CN105997238A - 手术器械 - Google Patents

手术器械 Download PDF

Info

Publication number
CN105997238A
CN105997238A CN201610496659.XA CN201610496659A CN105997238A CN 105997238 A CN105997238 A CN 105997238A CN 201610496659 A CN201610496659 A CN 201610496659A CN 105997238 A CN105997238 A CN 105997238A
Authority
CN
China
Prior art keywords
jaw member
cutter
tissue
operating theater
theater instruments
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
CN201610496659.XA
Other languages
English (en)
Other versions
CN105997238B (zh
Inventor
J·M·罗伊
R·J·库尔森
S·E·安德森
R·M·夏普
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Covidien LP
Original Assignee
Covidien LP
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Covidien LP filed Critical Covidien LP
Publication of CN105997238A publication Critical patent/CN105997238A/zh
Application granted granted Critical
Publication of CN105997238B publication Critical patent/CN105997238B/zh
Active legal-status Critical Current
Anticipated expiration legal-status Critical

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14—Probes or electrodes therefor
    • A61B18/1442—Probes having pivoting end effectors, e.g. forceps
    • A61B18/1445—Probes having pivoting end effectors, e.g. forceps at the distal end of a shaft, e.g. forceps or scissors at the end of a rigid rod
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/08—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by means of electrically-heated probes
    • A61B18/082—Probes or electrodes therefor
    • A61B18/085—Forceps, scissors
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14—Probes or electrodes therefor
    • A61B18/1442—Probes having pivoting end effectors, e.g. forceps
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14—Probes or electrodes therefor
    • A61B18/1482—Probes or electrodes therefor having a long rigid shaft for accessing the inner body transcutaneously in minimal invasive surgery, e.g. laparoscopy
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00053—Mechanical features of the instrument of device
    • A61B2018/00059—Material properties
    • A61B2018/00071—Electrical conductivity
    • A61B2018/00077—Electrical conductivity high, i.e. electrically conducting
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00053—Mechanical features of the instrument of device
    • A61B2018/00059—Material properties
    • A61B2018/00071—Electrical conductivity
    • A61B2018/00083—Electrical conductivity low, i.e. electrically insulating
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00053—Mechanical features of the instrument of device
    • A61B2018/00184—Moving parts
    • A61B2018/00196—Moving parts reciprocating lengthwise
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00345—Vascular system
    • A61B2018/00404—Blood vessels other than those in or around the heart
    • A61B2018/00428—Severing
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00595—Cauterization
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00607—Coagulation and cutting with the same instrument
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/0063—Sealing
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/0091—Handpieces of the surgical instrument or device
    • A61B2018/00916—Handpieces of the surgical instrument or device with means for switching or controlling the main function of the instrument or device
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14—Probes or electrodes therefor
    • A61B2018/1405—Electrodes having a specific shape
    • A61B2018/1412—Blade
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14—Probes or electrodes therefor
    • A61B18/1442—Probes having pivoting end effectors, e.g. forceps
    • A61B2018/1452—Probes having pivoting end effectors, e.g. forceps including means for cutting
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14—Probes or electrodes therefor
    • A61B18/1442—Probes having pivoting end effectors, e.g. forceps
    • A61B2018/1452—Probes having pivoting end effectors, e.g. forceps including means for cutting
    • A61B2018/1455—Probes having pivoting end effectors, e.g. forceps including means for cutting having a moving blade for cutting tissue grasped by the jaws
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14—Probes or electrodes therefor
    • A61B18/1442—Probes having pivoting end effectors, e.g. forceps
    • A61B2018/146—Scissors

Abstract

本发明涉及手术器械。钳子的端部执行器包括第一钳口构件和第二钳口构件，所述第一钳口构件和所述第二钳口构件能够在间隔开的位置和接近位置之间运动以抓持组织。每个钳口构件均包括能够有选择性地通电的组织密封板。组织密封板构造成在所述组织密封板之间并且通过组织传导能量，以密封组织。刀包括远侧表面和上表面。刀能够有选择性地在缩回位置和延伸位置之间平移，在延伸位置中刀在钳口构件之间延伸。远侧表面构造成用于当刀从缩回位置平移到延伸位置时动态切割组织。上表面构造成用于在刀处于延伸位置的情况下静态切割组织。刀能够有选择地通电并且构造成在刀和组织密封板中的一个或两个之间并且通过组织传导能量以电气切割组织。

Description

手术器械
本分案申请是基于中国发明专利申请号201210445770.8、发明名称“手术钳”、申请日2012年11月9日的专利申请的分案申请。
技术领域
本公开涉及手术器械，并且更加具体地涉及用于抓持、密封和/或解剖组织的手术钳。
背景技术
钳子是镊子状器械，其依赖于钳口之间的机械作用来抓持、夹持以及收缩血管或组织。手术用电钳使用机械夹持作用和电能，从而通过加热组织和血管以凝结和/或烧灼组织来实现止血。某些手术需要的不只是简单地烧灼组织，还需要依赖夹持压力、精确的手术用电能控制和间隙距离(即，当围绕组织闭合时相对的钳口构件之间的距离)的独特组合来“密封”组织、血管和某些脉管束。
通常，一旦密封血管，医生就必须沿着新形成的组织密封部准确切断血管。因此，已经设计了多种血管密封器械，所述血管密封器械包括在形成组织密封部之后有效切断组织的刀或刀片构件。在特定示例中，需要解剖或切穿组织以到达下层血管(或多根血管)，或为了达到其它目的。
发明内容
当在此使用时，术语“远侧”指的是描述为更加远离用户的部分，而术语“近侧”指的是描述为更加靠近用户的部分。当在此使用时，术语“刀”和“组织切割表面”不必指的是包括锋利的切割边缘以用于机械切割的部件或部分。更确切地说，当在此使用时，“刀”和“组织切割表面”通常指的是用于切割组织的部件或其部分，例如：用于电气切割组织的不锋利部件或表面、有助于电气切割组织的边缘或角、用于机械切割组织的锋利部件或表面、或者它们的组合。
就一致性而言，在此描述的任一方面均可以用于与在此描述的其它方面中的任意一个相结合。
根据本公开的一个方面，提供了一种钳子。所述钳子包括端部执行器组件，所述端部执行器组件具有第一钳口构件和第二钳口构件。钳口构件中的一个或两个能够相对于另一个在间隔开的位置和接近位置之间运动，以用于将组织抓持在所述钳口构件之间。每个钳口构件均包括适于连接到能量源的导电组织密封板。组织密封板能够独立于彼此选择性地通电并且构造成在所述组织密封板之间并且通过组织传导能量，以密封组织。刀包括远侧组织切割表面和上组织切割表面。刀能够相对于钳口构件选择性地在缩回位置和延伸位置之间平移，在所述延伸位置中中刀在钳口构件之间延伸。远侧组织切割表面构造成用于在刀从缩回位置平移到延伸位置时动态切割组织。上组织切割表面构造成用于当刀布置在延伸位置中时静态切割组织。刀适于连接到能量源并且能够独立于组织密封板选择性地通电。刀构造成在刀和组织密封板中的一个或两个之间并且通过组织传导能量，以电气切割组织。
在一个方面中，设置手柄组件以用于使钳口构件在间隔开的位置和接近位置之间选择性地运动。
在另一个方面中，设置触发器组件以用于使刀在缩回位置和延伸位置之间有选择地平移。
在另一个方面中，设置第一激活开关以用于有选择地使第一钳口构件的组织密封板通电并且设置第二激活开关用于有选择地使第二钳口构件的组织密封板通电。
在又一个方面中，设置刀致动开关以用于有选择地使刀通电。
仍然在另一个方面中，刀以及第一钳口构件和第二钳口构件的组织密封板能够通电，以在所述刀和组织密封板之间并且通过组织传导能量，以当刀在缩回位置和延伸位置之间平移时电气切割组织。
仍然在又一个方面中，刀和第二钳口构件的组织密封板能够通电，以在所述刀和所述组织密封板之间并且通过组织传导能量，以当钳口构件布置在间隔开的位置中并且刀布置在延伸位置中时通过隆起电气切割组织。
在另一个方面中，刀和第一钳口构件的组织密封板能够通电，以在所述刀和所述组织密封板之间并且通过组织传导能量，以通过剪割来电气切割组织。
在另一个方面中，一个或多个绝缘体布置在刀和组织密封板之间。绝缘体构造成阻止刀和组织密封板之间发生接触。
根据本公开还提供了一种手术方法。所述方法包括提供具有端部执行器组件的钳子，所述端部执行器组件包括第一钳口构件和第二钳口构件。每个钳口构件均包括适于连接到能量源的导电组织密封板。刀能够有选择地在第一钳口构件和第二钳口构件之间平移。所述方法还包括：使钳口构件相对于彼此运动到接近位置，以将组织抓持在所述钳口构件之间；使第一钳口构件和第二钳口构件中的一个(或两个)的组织密封板通电，以密封抓持在钳口构件之间的组织；使钳口构件相对于彼此运动到间隔开的位置；将刀布置在钳口构件之间；横跨刀的上边缘覆盖组织密封部；以及使端部执行器组件相对于组织横向运动，以通过隆起切割组织。
在一个方面中，刀适于连接到能量源。在所述方面中，可以使刀通电，以通过隆起电气切割组织。钳子还可以包括刀致动开关，以用于有选择地使刀通电。
在另一个方面中，钳子包括触发器组件，以用于有选择地将刀布置在钳口构件之间，例如，用于使刀在缩回位置和延伸位置之间平移。
在又一个方面中，钳子包括手柄组件，以用于使钳口构件在间隔开的位置和接近位置之间运动。
还在另一个方面中，钳子包括：第一激活开关，以用于有选择地使第一钳口构件的组织密封板通电；和第二激活开关，以用于有选择地使第二钳口构件的组织密封板通电。
根据本公开的另一个方面提供的一种手术方法包括提供根据以上方面中的任何一个的钳子。所述方法还包括：使钳口构件相对于彼此运动到接近位置，以将组织抓持在所述钳口构件之间；使第一钳口构件和第二钳口构件中的一个(或两个)的组织密封板通电，以密封抓持在钳口构件之间的组织；相对于彼此打开钳口构件；将刀布置在钳口构件之间；将组织密封部定位在钳口构件之间；并且使钳口构件从间隔开的位置运动到接近位置，以沿着组织密封部剪割组织。
在一个方面中，刀适于连接到能量源。在所述方面中，可以使刀通电，以电气剪割组织。钳子还可以包括用于有选择地使刀通电的刀致动开关。
附图说明
参照附图详细描述了本公开的各种方面，在所述附图中，相同的附图标记用于确定类似或相同的元件：
图1是构造成根据本公开使用的内窥镜手术钳的正视立体图；
图2是构造成根据本公开使用的开放手术钳的正视立体图；
图3是构造成与图1或图2的钳子一起使用的端部执行器组件的放大正视立体图；
图4是构造成与图1或图2的钳子一起使用的刀组件的立体图；
图5A是图3的端部执行器组件的纵向剖视图，其中，钳口构件示出为处于间隔开的位置中，并且其中，刀组件示出为处于缩回位置中；
图5B是图3的端部执行器组件的纵向剖视图，其中，钳口构件示出为处于接近位置中，并且其中，刀组件示出为处于缩回位置中；
图5C是图3的端部执行器组件的纵向剖视图，其中，钳口构件示出为处于接近位置中，并且其中，刀组件示出为处于延伸位置中；
图6A是图3的端部执行器组件的正视立体图，其中，钳口构件示出为处于间隔开的位置中，并且其中，刀组件示出为处于延伸位置中；
图6B是图3的端部执行器组件的正视立体图，其中，钳口构件处于间隔开的位置中，并且刀组件处于延伸位置中以解剖组织；
图7A是图3的端部执行器组件的侧视图，其中，钳口构件示出为处于间隔开的位置中，并且其中，刀组件示出为处于延伸位置中；以及
图7B是图3的端部执行器组件的侧视图，其中，钳口构件示出为朝向接近位置运动，并且其中，刀组件示出为处于延伸位置中。
具体实施方式
现在参照图1和图2，图1描绘了在相关的内窥镜手术中使用的钳子10，并且图2描绘了预期在相关的传统开放(open)手术中使用的开放钳子10′。为了此处的目的，可以根据本公开使用内窥镜器械(例如，钳子10)或使用开放器械(例如钳子10′)。显而易见的是，不同的电气和机械连接以及考虑因素应用于每个具体类型的器械中；但是，关于端部执行器组件和其操作特性的新颖性方面对于开放构造和内窥镜构造来说则基本保持一致。
现在转向图1，提供了内窥镜钳子10，所述内窥镜钳子10限定了纵向轴线“X-X”并且包括外壳20、手柄组件30、旋转组件70、触发器组件80、以及端部执行器组件100。钳子10还包括轴12，所述轴12具有：远端14，所述远端14构造成机械接合端部执行器组件100；和近端16，所述近端16机械接合外壳20。钳子10还包括手术用电缆610，所述电缆610将钳子10连接到发电机(未示出)或者其它适当的电源，尽管钳子10可以替代地构造成电池供电的器械。电缆610包括延伸贯穿其中的电线(未示出)，所述电线的长度足以延伸通过轴12，以例如当激活激活开关90时，向端部执行器组件100的钳口构件110、120各自的密封板112、122中的至少一个提供电能。
继续参照图1，手柄组件30包括固定的手柄50和可移动的手柄40。固定的手柄50与外壳20关联成整体，并且可移动的手柄40相对于固定的手柄50能够运动。围绕纵向轴线“X-X”能够沿着两个方向旋转旋转组件70，以围绕纵向轴线“X-X”旋转端部执行器100。外壳20容纳钳子10的内部工作部件。
端部执行器组件100示出为附接在轴12的远端14处并且包括一对相对的钳口构件110、120。钳口构件110、120中的每一个分别包括导电组织密封板112、122。端部执行器组件100设计成单边组件，例如，钳口构件120相对于轴12是固定的并且钳口构件110相对于轴12和固定的钳口构件120能够运动(尽管相反的构造也是可以预期的)的情况。然而，端部执行器组件100可以替代地构造成为双边组件，即，钳口构件110和钳口构件120能够相对于彼此和相对于轴12运动的情况。刀组件180(图4-5C)布置在轴12内并且刀通道115、125(图5A-5C)限定在钳口构件110、120中的一个或两个中，以例如通过致动触发器组件80的触发器82允许刀184(图4-5C)贯穿所述刀通道115、125往复运动。将在下文中更加详细地描述端部执行器组件100和刀组件180(图4-5C)的具体特征。
继续参照图1，手柄组件30的可移动手柄40最终连接到驱动组件(未示出)，所述驱动组件一起机械配合以使钳口构件110、120在间隔开的位置和接近位置之间运动，以抓持布置在钳口构件110、120各自的密封板112、122之间的组织。如图1所示，可移动的手柄40最初与固定手柄50间隔开，并且对应地，钳口构件110、120处于间隔开的位置中。可移动的手柄40能够从这个初始位置移动到压下位置，以使钳口构件110、120移动到接近位置，从而用于将组织抓持在所述钳口构件110、120之间(见图5B-5C)。
现在参照图2，开放钳子10′示出为包括两个细长的轴12a、12b，所述轴12a、12b均分别具有近端16a、16b和远端14a、14b。与钳子10(图1)类似，钳子10′构造成与端部执行器组件100一起使用。更加具体地，端部执行器组件100附接到轴12a、12b各自的远端14a、14b。如以上提及的那样，端部执行器组件100包括一对相对的钳口构件110、120，所述钳口构件110、120可枢转地相互联接。每根轴12a、12b均包括布置在其近端16a、16b处的手柄17a、17b。每个手柄17a、17b均限定了贯通其中的手指孔18a、18b，以用于接收用户的手指。如能够理解的那样，手指孔18a、18b便于轴12a、12b相对于彼此运动，这继而将钳口构件110、120从打开位置(其中，钳口构件110、120相对于彼此布置成间隔开的关系)枢转到闭合位置(其中，钳口构件110、120配合以将组织抓持在所述钳口构件110、120之间)。
可以包括棘爪30′以用于在枢转期间有选择地将钳口构件110、120相对于彼此锁定在多个位置中。棘爪30′可以包括刻度、或者使用户能轻易快速地确定和控制钳口构件110、120之间期望的闭合力的量的其它视觉标记。
继续参照图2，轴中的一个(例如轴12b)包括近侧轴连接件19，所述近侧轴连接件19设计成将钳子10′连接到电源，诸如手术用发电机(未示出)。近侧轴连接件19将手术用电缆610′固定到钳子10′，使得用户在需要时可以选择性地将手术用电能应用到钳口构件110和120各自的导电组织密封板112、122。
钳子10′还可以包括：刀组件180(图4-5C)，所述刀组件180布置在轴12a、12b中的任意一个；和刀通道115、125(图5A-5C)，所述刀通道115、125分别限定在钳口构件110、120中的一个或两个内，以允许刀184(图5-8C)贯穿所述钳口构件110、120往复运动。
现在转到图3，包括钳口构件110、120的端部执行器组件100构造成用于与上述钳子10或钳子10′或任何其它适当的手术器械一起使用，所述手术器械能够使钳口构件110、120相对于彼此在间隔开的位置和接近位置之间枢转以用于将组织夹持在所述钳口构件110、120之间。然而，为了简单性和一致性的目的，将仅仅参照钳子10在下文描述端部执行器组件100。
如图3所示，钳口构件110、120均包括外部的绝缘钳口外壳111、121和导电组织密封板112、122，所述导电组织密封板112、122相对于彼此以相对的关系布置在各自的钳口外壳111、121的顶部。组织密封板112、122适于独立于彼此连接到电源(例如，手术用电源)，使得如将在下文中详细描述的那样，取决于具体目的，可以有选择地使组织密封板112、122中的任意一个或两个通电。激活开关90(图1)能够被有选择地致动，以控制供应到组织密封板112、122的能量供应。更加具体地，激活开关90(图1)可以包括第一和第二开关部件90a、90b(图1)，以便于有选择性地激活组织密封板112、122中的任意一个或两个。
钳口构件110、120中的一个或两个包括纵向延伸的刀通道115、125(图5A-5C)，如以上提及那样，所述刀通道115、125构造成允许刀184(图4-5C)贯穿其中往复运动。绝缘件124在刀通道115、125的每一个中做衬里，以使刀184(图4)与组织密封板112、122电绝缘。
现在转到图4，刀组件180大体包括刀184和刀杆186。刀184在刀184的近端185处联接到刀杆186并且从刀杆186向远侧延伸，以在所述刀184的远端187处限定切割组织部分188。刀184的切割组织部分188限定了远侧组织切割表面189a和上组织切割表面189b，所述远侧组织切割表面189a有助于当相对于组织纵向平移刀184时切割组织；所述上组织切割表面189b沿着切割组织部分188的长度延伸，以有助于当使刀184相对于组织横向平移时切割组织。切割组织表面189a、189b可以限定锋利刀刃构造、钝刃构造、不锋利构造、或者它们的组合(例如，远侧组织切割表面189a可以限定锋利刀刃，而上组织切割表面189b限定不锋利构造，尽管也可以预期相反的构造或其它构造)。而且，切割组织表面189a、189b可以限定多种不同的边缘或角构造，以集中电流并且有助于电气切割组织。
继续参照图4，刀184通过引线183联接到例如手术用电能的能量源。引线183从刀184向近侧延伸通过轴12(图1)，最后联接到能量源，例如联接到布置在外壳20内的便携式发电机(未示出)(用于电池供电的器械)，或者通过电缆610(图1)联接到外部发电机(未示出)。布置在外壳20(图1)上的刀激活开关92(图1)能够有选择地激活以使刀184通电，例如，以控制从引线183供应到刀184的能量供应。
现在转到图1、3和5A-7B，端部执行器组件100构造成以不同的模式进行操作并且构造成有效地在多种不同的操作模式之间转变。像这样，端部执行器组件100能够实施多种手术任务，而不需要使用额外的仪器、并且不需要撤回端部执行器组件100以将端部执行器组件100转变到不同的操作模式。具体地，端部执行器组件100构造成至少用于：将组织抓持在钳口构件110、120之间；密封抓持在钳口构件110、120之间的组织；机械切割抓持在钳口构件110、120之间的组织；电气/机电地切割抓持在钳口构件110、120之间的组织；利用布置在间隔开的位置中的钳口构件110、120机械切割组织；利用布置在间隔开的位置中的钳口构件110、120电气/机电地切割组织；机械地剪割组织；和电气/机电地剪割组织。以下详细描述每个操作模式。
参照图1、3和5A-5C，描述了端部执行器组件100的使用，所述端部执行器组件100用于抓持、密封、和/或切割抓持在钳口构件110、120之间的组织，例如机械、电气或者机电地切割抓持在钳口构件110、120之间的组织。最初，在钳口构件110、120布置在间隔开的位置中的情况下(图5A)，端部执行器组件100被操纵就位，以使得将待抓持、密封、和/或切割的组织布置在钳口构件110、120之间。接下来，相对于固定手柄50向近侧拉动可移动的手柄40，使得将钳口构件110相对于钳口构件120从间隔开的位置枢转到接近位置，以将组织抓持在钳口构件110、120各自的组织密封板112、122之间(图5B)。此后，可以例如通过激活激活开关90将能量供应到组织密封板112和/或组织密封板122并传导通过组织，以影响组织密封部。例如，可以例如通过激活第一开关部件90a使钳口构件110的组织密封板112通电到第一电势，而例如通过激活第二开关部件90b使钳口构件120的组织密封板122通电到不同于第一电势的第二电势(或，不通电)，从而在组织密封板112、122之间产生电势差，使得能量在所述组织密封板112、122之间传导通过组织以影响组织密封部。即，在这个构造中，组织密封板112作为“有源”电极，而组织密封板122作为“返回”电极。还可以预期用于密封组织的其它构造，例如，其中，组织密封板122是“有源”电极，并且其中，组织密封板112是“返回”电极。
一旦完成组织密封(或者，仅仅期望抓持和切割的情况下)，例如，通过激活触发器82可以将刀184从缩回位置(图5B)推进到延伸位置(图5C)，使得刀184平移通过钳口构件110、120各自的刀通道115、125，以切割抓持在钳口构件110、120之间的组织。当刀184向远侧平移通过钳口构件110、120各自的刀通道115、125时，刀184的远侧切割组织部分189a机械切割或解剖抓持在钳口构件110、120之间的组织。
继续参照图1、3和5A-5C，当推进刀184通过钳口构件110、120时，可以使刀184通电以有助于切割组织。更加具体地，可以激活刀激活开关92，以通过引线183(图4)向刀184(“有源”电极)供应能量，从而用于电气/机电地切割抓持在钳口构件110、120之间的组织。在这种模式中，没有使组织密封板112、122通电(或者通电到不同于刀184的电势)，从而起到“返回”电极的作用。在使用中，当通电的刀184平移通过钳口构件110、120时，能量在远侧组织切割表面189a和组织密封板112、122之间传导并且通过位于其间的组织，以电气切割组织，而推进远侧组织切割表面189a通过组织则机械切割组织。为了电气切割而通过组织的能量传导还导致毗邻切割线的组织发生某些凝结。在钳口构件110、120各自的刀通道115、125中做衬里的绝缘件124在刀184平移通过所述组织密封板112、122时阻止刀184和组织密封板112、122之间发生接触，从而阻止电极短路。
用于密封和/或分开组织的端部执行器组件100的具体模式(例如，抓持、组织密封、机械切割组织、和/或电气切割组织)可以取决于组织的尺寸和/或构成，待实施的程序、其它解剖因素等。例如，对于特定的组织(例如，更无血管的组织)或者在需要进行快速解剖的情况下，可以将组织抓持在钳口构件110、120之间、使刀184通电，并且在钳口构件之间推进刀184以电气切割组织、同时毗邻切割线的凝结物充分止血，这样就足够了。对于其它组织(例如更有血管的组织)或在快速解剖并不重要的情况下，可以在推进刀184以沿着组织密封部切割组织之前抓持并且密封组织。在这种模式中，组织的尺寸和/或构成，或者其它因素可以决定是否需要进行机械切割或者需要进行电气/机电切割。
参照图1、3和6A-6B，描述了端部执行器组件100的使用，用于打开钳口组织切割，例如其中，钳口构件110、120布置在间隔开的位置中。如上所述，刀184包括沿着刀184的切割组织部分188的长度延伸的上组织切割表面189b。因此，在钳口构件110、120布置在间隔开的位置中并且刀184处于延伸位置中的情况下，暴露出上组织切割表面189b，使得可以横向推进端部执行器组装件100通过组织，以使用刀184的上组织切割表面189b切割组织。
在使用中，在钳口构件110、120布置在间隔开的位置中的情况下，使端部执行器组件100运动到定位成毗邻待切割的组织的位置中。在此时或之前，例如通过激活触发器组件80的触发器82将刀184推进到延伸位置。尽管触发器组件80还可以包括用于选择性地将刀184锁定在延伸位置中的锁定机构(没有明确示出)，但是通过使触发器82维持在激活或压下位置中而将刀184保持在延伸位置中。如图6B所示，在机械切割模式中，在刀184处于延伸位置中的情况下，相对于组织横向推进端部执行器组件100，以使用刀184的上组织切割表面189b机械切割组织。
在电气/机电切割模式中，在打开钳口组织切割期间使刀184通电，以促进切割组织。更加具体地，可以激活刀激活开关92，以通过引线183(图4)向刀184(“有源”电极)供应能源，以用于电气/机电切割抓持在钳口构件110、120之间的组织。在这种构造中，组织密封板112没有通电。例如通过激活第二开关部件90b使得组织密封板122通电到不同于刀184的电势的电势，使得组织密封板122起到“返回”电极的作用。作为钳口构件120的刀通道125的衬里的绝缘件124阻止刀184和组织密封板122之间发生接触，从而阻止电极短路。
继续参照图1、3和6A-6B，当使刀184通电为“有源”电极并且使组织密封板122通电为“返回”电极的情况下，可以横向推进端部执行器组件100通过组织，以通过隆起(tenting)来电气/机电切割布置在钳口构件110、120之间的组织。如图6B所示，隆起涉及将端部执行器组装件100定位成使得待切割的组织位于刀184的上组织切割表面189b上，并且在刀184的任一侧上朝向钳口构件120延伸以接触钳口构件120的组织密封板122，从而形成隆起状构造。在这种构造中，组织在隆起的顶端处接触刀184的上组织切割表面189b并且在隆起的侧部接触组织密封板122，使得能量从刀184通过组织传导到组织密封板122上以电气切割组织，同时推进上组织切割表面189b通过组织以机械切割组织。在切割期间，端部执行器组件100相对于组织的横向平移(即，驱动刀184的上组织切割表面189b进入到组织)有助于在组织上保持充分的张力并且有助于确保组织在刀184的任一侧上与组织密封板122接触，从而当端部执行器组件100横向平移通过组织时便于切割组织。
已经发现的是，为了实现最优的隆起，适当的刀高度很重要。刀高度太小不能有效拉紧组织，从而难以切断组织并且不能充分限定通过组织的能量路径。另一方面，刀高度太大可导致过分的隆起(例如，组织没有接触或没有充分接触组织密封板122的情况)，从而减小刀184和组织密封板122之间通过组织的有效电流路径。而且，刀184的侧部可以涂覆电介质(例如，硅酮、聚酰亚胺、或任何其它适当的电介质)，以将能量集中在刀184的上组织切割表面189b处，从而在切割期间产生更为限定的通过组织到组织密封板122的电流路径。当在抓持和电气/机电组织模式(见图5A-5C)或电气/机电剪割组织(见图7A-7B)模式中使用端部执行器组件100时，这种电介质涂层也是有利的，例如，电介质涂层便于能量在刀184的切割组织表面(用于抓持和电气/机电组织模式时的远侧组织切割表面189a，或者用于电气/机电剪割组织模式时的上组织切割表面189b)处集中，从而产生了通过组织的更为限定的电流路径。
在需要进行快速或反复切割组织(不密封组织)以例如用于接近下层组织的情况下，端部执行器组件100的打开钳口组织切割模式(例如，机械打开钳口切割模式和电气/机电打开钳口切割模式)尤为有利。例如，打开钳口组织切割模式允许端部执行器组件100连续切割组织并且推进通过组织(例如，多层组织)，以有效且便利地接近下层组织或者下层手术部位。可以使用机械切割来切割例如尺寸较小的特定组织，而其它组织(例如更为强壮或更大的组织)需要使用隆起和电气/机电切割。
参照图1、3和7A-7B，描述了使用端部执行器组件100来机械或机电剪割组织。如上所述，刀184包括沿着刀184的切割组织部分188的长度延伸的上组织切割表面189b。因此，在钳口构件110、120布置在间隔开的位置中并且刀184位于延伸位置中的情况下，暴露出上组织切割表面189b。因此，例如，通过反复握住和释放可移动的手柄40，钳口构件110、120可以以剪刀状的方式在间隔开的位置和接近位置之间反复运动，以机械切割布置在钳口构件110、120之间的组织。更加具体地，在使用中，组织定位在钳口构件110、120之间，使得当钳口构件110、120从间隔开的位置运动到接近位置时，刀184的上组织切割表面189b平移通过定位在所述钳口构件110、120之间的组织并且进入到钳口构件110的刀通道115中(图5A-5C)以切割组织，同时组织被保持在位于钳口构件110、120之间就位。
继续参照图1、3和7A-7B，端部执行器组件100还可以用于机电剪割组织。为了进行机电剪割，例如通过激活刀激活开关92使刀184通电，以具有“有源”电极的功能，而通过激活第一开关部件90a使组织密封板112通电到不同的电势，使得组织密封板112具有“返回”电极的功能。在这种构造中，组织密封板122没有通电。
在使用中，在电气/机电剪割模式中，组织定位在钳口构件110、120之间并且钳口构件110、120从间隔开的位置运动到接近位置。当钳口构件110、120朝向接近位置运动时，在驱动刀184的上组织切割组织表面189b进入定位在刀184和钳口构件110的刀通道115(图5A-5C)之间的组织中时，实现某些机械切割。当钳口构件110、120进一步朝向接近位置运动时，刀184和钳口构件110驱动组织与钳口构件120的组织密封板122相接触，以产生从刀184的上组织切割表面189b通过组织到组织密封板122的电流路径，从而允许在其间传导能量，以电气切割组织。
端部执行器组件100的剪割模式(例如机械和电气/机电剪割模式)对于切割更强壮和/或更大的组织尤为有利在于，当推进刀184通过组织时，钳口构件110、120将组织保持就位。具体程序、组织的尺寸/构成、或其它因素可以确定机械切割是否充分或者确定是否需要电气/机电切割。
参照图1-7B，如上详细所述，端部执行器组件100构造成根据钳口构件110、120(当由可移动的手柄40控制时)和/或刀184(当由触发器组件80控制时)的位置、和组织密封板112、122(当分别由第一和第二开关部件90a、90b控制时)和/或刀184(当由刀激活开关92控制时)的通电在多种操作模式中使用。通过控制可移动手柄40、触发器组件80、第一和第二开关部件90a、90b和/或刀激活开关92，端部执行器组件100能够在这些多种不同模式之间进行有效转换。因此，端部执行器组件100可以不仅用于实施多种不同的手术，而且也可以在单个手术期间在上述模式中的两个或多个之间进行转换。例如，端部执行器组件100可以用于在打开钳口切割模式或剪割模式中机械或电气/机电切割组织，以到达待密封和/或分离的下层组织。然后，端部执行器组件100可以用于(机械或电气/机电)抓持、密封和分离下层组织。可替代地，端部执行器组件100可以用于抓持并且密封组织，随后，通过使钳口构件110、120运动到接近位置来沿着组织密封部机械或电气/机电切割组织、在钳口构件110、120之间推进刀184并且沿着组织密封部通过隆起或剪割来(机械或电气/机电)切割组织。然而，端部执行器组件100并不局限于这些示例(或者模式的任何具体组合)，而是端部执行器组件100也可以按照任何适当的顺序在上述模式中的任意之间转换，即，端部执行器组件100可以定制成实施期望的手术。
从前述并且参照多张附图，本领域的技术人员将理解的是，在不背离本公开的范围的前提下，可以对本公开做出某些修改。尽管已经在附图中示出了本公开的若干实施例，但是其并不旨在使本公开局限于此，而是旨在本公开的范围如本领域将允许的那样广泛，并且同样地阅读说明书。因此，以上描述不应当视为限制，而是仅仅是具体实施例的示例。本领域的技术人员将预想出在随附权利要求的范围和精神内的其它修改方案。

Claims (19)

1.一种手术器械，所述手术器械包括：
端部执行器组件，所述端部执行器组件包括：
第一钳口构件和第二钳口构件，所述第一钳口构件和第二钳口构件中的至少一个能够相对于另一个在间隔开的位置和接近位置之间运动，以用于将组织抓持在所述第一钳口构件和第二钳口构件之间，所述第一钳口构件和第二钳口构件中的至少一个限定能够连接到能量源的导电表面；和
刀，所述刀能够连接到能量源，并且能够相对于所述第一钳口构件和第二钳口构件有选择地在缩回位置和延伸位置之间平移，在所述延伸位置中所述刀在所述第一钳口构件和第二钳口构件之间延伸，在所述第一钳口构件和第二钳口构件的间隔开的位置和接近位置中的每个中，所述刀均能够在所述缩回位置和所述延伸位置之间平移，所述刀构造成用于在所述第一钳口构件和第二钳口构件布置在所述接近位置的情况下当所述刀从所述缩回位置平移到所述延伸位置时动态切割组织，所述刀构造成用于在所述刀布置在所述延伸位置的情况下静态切割组织。
2.根据权利要求1所述的手术器械，其中，所述刀构造成用于在所述刀布置在所述延伸位置并且所述第一钳口构件和第二钳口构件布置在所述间隔开的位置的情况下静态切割组织。
3.根据权利要求1所述的手术器械，其中，所述刀构造成用于在所述刀布置在所述延伸位置并且所述第一钳口构件和第二钳口构件在所述间隔开的位置和所述接近位置之间运动的情况下静态切割组织。
4.根据权利要求1所述的手术器械，所述手术器械还包括与所述端部执行器组件操作地关联的手柄组件，所述手柄组件包括可动手柄，所述可动手柄能够选择性地致动，用于使所述第一钳口构件和第二钳口构件从所述间隔开的位置运动到所述接近位置。
5.根据权利要求1所述的手术器械，所述手术器械还包括与所述刀操作地关联的触发器组件，所述触发器组件包括触发器，所述触发器能够选择性地致动，用于使所述刀在所述缩回位置和所述延伸位置之间平移。
6.根据权利要求1所述的手术器械，所述手术器械还包括：
第一激活开关，所述第一激活开关构造成用于有选择地使所述第一钳口构件的导电表面通电；和
第二激活开关，所述第二激活开关构造成用于有选择地使所述第二钳口构件的导电表面通电。
7.根据权利要求1所述的手术器械，所述手术器械还包括刀致动开关，所述刀致动开关构造成用于有选择地使所述刀通电。
8.根据权利要求1所述的手术器械，其中，所述刀以及所述第一钳口构件和第二钳口构件中的至少一个的导电表面能够通电，以在所述刀和所述第一钳口构件和第二钳口构件中的至少一个的导电表面之间传导能量，从而电气切割组织。
9.根据权利要求1所述的手术器械，其中，所述第一钳口构件和第二钳口构件的导电表面能够通电，以在所述第一钳口构件和第二钳口构件的导电表面之间传导能量，从而密封组织。
10.根据权利要求1所述的手术器械，其中，所述第二钳口构件固定，并且其中，所述第一钳口构件相对于所述第二钳口构件能够运动。
11.根据权利要求10所述的手术器械，其中，所述第二钳口构件限定纵向延伸通过其导电表面的刀通道，并且其中，无论所述第一钳口构件和第二钳口构件布置在所述间隔开的位置中或者所述接近位置中，在所述刀从所述缩回位置平移到所述延伸位置时，所述刀至少部分地平移通过所述第二钳口构件的刀通道。
12.根据权利要求11所述的手术器械，其中，所述第一钳口构件限定纵向延伸通过其导电表面的刀通道，并且其中，在所述第一钳口构件和第二钳口构件布置在所述接近位置中的情况下在所述刀从所述缩回位置平移到所述延伸位置时，所述刀至少部分地平移通过所述第一钳口构件的刀通道。
13.根据权利要求12所述的手术器械，其中，在所述第一钳口构件和第二钳口构件布置在间隔开的位置中的情况下在所述刀从所述缩回位置平移到所述延伸位置时，所述刀与所述第一钳口构件的刀通道间隔开。
14.根据权利要求13所述的手术器械，其中，所述刀和所述第二钳口构件的导电表面能够通电，以在所述刀和所述第二钳口构件的导电表面之间并且通过组织传导能量，以当所述第一钳口构件和第二钳口构件布置在所述间隔开的位置中时并且所述刀布置在所述延伸位置中时经由隆起电气切割组织。
15.根据权利要求13所述的手术器械，其中，所述刀和所述第一钳口构件的导电表面能够通电，以在所述刀和所述第一钳口构件的导电表面之间并且通过组织传导能量，以在所述刀布置在所述延伸位置中时并且所述第一钳口构件在所述间隔开的位置和所述接近位置之间移动时通过剪割来电气切割组织。
16.根据权利要求13所述的手术器械，其中，所述刀和所述第一钳口构件和第二钳口构件中的至少一个的导电表面能够通电，以在所述刀和所述第一钳口构件和第二钳口构件中的至少一个的导电表面之间并且通过组织传导能量，以在所述第一钳口构件和第二钳口构件布置在所述接近位置中时并且所述刀从缩回位置平移到延伸位置时电气切割组织。
17.根据权利要求11所述的手术器械，其中，所述刀限定了构造成用于在动态组织切割中使用的第一组织切割部分和构造成用于在静态组织切割中使用的第二组织切割部分。
18.根据权利要求17所述的手术器械，其中，所述刀的第一组织切割部分被定向成在所述刀从所述缩回位置平移到所述延伸位置时限定所述刀的前端部。
19.根据权利要求17所述的手术器械，其中，所述第二组织切割部分被定向成面对所述第一钳口构件或者所述第二钳口构件。
CN201610496659.XA 2011-11-10 2012-11-09 手术器械 Active CN105997238B (zh)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US13/293,754 2011-11-10
US13/293,754 US8968309B2 (en) 2011-11-10 2011-11-10 Surgical forceps
CN201210445770.8A CN103099670B (zh) 2011-11-10 2012-11-09 手术钳

Related Parent Applications (1)

Application Number Title Priority Date Filing Date
CN201210445770.8A Division CN103099670B (zh) 2011-11-10 2012-11-09 手术钳

Publications (2)

Publication Number Publication Date
CN105997238A true CN105997238A (zh) 2016-10-12
CN105997238B CN105997238B (zh) 2018-09-25

Family

ID=47226008

Family Applications (2)

Application Number Title Priority Date Filing Date
CN201210445770.8A Active CN103099670B (zh) 2011-11-10 2012-11-09 手术钳
CN201610496659.XA Active CN105997238B (zh) 2011-11-10 2012-11-09 手术器械

Family Applications Before (1)

Application Number Title Priority Date Filing Date
CN201210445770.8A Active CN103099670B (zh) 2011-11-10 2012-11-09 手术钳

Country Status (5)

Country Link
US (3) US8968309B2 (zh)
EP (2) EP3153126A1 (zh)
JP (1) JP5964212B2 (zh)
CN (2) CN103099670B (zh)
AU (1) AU2012244379B2 (zh)

Families Citing this family (198)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7364577B2 (en) 2002-02-11 2008-04-29 Sherwood Services Ag Vessel sealing system
DE60121229T2 (de) 2001-04-06 2007-05-24 Sherwood Services Ag Vorrichtung zum abdichten und teilen eines gefässes mit nichtleitendem endanschlag
US7628791B2 (en) 2005-08-19 2009-12-08 Covidien Ag Single action tissue sealer
US8298232B2 (en) 2006-01-24 2012-10-30 Tyco Healthcare Group Lp Endoscopic vessel sealer and divider for large tissue structures
US8357158B2 (en) 2008-04-22 2013-01-22 Covidien Lp Jaw closure detection system
US8114122B2 (en) 2009-01-13 2012-02-14 Tyco Healthcare Group Lp Apparatus, system, and method for performing an electrosurgical procedure
US8187273B2 (en) 2009-05-07 2012-05-29 Tyco Healthcare Group Lp Apparatus, system, and method for performing an electrosurgical procedure
US8430876B2 (en) 2009-08-27 2013-04-30 Tyco Healthcare Group Lp Vessel sealer and divider with knife lockout
US8357159B2 (en) 2009-09-03 2013-01-22 Covidien Lp Open vessel sealing instrument with pivot assembly
US8133254B2 (en) 2009-09-18 2012-03-13 Tyco Healthcare Group Lp In vivo attachable and detachable end effector assembly and laparoscopic surgical instrument and methods therefor
US8112871B2 (en) 2009-09-28 2012-02-14 Tyco Healthcare Group Lp Method for manufacturing electrosurgical seal plates
US9844384B2 (en) 2011-07-11 2017-12-19 Covidien Lp Stand alone energy-based tissue clips
US8864795B2 (en) 2011-10-03 2014-10-21 Covidien Lp Surgical forceps
US8968309B2 (en) 2011-11-10 2015-03-03 Covidien Lp Surgical forceps
US8968310B2 (en) 2011-11-30 2015-03-03 Covidien Lp Electrosurgical instrument with a knife blade lockout mechanism
US8968360B2 (en) 2012-01-25 2015-03-03 Covidien Lp Surgical instrument with resilient driving member and related methods of use
US8747434B2 (en) 2012-02-20 2014-06-10 Covidien Lp Knife deployment mechanisms for surgical forceps
US8887373B2 (en) 2012-02-24 2014-11-18 Covidien Lp Vessel sealing instrument with reduced thermal spread and method of manufacture therefor
US8961514B2 (en) 2012-03-06 2015-02-24 Covidien Lp Articulating surgical apparatus
US9375282B2 (en) 2012-03-26 2016-06-28 Covidien Lp Light energy sealing, cutting and sensing surgical device
US9265569B2 (en) 2012-03-29 2016-02-23 Covidien Lp Method of manufacturing an electrosurgical forceps
US9820765B2 (en) 2012-05-01 2017-11-21 Covidien Lp Surgical instrument with stamped double-flange jaws
US8968311B2 (en) 2012-05-01 2015-03-03 Covidien Lp Surgical instrument with stamped double-flag jaws and actuation mechanism
US9668807B2 (en) 2012-05-01 2017-06-06 Covidien Lp Simplified spring load mechanism for delivering shaft force of a surgical instrument
US9375258B2 (en) 2012-05-08 2016-06-28 Covidien Lp Surgical forceps
US9039731B2 (en) 2012-05-08 2015-05-26 Covidien Lp Surgical forceps including blade safety mechanism
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
US9192421B2 (en) 2012-07-24 2015-11-24 Covidien Lp Blade lockout mechanism for surgical forceps
US9265566B2 (en) 2012-10-16 2016-02-23 Covidien Lp Surgical instrument
US9439665B2 (en) 2012-12-20 2016-09-13 Covidien Lp Pediatric combination surgical device
US10646267B2 (en) 2013-08-07 2020-05-12 Covidien LLP Surgical forceps
USD788302S1 (en) 2013-10-01 2017-05-30 Covidien Lp Knife for endoscopic electrosurgical forceps
US9918785B2 (en) 2014-09-17 2018-03-20 Covidien Lp Deployment mechanisms for surgical instruments
US10039593B2 (en) 2014-09-17 2018-08-07 Covidien Lp Surgical instrument having a bipolar end effector assembly and a deployable monopolar assembly
US10080605B2 (en) 2014-09-17 2018-09-25 Covidien Lp Deployment mechanisms for surgical instruments
US9931158B2 (en) 2014-09-17 2018-04-03 Covidien Lp Deployment mechanisms for surgical instruments
US9987076B2 (en) 2014-09-17 2018-06-05 Covidien Lp Multi-function surgical instruments
US11504192B2 (en) 2014-10-30 2022-11-22 Cilag Gmbh International Method of hub communication with surgical instrument systems
US10172612B2 (en) 2015-01-21 2019-01-08 Covidien Lp Surgical instruments with force applier and methods of use
US10206736B2 (en) 2015-03-13 2019-02-19 Covidien Lp Surgical forceps with scalpel functionality
KR101535152B1 (ko) * 2015-04-07 2015-07-09 (주)포엘디자인 다기능 전기수술기
KR101535140B1 (ko) * 2015-04-07 2015-07-09 (주)포엘디자인 다기능 전기수술기의 수술도구 결합구조
USD844139S1 (en) 2015-07-17 2019-03-26 Covidien Lp Monopolar assembly of a multi-function surgical instrument
USD844138S1 (en) 2015-07-17 2019-03-26 Covidien Lp Handle assembly of a multi-function surgical instrument
WO2017042791A2 (en) * 2015-09-11 2017-03-16 Katya Surgical Ltd. Multi-functional laparoscopic surgical apparatuses and applications thereof
US10245057B2 (en) 2015-10-28 2019-04-02 Covidien Lp Surgical instruments including knife assemblies with reducible cutting height
US11523860B2 (en) 2016-01-11 2022-12-13 Gyrus Acmi, Inc. Electrosurgical device for vessel sealing and cutting
EP3389533B1 (en) * 2016-01-11 2019-10-16 Gyrus ACMI, Inc. (D.B.A. Olympus Surgical Technologies America) Electrosurgical device for vessel sealing and cutting
EP3386408A1 (en) 2016-01-11 2018-10-17 Gyrus ACMI, Inc. (D.B.A. Olympus Surgical Technologies America) Advanced energy device with bipolar dissection capability
US10537381B2 (en) 2016-02-26 2020-01-21 Covidien Lp Surgical instrument having a bipolar end effector assembly and a deployable monopolar assembly
US20170348042A1 (en) * 2016-06-01 2017-12-07 Covidien Lp Cutting mechanisms for surgical end effector assemblies, instruments, and systems
US10869682B2 (en) 2016-07-08 2020-12-22 Covidien Lp Cutting mechanisms for surgical end effector assemblies, instruments, and systems
US10631887B2 (en) 2016-08-15 2020-04-28 Covidien Lp Electrosurgical forceps for video assisted thoracoscopic surgery and other surgical procedures
WO2018078645A2 (en) * 2016-10-24 2018-05-03 Xcellance Medical Technologies Pvt Ltd Electric sealer with cutter
US10813695B2 (en) 2017-01-27 2020-10-27 Covidien Lp Reflectors for optical-based vessel sealing
US10973567B2 (en) 2017-05-12 2021-04-13 Covidien Lp Electrosurgical forceps for grasping, treating, and/or dividing tissue
US11172980B2 (en) 2017-05-12 2021-11-16 Covidien Lp Electrosurgical forceps for grasping, treating, and/or dividing tissue
EP3406218A1 (de) * 2017-05-24 2018-11-28 Erbe Elektromedizin GmbH Koagulations- und dissektions-instrument mit stiftelektroden
USD843574S1 (en) 2017-06-08 2019-03-19 Covidien Lp Knife for open vessel sealer
USD854684S1 (en) 2017-06-08 2019-07-23 Covidien Lp Open vessel sealer with mechanical cutter
USD854149S1 (en) 2017-06-08 2019-07-16 Covidien Lp End effector for open vessel sealer
US11154348B2 (en) 2017-08-29 2021-10-26 Covidien Lp Surgical instruments and methods of assembling surgical instruments
US11129634B2 (en) 2017-10-30 2021-09-28 Cilag Gmbh International Surgical instrument with rotary drive selectively actuating multiple end effector functions
US11116485B2 (en) 2017-10-30 2021-09-14 Cilag Gmbh International Surgical instrument with modular power sources
US11564756B2 (en) 2017-10-30 2023-01-31 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
US11129636B2 (en) 2017-10-30 2021-09-28 Cilag Gmbh International Surgical instruments comprising an articulation drive that provides for high articulation angles
US11510741B2 (en) 2017-10-30 2022-11-29 Cilag Gmbh International Method for producing a surgical instrument comprising a smart electrical system
US10932804B2 (en) 2017-10-30 2021-03-02 Ethicon Llc Surgical instrument with sensor and/or control systems
WO2019089305A1 (en) * 2017-10-30 2019-05-09 Ethicon Llc Surgical suturing instrument configured to manipulate tissue using mechanical and electrical power
US11291510B2 (en) 2017-10-30 2022-04-05 Cilag Gmbh International Method of hub communication with surgical instrument systems
US11311342B2 (en) 2017-10-30 2022-04-26 Cilag Gmbh International Method for communicating with surgical instrument systems
US11026687B2 (en) 2017-10-30 2021-06-08 Cilag Gmbh International Clip applier comprising clip advancing systems
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
US11911045B2 (en) 2017-10-30 2024-02-27 Cllag GmbH International Method for operating a powered articulating multi-clip applier
EP3477654A1 (en) * 2017-10-30 2019-05-01 Ethicon LLC Electrical power output control based on mechanical forces
US10695081B2 (en) 2017-12-28 2020-06-30 Ethicon Llc Controlling a surgical instrument according to sensed closure parameters
US11424027B2 (en) 2017-12-28 2022-08-23 Cilag Gmbh International Method for operating surgical instrument systems
US10987178B2 (en) 2017-12-28 2021-04-27 Ethicon Llc Surgical hub control arrangements
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
US11304720B2 (en) 2017-12-28 2022-04-19 Cilag Gmbh International Activation of energy devices
US11317937B2 (en) 2018-03-08 2022-05-03 Cilag Gmbh International Determining the state of an ultrasonic end effector
US20190201039A1 (en) 2017-12-28 2019-07-04 Ethicon Llc Situational awareness of electrosurgical systems
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
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
US11304745B2 (en) 2017-12-28 2022-04-19 Cilag Gmbh International Surgical evacuation sensing and display
US11832899B2 (en) 2017-12-28 2023-12-05 Cilag Gmbh International Surgical systems with autonomously adjustable control programs
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
US11109866B2 (en) 2017-12-28 2021-09-07 Cilag Gmbh International Method for circular stapler control algorithm adjustment based on situational awareness
US11311306B2 (en) 2017-12-28 2022-04-26 Cilag Gmbh International Surgical systems for detecting end effector tissue distribution irregularities
US11903601B2 (en) 2017-12-28 2024-02-20 Cilag Gmbh International Surgical instrument comprising a plurality of drive systems
US11464535B2 (en) 2017-12-28 2022-10-11 Cilag Gmbh International Detection of end effector emersion in liquid
US10944728B2 (en) 2017-12-28 2021-03-09 Ethicon Llc Interactive surgical systems with encrypted communication capabilities
US11666331B2 (en) 2017-12-28 2023-06-06 Cilag Gmbh International Systems for detecting proximity of surgical end effector to cancerous tissue
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
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
US11132462B2 (en) 2017-12-28 2021-09-28 Cilag Gmbh International Data stripping method to interrogate patient records and create anonymized record
US11056244B2 (en) 2017-12-28 2021-07-06 Cilag Gmbh International Automated data scaling, alignment, and organizing based on predefined parameters within surgical networks
US11234756B2 (en) 2017-12-28 2022-02-01 Cilag Gmbh International Powered surgical tool with predefined adjustable control algorithm for controlling end effector parameter
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
US11410259B2 (en) 2017-12-28 2022-08-09 Cilag Gmbh International Adaptive control program updates for surgical devices
US11576677B2 (en) 2017-12-28 2023-02-14 Cilag Gmbh International Method of hub communication, processing, display, and cloud analytics
US11857152B2 (en) 2017-12-28 2024-01-02 Cilag Gmbh International Surgical hub spatial awareness to determine devices in operating theater
US11589888B2 (en) 2017-12-28 2023-02-28 Cilag Gmbh International Method for controlling smart energy devices
US20190201146A1 (en) 2017-12-28 2019-07-04 Ethicon Llc Safety systems for smart powered surgical stapling
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
US10943454B2 (en) 2017-12-28 2021-03-09 Ethicon Llc Detection and escalation of security responses of surgical instruments to increasing severity threats
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
US11147607B2 (en) 2017-12-28 2021-10-19 Cilag Gmbh International Bipolar combination device that automatically adjusts pressure based on energy modality
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
US11069012B2 (en) 2017-12-28 2021-07-20 Cilag Gmbh International Interactive surgical systems with condition handling of devices and data capabilities
US11559308B2 (en) 2017-12-28 2023-01-24 Cilag Gmbh International Method for smart energy device infrastructure
US11026751B2 (en) 2017-12-28 2021-06-08 Cilag Gmbh International Display of alignment of staple cartridge to prior linear staple line
US11266468B2 (en) 2017-12-28 2022-03-08 Cilag Gmbh International Cooperative utilization of data derived from secondary sources by intelligent surgical hubs
US11786251B2 (en) 2017-12-28 2023-10-17 Cilag Gmbh International Method for adaptive control schemes for surgical network control and interaction
US11659023B2 (en) 2017-12-28 2023-05-23 Cilag Gmbh International Method of hub communication
US11529187B2 (en) 2017-12-28 2022-12-20 Cilag Gmbh International Surgical evacuation sensor arrangements
US11612444B2 (en) 2017-12-28 2023-03-28 Cilag Gmbh International Adjustment of a surgical device function based on situational awareness
US11166772B2 (en) 2017-12-28 2021-11-09 Cilag Gmbh International Surgical hub coordination of control and communication of operating room devices
US10892899B2 (en) 2017-12-28 2021-01-12 Ethicon Llc Self describing data packets generated at an issuing instrument
US11744604B2 (en) 2017-12-28 2023-09-05 Cilag Gmbh International Surgical instrument with a hardware-only control circuit
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
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
US11937769B2 (en) 2017-12-28 2024-03-26 Cilag Gmbh International Method of hub communication, processing, storage and display
US11051876B2 (en) 2017-12-28 2021-07-06 Cilag Gmbh International Surgical evacuation flow paths
US11273001B2 (en) 2017-12-28 2022-03-15 Cilag Gmbh International Surgical hub and modular device response adjustment based on situational awareness
US11291495B2 (en) 2017-12-28 2022-04-05 Cilag Gmbh International Interruption of energy due to inadvertent capacitive coupling
US11253315B2 (en) 2017-12-28 2022-02-22 Cilag Gmbh International Increasing radio frequency to create pad-less monopolar loop
US11160605B2 (en) 2017-12-28 2021-11-02 Cilag Gmbh International Surgical evacuation sensing and motor control
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
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
US11571234B2 (en) 2017-12-28 2023-02-07 Cilag Gmbh International Temperature control of ultrasonic end effector and control system therefor
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
US11278281B2 (en) 2017-12-28 2022-03-22 Cilag Gmbh International Interactive surgical system
US10849697B2 (en) 2017-12-28 2020-12-01 Ethicon Llc Cloud interface for coupled surgical devices
US11376002B2 (en) 2017-12-28 2022-07-05 Cilag Gmbh International Surgical instrument cartridge sensor assemblies
US11284936B2 (en) 2017-12-28 2022-03-29 Cilag Gmbh International Surgical instrument having a flexible electrode
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
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
US11540855B2 (en) 2017-12-28 2023-01-03 Cilag Gmbh International Controlling activation of an ultrasonic surgical instrument according to the presence of tissue
US11179175B2 (en) 2017-12-28 2021-11-23 Cilag Gmbh International Controlling an ultrasonic surgical instrument according to tissue location
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
US11304699B2 (en) 2017-12-28 2022-04-19 Cilag Gmbh International Method for adaptive control schemes for surgical network control and interaction
US11179208B2 (en) 2017-12-28 2021-11-23 Cilag Gmbh International Cloud-based medical analytics for security and authentication trends and reactive measures
US11364075B2 (en) 2017-12-28 2022-06-21 Cilag Gmbh International Radio frequency energy device for delivering combined electrical signals
US11045591B2 (en) 2017-12-28 2021-06-29 Cilag Gmbh International Dual in-series large and small droplet filters
US20190201139A1 (en) 2017-12-28 2019-07-04 Ethicon Llc Communication arrangements for robot-assisted surgical platforms
US11076921B2 (en) 2017-12-28 2021-08-03 Cilag Gmbh International Adaptive control program updates for surgical hubs
US11559307B2 (en) 2017-12-28 2023-01-24 Cilag Gmbh International Method of robotic hub communication, detection, and control
US11896443B2 (en) 2017-12-28 2024-02-13 Cilag Gmbh International Control of a surgical system through a surgical barrier
US11864728B2 (en) 2017-12-28 2024-01-09 Cilag Gmbh International Characterization of tissue irregularities through the use of mono-chromatic light refractivity
US20190201118A1 (en) 2017-12-28 2019-07-04 Ethicon Llc Display arrangements for robot-assisted surgical platforms
US11832840B2 (en) 2017-12-28 2023-12-05 Cilag Gmbh International Surgical instrument having a flexible circuit
US11678881B2 (en) 2017-12-28 2023-06-20 Cilag Gmbh International Spatial awareness of surgical hubs in operating rooms
US11324557B2 (en) 2017-12-28 2022-05-10 Cilag Gmbh International Surgical instrument with a sensing array
US11419630B2 (en) 2017-12-28 2022-08-23 Cilag Gmbh International Surgical system distributed processing
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
US10755813B2 (en) 2017-12-28 2020-08-25 Ethicon Llc Communication of smoke evacuation system parameters to hub or cloud in smoke evacuation module for interactive surgical platform
US11602393B2 (en) 2017-12-28 2023-03-14 Cilag Gmbh International Surgical evacuation sensing and generator control
US11259830B2 (en) 2018-03-08 2022-03-01 Cilag Gmbh International Methods for controlling temperature in ultrasonic device
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
US11241275B2 (en) 2018-03-21 2022-02-08 Covidien Lp Energy-based surgical instrument having multiple operational configurations
US11259806B2 (en) 2018-03-28 2022-03-01 Cilag Gmbh International Surgical stapling devices with features for blocking advancement of a camming assembly of an incompatible cartridge installed therein
US11213294B2 (en) 2018-03-28 2022-01-04 Cilag Gmbh International Surgical instrument comprising co-operating lockout features
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
US11471156B2 (en) 2018-03-28 2022-10-18 Cilag Gmbh International Surgical stapling devices with improved rotary driven closure systems
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
US11096688B2 (en) 2018-03-28 2021-08-24 Cilag Gmbh International Rotary driven firing members with different anvil and channel engagement features
US11090047B2 (en) 2018-03-28 2021-08-17 Cilag Gmbh International Surgical instrument comprising an adaptive control system
US11219453B2 (en) 2018-03-28 2022-01-11 Cilag Gmbh International Surgical stapling devices with cartridge compatible closure and firing lockout arrangements
US11123132B2 (en) 2018-04-09 2021-09-21 Covidien Lp Multi-function surgical instruments and assemblies therefor
US10828756B2 (en) 2018-04-24 2020-11-10 Covidien Lp Disassembly methods facilitating reprocessing of multi-function surgical instruments
US10780544B2 (en) 2018-04-24 2020-09-22 Covidien Lp Systems and methods facilitating reprocessing of surgical instruments
USD904611S1 (en) 2018-10-10 2020-12-08 Bolder Surgical, Llc Jaw design for a surgical instrument
US11471211B2 (en) 2018-10-12 2022-10-18 Covidien Lp Electrosurgical forceps
US11376062B2 (en) 2018-10-12 2022-07-05 Covidien Lp Electrosurgical forceps
US11553939B2 (en) * 2018-10-31 2023-01-17 Cilag Gmbh International Surgical instruments with a retention feature that retains a cutting element
US11350982B2 (en) 2018-12-05 2022-06-07 Covidien Lp Electrosurgical forceps
US11369377B2 (en) 2019-02-19 2022-06-28 Cilag Gmbh International Surgical stapling assembly with cartridge based retainer configured to unlock a firing lockout
US11291444B2 (en) 2019-02-19 2022-04-05 Cilag Gmbh International Surgical stapling assembly with cartridge based retainer configured to unlock a closure lockout
US11357503B2 (en) 2019-02-19 2022-06-14 Cilag Gmbh International Staple cartridge retainers with frangible retention features and methods of using same
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
US11464511B2 (en) 2019-02-19 2022-10-11 Cilag Gmbh International Surgical staple cartridges with movable authentication key arrangements
US11523861B2 (en) 2019-03-22 2022-12-13 Covidien Lp Methods for manufacturing a jaw assembly for an electrosurgical forceps
KR102316810B1 (ko) * 2019-06-17 2021-10-25 주식회사 청우메디칼 복강경 수술용 고주파 절삭기
USD952144S1 (en) 2019-06-25 2022-05-17 Cilag Gmbh International Surgical staple cartridge retainer with firing system authentication key
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
US11529186B2 (en) * 2019-07-22 2022-12-20 Covidien Lp Electrosurgical forceps including thermal cutting element
US11622804B2 (en) 2020-03-16 2023-04-11 Covidien Lp Forceps with linear trigger mechanism
US11660109B2 (en) 2020-09-08 2023-05-30 Covidien Lp Cutting elements for surgical instruments such as for use in robotic surgical systems
US11925406B2 (en) 2020-09-14 2024-03-12 Covidien Lp End effector assemblies for surgical instruments
US20220241005A1 (en) * 2021-02-01 2022-08-04 Covidien Lp Electrosurgical instruments, jaw members thereof, and methods of manufacturing

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN1732856A (zh) * 2004-07-28 2006-02-15 伊西康内外科公司 采用电致动关节机构的外科器械
US20070106295A1 (en) * 2005-09-30 2007-05-10 Garrison David M Insulating boot for electrosurgical forceps
CN101522127A (zh) * 2006-10-06 2009-09-02 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
US20100137854A1 (en) * 2008-05-23 2010-06-03 Gyrus Medical Limited Electrosurgical generator and system

Family Cites Families (251)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
SU401367A1 (ru) 1971-10-05 1973-10-12 Тернопольский государственный медицинский институт Биактивный электрохирургическнп инструмент
DE2415263A1 (de) 1974-03-29 1975-10-02 Aesculap Werke Ag Chirurgische hf-koagulationssonde
DE2514501A1 (de) 1975-04-03 1976-10-21 Karl Storz Bipolares coagulationsinstrument fuer endoskope
FR2315286A2 (fr) 1975-06-26 1977-01-21 Lamidey Marcel Pince a dissequer, hemostatique, haute frequence
USD249549S (en) 1976-10-22 1978-09-19 Aspen Laboratories, Inc. Electrosurgical handle
USD263020S (en) 1980-01-22 1982-02-16 Rau Iii David M Retractable knife
DE3490633T (de) 1984-01-30 1985-12-12 Char'kovskaja oblastnaja kliničeskaja bol'nica, Char'kov Bipolares elektrochirurgisches Gerät
DE3423356C2 (de) 1984-06-25 1986-06-26 Berchtold Medizin-Elektronik GmbH & Co, 7200 Tuttlingen Elektrochirurgisches Hochfrequenz-Schneidinstrument
US4657016A (en) 1984-08-20 1987-04-14 Garito Jon C Electrosurgical handpiece for blades, needles and forceps
USD299413S (en) 1985-07-17 1989-01-17 The Stanley Works Folding pocket saw handle
USD295893S (en) 1985-09-25 1988-05-24 Acme United Corporation Disposable surgical clamp
USD295894S (en) 1985-09-26 1988-05-24 Acme United Corporation Disposable surgical scissors
JPH055106Y2 (zh) 1986-02-28 1993-02-09
USD298353S (en) 1986-05-06 1988-11-01 Vitalmetrics, Inc. Handle for surgical instrument
JPH0540112Y2 (zh) 1987-03-03 1993-10-12
DE8712328U1 (zh) 1987-09-11 1988-02-18 Jakoubek, Franz, 7201 Emmingen-Liptingen, De
US5665100A (en) * 1989-12-05 1997-09-09 Yoon; Inbae Multifunctional instrument with interchangeable operating units for performing endoscopic procedures
US5389102A (en) 1990-09-13 1995-02-14 United States Surgical Corporation Apparatus and method for subcuticular stapling of body tissue
US5190541A (en) 1990-10-17 1993-03-02 Boston Scientific Corporation Surgical instrument and method
US5324289A (en) 1991-06-07 1994-06-28 Hemostatic Surgery Corporation Hemostatic bi-polar electrosurgical cutting apparatus and methods of use
USD348930S (en) 1991-10-11 1994-07-19 Ethicon, Inc. Endoscopic stapler
JPH0630945A (ja) 1992-05-19 1994-02-08 Olympus Optical Co Ltd 縫合器
USD349341S (en) 1992-10-28 1994-08-02 Microsurge, Inc. Endoscopic grasper
DE4303882C2 (de) 1993-02-10 1995-02-09 Kernforschungsz Karlsruhe Kombinationsinstrument zum Trennen und Koagulieren für die minimal invasive Chirurgie
JP3390041B2 (ja) 1993-04-05 2003-03-24 オリンパス光学工業株式会社 鉗 子
GB9309142D0 (en) 1993-05-04 1993-06-16 Gyrus Medical Ltd Laparoscopic instrument
USD343453S (en) 1993-05-05 1994-01-18 Laparomed Corporation Handle for laparoscopic surgical instrument
USD354564S (en) 1993-06-25 1995-01-17 Richard-Allan Medical Industries, Inc. Surgical clip applier
US5688270A (en) 1993-07-22 1997-11-18 Ethicon Endo-Surgery,Inc. Electrosurgical hemostatic device with recessed and/or offset electrodes
US5693051A (en) 1993-07-22 1997-12-02 Ethicon Endo-Surgery, Inc. Electrosurgical hemostatic device with adaptive electrodes
US5431674A (en) 1993-09-07 1995-07-11 Pa Consulting Group Compound motion cutting device
GB9322464D0 (en) 1993-11-01 1993-12-22 Gyrus Medical Ltd Electrosurgical apparatus
USD358887S (en) 1993-12-02 1995-05-30 Cobot Medical Corporation Combined cutting and coagulating forceps
DE4403252A1 (de) 1994-02-03 1995-08-10 Michael Hauser Instrumentenschaft für die minimalinvasive Chirurgie
GB9413070D0 (en) 1994-06-29 1994-08-17 Gyrus Medical Ltd Electrosurgical apparatus
AU694225B2 (en) 1994-08-02 1998-07-16 Ethicon Endo-Surgery, Inc. Ultrasonic hemostatic and cutting instrument
USD384413S (en) 1994-10-07 1997-09-30 United States Surgical Corporation Endoscopic suturing instrument
GB9425781D0 (en) 1994-12-21 1995-02-22 Gyrus Medical Ltd Electrosurgical instrument
DE19506363A1 (de) 1995-02-24 1996-08-29 Frost Lore Geb Haupt Verfahren zur nicht-invasiven Thermometrie in Organen unter medizinischen Hyperthermie- und Koagulationsbedingungen
JPH08289895A (ja) 1995-04-21 1996-11-05 Olympus Optical Co Ltd 縫合器
DE19515914C1 (de) 1995-05-02 1996-07-25 Aesculap Ag Zangen- oder scherenförmiges chirurgisches Instrument
US6293942B1 (en) 1995-06-23 2001-09-25 Gyrus Medical Limited Electrosurgical generator method
JPH1024051A (ja) 1995-09-20 1998-01-27 Olympus Optical Co Ltd 切離機能付凝固鉗子
USH1745H (en) 1995-09-29 1998-08-04 Paraschac; Joseph F. Electrosurgical clamping device with insulation limited bipolar electrode
AU703455B2 (en) 1995-10-20 1999-03-25 Ethicon Endo-Surgery, Inc. Self protecting knife for curved jaw surgical instruments
US5673842A (en) 1996-03-05 1997-10-07 Ethicon Endo-Surgery Surgical stapler with locking mechanism
DE19608716C1 (de) 1996-03-06 1997-04-17 Aesculap Ag Bipolares chirurgisches Faßinstrument
USD408018S (en) 1996-03-12 1999-04-13 Mcnaughton Patrick J Switch guard
USD416089S (en) 1996-04-08 1999-11-02 Richard-Allan Medical Industries, Inc. Endoscopic linear stapling and dividing surgical instrument
DE29616210U1 (de) 1996-09-18 1996-11-14 Winter & Ibe Olympus Handhabe für chirurgische Instrumente
US5923475A (en) 1996-11-27 1999-07-13 Eastman Kodak Company Laser printer using a fly's eye integrator
JP3836551B2 (ja) 1996-12-04 2006-10-25 ペンタックス株式会社 内視鏡用ホットバイオプシー鉗子
US5891142A (en) 1996-12-06 1999-04-06 Eggers & Associates, Inc. Electrosurgical forceps
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
JP3986127B2 (ja) 1997-08-06 2007-10-03 オリンパス株式会社 内視鏡下手術器械
DE19738457B4 (de) 1997-09-03 2009-01-02 Celon Ag Medical Instruments Verfahren und Vorrichtung für die In-vivo-Tiefenkoagulation biologischer Gewebevolumina bei gleichzeitiger Schonung der Gewebeoberfläche mit hochfrequentem Wechselstrom
USD402028S (en) 1997-10-10 1998-12-01 Invasatec, Inc. Hand controller for medical system
US5980510A (en) 1997-10-10 1999-11-09 Ethicon Endo-Surgery, Inc. Ultrasonic clamp coagulator apparatus having improved clamp arm pivot mount
DE19751108A1 (de) 1997-11-18 1999-05-20 Beger Frank Michael Dipl Desig Elektrochirurgisches Operationswerkzeug
JPH11169381A (ja) 1997-12-15 1999-06-29 Olympus Optical Co Ltd 高周波処置具
EP0923907A1 (en) 1997-12-19 1999-06-23 Gyrus Medical Limited An electrosurgical instrument
USD424694S (en) 1998-10-23 2000-05-09 Sherwood Services Ag Forceps
USD425201S (en) 1998-10-23 2000-05-16 Sherwood Services Ag Disposable electrode assembly
ES2251260T3 (es) 1998-10-23 2006-04-16 Sherwood Services Ag Forceps de obturacion de vasos abiertos con miembro de tope.
USD449886S1 (en) 1998-10-23 2001-10-30 Sherwood Services Ag Forceps with disposable electrode
DE19858512C1 (de) 1998-12-18 2000-05-25 Storz Karl Gmbh & Co Kg Bipolares medizinisches Instrument
DE19915061A1 (de) 1999-04-01 2000-10-26 Erbe Elektromedizin Chirurgisches Instrument
GB9911956D0 (en) 1999-05-21 1999-07-21 Gyrus Medical Ltd Electrosurgery system and method
GB9911954D0 (en) 1999-05-21 1999-07-21 Gyrus Medical Ltd Electrosurgery system and instrument
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
GB9913652D0 (en) 1999-06-11 1999-08-11 Gyrus Medical Ltd An electrosurgical generator
JP2001003400A (ja) 1999-06-21 2001-01-09 Sumitomo Constr Mach Co Ltd 油圧ショベルのモニター装置
DE19940689A1 (de) 1999-08-27 2001-04-05 Storz Karl Gmbh & Co Kg Bipolares medizinisches Instrument
USD465281S1 (en) 1999-09-21 2002-11-05 Karl Storz Gmbh & Co. Kg Endoscopic medical instrument
DE19946527C1 (de) 1999-09-28 2001-07-12 Storz Karl Gmbh & Co Kg Medizinisches bipolares Instrument zum Fassen, Koagulieren und Schneiden von Gewebe
ATE304820T1 (de) 1999-10-15 2005-10-15 Lina Medical Aps Ein elektrochirurgisches gerät zum koagulieren und schneiden, eine methode zum trennen von blutgefässen und eine methode zur koagulation und zum schneiden in oder trennen von gewebe
JP4315557B2 (ja) 2000-01-12 2009-08-19 オリンパス株式会社 医療用処置具
DE10003020C2 (de) 2000-01-25 2001-12-06 Aesculap Ag & Co Kg Bipolares Faßinstrument
DE10031773B4 (de) 2000-05-04 2007-11-29 Erbe Elektromedizin Gmbh Chirurgisches Greifinstrument, insbesondere Pinzette oder Zange
DE10027727C1 (de) 2000-06-03 2001-12-06 Aesculap Ag & Co Kg Scheren- oder zangenförmiges chirurgisches Instrument
DE10045375C2 (de) 2000-09-14 2002-10-24 Aesculap Ag & Co Kg Medizinisches Instrument
JP4436552B2 (ja) * 2000-09-22 2010-03-24 オリンパス株式会社 高周波処置具
WO2002056748A2 (en) 2000-10-20 2002-07-25 Onux Medical, Inc. Surgical suturing instrument and method of use
JP3523839B2 (ja) 2000-10-30 2004-04-26 オリンパス株式会社 手術器械
USD453923S1 (en) 2000-11-16 2002-02-26 Carling Technologies, Inc. Electrical rocker switch guard
DE10061278B4 (de) 2000-12-08 2004-09-16 GFD-Gesellschaft für Diamantprodukte mbH Instrument für chirurgische Zwecke
US20020111624A1 (en) 2001-01-26 2002-08-15 Witt David A. Coagulating electrosurgical instrument with tissue dam
DE20121161U1 (de) 2001-01-31 2002-04-04 Winter & Ibe Olympus Endoskopisches Instrument
USD454951S1 (en) 2001-02-27 2002-03-26 Visionary Biomedical, Inc. Steerable catheter
USD466209S1 (en) 2001-02-27 2002-11-26 Visionary Biomedical, Inc. Steerable catheter
DE60121229T2 (de) 2001-04-06 2007-05-24 Sherwood Services Ag Vorrichtung zum abdichten und teilen eines gefässes mit nichtleitendem endanschlag
USD457958S1 (en) 2001-04-06 2002-05-28 Sherwood Services Ag Vessel sealer and divider
USD457959S1 (en) 2001-04-06 2002-05-28 Sherwood Services Ag Vessel sealer
US6929644B2 (en) * 2001-10-22 2005-08-16 Surgrx Inc. Electrosurgical jaw structure for controlled energy delivery
US6676660B2 (en) 2002-01-23 2004-01-13 Ethicon Endo-Surgery, Inc. Feedback light apparatus and method for use with an electrosurgical instrument
DE60312348T2 (de) 2002-10-04 2008-01-24 Covidien Ag Elektrodenanordnung zum versiegeln und schneiden von gewebe
US7270664B2 (en) 2002-10-04 2007-09-18 Sherwood Services Ag Vessel sealing instrument with electrical cutting mechanism
US7276068B2 (en) 2002-10-04 2007-10-02 Sherwood Services Ag Vessel sealing instrument with electrical cutting mechanism
JP2003175052A (ja) 2002-11-01 2003-06-24 Olympus Optical Co Ltd 凝固処置具
USD493888S1 (en) 2003-02-04 2004-08-03 Sherwood Services Ag Electrosurgical pencil with pistol grip
USD499181S1 (en) 2003-05-15 2004-11-30 Sherwood Services Ag Handle for a vessel sealer and divider
USD496997S1 (en) 2003-05-15 2004-10-05 Sherwood Services Ag Vessel sealer and divider
USD502994S1 (en) 2003-05-21 2005-03-15 Blake, Iii Joseph W Repeating multi-clip applier
US7150749B2 (en) 2003-06-13 2006-12-19 Sherwood Services Ag Vessel sealer and divider having elongated knife stroke and safety cutting mechanism
USD545432S1 (en) 2003-08-08 2007-06-26 Olympus Corporation Distal portion of hemostatic forceps for endoscope
USD509297S1 (en) 2003-10-17 2005-09-06 Tyco Healthcare Group, Lp Surgical instrument
JP4624697B2 (ja) 2004-03-12 2011-02-02 オリンパス株式会社 手術用処置具
USD541938S1 (en) 2004-04-09 2007-05-01 Sherwood Services Ag Open vessel sealer with mechanical cutter
DE102004026179B4 (de) 2004-05-14 2009-01-22 Erbe Elektromedizin Gmbh Elektrochirurgisches Instrument
USD533942S1 (en) 2004-06-30 2006-12-19 Sherwood Services Ag Open vessel sealer with mechanical cutter
JP2006015078A (ja) 2004-07-05 2006-01-19 Olympus Corp 医療用装置
DE102004040959B4 (de) 2004-08-24 2008-12-24 Erbe Elektromedizin Gmbh Chirurgisches Instrument
USD525361S1 (en) 2004-10-06 2006-07-18 Sherwood Services Ag Hemostat style elongated dissecting and dividing instrument
USD541418S1 (en) 2004-10-06 2007-04-24 Sherwood Services Ag Lung sealing device
USD531311S1 (en) 2004-10-06 2006-10-31 Sherwood Services Ag Pistol grip style elongated dissecting and dividing instrument
USD535027S1 (en) 2004-10-06 2007-01-09 Sherwood Services Ag Low profile vessel sealing and cutting mechanism
USD567943S1 (en) 2004-10-08 2008-04-29 Sherwood Services Ag Over-ratchet safety for a vessel sealing instrument
USD533274S1 (en) 2004-10-12 2006-12-05 Allegiance Corporation Handle for surgical suction-irrigation device
USD582038S1 (en) 2004-10-13 2008-12-02 Medtronic, Inc. Transurethral needle ablation device
USD564662S1 (en) 2004-10-13 2008-03-18 Sherwood Services Ag Hourglass-shaped knife for electrosurgical forceps
US7686804B2 (en) 2005-01-14 2010-03-30 Covidien Ag Vessel sealer and divider with rotating sealer and cutter
USD538932S1 (en) 2005-06-30 2007-03-20 Medical Action Industries Inc. Surgical needle holder
CA2561034C (en) 2005-09-30 2014-12-09 Sherwood Services Ag Flexible endoscopic catheter with an end effector for coagulating and transfecting tissue
US7846161B2 (en) 2005-09-30 2010-12-07 Covidien Ag Insulating boot for electrosurgical forceps
CA2561622C (en) * 2005-09-30 2015-01-20 Sherwood Services Ag In-line vessel sealer and divider
US7594916B2 (en) 2005-11-22 2009-09-29 Covidien Ag Electrosurgical forceps with energy based tissue division
US7896895B2 (en) * 2005-11-23 2011-03-01 Ethicon Endo-Surgery, Inc. Surgical clip and applier device and method of use
US8241282B2 (en) 2006-01-24 2012-08-14 Tyco Healthcare Group Lp Vessel sealing cutting assemblies
USD541611S1 (en) 2006-01-26 2007-05-01 Robert Bosch Gmbh Cordless screwdriver
USD547154S1 (en) 2006-09-08 2007-07-24 Winsource Industries Limited Rotary driving tool
JP5149903B2 (ja) 2006-10-05 2013-02-20 エルベ・エレクトロメディティン・ゲゼルシャフト・ミット・ベシュレンクテル・ハフツング 医療機器
USD575395S1 (en) 2007-02-15 2008-08-19 Tyco Healthcare Group Lp Hemostat style elongated dissecting and dividing instrument
USD649249S1 (en) 2007-02-15 2011-11-22 Tyco Healthcare Group Lp End effectors of an elongated dissecting and dividing instrument
USD575401S1 (en) 2007-06-12 2008-08-19 Tyco Healthcare Group Lp Vessel sealer
DE202007009317U1 (de) 2007-06-26 2007-08-30 Aesculap Ag & Co. Kg Chirurgisches Instrument
DE202007009318U1 (de) 2007-06-26 2007-08-30 Aesculap Ag & Co. Kg Chirurgisches Instrument
DE202007009165U1 (de) 2007-06-29 2007-08-30 Kls Martin Gmbh + Co. Kg Chirurgisches Instrument
US8241283B2 (en) 2007-09-28 2012-08-14 Tyco Healthcare Group Lp Dual durometer insulating boot for electrosurgical forceps
DE202007016233U1 (de) 2007-11-20 2008-01-31 Aesculap Ag & Co. Kg Chirurgische Pinzette
US8192444B2 (en) 2008-01-16 2012-06-05 Tyco Healthcare Group Lp Uterine sealer
GB0804688D0 (en) * 2008-03-13 2008-04-16 Gyrus Group Plc Surgical instrument
ES2944288T3 (es) * 2008-03-31 2023-06-20 Applied Med Resources Sistema electroquirúrgico con medios para determinar el final de un tratamiento en base a un ángulo de fase
DE102008018406B3 (de) 2008-04-10 2009-07-23 Bowa-Electronic Gmbh & Co. Kg Elektrochirurgisches Gerät
US20100069903A1 (en) 2008-09-18 2010-03-18 Tyco Healthcare Group Lp Vessel Sealing Instrument With Cutting Mechanism
CN201299462Y (zh) 2008-10-28 2009-09-02 宋洪海 一种多层金属复合炊锅
US8197479B2 (en) 2008-12-10 2012-06-12 Tyco Healthcare Group Lp Vessel sealer and divider
US8632539B2 (en) * 2009-01-14 2014-01-21 Covidien Lp Vessel sealer and divider
USD621503S1 (en) 2009-04-28 2010-08-10 Tyco Healthcare Group Ip Pistol grip laparoscopic sealing and dissection device
US8187273B2 (en) 2009-05-07 2012-05-29 Tyco Healthcare Group Lp Apparatus, system, and method for performing an electrosurgical procedure
USD617900S1 (en) 2009-05-13 2010-06-15 Tyco Healthcare Group Lp End effector tip with undercut bottom jaw
USD617903S1 (en) 2009-05-13 2010-06-15 Tyco Healthcare Group Lp End effector pointed tip
USD617902S1 (en) 2009-05-13 2010-06-15 Tyco Healthcare Group Lp End effector tip with undercut top jaw
USD618798S1 (en) 2009-05-13 2010-06-29 Tyco Healthcare Group Lp Vessel sealing jaw seal plate
USD617901S1 (en) 2009-05-13 2010-06-15 Tyco Healthcare Group Lp End effector chamfered tip
USD649643S1 (en) 2009-05-13 2011-11-29 Tyco Healthcare Group Lp End effector with a rounded tip
US8246618B2 (en) 2009-07-08 2012-08-21 Tyco Healthcare Group Lp Electrosurgical jaws with offset knife
USD630324S1 (en) 2009-08-05 2011-01-04 Tyco Healthcare Group Lp Dissecting surgical jaw
US8679115B2 (en) 2009-08-19 2014-03-25 Covidien Lp Electrical cutting and vessel sealing jaw members
US8287536B2 (en) 2009-08-26 2012-10-16 Tyco Healthcare Group Lp Cutting assembly for surgical instruments
US8430876B2 (en) 2009-08-27 2013-04-30 Tyco Healthcare Group Lp Vessel sealer and divider with knife lockout
USD627462S1 (en) 2009-09-09 2010-11-16 Tyco Healthcare Group Lp Knife channel of a jaw device
US8292886B2 (en) * 2009-10-06 2012-10-23 Tyco Healthcare Group Lp Apparatus, system, and method for performing an electrosurgical procedure
USD628290S1 (en) 2009-11-30 2010-11-30 Tyco Healthcare Group Lp Surgical instrument handle
USD628289S1 (en) 2009-11-30 2010-11-30 Tyco Healthcare Group Lp Surgical instrument handle
JP5579427B2 (ja) 2009-12-14 2014-08-27 中国電力株式会社 間接活線作業用具支持装置
JP2011212315A (ja) * 2010-03-31 2011-10-27 Fujifilm Corp 内視鏡用高周波処置具
US8778025B2 (en) 2010-08-02 2014-07-15 Ashraf A. Ragab Rotatable cam lift for an expandable bone cage
USD661394S1 (en) 2011-02-24 2012-06-05 Tyco Healthcare Group Lp Device jaw
US20120239034A1 (en) 2011-03-17 2012-09-20 Tyco Healthcare Group Lp Method of Manufacturing Tissue Seal Plates
US8968305B2 (en) 2011-03-28 2015-03-03 Covidien Lp Surgical forceps with external cutter
US9381059B2 (en) 2011-04-05 2016-07-05 Covidien Lp Electrically-insulative hinge for electrosurgical jaw assembly, bipolar forceps including same, and methods of jaw-assembly alignment using fastened electrically-insulative hinge
US8568408B2 (en) 2011-04-21 2013-10-29 Covidien Lp Surgical forceps
US8900232B2 (en) 2011-05-06 2014-12-02 Covidien Lp Bifurcated shaft for surgical instrument
US8939972B2 (en) 2011-05-06 2015-01-27 Covidien Lp Surgical forceps
US20120296238A1 (en) 2011-05-16 2012-11-22 Tyco Healthcare Group Lp System and Methods for Energy-Based Sealing of Tissue with Optical Feedback
US9113934B2 (en) 2011-05-16 2015-08-25 Covidien Lp Optical energy-based methods and apparatus for tissue sealing
US9265568B2 (en) 2011-05-16 2016-02-23 Coviden Lp Destruction of vessel walls for energy-based vessel sealing enhancement
US9113933B2 (en) 2011-05-16 2015-08-25 Covidien Lp Optical energy-based methods and apparatus for tissue sealing
US9456870B2 (en) 2011-05-16 2016-10-04 Covidien Lp Optical energy-based methods and apparatus for tissue sealing
US10117705B2 (en) 2011-05-16 2018-11-06 Covidien Lp Optical recognition of tissue and vessels
US8685009B2 (en) 2011-05-16 2014-04-01 Covidien Lp Thread-like knife for tissue cutting
US20120296371A1 (en) 2011-05-17 2012-11-22 Tyco Healthcare Group Lp Modular Shaft for Endoscopic Vessel Sealer and Divider
US8968283B2 (en) 2011-05-19 2015-03-03 Covidien Lp Ultrasound device for precise tissue sealing and blade-less cutting
US8852185B2 (en) 2011-05-19 2014-10-07 Covidien Lp Apparatus for performing an electrosurgical procedure
US9161807B2 (en) 2011-05-23 2015-10-20 Covidien Lp Apparatus for performing an electrosurgical procedure
US8702749B2 (en) 2011-06-09 2014-04-22 Covidien Lp Lever latch assemblies for vessel sealer and divider
US9615877B2 (en) 2011-06-17 2017-04-11 Covidien Lp Tissue sealing forceps
US9039704B2 (en) 2011-06-22 2015-05-26 Covidien Lp Forceps
US20120330308A1 (en) 2011-06-22 2012-12-27 Tyco Healthcare Group Lp Forceps
US8628557B2 (en) 2011-07-11 2014-01-14 Covidien Lp Surgical forceps
US8745840B2 (en) 2011-07-11 2014-06-10 Covidien Lp Surgical forceps and method of manufacturing thereof
US9039732B2 (en) 2011-07-11 2015-05-26 Covidien Lp Surgical forceps
US9844384B2 (en) 2011-07-11 2017-12-19 Covidien Lp Stand alone energy-based tissue clips
US8888771B2 (en) 2011-07-15 2014-11-18 Covidien Lp Clip-over disposable assembly for use with hemostat-style surgical instrument and methods of manufacturing same
US20130022495A1 (en) 2011-07-19 2013-01-24 Tyco Healthcare Group Lp Sterilization Techniques for Surgical Instruments
US8702737B2 (en) 2011-08-08 2014-04-22 Covidien Lp Surgical forceps
US8968306B2 (en) 2011-08-09 2015-03-03 Covidien Lp Surgical forceps
US9028492B2 (en) 2011-08-18 2015-05-12 Covidien Lp Surgical instruments with removable components
US8968307B2 (en) 2011-08-18 2015-03-03 Covidien Lp Surgical forceps
US8968317B2 (en) 2011-08-18 2015-03-03 Covidien Lp Surgical forceps
US8685056B2 (en) 2011-08-18 2014-04-01 Covidien Lp Surgical forceps
US9113909B2 (en) 2011-09-01 2015-08-25 Covidien Lp Surgical vessel sealer and divider
US9113938B2 (en) 2011-09-09 2015-08-25 Covidien Lp Apparatus for performing electrosurgical procedures having a spring mechanism associated with the jaw members
US8679098B2 (en) 2011-09-13 2014-03-25 Covidien Lp Rotation knobs for surgical instruments
US8845636B2 (en) 2011-09-16 2014-09-30 Covidien Lp Seal plate with insulation displacement connection
US20130071282A1 (en) 2011-09-19 2013-03-21 Tyco Healthcare Group Lp Method For Securing A Stop Member To A Seal Plate Configured For Use With An Electrosurgical Instrument
US9636169B2 (en) 2011-09-19 2017-05-02 Covidien Lp Electrosurgical instrument
US20130079774A1 (en) 2011-09-23 2013-03-28 Tyco Healthcare Group Lp End-Effector Assemblies for Electrosurgical Instruments and Methods of Manufacturing Jaw Assembly Components of End-Effector Assemblies
US8961515B2 (en) 2011-09-28 2015-02-24 Covidien Lp Electrosurgical instrument
US9486220B2 (en) 2011-09-28 2016-11-08 Covidien Lp Surgical tissue occluding device
US8756785B2 (en) 2011-09-29 2014-06-24 Covidien Lp Surgical instrument shafts and methods of manufacturing shafts for surgical instruments
US9668806B2 (en) 2011-09-29 2017-06-06 Covidien Lp Surgical forceps including a removable stop member
US9060780B2 (en) 2011-09-29 2015-06-23 Covidien Lp Methods of manufacturing shafts for surgical instruments
US8864795B2 (en) * 2011-10-03 2014-10-21 Covidien Lp Surgical forceps
US9314295B2 (en) 2011-10-20 2016-04-19 Covidien Lp Dissection scissors on surgical device
US8968308B2 (en) 2011-10-20 2015-03-03 Covidien Lp Multi-circuit seal plates
US9492221B2 (en) 2011-10-20 2016-11-15 Covidien Lp Dissection scissors on surgical device
US8968309B2 (en) 2011-11-10 2015-03-03 Covidien Lp Surgical forceps
US9113899B2 (en) 2011-11-29 2015-08-25 Covidien Lp Coupling mechanisms for surgical instruments
US9265565B2 (en) 2011-11-29 2016-02-23 Covidien Lp Open vessel sealing instrument and method of manufacturing the same
US8968310B2 (en) 2011-11-30 2015-03-03 Covidien Lp Electrosurgical instrument with a knife blade lockout mechanism
US9259268B2 (en) 2011-12-06 2016-02-16 Covidien Lp Vessel sealing using microwave energy
US8864753B2 (en) 2011-12-13 2014-10-21 Covidien Lp Surgical Forceps Connected to Treatment Light Source
US9023035B2 (en) 2012-01-06 2015-05-05 Covidien Lp Monopolar pencil with integrated bipolar/ligasure tweezers
US9113882B2 (en) 2012-01-23 2015-08-25 Covidien Lp Method of manufacturing an electrosurgical instrument
US8968360B2 (en) 2012-01-25 2015-03-03 Covidien Lp Surgical instrument with resilient driving member and related methods of use
US8961513B2 (en) 2012-01-25 2015-02-24 Covidien Lp Surgical tissue sealer
US9693816B2 (en) 2012-01-30 2017-07-04 Covidien Lp Electrosurgical apparatus with integrated energy sensing at tissue site
US8747434B2 (en) 2012-02-20 2014-06-10 Covidien Lp Knife deployment mechanisms for surgical forceps
US9011435B2 (en) 2012-02-24 2015-04-21 Covidien Lp Method for manufacturing vessel sealing instrument with reduced thermal spread
US8887373B2 (en) 2012-02-24 2014-11-18 Covidien Lp Vessel sealing instrument with reduced thermal spread and method of manufacture therefor
US8961514B2 (en) 2012-03-06 2015-02-24 Covidien Lp Articulating surgical apparatus
US8752264B2 (en) 2012-03-06 2014-06-17 Covidien Lp Surgical tissue sealer
US8968298B2 (en) 2012-03-15 2015-03-03 Covidien Lp Electrosurgical instrument
US9375282B2 (en) 2012-03-26 2016-06-28 Covidien Lp Light energy sealing, cutting and sensing surgical device
US9265569B2 (en) 2012-03-29 2016-02-23 Covidien Lp Method of manufacturing an electrosurgical forceps
US10966780B2 (en) 2012-04-17 2021-04-06 Covidien Lp Electrosurgical instrument having a coated electrode
US9713493B2 (en) 2012-04-30 2017-07-25 Covidien Lp Method of switching energy modality on a cordless RF device
US9034009B2 (en) 2012-05-01 2015-05-19 Covidien Lp Surgical forceps
US9820765B2 (en) 2012-05-01 2017-11-21 Covidien Lp Surgical instrument with stamped double-flange jaws
US8920461B2 (en) 2012-05-01 2014-12-30 Covidien Lp Surgical forceps with bifurcated flanged jaw components
US8968311B2 (en) 2012-05-01 2015-03-03 Covidien Lp Surgical instrument with stamped double-flag jaws and actuation mechanism
US9375258B2 (en) 2012-05-08 2016-06-28 Covidien Lp Surgical forceps
US20130304066A1 (en) 2012-05-09 2013-11-14 Tyco Healthcare Group Lp Apparatus for Activating an Electrosurgical Vessel Sealing Instrument Having an Electrical Cutting Mechanism
US9113901B2 (en) 2012-05-14 2015-08-25 Covidien Lp Modular surgical instrument with contained electrical or mechanical systems
US9192432B2 (en) 2012-05-29 2015-11-24 Covidien Lp Lever latch assemblies for surgical improvements
US8679140B2 (en) 2012-05-30 2014-03-25 Covidien Lp Surgical clamping device with ratcheting grip lock
US9072524B2 (en) 2012-06-29 2015-07-07 Covidien Lp Surgical forceps
US9039691B2 (en) 2012-06-29 2015-05-26 Covidien Lp Surgical forceps

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN1732856A (zh) * 2004-07-28 2006-02-15 伊西康内外科公司 采用电致动关节机构的外科器械
US20070106295A1 (en) * 2005-09-30 2007-05-10 Garrison David M Insulating boot for electrosurgical forceps
CN101522127A (zh) * 2006-10-06 2009-09-02 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
US20100137854A1 (en) * 2008-05-23 2010-06-03 Gyrus Medical Limited Electrosurgical generator and system

Also Published As

Publication number Publication date
US8968309B2 (en) 2015-03-03
US20150157393A1 (en) 2015-06-11
US9375245B2 (en) 2016-06-28
AU2012244379A1 (en) 2013-05-30
EP3153126A1 (en) 2017-04-12
US20130123837A1 (en) 2013-05-16
US20160038215A1 (en) 2016-02-11
AU2012244379B2 (en) 2014-01-30
US9168088B2 (en) 2015-10-27
EP2591744B1 (en) 2017-01-04
CN103099670B (zh) 2016-08-03
CN103099670A (zh) 2013-05-15
CN105997238B (zh) 2018-09-25
EP2591744A1 (en) 2013-05-15
JP2013103129A (ja) 2013-05-30
JP5964212B2 (ja) 2016-08-03

Similar Documents

Publication Publication Date Title
CN103099670B (zh) 手术钳
US9554845B2 (en) Surgical forceps for treating and cutting tissue
US9668806B2 (en) Surgical forceps including a removable stop member
US20190183565A1 (en) Tissue sealing instrument with tissue-dissecting electrode
AU2016200698B2 (en) Dynamic and static bipolar electrical sealing and cutting device
US10231772B2 (en) Wire retention unit for a surgical instrument
CN103505281B (zh) 手术钳
JP6482560B2 (ja) 電気外科手術用エンドエフェクタ
CN102727283A (zh) 外科钳及其制造方法
CN105997195A (zh) 手术钳
WO2004073490A3 (en) Vessel sealer and divider and method of manufacturing same
KR20160039605A (ko) 양극성 수술 도구
US10517665B2 (en) Devices and methods for tissue sealing and mechanical clipping
KR102648998B1 (ko) 수술용 인스트루먼트의 엔드 툴 및 이를 구비한 전기 소작 수술용 인스트루먼트
US20230397946A1 (en) End effector assembly with multi-axis thermal cutting element
CN105686878A (zh) 用于手术装置的通电附件
US20170209206A1 (en) Devices and methods for tissue sealing and mechanical clipping

Legal Events

Date Code Title Description
C06 Publication
PB01 Publication
C10 Entry into substantive examination
SE01 Entry into force of request for substantive examination
GR01 Patent grant
GR01 Patent grant