CN103987328B - 带有填充钉的外科器械 - Google Patents
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Abstract
一种设备包括具有近端和远端的外科器械。所述近端可以包括柄部。所述远端可以包括切割器和缝合器。所述设备还可包括与所述缝合器一起使用的钉。所述钉可包括内部通道，所述内部通道沿着所述钉的长度的至少一部分延伸。所述设备还可包括包含在所述内部通道中的剂，所述剂可以用于在使用外科器械的手术部位进行凝结。所述剂可有利于一旦在所述钉被锚定到所述手术部位时手术部位处流体的凝结。
Description
背景技术
在一些环境下，内窥镜式外科器械可以优于传统的开放式外科装置，因为较小切口能够减少术后恢复时间和并发症。因此，一些内窥镜式外科器械可以适于穿过套管针的插管使得远侧端部执行器在期望手术部位放置下来。这些远侧端部执行器能通过多种方式啮合组织以便达到诊断或治疗的效果，所述远侧端部执行器如直线切割器、抓紧器、切割器、缝合器、施夹器、进入装置、药物/基因治疗递送装置以及使用超声、射频、激光等的能量递送装置。内窥镜式外科器械可包括轴，轴在端部执行器与临床医生所操纵的柄部部分之间。此轴可以允许***能够达到期望深度并且围绕轴的纵向轴线旋转，由此，利于端部执行器在患者体内定位。还可通过添加一个或多个关节运动接头或结构以进一步利于端部执行器的定位，从而使得端部执行器能选择性地进行关节运动，或以其它方式相对轴的纵向轴线偏转。
内窥镜式外科器械的例子包括外科缝合器。一些这样的缝合器能够操作以夹紧在组织层上，切割穿过夹紧的组织层，并驱动钉穿过组织层以在组织层的被切断的端部附近将被切断的组织层基本上密封在一起。仅示例性外科缝合器被公开在以下专利中：于1989年2月21日公布的名称为“Pocket Configuration for Internal Organ Staplers”的美国专利第4,805,823号；于1995年5月16日公布的名称为“Surgical Stapler and StapleCartridge”的美国专利第5,415,334号；于1995年11月14日公布的名称为“SurgicalStapler Instrument”的美国专利第5,465,895号；于1997年1月28日公布的名称为“Surgical Stapler Instrument”的美国专利第5,597,107号；于1997年5月27日公布的名称为“Surgical Instrument”的美国专利第5,632,432号；于1997年10月7日公布的名称为“Surgical Instrument”的美国专利第5,673,840号；于1998年1月6日公布的名称为“Articulation Assembly for Surgical Instruments”的美国专利第5,704,534号；于1998年9月29日公布的名称为“Surgical Clamping Mechanism”的美国专利第5,814,055号；于2005年12月27日公布的名称为“Surgical Stapling Instrument Incorporating anE-Beam Firing Mechanism”的美国专利第6,978,921；于2006年2月21日公布的名称为“Surgical Stapling Instrument Having Separate Distinct Closing and FiringSystems”的美国专利第7,000,818号；于2006年12月5日公布的名称为“Surgical StaplingInstrument having a Firing Lockout for an Unclosed Anvil”的美国专利第7,143,923号；于2007年12月4日公布的名称为“Surgical Stapling Instrument Incorporatinga Multi-Stroke Firing Mechanism with a Flexible Rack”的美国专利第7,303,108号；于2008年5月6日公布的名称为“Surgical Stapling Instrument Incorporating aMultistroke Firing Mechanism Having a Rotary Transmission”的美国专利第7,367,485号；于2008年6月3日公布的名称为“Surgical Stapling Instrument Having a SingleLockout Mechanism for Prevention of Firing”的美国专利第7,380,695号；于2008年6月3日公布的名称为“Articulating Surgical Stapling Instrument Incorporating aTwo-Piece E-Beam Firing Mechanism”的美国专利第7,380,696号；于2008年7月29日公布的名称为“Surgical Stapling and Cutting Device”的美国专利第7,404,508号；于2008年10月14日公布的名称为“Surgical Stapling Instrument Having Multistroke Firingwith Opening Lockout”的美国专利第7,434,715号；以及于2010年5月25日公布的名称为“Disposable Cartridge with Adhesive for Use with a Stapling Device”的美国专利第7,721,930号。上文所引用的美国专利中的每个中的公开内容均以引用方式并入本文。虽然上文所涉及的外科缝合器被描述为用于内窥镜式手术，但应理解，此类外科缝合器也可以用于开放式手术和/或其它非内窥镜式手术。
虽然已经制造并且使用各种类型的外科缝合器械，但是据信，在本发明人前尚未有人研制出或使用所附权利要求书中所描述的发明。
附图说明
并入本说明书并构成其一部分的附图示出本发明的各实施例，并与上文所给出的本发明的一般说明以及下文所给出的实施例的详细说明一起用于解释本发明的原理。
图1A描绘了关节运动式外科器械的透视图，其中端部执行器在非关节运动的位置；
图1B描绘了图1A的外科器械的透视图，其中端部执行器在关节运动位置；
图2描绘了图1A至1B的外科器械的打开的端部执行器的透视图；
图3A描绘了沿图2的线3-3截取的图2的端部执行器的侧视横截面图，其中击发杆在近侧位置；
图3B描绘了沿图2的线3-3截取的图2的端部执行器的侧视横截面图，其中击发杆在远侧位置；
图4描绘了沿图2的线4-4截取的图2的端部执行器的端部横截面图；
图5描绘了图2的端部执行器的分解透视图；
图6描绘了图2的端部执行器的透视图，所述端部执行器被定位在组织处并且已在组织中被致动一次；
图7描绘了钉的示例性变型的前正视图；
图8描绘了钉的可供选择的示例性变型的透视图；
图9描绘了图8所示钉的沿线A-A的横截面图；
图10描绘了钉的另一可供选择的示例性变型的横截面图，该钉具有C形截面；
图11描绘了钉的另一可供选择的示例性变型的横截面图，该钉具有多个孔。
附图并非意在以任何方式进行限制，并且可以预期本发明的各种实施例能够以多种其它方式来执行，包括那些未必在附图中示出的方式。附图并入本说明书中并构成其一部分，示出了本发明的若干方面，并与具体实施方式一起用于说明本发明的原理；然而，应当理解，本发明不限于所示出的明确布置方式。
具体实施方式
对本发明的某些例子的如下描述不应用来限制本发明的范围。通过以下举例说明设想用于实施本发明的最佳方式之一的描述，本发明的其它例子、特征、形态、实施例和优点对于本领域的技术人员而言将变得显而易见。正如将会意识到的，本发明可以是其它不同且明显的方面，只要不脱离本发明。因此，附图和具体实施方式应被视为实质上是示例性的，而非限制性的。
I.示例性外科缝合器
图1至6描绘了示例性外科缝合和切断器械10，在图1A中描绘的非关节运动的状态下，其尺寸设定成穿过套管针的管道通道***患者手术部位，以便执行外科手术。外科缝合和切断器械10包括连接至执行部分22的柄部部分20，所述执行部分还包括轴23，该轴远侧终止在关节运动机构11和在远侧附接的端部执行器12处。一旦关节运动机构11和端部执行器12穿过套管针的管道通道***，关节运动机构11就可通过关节运动控件13进行远程关节运动，如在图1B中所描绘。由此，端部执行器12可从期望角度或为其它原因到达器官或附近组织的后面。应当理解，诸如“近侧”和“远侧”的术语在本文中是参考器械10中临床医生抓握的柄部部分20而使用的。因此，端部执行器12相对更近侧的柄部部分20处于远侧。还应理解，为简洁和清楚起见，本文可以结合附图使用空间术语，如“竖直”和“水平”。然而，外科器械在多个取向上和位置中使用，并且这些术语并非意图进行限制，也并非是绝对。
本例子的端部执行器12包括下钳口16和可枢转式砧座18。柄部部分20包括***式握把24，临床医生将闭合触发器26枢转拉向该***式握把，以使砧座18朝向端部执行器12的下钳口16夹紧或者闭合。砧座18的这种闭合通过最外侧的闭合套管32提供，所述闭合套管响应闭合触发器26相对***式握把24的枢转而相对于柄部部分20纵向平移。闭合套管32的远侧闭合环33是由执行部分22的框架34间接支撑在关节运动机构11处，闭合套管32的近侧闭合管35与远侧闭合环33相连。框架34经由关节运动机构11柔性附接到下钳口16，使得能够在单个平面中进行关节运动。框架34还在纵向上滑动地支撑击发驱动构件(未示出)，所述击发驱动构件延伸穿过轴23并将击发运动从击发触发器28传递到击发杆14。击发触发器28远离闭合触发器26的外侧，并且能被临床医生枢转拉动，以使所夹紧的组织在端部执行器12中被缝合和切断，如下文将更详细地描述。然后，释放按钮30被压下以释放来自端部执行器12的组织。
图2至5示出了端部执行器12，其采用了电子束击发杆14来执行多个功能。如图3A至3B中最佳地示出，击发杆14包括横向取向的上部销38、击发杆顶盖44、横向取向的中部销46和处于远侧的切割刃48。上部销38定位在砧座18的砧座凹坑40内并且能够在该砧座凹坑中平移。击发杆顶盖44通过使击发杆14延伸穿过通道狭槽45(如图3B所示)而可滑动地接合下钳口16的下表面，该通道狭槽形成为穿过下钳口16。中部销46可滑动地接合下钳口16的顶部表面，从而与击发杆顶盖44协作。从而，击发杆14在击发期间肯定与端部执行器12隔开，对于最小量的夹紧组织克服在砧座18与下钳口16之间可能出现的收缩，并且对于过多量的夹紧组织克服钉变形。
图2示出了朝近侧定位的击发杆14和枢转到打开位置的砧座18，从而允许未耗尽的钉仓37可移除地安装到下钳口16的通道中。如图4至5中最佳地示出，这个例子中的钉仓37包括仓体70，所述仓体具有上部平台72并与下部的仓托盘74联接。如图2中最佳地示出，竖直狭槽49被形成为穿过钉仓37的一部分。还如图2中最佳地示出，三行钉孔51在竖直狭槽49一侧上形成为穿过上部平台70，其中另一组的三行钉孔51在竖直狭槽49另一侧上被形成为穿过上部平台70。重新参见图3至5，楔形滑动件41和多个钉驱动器43被捕集在仓体70与托盘74之间，其中楔形滑动件41被定位成邻近钉驱动器43。楔形滑动件41可在钉仓37内纵向地活动；而钉驱动器43可在钉仓37内竖直地活动。钉47也被定位在仓体70中，处于对应钉驱动器43上方。具体地讲，每个钉47在仓体70中被钉驱动器43竖直地驱动，以驱动钉47从相关钉孔51穿出。如图3A至3B和5中最佳地示出，楔形滑动件41存在倾斜凸轮表面，当朝向远侧驱动楔形滑动件41穿过钉仓37时，倾斜凸轮表面向上推压钉驱动器43。
利用如图3A所示地闭合的端部执行器12，通过使上部销38进入纵向砧座狭槽42，将击发杆14推进至与砧座18接合。推块80位于击发杆14的远端处，并且能够接合楔形滑动件41，使得当击发杆14朝远侧推进穿过钉仓37时，楔形滑动件41被推块80朝远侧推压。在此类击发期间，击发杆14的切割刃48进入钉仓37的竖直狭槽49，从而切断被夹紧在钉仓37与砧座18之间的组织。如图3A至3B所示，中间销46和推块80通过进入钉仓37内的击发狭槽49而一起致动钉仓37，从而驱动楔形滑动件41与钉驱动器43进行向上凸起接触，继而将钉47向外驱动穿过钉孔51并使钉47与砧座18的内表面上的钉成形凹坑53形成接触图3B示出了在完成组织的切断和缝合后完全朝远侧平移的击发杆14。
图6示出了端部执行器12，所述端部执行器已通过单个行程而被致动穿过组织90。如图所示，切割刃48已经切穿组织90，同时钉驱动器43已经驱动三行交替的钉47穿过由切割刃48产生的切割线的每侧上的组织90。此例子中，钉47全部被取向成与切割线基本上平行，但应理解，钉47可定位成任何合适取向。本例子中，在第一行程完成之后，端部执行器12从套管针撤回，所用完的钉仓37会由新的钉仓取代，然后，端部执行器12再次***穿过套管针以到达缝合部位，以便进一步地切割并且缝合。这个过程可以重复，直到提供了期望量的切割和钉47。可能需要将砧座18闭合以利于通过套管针来***和撤回；并且可能需要将砧座18打开以利于更换钉仓37。
应当理解，在每个致动行程期间，切割刃48可基本上在驱动钉47穿过组织的同时切断组织。本例子中，切割刃48仅仅稍稍落后于钉47的驱动，使得钉47正好在切割刃48穿过组织前驱动穿过该组织的相同区域，但应理解，这个顺序可以颠倒，或者切割刃48可直接与相邻的钉同步。虽然图6示出了端部执行器12在组织90的两个层92,94中被致动，但应理解，端部执行器12可被致动穿过组织90的单个层或者组织的多于两个的层92,94。还应理解，与切割刃48所产生的切割线相邻的钉47的成形和定位可基本上密封该切割线处的组织，由此，减少或者防止切割线处出血和/或体内其它流体泄漏。参考本文的教导内容，可以使用器械10的各种合适的设置和手术对于本领域的普通技术人员而言将是显而易见的。
应当理解，可以根据以下美国专利中的教导内容来配置并操作器械10：美国专利第4,805,823号；美国专利第5,415,334号；美国专利第5,465,895号；美国专利第5,597,107号；美国专利第5,632,432号；美国专利第5,673,840号；美国专利第5,704,534号；美国专利第5,814,055号；美国专利第6,978,921号；美国专利第7,000,818号；美国专利第7,143,923号；美国专利第7,303,108号；美国专利第7,367,485号；美国专利第7,380,695号；美国专利第7,380,696号；美国专利第7,404,508号；美国专利第7,434,715号；和/或美国专利第7,721,930号。如上所述，这些专利中的每者中的公开内容均以引用方式并入本文。可提供用于器械10的另外的示例性修改形式将会在下文中更详细地描述。可将下述教导内容结合到器械10内的各种合适方式对本领域的普通技术人员而言将会显而易见。类似地是，可将下述教导内容与本文所引用的专利的各种教导内容组合的各种合适方式对本领域的普通技术人员而言将会显而易见。另外，应当理解，下述教导内容并不限于本文所引用的专利中教导的器械10或装置。下述教导内容可容易地应用到多种其它类型的器械，包括将不被分类为外科缝合器的器械。参考本文教导内容，可应用下述教导内容的各种其它合适装置和设置对本领域的普通技术人员而言将会显而易见。
II.示例性填充钉
在图1至6示出的示例性变型中，将会知道，钉47可以包括外科缝钉，例如，如在图3A至4中描绘。为了进一步地说明，图7示出与图1至6所示外科切断与缝合器械10一起使用的钉200的放大图。钉200包括冠部202、腿部204以及齿部206。在一些示例性变型中，钉200可由具有圆形或大致圆形横截面的导线构造而成。在其它型式中，钉200可由具有矩形或基本上平坦横截面的材料线材或条带构造而成。应当理解，根据本文中的教导内容，如本领域的普通技术人员将会显而易见，可以使用钉200的形状和尺寸的其它变型。
应当理解，可能期望具有钉200以帮助或促进手术部位处的血液或其它流体的凝结。在一些其它仅示例性变型中，可能期望具有钉200以通过将治疗剂提供到手术部位来帮助手术部位愈合。例如，图8示出与外科切割与缝合器械10一起使用的示例性钉300。钉300包括冠部302、腿部304以及齿部306。钉300还包括内部通道308。如在示例性变型中示出，内部通道308围绕钉300的整个内部部分从齿部306延伸、穿过腿部304并且穿过冠部302。在一些示例性变型中，内部通道308可以仅仅围绕钉300的一部分延伸。例如，例如，内部通道308可仅延伸穿过冠部302。在其它示例性变型中，内部通道308可仅延伸穿过腿部304。可以使用内部通道308的其它合适长度，根据本文的教导内容，如对本领域的普通技术人员而言将是显而易见的。在示例性变型中，齿部306具有尖形，但也可以使用任何合适形状的齿部306，根据本文的教导内容，如对本领域的普通技术人员而言将是显而易见的。例如，齿部306可以包括矩形或者钝的表面。
在所示型式中，内部通道308保存剂310。在示例性变型中的剂310包括凝血酶与血纤维蛋白的粉末混合物，其能够操作以一旦钉300***到手术部位中时就有助于钉300周围区域凝结。虽然示例性变型包括凝血酶和血纤维蛋白，但应理解，也可使用任何合适的促凝剂，根据本文的教导内容，如对本领域的普通技术人员而言将是显而易见的。此外，在一些型式中，可以使用除了促凝剂外的其它治疗剂。例如，剂310可以包括能够操作以帮助手术部位愈合的材料。仅示例性治疗剂可包括抗生素、止血剂、粘合剂、密封剂、肿瘤药物、放射性材料和/或任何其它合适剂，根据本文的教导内容，如对本领域的普通技术人员而言将是显而易见的。在一些示例性变型中，剂310可以包括愈合药物的混合物以及促凝剂或任何其它合适材料，根据本文的教导内容，如对本领域的普通技术人员而言将是显而易见的。在一些其它示例性变型中，应当理解，剂310可放置在内部通道308或钉300中，而如本文所讨论的那些治疗剂中任何一个的单独治疗剂可施用到钉300外表面，而非仅施用到内部通道308。
在所示型式中，剂310包括上述粉末混合物。剂310的粉末混合物能够操作以保持充分堆积在内部通道308内，从而使得剂310不会从内部通道308中脱落。一旦钉300***到手术部位中，粉末混合物可通过在手术部位处与血液和/或其它流体混合而来活化，从而引发凝结过程。当内部通道的暴露部分附近的剂310接触体液时，内部通道308中的越来越多粉末材料吸收来自手术部位处的流体。与流体结合的粉末材料形成较粘稠的流体，其中较粘稠的流体的一部分流出内部通道308。因此，剂310能铺散到手术部位中的除了直接邻近钉300的那些部分外的其它部分。应当理解，因与剂310接触而造成的手术部位处的血液和其他流体的凝结可能导致***手术部位中的钉300的额外的稳定性。还应理解，一旦钉300***到手术部位中，外科切割与缝合器械10的操作导致钉300的腿部304向内折叠。因此，钉300的一部分的此变形可有助于钉300将剂310推出钉300。尽管本示例性剂310具有粉末状态，但是剂310也可以呈冻结干燥形式，其中剂310已被注入到内部通道308中，此后，一旦剂310定位在内通道308内，就对所述剂进行冻结干燥。在其它示例性变型中，根据本文中的教导内容，如本领域的普通技术人员将会显而易见，剂310可以使用任何合适流体状态。图9示出具有基本上矩形横截面的钉300的横截面，其中示出剂310在使用前堆积到内部通道308中。
在一些型式中，剂310可以包括凝胶或其它液体剂310，它们一般保持在内部通道308内，直至钉300***手术部位处。例如，应当理解，用作剂310的液体或凝胶因液体张力能够操作以保持剂310处于内部通道308内而可以保持在内部通道308内。一旦钉300***到手术部位中，剂310就可接触基本上阻断剂310表面张力的流体和/或组织，从而允许剂310与手术部位相互作用。
还应理解，比起具有围绕钉300延伸的暴露内部通道308，钉300可以限定中空圆柱形的横截面，以使内部通道308可仅在齿部306处暴露于手术部位中。这种钉300的构造可以通过在长的线材内形成内部通道308而来构造，所述长的线材随后可被切割并弯曲以形成钉300。可以使用形成钉300的其它合适方法，根据本文的教导内容，如对本领域的普通技术人员而言将是显而易见的。因此，内部通道308内包含的剂310穿过使剂310更缓慢地释放的齿部306被释放到手术部位。可以使用内部通道308的任何合适构造，根据本文的教导内容，如对本领域的普通技术人员而言将是显而易见的。还应理解，钉300内的内部通道308能够操作以充当毛细管，这样，一旦***到手术部位中，钉300就可使得剂310从钉300中抽出。
在图10中，示例性形式的钉400具有C形横截面，而非矩形横截面。在一些示例性变型中，钉400可以使用细长线材形成。细长线材可以具有沿着钉400的长度形成在其中的通道，所述通道形成内部通道408。在一些示例性变型中，钉400可以使用可填充有剂410的经轧制的片材来形成。例如，用于形成钉400的材料能以平坦的方式铺陈。随后，可将合适量的剂410放置在材料中，其中所述材料随后可被轧制。材料的一部分可被切割，并且随后弯曲，以便形成钉400。因此，所述过程可图产生图10所示圆形横截面。然而，可以使用类似过程形成具有任何合适横截面的钉400，根据本文的教导内容，如对本领域的普通技术人员而言将是显而易见的。此外，可以使用用于形成钉400的任何其它合适方法，根据本文的教导内容，如对本领域的普通技术人员而言将是显而易见的。
图11示出具有包含剂510的内部通道508的钉500的可供选择的示例性变型。在示例性变型中，钉500还包括铺散在钉500的表面上的多个孔512。孔512可以均匀铺散，如在本例子中示出，或在其它示例性变型中，比起另一区域，孔512可以更高度地集中在一个特定区域中。此外，尽管本例子示出具有基本上圆形形状的孔512，但应理解，可以使用孔512的任何尺寸或形状，根据本文的教导内容，如对本领域的普通技术人员而言将是显而易见的。应当理解，一旦钉500被施加到手术部位，孔512就可促使剂510释放到手术部位处，其方法是穿过孔512将剂510释放到所述部位或使剂直接离开内部通道508。还应理解，孔512能够操作以一旦钉500***到手术部位中就提供对组织生长的支持。应当理解，可以产生其它合适功能并且这些功能根据钉500中的孔512来构想出。
应当理解，本文所描述的钉300,400,500可以被配置使得它们是可填塞的，并可与常规钉仓37以其它方式兼容而使所述钉仓不必针对钉300,400,500进行特定调节。此外，一旦剂310,410,510注入到钉300,400,500中，钉300,400,500的尺寸仍设定成适合传统钉仓37。然而，应当理解，根据本文的教导内容，如对本领域的普通技术人员而言将是显而易见的，钉300,400,500可以被配置成任何合适的尺寸和构造，即使此类尺寸或构造将超过常规钉仓37的尺寸。
应当理解，本文所述教导内容、表达方式、实施例、例子等中的任何一个或多个可与本文所述其它教导内容、表达方式、实施例、例子等中的任何一个或多个结合。因此，下述教导内容、表达方式、实施例、例子等不应视为彼此隔离。参考本文教导内容，其中本文教导内容可结合的各种合适方式对于本领域的普通技术人员而言将会显而易见。此类修改形式以及变型旨在包括在权利要求书的范围内。
上文所述装置型式可适用于医学专家所执行的常规医疗处理和手术中，并且可适用于机器人辅助的医疗处理和手术中。
上文所述型式可设计为在单次使用后丢弃，或者它们可设计为能够使用多次。在上述任一种或两种情况下，都可针对这些型式进行修复，以便在使用至少一次后重复使用。修复可以包括以下步骤任何组合：拆卸装置，然后清洗或者更换特定部件，并且随后重新组装。具体地讲，可以拆卸所述装置中的一些型式，并可选择性地以任何组合的形式更换或者移除所述装置中任何数量的特定件或部件。在清洗和/或更换特定零件时，所述装置的一些型式可在修复设施中重新组装或在即将进行手术前由用户重新组装以供随后使用。本领域的技术人员将会知道，装置修复可以利用多种技术进行拆卸、清洗/更换以及重新组装。此类技术的使用和所得修复装置全都在本申请的范围内。
仅以举例方式，本文所述型式可在手术之前和/或之后进行消毒。在一种消毒技术中，装置放置在闭合并密封的容、诸如塑料袋或TYVEK袋中。随后，可将容器和装置放置在可穿透容器的诸如γ辐射、X射线或高能电子等的辐射场中。辐射可以杀死装置上和容器中的细菌。消毒后的装置随后可以存放在消毒容器中，以备以后使用。还可使用在本领域中已知的任何其它技术进行装置消毒，所述技术包括但不限于β或γ辐射、环氧乙烷或者蒸汽消毒。
尽管已在本发明中示出并描述了多个型式，但是本领域的普通技术人员可在不脱离本发明的范围的前提下进行适当修改以对本文所述的方法和***进行进一步地改进。已经提及若干此类潜在修改形式，并且其它修改形式对于本领域的技术人员而言将会显而易见。例如，上文所讨论的例子、型式、几何形状、材料、尺寸、比率、步骤等等均是示例性的而非所要求的。因此，本发明的范围应以以下权利要求书作考虑，并且应理解为不限于说明书和附图中示出并描述的结构以及操作细节。
Claims (19)
1.一种外科设备，包括：
(a)包括近端和远端的外科器械，其中所述外科器械的所述近端包括柄部，其中所述外科器械的所述远端包括切割器和缝合器；
(b)与所述缝合器相连的钉，其中所述钉包括暴露的内部通道，其中所述暴露的内部通道在所述钉的整个长度上延伸，其中所述外科器械的所述缝合器能够将所述钉递送到手术部位；以及
(c)定位在所述钉的所述暴露的内部通道中的剂，其中所述暴露的内部通道还能够释放所述剂的至少一部分。
2.根据权利要求1所述的外科设备，其中所述剂包括血纤维蛋白和凝血酶。
3.根据权利要求1所述的外科设备，其中所述剂包括粉末形式。
4.根据权利要求1所述的外科设备，其中所述钉具有矩形横截面。
5.根据权利要求1所述的外科设备，其中所述钉具有C形横截面。
6.根据权利要求1所述的外科设备，其中所述剂包括凝胶形式。
7.根据权利要求1所述的外科设备，其中所述剂包括冷冻干燥的液体。
8.根据权利要求1所述的外科设备，其中所述钉还包括连接所述暴露的内部通道和所述钉的外表面的至少一个孔。
9.根据权利要求1所述的外科设备，还包括助剂治疗剂，其中所述助剂治疗剂容纳在所述暴露的内部通道内、与所述剂混合。
10.根据权利要求1所述的外科设备，其中所述钉包括冠部、腿部和一对齿部，其中每个齿部具有钝形。
11.根据权利要求1所述的外科设备，其中所述钉包括冠部、腿部和一对齿部，其中每个齿部具有尖形。
12.根据权利要求1所述的外科设备，其中所述钉包括施用到所述钉的外表面的治疗涂层。
13.根据权利要求1所述的外科设备，其中所述剂包括冷冻干燥的剂。
14.根据权利要求1所述的外科设备，其中所述剂当与液体结合时能够活化，其中一旦所述剂被活化，所述剂能够有助于凝结。
15.根据权利要求1所述的外科设备，其中所述钉能够操作以在所述钉被递送到手术部位时变形，其中所述钉的变形推出所述剂的至少一部分。
16.一种外科设备，包括：
(a)外科切割器和缝合器，其中所述外科切割器和缝合器能够切断组织的一部分，其中所述外科切割器和缝合器还能够缝合组织的被切断部分；以及
(b)与所述外科切割器和缝合器相连的钉，其中所述钉能够被递送到手术部位，其中所述钉包括在所述钉的整个长度上延伸的暴露的内部通道，其中所述钉还包括剂，其中所述剂定位在所述钉的所述暴露的内部通道中，其中所述剂能够凝结流体，其中所述剂能够为可活化的以在与流体材料接触时凝结流体。
17.根据权利要求16所述的外科设备，其中所述剂包括血纤维蛋白与凝血酶的混合物。
18.根据权利要求16所述的外科设备，其中所述剂包括冷冻干燥的材料。
19.根据权利要求16所述的外科设备，其中所述钉限定C形横截面。
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US13/233,646 US9125649B2 (en) | 2011-09-15 | 2011-09-15 | Surgical instrument with filled staple |
| US13/233,646 | 2011-09-15 | ||
| PCT/US2012/054410 WO2013039823A1 (en) | 2011-09-15 | 2012-09-10 | Surgical instrument with filled staple |
Publications (2)
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|---|---|
| CN103987328A CN103987328A (zh) | 2014-08-13 |
| CN103987328B true CN103987328B (zh) | 2017-04-26 |
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| CN201280056010.6A Expired - Fee Related CN103987328B (zh) | 2011-09-15 | 2012-09-10 | 带有填充钉的外科器械 |
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| US (1) | US9125649B2 (zh) |
| EP (1) | EP2755568B1 (zh) |
| JP (2) | JP2014533121A (zh) |
| CN (1) | CN103987328B (zh) |
| BR (1) | BR112014006308B1 (zh) |
| MX (1) | MX343432B (zh) |
| RU (1) | RU2621119C2 (zh) |
| WO (1) | WO2013039823A1 (zh) |
Families Citing this family (178)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5865361A (en) | 1997-09-23 | 1999-02-02 | United States Surgical Corporation | Surgical stapling apparatus |
| US8584921B2 (en) | 2006-10-06 | 2013-11-19 | Covidien Lp | Surgical instrument with articulating tool assembly |
| US8061576B2 (en) | 2007-08-31 | 2011-11-22 | Tyco Healthcare Group Lp | Surgical instrument |
| US7988028B2 (en) | 2008-09-23 | 2011-08-02 | Tyco Healthcare Group Lp | Surgical instrument having an asymmetric dynamic clamping member |
| US8628544B2 (en) | 2008-09-23 | 2014-01-14 | Covidien Lp | Knife bar for surgical instrument |
| US20210393409A1 (en) * | 2010-07-27 | 2021-12-23 | Tenon Medical, Inc. | Systems for Sacroiliac Joint Stabilization |
| US9089326B2 (en) | 2011-10-07 | 2015-07-28 | Ethicon Endo-Surgery, Inc. | Dual staple cartridge for surgical stapler |
| US8740036B2 (en) | 2011-12-01 | 2014-06-03 | Covidien Lp | Surgical instrument with actuator spring arm |
| CA2896760A1 (en) | 2012-12-30 | 2014-07-03 | Omrix Biopharmaceuticals Ltd. | Device and method for the application of a curable fluid composition to a portion of a bodily organ |
| US9888921B2 (en) | 2013-03-13 | 2018-02-13 | Covidien Lp | Surgical stapling apparatus |
| US9814463B2 (en) | 2013-03-13 | 2017-11-14 | Covidien Lp | Surgical stapling apparatus |
| US9629628B2 (en) | 2013-03-13 | 2017-04-25 | Covidien Lp | Surgical stapling apparatus |
| US9717498B2 (en) | 2013-03-13 | 2017-08-01 | Covidien Lp | Surgical stapling apparatus |
| US9662108B2 (en) | 2013-08-30 | 2017-05-30 | Covidien Lp | Surgical stapling apparatus |
| WO2015065486A1 (en) | 2013-11-04 | 2015-05-07 | Covidien Lp | Surgical fastener applying apparatus |
| JP2016534796A (ja) | 2013-11-04 | 2016-11-10 | コヴィディエン リミテッド パートナーシップ | 外科手術用締結具適用装置 |
| JP6366708B2 (ja) | 2013-11-04 | 2018-08-01 | コヴィディエン リミテッド パートナーシップ | 外科手術用締結具適用装置 |
| US9867613B2 (en) | 2013-12-19 | 2018-01-16 | Covidien Lp | Surgical staples and end effectors for deploying the same |
| US9724092B2 (en) | 2013-12-23 | 2017-08-08 | Ethicon Llc | Modular surgical instruments |
| US20150173756A1 (en) | 2013-12-23 | 2015-06-25 | Ethicon Endo-Surgery, Inc. | Surgical cutting and stapling methods |
| US9839428B2 (en) | 2013-12-23 | 2017-12-12 | Ethicon Llc | Surgical cutting and stapling instruments with independent jaw control features |
| US9763662B2 (en) | 2013-12-23 | 2017-09-19 | Ethicon Llc | Fastener cartridge comprising a firing member configured to directly engage and eject fasteners from the fastener cartridge |
| US9848874B2 (en) | 2014-02-14 | 2017-12-26 | Covidien Lp | Small diameter endoscopic stapler |
| US9757126B2 (en) | 2014-03-31 | 2017-09-12 | Covidien Lp | Surgical stapling apparatus with firing lockout mechanism |
| US9668733B2 (en) | 2014-04-21 | 2017-06-06 | Covidien Lp | Stapling device with features to prevent inadvertent firing of staples |
| US9861366B2 (en) | 2014-05-06 | 2018-01-09 | Covidien Lp | Ejecting assembly for a surgical stapler |
| CN106687052B (zh) | 2014-05-15 | 2019-12-10 | 柯惠Lp公司 | 手术紧固件施加装置 |
| US10039545B2 (en) | 2015-02-23 | 2018-08-07 | Covidien Lp | Double fire stapling |
| US10085749B2 (en) | 2015-02-26 | 2018-10-02 | Covidien Lp | Surgical apparatus with conductor strain relief |
| US10285698B2 (en) | 2015-02-26 | 2019-05-14 | Covidien Lp | Surgical apparatus |
| US9918717B2 (en) | 2015-03-18 | 2018-03-20 | Covidien Lp | Pivot mechanism for surgical device |
| US10463368B2 (en) | 2015-04-10 | 2019-11-05 | Covidien Lp | Endoscopic stapler |
| US10117650B2 (en) | 2015-05-05 | 2018-11-06 | Covidien Lp | Adapter assembly and loading units for surgical stapling devices |
| US10299789B2 (en) | 2015-05-05 | 2019-05-28 | Covidie LP | Adapter assembly for surgical stapling devices |
| US10039532B2 (en) | 2015-05-06 | 2018-08-07 | Covidien Lp | Surgical instrument with articulation assembly |
| US10172615B2 (en) | 2015-05-27 | 2019-01-08 | Covidien Lp | Multi-fire push rod stapling device |
| US10349941B2 (en) | 2015-05-27 | 2019-07-16 | Covidien Lp | Multi-fire lead screw stapling device |
| US10548599B2 (en) | 2015-07-20 | 2020-02-04 | Covidien Lp | Endoscopic stapler and staple |
| US9987012B2 (en) | 2015-07-21 | 2018-06-05 | Covidien Lp | Small diameter cartridge design for a surgical stapling instrument |
| US10064622B2 (en) | 2015-07-29 | 2018-09-04 | Covidien Lp | Surgical stapling loading unit with stroke counter and lockout |
| US10045782B2 (en) | 2015-07-30 | 2018-08-14 | Covidien Lp | Surgical stapling loading unit with stroke counter and lockout |
| CN108348233B (zh) | 2015-08-26 | 2021-05-07 | 伊西康有限责任公司 | 用于允许改变钉特性并实现轻松仓加载的外科钉条 |
| US10357251B2 (en) | 2015-08-26 | 2019-07-23 | Ethicon Llc | Surgical staples comprising hardness variations for improved fastening of tissue |
| JP6858754B2 (ja) * | 2015-08-26 | 2021-04-14 | エシコン エルエルシーＥｔｈｉｃｏｎ ＬＬＣ | 様々な組織圧縮用隙間及びステープル成形用隙間を含むステープルカートリッジアセンブリ |
| MX2022009705A (es) | 2015-08-26 | 2022-11-07 | Ethicon Llc | Metodo para formar una grapa contra un yunque de un instrumento de engrapado quirurgico. |
| US10086116B2 (en) * | 2015-08-31 | 2018-10-02 | Ethicon Llc | Adjunct material to provide controlled drug release |
| US10251648B2 (en) | 2015-09-02 | 2019-04-09 | Ethicon Llc | Surgical staple cartridge staple drivers with central support features |
| MX2022006192A (es) | 2015-09-02 | 2022-06-16 | Ethicon Llc | Configuraciones de grapas quirurgicas con superficies de leva situadas entre porciones que soportan grapas quirurgicas. |
| US10213204B2 (en) | 2015-10-02 | 2019-02-26 | Covidien Lp | Micro surgical instrument and loading unit for use therewith |
| US10772632B2 (en) | 2015-10-28 | 2020-09-15 | Covidien Lp | Surgical stapling device with triple leg staples |
| US10595864B2 (en) | 2015-11-24 | 2020-03-24 | Covidien Lp | Adapter assembly for interconnecting electromechanical surgical devices and surgical loading units, and surgical systems thereof |
| US10111660B2 (en) | 2015-12-03 | 2018-10-30 | Covidien Lp | Surgical stapler flexible distal tip |
| US10159850B2 (en) * | 2016-01-06 | 2018-12-25 | Covidien Lp | Brachytherapy clip and applicator |
| US10966717B2 (en) | 2016-01-07 | 2021-04-06 | Covidien Lp | Surgical fastener apparatus |
| US10660623B2 (en) | 2016-01-15 | 2020-05-26 | Covidien Lp | Centering mechanism for articulation joint |
| US10349937B2 (en) | 2016-02-10 | 2019-07-16 | Covidien Lp | Surgical stapler with articulation locking mechanism |
| US10420559B2 (en) | 2016-02-11 | 2019-09-24 | Covidien Lp | Surgical stapler with small diameter endoscopic portion |
| US10561419B2 (en) | 2016-05-04 | 2020-02-18 | Covidien Lp | Powered end effector assembly with pivotable channel |
| US11065022B2 (en) | 2016-05-17 | 2021-07-20 | Covidien Lp | Cutting member for a surgical instrument |
| USD850617S1 (en) | 2016-06-24 | 2019-06-04 | Ethicon Llc | Surgical fastener cartridge |
| USD826405S1 (en) * | 2016-06-24 | 2018-08-21 | Ethicon Llc | Surgical fastener |
| USD822206S1 (en) * | 2016-06-24 | 2018-07-03 | Ethicon Llc | Surgical fastener |
| USD847989S1 (en) | 2016-06-24 | 2019-05-07 | Ethicon Llc | Surgical fastener cartridge |
| CN109310431B (zh) | 2016-06-24 | 2022-03-04 | 伊西康有限责任公司 | 包括线材钉和冲压钉的钉仓 |
| US10702270B2 (en) | 2016-06-24 | 2020-07-07 | Ethicon Llc | Stapling system for use with wire staples and stamped staples |
| US10631857B2 (en) | 2016-11-04 | 2020-04-28 | Covidien Lp | Loading unit for surgical instruments with low profile pushers |
| US11642126B2 (en) | 2016-11-04 | 2023-05-09 | Covidien Lp | Surgical stapling apparatus with tissue pockets |
| US10492784B2 (en) | 2016-11-08 | 2019-12-03 | Covidien Lp | Surgical tool assembly with compact firing assembly |
| US10463371B2 (en) | 2016-11-29 | 2019-11-05 | Covidien Lp | Reload assembly with spent reload indicator |
| US20180168647A1 (en) | 2016-12-21 | 2018-06-21 | Ethicon Endo-Surgery, Llc | Surgical stapling instruments having end effectors with positive opening features |
| US11684367B2 (en) | 2016-12-21 | 2023-06-27 | Cilag Gmbh International | Stepped assembly having and end-of-life indicator |
| US10687810B2 (en) | 2016-12-21 | 2020-06-23 | Ethicon Llc | Stepped staple cartridge with tissue retention and gap setting features |
| US10993715B2 (en) | 2016-12-21 | 2021-05-04 | Ethicon Llc | Staple cartridge comprising staples with different clamping breadths |
| US10945727B2 (en) | 2016-12-21 | 2021-03-16 | Ethicon Llc | Staple cartridge with deformable driver retention features |
| US10709901B2 (en) | 2017-01-05 | 2020-07-14 | Covidien Lp | Implantable fasteners, applicators, and methods for brachytherapy |
| US10952767B2 (en) | 2017-02-06 | 2021-03-23 | Covidien Lp | Connector clip for securing an introducer to a surgical fastener applying apparatus |
| US20180235618A1 (en) | 2017-02-22 | 2018-08-23 | Covidien Lp | Loading unit for surgical instruments with low profile pushers |
| US11350915B2 (en) | 2017-02-23 | 2022-06-07 | Covidien Lp | Surgical stapler with small diameter endoscopic portion |
| US10849621B2 (en) | 2017-02-23 | 2020-12-01 | Covidien Lp | Surgical stapler with small diameter endoscopic portion |
| US10299790B2 (en) | 2017-03-03 | 2019-05-28 | Covidien Lp | Adapter with centering mechanism for articulation joint |
| US10660641B2 (en) | 2017-03-16 | 2020-05-26 | Covidien Lp | Adapter with centering mechanism for articulation joint |
| US10603035B2 (en) | 2017-05-02 | 2020-03-31 | Covidien Lp | Surgical loading unit including an articulating end effector |
| US11324502B2 (en) | 2017-05-02 | 2022-05-10 | Covidien Lp | Surgical loading unit including an articulating end effector |
| US10524784B2 (en) | 2017-05-05 | 2020-01-07 | Covidien Lp | Surgical staples with expandable backspan |
| US10390826B2 (en) | 2017-05-08 | 2019-08-27 | Covidien Lp | Surgical stapling device with elongated tool assembly and methods of use |
| US10420551B2 (en) | 2017-05-30 | 2019-09-24 | Covidien Lp | Authentication and information system for reusable surgical instruments |
| US10478185B2 (en) | 2017-06-02 | 2019-11-19 | Covidien Lp | Tool assembly with minimal dead space |
| 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 |
| USD870284S1 (en) | 2017-07-31 | 2019-12-17 | Crossroads Extremity Systems, Llc | Osteosynthesis clip |
| US10624636B2 (en) | 2017-08-23 | 2020-04-21 | Covidien Lp | Surgical stapling device with floating staple cartridge |
| US10806452B2 (en) | 2017-08-24 | 2020-10-20 | Covidien Lp | Loading unit for a surgical stapling instrument |
| US10925603B2 (en) | 2017-11-14 | 2021-02-23 | Covidien Lp | Reload with articulation stabilization system |
| US10863987B2 (en) | 2017-11-16 | 2020-12-15 | Covidien Lp | Surgical instrument with imaging device |
| US10945732B2 (en) | 2018-01-17 | 2021-03-16 | Covidien Lp | Surgical stapler with self-returning assembly |
| CN108030527A (zh) * | 2018-02-02 | 2018-05-15 | 派尔特（苏州）医疗科技有限公司 | 一种用于吻合器的缝钉 |
| EP3758618B1 (en) | 2018-03-02 | 2024-04-24 | Covidien LP | Surgical stapling instrument |
| US10849622B2 (en) | 2018-06-21 | 2020-12-01 | Covidien Lp | Articulated stapling with fire lock |
| US10736631B2 (en) | 2018-08-07 | 2020-08-11 | Covidien Lp | End effector with staple cartridge ejector |
| US10849620B2 (en) | 2018-09-14 | 2020-12-01 | Covidien Lp | Connector mechanisms for surgical stapling instruments |
| US11510669B2 (en) | 2020-09-29 | 2022-11-29 | Covidien Lp | Hand-held surgical instruments |
| US11090051B2 (en) | 2018-10-23 | 2021-08-17 | Covidien Lp | Surgical stapling device with floating staple cartridge |
| US11197673B2 (en) | 2018-10-30 | 2021-12-14 | Covidien Lp | Surgical stapling instruments and end effector assemblies thereof |
| US10912563B2 (en) | 2019-01-02 | 2021-02-09 | Covidien Lp | Stapling device including tool assembly stabilizing member |
| US11344297B2 (en) | 2019-02-28 | 2022-05-31 | Covidien Lp | Surgical stapling device with independently movable jaws |
| US11259808B2 (en) | 2019-03-13 | 2022-03-01 | Covidien Lp | Tool assemblies with a gap locking member |
| US11284892B2 (en) | 2019-04-01 | 2022-03-29 | Covidien Lp | Loading unit and adapter with modified coupling assembly |
| US11284893B2 (en) | 2019-04-02 | 2022-03-29 | Covidien Lp | Stapling device with articulating tool assembly |
| US11241228B2 (en) | 2019-04-05 | 2022-02-08 | Covidien Lp | Surgical instrument including an adapter assembly and an articulating surgical loading unit |
| US11224424B2 (en) | 2019-08-02 | 2022-01-18 | Covidien Lp | Linear stapling device with vertically movable knife |
| US11406385B2 (en) | 2019-10-11 | 2022-08-09 | Covidien Lp | Stapling device with a gap locking member |
| US11123068B2 (en) | 2019-11-08 | 2021-09-21 | Covidien Lp | Surgical staple cartridge |
| US11974743B2 (en) | 2019-12-02 | 2024-05-07 | Covidien Lp | Linear stapling device with a gap locking member |
| US11707274B2 (en) | 2019-12-06 | 2023-07-25 | Covidien Lp | Articulating mechanism for surgical instrument |
| US11109862B2 (en) | 2019-12-12 | 2021-09-07 | Covidien Lp | Surgical stapling device with flexible shaft |
| US11737747B2 (en) | 2019-12-17 | 2023-08-29 | Covidien Lp | Hand-held surgical instruments |
| US11278282B2 (en) | 2020-01-31 | 2022-03-22 | Covidien Lp | Stapling device with selective cutting |
| US11452524B2 (en) | 2020-01-31 | 2022-09-27 | Covidien Lp | Surgical stapling device with lockout |
| EP4103070A4 (en) | 2020-02-14 | 2023-11-08 | Covidien LP | CARTRIDGE HOLDER FOR SURGICAL STAPLES HAVING RIBS IN THE CIRCUMFERENT WALLS FOR GRABING TISSUE |
| US11344301B2 (en) | 2020-03-02 | 2022-05-31 | Covidien Lp | Surgical stapling device with replaceable reload assembly |
| US11344302B2 (en) | 2020-03-05 | 2022-05-31 | Covidien Lp | Articulation mechanism for surgical stapling device |
| US11246593B2 (en) | 2020-03-06 | 2022-02-15 | Covidien Lp | Staple cartridge |
| US11707278B2 (en) | 2020-03-06 | 2023-07-25 | Covidien Lp | Surgical stapler tool assembly to minimize bleeding |
| US11317911B2 (en) | 2020-03-10 | 2022-05-03 | Covidien Lp | Tool assembly with replaceable cartridge assembly |
| US11357505B2 (en) | 2020-03-10 | 2022-06-14 | Covidien Lp | Surgical stapling apparatus with firing lockout mechanism |
| US11406383B2 (en) | 2020-03-17 | 2022-08-09 | Covidien Lp | Fire assisted powered EGIA handle |
| US11331098B2 (en) | 2020-04-01 | 2022-05-17 | Covidien Lp | Sled detection device |
| US11426159B2 (en) | 2020-04-01 | 2022-08-30 | Covidien Lp | Sled detection device |
| US11504117B2 (en) | 2020-04-02 | 2022-11-22 | Covidien Lp | Hand-held surgical instruments |
| US11937794B2 (en) | 2020-05-11 | 2024-03-26 | Covidien Lp | Powered handle assembly for surgical devices |
| US11191537B1 (en) | 2020-05-12 | 2021-12-07 | Covidien Lp | Stapling device with continuously parallel jaws |
| US11406387B2 (en) | 2020-05-12 | 2022-08-09 | Covidien Lp | Surgical stapling device with replaceable staple cartridge |
| US11534167B2 (en) | 2020-05-28 | 2022-12-27 | Covidien Lp | Electrotaxis-conducive stapling |
| US11191538B1 (en) | 2020-06-08 | 2021-12-07 | Covidien Lp | Surgical stapling device with parallel jaw closure |
| US11844517B2 (en) | 2020-06-25 | 2023-12-19 | Covidien Lp | Linear stapling device with continuously parallel jaws |
| US11324500B2 (en) | 2020-06-30 | 2022-05-10 | Covidien Lp | Surgical stapling device |
| US12023027B2 (en) | 2020-07-02 | 2024-07-02 | Covidien Lp | Surgical stapling device with compressible staple cartridge |
| US11517305B2 (en) | 2020-07-09 | 2022-12-06 | Covidien Lp | Contoured staple pusher |
| US11446028B2 (en) | 2020-07-09 | 2022-09-20 | Covidien Lp | Tool assembly with pivotable clamping beam |
| US11266402B2 (en) | 2020-07-30 | 2022-03-08 | Covidien Lp | Sensing curved tip for surgical stapling instruments |
| US11439392B2 (en) | 2020-08-03 | 2022-09-13 | Covidien Lp | Surgical stapling device and fastener for pathological exam |
| US11395654B2 (en) | 2020-08-07 | 2022-07-26 | Covidien Lp | Surgical stapling device with articulation braking assembly |
| US11602342B2 (en) | 2020-08-27 | 2023-03-14 | Covidien Lp | Surgical stapling device with laser probe |
| US11678878B2 (en) | 2020-09-16 | 2023-06-20 | Covidien Lp | Articulation mechanism for surgical stapling device |
| US11660092B2 (en) | 2020-09-29 | 2023-05-30 | Covidien Lp | Adapter for securing loading units to handle assemblies of surgical stapling instruments |
| US11406384B2 (en) | 2020-10-05 | 2022-08-09 | Covidien Lp | Stapling device with drive assembly stop member |
| US11576674B2 (en) | 2020-10-06 | 2023-02-14 | Covidien Lp | Surgical stapling device with articulation lock assembly |
| US11890007B2 (en) | 2020-11-18 | 2024-02-06 | Covidien Lp | Stapling device with flex cable and tensioning mechanism |
| US11737774B2 (en) | 2020-12-04 | 2023-08-29 | Covidien Lp | Surgical instrument with articulation assembly |
| US11819200B2 (en) | 2020-12-15 | 2023-11-21 | Covidien Lp | Surgical instrument with articulation assembly |
| US11553914B2 (en) | 2020-12-22 | 2023-01-17 | Covidien Lp | Surgical stapling device with parallel jaw closure |
| US11744582B2 (en) | 2021-01-05 | 2023-09-05 | Covidien Lp | Surgical stapling device with firing lockout mechanism |
| US11759206B2 (en) | 2021-01-05 | 2023-09-19 | Covidien Lp | Surgical stapling device with firing lockout mechanism |
| US11517313B2 (en) | 2021-01-27 | 2022-12-06 | Covidien Lp | Surgical stapling device with laminated drive member |
| US11759207B2 (en) | 2021-01-27 | 2023-09-19 | Covidien Lp | Surgical stapling apparatus with adjustable height clamping member |
| US11717300B2 (en) | 2021-03-11 | 2023-08-08 | Covidien Lp | Surgical stapling apparatus with integrated visualization |
| US11974750B2 (en) | 2021-03-26 | 2024-05-07 | Covidien Lp | Surgical staple cartridge |
| US11497495B2 (en) | 2021-03-31 | 2022-11-15 | Covidien Lp | Continuous stapler strip for use with a surgical stapling device |
| US11666330B2 (en) | 2021-04-05 | 2023-06-06 | Covidien Lp | Surgical stapling device with lockout mechanism |
| US11576670B2 (en) | 2021-05-06 | 2023-02-14 | Covidien Lp | Surgical stapling device with optimized drive assembly |
| US20220370691A1 (en) * | 2021-05-10 | 2022-11-24 | Cilag Gmbh International | Bioabsorbable staple comprising mechanism for delaying the absorption of the staple |
| US11812956B2 (en) | 2021-05-18 | 2023-11-14 | Covidien Lp | Dual firing radial stapling device |
| US11696755B2 (en) | 2021-05-19 | 2023-07-11 | Covidien Lp | Surgical stapling device with reload assembly removal lockout |
| US11510673B1 (en) | 2021-05-25 | 2022-11-29 | Covidien Lp | Powered stapling device with manual retraction |
| US11771423B2 (en) | 2021-05-25 | 2023-10-03 | Covidien Lp | Powered stapling device with manual retraction |
| US11701119B2 (en) | 2021-05-26 | 2023-07-18 | Covidien Lp | Powered stapling device with rack release |
| US11576675B2 (en) | 2021-06-07 | 2023-02-14 | Covidien Lp | Staple cartridge with knife |
| US11617579B2 (en) | 2021-06-29 | 2023-04-04 | Covidien Lp | Ultra low profile surgical stapling instrument for tissue resections |
| US11707275B2 (en) | 2021-06-29 | 2023-07-25 | Covidien Lp | Asymmetrical surgical stapling device |
| US11602344B2 (en) | 2021-06-30 | 2023-03-14 | Covidien Lp | Surgical stapling apparatus with firing lockout assembly |
| US11540831B1 (en) | 2021-08-12 | 2023-01-03 | Covidien Lp | Staple cartridge with actuation sled detection |
| US11779334B2 (en) | 2021-08-19 | 2023-10-10 | Covidien Lp | Surgical stapling device including a manual retraction assembly |
| US11576671B1 (en) | 2021-08-20 | 2023-02-14 | Covidien Lp | Small diameter linear surgical stapling apparatus |
| US11707277B2 (en) | 2021-08-20 | 2023-07-25 | Covidien Lp | Articulating surgical stapling apparatus with pivotable knife bar guide assembly |
| US12023028B2 (en) | 2021-08-20 | 2024-07-02 | Covidien Lp | Articulating surgical stapling apparatus with pivotable knife bar guide assembly |
| US11864761B2 (en) | 2021-09-14 | 2024-01-09 | Covidien Lp | Surgical instrument with illumination mechanism |
| US11653922B2 (en) | 2021-09-29 | 2023-05-23 | Covidien Lp | Surgical stapling device with firing lockout mechanism |
| US11660094B2 (en) | 2021-09-29 | 2023-05-30 | Covidien Lp | Surgical fastening instrument with two-part surgical fasteners |
| US11849949B2 (en) | 2021-09-30 | 2023-12-26 | Covidien Lp | Surgical stapling device with firing lockout member |
Citations (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5282829A (en) * | 1991-08-15 | 1994-02-01 | United States Surgical Corporation | Hollow body implants |
| US5804213A (en) * | 1991-10-09 | 1998-09-08 | Lectec Corporation | Biologically active aqueous gel wound dressing |
| CN1864642A (zh) * | 2005-05-17 | 2006-11-22 | 伊西康内外科公司 | 具有塑料闭合板的外科钉合器 |
Family Cites Families (199)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CA481943A (en) | 1952-03-25 | C. Harvey Douglass | Camera controlling mechanism | |
| GB222954A (en) | 1923-07-10 | 1924-10-10 | Mabel Elizabeth Tilburn | Improved means for producing and for the illuminated projection-display of writings, cartoons, drawings and the like |
| GB493459A (en) | 1937-04-08 | 1938-10-10 | Piero Mariano Salerni | Improvements in or relating to hydraulic power transmission apparatus |
| US2303131A (en) | 1941-04-25 | 1942-11-24 | Eva M Morgan | Suturable surgical adhesive material and method of using same |
| GB913218A (en) | 1960-02-02 | 1962-12-19 | Alexey Alexeevich Strekopitov | A suturing device |
| US3364200A (en) | 1960-03-28 | 1968-01-16 | Johnson & Johnson | Oxidized cellulose product and method for preparing the same |
| US3496940A (en) | 1966-09-19 | 1970-02-24 | Charles Steinman | Surgical suture and sling device |
| US3526228A (en) | 1969-03-24 | 1970-09-01 | Ethicon Inc | Collagen lamina dural prosthesis |
| US4222383A (en) | 1978-08-07 | 1980-09-16 | Schossow George W | Surgical drape and suture |
| US4513746A (en) | 1981-10-09 | 1985-04-30 | United States Surgical Corp. | Instrument for applying plastic-like surgical fastening devices |
| SU1170663A1 (ru) | 1983-04-14 | 1987-04-23 | Всесоюзный научно-исследовательский и испытательный институт медицинской техники | Состав дл соединени тканей и органов |
| CA1259539A (en) * | 1983-09-23 | 1989-09-19 | Andrew Barkley | Method and instrument for applying a fastener to a tissue using means to grasp, guide and pull the fastener through the tissue |
| US4549545A (en) | 1984-03-05 | 1985-10-29 | Ethicon Inc. | Segmented polyurethane surgical buttressing pledgets |
| US4693720A (en) | 1985-09-23 | 1987-09-15 | Katecho, Incorporated | Device for surgically repairing soft tissues and method for making the same |
| US4610250A (en) | 1985-10-08 | 1986-09-09 | United States Surgical Corporation | Two-part surgical fastener for fascia wound approximation |
| SU1561964A1 (ru) * | 1986-04-24 | 1990-05-07 | Благовещенский государственный медицинский институт | Хирургический сшивающий аппарат |
| JPS6425870A (en) | 1987-04-30 | 1989-01-27 | Ajinomoto Kk | Support for anastomosis or bonding of living body |
| EP0328401A1 (en) | 1988-02-11 | 1989-08-16 | Unisearch Limited | Anastomosis augmentation device |
| US4805823A (en) | 1988-03-18 | 1989-02-21 | Ethicon, Inc. | Pocket configuration for internal organ staplers |
| SU1620104A1 (ru) * | 1988-08-10 | 1991-01-15 | Запорожский Областной Отдел Здравоохранения | Винт дл остеосинтеза |
| US4976722A (en) | 1989-05-22 | 1990-12-11 | Ethicon, Inc. | Surgical hemostatic clips |
| JPH06506366A (ja) | 1990-12-06 | 1994-07-21 | ダブリュ．エル．ゴア アンド アソシエーツ，インコーポレイティド | 植設可能な生体吸収性部材 |
| US5366480A (en) | 1990-12-24 | 1994-11-22 | American Cyanamid Company | Synthetic elastomeric buttressing pledget |
| US5690675A (en) | 1991-02-13 | 1997-11-25 | Fusion Medical Technologies, Inc. | Methods for sealing of staples and other fasteners in tissue |
| US5171249A (en) | 1991-04-04 | 1992-12-15 | Ethicon, Inc. | Endoscopic multiple ligating clip applier |
| US5411193A (en) | 1991-08-26 | 1995-05-02 | Culp; Joel B. | Portable containment device for contaminated medical objects |
| AU3242693A (en) | 1991-12-06 | 1993-06-28 | Kensey Nash Corporation | Pads, methods of making, and methods of use for wound dressing, surgical reinforcement and hemostasis promotion |
| US5496603A (en) | 1992-02-03 | 1996-03-05 | Minnesota Mining And Manufacturing Company | Nonwoven sheet materials, tapes and methods |
| GB9206509D0 (en) | 1992-03-25 | 1992-05-06 | Jevco Ltd | Heteromorphic sponges containing active agents |
| US5263629A (en) | 1992-06-29 | 1993-11-23 | Ethicon, Inc. | Method and apparatus for achieving hemostasis along a staple line |
| US5327914A (en) | 1992-09-02 | 1994-07-12 | Shlain Leonard M | Method and devices for use in surgical gastroplastic procedure |
| US5626587A (en) | 1992-10-09 | 1997-05-06 | Ethicon Endo-Surgery, Inc. | Method for operating a surgical instrument |
| US5383904A (en) | 1992-10-13 | 1995-01-24 | United States Surgical Corporation | Stiffened surgical device |
| US5409498A (en) | 1992-11-05 | 1995-04-25 | Ethicon, Inc. | Rotatable articulating endoscopic fastening instrument |
| US5749968A (en) | 1993-03-01 | 1998-05-12 | Focal, Inc. | Device for priming for improved adherence of gels to substrates |
| US5565210A (en) | 1993-03-22 | 1996-10-15 | Johnson & Johnson Medical, Inc. | Bioabsorbable wound implant materials |
| US5415334A (en) | 1993-05-05 | 1995-05-16 | Ethicon Endo-Surgery | Surgical stapler and staple cartridge |
| JPH06327685A (ja) * | 1993-05-19 | 1994-11-29 | Olympus Optical Co Ltd | 外科用器具 |
| FR2706280B1 (fr) | 1993-06-17 | 1995-07-28 | Gauthier Marie Corinne | Matériel d'ostéosynthèse constitué par des pièces métalliques allongées, telles que des tiges ou des agrafes, et procédé de fabrication de ce matériel. |
| US5297324A (en) | 1993-07-15 | 1994-03-29 | Su Wen Chian | Fully rounded jingle bell making method |
| JP3146773B2 (ja) | 1993-07-26 | 2001-03-19 | スズキ株式会社 | スクータ型自動二輪車のキャブレターの燃料油面位置保持装置 |
| US5607590A (en) | 1993-08-06 | 1997-03-04 | Shimizu; Yasuhiko | Material for medical use and process for preparing same |
| US5393594A (en) | 1993-10-06 | 1995-02-28 | United States Surgical Corporation | Absorbable non-woven fabric |
| US5542594A (en) | 1993-10-06 | 1996-08-06 | United States Surgical Corporation | Surgical stapling apparatus with biocompatible surgical fabric |
| US5597107A (en) | 1994-02-03 | 1997-01-28 | Ethicon Endo-Surgery, Inc. | Surgical stapler instrument |
| US5465895A (en) | 1994-02-03 | 1995-11-14 | Ethicon Endo-Surgery, Inc. | Surgical stapler instrument |
| US5503638A (en) | 1994-02-10 | 1996-04-02 | Bio-Vascular, Inc. | Soft tissue stapling buttress |
| US6704210B1 (en) | 1994-05-20 | 2004-03-09 | Medtronic, Inc. | Bioprothesis film strip for surgical stapler and method of attaching the same |
| US5814057A (en) | 1994-06-03 | 1998-09-29 | Gunze Limited | Supporting element for staple region |
| US6174333B1 (en) | 1994-06-06 | 2001-01-16 | Osiris Therapeutics, Inc. | Biomatrix for soft tissue regeneration using mesenchymal stem cells |
| EP0773971B1 (en) | 1994-07-27 | 1999-06-23 | W.L. Gore & Associates, Inc. | High strength porous ptfe sheet material |
| US5607686A (en) | 1994-11-22 | 1997-03-04 | United States Surgical Corporation | Polymeric composition |
| US5632432A (en) | 1994-12-19 | 1997-05-27 | Ethicon Endo-Surgery, Inc. | Surgical instrument |
| US5704534A (en) | 1994-12-19 | 1998-01-06 | Ethicon Endo-Surgery, Inc. | Articulation assembly for surgical instruments |
| CA2167455A1 (en) | 1995-01-19 | 1996-07-20 | Kevin Cooper | Absorbable polyalkylene diglycolates |
| KR100333508B1 (ko) | 1995-03-31 | 2002-07-18 | 타다시 마츠다 | 아크릴계용제형점착제의제조방법및의료용점착제 |
| CA2186501C (en) | 1995-04-21 | 2000-02-08 | John R. Daugherty | A surgical pledget dispensing system |
| JP3795100B2 (ja) | 1995-05-08 | 2006-07-12 | 株式会社伊垣医療設計 | 医療用縫合材 |
| JP3526487B2 (ja) | 1995-05-08 | 2004-05-17 | 株式会社伊垣医療設計 | 医療用縫合材 |
| US5902312A (en) | 1995-07-03 | 1999-05-11 | Frater; Dirk A. | System for mounting bolster material on tissue staplers |
| WO1997003625A1 (en) | 1995-07-17 | 1997-02-06 | Alfred Edward Wood | A buttress for cardiac valve reconstruction |
| US5810855A (en) | 1995-07-21 | 1998-09-22 | Gore Enterprise Holdings, Inc. | Endoscopic device and method for reinforcing surgical staples |
| US5814055A (en) | 1995-09-19 | 1998-09-29 | Ethicon Endo-Surgery, Inc. | Surgical clamping mechanism |
| US5639851A (en) | 1995-10-02 | 1997-06-17 | Ethicon, Inc. | High strength, melt processable, lactide-rich, poly(lactide-CO-P-dioxanone) copolymers |
| JP3476631B2 (ja) | 1995-12-21 | 2003-12-10 | 株式会社アムニオテック | ヒト由来の天然コラーゲン膜からなる医用材料 |
| US6010054A (en) | 1996-02-20 | 2000-01-04 | Imagyn Medical Technologies | Linear stapling instrument with improved staple cartridge |
| US5711958A (en) | 1996-07-11 | 1998-01-27 | Life Medical Sciences, Inc. | Methods for reducing or eliminating post-surgical adhesion formation |
| US5755778A (en) | 1996-10-16 | 1998-05-26 | Nitinol Medical Technologies, Inc. | Anastomosis device |
| US5752965A (en) | 1996-10-21 | 1998-05-19 | Bio-Vascular, Inc. | Apparatus and method for producing a reinforced surgical fastener suture line |
| US5769892A (en) | 1996-10-22 | 1998-06-23 | Mitroflow International Inc. | Surgical stapler sleeve for reinforcing staple lines |
| TW501934B (en) | 1996-11-20 | 2002-09-11 | Tapic Int Co Ltd | Collagen material and process for making the same |
| AU6444298A (en) | 1997-03-04 | 1998-09-22 | Medtronic, Inc. | Bioprothesis film strip for surgical stapler and method of attaching the same |
| US6475230B1 (en) | 1997-08-01 | 2002-11-05 | Peter M. Bonutti | Method and apparatus for securing a suture |
| US5997895A (en) | 1997-09-16 | 1999-12-07 | Integra Lifesciences Corporation | Dural/meningeal repair product using collagen matrix |
| US5921956A (en) | 1997-09-24 | 1999-07-13 | Smith & Nephew, Inc. | Surgical instrument |
| GB2329840C (en) | 1997-10-03 | 2007-10-05 | Johnson & Johnson Medical | Biopolymer sponge tubes |
| EP1045677A4 (en) | 1998-01-06 | 2005-01-12 | Aderans Res Inst Inc | BIOABSORBABLE FIBERS AND IMPROVED COMPOSITE COMPONENTS THEREFOR |
| US6245081B1 (en) | 1998-01-09 | 2001-06-12 | Steven M. Bowman | Suture buttress |
| US6203564B1 (en) | 1998-02-26 | 2001-03-20 | United States Surgical | Braided polyester suture and implantable medical device |
| US6099551A (en) | 1998-03-12 | 2000-08-08 | Shelhigh, Inc. | Pericardial strip and stapler assembly for dividing and sealing visceral tissues and method of use thereof |
| FR2778081B1 (fr) | 1998-04-29 | 2000-08-25 | Fabrice Thevenet | Implants de renfort pour sutures tissulaires |
| JPH11309151A (ja) | 1998-04-30 | 1999-11-09 | Nippon Waisuredarii Kk | 手術用縫合デバイス |
| CN1105795C (zh) | 1998-06-11 | 2003-04-16 | 清水庆彦 | 胶原材料及其制造方法 |
| FR2789885B1 (fr) | 1999-02-19 | 2001-05-04 | Brothier Lab | Dispositif de renfort de suture |
| JP5031144B2 (ja) | 1999-03-25 | 2012-09-19 | メタボリックス，インコーポレイテッド | ポリヒドロキシアルカノエートポリマーの医療デバイスおよび医療適用 |
| US6921412B1 (en) | 1999-05-18 | 2005-07-26 | Cryolife, Inc. | Self-supporting, shaped, three-dimensional biopolymeric materials and methods |
| US6325810B1 (en) | 1999-06-30 | 2001-12-04 | Ethicon, Inc. | Foam buttress for stapling apparatus |
| US6355699B1 (en) | 1999-06-30 | 2002-03-12 | Ethicon, Inc. | Process for manufacturing biomedical foams |
| DK1218437T3 (da) | 1999-08-27 | 2009-10-19 | Angiodevice Internat Gmbh | Præparater, som danner interpenetrerende polymernetværk, til anvendelse som medicinske tætningsmidler med höj styrke |
| EP1080693A1 (en) | 1999-09-02 | 2001-03-07 | Heinz Robert Dr. med. Zurbrügg | Haemostatic and/or reinforcing surgical suture system for sternal cerclages |
| US6312474B1 (en) | 1999-09-15 | 2001-11-06 | Bio-Vascular, Inc. | Resorbable implant materials |
| US6641592B1 (en) | 1999-11-19 | 2003-11-04 | Lsi Solutions, Inc. | System for wound closure |
| US6635073B2 (en) | 2000-05-03 | 2003-10-21 | Peter M. Bonutti | Method of securing body tissue |
| US6488197B1 (en) | 2000-02-22 | 2002-12-03 | Power Medical Interventions, Inc. | Fluid delivery device for use with anastomosing resecting and stapling instruments |
| US6273897B1 (en) | 2000-02-29 | 2001-08-14 | Ethicon, Inc. | Surgical bettress and surgical stapling apparatus |
| AU2000270100A1 (en) | 2000-07-28 | 2002-02-13 | Les Laboratoires Brothier | Suture reinforcing device |
| US20040093024A1 (en) | 2000-09-01 | 2004-05-13 | James Lousararian | Advanced wound site management systems and methods |
| AU2001291092B2 (en) | 2000-09-18 | 2007-08-23 | Organogenesis Inc. | Bioengineered flat sheet graft prosthesis and its use |
| US6638285B2 (en) | 2001-04-16 | 2003-10-28 | Shlomo Gabbay | Biological tissue strip and system and method to seal tissue |
| US6592597B2 (en) | 2001-05-07 | 2003-07-15 | Ethicon Endo-Surgery, Inc. | Adhesive for attaching buttress material to a surgical fastening device |
| US6503257B2 (en) | 2001-05-07 | 2003-01-07 | Ethicon Endo-Surgery, Inc. | Method for releasing buttress material attached to a surgical fastening device |
| US6939358B2 (en) | 2001-12-20 | 2005-09-06 | Gore Enterprise Holdings, Inc. | Apparatus and method for applying reinforcement material to a surgical stapler |
| US7182771B1 (en) | 2001-12-20 | 2007-02-27 | Russell A. Houser | Vascular couplers, techniques, methods, and accessories |
| US6913594B2 (en) | 2001-12-31 | 2005-07-05 | Biosense Webster, Inc. | Dual-function catheter handle |
| WO2003105670A2 (en) | 2002-01-10 | 2003-12-24 | Guided Delivery Systems, Inc. | Devices and methods for heart valve repair |
| EP1471844A2 (en) | 2002-01-16 | 2004-11-03 | Eva Corporation | Catheter hand-piece apparatus and method of using the same |
| US7128748B2 (en) | 2002-03-26 | 2006-10-31 | Synovis Life Technologies, Inc. | Circular stapler buttress combination |
| WO2003088844A1 (en) | 2002-04-15 | 2003-10-30 | Cook Biotech Incorporated | Apparatus and method for producing a reinforced surgical staple line |
| EP1494595B1 (en) | 2002-04-16 | 2011-03-02 | Tyco Healthcare Group LP | Surgical stapler |
| WO2003094743A1 (en) | 2002-05-10 | 2003-11-20 | Tyco Healthcare Group, Lp | Wound closure material applicator and stapler |
| AU2003228979A1 (en) | 2002-05-10 | 2003-11-11 | Tyco Healthcare Group, Lp | Surgical stapling apparatus having a wound closure material applicator assembly |
| EP1503674B1 (en) | 2002-05-10 | 2006-08-23 | Tyco Healthcare Group Lp | Electrosurgical stapling apparatus |
| DE60327907D1 (de) | 2002-06-17 | 2009-07-16 | Tyco Healthcare | Ringförmige halterungsstruktur |
| KR100803798B1 (ko) | 2002-12-16 | 2008-02-14 | 군제 가부시키가이샤 | 의료용 필름 |
| AU2003297955A1 (en) | 2002-12-16 | 2004-07-22 | Edrich Vascular Devices, Inc. | Multiple stapling device for narrow blood vessels |
| AU2003300379A1 (en) | 2002-12-27 | 2004-07-29 | Angiotech Pharmaceuticals, Inc. | Compositions and methods of using collagen and MMPI |
| FR2850281A1 (fr) | 2003-01-27 | 2004-07-30 | Brothier Lab | Procede de fabrication d'un dispositif de renfort de suture |
| US20040167572A1 (en) * | 2003-02-20 | 2004-08-26 | Roth Noah M. | Coated medical devices |
| US7160299B2 (en) | 2003-05-01 | 2007-01-09 | Sherwood Services Ag | Method of fusing biomaterials with radiofrequency energy |
| ES2279231T3 (es) | 2003-05-09 | 2007-08-16 | Tyco Healthcare Group Lp | Grapa anastomotica con tubo capilar que dispensa fluidos. |
| US7000818B2 (en) | 2003-05-20 | 2006-02-21 | Ethicon, Endo-Surger, Inc. | Surgical stapling instrument having separate distinct closing and firing systems |
| US7143923B2 (en) | 2003-05-20 | 2006-12-05 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having a firing lockout for an unclosed anvil |
| US7380696B2 (en) | 2003-05-20 | 2008-06-03 | Ethicon Endo-Surgery, Inc. | Articulating surgical stapling instrument incorporating a two-piece E-beam firing mechanism |
| US7380695B2 (en) | 2003-05-20 | 2008-06-03 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having a single lockout mechanism for prevention of firing |
| US7905902B2 (en) | 2003-06-16 | 2011-03-15 | Ethicon Endo-Surgery, Inc. | Surgical implant with preferential corrosion zone |
| DE602004029366D1 (de) | 2003-07-17 | 2010-11-11 | Gunze Kk | Nahtverstärkungsmaterial für ein automatisches nähgerät |
| US20050033417A1 (en) * | 2003-07-31 | 2005-02-10 | John Borges | Coating for controlled release of a therapeutic agent |
| US8198261B2 (en) | 2003-08-22 | 2012-06-12 | Xylos Corporation | Thermally modified microbial-derived cellulose for in vivo implantation |
| US7547312B2 (en) | 2003-09-17 | 2009-06-16 | Gore Enterprise Holdings, Inc. | Circular stapler buttress |
| US7434715B2 (en) | 2003-09-29 | 2008-10-14 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having multistroke firing with opening lockout |
| US7303108B2 (en) | 2003-09-29 | 2007-12-04 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument incorporating a multi-stroke firing mechanism with a flexible rack |
| US20050070929A1 (en) | 2003-09-30 | 2005-03-31 | Dalessandro David A. | Apparatus and method for attaching a surgical buttress to a stapling apparatus |
| US20050247320A1 (en) | 2003-10-10 | 2005-11-10 | Stack Richard S | Devices and methods for retaining a gastro-esophageal implant |
| US20050101834A1 (en) | 2003-11-10 | 2005-05-12 | Merade Bryon L. | Readily implantable sling |
| US7211093B2 (en) | 2004-01-14 | 2007-05-01 | Lsi Solutions, Inc. | Sew-right running stitch instrument |
| US20050283256A1 (en) | 2004-02-09 | 2005-12-22 | Codman & Shurtleff, Inc. | Collagen device and method of preparing the same |
| GB2451777B (en) | 2004-02-17 | 2009-04-08 | Cook Biotech Inc | Medical devices and methods useful for applying bolster material |
| JP4700384B2 (ja) | 2004-04-07 | 2011-06-15 | オリンパス株式会社 | 医療用結紮縫合装置及び医療用結紮縫合システム |
| US20050249772A1 (en) | 2004-05-04 | 2005-11-10 | Prasanna Malaviya | Hybrid biologic-synthetic bioabsorbable scaffolds |
| US20070190108A1 (en) | 2004-05-17 | 2007-08-16 | Arindam Datta | High performance reticulated elastomeric matrix preparation, properties, reinforcement, and use in surgical devices, tissue augmentation and/or tissue repair |
| US7931578B2 (en) | 2004-06-18 | 2011-04-26 | Ncontact Surgical, Inc. | Methods and system for tissue cavity closure |
| US7727271B2 (en) | 2004-06-24 | 2010-06-01 | Boston Scientific Scimed, Inc. | Implantable prosthesis having reinforced attachment sites |
| US7367485B2 (en) | 2004-06-30 | 2008-05-06 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument incorporating a multistroke firing mechanism having a rotary transmission |
| US7147138B2 (en) | 2004-07-28 | 2006-12-12 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having an electroactive polymer actuated buttress deployment mechanism |
| EP1791473A4 (en) | 2004-08-17 | 2011-09-14 | Tyco Healthcare | STACK SUPPORT STRUCTURES |
| ES2378996T3 (es) * | 2004-08-19 | 2012-04-19 | Tyco Healthcare Group Lp | Copolímeros hinchables en el agua y artículos y revestimiento hechos a partir de los mismos |
| ES2264862B8 (es) | 2004-08-25 | 2017-01-20 | Cellerix, S.L. | Biomaterial para sutura. |
| EP2353520B1 (en) | 2004-10-18 | 2013-04-24 | Covidien LP | Annular adhesive structure |
| US7845536B2 (en) | 2004-10-18 | 2010-12-07 | Tyco Healthcare Group Lp | Annular adhesive structure |
| WO2006044810A2 (en) * | 2004-10-18 | 2006-04-27 | Tyco Healthcare Group, Lp | Surgical fasteners coated with wound treatment materials |
| ES2530989T3 (es) | 2004-10-20 | 2015-03-09 | Ethicon Inc | Hemostático absorbible |
| US20060129225A1 (en) | 2004-12-15 | 2006-06-15 | Kopia Gregory A | Device for the delivery of a cardioprotective agent to ischemic reperfused myocardium |
| WO2006081174A2 (en) | 2005-01-24 | 2006-08-03 | Brian Kelleher | Methods and devices for soft tissue stapling |
| US20060173470A1 (en) | 2005-01-31 | 2006-08-03 | Oray B N | Surgical fastener buttress material |
| US7784663B2 (en) | 2005-03-17 | 2010-08-31 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having load sensing control circuitry |
| FR2884134B1 (fr) | 2005-04-07 | 2008-03-28 | Safradim Production Soc Par Ac | Systeme de mise en place de moyens formant renfort d'une suture |
| US7250057B2 (en) | 2005-04-11 | 2007-07-31 | St. Jude Medical Puerto Rico B.V. | Tissue puncture closure device with automatic torque sensing tamping system |
| US7618438B2 (en) | 2005-05-17 | 2009-11-17 | St. Jude Medical Puerto Rico Llc | Tissue puncture closure device with disengagable automatic tamping system |
| US7837705B2 (en) | 2005-05-17 | 2010-11-23 | St. Jude Medical Puerto Rico Llc | Tissue puncture closure system with retractable sheath |
| US7500993B2 (en) | 2005-07-15 | 2009-03-10 | Towertech Research Group, Inc. | Ventral hernia repair method |
| US8579176B2 (en) | 2005-07-26 | 2013-11-12 | Ethicon Endo-Surgery, Inc. | Surgical stapling and cutting device and method for using the device |
| US7559937B2 (en) | 2005-08-09 | 2009-07-14 | Towertech Research Group | Surgical fastener apparatus and reinforcing material |
| US7401721B2 (en) | 2005-08-15 | 2008-07-22 | Tyco Healthcare Group Lp | Surgical stapling instruments including a cartridge having multiple staple sizes |
| US7398908B2 (en) | 2005-08-15 | 2008-07-15 | Tyco Healthcare Group Lp | Surgical stapling instruments including a cartridge having multiple staple sizes |
| US9055942B2 (en) | 2005-10-03 | 2015-06-16 | Boston Scienctific Scimed, Inc. | Endoscopic plication devices and methods |
| US7607557B2 (en) | 2005-11-04 | 2009-10-27 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments structured for pump-assisted delivery of medical agents |
| US7673783B2 (en) * | 2005-11-04 | 2010-03-09 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments structured for delivery of medical agents |
| US20070112360A1 (en) | 2005-11-15 | 2007-05-17 | Patrick De Deyne | Bioprosthetic device |
| US20070128243A1 (en) | 2005-12-02 | 2007-06-07 | Xylos Corporation | Implantable microbial cellulose materials for various medical applications |
| CA2628575C (en) | 2005-12-06 | 2014-07-08 | Tyco Healthcare Group Lp | Biocompatible surgical compositions |
| US8267942B2 (en) | 2005-12-23 | 2012-09-18 | Ethicon, Inc. | Systems and methods for closing a vessel wound |
| US20070207180A1 (en) | 2006-03-02 | 2007-09-06 | Masao Tanihara | Synthetic polypeptide-containing bioapplicable material and film-forming material |
| US7709631B2 (en) | 2006-03-13 | 2010-05-04 | Xylos Corporation | Oxidized microbial cellulose and use thereof |
| JP5076586B2 (ja) | 2006-03-30 | 2012-11-21 | 大日本印刷株式会社 | エンボス加工装置 |
| US20080039871A1 (en) | 2006-04-04 | 2008-02-14 | Wallace Jeffrey M | Minimally invasive gastric restriction methods |
| US20070243227A1 (en) | 2006-04-14 | 2007-10-18 | Michael Gertner | Coatings for surgical staplers |
| US20070246505A1 (en) | 2006-04-24 | 2007-10-25 | Medical Ventures Inc. | Surgical buttress assemblies and methods of uses thereof |
| US20070286892A1 (en) | 2006-06-13 | 2007-12-13 | Uri Herzberg | Compositions and methods for preventing or reducing postoperative ileus and gastric stasis in mammals |
| CA2592221C (en) * | 2006-07-11 | 2014-10-07 | Tyco Healthcare Group Lp | Skin staples with thermal properties |
| US7780663B2 (en) | 2006-09-22 | 2010-08-24 | Ethicon Endo-Surgery, Inc. | End effector coatings for electrosurgical instruments |
| US7557167B2 (en) | 2006-09-28 | 2009-07-07 | Gore Enterprise Holdings, Inc. | Polyester compositions, methods of manufacturing said compositions, and articles made therefrom |
| US8360297B2 (en) | 2006-09-29 | 2013-01-29 | Ethicon Endo-Surgery, Inc. | Surgical cutting and stapling instrument with self adjusting anvil |
| US8475453B2 (en) | 2006-10-06 | 2013-07-02 | Covidien Lp | Endoscopic vessel sealer and divider having a flexible articulating shaft |
| US7845533B2 (en) | 2007-06-22 | 2010-12-07 | Tyco Healthcare Group Lp | Detachable buttress material retention systems for use with a surgical stapling device |
| AU2007318091B2 (en) | 2006-10-26 | 2013-06-27 | Covidien Lp | Methods of using shape memory alloys for buttress attachment |
| US7721930B2 (en) | 2006-11-10 | 2010-05-25 | Thicon Endo-Surgery, Inc. | Disposable cartridge with adhesive for use with a stapling device |
| US7753936B2 (en) | 2006-11-10 | 2010-07-13 | Ehticon Endo-Surgery, Inc. | Form in place fasteners |
| US8834498B2 (en) | 2006-11-10 | 2014-09-16 | Ethicon Endo-Surgery, Inc. | Method and device for effecting anastomosis of hollow organ structures using adhesive and fasteners |
| US20080110961A1 (en) | 2006-11-10 | 2008-05-15 | Ethicon Endo-Surgery, Inc. | Initiator Coating of Staples |
| US7738971B2 (en) | 2007-01-10 | 2010-06-15 | Ethicon Endo-Surgery, Inc. | Post-sterilization programming of surgical instruments |
| US8062330B2 (en) | 2007-06-27 | 2011-11-22 | Tyco Healthcare Group Lp | Buttress and surgical stapling apparatus |
| US8317790B2 (en) | 2007-09-14 | 2012-11-27 | W. L. Gore & Associates, Inc. | Surgical staple line reinforcements |
| US20090118747A1 (en) | 2007-11-05 | 2009-05-07 | Tyco Healthcare Group Lp | Novel surgical fastener |
| EP2116272B1 (en) | 2008-05-09 | 2013-04-03 | Greatbatch Ltd. | Bi-directional sheath deflection mechanism |
| EP2427233B1 (en) * | 2009-05-04 | 2016-12-21 | Incept Llc | Biomaterials for track and puncture closure |
| US9463260B2 (en) | 2009-06-29 | 2016-10-11 | Covidien Lp | Self-sealing compositions |
| US9265500B2 (en) * | 2009-08-19 | 2016-02-23 | Covidien Lp | Surgical staple |
| EP2679175A1 (en) | 2009-10-09 | 2014-01-01 | Ethicon Endo-Surgery, Inc. | Surgical instrument |
| US8403945B2 (en) | 2010-02-25 | 2013-03-26 | Covidien Lp | Articulating endoscopic surgical clip applier |
-
2011
- 2011-09-15 US US13/233,646 patent/US9125649B2/en not_active Expired - Fee Related
-
2012
- 2012-09-10 EP EP12762153.0A patent/EP2755568B1/en active Active
- 2012-09-10 BR BR112014006308-7A patent/BR112014006308B1/pt active IP Right Grant
- 2012-09-10 MX MX2014003173A patent/MX343432B/es active IP Right Grant
- 2012-09-10 RU RU2014114835A patent/RU2621119C2/ru not_active IP Right Cessation
- 2012-09-10 WO PCT/US2012/054410 patent/WO2013039823A1/en active Application Filing
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- 2012-09-10 CN CN201280056010.6A patent/CN103987328B/zh not_active Expired - Fee Related
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2017
- 2017-06-05 JP JP2017110829A patent/JP6411584B2/ja not_active Expired - Fee Related
Patent Citations (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5282829A (en) * | 1991-08-15 | 1994-02-01 | United States Surgical Corporation | Hollow body implants |
| US5804213A (en) * | 1991-10-09 | 1998-09-08 | Lectec Corporation | Biologically active aqueous gel wound dressing |
| CN1864642A (zh) * | 2005-05-17 | 2006-11-22 | 伊西康内外科公司 | 具有塑料闭合板的外科钉合器 |
Also Published As
| Publication number | Publication date |
|---|---|
| RU2621119C2 (ru) | 2017-05-31 |
| EP2755568B1 (en) | 2020-12-09 |
| CN103987328A (zh) | 2014-08-13 |
| RU2014114835A (ru) | 2015-10-20 |
| EP2755568A1 (en) | 2014-07-23 |
| JP2017170184A (ja) | 2017-09-28 |
| US20130068815A1 (en) | 2013-03-21 |
| BR112014006308A2 (pt) | 2017-04-11 |
| WO2013039823A1 (en) | 2013-03-21 |
| MX343432B (es) | 2016-11-03 |
| MX2014003173A (es) | 2014-09-22 |
| JP2014533121A (ja) | 2014-12-11 |
| JP6411584B2 (ja) | 2018-10-24 |
| BR112014006308B1 (pt) | 2021-02-02 |
| US9125649B2 (en) | 2015-09-08 |
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