CN1644174A - 具有带开口锁定的多动作发射的手术钉合器械 - Google Patents
具有带开口锁定的多动作发射的手术钉合器械 Download PDFInfo
- Publication number
- CN1644174A CN1644174A CNA2004100874844A CN200410087484A CN1644174A CN 1644174 A CN1644174 A CN 1644174A CN A2004100874844 A CNA2004100874844 A CN A2004100874844A CN 200410087484 A CN200410087484 A CN 200410087484A CN 1644174 A CN1644174 A CN 1644174A
- Authority
- CN
- China
- Prior art keywords
- trigger
- emission
- closed
- action
- bar
- 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
- 238000010304 firing Methods 0.000 title abstract description 8
- 230000007246 mechanism Effects 0.000 claims abstract description 113
- 239000012636 effector Substances 0.000 claims abstract description 38
- 230000033001 locomotion Effects 0.000 claims abstract description 36
- 230000009471 action Effects 0.000 claims description 69
- 230000004044 response Effects 0.000 claims description 8
- 238000000034 method Methods 0.000 abstract description 21
- 230000005540 biological transmission Effects 0.000 abstract description 9
- 230000002441 reversible effect Effects 0.000 description 64
- 238000005520 cutting process Methods 0.000 description 21
- 230000006835 compression Effects 0.000 description 16
- 238000007906 compression Methods 0.000 description 16
- 230000008569 process Effects 0.000 description 16
- 230000008878 coupling Effects 0.000 description 9
- 238000010168 coupling process Methods 0.000 description 9
- 238000005859 coupling reaction Methods 0.000 description 9
- 230000008901 benefit Effects 0.000 description 8
- 230000006870 function Effects 0.000 description 6
- 230000000994 depressogenic effect Effects 0.000 description 5
- 238000013519 translation Methods 0.000 description 5
- 230000014616 translation Effects 0.000 description 5
- 230000015572 biosynthetic process Effects 0.000 description 4
- 229910000831 Steel Inorganic materials 0.000 description 3
- 238000005452 bending Methods 0.000 description 3
- 230000000881 depressing effect Effects 0.000 description 3
- 238000013461 design Methods 0.000 description 3
- 230000000694 effects Effects 0.000 description 3
- 239000010959 steel Substances 0.000 description 3
- 238000001356 surgical procedure Methods 0.000 description 3
- 230000009286 beneficial effect Effects 0.000 description 2
- 238000000354 decomposition reaction Methods 0.000 description 2
- 238000003745 diagnosis Methods 0.000 description 2
- 238000010586 diagram Methods 0.000 description 2
- 230000006872 improvement Effects 0.000 description 2
- 210000003734 kidney Anatomy 0.000 description 2
- 230000004899 motility Effects 0.000 description 2
- 239000011148 porous material Substances 0.000 description 2
- 238000003825 pressing Methods 0.000 description 2
- 244000208734 Pisonia aculeata Species 0.000 description 1
- 230000008485 antagonism Effects 0.000 description 1
- 230000008859 change Effects 0.000 description 1
- 238000010276 construction Methods 0.000 description 1
- 230000003247 decreasing effect Effects 0.000 description 1
- 230000002950 deficient Effects 0.000 description 1
- 238000007599 discharging Methods 0.000 description 1
- 239000003814 drug Substances 0.000 description 1
- 238000002674 endoscopic surgery Methods 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 239000002783 friction material Substances 0.000 description 1
- 238000001415 gene therapy Methods 0.000 description 1
- 230000003993 interaction Effects 0.000 description 1
- 238000002372 labelling Methods 0.000 description 1
- 238000002357 laparoscopic surgery Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 238000006386 neutralization reaction Methods 0.000 description 1
- 230000000149 penetrating effect Effects 0.000 description 1
- 230000002980 postoperative effect Effects 0.000 description 1
- 239000000843 powder Substances 0.000 description 1
- 230000002035 prolonged effect Effects 0.000 description 1
- 230000009467 reduction Effects 0.000 description 1
- 230000002269 spontaneous effect Effects 0.000 description 1
- 238000012546 transfer Methods 0.000 description 1
- 230000000007 visual effect Effects 0.000 description 1
Images
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/068—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
- A61B17/28—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
- A61B17/2909—Handles
- A61B2017/2925—Pistol grips
-
- 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
- A61B2017/2946—Locking means
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/08—Accessories or related features not otherwise provided for
- A61B2090/0807—Indication means
- A61B2090/0811—Indication means for the position of a particular part of an instrument with respect to the rest of the instrument, e.g. position of the anvil of a stapling instrument
Abstract
一种特别适用于内窥镜手术过程的手术钉合和切割器械，包括一个产生分离的闭合和发射运动以启动端部操纵装置的手柄。具体地，该手柄产生多个发射动作以减少发射(如钉合和切割)端部操纵装置所需要的作用力的大小。链接传递降低了所需手柄的纵向长度，并且当为发射而伸直时，达到刚性，坚固结构。一种牵拉偏压发射机构避免了驱动这种直线状链齿与反向支撑机构相配合时的束缚，利用一个锁定机构防止在发射过程中释放闭合扳机。而且，外部指示器向外科医生反馈发射进行的程度，并提供手动回拉能力。
Description
相互参照的有关申请
本申请涉及与此相同日期提交的四个共同未决的属于同一申请人的申请，每份申请的内容全部引入在此作为参考，这四个申请的名称分别为：
“具有含有反向支撑机构的多动作发射手术钉合器械”，序列号---，Frederick E.Shelton，Mike Setser；
“含有具有链接齿条传递的发射机构的手术钉合器械”，序列号---，JeffreyS.Swayze，Frederick E.Shelton IV；
“具有带牵拉-偏压齿合机构的多动作发射的手术钉合器械”，序列号---，Jeffrey S.Swayze，Frederick E.Shelton IV；和
“含有多动作发射位置指示器和回拉机构的手术钉合器械”，序列号---，Jeffrey S.Swayze，Frederick E.Shelton IV。
技术领域
本发明一般涉及当切割钉合线间的组织时，能够用钉合线对组织进行钉合的手术钉合器械，尤其是，涉及对钉合器械的改进以及利用多个扳机动作完成发射的此类钉合器械的各种部件形成过程的改进。
背景技术
内窥镜手术器械通常优于常规的开腔手术设备，因为较小的切口容易减少术后的康复时间和手术的复杂性。因此，内窥镜手术器械已经发生了巨大的进步，适应于通过套管针的套管在需要的手术位置精确放置远端部操纵装置。这些远端部操纵装置以多种方式咬合组织以达到诊断和治疗的效果(例如，内切器，抓取器，切割器，钉合器，夹式灌肠器，探查装置，药物/基因治疗传递装置，及利用超声，红外，激光的能量装置等)。
已知的手术钉合器包括一个可同时沿纵向切割组织并在切口背面用线钉合的端部操纵装置。端部操纵装置包括一对协同工作的夹钳构件，若将器械用于内窥镜或腹腔镜时，夹钳构件能够穿过套管通道。其中一个夹钳构件容纳一个钉盒，钉盒中至少有两排从横向隔开的钉子。另一个夹钳构件限定了一个砧板，砧板上具有与钉盒中钉排对准的钉状凹槽。器械包括多个往复式楔状物，当从远端驱动时，该楔状物穿过钉盒的开口并使驱动器支撑钉合器以向砧板产生订钉发射。
适用于内窥镜的手术钉合器的一个实例如美国专利US5,465,895所述，它可以方便地提供明显的闭合与发射动作。因此，医生能够闭合组织上的夹钳以在发射前定位组织。一旦医生确定夹钳构件已经完全夹住组织，那么医生就可以用一个发射动作发射手术钉合器，从而切割和钉合组织。切割和钉合的同时进行避免了用不同的切割或钉合手术器械完成此类动作而产生的复杂性。
能在发射前闭合组织的一个特有的优点是，医生能够通过内窥镜核实已经到达所需要的切割位置，包括在相对的夹钳间已经夹住了足够多的组织。否则，可能是相对的夹钳拉得太近了，尤其是用其远端捏夹时，因而不能在所切割的组织上有效地形成闭合的钉合。另一个极端是，夹住过多量的组织可能引起束缚和不完全发射。
通常，先进行一次闭合动作，才进行一次发射动作是一种方便有效的执行切割和钉合的方法。但是，在某些情况下，需要多次发射动作。例如，外科医生能够根据需要的切割长度，选择钉盒长度相应的夹钳尺寸范围。较长的钉盒需要较长的发射动作。因此，需要一个产生发射的手挤压扳机，与较短的钉盒相比，对较长的钉盒施加较大的力以便切割更多的组织并驱动较多的钉子。对于较短的钉盒希望减少作用力，以不超出某些外科医生手的力量。此外，某些不熟悉较大钉盒的外科医生会关心当需要所不期望的较大作用力时钉盒会发生束缚或其他的故障。
降低发射动作所需作用力的一种方法是允许发射扳机多次动作的齿合机构，如美国专利US5,762,256和6,330,965所描述的。这些已知的具有多动作发射机构的手术钉合器械没有单独关闭和发射动作的优点。此外，齿合机构依靠带齿的齿条和驱动棘爪以完成齿合运动，因此，可以通过增加环绕这些部件的手柄长度来配合带齿的齿条。给定闭合范围时，要增加长度不方便，而且会增加手术所用的器械数量。
虽然采用多动作发射机构可以有利地减小发射所需要的力，它会增加由于人为错误引起部分发射的可能性。在闭合过程中，外科医生也许不能确定何时发射机构已经走过全程，完成了全部切割和钉合。此外，外科医生也许对完成全部发射行程所需的发射动作数目不熟悉，尤其是如果使用不同尺寸的钉盒时。
一些端部操纵装置包括防止在回拉发射杆之前打开的发射锁定；但是，在某些情况下，此类锁定不能完全防止器械在无意中被打开。例如，当钉合和切割操作尚未完成时，在端部操纵装置和手柄的闭合释放装置间也许有足够的空间和部件偏移以释放或部分释放已夹闭的闭合手柄。
因此，迫切需要一种具有多动作发射机构的手术钉合器械，其防止在其发射全程之前器械的无意打开。
发明内容
本发明通过提供一种具有分离的打开和发射的优点的手术钉合器械克服了现有技术的上述及其它缺陷，该器械还包括手柄上的一个开口锁定以防止当部分发射时试图打开夹闭的执行部分。
在本发明的一方面，一种手术器械具有一个响应发射和闭合运动的延长执行部分。一个闭合机构关闭和打开该执行部分。执行部分关闭时，一个发射机构在未发射位置和完全开启位置间产生发射运动以发射执行部分。一个闭合释放机构当执行部分处于完全关闭位置时锁定闭合机构，并且只有当发射机构处于未发射位置时响应操作者的命令解锁闭合机构。因此，通过允许当部分发射时无意识地试图打开手术器械的执行部分而避免了故障或不合适的手术操作。因此，避免了一些不希望的情况，如当组织只是部分钉合和切割时手术的钉合和切割过程。
本发明的另一方面，一种手术器械具有一个响应发射和闭合运动的延长执行部分。一个连到该延长执行部分，为执行部分完成多个功能的手柄部分。具体地，一个发射机构可操作地在未发射位置和完全发射位置间产生发射运动。一个指示器构件通过将锁定面置于解锁位置而响应处于未发射位置的发射机构。闭合扳机产生闭合运动，可在打开位置和关闭位置间移动，并可锁定在关闭位置。当指示器构件的锁定面处于解锁位置时，一解锁控制器可从未启动位置向启动位置移动以解锁闭合扳机。因此，发射机构的状态(即未发射)是一种可靠地允许夹闭的执行部分解锁的使能状态。
本发明的这些和其它目的和优点在以下的附图和附图说明中将会变行更明显。
附图说明
合并到本说明书中并作为说明书的一部分的附图描述了本发明实施例，并且与上述本发明的概述以及下面的详细描述，一起用于解释说明本发明的原理。
图1是手术钉合/切割器打开(开始)状态的右侧视图，其中轴部分切去以露出闭合管和发射杆。
图2为图1中手术钉合器远侧部分处的端部操纵装置的沿线2-2处的左侧视图。
图3为图2中端部操纵装置的前透视图。
图4为图1中手术钉合/切割器执行部分的分解透视图。
图5描述了图1中手术器械的图3中端部操纵装置截面的左侧视图，该截面通常沿图3的线5-5截取以露出钉盒部分，同时也描绘了沿纵向中心线的发射杆。
图6描述了发射杆完全射出后的图5的端部操纵装置截面的左侧视图。
图7为图1中手术钉合/切割器手柄的左侧视图，其中左侧手柄罩已去除。
图8为图7中手柄的分解透视图。
图9为图7中手柄的链接传动发射机构的从正、后左侧的有利位置得到的透视图。
图10为图9中发射机构的链接齿条的详细左侧视图。
图11-14为链接齿条的斜坡中央轨道和发射机构的棘爪沿纵轴的截面左侧视图，另外按发射动作顺序显示了发射扳机，偏压轮和牵拉偏压机构的斜坡。
图15为部分分解的右侧视图，露出图1中手术钉合和切割器锁定状态下的反向支撑机构(anti-backup mechanism)的远端部分。
图16为图15中反向支撑机构去除反向支撑凸轮管后的从顶、后、右侧有利位置得到的透视图。
图17为部分分解的右侧视图，露出图1中手术钉合和切割器在解锁状态下反向支撑机构的远端部分。
图18为部分分解的右侧视图，露出图1中手术钉合和切割器在解锁状态下反向支撑机构的远端部分。
图19是图1中手术钉合和切割器的后视图，将手柄外壳的右半部去除后，露出锁定状态和解锁状态下用虚线表示的反向支撑释放杆。
图20-25为图18中反向支撑释放杆详图，分别描绘了未发射，一个发射动作，两个射动作，三个发射动作，回位或者释放按下的按钮及完全回位的发射顺序。
图26-27为手术钉合和切割器从顶、左、远侧有利位置得到的透视图，将手柄外壳的右半部去除后，露出闭合释放锁定机构，分别处于去除锁定和压下闭合释放按钮时的初始位置，然后在初始发射期间启动锁定。
图28类似图1为手术钉合和切割器处于开口状态的透视图，但装有顶部可接近的回拉杆。
图29为图28中手术钉合和切割器的左侧视图，手柄左半外壳已去除，露出间断排列的齿状指示齿轮，其对于惰轮呈现第一静止区。
图30为图28中手术钉合和切割器的左侧视图，手柄左半外壳已去除，露出间隔排列的齿状指示器齿轮，其对于惰轮呈现第二静止区。
具体实施方式
再回到附图，在所有的几个视图中，同样的附图标记表示同样的部件，图1和2描述了能够实现本发明独有优势的手术钉合和切割器械10。手术钉合和切割器械10包括具有砧板14的端部操纵装置12，砧板14枢轴连接到延长通道16，形成用于夹住待切割和钉合的组织的相对夹钳。端部操纵装置12通过轴18偶联到手柄20。由端部操纵装置12和轴18形成的执行部分22具有较佳尺寸，适于通过套管针或者小的腹腔镜开口插入，在由外科医生抓紧控制手柄20控制时，进行内窥镜外科手术。手柄20e有利地包括以下特点，它允许端部操纵装置的闭合动作与发射动作分开，以及在向外科医生指示发射程度的同时，能够执行多个发射动作以产生端部操纵装置12的发射(即切割和钉合)。
在这些端部，轴18的闭合管24偶联于闭合扳机26和砧板14间使端部操纵装置12闭合。在闭合管24内，框架28偶联于延长通道16和手柄20间以沿径向安放和支撑端部操纵装置12。旋钮30与框架28偶联，两个元件均相对于轴18的纵轴旋转运动而旋转偶联到手柄20上。因此，外科医生可通过调节旋钮30来旋转端部操纵装置12。闭合管24也可通过旋钮30旋转，但要保持对该处的一定的纵向运动以闭合端部操纵装置12。在框架28中，安置了用于纵向运动并偶联到末端操纵装置12的砧板14和多动作发射扳机34之间的发射杆32。闭合扳机26远离手柄20的手枪式握把36，而发射扳机34远离手枪式握把36和闭合扳机26。
在内窥镜手术中，一旦执行部分22插入病人体内接近手术位置时，外科医生参照内窥镜或其他诊断用图像设备在砧板14和延长通道16间定位组织。外科医生握住闭合扳机26和手枪式握把36可反复抓取和定位组织。一旦对相对端部操纵装置12的组织位置及组织数量满意，外科医生将闭合扳机26完全压向手枪式握把36，夹住端部操纵装置12中的组织，并锁定闭合扳机26于此夹闭(关闭)位置。若对此位置不满意，外科医生可以通过压下闭合释放按钮3 8以释放闭合扳机26，此后重复夹住组织的步骤。
若夹闭操作正确，外科医生可以着手发射手术钉合和切割器10。具体地说，外科医生抓紧发射扳机34和手枪式握把36，以预定的次数压下发射扳机34。所需发射动作的数目根据手掌的最大尺寸，每个发射动作期间传递给器械的最大力，以及在发射过程中需要通过发射杆32传递给端部操纵装置12的纵向距离和力从人类工程学的角度加以确定。正如下面讨论中将要提到的，每个外科医生可以选择在不同的运动角度范围内轮转操作发射扳机34，因而增加或减少发射动作的数目，而手柄20仍然可以无束缚地进行发射。
在这些动作期间，外科医生可以参照一个指示器，该指示器表现为指示回拉旋钮40，其响应多个发射动作旋转其位置。另外，回拉旋钮的位置可以确保当遇到进一步轮转发射扳机34的阻力时，已达到完全发射。应该知道，手柄20上可以增加各种标记和说明以提高指示由回拉旋钮40转动提供的指示效果。在发射杆32的全程运动中和当发射扳机34释放时，手柄20自动回拉发射杆32。可选择地，外科医生根据指示回拉旋钮40了解到器械10尚未完全发射，可以压下反向支撑释放按钮42并释放发射扳机34。所有这些动作都允许手柄20自动拉回发射杆32。
要注意的是，这里使用的术语“近侧”和“远侧”是参考临床医生紧握仪器手柄的状态。因此，端部操纵装置20相对于更近的手柄20为远侧。更要注意的是为了方便和清晰，这里使用的空间术语如”垂直“和“水平”是相对于附图而言。但是，外科手术器械可用于多个方向和位置，这些术语不是限制和绝对的。
本发明是根据内窥镜操作过程和装置而讨论的。但是，这里使用的术语如“内窥镜”不应将本发明局限于只与内窥镜管(即，套管)相连使用的手术钉合和切割器。相反，可以相信，本发明可以用于任何得到小切口的手术过程，包括但不局限于腹腔镜手术以及开腔手术。
E-形梁端部操纵装置(E-Beam End Effector)
通过带有一个如图2-6所示的端部操纵装置12，手柄20能够提供多动作发射运动的优点已应用于多个仪器。由于包括一个连到砧板近端52的砧板面50(图2，4，6)，末端操纵装置12首先响应来自手柄20(图2-6中未示出)的闭合运动，砧板近端52包括一对位于垂直伸出的砧板部件56(图4)远侧的横向伸出砧板旋转销54。砧板旋转销54在延长通道16上的肾形开口58内平移以相对于延长通道16打开和关闭砧板14。砧板部件56与在闭合管24的远端62上的突片孔60中向内伸出的弯片59啮合，后者在远侧终止于推抵砧板面50的远侧边缘64。因此，当闭合管24从其打开位置向近侧移动时，闭合管24的弯片59向近侧拉动砧板部件56，砧板旋转销54跟随通道16的肾形开口58使砧板14同时向近侧平移并向上旋转至打开位置。当闭合管24向远侧移动时，突片孔60从砧板部件56上释放，远侧边缘64推到砧板面50上，闭合砧板14。
继续参考图4，执行部分22还包括响应发射杆32发射动作的部件。具体说，发射杆32与具有纵向凹槽68的发射贯通件66啮合。发射贯通件66在框架28内纵向移动以直接响应发射杆32的纵向运动。在闭合管24上的纵向槽70可操作地与旋钮30(未在图2-6上示出)偶联。在闭合管24上的纵向槽70的长度足够使用旋钮30控制进行相对纵向运动以分别完成发射和闭合运动。
框架贯通件66的远端附着在与框架28一起移动的发射杆76的近端，其中包括的一个导轨78，将E形梁80向远侧伸进端部操纵装置12。端部操纵装置12包括一个由E形梁80启动的钉盒82。钉盒82有一个可容纳钉盒体86、楔撬驱动器88、钉合器驱动器90和钉92的托盘84。可以看出楔撬驱动器88可在位于钉盒托盘84和钉盒体86间的凹槽94内纵向移动。楔撬驱动器88呈现可以接触并向上抬起钉合器驱动器90的凸轮表面，从钉合器孔96处向上驱动钉合器92与砧板14的钉合器形成槽98相接触，产生如图6中100所示的“B”型钉合器。具体参考图3，钉盒体86又包括一个用于通过E形梁的近侧开口的垂直槽102。切割面104沿E形梁80的远端设置以在钉合组织后再切割组织。
分别在图2、5、6中，端部操纵装置12按打开(即，开始)状态，夹闭和未发射状态，及完全发射状态的顺序示出。特别示出了利于端部操纵装置12发射的E形梁80的特征。在图2中，楔撬驱动器88处于最近侧位置，指示一个未发射的钉盒82。中间销106对准进入钉盒82内的发射凹槽94中，用于向远侧驱动楔撬驱动器88。E形梁82的底销或帽108沿延长通道16的底面滑动，从而中间销和底销106，108与延长通道16滑动地连接。在图2中的打开和未发射状态中，E形梁80的顶销110已进入并保存在砧板14的砧板套112内，因此不会妨碍砧板14的反复打开和关闭。
在图5中，端部操纵装置12显示为夹闭和准备发射状态。E形梁80的顶销110与砧板14的砧板槽114对准，在砧板套112的远侧并与其相通。在图6中，E形梁80已经完全发射，上方销110沿砧板槽114下移，确保当切割面104切割被夹组织时隔开砧板14与延长通道16。同时，中间销106已经如前所述启动了钉盒82。此后，E形梁80在端部操纵装置12打开之前回拉并替换钉盒82执行附加操作。
端部操纵装置12在五个共同未决的属于同一申请人的美国专利申请中进行了更为详细的描述，每个申请的内容全部引用在此作为参考：(1)“具有用于防止发射的单一锁定机构的手术钉合器械”，序列号10/441,424，FrederickE.Shelton，Mike Setser，Bruce Weisenburg，2003年6月20日提交；(2)“具有明显分离的闭合和发射系统的手术钉合器械”，序列号10/441/632，FrederickE.Shelton，Mike Setser，Brian J.Hemmelgarn，2003年6月20日提交；(3)“具有用完钉盒锁定的手术钉合器械”，序列号10/441,565，Frederick E.Shelton，Mike Setser，BruceWeisenburg，2003年6月20日提交；(4)“具有用于未闭合砧板的发射锁定的手术钉合器械”，序列号10/441,580，Frederick E.Shelton，Mike Setser，BruceWeisenburg，2003年6月20日提交；(5)“含有E型梁发射机构的手术钉合器械”，序列号10/443,617，Frederick E.Shelton，Mike Setser，Bruce Weisenburg，2003年6月20日提交。
应该注意到，虽然这里举例说明的是非铰接轴18，但是本发明的申请可包括可铰接的器械，如五个共同未决的属于同一申请人的美国专利申请中所描述的，每个申请的内容全部引用在此作为参考：(1)“含有可绕纵轴旋转的铰接机构的手术钉合器械”，序列号10/615,973，FrederickE.Shelton，BrianJ.Hemmelgarn，JeffSwayze，Kenneth S.Wales，2003年7月9日提交；(2)“含有用于发射杆轨迹的铰接关节的手术钉合器械”，序列号10/615,962，，BrianJ.Hemmelgarn，2003年7月9日提交；(3)“带有横向移动铰接控制装置的手术器械“序列号10/615972，Jeff Swayze，2003年7月9日提交；(4)“含有用于增加铰接关节周围灵活性的锥形发射杆的手术钉合器械”，序列号10/615,974，Frederick E.Shelton，Mike Setser，Bruce Weisenburg，2003年7月9日提交；(5)具有用于支撑发射杆的铰接关节支撑盘的手术钉合器械”，序列号10/615,971，Jeff Swayze，Joseph Charles Hueil，2003年7月9日提交。
更应注意到，链接齿条200通过至少部分伸入执行部分22的轴18中并环绕拐角，进而伸到手柄的手枪式握把36内，还可以提高手柄20设计的紧凑性。此外，根据发明的链接齿条可进而移向端部操纵装置12以包括一个铰接机构，而不是向发射杆32传递发射力。因而，链接间的枢轴连接可提高器械铰接的能力。
多动作发射手柄(Multi-stroke firing handle)
在图7-8中，更详细显示了手术钉合和切割器械10的手柄20，举例说明了提供诸如提高强度，减小手柄尺寸，最小化束缚等特性的链接传递发射机构150。
朝手柄20的手枪式握把36方向按压闭合扳机26，端部操纵装置12(图7-8中未示出)就可以闭合。闭合扳机26绕闭合扳机销152枢轴旋转，该闭合扳机销152偶联到由左右半外壳156，158组成的手柄外壳154上的，带动闭合扳机26的上部160向前移动。闭合管24通过闭合轭162接受该闭合运动，闭合轭162分别通过闭合轭销166和闭合链接销168销到闭合链接164和闭合扳机26上部160上。
图7示出完全打开位置，闭合扳机26的上部160在所示的位置接触并支持旋转闭合释放按钮38的锁臂172。当闭合扳机26达到完全压下位置时，闭合扳机26释放锁臂172并且邻接面170与旋转锁臂172的远侧右向槽口171接合，保持闭合扳机26于此夹闭或闭合位置。锁臂172的近端绕横向枢轴连接装置174旋转，外壳154上露出闭合释放按钮38。闭合释放按钮38的中间、远侧边178由压缩在外壳结构182和闭合释放按钮38之间的压缩弹簧180从近侧推动。结果是闭合释放按钮38沿逆时针(从左边看去)推动锁臂172到锁定接触闭合扳机26的邻接面170，其当链接传递发射系统150处于未回拉状态时，防止闭合扳机26未夹闭，如下面详述。
随着回拉的闭合扳机26完全压下，发射扳机34解除锁定并可以朝手枪式握把36方向多次压下，以产生端部操纵装置12的发射。如所述，链接传递发射机构150开始时被回拉，在手柄20的手枪式握把36内的拉伸/压缩弹簧组184的推动下保持在此位置，其非移动端186连接到外壳154，移动端188连接到一个钢带192的向下弯曲的近侧回拉端190。
钢带192的远侧设置端194附着到用于结构加载的链接偶合器195和形成链接齿条200的多个链接196a-196d中的前链接196a上。链接齿条200是可弯曲的，但具有形成直线形刚性齿条组件的远侧链接，该刚性齿条组件可以通过执行部分22中的发射杆32传递较大的发射力，还易于回拉入手枪式握把36以使手柄20的纵向长度最小化。
应该意识到，双拉伸/压缩弹簧184增大了有效的发射行程却基本上可将最小长度降低到单个弹簧的一半。
发射扳机34绕连接到外壳154上的发射扳机销202旋转。当发射扳机34压向手枪式握把36时，发射扳机34的上部204绕发射扳机销202向远侧移动，拉伸一个近侧安放的发射扳机拉伸弹簧206，此弹簧在近侧连接在发射扳机34和外壳154之间。发射扳机34的上部204在每一次发射扳机被牵拉偏压机构210压下时接合于链接齿条200，当发射扳机34释放时也可以脱离开。当释放和脱离牵拉偏压机构210时，发射扳机拉伸弹簧206向远侧推动发射扳机34。
当发射机构150启动时，惰轮220通过与链接齿条200的齿状上表面222啮合而逆时针(从左侧看)转动。这种转动偶联到指示器齿轮230，它因此响应惰轮220而顺时针转动。惰轮220和指示器齿轮230都可旋转地连接到外壳154上。链接齿条200，惰轮220和指示器齿轮230间的传动关系可从优选择使得齿状上表面222具有强度合适的齿的尺寸，并且在发射机构150的全程发射运动期间，指示器齿轮230转动不大于一周。
如下面所详细描述的，指示器齿轮230至少执行四种功能。首先，当链接齿条200被完全回拉，且扳机26，34都如图7所示打开，指示器齿轮230左侧圆形圆形隆起部242上的开口240朝向锁臂172的上表面244。锁臂172通过与闭合扳机26接触偏压入开口240，闭合扳机26又被闭合拉伸弹簧246推到打开位置。闭合扳机拉伸弹簧246从近端连到闭合扳机26和手柄外壳154的上部160，因此在闭合扳机26的闭合过程中储存能量，向远端推动闭合扳机26到其未闭合位置。
指示器齿轮230的第二种功能是它连接到从外面安装在手柄20上的指示回拉旋钮40。因此，指示器齿轮230将发射机构150的相对位置传递给指示回拉旋钮40，使得外科医生可以看到需要多少个发射扳机34的动作来完成发射。
指示器齿轮230的第三种功能是在操作手术钉合和切割器械10时，沿纵向并有角度地移动反向支撑机构250的反向支撑释放杆248。在发射动作期间，由指示器齿轮230产生的反向支撑释放杆248的近端移动激活单向咬合机构或反向支撑机构250(图15-16)，允许发射杆32的远端移动并防止发射杆32的近端移动。这种运动也从外壳154的近端延长了反向支撑释放按钮42以便当需要在发射动作期间回拉发射机构时操作者启动。发射动作完成后，随着发射机构150回拉，指示器齿轮230反向旋转。这种反向旋转使反向支撑机构250不活动，将反向支撑释放按钮42收回入手柄20，并横向转动反向支撑释放杆248(图19)以允许指示器齿轮230连续反向旋转。
指示器齿轮230的第四种功能是接受来自指示回拉旋钮40(图7中顺时针画出)的手动旋转以回拉发射机构150，而反向支撑机构250处于解锁状态，因此克服了发射机构150上的任何束缚，而此束缚不易被拉伸/压缩弹簧组合184所克服。发射机构150部分发射后，可采用手动回拉，否则会因为按下反向支撑释放按钮42，横向移动反向支撑释放杆248而受到反向支撑机构250的阻碍。
反向支撑机构250由操作者可触及到的反向支撑释放杆248组成，其近端可操作地偶联到反向支撑释放杆42，其远端连到反向支撑轭256。具体说，反向支撑释放杆248的远端254通过反向支撑轭销258连接到反向支撑轭256上。反向支撑轭256纵向移动向被外壳154纵向束缚的反向支撑凸轮槽管252传递旋转运动，从远端包绕发射杆32将其连接到链接齿条200的前链接196a。反向支撑轭256通过一个凸轮槽管销260传送来自反向支撑释放杆248的纵向运动。也就是说，在反向支撑凸轮槽管252中成一定角度槽内的凸轮槽管销260的纵向运动转动槽管252。
夹在框架28近端和反向支撑凸轮槽管252之间的分别是反向支撑压缩弹簧264，反向支撑盘266和反向支撑凸轮管268。如所述，发射杆32的远端移动引起反向支撑盘266由顶部旋转到后部，增加了与开启杆32的摩擦接触，其阻止发射杆32的向近侧移动。
当反向支撑凸轮槽管252与反向支撑凸轮管268分离时，这种反向支撑盘266的旋转方式类似于保持屏风门打开的屏风门锁。尤其是，反向支撑压缩弹簧264能够作用在盘266的顶面以将盘266顶到其锁定位置。反向支撑凸轮槽管252的旋转引起反向支撑凸轮管268远侧凸轮的移动，迫使盘266的顶部向远侧，克服了来自反向支撑压缩弹簧264的作用力，因此将反向支撑盘266置于允许发射杆32的向近侧回拉的解锁位置。
特别参考图8-10，示出了由棘爪270组成的牵拉偏压机构，棘爪270有一个向远端突出的窄尖272和一个在其近端向右侧突出的侧销274，它可转动地插过发射扳机34上部204的孔276。在开启扳机34的右侧，侧销274承纳一个偏压构件，图中示出为偏压轮278。随着发射扳机34前后平移，偏压轮278横过最靠近手柄外壳154的右半壳156的弧形，在其行程的远侧，多走了一个偏压斜面280，此斜面完整形成于外壳的右半部156。偏压轮278可以优选地由弹性摩擦材料形成，其引起棘爪270的侧销274逆时针旋转(当从左侧面看时)，因此，将向远侧突出的窄尖272向下牵拉偏压入最近链接196a-d的斜坡中央轨道282以与链接齿条200接合。当发射扳机34被释放，偏压轮278就会反向牵拉偏压棘爪270，从链接齿条200的斜坡中央轨道282处抬高窄尖272。为确保在高负载状态下和棘爪270在接近最远行程时，窄尖272的脱离，窄尖272向上倾斜到闭合轭162上的近侧和面向上的倾斜表面284上，以使窄尖272从斜坡中央轨道282处脱离。若发射扳机34在除完全闭合外的任意点处释放，就采用偏压轮278从斜坡中央轨道282上抬起窄尖272。尽管所示出的是偏压轮278，应该注意到偏压构件或偏压轮278是举例说明的，其可以变化为利用摩擦力或牵拉力使端部操纵装置的发射启动或停止的各种形状。
链接齿条(Linked rack)
特别参考图10，详细描绘了链接齿条200的若干优点。每个链接196a-d的都销连到相邻链接196a-d上以向下，在近侧旋转入手枪式握把36。虽然链接齿条200可在此方向弯曲，但是当对抗圆柱形负载尤其是推动远侧链接196a-d向上弯曲的负载时，链接齿条200形成刚性结构。特别是，每个链接196a-d在近侧终止于一个下部有横向通孔的凸性延伸300。每个链接196a-d的左侧边304包括齿状上表面222，而右侧与左侧边304平行，二者之间形成终止于凸性延伸300的斜坡中央轨道282。
中央轨道282的近侧部分终止于右侧边和左侧边304，306前方，形成用于接纳来自导向链接196a-d的凸性延伸300的U形夹308，其由旋转销310铰链连接。每个导向链接196a-d在近端具有接触面312，其通常垂直于来自发射杆32的圆柱形负载方向。每一个拖动链接196a-d在远端具有接触面314，其通常也垂直于圆柱形负载方向。横向通孔302留出足够的间隔以在相邻平面312的下部和接触面314间形成槽口316，为相对于导向链接196a-d的拖动链接196a-d向下旋转提供空间。但是，当导向和拖动链接196a-d纵向排列时，相邻平面312的上部和接触平面314对准邻接，从而阻止进一步向上偏斜。如所示，当相邻链接196a-d处于水平位置时，孔302和销310位于发射杆32的启动线下方。当向发射扳机34加载时，牵拉偏压机构210沿启动线施推力，同时偏压连续的水平链接196a-d。因此，通过在旋转销310上方传递一串发射动作，使任何导向链接196a-d保持刚性，直线结构。拖动链接196a-d的斜坡中央轨道282引导棘爪270的远侧突出窄尖272与导向链接196a-c的凸性延伸300相接合。
前链接196a在远侧附着于连接偶合器195，连接偶合器195包括偶联到发射杆32的近端的部件以及包括类似于链接196a-d的凸性延伸300和平面312，具有足够的空间以容纳钢带192的远侧安置端194的突片320，322(图8)，突片320，322附着在将前链接196a连接到链接偶合器195上的相同旋转销310上。通过沿发射杆32纵轴和链接齿条200的直线部分施力，回拉力在该力上的施加有利于降低摩擦力。
与斜坡中央轨道282不同的是左侧边304上具有齿状上表面222可很好地允许棘爪270和链接齿条200之间的无束缚强啮合，即使发射扳机34已经在不同的运动范围内被触动。同时，齿状上表面222与惰轮220发生连续啮合，保证了上述优越性。
应该注意到，虽然已经优选描述了链接196a-d间销住的U形夹连接，但还可以使用弹性或柔性连接。此外，虽然描述了四种链接196a-d，还可根据发射轨迹，曲率半径等选择不同的链接数目和长度。
牵拉-偏压机构(Traction-Biasing Mechanism)
在图11-14中，按顺序描述链接传递发射机构150，说明牵拉偏压机构210(即，棘爪270，偏压轮278，以及偏压斜坡280)如何确保响应发射扳机34的运动方向。此外，因为偏压轮278与偏压斜坡280间靠摩擦接触，当完成棘爪270的完全脱离或啮合运动时，偏压轮278发生滑动。
在图11中，发射扳机已被部分压下到使牵拉偏压机构210开始启动发射扳机34向链接齿条200运动的位置。具体地，偏压轮278已经接触偏压斜坡280的近端，并随后开始逆时针旋转，当从左侧看去时，将这种旋转传递给初始时与链接齿条脱离的棘爪270。在图12中，发射机构150已经前进一段距离足以使棘爪270完全旋转到与第一链接196a的斜坡中央轨道282相连接，邻接链接偶合器195并因而传递发射运动到发射杆32。在图13中，发射扳机34和整个发射机构150已经运行到接近全程的位置，在该运动过程中，偏压轮278已经沿偏压斜坡280滑动。在发射动作结束时，棘爪270的底边远侧(图8)与闭合轭162的近侧朝上面对的斜面284接触，并使棘爪270从链接196的啮合抬起，以允许链接齿条200回拉。
在图14中，发射扳机34已经被充分释放，使偏压轮278在偏压斜坡280上从近侧受到牵拉，产生从左侧看去呈顺时针的转动，并抬高棘爪270。由于具有从近侧引导的链接齿条200的斜坡中央轨道282的斜面，发射机构150在向近侧移动以准备另一个发射动作或回拉周期时不会受阻。
应该意识到，牵拉偏压机构210可以在完成至少一个动作的器械中实施。
反向-支撑机构(Anti-backup Mechanism)
如上所述，反向-支撑机构250在发射动作过程中锁定以阻止发射杆32以及发射机构150回拉，直到完成全发射行程或由用户选择回拉时。在图15中，画出了处于锁定状态的反向-支撑机构250。反向-支撑释放杆248处于最近侧位置并旋转反向-支撑凸轮槽管252与反向-支撑凸轮管268接合形成最小的纵向长度，为锁盘266产生增加的空间。锁盘266倾斜到反向支撑压缩弹簧264所示的一个角度，并夹住发射杆32，如图16所示。
在图16中，框架28的近端400包括容纳套在其远侧环孔404上的反向支撑压缩弹簧264的半卷轴部分402。在弹簧264的近侧，框架28具有一个顶部和与框架28内部相通的近侧开口槽406。反向-支撑盘266通常为扁平盘形状以配合与弹簧264相邻的开口槽406。中央孔408延伸穿过盘266。具体说，从开口槽406中露出的反向支撑盘266的顶部向上突出以接受来自弹簧264的作用力。反向支撑盘266的下部受纵向束缚不与弹簧264接触。因此，除非受到反向支撑凸轮管268的束缚，反向支撑盘266的顶部向尖端近侧推动，引起反向支撑盘266的中央孔408包住发射杆32。
在图17中，反向支撑机构250绘制成解锁状态。反向锁释放杆248已经横移到右侧，向反向支撑轭256的右侧传递运动，因此传递反向支撑凸轮槽管252的顺时针旋转，当从近侧位置看去时。反向支撑凸轮槽管252的凸轮面410与反向支撑凸轮管268上的近端切口412分离，迫使后者向远侧移动抵住反向支撑盘266，反向支撑盘266又移向一个垂直解锁位置并进而压缩反向支撑压缩弹簧264。
在图18中，描绘了发射扳机34已经发射两次后，反向支撑释放杆248和指示器齿轮230右侧边之间的相互作用。杆开口420延伸穿过反向支撑释放杆248以接受并与从指示器齿轮右侧向外延伸的弯曲斜面434相互作用。指示器的齿轮230旋转驱动反向支撑释放杆248向远侧，其将反向支撑释放按钮42降到最低点进入按钮座422并使反向支撑机构250脱离，如所示，从近侧露出反向支撑释放按钮42，并将反向支撑释放杆248踢向右侧以启动反向支撑机构250。反向支撑轭256允许这种用反向支撑轭销258(未显示)纵向槽连接的运动。反向支撑释放杆248的这些移动是由环绕指示器销432周长近四分之一的弯曲斜面430引起的，指示器齿轮230绕指示器销432转动。弯曲斜面430沿顺时针的绝大部分(当从右侧看去)或峰部434伸到远离指示器齿轮230表面的最右端。弯曲斜面430沿逆时针的绝大部分或入口436因此与指示器齿轮230的表面相平齐。
在图18-25中，杆开口420与水平槽440一起成形，限定了反向支撑释放杆248可获得的近侧和远侧移动，指示器销432留在此水平槽440内。顶部凹口442和底部凹口444垂直加宽并与水平槽440连通，并限定弯曲斜面430沿顺时针的大部分在哪一角度位置纵向平移反向支撑释放杆248。顶部和底部凹口442，444的尺寸允许弯曲斜面430在无需倾斜反向支撑释放杆248的情况下进入各凹口442，444。杆开口420在反向支撑机构250纵轴的上方，因此向右的力生成反向支撑凸轮槽管252的旋转力。
在图20中，显示了反向支撑释放杆248和指示器齿轮230的初始状态，并在闭合扳机26被启动的过程中保持此状态。具体说，反向支撑释放杆248位于远侧，使反向支撑释放按钮42降低到其按钮座422中。弯曲斜面430位于其逆时针的极限位置，其峰部434在大约6点钟位置，远侧相邻于杆凹口420下部凹口444的近侧垂直面，斜坡430的入口436在3点钟位置。
在图21中，发射扳机34的第一个发射动作已经发生，其中顶峰434已经作用在底部凹口444的近侧垂直面上，并且弯曲斜面430已经顺时针旋转到大约9点钟的位置。因此，反向支撑释放杆248已经向近侧平移，露出按钮凹口422中的反向支撑释放按钮42并启动反向支撑机构250。选定指示器齿轮230的顺时针旋转速率与所需要的完全发射动作数目间的关系，使得在进行后续发射动作时弯曲斜面430一直不受阻，如图22所示，其中已经完成了两个发射动作将最高点移到近似12点钟的位置。因此，顶峰434接近并邻接上部凹口442的远侧垂直边缘，该位置使得后续发射动作将作用在反向支撑释放杆248上以引起远侧水平移动。注意在这些发射动作工作间，弯曲斜面430保持在指示器销432的近侧。压下释放按钮42会造成杆开口420的近侧边缘骑到弯曲斜面430上，如图19所示，倾斜反向支撑释放杆248。
在图23中，最后发射动作结束，其间峰部434已经移到接近3点钟处，此时移动水平槽440的近端向上移动抵住指示器销432，降低反向支撑释放按钮42，释放反向支撑机构250并初始化链接传递发射机构150的回拉。
在图24中，解锁状态的反向支撑机构250已允许发生靠弹簧的能量的链接齿条200回拉，这又导致当从右侧看去进指示器齿轮230的逆时针旋转。当发射机构150开始回拉时，指示器齿轮230的逆时针旋转使弯曲斜面430的成角度的表面滑动到与顶部凹口442的近侧边缘成斜面接触。指示器齿轮230的继续旋转驱动支撑释放杆248上部下方的弯曲斜面430并倾斜或偏转杆248到图19所示的位置。由弯曲斜面430提供的反向支撑释放杆248的倾斜运动可以防止在链接齿条200的回拉过程中杆248的纵向运动。如果反向支撑机构250在发射动作步骤结束自动解锁后，链接齿条200未在最后一个动作结束时回拉，则转动指示器旋钮40(图20-25中未画出)会产生额外的力以回拉链接齿条200。更应该注意到，在发射机构150部分发射过程中，如图22所示，按下按钮42也会通过从远侧移动支撑释放杆248以解锁反向支撑机构250来回拉链接齿条200。回拉运动持续到指示器齿轮回到其初始位置，如图25所示。
应该注意到，杆开口420的形状及弧形斜坡430的弓形尺寸是作为例证的，可以改变以适应于不同发射动作数目的手柄构造。
应该注意到，由指示器齿轮230和杆开口420相互作用形成的旋转释放机构可以被其它链接取代。
开口锁定(Opening Lockout)
在图26中，手术钉合和切割器械10处于起始打开状态，闭合和发射扳机26，34都是向前的，而链接齿条200处于回拉状态。如前所述，在这种未发射状态下，指示器齿轮230的圆形脊背242中的开口240朝向锁臂172的上表面244，锁臂172平常依靠在外壳结构182和闭合释放按钮38中间远侧边178之间的压缩弹簧180的作用而向下旋转出开口240。在图26中，闭合释放按钮38已压下，使上表面244进入开口244。在图27中，向手枪式握把36方向关闭闭合扳机26并且发射扳机34摆到发射位置后，闭合扳机26和锁臂172处于夹闭邻接状态。闭合释放按钮38未压下，如伸长的闭合弹簧180所表明的。锁臂172的上表面244摆到圆形脊背242的下方且指示器齿轮230解锁并可自由逆时针旋转。锁臂172的向下运动解锁指示器齿轮230和所连接的链接传递发射机构150，允许发射扳机34启动。因此，随着指示器齿轮230继续旋转以进一步发射，阻止闭合释放按钮38释放夹闭的闭合扳机26。
位置指示器和释放机构
在图28中，手术钉合和切割器械610用一个可选择的指示器装置640代替指示器回拉旋钮，此装置向上延伸成一个顶部可触及的回拉杆642，用作一个可易于用任一只手启动的卡滞发射回拉器。该器械示出为打开和未发射状态，如远侧向前的闭合和发射扳机26，34和打开的端部操纵装置12所指示的。当还未开始发射时，在正常情况下回拉杆642与手柄外壳154从远侧旋转邻接。指示器640可以偶联(未显示)到前面所述的惰轮220和发射机构150上，根据前面所述，其中当链接传递发射时，回拉杆642会向近侧旋转，呈现可视的发射指示，并能够以通过向其施加手动远侧力辅助自动回拉的方式作为旋转位置指示器，旋转方向必须反转，因此在此实施例中指示器必须附着到惰轮220上。
在图29中，另一个可选择的发射机构650包括前面所描述的顶部可触及的回拉杆642和指示器装置640，指示器装置640偶联到具有在齿状区668内的第一和第二静止区662，664的指示器齿轮660。当回拉杆642处于与手柄外壳154相邻的远侧位置时，第一静止区662对准惰轮220。因此，惰轮220可以在链接齿条220的驱动下自由地顺时针和逆时针旋转。如果E形梁80(在图29中未显示)由于任何原因在端部操纵装置12中被卡住，不能被拉伸/压缩弹簧组184向近侧拉回，回拉杆642可以由外科医生向近侧拉动以从左侧看去顺时针旋转指示器齿轮660。回拉杆660的这种旋转运动转动指示器齿轮660并带动了位于第一和第二静止区662，664之间的弯曲齿部670与惰轮220的齿相接触，以可操作地将回拉杆642偶联到发射机构650上。
一旦偶联，外科医生可以向回拉杆642施加更大的力以回拉发射机构650，从而逆时针旋转惰轮220并向近侧纵向移动链接齿条200以回拉E形梁80。当回拉杆642进一步旋转到图30的位置，惰轮220与弯曲齿状部分离并通过第二静止区664与回拉杆642去偶联。在这方面，施力释放卡滞发射机构650，且拉伸/压缩弹簧组184将完全回拉链接齿条200。
另外一个设计(未显示)包括一个在回拉杆642和指示器齿轮660之间的单向滑动离合器如一个Sprague离合器或相同功能的机构(未显示)。在前面的设计中，回拉杆642的运动范围由在小于一整周的范围或运动的每个端点处与手柄外壳154接触而限定。这就限制了在回拉杆642的一个运动过程中发射系统650能被回拉的距离。在回拉杆642和指示器齿轮660间增加单向滑动离合器允许当回拉杆642向后旋转(从远侧到近侧)时，回拉杆642可操作地与指示器齿轮660啮合，当杆向前移动(从近侧到远侧)时将两者分离。这样，通过多次拉动回拉杆642保证了发射机构650的完全回拉。第二静止区664可从指示器齿轮660上移开以确保更多齿与齿的啮合。另外，加入离合器机构可允许使用后回拉杆旋转与手柄相邻。
在使用中，外科医生使端部操纵装置12和轴18穿过套管或套管针定位到手术位置，定位的砧座14和延长通道16作为相对的夹钳抓紧要钉合和切割的组织。一旦对端部操纵装置12的位置满意，闭合扳机25被完全压向手柄20的手枪式握把36，导致闭合扳机26的上部160锁定枢轴连接到闭合释放按钮38上的锁臂172。因此，发射扳机34被压下并释放预定次数以作用于完全发射行程来驱动发射杆32沿轴18下降到端部操纵装置12的E形梁80。在发射过程中，反向支撑机构250处于锁定状态，允许反向支撑盘266倾回，束缚发射杆32的任何向近侧的运动。向远侧的运动通过链接传递发射机构150传递给发射杆32，该链接传递发射机构150包括在近端附着在发射杆32的链接齿条200，每一个链接196a-d销到相邻的链接196a-d上以便可以向下弯曲到手枪式握把36内但不能向上弯，当与传递到链接196a-d间的旋转销310上方的作用力成直线时形成刚性结构。尤其是，偶联到发射扳机34的牵拉偏压机构210包括一个靠摩擦力偶联到手柄外壳154的偏压轮278，以便远侧发射运动向棘爪270传递一啮合偏压，推动棘爪270与链接齿条200啮合。在动作结束时，棘爪270通过与闭合轭162的斜面284相接触从与链接196的发射啮合中抬起。发射机构150的回位运动导致偏压轮278向棘爪270传递反向偏压，将棘爪270保持在由反向支撑机构250保持在适当位置上的链接齿条200之上。在发射全程中，指示器齿轮230包括断开反向支撑释放杆248的弯曲斜面430，反向支撑释放杆248迫使反向支撑盘266进入解锁状态，允许利用存储在拉伸/压缩弹簧组184内的压缩力收回链接齿条200及发射杆32。因此，链接齿条200收回到手柄把手36内。可选择地，在发射动作期间，外科医生可以压下使反向支撑释放杆倾斜的反向支撑释放按钮42。指示器旋钮40方便地使外科医生了解到发射进展的程度并辅助回拉遇到束缚的E形梁80。
虽然本发明已经通过一些实施例的描述进行了说明，而且这些示范性实施例已进行相当详细地描述，但申请人并不是将附加的权利要求书的范围限制得如此具体。其它的优点和修改对本领域技术人员来说都是显而易见的。
例如，虽然这里所描述的手术钉合和切割器械10优选具有分离和明显的发射和闭合动作，提供了临床使用的灵活性。但是应意识到，符合本发明的应用可以包括将单个用户动作转化为闭合和发射该器械的发射运动的手柄。
Claims (10)
1.一种外科手术器械，包括：
一个响应发射动作和闭合动作的延长执行部分；
一个可操作地设置为用于在未发射位置和完全发射位置之间产生发射动作的发射机构；
一个可操作地设置为用于关闭和打开执行部分的闭合机构；及
一个闭合释放机构，其可操作地设置为用于当该执行部分处于完全关闭位置时锁定闭合机构，并且只有当发射机构处于未发射位置时响应操作者命令以解锁闭合装置。
2.根据权利要求1所述的外科手术器械，其中所述端部操纵装置包括：
一个连接于所述轴的延长通道；
一个枢轴连接于所述延长通道用于夹住组织的砧座；以及
一个容纳在所述延长通道中的钉盒；
其中所述发射元件在远侧终止于一个发射杆内，该发射杆可操作地设置为用于启动所述钉盒以在所夹住的组织中形成钉合。
3.根据权利要求1所述的外科手术器械，还包括一个可操作地设置为用于将作为向远侧纵向运动的连续发射行程传递到所述发射元件中的发射机构。
4.根据权利要求1所述的外科手术器械，其中所述发射机构包括一个用于操作者的多个发射扳机动作的牵拉偏压偶联的装置。
5.根据权利要求1所述的外科手术器械，其中所述发射机构包括一个用于将操作者的发射扳机动作的链接齿条偶联到所述发射元件的装置。
6.根据权利要求5所述的外科手术器械，其中所述发射机构还包括一个用于操作者的多个开启扳机动作的牵拉偏置偶联的装置。
7.一种外科手术器械，包括：
一个响应发射动作和闭合动作的延长执行部分；以及
一个连接到该延长执行部分的手柄部分，包括：
一个可操作地设置为用于在未发射位置和完全发射位置之间产生发射动作的发射机构，
一个包括锁定面的指示器元件，该指示器元件响应处于未发射位置的发射机构以将锁定面置于解锁位置，
一个可操作地设置为用于产生闭合动作的闭合扳机，其可在打开位置和关闭位置间移动，并可在关闭位置锁定，及
一个解锁控制装置，当指示器元件的锁定面处于解锁位置时，该解锁控制装置可从未启动位置向启动位置移动以解锁闭合扳机。
8.根据权利要求7所述的外科手术器械，其中手柄还包括一个外壳，解锁控制装置包括一个偶联到裸露的启动器的锁臂，闭合扳机枢轴偶联到外壳并包括一个接合到锁臂以将闭合扳机锁定在关闭位置的上部。
9.根据权利要求8所述的手术器械，其中指示器元件包括一个对解锁控制装置的锁臂呈现不连续圆形锁定面的齿轮。
10.一种外科手术器械，包括：
一个响应发射动作和闭合动作的延长执行部分；
一个可操作地设置为用于在未发射位置和完全发射位置之间产生发射动作的发射机构；
一个可操作地设置为用于关闭和打开执行部分的闭合机构；及
一个夹住位于完全关闭位置的执行部分的闭合释放设置，并只有当发射机构处于未发射位置时才响应操作者命令以解锁闭合装置。
Applications Claiming Priority (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US10/674236 | 2003-09-29 | ||
| US10/674,236 US7434715B2 (en) | 2003-09-29 | 2003-09-29 | Surgical stapling instrument having multistroke firing with opening lockout |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN1644174A true CN1644174A (zh) | 2005-07-27 |
| CN100586382C CN100586382C (zh) | 2010-02-03 |
Family
ID=34376836
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN200410087484A Active CN100586382C (zh) | 2003-09-29 | 2004-09-28 | 具有带开口锁定的多动作发射的手术钉合器械 |
Country Status (9)
| Country | Link |
|---|---|
| US (1) | US7434715B2 (zh) |
| EP (2) | EP1523943B1 (zh) |
| JP (1) | JP4850401B2 (zh) |
| CN (1) | CN100586382C (zh) |
| AU (2) | AU2004216573A1 (zh) |
| BR (1) | BRPI0405209B8 (zh) |
| CA (1) | CA2482577C (zh) |
| MX (1) | MXPA04009531A (zh) |
| PL (1) | PL1523943T3 (zh) |
Cited By (8)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN1957854B (zh) * | 2005-11-04 | 2011-04-20 | 伊西康内外科公司 | 锁定机构和具有该锁定机构的外科器械 |
| CN101116625B (zh) * | 2006-08-02 | 2011-06-01 | 伊西康内外科公司 | 气动外科切割和紧固器械 |
| CN104706396A (zh) * | 2010-03-16 | 2015-06-17 | 柯惠Lp公司 | 用于确定手术器械中的线性运动的参数的方法和装置 |
| CN109310418A (zh) * | 2016-04-01 | 2019-02-05 | 伊西康有限责任公司 | 具有可重新构造的夹持部分的外科器械柄部组件 |
| CN110049732A (zh) * | 2016-12-07 | 2019-07-23 | 伊西康公司 | 用于分配外科紧固件的具有关节运动轴的施用器械 |
| CN110063762A (zh) * | 2013-11-04 | 2019-07-30 | 柯惠Lp公司 | 手术紧固件施加装置 |
| CN110099626A (zh) * | 2016-12-21 | 2019-08-06 | 爱惜康有限责任公司 | 包括闭锁件的轴组件 |
| CN113081145A (zh) * | 2021-04-14 | 2021-07-09 | 常州市康蒂娜医疗科技有限公司 | 一种简易型组织夹连发施夹钳 |
Families Citing this family (1020)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5865361A (en) | 1997-09-23 | 1999-02-02 | United States Surgical Corporation | Surgical stapling apparatus |
| US10285694B2 (en) | 2001-10-20 | 2019-05-14 | Covidien Lp | Surgical stapler with timer and feedback display |
| US7464847B2 (en) | 2005-06-03 | 2008-12-16 | Tyco Healthcare Group Lp | Surgical stapler with timer and feedback display |
| 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 |
| US8663245B2 (en) * | 2004-06-18 | 2014-03-04 | Medtronic, Inc. | Device for occlusion of a left atrial appendage |
| EP1768575B1 (en) * | 2004-06-18 | 2019-01-16 | Medtronic, Inc. | Devices for occlusion of an atrial appendage |
| US8409219B2 (en) | 2004-06-18 | 2013-04-02 | Medtronic, Inc. | Method and system for placement of electrical lead inside heart |
| US11890012B2 (en) | 2004-07-28 | 2024-02-06 | Cilag Gmbh International | Staple cartridge comprising cartridge body and attached support |
| US8215531B2 (en) | 2004-07-28 | 2012-07-10 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having a medical substance dispenser |
| CA2609970C (en) | 2005-06-03 | 2014-08-12 | Tyco Healthcare Group Lp | Battery powered surgical instrument |
| US11291443B2 (en) | 2005-06-03 | 2022-04-05 | 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 |
| 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 |
| US7398908B2 (en) * | 2005-08-15 | 2008-07-15 | Tyco Healthcare Group Lp | Surgical stapling instruments including a cartridge having multiple staple sizes |
| US8579178B2 (en) | 2005-08-15 | 2013-11-12 | Covidien Lp | Surgical stapling instruments including a cartridge having multiple staples sizes |
| US8800838B2 (en) | 2005-08-31 | 2014-08-12 | Ethicon Endo-Surgery, Inc. | Robotically-controlled cable-based surgical end effectors |
| US20070194079A1 (en) | 2005-08-31 | 2007-08-23 | Hueil Joseph C | Surgical stapling device with staple drivers of different height |
| 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 |
| US9237891B2 (en) | 2005-08-31 | 2016-01-19 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical stapling devices that produce formed staples having different lengths |
| US11246590B2 (en) | 2005-08-31 | 2022-02-15 | Cilag Gmbh International | Staple cartridge including staple drivers having different unfired heights |
| US11484312B2 (en) | 2005-08-31 | 2022-11-01 | Cilag Gmbh International | Staple cartridge comprising a staple driver arrangement |
| US7934630B2 (en) | 2005-08-31 | 2011-05-03 | Ethicon Endo-Surgery, Inc. | Staple cartridges for forming staples having differing formed staple heights |
| US7641091B2 (en) * | 2005-10-04 | 2010-01-05 | Tyco Healthcare Group Lp | Staple drive assembly |
| US7673783B2 (en) | 2005-11-04 | 2010-03-09 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments structured for delivery of medical agents |
| US20070106317A1 (en) | 2005-11-09 | 2007-05-10 | Shelton Frederick E Iv | Hydraulically and electrically actuated articulation joints for surgical instruments |
| US7896895B2 (en) * | 2005-11-23 | 2011-03-01 | Ethicon Endo-Surgery, Inc. | Surgical clip and applier device and method of use |
| US8161977B2 (en) | 2006-01-31 | 2012-04-24 | Ethicon Endo-Surgery, Inc. | Accessing data stored in a memory of a surgical instrument |
| US7753904B2 (en) | 2006-01-31 | 2010-07-13 | Ethicon Endo-Surgery, Inc. | Endoscopic surgical instrument with a handle that can articulate with respect to the shaft |
| US7770775B2 (en) | 2006-01-31 | 2010-08-10 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting and fastening instrument with adaptive user feedback |
| 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 |
| US11224427B2 (en) | 2006-01-31 | 2022-01-18 | Cilag Gmbh International | Surgical stapling system including a console and retraction assembly |
| US7416101B2 (en) * | 2006-01-31 | 2008-08-26 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting and fastening instrument with loading force feedback |
| US11278279B2 (en) | 2006-01-31 | 2022-03-22 | Cilag Gmbh International | Surgical instrument assembly |
| US20110006101A1 (en) | 2009-02-06 | 2011-01-13 | EthiconEndo-Surgery, Inc. | Motor driven surgical fastener device with cutting member lockout arrangements |
| US8763879B2 (en) | 2006-01-31 | 2014-07-01 | Ethicon Endo-Surgery, Inc. | Accessing data stored in a memory of surgical instrument |
| US20110024477A1 (en) | 2009-02-06 | 2011-02-03 | Hall Steven G | Driven Surgical Stapler Improvements |
| US11793518B2 (en) | 2006-01-31 | 2023-10-24 | Cilag Gmbh International | Powered surgical instruments with firing system lockout arrangements |
| US7845537B2 (en) | 2006-01-31 | 2010-12-07 | Ethicon Endo-Surgery, Inc. | Surgical instrument having recording capabilities |
| US8186555B2 (en) | 2006-01-31 | 2012-05-29 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting and fastening instrument with mechanical closure system |
| US20110290856A1 (en) | 2006-01-31 | 2011-12-01 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical instrument with force-feedback capabilities |
| US7766210B2 (en) | 2006-01-31 | 2010-08-03 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting and fastening instrument with user feedback system |
| US7644848B2 (en) | 2006-01-31 | 2010-01-12 | Ethicon Endo-Surgery, Inc. | Electronic lockouts and surgical instrument including same |
| US20120292367A1 (en) | 2006-01-31 | 2012-11-22 | Ethicon Endo-Surgery, Inc. | Robotically-controlled end effector |
| US9861359B2 (en) | 2006-01-31 | 2018-01-09 | Ethicon Llc | Powered surgical instruments with firing system lockout arrangements |
| US8820603B2 (en) | 2006-01-31 | 2014-09-02 | Ethicon Endo-Surgery, Inc. | Accessing data stored in a memory of a surgical instrument |
| 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 |
| 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 |
| US8992422B2 (en) | 2006-03-23 | 2015-03-31 | Ethicon Endo-Surgery, Inc. | Robotically-controlled endoscopic accessory channel |
| US20070225562A1 (en) | 2006-03-23 | 2007-09-27 | Ethicon Endo-Surgery, Inc. | Articulating endoscopic accessory channel |
| US8721630B2 (en) | 2006-03-23 | 2014-05-13 | Ethicon Endo-Surgery, Inc. | Methods and devices for controlling articulation |
| US20100081883A1 (en) | 2008-09-30 | 2010-04-01 | Ethicon Endo-Surgery, Inc. | Methods and devices for performing gastroplasties using a multiple port access device |
| US20100081864A1 (en) | 2008-09-30 | 2010-04-01 | Ethicon Endo-Surgery, Inc. | Methods and devices for performing gastrectomies and gastroplasties |
| US7552854B2 (en) | 2006-05-19 | 2009-06-30 | Applied Medical Resources Corporation | Surgical stapler with firing lock mechanism |
| US8322455B2 (en) | 2006-06-27 | 2012-12-04 | Ethicon Endo-Surgery, Inc. | Manually driven surgical cutting and fastening instrument |
| US20080029574A1 (en) * | 2006-08-02 | 2008-02-07 | Shelton Frederick E | Pneumatically powered surgical cutting and fastening instrument with actuator at distal end |
| 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 |
| US10130359B2 (en) | 2006-09-29 | 2018-11-20 | Ethicon Llc | Method for forming a staple |
| US10568652B2 (en) | 2006-09-29 | 2020-02-25 | Ethicon Llc | Surgical staples having attached drivers of different heights and stapling instruments for deploying the same |
| US7506791B2 (en) | 2006-09-29 | 2009-03-24 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with mechanical mechanism for limiting maximum tissue compression |
| US7845535B2 (en) | 2006-10-06 | 2010-12-07 | Tyco Healthcare Group Lp | Surgical instrument having a plastic surface |
| US7963431B2 (en) * | 2006-10-06 | 2011-06-21 | Tyco Healthcare Group, Lp | Grasping jaw mechanism |
| US8336751B2 (en) | 2006-10-06 | 2012-12-25 | Covidien Lp | Grasping jaw mechanism |
| US7967178B2 (en) * | 2006-10-06 | 2011-06-28 | Tyco Healthcare Group Lp | Grasping jaw mechanism |
| US8733614B2 (en) | 2006-10-06 | 2014-05-27 | Covidien Lp | End effector identification by mechanical features |
| US8459520B2 (en) | 2007-01-10 | 2013-06-11 | Ethicon Endo-Surgery, Inc. | Surgical instrument with wireless communication between control unit and remote sensor |
| US8652120B2 (en) | 2007-01-10 | 2014-02-18 | Ethicon Endo-Surgery, Inc. | Surgical instrument with wireless communication between control unit and sensor transponders |
| US11291441B2 (en) | 2007-01-10 | 2022-04-05 | Cilag Gmbh International | Surgical instrument with wireless communication between control unit and remote sensor |
| 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 |
| US8540128B2 (en) | 2007-01-11 | 2013-09-24 | Ethicon Endo-Surgery, Inc. | Surgical stapling device with a curved end effector |
| US11039836B2 (en) | 2007-01-11 | 2021-06-22 | Cilag Gmbh International | Staple cartridge for use with a surgical stapling instrument |
| US7431188B1 (en) | 2007-03-15 | 2008-10-07 | Tyco Healthcare Group Lp | Surgical stapling apparatus with powered articulation |
| US8727197B2 (en) | 2007-03-15 | 2014-05-20 | Ethicon Endo-Surgery, Inc. | Staple cartridge cavity configuration with cooperative surgical staple |
| US8205780B2 (en) | 2007-03-22 | 2012-06-26 | Tyco Healthcare Group Lp | Apparatus for forming variable height surgical fasteners |
| US8056787B2 (en) | 2007-03-28 | 2011-11-15 | Ethicon Endo-Surgery, Inc. | Surgical stapling and cutting instrument with travel-indicating retraction member |
| US8893946B2 (en) | 2007-03-28 | 2014-11-25 | Ethicon Endo-Surgery, Inc. | Laparoscopic tissue thickness and clamp load measuring devices |
| US20080255413A1 (en) | 2007-04-13 | 2008-10-16 | Michael Zemlok | Powered surgical instrument |
| US7950560B2 (en) | 2007-04-13 | 2011-05-31 | Tyco Healthcare Group Lp | Powered surgical instrument |
| US8800837B2 (en) | 2007-04-13 | 2014-08-12 | Covidien Lp | Powered surgical instrument |
| US11259801B2 (en) | 2007-04-13 | 2022-03-01 | Covidien Lp | Powered surgical instrument |
| US7823760B2 (en) | 2007-05-01 | 2010-11-02 | Tyco Healthcare Group Lp | Powered surgical stapling device platform |
| US9636111B2 (en) * | 2007-05-07 | 2017-05-02 | Covidien Lp | Method of stapling tissues with a staple assembly |
| US7931660B2 (en) | 2007-05-10 | 2011-04-26 | Tyco Healthcare Group Lp | Powered tacker instrument |
| US7798386B2 (en) | 2007-05-30 | 2010-09-21 | Ethicon Endo-Surgery, Inc. | Surgical instrument articulation joint cover |
| US7810693B2 (en) | 2007-05-30 | 2010-10-12 | Ethicon Endo-Surgery, Inc. | Surgical stapling and cutting instrument with articulatable end effector |
| US8931682B2 (en) | 2007-06-04 | 2015-01-13 | Ethicon Endo-Surgery, Inc. | Robotically-controlled shaft based rotary drive systems for surgical instruments |
| US7832408B2 (en) | 2007-06-04 | 2010-11-16 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a directional switching mechanism |
| US11857181B2 (en) | 2007-06-04 | 2024-01-02 | Cilag Gmbh International | Robotically-controlled shaft based rotary drive systems for surgical instruments |
| US7905380B2 (en) | 2007-06-04 | 2011-03-15 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a multiple rate directional switching mechanism |
| US8534528B2 (en) | 2007-06-04 | 2013-09-17 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a multiple rate directional switching mechanism |
| US7658311B2 (en) | 2007-06-22 | 2010-02-09 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with a geared return mechanism |
| US8308040B2 (en) | 2007-06-22 | 2012-11-13 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with an articulatable end effector |
| US7753245B2 (en) | 2007-06-22 | 2010-07-13 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments |
| US11849941B2 (en) | 2007-06-29 | 2023-12-26 | Cilag Gmbh International | Staple cartridge having staple cavities extending at a transverse angle relative to a longitudinal cartridge axis |
| US8348972B2 (en) | 2007-07-11 | 2013-01-08 | Covidien Lp | Surgical staple with augmented compression area |
| US8061576B2 (en) | 2007-08-31 | 2011-11-22 | Tyco Healthcare Group Lp | Surgical instrument |
| US8070036B1 (en) | 2007-09-06 | 2011-12-06 | Cardica, Inc | True multi-fire surgical stapler configured to fire staples of different sizes |
| US8403956B1 (en) | 2007-09-06 | 2013-03-26 | Cardica, Inc. | Multiple-use surgical stapler |
| US7988026B2 (en) | 2007-09-06 | 2011-08-02 | Cardica, Inc. | Endocutter with staple feed |
| US9168039B1 (en) | 2007-09-06 | 2015-10-27 | Cardica, Inc. | Surgical stapler with staples of different sizes |
| US7922063B2 (en) | 2007-10-31 | 2011-04-12 | Tyco Healthcare Group, Lp | Powered surgical instrument |
| 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 |
| US8348129B2 (en) | 2009-10-09 | 2013-01-08 | Ethicon Endo-Surgery, Inc. | Surgical stapler having a closure mechanism |
| US8453908B2 (en) | 2008-02-13 | 2013-06-04 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with improved firing trigger arrangement |
| US8540133B2 (en) | 2008-09-19 | 2013-09-24 | Ethicon Endo-Surgery, Inc. | Staple cartridge |
| US7866527B2 (en) | 2008-02-14 | 2011-01-11 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with interlockable firing system |
| 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 |
| US8752749B2 (en) | 2008-02-14 | 2014-06-17 | Ethicon Endo-Surgery, Inc. | Robotically-controlled disposable motor-driven loading unit |
| US7819296B2 (en) | 2008-02-14 | 2010-10-26 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with retractable firing systems |
| BRPI0901282A2 (pt) | 2008-02-14 | 2009-11-17 | Ethicon Endo Surgery Inc | instrumento cirúrgico de corte e fixação dotado de eletrodos de rf |
| 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 |
| US7819297B2 (en) | 2008-02-14 | 2010-10-26 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with reprocessible handle assembly |
| US8657174B2 (en) | 2008-02-14 | 2014-02-25 | Ethicon Endo-Surgery, Inc. | Motorized surgical cutting and fastening instrument having handle based power source |
| US7793812B2 (en) | 2008-02-14 | 2010-09-14 | Ethicon Endo-Surgery, Inc. | Disposable motor-driven loading unit for use with a surgical cutting and stapling apparatus |
| US7819298B2 (en) | 2008-02-14 | 2010-10-26 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with control features operable with one hand |
| 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 |
| US8584919B2 (en) | 2008-02-14 | 2013-11-19 | Ethicon Endo-Sugery, Inc. | Surgical stapling apparatus with load-sensitive firing mechanism |
| US7810692B2 (en) | 2008-02-14 | 2010-10-12 | Ethicon Endo-Surgery, Inc. | Disposable loading unit with firing indicator |
| US7861906B2 (en) | 2008-02-14 | 2011-01-04 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with articulatable components |
| US7857185B2 (en) | 2008-02-14 | 2010-12-28 | Ethicon Endo-Surgery, Inc. | Disposable loading unit for surgical stapling apparatus |
| US9179912B2 (en) | 2008-02-14 | 2015-11-10 | Ethicon Endo-Surgery, Inc. | Robotically-controlled motorized surgical cutting and fastening instrument |
| US8636736B2 (en) | 2008-02-14 | 2014-01-28 | Ethicon Endo-Surgery, Inc. | Motorized surgical cutting and fastening instrument |
| US8573465B2 (en) | 2008-02-14 | 2013-11-05 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical end effector system with rotary actuated closure systems |
| US8608044B2 (en) | 2008-02-15 | 2013-12-17 | Ethicon Endo-Surgery, Inc. | Feedback and lockout mechanism for surgical instrument |
| US11272927B2 (en) | 2008-02-15 | 2022-03-15 | Cilag Gmbh International | Layer arrangements for surgical staple cartridges |
| US9770245B2 (en) | 2008-02-15 | 2017-09-26 | Ethicon Llc | Layer arrangements for surgical staple cartridges |
| US20090206131A1 (en) | 2008-02-15 | 2009-08-20 | Ethicon Endo-Surgery, Inc. | End effector coupling arrangements for a surgical cutting and stapling instrument |
| US8231041B2 (en) * | 2008-04-14 | 2012-07-31 | Tyco Healthcare Group Lp | Variable compression surgical fastener cartridge |
| US8100310B2 (en) * | 2008-04-14 | 2012-01-24 | Tyco Healthcare Group Lp | Variable compression surgical fastener apparatus |
| US7926691B2 (en) * | 2008-04-14 | 2011-04-19 | Tyco Healthcare Group, L.P. | Variable compression surgical fastener cartridge |
| 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 |
| US8028884B2 (en) | 2008-04-22 | 2011-10-04 | Tyco Healthcare Group Lp | Cartridge for applying varying amounts of tissue compression |
| US8967446B2 (en) * | 2008-05-09 | 2015-03-03 | Covidien Lp | Variable compression surgical fastener cartridge |
| US8464922B2 (en) * | 2008-05-09 | 2013-06-18 | Covidien Lp | Variable compression surgical fastener cartridge |
| US9016541B2 (en) | 2008-05-09 | 2015-04-28 | Covidien Lp | Varying tissue compression with an anvil configuration |
| US8091756B2 (en) * | 2008-05-09 | 2012-01-10 | Tyco Healthcare Group Lp | Varying tissue compression using take-up component |
| US8186556B2 (en) * | 2008-05-09 | 2012-05-29 | Tyco Healthcare Group Lp | Variable compression surgical fastener apparatus |
| US7789283B2 (en) | 2008-06-06 | 2010-09-07 | Tyco Healthcare Group Lp | Knife/firing rod connection for surgical instrument |
| US8701959B2 (en) | 2008-06-06 | 2014-04-22 | Covidien Lp | Mechanically pivoting cartridge channel for surgical instrument |
| US7942303B2 (en) | 2008-06-06 | 2011-05-17 | Tyco Healthcare Group Lp | Knife lockout mechanisms for surgical instrument |
| US20100023052A1 (en) * | 2008-07-23 | 2010-01-28 | Tyco Healthcare Group Lp | Staple for use in surgical procedures |
| US7857186B2 (en) | 2008-09-19 | 2010-12-28 | Ethicon Endo-Surgery, Inc. | Surgical stapler having an intermediate closing position |
| PL3476312T3 (pl) | 2008-09-19 | 2024-03-11 | Ethicon Llc | Stapler chirurgiczny z urządzeniem do dopasowania wysokości zszywek |
| US8210411B2 (en) | 2008-09-23 | 2012-07-03 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting instrument |
| US9050083B2 (en) | 2008-09-23 | 2015-06-09 | Ethicon Endo-Surgery, Inc. | Motorized surgical instrument |
| US8215532B2 (en) | 2008-09-23 | 2012-07-10 | Tyco Healthcare Group Lp | Tissue stop for surgical instrument |
| US8628544B2 (en) | 2008-09-23 | 2014-01-14 | Covidien Lp | Knife bar for surgical instrument |
| US7988028B2 (en) | 2008-09-23 | 2011-08-02 | Tyco Healthcare Group Lp | Surgical instrument having an asymmetric dynamic clamping member |
| US11648005B2 (en) | 2008-09-23 | 2023-05-16 | Cilag Gmbh International | Robotically-controlled motorized surgical instrument with an end effector |
| US7896214B2 (en) | 2008-09-23 | 2011-03-01 | Tyco Healthcare Group Lp | Tissue stop for surgical instrument |
| US9005230B2 (en) | 2008-09-23 | 2015-04-14 | Ethicon Endo-Surgery, Inc. | Motorized surgical instrument |
| US9386983B2 (en) | 2008-09-23 | 2016-07-12 | Ethicon Endo-Surgery, Llc | Robotically-controlled motorized surgical instrument |
| GB0818101D0 (en) | 2008-10-03 | 2008-11-05 | Femcare Nikomed Ltd | Applicator for surgical clips |
| US8608045B2 (en) | 2008-10-10 | 2013-12-17 | Ethicon Endo-Sugery, Inc. | Powered surgical cutting and stapling apparatus with manually retractable firing system |
| US8517239B2 (en) | 2009-02-05 | 2013-08-27 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument comprising a magnetic element driver |
| US8397971B2 (en) | 2009-02-05 | 2013-03-19 | Ethicon Endo-Surgery, Inc. | Sterilizable surgical instrument |
| US8414577B2 (en) | 2009-02-05 | 2013-04-09 | Ethicon Endo-Surgery, Inc. | Surgical instruments and components for use in sterile environments |
| CN102341048A (zh) | 2009-02-06 | 2012-02-01 | 伊西康内外科公司 | 动力手术缝合器的改进 |
| 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 |
| US8397973B1 (en) | 2009-03-09 | 2013-03-19 | Cardica, Inc. | Wide handle for true multi-fire surgical stapler |
| US8066167B2 (en) | 2009-03-23 | 2011-11-29 | Ethicon Endo-Surgery, Inc. | Circular surgical stapling instrument with anvil locking system |
| US8945163B2 (en) | 2009-04-01 | 2015-02-03 | Ethicon Endo-Surgery, Inc. | Methods and devices for cutting and fastening tissue |
| US8292154B2 (en) | 2009-04-16 | 2012-10-23 | Tyco Healthcare Group Lp | Surgical apparatus for applying tissue fasteners |
| US8317072B1 (en) | 2009-05-03 | 2012-11-27 | Cardica, Inc. | Feeder belt for true multi-fire surgical stapler |
| 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 |
| US8127976B2 (en) | 2009-05-08 | 2012-03-06 | Tyco Healthcare Group Lp | Stapler cartridge and channel interlock |
| US8070034B1 (en) | 2009-05-29 | 2011-12-06 | Cardica, Inc. | Surgical stapler with angled staple bays |
| US8240538B1 (en) | 2009-05-29 | 2012-08-14 | Cardica, Inc. | True multi-fire surgical stapler with two-sided staple deployment |
| US8225980B1 (en) | 2009-06-02 | 2012-07-24 | Cardica, Inc. | True multi-fire surgical stapler with buttress strip |
| 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 |
| US8342378B2 (en) | 2009-08-17 | 2013-01-01 | Covidien Lp | One handed stapler |
| US8152041B2 (en) | 2009-10-14 | 2012-04-10 | Tyco Healthcare Group Lp | Varying tissue compression aided by elastic members |
| US8418907B2 (en) | 2009-11-05 | 2013-04-16 | Covidien Lp | Surgical stapler having cartridge with adjustable cam mechanism |
| US9186136B2 (en) * | 2009-12-09 | 2015-11-17 | Covidien Lp | Surgical clip applier |
| US8851354B2 (en) | 2009-12-24 | 2014-10-07 | Ethicon Endo-Surgery, Inc. | Surgical cutting instrument that analyzes tissue thickness |
| US8220688B2 (en) | 2009-12-24 | 2012-07-17 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting instrument with electric actuator directional control assembly |
| US8267300B2 (en) | 2009-12-30 | 2012-09-18 | Ethicon Endo-Surgery, Inc. | Dampening device for endoscopic surgical stapler |
| US8608046B2 (en) | 2010-01-07 | 2013-12-17 | Ethicon Endo-Surgery, Inc. | Test device for a surgical tool |
| US8672209B2 (en) * | 2010-02-25 | 2014-03-18 | Design Standards Corporation | Laproscopic stapler |
| US8348127B2 (en) | 2010-04-07 | 2013-01-08 | Covidien Lp | Surgical fastener applying apparatus |
| US8662369B1 (en) | 2010-05-27 | 2014-03-04 | Cardica, Inc. | Barbed surgical staple |
| US8439246B1 (en) | 2010-07-20 | 2013-05-14 | Cardica, Inc. | Surgical stapler with cartridge-adjustable clamp gap |
| 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 |
| 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 |
| US9016542B2 (en) | 2010-09-30 | 2015-04-28 | Ethicon Endo-Surgery, Inc. | Staple cartridge comprising compressible distortion resistant components |
| US11812965B2 (en) | 2010-09-30 | 2023-11-14 | Cilag Gmbh International | Layer of material for a surgical end effector |
| US9211120B2 (en) | 2011-04-29 | 2015-12-15 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator comprising a plurality of medicaments |
| US10945731B2 (en) | 2010-09-30 | 2021-03-16 | Ethicon Llc | Tissue thickness compensator comprising controlled release and expansion |
| US11298125B2 (en) | 2010-09-30 | 2022-04-12 | Cilag Gmbh International | Tissue stapler having a thickness compensator |
| US9517063B2 (en) | 2012-03-28 | 2016-12-13 | Ethicon Endo-Surgery, Llc | Movable member for use with a tissue thickness compensator |
| US11849952B2 (en) | 2010-09-30 | 2023-12-26 | Cilag Gmbh International | Staple cartridge comprising staples positioned within a compressible portion thereof |
| US9314246B2 (en) | 2010-09-30 | 2016-04-19 | Ethicon Endo-Surgery, Llc | Tissue stapler having a thickness compensator incorporating an anti-inflammatory agent |
| US9629814B2 (en) | 2010-09-30 | 2017-04-25 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator configured to redistribute compressive forces |
| EP2621356B1 (en) | 2010-09-30 | 2018-03-07 | Ethicon LLC | Fastener system comprising a retention matrix and an alignment matrix |
| US9364233B2 (en) | 2010-09-30 | 2016-06-14 | Ethicon Endo-Surgery, Llc | Tissue thickness compensators for circular surgical staplers |
| US9386988B2 (en) | 2010-09-30 | 2016-07-12 | Ethicon End-Surgery, LLC | Retainer assembly including a tissue thickness compensator |
| US9433419B2 (en) | 2010-09-30 | 2016-09-06 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator comprising a plurality of layers |
| US9055941B2 (en) | 2011-09-23 | 2015-06-16 | Ethicon Endo-Surgery, Inc. | Staple cartridge including collapsible deck |
| US9307989B2 (en) | 2012-03-28 | 2016-04-12 | Ethicon Endo-Surgery, Llc | Tissue stapler having a thickness compensator incorportating a hydrophobic agent |
| US9204880B2 (en) | 2012-03-28 | 2015-12-08 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator comprising capsules defining a low pressure environment |
| US9414838B2 (en) | 2012-03-28 | 2016-08-16 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator comprised of a plurality of materials |
| US9282962B2 (en) | 2010-09-30 | 2016-03-15 | Ethicon Endo-Surgery, Llc | Adhesive film laminate |
| US8893949B2 (en) | 2010-09-30 | 2014-11-25 | Ethicon Endo-Surgery, Inc. | Surgical stapler with floating anvil |
| 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 |
| US8695866B2 (en) | 2010-10-01 | 2014-04-15 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a power control circuit |
| US8899461B2 (en) | 2010-10-01 | 2014-12-02 | Covidien Lp | Tissue stop for surgical instrument |
| US8308041B2 (en) | 2010-11-10 | 2012-11-13 | Tyco Healthcare Group Lp | Staple formed over the wire wound closure procedure |
| US8632462B2 (en) | 2011-03-14 | 2014-01-21 | Ethicon Endo-Surgery, Inc. | Trans-rectum universal ports |
| US9044229B2 (en) | 2011-03-15 | 2015-06-02 | Ethicon Endo-Surgery, Inc. | Surgical fastener instruments |
| US8636189B1 (en) | 2011-04-19 | 2014-01-28 | Cardica, Inc. | Active wedge for surgical stapler |
| US9655615B2 (en) | 2011-04-19 | 2017-05-23 | Dextera Surgical Inc. | Active wedge and I-beam for surgical stapler |
| US8631990B1 (en) | 2011-04-25 | 2014-01-21 | Cardica, Inc. | Staple trap for surgical stapler |
| US9320519B1 (en) | 2011-04-26 | 2016-04-26 | Cardica, Inc. | Single-trigger clamping and firing of surgical stapler |
| US9155536B1 (en) | 2011-04-26 | 2015-10-13 | Cardica, Inc. | Circular stapler |
| 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 |
| US9451959B2 (en) | 2011-06-09 | 2016-09-27 | Covidien Lp | Surgical fastener applying apparatus |
| US9271728B2 (en) | 2011-06-09 | 2016-03-01 | Covidien Lp | Surgical fastener applying apparatus |
| US9289209B2 (en) | 2011-06-09 | 2016-03-22 | Covidien Lp | Surgical fastener applying apparatus |
| CN102835983B (zh) * | 2011-06-21 | 2016-08-17 | 伊西康内外科公司 | 线性缝合器 |
| US8763876B2 (en) | 2011-06-30 | 2014-07-01 | Covidien Lp | Surgical instrument and cartridge for use therewith |
| US20130012958A1 (en) | 2011-07-08 | 2013-01-10 | Stanislaw Marczyk | Surgical Device with Articulation and Wrist Rotation |
| US8998059B2 (en) | 2011-08-01 | 2015-04-07 | Ethicon Endo-Surgery, Inc. | Adjunct therapy device having driver with cavity for hemostatic agent |
| US9724095B2 (en) | 2011-08-08 | 2017-08-08 | Covidien Lp | Surgical fastener applying apparatus |
| US9155537B2 (en) | 2011-08-08 | 2015-10-13 | Covidien Lp | Surgical fastener applying apparatus |
| US9539007B2 (en) | 2011-08-08 | 2017-01-10 | Covidien Lp | Surgical fastener applying aparatus |
| US20130041406A1 (en) | 2011-08-10 | 2013-02-14 | Brian W. Bear | Surgical staple with localized adjunct coating |
| US9492170B2 (en) | 2011-08-10 | 2016-11-15 | Ethicon Endo-Surgery, Inc. | Device for applying adjunct in endoscopic procedure |
| US8833632B2 (en) | 2011-09-06 | 2014-09-16 | Ethicon Endo-Surgery, Inc. | Firing member displacement system for a stapling instrument |
| US9101359B2 (en) | 2011-09-13 | 2015-08-11 | Ethicon Endo-Surgery, Inc. | Surgical staple cartridge with self-dispensing staple buttress |
| US8998060B2 (en) | 2011-09-13 | 2015-04-07 | Ethicon Endo-Surgery, Inc. | Resistive heated surgical staple cartridge with phase change sealant |
| US9999408B2 (en) | 2011-09-14 | 2018-06-19 | Ethicon Endo-Surgery, Inc. | Surgical instrument with fluid fillable buttress |
| US9125649B2 (en) | 2011-09-15 | 2015-09-08 | Ethicon Endo-Surgery, Inc. | Surgical instrument with filled staple |
| US20130068816A1 (en) | 2011-09-15 | 2013-03-21 | Venkataramanan Mandakolathur Vasudevan | Surgical instrument and buttress material |
| US8814025B2 (en) | 2011-09-15 | 2014-08-26 | Ethicon Endo-Surgery, Inc. | Fibrin pad matrix with suspended heat activated beads of adhesive |
| US9254180B2 (en) | 2011-09-15 | 2016-02-09 | Ethicon Endo-Surgery, Inc. | Surgical instrument with staple reinforcement clip |
| US20130075447A1 (en) | 2011-09-22 | 2013-03-28 | II William B. Weisenburgh | Adjunct therapy device for applying hemostatic agent |
| US9198644B2 (en) | 2011-09-22 | 2015-12-01 | Ethicon Endo-Surgery, Inc. | Anvil cartridge for surgical fastening device |
| US9393018B2 (en) | 2011-09-22 | 2016-07-19 | Ethicon Endo-Surgery, Inc. | Surgical staple assembly with hemostatic feature |
| US9050084B2 (en) | 2011-09-23 | 2015-06-09 | Ethicon Endo-Surgery, Inc. | Staple cartridge including collapsible deck arrangement |
| US8985429B2 (en) | 2011-09-23 | 2015-03-24 | Ethicon Endo-Surgery, Inc. | Surgical stapling device with adjunct material application feature |
| 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 |
| US9016539B2 (en) | 2011-10-25 | 2015-04-28 | Covidien Lp | Multi-use loading unit |
| US8740036B2 (en) | 2011-12-01 | 2014-06-03 | Covidien Lp | Surgical instrument with actuator spring arm |
| US9603599B2 (en) | 2011-12-16 | 2017-03-28 | Ethicon Endo-Surgery, Llc | Feature to reengage safety switch of tissue stapler |
| US9095340B2 (en) | 2012-01-05 | 2015-08-04 | Ethicon Endo-Surgery, Inc. | Tissue stapler safety switch feature to prevent premature jaw opening |
| US9186148B2 (en) | 2012-01-05 | 2015-11-17 | Ethicon Endo-Surgery, Inc. | Tissue stapler anvil feature to prevent premature jaw opening |
| US9549738B2 (en) | 2012-01-05 | 2017-01-24 | Ethicon Endo-Surgery, Llc | Ratcheting feature on tissue staple trigger to prevent premature jaw opening |
| US10299815B2 (en) | 2012-01-19 | 2019-05-28 | Covidien Lp | Surgical instrument with clam releases mechanism |
| US8864010B2 (en) | 2012-01-20 | 2014-10-21 | Covidien Lp | Curved guide member for articulating instruments |
| 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 |
| US9084600B1 (en) | 2012-02-17 | 2015-07-21 | Cardica, Inc. | Anvil-side staple trap |
| US8979827B2 (en) | 2012-03-14 | 2015-03-17 | Covidien Lp | Surgical instrument with articulation mechanism |
| 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 |
| CN104379068B (zh) | 2012-03-28 | 2017-09-22 | 伊西康内外科公司 | 包括组织厚度补偿件的保持器组件 |
| BR112014024098B1 (pt) | 2012-03-28 | 2021-05-25 | Ethicon Endo-Surgery, Inc. | cartucho de grampos |
| US9198662B2 (en) | 2012-03-28 | 2015-12-01 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator having improved visibility |
| BR112014024102B1 (pt) | 2012-03-28 | 2022-03-03 | Ethicon Endo-Surgery, Inc | Conjunto de cartucho de prendedores para um instrumento cirúrgico, e conjunto de atuador de extremidade para um instrumento cirúrgico |
| US9526497B2 (en) | 2012-05-07 | 2016-12-27 | Covidien Lp | Surgical instrument with articulation mechanism |
| US9101358B2 (en) | 2012-06-15 | 2015-08-11 | Ethicon Endo-Surgery, Inc. | Articulatable surgical instrument comprising a firing drive |
| US9226751B2 (en) | 2012-06-28 | 2016-01-05 | Ethicon Endo-Surgery, Inc. | Surgical instrument system including replaceable end effectors |
| US8747238B2 (en) | 2012-06-28 | 2014-06-10 | Ethicon Endo-Surgery, Inc. | Rotary drive shaft assemblies for surgical instruments with articulatable end effectors |
| US9289256B2 (en) | 2012-06-28 | 2016-03-22 | Ethicon Endo-Surgery, Llc | Surgical end effectors having angled tissue-contacting surfaces |
| US9101385B2 (en) | 2012-06-28 | 2015-08-11 | Ethicon Endo-Surgery, Inc. | Electrode connections for rotary driven surgical tools |
| US9561038B2 (en) | 2012-06-28 | 2017-02-07 | Ethicon Endo-Surgery, Llc | Interchangeable clip applier |
| JP6290201B2 (ja) | 2012-06-28 | 2018-03-07 | エシコン・エンド−サージェリィ・インコーポレイテッドＥｔｈｉｃｏｎ Ｅｎｄｏ−Ｓｕｒｇｅｒｙ，Ｉｎｃ． | 空クリップカートリッジ用のロックアウト |
| US9204879B2 (en) | 2012-06-28 | 2015-12-08 | Ethicon Endo-Surgery, Inc. | Flexible drive member |
| US9028494B2 (en) | 2012-06-28 | 2015-05-12 | Ethicon Endo-Surgery, Inc. | Interchangeable end effector coupling arrangement |
| US9125662B2 (en) | 2012-06-28 | 2015-09-08 | Ethicon Endo-Surgery, Inc. | Multi-axis articulating and rotating surgical tools |
| 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 |
| US11278284B2 (en) | 2012-06-28 | 2022-03-22 | Cilag Gmbh International | Rotary drive 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 |
| US9282974B2 (en) | 2012-06-28 | 2016-03-15 | Ethicon Endo-Surgery, Llc | Empty clip cartridge lockout |
| US9232944B2 (en) | 2012-06-29 | 2016-01-12 | Covidien Lp | Surgical instrument and bushing |
| US9408605B1 (en) | 2012-07-12 | 2016-08-09 | Cardica, Inc. | Single-trigger clamping and firing of surgical stapler |
| CN102813539B (zh) * | 2012-09-17 | 2014-10-01 | 北京中法派尔特医疗设备有限公司 | 一种带有行程指示装置的直线切割缝合器 |
| 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 |
| US9498222B2 (en) | 2012-11-29 | 2016-11-22 | Ethicon Endo-Surgery, Llc | Pivoting anvil for surgical circular stapler |
| US9289207B2 (en) | 2012-11-29 | 2016-03-22 | Ethicon Endo-Surgery, Llc | Surgical staple with integral pledget for tip deflection |
| US9724100B2 (en) | 2012-12-04 | 2017-08-08 | Ethicon Llc | Circular anvil introduction system with alignment feature |
| US9572573B2 (en) | 2012-12-04 | 2017-02-21 | Ethicon Endo-Surgery, Llc | Trans-oral circular anvil introduction system with dilation feature |
| US9445816B2 (en) | 2012-12-17 | 2016-09-20 | Ethicon Endo-Surgery, Llc | Circular stapler with selectable motorized and manual control |
| US9597081B2 (en) | 2012-12-17 | 2017-03-21 | Ethicon Endo-Surgery, Llc | Motor driven rotary input circular stapler with modular end effector |
| US9463022B2 (en) | 2012-12-17 | 2016-10-11 | Ethicon Endo-Surgery, Llc | Motor driven rotary input circular stapler with lockable flexible shaft |
| US9345480B2 (en) | 2013-01-18 | 2016-05-24 | Covidien Lp | Surgical instrument and cartridge members for use therewith |
| US9386984B2 (en) | 2013-02-08 | 2016-07-12 | Ethicon Endo-Surgery, Llc | Staple cartridge comprising a releasable cover |
| US9186142B2 (en) | 2013-02-28 | 2015-11-17 | Ethicon Endo-Surgery, Inc. | Surgical instrument end effector articulation drive with pinion and opposing racks |
| 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 |
| US9717497B2 (en) | 2013-02-28 | 2017-08-01 | Ethicon Llc | Lockout feature for movable cutting member of surgical instrument |
| US9808248B2 (en) | 2013-02-28 | 2017-11-07 | Ethicon Llc | Installation features for surgical instrument end effector cartridge |
| US9839421B2 (en) | 2013-02-28 | 2017-12-12 | Ethicon Llc | Jaw closure feature for end effector of surgical instrument |
| US9867615B2 (en) | 2013-02-28 | 2018-01-16 | Ethicon Llc | Surgical instrument with articulation lock having a detenting binary spring |
| US10092292B2 (en) | 2013-02-28 | 2018-10-09 | Ethicon Llc | Staple forming features for surgical stapling instrument |
| US9795379B2 (en) | 2013-02-28 | 2017-10-24 | Ethicon Llc | Surgical instrument with multi-diameter shaft |
| JP6382235B2 (ja) | 2013-03-01 | 2018-08-29 | エシコン・エンド−サージェリィ・インコーポレイテッドＥｔｈｉｃｏｎ Ｅｎｄｏ−Ｓｕｒｇｅｒｙ，Ｉｎｃ． | 信号通信用の導電路を備えた関節運動可能な外科用器具 |
| JP6345707B2 (ja) | 2013-03-01 | 2018-06-20 | エシコン・エンド−サージェリィ・インコーポレイテッドＥｔｈｉｃｏｎ Ｅｎｄｏ−Ｓｕｒｇｅｒｙ，Ｉｎｃ． | ソフトストップを備えた外科用器具 |
| US20140246475A1 (en) | 2013-03-01 | 2014-09-04 | Ethicon Endo-Surgery, Inc. | Control methods for surgical instruments with removable implement portions |
| US10561432B2 (en) | 2013-03-05 | 2020-02-18 | Covidien Lp | Pivoting screw for use with a pair of jaw members of a surgical instrument |
| US9888921B2 (en) | 2013-03-13 | 2018-02-13 | Covidien Lp | Surgical stapling apparatus |
| US9814463B2 (en) | 2013-03-13 | 2017-11-14 | 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 |
| US9717498B2 (en) | 2013-03-13 | 2017-08-01 | Covidien Lp | Surgical stapling apparatus |
| EP3412222B1 (en) | 2013-03-14 | 2023-06-07 | Applied Medical Resources Corporation | Surgical stapler with partial pockets |
| US9877782B2 (en) | 2013-03-14 | 2018-01-30 | Ethicon Llc | Electrosurgical instrument end effector with compliant electrode |
| US9332987B2 (en) | 2013-03-14 | 2016-05-10 | Ethicon Endo-Surgery, Llc | Control arrangements for a drive member of a surgical instrument |
| US9597082B2 (en) | 2013-03-14 | 2017-03-21 | Ethicon Endo-Surgery, Llc | Method and apparatus for sealing end-to-end anastomosis |
| US20140276730A1 (en) | 2013-03-14 | 2014-09-18 | Ethicon Endo-Surgery, Inc. | Surgical instrument with reinforced articulation section |
| US9629629B2 (en) | 2013-03-14 | 2017-04-25 | Ethicon Endo-Surgey, LLC | Control systems for surgical instruments |
| US9254171B2 (en) | 2013-03-14 | 2016-02-09 | Ethicon Endo-Surgery, Inc. | Electrosurgical instrument with multi-stage actuator |
| US9168090B2 (en) | 2013-03-14 | 2015-10-27 | Ethicon Endo-Surgery, Inc. | Electrosurgical instrument with restricted trigger |
| US9820742B2 (en) | 2013-03-15 | 2017-11-21 | Applied Medical Resources Corporation | Surgical stapler with expandable jaw |
| US9237923B2 (en) | 2013-03-15 | 2016-01-19 | Ethicon Endo-Surgery, Inc. | Surgical instrument with partial trigger lockout |
| EP3824819B1 (en) | 2013-03-15 | 2023-08-30 | Applied Medical Resources Corporation | Surgical stapler having actuation mechanism with rotatable shaft |
| US9510906B2 (en) | 2013-03-15 | 2016-12-06 | Ethicon Endo-Surgery, Llc | Tissue clamping features of surgical instrument end effector |
| US9510827B2 (en) | 2013-03-25 | 2016-12-06 | Covidien Lp | Micro surgical instrument and loading unit for use therewith |
| 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 |
| US9795384B2 (en) | 2013-03-27 | 2017-10-24 | Ethicon Llc | Fastener cartridge comprising a tissue thickness compensator and a gap setting element |
| US9844368B2 (en) | 2013-04-16 | 2017-12-19 | Ethicon Llc | Surgical system comprising first and second drive systems |
| BR112015026109B1 (pt) | 2013-04-16 | 2022-02-22 | Ethicon Endo-Surgery, Inc | Instrumento cirúrgico |
| US9579118B2 (en) | 2013-05-01 | 2017-02-28 | Ethicon Endo-Surgery, Llc | Electrosurgical instrument with dual blade end effector |
| US9566110B2 (en) | 2013-05-09 | 2017-02-14 | Ethicon Endo-Surgery, Llc | Surgical instrument with jaw opening assist feature |
| US9629648B2 (en) | 2013-05-10 | 2017-04-25 | Ethicon Endo-Surgery, Llc | Surgical instrument with translating compliant jaw closure feature |
| US9237900B2 (en) | 2013-05-10 | 2016-01-19 | Ethicon Endo-Surgery, Inc. | Surgical instrument with split jaw |
| US9574644B2 (en) | 2013-05-30 | 2017-02-21 | Ethicon Endo-Surgery, Llc | Power module for use with a surgical instrument |
| US9579147B2 (en) | 2013-06-04 | 2017-02-28 | Ethicon Endo-Surgery, Llc | Electrosurgical forceps with translating blade driver |
| US9351788B2 (en) | 2013-06-06 | 2016-05-31 | Ethicon Endo-Surgery, Llc | Surgical instrument having knife band with curved distal edge |
| US9504520B2 (en) | 2013-06-06 | 2016-11-29 | Ethicon Endo-Surgery, Llc | Surgical instrument with modular motor |
| US9445810B2 (en) | 2013-06-12 | 2016-09-20 | Covidien Lp | Stapling device with grasping jaw mechanism |
| US9775667B2 (en) | 2013-06-18 | 2017-10-03 | Ethicon Llc | Surgical instrument with articulation indicator |
| US9750522B2 (en) | 2013-08-15 | 2017-09-05 | Ethicon Llc | Surgical instrument with clips having transecting blades |
| US9561029B2 (en) | 2013-08-15 | 2017-02-07 | Ethicon Endo-Surgery, Llc | Surgical stapler with rolling anvil |
| US20150053746A1 (en) | 2013-08-23 | 2015-02-26 | Ethicon Endo-Surgery, Inc. | Torque optimization for surgical instruments |
| JP6416260B2 (ja) | 2013-08-23 | 2018-10-31 | エシコン エルエルシー | 動力付き外科用器具のための発射部材後退装置 |
| US9662108B2 (en) | 2013-08-30 | 2017-05-30 | Covidien Lp | Surgical stapling apparatus |
| US20150083772A1 (en) | 2013-09-23 | 2015-03-26 | Ethicon Endo-Surgery, Inc. | Surgical stapler with rotary cam drive and return |
| US9907552B2 (en) | 2013-09-23 | 2018-03-06 | Ethicon Llc | Control features for motorized surgical stapling instrument |
| US10709452B2 (en) | 2013-09-23 | 2020-07-14 | Ethicon Llc | Methods and systems for performing circular stapling |
| US9936949B2 (en) | 2013-09-23 | 2018-04-10 | Ethicon Llc | Surgical stapling instrument with drive assembly having toggle features |
| US9713469B2 (en) | 2013-09-23 | 2017-07-25 | Ethicon Llc | Surgical stapler with rotary cam drive |
| AU2013403916A1 (en) | 2013-11-04 | 2016-04-28 | Covidien Lp | Surgical fastener applying apparatus |
| CN105682568B (zh) | 2013-11-04 | 2018-10-23 | 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 |
| US9968354B2 (en) | 2013-12-23 | 2018-05-15 | Ethicon Llc | Surgical staples and methods for making the same |
| US9839428B2 (en) | 2013-12-23 | 2017-12-12 | Ethicon Llc | Surgical cutting and stapling instruments with independent jaw control features |
| 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 |
| US9468454B2 (en) * | 2014-01-28 | 2016-10-18 | Ethicon Endo-Surgery, Inc. | Motor control and feedback in powered surgical devices |
| US9962161B2 (en) | 2014-02-12 | 2018-05-08 | Ethicon Llc | Deliverable surgical instrument |
| US9707005B2 (en) | 2014-02-14 | 2017-07-18 | Ethicon Llc | Lockout mechanisms for surgical devices |
| US9848874B2 (en) | 2014-02-14 | 2017-12-26 | Covidien Lp | Small diameter endoscopic stapler |
| US9839422B2 (en) | 2014-02-24 | 2017-12-12 | Ethicon Llc | Implantable layers and methods for altering implantable layers for use with surgical fastening instruments |
| CN106232029B (zh) | 2014-02-24 | 2019-04-12 | 伊西康内外科有限责任公司 | 包括击发构件锁定件的紧固系统 |
| US10201364B2 (en) | 2014-03-26 | 2019-02-12 | Ethicon Llc | Surgical instrument comprising a rotatable shaft |
| 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 |
| US9913642B2 (en) | 2014-03-26 | 2018-03-13 | Ethicon Llc | Surgical instrument comprising a sensor system |
| US10004497B2 (en) | 2014-03-26 | 2018-06-26 | Ethicon Llc | Interface systems for use with surgical instruments |
| US9757126B2 (en) | 2014-03-31 | 2017-09-12 | Covidien Lp | Surgical stapling apparatus with firing lockout mechanism |
| US10561422B2 (en) | 2014-04-16 | 2020-02-18 | Ethicon Llc | Fastener cartridge comprising deployable tissue engaging members |
| US10327764B2 (en) | 2014-09-26 | 2019-06-25 | Ethicon Llc | Method for creating a flexible staple line |
| JP6532889B2 (ja) | 2014-04-16 | 2019-06-19 | エシコン エルエルシーＥｔｈｉｃｏｎ ＬＬＣ | 締結具カートリッジ組立体及びステープル保持具カバー配置構成 |
| JP6636452B2 (ja) | 2014-04-16 | 2020-01-29 | エシコン エルエルシーＥｔｈｉｃｏｎ ＬＬＣ | 異なる構成を有する延在部を含む締結具カートリッジ |
| US20150297223A1 (en) | 2014-04-16 | 2015-10-22 | Ethicon Endo-Surgery, Inc. | Fastener cartridges including extensions having different configurations |
| 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 |
| 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 |
| EP3142569B1 (en) | 2014-05-15 | 2023-12-27 | Covidien LP | Surgical fastener applying apparatus |
| US9877714B2 (en) | 2014-06-04 | 2018-01-30 | Neotract, Inc. | System with reloadable handle for delivering an anchor |
| JP6674908B2 (ja) | 2014-06-11 | 2020-04-01 | アプライド メディカル リソーシーズ コーポレイション | 円周方向発射方式の外科用ステープラ |
| US10045781B2 (en) | 2014-06-13 | 2018-08-14 | Ethicon Llc | Closure lockout systems for surgical instruments |
| US10335147B2 (en) | 2014-06-25 | 2019-07-02 | Ethicon Llc | Method of using lockout features for surgical stapler cartridge |
| US10456132B2 (en) | 2014-06-25 | 2019-10-29 | Ethicon Llc | Jaw opening feature for surgical stapler |
| US10292701B2 (en) | 2014-06-25 | 2019-05-21 | Ethicon Llc | Articulation drive features for surgical stapler |
| BR112016030332B1 (pt) | 2014-06-25 | 2022-11-01 | Ethicon Endo-Surgery, Llc | Aparelho de engate por travamento para grampeador cirúrgico |
| US9999423B2 (en) | 2014-06-25 | 2018-06-19 | Ethicon Llc | Translatable articulation joint unlocking feature for surgical stapler |
| US9693774B2 (en) | 2014-06-25 | 2017-07-04 | Ethicon Llc | Pivotable articulation joint unlocking feature for surgical stapler |
| US10064620B2 (en) | 2014-06-25 | 2018-09-04 | Ethicon Llc | Method of unlocking articulation joint in surgical stapler |
| US10111679B2 (en) | 2014-09-05 | 2018-10-30 | Ethicon Llc | Circuitry and sensors for powered medical device |
| 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 |
| ES2797755T3 (es) | 2014-09-15 | 2020-12-03 | Applied Med Resources | Grapadora quirúrgica con altura de grapas autoajustable |
| US10105142B2 (en) | 2014-09-18 | 2018-10-23 | Ethicon Llc | Surgical stapler with plurality of cutting elements |
| JP6648119B2 (ja) | 2014-09-26 | 2020-02-14 | エシコン エルエルシーＥｔｈｉｃｏｎ ＬＬＣ | 外科ステープル留めバットレス及び付属物材料 |
| 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 |
| EP3010080B1 (en) | 2014-10-15 | 2022-02-23 | Ethicon Endo-Surgery, Inc. | Surgical instrument battery pack with voltage polling |
| US9974539B2 (en) | 2014-10-15 | 2018-05-22 | Ethicon Llc | Surgical instrument battery pack with voltage polling |
| 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 |
| US10136938B2 (en) | 2014-10-29 | 2018-11-27 | Ethicon Llc | Electrosurgical instrument with sensor |
| 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 |
| US10076379B2 (en) | 2014-12-15 | 2018-09-18 | Ethicon Llc | Electrosurgical instrument with removable components for cleaning access |
| US9844375B2 (en) | 2014-12-18 | 2017-12-19 | Ethicon Llc | Drive arrangements for articulatable surgical instruments |
| US10188385B2 (en) | 2014-12-18 | 2019-01-29 | Ethicon Llc | Surgical instrument system comprising lockable systems |
| US10085748B2 (en) | 2014-12-18 | 2018-10-02 | Ethicon Llc | Locking arrangements for detachable shaft assemblies with articulatable surgical end effectors |
| US10117649B2 (en) | 2014-12-18 | 2018-11-06 | Ethicon Llc | Surgical instrument assembly comprising a lockable articulation system |
| US9987000B2 (en) | 2014-12-18 | 2018-06-05 | Ethicon Llc | Surgical instrument assembly comprising a flexible articulation system |
| US10004501B2 (en) | 2014-12-18 | 2018-06-26 | Ethicon Llc | Surgical instruments with improved closure arrangements |
| MX2017008108A (es) | 2014-12-18 | 2018-03-06 | Ethicon Llc | Instrumento quirurgico con un yunque que puede moverse de manera selectiva sobre un eje discreto no movil con relacion a un cartucho de grapas. |
| 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 |
| US9993284B2 (en) | 2014-12-19 | 2018-06-12 | Ethicon Llc | Electrosurgical instrument with jaw cleaning mode |
| US10357311B2 (en) | 2014-12-19 | 2019-07-23 | Ethicon Llc | Electrosurgical instrument with removable jaw components |
| US10039545B2 (en) | 2015-02-23 | 2018-08-07 | Covidien Lp | Double fire stapling |
| US10130367B2 (en) | 2015-02-26 | 2018-11-20 | Covidien Lp | Surgical apparatus |
| US10085749B2 (en) | 2015-02-26 | 2018-10-02 | Covidien Lp | Surgical apparatus with conductor strain relief |
| US10321907B2 (en) | 2015-02-27 | 2019-06-18 | Ethicon Llc | System for monitoring whether a surgical instrument needs to be serviced |
| US9993258B2 (en) | 2015-02-27 | 2018-06-12 | Ethicon Llc | Adaptable surgical instrument handle |
| 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 |
| US11154301B2 (en) | 2015-02-27 | 2021-10-26 | Cilag Gmbh International | Modular stapling assembly |
| US9901342B2 (en) | 2015-03-06 | 2018-02-27 | Ethicon Endo-Surgery, Llc | Signal and power communication system positioned on a rotatable shaft |
| 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 |
| US10617412B2 (en) | 2015-03-06 | 2020-04-14 | Ethicon Llc | System for detecting the mis-insertion of a staple cartridge into a surgical stapler |
| US10687806B2 (en) | 2015-03-06 | 2020-06-23 | Ethicon Llc | Adaptive tissue compression techniques to adjust closure rates for multiple tissue types |
| US9808246B2 (en) | 2015-03-06 | 2017-11-07 | Ethicon Endo-Surgery, Llc | Method of operating a powered surgical instrument |
| US9924961B2 (en) | 2015-03-06 | 2018-03-27 | Ethicon Endo-Surgery, Llc | Interactive feedback system for powered surgical instruments |
| US9993248B2 (en) | 2015-03-06 | 2018-06-12 | Ethicon Endo-Surgery, Llc | Smart sensors with local signal processing |
| US10245033B2 (en) | 2015-03-06 | 2019-04-02 | Ethicon Llc | Surgical instrument comprising a lockable battery housing |
| US10548504B2 (en) | 2015-03-06 | 2020-02-04 | Ethicon Llc | Overlaid multi sensor radio frequency (RF) electrode system to measure tissue compression |
| US10441279B2 (en) | 2015-03-06 | 2019-10-15 | Ethicon Llc | Multiple level thresholds to modify operation of powered surgical instruments |
| US9895148B2 (en) | 2015-03-06 | 2018-02-20 | Ethicon Endo-Surgery, Llc | Monitoring speed control and precision incrementing of motor 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 |
| US9918717B2 (en) | 2015-03-18 | 2018-03-20 | Covidien Lp | Pivot mechanism for surgical device |
| US10172617B2 (en) | 2015-03-25 | 2019-01-08 | Ethicon Llc | Malleable 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 |
| 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 |
| US10548593B2 (en) | 2015-03-25 | 2020-02-04 | Ethicon Llc | Flowable bioabsorbable polymer adhesive for releasably attaching a staple buttress 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 |
| US10568621B2 (en) | 2015-03-25 | 2020-02-25 | Ethicon Llc | Surgical staple buttress with integral adhesive for releasably attaching to a surgical stapler |
| US10349939B2 (en) | 2015-03-25 | 2019-07-16 | Ethicon Llc | Method of applying a 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 |
| US10213201B2 (en) | 2015-03-31 | 2019-02-26 | Ethicon Llc | Stapling end effector configured to compensate for an uneven gap between a first jaw and a second jaw |
| US10463368B2 (en) | 2015-04-10 | 2019-11-05 | Covidien Lp | Endoscopic stapler |
| US10117650B2 (en) | 2015-05-05 | 2018-11-06 | Covidien Lp | Adapter assembly and loading units for surgical stapling devices |
| US10299789B2 (en) | 2015-05-05 | 2019-05-28 | Covidie LP | Adapter assembly for surgical stapling devices |
| US10039532B2 (en) | 2015-05-06 | 2018-08-07 | Covidien Lp | Surgical instrument with articulation assembly |
| US10143474B2 (en) | 2015-05-08 | 2018-12-04 | Just Right Surgical, Llc | Surgical stapler |
| 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 |
| US10368861B2 (en) | 2015-06-18 | 2019-08-06 | Ethicon Llc | Dual articulation drive system arrangements 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 |
| US10201348B2 (en) | 2015-07-28 | 2019-02-12 | Ethicon Llc | Surgical stapler cartridge with compression features at staple driver edges |
| US10194912B2 (en) | 2015-07-28 | 2019-02-05 | Ethicon Llc | Surgical staple cartridge with outer edge compression features |
| US10314580B2 (en) | 2015-07-28 | 2019-06-11 | Ethicon Llc | Surgical staple cartridge with compression feature at knife slot |
| 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 |
| KR20240027156A (ko) | 2015-08-06 | 2024-02-29 | 어플라이드 메디컬 리소시스 코포레이션 | 로킹 관절 조인트를 갖는 수술용 스테이플러 |
| US11058425B2 (en) | 2015-08-17 | 2021-07-13 | Ethicon Llc | Implantable layers for a surgical instrument |
| US10342542B2 (en) | 2015-08-24 | 2019-07-09 | Ethicon Llc | Surgical stapler buttress applicator with end effector actuated release mechanism |
| US10342532B2 (en) | 2015-08-24 | 2019-07-09 | Ethicon Llc | Surgical stapler buttress applicator with multi-point actuated release mechanism |
| US10349940B2 (en) | 2015-08-24 | 2019-07-16 | Ethicon Llc | Surgical stapler buttress applicator with state indicator |
| US11039832B2 (en) | 2015-08-24 | 2021-06-22 | Cilag Gmbh International | Surgical stapler buttress applicator with spent staple cartridge lockout |
| US10639039B2 (en) | 2015-08-24 | 2020-05-05 | Ethicon Llc | Surgical stapler buttress applicator with multi-zone platform for pressure focused release |
| US10166023B2 (en) | 2015-08-24 | 2019-01-01 | Ethicon Llc | Method of applying a buttress to a surgical stapler end effector |
| US10357251B2 (en) | 2015-08-26 | 2019-07-23 | Ethicon Llc | Surgical staples comprising hardness variations for improved fastening of tissue |
| JP6828018B2 (ja) | 2015-08-26 | 2021-02-10 | エシコン エルエルシーＥｔｈｉｃｏｎ ＬＬＣ | ステープルの特性変更を可能にし、カートリッジへの充填を容易にする外科用ステープルストリップ |
| US10238390B2 (en) | 2015-09-02 | 2019-03-26 | Ethicon Llc | Surgical staple cartridges with driver arrangements for establishing herringbone staple patterns |
| 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. |
| 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 |
| 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 |
| US10105139B2 (en) | 2015-09-23 | 2018-10-23 | Ethicon Llc | Surgical stapler having downstream current-based motor control |
| US10485548B2 (en) | 2015-09-24 | 2019-11-26 | Ethicon Llc | Apparatus and method for forming a staple line with trocar passageway |
| US10307165B2 (en) | 2015-09-24 | 2019-06-04 | Ethicon Llc | Apparatus and method for radially bunching a bodily lumen |
| US10492790B2 (en) | 2015-09-24 | 2019-12-03 | Ethicon Llc | Apparatus and method for cinching a straight staple line |
| US10499909B2 (en) | 2015-09-24 | 2019-12-10 | Ethicon Llc | Apparatus and method for pleating a bodily lumen |
| US9987013B2 (en) | 2015-09-24 | 2018-06-05 | Ethicon Llc | Surgical staple buttress with magnetic elements |
| US10299878B2 (en) | 2015-09-25 | 2019-05-28 | Ethicon Llc | Implantable adjunct systems for determining adjunct skew |
| US10314578B2 (en) | 2015-09-29 | 2019-06-11 | Ethicon Llc | Battery drain circuit for surgical instrument |
| US10182813B2 (en) | 2015-09-29 | 2019-01-22 | Ethicon Llc | Surgical stapling instrument with shaft release, powered firing, and powered articulation |
| 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 |
| US10285699B2 (en) | 2015-09-30 | 2019-05-14 | Ethicon Llc | Compressible adjunct |
| US10327777B2 (en) | 2015-09-30 | 2019-06-25 | Ethicon Llc | Implantable layer comprising plastically deformed fibers |
| US10213204B2 (en) | 2015-10-02 | 2019-02-26 | Covidien Lp | Micro surgical instrument and loading unit for use therewith |
| US10265069B2 (en) | 2015-10-15 | 2019-04-23 | Ethicon Llc | Surgical staple cartridge with varying staple crown width along a curve |
| US10499917B2 (en) | 2015-10-15 | 2019-12-10 | Ethicon Llc | Surgical stapler end effector with knife position indicators |
| US20170105727A1 (en) | 2015-10-15 | 2017-04-20 | Ethicon Endo-Surgery, Llc | Surgical stapler with progressively driven asymmetric alternating staple drivers |
| US10265073B2 (en) | 2015-10-15 | 2019-04-23 | Ethicon Llc | Surgical stapler with terminal staple orientation crossing center line |
| US11141159B2 (en) | 2015-10-15 | 2021-10-12 | Cilag Gmbh International | Surgical stapler end effector with multi-staple driver 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 |
| US10952730B2 (en) | 2015-10-15 | 2021-03-23 | Ethicon Llc | End effector for surgical stapler with varying curve and taper |
| US10342535B2 (en) | 2015-10-15 | 2019-07-09 | Ethicon Llc | Method of applying staples to liver and other organs |
| US10772632B2 (en) | 2015-10-28 | 2020-09-15 | Covidien Lp | Surgical stapling device with triple leg staples |
| US10251649B2 (en) | 2015-10-29 | 2019-04-09 | Ethicon Llc | Surgical stapler buttress applicator with data communication |
| US10433839B2 (en) | 2015-10-29 | 2019-10-08 | Ethicon Llc | Surgical stapler buttress assembly with gel adhesive retainer |
| US10517592B2 (en) | 2015-10-29 | 2019-12-31 | Ethicon Llc | Surgical stapler buttress assembly with adhesion to wet end effector |
| US10238388B2 (en) | 2015-10-29 | 2019-03-26 | Ethicon Llc | Surgical stapler buttress assembly with humidity tolerant adhesive |
| US10085745B2 (en) | 2015-10-29 | 2018-10-02 | Ethicon Llc | Extensible buttress assembly for surgical stapler |
| US10441286B2 (en) | 2015-10-29 | 2019-10-15 | Ethicon Llc | Multi-layer surgical stapler buttress assembly |
| US10314588B2 (en) | 2015-10-29 | 2019-06-11 | Ethicon Llc | Fluid penetrable buttress assembly for a surgical stapler |
| 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 |
| 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 |
| US10265068B2 (en) | 2015-12-30 | 2019-04-23 | Ethicon Llc | Surgical instruments with separable motors and motor control circuits |
| US10292704B2 (en) | 2015-12-30 | 2019-05-21 | Ethicon Llc | Mechanisms for compensating for battery pack failure in powered surgical instruments |
| US10368865B2 (en) | 2015-12-30 | 2019-08-06 | Ethicon Llc | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
| 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 |
| US20170224332A1 (en) | 2016-02-09 | 2017-08-10 | Ethicon Endo-Surgery, Llc | Surgical instruments with non-symmetrical articulation arrangements |
| BR112018016098B1 (pt) | 2016-02-09 | 2023-02-23 | Ethicon Llc | Instrumento cirúrgico |
| US11213293B2 (en) | 2016-02-09 | 2022-01-04 | Cilag Gmbh International | Articulatable surgical instruments with single articulation link 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 |
| US10258331B2 (en) | 2016-02-12 | 2019-04-16 | Ethicon Llc | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
| US11224426B2 (en) | 2016-02-12 | 2022-01-18 | Cilag Gmbh International | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
| US10307159B2 (en) | 2016-04-01 | 2019-06-04 | Ethicon Llc | Surgical instrument handle assembly with reconfigurable grip portion |
| US10271851B2 (en) | 2016-04-01 | 2019-04-30 | Ethicon Llc | Modular surgical stapling system comprising a display |
| US11064997B2 (en) | 2016-04-01 | 2021-07-20 | Cilag Gmbh International | Surgical stapling instrument |
| 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 |
| JP7015246B2 (ja) | 2016-04-12 | 2022-02-02 | アプライド メディカル リソーシーズ コーポレイション | 関節運動機構体を備えた外科用ステープラ |
| EP4144304A1 (en) | 2016-04-12 | 2023-03-08 | Applied Medical Resources Corporation | Surgical stapler having a powered handle |
| AU2017250264B2 (en) | 2016-04-12 | 2021-12-02 | Applied Medical Resources Corporation | Reload shaft assembly for surgical stapler |
| 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 |
| 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 |
| US10335145B2 (en) | 2016-04-15 | 2019-07-02 | Ethicon Llc | Modular surgical instrument with configurable operating mode |
| US10828028B2 (en) | 2016-04-15 | 2020-11-10 | Ethicon Llc | Surgical instrument with multiple program responses during a firing motion |
| US10426467B2 (en) | 2016-04-15 | 2019-10-01 | Ethicon Llc | Surgical instrument with detection sensors |
| US10368867B2 (en) | 2016-04-18 | 2019-08-06 | Ethicon Llc | Surgical instrument comprising a lockout |
| US20170296173A1 (en) | 2016-04-18 | 2017-10-19 | Ethicon Endo-Surgery, Llc | Method for operating a surgical instrument |
| US11317917B2 (en) | 2016-04-18 | 2022-05-03 | Cilag Gmbh International | Surgical stapling system comprising a lockable firing assembly |
| US10363032B2 (en) | 2016-04-20 | 2019-07-30 | Ethicon Llc | Surgical stapler with hydraulic deck control |
| US10258337B2 (en) | 2016-04-20 | 2019-04-16 | Ethicon Llc | Surgical staple cartridge with severed tissue edge adjunct |
| US10285700B2 (en) | 2016-04-20 | 2019-05-14 | Ethicon Llc | Surgical staple cartridge with hydraulic staple deployment |
| US10653420B2 (en) | 2016-04-20 | 2020-05-19 | Ethicon Llc | Compliant compensation features for end effector of surgical stapling instrument |
| 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 |
| USD822206S1 (en) | 2016-06-24 | 2018-07-03 | Ethicon Llc | Surgical fastener |
| JP6957532B2 (ja) | 2016-06-24 | 2021-11-02 | エシコン エルエルシーＥｔｈｉｃｏｎ ＬＬＣ | ワイヤステープル及び打ち抜き加工ステープルを含むステープルカートリッジ |
| USD850617S1 (en) | 2016-06-24 | 2019-06-04 | Ethicon Llc | Surgical fastener cartridge |
| USD826405S1 (en) | 2016-06-24 | 2018-08-21 | Ethicon Llc | Surgical fastener |
| USD847989S1 (en) | 2016-06-24 | 2019-05-07 | Ethicon Llc | Surgical fastener cartridge |
| US10702270B2 (en) | 2016-06-24 | 2020-07-07 | Ethicon Llc | Stapling system for use with wire staples and stamped staples |
| US10499912B2 (en) | 2016-07-13 | 2019-12-10 | Ethicon Llc | Apparatus for hydraulic assisted fracture of liver parenchyma |
| US10631857B2 (en) | 2016-11-04 | 2020-04-28 | Covidien Lp | Loading unit for surgical instruments with low profile pushers |
| US11642126B2 (en) | 2016-11-04 | 2023-05-09 | Covidien Lp | Surgical stapling apparatus with tissue pockets |
| US10492784B2 (en) | 2016-11-08 | 2019-12-03 | Covidien Lp | Surgical tool assembly with compact firing assembly |
| US10542981B2 (en) | 2016-11-14 | 2020-01-28 | Ethicon Llc | Atraumatic stapling head features for circular surgical stapler |
| US10463371B2 (en) | 2016-11-29 | 2019-11-05 | Covidien Lp | Reload assembly with spent reload indicator |
| US10888322B2 (en) | 2016-12-21 | 2021-01-12 | Ethicon Llc | Surgical instrument comprising a cutting member |
| US10568624B2 (en) | 2016-12-21 | 2020-02-25 | Ethicon Llc | Surgical instruments with jaws that are pivotable about a fixed axis and include separate and distinct closure and firing systems |
| US10993715B2 (en) | 2016-12-21 | 2021-05-04 | Ethicon Llc | Staple cartridge comprising staples with different clamping breadths |
| US11134942B2 (en) | 2016-12-21 | 2021-10-05 | Cilag Gmbh International | Surgical stapling instruments and staple-forming anvils |
| 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 |
| US10856868B2 (en) | 2016-12-21 | 2020-12-08 | Ethicon Llc | Firing member pin configurations |
| US10695055B2 (en) | 2016-12-21 | 2020-06-30 | Ethicon Llc | Firing assembly comprising a lockout |
| US10945727B2 (en) | 2016-12-21 | 2021-03-16 | Ethicon Llc | Staple cartridge with deformable driver retention features |
| US10687810B2 (en) | 2016-12-21 | 2020-06-23 | Ethicon Llc | Stepped staple cartridge with tissue retention and gap setting features |
| US11090048B2 (en) | 2016-12-21 | 2021-08-17 | Cilag Gmbh International | Method for resetting a fuse of a surgical instrument shaft |
| 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 |
| US10588631B2 (en) | 2016-12-21 | 2020-03-17 | Ethicon Llc | Surgical instruments with positive jaw opening features |
| US10959727B2 (en) | 2016-12-21 | 2021-03-30 | Ethicon Llc | Articulatable surgical end effector with asymmetric shaft arrangement |
| US10426471B2 (en) | 2016-12-21 | 2019-10-01 | Ethicon Llc | Surgical instrument with multiple failure response modes |
| US20180168625A1 (en) | 2016-12-21 | 2018-06-21 | Ethicon Endo-Surgery, Llc | Surgical stapling instruments with smart staple cartridges |
| US10682138B2 (en) | 2016-12-21 | 2020-06-16 | Ethicon Llc | Bilaterally asymmetric staple forming pocket pairs |
| US20180168633A1 (en) | 2016-12-21 | 2018-06-21 | Ethicon Endo-Surgery, Llc | Surgical stapling instruments and staple-forming anvils |
| US10973516B2 (en) | 2016-12-21 | 2021-04-13 | Ethicon Llc | Surgical end effectors and adaptable firing members therefor |
| CN110099619B (zh) | 2016-12-21 | 2022-07-15 | 爱惜康有限责任公司 | 用于外科端部执行器和可替换工具组件的闭锁装置 |
| 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 |
| 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 |
| US20180168648A1 (en) | 2016-12-21 | 2018-06-21 | Ethicon Endo-Surgery, Llc | Durability features for end effectors and firing assemblies of surgical stapling instruments |
| US10709901B2 (en) | 2017-01-05 | 2020-07-14 | Covidien Lp | Implantable fasteners, applicators, and methods for brachytherapy |
| US10952767B2 (en) | 2017-02-06 | 2021-03-23 | Covidien Lp | Connector clip for securing an introducer to a surgical fastener applying apparatus |
| US11564684B2 (en) | 2017-02-17 | 2023-01-31 | Cilag Gmbh International | Surgical stapling end effector component with tip having varying bend angle |
| US10828031B2 (en) | 2017-02-17 | 2020-11-10 | Ethicon Llc | Surgical stapler with elastically deformable tip |
| US11272930B2 (en) | 2017-02-17 | 2022-03-15 | Cilag Gmbh International | Method of surgical stapling with end effector component having a curved tip |
| US10758231B2 (en) | 2017-02-17 | 2020-09-01 | Ethicon Llc | Surgical stapler with bent anvil tip, angled staple cartridge tip, and tissue gripping features |
| US11564687B2 (en) | 2017-02-17 | 2023-01-31 | Cilag Gmbh International | Method of surgical stapling with end effector component having a curved tip |
| US10729434B2 (en) | 2017-02-17 | 2020-08-04 | Ethicon Llc | Surgical stapler with insertable distal anvil tip |
| US10806451B2 (en) | 2017-02-17 | 2020-10-20 | Ethicon Llc | Surgical stapler with cooperating distal tip features on anvil and staple cartridge |
| US11103244B2 (en) | 2017-02-17 | 2021-08-31 | Cilag Gmbh International | Surgical stapling end effector jaw with tip deflecting toward other jaw |
| 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 |
| US10299790B2 (en) | 2017-03-03 | 2019-05-28 | Covidien Lp | Adapter with centering mechanism for articulation joint |
| US10660641B2 (en) | 2017-03-16 | 2020-05-26 | Covidien Lp | Adapter with centering mechanism for articulation joint |
| US10980594B2 (en) | 2017-04-27 | 2021-04-20 | Ethicon Llc | Articulation drive feature in surgical instrument |
| US10881451B2 (en) | 2017-04-27 | 2021-01-05 | Ethicon Llc | Lead screw assembly for articulation control in surgical instrument |
| US10932845B2 (en) | 2017-04-27 | 2021-03-02 | Ethicon Llc | Detent feature for articulation control in surgical instrument |
| US11324502B2 (en) | 2017-05-02 | 2022-05-10 | Covidien Lp | Surgical loading unit including an articulating end effector |
| US10603035B2 (en) | 2017-05-02 | 2020-03-31 | 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 |
| US11311295B2 (en) | 2017-05-15 | 2022-04-26 | Covidien Lp | Adaptive powered stapling algorithm with calibration factor |
| 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 |
| USD890784S1 (en) | 2017-06-20 | 2020-07-21 | Ethicon Llc | Display panel with changeable graphical user interface |
| US10881399B2 (en) | 2017-06-20 | 2021-01-05 | Ethicon Llc | Techniques for adaptive control of motor velocity of a surgical stapling and cutting instrument |
| 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 |
| 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 |
| 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 |
| 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 |
| US10646220B2 (en) | 2017-06-20 | 2020-05-12 | Ethicon Llc | Systems and methods for controlling displacement member velocity for a surgical instrument |
| US10307170B2 (en) | 2017-06-20 | 2019-06-04 | Ethicon Llc | Method for closed loop control of motor velocity of a surgical stapling and cutting instrument |
| US10813639B2 (en) | 2017-06-20 | 2020-10-27 | Ethicon Llc | Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on system conditions |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| US10368864B2 (en) | 2017-06-20 | 2019-08-06 | Ethicon Llc | Systems and methods for controlling displaying motor 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 |
| USD879809S1 (en) | 2017-06-20 | 2020-03-31 | Ethicon Llc | Display panel with changeable graphical user interface |
| US10511065B2 (en) | 2017-06-27 | 2019-12-17 | Ethicon Llc | Battery powered surgical instrument with dual power utilization circuits for dual modes |
| US10667812B2 (en) | 2017-06-27 | 2020-06-02 | Ethicon Llc | Modular powered electrical connection for surgical instrument with features to prevent electrical discharge |
| US10856869B2 (en) | 2017-06-27 | 2020-12-08 | Ethicon Llc | Surgical anvil arrangements |
| 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 |
| US10888324B2 (en) | 2017-06-27 | 2021-01-12 | Ethicon Llc | Powered surgical instrument with independent selectively applied rotary and linear drivetrains |
| US11324503B2 (en) | 2017-06-27 | 2022-05-10 | Cilag Gmbh International | Surgical firing member arrangements |
| US10987103B2 (en) | 2017-06-27 | 2021-04-27 | Ethicon Llc | Powered surgical instrument with latching feature preventing removal of battery pack |
| US10772629B2 (en) | 2017-06-27 | 2020-09-15 | Ethicon Llc | Surgical anvil arrangements |
| US10828029B2 (en) | 2017-06-27 | 2020-11-10 | Ethicon Llc | Surgical stapler with independently actuated drivers to provide varying staple heights |
| US11266405B2 (en) | 2017-06-27 | 2022-03-08 | Cilag Gmbh International | Surgical anvil manufacturing methods |
| US11071548B2 (en) | 2017-06-27 | 2021-07-27 | Cilag Gmbh International | Powered circular stapler with reciprocating drive member to provide independent stapling and cutting of tissue |
| US10993716B2 (en) | 2017-06-27 | 2021-05-04 | Ethicon Llc | Surgical anvil arrangements |
| US20180368844A1 (en) | 2017-06-27 | 2018-12-27 | Ethicon Llc | Staple forming pocket arrangements |
| US10163309B1 (en) | 2017-06-27 | 2018-12-25 | Ethicon Llc | Surgical instrument with integrated and independently powered displays |
| US10835218B2 (en) | 2017-06-27 | 2020-11-17 | Ethicon Llc | Apparatus and method to determine end of life of battery powered surgical instrument |
| US10090616B1 (en) | 2017-06-27 | 2018-10-02 | Ethicon Llc | Surgical instrument handle assembly with feature to clean electrical contacts at modular shaft interface |
| USD906355S1 (en) | 2017-06-28 | 2020-12-29 | Ethicon Llc | Display screen or portion thereof with a graphical user interface for a surgical instrument |
| US10903685B2 (en) | 2017-06-28 | 2021-01-26 | Ethicon Llc | Surgical shaft assemblies with slip ring assemblies forming capacitive channels |
| US10765427B2 (en) | 2017-06-28 | 2020-09-08 | Ethicon Llc | Method for articulating a surgical instrument |
| 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 |
| US11484310B2 (en) | 2017-06-28 | 2022-11-01 | Cilag Gmbh International | Surgical instrument comprising a shaft including a closure tube profile |
| USD854151S1 (en) | 2017-06-28 | 2019-07-16 | Ethicon Llc | Surgical instrument shaft |
| US11246592B2 (en) | 2017-06-28 | 2022-02-15 | Cilag Gmbh International | Surgical instrument comprising an articulation system lockable to a frame |
| US10211586B2 (en) | 2017-06-28 | 2019-02-19 | Ethicon Llc | Surgical shaft assemblies with watertight housings |
| EP3420947B1 (en) | 2017-06-28 | 2022-05-25 | Cilag GmbH International | Surgical instrument comprising selectively actuatable rotatable couplers |
| USD869655S1 (en) | 2017-06-28 | 2019-12-10 | Ethicon Llc | Surgical fastener cartridge |
| USD851762S1 (en) | 2017-06-28 | 2019-06-18 | Ethicon Llc | Anvil |
| US11478242B2 (en) | 2017-06-28 | 2022-10-25 | Cilag Gmbh International | Jaw retainer arrangement for retaining a pivotable surgical instrument jaw in pivotable retaining engagement with a second surgical instrument jaw |
| US11259805B2 (en) | 2017-06-28 | 2022-03-01 | Cilag Gmbh International | Surgical instrument comprising firing member supports |
| 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 |
| US11007022B2 (en) | 2017-06-29 | 2021-05-18 | Ethicon Llc | Closed loop velocity control techniques based on sensed tissue parameters for robotic surgical instrument |
| US10398434B2 (en) | 2017-06-29 | 2019-09-03 | Ethicon Llc | Closed loop velocity control of closure member for robotic surgical instrument |
| US10258418B2 (en) | 2017-06-29 | 2019-04-16 | Ethicon Llc | System for controlling articulation forces |
| US10932772B2 (en) | 2017-06-29 | 2021-03-02 | Ethicon Llc | Methods for closed loop velocity control for robotic surgical instrument |
| 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 |
| US11304695B2 (en) | 2017-08-03 | 2022-04-19 | Cilag Gmbh International | Surgical system shaft interconnection |
| US10624636B2 (en) | 2017-08-23 | 2020-04-21 | Covidien Lp | Surgical stapling device with floating staple cartridge |
| US10806452B2 (en) | 2017-08-24 | 2020-10-20 | Covidien Lp | Loading unit for a surgical stapling instrument |
| US10932846B2 (en) | 2017-08-25 | 2021-03-02 | Ethicon Llc | Articulation section for shaft assembly of surgical instrument |
| USD917500S1 (en) | 2017-09-29 | 2021-04-27 | Ethicon Llc | Display screen or portion thereof with 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 |
| 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 |
| US10743872B2 (en) | 2017-09-29 | 2020-08-18 | Ethicon Llc | System and methods for controlling a display of a surgical instrument |
| USD907648S1 (en) | 2017-09-29 | 2021-01-12 | Ethicon Llc | Display screen or portion thereof with animated 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 |
| US10729501B2 (en) | 2017-09-29 | 2020-08-04 | Ethicon Llc | Systems and methods for language selection of a surgical instrument |
| US10993759B2 (en) | 2017-10-20 | 2021-05-04 | Ethicon, Inc. | Hypothermic linear surgical staplers and methods of use |
| US10987104B2 (en) | 2017-10-30 | 2021-04-27 | Covidien Lp | Apparatus for endoscopic procedures |
| US11134944B2 (en) | 2017-10-30 | 2021-10-05 | Cilag Gmbh International | Surgical stapler knife motion controls |
| US11207066B2 (en) | 2017-10-30 | 2021-12-28 | Covidien Lp | Apparatus for endoscopic procedures |
| US11090075B2 (en) | 2017-10-30 | 2021-08-17 | Cilag Gmbh International | Articulation features for surgical end effector |
| US10842490B2 (en) | 2017-10-31 | 2020-11-24 | Ethicon Llc | Cartridge body design with force reduction based on firing completion |
| US10779903B2 (en) | 2017-10-31 | 2020-09-22 | Ethicon Llc | Positive shaft rotation lock activated by jaw closure |
| 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 |
| US10863988B2 (en) | 2017-11-29 | 2020-12-15 | Intuitive Surgical Operations, Inc. | Surgical instrument with lockout mechanism |
| US10869666B2 (en) | 2017-12-15 | 2020-12-22 | Ethicon Llc | Adapters with control systems for controlling multiple motors of an electromechanical surgical instrument |
| US11033267B2 (en) | 2017-12-15 | 2021-06-15 | Ethicon Llc | Systems and methods of controlling a clamping member firing rate of a surgical instrument |
| 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 |
| US10743874B2 (en) | 2017-12-15 | 2020-08-18 | Ethicon Llc | Sealed adapters for use with electromechanical surgical instruments |
| US10687813B2 (en) | 2017-12-15 | 2020-06-23 | Ethicon Llc | Adapters with firing stroke sensing 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 |
| US10779826B2 (en) | 2017-12-15 | 2020-09-22 | Ethicon Llc | Methods of operating surgical end effectors |
| US11006955B2 (en) | 2017-12-15 | 2021-05-18 | Ethicon Llc | End effectors with positive jaw opening features for use with adapters for electromechanical surgical instruments |
| US11071543B2 (en) | 2017-12-15 | 2021-07-27 | Cilag Gmbh International | Surgical end effectors with clamping assemblies configured to increase jaw aperture ranges |
| 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 |
| 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 |
| 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 |
| US11020112B2 (en) | 2017-12-19 | 2021-06-01 | Ethicon Llc | Surgical tools configured for interchangeable use with different controller interfaces |
| 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 |
| 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 |
| 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 |
| US11179152B2 (en) | 2017-12-21 | 2021-11-23 | Cilag Gmbh International | Surgical instrument comprising a tissue grasping system |
| US11129680B2 (en) | 2017-12-21 | 2021-09-28 | Cilag Gmbh International | Surgical instrument comprising a projector |
| US11311290B2 (en) | 2017-12-21 | 2022-04-26 | Cilag Gmbh International | Surgical instrument comprising an end effector dampener |
| US10945732B2 (en) | 2018-01-17 | 2021-03-16 | Covidien Lp | Surgical stapler with self-returning assembly |
| US11517312B2 (en) | 2018-02-12 | 2022-12-06 | Intuitive Surgical Operations, Inc. | Surgical instrument with lockout mechanism |
| CN111757707A (zh) | 2018-02-26 | 2020-10-09 | 直观外科手术操作公司 | 具有闭锁机构的外科手术器械 |
| 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 |
| JP7423538B2 (ja) | 2018-02-27 | 2024-01-29 | アプライド メディカル リソーシーズ コーポレイション | 電動ハンドルを有する外科用ステープラ |
| CN111801055A (zh) | 2018-03-02 | 2020-10-20 | 柯惠有限合伙公司 | 外科缝合器械 |
| US10849622B2 (en) | 2018-06-21 | 2020-12-01 | Covidien Lp | Articulated stapling with fire lock |
| US11497490B2 (en) | 2018-07-09 | 2022-11-15 | Covidien Lp | Powered surgical devices including predictive motor control |
| US11179154B2 (en) | 2018-07-16 | 2021-11-23 | Cilag Gmbh International | Surgical stapling end effector component with deformable tip skewing in multiple planes |
| JP2021530304A (ja) | 2018-07-16 | 2021-11-11 | エシコン エルエルシーEthicon LLC | 様々な屈曲角度を有する先端部を有する外科用ステープル留めエンドエフェクタ構成要素 |
| CN112714631A (zh) | 2018-07-16 | 2021-04-27 | 爱惜康有限责任公司 | 用具有弧形末端的端部执行器部件进行外科缝合的方法 |
| CN112702959A (zh) | 2018-07-16 | 2021-04-23 | 爱惜康有限责任公司 | 具有朝向另一个钳口偏转的末端的外科缝合端部执行器钳口 |
| US10973515B2 (en) | 2018-07-16 | 2021-04-13 | Ethicon Llc | Permanent attachment means for curved tip of component of surgical stapling instrument |
| US10912561B2 (en) | 2018-07-16 | 2021-02-09 | Ethicon Llc | Buttress applier cartridge for surgical stapler having end effector with deflectable curved tip |
| US10786252B2 (en) | 2018-07-16 | 2020-09-29 | Ethicon Llc | Surgical stapling end effector component with deformable tip having void |
| US10912558B2 (en) | 2018-07-16 | 2021-02-09 | Ethicon Llc | Surgical stapling end effector component with deformable tip having thick distal end |
| US11160550B2 (en) | 2018-07-16 | 2021-11-02 | Cilag Gmbh International | Surgical stapling end effector component with articulation and asymmetric deformable tip |
| US10736631B2 (en) | 2018-08-07 | 2020-08-11 | Covidien Lp | End effector with staple cartridge ejector |
| US10912559B2 (en) | 2018-08-20 | 2021-02-09 | Ethicon Llc | Reinforced deformable anvil tip for surgical stapler anvil |
| US10842492B2 (en) | 2018-08-20 | 2020-11-24 | Ethicon Llc | Powered articulatable surgical instruments with clutching and locking arrangements for linking an articulation drive system to a firing drive system |
| 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 |
| US11324501B2 (en) | 2018-08-20 | 2022-05-10 | Cilag Gmbh International | Surgical stapling devices with improved closure members |
| US11253256B2 (en) | 2018-08-20 | 2022-02-22 | Cilag Gmbh International | Articulatable motor powered surgical instruments with dedicated articulation motor arrangements |
| USD914878S1 (en) | 2018-08-20 | 2021-03-30 | Ethicon Llc | Surgical instrument anvil |
| US11207065B2 (en) | 2018-08-20 | 2021-12-28 | Cilag Gmbh International | Method for fabricating surgical stapler anvils |
| US11039834B2 (en) | 2018-08-20 | 2021-06-22 | Cilag Gmbh International | Surgical stapler anvils with staple directing protrusions and tissue stability features |
| US10779821B2 (en) | 2018-08-20 | 2020-09-22 | Ethicon Llc | Surgical stapler anvils with tissue stop features configured to avoid tissue pinch |
| US11291440B2 (en) | 2018-08-20 | 2022-04-05 | Cilag Gmbh International | Method for operating a powered articulatable surgical instrument |
| US11045192B2 (en) | 2018-08-20 | 2021-06-29 | Cilag Gmbh International | Fabricating techniques for surgical stapler anvils |
| US10856870B2 (en) | 2018-08-20 | 2020-12-08 | Ethicon Llc | Switching arrangements for motor powered articulatable surgical instruments |
| US10849620B2 (en) | 2018-09-14 | 2020-12-01 | Covidien Lp | Connector mechanisms for surgical stapling instruments |
| US11510669B2 (en) | 2020-09-29 | 2022-11-29 | Covidien Lp | Hand-held surgical instruments |
| US11090051B2 (en) | 2018-10-23 | 2021-08-17 | Covidien Lp | Surgical stapling device with floating staple cartridge |
| US11197734B2 (en) | 2018-10-30 | 2021-12-14 | Covidien Lp | Load sensing devices for use in surgical instruments |
| US11197673B2 (en) | 2018-10-30 | 2021-12-14 | Covidien Lp | Surgical stapling instruments and end effector assemblies thereof |
| US11369372B2 (en) | 2018-11-28 | 2022-06-28 | Covidien Lp | Surgical stapler adapter with flexible cable assembly, flexible fingers, and contact clips |
| US11723661B2 (en) | 2018-12-21 | 2023-08-15 | Intuitive Surgical Operations, Inc. | Surgical instruments with switches for deactivating and/or identifying stapler cartridges |
| WO2020131290A1 (en) | 2018-12-21 | 2020-06-25 | Intuitive Surgical Operations, Inc. | Articulation assemblies for surgical instruments |
| CN113194846A (zh) | 2018-12-21 | 2021-07-30 | 直观外科手术操作公司 | 具有加强钉仓的外科手术器械 |
| US11166724B2 (en) | 2018-12-28 | 2021-11-09 | Cilag Gmbh International | Adhesive distribution on buttress for surgical stapler |
| USD933220S1 (en) | 2018-12-28 | 2021-10-12 | Cilag Gmbh International | Buttress assembly for a surgical stapler |
| USD926318S1 (en) | 2018-12-28 | 2021-07-27 | Cilag Gmbh International | Surgical stapler deck with tissue engagement recess features |
| US20200205822A1 (en) | 2018-12-28 | 2020-07-02 | Ethicon Llc | Surgical stapler buttress with tissue in-growth promotion |
| USD932621S1 (en) | 2018-12-28 | 2021-10-05 | Cilag Gmbh International | Buttress assembly for a surgical stapler |
| US11116505B2 (en) | 2018-12-28 | 2021-09-14 | Cilag Gmbh International | Applicator for surgical stapler buttress |
| US11202628B2 (en) | 2018-12-28 | 2021-12-21 | Cilag Gmbh International | Surgical stapler with tissue engagement features around tissue containment pin |
| US11272935B2 (en) | 2018-12-28 | 2022-03-15 | Cilag Gmbh International | Curved tip surgical stapler buttress assembly applicator with opening feature for curved tip alignment |
| US11033269B2 (en) | 2018-12-28 | 2021-06-15 | Cilag Gmbh International | Method of applying buttresses to surgically cut and stapled sites |
| USD926317S1 (en) | 2018-12-28 | 2021-07-27 | Cilag Gmbh International | Surgical stapler deck with tissue engagement cleat features |
| US11103243B2 (en) | 2018-12-28 | 2021-08-31 | Cilag Gmbh International | Curved tip surgical stapler buttress assembly applicator with compression layer pocket feature |
| USD901686S1 (en) | 2018-12-28 | 2020-11-10 | Ethicon Llc | Applicator for surgical stapler buttress |
| US11432817B2 (en) | 2018-12-28 | 2022-09-06 | Cilag Gmbh International | Packaging for surgical stapler buttress |
| US11701109B2 (en) | 2018-12-28 | 2023-07-18 | Cilag Gmbh International | Surgical stapler with sloped staple deck for varying tissue compression |
| US10905424B2 (en) | 2018-12-28 | 2021-02-02 | Ethicon Llc | Curved tip surgical stapler buttress assembly applicator with proximal alignment features |
| USD922576S1 (en) | 2018-12-28 | 2021-06-15 | Cilag Gmbh International | Applicator tray for a buttress applicator for a surgical stapler |
| US11166725B2 (en) | 2018-12-28 | 2021-11-09 | Cilag Gmbh International | Configuration of buttress for surgical stapler |
| USD903115S1 (en) | 2018-12-28 | 2020-11-24 | Ethicon Llc | Applicator for a surgical stapler buttress |
| US10912563B2 (en) | 2019-01-02 | 2021-02-09 | Covidien Lp | Stapling device including tool assembly stabilizing member |
| 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 |
| US11317912B2 (en) | 2019-01-30 | 2022-05-03 | Cilag Gmbh International | Surgical stapler with rotatable distal tip |
| US11202635B2 (en) | 2019-02-04 | 2021-12-21 | Covidien Lp | Programmable distal tilt position of end effector for powered surgical devices |
| US11376006B2 (en) | 2019-02-06 | 2022-07-05 | Covidien Lp | End effector force measurement with digital drive circuit |
| CA3131187A1 (en) | 2019-02-27 | 2020-09-03 | Applied Medical Resources Corporation | Surgical stapling instrument having a two-position lockout mechanism |
| US11344297B2 (en) | 2019-02-28 | 2022-05-31 | Covidien Lp | Surgical stapling device with independently movable jaws |
| US11219461B2 (en) | 2019-03-08 | 2022-01-11 | Covidien Lp | Strain gauge stabilization in a surgical device |
| US11259808B2 (en) | 2019-03-13 | 2022-03-01 | Covidien Lp | Tool assemblies with a gap locking member |
| US11147551B2 (en) | 2019-03-25 | 2021-10-19 | Cilag Gmbh International | Firing drive arrangements for surgical systems |
| US11172929B2 (en) | 2019-03-25 | 2021-11-16 | Cilag Gmbh International | Articulation drive arrangements for surgical systems |
| 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 |
| AU2020253285A1 (en) | 2019-03-29 | 2021-09-30 | Applied Medical Resources Corporation | Reload cover for surgical stapling system |
| 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 |
| CN113710170A (zh) | 2019-04-15 | 2021-11-26 | 直观外科手术操作公司 | 用于手术器械的钉仓 |
| US11166721B2 (en) | 2019-04-26 | 2021-11-09 | Cilag Gmbh International | Staple retainer for surgical stapler cartridge |
| US11266403B2 (en) | 2019-04-26 | 2022-03-08 | Cilag Gmbh International | Tissue cutting washer for right angle surgical stapler |
| US11324504B2 (en) | 2019-04-26 | 2022-05-10 | Cilag Gmbh International | Cartridge based lockout mechanism for right angle surgical stapler |
| US11202629B2 (en) | 2019-04-26 | 2021-12-21 | Cilag Gmbh International | Clamping based lockout mechanism for right angle surgical stapler |
| USD938029S1 (en) | 2019-04-26 | 2021-12-07 | Cilag Gmbh International | Staple retainer for surgical stapler cartridge |
| US11452528B2 (en) | 2019-04-30 | 2022-09-27 | Cilag Gmbh International | Articulation actuators for a surgical instrument |
| US11432816B2 (en) | 2019-04-30 | 2022-09-06 | Cilag Gmbh International | Articulation pin for 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 |
| US11471157B2 (en) | 2019-04-30 | 2022-10-18 | Cilag Gmbh International | Articulation control mapping for a surgical instrument |
| US11253254B2 (en) | 2019-04-30 | 2022-02-22 | Cilag Gmbh International | Shaft rotation actuator on a surgical instrument |
| US11426251B2 (en) | 2019-04-30 | 2022-08-30 | Cilag Gmbh International | Articulation directional lights on a surgical instrument |
| CN113905675A (zh) | 2019-05-31 | 2022-01-07 | 直观外科手术操作公司 | 用于外科器械的订合钉仓 |
| US11376098B2 (en) | 2019-06-28 | 2022-07-05 | Cilag Gmbh International | Surgical instrument system comprising an RFID system |
| US11638587B2 (en) | 2019-06-28 | 2023-05-02 | Cilag Gmbh International | RFID identification systems for surgical instruments |
| US11464601B2 (en) | 2019-06-28 | 2022-10-11 | Cilag Gmbh International | Surgical instrument comprising an RFID system for tracking a movable component |
| US11426167B2 (en) | 2019-06-28 | 2022-08-30 | Cilag Gmbh International | Mechanisms for proper anvil attachment surgical stapling head assembly |
| US11497492B2 (en) | 2019-06-28 | 2022-11-15 | Cilag Gmbh International | Surgical instrument including an articulation lock |
| US11291451B2 (en) | 2019-06-28 | 2022-04-05 | Cilag Gmbh International | Surgical instrument with battery compatibility verification functionality |
| US11478241B2 (en) | 2019-06-28 | 2022-10-25 | Cilag Gmbh International | Staple cartridge including projections |
| US11246678B2 (en) | 2019-06-28 | 2022-02-15 | Cilag Gmbh International | Surgical stapling system having a frangible RFID tag |
| US11259803B2 (en) | 2019-06-28 | 2022-03-01 | Cilag Gmbh International | Surgical stapling system having an information encryption protocol |
| US11771419B2 (en) | 2019-06-28 | 2023-10-03 | Cilag Gmbh International | Packaging for a replaceable component of a surgical stapling system |
| US11684434B2 (en) | 2019-06-28 | 2023-06-27 | Cilag Gmbh International | Surgical RFID assemblies for instrument operational setting control |
| US11298127B2 (en) | 2019-06-28 | 2022-04-12 | Cilag GmbH Interational | Surgical stapling system having a lockout mechanism for an incompatible cartridge |
| US11350938B2 (en) | 2019-06-28 | 2022-06-07 | Cilag Gmbh International | Surgical instrument comprising an aligned rfid sensor |
| US11219455B2 (en) | 2019-06-28 | 2022-01-11 | Cilag Gmbh International | Surgical instrument including a lockout key |
| US11523822B2 (en) | 2019-06-28 | 2022-12-13 | Cilag Gmbh International | Battery pack including a circuit interrupter |
| US11399837B2 (en) | 2019-06-28 | 2022-08-02 | Cilag Gmbh International | Mechanisms for motor control adjustments of a motorized surgical instrument |
| US11298132B2 (en) | 2019-06-28 | 2022-04-12 | Cilag GmbH Inlernational | Staple cartridge including a honeycomb extension |
| US11224497B2 (en) | 2019-06-28 | 2022-01-18 | Cilag Gmbh International | Surgical systems with multiple RFID tags |
| US11660163B2 (en) | 2019-06-28 | 2023-05-30 | Cilag Gmbh International | Surgical system with RFID tags for updating motor assembly parameters |
| US11627959B2 (en) | 2019-06-28 | 2023-04-18 | Cilag Gmbh International | Surgical instruments including manual and powered system lockouts |
| US11051807B2 (en) | 2019-06-28 | 2021-07-06 | Cilag Gmbh International | Packaging assembly including a particulate trap |
| US11553971B2 (en) | 2019-06-28 | 2023-01-17 | Cilag Gmbh International | Surgical RFID assemblies for display and communication |
| US11786325B2 (en) | 2019-07-02 | 2023-10-17 | Intuitive Surgical Operations, Inc. | Remotely controlling a system using video |
| US11224424B2 (en) | 2019-08-02 | 2022-01-18 | Covidien Lp | Linear stapling device with vertically movable knife |
| US11406385B2 (en) | 2019-10-11 | 2022-08-09 | Covidien Lp | Stapling device with a gap locking member |
| US11123068B2 (en) | 2019-11-08 | 2021-09-21 | Covidien Lp | Surgical staple cartridge |
| US11534163B2 (en) | 2019-11-21 | 2022-12-27 | Covidien Lp | Surgical stapling instruments |
| US11707274B2 (en) | 2019-12-06 | 2023-07-25 | Covidien Lp | Articulating mechanism for surgical instrument |
| US11109862B2 (en) | 2019-12-12 | 2021-09-07 | Covidien Lp | Surgical stapling device with flexible shaft |
| US11737747B2 (en) | 2019-12-17 | 2023-08-29 | Covidien Lp | Hand-held surgical instruments |
| US11607219B2 (en) | 2019-12-19 | 2023-03-21 | Cilag Gmbh International | Staple cartridge comprising a detachable tissue cutting knife |
| US11446029B2 (en) | 2019-12-19 | 2022-09-20 | Cilag Gmbh International | Staple cartridge comprising projections extending from a curved deck surface |
| US11931033B2 (en) | 2019-12-19 | 2024-03-19 | Cilag Gmbh International | Staple cartridge comprising a latch lockout |
| US11504122B2 (en) | 2019-12-19 | 2022-11-22 | Cilag Gmbh International | Surgical instrument comprising a nested firing member |
| 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 |
| US11291447B2 (en) | 2019-12-19 | 2022-04-05 | Cilag Gmbh International | Stapling instrument comprising independent jaw closing and staple firing systems |
| US11559304B2 (en) | 2019-12-19 | 2023-01-24 | Cilag Gmbh International | Surgical instrument comprising a rapid closure mechanism |
| US11464512B2 (en) | 2019-12-19 | 2022-10-11 | Cilag Gmbh International | Staple cartridge comprising a curved deck surface |
| US11234698B2 (en) | 2019-12-19 | 2022-02-01 | Cilag Gmbh International | Stapling system comprising a clamp lockout and a firing lockout |
| US11529139B2 (en) | 2019-12-19 | 2022-12-20 | Cilag Gmbh International | Motor driven surgical instrument |
| US11304696B2 (en) | 2019-12-19 | 2022-04-19 | Cilag Gmbh International | Surgical instrument comprising a powered articulation system |
| US11844520B2 (en) | 2019-12-19 | 2023-12-19 | Cilag Gmbh International | Staple cartridge comprising driver retention members |
| US11701111B2 (en) | 2019-12-19 | 2023-07-18 | Cilag Gmbh International | Method for operating a surgical stapling instrument |
| 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 |
| US11642129B2 (en) | 2020-01-15 | 2023-05-09 | Intuitive Surgical Operations, Inc. | Staple cartridge and drive member for surgical instrument |
| US11278282B2 (en) | 2020-01-31 | 2022-03-22 | Covidien Lp | Stapling device with selective cutting |
| US11452524B2 (en) | 2020-01-31 | 2022-09-27 | Covidien Lp | Surgical stapling device with lockout |
| US11458244B2 (en) | 2020-02-07 | 2022-10-04 | Covidien Lp | Irrigating surgical apparatus with positive pressure fluid |
| US11553913B2 (en) | 2020-02-11 | 2023-01-17 | Covidien Lp | Electrically-determining tissue cut with surgical stapling apparatus |
| JP2023523507A (ja) | 2020-02-14 | 2023-06-06 | コヴィディエン リミテッド パートナーシップ | 外科用ステープルのための、かつ周壁に組織を把持するための隆起を有する、カートリッジホルダ |
| 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 |
| US11331098B2 (en) | 2020-04-01 | 2022-05-17 | Covidien Lp | Sled detection device |
| US11426159B2 (en) | 2020-04-01 | 2022-08-30 | Covidien Lp | Sled detection device |
| US11504117B2 (en) | 2020-04-02 | 2022-11-22 | Covidien Lp | Hand-held surgical instruments |
| US11937794B2 (en) | 2020-05-11 | 2024-03-26 | Covidien Lp | Powered handle assembly for surgical devices |
| US11406387B2 (en) | 2020-05-12 | 2022-08-09 | Covidien Lp | Surgical stapling device with replaceable staple cartridge |
| US11191537B1 (en) | 2020-05-12 | 2021-12-07 | Covidien Lp | Stapling device with continuously parallel jaws |
| US11534167B2 (en) | 2020-05-28 | 2022-12-27 | Covidien Lp | Electrotaxis-conducive stapling |
| USD975850S1 (en) | 2020-06-02 | 2023-01-17 | Cilag Gmbh International | Staple cartridge |
| USD975278S1 (en) | 2020-06-02 | 2023-01-10 | Cilag Gmbh International | Staple cartridge |
| USD976401S1 (en) | 2020-06-02 | 2023-01-24 | Cilag Gmbh International | Staple cartridge |
| USD975851S1 (en) | 2020-06-02 | 2023-01-17 | Cilag Gmbh International | Staple cartridge |
| USD967421S1 (en) | 2020-06-02 | 2022-10-18 | Cilag Gmbh International | Staple cartridge |
| 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 |
| US11191538B1 (en) | 2020-06-08 | 2021-12-07 | Covidien Lp | Surgical stapling device with parallel jaw closure |
| US11672559B2 (en) | 2020-06-17 | 2023-06-13 | Cilag Gmbh International | Surgical stapler with cartridge pan retention features |
| US11844517B2 (en) | 2020-06-25 | 2023-12-19 | Covidien Lp | Linear stapling device with continuously parallel jaws |
| US11497494B2 (en) | 2020-06-30 | 2022-11-15 | Cilag Gmbh International | Surgical stapler cartridge retainer with ejector feature |
| 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 |
| US11622768B2 (en) | 2020-07-13 | 2023-04-11 | Covidien Lp | Methods and structure for confirming proper assembly of powered surgical stapling systems |
| US20220015761A1 (en) | 2020-07-16 | 2022-01-20 | Ethicon Llc | Firing circuit and control algorithm for surgical stapler |
| US20220031320A1 (en) | 2020-07-28 | 2022-02-03 | Cilag Gmbh International | Surgical instruments with flexible firing member actuator constraint arrangements |
| US11266402B2 (en) | 2020-07-30 | 2022-03-08 | Covidien Lp | Sensing curved tip for surgical stapling instruments |
| US11439392B2 (en) | 2020-08-03 | 2022-09-13 | Covidien Lp | Surgical stapling device and fastener for pathological exam |
| US11395654B2 (en) | 2020-08-07 | 2022-07-26 | Covidien Lp | Surgical stapling device with articulation braking assembly |
| US11602342B2 (en) | 2020-08-27 | 2023-03-14 | Covidien Lp | Surgical stapling device with laser probe |
| US11678878B2 (en) | 2020-09-16 | 2023-06-20 | Covidien Lp | Articulation mechanism for surgical stapling device |
| US11660092B2 (en) | 2020-09-29 | 2023-05-30 | Covidien Lp | Adapter for securing loading units to handle assemblies of surgical stapling instruments |
| US11406384B2 (en) | 2020-10-05 | 2022-08-09 | Covidien Lp | Stapling device with drive assembly stop member |
| US11576674B2 (en) | 2020-10-06 | 2023-02-14 | Covidien Lp | Surgical stapling device with articulation lock assembly |
| US11717289B2 (en) | 2020-10-29 | 2023-08-08 | Cilag Gmbh International | Surgical instrument comprising an indicator which indicates that an articulation drive is actuatable |
| USD980425S1 (en) | 2020-10-29 | 2023-03-07 | Cilag Gmbh International | Surgical instrument assembly |
| US11931025B2 (en) | 2020-10-29 | 2024-03-19 | Cilag Gmbh International | Surgical instrument comprising a releasable closure drive lock |
| 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 |
| CA3195757A1 (en) | 2020-10-29 | 2022-05-05 | Jonathan VON STEIN | Actuation shaft retention mechanism for surgical stapler |
| US11517390B2 (en) | 2020-10-29 | 2022-12-06 | Cilag Gmbh International | Surgical instrument comprising a limited travel switch |
| 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 |
| USD1013170S1 (en) | 2020-10-29 | 2024-01-30 | Cilag Gmbh International | Surgical instrument assembly |
| US11534259B2 (en) | 2020-10-29 | 2022-12-27 | Cilag Gmbh International | Surgical instrument comprising an articulation indicator |
| JP2023548141A (ja) | 2020-10-29 | 2023-11-15 | アプライド メディカル リソーシーズ コーポレイション | 電動ハンドルを有する外科用ステープラ |
| 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 |
| US11832814B2 (en) | 2020-11-04 | 2023-12-05 | Cilag Gmbh International | Surgical stapler end effector sled having tapered distal end |
| US11701112B2 (en) | 2020-11-04 | 2023-07-18 | Cilag Gmbh International | Surgical stapler end effector sled having staple driver support feature |
| US11553912B2 (en) | 2020-11-04 | 2023-01-17 | Cilag Gmbh International | Surgical stapler end effector sled having multiple surface finishes |
| US20220133316A1 (en) | 2020-11-04 | 2022-05-05 | Ethicon Llc | Surgical stapler end effector sled having cartridge biasing feature |
| US11540826B2 (en) | 2020-11-04 | 2023-01-03 | Cilag Gmbh International | Surgical stapler end effector sled having cartridge wall support feature |
| US11890007B2 (en) | 2020-11-18 | 2024-02-06 | Covidien Lp | Stapling device with flex cable and tensioning mechanism |
| US11653919B2 (en) | 2020-11-24 | 2023-05-23 | Covidien Lp | Stapler line reinforcement continuity |
| US11744580B2 (en) | 2020-11-24 | 2023-09-05 | Covidien Lp | Long stapler reloads with continuous cartridge |
| 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 |
| US11653920B2 (en) | 2020-12-02 | 2023-05-23 | Cilag Gmbh International | Powered surgical instruments with communication interfaces through sterile barrier |
| US11744581B2 (en) | 2020-12-02 | 2023-09-05 | Cilag Gmbh International | Powered surgical instruments with multi-phase tissue treatment |
| US11944296B2 (en) | 2020-12-02 | 2024-04-02 | Cilag Gmbh International | Powered surgical instruments with external connectors |
| 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 |
| US11627960B2 (en) | 2020-12-02 | 2023-04-18 | Cilag Gmbh International | Powered surgical instruments with smart reload with separately attachable exteriorly mounted wiring connections |
| US11653915B2 (en) | 2020-12-02 | 2023-05-23 | Cilag Gmbh International | Surgical instruments with sled location detection and adjustment features |
| US11849943B2 (en) | 2020-12-02 | 2023-12-26 | Cilag Gmbh International | Surgical instrument with cartridge release mechanisms |
| US11737774B2 (en) | 2020-12-04 | 2023-08-29 | Covidien Lp | Surgical instrument with articulation assembly |
| CN112691239B (zh) * | 2020-12-06 | 2021-12-28 | 复旦大学 | 一种可与能量器械组合使用的吸引器 |
| 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 |
| US11759206B2 (en) | 2021-01-05 | 2023-09-19 | Covidien Lp | Surgical stapling device with firing lockout mechanism |
| US11744582B2 (en) | 2021-01-05 | 2023-09-05 | 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 |
| US11950779B2 (en) | 2021-02-26 | 2024-04-09 | Cilag Gmbh International | Method of powering and communicating with a staple cartridge |
| US11749877B2 (en) | 2021-02-26 | 2023-09-05 | Cilag Gmbh International | Stapling instrument comprising a signal antenna |
| US11730473B2 (en) | 2021-02-26 | 2023-08-22 | Cilag Gmbh International | Monitoring of manufacturing life-cycle |
| US11751869B2 (en) | 2021-02-26 | 2023-09-12 | Cilag Gmbh International | Monitoring of multiple sensors over time to detect moving characteristics of tissue |
| 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 |
| US11793514B2 (en) | 2021-02-26 | 2023-10-24 | Cilag Gmbh International | Staple cartridge comprising sensor array which may be embedded in cartridge body |
| US11723657B2 (en) | 2021-02-26 | 2023-08-15 | Cilag Gmbh International | Adjustable communication based on available bandwidth and power capacity |
| US11950777B2 (en) | 2021-02-26 | 2024-04-09 | Cilag Gmbh International | Staple cartridge comprising an information access control system |
| US11925349B2 (en) | 2021-02-26 | 2024-03-12 | Cilag Gmbh International | Adjustment to transfer parameters to improve available power |
| US11744583B2 (en) | 2021-02-26 | 2023-09-05 | Cilag Gmbh International | Distal communication array to tune frequency of RF systems |
| US11717300B2 (en) | 2021-03-11 | 2023-08-08 | Covidien Lp | Surgical stapling apparatus with integrated visualization |
| US11737749B2 (en) | 2021-03-22 | 2023-08-29 | Cilag Gmbh International | Surgical stapling instrument comprising a retraction system |
| 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 |
| US11723658B2 (en) | 2021-03-22 | 2023-08-15 | Cilag Gmbh International | Staple cartridge comprising a firing lockout |
| US11806011B2 (en) | 2021-03-22 | 2023-11-07 | Cilag Gmbh International | Stapling instrument comprising tissue compression systems |
| US11717291B2 (en) | 2021-03-22 | 2023-08-08 | Cilag Gmbh International | Staple cartridge comprising staples configured to apply different tissue compression |
| US11857183B2 (en) | 2021-03-24 | 2024-01-02 | Cilag Gmbh International | Stapling assembly components having metal substrates and plastic bodies |
| US11896218B2 (en) | 2021-03-24 | 2024-02-13 | Cilag Gmbh International | Method of using a powered stapling device |
| US11903582B2 (en) | 2021-03-24 | 2024-02-20 | Cilag Gmbh International | Leveraging surfaces for cartridge installation |
| US11944336B2 (en) | 2021-03-24 | 2024-04-02 | Cilag Gmbh International | Joint arrangements for multi-planar alignment and support of operational drive shafts in articulatable surgical instruments |
| US11849944B2 (en) | 2021-03-24 | 2023-12-26 | Cilag Gmbh International | Drivers for fastener cartridge assemblies having rotary drive screws |
| US11896219B2 (en) | 2021-03-24 | 2024-02-13 | Cilag Gmbh International | Mating features between drivers and underside of a cartridge deck |
| US11786239B2 (en) | 2021-03-24 | 2023-10-17 | Cilag Gmbh International | Surgical instrument articulation joint arrangements comprising multiple moving linkage features |
| US11849945B2 (en) | 2021-03-24 | 2023-12-26 | Cilag Gmbh International | Rotary-driven surgical stapling assembly comprising eccentrically driven firing member |
| 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 |
| US11744603B2 (en) | 2021-03-24 | 2023-09-05 | Cilag Gmbh International | Multi-axis pivot joints for surgical instruments and methods for manufacturing same |
| US11793516B2 (en) | 2021-03-24 | 2023-10-24 | Cilag Gmbh International | Surgical staple cartridge comprising longitudinal support beam |
| US11832816B2 (en) | 2021-03-24 | 2023-12-05 | Cilag Gmbh International | Surgical stapling assembly comprising nonplanar staples and planar staples |
| 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 |
| US11607218B2 (en) | 2021-04-30 | 2023-03-21 | Cilag Gmbh International | Translatable barrel cam of a robotic surgical system |
| US11937892B2 (en) | 2021-04-30 | 2024-03-26 | Cilag Gmbh International | Variable jaw closure of a robotic surgical system |
| US11576670B2 (en) | 2021-05-06 | 2023-02-14 | Covidien Lp | Surgical stapling device with optimized drive assembly |
| US11812956B2 (en) | 2021-05-18 | 2023-11-14 | Covidien Lp | Dual firing radial stapling device |
| US11696755B2 (en) | 2021-05-19 | 2023-07-11 | Covidien Lp | Surgical stapling device with reload assembly removal lockout |
| US11510673B1 (en) | 2021-05-25 | 2022-11-29 | Covidien Lp | Powered stapling device with manual retraction |
| US11771423B2 (en) | 2021-05-25 | 2023-10-03 | Covidien Lp | Powered stapling device with manual retraction |
| US11701119B2 (en) | 2021-05-26 | 2023-07-18 | Covidien Lp | Powered stapling device with rack release |
| US11826047B2 (en) | 2021-05-28 | 2023-11-28 | Cilag Gmbh International | Stapling instrument comprising jaw mounts |
| US11684362B2 (en) | 2021-06-07 | 2023-06-27 | Covidien Lp | Handheld electromechanical surgical system |
| US11576675B2 (en) | 2021-06-07 | 2023-02-14 | Covidien Lp | Staple cartridge with knife |
| US11944340B2 (en) | 2021-06-11 | 2024-04-02 | Cilag Gmbh International | Suction and irrigation valve and method of priming same in a robotic surgical system |
| US11707275B2 (en) | 2021-06-29 | 2023-07-25 | Covidien Lp | Asymmetrical surgical stapling device |
| US11771432B2 (en) | 2021-06-29 | 2023-10-03 | Covidien Lp | Stapling and cutting to default values in the event of strain gauge data integrity loss |
| US11617579B2 (en) | 2021-06-29 | 2023-04-04 | Covidien Lp | Ultra low profile surgical stapling instrument for tissue resections |
| US11602344B2 (en) | 2021-06-30 | 2023-03-14 | Covidien Lp | Surgical stapling apparatus with firing lockout assembly |
| US11540831B1 (en) | 2021-08-12 | 2023-01-03 | Covidien Lp | Staple cartridge with actuation sled detection |
| US20230050358A1 (en) | 2021-08-16 | 2023-02-16 | Cilag Gmbh International | Multiple-sensor firing lockout mechanism for powered surgical stapler |
| US20230045998A1 (en) | 2021-08-16 | 2023-02-16 | Cilag Gmbh International | Firing bailout system for powered surgical stapler |
| US20230050707A1 (en) | 2021-08-16 | 2023-02-16 | Cilag Gmbh International | Firing system features for surgical stapler |
| US11944297B2 (en) | 2021-08-16 | 2024-04-02 | Cilag Gmbh International | Variable response motor control algorithm for powered surgical stapler |
| WO2023021396A1 (en) | 2021-08-16 | 2023-02-23 | Cilag Gmbh International | Proximally located firing lockout mechanism for surgical stapler |
| US20230051938A1 (en) | 2021-08-16 | 2023-02-16 | Cilag Gmbh International | Adjustable power transmission mechanism for powered surgical stapler |
| US20230051222A1 (en) | 2021-08-16 | 2023-02-16 | Cilag Gmbh International | Cartridge-based firing lockout mechanism for surgical stapler |
| US20230051271A1 (en) | 2021-08-16 | 2023-02-16 | Cilag Gmbh International | Multi-threshold motor control algorithm for powered surgical stapler |
| US20230052307A1 (en) | 2021-08-16 | 2023-02-16 | Cilag Gmbh International | Deflectable firing member for surgical stapler |
| US11779332B2 (en) | 2021-08-16 | 2023-10-10 | Cilag Gmbh International | Powered surgical stapler having independently operable closure and firing systems |
| US20230045893A1 (en) | 2021-08-16 | 2023-02-16 | Cilag Gmbh International | Multi-position restraining member for sled movement |
| US20230049736A1 (en) | 2021-08-16 | 2023-02-16 | Cilag Gmbh International | Firing member tracking feature for surgical stapler |
| US11779334B2 (en) | 2021-08-19 | 2023-10-10 | Covidien Lp | Surgical stapling device including a manual retraction assembly |
| US11707277B2 (en) | 2021-08-20 | 2023-07-25 | Covidien Lp | Articulating surgical stapling apparatus with pivotable knife bar guide assembly |
| US11576671B1 (en) | 2021-08-20 | 2023-02-14 | Covidien Lp | Small diameter linear surgical stapling apparatus |
| US11864761B2 (en) | 2021-09-14 | 2024-01-09 | Covidien Lp | Surgical instrument with illumination mechanism |
| US20230107231A1 (en) | 2021-09-27 | 2023-04-06 | Cilag Gmbh International | Overlapping staple pattern for surgical stapler |
| US11660094B2 (en) | 2021-09-29 | 2023-05-30 | Covidien Lp | Surgical fastening instrument with two-part surgical fasteners |
| US11653922B2 (en) | 2021-09-29 | 2023-05-23 | Covidien Lp | Surgical stapling device with firing lockout mechanism |
| US11849949B2 (en) | 2021-09-30 | 2023-12-26 | Covidien Lp | Surgical stapling device with firing lockout member |
| US11877745B2 (en) | 2021-10-18 | 2024-01-23 | Cilag Gmbh International | Surgical stapling assembly having longitudinally-repeating staple leg clusters |
| CN113842184B (zh) * | 2021-10-20 | 2022-12-27 | 常州威克医疗器械有限公司 | 电动腔镜吻合器用击发保险装置 |
| US11937816B2 (en) | 2021-10-28 | 2024-03-26 | Cilag Gmbh International | Electrical lead arrangements for surgical instruments |
| US11832823B2 (en) | 2022-02-08 | 2023-12-05 | Covidien Lp | Determination of anvil release during anastomosis |
| US20230293172A1 (en) | 2022-03-15 | 2023-09-21 | Cilag Gmbh International | Surgical stapler cartridge with integrated rfid feature |
| US11931029B2 (en) | 2022-03-23 | 2024-03-19 | Cilag Gmbh International | Firing limit feature for powered surgical stapler |
| EP4351437A1 (en) | 2022-03-29 | 2024-04-17 | Cilag GmbH International | Surgical stapler cartridge with support features |
| WO2023187646A1 (en) | 2022-03-29 | 2023-10-05 | Cilag Gmbh International | Surgical stapler cartridge with 3d printable features |
Family Cites Families (65)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US448194A (en) | 1891-03-17 | Implement for testing the burning qualities of cigars | ||
| US804229A (en) | 1904-07-27 | 1905-11-14 | Thomas C Hutchinson | Forceps and the like. |
| US1944166A (en) | 1932-12-14 | 1934-01-23 | Brunner State Studios Inc | Clamping device |
| US2883984A (en) | 1957-09-09 | 1959-04-28 | Pfizer & Co C | Pellet implanter |
| US3269630A (en) | 1964-04-30 | 1966-08-30 | Fleischer Harry | Stapling instrument |
| US3661187A (en) | 1969-07-28 | 1972-05-09 | Panduit Corp | Strap-tensioning and severing tool |
| US3837555A (en) | 1970-12-14 | 1974-09-24 | Surgical Corp | Powering instrument for stapling skin and fascia |
| US3955581A (en) | 1974-10-18 | 1976-05-11 | United States Surgical Corporation | Three-stage surgical instrument |
| US3949924A (en) | 1974-10-18 | 1976-04-13 | United States Surgical Corporation | Surgical stapling instrument |
| GB1525841A (en) | 1976-05-18 | 1978-09-20 | Hundon Forge Ltd | Drug implanters |
| US4304236A (en) * | 1977-05-26 | 1981-12-08 | United States Surgical Corporation | Stapling instrument having an anvil-carrying part of particular geometric shape |
| US4276878A (en) | 1979-08-20 | 1981-07-07 | Karl Storz | Injection syringe |
| US4368731A (en) | 1980-02-12 | 1983-01-18 | Schramm Heinrich W | Pistol-type syringe |
| US4606343A (en) | 1980-08-18 | 1986-08-19 | United States Surgical Corporation | Self-powered surgical fastening instrument |
| FR2509490B1 (fr) | 1981-07-09 | 1985-02-22 | Tractel Sa | Mecanisme de debrayage pour appareil de traction agissant sur un cable qui le traverse |
| US4664305A (en) | 1982-05-04 | 1987-05-12 | Blake Joseph W Iii | Surgical stapler |
| US4589870A (en) | 1984-02-21 | 1986-05-20 | Indicon, Inc. | Incremental actuator for syringe |
| US4580712A (en) | 1984-10-19 | 1986-04-08 | United States Surgical Corporation | Surgical fastener applying apparatus with progressive application of fastener |
| US4671278A (en) | 1985-01-14 | 1987-06-09 | Thomas J. Fogarty | Scalp hemostatic clip and dispenser therefor |
| US4976686A (en) | 1987-09-18 | 1990-12-11 | Schering Agrochemicals Limited | Implant gun |
| US5005749A (en) * | 1988-07-01 | 1991-04-09 | United States Surgical Corp. | Anastomosis surgical stapling instrument |
| US4869415A (en) | 1988-09-26 | 1989-09-26 | Ethicon, Inc. | Energy storage means for a surgical stapler |
| US5318221A (en) * | 1989-05-26 | 1994-06-07 | United States Surgical Corporation | Apparatus and method for placing staples in laparoscopic or endoscopic procedures |
| US5040715B1 (en) | 1989-05-26 | 1994-04-05 | United States Surgical Corp | Apparatus and method for placing staples in laparoscopic or endoscopic procedures |
| US5389102A (en) | 1990-09-13 | 1995-02-14 | United States Surgical Corporation | Apparatus and method for subcuticular stapling of body tissue |
| US5104025A (en) * | 1990-09-28 | 1992-04-14 | Ethicon, Inc. | Intraluminal anastomotic surgical stapler with detached anvil |
| US5413267A (en) | 1991-05-14 | 1995-05-09 | United States Surgical Corporation | Surgical stapler with spent cartridge sensing and lockout means |
| EP0596543B1 (en) * | 1991-05-14 | 1999-08-11 | 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 |
| DE69217808T2 (de) | 1991-10-18 | 1997-07-24 | United States Surgical Corp | Gerät zum Anbringen von chirurgischen Befestigungen |
| US5579978A (en) | 1991-10-18 | 1996-12-03 | United States Surgical Corporation | Apparatus for applying surgical fasteners |
| US5326013A (en) | 1991-10-18 | 1994-07-05 | United States Surgical Corporation | Self contained gas powered surgical apparatus |
| US5307976A (en) | 1991-10-18 | 1994-05-03 | Ethicon, Inc. | Linear stapling mechanism with cutting means |
| US5271543A (en) * | 1992-02-07 | 1993-12-21 | Ethicon, Inc. | Surgical anastomosis stapling instrument with flexible support shaft and anvil adjusting mechanism |
| US5314424A (en) | 1992-04-06 | 1994-05-24 | United States Surgical Corporation | Surgical instrument locking mechanism |
| US5467911A (en) | 1993-04-27 | 1995-11-21 | Olympus Optical Co., Ltd. | Surgical device for stapling and fastening body tissues |
| US5376095A (en) | 1993-11-04 | 1994-12-27 | Ethicon Endo-Surgery | Endoscopic multi-fire flat stapler with low profile |
| US5465895A (en) | 1994-02-03 | 1995-11-14 | Ethicon Endo-Surgery, Inc. | Surgical stapler instrument |
| WO1995023557A1 (en) | 1994-03-01 | 1995-09-08 | United States Surgical Corporation | Surgical stapler with anvil sensor and lockout |
| CA2145723A1 (en) | 1994-03-30 | 1995-10-01 | Steven W. Hamblin | Surgical stapling instrument with remotely articulated stapling head assembly on rotatable support shaft |
| 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 |
| US5632432A (en) | 1994-12-19 | 1997-05-27 | Ethicon Endo-Surgery, Inc. | Surgical instrument |
| US5735445A (en) | 1995-03-07 | 1998-04-07 | United States Surgical Corporation | Surgical stapler |
| US5706998A (en) | 1995-07-17 | 1998-01-13 | United States Surgical Corporation | Surgical stapler with alignment pin locking mechanism |
| US5782396A (en) | 1995-08-28 | 1998-07-21 | United States Surgical Corporation | Surgical stapler |
| US6032849A (en) | 1995-08-28 | 2000-03-07 | United States Surgical | Surgical stapler |
| US5762256A (en) | 1995-08-28 | 1998-06-09 | United States Surgical Corporation | Surgical stapler |
| US5730740A (en) | 1995-11-09 | 1998-03-24 | Ethicon Endo-Surgery, Inc. | Latch mechanism for surgical instruments |
| US5762255A (en) * | 1996-02-20 | 1998-06-09 | Richard-Allan Medical Industries, Inc. | Surgical instrument with improvement safety lockout mechanisms |
| US6010054A (en) | 1996-02-20 | 2000-01-04 | Imagyn Medical Technologies | Linear stapling instrument with improved staple cartridge |
| US5735874A (en) | 1996-06-21 | 1998-04-07 | Ethicon Endo-Surgery, Inc. | Variable position handle locking mechanism |
| US5728108A (en) | 1997-03-20 | 1998-03-17 | Tnco, Inc. | Rotary drive mechanism for instrument handle |
| US5865361A (en) | 1997-09-23 | 1999-02-02 | United States Surgical Corporation | Surgical stapling apparatus |
| US5976160A (en) | 1998-03-31 | 1999-11-02 | Design Standards Corporation | Handle mechanism with two distinct pivot points |
| US6120526A (en) | 1999-01-29 | 2000-09-19 | Daley; Robert J. | Delivery devices for bioabsorbable staples |
| DE10026683C2 (de) * | 2000-05-30 | 2003-07-10 | Ethicon Endo Surgery Europe | Chirurgisches Klammersetzgerät |
| ES2398200T3 (es) * | 2000-10-13 | 2013-03-14 | Covidien Lp | Aparatos para aplicar sujetadores quirúrgicos |
| JP4435967B2 (ja) * | 2000-12-05 | 2010-03-24 | ジョンソン・エンド・ジョンソン株式会社 | 外科用縫合器具および縫合切断器具 |
| WO2003030743A2 (en) * | 2001-10-05 | 2003-04-17 | Tyco Healthcare Group Lp | Surgical stapling device |
| WO2004112618A2 (en) * | 2003-06-17 | 2004-12-29 | Tyco Healthcare Group, Lp | Surgical stapling device |
| US7000819B2 (en) * | 2003-09-29 | 2006-02-21 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having multistroke firing incorporating a traction-biased ratcheting 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 |
| 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 |
-
2003
- 2003-09-29 US US10/674,236 patent/US7434715B2/en active Active
-
2004
- 2004-09-27 CA CA2482577A patent/CA2482577C/en not_active Expired - Fee Related
- 2004-09-28 AU AU2004216573A patent/AU2004216573A1/en not_active Abandoned
- 2004-09-28 CN CN200410087484A patent/CN100586382C/zh active Active
- 2004-09-29 MX MXPA04009531A patent/MXPA04009531A/es active IP Right Grant
- 2004-09-29 EP EP04256003.7A patent/EP1523943B1/en active Active
- 2004-09-29 EP EP17199438.7A patent/EP3326546A1/en active Pending
- 2004-09-29 JP JP2004284996A patent/JP4850401B2/ja active Active
- 2004-09-29 BR BRPI0405209A patent/BRPI0405209B8/pt active IP Right Grant
- 2004-09-29 PL PL04256003T patent/PL1523943T3/pl unknown
-
2011
- 2011-05-20 AU AU2011202353A patent/AU2011202353B2/en not_active Ceased
Cited By (15)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN1957854B (zh) * | 2005-11-04 | 2011-04-20 | 伊西康内外科公司 | 锁定机构和具有该锁定机构的外科器械 |
| CN101116625B (zh) * | 2006-08-02 | 2011-06-01 | 伊西康内外科公司 | 气动外科切割和紧固器械 |
| CN101116627B (zh) * | 2006-08-02 | 2014-02-19 | 伊西康内外科公司 | 带有听觉和视觉反馈元件的气动外科切割和紧固器械 |
| CN104706396A (zh) * | 2010-03-16 | 2015-06-17 | 柯惠Lp公司 | 用于确定手术器械中的线性运动的参数的方法和装置 |
| CN110063762A (zh) * | 2013-11-04 | 2019-07-30 | 柯惠Lp公司 | 手术紧固件施加装置 |
| CN110063762B (zh) * | 2013-11-04 | 2022-04-15 | 柯惠Lp公司 | 手术紧固件施加装置 |
| CN109310418A (zh) * | 2016-04-01 | 2019-02-05 | 伊西康有限责任公司 | 具有可重新构造的夹持部分的外科器械柄部组件 |
| CN109310418B (zh) * | 2016-04-01 | 2021-08-20 | 伊西康有限责任公司 | 具有可重新构造的握柄部分的外科器械柄部组件 |
| CN110049732A (zh) * | 2016-12-07 | 2019-07-23 | 伊西康公司 | 用于分配外科紧固件的具有关节运动轴的施用器械 |
| CN110049732B (zh) * | 2016-12-07 | 2022-08-12 | 伊西康公司 | 用于分配外科紧固件的具有关节运动轴的施用器械 |
| US11490888B2 (en) | 2016-12-07 | 2022-11-08 | Ethicon, Inc. | Methods of using applicator instruments having insertable, changeable cartridges for dispensing surgical fasteners |
| CN110099626A (zh) * | 2016-12-21 | 2019-08-06 | 爱惜康有限责任公司 | 包括闭锁件的轴组件 |
| CN110099626B (zh) * | 2016-12-21 | 2022-06-24 | 爱惜康有限责任公司 | 包括闭锁件的轴组件 |
| CN113081145A (zh) * | 2021-04-14 | 2021-07-09 | 常州市康蒂娜医疗科技有限公司 | 一种简易型组织夹连发施夹钳 |
| CN113081145B (zh) * | 2021-04-14 | 2022-06-24 | 常州市康蒂娜医疗科技有限公司 | 一种简易型组织夹连发施夹钳 |
Also Published As
| Publication number | Publication date |
|---|---|
| JP2005103280A (ja) | 2005-04-21 |
| BRPI0405209B8 (pt) | 2021-06-22 |
| CA2482577C (en) | 2012-06-12 |
| CN100586382C (zh) | 2010-02-03 |
| MXPA04009531A (es) | 2005-07-05 |
| US7434715B2 (en) | 2008-10-14 |
| BRPI0405209A (pt) | 2005-05-24 |
| AU2011202353A1 (en) | 2011-06-09 |
| PL1523943T3 (pl) | 2018-03-30 |
| US20050070925A1 (en) | 2005-03-31 |
| EP3326546A1 (en) | 2018-05-30 |
| AU2004216573A1 (en) | 2005-04-14 |
| CA2482577A1 (en) | 2005-03-29 |
| EP1523943B1 (en) | 2017-11-01 |
| JP4850401B2 (ja) | 2012-01-11 |
| AU2011202353B2 (en) | 2012-03-29 |
| BRPI0405209B1 (pt) | 2014-11-11 |
| EP1523943A1 (en) | 2005-04-20 |
Similar Documents
| Publication | Publication Date | Title |
|---|---|---|
| CN1644174A (zh) | 具有带开口锁定的多动作发射的手术钉合器械 | |
| CN1628617A (zh) | 具有带牵拉－偏压齿合机构的多动作发射的手术钉合器械 | |
| CN1679451A (zh) | 含有具有链节齿条传递的发射机构的手术钉合器械 | |
| CN1754516A (zh) | 具有含有止退机构的多冲程发射的手术钉合器械 | |
| CN1682666A (zh) | 含有多冲程发射位置指示器和缩回机构的手术钉合器械 | |
| JP4799929B2 (ja) | 回転伝動装置を備える不均一多行程型発射機構を装備した外科用ステープル留め器械 | |
| CN100539954C (zh) | 自动结束冲程退回的多冲程机构 | |
| CN101273910B (zh) | 具有侧安装的回缩构件的外科缝合和切割器械 | |
| CN100579471C (zh) | 具有带旋转滑动离合器传动的多冲程击发器的外科缝合器 | |
| CN100496416C (zh) | 采用具有旋转传递装置的多冲程发射机构的外科钉合器械 | |
| CN1919149A (zh) | 用于带有自由移动扳机的弧形切割缝合器的击发装置的闭锁机构 | |
| AU2011202679B2 (en) | Surgical stapling instrument incorporating a multistroke firing position indicator and retraction mechanism |
Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| C06 | Publication | ||
| PB01 | Publication | ||
| C10 | Entry into substantive examination | ||
| SE01 | Entry into force of request for substantive examination | ||
| C14 | Grant of patent or utility model | ||
| GR01 | Patent grant |