US20140288460A1 - Method and apparatus for hysteroscopy and endometrial biopsy - Google Patents
Method and apparatus for hysteroscopy and endometrial biopsy Download PDFInfo
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- US20140288460A1 US20140288460A1 US13/911,930 US201313911930A US2014288460A1 US 20140288460 A1 US20140288460 A1 US 20140288460A1 US 201313911930 A US201313911930 A US 201313911930A US 2014288460 A1 US2014288460 A1 US 2014288460A1
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Abstract
Methods and devices are described for performing a combined hysteroscopy and endometrial sampling. Techniques for improving visual images include forward facing fluid ports for clearing tissue debris and LED positioning and design. Manufacturability is improved through separately formed tip and shaft pieces. User interface features are described including user-friendly handle-mounted buttons as well the use of an interactive integrated touch screen display. The handle and display can be mated to a docking station for storage and recharging batteries.
Description
- This patent application is a continuation of U.S. application Ser. No. 13/474,429 filed on May 12, 2012, which in turn is which in turn is a continuation-in-part of applications nos. PCT/US12/34698 filed on Apr. 23, 2012 and PCT/US11/051982 filed on Sep. 16, 2011 and U.S. application Ser. No. 12/911,297 filed on Oct. 25, 2010. The parent applications are incorporated by reference. The following related applications also are incorporated by reference:
- International Patent Appl. No. PCT/US12/34698 filed Apr. 23, 2012;
- International Patent Appl. No. PCT/US11/051982 filed Sep. 16, 2011;
- U.S. Ser. No. 12/911,297, filed Oct. 25, 2010;
- U.S. Prov. Ser. No. 61/623,376 filed Apr. 12, 2012;
- U.S. Prov. Ser. No. 61/611,182 filed Mar. 15, 2012;
- U.S. Prov. Ser. No. 61/600,593 filed Feb. 18, 2012;
- Prov. Ser. No. 61/599,981 filed Feb. 17, 2012;
- U.S. Prov. Ser. No. 61/570,816 filed Dec. 14, 2011;
- U.S. Prov. Ser. No. 61/556,167 filed Nov. 4, 2011;
- U.S. Prov. Ser. No. 61/555,470 filed Nov. 3, 2011;
- U.S. Prov. Ser. No. 61/550,391 filed Oct. 22, 2011;
- Prov. Ser. No. 61/544,280 filed Oct. 7, 2011;
- U.S. Prov. Ser. No. 61/539,736 filed Sep. 27, 2011;
- Prov. Ser. No. 61/515,092 filed Aug. 4, 2011;
- U.S. Prov. Ser. No. 61/506,074 filed Jul. 9, 2011;
- U.S. Prov. Ser. No. 61/494,400 filed Jun. 7, 2011;
- U.S. Prov. Ser. No. 61/490,029 filed May 25, 2011;
- U.S. Prov. Ser. No. 61/485,601 filed May 12, 2011;
- U.S. Prov. Ser. No. 61/482,309 filed May 4, 2011;
- U.S. Prov. Ser. No. 61/482,200 filed May 3, 2011;
- U.S. Prov. Ser. No. 61/476,754 filed Apr. 18, 2011;
- U.S. Prov. Ser. No. 61/453,533 filed Mar. 16, 2011;
- U.S. Prov. Ser. No. 61/450,115 filed Mar. 7, 2011;
- U.S. Prov. Ser. No. 61/444,098 filed Feb. 17, 2011;
- U.S. Prov. Ser. No. 61/437,687 filed Jan. 30, 2011;
- U.S. Prov. Ser. No. 61/431,316 filed Jan. 10, 2011;
- U.S. Prov. Ser. No. 61/429,093 filed Dec. 31, 2010;
- U.S. Prov. Ser. No. 61/418,248 filed Nov. 30, 2010;
- U.S. Prov. Ser. No. 61/415,771 filed Nov. 19, 2010; and
- U.S. Prov. Ser. No. 61/324,961 filed Apr. 16, 2010.
- The above-referenced international and U.S. non-provisional and provisional patent applications are collectively referenced herein as “the commonly assigned incorporated applications.”
- The present invention generally relates to a medical device for use in hysteroscopic examinations and sampling of the uterus. More particularly, some embodiments relate to a medical device having integrated visualization and endometrial sampling components.
- Office-based endometrial biopsy is a standard diagnostic procedure used by gynecologists. While efficacious in detection of cancer, endometrial biopsy frequently will not detect endometrial polyps, submucous myomas, and other endometrial pathology. Hysteroscopy, or direct vision of the inside of the uterus (referred to herein as the “uterine cavity” and/or “endometrial cavity”), has been shown to greatly improve diagnostic accuracy. Few gynecologists do office hysteroscopy, however, because of the complexity and expense of the equipment and supplies required. While it is possible to take tiny biopsies through some hysteroscopes that have operating channels, the surgeon usually needs to remove the hysteroscope and then do an endometrial biopsy with a different instrument. The repeated insertion and removal of multiple instruments into the patient's uterine cavity can be uncomfortable for the patient and/or may prolong the time required to complete the hysteroscopy and endometrial sampling procedures compared to performing both procedures without the repeated insertion and removal of different instruments. And, such use of multiple instruments for the same inspection/biopsy procedure requires the expense and inconvenience of buying, stocking and sterilizing such instruments.
- The subject matter claimed herein is not limited to embodiments that solve any disadvantages or that operate only in environments such as those described above. Rather, this background is only provided to illustrate one exemplary technology area where some embodiments described herein may be practiced.
- According to some embodiments, an integrated endoscopic apparatus for examining uterine tissues is described. The apparatus includes: an elongate member having a proximal end, a distal end, and being dimensioned so as to facilitate insertion of the distal end through a patient's cervix and into the uterus; a light delivery system adapted to illuminate the uterine tissues being examined; a side-facing sampling opening in the elongate member located and dimensioned so as to facilitate in collection of endometrial tissues; an electronic imaging module positioned on the distal end of the elongate member; and a distal-facing fluid opening positioned on the distal end of the elongate member so as to improve visual inspection using the electronic imaging module by allowing fluid to flow in a distal direction near the lens thereby reducing debris close to the imaging module. According to some embodiments the elongate member includes separated fluid paths for the side-facing opening and the distal-facing opening and/or internal features to enhance fluid flow from the elongate member through the distal-facing fluid opening. According to some embodiments, the electronic imaging module includes a solid-state CMOS sensor, as well as integrated video processing circuitry substantially co-planar with the sensor, to output standard video signals. According to some embodiments, the apparatus includes a handle and an integrated electronic display monitor.
- According to some embodiments, an integrated endoscopic apparatus for examining uterine tissues is described that includes: an elongate member having a proximal end, a distal end, and being dimensioned so as to facilitate insertion of the distal end through a patient's cervix and into the uterus; an LED-based light delivery system positioned near the distal end and adapted so as to emit light from at least two points greater than 1 mm apart thereby illuminating uterine tissues being examined; a side-facing sampling opening in the elongate member located and dimensioned so as to facilitate in collection of endometrial tissues; an electronic imaging module positioned on the distal end of the elongate member; and a fluid opening positioned on the distal end of the elongate member so as to improve visual inspection using the electronic imaging module by allowing fluid to flow in a distal direction near the lens thereby reducing debris close to the imaging module. According to some embodiments, the electronic imaging module includes a centrally positioned aperture through which light enters the imaging module, and the light delivery system includes two LEDs positioned on the distal end at opposite sides of the aperture from one another. According to some embodiments, the light delivery system includes a ring-shaped LED module positioned so as to surround the aperture.
- According to some embodiments, an integrated endoscopic apparatus for examining uterine tissues is described that includes: an elongate member having a proximal end, a distal end, and being dimensioned so as to facilitate insertion of the distal end through a patient's cervix and into the uterus, wherein the distal end of the elongate member comprises an at least partially hollow shaft member, and a distal tip member wherein the shaft and tip members are separately formed so as to be mated to one another during assembly; a light delivery system adapted to illuminate the uterine tissues being examined; a side-facing sampling opening in the elongate member located and dimensioned so as to facilitate in collection of endometrial tissues; and an electronic imaging module positioned on the distal end of the elongate member. According to some embodiments, a distal-facing fluid opening is positioned on the distal end of the elongate member so as to improve visual inspection using the electronic imaging module by allowing fluid to flow in a distal direction near the lens thereby reducing debris close to the imaging module. According to some embodiments, the shaft and tip members are separately formed for improved assembly yield. The distal tip uses acrylic and the elongate member uses nylon.
- According to some embodiments, a method of manufacturing an integrated endoscopic apparatus for examining uterine tissues is described which includes: forming a distal end tip body that is dimensioned to house a light delivery system adapted to illuminate the uterine tissues being examined, and an electronic imaging module positioned on the distal end of the elongate member, the distal end tip body also being formed so as to provide a side-facing sampling opening in the tip body located and dimensioned so as to facilitate in collection of endometrial tissues; forming an elongate shaft member; and securely attaching the distal tip body to the elongate shaft member thereby forming an elongate member of an integrated endoscope dimensioned so as to facilitate insertion of the distal end through a patient's cervix and into the uterus.
- According to some embodiments a user-friendly integrated endoscopic apparatus for examining uterine tissues is described that includes an elongate member having a proximal end, a distal end, and being dimensioned so as to facilitate insertion of the distal end through a patient's cervix and into the uterus; a light delivery system adapted to illuminate the uterine tissues being examined; a side-facing sampling opening in the elongate member located and dimensioned so as to facilitate in collection of endometrial tissues; an electronic imaging module positioned on the distal end of the elongate member; a handle having a low overall off-axis profile so as to facilitate easy rotation and tilting in use, the handle including a plurality of buttons to control a plurality of features of the apparatus; and an integrated touch-sensitive electronic display monitor being in electrical communication with the electronic imaging module. According to some embodiments a brightness control button is included with which a user can make a selection from at least three different illumination levels from the light delivery system. According to some embodiments, the plurality of buttons includes a capture button with which a user can select either capturing a still image, or capturing video images, which are stored in a storage device within the apparatus. According to some embodiments a lighted battery status indicator is provided that indicates battery status information to a user using two or more colors. According to some embodiments, a plurality of display screens can be displayed on the integrated touch-sensitive display monitor including a basic menu screen from which a plurality of other screens can be accessed, and one of the plurality of buttons on the handle can be used by a user to jump directly to the basic menu screen.
- According to some embodiments, a method for interacting with a user is described including displaying to a user a plurality of screens on a touch-sensitive electronic display monitor, the monitoring being integrated with an endoscopic apparatus. According to some embodiments, user input on the touch sensitive display is received indicating a selection by he user of a stored captured image file (e.g. a still or video image) that the user would like to view. In response to the received user selection, content from the selected stored image file is displayed on the touch sensitive display.
- According to some embodiments, an integrated endoscopic apparatus for examining uterine tissues is described including: an elongate member having a proximal end, a distal end, the distal end including a distal face having a rounded edges so as to facilitate safe insertion of the distal end through a patient's cervix and into the uterus, wherein the edges are rounded to a radius of at least 0.25 millimeters; a light delivery system adapted to illuminate the uterine tissues being examined; an electronic imaging module positioned on the distal end of the elongate member; a handle; and an integrated electronic display monitor, the display monitor being in electrical communication with the electronic imaging module. According to some embodiments the edges of the distal face are rounded to a radius of at least 0.35 millimeters, or at least 0.5 millimeters. According to some embodiments the distal face is convex, so as to decrease collection of inadvertent tissue collection on the distal face which could impair visual examination using the imaging module.
- Other features and other embodiments will become apparent from the description of drawings and detailed description of preferred embodiments below.
- To further clarify the above and other advantages and features of the subject matter of this patent specification, specific examples of embodiments thereof are illustrated in the appended drawings. It should be appreciated that these drawings depict only illustrative embodiments and are therefore not to be considered limiting of the scope of this patent specification or the appended claims. The subject matter hereof will be described and explained with additional specificity and detail through the use of the accompanying drawings in which:
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FIG. 1 is a left side view of a device for combined hysteroscopy and endometrial biopsy according to some embodiments; -
FIG. 2 is a top plan view of a device for combined hysteroscopy and endometrial biopsy according to some embodiments; -
FIG. 3 is a right side view of a device for combined hysteroscopy and endometrial biopsy according to some embodiments; -
FIG. 4 is a distal end view of a device for combined hysteroscopy and endometrial biopsy according to some embodiments; -
FIG. 5 is a proximal end view of a device for combined hysteroscopy and endometrial biopsy according to some embodiments; -
FIG. 6 is a prospective view of a distal tip of a device for combined hysteroscopy and endometrial biopsy according to some embodiments; -
FIG. 7 is a left side view of a distal tip of a device for combined hysteroscopy and endometrial biopsy according to some embodiments; -
FIG. 8A is a right side view of a distal tip assembly of a device for combined hysteroscopy and endometrial biopsy according to some embodiments; -
FIGS. 8B-8E are further views of the distal tip assembly of a device for combined hysteroscopy and endometrial biopsy according to some embodiments; -
FIG. 9 is perspective view of a distal tip of a device for combined hysteroscopy and endometrial biopsy according to some embodiments; -
FIGS. 10 and 11 show details of the internal structure of the shaft having separated fluid channels of a device for combined hysteroscopy and endometrial biopsy according to some embodiments; -
FIGS. 12 , 13 and 14 show internal structures of a distal tip of a device for combined hysteroscopy and endometrial biopsy according to some alternate embodiments; -
FIGS. 15-16 show a distal tip of a device for combined hysteroscopy and endometrial biopsy according to some alternate embodiments; -
FIGS. 17A-17B show a distal tip of a device for combined hysteroscopy and endometrial biopsy having an up-tilted camera module, according to some embodiments; -
FIGS. 18A-18B illustrate how camera tilting effects effective field of view for a device for combined hysteroscopy and endometrial biopsy, according to some embodiments; -
FIG. 19 shows a distal tip of a device for combined hysteroscopy and endometrial biopsy having a prism-aided tilted camera view, according to some embodiments; -
FIGS. 20A-20B and 21A-21B show examples of ring-type LEDs for use with a hysteroscopy device, according to some embodiments; -
FIG. 22 shows a device for combined hysteroscopy and endometrial biopsy having malleable shaft, according to some embodiments; -
FIGS. 23 and 24 show details of the a device for combined hysteroscopy and endometrial biopsy having separate tip and shaft assemblies, according to some embodiments; -
FIG. 25 is an exploded view of some internal components of a distal tip of a device for combined hysteroscopy and endometrial biopsy, according to some embodiments; -
FIGS. 26-28 are cross sections showing examples of different internal shaft structures within a cannula for a device for combined hysteroscopy and endometrial biopsy, according to some embodiments; -
FIGS. 29 and 30 show further details of a distal tip for a device for combined hysteroscopy and endometrial biopsy, according to some embodiments; -
FIGS. 31-33 show a single-use device for combined hysteroscopy and endometrial biopsy, according to various embodiments; -
FIGS. 34-39 show a device combined hysteroscopy and endometrial biopsy having a detachable handle, which can be mated with a docking station, according to some embodiments; -
FIGS. 36 and 37 are a perspective view and a side view, respectively, of the handle and display docked to a base station, according to some embodiments; -
FIG. 40 is a top view of a device for combined hysteroscopy and endometrial biopsy having additional buttons on the handle, according to some embodiments; -
FIG. 41 is shows a display screen user interface for a hysteroscopy device, according to some embodiments; -
FIG. 42 shows details of some elements of a user interface for a hysteroscopy device, according to some embodiments; -
FIG. 43 is a flow chart showing aspects of a user interface for a hysteroscopy device relating to entering new patient information, according to some embodiments; -
FIG. 44 is a flow chart showing aspects of a user interface for a hysteroscopy device relating to previewing images and video, according to some embodiments; -
FIGS. 45A-45B are a flow chart showing aspects of a user interface for a hysteroscopy device relating to playback of saved images and video, according to some embodiments; -
FIG. 46 is a flow chart showing aspects of a user interface for a hysteroscopy device relating to settings, according to some embodiments; -
FIGS. 47-48 are side views showing details of the shapes of distal tips of a hysteroscopy device, according to some embodiments. -
FIGS. 49-51 illustrate further details and embodiments; andFIG. 52 is a flowchart illustrating examples of steps in using certain embodiments; - FIG. A1 illustrates an example medical device including an endoscope and sampling device, according to some embodiments;
- FIG. A2 illustrates an example medical device according to some embodiments;
- FIG. A3 illustrates an example medical device according to some embodiments disclosed herein;
- FIG. A4A illustrates an example medical device according to some embodiments disclosed herein;
- FIG. A4B illustrates an exploded view of a portion of the example medical device shown in FIG. A4A;
- FIGS. A5A-A5C illustrate an example fluid and connector hub for use in a medical device according to some embodiments disclosed herein;
- FIGS. A6A-A6B illustrate an example fluid and connector hub for use in a medical device according to some embodiments disclosed herein;
- FIGS. A7A-A7C illustrate an example fluid and connector hub for use in a medical device according to some embodiments disclosed herein;
- FIG. A8 illustrates an example medical device according to some embodiments disclosed herein;
- FIG. A9 illustrates an example medical device according to some embodiments disclosed herein;
- FIG. A10 illustrates an example medical device according to some embodiments disclosed herein;
- FIG. A11 illustrates a flowchart of an example method of operating the medical device according to some embodiments disclosed herein;
- FIG. A12 illustrates a flowchart of an example method of operating the medical device according to some embodiments disclosed herein; and
- FIG. A13 illustrates a flowchart of an example method of operating the medical device according to some embodiments disclosed herein;
- FIGS. A14A-A14D illustrate a device for combined hysteroscopy and endometrial biopsy according to some embodiments;
- FIGS. A15A-A15D illustrate a device at respective phases of a method for combined hysteroscopy and endometrial sampling according to some preferred embodiments;
- FIGS. A16-A17 illustrate further detail of the handle and display portions of a sampling endoscope, according to some embodiments;
- FIGS. A18A-A18D illustrate closer views of the distal end of a device for combined hysteroscopy and endometrial biopsy, according to some embodiments;
- FIG. A19 illustrates various factors in optimal sensor design for single use video endoscopes, according to some embodiments;
- FIGS. A20A-A20C illustrate details near the distal end of a device having combined hysteroscopy and endometrial sampling capability, according to some embodiments;
- FIGS. A21A-A21B illustrate a sampling endoscope having a pistol grip, according to some embodiments;
- FIGS. A22A-A226 illustrate an endoscope having optical fiber illumination, according to some embodiments;
- FIGS. A23A-A23D illustrate details near the distal end of a device having combined hysteroscopy and endometrial sampling capability, according to some embodiments;
- FIGS. A24A-A248 illustrate details near the distal end of a device having combined hysteroscopy and endometrial sampling capability, according to some embodiments;
- FIGS. A25A-A258 illustrate details near the distal end of a device having combined hysteroscopy and endometrial sampling capability, according to some embodiments;
- FIGS. A26A-A26B illustrate details near the distal end of a device having combined hysteroscopy and endometrial sampling capability, according to some embodiments;
- FIGS. A27A-A27B illustrate details near the distal end of a device having combined hysteroscopy and endometrial sampling capability, according to some embodiments;
- FIGS. A28A-A28B illustrate details near the distal end of a device having combined hysteroscopy and endometrial sampling capability, according to some embodiments;
- FIGS. A29A-A29B illustrate details near the distal end of a device having combined hysteroscopy and endometrial sampling capability, according to some embodiments;
- FIG. A30 is a cross sectional view illustrating further detail of a camera module for use with a device having combined hysteroscopy and endometrial sampling capability, according to some embodiments;
- FIG. A31 illustrates a device having combined hysteroscopy and endometrial ablation capability, according to some embodiments;
- FIGS. A32A-A32C illustrate the distal end of a device having combined hysteroscopy and endometrial ablation capability, according to some embodiments; and
- FIGS. A33A-A33C illustrate a device at respective phases of a method for combined hysteroscopy and endometrial ablation, according to some embodiments.
- A detailed description of examples of preferred embodiments is provided below. While several embodiments are described, it should be understood that the new subject matter described in this patent specification is not limited to any one embodiment or combination of embodiments described herein, but instead encompasses numerous alternatives, modifications, and equivalents. In addition, while numerous specific details are set forth in the following description in order to provide a thorough understanding work, some embodiments can be practiced without some or all of these details. Moreover, for the purpose of clarity, certain technical material that is known in the related art has not been described in detail in order to avoid unnecessarily obscuring the new subject matter described herein. It should be clear that individual features of one or several of the specific embodiments described herein can be used in combination with features or other described embodiments. Further, like reference numbers and designations in the various drawings indicate like elements.
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FIG. 1 is a left side view of a device for combined hysteroscopy and endometrial biopsy according to some embodiments. Many of the elements of the embodiments ofhysteroscope 100 shown inFIG. 1 are the same as or similar to those discussed in the embodiments described in the commonly assigned incorporated applications, and such elements may not be described or may only briefly be described. It will also be appreciated that the aspects of the embodiments described in the commonly assigned incorporated applications may also apply to the embodiments described herein. - The
device 100 is particularly advantageous for enabling a physician to perform an efficient combined hysteroscopic examination and an endometrial biopsy, although it is to be appreciated that other uses forhysteroscope 100 are within the scope of the present teachings. Thehysteroscope 100 can bring about substantial efficiencies in terms of keeping equipment costs low and keeping the time required to perform the procedure modest, while at the same time providing the opportunity for better endometrial sample quality over conventional “blind” endometrial sample collection methods.Hysteroscope 100 includes acannula 102,fluid hub 104, slidingconnector 106, handlebody 108,display mount 112 anddisplay 110. Thecannula 102 is made of adistal tip 120 and ashaft 122. The fluid hub includes one or morefluid ports 114 for delivering fluid into the device and thus into the uterus and/or for applying suction to extract fluid and tissue samples from the uterus. As shown theshaft 122 is curved near its distal end, for example having a 25 degree bend as shown. According to some embodiments, a bend of between 15 and 35 degrees near the distal end has been found to be suitable for many applications. Thedistal tip 120 includes a video camera assembly, lighting elements and fluid ports for in-flow (i.e. out of thedevice 100 and into the patient) and out-flow (i.e. into thedevice 100 and out of the patient). A sampling port on the upper side of thedistal tip 120 also includes a cutting portion, which aids in tissue sample collection, as described in more detail below. Thetip 120 includes a housing body that is made from acrylic, according to some embodiments. Theshaft 122 is made from nylon, according to some embodiments. According to some embodiments thedisplay 110 is a touch screen display, and is able to tilt upwards and downwards by, for example, about 45 degrees. According to some embodiments, inFIG. 1 as in other figures herein, various dimensions are shown that have been found to be suitable for many applications, but those skilled in the art may vary those dimensions without departing from the teachings of this patent specification. According to some embodiments, the cannula 102 (including the camera assembly, LED lighting and fluid ports integrated into the distal tip 120),fluid hub 104 and slidingconnector 106 are designed for a single-use. According to these embodiments thecannula 102,fluid hub 104 andconnector 106 are delivered to the medical practitioner in pre-sterilized package and are intended to be disposed of after a single-use, while thehandle 108 anddisplay 110 are designed to be re-used many times. -
FIG. 2 is a top plan view of a device for combined hysteroscopy and endometrial biopsy according to some embodiments. In this view, three control buttons are shown on thehandle body 108. In particular, ON/OFFbutton 210 is used to toggle thedevice 100 on or off. According to some embodiments, the power ON/OFF button 210 is backlit using two differently colored LEDs to indicate the status ofrechargeable battery 220 to the user. For example, green backlighting can be used to indicate the battery level is OK and red backlighting can be used to indicate thebattery 220 is low (for example, less than 30% capacity remaining, such as used foricon 4218 shown inFIG. 42 infra). According to some embodiments the capacity ofbattery 220 is about 2500 mAh. According to some embodiments, the LED lighting ofbutton 210 can also be used to indicate battery charging status during re-charging of thebattery 220 from an external power source, such as when docked to a base station such as shown inFIGS. 36-37 , infra, or when connected to a USB poweredsource using port 312 shown inFIGS. 3-4 infra. In this case, the backlighting LED shows red while charging the battery and green when thebattery 220 is fully charged. According to some embodiments, the ON/OFF button 210 doubles as a “home” button, such that a shorter press, such as 1 second or less, ofbutton 210 brings up a home screen menu on thedisplay 110, as shown inFIG. 41 , infra, while a longer press will turn the unit off. - LED
brightness control button 212 is used to control the brightness of the LEDs on thedistal tip 120. According to some embodiments a total of four different LED illumination levels has been found to be suitable and thesingle button 212 controls the level by cycling through the levels, changing the illumination level with each button press. The Snap/Video button 214 is used to capture still images and/or video from the camera intip 120. According to some embodiments, pressing Snap/Video button 214 for three seconds or less captures a single still photo, while pressingbutton 214 for longer than three seconds starts video recording. When video is being recorded, a single press ofbutton 214 stops video capture. Further details of the user interface which includes thebuttons touch screen display 110 are described with respect toFIGS. 41-46 infra. According to some embodiments, an audible acknowledgement signal is associated with presses of thebuttons Video button 214 or an OK software button is pressed. -
FIG. 3 is a right side view of a device for combined hysteroscopy and endometrial biopsy according to some embodiments. On the side of thedisplay 110 is arubber flap 310 that coversmini-USB port 312 andSD card slot 314.Flap 310 forms a fluid seal around the edge of the opening. Beneath theflap 310, themini-USB port 312 serves multiple purposes including video-out to an external display, connector to an AC adapter for charging therechargeable battery 220, and/or as a port to a host PC for downloading and uploading images, video and/or settings, as well as for charging therechargeable battery 220. TheSD card slot 314 is used to accept flash memory cards used to store images, video and/or settings for thedevice 100. According to some embodiments a standard size high-capacity (SDHC or SDXC) slot is provided, although smaller form factors such as Mini SD or Micro SD cards, or other types of storage media can be used. -
FIG. 4 is a distal end view of a device for combined hysteroscopy and endometrial biopsy according to some embodiments. Thetip 120 andshaft 122 can be seen, as well as thefluid hub 104,fluid port 114 and handlebody 108. The SD cardUSB port flap 310 is also shown on the side of the display body. Also shown, according to some embodiments is photo/video processing circuitry 410 that can be used to enhance or otherwise manipulate standard video signals and/or images received from the camera module intip 120. -
FIG. 5 is a proximal end view of a device for combined hysteroscopy and endometrial biopsy according to some embodiments. Touch-sensitive screen 110 is preferably 3.5 inches (diagonally) in size. -
FIG. 6 is a prospective view of a distal tip of a device for combined hysteroscopy and endometrial biopsy according to some embodiments.Distal tip 120 includes atip housing 600 that is made from acrylic, according to some embodiments. On the tip side of thetip 120 is thesampling port 610 used to draw fluid out of the patients uterus as well as collect tissue. Thesampling port 610 includes acutting edge 612, which is sharp and positioned so as to facilitate collection of the endometrial sample by scraping. On the distal end of thetip 120 iscamera assembly 640. TwoLEDs light shield 642 acts a lens hood and shields direct light from theLEDs camera 640. - One problem in performing visual inspections of endometrial tissues, and particularly in situations where the endometrial medium, consisting of free tissue, loosely attached tissue and/or fluid, is relatively thick, is that light reflected from tissue particles suspended close to the lens can appear overly-bright and therefore impair imaging of other tissue surfaces. According to some embodiments, two forward facing fluid ports, 620 and 622 are provided to allow fluid to exit the tip and tend to push suspended particulate matter away from the camera so as to enhance image and video capture by
camera 640. In some cases some tissue debris may collect on the distal surface such that imaging would be impaired in such cases the forward facing ports are useful in clearing away such collected tissue. Also it has been found that the forward facing ports are helpful in aiding insertion of the cannula in many cases as the fluid provides lubrication as well as a partial distending of tissues just ahead of the distal tip during insertion. Since the forward facing ports improve visualization, the risk of accidental damage to the uterus is greatly reduced. -
FIG. 7 is a left side view of a distal tip of a device for combined hysteroscopy and endometrial biopsy according to some embodiments. Theacrylic body 600 of thetip 120 preferably includes one ormore ridges 710 to aid in securely fastening thetip 120 to the shaft 122 (not shown). -
FIG. 8A is a right side view of a distal tip assembly of a device for combined hysteroscopy and endometrial biopsy according to some embodiments. In these embodiments, the forward facing in-flow (out of the device) fluid ports are connected to a separate fluid channel to enhance control over the fluid flowing into and out of thedevice 100. Thetip 120 in this case includes separated fluid channels for fluid in-flow and out-flow. In particular a separatefluid channel 810, which runs along the upper right side, is connected to the front-facingfluid port 620, and another fluid channel, not shown, is connected to the other front-facingfluid port 622, not shown. Acentral fluid channel 820 is connected to theside sampling port 610. -
FIGS. 8B-8E are further views of the distal tip assembly of a device for combined hysteroscopy and endometrial biopsy according to some embodiments.FIG. 8B is a proximal end view of thetip 120 shown inFIG. 8A . The tip body orhousing 600 includes two in-flow (out of the device and into the patient)channels central channel 820 that is fluidly connected to thesampling port 610. Thecentral channel 820 is also used to run a video and control cable from the camera assembly towards the handle and the display.FIG. 8C is a sectional view of the distal tip along the line A-A′ shown inFIG. 8A . Note that thetip housing 600 is made of anouter sleeve 830 and acore 832, according to some embodiments.FIG. 8D is a sectional view of the distal tip along the line B-B′ shown inFIG. 8A , and shows the connection between thecentral fluid channel 820 and thesampling port 610.FIG. 8E is a distal end view of thetip assembly 120 shown inFIG. 8A . According to some embodiments, thetip 120 outer dimensions are slightly larger toward the distal end. For example, thetip body 600 measures 3.8 mm×4.6 mm at the proximal end, shown inFIG. 8B , and measures 4.2 mm×4.8 mm at the distal end, shown inFIG. 8E . -
FIG. 9 is perspective view of a distal tip of a device for combined hysteroscopy and endometrial biopsy according to some embodiments. This view of thedistal tip assembly 120 shows fluid direction arrows such asarrows channel 810 and out of front-facingport 620. Thearrows channel 812. Thearrows port 610 and through thecentral channel 820. -
FIGS. 10 and 11 show details of the internal structure of the shaft having separated fluid channels of a device for combined hysteroscopy and endometrial biopsy according to some embodiments.FIG. 10 is a perspective view of the distal end of theshaft 122. Thedistal end 1030 of theshaft 122 has the internal structure removed so as to be able to mate with the proximate end of thetip 120. Theshaft 122 hasseparate channels channels tip 120. The uppercentral channel 1020 is used for the out-flow fluid (i.e. into the device) for removing fluid from the uterus and/or to provide negative pressure for tissue sample collection. Thechannel 1020 is thus positioned to fluidly mate withcentral channel 820. Also included is aseparate channel 1022 that is used to house the video and camera control cable, which also passes through thecentral channel 820 oftip 120.FIG. 11 is a cross section of theshaft 122. According to some embodiments, theshaft 122 is made from extruded nylon. -
FIGS. 12 , 13 and 14 show internal structures of a distal tip of a device for combined hysteroscopy and endometrial biopsy according to some alternate embodiments.FIGS. 12-14 show two embodiments wherein the in-flow and out-flow paths are not separated as in the case of the embodiments ofFIGS. 8A-E and 9. In the case where the flow paths are not separated, thetip 120,shaft 122 andfluid hub 104 can be more structurally simplified. However, due to the relative sizes of the forward facingfluid ports port 620 on the other, certain structural elements may be included to ensure adequate fluid flow out of the front facingports FIGS. 12 and 13 , anelement 1210 is included just behind thesampling port 610 to direct the fluid towards the forward-facing ports as shown byarrow 1310 inFIG. 13 . In the case ofFIG. 14 , theupper section 1410 is filled in solid so as to aid in directing the fluid towards the forward-facing ports as shown byarrow 1412. -
FIGS. 15-16 show a distal tip of a device for combined hysteroscopy and endometrial biopsy according to some alternate embodiments.FIGS. 15-16 show a further embodiment wherein the in-flow and out-flow paths are not separated as in the case of the embodiments ofFIGS. 8A-E and 9. In this case, the two forward-facingfluid ports distal tip 120 such that thecamera module 1540 and thevideo cable 1612 tend to force the in-flow direction fluid (i.e. out of the tip 120) under thecable 1612 and toward theports sampling port 610. Thearrows 1610 show example fluid flow paths in the in-flow direction (out of the device). According to other embodiments other internal structures can be provided in addition to or in place of those shown in shown inFIGS. 12-16 to enhance flow through the forward facing ports. -
FIGS. 17A-17B show a distal tip of a device for combined hysteroscopy and endometrial biopsy having an up-tilted camera module, according to some embodiments. InFIG. 17A , it can be seen thatcamera 1710 is tilted up at an angle of, e.g., 12 degrees from the longitudinal axis of the tip body orhousing 600. The upwards tilting of the camera increases the effective field of view of the device. Also shown inFIGS. 17A and 17B is aglass cover 1712 ofcamera module 1710. Alight guide 1720 is also used to diffuse light from one or more LEDs, such asLED 1722. Thelight guide 1720, as shown inFIG. 17B surrounds thecamera module 1710. Thelight guide 1720 can be made of glass or a polymer, for example. Also shown in this example is a forward facingfluid port 1740 which is useful in directing fluid in a forward direction so as to enhance visual inspection. -
FIGS. 18A-18B illustrate how camera tilting provides a larger effective field of view for a device for combined hysteroscopy and endometrial biopsy, according to some embodiments. During visual inspection of the uterine tissues, thedevice 100 is rotated about its longitudinal axis by the doctor or medical professional. The position of thecannula 102 when rotated 180 degrees, is shown by the dottedoutline 1810. The field of view (FOV) of the camera module in this example is shown which combined with the bending of theshaft 122 by and angle α, results in an effective field of view in the case ofFIG. 18A of β1. In the case ofFIG. 18B , the camera is tilted upwards by an angle of γ, which results in an increase in effective field of view by twice γ, due to the rotation of the device. The effective field of view of thedevice 100 inFIG. 18B is shown as β2. -
FIG. 19 shows a distal tip of a device for combined hysteroscopy and endometrial biopsy having a prism-aided tilted camera view, according to some embodiments. In this case aprism 1910 is used to modify the angle of thecamera module 1920 to provide an effective upwards tilting of the field of view of thecamera module 1920 by an angle γ, which will result in an increased effective field of view of the device during use by two times γ. -
FIGS. 20A-20B and 21A-21B show examples of ring-type LEDs for use with a hysteroscopy device, according to some embodiments. InFIGS. 20A and 20B , a ring-type LED 2020 is shown surrounding acamera module 2010 that is used on the distal tip of a hysteroscopy device, such asdevice 100 described herein. InFIG. 20A , the illuminationintensity distribution curve 2030 represents illumination from asingle LED sector 2022 fromring LED 2020. InFIG. 20B , the overallillumination distribution curve 2032 represents the illumination from theentire ring LED 2020. Note that the center is much brighter than the edges, which may be problematic for imaging under some circumstances. According to some embodiments, a more evenly distributed intensity is achieved using an ring-type LED as shown inFIGS. 21A and 21B . InFIG. 21A , thering type LED 2120 is shown surrounding acamera module 2010 that is used on the distal tip of a hysteroscopy device, such asdevice 100 described herein. The illuminationintensity distribution curve 2130 represents illumination from asingle LED sector 2122 fromring LED 2120. Note that the intensity is unevenly distributed towards the outer edge of the ring. The intensity profile is adjusted, for example, by using different thicknesses or orientations of the LED.FIG. 21B shows the resultingoverall intensity distribution 2132 fromring LED 2120 where the center is more even with the edges, which results in enhanced imaging quality. -
FIG. 22 shows a device for combined hysteroscopy and endometrial biopsy having malleable shaft, according to some embodiments. In this example,cannula 102 includes amalleable shaft 2200. Theshaft 2200 is malleable at the time of usage to aid reaching and visualizing recessed portions of the uterine cavity. Theshaft 2200 can be made malleable, for example, by using a flexible nylon that includes one or more bendable metal wires running along the inside length of the shaft housing. -
FIGS. 23 and 24 show details of a device for combined hysteroscopy and endometrial biopsy having separate tip and shaft assemblies, according to some embodiments. Thecannula 102 ofdevice 100 is made up of atip 120 and ashaft 122. Thetip 120 includes a moldedacrylic tip housing 600 that houses the camera module, LEDs and other elements as described herein. Theshaft 122 is made from extruded nylon, such asnylon 6, and may have internal structure such a shown inFIGS. 10 , 26-28. According to some embodiments,shaft 122 can be made of another suitable material, such as Provista Copolymer. InFIG. 23 avideo cable 2310 is also shown running along the inside ofshaft 122 which carries video signals as well as control signals for the camera module and/or the LEDs in thetip 120.FIG. 24 shows how thetip assembly 120 is attached to theshaft 122. According to some embodiments, about 5 mm or more of thetip 120 is inserted into theshaft 122. If there are internal structures such as shown inFIGS. 10 , and 26-28, they are spaced inwardly from the distal end of theshaft 122 so that proper mating can be achieved. Through the implementation of separately manufactured tip and shaft pieces, as shown, it has been found that the manufacturing cost can be decreased, and yield can be increased because the shaft is extruded while the acrylic tube is molded to provide sophisticated structure. Furthermore, the separate tip and shaft design allows for greater flexibility in forming the internal structures within both the tip and shaft. -
FIG. 25 is an exploded view of some internal components of a distal tip of a device for combined hysteroscopy and endometrial biopsy, according to some embodiments. In this example,tip assembly 120 is shown with various parts of the camera module separated for ease of viewing. The camera module includesCMOS sensor module 2510,lens 2512,iris 2514,shield 2516 andglass cover 2518. TheCMOS sensor module 2510 includes a low voltage color CMOS image sensor core, image sensor processing and image output interface circuitry on a single chip such as the OmniVision 7675. By providing integrated digital video processing withinsensor module 2510, all video processing can be performed directly on the same PCB as the CMOS sensor, or on the same substrate in which the CMOS is formed such that the imaging plane of the CMOS and the plane along which the video processing circuits extend substantially coincide. In this example, the video signal fromsensor module 2510 can be in any suitable video format, such as NTSC, PAL, or another common video format, so that no further video processing would be required to drive widely available displays for common video formats such as TV displays, tablets, computers and hospital workstations. Also shown inFIG. 25 are one ormore LEDs 2530. According to some embodiments another LED can be used mounted above the camera module. Theholder 2520 retains the camera module and LEDs. According to some embodiments, theholder 2520 holds the camera module at an up-tilted angle of for example 12 degrees from the longitudinal axis of thetip housing 600. -
FIGS. 26-28 are cross sections showing examples of different internal shaft structures within a cannula for a device for combined hysteroscopy and endometrial biopsy, according to some embodiments. InFIG. 26 ,shaft 2610 includes a separate channel 2612 for the cable used for video and control signals as well as LED power. Theupper channel 2614 is used for as the fluid channel for both in-flow and out-flow directions. Similarly, inFIG. 27 ,shaft 2710 includes aseparate channel 2712 for the cable, while anupper channel 2714 is used for as the fluid channel for both in-flow and out-flow directions. In the example ofFIG. 28 , a partially separated internal structure is used. Theshaft 2810 includes anupper lobe 2814 used for fluid flow and alower lobe 2812 that primarily holds thecable 2820 used for LED power, video signals and control signals for the camera. The structure ofFIG. 28 allows for simplified assembly since it is easier to position thecable 2810 in the lower lobe than to thread or fish it through a separate channel. -
FIGS. 29 and 30 show further details of a distal tip for a device for combined hysteroscopy and endometrial biopsy, according to some embodiments.FIG. 29 is a perspective view of thedistal tip 120 and distal end ofshaft 122, according to some embodiments. As in some other described embodiments, thetip 120 includes atip housing body 600 that is made from molded acrylic, for example a single molded piece of transparent acrylic. Thetip 120 includes a side facingsampling port 610 and front facingfluid port 2940. A forward facing camera module includes aglass cover 1712 and in this case an acrylic cameramodule housing shell 2910. Two forward facingLEDs glass cover 1712. Thecable 1612 used for LED power, video signals and control signals for the camera is also shown running down theshaft 122.FIG. 30 is a cross section of the tip and shaft shown inFIG. 29 . - Conventional endoscopes are typically tethered and cumbersome to use. They require skilled staff to operate and maintain. This makes it especially difficult in time critical locations such as an emergency room, operating room, and other areas of a medical facility where multiple devices and instruments are being used simultaneously. According to some embodiments, the
device 100 shown for example inFIGS. 1-5 is a hand-held, compact single use endoscope. In these cases,endoscope 100 is provided in a sterile package, so is ready for immediate use without requiring any preparation for diagnostic or therapeutic procedures. According to some embodiments thesingle use device 100 needs no sophisticated connectors such that the entire endoscope is supplied in a sterile package ready for use. -
FIGS. 31-33 show a single-use device for combined hysteroscopy and endometrial biopsy, according to various embodiments. In the case ofFIG. 31 ,device 100 includes anexternal monitor 3110 for viewing the images and/or video. Asterile cord 3112, which transmit the images and video to the external monitor, is attached to and is packaged with thedevice 100. - In the case of
device 100 ofFIG. 32 , the images and video are transmitted by a wireless connection. Thehandle 100 includes awireless transmitter 3212 and theeternal monitor 3210 includes a wireless receiver. According to some embodiments Wi-Fi technology is used. According to some embodiments, a device such as asmart phone 3220, atablet computer 3222, a mobile computer, or other mobile device having wireless and display capabilities are used to view the images and/or video. - In the case of
FIG. 33 , thedevice 100 includes agyroscopic module 3310 embedded to provide constant reference of orientation. A video processor is used to register the displayed images upright on the devices such asdevices -
FIGS. 34-39 show a device for combined hysteroscopy and endometrial biopsy having a detachable handle, which can be mated with a docking station, according to some embodiments.FIGS. 34 and 35 show details of the handle and display detached from the fluid hub and cannula, according to some embodiments.FIG. 34 is a perspective view whereinhandle 108 anddisplay 110 are detached from the slidingconnector 106 of thefluid hub 104 such as shown inFIG. 1 . The distal end of thehandle body 108 includesconnector 3410 that has pin sockets that are used both for communicating and supplying power to the cannula when connected as well as to transmit video and control signals and settings to and from a base station or docking station when docked. Thehandle 108 also includes a recessedDC connector 3412 that is used to supplying power to thehandle 108 when docked, for example to recharge thebattery 220 and/or to prevent battery drain when downloading or viewing images and video and/or uploading settings to the unit.FIG. 35 is a distal end view of thehandle 108, and shows therubber flap 3510 that seals theDC power connector 3412 when not being used such as during docking with a docking station. -
FIGS. 36 and 37 are a perspective view and a side view, respectively, of the handle and display docked to a base station, according to some embodiments. Thehandle 108 anddisplay 110 are shown mated, or docked withbase station 3610. The distal portion of thehandle 108 is inserted into the opening, lined with arubber liner 3612. When inserted in thebase station 3610, the handle and display are well supported protected as shown. In addition to providing a stable base for the handle and display, thebase station 3610 can also be used to supply power to handle and display, such as for recharging the battery and/or for viewing images and video on thedisplay 110. For this purpose, an external power supply can be connected to thebase station 3610 via theDC power connector 3712. The base station can also be used to communicate with the handle and display, such as to view and or download images or video, as well as to view and modify settings. Themini-USB connector 3710 can be used for this purpose, as well as to supply power to the base station (as well as to the handle and display when docked). According to some embodiments, thebase station 3612 includes wireless communication circuitry, such as Wi-Fi, for communicating with devices such as asmart phone 3220, a tablet computer 3222 (as shown inFIG. 32 ), a mobile computer, or other mobile device having wireless and display capabilities are used to view the images and/or video.FIGS. 38 and 39 are a plan view and perspective view of thebase station 3610 without the handle inserted. As can be seen amating connector 3810 is provided which mates with theconnector 3410 as shown inFIGS. 34 and 35 . Also provided is aDC power connector 3812 that mates with theDC power connector 3412 as shown inFIG. 34 . Additional storage and/or processing can be provided for still or video images from thedevice 100, such as storage in PACS or other archival storage systems of the type commonly used in hospitals and clinics for patient records and medical images and/or processing in work stations commonly used for processing and viewing of medical images in hospitals and clinics. The still and/or video images from thedevice 100 can be formatted as needed for a commonly used format, such as DICOM in one example, in thebase station 3610, or one or more of thedevices base station 3610. The formatted still and/or video images then can be transmitted in accordance with the selected format to a PACS or other storage system, and/or to a workstation where they can be further processed as is known in the art, e.g., to enhance certain aspects of images or to carry out CAD (computer aided detection) processes, and can be displayed alone or together with images from other modalities or prior images of the same patient for diagnostic or other purposes. According to some embodiments the base station as shown inFIGS. 36-39 are particularly useful when thecannula 102,fluid hub 104 andconnector 106 are intended to be disposed of after a single-use, while thehandle 108 anddisplay 110 are designed to be re-used many times. In this case the handle and display are conveniently stored on the base station while a supply of single-use cannula/hub assemblies are kept in pre-sterilized packages ready for use. -
FIG. 40 is a top view of a device for combined hysteroscopy and endometrial biopsy having additional buttons on the handle, according to some embodiments. As shown, in addition to the ON/OFF button 210, LEDbrightness control button 212, and Snap/Video button 214 as described inFIG. 2 , thehandle 108 includes aplayback button 4010 and a manualwhite balance button 4012. Theplayback button 4010 is used to re-play snapshots and/or video taken during the procedure such that medical personnel can later review the images or video on thedisplay 110. The manualwhite balance button 4012 is used to cycle through several pre-set white balance levels so that the user can quickly and easily select a suitable white balance for the particular case. -
FIG. 41 shows a display screen user interface for a device for combined hysteroscopy and endometrial biopsy, according to some embodiments. The touch-screen display 110 ofhysteroscopy device 100 is shown withhome screen 4110. According to some embodiments, the display is 3.5 inches in size. Thehome screen 4110 includes four options that can be selected by a user by touching the screen. Abattery status icon 4120 is shown in the upper left corner. Thehome screen 4110 includes four user-selectable menu options (or soft-buttons) that are labeled as shown: new patient, preview, playback and setup. According to some embodiments, pressing the power ON/OFF button 210 for 1 second or less is used as a “home button” on thedevice 100 such that thehome screen 4110 is displayed. -
FIG. 42 shows details of some elements of a user interface for a device for combined hysteroscopy and endometrial biopsy, according to some embodiments. Five levels of battery status can be displayed to the user in these examples on a display associated with the device, such asdisplay 110.Icons rechargeable battery 220 respectively. According to some embodiments, a red color and/or flashing is used for theicon 4218 to further draw the attention of the user. -
FIG. 43 is a flow chart showing aspects of a user interface for a device for combined hysteroscopy and endometrial biopsy relating to entering new patient information, according to some embodiments. Fromhome screen 4110 on a display such as 110, when the user selects “new patient”screen 4310 is displayed, allowing the user to enter a new patient ID number. After entering the new number using the number buttons provided (e.g., a soft button), pressing “OK” confirms the user's entry. If the ID already exists, the message “ID already exists” is displayed prompting the user to enter a different number. A “go-back” button is also provided in the lower right corner, and in many other screens shown herein, that allows the user to return to the previous screen. According to some embodiments, the camera module on the distal tip of thedevice 100 can be used to enter patient information as a barcode scanner for barcodes and/or matrix barcodes such as a QR Code, which may already be on the patient's file or paperwork, to quickly and accurately enter a patient ID number. In this case a “scan”button 4320 is included onscreen 4310. After successfully entering a new patient ID number, theconfirmation screen 4312 is displayed for a fixed duration, for example 3 seconds, after which a transition is automatically made to thepreview screen 4412 inFIG. 44 infra, such that live video from the camera module ofdevice 100 is displayed. -
FIG. 44 is a flow chart showing aspects of a user interface for a device for combined hysteroscopy and endometrial biopsy relating to previewing images and video, according to some embodiments. Fromhome screen 4110 on a display such as 110, when the user selects “preview”screen 4410 is displayed, allowing the user to select from among a list of cases, or patients, to use. Touching directly on one of the numbers highlights the number, such with yellow highlighting. Touching the up and down arrows on the scroll bar on the right side scrolls through the list (or scrolls the colored highlight field through the list). According to some embodiments touch and drag gestures such as is known with smartphone and tablet computer interfaces can be used for scrolling through lists of numbers or images. When a highlighted number is pressed again, then screen 4412 is displayed, in which live video from the distal mounted camera ofdevice 100 is shown to the user. Thelive preview screen 4412 also includes the patient ID number on the left side as well as a green disk icon in the upper right corner to indicate to the user that live preview is being displayed. Pressing the go-back button returns to the previous screen. A playback button on the right side allows the user to re-play a predetermined length of video, such as 3-5 seconds. Pressing thesnap button 214 for 3 seconds or less causes capture of a single photo, as shown inscreen 4412. A solid red disk icon is displayed in the upper right corner. The single capture image is displayed for 1 second (or other fixed length of time) after which thelive preview screen 4412 is returned to. Additionally, or in addition to displaying the image, an audible photo shutter sound can be played and/or a brief transition to white or black can be used to indicate to the user that a still image has been captured, according to some embodiments. If thesnap button 214 is pressed for longer than 3 seconds, video is captured, as shown inscreen 4416. In this case the video being captured is displayed while the red disk icon in the upper right corner blinks to indicate that video is being captured. Video capture begins and continues until the snap button is pressed again. According to some embodiments atimer 4430 can also be provided showing the length of video captured. -
FIGS. 45A-45B are a flow chart showing aspects of a user interface for a device for combined hysteroscopy and endometrial biopsy relating to playback of saved images and video, according to some embodiments. InFIG. 45A , fromhome screen 4110 on a display such as 110, when the user selects “playback”screen 4510 is displayed, allowing the user to select from among a list of cases, or patients, to playback. As inscreen 4410, yellow highlighting is used to first select a case. If the user selects “delete case” then the highlighted case will be deleted after aconfirmation screen 4512. If a case is highlighted and then selected,screen 4514 inFIG. 45B is displayed.Screen 4514 includes thumbnail images of all of the captured still images and video, which can be scrolled through (using the scroll bar, or using a swipe gesture). A particular image or video is highlighted, such as will yellow, as indicated by the dashedline 4520. The thumbnail images include the file number, as well as amovie icon 4522 when the file is video rather than a still image.Screen 4514 also shows the patient ID on the left margin, as well as a delete icon and go back button on the right margin. The delete icon can be used to delete an individual highlighted file, after user confirmation. Selecting a highlighted video file, such as image “20120308—001” causedplayback screen 4516 to be displayed. The user can control the video playback using the play/pause, rewind and fast forward buttons. The user can also move to the next or previous file using the arrow buttons in the right margin.Screen 4518 shows an example of displaying a still image. -
FIG. 46 is a flow chart showing aspects of a user interface for a device for combined hysteroscopy and endometrial biopsy relating to settings, according to some embodiments. Fromhome screen 4110 on a display such as 110, when the user selects “setup”screen 4610 is displayed, allowing the user to view and modify various device settings. Examples of such settings are the system clock, which can be modified using thescreen 4612, as well as the TV out format and formatting the internal flash memory card. According to some embodiments, many other settings can be programmed by the user using the interface shown. -
FIGS. 47-48 are side views showing details of the shapes of distal tips of a device for combined hysteroscopy and endometrial biopsy, according to some embodiments. It has been found that the distal tip of the device preferably should be rounded for several reasons. First, the tip roundness greatly lowers the risk of accidental damage to the uterus, such as piercing or puncturing delicate uterine tissues during use. Secondly, the distal tip roundness affects the resistance of the distal tip to collecting matter that can clog the tip and blocking the view of the camera. It has been found that the edges of the tip should preferably be rounded by at least a radius of 0.25 mm. In the example shown intip 120 ofFIG. 47 , the edges of the distal tip such as shown inregion 4702 are rounded to a radius of 0.5 mm. Additionally, it has been found that there is benefit to the front face of the distal tip to be rounded as well. By making thefront face 4710 convex the tip is much less likely to collect tissue debris or other matter that might occlude the field of view or make it more difficult to obtain clear images from the camera module. In the example ofFIG. 47 , thefront face 4710 is preferably rounded to a radius of about 10 mm. In the example ofFIG. 48 , thedistal tip 120 preferably has a substantially flatcentral portion 4810, surrounded by anouter region 4812 that is rounded to a radius of about 2.5 mm. Theedge portion 4802 is rounded to a radius of about 0.44 mm. It has been found that making substantially flat the central portion 4810 (which is less than about 30% of the total frontal area in this example) can be useful in reducing distortion in the images captured by the camera module while the substantialcurved portions -
FIG. 49 is a cross section showing details of a sealed sliding connector for a device for combined hysteroscopy and endometrial biopsy, according to some embodiments. The slidingconnector 106 is shown here with anouter shell 4910 that includes alip 4912 that fits over an o-ring seal 4920 and a portion of thehandle assembly 108 so as to provide a suitable seal between thefluid hub 104 and thehandle assembly 108. Multiple similar seals can be provided along the length ofconnector 106 to further isolatehandle 108 from patient matter when the cannula assembly of the device is disposable but handle 108 is reusable. An additional connector (not shown) can be inserted betweenconnector 106 and handle 108 for further insulation, and can be made in a way to allow the additional connector to be sterilized before used for another patient (as it only has to provide an electrical connection between the cannula and the handle).Fluid hub 104 comprises a sealed slidingconnector 106 that fits inside anouter shell 4910 ofhub 104. Slidingconnector 106 envelopes acable 2310 that has an enlarged cross-section at its proximal end, from which from whichcable 2310 extends distally to the camera module and the LEDs atdistal tip 120 to carry video signals and control signals. Sealed slidingconnector 106 comprises abarrier 4914 fitted tightly insideouter shell 4910.Barrier 4914 terminates at its proximal end in anextension 4914 a that fits into aclosed channel 108 a inhandle 108 such that an outwardly facingbump 4914 a 1 releasably fits into an inwardly facingdepression 108 a 1 inchannel 108 a.Barrier 4914 further includes a distal portion that terminates in afirst seal 4914 b having anopening 4914 c through whichcable 2310 passes An intermediate portion ofbarrier 4914 provides an additional seal by including aninner indentation 4914 e tightly enveloping a radial projection 2310 a 1 of the proximal portion ofcable 2310.Barrier 4914 further includes at its proximal portion alip 4914 d that helps form another additional seal by bearing against o-ring 4920 to further help ensure that fluid and tissue samples will not reach interior portions ofhandle 108 when the instrument is in use. -
FIG. 50 shows a hysteroscope, according to some embodiments. Thehysteroscope 5000 can be identical or similar to thedevice 100 described herein (including, for example, the user-interface described inFIGS. 41-46 ), except that it is intended only for hysteroscopy and not endometrial biopsy. As such thedistal tip assembly 5020 does not have a side-facing sampling port and does not make use a separate fluid channel for sampling (as shown inFIGS. 8A-E and 9). However, a separate channel coupled to a side port or another forward facing port can be provided if desired to both deliver fluid to the uterus and withdraw fluid (and other matter) from the uterus, for example distend and relax the uterus or to flush the uterus. Theassembly 5020 includes atip body 5022,camera assembly 640 andLEDs device 100, the cannula 102 (including distal tip 5020),fluid hub 104 and slidingconnector 106 are designed for a single-use, while thehandle 108 anddisplay 110 are designed to be re-used many times. Thus, thehysteroscope 5000 includes many of the same features and benefits from many of the same advantages as the combined hysteroscopy andbiopsy device 100. -
FIG. 51 shows details of a distal tip for a hysteroscope such as shown inFIG. 50 . Thedistal tip assembly 5020 is shown with thetip body 5022 including two forward facingfluid ports LEDs camera assembly 640. -
FIG. 52 is a flow chart illustrating an example use of a hysteroscopy device having the disposable cannula and re-usable handle and display, according to some embodiments. Instep 5210, an unused cannula assembly, which for example includescannula 102,fluid hub 104 andconnector 106 as shown inFIG. 1 or inFIG. 50 , is removed from a sterile package and instep 5212 the connector is attached to a previously used handle assembly, which for example includes ahandle 108 and adisplay 110 as shown inFIG. 1 or inFIG. 50 . Although the handle assembly has been previously used, it is cleaned and disinfected according to known standard practices, such as with rubbing alcohol or other disinfectant such as Cidex. Note that the example shown inFIG. 52 is for a previously used handle assembly, but the same steps would also apply to the case of a brand new handle assembly. Instep 5214, the cannula is inserted through the cervix into the uterus, while flowing fluid from forward facing ports, such asports step 5210. In this case the package is only opened the proximal end of the cannula, namely the end with the connector such that the connector can be attached to the handle. Then just prior to use, the remainder of the packaging is removed from the cannula. Instep 5216 the user visually examines the endometrial tissue by viewing live images on thedisplay 110. Lighting can be adjusted, for example using a control button on the handle. If the user wishes, still and/or video images can be captured using a control button on the handle. Instep 5220, in the case where the device is for combined hysteroscopy and endometrial biopsy, tissues can be gathered using the side facing sampling port (such as port 610) without having to withdraw the cannula. In somecases steps step 5224 the cannula is withdrawn. Instep 5226 the cannula assembly is disconnected, by detaching the connector from the handle, and the entire cannula assembly is disposed of. Instep 5228 stored images are played back on the display, for example using a touch-screen interface as described supra. Instep 5230 the handle assembly is docked to a base station for battery recharging and/or for transferring images and patient information out of the handle to other storage/processing facilities. According to some embodiments, a standard cleaning procedure is performed on the handle prior to docking on the base station. Note that thestep 5228 of playing back the images can happen at any time after capturing instep 5218. For example, play back can be done before gathering samples, instep 5220, after withdrawal but prior to detaching the cannula instep 5226, or while the handle assembly is docked in the base station such thatsteps display 110, as described with respect toFIG. 1 , has been found to be useful in some situations. - Recent advances have enabled small, miniature and disposable endoscopes. Some embodiments disclosed herein innovatively combine a miniature endoscope with a modified endometrial sampling device in an integrated medical device. The integrated medical device combines a hysteroscope sheath with an endometrial sampling device, allowing the gynecologist or other healthcare provider to perform the dual function of hysteroscopy and endometrial sampling without the need of conventional cumbersome hysteroscope device such that hysteroscopy and the endometrial sampling may be done in a single procedure without the need for a separate medical device
- FIG. A1 illustrates a medical device combining an endoscope and endometrial sampling device, according to some embodiments. Medical device A100 includes a processor module A102, a sampling portion A104, a balloon A106 and imaging module A108. In some embodiments, the processor module A102 has a battery A110 or is otherwise connected to a power source, and further includes various video processing electronics A112 that control the operation of various components of the medical device A100.
- The processor module a102 further includes a first connector A114 that is complementary to and configured to receive a second connector A116 on a proximal end A118 of a semi-rigid endoscope A120 included in the sampling portion A104. The first and second connectors A114, A116 provide a mechanical and electrical interface between the processor module A102 and the endoscope A120. According to some embodiments, the endoscope A120 is substantially cylindrical with an outer diameter of less than about 2.8 millimeters (“mm”).
- The imaging module A108 is attached to a distal end A122 of the endoscope A120. In some embodiments, the imaging module A108 may include at least one of each of a lens A108A, illumination device A108B and imaging device A108C (illustrated in FIG. A8, infra). According to some embodiments, the imaging or photon-sensing device is positioned directly behind the lens and contained within the housing. The illumination device A108B may be a light emitting diode (“LED”) or other suitable optical illumination delivered by optical fiber from light sources inside the endoscope A120 or processor module A102. That is, the illumination device A108B may be LEDs located at the distal end A126 or it may LEDs in the proximal end A118 or the processor module A102 whose light is transmitted to the distal end A126 of a sampling sheath A124 via optic media or fibers that are embedded in the walls of the sampling sheath A124 or embedded in the endoscope A120. The imaging device may be a complementary metal-oxide-semiconductor (“CMOS”) image sensor, a charge-coupled device (“CCD”), or other suitable image sensor.
- The sampling portion A104 further includes the sampling sheath A124. In the illustrated embodiment, the sampling sheath A124 has a substantially hollow cylindrical shape open on both ends for receiving the endoscope A120. An outer diameter of the sampling sheath A124 is less than about 4.6 mm in some embodiments and an inner diameter of the sampling sheath A124 is sufficiently large to accommodate the endoscope A120. The distal end A126 of the sampling sheath A124 and/or the distal end A122 of the endoscope A120 that contact tissue within the patient are smooth or blunt shaped in some embodiments and/or may be hydrophilically coated. Optionally, one or both of the endoscope A120 or sampling sheath A124 is a single-use device intended for use on a single patient during a single procedure, after which the endoscope A120 or sampling sheath A124 is intended to be discarded.
- The balloon A106 is secured near a distal end A126 of the sampling sheath A124. Although not required in all embodiments, in the illustrated embodiment the sampling sheath A124 includes one or more holes A127 formed near its distal end A126 which can be used to obtain endometrial samples as explained in greater detail below.
- The sampling sheath A124 includes a first fluid line A128 in communication with the balloon A106. A port A130 attached to the first fluid line A128 provides an interface for connecting the first fluid line A128 to a syringe or other suitable inflating/deflating device. In operation, the syringe is filled with a fluid that is forced into or out of the balloon A106 through the first fluid line A128 to inflate or deflate the balloon A106.
- The sampling sheath A124 also includes a second fluid line A132 in communication with the hollow interior of the sampling sheath A124. The second fluid line A132 permits fluid such as a saline solution or other suitable fluid to be delivered, e.g., from a syringe A134, through the second fluid line A132 to the sampling sheath A124 and out of the distal end A126 of the sampling sheath A124 for distention or other purpose at the site of the procedure. A fluid stopper A136, such as a rubber nipple or O-ring, is positioned in a proximal end A138 of the sampling sheath A124. The fluid stopper A136 forms a seal around the endoscope A120 at the proximal end A138 of the sampling sheath A124 to prevent the fluid from exiting the sampling sheath A124 through the proximal end A138. It will be appreciated that the various fluid stoppers A136 described herein, which may include O-rings and duckbill valves as will be discussed in more detail to follow prevent fluid leakage. In addition, the fluid stoppers A136 prevent air intrusion during sample gathering. Excess air getting pulled in proximally may reduce the suction at the distal end of the medical device A100.
- According to some embodiments, the medical device A100 permits a hysteroscope and endometrial sampling to be performed during a single procedure without removing the sampling sheath A124 and/or endoscope A120 from within the patient between the hysteroscope and endometrial sampling. According to these and other embodiments, and in operation, the endoscope A120 is inserted from the proximal end A138 of the sampling sheath A124 through the sampling sheath A124 to its distal end A126. According to some preferred embodiments, the endoscope A120 is pre-assembled with the sampling sheath A124 in one single piece. The fluid stopper A136 forms a seal around the endoscope A120 to prevent fluid from exiting through the proximal end A138 of the sampling sheath A124. A healthcare provider inserts the distal end A122/A126 of the medical device A100 through the vagina and cervix of a patient and into the patient's uterus. The term “healthcare provider” as used herein should be construed broadly and includes physicians, nurses, technicians and other users of the medical device A100.
- The patient's uterus is distended by filling the uterus with fluid via the second fluid line A132 and sampling sheath A124. The balloon A106 is inflated via the first fluid line A128 to occlude the patient's cervix should leakage of fluid prevent adequate uterine distention.
- The healthcare provider performs the hysteroscopy by operating and manipulating the medical device A100 to obtain images of the interior of the patient's uterus (and/or cervix and vagina) via, e.g., the imaging module A108. As indicated in FIG. A1, data representing the images thereby obtained is output to a video display (not shown in FIG. A1) separate from the medical device A100.
- After performing the hysteroscopy, in some embodiments the endoscope A120 is removed from the sampling sheath A124 while the sampling sheath A124 remains in place within the patient. In other embodiments, the endoscope A120 need not be removed. The fluid stopper A136 at the proximal end A138 of the sampling sheath A124 is sealed. The syringe A134 is removed from the second fluid line A132 and suction is applied, e.g., via an empty syringe, to the second fluid line A132, to collect an endometrial sample via the sampling sheath A124. In more detail, suction applied to the second fluid line A132 creates suction at the distal end A126 and at the holes A127 of the sampling sheath A124. When the distal end A126 and/or holes A127 of the sampling sheath A124 are sufficiently close to the endometrium of the patient's uterus, the suction removes a sample of the endometrium. The sampling sheath A124 can then be removed from the patient.
- FIG. A2 illustrates a medical device combining an endoscope, endometrial sampling device and integrated display, according to some embodiments. The medical device A100 of FIG. A2 is identical in many respects to the medical device A100 of FIG. A1 and reference can be made above for a description of the identical components. In contrast to the medical device A100 of FIG. A1, however, the medical device A100 of FIG. A2 includes an integrated display A140 attached to the processor module A102. The integrated display A140 is configured to receive data representing the images obtained during operation of the medical device A100 and to generate and display the images to the healthcare provider or other user of the medical device A100. Optionally, the data representing the images can additionally be output to an external display as indicated in FIG. A2. In some embodiments, the data representing the images can be output and displayed on both the integrated display A140 and an external display. In this way, the healthcare provider performing the procedure may view the displayed images at the same time that a person such as another healthcare provider or a family member of the patient may also view the images even if they are not close to where the procedure is taking place.
- FIG. A3 illustrates additional aspects of a medical device combining an endoscope and endometrial sampling device, according to some embodiments. As previously described, the medical device A100 includes a processor module A102 and a sampling portion A104 that include the various elements previously discussed. In some embodiments, the processor module A102 is configured to be reusable while the sampling portion A104 is configured to be used only once. As will be appreciated, since most of the electronics involved with the medical device A100 are located in the processor module A102, the processor module A102 is the most expensive part of this example of the medical device A100. Accordingly, configuring the processor module A102 to be reusable advantageously saves on the cost of the medical device A100. It will be appreciated that the processor module A102 may include the integrated display A140, although this is not required.
- As will also be appreciated that since the sampling portion A104 is inserted into the patient's uterus, it will generally not be sanitary to reuse in another procedure. However, since the sampling portion may be primarily made of relatively inexpensive plastics, it is generally economical to use a different sampling portion A104 for each patient.
- In operation, the healthcare provider or other
medical device 100 user may connect and disconnect theprocessor module 102 and thesampling portion 104 usingconnectors 114 and 116 as previously described when a hysteroscopy or other medical procedure is to be performed. - FIGS. A4A-A4B illustrate a medical device combining an endoscope and endometrial sampling device, according to some embodiments. Many of the elements of the embodiment shown in FIGS. A4A-A4B are the same as or similar to those discussed in the previously described embodiments, such elements will not be described or only briefly described. It will also be appreciated that the aspects of the embodiments previously described may also apply to the present embodiment. For example, although FIG. A4A does not show the balloon A106, the fluid line A128, and the port A130, it will be understood that these elements may be included in the embodiment of FIG. A4A if desired.
- As illustrated, the present embodiment includes a processor module A102 that includes the battery A100 and the endoscope electronics A112. The processor module A102 may also include the connector A114 for connecting to the sampling portion A104. In this embodiment, the processor module A102 may be about 4 inches long and have an inner diameter of about ¾ inches. Of course, other dimensions for the processor module A102 are also contemplated. The processor module A102 may also include an integrated display A140, although this is not required. In the present embodiment, the integrated display A140 may be an LCD display with a thickness of about ½ inch or less and a diagonal dimension of less than about 4 inches. It will be appreciated that other dimensions are also contemplated for the integrated display A140.
- As also illustrated, the medical device A100 of the present embodiment includes the sampling portion A104 including the endoscope A120 and the sampling sheath A124. In this embodiment, the sampling sheath A124 may have a length of around 6½ inches, an outer diameter of less than about 4.6 mm, and an inner diameter of greater than about 3.4 mm. As with the above embodiments, the inner dimension is sufficiently large to accommodate the endoscope A120. Of course, other dimensions may also be used. As also illustrated, in this embodiment the sampling sheath A124 has an angle or curvature A129 at the distal end A126, which in turn causes the endoscope A120 to also be slightly curved at the distal end A122. In the present embodiment, the angle or curvature A129 is greater than about 15 degrees, although other angles or curvatures are also contemplated. Having the sampling sheath A124 angled or curved at the distal end along with the sampling sheath being only moderately stiff allows for easier insertion into the uterus of the patient.
- As illustrated, the medical device A100 includes one or more ports A127 for endometrial sampling. Referring to FIG. A4B, an example embodiment of the ports A127 is shown. In FIG. A4B, two ports A127A and A127B are included for endometrial sampling. As shown, these ports are near the distal end A126 and are included in the angled portion A129 of the sampling sheath A124.
- Returning again to FIG. A4A, the medical device A100 includes a fluid and connector hub A105. As shown, the fluid and connector hub A105 includes the connector A116 that connects the sampling portion A104 to the processor module A102. In addition, the fluid and connector hub A105 includes a connector or opening A103 that connects the fluid line A132 to the sampling portion A104. Further, the fluid and connector hub A105 includes a connector or opening A106 for connecting the sampling sheath A124 to the fluid and connector hub A105, includes the fluid stoppers A136, and fluid flow channels or chambers. Specific embodiments of the fluid and connector hub A105 will now be explained.
- FIGS. A5A-A5C illustrate portions of a fluid and connector hub A105 for use in a medical device combining an endoscope and endometrial sampling device, according to some embodiments. The one piece embodiment A200 of the fluid and connector hub A105 may be a single molded piece of plastic or metal, although any reasonable material and production method may be used to create the one piece embodiment A200.
- As illustrated in FIG. A5A, which shows an exterior view of the one piece embodiment A200, the one piece embodiment A200 includes the connector A116 that connects the sampling portion A104 to the processor module A102. In embodiment A200, the connector A116 includes retention features A201 that act to align the connector A116 when connecting with matching features on the connector A114 of the processor module A102. In addition, the connector A116 includes an electric plug A202 for connecting with the endoscope electronics A112 of the processor module A102. The electric plug A202 allows for electric and/or optic signals to be sent from the endoscope electronics A112 to the imaging module A108 in the distal end of the endoscope A120.
- FIG. A5B shows various pieces of the medical device A100 that are either included in the one piece embodiment A200 or that attach to the one piece embodiment A200. For example, FIG. A5B shows that a fluid stopper A136, which in this embodiment is an O-ring, although other fluid stoppers may be used, is inserted into the one piece embodiment A200. Further, a cylindrical connector piece A213 is used to connect the one piece embodiment A200 at connection A106 with the sampling sheath A124. Finally, the fluid line A132 includes a connector A211 that connects with a connector piece A212 for connecting the fluid line A132 to the one piece embodiment at the connector A103. It will be appreciated that the pieces A211, A212, and A213 may be made of a plastic or metal and may be molded or machined in any reasonable manner.
- FIG. A5C shows an interior view of the one piece embodiment A200. As shown, the one piece embodiment includes a hollow cylindrical chamber that is large enough to hold the endoscope A120 and the sampling sheath A124. As shown, the endoscope A120, may be inserted into
connector opening 106 and may connect with the electric connector A202. In some embodiments, the electrical connector 202 may be part of the endoscope A120. - The sampling sheath A124 may also be connected to the one piece embodiment A200 by the connector A213. Further, as shown, the fluid stopper A136 may be inserted to prevent fluid from reaching the processor module A102 when the module is connected to the one piece embodiment A200. As further shown, the connector A212 is inserted into the connector or opening A103 to connect the fluid line A132 to the one piece embodiment A200.
- FIGS. A6A-A6B illustrates portions of a fluid and connector hub for use in a medical device combining an endoscope and endometrial sampling device, according to some other embodiments. In particular, FIGS. A6A and A6B illustrate a two piece embodiment A300 of the fluid and connector hub A105. The two piece embodiment A300 of the fluid and connector hub A105 includes a first piece A301 that connects to a second piece A302. The first and second pieces A301 and A302 may both be a single molded piece of plastic or metal, although any reasonable material and production method may be used to create the first and second pieces A301 and A302. Please note that some of the elements shown in FIGS. A6A and A6B have previously been described in relation to other embodiments disclosed herein and may not be described for the present embodiment.
- As shown in FIGS. A6A and A6B, the first piece A301 and the second piece A302 are connected together to form the two piece fluid and connector hub A300. The pieces A301 and A302 may be attached with any reasonable attaching means such as, but not limited to, an epoxy or glue. In one embodiment, the first piece A301 and the second piece A302 are attached to one another during an assembly process that is done prior to the two piece fluid and connector hub A300 being shipped to the healthcare provider or other user of medical device A100. In other embodiments, the first piece A301 and the second piece A302 may be attached together by the healthcare provider or other user of medical device A100.
- As shown in the figures, first piece A301 includes a first chamber A311, a second chamber A312 and an third intervening chamber A313. The first chamber A311 has a larger diameter than the other two chambers. Inside this chamber A311 is placed a duckbill valve A310. The duckbill valve A310 provides fluid stoppage while allowing the endoscope A120 to pass through and may therefore be considered a fluid stopper. In those embodiments where the first piece A301 and the second piece A302 are attached to one another during an assembly process that is done prior to the two piece fluid and connector hub A300 being shipped, the duckbill valve is placed in chamber A311 during the assembly process. The chamber A312 typically has a larger diameter than the chamber A313 and has a counter bore that helps trap the imaging module A108 distally but allows the imaging module A108 to be removed from the sampling sheath A124 proximally.
- The second piece A302 includes a chamber A315 that connects with the chamber A311 upon assembly of the two pieces. The chamber A315 (as well as the chambers A311, A312, and A313) has at least a diameter large enough to hold the endoscope A120 and the sampling sheath A124. As shown, the sampling sheath A124 connects with the second piece A302 at the connection or opening A106. As with the one piece embodiment A200, a cylindrical piece A213 is inserted into the chamber A315 to help connect the sampling sheath A124 with the second piece A302.
- Since the chamber A315 includes the fluid path from the fluid line A132, a fluid stopper A136, which in the present embodiment may be an O-ring, is placed in the chamber A315 to prevent liquid from reaching the endoscope electronics A112. As with the one piece embodiment A200, the connector A212 is used to connect the second piece A302 with the fluid line A132 at the connector or opening A103.
- FIGS. A7A-A7C illustrate portions of a fluid and connector hub for use in a medical device combining an endoscope and endometrial sampling device, according to some other embodiments. In particular, FIGS. A7A-A7C illustrate a three piece embodiment A400 of the fluid and connector hub A105. The three piece embodiment A400 of the fluid and connector hub A105 includes a first piece A401 that connects to a second piece A402. The second piece A402 in turn connects to a third piece A403. The first, second and third pieces A401, A402, and A403 may be single molded pieces of plastic or metal, although any reasonable material and production method may be used to create the first, second and third pieces A401, A402, and A403. The three piece embodiment A400 allows the imaging module A108 to remain in the sampling sheath A124 for the entire medical procedure. In other words, there is no need to remove the imaging module A108 when the endometrial samples are collected. Of course, the imaging module A108 can be removed during the procedure if more space is needed for fluid flow. Please note that some of the elements shown in FIGS. A7A-A7C have previously been described in relation to other embodiments disclosed herein and may not be described for the present embodiment.
- As shown, the first piece A401 includes a Touhy Borst seal A420 as part of the connector A116. The Touhy Borst seal A420 is used to attach the fluid and connector hub A400 with the processor module A102 when in use and provides both fluid and air sealing and helps to fix the position of the optics module A108 in the distal end. As further shown, the first piece A401 includes a chamber A421 that includes a threaded end A422. The chamber A421 will typically be large enough to hold the endoscope A120 and/or any electrical or optical connection between the imaging module A108 and the processor hub A102.
- The second piece A402 includes a chamber A411 that is sized to receive the threaded end A422 of the first piece A401. The chamber A411 includes grooves A413 that mate with threaded end A422 to connect the first and second pieces A401 and A402 together. In some embodiments, an additional adhesive such as an epoxy or glue may also be used to help connect the first and second pieces A401 and A402 together.
- Inside the chamber A411 is placed a duckbill valve A410. The duckbill valve A410 provides fluid stoppage while allowing the endoscope A120 to pass through. In those embodiments where the first piece A401 and the second piece A402 are attached to one another during an assembly process that is done prior to the three piece fluid and connector hub A400 being shipped, the duckbill valve is placed in chamber A411 during the assembly process.
- The third piece A403 includes a chamber A426 that receives an end A412 of the second piece A402 when the pieces A402 and A403 are connected during the assembly process. The chamber A426 will be large enough to receive the end A412. The second and third pieces may be secured using an epoxy, a glue, or any other reasonable means.
- The third piece A403 also includes a chamber A425 that has at least a diameter large enough to hold the endoscope A120 and the sampling sheath A124. As shown, the sampling sheath connects with the third piece A403 at the connection or opening A106. In some embodiments, the cylindrical piece A213 (not shown) is inserted into the chamber A425 to help connect the sampling sheath A124 with the third piece A403. Since the chamber A425 includes the fluid path from the fluid line A132, the connector A212 is used to connect the third piece A403 with the fluid line A132 at the connector or opening A103.
- FIG. A8 illustrates portions near the distal end of a medical device combining an endoscope and endometrial sampling device, according to some embodiments. Note that the embodiment shown in FIG. A8 may be practiced in the embodiments of medical device A100 previously described, therefore the elements previously described may not be described in relation to the present embodiment. FIG. A8 shows a close-up view of the distal end A126 of the sampling sheath A124. As previously described, the distal end A26 includes the imaging module A108, which may include a lens set A108A, illumination device A108B and imaging device A108C.
- As wilt be appreciated, during a medical procedure, the lens A108A may become dirty due to body fluids and the like. In addition, the illumination device A108B, which may be one or more LEDs, may become hot during use. Accordingly, the embodiment of FIG. A8 includes a curved protrusion A810 that is created on one side of the sampling sheath A106 at the distal end opening A126. During use of the medical device A100, the curved protrusion A810 forces at least some the saline fluid or other suitable fluid from the fluid line A132 to wash over the lens A108A and/or the illumination device A108B. In this way, the saline fluid or other suitable fluid is able to wash the surface of the lens A108A. In addition, the fluid is able to cool the illumination device A108B in case it gets overheated.
- The curved protrusion A810 may be created during the manufacturing process of the sampling sheath A124 and may be created using plastic molding techniques, although other techniques may also be used. As will be appreciated, the curved protrusion A810 will typically be large enough and curved enough to force the saline fluid to wash over the lens the A108A and/or the illumination device A108B while not blocking the field of view by lens A108A and illumination A1086.
- FIG. A9 illustrates a medical device combining an endoscope and endometrial sampling device, according to an additional embodiment. The embodiment shown in FIG. A9 may be practiced in the embodiments of medical device A100 previously described. The embodiment of FIG. A9 shows that the fluid line A132 is connected to a second fluid line A133. The fluid lines A132 and A133 may be connected to the medical device A100 at the fluid and connector hub A105 or may be connected to the sampling sheath A124 as shown in FIG. A1. In some embodiments, the fluid lines A132 and A133 connect with the fluid and connector hub A105 at different opening of the fluid and connector hub A105. The fluid line A132 may be connected to the distal end opening A126 and the one or more side sampling holes A127 while the fluid line A133 may be connected to the one or more side sampling holes A127.
- During a medical procedure, the saline solution or other suitable solution may be injected into the fluid line A132 by the syringe A134. A valve or clamp A910 may be placed in or over the portion of the fluid line A133 that connects with the fluid line A132 to prevent any in-flow of the saline solution to the fluid line A133.
- During the out-flow process, when suction is applied to the tube A132 to collect endometrial samples as previously described, the valve or clap A910 may be opened or removed to allow out-flow from both the fluid line A132 and the fluid line A133. In this way, a greater amount of endometrial samples may be collected. It will be appreciated that separate syringes A134 may be used for the in-flow and out-flow process or the same syringe A134 may be used for both.
- FIG. A10 illustrates a medical device combining an endoscope and endometrial sampling device, according to an additional embodiment. The embodiment shown in FIG. A10 may be practiced in the embodiments of medical device A100 previously described. As shown, the medical device in this embodiment includes the fluid line A132 and a second fluid line A133. The fluid lines A132 and A133 may be connected to the medical device A100 at the fluid and connector hub A105 or may be connected to the sampling sheath A124 as shown in FIG. A1. In some embodiments, the fluid lines A132 and A133 connect with the fluid and connector hub A105 at different opening of the fluid and connector hub A105. The fluid line A132 may be connected to the distal end opening A126 while the fluid line A133 is connected to the one or more side sampling holes A127.
- During a medical procedure, the saline solution or other suitable solution may be injected into the fluid line A132 by the syringe A134 to create an in-flow. Suction may then be applied to the tube A133 by a syringe A134 to collect endometrial samples as previously described. In this way, a flow through process is created that may result in collected continuous flow of fluid through the uteral cavity. It will be appreciated that the same syringe may be used for both fluid lines 132 and 133 if circumstances warrant. A fluid bag that hanged over the patient may also be used for fluid inflow.
- As previously described in the various embodiments disclosed, the medical device A100 may include the sampling portion A104 that includes the sampling sheath A124, the fluid and connector hub A105, and the optics module A108. As previously discussed, these separate parts may be connected in the various manner previously described. However, according to some embodiments the sampling portion A104, the fluid and connector hub A105, and the optics module A108 may all be integrated as a single piece at manufacturing time. This may remove the need for the various O-rings, duckbill valves, and Touhy Borst connections previously described. Thus, according to these embodiments, there is just one electro/mechanical connection with the processor module A102 and one single fluid channel and connector to the syringe A134. Advantageously, this embodiment provides for a minimum of attaching and detaching parts during a medical procedure and reduces manufacturing costs.
- FIG. A11 is a flow chart showing a method of operating a device having a combined endoscope and endometrial sampling device, according to some embodiments. The method A1100 begins at step A1105 after the patient is suitably positioned for the procedure, e.g., the patient may be situated on an exam room table.
- At step A1110, a sterile package including the endoscope A120 and/or a sterile package including the sampling sheath A124 are opened. Alternately, the endoscope A120 and sampling sheath A124 are both included in a single package that is opened at step A1110. In some embodiments, at step A1110 the endoscope A120 may be inserted into the sampling sheath A124, while in other embodiments the endoscope A120 is inserted into the sampling sheath A124 prior to being placed in the single sterile package.
- At step A1115, the endoscope A120 is connected to the processor module A102. At step A1120, the processor module A102 is turned on and a manual white balancing procedure is undertaken. At step A1125, the second fluid line A132 is connected to the syringe A134 or other supply of saline or other suitable fluid.
- At step A1130, the patient's cervix is disinfected, local anesthetic is optionally applied, and the distal end A122/A126 of the medical device A100 is inserted through the patient's vagina and cervix and into the patient's uterus. During step A1130, the imaging module A108 may be relaying images to the processor module A102 for display on the integrated display A140 and/or an external display to provide direct vision during insertion. Further, saline or other fluid is infused during step A1130 via the second fluid line A132 and sampling sheath A124 to distend the patient's uterus.
- In those embodiments that include the balloon A106, at step A1135, after the distal end A122/A126 of the medical device A100 has been received within the patient's uterine cavity, the balloon A106 is inflated via first fluid line A128 to occlude the patient's cervix should leakage of fluid prevent adequate uterine distention. As shown by the dashed line, in those embodiments that do not include the balloon A106, step A1135 is skipped.
- At step A1140, the patient's uterine/endometrial cavity is inspected using the endoscope A120. At step A1145, the endoscope A120 is removed while the sampling sheath A124 remains within the patient. In those embodiments that include the balloon A106, the balloon A106 is also deflated during step A1145.
- At step A1150, the fluid stopper A136 at the proximal end A138 of the sampling sheath A124 is occluded and suction is created at the distal end A126 and/or at the holes A127 of the sampling sheath A124 by applying suction on the second fluid line A132 using, e.g., an empty syringe. Alternately, the second fluid line A132 is occluded and suction is applied at the proximal end A138 of the sampling sheath A124 to create suction at the distal end A126 and/or holes A127 of the sampling sheath A124.
- At step A1155, the sampling sheath A124 is moved in and out while being rotated and while the suction is applied to the second fluid line A132 to obtain an endometrial sample.
- At step A1160, the sampling sheath A124 is withdrawn from the patient and the endometrial sample is collected. The procedure is completed at step A1165.
- FIG. A12 is a flow chart showing a method of operating a device having a combined endoscope and endometrial sampling device, according to some embodiments. The method A1200 begins at step A1205 after the patient is suitably positioned for the procedure, e.g., the patient may be situated on an exam room table.
- At step A1210, a sterile package including the endoscope A120 and/or a sterile package including the sampling sheath A124 are opened. Alternately, the endoscope A120 and sampling sheath A124 are both included in a single sterile package that is opened at step A1210. In some embodiments, at step A1210 the endoscope A120 may be inserted into the sampling sheath A124, while in other embodiments the endoscope A120 is inserted into the sampling sheath A124 prior to being placed in the single sterile package.
- At step A1215, the endoscope A120 is connected to the processor module A102. At step A1220, the processor module A102 is turned on and a manual white balancing procedure is undertaken. At step A1225, the fluid line A132 is connected to the syringe A134 or other supply of saline or other suitable fluid.
- At step A1230, the patient's cervix is disinfected, local anesthetic is optionally applied, and the distal end A122/A126 of the medical device A100 is inserted through the patient's vagina and cervix and into the patient's uterus. During step A1230, the imaging module A108 may be relaying images to the processor module A102 for display on the integrated display A140 and/or an external display to provide direct vision during insertion. Further, saline or other fluid is infused during step A1230 via the fluid line A132 and sampling sheath A124 to distend the patient's uterus.
- At step A1235, the patient's uterine/endometrial cavity is inspected using the endoscope A120. At step A1240, the fluid stopper A136 at the proximal end A138 of the sampling sheath A124 is occluded and suction is created at the distal end A126 and/or at the holes A127 of the sampling sheath A124 by applying suction on the fluid line A132 using, e.g., an empty syringe. Alternately, the fluid line A132 is occluded and suction is applied at the proximal end A138 of the sampling sheath A124 to create suction at the distal end A126 and/or holes A127 of the sampling sheath A124. According to some preferred embodiments, the sheath and endoscope are preassembled as one piece, and the endoscope does not need to be withdrawn, and there is no opening at the proximal end that needs to be plugged.
- At step A1245, the sampling sheath A124 is moved in and out while being rotated and while the suction is applied to the fluid line A132 to obtain an endometrial sample. At step A1250, the sampling sheath A124 is withdrawn from the patient and the endometrial sample is collected. The procedure is completed at step A1255.
- FIG. A13 is a flow chart showing a method of operating a device having a combined endoscope and endometrial sampling device, according to some embodiments. The method A1300 begins at step A1305 after the patient is suitably positioned for the procedure, e.g., the patient may be situated on an exam room table.
- At step A1310, a sterile package including the endoscope A120 and/or a sterile package including the sampling sheath A124 are opened. Alternately, the endoscope A120 and sampling sheath A124 are both included in a single sterile package that is opened at step A1310. In some embodiments, at step A1310 the endoscope A120 may be inserted into the sampling sheath A124, while in other embodiments the endoscope A120 is inserted into the sampling sheath A124 prior to being placed in the single sterile package.
- At step A1315, the endoscope A120 is connected to the processor module A102. At step A1320, the processor module A102 is turned on, and a manual white balance procedure is carried out. At step A1325, the fluid line A132 is connected to the syringe A134 or other supply of saline or other suitable fluid.
- At step A1330, the patient's cervix is disinfected, local anesthetic is optionally applied, and the distal end A122/A126 of the medical device A100 is inserted through the patient's vagina and cervix and into the patient's uterus. During step A1330, the imaging module 1A08 may be relaying images to the processor module A102 for display on the integrated display A140 and/or an external display to provide direct vision during insertion. Further, saline or other fluid is infused during step A1330 via the fluid line A132 and sampling sheath A124 to distend the patient's uterus.
- At step A1335, the patient's uterine/endometrial cavity is inspected using the endoscope A120. In those embodiments implemented using the medical device A100 described above in relation to FIG. A9, at step A1340, the clamp or valve A910 is opened to unlock the fluid line A133. Suction is created at the distal end A126 and/or at the holes A127 of the sampling sheath A124 by applying suction on the fluid line A132 using, e.g., an empty syringe to create outflow in both fluid lines A132 and A133. The method may then proceed to step A1350 as shown in FIG. A13.
- In those embodiments implemented using the medical device A100 described above in relation to FIG. A10, the method may skip step A1340 and go to step A1345. At step A1345, suction is applied to fluid line A133 using syringes A134A. This creates a flow-through of the saline liquid and rinses our blood and debris. The method may then proceed to step A1350 as shown in FIG. A13.
- At step A1350, the sampling sheath A124 is moved in and out while being rotated and while the suction is applied to the fluid line A132 or fluid line A133 to obtain an endometrial sample.
- At decision block A1355, it is determined if an option exists to withdraw the endoscope A120. If yes, then at step A1360, the endoscope A120 is removed while the sampling sheath A124 remains within the patient. At step A1365, the fluid stopper A136 at the proximal end A138 of the sampling sheath A124 is occluded and at step A1370 suction is created at the distal end A126 and/or at the holes A127 of the sampling sheath A124 by applying suction on the fluid line A132 or fluid line A133 using, e.g., an empty syringe.
- At step A1375, the sampling sheath A124 is withdrawn from the patient and the endometrial sample is collected. The procedure is completed at step A1380.
- If it is determined at decision block A1355 that the endoscope is not to be withdrawn or the option to withdraw the endoscope does not exist, the method goes to step A1375 and A1380 where the sampling sheath A124 is withdrawn from the patient, the endometrial sample is collected and the procedure is completed.
- FIGS. A14A-A14D illustrate a device A1400 for combined hysteroscopy and endometrial biopsy according to some embodiments. Many of the elements of the embodiment shown in FIGS. A14A-A14D are the same as or similar to those discussed in the previously described embodiments, and such elements may not be described or may only briefly be described. It will also be appreciated that the aspects of the embodiments previously described may also apply to the present embodiments. FIG. A14A is a left-side view; FIG. A14B is a right side view; FIG. A14C is a top view; and FIG. A14D is a bottom view of the device A1400, according to some embodiments. The device A1400 is particularly advantageous for enabling a physician to perform an efficient diagnostic outpatient office or clinic procedure for a female patient who is reporting abnormal uterine bleeding, the procedure combining a hysteroscopic examination with an endometrial biopsy, although it is to be appreciated that other uses for the device A1400 are within the scope of the present teachings. The device A1400 can bring about substantial efficiencies in terms of keeping equipment costs low and keeping the time required to perform the procedure modest, while at the same time providing the opportunity for better endometrial sample quality over conventional “blind” endometrial sample collection methods.
- Device A1400 comprises a handle portion A1401 and a sampling portion A1404 that detachably couples to the handle portion A1401. Preferably, the sampling portion A1404 is a single-use-only disposable item, whereas the handle portion A1401 is reusable. The handle portion A1401 comprises a handle body A1402 that houses a rechargeable battery and the various electrical components discussed supra, as well as a video display A1440 that is integrally formed therewith. According to one embodiment, the handle body may have a longitudinal dimension “b” of about 4 inches and a diameter of about three-fourths of an inch, while the video display A1440 can be a 3-inch diagonal LCD screen having a thickness “a” of about one inch in the longitudinal direction. The video display A1440 is generally oriented in a plane that is transverse to the longitudinal direction such that it can be viewed by the physician who is performing the procedure while the sampling portion is extended into the patient's vagina and uterus. According to some embodiments display A1440 is tiltable upwards and downwards so as to improve ergonomic performance under some circumstances. FIG. A14A shows an example of an upward tilt angle a of display A1440. According to some embodiments the display A1440 is tiltable upwards by about 45 degrees and downwards by about 45 degrees.
- Sampling portion A1404 comprises a sampling sheath A1424, an imaging head A1408, and a fluid and connector hub A1405 configured as illustrated in FIGS. A14A-A14D. Sampling sheath A1424 forms a single hollow lumen extending along its length, within which lumen is contained a narrow electrical cable A1499 (shown dotted-line) that provides the required electrical connectivity between the handle portion A1401 and the imaging head A1408. By way of example and not by way of limitation, the sampling sheath A1424 may have an outer diameter of 3.1 mm, an inner diameter of 2.6 mm, and a length “d” of at least 6.5 inches, and has a firm yet partially flexible mechanical nature. The sampling sheath A1424 is preferably made of an optically clear material so that the fluid(s) therein, including the endometrial sample itself near end of the procedure, can be easily viewed by the physician. The electrical cable A1499 preferably has a diameter that is about 1 mm or less if needed.
- According to one example embodiment, sheath A1424 has a total length of about 233 mm, made up of a straight portion which is about 172 mm long, and an upwardly curved portion which is about 20.7 degrees at having a radius of about 174 mm. The curved portion raises the tip 15.6 mm as shown in FIG. A14A. According to some embodiments, the connector hub A1405 can have a length “c” of 1.25 inches. Preferably, the imaging head A1408 comprises camera optics having an angular field of view of at least 100 degrees.
- A sampling port A1427 is formed in the sampling sheath A1424 near the distal end and according to some embodiments, has a penny whistle-type shape configured to facilitate endometrial sample collection when moved along a tissue surface in a scraping motion.
- FIGS. A18A-A18D illustrates closer views of the distal end of the sampling portion A1404 including the sampling port A1427, according to some embodiments. In particular, FIG. A18A is an end view; FIG. A18B is a cross section; and FIG. A18C is a perspective view. For one embodiment, the general dimensions (e.g., length, inner and outer diameter), the material type, the general mechanical characteristics (e.g., stiffness, smoothness), and the nature and dimensions of the sampling port A1427 of the sampling sheath A1424 may be similar to corresponding components of the MedGyn Endosampler Model 22720 (3 mm) available from MedGyn Products, Inc. of Lombard, Ill., with the exception that there is the imaging module A1408 integrated into its distal tip, and the thin electrical wiring cable A1499 running down its length.
- According to some embodiments, the sheath A1427 has an oblong cross section so as to allow room for a forward facing port A1824 which allows fluids flowing into the uterine cavity (in-flow fluids) to pass out of the distal end near the camera A1830. The camera block A1830 includes an aperture A1838 through which the video images are obtained. By providing an in-flow port on the distal end of sheath A1427 the video quality can be increased. In addition to providing room for the in-flow port A1824, the oblong cross section allows the sampling port A1427 to be positioned closer to the distal end of the sheath A1427. According to one embodiment, the outer dimension of the sheath A1424 is about 4.6 mm by 3.8 mm, and the inner dimension is about 3.8 mm by 3.0 mm. Also shown are LEDs used for illumination, such as LED A1834. The space surrounding camera A1830 that is not used for the in-flow port A1824 is filled in using a suitable glue filler A1814. As shown in FIG. A18B, the distal end A1816 of the sheath A1824 is preferably beveled.
- Talon shaped opening A1427 allows for more efficient collection of endometrial tissue samples. Sharp tip A1820 of opening A1427 allows for scraping of endometrium. According to one embodiment, suitable dimensions for the opening A1427 for a sheath having the dimensions shown in FIG. A18A are shown in FIG. A18B. Shown in FIG. A18C are dashed arrows illustrating fluid flowing between the multi-purpose fluid channel A1812 within the sampling sheath A1424 and the ports A1427 and A1824.
- FIG. A18D shows a front view of the distal end having a ring-shaped LED A1836, according to some embodiments. The LED A1836 is formed in a recessed ring-shaped area surrounding the aperture A1838 as shown. In general the LED or LEDs can be placed as close a possible to the aperture of the camera so long as the LED or LEDs do not block the field of view of the camera. According to some embodiments, a ring-shaped LED mounting ring is used such as shown and described with respect to FIGS. A29A and A29B.
- Referring again to FIG. A14A-A14D, according to some embodiments, the handle portion A1401 is provided with a relatively minimal set of external controls buttons or knobs. In particular, a hardware button A1456 is used for power control (on/off button), an two hardware buttons A1452 and A1454 are used for manual gain control of the LCD screen A1440. According to some embodiments third and fourth hardware buttons A1453 and A1455 are used for manual white balance and to capture still images from the video camera for later viewing, respectively. According to some embodiments, programmable buttons can be provided in place of some or all of the hardware buttons, and hardware or programmable buttons can be provided to control other video features such as zoom-in, zoom-out and manual white balance.
- In addition to providing the required electrical connections between the handle portion A1401 and the electrical cable A1499, the fluid and connector hub A1405 is configured to provide a multi-purpose fluid channel between a fluid coupling opening A1403 and the port or ports at the distal end (such as sampling port A1427 and the in-flow port). During a hysteroscopic phase of the procedure, the multi-purpose fluid channel between the opening A1403 and the distal ports is used to carry a fluid (such as saline solution) that is infused under positive pressure from an external source, such as a syringe A1435 a coupled to the opening A1403, toward and outward from the distal end ports (such as in-flow port A1824 shown in FIGS. A18A and 18C, and sampling port A1427) to distend the uterus. Other examples of distending fluids that may be suitable according to some embodiments include: carbon dioxide gas, electrolyte-poor fluid, and electrolyte-containing fluid. The multi-purpose fluid channel (channel A1812 shown in FIG. A18C) is then used to drain the uterus upon application of a negative pressure (suction), such as can be provided by the external syringe, to the opening A1403. Subsequently, during a sample collection portion of the procedure, the multi-purpose fluid channel continues to provide suction to the sampling portal A1427 such that sample tissue is sucked thereinto and stored. The use of the same fluid channel to perform these different functions during different phases of the combined procedure provides an advantageous balance of device functionality and simplicity of device manufacturing.
- Notably, the presence of the narrow electrical cable A1499 within the sampling sheath A1424 does not substantially disturb the operation of the multi-purpose fluid channel nor does it negatively affect the quality of the acquired endometrial sample. At the same time, placement of the narrow electrical cable A1499 within the multi-purpose fluid channel serves to enhance the simplicity of the device and lower the manufacturing costs. However, it is to be appreciated that it is not outside the scope of the present teachings for the electrical cable A1499 to be disposed within a separate second lumen formed in the sampling sheath A1424, or alternatively to be adhered along its length to the outside surface of the sampling sheath A1424, although these configurations are not believed to be quite as advantageous as the embodiment of FIGS. A14A-A14D in which the narrow electrical cable A1499 shares the hollow lumen of the sampling sheath A1424 with the multi-purpose fluid channel.
- According to some embodiments a data-transfer port A1433, in the form of a USB port is provided on the exterior of handle A1402. The USB port A1433 can be used to transfer data such as video or still captures stored in memory A1437 from the device A1400 to a computer or other system. The USB port A1433 can also be used to calibrate, setup and/or change settings on the device A1400 or otherwise communicate with processor A1439. According to some embodiments, the USB port can be used to supply power to the device A1400 either for operation or for charging of rechargeable battery A1435.
- FIGS. A15A-A15D illustrate the device A1400 at respective phases of a method for combined hysteroscopy and endometrial sampling according to some preferred embodiments. For clarity of presentation, the fluid and connector hub A1405 is illustrated in FIG. A15A as a dotted line, such that a fluid stopper A1536 is visible that is configured to prevent fluid from flowing further toward the handle portion A1401, while at the same time allowing the electrical cable A1499 to pass onward toward the handle portion A1401. Also shown in FIG. A15A is an external syringe A1534 including a plunger A1535 for manipulation by an assistant during the combined hysteroscopy and endometrial sampling procedure, the syringe A1534 being in fluid communication with the opening A1403 (through a fluid tube A1532) that establishes a multi-purpose fluid channel with the sampling port A1427 at the distal end. The physician, whose eye is shown by the graphical symbol “E” in FIG. A15A, directs the distal tip of the device toward the cervix under the full or partial guidance provided on the video display A1440. Advantageously, the physician does not need to turn his/her head away in order to look at the video display.
- As illustrated in FIG. A15B, once the distal end has been inserted into the uterus, positive pressure is placed on the plunger A1535 to cause distention fluid “F” to flow into the uterus through the sampling portal A1427, which causes a positive pressure to distend the uterus. The physician then performs a hysteroscopy by looking at the video display A1440 while manipulating the device to look around the uterus at different locations and viewing angles.
- Depending on patient-specific factors, there might be very little leakage of the fluid “F” from the uterus during the hysteroscopy (a relatively tight seal of the cervix around the sampling sheath A1424), or alternatively there might be substantial leakage of the fluid “F” from the uterus during the hysteroscopy (a relatively loose seal or space between the cervix and the sampling sheath A1424). For the latter case (i.e., loose seal or no seal), uterine distention can be maintained for the necessary viewing time interval (usually between one minute and several minutes) by maintaining an inflow of replacement fluid from the sampling portal A1427 into the uterus as the fluid “F” leaks out from the cervix. If necessary, the assistant can refill the syringe with fluid if it runs out. Alternatively or in conjunction with a manually controlled syringe, any of a variety of automated external fluid pumping systems can be used to introduce, maintain, and/or evacuate the uterine distention fluid “F” including, but not limited to, the handle-mounted fluid pumping scheme that is included in FIGS. A21A-A21B infra.
- As illustrated in FIG. A15C, upon completion of the hysteroscopy phase of the procedure, a negative pressure is applied to the multi-purpose fluid channel within the sampling sheath A1424, such as by an outward pulling on the plunger A1535 of syringe A1534, thereby causing a drainage of the fluid “F” outward from the uterine cavity and back into the syringe (which can be accompanied by leakage-type drainage of the fluid “F” out of the cervix, depending on patient-specific factors as described above). By virtue of the drainage of the distention fluid “F”, the uterus collapses around the sampling sheath A1424.
- As illustrated in FIG. A15D, an endoscopic biopsy phase of the procedure is then carried out by moving the sampling sheath A1424 in an inward and outward motion several times, with the assistance of further negative pressure maintained by continued pulling of the plunger A1535 of the syringe A1534, an endometrial sample “S” thereby being scraped off the internal uterine surface by virtue of the shape of the sampling portal A1427 and sucked into the multi-purpose fluid channel within the sampling sheath A1424 by virtue of the negative sucking pressure. Advantageously, the endoscopic biopsy phase of the combined procedure can be carried out immediately subsequent to the hysteroscopy phase without requiring the retraction and reinsertion of any instruments, thereby streamlining the procedure from a time and complexity standpoint. Advantageously, the device A1400 brings about the ability for only a single insertion to be required in achieving the dual goals of hysteroscopy and endometrial biopsy. The simplicity of the device allows for use in a regular office setting (rather than a surgical setting) and decreased physician time. The device allows for the ability to perform a hysteroscopy in the doctor's office in addition to an endometrial biopsy, with only very modest additional time and equipment required in comparison to a non-hysteroscopic “blind” endometrial biopsy that would be performed in that same setting, but being much more effective than the simple “blind” biopsy because much common pathology is diagnosed by visual appearance, such as submucous fibroids and polyps, which would be missed by blind biopsy.
- An additional advantage provided by the device A1400 and the method of FIGS. A15A-A15D is that the physician's observations made during the hysteroscopy portion of the procedure can be used in providing a more directed endoscopic biopsy procedure, which can yield better sample quality in comparison to “blind” endoscopic biopsy procedures. More particularly, according to an embodiment, the physician may notice a particular area of interest on the interior uterine surface during the hysteroscopy phase, whereupon the physician may then “steer” the sampling port A1427 toward that particular area of interest during the endoscopic sampling phase. This can be particularly advantageous in for cases in which the uterus contains relatively small lesions or polyps whose cancerous tissue might otherwise be missed or diluted in a “blind” procedure. By way of example, the longitudinal axis of the device A1400 may be thought of as the center of a clockface coordinate system when viewed from an axial direction by the physician, and the uterus can be conceptually divided into quarter sections in that clockface coordinate system. For a patient in a conventional supine position, an anterior portion of the uterus on the patient's left side would correspond to clockface positions between 12 o'clock and 3 o'clock. A posterior portion of the uterus on the patient's left side would correspond to clockface positions between 3 o'clock and 6 o'clock. A posterior portion of the uterus on the patient's right side would correspond to clockface positions between 6 o'clock and 9 o'clock, and, finally, an anterior portion of the uterus on the patient's right side would correspond to clockface positions between 9 o'clock and 12 o'clock. In one example scenario, the physician may notice during the hysteroscopy that there is a particular area of interest between 6 o'clock and 9 o'clock in the above-described coordinate system, such as a small polyp. Advantageously, the physician may then turn the device 1400 to the appropriate angle (using, for example, a fiducial marker system provided on the exterior of the device, or an intrinsic fiducial marker system provided by virtue of the shape of the device) to perform most or all of the endometrial sampling phase with the sampling port A1427 facing angles between 6 o'clock and 9 o'clock. In this manner, it is more likely that the endometrial sample will contain the potentially cancerous tissue than if a “blind” endometrial biopsy were taken,
- FIGS. A16-A17 illustrate further detail of the handle and display portions of a sampling endoscope, according to some embodiments. As can be seen the dimensions of the handle A1402 and display A1440 are provided according to a sample embodiment. The various buttons A1452, A1452, A1455 and A1456 are also shown as described with respect to FIGS. A14A-A14D.
- Thus, according to some embodiments, a handheld video endoscope integrates endoscope, video processing electronics A1439, data storage A1437, compact display A1440 and embedded power supply A1435 for efficient and convenient clinical procedures. The design should be adapted to be suitable for each specific type of procedure to minimize patient discomfort while maximizing clinical efficacy.
- According to some embodiments, an ergonomically designed handheld hysteroscope is provided. In particular, the display A1440 is mounted on the back end of the device and relatively centered with respect to the shaft of the endoscope. The screen of display A1440 is situated at the center of the physician's field of view while performing the procedure. The design shown advantageously provides a low off-axis profile, which allows the physician to move the device freely including rotation and longitudinal motion without bumping into the patient's legs or into the table.
- The screw driver type handle body A1402 is preferably about 1.0 inches in width. Display screen A1440 is about 3 to 5 inches measured diagonally. The design provides for easy longitudinal translation as well as easy rotation. Slim design facilitates easy hand grip and longitudinal movement. Video display screen A1440 is mounted with low overall off-axis profile for easy rotation or tilting.
- FIGS. A21A-A21B illustrate a sampling endoscope having a pistol grip, according to some embodiments. Many of the elements of the embodiment shown in FIGS. A21A-A21B are the same as or similar to those discussed in the previously described embodiments, and such elements may not be described or may only briefly described. It will also be appreciated that the aspects of the embodiments previously described may also apply to the present embodiments. Sampling endoscope A2100 is similar to endoscope A1400 depicted in FIGS. A14A-A14D, A16 and A17 except that a pistol handle A2100 is provided. According to some embodiments, the endoscope probe sheath A1424 and video display A1440 can rotate while the pistol handle A2110 remains stationary. Zooming and capture buttons A2160 can be provided on pistol grip A2110 as shown. According to some embodiments, the handle body A1402 rotates along with the probe A1610 and display assembly A1640, and according to other embodiments the handle body A1632 remains stationary relative to pistol grip A2110. According to some embodiments, the fluid connector A1622 and hub assembly A1626 rotate along with the probe A1610 and display assembly A1640, and according to other embodiments the fluid connector A1622 and hub assembly A1626 remain stationary relative to pistol grip A2110. According to some embodiments, the pistol grip A2110 is disposable and according to other embodiments the grip A2110 is re-usable. By allowing the pistol grip A2110 to remain stationary while the sheath A1424 and display A1440 rotate, the physician is able to move the device freely including rotation and longitudinal motion without bumping the pistol grip A2110 into the patient's legs or into other equipment such as a table.
- According to some embodiments, the sheath A1424 and hub assembly A1405 are detachable and disposable, while the handle A1402, pistol grip A2110 and display A1440 are re-usable. According to some embodiments, the rotation of the sheath and video assembly is motor driven. According to some embodiments the rotation angle is registered by the control system and can be used for rotating the image back in software. Where software rotation is implemented, according to some embodiments, only the sheath A1424 and hub assembly A1405 rotate and the image on the display A1440 is rotated in real time to compensate.
- According to some embodiments, as an alternative, the manually controlled syringe of FIGS. A15A-A15D is replaced by a dedicated fluid container A2152 and trigger-actuated bidirectional pump A2150 that is affixed to or located within the handle portion A1402 or pistol grip A2110 of the device A2100, which can facilitate the ability for a physician to perform the combined hysteroscopy and endometrial sampling procedure without the need for an assistant to operate the syringe. Included in FIGS. A21A-A21B is one or more embodiments in which the device A2100 is outfitted with an enhanced pistol-grip type handle A2110, wherein the physician may apply positive or negative fluid pressure by squeezing a trigger-type button A2166. A switch A2164 is provided that allows the physician to select between positive pumping pressure and negative suction pressure. For one embodiment, the fluid pumping and suction pressure may result solely from manual squeezing of the trigger A2166, with operation being analogous that of a fellable household spray bottle having a squeeze-trigger. For another embodiment, motorized operation can be provided using electrical energy from the rechargeable battery A1435 of the handle portion or an external source. As described, for some embodiments in which a pistol-grip type handle A2100 is used, the handle portion A1402 may be configured so as to allow the trigger A2166 and handle-grip A2100 to remain at a fixed angle in one hand, while the video display A1440 and sampling sheath A1424 can be rotated in unison to different clockface angles relative to the longitudinal axis of the device. The physician may alter the angle of the video display A1440 and sampling sheath A1424 by directly manipulating the angle of the video display A1440 with their second hand. The mechanical fit between the components should be reasonably tight or resistive so that the video display A1440 and sampling sheath A1424 do not rotate loosely on their own, but will only rotate when so affirmatively manipulated by the physician's second hand.
- Another variation that is also within the scope of the present teachings is to leave the video display A1440 upright and fixed in angular relation to the pistol-grip style handle A2110, while the sampling sheath A1424 is independently rotatable around the longitudinal axis. For this embodiment, the angle of the sampling sheath can be electronically or electromechanically measured, and then the angle of the image as it appears on the video display A1440 can be rotated using software or firmware running on processor A1439 to correspond to the angle of the sampling sheath.
- By way of still further example, another variation that is also within the scope of the present teachings is to use a pistol-grip A2110 that is not triggered, but into which can be placed a single-use fluid syringe A1435 a. The physician can use their second hand to work the syringe A1435 a while holding the pistol-grip steady with their first hand. By way of even further example, another variation that is also within the scope of the present teachings is to incorporate a low-cost rotary fluid pump directly into the fluid and connector hub A1405, or to build the low-cost rotary fluid pump into the fluid tube that leads to the fluid and connector hub from an external reservoir, and to make all of the sampling portion, the reservoir, the fluid tube, and fluid pump be single-use disposable items. One example of a suitable low-cost fluid pump that could be adapted for use into the described embodiments is the WPM Ultra-Compact Peristaltic Pump available from Welco, Ltd., of Tokyo, Japan. Therefore, references to the details of the preferred embodiments are not intended to limit their scope.
- Further details with respect to imaging sensors and related technology will now be provided, according to some embodiments. CMOS (Complementary metal-oxide-semiconductor) sensor technologies have advanced greatly. Pixel signal to noise is improving while pixel size is reduced, making it possible to achieve high resolution with very small sensor area. CMOS sensor requires low power and voltage. CMOS requires fewer connection wires and the wires can transmit distance up to several meters. These characteristics make CMOS sensors ideal for miniature video endoscopes for in vivo direct visualization of many different tissues of interest in human body. Because of the miniaturization, it is possible to embed video cameras in catheters, sheath and other tools and provide in vivo and sometime concurrent direct visualization.
- Higher resolution and high photon flux will render higher image quality. However, there is a physics limit to the size of pixel. As the individual pixel size become smaller, the signal to noise, dynamic range decrease and circuitry complexity increases. The basic tradeoffs between image resolution, clinical value including invasiveness and the economics of single use cameras, have not been obvious and a systematic will now be provided.
- FIG. A19 illustrates various factors in optimal sensor design for single use video endoscopes, according to some embodiments. Major factors in optimal sensor design for single use video endoscopes include the following. (1) Sensor Area (SA)—larger sensor area allows imaging of larger area. However, cost (C) and invasiveness (INV) increases with sensor size. (2) Adequate image quality (AIQ)—refers to image quality that provides adequate visualization. AIQ for three targeted groups of imaging applications are plotted in curves A1910, A1912 and A1914. For certain sizes of targeted area to be visualized, AIQ increases with sensor size but levels off after certain point (the level-off points A1920, A1922 and A1924), beyond which AIQ changes very slowly with SA, i.e. the quality of visualization does not change significantly. (3) Invasiveness (INV), plotted in curve A1930—as sensor area increases the invasiveness to tissue increases quickly because the video endoscope size is directly proportional to the sensor area. (4) Cost (C), plotted in curve A1932—cost of video endoscope increases as chip area increases because of chip fabrication cost. Cost also increases as size approaches very small because of assembly and packaging. Cost is very critical in making single-use feasible.
- As shown in FIG. A19, an optimal area A1940 of operation is highlighted. Table 1 lists the range of sensor resolution for the 3 application groups.
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TABLE 1 Endoscope OD Targeted (not including Group Pixel Size Number of Pixels illumination) G1 1.75~3.0 mm 1~2 Millions <5 mm Such as 3.6 mm G2 1.4~2.5 mm 50K~270K <3 mm Such as 1.6 mm G3 1.1~1.75 mm 8K~40K <1.5 mm Such as 1.2 mm - Thus, in applying CMOS (Complementary metal-oxide-semiconductor) sensor technologies for medical endoscopes, optimal sensor specification is achieved based on the following major factors: Adequate quality for intended use; invasiveness to the tissue; and cost of manufacturing and assembly. The current teachings, according to some embodiments, relate to single-use video endoscopes or video probes for several common diagnostic and therapeutic procedures including single-use, flexible and miniature endoscope is inserted through, or fixed within, the working channel of sheath or catheter to assist the deployment and verification of biopsy and ablation with RF or Microwave. With single-use, flexible and miniature endoscope built-in the sheath or catheter, the targeted tissue sites and can be visualized concurrent to the RF or Microwave ablation or tissue biopsy, according to some embodiments. With single-use, flexible and miniature endoscope built-in the sheath, contraceptive sterilization procedure can be visualized and verified, according to some embodiments. Ultra-slim, single-use endoscope on a curved or angled tip for assisting deployment and verification of implant devices including IUD (Intra-Uterine Device), and for diagnosis or treatment of body joints and spines, according to some embodiments. Ultra-slim, single-use video probes that can be placed inside a cardiac catheter sheath together or in place of the usual guide wire, which enables continuous visualization of the catheterization process inside the cardiovascular vessels and enhance the procedure which reduce X-ray doses by fluoroscopy, according to some embodiments.
- According to some embodiments the techniques described herein can be used for other types of direct optical visualization of the human body including for example, encephaloscopy, esophagoscopy, thoracoscopy, angioscopy, nephroscopy, proctoscopy, colonoscopy, arthroscopy, rhinoscopy, laryngoscopy, bronchoscopy, mediastinsocopy, gastroscopy, laparoscopy, amnioscopy, and cystoscopy.
- Many of the embodiments described herein are directed to “single use”, and this provides a significant advantage in many applications since sterilization is tedious and requires expensive materials and construction of the scopes. Additionally, sterilization can be never be perfect. “Single use” means disposability. The teachings provided herein provide a “sweet spot” or a good compromise in balancing of the invasiveness, acceptable image quality and cost.
- Referring again to FIGS. A14A-A14D, A16 and A17, according to some embodiments, the handset including probe A1424, connector hub A1405 and handle A1402 is a single disposable piece. The display assembly A1440 is designed to be re-used many times. A highly durable design for the connector between the handset A1402 and the display A1440 is provided so that the display A1440 can be re-used many times.
- One example of the procedure is described as follows: (1) clean and disinfect the display A1440; (2) take the handset out of sterile package and connect it to the display A1440; (3) perform the entire hysteroscopy and biopsy procedure; (4) detach handset and dispose of it; (5a) clean and disinfect display A1440; or (5b) peel a protective sheath used to cover the display A1440 and replace with a new sheath; and (6) the display A1440 is now ready to use for new procedure.
- According to some embodiments, the display A1440 and handle A1402 is a single piece that is reusable. A highly durable design for a connector between the handle A1402 and hub A1405 allows for the display and handle to be reused many times.
- According to some embodiments, the endoscopic system is formed of three main parts. Display A1440 is designed to be reused many times. Handle A1402 is designed to be reused fewer times, and sheath A1424 and hub A1405 are designed for single use.
- Conventional video endoscopes use a sheath containing channels for multiple purposes, including instilling distending media and or collecting tissue samples. According to some embodiments, the design of the distal tip of an endoscope that includes a video camera and illumination, combined with a channel for instillation of distending fluid or gas. Specifically, structures for fluid inflow allow a solid rounded distal end of the device to enter the uterus, urethra, or other hollow organ while maintaining forward flow of distending medium to provide excellent visualization. According to some embodiments, the use of this principle is combined with a built-in endometrial biopsy port to allow directed biopsy without the need to insert other instruments.
- FIGS. A20A-A20C illustrate details near the distal end of a device having combined hysteroscopy and endometrial sampling capability, according to some embodiments. The device can be such as device A1400 or device A2100 as shown in and described with respect to FIGS. A14A-A14D, A15A-A15D, A16, A17, A18A-A18D and/or A21A-A21B. In this example embodiments, the sheath A1424 having OD less than about 4 mm. A backward facing side port A2022 is angled backward such that the in-flow fluid is naturally directed toward the forward facing side port A2024. The forward facing side port A2024 is preferably angled at less than 30 degrees from the central axis of sheath A1424 near its distal end,
- Multi-purpose fluid channel A1812 is used to carry fluids under positive pressure outward from the device, for example to distend the uterus, as well as to carry fluids under negative pressure inward into the device, for example for sample collection. A flex cable or wire A1499 is also shown and can be embedded within the wall of sheath A1424, or more preferably, positioned within the channel A1812. The camera head A1830 in this example has an OD of between 1 and 2.62 mm, and an aperture A2038. Illumination is provided by LEDs, such as LEDs A2034 and A2036.
- According to some embodiments an optional soft flap A2026 is provided for gating in-flow fluid (i.e. fluid flowing into the uterus) through forward facing port A2024 instead of backward facing port A2022. The optional soft flap A2026 is designed to at least partially occlude the backward port A2022 in the in-flow phase, thereby forcing most or all of the fluid under positive pressure through the forward port A2024.
- By providing the two ports as shown the design advantageously provides for efficient and effective bi-directional sampling. Backward facing port A2022 captures more samples when sheath moves backwards, while forward facing port A2024 captures more samples when sheath moves forwards. FIG. A20C shows further details of the shape of the forward facing port A2024 and backward facing port A2022, and dimensions, according to one embodiment.
- Thus, by providing more than one port at or near the distal end, in-flow of fluids as well as sample collection is facilitated. As shown the lateral forward port A2024 is provided with angled ramp that allows the inflow fluid to be injected with a trajectory at an angle equal or less than 30 degrees from the forward direction. With the design shown in FIGS. A20A-A20C, there is no need for an opening at the very distal tip surface. This frees up more room for camera, as well as for LEDs or other illumination means. This also allows a solid rounded distal end to facilitate entry into the uterus, urethra, or other hollow organ while maintaining forward flow of distending medium to provide excellent visualization. Thus by providing dual ports or multiple ports, samples can be captured whether the device move forward or backward or rolling.
- FIGS. A22A-A226 illustrate an endoscope having optical fiber illumination, according to some embodiments. Endoscope A2200 is similar to device A1400 or device A2100 as shown in and described with respect to FIGS. A14A-A140, A15A-A15D, A16, A17, A18A-A18D and/or A21A-A21B. In this example, however, illumination is provided by a high brightness LED module A2228 that is embedded inside the hub body A2226 as shown. The LED light couples into optical fibers embedded within the wall of sheath A1424. The population of optical fibers, such as fiber A2214 shown in FIG. A22B, is embedded into the sheath material A2212 of sheath A1424. The optical fibers can be glass (or plastic) light guiding fibers as is well known, which carry illumination light from the LED source A2228 to the distal tip A1408. At the distal tip A1408 the optical fibers are terminated and sealed or covered with light translucent materials. According to some embodiments, the optical fibers each have a diameter of about 30 Microns and a numerical aperture of >0.7. The fibers are preferably held together with epoxy and polished at the end for coupling with the LED source A2228. The top section A2230 of sheath A1424, which also corresponds to the same sector as the irrigation and sample retrieval port A2208, contains no fibers and remains optically clear so as to allow the user to see specimen sample fluid as the fluid is being drawn through the central opening A1812 of sheath A1424. This “clear sector” A2230, according to some embodiments, takes up between 25-50% (i.e. 90-180 degrees) of the sheath wall circumference. According to one embodiment, the clear sector A2230 is spiraled along the length of the sheath A1424 so that the user can view the specimen fluid from any viewing angle.
- FIGS. A23A-A23D illustrate details near the distal end of a device having combined hysteroscopy and endometrial sampling capability, according to some embodiments. The device can be such as device A1400 or device A2100 as shown in and described with respect to FIGS. A14A-A14D, A15A-A15D, A16, A17, A18A-A18D and/or A21A-A21B. In this example, the wall of sheath A1424 has OD of less than about 4 mm. The backward facing side port A2322 is tilted backward so as to direct the in-flow fluid (i.e. fluid flowing into the uterus) in multi-purpose fluid channel A1812 toward the forward port A2324. Forward facing side port A2324 is preferably angled at less than 30 degrees. A flex cable or wire A1499 is connected to camera head A1830, which preferably has an OD of between 1 mm and 2.62 mm, and an aperture A2338. Illumination is provided by LEDs such as LEDs A2334 and A2336. Forward facing port A2324 preferably has a blunt edge A2328 to facilitate ease of insertion of the endoscope by lessening risk that the edge A2328 catches on tissue during insertion. According to some embodiments, an optional soft flap A2326 is provided for gating in-flow fluid through forward facing port A2324 instead of backward facing port A2322.
- FIGS. A23C and A23D shows further details of the shape and dimensions of the backward facing port A2322 and forward facing port A2324 respectively, according to some embodiments. As in the case of the design shown in FIGS. A20A-A20C, the design shown in FIGS. A23A-A23D provide for bi-directional sampling. Backward facing port A2322 captures more samples when sheath moves backwards; while forward facing port A2324 captures more samples when sheath moves forwards.
- FIGS. A24A-A24B illustrate details near the distal end of a device having combined hysteroscopy and endometrial sampling capability, according to some embodiments. The device can be such as device A1400 or device A2100 as shown in and described with respect to FIGS. A14A-A14D, A15A-A150, A16, A17, A18A-A18D and/or A21A-A21B. In this example forward facing port A2424 and backward facing port A2422 are on the opposite side of the sheath tube A1424 to allow in-flow fluid to be more uniform on all sides of sheath A1424. Forward facing port A2424 is more proximal relative to the backward port to allow the backward facing port A2422 to be closer to the distal end of sheath A1424. Forward facing port A2424 has an edge A2428 that is preferably rounded to avoid catching up tissue. In one embodiment camera wire A1499 and is pushed up within multi-channel fluid channel A1812 so as to be closer the upper wall of sheath A1424, such as by gluing, etc. This has been found to allow greater in-flow fluid to the forward port A2424.
- Block or stuffing A2426 behind the camera module A1830 is shaped so at to direct the in-flow fluid to the forward port A2424. According to some embodiments, sheath A1424 including its distal end can be made of a single piece of suitable plastic material. Alternatively, distal tip can be made of metal while the portions of the sheath A1424 other than the tip are made of plastic material. The structures shown allow for fluid inflow, while the solid rounded distal end facilitates entry into the uterus, urethra, or other hollow organ while maintaining forward flow of distending medium to provide excellent visualization.
- FIGS. A25A-A25B illustrate details near the distal end of a device having combined hysteroscopy and endometrial sampling capability, according to some embodiments. The device can be such as device A1400 or device A2100 as shown in and described with respect to FIGS. A14A-A14D, A15A-A150, A16, A17, A18A-A18D and/or A21A-A21B. In this example, a backward facing side port A2522 is angled backward such that the in-flow fluid is naturally directed toward the forward facing port A2524. The forward facing port A2524 is formed in the very distal end of sheath A1424 as shown.
- Multi-purpose fluid channel A1812 is used to carry fluids under positive pressure outward from the device, for example to distend the uterus, as well as to carry fluids under negative pressure inward into the device, for example for sample collection. A flex cable or wire A1499 is also shown and can be embedded within the wall of sheath A1424, or more preferably, positioned within the channel 1812. The camera head A1830 has an aperture A2538. Illumination is provided by LEDs, such as LEDs A2534 and A2536. A filling A2514 such as glue is used to hold the camera A1830 and to fix the position and orientation of the LEDs as shown. By providing the in-flow port A2524 on the tip of the device as shown, clear fluid such as saline can wash over the aperture of camera A1830 and illumination LEDs so as to enhance imaging quality. Additionally, the design allows for the backward facing side port A2522 to be positioned closer to the distal end of sheath A1424 which enhances the ability to efficiently collect tissue samples.
- FIGS. A26A-A26B illustrate details near the distal end of a device having combined hysteroscopy and endometrial sampling capability, according to some embodiments. The device can be such as device A1400 or device A2100 as shown in and described with respect to FIGS. A14A-A14D, A15A-A15D, A16, A17, A18A-A18D and/or A21A-A21B. In this example, the sheath A1424 has an oblong cross section. A backward facing side port A2622 is angled backward such that the in-flow fluid is naturally directed toward the forward facing port A2624. Forward facing port A2424 is more proximal relative to the backward port to allow the backward facing port A2422 to be closer to the distal end of sheath A1424. Forward facing port A2624 has an edge A2628 that is preferably rounded to avoid catching up tissue.
- Multi-purpose fluid channel A1812 is used to carry fluids under positive pressure outward from the device, for example to distend the uterus, as well as to carry fluids under negative pressure inward into the device, for example for sample collection. A flex cable or wire A1499 is also shown positioned within the channel A1812. The camera head A1830 has an aperture A2638. Illumination is provided by LEDs, such as LEDs A2634 and A2636. A filler A2614 such as glue is used to hold the camera A1830 and to fix the position and orientation of the LEDs as shown. The oblong cross section of sheath A1424 has been found to allow the sampling port to be placed closer to the distal tip while also creating room for in-flow fluid port A2624 and sampling port A2622 to be placed on opposite sides of the sheath A1424 as shown.
- FIGS. A27A-A27B illustrate details near the distal end of a device having combined hysteroscopy and endometrial sampling capability, according to some embodiments. The device can be such as device A1400 or device A2100 as shown in and described with respect to FIGS. A14A-A14D, A15A-A15D, A16, A17, A18A-A18D and/or A21A-A21B. In this example, the sheath A1424 has an oblong cross section. A backward facing side port A2722 is angled backward such that the in-flow fluid is naturally directed toward the forward facing port A2724. The forward facing port A2724 is formed in the very distal end of sheath A1424 as shown.
- Multi-purpose fluid channel A1812 is used to carry fluids under positive pressure outward from the device, for example to distend the uterus, as well as to carry fluids under negative pressure inward into the device, for example for sample collection. A flex cable or wire A1499 is also shown positioned within the channel A1812. The camera head A1830 has an aperture A2738. Illumination is provided by LEDs, such as LEDs A2734 and A2736. A filler A2714 such as glue is used to hold the camera A1830 and to fix the position and orientation of the LEDs as shown. The oblong cross section of sheath A1424 has been found to allow the sampling port A2722 to be placed closer to the distal tip while also creating room for in-flow fluid port A2724 on the tip of the device as shown. By providing the port A2724 on the tip, clear fluid such as saline can wash over the aperture of camera A1830 and illumination LEDs so as to enhance imaging quality.
- FIGS. A28A-A28B illustrate details near the distal end of a device having combined hysteroscopy and endometrial sampling capability, according to some embodiments. The device can be such as device A1400 or device A2100 as shown in and described with respect to FIGS. A14A-A14D, A15A-A15D, A16, A17, A18A-A18D and/or A21A-A21B. In this example, the sheath A1424 has an oblong cross section and front facing port A2824 is positioned on the distal tip and above the camera A1830. This design allows for the backward facing side port A2822 to be placed even more closely to the distal end of sheath A1424. The multi-purpose fluid channel A1812 carries fluids under positive pressure outward from the device, for example to distend the uterus, as well as to carry fluids under negative pressure inward into the device, for example for sample collection. Flex cable or wire A1499 is positioned within lower part of the channel A1812, preferably opposite to the sampling port A2822 and in-flow port A2824. The camera head A1830 has an aperture A2838. Illumination is provided by LEDs, such as LEDs A2834 and A2836. A filler A2814 such as glue is used to hold the camera A1830 and to fix the position and orientation of the LEDs as shown.
- FIGS. A29A-A29B illustrate details near the distal end of a device having combined hysteroscopy and endometrial sampling capability, according to some embodiments. The device can be such as device A1400 or device A2100 as shown in and described with respect to FIGS. A14A-A14D, A15A-A15D, A16, A17, A18A-A18D and/or A21A-A21B. In this example, the sheath A1424 has an oblong cross section and front facing port/lumen A2924 is positioned on the distal tip and above the camera block A1830. The sheath A1424 is also molded into a multi-lumen tip structure. The sheath material A1424 is used to separate the camera housing A1830 from the in-flow lumen A2924. It has been found that this design prevents adhesives used for mounting the camera block A1830 from seeping into the in-flow lumen A2924. The multi-purpose fluid channel A1812 carries fluids under positive pressure outward from the device, for example to distend the uterus, as well as to carry fluids under negative pressure inward into the device, for example for sample collection. Flex cable A1499 is positioned within lower part of the channel A1812, preferably opposite to the sampling port A2922 and in-flow port A2924. In this design, the camera block A1830 is partially housed by the sheath material such that forward fluid pressure is not applied directly to the camera module directly, thereby reducing the risk of the camera module being dislodged by the in-flow fluid. Also preferably included is a wrapper or sleeve A2914 for the camera block A1830. In FIG. A296, further detail of the camera block A1830 can be seen, as will be shown in described in even greater detail herein below. Six LEDs, such as LEDs A1934 and A1936 are mounted on a ring-shaped LED housing A3034. The camera centrally located and has an aperture A1938. Alight shield A3076 acts a lens hood and shields direct light from the LEDs from entering the aperture. Portion A2940 is part of the sheath A1424 located further away from the distal tip, near to the sampling port A1922 in longitudinal position.
- FIG. A30 is a cross sectional view illustrating further detail of a camera module for use with a device having combined hysteroscopy and endometrial sampling capability, according to some embodiments. The CMOS sensor A3080 and glass lens A3070 are housed within a stainless steel lens holder A3056 such that there is an air gap A3054 in between. The CMOS sensor A3080 electronically communicates via conducting wires such as wires A3052 that pass through cable A1499. The same or similar wires can provide power to LEDs near sensor A3080. The cable A1499 is supported by a grommet A3050. The entire camera module A1830 is housed and protected by a stainless steel outer housing A3060. A metallic aperture plate A3074 has a small aperture A3038 through which light is allowed to pass. The aperture plate A3074 is covered by a glass plate A3072 which is mounted slightly recessed from the most distal end of the camera module A1830. A number of LEDs, such as LEDs A3036 and A3037 are mounted on ring-shaped LED housing A3034. A light shield A3076 is positioned between the LEDs and the aperture A3038 so as to block light from the LEDs from directly entering the aperture thereby enhancing the video images captured by CMOS sensor A3080.
- FIG. A31 illustrates a device having combined hysteroscopy and endometrial ablation capability, according to some embodiments. Global endometrial ablation (GEA) is being used widely for treating women with abnormal uterine bleeding conditions. Many different technologies and platforms have been developed, such as the NovaSure® system, ThermaChoice® system and also systems that employ microwave, or other sources of thermal, laser, radiofrequency, microwave energy as well as other energy sources. However, none of these systems (other than those which circulate heated free fluid under hysteroscopic vision) or procedures have been integrated with direct visualization. An endoscope or ultrasound may be used prior to the application of the GEA device, but not in the same insertion. The device A3100 integrates visualization for visually guided GEA procedures. In particular, the device A3100, in addition to the features of a conventional GEA system such as the NovaSure® system, includes a miniature camera unit A1830, which can be as described in
FIG. 30 and/or elsewhere herein. The camera unit A1830 electronically communicates via cable A1499. The distal tip of sheath A1424 also preferably includes an illumination source (not shown). An integrated display A1440 is preferably mounted on the end of handle portion A2110 so as to aid in visualization during the GEA procedure. According to some embodiments, the integrated visualization components are mostly single use or disposable with the GEA components. - FIGS. A32A-A32C illustrate the distal end of a device having combined hysteroscopy and endometrial ablation capability, according to some embodiments. The distal tip of the sheath A1424 includes two tapered end pieces A3220 and A3222 that are shaped so as to facilitate insertion of the device through the cervix and into the uterus of the patient. Also shown is the folded electrode structure A3210 that includes an expandable conductive mesh as is known. In the embodiment shown in FIG. A32A, and LED A3234 is mounted near the tip of piece A3222 and LED A3236 is mounted near the tip of piece A3220. The LEDs and the camera module A1830 are electrically connected to the system via cable A1499. The mounting location of the LEDs A3234 and A3236 are preferably slightly away from the central axis of sheath A1424 so as to reduce the amount of light from LEDs directly entering the camera module A1830. According to some embodiments, the camera module A1830 is 2 mm or less in diameter. FIG. A32B illustrates an embodiment where the two pieces A3222 and A3220 are made from a translucent material, and LEDs A3244 and A3246 are mounted within the pieces A3222 and A3220 respectively. FIG. A32C illustrates an embodiment where the LEDs are mounted in a small ring-shaped holder A3254 surrounding the camera module A1830, such as shown and described with respect to FIGS. A29A-A29B and A30. The embodiments of FIGS. A32A-A32B have an advantage over the embodiment of FIG. A32C in that the overall size of the combination of the ng-shaped LED holder A3254 and camera module A1830 is larger than the camera module alone.
- According to some embodiments, the illumination is provided by a source in the handle of the device A3100 and optical fiber(s) are used to carry the light to the distal tip, such as shown and described with respect to FIGS. A22A and A22B herein. For example, high brightness LEDs can be used within the handle structure A2110 of device A3100, and light-guiding optical fibers can either be mounted on the inner surface of sheath A1424 or embedded into the wall of sheath A1424. At the distal tip of device A3100, the optical fibers are terminated and sealed or covered with light translucent materials.
- FIGS. A33A-A33C illustrates the device A3100 at respective phases of a method for combined hysteroscopy and endometrial ablation according to some embodiments. In FIG. A33A, the distal end of sheath A1424 is inserted through the cervix A3310. Fluid is infused through sheath A1424 so as to distend the uterine cavity A3320. The camera module A1830 has a field of view A3330 and provides visual images to the medical practitioner(s) of the inner surfaces of uterine cavity A3320 such as endometrium A3322. In FIG. A33B, the visual images from camera module A1830 are used to guide the ablation sheath A1424 to the top of the uterus (fundus). Through the aid of visual images, the integrated hysteroscopy and endometrial ablation device has the advantages of (1) reducing the risk of perforation of the uterine tissues; and (2) helps to ensure a central positioning of the sheath within the uterine cavity A3320 so as to enhance an even distribution of the electrode structure.
- In FIG. A33C, the sheath A1424 is pulled back together with the camera, allowing the electrode mesh structure A3340 to expand and conform to the shape of the uterine cavity for ablation. According to some embodiments, the camera is designed to remain near the distal tip of the electrode mesh structure A3340. After deployment of the mesh structure 3340, the ablation procedure is carried out.
- Although the embodiments described in FIGS. A31, A32A-A32C and A33A-A33C are for a device having combined hysteroscopy and GEA capability with a systems such as the Novasure® system, according to other embodiments, the same or similar components are combined with GEA systems having other types of ablation sheaths and/or use other types of GEA technology. In general, visualization provided by the described embodiments ensures that the GEA device is correctly inserted into the uterine cavity and minimizes the risk of a perforation. Without the integrated visualization provided by these embodiments, cavity integrity tests are indirect and not always accurate.
- Certain embodiments described above can be used as a low-cost medical instrument that is disposable at least in part and in a single insertion distends, images and biopsies a patient's uterus. The device comprises an elongated conduit having a distal portion configured and dimensioned for insertion into the patient's uterus, and a proximal portion, Non-limiting examples of such a conduit are sampling portion A104, A1404, and probe A1424, without or together with connection or hub A200, A300, A400, and A1405, The conduit comprises (a) one or more proximal ports at the proximal portion of the conduit, configured to provide passage of fluid into the conduit and of fluid and biopsy samples out of the conduit; (b) one or more distal openings at the distal portion of the sampling conduit configured to provide fluid outflow from the conduit and the inflow of fluid and biopsy samples into the conduit; and (c) one or more biopsy implements at the distal end of the conduit, configured and shaped to transfer biopsy samples from the uterus into the conduit Non-limiting examples are: (a) for proximal ports, the opening into sheath A124 from fluid line A132 (FIG. A3), openings A103, the opening for fluid line A133 into hub A105 (FIG. A9), and opening A1403; (b) for distal openings, hole A127 and ports A127A, A127B, A1427, A2322, A2324, A2522, A2622, A2722, A2822, and A2922; and, for biopsy implements, the shaped edges and sides of the distal openings. The medical instrument further comprises a handle secured to the conduit at the proximal portion thereof and configured and dimensioned to be grasped by a user's hand and manipulated by a user to introduce the distal portion of the conduit into the patient's uterus, move the conduit's distal portion within the patient's uterus, and withdraw the conduit from the patient's uterus. Non-limiting examples of the handle are module A102, and handle A1401, A1402 (and/or pistol grip A2110). The instrument includes an imaging system at the distal portion of the sampling device. Non-limiting examples of an imaging system are imaging
module 108, imaging head A1408, and camera head A1830. The instrument further includes an illumination system configured to illuminate the uterus at an illumination field viewed by said imaging system. Examples of an illumination system are illustrated at A108B, A1834, A1836, A1934, A1936, A2034, A2036, A2228 and A2214, A2334, A2336, A2436, A2534, A2536, A2634, A2636, A2734, A2736, A2834, A2836, A2934, A2936, A3036, A3037, A3234 and A3236. An image display can be secured to said handle, such as image display A140 and A1440. A control system can be secured to the handle and coupled with the imaging system, the illumination system and the image display and is configured to selectively cause, in response to user commands, the illumination system to illuminate the uterus, the imaging system to provide an image of the uterus, and the display system to display the image for viewing by the user. Examples of control systems are seen at A112, A1439 (with or without control buttons A1452-A1456 and/or the control buttons and/or trigger illustrated in FIGS. A21A-A21B). At least the conduit is configured to be disposable after a single use in a patient, but the handle may also be disposable it desired. Further, all three of the conduit, handle and display can be disposable if desired, as can the control system. The instrument is configured for a medical procedure in which the distal portion is inserted only once into the patient's uterus to provide each of (a) uterus distention by introducing fluid under positive pressure into one or more of the proximal ports, which fluid passes through the conduit and enters the uterus through one or more of the distal openings, (b) an image of the uterus by illuminating the uterus with the illumination system and imaging the illuminated uterus with the imaging system, and (c) taking biopsy samples from the uterus by engaging the uterus with the biopsy implements and drawing fluid and biopsy samples from the uterus into the conduit through one or more of the more distal openings and out of one or more of the proximal ports by applying negative pressure to one or more of the proximal ports. Preferably, the conduit is releasably coupled with the handle so that a new conduit can be secured to the handle for use with a new patient, and the used conduit can be uncoupled thereafter, preferably by hand and without requiring the use of tools, and disposed of in preparation for use with another patient. In addition, or alternatively, the handle and the display can be releasably secured to each other so that a new handle and a new conduit can be secured to the display before use with a new patient, and thereafter the handle and the conduit can be uncoupled from the display, preferably by hand and without requiring tools, and disposed of. An inflatable balloon can be secured to the conduit, such asballoon 106, and selectively inflated when the distal end of the conduit is in the uterus, to resist fluid flow out of the uterus. The instrument can be provided with an ablation device at the distal portion of the conduit to selectively ablate at least a selected portion of the uterus under user control. Examples of ablation devices are electrode mesh structure 3340, although other types of ablation structures using heat or other means to ablate can be used instead or in addition (for example, laser light). - The medical instrument that is at least party disposable can be used in a method of distending, imaging and taking biopsy samples of a patient's uterus in a single insertion of the instrument into the uterus. The method includes: (a) inserting the distal portion of the conduit into the patient's uterus by manually manipulating the handle; (b) distending the uterus by introducing fluid under pressure into the conduit through one or more proximal ports at the proximal portion of the conduit and out of the conduit and into the uterus through one or more of the distal openings at the distal portion of the conduit; (c) while the distal portion remains inserted in the uterus, illuminating a portion of the uterus with an illumination system emitting light from the distal portion of the conduit; (d) while the distal portion remains inserted in the uterus, imaging the illuminated portion of the uterus with an imaging system secured at the distal portion of the conduit; (e) still while the distal portion remains inserted in the uterus, displaying, on a display secured to said handle, images provided by the imaging system; (f) while the distal portion remains inserted in the uterus, manipulating the distal portion of the conduit in the patient's uterus and causing the transfer of fluid and biopsy samples from the uterus into at least one of the distal openings and out of at least one of said one or more proximal ports; (g) withdrawing the conduit from the patient's uterus; and (h) disposing of at least the conduit before using at least the display for another patient. Only the conduit can be disposed of and replaced with a new one for a new patient, or both the handle and the conduit can be disposed of and replaced with a new conduit and handle for a new patient, or the entire instrument cab be disposed of and replaced with a new one for a new patient. If ablation is indicated or desired, an instrument that additionally includes an ablation structure at the distal portion can be used to ablate at least a selected portion of the uterus.
- Although the foregoing has been described in some detail for purposes of clarity, it will be apparent that certain changes and modifications may be made without departing from the principles thereof. It should be noted that there are many alternative ways of implementing both the processes and apparatuses described herein, including for using the described devices or certain aspects thereof for hysteroscopy but not for endometrial biopsy, or for endometrial biopsy but not for hysteroscopy, or for endoscopy and/or biopsy other than of the uterus. For example, in some applications the device shown in FIGS. A50-A51 could also be used for taking fluid and/or fluid/tissue endometrial samples through the forward facing fluid parts. Accordingly, the present embodiments are to be considered as illustrative and not restrictive, and the body of work described herein is not to be limited to the details given herein, which may be modified within the scope and equivalents of the appended claims.
Claims (21)
1-71. (canceled)
72. A self-contained, hand-held, low-cost endometrial endoscope having a single-use, disposable cannula releasably connected by hand to a multiple-use handle that contains an image display and detachable by hand from the handle, including:
a distal portion of the cannula configured and dimensioned for insertion into the patient's uterus and having one or more distal openings configured to provide fluid outflow, an imaging system configured to image the uterus and generate video signals in electronic format, and an illumination system configured to illuminate the uterus;
a proximal portion of the cannula provided with one or more ports configured to provide passage of fluid into the cannula, and a connector;
an electrical cable extending within the cannula from the imaging system to the proximal portion and configured to carry video and control signals;
a handle configured for multiple endoscopic examinations of patients and shaped and dimensioned to be grasped by a user's hand to manipulate the endoscope while examining a patient's uterus, the handle including an integral image display and an interior containing electronic components;
a coupling formed of portions of the handle and the connector and configured to releasably, by hand, attach to and detach from the handle, by mating an extension of one of the handle and the connector with a recess in the other one of the handle and the connector, and to releasably establish an electrical connection between the cable and the handle;
wherein the connector includes an outer shell and a barrier fitted inside the outer shell and including a first seal configured to keep fluid in the cannula from reaching the electronic components in the handle but to allow passage of the electrical cable and one or more additional seals between the first seal and the electronic components, also configured to keep fluid in the cannula from reaching the electronic components, including a seal formed by an inner portion of the barrier tightly enveloping a radial extend of the cable;
wherein the electronic components are configured to receive user commands entered by user operations of one or more of the handle and the display, the imaging system is configured to provide an image of the uterus, and the display is configured to display the image for viewing by the user while the cannula is inserted in the patient's uterus.
73. The endoscope of claim 72 , further including plural user-operated control elements in at least one of the handle and the display configured to receive the commands entered by user operation to selectively energize the illumination and imaging systems to image the patient's uterus and to display images at said display.
74. The endoscope of claim 72 , further including a tissue sampling element at the distal portion of the cannula configured to sample endometrial tissue and deliver samples into the cannula.
75. The endoscope of claim 74 , in which the tissue sampling element includes a side opening with a proximally facing edge configured to scrape endometrial tissue from the uterus.
76. The endoscope of claim 72 , in which the illumination system includes one or more LED devices at the distal portion of the cannula.
77. The endoscope of claim 72 , in which the imaging system comprises an electronic imaging device generating a standard video format image for display.
78. The endoscope of claim 72 , in which the cannula includes plural enclosed channels extending between the distal and proximal portions.
79. The endoscope of claim 78 , in which one of the plural channels is configured for endometrial tissue sampling.
80. A self-contained endoscope for examining a patient's uterus, including:
a cannula configured for insertion into the patient's uterus to distend and image the uterus, and a handle including an integral image display and configured and dimensioned for a user to hold and manipulate the endoscope;
wherein a distal end of the cannula has one or more openings configured to provide fluid outflow, an imaging system configured to image the uterus and provide electronic video images to the display, and an illumination system configured to illuminate the uterus;
a coupling between at least one of (i) the cannula and the handle and (ii) the handle and the display, which coupling forms a boundary between a single-use portion of the endoscope that includes at least the cannula and a multiple use portion that includes at least the display;
wherein the coupling has an attached state in which the single-use portion and the multiple-use portion joined by a hand operation into a single, self-contained endoscope that the user manipulates in space through the handle, and the imaging system and display are physically and electrically integrated, and a released state in which the single-use portion and the multiple-use portion of the instrument are physically and electrically separated by a hand operation;
one or more ports in a proximal, side surface of the cannula;
computer circuits and control elements in at least one of the handle and the display that are responsive to operator manipulation of the control elements to selectively energize the illumination and imaging systems to image the patient's uterus and to display images at the display when the coupling is in its attached state;
a fluid barrier configured to keep fluid in the cannula from entering interior portions of the multiple-use portion scope;
wherein the endoscope is configured for a medical procedure in which the cannula is inserted into the patient's uterus to selectively provide, under operator control including through the control elements, each of (a) uterus distention by introducing fluid under positive pressure into one or more of the ports, which fluid passes through the cannula and enters the uterus through one or more of the openings at the distal end, (b) uterus illumination with the illumination system; (c) images of the illuminated uterus taken said imaging system; and (d) display of the images at the display; and
wherein the coupling is hand-changed from the attached state to the released state to thereby uncouple the single-use portion so that a new single-use portion can be coupled by a hand operation with the same multiple-use portion for use for another uterus examination; and
whereby the multiple-use portion is kept from being contaminated with fluid from the single-use portion and need not be sterilized between patient but can be simply disinfected.
81. The self-contained endoscope of claim 80 , in which the multiple-use portion includes the handle and the display.
82. The self-contained endoscope of claim 80 , in which the control elements include buttons on the handle.
83. The self-contained endoscope of claim 80 , in which at least some of the computer circuits are in the handle.
84. The self-contained endoscope of claim 80 , further including another fluid barrier configured to keep fluid flowing in the cannula from moving in the proximal direction into interior portions of the handle.
85. The self-contained endoscope of claim 80 , further including a sampling opening at a side surface of the distal end of the cannula configured to collect tissue samples from the patient's uterus.
86. The self-contained endoscope of claim 85 , in which the sampling opening includes an edge facing in a proximal direction and configured to scrape tissue from the patient's uterus wall and direct the scraped tissue into the cannula.
87. The self-contained endoscope of claim 80 , in which the illumination system includes at least one LED device at the distal end of the cannula.
88. The self-contained endoscope of claim 80 , in which the imaging system includes an integrated circuit at the distal end of the cannula that generated and transmits to the display a standard video format image.
89. A method of examining a patient's uterus with a hand-held, self-contained endoscope, said method including:
releasably attaching by hand a sterile, single-use portion of the endoscope to a multiple-use portion of the endoscope;
introducing a distal end of the single-use portion into the patient's uterus;
distending the patient's uterus by introducing fluid into one or more channels in the single-use portion and causing the fluid to flow into the patient's uterus through one or more openings at the distal end;
illuminating the patient's uterus with an illumination system emitting light at the distal end;
imaging the uterus while illuminated with an imaging system at the distal end;
sending images of the uterus from the illumination system through a cable in the single-use portion;
selectively displaying the images at a display that is connected to the cable and is physically and electrically integrated with, and moves with, the single-use portion of the instrument during the patient's examination;
controlling the illumination and imaging systems with operator-manipulated control elements on at least one of the single-use and multiple-use portions;
keeping fluid in the single-use portion from contaminating interior portions of the multiple-use portion through the use of one or more fluid barriers in the endoscope;
releasing by hand and removing the single-use portion from the multiple-use portions;
disinfecting the multiple-use portion without requiring sterilization; and
attaching by hand a new, sterile single-use portion to the multiple-use portion to prepare the endoscope for another examination of a uterus.
90. The method of claim 89 , in which the controlling comprises manipulating by hand control elements in a handle that is a part of the multiple-use portion of the endoscope and that the user grasps to manipulate the endoscope while examining the patient's uterus.
91. The method of claim 89 , including sampling endometrial tissue by scraping the patient's uterus with a sampling opening that is on a side surface of the distal end of the single-use portion and has an edge facing in a proximal direction, and extracting scraped tissue through at least one said channels.
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Cited By (418)
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---|---|---|---|---|
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EP3028623A1 (en) * | 2014-12-05 | 2016-06-08 | Karl Storz GmbH & Co. KG | Endoscopic instrument and endoscopic instrument system |
WO2016137812A3 (en) * | 2015-02-27 | 2016-11-03 | Ethicon Endo-Surgery, Llc | Surgical instrument system comprising an inspection station |
WO2017029157A3 (en) * | 2015-08-14 | 2017-04-13 | Invendo Medical Gmbh | Handle for an endoscope |
WO2017029156A3 (en) * | 2015-08-14 | 2017-04-13 | Invendo Medical Gmbh | Handle for an endoscope |
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US10052100B2 (en) | 2006-01-31 | 2018-08-21 | Ethicon Llc | Surgical instrument system configured to detect resistive forces experienced by a tissue cutting implement |
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 |
US10052102B2 (en) | 2015-06-18 | 2018-08-21 | Ethicon Llc | Surgical end effectors with dual cam actuated jaw closing features |
US10058963B2 (en) | 2006-01-31 | 2018-08-28 | Ethicon Llc | Automated end effector component reloading system for use with a robotic system |
US10064621B2 (en) | 2012-06-15 | 2018-09-04 | Ethicon Llc | Articulatable surgical instrument comprising a firing drive |
US10064624B2 (en) | 2010-09-30 | 2018-09-04 | Ethicon Llc | End effector with implantable layer |
US10064688B2 (en) | 2006-03-23 | 2018-09-04 | Ethicon Llc | Surgical system with selectively articulatable end effector |
US10070863B2 (en) | 2005-08-31 | 2018-09-11 | Ethicon Llc | Fastener cartridge assembly comprising a fixed anvil |
US10076326B2 (en) | 2015-09-23 | 2018-09-18 | Ethicon Llc | Surgical stapler having current mirror-based motor control |
US10076325B2 (en) | 2014-10-13 | 2018-09-18 | Ethicon Llc | Surgical stapling apparatus comprising a tissue stop |
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US10105139B2 (en) | 2015-09-23 | 2018-10-23 | Ethicon Llc | Surgical stapler having downstream current-based motor control |
US10111679B2 (en) | 2014-09-05 | 2018-10-30 | Ethicon Llc | Circuitry and sensors for powered medical device |
US10117652B2 (en) | 2011-04-29 | 2018-11-06 | Ethicon Llc | End effector comprising a tissue thickness compensator and progressively released attachment members |
US10117653B2 (en) | 2014-03-26 | 2018-11-06 | Ethicon Llc | Systems and methods for controlling a segmented circuit |
US10117649B2 (en) | 2014-12-18 | 2018-11-06 | Ethicon Llc | Surgical instrument assembly comprising a lockable articulation system |
US10130366B2 (en) | 2011-05-27 | 2018-11-20 | Ethicon Llc | Automated reloading devices for replacing used end effectors on robotic surgical systems |
US10149683B2 (en) | 2008-10-10 | 2018-12-11 | Ethicon Llc | Powered surgical cutting and stapling apparatus with manually retractable firing system |
US10149680B2 (en) | 2013-04-16 | 2018-12-11 | Ethicon Llc | Surgical instrument comprising a gap setting system |
US10149679B2 (en) | 2005-11-09 | 2018-12-11 | Ethicon Llc | Surgical instrument comprising drive systems |
US10172620B2 (en) | 2015-09-30 | 2019-01-08 | Ethicon Llc | Compressible adjuncts with bonding nodes |
US10172616B2 (en) | 2006-09-29 | 2019-01-08 | Ethicon Llc | Surgical staple cartridge |
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 |
US10188385B2 (en) | 2014-12-18 | 2019-01-29 | Ethicon Llc | Surgical instrument system comprising lockable systems |
US20190029497A1 (en) * | 2015-03-18 | 2019-01-31 | A.M. Surgical, Inc. | Wireless viewing device and method of use thereof |
US10194910B2 (en) | 2010-09-30 | 2019-02-05 | Ethicon Llc | Stapling assemblies comprising a layer |
US10201349B2 (en) | 2013-08-23 | 2019-02-12 | Ethicon Llc | End effector detection and firing rate modulation systems for surgical instruments |
US10201363B2 (en) | 2006-01-31 | 2019-02-12 | Ethicon Llc | Motor-driven surgical instrument |
US10201364B2 (en) | 2014-03-26 | 2019-02-12 | Ethicon Llc | Surgical instrument comprising a rotatable shaft |
US10211586B2 (en) | 2017-06-28 | 2019-02-19 | Ethicon Llc | Surgical shaft assemblies with watertight housings |
US10206678B2 (en) | 2006-10-03 | 2019-02-19 | Ethicon Llc | Surgical stapling instrument with lockout features to prevent advancement of a firing assembly unless an unfired surgical staple cartridge is operably mounted in an end effector portion of the instrument |
US10206677B2 (en) | 2014-09-26 | 2019-02-19 | Ethicon Llc | Surgical staple and driver arrangements for staple cartridges |
US10206676B2 (en) | 2008-02-14 | 2019-02-19 | Ethicon Llc | Surgical cutting and fastening instrument |
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 |
US10226249B2 (en) | 2013-03-01 | 2019-03-12 | Ethicon Llc | Articulatable surgical instruments with conductive pathways for signal communication |
US10226250B2 (en) | 2015-02-27 | 2019-03-12 | Ethicon Llc | Modular stapling assembly |
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 |
US10238391B2 (en) | 2013-03-14 | 2019-03-26 | Ethicon Llc | Drive train control arrangements for modular surgical instruments |
US10245032B2 (en) | 2005-08-31 | 2019-04-02 | Ethicon Llc | Staple cartridges for forming staples having differing formed staple heights |
US10245033B2 (en) | 2015-03-06 | 2019-04-02 | Ethicon Llc | Surgical instrument comprising a lockable battery housing |
US10245030B2 (en) | 2016-02-09 | 2019-04-02 | Ethicon Llc | Surgical instruments with tensioning arrangements for cable driven articulation systems |
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 |
US10258332B2 (en) | 2010-09-30 | 2019-04-16 | Ethicon Llc | Stapling system comprising an adjunct and a flowable adhesive |
US10258333B2 (en) | 2012-06-28 | 2019-04-16 | Ethicon Llc | Surgical fastening apparatus with a rotary end effector drive shaft for selective engagement with a motorized drive system |
US10258331B2 (en) | 2016-02-12 | 2019-04-16 | Ethicon Llc | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US10258418B2 (en) | 2017-06-29 | 2019-04-16 | Ethicon Llc | System for controlling articulation forces |
US10265068B2 (en) | 2015-12-30 | 2019-04-23 | Ethicon Llc | Surgical instruments with separable motors and motor control circuits |
US10265074B2 (en) | 2010-09-30 | 2019-04-23 | Ethicon Llc | Implantable layers for surgical stapling devices |
US10271849B2 (en) | 2015-09-30 | 2019-04-30 | Ethicon Llc | Woven constructs with interlocked standing fibers |
US10271846B2 (en) | 2005-08-31 | 2019-04-30 | Ethicon Llc | Staple cartridge for use with a surgical stapler |
US10278702B2 (en) | 2004-07-28 | 2019-05-07 | Ethicon Llc | Stapling system comprising a firing bar and a lockout |
US10278780B2 (en) | 2007-01-10 | 2019-05-07 | Ethicon Llc | Surgical instrument for use with robotic system |
US10292704B2 (en) | 2015-12-30 | 2019-05-21 | Ethicon Llc | Mechanisms for compensating for battery pack failure in powered surgical instruments |
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US10299792B2 (en) | 2014-04-16 | 2019-05-28 | Ethicon Llc | Fastener cartridge comprising non-uniform fasteners |
US10299787B2 (en) | 2007-06-04 | 2019-05-28 | Ethicon Llc | Stapling system comprising rotary inputs |
US10299878B2 (en) | 2015-09-25 | 2019-05-28 | Ethicon Llc | Implantable adjunct systems for determining adjunct skew |
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 |
US10307163B2 (en) | 2008-02-14 | 2019-06-04 | Ethicon Llc | Detachable motor powered surgical instrument |
US10314589B2 (en) | 2006-06-27 | 2019-06-11 | Ethicon Llc | Surgical instrument including a shifting assembly |
USD851762S1 (en) | 2017-06-28 | 2019-06-18 | Ethicon Llc | Anvil |
US10327769B2 (en) | 2015-09-23 | 2019-06-25 | Ethicon Llc | Surgical stapler having motor control based on a drive system component |
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 |
US10335145B2 (en) | 2016-04-15 | 2019-07-02 | Ethicon Llc | Modular surgical instrument with configurable operating mode |
USD854151S1 (en) | 2017-06-28 | 2019-07-16 | Ethicon Llc | Surgical instrument shaft |
US10357247B2 (en) | 2016-04-15 | 2019-07-23 | Ethicon Llc | Surgical instrument with multiple program responses during a firing motion |
US10362926B2 (en) | 2012-06-25 | 2019-07-30 | Coopersurgical, Inc. | Low-cost instrument for endoscopically guided operative procedures |
US10363036B2 (en) | 2015-09-23 | 2019-07-30 | Ethicon Llc | Surgical stapler having force-based motor control |
US10363037B2 (en) | 2016-04-18 | 2019-07-30 | Ethicon Llc | Surgical instrument system comprising a magnetic lockout |
US10363031B2 (en) | 2010-09-30 | 2019-07-30 | Ethicon Llc | Tissue thickness compensators for surgical staplers |
US10368865B2 (en) | 2015-12-30 | 2019-08-06 | Ethicon Llc | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US10368864B2 (en) | 2017-06-20 | 2019-08-06 | Ethicon Llc | Systems and methods for controlling displaying motor velocity for a surgical instrument |
WO2019152991A1 (en) * | 2018-02-05 | 2019-08-08 | Mayo Foundation For Medical Education And Research | Modular endoscopes |
US10376263B2 (en) | 2016-04-01 | 2019-08-13 | Ethicon Llc | Anvil modification members for surgical staplers |
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 |
US10398434B2 (en) | 2017-06-29 | 2019-09-03 | Ethicon Llc | Closed loop velocity control of closure member for robotic surgical instrument |
US10398433B2 (en) | 2007-03-28 | 2019-09-03 | Ethicon Llc | Laparoscopic clamp load measuring devices |
US10405859B2 (en) | 2016-04-15 | 2019-09-10 | Ethicon Llc | Surgical instrument with adjustable stop/start control during a firing motion |
US10413294B2 (en) | 2012-06-28 | 2019-09-17 | Ethicon Llc | Shaft assembly arrangements for surgical instruments |
US10420549B2 (en) | 2008-09-23 | 2019-09-24 | Ethicon Llc | Motorized surgical instrument |
US10420550B2 (en) | 2009-02-06 | 2019-09-24 | Ethicon Llc | Motor driven surgical fastener device with switching system configured to prevent firing initiation until activated |
US10426463B2 (en) | 2006-01-31 | 2019-10-01 | Ehticon LLC | Surgical instrument having a feedback system |
US10426471B2 (en) | 2016-12-21 | 2019-10-01 | Ethicon Llc | Surgical instrument with multiple failure response modes |
US10426481B2 (en) | 2014-02-24 | 2019-10-01 | Ethicon Llc | Implantable layer assemblies |
US10426467B2 (en) | 2016-04-15 | 2019-10-01 | Ethicon Llc | Surgical instrument with detection sensors |
US10441285B2 (en) | 2012-03-28 | 2019-10-15 | Ethicon Llc | Tissue thickness compensator comprising tissue ingrowth features |
US10441134B2 (en) | 2011-05-03 | 2019-10-15 | Coopersurgical, Inc. | Method and apparatus for hysteroscopy and endometrial biopsy |
US10448948B2 (en) | 2016-02-12 | 2019-10-22 | Ethicon Llc | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US10448950B2 (en) | 2016-12-21 | 2019-10-22 | Ethicon Llc | Surgical staplers with independently actuatable closing and firing systems |
US10456137B2 (en) | 2016-04-15 | 2019-10-29 | Ethicon Llc | Staple formation detection mechanisms |
US10463370B2 (en) | 2008-02-14 | 2019-11-05 | Ethicon Llc | Motorized surgical instrument |
US10485543B2 (en) | 2016-12-21 | 2019-11-26 | Ethicon Llc | Anvil having a knife slot width |
US10485539B2 (en) | 2006-01-31 | 2019-11-26 | Ethicon Llc | Surgical instrument with firing lockout |
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US10492785B2 (en) | 2016-12-21 | 2019-12-03 | Ethicon Llc | Shaft assembly comprising a lockout |
USD869655S1 (en) | 2017-06-28 | 2019-12-10 | Ethicon Llc | Surgical fastener cartridge |
US10499914B2 (en) | 2016-12-21 | 2019-12-10 | Ethicon Llc | Staple forming pocket arrangements |
US10517595B2 (en) | 2016-12-21 | 2019-12-31 | Ethicon Llc | Jaw actuated lock arrangements for preventing advancement of a firing member in a surgical end effector unless an unfired cartridge is installed in the end effector |
US10517594B2 (en) | 2014-10-29 | 2019-12-31 | Ethicon Llc | Cartridge assemblies for surgical staplers |
US10517590B2 (en) | 2007-01-10 | 2019-12-31 | Ethicon Llc | Powered surgical instrument having a transmission system |
US10524787B2 (en) | 2015-03-06 | 2020-01-07 | Ethicon Llc | Powered surgical instrument with parameter-based firing rate |
US10524790B2 (en) | 2011-05-27 | 2020-01-07 | Ethicon Llc | Robotically-controlled surgical stapling devices that produce formed staples having different lengths |
US10531887B2 (en) | 2015-03-06 | 2020-01-14 | Ethicon Llc | Powered surgical instrument including speed display |
US10537325B2 (en) | 2016-12-21 | 2020-01-21 | Ethicon Llc | Staple forming pocket arrangement to accommodate different types of staples |
US10568626B2 (en) | 2016-12-21 | 2020-02-25 | Ethicon Llc | Surgical instruments with jaw opening features for increasing a jaw opening distance |
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 |
US10568625B2 (en) | 2016-12-21 | 2020-02-25 | Ethicon Llc | Staple cartridges and arrangements of staples and staple cavities therein |
US10575868B2 (en) | 2013-03-01 | 2020-03-03 | Ethicon Llc | Surgical instrument with coupler assembly |
US10588633B2 (en) | 2017-06-28 | 2020-03-17 | Ethicon Llc | Surgical instruments with open and closable jaws and axially movable firing member that is initially parked in close proximity to the jaws prior to firing |
US10588632B2 (en) | 2016-12-21 | 2020-03-17 | Ethicon Llc | Surgical end effectors and firing members thereof |
US10588626B2 (en) | 2014-03-26 | 2020-03-17 | Ethicon Llc | Surgical instrument displaying subsequent step of use |
US10588623B2 (en) | 2010-09-30 | 2020-03-17 | Ethicon Llc | Adhesive film laminate |
USD879809S1 (en) | 2017-06-20 | 2020-03-31 | Ethicon Llc | Display panel with changeable graphical user interface |
USD879808S1 (en) | 2017-06-20 | 2020-03-31 | Ethicon Llc | Display panel with graphical user interface |
US10617416B2 (en) | 2013-03-14 | 2020-04-14 | Ethicon Llc | Control systems for surgical instruments |
US10617417B2 (en) | 2014-11-06 | 2020-04-14 | Ethicon Llc | Staple cartridge comprising a releasable adjunct material |
US10617412B2 (en) | 2015-03-06 | 2020-04-14 | Ethicon Llc | System for detecting the mis-insertion of a staple cartridge into a surgical stapler |
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 |
US10617418B2 (en) | 2015-08-17 | 2020-04-14 | Ethicon Llc | Implantable layers for a surgical instrument |
US10624633B2 (en) | 2017-06-20 | 2020-04-21 | Ethicon Llc | Systems and methods for controlling motor velocity of a surgical stapling and cutting instrument |
US10624861B2 (en) | 2010-09-30 | 2020-04-21 | Ethicon Llc | Tissue thickness compensator configured to redistribute compressive forces |
US10631859B2 (en) | 2017-06-27 | 2020-04-28 | Ethicon Llc | Articulation systems for surgical instruments |
US10639115B2 (en) | 2012-06-28 | 2020-05-05 | Ethicon Llc | Surgical end effectors having angled tissue-contacting surfaces |
US10646220B2 (en) | 2017-06-20 | 2020-05-12 | Ethicon Llc | Systems and methods for controlling displacement member velocity for a surgical instrument |
US10660640B2 (en) | 2008-02-14 | 2020-05-26 | Ethicon Llc | Motorized surgical cutting and fastening instrument |
US10667808B2 (en) | 2012-03-28 | 2020-06-02 | Ethicon Llc | Staple cartridge comprising an absorbable adjunct |
US10667809B2 (en) | 2016-12-21 | 2020-06-02 | Ethicon Llc | Staple cartridge and staple cartridge channel comprising windows defined therein |
US10675028B2 (en) | 2006-01-31 | 2020-06-09 | Ethicon Llc | Powered surgical instruments with firing system lockout arrangements |
US10682142B2 (en) | 2008-02-14 | 2020-06-16 | Ethicon Llc | Surgical stapling apparatus including an articulation system |
US10682134B2 (en) | 2017-12-21 | 2020-06-16 | Ethicon Llc | Continuous use self-propelled stapling instrument |
US10687806B2 (en) | 2015-03-06 | 2020-06-23 | Ethicon Llc | Adaptive tissue compression techniques to adjust closure rates for multiple tissue types |
US10687813B2 (en) | 2017-12-15 | 2020-06-23 | Ethicon Llc | Adapters with firing stroke sensing arrangements for use in connection with electromechanical surgical instruments |
US10695058B2 (en) | 2014-12-18 | 2020-06-30 | Ethicon Llc | Surgical instrument systems comprising an articulatable end effector and means for adjusting the firing stroke of a firing member |
US10695063B2 (en) | 2012-02-13 | 2020-06-30 | Ethicon Llc | Surgical cutting and fastening instrument with apparatus for determining cartridge and firing motion status |
US10695062B2 (en) | 2010-10-01 | 2020-06-30 | Ethicon Llc | Surgical instrument including a retractable firing member |
US10702267B2 (en) | 2007-03-15 | 2020-07-07 | Ethicon Llc | Surgical stapling instrument having a releasable buttress material |
US10702305B2 (en) | 2016-03-23 | 2020-07-07 | Coopersurgical, Inc. | Operative cannulas and related methods |
USD890784S1 (en) | 2017-06-20 | 2020-07-21 | Ethicon Llc | Display panel with changeable graphical user interface |
US10716565B2 (en) | 2017-12-19 | 2020-07-21 | Ethicon Llc | Surgical instruments with dual articulation drivers |
US10716614B2 (en) | 2017-06-28 | 2020-07-21 | Ethicon Llc | Surgical shaft assemblies with slip ring assemblies with increased contact pressure |
US10729501B2 (en) | 2017-09-29 | 2020-08-04 | Ethicon Llc | Systems and methods for language selection of a surgical instrument |
US10729509B2 (en) | 2017-12-19 | 2020-08-04 | Ethicon Llc | Surgical instrument comprising closure and firing locking mechanism |
US10736636B2 (en) | 2014-12-10 | 2020-08-11 | Ethicon Llc | Articulatable surgical instrument system |
US10736628B2 (en) | 2008-09-23 | 2020-08-11 | Ethicon Llc | Motor-driven surgical cutting instrument |
US10743851B2 (en) | 2008-02-14 | 2020-08-18 | Ethicon Llc | Interchangeable tools for surgical instruments |
US10743870B2 (en) | 2008-02-14 | 2020-08-18 | Ethicon Llc | Surgical stapling apparatus with interlockable firing system |
US10743872B2 (en) | 2017-09-29 | 2020-08-18 | Ethicon Llc | System and methods for controlling a display of a surgical instrument |
US10743875B2 (en) | 2017-12-15 | 2020-08-18 | Ethicon Llc | Surgical end effectors with jaw stiffener arrangements configured to permit monitoring of firing member |
US10743874B2 (en) | 2017-12-15 | 2020-08-18 | Ethicon Llc | Sealed adapters for use with electromechanical surgical instruments |
US10743873B2 (en) | 2014-12-18 | 2020-08-18 | Ethicon Llc | Drive arrangements for articulatable surgical instruments |
US10743849B2 (en) | 2006-01-31 | 2020-08-18 | Ethicon Llc | Stapling system including an articulation system |
US10751076B2 (en) | 2009-12-24 | 2020-08-25 | Ethicon Llc | Motor-driven surgical cutting instrument with electric actuator directional control assembly |
US10758229B2 (en) | 2016-12-21 | 2020-09-01 | Ethicon Llc | Surgical instrument comprising improved jaw control |
US10758233B2 (en) | 2009-02-05 | 2020-09-01 | Ethicon Llc | Articulatable surgical instrument comprising a firing drive |
US10758230B2 (en) | 2016-12-21 | 2020-09-01 | Ethicon Llc | Surgical instrument with primary and safety processors |
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 |
US10765427B2 (en) | 2017-06-28 | 2020-09-08 | Ethicon Llc | Method for articulating a surgical instrument |
US10765425B2 (en) | 2008-09-23 | 2020-09-08 | Ethicon Llc | Robotically-controlled motorized surgical instrument with an end effector |
US10772625B2 (en) | 2015-03-06 | 2020-09-15 | Ethicon Llc | Signal and power communication system positioned on a rotatable shaft |
US10772629B2 (en) | 2017-06-27 | 2020-09-15 | Ethicon Llc | Surgical anvil arrangements |
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 |
US10779821B2 (en) | 2018-08-20 | 2020-09-22 | Ethicon Llc | Surgical stapler anvils with tissue stop features configured to avoid tissue pinch |
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 |
US10779903B2 (en) | 2017-10-31 | 2020-09-22 | Ethicon Llc | Positive shaft rotation lock activated by jaw closure |
US10779824B2 (en) | 2017-06-28 | 2020-09-22 | Ethicon Llc | Surgical instrument comprising an articulation system lockable by a closure system |
US10779826B2 (en) | 2017-12-15 | 2020-09-22 | Ethicon Llc | Methods of operating surgical end effectors |
US10796471B2 (en) | 2017-09-29 | 2020-10-06 | Ethicon Llc | Systems and methods of displaying a knife position for a surgical instrument |
US10806448B2 (en) | 2014-12-18 | 2020-10-20 | Ethicon Llc | Surgical instrument assembly comprising a flexible articulation system |
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 |
US10828028B2 (en) | 2016-04-15 | 2020-11-10 | Ethicon Llc | Surgical instrument with multiple program responses during a firing motion |
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 |
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 |
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 |
US10842491B2 (en) | 2006-01-31 | 2020-11-24 | Ethicon Llc | Surgical system with an actuation console |
US10842490B2 (en) | 2017-10-31 | 2020-11-24 | Ethicon Llc | Cartridge body design with force reduction based on firing completion |
US10856870B2 (en) | 2018-08-20 | 2020-12-08 | Ethicon Llc | Switching arrangements for motor powered articulatable surgical instruments |
US10856869B2 (en) | 2017-06-27 | 2020-12-08 | Ethicon Llc | Surgical anvil arrangements |
US10869666B2 (en) | 2017-12-15 | 2020-12-22 | Ethicon Llc | Adapters with control systems for controlling multiple motors of an electromechanical surgical instrument |
USD906355S1 (en) | 2017-06-28 | 2020-12-29 | Ethicon Llc | Display screen or portion thereof with a graphical user interface for a surgical instrument |
US10881396B2 (en) | 2017-06-20 | 2021-01-05 | Ethicon Llc | Surgical instrument with variable duration trigger arrangement |
US10881399B2 (en) | 2017-06-20 | 2021-01-05 | Ethicon Llc | Techniques for adaptive control of motor velocity of a surgical stapling and cutting instrument |
USD907647S1 (en) | 2017-09-29 | 2021-01-12 | Ethicon Llc | Display screen or portion thereof with animated graphical user interface |
USD907648S1 (en) | 2017-09-29 | 2021-01-12 | Ethicon Llc | Display screen or portion thereof with animated graphical user interface |
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 |
US10903685B2 (en) | 2017-06-28 | 2021-01-26 | Ethicon Llc | Surgical shaft assemblies with slip ring assemblies forming capacitive channels |
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 |
US10905418B2 (en) | 2014-10-16 | 2021-02-02 | Ethicon Llc | Staple cartridge comprising a tissue thickness compensator |
US10912559B2 (en) | 2018-08-20 | 2021-02-09 | Ethicon Llc | Reinforced deformable anvil tip for surgical stapler anvil |
US10912575B2 (en) | 2007-01-11 | 2021-02-09 | Ethicon Llc | Surgical stapling device having supports for a flexible drive mechanism |
USD910847S1 (en) | 2017-12-19 | 2021-02-16 | Ethicon Llc | Surgical instrument assembly |
US10932772B2 (en) | 2017-06-29 | 2021-03-02 | Ethicon Llc | Methods for closed loop velocity control for robotic surgical instrument |
US10945731B2 (en) | 2010-09-30 | 2021-03-16 | Ethicon Llc | Tissue thickness compensator comprising controlled release and expansion |
USD914878S1 (en) | 2018-08-20 | 2021-03-30 | Ethicon Llc | Surgical instrument anvil |
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 |
US10980539B2 (en) | 2015-09-30 | 2021-04-20 | Ethicon Llc | Implantable adjunct comprising bonded layers |
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 |
USD917500S1 (en) | 2017-09-29 | 2021-04-27 | Ethicon Llc | Display screen or portion thereof with graphical user interface |
US10987102B2 (en) | 2010-09-30 | 2021-04-27 | Ethicon Llc | Tissue thickness compensator comprising a plurality of layers |
US10993716B2 (en) | 2017-06-27 | 2021-05-04 | Ethicon Llc | Surgical anvil arrangements |
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 |
US11007004B2 (en) | 2012-06-28 | 2021-05-18 | Ethicon Llc | Powered multi-axial articulable electrosurgical device with external dissection features |
US11007022B2 (en) | 2017-06-29 | 2021-05-18 | Ethicon Llc | Closed loop velocity control techniques based on sensed tissue parameters for robotic surgical instrument |
US11013511B2 (en) | 2007-06-22 | 2021-05-25 | Ethicon Llc | Surgical stapling instrument with an articulatable end effector |
US11020115B2 (en) | 2014-02-12 | 2021-06-01 | Cilag Gmbh International | Deliverable surgical instrument |
US11020112B2 (en) | 2017-12-19 | 2021-06-01 | Ethicon Llc | Surgical tools configured for interchangeable use with different controller interfaces |
US11033267B2 (en) | 2017-12-15 | 2021-06-15 | Ethicon Llc | Systems and methods of controlling a clamping member firing rate of a surgical instrument |
US11039834B2 (en) | 2018-08-20 | 2021-06-22 | Cilag Gmbh International | Surgical stapler anvils with staple directing protrusions and tissue stability features |
US11039836B2 (en) | 2007-01-11 | 2021-06-22 | Cilag Gmbh International | Staple cartridge for use with a surgical stapling instrument |
US11045192B2 (en) | 2018-08-20 | 2021-06-29 | Cilag Gmbh International | Fabricating techniques for surgical stapler anvils |
US11045270B2 (en) | 2017-12-19 | 2021-06-29 | Cilag Gmbh International | Robotic attachment comprising exterior drive actuator |
US11051813B2 (en) | 2006-01-31 | 2021-07-06 | Cilag Gmbh International | Powered surgical instruments with firing system lockout arrangements |
US11051807B2 (en) | 2019-06-28 | 2021-07-06 | Cilag Gmbh International | Packaging assembly including a particulate trap |
US11071543B2 (en) | 2017-12-15 | 2021-07-27 | Cilag Gmbh International | Surgical end effectors with clamping assemblies configured to increase jaw aperture ranges |
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 |
US11071545B2 (en) | 2014-09-05 | 2021-07-27 | Cilag Gmbh International | Smart cartridge wake up operation and data retention |
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 |
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 |
US11090075B2 (en) | 2017-10-30 | 2021-08-17 | Cilag Gmbh International | Articulation features for surgical end effector |
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 |
US11133106B2 (en) | 2013-08-23 | 2021-09-28 | Cilag Gmbh International | Surgical instrument assembly comprising a retraction assembly |
US11129680B2 (en) | 2017-12-21 | 2021-09-28 | Cilag Gmbh International | Surgical instrument comprising a projector |
US11134942B2 (en) | 2016-12-21 | 2021-10-05 | Cilag Gmbh International | Surgical stapling instruments and staple-forming anvils |
US11134944B2 (en) | 2017-10-30 | 2021-10-05 | Cilag Gmbh International | Surgical stapler knife motion controls |
US11141153B2 (en) | 2014-10-29 | 2021-10-12 | Cilag Gmbh International | Staple cartridges comprising driver arrangements |
US11147551B2 (en) | 2019-03-25 | 2021-10-19 | Cilag Gmbh International | Firing drive arrangements for surgical systems |
US11147553B2 (en) | 2019-03-25 | 2021-10-19 | Cilag Gmbh International | Firing drive arrangements for surgical systems |
US11154301B2 (en) | 2015-02-27 | 2021-10-26 | Cilag Gmbh International | Modular stapling assembly |
US11172929B2 (en) | 2019-03-25 | 2021-11-16 | Cilag Gmbh International | Articulation drive arrangements for surgical systems |
US11179150B2 (en) | 2016-04-15 | 2021-11-23 | Cilag Gmbh International | Systems and methods for controlling a surgical stapling and cutting instrument |
US11197670B2 (en) | 2017-12-15 | 2021-12-14 | Cilag Gmbh International | Surgical end effectors with pivotal jaws configured to touch at their respective distal ends when fully closed |
US11197671B2 (en) | 2012-06-28 | 2021-12-14 | Cilag Gmbh International | Stapling assembly comprising a lockout |
US11202633B2 (en) | 2014-09-26 | 2021-12-21 | Cilag Gmbh International | Surgical stapling buttresses and adjunct materials |
US11207065B2 (en) | 2018-08-20 | 2021-12-28 | Cilag Gmbh International | Method for fabricating surgical stapler anvils |
US11207064B2 (en) | 2011-05-27 | 2021-12-28 | Cilag Gmbh International | Automated end effector component reloading system for use with a robotic system |
US11213293B2 (en) | 2016-02-09 | 2022-01-04 | Cilag Gmbh International | Articulatable surgical instruments with single articulation link arrangements |
US11219455B2 (en) | 2019-06-28 | 2022-01-11 | Cilag Gmbh International | Surgical instrument including a lockout key |
US11224426B2 (en) | 2016-02-12 | 2022-01-18 | Cilag Gmbh International | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US11224428B2 (en) | 2016-12-21 | 2022-01-18 | Cilag Gmbh International | Surgical stapling systems |
US11224423B2 (en) | 2015-03-06 | 2022-01-18 | Cilag Gmbh International | Smart sensors with local signal processing |
US11224497B2 (en) | 2019-06-28 | 2022-01-18 | Cilag Gmbh International | Surgical systems with multiple RFID tags |
US11224427B2 (en) | 2006-01-31 | 2022-01-18 | Cilag Gmbh International | Surgical stapling system including a console and retraction assembly |
US11229437B2 (en) | 2019-06-28 | 2022-01-25 | Cilag Gmbh International | Method for authenticating the compatibility of a staple cartridge with a surgical instrument |
US11234698B2 (en) | 2019-12-19 | 2022-02-01 | Cilag Gmbh International | Stapling system comprising a clamp lockout and a firing lockout |
US11241230B2 (en) | 2012-06-28 | 2022-02-08 | Cilag Gmbh International | Clip applier tool for use with a robotic surgical system |
US11246590B2 (en) | 2005-08-31 | 2022-02-15 | Cilag Gmbh International | Staple cartridge including staple drivers having different unfired heights |
US11246592B2 (en) | 2017-06-28 | 2022-02-15 | Cilag Gmbh International | Surgical instrument comprising an articulation system lockable to a frame |
US11246678B2 (en) | 2019-06-28 | 2022-02-15 | Cilag Gmbh International | Surgical stapling system having a frangible RFID tag |
US11253254B2 (en) | 2019-04-30 | 2022-02-22 | Cilag Gmbh International | Shaft rotation actuator on a surgical instrument |
US11253256B2 (en) | 2018-08-20 | 2022-02-22 | Cilag Gmbh International | Articulatable motor powered surgical instruments with dedicated articulation motor arrangements |
US11259803B2 (en) | 2019-06-28 | 2022-03-01 | Cilag Gmbh International | Surgical stapling system having an information encryption protocol |
US11259805B2 (en) | 2017-06-28 | 2022-03-01 | Cilag Gmbh International | Surgical instrument comprising firing member supports |
US11259799B2 (en) | 2014-03-26 | 2022-03-01 | Cilag Gmbh International | Interface systems for use with surgical instruments |
US11266405B2 (en) | 2017-06-27 | 2022-03-08 | Cilag Gmbh International | Surgical anvil manufacturing methods |
US11266409B2 (en) | 2014-04-16 | 2022-03-08 | Cilag Gmbh International | Fastener cartridge comprising a sled including longitudinally-staggered ramps |
US11272927B2 (en) | 2008-02-15 | 2022-03-15 | Cilag Gmbh International | Layer arrangements for surgical staple cartridges |
US11278279B2 (en) | 2006-01-31 | 2022-03-22 | Cilag Gmbh International | Surgical instrument assembly |
US11278184B2 (en) | 2018-02-21 | 2022-03-22 | Ambu A/S | Medical sampling device |
US11284898B2 (en) | 2014-09-18 | 2022-03-29 | Cilag Gmbh International | Surgical instrument including a deployable knife |
US11291351B2 (en) * | 2011-08-19 | 2022-04-05 | Harold I. Daily | Hysteroscopes with curved tips |
US11291441B2 (en) | 2007-01-10 | 2022-04-05 | Cilag Gmbh International | Surgical instrument with wireless communication between control unit and remote sensor |
US11291449B2 (en) | 2009-12-24 | 2022-04-05 | Cilag Gmbh International | Surgical cutting instrument that analyzes tissue thickness |
US11291440B2 (en) | 2018-08-20 | 2022-04-05 | Cilag Gmbh International | Method for operating a powered articulatable surgical instrument |
US11291451B2 (en) | 2019-06-28 | 2022-04-05 | Cilag Gmbh International | Surgical instrument with battery compatibility verification functionality |
US11291447B2 (en) | 2019-12-19 | 2022-04-05 | Cilag Gmbh International | Stapling instrument comprising independent jaw closing and staple firing systems |
US11291357B2 (en) * | 2011-12-13 | 2022-04-05 | Endochoice, Inc. | Removable tip endoscope |
US11298132B2 (en) | 2019-06-28 | 2022-04-12 | Cilag GmbH Inlernational | Staple cartridge including a honeycomb extension |
US11298125B2 (en) | 2010-09-30 | 2022-04-12 | Cilag Gmbh International | Tissue stapler having a thickness compensator |
US11298127B2 (en) | 2019-06-28 | 2022-04-12 | Cilag GmbH Interational | Surgical stapling system having a lockout mechanism for an incompatible cartridge |
US11304695B2 (en) | 2017-08-03 | 2022-04-19 | Cilag Gmbh International | Surgical system shaft interconnection |
US11304696B2 (en) | 2019-12-19 | 2022-04-19 | Cilag Gmbh International | Surgical instrument comprising a powered articulation system |
US11311290B2 (en) | 2017-12-21 | 2022-04-26 | Cilag Gmbh International | Surgical instrument comprising an end effector dampener |
US11311294B2 (en) | 2014-09-05 | 2022-04-26 | Cilag Gmbh International | Powered medical device including measurement of closure state of jaws |
US11317913B2 (en) | 2016-12-21 | 2022-05-03 | Cilag Gmbh International | Lockout arrangements for surgical end effectors and replaceable tool assemblies |
US11317917B2 (en) | 2016-04-18 | 2022-05-03 | Cilag Gmbh International | Surgical stapling system comprising a lockable firing assembly |
US11324503B2 (en) | 2017-06-27 | 2022-05-10 | Cilag Gmbh International | Surgical firing member arrangements |
US11324501B2 (en) | 2018-08-20 | 2022-05-10 | Cilag Gmbh International | Surgical stapling devices with improved closure members |
US11324526B2 (en) | 2018-02-02 | 2022-05-10 | Calyxo, Inc. | Devices and methods for minimally invasive kidney stone removal by combined aspiration and irrigation |
US11350928B2 (en) | 2016-04-18 | 2022-06-07 | Cilag Gmbh International | Surgical instrument comprising a tissue thickness lockout and speed control system |
US11376098B2 (en) | 2019-06-28 | 2022-07-05 | Cilag Gmbh International | Surgical instrument system comprising an RFID system |
US11382627B2 (en) | 2014-04-16 | 2022-07-12 | Cilag Gmbh International | Surgical stapling assembly comprising a firing member including a lateral extension |
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 |
US11399837B2 (en) | 2019-06-28 | 2022-08-02 | Cilag Gmbh International | Mechanisms for motor control adjustments of a motorized surgical instrument |
US11399829B2 (en) | 2017-09-29 | 2022-08-02 | Cilag Gmbh International | Systems and methods of initiating a power shutdown mode for a surgical instrument |
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 |
US11419672B2 (en) * | 2014-08-27 | 2022-08-23 | Olympus Winter & Ibe Gmbh | Electrosurgical system and method for operating the same |
US11426251B2 (en) | 2019-04-30 | 2022-08-30 | Cilag Gmbh International | Articulation directional lights on a surgical instrument |
US11426167B2 (en) | 2019-06-28 | 2022-08-30 | Cilag Gmbh International | Mechanisms for proper anvil attachment surgical stapling head assembly |
US11426055B2 (en) | 2020-02-21 | 2022-08-30 | Ambu A/S | Medical visualisation system including a monitor and a graphical user interface therefore |
US11432816B2 (en) | 2019-04-30 | 2022-09-06 | Cilag Gmbh International | Articulation pin for a surgical instrument |
US11446029B2 (en) | 2019-12-19 | 2022-09-20 | Cilag Gmbh International | Staple cartridge comprising projections extending from a curved deck surface |
US11452528B2 (en) | 2019-04-30 | 2022-09-27 | Cilag Gmbh International | Articulation actuators for a surgical instrument |
US11452526B2 (en) | 2020-10-29 | 2022-09-27 | Cilag Gmbh International | Surgical instrument comprising a staged voltage regulation start-up system |
US11464512B2 (en) | 2019-12-19 | 2022-10-11 | Cilag Gmbh International | Staple cartridge comprising a curved deck surface |
US11464601B2 (en) | 2019-06-28 | 2022-10-11 | Cilag Gmbh International | Surgical instrument comprising an RFID system for tracking a movable component |
USD966512S1 (en) | 2020-06-02 | 2022-10-11 | Cilag Gmbh International | Staple cartridge |
US11464513B2 (en) | 2012-06-28 | 2022-10-11 | Cilag Gmbh International | Surgical instrument system including replaceable end effectors |
US11471157B2 (en) | 2019-04-30 | 2022-10-18 | Cilag Gmbh International | Articulation control mapping for a surgical instrument |
US11471155B2 (en) | 2017-08-03 | 2022-10-18 | Cilag Gmbh International | Surgical system bailout |
USD967421S1 (en) | 2020-06-02 | 2022-10-18 | Cilag Gmbh International | Staple cartridge |
US11478247B2 (en) | 2010-07-30 | 2022-10-25 | Cilag Gmbh International | Tissue acquisition arrangements and methods for surgical stapling devices |
US11478241B2 (en) | 2019-06-28 | 2022-10-25 | Cilag Gmbh International | Staple cartridge including projections |
US11484312B2 (en) | 2005-08-31 | 2022-11-01 | Cilag Gmbh International | Staple cartridge comprising a staple driver arrangement |
US11497492B2 (en) | 2019-06-28 | 2022-11-15 | Cilag Gmbh International | Surgical instrument including an articulation lock |
US11504122B2 (en) | 2019-12-19 | 2022-11-22 | Cilag Gmbh International | Surgical instrument comprising a nested firing member |
US11517390B2 (en) | 2020-10-29 | 2022-12-06 | Cilag Gmbh International | Surgical instrument comprising a limited travel switch |
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 |
US11523822B2 (en) | 2019-06-28 | 2022-12-13 | Cilag Gmbh International | Battery pack including a circuit interrupter |
US11523821B2 (en) | 2014-09-26 | 2022-12-13 | Cilag Gmbh International | Method for creating a flexible staple line |
US11523823B2 (en) | 2016-02-09 | 2022-12-13 | Cilag Gmbh International | Surgical instruments with non-symmetrical articulation arrangements |
US11529139B2 (en) | 2019-12-19 | 2022-12-20 | Cilag Gmbh International | Motor driven surgical instrument |
US11529137B2 (en) | 2019-12-19 | 2022-12-20 | Cilag Gmbh International | Staple cartridge comprising driver retention members |
US11534259B2 (en) | 2020-10-29 | 2022-12-27 | Cilag Gmbh International | Surgical instrument comprising an articulation indicator |
USD974560S1 (en) | 2020-06-02 | 2023-01-03 | Cilag Gmbh International | Staple cartridge |
USD975278S1 (en) | 2020-06-02 | 2023-01-10 | Cilag Gmbh International | Staple cartridge |
USD975851S1 (en) | 2020-06-02 | 2023-01-17 | Cilag Gmbh International | Staple cartridge |
USD975850S1 (en) | 2020-06-02 | 2023-01-17 | Cilag Gmbh International | Staple cartridge |
US11553971B2 (en) | 2019-06-28 | 2023-01-17 | Cilag Gmbh International | Surgical RFID assemblies for display and communication |
USD976401S1 (en) | 2020-06-02 | 2023-01-24 | Cilag Gmbh International | Staple cartridge |
US11559304B2 (en) | 2019-12-19 | 2023-01-24 | Cilag Gmbh International | Surgical instrument comprising a rapid closure mechanism |
US11564682B2 (en) | 2007-06-04 | 2023-01-31 | Cilag Gmbh International | Surgical stapler device |
US11564686B2 (en) | 2017-06-28 | 2023-01-31 | Cilag Gmbh International | Surgical shaft assemblies with flexible interfaces |
US11571215B2 (en) | 2010-09-30 | 2023-02-07 | Cilag Gmbh International | Layer of material for a surgical end effector |
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 |
USD980425S1 (en) | 2020-10-29 | 2023-03-07 | Cilag Gmbh International | Surgical instrument assembly |
US11607219B2 (en) | 2019-12-19 | 2023-03-21 | Cilag Gmbh International | Staple cartridge comprising a detachable tissue cutting knife |
US11607239B2 (en) | 2016-04-15 | 2023-03-21 | Cilag Gmbh International | Systems and methods for controlling a surgical stapling and cutting instrument |
US11617577B2 (en) | 2020-10-29 | 2023-04-04 | Cilag Gmbh International | Surgical instrument comprising a sensor configured to sense whether an articulation drive of the surgical instrument is actuatable |
US11622763B2 (en) | 2013-04-16 | 2023-04-11 | Cilag Gmbh International | Stapling assembly comprising a shiftable drive |
US11622766B2 (en) | 2012-06-28 | 2023-04-11 | Cilag Gmbh International | Empty clip cartridge lockout |
US11627959B2 (en) | 2019-06-28 | 2023-04-18 | Cilag Gmbh International | Surgical instruments including manual and powered system lockouts |
US11627960B2 (en) | 2020-12-02 | 2023-04-18 | Cilag Gmbh International | Powered surgical instruments with smart reload with separately attachable exteriorly mounted wiring connections |
US11638587B2 (en) | 2019-06-28 | 2023-05-02 | Cilag Gmbh International | RFID identification systems for surgical instruments |
US11638582B2 (en) | 2020-07-28 | 2023-05-02 | Cilag Gmbh International | Surgical instruments with torsion spine drive arrangements |
US11648009B2 (en) | 2019-04-30 | 2023-05-16 | Cilag Gmbh International | Rotatable jaw tip for a surgical instrument |
US11648005B2 (en) | 2008-09-23 | 2023-05-16 | Cilag Gmbh International | Robotically-controlled motorized surgical instrument with an end effector |
US11653920B2 (en) | 2020-12-02 | 2023-05-23 | Cilag Gmbh International | Powered surgical instruments with communication interfaces through sterile barrier |
US11653915B2 (en) | 2020-12-02 | 2023-05-23 | Cilag Gmbh International | Surgical instruments with sled location detection and adjustment features |
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 |
US11660163B2 (en) | 2019-06-28 | 2023-05-30 | Cilag Gmbh International | Surgical system with RFID tags for updating motor assembly parameters |
US11678877B2 (en) | 2014-12-18 | 2023-06-20 | Cilag Gmbh International | Surgical instrument including a flexible support configured to support a flexible firing member |
US11678882B2 (en) | 2020-12-02 | 2023-06-20 | Cilag Gmbh International | Surgical instruments with interactive features to remedy incidental sled movements |
US11684434B2 (en) | 2019-06-28 | 2023-06-27 | Cilag Gmbh International | Surgical RFID assemblies for instrument operational setting control |
US11696761B2 (en) | 2019-03-25 | 2023-07-11 | Cilag Gmbh International | Firing drive arrangements for surgical systems |
US11696757B2 (en) | 2021-02-26 | 2023-07-11 | Cilag Gmbh International | Monitoring of internal systems to detect and track cartridge motion status |
US11701111B2 (en) | 2019-12-19 | 2023-07-18 | Cilag Gmbh International | Method for operating a surgical stapling instrument |
US11701113B2 (en) | 2021-02-26 | 2023-07-18 | Cilag Gmbh International | Stapling instrument comprising a separate power antenna and a data transfer antenna |
US11717289B2 (en) | 2020-10-29 | 2023-08-08 | Cilag Gmbh International | Surgical instrument comprising an indicator which indicates that an articulation drive is actuatable |
US11717291B2 (en) | 2021-03-22 | 2023-08-08 | Cilag Gmbh International | Staple cartridge comprising staples configured to apply different tissue compression |
US11717294B2 (en) | 2014-04-16 | 2023-08-08 | Cilag Gmbh International | End effector arrangements comprising indicators |
US11723662B2 (en) | 2021-05-28 | 2023-08-15 | Cilag Gmbh International | Stapling instrument comprising an articulation control display |
US11723657B2 (en) | 2021-02-26 | 2023-08-15 | Cilag Gmbh International | Adjustable communication based on available bandwidth and power capacity |
US11723658B2 (en) | 2021-03-22 | 2023-08-15 | Cilag Gmbh International | Staple cartridge comprising a firing lockout |
US11730473B2 (en) | 2021-02-26 | 2023-08-22 | Cilag Gmbh International | Monitoring of manufacturing life-cycle |
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 |
US11737749B2 (en) | 2021-03-22 | 2023-08-29 | Cilag Gmbh International | Surgical stapling instrument comprising a retraction system |
US11749877B2 (en) | 2021-02-26 | 2023-09-05 | Cilag Gmbh International | Stapling instrument comprising a signal antenna |
US11744603B2 (en) | 2021-03-24 | 2023-09-05 | Cilag Gmbh International | Multi-axis pivot joints for surgical instruments and methods for manufacturing same |
US11744583B2 (en) | 2021-02-26 | 2023-09-05 | Cilag Gmbh International | Distal communication array to tune frequency of RF systems |
US11744581B2 (en) | 2020-12-02 | 2023-09-05 | Cilag Gmbh International | Powered surgical instruments with multi-phase tissue treatment |
US11751869B2 (en) | 2021-02-26 | 2023-09-12 | Cilag Gmbh International | Monitoring of multiple sensors over time to detect moving characteristics of tissue |
US11759202B2 (en) | 2021-03-22 | 2023-09-19 | Cilag Gmbh International | Staple cartridge comprising an implantable layer |
US11766259B2 (en) | 2016-12-21 | 2023-09-26 | Cilag Gmbh International | Method of deforming staples from two different types of staple cartridges with the same surgical stapling instrument |
US11766260B2 (en) | 2016-12-21 | 2023-09-26 | Cilag Gmbh International | Methods of stapling tissue |
US11771419B2 (en) | 2019-06-28 | 2023-10-03 | Cilag Gmbh International | Packaging for a replaceable component of a surgical stapling system |
US11779330B2 (en) | 2020-10-29 | 2023-10-10 | Cilag Gmbh International | Surgical instrument comprising a jaw alignment system |
US11786239B2 (en) | 2021-03-24 | 2023-10-17 | Cilag Gmbh International | Surgical instrument articulation joint arrangements comprising multiple moving linkage features |
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 |
US11793518B2 (en) | 2006-01-31 | 2023-10-24 | Cilag Gmbh International | Powered surgical instruments with firing system lockout arrangements |
US11793522B2 (en) | 2015-09-30 | 2023-10-24 | Cilag Gmbh International | Staple cartridge assembly including a compressible adjunct |
US11793516B2 (en) | 2021-03-24 | 2023-10-24 | Cilag Gmbh International | Surgical staple cartridge comprising longitudinal support beam |
US11793514B2 (en) | 2021-02-26 | 2023-10-24 | Cilag Gmbh International | Staple cartridge comprising sensor array which may be embedded in cartridge body |
US11806011B2 (en) | 2021-03-22 | 2023-11-07 | Cilag Gmbh International | Stapling instrument comprising tissue compression systems |
US11812964B2 (en) | 2021-02-26 | 2023-11-14 | Cilag Gmbh International | Staple cartridge comprising a power management circuit |
US11826048B2 (en) | 2017-06-28 | 2023-11-28 | Cilag Gmbh International | Surgical instrument comprising selectively actuatable rotatable couplers |
US11826132B2 (en) | 2015-03-06 | 2023-11-28 | Cilag Gmbh International | Time dependent evaluation of sensor data to determine stability, creep, and viscoelastic elements of measures |
US11826012B2 (en) | 2021-03-22 | 2023-11-28 | Cilag Gmbh International | Stapling instrument comprising a pulsed motor-driven firing rack |
US11826042B2 (en) | 2021-03-22 | 2023-11-28 | Cilag Gmbh International | Surgical instrument comprising a firing drive including a selectable leverage mechanism |
US11832816B2 (en) | 2021-03-24 | 2023-12-05 | Cilag Gmbh International | Surgical stapling assembly comprising nonplanar staples and planar staples |
US11844520B2 (en) | 2019-12-19 | 2023-12-19 | Cilag Gmbh International | Staple cartridge comprising driver retention members |
US11844518B2 (en) | 2020-10-29 | 2023-12-19 | Cilag Gmbh International | Method for operating a surgical instrument |
US11849944B2 (en) | 2021-03-24 | 2023-12-26 | Cilag Gmbh International | Drivers for fastener cartridge assemblies having rotary drive screws |
US11849943B2 (en) | 2020-12-02 | 2023-12-26 | Cilag Gmbh International | Surgical instrument with cartridge release mechanisms |
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 |
US11849952B2 (en) | 2010-09-30 | 2023-12-26 | Cilag Gmbh International | Staple cartridge comprising staples positioned within a compressible portion thereof |
US11849945B2 (en) | 2021-03-24 | 2023-12-26 | Cilag Gmbh International | Rotary-driven surgical stapling assembly comprising eccentrically driven firing member |
US11857183B2 (en) | 2021-03-24 | 2024-01-02 | Cilag Gmbh International | Stapling assembly components having metal substrates and plastic bodies |
US11877745B2 (en) | 2021-10-18 | 2024-01-23 | Cilag Gmbh International | Surgical stapling assembly having longitudinally-repeating staple leg clusters |
US11883026B2 (en) | 2014-04-16 | 2024-01-30 | Cilag Gmbh International | Fastener cartridge assemblies and staple retainer cover arrangements |
USD1013170S1 (en) | 2020-10-29 | 2024-01-30 | Cilag Gmbh International | Surgical instrument assembly |
US11890012B2 (en) | 2004-07-28 | 2024-02-06 | Cilag Gmbh International | Staple cartridge comprising cartridge body and attached support |
US11890010B2 (en) | 2020-12-02 | 2024-02-06 | Cllag GmbH International | Dual-sided reinforced reload for surgical instruments |
US11896219B2 (en) | 2021-03-24 | 2024-02-13 | Cilag Gmbh International | Mating features between drivers and underside of a cartridge deck |
US11896218B2 (en) | 2021-03-24 | 2024-02-13 | Cilag Gmbh International | Method of using a powered stapling device |
US11896217B2 (en) | 2020-10-29 | 2024-02-13 | Cilag Gmbh International | Surgical instrument comprising an articulation lock |
US11903581B2 (en) | 2019-04-30 | 2024-02-20 | Cilag Gmbh International | Methods for stapling tissue using a surgical instrument |
US11903582B2 (en) | 2021-03-24 | 2024-02-20 | Cilag Gmbh International | Leveraging surfaces for cartridge installation |
US11911032B2 (en) | 2019-12-19 | 2024-02-27 | Cilag Gmbh International | Staple cartridge comprising a seating cam |
US11925349B2 (en) | 2021-02-26 | 2024-03-12 | Cilag Gmbh International | Adjustment to transfer parameters to improve available power |
US11931025B2 (en) | 2020-10-29 | 2024-03-19 | Cilag Gmbh International | Surgical instrument comprising a releasable closure drive lock |
US11931033B2 (en) | 2019-12-19 | 2024-03-19 | Cilag Gmbh International | Staple cartridge comprising a latch lockout |
US11937816B2 (en) | 2021-10-28 | 2024-03-26 | Cilag Gmbh International | Electrical lead arrangements for surgical instruments |
US11944300B2 (en) | 2017-08-03 | 2024-04-02 | Cilag Gmbh International | Method for operating a surgical system bailout |
US11944338B2 (en) | 2015-03-06 | 2024-04-02 | Cilag Gmbh International | Multiple level thresholds to modify operation of powered surgical instruments |
US11944296B2 (en) | 2020-12-02 | 2024-04-02 | Cilag Gmbh International | Powered surgical instruments with external connectors |
US11944336B2 (en) | 2021-03-24 | 2024-04-02 | Cilag Gmbh International | Joint arrangements for multi-planar alignment and support of operational drive shafts in articulatable surgical instruments |
US11950779B2 (en) | 2021-02-26 | 2024-04-09 | Cilag Gmbh International | Method of powering and communicating with a staple cartridge |
US11950777B2 (en) | 2021-02-26 | 2024-04-09 | Cilag Gmbh International | Staple cartridge comprising an information access control system |
US11957337B2 (en) | 2021-10-18 | 2024-04-16 | Cilag Gmbh International | Surgical stapling assembly with offset ramped drive surfaces |
Families Citing this family (168)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US20150157387A1 (en) * | 2008-11-12 | 2015-06-11 | Trice Medical, Inc. | Tissue visualization and modification devices and methods |
WO2010146587A1 (en) | 2009-06-18 | 2010-12-23 | Peer Medical Ltd. | Multi-camera endoscope |
US11547275B2 (en) | 2009-06-18 | 2023-01-10 | Endochoice, Inc. | Compact multi-viewing element endoscope system |
US9872609B2 (en) | 2009-06-18 | 2018-01-23 | Endochoice Innovation Center Ltd. | Multi-camera endoscope |
US9402533B2 (en) | 2011-03-07 | 2016-08-02 | Endochoice Innovation Center Ltd. | Endoscope circuit board assembly |
US10130246B2 (en) | 2009-06-18 | 2018-11-20 | Endochoice, Inc. | Systems and methods for regulating temperature and illumination intensity at the distal tip of an endoscope |
US9901244B2 (en) | 2009-06-18 | 2018-02-27 | Endochoice, Inc. | Circuit board assembly of a multiple viewing elements endoscope |
US9706903B2 (en) | 2009-06-18 | 2017-07-18 | Endochoice, Inc. | Multiple viewing elements endoscope system with modular imaging units |
US10165929B2 (en) | 2009-06-18 | 2019-01-01 | Endochoice, Inc. | Compact multi-viewing element endoscope system |
US11864734B2 (en) | 2009-06-18 | 2024-01-09 | Endochoice, Inc. | Multi-camera endoscope |
US9474440B2 (en) * | 2009-06-18 | 2016-10-25 | Endochoice, Inc. | Endoscope tip position visual indicator and heat management system |
US9713417B2 (en) | 2009-06-18 | 2017-07-25 | Endochoice, Inc. | Image capture assembly for use in a multi-viewing elements endoscope |
US9101287B2 (en) | 2011-03-07 | 2015-08-11 | Endochoice Innovation Center Ltd. | Multi camera endoscope assembly having multiple working channels |
US9642513B2 (en) | 2009-06-18 | 2017-05-09 | Endochoice Inc. | Compact multi-viewing element endoscope system |
US9101268B2 (en) | 2009-06-18 | 2015-08-11 | Endochoice Innovation Center Ltd. | Multi-camera endoscope |
US10524645B2 (en) | 2009-06-18 | 2020-01-07 | Endochoice, Inc. | Method and system for eliminating image motion blur in a multiple viewing elements endoscope |
US20140296866A1 (en) * | 2009-06-18 | 2014-10-02 | Endochoice, Inc. | Multiple Viewing Elements Endoscope Having Two Front Service Channels |
US8926502B2 (en) | 2011-03-07 | 2015-01-06 | Endochoice, Inc. | Multi camera endoscope having a side service channel |
US11278190B2 (en) | 2009-06-18 | 2022-03-22 | Endochoice, Inc. | Multi-viewing element endoscope |
US9492063B2 (en) | 2009-06-18 | 2016-11-15 | Endochoice Innovation Center Ltd. | Multi-viewing element endoscope |
WO2012077116A1 (en) | 2010-12-09 | 2012-06-14 | Peermedical Ltd. | Flexible electronic circuit board for a multi-camera endoscope |
US9560953B2 (en) | 2010-09-20 | 2017-02-07 | Endochoice, Inc. | Operational interface in a multi-viewing element endoscope |
US10080486B2 (en) | 2010-09-20 | 2018-09-25 | Endochoice Innovation Center Ltd. | Multi-camera endoscope having fluid channels |
US20120075444A1 (en) * | 2010-09-29 | 2012-03-29 | Tokendo | Videoendoscope with configurable tactile controls |
US9706908B2 (en) | 2010-10-28 | 2017-07-18 | Endochoice, Inc. | Image capture and video processing systems and methods for multiple viewing element endoscopes |
EP3540495A1 (en) | 2010-10-28 | 2019-09-18 | EndoChoice Innovation Center Ltd. | Optical systems for multi-sensor endoscopes |
US10663714B2 (en) | 2010-10-28 | 2020-05-26 | Endochoice, Inc. | Optical system for an endoscope |
EP3420886B8 (en) | 2010-12-09 | 2020-07-15 | EndoChoice, Inc. | Flexible electronic circuit board multi-camera endoscope |
US11889986B2 (en) | 2010-12-09 | 2024-02-06 | Endochoice, Inc. | Flexible electronic circuit board for a multi-camera endoscope |
CN103491854B (en) | 2011-02-07 | 2016-08-24 | 恩多卓斯创新中心有限公司 | Multicomponent cover for many cameras endoscope |
US10517464B2 (en) | 2011-02-07 | 2019-12-31 | Endochoice, Inc. | Multi-element cover for a multi-camera endoscope |
DE102011107613A1 (en) * | 2011-06-30 | 2013-01-03 | Siegfried Riek | trocar |
CA2798729A1 (en) | 2011-12-13 | 2013-06-13 | Peermedical Ltd. | Rotatable connector for an endoscope |
US9668643B2 (en) | 2011-12-29 | 2017-06-06 | Cook Medical Technologies Llc | Space-optimized visualization catheter with oblong shape |
EP2797491B1 (en) * | 2011-12-29 | 2018-05-30 | Cook Medical Technologies LLC | Space-optimized visualization catheter with camera train holder |
US10492662B2 (en) * | 2012-03-27 | 2019-12-03 | Medigus Ltd. | Integrated endoscope irrigation |
US10039440B2 (en) * | 2012-06-11 | 2018-08-07 | Intuitive Surgical Operations, Inc. | Systems and methods for cleaning a minimally invasive instrument |
US10278676B2 (en) * | 2012-06-27 | 2019-05-07 | Michael J. Vaillancourt | Safety shield for a needle assembly |
US9763563B2 (en) * | 2012-07-11 | 2017-09-19 | Karl Storz Imaging, Inc. | Endoscopic camera single-button mode activation |
US9560954B2 (en) | 2012-07-24 | 2017-02-07 | Endochoice, Inc. | Connector for use with endoscope |
US10842357B2 (en) * | 2012-10-10 | 2020-11-24 | Moskowitz Family Llc | Endoscopic surgical system |
US20140200402A1 (en) * | 2013-01-16 | 2014-07-17 | Phillip Jack Snoke | Medical Device Introduction Systems and Methods |
US20170055813A1 (en) | 2013-01-16 | 2017-03-02 | Uvision 360, Inc. | Medical device introduction and imaging system, and associated method |
CN104936637B (en) | 2013-01-29 | 2018-04-03 | 赛诺菲-安万特德国有限公司 | Delivery device |
US10616491B2 (en) | 2013-02-01 | 2020-04-07 | Deka Products Limited Partnership | Endoscope with pannable camera and related method |
SG10201706229YA (en) * | 2013-02-01 | 2017-08-30 | Deka Products Lp | Endoscope with pannable camera |
US9907457B2 (en) | 2013-02-01 | 2018-03-06 | Deka Products Limited Partnership | Endoscope with pannable camera |
US10595714B2 (en) | 2013-03-28 | 2020-03-24 | Endochoice, Inc. | Multi-jet controller for an endoscope |
US9636003B2 (en) | 2013-06-28 | 2017-05-02 | Endochoice, Inc. | Multi-jet distributor for an endoscope |
US9986899B2 (en) | 2013-03-28 | 2018-06-05 | Endochoice, Inc. | Manifold for a multiple viewing elements endoscope |
US9993142B2 (en) | 2013-03-28 | 2018-06-12 | Endochoice, Inc. | Fluid distribution device for a multiple viewing elements endoscope |
US10663736B2 (en) * | 2013-04-11 | 2020-05-26 | Sony Corporation | Image display device and display apparatus |
US9655600B2 (en) | 2013-05-03 | 2017-05-23 | Femasys Inc. | Methods and devices for endometrial cell and tissue sampling |
WO2014182723A1 (en) | 2013-05-07 | 2014-11-13 | Endochoice, Inc. | White balance enclosed for use with a multi-viewing elements endoscope |
US10499794B2 (en) | 2013-05-09 | 2019-12-10 | Endochoice, Inc. | Operational interface in a multi-viewing element endoscope |
US9949623B2 (en) | 2013-05-17 | 2018-04-24 | Endochoice, Inc. | Endoscope control unit with braking system |
US11154327B2 (en) | 2013-05-31 | 2021-10-26 | Freshwater Bay Industries, Llc | Vaginal surgical apparatus |
US11627865B2 (en) | 2013-05-31 | 2023-04-18 | Freshwater Bay Industries, Llc | Vaginal surgical apparatus |
US20160278810A1 (en) | 2013-05-31 | 2016-09-29 | Mark Edmund Richey | Vaginal surgical apparatus |
US10064541B2 (en) | 2013-08-12 | 2018-09-04 | Endochoice, Inc. | Endoscope connector cover detection and warning system |
US9943218B2 (en) | 2013-10-01 | 2018-04-17 | Endochoice, Inc. | Endoscope having a supply cable attached thereto |
KR101524723B1 (en) * | 2013-10-31 | 2015-06-02 | 주식회사 옵티메드 | Inspection system capable of laser treatment |
WO2015084442A1 (en) * | 2013-12-02 | 2015-06-11 | Endochoice, Inc. | Fluid distribution device for a viewing endoscope |
US9968242B2 (en) | 2013-12-18 | 2018-05-15 | Endochoice, Inc. | Suction control unit for an endoscope having two working channels |
US11547446B2 (en) | 2014-01-13 | 2023-01-10 | Trice Medical, Inc. | Fully integrated, disposable tissue visualization device |
WO2015112747A2 (en) | 2014-01-22 | 2015-07-30 | Endochoice, Inc. | Image capture and video processing systems and methods for multiple viewing element endoscopes |
US9901246B2 (en) | 2014-02-05 | 2018-02-27 | Verathon Inc. | Cystoscopy system including a catheter endoscope and method of use |
US9968373B1 (en) * | 2014-02-21 | 2018-05-15 | Surgentec, Llc | Handles for needle assemblies |
JP2017516507A (en) * | 2014-03-17 | 2017-06-22 | インテュイティブ サージカル オペレーションズ, インコーポレイテッド | System and method for controlling the orientation of an imaging instrument |
US11234581B2 (en) | 2014-05-02 | 2022-02-01 | Endochoice, Inc. | Elevator for directing medical tool |
GB201409612D0 (en) * | 2014-05-30 | 2014-07-16 | Moocall Ltd | A birthing sensor |
US9943214B2 (en) | 2014-07-02 | 2018-04-17 | Xenocor, Inc. | Medical borescopes and related methods and systems |
US10702128B2 (en) | 2014-07-02 | 2020-07-07 | Xenocor, Inc. | Medical borescopes and related tip assemblies |
US20160000300A1 (en) * | 2014-07-07 | 2016-01-07 | Integrated Medical Systems International, Inc. | System and Method for Wirelessly Transmitting Operational Data From an Endoscope to a Remote Device |
CN111436896A (en) | 2014-07-21 | 2020-07-24 | 恩多巧爱思股份有限公司 | Multi-focus and multi-camera endoscope system |
CN106687024B (en) | 2014-08-29 | 2020-10-09 | 恩多巧爱思股份有限公司 | System and method for varying the stiffness of an endoscope insertion tube |
EP3191800B1 (en) * | 2014-09-08 | 2021-08-18 | Koninklijke Philips N.V. | Detection of surface contact with optical shape sensing |
EP3220797A1 (en) * | 2014-11-17 | 2017-09-27 | Lina Medical ApS | A device for use in hysteroscopy |
EP3235241B1 (en) | 2014-12-18 | 2023-09-06 | EndoChoice, Inc. | System for processing video images generated by a multiple viewing elements endoscope |
CN105769304B (en) * | 2014-12-22 | 2018-02-02 | 中国科学院沈阳自动化研究所 | A kind of endoscope surgery system and its application towards endometrium reparation |
WO2016112034A2 (en) | 2015-01-05 | 2016-07-14 | Endochoice, Inc. | Tubed manifold of a multiple viewing elements endoscope |
EP3053506A1 (en) * | 2015-02-06 | 2016-08-10 | Qioptiq Photonics GmbH & Co. KG | Intravaginal camera |
US10376181B2 (en) | 2015-02-17 | 2019-08-13 | Endochoice, Inc. | System for detecting the location of an endoscopic device during a medical procedure |
WO2016137838A1 (en) * | 2015-02-23 | 2016-09-01 | Xiaolong Ouyang | Handheld surgical endoscope |
WO2017119983A1 (en) | 2016-01-05 | 2017-07-13 | UroSee Corporation | Handheld endoscope |
US10869592B2 (en) * | 2015-02-23 | 2020-12-22 | Uroviu Corp. | Handheld surgical endoscope |
US10278563B2 (en) | 2015-02-23 | 2019-05-07 | Uroviu Corp. | Handheld surgical endoscope with detachable cannula |
US10524636B2 (en) * | 2015-02-23 | 2020-01-07 | Uroviu Corp. | Handheld surgical endoscope |
US10292571B2 (en) * | 2015-02-23 | 2019-05-21 | Uroviu Corporation | Handheld surgical endoscope with wide field of view (FOV) and illumination brightness adjusted by area within the FOV |
US10881273B2 (en) * | 2015-03-04 | 2021-01-05 | Northwestern University | Pre-fabricated, on-demand interface for use in providing optical coupling between disposable and reusable members of a low coherence enhanced backscattering fiber-optic probe |
US20200397224A1 (en) * | 2015-03-18 | 2020-12-24 | A.M. Surgical, Inc. | Wireless viewing device and method of use thereof |
US10078207B2 (en) | 2015-03-18 | 2018-09-18 | Endochoice, Inc. | Systems and methods for image magnification using relative movement between an image sensor and a lens assembly |
JP5966049B1 (en) * | 2015-04-09 | 2016-08-10 | 株式会社フジクラ | Imaging module and endoscope |
US10401611B2 (en) | 2015-04-27 | 2019-09-03 | Endochoice, Inc. | Endoscope with integrated measurement of distance to objects of interest |
US10516865B2 (en) | 2015-05-17 | 2019-12-24 | Endochoice, Inc. | Endoscopic image enhancement using contrast limited adaptive histogram equalization (CLAHE) implemented in a processor |
US11723632B2 (en) | 2015-07-28 | 2023-08-15 | Koninklijke Philips N.V. | Workflow of needle tip identification for biopsy documentation |
EP3331420A4 (en) * | 2015-08-05 | 2020-02-05 | Inscope Medical Solutions, Inc. | Medical device with an airway insertion member |
WO2017025982A2 (en) * | 2015-08-07 | 2017-02-16 | Singh Ajoy I | Handheld device for treating an artery and method thereof |
CN105147229B (en) * | 2015-09-09 | 2017-07-04 | 宁波舜宇光电信息有限公司 | Endoscope apparatus and its application |
US11311343B2 (en) * | 2015-09-17 | 2022-04-26 | Endomaster Pte Ltd | Flexible robotic endoscopy system |
US20170119474A1 (en) | 2015-10-28 | 2017-05-04 | Endochoice, Inc. | Device and Method for Tracking the Position of an Endoscope within a Patient's Body |
WO2017083588A1 (en) * | 2015-11-10 | 2017-05-18 | Davey Neil Shivraj | Apparatus and method for detecting cervical cancer and tuberculosis |
EP3383244A4 (en) | 2015-11-24 | 2019-07-17 | Endochoice, Inc. | Disposable air/water and suction valves for an endoscope |
CN108430304A (en) * | 2015-12-03 | 2018-08-21 | 真诺科有限责任公司 | Medical lines mirror and relevant method and system |
GB201521848D0 (en) * | 2015-12-11 | 2016-01-27 | Micromass Ltd | Feedback apparatus |
US20170209027A1 (en) * | 2016-01-26 | 2017-07-27 | Muruga Raj | Measurement device |
EP3419497B1 (en) | 2016-02-24 | 2022-06-01 | Endochoice, Inc. | Circuit board assembly for a multiple viewing element endoscope using cmos sensors |
US10292570B2 (en) | 2016-03-14 | 2019-05-21 | Endochoice, Inc. | System and method for guiding and tracking a region of interest using an endoscope |
US10578855B2 (en) * | 2016-04-25 | 2020-03-03 | Panasonic I-Pro Sensing Solutions Co., Ltd. | Endoscope |
US10376665B2 (en) | 2016-05-05 | 2019-08-13 | Covidien Lp | Fluid dispensing catheter |
WO2017192897A1 (en) * | 2016-05-06 | 2017-11-09 | Cardioscout Solutions, Inc. | Access devices and methods for treatment of medical conditions and delivery of injectables |
CN109310408B (en) | 2016-06-21 | 2021-11-23 | 安多卓思公司 | Endoscope system with multiple connection interfaces for connection to different video data signal sources |
US11096560B2 (en) | 2016-09-23 | 2021-08-24 | Meditrina, Inc. | Endoscope with multiple image sensors |
US11684248B2 (en) | 2017-09-25 | 2023-06-27 | Micronvision Corp. | Endoscopy/stereo colposcopy medical instrument |
US11832797B2 (en) * | 2016-09-25 | 2023-12-05 | Micronvision Corp. | Endoscopic fluorescence imaging |
DE102016118102A1 (en) * | 2016-09-26 | 2018-03-29 | Henke-Sass, Wolf Gmbh | Endoscope and method for fixing a bundle of optical fibers in a shaft of an endoscope |
CN109788886A (en) | 2016-09-28 | 2019-05-21 | 安布股份有限公司 | Suitable for promoting the endoscope of BAL process |
CN110139592B (en) * | 2016-11-09 | 2022-02-01 | 俐娜医疗国际运营公司 | Device for use in hysteroscopy |
CN109843144B (en) * | 2016-11-11 | 2023-01-17 | 波士顿科学医学有限公司 | Disposable medical systems, devices, and related methods |
EP3537982B1 (en) | 2016-11-11 | 2022-09-07 | Gynesonics, Inc. | Controlled treatment of tissue and dynamic interaction with tissue and/or treatment data and comparison of tissue and/or treatment data |
KR101889921B1 (en) * | 2016-12-06 | 2018-08-21 | 해성옵틱스(주) | Needle type endoscope |
KR20190104148A (en) | 2016-12-09 | 2019-09-06 | 자네타 말라노브스카-스테가 | Brush Biopsy Devices, Kits, and Methods |
US20180160893A1 (en) * | 2016-12-12 | 2018-06-14 | Meditrina, Inc. | Endoscope and method of use |
CN114246539A (en) | 2017-01-23 | 2022-03-29 | 乌罗维乌公司 | Hand-held surgical endoscope |
US11064865B2 (en) | 2017-03-18 | 2021-07-20 | Reed Cam, Inc. | Endoscope apparatus with forced disposability |
DE102017108272A1 (en) * | 2017-04-19 | 2018-10-25 | Carl Zeiss Meditec Ag | Endoscopic probe |
EP3618691A1 (en) | 2017-05-02 | 2020-03-11 | Ambu A/S | A sampling device for the use with an endoscope |
US11484296B2 (en) | 2017-05-02 | 2022-11-01 | Ambu A/S | Endoscope |
GB2563240B (en) * | 2017-06-07 | 2019-12-18 | Egyptian Commerce Company Eco | Laparoscopic camera |
US10163309B1 (en) * | 2017-06-27 | 2018-12-25 | Ethicon Llc | Surgical instrument with integrated and independently powered displays |
WO2019004840A1 (en) * | 2017-06-30 | 2019-01-03 | Tingvatn Arly | A rigid endoscope |
EP3675706A4 (en) * | 2017-08-31 | 2021-05-12 | The Insides Company Limited | Improved medical device |
US20190070395A1 (en) * | 2017-09-06 | 2019-03-07 | Biosense Webster (Israel) Ltd. | ENT Guidewire with Camera on Tip |
US11771304B1 (en) | 2020-11-12 | 2023-10-03 | Micronvision Corp. | Minimally invasive endoscope |
US10758214B2 (en) * | 2017-11-13 | 2020-09-01 | UVision360, Inc. | Biopsy device and method |
US20190142407A1 (en) * | 2017-11-14 | 2019-05-16 | Endovision Co., Ltd. | Method of unilateral biportal endoscopy and diamond shaver used in same |
US11103266B2 (en) | 2017-12-28 | 2021-08-31 | Acclarent, Inc. | Medical instrument with integral navigation control features |
US20190246884A1 (en) * | 2018-02-14 | 2019-08-15 | Suzhou Acuvu Medical Technology Co. Ltd | Endoscopy system with off-center direction of view |
CN110384473A (en) * | 2018-04-19 | 2019-10-29 | 深圳市理邦精密仪器股份有限公司 | Cervical canal mirror |
WO2019210227A1 (en) * | 2018-04-26 | 2019-10-31 | Deka Products Limited Partnership | Endoscope with rotatable camera and related methods |
CN112105285A (en) * | 2018-05-02 | 2020-12-18 | 丹尼尔·J·库克 | Disposable bronchoscope and method of use |
EP3796835A4 (en) * | 2018-05-21 | 2022-03-09 | Gynesonics, Inc. | Methods and systems for in situ exchange |
US10576248B2 (en) * | 2018-07-23 | 2020-03-03 | Crossbay Medical, Inc. | Apparatus and method for everting catheter for uterine access for biopsy and cytology |
JP6957770B2 (en) * | 2018-10-25 | 2021-11-02 | オリンパス株式会社 | Endoscope attachment and endoscopy system |
CN209236111U (en) * | 2018-11-01 | 2019-08-13 | 山东冠龙医疗用品有限公司 | A kind of minimally invasive channel endoscope of multichannel |
WO2020154596A1 (en) * | 2019-01-24 | 2020-07-30 | Noah Medical Corporation | Single use devices with integrated vision capabilities |
GB2596987B (en) * | 2019-04-30 | 2024-01-17 | Terumo Cardiovascular Sys Corp | Endoscopic vessel harvester with gyrosensor for rotating camera view |
US10863886B2 (en) | 2019-05-03 | 2020-12-15 | UVision360, Inc. | Rotatable introducers |
CN110013208A (en) * | 2019-05-13 | 2019-07-16 | 杭州好克光电仪器有限公司 | A kind of ultra-wide angle endoscope structure |
CA3132063A1 (en) * | 2019-05-17 | 2020-11-26 | Boston Scientific Scimed, Inc. | Medical imaging devices and systems |
DE102019114817B4 (en) | 2019-06-03 | 2021-12-02 | Karl Storz Se & Co. Kg | Imaging system and method of observation |
CN110251217B (en) * | 2019-06-26 | 2021-02-19 | 北京凡星光电医疗设备股份有限公司 | Embryo transplantation system |
EP4003138A4 (en) | 2019-07-25 | 2023-08-30 | Uroviu Corp. | Disposable endoscopy cannula with integrated grasper |
US20210145510A1 (en) * | 2019-11-18 | 2021-05-20 | Nido Surgical Inc. | Instrument port for epicardial ablation with inflatable balloon |
US11547279B2 (en) | 2019-12-09 | 2023-01-10 | Sanovas Intellectual Property, Llc | Proximal connector assembly for medical imaging device |
US20230065294A1 (en) * | 2020-01-29 | 2023-03-02 | Trice Medical, Inc. | Fully integrated, disposable tissue visualization device with off axis viewing |
CN111467048B (en) * | 2020-04-08 | 2023-09-01 | 重庆医科大学附属第二医院 | Whole-course visual 3D hysteroscope operation device |
TWI727740B (en) * | 2020-04-15 | 2021-05-11 | 貞安有限公司 | Therapeutic endoscope and cover thereof |
EP4138701A1 (en) * | 2020-04-20 | 2023-03-01 | Avail Medsystems, Inc. | Systems and methods for video and audio analysis |
US11259695B2 (en) | 2020-07-21 | 2022-03-01 | Meditrina, Inc. | Endoscope and method of use |
US11826024B2 (en) * | 2020-12-03 | 2023-11-28 | Ziphycare Inc | Multi-organ imaging system with a single, multi-examination illumination unit |
CN112472016B (en) | 2020-12-09 | 2021-07-20 | 江苏济远医疗科技有限公司 | Disposable uterine endoscope |
CN112914619B (en) * | 2021-01-26 | 2023-01-10 | 焦大勇 | Testicle biopsy device |
US20220211263A1 (en) * | 2021-03-23 | 2022-07-07 | Axcess Instruments Inc. | Multi-piece access port imaging systems |
US20220312569A1 (en) * | 2021-03-26 | 2022-09-29 | Stryker Corporation | Systems and methods for controlling a medical light via a software configurable handle assembly |
CN115251801A (en) * | 2022-05-27 | 2022-11-01 | 中山市微视医用科技有限公司 | Detachable endoscope and using method thereof |
US20230389777A1 (en) * | 2022-06-07 | 2023-12-07 | Karl Storz Imaging, Inc. | Sterile Calibrating Cap and Methods for Using the Same on an Endoscope |
CN116058783B (en) * | 2023-02-24 | 2024-04-02 | 东莞市人民医院 | Precession type anorectal endoscope and application method thereof |
Citations (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5483951A (en) * | 1994-02-25 | 1996-01-16 | Vision-Sciences, Inc. | Working channels for a disposable sheath for an endoscope |
US6095970A (en) * | 1997-02-19 | 2000-08-01 | Asahi Kogaku Kogyo Kabushiki Kaisha | Endoscope |
US20060258955A1 (en) * | 2005-05-13 | 2006-11-16 | Hoffman David W | Endoscopic apparatus with integrated multiple biopsy device |
US7431619B2 (en) * | 2006-06-30 | 2008-10-07 | Perceptron, Inc. | Detachable coupling for a remote inspection device |
Family Cites Families (239)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
DE2601802C3 (en) * | 1976-01-20 | 1979-02-08 | Richard Wolf Gmbh, 7134 Knittlingen | Instruments for the treatment of urethral strictures |
US5133727A (en) * | 1990-05-10 | 1992-07-28 | Symbiosis Corporation | Radial jaw biopsy forceps |
US4201199A (en) | 1978-01-13 | 1980-05-06 | Smith Donald C | Endoscope attachment to a viewing instrument for insertion into the uterine cavity |
US5993378A (en) | 1980-10-28 | 1999-11-30 | Lemelson; Jerome H. | Electro-optical instruments and methods for treating disease |
US4475539A (en) | 1980-10-28 | 1984-10-09 | Olympus Optical Co., Ltd. | Endoscopic television apparatus |
US4441509A (en) * | 1981-05-21 | 1984-04-10 | Sherwood Medical Company | Endometrial sampling device |
US4867138A (en) * | 1987-05-13 | 1989-09-19 | Olympus Optical Co., Ltd. | Rigid electronic endoscope |
US4836189A (en) * | 1988-07-27 | 1989-06-06 | Welch Allyn, Inc. | Video hysteroscope |
DE4102196C2 (en) | 1990-01-26 | 2002-08-01 | Olympus Optical Co | Imaging device for tracking an object |
US5609561A (en) | 1992-06-09 | 1997-03-11 | Olympus Optical Co., Ltd | Electronic type endoscope in which image pickup unit is dismounted to execute disinfection/sterilization processing |
SE470005B (en) | 1992-10-12 | 1993-10-25 | Tesi Ab | Biopsy device intended for endoscopy instruments |
US5751341A (en) | 1993-01-05 | 1998-05-12 | Vista Medical Technologies, Inc. | Stereoscopic endoscope system |
AU7559394A (en) | 1993-08-18 | 1995-03-14 | Vista Medical Technologies | Optical surgical device |
US5484422A (en) | 1993-09-10 | 1996-01-16 | Critikon, Inc. | Catheter needle having surface indication thereon and process for forming such catheter |
US5437603A (en) | 1993-09-14 | 1995-08-01 | C.R. Bard, Inc. | Apparatus and method for implanting prostheses within periurethral tissues |
US5527262A (en) | 1994-08-18 | 1996-06-18 | Welch Allyn, Inc. | Hand-held diagnostic dental probe with video imaging |
US5662586A (en) | 1994-08-18 | 1997-09-02 | Welch Allyn, Inc. | Hand held diagnostic instrument with video imaging |
US5591119A (en) | 1994-12-07 | 1997-01-07 | Adair; Edwin L. | Sterile surgical coupler and drape |
US5498230A (en) | 1994-10-03 | 1996-03-12 | Adair; Edwin L. | Sterile connector and video camera cover for sterile endoscope |
US5873816A (en) | 1994-11-02 | 1999-02-23 | Olympus Optical Co., Ltd. | Electronic endoscope having an insertional portion a part of which is a conductive armor |
US5902230A (en) | 1995-02-06 | 1999-05-11 | Asahi Kogaku Kogyo Kabushiki Kaisha | Electronic endoscope system with information combined in digital output |
US6428470B1 (en) * | 1995-09-15 | 2002-08-06 | Pinotage, Llc | Imaging system and components thereof |
US5860953A (en) | 1995-11-21 | 1999-01-19 | Catheter Imaging Systems, Inc. | Steerable catheter having disposable module and sterilizable handle and method of connecting same |
DE69624338T2 (en) * | 1995-11-27 | 2003-08-07 | Central De Chimiotherapie Et D | DEVICE FOR TAKING MUKOSA FROM THE UTERUS |
US5885214A (en) | 1996-02-13 | 1999-03-23 | Welch Allyn, Inc. | Integrated video diagnostic center |
ES2241037T3 (en) * | 1996-02-15 | 2005-10-16 | Biosense Webster, Inc. | PRECISE DETERMINATION OF THE POSITION OF ENDOSCOPES. |
US6221007B1 (en) | 1996-05-03 | 2001-04-24 | Philip S. Green | System and method for endoscopic imaging and endosurgery |
US5746753A (en) * | 1996-05-13 | 1998-05-05 | Boston Scientific Corporation | Needle grasping apparatus |
US6554765B1 (en) * | 1996-07-15 | 2003-04-29 | East Giant Limited | Hand held, portable camera with adaptable lens system |
US5879289A (en) | 1996-07-15 | 1999-03-09 | Universal Technologies International, Inc. | Hand-held portable endoscopic camera |
US5734418A (en) | 1996-07-17 | 1998-03-31 | Welch Allyn, Inc. | Endoscope with tab imager package |
JPH10155736A (en) * | 1996-11-29 | 1998-06-16 | Olympus Optical Co Ltd | Signal processing apparatus for endoscope |
US6106457A (en) * | 1997-04-04 | 2000-08-22 | Welch Allyn, Inc. | Compact imaging instrument system |
US6066089A (en) | 1997-08-08 | 2000-05-23 | Olympus Optical Co., Ltd. | Portable remote visual inspection system and a case and a peripheral carriage case insert for transporting and storing a remote visual inspection system |
US6043839A (en) | 1997-10-06 | 2000-03-28 | Adair; Edwin L. | Reduced area imaging devices |
US5929901A (en) | 1997-10-06 | 1999-07-27 | Adair; Edwin L. | Reduced area imaging devices incorporated within surgical instruments |
US6211904B1 (en) | 1997-09-11 | 2001-04-03 | Edwin L. Adair | Surgical devices incorporating reduced area imaging devices |
US7030904B2 (en) | 1997-10-06 | 2006-04-18 | Micro-Medical Devices, Inc. | Reduced area imaging device incorporated within wireless endoscopic devices |
US6310642B1 (en) | 1997-11-24 | 2001-10-30 | Micro-Medical Devices, Inc. | Reduced area imaging devices incorporated within surgical instruments |
US5986693A (en) | 1997-10-06 | 1999-11-16 | Adair; Edwin L. | Reduced area imaging devices incorporated within surgical instruments |
US6275855B1 (en) | 1997-11-02 | 2001-08-14 | R. Brent Johnson | System, method and article of manufacture to enhance computerized alert system information awareness and facilitate real-time intervention services |
US6982740B2 (en) | 1997-11-24 | 2006-01-03 | Micro-Medical Devices, Inc. | Reduced area imaging devices utilizing selected charge integration periods |
EP1079724A1 (en) | 1998-05-13 | 2001-03-07 | Inbae Yoon | Penetrating endoscope and endoscopic surgical instrument with cmos image sensor and display |
US6419626B1 (en) | 1998-08-12 | 2002-07-16 | Inbae Yoon | Surgical instrument endoscope with CMOS image sensor and physical parameter sensor |
US6348035B1 (en) | 1998-09-09 | 2002-02-19 | Asahi Kogaku Kogyo Kabushiki Kaisha | Connection system for electronic endoscope |
US6478730B1 (en) * | 1998-09-09 | 2002-11-12 | Visionscope, Inc. | Zoom laparoscope |
FR2785132B1 (en) | 1998-10-27 | 2000-12-22 | Tokendo Sarl | DISTAL COLOR CCD SENSOR VIDEOENDOSCOPIC PROBE |
US6468265B1 (en) | 1998-11-20 | 2002-10-22 | Intuitive Surgical, Inc. | Performing cardiac surgery without cardioplegia |
JP2000210251A (en) | 1999-01-21 | 2000-08-02 | Olympus Optical Co Ltd | Endoscope unit |
USD416536S (en) * | 1999-02-16 | 1999-11-16 | Motorola, Inc. | Charging and programming dock |
US6652453B2 (en) | 1999-03-03 | 2003-11-25 | Vincent A. Smith | Portable video laryngoscope |
US8317689B1 (en) | 1999-09-13 | 2012-11-27 | Visionscope Technologies Llc | Miniature endoscope system |
US20020077550A1 (en) | 1999-10-05 | 2002-06-20 | Rabiner Robert A. | Apparatus and method for treating gynecological diseases using an ultrasonic medical device operating in a transverse mode |
AU1097601A (en) | 1999-10-19 | 2001-04-30 | Intensys Corporation | Improving image display quality by adaptive subpixel rendering |
US6428487B1 (en) * | 1999-12-17 | 2002-08-06 | Ethicon Endo-Surgery, Inc. | Surgical biopsy system with remote control for selecting an operational mode |
US6593587B2 (en) | 2000-03-10 | 2003-07-15 | Perceptron, Inc. | Non-contact measurement device for quickly and accurately obtaining dimensional measurement data |
US6858857B2 (en) | 2000-11-10 | 2005-02-22 | Perceptron, Inc. | Modular non-contact measurement device for quickly and accurately obtaining dimensional measurement data |
US6717166B2 (en) | 2000-11-10 | 2004-04-06 | Perceptron, Inc. | Non-contact measurement device for accurately determining angular measurements in relation to plumb and level |
US20040122327A1 (en) | 2000-12-15 | 2004-06-24 | Amir Belson | Intrauterine imaging system |
JP2002345724A (en) * | 2001-05-22 | 2002-12-03 | Asahi Optical Co Ltd | Endoscope |
US6929600B2 (en) | 2001-07-24 | 2005-08-16 | Stephen D. Hill | Apparatus for intubation |
US6709408B2 (en) * | 2001-08-09 | 2004-03-23 | Biopsy Sciences, Llc | Dual action aspiration biopsy needle |
US6749561B2 (en) | 2001-08-23 | 2004-06-15 | Smith & Nephew, Inc. | Autofocusing endoscopic system |
JP4754743B2 (en) * | 2001-09-18 | 2011-08-24 | オリンパス株式会社 | Endoscope device |
US20070167681A1 (en) | 2001-10-19 | 2007-07-19 | Gill Thomas J | Portable imaging system employing a miniature endoscope |
US7081097B2 (en) * | 2002-01-04 | 2006-07-25 | Vision Sciences, Inc. | Endoscope sheath assemblies having an attached biopsy sampling device |
US7033314B2 (en) | 2002-01-11 | 2006-04-25 | Fidelitycorp Limited | Endoscopic devices and method of use |
AU2002305038A1 (en) | 2002-03-06 | 2003-09-29 | Martin P. Graumann | Digital laryngoscope |
US6858014B2 (en) * | 2002-04-05 | 2005-02-22 | Scimed Life Systems, Inc. | Multiple biopsy device |
US6979290B2 (en) | 2002-05-30 | 2005-12-27 | The Board Of Trustees Of The Leland Stanford Junior University | Apparatus and methods for coronary sinus access |
GB2389914B (en) | 2002-06-18 | 2004-05-26 | Keymed | Dual capability borescope |
JP2004109222A (en) | 2002-09-13 | 2004-04-08 | Olympus Corp | Endoscope apparatus |
CN2565407Y (en) | 2002-09-16 | 2003-08-13 | 上海富士能高内镜有限公司 | Suction apparatus for uterine cavity |
DE10258483B3 (en) * | 2002-12-10 | 2004-06-17 | Universitätsklinikum Charité, Medizinische Fakultät der Humboldt-Universität zu Berlin | Optical biopsy instrument for extracting breast tissue sample from milk duct having endoscope displaced within cylindrical channel having side opening with cutting edge |
EP1441530B1 (en) | 2003-01-17 | 2010-04-28 | Tokendo | Video endoscope |
US20100262000A1 (en) | 2003-02-26 | 2010-10-14 | Wallace Jeffrey M | Methods and devices for endoscopic imaging |
US7559890B2 (en) | 2003-02-26 | 2009-07-14 | Ikona Medical Corporation | Endoscopic imaging of an organ system |
US20040199052A1 (en) | 2003-04-01 | 2004-10-07 | Scimed Life Systems, Inc. | Endoscopic imaging system |
US20050245789A1 (en) * | 2003-04-01 | 2005-11-03 | Boston Scientific Scimed, Inc. | Fluid manifold for endoscope system |
JP2005006856A (en) | 2003-06-18 | 2005-01-13 | Olympus Corp | Endoscope apparatus |
US7530946B2 (en) | 2003-08-15 | 2009-05-12 | Scimed Life Systems, Inc. | Compact endoscope |
CN2638669Y (en) | 2003-09-01 | 2004-09-08 | 李新德 | Peritonescopy |
TW581668B (en) | 2003-10-15 | 2004-04-01 | Der-Yang Tien | Endoscopic device |
US7946981B1 (en) | 2003-10-23 | 2011-05-24 | Anthony Cubb | Two-piece video laryngoscope |
US20060103729A1 (en) * | 2003-12-12 | 2006-05-18 | James Burns | Computer-based image capture system |
US7144250B2 (en) * | 2003-12-17 | 2006-12-05 | Ultradent Products, Inc. | Rechargeable dental curing light |
US7445596B2 (en) * | 2004-01-29 | 2008-11-04 | Cannuflow, Inc. | Atraumatic arthroscopic instrument sheath |
US7500947B2 (en) * | 2004-01-29 | 2009-03-10 | Cannonflow, Inc. | Atraumatic arthroscopic instrument sheath |
EP1719445A4 (en) | 2004-02-16 | 2012-01-11 | Olympus Corp | Endoscope device |
JP4009613B2 (en) | 2004-04-08 | 2007-11-21 | オリンパス株式会社 | Endoscope |
JP4365860B2 (en) | 2004-04-12 | 2009-11-18 | オリンパス株式会社 | Endoscope device |
IL162390A0 (en) | 2004-06-07 | 2005-11-20 | Medigus Ltd | Multipurpose endoscopy suite |
USD508458S1 (en) * | 2004-06-25 | 2005-08-16 | Harman International Industries, Incorporated | Audio and charging station for a handheld electronic device |
US20060004258A1 (en) | 2004-07-02 | 2006-01-05 | Wei-Zen Sun | Image-type intubation-aiding device |
US20090118580A1 (en) | 2004-07-02 | 2009-05-07 | Wei-Zen Sun | Image-type intubation-aiding device |
US7520854B2 (en) | 2004-07-14 | 2009-04-21 | Olympus Corporation | Endoscope system allowing movement of a display image |
US7041050B1 (en) * | 2004-07-19 | 2006-05-09 | Ronald Medical Ltd. | System for performing a surgical procedure inside a body |
US9033870B2 (en) | 2004-09-24 | 2015-05-19 | Vivid Medical, Inc. | Pluggable vision module and portable display for endoscopy |
JP2008514363A (en) * | 2004-09-30 | 2008-05-08 | ボストン サイエンティフィック リミテッド | Multifunctional endoscope system for use in electrosurgical applications |
IL165482A0 (en) | 2004-11-30 | 2006-01-15 | Sphereview Ltd | A compact mobile gynecology system for observationimaging and image analysis |
CN2754555Y (en) | 2004-12-15 | 2006-02-01 | 徐光玉 | Laparoscope |
JP4937136B2 (en) | 2004-12-28 | 2012-05-23 | パトリック・シー・メルダー | Endoscopic imaging system |
US8872906B2 (en) * | 2005-01-05 | 2014-10-28 | Avantis Medical Systems, Inc. | Endoscope assembly with a polarizing filter |
US20070185379A1 (en) | 2005-01-10 | 2007-08-09 | Perceptron, Inc. | Modular remote inspection device with digital imager |
US7384308B2 (en) | 2005-01-10 | 2008-06-10 | Perceptron, Inc. | Detachable coupling for a remote inspection device |
US7584534B2 (en) | 2005-01-10 | 2009-09-08 | Perceptron, Inc. | Remote inspection device |
US20060155168A1 (en) | 2005-01-10 | 2006-07-13 | Pease Alfred A | Optical snake |
US7758495B2 (en) | 2005-01-10 | 2010-07-20 | Perceptron, Inc. | Remote inspection device |
AU2006211174B2 (en) | 2005-01-27 | 2012-05-31 | Cook Medical Technologies Llc | Endoscopic cutting device |
JP4472549B2 (en) | 2005-02-14 | 2010-06-02 | オリンパスメディカルシステムズ株式会社 | Endoscope device |
WO2006095336A2 (en) | 2005-03-08 | 2006-09-14 | Truphatek International Ltd | Handheld portable medical viewing assembly for displaying medical images during endotracheal intubation, and intubation stylet for use therewith |
JP4780980B2 (en) | 2005-03-11 | 2011-09-28 | 富士フイルム株式会社 | Endoscope device |
JP2006288612A (en) * | 2005-04-08 | 2006-10-26 | Olympus Corp | Picture display device |
US7918863B2 (en) | 2005-06-24 | 2011-04-05 | Conceptus, Inc. | Minimally invasive surgical stabilization devices and methods |
KR100763188B1 (en) * | 2005-07-21 | 2007-10-04 | 삼성전자주식회사 | Method for displaying menu and digital device using the same |
JP4681981B2 (en) | 2005-08-18 | 2011-05-11 | Hoya株式会社 | Electronic endoscope device |
US8221310B2 (en) | 2005-10-25 | 2012-07-17 | Voyage Medical, Inc. | Tissue visualization device and method variations |
US8523764B2 (en) * | 2005-12-07 | 2013-09-03 | Siemens Energy, Inc. | Remote viewing apparatus |
JP5030441B2 (en) | 2006-03-09 | 2012-09-19 | オリンパスメディカルシステムズ株式会社 | Endoscope device |
US20070225556A1 (en) | 2006-03-23 | 2007-09-27 | Ethicon Endo-Surgery, Inc. | Disposable endoscope devices |
JP5279169B2 (en) * | 2006-03-23 | 2013-09-04 | Hoya株式会社 | Endoscope observation window cleaning nozzle |
JP5148068B2 (en) | 2006-03-24 | 2013-02-20 | オリンパスメディカルシステムズ株式会社 | Endoscope |
WO2007146325A2 (en) | 2006-06-14 | 2007-12-21 | Optivia Medical Llc | Medical device introduction systems and methods |
JP4891668B2 (en) | 2006-06-26 | 2012-03-07 | オリンパスメディカルシステムズ株式会社 | Capsule endoscope |
CA2656042A1 (en) * | 2006-06-27 | 2008-01-03 | Palomar Medical Technologies, Inc. | Handheld photocosmetic device |
US7581988B2 (en) | 2006-06-30 | 2009-09-01 | Perceptron, Inc. | Detachable coupling for a remote inspection device |
JP2008011992A (en) | 2006-07-04 | 2008-01-24 | Olympus Medical Systems Corp | Endoscope |
JP5259113B2 (en) | 2006-07-21 | 2013-08-07 | オリンパスメディカルシステムズ株式会社 | Endoscope |
DE102006035657B3 (en) * | 2006-07-31 | 2008-04-03 | Ivoclar Vivadent Ag | Light measuring device |
US7927272B2 (en) * | 2006-08-04 | 2011-04-19 | Avantis Medical Systems, Inc. | Surgical port with embedded imaging device |
US8416291B2 (en) | 2006-08-07 | 2013-04-09 | Innovative Medical Devices, Inc. | System to aid in the positioning, confirmation and documentation of an endotracheal tube |
JP2008046839A (en) * | 2006-08-15 | 2008-02-28 | Fujifilm Corp | Device for creating electronic medical record |
US20080042861A1 (en) * | 2006-08-16 | 2008-02-21 | Bruno Dacquay | Safety battery meter system for surgical hand piece |
US8678999B2 (en) | 2006-09-11 | 2014-03-25 | Karl Storz Endovision, Inc. | System and method for a hysteroscope with integrated instruments |
JP2008067780A (en) | 2006-09-12 | 2008-03-27 | Olympus Medical Systems Corp | Endoscope apparatus |
US7976459B2 (en) | 2006-10-17 | 2011-07-12 | Intra L.L.C. | Portable endoscope for intubation |
US8647349B2 (en) | 2006-10-18 | 2014-02-11 | Hologic, Inc. | Systems for performing gynecological procedures with mechanical distension |
US20100030020A1 (en) * | 2006-10-20 | 2010-02-04 | Femsuite Llc | Optical surgical device and method of use |
US20080108869A1 (en) * | 2006-10-20 | 2008-05-08 | Femsuite Llc | Optical surgical device and methods of use |
WO2008052064A2 (en) | 2006-10-24 | 2008-05-02 | Cardiorobotics, Inc. | Steerable multi-linked device having a modular link assembly |
US20100286477A1 (en) | 2009-05-08 | 2010-11-11 | Ouyang Xiaolong | Internal tissue visualization system comprising a rf-shielded visualization sensor module |
US8025670B2 (en) | 2006-11-22 | 2011-09-27 | Minos Medical | Methods and apparatus for natural orifice vaginal hysterectomy |
US20080132763A1 (en) | 2006-12-04 | 2008-06-05 | Isaacson Keith B | Apparatus And Method For An Endoscope Pump |
US7783133B2 (en) | 2006-12-28 | 2010-08-24 | Microvision, Inc. | Rotation compensation and image stabilization system |
US20090231419A1 (en) | 2007-02-06 | 2009-09-17 | Avantis Medical Systems, Inc. | Endoscope Assembly and Method of Performing a Medical Procedure |
EP2114266B1 (en) | 2007-02-09 | 2014-08-06 | Skeletal Dynamics, LLC | Endo-surgical device |
KR100811588B1 (en) | 2007-03-26 | 2008-03-11 | 한국화학연구원 | Automatic video instillator |
US8840566B2 (en) | 2007-04-02 | 2014-09-23 | University Of Washington | Catheter with imaging capability acts as guidewire for cannula tools |
WO2009000078A1 (en) * | 2007-06-25 | 2008-12-31 | Led Medical Diagnostics, Inc. | Methods, systems and apparatus relating to colposcopic-type viewing extension devices |
US8437587B2 (en) | 2007-07-25 | 2013-05-07 | University Of Washington | Actuating an optical fiber with a piezoelectric actuator and detecting voltages generated by the piezoelectric actuator |
JP2010534531A (en) | 2007-07-26 | 2010-11-11 | アヴァンティス メディカル システムズ インコーポレイテッド | Endoscope system |
US20090030276A1 (en) | 2007-07-27 | 2009-01-29 | Voyage Medical, Inc. | Tissue visualization catheter with imaging systems integration |
JP5139742B2 (en) | 2007-08-03 | 2013-02-06 | オリンパスメディカルシステムズ株式会社 | Endoscope |
CA2625548C (en) | 2007-08-04 | 2012-04-10 | John A. Law | An airway intubation device |
JP5096090B2 (en) | 2007-09-19 | 2012-12-12 | オリンパスメディカルシステムズ株式会社 | In-vivo image receiving apparatus and in-vivo image acquisition system |
EP2207056B1 (en) | 2007-10-30 | 2013-01-09 | Olympus Corporation | Endoscope device |
DE102007052643B4 (en) * | 2007-11-05 | 2016-02-04 | Ivoclar Vivadent Ag | Light measuring device |
US20090118575A1 (en) | 2007-11-06 | 2009-05-07 | Olympus Medical Systems Corp. | Endoscopic system, treatment section operation check instrument for the same, and treatment section operation check method |
JP5622350B2 (en) | 2007-12-05 | 2014-11-12 | オリンパスメディカルシステムズ株式会社 | Intra-subject introduction apparatus and intra-subject information acquisition system |
US20090196459A1 (en) | 2008-02-01 | 2009-08-06 | Perceptron, Inc. | Image manipulation and processing techniques for remote inspection device |
US7979689B2 (en) | 2008-02-01 | 2011-07-12 | Perceptron, Inc. | Accessory support system for remote inspection device |
EP2244625B1 (en) | 2008-02-05 | 2018-04-04 | Cook Medical Technologies LLC | Adaptor for endoscopic orientation of an elongate medical device |
US8189043B2 (en) * | 2008-03-07 | 2012-05-29 | Milwaukee Electric Tool Corporation | Hand-held visual inspection device for viewing confined or difficult to access locations |
JP5216429B2 (en) | 2008-06-13 | 2013-06-19 | 富士フイルム株式会社 | Light source device and endoscope device |
GB2457321B (en) * | 2008-06-13 | 2009-12-30 | Pwb Health Ltd | Illumination apparatus for use in examining a body of living tissues |
US20100022824A1 (en) | 2008-07-22 | 2010-01-28 | Cybulski James S | Tissue modification devices and methods of using the same |
US8760507B2 (en) | 2008-08-05 | 2014-06-24 | Inspectron, Inc. | Light pipe for imaging head of video inspection device |
US20100033986A1 (en) | 2008-08-05 | 2010-02-11 | Perceptron Inc. | Light Pipe For Imaging Head of Video Inspection Device |
US8356527B2 (en) | 2008-08-07 | 2013-01-22 | Ge Inspection Technologies, Lp | Inspection apparatus having an insertion tube with dispersed healing agent |
WO2010044862A1 (en) | 2008-10-17 | 2010-04-22 | Ai Medical Devices, Inc. | Endotracheal intubation device |
US20100121142A1 (en) | 2008-11-12 | 2010-05-13 | Ouyang Xiaolong | Minimally Invasive Imaging Device |
US20110276113A1 (en) * | 2010-04-12 | 2011-11-10 | Cybulski James S | RF Tissue Modulation Devices and Methods of Using the Same |
US20100121139A1 (en) | 2008-11-12 | 2010-05-13 | Ouyang Xiaolong | Minimally Invasive Imaging Systems |
US20100121155A1 (en) | 2008-11-12 | 2010-05-13 | Ouyang Xiaolong | Minimally Invasive Tissue Modification Systems With Integrated Visualization |
US20110009694A1 (en) * | 2009-07-10 | 2011-01-13 | Schultz Eric E | Hand-held minimally dimensioned diagnostic device having integrated distal end visualization |
US8920311B2 (en) * | 2008-11-18 | 2014-12-30 | Aponos Medical Corp. | Adapter for attaching devices to endoscopes |
BRPI0922450A2 (en) | 2008-12-10 | 2015-12-15 | Ambu As | disposable part imaging system. |
TW201028125A (en) | 2009-01-19 | 2010-08-01 | hui-yu Zhang | Micro image pick-up apparatus |
US8894570B2 (en) | 2009-01-22 | 2014-11-25 | Li Ding | Video laryngoscope |
US20100191050A1 (en) | 2009-01-23 | 2010-07-29 | Ethicon Endo-Surgery, Inc. | Variable length accessory for guiding a flexible endoscopic tool |
US20100238278A1 (en) | 2009-01-27 | 2010-09-23 | Tokendo | Videoendoscopy system |
US8382665B1 (en) | 2009-02-12 | 2013-02-26 | Alfred Fam | Endotracheal tube placement system and method |
WO2010101149A1 (en) | 2009-03-02 | 2010-09-10 | オリンパスメディカルシステムズ株式会社 | Endoscope |
US9254245B2 (en) | 2009-04-09 | 2016-02-09 | University Of Utah | Optically guided medical tube and control unit assembly and methods of use |
US8361041B2 (en) | 2009-04-09 | 2013-01-29 | University Of Utah Research Foundation | Optically guided feeding tube, catheters and associated methods |
US20100284580A1 (en) | 2009-05-07 | 2010-11-11 | Ouyang Xiaolong | Tissue visualization systems and methods for using the same |
EP2371262B1 (en) | 2009-07-23 | 2017-03-29 | Olympus Corporation | Endoscope apparatus |
EP2347693B1 (en) | 2009-07-29 | 2013-05-08 | Olympus Medical Systems Corp. | Endoscope apparatus |
JP5519211B2 (en) | 2009-08-10 | 2014-06-11 | オリンパス株式会社 | Endoscope device |
USD640977S1 (en) * | 2009-09-25 | 2011-07-05 | C. R. Bard, Inc. | Charging station for a battery operated biopsy device |
US20110190689A1 (en) | 2009-09-28 | 2011-08-04 | Bennett James D | Intravaginal therapy device |
US20110090331A1 (en) | 2009-10-15 | 2011-04-21 | Perceptron, Inc. | Articulating imager for video borescope |
WO2011047381A1 (en) * | 2009-10-18 | 2011-04-21 | 12S Micro Implantable Systems, Llc | Implantable neural signal acquisition apparatus |
JP5484863B2 (en) | 2009-11-06 | 2014-05-07 | オリンパス株式会社 | Endoscope device |
US9179831B2 (en) | 2009-11-30 | 2015-11-10 | King Systems Corporation | Visualization instrument |
US20110137127A1 (en) | 2009-12-08 | 2011-06-09 | Ai Medical Devices, Inc. | Dual screen intubation system |
US20110152878A1 (en) | 2009-12-17 | 2011-06-23 | Ethicon Endo-Surgery, Inc. | Interface systems for aiding clinicians in controlling and manipulating at least one endoscopic surgical instrument and a cable controlled guide tube system |
TWM394136U (en) | 2009-12-24 | 2010-12-11 | Tien-Sheng Chen | Probe with image-capturing device |
CN101797147B (en) | 2010-01-21 | 2011-09-14 | 广州宝胆医疗器械科技有限公司 | Soft-hard son-mother hysteroscope and oviductlens systems |
JP2011158549A (en) | 2010-01-29 | 2011-08-18 | Olympus Corp | Endoscope apparatus and program |
GB201002544D0 (en) * | 2010-02-15 | 2010-03-31 | Securesight Internat Ltd | Apparatus for providing a view of an area that is hard to reach or inaccessable |
CN201658404U (en) | 2010-03-08 | 2010-12-01 | 豪威科技(上海)有限公司 | Disposable visual uterine-cavity suction tube |
CN201701193U (en) | 2010-04-15 | 2011-01-12 | 欧普康光电(厦门)有限公司 | Medical uterine cavity endoscope with digit camera |
US9649014B2 (en) | 2010-04-28 | 2017-05-16 | Xiaolong OuYang | Single use medical devices |
US9049351B2 (en) | 2010-05-03 | 2015-06-02 | Inspectron, Inc. | Insulator design for video inspection devices |
CN102905606B (en) | 2010-07-28 | 2015-02-04 | 奥林巴斯医疗株式会社 | Rigid scope |
EP2567652A4 (en) | 2010-08-02 | 2013-08-14 | Olympus Medical Systems Corp | Endoscope system |
US8591401B2 (en) | 2010-08-18 | 2013-11-26 | Olympus Corporation | Endoscope apparatus displaying information indicating gravity direction on screen |
EP2613707B1 (en) * | 2010-09-10 | 2019-11-06 | Devicor Medical Products, Inc. | Biopsy device tissue sample holder with removable tray |
US8702594B2 (en) | 2010-10-21 | 2014-04-22 | Avram Allan Edidin | Imaging system having a quick connect coupling interface |
TW201216913A (en) | 2010-10-22 | 2012-05-01 | Three In One Ent Co Ltd | An endoscope with acoustic wave detection and voiceprint comparison |
ES2774747T3 (en) | 2010-10-25 | 2020-07-22 | Endosee Corp | Hysteroscopy and endometrial biopsy apparatus |
US8764680B2 (en) * | 2010-11-01 | 2014-07-01 | Devicor Medical Products, Inc. | Handheld biopsy device with needle firing |
US20130225924A1 (en) | 2010-11-10 | 2013-08-29 | Norman Simms | Medical scope with single use probe |
DE102010053814B4 (en) | 2010-12-08 | 2018-03-22 | Markus Friedrich | Endoscope for medical purposes |
EP2648603B1 (en) | 2010-12-08 | 2020-02-05 | The Board of Regents of the University of Nebraska | Portable laparoscope system |
EP2484270B1 (en) | 2010-12-24 | 2014-03-12 | Olympus Corporation | Endoscopic device |
CN102711581B (en) | 2010-12-24 | 2014-01-29 | 奥林巴斯株式会社 | Endoscopic device |
CN102665524B (en) | 2010-12-24 | 2013-09-25 | 奥林巴斯株式会社 | Endoscopic device |
JP5959150B2 (en) | 2011-01-12 | 2016-08-02 | オリンパス株式会社 | Endoscope system |
JP5290474B2 (en) | 2011-04-18 | 2013-09-18 | オリンパスメディカルシステムズ株式会社 | Endoscope device |
JP6180405B2 (en) | 2011-05-03 | 2017-08-16 | エンドーシー コーポレイションEndosee Corporation | Methods and apparatus for hysteroscopy and endometrial biopsy |
TW201245761A (en) | 2011-05-10 | 2012-11-16 | Medical Intubation Tech Corp | Endoscope capable of displaying scale for determining size of image-captured object |
US20130231533A1 (en) | 2011-05-23 | 2013-09-05 | Stephanos Papademetriou | Medical applications of a miniature videoscope |
US20120310045A1 (en) | 2011-06-06 | 2012-12-06 | Fujikura Ltd. | Electronic endoscope |
CN103491847B (en) | 2011-06-07 | 2016-01-20 | 奥林巴斯株式会社 | The fader control method of endoscope apparatus and Fluirescence observation |
JP2013000452A (en) | 2011-06-20 | 2013-01-07 | Olympus Corp | Electronic endoscope device |
US8182416B1 (en) | 2011-08-02 | 2012-05-22 | Olympus Corporation | Endoscopic device |
US8177710B1 (en) | 2011-08-02 | 2012-05-15 | Olympus Corporation | Endoscopic device |
WO2013026043A1 (en) | 2011-08-18 | 2013-02-21 | Hologic, Inc. | Tissue removal system |
JP2013048694A (en) | 2011-08-30 | 2013-03-14 | Olympus Corp | Endoscope apparatus |
TW201311305A (en) | 2011-09-09 | 2013-03-16 | Tien-Sheng Chen | Tracheal intubation device |
TWM429482U (en) | 2011-09-09 | 2012-05-21 | Tien-Sheng Chen | Tracheal intubation device |
JP5977497B2 (en) | 2011-09-22 | 2016-08-24 | オリンパス株式会社 | Endoscope apparatus, operation method and program |
US8556801B2 (en) * | 2012-02-23 | 2013-10-15 | Jung-Tung Liu | Combined endoscope and surgical instrument guide device |
JP5503035B2 (en) | 2012-03-13 | 2014-05-28 | 富士フイルム株式会社 | Endoscope substrate connector and endoscope using the same |
US9622646B2 (en) | 2012-06-25 | 2017-04-18 | Coopersurgical, Inc. | Low-cost instrument for endoscopically guided operative procedures |
US20140031621A1 (en) | 2012-07-25 | 2014-01-30 | Jung-Tung Liu | Cutting apparatus with image capture arrangement for treating carpal tunnel syndrome |
US9198835B2 (en) | 2012-09-07 | 2015-12-01 | Covidien Lp | Catheter with imaging assembly with placement aid and related methods therefor |
-
2012
- 2012-04-23 JP JP2014509307A patent/JP6180405B2/en active Active
- 2012-04-23 CN CN201280033333.3A patent/CN103841880A/en active Pending
- 2012-04-23 WO PCT/US2012/034698 patent/WO2012151073A2/en active Application Filing
- 2012-04-23 BR BR112013028428A patent/BR112013028428A2/en not_active IP Right Cessation
- 2012-04-23 CA CA 2835081 patent/CA2835081A1/en not_active Abandoned
- 2012-04-23 EP EP12779463.4A patent/EP2709513A4/en not_active Withdrawn
- 2012-04-23 US US14/115,318 patent/US20140276207A1/en not_active Abandoned
- 2012-05-17 US US13/474,429 patent/US8460182B2/en active Active
-
2013
- 2013-06-06 US US13/911,930 patent/US20140288460A1/en not_active Abandoned
-
2014
- 2014-12-04 HK HK14112232.7A patent/HK1198738A1/en unknown
-
2018
- 2018-01-11 US US15/868,148 patent/US10441134B2/en active Active
Patent Citations (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5483951A (en) * | 1994-02-25 | 1996-01-16 | Vision-Sciences, Inc. | Working channels for a disposable sheath for an endoscope |
US6095970A (en) * | 1997-02-19 | 2000-08-01 | Asahi Kogaku Kogyo Kabushiki Kaisha | Endoscope |
US20060258955A1 (en) * | 2005-05-13 | 2006-11-16 | Hoffman David W | Endoscopic apparatus with integrated multiple biopsy device |
US7431619B2 (en) * | 2006-06-30 | 2008-10-07 | Perceptron, Inc. | Detachable coupling for a remote inspection device |
Cited By (939)
Publication number | Priority date | Publication date | Assignee | Title |
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US11135352B2 (en) | 2004-07-28 | 2021-10-05 | Cilag Gmbh International | End effector including a gradually releasable medical adjunct |
US11896225B2 (en) | 2004-07-28 | 2024-02-13 | Cilag Gmbh International | Staple cartridge comprising a pan |
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US11812960B2 (en) | 2004-07-28 | 2023-11-14 | Cilag Gmbh International | Method of segmenting the operation of a surgical stapling instrument |
US10293100B2 (en) | 2004-07-28 | 2019-05-21 | Ethicon Llc | Surgical stapling instrument having a medical substance dispenser |
US11963679B2 (en) | 2004-07-28 | 2024-04-23 | Cilag Gmbh International | Articulating surgical stapling instrument incorporating a two-piece E-beam firing mechanism |
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US11399828B2 (en) | 2005-08-31 | 2022-08-02 | Cilag Gmbh International | Fastener cartridge assembly comprising a fixed anvil and different staple heights |
US11134947B2 (en) | 2005-08-31 | 2021-10-05 | Cilag Gmbh International | Fastener cartridge assembly comprising a camming sled with variable cam arrangements |
US10278697B2 (en) | 2005-08-31 | 2019-05-07 | Ethicon Llc | Staple cartridge comprising a staple driver arrangement |
US11730474B2 (en) | 2005-08-31 | 2023-08-22 | Cilag Gmbh International | Fastener cartridge assembly comprising a movable cartridge and a staple driver arrangement |
US10271846B2 (en) | 2005-08-31 | 2019-04-30 | Ethicon Llc | Staple cartridge for use with a surgical stapler |
US10271845B2 (en) | 2005-08-31 | 2019-04-30 | Ethicon Llc | Fastener cartridge assembly comprising a cam and driver arrangement |
US10729436B2 (en) | 2005-08-31 | 2020-08-04 | Ethicon Llc | Robotically-controlled surgical stapling devices that produce formed staples having different lengths |
US11272928B2 (en) | 2005-08-31 | 2022-03-15 | Cilag GmbH Intemational | Staple cartridges for forming staples having differing formed staple heights |
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US10245035B2 (en) | 2005-08-31 | 2019-04-02 | Ethicon Llc | Stapling assembly configured to produce different formed staple heights |
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US11484312B2 (en) | 2005-08-31 | 2022-11-01 | Cilag Gmbh International | Staple cartridge comprising a staple driver arrangement |
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US10149679B2 (en) | 2005-11-09 | 2018-12-11 | Ethicon Llc | Surgical instrument comprising drive systems |
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US11793511B2 (en) | 2005-11-09 | 2023-10-24 | Cilag Gmbh International | Surgical instruments |
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US10463384B2 (en) | 2006-01-31 | 2019-11-05 | Ethicon Llc | Stapling assembly |
US10653417B2 (en) | 2006-01-31 | 2020-05-19 | Ethicon Llc | Surgical instrument |
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US10426463B2 (en) | 2006-01-31 | 2019-10-01 | Ehticon LLC | Surgical instrument having a feedback system |
US10918380B2 (en) | 2006-01-31 | 2021-02-16 | Ethicon Llc | Surgical instrument system including a control system |
US11224427B2 (en) | 2006-01-31 | 2022-01-18 | Cilag Gmbh International | Surgical stapling system including a console and retraction assembly |
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US10952728B2 (en) | 2006-01-31 | 2021-03-23 | Ethicon Llc | Powered surgical instruments with firing system lockout arrangements |
US11890008B2 (en) | 2006-01-31 | 2024-02-06 | Cilag Gmbh International | Surgical instrument with firing lockout |
US10842491B2 (en) | 2006-01-31 | 2020-11-24 | Ethicon Llc | Surgical system with an actuation console |
US10959722B2 (en) | 2006-01-31 | 2021-03-30 | Ethicon Llc | Surgical instrument for deploying fasteners by way of rotational motion |
US10201363B2 (en) | 2006-01-31 | 2019-02-12 | Ethicon Llc | Motor-driven surgical instrument |
US11890029B2 (en) | 2006-01-31 | 2024-02-06 | Cilag Gmbh International | Motor-driven surgical cutting and fastening instrument |
US10993717B2 (en) | 2006-01-31 | 2021-05-04 | Ethicon Llc | Surgical stapling system comprising a control system |
US11000275B2 (en) | 2006-01-31 | 2021-05-11 | Ethicon Llc | Surgical instrument |
US10806479B2 (en) | 2006-01-31 | 2020-10-20 | Ethicon Llc | Motor-driven surgical cutting and fastening instrument with tactile position feedback |
US11246616B2 (en) | 2006-01-31 | 2022-02-15 | Cilag Gmbh International | Motor-driven surgical cutting and fastening instrument with tactile position feedback |
US11883020B2 (en) | 2006-01-31 | 2024-01-30 | Cilag Gmbh International | Surgical instrument having a feedback system |
US11278279B2 (en) | 2006-01-31 | 2022-03-22 | Cilag Gmbh International | Surgical instrument assembly |
US10463383B2 (en) | 2006-01-31 | 2019-11-05 | Ethicon Llc | Stapling instrument including a sensing system |
US11648008B2 (en) | 2006-01-31 | 2023-05-16 | Cilag Gmbh International | Surgical instrument having force feedback capabilities |
US11648024B2 (en) | 2006-01-31 | 2023-05-16 | Cilag Gmbh International | Motor-driven surgical cutting and fastening instrument with position feedback |
US11350916B2 (en) | 2006-01-31 | 2022-06-07 | Cilag Gmbh International | Endoscopic surgical instrument with a handle that can articulate with respect to the shaft |
US10743849B2 (en) | 2006-01-31 | 2020-08-18 | Ethicon Llc | Stapling system including an articulation system |
US11660110B2 (en) | 2006-01-31 | 2023-05-30 | Cilag Gmbh International | Motor-driven surgical cutting and fastening instrument with tactile position feedback |
US10052100B2 (en) | 2006-01-31 | 2018-08-21 | Ethicon Llc | Surgical instrument system configured to detect resistive forces experienced by a tissue cutting implement |
US11020113B2 (en) | 2006-01-31 | 2021-06-01 | Cilag Gmbh International | Surgical instrument having force feedback capabilities |
US10485539B2 (en) | 2006-01-31 | 2019-11-26 | Ethicon Llc | Surgical instrument with firing lockout |
US10052099B2 (en) | 2006-01-31 | 2018-08-21 | Ethicon Llc | Surgical instrument system comprising a firing system including a rotatable shaft and first and second actuation ramps |
US11051811B2 (en) | 2006-01-31 | 2021-07-06 | Ethicon Llc | End effector for use with a surgical instrument |
US11051813B2 (en) | 2006-01-31 | 2021-07-06 | Cilag Gmbh International | Powered surgical instruments with firing system lockout arrangements |
US10058963B2 (en) | 2006-01-31 | 2018-08-28 | Ethicon Llc | Automated end effector component reloading system for use with a robotic system |
US10278722B2 (en) | 2006-01-31 | 2019-05-07 | Ethicon Llc | Motor-driven surgical cutting and fastening instrument |
US11058420B2 (en) | 2006-01-31 | 2021-07-13 | Cilag Gmbh International | Surgical stapling apparatus comprising a lockout system |
US11801051B2 (en) | 2006-01-31 | 2023-10-31 | Cilag Gmbh International | Accessing data stored in a memory of a surgical instrument |
US11103269B2 (en) | 2006-01-31 | 2021-08-31 | Cilag Gmbh International | Motor-driven surgical cutting and fastening instrument with tactile position feedback |
US11944299B2 (en) | 2006-01-31 | 2024-04-02 | Cilag Gmbh International | Surgical instrument having force feedback capabilities |
US11364046B2 (en) | 2006-01-31 | 2022-06-21 | Cilag Gmbh International | Motor-driven surgical cutting and fastening instrument with tactile position feedback |
US10299817B2 (en) | 2006-01-31 | 2019-05-28 | Ethicon Llc | Motor-driven fastening assembly |
US10709468B2 (en) | 2006-01-31 | 2020-07-14 | Ethicon Llc | Motor-driven surgical cutting and fastening instrument |
US11166717B2 (en) | 2006-01-31 | 2021-11-09 | Cilag Gmbh International | Surgical instrument with firing lockout |
US11793518B2 (en) | 2006-01-31 | 2023-10-24 | Cilag Gmbh International | Powered surgical instruments with firing system lockout arrangements |
US10675028B2 (en) | 2006-01-31 | 2020-06-09 | Ethicon Llc | Powered surgical instruments with firing system lockout arrangements |
US10653435B2 (en) | 2006-01-31 | 2020-05-19 | Ethicon Llc | Motor-driven surgical cutting and fastening instrument with tactile position feedback |
US10064688B2 (en) | 2006-03-23 | 2018-09-04 | Ethicon Llc | Surgical system with selectively articulatable end effector |
US10213262B2 (en) | 2006-03-23 | 2019-02-26 | Ethicon Llc | Manipulatable surgical systems with selectively articulatable fastening device |
US10314589B2 (en) | 2006-06-27 | 2019-06-11 | Ethicon Llc | Surgical instrument including a shifting assembly |
US11272938B2 (en) | 2006-06-27 | 2022-03-15 | Cilag Gmbh International | Surgical instrument including dedicated firing and retraction assemblies |
US10420560B2 (en) | 2006-06-27 | 2019-09-24 | Ethicon Llc | Manually driven surgical cutting and fastening instrument |
US11571231B2 (en) | 2006-09-29 | 2023-02-07 | Cilag Gmbh International | Staple cartridge having a driver for driving multiple staples |
US10448952B2 (en) | 2006-09-29 | 2019-10-22 | Ethicon Llc | End effector for use with a surgical fastening instrument |
US11622785B2 (en) | 2006-09-29 | 2023-04-11 | Cilag Gmbh International | Surgical staples having attached drivers and stapling instruments for deploying the same |
US10172616B2 (en) | 2006-09-29 | 2019-01-08 | Ethicon Llc | Surgical staple cartridge |
US10595862B2 (en) | 2006-09-29 | 2020-03-24 | Ethicon Llc | Staple cartridge including a compressible member |
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 |
US10342541B2 (en) | 2006-10-03 | 2019-07-09 | Ethicon Llc | Surgical instruments with E-beam driver and rotary drive arrangements |
US10206678B2 (en) | 2006-10-03 | 2019-02-19 | Ethicon Llc | Surgical stapling instrument with lockout features to prevent advancement of a firing assembly unless an unfired surgical staple cartridge is operably mounted in an end effector portion of the instrument |
US11382626B2 (en) | 2006-10-03 | 2022-07-12 | Cilag Gmbh International | Surgical system including a knife bar supported for rotational and axial travel |
US11877748B2 (en) | 2006-10-03 | 2024-01-23 | Cilag Gmbh International | Robotically-driven surgical instrument with E-beam driver |
US10517590B2 (en) | 2007-01-10 | 2019-12-31 | Ethicon Llc | Powered surgical instrument having a transmission system |
US11350929B2 (en) | 2007-01-10 | 2022-06-07 | Cilag Gmbh International | Surgical instrument with wireless communication between control unit and sensor transponders |
US10952727B2 (en) | 2007-01-10 | 2021-03-23 | Ethicon Llc | Surgical instrument for assessing the state of a staple cartridge |
US10278780B2 (en) | 2007-01-10 | 2019-05-07 | Ethicon Llc | Surgical instrument for use with robotic system |
US11844521B2 (en) | 2007-01-10 | 2023-12-19 | Cilag Gmbh International | Surgical instrument for use with a robotic system |
US11166720B2 (en) | 2007-01-10 | 2021-11-09 | Cilag Gmbh International | Surgical instrument including a control module for assessing an end effector |
US11291441B2 (en) | 2007-01-10 | 2022-04-05 | Cilag Gmbh International | Surgical instrument with wireless communication between control unit and remote sensor |
US11849947B2 (en) | 2007-01-10 | 2023-12-26 | Cilag Gmbh International | Surgical system including a control circuit and a passively-powered transponder |
US11134943B2 (en) | 2007-01-10 | 2021-10-05 | Cilag Gmbh International | Powered surgical instrument including a control unit and sensor |
US10517682B2 (en) | 2007-01-10 | 2019-12-31 | Ethicon Llc | Surgical instrument with wireless communication between control unit and remote sensor |
US11064998B2 (en) | 2007-01-10 | 2021-07-20 | Cilag Gmbh International | Surgical instrument with wireless communication between a control unit of a robotic system and remote sensor |
US10918386B2 (en) | 2007-01-10 | 2021-02-16 | Ethicon Llc | Interlock and surgical instrument including same |
US10945729B2 (en) | 2007-01-10 | 2021-03-16 | Ethicon Llc | Interlock and surgical instrument including same |
US11666332B2 (en) | 2007-01-10 | 2023-06-06 | Cilag Gmbh International | Surgical instrument comprising a control circuit configured to adjust the operation of a motor |
US10751138B2 (en) | 2007-01-10 | 2020-08-25 | Ethicon Llc | Surgical instrument for use with a robotic system |
US11812961B2 (en) | 2007-01-10 | 2023-11-14 | Cilag Gmbh International | Surgical instrument including a motor control system |
US11771426B2 (en) | 2007-01-10 | 2023-10-03 | Cilag Gmbh International | Surgical instrument with wireless communication |
US11918211B2 (en) | 2007-01-10 | 2024-03-05 | Cilag Gmbh International | Surgical stapling instrument for use with a robotic system |
US11006951B2 (en) | 2007-01-10 | 2021-05-18 | Ethicon Llc | Surgical instrument with wireless communication between control unit and sensor transponders |
US11937814B2 (en) | 2007-01-10 | 2024-03-26 | Cilag Gmbh International | Surgical instrument for use with a robotic system |
US11000277B2 (en) | 2007-01-10 | 2021-05-11 | Ethicon Llc | Surgical instrument with wireless communication between control unit and remote sensor |
US11931032B2 (en) | 2007-01-10 | 2024-03-19 | Cilag Gmbh International | Surgical instrument with wireless communication between a control unit of a robotic system and remote sensor |
US10441369B2 (en) | 2007-01-10 | 2019-10-15 | Ethicon Llc | Articulatable surgical instrument configured for detachable use with a robotic system |
US10433918B2 (en) | 2007-01-10 | 2019-10-08 | Ethicon Llc | Surgical instrument system configured to evaluate the load applied to a firing member at the initiation of a firing stroke |
US10912575B2 (en) | 2007-01-11 | 2021-02-09 | Ethicon Llc | Surgical stapling device having supports for a flexible drive mechanism |
US11039836B2 (en) | 2007-01-11 | 2021-06-22 | Cilag Gmbh International | Staple cartridge for use with a surgical stapling instrument |
US11839352B2 (en) | 2007-01-11 | 2023-12-12 | Cilag Gmbh International | Surgical stapling device with an end effector |
US11337693B2 (en) | 2007-03-15 | 2022-05-24 | Cilag Gmbh International | Surgical stapling instrument having a releasable buttress material |
US10702267B2 (en) | 2007-03-15 | 2020-07-07 | Ethicon Llc | Surgical stapling instrument having a releasable buttress material |
US10398433B2 (en) | 2007-03-28 | 2019-09-03 | Ethicon Llc | Laparoscopic clamp load measuring devices |
US10368863B2 (en) | 2007-06-04 | 2019-08-06 | Ethicon Llc | Robotically-controlled shaft based rotary drive systems for surgical instruments |
US11154298B2 (en) | 2007-06-04 | 2021-10-26 | Cilag Gmbh International | Stapling system for use with a robotic surgical system |
US10441280B2 (en) | 2007-06-04 | 2019-10-15 | Ethicon Llc | Robotically-controlled shaft based rotary drive systems for surgical instruments |
US11857181B2 (en) | 2007-06-04 | 2024-01-02 | Cilag Gmbh International | Robotically-controlled shaft based rotary drive systems for surgical instruments |
US11559302B2 (en) | 2007-06-04 | 2023-01-24 | Cilag Gmbh International | Surgical instrument including a firing member movable at different speeds |
US11648006B2 (en) | 2007-06-04 | 2023-05-16 | Cilag Gmbh International | Robotically-controlled shaft based rotary drive systems for surgical instruments |
US10363033B2 (en) | 2007-06-04 | 2019-07-30 | Ethicon Llc | Robotically-controlled surgical instruments |
US10327765B2 (en) | 2007-06-04 | 2019-06-25 | Ethicon Llc | Drive systems for surgical instruments |
US10299787B2 (en) | 2007-06-04 | 2019-05-28 | Ethicon Llc | Stapling system comprising rotary inputs |
US11564682B2 (en) | 2007-06-04 | 2023-01-31 | Cilag Gmbh International | Surgical stapler device |
US11134938B2 (en) | 2007-06-04 | 2021-10-05 | Cilag Gmbh International | Robotically-controlled shaft based rotary drive systems for surgical instruments |
US11147549B2 (en) | 2007-06-04 | 2021-10-19 | Cilag Gmbh International | Stapling instrument including a firing system and a closure system |
US11672531B2 (en) | 2007-06-04 | 2023-06-13 | Cilag Gmbh International | Rotary drive systems for surgical instruments |
US11911028B2 (en) | 2007-06-04 | 2024-02-27 | Cilag Gmbh International | Surgical instruments for use with a robotic surgical system |
US11013511B2 (en) | 2007-06-22 | 2021-05-25 | Ethicon Llc | Surgical stapling instrument with an articulatable end effector |
US11925346B2 (en) | 2007-06-29 | 2024-03-12 | Cilag Gmbh International | Surgical staple cartridge including tissue supporting surfaces |
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 |
US10874396B2 (en) | 2008-02-14 | 2020-12-29 | Ethicon Llc | Stapling instrument for use with a surgical robot |
US10682141B2 (en) | 2008-02-14 | 2020-06-16 | Ethicon Llc | Surgical device including a control system |
US10743851B2 (en) | 2008-02-14 | 2020-08-18 | Ethicon Llc | Interchangeable tools for surgical instruments |
US10888330B2 (en) | 2008-02-14 | 2021-01-12 | Ethicon Llc | Surgical system |
US10238387B2 (en) | 2008-02-14 | 2019-03-26 | Ethicon Llc | Surgical instrument comprising a control system |
US10898195B2 (en) | 2008-02-14 | 2021-01-26 | Ethicon Llc | Detachable motor powered surgical instrument |
US10265067B2 (en) | 2008-02-14 | 2019-04-23 | Ethicon Llc | Surgical instrument including a regulator and a control system |
US10722232B2 (en) | 2008-02-14 | 2020-07-28 | Ethicon Llc | Surgical instrument for use with different cartridges |
US10898194B2 (en) | 2008-02-14 | 2021-01-26 | Ethicon Llc | Detachable motor powered surgical instrument |
US11571212B2 (en) | 2008-02-14 | 2023-02-07 | Cilag Gmbh International | Surgical stapling system including an impedance sensor |
US10716568B2 (en) | 2008-02-14 | 2020-07-21 | Ethicon Llc | Surgical stapling apparatus with control features operable with one hand |
US10905426B2 (en) | 2008-02-14 | 2021-02-02 | Ethicon Llc | Detachable motor powered surgical instrument |
US10905427B2 (en) | 2008-02-14 | 2021-02-02 | Ethicon Llc | Surgical System |
US10888329B2 (en) | 2008-02-14 | 2021-01-12 | Ethicon Llc | Detachable motor powered surgical instrument |
US10925605B2 (en) | 2008-02-14 | 2021-02-23 | Ethicon Llc | Surgical stapling system |
US10463370B2 (en) | 2008-02-14 | 2019-11-05 | Ethicon Llc | Motorized surgical instrument |
US10206676B2 (en) | 2008-02-14 | 2019-02-19 | Ethicon Llc | Surgical cutting and fastening instrument |
US10682142B2 (en) | 2008-02-14 | 2020-06-16 | Ethicon Llc | Surgical stapling apparatus including an articulation system |
US10542974B2 (en) | 2008-02-14 | 2020-01-28 | Ethicon Llc | Surgical instrument including a control system |
US10743870B2 (en) | 2008-02-14 | 2020-08-18 | Ethicon Llc | Surgical stapling apparatus with interlockable firing system |
US10470763B2 (en) | 2008-02-14 | 2019-11-12 | Ethicon Llc | Surgical cutting and fastening instrument including a sensing system |
US11717285B2 (en) | 2008-02-14 | 2023-08-08 | Cilag Gmbh International | Surgical cutting and fastening instrument having RF electrodes |
US11484307B2 (en) | 2008-02-14 | 2022-11-01 | Cilag Gmbh International | Loading unit coupleable to a surgical stapling system |
US10238385B2 (en) | 2008-02-14 | 2019-03-26 | Ethicon Llc | Surgical instrument system for evaluating tissue impedance |
US11638583B2 (en) | 2008-02-14 | 2023-05-02 | Cilag Gmbh International | Motorized surgical system having a plurality of power sources |
US10806450B2 (en) | 2008-02-14 | 2020-10-20 | Ethicon Llc | Surgical cutting and fastening instrument having a control system |
US10307163B2 (en) | 2008-02-14 | 2019-06-04 | Ethicon Llc | Detachable motor powered surgical instrument |
US10660640B2 (en) | 2008-02-14 | 2020-05-26 | Ethicon Llc | Motorized surgical cutting and fastening instrument |
US10765432B2 (en) | 2008-02-14 | 2020-09-08 | Ethicon Llc | Surgical device including a control system |
US10639036B2 (en) | 2008-02-14 | 2020-05-05 | Ethicon Llc | Robotically-controlled motorized surgical cutting and fastening instrument |
US11464514B2 (en) | 2008-02-14 | 2022-10-11 | Cilag Gmbh International | Motorized surgical stapling system including a sensing array |
US11446034B2 (en) | 2008-02-14 | 2022-09-20 | Cilag Gmbh International | Surgical stapling assembly comprising first and second actuation systems configured to perform different functions |
US10779822B2 (en) | 2008-02-14 | 2020-09-22 | Ethicon Llc | System including a surgical cutting and fastening instrument |
US11612395B2 (en) | 2008-02-14 | 2023-03-28 | Cilag Gmbh International | Surgical system including a control system having an RFID tag reader |
US11801047B2 (en) | 2008-02-14 | 2023-10-31 | Cilag Gmbh International | Surgical stapling system comprising a control circuit configured to selectively monitor tissue impedance and adjust control of a motor |
US11272927B2 (en) | 2008-02-15 | 2022-03-15 | Cilag Gmbh International | Layer arrangements for surgical staple cartridges |
US11154297B2 (en) | 2008-02-15 | 2021-10-26 | Cilag Gmbh International | Layer arrangements for surgical staple cartridges |
US11058418B2 (en) | 2008-02-15 | 2021-07-13 | Cilag Gmbh International | Surgical end effector having buttress retention features |
US10856866B2 (en) | 2008-02-15 | 2020-12-08 | Ethicon Llc | Surgical end effector having buttress retention features |
US10390823B2 (en) | 2008-02-15 | 2019-08-27 | Ethicon Llc | End effector comprising an adjunct |
US11871923B2 (en) | 2008-09-23 | 2024-01-16 | Cilag Gmbh International | Motorized surgical instrument |
US10980535B2 (en) | 2008-09-23 | 2021-04-20 | Ethicon Llc | Motorized surgical instrument with an end effector |
US11103241B2 (en) | 2008-09-23 | 2021-08-31 | Cilag Gmbh International | Motor-driven surgical cutting instrument |
US11045189B2 (en) | 2008-09-23 | 2021-06-29 | Cilag Gmbh International | Robotically-controlled motorized surgical instrument with an end effector |
US10420549B2 (en) | 2008-09-23 | 2019-09-24 | Ethicon Llc | Motorized surgical instrument |
US11812954B2 (en) | 2008-09-23 | 2023-11-14 | Cilag Gmbh International | Robotically-controlled motorized surgical instrument with an end effector |
US10736628B2 (en) | 2008-09-23 | 2020-08-11 | Ethicon Llc | Motor-driven surgical cutting instrument |
US10898184B2 (en) | 2008-09-23 | 2021-01-26 | Ethicon Llc | 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 |
US11617575B2 (en) | 2008-09-23 | 2023-04-04 | Cilag Gmbh International | Motor-driven surgical cutting instrument |
US11684361B2 (en) | 2008-09-23 | 2023-06-27 | Cilag Gmbh International | Motor-driven surgical cutting instrument |
US10456133B2 (en) | 2008-09-23 | 2019-10-29 | Ethicon Llc | Motorized surgical instrument |
US10485537B2 (en) | 2008-09-23 | 2019-11-26 | Ethicon Llc | Motorized surgical instrument |
US11406380B2 (en) | 2008-09-23 | 2022-08-09 | Cilag Gmbh International | Motorized surgical instrument |
US11617576B2 (en) | 2008-09-23 | 2023-04-04 | Cilag Gmbh International | Motor-driven surgical cutting instrument |
US11517304B2 (en) | 2008-09-23 | 2022-12-06 | Cilag Gmbh International | Motor-driven surgical cutting instrument |
US10765425B2 (en) | 2008-09-23 | 2020-09-08 | Ethicon Llc | Robotically-controlled motorized surgical instrument with an end effector |
US10149683B2 (en) | 2008-10-10 | 2018-12-11 | Ethicon Llc | Powered surgical cutting and stapling apparatus with manually retractable firing system |
US10932778B2 (en) | 2008-10-10 | 2021-03-02 | Ethicon Llc | Powered surgical cutting and stapling apparatus with manually retractable firing system |
US11730477B2 (en) | 2008-10-10 | 2023-08-22 | Cilag Gmbh International | Powered surgical system with manually retractable firing system |
US11583279B2 (en) | 2008-10-10 | 2023-02-21 | Cilag Gmbh International | Powered surgical cutting and stapling apparatus with manually retractable firing system |
US11793521B2 (en) | 2008-10-10 | 2023-10-24 | Cilag Gmbh International | Powered surgical cutting and stapling apparatus with manually retractable firing system |
US11129615B2 (en) | 2009-02-05 | 2021-09-28 | Cilag Gmbh International | Surgical stapling system |
US10758233B2 (en) | 2009-02-05 | 2020-09-01 | Ethicon Llc | Articulatable surgical instrument comprising a firing drive |
US10420550B2 (en) | 2009-02-06 | 2019-09-24 | Ethicon Llc | Motor driven surgical fastener device with switching system configured to prevent firing initiation until activated |
US10751076B2 (en) | 2009-12-24 | 2020-08-25 | Ethicon Llc | Motor-driven surgical cutting instrument with electric actuator directional control assembly |
US11291449B2 (en) | 2009-12-24 | 2022-04-05 | Cilag Gmbh International | Surgical cutting instrument that analyzes tissue thickness |
US11478247B2 (en) | 2010-07-30 | 2022-10-25 | Cilag Gmbh International | Tissue acquisition arrangements and methods for surgical stapling devices |
US10588623B2 (en) | 2010-09-30 | 2020-03-17 | Ethicon Llc | Adhesive film laminate |
US11684360B2 (en) | 2010-09-30 | 2023-06-27 | Cilag Gmbh International | Staple cartridge comprising a variable thickness compressible portion |
US10888328B2 (en) | 2010-09-30 | 2021-01-12 | Ethicon Llc | Surgical end effector |
US11540824B2 (en) | 2010-09-30 | 2023-01-03 | Cilag Gmbh International | Tissue thickness compensator |
US10265074B2 (en) | 2010-09-30 | 2019-04-23 | Ethicon Llc | Implantable layers for surgical stapling devices |
US11406377B2 (en) | 2010-09-30 | 2022-08-09 | Cilag Gmbh International | Adhesive film laminate |
US11812965B2 (en) | 2010-09-30 | 2023-11-14 | Cilag Gmbh International | Layer of material for a surgical end effector |
US10398436B2 (en) | 2010-09-30 | 2019-09-03 | Ethicon Llc | Staple cartridge comprising staples positioned within a compressible portion thereof |
US10064624B2 (en) | 2010-09-30 | 2018-09-04 | Ethicon Llc | End effector with implantable layer |
US11944292B2 (en) | 2010-09-30 | 2024-04-02 | Cilag Gmbh International | Anvil layer attached to a proximal end of an end effector |
US10265072B2 (en) | 2010-09-30 | 2019-04-23 | Ethicon Llc | Surgical stapling system comprising an end effector including an implantable layer |
US11849952B2 (en) | 2010-09-30 | 2023-12-26 | Cilag Gmbh International | Staple cartridge comprising staples positioned within a compressible portion thereof |
US10258332B2 (en) | 2010-09-30 | 2019-04-16 | Ethicon Llc | Stapling system comprising an adjunct and a flowable adhesive |
US10182819B2 (en) | 2010-09-30 | 2019-01-22 | Ethicon Llc | Implantable layer assemblies |
US10194910B2 (en) | 2010-09-30 | 2019-02-05 | Ethicon Llc | Stapling assemblies comprising a layer |
US10485536B2 (en) | 2010-09-30 | 2019-11-26 | Ethicon Llc | Tissue stapler having an anti-microbial agent |
US10624861B2 (en) | 2010-09-30 | 2020-04-21 | Ethicon Llc | Tissue thickness compensator configured to redistribute compressive forces |
US10743877B2 (en) | 2010-09-30 | 2020-08-18 | Ethicon Llc | Surgical stapler with floating anvil |
US10987102B2 (en) | 2010-09-30 | 2021-04-27 | Ethicon Llc | Tissue thickness compensator comprising a plurality of layers |
US11602340B2 (en) | 2010-09-30 | 2023-03-14 | Cilag Gmbh International | Adhesive film laminate |
US10835251B2 (en) | 2010-09-30 | 2020-11-17 | Ethicon Llc | Surgical instrument assembly including an end effector configurable in different positions |
US10363031B2 (en) | 2010-09-30 | 2019-07-30 | Ethicon Llc | Tissue thickness compensators for surgical staplers |
US10258330B2 (en) | 2010-09-30 | 2019-04-16 | Ethicon Llc | End effector including an implantable arrangement |
US10335150B2 (en) | 2010-09-30 | 2019-07-02 | Ethicon Llc | Staple cartridge comprising an implantable layer |
US11672536B2 (en) | 2010-09-30 | 2023-06-13 | Cilag Gmbh International | Layer of material for a surgical end effector |
US10898193B2 (en) | 2010-09-30 | 2021-01-26 | Ethicon Llc | End effector for use with a surgical instrument |
US11298125B2 (en) | 2010-09-30 | 2022-04-12 | Cilag Gmbh International | Tissue stapler having a thickness compensator |
US10149682B2 (en) | 2010-09-30 | 2018-12-11 | Ethicon Llc | Stapling system including an actuation system |
US11571215B2 (en) | 2010-09-30 | 2023-02-07 | Cilag Gmbh International | Layer of material for a surgical end effector |
US11737754B2 (en) | 2010-09-30 | 2023-08-29 | Cilag Gmbh International | Surgical stapler with floating anvil |
US11925354B2 (en) | 2010-09-30 | 2024-03-12 | Cilag Gmbh International | Staple cartridge comprising staples positioned within a compressible portion thereof |
US11395651B2 (en) | 2010-09-30 | 2022-07-26 | Cilag Gmbh International | Adhesive film laminate |
US11154296B2 (en) | 2010-09-30 | 2021-10-26 | Cilag Gmbh International | Anvil layer attached to a proximal end of an end effector |
US11883025B2 (en) | 2010-09-30 | 2024-01-30 | Cilag Gmbh International | Tissue thickness compensator comprising a plurality of layers |
US11957795B2 (en) | 2010-09-30 | 2024-04-16 | Cilag Gmbh International | Tissue thickness compensator configured to redistribute compressive forces |
US11559496B2 (en) | 2010-09-30 | 2023-01-24 | Cilag Gmbh International | Tissue thickness compensator configured to redistribute compressive forces |
US10335148B2 (en) | 2010-09-30 | 2019-07-02 | Ethicon Llc | Staple cartridge including a tissue thickness compensator for a surgical stapler |
US10548600B2 (en) | 2010-09-30 | 2020-02-04 | Ethicon Llc | Multiple thickness implantable layers for surgical stapling devices |
US10463372B2 (en) | 2010-09-30 | 2019-11-05 | Ethicon Llc | Staple cartridge comprising multiple regions |
US10945731B2 (en) | 2010-09-30 | 2021-03-16 | Ethicon Llc | Tissue thickness compensator comprising controlled release and expansion |
US10869669B2 (en) | 2010-09-30 | 2020-12-22 | Ethicon Llc | Surgical instrument assembly |
US11911027B2 (en) | 2010-09-30 | 2024-02-27 | Cilag Gmbh International | Adhesive film laminate |
US11583277B2 (en) | 2010-09-30 | 2023-02-21 | Cilag Gmbh International | Layer of material for a surgical end effector |
US11850310B2 (en) | 2010-09-30 | 2023-12-26 | Cilag Gmbh International | Staple cartridge including an adjunct |
US11083452B2 (en) | 2010-09-30 | 2021-08-10 | Cilag Gmbh International | Staple cartridge including a tissue thickness compensator |
US11857187B2 (en) | 2010-09-30 | 2024-01-02 | Cilag Gmbh International | Tissue thickness compensator comprising controlled release and expansion |
US10695062B2 (en) | 2010-10-01 | 2020-06-30 | Ethicon Llc | Surgical instrument including a retractable firing member |
US11529142B2 (en) | 2010-10-01 | 2022-12-20 | Cilag Gmbh International | Surgical instrument having a power control circuit |
US11504116B2 (en) | 2011-04-29 | 2022-11-22 | Cilag Gmbh International | Layer of material for a surgical end effector |
US10117652B2 (en) | 2011-04-29 | 2018-11-06 | Ethicon Llc | End effector comprising a tissue thickness compensator and progressively released attachment members |
US10441134B2 (en) | 2011-05-03 | 2019-10-15 | Coopersurgical, Inc. | Method and apparatus for hysteroscopy and endometrial biopsy |
US10335151B2 (en) | 2011-05-27 | 2019-07-02 | Ethicon Llc | Robotically-driven surgical instrument |
US10071452B2 (en) | 2011-05-27 | 2018-09-11 | Ethicon Llc | Automated end effector component reloading system for use with a robotic system |
US10426478B2 (en) | 2011-05-27 | 2019-10-01 | Ethicon Llc | Surgical stapling systems |
US11918208B2 (en) | 2011-05-27 | 2024-03-05 | Cilag Gmbh International | Robotically-controlled shaft based rotary drive systems for surgical instruments |
US10780539B2 (en) | 2011-05-27 | 2020-09-22 | Ethicon Llc | Stapling instrument for use with a robotic system |
US10980534B2 (en) | 2011-05-27 | 2021-04-20 | Ethicon Llc | Robotically-controlled motorized surgical instrument with an end effector |
US10130366B2 (en) | 2011-05-27 | 2018-11-20 | Ethicon Llc | Automated reloading devices for replacing used end effectors on robotic surgical systems |
US11583278B2 (en) | 2011-05-27 | 2023-02-21 | Cilag Gmbh International | Surgical stapling system having multi-direction articulation |
US10485546B2 (en) | 2011-05-27 | 2019-11-26 | Ethicon Llc | Robotically-driven surgical assembly |
US10420561B2 (en) | 2011-05-27 | 2019-09-24 | Ethicon Llc | Robotically-driven surgical instrument |
US11207064B2 (en) | 2011-05-27 | 2021-12-28 | Cilag Gmbh International | Automated end effector component reloading system for use with a robotic system |
US11129616B2 (en) | 2011-05-27 | 2021-09-28 | Cilag Gmbh International | Surgical stapling system |
US10231794B2 (en) | 2011-05-27 | 2019-03-19 | Ethicon Llc | Surgical stapling instruments with rotatable staple deployment arrangements |
US10383633B2 (en) | 2011-05-27 | 2019-08-20 | Ethicon Llc | Robotically-driven surgical assembly |
US11612394B2 (en) | 2011-05-27 | 2023-03-28 | Cilag Gmbh International | Automated end effector component reloading system for use with a robotic system |
US11266410B2 (en) | 2011-05-27 | 2022-03-08 | Cilag Gmbh International | Surgical device for use with a robotic system |
US11439470B2 (en) | 2011-05-27 | 2022-09-13 | Cilag Gmbh International | Robotically-controlled surgical instrument with selectively articulatable end effector |
US10736634B2 (en) | 2011-05-27 | 2020-08-11 | Ethicon Llc | Robotically-driven surgical instrument including a drive system |
US10524790B2 (en) | 2011-05-27 | 2020-01-07 | Ethicon Llc | Robotically-controlled surgical stapling devices that produce formed staples having different lengths |
US10617420B2 (en) | 2011-05-27 | 2020-04-14 | Ethicon Llc | Surgical system comprising drive systems |
US10813641B2 (en) | 2011-05-27 | 2020-10-27 | Ethicon Llc | Robotically-driven surgical instrument |
US11291351B2 (en) * | 2011-08-19 | 2022-04-05 | Harold I. Daily | Hysteroscopes with curved tips |
US11291357B2 (en) * | 2011-12-13 | 2022-04-05 | Endochoice, Inc. | Removable tip endoscope |
US10695063B2 (en) | 2012-02-13 | 2020-06-30 | Ethicon Llc | Surgical cutting and fastening instrument with apparatus for determining cartridge and firing motion status |
US11793509B2 (en) | 2012-03-28 | 2023-10-24 | Cilag Gmbh International | Staple cartridge including an implantable layer |
US11918220B2 (en) | 2012-03-28 | 2024-03-05 | Cilag Gmbh International | Tissue thickness compensator comprising tissue ingrowth features |
US11406378B2 (en) | 2012-03-28 | 2022-08-09 | Cilag Gmbh International | Staple cartridge comprising a compressible tissue thickness compensator |
US10667808B2 (en) | 2012-03-28 | 2020-06-02 | Ethicon Llc | Staple cartridge comprising an absorbable adjunct |
US10441285B2 (en) | 2012-03-28 | 2019-10-15 | Ethicon Llc | Tissue thickness compensator comprising tissue ingrowth features |
US10959725B2 (en) | 2012-06-15 | 2021-03-30 | Ethicon Llc | Articulatable surgical instrument comprising a firing drive |
US11707273B2 (en) | 2012-06-15 | 2023-07-25 | Cilag Gmbh International | Articulatable surgical instrument comprising a firing drive |
US10064621B2 (en) | 2012-06-15 | 2018-09-04 | Ethicon Llc | Articulatable surgical instrument comprising a firing drive |
US10362926B2 (en) | 2012-06-25 | 2019-07-30 | Coopersurgical, Inc. | Low-cost instrument for endoscopically guided operative procedures |
US10874391B2 (en) | 2012-06-28 | 2020-12-29 | Ethicon Llc | Surgical instrument system including replaceable end effectors |
US10639115B2 (en) | 2012-06-28 | 2020-05-05 | Ethicon Llc | Surgical end effectors having angled tissue-contacting surfaces |
US11510671B2 (en) | 2012-06-28 | 2022-11-29 | Cilag Gmbh International | Firing system lockout arrangements for surgical instruments |
US11197671B2 (en) | 2012-06-28 | 2021-12-14 | Cilag Gmbh International | Stapling assembly comprising a lockout |
US10687812B2 (en) | 2012-06-28 | 2020-06-23 | Ethicon Llc | Surgical instrument system including replaceable end effectors |
US10932775B2 (en) | 2012-06-28 | 2021-03-02 | Ethicon Llc | Firing system lockout arrangements for surgical instruments |
US10383630B2 (en) | 2012-06-28 | 2019-08-20 | Ethicon Llc | Surgical stapling device with rotary driven firing member |
US11622766B2 (en) | 2012-06-28 | 2023-04-11 | Cilag Gmbh International | Empty clip cartridge lockout |
US10258333B2 (en) | 2012-06-28 | 2019-04-16 | Ethicon Llc | Surgical fastening apparatus with a rotary end effector drive shaft for selective engagement with a motorized drive system |
US11154299B2 (en) | 2012-06-28 | 2021-10-26 | Cilag Gmbh International | Stapling assembly comprising a firing lockout |
US11918213B2 (en) | 2012-06-28 | 2024-03-05 | Cilag Gmbh International | Surgical stapler including couplers for attaching a shaft to an end effector |
US11202631B2 (en) | 2012-06-28 | 2021-12-21 | Cilag Gmbh International | Stapling assembly comprising a firing lockout |
US11141156B2 (en) | 2012-06-28 | 2021-10-12 | Cilag Gmbh International | Surgical stapling assembly comprising flexible output shaft |
US11534162B2 (en) | 2012-06-28 | 2022-12-27 | Cilag GmbH Inlernational | Robotically powered surgical device with manually-actuatable reversing system |
US11464513B2 (en) | 2012-06-28 | 2022-10-11 | Cilag Gmbh International | Surgical instrument system including replaceable end effectors |
US11278284B2 (en) | 2012-06-28 | 2022-03-22 | Cilag Gmbh International | Rotary drive arrangements for surgical instruments |
US11779420B2 (en) | 2012-06-28 | 2023-10-10 | Cilag Gmbh International | Robotic surgical attachments having manually-actuated retraction assemblies |
US10485541B2 (en) | 2012-06-28 | 2019-11-26 | Ethicon Llc | Robotically powered surgical device with manually-actuatable reversing system |
US11141155B2 (en) | 2012-06-28 | 2021-10-12 | Cilag Gmbh International | Drive system for surgical tool |
US11007004B2 (en) | 2012-06-28 | 2021-05-18 | Ethicon Llc | Powered multi-axial articulable electrosurgical device with external dissection features |
US10420555B2 (en) | 2012-06-28 | 2019-09-24 | Ethicon Llc | Hand held rotary powered surgical instruments with end effectors that are articulatable about multiple axes |
US10413294B2 (en) | 2012-06-28 | 2019-09-17 | Ethicon Llc | Shaft assembly arrangements for surgical instruments |
US11540829B2 (en) | 2012-06-28 | 2023-01-03 | Cilag Gmbh International | Surgical instrument system including replaceable end effectors |
US11602346B2 (en) | 2012-06-28 | 2023-03-14 | Cilag Gmbh International | Robotically powered surgical device with manually-actuatable reversing system |
US11857189B2 (en) | 2012-06-28 | 2024-01-02 | Cilag Gmbh International | Surgical instrument including first and second articulation joints |
US11806013B2 (en) | 2012-06-28 | 2023-11-07 | Cilag Gmbh International | Firing system arrangements for surgical instruments |
US11039837B2 (en) | 2012-06-28 | 2021-06-22 | Cilag Gmbh International | Firing system lockout arrangements for surgical instruments |
US11058423B2 (en) | 2012-06-28 | 2021-07-13 | Cilag Gmbh International | Stapling system including first and second closure systems for use with a surgical robot |
US11241230B2 (en) | 2012-06-28 | 2022-02-08 | Cilag Gmbh International | Clip applier tool for use with a robotic surgical system |
US11083457B2 (en) | 2012-06-28 | 2021-08-10 | Cilag Gmbh International | Surgical instrument system including replaceable end effectors |
US11109860B2 (en) | 2012-06-28 | 2021-09-07 | Cilag Gmbh International | Surgical end effectors for use with hand-held and robotically-controlled rotary powered surgical systems |
US11373755B2 (en) | 2012-08-23 | 2022-06-28 | Cilag Gmbh International | Surgical device drive system including a ratchet mechanism |
US11957345B2 (en) | 2013-03-01 | 2024-04-16 | Cilag Gmbh International | Articulatable surgical instruments with conductive pathways for signal communication |
US10285695B2 (en) | 2013-03-01 | 2019-05-14 | Ethicon Llc | Articulatable surgical instruments with conductive pathways |
US10226249B2 (en) | 2013-03-01 | 2019-03-12 | Ethicon Llc | Articulatable surgical instruments with conductive pathways for signal communication |
US11246618B2 (en) | 2013-03-01 | 2022-02-15 | Cilag Gmbh International | Surgical instrument soft stop |
US10575868B2 (en) | 2013-03-01 | 2020-03-03 | Ethicon Llc | Surgical instrument with coupler assembly |
US11529138B2 (en) | 2013-03-01 | 2022-12-20 | Cilag Gmbh International | Powered surgical instrument including a rotary drive screw |
US10893867B2 (en) | 2013-03-14 | 2021-01-19 | Ethicon Llc | Drive train control arrangements for modular surgical instruments |
US10238391B2 (en) | 2013-03-14 | 2019-03-26 | Ethicon Llc | Drive train control arrangements for modular surgical instruments |
US10617416B2 (en) | 2013-03-14 | 2020-04-14 | Ethicon Llc | Control systems for surgical instruments |
US11266406B2 (en) | 2013-03-14 | 2022-03-08 | Cilag Gmbh International | Control systems for surgical instruments |
US10470762B2 (en) | 2013-03-14 | 2019-11-12 | Ethicon Llc | Multi-function motor for a surgical instrument |
US10405857B2 (en) | 2013-04-16 | 2019-09-10 | Ethicon Llc | Powered linear surgical stapler |
US10149680B2 (en) | 2013-04-16 | 2018-12-11 | Ethicon Llc | Surgical instrument comprising a gap setting system |
US11406381B2 (en) | 2013-04-16 | 2022-08-09 | Cilag Gmbh International | Powered surgical stapler |
US11395652B2 (en) | 2013-04-16 | 2022-07-26 | Cilag Gmbh International | Powered surgical stapler |
US11622763B2 (en) | 2013-04-16 | 2023-04-11 | Cilag Gmbh International | Stapling assembly comprising a shiftable drive |
US11633183B2 (en) | 2013-04-16 | 2023-04-25 | Cilag International GmbH | Stapling assembly comprising a retraction drive |
US11564679B2 (en) | 2013-04-16 | 2023-01-31 | Cilag Gmbh International | Powered surgical stapler |
US11638581B2 (en) | 2013-04-16 | 2023-05-02 | Cilag Gmbh International | Powered surgical stapler |
US10702266B2 (en) | 2013-04-16 | 2020-07-07 | Ethicon Llc | Surgical instrument system |
US10888318B2 (en) | 2013-04-16 | 2021-01-12 | Ethicon Llc | Powered surgical stapler |
US11690615B2 (en) | 2013-04-16 | 2023-07-04 | Cilag Gmbh International | Surgical system including an electric motor and a surgical instrument |
US11026680B2 (en) | 2013-08-23 | 2021-06-08 | Cilag Gmbh International | Surgical instrument configured to operate in different states |
US11376001B2 (en) | 2013-08-23 | 2022-07-05 | Cilag Gmbh International | Surgical stapling device with rotary multi-turn retraction mechanism |
US11504119B2 (en) | 2013-08-23 | 2022-11-22 | Cilag Gmbh International | Surgical instrument including an electronic firing lockout |
US11109858B2 (en) | 2013-08-23 | 2021-09-07 | Cilag Gmbh International | Surgical instrument including a display which displays the position of a firing element |
US11133106B2 (en) | 2013-08-23 | 2021-09-28 | Cilag Gmbh International | Surgical instrument assembly comprising a retraction assembly |
US11000274B2 (en) | 2013-08-23 | 2021-05-11 | Ethicon Llc | Powered surgical instrument |
US11389160B2 (en) | 2013-08-23 | 2022-07-19 | Cilag Gmbh International | Surgical system comprising a display |
US10624634B2 (en) | 2013-08-23 | 2020-04-21 | Ethicon Llc | Firing trigger lockout arrangements for surgical instruments |
US11134940B2 (en) | 2013-08-23 | 2021-10-05 | Cilag Gmbh International | Surgical instrument including a variable speed firing member |
US10441281B2 (en) | 2013-08-23 | 2019-10-15 | Ethicon Llc | surgical instrument including securing and aligning features |
US10201349B2 (en) | 2013-08-23 | 2019-02-12 | Ethicon Llc | End effector detection and firing rate modulation systems for surgical instruments |
US11701110B2 (en) | 2013-08-23 | 2023-07-18 | Cilag Gmbh International | Surgical instrument including a drive assembly movable in a non-motorized mode of operation |
US10828032B2 (en) | 2013-08-23 | 2020-11-10 | Ethicon Llc | End effector detection systems for surgical instruments |
US11918209B2 (en) | 2013-08-23 | 2024-03-05 | Cilag Gmbh International | Torque optimization for surgical instruments |
US10898190B2 (en) | 2013-08-23 | 2021-01-26 | Ethicon Llc | Secondary battery arrangements for powered surgical instruments |
US10869665B2 (en) | 2013-08-23 | 2020-12-22 | Ethicon Llc | Surgical instrument system including a control system |
US11020115B2 (en) | 2014-02-12 | 2021-06-01 | Cilag Gmbh International | Deliverable surgical instrument |
US10426481B2 (en) | 2014-02-24 | 2019-10-01 | Ethicon Llc | Implantable layer assemblies |
US11497488B2 (en) | 2014-03-26 | 2022-11-15 | Cilag Gmbh International | Systems and methods for controlling a segmented circuit |
US10898185B2 (en) | 2014-03-26 | 2021-01-26 | Ethicon Llc | Surgical instrument power management through sleep and wake up control |
US11259799B2 (en) | 2014-03-26 | 2022-03-01 | Cilag Gmbh International | Interface systems for use with surgical instruments |
US10863981B2 (en) | 2014-03-26 | 2020-12-15 | Ethicon Llc | Interface systems for use with surgical instruments |
US10588626B2 (en) | 2014-03-26 | 2020-03-17 | Ethicon Llc | Surgical instrument displaying subsequent step of use |
US10201364B2 (en) | 2014-03-26 | 2019-02-12 | Ethicon Llc | Surgical instrument comprising a rotatable shaft |
US10136889B2 (en) | 2014-03-26 | 2018-11-27 | Ethicon Llc | Systems and methods for controlling a segmented circuit |
US10117653B2 (en) | 2014-03-26 | 2018-11-06 | Ethicon Llc | Systems and methods for controlling a segmented circuit |
US10470768B2 (en) | 2014-04-16 | 2019-11-12 | Ethicon Llc | Fastener cartridge including a layer attached thereto |
US11883026B2 (en) | 2014-04-16 | 2024-01-30 | Cilag Gmbh International | Fastener cartridge assemblies and staple retainer cover arrangements |
US11517315B2 (en) | 2014-04-16 | 2022-12-06 | Cilag Gmbh International | Fastener cartridges including extensions having different configurations |
US11185330B2 (en) | 2014-04-16 | 2021-11-30 | Cilag Gmbh International | Fastener cartridge assemblies and staple retainer cover arrangements |
US11918222B2 (en) | 2014-04-16 | 2024-03-05 | Cilag Gmbh International | Stapling assembly having firing member viewing windows |
US11266409B2 (en) | 2014-04-16 | 2022-03-08 | Cilag Gmbh International | Fastener cartridge comprising a sled including longitudinally-staggered ramps |
US11944307B2 (en) | 2014-04-16 | 2024-04-02 | Cilag Gmbh International | Surgical stapling system including jaw windows |
US11298134B2 (en) | 2014-04-16 | 2022-04-12 | Cilag Gmbh International | Fastener cartridge comprising non-uniform fasteners |
US10299792B2 (en) | 2014-04-16 | 2019-05-28 | Ethicon Llc | Fastener cartridge comprising non-uniform fasteners |
US11963678B2 (en) | 2014-04-16 | 2024-04-23 | Cilag Gmbh International | Fastener cartridges including extensions having different configurations |
US11925353B2 (en) | 2014-04-16 | 2024-03-12 | Cilag Gmbh International | Surgical stapling instrument comprising internal passage between stapling cartridge and elongate channel |
US11382625B2 (en) | 2014-04-16 | 2022-07-12 | Cilag Gmbh International | Fastener cartridge comprising non-uniform fasteners |
US10542988B2 (en) | 2014-04-16 | 2020-01-28 | Ethicon Llc | End effector comprising an anvil including projections extending therefrom |
US11382627B2 (en) | 2014-04-16 | 2022-07-12 | Cilag Gmbh International | Surgical stapling assembly comprising a firing member including a lateral extension |
US10561422B2 (en) | 2014-04-16 | 2020-02-18 | Ethicon Llc | Fastener cartridge comprising deployable tissue engaging members |
US10327776B2 (en) | 2014-04-16 | 2019-06-25 | Ethicon Llc | Surgical stapling buttresses and adjunct materials |
US11596406B2 (en) | 2014-04-16 | 2023-03-07 | Cilag Gmbh International | Fastener cartridges including extensions having different configurations |
US11717294B2 (en) | 2014-04-16 | 2023-08-08 | Cilag Gmbh International | End effector arrangements comprising indicators |
US11419672B2 (en) * | 2014-08-27 | 2022-08-23 | Olympus Winter & Ibe Gmbh | Electrosurgical system and method for operating the same |
US11717297B2 (en) | 2014-09-05 | 2023-08-08 | Cilag Gmbh International | Smart cartridge wake up operation and data retention |
US11389162B2 (en) | 2014-09-05 | 2022-07-19 | Cilag Gmbh International | Smart cartridge wake up operation and data retention |
US10905423B2 (en) | 2014-09-05 | 2021-02-02 | Ethicon Llc | Smart cartridge wake up operation and data retention |
US11071545B2 (en) | 2014-09-05 | 2021-07-27 | Cilag Gmbh International | Smart cartridge wake up operation and data retention |
US11311294B2 (en) | 2014-09-05 | 2022-04-26 | Cilag Gmbh International | Powered medical device including measurement of closure state of jaws |
US10135242B2 (en) | 2014-09-05 | 2018-11-20 | Ethicon Llc | Smart cartridge wake up operation and data retention |
US10111679B2 (en) | 2014-09-05 | 2018-10-30 | Ethicon Llc | Circuitry and sensors for powered medical device |
US11076854B2 (en) | 2014-09-05 | 2021-08-03 | Cilag Gmbh International | Smart cartridge wake up operation and data retention |
US11406386B2 (en) | 2014-09-05 | 2022-08-09 | Cilag Gmbh International | End effector including magnetic and impedance sensors |
US11653918B2 (en) | 2014-09-05 | 2023-05-23 | Cilag Gmbh International | Local display of tissue parameter stabilization |
US11284898B2 (en) | 2014-09-18 | 2022-03-29 | Cilag Gmbh International | Surgical instrument including a deployable knife |
US10426476B2 (en) | 2014-09-26 | 2019-10-01 | Ethicon Llc | Circular fastener cartridges for applying radially expandable fastener lines |
US11523821B2 (en) | 2014-09-26 | 2022-12-13 | Cilag Gmbh International | Method for creating a flexible staple line |
US10426477B2 (en) | 2014-09-26 | 2019-10-01 | Ethicon Llc | Staple cartridge assembly including a ramp |
US10751053B2 (en) | 2014-09-26 | 2020-08-25 | Ethicon Llc | Fastener cartridges for applying expandable fastener lines |
US11202633B2 (en) | 2014-09-26 | 2021-12-21 | Cilag Gmbh International | Surgical stapling buttresses and adjunct materials |
US10327764B2 (en) | 2014-09-26 | 2019-06-25 | Ethicon Llc | Method for creating a flexible staple line |
US10206677B2 (en) | 2014-09-26 | 2019-02-19 | Ethicon Llc | Surgical staple and driver arrangements for staple cartridges |
US10076325B2 (en) | 2014-10-13 | 2018-09-18 | Ethicon Llc | Surgical stapling apparatus comprising a tissue stop |
US10736630B2 (en) | 2014-10-13 | 2020-08-11 | Ethicon Llc | Staple cartridge |
US11931031B2 (en) | 2014-10-16 | 2024-03-19 | Cilag Gmbh International | Staple cartridge comprising a deck including an upper surface and a lower surface |
US11185325B2 (en) | 2014-10-16 | 2021-11-30 | Cilag Gmbh International | End effector including different tissue gaps |
US11918210B2 (en) | 2014-10-16 | 2024-03-05 | Cilag Gmbh International | Staple cartridge comprising a cartridge body including a plurality of wells |
US11701114B2 (en) | 2014-10-16 | 2023-07-18 | Cilag Gmbh International | Staple cartridge |
US10905418B2 (en) | 2014-10-16 | 2021-02-02 | Ethicon Llc | Staple cartridge comprising a tissue thickness compensator |
US11931038B2 (en) | 2014-10-29 | 2024-03-19 | Cilag Gmbh International | Cartridge assemblies for surgical staplers |
US11457918B2 (en) | 2014-10-29 | 2022-10-04 | Cilag Gmbh International | Cartridge assemblies for surgical staplers |
US11141153B2 (en) | 2014-10-29 | 2021-10-12 | Cilag Gmbh International | Staple cartridges comprising driver arrangements |
US11241229B2 (en) | 2014-10-29 | 2022-02-08 | Cilag Gmbh International | Staple cartridges comprising driver arrangements |
US11864760B2 (en) | 2014-10-29 | 2024-01-09 | Cilag Gmbh International | Staple cartridges comprising driver arrangements |
US10517594B2 (en) | 2014-10-29 | 2019-12-31 | Ethicon Llc | Cartridge assemblies for surgical staplers |
US10617417B2 (en) | 2014-11-06 | 2020-04-14 | Ethicon Llc | Staple cartridge comprising a releasable adjunct material |
US11337698B2 (en) | 2014-11-06 | 2022-05-24 | Cilag Gmbh International | Staple cartridge comprising a releasable adjunct material |
US10368722B2 (en) | 2014-12-05 | 2019-08-06 | Karl Storz Se & Co. Kg | Endoscopic instrument and endoscopic instrument system |
EP3028623A1 (en) * | 2014-12-05 | 2016-06-08 | Karl Storz GmbH & Co. KG | Endoscopic instrument and endoscopic instrument system |
US11154181B2 (en) | 2014-12-05 | 2021-10-26 | Karl Storz Se & Co. Kg | Endoscopic instrument and endoscopic instrument system |
US11382628B2 (en) | 2014-12-10 | 2022-07-12 | Cilag Gmbh International | Articulatable surgical instrument system |
US10736636B2 (en) | 2014-12-10 | 2020-08-11 | Ethicon Llc | Articulatable surgical instrument system |
US11399831B2 (en) | 2014-12-18 | 2022-08-02 | Cilag Gmbh International | Drive arrangements for articulatable surgical instruments |
US11678877B2 (en) | 2014-12-18 | 2023-06-20 | Cilag Gmbh International | Surgical instrument including a flexible support configured to support a flexible firing member |
US11547404B2 (en) | 2014-12-18 | 2023-01-10 | Cilag Gmbh International | Surgical instrument assembly comprising a flexible articulation system |
US10806448B2 (en) | 2014-12-18 | 2020-10-20 | Ethicon Llc | Surgical instrument assembly comprising a flexible articulation system |
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 |
US10085748B2 (en) | 2014-12-18 | 2018-10-02 | Ethicon Llc | Locking arrangements for detachable shaft assemblies with articulatable surgical end effectors |
US11812958B2 (en) | 2014-12-18 | 2023-11-14 | Cilag Gmbh International | Locking arrangements for detachable shaft assemblies with articulatable surgical end effectors |
US11571207B2 (en) | 2014-12-18 | 2023-02-07 | Cilag Gmbh International | Surgical system including lateral supports for a flexible drive member |
US10945728B2 (en) | 2014-12-18 | 2021-03-16 | Ethicon Llc | Locking arrangements for detachable shaft assemblies with articulatable surgical end effectors |
US10117649B2 (en) | 2014-12-18 | 2018-11-06 | Ethicon Llc | Surgical instrument assembly comprising a lockable articulation system |
US11553911B2 (en) | 2014-12-18 | 2023-01-17 | Cilag Gmbh International | Surgical instrument assembly comprising a flexible articulation system |
US11547403B2 (en) | 2014-12-18 | 2023-01-10 | Cilag Gmbh International | Surgical instrument having a laminate firing actuator and lateral buckling supports |
US11517311B2 (en) | 2014-12-18 | 2022-12-06 | Cilag Gmbh International | Surgical instrument systems comprising an articulatable end effector and means for adjusting the firing stroke of a firing member |
US10188385B2 (en) | 2014-12-18 | 2019-01-29 | Ethicon Llc | Surgical instrument system comprising lockable systems |
US10743873B2 (en) | 2014-12-18 | 2020-08-18 | Ethicon Llc | Drive arrangements for articulatable surgical instruments |
US10695058B2 (en) | 2014-12-18 | 2020-06-30 | Ethicon Llc | Surgical instrument systems comprising an articulatable end effector and means for adjusting the firing stroke of a firing member |
US11083453B2 (en) | 2014-12-18 | 2021-08-10 | Cilag Gmbh International | Surgical stapling system including a flexible firing actuator and lateral buckling supports |
US10226250B2 (en) | 2015-02-27 | 2019-03-12 | Ethicon Llc | Modular stapling assembly |
US11744588B2 (en) | 2015-02-27 | 2023-09-05 | Cilag Gmbh International | Surgical stapling instrument including a removably attachable battery pack |
US11154301B2 (en) | 2015-02-27 | 2021-10-26 | Cilag Gmbh International | Modular stapling assembly |
US10245028B2 (en) | 2015-02-27 | 2019-04-02 | Ethicon Llc | Power adapter for a surgical instrument |
WO2016137812A3 (en) * | 2015-02-27 | 2016-11-03 | Ethicon Endo-Surgery, Llc | Surgical instrument system comprising an inspection station |
US11324506B2 (en) | 2015-02-27 | 2022-05-10 | Cilag Gmbh International | Modular stapling assembly |
US10321907B2 (en) | 2015-02-27 | 2019-06-18 | Ethicon Llc | System for monitoring whether a surgical instrument needs to be serviced |
US10182816B2 (en) | 2015-02-27 | 2019-01-22 | Ethicon Llc | Charging system that enables emergency resolutions for charging a battery |
US10159483B2 (en) | 2015-02-27 | 2018-12-25 | Ethicon Llc | Surgical apparatus configured to track an end-of-life parameter |
US10045779B2 (en) | 2015-02-27 | 2018-08-14 | Ethicon Llc | Surgical instrument system comprising an inspection station |
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 |
EP3061407A3 (en) * | 2015-02-27 | 2016-11-09 | Ethicon Endo-Surgery, LLC | Surgical instrument system comprising an inspection station |
US10245033B2 (en) | 2015-03-06 | 2019-04-02 | Ethicon Llc | Surgical instrument comprising a lockable battery housing |
US10548504B2 (en) | 2015-03-06 | 2020-02-04 | Ethicon Llc | Overlaid multi sensor radio frequency (RF) electrode system to measure tissue compression |
US11826132B2 (en) | 2015-03-06 | 2023-11-28 | Cilag Gmbh International | Time dependent evaluation of sensor data to determine stability, creep, and viscoelastic elements of measures |
US11109859B2 (en) | 2015-03-06 | 2021-09-07 | Cilag Gmbh International | Surgical instrument comprising a lockable battery housing |
US10524787B2 (en) | 2015-03-06 | 2020-01-07 | Ethicon Llc | Powered surgical instrument with parameter-based firing rate |
US10531887B2 (en) | 2015-03-06 | 2020-01-14 | Ethicon Llc | Powered surgical instrument including speed display |
US10729432B2 (en) | 2015-03-06 | 2020-08-04 | Ethicon Llc | Methods for operating a powered surgical instrument |
US11426160B2 (en) | 2015-03-06 | 2022-08-30 | Cilag Gmbh International | Smart sensors with local signal processing |
US10617412B2 (en) | 2015-03-06 | 2020-04-14 | Ethicon Llc | System for detecting the mis-insertion of a staple cartridge into a surgical stapler |
US10206605B2 (en) | 2015-03-06 | 2019-02-19 | Ethicon Llc | Time dependent evaluation of sensor data to determine stability, creep, and viscoelastic elements of measures |
US11350843B2 (en) | 2015-03-06 | 2022-06-07 | Cilag Gmbh International | Time dependent evaluation of sensor data to determine stability, creep, and viscoelastic elements of measures |
US10687806B2 (en) | 2015-03-06 | 2020-06-23 | Ethicon Llc | Adaptive tissue compression techniques to adjust closure rates for multiple tissue types |
US10966627B2 (en) | 2015-03-06 | 2021-04-06 | Ethicon Llc | Time dependent evaluation of sensor data to determine stability, creep, and viscoelastic elements of measures |
US11224423B2 (en) | 2015-03-06 | 2022-01-18 | Cilag Gmbh International | Smart sensors with local signal processing |
US11944338B2 (en) | 2015-03-06 | 2024-04-02 | Cilag Gmbh International | Multiple level thresholds to modify operation of powered surgical instruments |
US10052044B2 (en) | 2015-03-06 | 2018-08-21 | Ethicon Llc | Time dependent evaluation of sensor data to determine stability, creep, and viscoelastic elements of measures |
US10772625B2 (en) | 2015-03-06 | 2020-09-15 | Ethicon Llc | Signal and power communication system positioned on a rotatable shaft |
US20190029497A1 (en) * | 2015-03-18 | 2019-01-31 | A.M. Surgical, Inc. | Wireless viewing device and method of use thereof |
US11918212B2 (en) | 2015-03-31 | 2024-03-05 | Cilag Gmbh International | Surgical instrument with selectively disengageable drive systems |
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 |
US10433844B2 (en) | 2015-03-31 | 2019-10-08 | Ethicon Llc | Surgical instrument with selectively disengageable threaded drive systems |
US10390825B2 (en) | 2015-03-31 | 2019-08-27 | Ethicon Llc | Surgical instrument with progressive rotary drive systems |
US10052102B2 (en) | 2015-06-18 | 2018-08-21 | Ethicon Llc | Surgical end effectors with dual cam actuated jaw closing features |
WO2017029156A3 (en) * | 2015-08-14 | 2017-04-13 | Invendo Medical Gmbh | Handle for an endoscope |
WO2017029157A3 (en) * | 2015-08-14 | 2017-04-13 | Invendo Medical Gmbh | Handle for an endoscope |
US11058425B2 (en) | 2015-08-17 | 2021-07-13 | Ethicon Llc | Implantable layers for a surgical instrument |
US10835249B2 (en) | 2015-08-17 | 2020-11-17 | Ethicon Llc | Implantable layers for a surgical instrument |
US10617418B2 (en) | 2015-08-17 | 2020-04-14 | Ethicon Llc | Implantable layers for a surgical instrument |
US10390829B2 (en) | 2015-08-26 | 2019-08-27 | Ethicon Llc | Staples comprising a cover |
US10433845B2 (en) | 2015-08-26 | 2019-10-08 | Ethicon Llc | Surgical staple strips for permitting varying staple properties and enabling easy cartridge loading |
US10098642B2 (en) | 2015-08-26 | 2018-10-16 | Ethicon Llc | Surgical staples comprising features for improved fastening of tissue |
US11490889B2 (en) | 2015-09-23 | 2022-11-08 | Cilag Gmbh International | Surgical stapler having motor control based on an electrical parameter related to a motor current |
US11344299B2 (en) | 2015-09-23 | 2022-05-31 | Cilag Gmbh International | Surgical stapler having downstream current-based motor control |
US10363036B2 (en) | 2015-09-23 | 2019-07-30 | Ethicon Llc | Surgical stapler having force-based motor control |
US11849946B2 (en) | 2015-09-23 | 2023-12-26 | Cilag Gmbh International | Surgical stapler having downstream current-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 |
US10863986B2 (en) | 2015-09-23 | 2020-12-15 | Ethicon Llc | Surgical stapler having downstream current-based motor control |
US11026678B2 (en) | 2015-09-23 | 2021-06-08 | Cilag Gmbh International | Surgical stapler having motor control based on an electrical parameter related to a motor current |
US10076326B2 (en) | 2015-09-23 | 2018-09-18 | Ethicon Llc | Surgical stapler having current mirror-based motor control |
US10105139B2 (en) | 2015-09-23 | 2018-10-23 | Ethicon Llc | Surgical stapler having downstream current-based motor control |
US10327769B2 (en) | 2015-09-23 | 2019-06-25 | Ethicon Llc | Surgical stapler having motor control based on a drive system component |
US10085751B2 (en) | 2015-09-23 | 2018-10-02 | Ethicon Llc | Surgical stapler having temperature-based motor control |
US11076929B2 (en) | 2015-09-25 | 2021-08-03 | Cilag Gmbh International | Implantable adjunct systems for determining adjunct skew |
US10299878B2 (en) | 2015-09-25 | 2019-05-28 | Ethicon Llc | Implantable adjunct systems for determining adjunct skew |
US10433846B2 (en) | 2015-09-30 | 2019-10-08 | Ethicon Llc | Compressible adjunct with crossing spacer fibers |
US11553916B2 (en) | 2015-09-30 | 2023-01-17 | Cilag Gmbh International | Compressible adjunct with crossing spacer fibers |
US10327777B2 (en) | 2015-09-30 | 2019-06-25 | Ethicon Llc | Implantable layer comprising plastically deformed fibers |
US10285699B2 (en) | 2015-09-30 | 2019-05-14 | Ethicon Llc | Compressible adjunct |
US10271849B2 (en) | 2015-09-30 | 2019-04-30 | Ethicon Llc | Woven constructs with interlocked standing fibers |
US11793522B2 (en) | 2015-09-30 | 2023-10-24 | Cilag Gmbh International | Staple cartridge assembly including a compressible adjunct |
US10932779B2 (en) | 2015-09-30 | 2021-03-02 | Ethicon Llc | Compressible adjunct with crossing spacer fibers |
US11903586B2 (en) | 2015-09-30 | 2024-02-20 | Cilag Gmbh International | Compressible adjunct with crossing spacer fibers |
US10736633B2 (en) | 2015-09-30 | 2020-08-11 | Ethicon Llc | Compressible adjunct with looping members |
US11944308B2 (en) | 2015-09-30 | 2024-04-02 | Cilag Gmbh International | Compressible adjunct with crossing spacer fibers |
US10524788B2 (en) | 2015-09-30 | 2020-01-07 | Ethicon Llc | Compressible adjunct with attachment regions |
US11690623B2 (en) | 2015-09-30 | 2023-07-04 | Cilag Gmbh International | Method for applying an implantable layer to a fastener cartridge |
US10980539B2 (en) | 2015-09-30 | 2021-04-20 | Ethicon Llc | Implantable adjunct comprising bonded layers |
US11890015B2 (en) | 2015-09-30 | 2024-02-06 | Cilag Gmbh International | Compressible adjunct with crossing spacer fibers |
US10307160B2 (en) | 2015-09-30 | 2019-06-04 | Ethicon Llc | Compressible adjunct assemblies with attachment layers |
US10478188B2 (en) | 2015-09-30 | 2019-11-19 | Ethicon Llc | Implantable layer comprising a constricted configuration |
US10172620B2 (en) | 2015-09-30 | 2019-01-08 | Ethicon Llc | Compressible adjuncts with bonding nodes |
US10603039B2 (en) | 2015-09-30 | 2020-03-31 | Ethicon Llc | Progressively releasable implantable adjunct for use with a surgical stapling instrument |
US10561420B2 (en) | 2015-09-30 | 2020-02-18 | Ethicon Llc | Tubular absorbable constructs |
US11712244B2 (en) | 2015-09-30 | 2023-08-01 | Cilag Gmbh International | Implantable layer with spacer fibers |
CN105411655A (en) * | 2015-12-17 | 2016-03-23 | 王婧 | Hemostasis sac for gynecology department |
US11083454B2 (en) | 2015-12-30 | 2021-08-10 | Cilag Gmbh International | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US10265068B2 (en) | 2015-12-30 | 2019-04-23 | Ethicon Llc | Surgical instruments with separable motors and motor control circuits |
US11484309B2 (en) | 2015-12-30 | 2022-11-01 | Cilag Gmbh International | Surgical stapling system comprising a controller configured to cause a motor to reset a firing sequence |
US11759208B2 (en) | 2015-12-30 | 2023-09-19 | Cilag Gmbh International | Mechanisms for compensating for battery pack failure in powered surgical instruments |
US11129613B2 (en) | 2015-12-30 | 2021-09-28 | Cilag Gmbh International | Surgical instruments with separable motors and motor control circuits |
US10368865B2 (en) | 2015-12-30 | 2019-08-06 | Ethicon Llc | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US11058422B2 (en) | 2015-12-30 | 2021-07-13 | Cilag Gmbh International | Mechanisms for compensating for battery pack failure in powered surgical instruments |
US10292704B2 (en) | 2015-12-30 | 2019-05-21 | Ethicon Llc | Mechanisms for compensating for battery pack failure in powered surgical instruments |
US10653413B2 (en) | 2016-02-09 | 2020-05-19 | Ethicon Llc | Surgical instruments with an end effector that is highly articulatable relative to an elongate shaft assembly |
US10470764B2 (en) | 2016-02-09 | 2019-11-12 | Ethicon Llc | Surgical instruments with closure stroke reduction arrangements |
US10245029B2 (en) | 2016-02-09 | 2019-04-02 | Ethicon Llc | Surgical instrument with articulating and axially translatable end effector |
US10245030B2 (en) | 2016-02-09 | 2019-04-02 | Ethicon Llc | Surgical instruments with tensioning arrangements for cable driven articulation systems |
US10413291B2 (en) | 2016-02-09 | 2019-09-17 | Ethicon Llc | Surgical instrument articulation mechanism with slotted secondary constraint |
US10588625B2 (en) | 2016-02-09 | 2020-03-17 | Ethicon Llc | Articulatable surgical instruments with off-axis firing beam arrangements |
US11213293B2 (en) | 2016-02-09 | 2022-01-04 | Cilag Gmbh International | Articulatable surgical instruments with single articulation link arrangements |
US11523823B2 (en) | 2016-02-09 | 2022-12-13 | Cilag Gmbh International | Surgical instruments with non-symmetrical articulation arrangements |
US11730471B2 (en) | 2016-02-09 | 2023-08-22 | Cilag Gmbh International | Articulatable surgical instruments with single articulation link arrangements |
US10433837B2 (en) | 2016-02-09 | 2019-10-08 | Ethicon Llc | Surgical instruments with multiple link articulation arrangements |
US11224426B2 (en) | 2016-02-12 | 2022-01-18 | Cilag Gmbh International | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US11344303B2 (en) | 2016-02-12 | 2022-05-31 | Cilag Gmbh International | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US10258331B2 (en) | 2016-02-12 | 2019-04-16 | Ethicon Llc | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US10448948B2 (en) | 2016-02-12 | 2019-10-22 | Ethicon Llc | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US11826045B2 (en) | 2016-02-12 | 2023-11-28 | Cilag Gmbh International | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US11779336B2 (en) | 2016-02-12 | 2023-10-10 | Cilag Gmbh International | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
RU173784U1 (en) * | 2016-03-17 | 2017-09-11 | Наталья Анатольевна Романова | VIDEO CAMERA RESEARCH |
US10702305B2 (en) | 2016-03-23 | 2020-07-07 | Coopersurgical, Inc. | Operative cannulas and related methods |
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 |
US10376263B2 (en) | 2016-04-01 | 2019-08-13 | Ethicon Llc | Anvil modification members for surgical staplers |
US11179150B2 (en) | 2016-04-15 | 2021-11-23 | Cilag Gmbh International | Systems and methods for controlling a surgical stapling and cutting instrument |
US11311292B2 (en) | 2016-04-15 | 2022-04-26 | Cilag Gmbh International | Surgical instrument with detection sensors |
US10828028B2 (en) | 2016-04-15 | 2020-11-10 | Ethicon Llc | Surgical instrument with multiple program responses during a firing motion |
US11284891B2 (en) | 2016-04-15 | 2022-03-29 | Cilag Gmbh International | Surgical instrument with multiple program responses during a firing motion |
US11607239B2 (en) | 2016-04-15 | 2023-03-21 | Cilag Gmbh International | Systems and methods for controlling a surgical stapling and cutting instrument |
US10357247B2 (en) | 2016-04-15 | 2019-07-23 | Ethicon Llc | Surgical instrument with multiple program responses during a firing motion |
US11350932B2 (en) | 2016-04-15 | 2022-06-07 | Cilag Gmbh International | Surgical instrument with improved stop/start control during a firing motion |
US11026684B2 (en) | 2016-04-15 | 2021-06-08 | Ethicon Llc | Surgical instrument with multiple program responses during a firing motion |
US11771454B2 (en) | 2016-04-15 | 2023-10-03 | Cilag Gmbh International | Stapling assembly including a controller for monitoring a clamping laod |
US10405859B2 (en) | 2016-04-15 | 2019-09-10 | Ethicon Llc | Surgical instrument with adjustable stop/start control during a firing motion |
US11931028B2 (en) | 2016-04-15 | 2024-03-19 | Cilag Gmbh International | Surgical instrument with multiple program responses during a firing motion |
US11191545B2 (en) | 2016-04-15 | 2021-12-07 | Cilag Gmbh International | Staple formation detection mechanisms |
US10456137B2 (en) | 2016-04-15 | 2019-10-29 | Ethicon Llc | Staple formation detection mechanisms |
US10426467B2 (en) | 2016-04-15 | 2019-10-01 | Ethicon Llc | Surgical instrument with detection sensors |
US10335145B2 (en) | 2016-04-15 | 2019-07-02 | Ethicon Llc | Modular surgical instrument with configurable operating mode |
US10492783B2 (en) | 2016-04-15 | 2019-12-03 | Ethicon, Llc | Surgical instrument with improved stop/start control during a firing motion |
US11051810B2 (en) | 2016-04-15 | 2021-07-06 | Cilag Gmbh International | Modular surgical instrument with configurable operating mode |
US11317910B2 (en) | 2016-04-15 | 2022-05-03 | Cilag Gmbh International | Surgical instrument with detection sensors |
US11642125B2 (en) | 2016-04-15 | 2023-05-09 | Cilag Gmbh International | Robotic surgical system including a user interface and a control circuit |
US11517306B2 (en) | 2016-04-15 | 2022-12-06 | Cilag Gmbh International | Surgical instrument with detection sensors |
US11147554B2 (en) | 2016-04-18 | 2021-10-19 | Cilag Gmbh International | Surgical instrument system comprising a magnetic lockout |
US10433840B2 (en) | 2016-04-18 | 2019-10-08 | Ethicon Llc | Surgical instrument comprising a replaceable cartridge jaw |
US11317917B2 (en) | 2016-04-18 | 2022-05-03 | Cilag Gmbh International | Surgical stapling system comprising a lockable firing assembly |
US10368867B2 (en) | 2016-04-18 | 2019-08-06 | Ethicon Llc | Surgical instrument comprising a lockout |
US10478181B2 (en) | 2016-04-18 | 2019-11-19 | Ethicon Llc | Cartridge lockout arrangements for rotary powered surgical cutting and stapling instruments |
US10426469B2 (en) | 2016-04-18 | 2019-10-01 | Ethicon Llc | Surgical instrument comprising a primary firing lockout and a secondary firing lockout |
US11811253B2 (en) | 2016-04-18 | 2023-11-07 | Cilag Gmbh International | Surgical robotic system with fault state detection configurations based on motor current draw |
US11559303B2 (en) | 2016-04-18 | 2023-01-24 | Cilag Gmbh International | Cartridge lockout arrangements for rotary powered surgical cutting and stapling instruments |
US10363037B2 (en) | 2016-04-18 | 2019-07-30 | Ethicon Llc | Surgical instrument system comprising a magnetic lockout |
US11350928B2 (en) | 2016-04-18 | 2022-06-07 | Cilag Gmbh International | Surgical instrument comprising a tissue thickness lockout and speed control system |
US10568626B2 (en) | 2016-12-21 | 2020-02-25 | Ethicon Llc | Surgical instruments with jaw opening features for increasing a jaw opening distance |
US11766260B2 (en) | 2016-12-21 | 2023-09-26 | Cilag Gmbh International | Methods of stapling tissue |
US11350935B2 (en) | 2016-12-21 | 2022-06-07 | Cilag Gmbh International | Surgical tool assemblies with closure stroke reduction features |
US11096689B2 (en) | 2016-12-21 | 2021-08-24 | Cilag Gmbh International | Shaft assembly comprising a lockout |
US11350934B2 (en) | 2016-12-21 | 2022-06-07 | Cilag Gmbh International | Staple forming pocket arrangement to accommodate different types of staples |
US10448950B2 (en) | 2016-12-21 | 2019-10-22 | Ethicon Llc | Surgical staplers with independently actuatable closing and firing systems |
US10835247B2 (en) | 2016-12-21 | 2020-11-17 | Ethicon Llc | Lockout arrangements for surgical end effectors |
US10485543B2 (en) | 2016-12-21 | 2019-11-26 | Ethicon Llc | Anvil having a knife slot width |
US10835245B2 (en) | 2016-12-21 | 2020-11-17 | Ethicon Llc | Method for attaching a shaft assembly to a surgical instrument and, alternatively, to a surgical robot |
US10492785B2 (en) | 2016-12-21 | 2019-12-03 | Ethicon Llc | Shaft assembly comprising a lockout |
US11369376B2 (en) | 2016-12-21 | 2022-06-28 | Cilag Gmbh International | Surgical stapling systems |
US11090048B2 (en) | 2016-12-21 | 2021-08-17 | Cilag Gmbh International | Method for resetting a fuse of a surgical instrument shaft |
US10856868B2 (en) | 2016-12-21 | 2020-12-08 | Ethicon Llc | Firing member pin configurations |
US11564688B2 (en) | 2016-12-21 | 2023-01-31 | Cilag Gmbh International | Robotic surgical tool having a retraction mechanism |
US10499914B2 (en) | 2016-12-21 | 2019-12-10 | Ethicon Llc | Staple forming pocket arrangements |
US10517595B2 (en) | 2016-12-21 | 2019-12-31 | Ethicon Llc | Jaw actuated lock arrangements for preventing advancement of a firing member in a surgical end effector unless an unfired cartridge is installed in the end effector |
US10517596B2 (en) | 2016-12-21 | 2019-12-31 | Ethicon Llc | Articulatable surgical instruments with articulation stroke amplification features |
US10813638B2 (en) | 2016-12-21 | 2020-10-27 | Ethicon Llc | Surgical end effectors with expandable tissue stop arrangements |
US11957344B2 (en) | 2016-12-21 | 2024-04-16 | Cilag Gmbh International | Surgical stapler having rows of obliquely oriented staples |
US10524789B2 (en) | 2016-12-21 | 2020-01-07 | Ethicon Llc | Laterally actuatable articulation lock arrangements for locking an end effector of a surgical instrument in an articulated configuration |
US11849948B2 (en) | 2016-12-21 | 2023-12-26 | Cilag Gmbh International | Method for resetting a fuse of a surgical instrument shaft |
US11224428B2 (en) | 2016-12-21 | 2022-01-18 | Cilag Gmbh International | Surgical stapling systems |
US10537325B2 (en) | 2016-12-21 | 2020-01-21 | Ethicon Llc | Staple forming pocket arrangement to accommodate different types of staples |
US10542982B2 (en) | 2016-12-21 | 2020-01-28 | Ethicon Llc | Shaft assembly comprising first and second articulation lockouts |
US11571210B2 (en) | 2016-12-21 | 2023-02-07 | Cilag Gmbh International | Firing assembly comprising a multiple failed-state fuse |
US10568624B2 (en) | 2016-12-21 | 2020-02-25 | Ethicon Llc | Surgical instruments with jaws that are pivotable about a fixed axis and include separate and distinct closure and firing systems |
US11317913B2 (en) | 2016-12-21 | 2022-05-03 | Cilag Gmbh International | Lockout arrangements for surgical end effectors and replaceable tool assemblies |
US10568625B2 (en) | 2016-12-21 | 2020-02-25 | Ethicon Llc | Staple cartridges and arrangements of staples and staple cavities therein |
US10582928B2 (en) | 2016-12-21 | 2020-03-10 | Ethicon Llc | Articulation lock arrangements for locking an end effector in an articulated position in response to actuation of a jaw closure system |
US10426471B2 (en) | 2016-12-21 | 2019-10-01 | Ethicon Llc | Surgical instrument with multiple failure response modes |
US11160551B2 (en) | 2016-12-21 | 2021-11-02 | Cilag Gmbh International | Articulatable surgical stapling instruments |
US10779823B2 (en) | 2016-12-21 | 2020-09-22 | Ethicon Llc | Firing member pin angle |
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 |
US10588630B2 (en) | 2016-12-21 | 2020-03-17 | Ethicon Llc | Surgical tool assemblies with closure stroke reduction features |
US10588631B2 (en) | 2016-12-21 | 2020-03-17 | Ethicon Llc | Surgical instruments with positive jaw opening features |
US10588632B2 (en) | 2016-12-21 | 2020-03-17 | Ethicon Llc | Surgical end effectors and firing members thereof |
US10881401B2 (en) | 2016-12-21 | 2021-01-05 | Ethicon Llc | Staple firing member comprising a missing cartridge and/or spent cartridge lockout |
US10758230B2 (en) | 2016-12-21 | 2020-09-01 | Ethicon Llc | Surgical instrument with primary and safety processors |
US11160553B2 (en) | 2016-12-21 | 2021-11-02 | Cilag Gmbh International | Surgical stapling systems |
US10758229B2 (en) | 2016-12-21 | 2020-09-01 | Ethicon Llc | Surgical instrument comprising improved jaw control |
US10603036B2 (en) | 2016-12-21 | 2020-03-31 | Ethicon Llc | Articulatable surgical instrument with independent pivotable linkage distal of an articulation lock |
US10610224B2 (en) | 2016-12-21 | 2020-04-07 | Ethicon Llc | Lockout arrangements for surgical end effectors and replaceable tool assemblies |
US10617414B2 (en) | 2016-12-21 | 2020-04-14 | Ethicon Llc | Closure member arrangements for surgical instruments |
US11653917B2 (en) | 2016-12-21 | 2023-05-23 | Cilag Gmbh International | Surgical stapling systems |
US11918215B2 (en) | 2016-12-21 | 2024-03-05 | Cilag Gmbh International | Staple cartridge with array of staple pockets |
US10888322B2 (en) | 2016-12-21 | 2021-01-12 | Ethicon Llc | Surgical instrument comprising a cutting member |
US10624635B2 (en) | 2016-12-21 | 2020-04-21 | Ethicon Llc | Firing members with non-parallel jaw engagement features for surgical end effectors |
US10736629B2 (en) | 2016-12-21 | 2020-08-11 | Ethicon Llc | Surgical tool assemblies with clutching arrangements for shifting between closure systems with closure stroke reduction features and articulation and firing systems |
US10893864B2 (en) | 2016-12-21 | 2021-01-19 | Ethicon | Staple cartridges and arrangements of staples and staple cavities therein |
US10695055B2 (en) | 2016-12-21 | 2020-06-30 | Ethicon Llc | Firing assembly comprising a lockout |
US10639034B2 (en) | 2016-12-21 | 2020-05-05 | Ethicon Llc | Surgical instruments with lockout arrangements for preventing firing system actuation unless an unspent staple cartridge is present |
US10639035B2 (en) | 2016-12-21 | 2020-05-05 | Ethicon Llc | Surgical stapling instruments and replaceable tool assemblies thereof |
US11701115B2 (en) | 2016-12-21 | 2023-07-18 | Cilag Gmbh International | Methods of stapling tissue |
US11179155B2 (en) | 2016-12-21 | 2021-11-23 | Cilag Gmbh International | Anvil arrangements for surgical staplers |
US10898186B2 (en) | 2016-12-21 | 2021-01-26 | Ethicon Llc | Staple forming pocket arrangements comprising primary sidewalls and pocket sidewalls |
US10980536B2 (en) | 2016-12-21 | 2021-04-20 | Ethicon Llc | No-cartridge and spent cartridge lockout arrangements for surgical staplers |
US11134942B2 (en) | 2016-12-21 | 2021-10-05 | Cilag Gmbh International | Surgical stapling instruments and staple-forming anvils |
US10687809B2 (en) | 2016-12-21 | 2020-06-23 | Ethicon Llc | Surgical staple cartridge with movable camming member configured to disengage firing member lockout features |
US10973516B2 (en) | 2016-12-21 | 2021-04-13 | Ethicon Llc | Surgical end effectors and adaptable firing members therefor |
US11191543B2 (en) | 2016-12-21 | 2021-12-07 | Cilag Gmbh International | Assembly comprising a lock |
US11766259B2 (en) | 2016-12-21 | 2023-09-26 | Cilag Gmbh International | Method of deforming staples from two different types of staple cartridges with the same surgical stapling instrument |
US11191539B2 (en) | 2016-12-21 | 2021-12-07 | Cilag Gmbh International | Shaft assembly comprising a manually-operable retraction system for use with a motorized surgical instrument system |
US10959727B2 (en) | 2016-12-21 | 2021-03-30 | Ethicon Llc | Articulatable surgical end effector with asymmetric shaft arrangement |
US11191540B2 (en) | 2016-12-21 | 2021-12-07 | Cilag Gmbh International | Protective cover arrangements for a joint interface between a movable jaw and actuator shaft of a surgical instrument |
US11497499B2 (en) | 2016-12-21 | 2022-11-15 | Cilag Gmbh International | Articulatable surgical stapling instruments |
US10667811B2 (en) | 2016-12-21 | 2020-06-02 | Ethicon Llc | Surgical stapling instruments and staple-forming anvils |
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 |
US11931034B2 (en) | 2016-12-21 | 2024-03-19 | Cilag Gmbh International | Surgical stapling instruments with smart staple cartridges |
US10667809B2 (en) | 2016-12-21 | 2020-06-02 | Ethicon Llc | Staple cartridge and staple cartridge channel comprising windows defined therein |
US10918385B2 (en) | 2016-12-21 | 2021-02-16 | Ethicon Llc | Surgical system comprising a firing member rotatable into an articulation state to articulate an end effector of the surgical system |
US10675025B2 (en) | 2016-12-21 | 2020-06-09 | Ethicon Llc | Shaft assembly comprising separately actuatable and retractable systems |
US10905422B2 (en) | 2016-12-21 | 2021-02-02 | Ethicon Llc | Surgical instrument for use with a robotic surgical system |
US10675026B2 (en) | 2016-12-21 | 2020-06-09 | Ethicon Llc | Methods of stapling tissue |
US10682138B2 (en) | 2016-12-21 | 2020-06-16 | Ethicon Llc | Bilaterally asymmetric staple forming pocket pairs |
CN106725253A (en) * | 2016-12-30 | 2017-05-31 | 广州华友明康光电科技有限公司 | A kind of fujinon electronic video endoscope |
USD879808S1 (en) | 2017-06-20 | 2020-03-31 | Ethicon Llc | Display panel with graphical user interface |
USD890784S1 (en) | 2017-06-20 | 2020-07-21 | Ethicon Llc | Display panel with changeable graphical user interface |
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 |
US11213302B2 (en) | 2017-06-20 | 2022-01-04 | Cilag Gmbh International | Method for closed loop control of motor velocity of a surgical stapling and cutting instrument |
US10881399B2 (en) | 2017-06-20 | 2021-01-05 | Ethicon Llc | Techniques for adaptive control of motor velocity of a surgical stapling and cutting instrument |
US10368864B2 (en) | 2017-06-20 | 2019-08-06 | Ethicon Llc | Systems and methods for controlling displaying motor velocity for a surgical instrument |
US10327767B2 (en) | 2017-06-20 | 2019-06-25 | Ethicon Llc | Control of motor velocity of a surgical stapling and cutting instrument based on angle of articulation |
USD879809S1 (en) | 2017-06-20 | 2020-03-31 | Ethicon Llc | Display panel with changeable graphical user interface |
US11871939B2 (en) | 2017-06-20 | 2024-01-16 | Cilag Gmbh International | Method for closed loop control of motor velocity of a surgical stapling and cutting instrument |
US10307170B2 (en) | 2017-06-20 | 2019-06-04 | Ethicon Llc | Method for closed loop control of motor velocity of a surgical stapling and cutting instrument |
US10888321B2 (en) | 2017-06-20 | 2021-01-12 | Ethicon Llc | Systems and methods for controlling velocity of a displacement member of a surgical stapling and cutting instrument |
US10813639B2 (en) | 2017-06-20 | 2020-10-27 | Ethicon Llc | Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on system conditions |
US11672532B2 (en) | 2017-06-20 | 2023-06-13 | Cilag Gmbh International | Techniques for adaptive control of motor velocity of a surgical stapling and cutting instrument |
US11793513B2 (en) | 2017-06-20 | 2023-10-24 | Cilag Gmbh International | Systems and methods for controlling motor speed according to user input for a surgical instrument |
US11653914B2 (en) | 2017-06-20 | 2023-05-23 | Cilag Gmbh International | Systems and methods for controlling motor velocity of a surgical stapling and cutting instrument according to articulation angle of end effector |
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 |
US10646220B2 (en) | 2017-06-20 | 2020-05-12 | Ethicon Llc | Systems and methods for controlling displacement member velocity for a surgical instrument |
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 |
US10624633B2 (en) | 2017-06-20 | 2020-04-21 | Ethicon Llc | Systems and methods for controlling motor velocity of a surgical stapling and cutting instrument |
US10881396B2 (en) | 2017-06-20 | 2021-01-05 | Ethicon Llc | Surgical instrument with variable duration trigger arrangement |
US10595882B2 (en) | 2017-06-20 | 2020-03-24 | Ethicon Llc | Methods for closed loop control of motor velocity of a surgical stapling and cutting instrument |
US11382638B2 (en) | 2017-06-20 | 2022-07-12 | Cilag Gmbh International | Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on measured time over a specified displacement distance |
US10779820B2 (en) | 2017-06-20 | 2020-09-22 | Ethicon Llc | Systems and methods for controlling motor speed according to user input for a surgical instrument |
US10390841B2 (en) | 2017-06-20 | 2019-08-27 | Ethicon Llc | Control of motor velocity of a surgical stapling and cutting instrument based on angle of articulation |
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 |
US11324503B2 (en) | 2017-06-27 | 2022-05-10 | Cilag Gmbh International | Surgical firing member arrangements |
US10772629B2 (en) | 2017-06-27 | 2020-09-15 | Ethicon Llc | Surgical anvil arrangements |
US10993716B2 (en) | 2017-06-27 | 2021-05-04 | Ethicon Llc | Surgical anvil arrangements |
US11090049B2 (en) | 2017-06-27 | 2021-08-17 | Cilag Gmbh International | Staple forming pocket arrangements |
US10856869B2 (en) | 2017-06-27 | 2020-12-08 | Ethicon Llc | Surgical anvil arrangements |
US10631859B2 (en) | 2017-06-27 | 2020-04-28 | Ethicon Llc | Articulation systems for surgical instruments |
US11266405B2 (en) | 2017-06-27 | 2022-03-08 | Cilag Gmbh International | Surgical anvil manufacturing methods |
US11141154B2 (en) | 2017-06-27 | 2021-10-12 | Cilag Gmbh International | Surgical end effectors and anvils |
US11766258B2 (en) | 2017-06-27 | 2023-09-26 | Cilag Gmbh International | Surgical anvil arrangements |
US10588633B2 (en) | 2017-06-28 | 2020-03-17 | Ethicon Llc | Surgical instruments with open and closable jaws and axially movable firing member that is initially parked in close proximity to the jaws prior to firing |
US11083455B2 (en) | 2017-06-28 | 2021-08-10 | Cilag Gmbh International | Surgical instrument comprising an articulation system ratio |
US11000279B2 (en) | 2017-06-28 | 2021-05-11 | Ethicon Llc | Surgical instrument comprising an articulation system ratio |
US10639037B2 (en) | 2017-06-28 | 2020-05-05 | Ethicon Llc | Surgical instrument with axially movable closure member |
US11020114B2 (en) | 2017-06-28 | 2021-06-01 | Cilag Gmbh International | Surgical instruments with articulatable end effector with axially shortened articulation joint configurations |
US11826048B2 (en) | 2017-06-28 | 2023-11-28 | Cilag Gmbh International | Surgical instrument comprising selectively actuatable rotatable couplers |
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 |
US11484310B2 (en) | 2017-06-28 | 2022-11-01 | Cilag Gmbh International | Surgical instrument comprising a shaft including a closure tube profile |
US11564686B2 (en) | 2017-06-28 | 2023-01-31 | Cilag Gmbh International | Surgical shaft assemblies with flexible interfaces |
US11058424B2 (en) | 2017-06-28 | 2021-07-13 | Cilag Gmbh International | Surgical instrument comprising an offset articulation joint |
US10211586B2 (en) | 2017-06-28 | 2019-02-19 | Ethicon Llc | Surgical shaft assemblies with watertight housings |
US11389161B2 (en) | 2017-06-28 | 2022-07-19 | Cilag Gmbh International | Surgical instrument comprising selectively actuatable rotatable couplers |
USD869655S1 (en) | 2017-06-28 | 2019-12-10 | Ethicon Llc | Surgical fastener cartridge |
US10903685B2 (en) | 2017-06-28 | 2021-01-26 | Ethicon Llc | Surgical shaft assemblies with slip ring assemblies forming capacitive channels |
US11246592B2 (en) | 2017-06-28 | 2022-02-15 | Cilag Gmbh International | Surgical instrument comprising an articulation system lockable to a frame |
USD906355S1 (en) | 2017-06-28 | 2020-12-29 | Ethicon Llc | Display screen or portion thereof with a graphical user interface for a surgical instrument |
US10786253B2 (en) | 2017-06-28 | 2020-09-29 | Ethicon Llc | Surgical end effectors with improved jaw aperture arrangements |
US11696759B2 (en) | 2017-06-28 | 2023-07-11 | Cilag Gmbh International | Surgical stapling instruments comprising shortened staple cartridge noses |
US10779824B2 (en) | 2017-06-28 | 2020-09-22 | Ethicon Llc | Surgical instrument comprising an articulation system lockable by a closure system |
US10695057B2 (en) | 2017-06-28 | 2020-06-30 | Ethicon Llc | Surgical instrument lockout arrangement |
US11529140B2 (en) | 2017-06-28 | 2022-12-20 | Cilag Gmbh International | Surgical instrument lockout arrangement |
US10716614B2 (en) | 2017-06-28 | 2020-07-21 | Ethicon Llc | Surgical shaft assemblies with slip ring assemblies with increased contact pressure |
US11678880B2 (en) | 2017-06-28 | 2023-06-20 | Cilag Gmbh International | Surgical instrument comprising a shaft including a housing arrangement |
USD854151S1 (en) | 2017-06-28 | 2019-07-16 | Ethicon Llc | Surgical instrument shaft |
US10758232B2 (en) | 2017-06-28 | 2020-09-01 | Ethicon Llc | Surgical instrument with positive jaw opening features |
US11642128B2 (en) | 2017-06-28 | 2023-05-09 | Cilag Gmbh International | Method for articulating a surgical instrument |
USD851762S1 (en) | 2017-06-28 | 2019-06-18 | Ethicon Llc | Anvil |
USD1018577S1 (en) | 2017-06-28 | 2024-03-19 | Cilag Gmbh International | 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 |
US10765427B2 (en) | 2017-06-28 | 2020-09-08 | Ethicon Llc | Method for articulating a surgical instrument |
US10932772B2 (en) | 2017-06-29 | 2021-03-02 | Ethicon Llc | Methods for closed loop velocity control for robotic surgical instrument |
US11890005B2 (en) | 2017-06-29 | 2024-02-06 | Cilag Gmbh International | Methods for closed loop velocity control 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 |
US10898183B2 (en) | 2017-06-29 | 2021-01-26 | Ethicon Llc | Robotic surgical instrument with closed loop feedback techniques for advancement of closure member during firing |
US11007022B2 (en) | 2017-06-29 | 2021-05-18 | Ethicon Llc | Closed loop velocity control techniques based on sensed tissue parameters for robotic surgical instrument |
US11304695B2 (en) | 2017-08-03 | 2022-04-19 | Cilag Gmbh International | Surgical system shaft interconnection |
US11944300B2 (en) | 2017-08-03 | 2024-04-02 | Cilag Gmbh International | Method for operating a surgical system bailout |
US11471155B2 (en) | 2017-08-03 | 2022-10-18 | Cilag Gmbh International | Surgical system bailout |
USD917500S1 (en) | 2017-09-29 | 2021-04-27 | Ethicon Llc | Display screen or portion thereof with graphical user interface |
US10796471B2 (en) | 2017-09-29 | 2020-10-06 | Ethicon Llc | Systems and methods of displaying a knife position for a surgical instrument |
US10743872B2 (en) | 2017-09-29 | 2020-08-18 | Ethicon Llc | System and methods for controlling a display of a surgical instrument |
USD907647S1 (en) | 2017-09-29 | 2021-01-12 | Ethicon Llc | Display screen or portion thereof with animated graphical user interface |
US11399829B2 (en) | 2017-09-29 | 2022-08-02 | Cilag Gmbh International | Systems and methods of initiating a power shutdown mode for a surgical instrument |
US10729501B2 (en) | 2017-09-29 | 2020-08-04 | Ethicon Llc | Systems and methods for language selection of a surgical instrument |
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 |
USD907648S1 (en) | 2017-09-29 | 2021-01-12 | Ethicon Llc | Display screen or portion thereof with animated graphical user interface |
US11090075B2 (en) | 2017-10-30 | 2021-08-17 | Cilag Gmbh International | Articulation features for surgical end effector |
US11134944B2 (en) | 2017-10-30 | 2021-10-05 | Cilag Gmbh International | Surgical stapler knife motion controls |
US10842490B2 (en) | 2017-10-31 | 2020-11-24 | Ethicon Llc | Cartridge body design with force reduction based on firing completion |
US10779903B2 (en) | 2017-10-31 | 2020-09-22 | Ethicon Llc | Positive shaft rotation lock activated by jaw closure |
US11963680B2 (en) | 2017-10-31 | 2024-04-23 | Cilag Gmbh International | Cartridge body design with force reduction based on firing completion |
US11478244B2 (en) | 2017-10-31 | 2022-10-25 | Cilag Gmbh International | Cartridge body design with force reduction based on firing completion |
US11033267B2 (en) | 2017-12-15 | 2021-06-15 | Ethicon Llc | Systems and methods of controlling a clamping member firing rate of a surgical instrument |
US10687813B2 (en) | 2017-12-15 | 2020-06-23 | Ethicon Llc | Adapters with firing stroke sensing arrangements for use in connection with electromechanical surgical instruments |
US10743874B2 (en) | 2017-12-15 | 2020-08-18 | Ethicon Llc | Sealed adapters for use with electromechanical surgical instruments |
US10779825B2 (en) | 2017-12-15 | 2020-09-22 | Ethicon Llc | Adapters with end effector position sensing and control arrangements for use in connection with electromechanical surgical instruments |
US10828033B2 (en) | 2017-12-15 | 2020-11-10 | Ethicon Llc | Handheld electromechanical surgical instruments with improved motor control arrangements for positioning components of an adapter coupled thereto |
US10743875B2 (en) | 2017-12-15 | 2020-08-18 | Ethicon Llc | Surgical end effectors with jaw stiffener arrangements configured to permit monitoring of firing member |
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 |
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 |
US11006955B2 (en) | 2017-12-15 | 2021-05-18 | Ethicon Llc | End effectors with positive jaw opening features for use with adapters for electromechanical surgical instruments |
US11071543B2 (en) | 2017-12-15 | 2021-07-27 | Cilag Gmbh International | Surgical end effectors with clamping assemblies configured to increase jaw aperture ranges |
US10779826B2 (en) | 2017-12-15 | 2020-09-22 | Ethicon Llc | Methods of operating surgical end effectors |
US10869666B2 (en) | 2017-12-15 | 2020-12-22 | Ethicon Llc | Adapters with control systems for controlling multiple motors of an electromechanical surgical instrument |
US11896222B2 (en) | 2017-12-15 | 2024-02-13 | Cilag Gmbh International | Methods of operating surgical end effectors |
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 |
US10716565B2 (en) | 2017-12-19 | 2020-07-21 | Ethicon Llc | Surgical instruments with dual articulation drivers |
US11045270B2 (en) | 2017-12-19 | 2021-06-29 | Cilag Gmbh International | Robotic attachment comprising exterior drive actuator |
US10729509B2 (en) | 2017-12-19 | 2020-08-04 | Ethicon Llc | Surgical instrument comprising closure and firing locking mechanism |
US11284953B2 (en) | 2017-12-19 | 2022-03-29 | Cilag Gmbh International | Method for determining the position of a rotatable jaw of a surgical instrument attachment assembly |
USD910847S1 (en) | 2017-12-19 | 2021-02-16 | Ethicon Llc | Surgical instrument assembly |
US11020112B2 (en) | 2017-12-19 | 2021-06-01 | Ethicon Llc | Surgical tools configured for interchangeable use with different controller interfaces |
US11849939B2 (en) | 2017-12-21 | 2023-12-26 | Cilag Gmbh International | Continuous use self-propelled stapling instrument |
US11751867B2 (en) | 2017-12-21 | 2023-09-12 | Cilag Gmbh International | Surgical instrument comprising sequenced systems |
US11576668B2 (en) | 2017-12-21 | 2023-02-14 | Cilag Gmbh International | Staple instrument comprising a firing path display |
US10743868B2 (en) | 2017-12-21 | 2020-08-18 | Ethicon Llc | Surgical instrument comprising a pivotable distal head |
US11129680B2 (en) | 2017-12-21 | 2021-09-28 | Cilag Gmbh International | Surgical instrument comprising a projector |
US11883019B2 (en) | 2017-12-21 | 2024-01-30 | Cilag Gmbh International | Stapling instrument comprising a staple feeding system |
US11179151B2 (en) | 2017-12-21 | 2021-11-23 | Cilag Gmbh International | Surgical instrument comprising a display |
US11364027B2 (en) | 2017-12-21 | 2022-06-21 | Cilag Gmbh International | Surgical instrument comprising speed control |
US10682134B2 (en) | 2017-12-21 | 2020-06-16 | Ethicon Llc | Continuous use self-propelled stapling instrument |
US11179152B2 (en) | 2017-12-21 | 2021-11-23 | Cilag Gmbh International | Surgical instrument comprising a tissue grasping system |
US11369368B2 (en) | 2017-12-21 | 2022-06-28 | Cilag Gmbh International | Surgical instrument comprising synchronized drive systems |
US11311290B2 (en) | 2017-12-21 | 2022-04-26 | Cilag Gmbh International | Surgical instrument comprising an end effector dampener |
US11337691B2 (en) | 2017-12-21 | 2022-05-24 | Cilag Gmbh International | Surgical instrument configured to determine firing path |
US11583274B2 (en) | 2017-12-21 | 2023-02-21 | Cilag Gmbh International | Self-guiding 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 |
US11324526B2 (en) | 2018-02-02 | 2022-05-10 | Calyxo, Inc. | Devices and methods for minimally invasive kidney stone removal by combined aspiration and irrigation |
WO2019152991A1 (en) * | 2018-02-05 | 2019-08-08 | Mayo Foundation For Medical Education And Research | Modular endoscopes |
US11278184B2 (en) | 2018-02-21 | 2022-03-22 | Ambu A/S | Medical sampling device |
US10856870B2 (en) | 2018-08-20 | 2020-12-08 | Ethicon Llc | Switching arrangements for motor powered articulatable surgical instruments |
US10779821B2 (en) | 2018-08-20 | 2020-09-22 | Ethicon Llc | Surgical stapler anvils with tissue stop features configured to avoid tissue pinch |
US11207065B2 (en) | 2018-08-20 | 2021-12-28 | Cilag Gmbh International | Method for fabricating surgical stapler anvils |
US11253256B2 (en) | 2018-08-20 | 2022-02-22 | Cilag Gmbh International | Articulatable motor powered surgical instruments with dedicated articulation motor arrangements |
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 |
US11957339B2 (en) | 2018-08-20 | 2024-04-16 | Cilag Gmbh International | Method for fabricating surgical stapler anvils |
USD914878S1 (en) | 2018-08-20 | 2021-03-30 | Ethicon Llc | Surgical instrument anvil |
US11045192B2 (en) | 2018-08-20 | 2021-06-29 | Cilag Gmbh International | Fabricating techniques for surgical stapler anvils |
US11291440B2 (en) | 2018-08-20 | 2022-04-05 | Cilag Gmbh International | Method for operating a powered articulatable surgical instrument |
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 |
US11039834B2 (en) | 2018-08-20 | 2021-06-22 | Cilag Gmbh International | Surgical stapler anvils with staple directing protrusions and tissue stability features |
US10912559B2 (en) | 2018-08-20 | 2021-02-09 | Ethicon Llc | Reinforced deformable anvil tip for surgical stapler anvil |
US11324501B2 (en) | 2018-08-20 | 2022-05-10 | Cilag Gmbh International | Surgical stapling devices with improved closure members |
US11147551B2 (en) | 2019-03-25 | 2021-10-19 | Cilag Gmbh International | Firing drive arrangements for surgical systems |
US11696761B2 (en) | 2019-03-25 | 2023-07-11 | Cilag Gmbh International | Firing drive arrangements for surgical systems |
US11172929B2 (en) | 2019-03-25 | 2021-11-16 | Cilag Gmbh International | Articulation drive arrangements for surgical systems |
US11147553B2 (en) | 2019-03-25 | 2021-10-19 | Cilag Gmbh International | Firing drive arrangements for surgical systems |
US11471157B2 (en) | 2019-04-30 | 2022-10-18 | Cilag Gmbh International | Articulation control mapping for a surgical instrument |
US11903581B2 (en) | 2019-04-30 | 2024-02-20 | Cilag Gmbh International | Methods for stapling tissue using a surgical instrument |
US11253254B2 (en) | 2019-04-30 | 2022-02-22 | Cilag Gmbh International | Shaft rotation actuator on a surgical instrument |
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 |
US11648009B2 (en) | 2019-04-30 | 2023-05-16 | Cilag Gmbh International | Rotatable jaw tip for a surgical instrument |
US11452528B2 (en) | 2019-04-30 | 2022-09-27 | Cilag Gmbh International | Articulation actuators for a surgical instrument |
US11684434B2 (en) | 2019-06-28 | 2023-06-27 | Cilag Gmbh International | Surgical RFID assemblies for instrument operational setting control |
US11553971B2 (en) | 2019-06-28 | 2023-01-17 | Cilag Gmbh International | Surgical RFID assemblies for display and communication |
US11229437B2 (en) | 2019-06-28 | 2022-01-25 | Cilag Gmbh International | Method for authenticating the compatibility of a staple cartridge with a surgical instrument |
US11298127B2 (en) | 2019-06-28 | 2022-04-12 | Cilag GmbH Interational | Surgical stapling system having a lockout mechanism for an incompatible cartridge |
US11684369B2 (en) | 2019-06-28 | 2023-06-27 | Cilag Gmbh International | Method of using multiple RFID chips with a surgical assembly |
US11298132B2 (en) | 2019-06-28 | 2022-04-12 | Cilag GmbH Inlernational | Staple cartridge including a honeycomb extension |
US11523822B2 (en) | 2019-06-28 | 2022-12-13 | Cilag Gmbh International | Battery pack including a circuit interrupter |
US11464601B2 (en) | 2019-06-28 | 2022-10-11 | Cilag Gmbh International | Surgical instrument comprising an RFID system for tracking a movable component |
US11291451B2 (en) | 2019-06-28 | 2022-04-05 | Cilag Gmbh International | Surgical instrument with battery compatibility verification functionality |
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 |
US11241235B2 (en) | 2019-06-28 | 2022-02-08 | Cilag Gmbh International | Method of using multiple RFID chips with a surgical assembly |
US11224497B2 (en) | 2019-06-28 | 2022-01-18 | Cilag Gmbh International | Surgical systems with multiple RFID tags |
US11350938B2 (en) | 2019-06-28 | 2022-06-07 | Cilag Gmbh International | Surgical instrument comprising an aligned rfid sensor |
US11376098B2 (en) | 2019-06-28 | 2022-07-05 | Cilag Gmbh International | Surgical instrument system comprising an RFID system |
US11553919B2 (en) | 2019-06-28 | 2023-01-17 | Cilag Gmbh International | Method for authenticating the compatibility of a staple cartridge with a surgical instrument |
US11744593B2 (en) | 2019-06-28 | 2023-09-05 | Cilag Gmbh International | Method for authenticating the compatibility of a staple cartridge with a surgical instrument |
US11638587B2 (en) | 2019-06-28 | 2023-05-02 | Cilag Gmbh International | RFID identification systems for surgical instruments |
US11771419B2 (en) | 2019-06-28 | 2023-10-03 | Cilag Gmbh International | Packaging for a replaceable component of a surgical stapling system |
US11219455B2 (en) | 2019-06-28 | 2022-01-11 | Cilag Gmbh International | Surgical instrument including a lockout key |
US11497492B2 (en) | 2019-06-28 | 2022-11-15 | Cilag Gmbh International | Surgical instrument including an articulation lock |
US11246678B2 (en) | 2019-06-28 | 2022-02-15 | Cilag Gmbh International | Surgical stapling system having a frangible RFID tag |
US11399837B2 (en) | 2019-06-28 | 2022-08-02 | Cilag Gmbh International | Mechanisms for motor control adjustments of a motorized surgical instrument |
US11478241B2 (en) | 2019-06-28 | 2022-10-25 | Cilag Gmbh International | Staple cartridge including projections |
US11051807B2 (en) | 2019-06-28 | 2021-07-06 | Cilag Gmbh International | Packaging assembly including a particulate trap |
US11259803B2 (en) | 2019-06-28 | 2022-03-01 | Cilag Gmbh International | Surgical stapling system having an information encryption protocol |
US11627959B2 (en) | 2019-06-28 | 2023-04-18 | Cilag Gmbh International | Surgical instruments including manual and powered system lockouts |
US11931033B2 (en) | 2019-12-19 | 2024-03-19 | Cilag Gmbh International | Staple cartridge comprising a latch lockout |
US11446029B2 (en) | 2019-12-19 | 2022-09-20 | Cilag Gmbh International | Staple cartridge comprising projections extending from a curved deck surface |
US11911032B2 (en) | 2019-12-19 | 2024-02-27 | Cilag Gmbh International | Staple cartridge comprising a seating cam |
US11304696B2 (en) | 2019-12-19 | 2022-04-19 | Cilag Gmbh International | Surgical instrument comprising a powered articulation system |
US11844520B2 (en) | 2019-12-19 | 2023-12-19 | Cilag Gmbh International | Staple cartridge comprising driver retention members |
US11701111B2 (en) | 2019-12-19 | 2023-07-18 | Cilag Gmbh International | Method for operating a surgical stapling instrument |
US11504122B2 (en) | 2019-12-19 | 2022-11-22 | Cilag Gmbh International | Surgical instrument comprising a nested firing member |
US11529137B2 (en) | 2019-12-19 | 2022-12-20 | Cilag Gmbh International | Staple cartridge comprising driver retention members |
US11607219B2 (en) | 2019-12-19 | 2023-03-21 | Cilag Gmbh International | Staple cartridge comprising a detachable tissue cutting knife |
US11559304B2 (en) | 2019-12-19 | 2023-01-24 | Cilag Gmbh International | Surgical instrument comprising a rapid closure mechanism |
US11234698B2 (en) | 2019-12-19 | 2022-02-01 | Cilag Gmbh International | Stapling system comprising a clamp lockout and a firing lockout |
US11464512B2 (en) | 2019-12-19 | 2022-10-11 | Cilag Gmbh International | Staple cartridge comprising a curved deck surface |
US11529139B2 (en) | 2019-12-19 | 2022-12-20 | Cilag Gmbh International | Motor driven surgical instrument |
US11576672B2 (en) | 2019-12-19 | 2023-02-14 | Cilag Gmbh International | Surgical instrument comprising a closure system including a closure member and an opening member driven by a drive screw |
US11291447B2 (en) | 2019-12-19 | 2022-04-05 | Cilag Gmbh International | Stapling instrument comprising independent jaw closing and staple firing systems |
US11426055B2 (en) | 2020-02-21 | 2022-08-30 | Ambu A/S | Medical visualisation system including a monitor and a graphical user interface therefore |
US11910998B2 (en) | 2020-02-21 | 2024-02-27 | Ambu A/S | Medical visualisation system including a monitor and a graphical user interface therefore |
USD974560S1 (en) | 2020-06-02 | 2023-01-03 | Cilag Gmbh International | Staple cartridge |
USD975851S1 (en) | 2020-06-02 | 2023-01-17 | Cilag Gmbh International | Staple cartridge |
USD975850S1 (en) | 2020-06-02 | 2023-01-17 | Cilag Gmbh International | Staple cartridge |
USD975278S1 (en) | 2020-06-02 | 2023-01-10 | Cilag Gmbh International | Staple cartridge |
USD976401S1 (en) | 2020-06-02 | 2023-01-24 | Cilag Gmbh International | Staple cartridge |
USD966512S1 (en) | 2020-06-02 | 2022-10-11 | Cilag Gmbh International | Staple cartridge |
USD967421S1 (en) | 2020-06-02 | 2022-10-18 | Cilag Gmbh International | Staple cartridge |
US11857182B2 (en) | 2020-07-28 | 2024-01-02 | Cilag Gmbh International | Surgical instruments with combination function articulation joint arrangements |
US11660090B2 (en) | 2020-07-28 | 2023-05-30 | Cllag GmbH International | Surgical instruments with segmented flexible drive arrangements |
US11883024B2 (en) | 2020-07-28 | 2024-01-30 | Cilag Gmbh International | Method of operating a surgical instrument |
US11864756B2 (en) | 2020-07-28 | 2024-01-09 | Cilag Gmbh International | Surgical instruments with flexible ball chain drive arrangements |
US11871925B2 (en) | 2020-07-28 | 2024-01-16 | Cilag Gmbh International | Surgical instruments with dual spherical articulation joint arrangements |
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US11826013B2 (en) | 2020-07-28 | 2023-11-28 | Cilag Gmbh International | Surgical instruments with firing member closure features |
US11737748B2 (en) | 2020-07-28 | 2023-08-29 | Cilag Gmbh International | Surgical instruments with double spherical articulation joints with pivotable links |
USD1013170S1 (en) | 2020-10-29 | 2024-01-30 | Cilag Gmbh International | Surgical instrument assembly |
US11779330B2 (en) | 2020-10-29 | 2023-10-10 | Cilag Gmbh International | Surgical instrument comprising a jaw alignment system |
US11717289B2 (en) | 2020-10-29 | 2023-08-08 | Cilag Gmbh International | Surgical instrument comprising an indicator which indicates that an articulation drive is actuatable |
US11517390B2 (en) | 2020-10-29 | 2022-12-06 | Cilag Gmbh International | Surgical instrument comprising a limited travel switch |
US11931025B2 (en) | 2020-10-29 | 2024-03-19 | Cilag Gmbh International | Surgical instrument comprising a releasable closure drive lock |
US11534259B2 (en) | 2020-10-29 | 2022-12-27 | Cilag Gmbh International | Surgical instrument comprising an articulation indicator |
USD980425S1 (en) | 2020-10-29 | 2023-03-07 | Cilag Gmbh International | Surgical instrument assembly |
US11896217B2 (en) | 2020-10-29 | 2024-02-13 | Cilag Gmbh International | Surgical instrument comprising an articulation lock |
US11844518B2 (en) | 2020-10-29 | 2023-12-19 | Cilag Gmbh International | Method for operating a surgical instrument |
US11452526B2 (en) | 2020-10-29 | 2022-09-27 | Cilag Gmbh International | Surgical instrument comprising a staged voltage regulation start-up system |
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 |
US11890010B2 (en) | 2020-12-02 | 2024-02-06 | Cllag GmbH International | Dual-sided reinforced reload for surgical instruments |
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US11744581B2 (en) | 2020-12-02 | 2023-09-05 | Cilag Gmbh International | Powered surgical instruments with multi-phase tissue treatment |
US11849943B2 (en) | 2020-12-02 | 2023-12-26 | Cilag Gmbh International | Surgical instrument with cartridge release mechanisms |
US11627960B2 (en) | 2020-12-02 | 2023-04-18 | Cilag Gmbh International | Powered surgical instruments with smart reload with separately attachable exteriorly mounted wiring connections |
US11678882B2 (en) | 2020-12-02 | 2023-06-20 | Cilag Gmbh International | Surgical instruments with interactive features to remedy incidental sled movements |
US11944296B2 (en) | 2020-12-02 | 2024-04-02 | Cilag Gmbh International | Powered surgical instruments with external connectors |
US11737751B2 (en) | 2020-12-02 | 2023-08-29 | Cilag Gmbh International | Devices and methods of managing energy dissipated within sterile barriers of surgical instrument housings |
US11653920B2 (en) | 2020-12-02 | 2023-05-23 | Cilag Gmbh International | Powered surgical instruments with communication interfaces through sterile barrier |
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 |
US11723657B2 (en) | 2021-02-26 | 2023-08-15 | Cilag Gmbh International | Adjustable communication based on available bandwidth and power capacity |
US11696757B2 (en) | 2021-02-26 | 2023-07-11 | Cilag Gmbh International | Monitoring of internal systems to detect and track cartridge motion status |
US11751869B2 (en) | 2021-02-26 | 2023-09-12 | Cilag Gmbh International | Monitoring of multiple sensors over time to detect moving characteristics of tissue |
US11793514B2 (en) | 2021-02-26 | 2023-10-24 | Cilag Gmbh International | Staple cartridge comprising sensor array which may be embedded in cartridge body |
US11744583B2 (en) | 2021-02-26 | 2023-09-05 | Cilag Gmbh International | Distal communication array to tune frequency of RF systems |
US11950779B2 (en) | 2021-02-26 | 2024-04-09 | Cilag Gmbh International | Method of powering and communicating with a staple cartridge |
US11925349B2 (en) | 2021-02-26 | 2024-03-12 | Cilag Gmbh International | Adjustment to transfer parameters to improve available power |
US11812964B2 (en) | 2021-02-26 | 2023-11-14 | Cilag Gmbh International | Staple cartridge comprising a power management circuit |
US11950777B2 (en) | 2021-02-26 | 2024-04-09 | Cilag Gmbh International | Staple cartridge comprising an information access control system |
US11749877B2 (en) | 2021-02-26 | 2023-09-05 | Cilag Gmbh International | Stapling instrument comprising a signal antenna |
US11826042B2 (en) | 2021-03-22 | 2023-11-28 | Cilag Gmbh International | Surgical instrument comprising a firing drive including a selectable leverage mechanism |
US11737749B2 (en) | 2021-03-22 | 2023-08-29 | Cilag Gmbh International | Surgical stapling instrument comprising a retraction system |
US11759202B2 (en) | 2021-03-22 | 2023-09-19 | Cilag Gmbh International | Staple cartridge comprising an implantable layer |
US11717291B2 (en) | 2021-03-22 | 2023-08-08 | Cilag Gmbh International | Staple cartridge comprising staples configured to apply different tissue compression |
US11806011B2 (en) | 2021-03-22 | 2023-11-07 | Cilag Gmbh International | Stapling instrument comprising tissue compression systems |
US11826012B2 (en) | 2021-03-22 | 2023-11-28 | Cilag Gmbh International | Stapling instrument comprising a pulsed motor-driven firing rack |
US11723658B2 (en) | 2021-03-22 | 2023-08-15 | Cilag Gmbh International | Staple cartridge comprising a firing lockout |
US11744603B2 (en) | 2021-03-24 | 2023-09-05 | Cilag Gmbh International | Multi-axis pivot joints for surgical instruments and methods for manufacturing same |
US11786239B2 (en) | 2021-03-24 | 2023-10-17 | Cilag Gmbh International | Surgical instrument articulation joint arrangements comprising multiple moving linkage features |
US11849944B2 (en) | 2021-03-24 | 2023-12-26 | Cilag Gmbh International | Drivers for fastener cartridge assemblies having rotary drive screws |
US11903582B2 (en) | 2021-03-24 | 2024-02-20 | Cilag Gmbh International | Leveraging surfaces for cartridge installation |
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 |
US11944336B2 (en) | 2021-03-24 | 2024-04-02 | Cilag Gmbh International | Joint arrangements for multi-planar alignment and support of operational drive shafts in articulatable surgical instruments |
US11857183B2 (en) | 2021-03-24 | 2024-01-02 | Cilag Gmbh International | Stapling assembly components having metal substrates and plastic bodies |
US11896218B2 (en) | 2021-03-24 | 2024-02-13 | Cilag Gmbh International | Method of using a powered stapling device |
US11896219B2 (en) | 2021-03-24 | 2024-02-13 | Cilag Gmbh International | Mating features between drivers and underside of a cartridge deck |
US11786243B2 (en) | 2021-03-24 | 2023-10-17 | Cilag Gmbh International | Firing members having flexible portions for adapting to a load during a surgical firing stroke |
US11793516B2 (en) | 2021-03-24 | 2023-10-24 | Cilag Gmbh International | Surgical staple cartridge comprising longitudinal support beam |
US11826047B2 (en) | 2021-05-28 | 2023-11-28 | Cilag Gmbh International | Stapling instrument comprising jaw mounts |
US11723662B2 (en) | 2021-05-28 | 2023-08-15 | Cilag Gmbh International | Stapling instrument comprising an articulation control display |
US11918217B2 (en) | 2021-05-28 | 2024-03-05 | Cilag Gmbh International | Stapling instrument comprising a staple cartridge insertion stop |
US11957337B2 (en) | 2021-10-18 | 2024-04-16 | Cilag Gmbh International | Surgical stapling assembly with offset ramped drive surfaces |
US11877745B2 (en) | 2021-10-18 | 2024-01-23 | Cilag Gmbh International | Surgical stapling assembly having longitudinally-repeating staple leg clusters |
US11937816B2 (en) | 2021-10-28 | 2024-03-26 | Cilag Gmbh International | Electrical lead arrangements for surgical instruments |
Also Published As
Publication number | Publication date |
---|---|
JP6180405B2 (en) | 2017-08-16 |
JP2014521373A (en) | 2014-08-28 |
US20140276207A1 (en) | 2014-09-18 |
BR112013028428A2 (en) | 2019-09-24 |
US20180132701A1 (en) | 2018-05-17 |
EP2709513A2 (en) | 2014-03-26 |
EP2709513A4 (en) | 2015-04-22 |
WO2012151073A2 (en) | 2012-11-08 |
US8460182B2 (en) | 2013-06-11 |
WO2012151073A3 (en) | 2012-12-27 |
HK1198738A1 (en) | 2015-06-05 |
US10441134B2 (en) | 2019-10-15 |
US20120289858A1 (en) | 2012-11-15 |
CN103841880A (en) | 2014-06-04 |
CA2835081A1 (en) | 2012-11-08 |
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