CN111757707B - 具有闭锁机构的外科手术器械 - Google Patents
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- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
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- A61B17/28—Surgical forceps
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- A61B2017/2926—Details of heads or jaws
- A61B2017/2932—Transmission of forces to jaw members
- A61B2017/2933—Transmission of forces to jaw members camming or guiding means
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- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
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Abstract
用于外科手术夹持和切割器械的锁定组件包括锁定构件和开关。驱动构件被配置成可释放地接合外科手术器械的刀具和/或梭件,以使刀具和/或梭件在远侧方向上平移通过击发行程。锁定构件可以从允许驱动构件向远侧平移通过击发行程的第一位置移动到防止驱动构件向远侧平移通过击发行程的第二位置。当开关被定位在近侧时,开关可释放地接合锁定构件以将锁定构件维持在第一位置。当开关移动到远侧位置时,开关与锁定构件脱离。
Description
相关申请的交叉引用
本申请要求2018年2月26日提交的美国临时申请62/635,348的权益,其全部内容通过引用并入本文。
技术领域
本公开涉及外科手术吻合器械,该外科手术吻合器械具有锁定机构,以在已用完或先前击发的钉仓(cartridge)处于适当位置时防止刀具的致动。
背景技术
外科手术夹持和切割器械例如(诸如外科手术吻合器械)可以包括末端执行器,该末端执行器具有夹持组织的相对夹具和切割夹持组织的刀具。外科手术吻合器械的末端执行器的可重复使用通常是有利的。为此,在每次使用外科手术吻合器械之前,订合钉钉仓(staple cartridge)被装配到末端执行器的一个夹具内。
期望的是,当已用完的钉仓保持在夹具上的适当位置时防止外科手术吻合器械的击发。因此,需要一种有效的机构用于当已用完的订合钉钉仓在外科手术吻合器械的末端执行器中处于适当位置时防止外科手术吻合器械的击发。
发明内容
以下呈现所要求保护的主题的简化概述,以便提供对所要求保护的主题的一些方面的基本理解。该概述不是所要求保护的主题的详尽概述。其既不旨在标识所要求保护的主题的关键或重要元素,也不旨在描绘所要求保护的主题的范围。其唯一目的是以简化的形式呈现所要求保护的主题的一些概念,作为稍后呈现的更详细描述的序言。
本公开涉及具有锁定机构的外科手术吻合器械。本文所述的外科手术吻合器械采用锁定机构,以在已用完或先前击发的钉仓处于适当位置时防止刀具的致动。
在一个方面中,根据本公开的外科手术吻合器械包括砧夹具组件和订合钉夹具组件。订合钉夹具组件包括配置成接收订合钉钉仓的通道,该订合钉钉仓包括梭件。通道包括两个侧壁、底壁和与底壁相邻的凸轮表面。外科手术吻合器械进一步包括驱动构件,该驱动构件被配置成可释放地接合梭件并且使梭件在远侧方向上平移通过订合钉击发行程。锁定构件在允许驱动构件向远侧平移的第一位置与防止驱动构件向远侧平移的第二位置之间可枢转。驱动构件进一步包括支脚,该支脚被配置成接合凸轮表面并且朝向砧夹具组件同时枢转通道、梭件和锁定构件。
在另一方面中,根据本公开的外科手术吻合器械包括砧夹具组件、驱动构件、锁定构件,该驱动构件被配置成在远侧方向上平移通过订合钉击发行程,该锁定构件在允许驱动构件向远侧平移的第一位置与防止驱动构件向远侧平移的第二位置之间可枢转。订合钉夹具组件进一步包括配置成接收订合钉钉仓的通道,该订合钉钉仓包括梭件。通道包括两个侧壁,每个侧壁具有引导结构,该引导结构被配置成引导梭件的近侧倾斜表面与锁定构件的远侧倾斜表面接触,以将锁定构件的一部分推到梭件的架子上,以将锁定构件维持在第一位置。
在另一方面中,根据本公开的外科手术吻合器械包括砧夹具组件和订合钉夹具组件。订合钉夹具组件包括配置成接收订合钉钉仓的通道,该订合钉钉仓包括梭件。通道包括两个侧壁和具有一对开口的底壁。外科手术吻合器械进一步包括驱动构件,该驱动构件被配置成可释放地接合梭件并且使梭件在远侧方向上平移通过订合钉击发行程。锁定构件在允许驱动构件向远侧平移的第一位置与防止驱动构件向远侧平移的第二位置之间可枢转。锁定构件包括配置成穿过通道的底壁中的相应开口的一对支脚。一对支脚可以从防止将支脚从开口中移出的第一位置移动到允许将支脚从开口中移出的第二位置。
在另一方面中,提供一种外科手术器械,其包括砧夹具组件和订合钉夹具组件,该订合钉夹具组件包括限定纵向轴线并配置成接收订合钉钉仓的通道。该订合钉钉仓包括梭件。驱动构件被配置成可释放地接合梭件并且使梭件在远侧方向上平移通过订合钉击发行程。外科手术吻合器械进一步包括在允许驱动构件向远侧平移的第一位置与防止驱动构件向远侧平移的第二位置之间可枢转的锁定构件。锁定构件包括一对向远侧延伸的臂,每个臂具有面向近侧的斜切表面,该面向近侧的斜切表面被配置成当驱动构件在锁定构件的臂之间向远侧平移时沿通道的纵向轴线接合并对准驱动构件。
附图说明
根据结合随附的附图进行的下面详细描述,具有锁定机构的本外科手术吻合器械的上述的和其他的方面、特征和优点将变得更加明显,在附图中:
图1A是说明性外科手术吻合器械的透视图,该外科手术吻合器械包括订合钉夹具组件和砧夹具组件;
图1B是外科手术吻合器械的说明性末端执行器的分解图;
图2A是图1B的末端执行器的通道和锁定组件的俯视透视图;
图2B描绘图2A的通道和锁定构件的近端的局部透视图;
图3是图1B的处于打开位置的末端执行器的局部截面视图;
图4是图1B的处于部分闭合位置的末端执行器的末端执行器局部截面侧视图;
图5是图1B的处于基本闭合位置的末端执行器的末端执行器局部侧截面视图;
图6A是图1B的处于闭合位置的末端执行器的侧截面视图;
图6B是处于闭合位置的末端执行器的局部后透视图,其中订合钉钉仓处于适当位置;
图7是图1B的末端执行器的局部侧截面视图,其示出处于锁定位置的锁定构件;
图8是图1B的末端执行器的局部侧截面视图,其示出向远侧推进的驱动构件和梭件;
图9是图1B的末端执行器的局部侧截面视图,其示出驱动构件和梭件被推进到最远侧位置;
图10A是示出在驱动构件缩回时驱动构件与锁定构件相互作用的局部截面视图;
图10B是图10A的局部透视图;
图11是图1B的末端执行器的局部截面视图,其图示在缩回期间驱动构件的倾斜部分骑跨在锁定构件下方;
图12是图1B的末端执行器的局部截面视图,其图示驱动构件充分缩回以允许锁定构件移动到锁定位置;
图13是图1B的末端执行器的局部截面视图,其图示与锁定构件的远侧部分接合的重装载专用梭件;
图14是图1B的末端执行器的局部截面视图,其图示与锁定构件的远侧部分接合的重装载专用梭件的另一实施例;
图15是图1B的末端执行器的局部截面视图,其图示与锁定构件的远侧部分接合的重装载专用梭件的第三实施例;
图16是图1B的末端执行器的局部截面视图,其图示与锁定构件的远侧部分接合的重装载专用梭件的第四实施例;
图17是订合钉夹具组件的实施例的通道的透视图,该订合钉夹具组件具有存在于通道的侧壁上的引导结构;
图18是图17的引导结构的特写;
图19是安装在根据图18的实施例的外科手术吻合器械的通道中的重装件的局部透视图,其中通道的侧壁中的一个被移除;
图20是根据图2的实施例的通道和锁定构件的远端的局部透视图,其图示锁定构件底部的防护壁;
图21是图20的通道的仰视视图,其示出通过通道的底壁中的开口定位的锁定构件的支脚;
图22是根据图21的实施例的锁定构件的仰视透视图;
图23是根据图21的实施例的锁定构件的俯视透视图;
图24A、图24B和图24C分别是根据图22至图23的实施例的外科手术吻合器械的驱动构件的前视图、侧视图和透视图,其中驱动构件被配置成与锁定构件接合;
图25是根据图24的实施例的驱动构件的局部侧视图,该驱动构件在锁定构件处于解锁位置时接合锁定构件的斜切表面/倒角表面(chamfered surface);
图26是图25的局部俯视图。
具体实施方式
下面参考附图描述本外科手术吻合器械的特定实施例;然而,应当理解,所公开的实施例仅仅是本公开的示例,并且可以以各种形式实施。因此,本文公开的具体结构和功能细节不应被解释为限制性的,而仅仅是作为权利要求的基础以及作为教导本领域技术人员以实际上任何适当的详细结构来不同地采用本公开内容的代表性基础。没有详细描述公知的功能或构造,以避免在不必要的细节上模糊本公开。
本公开涉及一种外科手术吻合器械,其包括锁定构件和驱动构件,该驱动构件配置成与外科手术吻合器械的刀具或梭件中的至少一个接合并且使刀具或梭件中的至少一个在远侧方向上平移通过订合钉击发行程。驱动构件与刀具和/或梭件之间的接触是可释放的,这是因为一旦驱动构件使刀具和/或梭件在远侧方向上平移通过订合钉击发行程,刀具和/或梭件就从驱动构件脱离,保持在吻合器械的远侧部分处,并且不被驱动构件在近侧方向上平移。锁定构件可以从允许驱动构件向远侧平移通过订合钉击发行程的第一位置移动到防止驱动构件向远侧平移通过订合钉击发行程的第二位置。弹簧被配置成将锁定构件朝向第二位置偏压。当梭件处于近侧位置时,梭件可释放地将锁定构件维持在第一位置。当梭件向远侧推进时,梭件从锁定构件脱离,从而允许锁定构件移动到第二位置。
尽管以下公开是针对订合钉被顺序地击发的线性外科手术吻合器而提供的,但是应当理解,无论外科手术夹持和切割器械是否使用紧固件,本锁定组件可以容易地适于使用在任何类型的外科手术夹持和切割器械中。外科手术夹持和切割器械可以是微创(例如,腹腔镜)器械或用于开放外科手术的器械。
此外,本锁定组件可以容易地适于使用在通过使用本领域技术人员力所能及的任何技术激活的外科手术器械中,例如外科手术器械诸如是手动激活的外科手术器械、电动外科手术器械(例如机电驱动器械)、机器人外科手术器械和诸如此类。
图1A是根据本公开的能够利用锁定组件的说明性外科手术吻合器械10的透视图。外科手术吻合器械10包括手柄组件12和末端执行器100,该末端执行器100包括安装在外科手术吻合器械10的细长轴160上的砧夹具组件102和订合钉夹具组件104。
图1B示出砧夹具组件102和订合钉夹具组件104,砧夹具组件102包括具有支撑在其上的订合钉成形袋(未示出)的砧。订合钉夹具组件104和砧夹具组件102被配置成从打开位置移动到闭合位置。在打开位置中,新的订合钉钉仓(有时称为重装件)可以被加载到订合钉夹具组件104内,已用完的订合钉钉仓被从订合钉夹具组件104中移除,并且组织可以被定位在夹具组件102、104之间。在闭合位置中,夹具组件102、104协作以闭合并夹持组织,使得钉仓122和砧(未示出)紧密协作地对准。在图1A和图1B所示的实施例中,订合钉夹具组件104是固定的,并且砧夹具组件102枢转到打开位置。在其他实施例中,可以想到,包含砧的夹具组件是固定的,并且包含订合钉钉仓的夹具组件枢转到打开位置。如本领域技术人员阅读本公开将理解的,在其他实施例中,砧夹具组件和订合钉夹具组件两者均可枢转。
继续参考图1B,订合钉夹具组件104包括订合钉钉仓122,订合钉钉仓122被支撑在夹具123上的通道134中。钉仓122包括多个订合钉124,该多个订合钉124被支撑在对应的订合钉驱动器126上,订合钉驱动器126被提供在钉仓122中形成的相应订合钉孔128内。钉仓122还包括具有倾斜的远侧部分131的梭件130,该远侧部分131在远侧运动时顺序地作用在订合钉驱动器126上,使订合钉驱动器126向上凸轮化/向上倾斜(cam),从而使订合钉124移动成与砧(未示出)变形接触。钉仓122还包括刀具150,该刀具150被配置成向远侧平移通过钉仓122中的通道127并切断夹持的吻合组织。
图1B进一步示出驱动构件110,其被可移动地支撑在外科手术吻合器械上,使得当外科手术吻合器械被击发(例如,致动)时,驱动构件110可以向远侧穿过钉仓122和订合钉夹具组件104。还如图1B所示,锁定组件包括锁定构件116和弹簧114。
安装新的重装件后,驱动构件110处于尚未接合刀具150或梭件130的近侧位置。驱动构件110可以是能够以必要的力推动外科手术吻合器械的梭件或刀具中的至少一个来有效地切断或吻合人体组织的任何结构。驱动构件110可以是I形梁、E形梁或能够执行类似功能的任何其他类型的驱动构件。
对于说明性末端执行器的更详细描述,可以参考美国专利6,669,073和8,800,841,其全部内容通过引用并入本文。当然,应当理解,图1A和图1B中所示的末端执行器仅是示例性的,并且可以采用其他末端执行器,包括但不限于WO2014/106275(其全部内容通过引用并入本文)中所示的末端执行器。
图2A和图2B示出根据本公开实施例的外科手术吻合器械的末端执行器的通道134、弹簧114和锁定构件116。通道134包括两个侧壁134a、134b和底壁134c。
在根据本公开的外科手术吻合器械的说明性实施例中,锁定构件116被定位在通道134的近端中。弹簧114用于将锁定构件116偏压到第二位置,以防止驱动构件110向远侧移动(参见图7)。
图3至图5图示驱动构件110与通道134的凸轮表面136的相互作用,以同时枢转通道134及其内容物。
如在图3中所见,说明性外科手术吻合器械可以包括具有支脚112的驱动构件110、弹簧114、具有凸轮表面136的通道134、以及锁定构件116。图3中还示出梭件130,梭件130被容纳在订合钉钉仓122中,该订合钉钉仓的结构在该视图中未示出。
当使用者操纵手柄组件12以闭合外科手术吻合器械的夹具时,驱动构件110向远侧移动,从而导致驱动构件的支脚112变成与通道134的凸轮表面136接触。如图4至图6所示,当驱动构件110沿着凸轮表面136骑行时,实现了通道134、梭件130和锁定构件116朝向砧夹具组件的同时枢转。
如图5所示,该枢转的正时允许驱动构件的倾斜部分111在锁定构件116的接合部分118下方移开(clear)。在枢转期间,锁定构件116的远侧部分119搁置在梭件130的架子132上(参见图6A),并且因此处于允许驱动构件110向远侧平移的第一位置。在该第一位置中,锁定构件116的接合部分118被定位在通道134中的狭槽180上方。
图6至图9顺序地示出根据本公开的示例性外科手术吻合器械的致动。
在图6A和图6B中,致动行程已经开始并且驱动构件110已经向远侧推进以接触梭件130,但是梭件130尚未移动。当锁定构件继续搁置在梭件130的架子132上并且处于第一解锁位置时,下部倾斜部分111仍能够在锁定构件116下方穿过。
在图7中,驱动构件110继续沿通道134向远侧行进,从而使梭件130沿远侧方向平移。一旦梭件130开始向远侧平移,锁定构件116就从梭件130的架子132上掉落,导致锁定构件116的接合部分118通过落入并接合狭槽180而移动到第二锁定位置,从而启用锁定机构。弹簧114被配置成将锁定构件116的接合部分118朝向狭槽180偏压以保持锁定机构被启用。
如图8所示,当驱动构件110继续向远侧移动时,支脚112在通道134的底壁134c上所形成的狭槽151内骑行,并且驱动构件110的顶部构件115在砧组件102的狭槽152内骑行,以维持夹具组件102、104彼此间隔恒定的距离。
最终,如图9所示,驱动构件110向远侧平移通过整个击发行程,在此过程中发生了组织的吻合和切断。然后驱动构件110可以被缩回,以使梭件130停放在钉仓122的远侧部分中的某个位置。在实施例中,诸如在图9中所示的实施例中,梭件130由于与钉仓122的摩擦而可能无法朝向原始位置向近侧移动。在实施例中,刀具可以与驱动构件110一体地形成。在实施例中,单独的刀具150(参见图1B)可以由驱动构件110向远侧平移,并且可以被停放在位于远侧的库165中的预定位置,该库165包括面向刀具150的切割边缘的侧向表面。
图10A、图10B和图11图示了击发行程已完成之后驱动构件110的缩回。当驱动构件110缩回到末端执行器的近端时,驱动构件110的下部倾斜部分111接触锁定构件116的接合部分118并在锁定构件116的接合部分118下方骑行,导致锁定构件116克服弹簧114的偏压被向上推动。如图12中所见,一旦锁定构件116穿越过驱动构件110的整个下部倾斜部分111,弹簧114的偏压就再次迫使锁定构件116的接合部分118落入并接合狭槽180,从而接合锁定机构。
图12示出已被锁定的外科手术吻合器械的说明性实施例。如果使用者试图在该位置中致动外科手术吻合器械,则位于驱动构件110的下部倾斜部分111的远端上的远侧面113将紧靠锁定构件116的接合部分118的近侧,从而防止驱动构件110向远侧平移,从而防止外科手术吻合器械的致动。
因为订合钉钉仓已用完,并且没有近侧定位的梭件支撑锁定构件116不与狭槽180接合,所以驱动构件110接合锁定构件116可以防止重新击发外科手术吻合器械的任何尝试。再次致动外科手术吻合器械的唯一方法是安装新的、未击发的重装件。
根据本公开的实施例的外科手术吻合器械可以被配置成接受和利用多种不同类型的重装件,其中不同类型的重装件具有订合钉的各种尺寸和布置。在实施例中,不同的重装件可以包含具有各种长度(L1-L4)的架子132的重装载专用梭件130a-130d,以适应订合钉配置的变化。如图13至图16所示,尽管在梭件上具有不同长度的架子,这些不同的重装件全部以相同的位置和角度接触锁定构件,以将锁定构件推到架子上。在实施例中,这些重装件可以进行颜色编码以指示订合钉配置,并且可以与机器人***结合使用,其中机器人***能够基于包含在给定重装件中的梭件的架子的长度来检测重装件的类型。
当安装每种类型的重装件或钉仓122时,梭件130的近侧倾斜边缘138接合锁定构件116的远侧部分119上的倾斜表面117。在安装期间钉仓122的向近侧移动导致梭件130的近侧倾斜边缘138沿着锁定构件116的远侧部分119的倾斜表面117滑动,以便远侧部分119向上移动并移到梭件130的架子132上,从而将锁定构件116放置在第一解锁位置,从而允许重新加载的外科手术吻合器械被致动,并且允许驱动构件110如上所述向远侧平移通过订合钉击发行程。
图17示出用于在安装未击发钉仓(也称为新的重装件)时确保正确对准的特征。在实施例中,引导结构135在通道134上的基本近侧位置处形成在通道134的侧壁134a、134b上。如图18中最佳所见,引导结构135可以包含在近侧方向和远侧方向两者上延伸的倾斜部分137。
图19图示未击发的、新的重装件,其被安装到根据本公开的外科手术吻合器械的说明性实施例中。在安装重装件时,钉仓122上的斜面129在引导结构135下方滑动,从而利于重装时的正确对准。本领域技术人员可以理解,引导结构135的倾斜部分137有助于防止钉仓122的任何边缘或拐角意外地卡在引导结构上。引导结构135正确对准重装件(并因此对准包含在其中的梭件)的作用有助于引导梭件130的倾斜边缘138与锁定构件116的远侧部分119的倾斜表面117接触,以便锁定构件116如上所述地沿梭件130的近侧倾斜部分138向上骑行,并骑行到架子132上。
图20示出锁定构件116的前壁120。因为前壁120提供了保护锁定构件116的其余部分的屏障,前壁120朝向锁定构件116的远端定位。可设想的是,在根据本公开的外科手术吻合器械的清洁或维修期间,锁定构件116的前壁120可以防止使用者意外地损坏或弹出锁定构件116。
图21示出锁定构件116的另一特征。具体地,图21示出一对支脚121,其配置成穿过形成在通道134的底壁134c上的开口139。支脚121防止使用者意外地移除或重新定位锁定构件116。为了移除锁定构件116,使用者将一对支脚121朝向通道134的中心捏住,然后通过通道134的开口139向上和向外引导支脚121。支脚121允许使用者在必要时移除锁定构件116以进行清洁,同时还防止在装载、使用或移动外科手术吻合器械时锁定构件的意外移动。
图22示出根据本公开的锁定构件116的说明性实施例,其具有形成在锁定构件116的向远侧延伸的臂171上的面向近侧的斜切表面170。锁定构件116可以大体上是“U形”的,具有向远侧延伸的臂171,该臂171起源于锁定构件116的近侧中心部分175。当驱动构件110在锁定构件116的臂171之间向远侧平移时,面向近侧的斜切表面170被配置成沿着通道134的纵向轴线“A”接合并对准驱动构件110(参见图17)。如图23中最佳所见,在实施例中,锁定构件116还可以具有面向远侧的斜切表面173,该面向远侧的斜切表面173被配置成当驱动构件110缩回并在锁定构件116的臂171之间移动时沿着通道134的纵向轴线接合并对准驱动构件110。斜切表面170和173一起有助于防止驱动构件110意外地接触锁定构件116的任何边缘或拐角,同时还利于驱动构件110的平移期间的正确对准。如图24中最佳所见,驱动构件110可以具有斜切边缘174,以辅助表面170和173对准。
尽管已经在附图中示出本公开的几个实施例,但并不旨在将本公开限制于此,因为意图是使本公开的范围与本领域所允许的一样宽,并且同样地阅读说明书。因此,以上描述不应被解释为限制性的,而仅应作为当前公开的实施例的示例。因此,实施例的范围应该由所附权利要求及其合法等同物确定,而不是由所给出的示例确定。
本领域技术人员将理解,本文中具体描述并在附图中图示的设备和方法是非限制性的示例性实施例。结合一个示例性实施例说明或描述的特征可以与其他实施例的特征组合。本领域技术人员可以设计出各种替代和修改而不脱离本公开。因此,本公开旨在涵盖所有这样的替代、修改和变化。同样,基于上述实施例,本领域技术人员将理解本公开的其他特征和优点。因此,除了由所附权利要求书所指示的以外,本公开不受限于已经具体示出和描述的内容。
Claims (11)
1.一种外科手术吻合器械,其包括:
砧夹具组件;
订合钉夹具组件,其包括配置成接收订合钉钉仓的通道,所述通道包括两个侧壁和底壁,所述底壁包括一对开口;
驱动构件,其被配置成平移通过所述订合钉钉仓;和
锁定构件,其在允许所述驱动构件向远侧平移的第一位置与防止所述驱动构件向远侧平移的第二位置之间可枢转,所述锁定构件包括一对支脚,所述一对支脚被配置成穿过所述通道的所述底壁中的所述一对开口,所述一对支脚能够从防止将所述一对支脚从所述开口中移出的第一位置移动到允许将所述一对支脚从所述开口中移出的第二位置。
2.根据权利要求1所述的外科手术吻合器械,其中所述锁定构件是大致U形的。
3.根据权利要求1所述的外科手术吻合器械,其中所述锁定构件包括一对向远侧延伸的臂,所述一对支脚被形成在其远侧部分上。
4.根据权利要求3所述的外科手术吻合器械,其中所述向远侧延伸的臂能够弯曲以将所述一对支脚从所述第一位置移动到所述第二位置。
5.根据权利要求1所述的外科手术吻合器械,其中所述锁定构件进一步包括一对面向远侧的斜切表面。
6.根据权利要求1所述的外科手术吻合器械,其中所述通道进一步包括与所述通道的所述底壁相邻的凸轮表面,其中所述驱动构件包括被配置成接合所述凸轮表面并且朝向所述砧夹具组件枢转所述通道和所述锁定构件的支脚。
7.根据权利要求1所述的外科手术吻合器械,其中所述订合钉钉仓包括梭件,所述驱动构件被配置成可释放地接合所述梭件并且使所述梭件在远侧方向上平移通过订合钉击发行程。
8.根据权利要求1所述的外科手术吻合器械,其中所述驱动构件由机器人手术***致动。
9.根据权利要求1所述的外科手术吻合器械,其中所述订合钉钉仓包括梭件,并且其中每个侧壁包括引导结构,并且其中所述订合钉钉仓的倾斜边缘位于所述梭件上。
10.根据权利要求9所述的外科手术吻合器械,其中所述引导结构被配置为当所述驱动构件在远侧方向上平移时,引导所述梭件的所述倾斜边缘与所述锁定构件的倾斜表面接触。
11.根据权利要求3所述的外科手术吻合器械,其中所述臂从所述锁定构件向远侧延伸,并且其中所述臂各自具有面向近侧的斜切表面,所述斜切表面被配置成当所述驱动构件在所述锁定构件的所述臂之间向远侧平移时,沿着所述通道的纵向轴线接合并对准所述驱动构件。
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Families Citing this family (188)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US9060770B2 (en) | 2003-05-20 | 2015-06-23 | Ethicon Endo-Surgery, Inc. | Robotically-driven surgical instrument with E-beam driver |
US20070084897A1 (en) | 2003-05-20 | 2007-04-19 | Shelton Frederick E Iv | Articulating surgical stapling instrument incorporating a two-piece e-beam firing mechanism |
US11896225B2 (en) | 2004-07-28 | 2024-02-13 | Cilag Gmbh International | Staple cartridge comprising a pan |
US9072535B2 (en) | 2011-05-27 | 2015-07-07 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments with rotatable staple deployment arrangements |
US11998198B2 (en) | 2004-07-28 | 2024-06-04 | Cilag Gmbh International | Surgical stapling instrument incorporating a two-piece E-beam firing mechanism |
US7669746B2 (en) | 2005-08-31 | 2010-03-02 | Ethicon Endo-Surgery, Inc. | Staple cartridges for forming staples having differing formed staple heights |
US11246590B2 (en) | 2005-08-31 | 2022-02-15 | Cilag Gmbh International | Staple cartridge including staple drivers having different unfired heights |
US10159482B2 (en) | 2005-08-31 | 2018-12-25 | Ethicon Llc | Fastener cartridge assembly comprising a fixed anvil and different staple heights |
US20070106317A1 (en) | 2005-11-09 | 2007-05-10 | Shelton Frederick E Iv | Hydraulically and electrically actuated articulation joints for surgical instruments |
US11793518B2 (en) | 2006-01-31 | 2023-10-24 | Cilag Gmbh International | Powered surgical instruments with firing system lockout arrangements |
US20110290856A1 (en) | 2006-01-31 | 2011-12-01 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical instrument with force-feedback capabilities |
US8186555B2 (en) | 2006-01-31 | 2012-05-29 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting and fastening instrument with mechanical closure system |
US20120292367A1 (en) | 2006-01-31 | 2012-11-22 | Ethicon Endo-Surgery, Inc. | Robotically-controlled end effector |
US8820603B2 (en) | 2006-01-31 | 2014-09-02 | Ethicon Endo-Surgery, Inc. | Accessing data stored in a memory of a surgical instrument |
US8708213B2 (en) | 2006-01-31 | 2014-04-29 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a feedback system |
US7845537B2 (en) | 2006-01-31 | 2010-12-07 | Ethicon Endo-Surgery, Inc. | Surgical instrument having recording capabilities |
US10568652B2 (en) | 2006-09-29 | 2020-02-25 | Ethicon Llc | Surgical staples having attached drivers of different heights and stapling instruments for deploying the same |
US11980366B2 (en) | 2006-10-03 | 2024-05-14 | Cilag Gmbh International | Surgical instrument |
US8684253B2 (en) | 2007-01-10 | 2014-04-01 | Ethicon Endo-Surgery, Inc. | Surgical instrument with wireless communication between a control unit of a robotic system and remote sensor |
US7434717B2 (en) | 2007-01-11 | 2008-10-14 | Ethicon Endo-Surgery, Inc. | Apparatus for closing a curved anvil of a surgical stapling device |
US11857181B2 (en) | 2007-06-04 | 2024-01-02 | Cilag Gmbh International | Robotically-controlled shaft based rotary drive systems for surgical instruments |
US8931682B2 (en) | 2007-06-04 | 2015-01-13 | Ethicon Endo-Surgery, Inc. | Robotically-controlled shaft based rotary drive systems for surgical instruments |
US7753245B2 (en) | 2007-06-22 | 2010-07-13 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments |
US11849941B2 (en) | 2007-06-29 | 2023-12-26 | Cilag Gmbh International | Staple cartridge having staple cavities extending at a transverse angle relative to a longitudinal cartridge axis |
US8636736B2 (en) | 2008-02-14 | 2014-01-28 | Ethicon Endo-Surgery, Inc. | Motorized surgical cutting and fastening instrument |
JP5410110B2 (ja) | 2008-02-14 | 2014-02-05 | エシコン・エンド−サージェリィ・インコーポレイテッド | Rf電極を有する外科用切断・固定器具 |
US8573465B2 (en) | 2008-02-14 | 2013-11-05 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical end effector system with rotary actuated closure systems |
US11986183B2 (en) | 2008-02-14 | 2024-05-21 | Cilag Gmbh International | Surgical cutting and fastening instrument comprising a plurality of sensors to measure an electrical parameter |
US9770245B2 (en) | 2008-02-15 | 2017-09-26 | Ethicon Llc | Layer arrangements for surgical staple cartridges |
US9386983B2 (en) | 2008-09-23 | 2016-07-12 | Ethicon Endo-Surgery, Llc | Robotically-controlled motorized surgical instrument |
US11648005B2 (en) | 2008-09-23 | 2023-05-16 | Cilag Gmbh International | Robotically-controlled motorized surgical instrument with an end effector |
US8210411B2 (en) | 2008-09-23 | 2012-07-03 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting instrument |
US9005230B2 (en) | 2008-09-23 | 2015-04-14 | Ethicon Endo-Surgery, Inc. | Motorized surgical instrument |
US8608045B2 (en) | 2008-10-10 | 2013-12-17 | Ethicon Endo-Sugery, Inc. | Powered surgical cutting and stapling apparatus with manually retractable firing system |
US9168038B2 (en) | 2010-09-30 | 2015-10-27 | Ethicon Endo-Surgery, Inc. | Staple cartridge comprising a tissue thickness compensator |
US9629814B2 (en) | 2010-09-30 | 2017-04-25 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator configured to redistribute compressive forces |
US11812965B2 (en) | 2010-09-30 | 2023-11-14 | Cilag Gmbh International | Layer of material for a surgical end effector |
US10213198B2 (en) | 2010-09-30 | 2019-02-26 | Ethicon Llc | Actuator for releasing a tissue thickness compensator from a fastener cartridge |
US11849952B2 (en) | 2010-09-30 | 2023-12-26 | Cilag Gmbh International | Staple cartridge comprising staples positioned within a compressible portion thereof |
US9320523B2 (en) | 2012-03-28 | 2016-04-26 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator comprising tissue ingrowth features |
US10945731B2 (en) | 2010-09-30 | 2021-03-16 | Ethicon Llc | Tissue thickness compensator comprising controlled release and expansion |
JP6026509B2 (ja) | 2011-04-29 | 2016-11-16 | エシコン・エンド−サージェリィ・インコーポレイテッドEthicon Endo−Surgery,Inc. | ステープルカートリッジ自体の圧縮可能部分内に配置されたステープルを含むステープルカートリッジ |
MX358135B (es) | 2012-03-28 | 2018-08-06 | Ethicon Endo Surgery Inc | Compensador de grosor de tejido que comprende una pluralidad de capas. |
CN104334098B (zh) | 2012-03-28 | 2017-03-22 | 伊西康内外科公司 | 包括限定低压强环境的胶囊剂的组织厚度补偿件 |
US9101358B2 (en) | 2012-06-15 | 2015-08-11 | Ethicon Endo-Surgery, Inc. | Articulatable surgical instrument comprising a firing drive |
US9289256B2 (en) | 2012-06-28 | 2016-03-22 | Ethicon Endo-Surgery, Llc | Surgical end effectors having angled tissue-contacting surfaces |
US20140001231A1 (en) | 2012-06-28 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Firing system lockout arrangements for surgical instruments |
JP6382235B2 (ja) | 2013-03-01 | 2018-08-29 | エシコン・エンド−サージェリィ・インコーポレイテッドEthicon Endo−Surgery,Inc. | 信号通信用の導電路を備えた関節運動可能な外科用器具 |
US9629629B2 (en) | 2013-03-14 | 2017-04-25 | Ethicon Endo-Surgey, LLC | Control systems for surgical instruments |
BR112015026109B1 (pt) | 2013-04-16 | 2022-02-22 | Ethicon Endo-Surgery, Inc | Instrumento cirúrgico |
US9808249B2 (en) | 2013-08-23 | 2017-11-07 | Ethicon Llc | Attachment portions for surgical instrument assemblies |
US9804618B2 (en) | 2014-03-26 | 2017-10-31 | Ethicon Llc | Systems and methods for controlling a segmented circuit |
BR112016023807B1 (pt) | 2014-04-16 | 2022-07-12 | Ethicon Endo-Surgery, Llc | Conjunto de cartucho de prendedores para uso com um instrumento cirúrgico |
US20150297225A1 (en) | 2014-04-16 | 2015-10-22 | Ethicon Endo-Surgery, Inc. | Fastener cartridges including extensions having different configurations |
CN106456158B (zh) | 2014-04-16 | 2019-02-05 | 伊西康内外科有限责任公司 | 包括非一致紧固件的紧固件仓 |
BR112016023698B1 (pt) | 2014-04-16 | 2022-07-26 | Ethicon Endo-Surgery, Llc | Cartucho de prendedores para uso com um instrumento cirúrgico |
US10206677B2 (en) | 2014-09-26 | 2019-02-19 | Ethicon Llc | Surgical staple and driver arrangements for staple cartridges |
BR112017004361B1 (pt) | 2014-09-05 | 2023-04-11 | Ethicon Llc | Sistema eletrônico para um instrumento cirúrgico |
US9757128B2 (en) | 2014-09-05 | 2017-09-12 | Ethicon Llc | Multiple sensors with one sensor affecting a second sensor's output or interpretation |
US9924944B2 (en) | 2014-10-16 | 2018-03-27 | Ethicon Llc | Staple cartridge comprising an adjunct material |
US10517594B2 (en) | 2014-10-29 | 2019-12-31 | Ethicon Llc | Cartridge assemblies for surgical staplers |
US9968355B2 (en) | 2014-12-18 | 2018-05-15 | Ethicon Llc | Surgical instruments with articulatable end effectors and improved firing beam support arrangements |
US10085748B2 (en) | 2014-12-18 | 2018-10-02 | Ethicon Llc | Locking arrangements for detachable shaft assemblies with articulatable surgical end effectors |
MX2017008108A (es) | 2014-12-18 | 2018-03-06 | Ethicon Llc | Instrumento quirurgico con un yunque que puede moverse de manera selectiva sobre un eje discreto no movil con relacion a un cartucho de grapas. |
US11154301B2 (en) | 2015-02-27 | 2021-10-26 | Cilag Gmbh International | Modular stapling assembly |
JP2020121162A (ja) | 2015-03-06 | 2020-08-13 | エシコン エルエルシーEthicon LLC | 測定の安定性要素、クリープ要素、及び粘弾性要素を決定するためのセンサデータの時間依存性評価 |
US10441279B2 (en) | 2015-03-06 | 2019-10-15 | Ethicon Llc | Multiple level thresholds to modify operation of powered surgical instruments |
US10213201B2 (en) | 2015-03-31 | 2019-02-26 | Ethicon Llc | Stapling end effector configured to compensate for an uneven gap between a first jaw and a second jaw |
US10105139B2 (en) | 2015-09-23 | 2018-10-23 | Ethicon Llc | Surgical stapler having downstream current-based motor control |
US11890015B2 (en) | 2015-09-30 | 2024-02-06 | Cilag Gmbh International | Compressible adjunct with crossing spacer fibers |
US10736633B2 (en) | 2015-09-30 | 2020-08-11 | Ethicon Llc | Compressible adjunct with looping members |
US10292704B2 (en) | 2015-12-30 | 2019-05-21 | Ethicon Llc | Mechanisms for compensating for battery pack failure in powered surgical instruments |
US11213293B2 (en) | 2016-02-09 | 2022-01-04 | Cilag Gmbh International | Articulatable surgical instruments with single articulation link arrangements |
US10448948B2 (en) | 2016-02-12 | 2019-10-22 | Ethicon Llc | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US10357247B2 (en) | 2016-04-15 | 2019-07-23 | Ethicon Llc | Surgical instrument with multiple program responses during a firing motion |
US10828028B2 (en) | 2016-04-15 | 2020-11-10 | Ethicon Llc | Surgical instrument with multiple program responses during a firing motion |
US20170296173A1 (en) | 2016-04-18 | 2017-10-19 | Ethicon Endo-Surgery, Llc | Method for operating a surgical instrument |
US10624635B2 (en) | 2016-12-21 | 2020-04-21 | Ethicon Llc | Firing members with non-parallel jaw engagement features for surgical end effectors |
JP7010956B2 (ja) | 2016-12-21 | 2022-01-26 | エシコン エルエルシー | 組織をステープル留めする方法 |
US10639035B2 (en) | 2016-12-21 | 2020-05-05 | Ethicon Llc | Surgical stapling instruments and replaceable tool assemblies thereof |
US20180168625A1 (en) | 2016-12-21 | 2018-06-21 | Ethicon Endo-Surgery, Llc | Surgical stapling instruments with smart staple cartridges |
US11090048B2 (en) | 2016-12-21 | 2021-08-17 | Cilag Gmbh International | Method for resetting a fuse of a surgical instrument shaft |
US10307170B2 (en) | 2017-06-20 | 2019-06-04 | Ethicon Llc | Method for closed loop control of motor velocity of a surgical stapling and cutting instrument |
US10779820B2 (en) | 2017-06-20 | 2020-09-22 | Ethicon Llc | Systems and methods for controlling motor speed according to user input for a surgical instrument |
US10881399B2 (en) | 2017-06-20 | 2021-01-05 | Ethicon Llc | Techniques for adaptive control of motor velocity of a surgical stapling and cutting instrument |
US11653914B2 (en) | 2017-06-20 | 2023-05-23 | Cilag Gmbh International | Systems and methods for controlling motor velocity of a surgical stapling and cutting instrument according to articulation angle of end effector |
US10993716B2 (en) | 2017-06-27 | 2021-05-04 | Ethicon Llc | Surgical anvil arrangements |
US10765427B2 (en) | 2017-06-28 | 2020-09-08 | Ethicon Llc | Method for articulating a surgical instrument |
US11564686B2 (en) | 2017-06-28 | 2023-01-31 | Cilag Gmbh International | Surgical shaft assemblies with flexible interfaces |
USD906355S1 (en) | 2017-06-28 | 2020-12-29 | Ethicon Llc | Display screen or portion thereof with a graphical user interface for a surgical instrument |
US11389161B2 (en) | 2017-06-28 | 2022-07-19 | Cilag Gmbh International | Surgical instrument comprising selectively actuatable rotatable couplers |
US10932772B2 (en) | 2017-06-29 | 2021-03-02 | Ethicon Llc | Methods for closed loop velocity control for robotic surgical instrument |
US11944300B2 (en) | 2017-08-03 | 2024-04-02 | Cilag Gmbh International | Method for operating a surgical system bailout |
US11974742B2 (en) | 2017-08-03 | 2024-05-07 | Cilag Gmbh International | Surgical system comprising an articulation bailout |
US10842490B2 (en) | 2017-10-31 | 2020-11-24 | Ethicon Llc | Cartridge body design with force reduction based on firing completion |
US10863988B2 (en) | 2017-11-29 | 2020-12-15 | Intuitive Surgical Operations, Inc. | Surgical instrument with lockout mechanism |
US10779826B2 (en) | 2017-12-15 | 2020-09-22 | Ethicon Llc | Methods of operating surgical end effectors |
US11337691B2 (en) | 2017-12-21 | 2022-05-24 | Cilag Gmbh International | Surgical instrument configured to determine firing path |
US11517312B2 (en) | 2018-02-12 | 2022-12-06 | Intuitive Surgical Operations, Inc. | Surgical instrument with lockout mechanism |
US12029473B2 (en) | 2018-05-31 | 2024-07-09 | Intuitive Surgical Operations, Inc. | Surgical instruments having a jaw locking mechanism |
US11207065B2 (en) | 2018-08-20 | 2021-12-28 | Cilag Gmbh International | Method for fabricating surgical stapler anvils |
US12029426B2 (en) | 2018-10-19 | 2024-07-09 | Intuitive Surgical Operations, Inc. | Endoscopic purse string suture surgical device |
WO2020131290A1 (en) | 2018-12-21 | 2020-06-25 | Intuitive Surgical Operations, Inc. | Articulation assemblies for surgical instruments |
EP3897404A4 (en) | 2018-12-21 | 2023-01-04 | Intuitive Surgical Operations, Inc. | SURGICAL INSTRUMENTS WITH A REINFORCED STAPLER CARTRIDGE |
WO2020131685A1 (en) | 2018-12-21 | 2020-06-25 | Intuitive Surgical Operations, Inc. | Surgical instruments with switches for deactivating and/or identifying stapler cartridges |
US11696761B2 (en) | 2019-03-25 | 2023-07-11 | Cilag Gmbh International | Firing drive arrangements for surgical systems |
EP3955831A4 (en) | 2019-04-15 | 2022-12-28 | Intuitive Surgical Operations, Inc. | STAPLE MAGAZINE FOR A SURGICAL INSTRUMENT |
WO2020214397A1 (en) | 2019-04-17 | 2020-10-22 | Intuitive Surgical Operations, Inc. | Surgical stapling instrument |
US11903581B2 (en) | 2019-04-30 | 2024-02-20 | Cilag Gmbh International | Methods for stapling tissue using a surgical instrument |
CN113905675A (zh) | 2019-05-31 | 2022-01-07 | 直观外科手术操作公司 | 用于外科器械的订合钉仓 |
US11684434B2 (en) | 2019-06-28 | 2023-06-27 | Cilag Gmbh International | Surgical RFID assemblies for instrument operational setting control |
US11350938B2 (en) | 2019-06-28 | 2022-06-07 | Cilag Gmbh International | Surgical instrument comprising an aligned rfid sensor |
US11771419B2 (en) | 2019-06-28 | 2023-10-03 | Cilag Gmbh International | Packaging for a replaceable component of a surgical stapling system |
US11638587B2 (en) | 2019-06-28 | 2023-05-02 | Cilag Gmbh International | RFID identification systems for surgical instruments |
US11660163B2 (en) | 2019-06-28 | 2023-05-30 | Cilag Gmbh International | Surgical system with RFID tags for updating motor assembly parameters |
US11627959B2 (en) | 2019-06-28 | 2023-04-18 | Cilag Gmbh International | Surgical instruments including manual and powered system lockouts |
US12004740B2 (en) | 2019-06-28 | 2024-06-11 | Cilag Gmbh International | Surgical stapling system having an information decryption protocol |
US11786325B2 (en) | 2019-07-02 | 2023-10-17 | Intuitive Surgical Operations, Inc. | Remotely controlling a system using video |
US11701111B2 (en) | 2019-12-19 | 2023-07-18 | Cilag Gmbh International | Method for operating a surgical stapling instrument |
US11911032B2 (en) | 2019-12-19 | 2024-02-27 | Cilag Gmbh International | Staple cartridge comprising a seating cam |
US11576672B2 (en) | 2019-12-19 | 2023-02-14 | Cilag Gmbh International | Surgical instrument comprising a closure system including a closure member and an opening member driven by a drive screw |
US12035913B2 (en) | 2019-12-19 | 2024-07-16 | Cilag Gmbh International | Staple cartridge comprising a deployable knife |
US11844520B2 (en) | 2019-12-19 | 2023-12-19 | Cilag Gmbh International | Staple cartridge comprising driver retention members |
US11642129B2 (en) | 2020-01-15 | 2023-05-09 | Intuitive Surgical Operations, Inc. | Staple cartridge and drive member for surgical instrument |
US20220031320A1 (en) | 2020-07-28 | 2022-02-03 | Cilag Gmbh International | Surgical instruments with flexible firing member actuator constraint arrangements |
US11717289B2 (en) | 2020-10-29 | 2023-08-08 | Cilag Gmbh International | Surgical instrument comprising an indicator which indicates that an articulation drive is actuatable |
US11779330B2 (en) | 2020-10-29 | 2023-10-10 | Cilag Gmbh International | Surgical instrument comprising a jaw alignment system |
US11617577B2 (en) | 2020-10-29 | 2023-04-04 | Cilag Gmbh International | Surgical instrument comprising a sensor configured to sense whether an articulation drive of the surgical instrument is actuatable |
US11896217B2 (en) | 2020-10-29 | 2024-02-13 | Cilag Gmbh International | Surgical instrument comprising an articulation lock |
USD1013170S1 (en) | 2020-10-29 | 2024-01-30 | Cilag Gmbh International | Surgical instrument assembly |
US11931025B2 (en) | 2020-10-29 | 2024-03-19 | Cilag Gmbh International | Surgical instrument comprising a releasable closure drive lock |
US11844518B2 (en) | 2020-10-29 | 2023-12-19 | Cilag Gmbh International | Method for operating a surgical instrument |
US11944296B2 (en) | 2020-12-02 | 2024-04-02 | Cilag Gmbh International | Powered surgical instruments with external connectors |
US11627960B2 (en) | 2020-12-02 | 2023-04-18 | Cilag Gmbh International | Powered surgical instruments with smart reload with separately attachable exteriorly mounted wiring connections |
US11849943B2 (en) | 2020-12-02 | 2023-12-26 | Cilag Gmbh International | Surgical instrument with cartridge release mechanisms |
US11678882B2 (en) | 2020-12-02 | 2023-06-20 | Cilag Gmbh International | Surgical instruments with interactive features to remedy incidental sled movements |
US11744581B2 (en) | 2020-12-02 | 2023-09-05 | Cilag Gmbh International | Powered surgical instruments with multi-phase tissue treatment |
US11737751B2 (en) | 2020-12-02 | 2023-08-29 | Cilag Gmbh International | Devices and methods of managing energy dissipated within sterile barriers of surgical instrument housings |
US11653915B2 (en) | 2020-12-02 | 2023-05-23 | Cilag Gmbh International | Surgical instruments with sled location detection and adjustment features |
US11653920B2 (en) | 2020-12-02 | 2023-05-23 | Cilag Gmbh International | Powered surgical instruments with communication interfaces through sterile barrier |
US11890010B2 (en) | 2020-12-02 | 2024-02-06 | Cllag GmbH International | Dual-sided reinforced reload for surgical instruments |
US11950777B2 (en) | 2021-02-26 | 2024-04-09 | Cilag Gmbh International | Staple cartridge comprising an information access control system |
US11701113B2 (en) | 2021-02-26 | 2023-07-18 | Cilag Gmbh International | Stapling instrument comprising a separate power antenna and a data transfer antenna |
US11812964B2 (en) | 2021-02-26 | 2023-11-14 | Cilag Gmbh International | Staple cartridge comprising a power management circuit |
US11723657B2 (en) | 2021-02-26 | 2023-08-15 | Cilag Gmbh International | Adjustable communication based on available bandwidth and power capacity |
US11730473B2 (en) | 2021-02-26 | 2023-08-22 | Cilag Gmbh International | Monitoring of manufacturing life-cycle |
US11749877B2 (en) | 2021-02-26 | 2023-09-05 | Cilag Gmbh International | Stapling instrument comprising a signal antenna |
US11925349B2 (en) | 2021-02-26 | 2024-03-12 | Cilag Gmbh International | Adjustment to transfer parameters to improve available power |
US11950779B2 (en) | 2021-02-26 | 2024-04-09 | Cilag Gmbh International | Method of powering and communicating with a staple cartridge |
US11793514B2 (en) | 2021-02-26 | 2023-10-24 | Cilag Gmbh International | Staple cartridge comprising sensor array which may be embedded in cartridge body |
US11980362B2 (en) | 2021-02-26 | 2024-05-14 | Cilag Gmbh International | Surgical instrument system comprising a power transfer coil |
US11744583B2 (en) | 2021-02-26 | 2023-09-05 | Cilag Gmbh International | Distal communication array to tune frequency of RF systems |
US11696757B2 (en) | 2021-02-26 | 2023-07-11 | Cilag Gmbh International | Monitoring of internal systems to detect and track cartridge motion status |
US11751869B2 (en) | 2021-02-26 | 2023-09-12 | Cilag Gmbh International | Monitoring of multiple sensors over time to detect moving characteristics of tissue |
US11723658B2 (en) | 2021-03-22 | 2023-08-15 | Cilag Gmbh International | Staple cartridge comprising a firing lockout |
US11737749B2 (en) | 2021-03-22 | 2023-08-29 | Cilag Gmbh International | Surgical stapling instrument comprising a retraction system |
US11826012B2 (en) | 2021-03-22 | 2023-11-28 | Cilag Gmbh International | Stapling instrument comprising a pulsed motor-driven firing rack |
US11759202B2 (en) | 2021-03-22 | 2023-09-19 | Cilag Gmbh International | Staple cartridge comprising an implantable layer |
US11826042B2 (en) | 2021-03-22 | 2023-11-28 | Cilag Gmbh International | Surgical instrument comprising a firing drive including a selectable leverage mechanism |
US11717291B2 (en) | 2021-03-22 | 2023-08-08 | Cilag Gmbh International | Staple cartridge comprising staples configured to apply different tissue compression |
US11806011B2 (en) | 2021-03-22 | 2023-11-07 | Cilag Gmbh International | Stapling instrument comprising tissue compression systems |
US11849944B2 (en) | 2021-03-24 | 2023-12-26 | Cilag Gmbh International | Drivers for fastener cartridge assemblies having rotary drive screws |
US11857183B2 (en) | 2021-03-24 | 2024-01-02 | Cilag Gmbh International | Stapling assembly components having metal substrates and plastic bodies |
US11903582B2 (en) | 2021-03-24 | 2024-02-20 | Cilag Gmbh International | Leveraging surfaces for cartridge installation |
US11744603B2 (en) | 2021-03-24 | 2023-09-05 | Cilag Gmbh International | Multi-axis pivot joints for surgical instruments and methods for manufacturing same |
US11896218B2 (en) | 2021-03-24 | 2024-02-13 | Cilag Gmbh International | Method of using a powered stapling device |
US11786243B2 (en) | 2021-03-24 | 2023-10-17 | Cilag Gmbh International | Firing members having flexible portions for adapting to a load during a surgical firing stroke |
US11944336B2 (en) | 2021-03-24 | 2024-04-02 | Cilag Gmbh International | Joint arrangements for multi-planar alignment and support of operational drive shafts in articulatable surgical instruments |
US11786239B2 (en) | 2021-03-24 | 2023-10-17 | Cilag Gmbh International | Surgical instrument articulation joint arrangements comprising multiple moving linkage features |
US11793516B2 (en) | 2021-03-24 | 2023-10-24 | Cilag Gmbh International | Surgical staple cartridge comprising longitudinal support beam |
US11849945B2 (en) | 2021-03-24 | 2023-12-26 | Cilag Gmbh International | Rotary-driven surgical stapling assembly comprising eccentrically driven firing member |
US11832816B2 (en) | 2021-03-24 | 2023-12-05 | Cilag Gmbh International | Surgical stapling assembly comprising nonplanar staples and planar staples |
US11896219B2 (en) | 2021-03-24 | 2024-02-13 | Cilag Gmbh International | Mating features between drivers and underside of a cartridge deck |
US11723662B2 (en) | 2021-05-28 | 2023-08-15 | Cilag Gmbh International | Stapling instrument comprising an articulation control display |
US11779332B2 (en) | 2021-08-16 | 2023-10-10 | Cilag Gmbh International | Powered surgical stapler having independently operable closure and firing systems |
US12011164B2 (en) | 2021-08-16 | 2024-06-18 | Cilag Gmbh International | Cartridge-based firing lockout mechanism for surgical stapler |
US20230045998A1 (en) | 2021-08-16 | 2023-02-16 | Cilag Gmbh International | Firing bailout system for powered surgical stapler |
US11957336B2 (en) | 2021-08-16 | 2024-04-16 | Cilag Gmbh International | Proximally located firing lockout mechanism for surgical stapler |
US11992210B2 (en) | 2021-08-16 | 2024-05-28 | Cilag Gmbh International | Multiple-sensor firing lockout mechanism for powered surgical stapler |
US20230049736A1 (en) | 2021-08-16 | 2023-02-16 | Cilag Gmbh International | Firing member tracking feature for surgical stapler |
US20230050707A1 (en) | 2021-08-16 | 2023-02-16 | Cilag Gmbh International | Firing system features for surgical stapler |
US11944297B2 (en) | 2021-08-16 | 2024-04-02 | Cilag Gmbh International | Variable response motor control algorithm for powered surgical stapler |
US12029508B2 (en) | 2021-08-16 | 2024-07-09 | Cilag Gmbh International | Adjustable power transmission mechanism for powered surgical stapler |
US20230052307A1 (en) | 2021-08-16 | 2023-02-16 | Cilag Gmbh International | Deflectable firing member for surgical stapler |
US11992209B2 (en) | 2021-08-16 | 2024-05-28 | Cilag Gmbh International | Multi-threshold motor control algorithm for powered surgical stapler |
US11986182B2 (en) | 2021-08-16 | 2024-05-21 | Cilag Gmbh International | Multi-position restraining member for sled movement |
US11980363B2 (en) | 2021-10-18 | 2024-05-14 | Cilag Gmbh International | Row-to-row staple array variations |
US11937816B2 (en) | 2021-10-28 | 2024-03-26 | Cilag Gmbh International | Electrical lead arrangements for surgical instruments |
Citations (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN1957854A (zh) * | 2005-11-04 | 2007-05-09 | 伊西康内外科公司 | 锁定机构和具有该锁定机构的外科器械 |
CN101268954A (zh) * | 2003-05-20 | 2008-09-24 | 伊西康内外科公司 | 具有电活化聚合物致动的单锁定机构的外科缝合器械 |
CN104042272A (zh) * | 2013-03-13 | 2014-09-17 | 柯惠Lp公司 | 手术吻合装置 |
CN107708578A (zh) * | 2015-06-18 | 2018-02-16 | 伊西康有限责任公司 | 具有用于在仓被用完或丢失时防止击发***致动的闭锁构造的外科缝合器械 |
Family Cites Families (215)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
SU405234A1 (ru) | 1970-09-02 | 1975-09-05 | Всесоюзный Научно-Исследовательский Институт Хирургической Аппаратуры И Инструментов | Матрица к сшивающим хирургическим аппаратам |
SU886900A1 (ru) | 1979-03-26 | 1981-12-07 | Всесоюзный научно-исследовательский и испытательный институт медицинской техники | Хирургический сшивающий аппарат дл наложени линейных швов |
US4429695A (en) | 1980-02-05 | 1984-02-07 | United States Surgical Corporation | Surgical instruments |
US4319576A (en) | 1980-02-26 | 1982-03-16 | Senco Products, Inc. | Intralumenal anastomosis surgical stapling instrument |
US4809695A (en) | 1981-10-21 | 1989-03-07 | Owen M. Gwathmey | Suturing assembly and method |
US4610383A (en) | 1983-10-14 | 1986-09-09 | Senmed, Inc. | Disposable linear surgical stapler |
US4767044A (en) | 1984-10-19 | 1988-08-30 | United States Surgical Corporation | Surgical fastener applying apparatus |
US4608981A (en) | 1984-10-19 | 1986-09-02 | Senmed, Inc. | Surgical stapling instrument with staple height adjusting mechanism |
US4605001A (en) | 1984-10-19 | 1986-08-12 | Senmed, Inc. | Surgical stapling instrument with dual staple height mechanism |
US4750488A (en) | 1986-05-19 | 1988-06-14 | Sonomed Technology, Inc. | Vibration apparatus preferably for endoscopic ultrasonic aspirator |
SU1333319A2 (ru) | 1985-12-10 | 1987-08-30 | Петрозаводский государственный университет им.О.В.Куусинена | Ушиватель полых органов |
SU1459659A1 (ru) | 1986-09-29 | 1989-02-23 | Всесоюзный научно-исследовательский и испытательный институт медицинской техники | Хирургический сшивающий аппарат дл наложени линейных швов |
SU1442191A1 (ru) | 1987-01-19 | 1988-12-07 | Петрозаводский государственный университет им.О.В.Куусинена | Хирургический сшивающий аппарат |
US4848637A (en) | 1987-06-11 | 1989-07-18 | Pruitt J Crayton | Staple device for use on the mesenteries of the abdomen |
US4930503A (en) | 1987-06-11 | 1990-06-05 | Pruitt J Crayton | Stapling process and device for use on the mesenteries of the abdomen |
US5027834A (en) | 1987-06-11 | 1991-07-02 | United States Surgical Corporation | Stapling process for use on the mesenteries of the abdomen |
US4892244A (en) | 1988-11-07 | 1990-01-09 | Ethicon, Inc. | Surgical stapler cartridge lockout device |
WO1990005489A1 (en) | 1988-11-18 | 1990-05-31 | Immuno Sweden Ab | Instrument for anastomosis |
US4978049A (en) | 1989-05-26 | 1990-12-18 | United States Surgical Corporation | Three staple drive member |
US5040715B1 (en) | 1989-05-26 | 1994-04-05 | United States Surgical Corp | Apparatus and method for placing staples in laparoscopic or endoscopic procedures |
US5129570A (en) | 1990-11-30 | 1992-07-14 | Ethicon, Inc. | Surgical stapler |
US5571285A (en) | 1991-02-19 | 1996-11-05 | Ethicon, Inc. | Surgical staple for insertion into tissue |
US5688269A (en) | 1991-07-10 | 1997-11-18 | Electroscope, Inc. | Electrosurgical apparatus for laparoscopic and like procedures |
US6250532B1 (en) | 1991-10-18 | 2001-06-26 | United States Surgical Corporation | Surgical stapling apparatus |
US5307976A (en) | 1991-10-18 | 1994-05-03 | Ethicon, Inc. | Linear stapling mechanism with cutting means |
US5312023A (en) | 1991-10-18 | 1994-05-17 | United States Surgical Corporation | Self contained gas powered surgical apparatus |
US5289963A (en) | 1991-10-18 | 1994-03-01 | United States Surgical Corporation | Apparatus and method for applying surgical staples to attach an object to body tissue |
US5443198A (en) | 1991-10-18 | 1995-08-22 | United States Surgical Corporation | Surgical fastener applying apparatus |
CA2075227C (en) | 1991-10-18 | 2004-02-10 | Robert J. Geiste | Surgical fastening apparatus with shipping interlock |
US5180092A (en) | 1992-02-05 | 1993-01-19 | Lawrence Crainich | Linear surgical stapling instrument |
US5484095A (en) | 1992-03-31 | 1996-01-16 | United States Surgical Corporation | Apparatus for endoscopically applying staples individually to body tissue |
US5484451A (en) | 1992-05-08 | 1996-01-16 | Ethicon, Inc. | Endoscopic surgical instrument and staples for applying purse string sutures |
JPH0675830B2 (ja) | 1992-08-24 | 1994-09-28 | 丸善株式会社 | ステプラー |
US5342396A (en) | 1993-03-02 | 1994-08-30 | Cook Melvin S | Staples |
US5540375A (en) | 1993-04-20 | 1996-07-30 | United States Surgical Corporation | Endoscopic stapler |
US5415334A (en) | 1993-05-05 | 1995-05-16 | Ethicon Endo-Surgery | Surgical stapler and staple cartridge |
US5709680A (en) | 1993-07-22 | 1998-01-20 | Ethicon Endo-Surgery, Inc. | Electrosurgical hemostatic device |
US5439155A (en) | 1993-10-07 | 1995-08-08 | United States Surgical Corporation | Cartridge for surgical fastener applying apparatus |
CA2132503C (en) | 1993-10-07 | 2005-05-10 | Donald F. Wilson | Curved knife for linear staplers |
US5452837A (en) | 1994-01-21 | 1995-09-26 | Ethicon Endo-Surgery, Inc. | Surgical stapler with tissue gripping ridge |
US5487500A (en) | 1994-02-03 | 1996-01-30 | Ethicon Endo-Surgery, Inc. | Surgical stapler instrument |
US5452836A (en) | 1994-02-07 | 1995-09-26 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with improved jaw closure and staple firing actuator mechanism |
CA2144818C (en) | 1994-04-07 | 2006-07-11 | Henry Bolanos | Graduated anvil for surgical stapling instruments |
US5529235A (en) | 1994-04-28 | 1996-06-25 | Ethicon Endo-Surgery, Inc. | Identification device for surgical instrument |
US5628446A (en) | 1994-05-05 | 1997-05-13 | United States Surgical Corporation | Self-contained powered surgical apparatus |
US5833695A (en) | 1994-07-13 | 1998-11-10 | Yoon; Inbae | Surgical stapling system and method of applying staples from multiple staple cartridges |
US5533521A (en) | 1994-07-15 | 1996-07-09 | United States Surgical Corporation | Interchangeable tissue measuring device |
EP0699418A1 (en) | 1994-08-05 | 1996-03-06 | United States Surgical Corporation | Self-contained powered surgical apparatus |
US5779130A (en) | 1994-08-05 | 1998-07-14 | United States Surgical Corporation | Self-contained powered surgical apparatus |
US5480089A (en) | 1994-08-19 | 1996-01-02 | United States Surgical Corporation | Surgical stapler apparatus with improved staple pockets |
US5571116A (en) | 1994-10-02 | 1996-11-05 | United States Surgical Corporation | Non-invasive treatment of gastroesophageal reflux disease |
US5632432A (en) | 1994-12-19 | 1997-05-27 | Ethicon Endo-Surgery, Inc. | Surgical instrument |
US5624452A (en) | 1995-04-07 | 1997-04-29 | Ethicon Endo-Surgery, Inc. | Hemostatic surgical cutting or stapling instrument |
US5752644A (en) | 1995-07-11 | 1998-05-19 | United States Surgical Corporation | Disposable loading unit for surgical stapler |
US5782396A (en) | 1995-08-28 | 1998-07-21 | United States Surgical Corporation | Surgical stapler |
US5762256A (en) | 1995-08-28 | 1998-06-09 | United States Surgical Corporation | Surgical stapler |
US6032849A (en) | 1995-08-28 | 2000-03-07 | United States Surgical | Surgical stapler |
US5697542A (en) | 1995-10-19 | 1997-12-16 | Ethicon Endo-Surgery, Inc. | Endoscopic surgical stapler with compact profile |
US5941442A (en) | 1995-10-27 | 1999-08-24 | United States Surgical | Surgical stapler |
US5667626A (en) | 1996-01-29 | 1997-09-16 | Minnesota Mining And Manufacturing Company | Masking device hub providing two position tape support |
US5820009A (en) | 1996-02-20 | 1998-10-13 | Richard-Allan Medical Industries, Inc. | Articulated surgical instrument with improved jaw closure mechanism |
US5762255A (en) | 1996-02-20 | 1998-06-09 | Richard-Allan Medical Industries, Inc. | Surgical instrument with improvement safety lockout mechanisms |
IL117607A0 (en) | 1996-03-21 | 1996-07-23 | Dev Of Advanced Medical Produc | Surgical stapler and method of surgical fastening |
US5792135A (en) | 1996-05-20 | 1998-08-11 | Intuitive Surgical, Inc. | Articulated surgical instrument for performing minimally invasive surgery with enhanced dexterity and sensitivity |
US5959892A (en) | 1997-08-26 | 1999-09-28 | Macronix International Co., Ltd. | Apparatus and method for programming virtual ground EPROM array cell without disturbing adjacent cells |
US5865361A (en) | 1997-09-23 | 1999-02-02 | United States Surgical Corporation | Surgical stapling apparatus |
US6330956B1 (en) | 1998-12-09 | 2001-12-18 | J.W. Pet Company | Molded plastic pet bowl |
US6174309B1 (en) | 1999-02-11 | 2001-01-16 | Medical Scientific, Inc. | Seal & cut electrosurgical instrument |
US8025199B2 (en) | 2004-02-23 | 2011-09-27 | Tyco Healthcare Group Lp | Surgical cutting and stapling device |
US6264087B1 (en) | 1999-07-12 | 2001-07-24 | Powermed, Inc. | Expanding parallel jaw device for use with an electromechanical driver device |
CA2322061A1 (en) | 1999-10-05 | 2001-04-05 | Anil K. Nalagatla | Stapling instrument having two staple forming surfaces |
ES2312476T3 (es) | 2000-10-13 | 2009-03-01 | Tyco Healthcare Group Lp | Aparato de aplicacion de grapas quirurgicas. |
US20040267310A1 (en) | 2000-10-20 | 2004-12-30 | Racenet David C | Directionally biased staple and anvil assembly for forming the staple |
US6503259B2 (en) | 2000-12-27 | 2003-01-07 | Ethicon, Inc. | Expandable anastomotic device |
US7699835B2 (en) | 2001-02-15 | 2010-04-20 | Hansen Medical, Inc. | Robotically controlled surgical instruments |
US6656193B2 (en) | 2001-05-07 | 2003-12-02 | Ethicon Endo-Surgery, Inc. | Device for attachment of buttress material to a surgical fastening device |
US6817974B2 (en) | 2001-06-29 | 2004-11-16 | Intuitive Surgical, Inc. | Surgical tool having positively positionable tendon-actuated multi-disk wrist joint |
US6895219B2 (en) | 2001-08-27 | 2005-05-17 | Symbol Technologies Inc. | Dual use of FFT circuity in imagers and transceivers |
US10285694B2 (en) | 2001-10-20 | 2019-05-14 | Covidien Lp | Surgical stapler with timer and feedback display |
DE10158246C1 (de) | 2001-11-28 | 2003-08-21 | Ethicon Endo Surgery Europe | Chirurgisches Klammersetzinstrument |
US8233501B2 (en) | 2002-02-13 | 2012-07-31 | Interdigital Technology Corporation | Transport block set segmentation |
WO2003086206A1 (en) | 2002-04-11 | 2003-10-23 | Tyco Healthcare Group, Lp | Surgical stapling apparatus including an anvil and cartridge each having cooperating mating surfaces |
CA2485107C (en) | 2002-05-10 | 2011-07-12 | Tyco Healthcare Group Lp | Surgical stapling apparatus having a wound closure material applicator assembly |
DE60335360D1 (de) | 2002-05-10 | 2011-01-27 | Tyco Healthcare | Chirurgisches klammergerät mit einer anordnung zum aufbringen eines wundverschlussmaterials |
AU2003234551A1 (en) | 2002-05-13 | 2003-11-11 | Tyco Healthcare Group, Lp | Surgical stapler and disposable loading unit having different size staples |
US7931649B2 (en) | 2002-10-04 | 2011-04-26 | Tyco Healthcare Group Lp | Vessel sealing instrument with electrical cutting mechanism |
ES2377813T5 (es) * | 2002-10-04 | 2020-12-18 | Covidien Lp | Conjunto de herramienta para un dispositivo de grapado quirúrgico |
JP4006385B2 (ja) | 2002-11-20 | 2007-11-14 | 株式会社日立ハイテクノロジーズ | 糖鎖合成装置 |
US7140528B2 (en) | 2003-05-20 | 2006-11-28 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having an electroactive polymer actuated single lockout mechanism for prevention of firing |
US6988649B2 (en) | 2003-05-20 | 2006-01-24 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having a spent cartridge lockout |
US7000818B2 (en) | 2003-05-20 | 2006-02-21 | Ethicon, Endo-Surger, Inc. | Surgical stapling instrument having separate distinct closing and firing systems |
US9060770B2 (en) | 2003-05-20 | 2015-06-23 | Ethicon Endo-Surgery, Inc. | Robotically-driven surgical instrument with E-beam driver |
US7380695B2 (en) | 2003-05-20 | 2008-06-03 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having a single lockout mechanism for prevention of firing |
US20070010838A1 (en) | 2003-05-20 | 2007-01-11 | Shelton Frederick E Iv | Surgical stapling instrument having a firing lockout for an unclosed anvil |
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 |
CA2529442C (en) | 2003-06-17 | 2012-08-21 | David C. Racenet | Surgical stapling device |
US7494039B2 (en) | 2003-06-17 | 2009-02-24 | Tyco Healthcare Group Lp | Surgical stapling device |
US7111769B2 (en) | 2003-07-09 | 2006-09-26 | Ethicon Endo-Surgery, Inc. | Surgical instrument incorporating an articulation mechanism having rotation about the longitudinal axis |
US6964363B2 (en) | 2003-07-09 | 2005-11-15 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having articulation joint support plates for supporting a firing bar |
US6981628B2 (en) | 2003-07-09 | 2006-01-03 | Ethicon Endo-Surgery, Inc. | Surgical instrument with a lateral-moving articulation control |
US7055731B2 (en) | 2003-07-09 | 2006-06-06 | Ethicon Endo-Surgery Inc. | Surgical stapling instrument incorporating a tapered firing bar for increased flexibility around the articulation joint |
US6786382B1 (en) | 2003-07-09 | 2004-09-07 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument incorporating an articulation joint for a firing bar track |
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 |
US7000819B2 (en) | 2003-09-29 | 2006-02-21 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having multistroke firing incorporating a traction-biased ratcheting mechanism |
US6959852B2 (en) | 2003-09-29 | 2005-11-01 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with multistroke firing incorporating an anti-backup mechanism |
US7434715B2 (en) | 2003-09-29 | 2008-10-14 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having multistroke firing with opening lockout |
US7364061B2 (en) | 2003-09-29 | 2008-04-29 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument incorporating a multistroke firing position indicator and retraction mechanism |
US6905057B2 (en) | 2003-09-29 | 2005-06-14 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument incorporating a firing mechanism having a linked rack transmission |
US7083075B2 (en) | 2003-09-29 | 2006-08-01 | Ethicon Endo-Surgery, Inc. | Multi-stroke mechanism with automatic end of stroke retraction |
WO2005037329A2 (en) | 2003-10-17 | 2005-04-28 | Tyco Healthcare Group, Lp | Surgical stapling device with independent tip rotation |
US7059508B2 (en) | 2004-06-30 | 2006-06-13 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument incorporating an uneven multistroke firing mechanism having a rotary transmission |
US7367485B2 (en) | 2004-06-30 | 2008-05-06 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument incorporating a multistroke firing mechanism having a rotary transmission |
US7506790B2 (en) | 2004-07-28 | 2009-03-24 | Ethicon Endo-Surgery, Inc. | Surgical instrument incorporating an electrically actuated articulation mechanism |
US7487899B2 (en) | 2004-07-28 | 2009-02-10 | Ethicon Endo-Surgery, Inc. | Surgical instrument incorporating EAP complete firing system lockout mechanism |
US8905977B2 (en) | 2004-07-28 | 2014-12-09 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having an electroactive polymer actuated medical substance dispenser |
US7147138B2 (en) | 2004-07-28 | 2006-12-12 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having an electroactive polymer actuated buttress deployment mechanism |
US8057508B2 (en) | 2004-07-28 | 2011-11-15 | Ethicon Endo-Surgery, Inc. | Surgical instrument incorporating an electrically actuated articulation locking mechanism |
US7857183B2 (en) | 2004-07-28 | 2010-12-28 | Ethicon Endo-Surgery, Inc. | Surgical instrument incorporating an electrically actuated articulation mechanism |
US20060025812A1 (en) | 2004-07-28 | 2006-02-02 | Ethicon Endo-Surgery, Inc. | Surgical instrument incorporating an electrically actuated pivoting articulation mechanism |
US7143925B2 (en) | 2004-07-28 | 2006-12-05 | Ethicon Endo-Surgery, Inc. | Surgical instrument incorporating EAP blocking lockout mechanism |
US7128254B2 (en) | 2004-09-07 | 2006-10-31 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument incorporating a multistroke firing mechanism having a rotary slip-clutch transmission |
US7654431B2 (en) | 2005-02-18 | 2010-02-02 | Ethicon Endo-Surgery, Inc. | Surgical instrument with guided laterally moving articulation member |
US7559450B2 (en) | 2005-02-18 | 2009-07-14 | Ethicon Endo-Surgery, Inc. | Surgical instrument incorporating a fluid transfer controlled articulation mechanism |
US20060291981A1 (en) | 2005-06-02 | 2006-12-28 | Viola Frank J | Expandable backspan staple |
US7398908B2 (en) | 2005-08-15 | 2008-07-15 | Tyco Healthcare Group Lp | Surgical stapling instruments including a cartridge having multiple staple sizes |
US8579178B2 (en) | 2005-08-15 | 2013-11-12 | Covidien Lp | Surgical stapling instruments including a cartridge having multiple staples sizes |
US7407075B2 (en) | 2005-08-15 | 2008-08-05 | Tyco Healthcare Group Lp | Staple cartridge having multiple staple sizes for a surgical stapling instrument |
US7401721B2 (en) | 2005-08-15 | 2008-07-22 | Tyco Healthcare Group Lp | Surgical stapling instruments including a cartridge having multiple staple sizes |
US7934630B2 (en) | 2005-08-31 | 2011-05-03 | Ethicon Endo-Surgery, Inc. | Staple cartridges for forming staples having differing formed staple heights |
US7669746B2 (en) | 2005-08-31 | 2010-03-02 | Ethicon Endo-Surgery, Inc. | Staple cartridges for forming staples having differing formed staple heights |
US7500979B2 (en) | 2005-08-31 | 2009-03-10 | Ethicon Endo-Surgery, Inc. | Surgical stapling device with multiple stacked actuator wedge cams for driving staple drivers |
US7641091B2 (en) | 2005-10-04 | 2010-01-05 | Tyco Healthcare Group Lp | Staple drive assembly |
US7635074B2 (en) | 2005-10-04 | 2009-12-22 | Tyco Healthcare Group Lp | Staple drive assembly |
US7673783B2 (en) | 2005-11-04 | 2010-03-09 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments structured for delivery of medical agents |
ATE450208T1 (de) | 2006-07-07 | 2009-12-15 | Ethicon Endo Surgery Inc | Chirurgische klammersetzvorrichtung |
US8220690B2 (en) | 2006-09-29 | 2012-07-17 | Ethicon Endo-Surgery, Inc. | Connected surgical staples and stapling instruments for deploying the same |
US7721930B2 (en) | 2006-11-10 | 2010-05-25 | Thicon Endo-Surgery, Inc. | Disposable cartridge with adhesive for use with a stapling device |
US8684253B2 (en) | 2007-01-10 | 2014-04-01 | Ethicon Endo-Surgery, Inc. | Surgical instrument with wireless communication between a control unit of a robotic system and remote sensor |
US7434717B2 (en) | 2007-01-11 | 2008-10-14 | Ethicon Endo-Surgery, Inc. | Apparatus for closing a curved anvil of a surgical stapling device |
US8413871B2 (en) | 2007-03-06 | 2013-04-09 | Covidien Lp | Surgical stapling apparatus |
US7604151B2 (en) | 2007-03-15 | 2009-10-20 | Ethicon Endo-Surgery, Inc. | Surgical stapling systems and staple cartridges for deploying surgical staples with tissue compression features |
US7832611B2 (en) | 2007-05-16 | 2010-11-16 | The Invention Science Fund I, Llc | Steerable surgical stapler |
US7950561B2 (en) | 2007-06-18 | 2011-05-31 | Tyco Healthcare Group Lp | Structure for attachment of buttress material to anvils and cartridges of surgical staplers |
US9050098B2 (en) | 2007-11-28 | 2015-06-09 | Covidien Ag | Cordless medical cauterization and cutting device |
US8573465B2 (en) | 2008-02-14 | 2013-11-05 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical end effector system with rotary actuated closure systems |
US9869339B2 (en) | 2008-04-11 | 2018-01-16 | Flexdex, Inc. | End-effector jaw closure transmission systems for remote access tools |
US8091756B2 (en) | 2008-05-09 | 2012-01-10 | Tyco Healthcare Group Lp | Varying tissue compression using take-up component |
US7942303B2 (en) | 2008-06-06 | 2011-05-17 | Tyco Healthcare Group Lp | Knife lockout mechanisms for surgical instrument |
US8210411B2 (en) * | 2008-09-23 | 2012-07-03 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting instrument |
US8858547B2 (en) | 2009-03-05 | 2014-10-14 | Intuitive Surgical Operations, Inc. | Cut and seal instrument |
US8365972B2 (en) | 2009-03-31 | 2013-02-05 | Covidien Lp | Surgical stapling apparatus |
US20110022078A1 (en) | 2009-07-23 | 2011-01-27 | Cameron Dale Hinman | Articulating mechanism |
US8672939B2 (en) | 2010-06-01 | 2014-03-18 | Covidien Lp | Surgical device for performing an electrosurgical procedure |
US8663270B2 (en) | 2010-07-23 | 2014-03-04 | Conmed Corporation | Jaw movement mechanism and method for a surgical tool |
US9216019B2 (en) | 2011-09-23 | 2015-12-22 | Ethicon Endo-Surgery, Inc. | Surgical stapler with stationary staple drivers |
KR102028644B1 (ko) | 2011-02-18 | 2019-10-04 | 인튜어티브 서지컬 오퍼레이션즈 인코포레이티드 | 접합 및 절단 수술 기구와 관련 방법 |
US8800841B2 (en) | 2011-03-15 | 2014-08-12 | Ethicon Endo-Surgery, Inc. | Surgical staple cartridges |
US9370362B2 (en) * | 2011-04-07 | 2016-06-21 | Wake Forest University Health Sciences | Surgical staplers with tissue protection and related methods |
CN102743201B (zh) | 2011-04-20 | 2014-03-12 | 苏州天臣国际医疗科技有限公司 | 直线型切割缝合器 |
US9161807B2 (en) | 2011-05-23 | 2015-10-20 | Covidien Lp | Apparatus for performing an electrosurgical procedure |
US8960521B2 (en) | 2011-07-15 | 2015-02-24 | Covidien Lp | Loose staples removal system |
US8833632B2 (en) | 2011-09-06 | 2014-09-16 | Ethicon Endo-Surgery, Inc. | Firing member displacement system for a stapling instrument |
US9254180B2 (en) | 2011-09-15 | 2016-02-09 | Ethicon Endo-Surgery, Inc. | Surgical instrument with staple reinforcement clip |
US9089326B2 (en) | 2011-10-07 | 2015-07-28 | Ethicon Endo-Surgery, Inc. | Dual staple cartridge for surgical stapler |
US9016539B2 (en) | 2011-10-25 | 2015-04-28 | Covidien Lp | Multi-use loading unit |
US9078653B2 (en) | 2012-03-26 | 2015-07-14 | Ethicon Endo-Surgery, Inc. | Surgical stapling device with lockout system for preventing actuation in the absence of an installed staple cartridge |
US9364230B2 (en) | 2012-06-28 | 2016-06-14 | Ethicon Endo-Surgery, Llc | Surgical stapling instruments with rotary joint assemblies |
US9226767B2 (en) | 2012-06-29 | 2016-01-05 | Ethicon Endo-Surgery, Inc. | Closed feedback control for electrosurgical device |
KR102194979B1 (ko) | 2012-12-31 | 2020-12-28 | 인튜어티브 서지컬 오퍼레이션즈 인코포레이티드 | 개선된 나이프 간격을 가진 수술용 스테이플 카트리지 |
US9675354B2 (en) * | 2013-01-14 | 2017-06-13 | Intuitive Surgical Operations, Inc. | Torque compensation |
MX360430B (es) | 2013-02-08 | 2018-10-31 | Ethicon Endo Surgery Inc | Cartucho de grapas que comprende un revestimiento extraíble. |
US9717497B2 (en) | 2013-02-28 | 2017-08-01 | Ethicon Llc | Lockout feature for movable cutting member of surgical instrument |
BR112015021082B1 (pt) | 2013-03-01 | 2022-05-10 | Ethicon Endo-Surgery, Inc | Instrumento cirúrgico |
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 |
EP3135225B1 (en) * | 2013-03-13 | 2019-08-14 | Covidien LP | Surgical stapling apparatus |
US9566064B2 (en) | 2013-03-13 | 2017-02-14 | Covidien Lp | Surgical stapling apparatus |
JP2016513570A (ja) | 2013-03-15 | 2016-05-16 | セテリックス オーソピーディクス インコーポレイテッド | 縫合糸パッサ型器具及び方法 |
US9572577B2 (en) | 2013-03-27 | 2017-02-21 | Ethicon Endo-Surgery, Llc | Fastener cartridge comprising a tissue thickness compensator including openings therein |
US9775610B2 (en) | 2013-04-09 | 2017-10-03 | Covidien Lp | Apparatus for endoscopic procedures |
US10136887B2 (en) | 2013-04-16 | 2018-11-27 | Ethicon Llc | Drive system decoupling arrangement for a surgical instrument |
US9585662B2 (en) | 2013-12-23 | 2017-03-07 | Ethicon Endo-Surgery, Llc | Fastener cartridge comprising an extendable firing member |
US9629627B2 (en) | 2014-01-28 | 2017-04-25 | Coviden Lp | Surgical apparatus |
US9700312B2 (en) | 2014-01-28 | 2017-07-11 | Covidien Lp | Surgical apparatus |
US9757126B2 (en) * | 2014-03-31 | 2017-09-12 | Covidien Lp | Surgical stapling apparatus with firing lockout mechanism |
US10470768B2 (en) | 2014-04-16 | 2019-11-12 | Ethicon Llc | Fastener cartridge including a layer attached thereto |
EP4368134A3 (en) | 2014-05-30 | 2024-07-31 | Applied Medical Resources Corporation | Electrosurgical seal and dissection systems |
US9943312B2 (en) * | 2014-09-02 | 2018-04-17 | Ethicon Llc | Methods and devices for locking a surgical device based on loading of a fastener cartridge in the surgical device |
US9757128B2 (en) * | 2014-09-05 | 2017-09-12 | Ethicon Llc | Multiple sensors with one sensor affecting a second sensor's output or interpretation |
ES2902606T3 (es) | 2014-09-15 | 2022-03-29 | Applied Med Resources | Grapadora quirúrgica con altura de grapas autoajustable |
US10517594B2 (en) | 2014-10-29 | 2019-12-31 | Ethicon Llc | Cartridge assemblies for surgical staplers |
US10420603B2 (en) | 2014-12-23 | 2019-09-24 | Applied Medical Resources Corporation | Bipolar electrosurgical sealer and divider |
US10085749B2 (en) * | 2015-02-26 | 2018-10-02 | Covidien Lp | Surgical apparatus with conductor strain relief |
US10213201B2 (en) | 2015-03-31 | 2019-02-26 | Ethicon Llc | Stapling end effector configured to compensate for an uneven gap between a first jaw and a second jaw |
US10743897B2 (en) | 2015-05-15 | 2020-08-18 | Intuitive Surgical Operations, Inc. | System and method for reducing blade exposures |
JP2017021186A (ja) | 2015-07-10 | 2017-01-26 | キヤノン株式会社 | フレームの締結方法、フレーム、シート搬送装置、及び画像形成装置 |
US10470769B2 (en) | 2015-08-26 | 2019-11-12 | Ethicon Llc | Staple cartridge assembly comprising staple alignment features on a firing member |
US10285693B2 (en) | 2015-12-31 | 2019-05-14 | Ethicon Llc | Surgical stapler with locking translatable pin |
US10420559B2 (en) * | 2016-02-11 | 2019-09-24 | Covidien Lp | Surgical stapler with small diameter endoscopic portion |
US11304770B2 (en) | 2016-03-09 | 2022-04-19 | Intuitive Surgical Operations, Inc. | Force transmission mechanism for surgical instrument, and related devices, systems, and methods |
US20170296173A1 (en) * | 2016-04-18 | 2017-10-19 | Ethicon Endo-Surgery, Llc | Method for operating a surgical instrument |
US10368867B2 (en) | 2016-04-18 | 2019-08-06 | Ethicon Llc | Surgical instrument comprising a lockout |
KR102414405B1 (ko) | 2016-06-09 | 2022-06-30 | 인튜어티브 서지컬 오퍼레이션즈 인코포레이티드 | 컴퓨터 보조 원격 조작 수술 시스템 및 방법 |
US10939973B2 (en) | 2016-07-01 | 2021-03-09 | Intuitive Surgical Operations, Inc. | Computer-assisted medical systems and methods |
KR102549818B1 (ko) | 2016-10-11 | 2023-06-30 | 인튜어티브 서지컬 오퍼레이션즈 인코포레이티드 | 일체형 나이프를 갖는 스테이플러 카트리지 |
US10624635B2 (en) | 2016-12-21 | 2020-04-21 | Ethicon Llc | Firing members with non-parallel jaw engagement features for surgical end effectors |
US10542982B2 (en) | 2016-12-21 | 2020-01-28 | Ethicon Llc | Shaft assembly comprising first and second articulation lockouts |
US10524789B2 (en) | 2016-12-21 | 2020-01-07 | Ethicon Llc | Laterally actuatable articulation lock arrangements for locking an end effector of a surgical instrument in an articulated configuration |
US10426471B2 (en) | 2016-12-21 | 2019-10-01 | Ethicon Llc | Surgical instrument with multiple failure response modes |
US10639035B2 (en) | 2016-12-21 | 2020-05-05 | Ethicon Llc | Surgical stapling instruments and replaceable tool assemblies thereof |
CN117860345A (zh) | 2017-11-13 | 2024-04-12 | 维卡瑞斯外科手术股份有限公司 | 虚拟现实腕部组件 |
US10863988B2 (en) | 2017-11-29 | 2020-12-15 | Intuitive Surgical Operations, Inc. | Surgical instrument with lockout mechanism |
US10595887B2 (en) * | 2017-12-28 | 2020-03-24 | Ethicon Llc | Systems for adjusting end effector parameters based on perioperative information |
US20210177500A1 (en) | 2019-12-12 | 2021-06-17 | Intuitive Surgical Operations, Inc. | Surgical instruments having non-linear cam slots |
-
2019
- 2019-02-26 US US16/969,483 patent/US11439390B2/en active Active
- 2019-02-26 EP EP24155564.8A patent/EP4338687A2/en active Pending
- 2019-02-26 WO PCT/US2019/019501 patent/WO2019165403A1/en unknown
- 2019-02-26 CN CN201980014969.5A patent/CN111757707B/zh active Active
- 2019-02-26 EP EP19757451.0A patent/EP3758619B1/en active Active
- 2019-02-26 CN CN202410546726.9A patent/CN118319403A/zh active Pending
-
2022
- 2022-08-18 US US17/890,362 patent/US20220395270A1/en active Pending
Patent Citations (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN101268954A (zh) * | 2003-05-20 | 2008-09-24 | 伊西康内外科公司 | 具有电活化聚合物致动的单锁定机构的外科缝合器械 |
CN1957854A (zh) * | 2005-11-04 | 2007-05-09 | 伊西康内外科公司 | 锁定机构和具有该锁定机构的外科器械 |
CN104042272A (zh) * | 2013-03-13 | 2014-09-17 | 柯惠Lp公司 | 手术吻合装置 |
CN107708578A (zh) * | 2015-06-18 | 2018-02-16 | 伊西康有限责任公司 | 具有用于在仓被用完或丢失时防止击发***致动的闭锁构造的外科缝合器械 |
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CN111757707A (zh) | 2020-10-09 |
CN118319403A (zh) | 2024-07-12 |
US20220395270A1 (en) | 2022-12-15 |
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