CN103251450B - 带有可去除工具仓的手术器械 - Google Patents
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Abstract
一种用于凝结和切割组织的手术器械包括手柄组件和工具仓。工具仓包括诸如夹钳和刀片的导电可移动工具以切割组织。夹钳和刀片均连接至传动装置以便于运动。多个护套被用来包围和保护传动装置。可滑动夹紧装置布置在护套外部且能够操作地连接至布置在护套内的传动装置。至少一个杆由手柄组件支撑且可与夹紧装置接合以便于夹紧装置的移动,且因而也便于工具的运动。
Description
该申请是国际申请日为2008年12月18日、国际申请号为PCT/US2008/013931、国家申请号为200880125536.9、发明名称为“带有可去除工具仓的手术器械”的发明专利申请的分案申请。
相关申请的交叉引用
本申请要求2007年12月18日提交的临时专利申请No.61/014612、2008年11月24日提交的临时专利申请No.61/117380以及2008年12月2日提交的临时专利申请No.61/119150的权益,因而上述临时专利申请的每一个均通过引用包含于本发明。
技术领域
本发明的主题涉及手术器械。具体地,本发明的主题涉及用于切割诸如血管的组织的电手术器械。
背景技术
电手术器械用于凝固和切割诸如血管的组织已经被医疗界高度接受。这些器械通常是“一件式”组件,其中在手术中使用的精密工具永久地附接于手柄和触发机构。
由于这种一件式结构,这些器械趋于昂贵。此外,由于感染的风险,这些器械需要经常被消毒和更换。显然,常规替换这些昂贵的器械抬高了手术治疗的费用,其最终必将由患者承担。
因此,有机会提供这样一种手术器械,其在一具有成本效率的一次性装置中具有更多性能。
发明内容
本发明的第一方面提供了一种用于凝固和切割组织的手术器械。该器械包括手柄组件,该手柄组件具有壳体和至少可部分被接收在壳体中的工具仓。工具仓包括用于在凝固和切割组织中使用的工具、以及能够操作地连接至该工具和在位置间可纵向地移动的传动装置。工具仓还包括封入至少部分传动装置和限定至少一个狭槽的护套。夹紧装置布置在护套的外部并且通过至少一个狭槽能够操作地连接至传动装置。手柄组件还包括工具致动杆,该工具致动杆可与工具仓的夹紧装置操作地接合,使得夹紧装置和传动装置响应于工具致动杆的致动而移动以致动工具。
本发明的第二方面提供了一种用于凝固和切割组织的手术器械。该器械包括工具仓,该工具仓具有用于在切割组织中使用的工具。手柄组件包括用于支撑工具仓的壳体。壳体限定了用于容纳工具仓的开口,使得部分工具仓被布置在壳体内部而部分工具仓被布置在壳体的外部。该器械还包括当工具仓不在手柄组件上时用于关闭开口的门机构。
本发明的第三方面提供了一种用于凝固和切割身体组织的手术器械。该器械包括手柄组件,该手柄组件具有第一杆和第二杆。工具仓由手柄组件支撑。工具仓包括电连接至电源并且能与第一杆协同移动以用于抓取组织的一对夹钳。工具仓还包括电连接至电源并且能在多个位置之间与第二杆协同移动的刀片。切割-凝固开关能够操作地连接至第二杆,用于在凝固模式和切割模式之间自动切换,此时刀片在多个位置之间移动。
本主题发明的手术器械提供与现有技术相比众多的优点。使用封入传动装置的护套帮助保护这些部件免于污物或损坏,允许弹簧和活塞的定位因而执行期望的运动。同样,门机构还保护手柄组件的内部免于碎屑和损坏。而且,所述器械允许在凝结模式和切割模式之间自动切换。该自动切换允许外科医生集中在手术治疗上,而不用担心拨动电源拨盘。
附图说明
当与下列附图联系起来考虑,通过参考以下的详细说明,本发明的其它优点将易于被发现,同时变得更好理解。
图1是手术器械的第一实施例的透视图,示出了安装在手柄组件中的工具仓;
图2是用于第一实施例的手柄组件的工具仓的第一设计的透视图;
图3是用于第一实施例的手柄组件的工具仓的第二设计的透视图;
图4是第二设计的工具仓的一对夹钳和刀片的放大透视图;
图5是工具仓的第三设计的夹钳和刀片的放大透视图;
图6是用于第一实施例的手柄组件的工具仓的第四设计的透视图;
图7是第四设计的工具仓的一对电极和刀片的放大透视图;
图8是第一实施例的手柄组件的透视图;
图9是第一实施例的手柄组件的透视图,示出了用于将手柄组件连接到电手术电源的电连接销;
图10是手术器械的第二实施例的透视图,示出了安装在手柄组件中的工具仓,并使夹钳抓握组织T;
图11是第二实施例的抓握组织T的一对夹钳和刀片的放大透视图;
图12是第二实施例的一对夹钳的放大透视图;
图13是第二实施例的工具仓的分解图;
图14是第二实施例的工具仓的部分剖面图,示出了第一和第二护套的内部;
图15是第二实施例的手柄组件的透视图,示出了极性转换开关;
图16是第二实施例的手柄组件的部分剖面图,工具仓安装于其中;
图17是第二实施例的手柄组件的印刷电路板(PCB)的前视图;
图18是第二实施例的手柄组件的PCB的后视图;
图19是第二实施例的电触点的放大透视图,其将PCB电连接于手柄组件的导电环;
图20是手术器械的第三实施例的透视图,示出了安装在手柄组件中的工具仓;
图21是第三实施例的一对夹钳的放大透视图;
图22是第三实施例的工具仓的分解视图;
图23是第三实施例的工具仓的部分剖视图,示出了第一和第二护套的内部;
图24是手柄组件的第三实施例的透视图;
图25是手柄组件的第三实施例的透视图,部分壳体被去除,并且盖子打开,工具仓安装在其中;
图26是手柄组件的第三实施例的侧视图,部分壳体被去除并且盖子打开;
图27是第三实施例的手柄组件的PCB的前视图;
图28是第三实施例的手柄组件的PCB的后视图;
图29是第三实施例的电触头的放大透视图,其将PCB电连接至手柄组件的导电环;以及
图30是第三实施例的壳体的内部的透视图,示出了用于关闭壳体的开口的门机构。
具体实施方式
参考附图,用于切割组织的手术器械表示为100,在附图的几个视图中,同样的编号代表同样的部件。
参考图1、10和20,手术器械100包括容纳工具仓104的手柄组件102。在此示出手术器械100的三个主要实施例。具体地,第一实施例在图1-19中示出,第二实施例在图10-19中示出,第三实施例在图20-30中示出。
在第一和第三实施例中,工具仓104可从手柄组件102去除并且可被替换。工具仓104可以是可重复使用的、一次性使用的或者能再利用的(即:被使用限定次数),而手柄组件102可以与不同的工具仓一起被使用任意次数。手柄组件102能容纳各种不同的工具仓104,其中每个工具仓104具有特定范围和功能。在第二实施例中,工具仓104不能从手柄组件102去除。也就是,手柄组件102和工具仓104是一个单元,其通常在使用后被丢弃。工具仓104包括至少一个在手术治疗中使用的工具105,优选地在电手术治疗中。手柄组件102可以由外科医生或者其他医护人员持握,以用于操作工具仓104的一个工具或多个工具105。
手柄组件102包括壳体106。工具仓104至少可部分地接收在手柄组件102的壳体106中。也就是,壳体106通过与工具仓104的至少部分对接来支撑工具仓104。手柄组件102的壳体106限定了用于容纳工具仓104的开口107,使得部分的工具仓104被布置在壳体106之内且部分的工具仓被布置在壳体106之外。
在一些实例中,比如在图1-5、10-13和20-22中所示的那些实例,工具仓104的工具105包括一对夹钳108。夹钳108可相对于彼此移动以抓取组织T,如图10和11中最好地示出。也就是,夹钳108朝着彼此移动以抓取两夹钳之间的组织T并且远离彼此移动以释放该组织。优选地,每个夹钳108包括抓取部109和支撑部110。抓取部109可以包括多个锯齿状齿(未编号)。支撑部110支撑抓取部109。在图示的实施例中,每个夹钳的支撑部110包括一对连接至抓取部109的刚性金属丝(未编号)。
每一个夹钳108均可电连接至电源112。具体地,当工具仓104恰当地安装在手柄组件102中时,夹钳108可电连接至电源112。这样,夹钳108可以导电至组织T以用于手术切割和凝结治疗。电源112可以是电手术发电机,例如Bovie ICON GP,其由坐落于佛罗里达圣匹兹堡市的Bovie Medical Corporation制造。但是,也可以提供备选装置作为电源112。电源112优选产生射频(RF)范围内的AC波形。然而,本领域的技术人员了解由电源112产生的其它适合的电特性,包括但不限于DC电源。
工具仓104包括至少一个传动装置(未单独编号),其能够操作地连接至工具105以用于操作工具。在图示出的涉及夹钳108的实例中,传动装置被实施为具有近端115和远端116的伸长管114。管114可纵向移动,即:沿长度方向以来回的方式移动。管114的移动可以由手柄组件102引起,如在下面将更加详细描述的。
伸长管114的远端116能够操作地接合夹钳108。更具体地说,管114包围夹钳108的支撑部110的一部分,使得伸长管114的远端116接合夹钳108的支撑部110。伸长管114朝着抓取部109的移动导致管114包围支撑部110更多。也就是,管114压缩支撑部,导致抓取部109相对于彼此的移动。
工具仓104的工具也可以包括至少一个刀片118,如在图1-7、10-13和20-22中示出。刀片118可纵向移动切割组织T。当与夹钳108一起被执行时,刀片118在夹钳108之间可移动,使得刀片被用于切割由夹钳108抓取的组织T。传动装置实施为金属丝120,其能够操作地连接至刀片118以用于控制刀片118的运动,如在下文将详细描述的那样。优选地,金属丝120延伸通过管114。
刀片118可电连接至电源112以用于向组织导电。更具体地说,金属丝120将电从电源112导向刀片118。刀片118和夹钳108可以以单级或双级的方式操作,如下详细所述。
工具仓104的工具105还可以包括一个或多个电极190,如图6和7所示。在图示出的实例中,电极190延伸通过管114并由管114支撑。电极190是固定不动的,即:它们不打开也不闭合。刀片118可以布置在电极190之间。可以为邻近刀片118的电极190施加不导电涂层192,以使电极190与刀片118电绝缘,从而引导电流通过组织T。
在图示出的实施例中,工具仓104包括旋钮121。旋钮121环绕管114并且当与手柄组件102对接时允许外科医生容易地旋转工具仓104。
工具仓104包括一个和多个夹紧装置(grips)122、130以便于工具105的运动。在一些实例中,第一夹紧装置122能够操作地连接至伸长管144以便于管114的移动,因而也便于夹钳108的运动。工具仓104还优选地包括包围管114的至少部分的第一护套124。第一护套124优选地呈管状或圆筒状,且第一夹紧装置122优选地为环状以包围第一护套124并且可滑动地接合第一护套124。本领域技术人员也可以想到第一夹紧装置122和第一护套124的其它形状和设计。
在一些实例中,第一活塞123布置在第一护套124内。优选地,第一活塞123为碟状以可滑动地与管状的第一护套124接合。第一活塞123能够操作地连接至管114,优选通过直接连接而连接至管114。第一护套124还限定了至少一个狭槽126。在图示出的实施例中,第一活塞123和第一夹紧装置122由布置成穿过狭槽126的两个螺栓(未编号)连接。当然,本领域技术人员了解连接第一活塞123和第一夹紧装置122的其它技术。
优选地,工具仓104还包括第一弹簧128,其布置在管114的周围并且可与第一活塞123接合。第一弹簧128还可以接合旋钮121。第一弹簧128提供抵抗第一夹紧装置122的张力。第一护套124优选地围绕第一弹簧128。这样,第一护套124隐藏第一弹簧128并且保护第一弹簧128免于污物和损坏。
工具仓104优选地包括第二夹紧装置130,该第二夹紧装置130能够操作地连接至金属丝120以便于刀片118的运动。工具仓104还优选地包括第二护套132,其包围金属丝120的至少部分。在图示出的实施例中,第二护套132是管状或圆柱形的。第二护套132优选地以端对端的方式连接至第一护套124。
在一些实例中,第二活塞134被布置在第二护套132内。第二活塞134优选地被连接至金属丝120并且是碟状的以便滑动地接合第二护套132。第二夹紧装置130优选地为环状并且可滑动地与第二护套132接合。第二护套132还限定了至少一个狭槽138。在图示出的实施例中,第二活塞134和第二夹紧装置130由布置为穿过狭槽138的两个螺栓(未编号)连接。当然,本领域技术人员了解其它连接第二活塞134和第二护套132的技术。
优选地,工具仓104还包括可与第二活塞134接合的第二弹簧140。更具体地说,第二弹簧140被布置在第二护套132内。第二弹簧140还可以接合第一护套124的端部,第一护套124的端部收窄以用于与第二护套132连接。当第二活塞134和第二夹紧装置130连接时,第二弹簧140提供抵抗第二夹紧装置130的张力。第二弹簧140还环绕连接至刀片118的金属丝120。此外,第二护套132隐藏第二弹簧140和金属丝120并且保护它们免于污物和损坏。
在图示的实施例中,工具仓104还包括第三护套142。第三护套142优选地以端对端的方式连接至第一护套124或第二护套132。多个导电环144环绕第三护套142的外表面(未编号)。这些导电环144由导电材料制成并且被用于对接处在手柄组件102和工具仓104之间的电源。更具体地说,导电环144电连接至夹钳108、刀片118,和/或电极190。
手柄组件102包括第一工具致动杆150。优选地,第一工具致动杆150可枢转地铰接以允许绕销(未编号)的运动。第一工具致动杆150能够操作地与工具仓104的第一夹紧装置122接合。因此,在一些实施例中,第一工具致动杆150的下压移动第一夹紧装置122和管114以响应于第一工具致动杆150的致动而致动夹钳108。
第一工具致动杆150定位于壳体106的内侧和外侧,使得器械100的使用者可以致动第一工具致动杆150。优选地,第一工具致动杆150包括顺其延伸的第一叉形部件152。第一叉形部件152接触第一夹紧装置122。手柄组件102的第三实施例包括操作连接至第一工具致动杆150的辅助叉形部件153,如图25和26所示。辅助叉形部件153可以致动工具组件104上的其它夹紧装置(未编号)。
手柄组件102还包括第二工具致动杆154。优选地,第二工具致动杆154可枢转地铰接以允许绕销156的运动。在图示的实施例中,第二工具致动杆154能够操作地连接至工具仓104的第二夹紧装置130。因此,第二工具致动杆154的下压移动第二夹紧装置130和金属丝120以响应于第二工具致动杆154的致动而致动刀片118。
第二工具致动杆154定位于壳体106的外部,使得器械100的使用者可以致动第二工具致动杆154。第二叉形部件158能够操作地连接至销156。第二叉形部件158接触第二夹紧装置130以引发第二夹紧装置130的运动。
重要地是,图示实施例中的工具仓104可以全360度旋转同时保持完全的机械和电气操作。也就是,无论工具仓104旋转多少度,夹钳108的操作可以是打开的和闭合的,刀片118可以是伸展的和缩回的,而且电流可以流到夹钳108、刀片118和/或电极190。该功能是夹紧装置122、130的环形形状的产物,该夹紧装置与叉形部件152、153、158以及接触电触点176的导电环144协同工作。
当没有工具仓104与手柄组件102对接时,手柄组件102可以还包括用于关闭壳体106的开口的门机构160。手柄组件102的第三实施例包括这样的门机构160,如图24-26和30所示。主要参考图30,门机构160包括由弹簧164拉紧的门162。门162包括半圆形边缘166,当被安装在手柄组件102中时,该半圆形边缘166接合工具仓104。此外,门162迫使工具仓104抵住紧邻开口107布置的密封件168。
第三实施例的壳体106还包括盖子170,盖子170可打开用于***和去除工具仓104。门机构160由盖子170支撑使得当盖子170关闭时门162移动进入与工具仓104的接合。
手柄组件102可经由电缆172电连接至电源112。电缆172优选地包括多个用于在手柄组件102和电源112之间传导电源和/或数据的导线(未编号)。
手柄组件102可以包括布置在壳体106内的印刷电路板(PCB)174。在第二和第三实施例中,电缆172的导线电连接至PCB174。多个电触点176电连接至PCB174并且由PCB174支撑。电触点176造成与工具仓104的导电环144的接触。
手柄组件102进一步包括电连接至PCB174的电力开关178以启动从电源112到夹钳108和/或刀片118的电力传导。电力开关178优选地为按钮并且优选地布置成紧邻第一工具致动杆150。这样,器械100的使用者能够在关闭组织上的夹钳108之后容易地启动电力。在第二和第三实施例中,电力开关178布置在第一工具致动杆150内。
手柄组件102优选地还包括切割-凝结开关196。切割-凝结开关196优选地布置在壳体内并且能够操作地连接至第二叉形部件158。因而,切割-凝结开关196也能够操作地连接至第二工具致动杆154。在图示的实施例中,例如在图16中所示,拉伸弹簧198将切割-凝结开关196连接至第二叉形部件158。切割-凝结开关196电连接至PCB174用于在凝结模式和切割模式之间切换器械100,如下文详细所述。由于切割-凝结开关196优选地布置在壳体106内,所以其并不直接由外科医生开启,而是由第二工具致动杆154的操作开启。
在双级操作中,器械100包括凝结模式和切割模式。当在组织T上操作时,凝结模式通常首先执行凝结血管和组织蛋白。此时,刀片118缩回。因此,切割-凝结开关196未被开启,即:开关196是断开的。因而,在凝结模式,即:当切割-凝结开关196未被开启时,电力从一个夹钳108(或一个电极190)流向另一个夹钳108(或另一个电极190)。
在执行组织凝结之后,外科医生接下来切割组织T。使用器械100,外科医生将利用第二工具致动杆154(其进而操作第二叉形部件158)行进刀片118。当第二叉形部件158向前移动时,拉紧弹簧198开启切割-凝结开关196。这使得器械100进入切割模式。此时,电流随后从刀片118通过组织T传导至夹钳108(或电极190)。由于刀片118的锋利边缘和电流两者协力操作以切割组织T,允许实现极好的切割。
凝结模式中的电波形和周期时序通常不同于切割模式中的电波形和周期时序。举例来说,在凝结模式中,通常使用第一频率下的脉冲RF波形(例如:0.2秒接通,0.8秒断开)。在切割模式中,通常使用不同于第一频率的第二频率下的恒定RF波形。本领域技术人员了解多种产生用于不同模式的合适波形和周期时序的技术。
手柄组件102可以还包括电连接至PCB174的极性开关180。极性开关180允许选择器械100的单级操作或双级操作。双级操作在上文中针对凝结模式或切割模式讨论过。在单级操作中,电流从夹钳108和刀片118通过组织传导至导电垫179。本领域技术人员了解导电垫179经常被称作“接地垫”。导电垫179被放置成与接受手术的患者的身体接触,以使电路通过患者的身体完成。
通过允许方便地进入单级模式,外科医生能够容易地将器械100从双级模式切换到单级模式(如果需要也可以切换回去)以完成切割操作。该即时切换对切割“难以切割”的组织T尤其有用,“难以切割”的组织经常只有在凝结和切割治疗过程中才能发现。
手柄组件102可以进一步包括灯181,例如发光二极管(LED)。灯181电连接至PCB174。在一些实施例中,当器械100进行单级操作时,灯会照明。
手柄组件102可以还包括杆锁定组件182。在第二实施例中,如图16最好地示出,杆锁定组件182被用于保持第一工具致动杆150就位。杆锁定组件182包括多个呈锯齿形状的齿186。齿186与从第一工具致动杆150延伸出的销188对接。当第一工具致动杆150压下时,销188抵着齿186之一栓锁。这将第一工具致动杆150保持就位(并且因此将夹钳108保持就位),使得外科医生不必保持在第一工具致动杆150上的压力。杆锁定组件还包括从齿186延伸出的突出部184,并且该突出部184被定位在壳体106的外部以允许销188从齿上释放。
手柄组件102和/或工具仓104可以还包括识别芯片194。在第二实施例中,其中工具仓104不可从手柄组件102去除,识别芯片优选地由壳体106支撑,如图16所示。在第三实施例中,其中工具仓104是可替换的,识别芯片194优选地由工具仓104支撑,如图22和23所示。由于芯片194由工具仓104承载,所以到手柄组件102的PCB174的电连接经由导电环114和电触点176完成。
芯片194包含识别数据以识别安装在壳体106中的特定工具仓104。特别地,识别数据可以包括序列号,由工具仓104承载的特定工具105,或其它相关信息。识别芯片194可经由一个或多个触点176和PCB174电连接至手柄组件。因而,存储在识别芯片194上的数据可以被传递至电源172。电源172可以追踪由识别芯片194提供的序列号以限制每个特定工具仓104的使用次数。电源172还可以发出一个初始默认设置以适应具体工具仓104和/或器械100的特点。
本发明在此已经以图示的方式进行了说明,而且应该理解的是所使用的术语是为了说明的性质而不是进行限制。显然,在上述内容的启发下本发明可能有许多变型和变体。本发明可以在所附权利要求的范围内以不同于具体描述过的方式实践。
Claims (17)
1.一种用于凝结和切割组织的手术器械,所述器械包括:
手柄组件,包括壳体;
工具仓,能够至少部分地接纳在所述手柄组件的所述壳体中;
所述工具仓包括:
用于在切割组织中使用的工具;
能够操作地连接至所述工具并且在多个位置之间能纵向移动的传动装置;
封入所述传动装置的至少部分并且限定至少一个狭槽的护套;以及
布置在所述护套的外部并通过所述至少一个狭槽能够操作地连接到所述传动装置的夹紧装置;并且
所述手柄组件包括能够操作地接合至所述工具仓的所述夹紧装置的工具致动杆,使得所述夹紧装置和所述传动装置响应于所述工具致动杆的致动而移动,以致动所述工具。
2.根据权利要求1所述的手术器械,其中所述工具仓进一步包括布置在所述护套内的弹簧,且所述弹簧操作地连接至所述夹紧装置,用以提供抵抗所述夹紧装置的张力。
3.根据权利要求1所述的手术器械,其中所述夹紧装置为环形,而且该夹紧装置围绕所述护套并且能滑动地接合所述护套。
4.根据权利要求3所述的手术器械,其中所述工具仓进一步包括活塞,该活塞能在所述护套内滑动并且操作地连接至所述传动装置和所述夹紧装置。
5.根据权利要求4所述的手术器械,其中所述工具能电连接至电源,用于传导电力至组织。
6.根据权利要求5所述的手术器械,其中所述工具仓能全角度旋转,同时在任意旋转位置均保持所述工具的机械控制和所述工具与所述电源之间的电连接。
7.根据权利要求1所述的手术器械,其中所述工具被进一步限定为用于抓取组织的一对夹钳,所述传动装置被进一步限定为具有近端和远端的伸长管,而所述伸长管的所述远端操作地接合所述夹钳,使得所述伸长管的移动致动所述夹钳相对于彼此的运动。
8.根据权利要求7所述的手术器械,其中所述工具被进一步限定为刀片,而所述传动装置被进一步限定为操作地连接至所述刀片并且延伸通过所述伸长管的金属丝。
9.一种用于凝结和切割组织的手术器械,所述手术器械包括:
手柄组件,包括壳体;以及
工具仓,至少部分地接纳在所述手柄组件的所述壳体中;
所述工具仓包括:
用于切割组织的一对夹钳和刀片,
能在多个位置之间沿纵向移动并操作地接合所述夹钳的伸长管和能在多个位置之间沿纵向移动并操作地连接至所述刀片的金属丝,
第一护套,封入所述伸长管的至少部分并限定第一狭槽,
第二护套,封入所述金属丝的至少部分并限定第二狭槽,
第一活塞,布置在所述第一护套内,所述第一活塞能够操作地连接到所述伸长管;
第二活塞,布置在所述第二护套内,所述第二活塞能够操作地连接到所述金属丝;
第一夹紧装置,布置在所述第一护套的外部并通过所述第一狭槽操作地连接至所述第一活塞,和
第二夹紧装置,布置所述第二护套的外部并通过所述第二狭槽操作地连接至所述第二活塞,并且
所述手柄组件包括第一工具启动杆和第二工具启动杆,所述第一工具启动杆能够操作地与所述工具仓的所述第一夹紧装置接合,使得所述第一夹紧装置和所述伸长管移动以响应于所述第一工具启动杆的致动而致动所述夹钳,所述第二工具启动杆能够操作地与所述工具仓的所述第二夹紧装置接合,使得所述第二夹紧装置和所述金属丝移动以响应于所述第二工具启动杆的致动而致动所述刀片。
10.根据权利要求9所述的手术器械,其中所述第二护套被连接至所述第一护套。
11.根据权利要求1所述的手术器械,其中所述手柄组件的所述壳体限定用于容纳所述工具仓的开口,使得部分的所述工具仓被布置在所述壳体的内部而部分的所述工具仓被布置在所述壳体的外部。
12.根据权利要求11所述的手术器械,其中所述手柄组件包括当没有工具仓与所述手柄组件对接时关闭所述开口的门机构。
13.根据权利要求1所述的手术器械,其中所述工具仓是能再利用的和/或是一次性的。
14.根据权利要求12所述的手术器械,其中所述壳体包括能打开以安装或去除所述工具仓的盖子。
15.根据权利要求14所述的手术器械,其中所述门机构由所述盖子支撑。
16.根据权利要求12所述的手术器械,其中所述门机构包括门和弹簧,所述门能移动至闭合位置用以关闭所述开口,所述弹簧操作地连接至所述门用以朝向所述闭合位置驱动所述门。
17.根据权利要求16所述的手术器械,其中所述门的一边缘限定为半圆形,用以与所述工具仓对接。
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Families Citing this family (193)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US10835307B2 (en) | 2001-06-12 | 2020-11-17 | Ethicon Llc | Modular battery powered handheld surgical instrument containing elongated multi-layered shaft |
US8182501B2 (en) | 2004-02-27 | 2012-05-22 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical shears and method for sealing a blood vessel using same |
PL1802245T3 (pl) | 2004-10-08 | 2017-01-31 | Ethicon Endosurgery Llc | Ultradźwiękowy przyrząd chirurgiczny |
US20070191713A1 (en) | 2005-10-14 | 2007-08-16 | Eichmann Stephen E | Ultrasonic device for cutting and coagulating |
US7621930B2 (en) | 2006-01-20 | 2009-11-24 | Ethicon Endo-Surgery, Inc. | Ultrasound medical instrument having a medical ultrasonic blade |
US8911460B2 (en) | 2007-03-22 | 2014-12-16 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical instruments |
US8057498B2 (en) | 2007-11-30 | 2011-11-15 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical instrument blades |
US8142461B2 (en) | 2007-03-22 | 2012-03-27 | Ethicon Endo-Surgery, Inc. | Surgical instruments |
US8523889B2 (en) | 2007-07-27 | 2013-09-03 | Ethicon Endo-Surgery, Inc. | Ultrasonic end effectors with increased active length |
US8808319B2 (en) | 2007-07-27 | 2014-08-19 | Ethicon Endo-Surgery, Inc. | Surgical instruments |
US8430898B2 (en) | 2007-07-31 | 2013-04-30 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical instruments |
US8512365B2 (en) | 2007-07-31 | 2013-08-20 | Ethicon Endo-Surgery, Inc. | Surgical instruments |
US9044261B2 (en) | 2007-07-31 | 2015-06-02 | Ethicon Endo-Surgery, Inc. | Temperature controlled ultrasonic surgical instruments |
US8623027B2 (en) | 2007-10-05 | 2014-01-07 | Ethicon Endo-Surgery, Inc. | Ergonomic surgical instruments |
US10010339B2 (en) | 2007-11-30 | 2018-07-03 | Ethicon Llc | Ultrasonic surgical blades |
US8728076B2 (en) | 2007-12-18 | 2014-05-20 | Bovie Medical Corporation | Surgical apparatus with removable tool cartridge |
CN103251450B (zh) | 2007-12-18 | 2015-10-07 | 博维医药公司 | 带有可去除工具仓的手术器械 |
US9089360B2 (en) | 2008-08-06 | 2015-07-28 | Ethicon Endo-Surgery, Inc. | Devices and techniques for cutting and coagulating tissue |
US20100228250A1 (en) * | 2009-03-05 | 2010-09-09 | Intuitive Surgical Operations, Inc. | Cut and seal instrument |
US8858547B2 (en) * | 2009-03-05 | 2014-10-14 | Intuitive Surgical Operations, Inc. | Cut and seal instrument |
US9700339B2 (en) | 2009-05-20 | 2017-07-11 | Ethicon Endo-Surgery, Inc. | Coupling arrangements and methods for attaching tools to ultrasonic surgical instruments |
US8663220B2 (en) | 2009-07-15 | 2014-03-04 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical instruments |
US10441345B2 (en) | 2009-10-09 | 2019-10-15 | Ethicon Llc | Surgical generator for ultrasonic and electrosurgical devices |
US8574231B2 (en) | 2009-10-09 | 2013-11-05 | Ethicon Endo-Surgery, Inc. | Surgical instrument for transmitting energy to tissue comprising a movable electrode or insulator |
US8906016B2 (en) | 2009-10-09 | 2014-12-09 | Ethicon Endo-Surgery, Inc. | Surgical instrument for transmitting energy to tissue comprising steam control paths |
US11090104B2 (en) | 2009-10-09 | 2021-08-17 | Cilag Gmbh International | Surgical generator for ultrasonic and electrosurgical devices |
US8939974B2 (en) | 2009-10-09 | 2015-01-27 | Ethicon Endo-Surgery, Inc. | Surgical instrument comprising first and second drive systems actuatable by a common trigger mechanism |
US8747404B2 (en) | 2009-10-09 | 2014-06-10 | Ethicon Endo-Surgery, Inc. | Surgical instrument for transmitting energy to tissue comprising non-conductive grasping portions |
US9039695B2 (en) | 2009-10-09 | 2015-05-26 | Ethicon Endo-Surgery, Inc. | Surgical generator for ultrasonic and electrosurgical devices |
US10172669B2 (en) | 2009-10-09 | 2019-01-08 | Ethicon Llc | Surgical instrument comprising an energy trigger lockout |
US8469981B2 (en) | 2010-02-11 | 2013-06-25 | Ethicon Endo-Surgery, Inc. | Rotatable cutting implement arrangements for ultrasonic surgical instruments |
US8486096B2 (en) | 2010-02-11 | 2013-07-16 | Ethicon Endo-Surgery, Inc. | Dual purpose surgical instrument for cutting and coagulating tissue |
US8951272B2 (en) | 2010-02-11 | 2015-02-10 | Ethicon Endo-Surgery, Inc. | Seal arrangements for ultrasonically powered surgical instruments |
US8696665B2 (en) | 2010-03-26 | 2014-04-15 | Ethicon Endo-Surgery, Inc. | Surgical cutting and sealing instrument with reduced firing force |
US8834518B2 (en) | 2010-04-12 | 2014-09-16 | Ethicon Endo-Surgery, Inc. | Electrosurgical cutting and sealing instruments with cam-actuated jaws |
US8709035B2 (en) | 2010-04-12 | 2014-04-29 | Ethicon Endo-Surgery, Inc. | Electrosurgical cutting and sealing instruments with jaws having a parallel closure motion |
US8496682B2 (en) | 2010-04-12 | 2013-07-30 | Ethicon Endo-Surgery, Inc. | Electrosurgical cutting and sealing instruments with cam-actuated jaws |
US8535311B2 (en) | 2010-04-22 | 2013-09-17 | Ethicon Endo-Surgery, Inc. | Electrosurgical instrument comprising closing and firing systems |
US8685020B2 (en) | 2010-05-17 | 2014-04-01 | Ethicon Endo-Surgery, Inc. | Surgical instruments and end effectors therefor |
GB2480498A (en) | 2010-05-21 | 2011-11-23 | Ethicon Endo Surgery Inc | Medical device comprising RF circuitry |
US8926607B2 (en) | 2010-06-09 | 2015-01-06 | Ethicon Endo-Surgery, Inc. | Electrosurgical instrument employing multiple positive temperature coefficient electrodes |
US8790342B2 (en) | 2010-06-09 | 2014-07-29 | Ethicon Endo-Surgery, Inc. | Electrosurgical instrument employing pressure-variation electrodes |
US8888776B2 (en) | 2010-06-09 | 2014-11-18 | Ethicon Endo-Surgery, Inc. | Electrosurgical instrument employing an electrode |
US8795276B2 (en) | 2010-06-09 | 2014-08-05 | Ethicon Endo-Surgery, Inc. | Electrosurgical instrument employing a plurality of electrodes |
US8753338B2 (en) | 2010-06-10 | 2014-06-17 | Ethicon Endo-Surgery, Inc. | Electrosurgical instrument employing a thermal management system |
US8764747B2 (en) | 2010-06-10 | 2014-07-01 | Ethicon Endo-Surgery, Inc. | Electrosurgical instrument comprising sequentially activated electrodes |
US9005199B2 (en) | 2010-06-10 | 2015-04-14 | Ethicon Endo-Surgery, Inc. | Heat management configurations for controlling heat dissipation from electrosurgical instruments |
US9149324B2 (en) | 2010-07-08 | 2015-10-06 | Ethicon Endo-Surgery, Inc. | Surgical instrument comprising an articulatable end effector |
US8613383B2 (en) | 2010-07-14 | 2013-12-24 | Ethicon Endo-Surgery, Inc. | Surgical instruments with electrodes |
US8453906B2 (en) | 2010-07-14 | 2013-06-04 | Ethicon Endo-Surgery, Inc. | Surgical instruments with electrodes |
US8795327B2 (en) | 2010-07-22 | 2014-08-05 | Ethicon Endo-Surgery, Inc. | Electrosurgical instrument with separate closure and cutting members |
US9192431B2 (en) | 2010-07-23 | 2015-11-24 | Ethicon Endo-Surgery, Inc. | Electrosurgical cutting and sealing instrument |
US9011437B2 (en) | 2010-07-23 | 2015-04-21 | Ethicon Endo-Surgery, Inc. | Electrosurgical cutting and sealing instrument |
US8979843B2 (en) | 2010-07-23 | 2015-03-17 | Ethicon Endo-Surgery, Inc. | Electrosurgical cutting and sealing instrument |
US9017372B2 (en) * | 2010-10-01 | 2015-04-28 | Covidien Lp | Blade deployment mechanisms for surgical forceps |
US8979890B2 (en) | 2010-10-01 | 2015-03-17 | Ethicon Endo-Surgery, Inc. | Surgical instrument with jaw member |
US9655672B2 (en) | 2010-10-04 | 2017-05-23 | Covidien Lp | Vessel sealing instrument |
US9345534B2 (en) | 2010-10-04 | 2016-05-24 | Covidien Lp | Vessel sealing instrument |
US8628529B2 (en) | 2010-10-26 | 2014-01-14 | Ethicon Endo-Surgery, Inc. | Surgical instrument with magnetic clamping force |
US8715277B2 (en) | 2010-12-08 | 2014-05-06 | Ethicon Endo-Surgery, Inc. | Control of jaw compression in surgical instrument having end effector with opposing jaw members |
US9358065B2 (en) * | 2011-06-23 | 2016-06-07 | Covidien Lp | Shaped electrode bipolar resection apparatus, system and methods of use |
US9259265B2 (en) | 2011-07-22 | 2016-02-16 | Ethicon Endo-Surgery, Llc | Surgical instruments for tensioning tissue |
US9044243B2 (en) | 2011-08-30 | 2015-06-02 | Ethcon Endo-Surgery, Inc. | Surgical cutting and fastening device with descendible second trigger arrangement |
US9283027B2 (en) | 2011-10-24 | 2016-03-15 | Ethicon Endo-Surgery, Llc | Battery drain kill feature in a battery powered device |
DE102011086102A1 (de) * | 2011-11-10 | 2013-05-16 | Olympus Winter & Ibe Gmbh | Elektrochirurgisches Greifinstrument |
EP2811932B1 (en) | 2012-02-10 | 2019-06-26 | Ethicon LLC | Robotically controlled surgical instrument |
CA2865579C (en) * | 2012-03-08 | 2021-03-02 | Covidien Lp | Vessel sealing instrument |
US9439668B2 (en) | 2012-04-09 | 2016-09-13 | Ethicon Endo-Surgery, Llc | Switch arrangements for ultrasonic surgical instruments |
US20140005705A1 (en) | 2012-06-29 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Surgical instruments with articulating shafts |
US20140005640A1 (en) | 2012-06-28 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Surgical end effector jaw and electrode configurations |
US9393037B2 (en) | 2012-06-29 | 2016-07-19 | Ethicon Endo-Surgery, Llc | Surgical instruments with articulating shafts |
US9226767B2 (en) | 2012-06-29 | 2016-01-05 | Ethicon Endo-Surgery, Inc. | Closed feedback control for electrosurgical device |
US9408622B2 (en) | 2012-06-29 | 2016-08-09 | Ethicon Endo-Surgery, Llc | Surgical instruments with articulating shafts |
US9820768B2 (en) | 2012-06-29 | 2017-11-21 | Ethicon Llc | Ultrasonic surgical instruments with control mechanisms |
US20140005702A1 (en) | 2012-06-29 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical instruments with distally positioned transducers |
US9326788B2 (en) | 2012-06-29 | 2016-05-03 | Ethicon Endo-Surgery, Llc | Lockout mechanism for use with robotic electrosurgical device |
US9351754B2 (en) | 2012-06-29 | 2016-05-31 | Ethicon Endo-Surgery, Llc | Ultrasonic surgical instruments with distally positioned jaw assemblies |
US9198714B2 (en) | 2012-06-29 | 2015-12-01 | Ethicon Endo-Surgery, Inc. | Haptic feedback devices for surgical robot |
US9492224B2 (en) | 2012-09-28 | 2016-11-15 | EthiconEndo-Surgery, LLC | Multi-function bi-polar forceps |
US9095367B2 (en) | 2012-10-22 | 2015-08-04 | Ethicon Endo-Surgery, Inc. | Flexible harmonic waveguides/blades for surgical instruments |
CN102920507B (zh) * | 2012-11-02 | 2015-01-14 | 潘文胜 | 粘膜剥离手术刀 |
US20140135804A1 (en) | 2012-11-15 | 2014-05-15 | Ethicon Endo-Surgery, Inc. | Ultrasonic and electrosurgical devices |
US10226273B2 (en) | 2013-03-14 | 2019-03-12 | Ethicon Llc | Mechanical fasteners for use with surgical energy devices |
CN103300916A (zh) * | 2013-04-08 | 2013-09-18 | 广州市惠润医疗设备有限公司 | 双极多功能钳 |
US9750503B2 (en) | 2013-07-11 | 2017-09-05 | Covidien Lp | Methods and devices for performing a surgical anastomosis |
US9295514B2 (en) | 2013-08-30 | 2016-03-29 | Ethicon Endo-Surgery, Llc | Surgical devices with close quarter articulation features |
US9814514B2 (en) | 2013-09-13 | 2017-11-14 | Ethicon Llc | Electrosurgical (RF) medical instruments for cutting and coagulating tissue |
US9861428B2 (en) | 2013-09-16 | 2018-01-09 | Ethicon Llc | Integrated systems for electrosurgical steam or smoke control |
US9642671B2 (en) | 2013-09-30 | 2017-05-09 | Covidien Lp | Limited-use medical device |
US9526565B2 (en) | 2013-11-08 | 2016-12-27 | Ethicon Endo-Surgery, Llc | Electrosurgical devices |
US9265926B2 (en) | 2013-11-08 | 2016-02-23 | Ethicon Endo-Surgery, Llc | Electrosurgical devices |
GB2521229A (en) | 2013-12-16 | 2015-06-17 | Ethicon Endo Surgery Inc | Medical device |
GB2521228A (en) | 2013-12-16 | 2015-06-17 | Ethicon Endo Surgery Inc | Medical device |
US9795436B2 (en) | 2014-01-07 | 2017-10-24 | Ethicon Llc | Harvesting energy from a surgical generator |
US9408660B2 (en) | 2014-01-17 | 2016-08-09 | Ethicon Endo-Surgery, Llc | Device trigger dampening mechanism |
US9554854B2 (en) | 2014-03-18 | 2017-01-31 | Ethicon Endo-Surgery, Llc | Detecting short circuits in electrosurgical medical devices |
US10463421B2 (en) | 2014-03-27 | 2019-11-05 | Ethicon Llc | Two stage trigger, clamp and cut bipolar vessel sealer |
US10092310B2 (en) | 2014-03-27 | 2018-10-09 | Ethicon Llc | Electrosurgical devices |
US10524852B1 (en) | 2014-03-28 | 2020-01-07 | Ethicon Llc | Distal sealing end effector with spacers |
US9737355B2 (en) | 2014-03-31 | 2017-08-22 | Ethicon Llc | Controlling impedance rise in electrosurgical medical devices |
US9913680B2 (en) | 2014-04-15 | 2018-03-13 | Ethicon Llc | Software algorithms for electrosurgical instruments |
US9757186B2 (en) | 2014-04-17 | 2017-09-12 | Ethicon Llc | Device status feedback for bipolar tissue spacer |
CN106659483A (zh) * | 2014-06-27 | 2017-05-10 | 脉冲健康有限责任公司 | 分析筒及其使用方法 |
US9700333B2 (en) | 2014-06-30 | 2017-07-11 | Ethicon Llc | Surgical instrument with variable tissue compression |
US10285724B2 (en) | 2014-07-31 | 2019-05-14 | Ethicon Llc | Actuation mechanisms and load adjustment assemblies for surgical instruments |
US10194976B2 (en) | 2014-08-25 | 2019-02-05 | Ethicon Llc | Lockout disabling mechanism |
US9877776B2 (en) | 2014-08-25 | 2018-01-30 | Ethicon Llc | Simultaneous I-beam and spring driven cam jaw closure mechanism |
US10639092B2 (en) | 2014-12-08 | 2020-05-05 | Ethicon Llc | Electrode configurations for surgical instruments |
US9848937B2 (en) | 2014-12-22 | 2017-12-26 | Ethicon Llc | End effector with detectable configurations |
US10111699B2 (en) | 2014-12-22 | 2018-10-30 | Ethicon Llc | RF tissue sealer, shear grip, trigger lock mechanism and energy activation |
US10159524B2 (en) | 2014-12-22 | 2018-12-25 | Ethicon Llc | High power battery powered RF amplifier topology |
US10092348B2 (en) | 2014-12-22 | 2018-10-09 | Ethicon Llc | RF tissue sealer, shear grip, trigger lock mechanism and energy activation |
US10245095B2 (en) | 2015-02-06 | 2019-04-02 | Ethicon Llc | Electrosurgical instrument with rotation and articulation mechanisms |
US10321950B2 (en) | 2015-03-17 | 2019-06-18 | Ethicon Llc | Managing tissue treatment |
US10342602B2 (en) | 2015-03-17 | 2019-07-09 | Ethicon Llc | Managing tissue treatment |
US10595929B2 (en) | 2015-03-24 | 2020-03-24 | Ethicon Llc | Surgical instruments with firing system overload protection mechanisms |
US10314638B2 (en) | 2015-04-07 | 2019-06-11 | Ethicon Llc | Articulating radio frequency (RF) tissue seal with articulating state sensing |
US10117702B2 (en) | 2015-04-10 | 2018-11-06 | Ethicon Llc | Surgical generator systems and related methods |
US10130410B2 (en) | 2015-04-17 | 2018-11-20 | Ethicon Llc | Electrosurgical instrument including a cutting member decouplable from a cutting member trigger |
US9872725B2 (en) | 2015-04-29 | 2018-01-23 | Ethicon Llc | RF tissue sealer with mode selection |
US11020140B2 (en) | 2015-06-17 | 2021-06-01 | Cilag Gmbh International | Ultrasonic surgical blade for use with ultrasonic surgical instruments |
US11129669B2 (en) | 2015-06-30 | 2021-09-28 | Cilag Gmbh International | Surgical system with user adaptable techniques based on tissue type |
US10898256B2 (en) | 2015-06-30 | 2021-01-26 | Ethicon Llc | Surgical system with user adaptable techniques based on tissue impedance |
US10765470B2 (en) | 2015-06-30 | 2020-09-08 | Ethicon Llc | Surgical system with user adaptable techniques employing simultaneous energy modalities based on tissue parameters |
US11051873B2 (en) | 2015-06-30 | 2021-07-06 | Cilag Gmbh International | Surgical system with user adaptable techniques employing multiple energy modalities based on tissue parameters |
US10034704B2 (en) | 2015-06-30 | 2018-07-31 | Ethicon Llc | Surgical instrument with user adaptable algorithms |
US10357303B2 (en) | 2015-06-30 | 2019-07-23 | Ethicon Llc | Translatable outer tube for sealing using shielded lap chole dissector |
US10154852B2 (en) | 2015-07-01 | 2018-12-18 | Ethicon Llc | Ultrasonic surgical blade with improved cutting and coagulation features |
US10751108B2 (en) | 2015-09-30 | 2020-08-25 | Ethicon Llc | Protection techniques for generator for digitally generating electrosurgical and ultrasonic electrical signal waveforms |
US10959771B2 (en) | 2015-10-16 | 2021-03-30 | Ethicon Llc | Suction and irrigation sealing grasper |
US10595930B2 (en) | 2015-10-16 | 2020-03-24 | Ethicon Llc | Electrode wiping surgical device |
US10179022B2 (en) | 2015-12-30 | 2019-01-15 | Ethicon Llc | Jaw position impedance limiter for electrosurgical instrument |
US10959806B2 (en) | 2015-12-30 | 2021-03-30 | Ethicon Llc | Energized medical device with reusable handle |
US10575892B2 (en) | 2015-12-31 | 2020-03-03 | Ethicon Llc | Adapter for electrical surgical instruments |
GB201600546D0 (en) * | 2016-01-12 | 2016-02-24 | Gyrus Medical Ltd | Electrosurgical device |
US10716615B2 (en) | 2016-01-15 | 2020-07-21 | Ethicon Llc | Modular battery powered handheld surgical instrument with curved end effectors having asymmetric engagement between jaw and blade |
US11129670B2 (en) | 2016-01-15 | 2021-09-28 | Cilag Gmbh International | Modular battery powered handheld surgical instrument with selective application of energy based on button displacement, intensity, or local tissue characterization |
US11229450B2 (en) | 2016-01-15 | 2022-01-25 | Cilag Gmbh International | Modular battery powered handheld surgical instrument with motor drive |
US11229471B2 (en) | 2016-01-15 | 2022-01-25 | Cilag Gmbh International | Modular battery powered handheld surgical instrument with selective application of energy based on tissue characterization |
US10555769B2 (en) | 2016-02-22 | 2020-02-11 | Ethicon Llc | Flexible circuits for electrosurgical instrument |
US10646269B2 (en) | 2016-04-29 | 2020-05-12 | Ethicon Llc | Non-linear jaw gap for electrosurgical instruments |
US10702329B2 (en) | 2016-04-29 | 2020-07-07 | Ethicon Llc | Jaw structure with distal post for electrosurgical instruments |
US10485607B2 (en) | 2016-04-29 | 2019-11-26 | Ethicon Llc | Jaw structure with distal closure for electrosurgical instruments |
US10987156B2 (en) | 2016-04-29 | 2021-04-27 | Ethicon Llc | Electrosurgical instrument with electrically conductive gap setting member and electrically insulative tissue engaging members |
US10856934B2 (en) | 2016-04-29 | 2020-12-08 | Ethicon Llc | Electrosurgical instrument with electrically conductive gap setting and tissue engaging members |
US10456193B2 (en) | 2016-05-03 | 2019-10-29 | Ethicon Llc | Medical device with a bilateral jaw configuration for nerve stimulation |
US10245064B2 (en) | 2016-07-12 | 2019-04-02 | Ethicon Llc | Ultrasonic surgical instrument with piezoelectric central lumen transducer |
US10893883B2 (en) | 2016-07-13 | 2021-01-19 | Ethicon Llc | Ultrasonic assembly for use with ultrasonic surgical instruments |
US10842522B2 (en) | 2016-07-15 | 2020-11-24 | Ethicon Llc | Ultrasonic surgical instruments having offset blades |
US10376305B2 (en) | 2016-08-05 | 2019-08-13 | Ethicon Llc | Methods and systems for advanced harmonic energy |
US10285723B2 (en) | 2016-08-09 | 2019-05-14 | Ethicon Llc | Ultrasonic surgical blade with improved heel portion |
USD847990S1 (en) | 2016-08-16 | 2019-05-07 | Ethicon Llc | Surgical instrument |
US10952759B2 (en) | 2016-08-25 | 2021-03-23 | Ethicon Llc | Tissue loading of a surgical instrument |
US10828056B2 (en) | 2016-08-25 | 2020-11-10 | Ethicon Llc | Ultrasonic transducer to waveguide acoustic coupling, connections, and configurations |
US10751117B2 (en) | 2016-09-23 | 2020-08-25 | Ethicon Llc | Electrosurgical instrument with fluid diverter |
US10603064B2 (en) | 2016-11-28 | 2020-03-31 | Ethicon Llc | Ultrasonic transducer |
US11266430B2 (en) | 2016-11-29 | 2022-03-08 | Cilag Gmbh International | End effector control and calibration |
US11033325B2 (en) | 2017-02-16 | 2021-06-15 | Cilag Gmbh International | Electrosurgical instrument with telescoping suction port and debris cleaner |
US10799284B2 (en) | 2017-03-15 | 2020-10-13 | Ethicon Llc | Electrosurgical instrument with textured jaws |
US11497546B2 (en) | 2017-03-31 | 2022-11-15 | Cilag Gmbh International | Area ratios of patterned coatings on RF electrodes to reduce sticking |
US10603117B2 (en) | 2017-06-28 | 2020-03-31 | Ethicon Llc | Articulation state detection mechanisms |
US10820920B2 (en) | 2017-07-05 | 2020-11-03 | Ethicon Llc | Reusable ultrasonic medical devices and methods of their use |
US11484358B2 (en) | 2017-09-29 | 2022-11-01 | Cilag Gmbh International | Flexible electrosurgical instrument |
US11033323B2 (en) | 2017-09-29 | 2021-06-15 | Cilag Gmbh International | Systems and methods for managing fluid and suction in electrosurgical systems |
US11490951B2 (en) | 2017-09-29 | 2022-11-08 | Cilag Gmbh International | Saline contact with electrodes |
EP3809982A1 (en) * | 2018-06-22 | 2021-04-28 | Boston Scientific Scimed, Inc. | Tissue removal device |
US11547468B2 (en) | 2019-06-27 | 2023-01-10 | Cilag Gmbh International | Robotic surgical system with safety and cooperative sensing control |
US11612445B2 (en) | 2019-06-27 | 2023-03-28 | Cilag Gmbh International | Cooperative operation of robotic arms |
US11607278B2 (en) | 2019-06-27 | 2023-03-21 | Cilag Gmbh International | Cooperative robotic surgical systems |
US11413102B2 (en) | 2019-06-27 | 2022-08-16 | Cilag Gmbh International | Multi-access port for surgical robotic systems |
US11723729B2 (en) | 2019-06-27 | 2023-08-15 | Cilag Gmbh International | Robotic surgical assembly coupling safety mechanisms |
CN110327112B (zh) * | 2019-08-15 | 2024-03-15 | 北京佰仁医疗科技股份有限公司 | 一种射频消融钳及包含射频消融钳的多电极射频消融*** |
US11684412B2 (en) | 2019-12-30 | 2023-06-27 | Cilag Gmbh International | Surgical instrument with rotatable and articulatable surgical end effector |
US11812957B2 (en) | 2019-12-30 | 2023-11-14 | Cilag Gmbh International | Surgical instrument comprising a signal interference resolution system |
US11786291B2 (en) | 2019-12-30 | 2023-10-17 | Cilag Gmbh International | Deflectable support of RF energy electrode with respect to opposing ultrasonic blade |
US11660089B2 (en) | 2019-12-30 | 2023-05-30 | Cilag Gmbh International | Surgical instrument comprising a sensing system |
US11974801B2 (en) | 2019-12-30 | 2024-05-07 | Cilag Gmbh International | Electrosurgical instrument with flexible wiring assemblies |
US11986201B2 (en) | 2019-12-30 | 2024-05-21 | Cilag Gmbh International | Method for operating a surgical instrument |
US11950797B2 (en) | 2019-12-30 | 2024-04-09 | Cilag Gmbh International | Deflectable electrode with higher distal bias relative to proximal bias |
US11779387B2 (en) | 2019-12-30 | 2023-10-10 | Cilag Gmbh International | Clamp arm jaw to minimize tissue sticking and improve tissue control |
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US11779329B2 (en) | 2019-12-30 | 2023-10-10 | Cilag Gmbh International | Surgical instrument comprising a flex circuit including a sensor system |
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US20210196361A1 (en) | 2019-12-30 | 2021-07-01 | Ethicon Llc | Electrosurgical instrument with monopolar and bipolar energy capabilities |
US11759251B2 (en) | 2019-12-30 | 2023-09-19 | Cilag Gmbh International | Control program adaptation based on device status and user input |
US11937866B2 (en) | 2019-12-30 | 2024-03-26 | Cilag Gmbh International | Method for an electrosurgical procedure |
US11937863B2 (en) | 2019-12-30 | 2024-03-26 | Cilag Gmbh International | Deflectable electrode with variable compression bias along the length of the deflectable electrode |
US11911063B2 (en) | 2019-12-30 | 2024-02-27 | Cilag Gmbh International | Techniques for detecting ultrasonic blade to electrode contact and reducing power to ultrasonic blade |
US11696776B2 (en) | 2019-12-30 | 2023-07-11 | Cilag Gmbh International | Articulatable surgical instrument |
US12023086B2 (en) | 2019-12-30 | 2024-07-02 | Cilag Gmbh International | Electrosurgical instrument for delivering blended energy modalities to tissue |
US11974829B2 (en) | 2021-06-30 | 2024-05-07 | Cilag Gmbh International | Link-driven articulation device for a surgical device |
US11931026B2 (en) | 2021-06-30 | 2024-03-19 | Cilag Gmbh International | Staple cartridge replacement |
US11957342B2 (en) | 2021-11-01 | 2024-04-16 | Cilag Gmbh International | Devices, systems, and methods for detecting tissue and foreign objects during a surgical operation |
Citations (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5830231A (en) * | 1997-03-19 | 1998-11-03 | Geiges, Jr.; John J. | Handle and actuating mechanism for surgical instruments |
EP0908150A1 (en) * | 1997-10-10 | 1999-04-14 | Ethicon Endo-Surgery, Inc. | Ultrasonic clamp coagulator apparatus having dual rotational positioning |
CN1757384A (zh) * | 2004-01-26 | 2006-04-12 | 史蒂夫·利夫内 | 一种多模式手术器械 |
EP1810625A1 (en) * | 2006-01-24 | 2007-07-25 | Sherwood Services AG | Vessel sealer and divider for large tissue structures |
Family Cites Families (23)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US3496500A (en) * | 1968-08-28 | 1970-02-17 | Electro Oceanics Inc | Magnet controlled fluid-proof connector |
JPS56102442A (en) | 1980-01-18 | 1981-08-15 | Kanto Koki Kk | Headstock of machine tool |
US5531744A (en) * | 1991-11-01 | 1996-07-02 | Medical Scientific, Inc. | Alternative current pathways for bipolar surgical cutting tool |
US5389098A (en) * | 1992-05-19 | 1995-02-14 | Olympus Optical Co., Ltd. | Surgical device for stapling and/or fastening body tissues |
US5601224A (en) * | 1992-10-09 | 1997-02-11 | Ethicon, Inc. | Surgical instrument |
US5762613A (en) * | 1996-05-07 | 1998-06-09 | Spectrascience, Inc. | Optical biopsy forceps |
US6626901B1 (en) * | 1997-03-05 | 2003-09-30 | The Trustees Of Columbia University In The City Of New York | Electrothermal instrument for sealing and joining or cutting tissue |
US6953461B2 (en) * | 2002-05-16 | 2005-10-11 | Tissuelink Medical, Inc. | Fluid-assisted medical devices, systems and methods |
US7101371B2 (en) * | 2001-04-06 | 2006-09-05 | Dycus Sean T | Vessel sealer and divider |
US20030229344A1 (en) * | 2002-01-22 | 2003-12-11 | Dycus Sean T. | Vessel sealer and divider and method of manufacturing same |
AU2002256296B2 (en) * | 2001-06-14 | 2006-12-07 | Intuitive Surgical Operations, Inc. | Apparatus and method for surgical suturing with thread management |
AU2002339884A1 (en) * | 2001-09-05 | 2003-03-18 | Tissuelink Medical, Inc. | Fluid assisted medical devices, fluid delivery systems and controllers for such devices, and methods |
US7887559B2 (en) * | 2002-08-08 | 2011-02-15 | Stryker Corporation | Surgical cutting accessory with encapsulated RFID chip |
GB0221707D0 (en) | 2002-09-18 | 2002-10-30 | Gyrus Medical Ltd | Electrical system |
US7597693B2 (en) * | 2003-06-13 | 2009-10-06 | Covidien Ag | Vessel sealer and divider for use with small trocars and cannulas |
US7232440B2 (en) * | 2003-11-17 | 2007-06-19 | Sherwood Services Ag | Bipolar forceps having monopolar extension |
US7585295B2 (en) * | 2003-12-23 | 2009-09-08 | Itos International Ltd. | Thermal airflow tool and system |
US7686804B2 (en) * | 2005-01-14 | 2010-03-30 | Covidien Ag | Vessel sealer and divider with rotating sealer and cutter |
EP1848344A4 (en) * | 2005-02-04 | 2014-01-29 | Moshe Dudai | CLAMPS, STACKERS, ANASTOMOSIS DEVICES AND METHOD FOR THEIR USE |
US20100286791A1 (en) * | 2006-11-21 | 2010-11-11 | Goldsmith David S | Integrated system for the ballistic and nonballistic infixion and retrieval of implants |
US8728076B2 (en) * | 2007-12-18 | 2014-05-20 | Bovie Medical Corporation | Surgical apparatus with removable tool cartridge |
CN103251450B (zh) | 2007-12-18 | 2015-10-07 | 博维医药公司 | 带有可去除工具仓的手术器械 |
US8393231B2 (en) * | 2010-11-15 | 2013-03-12 | Legend Lifestyle Products Corp. | Multifunctional torque tool detection device |
-
2008
- 2008-12-18 CN CN201310129588.6A patent/CN103251450B/zh active Active
- 2008-12-18 CA CA2709916A patent/CA2709916C/en active Active
- 2008-12-18 GB GB1010185.5A patent/GB2467883B/en active Active
- 2008-12-18 CN CN2008801255369A patent/CN101951849B/zh active Active
- 2008-12-18 US US12/808,938 patent/US9198715B2/en active Active
- 2008-12-18 DE DE112008003419.2T patent/DE112008003419B4/de active Active
- 2008-12-18 WO PCT/US2008/013931 patent/WO2009082477A2/en active Application Filing
Patent Citations (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5830231A (en) * | 1997-03-19 | 1998-11-03 | Geiges, Jr.; John J. | Handle and actuating mechanism for surgical instruments |
EP0908150A1 (en) * | 1997-10-10 | 1999-04-14 | Ethicon Endo-Surgery, Inc. | Ultrasonic clamp coagulator apparatus having dual rotational positioning |
CN1757384A (zh) * | 2004-01-26 | 2006-04-12 | 史蒂夫·利夫内 | 一种多模式手术器械 |
EP1810625A1 (en) * | 2006-01-24 | 2007-07-25 | Sherwood Services AG | Vessel sealer and divider for large tissue structures |
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GB201010185D0 (en) | 2010-07-21 |
WO2009082477A3 (en) | 2009-08-20 |
GB2467883B (en) | 2013-02-13 |
CA2709916C (en) | 2016-07-19 |
CN103251450A (zh) | 2013-08-21 |
GB2467883A (en) | 2010-08-18 |
DE112008003419B4 (de) | 2018-08-30 |
CN101951849A (zh) | 2011-01-19 |
US9198715B2 (en) | 2015-12-01 |
WO2009082477A4 (en) | 2009-11-19 |
CN101951849B (zh) | 2013-05-22 |
US20110009859A1 (en) | 2011-01-13 |
DE112008003419T5 (de) | 2011-02-10 |
CA2709916A1 (en) | 2009-07-02 |
WO2009082477A2 (en) | 2009-07-02 |
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