CN1668357A - 用于允许镇静和止痛***的无菌操作的***和方法 - Google Patents

用于允许镇静和止痛***的无菌操作的***和方法 Download PDF

Info

Publication number
CN1668357A
CN1668357A CNA038168006A CN03816800A CN1668357A CN 1668357 A CN1668357 A CN 1668357A CN A038168006 A CNA038168006 A CN A038168006A CN 03816800 A CN03816800 A CN 03816800A CN 1668357 A CN1668357 A CN 1668357A
Authority
CN
China
Prior art keywords
calmness
analgesic systems
screen
sterile
patient
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
CNA038168006A
Other languages
English (en)
Inventor
兰德尔·S·希克勒
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
SCOTT LAB Inc
Original Assignee
SCOTT LAB Inc
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by SCOTT LAB Inc filed Critical SCOTT LAB Inc
Publication of CN1668357A publication Critical patent/CN1668357A/zh
Pending legal-status Critical Current

Links

Images

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/103—Detecting, measuring or recording devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
    • A61B5/11—Measuring movement of the entire body or parts thereof, e.g. head or hand tremor, mobility of a limb
    • A61B5/1104—Measuring movement of the entire body or parts thereof, e.g. head or hand tremor, mobility of a limb induced by stimuli or drugs
    • A61B5/1106—Measuring movement of the entire body or parts thereof, e.g. head or hand tremor, mobility of a limb induced by stimuli or drugs to assess neuromuscular blockade, e.g. to estimate depth of anaesthesia
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B46/00—Surgical drapes
    • A61B46/10—Surgical drapes specially adapted for instruments, e.g. microscopes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/48—Other medical applications
    • A61B5/4821—Determining level or depth of anaesthesia
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
    • A61M16/0051—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes with alarm devices
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
    • A61M16/01—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes specially adapted for anaesthetising
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
    • A61M16/021—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes operated by electrical means
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
    • A61M16/06—Respiratory or anaesthetic masks
    • A61M16/0666—Nasal cannulas or tubing
    • A61M16/0672—Nasal cannula assemblies for oxygen therapy
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H20/00—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
    • G16H20/10—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to drugs or medications, e.g. for ensuring correct administration to patients
    • G16H20/17—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to drugs or medications, e.g. for ensuring correct administration to patients delivered via infusion or injection
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/60—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
    • G16H40/67—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for remote operation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2505/00—Evaluating, monitoring or diagnosing in the context of a particular type of medical care
    • A61B2505/05—Surgical care
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2560/00—Constructional details of operational features of apparatus; Accessories for medical measuring apparatus
    • A61B2560/04—Constructional details of apparatus
    • A61B2560/0443—Modular apparatus
    • A61B2560/045—Modular apparatus with a separable interface unit, e.g. for communication
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2562/00—Details of sensors; Constructional details of sensor housings or probes; Accessories for sensors
    • A61B2562/24—Hygienic packaging for medical sensors; Maintaining apparatus for sensor hygiene
    • A61B2562/247—Hygienic covers, i.e. for covering the sensor or apparatus during use
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2202/00—Special media to be introduced, removed or treated
    • A61M2202/04—Liquids
    • A61M2202/0468—Liquids non-physiological
    • A61M2202/048—Anaesthetics
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2230/00—Measuring parameters of the user
    • A61M2230/30—Blood pressure
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2230/00—Measuring parameters of the user
    • A61M2230/40—Respiratory characteristics
    • A61M2230/43—Composition of exhalation
    • A61M2230/432—Composition of exhalation partial CO2 pressure (P-CO2)
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2230/00—Measuring parameters of the user
    • A61M2230/40—Respiratory characteristics
    • A61M2230/43—Composition of exhalation
    • A61M2230/435—Composition of exhalation partial O2 pressure (P-O2)
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/14—Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
    • A61M5/168—Means for controlling media flow to the body or for metering media to the body, e.g. drip meters, counters ; Monitoring media flow to the body
    • A61M5/172—Means for controlling media flow to the body or for metering media to the body, e.g. drip meters, counters ; Monitoring media flow to the body electrical or electronic
    • A61M5/1723—Means for controlling media flow to the body or for metering media to the body, e.g. drip meters, counters ; Monitoring media flow to the body electrical or electronic using feedback of body parameters, e.g. blood-sugar, pressure

Landscapes

  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Public Health (AREA)
  • Biomedical Technology (AREA)
  • General Health & Medical Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Anesthesiology (AREA)
  • Veterinary Medicine (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Emergency Medicine (AREA)
  • Pulmonology (AREA)
  • Medical Informatics (AREA)
  • Surgery (AREA)
  • Hematology (AREA)
  • Molecular Biology (AREA)
  • Bioinformatics & Cheminformatics (AREA)
  • Epidemiology (AREA)
  • Physics & Mathematics (AREA)
  • Biophysics (AREA)
  • Chemical & Material Sciences (AREA)
  • Pathology (AREA)
  • Medicinal Chemistry (AREA)
  • Otolaryngology (AREA)
  • Primary Health Care (AREA)
  • Neurology (AREA)
  • Physiology (AREA)
  • Dentistry (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Business, Economics & Management (AREA)
  • General Business, Economics & Management (AREA)
  • Infusion, Injection, And Reservoir Apparatuses (AREA)

Abstract

本发明涉及镇静和止痛***(22)的无菌操作。本发明提供了一种能够在不污染无菌区域的情况下由涉及医疗过程的临床医师在该无菌区域中操作的镇静和止痛***(22)。对于各种各样的***，本发明提供了一种可以由涉及医疗过程的临床医师在无菌区域中使用的镇静和止痛***(22)。

Description

用于允许镇静和止痛***的无菌操作的***和方法
相关申请的交叉引用
本申请根据35 U.S.C.§119(e)要求2002年5月16日提交的名称为“System and Method for Permitting Sterile Operation of a sedationand analgesia system”(用于允许镇静和止痛***的无菌操作的***和方法)的美国临时专利申请No.60/378,045的优先权，该申请以参考的方式合并入本文。
技术领域
本发明总体上涉及医疗***的无菌操作，更具体地涉及镇静和止痛***的无菌操作。
背景技术
镇静和止痛***已经被开发出来，用于为正在经受痛苦的、不适的或者恐惧的(焦虑吸入：anxiety inspiring)医疗或者手术过程的患者提供一种装置，用于以一种无论得到许可的麻醉提供者是否在场都能降低过度用药风险的方式来安全地接收镇静的、止痛的和/或引起遗忘的药物。通过采用重要的先进技术，镇静和止痛***已经被设计成能安全的在医院和流动环境中使用并且可以由受过训练的麻醉专家以外的个人进行操作，这些受过训练的麻醉专家为，诸如例如注册麻醉护士(CRNA)、麻醉助理、受过训练的医师或者其他受过训练的操作者。镇静和止痛***已经力争去满足不能为每个医疗过程都安排麻醉提供者的医师的需要，在这些医疗过程中安全和有效的镇静和止痛能基本缓解恐惧和疼痛的影响。专注于这些目的镇静和止痛***的出现为这些个人提供了一种被集成到患者监视***中的药物输送***，该药物输送***减少了麻醉机操作所需的认知(cognitive)和人工工作量，但仍使临床医生能够总是保持对患者管理的控制。临床医师保有做出遵循“临床医师了解最多”原则的职责的最终决定。这一先进的技术允许在没有麻醉提供者的情况下以低于一般麻醉的药物水平效果操作镇静和止痛***，从而为患者提供了一种具有成本效率的并且易于获得的镇静、遗忘和/或止痛的手段。
已经付出了重要的努力以避免在手术室和流动医疗环境中由病原微生物和外来物体引起的外科创伤和医疗设备的污染。接触手术区域的器械和纺织品通常在高压消灭菌器中、利用化学药品消毒，或者被暴露在放射线下。化学药品可以被用于对手术过程区域中的患者皮肤进行手术准备。手术小组通常擦洗干净他们的手臂。外衣、帽子和过滤小组成员呼出气体的口罩连同覆盖他们的手的无菌手套一起由手术小组穿戴。其后，手术小组避免直接接触未消毒的物品。进一步，手术室中的空气被不断地变换和过滤。
既便有了所有这些准备和对消毒的注意，还是有很高比例的手术过程导致伤口感染。许多医疗环境污染的起作用的因素在于难于在手术区域内提供可以由临床医师在不污染患者的情况下触摸的无菌仪器。
许多麻醉***的复杂性和对不断的人工控制的需要要求它们由麻醉专家或者CRNA一直监测。由于这种复杂性，进行医疗过程的非麻醉师医师通常被排除在参与麻醉***的操作之外，这常常导致进行涉及麻醉的医疗过程所必需的人员人数的增加。上述镇静和止痛***由于它的部分自动性，可以由包括参与医疗过程的医师在内的任何经过适当训练的临床医师操作。由于它可由任何经过训练的临床医师使用的可操作性和它的操作容易性，镇静和止痛***已经减少了与许多麻醉***的增加的人员需求有关的成本。然而，由涉及医疗过程的临床医师进行使用已经对镇静和止痛***产生了可能在不污染无菌区域的情况下在无菌区域内操作的需求。为确保在随后的医疗过程中患者的安全性，进一步产生了对防止镇静和止痛***污染的手段的需求。
因此提供一种可以由涉及医疗过程的临床医师在无菌区域中使用的镇静和止痛***是有益的。提供一种在不污染患者、无菌区域和临床医师的情况下可以由涉及医疗过程的临床医师使用的镇静和止痛***是更为有益的。为确保在随后使用中患者的安全性提供一种抗污染的镇静和止痛***也是更为有益的。
发明内容
本发明通过提供用于镇静和止痛***的设备和方法解决了自动药物注入设备的上述缺点，该设备和方法使得***能够在不污染无菌区域或者破坏无菌状态的情况下在无菌区域内操作。使用本发明，即使参与医疗过程的临床医师也能够在不污染无菌区域、正在操作的临床医师或者患者的情况下通过用户接口操作镇静和止痛***。
用于该镇静和止痛***的用户接口的形式可以是触敏计算机监视器、按键键盘或者允许操作者控制***的等同物。在一些实施例中，提供一种无菌屏(screen)或者用柔软且透明的材料制成的套(sleeve)，它们允许用户按压屏或者套来操作用户接口。镇静和止痛***可以包括用于部分或全部***的可重复使用的套，该套是抗污染的、可拆除的并且在适当消毒后可重新应用的。
可替换地，该***可以包括用于部分或全部***的一次性套，该套在每次医疗过程后被除去。根据本发明的镇静和止痛***也可以包括用抗菌剂浸渗的一次性用户接口。用如果试图清洗就会降解的材料制造用户接口或无菌屏可以促进这种单次使用特性。
也可以为***设置无菌被单以盖上并保护用户接口或者甚至全套***部件。使用这样的被单允许用户为各种各样的镇静和止痛***结构维持无菌区域。最后，嘎爱***可以结合部分或者全部地由声音识别技术操作的用户接口。
附图说明
图1图示说明了一个框图，该框图描述根据本发明的镇静和止痛***的一个实施例；
图2图示说明了一个透视图，该透视图描述根据本发明的连接至患者的镇静和止痛***的一个实施例；
图3图示说明了根据本发明的无菌用户接口屏的一个实施例的前视图；
图4图示说明了根据本发明的无菌用户接口屏的一个实施例的后视图；
图5图示说明了根据本发明的用于操作镇静和止痛***的无菌远程接口的一个实施例的透视图；
图6图示说明了根据本发明的远程接口的一个实施例；
图7图示说明了根据本发明的围起镇静和止痛***的无菌覆盖物的一个实施例的透视图；以及
图8图示说明了一个流程图，该流程图描述根据本发明的用于提供镇静和止痛***无菌使用的方法的一个实施例。
具体实施方式
图1图示说明了一个方框图，该方框图描述了包含镇静和止痛***22的本发明的一个实施例，镇静和止痛***22具有用户接口12、软件控制的控制器14、***设备15、电源16、外部通信10、远程输出11、患者接口17以及药物输送19，其中镇静和止痛***22由用户13操作以便为患者18提供镇静和/或止痛。镇静和止痛***22在共同受让并且共同未决的1999年6月3日提交的美国专利申请序列号No.09/324,759中公开并实现，该专利申请以参考的方式全部合并入本文。用户接口12的实施例在共同受让并且共同未决的2002年11月1日提交的美国专利申请序列号No.10/285,689中公开并实现，该专利申请以参考的方式全部合并入本文。
申请No.09/324,759的镇静和止痛***包括：患者健康监视器设备，用于与患者相连接并且产生反应患者的至少一个生理状况的信号；药物输送控制器，用于提供一种或多种药物给患者；存储设备，存储反应至少一个被监视的患者生理状况的安全的和不合要求的参数的安全数据集；以及电子控制器，该电子控制器在患者健康监视器、药物输送控制器和存储安全数据集的存储设备之间互连，其中所述电子控制器接收所述信号并且作为响应根据安全数据集管理药物应用。
图2图示说明了连接至患者18的镇静和止痛***22的透视图的一个实施例，其中镇静和止痛***22可以通过药物输送19输送引起遗忘的、镇静的和/或止痛的药物并且通过患者接口17监测患者18。药物输送19包括一个或者多个药瓶、药物注入盒、药物注入管和/或为患者18给药所必需的任何其它合适的设备。患者接口17包括二氧化碳测定计、非侵入性血压缚带、脉搏血氧计、自动响应测试、用于输氧的鼻插管和/或任何其它合适的监测患者18的装置，其中镇静和止痛***22可以根据从患者接口17接收的信息来改变对患者18的药物输送。镇静和止痛***22进一步包括用户接口12，用户接口12可以是任何合适的用于允许用户13与镇静和止痛***22交互的装置，诸如例如触敏液晶显示器(LCD)屏、软按钮、硬按钮和/或部分或者完全语音激活的***。
图3图示说明了包括监视器屏42和按键键盘屏43的无菌用户接口40的一个实施例的前视图。监视器屏42包括第一屏44和边框41，其中在本发明的一个实施例中，第一屏44是由透明的或者半透明的材料诸如例如聚乙烯或聚丙烯构成。在本发明一个实施例中，第一屏44适合于覆盖用户接口12的液晶显示器(LCD)监视器，其中用户13可以按压第一屏44并且操作用户接口12，然而，第一屏44也可以适合与任何合适的用户接口一起使用。在本发明一个实施例中，边框41比第一屏44更刚硬，其中边框41可以支撑第一屏44并且防止第一屏44下垂、起泡和/或否则阻碍用户接口12的视野或者操作。
无菌用户接口40进一步包括按键键盘屏43，其中按键键盘屏43包括第二屏46和边框45。在本发明一个实施例中，第二屏46由透明的或者半透明的材料诸如例如聚乙烯或者聚丙烯构成。第二屏46可以适合于覆盖与用户接口12相关的按键键盘(未显示)，其中用户13可以按压第二屏46并且操作用户接口12。在本发明一个实施例中，边框45比第二屏46更刚硬，其中边框45可以支撑第二屏46并且防止第二屏46下垂、起泡和/或否则阻碍用户接口12的视野或者操作。
进一步，在本发明一个特定实施例中，监视器屏42被固定至按键键盘屏43，使得监视器屏42和按键键盘屏43构成一个连续的无菌屏。监视器屏42可以被配置成任何合适的形式以适应任何合适的与镇静和止痛***22的用户接口12相关的视觉接口。按键键盘屏43可以被配置成任何合适的形式以适应任何合适的与镇静和止痛***22的用户接口12相关的视觉、触觉、触摸、指示和电容性的接口。本发明进一步包含提供分别没有边框42和/或边框45的监视器屏42和按键键盘屏43，其中第一屏44和/或第二屏46可以适合于独立于边框42和/或边框45覆盖用户接口12。
图4图示说明了一个无菌用户接口40的特定实施例的后视图，其中无菌用户接口40包含监视器屏42、按键键盘屏43和附连表面47。附连表面47可以包含粘合剂、磁铁、夹子、钩子及圈环固定器或者任何其它合适的将无菌用户接口40可分离地连接至用户接口12和/或镇静和止痛***22的装置。给无菌用户接口40提供附连表面47允许无菌用户接口40被牢固地放置在用户接口12和/或镇静和止痛***22之上，其中无菌用户接口40可以在医疗过程完成之后被分离并丢弃。可以以任何适合于允许在手术过程开始时快速和高效放置无菌用户接口40并且在手术过程结束后除去并处理无菌用户接口40的方式来构造附着平面47。
无菌用户接口40的进一步的实施例可能具有在无菌用户接口40的任何合适的部分上的打印的文本和/或图标，这些文本和/或图标对应于触摸屏按钮、硬按钮、软按钮、视觉显示器或者镇静和止痛***22的其它特征，它们位于屏下方以便使得查看和/或操作镇静和止痛***22对于用户13容易且高效。本发明进一步包括确保无菌用户接口40无菌的其它合适方法，诸如例如用杀真菌剂和/或其它抗微生物剂浸渗无菌用户接口40，以及限制无菌用户接口40为单次使用一次性部件。可以通过用如果试图清洗无菌用户接口40就会降解的材料制造的用户接口40，来促进这种单次使用特性。
图5图示说明了无菌远程接口50的一个实施例的透视图，其中无菌远程接口50包括无菌套52和远程接口51。无菌套52包括封条53，其中封条53基本环绕无菌套52并且在无菌套52内形成口袋54。无菌套52可以一端打开，允许将远程接口51***无菌套52并且保留在口袋54内。无菌套52可以通过系住无菌套52的开口端、折叠开口端或者通过任何其它合适的密封方式而被密封。无菌套52可以由任何合适的材料，诸如例如聚乙烯或者聚丙烯制造。提供无菌远程接口50允许用户13在镇静和止痛***22在无菌区域以外时，操作镇静和止痛***22。将远程接口51封闭在无菌套52内允许用户13在不污染镇静和止痛***22、远程接口51和/或患者18的情况下操作镇静和止痛***22。使用无菌套52还确保患者18不会受到在镇静和止痛***22上和在远程接口51上出现的病原体或者其它外来物体污染。在此将进一步讨论远程接口51的实施例。
图6图示说明了无菌远程接口50的一个实施例，其中远程接口51可以包括报警命令60、投药命令61、统计(stat)命令62和数据输入及操作命令54等之中的任何一个或者多个。远程接口51可以通过红外、蓝牙无线技术或者通过任何其它合适的传输装置与镇静和止痛***22进行通信。数据输入及操作命令54可以包括数字键59、制表(Tab)键55、回退键56、取消键57和OK键58等等之中的任何一个或多个。数字键59可以是罗马数字、***数字或者任何其它合适的用户13可以识别以便输入适当的值至镇静和止痛***22中的数字指示符。数字键59也可以包括小数点键、星号键(*)、百分号键(％)或者任何其它合适的对于输入或操作与镇静和止痛***22有关的数据有帮助的符号或文本。制表键56可以被用来扫描通过与镇静和止痛***22的用户接口12相关的输入框。回退键56可以被用来查看前一显示屏、提示，和/或返回前一输入框。取消键57可以取消显示屏、提示、前一输入命令，和/或中断或者禁止任何其它合适的与镇静和止痛***22相关的特征。OK键58可以被用来由用户13确认输入项，被用来前进通过一系列显示和/或提示，被用来确认用户13已经被通知报警状况，和/或用于确认任何其它合适的镇静和止痛***22的特征。
报警命令60包括静音键63，静音键63可以由用户13激活以使与镇静和止痛***22相关的报警消音。在本发明的一个实施例中，用户13可以按下静音键63以使报警消音，并且再次按下静音键63以恢复与镇静和止痛***22相关的报警的声音。报警命令60可以进一步包括任何其它合适的对于为用户13提供控制镇静和止痛***22有益的报警键。此处所描述的显示屏、键、输入框、提示、确认和报警等等的例子在2002年11月1日提交的美国专利申请序列号No.10/285,689中描述。
在本发明的一个实施例中，投药命令61包括正常键66、剂团(bolus)键67、统计键68、净化键69和停止键70。正常键66可以使与镇静和止痛***22相关的药物输送返回至初始目标注入率。例如，用户13可以启动统计药物注入(stat drug infusion)，其中用户13增加投放药物的目标作用位置浓度。在统计注入之后，用户13可以确定初始目标作用位置浓度是合乎需要的，并且可以按下正常键66，返回初始目标作用位置浓度。剂团键67允许用户13在医疗过程中在任何点输送剂团药物注入，其中用户13可以通过数字键59和/或通过多次按下剂团键67输入剂团水平，其中剂团键67的每一次按下对应于目标作用位置浓度的预定增加，可以要求用户13在剂团键67被按下或者否则被启动之后通过按OK键58来确认每次顺序增加。
在本发明的一个实施例中，统计键68增加目标作用位置浓度，目标作用位置浓度可以是预定的或者是通过数字键59输入的。在本发明的一个实施例中，净化键69启动任何剩余药物的药物注入管(未视出)的自动清洁。例如，可以在医疗过程完成时按下净化键69以从药物输送19中除去任何残留药物。停止键70可以被用来停止药物输送。
统计命令62包括血压缚带键71、自动响应测试键72和打印键73，其中统计命令62允许用户13激活任何合适的镇静和止痛***22的***设备，诸如例如血压缚带，以在医疗过程期间任何期望点立即读取或者输出数据。尽管镇静和止痛***22可以通过与患者接口17关联的血压缚带获得周期性的血压测量，然而用户13可能发现进行附加测量对确保患者18健康来说是较理想的。通过按下血压缚带键71，用户13可以在医疗过程期间任何期望点获得血压读取。自动响应测试键72允许用户13在医疗过程期间任何期望点查明患者18的响应水平。例如，按下自动响应测试键72可以引起镇静和止痛***22要求患者18挤压传感器(未显示)或者否则指示此人是有意识的。打印键73包括打印出任何合适的与医疗过程相关的历史数据，诸如例如被监测患者参数、报警情况、药物注入水平或者任何其它合适的数据。尽管镇静和止痛***22可以以预定时间间隔打印预选择的数据，然而打印键72允许用户13生成与患者18和/或镇静和止痛***22相关的任何合适的数据的立即的打印输出。
无菌远程接口50可以进一步包括用于操作任何与镇静和止痛***22的用户接口12相关的功能的装置，其中由临床医师在无菌区域中直接无菌的使用是令人期望的。本发明进一步包括要求用户13确认按下与报警命令60、投药命令61和/或统计命令62相关的按钮。
无菌远程接口50可以用任何合适的材料制造，诸如例如丙烯腈-丁二烯-苯乙烯(ABS)，并且可以由任何合适的电源诸如例如电池供电。与无菌远程接口50相关联的键可以是硬按钮、软按钮、触敏LCD按钮或者任何其它合适的输入数据的装置。这些键可以被设置在无菌远程接口50的任何合适的构造中，比如根据任何合适的形式、语言、颜色和/或次序为用户13提供易用性。本发明进一步包括具有有线连接诸如例如RS-232连接(未显示)的无菌远程接口50，其中接口50和有线连接两者都可以被密封在无菌套中。
图7图示说明了无菌覆盖物73的一个实施例，其中无菌覆盖物73可以适合于覆盖镇静和止痛***22。在本发明的一个实施例中，无菌覆盖物73包括被单70，被单70可以被盖在用户接口12和/或镇静和止痛***22的任何其它合适的部件上。无菌覆盖物73可以适合于完全包裹镇静和止痛***22或者仅覆盖那些可能会潜在地污染无菌区域的地方。无菌覆盖物73进一步包括开口端71，开口端71可以被拉过镇静和止痛***22以确保用户13不污染镇静和止痛***22并且镇静和止痛***22不污染用户13和/或患者18。无菌覆盖物73进一步包括在被单70中的一个或多个开口，组件，诸如例如药物注入管可以通过该开口。在本发明的一个实施例中，无菌覆盖物73由透明的或者半透明的材料，诸如例如聚丙烯或者聚乙烯制造，使得用户13可以通过被单70查看和/或操作用户接口12和/或镇静和止痛***22的其它特征。
图8图示说明了用于使用户13实现对使用镇静和止痛***22的使用同时维持无菌区域的方法100的一个实施例。方法100的步骤101包括为镇静和止痛***22提供用户接口12，用户接口12可以是远程接口50或者任何其它合适的查看和/或操作镇静和止痛***22的装置。在步骤101之后，方法100可以进行到步骤102。
在本发明的一个实施例中，步骤102包括将用户接口12封闭在无菌屏中，其中无菌屏可以是无菌用户接口40、无菌套52、无菌覆盖物73或者任何其它合适的允许在无菌区域中使用镇静和止痛***22的装置。步骤102进一步包括覆盖与镇静和止痛***22相关的任何或者所有特征或者确保其无菌。在步骤102之后，方法100可以进行到步骤103。
在本发明的一个实施例中，步骤103包括用户13在无菌区域中操作镇静和止痛***22。镇静和止痛***22的使用可以通过用户接口12、无菌远程接口50或者由任何其它合适的查看和/或操作镇静和止痛***22的装置来完成。在步骤103之后，方法100可以进行到步骤104。
步骤104包括完成涉及镇静和止痛***22的过程，用户13可以断开患者接口17、药物输送19，和/或任选地关闭镇静和止痛***22的电源。在涉及镇静和止痛***22的过程完成之后，方法100可以进行到步骤105。
在本发明的一个实施例中，步骤105包括抛弃无菌用户接口40、无菌套52、无菌覆盖物73或者任何其它合适的被提供以确保用户13不污染镇静和止痛***22并且镇静和止痛***22不污染患者18和/或用户13的装置。可以进一步设想，用户接口40、无菌套52、无菌覆盖物73和/或其它的确保无菌的装置可以在适当消毒后被重复使用。
尽管本文中显示和描述了本发明的示例性实施例，但本领域的技术人员应该明白，这些实施例仅仅以示例方式提供。在不脱离此处由申请人公开的本发明的范围的情况下，大量的非实质性的变型、改变和替换现在对于本领域的技术人员来说也是显而易见的。因此，本发明意图仅由被许可时的权利要求的精神和范围所限定。

Claims (35)

1、一种镇静和止痛***，包括：
患者健康监视器设备，用于与患者相连接并且产生反应患者的至少一个生理状况的信号；
用户接口，用于允许用户将输入内容输入，其中所述输入内容在不破坏无菌状态的情况下被输入；
药物输送控制器，用于提供一种或多种药物给患者；
存储设备，用于存储安全数据集，该安全数据集反应至少一个被监视的患者生理状况的安全的和不合需要的参数；以及
电子控制器，互连在患者健康监视器、药物输送控制器和存储安全数据集的存储设备之间，其中所述电子控制器接收所述信号并且作为响应根据安全数据集管理药物应用。
2、如权利要求1所述的镇静和止痛***，其中所述用户接口由进行医疗过程的临床医师在无菌区域内使用。
3、如权利要求1所述的镇静和止痛***，其中所述用户接口是无菌用户接口。
4、如权利要求3所述的镇静和止痛***，其中所述用户接口是抗污染的。
5、如权利要求3所述的镇静和止痛***，其中所述无菌用户接口包括监视器、监视器屏、按键键盘和按键键盘屏，所述屏中的每一个覆盖所述用户接口的操作期间通常被接触的表面。
6、如权利要求5所述的镇静和止痛***，其中所述屏的至少一部分是透明的。
7、如权利要求6所述的镇静和止痛***，其中所述屏由聚乙烯和聚丙烯之中的至少一个制造。
8、如权利要求5所述的镇静和止痛***，其中所述屏的至少一部分是半透明的。
9、如权利要求8所述的镇静和止痛***，其中所述屏由聚乙烯和聚丙烯之中的至少一个制造。
10、如权利要求5所述的镇静和止痛***，其中所述屏中的每一个包括单独的边框，所述边框中的每一个比所述屏更刚硬以便在预定方向上支撑所述屏。
11、如权利要求5所述的镇静和止痛***，其中所述监视器屏和所述按键键盘屏包括一个连续的无菌屏。
12、如权利要求5所述的镇静和止痛***，还包括用于将所述无菌用户接口可分离地连接至所述镇静和止痛***的附连表面。
13、如权利要求5所述的镇静和止痛***，还包括用于将所述监视器屏可分离地连接至所述监视器以及将所述按键键盘屏可分离地连接至所述按键键盘的附连表面。
14、如权利要求13所述的镇静和止痛***，其中所述屏在医疗过程完成之后被除去并被抛弃。
15、如权利要求14所述的镇静和止痛***，其中所述屏用一材料制造，其中该材料在试图清洗所述屏时就会降解。
16、如权利要求13所述的镇静和止痛***，其中所述屏在医疗过程完成之后被除去并被再消毒。
17、如权利要求5所述的镇静和止痛***，其中所述监视器屏和所述按键键盘屏被抗微生物剂浸渗。
18、如权利要求1所述的镇静和止痛***，其中所述用户接口包括远程接口和无菌套。
19、如权利要求18所述的镇静和止痛***，其中所述无菌套是透明的并且包括环绕所述套以便在所述无菌套内形成口袋的封条。
20、如权利要求19所述的镇静和止痛***，其中所述远程接口包括报警命令、投药命令、统计命令和数据输入及操作命令之中的至少一个。
21、如权利要求19所述的镇静和止痛***，其中所述套在医疗过程完成之后被除去并被抛弃。
22、如权利要求1所述的镇静和止痛***，其中所述用户接口包括无菌被单，该无菌被单可以被盖在所述镇静和止痛***的合适的部分上以便防止可能的污染接触所述用户和所述患者。
23、如权利要求22所述的镇静和止痛***，其中所述无菌被单完全包裹所述镇静和止痛***。
24、一种操作镇静和止痛***的方法，包括如下步骤：
将药物输送设备连接至患者，该药物输送设备具有提供一种或多种药物的药物输送控制器，所述药物输送控制器被连接至电子控制器，该电子控制器控制给所述患者的药物输送；
连接至少一个患者健康监视器设备至患者，该健康监视器设备产生反映患者的至少一个生理状况的值并且被连接至所述电子控制器；
用无菌覆盖物覆盖用于所述镇静和止痛***的至少部分用户接口；
通过所述用户接口和无菌覆盖物操作所述镇静和止痛***；
访问存储有反映至少一个患者生理状况的参数的安全数据集的存储设备；以及
根据所述安全数据集输送药物给所述患者。
25、如权利要求24所述的方法，其中所述用户接口包括显示器和按键键盘，它们中的每一个在所述用户接口的操作期间通常被用户接触。
26、如权利要求25所述的方法，其中所述无菌覆盖物的至少一部分是透明的。
27、如权利要求25所述的方法，其中所述覆盖物包括用于将所述无菌覆盖物可分离地连接至所述用户接口的附连表面。
28、如权利要求25所述的方法，还包括在医疗过程完成之后除去并抛弃所述无菌覆盖物。
29、如权利要求25所述的方法，其中所述无菌覆盖物被抗微生物剂浸渗。
30、一种在对患者所实施的医疗过程期间维持无菌区域的同时由用户使用镇静和止痛***的方法，包括如下步骤：
为镇静和止痛***提供用户接口、患者接口、药物输送***和电源；
将所述用户接口封闭在无菌屏内，以便允许在无菌区域内使用所述镇静和止痛***；
在无菌区域内操作所述镇静和止痛***；
完成涉及所述镇静和止痛***的过程，所述完成步骤包括断开所述患者接口和断开所述药物输送***；以及
除去所述无菌屏使得所述用户不污染所述镇静和止痛***、所述患者和所述用户中的任何一个。
31、如权利要求30所述的方法，其中所述用户接口是远程接口、LCD显示器、按键键盘或者其它合适的查看和/或操作镇静和止痛***的装置之中的一个。
32、如权利要求30所述的方法，其中所述无菌屏包括无菌用户接口、无菌套和无菌覆盖物之中的至少一个。
33、如权利要求30所述的方法，还包括覆盖与所述镇静和止痛***相关联的所有特征或者确保其无菌的步骤。
34、如权利要求30所述的方法，还包括抛弃所述无菌屏的步骤。
35、如权利要求30所述的方法，进一步包括再消毒所述无菌屏和使得所述屏可用于将来使用的步骤。
CNA038168006A 2002-05-16 2003-05-16 用于允许镇静和止痛***的无菌操作的***和方法 Pending CN1668357A (zh)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US37804502P 2002-05-16 2002-05-16
US60/378,045 2002-05-16

Publications (1)

Publication Number Publication Date
CN1668357A true CN1668357A (zh) 2005-09-14

Family

ID=29549894

Family Applications (1)

Application Number Title Priority Date Filing Date
CNA038168006A Pending CN1668357A (zh) 2002-05-16 2003-05-16 用于允许镇静和止痛***的无菌操作的***和方法

Country Status (8)

Country Link
US (1) US20040034287A1 (zh)
EP (1) EP1531892A4 (zh)
JP (2) JP2005525873A (zh)
CN (1) CN1668357A (zh)
AU (1) AU2003241479B2 (zh)
CA (1) CA2486123A1 (zh)
MX (1) MXPA04011420A (zh)
WO (1) WO2003097111A2 (zh)

Families Citing this family (279)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2005535389A (ja) * 2002-08-08 2005-11-24 スコット・ラボラトリーズ・インコーポレイテッド 鎮静・鎮痛システムのための蘇生キットシステムおよび方法ならびに使用前プロトコル
US20070084897A1 (en) 2003-05-20 2007-04-19 Shelton Frederick E Iv Articulating surgical stapling instrument incorporating a two-piece e-beam firing mechanism
US9060770B2 (en) 2003-05-20 2015-06-23 Ethicon Endo-Surgery, Inc. Robotically-driven surgical instrument with E-beam driver
US11896225B2 (en) 2004-07-28 2024-02-13 Cilag Gmbh International Staple cartridge comprising a pan
US9072535B2 (en) 2011-05-27 2015-07-07 Ethicon Endo-Surgery, Inc. Surgical stapling instruments with rotatable staple deployment arrangements
US11484312B2 (en) 2005-08-31 2022-11-01 Cilag Gmbh International Staple cartridge comprising a staple driver arrangement
US7669746B2 (en) 2005-08-31 2010-03-02 Ethicon Endo-Surgery, Inc. Staple cartridges for forming staples having differing formed staple heights
US7934630B2 (en) 2005-08-31 2011-05-03 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
US11246590B2 (en) 2005-08-31 2022-02-15 Cilag Gmbh International Staple cartridge including staple drivers having different unfired heights
US20070106317A1 (en) 2005-11-09 2007-05-10 Shelton Frederick E Iv Hydraulically and electrically actuated articulation joints for surgical instruments
US8186555B2 (en) 2006-01-31 2012-05-29 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with mechanical closure system
US11278279B2 (en) 2006-01-31 2022-03-22 Cilag Gmbh International Surgical instrument assembly
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
US8708213B2 (en) 2006-01-31 2014-04-29 Ethicon Endo-Surgery, Inc. Surgical instrument having a feedback 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
US11793518B2 (en) 2006-01-31 2023-10-24 Cilag Gmbh International Powered surgical instruments with firing system lockout arrangements
US7845537B2 (en) 2006-01-31 2010-12-07 Ethicon Endo-Surgery, Inc. Surgical instrument having recording capabilities
US8992422B2 (en) 2006-03-23 2015-03-31 Ethicon Endo-Surgery, Inc. Robotically-controlled endoscopic accessory channel
US8322455B2 (en) 2006-06-27 2012-12-04 Ethicon Endo-Surgery, Inc. Manually driven surgical cutting and fastening instrument
US10568652B2 (en) 2006-09-29 2020-02-25 Ethicon Llc Surgical staples having attached drivers of different heights and stapling instruments for deploying the same
US11980366B2 (en) 2006-10-03 2024-05-14 Cilag Gmbh International Surgical instrument
CA3077925A1 (en) 2006-11-06 2008-05-15 Fisher & Paykel Healthcare Limited Integrated humidifier chamber and lid
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
US8632535B2 (en) 2007-01-10 2014-01-21 Ethicon Endo-Surgery, Inc. Interlock and surgical instrument including same
US11291441B2 (en) 2007-01-10 2022-04-05 Cilag Gmbh International Surgical instrument with wireless communication between control unit and remote sensor
US7434717B2 (en) 2007-01-11 2008-10-14 Ethicon Endo-Surgery, Inc. Apparatus for closing a curved anvil of a surgical stapling device
US7604151B2 (en) 2007-03-15 2009-10-20 Ethicon Endo-Surgery, Inc. Surgical stapling systems and staple cartridges for deploying surgical staples with tissue compression features
US8931682B2 (en) 2007-06-04 2015-01-13 Ethicon Endo-Surgery, Inc. Robotically-controlled shaft based rotary drive systems for surgical instruments
US11857181B2 (en) 2007-06-04 2024-01-02 Cilag Gmbh International Robotically-controlled shaft based rotary drive systems for surgical instruments
US7753245B2 (en) 2007-06-22 2010-07-13 Ethicon Endo-Surgery, Inc. Surgical stapling instruments
US11849941B2 (en) 2007-06-29 2023-12-26 Cilag Gmbh International Staple cartridge having staple cavities extending at a transverse angle relative to a longitudinal cartridge axis
US20090036874A1 (en) * 2007-07-31 2009-02-05 Horowitz Patricia Disposable covering device and method
US8636736B2 (en) 2008-02-14 2014-01-28 Ethicon Endo-Surgery, Inc. Motorized surgical cutting and fastening instrument
US8573465B2 (en) 2008-02-14 2013-11-05 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical end effector system with rotary actuated closure systems
US11986183B2 (en) 2008-02-14 2024-05-21 Cilag Gmbh International Surgical cutting and fastening instrument comprising a plurality of sensors to measure an electrical parameter
US7866527B2 (en) 2008-02-14 2011-01-11 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with interlockable firing system
US9179912B2 (en) 2008-02-14 2015-11-10 Ethicon Endo-Surgery, Inc. Robotically-controlled motorized surgical cutting and fastening instrument
JP5410110B2 (ja) 2008-02-14 2014-02-05 エシコン・エンド−サージェリィ・インコーポレイテッド Ｒｆ電極を有する外科用切断・固定器具
US7819298B2 (en) 2008-02-14 2010-10-26 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with control features operable with one hand
US9770245B2 (en) 2008-02-15 2017-09-26 Ethicon Llc Layer arrangements for surgical staple cartridges
NL2001787C2 (nl) * 2008-07-10 2010-01-12 Renee Agnies Van Notten Inrichting voor het onder algehele anesthesie brengen van een dier.
US9005230B2 (en) 2008-09-23 2015-04-14 Ethicon Endo-Surgery, Inc. Motorized surgical instrument
US8210411B2 (en) 2008-09-23 2012-07-03 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting instrument
US9386983B2 (en) 2008-09-23 2016-07-12 Ethicon Endo-Surgery, Llc Robotically-controlled motorized surgical instrument
US11648005B2 (en) 2008-09-23 2023-05-16 Cilag Gmbh International Robotically-controlled motorized surgical instrument with an end effector
US8608045B2 (en) 2008-10-10 2013-12-17 Ethicon Endo-Sugery, Inc. Powered surgical cutting and stapling apparatus with manually retractable firing system
JP2011087678A (ja) * 2009-10-21 2011-05-06 Paru Medical:Kk 輸液ポンプ
US8695591B2 (en) 2010-05-26 2014-04-15 Lloyd Verner Olson Apparatus and method of monitoring and responding to respiratory depression
US8783543B2 (en) 2010-07-30 2014-07-22 Ethicon Endo-Surgery, Inc. Tissue acquisition arrangements and methods for surgical stapling devices
US9320523B2 (en) 2012-03-28 2016-04-26 Ethicon Endo-Surgery, Llc Tissue thickness compensator comprising tissue ingrowth features
US11298125B2 (en) 2010-09-30 2022-04-12 Cilag Gmbh International Tissue stapler having a thickness compensator
US10213198B2 (en) 2010-09-30 2019-02-26 Ethicon Llc Actuator for releasing a tissue thickness compensator from a fastener cartridge
US11812965B2 (en) 2010-09-30 2023-11-14 Cilag Gmbh International Layer of material for a surgical end effector
US9839420B2 (en) 2010-09-30 2017-12-12 Ethicon Llc Tissue thickness compensator comprising at least one medicament
US9629814B2 (en) 2010-09-30 2017-04-25 Ethicon Endo-Surgery, Llc Tissue thickness compensator configured to redistribute compressive forces
US9168038B2 (en) 2010-09-30 2015-10-27 Ethicon Endo-Surgery, Inc. Staple cartridge comprising a tissue thickness compensator
US10945731B2 (en) 2010-09-30 2021-03-16 Ethicon Llc Tissue thickness compensator comprising controlled release and expansion
US11849952B2 (en) 2010-09-30 2023-12-26 Cilag Gmbh International Staple cartridge comprising staples positioned within a compressible portion thereof
US8695866B2 (en) 2010-10-01 2014-04-15 Ethicon Endo-Surgery, Inc. Surgical instrument having a power control circuit
JP6026509B2 (ja) 2011-04-29 2016-11-16 エシコン・エンド−サージェリィ・インコーポレイテッドＥｔｈｉｃｏｎ Ｅｎｄｏ−Ｓｕｒｇｅｒｙ，Ｉｎｃ． ステープルカートリッジ自体の圧縮可能部分内に配置されたステープルを含むステープルカートリッジ
MX358135B (es) 2012-03-28 2018-08-06 Ethicon Endo Surgery Inc Compensador de grosor de tejido que comprende una pluralidad de capas.
CN104334098B (zh) 2012-03-28 2017-03-22 伊西康内外科公司 包括限定低压强环境的胶囊剂的组织厚度补偿件
US9101358B2 (en) 2012-06-15 2015-08-11 Ethicon Endo-Surgery, Inc. Articulatable surgical instrument comprising a firing drive
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
US9364230B2 (en) 2012-06-28 2016-06-14 Ethicon Endo-Surgery, Llc Surgical stapling instruments with rotary joint assemblies
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
US11278284B2 (en) 2012-06-28 2022-03-22 Cilag Gmbh International Rotary drive arrangements for surgical instruments
US9289256B2 (en) 2012-06-28 2016-03-22 Ethicon Endo-Surgery, Llc Surgical end effectors having angled tissue-contacting surfaces
SE536710C2 (sv) * 2012-10-05 2014-06-10 Medclair AB Arrangemang för ansiktsmask och system innefattande det
JP6382235B2 (ja) 2013-03-01 2018-08-29 エシコン・エンド−サージェリィ・インコーポレイテッドＥｔｈｉｃｏｎ Ｅｎｄｏ−Ｓｕｒｇｅｒｙ，Ｉｎｃ． 信号通信用の導電路を備えた関節運動可能な外科用器具
BR112015021082B1 (pt) 2013-03-01 2022-05-10 Ethicon Endo-Surgery, Inc Instrumento cirúrgico
US9629629B2 (en) 2013-03-14 2017-04-25 Ethicon Endo-Surgey, LLC Control systems for surgical instruments
US10136887B2 (en) 2013-04-16 2018-11-27 Ethicon Llc Drive system decoupling arrangement for a surgical instrument
BR112015026109B1 (pt) 2013-04-16 2022-02-22 Ethicon Endo-Surgery, Inc Instrumento cirúrgico
WO2015009925A1 (en) * 2013-07-17 2015-01-22 Aditi Holdings Llc Anesthesia machine cover with pockets and method of use thereof
US9808249B2 (en) 2013-08-23 2017-11-07 Ethicon Llc Attachment portions for surgical instrument assemblies
RU2678363C2 (ru) 2013-08-23 2019-01-28 ЭТИКОН ЭНДО-СЕРДЖЕРИ, ЭлЭлСи Устройства втягивания пускового элемента для хирургических инструментов с электропитанием
CN207458600U (zh) * 2013-10-21 2018-06-05 费雪派克医疗保健有限公司 一种呼吸辅助设备
US9804618B2 (en) 2014-03-26 2017-10-31 Ethicon Llc Systems and methods for controlling a segmented circuit
BR112016021943B1 (pt) 2014-03-26 2022-06-14 Ethicon Endo-Surgery, Llc Instrumento cirúrgico para uso por um operador em um procedimento cirúrgico
BR112016023698B1 (pt) 2014-04-16 2022-07-26 Ethicon Endo-Surgery, Llc Cartucho de prendedores para uso com um instrumento cirúrgico
US10206677B2 (en) 2014-09-26 2019-02-19 Ethicon Llc Surgical staple and driver arrangements for staple cartridges
US20150297225A1 (en) 2014-04-16 2015-10-22 Ethicon Endo-Surgery, Inc. Fastener cartridges including extensions having different configurations
CN106456158B (zh) 2014-04-16 2019-02-05 伊西康内外科有限责任公司 包括非一致紧固件的紧固件仓
BR112016023807B1 (pt) 2014-04-16 2022-07-12 Ethicon Endo-Surgery, Llc Conjunto de cartucho de prendedores para uso com um instrumento cirúrgico
BR112017004361B1 (pt) 2014-09-05 2023-04-11 Ethicon Llc Sistema eletrônico para um instrumento cirúrgico
US9757128B2 (en) 2014-09-05 2017-09-12 Ethicon Llc Multiple sensors with one sensor affecting a second sensor's output or interpretation
US11311294B2 (en) 2014-09-05 2022-04-26 Cilag Gmbh International Powered medical device including measurement of closure state of jaws
US11523821B2 (en) 2014-09-26 2022-12-13 Cilag Gmbh International Method for creating a flexible staple line
US9924944B2 (en) 2014-10-16 2018-03-27 Ethicon Llc Staple cartridge comprising an adjunct material
US10517594B2 (en) 2014-10-29 2019-12-31 Ethicon Llc Cartridge assemblies for surgical staplers
US11141153B2 (en) 2014-10-29 2021-10-12 Cilag Gmbh International Staple cartridges comprising driver arrangements
US9844376B2 (en) 2014-11-06 2017-12-19 Ethicon Llc Staple cartridge comprising a releasable adjunct material
US10736636B2 (en) 2014-12-10 2020-08-11 Ethicon Llc Articulatable surgical instrument system
US9968355B2 (en) 2014-12-18 2018-05-15 Ethicon Llc Surgical instruments with articulatable end effectors and improved firing beam support arrangements
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
US9844375B2 (en) 2014-12-18 2017-12-19 Ethicon Llc Drive arrangements for articulatable surgical instruments
US10085748B2 (en) 2014-12-18 2018-10-02 Ethicon Llc Locking arrangements for detachable shaft assemblies with articulatable surgical end effectors
MX2017008108A (es) 2014-12-18 2018-03-06 Ethicon Llc Instrumento quirurgico con un yunque que puede moverse de manera selectiva sobre un eje discreto no movil con relacion a un cartucho de grapas.
US9987000B2 (en) 2014-12-18 2018-06-05 Ethicon Llc Surgical instrument assembly comprising a flexible articulation system
US11154301B2 (en) 2015-02-27 2021-10-26 Cilag Gmbh International Modular stapling assembly
US10052044B2 (en) 2015-03-06 2018-08-21 Ethicon Llc Time dependent evaluation of sensor data to determine stability, creep, and viscoelastic elements of measures
US10441279B2 (en) 2015-03-06 2019-10-15 Ethicon Llc Multiple level thresholds to modify operation of powered surgical instruments
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
US9993248B2 (en) 2015-03-06 2018-06-12 Ethicon Endo-Surgery, Llc Smart sensors with local signal processing
US10213201B2 (en) 2015-03-31 2019-02-26 Ethicon Llc Stapling end effector configured to compensate for an uneven gap between a first jaw and a second jaw
US10238386B2 (en) 2015-09-23 2019-03-26 Ethicon Llc Surgical stapler having motor control based on an electrical parameter related to a motor current
US10105139B2 (en) 2015-09-23 2018-10-23 Ethicon Llc Surgical stapler having downstream current-based motor control
US10736633B2 (en) 2015-09-30 2020-08-11 Ethicon Llc Compressible adjunct with looping members
US11890015B2 (en) 2015-09-30 2024-02-06 Cilag Gmbh International Compressible adjunct with crossing spacer fibers
US10292704B2 (en) 2015-12-30 2019-05-21 Ethicon Llc Mechanisms for compensating for battery pack failure in powered surgical instruments
BR112018016098B1 (pt) 2016-02-09 2023-02-23 Ethicon Llc Instrumento cirúrgico
US11213293B2 (en) 2016-02-09 2022-01-04 Cilag Gmbh International Articulatable surgical instruments with single articulation link arrangements
US10448948B2 (en) 2016-02-12 2019-10-22 Ethicon Llc Mechanisms for compensating for drivetrain failure in powered surgical instruments
US11224426B2 (en) 2016-02-12 2022-01-18 Cilag Gmbh International Mechanisms for compensating for drivetrain failure in powered surgical instruments
US10492783B2 (en) 2016-04-15 2019-12-03 Ethicon, Llc Surgical instrument with improved stop/start control during a firing motion
US11607239B2 (en) 2016-04-15 2023-03-21 Cilag Gmbh International Systems and methods for controlling a surgical stapling and cutting instrument
US10828028B2 (en) 2016-04-15 2020-11-10 Ethicon Llc Surgical instrument with multiple program responses during a firing motion
US10426467B2 (en) 2016-04-15 2019-10-01 Ethicon Llc Surgical instrument with detection sensors
US10357247B2 (en) 2016-04-15 2019-07-23 Ethicon Llc Surgical instrument with multiple program responses during a firing motion
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
US10368867B2 (en) 2016-04-18 2019-08-06 Ethicon Llc Surgical instrument comprising a lockout
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.
BR112019011947A2 (pt) 2016-12-21 2019-10-29 Ethicon Llc sistemas de grampeamento cirúrgico
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
US11090048B2 (en) 2016-12-21 2021-08-17 Cilag Gmbh International Method for resetting a fuse of a surgical instrument shaft
US10542982B2 (en) 2016-12-21 2020-01-28 Ethicon Llc Shaft assembly comprising first and second articulation lockouts
US10524789B2 (en) 2016-12-21 2020-01-07 Ethicon Llc Laterally actuatable articulation lock arrangements for locking an end effector of a surgical instrument in an articulated configuration
US20180168615A1 (en) 2016-12-21 2018-06-21 Ethicon Endo-Surgery, Llc Method of deforming staples from two different types of staple cartridges with the same surgical stapling instrument
US11419606B2 (en) 2016-12-21 2022-08-23 Cilag Gmbh International Shaft assembly comprising a clutch configured to adapt the output of a rotary firing member to two different systems
US10624635B2 (en) 2016-12-21 2020-04-21 Ethicon Llc Firing members with non-parallel jaw engagement features for surgical end effectors
US10639035B2 (en) 2016-12-21 2020-05-05 Ethicon Llc Surgical stapling instruments and replaceable tool assemblies thereof
CN110099619B (zh) 2016-12-21 2022-07-15 爱惜康有限责任公司 用于外科端部执行器和可替换工具组件的闭锁装置
US20180168625A1 (en) 2016-12-21 2018-06-21 Ethicon Endo-Surgery, Llc Surgical stapling instruments with smart staple cartridges
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
US10779820B2 (en) 2017-06-20 2020-09-22 Ethicon Llc Systems and methods for controlling motor speed according to user input for a surgical instrument
US11382638B2 (en) 2017-06-20 2022-07-12 Cilag Gmbh International Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on measured time over a specified displacement distance
US10307170B2 (en) 2017-06-20 2019-06-04 Ethicon Llc Method for closed loop control of motor velocity of a surgical stapling and cutting instrument
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
US10881399B2 (en) 2017-06-20 2021-01-05 Ethicon Llc Techniques for adaptive control of motor velocity of a surgical stapling and cutting instrument
US10993716B2 (en) 2017-06-27 2021-05-04 Ethicon Llc Surgical anvil arrangements
US11324503B2 (en) 2017-06-27 2022-05-10 Cilag Gmbh International Surgical firing member arrangements
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
USD906355S1 (en) 2017-06-28 2020-12-29 Ethicon Llc Display screen or portion thereof with a graphical user interface for a surgical instrument
US11389161B2 (en) 2017-06-28 2022-07-19 Cilag Gmbh International Surgical instrument comprising selectively actuatable rotatable couplers
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
US10932772B2 (en) 2017-06-29 2021-03-02 Ethicon Llc Methods for closed loop velocity control for robotic surgical instrument
US11944300B2 (en) 2017-08-03 2024-04-02 Cilag Gmbh International Method for operating a surgical system bailout
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
US11974742B2 (en) 2017-08-03 2024-05-07 Cilag Gmbh International Surgical system comprising an articulation bailout
US10743872B2 (en) 2017-09-29 2020-08-18 Ethicon Llc System and methods for controlling a display of a surgical instrument
US10842490B2 (en) 2017-10-31 2020-11-24 Ethicon Llc Cartridge body design with force reduction based on firing completion
US10779826B2 (en) 2017-12-15 2020-09-22 Ethicon Llc Methods of operating surgical end effectors
US10835330B2 (en) 2017-12-19 2020-11-17 Ethicon Llc Method for determining the position of a rotatable jaw of a surgical instrument attachment assembly
US11311290B2 (en) 2017-12-21 2022-04-26 Cilag Gmbh International Surgical instrument comprising an end effector dampener
US11337691B2 (en) 2017-12-21 2022-05-24 Cilag Gmbh International Surgical instrument configured to determine firing path
DE102018109977A1 (de) * 2018-04-25 2019-10-31 Fresenius Medical Care Deutschland Gmbh Medizinische Behandlungsvorrichtung sowie Aufsatz
US11324501B2 (en) 2018-08-20 2022-05-10 Cilag Gmbh International Surgical stapling devices with improved closure members
US11207065B2 (en) 2018-08-20 2021-12-28 Cilag Gmbh International Method for fabricating surgical stapler anvils
US11696761B2 (en) 2019-03-25 2023-07-11 Cilag Gmbh International Firing drive arrangements for surgical systems
US11903581B2 (en) 2019-04-30 2024-02-20 Cilag Gmbh International Methods for stapling tissue using a surgical instrument
US11432816B2 (en) 2019-04-30 2022-09-06 Cilag Gmbh International Articulation pin for a surgical instrument
US11426251B2 (en) 2019-04-30 2022-08-30 Cilag Gmbh International Articulation directional lights on a surgical instrument
US11452528B2 (en) 2019-04-30 2022-09-27 Cilag Gmbh International Articulation actuators for a surgical instrument
US11253254B2 (en) 2019-04-30 2022-02-22 Cilag Gmbh International Shaft rotation actuator on a surgical instrument
US11471157B2 (en) 2019-04-30 2022-10-18 Cilag Gmbh International Articulation control mapping for a surgical instrument
US11648009B2 (en) 2019-04-30 2023-05-16 Cilag Gmbh International Rotatable jaw tip for a surgical instrument
US11464601B2 (en) 2019-06-28 2022-10-11 Cilag Gmbh International Surgical instrument comprising an RFID system for tracking a movable component
US11627959B2 (en) 2019-06-28 2023-04-18 Cilag Gmbh International Surgical instruments including manual and powered system lockouts
US11298132B2 (en) 2019-06-28 2022-04-12 Cilag GmbH Inlernational Staple cartridge including a honeycomb extension
US11553971B2 (en) 2019-06-28 2023-01-17 Cilag Gmbh International Surgical RFID assemblies for display and communication
US11426167B2 (en) 2019-06-28 2022-08-30 Cilag Gmbh International Mechanisms for proper anvil attachment surgical stapling head assembly
US11246678B2 (en) 2019-06-28 2022-02-15 Cilag Gmbh International Surgical stapling system having a frangible RFID tag
US11350938B2 (en) 2019-06-28 2022-06-07 Cilag Gmbh International Surgical instrument comprising an aligned rfid sensor
US12004740B2 (en) 2019-06-28 2024-06-11 Cilag Gmbh International Surgical stapling system having an information decryption protocol
US11361176B2 (en) 2019-06-28 2022-06-14 Cilag Gmbh International Surgical RFID assemblies for compatibility detection
US11638587B2 (en) 2019-06-28 2023-05-02 Cilag Gmbh International RFID identification systems for surgical instruments
US11259803B2 (en) 2019-06-28 2022-03-01 Cilag Gmbh International Surgical stapling system having an information encryption protocol
US11497492B2 (en) 2019-06-28 2022-11-15 Cilag Gmbh International Surgical instrument including an articulation lock
US11298127B2 (en) 2019-06-28 2022-04-12 Cilag GmbH Interational Surgical stapling system having a lockout mechanism for an incompatible cartridge
US11399837B2 (en) 2019-06-28 2022-08-02 Cilag Gmbh International Mechanisms for motor control adjustments of a motorized surgical instrument
US11478241B2 (en) 2019-06-28 2022-10-25 Cilag Gmbh International Staple cartridge including projections
US11771419B2 (en) 2019-06-28 2023-10-03 Cilag Gmbh International Packaging for a replaceable component of a surgical stapling system
US11523822B2 (en) 2019-06-28 2022-12-13 Cilag Gmbh International Battery pack including a circuit interrupter
US11660163B2 (en) 2019-06-28 2023-05-30 Cilag Gmbh International Surgical system with RFID tags for updating motor assembly parameters
US11684434B2 (en) 2019-06-28 2023-06-27 Cilag Gmbh International Surgical RFID assemblies for instrument operational setting control
US11291451B2 (en) 2019-06-28 2022-04-05 Cilag Gmbh International Surgical instrument with battery compatibility verification functionality
US11853835B2 (en) 2019-06-28 2023-12-26 Cilag Gmbh International RFID identification systems for surgical instruments
US11376098B2 (en) 2019-06-28 2022-07-05 Cilag Gmbh International Surgical instrument system comprising an RFID system
US11529137B2 (en) 2019-12-19 2022-12-20 Cilag Gmbh International Staple cartridge comprising driver retention members
US11304696B2 (en) 2019-12-19 2022-04-19 Cilag Gmbh International Surgical instrument comprising a powered articulation system
US11559304B2 (en) 2019-12-19 2023-01-24 Cilag Gmbh International Surgical instrument comprising a rapid closure mechanism
US11464512B2 (en) 2019-12-19 2022-10-11 Cilag Gmbh International Staple cartridge comprising a curved deck surface
US11234698B2 (en) 2019-12-19 2022-02-01 Cilag Gmbh International Stapling system comprising a clamp lockout and a firing lockout
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
US11701111B2 (en) 2019-12-19 2023-07-18 Cilag Gmbh International Method for operating a surgical stapling instrument
US11844520B2 (en) 2019-12-19 2023-12-19 Cilag Gmbh International Staple cartridge comprising driver retention members
US11911032B2 (en) 2019-12-19 2024-02-27 Cilag Gmbh International Staple cartridge comprising a seating cam
US12035913B2 (en) 2019-12-19 2024-07-16 Cilag Gmbh International Staple cartridge comprising a deployable knife
US11446029B2 (en) 2019-12-19 2022-09-20 Cilag Gmbh International Staple cartridge comprising projections extending from a curved deck surface
US11576672B2 (en) 2019-12-19 2023-02-14 Cilag Gmbh International Surgical instrument comprising a closure system including a closure member and an opening member driven by a drive screw
US11607219B2 (en) 2019-12-19 2023-03-21 Cilag Gmbh International Staple cartridge comprising a detachable tissue cutting knife
US11504122B2 (en) 2019-12-19 2022-11-22 Cilag Gmbh International Surgical instrument comprising a nested firing member
US11931033B2 (en) 2019-12-19 2024-03-19 Cilag Gmbh International Staple cartridge comprising a latch lockout
USD975850S1 (en) 2020-06-02 2023-01-17 Cilag Gmbh International Staple cartridge
USD975278S1 (en) 2020-06-02 2023-01-10 Cilag Gmbh International Staple cartridge
USD966512S1 (en) 2020-06-02 2022-10-11 Cilag Gmbh International Staple cartridge
USD967421S1 (en) 2020-06-02 2022-10-18 Cilag Gmbh International Staple cartridge
USD975851S1 (en) 2020-06-02 2023-01-17 Cilag Gmbh International Staple cartridge
USD974560S1 (en) 2020-06-02 2023-01-03 Cilag Gmbh International Staple cartridge
USD976401S1 (en) 2020-06-02 2023-01-24 Cilag Gmbh International Staple cartridge
US20220031320A1 (en) 2020-07-28 2022-02-03 Cilag Gmbh International Surgical instruments with flexible firing member actuator constraint arrangements
US11534259B2 (en) 2020-10-29 2022-12-27 Cilag Gmbh International Surgical instrument comprising an articulation indicator
US11931025B2 (en) 2020-10-29 2024-03-19 Cilag Gmbh International Surgical instrument comprising a releasable closure drive lock
US11617577B2 (en) 2020-10-29 2023-04-04 Cilag Gmbh International Surgical instrument comprising a sensor configured to sense whether an articulation drive of the surgical instrument is actuatable
USD1013170S1 (en) 2020-10-29 2024-01-30 Cilag Gmbh International Surgical instrument assembly
US11779330B2 (en) 2020-10-29 2023-10-10 Cilag Gmbh International Surgical instrument comprising a jaw alignment system
USD980425S1 (en) 2020-10-29 2023-03-07 Cilag Gmbh International Surgical instrument assembly
US11844518B2 (en) 2020-10-29 2023-12-19 Cilag Gmbh International Method for operating a surgical instrument
US11717289B2 (en) 2020-10-29 2023-08-08 Cilag Gmbh International Surgical instrument comprising an indicator which indicates that an articulation drive 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
US11452526B2 (en) 2020-10-29 2022-09-27 Cilag Gmbh International Surgical instrument comprising a staged voltage regulation start-up system
US11744581B2 (en) 2020-12-02 2023-09-05 Cilag Gmbh International Powered surgical instruments with multi-phase tissue treatment
US11627960B2 (en) 2020-12-02 2023-04-18 Cilag Gmbh International Powered surgical instruments with smart reload with separately attachable exteriorly mounted wiring connections
US11653915B2 (en) 2020-12-02 2023-05-23 Cilag Gmbh International Surgical instruments with sled location detection and adjustment features
US11737751B2 (en) 2020-12-02 2023-08-29 Cilag Gmbh International Devices and methods of managing energy dissipated within sterile barriers of surgical instrument housings
US11890010B2 (en) 2020-12-02 2024-02-06 Cllag GmbH International Dual-sided reinforced reload for surgical instruments
US11944296B2 (en) 2020-12-02 2024-04-02 Cilag Gmbh International Powered surgical instruments with external connectors
US11653920B2 (en) 2020-12-02 2023-05-23 Cilag Gmbh International Powered surgical instruments with communication interfaces through sterile barrier
US11678882B2 (en) 2020-12-02 2023-06-20 Cilag Gmbh International Surgical instruments with interactive features to remedy incidental sled movements
US11849943B2 (en) 2020-12-02 2023-12-26 Cilag Gmbh International Surgical instrument with cartridge release mechanisms
US11723657B2 (en) 2021-02-26 2023-08-15 Cilag Gmbh International Adjustable communication based on available bandwidth and power capacity
US11696757B2 (en) 2021-02-26 2023-07-11 Cilag Gmbh International Monitoring of internal systems to detect and track cartridge motion status
US11925349B2 (en) 2021-02-26 2024-03-12 Cilag Gmbh International Adjustment to transfer parameters to improve available power
US11950779B2 (en) 2021-02-26 2024-04-09 Cilag Gmbh International Method of powering and communicating with a staple cartridge
US11749877B2 (en) 2021-02-26 2023-09-05 Cilag Gmbh International Stapling instrument comprising a signal antenna
US11980362B2 (en) 2021-02-26 2024-05-14 Cilag Gmbh International Surgical instrument system comprising a power transfer coil
US11744583B2 (en) 2021-02-26 2023-09-05 Cilag Gmbh International Distal communication array to tune frequency of RF systems
US11730473B2 (en) 2021-02-26 2023-08-22 Cilag Gmbh International Monitoring of manufacturing life-cycle
US11950777B2 (en) 2021-02-26 2024-04-09 Cilag Gmbh International Staple cartridge comprising an information access control system
US11793514B2 (en) 2021-02-26 2023-10-24 Cilag Gmbh International Staple cartridge comprising sensor array which may be embedded in cartridge body
US11701113B2 (en) 2021-02-26 2023-07-18 Cilag Gmbh International Stapling instrument comprising a separate power antenna and a data transfer antenna
US11812964B2 (en) 2021-02-26 2023-11-14 Cilag Gmbh International Staple cartridge comprising a power management circuit
US11751869B2 (en) 2021-02-26 2023-09-12 Cilag Gmbh International Monitoring of multiple sensors over time to detect moving characteristics of tissue
US11806011B2 (en) 2021-03-22 2023-11-07 Cilag Gmbh International Stapling instrument comprising tissue compression systems
US11737749B2 (en) 2021-03-22 2023-08-29 Cilag Gmbh International Surgical stapling instrument comprising a retraction system
US11826012B2 (en) 2021-03-22 2023-11-28 Cilag Gmbh International Stapling instrument comprising a pulsed motor-driven firing rack
US11723658B2 (en) 2021-03-22 2023-08-15 Cilag Gmbh International Staple cartridge comprising a firing lockout
US11826042B2 (en) 2021-03-22 2023-11-28 Cilag Gmbh International Surgical instrument comprising a firing drive including a selectable leverage mechanism
US11759202B2 (en) 2021-03-22 2023-09-19 Cilag Gmbh International Staple cartridge comprising an implantable layer
US11717291B2 (en) 2021-03-22 2023-08-08 Cilag Gmbh International Staple cartridge comprising staples configured to apply different tissue compression
US11896219B2 (en) 2021-03-24 2024-02-13 Cilag Gmbh International Mating features between drivers and underside of a cartridge deck
US11744603B2 (en) 2021-03-24 2023-09-05 Cilag Gmbh International Multi-axis pivot joints for surgical instruments and methods for manufacturing same
US11849944B2 (en) 2021-03-24 2023-12-26 Cilag Gmbh International Drivers for fastener cartridge assemblies having rotary drive screws
US11896218B2 (en) 2021-03-24 2024-02-13 Cilag Gmbh International Method of using a powered stapling device
US11786239B2 (en) 2021-03-24 2023-10-17 Cilag Gmbh International Surgical instrument articulation joint arrangements comprising multiple moving linkage features
US11944336B2 (en) 2021-03-24 2024-04-02 Cilag Gmbh International Joint arrangements for multi-planar alignment and support of operational drive shafts in articulatable surgical instruments
US11903582B2 (en) 2021-03-24 2024-02-20 Cilag Gmbh International Leveraging surfaces for cartridge installation
US11793516B2 (en) 2021-03-24 2023-10-24 Cilag Gmbh International Surgical staple cartridge comprising longitudinal support beam
US11832816B2 (en) 2021-03-24 2023-12-05 Cilag Gmbh International Surgical stapling assembly comprising nonplanar staples and planar staples
US11857183B2 (en) 2021-03-24 2024-01-02 Cilag Gmbh International Stapling assembly components having metal substrates and plastic bodies
US11849945B2 (en) 2021-03-24 2023-12-26 Cilag Gmbh International Rotary-driven surgical stapling assembly comprising eccentrically driven firing member
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
US11723662B2 (en) 2021-05-28 2023-08-15 Cilag Gmbh International Stapling instrument comprising an articulation control display
US11877745B2 (en) 2021-10-18 2024-01-23 Cilag Gmbh International Surgical stapling assembly having longitudinally-repeating staple leg clusters
US11980363B2 (en) 2021-10-18 2024-05-14 Cilag Gmbh International Row-to-row staple array variations
US11957337B2 (en) 2021-10-18 2024-04-16 Cilag Gmbh International Surgical stapling assembly with offset ramped drive surfaces
US11937816B2 (en) 2021-10-28 2024-03-26 Cilag Gmbh International Electrical lead arrangements for surgical instruments
WO2024070983A1 (ja) * 2022-09-29 2024-04-04 テルモ株式会社 医療機器

Family Cites Families (21)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3563244A (en) * 1968-03-15 1971-02-16 Hajime Moribe Condoms
US4950222A (en) * 1985-04-23 1990-08-21 Lone Star Medical Products, Inc. Isolator for use in surgery or as a clean room and method of using the same
US5069668A (en) * 1990-07-12 1991-12-03 Boydman Scott A Patient controlled analgesia system
US5337734A (en) * 1992-10-29 1994-08-16 Advanced Polymers, Incorporated Disposable sheath with optically transparent window formed continuously integral therewith
US5788688A (en) * 1992-11-05 1998-08-04 Bauer Laboratories, Inc. Surgeon's command and control
US5322072A (en) * 1993-04-14 1994-06-21 Harrison Samuel W Sterility maintenance cover, surgical instrument tray, and drape support
US6307674B1 (en) * 1994-03-29 2001-10-23 Lasersurge, Inc. Video display system for locating a projected image adjacent a surgical field
JP3397209B2 (ja) * 1995-08-29 2003-04-14 エクソンモービル・ケミカル・パテンツ・インク 耐輻射線性ポリプロピレン及びその有用な製品
US6433344B1 (en) * 1996-05-22 2002-08-13 Purepulse Technologies, Inc. Pulsed light sterilization of drinking water and drinking water containers
US5873814A (en) * 1996-07-12 1999-02-23 Adair; Edwin L. Sterile encapsulated endoscopic video monitor and method
US5732712A (en) * 1996-07-12 1998-03-31 Adair; Edwin L. Sterile encapsulated operating room video monitor and video monitor support device
US5812188A (en) * 1996-07-12 1998-09-22 Adair; Edwin L. Sterile encapsulated endoscopic video monitor
MXPA00011835A (es) * 1998-06-03 2002-10-17 Scott Lab Inc Aparato y metodo para proveer alivio del dolor de un paciente consciente y ansiedad asociada con procedimientos medicos o quirurgicos.
DE19851291A1 (de) * 1998-11-06 2000-01-05 Siemens Ag Operationsarbeitsplatztaugliches Dateneingabegerät
US6387332B1 (en) * 1999-01-29 2002-05-14 Griffith Micro Science, Inc. Safety system
US6902712B2 (en) * 1999-10-12 2005-06-07 General Hospital Supply Corporation Absorbent liner for sterilization process and method of sterilizing surgical instruments
WO2001097866A2 (en) * 2000-06-22 2001-12-27 Visualization Technology, Inc. Windowed medical drape
EP1273265B1 (en) * 2001-07-04 2006-11-22 Instrumentarium Corporation Monitoring a condition of a patient under anaesthesia or sedation
US7150853B2 (en) * 2001-11-01 2006-12-19 Advanced Cardiovascular Systems, Inc. Method of sterilizing a medical device
IL162326A0 (en) * 2001-12-06 2005-11-20 Alaris Medical Syst Inc Co2 monitored drug infusion system
US6926141B2 (en) * 2003-02-06 2005-08-09 Mike F. Montler Flexible hygienic remote control enclosure

Also Published As

Publication number Publication date
AU2003241479B2 (en) 2008-08-28
JP2005525873A (ja) 2005-09-02
EP1531892A4 (en) 2007-09-12
CA2486123A1 (en) 2003-11-27
JP2010094541A (ja) 2010-04-30
EP1531892A2 (en) 2005-05-25
WO2003097111A3 (en) 2004-09-16
US20040034287A1 (en) 2004-02-19
WO2003097111A2 (en) 2003-11-27
MXPA04011420A (es) 2005-02-17
AU2003241479A1 (en) 2003-12-02

Similar Documents

Publication Publication Date Title
CN1668357A (zh) 用于允许镇静和止痛***的无菌操作的***和方法
JP6966623B2 (ja) 注入サイト情報キャップ
JP5296892B2 (ja) ユーザ地において意識鎮静看護システムを用いることによって繰り返し発生する利益を電子的に追跡するための方法
CN101161213B (zh) 控制和监控医疗工作场所的治疗模块的***
JP5409630B2 (ja) 自己投与注射システム
EP1450888B1 (en) Apparatus for providing relief from pain and anxiety associated with medical or surgical procedures
JP2005514122A (ja) 患者の応答性を自動的に評価およびモニタする装置および方法
AU2002362752A1 (en) Apparatuses and methods for providing a conscious patient relief from pain and anxiety associated with medical or surgical procedures according to appropriate clinical heuristics
US20210345952A1 (en) Controlling operation of drug administration devices using surgical hubs
AU2005201500B2 (en) Apparatus and method for providing a conscious patient relief from pain and anxiety associated with medical or surgical procedures
JP2011005262A (ja) 患者の応答性を自動的に評価およびモニタする装置および方法
DE102020121044A9 (de) Nasenapplikator
Aisenberg Endoscopic sedation: equipment and personnel
AU2002301160B2 (en) Apparatus and method for providing a conscious patient relief from pain and anxiety associated with medical or surgical procedures
Abrahamsen Revisit patient safety initiatives

Legal Events

Date Code Title Description
C06 Publication
PB01 Publication
C10 Entry into substantive examination
SE01 Entry into force of request for substantive examination
C12 Rejection of a patent application after its publication
RJ01 Rejection of invention patent application after publication

Open date: 20050914