US20060036268A1 - Surgical stapling device with tissue tensioner - Google Patents

Surgical stapling device with tissue tensioner Download PDF

Info

Publication number
US20060036268A1
US20060036268A1 US11/229,222 US22922205A US2006036268A1 US 20060036268 A1 US20060036268 A1 US 20060036268A1 US 22922205 A US22922205 A US 22922205A US 2006036268 A1 US2006036268 A1 US 2006036268A1
Authority
US
United States
Prior art keywords
tissue
anvil
stapling device
shaft
shell assembly
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Abandoned
Application number
US11/229,222
Inventor
Russell Heinrich
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Covidien LP
Original Assignee
Tyco Healthcare Group LP
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Tyco Healthcare Group LP filed Critical Tyco Healthcare Group LP
Priority to US11/229,222 priority Critical patent/US20060036268A1/en
Assigned to TYCO HEALTHCARE GROUP, LP reassignment TYCO HEALTHCARE GROUP, LP ASSIGNMENT OF ASSIGNORS INTEREST (SEE DOCUMENT FOR DETAILS). Assignors: HEINRICH, RUSSELL
Publication of US20060036268A1 publication Critical patent/US20060036268A1/en
Priority to US11/495,101 priority patent/US7399305B2/en
Abandoned legal-status Critical Current

Links

Images

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/11Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
    • A61B17/115Staplers for performing anastomosis in a single operation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/11Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
    • A61B17/1114Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis of the digestive tract, e.g. bowels or oesophagus
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/11Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
    • A61B17/115Staplers for performing anastomosis in a single operation
    • A61B17/1155Circular staplers comprising a plurality of staples
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B17/3205Excision instruments
    • A61B17/32053Punch like cutting instruments, e.g. using a cylindrical or oval knife

Definitions

  • the present disclosure relates generally to a surgical device for treating hollow tissue organs. More particularly, the present disclosure relates to a surgical stapling device suitable for the treatment of internal hemorrhoids.
  • Anastomosis is the surgical joining of separate hollow organ sections.
  • an anastomosis procedure follows surgery in which a diseased or defective section of hollow tissue is removed and the remaining end sections are to be joined.
  • the end sections may be joined by either circular, end-to-end or side-to-side organ reconstruction methods.
  • these devices include an elongated shaft having a handle portion at a proximal end thereof to effect actuation of the device and a staple holding component disposed at a distal end thereof.
  • An anvil assembly including an anvil rod with attached anvil head is mounted to the distal end of the device adjacent a staple holding component.
  • Opposed end portions of tissue of the hollow organ(s) to be stapled are clamped between the anvil headland the staple holding component of the device.
  • the clamped tissue is stapled by driving one or more staples from the staple holding component so that the ends of the staples pass through the tissue and are deformed by the anvil head.
  • An annular knife is concurrently advanced to core tissue within the hollow organ to free a tubular passage within the organ.
  • Surgical stapling devices for performing circular anastomosis have also been used to treat internal hemorrhoids in the rectum.
  • the anvil head and the staple holding component of the surgical stapling device are inserted through the anus and into the rectum with the anvil head and the staple holding component in an open or unapproximated position.
  • a pursestring suture is used to pull the internal hemorrhoidal tissue and/or mucosal tissue towards the anvil rod.
  • the anvil head and the staple holding component are approximated to clamp the hemorrhoidal tissue and/or mucosal tissue between the anvil head and the staple holding component.
  • the stapling device is fired to remove the hemorrhoidal tissue and/or mucosal tissue and staple the cut tissue.
  • a circular stapling device having a tissue tensioner includes a proximal handle portion, a central body portion, and a distal head portion.
  • the distal head portion has an anvil and a shell assembly defining an internal bore or chamber.
  • the anvil includes an anvil head and an anvil shaft.
  • the anvil is movable in relation to the shell assembly from an unapproximated position, wherein the anvil head is spaced from the shell assembly, to an approximated position, wherein the anvil head is in lose juxtaposed alignment with the shell assembly.
  • a tissue tensioning device is supported on the anvil shaft and is movable in relation to the anvil and in relation to the shell assembly between advanced and retracted positions. When the anvil is in its approximated position, a tissue engagement member of the tissue tensioning device is positioned at least partially within the bore of the shell assembly.
  • the tissue tensioning device includes a hollow shaft and a trigger.
  • the tissue engagement member extends radially outwardly from the hollow shaft.
  • the hollow shaft is slidably positioned about the anvil shaft and is movable to shift the position of the tissue engagement member in relation to the anvil and the shell assembly.
  • the anvil shaft defines a longitudinal bore and the tissue tensioning device includes a tensioner shaft which is slidably positioned within the longitudinal bore of the anvil shaft.
  • the tissue tensioning device trigger extends through a slot formed in the surgical stapling device and can be manually manipulated by a surgeon to adjust the position of the tissue engagement member with respect to the anvil and the shell assembly.
  • one of the anvil shaft and the tissue tensioner shaft includes a series of indentations and the other of the anvil shaft and tissue tensioner shaft includes a projection or nub which is releasably received in one of the indentations to releasably retain the tissue tensioner device at a fixed position in relation to the anvil shaft.
  • a predetermined force can be applied to the tissue tensioner trigger to disengage the nub from a respective indentation to facilitate movement of the tissue tensioner device in relation to the anvil and the shell assembly.
  • the tissue engagement member includes a disc-shaped member which extends radially outwardly of the tissue tensioner device shaft.
  • the disc-shaped member can include a proximally located concavity and/or one or more ridges or teeth configured to engage tissue.
  • the tissue-engagement member includes one or more fingers which extend radially outwardly of the tissue tensioner device shaft and proximally towards the shell assembly. In one embodiment, four curved fingers may be provided. In another embodiment, three or more substantially L-shaped fingers may be provided. Alternately, other tissue engagement member configurations may be used.
  • FIG. 1 is a side perspective view from the top of one embodiment of the presently disclosed surgical stapling device with the anvil in the unapproximated position;
  • FIG. 2 is an enlarged view of the indicated area of detail shown in FIG. 1 ;
  • FIG. 3 is a side perspective view from the proximal end of the area of detail shown in FIG. 2 ;
  • FIG. 4 is a side cross-sectional view of the central body portion and distal head portion of the surgical stapling device shown in FIG. 1 ;
  • FIG. 5 is an enlarged view of the indicated area of detail shown in FIG. 4 with the tissue tensioning device in its advanced position;
  • FIG. 6 is a side cross-sectional view of the area of detail shown in FIG. 5 with the tissue tensioning device in a partially retracted position;
  • FIG. 7 is a side cross-sectional view of the central body portion and distal head portion of the surgical stapling device shown in FIG. 1 with the tissue tensioning device in a partially retracted position;
  • FIG. 8 is a side perspective view from the proximal end of the tissue tensioning device of the surgical stapling device shown in FIG. 1 ;
  • FIG. 8 a is a side perspective view of the distal end of another embodiment of the tissue tensioning device shown in FIG. 8 ;
  • FIG. 9 is a side perspective view of the distal end of yet another embodiment of tissue tensioning device shown in FIG. 8 ;
  • FIG. 10 is a side perspective view of the distal end of yet another embodiment of the tissue tensioning device shown in FIG. 8 ;
  • FIG. 11 is a side perspective view of the distal end of yet another embodiment of the tissue tensioning device shown in FIG. 8 ;
  • FIG. 12 is a side perspective view from the proximal end of the distal head portion of the surgical stapling device shown in FIG. 1 with the anvil in its unapproximated position and the tissue tensioning device in its partially retracted position;
  • FIG. 13 is a side cross-sectional view of the central body portion and distal head portion of the surgical stapling device shown in FIG. 1 with the anvil in its unapproximated position and the tissue tensioning device in its partially retracted position;
  • FIG. 14 is a side perspective view of the distal end of the surgical stapling device shown in FIG. 1 positioned adjacent an access port to the anus with a purse-string suture applied to the internal hemorrhoids and/or mucosal tissue, the anvil in its unapproximated position, and the tissue tensioning device in its advanced position;
  • FIG. 15 is a side perspective view of the distal end of the surgical stapling device shown in FIG. 1 positioned through the access port beyond the internal hemorrhoids with the purse-string suture cinched about the tissue tensioner shaft, the anvil in its unapproximated position and the tissue tensioning device in its advanced position;
  • FIG. 16 is a side perspective view of the distal end of the surgical stapling device shown in FIG. 1 positioned through the access port beyond the internal hemorrhoids with the purse-string suture cinched about the tissue tensioner shaft, the anvil in its unapproximated position and the tissue tensioning device in a partially retracted position;
  • FIG. 17 is a side perspective view of the distal end of the surgical stapling device shown in FIG. 1 positioned through the access port beyond the internal hemorrhoids with the purse-string suture cinched about the tissue tensioner shaft, the anvil in its approximated position and the tissue tensioning device in its retracted position.
  • proximal will refer to the portion of the device closest to the operator and the term “distal” will refer to the portion of the device furthest from the operator.
  • distal will refer to the portion of the device furthest from the operator.
  • FIGS. 1-8 illustrate one embodiment of the presently disclosed surgical stapling device shown generally as 10 .
  • surgical stapling device 10 includes a proximal handle assembly 12 , a central body portion 14 and a distal head portion 16 .
  • Proximal handle assembly 12 is substantially identical to the handle assembly described in the '074 application and will only be discussed briefly herein.
  • Proximal handle assembly 12 includes a rotatable approximation knob 18 and a firing trigger 20 .
  • Approximation knob 18 is operable to move anvil 22 in relation to shell assembly 24 of head portion 16 between spaced and approximated positions and firing trigger 20 is operable to eject fasteners from shell assembly 24 and advance a knife blade through shell assembly 24 to cut tissue. Operation of rotatable knob 18 and firing trigger 20 are described in detail in the '074 application and will not be discussed in further detail herein.
  • head portion 16 includes anvil 22 and shell assembly 24 .
  • the components of stapling device 10 are formed from thermoplastics, e.g., polycarbonates, and metals, e.g., stainless steel and aluminum.
  • the particular material selected to form a particular component of stapling device 10 will depend upon the strength requirements of the component.
  • the anvil may be formed from a metal, such as stainless steel and the housing of handle assembly 12 may be formed from plastic, such as polycarbonate.
  • materials not listed above having the requisite strength characteristics may be used to form the components of stapling device 10 provided the materials are suitable for surgical use.
  • Shell assembly 24 includes an outer housing or shell 26 , a pusher back 28 , a staple guide 30 and a cylindrical knife 32 .
  • Outer housing 26 of shell assembly 24 defines a throughbore and includes a reduced diameter proximal portion 26 a , a diverging intermediate portion 26 b and a cylindrical larger diameter distal portion 26 c .
  • Proximal portion 26 a includes a pair of resilient fingers 34 ( FIG. 1 ) configured to releasably engage engagement structure 36 formed on the distal end of central body portion 14 .
  • Pusher back 28 is slidably positioned within the throughbore of outer housing 26 and has a shape which corresponds to the shape of the throughbore.
  • pusher back 28 will only slide distally within the outer housing 26 from its position shown in FIG. 4 .
  • the proximal end of pusher back 28 is operatively associated with a pusher 40 ( FIG. 4 ) which is driven by firing trigger 20 in a manner described in detail in the '074 application.
  • the distal end of pusher back 28 includes a multiplicity of distally extending fingers 42 dimensioned to be slidably received within slots 44 formed in staple guide 30 .
  • fingers 42 may be formed on a ring which is separate from pusher back 28 .
  • Slots 44 of staple guide 30 are dimensioned to receive staples 46 ( FIG.
  • Staple guide 30 is secured in distal portion 26 c of outer housing 26 of shell assembly 24 in a known manner, e.g., friction, adhesives crimping, etc.
  • Knife blade 50 is secured within a bore 52 defined within pusher back 28 and shell assembly housing 26 such as by press-fitting. Alternately, other techniques may be used to secure knife blade 50 within pusher back 28 . Knife blade 50 includes an annular cutting edge 50 a and is advanced with pusher back 28 when firing trigger 20 is actuated to dissect tissue.
  • Anvil 22 includes an anvil head 60 and an anvil shaft 62 .
  • Anvil head 60 includes an anvil plate 64 which includes a plurality of staple deforming pockets 64 a ( FIGS. 2 and 3 ) for receiving and deforming staples 46 ejected from staple guide 30 .
  • Anvil shaft 62 has a distal end connected to anvil head 60 and a proximal end operatively connected (not shown) to the approximation mechanism of stapling device 10 in a manner such as disclosed in the '074 application.
  • approximation knob 18 FIG. 1
  • anvil shaft 62 is retracted into or advanced from shell assembly 24 .
  • anvil head 60 and anvil shaft 62 are illustrated as being of monolithic construction, they may be formed separately and secured together. In one embodiment, anvil 22 is fixedly secured to the stapling device 10 . Alternately, stapling device 10 may be adapted to receive a removable anvil and/or an anvil having a tiltable anvil head such as disclosed in the '074 application.
  • tissue tensioning device 80 includes a hollow shaft 82 having a radially extending tissue engagement member 84 formed at a distal end thereof and a tensioner trigger 86 formed at a proximal end thereof.
  • Tensioner trigger 86 extends through an elongated slot 88 formed in the distal end of handle assembly 12 and central body portion 14 . It is envisioned that trigger 86 may be positioned to extend through handle assembly 12 at a location adjacent firing trigger 20 to facilitate operation of firing trigger 20 and trigger 86 using a single hand.
  • Elongated slot 88 should be of a length to permit engagement member 84 to be moved proximally in relation to anvil head 60 to adjust the depth of the internal hemorrhoids in relation to bore 52 of shell assembly 24 and to allow for approximation of anvil 22 and shell assembly 24 .
  • trigger 86 is illustrated as including a radially extending arm, other configurations are envisioned.
  • tensioner trigger 86 may be in the form of a slidable button, an annular or semi-annular collar, a T-bar, etc.
  • hollow shaft 82 of tissue tensioning device 80 defines a longitudinal bore 90 dimensioned to sidably receive anvil shaft 62 .
  • An indexing mechanism can be provided for controlling movement of hollow shaft 82 about anvil shaft 62 .
  • the indexing mechanism includes a nub or projection 92 formed on anvil shaft 62 and a series of indentations 94 formed on an inner wall of hollow shaft 82 . Engagement between nub 92 and one of indentations 94 releasably retains hollow shaft 82 at a fixed position in relation to anvil shaft 62 . See FIG. 5 .
  • nub 92 By applying a predetermined force to trigger 86 , nub 92 can be disengaged from the indentation 94 and moved in relation to anvil shaft 62 into engagement with another indentation 94 . See FIGS. 6 and 7 . Relative movement between anvil shaft 62 and hollow shaft 82 is limited by engagement of trigger 86 with the proximal and distal ends of slot 88 . It is envisioned that other means may be provided to limit movement of hollow shaft 82 about anvil shaft 62 (until a predetermined force is applied to trigger 86 ), e.g., frictional engagement between shaft 82 and shaft 62 , a ratcheting mechanism, frictional engagement of tensioner trigger 86 within slot 88 , etc.
  • Radially extending engagement member 84 of tissue tensioning device 80 is configured to engage tissue positioned between anvil head 60 and shell assembly 24 when tensioner trigger 86 is moved from an advanced position ( FIG. 4 ) to a retracted position ( FIG. 7 ) to move engagement member 84 from an advanced position ( FIG. 4 ) to a retracted position ( FIG. 7 ).
  • engagement member 84 is illustrated as being disc-shaped in FIGS. 1-8 , other configurations are envisioned.
  • the engagement member may include 1) a disc-shaped member 100 having a proximal concavity 102 ( FIG. 8 a ); 2) a disc-shaped member 104 having a series of ridges or teeth 106 formed about an annular proximal edge thereof ( FIG.
  • Fingers 108 curve radially outwardly from shaft 82 and extend proximally toward shell assembly 24 .
  • Fingers 108 a are substantially L-shaped and have a distal end 108 c which extend in a direction towards shell assembly 24 .
  • three fingers 108 a and four fingers 108 are shown, it is envisioned that one or more fingers may be provided. Alternately, other configurations not shown here and capable of engaging tissue and/or a-purse string suture may also be used.
  • FIGS. 12 and 13 illustrate another embodiment of the presently disclosed surgical stapling device shown generally as 200 .
  • Stapling device 200 includes a tissue tensioning device 210 having a tensioner shaft 282 which is sidably positioned within a longitudinal bore defined in anvil shaft 262 .
  • Elongated slots 212 are provided in a distal portion of anvil shaft 262 to facilitate passage of fingers 214 of the engagement member 216 .
  • tissue engagement member 216 may be configured as shown in any of FIGS. 8-11 or assume other configurations capable of achieving the desired result.
  • An indexing mechanism including a nub 218 formed on tensioner shaft 282 and a series of indentations 294 formed on an inner wall of anvil shaft 262 is also provided to limit movement of tensioning device 210 in relation to anvil shaft 262 until a predetermined force has been applied to trigger 286 of tensioning device 200 .
  • An elongated slot 222 is provided in a proximal portion of anvil shaft 262 and another elongated slot 288 is provided in central body portion 14 and handle assembly 12 to facilitate passage of trigger 286 from within anvil shaft 262 to a position to be engaged by an operator or surgeon.
  • Tissue tensioning device 200 functions identically to tensioning device 80 . Accordingly, the method of use of the tensioning device will be discussed only with reference to tensioning device 80 .
  • the surgical stapling devices 10 and 200 are particularly suitable for use in surgical procedures for treating internal hemorrhoids from a patient. Such treatment may include partial removal of internal hemorrhoid(s) and/or mucosal tissue.
  • an access port 300 can be inserted into the anus to facilitate access to the internal hemorrhoids.
  • a purse string suture 302 is placed into, above or in the vicinity of each of the internal hemorrhoids 304 above the dentate line and the distal end of the surgical stapling device 10 is inserted through access port 300 into the anus and rectum.
  • the tissue tensioner device 80 should be in the advanced position ( FIG.
  • the purse string suture is placed about the entire circumference of the anus/rectum even though the hemorrhoids may not extend about the entire circumference of the anus/rectum.
  • the anvil 22 and tissue tensioner device 80 are inserted past internal hemorrhoids 304 and through purse string suture 302 .
  • purse string suture 302 is cinched about tissue tensioner shaft 82 to draw internal hemorrhoids and/or mucosal tissue 304 towards and about anvil shaft 62 ( FIG. 15 ).
  • tensioner trigger 86 ( FIG. 1 ) is retracted to retract tissue engagement member 84 in relation to anvil shaft 62 and shell assembly 24 .
  • Tissue engagement member 84 is positioned and configured to engage internal hemorrhoids and/or mucosal tissue 304 and/or purse string suture 302 to adjust the depth of the internal hemorrhoids and/or mucosal tissue within bore 52 of shell assembly 24 .
  • internal hemorrhoids 304 are positioned at the desired depth within shell assembly 24
  • the anvil 22 and shell assembly 24 are approximated by rotating approximation knob 18 in a manner described in the '074 application ( FIG. 1 ).
  • tissue tensioning device 80 including engagement member 84 is drawn into shell assembly 24 to pull internal hemorrhoids and/or mucosal tissue 304 into the bore 52 defined by pusher back 28 and shell assembly 24 ( FIG. 17 ).
  • tensioner device 80 may be repositioned during approximation of anvil 22 and shell assembly 24 by retracting or advancing tensioner trigger 86 to readjust the depth of internal hemorrhoids 304 within bore 52 of shell assembly 24 .
  • firing trigger 20 can be actuated in a manner described in the '074 application to staple, sever and allow removal of internal hemorroids and/or mucosal tissue 304 . Thereafter, stapling device 10 is removed from the anus with the excised internal hemorrhoids contained within bore 52 of pusher back 28 within shell assembly 24 .
  • instrument accessories may be used to assist in performing particular steps of the above described procedures.
  • a speculum may be inserted into the anus to simplify placement of the purse string suture by providing easier access to the surgical site.
  • An obturator may also be used to assist in placement of the dialator.
  • an expandable introducer may be provided to reduce the trauma that results from insertion of the stapling device into the anus.
  • the particular configuration of the tissue tensioning device may be changed to provide a more ergonomic or accessible trigger.
  • the tissue tensioning device shaft need not be rigid but may be formed of a resilient or bendable wire or rod having a tissue engaging segment.
  • the position of the tensioner trigger on the device may be changed, i.e., moved to the handle assembly, to simplify operation of the tensioning device or to facilitate operation of the firing trigger and tensioner trigger using a single hand. Therefore, the above description should not be construed as limiting, but merely as exemplifications of preferred embodiments. Those skilled in the art will envision other modifications within the scope and spirit of the claims appended hereto.

Abstract

A circular stapling device particularly suited for surgical treatment of internal hemorrhoids is provided. The stapling device includes a distal head portion having an anvil and a shell assembly. A tissue tensioner device including a tissue engagement member is movably positioned between the anvil and the shell assembly and is operable via a tensioner trigger to position tissue within a bore defined within the shell assembly.

Description

  • This application claims priority from U.S. provisional application Ser. No. 60/487,841 filed Jul. 16, 2003, the entire contents of which are incorporated herein by reference.
  • BACKGROUND
  • 1. Technical Field
  • The present disclosure relates generally to a surgical device for treating hollow tissue organs. More particularly, the present disclosure relates to a surgical stapling device suitable for the treatment of internal hemorrhoids.
  • 2. Background of Related Art
  • Anastomosis is the surgical joining of separate hollow organ sections. Typically, an anastomosis procedure follows surgery in which a diseased or defective section of hollow tissue is removed and the remaining end sections are to be joined. Depending on the desired anastomosis procedure, the end sections may be joined by either circular, end-to-end or side-to-side organ reconstruction methods.
  • In a known circular anastomosis procedure, two ends of organ sections are joined by means of a stapling device which drives a circular array of staples through the end of each organ section and simultaneously cores any tissue interior of the driven circular array of staples to free a tubular passage. Examples of devices for performing circular anastomsis of hollow organs are described in U.S. Pat. Nos. 6,053,390, 5,588,579, 5,119,983, 5,005,749, 4,646,745, 4,576,167, and 4,473,077, each of which is incorporated herein in its entirety by reference. Typically, these devices include an elongated shaft having a handle portion at a proximal end thereof to effect actuation of the device and a staple holding component disposed at a distal end thereof. An anvil assembly including an anvil rod with attached anvil head is mounted to the distal end of the device adjacent a staple holding component. Opposed end portions of tissue of the hollow organ(s) to be stapled are clamped between the anvil headland the staple holding component of the device. The clamped tissue is stapled by driving one or more staples from the staple holding component so that the ends of the staples pass through the tissue and are deformed by the anvil head. An annular knife is concurrently advanced to core tissue within the hollow organ to free a tubular passage within the organ.
  • Surgical stapling devices for performing circular anastomosis have also been used to treat internal hemorrhoids in the rectum. During the use of a circular stapling device for hemorrhoid treatment, the anvil head and the staple holding component of the surgical stapling device are inserted through the anus and into the rectum with the anvil head and the staple holding component in an open or unapproximated position. Thereafter, a pursestring suture is used to pull the internal hemorrhoidal tissue and/or mucosal tissue towards the anvil rod. Next, the anvil head and the staple holding component are approximated to clamp the hemorrhoidal tissue and/or mucosal tissue between the anvil head and the staple holding component. The stapling device is fired to remove the hemorrhoidal tissue and/or mucosal tissue and staple the cut tissue.
  • Although the use of circular anastomosis staplers for hemorrhoid treatment has many benefits, some problems do exist. For example, during approximation of the anvil head and staple holding component of the surgical stapling device, it is sometimes difficult to properly position tissue to be removed within the staple holding component of the surgical stapling device. As such, the tissue may bunch up in a tissue gap defined between the anvil head and the staple holding component of the instrument. This may result in malformed staples and/or ineffective removal of all the desired tissue.
  • Accordingly, a continuing need exists in the art for a circular stapling device for the treatment of tissue which can quickly and easily position tissue to be removed within the staple holding component of the surgical stapling device.
  • SUMMARY
  • In accordance with the present disclosure, a circular stapling device having a tissue tensioner is disclosed. The stapling device includes a proximal handle portion, a central body portion, and a distal head portion. The distal head portion has an anvil and a shell assembly defining an internal bore or chamber. The anvil includes an anvil head and an anvil shaft. The anvil is movable in relation to the shell assembly from an unapproximated position, wherein the anvil head is spaced from the shell assembly, to an approximated position, wherein the anvil head is in lose juxtaposed alignment with the shell assembly. A tissue tensioning device is supported on the anvil shaft and is movable in relation to the anvil and in relation to the shell assembly between advanced and retracted positions. When the anvil is in its approximated position, a tissue engagement member of the tissue tensioning device is positioned at least partially within the bore of the shell assembly.
  • In one embodiment, the tissue tensioning device includes a hollow shaft and a trigger. The tissue engagement member extends radially outwardly from the hollow shaft. The hollow shaft is slidably positioned about the anvil shaft and is movable to shift the position of the tissue engagement member in relation to the anvil and the shell assembly. In another embodiment, the anvil shaft defines a longitudinal bore and the tissue tensioning device includes a tensioner shaft which is slidably positioned within the longitudinal bore of the anvil shaft. In each embodiment, the tissue tensioning device trigger extends through a slot formed in the surgical stapling device and can be manually manipulated by a surgeon to adjust the position of the tissue engagement member with respect to the anvil and the shell assembly.
  • In another embodiment, one of the anvil shaft and the tissue tensioner shaft includes a series of indentations and the other of the anvil shaft and tissue tensioner shaft includes a projection or nub which is releasably received in one of the indentations to releasably retain the tissue tensioner device at a fixed position in relation to the anvil shaft. A predetermined force can be applied to the tissue tensioner trigger to disengage the nub from a respective indentation to facilitate movement of the tissue tensioner device in relation to the anvil and the shell assembly.
  • In yet another embodiment, the tissue engagement member includes a disc-shaped member which extends radially outwardly of the tissue tensioner device shaft. The disc-shaped member can include a proximally located concavity and/or one or more ridges or teeth configured to engage tissue. In another embodiment, the tissue-engagement member includes one or more fingers which extend radially outwardly of the tissue tensioner device shaft and proximally towards the shell assembly. In one embodiment, four curved fingers may be provided. In another embodiment, three or more substantially L-shaped fingers may be provided. Alternately, other tissue engagement member configurations may be used.
  • BRIEF DESCRIPTION OF THE DRAWINGS
  • Various embodiments of the presently disclosed surgical stapling device with tissue tensioner are disclosed herein with reference to the drawings, wherein:
  • FIG. 1 is a side perspective view from the top of one embodiment of the presently disclosed surgical stapling device with the anvil in the unapproximated position;
  • FIG. 2 is an enlarged view of the indicated area of detail shown in FIG. 1;
  • FIG. 3 is a side perspective view from the proximal end of the area of detail shown in FIG. 2;
  • FIG. 4 is a side cross-sectional view of the central body portion and distal head portion of the surgical stapling device shown in FIG. 1;
  • FIG. 5 is an enlarged view of the indicated area of detail shown in FIG. 4 with the tissue tensioning device in its advanced position;
  • FIG. 6 is a side cross-sectional view of the area of detail shown in FIG. 5 with the tissue tensioning device in a partially retracted position;
  • FIG. 7 is a side cross-sectional view of the central body portion and distal head portion of the surgical stapling device shown in FIG. 1 with the tissue tensioning device in a partially retracted position;
  • FIG. 8 is a side perspective view from the proximal end of the tissue tensioning device of the surgical stapling device shown in FIG. 1;
  • FIG. 8 a is a side perspective view of the distal end of another embodiment of the tissue tensioning device shown in FIG. 8;
  • FIG. 9 is a side perspective view of the distal end of yet another embodiment of tissue tensioning device shown in FIG. 8;
  • FIG. 10 is a side perspective view of the distal end of yet another embodiment of the tissue tensioning device shown in FIG. 8;
  • FIG. 11 is a side perspective view of the distal end of yet another embodiment of the tissue tensioning device shown in FIG. 8;
  • FIG. 12 is a side perspective view from the proximal end of the distal head portion of the surgical stapling device shown in FIG. 1 with the anvil in its unapproximated position and the tissue tensioning device in its partially retracted position;
  • FIG. 13 is a side cross-sectional view of the central body portion and distal head portion of the surgical stapling device shown in FIG. 1 with the anvil in its unapproximated position and the tissue tensioning device in its partially retracted position;
  • FIG. 14 is a side perspective view of the distal end of the surgical stapling device shown in FIG. 1 positioned adjacent an access port to the anus with a purse-string suture applied to the internal hemorrhoids and/or mucosal tissue, the anvil in its unapproximated position, and the tissue tensioning device in its advanced position;
  • FIG. 15 is a side perspective view of the distal end of the surgical stapling device shown in FIG. 1 positioned through the access port beyond the internal hemorrhoids with the purse-string suture cinched about the tissue tensioner shaft, the anvil in its unapproximated position and the tissue tensioning device in its advanced position;
  • FIG. 16 is a side perspective view of the distal end of the surgical stapling device shown in FIG. 1 positioned through the access port beyond the internal hemorrhoids with the purse-string suture cinched about the tissue tensioner shaft, the anvil in its unapproximated position and the tissue tensioning device in a partially retracted position; and
  • FIG. 17 is a side perspective view of the distal end of the surgical stapling device shown in FIG. 1 positioned through the access port beyond the internal hemorrhoids with the purse-string suture cinched about the tissue tensioner shaft, the anvil in its approximated position and the tissue tensioning device in its retracted position.
  • DETAILED DESCRIPTION OF EMBODIMENTS
  • Embodiments of the presently disclosed surgical stapling device will now be described in detail with reference to the drawings in which like reference numerals designate identical or corresponding elements in each of the several views. Throughout this description, the term “proximal” will refer to the portion of the device closest to the operator and the term “distal” will refer to the portion of the device furthest from the operator. U.S. provisional application Ser. No. 60/480,074 (“'074 application”), entitled Surgical Stapling Device, filed Jun. 20, 2003, under Express Mail # EV328280895US is incorporated herein in its entirety by reference.
  • FIGS. 1-8 illustrate one embodiment of the presently disclosed surgical stapling device shown generally as 10. Referring to FIG. 1, surgical stapling device 10 includes a proximal handle assembly 12, a central body portion 14 and a distal head portion 16. Proximal handle assembly 12 is substantially identical to the handle assembly described in the '074 application and will only be discussed briefly herein. Proximal handle assembly 12 includes a rotatable approximation knob 18 and a firing trigger 20. Approximation knob 18 is operable to move anvil 22 in relation to shell assembly 24 of head portion 16 between spaced and approximated positions and firing trigger 20 is operable to eject fasteners from shell assembly 24 and advance a knife blade through shell assembly 24 to cut tissue. Operation of rotatable knob 18 and firing trigger 20 are described in detail in the '074 application and will not be discussed in further detail herein.
  • Referring to FIGS. 2-7, head portion 16 includes anvil 22 and shell assembly 24. Except as otherwise noted, the components of stapling device 10 are formed from thermoplastics, e.g., polycarbonates, and metals, e.g., stainless steel and aluminum. The particular material selected to form a particular component of stapling device 10 will depend upon the strength requirements of the component. For example, the anvil may be formed from a metal, such as stainless steel and the housing of handle assembly 12 may be formed from plastic, such as polycarbonate. Alternately, materials not listed above having the requisite strength characteristics may be used to form the components of stapling device 10 provided the materials are suitable for surgical use.
  • Shell assembly 24 includes an outer housing or shell 26, a pusher back 28, a staple guide 30 and a cylindrical knife 32. Outer housing 26 of shell assembly 24 defines a throughbore and includes a reduced diameter proximal portion 26 a, a diverging intermediate portion 26 b and a cylindrical larger diameter distal portion 26 c. Proximal portion 26 a includes a pair of resilient fingers 34 (FIG. 1) configured to releasably engage engagement structure 36 formed on the distal end of central body portion 14. Pusher back 28 is slidably positioned within the throughbore of outer housing 26 and has a shape which corresponds to the shape of the throughbore. Because of the shape of outer housing 26 and pusher back 28, pusher back 28 will only slide distally within the outer housing 26 from its position shown in FIG. 4. The proximal end of pusher back 28 is operatively associated with a pusher 40 (FIG. 4) which is driven by firing trigger 20 in a manner described in detail in the '074 application. As shown in FIG. 4, the distal end of pusher back 28 includes a multiplicity of distally extending fingers 42 dimensioned to be slidably received within slots 44 formed in staple guide 30. Alternately, fingers 42 may be formed on a ring which is separate from pusher back 28. Slots 44 of staple guide 30 are dimensioned to receive staples 46 (FIG. 5) such that when pusher 40 is advanced via actuation of firing trigger 20, pusher back 28 is moved distally to move fingers 42 through slots 44 to eject staples 46 from staple guide 30. Staple guide 30 is secured in distal portion 26 c of outer housing 26 of shell assembly 24 in a known manner, e.g., friction, adhesives crimping, etc.
  • An annular knife blade 50 is secured within a bore 52 defined within pusher back 28 and shell assembly housing 26 such as by press-fitting. Alternately, other techniques may be used to secure knife blade 50 within pusher back 28. Knife blade 50 includes an annular cutting edge 50 a and is advanced with pusher back 28 when firing trigger 20 is actuated to dissect tissue.
  • Anvil 22 includes an anvil head 60 and an anvil shaft 62. Anvil head 60 includes an anvil plate 64 which includes a plurality of staple deforming pockets 64 a (FIGS. 2 and 3) for receiving and deforming staples 46 ejected from staple guide 30. Anvil shaft 62 has a distal end connected to anvil head 60 and a proximal end operatively connected (not shown) to the approximation mechanism of stapling device 10 in a manner such as disclosed in the '074 application. When approximation knob 18 (FIG. 1) is rotated or actuated, anvil shaft 62 is retracted into or advanced from shell assembly 24. Although anvil head 60 and anvil shaft 62 are illustrated as being of monolithic construction, they may be formed separately and secured together. In one embodiment, anvil 22 is fixedly secured to the stapling device 10. Alternately, stapling device 10 may be adapted to receive a removable anvil and/or an anvil having a tiltable anvil head such as disclosed in the '074 application.
  • Referring to FIGS. 4-8, stapling device 10 includes a tissue tensioning device 80 supported by anvil shaft 62. In one embodiment, tissue tensioning device 80 includes a hollow shaft 82 having a radially extending tissue engagement member 84 formed at a distal end thereof and a tensioner trigger 86 formed at a proximal end thereof. Tensioner trigger 86 extends through an elongated slot 88 formed in the distal end of handle assembly 12 and central body portion 14. It is envisioned that trigger 86 may be positioned to extend through handle assembly 12 at a location adjacent firing trigger 20 to facilitate operation of firing trigger 20 and trigger 86 using a single hand. Elongated slot 88 should be of a length to permit engagement member 84 to be moved proximally in relation to anvil head 60 to adjust the depth of the internal hemorrhoids in relation to bore 52 of shell assembly 24 and to allow for approximation of anvil 22 and shell assembly 24. Although trigger 86 is illustrated as including a radially extending arm, other configurations are envisioned. For example, tensioner trigger 86 may be in the form of a slidable button, an annular or semi-annular collar, a T-bar, etc.
  • Referring also to FIG. 8, hollow shaft 82 of tissue tensioning device 80 defines a longitudinal bore 90 dimensioned to sidably receive anvil shaft 62. An indexing mechanism can be provided for controlling movement of hollow shaft 82 about anvil shaft 62. In one embodiment (FIGS. 5 and 6), the indexing mechanism includes a nub or projection 92 formed on anvil shaft 62 and a series of indentations 94 formed on an inner wall of hollow shaft 82. Engagement between nub 92 and one of indentations 94 releasably retains hollow shaft 82 at a fixed position in relation to anvil shaft 62. See FIG. 5. By applying a predetermined force to trigger 86, nub 92 can be disengaged from the indentation 94 and moved in relation to anvil shaft 62 into engagement with another indentation 94. See FIGS. 6 and 7. Relative movement between anvil shaft 62 and hollow shaft 82 is limited by engagement of trigger 86 with the proximal and distal ends of slot 88. It is envisioned that other means may be provided to limit movement of hollow shaft 82 about anvil shaft 62 (until a predetermined force is applied to trigger 86), e.g., frictional engagement between shaft 82 and shaft 62, a ratcheting mechanism, frictional engagement of tensioner trigger 86 within slot 88, etc.
  • Radially extending engagement member 84 of tissue tensioning device 80 is configured to engage tissue positioned between anvil head 60 and shell assembly 24 when tensioner trigger 86 is moved from an advanced position (FIG. 4) to a retracted position (FIG. 7) to move engagement member 84 from an advanced position (FIG. 4) to a retracted position (FIG. 7). Although engagement member 84 is illustrated as being disc-shaped in FIGS. 1-8, other configurations are envisioned. For example,. the engagement member may include 1) a disc-shaped member 100 having a proximal concavity 102 (FIG. 8 a); 2) a disc-shaped member 104 having a series of ridges or teeth 106 formed about an annular proximal edge thereof (FIG. 9); or 3) a series of curved fingers 108 and 108 a (FIGS. 10 and 11). Fingers 108 curve radially outwardly from shaft 82 and extend proximally toward shell assembly 24. Fingers 108 a are substantially L-shaped and have a distal end 108 c which extend in a direction towards shell assembly 24. Although three fingers 108 a and four fingers 108 are shown, it is envisioned that one or more fingers may be provided. Alternately, other configurations not shown here and capable of engaging tissue and/or a-purse string suture may also be used.
  • FIGS. 12 and 13 illustrate another embodiment of the presently disclosed surgical stapling device shown generally as 200. Stapling device 200 includes a tissue tensioning device 210 having a tensioner shaft 282 which is sidably positioned within a longitudinal bore defined in anvil shaft 262. Elongated slots 212 are provided in a distal portion of anvil shaft 262 to facilitate passage of fingers 214 of the engagement member 216. It is envisioned that tissue engagement member 216 may be configured as shown in any of FIGS. 8-11 or assume other configurations capable of achieving the desired result. An indexing mechanism including a nub 218 formed on tensioner shaft 282 and a series of indentations 294 formed on an inner wall of anvil shaft 262 is also provided to limit movement of tensioning device 210 in relation to anvil shaft 262 until a predetermined force has been applied to trigger 286 of tensioning device 200. An elongated slot 222 is provided in a proximal portion of anvil shaft 262 and another elongated slot 288 is provided in central body portion 14 and handle assembly 12 to facilitate passage of trigger 286 from within anvil shaft 262 to a position to be engaged by an operator or surgeon. Tissue tensioning device 200 functions identically to tensioning device 80. Accordingly, the method of use of the tensioning device will be discussed only with reference to tensioning device 80.
  • Referring to FIGS. 14-17, the surgical stapling devices 10 and 200 are particularly suitable for use in surgical procedures for treating internal hemorrhoids from a patient. Such treatment may include partial removal of internal hemorrhoid(s) and/or mucosal tissue. During such a procedure, an access port 300 can be inserted into the anus to facilitate access to the internal hemorrhoids. Next, a purse string suture 302 is placed into, above or in the vicinity of each of the internal hemorrhoids 304 above the dentate line and the distal end of the surgical stapling device 10 is inserted through access port 300 into the anus and rectum. The tissue tensioner device 80 should be in the advanced position (FIG. 4) when the stapling device is inserted into the anus and rectum. In one embodiment, the purse string suture is placed about the entire circumference of the anus/rectum even though the hemorrhoids may not extend about the entire circumference of the anus/rectum. The anvil 22 and tissue tensioner device 80 are inserted past internal hemorrhoids 304 and through purse string suture 302. Thereafter, purse string suture 302 is cinched about tissue tensioner shaft 82 to draw internal hemorrhoids and/or mucosal tissue 304 towards and about anvil shaft 62 (FIG. 15). Next, tensioner trigger 86 (FIG. 1) is retracted to retract tissue engagement member 84 in relation to anvil shaft 62 and shell assembly 24. Tissue engagement member 84 is positioned and configured to engage internal hemorrhoids and/or mucosal tissue 304 and/or purse string suture 302 to adjust the depth of the internal hemorrhoids and/or mucosal tissue within bore 52 of shell assembly 24. When internal hemorrhoids 304 are positioned at the desired depth within shell assembly 24, the anvil 22 and shell assembly 24 are approximated by rotating approximation knob 18 in a manner described in the '074 application (FIG. 1). As anvil shaft 62 is drawn into shell assembly 24, tissue tensioning device 80 including engagement member 84 is drawn into shell assembly 24 to pull internal hemorrhoids and/or mucosal tissue 304 into the bore 52 defined by pusher back 28 and shell assembly 24 (FIG. 17). It is noted that tensioner device 80 may be repositioned during approximation of anvil 22 and shell assembly 24 by retracting or advancing tensioner trigger 86 to readjust the depth of internal hemorrhoids 304 within bore 52 of shell assembly 24.
  • When surgical stapling device 10 is fully approximated, firing trigger 20 can be actuated in a manner described in the '074 application to staple, sever and allow removal of internal hemorroids and/or mucosal tissue 304. Thereafter, stapling device 10 is removed from the anus with the excised internal hemorrhoids contained within bore 52 of pusher back 28 within shell assembly 24.
  • It is envisioned that instrument accessories may be used to assist in performing particular steps of the above described procedures. For example, a speculum may be inserted into the anus to simplify placement of the purse string suture by providing easier access to the surgical site. An obturator may also be used to assist in placement of the dialator. Further, an expandable introducer may be provided to reduce the trauma that results from insertion of the stapling device into the anus.
  • It will be understood that various modifications may be made to the embodiments disclosed herein. For example, the particular configuration of the tissue tensioning device may be changed to provide a more ergonomic or accessible trigger. Further, the tissue tensioning device shaft need not be rigid but may be formed of a resilient or bendable wire or rod having a tissue engaging segment. Moreover, the position of the tensioner trigger on the device may be changed, i.e., moved to the handle assembly, to simplify operation of the tensioning device or to facilitate operation of the firing trigger and tensioner trigger using a single hand. Therefore, the above description should not be construed as limiting, but merely as exemplifications of preferred embodiments. Those skilled in the art will envision other modifications within the scope and spirit of the claims appended hereto.

Claims (1)

1. A transdermally operated gastric banding device comprising:
an adjustable gastric band;
a drive assembly having an internal component and an external component for moving the internal component; and
a transmission assembly for transferring movement of the internal component to the adjustable gastric band.
US11/229,222 2003-07-16 2005-09-16 Surgical stapling device with tissue tensioner Abandoned US20060036268A1 (en)

Priority Applications (2)

Application Number Priority Date Filing Date Title
US11/229,222 US20060036268A1 (en) 2003-07-16 2005-09-16 Surgical stapling device with tissue tensioner
US11/495,101 US7399305B2 (en) 2003-07-16 2006-07-28 Surgical stapling device with tissue tensioner

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US48784103P 2003-07-16 2003-07-16
US10/892,574 US6959851B2 (en) 2003-07-16 2004-07-16 Surgical stapling device with tissue tensioner
US11/229,222 US20060036268A1 (en) 2003-07-16 2005-09-16 Surgical stapling device with tissue tensioner

Related Parent Applications (1)

Application Number Title Priority Date Filing Date
US10/892,574 Continuation US6959851B2 (en) 2003-07-16 2004-07-16 Surgical stapling device with tissue tensioner

Related Child Applications (1)

Application Number Title Priority Date Filing Date
US11/495,101 Continuation US7399305B2 (en) 2003-07-16 2006-07-28 Surgical stapling device with tissue tensioner

Publications (1)

Publication Number Publication Date
US20060036268A1 true US20060036268A1 (en) 2006-02-16

Family

ID=34102721

Family Applications (3)

Application Number Title Priority Date Filing Date
US10/892,574 Active US6959851B2 (en) 2003-07-16 2004-07-16 Surgical stapling device with tissue tensioner
US11/229,222 Abandoned US20060036268A1 (en) 2003-07-16 2005-09-16 Surgical stapling device with tissue tensioner
US11/495,101 Expired - Fee Related US7399305B2 (en) 2003-07-16 2006-07-28 Surgical stapling device with tissue tensioner

Family Applications Before (1)

Application Number Title Priority Date Filing Date
US10/892,574 Active US6959851B2 (en) 2003-07-16 2004-07-16 Surgical stapling device with tissue tensioner

Family Applications After (1)

Application Number Title Priority Date Filing Date
US11/495,101 Expired - Fee Related US7399305B2 (en) 2003-07-16 2006-07-28 Surgical stapling device with tissue tensioner

Country Status (6)

Country Link
US (3) US6959851B2 (en)
EP (2) EP1643914B1 (en)
JP (2) JP4755983B2 (en)
AU (1) AU2004259237B2 (en)
CA (1) CA2531909C (en)
WO (1) WO2005009216A2 (en)

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20050116009A1 (en) * 2003-10-17 2005-06-02 Milliman Keith L. Surgical stapling device
JP2012183321A (en) * 2006-03-24 2012-09-27 Tyco Healthcare Group Lp Annular adhesive structure

Families Citing this family (801)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP4316491B2 (en) 2002-05-10 2009-08-19 タイコ ヘルスケア グループ エルピー Wound closure material applicator and stapler
EP1515645B1 (en) * 2002-06-17 2006-08-16 Tyco Healthcare Group Lp Annular support structures
DE60327227D1 (en) * 2002-10-04 2009-05-28 Tyco Healthcare SURGICAL CLIP REPLACEMENT
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
CA2529446C (en) 2003-06-20 2012-12-18 Tyco Healthcare Group, Lp Surgical stapling device
US7686201B2 (en) 2003-09-01 2010-03-30 Tyco Healthcare Group Lp Circular stapler for hemorrhoid operations
EP1949861B1 (en) * 2004-03-19 2012-07-18 Tyco Healthcare Group LP Surgical stapling device
US8181840B2 (en) * 2004-03-19 2012-05-22 Tyco Healthcare Group Lp Tissue tensioner assembly and approximation mechanism for surgical stapling device
US8114096B2 (en) * 2004-06-25 2012-02-14 Tomlinson David R Atraumatic circumcision apparatus and method of using same
US8905977B2 (en) 2004-07-28 2014-12-09 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having an electroactive polymer actuated medical substance dispenser
US8215531B2 (en) 2004-07-28 2012-07-10 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having a medical substance dispenser
US11890012B2 (en) 2004-07-28 2024-02-06 Cilag Gmbh International Staple cartridge comprising cartridge body and attached support
CA2576441A1 (en) * 2004-08-17 2006-03-02 Tyco Healthcare Group Lp Stapling support structures
US7182239B1 (en) * 2004-08-27 2007-02-27 Myers Stephan R Segmented introducer device for a circular surgical stapler
US8372094B2 (en) 2004-10-15 2013-02-12 Covidien Lp Seal element for anastomosis
US7717313B2 (en) 2004-10-18 2010-05-18 Tyco Healthcare Group Lp Surgical apparatus and structure for applying sprayable wound treatment material
US7938307B2 (en) * 2004-10-18 2011-05-10 Tyco Healthcare Group Lp Support structures and methods of using the same
EP2441396B1 (en) * 2004-10-18 2015-01-21 Covidien LP Annular adhesive structure
ITBO20040642A1 (en) * 2004-10-19 2005-01-19 I & S Idee & Sviluppo S R L VASCULAR JOINT
US7770776B2 (en) * 2005-01-26 2010-08-10 Suzhou Touchstone International Medical Science Co., Ltd Rotatable stapling head of a surgical stapler
US9364229B2 (en) * 2005-03-15 2016-06-14 Covidien Lp Circular anastomosis structures
US20070203510A1 (en) * 2006-02-28 2007-08-30 Bettuchi Michael J Annular disk for reduction of anastomotic tension and methods of using the same
US7942890B2 (en) * 2005-03-15 2011-05-17 Tyco Healthcare Group Lp Anastomosis composite gasket
US20100012703A1 (en) * 2005-05-05 2010-01-21 Allison Calabrese Surgical Gasket
US20100016888A1 (en) * 2005-05-05 2010-01-21 Allison Calabrese Surgical Gasket
US7669746B2 (en) 2005-08-31 2010-03-02 Ethicon Endo-Surgery, Inc. Staple cartridges for forming staples having differing formed staple heights
US7934630B2 (en) 2005-08-31 2011-05-03 Ethicon Endo-Surgery, Inc. Staple cartridges for forming staples having differing formed staple heights
US10159482B2 (en) 2005-08-31 2018-12-25 Ethicon Llc Fastener cartridge assembly comprising a fixed anvil and different staple heights
US8800838B2 (en) 2005-08-31 2014-08-12 Ethicon Endo-Surgery, Inc. Robotically-controlled cable-based surgical end effectors
US20070194082A1 (en) 2005-08-31 2007-08-23 Morgan Jerome R Surgical stapling device with anvil having staple forming pockets of varying depths
US11246590B2 (en) 2005-08-31 2022-02-15 Cilag Gmbh International Staple cartridge including staple drivers having different unfired 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
US11484312B2 (en) 2005-08-31 2022-11-01 Cilag Gmbh International Staple cartridge comprising a staple driver arrangement
US20070106317A1 (en) 2005-11-09 2007-05-10 Shelton Frederick E Iv Hydraulically and electrically actuated articulation joints for surgical instruments
US9861359B2 (en) 2006-01-31 2018-01-09 Ethicon Llc Powered surgical instruments with firing system lockout arrangements
US20110024477A1 (en) 2009-02-06 2011-02-03 Hall Steven G Driven Surgical Stapler Improvements
US11224427B2 (en) 2006-01-31 2022-01-18 Cilag Gmbh International Surgical stapling system including a console and retraction assembly
US8186555B2 (en) 2006-01-31 2012-05-29 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with mechanical closure system
US8708213B2 (en) 2006-01-31 2014-04-29 Ethicon Endo-Surgery, Inc. Surgical instrument having a feedback system
US11278279B2 (en) 2006-01-31 2022-03-22 Cilag Gmbh International Surgical instrument assembly
US7845537B2 (en) 2006-01-31 2010-12-07 Ethicon Endo-Surgery, Inc. Surgical instrument having recording capabilities
US20110006101A1 (en) 2009-02-06 2011-01-13 EthiconEndo-Surgery, Inc. Motor driven surgical fastener device with cutting member lockout arrangements
US20110290856A1 (en) 2006-01-31 2011-12-01 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical instrument with force-feedback capabilities
US8820603B2 (en) 2006-01-31 2014-09-02 Ethicon Endo-Surgery, Inc. Accessing data stored in a memory of a surgical instrument
US8763879B2 (en) 2006-01-31 2014-07-01 Ethicon Endo-Surgery, Inc. Accessing data stored in a memory of surgical instrument
US8161977B2 (en) 2006-01-31 2012-04-24 Ethicon Endo-Surgery, Inc. Accessing data stored in a memory of a surgical instrument
US11793518B2 (en) 2006-01-31 2023-10-24 Cilag Gmbh International Powered surgical instruments with firing system lockout arrangements
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
US20120292367A1 (en) 2006-01-31 2012-11-22 Ethicon Endo-Surgery, Inc. Robotically-controlled end effector
US9629626B2 (en) 2006-02-02 2017-04-25 Covidien Lp Mechanically tuned buttress material to assist with proper formation of surgical element in diseased tissue
US8029520B2 (en) * 2006-02-07 2011-10-04 Ethicon Endo-Surgery, Inc. Method for performing trans-anal resection with a curved cutter stapler
ES2342970T3 (en) * 2006-02-14 2010-07-20 Thd S.P.A. DEVICE FOR SURGICAL TREATMENT OF RECTAL AND HEMORROIDAL PROLAPSE.
US7793813B2 (en) * 2006-02-28 2010-09-14 Tyco Healthcare Group Lp Hub for positioning annular structure on a surgical device
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
US8540132B2 (en) 2006-05-16 2013-09-24 Covidien Lp Tilt anvil assembly
US8322455B2 (en) 2006-06-27 2012-12-04 Ethicon Endo-Surgery, Inc. Manually driven surgical cutting and fastening instrument
US7740159B2 (en) 2006-08-02 2010-06-22 Ethicon Endo-Surgery, Inc. Pneumatically powered surgical cutting and fastening instrument with a variable control of the actuating rate of firing with mechanical power assist
JP5361723B2 (en) * 2006-09-11 2013-12-04 カール・ストーツ・エンドヴィジョン・インコーポレーテッド System for hysteroscope with integrated instrument
US7506791B2 (en) 2006-09-29 2009-03-24 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with mechanical mechanism for limiting maximum tissue compression
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
US10130359B2 (en) 2006-09-29 2018-11-20 Ethicon Llc Method for forming a staple
US7845533B2 (en) 2007-06-22 2010-12-07 Tyco Healthcare Group Lp Detachable buttress material retention systems for use with a surgical stapling device
JP5528112B2 (en) 2006-10-26 2014-06-25 コヴィディエン リミテッド パートナーシップ How to use shape memory alloys in buttress attachments
US8177798B2 (en) * 2006-12-05 2012-05-15 Tyco Healthcare Group Lp Adhesive coated stent and insertion instrument
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
US8459520B2 (en) 2007-01-10 2013-06-11 Ethicon Endo-Surgery, Inc. Surgical instrument with wireless communication between control unit and remote sensor
US8684253B2 (en) 2007-01-10 2014-04-01 Ethicon Endo-Surgery, Inc. Surgical instrument with wireless communication between a control unit of a robotic system and remote sensor
US11039836B2 (en) 2007-01-11 2021-06-22 Cilag Gmbh International Staple cartridge for use with a surgical stapling instrument
US7434717B2 (en) 2007-01-11 2008-10-14 Ethicon Endo-Surgery, Inc. Apparatus for closing a curved anvil of a surgical stapling device
EP2131749B1 (en) 2007-03-06 2016-11-02 Covidien LP Surgical stapling apparatus
US8011555B2 (en) 2007-03-06 2011-09-06 Tyco Healthcare Group Lp Surgical stapling apparatus
US8011550B2 (en) * 2009-03-31 2011-09-06 Tyco Healthcare Group Lp Surgical stapling apparatus
CA2680160C (en) 2007-03-07 2014-07-08 Covidien Ag Stapler for mucosectomy
US20090001130A1 (en) 2007-03-15 2009-01-01 Hess Christopher J Surgical procedure using a cutting and stapling instrument having releasable staple-forming pockets
US8893946B2 (en) 2007-03-28 2014-11-25 Ethicon Endo-Surgery, Inc. Laparoscopic tissue thickness and clamp load measuring devices
US7981124B2 (en) * 2007-04-04 2011-07-19 Misder, Llc Medical device for applying purse string sutures
US8623035B1 (en) * 2007-05-09 2014-01-07 University Of South Florida Methods for resection of a luminal structure
US8038045B2 (en) 2007-05-25 2011-10-18 Tyco Healthcare Group Lp Staple buttress retention system
US8534528B2 (en) 2007-06-04 2013-09-17 Ethicon Endo-Surgery, Inc. Surgical instrument having a multiple rate directional switching mechanism
US11672531B2 (en) 2007-06-04 2023-06-13 Cilag Gmbh International Rotary drive systems for surgical instruments
US7832408B2 (en) 2007-06-04 2010-11-16 Ethicon Endo-Surgery, Inc. Surgical instrument having a directional switching mechanism
US8931682B2 (en) 2007-06-04 2015-01-13 Ethicon Endo-Surgery, Inc. Robotically-controlled shaft based rotary drive systems for surgical instruments
US7950561B2 (en) * 2007-06-18 2011-05-31 Tyco Healthcare Group Lp Structure for attachment of buttress material to anvils and cartridges of surgical staplers
US7665646B2 (en) * 2007-06-18 2010-02-23 Tyco Healthcare Group Lp Interlocking buttress material retention system
US8408439B2 (en) 2007-06-22 2013-04-02 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with an articulatable end effector
US7753245B2 (en) 2007-06-22 2010-07-13 Ethicon Endo-Surgery, Inc. Surgical stapling instruments
US8062330B2 (en) 2007-06-27 2011-11-22 Tyco Healthcare Group Lp Buttress and surgical stapling apparatus
US11849941B2 (en) 2007-06-29 2023-12-26 Cilag Gmbh International Staple cartridge having staple cavities extending at a transverse angle relative to a longitudinal cartridge axis
US8011554B2 (en) * 2008-01-09 2011-09-06 Tyco Healthcare Group, Lp Raised boss for staple guide
US8453908B2 (en) 2008-02-13 2013-06-04 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with improved firing trigger arrangement
US8540133B2 (en) 2008-09-19 2013-09-24 Ethicon Endo-Surgery, Inc. Staple cartridge
US7766209B2 (en) 2008-02-13 2010-08-03 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with improved firing trigger arrangement
US8561870B2 (en) 2008-02-13 2013-10-22 Ethicon Endo-Surgery, Inc. Surgical stapling instrument
US8758391B2 (en) 2008-02-14 2014-06-24 Ethicon Endo-Surgery, Inc. Interchangeable tools for surgical instruments
US8636736B2 (en) 2008-02-14 2014-01-28 Ethicon Endo-Surgery, Inc. Motorized surgical cutting and fastening instrument
US8752749B2 (en) 2008-02-14 2014-06-17 Ethicon Endo-Surgery, Inc. Robotically-controlled disposable motor-driven loading unit
US7819298B2 (en) 2008-02-14 2010-10-26 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with control features operable with one hand
US8622274B2 (en) 2008-02-14 2014-01-07 Ethicon Endo-Surgery, Inc. Motorized cutting and fastening instrument having control circuit for optimizing battery usage
US9179912B2 (en) 2008-02-14 2015-11-10 Ethicon Endo-Surgery, Inc. Robotically-controlled 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
RU2493788C2 (en) 2008-02-14 2013-09-27 Этикон Эндо-Серджери, Инк. Surgical cutting and fixing instrument, which has radio-frequency electrodes
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
US7866527B2 (en) 2008-02-14 2011-01-11 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with interlockable firing system
US8584919B2 (en) 2008-02-14 2013-11-19 Ethicon Endo-Sugery, Inc. Surgical stapling apparatus with load-sensitive firing mechanism
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
US8657174B2 (en) 2008-02-14 2014-02-25 Ethicon Endo-Surgery, Inc. Motorized surgical cutting and fastening instrument having handle based power source
US20090206131A1 (en) 2008-02-15 2009-08-20 Ethicon Endo-Surgery, Inc. End effector coupling arrangements for a surgical cutting and stapling instrument
US20090206125A1 (en) 2008-02-15 2009-08-20 Ethicon Endo-Surgery, Inc. Packaging for attaching buttress material to a surgical stapling instrument
US11272927B2 (en) 2008-02-15 2022-03-15 Cilag Gmbh International Layer arrangements for surgical staple cartridges
US8608044B2 (en) 2008-02-15 2013-12-17 Ethicon Endo-Surgery, Inc. Feedback and lockout mechanism for surgical instrument
US9585657B2 (en) 2008-02-15 2017-03-07 Ethicon Endo-Surgery, Llc Actuator for releasing a layer of material from a surgical end effector
US8118206B2 (en) * 2008-03-15 2012-02-21 Surgisense Corporation Sensing adjunct for surgical staplers
US8678264B2 (en) 2008-07-07 2014-03-25 Covidien Lp Surgical instrument with elongated channel
US8181838B2 (en) 2008-09-10 2012-05-22 Tyco Healthcare Group Lp Surgical stapling device
US7954686B2 (en) 2008-09-19 2011-06-07 Ethicon Endo-Surgery, Inc. Surgical stapler with apparatus for adjusting staple height
US8210411B2 (en) 2008-09-23 2012-07-03 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting instrument
US11648005B2 (en) 2008-09-23 2023-05-16 Cilag Gmbh International Robotically-controlled motorized surgical instrument with an end effector
US9050083B2 (en) 2008-09-23 2015-06-09 Ethicon Endo-Surgery, Inc. Motorized surgical instrument
US9386983B2 (en) 2008-09-23 2016-07-12 Ethicon Endo-Surgery, Llc Robotically-controlled motorized surgical instrument
US9005230B2 (en) 2008-09-23 2015-04-14 Ethicon Endo-Surgery, Inc. Motorized surgical instrument
US8608045B2 (en) 2008-10-10 2013-12-17 Ethicon Endo-Sugery, Inc. Powered surgical cutting and stapling apparatus with manually retractable firing system
US8231042B2 (en) 2008-11-06 2012-07-31 Tyco Healthcare Group Lp Surgical stapler
US20100147921A1 (en) * 2008-12-16 2010-06-17 Lee Olson Surgical Apparatus Including Surgical Buttress
US8408441B2 (en) 2009-01-06 2013-04-02 Covidien Lp Surgical stapler
US8281974B2 (en) 2009-01-14 2012-10-09 Tyco Healthcare, Group LP Surgical stapler with suture locator
US8414577B2 (en) 2009-02-05 2013-04-09 Ethicon Endo-Surgery, Inc. Surgical instruments and components for use in sterile environments
US8397971B2 (en) 2009-02-05 2013-03-19 Ethicon Endo-Surgery, Inc. Sterilizable surgical instrument
US8517239B2 (en) 2009-02-05 2013-08-27 Ethicon Endo-Surgery, Inc. Surgical stapling instrument comprising a magnetic element driver
US8453913B2 (en) 2009-02-06 2013-06-04 Covidien Lp Anvil for surgical stapler
RU2525225C2 (en) 2009-02-06 2014-08-10 Этикон Эндо-Серджери, Инк. Improvement of drive surgical suturing instrument
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
US8365972B2 (en) 2009-03-31 2013-02-05 Covidien Lp Surgical stapling apparatus
US9486215B2 (en) 2009-03-31 2016-11-08 Covidien Lp Surgical stapling apparatus
US8348126B2 (en) 2009-03-31 2013-01-08 Covidien Lp Crimp and release of suture holding buttress material
US7988027B2 (en) 2009-03-31 2011-08-02 Tyco Healthcare Group Lp Crimp and release of suture holding buttress material
US7967179B2 (en) 2009-03-31 2011-06-28 Tyco Healthcare Group Lp Center cinch and release of buttress material
US8016178B2 (en) 2009-03-31 2011-09-13 Tyco Healthcare Group Lp Surgical stapling apparatus
AU2015261713B2 (en) * 2009-06-02 2017-01-12 Covidien Lp Surgical instrument and method for performing a resection
US8418909B2 (en) 2009-06-02 2013-04-16 Covidien Lp Surgical instrument and method for performing a resection
US8146790B2 (en) 2009-07-11 2012-04-03 Tyco Healthcare Group Lp Surgical instrument with safety mechanism
US8276802B2 (en) * 2009-07-11 2012-10-02 Tyco Healthcare Group Lp Surgical instrument with double cartridge and anvil assemblies
US8267301B2 (en) 2009-08-19 2012-09-18 Tyco Healthcare Group Lp Surgical stapler
US20150231409A1 (en) 2009-10-15 2015-08-20 Covidien Lp Buttress brachytherapy and integrated staple line markers for margin identification
US9610080B2 (en) 2009-10-15 2017-04-04 Covidien Lp Staple line reinforcement for anvil and cartridge
US9693772B2 (en) 2009-10-15 2017-07-04 Covidien Lp Staple line reinforcement for anvil and cartridge
US8157151B2 (en) 2009-10-15 2012-04-17 Tyco Healthcare Group Lp Staple line reinforcement for anvil and cartridge
US10293553B2 (en) 2009-10-15 2019-05-21 Covidien Lp Buttress brachytherapy and integrated staple line markers for margin identification
US10842485B2 (en) 2009-10-15 2020-11-24 Covidien Lp Brachytherapy buttress
US8430292B2 (en) 2009-10-28 2013-04-30 Covidien Lp Surgical fastening apparatus
US8322590B2 (en) 2009-10-28 2012-12-04 Covidien Lp Surgical stapling instrument
US8353439B2 (en) 2009-11-19 2013-01-15 Ethicon Endo-Surgery, Inc. Circular stapler introducer with radially-openable distal end portion
US8220688B2 (en) 2009-12-24 2012-07-17 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting instrument with electric actuator directional control assembly
US8851354B2 (en) 2009-12-24 2014-10-07 Ethicon Endo-Surgery, Inc. Surgical cutting instrument that analyzes tissue thickness
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
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
US20120078244A1 (en) 2010-09-24 2012-03-29 Worrell Barry C Control features for articulating surgical device
US8733613B2 (en) 2010-09-29 2014-05-27 Ethicon Endo-Surgery, Inc. Staple cartridge
US11812965B2 (en) 2010-09-30 2023-11-14 Cilag Gmbh International Layer of material for a surgical end effector
US11849952B2 (en) 2010-09-30 2023-12-26 Cilag Gmbh International Staple cartridge comprising staples positioned within a compressible portion thereof
US9277919B2 (en) 2010-09-30 2016-03-08 Ethicon Endo-Surgery, Llc Tissue thickness compensator comprising fibers to produce a resilient load
US9307989B2 (en) 2012-03-28 2016-04-12 Ethicon Endo-Surgery, Llc Tissue stapler having a thickness compensator incorportating a hydrophobic agent
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
RU2013119928A (en) 2010-09-30 2014-11-10 Этикон Эндо-Серджери, Инк. A STAPLING SYSTEM CONTAINING A RETAINING MATRIX AND A LEVELING MATRIX
US9629814B2 (en) 2010-09-30 2017-04-25 Ethicon Endo-Surgery, Llc Tissue thickness compensator configured to redistribute compressive forces
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
US9839420B2 (en) 2010-09-30 2017-12-12 Ethicon Llc Tissue thickness compensator comprising at least one medicament
US9220501B2 (en) 2010-09-30 2015-12-29 Ethicon Endo-Surgery, Inc. Tissue thickness compensators
US10945731B2 (en) 2010-09-30 2021-03-16 Ethicon Llc Tissue thickness compensator comprising controlled release and expansion
US8474677B2 (en) 2010-09-30 2013-07-02 Ethicon Endo-Surgery, Inc. Fastener system comprising a retention matrix and a cover
US9700317B2 (en) 2010-09-30 2017-07-11 Ethicon Endo-Surgery, Llc Fastener cartridge comprising a releasable tissue thickness compensator
US8857694B2 (en) 2010-09-30 2014-10-14 Ethicon Endo-Surgery, Inc. Staple cartridge loading assembly
US9517063B2 (en) 2012-03-28 2016-12-13 Ethicon Endo-Surgery, Llc Movable member for use with a tissue thickness compensator
US20120080498A1 (en) 2010-09-30 2012-04-05 Ethicon Endo-Surgery, Inc. Curved end effector for a stapling instrument
US9314246B2 (en) 2010-09-30 2016-04-19 Ethicon Endo-Surgery, Llc Tissue stapler having a thickness compensator incorporating an anti-inflammatory agent
US9414838B2 (en) 2012-03-28 2016-08-16 Ethicon Endo-Surgery, Llc Tissue thickness compensator comprised of a plurality of materials
US11298125B2 (en) 2010-09-30 2022-04-12 Cilag Gmbh International Tissue stapler having a thickness compensator
US9301753B2 (en) 2010-09-30 2016-04-05 Ethicon Endo-Surgery, Llc Expandable tissue thickness compensator
US8695866B2 (en) 2010-10-01 2014-04-15 Ethicon Endo-Surgery, Inc. Surgical instrument having a power control circuit
US9750502B2 (en) 2010-10-01 2017-09-05 Covidien Lp Surgical stapling device for performing circular anastomosis and surgical staples for use therewith
US9149271B2 (en) * 2010-11-22 2015-10-06 The Board Of Trustees Of The Leland Stanford, Jr. University Device and method for treatment of hemorrhoids
US8348130B2 (en) 2010-12-10 2013-01-08 Covidien Lp Surgical apparatus including surgical buttress
US9084602B2 (en) 2011-01-26 2015-07-21 Covidien Lp Buttress film with hemostatic action for surgical stapling apparatus
US8479968B2 (en) 2011-03-10 2013-07-09 Covidien Lp Surgical instrument buttress attachment
US9211122B2 (en) 2011-03-14 2015-12-15 Ethicon Endo-Surgery, Inc. Surgical access devices with anvil introduction and specimen retrieval structures
US8926598B2 (en) 2011-03-15 2015-01-06 Ethicon Endo-Surgery, Inc. Surgical instruments with articulatable and rotatable end effector
US8800841B2 (en) 2011-03-15 2014-08-12 Ethicon Endo-Surgery, Inc. Surgical staple cartridges
US8789737B2 (en) 2011-04-27 2014-07-29 Covidien Lp Circular stapler and staple line reinforcement material
AU2012250197B2 (en) 2011-04-29 2017-08-10 Ethicon Endo-Surgery, Inc. Staple cartridge comprising staples positioned within a compressible portion thereof
US10561424B2 (en) 2011-05-20 2020-02-18 Covidien Lp Methods of inserting a circular stapling apparatus into a body lumen
US9265503B2 (en) 2012-09-07 2016-02-23 Covidien Lp Methods for applying surgical staples to internal walls of hollow tissue organs
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
US9629634B2 (en) 2011-08-24 2017-04-25 Suzhou Touchstone International Medical Science Co., Ltd. Introducer accessory
HUE041474T2 (en) 2011-08-24 2019-05-28 Suzhou Touchstone Int Medical Science Co Ltd Guiding device
US9107663B2 (en) 2011-09-06 2015-08-18 Ethicon Endo-Surgery, Inc. Stapling instrument comprising resettable staple drivers
US9050084B2 (en) 2011-09-23 2015-06-09 Ethicon Endo-Surgery, Inc. Staple cartridge including collapsible deck arrangement
US8708212B2 (en) 2011-10-18 2014-04-29 Covidien Lp Tilt top anvil with torsion spring
US9016547B2 (en) 2011-10-26 2015-04-28 Covidien Lp EEA tilt top anvil with ratchet/locking mechanism
US9675351B2 (en) 2011-10-26 2017-06-13 Covidien Lp Buttress release from surgical stapler by knife pushing
US8584920B2 (en) 2011-11-04 2013-11-19 Covidien Lp Surgical stapling apparatus including releasable buttress
US9237892B2 (en) 2011-12-14 2016-01-19 Covidien Lp Buttress attachment to the cartridge surface
US9351731B2 (en) 2011-12-14 2016-05-31 Covidien Lp Surgical stapling apparatus including releasable surgical buttress
US9113885B2 (en) 2011-12-14 2015-08-25 Covidien Lp Buttress assembly for use with surgical stapling device
US8967448B2 (en) 2011-12-14 2015-03-03 Covidien Lp Surgical stapling apparatus including buttress attachment via tabs
US9010608B2 (en) 2011-12-14 2015-04-21 Covidien Lp Releasable buttress retention on a surgical stapler
US9351732B2 (en) 2011-12-14 2016-05-31 Covidien Lp Buttress attachment to degradable polymer zones
US9186148B2 (en) 2012-01-05 2015-11-17 Ethicon Endo-Surgery, Inc. Tissue stapler anvil feature to prevent premature jaw opening
US9010605B2 (en) 2012-01-12 2015-04-21 Covidien Lp Sliding sleeve for circular stapling instrument reloads
US9326773B2 (en) * 2012-01-26 2016-05-03 Covidien Lp Surgical device including buttress material
US9010612B2 (en) 2012-01-26 2015-04-21 Covidien Lp Buttress support design for EEA anvil
US9010609B2 (en) 2012-01-26 2015-04-21 Covidien Lp Circular stapler including buttress
US9931116B2 (en) 2012-02-10 2018-04-03 Covidien Lp Buttress composition
US9044230B2 (en) 2012-02-13 2015-06-02 Ethicon Endo-Surgery, Inc. Surgical cutting and fastening instrument with apparatus for determining cartridge and firing motion status
US9022274B2 (en) 2012-02-15 2015-05-05 Covidien Lp Circular stapler with increased lumen diameter
US8820606B2 (en) 2012-02-24 2014-09-02 Covidien Lp Buttress retention system for linear endostaplers
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 (en) 2012-03-28 2017-09-22 伊西康内外科公司 Holding device assembly including tissue thickness compensation part
US9198662B2 (en) 2012-03-28 2015-12-01 Ethicon Endo-Surgery, Inc. Tissue thickness compensator having improved visibility
MX358135B (en) 2012-03-28 2018-08-06 Ethicon Endo Surgery Inc Tissue thickness compensator comprising a plurality of layers.
MX350846B (en) 2012-03-28 2017-09-22 Ethicon Endo Surgery Inc Tissue thickness compensator comprising capsules defining a low pressure environment.
US9101358B2 (en) 2012-06-15 2015-08-11 Ethicon Endo-Surgery, Inc. Articulatable surgical instrument comprising a firing drive
US9351734B2 (en) 2012-06-19 2016-05-31 Covidien Lp Spring loaded anvil retainer
US9289256B2 (en) 2012-06-28 2016-03-22 Ethicon Endo-Surgery, Llc Surgical end effectors having angled tissue-contacting surfaces
US11202631B2 (en) 2012-06-28 2021-12-21 Cilag Gmbh International Stapling assembly comprising a firing lockout
US9125662B2 (en) 2012-06-28 2015-09-08 Ethicon Endo-Surgery, Inc. Multi-axis articulating and rotating surgical tools
US9101385B2 (en) 2012-06-28 2015-08-11 Ethicon Endo-Surgery, Inc. Electrode connections for rotary driven surgical tools
US20140001231A1 (en) 2012-06-28 2014-01-02 Ethicon Endo-Surgery, Inc. Firing system lockout arrangements for surgical instruments
US9649111B2 (en) 2012-06-28 2017-05-16 Ethicon Endo-Surgery, Llc Replaceable clip cartridge for a clip applier
US20140005678A1 (en) 2012-06-28 2014-01-02 Ethicon Endo-Surgery, Inc. Rotary drive arrangements for surgical instruments
US20140005718A1 (en) 2012-06-28 2014-01-02 Ethicon Endo-Surgery, Inc. Multi-functional powered surgical device with external dissection features
US9072536B2 (en) 2012-06-28 2015-07-07 Ethicon Endo-Surgery, Inc. Differential locking arrangements for rotary powered surgical instruments
BR112014032776B1 (en) 2012-06-28 2021-09-08 Ethicon Endo-Surgery, Inc SURGICAL INSTRUMENT SYSTEM AND SURGICAL KIT FOR USE WITH A SURGICAL INSTRUMENT SYSTEM
JP6290201B2 (en) 2012-06-28 2018-03-07 エシコン・エンド−サージェリィ・インコーポレイテッドEthicon Endo−Surgery,Inc. Lockout for empty clip cartridge
US9561038B2 (en) 2012-06-28 2017-02-07 Ethicon Endo-Surgery, Llc Interchangeable clip applier
US8747238B2 (en) 2012-06-28 2014-06-10 Ethicon Endo-Surgery, Inc. Rotary drive shaft assemblies for surgical instruments with articulatable end effectors
US9028494B2 (en) 2012-06-28 2015-05-12 Ethicon Endo-Surgery, Inc. Interchangeable end effector coupling arrangement
US9119657B2 (en) 2012-06-28 2015-09-01 Ethicon Endo-Surgery, Inc. Rotary actuatable closure arrangement for surgical end effector
US10213205B2 (en) 2012-07-06 2019-02-26 Covidien Lp T-slot tilt anvil for circular stapling instrument
US9572576B2 (en) 2012-07-18 2017-02-21 Covidien Lp Surgical apparatus including surgical buttress
US20140048580A1 (en) 2012-08-20 2014-02-20 Covidien Lp Buttress attachment features for surgical stapling apparatus
US9675359B2 (en) 2012-10-10 2017-06-13 Covidien Lp Surgical instrument with preload assembly
US9161753B2 (en) 2012-10-10 2015-10-20 Covidien Lp Buttress fixation for a circular stapler
US9572572B2 (en) 2012-11-09 2017-02-21 Covidien Lp Circular stapler mechanical lockout
US9192384B2 (en) 2012-11-09 2015-11-24 Covidien Lp Recessed groove for better suture retention
US20140131418A1 (en) 2012-11-09 2014-05-15 Covidien Lp Surgical Stapling Apparatus Including Buttress Attachment
CN102920494A (en) * 2012-11-22 2013-02-13 江西源生狼和医疗器械有限公司 Circumcision stitching instrument
US9681936B2 (en) 2012-11-30 2017-06-20 Covidien Lp Multi-layer porous film material
US9295466B2 (en) 2012-11-30 2016-03-29 Covidien Lp Surgical apparatus including surgical buttress
US9522002B2 (en) 2012-12-13 2016-12-20 Covidien Lp Surgical instrument with pressure distribution device
US9402627B2 (en) 2012-12-13 2016-08-02 Covidien Lp Folded buttress for use with a surgical apparatus
CN103156660B (en) * 2012-12-26 2015-05-06 苏州天臣国际医疗科技有限公司 Circular tube type anastomat
US9351724B2 (en) 2013-01-11 2016-05-31 Covidien Lp Circular stapling instrument
US9204881B2 (en) 2013-01-11 2015-12-08 Covidien Lp Buttress retainer for EEA anvil
US9433420B2 (en) 2013-01-23 2016-09-06 Covidien Lp Surgical apparatus including surgical buttress
US9192383B2 (en) 2013-02-04 2015-11-24 Covidien Lp Circular stapling device including buttress material
US9414839B2 (en) 2013-02-04 2016-08-16 Covidien Lp Buttress attachment for circular stapling device
US9386984B2 (en) 2013-02-08 2016-07-12 Ethicon Endo-Surgery, Llc Staple cartridge comprising a releasable cover
US9504470B2 (en) 2013-02-25 2016-11-29 Covidien Lp Circular stapling device with buttress
US10092292B2 (en) 2013-02-28 2018-10-09 Ethicon Llc Staple forming features for surgical stapling instrument
US20140239047A1 (en) 2013-02-28 2014-08-28 Covidien Lp Adherence concepts for non-woven absorbable felt buttresses
JP6382235B2 (en) 2013-03-01 2018-08-29 エシコン・エンド−サージェリィ・インコーポレイテッドEthicon Endo−Surgery,Inc. Articulatable surgical instrument with a conductive path for signal communication
US9307986B2 (en) 2013-03-01 2016-04-12 Ethicon Endo-Surgery, Llc Surgical instrument soft stop
MX364729B (en) 2013-03-01 2019-05-06 Ethicon Endo Surgery Inc Surgical instrument with a soft stop.
US9782173B2 (en) 2013-03-07 2017-10-10 Covidien Lp Circular stapling device including buttress release mechanism
US9345481B2 (en) 2013-03-13 2016-05-24 Ethicon Endo-Surgery, Llc Staple cartridge tissue thickness sensor system
US9592056B2 (en) 2013-03-14 2017-03-14 Covidien Lp Powered stapling apparatus
US9629629B2 (en) 2013-03-14 2017-04-25 Ethicon Endo-Surgey, LLC Control systems for surgical instruments
US9808244B2 (en) 2013-03-14 2017-11-07 Ethicon Llc Sensor arrangements for absolute positioning system for surgical instruments
CN104042292A (en) 2013-03-15 2014-09-17 柯惠Lp公司 Surgical anastomosis device comprising assemblies capable of being repeatedly utilized
US9795384B2 (en) 2013-03-27 2017-10-24 Ethicon Llc Fastener cartridge comprising a tissue thickness compensator and a gap setting element
US9572577B2 (en) 2013-03-27 2017-02-21 Ethicon Endo-Surgery, Llc Fastener cartridge comprising a tissue thickness compensator including openings therein
US9332984B2 (en) 2013-03-27 2016-05-10 Ethicon Endo-Surgery, Llc Fastener cartridge assemblies
ITRM20130217A1 (en) * 2013-04-10 2014-10-11 Longo Antonio SURGICAL SUTURATOR
US9826976B2 (en) 2013-04-16 2017-11-28 Ethicon Llc Motor driven surgical instruments with lockable dual drive shafts
BR112015026109B1 (en) 2013-04-16 2022-02-22 Ethicon Endo-Surgery, Inc surgical instrument
US9574644B2 (en) 2013-05-30 2017-02-21 Ethicon Endo-Surgery, Llc Power module for use with a surgical instrument
US9532780B2 (en) 2013-06-12 2017-01-03 Covidien Lp EEA anvil snap ring activator
US9668740B2 (en) 2013-06-14 2017-06-06 Covidien Lp Anvil assembly with sliding sleeve
CN105636524B (en) 2013-06-17 2018-05-04 柯惠Lp公司 Operating theater instruments with blocking mechanism
US9750503B2 (en) 2013-07-11 2017-09-05 Covidien Lp Methods and devices for performing a surgical anastomosis
US9808249B2 (en) 2013-08-23 2017-11-07 Ethicon Llc Attachment portions for surgical instrument assemblies
MX369362B (en) 2013-08-23 2019-11-06 Ethicon Endo Surgery Llc Firing member retraction devices for powered surgical instruments.
US9693773B2 (en) 2013-09-11 2017-07-04 Covidien Lp Anvil assembly with sliding sleeve
US20140171986A1 (en) 2013-09-13 2014-06-19 Ethicon Endo-Surgery, Inc. Surgical Clip Having Comliant Portion
US9655620B2 (en) * 2013-10-28 2017-05-23 Covidien Lp Circular surgical stapling device including buttress material
US9554802B2 (en) 2013-11-13 2017-01-31 Covidien Lp Anvil assembly with frangible retaining member
US9517070B2 (en) 2013-11-13 2016-12-13 Covidien Lp Anvil assembly and delivery system
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
US9724092B2 (en) 2013-12-23 2017-08-08 Ethicon Llc Modular surgical instruments
US9839428B2 (en) 2013-12-23 2017-12-12 Ethicon Llc Surgical cutting and stapling instruments with independent jaw control features
US20150173756A1 (en) 2013-12-23 2015-06-25 Ethicon Endo-Surgery, Inc. Surgical cutting and stapling methods
US9549735B2 (en) 2013-12-23 2017-01-24 Ethicon Endo-Surgery, Llc Fastener cartridge comprising a firing member including fastener transfer surfaces
US9962161B2 (en) 2014-02-12 2018-05-08 Ethicon Llc Deliverable surgical instrument
CN106232029B (en) 2014-02-24 2019-04-12 伊西康内外科有限责任公司 Fastening system including firing member locking piece
US20140166726A1 (en) 2014-02-24 2014-06-19 Ethicon Endo-Surgery, Inc. Staple cartridge including a barbed staple
US9913642B2 (en) 2014-03-26 2018-03-13 Ethicon Llc Surgical instrument comprising a sensor system
US9826977B2 (en) 2014-03-26 2017-11-28 Ethicon Llc Sterilization verification circuit
US20150272557A1 (en) 2014-03-26 2015-10-01 Ethicon Endo-Surgery, Inc. Modular surgical instrument system
BR112016021943B1 (en) 2014-03-26 2022-06-14 Ethicon Endo-Surgery, Llc SURGICAL INSTRUMENT FOR USE BY AN OPERATOR IN A SURGICAL PROCEDURE
US10201364B2 (en) 2014-03-26 2019-02-12 Ethicon Llc Surgical instrument comprising a rotatable shaft
US9801628B2 (en) 2014-09-26 2017-10-31 Ethicon Llc Surgical staple and driver arrangements for staple cartridges
US10542988B2 (en) 2014-04-16 2020-01-28 Ethicon Llc End effector comprising an anvil including projections extending therefrom
CN106456176B (en) 2014-04-16 2019-06-28 伊西康内外科有限责任公司 Fastener cartridge including the extension with various configuration
US20150297223A1 (en) 2014-04-16 2015-10-22 Ethicon Endo-Surgery, Inc. Fastener cartridges including extensions having different configurations
JP6612256B2 (en) 2014-04-16 2019-11-27 エシコン エルエルシー Fastener cartridge with non-uniform fastener
BR112016023807B1 (en) 2014-04-16 2022-07-12 Ethicon Endo-Surgery, Llc CARTRIDGE SET OF FASTENERS FOR USE WITH A SURGICAL INSTRUMENT
US9844378B2 (en) 2014-04-29 2017-12-19 Covidien Lp Surgical stapling apparatus and methods of adhering a surgical buttress thereto
US9913643B2 (en) 2014-05-09 2018-03-13 Covidien Lp Interlock assemblies for replaceable loading unit
JP6377775B2 (en) 2014-06-12 2018-08-22 コヴィディエン リミテッド パートナーシップ Surgical stapling device
US10045781B2 (en) 2014-06-13 2018-08-14 Ethicon Llc Closure lockout systems for surgical instruments
US9861367B2 (en) 2014-06-24 2018-01-09 Covidien Lp Anvil assembly delivery systems
US9867619B2 (en) 2014-06-24 2018-01-16 Covidien Lp System for delivering an anvil assembly to a surgical site
US9730694B2 (en) * 2014-07-01 2017-08-15 Covidien Lp Loading unit including shipping assembly
US10405864B2 (en) 2014-07-04 2019-09-10 Covidien Lp Loading unit with shipping member for surgical stapling device
US9757133B2 (en) 2014-07-09 2017-09-12 Covidien Lp Methods and devices for performing a surgical anastomosis
CN104188701A (en) * 2014-08-04 2014-12-10 北京中法派尔特医疗设备有限公司 Stapler with suture fixing device
BR112017004361B1 (en) 2014-09-05 2023-04-11 Ethicon Llc ELECTRONIC SYSTEM FOR A SURGICAL INSTRUMENT
US9724094B2 (en) 2014-09-05 2017-08-08 Ethicon Llc Adjunct with integrated sensors to quantify tissue compression
US11311294B2 (en) 2014-09-05 2022-04-26 Cilag Gmbh International Powered medical device including measurement of closure state of jaws
US10105142B2 (en) 2014-09-18 2018-10-23 Ethicon Llc Surgical stapler with plurality of cutting elements
CN107427300B (en) 2014-09-26 2020-12-04 伊西康有限责任公司 Surgical suture buttress and buttress material
US11523821B2 (en) 2014-09-26 2022-12-13 Cilag Gmbh International Method for creating a flexible staple line
US10076325B2 (en) 2014-10-13 2018-09-18 Ethicon Llc Surgical stapling apparatus comprising a tissue stop
US9924944B2 (en) 2014-10-16 2018-03-27 Ethicon Llc Staple cartridge comprising an adjunct material
US10517594B2 (en) 2014-10-29 2019-12-31 Ethicon Llc Cartridge assemblies for surgical staplers
US11141153B2 (en) 2014-10-29 2021-10-12 Cilag Gmbh International Staple cartridges comprising driver arrangements
US9844376B2 (en) 2014-11-06 2017-12-19 Ethicon Llc Staple cartridge comprising a releasable adjunct material
US10898196B2 (en) 2014-11-21 2021-01-26 Covidien Lp Cleaning apparatus for surgical instruments
US10085744B2 (en) 2014-12-08 2018-10-02 Covidien Lp Loading unit attachment band for surgical stapling instrument
US9855045B2 (en) 2014-12-09 2018-01-02 Covidien Lp Anvil assembly delivery system
US10736636B2 (en) 2014-12-10 2020-08-11 Ethicon Llc Articulatable surgical instrument system
JP6466580B2 (en) 2014-12-11 2019-02-06 コヴィディエン リミテッド パートナーシップ Surgical stapling and loading unit
EP3229708B1 (en) 2014-12-11 2019-08-28 Covidien LP Stapler with automatic lockout mechanism
JP6518766B2 (en) 2014-12-17 2019-05-22 コヴィディエン リミテッド パートナーシップ Surgical stapling device with firing indicator
US9844374B2 (en) 2014-12-18 2017-12-19 Ethicon Llc Surgical instrument systems comprising an articulatable end effector and means for adjusting the firing stroke of a firing member
US10085748B2 (en) 2014-12-18 2018-10-02 Ethicon Llc Locking arrangements for detachable shaft assemblies with articulatable surgical end effectors
US9987000B2 (en) 2014-12-18 2018-06-05 Ethicon Llc Surgical instrument assembly comprising a flexible articulation system
BR112017012996B1 (en) 2014-12-18 2022-11-08 Ethicon Llc SURGICAL INSTRUMENT WITH AN ANvil WHICH IS SELECTIVELY MOVABLE ABOUT AN IMMOVABLE GEOMETRIC AXIS DIFFERENT FROM A STAPLE CARTRIDGE
US10117649B2 (en) 2014-12-18 2018-11-06 Ethicon Llc Surgical instrument assembly comprising a lockable articulation system
US9844375B2 (en) 2014-12-18 2017-12-19 Ethicon Llc Drive arrangements for articulatable surgical instruments
US10245027B2 (en) 2014-12-18 2019-04-02 Ethicon Llc Surgical instrument with an anvil that is selectively movable about a discrete non-movable axis relative to a staple cartridge
US10188385B2 (en) 2014-12-18 2019-01-29 Ethicon Llc Surgical instrument system comprising lockable systems
US10835216B2 (en) 2014-12-24 2020-11-17 Covidien Lp Spinneret for manufacture of melt blown nonwoven fabric
US10039549B2 (en) 2015-01-07 2018-08-07 Covidien Lp Loading unit retention clip for surgical stapling instrument
US10022126B2 (en) 2015-01-07 2018-07-17 Covidien Lp Loading unit locking collar
US10117656B2 (en) 2015-01-07 2018-11-06 Covidien Lp Loading unit locking collar
US10470767B2 (en) 2015-02-10 2019-11-12 Covidien Lp Surgical stapling instrument having ultrasonic energy delivery
JP2018504987A (en) 2015-02-15 2018-02-22 コヴィディエン リミテッド パートナーシップ Surgical stapling device having a monolithic firing indicator
US10245028B2 (en) 2015-02-27 2019-04-02 Ethicon Llc Power adapter for a surgical instrument
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
US10245033B2 (en) 2015-03-06 2019-04-02 Ethicon Llc Surgical instrument comprising a lockable battery housing
US9808246B2 (en) 2015-03-06 2017-11-07 Ethicon Endo-Surgery, Llc Method of operating a powered surgical instrument
US9895148B2 (en) 2015-03-06 2018-02-20 Ethicon Endo-Surgery, Llc Monitoring speed control and precision incrementing of motor for powered surgical instruments
US9993248B2 (en) 2015-03-06 2018-06-12 Ethicon Endo-Surgery, Llc Smart sensors with local signal processing
US9924961B2 (en) 2015-03-06 2018-03-27 Ethicon Endo-Surgery, Llc Interactive feedback system for powered surgical instruments
JP2020121162A (en) 2015-03-06 2020-08-13 エシコン エルエルシーEthicon LLC Time dependent evaluation of sensor data to determine stability element, creep element and viscoelastic element of measurement
US10687806B2 (en) 2015-03-06 2020-06-23 Ethicon Llc Adaptive tissue compression techniques to adjust closure rates for multiple tissue types
US9901342B2 (en) 2015-03-06 2018-02-27 Ethicon Endo-Surgery, Llc Signal and power communication system positioned on a rotatable shaft
US10617412B2 (en) 2015-03-06 2020-04-14 Ethicon Llc System for detecting the mis-insertion of a staple cartridge into a surgical stapler
US10052044B2 (en) 2015-03-06 2018-08-21 Ethicon Llc Time dependent evaluation of sensor data to determine stability, creep, and viscoelastic elements of measures
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
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
CA2981826A1 (en) 2015-04-10 2016-10-13 Covidien Lp Surgical stapler with integrated bladder
US10881408B2 (en) 2015-04-22 2021-01-05 Covidien Lp Interlock assembly for replaceable loading units
US10426480B2 (en) 2015-04-29 2019-10-01 Covidien Lp Cutting ring assembly with rigid cutting member
US9987001B2 (en) 2015-06-12 2018-06-05 Covidien Lp Surgical anastomosis apparatus
US10405863B2 (en) 2015-06-18 2019-09-10 Ethicon Llc Movable firing beam support arrangements for articulatable surgical instruments
US9974536B2 (en) 2015-07-02 2018-05-22 Covidien Lp Anvil assemblies and delivery systems
US10111668B2 (en) 2015-07-02 2018-10-30 Covidien Lp Anvil assembly with snap backup ring
US10117655B2 (en) 2015-07-22 2018-11-06 Covidien Lp Loading unit locking band for surgical stapling instrument
US10085756B2 (en) 2015-07-24 2018-10-02 Covidien Lp Anvil assembly and anvil assembly delivery system
US10117675B2 (en) 2015-07-28 2018-11-06 Covidien Lp Trocar tip protector
US11058425B2 (en) 2015-08-17 2021-07-13 Ethicon Llc Implantable layers for a surgical instrument
MX2018002388A (en) 2015-08-26 2018-08-01 Ethicon Llc Surgical staple strips for permitting varying staple properties and enabling easy cartridge loading.
US10028744B2 (en) 2015-08-26 2018-07-24 Ethicon Llc Staple cartridge assembly including staple guides
MX2022006191A (en) 2015-09-02 2022-06-16 Ethicon Llc Surgical staple configurations with camming surfaces located between portions supporting surgical staples.
US10172619B2 (en) 2015-09-02 2019-01-08 Ethicon Llc Surgical staple driver arrays
US9980730B2 (en) 2015-09-21 2018-05-29 Covidien Lp Loading unit locking collar with rotational actuated release
US10363036B2 (en) 2015-09-23 2019-07-30 Ethicon Llc Surgical stapler having force-based motor control
US10076326B2 (en) 2015-09-23 2018-09-18 Ethicon Llc Surgical stapler having current mirror-based motor control
US10238386B2 (en) 2015-09-23 2019-03-26 Ethicon Llc Surgical stapler having motor control based on an electrical parameter related to a motor current
US10085751B2 (en) 2015-09-23 2018-10-02 Ethicon Llc Surgical stapler having temperature-based motor control
US10327769B2 (en) 2015-09-23 2019-06-25 Ethicon Llc Surgical stapler having motor control based on a drive system component
US10105139B2 (en) 2015-09-23 2018-10-23 Ethicon Llc Surgical stapler having downstream current-based motor control
US10111684B2 (en) 2015-09-25 2018-10-30 Covidien Lp Adapter assembly including a removable trocar assembly
US10299878B2 (en) 2015-09-25 2019-05-28 Ethicon Llc Implantable adjunct systems for determining adjunct skew
US10980539B2 (en) 2015-09-30 2021-04-20 Ethicon Llc Implantable adjunct comprising bonded layers
US10524788B2 (en) 2015-09-30 2020-01-07 Ethicon Llc Compressible adjunct with attachment regions
US10285699B2 (en) 2015-09-30 2019-05-14 Ethicon Llc Compressible adjunct
US11890015B2 (en) 2015-09-30 2024-02-06 Cilag Gmbh International Compressible adjunct with crossing spacer fibers
US10542992B2 (en) 2015-10-19 2020-01-28 Covidien Lp Loading unit with stretchable bushing
WO2017066918A1 (en) 2015-10-20 2017-04-27 Covidien Lp Circular stapler with tissue gap indicator assembly
AU2015412610A1 (en) 2015-10-21 2018-03-15 Covidien Lp Annular knife for surgical stapler
US10512466B2 (en) 2015-11-05 2019-12-24 Covidien Lp Adapter assembly for surgical device
EP3373827B1 (en) 2015-11-13 2023-08-09 Covidien LP Circular stapler with audible indicator mechanism
ES2821891T3 (en) 2015-12-07 2021-04-28 Covidien Lp Anvil Assembly and Delivery System
US10390835B2 (en) 2015-12-10 2019-08-27 Covidien Lp Surgical fastener apparatus with linear position sensor
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
US10524797B2 (en) 2016-01-13 2020-01-07 Covidien Lp Adapter assembly including a removable trocar assembly
JP6619103B2 (en) 2016-02-04 2019-12-11 コヴィディエン リミテッド パートナーシップ Circular stapler with visual indicator mechanism
US11213293B2 (en) 2016-02-09 2022-01-04 Cilag Gmbh International Articulatable surgical instruments with single articulation link arrangements
US10588625B2 (en) 2016-02-09 2020-03-17 Ethicon Llc Articulatable surgical instruments with off-axis firing beam arrangements
BR112018016098B1 (en) 2016-02-09 2023-02-23 Ethicon Llc SURGICAL INSTRUMENT
US10398439B2 (en) 2016-02-10 2019-09-03 Covidien Lp Adapter, extension, and connector assemblies for surgical devices
US10603042B2 (en) 2016-02-10 2020-03-31 Covidien Lp Flexible circular stapler
US10258331B2 (en) 2016-02-12 2019-04-16 Ethicon Llc Mechanisms for compensating for drivetrain failure in powered surgical instruments
US11224426B2 (en) 2016-02-12 2022-01-18 Cilag Gmbh International Mechanisms for compensating for drivetrain failure in powered surgical instruments
US10448948B2 (en) 2016-02-12 2019-10-22 Ethicon Llc Mechanisms for compensating for drivetrain failure in powered surgical instruments
EP3422986B1 (en) 2016-03-04 2023-12-27 Covidien LP Robotic surgical assemblies
US11284890B2 (en) 2016-04-01 2022-03-29 Cilag Gmbh International Circular stapling system comprising an incisable tissue support
US10709446B2 (en) 2016-04-01 2020-07-14 Ethicon Llc Staple cartridges with atraumatic features
US10617413B2 (en) 2016-04-01 2020-04-14 Ethicon Llc Closure system arrangements for surgical cutting and stapling devices with separate and distinct firing shafts
US11064997B2 (en) 2016-04-01 2021-07-20 Cilag Gmbh International Surgical stapling instrument
US10413293B2 (en) 2016-04-01 2019-09-17 Ethicon Llc Interchangeable surgical tool assembly with a surgical end effector that is selectively rotatable about a shaft axis
US10405859B2 (en) 2016-04-15 2019-09-10 Ethicon Llc Surgical instrument with adjustable stop/start control during a firing motion
US10828028B2 (en) 2016-04-15 2020-11-10 Ethicon Llc Surgical instrument with multiple program responses during a firing motion
US10492783B2 (en) 2016-04-15 2019-12-03 Ethicon, Llc Surgical instrument with improved stop/start control during a firing motion
US10456137B2 (en) 2016-04-15 2019-10-29 Ethicon Llc Staple formation detection mechanisms
US10335145B2 (en) 2016-04-15 2019-07-02 Ethicon Llc Modular surgical instrument with configurable operating mode
US10426467B2 (en) 2016-04-15 2019-10-01 Ethicon Llc Surgical instrument with detection sensors
US10357247B2 (en) 2016-04-15 2019-07-23 Ethicon Llc Surgical instrument with multiple program responses during a firing motion
US11179150B2 (en) 2016-04-15 2021-11-23 Cilag Gmbh International Systems and methods for controlling a surgical stapling and cutting instrument
US11607239B2 (en) 2016-04-15 2023-03-21 Cilag Gmbh International Systems and methods for controlling a surgical stapling and cutting instrument
US11317917B2 (en) 2016-04-18 2022-05-03 Cilag Gmbh International Surgical stapling system comprising a lockable firing assembly
US20170296173A1 (en) 2016-04-18 2017-10-19 Ethicon Endo-Surgery, Llc Method for operating a surgical instrument
US10363037B2 (en) 2016-04-18 2019-07-30 Ethicon Llc Surgical instrument system comprising a magnetic lockout
US10299795B2 (en) 2016-04-28 2019-05-28 Mayo Foundation For Medical Education And Research Devices and methods for esophageal lengthening and anastomosis formation
US10595871B2 (en) 2016-05-10 2020-03-24 Covidien Lp Insertion instrument, adapter assemblies and protector assemblies for a flexible circular stapler
US10959731B2 (en) 2016-06-14 2021-03-30 Covidien Lp Buttress attachment for surgical stapling instrument
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
US11000278B2 (en) 2016-06-24 2021-05-11 Ethicon Llc Staple cartridge comprising wire staples and stamped staples
USD847989S1 (en) 2016-06-24 2019-05-07 Ethicon Llc Surgical fastener cartridge
CN109310431B (en) 2016-06-24 2022-03-04 伊西康有限责任公司 Staple cartridge comprising wire staples and punch staples
USD822206S1 (en) 2016-06-24 2018-07-03 Ethicon Llc Surgical fastener
US11141162B2 (en) 2016-07-08 2021-10-12 Covidien Lp Loading unit locking collar with linearly actuated release
CN106073847B (en) * 2016-08-02 2018-10-30 无锡市舒康医疗器械有限公司 The string suture stapling device of separable tissue
US11452522B2 (en) 2016-08-15 2022-09-27 Covidien Lp Circular stapling device with articulating anvil retainer assembly
US10499922B2 (en) 2016-11-04 2019-12-10 Covidien Lp Stapling device with self-releasing knife carrier pusher
US10426470B2 (en) 2016-11-04 2019-10-01 Covidien Lp Stapling device with releasable knife carrier
US11026686B2 (en) 2016-11-08 2021-06-08 Covidien Lp Structure for attaching buttress to anvil and/or cartridge of surgical stapling instrument
NL2017917B1 (en) 2016-12-02 2018-06-18 Implican B V Surgical method and instrument for performing anastomosis
US10568626B2 (en) 2016-12-21 2020-02-25 Ethicon Llc Surgical instruments with jaw opening features for increasing a jaw opening distance
US20180168625A1 (en) 2016-12-21 2018-06-21 Ethicon Endo-Surgery, Llc Surgical stapling instruments with smart staple cartridges
US10675025B2 (en) 2016-12-21 2020-06-09 Ethicon Llc Shaft assembly comprising separately actuatable and retractable systems
US10945727B2 (en) 2016-12-21 2021-03-16 Ethicon Llc Staple cartridge with deformable driver retention features
US10426471B2 (en) 2016-12-21 2019-10-01 Ethicon Llc Surgical instrument with multiple failure response modes
US10568625B2 (en) 2016-12-21 2020-02-25 Ethicon Llc Staple cartridges and arrangements of staples and staple cavities therein
CN110099619B (en) 2016-12-21 2022-07-15 爱惜康有限责任公司 Lockout device for surgical end effector and replaceable tool assembly
US10667809B2 (en) 2016-12-21 2020-06-02 Ethicon Llc Staple cartridge and staple cartridge channel comprising windows defined therein
US11134942B2 (en) 2016-12-21 2021-10-05 Cilag Gmbh International Surgical stapling instruments and staple-forming anvils
JP7010956B2 (en) 2016-12-21 2022-01-26 エシコン エルエルシー How to staple tissue
US10667810B2 (en) 2016-12-21 2020-06-02 Ethicon Llc Closure members with cam surface arrangements for surgical instruments with separate and distinct closure and firing systems
US11684367B2 (en) 2016-12-21 2023-06-27 Cilag Gmbh International Stepped assembly having and end-of-life indicator
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
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
US10485543B2 (en) 2016-12-21 2019-11-26 Ethicon Llc Anvil having a knife slot width
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
US10973516B2 (en) 2016-12-21 2021-04-13 Ethicon Llc Surgical end effectors and adaptable firing members therefor
US20180168598A1 (en) 2016-12-21 2018-06-21 Ethicon Endo-Surgery, Llc Staple forming pocket arrangements comprising zoned forming surface grooves
US10959727B2 (en) 2016-12-21 2021-03-30 Ethicon Llc Articulatable surgical end effector with asymmetric shaft arrangement
BR112019011947A2 (en) 2016-12-21 2019-10-29 Ethicon Llc surgical stapling systems
US10993715B2 (en) 2016-12-21 2021-05-04 Ethicon Llc Staple cartridge comprising staples with different clamping breadths
US20180168648A1 (en) 2016-12-21 2018-06-21 Ethicon Endo-Surgery, Llc Durability features for end effectors and firing assemblies of surgical stapling instruments
US10758229B2 (en) 2016-12-21 2020-09-01 Ethicon Llc Surgical instrument comprising improved jaw control
US10874768B2 (en) 2017-01-20 2020-12-29 Covidien Lp Drug eluting medical device
US11241232B2 (en) 2017-01-24 2022-02-08 Covidien Lp Surgical stapling device with resettable anvil assembly
EP3639755B1 (en) 2017-01-25 2021-06-23 Covidien LP Circular stapling device
US10542993B2 (en) 2017-02-24 2020-01-28 Covidien Lp Anvil assembly of circular stapling device including alignment splines
US10925607B2 (en) 2017-02-28 2021-02-23 Covidien Lp Surgical stapling apparatus with staple sheath
US11382629B2 (en) 2017-03-09 2022-07-12 Covidien Lp Surgical stapling device with audible indicator mechanism
WO2018161301A1 (en) 2017-03-09 2018-09-13 Covidien Lp End effector assembly for circular stapler apparatus
US10368868B2 (en) 2017-03-09 2019-08-06 Covidien Lp Structure for attaching buttress material to anvil and cartridge of surgical stapling instrument
ES2924630T3 (en) 2017-03-23 2022-10-10 Covidien Lp Circular stapling device with alignment serrations
US10342534B2 (en) 2017-03-23 2019-07-09 Covidien Lp Surgical stapling device with releasable knife carrier
US11096610B2 (en) 2017-03-28 2021-08-24 Covidien Lp Surgical implants including sensing fibers
US10881409B2 (en) 2017-05-02 2021-01-05 Covidien Lp Rotation assembly for a surgical device
US11596400B2 (en) 2017-06-09 2023-03-07 Covidien Lp Handheld electromechanical surgical system
US10932784B2 (en) 2017-06-09 2021-03-02 Covidien Lp Handheld electromechanical surgical system
US11045199B2 (en) 2017-06-09 2021-06-29 Covidien Lp Handheld electromechanical surgical system
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
US10646220B2 (en) 2017-06-20 2020-05-12 Ethicon Llc Systems and methods for controlling displacement member velocity for a surgical instrument
US10888321B2 (en) 2017-06-20 2021-01-12 Ethicon Llc Systems and methods for controlling velocity of a displacement member of a surgical stapling and cutting instrument
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
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
USD879808S1 (en) 2017-06-20 2020-03-31 Ethicon Llc Display panel with graphical user interface
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
US10881399B2 (en) 2017-06-20 2021-01-05 Ethicon Llc Techniques for adaptive control of motor velocity of a surgical stapling and cutting instrument
US10368864B2 (en) 2017-06-20 2019-08-06 Ethicon Llc Systems and methods for controlling displaying motor velocity for a surgical instrument
US10881396B2 (en) 2017-06-20 2021-01-05 Ethicon Llc Surgical instrument with variable duration trigger arrangement
US11090046B2 (en) 2017-06-20 2021-08-17 Cilag Gmbh International Systems and methods for controlling displacement member motion of a surgical stapling and cutting instrument
US11517325B2 (en) 2017-06-20 2022-12-06 Cilag Gmbh International Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on measured displacement distance traveled over a specified time interval
US10624633B2 (en) 2017-06-20 2020-04-21 Ethicon Llc Systems and methods for controlling motor velocity of a surgical stapling and cutting instrument
USD890784S1 (en) 2017-06-20 2020-07-21 Ethicon Llc Display panel with changeable graphical user interface
US10980537B2 (en) 2017-06-20 2021-04-20 Ethicon Llc Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on measured time over a specified number of shaft rotations
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
USD879809S1 (en) 2017-06-20 2020-03-31 Ethicon Llc Display panel with changeable graphical user interface
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
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
US10772629B2 (en) 2017-06-27 2020-09-15 Ethicon Llc Surgical anvil arrangements
US11324503B2 (en) 2017-06-27 2022-05-10 Cilag Gmbh International Surgical firing member arrangements
US20180368844A1 (en) 2017-06-27 2018-12-27 Ethicon Llc Staple forming pocket arrangements
US10856869B2 (en) 2017-06-27 2020-12-08 Ethicon Llc Surgical anvil arrangements
US11266405B2 (en) 2017-06-27 2022-03-08 Cilag Gmbh International Surgical anvil manufacturing methods
US10993716B2 (en) 2017-06-27 2021-05-04 Ethicon Llc Surgical anvil arrangements
US11246592B2 (en) 2017-06-28 2022-02-15 Cilag Gmbh International Surgical instrument comprising an articulation system lockable to a frame
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
US10211586B2 (en) 2017-06-28 2019-02-19 Ethicon Llc Surgical shaft assemblies with watertight housings
USD851762S1 (en) 2017-06-28 2019-06-18 Ethicon Llc Anvil
USD906355S1 (en) 2017-06-28 2020-12-29 Ethicon Llc Display screen or portion thereof with a graphical user interface for a surgical instrument
US11259805B2 (en) 2017-06-28 2022-03-01 Cilag Gmbh International Surgical instrument comprising firing member supports
US11389161B2 (en) 2017-06-28 2022-07-19 Cilag Gmbh International Surgical instrument comprising selectively actuatable rotatable couplers
EP4070740A1 (en) 2017-06-28 2022-10-12 Cilag GmbH International Surgical instrument comprising selectively actuatable rotatable couplers
US10716614B2 (en) 2017-06-28 2020-07-21 Ethicon Llc Surgical shaft assemblies with slip ring assemblies with increased contact pressure
USD854151S1 (en) 2017-06-28 2019-07-16 Ethicon Llc Surgical instrument shaft
US11564686B2 (en) 2017-06-28 2023-01-31 Cilag Gmbh International Surgical shaft assemblies with flexible interfaces
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
USD869655S1 (en) 2017-06-28 2019-12-10 Ethicon Llc Surgical fastener cartridge
US10898183B2 (en) 2017-06-29 2021-01-26 Ethicon Llc Robotic surgical instrument with closed loop feedback techniques for advancement of closure member during firing
US10932772B2 (en) 2017-06-29 2021-03-02 Ethicon Llc Methods for closed loop velocity control for robotic surgical instrument
US11007022B2 (en) 2017-06-29 2021-05-18 Ethicon Llc Closed loop velocity control techniques based on sensed tissue parameters for robotic surgical instrument
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
US10987107B2 (en) 2017-07-05 2021-04-27 Covidien Lp Surgical stapling device
US11471155B2 (en) 2017-08-03 2022-10-18 Cilag Gmbh International Surgical system bailout
US11304695B2 (en) 2017-08-03 2022-04-19 Cilag Gmbh International Surgical system shaft interconnection
US10849625B2 (en) 2017-08-07 2020-12-01 Covidien Lp Surgical buttress retention systems for surgical stapling apparatus
US11090054B2 (en) 2017-08-07 2021-08-17 Covidien Lp Stapling device with resettable tilt anvil assembly
US10828026B2 (en) 2017-08-08 2020-11-10 Covidien Lp Tiltable anvil assembly
US10945733B2 (en) 2017-08-23 2021-03-16 Covidien Lp Surgical buttress reload and tip attachment assemblies for surgical stapling apparatus
US10695069B2 (en) 2017-08-23 2020-06-30 Covidien Lp Circular stapling device with offset spline tip
EP3675748A4 (en) 2017-09-01 2021-01-20 Covidien LP Circular stapling device with position ribs
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
US10729501B2 (en) 2017-09-29 2020-08-04 Ethicon Llc Systems and methods for language selection of a surgical instrument
USD907647S1 (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
US10743872B2 (en) 2017-09-29 2020-08-18 Ethicon Llc System and methods for controlling a display of a surgical instrument
US10796471B2 (en) 2017-09-29 2020-10-06 Ethicon Llc Systems and methods of displaying a knife position for a surgical instrument
USD917500S1 (en) 2017-09-29 2021-04-27 Ethicon Llc Display screen or portion thereof with graphical user interface
USD907648S1 (en) 2017-09-29 2021-01-12 Ethicon Llc Display screen or portion thereof with animated graphical user interface
US11134944B2 (en) 2017-10-30 2021-10-05 Cilag Gmbh International Surgical stapler knife motion controls
US11090075B2 (en) 2017-10-30 2021-08-17 Cilag Gmbh International Articulation features for surgical end effector
US10779903B2 (en) 2017-10-31 2020-09-22 Ethicon Llc Positive shaft rotation lock activated by jaw closure
US10842490B2 (en) 2017-10-31 2020-11-24 Ethicon Llc Cartridge body design with force reduction based on firing completion
US11324507B2 (en) 2017-11-03 2022-05-10 Covidien Lp Device and method for attachment of a stomal sleeve
US11141151B2 (en) 2017-12-08 2021-10-12 Covidien Lp Surgical buttress for circular stapling
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
US10743875B2 (en) 2017-12-15 2020-08-18 Ethicon Llc Surgical end effectors with jaw stiffener arrangements configured to permit monitoring of firing member
US11033267B2 (en) 2017-12-15 2021-06-15 Ethicon Llc Systems and methods of controlling a clamping member firing rate of a surgical instrument
US10966718B2 (en) 2017-12-15 2021-04-06 Ethicon Llc Dynamic clamping assemblies with improved wear characteristics for use in connection with electromechanical surgical instruments
US11006955B2 (en) 2017-12-15 2021-05-18 Ethicon Llc End effectors with positive jaw opening features for use with adapters for electromechanical surgical instruments
US10687813B2 (en) 2017-12-15 2020-06-23 Ethicon Llc Adapters with firing stroke sensing arrangements for use in connection with electromechanical surgical instruments
US10869666B2 (en) 2017-12-15 2020-12-22 Ethicon Llc Adapters with control systems for controlling multiple motors of an electromechanical surgical instrument
US10743874B2 (en) 2017-12-15 2020-08-18 Ethicon Llc Sealed adapters for use with electromechanical surgical instruments
US11197670B2 (en) 2017-12-15 2021-12-14 Cilag Gmbh International Surgical end effectors with pivotal jaws configured to touch at their respective distal ends when fully closed
US11071543B2 (en) 2017-12-15 2021-07-27 Cilag Gmbh International Surgical end effectors with clamping assemblies configured to increase jaw aperture ranges
US10779826B2 (en) 2017-12-15 2020-09-22 Ethicon Llc Methods of operating surgical end effectors
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
US10716565B2 (en) 2017-12-19 2020-07-21 Ethicon Llc Surgical instruments with dual articulation drivers
US10835330B2 (en) 2017-12-19 2020-11-17 Ethicon Llc Method for determining the position of a rotatable jaw of a surgical instrument attachment assembly
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
US11020112B2 (en) 2017-12-19 2021-06-01 Ethicon Llc Surgical tools configured for interchangeable use with different controller interfaces
US11045270B2 (en) 2017-12-19 2021-06-29 Cilag Gmbh International Robotic attachment comprising exterior drive actuator
US11311290B2 (en) 2017-12-21 2022-04-26 Cilag Gmbh International Surgical instrument comprising an end effector dampener
US11129680B2 (en) 2017-12-21 2021-09-28 Cilag Gmbh International Surgical instrument comprising a projector
US10682134B2 (en) 2017-12-21 2020-06-16 Ethicon Llc Continuous use self-propelled stapling instrument
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
US11065000B2 (en) 2018-02-22 2021-07-20 Covidien Lp Surgical buttresses for surgical stapling apparatus
CN108478262B (en) * 2018-03-21 2023-10-31 江西狼和医疗器械有限公司 Tortoise seat, top body and nail cabin linkage transmission mechanism
US11497501B2 (en) 2018-03-26 2022-11-15 Covidien Lp Circular stapling device with A-frame splines
US11033273B2 (en) 2018-03-28 2021-06-15 Covidien Lp Surgical anvil assemblies for surgical stapling instruments
EP3560437B1 (en) * 2018-04-23 2022-02-23 Covidien LP Stapling device with cut ring biasing member
US10952734B2 (en) * 2018-04-23 2021-03-23 Covidien Lp Stapling device with cut ring biasing member
US10758237B2 (en) 2018-04-30 2020-09-01 Covidien Lp Circular stapling apparatus with pinned buttress
US11284896B2 (en) 2018-05-09 2022-03-29 Covidien Lp Surgical buttress loading and attaching/detaching assemblies
US11426163B2 (en) 2018-05-09 2022-08-30 Covidien Lp Universal linear surgical stapling buttress
US11432818B2 (en) 2018-05-09 2022-09-06 Covidien Lp Surgical buttress assemblies
US11197676B2 (en) 2018-06-28 2021-12-14 Covidien Lp Tie-down method for anvil assembly delivery system
US11219460B2 (en) 2018-07-02 2022-01-11 Covidien Lp Surgical stapling apparatus with anvil buttress
US11241234B2 (en) 2018-08-14 2022-02-08 Covidien Lp Anvil assembly with self-retaining backup member
US11039834B2 (en) 2018-08-20 2021-06-22 Cilag Gmbh International Surgical stapler anvils with staple directing protrusions and tissue stability features
US10856870B2 (en) 2018-08-20 2020-12-08 Ethicon Llc Switching arrangements for motor powered articulatable surgical instruments
US11324501B2 (en) 2018-08-20 2022-05-10 Cilag Gmbh International Surgical stapling devices with improved closure members
US11291440B2 (en) 2018-08-20 2022-04-05 Cilag Gmbh International Method for operating a powered articulatable surgical instrument
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
USD914878S1 (en) 2018-08-20 2021-03-30 Ethicon Llc Surgical instrument anvil
US10779821B2 (en) 2018-08-20 2020-09-22 Ethicon Llc Surgical stapler anvils with tissue stop features configured to avoid tissue pinch
US11045192B2 (en) 2018-08-20 2021-06-29 Cilag Gmbh International Fabricating techniques for surgical stapler anvils
US11253256B2 (en) 2018-08-20 2022-02-22 Cilag Gmbh International Articulatable motor powered surgical instruments with dedicated articulation motor arrangements
US11207065B2 (en) 2018-08-20 2021-12-28 Cilag Gmbh International Method for fabricating surgical stapler anvils
US10912559B2 (en) 2018-08-20 2021-02-09 Ethicon Llc Reinforced deformable anvil tip for surgical stapler anvil
WO2020037649A1 (en) 2018-08-24 2020-02-27 Covidien Lp Powered circular stapling device
US10806459B2 (en) 2018-09-14 2020-10-20 Covidien Lp Drug patterned reinforcement material for circular anastomosis
US10973544B2 (en) 2018-10-02 2021-04-13 Covidien Lp Retaining mechanism for trocar assembly
US10952729B2 (en) 2018-10-03 2021-03-23 Covidien Lp Universal linear buttress retention/release assemblies and methods
US11141163B2 (en) 2018-10-04 2021-10-12 Covidien Lp Circular stapling device with anvil rotation locking structure
US11737745B2 (en) 2018-10-24 2023-08-29 Mayo Foundation For Medical Education And Research Medical devices and methods for body conduit lengthening and anastomosis formation
US11065005B2 (en) 2018-11-07 2021-07-20 Covidien Lp Reload assembly for a circular stapling device
US11147561B2 (en) 2018-11-28 2021-10-19 Covidien Lp Reload assembly for a circular stapling device
US11389263B2 (en) 2018-12-13 2022-07-19 Covidien Lp Lockout mechanisms for surgical instruments
US11103245B2 (en) * 2018-12-31 2021-08-31 Cilag Gmbh International Knife for surgical stapler and associated method of manufacture with MIM and hip
US11291450B2 (en) * 2018-12-31 2022-04-05 Cilag Gmbh International Anvil for circular surgical stapler and associated method of manufacture with MIM
US11166728B2 (en) 2019-02-08 2021-11-09 Covidien Lp Reload assembly for a circular stapling device
US11547411B2 (en) 2019-02-22 2023-01-10 Covidien Lp Anastomosis wound protector
US11529144B2 (en) 2019-02-22 2022-12-20 Covidien Lp Encapsulated plug assembly for electromechanical surgical devices
US11331782B2 (en) 2019-03-01 2022-05-17 Covidien Lp Reload assembly for a circular stapling device
US11337701B2 (en) 2019-03-01 2022-05-24 Covidien Lp Devices and methods for assembling adapter assemblies
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
US11172929B2 (en) 2019-03-25 2021-11-16 Cilag Gmbh International Articulation drive arrangements for surgical systems
US11147551B2 (en) 2019-03-25 2021-10-19 Cilag Gmbh International Firing drive arrangements for surgical systems
US11457921B2 (en) 2019-03-26 2022-10-04 Covidien Lp Anvil assembly for surgical stapling instrument
US11534164B2 (en) 2019-04-05 2022-12-27 Covidien Lp Strain gauge stabilization in a surgical device
US11596410B2 (en) 2019-04-05 2023-03-07 Covidien Lp Surgical stapling device
US11660116B2 (en) 2019-04-16 2023-05-30 Covidien Lp Trocar assemblies for adapter assemblies for surgical stapling instruments
US11344330B2 (en) 2019-04-16 2022-05-31 Covidien Lp Trocar assemblies for adapter assemblies for surgical stapling instruments
US11419631B2 (en) 2019-04-16 2022-08-23 Covidien Lp Trocar assemblies for adapter assemblies for surgical stapling instruments
US11317945B2 (en) 2019-04-16 2022-05-03 Covidien Lp Trocar assemblies for adapter assemblies for surgical stapling instruments
US11839378B2 (en) 2019-04-19 2023-12-12 Covidien Lp Circular stapling instruments
US11399838B2 (en) 2019-04-22 2022-08-02 Covidien Lp Reload assembly for circular stapling devices
US11730472B2 (en) 2019-04-25 2023-08-22 Covidien Lp Surgical system and surgical loading units thereof
US11246599B2 (en) 2019-04-25 2022-02-15 Covidien Lp End effector for circular stapling instrument
US11452528B2 (en) 2019-04-30 2022-09-27 Cilag Gmbh International Articulation actuators for a surgical instrument
US11253254B2 (en) 2019-04-30 2022-02-22 Cilag Gmbh International Shaft rotation actuator on a surgical instrument
US11471157B2 (en) 2019-04-30 2022-10-18 Cilag Gmbh International Articulation control mapping for a surgical instrument
US11648009B2 (en) 2019-04-30 2023-05-16 Cilag Gmbh International Rotatable jaw tip for a surgical instrument
US11426251B2 (en) 2019-04-30 2022-08-30 Cilag Gmbh International Articulation directional lights on a surgical instrument
US11432816B2 (en) 2019-04-30 2022-09-06 Cilag Gmbh International Articulation pin for a surgical instrument
US11903581B2 (en) 2019-04-30 2024-02-20 Cilag Gmbh International Methods for stapling tissue using a surgical instrument
US11596403B2 (en) 2019-05-08 2023-03-07 Covidien Lp Surgical stapling device
US11478245B2 (en) 2019-05-08 2022-10-25 Covidien Lp Surgical stapling device
AU2019448247A1 (en) 2019-05-31 2021-12-16 Covidien Lp Circular stapling device
US11690624B2 (en) 2019-06-21 2023-07-04 Covidien Lp Reload assembly injection molded strain gauge
US11446035B2 (en) 2019-06-24 2022-09-20 Covidien Lp Retaining mechanisms for trocar assemblies
US11123101B2 (en) 2019-07-05 2021-09-21 Covidien Lp Retaining mechanisms for trocar assemblies
US11376098B2 (en) 2019-06-28 2022-07-05 Cilag Gmbh International Surgical instrument system comprising an RFID system
US11478241B2 (en) 2019-06-28 2022-10-25 Cilag Gmbh International Staple cartridge including projections
US11684434B2 (en) 2019-06-28 2023-06-27 Cilag Gmbh International Surgical RFID assemblies for instrument operational setting control
US11497492B2 (en) 2019-06-28 2022-11-15 Cilag Gmbh International Surgical instrument including an articulation lock
US11553971B2 (en) 2019-06-28 2023-01-17 Cilag Gmbh International Surgical RFID assemblies for display and communication
US11291451B2 (en) 2019-06-28 2022-04-05 Cilag Gmbh International Surgical instrument with battery compatibility verification functionality
US11638587B2 (en) 2019-06-28 2023-05-02 Cilag Gmbh International RFID identification systems for surgical instruments
US11219455B2 (en) 2019-06-28 2022-01-11 Cilag Gmbh International Surgical instrument including a lockout key
US11259803B2 (en) 2019-06-28 2022-03-01 Cilag Gmbh International Surgical stapling system having an information encryption protocol
US11399837B2 (en) 2019-06-28 2022-08-02 Cilag Gmbh International Mechanisms for motor control adjustments of a motorized surgical instrument
US11224497B2 (en) 2019-06-28 2022-01-18 Cilag Gmbh International Surgical systems with multiple RFID tags
US11426167B2 (en) 2019-06-28 2022-08-30 Cilag Gmbh International Mechanisms for proper anvil attachment surgical stapling head assembly
US11660163B2 (en) 2019-06-28 2023-05-30 Cilag Gmbh International Surgical system with RFID tags for updating motor assembly parameters
US11298127B2 (en) 2019-06-28 2022-04-12 Cilag GmbH Interational Surgical stapling system having a lockout mechanism for an incompatible cartridge
US11627959B2 (en) 2019-06-28 2023-04-18 Cilag Gmbh International Surgical instruments including manual and powered system lockouts
US11241235B2 (en) 2019-06-28 2022-02-08 Cilag Gmbh International Method of using multiple RFID chips with a surgical assembly
US11771419B2 (en) 2019-06-28 2023-10-03 Cilag Gmbh International Packaging for a replaceable component of a surgical stapling system
US11051807B2 (en) 2019-06-28 2021-07-06 Cilag Gmbh International Packaging assembly including a particulate trap
US11298132B2 (en) 2019-06-28 2022-04-12 Cilag GmbH Inlernational Staple cartridge including a honeycomb extension
US11464601B2 (en) 2019-06-28 2022-10-11 Cilag Gmbh International Surgical instrument comprising an RFID system for tracking a movable component
US11246678B2 (en) 2019-06-28 2022-02-15 Cilag Gmbh International Surgical stapling system having a frangible RFID tag
US11523822B2 (en) 2019-06-28 2022-12-13 Cilag Gmbh International Battery pack including a circuit interrupter
US11357509B2 (en) 2019-07-11 2022-06-14 Covidien Lp Reload assembly for a circular stapling device
US11192227B2 (en) 2019-07-16 2021-12-07 Covidien Lp Reload assembly for circular stapling devices
US11253255B2 (en) 2019-07-26 2022-02-22 Covidien Lp Knife lockout wedge
US11464510B2 (en) 2019-07-26 2022-10-11 Covidien Lp Reload assembly with knife carrier lockout
US11571208B2 (en) 2019-10-11 2023-02-07 Covidien Lp Surgical buttress loading units
US11399825B2 (en) 2019-10-28 2022-08-02 Covidien Lp Reload assembly with knife carrier lockout
US11523824B2 (en) 2019-12-12 2022-12-13 Covidien Lp Anvil buttress loading for a surgical stapling apparatus
US11553918B2 (en) 2019-12-16 2023-01-17 Covidien Lp Reload assembly with knife carrier lockout
US11844520B2 (en) 2019-12-19 2023-12-19 Cilag Gmbh International Staple cartridge comprising driver retention members
US11559304B2 (en) 2019-12-19 2023-01-24 Cilag Gmbh International Surgical instrument comprising a rapid closure mechanism
US11446029B2 (en) 2019-12-19 2022-09-20 Cilag Gmbh International Staple cartridge comprising projections extending from a curved deck surface
US11304696B2 (en) 2019-12-19 2022-04-19 Cilag Gmbh International Surgical instrument comprising a powered articulation system
US11234698B2 (en) 2019-12-19 2022-02-01 Cilag Gmbh International Stapling system comprising a clamp lockout and a firing lockout
US11529139B2 (en) 2019-12-19 2022-12-20 Cilag Gmbh International Motor driven surgical instrument
US11291447B2 (en) 2019-12-19 2022-04-05 Cilag Gmbh International Stapling instrument comprising independent jaw closing and staple firing systems
US11464512B2 (en) 2019-12-19 2022-10-11 Cilag Gmbh International Staple cartridge comprising a curved deck surface
US11701111B2 (en) 2019-12-19 2023-07-18 Cilag Gmbh International Method for operating a surgical stapling instrument
US11911032B2 (en) 2019-12-19 2024-02-27 Cilag Gmbh International Staple cartridge comprising a seating cam
US11529137B2 (en) 2019-12-19 2022-12-20 Cilag Gmbh International Staple cartridge comprising driver retention members
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
US11607219B2 (en) 2019-12-19 2023-03-21 Cilag Gmbh International Staple cartridge comprising a detachable tissue cutting knife
US11730481B2 (en) 2020-01-06 2023-08-22 Covidien Lp Assemblies for retaining a trocar assembly
US11517317B2 (en) 2020-01-06 2022-12-06 Covidien Lp Trocar release assemblies for a surgical stapler
US11911038B2 (en) 2020-01-13 2024-02-27 Covidien Lp Cut optimization for excessive tissue conditions
US11523828B2 (en) 2020-01-28 2022-12-13 Covidien Lp Sealed reload assembly for stapling device
US11622767B2 (en) 2020-02-19 2023-04-11 Covidien Lp Sealed trocar assembly for stapling device
US11547438B2 (en) 2020-02-24 2023-01-10 Covidien Lp Tip protector for ensuring trocar insertion
US11382630B2 (en) 2020-02-25 2022-07-12 Covidien Lp Surgical stapling device with two part knife assembly
US11779343B2 (en) 2020-02-26 2023-10-10 Covidien Lp Staple reload assembly with releasable knife
US11298152B2 (en) 2020-02-28 2022-04-12 Covidien Lp Trocar retaining mechanism including band support
US11272998B2 (en) 2020-03-04 2022-03-15 Covidien Lp Strain gage fixation in tension
US11547407B2 (en) 2020-03-19 2023-01-10 Covidien Lp Staple line reinforcement for surgical stapling apparatus
US11426169B2 (en) 2020-03-24 2022-08-30 Covidien Lp Retaining mechanisms for trocar assemblies
US11350939B2 (en) 2020-03-24 2022-06-07 Covidien Lp Retaining mechanisms for trocar assemblies
US11426170B2 (en) 2020-03-24 2022-08-30 Covidien Lp Retaining mechanisms for trocar assemblies
US11337699B2 (en) 2020-04-28 2022-05-24 Covidien Lp Magnesium infused surgical buttress for surgical stapler
US11653925B2 (en) 2020-05-21 2023-05-23 Covidien Lp Tissue relaxation monitoring for optimized tissue stapling
US11547405B2 (en) 2020-05-22 2023-01-10 Covidien Lp Surgical stapling device
USD966512S1 (en) 2020-06-02 2022-10-11 Cilag Gmbh International Staple cartridge
USD975851S1 (en) 2020-06-02 2023-01-17 Cilag Gmbh International Staple cartridge
USD974560S1 (en) 2020-06-02 2023-01-03 Cilag Gmbh International Staple cartridge
USD976401S1 (en) 2020-06-02 2023-01-24 Cilag Gmbh International Staple cartridge
USD975850S1 (en) 2020-06-02 2023-01-17 Cilag Gmbh International Staple cartridge
USD967421S1 (en) 2020-06-02 2022-10-18 Cilag Gmbh International Staple cartridge
USD975278S1 (en) 2020-06-02 2023-01-10 Cilag Gmbh International Staple cartridge
US11553921B2 (en) 2020-07-15 2023-01-17 Covidien Lp Surgical stapling device with flexible shaft
US11547412B2 (en) 2020-07-22 2023-01-10 Covidien Lp Surgical instruments and methods of assembly
US11737748B2 (en) 2020-07-28 2023-08-29 Cilag Gmbh International Surgical instruments with double spherical articulation joints with pivotable links
US11877744B2 (en) 2020-08-14 2024-01-23 Covidien Lp Low-cost powered stapler with end stop selection
US11627966B2 (en) 2020-08-26 2023-04-18 Covidien Lp Surgical stapling device
US11707276B2 (en) 2020-09-08 2023-07-25 Covidien Lp Surgical buttress assemblies and techniques for surgical stapling
US11801054B2 (en) 2020-09-22 2023-10-31 Covidien Lp Surgical stapler with oval tool assembly
US11701117B2 (en) * 2020-09-29 2023-07-18 Cilag Gmbh International Manual drive functions for surgical tool
US11712509B2 (en) 2020-10-02 2023-08-01 Covidien Lp Seal assembly for circular stapling instrument
US11399833B2 (en) 2020-10-19 2022-08-02 Covidien Lp Anvil buttress attachment for surgical stapling apparatus
US11517390B2 (en) 2020-10-29 2022-12-06 Cilag Gmbh International Surgical instrument comprising a limited travel switch
US11779330B2 (en) 2020-10-29 2023-10-10 Cilag Gmbh International Surgical instrument comprising a jaw alignment system
US11844518B2 (en) 2020-10-29 2023-12-19 Cilag Gmbh International Method for operating a surgical instrument
USD1013170S1 (en) 2020-10-29 2024-01-30 Cilag Gmbh International Surgical instrument assembly
US11896217B2 (en) 2020-10-29 2024-02-13 Cilag Gmbh International Surgical instrument comprising an articulation lock
US11452526B2 (en) 2020-10-29 2022-09-27 Cilag Gmbh International Surgical instrument comprising a staged voltage regulation start-up system
US11534259B2 (en) 2020-10-29 2022-12-27 Cilag Gmbh International Surgical instrument comprising an articulation indicator
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
USD980425S1 (en) 2020-10-29 2023-03-07 Cilag Gmbh International Surgical instrument assembly
US11717289B2 (en) 2020-10-29 2023-08-08 Cilag Gmbh International Surgical instrument comprising an indicator which indicates that an articulation drive is actuatable
US11627967B2 (en) 2020-11-23 2023-04-18 Covidien Lp Trans-anastomotic insertion device
US11737751B2 (en) 2020-12-02 2023-08-29 Cilag Gmbh International Devices and methods of managing energy dissipated within sterile barriers of surgical instrument housings
US11653920B2 (en) 2020-12-02 2023-05-23 Cilag Gmbh International Powered surgical instruments with communication interfaces through sterile barrier
US11744581B2 (en) 2020-12-02 2023-09-05 Cilag Gmbh International Powered surgical instruments with multi-phase tissue treatment
US11653915B2 (en) 2020-12-02 2023-05-23 Cilag Gmbh International Surgical instruments with sled location detection and adjustment features
US11849943B2 (en) 2020-12-02 2023-12-26 Cilag Gmbh International Surgical instrument with cartridge release mechanisms
US11678882B2 (en) 2020-12-02 2023-06-20 Cilag Gmbh International Surgical instruments with interactive features to remedy incidental sled movements
US11627960B2 (en) 2020-12-02 2023-04-18 Cilag Gmbh International Powered surgical instruments with smart reload with separately attachable exteriorly mounted wiring connections
US11890010B2 (en) 2020-12-02 2024-02-06 Cllag GmbH International Dual-sided reinforced reload for surgical instruments
US11534170B2 (en) 2021-01-04 2022-12-27 Covidien Lp Anvil buttress attachment for surgical stapling apparatus
US11877750B2 (en) 2021-01-21 2024-01-23 Covidien Lp Surgical stapler with powered and manual functions
US11786241B2 (en) 2021-02-16 2023-10-17 Covidien Lp Surgical stapling device including a hydraulic staple formation mechanism
US11793514B2 (en) 2021-02-26 2023-10-24 Cilag Gmbh International Staple cartridge comprising sensor array which may be embedded in cartridge body
US11812964B2 (en) 2021-02-26 2023-11-14 Cilag Gmbh International Staple cartridge comprising a power management circuit
US11744583B2 (en) 2021-02-26 2023-09-05 Cilag Gmbh International Distal communication array to tune frequency of RF systems
US11751869B2 (en) 2021-02-26 2023-09-12 Cilag Gmbh International Monitoring of multiple sensors over time to detect moving characteristics of tissue
US11723657B2 (en) 2021-02-26 2023-08-15 Cilag Gmbh International Adjustable communication based on available bandwidth and power capacity
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
US11701113B2 (en) 2021-02-26 2023-07-18 Cilag Gmbh International Stapling instrument comprising a separate power antenna and a data transfer antenna
US11696757B2 (en) 2021-02-26 2023-07-11 Cilag Gmbh International Monitoring of internal systems to detect and track cartridge motion status
US11759202B2 (en) 2021-03-22 2023-09-19 Cilag Gmbh International Staple cartridge comprising an implantable layer
US11737749B2 (en) 2021-03-22 2023-08-29 Cilag Gmbh International Surgical stapling instrument comprising a retraction system
US11826042B2 (en) 2021-03-22 2023-11-28 Cilag Gmbh International Surgical instrument comprising a firing drive including a selectable leverage mechanism
US11806011B2 (en) 2021-03-22 2023-11-07 Cilag Gmbh International Stapling instrument comprising tissue compression systems
US11717291B2 (en) 2021-03-22 2023-08-08 Cilag Gmbh International Staple cartridge comprising staples configured to apply different tissue compression
US11723658B2 (en) 2021-03-22 2023-08-15 Cilag Gmbh International Staple cartridge comprising a firing lockout
US11826012B2 (en) 2021-03-22 2023-11-28 Cilag Gmbh International Stapling instrument comprising a pulsed motor-driven firing rack
US11857183B2 (en) 2021-03-24 2024-01-02 Cilag Gmbh International Stapling assembly components having metal substrates and plastic bodies
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
US11896219B2 (en) 2021-03-24 2024-02-13 Cilag Gmbh International Mating features between drivers and underside of a cartridge deck
US11849944B2 (en) 2021-03-24 2023-12-26 Cilag Gmbh International Drivers for fastener cartridge assemblies having rotary drive screws
US11832816B2 (en) 2021-03-24 2023-12-05 Cilag Gmbh International Surgical stapling assembly comprising nonplanar staples and planar staples
US11849945B2 (en) 2021-03-24 2023-12-26 Cilag Gmbh International Rotary-driven surgical stapling assembly comprising eccentrically driven firing member
US11793516B2 (en) 2021-03-24 2023-10-24 Cilag Gmbh International Surgical staple cartridge comprising longitudinal support beam
US11786239B2 (en) 2021-03-24 2023-10-17 Cilag Gmbh International Surgical instrument articulation joint arrangements comprising multiple moving linkage features
US11903582B2 (en) 2021-03-24 2024-02-20 Cilag Gmbh International Leveraging surfaces for cartridge installation
US11896218B2 (en) 2021-03-24 2024-02-13 Cilag Gmbh International Method of using a powered stapling device
US11744603B2 (en) 2021-03-24 2023-09-05 Cilag Gmbh International Multi-axis pivot joints for surgical instruments and methods for manufacturing same
US11553920B2 (en) 2021-05-03 2023-01-17 Covidien Lp Trocar retainer assembly for surgical stapler
US11490894B1 (en) 2021-05-12 2022-11-08 Covidien Lp Surgical device with grease filter
US11642131B2 (en) 2021-05-17 2023-05-09 Covidien Lp Devices and methods for shortening a rectal stump during a lower anterior resection procedure
US11612400B2 (en) 2021-05-24 2023-03-28 Covidien Lp Trocar assembly with bearing assembly for load sharing
US11826047B2 (en) 2021-05-28 2023-11-28 Cilag Gmbh International Stapling instrument comprising jaw mounts
US11510670B1 (en) 2021-06-23 2022-11-29 Covidien Lp Buttress attachment for surgical stapling apparatus
US11596399B2 (en) 2021-06-23 2023-03-07 Covidien Lp Anvil buttress attachment for surgical stapling apparatus
US11672538B2 (en) 2021-06-24 2023-06-13 Covidien Lp Surgical stapling device including a buttress retention assembly
US11678879B2 (en) 2021-07-01 2023-06-20 Covidien Lp Buttress attachment for surgical stapling apparatus
US11684368B2 (en) 2021-07-14 2023-06-27 Covidien Lp Surgical stapling device including a buttress retention assembly
US11819208B2 (en) 2021-08-05 2023-11-21 Covidien Lp Handheld electromechanical surgical device with strain gauge drift detection
US11744592B2 (en) 2021-08-05 2023-09-05 Covidien Lp Handheld electromechanical stapler with tissue thickness detection
US11737759B2 (en) 2021-08-05 2023-08-29 Covidien Lp Surgical stapling device accommodating prolapsed tissue
US11801052B2 (en) 2021-08-30 2023-10-31 Covidien Lp Assemblies for surgical stapling instruments
US11883028B2 (en) 2021-09-08 2024-01-30 Covidien Lp Systems and methods for post-operative anastomotic leak detection
US11717299B2 (en) 2021-10-12 2023-08-08 Covidien Lp Surgical stapling device with probiotics
US11751875B2 (en) 2021-10-13 2023-09-12 Coviden Lp Surgical buttress attachment assemblies for surgical stapling apparatus
US11877745B2 (en) 2021-10-18 2024-01-23 Cilag Gmbh International Surgical stapling assembly having longitudinally-repeating staple leg clusters
US11806017B2 (en) 2021-11-23 2023-11-07 Covidien Lp Anvil buttress loading system for surgical stapling apparatus

Citations (80)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3388847A (en) * 1965-08-20 1968-06-18 Kasulin Vyacheslav Sergeevich Surgical instrument for suturing hollow organs
US3552626A (en) * 1968-02-02 1971-01-05 Georgy Vasilievich Astafiev Instrument for circular suturing of hollow body organs
US3638652A (en) * 1970-06-01 1972-02-01 James L Kelley Surgical instrument for intraluminal anastomosis
US4198982A (en) * 1978-03-31 1980-04-22 Memorial Hospital For Cancer And Allied Diseases Surgical stapling instrument and method
US4207898A (en) * 1978-03-27 1980-06-17 Senco Products, Inc. Intralumenal anastomosis surgical stapling instrument
US4319576A (en) * 1980-02-26 1982-03-16 Senco Products, Inc. Intralumenal anastomosis surgical stapling instrument
US4379457A (en) * 1981-02-17 1983-04-12 United States Surgical Corporation Indicator for surgical stapler
US4505272A (en) * 1982-02-23 1985-03-19 Vsesojozny Naucho-Issledovatelsky i Ispytatelny Institut Meditsinskoi Tekhniki Surgical suturing instrument for performing anastomoses between structures of the digestive tract
US4505414A (en) * 1983-10-12 1985-03-19 Filipi Charles J Expandable anvil surgical stapler
US4573468A (en) * 1977-05-26 1986-03-04 United States Surgical Corporation Hollow body organ stapling instrument and disposable cartridge employing relief vents
US4576167A (en) * 1981-09-03 1986-03-18 United States Surgical Corporation Surgical stapler apparatus with curved shaft
US4592354A (en) * 1983-10-11 1986-06-03 Senmed, Inc. Tissue retention spool for intraluminal anastomotic surgical stapling instrument and methods
US4667673A (en) * 1984-03-12 1987-05-26 American Cyanamid Company Anastomotic device applicator and method
US4671445A (en) * 1984-08-09 1987-06-09 Baxter Travenol Laboratories, Inc. Flexible surgical stapler assembly
US4754909A (en) * 1984-08-09 1988-07-05 Barker John M Flexible stapler
US4817847A (en) * 1986-04-21 1989-04-04 Finanzaktiengesellschaft Globe Control Instrument and a procedure for performing an anastomosis
US4893662A (en) * 1988-12-06 1990-01-16 Vito Gervasi Cutting tool
US4903697A (en) * 1986-03-27 1990-02-27 Semion Resnick Cartridge assembly for a surgical stapling instrument
US4907591A (en) * 1988-03-29 1990-03-13 Pfizer Hospital Products Group, Inc. Surgical instrument for establishing compression anastomosis
US4917114A (en) * 1986-10-17 1990-04-17 United States Surgical Corporation Surgical fastener and surgical stapling apparatus
US5005749A (en) * 1988-07-01 1991-04-09 United States Surgical Corp. Anastomosis surgical stapling instrument
US5104025A (en) * 1990-09-28 1992-04-14 Ethicon, Inc. Intraluminal anastomotic surgical stapler with detached anvil
US5119983A (en) * 1987-05-26 1992-06-09 United States Surgical Corporation Surgical stapler apparatus
US5122156A (en) * 1990-12-14 1992-06-16 United States Surgical Corporation Apparatus for securement and attachment of body organs
US5188638A (en) * 1992-02-06 1993-02-23 Tzakis Andreas G Apparatus and method for preforming anastomosis fastener securement of hollow organs
US5193731A (en) * 1988-07-01 1993-03-16 United States Surgical Corporation Anastomosis surgical stapling instrument
US5197648A (en) * 1988-11-29 1993-03-30 Gingold Bruce S Surgical stapling apparatus
US5197649A (en) * 1991-10-29 1993-03-30 The Trustees Of Columbia University In The City Of New York Gastrointestinal endoscoptic stapler
US5205459A (en) * 1991-08-23 1993-04-27 Ethicon, Inc. Surgical anastomosis stapling instrument
US5221036A (en) * 1991-06-11 1993-06-22 Haruo Takase Surgical stapler
US5222963A (en) * 1991-01-17 1993-06-29 Ethicon, Inc. Pull-through circular anastomosic intraluminal stapler with absorbable fastener means
US5285944A (en) * 1987-05-26 1994-02-15 United States Surgical Corporation Surgical stapler apparatus
US5285810A (en) * 1993-02-11 1994-02-15 Itt Corporation Pressure-reducing regulator for compressed natural gas
US5309927A (en) * 1992-10-22 1994-05-10 Ethicon, Inc. Circular stapler tissue retention spring method
US5312024A (en) * 1992-02-07 1994-05-17 Ethicon, Inc. Surgical anastomosis stapling instrument with flexible support shaft and anvil adjusting mechanism
US5314435A (en) * 1992-05-19 1994-05-24 United States Surgical Corporation Anvil delivery system
US5314436A (en) * 1992-10-30 1994-05-24 Wilk Peter J Method and apparatus for performing end-to-end anastomoses
US5330486A (en) * 1992-07-29 1994-07-19 Wilk Peter J Laparoscopic or endoscopic anastomosis technique and associated instruments
US5395030A (en) * 1992-06-04 1995-03-07 Olympus Optical Co., Ltd. Surgical device for stapling and fastening body tissues
US5403326A (en) * 1993-02-01 1995-04-04 The Regents Of The University Of California Method for performing a gastric wrap of the esophagus for use in the treatment of esophageal reflux
US5403333A (en) * 1990-08-28 1995-04-04 Robert L. Kaster Side-to-end vascular anastomotic staple apparatus
US5404870A (en) * 1993-05-28 1995-04-11 Ethicon, Inc. Method of using a transanal inserter
US5433721A (en) * 1992-01-17 1995-07-18 Ethicon, Inc. Endoscopic instrument having a torsionally stiff drive shaft for applying fasteners to tissue
US5497934A (en) * 1993-08-19 1996-03-12 United States Surgical Corporation Surgical apparatus with indicator
US5522434A (en) * 1993-10-18 1996-06-04 Texo Ab Apparatus for controlling a drive motor in a weaving machine
US5533661A (en) * 1991-08-23 1996-07-09 Ethicon, Inc. Sealing means for endoscopic surgical anastomosis stapling instrument
US5626588A (en) * 1992-04-30 1997-05-06 Lasersurge, Inc. Trocar wound closure device
US5639008A (en) * 1994-08-25 1997-06-17 The United States Surgical Corporation Anvil for circular stapler
US5709335A (en) * 1994-06-17 1998-01-20 Heartport, Inc. Surgical stapling instrument and method thereof
US5715987A (en) * 1994-04-05 1998-02-10 Tracor Incorporated Constant width, adjustable grip, staple apparatus and method
US5718360A (en) * 1992-09-08 1998-02-17 United States Surgical Corporation Surgical apparatus and detachable anvil rod therefor
US5720775A (en) * 1996-07-31 1998-02-24 Cordis Corporation Percutaneous atrial line ablation catheter
US5732872A (en) * 1994-06-17 1998-03-31 Heartport, Inc. Surgical stapling instrument
US5855312A (en) * 1996-07-25 1999-01-05 Toledano; Haviv Flexible annular stapler for closed surgery of hollow organs
US5860581A (en) * 1994-03-24 1999-01-19 United States Surgical Corporation Anvil for circular stapler
US5868760A (en) * 1994-12-07 1999-02-09 Mcguckin, Jr.; James F. Method and apparatus for endolumenally resectioning tissue
US5881943A (en) * 1994-06-17 1999-03-16 Heartport, Inc. Surgical anastomosis apparatus and method thereof
US5915616A (en) * 1991-10-18 1999-06-29 United States Surgical Corporation Surgical fastener applying apparatus
US6050472A (en) * 1996-04-26 2000-04-18 Olympus Optical Co., Ltd. Surgical anastomosis stapler
US6053390A (en) * 1992-05-19 2000-04-25 United States Surgical Anvil for surgical stapler
US6068636A (en) * 1999-04-23 2000-05-30 Chen; Te-Chuan Intra-intestinal bypass gun
US6083241A (en) * 1998-11-23 2000-07-04 Ethicon Endo-Surgery, Inc. Method of use of a circular stapler for hemorrhoidal procedure
US6179195B1 (en) * 1998-06-19 2001-01-30 Scimed Life Systems, Inc. Method and device for full thickness resectioning of an organ
US6193129B1 (en) * 2000-01-24 2001-02-27 Ethicon Endo-Surgery, Inc. Cutting blade for a surgical anastomosis stapling instrument
US6203553B1 (en) * 1999-09-08 2001-03-20 United States Surgical Stapling apparatus and method for heart valve replacement
US6258107B1 (en) * 1998-08-17 2001-07-10 DEUTSCHES ZENTRUM FüR LUFT-UND RAUMFAHRT E.V. Apparatus for connecting a variety of surgical instruments to an operating control device
US6338737B1 (en) * 1997-07-17 2002-01-15 Haviv Toledano Flexible annular stapler for closed surgery of hollow organs
US6387105B1 (en) * 1995-02-24 2002-05-14 Gifford, Iii Hanson S. Devices and methods for performing a vascular anastomosis
US6398795B1 (en) * 2000-11-30 2002-06-04 Scimed Life Systems, Inc. Stapling and cutting in resectioning for full thickness resection devices
US6402008B1 (en) * 1999-04-19 2002-06-11 Deborah A. Lucas Surgical stapler assembly with interchangeable heads
US6503259B2 (en) * 2000-12-27 2003-01-07 Ethicon, Inc. Expandable anastomotic device
US6517566B1 (en) * 1998-05-11 2003-02-11 Surgical Connections, Inc. Devices and methods for treating e.g. urinary stress incontinence
US6520398B2 (en) * 1998-03-10 2003-02-18 Enrico Nicolo Circular stapler for side to end, side to side and end to side anastomosis
US6533157B1 (en) * 2000-02-22 2003-03-18 Power Medical Interventions, Inc. Tissue stapling attachment for use with an electromechanical driver device
US6578751B2 (en) * 2001-09-26 2003-06-17 Scimed Life Systems, Inc. Method of sequentially firing staples using springs and a rotary or linear shutter
US6585144B2 (en) * 1998-06-19 2003-07-01 Acimed Life Systems, Inc. Integrated surgical staple retainer for a full thickness resectioning device
US6681979B2 (en) * 2000-02-22 2004-01-27 Power Medical Interventions, Inc. Fluid delivery device for use with anastomosing stapling, and resecting instruments
US6685079B2 (en) * 2002-05-24 2004-02-03 Scimed Life Systems, Inc. Full thickness resectioning device
US6695199B2 (en) * 2000-02-22 2004-02-24 Power Medical Interventions, Inc. Fluid delivery mechanism for use with anastomosing, stapling, and resecting instruments
US6716233B1 (en) * 1999-06-02 2004-04-06 Power Medical Interventions, Inc. Electromechanical driver and remote surgical instrument attachment having computer assisted control capabilities

Family Cites Families (55)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4603693A (en) 1977-05-26 1986-08-05 United States Surgical Corporation Instrument for circular surgical stapling of hollow body organs and disposable cartridge therefor
US4304236A (en) 1977-05-26 1981-12-08 United States Surgical Corporation Stapling instrument having an anvil-carrying part of particular geometric shape
SU1088712A1 (en) 1979-11-14 1984-04-30 Всесоюзный научно-исследовательский и испытательный институт медицинской техники Apparatus for circular suture of blood vessels
US4289133A (en) 1980-02-28 1981-09-15 Senco Products, Inc. Cut-through backup washer for the scalpel of an intraluminal surgical stapling instrument
US4606343A (en) 1980-08-18 1986-08-19 United States Surgical Corporation Self-powered surgical fastening instrument
US4351466A (en) 1980-10-16 1982-09-28 United States Surgical Corporation Disposable instrument for surgical fastening
US4476863A (en) 1981-03-09 1984-10-16 Kanshin Nikolai N Surgical instrument for establishing circular coloanastomoses
US4473077A (en) 1982-05-28 1984-09-25 United States Surgical Corporation Surgical stapler apparatus with flexible shaft
US4485817A (en) 1982-05-28 1984-12-04 United States Surgical Corporation Surgical stapler apparatus with flexible shaft
US4573463A (en) * 1982-08-02 1986-03-04 Hall Lester B Breathing mask
US4488523A (en) 1982-09-24 1984-12-18 United States Surgical Corporation Flexible, hydraulically actuated device for applying surgical fasteners
US4550870A (en) 1983-10-13 1985-11-05 Alchemia Ltd. Partnership Stapling device
US4703887A (en) 1985-01-28 1987-11-03 Ethicon, Inc. Collapsible purse string aid for use with intraluminal stapling device
JPS635697Y2 (en) 1985-04-04 1988-02-17
US4700703A (en) 1986-03-27 1987-10-20 Semion Resnick Cartridge assembly for a surgical stapling instrument
US4893622A (en) 1986-10-17 1990-01-16 United States Surgical Corporation Method of stapling tubular body organs
US4873977A (en) 1987-02-11 1989-10-17 Odis L. Avant Stapling method and apparatus for vesicle-urethral re-anastomosis following retropubic prostatectomy and other tubular anastomosis
US5158222A (en) 1987-05-26 1992-10-27 United States Surgical Corp. Surgical stapler apparatus
SU1616624A1 (en) 1987-07-14 1990-12-30 Предприятие П/Я А-3697 Surgical suturing apparatus
CH677728A5 (en) 1989-10-17 1991-06-28 Bieffe Medital Sa
US5047039A (en) 1990-09-14 1991-09-10 Odis Lynn Avant Method and apparatus for effecting dorsal vein ligation and tubular anastomosis and laparoscopic prostatectomy
US5253793A (en) 1990-09-17 1993-10-19 United States Surgical Corporation Apparatus for applying two-part surgical fasteners
US5042707A (en) 1990-10-16 1991-08-27 Taheri Syde A Intravascular stapler, and method of operating same
CA2055943C (en) 1990-12-06 2003-09-23 Daniel P. Rodak Surgical fastening apparatus with locking mechanism
US5346115A (en) 1991-03-29 1994-09-13 Eric Perouse Surgical staple inserter
US5333773A (en) 1991-08-23 1994-08-02 Ethicon, Inc. Sealing means for endoscopic surgical anastomosis stapling instrument
US5474223A (en) 1991-10-18 1995-12-12 United States Surgical Corporation Surgical fastener applying apparatus
US5348259A (en) 1992-02-10 1994-09-20 Massachusetts Institute Of Technology Flexible, articulable column
US5282810A (en) 1992-04-08 1994-02-01 American Cyanamid Company Surgical anastomosis device
US5355897A (en) 1992-04-16 1994-10-18 Ethicon, Inc. Method of performing a pyloroplasty/pylorectomy using a stapler having a shield
JP2003111763A (en) * 1992-06-04 2003-04-15 Olympus Optical Co Ltd Surgical device for stapling and fastening body tissues
US5658300A (en) 1992-06-04 1997-08-19 Olympus Optical Co., Ltd. Tissue fixing surgical instrument, tissue-fixing device, and method of fixing tissues
JP3851849B2 (en) * 1992-06-04 2006-11-29 オリンパス株式会社 Tissue suture ligator
US5360154A (en) 1992-07-17 1994-11-01 United States Surgical Corporation Apparatus for creating partial anastomoses
US5261920A (en) 1992-08-21 1993-11-16 Ethicon, Inc. Anvil bushing for circular stapler
US5603259A (en) * 1993-08-31 1997-02-18 Crown Roll Leaf, Inc. In-line cold foil transfer process and apparatus
US5522534A (en) 1993-10-01 1996-06-04 United States Surgical Corporation Anvil for surgical stapler
US5437684A (en) 1993-10-01 1995-08-01 United States Surgical Corporation Circular anastomosis device
US5454825A (en) 1993-10-01 1995-10-03 United States Surgical Corporation Circular anastomosis device with seal
US5447514A (en) 1993-10-01 1995-09-05 United States Surgical Corporation Circular anastomosis device
US5503635A (en) * 1993-11-12 1996-04-02 United States Surgical Corporation Apparatus and method for performing compressional anastomoses
US5685474A (en) 1994-10-04 1997-11-11 United States Surgical Corporation Tactile indicator for surgical instrument
DE19509115C2 (en) 1995-03-16 1997-11-27 Deutsche Forsch Luft Raumfahrt Surgical device for preparing an anastomosis using minimally invasive surgical techniques
US5839639A (en) * 1995-08-17 1998-11-24 Lasersurge, Inc. Collapsible anvil assembly and applicator instrument
US6119913A (en) * 1996-06-14 2000-09-19 Boston Scientific Corporation Endoscopic stapler
US5964782A (en) * 1997-09-18 1999-10-12 Scimed Life Systems, Inc. Closure device and method
US6113609A (en) * 1998-05-26 2000-09-05 Scimed Life Systems, Inc. Implantable tissue fastener and system for treating gastroesophageal reflux disease
US6601749B2 (en) * 1998-06-19 2003-08-05 Scimed Life Systems, Inc. Multi fire full thickness resectioning device
US6146387A (en) * 1998-08-26 2000-11-14 Linvatec Corporation Cannulated tissue anchor system
US6482178B1 (en) * 1999-05-21 2002-11-19 Cook Urological Incorporated Localization device with anchoring barbs
US6494888B1 (en) * 1999-06-22 2002-12-17 Ndo Surgical, Inc. Tissue reconfiguration
EP1229840A4 (en) * 1999-11-11 2009-03-25 Linvatec Corp Toggle anchor and tool for insertion thereof
US20020025243A1 (en) * 2001-02-02 2002-02-28 Heck Christopher Francis Surgical stapling instrument and method thereof
EP2392267B1 (en) * 2001-04-03 2018-07-11 Covidien LP Surgical stapling device for performing circular anastomoses
US6773440B2 (en) * 2002-07-02 2004-08-10 Satiety, Inc. Method and device for use in tissue approximation and fixation

Patent Citations (100)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3388847A (en) * 1965-08-20 1968-06-18 Kasulin Vyacheslav Sergeevich Surgical instrument for suturing hollow organs
US3552626A (en) * 1968-02-02 1971-01-05 Georgy Vasilievich Astafiev Instrument for circular suturing of hollow body organs
US3638652A (en) * 1970-06-01 1972-02-01 James L Kelley Surgical instrument for intraluminal anastomosis
US4573468A (en) * 1977-05-26 1986-03-04 United States Surgical Corporation Hollow body organ stapling instrument and disposable cartridge employing relief vents
US4207898A (en) * 1978-03-27 1980-06-17 Senco Products, Inc. Intralumenal anastomosis surgical stapling instrument
US4198982A (en) * 1978-03-31 1980-04-22 Memorial Hospital For Cancer And Allied Diseases Surgical stapling instrument and method
US4319576B1 (en) * 1980-02-26 1986-02-25
US4319576A (en) * 1980-02-26 1982-03-16 Senco Products, Inc. Intralumenal anastomosis surgical stapling instrument
US4379457A (en) * 1981-02-17 1983-04-12 United States Surgical Corporation Indicator for surgical stapler
US4576167A (en) * 1981-09-03 1986-03-18 United States Surgical Corporation Surgical stapler apparatus with curved shaft
US4646745A (en) * 1981-09-03 1987-03-03 United States Surgical Corporation Surgical stapler apparatus with curved shaft
US4505272A (en) * 1982-02-23 1985-03-19 Vsesojozny Naucho-Issledovatelsky i Ispytatelny Institut Meditsinskoi Tekhniki Surgical suturing instrument for performing anastomoses between structures of the digestive tract
US4592354A (en) * 1983-10-11 1986-06-03 Senmed, Inc. Tissue retention spool for intraluminal anastomotic surgical stapling instrument and methods
US4505414A (en) * 1983-10-12 1985-03-19 Filipi Charles J Expandable anvil surgical stapler
US4667673A (en) * 1984-03-12 1987-05-26 American Cyanamid Company Anastomotic device applicator and method
US4671445A (en) * 1984-08-09 1987-06-09 Baxter Travenol Laboratories, Inc. Flexible surgical stapler assembly
US4754909A (en) * 1984-08-09 1988-07-05 Barker John M Flexible stapler
US4903697A (en) * 1986-03-27 1990-02-27 Semion Resnick Cartridge assembly for a surgical stapling instrument
US4817847A (en) * 1986-04-21 1989-04-04 Finanzaktiengesellschaft Globe Control Instrument and a procedure for performing an anastomosis
US4917114A (en) * 1986-10-17 1990-04-17 United States Surgical Corporation Surgical fastener and surgical stapling apparatus
US5392979A (en) * 1987-05-26 1995-02-28 United States Surgical Corporation Surgical stapler apparatus
US5119983A (en) * 1987-05-26 1992-06-09 United States Surgical Corporation Surgical stapler apparatus
US5285944A (en) * 1987-05-26 1994-02-15 United States Surgical Corporation Surgical stapler apparatus
US4907591A (en) * 1988-03-29 1990-03-13 Pfizer Hospital Products Group, Inc. Surgical instrument for establishing compression anastomosis
US5193731A (en) * 1988-07-01 1993-03-16 United States Surgical Corporation Anastomosis surgical stapling instrument
US5005749A (en) * 1988-07-01 1991-04-09 United States Surgical Corp. Anastomosis surgical stapling instrument
US5197648A (en) * 1988-11-29 1993-03-30 Gingold Bruce S Surgical stapling apparatus
US4893662A (en) * 1988-12-06 1990-01-16 Vito Gervasi Cutting tool
US5403333A (en) * 1990-08-28 1995-04-04 Robert L. Kaster Side-to-end vascular anastomotic staple apparatus
US5104025A (en) * 1990-09-28 1992-04-14 Ethicon, Inc. Intraluminal anastomotic surgical stapler with detached anvil
US5122156A (en) * 1990-12-14 1992-06-16 United States Surgical Corporation Apparatus for securement and attachment of body organs
US5222963A (en) * 1991-01-17 1993-06-29 Ethicon, Inc. Pull-through circular anastomosic intraluminal stapler with absorbable fastener means
US5221036A (en) * 1991-06-11 1993-06-22 Haruo Takase Surgical stapler
US5533661A (en) * 1991-08-23 1996-07-09 Ethicon, Inc. Sealing means for endoscopic surgical anastomosis stapling instrument
US5205459A (en) * 1991-08-23 1993-04-27 Ethicon, Inc. Surgical anastomosis stapling instrument
US5275322A (en) * 1991-08-23 1994-01-04 Ethicon, Inc. Surgical anastomosis stapling instrument
US5285945A (en) * 1991-08-23 1994-02-15 Ethicon, Inc. Surgical anastomosis stapling instrument
US5292053A (en) * 1991-08-23 1994-03-08 Ethicon, Inc. Surgical anastomosis stapling instrument
US5915616A (en) * 1991-10-18 1999-06-29 United States Surgical Corporation Surgical fastener applying apparatus
US5411508A (en) * 1991-10-29 1995-05-02 The Trustees Of Columbia University In The City Of New York Gastrointestinal approximating and tissue attaching device
US5197649A (en) * 1991-10-29 1993-03-30 The Trustees Of Columbia University In The City Of New York Gastrointestinal endoscoptic stapler
US5433721A (en) * 1992-01-17 1995-07-18 Ethicon, Inc. Endoscopic instrument having a torsionally stiff drive shaft for applying fasteners to tissue
US5188638A (en) * 1992-02-06 1993-02-23 Tzakis Andreas G Apparatus and method for preforming anastomosis fastener securement of hollow organs
US5609285A (en) * 1992-02-07 1997-03-11 Ethicon, Inc. Surgical anastomosis stapling instrument with flexible support shaft and anvil adjusting mechanism
US5312024A (en) * 1992-02-07 1994-05-17 Ethicon, Inc. Surgical anastomosis stapling instrument with flexible support shaft and anvil adjusting mechanism
US5632433A (en) * 1992-02-07 1997-05-27 Ethicon, Inc. Surgical anastomosis stapling instrument with flexible support shaft and anvil adjusting mechanism
US5626588A (en) * 1992-04-30 1997-05-06 Lasersurge, Inc. Trocar wound closure device
US5314435A (en) * 1992-05-19 1994-05-24 United States Surgical Corporation Anvil delivery system
US6053390A (en) * 1992-05-19 2000-04-25 United States Surgical Anvil for surgical stapler
US5395030A (en) * 1992-06-04 1995-03-07 Olympus Optical Co., Ltd. Surgical device for stapling and fastening body tissues
US5330486A (en) * 1992-07-29 1994-07-19 Wilk Peter J Laparoscopic or endoscopic anastomosis technique and associated instruments
US5718360A (en) * 1992-09-08 1998-02-17 United States Surgical Corporation Surgical apparatus and detachable anvil rod therefor
US5309927A (en) * 1992-10-22 1994-05-10 Ethicon, Inc. Circular stapler tissue retention spring method
US5314436A (en) * 1992-10-30 1994-05-24 Wilk Peter J Method and apparatus for performing end-to-end anastomoses
US5403326A (en) * 1993-02-01 1995-04-04 The Regents Of The University Of California Method for performing a gastric wrap of the esophagus for use in the treatment of esophageal reflux
US5285810A (en) * 1993-02-11 1994-02-15 Itt Corporation Pressure-reducing regulator for compressed natural gas
US5404870A (en) * 1993-05-28 1995-04-11 Ethicon, Inc. Method of using a transanal inserter
US5497934A (en) * 1993-08-19 1996-03-12 United States Surgical Corporation Surgical apparatus with indicator
US5522434A (en) * 1993-10-18 1996-06-04 Texo Ab Apparatus for controlling a drive motor in a weaving machine
US5860581A (en) * 1994-03-24 1999-01-19 United States Surgical Corporation Anvil for circular stapler
US5715987A (en) * 1994-04-05 1998-02-10 Tracor Incorporated Constant width, adjustable grip, staple apparatus and method
US5732872A (en) * 1994-06-17 1998-03-31 Heartport, Inc. Surgical stapling instrument
US6176413B1 (en) * 1994-06-17 2001-01-23 Heartport, Inc. Surgical anastomosis apparatus and method thereof
US5881943A (en) * 1994-06-17 1999-03-16 Heartport, Inc. Surgical anastomosis apparatus and method thereof
US5709335A (en) * 1994-06-17 1998-01-20 Heartport, Inc. Surgical stapling instrument and method thereof
US6253984B1 (en) * 1994-06-17 2001-07-03 Heartport, Inc. Surgical anastomosis apparatus and method thereof
US6209773B1 (en) * 1994-06-17 2001-04-03 Heartport, Inc. Surgical stapling instrument and method thereof
US5758814A (en) * 1994-08-25 1998-06-02 United States Surgical Corporation Anvil for circular stapler
US5639008A (en) * 1994-08-25 1997-06-17 The United States Surgical Corporation Anvil for circular stapler
US6264086B1 (en) * 1994-12-07 2001-07-24 Mcguckin, Jr. James F. Surgical apparatus and method
US5868760A (en) * 1994-12-07 1999-02-09 Mcguckin, Jr.; James F. Method and apparatus for endolumenally resectioning tissue
US6387105B1 (en) * 1995-02-24 2002-05-14 Gifford, Iii Hanson S. Devices and methods for performing a vascular anastomosis
US6050472A (en) * 1996-04-26 2000-04-18 Olympus Optical Co., Ltd. Surgical anastomosis stapler
US5855312A (en) * 1996-07-25 1999-01-05 Toledano; Haviv Flexible annular stapler for closed surgery of hollow organs
US5720775A (en) * 1996-07-31 1998-02-24 Cordis Corporation Percutaneous atrial line ablation catheter
US6338737B1 (en) * 1997-07-17 2002-01-15 Haviv Toledano Flexible annular stapler for closed surgery of hollow organs
US6520398B2 (en) * 1998-03-10 2003-02-18 Enrico Nicolo Circular stapler for side to end, side to side and end to side anastomosis
US6517566B1 (en) * 1998-05-11 2003-02-11 Surgical Connections, Inc. Devices and methods for treating e.g. urinary stress incontinence
US6695198B2 (en) * 1998-06-19 2004-02-24 Scimed Life Systems, Inc. Integrated surgical staple retainer for a full thickness resectioning device
US6585144B2 (en) * 1998-06-19 2003-07-01 Acimed Life Systems, Inc. Integrated surgical staple retainer for a full thickness resectioning device
US6241140B1 (en) * 1998-06-19 2001-06-05 Scimed Life Systems, Inc. Method and device for full-thickness resectioning of an organ
US6179195B1 (en) * 1998-06-19 2001-01-30 Scimed Life Systems, Inc. Method and device for full thickness resectioning of an organ
US6343731B1 (en) * 1998-06-19 2002-02-05 Scimed Life Systems, Inc. Method and device for full thickness resectioning of an organ
US6258107B1 (en) * 1998-08-17 2001-07-10 DEUTSCHES ZENTRUM FüR LUFT-UND RAUMFAHRT E.V. Apparatus for connecting a variety of surgical instruments to an operating control device
US6676671B2 (en) * 1998-09-15 2004-01-13 United States Surgical Stapling apparatus and method for heart valve replacement
US6083241A (en) * 1998-11-23 2000-07-04 Ethicon Endo-Surgery, Inc. Method of use of a circular stapler for hemorrhoidal procedure
US6402008B1 (en) * 1999-04-19 2002-06-11 Deborah A. Lucas Surgical stapler assembly with interchangeable heads
US6068636A (en) * 1999-04-23 2000-05-30 Chen; Te-Chuan Intra-intestinal bypass gun
US6716233B1 (en) * 1999-06-02 2004-04-06 Power Medical Interventions, Inc. Electromechanical driver and remote surgical instrument attachment having computer assisted control capabilities
US6203553B1 (en) * 1999-09-08 2001-03-20 United States Surgical Stapling apparatus and method for heart valve replacement
US6193129B1 (en) * 2000-01-24 2001-02-27 Ethicon Endo-Surgery, Inc. Cutting blade for a surgical anastomosis stapling instrument
US6681979B2 (en) * 2000-02-22 2004-01-27 Power Medical Interventions, Inc. Fluid delivery device for use with anastomosing stapling, and resecting instruments
US6695199B2 (en) * 2000-02-22 2004-02-24 Power Medical Interventions, Inc. Fluid delivery mechanism for use with anastomosing, stapling, and resecting instruments
US6533157B1 (en) * 2000-02-22 2003-03-18 Power Medical Interventions, Inc. Tissue stapling attachment for use with an electromechanical driver device
US6398795B1 (en) * 2000-11-30 2002-06-04 Scimed Life Systems, Inc. Stapling and cutting in resectioning for full thickness resection devices
US6716222B2 (en) * 2000-11-30 2004-04-06 Scimed Life Systems, Inc. Stapling and cutting in resectioning for full thickness resection devices
US6503259B2 (en) * 2000-12-27 2003-01-07 Ethicon, Inc. Expandable anastomotic device
US6578751B2 (en) * 2001-09-26 2003-06-17 Scimed Life Systems, Inc. Method of sequentially firing staples using springs and a rotary or linear shutter
US6742692B2 (en) * 2001-09-26 2004-06-01 Scimed Life Systems, Inc. method of sequentially firing staples using springs and a rotary or linear shutter
US6685079B2 (en) * 2002-05-24 2004-02-03 Scimed Life Systems, Inc. Full thickness resectioning device

Cited By (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20050116009A1 (en) * 2003-10-17 2005-06-02 Milliman Keith L. Surgical stapling device
US7364060B2 (en) * 2003-10-17 2008-04-29 Tyco Healthcare Group Lp Surgical stapling device with tiltable anvil head
US20080190991A1 (en) * 2003-10-17 2008-08-14 Tyco Healthcare Group Lp Surgical stapling device
US20090250502A1 (en) * 2003-10-17 2009-10-08 Tyco Healthcare Group Lp Surgical stapling device
US7857187B2 (en) 2003-10-17 2010-12-28 Tyco Healthcare Group Lp Surgical stapler with tiltable anvil assembly
US20110101065A1 (en) * 2003-10-17 2011-05-05 Tyco Healthcare Group Lp Adaptor for anvil delivery
US8123103B2 (en) 2003-10-17 2012-02-28 Tyco Healthcare Group Lp Adaptor for anvil delivery
US8365974B2 (en) 2003-10-17 2013-02-05 Covidien Lp Surgical stapling device
US8590763B2 (en) 2003-10-17 2013-11-26 Covidien Lp Surgical stapling device
US9492168B2 (en) 2003-10-17 2016-11-15 Covidien Lp Surgical stapling device
JP2012183321A (en) * 2006-03-24 2012-09-27 Tyco Healthcare Group Lp Annular adhesive structure

Also Published As

Publication number Publication date
US7399305B2 (en) 2008-07-15
EP2620104A2 (en) 2013-07-31
WO2005009216A2 (en) 2005-02-03
CA2531909A1 (en) 2005-02-03
AU2004259237B2 (en) 2009-10-22
EP1643914A2 (en) 2006-04-12
US20070038248A1 (en) 2007-02-15
JP2007523691A (en) 2007-08-23
EP1643914A4 (en) 2011-05-11
JP2010214127A (en) 2010-09-30
CA2531909C (en) 2011-02-15
AU2004259237A1 (en) 2005-02-03
JP4755983B2 (en) 2011-08-24
US20050021053A1 (en) 2005-01-27
WO2005009216A3 (en) 2005-10-27
EP1643914B1 (en) 2015-09-23
US6959851B2 (en) 2005-11-01
EP2620104A3 (en) 2014-05-14

Similar Documents

Publication Publication Date Title
US6959851B2 (en) Surgical stapling device with tissue tensioner
EP1576927B1 (en) Surgical stapling device
US8453911B2 (en) Surgical stapler
US8281974B2 (en) Surgical stapler with suture locator
US8746531B2 (en) Surgical stapler
US9022274B2 (en) Circular stapler with increased lumen diameter
US20060049231A1 (en) Surgical stapling instrument and method for its use
US10842495B2 (en) Annular knife for a surgical stapler
EP1949861B1 (en) Surgical stapling device

Legal Events

Date Code Title Description
AS Assignment

Owner name: TYCO HEALTHCARE GROUP, LP, SWITZERLAND

Free format text: ASSIGNMENT OF ASSIGNORS INTEREST;ASSIGNOR:HEINRICH, RUSSELL;REEL/FRAME:017041/0446

Effective date: 20040924

STCB Information on status: application discontinuation

Free format text: ABANDONED -- FAILURE TO RESPOND TO AN OFFICE ACTION