ES2200975T3 - Instrumento de agarre bipolar. - Google Patents
Instrumento de agarre bipolar.Info
- Publication number
- ES2200975T3 ES2200975T3 ES00978976T ES00978976T ES2200975T3 ES 2200975 T3 ES2200975 T3 ES 2200975T3 ES 00978976 T ES00978976 T ES 00978976T ES 00978976 T ES00978976 T ES 00978976T ES 2200975 T3 ES2200975 T3 ES 2200975T3
- Authority
- ES
- Spain
- Prior art keywords
- jaw
- clamping
- cutting
- cutting element
- pressing
- 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.)
- Expired - Lifetime
Links
- 238000005520 cutting process Methods 0.000 claims abstract description 68
- 210000005036 nerve Anatomy 0.000 description 8
- 238000005345 coagulation Methods 0.000 description 7
- 230000015271 coagulation Effects 0.000 description 7
- 230000007246 mechanism Effects 0.000 description 6
- 210000004204 blood vessel Anatomy 0.000 description 4
- 238000006073 displacement reaction Methods 0.000 description 3
- 239000002184 metal Substances 0.000 description 3
- 208000032843 Hemorrhage Diseases 0.000 description 2
- 230000004308 accommodation Effects 0.000 description 2
- 239000008280 blood Substances 0.000 description 2
- 210000004369 blood Anatomy 0.000 description 2
- 239000000919 ceramic Substances 0.000 description 2
- 230000000694 effects Effects 0.000 description 2
- 238000009413 insulation Methods 0.000 description 2
- 239000000463 material Substances 0.000 description 2
- 238000000034 method Methods 0.000 description 2
- 230000000740 bleeding effect Effects 0.000 description 1
- 238000010276 construction Methods 0.000 description 1
- 239000012777 electrically insulating material Substances 0.000 description 1
- 239000004744 fabric Substances 0.000 description 1
- 230000002349 favourable effect Effects 0.000 description 1
- 238000000926 separation method Methods 0.000 description 1
- 230000007704 transition Effects 0.000 description 1
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
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)
Abstract
Instrumento de agarre bipolar con dos mordazas prensoras (15, 16) móviles la una contra la otra, eléctricamente aisladas entre sí, cada una conectable con un polo de una fuente de tensión de alta frecuencia, que dispone cada una de dos elementos de apriete (37) con una superficie de apriete (38), distanciados el uno frente al otro, que forman entre sí una ranura longitudinal (36), y con un dispositivo de corte que comprende un elemento cortante, desplazable en las ranuras longitudinales de las mordazas prensoras (15, 16), con un filo cortante (42), donde el elemento cortante (41) está dispuesto en la ranura longitudinal (36) de una mordaza prensora (15), caracterizado porque el filo cortante (42) está alojado en la ranura longitudinal (36) entre los elementos de apriete (37) de esta mordaza prensora (15) y no sobresale por encima de sus superficies de apriete (38) en sentido hacia la otra mordaza prensora (16), y porque los elementos de apriete (37) de esta mordaza prensora (15) son elásticamente desplazables en contra del movimiento de cierre de las mordazas prensoras (15, 16) en tal medida, en relación con el elemento cortante (41), que el filo cortante (42) del elemento cortante (41) sobresale por encima de las superficies de apriete (38).
Description
Instrumento de agarre bipolar.
La invención se refiere a un instrumento de
agarre bipolar con dos mordazas prensoras móviles la una contra la
otra, eléctricamente aisladas entre sí, que pueden conectarse cada
una con un polo de una fuente eléctrica de tensión de alta
frecuencia, que comprenden cada una dos elementos de apriete,
distanciados el uno frente al otro formando entre sí una ranura
longitudinal, con una superficie de apriete, y con un dispositivo de
corte que comprende un elemento cortante con un filo cortante,
desplazable en las ranuras longitudinales de las mordazas prensoras,
donde el elemento cortante está dispuesto en la ranura longitudinal
de una mordaza prensora.
Con instrumentos de agarre bipolares es posible
coagular tejidos en la zona sujeta, de modo que en esta zona se
pueden contener hemorragias.
Es conocido coagular con instrumentos de este
tipo por ejemplo determinadas zonas de vasos sanguíneos y separar a
continuación los vasos en esta zona coagulada mediante un corte, el
peligro de producirse hemorragias se ha minimizado por la
coagulación precedente. Para ello se requieren dos pasos de
procedimiento completamente distintos que normalmente se llevan a
cabo también con instrumentos diferentes, es decir, por un lado la
coagulación con un instrumento de agarre bipolar, y por otro lado la
separación del tejido coagulado mediante un dispositivo de
corte.
También se conocen instrumentos de agarre
bipolares en los cuales está integrado un dispositivo de corte
(folleto de la empresa CIRCON, TRIPOLAR Cutting Forceps, patente
estadounidense 5 458 598). En este instrumento, las mordazas
prensoras del instrumento de agarre están divididas a través de
ranuras longitudinales en dos superficies de apriete dispuestas una
al lado de otra, y en las ranuras longitudinales se puede introducir
en sentido longitudinal del instrumento un elemento de corte
provisto de un filo cortante que, después de la coagulación, separa
las partes de tejido sujetas entre las superficies de apriete. En
este instrumento conocido deben estar previstos mecanismos de
accionamiento distintos para cerrar las mordazas prensoras para
coagular, y para desplazar hacia delante el elemento cortante del
dispositivo de corte; este instrumento, configurado preferentemente
como instrumento de vástago tubular, tiene un diseño relativamente
complicado y, además, el usuario de este instrumento debe manipular
dos mecanismos de accionamiento separados para coger el tejido y
para cortarlo a continuación.
En el documento WO 96/05776 se describe un
instrumento de agarre bipolar en el cual un filo cortante está
dispuesto en una ranura longitudinal entre dos elementos de apriete
de una mordaza prensora, después de la coagulación es posible
desplazar este filo cortante de tal manera que se corte el material
sujeto entre las mordazas prensoras. En este documento no se
describe con más detalle cómo se debe mover el elemento cortante
para separar el tejido, pero es de suponer que para ello se necesita
un desplazamiento manual intencionado del elemento cortante, o un
desplazamiento mediante un mecanismo de accionamiento por
separado.
El objetivo de la invención consiste en
configurar un instrumento de agarre bipolar del tipo genérico de tal
modo que se simplifique el manejo, especialmente de forma que el
usuario sólo necesite un mecanismo de accionamiento para sujetar el
tejido y para cortarlo a continuación.
Este objetivo se logra de acuerdo con la
invención en un instrumento de agarre bipolar del tipo inicialmente
descrito de tal manera que la cuchilla está alojada en la ranura
longitudinal entre los elementos de apriete de esta mordaza prensora
y no sobresale por encima de las superficies de apriete de esta
mordaza prensora en sentido hacia la otra mordaza prensora, y porque
los elementos de apriete de esta mordaza prensora pueden moverse
elásticamente en relación con el elemento cortante en contra del
movimiento de cierre de las mordazas prensoras hasta que el filo del
elemento cortante sobresalga por encima de las superficies de
apriete.
Al iniciar el movimiento de cierre de las
mordazas prensoras, el elemento cortante está alojado de tal manera
en la ranura longitudinal de una mordaza prensora que el filo del
elemento cortante se encuentra en el interior de la ranura
longitudinal, por lo que no entra en función. En este caso, el
instrumento funciona como un instrumento de agarre bipolar
convencional, en el cual las superficies de apriete entran en
contacto con el tejido a coger sin que se note la presencia del
elemento cortante. En esta fase del movimiento de cierre es posible
coagular el tejido de forma convencional aplicando una tensión de
alta frecuencia, una vez finalizada la coagulación también es
posible retirar el instrumento de agarre bipolar, igual que un
instrumento de agarre bipolar convencional.
Si en este instrumento de agarre bipolar el
movimiento de cierre continúa después de la coagulación, las
mordazas prensoras se mueven con tanta fuerza la una contra la otra
que los elementos de apriete de la mordaza prensora, que lleva el
dispositivo de corte, se desplazan elásticamente en contra del
sentido de movimiento de cierre de las mordazas prensoras, por
consiguiente se libera el filo cortante del dispositivo de corte
que, debido al desplazamiento elástico de los elementos de apriete,
sobresale por encima de la superficie de apriete. Por lo tanto, el
instrumento es ahora un instrumento de corte en el cual el elemento
cortante puede penetrar hasta dentro de la ranura longitudinal en la
otra mordaza prensora cortando el tejido entre las mordazas
prensoras. Este movimiento de corte sigue inmediatamente a
continuación del movimiento de cierre normal de las mordazas
prensoras, el usuario sólo debe manejar un mecanismo de
accionamiento, con una ligera presión sólo se sujeta y aprieta el
tejido a coagular mientras que, con un cierre fuerte de las mordazas
prensoras, se cortan adicionalmente las partes de tejido sujetas
entre las mordazas prensoras.
En una primera forma de realización preferida
está previsto que tanto el elemento cortante como los elementos de
apriete están configurados como una sola pieza con la mordaza
prensora, y que el elemento cortante es una parte rígida de la
mordaza prensora mientras que los elementos de apriete están unidos
con las partes restantes de la mordaza prensora a través de zonas
elásticamente deformables. En especial, las zonas elásticamente
deformables pueden estar constituidas por nervios elásticamente
deformables con una altura reducida.
En otra forma de realización está previsto que la
mordaza prensora está formada de dos partes, con una primera parte
rígida que comprende el elemento cortante y el apoyo de la mordaza
prensora en el instrumento de agarre, y con una segunda parte, que
comprende los elementos de apriete, apoyada de forma elásticamente
móvil en la primera parte.
Por ejemplo, los elementos de apriete pueden
estar apoyados de modo elásticamente orientable en la primera
parte.
Resulta favorable si la segunda parte está
configurada en forma de U con dos alas paralelas, que constituyen
los elementos de apriete, y con un nervio que une estas alas
cerrando la ranura longitudinal hacia el extremo distal de la
mordaza prensora, y si los extremos libres de la segunda parte están
apoyados de forma giratoria en el primer elemento. Así se obtiene
una configuración muy estable de la segunda parte de la mordaza
prensora que soporta las superficies de apriete.
La ranura longitudinal en la otra mordaza
prensora, que no dispone de un dispositivo de corte, está
preferentemente cerrada en ambos extremos, por lo que el dispositivo
de corte penetra durante el proceso de corte en esta ranura
longitudinal cerrada en todos los lados, lo que ayuda también a que
la otra mordaza prensora forme un conjunto muy rígido.
La siguiente descripción de formas de realización
preferidas de la invención sirve junto con el dibujo para una
explicación más detallada. En las figuras se muestra:
Fig. 1 Vista lateral de un instrumento de agarre
bipolar, configurado como instrumento de vástago tubular, con dos
mordazas prensoras pivotantes.
Fig. 2 Representación en despiece ordenado en
perspectiva de las dos mordazas prensoras y de los elementos de
accionamiento de las mordazas prensoras.
Fig. 3 Vista lateral de la zona de mordazas
prensoras del instrumento según la figura 1, con las mordazas
prensoras en una posición de agarre.
Fig. 4 Vista similar a la figura 3, con las
mordazas prensoras en una posición de corte.
Fig. 5 Vista en perspectiva de la mordaza
prensora provista de un dispositivo de corte, similar a la vista
según la figura 2, de un ejemplo de realización modificado de esta
mordaza prensora.
El instrumento quirúrgico representado en el
dibujo está configurado como instrumento 1 de vástago tubular, con
un vástago 2 alargado tubular con un extremo distal 3 y un extremo
proximal 4.
En el extremo proximal 4, el vástago 2 está unido
con un conjunto 5 de mangos que comprende un mango 6 fijo y, unido
con el mismo de forma pivotante, un mango 7 articuladamente unido
con una barra 8 de tracción y empuje que penetra por el vástago 2 y
que, mediante basculación del mango 7, puede desplazarse en relación
con el vástago 2 en sentido longitudinal hacia delante y hacia
atrás.
En el vástago 2 está insertado en su extremo
distal 3 un soporte 9 que lleva en su extremo distal dos brazos de
alojamiento 10, que discurren en paralelo y sobresalen en sentido
distal, y que encierran entre sí un espacio intermedio de
alojamiento 11. En este espacio está insertado un cuerpo 12 de
aislamiento de un material eléctricamente aislante, como por ejemplo
cerámica, configurado en lo esencial en forma de U que cubre el lado
interior de los brazos de alojamiento 10.
La barra 8 de tracción y empuje penetra tanto por
el soporte 9 como por el cuerpo de aislamiento 12 y termina en la
zona del espacio intermedio de alojamiento 11.
En la zona de sus extremos libres, los brazos de
alojamiento 10 disponen de orificios de alojamiento 13 alineados
entre sí para un eje 14 de soporte que discurre transversalmente al
sentido longitudinal del eje longitudinal del vástago del
instrumento y penetra por el espacio intermedio de alojamiento 11 en
su extremo distal abierto.
En este eje 14 de soporte están apoyadas de forma
orientable una al lado de otra e independientemente entre sí dos
mordazas prensoras 15, 16 cuyos extremos proximales 17, 18 penetran
en el espacio intermedio de alojamiento 11. Cada extremo proximal
17, 18 está articuladamente unido con un brazo 19 ó 20,
respectivamente, cuyos otros extremos están también unidos
articuladamente con el extremo distal de la barra 8 de empuje y
tracción, por lo que estos brazos 19, 20 forman junto con los
extremos proximales 17 y 18 una articulación cuádruple a través de
la cual es posible bascular las mordazas prensoras 15 y 16 alrededor
del eje de giro, constituido por el eje 14 de soporte, mediante
desplazamiento hacia delante y hacia atrás de la barra 8 de empuje y
tracción: durante el avance de la barra 8 de empuje y tracción se
distancian las mordazas prensoras, es decir, las mordazas prensoras
se abren, mientras que durante el retroceso de la barra 8 de empuje
y tracción se cierran las mordazas prensoras 15, 16.
Las mordazas prensoras 15 y 16 están configuradas
de forma distinta. Una de las dos mordazas prensoras, denominada a
continuación mordaza prensora 16 inferior, está formada por tres
partes y comprende una sección proximal 21, que se extiende hasta
inmediatamente delante del eje 14 de soporte, una sección 22 central
que se encuentra en lo esencial en el área del eje 14 de soporte, y
una sección 23 distal cuyo lado superior 24, en lo esencial plano y
dirigido hacia la otra mordaza prensora 15, constituye una
superficie de apriete provista de nervios transversales 25 para
aumentar el agarre.
La sección central 22 se compone de un material
eléctricamente aislante, por ejemplo de cerámica, y une la sección
proximal 21 con la sección distal 23 aislando estas dos secciones
compuestas de metal y por lo tanto eléctricamente conductivas. La
sección central 22 está en contacto plano tanto con la sección
distal 23 como con la sección proximal 21, de modo que en la zona de
solapamiento se obtiene una estructura estratificada, asimismo, la
sección central 22 se apoya con su borde posterior 26 y con una
superficie de contacto 27 delantera en la sección proximal 21 y en
la sección distal 23, respectivamente, por lo que la sección
proximal 21 está unida de forma rígida y eléctricamente aislada con
la sección distal 23.
La sección central 22 lleva lateralmente un
casquillo 28, configurado como una sola pieza con esta sección, que
penetra por orificios de soporte 29 y 30 en las dos mordazas
prensoras 15 y 16 y aloja en su interior el eje de soporte 14 que
así está eléctricamente aislado frente a la mordaza prensora 15 y el
extremo proximal 18 de la mordaza prensora 16. El eje de soporte 14
es de metal y está unido de forma eléctricamente conductiva con los
brazos de alojamiento 10 del soporte 9, conectado a su vez
eléctricamente con el vástago 2. Este lleva una conexión eléctrica
31 a través de la que se puede establecer una unión eléctrica con
una fuente de tensión de alta frecuencia no representada en el
dibujo.
El eje 14 de soporte está en contacto inmediato
con la sección distal 23 de la mordaza prensora 16, por lo que en
esta zona se establece una unión eléctricamente conductiva entre la
sección distal 23 y el eje 14 de soporte. Así es posible unir la
sección distal 23 de la mordaza prensora 16 con un polo de la fuente
de tensión de alta frecuencia.
De manera no representada en el dibujo, el otro
polo se une con la barra 8 de empuje y tracción y a través de los
brazos 19 y 20 se conectan tanto la sección proximal 21 de la
mordaza prensora 16 como la mordaza prensora 15 completa al segundo
polo de la fuente de tensión de alta frecuencia.
La sección central 22, fijada adicionalmente
frente a la sección proximal 21 mediante una clavija 33 introducida
en un taladro 32 en la sección proximal 21, separa la sección distal
23 de la mordaza prensora 16 eléctricamente de la sección proximal
21 de la mordaza prensora 16, de modo que las dos mordazas prensoras
15 y 16 están eléctricamente aisladas entre sí y conectadas cada una
con un polo de la fuente de alimentación.
La otra mordaza prensora, denominada a
continuación mordaza prensora 15 superior, se compone completamente
de metal y está formada como una sola pieza en el ejemplo de
realización según las figuras 1 a 4. Una sección proximal 34 está
configurada de manera similar a la sección proximal 21 de la mordaza
prensora 16 inferior y pasa a una sección distal 35 que dispone de
dos elementos de apriete 37 idénticos que forman entre sí una ranura
longitudinal 36 y discurren en paralelo. Ambos elementos de apriete
37 tienen en su lado dirigido hacia la mordaza prensora 16 inferior
una superficie de apriete 38, enfrentada a la superficie de apriete
24 de la mordaza prensora 16 inferior, prevista igualmente de
nervios transversales 39.
Ambos elementos de apriete 37 están unidos con la
sección proximal 34 a través de nervios 40 en forma de cinta con una
altura de construcción reducida, estos nervios están configurados
tan planos que en esta zona se facilita una basculación elástica de
los elementos de apriete 37 en forma de brazos alrededor de un eje
de basculación que discurre en paralelo al eje 14 de soporte.
En la ranura longitudinal 36, que queda libre
entre los dos elementos de apriete 37, penetra un cuerpo cortante
41, unido rígidamente con la sección proximal 34, cuyo borde
inferior está configurado como filo cortante 42. Si los elementos de
apriete 37 no están deformados, es decir, cuando no están
desplazados elásticamente frente a la sección proximal 34, el filo
cortante 42 se encuentra completamente en el interior de la ranura
longitudinal 36 y no sobresale hacia abajo por encima de las
superficies de apriete 38 de los dos elementos de apriete 37 (véase
la representación en las figuras 2 y 3).
Cuando los elementos de apriete 37 se desplazan
elásticamente hacia arriba, es decir, en sentido de apertura de las
mordazas de apriete, el filo cortante 42 sobresale hacia abajo entre
las superficies de apriete 38 y puede entrar en función.
En la mordaza de apriete 16 inferior está
configurada también una ranura longitudinal 43, alineada con la
ranura longitudinal 36 en la mordaza de apriete 15 superior y
cerrada en ambos extremos, la longitud de la ranura longitudinal 43
está dimensionada de tal forma que el filo cortante 42 del cuerpo
cortante 41 puede penetrar en la ranura longitudinal 43.
El instrumento configurado de esta manera sirve
al mismo tiempo como instrumento de agarre bipolar y como
instrumento de corte.
Con la barra 8 de empuje y tracción en su
posición avanzada, las mordazas prensoras 15 y 16 están distanciadas
entre sí y las tijeras de agarre se encuentran en su posición
abierta. En esta posición es posible colocar las superficies de
apriete 24 y 38 de las mordazas prensoras en el tejido a tratar, por
ejemplo un vaso sanguíneo 44, y coger el mismo (figura 3). Mediante
aplicación de una tensión de alta frecuencia en las dos mordazas
prensoras 15 y 16, y debido al contacto del vaso sanguíneo con las
dos mordazas prensoras 15 y 16, es posible coagular el vaso
sanguíneo 44 en la zona de contacto de modo de por sí conocido de
tijeras de agarre bipolares.
La coagulación tiene lugar en una posición de las
mordazas prensoras 15, 16 en la que, frente a la posición abierta,
están desplazadas a una posición intermedia, pero aún no están
completamente cerradas. En esta posición intermedia, la presión de
contacto de la mordaza prensora 15 superior en el vaso sanguíneo 44
será aún tan baja que los elementos de apriete 37 no basculan
elásticamente ni se deforman en la zona de los nervios 40, por lo
que el cuerpo cortante 41 con el filo cortante 42 se mantiene en la
ranura longitudinal 36, es decir, el filo cortante 42 queda sin
efecto
(figura 3).
(figura 3).
Durante el avance del movimiento de cierre de las
mordazas prensoras 15 y 16, retirando la barra 8 de empuje y
tracción, las mordazas prensoras 15 y 16 presionan fuertemente la
una contra la otra, de modo que los elementos de apriete 37 se
doblan en la zona de los nervios 40 delgados, elásticamente
deformables, es decir, los elementos de apriete 37 basculan hacia
arriba en sentido contrario a la posición de cierre y el filo
cortante 42 del cuerpo cortante 41 puede sobresalir hacia abajo
sobre las superficies de apriete 38, entrar en contacto con el vaso
sanguíneo 44 y cortar el mismo durante el avance del cierre de las
mordazas prensoras 15 y 16, el cuerpo cortante 41 penetra con el
filo cortante 42 en la ranura longitudinal 43.
Con el mismo movimiento de cierre del mango 7
orientable, el cirujano puede coger primero el tejido a tratar y
cortar, coagular el mismo mediante aplicación de una tensión de alta
frecuencia y finalmente, girando aún más el brazo 7, separar el
tejido en la zona coagulada, para ello sólo se requiere un mecanismo
de accionamiento y el cirujano puede realizar este procedimiento con
una única palanca basculando la misma según las necesidades para que
el instrumento adopte consecutivamente las posiciones de trabajo
descritas.
El ejemplo de realización según la figura 5 es
similar al de las figuras 1 a 4, las piezas que se corresponden
llevan los mismos símbolos de referencia.
Existe sólo una diferencia en la zona de la
mordaza prensora 15 superior, formada de dos partes en el ejemplo de
realización según la figura 5. En este ejemplo de realización, los
dos elementos de apriete 37 no están unidos con la sección proximal
34 de la mordaza prensora 15 a través de nervios elásticos 40, sino
que están apoyados de forma orientable, a través de una clavija 45
de soporte, en el cuerpo cortante 41, es decir, en la zona de
transición del cuerpo cortante 41 a la sección proximal 34. En este
ejemplo de realización, los extremos distales de los elementos de
apriete 37 están unidos entre sí a través de un nervio transversal
46 y los dos elementos de apriete 37 forman junto con el nervio
transversal 46 un componente uniforme.
Un elemento elástico 47, representado en el
dibujo sólo esquemáticamente, unido por un lado con el cuerpo
cortante 41 y por otro lado con el nervio transversal 46, mantiene
los elementos de apriete 37 en una posición en la que las
superficies de apriete 38 sobresalen hacia abajo del filo cortante
42 en el cuerpo cortante 41, es decir, el filo cortante 42 está
completamente alojado en la ranura longitudinal 36 y no entra en
función. Es posible bascular elásticamente los elementos de apriete
37 en contra del efecto de este elemento elástico 47, de modo que el
filo cortante 42 sale de la ranura longitudinal 36 y entra en
función como se ha descrito anteriormente.
En este ejemplo de realización, los elementos de
apriete 37 están unidos de forma eléctricamente conductiva con la
sección proximal 34 a través de la clavija de soporte 45, por lo que
también en este caso las superficies de apriete 38 están en contacto
con un polo de la fuente de tensión de alta frecuencia.
Claims (7)
1. Instrumento de agarre bipolar con dos mordazas
prensoras (15, 16) móviles la una contra la otra, eléctricamente
aisladas entre sí, cada una conectable con un polo de una fuente de
tensión de alta frecuencia, que dispone cada una de dos elementos de
apriete (37) con una superficie de apriete (38), distanciados el uno
frente al otro, que forman entre sí una ranura longitudinal (36), y
con un dispositivo de corte que comprende un elemento cortante,
desplazable en las ranuras longitudinales de las mordazas prensoras
(15, 16), con un filo cortante (42), donde el elemento cortante (41)
está dispuesto en la ranura longitudinal (36) de una mordaza
prensora (15), caracterizado porque el filo cortante (42)
está alojado en la ranura longitudinal (36) entre los elementos de
apriete (37) de esta mordaza prensora (15) y no sobresale por encima
de sus superficies de apriete (38) en sentido hacia la otra mordaza
prensora (16), y porque los elementos de apriete (37) de esta
mordaza prensora (15) son elásticamente desplazables en contra del
movimiento de cierre de las mordazas prensoras (15, 16) en tal
medida, en relación con el elemento cortante (41), que el filo
cortante (42) del elemento cortante (41) sobresale por encima de las
superficies de apriete (38).
2. Instrumento de acuerdo con la reivindicación 1
caracterizado porque tanto el elemento cortante (41) como los
elementos de apriete (37) están formados de una sola pieza con la
mordaza prensora (15), y porque el elemento cortante (41) es una
parte rígida de la mordaza prensora (15), mientras que los elementos
de apriete (37) están unidos con las demás partes (34) de la mordaza
prensora (15) a través de zonas (40) elásticamente deformables.
3. Instrumento de acuerdo con la reivindicación 2
caracterizado porque las zonas elásticamente deformables (40)
están constituidas por nervios de altura reducida que se pueden
doblar elásticamente.
4. Instrumento de acuerdo con la reivindicación 1
caracterizado porque la mordaza prensora (15) está formada de
dos partes, con una primera parte rígida que comprende el elemento
cortante (41) y el soporte de la mordaza prensora (15) en el
instrumento de agarre, y con una segunda parte que comprende los
elementos de apriete (37) y que está apoyada de forma elásticamente
móvil en la primera parte.
5. Instrumento de acuerdo con la reivindicación 4
caracterizado porque los elementos de apriete (37) están
apoyados de forma elásticamente orientable en la primera parte.
6. Instrumento de acuerdo con la reivindicación 5
caracterizado porque la segunda parte está configurada en
forma de U, con dos alas paralelas, que constituyen los elementos de
apriete (37), y con un nervio (46) que une las mismas y cierra la
ranura longitudinal (36) hacia el extremo distal de la mordaza
prensora (15), y porque la segunda parte está apoyada de forma
giratoria en la primera parte con los extremos libres de las
alas.
7. Instrumento de acuerdo con una de las
reivindicaciones anteriores caracterizado porque la ranura
longitudinal (43) en la otra mordaza prensora (16), que no comprende
un dispositivo de corte, está cerrada en ambos extremos.
Applications Claiming Priority (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| DE10003020A DE10003020C2 (de) | 2000-01-25 | 2000-01-25 | Bipolares Faßinstrument |
| DE10003020 | 2000-01-25 |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| ES2200975T3 true ES2200975T3 (es) | 2004-03-16 |
Family
ID=7628616
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| ES00978976T Expired - Lifetime ES2200975T3 (es) | 2000-01-25 | 2000-11-09 | Instrumento de agarre bipolar. |
Country Status (7)
| Country | Link |
|---|---|
| US (1) | US6743230B2 (es) |
| EP (1) | EP1250102B1 (es) |
| JP (1) | JP3691793B2 (es) |
| AT (1) | ATE243004T1 (es) |
| DE (1) | DE10003020C2 (es) |
| ES (1) | ES2200975T3 (es) |
| WO (1) | WO2001054604A1 (es) |
Families Citing this family (874)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US6887240B1 (en) | 1995-09-19 | 2005-05-03 | Sherwood Services Ag | Vessel sealing wave jaw |
| US6267761B1 (en) * | 1997-09-09 | 2001-07-31 | Sherwood Services Ag | Apparatus and method for sealing and cutting tissue |
| US6726686B2 (en) | 1997-11-12 | 2004-04-27 | Sherwood Services Ag | Bipolar electrosurgical instrument for sealing vessels |
| WO2002080786A1 (en) | 2001-04-06 | 2002-10-17 | Sherwood Services Ag | Electrosurgical instrument which reduces collateral damage to adjacent tissue |
| US6050996A (en) | 1997-11-12 | 2000-04-18 | Sherwood Services Ag | Bipolar electrosurgical instrument with replaceable electrodes |
| US7435249B2 (en) | 1997-11-12 | 2008-10-14 | Covidien Ag | Electrosurgical instruments which reduces collateral damage to adjacent tissue |
| US6352536B1 (en) | 2000-02-11 | 2002-03-05 | Sherwood Services Ag | Bipolar electrosurgical instrument for sealing vessels |
| US20030014052A1 (en) | 1997-11-14 | 2003-01-16 | Buysse Steven P. | Laparoscopic bipolar electrosurgical instrument |
| US6228083B1 (en) | 1997-11-14 | 2001-05-08 | Sherwood Services Ag | Laparoscopic bipolar electrosurgical instrument |
| US7364577B2 (en) | 2002-02-11 | 2008-04-29 | Sherwood Services Ag | Vessel sealing system |
| US7267677B2 (en) | 1998-10-23 | 2007-09-11 | Sherwood Services Ag | Vessel sealing instrument |
| US7118570B2 (en) | 2001-04-06 | 2006-10-10 | Sherwood Services Ag | Vessel sealing forceps with disposable electrodes |
| US7582087B2 (en) | 1998-10-23 | 2009-09-01 | Covidien Ag | Vessel sealing instrument |
| US20040249374A1 (en) | 1998-10-23 | 2004-12-09 | Tetzlaff Philip M. | Vessel sealing instrument |
| ES2261392T3 (es) | 1999-09-01 | 2006-11-16 | Sherwood Services Ag | Instrumento electroquirurgico que reduce la dispersion termica. |
| US7887535B2 (en) | 1999-10-18 | 2011-02-15 | Covidien Ag | Vessel sealing wave jaw |
| US20030109875A1 (en) | 1999-10-22 | 2003-06-12 | Tetzlaff Philip M. | Open vessel sealing forceps with disposable electrodes |
| US7811282B2 (en) | 2000-03-06 | 2010-10-12 | Salient Surgical Technologies, Inc. | Fluid-assisted electrosurgical devices, electrosurgical unit with pump and methods of use thereof |
| JP2004500207A (ja) | 2000-03-06 | 2004-01-08 | ティシューリンク・メディカル・インコーポレーテッド | 流体配給システム及び電気外科用器具コントローラ |
| US6689131B2 (en) | 2001-03-08 | 2004-02-10 | Tissuelink Medical, Inc. | Electrosurgical device having a tissue reduction sensor |
| US6558385B1 (en) | 2000-09-22 | 2003-05-06 | Tissuelink Medical, Inc. | Fluid-assisted medical device |
| US8048070B2 (en) | 2000-03-06 | 2011-11-01 | Salient Surgical Technologies, Inc. | Fluid-assisted medical devices, systems and methods |
| US6953461B2 (en) | 2002-05-16 | 2005-10-11 | Tissuelink Medical, Inc. | Fluid-assisted medical devices, systems and methods |
| US20090292282A9 (en) * | 2001-04-06 | 2009-11-26 | Dycus Sean T | Movable handle for vessel sealer |
| US7101371B2 (en) | 2001-04-06 | 2006-09-05 | Dycus Sean T | Vessel sealer and divider |
| US7090673B2 (en) | 2001-04-06 | 2006-08-15 | Sherwood Services Ag | Vessel sealer and divider |
| AU2002250551B2 (en) | 2001-04-06 | 2006-02-02 | Covidien Ag | Molded insulating hinge for bipolar instruments |
| US7101373B2 (en) | 2001-04-06 | 2006-09-05 | Sherwood Services Ag | Vessel sealer and divider |
| AU2001249937B2 (en) | 2001-04-06 | 2006-02-09 | Covidien Ag | Vessel sealing instrument |
| US7101372B2 (en) | 2001-04-06 | 2006-09-05 | Sherwood Sevices Ag | Vessel sealer and divider |
| US7473253B2 (en) | 2001-04-06 | 2009-01-06 | Covidien Ag | Vessel sealer and divider with non-conductive stop members |
| US7118587B2 (en) | 2001-04-06 | 2006-10-10 | Sherwood Services Ag | Vessel sealer and divider |
| US10849681B2 (en) | 2001-04-06 | 2020-12-01 | Covidien Ag | Vessel sealer and divider |
| US7083618B2 (en) | 2001-04-06 | 2006-08-01 | Sherwood Services Ag | Vessel sealer and divider |
| US6773434B2 (en) | 2001-09-18 | 2004-08-10 | Ethicon, Inc. | Combination bipolar forceps and scissors instrument |
| AU2002357166A1 (en) | 2001-12-12 | 2003-06-23 | Tissuelink Medical, Inc. | Fluid-assisted medical devices, systems and methods |
| 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 |
| US7276068B2 (en) | 2002-10-04 | 2007-10-02 | Sherwood Services Ag | Vessel sealing instrument with electrical cutting mechanism |
| JP2006504472A (ja) | 2002-10-29 | 2006-02-09 | ティシューリンク・メディカル・インコーポレーテッド | 流体補助電気外科手術鋏及び方法 |
| US7799026B2 (en) | 2002-11-14 | 2010-09-21 | Covidien Ag | Compressible jaw configuration with bipolar RF output electrodes for soft tissue fusion |
| US7033354B2 (en) | 2002-12-10 | 2006-04-25 | Sherwood Services Ag | Electrosurgical electrode having a non-conductive porous ceramic coating |
| US7776036B2 (en) | 2003-03-13 | 2010-08-17 | Covidien Ag | Bipolar concentric electrode assembly for soft tissue fusion |
| AU2004237772B2 (en) | 2003-05-01 | 2009-12-10 | Covidien Ag | Electrosurgical instrument which reduces thermal damage to adjacent tissue |
| US7160299B2 (en) | 2003-05-01 | 2007-01-09 | Sherwood Services Ag | Method of fusing biomaterials with radiofrequency energy |
| US8128624B2 (en) | 2003-05-01 | 2012-03-06 | Covidien Ag | Electrosurgical instrument that directs energy delivery and protects adjacent tissue |
| ES2368488T3 (es) | 2003-05-15 | 2011-11-17 | Covidien Ag | Sellador de tejidos con miembros de tope variables de forma selectiva y no conductores. |
| 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 |
| USD956973S1 (en) | 2003-06-13 | 2022-07-05 | Covidien Ag | Movable handle for endoscopic vessel sealer and divider |
| US7156846B2 (en) | 2003-06-13 | 2007-01-02 | Sherwood Services Ag | Vessel sealer and divider for use with small trocars and cannulas |
| US7597693B2 (en) | 2003-06-13 | 2009-10-06 | Covidien Ag | Vessel sealer and divider for use with small trocars and cannulas |
| DE60333799D1 (de) * | 2003-06-13 | 2010-09-23 | Covidien Ag | Gefässversieglungs- und -trennungsgerät zur benutzung mit kleinem trokar und kannula |
| US7150749B2 (en) | 2003-06-13 | 2006-12-19 | Sherwood Services Ag | Vessel sealer and divider having elongated knife stroke and safety cutting mechanism |
| US7150097B2 (en) | 2003-06-13 | 2006-12-19 | Sherwood Services Ag | Method of manufacturing jaw assembly for vessel sealer and divider |
| US7857812B2 (en) | 2003-06-13 | 2010-12-28 | Covidien Ag | Vessel sealer and divider having elongated knife stroke and safety for cutting mechanism |
| JP4612545B2 (ja) * | 2003-08-19 | 2011-01-12 | 有限会社リバー精工 | バイポーラ高周波処置具 |
| JP2005131285A (ja) * | 2003-10-31 | 2005-05-26 | Olympus Corp | 外科用処置具 |
| 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 |
| US7232440B2 (en) | 2003-11-17 | 2007-06-19 | Sherwood Services Ag | Bipolar forceps having monopolar extension |
| US7811283B2 (en) | 2003-11-19 | 2010-10-12 | Covidien Ag | Open vessel sealing instrument with hourglass cutting mechanism and over-ratchet safety |
| US7131970B2 (en) | 2003-11-19 | 2006-11-07 | Sherwood Services Ag | Open vessel sealing instrument with cutting mechanism |
| US7252667B2 (en) | 2003-11-19 | 2007-08-07 | Sherwood Services Ag | Open vessel sealing instrument with cutting mechanism and distal lockout |
| US7500975B2 (en) | 2003-11-19 | 2009-03-10 | Covidien Ag | Spring loaded reciprocating tissue cutting mechanism in a forceps-style electrosurgical instrument |
| US7442193B2 (en) | 2003-11-20 | 2008-10-28 | Covidien Ag | Electrically conductive/insulative over-shoe for tissue fusion |
| GB2408936B (en) * | 2003-12-09 | 2007-07-18 | Gyrus Group Plc | A surgical instrument |
| US7727232B1 (en) | 2004-02-04 | 2010-06-01 | Salient Surgical Technologies, Inc. | Fluid-assisted medical devices and methods |
| US7780662B2 (en) | 2004-03-02 | 2010-08-24 | Covidien Ag | Vessel sealing system using capacitive RF dielectric heating |
| DE102004013530B4 (de) * | 2004-03-19 | 2011-02-17 | Sutter Medizintechnik Gmbh | Bipolare Koagulationszange |
| DE102004015667B3 (de) * | 2004-03-31 | 2006-01-19 | Sutter Medizintechnik Gmbh | Bipolares Doppelgelenkinstrument |
| USD541938S1 (en) | 2004-04-09 | 2007-05-01 | Sherwood Services Ag | Open vessel sealer with mechanical cutter |
| USD533942S1 (en) | 2004-06-30 | 2006-12-19 | Sherwood Services Ag | Open vessel sealer with mechanical cutter |
| US9072535B2 (en) | 2011-05-27 | 2015-07-07 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments with rotatable staple deployment arrangements |
| US8215531B2 (en) | 2004-07-28 | 2012-07-10 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having a medical substance dispenser |
| US11890012B2 (en) | 2004-07-28 | 2024-02-06 | Cilag Gmbh International | Staple cartridge comprising cartridge body and attached support |
| US11998198B2 (en) | 2004-07-28 | 2024-06-04 | Cilag Gmbh International | Surgical stapling instrument incorporating a two-piece E-beam firing mechanism |
| US20060041252A1 (en) * | 2004-08-17 | 2006-02-23 | Odell Roger C | System and method for monitoring electrosurgical instruments |
| US7195631B2 (en) | 2004-09-09 | 2007-03-27 | Sherwood Services Ag | Forceps with spring loaded end effector assembly |
| US7540872B2 (en) | 2004-09-21 | 2009-06-02 | Covidien Ag | Articulating bipolar electrosurgical instrument |
| US7628792B2 (en) | 2004-10-08 | 2009-12-08 | Covidien Ag | Bilateral foot jaws |
| USD567943S1 (en) | 2004-10-08 | 2008-04-29 | Sherwood Services Ag | Over-ratchet safety for a vessel sealing instrument |
| US7955332B2 (en) | 2004-10-08 | 2011-06-07 | Covidien Ag | Mechanism for dividing tissue in a hemostat-style instrument |
| USD564662S1 (en) | 2004-10-13 | 2008-03-18 | Sherwood Services Ag | Hourglass-shaped knife for electrosurgical forceps |
| US7686827B2 (en) | 2004-10-21 | 2010-03-30 | Covidien Ag | Magnetic closure mechanism for hemostat |
| JP4958393B2 (ja) * | 2004-11-22 | 2012-06-20 | オリンパス株式会社 | 内視鏡用の軟性バイポーラ鉗子 |
| US7909823B2 (en) | 2005-01-14 | 2011-03-22 | Covidien Ag | Open vessel sealing instrument |
| US7686804B2 (en) | 2005-01-14 | 2010-03-30 | Covidien Ag | Vessel sealer and divider with rotating sealer and cutter |
| US7491202B2 (en) | 2005-03-31 | 2009-02-17 | Covidien Ag | Electrosurgical forceps with slow closure sealing plates and method of sealing tissue |
| USD553739S1 (en) * | 2005-04-29 | 2007-10-23 | Karl Storz Gmbh & Co. Kg | Jaw parts for a medical instrument |
| US7837685B2 (en) | 2005-07-13 | 2010-11-23 | Covidien Ag | Switch mechanisms for safe activation of energy on an electrosurgical instrument |
| US7628791B2 (en) | 2005-08-19 | 2009-12-08 | Covidien Ag | Single action tissue sealer |
| US9237891B2 (en) | 2005-08-31 | 2016-01-19 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical stapling devices that produce formed staples having different lengths |
| US7934630B2 (en) | 2005-08-31 | 2011-05-03 | Ethicon Endo-Surgery, Inc. | Staple cartridges for forming staples having differing formed staple heights |
| US11246590B2 (en) | 2005-08-31 | 2022-02-15 | Cilag Gmbh International | Staple cartridge including staple drivers having different unfired heights |
| US7669746B2 (en) | 2005-08-31 | 2010-03-02 | Ethicon Endo-Surgery, Inc. | Staple cartridges for forming staples having differing formed staple heights |
| US10159482B2 (en) | 2005-08-31 | 2018-12-25 | Ethicon Llc | Fastener cartridge assembly comprising a fixed anvil and different staple heights |
| US11484312B2 (en) | 2005-08-31 | 2022-11-01 | Cilag Gmbh International | Staple cartridge comprising a staple driver arrangement |
| US7789878B2 (en) | 2005-09-30 | 2010-09-07 | Covidien Ag | In-line vessel sealer and divider |
| US7922953B2 (en) | 2005-09-30 | 2011-04-12 | Covidien Ag | Method for manufacturing an end effector assembly |
| US7722607B2 (en) | 2005-09-30 | 2010-05-25 | Covidien Ag | In-line vessel sealer and divider |
| CA2561034C (en) | 2005-09-30 | 2014-12-09 | Sherwood Services Ag | Flexible endoscopic catheter with an end effector for coagulating and transfecting tissue |
| US7879035B2 (en) | 2005-09-30 | 2011-02-01 | Covidien Ag | Insulating boot for electrosurgical forceps |
| US7846161B2 (en) | 2005-09-30 | 2010-12-07 | Covidien Ag | Insulating boot for electrosurgical forceps |
| US20070106317A1 (en) | 2005-11-09 | 2007-05-10 | Shelton Frederick E Iv | Hydraulically and electrically actuated articulation joints for surgical instruments |
| US7594916B2 (en) | 2005-11-22 | 2009-09-29 | Covidien Ag | Electrosurgical forceps with energy based tissue division |
| US8882766B2 (en) | 2006-01-24 | 2014-11-11 | Covidien Ag | Method and system for controlling delivery of energy to divide tissue |
| US7766910B2 (en) | 2006-01-24 | 2010-08-03 | Tyco Healthcare Group Lp | Vessel sealer and divider for large tissue structures |
| US8298232B2 (en) | 2006-01-24 | 2012-10-30 | Tyco Healthcare Group Lp | Endoscopic vessel sealer and divider for large tissue structures |
| US8241282B2 (en) | 2006-01-24 | 2012-08-14 | Tyco Healthcare Group Lp | Vessel sealing cutting assemblies |
| US8734443B2 (en) | 2006-01-24 | 2014-05-27 | Covidien Lp | Vessel sealer and divider for large tissue structures |
| US20110290856A1 (en) | 2006-01-31 | 2011-12-01 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical instrument with force-feedback capabilities |
| US8820603B2 (en) | 2006-01-31 | 2014-09-02 | Ethicon Endo-Surgery, Inc. | Accessing data stored in a memory of a surgical instrument |
| 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 |
| US7845537B2 (en) | 2006-01-31 | 2010-12-07 | Ethicon Endo-Surgery, Inc. | Surgical instrument having recording capabilities |
| US11793518B2 (en) | 2006-01-31 | 2023-10-24 | Cilag Gmbh International | Powered surgical instruments with firing system lockout arrangements |
| US8186555B2 (en) | 2006-01-31 | 2012-05-29 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting and fastening instrument with mechanical closure system |
| US20120292367A1 (en) | 2006-01-31 | 2012-11-22 | Ethicon Endo-Surgery, Inc. | Robotically-controlled end effector |
| US11224427B2 (en) | 2006-01-31 | 2022-01-18 | Cilag Gmbh International | Surgical stapling system including a console and retraction assembly |
| US8708213B2 (en) | 2006-01-31 | 2014-04-29 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a feedback system |
| US20110024477A1 (en) | 2009-02-06 | 2011-02-03 | Hall Steven G | Driven Surgical Stapler Improvements |
| US11278279B2 (en) | 2006-01-31 | 2022-03-22 | Cilag Gmbh International | Surgical instrument assembly |
| US8992422B2 (en) | 2006-03-23 | 2015-03-31 | Ethicon Endo-Surgery, Inc. | Robotically-controlled endoscopic accessory channel |
| US20070225562A1 (en) | 2006-03-23 | 2007-09-27 | Ethicon Endo-Surgery, Inc. | Articulating endoscopic accessory channel |
| US8007494B1 (en) | 2006-04-27 | 2011-08-30 | Encision, Inc. | Device and method to prevent surgical burns |
| US7641653B2 (en) | 2006-05-04 | 2010-01-05 | Covidien Ag | Open vessel sealing forceps disposable handswitch |
| US7846158B2 (en) | 2006-05-05 | 2010-12-07 | Covidien Ag | Apparatus and method for electrode thermosurgery |
| US20070265616A1 (en) * | 2006-05-10 | 2007-11-15 | Sherwood Services Ag | Vessel sealing instrument with optimized power density |
| US8251989B1 (en) | 2006-06-13 | 2012-08-28 | Encision, Inc. | Combined bipolar and monopolar electrosurgical instrument and method |
| US8322455B2 (en) | 2006-06-27 | 2012-12-04 | Ethicon Endo-Surgery, Inc. | Manually driven surgical cutting and fastening instrument |
| US7776037B2 (en) | 2006-07-07 | 2010-08-17 | Covidien Ag | System and method for controlling electrode gap during tissue sealing |
| DE102006031971A1 (de) * | 2006-07-11 | 2008-01-17 | Karl Storz Gmbh & Co. Kg | Medizinisches Instrument |
| US7744615B2 (en) | 2006-07-18 | 2010-06-29 | Covidien Ag | Apparatus and method for transecting tissue on a bipolar vessel sealing instrument |
| US7731717B2 (en) | 2006-08-08 | 2010-06-08 | Covidien Ag | System and method for controlling RF output during tissue sealing |
| US8597297B2 (en) | 2006-08-29 | 2013-12-03 | Covidien Ag | Vessel sealing instrument with multiple electrode configurations |
| US8485412B2 (en) | 2006-09-29 | 2013-07-16 | Ethicon Endo-Surgery, Inc. | Surgical staples having attached drivers and stapling instruments for deploying the same |
| 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 |
| US8070746B2 (en) * | 2006-10-03 | 2011-12-06 | Tyco Healthcare Group Lp | Radiofrequency fusion of cardiac tissue |
| US11980366B2 (en) | 2006-10-03 | 2024-05-14 | Cilag Gmbh International | Surgical instrument |
| US8475453B2 (en) | 2006-10-06 | 2013-07-02 | Covidien Lp | Endoscopic vessel sealer and divider having a flexible articulating shaft |
| US7951149B2 (en) | 2006-10-17 | 2011-05-31 | Tyco Healthcare Group Lp | Ablative material for use with tissue treatment device |
| US7785060B2 (en) * | 2006-10-27 | 2010-08-31 | Applied Materials, Inc. | Multi-directional mechanical scanning in an ion implanter |
| US8652120B2 (en) | 2007-01-10 | 2014-02-18 | Ethicon Endo-Surgery, Inc. | Surgical instrument with wireless communication between control unit and sensor transponders |
| US11291441B2 (en) | 2007-01-10 | 2022-04-05 | Cilag Gmbh International | Surgical instrument with wireless communication between control unit and remote sensor |
| 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 |
| US20080169332A1 (en) | 2007-01-11 | 2008-07-17 | Shelton Frederick E | Surgical stapling device with a curved cutting member |
| US11039836B2 (en) | 2007-01-11 | 2021-06-22 | Cilag Gmbh International | Staple cartridge for use with a surgical stapling instrument |
| USD649249S1 (en) | 2007-02-15 | 2011-11-22 | Tyco Healthcare Group Lp | End effectors of an elongated dissecting and dividing instrument |
| USD575395S1 (en) | 2007-02-15 | 2008-08-19 | Tyco Healthcare Group Lp | Hemostat style elongated dissecting and dividing instrument |
| US8727197B2 (en) | 2007-03-15 | 2014-05-20 | Ethicon Endo-Surgery, Inc. | Staple cartridge cavity configuration with cooperative surgical staple |
| US8893946B2 (en) | 2007-03-28 | 2014-11-25 | Ethicon Endo-Surgery, Inc. | Laparoscopic tissue thickness and clamp load measuring devices |
| US8267935B2 (en) * | 2007-04-04 | 2012-09-18 | Tyco Healthcare Group Lp | Electrosurgical instrument reducing current densities at an insulator conductor junction |
| DE102007017966B3 (de) * | 2007-04-10 | 2008-11-13 | Aesculap Ag | Chirurgisches Instrument |
| 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 |
| USD575401S1 (en) | 2007-06-12 | 2008-08-19 | Tyco Healthcare Group Lp | Vessel sealer |
| 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 |
| US7877853B2 (en) | 2007-09-20 | 2011-02-01 | Tyco Healthcare Group Lp | Method of manufacturing end effector assembly for sealing tissue |
| US7877852B2 (en) | 2007-09-20 | 2011-02-01 | Tyco Healthcare Group Lp | Method of manufacturing an end effector assembly for sealing tissue |
| US8236025B2 (en) | 2007-09-28 | 2012-08-07 | Tyco Healthcare Group Lp | Silicone insulated electrosurgical forceps |
| US8235993B2 (en) | 2007-09-28 | 2012-08-07 | Tyco Healthcare Group Lp | Insulating boot for electrosurgical forceps with exohinged structure |
| US8235992B2 (en) | 2007-09-28 | 2012-08-07 | Tyco Healthcare Group Lp | Insulating boot with mechanical reinforcement for electrosurgical forceps |
| US9023043B2 (en) | 2007-09-28 | 2015-05-05 | Covidien Lp | Insulating mechanically-interfaced boot and jaws for electrosurgical forceps |
| US8221416B2 (en) | 2007-09-28 | 2012-07-17 | Tyco Healthcare Group Lp | Insulating boot for electrosurgical forceps with thermoplastic clevis |
| US8241283B2 (en) | 2007-09-28 | 2012-08-14 | Tyco Healthcare Group Lp | Dual durometer insulating boot for electrosurgical forceps |
| US8251996B2 (en) | 2007-09-28 | 2012-08-28 | Tyco Healthcare Group Lp | Insulating sheath for electrosurgical forceps |
| US8267936B2 (en) | 2007-09-28 | 2012-09-18 | Tyco Healthcare Group Lp | Insulating mechanically-interfaced adhesive for electrosurgical forceps |
| DE102007053359B3 (de) | 2007-10-30 | 2009-06-04 | Aesculap Ag | Chirurgisches Instrument |
| US9050098B2 (en) | 2007-11-28 | 2015-06-09 | Covidien Ag | Cordless medical cauterization and cutting device |
| EP2676626B1 (en) | 2008-01-31 | 2019-11-20 | Covidien LP | Polyp removal device |
| US8764748B2 (en) | 2008-02-06 | 2014-07-01 | Covidien Lp | End effector assembly for electrosurgical device and method for making the same |
| US7819298B2 (en) | 2008-02-14 | 2010-10-26 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with control features operable with one hand |
| US9179912B2 (en) | 2008-02-14 | 2015-11-10 | Ethicon Endo-Surgery, Inc. | Robotically-controlled motorized surgical cutting and fastening instrument |
| US8636736B2 (en) | 2008-02-14 | 2014-01-28 | Ethicon Endo-Surgery, Inc. | Motorized surgical cutting and fastening instrument |
| US8758391B2 (en) | 2008-02-14 | 2014-06-24 | Ethicon Endo-Surgery, Inc. | Interchangeable tools for surgical instruments |
| US8573465B2 (en) | 2008-02-14 | 2013-11-05 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical end effector system with rotary actuated closure systems |
| RU2493788C2 (ru) | 2008-02-14 | 2013-09-27 | Этикон Эндо-Серджери, Инк. | Хирургический режущий и крепежный инструмент, имеющий радиочастотные электроды |
| 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 |
| US8623276B2 (en) | 2008-02-15 | 2014-01-07 | Covidien Lp | Method and system for sterilizing an electrosurgical instrument |
| US20130153641A1 (en) | 2008-02-15 | 2013-06-20 | Ethicon Endo-Surgery, Inc. | Releasable layer of material and surgical end effector having the same |
| US11272927B2 (en) | 2008-02-15 | 2022-03-15 | Cilag Gmbh International | Layer arrangements for surgical staple cartridges |
| US8357158B2 (en) | 2008-04-22 | 2013-01-22 | Covidien Lp | Jaw closure detection system |
| US8469956B2 (en) | 2008-07-21 | 2013-06-25 | Covidien Lp | Variable resistor jaw |
| US8257387B2 (en) | 2008-08-15 | 2012-09-04 | Tyco Healthcare Group Lp | Method of transferring pressure in an articulating surgical instrument |
| US8162973B2 (en) | 2008-08-15 | 2012-04-24 | Tyco Healthcare Group Lp | Method of transferring pressure in an articulating surgical instrument |
| EP2323578B1 (en) | 2008-08-18 | 2018-10-03 | Encision, Inc. | Enhanced control systems including flexible shielding and support systems for electrosurgical applications |
| US9833281B2 (en) | 2008-08-18 | 2017-12-05 | Encision Inc. | Enhanced control systems including flexible shielding and support systems for electrosurgical applications |
| US9603652B2 (en) | 2008-08-21 | 2017-03-28 | Covidien Lp | Electrosurgical instrument including a sensor |
| US8317787B2 (en) | 2008-08-28 | 2012-11-27 | Covidien Lp | Tissue fusion jaw angle improvement |
| US8784417B2 (en) | 2008-08-28 | 2014-07-22 | Covidien Lp | Tissue fusion jaw angle improvement |
| US8795274B2 (en) | 2008-08-28 | 2014-08-05 | Covidien Lp | Tissue fusion jaw angle improvement |
| US8303582B2 (en) | 2008-09-15 | 2012-11-06 | Tyco Healthcare Group Lp | Electrosurgical instrument having a coated electrode utilizing an atomic layer deposition technique |
| US20100069903A1 (en) | 2008-09-18 | 2010-03-18 | Tyco Healthcare Group Lp | Vessel Sealing Instrument With Cutting Mechanism |
| US11648005B2 (en) | 2008-09-23 | 2023-05-16 | Cilag Gmbh International | Robotically-controlled motorized surgical instrument with an end effector |
| US9386983B2 (en) | 2008-09-23 | 2016-07-12 | Ethicon Endo-Surgery, Llc | Robotically-controlled motorized surgical instrument |
| US8210411B2 (en) | 2008-09-23 | 2012-07-03 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting instrument |
| US9005230B2 (en) | 2008-09-23 | 2015-04-14 | Ethicon Endo-Surgery, Inc. | Motorized surgical instrument |
| US8968314B2 (en) | 2008-09-25 | 2015-03-03 | Covidien Lp | Apparatus, system and method for performing an electrosurgical procedure |
| US9375254B2 (en) | 2008-09-25 | 2016-06-28 | Covidien Lp | Seal and separate algorithm |
| US8535312B2 (en) | 2008-09-25 | 2013-09-17 | Covidien Lp | Apparatus, system and method for performing an electrosurgical procedure |
| US8142473B2 (en) | 2008-10-03 | 2012-03-27 | Tyco Healthcare Group Lp | Method of transferring rotational motion in an articulating surgical instrument |
| US8469957B2 (en) | 2008-10-07 | 2013-06-25 | Covidien Lp | Apparatus, system, and method for performing an electrosurgical procedure |
| US8636761B2 (en) | 2008-10-09 | 2014-01-28 | Covidien Lp | Apparatus, system, and method for performing an endoscopic electrosurgical procedure |
| US8016827B2 (en) | 2008-10-09 | 2011-09-13 | Tyco Healthcare Group Lp | Apparatus, system, and method for performing an electrosurgical procedure |
| US8608045B2 (en) | 2008-10-10 | 2013-12-17 | Ethicon Endo-Sugery, Inc. | Powered surgical cutting and stapling apparatus with manually retractable firing system |
| US8852179B2 (en) | 2008-10-10 | 2014-10-07 | Covidien Lp | Apparatus, system and method for monitoring tissue during an electrosurgical procedure |
| US8486107B2 (en) | 2008-10-20 | 2013-07-16 | Covidien Lp | Method of sealing tissue using radiofrequency energy |
| US20100114154A1 (en) * | 2008-10-31 | 2010-05-06 | Christopher Snell | Surgical bone clamp |
| US8197479B2 (en) | 2008-12-10 | 2012-06-12 | Tyco Healthcare Group Lp | Vessel sealer and divider |
| US8114122B2 (en) | 2009-01-13 | 2012-02-14 | Tyco Healthcare Group Lp | Apparatus, system, and method for performing an electrosurgical procedure |
| US8517239B2 (en) | 2009-02-05 | 2013-08-27 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument comprising a magnetic element driver |
| JP2012517287A (ja) | 2009-02-06 | 2012-08-02 | エシコン・エンド−サージェリィ・インコーポレイテッド | 被駆動式手術用ステープラの改良 |
| US8444036B2 (en) | 2009-02-06 | 2013-05-21 | Ethicon Endo-Surgery, Inc. | Motor driven surgical fastener device with mechanisms for adjusting a tissue gap within the end effector |
| US8187273B2 (en) | 2009-05-07 | 2012-05-29 | Tyco Healthcare Group Lp | Apparatus, system, and method for performing an electrosurgical procedure |
| US8246618B2 (en) | 2009-07-08 | 2012-08-21 | Tyco Healthcare Group Lp | Electrosurgical jaws with offset knife |
| US8968358B2 (en) | 2009-08-05 | 2015-03-03 | Covidien Lp | Blunt tissue dissection surgical instrument jaw designs |
| KR101693355B1 (ko) * | 2009-08-10 | 2017-01-06 | (주)미래컴퍼니 | 외과 수술용 장치의 인스트루먼트 |
| US8430876B2 (en) | 2009-08-27 | 2013-04-30 | Tyco Healthcare Group Lp | Vessel sealer and divider with knife lockout |
| US8357159B2 (en) | 2009-09-03 | 2013-01-22 | Covidien Lp | Open vessel sealing instrument with pivot assembly |
| 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 |
| US9024237B2 (en) | 2009-09-29 | 2015-05-05 | Covidien Lp | Material fusing apparatus, system and method of use |
| US9820806B2 (en) | 2009-09-29 | 2017-11-21 | Covidien Lp | Switch assembly for electrosurgical instrument |
| US8292886B2 (en) | 2009-10-06 | 2012-10-23 | Tyco Healthcare Group Lp | Apparatus, system, and method for performing an electrosurgical procedure |
| US8512371B2 (en) | 2009-10-06 | 2013-08-20 | Covidien Lp | Jaw, blade and gap manufacturing for surgical instruments with small jaws |
| US8388647B2 (en) | 2009-10-28 | 2013-03-05 | Covidien Lp | Apparatus for tissue sealing |
| US9060798B2 (en) | 2009-11-16 | 2015-06-23 | Covidien Lp | Surgical forceps capable of adjusting sealing pressure based on vessel size |
| US8220688B2 (en) | 2009-12-24 | 2012-07-17 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting instrument with electric actuator directional control assembly |
| US8851354B2 (en) | 2009-12-24 | 2014-10-07 | Ethicon Endo-Surgery, Inc. | Surgical cutting instrument that analyzes tissue thickness |
| US8480671B2 (en) | 2010-01-22 | 2013-07-09 | Covidien Lp | Compact jaw including split pivot pin |
| US8858553B2 (en) | 2010-01-29 | 2014-10-14 | Covidien Lp | Dielectric jaw insert for electrosurgical end effector |
| US8556929B2 (en) | 2010-01-29 | 2013-10-15 | Covidien Lp | Surgical forceps capable of adjusting seal plate width based on vessel size |
| US9585709B2 (en) | 2010-02-05 | 2017-03-07 | Covidien Lp | Square wave for vessel sealing |
| US8808288B2 (en) | 2010-03-08 | 2014-08-19 | Covidien Lp | Surgical forceps including belt blade reverser mechanism |
| US8740898B2 (en) | 2010-03-22 | 2014-06-03 | Covidien Lp | Surgical forceps |
| US8425511B2 (en) | 2010-03-26 | 2013-04-23 | Covidien Lp | Clamp and scissor forceps |
| US8961504B2 (en) | 2010-04-09 | 2015-02-24 | Covidien Lp | Optical hydrology arrays and system and method for monitoring water displacement during treatment of patient tissue |
| US8597295B2 (en) | 2010-04-12 | 2013-12-03 | Covidien Lp | Surgical instrument with non-contact electrical coupling |
| US8623018B2 (en) | 2010-04-13 | 2014-01-07 | Covidien Lp | Sealing plate temperature control |
| US8568397B2 (en) | 2010-04-28 | 2013-10-29 | Covidien Lp | Induction sealing |
| US20110270251A1 (en) | 2010-04-29 | 2011-11-03 | Tyco Healthcare Group Lp | Insulated Sealing Plate |
| US8439913B2 (en) | 2010-04-29 | 2013-05-14 | Covidien Lp | Pressure sensing sealing plate |
| US10265118B2 (en) | 2010-05-04 | 2019-04-23 | Covidien Lp | Pinion blade drive mechanism for a laparoscopic vessel dissector |
| US8968359B2 (en) | 2010-05-04 | 2015-03-03 | Covidien Lp | Surgical forceps |
| US11278345B2 (en) | 2010-05-25 | 2022-03-22 | Covidien Lp | Accurate jaw closure force in a catheter based instrument |
| US8540749B2 (en) | 2010-06-02 | 2013-09-24 | Covidien Lp | Apparatus for performing an electrosurgical procedure |
| US8469991B2 (en) | 2010-06-02 | 2013-06-25 | Covidien Lp | Apparatus for performing an electrosurgical procedure |
| US8430877B2 (en) | 2010-06-02 | 2013-04-30 | Covidien Lp | Apparatus for performing an electrosurgical procedure |
| US8409246B2 (en) | 2010-06-02 | 2013-04-02 | Covidien Lp | Apparatus for performing an electrosurgical procedure |
| US8585736B2 (en) | 2010-06-02 | 2013-11-19 | Covidien Lp | Apparatus for performing an electrosurgical procedure |
| US8409247B2 (en) | 2010-06-02 | 2013-04-02 | Covidien Lp | Apparatus for performing an electrosurgical procedure |
| US8491624B2 (en) | 2010-06-02 | 2013-07-23 | Covidien Lp | Apparatus for performing an electrosurgical procedure |
| US9028495B2 (en) | 2010-06-23 | 2015-05-12 | Covidien Lp | Surgical instrument with a separable coaxial joint |
| US8647343B2 (en) | 2010-06-23 | 2014-02-11 | Covidien Lp | Surgical forceps for sealing and dividing tissue |
| US8512336B2 (en) | 2010-07-08 | 2013-08-20 | Covidien Lp | Optimal geometries for creating current densities in a bipolar electrode configuration |
| US8783543B2 (en) | 2010-07-30 | 2014-07-22 | Ethicon Endo-Surgery, Inc. | Tissue acquisition arrangements and methods for surgical stapling devices |
| US8888775B2 (en) | 2010-08-10 | 2014-11-18 | Covidien Lp | Surgical forceps including shape memory cutter |
| US8298233B2 (en) | 2010-08-20 | 2012-10-30 | Tyco Healthcare Group Lp | Surgical instrument configured for use with interchangeable hand grips |
| US8814864B2 (en) | 2010-08-23 | 2014-08-26 | Covidien Lp | Method of manufacturing tissue sealing electrodes |
| US8734445B2 (en) | 2010-09-07 | 2014-05-27 | Covidien Lp | Electrosurgical instrument with sealing and dissection modes and related methods of use |
| 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 |
| US9113865B2 (en) | 2010-09-30 | 2015-08-25 | Ethicon Endo-Surgery, Inc. | Staple cartridge comprising a layer |
| US11925354B2 (en) | 2010-09-30 | 2024-03-12 | Cilag Gmbh International | Staple cartridge comprising staples positioned within a compressible portion thereof |
| US9320523B2 (en) | 2012-03-28 | 2016-04-26 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator comprising tissue ingrowth features |
| US11812965B2 (en) | 2010-09-30 | 2023-11-14 | Cilag Gmbh International | Layer of material for a surgical end effector |
| US9241714B2 (en) | 2011-04-29 | 2016-01-26 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator and method for making the same |
| US9364233B2 (en) | 2010-09-30 | 2016-06-14 | Ethicon Endo-Surgery, Llc | Tissue thickness compensators for circular surgical staplers |
| US9629814B2 (en) | 2010-09-30 | 2017-04-25 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator configured to redistribute compressive forces |
| US12213666B2 (en) | 2010-09-30 | 2025-02-04 | Cilag Gmbh International | Tissue thickness compensator comprising layers |
| US11298125B2 (en) | 2010-09-30 | 2022-04-12 | Cilag Gmbh International | Tissue stapler having a thickness compensator |
| US10945731B2 (en) | 2010-09-30 | 2021-03-16 | Ethicon Llc | Tissue thickness compensator comprising controlled release and expansion |
| US9232941B2 (en) | 2010-09-30 | 2016-01-12 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator comprising a reservoir |
| US9301753B2 (en) | 2010-09-30 | 2016-04-05 | Ethicon Endo-Surgery, Llc | Expandable tissue thickness compensator |
| US10405854B2 (en) | 2010-09-30 | 2019-09-10 | Ethicon Llc | Surgical stapling cartridge with layer retention features |
| US9017372B2 (en) | 2010-10-01 | 2015-04-28 | Covidien Lp | Blade deployment mechanisms for surgical forceps |
| US8695866B2 (en) | 2010-10-01 | 2014-04-15 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a power control circuit |
| US9345534B2 (en) | 2010-10-04 | 2016-05-24 | Covidien Lp | Vessel sealing instrument |
| US9655672B2 (en) | 2010-10-04 | 2017-05-23 | Covidien Lp | Vessel sealing instrument |
| US8906018B2 (en) | 2010-10-18 | 2014-12-09 | Covidien Lp | Surgical forceps |
| US8840639B2 (en) | 2010-10-29 | 2014-09-23 | Covidien Lp | Apparatus for performing an electrosurgical procedure |
| US8932293B2 (en) | 2010-11-17 | 2015-01-13 | Covidien Lp | Method and apparatus for vascular tissue sealing with reduced energy consumption |
| US9333002B2 (en) | 2010-11-19 | 2016-05-10 | Covidien Lp | Apparatus for performing an electrosurgical procedure |
| US8603134B2 (en) | 2011-01-14 | 2013-12-10 | Covidien Lp | Latch mechanism for surgical instruments |
| US8945175B2 (en) | 2011-01-14 | 2015-02-03 | Covidien Lp | Latch mechanism for surgical instruments |
| US9113940B2 (en) | 2011-01-14 | 2015-08-25 | Covidien Lp | Trigger lockout and kickback mechanism for surgical instruments |
| US9017370B2 (en) | 2011-02-17 | 2015-04-28 | Covidien Lp | Vessel sealer and divider with captured cutting element |
| US8968316B2 (en) | 2011-02-18 | 2015-03-03 | Covidien Lp | Apparatus with multiple channel selective cutting |
| US10413349B2 (en) | 2011-03-04 | 2019-09-17 | Covidien Lp | System and methods for identifying tissue and vessels |
| US8968305B2 (en) | 2011-03-28 | 2015-03-03 | Covidien Lp | Surgical forceps with external cutter |
| US9381059B2 (en) * | 2011-04-05 | 2016-07-05 | Covidien Lp | Electrically-insulative hinge for electrosurgical jaw assembly, bipolar forceps including same, and methods of jaw-assembly alignment using fastened electrically-insulative hinge |
| US8613752B2 (en) | 2011-04-21 | 2013-12-24 | Cook Medical Technologies Llc | Surgical instrument for removing body tissue or vessels |
| US8568408B2 (en) | 2011-04-21 | 2013-10-29 | Covidien Lp | Surgical forceps |
| BR112013027794B1 (pt) | 2011-04-29 | 2020-12-15 | Ethicon Endo-Surgery, Inc | Conjunto de cartucho de grampos |
| 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 |
| US9456870B2 (en) | 2011-05-16 | 2016-10-04 | Covidien Lp | Optical energy-based methods and apparatus for tissue sealing |
| US8685009B2 (en) | 2011-05-16 | 2014-04-01 | Covidien Lp | Thread-like knife for tissue cutting |
| US9265568B2 (en) | 2011-05-16 | 2016-02-23 | Coviden Lp | Destruction of vessel walls for energy-based vessel sealing enhancement |
| US9113934B2 (en) | 2011-05-16 | 2015-08-25 | Covidien Lp | Optical energy-based methods and apparatus for tissue sealing |
| US10117705B2 (en) | 2011-05-16 | 2018-11-06 | Covidien Lp | Optical recognition of tissue and vessels |
| US9113933B2 (en) | 2011-05-16 | 2015-08-25 | Covidien Lp | Optical energy-based methods and apparatus for tissue sealing |
| US8852185B2 (en) | 2011-05-19 | 2014-10-07 | Covidien Lp | Apparatus for performing an electrosurgical procedure |
| US8968283B2 (en) | 2011-05-19 | 2015-03-03 | Covidien Lp | Ultrasound device for precise tissue sealing and blade-less cutting |
| US9161807B2 (en) | 2011-05-23 | 2015-10-20 | Covidien Lp | Apparatus for performing an electrosurgical procedure |
| US11207064B2 (en) | 2011-05-27 | 2021-12-28 | Cilag Gmbh International | Automated end effector component reloading system for use with a robotic system |
| US9615877B2 (en) | 2011-06-17 | 2017-04-11 | Covidien Lp | Tissue sealing forceps |
| US9039704B2 (en) | 2011-06-22 | 2015-05-26 | Covidien Lp | Forceps |
| US9844384B2 (en) | 2011-07-11 | 2017-12-19 | Covidien Lp | Stand alone energy-based tissue clips |
| US9039732B2 (en) | 2011-07-11 | 2015-05-26 | Covidien Lp | Surgical forceps |
| US8628557B2 (en) | 2011-07-11 | 2014-01-14 | Covidien Lp | Surgical forceps |
| US8745840B2 (en) | 2011-07-11 | 2014-06-10 | Covidien Lp | Surgical forceps and method of manufacturing thereof |
| DE102011107176A1 (de) * | 2011-07-13 | 2013-01-17 | Karl Storz Gmbh & Co. Kg | Medizinisches Schneidinstrument zum Schneiden von Muskeln und Sehnen |
| DE102011107178A1 (de) | 2011-07-13 | 2013-01-17 | Karl Storz Gmbh & Co. Kg | Medizinisches Schneidinstrument zum Schneiden von Muskeln und Sehnen |
| US8852186B2 (en) | 2011-08-09 | 2014-10-07 | Covidien Lp | Microwave sensing for tissue sealing |
| US8968306B2 (en) | 2011-08-09 | 2015-03-03 | Covidien Lp | Surgical forceps |
| US9028492B2 (en) | 2011-08-18 | 2015-05-12 | Covidien Lp | Surgical instruments with removable components |
| US8968307B2 (en) | 2011-08-18 | 2015-03-03 | Covidien Lp | Surgical forceps |
| US8968317B2 (en) | 2011-08-18 | 2015-03-03 | Covidien Lp | Surgical forceps |
| US9113909B2 (en) | 2011-09-01 | 2015-08-25 | Covidien Lp | Surgical vessel sealer and divider |
| US9113938B2 (en) | 2011-09-09 | 2015-08-25 | Covidien Lp | Apparatus for performing electrosurgical procedures having a spring mechanism associated with the jaw members |
| US8679098B2 (en) | 2011-09-13 | 2014-03-25 | Covidien Lp | Rotation knobs for surgical instruments |
| US8845636B2 (en) | 2011-09-16 | 2014-09-30 | Covidien Lp | Seal plate with insulation displacement connection |
| US9636169B2 (en) | 2011-09-19 | 2017-05-02 | Covidien Lp | Electrosurgical instrument |
| US8961515B2 (en) | 2011-09-28 | 2015-02-24 | Covidien Lp | Electrosurgical instrument |
| US9486220B2 (en) | 2011-09-28 | 2016-11-08 | Covidien Lp | Surgical tissue occluding device |
| US9060780B2 (en) | 2011-09-29 | 2015-06-23 | Covidien Lp | Methods of manufacturing shafts for surgical instruments |
| US9668806B2 (en) | 2011-09-29 | 2017-06-06 | Covidien Lp | Surgical forceps including a removable stop member |
| US8756785B2 (en) | 2011-09-29 | 2014-06-24 | Covidien Lp | Surgical instrument shafts and methods of manufacturing shafts for surgical instruments |
| US8864795B2 (en) | 2011-10-03 | 2014-10-21 | Covidien Lp | Surgical forceps |
| US8968308B2 (en) | 2011-10-20 | 2015-03-03 | Covidien Lp | Multi-circuit seal plates |
| US9492221B2 (en) | 2011-10-20 | 2016-11-15 | Covidien Lp | Dissection scissors on surgical device |
| US9314295B2 (en) | 2011-10-20 | 2016-04-19 | Covidien Lp | Dissection scissors on surgical device |
| US8968309B2 (en) | 2011-11-10 | 2015-03-03 | Covidien Lp | Surgical forceps |
| US9265565B2 (en) | 2011-11-29 | 2016-02-23 | Covidien Lp | Open vessel sealing instrument and method of manufacturing the same |
| US9113899B2 (en) | 2011-11-29 | 2015-08-25 | Covidien Lp | Coupling mechanisms for surgical instruments |
| US8968310B2 (en) | 2011-11-30 | 2015-03-03 | Covidien Lp | Electrosurgical instrument with a knife blade lockout mechanism |
| US9259268B2 (en) | 2011-12-06 | 2016-02-16 | Covidien Lp | Vessel sealing using microwave energy |
| US8864753B2 (en) | 2011-12-13 | 2014-10-21 | Covidien Lp | Surgical Forceps Connected to Treatment Light Source |
| US9023035B2 (en) | 2012-01-06 | 2015-05-05 | Covidien Lp | Monopolar pencil with integrated bipolar/ligasure tweezers |
| USD680220S1 (en) | 2012-01-12 | 2013-04-16 | Coviden IP | Slider handle for laparoscopic device |
| US9113882B2 (en) | 2012-01-23 | 2015-08-25 | Covidien Lp | Method of manufacturing an electrosurgical instrument |
| US9113897B2 (en) | 2012-01-23 | 2015-08-25 | Covidien Lp | Partitioned surgical instrument |
| US8968360B2 (en) | 2012-01-25 | 2015-03-03 | Covidien Lp | Surgical instrument with resilient driving member and related methods of use |
| US8961513B2 (en) | 2012-01-25 | 2015-02-24 | Covidien Lp | Surgical tissue sealer |
| US9693816B2 (en) | 2012-01-30 | 2017-07-04 | Covidien Lp | Electrosurgical apparatus with integrated energy sensing at tissue site |
| US9044230B2 (en) | 2012-02-13 | 2015-06-02 | Ethicon Endo-Surgery, Inc. | Surgical cutting and fastening instrument with apparatus for determining cartridge and firing motion status |
| US8747434B2 (en) | 2012-02-20 | 2014-06-10 | Covidien Lp | Knife deployment mechanisms for surgical forceps |
| 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 |
| US8752264B2 (en) | 2012-03-06 | 2014-06-17 | Covidien Lp | Surgical tissue sealer |
| US8961514B2 (en) | 2012-03-06 | 2015-02-24 | Covidien Lp | Articulating surgical apparatus |
| US8968298B2 (en) | 2012-03-15 | 2015-03-03 | Covidien Lp | Electrosurgical instrument |
| US9375282B2 (en) | 2012-03-26 | 2016-06-28 | Covidien Lp | Light energy sealing, cutting and sensing surgical device |
| MX350846B (es) | 2012-03-28 | 2017-09-22 | Ethicon Endo Surgery Inc | Compensador de grosor de tejido que comprende cápsulas que definen un ambiente de baja presión. |
| MX358135B (es) | 2012-03-28 | 2018-08-06 | Ethicon Endo Surgery Inc | Compensador de grosor de tejido que comprende una pluralidad de capas. |
| CN104379068B (zh) | 2012-03-28 | 2017-09-22 | 伊西康内外科公司 | 包括组织厚度补偿件的保持器组件 |
| US9265569B2 (en) | 2012-03-29 | 2016-02-23 | Covidien Lp | Method of manufacturing an electrosurgical forceps |
| US10966780B2 (en) | 2012-04-17 | 2021-04-06 | Covidien Lp | Electrosurgical instrument having a coated electrode |
| US9713493B2 (en) | 2012-04-30 | 2017-07-25 | Covidien Lp | Method of switching energy modality on a cordless RF device |
| US8920461B2 (en) | 2012-05-01 | 2014-12-30 | Covidien Lp | Surgical forceps with bifurcated flanged jaw components |
| US9034009B2 (en) | 2012-05-01 | 2015-05-19 | Covidien Lp | Surgical forceps |
| US9820765B2 (en) | 2012-05-01 | 2017-11-21 | Covidien Lp | Surgical instrument with stamped double-flange jaws |
| US9668807B2 (en) | 2012-05-01 | 2017-06-06 | Covidien Lp | Simplified spring load mechanism for delivering shaft force of a surgical instrument |
| US8968311B2 (en) | 2012-05-01 | 2015-03-03 | Covidien Lp | Surgical instrument with stamped double-flag jaws and actuation mechanism |
| US9039731B2 (en) | 2012-05-08 | 2015-05-26 | Covidien Lp | Surgical forceps including blade safety mechanism |
| US9375258B2 (en) | 2012-05-08 | 2016-06-28 | Covidien Lp | Surgical forceps |
| US9113901B2 (en) | 2012-05-14 | 2015-08-25 | Covidien Lp | Modular surgical instrument with contained electrical or mechanical systems |
| US9192432B2 (en) | 2012-05-29 | 2015-11-24 | Covidien Lp | Lever latch assemblies for surgical improvements |
| US8968313B2 (en) | 2012-06-12 | 2015-03-03 | Covidien Lp | Electrosurgical instrument with a knife blade stop |
| US9101358B2 (en) | 2012-06-15 | 2015-08-11 | Ethicon Endo-Surgery, Inc. | Articulatable surgical instrument comprising a firing drive |
| US9770255B2 (en) | 2012-06-26 | 2017-09-26 | Covidien Lp | One-piece handle assembly |
| US9011436B2 (en) | 2012-06-26 | 2015-04-21 | Covidien Lp | Double-length jaw system for electrosurgical instrument |
| US9510891B2 (en) | 2012-06-26 | 2016-12-06 | Covidien Lp | Surgical instruments with structures to provide access for cleaning |
| JP6290201B2 (ja) | 2012-06-28 | 2018-03-07 | エシコン・エンド−サージェリィ・インコーポレイテッドＥｔｈｉｃｏｎ Ｅｎｄｏ−Ｓｕｒｇｅｒｙ，Ｉｎｃ． | 空クリップカートリッジ用のロックアウト |
| US20140001231A1 (en) | 2012-06-28 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Firing system lockout arrangements for surgical instruments |
| US9204879B2 (en) | 2012-06-28 | 2015-12-08 | Ethicon Endo-Surgery, Inc. | Flexible drive member |
| US9289256B2 (en) | 2012-06-28 | 2016-03-22 | Ethicon Endo-Surgery, Llc | Surgical end effectors having angled tissue-contacting surfaces |
| US9282974B2 (en) | 2012-06-28 | 2016-03-15 | Ethicon Endo-Surgery, Llc | Empty clip cartridge lockout |
| US9226751B2 (en) | 2012-06-28 | 2016-01-05 | Ethicon Endo-Surgery, Inc. | Surgical instrument system including replaceable end effectors |
| 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 |
| US12383267B2 (en) | 2012-06-28 | 2025-08-12 | Cilag Gmbh International | Robotically powered surgical device with manually-actuatable reversing system |
| US11197671B2 (en) | 2012-06-28 | 2021-12-14 | Cilag Gmbh International | Stapling assembly comprising a lockout |
| US9351754B2 (en) * | 2012-06-29 | 2016-05-31 | Ethicon Endo-Surgery, Llc | Ultrasonic surgical instruments with distally positioned jaw assemblies |
| US9039691B2 (en) | 2012-06-29 | 2015-05-26 | Covidien Lp | Surgical forceps |
| US9072524B2 (en) | 2012-06-29 | 2015-07-07 | Covidien Lp | Surgical forceps |
| US8939975B2 (en) | 2012-07-17 | 2015-01-27 | Covidien Lp | Gap control via overmold teeth and hard stops |
| US9833285B2 (en) | 2012-07-17 | 2017-12-05 | Covidien Lp | Optical sealing device with cutting ability |
| US10368945B2 (en) | 2012-07-17 | 2019-08-06 | Covidien Lp | Surgical instrument for energy-based tissue treatment |
| US9301798B2 (en) | 2012-07-19 | 2016-04-05 | Covidien Lp | Surgical forceps including reposable end effector assemblies |
| US9192421B2 (en) | 2012-07-24 | 2015-11-24 | Covidien Lp | Blade lockout mechanism for surgical forceps |
| US9636168B2 (en) | 2012-08-09 | 2017-05-02 | Covidien Lp | Electrosurgical instrument including nested knife assembly |
| US9433461B2 (en) | 2012-09-07 | 2016-09-06 | Covidien Lp | Instruments, systems, and methods for sealing tissue structures |
| US9439711B2 (en) | 2012-10-02 | 2016-09-13 | Covidien Lp | Medical devices for thermally treating tissue |
| US9687290B2 (en) | 2012-10-02 | 2017-06-27 | Covidien Lp | Energy-based medical devices |
| US9549749B2 (en) | 2012-10-08 | 2017-01-24 | Covidien Lp | Surgical forceps |
| US9526564B2 (en) | 2012-10-08 | 2016-12-27 | Covidien Lp | Electric stapler device |
| US9681908B2 (en) | 2012-10-08 | 2017-06-20 | Covidien Lp | Jaw assemblies for electrosurgical instruments and methods of manufacturing jaw assemblies |
| US9375259B2 (en) | 2012-10-24 | 2016-06-28 | Covidien Lp | Electrosurgical instrument including an adhesive applicator assembly |
| US9572529B2 (en) | 2012-10-31 | 2017-02-21 | Covidien Lp | Surgical devices and methods utilizing optical coherence tomography (OCT) to monitor and control tissue sealing |
| US10206583B2 (en) | 2012-10-31 | 2019-02-19 | Covidien Lp | Surgical devices and methods utilizing optical coherence tomography (OCT) to monitor and control tissue sealing |
| US10772674B2 (en) | 2012-11-15 | 2020-09-15 | Covidien Lp | Deployment mechanisms for surgical instruments |
| US9375205B2 (en) | 2012-11-15 | 2016-06-28 | Covidien Lp | Deployment mechanisms for surgical instruments |
| US9498281B2 (en) | 2012-11-27 | 2016-11-22 | Covidien Lp | Surgical apparatus |
| US9375256B2 (en) | 2013-02-05 | 2016-06-28 | Covidien Lp | Electrosurgical forceps |
| US10265119B2 (en) | 2013-02-15 | 2019-04-23 | Covidien Lp | Electrosurgical forceps |
| US9713491B2 (en) | 2013-02-19 | 2017-07-25 | Covidien Lp | Method for manufacturing an electrode assembly configured for use with an electrosurigcal instrument |
| US9375262B2 (en) | 2013-02-27 | 2016-06-28 | Covidien Lp | Limited use medical devices |
| RU2669463C2 (ru) | 2013-03-01 | 2018-10-11 | Этикон Эндо-Серджери, Инк. | Хирургический инструмент с мягким упором |
| MX368026B (es) | 2013-03-01 | 2019-09-12 | Ethicon Endo Surgery Inc | Instrumento quirúrgico articulable con vías conductoras para la comunicación de la señal. |
| US9655673B2 (en) | 2013-03-11 | 2017-05-23 | Covidien Lp | Surgical instrument |
| US10070916B2 (en) | 2013-03-11 | 2018-09-11 | Covidien Lp | Surgical instrument with system and method for springing open jaw members |
| US9456863B2 (en) | 2013-03-11 | 2016-10-04 | Covidien Lp | Surgical instrument with switch activation control |
| US9877775B2 (en) | 2013-03-12 | 2018-01-30 | Covidien Lp | Electrosurgical instrument with a knife blade stop |
| US9351726B2 (en) | 2013-03-14 | 2016-05-31 | Ethicon Endo-Surgery, Llc | Articulation control system for articulatable surgical instruments |
| US9629629B2 (en) | 2013-03-14 | 2017-04-25 | Ethicon Endo-Surgey, LLC | Control systems for surgical instruments |
| US9801626B2 (en) | 2013-04-16 | 2017-10-31 | Ethicon Llc | Modular motor driven surgical instruments with alignment features for aligning rotary drive shafts with surgical end effector shafts |
| BR112015026109B1 (pt) | 2013-04-16 | 2022-02-22 | Ethicon Endo-Surgery, Inc | Instrumento cirúrgico |
| US9468453B2 (en) | 2013-05-03 | 2016-10-18 | Covidien Lp | Endoscopic surgical forceps |
| USD728786S1 (en) | 2013-05-03 | 2015-05-05 | Covidien Lp | Vessel sealer with mechanical cutter and pistol-grip-style trigger |
| US9622810B2 (en) | 2013-05-10 | 2017-04-18 | Covidien Lp | Surgical forceps |
| US10722292B2 (en) | 2013-05-31 | 2020-07-28 | Covidien Lp | Surgical device with an end-effector assembly and system for monitoring of tissue during a surgical procedure |
| US9649151B2 (en) | 2013-05-31 | 2017-05-16 | Covidien Lp | End effector assemblies and methods of manufacturing end effector assemblies for treating and/or cutting tissue |
| US9554845B2 (en) | 2013-07-18 | 2017-01-31 | Covidien Lp | Surgical forceps for treating and cutting tissue |
| USD726910S1 (en) | 2013-08-07 | 2015-04-14 | Covidien Lp | Reusable forceps for open vessel sealer with mechanical cutter |
| KR102128705B1 (ko) | 2013-08-07 | 2020-07-02 | 코비디엔 엘피 | 양극성 수술 도구 |
| WO2015017995A1 (en) | 2013-08-07 | 2015-02-12 | Covidien Lp | Bipolar surgical instrument with tissue stop |
| US10646267B2 (en) | 2013-08-07 | 2020-05-12 | Covidien LLP | Surgical forceps |
| USD744644S1 (en) | 2013-08-07 | 2015-12-01 | Covidien Lp | Disposable housing for open vessel sealer with mechanical cutter |
| USD738499S1 (en) | 2013-08-07 | 2015-09-08 | Covidien Lp | Open vessel sealer with mechanical cutter |
| WO2015017989A1 (en) | 2013-08-07 | 2015-02-12 | Covidien Lp | Bipolar surgical instrument |
| EP3488805A1 (en) | 2013-08-07 | 2019-05-29 | Covidien LP | Bipolar surgical instrument |
| US10405874B2 (en) | 2013-08-13 | 2019-09-10 | Covidien Lp | Surgical instrument |
| US9439717B2 (en) | 2013-08-13 | 2016-09-13 | Covidien Lp | Surgical forceps including thermal spread control |
| US20150053737A1 (en) | 2013-08-23 | 2015-02-26 | Ethicon Endo-Surgery, Inc. | End effector detection systems for surgical instruments |
| MX369362B (es) | 2013-08-23 | 2019-11-06 | Ethicon Endo Surgery Llc | Dispositivos de retraccion de miembros de disparo para instrumentos quirurgicos electricos. |
| US9943357B2 (en) | 2013-09-16 | 2018-04-17 | Covidien Lp | Split electrode for use in a bipolar electrosurgical instrument |
| US9445865B2 (en) | 2013-09-16 | 2016-09-20 | Covidien Lp | Electrosurgical instrument with end-effector assembly including electrically-conductive, tissue-engaging surfaces and switchable bipolar electrodes |
| US9717548B2 (en) | 2013-09-24 | 2017-08-01 | Covidien Lp | Electrode for use in a bipolar electrosurgical instrument |
| US10610289B2 (en) | 2013-09-25 | 2020-04-07 | Covidien Lp | Devices, systems, and methods for grasping, treating, and dividing tissue |
| US10231772B2 (en) | 2013-09-25 | 2019-03-19 | Covidien Lp | Wire retention unit for a surgical instrument |
| US9642671B2 (en) | 2013-09-30 | 2017-05-09 | Covidien Lp | Limited-use medical device |
| US9974601B2 (en) | 2013-11-19 | 2018-05-22 | Covidien Lp | Vessel sealing instrument with suction system |
| US10231776B2 (en) | 2014-01-29 | 2019-03-19 | Covidien Lp | Tissue sealing instrument with tissue-dissecting electrode |
| US11090109B2 (en) | 2014-02-11 | 2021-08-17 | Covidien Lp | Temperature-sensing electrically-conductive tissue-contacting plate configured for use in an electrosurgical jaw member, electrosurgical system including same, and methods of controlling vessel sealing using same |
| US10130413B2 (en) | 2014-02-11 | 2018-11-20 | Covidien Lp | Temperature-sensing electrically-conductive tissue-contacting plate and methods of manufacturing same |
| US9962161B2 (en) | 2014-02-12 | 2018-05-08 | Ethicon Llc | Deliverable surgical instrument |
| BR112016019387B1 (pt) | 2014-02-24 | 2022-11-29 | Ethicon Endo-Surgery, Llc | Sistema de instrumento cirúrgico e cartucho de prendedores para uso com um instrumento cirúrgico de fixação |
| US20150272557A1 (en) | 2014-03-26 | 2015-10-01 | Ethicon Endo-Surgery, Inc. | Modular surgical instrument system |
| US12232723B2 (en) | 2014-03-26 | 2025-02-25 | Cilag Gmbh International | Systems and methods for controlling a segmented circuit |
| US9750499B2 (en) | 2014-03-26 | 2017-09-05 | Ethicon Llc | Surgical stapling instrument system |
| BR112016021943B1 (pt) | 2014-03-26 | 2022-06-14 | Ethicon Endo-Surgery, Llc | Instrumento cirúrgico para uso por um operador em um procedimento cirúrgico |
| US10013049B2 (en) | 2014-03-26 | 2018-07-03 | Ethicon Llc | Power management through sleep options of segmented circuit and wake up control |
| US10342601B2 (en) | 2014-04-02 | 2019-07-09 | Covidien Lp | Electrosurgical devices including transverse electrode configurations |
| US10278768B2 (en) | 2014-04-02 | 2019-05-07 | Covidien Lp | Electrosurgical devices including transverse electrode 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 |
| US10561422B2 (en) | 2014-04-16 | 2020-02-18 | Ethicon Llc | Fastener cartridge comprising deployable tissue engaging members |
| CN106456176B (zh) | 2014-04-16 | 2019-06-28 | 伊西康内外科有限责任公司 | 包括具有不同构型的延伸部的紧固件仓 |
| US10327764B2 (en) | 2014-09-26 | 2019-06-25 | Ethicon Llc | Method for creating a flexible staple line |
| JP6532889B2 (ja) | 2014-04-16 | 2019-06-19 | エシコン エルエルシーＥｔｈｉｃｏｎ ＬＬＣ | 締結具カートリッジ組立体及びステープル保持具カバー配置構成 |
| US20150297223A1 (en) | 2014-04-16 | 2015-10-22 | Ethicon Endo-Surgery, Inc. | Fastener cartridges including extensions having different configurations |
| US9687295B2 (en) | 2014-04-17 | 2017-06-27 | Covidien Lp | Methods of manufacturing a pair of jaw members of an end-effector assembly for a surgical instrument |
| US20150324317A1 (en) | 2014-05-07 | 2015-11-12 | Covidien Lp | Authentication and information system for reusable surgical instruments |
| US10045781B2 (en) | 2014-06-13 | 2018-08-14 | Ethicon Llc | Closure lockout systems for surgical instruments |
| US20160038224A1 (en) | 2014-08-11 | 2016-02-11 | Covidien Lp | Surgical instruments and methods for performing tonsillectomy and adenoidectomy procedures |
| US10045812B2 (en) | 2014-08-11 | 2018-08-14 | Covidien Lp | Surgical instruments and methods for performing tonsillectomy and adenoidectomy procedures |
| US10231777B2 (en) | 2014-08-26 | 2019-03-19 | Covidien Lp | Methods of manufacturing jaw members of an end-effector assembly for a surgical instrument |
| US10660694B2 (en) | 2014-08-27 | 2020-05-26 | Covidien Lp | Vessel sealing instrument and switch assemblies thereof |
| US9724094B2 (en) | 2014-09-05 | 2017-08-08 | Ethicon Llc | Adjunct with integrated sensors to quantify tissue compression |
| BR112017004361B1 (pt) | 2014-09-05 | 2023-04-11 | Ethicon Llc | Sistema eletrônico para um instrumento cirúrgico |
| US11311294B2 (en) | 2014-09-05 | 2022-04-26 | Cilag Gmbh International | Powered medical device including measurement of closure state of jaws |
| US10820939B2 (en) | 2014-09-15 | 2020-11-03 | Covidien Lp | Vessel-sealing device including force-balance interface and electrosurgical system including same |
| US9918785B2 (en) | 2014-09-17 | 2018-03-20 | Covidien Lp | Deployment mechanisms for surgical instruments |
| US10039592B2 (en) | 2014-09-17 | 2018-08-07 | Covidien Lp | Deployment mechanisms for surgical instruments |
| US9987076B2 (en) | 2014-09-17 | 2018-06-05 | Covidien Lp | Multi-function surgical instruments |
| US10080605B2 (en) | 2014-09-17 | 2018-09-25 | Covidien Lp | Deployment mechanisms for surgical instruments |
| US10039593B2 (en) | 2014-09-17 | 2018-08-07 | Covidien Lp | Surgical instrument having a bipolar end effector assembly and a deployable monopolar assembly |
| US10080606B2 (en) | 2014-09-17 | 2018-09-25 | Covidien Lp | Method of forming a member of an end effector |
| US10105142B2 (en) | 2014-09-18 | 2018-10-23 | Ethicon Llc | Surgical stapler with plurality of cutting elements |
| US10258360B2 (en) | 2014-09-25 | 2019-04-16 | Covidien Lp | Surgical instruments |
| US10813685B2 (en) | 2014-09-25 | 2020-10-27 | Covidien Lp | Single-handed operable surgical instrument including loop electrode with integrated pad electrode |
| US11523821B2 (en) | 2014-09-26 | 2022-12-13 | Cilag Gmbh International | Method for creating a flexible staple line |
| JP6648119B2 (ja) | 2014-09-26 | 2020-02-14 | エシコン エルエルシーＥｔｈｉｃｏｎ ＬＬＣ | 外科ステープル留めバットレス及び付属物材料 |
| US10076325B2 (en) | 2014-10-13 | 2018-09-18 | Ethicon Llc | Surgical stapling apparatus comprising a tissue stop |
| US9924944B2 (en) | 2014-10-16 | 2018-03-27 | Ethicon Llc | Staple cartridge comprising an adjunct material |
| US11141153B2 (en) | 2014-10-29 | 2021-10-12 | Cilag Gmbh International | Staple cartridges comprising driver arrangements |
| US10517594B2 (en) | 2014-10-29 | 2019-12-31 | Ethicon Llc | Cartridge assemblies for surgical staplers |
| US9844376B2 (en) | 2014-11-06 | 2017-12-19 | Ethicon Llc | Staple cartridge comprising a releasable adjunct material |
| US10736636B2 (en) | 2014-12-10 | 2020-08-11 | Ethicon Llc | Articulatable surgical instrument system |
| US9987000B2 (en) | 2014-12-18 | 2018-06-05 | Ethicon Llc | Surgical instrument assembly comprising a flexible articulation system |
| US10117649B2 (en) | 2014-12-18 | 2018-11-06 | Ethicon Llc | Surgical instrument assembly comprising a lockable articulation system |
| US10463422B2 (en) | 2014-12-18 | 2019-11-05 | Covidien Lp | Surgical instrument with stopper assembly |
| 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 |
| US10245027B2 (en) | 2014-12-18 | 2019-04-02 | Ethicon Llc | Surgical instrument with an anvil that is selectively movable about a discrete non-movable axis relative to a staple cartridge |
| US10188385B2 (en) | 2014-12-18 | 2019-01-29 | Ethicon Llc | Surgical instrument system comprising lockable systems |
| RU2703684C2 (ru) | 2014-12-18 | 2019-10-21 | ЭТИКОН ЭНДО-СЕРДЖЕРИ, ЭлЭлСи | Хирургический инструмент с упором, который выполнен с возможностью избирательного перемещения относительно кассеты со скобами вокруг дискретной неподвижной оси |
| 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 |
| AU2015369954B2 (en) * | 2014-12-23 | 2020-07-23 | Appplied Medical Resources Corporation | Bipolar electrosurgical sealer and divider |
| US10172612B2 (en) | 2015-01-21 | 2019-01-08 | Covidien Lp | Surgical instruments with force applier and methods of use |
| US10226250B2 (en) | 2015-02-27 | 2019-03-12 | Ethicon Llc | Modular stapling assembly |
| US10180463B2 (en) | 2015-02-27 | 2019-01-15 | Ethicon Llc | Surgical apparatus configured to assess whether a performance parameter of the surgical apparatus is within an acceptable performance band |
| US10159483B2 (en) | 2015-02-27 | 2018-12-25 | Ethicon Llc | Surgical apparatus configured to track an end-of-life parameter |
| US11154301B2 (en) | 2015-02-27 | 2021-10-26 | Cilag Gmbh International | Modular stapling assembly |
| US10548504B2 (en) | 2015-03-06 | 2020-02-04 | Ethicon Llc | Overlaid multi sensor radio frequency (RF) electrode system to measure tissue compression |
| US10617412B2 (en) | 2015-03-06 | 2020-04-14 | Ethicon Llc | System for detecting the mis-insertion of a staple cartridge into a surgical stapler |
| US10441279B2 (en) | 2015-03-06 | 2019-10-15 | Ethicon Llc | Multiple level thresholds to modify operation of powered surgical instruments |
| US9924961B2 (en) | 2015-03-06 | 2018-03-27 | Ethicon Endo-Surgery, Llc | Interactive feedback system for powered surgical instruments |
| US10245033B2 (en) | 2015-03-06 | 2019-04-02 | Ethicon Llc | Surgical instrument comprising a lockable battery housing |
| 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 |
| US9901342B2 (en) | 2015-03-06 | 2018-02-27 | Ethicon Endo-Surgery, Llc | Signal and power communication system positioned on a rotatable shaft |
| US10045776B2 (en) | 2015-03-06 | 2018-08-14 | Ethicon Llc | Control techniques and sub-processor contained within modular shaft with select control processing from handle |
| US9808246B2 (en) | 2015-03-06 | 2017-11-07 | Ethicon Endo-Surgery, Llc | Method of operating a powered surgical instrument |
| US10687806B2 (en) | 2015-03-06 | 2020-06-23 | Ethicon Llc | Adaptive tissue compression techniques to adjust closure rates for multiple tissue types |
| US10653476B2 (en) | 2015-03-12 | 2020-05-19 | Covidien Lp | Mapping vessels for resecting body tissue |
| US10206736B2 (en) | 2015-03-13 | 2019-02-19 | Covidien Lp | Surgical forceps with scalpel functionality |
| US10390825B2 (en) | 2015-03-31 | 2019-08-27 | Ethicon Llc | Surgical instrument with progressive rotary drive systems |
| KR101535152B1 (ko) * | 2015-04-07 | 2015-07-09 | (주)포엘디자인 | 다기능 전기수술기 |
| KR101535140B1 (ko) * | 2015-04-07 | 2015-07-09 | (주)포엘디자인 | 다기능 전기수술기의 수술도구 결합구조 |
| WO2016169037A1 (en) | 2015-04-24 | 2016-10-27 | Covidien Lp | Vessel sealing device with fine dissection function |
| WO2016169038A1 (en) | 2015-04-24 | 2016-10-27 | Covidien Lp | Multifunctional vessel sealing and divider device |
| US9974602B2 (en) | 2015-05-27 | 2018-05-22 | Covidien Lp | Surgical instruments and devices and methods facilitating the manufacture of the same |
| US9848935B2 (en) | 2015-05-27 | 2017-12-26 | Covidien Lp | Surgical instruments including components and features facilitating the assembly and manufacturing thereof |
| US9956022B2 (en) | 2015-05-27 | 2018-05-01 | Covidien Lp | Surgical forceps and methods of manufacturing the same |
| US10226269B2 (en) | 2015-05-27 | 2019-03-12 | Covidien Lp | Surgical forceps |
| US10441340B2 (en) | 2015-05-27 | 2019-10-15 | Covidien Lp | Surgical forceps |
| US10722293B2 (en) | 2015-05-29 | 2020-07-28 | Covidien Lp | Surgical device with an end effector assembly and system for monitoring of tissue before and after a surgical procedure |
| US10335149B2 (en) | 2015-06-18 | 2019-07-02 | Ethicon Llc | Articulatable surgical instruments with composite firing beam structures with center firing support member for articulation support |
| US9987078B2 (en) | 2015-07-22 | 2018-06-05 | Covidien Lp | Surgical forceps |
| US11058425B2 (en) | 2015-08-17 | 2021-07-13 | Ethicon Llc | Implantable layers for a surgical instrument |
| US11103248B2 (en) | 2015-08-26 | 2021-08-31 | Cilag Gmbh International | Surgical staples for minimizing staple roll |
| US10987159B2 (en) | 2015-08-26 | 2021-04-27 | Covidien Lp | Electrosurgical end effector assemblies and electrosurgical forceps configured to reduce thermal spread |
| US10076326B2 (en) | 2015-09-23 | 2018-09-18 | Ethicon Llc | Surgical stapler having current mirror-based motor control |
| US10085751B2 (en) | 2015-09-23 | 2018-10-02 | Ethicon Llc | Surgical stapler having temperature-based motor control |
| US10327769B2 (en) | 2015-09-23 | 2019-06-25 | Ethicon Llc | Surgical stapler having motor control based on a drive system component |
| US10363036B2 (en) | 2015-09-23 | 2019-07-30 | Ethicon Llc | Surgical stapler having force-based motor control |
| US10105139B2 (en) | 2015-09-23 | 2018-10-23 | Ethicon Llc | Surgical stapler having downstream current-based motor control |
| US10238386B2 (en) | 2015-09-23 | 2019-03-26 | Ethicon Llc | Surgical stapler having motor control based on an electrical parameter related to a motor current |
| US10299878B2 (en) | 2015-09-25 | 2019-05-28 | Ethicon Llc | Implantable adjunct systems for determining adjunct skew |
| US10980539B2 (en) | 2015-09-30 | 2021-04-20 | Ethicon Llc | Implantable adjunct comprising bonded layers |
| US10736633B2 (en) | 2015-09-30 | 2020-08-11 | Ethicon Llc | Compressible adjunct with looping members |
| US10172620B2 (en) | 2015-09-30 | 2019-01-08 | Ethicon Llc | Compressible adjuncts with bonding nodes |
| US11890015B2 (en) | 2015-09-30 | 2024-02-06 | Cilag Gmbh International | Compressible adjunct with crossing spacer fibers |
| US10213221B2 (en) | 2015-10-28 | 2019-02-26 | Covidien Lp | Surgical instruments including cam surfaces |
| US10154877B2 (en) | 2015-11-04 | 2018-12-18 | Covidien Lp | Endoscopic surgical instrument |
| US10213250B2 (en) | 2015-11-05 | 2019-02-26 | Covidien Lp | Deployment and safety mechanisms for surgical instruments |
| US10265068B2 (en) | 2015-12-30 | 2019-04-23 | Ethicon Llc | Surgical instruments with separable motors and motor control circuits |
| US10368865B2 (en) | 2015-12-30 | 2019-08-06 | Ethicon Llc | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
| US10292704B2 (en) | 2015-12-30 | 2019-05-21 | Ethicon Llc | Mechanisms for compensating for battery pack failure in powered surgical instruments |
| US10172672B2 (en) | 2016-01-11 | 2019-01-08 | Covidien Lp | Jaw force control for electrosurgical forceps |
| US10426543B2 (en) | 2016-01-23 | 2019-10-01 | Covidien Lp | Knife trigger for vessel sealer |
| US10695123B2 (en) | 2016-01-29 | 2020-06-30 | Covidien Lp | Surgical instrument with sensor |
| US10864003B2 (en) | 2016-02-05 | 2020-12-15 | Covidien Lp | Articulation assemblies for use with endoscopic surgical instruments |
| US11213293B2 (en) | 2016-02-09 | 2022-01-04 | Cilag Gmbh International | Articulatable surgical instruments with single articulation link arrangements |
| BR112018016098B1 (pt) | 2016-02-09 | 2023-02-23 | Ethicon Llc | Instrumento cirúrgico |
| US10413291B2 (en) | 2016-02-09 | 2019-09-17 | Ethicon Llc | Surgical instrument articulation mechanism with slotted secondary constraint |
| US11224426B2 (en) | 2016-02-12 | 2022-01-18 | Cilag Gmbh International | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
| US10258331B2 (en) | 2016-02-12 | 2019-04-16 | Ethicon Llc | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
| US10448948B2 (en) | 2016-02-12 | 2019-10-22 | Ethicon Llc | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
| US10537381B2 (en) | 2016-02-26 | 2020-01-21 | Covidien Lp | Surgical instrument having a bipolar end effector assembly and a deployable monopolar assembly |
| USD828554S1 (en) | 2016-03-09 | 2018-09-11 | Covidien Lp | Contoured blade trigger for an electrosurgical instrument |
| USD819815S1 (en) | 2016-03-09 | 2018-06-05 | Covidien Lp | L-shaped blade trigger for an electrosurgical instrument |
| US10617413B2 (en) | 2016-04-01 | 2020-04-14 | Ethicon Llc | Closure system arrangements for surgical cutting and stapling devices with separate and distinct firing shafts |
| US11064997B2 (en) | 2016-04-01 | 2021-07-20 | Cilag Gmbh International | Surgical stapling instrument |
| US10456137B2 (en) | 2016-04-15 | 2019-10-29 | Ethicon Llc | Staple formation detection mechanisms |
| US11607239B2 (en) | 2016-04-15 | 2023-03-21 | Cilag Gmbh International | Systems and methods for controlling a surgical stapling and cutting instrument |
| US10335145B2 (en) | 2016-04-15 | 2019-07-02 | Ethicon Llc | Modular surgical instrument with configurable operating mode |
| US10405859B2 (en) | 2016-04-15 | 2019-09-10 | Ethicon Llc | Surgical instrument with adjustable stop/start control during a firing motion |
| US11179150B2 (en) | 2016-04-15 | 2021-11-23 | Cilag Gmbh International | Systems and methods for controlling a surgical stapling and cutting instrument |
| 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 |
| US10828028B2 (en) | 2016-04-15 | 2020-11-10 | Ethicon Llc | Surgical instrument with multiple program responses during a firing motion |
| US10492783B2 (en) | 2016-04-15 | 2019-12-03 | Ethicon, Llc | Surgical instrument with improved stop/start control during a firing motion |
| US20170296173A1 (en) | 2016-04-18 | 2017-10-19 | Ethicon Endo-Surgery, Llc | Method for operating a surgical instrument |
| US10433840B2 (en) | 2016-04-18 | 2019-10-08 | Ethicon Llc | Surgical instrument comprising a replaceable cartridge jaw |
| US11317917B2 (en) | 2016-04-18 | 2022-05-03 | Cilag Gmbh International | Surgical stapling system comprising a lockable firing assembly |
| US10517665B2 (en) | 2016-07-14 | 2019-12-31 | Covidien Lp | Devices and methods for tissue sealing and mechanical clipping |
| US10682154B2 (en) | 2016-08-02 | 2020-06-16 | Covidien Lp | Cutting mechanisms for surgical end effector assemblies, instruments, and systems |
| US10856933B2 (en) | 2016-08-02 | 2020-12-08 | Covidien Lp | Surgical instrument housing incorporating a channel and methods of manufacturing the same |
| US10631887B2 (en) | 2016-08-15 | 2020-04-28 | Covidien Lp | Electrosurgical forceps for video assisted thoracoscopic surgery and other surgical procedures |
| US10500000B2 (en) | 2016-08-16 | 2019-12-10 | Ethicon Llc | Surgical tool with manual control of end effector jaws |
| US10441305B2 (en) | 2016-08-18 | 2019-10-15 | Covidien Lp | Surgical forceps |
| US10772642B2 (en) | 2016-08-18 | 2020-09-15 | Covidien Lp | Surgical forceps |
| US11207091B2 (en) | 2016-11-08 | 2021-12-28 | Covidien Lp | Surgical instrument for grasping, treating, and/or dividing tissue |
| US10918407B2 (en) | 2016-11-08 | 2021-02-16 | Covidien Lp | Surgical instrument for grasping, treating, and/or dividing tissue |
| 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 |
| US10667811B2 (en) | 2016-12-21 | 2020-06-02 | Ethicon Llc | Surgical stapling instruments and staple-forming anvils |
| CN110114014B (zh) | 2016-12-21 | 2022-08-09 | 爱惜康有限责任公司 | 包括端部执行器闭锁件和击发组件闭锁件的外科器械系统 |
| US10617414B2 (en) | 2016-12-21 | 2020-04-14 | Ethicon Llc | Closure member arrangements for surgical instruments |
| US10426471B2 (en) | 2016-12-21 | 2019-10-01 | Ethicon Llc | Surgical instrument with multiple failure response modes |
| 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 |
| US10758230B2 (en) | 2016-12-21 | 2020-09-01 | Ethicon Llc | Surgical instrument with primary and safety processors |
| MX2019007311A (es) | 2016-12-21 | 2019-11-18 | Ethicon Llc | Sistemas de engrapado quirurgico. |
| US20180168609A1 (en) | 2016-12-21 | 2018-06-21 | Ethicon Endo-Surgery, Llc | Firing assembly comprising a fuse |
| US10568626B2 (en) | 2016-12-21 | 2020-02-25 | Ethicon Llc | Surgical instruments with jaw opening features for increasing a jaw opening distance |
| US10881401B2 (en) | 2016-12-21 | 2021-01-05 | Ethicon Llc | Staple firing member comprising a missing cartridge and/or spent cartridge lockout |
| US10779823B2 (en) | 2016-12-21 | 2020-09-22 | Ethicon Llc | Firing member pin angle |
| JP7010957B2 (ja) | 2016-12-21 | 2022-01-26 | エシコン エルエルシー | ロックアウトを備えるシャフトアセンブリ |
| US11134942B2 (en) | 2016-12-21 | 2021-10-05 | Cilag Gmbh International | Surgical stapling instruments and staple-forming anvils |
| US10499914B2 (en) | 2016-12-21 | 2019-12-10 | Ethicon Llc | Staple forming pocket arrangements |
| US11090048B2 (en) | 2016-12-21 | 2021-08-17 | Cilag Gmbh International | Method for resetting a fuse of a surgical instrument shaft |
| 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 |
| US10639035B2 (en) | 2016-12-21 | 2020-05-05 | Ethicon Llc | Surgical stapling instruments and replaceable tool assemblies thereof |
| JP2020501815A (ja) | 2016-12-21 | 2020-01-23 | エシコン エルエルシーＥｔｈｉｃｏｎ ＬＬＣ | 外科用ステープル留めシステム |
| 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 |
| US10918385B2 (en) | 2016-12-21 | 2021-02-16 | Ethicon Llc | Surgical system comprising a firing member rotatable into an articulation state to articulate an end effector of the surgical system |
| US20180168623A1 (en) | 2016-12-21 | 2018-06-21 | Ethicon Endo-Surgery, Llc | Surgical stapling systems |
| US10813695B2 (en) | 2017-01-27 | 2020-10-27 | Covidien Lp | Reflectors for optical-based vessel sealing |
| US11229480B2 (en) | 2017-02-02 | 2022-01-25 | Covidien Lp | Latching mechanism for in-line activated electrosurgical device |
| US10881445B2 (en) | 2017-02-09 | 2021-01-05 | Covidien Lp | Adapters, systems incorporating the same, and methods for providing an electrosurgical forceps with clip-applying functionality |
| US11540872B2 (en) | 2017-03-13 | 2023-01-03 | Covidien Lp | Electrosurgical instrument with trigger driven cutting function |
| 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 |
| US11166759B2 (en) | 2017-05-16 | 2021-11-09 | Covidien Lp | Surgical forceps |
| USD854149S1 (en) | 2017-06-08 | 2019-07-16 | Covidien Lp | End effector for open vessel sealer |
| US10512501B2 (en) | 2017-06-08 | 2019-12-24 | Covidien Lp | Electrosurgical apparatus |
| USD854684S1 (en) | 2017-06-08 | 2019-07-23 | Covidien Lp | Open vessel sealer with mechanical cutter |
| US10653475B2 (en) | 2017-06-08 | 2020-05-19 | Covidien Lp | Knife lockout for electrosurgical forceps |
| USD859658S1 (en) | 2017-06-16 | 2019-09-10 | Covidien Lp | Vessel sealer for tonsillectomy |
| US12490980B2 (en) | 2017-06-20 | 2025-12-09 | Cilag Gmbh International | Surgical instrument having controllable articulation velocity |
| US10881396B2 (en) | 2017-06-20 | 2021-01-05 | Ethicon Llc | Surgical instrument with variable duration trigger arrangement |
| US10646220B2 (en) | 2017-06-20 | 2020-05-12 | Ethicon Llc | Systems and methods for controlling displacement member velocity for a surgical instrument |
| US10327767B2 (en) | 2017-06-20 | 2019-06-25 | Ethicon Llc | Control of motor velocity of a surgical stapling and cutting instrument based on angle of articulation |
| US10813639B2 (en) | 2017-06-20 | 2020-10-27 | Ethicon Llc | Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on system conditions |
| 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 |
| US11071554B2 (en) | 2017-06-20 | 2021-07-27 | Cilag Gmbh International | Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on magnitude of velocity error measurements |
| US10390841B2 (en) | 2017-06-20 | 2019-08-27 | Ethicon Llc | Control of motor velocity of a surgical stapling and cutting instrument based on angle of articulation |
| 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 |
| USD879808S1 (en) | 2017-06-20 | 2020-03-31 | Ethicon Llc | Display panel with graphical user interface |
| US10624633B2 (en) | 2017-06-20 | 2020-04-21 | Ethicon Llc | Systems and methods for controlling motor velocity of a surgical stapling and cutting instrument |
| USD879809S1 (en) | 2017-06-20 | 2020-03-31 | Ethicon Llc | Display panel with changeable graphical user interface |
| 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 |
| 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 |
| USD890784S1 (en) | 2017-06-20 | 2020-07-21 | Ethicon Llc | Display panel with changeable graphical user interface |
| US10368864B2 (en) | 2017-06-20 | 2019-08-06 | Ethicon Llc | Systems and methods for controlling displaying motor velocity for a surgical instrument |
| US11090046B2 (en) | 2017-06-20 | 2021-08-17 | Cilag Gmbh International | Systems and methods for controlling displacement member motion of a surgical stapling and cutting instrument |
| US10980537B2 (en) | 2017-06-20 | 2021-04-20 | Ethicon Llc | Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on measured time over a specified number of shaft rotations |
| US10881399B2 (en) | 2017-06-20 | 2021-01-05 | Ethicon Llc | Techniques for adaptive control of motor velocity of a surgical stapling and cutting instrument |
| US10888321B2 (en) | 2017-06-20 | 2021-01-12 | Ethicon Llc | Systems and methods for controlling velocity of a displacement member of a surgical stapling and cutting instrument |
| US11266405B2 (en) | 2017-06-27 | 2022-03-08 | Cilag Gmbh International | Surgical anvil manufacturing methods |
| US11090049B2 (en) | 2017-06-27 | 2021-08-17 | Cilag Gmbh International | Staple forming pocket arrangements |
| US10856869B2 (en) | 2017-06-27 | 2020-12-08 | Ethicon Llc | Surgical anvil arrangements |
| US10772629B2 (en) | 2017-06-27 | 2020-09-15 | Ethicon Llc | Surgical anvil arrangements |
| US11324503B2 (en) | 2017-06-27 | 2022-05-10 | Cilag Gmbh International | Surgical firing member arrangements |
| US10993716B2 (en) | 2017-06-27 | 2021-05-04 | Ethicon Llc | Surgical anvil arrangements |
| US10211586B2 (en) | 2017-06-28 | 2019-02-19 | Ethicon Llc | Surgical shaft assemblies with watertight housings |
| USD869655S1 (en) | 2017-06-28 | 2019-12-10 | Ethicon Llc | Surgical fastener cartridge |
| US20190000461A1 (en) | 2017-06-28 | 2019-01-03 | Ethicon Llc | Surgical cutting and fastening devices with pivotable anvil with a tissue locating arrangement in close proximity to an anvil pivot axis |
| US11564686B2 (en) | 2017-06-28 | 2023-01-31 | Cilag Gmbh International | Surgical shaft assemblies with flexible interfaces |
| EP4070740B1 (en) | 2017-06-28 | 2025-03-26 | Cilag GmbH International | Surgical instrument comprising selectively actuatable rotatable couplers |
| US11000279B2 (en) | 2017-06-28 | 2021-05-11 | Ethicon Llc | Surgical instrument comprising an articulation system ratio |
| USD851762S1 (en) | 2017-06-28 | 2019-06-18 | Ethicon Llc | Anvil |
| US10765427B2 (en) | 2017-06-28 | 2020-09-08 | Ethicon Llc | Method for articulating a surgical instrument |
| USD906355S1 (en) | 2017-06-28 | 2020-12-29 | Ethicon Llc | Display screen or portion thereof with a graphical user interface for a surgical instrument |
| BR112019027065B1 (pt) | 2017-06-28 | 2023-12-26 | Ethicon Llc | Instrumento cirúrgico e sistema cirúrgico |
| US11246592B2 (en) | 2017-06-28 | 2022-02-15 | Cilag Gmbh International | Surgical instrument comprising an articulation system lockable to a frame |
| USD854151S1 (en) | 2017-06-28 | 2019-07-16 | Ethicon Llc | Surgical instrument shaft |
| US10716614B2 (en) | 2017-06-28 | 2020-07-21 | Ethicon Llc | Surgical shaft assemblies with slip ring assemblies with increased contact pressure |
| US10903685B2 (en) | 2017-06-28 | 2021-01-26 | Ethicon Llc | Surgical shaft assemblies with slip ring assemblies forming capacitive channels |
| US11259805B2 (en) | 2017-06-28 | 2022-03-01 | Cilag Gmbh International | Surgical instrument comprising firing member supports |
| US10398434B2 (en) | 2017-06-29 | 2019-09-03 | Ethicon Llc | Closed loop velocity control of closure member for robotic surgical instrument |
| US11007022B2 (en) | 2017-06-29 | 2021-05-18 | Ethicon Llc | Closed loop velocity control techniques based on sensed tissue parameters for robotic surgical instrument |
| US10258418B2 (en) | 2017-06-29 | 2019-04-16 | Ethicon Llc | System for controlling articulation forces |
| US10898183B2 (en) | 2017-06-29 | 2021-01-26 | Ethicon Llc | Robotic surgical instrument with closed loop feedback techniques for advancement of closure member during firing |
| 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 |
| US11154348B2 (en) | 2017-08-29 | 2021-10-26 | Covidien Lp | Surgical instruments and methods of assembling surgical instruments |
| USD917500S1 (en) | 2017-09-29 | 2021-04-27 | Ethicon Llc | Display screen or portion thereof with graphical user interface |
| US10796471B2 (en) | 2017-09-29 | 2020-10-06 | Ethicon Llc | Systems and methods of displaying a knife position for a surgical instrument |
| US10765429B2 (en) | 2017-09-29 | 2020-09-08 | Ethicon Llc | Systems and methods for providing alerts according to the operational state of a surgical instrument |
| US10743872B2 (en) | 2017-09-29 | 2020-08-18 | Ethicon Llc | System and methods for controlling a display of a surgical instrument |
| US10729501B2 (en) | 2017-09-29 | 2020-08-04 | Ethicon Llc | Systems and methods for language selection of a surgical instrument |
| USD907648S1 (en) | 2017-09-29 | 2021-01-12 | Ethicon Llc | Display screen or portion thereof with animated graphical user interface |
| USD907647S1 (en) | 2017-09-29 | 2021-01-12 | Ethicon Llc | Display screen or portion thereof with animated graphical user interface |
| US11399829B2 (en) | 2017-09-29 | 2022-08-02 | Cilag Gmbh International | Systems and methods of initiating a power shutdown mode for a surgical instrument |
| US11134944B2 (en) | 2017-10-30 | 2021-10-05 | Cilag Gmbh International | Surgical stapler knife motion controls |
| US11090075B2 (en) | 2017-10-30 | 2021-08-17 | Cilag Gmbh International | Articulation features for surgical end effector |
| US10779903B2 (en) | 2017-10-31 | 2020-09-22 | Ethicon Llc | Positive shaft rotation lock activated by jaw closure |
| US10842490B2 (en) | 2017-10-31 | 2020-11-24 | Ethicon Llc | Cartridge body design with force reduction based on firing completion |
| US10779825B2 (en) | 2017-12-15 | 2020-09-22 | Ethicon Llc | Adapters with end effector position sensing and control arrangements for use in connection with electromechanical surgical instruments |
| US11006955B2 (en) | 2017-12-15 | 2021-05-18 | Ethicon Llc | End effectors with positive jaw opening features for use with adapters for electromechanical surgical instruments |
| US10869666B2 (en) | 2017-12-15 | 2020-12-22 | Ethicon Llc | Adapters with control systems for controlling multiple motors of an electromechanical surgical instrument |
| US10743874B2 (en) | 2017-12-15 | 2020-08-18 | Ethicon Llc | Sealed adapters for use with electromechanical surgical instruments |
| US10828033B2 (en) | 2017-12-15 | 2020-11-10 | Ethicon Llc | Handheld electromechanical surgical instruments with improved motor control arrangements for positioning components of an adapter coupled thereto |
| US11033267B2 (en) | 2017-12-15 | 2021-06-15 | Ethicon Llc | Systems and methods of controlling a clamping member firing rate of a surgical instrument |
| US10687813B2 (en) | 2017-12-15 | 2020-06-23 | Ethicon Llc | Adapters with firing stroke sensing arrangements for use in connection with electromechanical surgical instruments |
| US11197670B2 (en) | 2017-12-15 | 2021-12-14 | Cilag Gmbh International | Surgical end effectors with pivotal jaws configured to touch at their respective distal ends when fully closed |
| US10779826B2 (en) | 2017-12-15 | 2020-09-22 | Ethicon Llc | Methods of operating surgical end effectors |
| US10743875B2 (en) | 2017-12-15 | 2020-08-18 | Ethicon Llc | Surgical end effectors with jaw stiffener arrangements configured to permit monitoring of firing member |
| US10966718B2 (en) | 2017-12-15 | 2021-04-06 | Ethicon Llc | Dynamic clamping assemblies with improved wear characteristics for use in connection with electromechanical surgical instruments |
| US11071543B2 (en) | 2017-12-15 | 2021-07-27 | Cilag Gmbh International | Surgical end effectors with clamping assemblies configured to increase jaw aperture ranges |
| 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 |
| US10729509B2 (en) | 2017-12-19 | 2020-08-04 | Ethicon Llc | Surgical instrument comprising closure and firing locking mechanism |
| US11020112B2 (en) | 2017-12-19 | 2021-06-01 | Ethicon Llc | Surgical tools configured for interchangeable use with different controller interfaces |
| US11045270B2 (en) | 2017-12-19 | 2021-06-29 | Cilag Gmbh International | Robotic attachment comprising exterior drive actuator |
| US10716565B2 (en) | 2017-12-19 | 2020-07-21 | Ethicon Llc | Surgical instruments with dual articulation drivers |
| USD910847S1 (en) | 2017-12-19 | 2021-02-16 | Ethicon Llc | Surgical instrument assembly |
| US11751867B2 (en) | 2017-12-21 | 2023-09-12 | Cilag Gmbh International | Surgical instrument comprising sequenced systems |
| US12336705B2 (en) | 2017-12-21 | 2025-06-24 | Cilag Gmbh International | Continuous use self-propelled stapling instrument |
| US11129680B2 (en) | 2017-12-21 | 2021-09-28 | Cilag Gmbh International | Surgical instrument comprising a projector |
| US11076853B2 (en) | 2017-12-21 | 2021-08-03 | Cilag Gmbh International | Systems and methods of displaying a knife position during transection for a surgical instrument |
| US11311290B2 (en) | 2017-12-21 | 2022-04-26 | Cilag Gmbh International | Surgical instrument comprising an end effector dampener |
| US11123132B2 (en) | 2018-04-09 | 2021-09-21 | Covidien Lp | Multi-function surgical instruments and assemblies therefor |
| US10828756B2 (en) | 2018-04-24 | 2020-11-10 | Covidien Lp | Disassembly methods facilitating reprocessing of multi-function surgical instruments |
| US10780544B2 (en) | 2018-04-24 | 2020-09-22 | Covidien Lp | Systems and methods facilitating reprocessing of surgical instruments |
| US11033289B2 (en) | 2018-05-02 | 2021-06-15 | Covidien Lp | Jaw guard for surgical forceps |
| US11109930B2 (en) | 2018-06-08 | 2021-09-07 | Covidien Lp | Enhanced haptic feedback system |
| US11896291B2 (en) | 2018-07-02 | 2024-02-13 | Covidien Lp | Electrically-insulative shafts, methods of manufacturing electrically-insulative shafts, and energy-based surgical instruments incorporating electrically-insulative shafts |
| US10856870B2 (en) | 2018-08-20 | 2020-12-08 | Ethicon Llc | Switching arrangements for motor powered articulatable surgical instruments |
| US11039834B2 (en) | 2018-08-20 | 2021-06-22 | Cilag Gmbh International | Surgical stapler anvils with staple directing protrusions and tissue stability features |
| US20200054321A1 (en) | 2018-08-20 | 2020-02-20 | Ethicon Llc | Surgical instruments with progressive jaw closure arrangements |
| US11045192B2 (en) | 2018-08-20 | 2021-06-29 | Cilag Gmbh International | Fabricating techniques for surgical stapler anvils |
| USD914878S1 (en) | 2018-08-20 | 2021-03-30 | Ethicon Llc | Surgical instrument anvil |
| US11083458B2 (en) | 2018-08-20 | 2021-08-10 | Cilag Gmbh International | Powered surgical instruments with clutching arrangements to convert linear drive motions to rotary drive motions |
| US11207065B2 (en) | 2018-08-20 | 2021-12-28 | Cilag Gmbh International | Method for fabricating surgical stapler anvils |
| US11291440B2 (en) | 2018-08-20 | 2022-04-05 | Cilag Gmbh International | Method for operating a powered articulatable surgical instrument |
| US11253256B2 (en) | 2018-08-20 | 2022-02-22 | Cilag Gmbh International | Articulatable motor powered surgical instruments with dedicated articulation motor arrangements |
| US10842492B2 (en) | 2018-08-20 | 2020-11-24 | Ethicon Llc | Powered articulatable surgical instruments with clutching and locking arrangements for linking an articulation drive system to a firing drive system |
| US11324501B2 (en) | 2018-08-20 | 2022-05-10 | Cilag Gmbh International | Surgical stapling devices with improved closure members |
| US10912559B2 (en) | 2018-08-20 | 2021-02-09 | Ethicon Llc | Reinforced deformable anvil tip for surgical stapler anvil |
| US10779821B2 (en) | 2018-08-20 | 2020-09-22 | Ethicon Llc | Surgical stapler anvils with tissue stop features configured to avoid tissue pinch |
| US11612403B2 (en) | 2018-10-03 | 2023-03-28 | Covidien Lp | Multi-function surgical transection instrument |
| US11471211B2 (en) | 2018-10-12 | 2022-10-18 | Covidien Lp | Electrosurgical forceps |
| US11376062B2 (en) | 2018-10-12 | 2022-07-05 | Covidien Lp | Electrosurgical forceps |
| US10881452B2 (en) | 2018-10-16 | 2021-01-05 | Covidien Lp | Method of assembling an end effector for a surgical instrument |
| US11350982B2 (en) | 2018-12-05 | 2022-06-07 | Covidien Lp | Electrosurgical forceps |
| US11246648B2 (en) | 2018-12-10 | 2022-02-15 | Covidien Lp | Surgical forceps with bilateral and unilateral jaw members |
| US12220159B2 (en) | 2019-03-15 | 2025-02-11 | Covidien Lp | Surgical instrument with eccentric cam |
| US11147613B2 (en) | 2019-03-15 | 2021-10-19 | Covidien Lp | Surgical instrument with increased lever stroke |
| US11523861B2 (en) | 2019-03-22 | 2022-12-13 | Covidien Lp | Methods for manufacturing a jaw assembly for an electrosurgical forceps |
| US11147553B2 (en) | 2019-03-25 | 2021-10-19 | Cilag Gmbh International | Firing drive arrangements for surgical systems |
| US11172929B2 (en) | 2019-03-25 | 2021-11-16 | Cilag Gmbh International | Articulation drive arrangements for surgical systems |
| US11147551B2 (en) | 2019-03-25 | 2021-10-19 | Cilag Gmbh International | Firing drive arrangements for surgical systems |
| US11696761B2 (en) | 2019-03-25 | 2023-07-11 | Cilag Gmbh International | Firing drive arrangements for surgical systems |
| US11490917B2 (en) | 2019-03-29 | 2022-11-08 | Covidien Lp | Drive rod and knife blade for an articulating surgical instrument |
| US11576696B2 (en) | 2019-03-29 | 2023-02-14 | Covidien Lp | Engagement features and methods for attaching a drive rod to a knife blade in an articulating surgical instrument |
| US11490916B2 (en) | 2019-03-29 | 2022-11-08 | Covidien Lp | Engagement features and methods for attaching a drive rod to a knife blade in an articulating surgical instrument |
| US11426251B2 (en) | 2019-04-30 | 2022-08-30 | Cilag Gmbh International | Articulation directional lights on a surgical instrument |
| US11648009B2 (en) | 2019-04-30 | 2023-05-16 | Cilag Gmbh International | Rotatable jaw tip for a surgical instrument |
| 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 |
| 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 |
| US11607267B2 (en) | 2019-06-10 | 2023-03-21 | Covidien Lp | Electrosurgical forceps |
| US20220175410A1 (en) * | 2019-06-20 | 2022-06-09 | National University Corporation Shiga University Of Medical Science | Cutting device, forceps and gripping/cutting method |
| US12004740B2 (en) | 2019-06-28 | 2024-06-11 | Cilag Gmbh International | Surgical stapling system having an information decryption protocol |
| US11291451B2 (en) | 2019-06-28 | 2022-04-05 | Cilag Gmbh International | Surgical instrument with battery compatibility verification functionality |
| US11771419B2 (en) | 2019-06-28 | 2023-10-03 | Cilag Gmbh International | Packaging for a replaceable component of a surgical stapling system |
| US11627959B2 (en) | 2019-06-28 | 2023-04-18 | Cilag Gmbh International | Surgical instruments including manual and powered system lockouts |
| US11638587B2 (en) | 2019-06-28 | 2023-05-02 | Cilag Gmbh International | RFID identification systems for surgical instruments |
| US11426167B2 (en) | 2019-06-28 | 2022-08-30 | Cilag Gmbh International | Mechanisms for proper anvil attachment surgical stapling head assembly |
| US11497492B2 (en) | 2019-06-28 | 2022-11-15 | Cilag Gmbh International | Surgical instrument including an articulation lock |
| US11464601B2 (en) | 2019-06-28 | 2022-10-11 | Cilag Gmbh International | Surgical instrument comprising an RFID system for tracking a movable component |
| US11399837B2 (en) | 2019-06-28 | 2022-08-02 | Cilag Gmbh International | Mechanisms for motor control adjustments of a motorized surgical instrument |
| US11246678B2 (en) | 2019-06-28 | 2022-02-15 | Cilag Gmbh International | Surgical stapling system having a frangible RFID tag |
| US11376098B2 (en) | 2019-06-28 | 2022-07-05 | Cilag Gmbh International | Surgical instrument system comprising an RFID system |
| US11298127B2 (en) | 2019-06-28 | 2022-04-12 | Cilag GmbH Interational | Surgical stapling system having a lockout mechanism for an incompatible cartridge |
| US11219455B2 (en) | 2019-06-28 | 2022-01-11 | Cilag Gmbh International | Surgical instrument including a lockout key |
| US11241235B2 (en) | 2019-06-28 | 2022-02-08 | Cilag Gmbh International | Method of using multiple RFID chips with a surgical assembly |
| US11523822B2 (en) | 2019-06-28 | 2022-12-13 | Cilag Gmbh International | Battery pack including a circuit interrupter |
| US11478241B2 (en) | 2019-06-28 | 2022-10-25 | Cilag Gmbh International | Staple cartridge including projections |
| US11660163B2 (en) | 2019-06-28 | 2023-05-30 | Cilag Gmbh International | Surgical system with RFID tags for updating motor assembly parameters |
| US11298132B2 (en) | 2019-06-28 | 2022-04-12 | Cilag GmbH Inlernational | Staple cartridge including a honeycomb extension |
| US11684434B2 (en) | 2019-06-28 | 2023-06-27 | Cilag Gmbh International | Surgical RFID assemblies for instrument operational setting control |
| US11051807B2 (en) | 2019-06-28 | 2021-07-06 | Cilag Gmbh International | Packaging assembly including a particulate trap |
| US11224497B2 (en) | 2019-06-28 | 2022-01-18 | Cilag Gmbh International | Surgical systems with multiple RFID tags |
| US11553971B2 (en) | 2019-06-28 | 2023-01-17 | Cilag Gmbh International | Surgical RFID assemblies for display and communication |
| US11259803B2 (en) | 2019-06-28 | 2022-03-01 | Cilag Gmbh International | Surgical stapling system having an information encryption protocol |
| US11304696B2 (en) | 2019-12-19 | 2022-04-19 | Cilag Gmbh International | Surgical instrument comprising a powered articulation system |
| US11844520B2 (en) | 2019-12-19 | 2023-12-19 | Cilag Gmbh International | Staple cartridge comprising driver retention members |
| US11529137B2 (en) | 2019-12-19 | 2022-12-20 | Cilag Gmbh International | Staple cartridge comprising driver retention members |
| US11464512B2 (en) | 2019-12-19 | 2022-10-11 | Cilag Gmbh International | Staple cartridge comprising a curved deck surface |
| US11701111B2 (en) | 2019-12-19 | 2023-07-18 | Cilag Gmbh International | Method for operating a surgical stapling instrument |
| US11911032B2 (en) | 2019-12-19 | 2024-02-27 | Cilag Gmbh International | Staple cartridge comprising a seating cam |
| US11607219B2 (en) | 2019-12-19 | 2023-03-21 | Cilag Gmbh International | Staple cartridge comprising a detachable tissue cutting knife |
| US11931033B2 (en) | 2019-12-19 | 2024-03-19 | Cilag Gmbh International | Staple cartridge comprising a latch lockout |
| 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 |
| 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 |
| US11559304B2 (en) | 2019-12-19 | 2023-01-24 | Cilag Gmbh International | Surgical instrument comprising a rapid closure mechanism |
| US11446029B2 (en) | 2019-12-19 | 2022-09-20 | Cilag Gmbh International | Staple cartridge comprising projections extending from a curved deck surface |
| US12035913B2 (en) | 2019-12-19 | 2024-07-16 | Cilag Gmbh International | Staple cartridge comprising a deployable knife |
| US11504122B2 (en) | 2019-12-19 | 2022-11-22 | Cilag Gmbh International | Surgical instrument comprising a nested firing member |
| US11291447B2 (en) | 2019-12-19 | 2022-04-05 | Cilag Gmbh International | Stapling instrument comprising independent jaw closing and staple firing systems |
| US11376030B2 (en) | 2020-02-10 | 2022-07-05 | Covidien Lp | Devices and methods facilitating the manufacture of surgical instruments |
| US11622804B2 (en) | 2020-03-16 | 2023-04-11 | Covidien Lp | Forceps with linear trigger mechanism |
| US11844562B2 (en) | 2020-03-23 | 2023-12-19 | Covidien Lp | Electrosurgical forceps for grasping, treating, and/or dividing tissue |
| US12408970B2 (en) | 2020-04-02 | 2025-09-09 | Covidien Lp | Systems and methods for sealing and dissecting tissue using an electrosurgical forceps including a thermal cutting element |
| USD975850S1 (en) | 2020-06-02 | 2023-01-17 | Cilag Gmbh International | Staple cartridge |
| USD967421S1 (en) | 2020-06-02 | 2022-10-18 | Cilag Gmbh International | Staple cartridge |
| USD974560S1 (en) | 2020-06-02 | 2023-01-03 | Cilag Gmbh International | Staple cartridge |
| USD966512S1 (en) | 2020-06-02 | 2022-10-11 | Cilag Gmbh International | Staple cartridge |
| USD976401S1 (en) | 2020-06-02 | 2023-01-24 | Cilag Gmbh International | Staple cartridge |
| USD975851S1 (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 |
| US11638582B2 (en) | 2020-07-28 | 2023-05-02 | Cilag Gmbh International | Surgical instruments with torsion spine drive 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 |
| US11896217B2 (en) | 2020-10-29 | 2024-02-13 | Cilag Gmbh International | Surgical instrument comprising an articulation 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 |
| US11844518B2 (en) | 2020-10-29 | 2023-12-19 | Cilag Gmbh International | Method for operating a surgical instrument |
| US12053175B2 (en) | 2020-10-29 | 2024-08-06 | Cilag Gmbh International | Surgical instrument comprising a stowed closure actuator stop |
| US11717289B2 (en) | 2020-10-29 | 2023-08-08 | Cilag Gmbh International | Surgical instrument comprising an indicator which indicates that an articulation drive is actuatable |
| USD1013170S1 (en) | 2020-10-29 | 2024-01-30 | Cilag Gmbh International | Surgical instrument assembly |
| USD980425S1 (en) | 2020-10-29 | 2023-03-07 | Cilag Gmbh International | Surgical instrument assembly |
| 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 |
| US11779330B2 (en) | 2020-10-29 | 2023-10-10 | Cilag Gmbh International | Surgical instrument comprising a jaw alignment system |
| WO2022091330A1 (ja) * | 2020-10-30 | 2022-05-05 | オリンパス株式会社 | 医療用マニピュレータおよび処置方法 |
| US11653920B2 (en) | 2020-12-02 | 2023-05-23 | Cilag Gmbh International | Powered surgical instruments with communication interfaces through sterile barrier |
| US11944296B2 (en) | 2020-12-02 | 2024-04-02 | Cilag Gmbh International | Powered surgical instruments with external connectors |
| 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 |
| US11744581B2 (en) | 2020-12-02 | 2023-09-05 | Cilag Gmbh International | Powered surgical instruments with multi-phase tissue treatment |
| US11653915B2 (en) | 2020-12-02 | 2023-05-23 | Cilag Gmbh International | Surgical instruments with sled location detection and adjustment features |
| US11890010B2 (en) | 2020-12-02 | 2024-02-06 | Cllag GmbH International | Dual-sided reinforced reload for surgical instruments |
| 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 |
| US12471982B2 (en) | 2020-12-02 | 2025-11-18 | Cilag Gmbh International | Method for tissue treatment by surgical instrument |
| US11627960B2 (en) | 2020-12-02 | 2023-04-18 | Cilag Gmbh International | Powered surgical instruments with smart reload with separately attachable exteriorly mounted wiring connections |
| US11701113B2 (en) | 2021-02-26 | 2023-07-18 | Cilag Gmbh International | Stapling instrument comprising a separate power antenna and a data transfer antenna |
| US11696757B2 (en) | 2021-02-26 | 2023-07-11 | Cilag Gmbh International | Monitoring of internal systems to detect and track cartridge motion status |
| US11950777B2 (en) | 2021-02-26 | 2024-04-09 | Cilag Gmbh International | Staple cartridge comprising an information access control system |
| US11749877B2 (en) | 2021-02-26 | 2023-09-05 | Cilag Gmbh International | Stapling instrument comprising a signal antenna |
| US11730473B2 (en) | 2021-02-26 | 2023-08-22 | Cilag Gmbh International | Monitoring of manufacturing life-cycle |
| US12324580B2 (en) | 2021-02-26 | 2025-06-10 | Cilag Gmbh International | Method of powering and communicating with a staple cartridge |
| 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 |
| US12108951B2 (en) | 2021-02-26 | 2024-10-08 | Cilag Gmbh International | Staple cartridge comprising a sensing array and a temperature 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 |
| US11950779B2 (en) | 2021-02-26 | 2024-04-09 | Cilag Gmbh International | Method of powering and communicating with a staple cartridge |
| US11925349B2 (en) | 2021-02-26 | 2024-03-12 | Cilag Gmbh International | Adjustment to transfer parameters to improve available power |
| 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 |
| US11723657B2 (en) | 2021-02-26 | 2023-08-15 | Cilag Gmbh International | Adjustable communication based on available bandwidth and power capacity |
| US11826042B2 (en) | 2021-03-22 | 2023-11-28 | Cilag Gmbh International | Surgical instrument comprising a firing drive including a selectable leverage mechanism |
| US11826012B2 (en) | 2021-03-22 | 2023-11-28 | Cilag Gmbh International | Stapling instrument comprising a pulsed motor-driven firing rack |
| US11806011B2 (en) | 2021-03-22 | 2023-11-07 | Cilag Gmbh International | Stapling instrument comprising tissue compression systems |
| US11723658B2 (en) | 2021-03-22 | 2023-08-15 | Cilag Gmbh International | Staple cartridge comprising a firing lockout |
| US11717291B2 (en) | 2021-03-22 | 2023-08-08 | Cilag Gmbh International | Staple cartridge comprising staples configured to apply different tissue compression |
| US11737749B2 (en) | 2021-03-22 | 2023-08-29 | Cilag Gmbh International | Surgical stapling instrument comprising a retraction system |
| US11759202B2 (en) | 2021-03-22 | 2023-09-19 | Cilag Gmbh International | Staple cartridge comprising an implantable layer |
| US11786239B2 (en) | 2021-03-24 | 2023-10-17 | Cilag Gmbh International | Surgical instrument articulation joint arrangements comprising multiple moving linkage features |
| US12102323B2 (en) | 2021-03-24 | 2024-10-01 | Cilag Gmbh International | Rotary-driven surgical stapling assembly comprising a floatable component |
| 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 |
| US11744603B2 (en) | 2021-03-24 | 2023-09-05 | Cilag Gmbh International | Multi-axis pivot joints for surgical instruments and methods for manufacturing same |
| US11896218B2 (en) | 2021-03-24 | 2024-02-13 | Cilag Gmbh International | Method of using a powered stapling device |
| US11832816B2 (en) | 2021-03-24 | 2023-12-05 | Cilag Gmbh International | Surgical stapling assembly comprising nonplanar staples and planar staples |
| US11849944B2 (en) | 2021-03-24 | 2023-12-26 | Cilag Gmbh International | Drivers for fastener cartridge assemblies having rotary drive screws |
| 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 |
| US11903582B2 (en) | 2021-03-24 | 2024-02-20 | Cilag Gmbh International | Leveraging surfaces for cartridge installation |
| US11896219B2 (en) | 2021-03-24 | 2024-02-13 | Cilag Gmbh International | Mating features between drivers and underside of a cartridge deck |
| US11793516B2 (en) | 2021-03-24 | 2023-10-24 | Cilag Gmbh International | Surgical staple cartridge comprising longitudinal support beam |
| US11849945B2 (en) | 2021-03-24 | 2023-12-26 | Cilag Gmbh International | Rotary-driven surgical stapling assembly comprising eccentrically driven firing member |
| US11857183B2 (en) | 2021-03-24 | 2024-01-02 | Cilag Gmbh International | Stapling assembly components having metal substrates and plastic bodies |
| US20220378425A1 (en) | 2021-05-28 | 2022-12-01 | Cilag Gmbh International | Stapling instrument comprising a control system that controls a firing stroke length |
| WO2023053063A1 (en) * | 2021-10-01 | 2023-04-06 | Medtronic, Inc. | Valve leaflet resection device |
| US11980363B2 (en) | 2021-10-18 | 2024-05-14 | Cilag Gmbh International | Row-to-row staple array variations |
| US11877745B2 (en) | 2021-10-18 | 2024-01-23 | Cilag Gmbh International | Surgical stapling assembly having longitudinally-repeating staple leg clusters |
| US11957337B2 (en) | 2021-10-18 | 2024-04-16 | Cilag Gmbh International | Surgical stapling assembly with offset ramped drive surfaces |
| US12239317B2 (en) | 2021-10-18 | 2025-03-04 | Cilag Gmbh International | Anvil comprising an arrangement of forming pockets proximal to tissue stop |
| US11937816B2 (en) | 2021-10-28 | 2024-03-26 | Cilag Gmbh International | Electrical lead arrangements for surgical instruments |
| US12089841B2 (en) | 2021-10-28 | 2024-09-17 | Cilag CmbH International | Staple cartridge identification systems |
| US12432790B2 (en) | 2021-10-28 | 2025-09-30 | Cilag Gmbh International | Method and device for transmitting UART communications over a security short range wireless communication |
| JP7836489B2 (ja) * | 2023-09-07 | 2026-03-27 | サンエー精工株式会社 | 医療用処置具 |
Family Cites Families (14)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US2068721A (en) * | 1932-11-18 | 1937-01-26 | Wappler Frederick Charles | Method for electrosurgical severance of adhesions |
| US5665100A (en) * | 1989-12-05 | 1997-09-09 | Yoon; Inbae | Multifunctional instrument with interchangeable operating units for performing endoscopic procedures |
| US5984938A (en) * | 1989-12-05 | 1999-11-16 | Yoon; Inbae | Surgical instrument with jaws and movable internal scissors and method for use thereof |
| US5984939A (en) * | 1989-12-05 | 1999-11-16 | Yoon; Inbae | Multifunctional grasping instrument with cutting member and operating channel for use in endoscopic and non-endoscopic procedures |
| US5443463A (en) * | 1992-05-01 | 1995-08-22 | Vesta Medical, Inc. | Coagulating forceps |
| DE9215589U1 (de) * | 1992-11-16 | 1993-03-25 | Delma elektro- und medizinische Apparatebau GmbH, 7200 Tuttlingen | Bipolares Hochfrequenzschneidinstrument |
| US5458598A (en) * | 1993-12-02 | 1995-10-17 | Cabot Technology Corporation | Cutting and coagulating forceps |
| DE4421822C1 (de) * | 1994-06-22 | 1995-10-26 | Karlsruhe Forschzent | Endoskopisches, bipolares HF-Koagulationsgerät mit integrierter Schneideeinrichtung |
| CA2168404C (en) * | 1995-02-01 | 2007-07-10 | Dale Schulze | Surgical instrument with expandable cutting element |
| US5797927A (en) * | 1995-09-22 | 1998-08-25 | Yoon; Inbae | Combined tissue clamping and suturing instrument |
| JP2000139943A (ja) * | 1998-09-02 | 2000-05-23 | Olympus Optical Co Ltd | 高周波処置具 |
| US6113598A (en) * | 1998-02-17 | 2000-09-05 | Baker; James A. | Radiofrequency medical instrument and methods for vessel welding |
| DE20001204U1 (de) * | 2000-01-25 | 2000-03-09 | Aesculap AG & Co. KG, 78532 Tuttlingen | Bipolares Faßinstrument |
| JP2001269354A (ja) * | 2000-03-24 | 2001-10-02 | Olympus Optical Co Ltd | 高周波処置具 |
-
2000
- 2000-01-25 DE DE10003020A patent/DE10003020C2/de not_active Expired - Fee Related
- 2000-11-09 AT AT00978976T patent/ATE243004T1/de not_active IP Right Cessation
- 2000-11-09 EP EP00978976A patent/EP1250102B1/de not_active Expired - Lifetime
- 2000-11-09 WO PCT/EP2000/011052 patent/WO2001054604A1/de not_active Ceased
- 2000-11-09 JP JP2001555584A patent/JP3691793B2/ja not_active Expired - Fee Related
- 2000-11-09 ES ES00978976T patent/ES2200975T3/es not_active Expired - Lifetime
-
2002
- 2002-07-18 US US10/199,739 patent/US6743230B2/en not_active Expired - Lifetime
Also Published As
| Publication number | Publication date |
|---|---|
| DE10003020C2 (de) | 2001-12-06 |
| EP1250102B1 (de) | 2003-06-18 |
| DE10003020A1 (de) | 2001-08-23 |
| WO2001054604A1 (de) | 2001-08-02 |
| US6743230B2 (en) | 2004-06-01 |
| EP1250102A1 (de) | 2002-10-23 |
| ATE243004T1 (de) | 2003-07-15 |
| JP3691793B2 (ja) | 2005-09-07 |
| US20020183784A1 (en) | 2002-12-05 |
| JP2003521304A (ja) | 2003-07-15 |
Similar Documents
| Publication | Publication Date | Title |
|---|---|---|
| ES2200975T3 (es) | Instrumento de agarre bipolar. | |
| ES2297579T3 (es) | Forceps con conjunto de accionador extremo cargado por resorte. | |
| US12016733B2 (en) | Forceps with tissue stops | |
| ES2280841T3 (es) | Instrumento electroquirurgico para cerrar vasos. | |
| ES2221226T3 (es) | Instrumento electroquirurgico bipolar laparoscopico. | |
| ES2349436T3 (es) | Conmutador manual desechable para un fórceps para obturar vasos abiertos. | |
| ES2251260T3 (es) | Forceps de obturacion de vasos abiertos con miembro de tope. | |
| ES2309063T3 (es) | Dispositivo para la sutura y division de vasos. | |
| ES2250380T3 (es) | Forceps de sellado de vasos con electrodos desechables. | |
| ES2323877T3 (es) | Instrumento electroquirurgico bipolar para sellar vasos. | |
| ES2337984T3 (es) | Instrumento quirurgico. | |
| US5944718A (en) | Electrosurgical instrument end effector | |
| ES2381560T3 (es) | Funda aislante para fórceps electroquirúrgicos | |
| 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 | |
| ES2378547T3 (es) | Fórceps bipolar con extensión monopolar | |
| ES2566770T3 (es) | Instrumento electroquirúrgico | |
| ES2338248T3 (es) | Cateter endoscopico flexible con un efector final para coagular y separar tejido. | |
| ES2270055T3 (es) | Instrumento electroquirurgico bipolar laparoscopico. | |
| ES2393061T3 (es) | Dispositivo de sutura y división de vasos para estructuras de tejido grandes | |
| EP2156802A2 (en) | MIS electrosurgical handpiece | |
| US8298229B2 (en) | Body tissue incision apparatus | |
| AU1395299A (en) | Bipolar electrosurgical instrument with replaceable electrodes | |
| WO2009112802A1 (en) | Surgical instrument | |
| JP6929856B2 (ja) | 鉗子ジョー機構 | |
| JP2000070280A (ja) | 高周波処置具 |