JP5767914B2 - 動的および静的双極性電気的シーリングおよび切断デバイス - Google Patents
動的および静的双極性電気的シーリングおよび切断デバイス Download PDFInfo
- Publication number
- JP5767914B2 JP5767914B2 JP2011194150A JP2011194150A JP5767914B2 JP 5767914 B2 JP5767914 B2 JP 5767914B2 JP 2011194150 A JP2011194150 A JP 2011194150A JP 2011194150 A JP2011194150 A JP 2011194150A JP 5767914 B2 JP5767914 B2 JP 5767914B2
- Authority
- JP
- Japan
- Prior art keywords
- tissue
- end effector
- cutting portion
- cutting
- effector assembly
- 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.)
- Active
Links
- 238000005520 cutting process Methods 0.000 title claims description 217
- 238000007789 sealing Methods 0.000 title claims description 106
- 230000003068 static effect Effects 0.000 title claims description 73
- 239000012636 effector Substances 0.000 claims description 67
- 230000004913 activation Effects 0.000 claims description 6
- 239000012212 insulator Substances 0.000 description 22
- 238000002224 dissection Methods 0.000 description 7
- 230000000694 effects Effects 0.000 description 4
- 238000012800 visualization Methods 0.000 description 3
- 238000013461 design Methods 0.000 description 2
- 238000012976 endoscopic surgical procedure Methods 0.000 description 2
- 238000005516 engineering process Methods 0.000 description 2
- 230000007246 mechanism Effects 0.000 description 2
- 238000000034 method Methods 0.000 description 2
- 238000012986 modification Methods 0.000 description 2
- 230000004048 modification Effects 0.000 description 2
- 230000008569 process Effects 0.000 description 2
- 238000001356 surgical procedure Methods 0.000 description 2
- 230000002792 vascular Effects 0.000 description 2
- 102000008186 Collagen Human genes 0.000 description 1
- 108010035532 Collagen Proteins 0.000 description 1
- 102000016942 Elastin Human genes 0.000 description 1
- 108010014258 Elastin Proteins 0.000 description 1
- 230000003466 anti-cipated effect Effects 0.000 description 1
- 230000000712 assembly Effects 0.000 description 1
- 238000000429 assembly Methods 0.000 description 1
- 230000000740 bleeding effect Effects 0.000 description 1
- 238000005345 coagulation Methods 0.000 description 1
- 230000015271 coagulation Effects 0.000 description 1
- 239000011248 coating agent Substances 0.000 description 1
- 238000000576 coating method Methods 0.000 description 1
- 229920001436 collagen Polymers 0.000 description 1
- 238000009792 diffusion process Methods 0.000 description 1
- 238000001035 drying Methods 0.000 description 1
- 229920002549 elastin Polymers 0.000 description 1
- 230000023597 hemostasis Effects 0.000 description 1
- 239000011810 insulating material Substances 0.000 description 1
- 238000009413 insulation Methods 0.000 description 1
- WABPQHHGFIMREM-AKLPVKDBSA-N lead-210 Chemical compound [210Pb] WABPQHHGFIMREM-AKLPVKDBSA-N 0.000 description 1
- 238000002355 open surgical procedure Methods 0.000 description 1
- 238000012545 processing Methods 0.000 description 1
- 238000000926 separation method Methods 0.000 description 1
- 239000000126 substance Substances 0.000 description 1
Images
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
- A61B18/1442—Probes having pivoting end effectors, e.g. forceps
- A61B18/1445—Probes having pivoting end effectors, e.g. forceps at the distal end of a shaft, e.g. forceps or scissors at the end of a rigid rod
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/08—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by means of electrically-heated probes
- A61B18/082—Probes or electrodes therefor
- A61B18/085—Forceps, scissors
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/1206—Generators therefor
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/285—Surgical forceps combined with cutting implements
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00053—Mechanical features of the instrument of device
- A61B2018/00059—Material properties
- A61B2018/00071—Electrical conductivity
- A61B2018/00083—Electrical conductivity low, i.e. electrically insulating
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
- A61B2018/00345—Vascular system
- A61B2018/00404—Blood vessels other than those in or around the heart
- A61B2018/00428—Severing
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
- A61B2018/00589—Coagulation
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
- A61B2018/00601—Cutting
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
- A61B2018/0063—Sealing
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00636—Sensing and controlling the application of energy
- A61B2018/00696—Controlled or regulated parameters
- A61B2018/00702—Power or energy
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/1206—Generators therefor
- A61B2018/1246—Generators therefor characterised by the output polarity
- A61B2018/126—Generators therefor characterised by the output polarity bipolar
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
- A61B18/1442—Probes having pivoting end effectors, e.g. forceps
- A61B2018/1452—Probes having pivoting end effectors, e.g. forceps including means for cutting
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
- A61B2018/1467—Probes or electrodes therefor using more than two electrodes on a single probe
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Engineering & Computer Science (AREA)
- Life Sciences & Earth Sciences (AREA)
- Biomedical Technology (AREA)
- Otolaryngology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Plasma & Fusion (AREA)
- Physics & Mathematics (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
Description
(技術分野)
本開示は外科鉗子に、そしてより特定すれば組織をシーリング、切断、および解剖し得る電気外科鉗子に関する。
開放または内視鏡電気外科鉗子は、止血を行うために機械的クランプ作用および電気エネルギーの両方を利用する。各々の対向する顎部材の電極は異なる電位に荷電され、顎部材が組織を把持するとき、電気エネルギーが組織を通じて選択的に運ばれ得る。外科医は、電極間に印加され、そして組織を通る電気外科エネルギーの強度、頻度および持続時間を制御することにより、焼灼、凝固/乾燥、そして/または出血を減少または遅延するいずれかを行い得る。
本開示によれば、電気外科器具、例えば、鉗子との使用のための端部エフェクターアセンブリが提供される。この端部エフェクターアセンブリは、互いに対して対向する関係に配置された第1の顎部材および第2の顎部材を含む。これら顎部材の1つまたは両方は、他方に対して、開放位置から、これら顎部材が協働してそれらの間に組織を把持するための閉鎖位置まで移動可能である。各顎部材は、電気外科エネルギーの供給源に接続するように適合された電気的に伝導性の組織シーリング表面を含み、この組織シーリング表面は、電気外科エネルギーを上記顎部材間に配置された組織を通って伝導し得る。静的双極性電気外科切断部分は顎部材の1つ、または両方上に配置され、そして1つ以上の電気的に伝導性の要素、および第1の形態を有する1つ以上の絶縁要素を含む。この静的切断部分は、上記切断要素および対向するシーリング表面および/または対向する切断要素の活性化に際し、顎部材間に配置された組織を電気的に切断する。動的電気外科切断部分は、上記顎部材の1つ、または両方上に配置され、そして1つ以上の電気的に伝導性の切断要素および第2の形態を有する1つ以上の絶縁要素を含む。この動的切断要素は、顎部材間に把持された組織に対する移動の間に組織を電気的に横に切開するために構成される。
(項目1)電気外科器具との使用のための端部エフェクターアセンブリであって、以下:
互いに対して対向する関係に配置された第1の顎部材および第2の顎部材であって、該顎部材の少なくとも1つが他方に対して、第1の開放位置から第2の閉鎖位置まで移動可能であり、該顎部材が協働してそれらの間に組織を把持し;
各々の顎部材が、電気外科エネルギーの供給源に接続するように適合された電気的に伝導性の組織シーリング表面を含み、その結果、該組織シーリング表面が電気外科エネルギーを該顎部材間に配置された組織を通って伝導し得る、顎部材;
該顎部材の少なくとも1つ上に配置された静的電気外科切断部分であって、少なくとも1つの電気的に伝導性の切断要素および第1の形態を有する少なくとも1つの絶縁要素を含み、該切断要素および対向するシーリング表面および対向する切断要素の少なくとも1つの活性化に際し、該顎部材間に配置された組織を電気的に切断するように構成された、静的電気外科切断部分;および
該顎部材の少なくとも1つ上に配置された動的電気外科切断部分であって、少なくとも1つの電気的に伝導性の切断要素および第2の形態を有する少なくとも1つの絶縁要素を含み、該顎部材間に把持された組織に対する移動の間に組織を電気的に切開し得る、動的電気外科切断部分、を備える、端部エフェクターアセンブリ。
(項目2)上記端部エフェクターアセンブリは、第1のシーリングモードで作動するように構成され、上記シーリング表面が組織をシールするために活性化される、上記項目のいずれかに記載の端部エフェクターアセンブリ。
(項目3)上記端部エフェクターアセンブリは、第2の切断モードで作動するように構成され、上記静的切断部分および上記動的切断部分の少なくとも1つが組織を切断するために活性化される、上記項目のいずれかに記載の端部エフェクターアセンブリ。
(項目4)上記静的切断部分が上記顎部材の少なくとも1つの対向する表面の近位端に配置され、そして上記動的切断部分が該顎部材の少なくとも1つの該対向する表面の遠位端に配置される、上記項目のいずれかに記載の端部エフェクターアセンブリ。
(項目5)上記動的切断部分が上記顎部材の少なくとも1つの長手軸方向側面上に配置される、上記項目のいずれかに記載の端部エフェクターアセンブリ。
(項目6)上記動的切断部分が上記顎部材の少なくとも1つの遠位先端部上に配置される、上記項目のいずれかに記載の端部エフェクターアセンブリ。
(項目7)上記シーリング表面の各々が一対の間隔を置いて離れたシーリングセクションを含み、そして上記静的切断部分の少なくとも1つの絶縁要素の1つが該一対の間隔を置いて離れたシーリングセクション間に配置される、上記項目のいずれかに記載の端部エフェクターアセンブリ。
(項目8)上記静的切断部分の電気的に伝導性の切断要素が、上記一対の間隔を置いて離れたシーリングセクション間に配置される絶縁要素内に少なくとも部分的に配置される、上記項目のいずれかに記載の端部エフェクターアセンブリ。
(項目9)上記顎部材の各々の対向する表面が互いに対して実質的に対称である、上記項目のいずれかに記載の端部エフェクターアセンブリ。
(項目10)上記顎部材の各々の対向する表面が互いに対して実質的に非対称である、上記項目のいずれかに記載の端部エフェクターアセンブリ。
端部エフェクターアセンブリは対向する顎を含み、それらの間に組織を把持するために開放から閉鎖位置まで可動である。各々の顎は、これら顎の間に配置された組織を通って電気外科エネルギーを伝導するために適合された電気的に伝導性の表面を含む。少なくとも1つの電気的に伝導性の切断要素および第1の形態を有する少なくとも1つの絶縁要素を含む静的双極性切断部分が少なくとも1つの顎上に配置される。この静的切断部分は、切断要素、および対向するシーリング表面および対向する切断要素の少なくとも1つの活性化に際し、顎間に配置された組織を電気的に切断するように構成される。少なくとも1つの電気的に伝導性の切断要素および第2の形態を有する少なくとも1つの絶縁要素を含む動的切断部分が、顎の少なくとも1つの上に配置される。この動的切断部分は、組織に対する移動の間に組織を電気的に横に切開する。
ここで図1および2を参照して、図1は、内視鏡外科手順と組み合わせる使用のための双極性鉗子10を描写し、そして図2は、伝統的な開放外科手順と組み合わせる使用のために予期される開放鉗子100を描写している。本明細書における目的には、内視鏡器具または開放器具にいずれもが、本明細書中に記載される端部エフェクターアセンブリとともに利用され得る。明らかなことに、異なる電気的および機械的連結および考慮物が各々の特定タイプの器具に適用されるが、端部エフェクターアセンブリおよびその作動特徴に関する新たな局面は、開放または内視鏡設計の両方に対して広く一致したままである。
20 ハウジング
30 ハンドルアセンブリ
70 スイッチアセンブリ
80 回転アセンブリ
100 開放鉗子
105 端部エフェクターアセンブリ
110、120 顎部材
Claims (10)
- 電気外科器具との使用のための端部エフェクターアセンブリであって、該端部エフェクターアセンブリは、
互いに対して対向する関係に配置された第1の顎部材および第2の顎部材であって、該顎部材の少なくとも1つが他方に対して、第1の開放位置から第2の閉鎖位置まで移動可能であり、該顎部材が協働してそれらの間に組織を把持し、各々の顎部材が、電気外科エネルギーの供給源に接続するように適合された電気的に伝導性の組織シーリング表面を含み、その結果、該組織シーリング表面が電気外科エネルギーを該顎部材間に配置された組織を通って伝導し得る、第1の顎部材および第2の顎部材と、
該顎部材の少なくとも1つ上に配置された静的電気外科切断部分であって、該静的切断部分は、少なくとも1つの第1の電気的に伝導性の切断要素と、該少なくとも1つの第1の電気的に伝導性の切断要素に隣接して配置された少なくとも1つの第1の絶縁要素とを含み、該少なくとも1つの第1の絶縁要素は、該少なくとも1つの第1の電気的に伝導性の切断要素の活性化に際し、該顎部材間に静的に保持された組織を電気的に切断するための第1の形態を規定するように構成されている、静的電気外科切断部分と、
該顎部材の少なくとも1つ上に配置された動的電気外科切断部分であって、該動的切断部分は、少なくとも1つの第2の電気的に伝導性の切断要素と、該少なくとも1つの第2の電気的に伝導性の切断要素に隣接して配置された少なくとも1つの第2の絶縁要素とを含み、該少なくとも1つの第2の絶縁要素は、該第1の形態とは異なる第2の形態を規定するように構成されており、該第2の形態は、組織に対する該動的電気外科切断部分の移動に際して、活性化された該少なくとも1つの第2の電気的に伝導性の切断要素により、組織を電気的に切開するためのものである、動的電気外科切断部分と
を備える、端部エフェクターアセンブリ。 - 前記端部エフェクターアセンブリは、第1のシーリングモードで作動するように構成されており、前記シーリング表面は、組織をシールするために活性化される、請求項1に記載の端部エフェクターアセンブリ。
- 前記端部エフェクターアセンブリは、第2の切断モードで作動するように構成されており、前記静的切断部分および前記動的切断部分の少なくとも1つは、組織を切断するために活性化される、請求項1に記載の端部エフェクターアセンブリ。
- 前記静的切断部分は、前記顎部材の少なくとも1つの対向する表面の近位端に配置されており、前記動的切断部分は、該顎部材の少なくとも1つの該対向する表面の遠位端に配置されている、請求項1に記載の端部エフェクターアセンブリ。
- 前記動的切断部分は、前記顎部材の少なくとも1つの長手軸方向側面上に配置されている、請求項1に記載の端部エフェクターアセンブリ。
- 前記動的切断部分は、前記顎部材の少なくとも1つの遠位先端部上に配置されている、請求項1に記載の端部エフェクターアセンブリ。
- 前記シーリング表面の各々は、一対の間隔を置いて離れたシーリング表面セクションを含み、前記少なくとも1つの第1の絶縁要素は、該一対の間隔を置いて離れたシーリング表面セクション間に配置されている、請求項1に記載の端部エフェクターアセンブリ。
- 前記少なくとも1つの第1の電気的に伝導性の切断要素は、前記一対の間隔を置いて離れたシーリング表面セクション間に配置された前記少なくとも1つの第1の絶縁要素内に少なくとも部分的に配置されている、請求項7に記載の端部エフェクターアセンブリ。
- 前記顎部材の各々の対向する表面は、互いに対して実質的に対称である、請求項1に記載の端部エフェクターアセンブリ。
- 前記顎部材の各々の対向する表面は、互いに対して実質的に非対称である、請求項1に記載の端部エフェクターアセンブリ。
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US12/876,668 US8663222B2 (en) | 2010-09-07 | 2010-09-07 | Dynamic and static bipolar electrical sealing and cutting device |
US12/876,668 | 2010-09-07 |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2012055691A JP2012055691A (ja) | 2012-03-22 |
JP5767914B2 true JP5767914B2 (ja) | 2015-08-26 |
Family
ID=44677624
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2011194150A Active JP5767914B2 (ja) | 2010-09-07 | 2011-09-06 | 動的および静的双極性電気的シーリングおよび切断デバイス |
Country Status (5)
Country | Link |
---|---|
US (3) | US8663222B2 (ja) |
EP (2) | EP3178427B1 (ja) |
JP (1) | JP5767914B2 (ja) |
AU (3) | AU2011218765B2 (ja) |
CA (1) | CA2751312C (ja) |
Families Citing this family (316)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US7364577B2 (en) | 2002-02-11 | 2008-04-29 | Sherwood Services Ag | Vessel sealing system |
EP1656901B1 (en) | 2001-04-06 | 2009-09-02 | Covidien AG | Vessel sealer and divider with non-conductive stop members |
US11229472B2 (en) | 2001-06-12 | 2022-01-25 | Cilag Gmbh International | Modular battery powered handheld surgical instrument with multiple magnetic position sensors |
US9848938B2 (en) | 2003-11-13 | 2017-12-26 | Covidien Ag | Compressible jaw configuration with bipolar RF output electrodes for soft tissue fusion |
US7367976B2 (en) | 2003-11-17 | 2008-05-06 | Sherwood Services Ag | Bipolar forceps having monopolar extension |
US8182501B2 (en) | 2004-02-27 | 2012-05-22 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical shears and method for sealing a blood vessel using same |
US20060079877A1 (en) | 2004-10-08 | 2006-04-13 | Houser Kevin L | Feedback mechanism for use with an ultrasonic surgical instrument |
US7628791B2 (en) | 2005-08-19 | 2009-12-08 | Covidien Ag | Single action tissue sealer |
CA2561034C (en) | 2005-09-30 | 2014-12-09 | Sherwood Services Ag | Flexible endoscopic catheter with an end effector for coagulating and transfecting tissue |
US20070191713A1 (en) | 2005-10-14 | 2007-08-16 | Eichmann Stephen E | Ultrasonic device for cutting and coagulating |
US7621930B2 (en) | 2006-01-20 | 2009-11-24 | Ethicon Endo-Surgery, Inc. | Ultrasound medical instrument having a medical ultrasonic blade |
US8911460B2 (en) | 2007-03-22 | 2014-12-16 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical instruments |
US8057498B2 (en) | 2007-11-30 | 2011-11-15 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical instrument blades |
US8142461B2 (en) | 2007-03-22 | 2012-03-27 | Ethicon Endo-Surgery, Inc. | Surgical instruments |
US8523889B2 (en) | 2007-07-27 | 2013-09-03 | Ethicon Endo-Surgery, Inc. | Ultrasonic end effectors with increased active length |
US8808319B2 (en) | 2007-07-27 | 2014-08-19 | Ethicon Endo-Surgery, Inc. | Surgical instruments |
US9044261B2 (en) | 2007-07-31 | 2015-06-02 | Ethicon Endo-Surgery, Inc. | Temperature controlled ultrasonic surgical instruments |
US8512365B2 (en) | 2007-07-31 | 2013-08-20 | Ethicon Endo-Surgery, Inc. | Surgical instruments |
US8430898B2 (en) | 2007-07-31 | 2013-04-30 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical instruments |
JP2010540186A (ja) | 2007-10-05 | 2010-12-24 | エシコン・エンド−サージェリィ・インコーポレイテッド | 人間工学的外科用器具 |
US10010339B2 (en) | 2007-11-30 | 2018-07-03 | Ethicon Llc | Ultrasonic surgical blades |
CA3161692A1 (en) | 2008-03-31 | 2009-10-08 | Applied Medical Resources Corporation | Electrosurgical system |
US9089360B2 (en) | 2008-08-06 | 2015-07-28 | Ethicon Endo-Surgery, Inc. | Devices and techniques for cutting and coagulating tissue |
US8142473B2 (en) | 2008-10-03 | 2012-03-27 | Tyco Healthcare Group Lp | Method of transferring rotational motion in an articulating surgical instrument |
US8114122B2 (en) | 2009-01-13 | 2012-02-14 | Tyco Healthcare Group Lp | Apparatus, system, and method for performing an electrosurgical procedure |
US8187273B2 (en) | 2009-05-07 | 2012-05-29 | Tyco Healthcare Group Lp | Apparatus, system, and method for performing an electrosurgical procedure |
US9700339B2 (en) | 2009-05-20 | 2017-07-11 | Ethicon Endo-Surgery, Inc. | Coupling arrangements and methods for attaching tools to ultrasonic surgical instruments |
US8246618B2 (en) | 2009-07-08 | 2012-08-21 | Tyco Healthcare Group Lp | Electrosurgical jaws with offset knife |
US8663220B2 (en) | 2009-07-15 | 2014-03-04 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical instruments |
US8133254B2 (en) | 2009-09-18 | 2012-03-13 | Tyco Healthcare Group Lp | In vivo attachable and detachable end effector assembly and laparoscopic surgical instrument and methods therefor |
US8112871B2 (en) | 2009-09-28 | 2012-02-14 | Tyco Healthcare Group Lp | Method for manufacturing electrosurgical seal plates |
US10441345B2 (en) | 2009-10-09 | 2019-10-15 | Ethicon Llc | Surgical generator for ultrasonic and electrosurgical devices |
US11090104B2 (en) | 2009-10-09 | 2021-08-17 | Cilag Gmbh International | Surgical generator for ultrasonic and electrosurgical devices |
US8951248B2 (en) | 2009-10-09 | 2015-02-10 | Ethicon Endo-Surgery, Inc. | Surgical generator for ultrasonic and electrosurgical devices |
US10172669B2 (en) | 2009-10-09 | 2019-01-08 | Ethicon Llc | Surgical instrument comprising an energy trigger lockout |
US8486096B2 (en) | 2010-02-11 | 2013-07-16 | Ethicon Endo-Surgery, Inc. | Dual purpose surgical instrument for cutting and coagulating tissue |
US8469981B2 (en) | 2010-02-11 | 2013-06-25 | Ethicon Endo-Surgery, Inc. | Rotatable cutting implement arrangements for ultrasonic surgical instruments |
US8951272B2 (en) | 2010-02-11 | 2015-02-10 | Ethicon Endo-Surgery, Inc. | Seal arrangements for ultrasonically powered surgical instruments |
US8709035B2 (en) | 2010-04-12 | 2014-04-29 | Ethicon Endo-Surgery, Inc. | Electrosurgical cutting and sealing instruments with jaws having a parallel closure motion |
US8834518B2 (en) | 2010-04-12 | 2014-09-16 | Ethicon Endo-Surgery, Inc. | Electrosurgical cutting and sealing instruments with cam-actuated jaws |
US8685020B2 (en) | 2010-05-17 | 2014-04-01 | Ethicon Endo-Surgery, Inc. | Surgical instruments and end effectors therefor |
GB2480498A (en) | 2010-05-21 | 2011-11-23 | Ethicon Endo Surgery Inc | Medical device comprising RF circuitry |
US9005199B2 (en) | 2010-06-10 | 2015-04-14 | Ethicon Endo-Surgery, Inc. | Heat management configurations for controlling heat dissipation from electrosurgical instruments |
US9028495B2 (en) | 2010-06-23 | 2015-05-12 | Covidien Lp | Surgical instrument with a separable coaxial joint |
US8795327B2 (en) | 2010-07-22 | 2014-08-05 | Ethicon Endo-Surgery, Inc. | Electrosurgical instrument with separate closure and cutting members |
US9192431B2 (en) | 2010-07-23 | 2015-11-24 | Ethicon Endo-Surgery, Inc. | Electrosurgical cutting and sealing instrument |
US8795269B2 (en) | 2010-07-26 | 2014-08-05 | Covidien Lp | Rotary tissue sealer and divider |
US8814864B2 (en) | 2010-08-23 | 2014-08-26 | Covidien Lp | Method of manufacturing tissue sealing electrodes |
US8663222B2 (en) | 2010-09-07 | 2014-03-04 | Covidien Lp | Dynamic and static bipolar electrical sealing and cutting device |
US9498278B2 (en) | 2010-09-08 | 2016-11-22 | Covidien Lp | Asymmetrical electrodes for bipolar vessel sealing |
US9005200B2 (en) | 2010-09-30 | 2015-04-14 | Covidien Lp | Vessel sealing instrument |
WO2012045095A1 (en) | 2010-10-01 | 2012-04-05 | Applied Medical Resources Corporation | Electrosurgical instruments with jaws and/or an electrode and amplifiers for electrosurgery |
US9017372B2 (en) | 2010-10-01 | 2015-04-28 | Covidien Lp | Blade deployment mechanisms for surgical forceps |
US8979890B2 (en) | 2010-10-01 | 2015-03-17 | Ethicon Endo-Surgery, Inc. | Surgical instrument with jaw member |
US9655672B2 (en) | 2010-10-04 | 2017-05-23 | Covidien Lp | Vessel sealing instrument |
US8932293B2 (en) | 2010-11-17 | 2015-01-13 | Covidien Lp | Method and apparatus for vascular tissue sealing with reduced energy consumption |
US9113940B2 (en) | 2011-01-14 | 2015-08-25 | Covidien Lp | Trigger lockout and kickback mechanism for surgical instruments |
US8945175B2 (en) | 2011-01-14 | 2015-02-03 | Covidien Lp | Latch mechanism for surgical instruments |
US8939972B2 (en) | 2011-05-06 | 2015-01-27 | Covidien Lp | Surgical forceps |
US8900232B2 (en) | 2011-05-06 | 2014-12-02 | Covidien Lp | Bifurcated shaft for surgical instrument |
US8685009B2 (en) | 2011-05-16 | 2014-04-01 | Covidien Lp | Thread-like knife for tissue cutting |
US8852185B2 (en) | 2011-05-19 | 2014-10-07 | Covidien Lp | Apparatus for performing an electrosurgical procedure |
US9615877B2 (en) | 2011-06-17 | 2017-04-11 | Covidien Lp | Tissue sealing forceps |
US8745840B2 (en) | 2011-07-11 | 2014-06-10 | Covidien Lp | Surgical forceps and method of manufacturing thereof |
US9039732B2 (en) | 2011-07-11 | 2015-05-26 | Covidien Lp | Surgical forceps |
US9259265B2 (en) | 2011-07-22 | 2016-02-16 | Ethicon Endo-Surgery, Llc | Surgical instruments for tensioning tissue |
US9044243B2 (en) | 2011-08-30 | 2015-06-02 | Ethcon Endo-Surgery, Inc. | Surgical cutting and fastening device with descendible second trigger arrangement |
US8845636B2 (en) | 2011-09-16 | 2014-09-30 | Covidien Lp | Seal plate with insulation displacement connection |
US8864795B2 (en) | 2011-10-03 | 2014-10-21 | Covidien Lp | Surgical forceps |
US9492221B2 (en) | 2011-10-20 | 2016-11-15 | Covidien Lp | Dissection scissors on surgical device |
US8968308B2 (en) | 2011-10-20 | 2015-03-03 | Covidien Lp | Multi-circuit seal plates |
US9314295B2 (en) | 2011-10-20 | 2016-04-19 | Covidien Lp | Dissection scissors on surgical device |
EP2770932B1 (en) | 2011-10-24 | 2018-12-12 | Ethicon LLC | Medical instrument |
USD680220S1 (en) | 2012-01-12 | 2013-04-16 | Coviden IP | Slider handle for laparoscopic device |
WO2013119545A1 (en) | 2012-02-10 | 2013-08-15 | Ethicon-Endo Surgery, Inc. | Robotically controlled surgical instrument |
US9011435B2 (en) | 2012-02-24 | 2015-04-21 | Covidien Lp | Method for manufacturing vessel sealing instrument with reduced thermal spread |
US8887373B2 (en) | 2012-02-24 | 2014-11-18 | Covidien Lp | Vessel sealing instrument with reduced thermal spread and method of manufacture therefor |
US9439668B2 (en) | 2012-04-09 | 2016-09-13 | Ethicon Endo-Surgery, Llc | Switch arrangements for ultrasonic surgical instruments |
US11871901B2 (en) | 2012-05-20 | 2024-01-16 | Cilag Gmbh International | Method for situational awareness for surgical network or surgical network connected device capable of adjusting function based on a sensed situation or usage |
US20140005705A1 (en) | 2012-06-29 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Surgical instruments with articulating shafts |
US20140005640A1 (en) | 2012-06-28 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Surgical end effector jaw and electrode configurations |
US9393037B2 (en) | 2012-06-29 | 2016-07-19 | Ethicon Endo-Surgery, Llc | Surgical instruments with articulating shafts |
US20140005702A1 (en) | 2012-06-29 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical instruments with distally positioned transducers |
US9351754B2 (en) | 2012-06-29 | 2016-05-31 | Ethicon Endo-Surgery, Llc | Ultrasonic surgical instruments with distally positioned jaw assemblies |
US9226767B2 (en) | 2012-06-29 | 2016-01-05 | Ethicon Endo-Surgery, Inc. | Closed feedback control for electrosurgical device |
US9198714B2 (en) | 2012-06-29 | 2015-12-01 | Ethicon Endo-Surgery, Inc. | Haptic feedback devices for surgical robot |
US9820768B2 (en) | 2012-06-29 | 2017-11-21 | Ethicon Llc | Ultrasonic surgical instruments with control mechanisms |
US9408622B2 (en) | 2012-06-29 | 2016-08-09 | Ethicon Endo-Surgery, Llc | Surgical instruments with articulating shafts |
US9326788B2 (en) | 2012-06-29 | 2016-05-03 | Ethicon Endo-Surgery, Llc | Lockout mechanism for use with robotic electrosurgical device |
US9192421B2 (en) | 2012-07-24 | 2015-11-24 | Covidien Lp | Blade lockout mechanism for surgical forceps |
WO2014022585A1 (en) | 2012-08-01 | 2014-02-06 | Caymus Medical Inc. | Systems and methods for percutaneous intravascular access for arteriovenous fistula |
JP6275727B2 (ja) | 2012-09-28 | 2018-02-07 | 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. | 多機能バイポーラ鉗子 |
US9095367B2 (en) | 2012-10-22 | 2015-08-04 | Ethicon Endo-Surgery, Inc. | Flexible harmonic waveguides/blades for surgical instruments |
US20140135804A1 (en) | 2012-11-15 | 2014-05-15 | Ethicon Endo-Surgery, Inc. | Ultrasonic and electrosurgical devices |
US9572622B2 (en) * | 2012-12-10 | 2017-02-21 | Ethicon Endo-Surgery, Llc | Bipolar electrosurgical features for targeted hemostasis |
US20140221994A1 (en) * | 2013-02-05 | 2014-08-07 | Covidien Lp | Electrosurgical instrument |
US9655673B2 (en) | 2013-03-11 | 2017-05-23 | Covidien Lp | Surgical instrument |
US10226273B2 (en) | 2013-03-14 | 2019-03-12 | Ethicon Llc | Mechanical fasteners for use with surgical energy devices |
US9962221B2 (en) | 2013-08-07 | 2018-05-08 | Covidien Lp | Bipolar surgical instrument |
WO2015017995A1 (en) | 2013-08-07 | 2015-02-12 | Covidien Lp | Bipolar surgical instrument with tissue stop |
US9295514B2 (en) | 2013-08-30 | 2016-03-29 | Ethicon Endo-Surgery, Llc | Surgical devices with close quarter articulation features |
US9814514B2 (en) * | 2013-09-13 | 2017-11-14 | Ethicon Llc | Electrosurgical (RF) medical instruments for cutting and coagulating tissue |
US9861428B2 (en) | 2013-09-16 | 2018-01-09 | Ethicon Llc | Integrated systems for electrosurgical steam or smoke control |
US9943357B2 (en) * | 2013-09-16 | 2018-04-17 | Covidien Lp | Split electrode for use in a bipolar electrosurgical instrument |
US9717548B2 (en) * | 2013-09-24 | 2017-08-01 | Covidien Lp | Electrode for use in a bipolar electrosurgical instrument |
US9265926B2 (en) | 2013-11-08 | 2016-02-23 | Ethicon Endo-Surgery, Llc | Electrosurgical devices |
US9526565B2 (en) | 2013-11-08 | 2016-12-27 | Ethicon Endo-Surgery, Llc | Electrosurgical devices |
GB2521228A (en) | 2013-12-16 | 2015-06-17 | Ethicon Endo Surgery Inc | Medical device |
GB2521229A (en) | 2013-12-16 | 2015-06-17 | Ethicon Endo Surgery Inc | Medical device |
US9795436B2 (en) | 2014-01-07 | 2017-10-24 | Ethicon Llc | Harvesting energy from a surgical generator |
US9408660B2 (en) | 2014-01-17 | 2016-08-09 | Ethicon Endo-Surgery, Llc | Device trigger dampening mechanism |
US10231776B2 (en) * | 2014-01-29 | 2019-03-19 | Covidien Lp | Tissue sealing instrument with tissue-dissecting electrode |
US9554854B2 (en) | 2014-03-18 | 2017-01-31 | Ethicon Endo-Surgery, Llc | Detecting short circuits in electrosurgical medical devices |
US10463421B2 (en) | 2014-03-27 | 2019-11-05 | Ethicon Llc | Two stage trigger, clamp and cut bipolar vessel sealer |
US10092310B2 (en) | 2014-03-27 | 2018-10-09 | Ethicon Llc | Electrosurgical devices |
US10524852B1 (en) | 2014-03-28 | 2020-01-07 | Ethicon Llc | Distal sealing end effector with spacers |
US9737355B2 (en) | 2014-03-31 | 2017-08-22 | Ethicon Llc | Controlling impedance rise in electrosurgical medical devices |
US9913680B2 (en) | 2014-04-15 | 2018-03-13 | Ethicon Llc | Software algorithms for electrosurgical instruments |
US9757186B2 (en) | 2014-04-17 | 2017-09-12 | Ethicon Llc | Device status feedback for bipolar tissue spacer |
US9345512B2 (en) * | 2014-05-01 | 2016-05-24 | Tariq Ibrahim Altokhais | Circumcision instrument |
WO2015176074A2 (en) | 2014-05-16 | 2015-11-19 | Applied Medical Resources Corporation | Electrosurgical system |
KR102603995B1 (ko) | 2014-05-30 | 2023-11-20 | 어플라이드 메디컬 리소시스 코포레이션 | 조직을 융합시키고 커팅하기 위한 전기수술용 기구 및 전기수술용 발전기 |
US9700333B2 (en) | 2014-06-30 | 2017-07-11 | Ethicon Llc | Surgical instrument with variable tissue compression |
US10285724B2 (en) | 2014-07-31 | 2019-05-14 | Ethicon Llc | Actuation mechanisms and load adjustment assemblies for surgical instruments |
JP5932187B1 (ja) * | 2014-08-05 | 2016-06-08 | オリンパス株式会社 | 治療用処置システム及び治療用処置システムの作動方法 |
US20160038224A1 (en) | 2014-08-11 | 2016-02-11 | Covidien Lp | Surgical instruments and methods for performing tonsillectomy and adenoidectomy procedures |
US9877776B2 (en) | 2014-08-25 | 2018-01-30 | Ethicon Llc | Simultaneous I-beam and spring driven cam jaw closure mechanism |
US10194976B2 (en) | 2014-08-25 | 2019-02-05 | Ethicon Llc | Lockout disabling mechanism |
US10194972B2 (en) | 2014-08-26 | 2019-02-05 | Ethicon Llc | Managing tissue treatment |
EP3222239B1 (en) * | 2014-11-18 | 2022-04-20 | Olympus Corporation | Treatment tool and treatment system |
US10639092B2 (en) | 2014-12-08 | 2020-05-05 | Ethicon Llc | Electrode configurations for surgical instruments |
US10092348B2 (en) | 2014-12-22 | 2018-10-09 | Ethicon Llc | RF tissue sealer, shear grip, trigger lock mechanism and energy activation |
US10159524B2 (en) | 2014-12-22 | 2018-12-25 | Ethicon Llc | High power battery powered RF amplifier topology |
US9848937B2 (en) | 2014-12-22 | 2017-12-26 | Ethicon Llc | End effector with detectable configurations |
US10111699B2 (en) | 2014-12-22 | 2018-10-30 | Ethicon Llc | RF tissue sealer, shear grip, trigger lock mechanism and energy activation |
WO2016106093A1 (en) | 2014-12-23 | 2016-06-30 | Appplied Medical Resources Corporation | Bipolar electrosurgical sealer and divider |
GB2535003B (en) | 2015-01-14 | 2018-12-12 | Gyrus Medical Ltd | Electrosurgical instrument |
GB2535627B (en) | 2015-01-14 | 2017-06-28 | Gyrus Medical Ltd | Electrosurgical system |
GB2534147B (en) | 2015-01-14 | 2018-11-14 | Gyrus Medical Ltd | Manufacturing electrosurgical instruments |
GB2535006B (en) | 2015-01-14 | 2018-12-12 | Gyrus Medical Ltd | End effector for electrosurgical instrument |
US10245095B2 (en) | 2015-02-06 | 2019-04-02 | Ethicon Llc | Electrosurgical instrument with rotation and articulation mechanisms |
US10342602B2 (en) | 2015-03-17 | 2019-07-09 | Ethicon Llc | Managing tissue treatment |
US10321950B2 (en) | 2015-03-17 | 2019-06-18 | Ethicon Llc | Managing tissue treatment |
US10595929B2 (en) | 2015-03-24 | 2020-03-24 | Ethicon Llc | Surgical instruments with firing system overload protection mechanisms |
US10314638B2 (en) | 2015-04-07 | 2019-06-11 | Ethicon Llc | Articulating radio frequency (RF) tissue seal with articulating state sensing |
US10117702B2 (en) | 2015-04-10 | 2018-11-06 | Ethicon Llc | Surgical generator systems and related methods |
JP6062131B1 (ja) * | 2015-04-13 | 2017-01-18 | オリンパス株式会社 | 把持処置ユニット |
US10130410B2 (en) | 2015-04-17 | 2018-11-20 | Ethicon Llc | Electrosurgical instrument including a cutting member decouplable from a cutting member trigger |
US9872725B2 (en) | 2015-04-29 | 2018-01-23 | Ethicon Llc | RF tissue sealer with mode selection |
US11020140B2 (en) | 2015-06-17 | 2021-06-01 | Cilag Gmbh International | Ultrasonic surgical blade for use with ultrasonic surgical instruments |
US10034704B2 (en) | 2015-06-30 | 2018-07-31 | Ethicon Llc | Surgical instrument with user adaptable algorithms |
US11129669B2 (en) | 2015-06-30 | 2021-09-28 | Cilag Gmbh International | Surgical system with user adaptable techniques based on tissue type |
US10898256B2 (en) | 2015-06-30 | 2021-01-26 | Ethicon Llc | Surgical system with user adaptable techniques based on tissue impedance |
US10357303B2 (en) | 2015-06-30 | 2019-07-23 | Ethicon Llc | Translatable outer tube for sealing using shielded lap chole dissector |
US11141213B2 (en) | 2015-06-30 | 2021-10-12 | Cilag Gmbh International | Surgical instrument with user adaptable techniques |
US11051873B2 (en) | 2015-06-30 | 2021-07-06 | Cilag Gmbh International | Surgical system with user adaptable techniques employing multiple energy modalities based on tissue parameters |
US10154852B2 (en) | 2015-07-01 | 2018-12-18 | Ethicon Llc | Ultrasonic surgical blade with improved cutting and coagulation features |
US10987159B2 (en) | 2015-08-26 | 2021-04-27 | Covidien Lp | Electrosurgical end effector assemblies and electrosurgical forceps configured to reduce thermal spread |
US20170086909A1 (en) | 2015-09-30 | 2017-03-30 | Ethicon Endo-Surgery, Llc | Frequency agile generator for a surgical instrument |
US10959771B2 (en) | 2015-10-16 | 2021-03-30 | Ethicon Llc | Suction and irrigation sealing grasper |
US10548655B2 (en) * | 2015-10-16 | 2020-02-04 | Ethicon Llc | Control and electrical connections for electrode endocutter device |
US10595930B2 (en) | 2015-10-16 | 2020-03-24 | Ethicon Llc | Electrode wiping surgical device |
US10179022B2 (en) | 2015-12-30 | 2019-01-15 | Ethicon Llc | Jaw position impedance limiter for electrosurgical instrument |
US10959806B2 (en) | 2015-12-30 | 2021-03-30 | Ethicon Llc | Energized medical device with reusable handle |
US10575892B2 (en) | 2015-12-31 | 2020-03-03 | Ethicon Llc | Adapter for electrical surgical instruments |
US11229471B2 (en) | 2016-01-15 | 2022-01-25 | Cilag Gmbh International | Modular battery powered handheld surgical instrument with selective application of energy based on tissue characterization |
US10716615B2 (en) | 2016-01-15 | 2020-07-21 | Ethicon Llc | Modular battery powered handheld surgical instrument with curved end effectors having asymmetric engagement between jaw and blade |
US10709469B2 (en) | 2016-01-15 | 2020-07-14 | Ethicon Llc | Modular battery powered handheld surgical instrument with energy conservation techniques |
US11129670B2 (en) | 2016-01-15 | 2021-09-28 | Cilag Gmbh International | Modular battery powered handheld surgical instrument with selective application of energy based on button displacement, intensity, or local tissue characterization |
US10426543B2 (en) | 2016-01-23 | 2019-10-01 | Covidien Lp | Knife trigger for vessel sealer |
US10555769B2 (en) | 2016-02-22 | 2020-02-11 | Ethicon Llc | Flexible circuits for electrosurgical instrument |
US10485607B2 (en) | 2016-04-29 | 2019-11-26 | Ethicon Llc | Jaw structure with distal closure for electrosurgical instruments |
US10987156B2 (en) | 2016-04-29 | 2021-04-27 | Ethicon Llc | Electrosurgical instrument with electrically conductive gap setting member and electrically insulative tissue engaging members |
US10702329B2 (en) | 2016-04-29 | 2020-07-07 | Ethicon Llc | Jaw structure with distal post for electrosurgical instruments |
US10856934B2 (en) | 2016-04-29 | 2020-12-08 | Ethicon Llc | Electrosurgical instrument with electrically conductive gap setting and tissue engaging members |
US10646269B2 (en) | 2016-04-29 | 2020-05-12 | Ethicon Llc | Non-linear jaw gap for electrosurgical instruments |
US10456193B2 (en) | 2016-05-03 | 2019-10-29 | Ethicon Llc | Medical device with a bilateral jaw configuration for nerve stimulation |
US10245064B2 (en) | 2016-07-12 | 2019-04-02 | Ethicon Llc | Ultrasonic surgical instrument with piezoelectric central lumen transducer |
US10893883B2 (en) | 2016-07-13 | 2021-01-19 | Ethicon Llc | Ultrasonic assembly for use with ultrasonic surgical instruments |
US10842522B2 (en) | 2016-07-15 | 2020-11-24 | Ethicon Llc | Ultrasonic surgical instruments having offset blades |
US10682154B2 (en) | 2016-08-02 | 2020-06-16 | Covidien Lp | Cutting mechanisms for surgical end effector assemblies, instruments, and systems |
US10376305B2 (en) | 2016-08-05 | 2019-08-13 | Ethicon Llc | Methods and systems for advanced harmonic energy |
US10285723B2 (en) | 2016-08-09 | 2019-05-14 | Ethicon Llc | Ultrasonic surgical blade with improved heel portion |
US10631887B2 (en) | 2016-08-15 | 2020-04-28 | Covidien Lp | Electrosurgical forceps for video assisted thoracoscopic surgery and other surgical procedures |
USD847990S1 (en) | 2016-08-16 | 2019-05-07 | Ethicon Llc | Surgical instrument |
US10952759B2 (en) | 2016-08-25 | 2021-03-23 | Ethicon Llc | Tissue loading of a surgical instrument |
US10828056B2 (en) | 2016-08-25 | 2020-11-10 | Ethicon Llc | Ultrasonic transducer to waveguide acoustic coupling, connections, and configurations |
US10751117B2 (en) | 2016-09-23 | 2020-08-25 | Ethicon Llc | Electrosurgical instrument with fluid diverter |
US10603064B2 (en) | 2016-11-28 | 2020-03-31 | Ethicon Llc | Ultrasonic transducer |
US11266430B2 (en) | 2016-11-29 | 2022-03-08 | Cilag Gmbh International | End effector control and calibration |
US11033325B2 (en) | 2017-02-16 | 2021-06-15 | Cilag Gmbh International | Electrosurgical instrument with telescoping suction port and debris cleaner |
US10799284B2 (en) | 2017-03-15 | 2020-10-13 | Ethicon Llc | Electrosurgical instrument with textured jaws |
GB201705171D0 (en) * | 2017-03-30 | 2017-05-17 | Creo Medical Ltd | Elecrosurgical instrument |
US11497546B2 (en) | 2017-03-31 | 2022-11-15 | Cilag Gmbh International | Area ratios of patterned coatings on RF electrodes to reduce sticking |
WO2018189884A1 (ja) * | 2017-04-14 | 2018-10-18 | オリンパス株式会社 | 処置具 |
US10973567B2 (en) | 2017-05-12 | 2021-04-13 | Covidien Lp | Electrosurgical forceps for grasping, treating, and/or dividing tissue |
US11172980B2 (en) | 2017-05-12 | 2021-11-16 | Covidien Lp | Electrosurgical forceps for grasping, treating, and/or dividing tissue |
USD843574S1 (en) | 2017-06-08 | 2019-03-19 | Covidien Lp | Knife for open vessel sealer |
USD854149S1 (en) | 2017-06-08 | 2019-07-16 | Covidien Lp | End effector for open vessel sealer |
USD854684S1 (en) | 2017-06-08 | 2019-07-23 | Covidien Lp | Open vessel sealer with mechanical cutter |
US11058477B2 (en) | 2017-06-28 | 2021-07-13 | Cilag Gmbh International | Surgical cutting and fastening instruments with dual power sources |
US11013552B2 (en) | 2017-06-28 | 2021-05-25 | Cilag Gmbh International | Electrosurgical cartridge for use in thin profile surgical cutting and stapling instrument |
US10603117B2 (en) | 2017-06-28 | 2020-03-31 | Ethicon Llc | Articulation state detection mechanisms |
USD893717S1 (en) | 2017-06-28 | 2020-08-18 | Ethicon Llc | Staple cartridge for surgical instrument |
US11298128B2 (en) | 2017-06-28 | 2022-04-12 | Cilag Gmbh International | Surgical system couplable with staple cartridge and radio frequency cartridge, and method of using same |
US11272976B2 (en) | 2017-06-28 | 2022-03-15 | Cilag Gmbh International | Surgical end effector for applying electrosurgical energy to different electrodes on different time periods |
US10813640B2 (en) | 2017-06-28 | 2020-10-27 | Ethicon Llc | Method of coating slip rings |
US11065048B2 (en) | 2017-06-28 | 2021-07-20 | Cilag Gmbh International | Flexible circuit arrangement for surgical fastening instruments |
US11129666B2 (en) | 2017-06-28 | 2021-09-28 | Cilag Gmbh International | Shaft module circuitry arrangements |
US11278346B2 (en) | 2017-06-28 | 2022-03-22 | Cilag Gmbh International | Systems and methods of displaying surgical instrument status |
US10265120B2 (en) | 2017-06-28 | 2019-04-23 | Ethicon Llc | Systems and methods for controlling control circuits for an independent energy delivery over segmented sections |
US10888325B2 (en) | 2017-06-28 | 2021-01-12 | Ethicon Llc | Cartridge arrangements for surgical cutting and fastening instruments with lockout disablement features |
USD865175S1 (en) | 2017-06-28 | 2019-10-29 | Ethicon Llc | Staple cartridge for surgical instrument |
US10888369B2 (en) | 2017-06-28 | 2021-01-12 | Ethicon Llc | Systems and methods for controlling control circuits for independent energy delivery over segmented sections |
US11103301B2 (en) | 2017-06-28 | 2021-08-31 | Cilag Gmbh International | Surgical system coupleable with staple cartridge and radio frequency cartridge, and having a plurality of radio-frequency energy return paths |
US11160604B2 (en) | 2017-06-28 | 2021-11-02 | Cilag Gmbh International | Surgical end effector to adjust jaw compression |
USD908216S1 (en) | 2017-06-28 | 2021-01-19 | Ethicon Llc | Surgical instrument |
US10820920B2 (en) | 2017-07-05 | 2020-11-03 | Ethicon Llc | Reusable ultrasonic medical devices and methods of their use |
US11033323B2 (en) | 2017-09-29 | 2021-06-15 | Cilag Gmbh International | Systems and methods for managing fluid and suction in electrosurgical systems |
US11490951B2 (en) | 2017-09-29 | 2022-11-08 | Cilag Gmbh International | Saline contact with electrodes |
US11484358B2 (en) | 2017-09-29 | 2022-11-01 | Cilag Gmbh International | Flexible electrosurgical instrument |
US11696778B2 (en) | 2017-10-30 | 2023-07-11 | Cilag Gmbh International | Surgical dissectors configured to apply mechanical and electrical energy |
US11801098B2 (en) | 2017-10-30 | 2023-10-31 | Cilag Gmbh International | Method of hub communication with surgical instrument systems |
US11510741B2 (en) | 2017-10-30 | 2022-11-29 | Cilag Gmbh International | Method for producing a surgical instrument comprising a smart electrical system |
US11564756B2 (en) | 2017-10-30 | 2023-01-31 | Cilag Gmbh International | Method of hub communication with surgical instrument systems |
US11911045B2 (en) | 2017-10-30 | 2024-02-27 | Cllag GmbH International | Method for operating a powered articulating multi-clip applier |
EP3476348B1 (en) * | 2017-10-30 | 2024-07-03 | Ethicon LLC | Surgical dissectors configured to apply mechanical and electrical energy |
US11832899B2 (en) | 2017-12-28 | 2023-12-05 | Cilag Gmbh International | Surgical systems with autonomously adjustable control programs |
US11844579B2 (en) | 2017-12-28 | 2023-12-19 | Cilag Gmbh International | Adjustments based on airborne particle properties |
US20190206569A1 (en) | 2017-12-28 | 2019-07-04 | Ethicon Llc | Method of cloud based data analytics for use with the hub |
US11969142B2 (en) | 2017-12-28 | 2024-04-30 | Cilag Gmbh International | Method of compressing tissue within a stapling device and simultaneously displaying the location of the tissue within the jaws |
US11076921B2 (en) | 2017-12-28 | 2021-08-03 | Cilag Gmbh International | Adaptive control program updates for surgical hubs |
US11696760B2 (en) | 2017-12-28 | 2023-07-11 | Cilag Gmbh International | Safety systems for smart powered surgical stapling |
US10758310B2 (en) | 2017-12-28 | 2020-09-01 | Ethicon Llc | Wireless pairing of a surgical device with another device within a sterile surgical field based on the usage and situational awareness of devices |
US11132462B2 (en) | 2017-12-28 | 2021-09-28 | Cilag Gmbh International | Data stripping method to interrogate patient records and create anonymized record |
US11672605B2 (en) | 2017-12-28 | 2023-06-13 | Cilag Gmbh International | Sterile field interactive control displays |
US11771487B2 (en) | 2017-12-28 | 2023-10-03 | Cilag Gmbh International | Mechanisms for controlling different electromechanical systems of an electrosurgical instrument |
US11903601B2 (en) | 2017-12-28 | 2024-02-20 | Cilag Gmbh International | Surgical instrument comprising a plurality of drive systems |
US11969216B2 (en) | 2017-12-28 | 2024-04-30 | Cilag Gmbh International | Surgical network recommendations from real time analysis of procedure variables against a baseline highlighting differences from the optimal solution |
US11937769B2 (en) | 2017-12-28 | 2024-03-26 | Cilag Gmbh International | Method of hub communication, processing, storage and display |
US11464559B2 (en) | 2017-12-28 | 2022-10-11 | Cilag Gmbh International | Estimating state of ultrasonic end effector and control system therefor |
US11166772B2 (en) | 2017-12-28 | 2021-11-09 | Cilag Gmbh International | Surgical hub coordination of control and communication of operating room devices |
US11786251B2 (en) | 2017-12-28 | 2023-10-17 | Cilag Gmbh International | Method for adaptive control schemes for surgical network control and interaction |
US11666331B2 (en) | 2017-12-28 | 2023-06-06 | Cilag Gmbh International | Systems for detecting proximity of surgical end effector to cancerous tissue |
US11818052B2 (en) | 2017-12-28 | 2023-11-14 | Cilag Gmbh International | Surgical network determination of prioritization of communication, interaction, or processing based on system or device needs |
US11896443B2 (en) | 2017-12-28 | 2024-02-13 | Cilag Gmbh International | Control of a surgical system through a surgical barrier |
US20190201594A1 (en) | 2017-12-28 | 2019-07-04 | Ethicon Llc | Method of sensing particulate from smoke evacuated from a patient, adjusting the pump speed based on the sensed information, and communicating the functional parameters of the system to the hub |
US11257589B2 (en) | 2017-12-28 | 2022-02-22 | Cilag Gmbh International | Real-time analysis of comprehensive cost of all instrumentation used in surgery utilizing data fluidity to track instruments through stocking and in-house processes |
US11744604B2 (en) | 2017-12-28 | 2023-09-05 | Cilag Gmbh International | Surgical instrument with a hardware-only control circuit |
US11389164B2 (en) | 2017-12-28 | 2022-07-19 | Cilag Gmbh International | Method of using reinforced flexible circuits with multiple sensors to optimize performance of radio frequency devices |
US11612408B2 (en) | 2017-12-28 | 2023-03-28 | Cilag Gmbh International | Determining tissue composition via an ultrasonic system |
US11864728B2 (en) | 2017-12-28 | 2024-01-09 | Cilag Gmbh International | Characterization of tissue irregularities through the use of mono-chromatic light refractivity |
US11998193B2 (en) | 2017-12-28 | 2024-06-04 | Cilag Gmbh International | Method for usage of the shroud as an aspect of sensing or controlling a powered surgical device, and a control algorithm to adjust its default operation |
US11678881B2 (en) | 2017-12-28 | 2023-06-20 | Cilag Gmbh International | Spatial awareness of surgical hubs in operating rooms |
US11896322B2 (en) | 2017-12-28 | 2024-02-13 | Cilag Gmbh International | Sensing the patient position and contact utilizing the mono-polar return pad electrode to provide situational awareness to the hub |
US12062442B2 (en) | 2017-12-28 | 2024-08-13 | Cilag Gmbh International | Method for operating surgical instrument systems |
US20190201113A1 (en) | 2017-12-28 | 2019-07-04 | Ethicon Llc | Controls for robot-assisted surgical platforms |
US11202570B2 (en) | 2017-12-28 | 2021-12-21 | Cilag Gmbh International | Communication hub and storage device for storing parameters and status of a surgical device to be shared with cloud based analytics systems |
US11857152B2 (en) | 2017-12-28 | 2024-01-02 | Cilag Gmbh International | Surgical hub spatial awareness to determine devices in operating theater |
US11109866B2 (en) | 2017-12-28 | 2021-09-07 | Cilag Gmbh International | Method for circular stapler control algorithm adjustment based on situational awareness |
WO2019167120A1 (ja) * | 2018-02-27 | 2019-09-06 | オリンパス株式会社 | 処置具及び処置具の使用方法 |
US11298148B2 (en) | 2018-03-08 | 2022-04-12 | Cilag Gmbh International | Live time tissue classification using electrical parameters |
US11259830B2 (en) | 2018-03-08 | 2022-03-01 | Cilag Gmbh International | Methods for controlling temperature in ultrasonic device |
US11678927B2 (en) | 2018-03-08 | 2023-06-20 | Cilag Gmbh International | Detection of large vessels during parenchymal dissection using a smart blade |
US11259806B2 (en) | 2018-03-28 | 2022-03-01 | Cilag Gmbh International | Surgical stapling devices with features for blocking advancement of a camming assembly of an incompatible cartridge installed therein |
US11090047B2 (en) | 2018-03-28 | 2021-08-17 | Cilag Gmbh International | Surgical instrument comprising an adaptive control system |
US10780544B2 (en) | 2018-04-24 | 2020-09-22 | Covidien Lp | Systems and methods facilitating reprocessing of surgical instruments |
EP3846717A1 (en) | 2018-09-05 | 2021-07-14 | Applied Medical Resources Corporation | Electrosurgical generator control system |
US11376062B2 (en) | 2018-10-12 | 2022-07-05 | Covidien Lp | Electrosurgical forceps |
US11471211B2 (en) | 2018-10-12 | 2022-10-18 | Covidien Lp | Electrosurgical forceps |
AU2019381617A1 (en) | 2018-11-16 | 2021-05-20 | Applied Medical Resources Corporation | Electrosurgical system |
US11350982B2 (en) | 2018-12-05 | 2022-06-07 | Covidien Lp | Electrosurgical forceps |
JP1650795S (ja) * | 2019-01-25 | 2020-01-20 | ||
US11298129B2 (en) | 2019-02-19 | 2022-04-12 | Cilag Gmbh International | Method for providing an authentication lockout in a surgical stapler with a replaceable cartridge |
US11523861B2 (en) | 2019-03-22 | 2022-12-13 | Covidien Lp | Methods for manufacturing a jaw assembly for an electrosurgical forceps |
US11607267B2 (en) | 2019-06-10 | 2023-03-21 | Covidien Lp | Electrosurgical forceps |
US11612445B2 (en) | 2019-06-27 | 2023-03-28 | Cilag Gmbh International | Cooperative operation of robotic arms |
US11376082B2 (en) | 2019-06-27 | 2022-07-05 | Cilag Gmbh International | Robotic surgical system with local sensing of functional parameters based on measurements of multiple physical inputs |
US11547468B2 (en) | 2019-06-27 | 2023-01-10 | Cilag Gmbh International | Robotic surgical system with safety and cooperative sensing control |
US11413102B2 (en) | 2019-06-27 | 2022-08-16 | Cilag Gmbh International | Multi-access port for surgical robotic systems |
US11607278B2 (en) | 2019-06-27 | 2023-03-21 | Cilag Gmbh International | Cooperative robotic surgical systems |
US11723729B2 (en) | 2019-06-27 | 2023-08-15 | Cilag Gmbh International | Robotic surgical assembly coupling safety mechanisms |
US11517370B2 (en) * | 2019-07-05 | 2022-12-06 | Covidien Lp | Surgical forceps having a cutting edge |
CN110522509A (zh) * | 2019-08-30 | 2019-12-03 | 江苏邦士医疗科技有限公司 | 一种可减少热损伤的多功能剪式高频电刀 |
US11452525B2 (en) | 2019-12-30 | 2022-09-27 | Cilag Gmbh International | Surgical instrument comprising an adjustment system |
US11660089B2 (en) | 2019-12-30 | 2023-05-30 | Cilag Gmbh International | Surgical instrument comprising a sensing system |
US11779329B2 (en) | 2019-12-30 | 2023-10-10 | Cilag Gmbh International | Surgical instrument comprising a flex circuit including a sensor system |
US11950797B2 (en) | 2019-12-30 | 2024-04-09 | Cilag Gmbh International | Deflectable electrode with higher distal bias relative to proximal bias |
US11744636B2 (en) | 2019-12-30 | 2023-09-05 | Cilag Gmbh International | Electrosurgical systems with integrated and external power sources |
US11696776B2 (en) | 2019-12-30 | 2023-07-11 | Cilag Gmbh International | Articulatable surgical instrument |
US12023086B2 (en) | 2019-12-30 | 2024-07-02 | Cilag Gmbh International | Electrosurgical instrument for delivering blended energy modalities to tissue |
US11786291B2 (en) | 2019-12-30 | 2023-10-17 | Cilag Gmbh International | Deflectable support of RF energy electrode with respect to opposing ultrasonic blade |
US20210196361A1 (en) | 2019-12-30 | 2021-07-01 | Ethicon Llc | Electrosurgical instrument with monopolar and bipolar energy capabilities |
US12064109B2 (en) | 2019-12-30 | 2024-08-20 | Cilag Gmbh International | Surgical instrument comprising a feedback control circuit |
US11944366B2 (en) | 2019-12-30 | 2024-04-02 | Cilag Gmbh International | Asymmetric segmented ultrasonic support pad for cooperative engagement with a movable RF electrode |
US11986201B2 (en) | 2019-12-30 | 2024-05-21 | Cilag Gmbh International | Method for operating a surgical instrument |
US12053224B2 (en) | 2019-12-30 | 2024-08-06 | Cilag Gmbh International | Variation in electrode parameters and deflectable electrode to modify energy density and tissue interaction |
US11937863B2 (en) | 2019-12-30 | 2024-03-26 | Cilag Gmbh International | Deflectable electrode with variable compression bias along the length of the deflectable electrode |
US11911063B2 (en) | 2019-12-30 | 2024-02-27 | Cilag Gmbh International | Techniques for detecting ultrasonic blade to electrode contact and reducing power to ultrasonic blade |
US20210196363A1 (en) | 2019-12-30 | 2021-07-01 | Ethicon Llc | Electrosurgical instrument with electrodes operable in bipolar and monopolar modes |
US11779387B2 (en) | 2019-12-30 | 2023-10-10 | Cilag Gmbh International | Clamp arm jaw to minimize tissue sticking and improve tissue control |
US11812957B2 (en) | 2019-12-30 | 2023-11-14 | Cilag Gmbh International | Surgical instrument comprising a signal interference resolution system |
US11684412B2 (en) | 2019-12-30 | 2023-06-27 | Cilag Gmbh International | Surgical instrument with rotatable and articulatable surgical end effector |
US11786294B2 (en) | 2019-12-30 | 2023-10-17 | Cilag Gmbh International | Control program for modular combination energy device |
US11617612B2 (en) | 2020-03-16 | 2023-04-04 | Covidien Lp | Forceps with linear trigger mechanism |
US11660109B2 (en) | 2020-09-08 | 2023-05-30 | Covidien Lp | Cutting elements for surgical instruments such as for use in robotic surgical systems |
US12059196B2 (en) | 2020-12-15 | 2024-08-13 | Covidien Lp | Energy-based surgical instrument for grasping, treating, and/or dividing tissue |
US11806068B2 (en) | 2020-12-15 | 2023-11-07 | Covidien Lp | Energy-based surgical instrument for grasping, treating, and/or dividing tissue |
US11931035B2 (en) | 2021-04-30 | 2024-03-19 | Cilag Gmbh International | Articulation system for surgical instrument |
US11826043B2 (en) | 2021-04-30 | 2023-11-28 | Cilag Gmbh International | Staple cartridge comprising formation support features |
US11918275B2 (en) | 2021-04-30 | 2024-03-05 | Cilag Gmbh International | Electrosurgical adaptation techniques of energy modality for combination electrosurgical instruments based on shorting or tissue impedance irregularity |
US11857184B2 (en) | 2021-04-30 | 2024-01-02 | Cilag Gmbh International | Surgical instrument comprising a rotation-driven and translation-driven tissue cutting knife |
US11944295B2 (en) | 2021-04-30 | 2024-04-02 | Cilag Gmbh International | Surgical instrument comprising end effector with longitudinal sealing step |
US11974829B2 (en) | 2021-06-30 | 2024-05-07 | Cilag Gmbh International | Link-driven articulation device for a surgical device |
US11931026B2 (en) | 2021-06-30 | 2024-03-19 | Cilag Gmbh International | Staple cartridge replacement |
US11957342B2 (en) | 2021-11-01 | 2024-04-16 | Cilag Gmbh International | Devices, systems, and methods for detecting tissue and foreign objects during a surgical operation |
Family Cites Families (127)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
SU401367A1 (ru) | 1971-10-05 | 1973-10-12 | Тернопольский государственный медицинский институт | Биактивный электрохирургическнп инструмент |
DE2415263A1 (de) | 1974-03-29 | 1975-10-02 | Aesculap Werke Ag | Chirurgische hf-koagulationssonde |
DE2514501A1 (de) | 1975-04-03 | 1976-10-21 | Karl Storz | Bipolares coagulationsinstrument fuer endoskope |
FR2315286A2 (fr) | 1975-06-26 | 1977-01-21 | Lamidey Marcel | Pince a dissequer, hemostatique, haute frequence |
USD249549S (en) | 1976-10-22 | 1978-09-19 | Aspen Laboratories, Inc. | Electrosurgical handle |
USD263020S (en) | 1980-01-22 | 1982-02-16 | Rau Iii David M | Retractable knife |
JPS61501068A (ja) | 1984-01-30 | 1986-05-29 | ハルコフスキイ ナウチノ−イススレドワテルスキイ インスチチユ−ト オブスチエイ イ ネオトロジノイ ヒルルギイ | 二極性電気外科用器械 |
DE3423356C2 (de) | 1984-06-25 | 1986-06-26 | Berchtold Medizin-Elektronik GmbH & Co, 7200 Tuttlingen | Elektrochirurgisches Hochfrequenz-Schneidinstrument |
US4657016A (en) | 1984-08-20 | 1987-04-14 | Garito Jon C | Electrosurgical handpiece for blades, needles and forceps |
USD299413S (en) | 1985-07-17 | 1989-01-17 | The Stanley Works | Folding pocket saw handle |
USD295893S (en) | 1985-09-25 | 1988-05-24 | Acme United Corporation | Disposable surgical clamp |
USD295894S (en) | 1985-09-26 | 1988-05-24 | Acme United Corporation | Disposable surgical scissors |
USD298353S (en) | 1986-05-06 | 1988-11-01 | Vitalmetrics, Inc. | Handle for surgical instrument |
DE8712328U1 (de) | 1987-09-11 | 1988-02-18 | Jakoubek, Franz, 7201 Emmingen-Liptingen | Endoskopiezange |
DE4017626A1 (de) * | 1989-05-31 | 1990-12-06 | Kyocera Corp | Blutgefaesskoagulations-/-blutstillungs-einrichtung |
JP2806511B2 (ja) | 1990-07-31 | 1998-09-30 | 松下電工株式会社 | 合金系焼結体の製法 |
US5190541A (en) | 1990-10-17 | 1993-03-02 | Boston Scientific Corporation | Surgical instrument and method |
JP2951418B2 (ja) | 1991-02-08 | 1999-09-20 | トキコ株式会社 | 試料液成分分析装置 |
USD348930S (en) | 1991-10-11 | 1994-07-19 | Ethicon, Inc. | Endoscopic stapler |
USD349341S (en) | 1992-10-28 | 1994-08-02 | Microsurge, Inc. | Endoscopic grasper |
DE4303882C2 (de) | 1993-02-10 | 1995-02-09 | Kernforschungsz Karlsruhe | Kombinationsinstrument zum Trennen und Koagulieren für die minimal invasive Chirurgie |
GB9309142D0 (en) | 1993-05-04 | 1993-06-16 | Gyrus Medical Ltd | Laparoscopic instrument |
USD343453S (en) | 1993-05-05 | 1994-01-18 | Laparomed Corporation | Handle for laparoscopic surgical instrument |
USD354564S (en) | 1993-06-25 | 1995-01-17 | Richard-Allan Medical Industries, Inc. | Surgical clip applier |
US5810811A (en) | 1993-07-22 | 1998-09-22 | Ethicon Endo-Surgery, Inc. | Electrosurgical hemostatic device |
US5431674A (en) * | 1993-09-07 | 1995-07-11 | Pa Consulting Group | Compound motion cutting device |
GB9322464D0 (en) | 1993-11-01 | 1993-12-22 | Gyrus Medical Ltd | Electrosurgical apparatus |
USD358887S (en) | 1993-12-02 | 1995-05-30 | Cobot Medical Corporation | Combined cutting and coagulating forceps |
DE4403252A1 (de) | 1994-02-03 | 1995-08-10 | Michael Hauser | Instrumentenschaft für die minimalinvasive Chirurgie |
GB9413070D0 (en) | 1994-06-29 | 1994-08-17 | Gyrus Medical Ltd | Electrosurgical apparatus |
USD384413S (en) | 1994-10-07 | 1997-09-30 | United States Surgical Corporation | Endoscopic suturing instrument |
GB9425781D0 (en) | 1994-12-21 | 1995-02-22 | Gyrus Medical Ltd | Electrosurgical instrument |
DE19506363A1 (de) | 1995-02-24 | 1996-08-29 | Frost Lore Geb Haupt | Verfahren zur nicht-invasiven Thermometrie in Organen unter medizinischen Hyperthermie- und Koagulationsbedingungen |
DE19515914C1 (de) | 1995-05-02 | 1996-07-25 | Aesculap Ag | Zangen- oder scherenförmiges chirurgisches Instrument |
US6293942B1 (en) | 1995-06-23 | 2001-09-25 | Gyrus Medical Limited | Electrosurgical generator method |
JPH1024051A (ja) | 1995-09-20 | 1998-01-27 | Olympus Optical Co Ltd | 切離機能付凝固鉗子 |
US5674220A (en) | 1995-09-29 | 1997-10-07 | Ethicon Endo-Surgery, Inc. | Bipolar electrosurgical clamping device |
US5658281A (en) * | 1995-12-04 | 1997-08-19 | Valleylab Inc | Bipolar electrosurgical scissors and method of manufacture |
US5810805A (en) | 1996-02-09 | 1998-09-22 | Conmed Corporation | Bipolar surgical devices and surgical methods |
DE19608716C1 (de) | 1996-03-06 | 1997-04-17 | Aesculap Ag | Bipolares chirurgisches Faßinstrument |
US5702390A (en) | 1996-03-12 | 1997-12-30 | Ethicon Endo-Surgery, Inc. | Bioplar cutting and coagulation instrument |
USD416089S (en) | 1996-04-08 | 1999-11-02 | Richard-Allan Medical Industries, Inc. | Endoscopic linear stapling and dividing surgical instrument |
DE29616210U1 (de) | 1996-09-18 | 1996-11-14 | Olympus Winter & Ibe Gmbh, 22045 Hamburg | Handhabe für chirurgische Instrumente |
US5923475A (en) | 1996-11-27 | 1999-07-13 | Eastman Kodak Company | Laser printer using a fly's eye integrator |
US5891142A (en) | 1996-12-06 | 1999-04-06 | Eggers & Associates, Inc. | Electrosurgical forceps |
US7083613B2 (en) * | 1997-03-05 | 2006-08-01 | The Trustees Of Columbia University In The City Of New York | Ringed forceps |
USH2037H1 (en) | 1997-05-14 | 2002-07-02 | David C. Yates | Electrosurgical hemostatic device including an anvil |
DE19738457B4 (de) | 1997-09-03 | 2009-01-02 | Celon Ag Medical Instruments | Verfahren und Vorrichtung für die In-vivo-Tiefenkoagulation biologischer Gewebevolumina bei gleichzeitiger Schonung der Gewebeoberfläche mit hochfrequentem Wechselstrom |
USD402028S (en) | 1997-10-10 | 1998-12-01 | Invasatec, Inc. | Hand controller for medical system |
DE19751108A1 (de) | 1997-11-18 | 1999-05-20 | Beger Frank Michael Dipl Desig | Elektrochirurgisches Operationswerkzeug |
JPH11169381A (ja) | 1997-12-15 | 1999-06-29 | Olympus Optical Co Ltd | 高周波処置具 |
EP0923907A1 (en) | 1997-12-19 | 1999-06-23 | Gyrus Medical Limited | An electrosurgical instrument |
US6736813B2 (en) | 1998-01-23 | 2004-05-18 | Olympus Optical Co., Ltd. | High-frequency treatment tool |
JP2000139943A (ja) * | 1998-09-02 | 2000-05-23 | Olympus Optical Co Ltd | 高周波処置具 |
US6296640B1 (en) * | 1998-02-06 | 2001-10-02 | Ethicon Endo-Surgery, Inc. | RF bipolar end effector for use in electrosurgical instruments |
USD424694S (en) | 1998-10-23 | 2000-05-09 | Sherwood Services Ag | Forceps |
USD449886S1 (en) | 1998-10-23 | 2001-10-30 | Sherwood Services Ag | Forceps with disposable electrode |
USD425201S (en) | 1998-10-23 | 2000-05-16 | Sherwood Services Ag | Disposable electrode assembly |
DE19858512C1 (de) | 1998-12-18 | 2000-05-25 | Storz Karl Gmbh & Co Kg | Bipolares medizinisches Instrument |
US6152923A (en) * | 1999-04-28 | 2000-11-28 | Sherwood Services Ag | Multi-contact forceps and method of sealing, coagulating, cauterizing and/or cutting vessels and tissue |
GB9911954D0 (en) | 1999-05-21 | 1999-07-21 | Gyrus Medical Ltd | Electrosurgery system and instrument |
GB9911956D0 (en) | 1999-05-21 | 1999-07-21 | Gyrus Medical Ltd | Electrosurgery system and method |
GB9912625D0 (en) | 1999-05-28 | 1999-07-28 | Gyrus Medical Ltd | An electrosurgical generator and system |
GB9912627D0 (en) | 1999-05-28 | 1999-07-28 | Gyrus Medical Ltd | An electrosurgical instrument |
GB9913652D0 (en) | 1999-06-11 | 1999-08-11 | Gyrus Medical Ltd | An electrosurgical generator |
USD465281S1 (en) | 1999-09-21 | 2002-11-05 | Karl Storz Gmbh & Co. Kg | Endoscopic medical instrument |
DE10003020C2 (de) | 2000-01-25 | 2001-12-06 | Aesculap Ag & Co Kg | Bipolares Faßinstrument |
DE10027727C1 (de) | 2000-06-03 | 2001-12-06 | Aesculap Ag & Co Kg | Scheren- oder zangenförmiges chirurgisches Instrument |
DE10045375C2 (de) | 2000-09-14 | 2002-10-24 | Aesculap Ag & Co Kg | Medizinisches Instrument |
USD454951S1 (en) | 2001-02-27 | 2002-03-26 | Visionary Biomedical, Inc. | Steerable catheter |
USD466209S1 (en) | 2001-02-27 | 2002-11-26 | Visionary Biomedical, Inc. | Steerable catheter |
US20030229344A1 (en) * | 2002-01-22 | 2003-12-11 | Dycus Sean T. | Vessel sealer and divider and method of manufacturing same |
USD457959S1 (en) | 2001-04-06 | 2002-05-28 | Sherwood Services Ag | Vessel sealer |
US7083618B2 (en) | 2001-04-06 | 2006-08-01 | Sherwood Services Ag | Vessel sealer and divider |
US7101371B2 (en) | 2001-04-06 | 2006-09-05 | Dycus Sean T | Vessel sealer and divider |
USD457958S1 (en) | 2001-04-06 | 2002-05-28 | Sherwood Services Ag | Vessel sealer and divider |
US20030018332A1 (en) | 2001-06-20 | 2003-01-23 | Schmaltz Dale Francis | Bipolar electrosurgical instrument with replaceable electrodes |
US7052496B2 (en) * | 2001-12-11 | 2006-05-30 | Olympus Optical Co., Ltd. | Instrument for high-frequency treatment and method of high-frequency treatment |
US6602252B2 (en) | 2002-01-03 | 2003-08-05 | Starion Instruments Corporation | Combined dissecting, cauterizing, and stapling device |
US7270664B2 (en) | 2002-10-04 | 2007-09-18 | Sherwood Services Ag | Vessel sealing instrument with electrical cutting mechanism |
US7931649B2 (en) * | 2002-10-04 | 2011-04-26 | Tyco Healthcare Group Lp | Vessel sealing instrument with electrical cutting mechanism |
USD493888S1 (en) | 2003-02-04 | 2004-08-03 | Sherwood Services Ag | Electrosurgical pencil with pistol grip |
EP1617778A2 (en) | 2003-05-01 | 2006-01-25 | Sherwood Services AG | Electrosurgical instrument which reduces thermal damage to adjacent tissue |
USD496997S1 (en) | 2003-05-15 | 2004-10-05 | Sherwood Services Ag | Vessel sealer and divider |
USD499181S1 (en) | 2003-05-15 | 2004-11-30 | Sherwood Services Ag | Handle for a vessel sealer and divider |
USD502994S1 (en) | 2003-05-21 | 2005-03-15 | Blake, Iii Joseph W | Repeating multi-clip applier |
USD545432S1 (en) | 2003-08-08 | 2007-06-26 | Olympus Corporation | Distal portion of hemostatic forceps for endoscope |
USD509297S1 (en) | 2003-10-17 | 2005-09-06 | Tyco Healthcare Group, Lp | Surgical instrument |
US7232440B2 (en) | 2003-11-17 | 2007-06-19 | Sherwood Services Ag | Bipolar forceps having monopolar extension |
US7367976B2 (en) | 2003-11-17 | 2008-05-06 | Sherwood Services Ag | Bipolar forceps having monopolar extension |
GB2408936B (en) * | 2003-12-09 | 2007-07-18 | Gyrus Group Plc | A surgical instrument |
US20050192633A1 (en) * | 2004-01-23 | 2005-09-01 | Montpetit Karen P. | Tissue fastening and cutting tool, and methods |
US7204835B2 (en) * | 2004-02-02 | 2007-04-17 | Gyrus Medical, Inc. | Surgical instrument |
USD541938S1 (en) | 2004-04-09 | 2007-05-01 | Sherwood Services Ag | Open vessel sealer with mechanical cutter |
DE102004026179B4 (de) | 2004-05-14 | 2009-01-22 | Erbe Elektromedizin Gmbh | Elektrochirurgisches Instrument |
USD533942S1 (en) | 2004-06-30 | 2006-12-19 | Sherwood Services Ag | Open vessel sealer with mechanical cutter |
USD525361S1 (en) | 2004-10-06 | 2006-07-18 | Sherwood Services Ag | Hemostat style elongated dissecting and dividing instrument |
USD535027S1 (en) | 2004-10-06 | 2007-01-09 | Sherwood Services Ag | Low profile vessel sealing and cutting mechanism |
USD541418S1 (en) | 2004-10-06 | 2007-04-24 | Sherwood Services Ag | Lung sealing device |
USD531311S1 (en) | 2004-10-06 | 2006-10-31 | Sherwood Services Ag | Pistol grip style elongated dissecting and dividing instrument |
USD567943S1 (en) | 2004-10-08 | 2008-04-29 | Sherwood Services Ag | Over-ratchet safety for a vessel sealing instrument |
USD533274S1 (en) | 2004-10-12 | 2006-12-05 | Allegiance Corporation | Handle for surgical suction-irrigation device |
USD582038S1 (en) | 2004-10-13 | 2008-12-02 | Medtronic, Inc. | Transurethral needle ablation device |
USD564662S1 (en) | 2004-10-13 | 2008-03-18 | Sherwood Services Ag | Hourglass-shaped knife for electrosurgical forceps |
USD538932S1 (en) | 2005-06-30 | 2007-03-20 | Medical Action Industries Inc. | Surgical needle holder |
US7722607B2 (en) | 2005-09-30 | 2010-05-25 | Covidien Ag | In-line vessel sealer and divider |
US7744591B2 (en) * | 2005-12-29 | 2010-06-29 | Boston Scientific Scimed, Inc. | Foam electrode and method of use thereof during tissue resection |
USD541611S1 (en) | 2006-01-26 | 2007-05-01 | Robert Bosch Gmbh | Cordless screwdriver |
USD547154S1 (en) | 2006-09-08 | 2007-07-24 | Winsource Industries Limited | Rotary driving tool |
US7951149B2 (en) * | 2006-10-17 | 2011-05-31 | Tyco Healthcare Group Lp | Ablative material for use with tissue treatment device |
USD575395S1 (en) | 2007-02-15 | 2008-08-19 | Tyco Healthcare Group Lp | Hemostat style elongated dissecting and dividing instrument |
USD575401S1 (en) | 2007-06-12 | 2008-08-19 | Tyco Healthcare Group Lp | Vessel sealer |
DE202007009317U1 (de) | 2007-06-26 | 2007-08-30 | Aesculap Ag & Co. Kg | Chirurgisches Instrument |
WO2009005850A1 (en) | 2007-06-29 | 2009-01-08 | Tyco Healthcare Group, Lp | Method and system for monitoring tissue during an electrosurgical procedure |
US8568410B2 (en) * | 2007-08-31 | 2013-10-29 | Ethicon Endo-Surgery, Inc. | Electrical ablation surgical instruments |
WO2009032623A2 (en) * | 2007-08-31 | 2009-03-12 | Ethicon Endo-Surgery, Inc | Electrical albation surgical instruments |
US20100036370A1 (en) * | 2008-08-07 | 2010-02-11 | Al Mirel | Electrosurgical instrument jaw structure with cutting tip |
US20100249769A1 (en) | 2009-03-24 | 2010-09-30 | Tyco Healthcare Group Lp | Apparatus for Tissue Sealing |
US8226650B2 (en) | 2009-03-26 | 2012-07-24 | Tyco Healthcare Group Lp | Apparatus, system, and method for performing an endoscopic electrosurgical procedure |
USD621503S1 (en) | 2009-04-28 | 2010-08-10 | Tyco Healthcare Group Ip | Pistol grip laparoscopic sealing and dissection device |
USD618798S1 (en) | 2009-05-13 | 2010-06-29 | Tyco Healthcare Group Lp | Vessel sealing jaw seal plate |
USD617901S1 (en) | 2009-05-13 | 2010-06-15 | Tyco Healthcare Group Lp | End effector chamfered tip |
USD617903S1 (en) | 2009-05-13 | 2010-06-15 | Tyco Healthcare Group Lp | End effector pointed tip |
USD617902S1 (en) | 2009-05-13 | 2010-06-15 | Tyco Healthcare Group Lp | End effector tip with undercut top jaw |
USD617900S1 (en) | 2009-05-13 | 2010-06-15 | Tyco Healthcare Group Lp | End effector tip with undercut bottom jaw |
GB2472216A (en) * | 2009-07-28 | 2011-02-02 | Gyrus Medical Ltd | Bipolar electrosurgical instrument with four electrodes |
US8663222B2 (en) | 2010-09-07 | 2014-03-04 | Covidien Lp | Dynamic and static bipolar electrical sealing and cutting device |
-
2010
- 2010-09-07 US US12/876,668 patent/US8663222B2/en active Active
-
2011
- 2011-09-01 CA CA2751312A patent/CA2751312C/en not_active Expired - Fee Related
- 2011-09-05 AU AU2011218765A patent/AU2011218765B2/en not_active Ceased
- 2011-09-06 EP EP16186852.6A patent/EP3178427B1/en active Active
- 2011-09-06 EP EP11180182.5A patent/EP2425791B1/en active Active
- 2011-09-06 JP JP2011194150A patent/JP5767914B2/ja active Active
-
2014
- 2014-02-12 US US14/178,540 patent/US9259263B2/en active Active
- 2014-06-20 AU AU2014203365A patent/AU2014203365B2/en not_active Ceased
-
2016
- 2016-01-25 US US15/005,068 patent/US20160135874A1/en not_active Abandoned
- 2016-02-04 AU AU2016200698A patent/AU2016200698B2/en not_active Ceased
Also Published As
Publication number | Publication date |
---|---|
AU2016200698B2 (en) | 2017-02-16 |
US20140163552A1 (en) | 2014-06-12 |
CA2751312A1 (en) | 2012-03-07 |
EP2425791B1 (en) | 2016-11-02 |
EP3178427B1 (en) | 2021-10-27 |
EP2425791A1 (en) | 2012-03-07 |
AU2011218765B2 (en) | 2014-04-17 |
AU2014203365B2 (en) | 2015-11-26 |
US20160135874A1 (en) | 2016-05-19 |
AU2014203365A1 (en) | 2014-07-10 |
US8663222B2 (en) | 2014-03-04 |
AU2016200698A1 (en) | 2016-02-25 |
AU2011218765A1 (en) | 2012-03-22 |
US9259263B2 (en) | 2016-02-16 |
CA2751312C (en) | 2018-10-09 |
JP2012055691A (ja) | 2012-03-22 |
EP3178427A1 (en) | 2017-06-14 |
US20120059371A1 (en) | 2012-03-08 |
Similar Documents
Publication | Publication Date | Title |
---|---|---|
JP5767914B2 (ja) | 動的および静的双極性電気的シーリングおよび切断デバイス | |
JP5160168B2 (ja) | 複数の電極構成を有する脈管密封器具 | |
EP2412327B1 (en) | Local optimization of electrode current densities | |
US9375245B2 (en) | Surgical forceps | |
JP6133671B2 (ja) | 外科用鉗子 | |
US9554845B2 (en) | Surgical forceps for treating and cutting tissue | |
CN102481169B (zh) | 电外科钳 | |
EP2425792B1 (en) | An electrosurgical instrument | |
US6585735B1 (en) | Endoscopic bipolar electrosurgical forceps | |
US6682528B2 (en) | Endoscopic bipolar electrosurgical forceps | |
US20090292282A9 (en) | Movable handle for vessel sealer | |
US20230310063A1 (en) | Thermal cutting elements, electrosurgical instruments including thermal cutting elements, and methods of manufacturing | |
WO2022086701A1 (en) | End effector assembly with multi-axis thermal cutting element |
Legal Events
Date | Code | Title | Description |
---|---|---|---|
A621 | Written request for application examination |
Free format text: JAPANESE INTERMEDIATE CODE: A621 Effective date: 20140501 |
|
A977 | Report on retrieval |
Free format text: JAPANESE INTERMEDIATE CODE: A971007 Effective date: 20141009 |
|
A131 | Notification of reasons for refusal |
Free format text: JAPANESE INTERMEDIATE CODE: A131 Effective date: 20141028 |
|
A521 | Request for written amendment filed |
Free format text: JAPANESE INTERMEDIATE CODE: A523 Effective date: 20150128 |
|
TRDD | Decision of grant or rejection written | ||
A01 | Written decision to grant a patent or to grant a registration (utility model) |
Free format text: JAPANESE INTERMEDIATE CODE: A01 Effective date: 20150612 |
|
A61 | First payment of annual fees (during grant procedure) |
Free format text: JAPANESE INTERMEDIATE CODE: A61 Effective date: 20150622 |
|
R150 | Certificate of patent or registration of utility model |
Ref document number: 5767914 Country of ref document: JP Free format text: JAPANESE INTERMEDIATE CODE: R150 |
|
R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |
|
R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |
|
R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |
|
R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |
|
R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |
|
R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |
|
R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |