び部品実装位置ガイダンス方法 |
US10433842B2 (en) | 2017-04-07 | 2019-10-08 | Lexington Medical, Inc. | Surgical handle assembly |
US10765442B2 (en) | 2017-04-14 | 2020-09-08 | Ethicon Llc | Surgical devices and methods for biasing an end effector to a closed configuration |
US11497560B2 (en) | 2017-04-28 | 2022-11-15 | Biosense Webster (Israel) Ltd. | Wireless tool with accelerometer for selective power saving |
US10524784B2 (en) | 2017-05-05 | 2020-01-07 | Covidien Lp | Surgical staples with expandable backspan |
US11311295B2 (en) | 2017-05-15 | 2022-04-26 | Covidien Lp | Adaptive powered stapling algorithm with calibration factor |
US10588231B2 (en) | 2017-05-18 | 2020-03-10 | Covidien Lp | Hermetically sealed printed circuit boards |
US10667408B2 (en) | 2017-05-18 | 2020-05-26 | Covidien Lp | Fully encapsulated electronics and printed circuit boards |
US10420551B2 (en) | 2017-05-30 | 2019-09-24 | Covidien Lp | Authentication and information system for reusable surgical instruments |
JP1603246S (zh) | 2017-05-31 | 2018-05-07 | ||
US10478185B2 (en) | 2017-06-02 | 2019-11-19 | Covidien Lp | Tool assembly with minimal dead space |
AU2018202705B2 (en) | 2017-06-02 | 2023-11-16 | Covidien Lp | Handheld electromechanical surgical system |
JP1601498S (zh) | 2017-06-05 | 2018-04-09 | ||
WO2018226945A1 (en) | 2017-06-09 | 2018-12-13 | Stryker Corporation | Surgical systems with twist-lock battery connection |
US10932784B2 (en) | 2017-06-09 | 2021-03-02 | Covidien Lp | Handheld electromechanical surgical system |
US11045199B2 (en) | 2017-06-09 | 2021-06-29 | Covidien Lp | Handheld electromechanical surgical system |
US11596400B2 (en) | 2017-06-09 | 2023-03-07 | Covidien Lp | Handheld electromechanical surgical system |
WO2018229889A1 (ja) | 2017-06-14 | 2018-12-20 | オリンパス株式会社 | マニピュレータ |
US10425894B2 (en) | 2017-06-16 | 2019-09-24 | Stryker Corporation | System and method for providing power from a battery to a medical device |
USD836124S1 (en) | 2017-06-19 | 2018-12-18 | Abishkking Ltd. | Display screen or portion thereof with a graphical user interface |
US10390841B2 (en) | 2017-06-20 | 2019-08-27 | Ethicon Llc | Control of motor velocity of a surgical stapling and cutting instrument based on angle of articulation |
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 |
US10646220B2 (en) | 2017-06-20 | 2020-05-12 | Ethicon Llc | Systems and methods for controlling displacement member velocity for a surgical instrument |
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 |
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 |
US10624633B2 (en) | 2017-06-20 | 2020-04-21 | Ethicon Llc | Systems and methods for controlling motor velocity of a surgical stapling and cutting instrument |
US10888321B2 (en) | 2017-06-20 | 2021-01-12 | Ethicon Llc | Systems and methods for controlling velocity of a displacement member of a surgical stapling and cutting instrument |
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 |
US10881399B2 (en) | 2017-06-20 | 2021-01-05 | Ethicon Llc | Techniques for adaptive control of motor velocity of a surgical stapling and cutting instrument |
US10368864B2 (en) | 2017-06-20 | 2019-08-06 | Ethicon Llc | Systems and methods for controlling displaying motor velocity for a surgical instrument |
US20180360456A1 (en) | 2017-06-20 | 2018-12-20 | Ethicon Llc | Surgical instrument having controllable articulation velocity |
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 |
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 |
US10881396B2 (en) | 2017-06-20 | 2021-01-05 | Ethicon Llc | Surgical instrument with variable duration trigger arrangement |
USD879808S1 (en) | 2017-06-20 | 2020-03-31 | Ethicon Llc | Display panel with graphical user interface |
US11382638B2 (en) | 2017-06-20 | 2022-07-12 | Cilag Gmbh International | Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on measured time over a specified displacement distance |
US11653914B2 (en) | 2017-06-20 | 2023-05-23 | Cilag Gmbh International | Systems and methods for controlling motor velocity of a surgical stapling and cutting instrument according to articulation angle of end effector |
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 |
USD890784S1 (en) | 2017-06-20 | 2020-07-21 | Ethicon Llc | Display panel with changeable graphical user interface |
USD879809S1 (en) | 2017-06-20 | 2020-03-31 | Ethicon Llc | Display panel with changeable graphical user interface |
US10980537B2 (en) | 2017-06-20 | 2021-04-20 | Ethicon Llc | Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on measured time over a specified number of shaft rotations |
US10677853B2 (en) | 2017-06-22 | 2020-06-09 | Stryker Corporation | System and method for determining an amount of degradation of a medical device battery |
WO2019005705A1 (en) | 2017-06-26 | 2019-01-03 | Justright Surgical, Llc | ANTI-FLAMBING ACTUATOR |
US10993716B2 (en) | 2017-06-27 | 2021-05-04 | Ethicon Llc | Surgical anvil arrangements |
US10772629B2 (en) | 2017-06-27 | 2020-09-15 | Ethicon Llc | Surgical anvil arrangements |
USD835785S1 (en) | 2017-06-27 | 2018-12-11 | Ethicon Llc | Handle for surgical stapler |
US10639018B2 (en) | 2017-06-27 | 2020-05-05 | Ethicon Llc | Battery pack with integrated circuit providing sleep mode to battery pack and associated surgical instrument |
US10856869B2 (en) | 2017-06-27 | 2020-12-08 | Ethicon Llc | Surgical anvil arrangements |
US11266405B2 (en) | 2017-06-27 | 2022-03-08 | Cilag Gmbh International | Surgical anvil manufacturing methods |
USD865174S1 (en) | 2017-06-27 | 2019-10-29 | Ethicon Llc | Shaft assembly for surgical stapler |
US10631859B2 (en) | 2017-06-27 | 2020-04-28 | Ethicon Llc | Articulation systems for surgical instruments |
US10828029B2 (en) | 2017-06-27 | 2020-11-10 | Ethicon Llc | Surgical stapler with independently actuated drivers to provide varying staple heights |
US11324503B2 (en) | 2017-06-27 | 2022-05-10 | Cilag Gmbh International | Surgical firing member arrangements |
US10511065B2 (en) | 2017-06-27 | 2019-12-17 | Ethicon Llc | Battery powered surgical instrument with dual power utilization circuits for dual modes |
US10211586B2 (en) | 2017-06-28 | 2019-02-19 | Ethicon Llc | Surgical shaft assemblies with watertight housings |
USD851762S1 (en) | 2017-06-28 | 2019-06-18 | Ethicon Llc | Anvil |
US10265120B2 (en) | 2017-06-28 | 2019-04-23 | Ethicon Llc | Systems and methods for controlling control circuits for an independent energy delivery over segmented sections |
USD854151S1 (en) | 2017-06-28 | 2019-07-16 | Ethicon Llc | Surgical instrument shaft |
US10813640B2 (en) | 2017-06-28 | 2020-10-27 | Ethicon Llc | Method of coating slip rings |
US10765427B2 (en) | 2017-06-28 | 2020-09-08 | Ethicon Llc | Method for articulating a surgical instrument |
US11278346B2 (en) | 2017-06-28 | 2022-03-22 | Cilag Gmbh International | Systems and methods of displaying surgical instrument status |
USD893717S1 (en) | 2017-06-28 | 2020-08-18 | Ethicon Llc | Staple cartridge for surgical instrument |
BR112019027065B1 (pt) | 2017-06-28 | 2023-12-26 | Ethicon Llc | Instrumento cirúrgico e sistema cirúrgico |
US11298128B2 (en) | 2017-06-28 | 2022-04-12 | Cilag Gmbh International | Surgical system couplable with staple cartridge and radio frequency cartridge, and method of using same |
US11103301B2 (en) | 2017-06-28 | 2021-08-31 | Cilag Gmbh International | Surgical system coupleable with staple cartridge and radio frequency cartridge, and having a plurality of radio-frequency energy return paths |
EP3420947B1 (en) | 2017-06-28 | 2022-05-25 | Cilag GmbH International | Surgical instrument comprising selectively actuatable rotatable couplers |
US11564686B2 (en) | 2017-06-28 | 2023-01-31 | Cilag Gmbh International | Surgical shaft assemblies with flexible interfaces |
US10716614B2 (en) | 2017-06-28 | 2020-07-21 | Ethicon Llc | Surgical shaft assemblies with slip ring assemblies with increased contact pressure |
US10903685B2 (en) | 2017-06-28 | 2021-01-26 | Ethicon Llc | Surgical shaft assemblies with slip ring assemblies forming capacitive channels |
US11013552B2 (en) | 2017-06-28 | 2021-05-25 | Cilag Gmbh International | Electrosurgical cartridge for use in thin profile surgical cutting and stapling instrument |
USD865175S1 (en) | 2017-06-28 | 2019-10-29 | Ethicon Llc | Staple cartridge for surgical instrument |
US11389161B2 (en) | 2017-06-28 | 2022-07-19 | Cilag Gmbh International | Surgical instrument comprising selectively actuatable rotatable couplers |
USD906355S1 (en) | 2017-06-28 | 2020-12-29 | Ethicon Llc | Display screen or portion thereof with a graphical user interface for a surgical instrument |
US11065048B2 (en) | 2017-06-28 | 2021-07-20 | Cilag Gmbh International | Flexible circuit arrangement for surgical fastening instruments |
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 |
US10603117B2 (en) | 2017-06-28 | 2020-03-31 | Ethicon Llc | Articulation state detection mechanisms |
US10888325B2 (en) | 2017-06-28 | 2021-01-12 | Ethicon Llc | Cartridge arrangements for surgical cutting and fastening instruments with lockout disablement features |
USD869655S1 (en) | 2017-06-28 | 2019-12-10 | Ethicon Llc | Surgical fastener cartridge |
US11246592B2 (en) | 2017-06-28 | 2022-02-15 | Cilag Gmbh International | Surgical instrument comprising an articulation system lockable to a frame |
USD908216S1 (en) | 2017-06-28 | 2021-01-19 | Ethicon Llc | Surgical instrument |
US11259805B2 (en) | 2017-06-28 | 2022-03-01 | Cilag Gmbh International | Surgical instrument comprising firing member supports |
US10888369B2 (en) | 2017-06-28 | 2021-01-12 | Ethicon Llc | Systems and methods for controlling control circuits for independent energy delivery over segmented sections |
US11129666B2 (en) | 2017-06-28 | 2021-09-28 | Cilag Gmbh International | Shaft module circuitry arrangements |
US10258418B2 (en) | 2017-06-29 | 2019-04-16 | Ethicon Llc | System for controlling articulation forces |
US10398434B2 (en) | 2017-06-29 | 2019-09-03 | Ethicon Llc | Closed loop velocity control of closure member for robotic surgical instrument |
US10932772B2 (en) | 2017-06-29 | 2021-03-02 | Ethicon Llc | Methods for closed loop velocity control for robotic surgical instrument |
US11007022B2 (en) | 2017-06-29 | 2021-05-18 | Ethicon Llc | Closed loop velocity control techniques based on sensed tissue parameters for robotic surgical instrument |
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 |
US10927585B2 (en) | 2017-07-17 | 2021-02-23 | Magna Closures Inc. | System for electronic control unit wake-up on movement of a controlled member and protection from motor back electromotive force |
USD865796S1 (en) | 2017-07-19 | 2019-11-05 | Lenovo (Beijing) Co., Ltd. | Smart glasses with graphical user interface |
US11172580B2 (en) | 2017-07-24 | 2021-11-09 | Rosemount Aerospace Inc. | BGA component masking dam and a method of manufacturing with the BGA component masking dam |
US11751937B2 (en) | 2017-07-25 | 2023-09-12 | Affera, Inc. | Ablation catheters and related systems and methods |
US20190038283A1 (en) | 2017-08-03 | 2019-02-07 | Ethicon Llc | Surgical system comprising an articulation 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 |
US11944300B2 (en) | 2017-08-03 | 2024-04-02 | Cilag Gmbh International | Method for operating a surgical system bailout |
US10849625B2 (en) | 2017-08-07 | 2020-12-01 | Covidien Lp | Surgical buttress retention systems for surgical stapling apparatus |
USD858767S1 (en) | 2017-08-10 | 2019-09-03 | Ethicon Llc | Surgical clip applier device |
WO2019036490A1 (en) | 2017-08-14 | 2019-02-21 | Standard Bariatrics, Inc. | END EFFECTORS, SURGICAL STAPLING DEVICES, AND METHODS OF USE THEREOF |
US10163065B1 (en) | 2017-08-16 | 2018-12-25 | Nmetric, Llc | Systems and methods of ensuring and maintaining equipment viability for a task |
USD855634S1 (en) | 2017-08-17 | 2019-08-06 | Samsung Electronics Co., Ltd. | Display screen or portion thereof with transitional graphical user interface |
US10932846B2 (en) | 2017-08-25 | 2021-03-02 | Ethicon Llc | Articulation section for shaft assembly of surgical instrument |
US10925602B2 (en) | 2017-08-29 | 2021-02-23 | Ethicon Llc | Endocutter control system |
US20190059986A1 (en) | 2017-08-29 | 2019-02-28 | Ethicon Llc | Methods, systems, and devices for controlling electrosurgical tools |
USD890805S1 (en) | 2017-08-29 | 2020-07-21 | 3M Innovative Properties Company | Display screen with graphical user interface |
US10881403B2 (en) | 2017-08-29 | 2021-01-05 | Ethicon Llc | Endocutter control system |
US10695060B2 (en) | 2017-09-01 | 2020-06-30 | RevMedica, Inc. | Loadable power pack for surgical instruments |
US10966720B2 (en) | 2017-09-01 | 2021-04-06 | RevMedica, Inc. | Surgical stapler with removable power pack |
USD831209S1 (en) | 2017-09-14 | 2018-10-16 | Ethicon Llc | Surgical stapler cartridge |
JP7143422B2 (ja) | 2017-09-26 | 2022-09-28 | ストライカー・コーポレイション | 医療デバイスバッテリをワイヤレスで充電するシステム及び方法 |
USD863343S1 (en) | 2017-09-27 | 2019-10-15 | Bigfoot Biomedical, Inc. | Display screen or portion thereof with graphical user interface associated with insulin delivery |
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 |
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 |
USD907647S1 (en) | 2017-09-29 | 2021-01-12 | Ethicon Llc | Display screen or portion thereof with animated graphical user interface |
US10796471B2 (en) | 2017-09-29 | 2020-10-06 | Ethicon Llc | Systems and methods of displaying a knife position for a surgical instrument |
USD907648S1 (en) | 2017-09-29 | 2021-01-12 | Ethicon Llc | Display screen or portion thereof with animated graphical user interface |
USD917500S1 (en) | 2017-09-29 | 2021-04-27 | Ethicon Llc | Display screen or portion thereof with graphical user interface |
US10729501B2 (en) | 2017-09-29 | 2020-08-04 | Ethicon Llc | Systems and methods for language selection of a surgical instrument |
NL2019672B1 (en) | 2017-10-05 | 2019-04-15 | N V Nederlandsche Apparatenfabriek Nedap | System of RFID reader units transmitting synchronized modulation using asynchronous carrier waves |
USD847199S1 (en) | 2017-10-16 | 2019-04-30 | Caterpillar Inc. | Display screen with animated graphical user interface |
US10993759B2 (en) | 2017-10-20 | 2021-05-04 | Ethicon, Inc. | Hypothermic linear surgical staplers and methods of use |
US10888320B2 (en) | 2017-10-20 | 2021-01-12 | Ethicon, Inc. | Hypothermic circular surgical staplers and methods of use |
US10624709B2 (en) | 2017-10-26 | 2020-04-21 | Ethicon Llc | Robotic surgical tool with manual release lever |
US11229436B2 (en) | 2017-10-30 | 2022-01-25 | Cilag Gmbh International | Surgical system comprising a surgical tool and a surgical hub |
US10736616B2 (en) | 2017-10-30 | 2020-08-11 | Ethicon Llc | Surgical instrument with remote release |
EP3476316B1 (en) | 2017-10-30 | 2023-05-17 | Ethicon LLC | Surgical clip applier comprising adaptive firing control |
US11090075B2 (en) | 2017-10-30 | 2021-08-17 | Cilag Gmbh International | Articulation features for surgical end effector |
US11911045B2 (en) | 2017-10-30 | 2024-02-27 | Cllag GmbH International | Method for operating a powered articulating multi-clip applier |
US11134944B2 (en) | 2017-10-30 | 2021-10-05 | Cilag Gmbh International | Surgical stapler knife motion controls |
US11129634B2 (en) | 2017-10-30 | 2021-09-28 | Cilag Gmbh International | Surgical instrument with rotary drive selectively actuating multiple end effector functions |
US11801098B2 (en) | 2017-10-30 | 2023-10-31 | Cilag Gmbh International | Method of hub communication with surgical instrument systems |
US11141160B2 (en) | 2017-10-30 | 2021-10-12 | Cilag Gmbh International | Clip applier comprising a motor controller |
US11564756B2 (en) | 2017-10-30 | 2023-01-31 | Cilag Gmbh International | Method of hub communication with surgical instrument systems |
US11291510B2 (en) | 2017-10-30 | 2022-04-05 | Cilag Gmbh International | Method of hub communication with surgical instrument systems |
EP3476301A1 (en) | 2017-10-30 | 2019-05-01 | Ethicon LLC | Surgical suturing instrument |
US11317919B2 (en) | 2017-10-30 | 2022-05-03 | Cilag Gmbh International | Clip applier comprising a clip crimping system |
US10932804B2 (en) | 2017-10-30 | 2021-03-02 | Ethicon Llc | Surgical instrument with sensor and/or control systems |
US11510741B2 (en) | 2017-10-30 | 2022-11-29 | Cilag Gmbh International | Method for producing a surgical instrument comprising a smart electrical system |
US10987104B2 (en) | 2017-10-30 | 2021-04-27 | Covidien Lp | Apparatus for endoscopic procedures |
US11311342B2 (en) | 2017-10-30 | 2022-04-26 | Cilag Gmbh International | Method for communicating with surgical instrument systems |
US10959744B2 (en) | 2017-10-30 | 2021-03-30 | Ethicon Llc | Surgical dissectors and manufacturing techniques |
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 |
USD848473S1 (en) | 2017-11-01 | 2019-05-14 | General Electric Company | Display screen with transitional graphical user interface |
WO2019090047A1 (en) | 2017-11-02 | 2019-05-09 | Intuitive Surgical Operations, Inc. | Systems and methods for end effector position set point correction |
US11207068B2 (en) | 2017-11-03 | 2021-12-28 | Ethicon, Inc. | Anvil assembly for use with surgical stapling instruments |
USD839900S1 (en) | 2017-11-06 | 2019-02-05 | Shenzhen Valuelink E-Commerce Co., Ltd. | Display screen with graphical user interface |
JP1630005S (zh) | 2017-11-21 | 2019-04-22 | ||
AU201812807S (en) | 2017-11-24 | 2018-06-14 | Dyson Technology Ltd | Display screen with graphical user interface |
US10687813B2 (en) | 2017-12-15 | 2020-06-23 | Ethicon Llc | Adapters with firing stroke sensing arrangements for use in connection with electromechanical surgical instruments |
US10743874B2 (en) | 2017-12-15 | 2020-08-18 | Ethicon Llc | Sealed adapters for use with electromechanical surgical instruments |
US10828033B2 (en) | 2017-12-15 | 2020-11-10 | Ethicon Llc | Handheld electromechanical surgical instruments with improved motor control arrangements for positioning components of an adapter coupled thereto |
US11033267B2 (en) | 2017-12-15 | 2021-06-15 | Ethicon Llc | Systems and methods of controlling a clamping member firing rate of a surgical instrument |
US20190183502A1 (en) | 2017-12-15 | 2019-06-20 | Ethicon Llc | Systems and methods of controlling a clamping member |
US10779826B2 (en) | 2017-12-15 | 2020-09-22 | Ethicon Llc | Methods of operating surgical end effectors |
US10869666B2 (en) | 2017-12-15 | 2020-12-22 | Ethicon Llc | Adapters with control systems for controlling multiple motors of an electromechanical surgical instrument |
US10966718B2 (en) | 2017-12-15 | 2021-04-06 | Ethicon Llc | Dynamic clamping assemblies with improved wear characteristics for use in connection with electromechanical surgical instruments |
US11006955B2 (en) | 2017-12-15 | 2021-05-18 | Ethicon Llc | End effectors with positive jaw opening features for use with adapters for electromechanical surgical instruments |
US10743875B2 (en) | 2017-12-15 | 2020-08-18 | Ethicon Llc | Surgical end effectors with jaw stiffener arrangements configured to permit monitoring of firing member |
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 |
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 |
US11071543B2 (en) | 2017-12-15 | 2021-07-27 | Cilag Gmbh International | Surgical end effectors with clamping assemblies configured to increase jaw aperture ranges |
US11918422B2 (en) | 2017-12-19 | 2024-03-05 | Intuitive Surgical Operation, Inc. | Systems and methods for communicating over a reduced number of conductors in a teleoperational system |
US11020112B2 (en) | 2017-12-19 | 2021-06-01 | Ethicon Llc | Surgical tools configured for interchangeable use with different controller interfaces |
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 |
US10729509B2 (en) | 2017-12-19 | 2020-08-04 | Ethicon Llc | Surgical instrument comprising closure and firing locking mechanism |
USD910847S1 (en) | 2017-12-19 | 2021-02-16 | Ethicon Llc | Surgical instrument assembly |
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 |
US11751867B2 (en) | 2017-12-21 | 2023-09-12 | Cilag Gmbh International | Surgical instrument comprising sequenced systems |
US11311290B2 (en) | 2017-12-21 | 2022-04-26 | Cilag Gmbh International | Surgical instrument comprising an end effector dampener |
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 |
US11129680B2 (en) | 2017-12-21 | 2021-09-28 | Cilag Gmbh International | Surgical instrument comprising a projector |
US11589888B2 (en) | 2017-12-28 | 2023-02-28 | Cilag Gmbh International | Method for controlling smart energy devices |
US11058498B2 (en) | 2017-12-28 | 2021-07-13 | Cilag Gmbh International | Cooperative surgical actions for robot-assisted surgical platforms |
US20190205567A1 (en) | 2017-12-28 | 2019-07-04 | Ethicon Llc | Data pairing to interconnect a device measured parameter with an outcome |
US11424027B2 (en) | 2017-12-28 | 2022-08-23 | Cilag Gmbh International | Method for operating surgical instrument systems |
US11026751B2 (en) | 2017-12-28 | 2021-06-08 | Cilag Gmbh International | Display of alignment of staple cartridge to prior linear staple line |
US11179208B2 (en) | 2017-12-28 | 2021-11-23 | Cilag Gmbh International | Cloud-based medical analytics for security and authentication trends and reactive measures |
US20190201139A1 (en) | 2017-12-28 | 2019-07-04 | Ethicon Llc | Communication arrangements for robot-assisted surgical platforms |
US20190206561A1 (en) | 2017-12-28 | 2019-07-04 | Ethicon Llc | Data handling and prioritization in a cloud analytics network |
US11076921B2 (en) | 2017-12-28 | 2021-08-03 | Cilag Gmbh International | Adaptive control program updates for surgical hubs |
US11304699B2 (en) | 2017-12-28 | 2022-04-19 | Cilag Gmbh International | Method for adaptive control schemes for surgical network control and interaction |
US10932872B2 (en) | 2017-12-28 | 2021-03-02 | Ethicon Llc | Cloud-based medical analytics for linking of local usage trends with the resource acquisition behaviors of larger data set |
US11576677B2 (en) | 2017-12-28 | 2023-02-14 | Cilag Gmbh International | Method of hub communication, processing, display, and cloud analytics |
US20190200987A1 (en) | 2017-12-28 | 2019-07-04 | Ethicon Llc | Variable output cartridge sensor assembly |
US20190201112A1 (en) | 2017-12-28 | 2019-07-04 | Ethicon Llc | Computer implemented interactive surgical systems |
US20190206555A1 (en) | 2017-12-28 | 2019-07-04 | Ethicon Llc | Cloud-based medical analytics for customization and recommendations to a user |
US20190201027A1 (en) | 2017-12-28 | 2019-07-04 | Ethicon Llc | Surgical instrument with acoustic-based motor control |
US11786245B2 (en) | 2017-12-28 | 2023-10-17 | Cilag Gmbh International | Surgical systems with prioritized data transmission capabilities |
US20190200997A1 (en) | 2017-12-28 | 2019-07-04 | Ethicon Llc | Stapling device with both compulsory and discretionary lockouts based on sensed parameters |
US10695081B2 (en) | 2017-12-28 | 2020-06-30 | Ethicon Llc | Controlling a surgical instrument according to sensed closure parameters |
US20190206569A1 (en) | 2017-12-28 | 2019-07-04 | Ethicon Llc | Method of cloud based data analytics for use with the hub |
US11317937B2 (en) | 2018-03-08 | 2022-05-03 | Cilag Gmbh International | Determining the state of an ultrasonic end effector |
CN208625784U (zh) | 2017-12-28 | 2019-03-22 | 重庆西山科技股份有限公司 | 吻合器动力手柄的密封结构 |
US11389164B2 (en) | 2017-12-28 | 2022-07-19 | Cilag Gmbh International | Method of using reinforced flexible circuits with multiple sensors to optimize performance of radio frequency devices |
US11100631B2 (en) | 2017-12-28 | 2021-08-24 | Cilag Gmbh International | Use of laser light and red-green-blue coloration to determine properties of back scattered light |
US11937769B2 (en) | 2017-12-28 | 2024-03-26 | Cilag Gmbh International | Method of hub communication, processing, storage and display |
US20190206564A1 (en) | 2017-12-28 | 2019-07-04 | Ethicon Llc | Method for facility data collection and interpretation |
US20190201045A1 (en) | 2017-12-28 | 2019-07-04 | Ethicon Llc | Method for smoke evacuation for surgical hub |
US10595887B2 (en) | 2017-12-28 | 2020-03-24 | Ethicon Llc | Systems for adjusting end effector parameters based on perioperative information |
US20190200977A1 (en) | 2017-12-28 | 2019-07-04 | Ethicon Llc | Method for usage of the shroud as an aspect of sensing or controlling a powered surgical device, and a control algorithm to adjust its default operation |
US10892899B2 (en) | 2017-12-28 | 2021-01-12 | Ethicon Llc | Self describing data packets generated at an issuing instrument |
US11432885B2 (en) | 2017-12-28 | 2022-09-06 | Cilag Gmbh International | Sensing arrangements for robot-assisted surgical platforms |
US11559308B2 (en) | 2017-12-28 | 2023-01-24 | Cilag Gmbh International | Method for smart energy device infrastructure |
US11744604B2 (en) | 2017-12-28 | 2023-09-05 | Cilag Gmbh International | Surgical instrument with a hardware-only control circuit |
US11376002B2 (en) | 2017-12-28 | 2022-07-05 | Cilag Gmbh International | Surgical instrument cartridge sensor assemblies |
US11132462B2 (en) | 2017-12-28 | 2021-09-28 | Cilag Gmbh International | Data stripping method to interrogate patient records and create anonymized record |
BR112020013066A2 (pt) | 2017-12-28 | 2020-12-01 | Ethicon Llc | sistemas cirúrgicos para detectar irregularidades da distribuição de tecido no atuador de extremidade |
US11896443B2 (en) | 2017-12-28 | 2024-02-13 | Cilag Gmbh International | Control of a surgical system through a surgical barrier |
US11903601B2 (en) | 2017-12-28 | 2024-02-20 | Cilag Gmbh International | Surgical instrument comprising a plurality of drive systems |
US11410259B2 (en) | 2017-12-28 | 2022-08-09 | Cilag Gmbh International | Adaptive control program updates for surgical devices |
US11069012B2 (en) | 2017-12-28 | 2021-07-20 | Cilag Gmbh International | Interactive surgical systems with condition handling of devices and data capabilities |
US11166772B2 (en) | 2017-12-28 | 2021-11-09 | Cilag Gmbh International | Surgical hub coordination of control and communication of operating room devices |
US20190200906A1 (en) | 2017-12-28 | 2019-07-04 | Ethicon Llc | Dual cmos array imaging |
US11311306B2 (en) | 2017-12-28 | 2022-04-26 | Cilag Gmbh International | Surgical systems for detecting end effector tissue distribution irregularities |
US11678881B2 (en) | 2017-12-28 | 2023-06-20 | Cilag Gmbh International | Spatial awareness of surgical hubs in operating rooms |
US10987178B2 (en) | 2017-12-28 | 2021-04-27 | Ethicon Llc | Surgical hub control arrangements |
US11559307B2 (en) | 2017-12-28 | 2023-01-24 | Cilag Gmbh International | Method of robotic hub communication, detection, and control |
US20190201115A1 (en) | 2017-12-28 | 2019-07-04 | Ethicon Llc | Aggregation and reporting of surgical hub data |
US10966791B2 (en) | 2017-12-28 | 2021-04-06 | Ethicon Llc | Cloud-based medical analytics for medical facility segmented individualization of instrument function |
JP7263367B2 (ja) | 2017-12-28 | 2023-04-24 | エシコン エルエルシー | 外科用器具カートリッジセンサアセンブリ |
EP3505095B1 (en) | 2017-12-28 | 2022-07-06 | Ethicon LLC | Mechanisms for controlling different electromechanical systems of an electrosurgical instrument |
US11202570B2 (en) | 2017-12-28 | 2021-12-21 | Cilag Gmbh International | Communication hub and storage device for storing parameters and status of a surgical device to be shared with cloud based analytics systems |
US11109866B2 (en) | 2017-12-28 | 2021-09-07 | Cilag Gmbh International | Method for circular stapler control algorithm adjustment based on situational awareness |
US11324557B2 (en) | 2017-12-28 | 2022-05-10 | Cilag Gmbh International | Surgical instrument with a sensing array |
US10944728B2 (en) | 2017-12-28 | 2021-03-09 | Ethicon Llc | Interactive surgical systems with encrypted communication capabilities |
US11284936B2 (en) | 2017-12-28 | 2022-03-29 | Cilag Gmbh International | Surgical instrument having a flexible electrode |
US20190201034A1 (en) | 2017-12-28 | 2019-07-04 | Ethicon Llc | Powered stapling device configured to adjust force, advancement speed, and overall stroke of cutting member based on sensed parameter of firing or clamping |
US11266468B2 (en) | 2017-12-28 | 2022-03-08 | Cilag Gmbh International | Cooperative utilization of data derived from secondary sources by intelligent surgical hubs |
US20190200981A1 (en) | 2017-12-28 | 2019-07-04 | Ethicon Llc | Method of compressing tissue within a stapling device and simultaneously displaying the location of the tissue within the jaws |
US11419630B2 (en) | 2017-12-28 | 2022-08-23 | Cilag Gmbh International | Surgical system distributed processing |
US20190201594A1 (en) | 2017-12-28 | 2019-07-04 | Ethicon Llc | Method of sensing particulate from smoke evacuated from a patient, adjusting the pump speed based on the sensed information, and communicating the functional parameters of the system to the hub |
US11857152B2 (en) | 2017-12-28 | 2024-01-02 | Cilag Gmbh International | Surgical hub spatial awareness to determine devices in operating theater |
US20190201140A1 (en) | 2017-12-28 | 2019-07-04 | Ethicon Llc | Surgical hub situational awareness |
US11864728B2 (en) | 2017-12-28 | 2024-01-09 | Cilag Gmbh International | Characterization of tissue irregularities through the use of mono-chromatic light refractivity |
US11659023B2 (en) | 2017-12-28 | 2023-05-23 | Cilag Gmbh International | Method of hub communication |
US10849697B2 (en) | 2017-12-28 | 2020-12-01 | Ethicon Llc | Cloud interface for coupled surgical devices |
JP7005773B2 (ja) | 2018-01-04 | 2022-01-24 | コヴィディエン リミテッド パートナーシップ | トルク伝達および機械的操作を伴う高関節運動リストアセンブリを含むロボット手術器具 |
US10614184B2 (en) | 2018-01-08 | 2020-04-07 | Atlazo, Inc. | Semiconductor process and performance sensor |
USD870742S1 (en) | 2018-01-26 | 2019-12-24 | Facebook, Inc. | Display screen or portion thereof with animated user interface |
US10667818B2 (en) | 2018-02-06 | 2020-06-02 | Ethicon Llc | Lockout assembly for linear surgical stapler |
US10687819B2 (en) | 2018-02-06 | 2020-06-23 | Ethicon Llc | Clamping mechanism for linear surgical stapler |
US10210244B1 (en) | 2018-02-12 | 2019-02-19 | Asapp, Inc. | Updating natural language interfaces by processing usage data |
US10820910B2 (en) | 2018-02-15 | 2020-11-03 | Ethicon Llc | Surgical clip applier with articulating joint path for surgical clips |
US11065000B2 (en) * | 2018-02-22 | 2021-07-20 | Covidien Lp | Surgical buttresses for surgical stapling apparatus |
WO2019164909A1 (en) | 2018-02-23 | 2019-08-29 | Boston Scientific Scimed, Inc. | Medical implant attachment mechanism |
EP3758619B1 (en) | 2018-02-26 | 2024-04-03 | Intuitive Surgical Operations, Inc. | Surgical instrument with lockout mechanism |
EP3758620A1 (en) | 2018-02-27 | 2021-01-06 | Applied Medical Resources Corporation | Surgical stapler having a powered handle |
US11134946B2 (en) | 2018-02-27 | 2021-10-05 | Bolder Surgical, Llc | Staple cartridge and methods for surgical staplers |
US20190261982A1 (en) | 2018-02-27 | 2019-08-29 | Covidien Lp | Powered stapler having varying staple heights and sizes |
USD861035S1 (en) | 2018-03-01 | 2019-09-24 | Google Llc | Display screen with animated icon |
US11160601B2 (en) | 2018-03-13 | 2021-11-02 | Cilag Gmbh International | Supplying electrical energy to electrosurgical instruments |
US10639038B2 (en) | 2018-03-23 | 2020-05-05 | Ethicon Llc | Staple cartridge with short circuit prevention features |
US10631860B2 (en) | 2018-03-23 | 2020-04-28 | Ethicon Llc | Surgical instrument with electrical contact under membrane |
US11471156B2 (en) | 2018-03-28 | 2022-10-18 | Cilag Gmbh International | Surgical stapling devices with improved rotary driven closure systems |
US10973520B2 (en) | 2018-03-28 | 2021-04-13 | Ethicon Llc | Surgical staple cartridge with firing member driven camming assembly that has an onboard tissue cutting feature |
US20190298353A1 (en) | 2018-03-28 | 2019-10-03 | Ethicon Llc | Surgical stapling devices with asymmetric closure features |
US11207067B2 (en) | 2018-03-28 | 2021-12-28 | Cilag Gmbh International | Surgical stapling device with separate rotary driven closure and firing systems and firing member that engages both jaws while firing |
US11219453B2 (en) | 2018-03-28 | 2022-01-11 | Cilag Gmbh International | Surgical stapling devices with cartridge compatible closure and firing lockout arrangements |
US11197668B2 (en) | 2018-03-28 | 2021-12-14 | Cilag Gmbh International | Surgical stapling assembly comprising a lockout and an exterior access orifice to permit artificial unlocking of the lockout |
US11096688B2 (en) | 2018-03-28 | 2021-08-24 | Cilag Gmbh International | Rotary driven firing members with different anvil and channel engagement features |
AU2019243731A1 (en) | 2018-03-28 | 2020-10-08 | Datascope Corp. | Device for atrial appendage exclusion |
US11589865B2 (en) | 2018-03-28 | 2023-02-28 | Cilag Gmbh International | Methods for controlling a powered surgical stapler that has separate rotary closure and firing systems |
US11278280B2 (en) | 2018-03-28 | 2022-03-22 | Cilag Gmbh International | Surgical instrument comprising a jaw closure lockout |
US11090047B2 (en) | 2018-03-28 | 2021-08-17 | Cilag Gmbh International | Surgical instrument comprising an adaptive control system |
US10912578B2 (en) | 2018-04-24 | 2021-02-09 | Covidien Lp | Clamping device with parallel jaw closure |
WO2019208902A1 (ko) | 2018-04-27 | 2019-10-31 | 삼성전자 주식회사 | 무선 전력 송신 장치 및 전력을 무선으로 수신하는 전자 장치와 그 동작 방법 |
US11896230B2 (en) | 2018-05-07 | 2024-02-13 | Covidien Lp | Handheld electromechanical surgical device including load sensor having spherical ball pivots |
USD856359S1 (en) | 2018-05-30 | 2019-08-13 | Mindtronic Ai Co., Ltd. | Vehicle display screen or portion thereof with an animated graphical user interface |
USD871434S1 (en) | 2018-05-31 | 2019-12-31 | Inspire Medical Systems, Inc. | Display screen or portion thereof with a graphical user interface |
US20210204941A1 (en) | 2018-06-01 | 2021-07-08 | Steerable Instruments nv | Controllable steerable fusing device |
US20190388091A1 (en) | 2018-06-21 | 2019-12-26 | Covidien Lp | Powered surgical devices including strain gauges incorporated into flex circuits |
US11272948B2 (en) | 2018-07-10 | 2022-03-15 | Covidien Lp | Hand-held surgical instruments |
US10973515B2 (en) | 2018-07-16 | 2021-04-13 | Ethicon Llc | Permanent attachment means for curved tip of component of surgical stapling instrument |
US11571205B2 (en) | 2018-07-16 | 2023-02-07 | Cilag Gmbh International | Surgical visualization feedback system |
US10912561B2 (en) | 2018-07-16 | 2021-02-09 | Ethicon Llc | Buttress applier cartridge for surgical stapler having end effector with deflectable curved tip |
US11324544B2 (en) | 2018-07-25 | 2022-05-10 | Gyrus Acmi, Inc. | Medical instrument |
US11457843B2 (en) | 2018-08-03 | 2022-10-04 | Dexcom, Inc. | Systems and methods for communication with analyte sensor electronics |
USD904613S1 (en) | 2018-08-13 | 2020-12-08 | Ethicon Llc | Cartridge for linear surgical stapler |
USD904612S1 (en) | 2018-08-13 | 2020-12-08 | Ethicon Llc | Cartridge for linear surgical stapler |
US11039834B2 (en) | 2018-08-20 | 2021-06-22 | Cilag Gmbh International | Surgical stapler anvils with staple directing protrusions and tissue stability features |
US11045192B2 (en) | 2018-08-20 | 2021-06-29 | Cilag Gmbh International | Fabricating techniques for surgical stapler anvils |
US20200054321A1 (en) | 2018-08-20 | 2020-02-20 | Ethicon Llc | Surgical instruments with progressive jaw closure arrangements |
USD914878S1 (en) | 2018-08-20 | 2021-03-30 | Ethicon Llc | Surgical instrument anvil |
US11253256B2 (en) | 2018-08-20 | 2022-02-22 | Cilag Gmbh International | Articulatable motor powered surgical instruments with dedicated articulation motor arrangements |
US10856870B2 (en) | 2018-08-20 | 2020-12-08 | Ethicon Llc | Switching arrangements for motor powered articulatable surgical instruments |
US10779821B2 (en) | 2018-08-20 | 2020-09-22 | Ethicon Llc | Surgical stapler anvils with tissue stop features configured to avoid tissue pinch |
US11207065B2 (en) | 2018-08-20 | 2021-12-28 | Cilag Gmbh International | Method for fabricating surgical stapler anvils |
US11291440B2 (en) | 2018-08-20 | 2022-04-05 | Cilag Gmbh International | Method for operating a powered articulatable surgical instrument |
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 |
US10912559B2 (en) | 2018-08-20 | 2021-02-09 | Ethicon Llc | Reinforced deformable anvil tip for surgical stapler anvil |
US11324501B2 (en) | 2018-08-20 | 2022-05-10 | Cilag Gmbh International | Surgical stapling devices with improved closure members |
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 |
EP3840632A1 (en) | 2018-08-20 | 2021-06-30 | Briteseed, LLC | A system and method with applied stimulation used to detect or differentiate tissue or artifact |
US11304704B2 (en) | 2018-08-22 | 2022-04-19 | Covidien Lp | Surgical clip applier and ligation clips |
US11806062B2 (en) | 2018-09-07 | 2023-11-07 | Cilag Gmbh International | Surgical modular energy system with a segmented backplane |
JP2022501110A (ja) | 2018-09-17 | 2022-01-06 | コヴィディエン リミテッド パートナーシップ | 内部を通る電気信号伝送を含む高関節腹腔鏡関節 |
CN111134754A (zh) | 2018-11-02 | 2020-05-12 | 逸思(苏州)医疗科技有限公司 | 一种推杆自适应结构 |
US20200138507A1 (en) | 2018-11-02 | 2020-05-07 | Ethicon Llc | Distal closure mechanism for surgical instruments |
CN111134849A (zh) | 2018-11-02 | 2020-05-12 | 沃博手术股份有限公司 | 手术机器人系统 |
US11406442B2 (en) | 2018-11-05 | 2022-08-09 | Cilag Gmbh International | Articulate wrist with flexible central member |
US20200146166A1 (en) | 2018-11-07 | 2020-05-07 | Covidien Lp | Hermetically sealed printed circuit boards |
CN113194847A (zh) | 2018-12-21 | 2021-07-30 | 直观外科手术操作公司 | 用于外科手术器械的致动机构 |
US11701109B2 (en) | 2018-12-28 | 2023-07-18 | Cilag Gmbh International | Surgical stapler with sloped staple deck for varying tissue compression |
US11202628B2 (en) | 2018-12-28 | 2021-12-21 | Cilag Gmbh International | Surgical stapler with tissue engagement features around tissue containment pin |
US11116505B2 (en) | 2018-12-28 | 2021-09-14 | Cilag Gmbh International | Applicator for surgical stapler buttress |
US11369373B2 (en) | 2019-01-23 | 2022-06-28 | Lexington Medical, Inc. | Surgical stapler |
US11317912B2 (en) | 2019-01-30 | 2022-05-03 | Cilag Gmbh International | Surgical stapler with rotatable distal tip |
US11439391B2 (en) | 2019-01-30 | 2022-09-13 | Cilag Gmbh International | Surgical stapler with toggling distal tip |
US11304697B2 (en) | 2019-01-30 | 2022-04-19 | Cilag Gmbh International | Surgical stapler with deflectable distal tip |
USD934891S1 (en) | 2019-02-13 | 2021-11-02 | FullStory, Inc. | Display panel portion with an animated computer icon |
US11331100B2 (en) | 2019-02-19 | 2022-05-17 | Cilag Gmbh International | Staple cartridge retainer system with authentication keys |
US11317915B2 (en) | 2019-02-19 | 2022-05-03 | Cilag Gmbh International | Universal cartridge based key feature that unlocks multiple lockout arrangements in different surgical staplers |
US11369377B2 (en) | 2019-02-19 | 2022-06-28 | Cilag Gmbh International | Surgical stapling assembly with cartridge based retainer configured to unlock a firing lockout |
US11357503B2 (en) | 2019-02-19 | 2022-06-14 | Cilag Gmbh International | Staple cartridge retainers with frangible retention features and methods of using same |
US11751872B2 (en) | 2019-02-19 | 2023-09-12 | Cilag Gmbh International | Insertable deactivator element for surgical stapler lockouts |
WO2020171446A1 (ko) | 2019-02-19 | 2020-08-27 | 전남대학교산학협력단 | 마이크로 로봇 제어장치 |
WO2020168941A1 (zh) | 2019-02-21 | 2020-08-27 | 上海逸思医疗科技有限公司 | 复位机构、吻合器及医疗器械 |
KR20210132146A (ko) | 2019-02-27 | 2021-11-03 | 어플라이드 메디컬 리소시스 코포레이션 | 2-위치 락아웃 메커니즘을 갖는 수술용 스테이플링 기구 |
US11376000B2 (en) | 2019-03-13 | 2022-07-05 | Covidien Lp | Surgical stapler anvil with directionally biased staple pockets |
EP3908208A4 (en) | 2019-03-15 | 2022-10-19 | Sequent Medical, Inc. | FILAMENTARY DEVICES WITH A FLEXIBLE JOINT FOR THE TREATMENT OF VASCULAR ABNORMALITIES |
US11317978B2 (en) | 2019-03-22 | 2022-05-03 | Globus Medical, Inc. | System for neuronavigation registration and robotic trajectory guidance, robotic surgery, and related methods and devices |
US11172929B2 (en) | 2019-03-25 | 2021-11-16 | Cilag Gmbh International | Articulation drive arrangements for surgical systems |
US11147551B2 (en) | 2019-03-25 | 2021-10-19 | Cilag Gmbh International | Firing drive arrangements for surgical systems |
US11696761B2 (en) | 2019-03-25 | 2023-07-11 | Cilag Gmbh International | Firing drive arrangements for surgical systems |
US11147553B2 (en) | 2019-03-25 | 2021-10-19 | Cilag Gmbh International | Firing drive arrangements for surgical systems |
JP2022527154A (ja) | 2019-03-29 | 2022-05-31 | アプライド メディカル リソーシーズ コーポレイション | 外科ステープル留めシステムのための再装填カバー |
US11534164B2 (en) | 2019-04-05 | 2022-12-27 | Covidien Lp | Strain gauge stabilization in a surgical device |
US20220160358A1 (en) | 2019-04-17 | 2022-05-26 | Intuitive Surgical Operations, Inc. | Surgical stapling instrument |
US11076933B2 (en) | 2019-04-19 | 2021-08-03 | Elt Sight, Inc. | Authentication systems and methods for an excimer laser system |
WO2020220015A1 (en) | 2019-04-25 | 2020-10-29 | Hermes Innovations, LLC | Anastomosis device and method |
USD925563S1 (en) | 2019-04-29 | 2021-07-20 | Arrow Acquisition, Llc | Display screen or portion thereof with an animated graphical user interface |
US11471157B2 (en) | 2019-04-30 | 2022-10-18 | Cilag Gmbh International | Articulation control mapping for a surgical instrument |
US20200345359A1 (en) | 2019-04-30 | 2020-11-05 | Ethicon Llc | Tissue stop for a surgical instrument |
US11452528B2 (en) | 2019-04-30 | 2022-09-27 | Cilag Gmbh International | Articulation actuators for a surgical instrument |
US20200345357A1 (en) | 2019-04-30 | 2020-11-05 | Ethicon Llc | Intelligent firing associated with a surgical instrument |
US11432816B2 (en) | 2019-04-30 | 2022-09-06 | Cilag Gmbh International | Articulation pin for a surgical instrument |
US11426251B2 (en) | 2019-04-30 | 2022-08-30 | Cilag Gmbh International | Articulation directional lights on a surgical instrument |
US11903581B2 (en) | 2019-04-30 | 2024-02-20 | Cilag Gmbh International | Methods for stapling tissue using a surgical instrument |
US11253254B2 (en) | 2019-04-30 | 2022-02-22 | Cilag Gmbh International | Shaft rotation actuator on a surgical instrument |
US11648009B2 (en) | 2019-04-30 | 2023-05-16 | Cilag Gmbh International | Rotatable jaw tip for a surgical instrument |
US20200345356A1 (en) | 2019-04-30 | 2020-11-05 | Ethicon Llc | Intelligent firing associated with a surgical instrument |
USD898767S1 (en) | 2019-05-01 | 2020-10-13 | Aerco International, Inc. | Display screen or portion thereof with graphical user interface for a boiler or water heater |
CN110336545B (zh) | 2019-06-14 | 2020-08-04 | 东南大学 | 一种支持宽频率范围的双向自适应时钟电路 |
US11690624B2 (en) | 2019-06-21 | 2023-07-04 | Covidien Lp | Reload assembly injection molded strain gauge |
USD964564S1 (en) | 2019-06-25 | 2022-09-20 | Cilag Gmbh International | Surgical staple cartridge retainer with a closure system authentication key |
USD950728S1 (en) | 2019-06-25 | 2022-05-03 | Cilag Gmbh International | Surgical staple cartridge |
USD952144S1 (en) | 2019-06-25 | 2022-05-17 | Cilag Gmbh International | Surgical staple cartridge retainer with firing system authentication key |
US11369443B2 (en) | 2019-06-27 | 2022-06-28 | Cilag Gmbh International | Method of using a surgical modular robotic assembly |
US11376082B2 (en) | 2019-06-27 | 2022-07-05 | Cilag Gmbh International | Robotic surgical system with local sensing of functional parameters based on measurements of multiple physical inputs |
US11207146B2 (en) | 2019-06-27 | 2021-12-28 | Cilag Gmbh International | Surgical instrument drive systems with cable-tightening system |
US11607278B2 (en) | 2019-06-27 | 2023-03-21 | Cilag Gmbh International | Cooperative robotic surgical systems |
US11413102B2 (en) | 2019-06-27 | 2022-08-16 | Cilag Gmbh International | Multi-access port for surgical robotic systems |
US11547468B2 (en) | 2019-06-27 | 2023-01-10 | Cilag Gmbh International | Robotic surgical system with safety and cooperative sensing control |
US11219455B2 (en) | 2019-06-28 | 2022-01-11 | Cilag Gmbh International | Surgical instrument including a lockout key |
US11553971B2 (en) | 2019-06-28 | 2023-01-17 | Cilag Gmbh International | Surgical RFID assemblies for display and communication |
US11523822B2 (en) | 2019-06-28 | 2022-12-13 | Cilag Gmbh International | Battery pack including a circuit interrupter |
US11638587B2 (en) | 2019-06-28 | 2023-05-02 | Cilag Gmbh International | RFID identification systems for surgical instruments |
US11246678B2 (en) | 2019-06-28 | 2022-02-15 | Cilag Gmbh International | Surgical stapling system having a frangible RFID tag |
US11298127B2 (en) | 2019-06-28 | 2022-04-12 | Cilag GmbH Interational | Surgical stapling system having a lockout mechanism for an incompatible cartridge |
US11497492B2 (en) | 2019-06-28 | 2022-11-15 | Cilag Gmbh International | Surgical instrument including an articulation lock |
US11684434B2 (en) | 2019-06-28 | 2023-06-27 | Cilag Gmbh International | Surgical RFID assemblies for instrument operational setting control |
US11241235B2 (en) | 2019-06-28 | 2022-02-08 | Cilag Gmbh International | Method of using multiple RFID chips with a surgical assembly |
US11298132B2 (en) | 2019-06-28 | 2022-04-12 | Cilag GmbH Inlernational | Staple cartridge including a honeycomb extension |
US11853835B2 (en) | 2019-06-28 | 2023-12-26 | Cilag Gmbh International | RFID identification systems for surgical instruments |
US11426167B2 (en) | 2019-06-28 | 2022-08-30 | Cilag Gmbh International | Mechanisms for proper anvil attachment surgical stapling head assembly |
US11660163B2 (en) | 2019-06-28 | 2023-05-30 | Cilag Gmbh International | Surgical system with RFID tags for updating motor assembly parameters |
US20200405308A1 (en) | 2019-06-28 | 2020-12-31 | Ethicon Llc | Surgical instrument including a firing lockout |
US20200405307A1 (en) | 2019-06-28 | 2020-12-31 | Ethicon Llc | Control circuit comprising a coating |
US11361176B2 (en) | 2019-06-28 | 2022-06-14 | Cilag Gmbh International | Surgical RFID assemblies for compatibility detection |
US11224497B2 (en) | 2019-06-28 | 2022-01-18 | Cilag Gmbh International | Surgical systems with multiple RFID tags |
US11376098B2 (en) | 2019-06-28 | 2022-07-05 | Cilag Gmbh International | Surgical instrument system comprising an RFID system |
US11771419B2 (en) | 2019-06-28 | 2023-10-03 | Cilag Gmbh International | Packaging for a replaceable component of a surgical stapling system |
US20200405306A1 (en) | 2019-06-28 | 2020-12-31 | Ethicon Llc | Surgical instrument including a firing system bailout |
US11259803B2 (en) | 2019-06-28 | 2022-03-01 | Cilag Gmbh International | Surgical stapling system having an information encryption protocol |
US11291451B2 (en) | 2019-06-28 | 2022-04-05 | Cilag Gmbh International | Surgical instrument with battery compatibility verification functionality |
US11399837B2 (en) | 2019-06-28 | 2022-08-02 | Cilag Gmbh International | Mechanisms for motor control adjustments of a motorized surgical instrument |
US20200405302A1 (en) | 2019-06-28 | 2020-12-31 | Ethicon Llc | Surgical stapling system having an information decryption protocol |
US11478241B2 (en) | 2019-06-28 | 2022-10-25 | Cilag Gmbh International | Staple cartridge including projections |
US11051807B2 (en) | 2019-06-28 | 2021-07-06 | Cilag Gmbh International | Packaging assembly including a particulate trap |
USD916917S1 (en) | 2019-06-28 | 2021-04-20 | Square, Inc. | Display screen or portion thereof having a graphical user interface |
US20200405292A1 (en) | 2019-06-28 | 2020-12-31 | Ethicon Llc | Surgical instrument including a battery unit |
US11464601B2 (en) | 2019-06-28 | 2022-10-11 | Cilag Gmbh International | Surgical instrument comprising an RFID system for tracking a movable component |
US11627959B2 (en) | 2019-06-28 | 2023-04-18 | Cilag Gmbh International | Surgical instruments including manual and powered system lockouts |
WO2021017079A1 (en) | 2019-07-31 | 2021-02-04 | Covidien Lp | Hand-held electromechanical surgical instruments |
US11559149B2 (en) | 2020-08-14 | 2023-01-24 | Nabors Drilling Technologies Usa, Inc. | Method and apparatus for transitioning between rotary drilling and slide drilling while maintaining a bit of a bottom hole assembly on a wellbore bottom |
US11382704B2 (en) | 2019-08-28 | 2022-07-12 | Cilag Gmbh International | Closure mechanism for surgical tool |
US11540832B2 (en) | 2019-09-16 | 2023-01-03 | Cilag Gmbh International | Compressible non-fibrous adjuncts |
EP3791810B1 (en) | 2019-09-16 | 2023-12-20 | Ethicon LLC | Compressible non-fibrous adjuncts |
US11382155B2 (en) | 2019-09-18 | 2022-07-05 | Canon U.S.A., Inc. | System and method for out-of-band pairing of sterile device with non-sterile device |
USD936684S1 (en) | 2019-11-22 | 2021-11-23 | Honor Device Co., Ltd. | Electronic display for a wearable device presenting a graphical user interface |
US11395653B2 (en) | 2019-11-26 | 2022-07-26 | Covidien Lp | Surgical stapling device with impedance sensor |
US11523824B2 (en) | 2019-12-12 | 2022-12-13 | Covidien Lp | Anvil buttress loading for a surgical stapling apparatus |
US20210177401A1 (en) | 2019-12-13 | 2021-06-17 | Covidien Lp | Surgical Stapler with Universal Tip Reload |
US11642185B2 (en) | 2019-12-16 | 2023-05-09 | Purdue Research Foundation | Systems and methods for performing a surgical procedure |
US11559304B2 (en) | 2019-12-19 | 2023-01-24 | Cilag Gmbh International | Surgical instrument comprising a rapid closure mechanism |
US11701111B2 (en) | 2019-12-19 | 2023-07-18 | Cilag Gmbh International | Method for operating a surgical stapling instrument |
US11504122B2 (en) | 2019-12-19 | 2022-11-22 | Cilag Gmbh International | Surgical instrument comprising a nested firing member |
US11844520B2 (en) | 2019-12-19 | 2023-12-19 | Cilag Gmbh International | Staple cartridge comprising driver retention members |
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 |
US11464512B2 (en) | 2019-12-19 | 2022-10-11 | Cilag Gmbh International | Staple cartridge comprising a curved deck surface |
US11529137B2 (en) | 2019-12-19 | 2022-12-20 | Cilag Gmbh International | Staple cartridge comprising driver retention members |
US11911032B2 (en) | 2019-12-19 | 2024-02-27 | Cilag Gmbh International | Staple cartridge comprising a seating cam |
US11304696B2 (en) | 2019-12-19 | 2022-04-19 | Cilag Gmbh International | Surgical instrument comprising a powered articulation system |
US11529139B2 (en) | 2019-12-19 | 2022-12-20 | Cilag Gmbh International | Motor driven surgical instrument |
US11931033B2 (en) | 2019-12-19 | 2024-03-19 | Cilag Gmbh International | Staple cartridge comprising a latch lockout |
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 |
US11607219B2 (en) | 2019-12-19 | 2023-03-21 | Cilag Gmbh International | Staple cartridge comprising a detachable tissue cutting knife |
US20210186501A1 (en) | 2019-12-19 | 2021-06-24 | Ethicon Llc | Staple cartridge comprising a deployable knife |
US11446029B2 (en) | 2019-12-19 | 2022-09-20 | Cilag Gmbh International | Staple cartridge comprising projections extending from a curved deck surface |
US20210212776A1 (en) | 2019-12-20 | 2021-07-15 | Auris Health, Inc. | Functional indicators for robotic medical systems |
US20210196270A1 (en) | 2019-12-30 | 2021-07-01 | Ethicon Llc | Surgical instrument comprising a flex circuit |
US20210196269A1 (en) | 2019-12-30 | 2021-07-01 | Ethicon Llc | Surgical instrument comprising a feedback control circuit |
US11284963B2 (en) | 2019-12-30 | 2022-03-29 | Cilag Gmbh International | Method of using imaging devices in surgery |
US11452525B2 (en) | 2019-12-30 | 2022-09-27 | Cilag Gmbh International | Surgical instrument comprising an adjustment system |
JP7456075B2 (ja) | 2020-01-03 | 2024-03-27 | ビオシオン インコーポレイテッド | 抗体結合bcma及びその使用 |
US20210204951A1 (en) | 2020-01-08 | 2021-07-08 | Covidien Lp | Surgical apparatus |
US20210212671A1 (en) | 2020-01-14 | 2021-07-15 | Covidien Lp | Handheld electromechanical surgical instruments |
CN113138706A (zh) | 2020-01-17 | 2021-07-20 | 株式会社森田制作所 | 医疗系统、存储介质、警告的通知方法及受理方法 |
US11357597B2 (en) | 2020-02-17 | 2022-06-14 | Verb Surgical Inc. | Method and system for data exchange with robotic surgical tools using near field communication (NFC) |
US11730551B2 (en) | 2020-02-24 | 2023-08-22 | Canon U.S.A., Inc. | Steerable medical device with strain relief elements |
US11707278B2 (en) | 2020-03-06 | 2023-07-25 | Covidien Lp | Surgical stapler tool assembly to minimize bleeding |
US20230131172A1 (en) | 2020-03-24 | 2023-04-27 | Covidien Lp | Surgical stapling device with replaceable staple cartridge |
US20210307744A1 (en) | 2020-04-07 | 2021-10-07 | Covidien Lp | Surgical stapling device with adjustable dissecting tip |
US20210346082A1 (en) | 2020-05-08 | 2021-11-11 | Covidien Lp | Robotic surgical instruments and methods |
US11219454B2 (en) | 2020-05-29 | 2022-01-11 | Cilag Gmbh International | Pin trap mechanism for surgical linear cutter |
USD967421S1 (en) | 2020-06-02 | 2022-10-18 | Cilag Gmbh International | Staple cartridge |
USD974560S1 (en) | 2020-06-02 | 2023-01-03 | Cilag Gmbh International | Staple cartridge |
USD975851S1 (en) | 2020-06-02 | 2023-01-17 | Cilag Gmbh International | Staple cartridge |
USD975850S1 (en) | 2020-06-02 | 2023-01-17 | Cilag Gmbh International | Staple cartridge |
USD966512S1 (en) | 2020-06-02 | 2022-10-11 | Cilag Gmbh International | Staple cartridge |
USD976401S1 (en) | 2020-06-02 | 2023-01-24 | Cilag Gmbh International | Staple cartridge |
USD975278S1 (en) | 2020-06-02 | 2023-01-10 | Cilag Gmbh International | Staple cartridge |
JP1694959S (zh) | 2020-06-09 | 2021-09-13 | ||
US20210401487A1 (en) | 2020-06-29 | 2021-12-30 | Covidien Lp | Seal configurations for surgical instruments such as for use in robotic surgical systems |
US20210401513A1 (en) | 2020-06-29 | 2021-12-30 | Covidien Lp | Seal configurations for surgical instruments such as for use in robotic surgical systems |
US20220015760A1 (en) | 2020-07-20 | 2022-01-20 | Covidien Lp | Surgical stapling device with tissue gap control and controlled staple formation |
US20220031351A1 (en) | 2020-07-28 | 2022-02-03 | Cilag Gmbh International | Surgical instruments with differential articulation joint arrangements for accommodating flexible actuators |
US11564683B2 (en) | 2020-09-16 | 2023-01-31 | Cilag Gmbh International | Apparatus and method to apply buttress to end effector of surgical stapler via driven member |
USD946617S1 (en) | 2020-09-30 | 2022-03-22 | Masimo Corporation | Display screen or portion thereof with graphical user interface |
US20220104695A1 (en) | 2020-10-02 | 2022-04-07 | Verb Surgical Inc. | Endoscope for sensing trocars, compatible cannulas, instruments and accessories |
US20220104820A1 (en) | 2020-10-02 | 2022-04-07 | Ethicon Llc | Surgical instrument with adaptive motor control |
US11672534B2 (en) | 2020-10-02 | 2023-06-13 | Cilag Gmbh International | Communication capability of a smart stapler |
US11576674B2 (en) | 2020-10-06 | 2023-02-14 | Covidien Lp | Surgical stapling device with articulation lock assembly |
US20220110673A1 (en) | 2020-10-13 | 2022-04-14 | Cilag Gmbh International | Structured tissue contact surface for energy-based surgical instrument |
USD946025S1 (en) | 2020-10-19 | 2022-03-15 | Splunk Inc. | Display screen or portion thereof having a graphical user interface for monitoring information |
USD946046S1 (en) | 2020-10-19 | 2022-03-15 | Splunk Inc. | Display screen or portion thereof having an animated graphical user interface for dynamically formatting a presentation of information |
US20220125472A1 (en) | 2020-10-22 | 2022-04-28 | Auris Health, Inc. | Ultrasonic surgical instrument with a carrier kart and reusable stage |
US11452526B2 (en) | 2020-10-29 | 2022-09-27 | Cilag Gmbh International | Surgical instrument comprising a staged voltage regulation start-up system |
USD980425S1 (en) | 2020-10-29 | 2023-03-07 | Cilag Gmbh International | Surgical instrument assembly |
US11896217B2 (en) | 2020-10-29 | 2024-02-13 | Cilag Gmbh International | Surgical instrument comprising an articulation lock |
US20220133303A1 (en) | 2020-10-29 | 2022-05-05 | Ethicon Llc | Surgical instrument comprising sealable interface |
US11931025B2 (en) | 2020-10-29 | 2024-03-19 | Cilag Gmbh International | Surgical instrument comprising a releasable closure drive lock |
US11617577B2 (en) | 2020-10-29 | 2023-04-04 | Cilag Gmbh International | Surgical instrument comprising a sensor configured to sense whether an articulation drive of the surgical instrument is actuatable |
KR20230096060A (ko) | 2020-10-29 | 2023-06-29 | 어플라이드 메디컬 리소시스 코포레이션 | 전동 핸들을 갖는 수술용 스테이플러 |
US11534259B2 (en) | 2020-10-29 | 2022-12-27 | Cilag Gmbh International | Surgical instrument comprising an articulation indicator |
US11717289B2 (en) | 2020-10-29 | 2023-08-08 | Cilag Gmbh International | Surgical instrument comprising an indicator which indicates that an articulation drive is actuatable |
US11844518B2 (en) | 2020-10-29 | 2023-12-19 | Cilag Gmbh International | Method for operating a surgical instrument |
US20220133300A1 (en) | 2020-10-29 | 2022-05-05 | Ethicon Llc | Surgical instrument comprising a stowed closure actuator stop |
US11779330B2 (en) | 2020-10-29 | 2023-10-10 | Cilag Gmbh International | Surgical instrument comprising a jaw alignment system |
US11517390B2 (en) | 2020-10-29 | 2022-12-06 | Cilag Gmbh International | Surgical instrument comprising a limited travel switch |
US20220167973A1 (en) | 2020-12-02 | 2022-06-02 | Ethicon Llc | Surgical systems with detachable shaft reload detection |
US11849943B2 (en) | 2020-12-02 | 2023-12-26 | Cilag Gmbh International | Surgical instrument with cartridge release mechanisms |
US11737751B2 (en) | 2020-12-02 | 2023-08-29 | Cilag Gmbh International | Devices and methods of managing energy dissipated within sterile barriers of surgical instrument housings |
US11653920B2 (en) | 2020-12-02 | 2023-05-23 | Cilag Gmbh International | Powered surgical instruments with communication interfaces through sterile barrier |
US11653915B2 (en) | 2020-12-02 | 2023-05-23 | Cilag Gmbh International | Surgical instruments with sled location detection and adjustment features |
US20220167982A1 (en) | 2020-12-02 | 2022-06-02 | Ethicon Llc | Surgical instruments with electrical connectors for power transmission across sterile barrier |
US11627960B2 (en) | 2020-12-02 | 2023-04-18 | Cilag Gmbh International | Powered surgical instruments with smart reload with separately attachable exteriorly mounted wiring connections |
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 |
US11744581B2 (en) | 2020-12-02 | 2023-09-05 | Cilag Gmbh International | Powered surgical instruments with multi-phase tissue treatment |
US20220168038A1 (en) | 2020-12-02 | 2022-06-02 | Cilag Gmbh International | Method for tissue treatment by surgical instrument |
US11944296B2 (en) | 2020-12-02 | 2024-04-02 | Cilag Gmbh International | Powered surgical instruments with external connectors |
US20220202487A1 (en) | 2020-12-29 | 2022-06-30 | Ethicon Llc | Electrosurgical instrument with shaft voltage monitor |
US11723657B2 (en) | 2021-02-26 | 2023-08-15 | Cilag Gmbh International | Adjustable communication based on available bandwidth and power capacity |
US11751869B2 (en) | 2021-02-26 | 2023-09-12 | Cilag Gmbh International | Monitoring of multiple sensors over time to detect moving characteristics of tissue |
US11925349B2 (en) | 2021-02-26 | 2024-03-12 | Cilag Gmbh International | Adjustment to transfer parameters to improve available power |
US20220273307A1 (en) | 2021-02-26 | 2022-09-01 | Cilag Gmbh International | Method of powering and communicating with a staple cartridge |
US11744583B2 (en) | 2021-02-26 | 2023-09-05 | Cilag Gmbh International | Distal communication array to tune frequency of RF systems |
US20220273303A1 (en) | 2021-02-26 | 2022-09-01 | Ethicon Llc | Staple cartridge comrising a sensing array and a temperature control system |
US11730473B2 (en) | 2021-02-26 | 2023-08-22 | Cilag Gmbh International | Monitoring of manufacturing life-cycle |
US11793514B2 (en) | 2021-02-26 | 2023-10-24 | Cilag Gmbh International | Staple cartridge comprising sensor array which may be embedded in cartridge body |
US20220273294A1 (en) | 2021-02-26 | 2022-09-01 | Cilag Gmbh International | Surgical instrument system comprising a power transfer coil |
US11749877B2 (en) | 2021-02-26 | 2023-09-05 | Cilag Gmbh International | Stapling instrument comprising a signal antenna |
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 |
US11696757B2 (en) | 2021-02-26 | 2023-07-11 | Cilag Gmbh International | Monitoring of internal systems to detect and track cartridge motion status |
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 |
US11806011B2 (en) | 2021-03-22 | 2023-11-07 | Cilag Gmbh International | Stapling instrument comprising tissue compression systems |
US11717291B2 (en) | 2021-03-22 | 2023-08-08 | Cilag Gmbh International | Staple cartridge comprising staples configured to apply different tissue compression |
US20220296230A1 (en) | 2021-03-22 | 2022-09-22 | Ethicon Llc | Method of shifting a surgical stapling instrument |
US11826012B2 (en) | 2021-03-22 | 2023-11-28 | Cilag Gmbh International | Stapling instrument comprising a pulsed motor-driven firing rack |
US11723658B2 (en) | 2021-03-22 | 2023-08-15 | Cilag Gmbh International | Staple cartridge comprising a firing lockout |
US11737749B2 (en) | 2021-03-22 | 2023-08-29 | Cilag Gmbh International | Surgical stapling instrument comprising a retraction system |
US20220304682A1 (en) | 2021-03-24 | 2022-09-29 | Ethicon Llc | Fastener cartridge with non-repeating fastener rows |
US11786239B2 (en) | 2021-03-24 | 2023-10-17 | Cilag Gmbh International | Surgical instrument articulation joint arrangements comprising multiple moving linkage features |
US20220304687A1 (en) | 2021-03-24 | 2022-09-29 | Ethicon Llc | Rotary-driven surgical stapling assembly comprising a floatable component |
US11944336B2 (en) | 2021-03-24 | 2024-04-02 | Cilag Gmbh International | Joint arrangements for multi-planar alignment and support of operational drive shafts in articulatable surgical instruments |
US11793516B2 (en) | 2021-03-24 | 2023-10-24 | Cilag Gmbh International | Surgical staple cartridge comprising longitudinal support beam |
US11857183B2 (en) | 2021-03-24 | 2024-01-02 | Cilag Gmbh International | Stapling assembly components having metal substrates and plastic bodies |
US11832816B2 (en) | 2021-03-24 | 2023-12-05 | Cilag Gmbh International | Surgical stapling assembly comprising nonplanar staples and planar staples |
US11896219B2 (en) | 2021-03-24 | 2024-02-13 | Cilag Gmbh International | Mating features between drivers and underside of a cartridge deck |
US11896218B2 (en) | 2021-03-24 | 2024-02-13 | Cilag Gmbh International | Method of using a powered stapling device |
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 |
US11744603B2 (en) | 2021-03-24 | 2023-09-05 | Cilag Gmbh International | Multi-axis pivot joints for surgical instruments and methods for manufacturing same |
US11786243B2 (en) | 2021-03-24 | 2023-10-17 | Cilag Gmbh International | Firing members having flexible portions for adapting to a load during a surgical firing stroke |
US11849945B2 (en) | 2021-03-24 | 2023-12-26 | Cilag Gmbh International | Rotary-driven surgical stapling assembly comprising eccentrically driven firing member |
USD978194S1 (en) | 2021-04-26 | 2023-02-14 | Bottomline Technologies, Inc. | Display screen with animated graphical user interface |
US11944295B2 (en) | 2021-04-30 | 2024-04-02 | Cilag Gmbh International | Surgical instrument comprising end effector with longitudinal sealing step |
US20220346781A1 (en) | 2021-04-30 | 2022-11-03 | Cilag Gmbh International | Staple cartridge comprising staple drivers and stability supports |
US11857184B2 (en) | 2021-04-30 | 2024-01-02 | Cilag Gmbh International | Surgical instrument comprising a rotation-driven and translation-driven tissue cutting knife |
US20220346785A1 (en) | 2021-04-30 | 2022-11-03 | Cilag Gmbh International | Surgical instrument comprising end effector with energy sensitive resistance elements |
US11576670B2 (en) | 2021-05-06 | 2023-02-14 | Covidien Lp | Surgical stapling device with optimized drive assembly |
US11510673B1 (en) | 2021-05-25 | 2022-11-29 | Covidien Lp | Powered stapling device with manual retraction |
WO2022249094A1 (en) | 2021-05-28 | 2022-12-01 | Cilag Gmbh International | Stapling instrument comprising a control system that controls a firiing stroke length |
EP4178461A1 (en) | 2021-05-28 | 2023-05-17 | Cilag GmbH International | Stapling instrument comprising a mounted shaft orientation sensor |
US11826047B2 (en) | 2021-05-28 | 2023-11-28 | Cilag Gmbh International | Stapling instrument comprising jaw mounts |
US11877745B2 (en) | 2021-10-18 | 2024-01-23 | Cilag Gmbh International | Surgical stapling assembly having longitudinally-repeating staple leg clusters |
US20230121658A1 (en) | 2021-10-18 | 2023-04-20 | Cilag Gmbh International | Row-to-row staple array variations |
US20230134883A1 (en) | 2021-10-28 | 2023-05-04 | Cilag Gmbh International | Alternate means to establish resistive load force |
US20230138743A1 (en) | 2021-10-28 | 2023-05-04 | Cilag Gmbh International | Method and device for transmitting uart communications over a security short range wireless communication |
US11937816B2 (en) | 2021-10-28 | 2024-03-26 | Cilag Gmbh International | Electrical lead arrangements for surgical instruments |
US20230135282A1 (en) | 2021-10-28 | 2023-05-04 | Cilag Gmbh International | Staple cartridge identification systems |
US20230138314A1 (en) | 2021-10-28 | 2023-05-04 | Cilag Gmbh International | Surgical device with internal communication that combines multiple signals per wire |
US20230135811A1 (en) | 2021-10-28 | 2023-05-04 | Cilag Gmbh International | Surgical instrument cartridge with unique resistor for surgical instrument identification |
-
2012
- 2012-03-28 US US13/433,126 patent/US9320523B2/en active Active
- 2012-03-28 US US13/433,114 patent/US9386988B2/en active Active
-
2013
- 2013-03-27 WO PCT/US2013/034099 patent/WO2013148834A2/en active Application Filing
- 2013-03-27 EP EP13161473.7A patent/EP2644121B1/en active Active
- 2013-03-27 WO PCT/US2013/034008 patent/WO2013148771A2/en active Application Filing
- 2013-03-27 EP EP13161472.9A patent/EP2644120B1/en active Active
- 2013-03-27 EP EP22179028.0A patent/EP4134015A1/en active Pending
- 2013-03-27 CN CN201380027413.2A patent/CN104334094B/zh active Active
-
2014
- 2014-12-22 US US14/578,909 patent/US10441285B2/en active Active
-
2019
- 2019-08-30 US US16/556,889 patent/US11918220B2/en active Active
Patent Citations (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO2006083748A1 (en) * | 2005-01-31 | 2006-08-10 | Synovis Life Technologies, Inc. | Surgical fastener buttress materials |
CN101336835A (zh) * | 2007-06-22 | 2009-01-07 | Tyco医疗健康集团 | 用于手术吻合装置中的可分离的支撑件材料固定系统 |
EP2564791A1 (en) * | 2007-06-27 | 2013-03-06 | Covidien LP | Buttress and surgical stapling apparatus |
Cited By (9)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
TWI564462B (zh) * | 2014-11-19 | 2017-01-01 | Ihi股份有限公司 | 圓筒型槽的建構方法 |
TWI568661B (zh) * | 2015-05-15 | 2017-02-01 | 神戶製鋼所股份有限公司 | And the like, and a pressure treatment method using the same |
CN108348250A (zh) * | 2015-08-31 | 2018-07-31 | 伊西康有限责任公司 | 促进结肠组织生长的附属材料 |
CN108289672A (zh) * | 2015-09-30 | 2018-07-17 | 伊西康有限责任公司 | 可压缩附属物及其制作方法 |
CN108366796A (zh) * | 2015-09-30 | 2018-08-03 | 伊西康有限责任公司 | 包括收紧构型的可植入层 |
CN108289672B (zh) * | 2015-09-30 | 2021-01-22 | 伊西康有限责任公司 | 可压缩附属物及其制作方法 |
CN110312480A (zh) * | 2017-02-17 | 2019-10-08 | 爱惜康有限责任公司 | 外科端部执行器辅料附接物 |
CN110312480B (zh) * | 2017-02-17 | 2023-01-17 | 爱惜康有限责任公司 | 外科端部执行器辅料附接物 |
CN111246807A (zh) * | 2017-10-20 | 2020-06-05 | 伊西康公司 | 低温线性外科缝合器及其使用方法 |
Also Published As
Publication number | Publication date |
---|---|
US20200085435A1 (en) | 2020-03-19 |
US20120241499A1 (en) | 2012-09-27 |
EP2644121A2 (en) | 2013-10-02 |
EP2644120A2 (en) | 2013-10-02 |
EP2644121B1 (en) | 2022-09-21 |
WO2013148771A2 (en) | 2013-10-03 |
US20130256366A1 (en) | 2013-10-03 |
EP2644121A3 (en) | 2016-01-06 |
EP4134015A1 (en) | 2023-02-15 |
EP2644120A3 (en) | 2013-10-23 |
WO2013148834A3 (en) | 2013-12-05 |
WO2013148771A3 (en) | 2014-01-23 |
US20150108199A1 (en) | 2015-04-23 |
US10441285B2 (en) | 2019-10-15 |
CN104334094B (zh) | 2017-03-29 |
US11918220B2 (en) | 2024-03-05 |
WO2013148834A2 (en) | 2013-10-03 |
US9320523B2 (en) | 2016-04-26 |
EP2644120B1 (en) | 2022-06-15 |
US9386988B2 (en) | 2016-07-12 |
Similar Documents
Publication | Publication Date | Title |
---|---|---|
CN104334094B (zh) | 包括组织向内生长特征结构的组织厚度补偿件 | |
CN104379068B (zh) | 包括组织厚度补偿件的保持器组件 | |
CN104379069B (zh) | 包括贮存器的组织厚度补偿件 | |
CN104321026B (zh) | 组织厚度补偿件 | |
CN104334098B (zh) | 包括限定低压强环境的胶囊剂的组织厚度补偿件 | |
CN105101889B (zh) | 包括切割构件路径的组织厚度补偿件 | |
CN104349728B (zh) | 用于圆形外科缝合器的组织厚度补偿件 | |
CN103635150B (zh) | 具有植入式可压缩部分和插入帽的钉仓 | |
CN105101888B (zh) | 紧固件仓组件 | |
CN103635151B (zh) | 包括可释放部分的钉仓 | |
CN104582591B (zh) | 具有结合可生物吸收的疏水剂材料的厚度补偿件的组织缝合器 | |
CN104321086A (zh) | 用于形成外科缝合器的组织厚度补偿件布置的方法 | |
CN105188568B (zh) | 包括在其中具有开口的组织厚度补偿件的紧固件仓 | |
CN104349727B (zh) | 分层的组织厚度补偿件 | |
CN104053407A (zh) | 包括定位在其可压缩部分内的钉的钉仓 | |
CN103648410A (zh) | 可压缩钉仓组件 | |
CN103764046A (zh) | 用于外科缝合器的组织厚度补偿件 | |
CN104159529A (zh) | 包括可塌缩的平台构造的钉仓 | |
CN103945777A (zh) | 具有固定式钉驱动器的外科缝合器 | |
CN104321021A (zh) | 可扩展的组织厚度补偿件 | |
CN103702620A (zh) | 包括多个成形凹坑的外科缝合器砧座 | |
CN109819648A (zh) | 包括组织厚度补偿件和间隔设定元件的紧固件仓 | |
CN103717151A (zh) | 包括可压缩抗变形部件的钉仓 | |
CN103826546A (zh) | 包括可拆卸部分的组织厚度补偿件 | |
CN104394780B (zh) | 与组织厚度补偿件一起使用的可移动构件 |
Legal Events
Date | Code | Title | Description |
---|---|---|---|
C06 | Publication | ||
PB01 | Publication | ||
SE01 | Entry into force of request for substantive examination | ||
GR01 | Patent grant | ||
GR01 | Patent grant |