CN100522076C - 外科缝合器械 - Google Patents
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Abstract
一种外科紧固器械,包括钉紧固组件(2),该钉紧固组件具有弧形仓装置(12)以及与仓装置(12)相对的弧形砧座(8)。仓装置(12)包括至少一排具有第一端和第二端的弧形开口钉排并具有凹面侧和凸面侧。砧座(8)具有钉形成面并适于与仓装置协作形成从仓装置(12)发射的钉的末端。砧座(8)可相对于仓装置(12)运动。容纳在仓装置(12)中并向着砧座(8)运动的刀具有第一侧和与第一侧相对的第二侧,并且被定位在至少一排钉排的凹面侧,刀的第一侧朝向所述钉排。钉紧固组件(2)包括适于在仓装置(12)和砧座(8)之间运动以便将仓装置(12)和砧座(8)对准的止动销(20),其中止动销(20)设置在弧形钉排的第一端和第二端之间的中间区域中位于刀的第二侧上。
Description
技术领域
本发明涉及一种外科缝合器械,其可用于例如所有通过弧形缝合切割术处理的病理诊断和治疗中。
背景技术
所述缝合器械可从WO 01/91646A1中得知。WO 01/91646A1公开了具有设置在缝合器械的远侧区域中的钉紧固组件、轴和从缝合器械的近侧区域中的轴延伸的手柄的外科缝合器械。钉紧固组件包括弧形的仓装置,该仓装置包括多个具有凹面侧和凸面侧的弧形开口钉排。弧形的砧座与仓装置相对设置。砧座具有钉形成面并适于与仓装置协作,以形成从仓装置发出的钉的末端。砧座可相对于仓装置从用于将组织定位在其间的间隔位置相对运动到用于夹钳组织的闭合位置。此外,仓装置中容纳有刀,其定位在至少一排钉的凹面侧上。
在WO 01/91646A1中公开的外科缝合器械可用于切割组织(例如息肉),并基本上立即止血。在外科手术中,缝合器械被引入例如肛管中并运动到待切除的组织部位。当仓装置和砧座处于隔开或闭合位置时,可通过单独的抓持器械将待切除组织拉到砧座和仓装置之间的区域。之后,使仓装置相对于砧座运动,以便夹钳组织。当仓装置和砧座到达闭合位置时,医生“击发”器械,这意味着钉被驱动离开仓装置,穿刺组织,钉的末端由砧座弯曲,并且刀向着砧座运动以切割组织。当器械回缩时,完全切除的组织保留在钉紧固组件中并由此安全地从患者身体除去。
在WO 01/91646A1中公开的外科缝合器械的具体优点是钉紧固组件的形状,其中仓装置和砧座具有大致弧形横截面形状。这允许对于仓装置和砧座的凹形内表面的畅通无阻的观察及接近。
在由WO 01/91646A1得知的外科缝合器械中,砧座通过从砧座一端开始延伸并大致沿与砧座相对于仓装置的相对运动的方向平行延伸的臂支撑。砧座的另一端不被支撑。因此,在夹钳了待切除组织而受到载荷时,砧座会扭曲,导致钉的端部及砧座的钉形成面的错位。对于设计成经过小直径通道***的小的外科缝合器械而言,这尤其是问题,因为没有足够空间用于砧座端部处的具有足够尺寸的坚固支撑臂。
为了克服该缺点,已经提出了使用止动销,其不会阻止自由进入砧座和仓装置之间的空间,但在夹钳组织之后所述止动销在仓装置和砧座之间运动以便将仓装置与砧座对准。所述止动销在PCT/EP03/06352中公开。止动销靠近砧座/仓装置的自由端设置。在当待切除组织的长度小于装置的弧形长度的情况下,已知的止动销不会引起不期望地刺穿组织的风险。
但是,可能的是,待切除组织大于装置的弧形长度。在那些情况下缝合器械必须被应用一次以上,用加载的钉仓替换用过的钉仓。目前的在仓装置的自由端具有止动销的缝合器械的问题在于,止动销在由刀长度限定的切割线的外侧留下一个孔。
发明内容
本发明的目的在于提高如通常得自WO 01/91646A1的外科缝合器械的临床优点而不损害其技术性能。
根据本发明的外科缝合器械包括具有弧形仓装置和与仓装置相对的弧形砧座的钉紧固组件。仓装置包括至少一个具有第一末端和第二末端并具有凹面侧和凸面侧的弧形开口钉排。砧座具有钉形成面并适于与仓装置协作形成从仓装置发出的钉的末端。此外,运动装置适于使砧座相对于仓装置基本上以平行关系从用于将组织定位在其间的间隔位置相对运动到用于夹钳组织的闭合位置。钉驱动装置适于驱动钉向着砧座离开仓装置。在仓装置中,包括具有第一侧和与第一侧相对的第二侧的刀。刀定位在至少一排钉的凹面侧上,刀的第一侧朝向所述钉排。刀致动装置适于使刀向着砧座运动。根据本发明,钉紧固组件包括适于在仓装置和砧座之间运动并将仓装置与砧座对准的止动销。止动销设置在刀的第二侧上位于弧形钉排的第一末端和第二末端之间的中间区域。
换言之,止动销没有设置在弧形钉排的近端,但其安放在当刀被致动时止动销运动时可由止动销穿刺的组织将被切除的区域。因此,不存在健康组织或者患者身体中的剩余组织将被止动销损伤的危险。通过下列进一步描述的本发明实施方式的描述,将更好地理解止动销的位置的重要性。
优选地,根据本发明的缝合器械包括轴装置和手柄,钉紧固组件设置在缝合器械的远侧区域并且手柄从缝合器械的近侧区域中的轴装置延伸。在本发明的优选方案中,钉紧固组件可拆卸安装在轴装置的远侧区域中。这样,可包括运动装置、钉驱动装置、刀致动装置和用于使止动销运动的元件的许多元件的轴装置可被设计成单个患者重新加载装置,而钉紧固组件可被设置成单次击发可置换制品,在其钉已经被输送之后可被替换。优选地,止动销的运动可经设置在手柄上的致动元件致动。在优选实施方式中,止动销的运动方向与砧座相对于仓装置的相对运动方向基本上平行。
砧座的钉形成面可以是大致平面的,但其它形状,例如波浪形也可以使用。
在本发明的有利方案中,钉紧固组件适于允许向着仓装置和砧座的凹面内表面畅通无阻地接近。一般得自WO 01/91646A1的所述设计极大地方便了外科手术中缝合器械的控制。
优选地,仓装置和砧座具有大致弧形形状的横截面,弧形大约在10°到350°的角度范围内延伸。
在本发明的优选方案中,砧座通过从砧座的近端开始延伸并沿与砧座相对于仓装置的相对运动的方向平行延伸的臂支撑。这种支撑允许仓装置和砧座之间更大的无障碍区域,但具有刚性比例如使用在仓装置和砧座的中央的支撑臂或者使用一个以上的支撑臂的设计差的一般缺点。但是,该缺点可由止动销的存在来克服,当特别是当仓装置和砧座彼此相向运动以迫使组织压缩到可被缝合穿过的厚度时,并且当钉然后从仓装置被“击发”并由砧座的钉形成面中的沟槽形成时,对准是关键的,在手术步骤过程中仓装置和砧座可通过止动销对准。
优选地,在闭合位置中仓装置和砧座之间的距离是可调节的。例如,运动装置可包括可调止动器以便防止仓装置(或者砧座)运动超过止动位置并防止夹钳过多的组织。或者一系列具有不同内置组织止动器的仓装置可根据组织厚度被使用。还可预期的是使用一系列仓装置,它们具有适于闭合位置中仓装置和砧座之间的所需距离的不同纵向尺寸。通过调节闭合位置中仓装置和砧座之间的距离,器械可与被缝合及切除的组织厚度和类型匹配。
在外科缝合器械的有利方案中,仓装置包括容纳有钉的可置换仓。在该方式中,如果需要,用过的没有钉的仓可被新的仓置换。当器械在相同外科手术期间被多次使用时这特别有益。
上面所公开的一些特征已经从WO 01/91646A1得知,特别是仓装置和砧座的弧形形状以及从砧座的一端开始延伸的支撑臂,这使得例如内窥镜光学外科器械或者额外的外科器械很容易接近外科部位。本发明的止动销允许更精密的外科手术而不涉及损伤不需要以样本形式从患者切除的组织的风险。
这里,术语“钉”以非常一般的意义被使用。它包括金属钉或者夹具,但也包括由合成材料制成的外科紧固件和类似的紧固件。合成紧固件通常具有保持在砧座处的配合件(止动器元件)。在这个意义上,术语“砧座”和“钉形成面”还具有广泛含义,在两部分组成的合成紧固件中包括砧座状工具及其保持止动器元件的表面以及类似装置。
一般而言,根据本发明的缝合器械可被用于在WO 01/91646A1中公开的各种外科手术中,该文献的内容通过引用包含于本申请中。
附图说明
下面,将通过实施方式对本发明进行详细描述,附图显示为:
图1:根据本发明的外科缝合器械的实施方式的钉紧固组件的等轴测图,可动仓装置处于与砧座间隔的位置中,
图2:如图1的等轴测图,仓装置已经向着砧座运动,但没有将组织(未显示)压缩到压缩力可引起仓装置与砧座对准的风险的程度,
图3:如图2的等轴测图,止动销已经运动到砧座处的配合件处以便将装置与砧座对准,准备好将组织最终压缩到所需的尺寸并准备钉的输送(“击发”),
图4:从不同角度观察的类似于图3的等轴测图,处于已经达到最终组织间隔并且钉已经被输送的时刻,和
图5,仓装置的示意性俯视图,以阴影线示出被吸引到仓装置和砧座之间的空间中的组织,以交叉阴影线示出该由缝合器械切除的组织部分。
具体实施方式
本实施方式的外科缝合器械(以附图标记1表示)具有与在WO01/91646A1中详细描述的外科缝合器械相似的设置。但是,除此之外,所述缝合器械1包括止动销,用于将仓装置与砧座对准(将在下面解释)。
缝合器械1包括安装在轴4的远端上的钉紧固组件2。图1到4仅仅显示了轴的远侧部分。在其近侧区域,轴4与具有用于操作缝合器械1的功能(如本领域公知的那样)的致动元件的手柄连接。用于将致动元件的运动传送到钉紧固组件2的可动部分的力传递元件在轴4内部或者设置在轴4的表面处的通道中受到导引。在本实施方式中,钉紧固组件2被固定在轴4的远端。其中钉紧固组件可拆卸安装的设置也是可以想到的。
钉紧固组件2在其近侧区域中包括钉容纳部分6,和与其相对的远侧区域中的砧座8。钉容纳部分6具有导引可动仓装置12的固定导引部分10。在其一端,砧座8通过从导引部分10沿着纵向延伸、即基本上与轴4的纵向轴线平行的臂14支撑。
仓装置12包括含有至少一排、但(在本实施方式中)优选为四排开口钉排和用于切割组织的刀的仓。其几何形状和相对布置将通过图5在下面详细解释。由于该几何形状,仓装置12和砧座8具有弯曲的弧形形状,如图1到4所示。在该实施方式中,弧形以略小于90°的角度范围延伸。钉紧固组件2的几何形状允许向着仓装置12和砧座8的凹面内表面、即向着可在图1到4中观察到的钉紧固组件2的弧形表面畅通无阻地接近。
砧座8具有带钉形成凹部18的钉形成面16,当外科缝合器械1被“击发”时,所述凹部18用于形成从仓装置12发射的钉的末端,见图1。钉形成凹部18被设置成四个弧形排,以便与钉排的几何形状匹配。
在导引部分10和可动仓装置12的与轴4平行的凹面内表面的中间区域中,止动销20(见图3和4)在安装在钉容纳部分6上的导引元件22中被滑动导引,用于止动销20的致动杆滑动容纳在沿着轴4侧面安装的导引通道24中。止动销20可通过设置在缝合器械1的手柄处的致动元件(在图1中未显示)沿着远端方向运动。止动销20的远端26具有削尖或者逐渐变细的形状,见图4。当止动销20沿着远端方向运动时,其远端26配合在安装在砧座8的凹面内表面上的配合件28中。配合件28具有纵向膛孔,即使由于设计的严格限制而使砧座8稍微相对于仓装置12错位,该膛孔也很容易被削尖或者逐渐变细的远端26找到。当止动销20进一步沿着远端方向突出时,其远端与配合件28中的膛孔对准,从而对准具有钉形成凹部18的仓装置12中的钉的位置。
图1到3显示了外科缝合器械1的操作中的三个步骤。
在图1中,仓装置12处于相对于砧座8的间隔位置,在该状态中,将通过缝合器械1被切除的组织可定位在仓装置12和砧座8之间(也参见图5)。
下一步,仓装置2向着砧座8运动以便将组织轻微夹钳在仓装置12和砧座8之间,见图2。在本实施方式的有利方案中,仓装置12和砧座8之间的最终距离可被调节,以便避免施加在组织上的过多压力。适于使砧座8相对于仓装置12进行相对运动的运动装置的细节对本领域技术人员来说是已知的,也可参见WO 01/91646A1。
在图2中所示的状态下,砧座8可能稍微相对于仓装置12错位,当钉形成时这可引起问题。因此,在图3中(或者图4)显示的下一步,止动销20沿着远端方向运动直到其远端26通过配合件28已经与砧座8对准。在该状态中,缝合器械1可最终闭合并“击发”,也就是说,组织压缩冲程完成,迫使组织形成需要的厚度并且操作用于将钉排出仓装置12的致动元件。
如上所述,钉布置的几何形状、刀和止动销20由图5示出,该图基本上是仓装置12的端面30的示意图。
仓装置12设置有多个设置成同心弧的槽32。每个槽32容纳一个钉,并且使钉削尖的末端朝向端面30。在该实施方式中,有四排钉,即钉排34到37。相邻钉排(钉排34、35以及钉排36、37)的槽彼此相对交错。在钉排35和36之间,图5显示了弧形刀引导件38,即容纳弧形刀的槽。
例如,钉排34具有第一端40、第二端41、凹面(内)侧42和凸面(外)侧34。刀的第一侧44(即,其凸面侧)面对钉排34,而其第二侧45(与第一侧44相对)朝向止动销20。因此,止动销20设置在由所预想的弧形钉排(即钉排34)的第一端40和第二端41之间的中间区域中的刀引导件38容纳的刀的第二侧45上。
图5示出了当患者组织50已经由一些辅助器械吸引到仓装置12和砧座8之间的空间中的状态。在该组织已经被夹钳在仓装置12和砧座8之间后,止动销20被伸出(见前述)。这样,它穿刺组织50。这不会引起对患者的任何伤害,但是,由于立即向后,缝合器械1被“击发”。这意味着,钉被排出,交错的钉排34和35形成几乎立即止血的可靠结构。钉排36和37在组织50的交叉阴影线部分中形成类似结构,从而加固了待切割组织,并对该切割的组织部分止血。之后,刀被立即驱动出刀引导件38,从而切除组织50的交叉阴影线部分。
因此,止动销20造成的组织损伤不会保留在患者体内。
图5还示出了当待切割组织在比刀的弧形长度大的区域上方延伸的情况。其它组织的周边由虚线并用附图标记52表示。当缝合器械1被使用以便切除全部组织区域50、52时,它必须被多次应用,例如在该例子中应用两次,其中在独立的下一次应用之前用加载的钉仓来替代用过的钉仓。然而,止动销20的位置确保了在给定应用期间被止动销20穿刺的组织在相同应用过程中被切除。
在已有器械中,止动销设置在装置的末端,例如在图5中设置在标记为星号54的位置。在这种状况下当缝合器械多次使用时,存在在给定应用中被止动销54穿刺的组织在下一次应用中不被切割的可预期风险,由此对患者体内的组织造成伤害。
Claims (11)
1、一种外科缝合器械,包括:
—钉紧固组件(2),包括弧形仓装置(12)和弧形砧座(8),所述弧形仓装置(12)包括至少一排具有第一端(40)和第二端(41)的弧形开口钉排(34、35、36、37)并具有凹面侧(42)和凸面侧(43),所述弧形砧座(8)与所述仓装置(12)相对,并具有钉形成面(16)且适于与所述仓装置(12)协作形成从所述仓装置(12)发射的钉的末端,
—运动装置,适于使所述砧座(8)相对于所述仓装置(12)基本上以平行关系从用于将组织(50)定位在其间的间隔位置运动到用于夹钳组织(50)的闭合位置,
—钉驱动装置,适于向着所述砧座(8)将所述钉驱动出所述仓装置(12),
—刀,具有第一侧(44)和与所述第一侧(44)相对的第二侧(45),所述刀容纳于所述仓装置(12)中并被定位在至少一排钉排(34、35)的所述凹面侧(42)上,所述刀的所述第一侧(44)朝向所述钉排(34、35),和
—刀致动装置,适于使所述刀向着所述砧座(8)运动,
其特征在于:所述钉紧固组件(2)包括适于在所述仓装置(12)和所述砧座(8)之间运动以便将所述仓装置(12)和所述砧座(8)对准的止动销(20),其中所述止动销(20)设置在所述弧形钉排(34、35)的所述第一端(40)和所述第二端(41)之间的中间区域中位于所述刀的第二侧(45)上。
2、根据权利要求1所述的缝合器械,其特征在于:还包括轴装置(4)和手柄,所述钉紧固组件(2)被设置在所述缝合器械(1)的远端区域中,并且所述手柄从所述缝合器械(1)的近端区域中的所述轴装置(4)延伸。
3、根据权利要求2所述的缝合器械,其特征在于:所述钉紧固组件可拆卸地安装在所述轴装置的所述远端区域中。
4、根据权利要求2或3所述的缝合器械,其特征在于:所述止动销(20)的运动是可由设置在所述手柄上的致动元件致动的。
5、根据权利要求1所述的缝合器械,其特征在于:所述止动销(20)的运动方向与所述砧座(8)相对于所述仓装置(12)的相对运动方向基本上平行。
6、根据权利要求1所述的缝合器械,其特征在于:所述钉紧固组件(2)能够允许向着所述仓装置(12)和所述砧座(8)的凸面内表面畅通无阻地接近。
7、根据权利要求1所述的缝合器械,其特征在于:所述砧座(8)的所述钉形成面(16)为大致平面。
8、根据权利要求1所述的缝合器械,其特征在于:所述仓装置(12)和所述砧座(8)具有大致弧形的横截面,所述弧形在10°到350°的角度范围内延伸。
9、根据权利要求1所述的缝合器械,其特征在于:所述砧座(8)通过从所述砧座(8)的一端开始延伸并沿与所述砧座(8)相对于所述仓装置(12)的相对运动方向大致平行延伸的臂(14)支撑。
10、根据权利要求1所述的缝合器械,其特征在于:在所述闭合位置中,所述仓装置(12)和所述砧座(8)之间的距离是可调节的。
11、根据权利要求1所述的缝合器械,其特征在于:所述仓装置(12)包括容纳有钉的可置换仓。
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Families Citing this family (312)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US9060770B2 (en) | 2003-05-20 | 2015-06-23 | Ethicon Endo-Surgery, Inc. | Robotically-driven surgical instrument with E-beam driver |
US20070084897A1 (en) | 2003-05-20 | 2007-04-19 | Shelton Frederick E Iv | Articulating surgical stapling instrument incorporating a two-piece e-beam firing mechanism |
US11896225B2 (en) | 2004-07-28 | 2024-02-13 | Cilag Gmbh International | Staple cartridge comprising a pan |
US9072535B2 (en) | 2011-05-27 | 2015-07-07 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments with rotatable staple deployment arrangements |
US7669746B2 (en) | 2005-08-31 | 2010-03-02 | Ethicon Endo-Surgery, Inc. | Staple cartridges for forming staples having differing formed staple heights |
US11246590B2 (en) | 2005-08-31 | 2022-02-15 | Cilag Gmbh International | Staple cartridge including staple drivers having different unfired heights |
US10159482B2 (en) | 2005-08-31 | 2018-12-25 | Ethicon Llc | Fastener cartridge assembly comprising a fixed anvil and different staple heights |
US11484312B2 (en) | 2005-08-31 | 2022-11-01 | Cilag Gmbh International | Staple cartridge comprising a staple driver arrangement |
US7934630B2 (en) | 2005-08-31 | 2011-05-03 | Ethicon Endo-Surgery, Inc. | Staple cartridges for forming staples having differing formed staple heights |
US20070106317A1 (en) | 2005-11-09 | 2007-05-10 | Shelton Frederick E Iv | Hydraulically and electrically actuated articulation joints for surgical instruments |
US8186555B2 (en) | 2006-01-31 | 2012-05-29 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting and fastening instrument with mechanical closure system |
US7753904B2 (en) | 2006-01-31 | 2010-07-13 | Ethicon Endo-Surgery, Inc. | Endoscopic surgical instrument with a handle that can articulate with respect to the shaft |
US20120292367A1 (en) | 2006-01-31 | 2012-11-22 | Ethicon Endo-Surgery, Inc. | Robotically-controlled end effector |
US11793518B2 (en) | 2006-01-31 | 2023-10-24 | Cilag Gmbh International | Powered surgical instruments with firing system lockout arrangements |
US11278279B2 (en) | 2006-01-31 | 2022-03-22 | Cilag Gmbh International | Surgical instrument assembly |
US8820603B2 (en) | 2006-01-31 | 2014-09-02 | Ethicon Endo-Surgery, Inc. | Accessing data stored in a memory of a surgical instrument |
US20110295295A1 (en) | 2006-01-31 | 2011-12-01 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical instrument having recording capabilities |
US7845537B2 (en) | 2006-01-31 | 2010-12-07 | Ethicon Endo-Surgery, Inc. | Surgical instrument having recording capabilities |
US11224427B2 (en) | 2006-01-31 | 2022-01-18 | Cilag Gmbh International | Surgical stapling system including a console and retraction assembly |
US8708213B2 (en) | 2006-01-31 | 2014-04-29 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a feedback system |
US8992422B2 (en) | 2006-03-23 | 2015-03-31 | Ethicon Endo-Surgery, Inc. | Robotically-controlled endoscopic accessory channel |
US8322455B2 (en) | 2006-06-27 | 2012-12-04 | Ethicon Endo-Surgery, Inc. | Manually driven surgical cutting and fastening instrument |
US10568652B2 (en) | 2006-09-29 | 2020-02-25 | Ethicon Llc | Surgical staples having attached drivers of different heights and stapling instruments for deploying the same |
US11980366B2 (en) | 2006-10-03 | 2024-05-14 | Cilag Gmbh International | Surgical instrument |
US11291441B2 (en) | 2007-01-10 | 2022-04-05 | Cilag Gmbh International | Surgical instrument with wireless communication between control unit and remote sensor |
US8840603B2 (en) | 2007-01-10 | 2014-09-23 | Ethicon Endo-Surgery, Inc. | Surgical instrument with wireless communication between control unit and sensor transponders |
US8684253B2 (en) | 2007-01-10 | 2014-04-01 | Ethicon Endo-Surgery, Inc. | Surgical instrument with wireless communication between a control unit of a robotic system and remote sensor |
US8540128B2 (en) | 2007-01-11 | 2013-09-24 | Ethicon Endo-Surgery, Inc. | Surgical stapling device with a curved end effector |
US20090001121A1 (en) | 2007-03-15 | 2009-01-01 | Hess Christopher J | Surgical staple having an expandable portion |
US8931682B2 (en) | 2007-06-04 | 2015-01-13 | Ethicon Endo-Surgery, Inc. | 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 |
US7753245B2 (en) | 2007-06-22 | 2010-07-13 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments |
US11849941B2 (en) | 2007-06-29 | 2023-12-26 | Cilag Gmbh International | Staple cartridge having staple cavities extending at a transverse angle relative to a longitudinal cartridge axis |
US8636736B2 (en) | 2008-02-14 | 2014-01-28 | Ethicon Endo-Surgery, Inc. | Motorized surgical cutting and fastening instrument |
JP5410110B2 (ja) | 2008-02-14 | 2014-02-05 | エシコン・エンド−サージェリィ・インコーポレイテッド | Rf電極を有する外科用切断・固定器具 |
US9179912B2 (en) | 2008-02-14 | 2015-11-10 | Ethicon Endo-Surgery, Inc. | Robotically-controlled motorized surgical cutting and fastening instrument |
US7866527B2 (en) | 2008-02-14 | 2011-01-11 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with interlockable firing system |
US7819298B2 (en) | 2008-02-14 | 2010-10-26 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with control features operable with one hand |
US8573465B2 (en) | 2008-02-14 | 2013-11-05 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical end effector system with rotary actuated closure systems |
US11986183B2 (en) | 2008-02-14 | 2024-05-21 | Cilag Gmbh International | Surgical cutting and fastening instrument comprising a plurality of sensors to measure an electrical parameter |
US10390823B2 (en) | 2008-02-15 | 2019-08-27 | Ethicon Llc | End effector comprising an adjunct |
US11648005B2 (en) | 2008-09-23 | 2023-05-16 | Cilag Gmbh International | Robotically-controlled motorized surgical instrument with an end effector |
US8360298B2 (en) * | 2008-09-23 | 2013-01-29 | Covidien Lp | Surgical instrument and loading unit for use therewith |
US8210411B2 (en) | 2008-09-23 | 2012-07-03 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting instrument |
US9386983B2 (en) | 2008-09-23 | 2016-07-12 | Ethicon Endo-Surgery, Llc | Robotically-controlled motorized surgical instrument |
US7988028B2 (en) | 2008-09-23 | 2011-08-02 | Tyco Healthcare Group Lp | Surgical instrument having an asymmetric dynamic clamping member |
US9005230B2 (en) | 2008-09-23 | 2015-04-14 | Ethicon Endo-Surgery, Inc. | Motorized surgical instrument |
US8608045B2 (en) | 2008-10-10 | 2013-12-17 | Ethicon Endo-Sugery, Inc. | Powered surgical cutting and stapling apparatus with manually retractable firing system |
US8393516B2 (en) * | 2009-02-26 | 2013-03-12 | Covidien Lp | Surgical stapling apparatus with curved cartridge and anvil assemblies |
US8353436B2 (en) | 2009-05-06 | 2013-01-15 | Covidien Lp | Pin locking mechanism for a surgical instrument |
US8328064B2 (en) | 2009-05-06 | 2012-12-11 | Covidien Lp | Pin locking mechanism for a surgical instrument |
US8225979B2 (en) | 2009-10-30 | 2012-07-24 | Tyco Healthcare Group Lp | Locking shipping wedge |
US8827137B2 (en) * | 2010-03-25 | 2014-09-09 | Covidien Lp | Pin alignment assembly for surgical stapler |
US8783543B2 (en) | 2010-07-30 | 2014-07-22 | Ethicon Endo-Surgery, Inc. | Tissue acquisition arrangements and methods for surgical stapling devices |
US10945731B2 (en) | 2010-09-30 | 2021-03-16 | Ethicon Llc | Tissue thickness compensator comprising controlled release and expansion |
US11812965B2 (en) | 2010-09-30 | 2023-11-14 | Cilag Gmbh International | Layer of material for a surgical end effector |
US10213198B2 (en) | 2010-09-30 | 2019-02-26 | Ethicon Llc | Actuator for releasing a tissue thickness compensator from a fastener cartridge |
US9839420B2 (en) | 2010-09-30 | 2017-12-12 | Ethicon Llc | Tissue thickness compensator comprising at least one medicament |
US9629814B2 (en) | 2010-09-30 | 2017-04-25 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator configured to redistribute compressive forces |
US9295464B2 (en) | 2010-09-30 | 2016-03-29 | Ethicon Endo-Surgery, Inc. | Surgical stapler anvil comprising a plurality of forming pockets |
US11298125B2 (en) | 2010-09-30 | 2022-04-12 | Cilag Gmbh International | Tissue stapler having a thickness compensator |
US9386988B2 (en) | 2010-09-30 | 2016-07-12 | Ethicon End-Surgery, LLC | Retainer assembly including a tissue thickness compensator |
US11849952B2 (en) | 2010-09-30 | 2023-12-26 | Cilag Gmbh International | Staple cartridge comprising staples positioned within a compressible portion thereof |
US8899461B2 (en) | 2010-10-01 | 2014-12-02 | Covidien Lp | Tissue stop for surgical instrument |
US8695866B2 (en) | 2010-10-01 | 2014-04-15 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a power control circuit |
US8444038B2 (en) | 2010-10-01 | 2013-05-21 | Covidien Lp | Tissue stop for surgical instrument |
US8397972B2 (en) | 2011-03-18 | 2013-03-19 | Covidien Lp | Shipping wedge with lockout |
BR112013027794B1 (pt) | 2011-04-29 | 2020-12-15 | Ethicon Endo-Surgery, Inc | Conjunto de cartucho de grampos |
US11207064B2 (en) | 2011-05-27 | 2021-12-28 | Cilag Gmbh International | Automated end effector component reloading system for use with a robotic system |
US9271728B2 (en) * | 2011-06-09 | 2016-03-01 | Covidien Lp | Surgical fastener applying apparatus |
US9113881B2 (en) | 2012-03-16 | 2015-08-25 | Covidien Lp | Travel clip for surgical staple cartridge |
JP6305979B2 (ja) | 2012-03-28 | 2018-04-04 | エシコン・エンド−サージェリィ・インコーポレイテッドEthicon Endo−Surgery,Inc. | 複数の層を含む組織厚さコンペンセーター |
RU2639857C2 (ru) | 2012-03-28 | 2017-12-22 | Этикон Эндо-Серджери, Инк. | Компенсатор толщины ткани, содержащий капсулу для среды с низким давлением |
US9101358B2 (en) | 2012-06-15 | 2015-08-11 | Ethicon Endo-Surgery, Inc. | Articulatable surgical instrument comprising a firing drive |
US20140001231A1 (en) | 2012-06-28 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Firing system lockout arrangements for surgical instruments |
US9289256B2 (en) | 2012-06-28 | 2016-03-22 | Ethicon Endo-Surgery, Llc | Surgical end effectors having angled tissue-contacting surfaces |
US9226751B2 (en) | 2012-06-28 | 2016-01-05 | Ethicon Endo-Surgery, Inc. | Surgical instrument system including replaceable end effectors |
BR112014032776B1 (pt) | 2012-06-28 | 2021-09-08 | Ethicon Endo-Surgery, Inc | Sistema de instrumento cirúrgico e kit cirúrgico para uso com um sistema de instrumento cirúrgico |
US11202631B2 (en) | 2012-06-28 | 2021-12-21 | Cilag Gmbh International | Stapling assembly comprising a firing lockout |
US9282974B2 (en) | 2012-06-28 | 2016-03-15 | Ethicon Endo-Surgery, Llc | Empty clip cartridge lockout |
WO2014080862A1 (ja) * | 2012-11-20 | 2014-05-30 | オリンパスメディカルシステムズ株式会社 | 組織切除装置 |
JP6345707B2 (ja) | 2013-03-01 | 2018-06-20 | エシコン・エンド−サージェリィ・インコーポレイテッドEthicon Endo−Surgery,Inc. | ソフトストップを備えた外科用器具 |
MX368026B (es) | 2013-03-01 | 2019-09-12 | Ethicon Endo Surgery Inc | Instrumento quirúrgico articulable con vías conductoras para la comunicación de la señal. |
US10561432B2 (en) | 2013-03-05 | 2020-02-18 | Covidien Lp | Pivoting screw for use with a pair of jaw members of a surgical instrument |
US9782173B2 (en) * | 2013-03-07 | 2017-10-10 | Covidien Lp | Circular stapling device including buttress release mechanism |
US9629629B2 (en) | 2013-03-14 | 2017-04-25 | Ethicon Endo-Surgey, LLC | Control systems for surgical instruments |
US9814460B2 (en) | 2013-04-16 | 2017-11-14 | Ethicon Llc | Modular motor driven surgical instruments with status indication arrangements |
BR112015026109B1 (pt) | 2013-04-16 | 2022-02-22 | Ethicon Endo-Surgery, Inc | Instrumento cirúrgico |
US9283054B2 (en) | 2013-08-23 | 2016-03-15 | Ethicon Endo-Surgery, Llc | Interactive displays |
RU2678363C2 (ru) | 2013-08-23 | 2019-01-28 | ЭТИКОН ЭНДО-СЕРДЖЕРИ, ЭлЭлСи | Устройства втягивания пускового элемента для хирургических инструментов с электропитанием |
US10013049B2 (en) | 2014-03-26 | 2018-07-03 | Ethicon Llc | Power management through sleep options of segmented circuit and wake up control |
BR112016021943B1 (pt) | 2014-03-26 | 2022-06-14 | Ethicon Endo-Surgery, Llc | Instrumento cirúrgico para uso por um operador em um procedimento cirúrgico |
US10426476B2 (en) | 2014-09-26 | 2019-10-01 | Ethicon Llc | Circular fastener cartridges for applying radially expandable fastener lines |
BR112016023698B1 (pt) | 2014-04-16 | 2022-07-26 | Ethicon Endo-Surgery, Llc | Cartucho de prendedores para uso com um instrumento cirúrgico |
CN106456159B (zh) | 2014-04-16 | 2019-03-08 | 伊西康内外科有限责任公司 | 紧固件仓组件和钉保持器盖布置结构 |
US20150297222A1 (en) | 2014-04-16 | 2015-10-22 | Ethicon Endo-Surgery, Inc. | Fastener cartridges including extensions having different configurations |
CN106456158B (zh) | 2014-04-16 | 2019-02-05 | 伊西康内外科有限责任公司 | 包括非一致紧固件的紧固件仓 |
BR112017004361B1 (pt) | 2014-09-05 | 2023-04-11 | Ethicon Llc | Sistema eletrônico para um instrumento cirúrgico |
US20160066913A1 (en) | 2014-09-05 | 2016-03-10 | Ethicon Endo-Surgery, Inc. | Local display of tissue parameter stabilization |
US11311294B2 (en) | 2014-09-05 | 2022-04-26 | Cilag Gmbh International | Powered medical device including measurement of closure state of jaws |
US11523821B2 (en) | 2014-09-26 | 2022-12-13 | Cilag Gmbh International | Method for creating a flexible staple line |
US9924944B2 (en) | 2014-10-16 | 2018-03-27 | Ethicon Llc | Staple cartridge comprising an adjunct material |
US10517594B2 (en) | 2014-10-29 | 2019-12-31 | Ethicon Llc | Cartridge assemblies for surgical staplers |
US11141153B2 (en) | 2014-10-29 | 2021-10-12 | Cilag Gmbh International | Staple cartridges comprising driver arrangements |
US9844376B2 (en) | 2014-11-06 | 2017-12-19 | Ethicon Llc | Staple cartridge comprising a releasable adjunct material |
US10736636B2 (en) | 2014-12-10 | 2020-08-11 | Ethicon Llc | Articulatable surgical instrument system |
US10085748B2 (en) | 2014-12-18 | 2018-10-02 | Ethicon Llc | Locking arrangements for detachable shaft assemblies with articulatable surgical end effectors |
US9844374B2 (en) | 2014-12-18 | 2017-12-19 | Ethicon Llc | Surgical instrument systems comprising an articulatable end effector and means for adjusting the firing stroke of a firing member |
MX2017008108A (es) | 2014-12-18 | 2018-03-06 | Ethicon Llc | Instrumento quirurgico con un yunque que puede moverse de manera selectiva sobre un eje discreto no movil con relacion a un cartucho de grapas. |
US9987000B2 (en) | 2014-12-18 | 2018-06-05 | Ethicon Llc | Surgical instrument assembly comprising a flexible articulation system |
US9844375B2 (en) | 2014-12-18 | 2017-12-19 | Ethicon Llc | Drive arrangements for articulatable surgical instruments |
US10004501B2 (en) | 2014-12-18 | 2018-06-26 | Ethicon Llc | Surgical instruments with improved closure arrangements |
US10702269B2 (en) | 2014-12-25 | 2020-07-07 | Covidien Lp | Surgical stapling devices |
US9775611B2 (en) | 2015-01-06 | 2017-10-03 | Covidien Lp | Clam shell surgical stapling loading unit |
US11154301B2 (en) | 2015-02-27 | 2021-10-26 | Cilag Gmbh International | Modular stapling assembly |
US9855040B2 (en) | 2015-03-04 | 2018-01-02 | Covidien Lp | Surgical stapling loading unit having articulating jaws |
US9993248B2 (en) | 2015-03-06 | 2018-06-12 | Ethicon Endo-Surgery, Llc | Smart sensors with local signal processing |
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 |
JP2020121162A (ja) | 2015-03-06 | 2020-08-13 | エシコン エルエルシーEthicon LLC | 測定の安定性要素、クリープ要素、及び粘弾性要素を決定するためのセンサデータの時間依存性評価 |
US10441279B2 (en) | 2015-03-06 | 2019-10-15 | Ethicon Llc | Multiple level thresholds to modify operation of powered surgical instruments |
US10092290B2 (en) | 2015-03-17 | 2018-10-09 | Covidien Lp | Surgical instrument, loading unit for use therewith and related methods |
US10433844B2 (en) | 2015-03-31 | 2019-10-08 | Ethicon Llc | Surgical instrument with selectively disengageable threaded drive systems |
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 |
US10105139B2 (en) | 2015-09-23 | 2018-10-23 | Ethicon Llc | Surgical stapler having downstream current-based motor control |
US11890015B2 (en) | 2015-09-30 | 2024-02-06 | Cilag Gmbh International | Compressible adjunct with crossing spacer fibers |
US10433846B2 (en) | 2015-09-30 | 2019-10-08 | Ethicon Llc | Compressible adjunct with crossing spacer fibers |
US10292704B2 (en) | 2015-12-30 | 2019-05-21 | Ethicon Llc | Mechanisms for compensating for battery pack failure in powered surgical instruments |
US10575848B2 (en) | 2015-12-31 | 2020-03-03 | Ethicon Llc | Surgical stapler with fixed jaw support pin |
US10610219B2 (en) * | 2015-12-31 | 2020-04-07 | Ethicon Llc | Surgical stapler with curved outer surface on anvil |
US10045780B2 (en) | 2015-12-31 | 2018-08-14 | Ethicon Llc | Method of applying staples in lower anterior bowel resection |
US10258334B2 (en) | 2015-12-31 | 2019-04-16 | Ethicon Llc | Surgical stapler with variable height drivers for uniform staple formation |
US11213293B2 (en) | 2016-02-09 | 2022-01-04 | Cilag Gmbh International | Articulatable surgical instruments with single articulation link arrangements |
JP6911054B2 (ja) | 2016-02-09 | 2021-07-28 | エシコン エルエルシーEthicon LLC | 非対称の関節構成を備えた外科用器具 |
US11224426B2 (en) | 2016-02-12 | 2022-01-18 | Cilag Gmbh International | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US10448948B2 (en) | 2016-02-12 | 2019-10-22 | Ethicon Llc | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US10456137B2 (en) | 2016-04-15 | 2019-10-29 | Ethicon Llc | Staple formation detection mechanisms |
US10492783B2 (en) | 2016-04-15 | 2019-12-03 | Ethicon, Llc | Surgical instrument with improved stop/start control 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 |
US10426467B2 (en) | 2016-04-15 | 2019-10-01 | Ethicon Llc | Surgical instrument with detection sensors |
US10357247B2 (en) | 2016-04-15 | 2019-07-23 | Ethicon Llc | Surgical instrument with multiple program responses during a firing motion |
US10828028B2 (en) | 2016-04-15 | 2020-11-10 | Ethicon Llc | Surgical instrument with multiple program responses during a firing motion |
US10433840B2 (en) | 2016-04-18 | 2019-10-08 | Ethicon Llc | Surgical instrument comprising a replaceable cartridge jaw |
US20170296173A1 (en) | 2016-04-18 | 2017-10-19 | Ethicon Endo-Surgery, Llc | Method for operating a surgical instrument |
US11317917B2 (en) | 2016-04-18 | 2022-05-03 | Cilag Gmbh International | Surgical stapling system comprising a lockable firing assembly |
USD814632S1 (en) | 2016-10-21 | 2018-04-03 | Covidien Lp | Staple cartridge |
AU2017258826A1 (en) | 2016-12-02 | 2018-06-21 | Covidien Lp | Surgical stapling instrument with curved end effector |
US10813638B2 (en) | 2016-12-21 | 2020-10-27 | Ethicon Llc | Surgical end effectors with expandable tissue stop arrangements |
CN110114014B (zh) | 2016-12-21 | 2022-08-09 | 爱惜康有限责任公司 | 包括端部执行器闭锁件和击发组件闭锁件的外科器械*** |
JP7010956B2 (ja) | 2016-12-21 | 2022-01-26 | エシコン エルエルシー | 組織をステープル留めする方法 |
US10758230B2 (en) | 2016-12-21 | 2020-09-01 | Ethicon Llc | Surgical instrument with primary and safety processors |
US11160551B2 (en) | 2016-12-21 | 2021-11-02 | Cilag Gmbh International | Articulatable surgical stapling instruments |
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 |
US10687809B2 (en) | 2016-12-21 | 2020-06-23 | Ethicon Llc | Surgical staple cartridge with movable camming member configured to disengage firing member lockout features |
MX2019007311A (es) | 2016-12-21 | 2019-11-18 | Ethicon Llc | Sistemas de engrapado quirurgico. |
US10537325B2 (en) | 2016-12-21 | 2020-01-21 | Ethicon Llc | Staple forming pocket arrangement to accommodate different types of staples |
JP6983893B2 (ja) | 2016-12-21 | 2021-12-17 | エシコン エルエルシーEthicon LLC | 外科用エンドエフェクタ及び交換式ツールアセンブリのためのロックアウト構成 |
US20180168615A1 (en) | 2016-12-21 | 2018-06-21 | Ethicon Endo-Surgery, Llc | Method of deforming staples from two different types of staple cartridges with the same surgical stapling instrument |
US11419606B2 (en) | 2016-12-21 | 2022-08-23 | Cilag Gmbh International | Shaft assembly comprising a clutch configured to adapt the output of a rotary firing member to two different systems |
US10542982B2 (en) | 2016-12-21 | 2020-01-28 | Ethicon Llc | Shaft assembly comprising first and second articulation lockouts |
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 |
US10881399B2 (en) | 2017-06-20 | 2021-01-05 | Ethicon Llc | Techniques for adaptive control of motor velocity of a surgical stapling and cutting instrument |
US10779820B2 (en) | 2017-06-20 | 2020-09-22 | Ethicon Llc | Systems and methods for controlling motor speed according to user input for a surgical instrument |
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 |
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 |
US11324503B2 (en) | 2017-06-27 | 2022-05-10 | Cilag Gmbh International | Surgical firing member arrangements |
US11266405B2 (en) | 2017-06-27 | 2022-03-08 | Cilag Gmbh International | Surgical anvil manufacturing methods |
US10993716B2 (en) | 2017-06-27 | 2021-05-04 | Ethicon Llc | Surgical anvil arrangements |
US11564686B2 (en) | 2017-06-28 | 2023-01-31 | Cilag Gmbh International | Surgical shaft assemblies with flexible interfaces |
EP3420947B1 (en) | 2017-06-28 | 2022-05-25 | Cilag GmbH International | Surgical instrument comprising selectively actuatable rotatable couplers |
US11246592B2 (en) | 2017-06-28 | 2022-02-15 | Cilag Gmbh International | Surgical instrument comprising an articulation system lockable to a frame |
US11484310B2 (en) | 2017-06-28 | 2022-11-01 | Cilag Gmbh International | Surgical instrument comprising a shaft including a closure tube profile |
USD906355S1 (en) | 2017-06-28 | 2020-12-29 | Ethicon Llc | Display screen or portion thereof with a graphical user interface for a surgical instrument |
US10765427B2 (en) | 2017-06-28 | 2020-09-08 | Ethicon Llc | Method for articulating a surgical instrument |
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 |
US10932772B2 (en) | 2017-06-29 | 2021-03-02 | Ethicon Llc | Methods for closed loop velocity control for robotic surgical instrument |
US11974742B2 (en) | 2017-08-03 | 2024-05-07 | Cilag Gmbh International | Surgical system comprising an articulation bailout |
US11471155B2 (en) | 2017-08-03 | 2022-10-18 | Cilag Gmbh International | Surgical system bailout |
US11304695B2 (en) | 2017-08-03 | 2022-04-19 | Cilag Gmbh International | Surgical system shaft interconnection |
US11944300B2 (en) | 2017-08-03 | 2024-04-02 | Cilag Gmbh International | Method for operating a surgical system bailout |
US10743872B2 (en) | 2017-09-29 | 2020-08-18 | Ethicon Llc | System and methods for controlling a display of a surgical instrument |
US10842490B2 (en) | 2017-10-31 | 2020-11-24 | Ethicon Llc | Cartridge body design with force reduction based on firing completion |
US10993714B2 (en) | 2017-11-28 | 2021-05-04 | Covidien Lp | Surgical stapling instrument and associated trigger mechanisms |
US10779826B2 (en) | 2017-12-15 | 2020-09-22 | Ethicon Llc | 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 |
US11311290B2 (en) | 2017-12-21 | 2022-04-26 | Cilag Gmbh International | Surgical instrument comprising an end effector dampener |
US11364027B2 (en) | 2017-12-21 | 2022-06-21 | Cilag Gmbh International | Surgical instrument comprising speed control |
US10945730B2 (en) | 2018-06-25 | 2021-03-16 | Covidien Lp | Stapling device with selectively advanceable alignment pin |
US11324501B2 (en) | 2018-08-20 | 2022-05-10 | Cilag Gmbh International | Surgical stapling devices with improved closure members |
US11207065B2 (en) | 2018-08-20 | 2021-12-28 | Cilag Gmbh International | Method for fabricating surgical stapler anvils |
CN108992114B (zh) * | 2018-08-26 | 2023-09-26 | 江苏孜航精密五金有限公司 | 一次性使用弧线形切割吻合器的可更换抵钉座组件 |
US11172929B2 (en) | 2019-03-25 | 2021-11-16 | Cilag Gmbh International | Articulation drive arrangements for surgical systems |
US11696761B2 (en) | 2019-03-25 | 2023-07-11 | Cilag Gmbh International | Firing drive arrangements for surgical systems |
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 |
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 |
US11432816B2 (en) | 2019-04-30 | 2022-09-06 | Cilag Gmbh International | Articulation pin for a surgical instrument |
US11426251B2 (en) | 2019-04-30 | 2022-08-30 | Cilag Gmbh International | Articulation directional lights on a surgical instrument |
US11246678B2 (en) | 2019-06-28 | 2022-02-15 | Cilag Gmbh International | Surgical stapling system having a frangible RFID tag |
US11638587B2 (en) | 2019-06-28 | 2023-05-02 | Cilag Gmbh International | RFID identification systems for surgical instruments |
US11853835B2 (en) | 2019-06-28 | 2023-12-26 | Cilag Gmbh International | RFID identification systems for surgical instruments |
US11523822B2 (en) | 2019-06-28 | 2022-12-13 | Cilag Gmbh International | Battery pack including a circuit interrupter |
US11229437B2 (en) | 2019-06-28 | 2022-01-25 | Cilag Gmbh International | Method for authenticating the compatibility of a staple cartridge with a surgical instrument |
US11224497B2 (en) | 2019-06-28 | 2022-01-18 | Cilag Gmbh International | Surgical systems with multiple RFID tags |
US11464601B2 (en) | 2019-06-28 | 2022-10-11 | Cilag Gmbh International | Surgical instrument comprising an RFID system for tracking a movable component |
US11426167B2 (en) | 2019-06-28 | 2022-08-30 | Cilag Gmbh International | Mechanisms for proper anvil attachment surgical stapling head assembly |
US11497492B2 (en) | 2019-06-28 | 2022-11-15 | Cilag Gmbh International | Surgical instrument including an articulation lock |
US11259803B2 (en) | 2019-06-28 | 2022-03-01 | Cilag Gmbh International | Surgical stapling system having an information encryption protocol |
US11376098B2 (en) | 2019-06-28 | 2022-07-05 | Cilag Gmbh International | Surgical instrument system comprising an RFID system |
US11298132B2 (en) | 2019-06-28 | 2022-04-12 | Cilag GmbH Inlernational | Staple cartridge including a honeycomb extension |
US11298127B2 (en) | 2019-06-28 | 2022-04-12 | Cilag GmbH Interational | Surgical stapling system having a lockout mechanism for an incompatible cartridge |
US11771419B2 (en) | 2019-06-28 | 2023-10-03 | Cilag Gmbh International | Packaging for a replaceable component of a surgical stapling system |
US11361176B2 (en) | 2019-06-28 | 2022-06-14 | Cilag Gmbh International | Surgical RFID assemblies for compatibility detection |
US11660163B2 (en) | 2019-06-28 | 2023-05-30 | Cilag Gmbh International | Surgical system with RFID tags for updating motor assembly parameters |
US11478241B2 (en) | 2019-06-28 | 2022-10-25 | Cilag Gmbh International | Staple cartridge including projections |
US11291451B2 (en) | 2019-06-28 | 2022-04-05 | Cilag Gmbh International | Surgical instrument with battery compatibility verification functionality |
US12004740B2 (en) | 2019-06-28 | 2024-06-11 | Cilag Gmbh International | Surgical stapling system having an information decryption protocol |
US11553971B2 (en) | 2019-06-28 | 2023-01-17 | Cilag Gmbh International | Surgical RFID assemblies for display and communication |
US11684434B2 (en) | 2019-06-28 | 2023-06-27 | Cilag Gmbh International | Surgical RFID assemblies for instrument operational setting control |
US11399837B2 (en) | 2019-06-28 | 2022-08-02 | Cilag Gmbh International | Mechanisms for motor control adjustments of a motorized surgical instrument |
US11627959B2 (en) | 2019-06-28 | 2023-04-18 | Cilag Gmbh International | Surgical instruments including manual and powered system lockouts |
CA3149398A1 (en) | 2019-08-02 | 2021-02-11 | Covidien Lp | Surgical stapling device with curved tool assembly |
CN114727818A (zh) | 2019-11-01 | 2022-07-08 | 柯惠有限合伙公司 | 带有刀片锁的外科钉合装置 |
US11534163B2 (en) | 2019-11-21 | 2022-12-27 | Covidien Lp | Surgical stapling instruments |
US11857185B2 (en) | 2019-12-18 | 2024-01-02 | Covidien Lp | Surgical stapling device with shipping cap |
US11446029B2 (en) | 2019-12-19 | 2022-09-20 | Cilag Gmbh International | Staple cartridge comprising projections extending from a curved deck surface |
US11529137B2 (en) | 2019-12-19 | 2022-12-20 | Cilag Gmbh International | Staple cartridge comprising driver retention members |
US11931033B2 (en) | 2019-12-19 | 2024-03-19 | Cilag Gmbh International | Staple cartridge comprising a latch lockout |
US11576672B2 (en) | 2019-12-19 | 2023-02-14 | Cilag Gmbh International | Surgical instrument comprising a closure system including a closure member and an opening member driven by a drive screw |
US11607219B2 (en) | 2019-12-19 | 2023-03-21 | Cilag Gmbh International | Staple cartridge comprising a detachable tissue cutting knife |
US11304696B2 (en) | 2019-12-19 | 2022-04-19 | Cilag Gmbh International | Surgical instrument comprising a powered articulation system |
US11529139B2 (en) | 2019-12-19 | 2022-12-20 | Cilag Gmbh International | Motor driven surgical instrument |
US11464512B2 (en) | 2019-12-19 | 2022-10-11 | Cilag Gmbh International | Staple cartridge comprising a curved deck surface |
US11291447B2 (en) | 2019-12-19 | 2022-04-05 | Cilag Gmbh International | Stapling instrument comprising independent jaw closing and staple firing systems |
US11844520B2 (en) | 2019-12-19 | 2023-12-19 | Cilag Gmbh International | Staple cartridge comprising driver retention members |
US11911032B2 (en) | 2019-12-19 | 2024-02-27 | Cilag Gmbh International | Staple cartridge comprising a seating cam |
US11504122B2 (en) * | 2019-12-19 | 2022-11-22 | Cilag Gmbh International | Surgical instrument comprising a nested firing member |
US11701111B2 (en) | 2019-12-19 | 2023-07-18 | Cilag Gmbh International | Method for operating a surgical stapling instrument |
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 |
CA3169731A1 (en) * | 2020-02-03 | 2021-08-12 | Coviden Lp | Tissue guide for curved end effectors |
USD975278S1 (en) | 2020-06-02 | 2023-01-10 | Cilag Gmbh International | Staple cartridge |
USD966512S1 (en) | 2020-06-02 | 2022-10-11 | Cilag Gmbh International | Staple cartridge |
USD974560S1 (en) | 2020-06-02 | 2023-01-03 | Cilag Gmbh International | Staple cartridge |
USD975851S1 (en) | 2020-06-02 | 2023-01-17 | Cilag Gmbh International | Staple cartridge |
USD975850S1 (en) | 2020-06-02 | 2023-01-17 | Cilag Gmbh International | Staple cartridge |
USD967421S1 (en) | 2020-06-02 | 2022-10-18 | Cilag Gmbh International | Staple cartridge |
USD976401S1 (en) | 2020-06-02 | 2023-01-24 | Cilag Gmbh International | Staple cartridge |
US11744584B2 (en) | 2020-06-09 | 2023-09-05 | Covidien Lp | Alignment pin assembly for surgical stapler |
CN111700668B (zh) * | 2020-06-18 | 2021-03-16 | 苏州贝诺医疗器械有限公司 | 一种具有紧凑结构的横向腔内缝合器 |
US20220031346A1 (en) | 2020-07-28 | 2022-02-03 | Cilag Gmbh International | Articulatable surgical instruments with articulation joints comprising flexible exoskeleton arrangements |
US11517390B2 (en) | 2020-10-29 | 2022-12-06 | Cilag Gmbh International | Surgical instrument comprising a limited travel switch |
US11717289B2 (en) | 2020-10-29 | 2023-08-08 | Cilag Gmbh International | Surgical instrument comprising an indicator which indicates that an articulation drive is actuatable |
USD1013170S1 (en) | 2020-10-29 | 2024-01-30 | Cilag Gmbh International | Surgical instrument assembly |
US11452526B2 (en) | 2020-10-29 | 2022-09-27 | Cilag Gmbh International | Surgical instrument comprising a staged voltage regulation start-up system |
USD980425S1 (en) | 2020-10-29 | 2023-03-07 | Cilag Gmbh International | Surgical instrument assembly |
US11534259B2 (en) | 2020-10-29 | 2022-12-27 | Cilag Gmbh International | Surgical instrument comprising an articulation indicator |
US11779330B2 (en) | 2020-10-29 | 2023-10-10 | Cilag Gmbh International | Surgical instrument comprising a jaw alignment system |
US11931025B2 (en) | 2020-10-29 | 2024-03-19 | Cilag Gmbh International | Surgical instrument comprising a releasable closure drive lock |
US11844518B2 (en) | 2020-10-29 | 2023-12-19 | Cilag Gmbh International | Method for operating a surgical instrument |
US11896217B2 (en) | 2020-10-29 | 2024-02-13 | Cilag Gmbh International | Surgical instrument comprising an articulation lock |
US11617577B2 (en) | 2020-10-29 | 2023-04-04 | Cilag Gmbh International | Surgical instrument comprising a sensor configured to sense whether an articulation drive of the surgical instrument is actuatable |
US11653920B2 (en) | 2020-12-02 | 2023-05-23 | Cilag Gmbh International | Powered surgical instruments with communication interfaces through sterile barrier |
US11737751B2 (en) | 2020-12-02 | 2023-08-29 | Cilag Gmbh International | Devices and methods of managing energy dissipated within sterile barriers of surgical instrument housings |
US11744581B2 (en) | 2020-12-02 | 2023-09-05 | Cilag Gmbh International | Powered surgical instruments with multi-phase tissue treatment |
US11627960B2 (en) | 2020-12-02 | 2023-04-18 | Cilag Gmbh International | Powered surgical instruments with smart reload with separately attachable exteriorly mounted wiring connections |
US11944296B2 (en) | 2020-12-02 | 2024-04-02 | Cilag Gmbh International | Powered surgical instruments with external connectors |
US11890010B2 (en) | 2020-12-02 | 2024-02-06 | Cllag GmbH International | Dual-sided reinforced reload for surgical instruments |
US11653915B2 (en) | 2020-12-02 | 2023-05-23 | Cilag Gmbh International | Surgical instruments with sled location detection and adjustment features |
US11678882B2 (en) | 2020-12-02 | 2023-06-20 | Cilag Gmbh International | Surgical instruments with interactive features to remedy incidental sled movements |
US11849943B2 (en) | 2020-12-02 | 2023-12-26 | Cilag Gmbh International | Surgical instrument with cartridge release mechanisms |
CN112617933B (zh) * | 2020-12-14 | 2022-07-12 | 济南瑞恩医疗器械技术发展有限公司 | 吻合器的缝合组件及吻合器 |
US20240138832A1 (en) * | 2021-02-25 | 2024-05-02 | Covidien Lp | Anvil assembly with reduced deflection |
US11950777B2 (en) | 2021-02-26 | 2024-04-09 | Cilag Gmbh International | Staple cartridge comprising an information access control system |
US11751869B2 (en) | 2021-02-26 | 2023-09-12 | Cilag Gmbh International | Monitoring of multiple sensors over time to detect moving characteristics of tissue |
US11812964B2 (en) | 2021-02-26 | 2023-11-14 | Cilag Gmbh International | Staple cartridge comprising a power management circuit |
US11980362B2 (en) | 2021-02-26 | 2024-05-14 | Cilag Gmbh International | Surgical instrument system comprising a power transfer coil |
US11950779B2 (en) | 2021-02-26 | 2024-04-09 | Cilag Gmbh International | Method of powering and communicating with a staple cartridge |
US11793514B2 (en) | 2021-02-26 | 2023-10-24 | Cilag Gmbh International | Staple cartridge comprising sensor array which may be embedded in cartridge body |
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Family Cites Families (9)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5470009A (en) * | 1990-12-06 | 1995-11-28 | United States Surgical Corporation | Surgical fastening apparatus with locking mechanism |
DE69229792T2 (de) * | 1991-05-14 | 2000-02-10 | United States Surgical Corp., Norwalk | Chirurgisches Klammergerät mit Detektiervorrichtung für verbrauchte Patronen und Sperrvorrichtung |
US5137198A (en) * | 1991-05-16 | 1992-08-11 | Ethicon, Inc. | Fast closure device for linear surgical stapling instrument |
US5452836A (en) * | 1994-02-07 | 1995-09-26 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with improved jaw closure and staple firing actuator mechanism |
US5605272A (en) * | 1996-03-12 | 1997-02-25 | Ethicon Endo-Surgery, Inc. | Trigger mechanism for surgical instruments |
US6601749B2 (en) * | 1998-06-19 | 2003-08-05 | Scimed Life Systems, Inc. | Multi fire full thickness resectioning device |
US6805273B2 (en) * | 2002-11-04 | 2004-10-19 | Federico Bilotti | Surgical stapling instrument |
DE10026683C2 (de) | 2000-05-30 | 2003-07-10 | Ethicon Endo Surgery Europe | Chirurgisches Klammersetzgerät |
US20050139636A1 (en) * | 2003-12-30 | 2005-06-30 | Schwemberger Richard F. | Replaceable cartridge module for a surgical stapling and cutting instrument |
-
2004
- 2004-09-30 CN CNB200480044130XA patent/CN100522076C/zh active Active
- 2004-09-30 JP JP2007533873A patent/JP4607184B2/ja active Active
- 2004-09-30 DE DE602004012622T patent/DE602004012622T2/de active Active
- 2004-09-30 DK DK04787063T patent/DK1793742T3/da active
- 2004-09-30 MX MX2007003818A patent/MX2007003818A/es active IP Right Grant
- 2004-09-30 SI SI200430740T patent/SI1793742T1/sl unknown
- 2004-09-30 US US11/662,033 patent/US7735704B2/en active Active
- 2004-09-30 WO PCT/EP2004/010925 patent/WO2006037352A2/en active IP Right Grant
- 2004-09-30 EP EP04787063A patent/EP1793742B1/en active Active
- 2004-09-30 PT PT04787063T patent/PT1793742E/pt unknown
- 2004-09-30 AU AU2004323848A patent/AU2004323848B2/en not_active Ceased
- 2004-09-30 ES ES04787063T patent/ES2303648T3/es active Active
- 2004-09-30 BR BRPI0419120A patent/BRPI0419120B8/pt active IP Right Grant
- 2004-09-30 CA CA2583581A patent/CA2583581C/en not_active Expired - Fee Related
- 2004-09-30 PL PL04787063T patent/PL1793742T3/pl unknown
- 2004-09-30 AT AT04787063T patent/ATE389357T1/de active
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CA2583581C (en) | 2012-04-24 |
PT1793742E (pt) | 2008-04-18 |
WO2006037352A3 (en) | 2006-07-13 |
CA2583581A1 (en) | 2006-04-13 |
JP2008514319A (ja) | 2008-05-08 |
HK1098939A1 (en) | 2007-08-03 |
BRPI0419120B8 (pt) | 2021-06-22 |
BRPI0419120A (pt) | 2007-12-11 |
US7735704B2 (en) | 2010-06-15 |
ES2303648T3 (es) | 2008-08-16 |
BRPI0419120B1 (pt) | 2015-01-13 |
EP1793742B1 (en) | 2008-03-19 |
EP1793742A2 (en) | 2007-06-13 |
ATE389357T1 (de) | 2008-04-15 |
SI1793742T1 (sl) | 2008-08-31 |
DK1793742T3 (da) | 2008-07-21 |
JP4607184B2 (ja) | 2011-01-05 |
DE602004012622T2 (de) | 2009-04-16 |
AU2004323848A1 (en) | 2006-04-13 |
PL1793742T3 (pl) | 2008-10-31 |
US20080093415A1 (en) | 2008-04-24 |
AU2004323848B2 (en) | 2011-07-28 |
CN101031246A (zh) | 2007-09-05 |
MX2007003818A (es) | 2007-04-23 |
CY1108136T1 (el) | 2014-02-12 |
WO2006037352A2 (en) | 2006-04-13 |
DE602004012622D1 (de) | 2008-04-30 |
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