ES2328087T3 - Montaje mezclador externo. - Google Patents
Montaje mezclador externo. Download PDFInfo
- Publication number
- ES2328087T3 ES2328087T3 ES08002355T ES08002355T ES2328087T3 ES 2328087 T3 ES2328087 T3 ES 2328087T3 ES 08002355 T ES08002355 T ES 08002355T ES 08002355 T ES08002355 T ES 08002355T ES 2328087 T3 ES2328087 T3 ES 2328087T3
- Authority
- ES
- Spain
- Prior art keywords
- adhesive
- component
- components
- conduit
- reservoirs
- 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
- 239000000853 adhesive Substances 0.000 claims abstract description 28
- 230000001070 adhesive effect Effects 0.000 claims abstract description 28
- 239000012530 fluid Substances 0.000 claims abstract description 26
- 239000003364 biologic glue Substances 0.000 claims abstract description 7
- 108010049003 Fibrinogen Proteins 0.000 claims description 15
- 102000008946 Fibrinogen Human genes 0.000 claims description 15
- 108090000190 Thrombin Proteins 0.000 claims description 14
- 229940012952 fibrinogen Drugs 0.000 claims description 14
- 229960004072 thrombin Drugs 0.000 claims description 14
- 108010080379 Fibrin Tissue Adhesive Proteins 0.000 claims description 8
- 239000000243 solution Substances 0.000 description 25
- 206010052428 Wound Diseases 0.000 description 6
- 208000027418 Wounds and injury Diseases 0.000 description 6
- 208000032843 Hemorrhage Diseases 0.000 description 5
- 238000000034 method Methods 0.000 description 5
- 239000012460 protein solution Substances 0.000 description 5
- 239000000565 sealant Substances 0.000 description 5
- 230000000712 assembly Effects 0.000 description 4
- 238000000429 assembly Methods 0.000 description 4
- 230000000740 bleeding effect Effects 0.000 description 4
- 238000011109 contamination Methods 0.000 description 4
- 239000000203 mixture Substances 0.000 description 4
- 108010073385 Fibrin Proteins 0.000 description 3
- 102000009123 Fibrin Human genes 0.000 description 3
- BWGVNKXGVNDBDI-UHFFFAOYSA-N Fibrin monomer Chemical compound CNC(=O)CNC(=O)CN BWGVNKXGVNDBDI-UHFFFAOYSA-N 0.000 description 3
- 230000009977 dual effect Effects 0.000 description 3
- 229950003499 fibrin Drugs 0.000 description 3
- 208000015181 infectious disease Diseases 0.000 description 3
- 230000007246 mechanism Effects 0.000 description 3
- 238000006116 polymerization reaction Methods 0.000 description 3
- 235000018102 proteins Nutrition 0.000 description 3
- 102000004169 proteins and genes Human genes 0.000 description 3
- 108090000623 proteins and genes Proteins 0.000 description 3
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 3
- 238000012986 modification Methods 0.000 description 2
- 230000004048 modification Effects 0.000 description 2
- 210000000056 organ Anatomy 0.000 description 2
- 239000000843 powder Substances 0.000 description 2
- 235000004252 protein component Nutrition 0.000 description 2
- 239000003106 tissue adhesive Substances 0.000 description 2
- 102000004506 Blood Proteins Human genes 0.000 description 1
- 108010017384 Blood Proteins Proteins 0.000 description 1
- 240000007124 Brassica oleracea Species 0.000 description 1
- 235000003899 Brassica oleracea var acephala Nutrition 0.000 description 1
- 235000011301 Brassica oleracea var capitata Nutrition 0.000 description 1
- 235000001169 Brassica oleracea var oleracea Nutrition 0.000 description 1
- 239000004826 Synthetic adhesive Substances 0.000 description 1
- 241000700605 Viruses Species 0.000 description 1
- 239000002671 adjuvant Substances 0.000 description 1
- 230000003466 anti-cipated effect Effects 0.000 description 1
- 230000002421 anti-septic effect Effects 0.000 description 1
- 229940030225 antihemorrhagics Drugs 0.000 description 1
- 229940064004 antiseptic throat preparations Drugs 0.000 description 1
- 239000013060 biological fluid Substances 0.000 description 1
- 239000003054 catalyst Substances 0.000 description 1
- 230000008859 change Effects 0.000 description 1
- 238000004140 cleaning Methods 0.000 description 1
- 230000015271 coagulation Effects 0.000 description 1
- 238000005345 coagulation Methods 0.000 description 1
- 229940079593 drug Drugs 0.000 description 1
- 239000003814 drug Substances 0.000 description 1
- 239000002874 hemostatic agent Substances 0.000 description 1
- 230000002439 hemostatic effect Effects 0.000 description 1
- 239000012535 impurity Substances 0.000 description 1
- 230000003993 interaction Effects 0.000 description 1
- 239000007788 liquid Substances 0.000 description 1
- 238000004519 manufacturing process Methods 0.000 description 1
- 239000000463 material Substances 0.000 description 1
- 238000005192 partition Methods 0.000 description 1
- 229920001296 polysiloxane Polymers 0.000 description 1
- 238000007711 solidification Methods 0.000 description 1
- 230000008023 solidification Effects 0.000 description 1
- 239000008223 sterile water Substances 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
Classifications
-
- B—PERFORMING OPERATIONS; TRANSPORTING
- B05—SPRAYING OR ATOMISING IN GENERAL; APPLYING FLUENT MATERIALS TO SURFACES, IN GENERAL
- B05C—APPARATUS FOR APPLYING FLUENT MATERIALS TO SURFACES, IN GENERAL
- B05C17/00—Hand tools or apparatus using hand held tools, for applying liquids or other fluent materials to, for spreading applied liquids or other fluent materials on, or for partially removing applied liquids or other fluent materials from, surfaces
- B05C17/005—Hand tools or apparatus using hand held tools, for applying liquids or other fluent materials to, for spreading applied liquids or other fluent materials on, or for partially removing applied liquids or other fluent materials from, surfaces for discharging material from a reservoir or container located in or on the hand tool through an outlet orifice by pressure without using surface contacting members like pads or brushes
- B05C17/00503—Details of the outlet element
- B05C17/00516—Shape or geometry of the outlet orifice or the outlet element
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/00491—Surgical glue applicators
-
- B—PERFORMING OPERATIONS; TRANSPORTING
- B05—SPRAYING OR ATOMISING IN GENERAL; APPLYING FLUENT MATERIALS TO SURFACES, IN GENERAL
- B05C—APPARATUS FOR APPLYING FLUENT MATERIALS TO SURFACES, IN GENERAL
- B05C17/00—Hand tools or apparatus using hand held tools, for applying liquids or other fluent materials to, for spreading applied liquids or other fluent materials on, or for partially removing applied liquids or other fluent materials from, surfaces
- B05C17/005—Hand tools or apparatus using hand held tools, for applying liquids or other fluent materials to, for spreading applied liquids or other fluent materials on, or for partially removing applied liquids or other fluent materials from, surfaces for discharging material from a reservoir or container located in or on the hand tool through an outlet orifice by pressure without using surface contacting members like pads or brushes
- B05C17/00553—Hand tools or apparatus using hand held tools, for applying liquids or other fluent materials to, for spreading applied liquids or other fluent materials on, or for partially removing applied liquids or other fluent materials from, surfaces for discharging material from a reservoir or container located in or on the hand tool through an outlet orifice by pressure without using surface contacting members like pads or brushes with means allowing the stock of material to consist of at least two different components
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/00491—Surgical glue applicators
- A61B2017/00495—Surgical glue applicators for two-component glue
Landscapes
- Engineering & Computer Science (AREA)
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Mechanical Engineering (AREA)
- Life Sciences & Earth Sciences (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Geometry (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)
- Materials For Medical Uses (AREA)
- Surgical Instruments (AREA)
Abstract
Un sistema de suministro de fluido (100) para dispensar un adhesivo biológico multicomponente, sistema que comprende: un montaje de conductos (28) que tiene al menos un conducto (24, 26); un conjunto de reservorios (120) que tiene un primer reservorio (124) que contiene el primer componente adhesivo y un segundo reservorio (126) que contiene el segundo componente adhesivo, estando el primer y segundo reservorios en comunicación fluida con un conducto respectivo del al menos un conducto; y caracterizado por: un montaje deflector (40) que tiene una placa deflectora (44) para recibir el primer y el segundo componentes adhesivos desde el al menos un conducto y deflectar el primer y el segundo componentes adhesivos antes de dispensarlos a un sitio de aplicación.
Description
Montaje mezclador externo.
La descripción se refiere a un sistema de
suministro de fluido para selladores, hemostáticos y adhesivos
biológicos así como sintéticos y, más particularmente a un montaje
mezclador externo para mezclar y suministrar selladores,
hemostáticos y adhesivos biológicos y/o sintéticos biocompatibles a
tejidos u órganos para sellar heridas, detener hemorragia y
similares.
Se usan selladores, hemostáticos y adhesivos
derivados biológicamente así como sintéticos para tratar heridas en
casos en los que no son totalmente eficaces los apósitos externos ni
las suturas. Un tratamiento común obtiene ventajas de la
polimerización rápida que sucede cuando una solución de factores de
coagulación proteómicos, tal como fibrinógeno, se pone contacto con
una solución de un catalizador proteómico, tal como trombina, para
formar un complejo que actúa como agente hemostático y como adhesivo
de tejido. Esta polimerización rápida comienza típicamente dentro
de los dos segundos después de que las soluciones se ponen
inicialmente en contacto una con otra, y alcanza típicamente una
solidificación blanda dentro de diez segundos de contacto. Un nombre
común para un complejo de este tipo es cola de fibrina o sellador
de fibrina.
Los componentes de proteínas de fibrinógeno y
trombina que, junto con una diversidad de adyuvantes conocidos,
forman un sellador de fibrina se derivan típicamente del plasma
humano y se someten a procedimientos de eliminación de virus. Los
componentes son típicamente deshidratados individualmente y se
almacenan en viales separados como polvos estériles.
Debido a la rápida polimerización tras la íntima
interacción de fibrinógeno y trombina, es importante mantener
separadas estas dos proteínas sanguíneas hasta que se apliquen en el
sitio de aplicación. Estas soluciones de proteínas se suministran
generalmente mediante sistemas de suministro de fluidos, tales como
un aparato de jeringa dual, en el que cada solución está confinada
dentro de una jeringa separada antes del mezclado.
Un aparato de jeringa dual para aplicar adhesivo
de tejido a base de fibrinógeno se describe en el documento de
patente de EE.UU. Nº 4.359.049 de Redl y col. Redl y col. describen
un mecanismo en el que dos jeringas normalizadas de una vía se
mantienen en un soporte teniendo un medio de accionamiento común. El
extremo dispensador de cada jeringa se inserta en un colector de
recogida en el que se mezclan los dos componentes. A continuación
se dispensan los componentes a través de una aguja común capaz de
cubrir un área limitada del sitio de aplicación. A menudo es
deseable o necesario cubrir un área extensa de una herida, ya sea
para detener una hemorragia, para fijar un tejido o para prevenir
una infección. También es deseable prevenir que los dos componentes
se mezclen dentro del dispositivo dispensador.
Además, todos los dispositivos conocidos para
dispensar soluciones de fibrinógeno y trombina requieren la adición
de estas proteínas en forma de polvo al cuerpo de la jeringa. Esto
hace a las proteínas susceptibles de contaminación por impurezas
que pueden entrar en el cuerpo de la jeringa. Aún más, el uso del
cuerpo de la jeringa para mezclar las proteínas con agua para crear
las soluciones de proteínas puede provocar que las soluciones
tengan fugas tanto desde el extremo dispensador de cada jeringa como
desde el extremo proximal del cuerpo de la jeringa. Adicionalmente,
un aparato de jeringa dual para la aplicación de soluciones de
fibrinógeno y trombina a un sitio de aplicación generalmente
contiene varias piezas, tales como un émbolo de jeringa, un
conector de colector en "Y", una aguja dispensadora, un soporte
de jeringa, agujas de jeringa, y conductos para transportar las
soluciones a la aguja dispensadora. Por lo tanto, los sistemas o
aplicadores de suministro de selladores de fibrina conocidos, tales
como los que se describen la patente de EE.UU. de Redl y col.
anteriormente descrita, y en las patentes de EE.UU. N^{os}
4.874.368 de Millar y col. y 4.979.942 de Wolf y col. son difíciles
de reutilizar. El rellenado de los componentes de proteínas requiere
típicamente retirar un gancho que sujeta el émbolo de la jeringa,
retirar el émbolo de la jeringa, separar las jeringas del conector
en "Y", retirar las jeringas del soporte, insertar nuevas
jeringas, fijar las jeringas al conector en "Y", y añadir
fibrinógeno a una jeringa y trombina a la otra jeringa, añadir agua
estéril a cada jeringa, volver a colocar el émbolo de la jeringa,
volver a colocar el gancho del émbolo, y mezclar las soluciones. En
una aplicación en la que el tiempo es esencial, un procedimiento de
rellenado tan largo no es práctico y es engorroso.
Adicionalmente, los sistemas conocidos de
suministro de fluido para dispensar un adhesivo biológico requieren
el empleo manual de una fuerza sobre los componentes de proteínas de
modo que puedan ser dispensados desde el sistema de suministro de
fluido. Típicamente, se emplea una fuerza manual sobre los
componentes por medio del émbolo en la jeringa estándar de una vía.
Este tipo de disposición se muestra en las patentes de EE.UU.
N^{os} 4.359.049 anteriormente descrita, y 4.631.055 de Redl y
col. Emplear manualmente una fuerza sobre un émbolo situado en el
extremo proximal del sistema de suministro de fluido puede hacer
difícil la aplicación del adhesivo. Por ejemplo, el usuario es
incapaz de ver claramente el sitio de aplicación cuando sostiene el
sistema de suministro de fluido perpendicularmente al sitio de
aplicación. Además, una disposición de este tipo provoca que entre
aire a las jeringas, provocando dificultad para emplear una fuerza
por la vía del émbolo de la jeringa.
Los documentos EP 0 648 510 y WO 00/56221 se
citaron como descripciones de la técnica anterior relevantes,
durante el examen de esta patente. El preámbulo de la reivindicación
1 está basado en la EP 0 648 510.
Así pues, existe necesidad en la técnica de un
sistema de suministro de fluido para aplicar un adhesivo de tejido
en el que el adhesivo cubra un área extensa de la herida, ya sea
para detener una hemorragia, para fijar un tejido o para prevenir
una infección. También existe necesidad de un sistema de suministro
de fluido en el que los componentes adhesivos no sean susceptibles
de contaminación y los componentes adhesivos no se entremezclen
dentro del sistema de suministro de fluido. Además, existe necesidad
de un sistema de suministro de fluido en el que las soluciones
componentes se rellenen fácilmente. También existe necesidad de un
sistema de suministro de fluido que sea autolimpiante y
reutilizable con diferentes soluciones componentes. Además, existe
necesidad de un sistema de suministro de fluido que sea económico de
fabricar para que permita que el sistema de suministro de fluido
sea desechado después de uso. Adicionalmente, existe necesidad de un
sistema de suministro de fluido que evite desperdiciar solución
adhesiva y permita que se vea claramente por el usuario el sitio de
aplicación cuando se aplican las soluciones componentes
perpendiculares al sitio de aplicación.
La reivindicación 1 define un sistema de
suministro de fluido según la presente invención.
Se describe un sistema de suministro de fluido
al que se hace referencia en este documento como montaje mezclador
externo. El montaje mezclador externo mezcla y suministra
externamente un primer y un segundo componente de un adhesivo
biológico a tejidos u órganos para sellar heridas, detener
hemorragia y similares. Los componentes primero y segundo se
mezclan inmediatamente después de salir de orificios de salida
separados que se disponen en comunicación de fluido con reservorios
de componentes.
En una realización preferida, el montaje
mezclador externo incluye una carcasa que tiene una cabeza de
carcasa para incluir en la misma un primer reservorio que contiene
el primer componente, y un segundo reservorio que contiene el
segundo componente. La carcasa incluye además una boquilla de
descarga que define un eje longitudinal para incluir en la misma un
montaje de conductos que tiene un primer y un segundo conducto en
comunicación con el primer y segundo reservorios, respectivamente.
Se conecta un montaje deflector a la boquilla de descarga. El
montaje deflector incluye una placa deflectora para proporcionar un
espacio para la mezcla inicial del primer y segundo componentes. Se
prevé que la boquilla de descarga y el montaje deflector puedan
estar conformados en diversas configuraciones para proporcionar
mezcla y dispensación adecuadas de los componentes primero y
segundo.
En una realización preferida, la boquilla de
descarga incluye una cara distal que tiene una configuración
angular. La placa deflectora se orienta en relación generalmente
paralela yuxtapuesta distal a la cara distal de la boquilla de
descarga. Sin embargo, se prevé que la placa deflectora se disponga
abierta o cerrada en cierta medida en relación con la cara distal
de la boquilla de descarga dependiendo de las necesidades
quirúrgicas particulares. El tamaño y configuración de la placa
deflectora pueden variar. También se contempla que la cara distal
de la boquilla de descarga pueda ser también sustancialmente
perpendicular al eje longitudinal de la boquilla de descarga. Los
componentes primero y segundo son preferiblemente fibrinógeno y
trombina que se entremezclan para formar un sellador de
fibrina.
En este documento se describen diversas
realizaciones con referencia a los dibujos, en los que:
Fig. 1 es una imagen, vista en perspectiva de un
montaje mezclador externo según una realización de la presente
descripción;
Fig. 2 es una vista posterior de la imagen de la
realización ilustrada en Fig. 1, que muestra porciones del extremo
proximal de la boquilla de descarga;
Fig. 3 es una vista en sección transversal de la
realización ilustrada en Fig. 2, tomada a lo largo de la línea
3-3;
Fig. 4 es una vista en sección transversal de la
realización ilustrada en Fig. 2, tomada a lo largo de la línea
4-4;
Fig. 5 es una vista en perspectiva de un montaje
mezclador externo según otra realización de la presente
descripción;
Fig. 6 es una vista frontal de la realización
ilustrada en Fig. 5, que muestra porciones del extremo distal de la
punta de la boquilla y la placa deflectora; y
Fig. 7 es una vista en sección transversal de la
realización ilustrada en Fig. 6, tomada a lo largo de la línea
7-7.
Con referencia a las Figs. 1-4,
se ilustra un montaje mezclador externo según una realización de la
presente descripción. El montaje que se designa generalmente por el
número 100 incluye una carcasa 102 que tiene una cabeza de carcasa
104 y una boquilla de descarga 120 que definen un eje longitudinal.
Aunque la cabeza de carcasa 104 se muestra con una forma
particular, se entiende que se pueden usar otras formas que
contribuyan a la facilidad de manejo y control del montaje
mezclador 100.
Se proporciona una punta de boquilla 106 en un
extremo distal o cara 108 de la boquilla de descarga 120. La punta
de boquilla 106 incluye dos orificios dispensadores 110a, 110b en
los que cada orificio dispensador está en comunicación de fluido
con un respectivo conducto 112a, 112b de un montaje de conductos 114
dentro de la boquilla de descarga 120 para dispensar componentes
biológicos contenidos dentro de la cabeza de carcasa 104.
Preferiblemente, los componentes biológicos son una solución de
fibrinógeno y una solución de trombina que se intermezclan para
formar un sellador de fibrina. Sin embargo, se ha de entender que se
pueden sustituir con otros fluidos biológicos, dependiendo de la
elección de la mezcla que se ha de dispensar.
La carcasa 102 se forma preferiblemente a partir
de semisecciones de carcasa moldeadas que se forman con particiones
internas configuradas para alinear apropiadamente unos con respecto
a otros los componentes internos del montaje 100 y para prevenir el
movimiento de un primer reservorio 150 y un segundo reservorio 152
que almacena cada uno un componente biológico cuando los
reservorios 150a, 150b se ajustan dentro de conductos de reservorios
124 y 126, como se muestra mediante FIGS. 3 y 4. Los componentes
internos principales del montaje 100 incluyen el montaje de
conductos 114 y un montaje de reservorios 130. Los dos montajes 114,
130 se interrelacionan entre sí para dispensar los componentes
biológicos almacenados dentro de los reservorios primero y segundo
150a, 150b vía los dos orificios dispensadores 110a, 110b.
El montaje 100 incluye adicionalmente un montaje
deflector 140 conectado a la carcasa 102 y a la boquilla de
descarga 120 por la vía de los soportes 148 y 149. Se contempla que
los soportes 148 y 149 se pueden sustituir por uno o más diferentes
tipos de estructura de conexión como se conocen en la técnica. El
montaje deflector 140 incluye una carcasa deflectora cilíndrica 142
que aloja la boquilla de descarga 120 cuando el montaje deflector
140 se conecta a la carcasa 102 y a la boquilla de descarga 120.
Una placa deflectora 144 se extiende desde un
extremo distal de la carcasa deflectora 142. La placa deflectora
144 está desplazada una distancia relativamente corta de la cara
distal 108 de la boquilla de descarga 120 para proporcionar espacio
para la mezcla inicial de los componentes biológicos dispensados
desde los dos orificios dispensadores 110a, 110b.
La placa deflectora 144 se configura para
facilitar tanto el mezclado como el direccionamiento de los
componentes. La placa deflectora 144 se orienta preferiblemente en
relación paralela general con la cara distal 108 de la boquilla de
descarga 120. Se contempla que la placa deflectora 144 se pueda
disponer en una relación abierta o cerrada en cierta medida con
relación a la cara distal 108 de la boquilla de descarga 120
dependiendo de la aplicación específica. También se contempla que
la placa deflectora 144 se pueda conectar a la carcasa deflectora
142 de modo que pueda pivotar mediante un mecanismo de trinquete
para pivotar y bloquear la placa deflectora 144 en una o varias
posiciones con respecto a la cara distal 108 de la boquilla de
descarga 120 según las necesidades quirúrgicas particulares.
El tamaño y configuración de la placa deflectora
144, y el hueco que deja con la cara distal 108 de la boquilla de
descarga 120, se pueden variar. Las posiciones y orientaciones de
los orificios de descarga 110a, 110b, con relación a la placa
deflectora 144, también se pueden variar en función de las
necesidades quirúrgicas cambiando la alineación de los conductos
112a, 112b con respecto al eje longitudinal de la boquilla de
descarga 120. Esto es, uno o ambos conductos 112a, 112b pueden
tener una o más curvas, los conductos 112a, 112b pueden estar en
orientación divergente, convergente o paralela de uno con respecto
al otro, los conductos 112a, 112b se pueden juntar en la proximidad
de la cara distal 108 de la boquilla de descarga 120 para formar un
conducto, etc.
Como se sabe en la técnica, los reservorios
primero y segundo 150a, 150b incluyen un cuerpo principal o
perforación pasante central 152 para almacenar los componentes
biológicos. Se usa una tapa 154 para sellar al vacío la perforación
pasante central 152 para prevenir la contaminación de los
componentes biológicos. La tapa 154 incluye preferiblemente una
superficie de silicona 156 capaz de ser penetrada por una aguja de
jeringa para añadir un líquido, preferiblemente agua estéril,
dentro de los reservorios 150a, 150b para que se entremezcle con
los componentes biológicos para formar soluciones de proteínas. Las
soluciones de proteínas se dispensan en el sitio de aplicación como
se ha descrito anteriormente. El montaje del conducto 114 incluye
los dos conductos 112a, 112b. Preferiblemente, cada conducto
incluye una punta proximal biselada 60 para penetrar en la tapa 154
respectiva de los reservorios primero y segundo 150a, 150b.
Preferiblemente, los reservorios primero 150a,
150b y segundo son idénticos para contener una cantidad volumétrica
igual de su respectiva solución de proteína en comparación con el
otro reservorio. Se contempla proporcionar un color diferente para
cada reservorio 150a, 150b para reconocer fácilmente el reservorio
que contiene fibrinógeno y el reservorio que contiene trombina. Se
contempla adicionalmente proporcionar una forma diferente para cada
reservorio y cambiar la forma de uno o de ambos conductos de
reservorios 124, 126 consecuentemente con la misma finalidad, es
decir, reconocer fácilmente el reservorio que contiene fibrinógeno y
el reservorio que contiene trombina. Sin embargo, la cantidad
volumétrica almacenada dentro del primer reservorio 150a debería
ser igual a la cantidad volumétrica almacenada dentro del segundo
reservorio 150b para mantener una relación previamente determinada
de solución de fibrinógeno a trombina, que es típicamente una
relación 1:1.
Los reservorios primero y segundo 150a, 150b se
construyen preferiblemente de un material flexible y contienen los
componentes biológicos primero y segundo, respectivamente. Se
contempla que las semisecciones de la carcasa sean completamente o
parcialmente transparentes, así como los reservorios primero y
segundo 150a, 150b para permitir que el usuario vea la cantidad de
solución y determine si la solución se ha entremezclado
suficientemente antes de que sea dispensada en el sitio de
aplicación. Se contempla adicionalmente proporcionar marcas de
calibración en el reservorio primero 150a y en el segundo 150b.
Con referencia a Figs. 5-7, se
muestra un montaje mezclador externo según una realización
alternativa de la presente descripción, y se designa generalmente
con la referencia numérica 10. Generalmente, el montaje mezclador
externo 10 es similar al montaje mezclador externo 100 si la carcasa
102 que aloja el montaje reservorio 130 se quita y solamente quedan
la boquilla de descarga 120 y el montaje deflector 140.
El montaje mezclador externo 10 incluye una
boquilla de descarga 20 y un montaje deflector 40 conectado a un
extremo distal de la boquilla de descarga 20. La boquilla de
descarga 20 incluye un cuerpo de boquilla 22 que define dos
orificios de salida longitudinales 24 y 26 en el mismo con
comunicación de fluido con sus respectivos reservorios de
componentes (que no se muestran). El cuerpo de boquilla 22 incluye
una punta de boquilla 28 en una porción del extremo distal de la
misma, que se configura preferiblemente como un cilindro que tiene
una cara distal en ángulo. Se prevé que los reservorios de
componentes pueden ser similares a los reservorios 150a, 150b
descritos anteriormente, o diferentes.
El montaje deflector 40 incluye una porción de
conexión 42 en un extremo proximal del mismo para conectarse con el
extremo distal del cuerpo de boquilla 22. El montaje deflector 40
incluye adicionalmente una placa deflectora 44 en un extremo distal
del mismo, que está desplazada una corta distancia de la cara distal
de la punta de la boquilla 28 para proporcionar un espacio para la
mezcla inicial de los componentes biológicos. La placa deflectora
44 se configura para facilitar tanto el mezclado como el
direccionamiento de los componentes. La placa deflectora se orienta
preferiblemente en relación general paralela con la cara distal de
la boquilla de descarga 28.
Se contempla que la placa deflectora 44 se pueda
disponer en una relación abierta o cerrada en cierta medida con
relación a la cara distal de la punta de la boquilla 28 dependiendo
de la aplicación específica. También se contempla que la placa
deflectora 44 se pueda conectar a la porción de conexión 42 de modo
que pueda pivotar mediante un mecanismo de trinquete para pivotar y
bloquear la placa deflectora 44 en una o varias posiciones con
respecto a la cara distal de la punta de la boquilla 28 según las
necesidades quirúrgicas particulares.
El tamaño y configuración de la placa deflectora
44 y el hueco que deja con la cara distal de la punta de la
boquilla 28, se pueden variar. Las posiciones y orientaciones de los
orificios de salida 24 y 26, con relación a la placa deflectora 44,
también se pueden variar en función de las necesidades quirúrgicas
cambiando la alineación de los orificios de salida 24 y 26 con
respecto al eje longitudinal de la boquilla de descarga 20. Esto
es, uno o ambos orificios de salida 24 y 26 pueden tener una o más
curvas, los orificios de salida 24 y 26 pueden estar en orientación
divergente, convergente o paralela de uno con respecto al otro, los
orificios de salida 24 y 26 se pueden juntar en la proximidad de la
cara distal de la punta de la boquilla 28 para formar un orifico de
salida, etc.
Los montajes mezcladores externos según la
presente descripción son capaces de aplicar un adhesivo de tejido
en el que el adhesivo cubre un área extensa de una herida, ya sea
para detener una hemorragia, para fijar un tejido o para prevenir
una infección. Los montajes mezcladores externos según la presente
descripción previenen que los componentes adhesivos sean
susceptibles de contaminación y que se entremezclen los componentes
adhesivos externamente.
Además, el montaje mezclador externo de la
primera realización permite que las soluciones componentes se
rellenen fácilmente retirando los reservorios gastados de los
conductos de reservorios y reemplazándolos con reservorios nuevos.
Adicionalmente los montajes mezcladores externos según la presente
descripción evitan desperdiciar solución adhesiva y permiten que se
vea claramente por el usuario el sitio de aplicación cuando se
aplican las soluciones componentes perpendiculares al sitio de
aplicación.
Se contempla que todas las realizaciones que se
describen en este documento sean desechables o tengan uno o más
componentes desechables. También se contempla que todas las
realizaciones que se describen en este documento puedan ser
esterilizadas para reutilizarlas.
Por lo tanto, se entiende que se pueden hacer
diversas modificaciones a las realizaciones que se describen en
este documento. Por ejemplo, aun cuando se han descrito con detalle
realizaciones específicas del montaje mezclador externo, también se
pueden usar estructuras que llevan a cabo sustancialmente la misma
función sustancialmente de la misma manera para conseguir
sustancialmente el mismo resultado. Asimismo, además de aplicar un
sellador de fibrina, el montaje mezclador externo se puede usar
para llevar a cabo procedimientos quirúrgicos humanos o
veterinarios que incluyen aplicar antisépticos, medicación y otros
procedimientos similares. Por lo tanto, la descripción anterior no
se debe entender como limitante, sino simplemente como
ejemplificaciones de realizaciones preferidas. Los expertos en la
técnica preverán otras modificaciones dentro del alcance de las
reivindicaciones anexas.
Los párrafos numerados que siguen, son las
reivindicaciones 1 a 15 del documento WO 02/067785 que es la
solicitud que se presentó originalmente. Se incluyen pues son parte
de la descripción original.
1. Un sistema de suministro de fluido para
dispensar un adhesivo biológico multicomponente, comprendiendo el
sistema:
una carcasa configurada para recibir una
pluralidad de reservorios;
una boquilla de descarga que aloja un montaje de
conductos que tiene una pluralidad de conductos con un extremo
proximal de los mismos en comunicación de fluido respectiva con
separados de dichos reservorios, un extremo distal de dichos
conductos que define al menos un orificio de salida; y
un montaje deflector proporcionado en dicha
carcasa que tiene una placa deflectora en alineación yuxtapuesta
con dicho al menos un orifico de salida, orientada dicha placa
deflectora para deflectar dichos componentes después de la salida
de dicho al menos un orificio de salida.
2. El sistema de 1, en el que cada uno de dicha
pluralidad de reservorios incluye un orificio sellable configurado
para ser penetrado por un extremo proximal de uno de los conductos
respectivos de dicha pluralidad de conductos.
3. El sistema de 1, en el que dicha placa
deflectora está orientada en general paralela en relación a una
cara distal de dicha boquilla de descarga.
4. El sistema de 1, en el que un primero de
dicho al menos un orificio de salida y un segundo de dicho al menos
un orificio de salida son independientes, de tal manera que dichos
componentes primero y segundo se deflectan y entremezclan
externamente a dicha boquilla de descarga contra dicha placa
deflectora
5. El sistema de 1, en el que dicho primer
componente es una solución de trombina, y dicho segundo componente
es una solución de fibrinógeno, con lo que dicho adhesivo biológico
es un sellador de fibrina.
6. El sistema de 1, en el que dicho adhesivo
biológico comprende una relación determinada previamente de dicho
primer componente a dicho segundo componente.
7. El sistema de 1, en el que dicha carcasa
incluye una cabeza de carcasa para almacenar en ella dicha
pluralidad de reservorios.
8. Un sistema de suministro de fluido para
dispensar un primer y un segundo componente de un adhesivo
biológico, comprendiendo el sistema:
un montaje de boquilla que tiene al menos un
conducto dispensador para dispensar el primer componente y el
segundo componente; y
un montaje deflector conectado al conjunto de
boquilla y que tiene una placa deflectora para deflectar dichos
primer y segundo componentes después de dispensarlos desde al menos
una salida distal de dicho al menos un conducto dispensador,
estando dicha placa deflectora en alineación yuxtapuesta con dicha
al menos una salida distal.
9. El sistema de 8, que además comprende una
carcasa configurada para recibir una pluralidad de reservorios que
almacenan el primer y el segundo componente.
10. El sistema de 9, en el que cada uno de dicha
pluralidad de reservorios incluye un orificio sellable configurado
para ser penetrado por un extremo proximal de el al menos un
conducto dispensador.
11. El sistema de 8, en el que dicha placa
deflectora está orientada en general paralela en relación a una
cara distal de dicho montaje de boquilla.
12. El sistema de 8, en el que un primero de
dicho al menos un conducto dispensador y un segundo de dicho al
menos un conducto dispensador son independientes, de tal manera que
dichos componentes primero y segundo se deflectan y entremezclan
externamente a dicho montaje de boquilla contra dicha placa
deflectora.
13. El sistema de 8, en el que dicho primer
componente es una solución de trombina, y dicho segundo componente
es una solución de fibrinógeno, con lo que dicho adhesivo biológico
es un sellador de fibrina.
14. El sistema de 8, en el que dicho adhesivo
biológico comprende una relación determinada previamente de dicho
primer componente a dicho segundo componente.
15. El sistema de 9, en el que dicha carcasa
incluye una cabeza de carcasa para almacenar en ella una pluralidad
de reservorios, almacenando cada uno de dicha pluralidad de
reservorios uno del primer y el segundo componente.
Claims (5)
1. Un sistema de suministro de fluido (100) para
dispensar un adhesivo biológico multicomponente, sistema que
comprende:
un montaje de conductos (28) que tiene al menos
un conducto (24, 26);
un conjunto de reservorios (120) que tiene un
primer reservorio (124) que contiene el primer componente adhesivo
y un segundo reservorio (126) que contiene el segundo componente
adhesivo, estando el primer y segundo reservorios en comunicación
fluida con un conducto respectivo del al menos un conducto; y
caracterizado por:
un montaje deflector (40) que tiene una placa
deflectora (44) para recibir el primer y el segundo componentes
adhesivos desde el al menos un conducto y deflectar el primer y el
segundo componentes adhesivos antes de dispensarlos a un sitio de
aplicación.
2. El sistema de la reivindicación 1, en el que
el montaje de conductos y el montaje de reservorios están
soportados dentro de una carcasa simple.
3. El sistema de la reivindicación 1 ó 2, en el
que dicha placa deflectora está orientada en general paralela en
relación a una cara distal de dicho montaje de conductos.
4. El sistema de la reivindicación 1, 2 ó 3, en
el que un primero de dicho al menos un conducto y un segundo de
dicho al menos un conducto son independientes, de tal manera que
dichos primer y segundo componentes adhesivos se entremezclan
externamente a dicho montaje de conductos.
5. El sistema de la reivindicación 1, 2, 3 ó 4
en el que dicho primer componente adhesivo es una solución de
trombina, y dicho segundo componente adhesivo es una solución de
fibrinógeno, con lo que dicho adhesivo biológico multicomponente es
un sellador de fibrina.
Applications Claiming Priority (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US27179301P | 2001-02-27 | 2001-02-27 | |
| US271793P | 2001-02-27 |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| ES2328087T3 true ES2328087T3 (es) | 2009-11-06 |
Family
ID=23037104
Family Applications (2)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| ES08002355T Expired - Lifetime ES2328087T3 (es) | 2001-02-27 | 2002-02-27 | Montaje mezclador externo. |
| ES02704461T Expired - Lifetime ES2296895T3 (es) | 2001-02-27 | 2002-02-27 | Montaje mezclador extremo. |
Family Applications After (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| ES02704461T Expired - Lifetime ES2296895T3 (es) | 2001-02-27 | 2002-02-27 | Montaje mezclador extremo. |
Country Status (7)
| Country | Link |
|---|---|
| US (1) | US7018357B2 (es) |
| EP (2) | EP2105096A1 (es) |
| AU (1) | AU2002238143B2 (es) |
| CA (2) | CA2766682A1 (es) |
| DE (2) | DE60224990T2 (es) |
| ES (2) | ES2328087T3 (es) |
| WO (1) | WO2002067785A2 (es) |
Families Citing this family (612)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| AU2002238143B2 (en) | 2001-02-27 | 2006-06-01 | Covidien Lp | External mixer assembly |
| US9060770B2 (en) | 2003-05-20 | 2015-06-23 | Ethicon Endo-Surgery, Inc. | Robotically-driven surgical instrument with E-beam driver |
| US20070084897A1 (en) | 2003-05-20 | 2007-04-19 | Shelton Frederick E Iv | Articulating surgical stapling instrument incorporating a two-piece e-beam firing mechanism |
| US11890012B2 (en) | 2004-07-28 | 2024-02-06 | Cilag Gmbh International | Staple cartridge comprising cartridge body and attached support |
| US9072535B2 (en) | 2011-05-27 | 2015-07-07 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments with rotatable staple deployment arrangements |
| US8905977B2 (en) | 2004-07-28 | 2014-12-09 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having an electroactive polymer actuated medical substance dispenser |
| US11998198B2 (en) | 2004-07-28 | 2024-06-04 | Cilag Gmbh International | Surgical stapling instrument incorporating a two-piece E-beam firing mechanism |
| US7354447B2 (en) | 2005-11-10 | 2008-04-08 | Ethicon Endo-Surgery, Inc. | Disposable loading unit and surgical instruments including same |
| US8215531B2 (en) | 2004-07-28 | 2012-07-10 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having a medical substance dispenser |
| US7490738B2 (en) * | 2004-10-01 | 2009-02-17 | Angiotech Pharmaceuticals (Us), Inc. | Mixing and dispensing fluid components of a multicomponent composition |
| US20070194079A1 (en) | 2005-08-31 | 2007-08-23 | Hueil Joseph C | Surgical stapling device with staple drivers of different height |
| US8800838B2 (en) | 2005-08-31 | 2014-08-12 | Ethicon Endo-Surgery, Inc. | Robotically-controlled cable-based surgical end effectors |
| US10159482B2 (en) | 2005-08-31 | 2018-12-25 | Ethicon Llc | Fastener cartridge assembly comprising a fixed anvil and different staple heights |
| US7934630B2 (en) | 2005-08-31 | 2011-05-03 | Ethicon Endo-Surgery, Inc. | Staple cartridges for forming staples having differing formed staple heights |
| US9237891B2 (en) | 2005-08-31 | 2016-01-19 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical stapling devices that produce formed staples having different lengths |
| US8365976B2 (en) | 2006-09-29 | 2013-02-05 | Ethicon Endo-Surgery, Inc. | Surgical staples having dissolvable, bioabsorbable or biofragmentable portions and stapling instruments for deploying the same |
| US11484312B2 (en) | 2005-08-31 | 2022-11-01 | Cilag Gmbh International | Staple cartridge comprising a staple driver arrangement |
| US7500979B2 (en) | 2005-08-31 | 2009-03-10 | Ethicon Endo-Surgery, Inc. | Surgical stapling device with multiple stacked actuator wedge cams for driving staple drivers |
| 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 |
| US7407078B2 (en) | 2005-09-21 | 2008-08-05 | Ehthicon Endo-Surgery, Inc. | Surgical stapling instrument having force controlled spacing end effector |
| US7467740B2 (en) | 2005-09-21 | 2008-12-23 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments having flexible channel and anvil features for adjustable staple heights |
| US7607557B2 (en) | 2005-11-04 | 2009-10-27 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments structured for pump-assisted delivery of medical agents |
| US7328828B2 (en) | 2005-11-04 | 2008-02-12 | Ethicon Endo-Surgery, Inc, | Lockout mechanisms and surgical instruments including same |
| US7673783B2 (en) | 2005-11-04 | 2010-03-09 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments structured for delivery of medical agents |
| US20070106317A1 (en) | 2005-11-09 | 2007-05-10 | Shelton Frederick E Iv | Hydraulically and electrically actuated articulation joints for surgical instruments |
| US7673780B2 (en) | 2005-11-09 | 2010-03-09 | Ethicon Endo-Surgery, Inc. | Articulation joint with improved moment arm extension for articulating an end effector of a surgical instrument |
| US7799039B2 (en) | 2005-11-09 | 2010-09-21 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a hydraulically actuated end effector |
| US7670334B2 (en) | 2006-01-10 | 2010-03-02 | Ethicon Endo-Surgery, Inc. | Surgical instrument having an articulating end effector |
| US7770775B2 (en) | 2006-01-31 | 2010-08-10 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting and fastening instrument with adaptive user feedback |
| US20110295295A1 (en) | 2006-01-31 | 2011-12-01 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical instrument having recording capabilities |
| US20120292367A1 (en) | 2006-01-31 | 2012-11-22 | Ethicon Endo-Surgery, Inc. | Robotically-controlled end effector |
| US7464846B2 (en) | 2006-01-31 | 2008-12-16 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a removable battery |
| US11278279B2 (en) | 2006-01-31 | 2022-03-22 | Cilag Gmbh International | Surgical instrument assembly |
| US8820603B2 (en) | 2006-01-31 | 2014-09-02 | Ethicon Endo-Surgery, Inc. | Accessing data stored in a memory of a surgical instrument |
| US7766210B2 (en) | 2006-01-31 | 2010-08-03 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting and fastening instrument with user feedback system |
| US20110024477A1 (en) | 2009-02-06 | 2011-02-03 | Hall Steven G | Driven Surgical Stapler Improvements |
| US11224427B2 (en) | 2006-01-31 | 2022-01-18 | Cilag Gmbh International | Surgical stapling system including a console and retraction assembly |
| US8763879B2 (en) | 2006-01-31 | 2014-07-01 | Ethicon Endo-Surgery, Inc. | Accessing data stored in a memory of surgical instrument |
| US7464849B2 (en) | 2006-01-31 | 2008-12-16 | Ethicon Endo-Surgery, Inc. | Electro-mechanical surgical instrument with closure system and anvil alignment components |
| US8161977B2 (en) | 2006-01-31 | 2012-04-24 | Ethicon Endo-Surgery, Inc. | Accessing data stored in a memory of a surgical instrument |
| US7845537B2 (en) | 2006-01-31 | 2010-12-07 | Ethicon Endo-Surgery, Inc. | Surgical instrument having recording capabilities |
| US7568603B2 (en) | 2006-01-31 | 2009-08-04 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting and fastening instrument with articulatable end effector |
| US8186555B2 (en) | 2006-01-31 | 2012-05-29 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting and fastening instrument with mechanical closure system |
| US7422139B2 (en) | 2006-01-31 | 2008-09-09 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting fastening instrument with tactile position feedback |
| US8708213B2 (en) | 2006-01-31 | 2014-04-29 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a feedback system |
| US11793518B2 (en) | 2006-01-31 | 2023-10-24 | Cilag Gmbh International | Powered surgical instruments with firing system lockout arrangements |
| US7644848B2 (en) | 2006-01-31 | 2010-01-12 | Ethicon Endo-Surgery, Inc. | Electronic lockouts and surgical instrument including same |
| US20110006101A1 (en) | 2009-02-06 | 2011-01-13 | EthiconEndo-Surgery, Inc. | Motor driven surgical fastener device with cutting member lockout arrangements |
| US7416101B2 (en) | 2006-01-31 | 2008-08-26 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting and fastening instrument with loading force feedback |
| US9861359B2 (en) | 2006-01-31 | 2018-01-09 | Ethicon Llc | Powered surgical instruments with firing system lockout arrangements |
| 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 |
| US20070225562A1 (en) | 2006-03-23 | 2007-09-27 | Ethicon Endo-Surgery, Inc. | Articulating endoscopic accessory channel |
| US8992422B2 (en) | 2006-03-23 | 2015-03-31 | Ethicon Endo-Surgery, Inc. | Robotically-controlled endoscopic accessory channel |
| US8322455B2 (en) | 2006-06-27 | 2012-12-04 | Ethicon Endo-Surgery, Inc. | Manually driven surgical cutting and fastening instrument |
| US7431189B2 (en) | 2006-08-02 | 2008-10-07 | Ethicon Endo-Surgery, Inc. | Pneumatically powered surgical cutting and fastening instrument with mechanical linkage coupling end effector and trigger motion |
| US7740159B2 (en) | 2006-08-02 | 2010-06-22 | Ethicon Endo-Surgery, Inc. | Pneumatically powered surgical cutting and fastening instrument with a variable control of the actuating rate of firing with mechanical power assist |
| US20110087276A1 (en) | 2009-10-09 | 2011-04-14 | Ethicon Endo-Surgery, Inc. | Method for forming a staple |
| 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 |
| US10130359B2 (en) | 2006-09-29 | 2018-11-20 | Ethicon Llc | Method for forming a staple |
| US11980366B2 (en) | 2006-10-03 | 2024-05-14 | Cilag Gmbh International | Surgical instrument |
| US7914511B2 (en) | 2006-10-18 | 2011-03-29 | Ethicon Endo-Surgery, Inc. | Use of biosurgical adhesive as bulking agent |
| US7749235B2 (en) | 2006-10-20 | 2010-07-06 | Ethicon Endo-Surgery, Inc. | Stomach invagination method and apparatus |
| US7441973B2 (en) | 2006-10-20 | 2008-10-28 | Ethicon Endo-Surgery, Inc. | Adhesive applicator |
| US7658305B2 (en) | 2006-10-25 | 2010-02-09 | Ethicon Endo-Surgery, Inc. | Adhesive applier with articulating tip |
| US7892250B2 (en) | 2006-11-01 | 2011-02-22 | Ethicon Endo-Surgery, Inc. | Use of biosurgical adhesive on inflatable device for gastric restriction |
| US8876844B2 (en) | 2006-11-01 | 2014-11-04 | Ethicon Endo-Surgery, Inc. | Anastomosis reinforcement using biosurgical adhesive and device |
| US7833216B2 (en) | 2006-11-08 | 2010-11-16 | Ethicon Endo-Surgery, Inc. | Fluid plunger adhesive dispenser |
| US8459520B2 (en) | 2007-01-10 | 2013-06-11 | Ethicon Endo-Surgery, Inc. | 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 |
| US8652120B2 (en) | 2007-01-10 | 2014-02-18 | Ethicon Endo-Surgery, Inc. | Surgical instrument with wireless communication between control unit and sensor transponders |
| US7900805B2 (en) | 2007-01-10 | 2011-03-08 | Ethicon Endo-Surgery, Inc. | Surgical instrument with enhanced battery performance |
| US7721931B2 (en) | 2007-01-10 | 2010-05-25 | Ethicon Endo-Surgery, Inc. | Prevention of cartridge reuse in a surgical instrument |
| US11291441B2 (en) | 2007-01-10 | 2022-04-05 | Cilag Gmbh International | Surgical instrument with wireless communication between control unit and remote sensor |
| US7954682B2 (en) | 2007-01-10 | 2011-06-07 | Ethicon Endo-Surgery, Inc. | Surgical instrument with elements to communicate between control unit and end effector |
| US7721936B2 (en) | 2007-01-10 | 2010-05-25 | Ethicon Endo-Surgery, Inc. | Interlock and surgical instrument including same |
| US7738971B2 (en) | 2007-01-10 | 2010-06-15 | Ethicon Endo-Surgery, Inc. | Post-sterilization programming of surgical instruments |
| US8840603B2 (en) | 2007-01-10 | 2014-09-23 | Ethicon Endo-Surgery, Inc. | Surgical instrument with wireless communication between control unit and sensor transponders |
| US8827133B2 (en) | 2007-01-11 | 2014-09-09 | Ethicon Endo-Surgery, Inc. | Surgical stapling device having supports for a flexible drive mechanism |
| US11039836B2 (en) | 2007-01-11 | 2021-06-22 | Cilag Gmbh International | Staple cartridge for use with a surgical stapling instrument |
| US7673782B2 (en) | 2007-03-15 | 2010-03-09 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having a releasable buttress material |
| US8056787B2 (en) | 2007-03-28 | 2011-11-15 | Ethicon Endo-Surgery, Inc. | Surgical stapling and cutting instrument with travel-indicating retraction member |
| US8893946B2 (en) | 2007-03-28 | 2014-11-25 | Ethicon Endo-Surgery, Inc. | Laparoscopic tissue thickness and clamp load measuring devices |
| US7490749B2 (en) | 2007-03-28 | 2009-02-17 | Ethicon Endo-Surgery, Inc. | Surgical stapling and cutting instrument with manually retractable firing member |
| US7798386B2 (en) | 2007-05-30 | 2010-09-21 | Ethicon Endo-Surgery, Inc. | Surgical instrument articulation joint cover |
| US7810693B2 (en) | 2007-05-30 | 2010-10-12 | Ethicon Endo-Surgery, Inc. | Surgical stapling and cutting instrument with articulatable end effector |
| US7549564B2 (en) | 2007-06-22 | 2009-06-23 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with an articulating end effector |
| US8157145B2 (en) | 2007-05-31 | 2012-04-17 | Ethicon Endo-Surgery, Inc. | Pneumatically powered surgical cutting and fastening instrument with electrical feedback |
| US7832408B2 (en) | 2007-06-04 | 2010-11-16 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a directional switching mechanism |
| US8534528B2 (en) | 2007-06-04 | 2013-09-17 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a multiple rate directional switching mechanism |
| US7905380B2 (en) | 2007-06-04 | 2011-03-15 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a multiple rate directional switching mechanism |
| US8931682B2 (en) | 2007-06-04 | 2015-01-13 | Ethicon Endo-Surgery, Inc. | Robotically-controlled shaft based rotary drive systems for surgical instruments |
| US7819299B2 (en) | 2007-06-04 | 2010-10-26 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a common trigger for actuating an end effector closing system and a staple firing system |
| US11564682B2 (en) | 2007-06-04 | 2023-01-31 | Cilag Gmbh International | Surgical stapler device |
| US7588176B2 (en) | 2007-06-18 | 2009-09-15 | Ethicon Endo-Surgery, Inc. | Surgical cutting instrument with improved closure system |
| US7604150B2 (en) | 2007-06-22 | 2009-10-20 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with an anti-back up mechanism |
| US7597229B2 (en) | 2007-06-22 | 2009-10-06 | Ethicon Endo-Surgery, Inc. | End effector closure system for a surgical stapling instrument |
| US7753245B2 (en) | 2007-06-22 | 2010-07-13 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments |
| US8408439B2 (en) | 2007-06-22 | 2013-04-02 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with an articulatable end effector |
| US7658311B2 (en) | 2007-06-22 | 2010-02-09 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with a geared return mechanism |
| US7441685B1 (en) | 2007-06-22 | 2008-10-28 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with a return mechanism |
| 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 |
| US8453908B2 (en) | 2008-02-13 | 2013-06-04 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with improved firing trigger arrangement |
| US8540133B2 (en) | 2008-09-19 | 2013-09-24 | Ethicon Endo-Surgery, Inc. | Staple cartridge |
| US8561870B2 (en) | 2008-02-13 | 2013-10-22 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument |
| US7766209B2 (en) | 2008-02-13 | 2010-08-03 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with improved firing trigger arrangement |
| US7857185B2 (en) | 2008-02-14 | 2010-12-28 | Ethicon Endo-Surgery, Inc. | Disposable loading unit for surgical stapling apparatus |
| 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 |
| US7819296B2 (en) | 2008-02-14 | 2010-10-26 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with retractable firing systems |
| US8573465B2 (en) | 2008-02-14 | 2013-11-05 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical end effector system with rotary actuated closure systems |
| US8758391B2 (en) | 2008-02-14 | 2014-06-24 | Ethicon Endo-Surgery, Inc. | Interchangeable tools for surgical instruments |
| US8657174B2 (en) | 2008-02-14 | 2014-02-25 | Ethicon Endo-Surgery, Inc. | Motorized surgical cutting and fastening instrument having handle based power source |
| US8584919B2 (en) | 2008-02-14 | 2013-11-19 | Ethicon Endo-Sugery, Inc. | Surgical stapling apparatus with load-sensitive firing mechanism |
| US7861906B2 (en) | 2008-02-14 | 2011-01-04 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with articulatable components |
| US8752749B2 (en) | 2008-02-14 | 2014-06-17 | Ethicon Endo-Surgery, Inc. | Robotically-controlled disposable motor-driven loading unit |
| BRPI0901282A2 (pt) | 2008-02-14 | 2009-11-17 | Ethicon Endo Surgery Inc | instrumento cirúrgico de corte e fixação dotado de eletrodos de rf |
| US7810692B2 (en) | 2008-02-14 | 2010-10-12 | Ethicon Endo-Surgery, Inc. | Disposable loading unit with firing indicator |
| US7793812B2 (en) | 2008-02-14 | 2010-09-14 | Ethicon Endo-Surgery, Inc. | Disposable motor-driven loading unit for use with a surgical cutting and stapling apparatus |
| US9179912B2 (en) | 2008-02-14 | 2015-11-10 | Ethicon Endo-Surgery, Inc. | Robotically-controlled motorized surgical cutting and fastening instrument |
| US7866527B2 (en) | 2008-02-14 | 2011-01-11 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with interlockable firing system |
| US8459525B2 (en) | 2008-02-14 | 2013-06-11 | Ethicon Endo-Sugery, Inc. | Motorized surgical cutting and fastening instrument having a magnetic drive train torque limiting device |
| US8622274B2 (en) | 2008-02-14 | 2014-01-07 | Ethicon Endo-Surgery, Inc. | Motorized cutting and fastening instrument having control circuit for optimizing battery usage |
| US7913891B2 (en) | 2008-02-14 | 2011-03-29 | Ethicon Endo-Surgery, Inc. | Disposable loading unit with user feedback features and surgical instrument for use therewith |
| US7819298B2 (en) | 2008-02-14 | 2010-10-26 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with control features operable with one hand |
| US7819297B2 (en) | 2008-02-14 | 2010-10-26 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with reprocessible handle assembly |
| US8636736B2 (en) | 2008-02-14 | 2014-01-28 | Ethicon Endo-Surgery, Inc. | Motorized surgical cutting and fastening instrument |
| US20130153641A1 (en) | 2008-02-15 | 2013-06-20 | Ethicon Endo-Surgery, Inc. | Releasable layer of material and surgical end effector having the same |
| US7980443B2 (en) | 2008-02-15 | 2011-07-19 | Ethicon Endo-Surgery, Inc. | End effectors for a surgical cutting and stapling instrument |
| US20090206125A1 (en) | 2008-02-15 | 2009-08-20 | Ethicon Endo-Surgery, Inc. | Packaging for attaching buttress material to a surgical stapling instrument |
| US11272927B2 (en) | 2008-02-15 | 2022-03-15 | Cilag Gmbh International | Layer arrangements for surgical staple cartridges |
| US8608044B2 (en) | 2008-02-15 | 2013-12-17 | Ethicon Endo-Surgery, Inc. | Feedback and lockout mechanism for surgical instrument |
| US20090206131A1 (en) | 2008-02-15 | 2009-08-20 | Ethicon Endo-Surgery, Inc. | End effector coupling arrangements for a surgical cutting and stapling instrument |
| US7959051B2 (en) | 2008-02-15 | 2011-06-14 | Ethicon Endo-Surgery, Inc. | Closure systems for a surgical cutting and stapling instrument |
| US7922061B2 (en) | 2008-05-21 | 2011-04-12 | Ethicon Endo-Surgery, Inc. | Surgical instrument with automatically reconfigurable articulating end effector |
| US7837080B2 (en) | 2008-09-18 | 2010-11-23 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with device for indicating when the instrument has cut through tissue |
| US8083120B2 (en) | 2008-09-18 | 2011-12-27 | Ethicon Endo-Surgery, Inc. | End effector for use with a surgical cutting and stapling instrument |
| US7954686B2 (en) | 2008-09-19 | 2011-06-07 | Ethicon Endo-Surgery, Inc. | Surgical stapler with apparatus for adjusting staple height |
| PL3476312T3 (pl) | 2008-09-19 | 2024-03-11 | Ethicon Llc | Stapler chirurgiczny z urządzeniem do dopasowania wysokości zszywek |
| US9386983B2 (en) | 2008-09-23 | 2016-07-12 | Ethicon Endo-Surgery, Llc | Robotically-controlled motorized surgical instrument |
| US9050083B2 (en) | 2008-09-23 | 2015-06-09 | Ethicon Endo-Surgery, Inc. | Motorized surgical instrument |
| US11648005B2 (en) | 2008-09-23 | 2023-05-16 | Cilag Gmbh International | Robotically-controlled motorized surgical instrument with an end effector |
| US8210411B2 (en) | 2008-09-23 | 2012-07-03 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting instrument |
| US9005230B2 (en) | 2008-09-23 | 2015-04-14 | Ethicon Endo-Surgery, Inc. | Motorized surgical instrument |
| US8608045B2 (en) | 2008-10-10 | 2013-12-17 | Ethicon Endo-Sugery, Inc. | Powered surgical cutting and stapling apparatus with manually retractable firing system |
| US8020743B2 (en) | 2008-10-15 | 2011-09-20 | Ethicon Endo-Surgery, Inc. | Powered articulatable surgical cutting and fastening instrument with flexible drive member |
| US7918377B2 (en) | 2008-10-16 | 2011-04-05 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with apparatus for providing anvil position feedback |
| US8523805B2 (en) * | 2008-10-29 | 2013-09-03 | Biomet Biologics, Llc | Method and apparatus for containing, transporting, and providing a material |
| US8517239B2 (en) | 2009-02-05 | 2013-08-27 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument comprising a magnetic element driver |
| US8397971B2 (en) | 2009-02-05 | 2013-03-19 | Ethicon Endo-Surgery, Inc. | Sterilizable surgical instrument |
| US8414577B2 (en) | 2009-02-05 | 2013-04-09 | Ethicon Endo-Surgery, Inc. | Surgical instruments and components for use in sterile environments |
| US8485413B2 (en) | 2009-02-05 | 2013-07-16 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument comprising an articulation joint |
| BRPI1008667A2 (pt) | 2009-02-06 | 2016-03-08 | Ethicom Endo Surgery Inc | aperfeiçoamento do grampeador cirúrgico acionado |
| 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 |
| US8066167B2 (en) | 2009-03-23 | 2011-11-29 | Ethicon Endo-Surgery, Inc. | Circular surgical stapling instrument with anvil locking system |
| US8622275B2 (en) | 2009-11-19 | 2014-01-07 | Ethicon Endo-Surgery, Inc. | Circular stapler introducer with rigid distal end portion |
| US8136712B2 (en) | 2009-12-10 | 2012-03-20 | Ethicon Endo-Surgery, Inc. | Surgical stapler with discrete staple height adjustment and tactile feedback |
| 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 |
| US8267300B2 (en) | 2009-12-30 | 2012-09-18 | Ethicon Endo-Surgery, Inc. | Dampening device for endoscopic surgical stapler |
| US8608046B2 (en) | 2010-01-07 | 2013-12-17 | Ethicon Endo-Surgery, Inc. | Test device for a surgical tool |
| US8608642B2 (en) | 2010-02-25 | 2013-12-17 | Ethicon Endo-Surgery, Inc. | Methods and devices for treating morbid obesity using hydrogel |
| US8801734B2 (en) | 2010-07-30 | 2014-08-12 | Ethicon Endo-Surgery, Inc. | Circular stapling instruments with secondary cutting arrangements and methods of using same |
| US8789740B2 (en) | 2010-07-30 | 2014-07-29 | Ethicon Endo-Surgery, Inc. | Linear cutting and stapling device with selectively disengageable cutting member |
| US8783543B2 (en) | 2010-07-30 | 2014-07-22 | Ethicon Endo-Surgery, Inc. | Tissue acquisition arrangements and methods for surgical stapling devices |
| US8360296B2 (en) | 2010-09-09 | 2013-01-29 | Ethicon Endo-Surgery, Inc. | Surgical stapling head assembly with firing lockout for a surgical stapler |
| US8632525B2 (en) | 2010-09-17 | 2014-01-21 | Ethicon Endo-Surgery, Inc. | Power control arrangements for surgical instruments and batteries |
| US9289212B2 (en) | 2010-09-17 | 2016-03-22 | Ethicon Endo-Surgery, Inc. | Surgical instruments and batteries for surgical instruments |
| US9877720B2 (en) | 2010-09-24 | 2018-01-30 | Ethicon Llc | Control features for articulating surgical device |
| US8733613B2 (en) | 2010-09-29 | 2014-05-27 | Ethicon Endo-Surgery, Inc. | Staple cartridge |
| US9332974B2 (en) | 2010-09-30 | 2016-05-10 | Ethicon Endo-Surgery, Llc | Layered tissue thickness compensator |
| US8783542B2 (en) | 2010-09-30 | 2014-07-22 | Ethicon Endo-Surgery, Inc. | Fasteners supported by a fastener cartridge support |
| US10405854B2 (en) | 2010-09-30 | 2019-09-10 | Ethicon Llc | Surgical stapling cartridge with layer retention features |
| US11925354B2 (en) | 2010-09-30 | 2024-03-12 | Cilag Gmbh International | Staple cartridge comprising staples positioned within a compressible portion thereof |
| US8746535B2 (en) | 2010-09-30 | 2014-06-10 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator comprising detachable portions |
| US8893949B2 (en) | 2010-09-30 | 2014-11-25 | Ethicon Endo-Surgery, Inc. | Surgical stapler with floating anvil |
| US9232941B2 (en) | 2010-09-30 | 2016-01-12 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator comprising a reservoir |
| US9314246B2 (en) | 2010-09-30 | 2016-04-19 | Ethicon Endo-Surgery, Llc | Tissue stapler having a thickness compensator incorporating an anti-inflammatory agent |
| US9220501B2 (en) | 2010-09-30 | 2015-12-29 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensators |
| US9307989B2 (en) | 2012-03-28 | 2016-04-12 | Ethicon Endo-Surgery, Llc | Tissue stapler having a thickness compensator incorportating a hydrophobic agent |
| US9839420B2 (en) | 2010-09-30 | 2017-12-12 | Ethicon Llc | Tissue thickness compensator comprising at least one medicament |
| US9480476B2 (en) | 2010-09-30 | 2016-11-01 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator comprising resilient members |
| AU2011308701B2 (en) | 2010-09-30 | 2013-11-14 | Ethicon Endo-Surgery, Inc. | Fastener system comprising a retention matrix and an alignment matrix |
| US10945731B2 (en) | 2010-09-30 | 2021-03-16 | Ethicon Llc | Tissue thickness compensator comprising controlled release and expansion |
| US9386988B2 (en) | 2010-09-30 | 2016-07-12 | Ethicon End-Surgery, LLC | Retainer assembly including a tissue thickness compensator |
| US9364233B2 (en) | 2010-09-30 | 2016-06-14 | Ethicon Endo-Surgery, Llc | Tissue thickness compensators for circular surgical staplers |
| US12213666B2 (en) | 2010-09-30 | 2025-02-04 | Cilag Gmbh International | Tissue thickness compensator comprising layers |
| US9055941B2 (en) | 2011-09-23 | 2015-06-16 | Ethicon Endo-Surgery, Inc. | Staple cartridge including collapsible deck |
| US9629814B2 (en) | 2010-09-30 | 2017-04-25 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator configured to redistribute compressive forces |
| US9301752B2 (en) | 2010-09-30 | 2016-04-05 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator comprising a plurality of capsules |
| US11812965B2 (en) | 2010-09-30 | 2023-11-14 | Cilag Gmbh International | Layer of material for a surgical end effector |
| US11298125B2 (en) | 2010-09-30 | 2022-04-12 | Cilag Gmbh International | Tissue stapler having a thickness compensator |
| US9301753B2 (en) | 2010-09-30 | 2016-04-05 | Ethicon Endo-Surgery, Llc | Expandable tissue thickness compensator |
| US8695866B2 (en) | 2010-10-01 | 2014-04-15 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a power control circuit |
| USD650074S1 (en) | 2010-10-01 | 2011-12-06 | Ethicon Endo-Surgery, Inc. | Surgical instrument |
| US8827903B2 (en) | 2011-03-14 | 2014-09-09 | Ethicon Endo-Surgery, Inc. | Modular tool heads for use with circular surgical instruments |
| US8540131B2 (en) | 2011-03-15 | 2013-09-24 | Ethicon Endo-Surgery, Inc. | Surgical staple cartridges with tissue tethers for manipulating divided tissue and methods of using same |
| US8800841B2 (en) | 2011-03-15 | 2014-08-12 | Ethicon Endo-Surgery, Inc. | Surgical staple cartridges |
| US8857693B2 (en) | 2011-03-15 | 2014-10-14 | Ethicon Endo-Surgery, Inc. | Surgical instruments with lockable articulating end effector |
| US8926598B2 (en) | 2011-03-15 | 2015-01-06 | Ethicon Endo-Surgery, Inc. | Surgical instruments with articulatable and rotatable end effector |
| US9044229B2 (en) | 2011-03-15 | 2015-06-02 | Ethicon Endo-Surgery, Inc. | Surgical fastener instruments |
| BR112013027794B1 (pt) | 2011-04-29 | 2020-12-15 | Ethicon Endo-Surgery, Inc | Conjunto de cartucho de grampos |
| US11207064B2 (en) | 2011-05-27 | 2021-12-28 | Cilag Gmbh International | Automated end effector component reloading system for use with a robotic system |
| US9107663B2 (en) | 2011-09-06 | 2015-08-18 | Ethicon Endo-Surgery, Inc. | Stapling instrument comprising resettable staple drivers |
| US9050084B2 (en) | 2011-09-23 | 2015-06-09 | Ethicon Endo-Surgery, Inc. | Staple cartridge including collapsible deck arrangement |
| JP5779467B2 (ja) * | 2011-09-30 | 2015-09-16 | 住友ベークライト株式会社 | 生体組織接着剤塗布用具およびノズルヘッド |
| 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 |
| US9078653B2 (en) | 2012-03-26 | 2015-07-14 | Ethicon Endo-Surgery, Inc. | Surgical stapling device with lockout system for preventing actuation in the absence of an installed staple cartridge |
| MX353040B (es) | 2012-03-28 | 2017-12-18 | Ethicon Endo Surgery Inc | Unidad retenedora que incluye un compensador de grosor de tejido. |
| JP6105041B2 (ja) | 2012-03-28 | 2017-03-29 | エシコン・エンド−サージェリィ・インコーポレイテッドEthicon Endo−Surgery,Inc. | 低圧環境を画定するカプセルを含む組織厚コンペンセーター |
| RU2014143258A (ru) | 2012-03-28 | 2016-05-20 | Этикон Эндо-Серджери, Инк. | Компенсатор толщины ткани, содержащий множество слоев |
| US9198662B2 (en) | 2012-03-28 | 2015-12-01 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator having improved visibility |
| US9101358B2 (en) | 2012-06-15 | 2015-08-11 | Ethicon Endo-Surgery, Inc. | Articulatable surgical instrument comprising a firing drive |
| US8747238B2 (en) | 2012-06-28 | 2014-06-10 | Ethicon Endo-Surgery, Inc. | Rotary drive shaft assemblies for surgical instruments with articulatable end effectors |
| US9125662B2 (en) | 2012-06-28 | 2015-09-08 | Ethicon Endo-Surgery, Inc. | Multi-axis articulating and rotating surgical tools |
| US12383267B2 (en) | 2012-06-28 | 2025-08-12 | Cilag Gmbh International | Robotically powered surgical device with manually-actuatable reversing system |
| US9289256B2 (en) | 2012-06-28 | 2016-03-22 | Ethicon Endo-Surgery, Llc | Surgical end effectors having angled tissue-contacting surfaces |
| US20140005718A1 (en) | 2012-06-28 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Multi-functional powered surgical device with external dissection features |
| US9649111B2 (en) | 2012-06-28 | 2017-05-16 | Ethicon Endo-Surgery, Llc | Replaceable clip cartridge for a clip applier |
| US9119657B2 (en) | 2012-06-28 | 2015-09-01 | Ethicon Endo-Surgery, Inc. | Rotary actuatable closure arrangement for surgical end effector |
| US9561038B2 (en) | 2012-06-28 | 2017-02-07 | Ethicon Endo-Surgery, Llc | Interchangeable clip applier |
| US11278284B2 (en) | 2012-06-28 | 2022-03-22 | Cilag Gmbh International | Rotary drive arrangements for surgical instruments |
| US20140005678A1 (en) | 2012-06-28 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Rotary drive arrangements for surgical instruments |
| BR112014032776B1 (pt) | 2012-06-28 | 2021-09-08 | Ethicon Endo-Surgery, Inc | Sistema de instrumento cirúrgico e kit cirúrgico para uso com um sistema de instrumento cirúrgico |
| CN104487005B (zh) | 2012-06-28 | 2017-09-08 | 伊西康内外科公司 | 空夹仓闭锁件 |
| US9101385B2 (en) | 2012-06-28 | 2015-08-11 | Ethicon Endo-Surgery, Inc. | Electrode connections for rotary driven surgical tools |
| US9028494B2 (en) | 2012-06-28 | 2015-05-12 | Ethicon Endo-Surgery, Inc. | Interchangeable end effector coupling arrangement |
| US20140001231A1 (en) | 2012-06-28 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Firing system lockout arrangements for surgical instruments |
| US9072536B2 (en) | 2012-06-28 | 2015-07-07 | Ethicon Endo-Surgery, Inc. | Differential locking arrangements for rotary powered surgical instruments |
| US9700310B2 (en) | 2013-08-23 | 2017-07-11 | Ethicon Llc | Firing member retraction devices for powered surgical instruments |
| US9586217B2 (en) * | 2012-10-04 | 2017-03-07 | Arminak & Associates, Llc | Mixing chamber for two fluid constituents |
| US9386985B2 (en) | 2012-10-15 | 2016-07-12 | Ethicon Endo-Surgery, Llc | Surgical cutting instrument |
| US9386984B2 (en) | 2013-02-08 | 2016-07-12 | Ethicon Endo-Surgery, Llc | Staple cartridge comprising a releasable cover |
| US10092292B2 (en) | 2013-02-28 | 2018-10-09 | Ethicon Llc | Staple forming features for surgical stapling instrument |
| MX364729B (es) | 2013-03-01 | 2019-05-06 | Ethicon Endo Surgery Inc | Instrumento quirúrgico con una parada suave. |
| MX368026B (es) | 2013-03-01 | 2019-09-12 | Ethicon Endo Surgery Inc | Instrumento quirúrgico articulable con vías conductoras para la comunicación de la señal. |
| US20140249557A1 (en) | 2013-03-01 | 2014-09-04 | Ethicon Endo-Surgery, Inc. | Thumbwheel switch arrangements for surgical instruments |
| US20140263552A1 (en) | 2013-03-13 | 2014-09-18 | Ethicon Endo-Surgery, Inc. | Staple cartridge tissue thickness sensor system |
| US9888919B2 (en) | 2013-03-14 | 2018-02-13 | Ethicon Llc | Method and system for operating a surgical instrument |
| US9629629B2 (en) | 2013-03-14 | 2017-04-25 | Ethicon Endo-Surgey, LLC | Control systems for surgical instruments |
| US9332984B2 (en) | 2013-03-27 | 2016-05-10 | Ethicon Endo-Surgery, Llc | Fastener cartridge assemblies |
| US9572577B2 (en) | 2013-03-27 | 2017-02-21 | Ethicon Endo-Surgery, Llc | Fastener cartridge comprising a tissue thickness compensator including openings therein |
| US9795384B2 (en) | 2013-03-27 | 2017-10-24 | Ethicon Llc | Fastener cartridge comprising a tissue thickness compensator and a gap setting element |
| US9649110B2 (en) | 2013-04-16 | 2017-05-16 | Ethicon Llc | Surgical instrument comprising a closing drive and a firing drive operated from the same rotatable output |
| BR112015026109B1 (pt) | 2013-04-16 | 2022-02-22 | Ethicon Endo-Surgery, Inc | Instrumento cirúrgico |
| US9574644B2 (en) | 2013-05-30 | 2017-02-21 | Ethicon Endo-Surgery, Llc | Power module for use with a surgical instrument |
| JP6416260B2 (ja) | 2013-08-23 | 2018-10-31 | エシコン エルエルシー | 動力付き外科用器具のための発射部材後退装置 |
| US20140171986A1 (en) | 2013-09-13 | 2014-06-19 | Ethicon Endo-Surgery, Inc. | Surgical Clip Having Comliant Portion |
| US9642620B2 (en) | 2013-12-23 | 2017-05-09 | Ethicon Endo-Surgery, Llc | Surgical cutting and stapling instruments with articulatable end effectors |
| US9681870B2 (en) | 2013-12-23 | 2017-06-20 | Ethicon Llc | Articulatable surgical instruments with separate and distinct closing and firing systems |
| US9724092B2 (en) | 2013-12-23 | 2017-08-08 | Ethicon Llc | Modular surgical instruments |
| US9687232B2 (en) | 2013-12-23 | 2017-06-27 | Ethicon Llc | Surgical staples |
| US9839428B2 (en) | 2013-12-23 | 2017-12-12 | Ethicon Llc | Surgical cutting and stapling instruments with independent jaw control features |
| US20150173756A1 (en) | 2013-12-23 | 2015-06-25 | Ethicon Endo-Surgery, Inc. | Surgical cutting and stapling methods |
| US9962161B2 (en) | 2014-02-12 | 2018-05-08 | Ethicon Llc | Deliverable surgical instrument |
| JP6462004B2 (ja) | 2014-02-24 | 2019-01-30 | エシコン エルエルシー | 発射部材ロックアウトを備える締結システム |
| US20140166724A1 (en) | 2014-02-24 | 2014-06-19 | Ethicon Endo-Surgery, Inc. | Staple cartridge including a barbed staple |
| BR112016021943B1 (pt) | 2014-03-26 | 2022-06-14 | Ethicon Endo-Surgery, Llc | Instrumento cirúrgico para uso por um operador em um procedimento cirúrgico |
| US10004497B2 (en) | 2014-03-26 | 2018-06-26 | Ethicon Llc | Interface systems for use with surgical instruments |
| US9913642B2 (en) | 2014-03-26 | 2018-03-13 | Ethicon Llc | Surgical instrument comprising a sensor system |
| US9743929B2 (en) | 2014-03-26 | 2017-08-29 | Ethicon Llc | Modular powered surgical instrument with detachable shaft assemblies |
| US12232723B2 (en) | 2014-03-26 | 2025-02-25 | Cilag Gmbh International | Systems and methods for controlling a segmented circuit |
| US9690362B2 (en) | 2014-03-26 | 2017-06-27 | Ethicon Llc | Surgical instrument control circuit having a safety processor |
| US20150297225A1 (en) | 2014-04-16 | 2015-10-22 | Ethicon Endo-Surgery, Inc. | Fastener cartridges including extensions having different configurations |
| JP6636452B2 (ja) | 2014-04-16 | 2020-01-29 | エシコン エルエルシーEthicon LLC | 異なる構成を有する延在部を含む締結具カートリッジ |
| BR112016023807B1 (pt) | 2014-04-16 | 2022-07-12 | Ethicon Endo-Surgery, Llc | Conjunto de cartucho de prendedores para uso com um instrumento cirúrgico |
| BR112016023825B1 (pt) | 2014-04-16 | 2022-08-02 | Ethicon Endo-Surgery, Llc | Cartucho de grampos para uso com um grampeador cirúrgico e cartucho de grampos para uso com um instrumento cirúrgico |
| US10426476B2 (en) | 2014-09-26 | 2019-10-01 | Ethicon Llc | Circular fastener cartridges for applying radially expandable fastener lines |
| US10561422B2 (en) | 2014-04-16 | 2020-02-18 | Ethicon Llc | Fastener cartridge comprising deployable tissue engaging members |
| US10045781B2 (en) | 2014-06-13 | 2018-08-14 | Ethicon Llc | Closure lockout systems for surgical instruments |
| US11311294B2 (en) | 2014-09-05 | 2022-04-26 | Cilag Gmbh International | Powered medical device including measurement of closure state of jaws |
| US10111679B2 (en) | 2014-09-05 | 2018-10-30 | Ethicon Llc | Circuitry and sensors for powered medical device |
| BR112017004361B1 (pt) | 2014-09-05 | 2023-04-11 | Ethicon Llc | Sistema eletrônico para um instrumento cirúrgico |
| US10105142B2 (en) | 2014-09-18 | 2018-10-23 | Ethicon Llc | Surgical stapler with plurality of cutting elements |
| MX380639B (es) | 2014-09-26 | 2025-03-12 | Ethicon Llc | Refuerzos de grapas quirúrgicas y materiales auxiliares. |
| US11523821B2 (en) | 2014-09-26 | 2022-12-13 | Cilag Gmbh International | Method for creating a flexible staple line |
| US10076325B2 (en) | 2014-10-13 | 2018-09-18 | Ethicon Llc | Surgical stapling apparatus comprising a tissue stop |
| US9924944B2 (en) | 2014-10-16 | 2018-03-27 | Ethicon Llc | Staple cartridge comprising an adjunct material |
| US10517594B2 (en) | 2014-10-29 | 2019-12-31 | Ethicon Llc | Cartridge assemblies for surgical staplers |
| US11141153B2 (en) | 2014-10-29 | 2021-10-12 | Cilag Gmbh International | Staple cartridges comprising driver arrangements |
| US9844376B2 (en) | 2014-11-06 | 2017-12-19 | Ethicon Llc | Staple cartridge comprising a releasable adjunct material |
| US10736636B2 (en) | 2014-12-10 | 2020-08-11 | Ethicon Llc | Articulatable surgical instrument system |
| US10188385B2 (en) | 2014-12-18 | 2019-01-29 | Ethicon Llc | Surgical instrument system comprising lockable systems |
| US10117649B2 (en) | 2014-12-18 | 2018-11-06 | Ethicon Llc | Surgical instrument assembly comprising a lockable articulation system |
| US9968355B2 (en) | 2014-12-18 | 2018-05-15 | Ethicon Llc | Surgical instruments with articulatable end effectors and improved firing beam support arrangements |
| US9987000B2 (en) | 2014-12-18 | 2018-06-05 | Ethicon Llc | Surgical instrument assembly comprising a flexible articulation system |
| US9844374B2 (en) | 2014-12-18 | 2017-12-19 | Ethicon Llc | Surgical instrument systems comprising an articulatable end effector and means for adjusting the firing stroke of a firing member |
| US10085748B2 (en) | 2014-12-18 | 2018-10-02 | Ethicon Llc | Locking arrangements for detachable shaft assemblies with articulatable surgical end effectors |
| BR112017012996B1 (pt) | 2014-12-18 | 2022-11-08 | Ethicon Llc | Instrumento cirúrgico com uma bigorna que é seletivamente móvel sobre um eixo geométrico imóvel distinto em relação a um cartucho de grampos |
| US9844375B2 (en) | 2014-12-18 | 2017-12-19 | Ethicon Llc | Drive arrangements for articulatable surgical instruments |
| US10159483B2 (en) | 2015-02-27 | 2018-12-25 | Ethicon Llc | Surgical apparatus configured to track an end-of-life parameter |
| 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 |
| US9993258B2 (en) | 2015-02-27 | 2018-06-12 | Ethicon Llc | Adaptable surgical instrument handle |
| US11154301B2 (en) | 2015-02-27 | 2021-10-26 | Cilag Gmbh International | Modular stapling assembly |
| JP2020121162A (ja) | 2015-03-06 | 2020-08-13 | エシコン エルエルシーEthicon LLC | 測定の安定性要素、クリープ要素、及び粘弾性要素を決定するためのセンサデータの時間依存性評価 |
| US9993248B2 (en) | 2015-03-06 | 2018-06-12 | Ethicon Endo-Surgery, Llc | Smart sensors with local signal processing |
| US9808246B2 (en) | 2015-03-06 | 2017-11-07 | Ethicon Endo-Surgery, Llc | Method of operating a powered surgical instrument |
| US9901342B2 (en) | 2015-03-06 | 2018-02-27 | Ethicon Endo-Surgery, Llc | Signal and power communication system positioned on a rotatable shaft |
| US9924961B2 (en) | 2015-03-06 | 2018-03-27 | Ethicon Endo-Surgery, Llc | Interactive feedback system for powered surgical instruments |
| US9895148B2 (en) | 2015-03-06 | 2018-02-20 | Ethicon Endo-Surgery, Llc | Monitoring speed control and precision incrementing of motor for powered surgical instruments |
| US10052044B2 (en) | 2015-03-06 | 2018-08-21 | Ethicon Llc | Time dependent evaluation of sensor data to determine stability, creep, and viscoelastic elements of measures |
| US10441279B2 (en) | 2015-03-06 | 2019-10-15 | Ethicon Llc | Multiple level thresholds to modify operation of powered surgical instruments |
| 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 |
| US10617412B2 (en) | 2015-03-06 | 2020-04-14 | Ethicon Llc | System for detecting the mis-insertion of a staple cartridge into a surgical stapler |
| US10245033B2 (en) | 2015-03-06 | 2019-04-02 | Ethicon Llc | Surgical instrument comprising a lockable battery housing |
| US10687806B2 (en) | 2015-03-06 | 2020-06-23 | Ethicon Llc | Adaptive tissue compression techniques to adjust closure rates for multiple tissue types |
| US10390825B2 (en) | 2015-03-31 | 2019-08-27 | Ethicon Llc | Surgical instrument with progressive rotary drive systems |
| US10405863B2 (en) | 2015-06-18 | 2019-09-10 | Ethicon Llc | Movable firing beam support arrangements for articulatable surgical instruments |
| US10835249B2 (en) | 2015-08-17 | 2020-11-17 | Ethicon Llc | Implantable layers for a surgical instrument |
| MX2022009705A (es) | 2015-08-26 | 2022-11-07 | Ethicon Llc | Metodo para formar una grapa contra un yunque de un instrumento de engrapado quirurgico. |
| BR112018003707B8 (pt) | 2015-08-26 | 2023-05-16 | Ethicon Llc | Conjunto de cartucho de grampos |
| CN108348233B (zh) | 2015-08-26 | 2021-05-07 | 伊西康有限责任公司 | 用于允许改变钉特性并实现轻松仓加载的外科钉条 |
| US10357251B2 (en) | 2015-08-26 | 2019-07-23 | Ethicon Llc | Surgical staples comprising hardness variations for improved fastening of tissue |
| MX2022006192A (es) | 2015-09-02 | 2022-06-16 | Ethicon Llc | Configuraciones de grapas quirurgicas con superficies de leva situadas entre porciones que soportan grapas quirurgicas. |
| US10172619B2 (en) | 2015-09-02 | 2019-01-08 | Ethicon Llc | Surgical staple driver arrays |
| US10076326B2 (en) | 2015-09-23 | 2018-09-18 | Ethicon Llc | Surgical stapler having current mirror-based motor control |
| 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 |
| 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 |
| 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 |
| US9572555B1 (en) * | 2015-09-24 | 2017-02-21 | Ethicon, Inc. | Spray or drip tips having multiple outlet channels |
| US10299878B2 (en) | 2015-09-25 | 2019-05-28 | Ethicon Llc | Implantable adjunct systems for determining adjunct skew |
| US11890015B2 (en) | 2015-09-30 | 2024-02-06 | Cilag Gmbh International | Compressible adjunct with crossing spacer fibers |
| 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 |
| US11690623B2 (en) | 2015-09-30 | 2023-07-04 | Cilag Gmbh International | Method for applying an implantable layer to a fastener cartridge |
| 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 |
| US10265068B2 (en) | 2015-12-30 | 2019-04-23 | Ethicon Llc | Surgical instruments with separable motors and motor control circuits |
| US11213293B2 (en) | 2016-02-09 | 2022-01-04 | Cilag Gmbh International | Articulatable surgical instruments with single articulation link arrangements |
| US10413291B2 (en) | 2016-02-09 | 2019-09-17 | Ethicon Llc | Surgical instrument articulation mechanism with slotted secondary constraint |
| BR112018016098B1 (pt) | 2016-02-09 | 2023-02-23 | Ethicon Llc | Instrumento cirúrgico |
| US10448948B2 (en) | 2016-02-12 | 2019-10-22 | Ethicon Llc | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
| US11224426B2 (en) | 2016-02-12 | 2022-01-18 | Cilag Gmbh International | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
| US10258331B2 (en) | 2016-02-12 | 2019-04-16 | Ethicon Llc | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
| 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 |
| JP7010838B2 (ja) | 2016-04-01 | 2022-01-26 | エシコン エルエルシー | 外科用ステープル留め器具 |
| US10285705B2 (en) | 2016-04-01 | 2019-05-14 | Ethicon Llc | Surgical stapling system comprising a grooved forming pocket |
| US10531874B2 (en) | 2016-04-01 | 2020-01-14 | Ethicon Llc | Surgical cutting and stapling end effector with anvil concentric drive member |
| US10478190B2 (en) | 2016-04-01 | 2019-11-19 | Ethicon Llc | Surgical stapling system comprising a spent cartridge lockout |
| US11284890B2 (en) | 2016-04-01 | 2022-03-29 | Cilag Gmbh International | Circular stapling system comprising an incisable tissue support |
| 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 |
| US10456137B2 (en) | 2016-04-15 | 2019-10-29 | Ethicon Llc | Staple formation detection mechanisms |
| US10828028B2 (en) | 2016-04-15 | 2020-11-10 | Ethicon Llc | Surgical instrument with multiple program responses during a firing motion |
| US10405859B2 (en) | 2016-04-15 | 2019-09-10 | Ethicon Llc | Surgical instrument with adjustable stop/start control during a firing motion |
| US11607239B2 (en) | 2016-04-15 | 2023-03-21 | Cilag Gmbh International | Systems and methods for controlling a surgical stapling and cutting instrument |
| US10492783B2 (en) | 2016-04-15 | 2019-12-03 | Ethicon, Llc | Surgical instrument with improved stop/start control during a firing motion |
| US10335145B2 (en) | 2016-04-15 | 2019-07-02 | Ethicon Llc | Modular surgical instrument with configurable operating mode |
| US11179150B2 (en) | 2016-04-15 | 2021-11-23 | Cilag Gmbh International | Systems and methods for controlling a surgical stapling and cutting instrument |
| US11317917B2 (en) | 2016-04-18 | 2022-05-03 | Cilag Gmbh International | Surgical stapling system comprising a lockable firing assembly |
| US10433840B2 (en) | 2016-04-18 | 2019-10-08 | Ethicon Llc | Surgical instrument comprising a replaceable cartridge jaw |
| US20170296173A1 (en) | 2016-04-18 | 2017-10-19 | Ethicon Endo-Surgery, Llc | Method for operating a surgical instrument |
| US10675024B2 (en) | 2016-06-24 | 2020-06-09 | Ethicon Llc | Staple cartridge comprising overdriven staples |
| USD826405S1 (en) | 2016-06-24 | 2018-08-21 | Ethicon Llc | Surgical fastener |
| CN109310431B (zh) | 2016-06-24 | 2022-03-04 | 伊西康有限责任公司 | 包括线材钉和冲压钉的钉仓 |
| USD847989S1 (en) | 2016-06-24 | 2019-05-07 | Ethicon Llc | Surgical fastener cartridge |
| USD850617S1 (en) | 2016-06-24 | 2019-06-04 | Ethicon Llc | Surgical fastener cartridge |
| JP6980705B2 (ja) | 2016-06-24 | 2021-12-15 | エシコン エルエルシーEthicon LLC | ワイヤステープル及び打ち抜かれたステープルで使用するためのステープリングシステム |
| US10500000B2 (en) | 2016-08-16 | 2019-12-10 | Ethicon Llc | Surgical tool with manual control of end effector jaws |
| US10675026B2 (en) | 2016-12-21 | 2020-06-09 | Ethicon Llc | Methods of stapling tissue |
| US10856868B2 (en) | 2016-12-21 | 2020-12-08 | Ethicon Llc | Firing member pin configurations |
| US20180168608A1 (en) | 2016-12-21 | 2018-06-21 | Ethicon Endo-Surgery, Llc | Surgical instrument system comprising an end effector lockout and a firing assembly lockout |
| US10993715B2 (en) | 2016-12-21 | 2021-05-04 | Ethicon Llc | Staple cartridge comprising staples with different clamping breadths |
| CN110114003A (zh) | 2016-12-21 | 2019-08-09 | 爱惜康有限责任公司 | 外科缝合系统 |
| US11684367B2 (en) | 2016-12-21 | 2023-06-27 | Cilag Gmbh International | Stepped assembly having and end-of-life indicator |
| MX2019007311A (es) | 2016-12-21 | 2019-11-18 | Ethicon Llc | Sistemas de engrapado quirurgico. |
| 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 |
| US10568625B2 (en) | 2016-12-21 | 2020-02-25 | Ethicon Llc | Staple cartridges and arrangements of staples and staple cavities therein |
| US11134942B2 (en) | 2016-12-21 | 2021-10-05 | Cilag Gmbh International | Surgical stapling instruments and staple-forming anvils |
| 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 |
| US20180168625A1 (en) | 2016-12-21 | 2018-06-21 | Ethicon Endo-Surgery, Llc | Surgical stapling instruments with smart staple cartridges |
| US10603036B2 (en) | 2016-12-21 | 2020-03-31 | Ethicon Llc | Articulatable surgical instrument with independent pivotable linkage distal of an articulation lock |
| US10426471B2 (en) | 2016-12-21 | 2019-10-01 | Ethicon Llc | Surgical instrument with multiple failure response modes |
| JP7010956B2 (ja) | 2016-12-21 | 2022-01-26 | エシコン エルエルシー | 組織をステープル留めする方法 |
| US10537324B2 (en) | 2016-12-21 | 2020-01-21 | Ethicon Llc | Stepped staple cartridge with asymmetrical staples |
| US10945727B2 (en) | 2016-12-21 | 2021-03-16 | Ethicon Llc | Staple cartridge with deformable driver retention features |
| 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 |
| US10687810B2 (en) | 2016-12-21 | 2020-06-23 | Ethicon Llc | Stepped staple cartridge with tissue retention and gap setting features |
| US10682138B2 (en) | 2016-12-21 | 2020-06-16 | Ethicon Llc | Bilaterally asymmetric staple forming pocket pairs |
| US10588630B2 (en) | 2016-12-21 | 2020-03-17 | Ethicon Llc | Surgical tool assemblies with closure stroke reduction features |
| 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 |
| US10568624B2 (en) | 2016-12-21 | 2020-02-25 | Ethicon Llc | Surgical instruments with jaws that are pivotable about a fixed axis and include separate and distinct closure and firing systems |
| JP6983893B2 (ja) | 2016-12-21 | 2021-12-17 | エシコン エルエルシーEthicon LLC | 外科用エンドエフェクタ及び交換式ツールアセンブリのためのロックアウト構成 |
| US10758229B2 (en) | 2016-12-21 | 2020-09-01 | Ethicon Llc | Surgical instrument comprising improved jaw control |
| 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 |
| US10639035B2 (en) | 2016-12-21 | 2020-05-05 | Ethicon Llc | Surgical stapling instruments and replaceable tool assemblies thereof |
| 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 |
| US10624633B2 (en) | 2017-06-20 | 2020-04-21 | Ethicon Llc | Systems and methods for controlling motor velocity of a surgical stapling and cutting instrument |
| 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 |
| USD879809S1 (en) | 2017-06-20 | 2020-03-31 | Ethicon Llc | Display panel with changeable graphical user interface |
| 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 |
| 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 |
| USD890784S1 (en) | 2017-06-20 | 2020-07-21 | Ethicon Llc | Display panel with changeable graphical user interface |
| 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 |
| US10368864B2 (en) | 2017-06-20 | 2019-08-06 | Ethicon Llc | Systems and methods for controlling displaying motor velocity for a surgical instrument |
| US10646220B2 (en) | 2017-06-20 | 2020-05-12 | Ethicon Llc | Systems and methods for controlling displacement member velocity for a surgical instrument |
| USD879808S1 (en) | 2017-06-20 | 2020-03-31 | Ethicon Llc | Display panel with graphical user interface |
| 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 |
| US10881396B2 (en) | 2017-06-20 | 2021-01-05 | Ethicon Llc | Surgical instrument with variable duration trigger arrangement |
| 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 |
| 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 |
| US12490980B2 (en) | 2017-06-20 | 2025-12-09 | Cilag Gmbh International | Surgical instrument having controllable articulation velocity |
| 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 |
| 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 |
| 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 |
| US11653914B2 (en) | 2017-06-20 | 2023-05-23 | Cilag Gmbh International | Systems and methods for controlling motor velocity of a surgical stapling and cutting instrument according to articulation angle of end effector |
| US10881399B2 (en) | 2017-06-20 | 2021-01-05 | Ethicon Llc | Techniques for adaptive control of motor velocity of a surgical stapling and cutting instrument |
| US11324503B2 (en) | 2017-06-27 | 2022-05-10 | Cilag Gmbh International | Surgical firing member arrangements |
| US11266405B2 (en) | 2017-06-27 | 2022-03-08 | Cilag Gmbh International | Surgical anvil manufacturing methods |
| US10772629B2 (en) | 2017-06-27 | 2020-09-15 | Ethicon Llc | Surgical anvil arrangements |
| US10993716B2 (en) | 2017-06-27 | 2021-05-04 | Ethicon Llc | Surgical anvil arrangements |
| 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 |
| US10903685B2 (en) | 2017-06-28 | 2021-01-26 | Ethicon Llc | Surgical shaft assemblies with slip ring assemblies forming capacitive channels |
| USD906355S1 (en) | 2017-06-28 | 2020-12-29 | Ethicon Llc | Display screen or portion thereof with a graphical user interface for a surgical instrument |
| US11484310B2 (en) | 2017-06-28 | 2022-11-01 | Cilag Gmbh International | Surgical instrument comprising a shaft including a closure tube profile |
| BR112019027065B1 (pt) | 2017-06-28 | 2023-12-26 | Ethicon Llc | Instrumento cirúrgico e sistema cirúrgico |
| USD854151S1 (en) | 2017-06-28 | 2019-07-16 | Ethicon Llc | Surgical instrument shaft |
| US10211586B2 (en) | 2017-06-28 | 2019-02-19 | Ethicon Llc | Surgical shaft assemblies with watertight housings |
| US10716614B2 (en) | 2017-06-28 | 2020-07-21 | Ethicon Llc | Surgical shaft assemblies with slip ring assemblies with increased contact pressure |
| USD869655S1 (en) | 2017-06-28 | 2019-12-10 | Ethicon Llc | Surgical fastener cartridge |
| USD851762S1 (en) | 2017-06-28 | 2019-06-18 | Ethicon Llc | Anvil |
| US11246592B2 (en) | 2017-06-28 | 2022-02-15 | Cilag Gmbh International | Surgical instrument comprising an articulation system lockable to a frame |
| US10765427B2 (en) | 2017-06-28 | 2020-09-08 | Ethicon Llc | Method for articulating a surgical instrument |
| US20190000459A1 (en) | 2017-06-28 | 2019-01-03 | Ethicon Llc | Surgical instruments with jaws constrained to pivot about an axis upon contact with a closure member that is parked in close proximity to the pivot axis |
| US11259805B2 (en) | 2017-06-28 | 2022-03-01 | Cilag Gmbh International | Surgical instrument comprising firing member supports |
| EP3420947B1 (en) | 2017-06-28 | 2022-05-25 | Cilag GmbH International | Surgical instrument comprising selectively actuatable rotatable couplers |
| US11564686B2 (en) | 2017-06-28 | 2023-01-31 | Cilag Gmbh International | Surgical shaft assemblies with flexible interfaces |
| 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 |
| US10258418B2 (en) | 2017-06-29 | 2019-04-16 | Ethicon Llc | System for controlling articulation forces |
| 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 |
| US11944300B2 (en) | 2017-08-03 | 2024-04-02 | Cilag Gmbh International | Method for operating a 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 |
| US11471155B2 (en) | 2017-08-03 | 2022-10-18 | Cilag Gmbh International | Surgical system bailout |
| US10796471B2 (en) | 2017-09-29 | 2020-10-06 | Ethicon Llc | Systems and methods of displaying a knife position for a surgical instrument |
| USD907647S1 (en) | 2017-09-29 | 2021-01-12 | Ethicon Llc | Display screen or portion thereof with animated graphical user interface |
| USD907648S1 (en) | 2017-09-29 | 2021-01-12 | Ethicon Llc | Display screen or portion thereof with animated graphical user interface |
| US10729501B2 (en) | 2017-09-29 | 2020-08-04 | Ethicon Llc | Systems and methods for language selection of a surgical instrument |
| US11399829B2 (en) | 2017-09-29 | 2022-08-02 | Cilag Gmbh International | Systems and methods of initiating a power shutdown mode for a surgical instrument |
| US10743872B2 (en) | 2017-09-29 | 2020-08-18 | Ethicon Llc | System and methods for controlling a display of a surgical instrument |
| USD917500S1 (en) | 2017-09-29 | 2021-04-27 | Ethicon Llc | Display screen or portion thereof with graphical user interface |
| US10765429B2 (en) | 2017-09-29 | 2020-09-08 | Ethicon Llc | Systems and methods for providing alerts according to the operational state of a surgical instrument |
| 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 |
| US10687813B2 (en) | 2017-12-15 | 2020-06-23 | Ethicon Llc | Adapters with firing stroke sensing arrangements for use in connection with electromechanical surgical instruments |
| US11033267B2 (en) | 2017-12-15 | 2021-06-15 | Ethicon Llc | Systems and methods of controlling a clamping member firing rate of a surgical instrument |
| 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 |
| US10779826B2 (en) | 2017-12-15 | 2020-09-22 | Ethicon Llc | Methods of operating surgical end effectors |
| US11006955B2 (en) | 2017-12-15 | 2021-05-18 | Ethicon Llc | End effectors with positive jaw opening features for use with adapters for electromechanical surgical instruments |
| US10743874B2 (en) | 2017-12-15 | 2020-08-18 | Ethicon Llc | Sealed adapters for use with electromechanical surgical instruments |
| 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 |
| 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 |
| 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 |
| US11071543B2 (en) | 2017-12-15 | 2021-07-27 | Cilag Gmbh International | Surgical end effectors with clamping assemblies configured to increase jaw aperture ranges |
| US10869666B2 (en) | 2017-12-15 | 2020-12-22 | Ethicon Llc | Adapters with control systems for controlling multiple motors of an electromechanical surgical instrument |
| US11020112B2 (en) | 2017-12-19 | 2021-06-01 | Ethicon Llc | Surgical tools configured for interchangeable use with different controller interfaces |
| US10716565B2 (en) | 2017-12-19 | 2020-07-21 | Ethicon Llc | Surgical instruments with dual articulation drivers |
| US11045270B2 (en) | 2017-12-19 | 2021-06-29 | Cilag Gmbh International | Robotic attachment comprising exterior drive actuator |
| USD910847S1 (en) | 2017-12-19 | 2021-02-16 | Ethicon Llc | Surgical instrument assembly |
| US10729509B2 (en) | 2017-12-19 | 2020-08-04 | Ethicon Llc | Surgical instrument comprising closure and firing locking mechanism |
| 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 |
| US12336705B2 (en) | 2017-12-21 | 2025-06-24 | Cilag Gmbh International | Continuous use self-propelled stapling instrument |
| US11311290B2 (en) | 2017-12-21 | 2022-04-26 | Cilag Gmbh International | Surgical instrument comprising an end effector dampener |
| 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 |
| US11364027B2 (en) | 2017-12-21 | 2022-06-21 | Cilag Gmbh International | Surgical instrument comprising speed control |
| US20200054321A1 (en) | 2018-08-20 | 2020-02-20 | Ethicon Llc | Surgical instruments with progressive jaw closure 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 |
| USD914878S1 (en) | 2018-08-20 | 2021-03-30 | Ethicon Llc | Surgical instrument anvil |
| US10779821B2 (en) | 2018-08-20 | 2020-09-22 | Ethicon Llc | Surgical stapler anvils with tissue stop features configured to avoid tissue pinch |
| US11045192B2 (en) | 2018-08-20 | 2021-06-29 | Cilag Gmbh International | Fabricating techniques for surgical stapler anvils |
| US10856870B2 (en) | 2018-08-20 | 2020-12-08 | Ethicon Llc | Switching arrangements for motor powered articulatable surgical instruments |
| US11207065B2 (en) | 2018-08-20 | 2021-12-28 | Cilag Gmbh International | Method for fabricating surgical stapler anvils |
| US11039834B2 (en) | 2018-08-20 | 2021-06-22 | Cilag Gmbh International | Surgical stapler anvils with staple directing protrusions and tissue stability features |
| US10912559B2 (en) | 2018-08-20 | 2021-02-09 | Ethicon Llc | Reinforced deformable anvil tip for surgical stapler 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 |
| US11324501B2 (en) | 2018-08-20 | 2022-05-10 | Cilag Gmbh International | Surgical stapling devices with improved closure members |
| 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 |
| 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 |
| US11147553B2 (en) | 2019-03-25 | 2021-10-19 | Cilag Gmbh International | Firing drive arrangements for surgical systems |
| US11471157B2 (en) | 2019-04-30 | 2022-10-18 | Cilag Gmbh International | Articulation control mapping for a surgical instrument |
| US11426251B2 (en) | 2019-04-30 | 2022-08-30 | Cilag Gmbh International | Articulation directional lights on a surgical instrument |
| US11648009B2 (en) | 2019-04-30 | 2023-05-16 | Cilag Gmbh International | Rotatable jaw tip for a surgical instrument |
| US11452528B2 (en) | 2019-04-30 | 2022-09-27 | Cilag Gmbh International | Articulation actuators for a surgical instrument |
| US11432816B2 (en) | 2019-04-30 | 2022-09-06 | Cilag Gmbh International | Articulation pin for a surgical instrument |
| US11903581B2 (en) | 2019-04-30 | 2024-02-20 | Cilag Gmbh International | Methods for stapling tissue using a surgical instrument |
| US11253254B2 (en) | 2019-04-30 | 2022-02-22 | Cilag Gmbh International | Shaft rotation actuator on a surgical instrument |
| US11660163B2 (en) | 2019-06-28 | 2023-05-30 | Cilag Gmbh International | Surgical system with RFID tags for updating motor assembly parameters |
| US12004740B2 (en) | 2019-06-28 | 2024-06-11 | Cilag Gmbh International | Surgical stapling system having an information decryption protocol |
| US11497492B2 (en) | 2019-06-28 | 2022-11-15 | Cilag Gmbh International | Surgical instrument including an articulation lock |
| US11376098B2 (en) | 2019-06-28 | 2022-07-05 | Cilag Gmbh International | Surgical instrument system comprising an RFID system |
| US11464601B2 (en) | 2019-06-28 | 2022-10-11 | Cilag Gmbh International | Surgical instrument comprising an RFID system for tracking a movable component |
| US11478241B2 (en) | 2019-06-28 | 2022-10-25 | Cilag Gmbh International | Staple cartridge including projections |
| US11627959B2 (en) | 2019-06-28 | 2023-04-18 | Cilag Gmbh International | Surgical instruments including manual and powered system lockouts |
| US11224497B2 (en) | 2019-06-28 | 2022-01-18 | Cilag Gmbh International | Surgical systems with multiple RFID tags |
| US11298132B2 (en) | 2019-06-28 | 2022-04-12 | Cilag GmbH Inlernational | Staple cartridge including a honeycomb extension |
| US11426167B2 (en) | 2019-06-28 | 2022-08-30 | Cilag Gmbh International | Mechanisms for proper anvil attachment surgical stapling head assembly |
| US11219455B2 (en) | 2019-06-28 | 2022-01-11 | Cilag Gmbh International | Surgical instrument including a lockout key |
| US11259803B2 (en) | 2019-06-28 | 2022-03-01 | Cilag Gmbh International | Surgical stapling system having an information encryption protocol |
| US11684434B2 (en) | 2019-06-28 | 2023-06-27 | Cilag Gmbh International | Surgical RFID assemblies for instrument operational setting control |
| US11771419B2 (en) | 2019-06-28 | 2023-10-03 | Cilag Gmbh International | Packaging for a replaceable component of a surgical stapling system |
| US11291451B2 (en) | 2019-06-28 | 2022-04-05 | Cilag Gmbh International | Surgical instrument with battery compatibility verification functionality |
| US11350938B2 (en) | 2019-06-28 | 2022-06-07 | Cilag Gmbh International | Surgical instrument comprising an aligned rfid sensor |
| US11051807B2 (en) | 2019-06-28 | 2021-07-06 | Cilag Gmbh International | Packaging assembly including a particulate trap |
| US11246678B2 (en) | 2019-06-28 | 2022-02-15 | Cilag Gmbh International | Surgical stapling system having a frangible RFID tag |
| US11553971B2 (en) | 2019-06-28 | 2023-01-17 | Cilag Gmbh International | Surgical RFID assemblies for display and communication |
| US11638587B2 (en) | 2019-06-28 | 2023-05-02 | Cilag Gmbh International | RFID identification systems for surgical instruments |
| US11523822B2 (en) | 2019-06-28 | 2022-12-13 | Cilag Gmbh International | Battery pack including a circuit interrupter |
| US11298127B2 (en) | 2019-06-28 | 2022-04-12 | Cilag GmbH Interational | Surgical stapling system having a lockout mechanism for an incompatible cartridge |
| US11399837B2 (en) | 2019-06-28 | 2022-08-02 | Cilag Gmbh International | Mechanisms for motor control adjustments of a motorized surgical instrument |
| US11701111B2 (en) | 2019-12-19 | 2023-07-18 | Cilag Gmbh International | Method for operating a surgical stapling instrument |
| US11464512B2 (en) | 2019-12-19 | 2022-10-11 | Cilag Gmbh International | Staple cartridge comprising a curved deck surface |
| US11529137B2 (en) | 2019-12-19 | 2022-12-20 | Cilag Gmbh International | Staple cartridge comprising driver retention members |
| 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 |
| US11844520B2 (en) | 2019-12-19 | 2023-12-19 | Cilag Gmbh International | Staple cartridge comprising driver retention members |
| US11911032B2 (en) | 2019-12-19 | 2024-02-27 | Cilag Gmbh International | Staple cartridge comprising a seating cam |
| US11234698B2 (en) | 2019-12-19 | 2022-02-01 | Cilag Gmbh International | Stapling system comprising a clamp lockout and a firing lockout |
| US11529139B2 (en) | 2019-12-19 | 2022-12-20 | Cilag Gmbh International | Motor driven surgical instrument |
| US11291447B2 (en) | 2019-12-19 | 2022-04-05 | Cilag Gmbh International | Stapling instrument comprising independent jaw closing and staple firing systems |
| US11607219B2 (en) | 2019-12-19 | 2023-03-21 | Cilag Gmbh International | Staple cartridge comprising a detachable tissue cutting knife |
| US11446029B2 (en) | 2019-12-19 | 2022-09-20 | Cilag Gmbh International | Staple cartridge comprising projections extending from a curved deck surface |
| US11559304B2 (en) | 2019-12-19 | 2023-01-24 | Cilag Gmbh International | Surgical instrument comprising a rapid closure mechanism |
| US11504122B2 (en) | 2019-12-19 | 2022-11-22 | Cilag Gmbh International | Surgical instrument comprising a nested firing member |
| US12035913B2 (en) | 2019-12-19 | 2024-07-16 | Cilag Gmbh International | Staple cartridge comprising a deployable knife |
| US11304696B2 (en) | 2019-12-19 | 2022-04-19 | Cilag Gmbh International | Surgical instrument comprising a powered articulation system |
| USD974560S1 (en) | 2020-06-02 | 2023-01-03 | Cilag Gmbh International | Staple cartridge |
| USD975278S1 (en) | 2020-06-02 | 2023-01-10 | Cilag Gmbh International | Staple cartridge |
| USD976401S1 (en) | 2020-06-02 | 2023-01-24 | Cilag Gmbh International | Staple cartridge |
| USD975850S1 (en) | 2020-06-02 | 2023-01-17 | Cilag Gmbh International | Staple cartridge |
| USD966512S1 (en) | 2020-06-02 | 2022-10-11 | Cilag Gmbh International | Staple cartridge |
| USD967421S1 (en) | 2020-06-02 | 2022-10-18 | Cilag Gmbh International | Staple cartridge |
| USD975851S1 (en) | 2020-06-02 | 2023-01-17 | Cilag Gmbh International | Staple cartridge |
| US12220126B2 (en) | 2020-07-28 | 2025-02-11 | Cilag Gmbh International | Surgical instruments with double pivot articulation joint arrangements |
| CA3193137A1 (en) * | 2020-09-09 | 2022-03-17 | Boston Scientific Scimed, Inc. | Agent delivery devices |
| US11452526B2 (en) | 2020-10-29 | 2022-09-27 | Cilag Gmbh International | Surgical instrument comprising a staged voltage regulation start-up system |
| US11617577B2 (en) | 2020-10-29 | 2023-04-04 | Cilag Gmbh International | Surgical instrument comprising a sensor configured to sense whether an articulation drive of the surgical instrument is actuatable |
| US11534259B2 (en) | 2020-10-29 | 2022-12-27 | Cilag Gmbh International | Surgical instrument comprising an articulation indicator |
| US11844518B2 (en) | 2020-10-29 | 2023-12-19 | Cilag Gmbh International | Method for operating a surgical instrument |
| US11896217B2 (en) | 2020-10-29 | 2024-02-13 | Cilag Gmbh International | Surgical instrument comprising an articulation lock |
| US11931025B2 (en) | 2020-10-29 | 2024-03-19 | Cilag Gmbh International | Surgical instrument comprising a releasable closure drive lock |
| US11717289B2 (en) | 2020-10-29 | 2023-08-08 | Cilag Gmbh International | Surgical instrument comprising an indicator which indicates that an articulation drive is actuatable |
| US11779330B2 (en) | 2020-10-29 | 2023-10-10 | Cilag Gmbh International | Surgical instrument comprising a jaw alignment system |
| US12053175B2 (en) | 2020-10-29 | 2024-08-06 | Cilag Gmbh International | Surgical instrument comprising a stowed closure actuator stop |
| 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 |
| US11653920B2 (en) | 2020-12-02 | 2023-05-23 | Cilag Gmbh International | Powered surgical instruments with communication interfaces through sterile barrier |
| US11849943B2 (en) | 2020-12-02 | 2023-12-26 | Cilag Gmbh International | Surgical instrument with cartridge release mechanisms |
| 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 |
| US12471982B2 (en) | 2020-12-02 | 2025-11-18 | Cilag Gmbh International | Method for tissue treatment by surgical instrument |
| 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 |
| US11627960B2 (en) | 2020-12-02 | 2023-04-18 | Cilag Gmbh International | Powered surgical instruments with smart reload with separately attachable exteriorly mounted wiring connections |
| 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 |
| US11696757B2 (en) | 2021-02-26 | 2023-07-11 | Cilag Gmbh International | Monitoring of internal systems to detect and track cartridge motion status |
| US11925349B2 (en) | 2021-02-26 | 2024-03-12 | Cilag Gmbh International | Adjustment to transfer parameters to improve available power |
| US11751869B2 (en) | 2021-02-26 | 2023-09-12 | Cilag Gmbh International | Monitoring of multiple sensors over time to detect moving characteristics of tissue |
| US11793514B2 (en) | 2021-02-26 | 2023-10-24 | Cilag Gmbh International | Staple cartridge comprising sensor array which may be embedded in cartridge body |
| US12324580B2 (en) | 2021-02-26 | 2025-06-10 | Cilag Gmbh International | Method of powering and communicating with a staple cartridge |
| US11749877B2 (en) | 2021-02-26 | 2023-09-05 | Cilag Gmbh International | Stapling instrument comprising a signal antenna |
| US11701113B2 (en) | 2021-02-26 | 2023-07-18 | Cilag Gmbh International | Stapling instrument comprising a separate power antenna and a data transfer antenna |
| US11812964B2 (en) | 2021-02-26 | 2023-11-14 | Cilag Gmbh International | Staple cartridge comprising a power management circuit |
| US12108951B2 (en) | 2021-02-26 | 2024-10-08 | Cilag Gmbh International | Staple cartridge comprising a sensing array and a temperature control system |
| US11723657B2 (en) | 2021-02-26 | 2023-08-15 | Cilag Gmbh International | Adjustable communication based on available bandwidth and power capacity |
| US11950777B2 (en) | 2021-02-26 | 2024-04-09 | Cilag Gmbh International | Staple cartridge comprising an information access control system |
| US11744583B2 (en) | 2021-02-26 | 2023-09-05 | Cilag Gmbh International | Distal communication array to tune frequency of RF systems |
| US11980362B2 (en) | 2021-02-26 | 2024-05-14 | Cilag Gmbh International | Surgical instrument system comprising a power transfer coil |
| US11950779B2 (en) | 2021-02-26 | 2024-04-09 | Cilag Gmbh International | Method of powering and communicating with a staple cartridge |
| US11730473B2 (en) | 2021-02-26 | 2023-08-22 | Cilag Gmbh International | Monitoring of manufacturing life-cycle |
| US11717291B2 (en) | 2021-03-22 | 2023-08-08 | Cilag Gmbh International | Staple cartridge comprising staples configured to apply different tissue compression |
| US11826012B2 (en) | 2021-03-22 | 2023-11-28 | Cilag Gmbh International | Stapling instrument comprising a pulsed motor-driven firing rack |
| US11759202B2 (en) | 2021-03-22 | 2023-09-19 | Cilag Gmbh International | Staple cartridge comprising an implantable layer |
| US11737749B2 (en) | 2021-03-22 | 2023-08-29 | Cilag Gmbh International | Surgical stapling instrument comprising a retraction system |
| US11806011B2 (en) | 2021-03-22 | 2023-11-07 | Cilag Gmbh International | Stapling instrument comprising tissue compression systems |
| US11826042B2 (en) | 2021-03-22 | 2023-11-28 | Cilag Gmbh International | Surgical instrument comprising a firing drive including a selectable leverage mechanism |
| US11723658B2 (en) | 2021-03-22 | 2023-08-15 | Cilag Gmbh International | Staple cartridge comprising a firing lockout |
| 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 |
| US11857183B2 (en) | 2021-03-24 | 2024-01-02 | Cilag Gmbh International | Stapling assembly components having metal substrates and plastic bodies |
| US11744603B2 (en) | 2021-03-24 | 2023-09-05 | Cilag Gmbh International | Multi-axis pivot joints for surgical instruments and methods for manufacturing same |
| US11903582B2 (en) | 2021-03-24 | 2024-02-20 | Cilag Gmbh International | Leveraging surfaces for cartridge installation |
| US11832816B2 (en) | 2021-03-24 | 2023-12-05 | Cilag Gmbh International | Surgical stapling assembly comprising nonplanar staples and planar staples |
| US11896219B2 (en) | 2021-03-24 | 2024-02-13 | Cilag Gmbh International | Mating features between drivers and underside of a cartridge deck |
| US11849945B2 (en) | 2021-03-24 | 2023-12-26 | Cilag Gmbh International | Rotary-driven surgical stapling assembly comprising eccentrically driven firing member |
| US11786239B2 (en) | 2021-03-24 | 2023-10-17 | Cilag Gmbh International | Surgical instrument articulation joint arrangements comprising multiple moving linkage features |
| US11793516B2 (en) | 2021-03-24 | 2023-10-24 | Cilag Gmbh International | Surgical staple cartridge comprising longitudinal support beam |
| 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 |
| US11849944B2 (en) | 2021-03-24 | 2023-12-26 | Cilag Gmbh International | Drivers for fastener cartridge assemblies having rotary drive screws |
| US11896218B2 (en) | 2021-03-24 | 2024-02-13 | Cilag Gmbh International | Method of using a powered stapling device |
| US12102323B2 (en) | 2021-03-24 | 2024-10-01 | Cilag Gmbh International | Rotary-driven surgical stapling assembly comprising a floatable component |
| US20220378425A1 (en) | 2021-05-28 | 2022-12-01 | Cilag Gmbh International | Stapling instrument comprising a control system that controls a firing stroke length |
| US11877745B2 (en) | 2021-10-18 | 2024-01-23 | Cilag Gmbh International | Surgical stapling assembly having longitudinally-repeating staple leg clusters |
| US11980363B2 (en) | 2021-10-18 | 2024-05-14 | Cilag Gmbh International | Row-to-row staple array variations |
| US12279845B2 (en) | 2021-10-18 | 2025-04-22 | Cilag Gmbh International | Cable-driven actuation system for robotic surgical tool attachment |
| 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 |
| US12251105B2 (en) | 2021-10-20 | 2025-03-18 | Cilag Gmbh International | Lockout arrangements for surgical instruments |
| 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 |
| 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 |
Family Cites Families (65)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US1920721A (en) * | 1930-03-24 | 1933-08-01 | Leslie L Tirrell | Spraying device |
| US1948388A (en) | 1932-07-11 | 1934-02-20 | Liberson Frank | Automatic displacement syringe |
| US2112160A (en) | 1933-04-04 | 1938-03-22 | Kenneth Fredericks | Method of and apparatus for effecting medicinal treatment |
| US3223083A (en) | 1960-09-09 | 1965-12-14 | President And Directors Of Geo | Method for adhesively securing together skin and other soft tissue and bone |
| BE639762A (es) | 1962-11-16 | |||
| US3467096A (en) | 1966-04-12 | 1969-09-16 | Ferrell S Horn | Multiple hypodermic syringe arrangement |
| GB1285747A (en) | 1968-12-17 | 1972-08-16 | Asahi Chemical Ind | Glass fibre-reinforced polystyrene compositions and their manufacture |
| US3738535A (en) * | 1970-10-26 | 1973-06-12 | A Nicholls | Mixing and proportioning syringe |
| US3767085A (en) | 1971-08-02 | 1973-10-23 | J Cannon | Mixing syringe |
| US4040420A (en) | 1976-04-22 | 1977-08-09 | General Dynamics | Packaging and dispensing kit |
| US4121739A (en) | 1977-04-20 | 1978-10-24 | Illinois Tool Works Inc. | Dispenser with unitary plunger and seal construction |
| FR2399861A1 (fr) | 1977-08-12 | 1979-03-09 | Viellard Paul Henri | Dispositif pour melanger puis utiliser des matieres fluides livrees a l'usager dans des emballages separes |
| US4226235A (en) | 1979-01-25 | 1980-10-07 | Survival Technology, Inc. | Plural injecting device |
| DE7925536U1 (de) * | 1979-09-08 | 1980-03-06 | Beyer & Otto | Dichtungspistole |
| US4260077A (en) | 1979-10-04 | 1981-04-07 | Aelco Corporation | Dual separable dispenser |
| AT366916B (de) | 1980-04-02 | 1982-05-25 | Immuno Ag | Vorrichtung zur applikation eines gewebeklebstoffes auf basis von menschlichen oder tierischenproteinen |
| EP0082251B1 (de) | 1981-12-22 | 1987-08-05 | Contraves Ag | Injektionsspritze für zwei Flüssigkeiten |
| AT379311B (de) | 1984-03-29 | 1985-12-27 | Immuno Ag | Vorrichtung zur applikation eines gewebeklebstoffes |
| US4594073A (en) | 1984-10-31 | 1986-06-10 | Stine Charles R | Aspiration syringe holder |
| EP0189900B1 (en) | 1985-01-29 | 1989-04-05 | Fuji Photo Film Co., Ltd. | Duplex pipette |
| NZ215574A (en) | 1985-03-26 | 1988-01-08 | Phillips Pty Ltd N J | Multiple pump liquid dispenser: variable stroke for each pump |
| AT382783B (de) | 1985-06-20 | 1987-04-10 | Immuno Ag | Vorrichtung zur applikation eines gewebeklebstoffes |
| DE3534215A1 (de) | 1985-09-25 | 1987-03-26 | Henke Sass Wolf Gmbh | Injektions-spritzpistole mit einstellbarer druckbegrenzung |
| DE3614515A1 (de) | 1986-04-29 | 1987-11-05 | Pfeiffer Erich Gmbh & Co Kg | Austragvorrichtung fuer medien |
| US4978336A (en) | 1987-09-29 | 1990-12-18 | Hemaedics, Inc. | Biological syringe system |
| US4874368A (en) | 1988-07-25 | 1989-10-17 | Micromedics, Inc. | Fibrin glue delivery system |
| US4902281A (en) | 1988-08-16 | 1990-02-20 | Corus Medical Corporation | Fibrinogen dispensing kit |
| US5226877A (en) | 1989-06-23 | 1993-07-13 | Epstein Gordon H | Method and apparatus for preparing fibrinogen adhesive from whole blood |
| US5116315A (en) | 1989-10-03 | 1992-05-26 | Hemaedics, Inc. | Biological syringe system |
| US4979942A (en) | 1989-10-16 | 1990-12-25 | Johnson & Johnson Medical, Inc. | Two component syringe delivery system |
| US5228883A (en) | 1991-05-02 | 1993-07-20 | Eli Lilly And Company | Portable drug delivery system |
| DK166691D0 (da) | 1991-09-30 | 1991-09-30 | Unes As | Flerkomponentsproejte |
| US5368563A (en) | 1991-12-18 | 1994-11-29 | Micromedics, Inc. | Sprayer assembly for physiologic glue |
| US5289949A (en) | 1992-06-22 | 1994-03-01 | Chesebrough-Pond's Usa Co., Division Of Conopco, Inc. | Multi-cavity dispensing refill cartridge |
| DE4223356A1 (de) | 1992-07-16 | 1994-01-20 | Octapharma Ag Glarus | Vorrichtung zur Applikation von Mehrkomponentenprodukten |
| CA2124320C (en) | 1992-09-26 | 2007-02-06 | Nobuto Fukunaga | Applicator for applying a biocompatible adhesive |
| DK145792D0 (da) | 1992-12-03 | 1992-12-03 | Dumex Ltd As | Vaeskedispenseringsapparat |
| US5335827A (en) | 1992-12-22 | 1994-08-09 | Chesebrough-Pond's Usa Co., A Division Of Conopco, Inc. | Multi-cavity dispensing refill cartridge |
| US5332124A (en) | 1993-05-17 | 1994-07-26 | Chesebrough-Pond's, Usa Co., A Division Of Conopco, Inc. | Multi-cavity dispensing refill cartridge |
| US5290259A (en) | 1993-02-18 | 1994-03-01 | Ultradent Products, Inc. | Double syringe delivery system |
| ZA941881B (en) | 1993-04-02 | 1995-09-18 | Lilly Co Eli | Manifold medication injection apparatus and method |
| US5665066A (en) | 1993-09-03 | 1997-09-09 | Ultradent Products, Inc. | Methods and apparatus for mixing and dispensing multi-part compositions |
| AT400675B (de) | 1993-10-18 | 1996-02-26 | Immuno Ag | Spritzengarnitur zur aufbewahrung und applikation eines mehrkomponentenmaterials, spritzenvorrichtung und betätigungseinrichtung hiefür sowie verfahren zum herstellen einer befüllten, sterilen spritzenvorrichtung |
| US5409465A (en) | 1994-02-07 | 1995-04-25 | Boggs; Michael S. | Impression syringe |
| AT400304B (de) | 1994-02-28 | 1995-12-27 | Immuno Ag | Vorrichtung zur applikation eines mehrkomponenten-gewebeklebstoffes |
| EP0815802A3 (en) | 1994-02-28 | 1998-01-14 | Minnesota Mining And Manufacturing Company | Dual chamber cartridge dispensing system for dental material |
| US5474540A (en) | 1994-03-25 | 1995-12-12 | Micromedics, Inc. | Fluid separation control attachment for physiologic glue applicator |
| AT421U1 (de) | 1994-07-05 | 1995-10-25 | Immuno Ag | Adapterhuelse und katheter-set mit einer solchen adapterhuelse |
| ES2132763T3 (es) | 1994-12-28 | 1999-08-16 | Omrix Biopharm Sa | Dispositivo para aplicar uno o varios fluidos. |
| EP0738498A1 (en) | 1995-04-18 | 1996-10-23 | Machida Endoscope Co., Ltd | Surgical adhesive sprayer |
| WO1996039212A2 (en) | 1995-06-06 | 1996-12-12 | Quantic Biomedical Partners | Wound sealant preparation and application device and method |
| CA2220927C (en) | 1996-03-15 | 2008-04-22 | Juridical Foundation The Chemo-Sero-Therapeutic Research Institute | Tissue adhesive suitable for spray application |
| WO1998002098A1 (en) | 1996-07-12 | 1998-01-22 | Baxter International Inc. | A fibrin delivery device and method for forming fibrin on a surface |
| US5848750A (en) * | 1996-08-21 | 1998-12-15 | Envirocare International, Inc. | Atomizing nozzle |
| JP3727950B2 (ja) | 1996-09-10 | 2005-12-21 | オーリクス ビオファーマソティカル エス.アー. | 多成分流体を供給するアプリケータ装置 |
| DE19636622C1 (de) | 1996-09-10 | 1998-06-10 | Omrix Biopharm Sa | Auftragvorrichtung zum Auftragen eines Mehrkomponenten-Gewebeklebstoffs und Halterung für eine solche Auftragvorrichtung |
| AT406452B (de) | 1996-09-19 | 2000-05-25 | Soraton Sa | Handbetätigtes werkzeug |
| US5759171A (en) | 1996-09-27 | 1998-06-02 | Thermogenesis Corp. | Sprayer for fibrin glue |
| EP0858776A3 (en) | 1997-02-14 | 2000-01-12 | Tricardia, L.L.C. | Hemostatic agent delivery device having built-in pressure sensor |
| WO1998040115A1 (de) | 1997-03-10 | 1998-09-17 | Disetronic Licensing Ag | Gerät zur abgabe von flüssigkeiten |
| DE19709896C1 (de) | 1997-03-11 | 1998-12-24 | Omrix Biopharm Sa | Applikator zum Auftragen eines Ein- oder Mehrkomponenten-Fluids und Verfahren zum Aufsprühen eines derartigen Fluids |
| EP1047464B8 (en) * | 1997-12-19 | 2007-11-21 | United States Surgical Corporation | Two component dispenser system |
| EP0956906A3 (en) * | 1998-03-25 | 2000-11-08 | Shinyou Technolozies Inc. | Fluid mixing-jetting apparatus, fluid mixer and snowmaker |
| ATA49899A (de) * | 1999-03-19 | 2002-06-15 | Immuno Ag | Verfahren und vorrichtung zum mischen von komponenten |
| AU2002238143B2 (en) | 2001-02-27 | 2006-06-01 | Covidien Lp | External mixer assembly |
-
2002
- 2002-02-27 AU AU2002238143A patent/AU2002238143B2/en not_active Ceased
- 2002-02-27 WO PCT/US2002/006142 patent/WO2002067785A2/en not_active Ceased
- 2002-02-27 EP EP09164775A patent/EP2105096A1/en not_active Withdrawn
- 2002-02-27 CA CA2766682A patent/CA2766682A1/en not_active Abandoned
- 2002-02-27 US US10/085,150 patent/US7018357B2/en not_active Expired - Fee Related
- 2002-02-27 ES ES08002355T patent/ES2328087T3/es not_active Expired - Lifetime
- 2002-02-27 CA CA2438858A patent/CA2438858C/en not_active Expired - Fee Related
- 2002-02-27 ES ES02704461T patent/ES2296895T3/es not_active Expired - Lifetime
- 2002-02-27 EP EP02704461A patent/EP1372488B1/en not_active Expired - Lifetime
- 2002-02-27 DE DE60224990T patent/DE60224990T2/de not_active Expired - Lifetime
- 2002-02-27 DE DE60232926T patent/DE60232926D1/de not_active Expired - Lifetime
Also Published As
| Publication number | Publication date |
|---|---|
| DE60232926D1 (de) | 2009-08-20 |
| CA2766682A1 (en) | 2002-09-06 |
| US7018357B2 (en) | 2006-03-28 |
| DE60224990T2 (de) | 2009-02-05 |
| EP1372488B1 (en) | 2008-02-13 |
| CA2438858A1 (en) | 2002-09-06 |
| EP2105096A1 (en) | 2009-09-30 |
| ES2296895T3 (es) | 2008-05-01 |
| WO2002067785A3 (en) | 2003-01-09 |
| US20020179641A1 (en) | 2002-12-05 |
| EP1372488A2 (en) | 2004-01-02 |
| DE60224990D1 (de) | 2008-03-27 |
| AU2002238143B2 (en) | 2006-06-01 |
| WO2002067785A2 (en) | 2002-09-06 |
| CA2438858C (en) | 2012-05-01 |
Similar Documents
| Publication | Publication Date | Title |
|---|---|---|
| ES2296895T3 (es) | Montaje mezclador extremo. | |
| ES2362502T3 (es) | Conjunto dispensador para una mezcla de fibrina. | |
| AU2002238143A1 (en) | External mixer assembly | |
| ES2346679T3 (es) | Sistema dispensador de dos componentes. | |
| ES2227861T3 (es) | Sistema aplicador de cola de fibrina. | |
| EP0858775B1 (en) | Fibrin sealant applicator | |
| US20030055384A1 (en) | Fibrin sealant applicator system | |
| KR20030041858A (ko) | 접착성 조직 밀봉제용 분배기 | |
| JP2004523264A (ja) | 外科用のパッケージ組立体 | |
| CN110753518A (zh) | 具有漏斗进料套件的双注射器 | |
| US20250143681A1 (en) | Systems, devices and methods for reconstituting therapeutic powders, mixing precursor solutions, and expressing sealants for controlling bleeding and sealing fluid and air leaks | |
| EP1917914B1 (en) | External mixer assembly | |
| JP7684921B2 (ja) | 生体組織接着剤用噴霧器及び目詰まり防止容器 | |
| EP1716877B1 (en) | Two component dispenser system |