CN1120805A - 有创去除组织的方法和装置 - Google Patents
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Abstract
一种用于最低限度创伤的组织去除方法和装置,设想出一个***,它包括一个具有可在经皮引入的套管(15)内往复运动的由一个电机驱动的切割切片(16)的组织切割用具(10)。根据本发明的一种方法,切割刀片的往复运动频率被调到待切除组织的特征频率上。该***的另一方面具有***的抽吸(22)和冲洗(23)回路的反馈控制,这些回路与用户可设置的输入相连接,以使得外科医生可以控制该***以便将组织“拨”入到切割开口内,可控阀(32)和压力传感器(33)允许使用者设置抽吸真空和冲洗压力并将它们保持在优选值上。
Description
本发明涉及用于切除和去除多种组织的外科手术方法及装置。本发明用于包括下列部位在内的高精细手术,如神经、脊柱、矫形外科、眼科、牙科、妇科、胃肠、泌尿、耳鼻喉以及心血管,还有体内其它一些在组织去除中需要极为小心的部位。虽然本发明可用于多种手术,但下面公开的内容主要涉及在矫形外科或脊柱外科手术领域中所采用的最低限度侵害技术。
在脊柱外科手术领域,一个经常要被诊断和治疗的问题就是椎间盘变性或椎间盘突出。在椎间盘中发生结构上的改变,这可能是由于超负荷条件或随年龄的正常变性的缘故。椎间盘问题可能会简单得象一大部分人都体验过的慢性腰痛,或者严重得象椎间盘组织最终不起作用的状况。过去,治疗椎间盘疾病需要复杂而且高度侵害的外科手术。这些手术常常需要在损伤的椎间盘相邻的两个脊椎之间进行某种程度的融合。
近十年来,已经开发出了经皮椎间盘切除术。在授予Onik的美国再颁专利第33,258号以及在1992年刊登在“矫形外科进展杂志”(Journal of Advance in Orthopadic Surgery)上的题为自动经皮腰椎间盘切除术的文章中描述了这样一个***。在Onik的装置中,待去除组织通过被抽吸进一个外部切割套筒的中心孔内而被拉出来。一个气动内切割套筒象环状刀一样进行操作以切除椎间盘组织,让椎间盘组织悬浮在盐冲洗液中,这也有助于通过内切割套筒切除的推间盘组织的抽吸。
虽然有关用在椎间盘经皮切除术中的这种或其它类似装置的经验是有益的,但是在用于最低限度侵害的组织去除的方法和装置方面还存在改进的余地。采用这些装置的手术比以前的手术方法具有更小的创伤,而且还需要降低在经皮椎间盘切除术以及类似手术中进行组织去除所需的时间。既使是已有技术中的***也只能在5分钟内去除约0.7克的组织,更快的组织去除意思是说需要更快的手术过程,且还要降低侵害及创伤的危险。此外,正如涉及体内组织切除的任何手术方法一样,本发明的用于组织切除的***也存在着将与要切除的不需要的组织不同的需要的组织切除的危险。最后,虽然所有的外科手术方法均涉及对周围组织的某些伤害,但正如本发明所要做的,明显需要更进一步的减小与经皮椎间盘切除术有关的创伤的量。
目前,已有技术的组织去除***一般包括采用自动的气动环状刀或旋转型刀。这些***存在的一个问题是:组织通常是被撕开的而不是被干净利落地切割。采用旋转式刀,使组织具有“卷绕”或缠绕在刀或驱动轴周围的可能,进而塞满刀具并使刀失效。这些***还包括重力输注盐水装置,以便对刀具端部提供冲洗液。通过改变输液源的高度来手动控制冲洗液的流动。在缺少可控制的输液源情况下,为了使一个已知手术获得足够的液体,这些已有***就需要必要的冲洗液源。而且,这些已有***还要通过蠕动泵或隔膜泵的方式提供一个抽吸真空。这些已有的真空***通常不能充分地将组织吸进切割孔中并且当过多的组织被吸入到切割孔中时容易出现堵塞。已有技术装置在冲洗和抽吸方面的低效率常常限制组织去除能力,使得已有技术的装置常常无法去除足够多的组织以减轻患者的(例如)椎间盘突出及有关病痛。
已有***的这些特性导致了在去除组织以及组织去除速度的能力方面的固有的局限性。本发明指出已有技术装置的这些和其它问题以极大地推进最低限度侵害的经皮组织去除领域的发展。
虽然本发明的焦点在于脊柱或矫形外科应用上,但在其它敏感或精细部位组织去除中可以采用类似的组织去除方法和装置。一个实例就是用于神经外科手术,并且具体地用于去除肿瘤、血块、损害、动脉瘤或膜。已经发现已有技术装置通常在神经外科应用中是低效率的。本发明的更广泛应用的实例是用在去除***的泌尿领域、去除卵巢及损伤的妇科手术,去除胆囊结石或肾/胆结石的胃肠外科手术、去除斑块的心血管外科手术,以及活疗白内障的眼科手术中。
图1是根据本发明的最低限度侵害的组织去除***的一个最佳实施例的一个示意图。
图2是根据本发明而采用的图1所示切割装置的部分剖示的侧视图。
图3是图2所示切割装置头部的一个放大的部分剖面图。
图4是用于图1所示***的切割器的切割头部的一个变换实施例的一个放大的侧视图。
图5是与图1所示***结合使用的切割用具的切割器的另一个变换实施例的一个侧视图。
图6是用于图1所示***的一个实施例中的电路图。
图7是与图1所示***一起使用的液体***的一个变换实施例的示意图,该变换实施例为提供给切割器的冲洗液提供了压力反馈控制。
本发明试图提供一种用于最低限度侵害地经皮组织去除的采用手持切割用具的***。切割用具包括一个手柄和一个支承在手柄上且大小适于经皮引入体内的细长的套管(或者可以在开放式外科手术中使用相同的切割用具)。套管在其远端限定了一个切割开口和一个由近端至切割开口贯穿其中的抽吸通道。一把切割刀片可滑动地安装在靠近远端的套管内,用于横穿切割开口,并且该刀片往复穿过切割开口,以便切除伸入到开口内的组织。采用一个抽吸回路将被切除的组织去除,该回路包括一个废物容器和产生真空的真空发生装置,以便将被切除组织吸入到废物容器内。
该***还具有一个冲洗回路,该回路包括一个冲洗液源和用来使加压的冲洗液由液源流向套管远端的装置。设有一个主控装置,用于根据操作人员预置的抽吸真空度及冲洗压力的数值控制真空发生装置和加压装置。控制器包括用于根据预置的数值产生抽吸控制信号和压力控制信号的电路***。设置相应于抽吸控制信号的装置,以便控制真空发生装置产生并保持一种与预置的抽吸真空度数值相等的真空。同样,还设有压力控制信号响应装置,以控制加压装置加压并将冲洗液压力保持在预置的压力值上。
根据本发明的***,用于抽吸回路的真空发生装置和用于冲洗回路的加压装置都具有与高压气源相连的可控阀。每个阀可控地降低入口处气体的高压,以便在各自的出口处排放相对降低了压力的气体。在抽吸回路中的阀出口与一个真空发生器相连,该真空发生器根据其从可控阀接收到的气体的压力产生一个真空。在冲洗回路中,冲洗液装在一个被压力套筒围绕的弹性容器内。压力套筒从其对应的可控阀接收降低了压力的气体,以便使得套筒中的压力压迫弹性容器及包含在其内的液体。
在一个具体实施例中,在组织切割用具内设有用来感应冲洗回路中的液体压力并将该感应到的液体压力反馈给控制器的装置。控制器将感应到的液体压力与预先设定的冲洗压力值相比较以确定是要增加还是减小冲洗回路中的液体压力以满足预置的数值。
在本发明的另一个方面,主控器为外科医生或操作人员提供了控制抽吸电路***以有助于将组织“戏弄”到切割开口内的装置。尤其是,本发明试图提供操作人员控制装置,用于可变地控制真空发生装置以产生不超过预置值的可变真空。在采用该***的方法中,操作人员可以利用增加或减小通过抽吸回路的真空而有选择地将组织吸入到切割开口中。业已发现,真空处于全开或全关状态的已有技术装置将不是太多就是太少的组织吸入到切割开口中。由于本发明的这一特性,外科医生可以交替地控制切割部位的抽吸速率及抽吸状况,以便将最适量的组织吸入到切割开口中,进而提高组织去除过程的效率和速度。
本发明还试图提供一种新颖的采用切割工具从身体中去除目标组织的方法,该工具具有一个往复运动电机驱动的,横穿经皮引入的套管中的一个切割开口的切割刀片。在该方法中,外科医生首先确定对如何切除组织产生影响的目标组织及周围组织的某些特性。这些组织特性包括两者的弹性及强度。这些组织特性与目标组织和周围组织的特性频率相互关连。根据该方法,控制切割用具的速度以使切割刀片以目标组织的特性频率往复横穿切割开口。业已发现,以该组织的特定的特性频率进行的往复运动增加了组织去除速度。或许最重要的是,该谐振的组织切割基本上防止了切割周围组织。本发明的方法还可包括控制抽吸/真空,以便以一个最佳速率将组织吸入到切割用具中。
在本发明的进一步特征中,设置了用于经皮组织去除的手术锉。锉刀构成了上述类型的电机驱动切割用具的一部分。为锉刀提供往复运动的驱动轴在其间限定了一个冲洗通道。锉刀包括多个齿并在与冲洗通道相通的齿之间限定了多个开孔。这些开孔允许加压冲洗液通过其中以便从齿之间排出被切除的组织。在一个具体实施例中,手术锉的外套管包括一个圆头,切割开口伸入到该圆头中,以便使一部分锉刀暴露到套管远端以外。
本发明还提供了一个用于经皮或开放式组织去除的组织分碎器。该组织分碎器也具有类似的手柄和驱动电机。由于这一特征,套管在其远端具有组织引入开口和一个朝向引入开口的在远端上的端面。一个与往复电机驱动轴相连的组织压紧装置具有一个与套管的端面相反设置的压紧表面。当压紧装置被电机往复驱动时,吸入到引入开口内的组织被置于端面和压紧表面之间。
为了增强对本发明原理的理解,现在将对附图中所示实施例的标号并用特定语言对其进行描述。然而应该理解,不打算因此对本发明的范畴做出限制,对于所示装置的变化及进一步改进,以及象图中所示的本发明原理的进一步应用,对于本发明所涉及领域的普通技术人员来说,都将被认为是正常的。
按照本发明的组织去除***的一个优选实施例,如图1所示,提供了一个组织切割用具10,它包括一个与手柄11相连的一次性切割部件12。该一次性切割器12具有一个外套管15和一个适于在组织去除部位被引入的切割端16。切割器12具有一个用于连接手柄11的连接底部18,和一个用于连接套管15的一体的套管支承体19。连接底部18包括一个从其中延伸出的冲洗口22,而套管支座19具有一个抽吸口23。如这里将要更详细描述的,这两个口被用来在一次性切割器12的切割端16提供冲洗液及抽吸真空。或者,可以通过一个设置在套管15附近并限定了一个外部冲洗通道的独立的引入套管来提供冲洗。
该***还具有一个废物收集器25,它通过一条抽吸入口管26从切割器接收被切除的组织。入口管26与一次性切割器12的抽吸口22相连。采用一条真空管道29将真空发生器28与废物收集器25相连以便在收集器25内产生真空并沿着抽吸入口管26,按照箭头26a的方向实施抽吸。真空发生器28通过一条压力管道33与可控阀32相连。与真空发生器28结合在一起的可控阀32为连续调节并线性控制实际施加在废物收集器25且最终施加在一次性切割器12的切割端16处的真空值提供了属于本发明范畴内的一种手段。在一个具体实施例中,真空值可以从0至25时汞柱变化。已有装置只是利用了开-关型真空发生器以便使当发生器打开时,向切割器提供抽吸,而当其关闭时,无法进行进一步抽吸。而且,已有装置利用的是在获得设置最大真空值之前产生固有滞后并且在切割部位产生高真空值方面通常不太有效的蠕动泵或膜泵。本发明在驱动时提供了几乎是即时的为操作者预置值的真空,这是由于存在可控阀的缘故。这种阀的一个例子就是由Proportionaire Inc.销售的no.BB1型。
该***还包括一个通过一条液体出口管道36与节流阀37相连的冲洗液袋35。节流阀37的出口通过液体入口管道38与一次性切割器12的冲洗口22相连。冲洗液袋35中一般包含一种均衡的消毒盐溶液(BSS),将这种液体送入一次性切割器12并送达切割器的切割端16。可以控制节流阀37以改变从液体袋流入到切割器12的冲洗口22的液体流量。该冲洗***当在必要时用一种吹入气代替BSS以使操作部位膨胀并保持时,可以同样工作很好。
冲洗液袋35被一个压力套筒40所包围。套筒40与可控阀42相连,该阀为液体袋周围的套筒40提供压力。由可控阀42增加到套筒40内的压力使得施加在液体袋35上的压力增加,并接着增加流向一次性切割器12的冲洗液的压力和流速。类似于美国第4,735,613号专利中所示的压力输注装置的一种***可以与可控压力阀(如阀42)结合起来使用。优选地,阀42的作用是保持由操作者预置的压力值。
通过从压力调节器44延伸出来的压力出口管45向可控阀32和42提供加压空气,或压缩的惰性气体。可以通过入口管46向压力调节器44提供室内空气。由于在一般的手术场所可得到以70-120psi.提供的室内空气,根据本发明的一个具体实施例,压力调节器44将由出口管45提供的压力保持在约70psi.上并以此压力提供给两个阀32和42。
该***还包括一个电控装置50,它接收信号并将信号提供给各种不同部件以控制或监视它们的操作。控制器50还包括一个带有多个开关和显示器的控制台51。控制装置50还通过一条电机驱动控割线53向手柄11提供控制信号。优选实施例中的手柄11基本上类似于授予本申请共同发明人之一的第4,911,161号美国专利中所示装置。不象已有装置的气动操作,该手柄采用一种磁驱动传感器,或声控线圈来向一次性切割器12的切割器具提供往复运动。手柄和电机的结构和使用在收编于此作为参考的说明书第5列第4-6行和第6列第2行中作了部分描述。为了本公开的目的,可以指出的是,驱动控制线53上的信号向声控线圈电机提供不同的电压和电流以控制其振荡的幅度和速率。
控制装置50还包括通过线54的节流阀控制以确定阀37何时工作并工作多久以限定流入切割用具10的入口线38的液体线流量。一条抽吸阀控制线55从控制装置50延伸到给真空发生器28提供压力的可控阀32。通过线55传到可控阀32的信号被用来控制施加到废物收容器25和抽吸***的残余物的真空量。一条压力调节控制线57将压力调节器44与电控装置50的控制***联为一体。这一特征使得压力值可被预置并自动保持。
一条冲洗阀控制线56从控制装置50延伸到第二可控阀42。通过线56传输的信号以压力套筒40的方式控制施加到冲洗液袋35的压力的量,随后压力套筒还控制冲洗液流入组织去除部位处的切割器的压力和流量。
控制器50还从***的各个部件接收电信号。例如,一个与抽吸可控阀32相关的压力传感器65沿着线66将信号送到控制器。同样,与冲洗可控阀42相关的压力传感器67沿着线68将信号送至控制器。这两种信号均代表通过两个阀提供给其相应部件(分别为废物收集器25和压力套筒40)的压力。因此,传感器为控制器提供了即时反馈,控制器再将信号提供给压力调节器44,抽吸可控阀32、冲洗可控阀42和节流阀37。例如,如果冲洗压力传感器67感应到的压力低于一个期望值的话,则线68上的一个反馈信号就直接传给控制器50以便将调整信号送回到线56上的可控阀42。类似的反馈还施加在可控阀32上。在该具体实施例中,压力传感器65间接地感应所施加的真空,因为真空发生器28产生一个与由可控阀32施加其上的空气压力间接地成比例的真空。
使用者可以利用脚踏板60和控制板51上的旋钮通过向控制器输入的方式预置***的操作参数。可以踩下脚踏板60来依次起动多个开关。在该次序中的第一个开关是冲洗控制开关61,第二个是抽吸控制开关62,最后一个是切割控制开关63。当踩下脚踏板时,它首先接触并闭合冲洗控制开关61的电路。进一步踩下脚踏板60会造成抽吸/吸入控制开关62的闭合,从而立即产生真空并以线性速率增加。最后,当脚踩开关完全被踩下,用于切割控制的最后一个开关63被闭合。以此方式,这些在一次性切割器12处的动作次序是预先确定的。首先提供冲洗液,随后是切割部位处的吸入/抽吸。一旦完成这两个先行操作,进一步踩下脚踏板时则会开始切割步骤。抽吸作用继续由脚踏板可变化地控制。
通过控制板51上的控制旋钮70和71可以实现对***的进一步控制。一个控制旋钮70控制冲洗压力,而第二个旋钮71控制切割器具10的速度,两者都是通过控制驱动电机的速度和频率来实现的。可以设想,这两个旋钮70和71的每一个都操纵一个改变施加在线56和53上的电压的相应的变阻器。或者,控制器50可以是一种电子控制器,在这种情况下,旋钮70和71可以向控制器提供一个信号,以产生一组用于冲洗液的压力和用于切割器的操作速度。传感器65和67的信号可以与由旋钮70和71产生的设置点相比较。电子控制器50中的其它电路或软件则向可控阀32和42以及节流阀37提供适当的信号以调节它们的操作并保持操作者的预置值。在一个具体实施例中,线54上至节流阀37的信号是一个由操作者控制的脚踏板产生的开/关信号。
控制板51包括操作指示灯72,每一个代表一次性切割器的一种功能。当踩下脚踏板60时,每一个代表冲洗、抽吸和切割的相应的灯被点亮。控制板51还包括一个模拟显示器73,以显示适当的设置压力和速度。例如,显示器73具有用来表示施加在冲洗液上的正向压力的一种显示器,一个表示切割操作速度的显示器以及表示通过***的抽吸电路施加的真空量的第三个显示器。冲洗压力和抽吸真空显示器接收来自各自的传感器67和65的信号,而在一个具体实施例中的切割速度显示器直接与旋钮71相连。或者,可以在手柄上安装一个速度传感器以便直接确定电机和切割器的速度。
参照图2表示出了一次性切割器12的详细结构。如前所述。按照第4,911,161号美国专利中所述切割装置,一次性切割器12适于与手柄11相连接。为使一次性切割器12与手柄11成为一体,设置了一个驱动连接体75,它包括一个连接夹具76,这类似于收编在此作为参考的′161号专利中第6列第32-38行所描述的套柄。连接夹具76与冲洗口22一起被固定在一个口连接体77上。口22通过一次性切割器12的连接座18中的槽20延伸。应当理解,连接夹具76与手柄11的声控线圈电机相接,以产生振荡的线性运动。由于冲洗口22与振荡连接夹具76相连,它还将在连接座18内前后移动。槽20容纳了口22的这种往复运动。或者,口22可将液体送到底座18中的一个独立的封闭腔中,而使驱动部件由腔室端部的垫圈支撑。在该变换实施例中,由于口22将保持与底座18固定,槽20可以取消。
驱动连接体还包括一个驱动导管78,它与口连接体77相连以便也象声控线圈电机一样振荡。(注意:当通过一个外接套管提供冲洗液时,导管78可以由一个实芯驱动杆代替)。驱动导管在远端通过套管15延伸并在一端由安装在套管支撑体19内的垫圈79封闭。驱动导管78通过外套管15的整个长度延伸,而其自由端80设在切割器12的切割端16。驱动导管78的内通道78a则在该端80处是敞开的,以使冲洗液直接从冲洗口22一直流向装置的切割端。驱动导管78的冲洗液流出端80由切割刀片85支撑,该刀片85在切割端16处的外套管15内滑动。
一次性切割器12还具有套管支撑体19,其内装有外套管15。套管支撑体19作为一次性切割器组件12的一部分与连接器座18相接。套管支撑体19限定了一个与沿着外套管15的整个长度延伸的抽吸通道82相连通的抽吸腔81。通道82、腔81和吸入口23构成了施加在用具10的切割端16的吸入抽吸或真空的真空回路的一部分。
一个冲洗口87形成在外套管15的顶端以向切割部位注入已通过口22、口连接体77和驱动导管78的冲洗液。一次性切割器12还包括一个固定在驱动导管78端部的切割刀片85。该刀片85具有的外径几乎等于抽吸通道82的内径,由此在驱动导管78的端部产生某种程度的密封效果以使得施加在套管15侧面的切割开口89上的抽吸真空尽可能地接近期望的真空值。切割刀片85具有一个面向后的切割刀刃86(即面向手柄),刀片85的每一次往复,切割刀刃86就切割组织。如图3更详细示出的,在优选实施例中的切割刀片85具有一个切割运动距离90,该距离90稍大于切割开口89的宽度以使得切割下来的全部组织均能被取出。或者,如果,如,抽吸是通过驱动导管78来完成的,则刀片可被设计成在向前的冲程时切割。
再参照图3,说明一次性切割器12的操作情况。如前所述,冲洗液由口87通过驱动导管78并存在于外套管15端部。当踩下脚踏板60(图1)时,首先接通冲洗控制开关61,则操作的第一步是向切割部位引入冲洗液。在本发明的一个很重要的方面,电控器50允许操作者利用控制旋钮70改变冲洗压力。控制器50接收沿着由可控阀42的线68传来的来自压力传感器67的信号,然后在来自传感器的反馈基础上调整通过可控阀传向压力套筒40的空气压力。以此方式,施加到冲洗液袋35上的压力,以接着通过通道82的冲洗液的压力和流速得以调整并保持在预置的压力上。操作者可以根据某种特殊应用的需要,通过调节控制旋钮70来改变该冲洗液的流量。冲洗液压力/流速过大会在切割部位发生旋涡而使得组织T不能全部进入到切割开口89内。冲洗液压力/流速太小也可能导致类似的结果。没有冲洗压力控制的已有装置由于旋涡和湍流的缘故还会造成组织损伤。由于已有技术的装置无法进行可变控制,因此需要有一个大的冲洗液容器以便在整个过程中提供充足的冲洗液。
当进一步踩下脚踏板60时,抽吸控制开关62闭合,使得真空发生器28在抽吸通道82中产生抽吸真空。该真空具有将冲洗液和组织T均吸入到切割开口89中的趋势。尽管冲洗压力一般可恒定地保持在由控制旋钮70设置的压力值上,但是按照本发明,可以预料抽吸或真空值是可以改变的。具体地,如前所述,当脚踏板60将开关62闭合时,抽吸***被启动。抽吸控制开关62还包括一个可变电阻开关部件62a,该部件根据脚踏板60被踩下的量,向抽吸可控阀32施加一个可变电压。以此方式,手术医生只需改变脚踏板60上的压力就可控制由抽吸通道82施加的抽吸量。
由本发明的这一特征所获得的一个特别的益处就是将组织“拨”入到切割开口89内的能力。在已有***中,真空或开或关,且一般是设在一个固定的真空值上,因此,这些***易于产生过量的液体流动并在切割开口处产生旋涡,这不仅降低了切割过程的效率,而且还增加了损伤周围组织的可能性。许多已有装置效率低,因为它们趋向于将组织推离切割器,这就迫使外科医生去“捕捉”被切下的组织。本发明通过提高组织进入到切割开口89中的“可追随性”而解决了这一问题。在本发明实施例的实验中已经发现由本发明装置切割的组织在切割开口的区域自身反折,进而不断地将组织抽入到开口内。
通过控制器50,可控阀32和42以及可变开关62,就可以在注入到切割部位的冲洗液以及通过将组织抽入切割开口内并抽吸组织的切割片段而施加的真空之间保持一种有效的平衡。有了脚踏板60和可变开口62a,当切割刀片85在外套管15的抽吸通道82内往复运动时操作者可以根据需要不断地改变真空值以便将大比例的组织T的片段抽入到切割开口中。显示器73使操作者有机会调整和预置冲洗压力和抽吸真空并在手术过程中将这些值保持在优选水平上。
一旦完成了冲洗和抽吸/吸入,进一步踩下脚踏板60使切割控制开关63闭合从而起动切割器10中的声控线圈电机。(可以设想用一种独立的踏板来控制电机和切割器速度)。当操作者为了冲洗控制而改变可变开关62a上的压力时,切割控制开关63被按下并运行。控制旋钮71改变声控线圈电机的频率,进而控制往复运动的切割刀片85。一种适合于声控线圈电机的控制电路可以是如在收编在此作为参考的′161号专利的图3所示的以及在说明书第6列第54-59行中所述的那样。实质上,声控线圈使切割刀片85振荡以使切割刀片前后通过切割开口89。在一个具体实例中,声控线圈电机可以在1和500Hz之间驱动切割刀片85。声控线圈振荡的幅度直接转化为切割器的移动或行程90。优选的行程应稍宽于切割开口89的最大宽度,使刀片离开开口朝向远端,以便允许通过抽吸通道82中的真空将组织抽入到开口中,并移动得足够远,以便穿过开口朝向近端(手柄端),以便在切割开口89的边缘处整齐地切削组织。
本发明方法的一个重要特征是通过由切割速度控制旋钮71和控制器50控制的切割刀片的可变速度来实现的。已发现人体组织具有选择性切割特性,以便可以以一个特定频率最佳地切割人体组织。该频率将根据被切割组织的类型-即膜、皮肤、肌肉、静脉或动脉,器官等而改变。本发明的一个至今为止已有技术装置没有满足的目标就是提供一种平滑、整齐、无撕裂的组织T的切割。此外,几个已有技术装置中还未满足的另一个目的就是能够只切割需要被切割的组织而不会造成意外地切割邻近好组织的任何危险。已经发现不同组织的选择性切割特性是实现并达到这些目的中的每一个的一个重要特征。可以相信,组织的选择性切割特性基于组织的弹性、纤维含量及软/硬度。所有这些特性产生了一个特定的“共振”频率,在该频率下,组织以最佳地切削或切割动作被切割。这些不同组织特定的切割频率可以通过用多种切割刀片进行测试获得。还发现该频率在某种程度上还受刀片85和切割开口89的几何形状的影响。切割开口89的几何形状确定了将要抽入到开口内的组织的“咬合尺寸”。对于粗糙的纤维组织来说,需要更大的切割面积,以使切割开口89能够略大于纤维组织含量少的组织的切割开口。
人体组织的“共振”频率特性可以通过试图实时改变切割刀片85的速度的本发明而很容易实现。当要切割例如,椎间盘组织时,可以通过设置旋钮71以使切割刀片以适合于该组织类型的速度振荡。以此方式,大大减少了对周围组织损伤的危险。行程长度90和切割开口89的尺寸的适当组合进一步增加了一次性切割器12对咬合尺寸的组织片段进行平滑、整齐、无撕裂、直线切割的能力。
如前面已经讨论过的,遁过开关70和可变开关62A获得了冲洗压力和抽吸真空之间的统一。可以通过由前述脚踏开关驱动的节流阀37提供进一步的控制。操作者可以打开或关闭节流阀来按需要起动或终止真空以便将组织T拨入到切割开口89中。在切割部位处的优选的液压值是很重要的,它有助于拨开组织T。通过图7所示的一个压力反馈***可以获得其它优点。在该***中,压力感应管道120接入与液体袋35相连的液体出口管道36中。液压沿着感应管道120传送到压力缓冲器121,其作用是将下游部件与液体绝缘。一个传感器入口122为压力传感器123提供了一个压力信号,所述传感器123优选地安装在控制板51内。传感器123产生一个送到调节电路125的电信号。通过确定操作者预置冲洗压力值的冲洗控制旋钮70和开/关开关126为电路125提供进一步输入。电路125综合这些电信号以产生传向电磁节流阀130的控制信号。
在操作中,压力传感器123产生一个表示将被提供给手柄10的液压信号。当该压力信号通过控制旋钮70设定的预置值改变时,电路125改变电磁节流阀130的状态,以使更多或更少的液体流到手柄。优选地,节流阀130上游液压大于使用者预置值。如果手柄处压力高于期望的预置值的话,则该更高的压力则可由节流阀130准确地降低。虽然在该具体实施例中公开了液压管道120,但可以设想在切割顶端处设置独立的传感器,将信号直接送到传感器123或电路125。
虽然本发明的流体学及控制***的一个基本应用是用在切割刀片85上,但可以设想采用其它类型的切割头。例如,如图4所示,表示一个锉型切割刀片106在外套管15中往复运动。锉型切割刀片106包括锯齿107,它们只适合于配备椎间盘的终板。在多种椎间盘手术中。有必要降低脊椎终板至“出血骨”以便于脊椎间的融合。锉型切割刀片106与冲洗导管108一体或固定在其上,而导管108与驱动机构相连。出口109是在锯齿107之间形成的并与导管108相连通。通过该出口109的液体不仅冲洗切割部位,而且还有助于清洗每次循环去除下来的在锯齿107上的组织。外套管105的形状具有一个斜边端110,以使锯齿107当切割刀片106在斜边110两端振荡时完全暴露出来。
图5表示了另一种切割用具,它具有一个在外套管110内振荡的组织分碎刀片111。分碎刀片111包括一个碰撞面112。分碎刀片与冲洗导管113一体或固定在其上,而导管113在碰撞面112上有一个开口。外套管110具有一个大得足以使大量组织抽入到外套管110中的组织开口。套管还具有一个一体的相对的碰撞面115,以使组织在分碎刀片111和碰撞面115之间被分碎。施加在外套管内的真空有助于将组织保持在组织开口114内,这种组织分碎刀片115可用于柔软或坚硬织织。
现在参考图6,表示本发明的一个具体实施例的电路图。在该图中,与图1所示的相同的附图标号表示相同的部件。电路板119具有多个电阻及线路,以集合各种开关、可控元件、及传感器输入。控制旋钮70和71与其可变电阻或变阻元件一起被示出,而这些元件被用于调节施加在各自的可控阀32和42上的电压。直到脚踏板60被踩到足以闭合开关61的程度进而将信号传至开关70的变阻元件上时,控制旋钮70才被启动。同样,直到通过踩下脚踏板60使开关63被驱动时,切割速度控制旋钮71才被启动。
抽吸/真空控制设置由于其具有两个开关而被更多些地涉及到。当通过踩下脚踏板60而被驱动时,第一个开关62只启动传到可控阀32的信号线。可变开关62A沿着阀控制线55将信号传给可控阀32,以使操作者直接调节由真空发生器28产生的真空度。
***的电路允许接收来自抽吸压力传感器65和冲洗压力传感器67的感应信号。在该图中,抽吸压力传感器65被表示成接入到真空发生器28和废物收集器25之间的真空线29中。确定沿着线66的传感器输出信号,该信号与施加在***抽吸回路中的真空值直接相关。沿着线66从压力传感器65通至控制元件的感应信号为可控电源121提供了即时反馈;以便将真空保持在由可变开关62A设置的值上。同样,沿着线66从冲洗压力传感器67传来的感应信号为可编程电源121提供了反馈,以便将冲洗压力和流速保持在由控制旋钮70设置的值上。如前面所讨论的,节流阀37同样也是由沿着线54的一个信号所控制的。
根据本发明的具体实施例,电源120包括可变或可编程电源121,它可以改变施加给电路板119和***其它元件上的电压。电源120还直接为手柄53提供了能量,以驱动手柄内的声控线圈电机。
虽然在附图及前面的描述中已详细说明和描述了本发明,但是这都应被适当地视为是示意性的和非限定性的,应该理解的是,这里只表示和描述了优选实施例,希望所有属于本发明精神范畴内的改变和改进都能得到保护。
Claims (12)
1.一个用于最低限度创伤的经皮组织去除***,包括:a)一个组织切割用具,具有:
一个手柄;
一个细长套管,其大小适于被经皮引入体内并具有一个近端和一个相对的远端,所述套管在所述近端由所述手柄支撑着并在所述远端限定了一个切割开口,所述套管还限定了一个贯穿所述近端到所述切割开口的抽吸通道;
一个切割刀片,它被可滑动地安装在所述远端附近的所述套管内,以便通过所述切割开口;
与所述切割刀片相配合的驱动装置,用来使所述切割刀片跨越所述切割开口往复运动,进而伸入到所述切割开口内的组织被通过开口的所述切割刀片切下,被切下的组织被送到所述抽吸通道;b)一个抽吸回路,包括:
一个用来容纳被所述切割刀片切下的组织的废物容器;
一个将所述抽吸通道与所述废物容器相连的管道,用来将被切下组织从所述抽吸通道送至所述废物容器内;以及
真空发生装置,用来通过废物容器,所述导管和所述抽吸通道产生一个真空,以便将被切下组织抽入到其中;c)一个冲洗回路,包括:
一个冲洗液源;
用于使冲洗液从所述液源流到所述套管的所述远端的装置;和
加压装置,用来对从所述液源流至所述套管的所述远端的冲洗液进行加压;和d)控制装置,用于控制所述真空发生器和所述加压装置,包括:
输入装置,用来为抽吸真空值和冲洗压力提供预置值;
用来根据来自所述输入装置的所述预置值产生一个抽吸控制信号和一个冲洗控制信号的电路;
响应于所述抽吸控制信号的装置,用于控制所述真空发生装置产生并保持与所述预置的抽吸真空值相等的真空;以及
响应于所述压力控制信号的装置,用于控制所述加压装置对冲洗液进行加压并保持在所述预置压力值上。
2.如权利要求1所述的组织去除***,其中:
所述真空发生装置包括用来产生一个响应于由所述真空发生装置接收到的气体压力的真空;以及
所述控制装置包括:
一个高压气源;
一个第一可控阀,它具有一个入口和一个出口,并将所述入口与所述高压气源相接,所述第一阀具有响应于所述抽吸控制信号的装置,用来可控制地降低所述入口处接收到的高压气体的压力并相对地将在出口处释放相对降低了压力的气体;和
一个将所述第一阀的所述出口连到所述真空发生装置上的连接装置,用于将降低了压力的气体提供给所述真空发生装置。
3.如权利要求2所述的组织去除***,其中所述冲洗液源包括一个内含大量液体的弹性容器,它具有一个与所述的用于使冲洗液流动的装置相连接的出口;和
所述控制装置进一步包括;
一个圈绕所述弹性容器并具有一个接收加压液体的入口的压力套筒;和
一个第二可控阀,它具有一个入口和一个出口并在所述入口处与所述高压气源相接,所述第二阀具有响应于所述压力控制信号的装置,以便可控制地降低在入口处接收到的高压气体的压力并在所述出口处释放相对降低了压力的气体;
所述第二阀的所述出口与所述压力套筒的所述入口相连,以便向所述套筒提供所述降低了压力的气体,进而所述套筒内的压力对所述弹性容器及其内所含液体进行加压。
4.如权利要求3所述的组织去除***,其中所述控制装置包括:
用于感应在所述组织切割用具处的所述冲洗回路内的液体压力并响应于所述感应到的液体压力而产生一个信号的装置;及
用来将所述感应的压力信号与所述的预置的冲洗压力值进行比较的装置,如果所述感应的压力信号小于所述预置值的话就增加冲洗液压力,而如果所述感应压力信号超过所述预置值的话就降低冲洗液压力。
5.一种用于最低限度创伤的经皮组织去除***,包括:a)一个组织切割用具,包括:
一个手柄;
一个由所述手柄支撑的电机,所述的手柄具有产生线性往复运动的装置;
一个细长的套管,其大小适合于被经皮引入体内,并具有一个近端和一个相对的远端,所述套管由所述手柄的所述近端支撑并在所述远端处限定了一个切割开口,所述套管还限定了一个贯穿所述近端到所述切割开口的抽吸通道;
一个可滑动地安装在所述远端附近的所述套管内的切割刀片,用于穿过所述切割开口;
与所述切割刀片相配合的驱动装置,用来使所述切割刀片穿越所述切割开口往复运动,进而使伸入到所述切割开口中的组织被通过开口的所述切割刀片切下,将被切下的组织送到所述抽吸通道;b)一个抽吸回路,包括:
一个用来容纳被所述切割刀片切下的组织的废物容器;
一个将所述抽吸通道与所述废物容器相连的管道,用来将被切下组织从所述抽吸通道送到所述废物容器;以及
真空发生装置,用来通过废物容器,所述导管和所述抽吸通道产生一个真空,以便将被切下的组织抽入到其中;c)一个冲洗回路,包括:
一个冲洗液源;
用于使冲洗液从所述液源流至所述套管的所述远端的装置;和
加压装置,用来对从所述液源流至所述套管的所述远端的冲洗液进行加压;以及d)用于控制所述真空发生器的控制装置,包括:
输入装置,用来为抽吸真空水平提供一个预置值;
用来根据来自所述输入装置的所述预置值产生一个抽吸控制信号的电路;
响应于所述抽吸控制信号的装置,用于控制所述真空发生装置产生一个等于所述预置值的真空;以及
操作者控制装置,用来可变地控制所述真空发生装置,以便产生一个最高达所述预置值的可变真空,以使操作者能够利用通过所述抽吸回路的可变真空有选择地将组织抽入到所述切割开口内。
6.一种采用一个具有驱动切割刀片穿过在经皮引入套管内的一个切割开口的往复运动电机的切割用具,从人体中切除目标组织的方法,包括:
确定目标组织和周围组织的特性,这些特性包括目标组织和周围组织的弹性和强度;
根据相应组织的特性确定目标组织和周围组织的特征频率;
控制切割用具电机,以使切割刀片以目标组织的特征频率穿过切割开口往复运动,进而切割抽入到切割开口内的目标组织而不会切割周围组织。
7.如权利要求6所述的目标组织切除方法,其中切割用具包括一个在切割开口附近具有其入口的抽吸回路,该方法还包括一个步骤:当切割刀片切割目标组织时向抽吸回路提供真空抽吸,以去除被切下的组织。
8.如权利要求6所述的目标组织切除方法,其中提供真空抽吸的步骤包括可变地控制抽吸回路中的真空,以便可控制地将组织抽入到切割用具的切割开口中。
9.一种用于经皮组织去除的手术锉刀,包括:
一个手柄;
一个由手柄支撑的电机,该手柄具有产生线性往复运动的装置;
一个细长套管,其尺寸适于被引入到人体内,所述套管具有一个近端和一个远端,所述套管在其近端由所述手柄支撑,且在其远端处具有一个切割开口,
一个与所述电机相连并通过所述套管延伸到所述切割开口的管状驱动轴,所述驱动轴在其中限定了一个冲洗通道;
用于通过所述冲洗通道提供冲洗液的冲洗装置;以及
一个安装在所述驱动轴上的锉刀刀片,所述锉刀刀片包括多个锯齿并在所述锯齿之间限定了几个与所述冲洗通道相连通的开口,其中所述锉刀刀片可滑动地设置在所述远端处的所述套管内,而所述多个锯齿通过所述切割开口延伸。
10.权利要求9所述的手术锉刀,其中所述套管具有一个圆形顶端,并且所述切割开口伸入到该圆形顶端内以使所述锉刀刀片的一部分暴露到所述套管的所述远端以外。
11.一种用于经皮组织切除的组织分碎器,包括:
一个手柄;
一个由所述手柄支撑的电机,该手柄具有产生线性往复运动的装置;
一个细长的套管,其大小适于被引入到人体内,所述套管具有一个近端和一个远端,所述套管在其近端由所述手柄支撑而在其远端具有一个组织引入开口,并且在朝向所述引入开口的所述远端处还具有一个端面;
一个与所述电机相连并通过所述套管伸入到所述引入开口的管状驱动轴;以及
一个与所述驱动轴相接并具有一个相对于所述套管的所述端面设置的碰撞表面的组织碰撞器,进而当所述碰撞器被所述电机驱动而往复运动时,伸入到所述引入开口的组织被夹在所述端面和所述碰撞表面之间。
12.如权利要求11所述的组织分碎器,还具有一个抽吸回路,它包括:
一个真空源;
一个被限定在所述套管或所述驱动轴内的抽吸管道,所述管道与所述真空源液体耦连,并在所述组织引入开口处具有一个入口开口,进而由所述真空源通过所述抽吸管道施加的真空将通过所述套管内的所述引入开口的组织以及在所述端面和所述碰撞表面之间的组织抽入。
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US08/018,045 US5403276A (en) | 1993-02-16 | 1993-02-16 | Apparatus for minimally invasive tissue removal |
US08/018,045 | 1993-02-16 |
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Publication Number | Publication Date |
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CN1120805A true CN1120805A (zh) | 1996-04-17 |
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---|---|---|---|
CN94191716A Pending CN1120805A (zh) | 1993-02-16 | 1994-02-09 | 有创去除组织的方法和装置 |
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EP (1) | EP0686013A4 (zh) |
JP (1) | JP3558634B2 (zh) |
CN (1) | CN1120805A (zh) |
AU (1) | AU6172394A (zh) |
CA (1) | CA2156189A1 (zh) |
WO (1) | WO1994018894A1 (zh) |
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US11490909B2 (en) | 2014-05-19 | 2022-11-08 | Walk Vascular, Llc | Systems and methods for removal of blood and thrombotic material |
US11497521B2 (en) | 2008-10-13 | 2022-11-15 | Walk Vascular, Llc | Assisted aspiration catheter system |
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US11653945B2 (en) | 2007-02-05 | 2023-05-23 | Walk Vascular, Llc | Thrombectomy apparatus and method |
US11672561B2 (en) | 2015-09-03 | 2023-06-13 | Walk Vascular, Llc | Systems and methods for manipulating medical devices |
US11678905B2 (en) | 2018-07-19 | 2023-06-20 | Walk Vascular, Llc | Systems and methods for removal of blood and thrombotic material |
US11832794B2 (en) | 2010-06-13 | 2023-12-05 | Motus Gi Medical Technologies Ltd. | Systems and methods for cleaning body cavities |
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WO2024131413A1 (zh) * | 2022-12-22 | 2024-06-27 | 微创优通医疗科技(上海)有限公司 | 医用切除装置及内窥镜*** |
Families Citing this family (778)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5602449A (en) * | 1992-04-13 | 1997-02-11 | Smith & Nephew Endoscopy, Inc. | Motor controlled surgical system and method having positional control |
US5643304A (en) * | 1993-02-16 | 1997-07-01 | Danek Medical, Inc. | Method and apparatus for minimally invasive tissue removal |
US5403276A (en) * | 1993-02-16 | 1995-04-04 | Danek Medical, Inc. | Apparatus for minimally invasive tissue removal |
US5649547A (en) * | 1994-03-24 | 1997-07-22 | Biopsys Medical, Inc. | Methods and devices for automated biopsy and collection of soft tissue |
DE69534233T2 (de) * | 1994-09-16 | 2005-10-27 | Ethicon Endo-Surgery, Inc., Cincinnati | Vorrichtungen zum bestimmen und markieren von gewebe |
US5928218A (en) * | 1994-12-16 | 1999-07-27 | Gelbfish; Gary A. | Medical material removal method and associated instrumentation |
US5520635A (en) * | 1994-12-16 | 1996-05-28 | Gelbfish; Gary A. | Method and associated device for removing clot |
US5685838A (en) * | 1995-04-17 | 1997-11-11 | Xomed-Treace, Inc. | Sinus debrider apparatus |
US5782795A (en) * | 1995-06-30 | 1998-07-21 | Xomed Surgical Products, Inc. | Surgical suction cutting instrument with internal irrigation |
US5830176A (en) * | 1995-12-26 | 1998-11-03 | Mackool; Richard J. | Maintenance of pressure within a surgical site during a surgical procedure |
US5709698A (en) * | 1996-02-26 | 1998-01-20 | Linvatec Corporation | Irrigating/aspirating shaver blade assembly |
DE69634612T2 (de) * | 1996-04-12 | 2006-01-19 | Howmedica Osteonics Corp. | Chirurgisches schneidegerät abnehmbar |
US5697898A (en) * | 1996-05-31 | 1997-12-16 | Surgical Design Corporation | Automated free flow mechanism for use in phacoemulsification, irrigation and aspiration of the eye |
US6258111B1 (en) | 1997-10-03 | 2001-07-10 | Scieran Technologies, Inc. | Apparatus and method for performing ophthalmic procedures |
US5833643A (en) * | 1996-06-07 | 1998-11-10 | Scieran Technologies, Inc. | Apparatus for performing ophthalmic procedures |
US5941851A (en) * | 1996-07-12 | 1999-08-24 | C.R. Bard, Inc. | Pulsed lavage handpiece with improved handle |
US6102885A (en) * | 1996-08-08 | 2000-08-15 | Bass; Lawrence S. | Device for suction-assisted lipectomy and method of using same |
US5911700A (en) | 1997-03-11 | 1999-06-15 | Microaire Surgical Instruments | Power assisted liposuction and lipoinjection equipment |
US5947990A (en) * | 1997-02-24 | 1999-09-07 | Smith & Nephew, Inc. | Endoscopic surgical instrument |
US6024751A (en) * | 1997-04-11 | 2000-02-15 | Coherent Inc. | Method and apparatus for transurethral resection of the prostate |
US6156049A (en) * | 1997-04-11 | 2000-12-05 | Coherent Inc. | Method and apparatus for transurethral resection of the prostate |
US5913859A (en) * | 1997-07-01 | 1999-06-22 | Shapira; Ira L. | Apparatus for extracting bone marrow |
US6846314B2 (en) | 1997-07-01 | 2005-01-25 | Ira L. Shapira | Method and apparatus for extracting bone marrow |
NL1006944C2 (nl) | 1997-09-04 | 1999-03-11 | Mark Hans Emanuel | Chirurgische endoscopische snij-inrichting. |
US6071260A (en) * | 1997-09-18 | 2000-06-06 | The California Institute Of Tissue Engineering And Instrumentation, Llc | Ultrasonic liposuction device and a method of using the same |
US6013048A (en) * | 1997-11-07 | 2000-01-11 | Mentor Corporation | Ultrasonic assisted liposuction system |
US6358260B1 (en) | 1998-04-20 | 2002-03-19 | Med-Logics, Inc. | Automatic corneal shaper with two separate drive mechanisms |
US6425883B1 (en) * | 1998-05-08 | 2002-07-30 | Circuit Tree Medical, Inc. | Method and apparatus for controlling vacuum as a function of ultrasonic power in an ophthalmic phaco aspirator |
US6162235A (en) * | 1998-05-18 | 2000-12-19 | Ethicon Endo-Surgery, Inc. | Method of tissue morcellation using an ultrasonic surgical instrument with a ballistic specimen bag |
US5980544A (en) * | 1998-05-18 | 1999-11-09 | Ethicon Endo-Surgery, Inc. | Ballistic specimen bag for use with ultrasonic devices |
US6007497A (en) * | 1998-06-30 | 1999-12-28 | Ethicon Endo-Surgery, Inc. | Surgical biopsy device |
US6126660A (en) * | 1998-07-29 | 2000-10-03 | Sofamor Danek Holdings, Inc. | Spinal compression and distraction devices and surgical methods |
US6080175A (en) * | 1998-07-29 | 2000-06-27 | Corvascular, Inc. | Surgical cutting instrument and method of use |
US6231578B1 (en) | 1998-08-05 | 2001-05-15 | United States Surgical Corporation | Ultrasonic snare for excising tissue |
US6068641A (en) * | 1998-08-25 | 2000-05-30 | Linvatec Corporation | Irrigated burr |
DE69914029T2 (de) * | 1998-08-31 | 2004-11-18 | Sysmex Corp. | Probenansauger mit zwei zusammenarbeitenden Handhabungseinheiten |
US6083195A (en) * | 1998-10-15 | 2000-07-04 | Bausch & Lomb Surgical, Inc. | Ophthalmic aspiration system with selectable vent method |
US6224583B1 (en) * | 1998-10-15 | 2001-05-01 | Bausch & Lomb Surgical, Inc. | Air venting in ophthalmic irrigation/aspiration system via closed bag system |
US6245084B1 (en) | 1998-10-20 | 2001-06-12 | Promex, Inc. | System for controlling a motor driven surgical cutting instrument |
US7364577B2 (en) | 2002-02-11 | 2008-04-29 | Sherwood Services Ag | Vessel sealing system |
US7137980B2 (en) | 1998-10-23 | 2006-11-21 | Sherwood Services Ag | Method and system for controlling output of RF medical generator |
US7901400B2 (en) | 1998-10-23 | 2011-03-08 | Covidien Ag | Method and system for controlling output of RF medical generator |
CA2287087C (en) | 1998-10-23 | 2007-12-04 | Ethicon Endo-Surgery, Inc. | Surgical device for the collection of soft tissue |
US20080146965A1 (en) * | 2003-08-11 | 2008-06-19 | Salvatore Privitera | Surgical Device for The Collection of Soft Tissue |
US20010047183A1 (en) * | 2000-04-05 | 2001-11-29 | Salvatore Privitera | Surgical device for the collection of soft tissue |
US5997551A (en) * | 1999-01-19 | 1999-12-07 | Disney; Harry | Meagher ovary flute |
US6086544A (en) * | 1999-03-31 | 2000-07-11 | Ethicon Endo-Surgery, Inc. | Control apparatus for an automated surgical biopsy device |
US6066153A (en) * | 1999-03-31 | 2000-05-23 | Lev; Avigdor | Device and method for resecting body tissues |
US6120462A (en) * | 1999-03-31 | 2000-09-19 | Ethicon Endo-Surgery, Inc. | Control method for an automated surgical biopsy device |
US6689146B1 (en) * | 1999-04-29 | 2004-02-10 | Stryker Corporation | Powered surgical handpiece with integrated irrigator and suction application |
US6179808B1 (en) * | 1999-06-18 | 2001-01-30 | Alcon Laboratories, Inc. | Method of controlling the operating parameters of a surgical system |
EP1187643B1 (en) * | 1999-06-18 | 2003-09-17 | Alcon Manufacturing Ltd. | Irrigation control system |
US6537273B1 (en) | 1999-07-02 | 2003-03-25 | Alexander K. D. Sosiak | Device and method for removing large tissue masses |
US6702832B2 (en) | 1999-07-08 | 2004-03-09 | Med Logics, Inc. | Medical device for cutting a cornea that has a vacuum ring with a slitted vacuum opening |
US6699285B2 (en) | 1999-09-24 | 2004-03-02 | Scieran Technologies, Inc. | Eye endoplant for the reattachment of a retina |
US6478781B1 (en) | 2000-04-11 | 2002-11-12 | Circuit Tree Medical, Inc. | Anterior chamber stabilizing device for use in eye surgery |
US7641657B2 (en) * | 2003-06-10 | 2010-01-05 | Trans1, Inc. | Method and apparatus for providing posterior or anterior trans-sacral access to spinal vertebrae |
DE19961027B4 (de) | 1999-12-16 | 2007-01-18 | Karl Storz Gmbh & Co. Kg | Medizinisches Instrument zum Behandeln von Gewebe oder Knochenzement im menschlichen oder tierischen Körper |
US6428487B1 (en) * | 1999-12-17 | 2002-08-06 | Ethicon Endo-Surgery, Inc. | Surgical biopsy system with remote control for selecting an operational mode |
US6743245B2 (en) * | 1999-12-20 | 2004-06-01 | Alcon Universal Ltd. | Asynchronous method of operating microsurgical instruments |
US6428508B1 (en) | 2000-02-01 | 2002-08-06 | Enlighten Technologies, Inc. | Pulsed vacuum cataract removal system |
US6899716B2 (en) | 2000-02-16 | 2005-05-31 | Trans1, Inc. | Method and apparatus for spinal augmentation |
US7727263B2 (en) * | 2000-02-16 | 2010-06-01 | Trans1, Inc. | Articulating spinal implant |
US20030191474A1 (en) * | 2000-02-16 | 2003-10-09 | Cragg Andrew H. | Apparatus for performing a discectomy through a trans-sacral axial bore within the vertebrae of the spine |
US6558386B1 (en) | 2000-02-16 | 2003-05-06 | Trans1 Inc. | Axial spinal implant and method and apparatus for implanting an axial spinal implant within the vertebrae of the spine |
DE60321720D1 (de) * | 2000-02-16 | 2008-07-31 | Trans1 Inc | Vorrichtung für wirbelsäulendistraktion und -fusion |
US6575979B1 (en) * | 2000-02-16 | 2003-06-10 | Axiamed, Inc. | Method and apparatus for providing posterior or anterior trans-sacral access to spinal vertebrae |
US7014633B2 (en) | 2000-02-16 | 2006-03-21 | Trans1, Inc. | Methods of performing procedures in the spine |
US6740090B1 (en) | 2000-02-16 | 2004-05-25 | Trans1 Inc. | Methods and apparatus for forming shaped axial bores through spinal vertebrae |
US6558390B2 (en) | 2000-02-16 | 2003-05-06 | Axiamed, Inc. | Methods and apparatus for performing therapeutic procedures in the spine |
US20040243162A1 (en) * | 2000-04-05 | 2004-12-02 | Pathway Medical Technologies, Inc. | Interventional catheter assemblies and control systems |
US6663644B1 (en) | 2000-06-02 | 2003-12-16 | Med-Logics, Inc. | Cutting blade assembly for a microkeratome |
US6585664B2 (en) * | 2000-08-02 | 2003-07-01 | Ethicon Endo-Surgery, Inc. | Calibration method for an automated surgical biopsy device |
IL149190A0 (en) * | 2000-08-29 | 2002-11-10 | Alcon Mfg Ltd | Method of operating an infusion control system |
US6602203B2 (en) * | 2000-10-13 | 2003-08-05 | Ethicon Endo-Surgery, Inc. | Remote thumbwheel for a surgical biopsy device |
US6527736B1 (en) * | 2000-10-23 | 2003-03-04 | Grieshaber & Co. Ag Schaffhausen | Device for use in ophthalmologic procedures |
US7458940B2 (en) | 2000-11-06 | 2008-12-02 | Suros Surgical Systems, Inc. | Biopsy apparatus |
GB2376633B (en) | 2000-11-06 | 2004-11-10 | Suros Surgical Systems Inc | Biopsy apparatus |
US6758824B1 (en) * | 2000-11-06 | 2004-07-06 | Suros Surgical Systems, Inc. | Biopsy apparatus |
US20020058904A1 (en) * | 2000-11-08 | 2002-05-16 | Robert Boock | Thrombus removal device |
US6425905B1 (en) | 2000-11-29 | 2002-07-30 | Med-Logics, Inc. | Method and apparatus for facilitating removal of a corneal graft |
US6673023B2 (en) | 2001-03-23 | 2004-01-06 | Stryker Puerto Rico Limited | Micro-invasive breast biopsy device |
US20040153111A1 (en) * | 2001-04-27 | 2004-08-05 | Yasuo Hosoada | Medical rinsing and sucking device |
KR100401694B1 (ko) * | 2001-06-28 | 2003-10-17 | 주식회사 엠지비엔도스코피 | 복강경 수술용 통합제어장치 및 그에 사용되는 복강 세정및 정압제어장치 |
KR100423758B1 (ko) * | 2001-06-28 | 2004-03-22 | 주식회사 엠지비엔도스코피 | 관절경 수술기 구동 시스템 및 방법 |
US6942627B2 (en) * | 2001-07-19 | 2005-09-13 | Ethicon Endo-Surgery, Inc. | Surgical biopsy device having a flexible cutter |
US7510534B2 (en) * | 2001-07-20 | 2009-03-31 | Ethicon Endo-Surgery, Inc. | Method for operating biopsy device |
US7226459B2 (en) * | 2001-10-26 | 2007-06-05 | Smith & Nephew, Inc. | Reciprocating rotary arthroscopic surgical instrument |
US6726690B2 (en) | 2002-01-17 | 2004-04-27 | Concept Matrix, Llc | Diskectomy instrument and method |
US7699849B2 (en) * | 2002-01-17 | 2010-04-20 | Concept Matrix, Llc | Diskectomy instrument with disposable blade head |
US6908451B2 (en) | 2002-04-25 | 2005-06-21 | Alcon, Inc. | Liquid venting surgical system |
WO2003092520A1 (en) | 2002-05-06 | 2003-11-13 | Sherwood Services Ag | Blood detector for controlling anesu and method therefor |
KR100505133B1 (ko) * | 2002-06-29 | 2005-08-01 | 메디칸(주) | 절삭면을 관통하는 막히지 않는 구멍들을 갖는 골편 배출 줄에 의한 안면 윤곽 교정 도구 |
US6958071B2 (en) * | 2002-07-13 | 2005-10-25 | Stryker Corporation | Surgical tool system |
US6921385B2 (en) | 2002-08-05 | 2005-07-26 | Alcon, Inc. | Apparatus for delivery of fluid to opthalmic surgical handpiece |
US7160268B2 (en) * | 2002-08-05 | 2007-01-09 | Alcon, Inc. | Container for delivery of fluid to ophthalmic surgical handpiece |
US7666186B2 (en) * | 2002-09-27 | 2010-02-23 | Surgitech, Llc | Surgical system with a blade |
US7390330B2 (en) * | 2002-09-27 | 2008-06-24 | Surgitech, Llc | Reciprocating surgical file |
US8162966B2 (en) | 2002-10-25 | 2012-04-24 | Hydrocision, Inc. | Surgical devices incorporating liquid jet assisted tissue manipulation and methods for their use |
US10363061B2 (en) | 2002-10-25 | 2019-07-30 | Hydrocision, Inc. | Nozzle assemblies for liquid jet surgical instruments and surgical instruments for employing the nozzle assemblies |
US6962581B2 (en) * | 2002-12-03 | 2005-11-08 | Alcon, Inc. | Foot controller for microsurgical system |
US7044948B2 (en) | 2002-12-10 | 2006-05-16 | Sherwood Services Ag | Circuit for controlling arc energy from an electrosurgical generator |
CA2524278C (en) | 2003-05-01 | 2013-10-15 | Sherwood Services Ag | Suction coagulator with dissecting probe |
EP1617776B1 (en) | 2003-05-01 | 2015-09-02 | Covidien AG | System for programing and controlling an electrosurgical generator system |
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 |
US20050025646A1 (en) * | 2003-07-30 | 2005-02-03 | Vance Products Inc. D/B/A Cook Urological Incorporated | Foot pedal medical irrigation system |
US8048003B2 (en) | 2003-10-14 | 2011-11-01 | Suros Surgical Systems, Inc. | Vacuum assisted biopsy device |
US7988642B2 (en) * | 2003-10-14 | 2011-08-02 | Suros Surgical Systems, Inc. | Vacuum assisted biopsy device |
JP4500315B2 (ja) * | 2003-10-14 | 2010-07-14 | シュロス・サージカル・システムズ・インコーポレーテッド | 真空補助生検ニードルセット |
US7588574B2 (en) * | 2003-10-23 | 2009-09-15 | Trans1 Inc. | Kits for enabling axial access and procedures in the spine |
CA2542798C (en) | 2003-10-23 | 2015-06-23 | Sherwood Services Ag | Thermocouple measurement circuit |
EP1694228B1 (en) * | 2003-10-23 | 2011-08-31 | TRANS1, Inc. | Spinal mobility preservation apparatus |
US7396336B2 (en) | 2003-10-30 | 2008-07-08 | Sherwood Services Ag | Switched resonant ultrasonic power amplifier system |
US7131860B2 (en) | 2003-11-20 | 2006-11-07 | Sherwood Services Ag | Connector systems for electrosurgical generator |
US7766905B2 (en) * | 2004-02-12 | 2010-08-03 | Covidien Ag | Method and system for continuity testing of medical electrodes |
US8066648B1 (en) * | 2004-02-25 | 2011-11-29 | Suros Surgical Systems, Inc. | Fluid connector and biopsy system including same |
US7780662B2 (en) | 2004-03-02 | 2010-08-24 | Covidien Ag | Vessel sealing system using capacitive RF dielectric heating |
US7708751B2 (en) | 2004-05-21 | 2010-05-04 | Ethicon Endo-Surgery, Inc. | MRI biopsy device |
US8932233B2 (en) * | 2004-05-21 | 2015-01-13 | Devicor Medical Products, Inc. | MRI biopsy device |
US9638770B2 (en) | 2004-05-21 | 2017-05-02 | Devicor Medical Products, Inc. | MRI biopsy apparatus incorporating an imageable penetrating portion |
US11890012B2 (en) | 2004-07-28 | 2024-02-06 | Cilag Gmbh International | Staple cartridge comprising cartridge body and attached support |
US9072535B2 (en) | 2011-05-27 | 2015-07-07 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments with rotatable staple deployment arrangements |
US8215531B2 (en) | 2004-07-28 | 2012-07-10 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having a medical substance dispenser |
US11998198B2 (en) | 2004-07-28 | 2024-06-04 | Cilag Gmbh International | Surgical stapling instrument incorporating a two-piece E-beam firing mechanism |
US8062214B2 (en) | 2004-08-27 | 2011-11-22 | Smith & Nephew, Inc. | Tissue resecting system |
US7628786B2 (en) | 2004-10-13 | 2009-12-08 | Covidien Ag | Universal foot switch contact port |
US8062230B1 (en) * | 2004-10-14 | 2011-11-22 | Suros Surgical Systems, Inc. | Surgical site marker delivery system |
US9474564B2 (en) | 2005-03-31 | 2016-10-25 | Covidien Ag | Method and system for compensating for external impedance of an energy carrying component when controlling an electrosurgical generator |
CA2803828C (en) * | 2005-03-31 | 2015-11-24 | Alcon, Inc. | Footswitch operable to control a surgical system |
US20080091193A1 (en) | 2005-05-16 | 2008-04-17 | James Kauphusman | Irrigated ablation catheter having magnetic tip for magnetic field control and guidance |
US7556622B2 (en) * | 2005-05-18 | 2009-07-07 | Suros Surgical Systems, Inc. | Selectively openable tissue filter |
US7524299B2 (en) * | 2005-06-21 | 2009-04-28 | Alcon, Inc. | Aspiration control |
US8002725B2 (en) * | 2005-07-18 | 2011-08-23 | Novostent Corporation | Embolic protection and plaque removal system with closed circuit aspiration and filtering |
CA2617932A1 (en) * | 2005-08-09 | 2007-02-22 | Trans1, Inc. | Exchange system for axial spinal procedures |
US20070055259A1 (en) * | 2005-08-17 | 2007-03-08 | Norton Britt K | Apparatus and methods for removal of intervertebral disc tissues |
US11246590B2 (en) | 2005-08-31 | 2022-02-15 | Cilag Gmbh International | Staple cartridge including staple drivers having different unfired heights |
US9237891B2 (en) | 2005-08-31 | 2016-01-19 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical stapling devices that produce formed staples having different lengths |
US7669746B2 (en) | 2005-08-31 | 2010-03-02 | Ethicon Endo-Surgery, Inc. | Staple cartridges for forming staples having differing formed staple heights |
US10159482B2 (en) | 2005-08-31 | 2018-12-25 | Ethicon Llc | Fastener cartridge assembly comprising a fixed anvil and different staple heights |
US7934630B2 (en) | 2005-08-31 | 2011-05-03 | Ethicon Endo-Surgery, Inc. | Staple cartridges for forming staples having differing formed staple heights |
US11484312B2 (en) | 2005-08-31 | 2022-11-01 | Cilag Gmbh International | Staple cartridge comprising a staple driver arrangement |
US8734438B2 (en) | 2005-10-21 | 2014-05-27 | Covidien Ag | Circuit and method for reducing stored energy in an electrosurgical generator |
US20070106317A1 (en) | 2005-11-09 | 2007-05-10 | Shelton Frederick E Iv | Hydraulically and electrically actuated articulation joints for surgical instruments |
US20070162062A1 (en) * | 2005-12-08 | 2007-07-12 | Norton Britt K | Reciprocating apparatus and methods for removal of intervertebral disc tissues |
US7947039B2 (en) | 2005-12-12 | 2011-05-24 | Covidien Ag | Laparoscopic apparatus for performing electrosurgical procedures |
US20070135760A1 (en) * | 2005-12-14 | 2007-06-14 | Williams David L | Occlusion clearance in microsurgical system |
US20070163573A1 (en) * | 2006-01-18 | 2007-07-19 | Act Seed Technology Fund Llc | Wound cleaning and decontamination device and method of use thereof |
US7513896B2 (en) | 2006-01-24 | 2009-04-07 | Covidien Ag | Dual synchro-resonant electrosurgical apparatus with bi-directional magnetic coupling |
US8216223B2 (en) | 2006-01-24 | 2012-07-10 | Covidien Ag | System and method for tissue sealing |
US20070173813A1 (en) * | 2006-01-24 | 2007-07-26 | Sherwood Services Ag | System and method for tissue sealing |
US9186200B2 (en) | 2006-01-24 | 2015-11-17 | Covidien Ag | System and method for tissue sealing |
US8147485B2 (en) | 2006-01-24 | 2012-04-03 | Covidien Ag | System and method for tissue sealing |
JP5160793B2 (ja) | 2006-01-24 | 2013-03-13 | コヴィディエン・アクチェンゲゼルシャフト | 組織シールのためのシステムおよび方法 |
CA2574935A1 (en) | 2006-01-24 | 2007-07-24 | Sherwood Services Ag | A method and system for controlling an output of a radio-frequency medical generator having an impedance based control algorithm |
CA2574934C (en) | 2006-01-24 | 2015-12-29 | Sherwood Services Ag | System and method for closed loop monitoring of monopolar electrosurgical apparatus |
US8685016B2 (en) | 2006-01-24 | 2014-04-01 | Covidien Ag | System and method for tissue sealing |
US11793518B2 (en) | 2006-01-31 | 2023-10-24 | Cilag Gmbh International | Powered surgical instruments with firing system lockout arrangements |
US11224427B2 (en) | 2006-01-31 | 2022-01-18 | Cilag Gmbh International | Surgical stapling system including a console and retraction assembly |
US7845537B2 (en) | 2006-01-31 | 2010-12-07 | Ethicon Endo-Surgery, Inc. | Surgical instrument having recording capabilities |
US8708213B2 (en) | 2006-01-31 | 2014-04-29 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a feedback system |
US11278279B2 (en) | 2006-01-31 | 2022-03-22 | Cilag Gmbh International | Surgical instrument assembly |
US20110024477A1 (en) | 2009-02-06 | 2011-02-03 | Hall Steven G | Driven Surgical Stapler Improvements |
US20110290856A1 (en) | 2006-01-31 | 2011-12-01 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical instrument with force-feedback capabilities |
US7753904B2 (en) | 2006-01-31 | 2010-07-13 | Ethicon Endo-Surgery, Inc. | Endoscopic surgical instrument with a handle that can articulate with respect to the shaft |
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 |
US7651493B2 (en) | 2006-03-03 | 2010-01-26 | Covidien Ag | System and method for controlling electrosurgical snares |
US7648499B2 (en) | 2006-03-21 | 2010-01-19 | Covidien Ag | System and method for generating radio frequency energy |
US8992422B2 (en) | 2006-03-23 | 2015-03-31 | Ethicon Endo-Surgery, Inc. | Robotically-controlled endoscopic accessory channel |
US7794393B2 (en) * | 2006-04-13 | 2010-09-14 | Larsen Dane M | Resectoscopic device and method |
US7651492B2 (en) | 2006-04-24 | 2010-01-26 | Covidien Ag | Arc based adaptive control system for an electrosurgical unit |
US8753334B2 (en) | 2006-05-10 | 2014-06-17 | Covidien Ag | System and method for reducing leakage current in an electrosurgical generator |
US20080125695A1 (en) * | 2006-06-23 | 2008-05-29 | Hopkins Mark A | Reflux control in microsurgical system |
US8322455B2 (en) | 2006-06-27 | 2012-12-04 | Ethicon Endo-Surgery, Inc. | Manually driven surgical cutting and fastening instrument |
US7731717B2 (en) | 2006-08-08 | 2010-06-08 | Covidien Ag | System and method for controlling RF output during tissue sealing |
US8034049B2 (en) | 2006-08-08 | 2011-10-11 | Covidien Ag | System and method for measuring initial tissue impedance |
EP1891998B1 (en) * | 2006-08-24 | 2019-03-13 | Alka Kumar | Surgical aspiration system |
US8465467B2 (en) * | 2006-09-14 | 2013-06-18 | Novartis Ag | Method of controlling an irrigation/aspiration system |
US7381917B2 (en) * | 2006-09-20 | 2008-06-03 | Alcon, Inc. | Footswitch assembly with position memory |
US7794457B2 (en) | 2006-09-28 | 2010-09-14 | Covidien Ag | Transformer for RF voltage sensing |
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 |
US7794475B2 (en) | 2006-09-29 | 2010-09-14 | Ethicon Endo-Surgery, Inc. | Surgical staples having compressible or crushable members for securing tissue therein and stapling instruments for deploying the same |
US11980366B2 (en) | 2006-10-03 | 2024-05-14 | Cilag Gmbh International | Surgical instrument |
US8137352B2 (en) | 2006-10-16 | 2012-03-20 | Depuy Spine, Inc. | Expandable intervertebral tool system and method |
BRPI0717644A2 (pt) * | 2006-10-16 | 2013-11-12 | Alcon Res Ltd | Método de operação de peça manual oftálmica com extremidade descartável. |
US20100286477A1 (en) * | 2009-05-08 | 2010-11-11 | Ouyang Xiaolong | Internal tissue visualization system comprising a rf-shielded visualization sensor module |
US8827945B2 (en) | 2006-11-06 | 2014-09-09 | Aardvark Medical, Inc. | Irrigation and aspiration devices and methods |
WO2008058160A2 (en) | 2006-11-06 | 2008-05-15 | Aardvark Medical, Llc | Irrigation and aspiration device and method |
US20080125703A1 (en) * | 2006-11-27 | 2008-05-29 | Cathleen Ihm | Breast pump with foot pedal control unit |
US8480595B2 (en) | 2006-12-13 | 2013-07-09 | Devicor Medical Products, Inc. | Biopsy device with motorized needle cocking |
US20140039343A1 (en) | 2006-12-13 | 2014-02-06 | Devicor Medical Products, Inc. | Biopsy system |
US20130324882A1 (en) * | 2012-05-30 | 2013-12-05 | Devicor Medical Products, Inc. | Control for biopsy device |
US9345457B2 (en) * | 2006-12-13 | 2016-05-24 | Devicor Medical Products, Inc. | Presentation of biopsy sample by biopsy device |
US8251916B2 (en) * | 2006-12-13 | 2012-08-28 | Devicor Medical Products, Inc. | Revolving tissue sample holder for biopsy device |
US7981049B2 (en) * | 2006-12-13 | 2011-07-19 | Devicor Medical Products, Inc. | Engagement interface for biopsy system vacuum module |
US8702623B2 (en) * | 2008-12-18 | 2014-04-22 | Devicor Medical Products, Inc. | Biopsy device with discrete tissue chambers |
US7938786B2 (en) * | 2006-12-13 | 2011-05-10 | Devicor Medical Products, Inc. | Vacuum timing algorithm for biopsy device |
US20080147023A1 (en) * | 2006-12-18 | 2008-06-19 | Mark Alan Hopkins | System and method for controlling fluid flow in an aspiration chamber |
DE202006020278U1 (de) * | 2006-12-18 | 2008-04-30 | Söring GmbH | Chirurgisches Instrument |
JP5226005B2 (ja) * | 2006-12-21 | 2013-07-03 | ドヘニー アイ インスティテュート | 使い捨て硝子体切除術ハンドピース |
KR20090101953A (ko) * | 2006-12-22 | 2009-09-29 | 알콘 리서치, 리미티드 | 미세수술 도구를 작동시키는 방법 |
US8690870B2 (en) * | 2006-12-28 | 2014-04-08 | St. Jude Medical, Atrial Fibrillation Division, Inc. | Irrigated ablation catheter system with pulsatile flow to prevent thrombus |
US7951143B2 (en) * | 2006-12-28 | 2011-05-31 | St. Jude Medical, Artial Fibrillation Divsion, Inc. | Cooled ablation catheter with reciprocating flow |
US7824406B2 (en) * | 2006-12-28 | 2010-11-02 | St. Jude Medical, Atrial Fibrillation Division, Inc. | Irrigated ablation catheter having a valve to prevent backflow |
US8652120B2 (en) | 2007-01-10 | 2014-02-18 | Ethicon Endo-Surgery, Inc. | Surgical instrument with wireless communication between control unit and sensor transponders |
US8684253B2 (en) | 2007-01-10 | 2014-04-01 | Ethicon Endo-Surgery, Inc. | Surgical instrument with wireless communication between a control unit of a robotic system and remote sensor |
US8840603B2 (en) | 2007-01-10 | 2014-09-23 | Ethicon Endo-Surgery, Inc. | Surgical instrument with wireless communication between control unit and sensor transponders |
US11291441B2 (en) | 2007-01-10 | 2022-04-05 | Cilag Gmbh International | Surgical instrument with wireless communication between control unit and remote sensor |
US20080169332A1 (en) | 2007-01-11 | 2008-07-17 | Shelton Frederick E | Surgical stapling device with a curved cutting member |
US11039836B2 (en) | 2007-01-11 | 2021-06-22 | Cilag Gmbh International | Staple cartridge for use with a surgical stapling instrument |
US20080221605A1 (en) | 2007-01-26 | 2008-09-11 | Laurimed Llc | Cutting device positioned via control wire to perform selective discectomy |
US8109937B2 (en) * | 2007-02-23 | 2012-02-07 | Alcon Research, Ltd. | Surgical system for indication of media types |
US8048023B2 (en) | 2007-03-06 | 2011-11-01 | Rhinosystems Inc. | Systems and methods for nasal irrigation |
US7673782B2 (en) | 2007-03-15 | 2010-03-09 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having a releasable buttress material |
US8465473B2 (en) * | 2007-03-28 | 2013-06-18 | Novartis Ag | Surgical footswitch with movable shroud |
US8893946B2 (en) | 2007-03-28 | 2014-11-25 | Ethicon Endo-Surgery, Inc. | Laparoscopic tissue thickness and clamp load measuring devices |
WO2008124650A1 (en) | 2007-04-06 | 2008-10-16 | Interlace Medical, Inc. | Method, system and device for tissue removal |
US20090270898A1 (en) * | 2007-04-06 | 2009-10-29 | Interlace Medical, Inc. | Tissue removal device with high reciprocation rate |
US9095366B2 (en) | 2007-04-06 | 2015-08-04 | Hologic, Inc. | Tissue cutter with differential hardness |
US8777941B2 (en) | 2007-05-10 | 2014-07-15 | Covidien Lp | Adjustable impedance electrosurgical electrodes |
US8931682B2 (en) | 2007-06-04 | 2015-01-13 | Ethicon Endo-Surgery, Inc. | Robotically-controlled shaft based rotary drive systems for surgical instruments |
US11857181B2 (en) | 2007-06-04 | 2024-01-02 | Cilag Gmbh International | Robotically-controlled shaft based rotary drive systems for surgical instruments |
WO2008154338A1 (en) * | 2007-06-07 | 2008-12-18 | Piezo Resonance Innovations, Inc. | Eye surgical tool |
US7753245B2 (en) | 2007-06-22 | 2010-07-13 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments |
US20090005789A1 (en) * | 2007-06-26 | 2009-01-01 | Charles Steven T | Force Sensitive Foot Controller |
US8328738B2 (en) | 2007-06-29 | 2012-12-11 | Actuated Medical, Inc. | Medical tool for reduced penetration force with feedback means |
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 |
WO2009006291A1 (en) * | 2007-06-29 | 2009-01-08 | Piezo Resonance Innovations, Inc. | Medical tool for reduced penetration force |
US9987468B2 (en) | 2007-06-29 | 2018-06-05 | Actuated Medical, Inc. | Reduced force device for intravascular access and guidewire placement |
US10219832B2 (en) * | 2007-06-29 | 2019-03-05 | Actuated Medical, Inc. | Device and method for less forceful tissue puncture |
US7834484B2 (en) | 2007-07-16 | 2010-11-16 | Tyco Healthcare Group Lp | Connection cable and method for activating a voltage-controlled generator |
US8216220B2 (en) | 2007-09-07 | 2012-07-10 | Tyco Healthcare Group Lp | System and method for transmission of combined data stream |
US8512332B2 (en) | 2007-09-21 | 2013-08-20 | Covidien Lp | Real-time arc control in electrosurgical generators |
US20090216189A1 (en) * | 2007-09-24 | 2009-08-27 | Seth Gasser | Device and method for controlling flow of liquid fluid in arthroscopic surgery |
ES2640726T3 (es) * | 2007-09-27 | 2017-11-06 | Doheny Eye Institute | Cortador de recorrido seleccionable |
US8202229B2 (en) * | 2007-10-01 | 2012-06-19 | Suros Surgical Systems, Inc. | Surgical device |
US8808200B2 (en) | 2007-10-01 | 2014-08-19 | Suros Surgical Systems, Inc. | Surgical device and method of using same |
US8906053B2 (en) * | 2007-11-12 | 2014-12-09 | Medtronic Xomed, Inc. | Systems and methods for surgical removal of brain tumors |
US8052616B2 (en) * | 2007-11-20 | 2011-11-08 | Devicor Medical Products, Inc. | Biopsy device with fine pitch drive train |
US20090131821A1 (en) * | 2007-11-20 | 2009-05-21 | Speeg Trevor W V | Graphical User Interface For Biopsy System Control Module |
US7806835B2 (en) * | 2007-11-20 | 2010-10-05 | Devicor Medical Products, Inc. | Biopsy device with sharps reduction feature |
US20090131819A1 (en) * | 2007-11-20 | 2009-05-21 | Ritchie Paul G | User Interface On Biopsy Device |
US9039634B2 (en) * | 2007-11-20 | 2015-05-26 | Devicor Medical Products, Inc. | Biopsy device tissue sample holder rotation control |
US7858038B2 (en) * | 2007-11-20 | 2010-12-28 | Devicor Medical Products, Inc. | Biopsy device with illuminated tissue holder |
US8454531B2 (en) | 2007-11-20 | 2013-06-04 | Devicor Medical Products, Inc. | Icon-based user interface on biopsy system control module |
US8052684B2 (en) * | 2007-11-30 | 2011-11-08 | St. Jude Medical, Atrial Fibrillation Division, Inc. | Irrigated ablation catheter having parallel external flow and proximally tapered electrode |
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 |
US8636736B2 (en) | 2008-02-14 | 2014-01-28 | Ethicon Endo-Surgery, Inc. | Motorized surgical cutting and fastening instrument |
US7819298B2 (en) | 2008-02-14 | 2010-10-26 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with control features operable with one hand |
US8573465B2 (en) | 2008-02-14 | 2013-11-05 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical end effector system with rotary actuated closure systems |
US7866527B2 (en) | 2008-02-14 | 2011-01-11 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with interlockable firing system |
US8758391B2 (en) | 2008-02-14 | 2014-06-24 | Ethicon Endo-Surgery, Inc. | Interchangeable tools for surgical instruments |
RU2493788C2 (ru) | 2008-02-14 | 2013-09-27 | Этикон Эндо-Серджери, Инк. | Хирургический режущий и крепежный инструмент, имеющий радиочастотные электроды |
US9179912B2 (en) | 2008-02-14 | 2015-11-10 | Ethicon Endo-Surgery, Inc. | Robotically-controlled motorized surgical cutting and fastening instrument |
US11272927B2 (en) | 2008-02-15 | 2022-03-15 | Cilag Gmbh International | Layer arrangements for surgical staple cartridges |
US9615826B2 (en) | 2010-09-30 | 2017-04-11 | Ethicon Endo-Surgery, Llc | Multiple thickness implantable layers for surgical stapling devices |
AU2009231645A1 (en) | 2008-04-02 | 2009-10-08 | Laurimed, Llc | Methods and devices for delivering injections |
US8460324B2 (en) * | 2008-04-15 | 2013-06-11 | Abbott Medical Optics Inc. | High speed pneumatic vitrectomy control |
CA2726851C (en) * | 2008-06-08 | 2018-11-27 | Hotspur Technologies, Inc. | Apparatus and methods for removing obstructive material from body lumens |
US8939991B2 (en) * | 2008-06-08 | 2015-01-27 | Hotspur Technologies, Inc. | Apparatus and methods for removing obstructive material from body lumens |
US8226639B2 (en) | 2008-06-10 | 2012-07-24 | Tyco Healthcare Group Lp | System and method for output control of electrosurgical generator |
US8152820B2 (en) | 2008-06-26 | 2012-04-10 | Dai-Z, Llc | Medical device and method for human tissue and foreign body extraction |
US8945160B2 (en) * | 2008-07-03 | 2015-02-03 | Hotspur Technologies, Inc. | Apparatus and methods for treating obstructions within body lumens |
US9101382B2 (en) | 2009-02-18 | 2015-08-11 | Hotspur Technologies, Inc. | Apparatus and methods for treating obstructions within body lumens |
US9289541B2 (en) * | 2008-08-22 | 2016-03-22 | Medtronic, Inc. | Surgical fluid management system |
US9005230B2 (en) | 2008-09-23 | 2015-04-14 | Ethicon Endo-Surgery, Inc. | Motorized surgical instrument |
US11648005B2 (en) | 2008-09-23 | 2023-05-16 | Cilag Gmbh International | Robotically-controlled motorized surgical instrument with an end effector |
US9386983B2 (en) | 2008-09-23 | 2016-07-12 | Ethicon Endo-Surgery, Llc | Robotically-controlled motorized surgical instrument |
US8210411B2 (en) | 2008-09-23 | 2012-07-03 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting instrument |
US20100076422A1 (en) * | 2008-09-24 | 2010-03-25 | Tyco Healthcare Group Lp | Thermal Treatment of Nucleus Pulposus |
US8608045B2 (en) | 2008-10-10 | 2013-12-17 | Ethicon Endo-Sugery, Inc. | Powered surgical cutting and stapling apparatus with manually retractable firing system |
PL2367498T3 (pl) * | 2008-10-28 | 2013-12-31 | Jeder Gmbh | Urządzenie frezujące do wykonywania otworu w kości |
US20100121155A1 (en) * | 2008-11-12 | 2010-05-13 | Ouyang Xiaolong | Minimally Invasive Tissue Modification Systems With Integrated Visualization |
US20100121139A1 (en) | 2008-11-12 | 2010-05-13 | Ouyang Xiaolong | Minimally Invasive Imaging Systems |
US20100121142A1 (en) * | 2008-11-12 | 2010-05-13 | Ouyang Xiaolong | Minimally Invasive Imaging Device |
US8496599B2 (en) * | 2008-12-16 | 2013-07-30 | Nico Corporation | Tissue removal device for neurosurgical and spinal surgery applications |
US8460327B2 (en) * | 2008-12-16 | 2013-06-11 | Nico Corporation | Tissue removal device for neurosurgical and spinal surgery applications |
US9216031B2 (en) * | 2008-12-16 | 2015-12-22 | Nico Corporation | Tissue removal device with adjustable fluid supply sleeve for neurosurgical and spinal surgery applications |
US10368890B2 (en) | 2008-12-16 | 2019-08-06 | Nico Corporation | Multi-functional surgical device for neurosurgical and spinal surgery applications |
US9279751B2 (en) | 2008-12-16 | 2016-03-08 | Nico Corporation | System and method of taking and collecting tissue cores for treatment |
US9655639B2 (en) * | 2008-12-16 | 2017-05-23 | Nico Corporation | Tissue removal device for use with imaging devices in neurosurgical and spinal surgery applications |
US8430825B2 (en) * | 2008-12-16 | 2013-04-30 | Nico Corporation | Tissue removal device for neurosurgical and spinal surgery applications |
US9931105B2 (en) | 2008-12-16 | 2018-04-03 | Nico Corporation | System and method of taking and collecting tissue cores for treatment |
US8702738B2 (en) * | 2008-12-16 | 2014-04-22 | Nico Corporation | Tissue removal device for neurosurgical and spinal surgery applications |
US8657841B2 (en) * | 2008-12-16 | 2014-02-25 | Nico Corporation | Tissue removal device for neurosurgical and spinal surgery applications |
US20100152762A1 (en) * | 2008-12-16 | 2010-06-17 | Mark Joseph L | Tissue removal system with multi-directional foot actuator assembly for neurosurgical and spinal surgery applications |
US9504247B2 (en) | 2008-12-16 | 2016-11-29 | Nico Corporation | System for collecting and preserving tissue cores |
US10080578B2 (en) | 2008-12-16 | 2018-09-25 | Nico Corporation | Tissue removal device with adjustable delivery sleeve for neurosurgical and spinal surgery applications |
US8357175B2 (en) * | 2008-12-16 | 2013-01-22 | Nico Corporation | Positioning system for tissue removal device |
US9820480B2 (en) | 2008-12-16 | 2017-11-21 | Nico Corporation | System for collecting and preserving tissue cores |
US20100160777A1 (en) * | 2008-12-22 | 2010-06-24 | Hardin Terry D | Reverse deployment device |
US8262652B2 (en) | 2009-01-12 | 2012-09-11 | Tyco Healthcare Group Lp | Imaginary impedance process monitoring and intelligent shut-off |
US8517239B2 (en) | 2009-02-05 | 2013-08-27 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument comprising a magnetic element driver |
CA2751664A1 (en) | 2009-02-06 | 2010-08-12 | Ethicon Endo-Surgery, Inc. | Driven surgical stapler improvements |
US8444036B2 (en) | 2009-02-06 | 2013-05-21 | Ethicon Endo-Surgery, Inc. | Motor driven surgical fastener device with mechanisms for adjusting a tissue gap within the end effector |
US20120109057A1 (en) | 2009-02-18 | 2012-05-03 | Hotspur Technologies, Inc. | Apparatus and methods for treating obstructions within body lumens |
US11903602B2 (en) | 2009-04-29 | 2024-02-20 | Hologic, Inc. | Uterine fibroid tissue removal device |
US7806865B1 (en) * | 2009-05-20 | 2010-10-05 | Alcon Research, Ltd. | Pressurized irrigation squeeze band |
US8529468B2 (en) | 2009-07-01 | 2013-09-10 | Suros Surgical Systems, Inc. | Surgical system |
US8465471B2 (en) | 2009-08-05 | 2013-06-18 | Rocin Laboratories, Inc. | Endoscopically-guided electro-cauterizing power-assisted fat aspiration system for aspirating visceral fat tissue within the abdomen of a patient |
US8348929B2 (en) | 2009-08-05 | 2013-01-08 | Rocin Laboratories, Inc. | Endoscopically-guided tissue aspiration system for safely removing fat tissue from a patient |
AU2010286834B2 (en) * | 2009-08-31 | 2015-06-04 | Alcon Inc. | Pneumatic pressure output control by drive valve duty cycle calibration |
US9198675B2 (en) | 2009-09-24 | 2015-12-01 | Imds Llc | Reciprocating surgical instrument |
US8617164B2 (en) * | 2009-09-24 | 2013-12-31 | Imds Corporation | Surgical rasping systems and methods |
US9033986B2 (en) | 2009-09-24 | 2015-05-19 | Imds, Llc | Reciprocating surgical instrument |
US9005203B2 (en) | 2009-09-24 | 2015-04-14 | Imds, Llc | Reciprocating surgical instruments |
US20110112373A1 (en) * | 2009-11-10 | 2011-05-12 | Trans1 Inc. | Soft tissue access apparatus and methods for spinal surgery |
US8666556B2 (en) * | 2009-12-10 | 2014-03-04 | Alcon Research, Ltd. | Systems and methods for dynamic feedforward |
CA2781157C (en) * | 2009-12-10 | 2018-01-02 | Alcon Research Ltd. | Systems and methods for dynamic pneumatic valve driver |
US8220688B2 (en) | 2009-12-24 | 2012-07-17 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting instrument with electric actuator directional control assembly |
US8851354B2 (en) | 2009-12-24 | 2014-10-07 | Ethicon Endo-Surgery, Inc. | Surgical cutting instrument that analyzes tissue thickness |
US8986334B2 (en) * | 2010-02-04 | 2015-03-24 | Nico Corporation | Tissue removal device with tissue grip |
KR101157627B1 (ko) * | 2010-02-18 | 2012-06-19 | (재)예수병원유지재단 | 의료용 조직 추출기 |
US8337415B2 (en) * | 2010-02-22 | 2012-12-25 | Devicor Medical Products, Inc. | Tissue harvesting, mincing, and transport device |
US8821524B2 (en) | 2010-05-27 | 2014-09-02 | Alcon Research, Ltd. | Feedback control of on/off pneumatic actuators |
EP2588011B1 (en) | 2010-06-30 | 2015-08-12 | Laurimed, Llc | Devices for cutting and evacuating tissue |
US8685052B2 (en) | 2010-06-30 | 2014-04-01 | Laurimed, Llc | Devices and methods for cutting tissue |
US8136779B2 (en) | 2010-07-27 | 2012-03-20 | Alcon Research, Ltd. | Mounting arrangement for a pressurized irrigation system |
US8783543B2 (en) | 2010-07-30 | 2014-07-22 | Ethicon Endo-Surgery, Inc. | Tissue acquisition arrangements and methods for surgical stapling devices |
US9155454B2 (en) | 2010-09-28 | 2015-10-13 | Smith & Nephew, Inc. | Hysteroscopic system |
US9629814B2 (en) | 2010-09-30 | 2017-04-25 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator configured to redistribute compressive forces |
US9848875B2 (en) | 2010-09-30 | 2017-12-26 | Ethicon Llc | Anvil layer attached to a proximal end of an end effector |
US11812965B2 (en) | 2010-09-30 | 2023-11-14 | Cilag Gmbh International | Layer of material for a surgical end effector |
US11298125B2 (en) | 2010-09-30 | 2022-04-12 | Cilag Gmbh International | Tissue stapler having a thickness compensator |
US10945731B2 (en) | 2010-09-30 | 2021-03-16 | Ethicon Llc | Tissue thickness compensator comprising controlled release and expansion |
US11925354B2 (en) | 2010-09-30 | 2024-03-12 | Cilag Gmbh International | Staple cartridge comprising staples positioned within a compressible portion thereof |
US9211120B2 (en) | 2011-04-29 | 2015-12-15 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator comprising a plurality of medicaments |
US9320523B2 (en) | 2012-03-28 | 2016-04-26 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator comprising tissue ingrowth features |
US9364233B2 (en) | 2010-09-30 | 2016-06-14 | Ethicon Endo-Surgery, Llc | Tissue thickness compensators for circular surgical staplers |
US9232941B2 (en) | 2010-09-30 | 2016-01-12 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator comprising a reservoir |
US9016542B2 (en) | 2010-09-30 | 2015-04-28 | Ethicon Endo-Surgery, Inc. | Staple cartridge comprising compressible distortion resistant components |
US8695866B2 (en) | 2010-10-01 | 2014-04-15 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a power control circuit |
US8568424B2 (en) * | 2010-12-30 | 2013-10-29 | Hologic, Inc. | Hysteroscopic tissue removal system with improved fluid management and/or monitoring capabilities |
US8808318B2 (en) | 2011-02-28 | 2014-08-19 | Alcon Research, Ltd. | Surgical probe with increased fluid flow |
AU2012250197B2 (en) | 2011-04-29 | 2017-08-10 | Ethicon Endo-Surgery, Inc. | Staple cartridge comprising staples positioned within a compressible portion thereof |
US11207064B2 (en) | 2011-05-27 | 2021-12-28 | Cilag Gmbh International | Automated end effector component reloading system for use with a robotic system |
EP2729098B1 (en) | 2011-07-08 | 2016-08-17 | Doheny Eye Institute | Ocular lens cutting device |
US9060841B2 (en) | 2011-08-31 | 2015-06-23 | Alcon Research, Ltd. | Enhanced flow vitrectomy probe |
US9186166B2 (en) * | 2011-09-01 | 2015-11-17 | Depuy Mitek, Llc | Tissue shavers |
US9220528B2 (en) | 2011-12-03 | 2015-12-29 | Ouroboros Medical, Inc. | Tubular cutter having a talon with opposing, lateral cutting surfaces |
US10070990B2 (en) | 2011-12-08 | 2018-09-11 | Alcon Research, Ltd. | Optimized pneumatic drive lines |
BR112014013812B1 (pt) | 2011-12-08 | 2020-11-24 | Alcon Research, Llc | Circuito de aspiraqao para um sistema de fluidos |
US8747426B2 (en) | 2011-12-20 | 2014-06-10 | Alcon Research, Ltd. | Vitrectomy probe with adjustable cutter port size |
US9554797B2 (en) | 2012-01-13 | 2017-01-31 | Boston Scientific Scimed, Inc. | Tissue-acquisition device and method |
WO2013119336A1 (en) * | 2012-02-10 | 2013-08-15 | Laurimed, Llc | Vacuum powered rotary devices and methods |
US9044230B2 (en) | 2012-02-13 | 2015-06-02 | Ethicon Endo-Surgery, Inc. | Surgical cutting and fastening instrument with apparatus for determining cartridge and firing motion status |
JP6224070B2 (ja) | 2012-03-28 | 2017-11-01 | 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. | 組織厚さコンペンセータを含む保持具アセンブリ |
JP6305979B2 (ja) | 2012-03-28 | 2018-04-04 | エシコン・エンド−サージェリィ・インコーポレイテッドEthicon Endo−Surgery,Inc. | 複数の層を含む組織厚さコンペンセーター |
BR112014024098B1 (pt) | 2012-03-28 | 2021-05-25 | Ethicon Endo-Surgery, Inc. | cartucho de grampos |
US9149291B2 (en) | 2012-06-11 | 2015-10-06 | Tenex Health, Inc. | Systems and methods for tissue treatment |
US11406415B2 (en) | 2012-06-11 | 2022-08-09 | Tenex Health, Inc. | Systems and methods for tissue treatment |
US9101358B2 (en) | 2012-06-15 | 2015-08-11 | Ethicon Endo-Surgery, Inc. | Articulatable surgical instrument comprising a firing drive |
US9204879B2 (en) | 2012-06-28 | 2015-12-08 | Ethicon Endo-Surgery, Inc. | Flexible drive member |
US9289256B2 (en) | 2012-06-28 | 2016-03-22 | Ethicon Endo-Surgery, Llc | Surgical end effectors having angled tissue-contacting surfaces |
JP6290201B2 (ja) | 2012-06-28 | 2018-03-07 | 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. | 空クリップカートリッジ用のロックアウト |
US20140001234A1 (en) | 2012-06-28 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Coupling arrangements for attaching surgical end effectors to drive systems therefor |
US11197671B2 (en) | 2012-06-28 | 2021-12-14 | Cilag Gmbh International | Stapling assembly comprising a lockout |
US9282974B2 (en) | 2012-06-28 | 2016-03-15 | Ethicon Endo-Surgery, Llc | Empty clip cartridge lockout |
US20140001231A1 (en) | 2012-06-28 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Firing system lockout arrangements for surgical instruments |
BR112014032776B1 (pt) | 2012-06-28 | 2021-09-08 | Ethicon Endo-Surgery, Inc | Sistema de instrumento cirúrgico e kit cirúrgico para uso com um sistema de instrumento cirúrgico |
US9872687B2 (en) * | 2012-07-19 | 2018-01-23 | Clariance | Driving assembly for a cutting tool of the shaver type |
US9204921B2 (en) | 2012-12-13 | 2015-12-08 | Cook Medical Technologies Llc | RF energy controller and method for electrosurgical medical devices |
US9364277B2 (en) | 2012-12-13 | 2016-06-14 | Cook Medical Technologies Llc | RF energy controller and method for electrosurgical medical devices |
US9271867B2 (en) | 2012-12-17 | 2016-03-01 | Abbott Medical Optics Inc. | Vitrectomy surgical apparatus with regulating of material processed |
US9486358B2 (en) | 2012-12-17 | 2016-11-08 | Abbott Medical Optics Inc. | Vitrectomy surgical apparatus |
US9498376B2 (en) | 2012-12-17 | 2016-11-22 | Abbott Medical Optics Inc. | Vitrectomy surgical apparatus with cut timing based on pressures encountered |
MX364729B (es) | 2013-03-01 | 2019-05-06 | Ethicon Endo Surgery Inc | Instrumento quirúrgico con una parada suave. |
MX368026B (es) | 2013-03-01 | 2019-09-12 | Ethicon Endo Surgery Inc | Instrumento quirúrgico articulable con vías conductoras para la comunicación de la señal. |
USD698019S1 (en) | 2013-03-05 | 2014-01-21 | Alcon Research, Ltd. | Ophthalmic surgical cassette |
US9629629B2 (en) | 2013-03-14 | 2017-04-25 | Ethicon Endo-Surgey, LLC | Control systems for surgical instruments |
US9913728B2 (en) | 2013-03-14 | 2018-03-13 | Quandary Medical, Llc | Spinal implants and implantation system |
US9888919B2 (en) | 2013-03-14 | 2018-02-13 | Ethicon Llc | Method and system for operating a surgical instrument |
US9205186B2 (en) * | 2013-03-14 | 2015-12-08 | Abbott Medical Optics Inc. | System and method for providing pressurized infusion |
US9433723B2 (en) * | 2013-03-14 | 2016-09-06 | Abbott Medical Optics Inc. | System and method for providing pressurized infusion |
US9603610B2 (en) | 2013-03-15 | 2017-03-28 | DePuy Synthes Products, Inc. | Tools and methods for tissue removal |
BR112015026109B1 (pt) | 2013-04-16 | 2022-02-22 | Ethicon Endo-Surgery, Inc | Instrumento cirúrgico |
US9649110B2 (en) | 2013-04-16 | 2017-05-16 | Ethicon Llc | Surgical instrument comprising a closing drive and a firing drive operated from the same rotatable output |
US9549850B2 (en) | 2013-04-26 | 2017-01-24 | Novartis Ag | Partial venting system for occlusion surge mitigation |
US9913653B2 (en) | 2013-07-11 | 2018-03-13 | Covidien Lp | Devices, systems, and methods for tissue morcellation |
WO2015009763A1 (en) | 2013-07-19 | 2015-01-22 | Ouroboros Medical, Inc. | An anti-clogging device for a vacuum-assisted, tissue removal system |
US9872719B2 (en) | 2013-07-24 | 2018-01-23 | Covidien Lp | Systems and methods for generating electrosurgical energy using a multistage power converter |
US9636165B2 (en) | 2013-07-29 | 2017-05-02 | Covidien Lp | Systems and methods for measuring tissue impedance through an electrosurgical cable |
CN106028966B (zh) | 2013-08-23 | 2018-06-22 | 伊西康内外科有限责任公司 | 用于动力外科器械的击发构件回缩装置 |
US9987006B2 (en) | 2013-08-23 | 2018-06-05 | Ethicon Llc | Shroud retention arrangement for sterilizable surgical instruments |
US10028762B1 (en) | 2013-10-14 | 2018-07-24 | Percutaneous Cosmetic Devices LLC | Method of cutting soft tissue under facial skin |
US9782193B2 (en) | 2013-12-11 | 2017-10-10 | Medos International Sàrl | Tissue shaving device having a fluid removal path |
US9757273B2 (en) | 2013-12-20 | 2017-09-12 | Novartis Ag | Tissue-sensing vitrectomy surgical systems and methods |
US9370295B2 (en) | 2014-01-13 | 2016-06-21 | Trice Medical, Inc. | Fully integrated, disposable tissue visualization device |
US11547446B2 (en) | 2014-01-13 | 2023-01-10 | Trice Medical, Inc. | Fully integrated, disposable tissue visualization device |
US10342579B2 (en) | 2014-01-13 | 2019-07-09 | Trice Medical, Inc. | Fully integrated, disposable tissue visualization device |
US8815099B1 (en) | 2014-01-21 | 2014-08-26 | Laurimed, Llc | Devices and methods for filtering and/or collecting tissue |
US9962161B2 (en) | 2014-02-12 | 2018-05-08 | Ethicon Llc | Deliverable surgical instrument |
JP6462004B2 (ja) | 2014-02-24 | 2019-01-30 | エシコン エルエルシー | 発射部材ロックアウトを備える締結システム |
BR112016021943B1 (pt) | 2014-03-26 | 2022-06-14 | Ethicon Endo-Surgery, Llc | Instrumento cirúrgico para uso por um operador em um procedimento cirúrgico |
US10004497B2 (en) | 2014-03-26 | 2018-06-26 | Ethicon Llc | Interface systems for use with surgical instruments |
US9733663B2 (en) | 2014-03-26 | 2017-08-15 | Ethicon Llc | Power management through segmented circuit and variable voltage protection |
US9248221B2 (en) | 2014-04-08 | 2016-02-02 | Incuvate, Llc | Aspiration monitoring system and method |
US10561422B2 (en) | 2014-04-16 | 2020-02-18 | Ethicon Llc | Fastener cartridge comprising deployable tissue engaging members |
CN106456159B (zh) | 2014-04-16 | 2019-03-08 | 伊西康内外科有限责任公司 | 紧固件仓组件和钉保持器盖布置结构 |
US20150297222A1 (en) | 2014-04-16 | 2015-10-22 | Ethicon Endo-Surgery, Inc. | Fastener cartridges including extensions having different configurations |
US10206677B2 (en) | 2014-09-26 | 2019-02-19 | Ethicon Llc | Surgical staple and driver arrangements for staple cartridges |
JP6612256B2 (ja) | 2014-04-16 | 2019-11-27 | エシコン エルエルシー | 不均一な締結具を備える締結具カートリッジ |
CN106456176B (zh) | 2014-04-16 | 2019-06-28 | 伊西康内外科有限责任公司 | 包括具有不同构型的延伸部的紧固件仓 |
WO2015164459A1 (en) | 2014-04-23 | 2015-10-29 | Abbott Medical Optics Inc. | Vitrectomy surgical apparatus employing multisensor pressure feedback |
WO2015168176A2 (en) | 2014-04-28 | 2015-11-05 | Ahluwalia Prabhat | Surgical morcellator |
EP3142614B1 (en) * | 2014-05-13 | 2022-03-23 | Johnson & Johnson Surgical Vision, Inc. | System for providing pressurized infusion |
US9962181B2 (en) | 2014-09-02 | 2018-05-08 | Tenex Health, Inc. | Subcutaneous wound debridement |
US11311294B2 (en) | 2014-09-05 | 2022-04-26 | Cilag Gmbh International | Powered medical device including measurement of closure state of jaws |
BR112017004361B1 (pt) | 2014-09-05 | 2023-04-11 | Ethicon Llc | Sistema eletrônico para um instrumento cirúrgico |
US10111679B2 (en) | 2014-09-05 | 2018-10-30 | Ethicon Llc | Circuitry and sensors for powered medical device |
US9737322B2 (en) | 2014-09-08 | 2017-08-22 | Medtronic Xomed, Inc. | Method for resection of tumors and tissues |
US9636132B2 (en) | 2014-09-08 | 2017-05-02 | Medtronic Xomed, Inc. | Tumor debulker |
US10105142B2 (en) | 2014-09-18 | 2018-10-23 | Ethicon Llc | Surgical stapler with plurality of cutting elements |
BR112017005981B1 (pt) | 2014-09-26 | 2022-09-06 | Ethicon, Llc | Material de escora para uso com um cartucho de grampos cirúrgicos e cartucho de grampos cirúrgicos para uso com um instrumento cirúrgico |
US11523821B2 (en) | 2014-09-26 | 2022-12-13 | Cilag Gmbh International | Method for creating a flexible staple line |
US10076325B2 (en) | 2014-10-13 | 2018-09-18 | Ethicon Llc | Surgical stapling apparatus comprising a tissue stop |
US9924944B2 (en) | 2014-10-16 | 2018-03-27 | Ethicon Llc | Staple cartridge comprising an adjunct material |
US11141153B2 (en) | 2014-10-29 | 2021-10-12 | Cilag Gmbh International | Staple cartridges comprising driver arrangements |
US10517594B2 (en) | 2014-10-29 | 2019-12-31 | Ethicon Llc | Cartridge assemblies for surgical staplers |
US9844376B2 (en) | 2014-11-06 | 2017-12-19 | Ethicon Llc | Staple cartridge comprising a releasable adjunct material |
US10111777B2 (en) * | 2014-11-20 | 2018-10-30 | Novartis Ag | Traction-limiting vitrecetomy probe |
US10736636B2 (en) | 2014-12-10 | 2020-08-11 | Ethicon Llc | Articulatable surgical instrument system |
EP3232955A1 (en) | 2014-12-16 | 2017-10-25 | Covidien LP | Surgical device with incorporated tissue extraction |
US9844374B2 (en) | 2014-12-18 | 2017-12-19 | Ethicon Llc | Surgical instrument systems comprising an articulatable end effector and means for adjusting the firing stroke of a firing member |
US10085748B2 (en) | 2014-12-18 | 2018-10-02 | Ethicon Llc | Locking arrangements for detachable shaft assemblies with articulatable surgical end effectors |
US9987000B2 (en) | 2014-12-18 | 2018-06-05 | Ethicon Llc | Surgical instrument assembly comprising a flexible articulation system |
US9844375B2 (en) | 2014-12-18 | 2017-12-19 | Ethicon Llc | Drive arrangements for articulatable surgical instruments |
BR112017012996B1 (pt) | 2014-12-18 | 2022-11-08 | Ethicon Llc | Instrumento cirúrgico com uma bigorna que é seletivamente móvel sobre um eixo geométrico imóvel distinto em relação a um cartucho de grampos |
US10004501B2 (en) | 2014-12-18 | 2018-06-26 | Ethicon Llc | Surgical instruments with improved closure arrangements |
EP3250105B1 (en) | 2015-01-28 | 2020-11-11 | Covidien LP | Tissue resection system |
US9931118B2 (en) | 2015-02-27 | 2018-04-03 | Ethicon Endo-Surgery, Llc | Reinforced battery for a surgical instrument |
US11154301B2 (en) | 2015-02-27 | 2021-10-26 | Cilag Gmbh International | Modular stapling assembly |
US10548504B2 (en) | 2015-03-06 | 2020-02-04 | Ethicon Llc | Overlaid multi sensor radio frequency (RF) electrode system to measure tissue compression |
US10441279B2 (en) | 2015-03-06 | 2019-10-15 | Ethicon Llc | Multiple level thresholds to modify operation of powered surgical instruments |
US9808246B2 (en) | 2015-03-06 | 2017-11-07 | Ethicon Endo-Surgery, Llc | Method of operating a powered surgical instrument |
US10687806B2 (en) | 2015-03-06 | 2020-06-23 | Ethicon Llc | Adaptive tissue compression techniques to adjust closure rates for multiple tissue types |
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 |
US9924961B2 (en) | 2015-03-06 | 2018-03-27 | Ethicon Endo-Surgery, Llc | Interactive feedback system for powered surgical instruments |
US9993248B2 (en) | 2015-03-06 | 2018-06-12 | Ethicon Endo-Surgery, Llc | Smart sensors with local signal processing |
US10245033B2 (en) | 2015-03-06 | 2019-04-02 | Ethicon Llc | Surgical instrument comprising a lockable battery housing |
US9901342B2 (en) | 2015-03-06 | 2018-02-27 | Ethicon Endo-Surgery, Llc | Signal and power communication system positioned on a rotatable shaft |
US10617412B2 (en) | 2015-03-06 | 2020-04-14 | Ethicon Llc | System for detecting the mis-insertion of a staple cartridge into a surgical stapler |
US10433844B2 (en) | 2015-03-31 | 2019-10-08 | Ethicon Llc | Surgical instrument with selectively disengageable threaded drive systems |
US10022144B2 (en) | 2015-04-17 | 2018-07-17 | Medtronic Xomed, Inc. | Surgical cutting instrument |
US9763689B2 (en) * | 2015-05-12 | 2017-09-19 | Tenex Health, Inc. | Elongated needles for ultrasonic applications |
US10750931B2 (en) | 2015-05-26 | 2020-08-25 | Covidien Lp | Systems and methods for generating a fluid bearing for an operative procedure |
US10804769B2 (en) | 2015-06-17 | 2020-10-13 | Covidien Lp | Surgical instrument with phase change cooling |
WO2016205126A1 (en) | 2015-06-17 | 2016-12-22 | Covidien Lp | Endoscopic device with drip flange and methods of use thereof for an operative procedure |
WO2016205197A1 (en) | 2015-06-18 | 2016-12-22 | Covidien Lp | Surgical instrument with suction control |
US10940292B2 (en) | 2015-07-08 | 2021-03-09 | Actuated Medical, Inc. | Reduced force device for intravascular access and guidewire placement |
EP3334322A1 (en) | 2015-08-11 | 2018-06-20 | Trice Medical, Inc. | Fully integrated, disposable tissue visualization device |
US10835249B2 (en) | 2015-08-17 | 2020-11-17 | Ethicon Llc | Implantable layers for a surgical instrument |
US10702292B2 (en) | 2015-08-28 | 2020-07-07 | Incuvate, Llc | Aspiration monitoring system and method |
US11793543B2 (en) | 2015-09-18 | 2023-10-24 | Obvius Robotics, Inc. | Device and method for automated insertion of penetrating member |
US10363036B2 (en) | 2015-09-23 | 2019-07-30 | Ethicon Llc | Surgical stapler having force-based motor control |
US10238386B2 (en) | 2015-09-23 | 2019-03-26 | Ethicon Llc | Surgical stapler having motor control based on an electrical parameter related to a motor current |
US10327769B2 (en) | 2015-09-23 | 2019-06-25 | Ethicon Llc | Surgical stapler having motor control based on a drive system component |
US10105139B2 (en) | 2015-09-23 | 2018-10-23 | Ethicon Llc | Surgical stapler having downstream current-based motor control |
US10299878B2 (en) | 2015-09-25 | 2019-05-28 | Ethicon Llc | Implantable adjunct systems for determining adjunct skew |
US10172620B2 (en) | 2015-09-30 | 2019-01-08 | Ethicon Llc | Compressible adjuncts with bonding nodes |
US10980539B2 (en) | 2015-09-30 | 2021-04-20 | Ethicon Llc | Implantable adjunct comprising bonded layers |
US11890015B2 (en) | 2015-09-30 | 2024-02-06 | Cilag Gmbh International | Compressible adjunct with crossing spacer fibers |
US10271849B2 (en) | 2015-09-30 | 2019-04-30 | Ethicon Llc | Woven constructs with interlocked standing fibers |
US10368865B2 (en) | 2015-12-30 | 2019-08-06 | Ethicon Llc | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US10265068B2 (en) | 2015-12-30 | 2019-04-23 | Ethicon Llc | Surgical instruments with separable motors and motor control circuits |
US10292704B2 (en) | 2015-12-30 | 2019-05-21 | Ethicon Llc | Mechanisms for compensating for battery pack failure in powered surgical instruments |
US10493544B2 (en) * | 2016-02-05 | 2019-12-03 | Textron Innovations, Inc. | System and method for cutting composite materials |
US10245030B2 (en) | 2016-02-09 | 2019-04-02 | Ethicon Llc | Surgical instruments with tensioning arrangements for cable driven articulation systems |
US11213293B2 (en) | 2016-02-09 | 2022-01-04 | Cilag Gmbh International | Articulatable surgical instruments with single articulation link arrangements |
JP6911054B2 (ja) | 2016-02-09 | 2021-07-28 | エシコン エルエルシーEthicon LLC | 非対称の関節構成を備えた外科用器具 |
US11224426B2 (en) | 2016-02-12 | 2022-01-18 | Cilag Gmbh International | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US10448948B2 (en) | 2016-02-12 | 2019-10-22 | Ethicon Llc | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US10258331B2 (en) | 2016-02-12 | 2019-04-16 | Ethicon Llc | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
CN109069895A (zh) * | 2016-02-25 | 2018-12-21 | L·约瑟夫 | 改进的可重复使用的通用组织粉碎机*** |
US10617413B2 (en) | 2016-04-01 | 2020-04-14 | Ethicon Llc | Closure system arrangements for surgical cutting and stapling devices with separate and distinct firing shafts |
US10285705B2 (en) | 2016-04-01 | 2019-05-14 | Ethicon Llc | Surgical stapling system comprising a grooved forming pocket |
US10828028B2 (en) | 2016-04-15 | 2020-11-10 | Ethicon Llc | Surgical instrument with multiple program responses during a firing motion |
US10492783B2 (en) | 2016-04-15 | 2019-12-03 | Ethicon, Llc | Surgical instrument with improved stop/start control during a firing motion |
US11179150B2 (en) | 2016-04-15 | 2021-11-23 | Cilag Gmbh International | Systems and methods for controlling a surgical stapling and cutting instrument |
US10405859B2 (en) | 2016-04-15 | 2019-09-10 | Ethicon Llc | Surgical instrument with adjustable stop/start control during a firing motion |
US11607239B2 (en) | 2016-04-15 | 2023-03-21 | Cilag Gmbh International | Systems and methods for controlling a surgical stapling and cutting instrument |
US10426467B2 (en) | 2016-04-15 | 2019-10-01 | Ethicon Llc | Surgical instrument with detection sensors |
US10335145B2 (en) | 2016-04-15 | 2019-07-02 | Ethicon Llc | Modular surgical instrument with configurable operating mode |
US10456137B2 (en) | 2016-04-15 | 2019-10-29 | Ethicon Llc | Staple formation detection mechanisms |
US10357247B2 (en) | 2016-04-15 | 2019-07-23 | Ethicon Llc | Surgical instrument with multiple program responses during a firing motion |
US10368867B2 (en) | 2016-04-18 | 2019-08-06 | Ethicon Llc | Surgical instrument comprising a lockout |
US20170296173A1 (en) | 2016-04-18 | 2017-10-19 | Ethicon Endo-Surgery, Llc | Method for operating a surgical instrument |
US11317917B2 (en) | 2016-04-18 | 2022-05-03 | Cilag Gmbh International | Surgical stapling system comprising a lockable firing assembly |
US11864735B2 (en) | 2016-05-26 | 2024-01-09 | Covidien Lp | Continuous flow endoscope |
US10299819B2 (en) | 2016-07-28 | 2019-05-28 | Covidien Lp | Reciprocating rotary surgical cutting device and system for tissue resecting, and method for its use |
US20180040433A1 (en) * | 2016-08-03 | 2018-02-08 | Covidien Lp | Foot powered surgical device |
US10299803B2 (en) | 2016-08-04 | 2019-05-28 | Covidien Lp | Self-aligning drive coupler |
CN107753086B (zh) * | 2016-08-17 | 2021-04-20 | 许志勇 | 用于关节置换手术的臼锉和臼锉组件 |
US11179155B2 (en) | 2016-12-21 | 2021-11-23 | Cilag Gmbh International | Anvil arrangements for surgical staplers |
US10624635B2 (en) | 2016-12-21 | 2020-04-21 | Ethicon Llc | Firing members with non-parallel jaw engagement features for surgical end effectors |
US10675025B2 (en) | 2016-12-21 | 2020-06-09 | Ethicon Llc | Shaft assembly comprising separately actuatable and retractable systems |
US20180168575A1 (en) | 2016-12-21 | 2018-06-21 | Ethicon Endo-Surgery, Llc | Surgical stapling systems |
US10881401B2 (en) | 2016-12-21 | 2021-01-05 | Ethicon Llc | Staple firing member comprising a missing cartridge and/or spent cartridge lockout |
US11419606B2 (en) | 2016-12-21 | 2022-08-23 | Cilag Gmbh International | Shaft assembly comprising a clutch configured to adapt the output of a rotary firing member to two different systems |
MX2019007311A (es) | 2016-12-21 | 2019-11-18 | Ethicon Llc | Sistemas de engrapado quirurgico. |
US10485543B2 (en) | 2016-12-21 | 2019-11-26 | Ethicon Llc | Anvil having a knife slot width |
JP6983893B2 (ja) | 2016-12-21 | 2021-12-17 | エシコン エルエルシーEthicon LLC | 外科用エンドエフェクタ及び交換式ツールアセンブリのためのロックアウト構成 |
US20180168609A1 (en) | 2016-12-21 | 2018-06-21 | Ethicon Endo-Surgery, Llc | Firing assembly comprising a fuse |
US10682138B2 (en) | 2016-12-21 | 2020-06-16 | Ethicon Llc | Bilaterally asymmetric staple forming pocket pairs |
US20180168633A1 (en) | 2016-12-21 | 2018-06-21 | Ethicon Endo-Surgery, Llc | Surgical stapling instruments and staple-forming anvils |
MX2019007295A (es) | 2016-12-21 | 2019-10-15 | Ethicon Llc | Sistema de instrumento quirúrgico que comprende un bloqueo del efector de extremo y un bloqueo de la unidad de disparo. |
US20180168625A1 (en) | 2016-12-21 | 2018-06-21 | Ethicon Endo-Surgery, Llc | Surgical stapling instruments with smart staple cartridges |
US20180168615A1 (en) | 2016-12-21 | 2018-06-21 | Ethicon Endo-Surgery, Llc | Method of deforming staples from two different types of staple cartridges with the same surgical stapling instrument |
US11090048B2 (en) | 2016-12-21 | 2021-08-17 | Cilag Gmbh International | Method for resetting a fuse of a surgical instrument shaft |
US11134942B2 (en) | 2016-12-21 | 2021-10-05 | Cilag Gmbh International | Surgical stapling instruments and staple-forming anvils |
US10835247B2 (en) | 2016-12-21 | 2020-11-17 | Ethicon Llc | Lockout arrangements for surgical end effectors |
US10426471B2 (en) | 2016-12-21 | 2019-10-01 | Ethicon Llc | Surgical instrument with multiple failure response modes |
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 |
US10568735B2 (en) | 2017-01-13 | 2020-02-25 | Alcon Inc. | Intraocular lens injector |
US11000367B2 (en) | 2017-01-13 | 2021-05-11 | Alcon Inc. | Intraocular lens injector |
US20180207332A1 (en) * | 2017-01-23 | 2018-07-26 | Boston Scientific Scimed, Inc. | Medical devices and related methods |
US11357907B2 (en) | 2017-02-10 | 2022-06-14 | Johnson & Johnson Surgical Vision, Inc. | Apparatus, system, and method of gas infusion to allow for pressure control of irrigation in a surgical system |
US10772654B2 (en) | 2017-03-02 | 2020-09-15 | Covidien Lp | Fluid-driven tissue resecting instruments, systems, and methods |
EP4052686A1 (en) * | 2017-05-04 | 2022-09-07 | Carl Zeiss Meditec Cataract Technology Inc. | Devices for ocular surgery |
US10987131B2 (en) | 2017-05-25 | 2021-04-27 | Coopersurgical, Inc. | Tissue containment systems and related methods |
USD890784S1 (en) | 2017-06-20 | 2020-07-21 | Ethicon Llc | Display panel with changeable graphical user interface |
US10881399B2 (en) | 2017-06-20 | 2021-01-05 | Ethicon Llc | Techniques for adaptive control of motor velocity of a surgical stapling and cutting instrument |
US10624633B2 (en) | 2017-06-20 | 2020-04-21 | Ethicon Llc | Systems and methods for controlling motor velocity of a surgical stapling and cutting instrument |
USD879809S1 (en) | 2017-06-20 | 2020-03-31 | Ethicon Llc | Display panel with changeable graphical user interface |
US10327767B2 (en) | 2017-06-20 | 2019-06-25 | Ethicon Llc | Control of motor velocity of a surgical stapling and cutting instrument based on angle of articulation |
US11090046B2 (en) | 2017-06-20 | 2021-08-17 | Cilag Gmbh International | Systems and methods for controlling displacement member motion of a surgical stapling and cutting instrument |
US11071554B2 (en) | 2017-06-20 | 2021-07-27 | Cilag Gmbh International | Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on magnitude of velocity error measurements |
US10390841B2 (en) | 2017-06-20 | 2019-08-27 | Ethicon Llc | Control of motor velocity of a surgical stapling and cutting instrument based on angle of articulation |
US11382638B2 (en) | 2017-06-20 | 2022-07-12 | Cilag Gmbh International | Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on measured time over a specified displacement distance |
US10307170B2 (en) | 2017-06-20 | 2019-06-04 | Ethicon Llc | Method for closed loop control of motor velocity of a surgical stapling and cutting instrument |
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 |
US10980537B2 (en) | 2017-06-20 | 2021-04-20 | Ethicon Llc | Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on measured time over a specified number of shaft rotations |
USD879808S1 (en) | 2017-06-20 | 2020-03-31 | Ethicon Llc | Display panel with graphical user interface |
US10646220B2 (en) | 2017-06-20 | 2020-05-12 | Ethicon Llc | Systems and methods for controlling displacement member velocity for a surgical instrument |
US10881396B2 (en) | 2017-06-20 | 2021-01-05 | Ethicon Llc | Surgical instrument with variable duration trigger arrangement |
US10888321B2 (en) | 2017-06-20 | 2021-01-12 | Ethicon Llc | Systems and methods for controlling velocity of a displacement member of a surgical stapling and cutting instrument |
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 |
US10368864B2 (en) | 2017-06-20 | 2019-08-06 | Ethicon Llc | Systems and methods for controlling displaying motor velocity for a surgical instrument |
US10813639B2 (en) | 2017-06-20 | 2020-10-27 | Ethicon Llc | Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on system conditions |
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 |
US20180369016A1 (en) * | 2017-06-21 | 2018-12-27 | Novartis Ag | Electronically actuated reciprocating surgical instrument |
US10772629B2 (en) | 2017-06-27 | 2020-09-15 | Ethicon Llc | Surgical anvil arrangements |
US11324503B2 (en) | 2017-06-27 | 2022-05-10 | Cilag Gmbh International | Surgical firing member arrangements |
US10856869B2 (en) | 2017-06-27 | 2020-12-08 | Ethicon Llc | Surgical anvil arrangements |
US10993716B2 (en) | 2017-06-27 | 2021-05-04 | Ethicon Llc | Surgical anvil arrangements |
US11141154B2 (en) | 2017-06-27 | 2021-10-12 | Cilag Gmbh International | Surgical end effectors and anvils |
US11266405B2 (en) | 2017-06-27 | 2022-03-08 | Cilag Gmbh International | Surgical anvil manufacturing methods |
US11246592B2 (en) | 2017-06-28 | 2022-02-15 | Cilag Gmbh International | Surgical instrument comprising an articulation system lockable to a frame |
USD906355S1 (en) | 2017-06-28 | 2020-12-29 | Ethicon Llc | Display screen or portion thereof with a graphical user interface for a surgical instrument |
US11259805B2 (en) | 2017-06-28 | 2022-03-01 | Cilag Gmbh International | Surgical instrument comprising firing member supports |
US10765427B2 (en) | 2017-06-28 | 2020-09-08 | Ethicon Llc | Method for articulating a surgical instrument |
EP3420947B1 (en) | 2017-06-28 | 2022-05-25 | Cilag GmbH International | Surgical instrument comprising selectively actuatable rotatable couplers |
USD869655S1 (en) | 2017-06-28 | 2019-12-10 | Ethicon Llc | Surgical fastener cartridge |
US10903685B2 (en) | 2017-06-28 | 2021-01-26 | Ethicon Llc | Surgical shaft assemblies with slip ring assemblies forming capacitive channels |
US20190000459A1 (en) | 2017-06-28 | 2019-01-03 | Ethicon Llc | Surgical instruments with jaws constrained to pivot about an axis upon contact with a closure member that is parked in close proximity to the pivot axis |
US11564686B2 (en) | 2017-06-28 | 2023-01-31 | Cilag Gmbh International | Surgical shaft assemblies with flexible interfaces |
USD851762S1 (en) | 2017-06-28 | 2019-06-18 | Ethicon Llc | Anvil |
US11678880B2 (en) | 2017-06-28 | 2023-06-20 | Cilag Gmbh International | Surgical instrument comprising a shaft including a housing arrangement |
US10716614B2 (en) | 2017-06-28 | 2020-07-21 | Ethicon Llc | Surgical shaft assemblies with slip ring assemblies with increased contact pressure |
USD854151S1 (en) | 2017-06-28 | 2019-07-16 | Ethicon Llc | Surgical instrument shaft |
US10398434B2 (en) | 2017-06-29 | 2019-09-03 | Ethicon Llc | Closed loop velocity control of closure member for robotic surgical instrument |
US10898183B2 (en) | 2017-06-29 | 2021-01-26 | Ethicon Llc | Robotic surgical instrument with closed loop feedback techniques for advancement of closure member during firing |
US11007022B2 (en) | 2017-06-29 | 2021-05-18 | Ethicon Llc | Closed loop velocity control techniques based on sensed tissue parameters for robotic surgical instrument |
US10932772B2 (en) | 2017-06-29 | 2021-03-02 | Ethicon Llc | Methods for closed loop velocity control for robotic surgical instrument |
US10258418B2 (en) | 2017-06-29 | 2019-04-16 | Ethicon Llc | System for controlling articulation forces |
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 |
US11471155B2 (en) | 2017-08-03 | 2022-10-18 | Cilag Gmbh International | Surgical system bailout |
US11304695B2 (en) | 2017-08-03 | 2022-04-19 | Cilag Gmbh International | Surgical system shaft interconnection |
US11160602B2 (en) * | 2017-08-29 | 2021-11-02 | Cilag Gmbh International | Control of surgical field irrigation |
US10675082B2 (en) | 2017-08-29 | 2020-06-09 | Ethicon Llc | Control of surgical field irrigation by electrosurgical tool |
US10729501B2 (en) | 2017-09-29 | 2020-08-04 | Ethicon Llc | Systems and methods for language selection of a surgical instrument |
US11399829B2 (en) | 2017-09-29 | 2022-08-02 | Cilag Gmbh International | Systems and methods of initiating a power shutdown mode for a surgical instrument |
USD907647S1 (en) | 2017-09-29 | 2021-01-12 | Ethicon Llc | Display screen or portion thereof with animated graphical user interface |
US10765429B2 (en) | 2017-09-29 | 2020-09-08 | Ethicon Llc | Systems and methods for providing alerts according to the operational state of a surgical instrument |
USD917500S1 (en) | 2017-09-29 | 2021-04-27 | Ethicon Llc | Display screen or portion thereof with graphical user interface |
US10796471B2 (en) | 2017-09-29 | 2020-10-06 | Ethicon Llc | Systems and methods of displaying a knife position for a surgical instrument |
US10743872B2 (en) | 2017-09-29 | 2020-08-18 | Ethicon Llc | System and methods for controlling a display of a surgical instrument |
USD907648S1 (en) | 2017-09-29 | 2021-01-12 | Ethicon Llc | Display screen or portion thereof with animated graphical user interface |
WO2019074700A1 (en) | 2017-10-09 | 2019-04-18 | The Board Of Regents Of The University Of Oklahoma | SURGICAL EVACUATION APPARATUS AND ASSOCIATED METHOD |
US11134944B2 (en) | 2017-10-30 | 2021-10-05 | Cilag Gmbh International | Surgical stapler knife motion controls |
US11090075B2 (en) | 2017-10-30 | 2021-08-17 | Cilag Gmbh International | Articulation features for surgical end effector |
US10779903B2 (en) | 2017-10-31 | 2020-09-22 | Ethicon Llc | Positive shaft rotation lock activated by jaw closure |
US10842490B2 (en) | 2017-10-31 | 2020-11-24 | Ethicon Llc | Cartridge body design with force reduction based on firing completion |
US10918409B2 (en) | 2017-12-05 | 2021-02-16 | Covidien Lp | Morcellator with auger tissue feeder |
US10952787B2 (en) | 2017-12-07 | 2021-03-23 | Covidien Lp | Energy-based surgical device and system facilitating tissue removal |
WO2019113389A1 (en) * | 2017-12-08 | 2019-06-13 | Auris Health, Inc. | Directed fluidics |
US10893978B2 (en) * | 2017-12-14 | 2021-01-19 | Alcon Inc. | Vitreous cutter pneumatic driver |
US11033267B2 (en) | 2017-12-15 | 2021-06-15 | Ethicon Llc | Systems and methods of controlling a clamping member firing rate of a surgical instrument |
US10966718B2 (en) | 2017-12-15 | 2021-04-06 | Ethicon Llc | Dynamic clamping assemblies with improved wear characteristics for use in connection with electromechanical surgical instruments |
US10779825B2 (en) | 2017-12-15 | 2020-09-22 | Ethicon Llc | Adapters with end effector position sensing and control arrangements for use in connection with electromechanical surgical instruments |
US10828033B2 (en) | 2017-12-15 | 2020-11-10 | Ethicon Llc | Handheld electromechanical surgical instruments with improved motor control arrangements for positioning components of an adapter coupled thereto |
US10869666B2 (en) | 2017-12-15 | 2020-12-22 | Ethicon Llc | Adapters with control systems for controlling multiple motors of an electromechanical surgical instrument |
US11197670B2 (en) | 2017-12-15 | 2021-12-14 | Cilag Gmbh International | Surgical end effectors with pivotal jaws configured to touch at their respective distal ends when fully closed |
US10743875B2 (en) | 2017-12-15 | 2020-08-18 | Ethicon Llc | Surgical end effectors with jaw stiffener arrangements configured to permit monitoring of firing member |
US11071543B2 (en) | 2017-12-15 | 2021-07-27 | Cilag Gmbh International | Surgical end effectors with clamping assemblies configured to increase jaw aperture ranges |
US10687813B2 (en) | 2017-12-15 | 2020-06-23 | Ethicon Llc | Adapters with firing stroke sensing arrangements for use in connection with electromechanical surgical instruments |
US11006955B2 (en) | 2017-12-15 | 2021-05-18 | Ethicon Llc | End effectors with positive jaw opening features for use with adapters for electromechanical surgical instruments |
US10743874B2 (en) | 2017-12-15 | 2020-08-18 | Ethicon Llc | Sealed adapters for use with electromechanical surgical instruments |
US10779826B2 (en) | 2017-12-15 | 2020-09-22 | Ethicon Llc | Methods of operating surgical end effectors |
US10729509B2 (en) | 2017-12-19 | 2020-08-04 | Ethicon Llc | Surgical instrument comprising closure and firing locking mechanism |
US11045270B2 (en) | 2017-12-19 | 2021-06-29 | Cilag Gmbh International | Robotic attachment comprising exterior drive actuator |
US11020112B2 (en) | 2017-12-19 | 2021-06-01 | Ethicon Llc | Surgical tools configured for interchangeable use with different controller interfaces |
US10716565B2 (en) | 2017-12-19 | 2020-07-21 | Ethicon Llc | Surgical instruments with dual articulation drivers |
USD910847S1 (en) | 2017-12-19 | 2021-02-16 | Ethicon Llc | Surgical instrument assembly |
US10835330B2 (en) | 2017-12-19 | 2020-11-17 | Ethicon Llc | Method for determining the position of a rotatable jaw of a surgical instrument attachment assembly |
US11129680B2 (en) | 2017-12-21 | 2021-09-28 | Cilag Gmbh International | Surgical instrument comprising a projector |
US11311290B2 (en) | 2017-12-21 | 2022-04-26 | Cilag Gmbh International | Surgical instrument comprising an end effector dampener |
US11179152B2 (en) | 2017-12-21 | 2021-11-23 | Cilag Gmbh International | Surgical instrument comprising a tissue grasping system |
US11076853B2 (en) | 2017-12-21 | 2021-08-03 | Cilag Gmbh International | Systems and methods of displaying a knife position during transection for a surgical instrument |
US10869684B2 (en) | 2018-02-13 | 2020-12-22 | Covidien Lp | Powered tissue resecting device |
WO2019191705A1 (en) | 2018-03-29 | 2019-10-03 | Trice Medical, Inc. | Fully integrated endoscope with biopsy capabilities and methods of use |
US11154421B2 (en) | 2018-04-20 | 2021-10-26 | Johnson & Johnson Surgical Vision, Inc. | System and method for providing pressurized infusion transfer reservoirs |
US11547815B2 (en) | 2018-05-30 | 2023-01-10 | Covidien Lp | Systems and methods for measuring and controlling pressure within an internal body cavity |
US10716880B2 (en) | 2018-06-15 | 2020-07-21 | Incuvate, Llc | Systems and methods for aspiration and monitoring |
WO2019245561A1 (en) * | 2018-06-21 | 2019-12-26 | Percutaneous Cosmetic Devices, LLC | Needle knife device, methods, and systems |
US11039834B2 (en) | 2018-08-20 | 2021-06-22 | Cilag Gmbh International | Surgical stapler anvils with staple directing protrusions and tissue stability features |
US11324501B2 (en) | 2018-08-20 | 2022-05-10 | Cilag Gmbh International | Surgical stapling devices with improved closure members |
US10779821B2 (en) | 2018-08-20 | 2020-09-22 | Ethicon Llc | Surgical stapler anvils with tissue stop features configured to avoid tissue pinch |
US10856870B2 (en) | 2018-08-20 | 2020-12-08 | Ethicon Llc | Switching arrangements for motor powered articulatable surgical instruments |
US11291440B2 (en) | 2018-08-20 | 2022-04-05 | Cilag Gmbh International | Method for operating a powered articulatable surgical instrument |
US10842492B2 (en) | 2018-08-20 | 2020-11-24 | Ethicon Llc | Powered articulatable surgical instruments with clutching and locking arrangements for linking an articulation drive system to a firing drive system |
US11083458B2 (en) | 2018-08-20 | 2021-08-10 | Cilag Gmbh International | Powered surgical instruments with clutching arrangements to convert linear drive motions to rotary drive motions |
US11253256B2 (en) | 2018-08-20 | 2022-02-22 | Cilag Gmbh International | Articulatable motor powered surgical instruments with dedicated articulation motor arrangements |
US10912559B2 (en) | 2018-08-20 | 2021-02-09 | Ethicon Llc | Reinforced deformable anvil tip for surgical stapler anvil |
US11207065B2 (en) | 2018-08-20 | 2021-12-28 | Cilag Gmbh International | Method for fabricating surgical stapler anvils |
USD914878S1 (en) | 2018-08-20 | 2021-03-30 | Ethicon Llc | Surgical instrument anvil |
US11045192B2 (en) | 2018-08-20 | 2021-06-29 | Cilag Gmbh International | Fabricating techniques for surgical stapler anvils |
KR20210052475A (ko) | 2018-08-24 | 2021-05-10 | 아우리스 헬스, 인코포레이티드 | 수동 및 로봇 제어가능 의료 기구 |
EP3856064A4 (en) | 2018-09-28 | 2022-06-29 | Auris Health, Inc. | Systems and methods for docking medical instruments |
US20200121346A1 (en) * | 2018-10-17 | 2020-04-23 | Gyrus Acmi, Inc. D/B/A Olympus Surgical Technologies America | Medical device |
US11065147B2 (en) | 2018-10-18 | 2021-07-20 | Covidien Lp | Devices, systems, and methods for pre-heating fluid to be introduced into a patient during a surgical procedure |
US11197710B2 (en) | 2018-10-26 | 2021-12-14 | Covidien Lp | Tissue resecting device including a blade lock and release mechanism |
US11925332B2 (en) | 2018-12-28 | 2024-03-12 | Auris Health, Inc. | Percutaneous sheath for robotic medical systems and methods |
US11154318B2 (en) | 2019-02-22 | 2021-10-26 | Covidien Lp | Tissue resecting instrument including an outflow control seal |
US11083481B2 (en) | 2019-02-22 | 2021-08-10 | Covidien Lp | Tissue resecting instrument including an outflow control seal |
US10898218B2 (en) | 2019-02-25 | 2021-01-26 | Covidien Lp | Tissue resecting device including a motor cooling assembly |
US10945752B2 (en) | 2019-03-20 | 2021-03-16 | Covidien Lp | Tissue resecting instrument including a rotation lock feature |
US11172929B2 (en) | 2019-03-25 | 2021-11-16 | Cilag Gmbh International | Articulation drive arrangements for surgical systems |
US11696761B2 (en) | 2019-03-25 | 2023-07-11 | Cilag Gmbh International | Firing drive arrangements for surgical systems |
US11147553B2 (en) | 2019-03-25 | 2021-10-19 | Cilag Gmbh International | Firing drive arrangements for surgical systems |
US11147551B2 (en) | 2019-03-25 | 2021-10-19 | Cilag Gmbh International | Firing drive arrangements for surgical systems |
US11883058B2 (en) | 2019-03-26 | 2024-01-30 | Covidien Lp | Jaw members, end effector assemblies, and ultrasonic surgical instruments including the same |
US20220220564A1 (en) | 2019-04-17 | 2022-07-14 | Igenomix, S.L. | Improved methods for the early diagnosis of uterine leiomyomas and leiomyosarcomas |
US11432816B2 (en) | 2019-04-30 | 2022-09-06 | Cilag Gmbh International | Articulation pin for a surgical instrument |
US11452528B2 (en) | 2019-04-30 | 2022-09-27 | Cilag Gmbh International | Articulation actuators for a surgical instrument |
US11471157B2 (en) | 2019-04-30 | 2022-10-18 | Cilag Gmbh International | Articulation control mapping for a surgical instrument |
US11426251B2 (en) | 2019-04-30 | 2022-08-30 | Cilag Gmbh International | Articulation directional lights on a surgical instrument |
US11903581B2 (en) | 2019-04-30 | 2024-02-20 | Cilag Gmbh International | Methods for stapling tissue using a surgical instrument |
US11648009B2 (en) | 2019-04-30 | 2023-05-16 | Cilag Gmbh International | Rotatable jaw tip for a surgical instrument |
US11253254B2 (en) | 2019-04-30 | 2022-02-22 | Cilag Gmbh International | Shaft rotation actuator on a surgical instrument |
WO2020242875A1 (en) | 2019-05-29 | 2020-12-03 | Covidien Lp | Hysteroscopy systems and methods for managing patient fluid |
US11413057B2 (en) | 2019-06-27 | 2022-08-16 | Covidien Lp | Tissue resecting instruments including auxiliary vacuum features |
AU2020306056B2 (en) | 2019-06-27 | 2022-11-24 | Boston Scientific Scimed, Inc. | Detection of an endoscope to a fluid management system |
US11849924B2 (en) | 2019-06-27 | 2023-12-26 | Covidien Lp | Tissue resecting instruments including tissue collection cartridges |
US11219455B2 (en) | 2019-06-28 | 2022-01-11 | Cilag Gmbh International | Surgical instrument including a lockout key |
US11553971B2 (en) | 2019-06-28 | 2023-01-17 | Cilag Gmbh International | Surgical RFID assemblies for display and communication |
US11291451B2 (en) | 2019-06-28 | 2022-04-05 | Cilag Gmbh International | Surgical instrument with battery compatibility verification functionality |
US11224497B2 (en) | 2019-06-28 | 2022-01-18 | Cilag Gmbh International | Surgical systems with multiple RFID tags |
US11246678B2 (en) | 2019-06-28 | 2022-02-15 | Cilag Gmbh International | Surgical stapling system having a frangible RFID tag |
US11464601B2 (en) | 2019-06-28 | 2022-10-11 | Cilag Gmbh International | Surgical instrument comprising an RFID system for tracking a movable component |
US11426167B2 (en) | 2019-06-28 | 2022-08-30 | Cilag Gmbh International | Mechanisms for proper anvil attachment surgical stapling head assembly |
US11638587B2 (en) | 2019-06-28 | 2023-05-02 | Cilag Gmbh International | RFID identification systems for surgical instruments |
US11350938B2 (en) | 2019-06-28 | 2022-06-07 | Cilag Gmbh International | Surgical instrument comprising an aligned rfid sensor |
US11298132B2 (en) | 2019-06-28 | 2022-04-12 | Cilag GmbH Inlernational | Staple cartridge including a honeycomb extension |
US11684434B2 (en) | 2019-06-28 | 2023-06-27 | Cilag Gmbh International | Surgical RFID assemblies for instrument operational setting control |
US11298127B2 (en) | 2019-06-28 | 2022-04-12 | Cilag GmbH Interational | Surgical stapling system having a lockout mechanism for an incompatible cartridge |
US12004740B2 (en) | 2019-06-28 | 2024-06-11 | Cilag Gmbh International | Surgical stapling system having an information decryption protocol |
US11497492B2 (en) | 2019-06-28 | 2022-11-15 | Cilag Gmbh International | Surgical instrument including an articulation lock |
US11478241B2 (en) | 2019-06-28 | 2022-10-25 | Cilag Gmbh International | Staple cartridge including projections |
US11399837B2 (en) | 2019-06-28 | 2022-08-02 | Cilag Gmbh International | Mechanisms for motor control adjustments of a motorized surgical instrument |
US11523822B2 (en) | 2019-06-28 | 2022-12-13 | Cilag Gmbh International | Battery pack including a circuit interrupter |
US11376098B2 (en) | 2019-06-28 | 2022-07-05 | Cilag Gmbh International | Surgical instrument system comprising an RFID system |
US11660163B2 (en) | 2019-06-28 | 2023-05-30 | Cilag Gmbh International | Surgical system with RFID tags for updating motor assembly parameters |
US11259803B2 (en) | 2019-06-28 | 2022-03-01 | Cilag Gmbh International | Surgical stapling system having an information encryption protocol |
US11771419B2 (en) | 2019-06-28 | 2023-10-03 | Cilag Gmbh International | Packaging for a replaceable component of a surgical stapling system |
US11627959B2 (en) | 2019-06-28 | 2023-04-18 | Cilag Gmbh International | Surgical instruments including manual and powered system lockouts |
US11051807B2 (en) | 2019-06-28 | 2021-07-06 | Cilag Gmbh International | Packaging assembly including a particulate trap |
EP4013285A4 (en) | 2019-08-15 | 2023-11-22 | Auris Health, Inc. | MEDICAL DEVICE COMPRISING SEVERAL FLEXIBLE SECTIONS |
US11890237B2 (en) | 2019-10-04 | 2024-02-06 | Covidien Lp | Outflow collection vessels, systems, and components thereof for hysteroscopic surgical procedures |
US11452806B2 (en) | 2019-10-04 | 2022-09-27 | Covidien Lp | Outflow collection vessels, systems, and components thereof for hysteroscopic surgical procedures |
US11179172B2 (en) | 2019-12-05 | 2021-11-23 | Covidien Lp | Tissue resecting instrument |
US11376032B2 (en) | 2019-12-05 | 2022-07-05 | Covidien Lp | Tissue resecting instrument |
US11931033B2 (en) | 2019-12-19 | 2024-03-19 | Cilag Gmbh International | Staple cartridge comprising a latch lockout |
US11234698B2 (en) | 2019-12-19 | 2022-02-01 | Cilag Gmbh International | Stapling system comprising a clamp lockout and a firing lockout |
US12035913B2 (en) | 2019-12-19 | 2024-07-16 | Cilag Gmbh International | Staple cartridge comprising a deployable knife |
US11911032B2 (en) | 2019-12-19 | 2024-02-27 | Cilag Gmbh International | Staple cartridge comprising a seating cam |
US11304696B2 (en) | 2019-12-19 | 2022-04-19 | Cilag Gmbh International | Surgical instrument comprising a powered articulation system |
US11529139B2 (en) | 2019-12-19 | 2022-12-20 | Cilag Gmbh International | Motor driven surgical instrument |
US11291447B2 (en) | 2019-12-19 | 2022-04-05 | Cilag Gmbh International | Stapling instrument comprising independent jaw closing and staple firing systems |
US11446029B2 (en) | 2019-12-19 | 2022-09-20 | Cilag Gmbh International | Staple cartridge comprising projections extending from a curved deck surface |
US11844520B2 (en) | 2019-12-19 | 2023-12-19 | Cilag Gmbh International | Staple cartridge comprising driver retention members |
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 |
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US11317947B2 (en) | 2020-02-18 | 2022-05-03 | Covidien Lp | Tissue resecting instrument |
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USD974560S1 (en) | 2020-06-02 | 2023-01-03 | Cilag Gmbh International | Staple cartridge |
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USD1013170S1 (en) | 2020-10-29 | 2024-01-30 | Cilag Gmbh International | Surgical instrument assembly |
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 |
US11517390B2 (en) | 2020-10-29 | 2022-12-06 | Cilag Gmbh International | Surgical instrument comprising a limited travel switch |
US11571233B2 (en) | 2020-11-19 | 2023-02-07 | Covidien Lp | Tissue removal handpiece with integrated suction |
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US11786239B2 (en) | 2021-03-24 | 2023-10-17 | Cilag Gmbh International | Surgical instrument articulation joint arrangements comprising multiple moving linkage features |
US11786243B2 (en) | 2021-03-24 | 2023-10-17 | Cilag Gmbh International | Firing members having flexible portions for adapting to a load during a surgical firing stroke |
US20220378425A1 (en) | 2021-05-28 | 2022-12-01 | Cilag Gmbh International | Stapling instrument comprising a control system that controls a firing stroke length |
WO2023003871A1 (en) * | 2021-07-19 | 2023-01-26 | Ipg Photonics Corporation | Remote monitoring of fluid pressure in biological tissue |
US11844544B2 (en) | 2021-08-25 | 2023-12-19 | Medtronic Ps Medical, Inc. | Irrigation devices in debridement systems |
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US11957337B2 (en) | 2021-10-18 | 2024-04-16 | Cilag Gmbh International | Surgical stapling assembly with offset ramped drive surfaces |
US11980363B2 (en) | 2021-10-18 | 2024-05-14 | Cilag Gmbh International | Row-to-row staple array variations |
US11877745B2 (en) | 2021-10-18 | 2024-01-23 | Cilag Gmbh International | Surgical stapling assembly having longitudinally-repeating staple leg clusters |
US11937816B2 (en) | 2021-10-28 | 2024-03-26 | Cilag Gmbh International | Electrical lead arrangements for surgical instruments |
Family Cites Families (23)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JPS517000B1 (zh) * | 1970-01-05 | 1976-03-03 | ||
US3693613A (en) * | 1970-12-09 | 1972-09-26 | Cavitron Corp | Surgical handpiece and flow control system for use therewith |
US3912168A (en) * | 1975-01-30 | 1975-10-14 | Teledyne Ind Inc Teledyne Aqua | Irrigation lavage |
US3993054A (en) * | 1975-06-19 | 1976-11-23 | Stryker Corporation | Therapeutic lavage |
US4203444A (en) * | 1977-11-07 | 1980-05-20 | Dyonics, Inc. | Surgical instrument suitable for closed surgery such as of the knee |
US4428748A (en) * | 1980-04-09 | 1984-01-31 | Peyman Gholam A | Combined ultrasonic emulsifier and mechanical cutter for surgery |
US4555645A (en) * | 1982-12-01 | 1985-11-26 | Snyder Laboratories, Inc. | Moveable coil linear motor |
US4561431A (en) * | 1982-12-01 | 1985-12-31 | Snyder Laboratories, Inc. | Lavage system with linear motor |
US4635621A (en) * | 1982-12-01 | 1987-01-13 | Snyder Laboratories, Inc. | Lavage system with replaceable pump |
US4604089A (en) * | 1983-08-15 | 1986-08-05 | Codman & Shurtleff, Inc. | Pressure regulated irrigation system for arthroscopy |
US4670006A (en) * | 1984-10-16 | 1987-06-02 | Sinnett Kevin B | Fluid and air infusion device |
EP0494094A3 (en) * | 1985-06-05 | 1992-10-07 | Nestle S.A. | Fluid flow control system and connecting fitting therefor |
US4770654A (en) * | 1985-09-26 | 1988-09-13 | Alcon Laboratories Inc. | Multimedia apparatus for driving powered surgical instruments |
US4679596A (en) * | 1986-02-03 | 1987-07-14 | Snyder Laboratories, Inc. | Pressure relief valve |
US4911161A (en) * | 1987-04-29 | 1990-03-27 | Noetix, Inc. | Capsulectomy cutting apparatus |
EP0411170A1 (en) * | 1988-03-02 | 1991-02-06 | Marui Ika Company Limited | Water jet cutter and aspirator for brain surgery |
WO1992020310A1 (en) * | 1991-05-10 | 1992-11-26 | Ophthalmocare, Inc. | Phaco handpiece providing fingertip control of ultrasonic energy |
US5275607A (en) * | 1991-09-23 | 1994-01-04 | Visionary Medical, Inc. | Intraocular surgical scissors |
US5242404A (en) * | 1992-02-12 | 1993-09-07 | American Cyanamid Company | Aspiration control system |
US5269798A (en) * | 1992-02-19 | 1993-12-14 | Linvatec Corporation | Surgical cutting instrument with movable, inner and outer tubular members |
US5286253A (en) * | 1992-10-09 | 1994-02-15 | Linvatec Corporation | Angled rotating surgical instrument |
US5403276A (en) * | 1993-02-16 | 1995-04-04 | Danek Medical, Inc. | Apparatus for minimally invasive tissue removal |
US5364395A (en) * | 1993-05-14 | 1994-11-15 | West Jr Hugh S | Arthroscopic surgical instrument with cauterizing capability |
-
1993
- 1993-02-16 US US08/018,045 patent/US5403276A/en not_active Expired - Lifetime
-
1994
- 1994-02-08 ZA ZA94865A patent/ZA94865B/xx unknown
- 1994-02-09 EP EP94908745A patent/EP0686013A4/en not_active Withdrawn
- 1994-02-09 CN CN94191716A patent/CN1120805A/zh active Pending
- 1994-02-09 WO PCT/US1994/001432 patent/WO1994018894A1/en not_active Application Discontinuation
- 1994-02-09 AU AU61723/94A patent/AU6172394A/en not_active Abandoned
- 1994-02-09 CA CA002156189A patent/CA2156189A1/en not_active Abandoned
- 1994-02-09 JP JP51902294A patent/JP3558634B2/ja not_active Expired - Lifetime
- 1994-10-06 US US08/319,126 patent/US5669876A/en not_active Expired - Lifetime
-
1995
- 1995-06-07 US US08/486,350 patent/US5685840A/en not_active Expired - Lifetime
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Also Published As
Publication number | Publication date |
---|---|
AU6172394A (en) | 1994-09-14 |
US5685840A (en) | 1997-11-11 |
US5403276A (en) | 1995-04-04 |
CA2156189A1 (en) | 1994-09-01 |
JP3558634B2 (ja) | 2004-08-25 |
ZA94865B (en) | 1994-08-23 |
EP0686013A4 (en) | 1997-12-29 |
EP0686013A1 (en) | 1995-12-13 |
JPH08509397A (ja) | 1996-10-08 |
WO1994018894A1 (en) | 1994-09-01 |
US5669876A (en) | 1997-09-23 |
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