ES2334914T3 - Instrumento de grapado quirurgico con un mecanismo de bloqueo de disparo para un yunque no cerrado. - Google Patents
Instrumento de grapado quirurgico con un mecanismo de bloqueo de disparo para un yunque no cerrado. Download PDFInfo
- Publication number
- ES2334914T3 ES2334914T3 ES04252978T ES04252978T ES2334914T3 ES 2334914 T3 ES2334914 T3 ES 2334914T3 ES 04252978 T ES04252978 T ES 04252978T ES 04252978 T ES04252978 T ES 04252978T ES 2334914 T3 ES2334914 T3 ES 2334914T3
- Authority
- ES
- Spain
- Prior art keywords
- anvil
- trigger
- quad
- firing
- tissue
- 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
- 230000007246 mechanism Effects 0.000 title claims description 34
- 239000012636 effector Substances 0.000 claims abstract description 67
- 238000010304 firing Methods 0.000 claims abstract description 67
- 238000006073 displacement reaction Methods 0.000 claims description 13
- 230000001960 triggered effect Effects 0.000 claims description 9
- 230000004044 response Effects 0.000 claims description 4
- 238000003780 insertion Methods 0.000 claims description 2
- 230000037431 insertion Effects 0.000 claims description 2
- 238000012546 transfer Methods 0.000 claims description 2
- 210000001364 upper extremity Anatomy 0.000 claims 2
- 238000000034 method Methods 0.000 abstract description 7
- 230000007704 transition Effects 0.000 abstract description 4
- 238000005520 cutting process Methods 0.000 description 43
- 238000000926 separation method Methods 0.000 description 13
- 239000004744 fabric Substances 0.000 description 10
- 239000002184 metal Substances 0.000 description 8
- 230000008901 benefit Effects 0.000 description 7
- 230000009471 action Effects 0.000 description 5
- 230000000903 blocking effect Effects 0.000 description 3
- 230000000694 effects Effects 0.000 description 3
- 238000003825 pressing Methods 0.000 description 3
- 230000015572 biosynthetic process Effects 0.000 description 2
- 230000006870 function Effects 0.000 description 2
- 230000006872 improvement Effects 0.000 description 2
- 238000010348 incorporation Methods 0.000 description 2
- 238000007493 shaping process Methods 0.000 description 2
- 230000002159 abnormal effect Effects 0.000 description 1
- 230000003213 activating effect Effects 0.000 description 1
- 239000002671 adjuvant Substances 0.000 description 1
- 230000007812 deficiency Effects 0.000 description 1
- 230000002950 deficient Effects 0.000 description 1
- 238000013461 design Methods 0.000 description 1
- 239000003365 glass fiber Substances 0.000 description 1
- 230000003993 interaction Effects 0.000 description 1
- 238000004519 manufacturing process Methods 0.000 description 1
- 239000000463 material Substances 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 229920000515 polycarbonate Polymers 0.000 description 1
- 239000004417 polycarbonate Substances 0.000 description 1
- 230000008569 process Effects 0.000 description 1
- 230000000284 resting effect Effects 0.000 description 1
- 230000000717 retained effect Effects 0.000 description 1
- 238000011477 surgical intervention Methods 0.000 description 1
- 238000012549 training Methods 0.000 description 1
- 238000012795 verification Methods 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
- A61B17/07207—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously the staples being applied sequentially
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
- A61B2017/07214—Stapler heads
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
- A61B2017/07214—Stapler heads
- A61B2017/0725—Stapler heads with settable gap between anvil and cartridge, e.g. for different staple heights at different shots
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
- A61B2017/07214—Stapler heads
- A61B2017/07285—Stapler heads characterised by its cutter
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
Abstract
Una grapadora quirúrgica lineal (10) que comprende: una porción de empuñadura (20) que puede ser accionada para producir de manera separada unos movimientos de cierre y de disparo; una porción de instrumento (22) sensible a los movimientos de cierre y disparo provinentes de la porción de empuñadura (20), comprendiendo la porción de instrumento (22): un canal alargado (16) acoplado a la porción de empuñadura (20) y que incluye una hendidura de canal longitudinal (45), un cartucho de grapas (37) recibido por el canal alargado (16), un yunque (18) acoplado mediante pivote al canal alargado (16) y que incluye una hendidura de yunque; un manguito de cierre (32) que puede ser accionado para encajar con y cerrar el yunque (18) en respuesta al movimiento de cierre de la porción de empuñadura (20), un dispositivo de disparo (14) que encaja longitudinalmente con el canal alargado (16) y que puede ser accionado para encajar con el yunque (18) y accionar el cartucho de grapas (37) durante el disparo, y un mecanismo de bloqueo (260) del yunque dispuesto en la porción de instrumento (22), conectado al yunque (18) y orientado para impedir que el dispositivo de disparo (14) encaje con el yunque (18) cuando el manguito de cierre (32) ha sido accionado para cerrar el yunque (18) y el yunque (18) no está suficientemente cerrado, en la que el dispositivo de disparo (14) incluye un miembro superior (38) que puede ser accionado para encajar con la hendidura (42) del yunque, comprendiendo el mecanismo de cerrojo (260) del yunque una superficie en rampa roma (262) que incluye una superficie en rampa (266) y una superficie roma (264) situada en posición de apoyo con el miembro superior (38) cuando el yunque (18) no está suficientemente cerrado y situado por debajo del miembro superior (38) cuando el yunque (18) está suficientemente cerrado y guiando la superficie en rampa (266) el miembro superior (38) dentro de la hendidura (42) del yunque cuando el yunque (18) está suficientemente cerrado, en la que el yunque (18) incluye un rebajo próximo al dispositivo de disparo cuando está en una posición no disparada y una hendidura longitudinal del yunque que comunica con el rebajo para recibir el miembro superior (38) del dispositivo de disparo (14) cuando es disparado, y en la que una posición inferior del dispositivo de disparo comprende así mismo un miembro intermedio (46) y un miembro inferior (44) que encaja de manera opuesta con el canal alargado (16).
Description
Instrumento de grapado quirúrgico con un
mecanismo de bloqueo de disparo para un yunque no cerrado.
La presente invención se refiere, en general, al
campo de los instrumentos de grapado quirúrgico que son capaces de
aplicar líneas de grapas a un tejido mientras cortan el tejido entre
las líneas de grapas y, más concretamente, a las mejoras
relacionadas con los instrumentos de grapado y a las mejoras de los
procedimientos para conformar diversos componentes de dichos
instrumentos de grapado.
Las grapadoras quirúrgicas se han utilizado en
la técnica anterior para llevar a cabo, de forma simultánea, una
incisión longitudinal en un tejido y aplicar líneas de grapas sobre
los lados opuestos de la incisión. Dichos instrumentos generalmente
incluyen un par de miembros de mordaza coadyuvantes que, si el
instrumento está destinado a aplicaciones endoscópicas o
laparoscópicas, son capaces de atravesar una vía de paso de una
cánula. Uno de los miembros de mordaza recibe un cartucho de grapas
que incorpora al menos dos filas de grapas lateralmente separadas.
El otro miembro de mordaza define un yunque que presenta unos
receptáculos de conformación de las grapas alineados con las filas
de grapas existentes en el cartucho. El instrumento incluye una
pluralidad de cuñas oscilantes las cuales, cuando son accionadas
distalmente, atraviesan unas aberturas existentes en el cartucho de
las grapas y encajan con unos accionadores que soportan las grapas
para efectuar el disparo de las grapas hacia el yunque.
Un ejemplo de una grapadora quirúrgica apropiada
para aplicaciones endoscópicas se describe en la Patente
estadounidense No. 5,465,895, la cual proporciona, de modo
ventajoso, unas acciones diferenciadas de cierre y disparo. De esta
forma, un facultativo puede cerrar los miembros de mordaza sobre el
tejido para situar el tejido antes del disparo. Una vez que el
facultativo ha determinado que los miembros de mordaza están
agarrando tejido de forma apropiada, el facultativo puede entonces
disparar la grapadora quirúrgica, seccionando y grapando de esta
forma el tejido. El corte y grapado simultáneos evita la
complicación que puede surgir al efectuar dichas acciones de manera
secuencial con instrumentos quirúrgicos diferentes que,
respectivamente, únicamente corten o grapen.
La Patente estadounidense No 6,109,500 divulga
un mecanismo de bloqueo para una grapadora quirúrgica que actúa
para inhabilitar las unidades de carga desechables después del
disparo. Un rodillo de leva conectado a un mecanismo de impulsión
encaja con una superficie de leva de un yunque para progresivamente
sujetar el yunque contra el tejido corporal durante el disparo.
La Patente estadounidense 6,010,054 divulga una
grapadora lineal con un sistema de seguridad que puede ser activado
para inmovilizar el disparo de la grapadora.
Una ventaja específica de poder efectuar el
cierre sobre el tejido antes del disparo es que el facultativo
puede verificar por medio de un endoscopio que una cantidad
suficiente de tejido ha sido capturado entre las mordazas opuestas.
De no ser así, las mordazas opuestas pueden aproximarse demasiado
entre ellas, especialmente pinzándose al nivel de sus extremos
distales, no consiguiendo de esta forma constituir las grapas
cerradas en el tejido cortado. Así mismo, una barra de disparo que
atraviesa por entre las mordazas opuestas para cortar el tejido y
accionar las cuñas que impulsan las grapas pueden encontrar
resistencia debido a las mordazas opuestas pinzadas. Por el
contrario, la prensión excesiva del tejido puede crear problemas
similares. El borde de corte puede seccionar de manera incompleta
el tejido y/o las grapas pueden no conformarse totalmente. El
basarse en la verificación endoscópica de la adecuada prensión puede
no ser deseable y puede ser ineficaz en todos los supuestos para
detectar cuándo demasiado o demasiado poco tejido ha sido
prendido.
De esta forma, aunque dichas grapadoras
quirúrgicas han constituido un considerable avance en las
intervenciones quirúrgicas, se ha advertido la posibilidad de
potenciar su eficacia. En particular, sería deseable mantener
activamente una adecuada separación entre las mordazas opuestas
durante el disparo y para impedir completamente el corte y grapado
a menos que el grosor sea el apropiado para asegurar una acción
efectiva.
En consecuencia, es evidente, la necesidad de un
instrumento de grapado y corte quirúrgicos mejorado que mantenga la
adecuada separación en su efector terminal para conseguir el grapado
pertinente del tejido seccionado que impida el disparo (esto es el
cortado y grapado) cuando las mordazas opuestas no están
cerradas.
La invención resuelve las deficiencias arriba
expresadas y otras de la técnica anterior mediante la provisión de
un mecanismo de disparo que se extiende distalmente por dentro de un
efector terminal de un instrumento de grapado y corte quirúrgicos.
El efector terminal cierra y prende tejido como acciones separas del
disparo (esto es, el corte y grapado) lo que permite una mayor
flexibilidad operativa. Sin embargo, el mecanismo de disparo encaja
efectivamente con el efector terminal durante el disparo para
asegurar la adecuada separación para conseguir la apropiada
constitución del corte y grapado. Este encaje selectivo del efector
terminal mediante el mecanismo de disparo se potencia mediante un
mecanismo de bloqueo del yunque que impide aquellos casos en los
que el yunque no está adecuadamente cerrado para asegurar la
apropiada separación del efector terminal.
De acuerdo con la invención, se proporciona una
grapadora quirúrgica lineal de acuerdo con la reivindicación 1. La
grapadora incluye una porción de empuñadura que puede ser accionada
para producir un movimiento de disparo que accione una porción del
instrumento. Esta porción del instrumento tiene un canal alargado
que recibe un cartucho de grapas opuesto mediante un yunque fijado
mediante pivote. Un mecanismo de disparo encaja con el canal
alargado a lo largo de su extensión longitudinal durante el disparo.
El mecanismo de disparo encaja de forma selectiva el yunque con un
mecanismo de bloqueo del yunque. En particular, una porción en rampa
roma de una hendidura del yunque incluye una superficie roma que se
apoya en un dispositivo superior situada sobre el mecanismo de
disparo cuando el yunque es basculado lejos de una posición
completamente cerrada. La porción en rampa roma incluye, de modo
ventajoso, una porción en rampa que constituye una transición entre
el dispositivo superior del mecanismo de disparo y la hendidura del
yunque cuando un ligero exceso de tejido prendido puede ser
superado por la capacidad de separación efectiva del mecanismo de
disparo. De esta forma, el instrumento está capacitado para
disparar solo cuando la cantidad de tejido prendida quede situada
dentro de un margen deseado que asegure los adecuados corte y
grapado.
La porción de empuñadura produce un movimiento
de cierre separado y un movimiento de disparo separado. El yunque
incluye también un rebajo que permite que el dispositivo de disparo
quede desencajado del yunque cuando el yunque responde al
movimiento de cierre. El mecanismo de bloqueo del yunque está
situado entre el rebajo del yunque y el canal del yunque de manera
que un miembro superior del dispositivo de disparo resulte
selectivamente encajado.
En una forma de realización de la invención, la
porción de instrumento de un efector terminal y un vástago tienen
el tamaño preciso para ser utilizados a través de una vía de paso de
una cánula. El efector terminal responde separadamente a los
movimientos de cierre y disparo procedentes de la porción de
empuñadura. Un mecanismo de bloqueo del yunque del efector terminal
precluye el movimiento distal del dispositivo de disparo cuando
existe un estado de yunque abierto.
Estos y otros objetivos y ventajas de la
presente invención se pondrán de manifiesto mediante los dibujos
que se acompañan y su descripción.
Los dibujos que se acompañan, los cuales se
incorporan a y constituyen parte de la presente memoria descriptiva,
ilustran formas de realización de la invención y, junto con la
descripción general de la invención ofrecida con anterioridad, y
con la descripción detallada de las formas de realización ofrecidas
en las líneas que siguen, sirven para explicar los principios de la
presente invención.
La Fig. 1 muestra una vista en alzado lateral
parcialmente recortada de un instrumento de grapado y corte
quirúrgicos en posición abierta.
La Fig. 2 muestra una vista en detalle en alzado
lateral en sección transversal a lo largo de la línea
2-2 de la Fig. 1 de un efector terminal del
instrumento de grapado y corte quirúrgicos.
La Fig. 3 muestra una vista en alzado lateral de
tamaño ampliado de la barra de disparo del instrumento de grapado y
corte quirúrgicos de la Fig. 2.
La Fig. 4 muestra una vista frontal de tamaño
ampliado de la barra de disparo del instrumento de grapado y corte
quirúrgicos de la Fig. 2.
La Fig. 5 muestra una vista en detalle en alzado
lateral en sección transversal de un efector terminal alternativo
del instrumento de grapado y corte quirúrgicos de la Fig. 1, que
incorpora una barra de disparo que carece de un pasador intermedio
para impedir el pinzamiento del efector terminal.
La Fig. 6 muestra una vista en alzado lateral de
una porción de empuñadura de un extremo proximal del instrumento de
grapado y corte quirúrgicos de la Fig. 1 con un lado izquierdo
retirado para dejar al descubierto las partes interiores en una
posición de no prensión, no disparada, ("inicial").
La Fig. 7 muestra una vista en despiece
ordenado, en perspectiva, de la porción de empuñadura del extremo
proximal del instrumento de grapado y corte quirúrgicos de la Fig.
1.
La Fig. 8 muestra una vista en alzado lateral de
la porción de empuñadura del extremo proximal del instrumento de
grapado y corte quirúrgicos de la Fig. 8 con el lado izquierdo
retirado para dejar al descubierto las piezas interiores en la
posición cerrada ("prendida").
La Fig. 9 muestra una vista en alzado lateral de
la porción de empuñadura del extremo proximal del instrumento de
grapado y corte quirúrgicos de la Fig. 1 con el lado izquierdo
retirado para dejar al descubierto las partes interiores en la
posición grapada y cortada ("disparada").
La Fig. 10 muestra una vista isométrica del
efector terminal del extremo distal del instrumento de grapado y
corte quirúrgicos de la Fig. 1, con el yunque en la posición hacia
arriba y abierta que deja al descubierto el cartucho de las grapas y
el borde de corte de la barra de disparo.
La Fig. 11 muestra una vista en despiece
ordenado, isométrica, de la porción de instrumento del instrumento
de grapado y corte quirúrgicos de la Fig. 1.
La Fig. 12 muestra una vista isométrica del
efector terminal en el extremo distal del instrumento de grapado y
corte quirúrgicos de la Fig. 1. Con el yunque en la posición hacia
arriba y abierta con el cartucho en gran parte retirado dejando al
descubierto un impulsor único de grapas y un impulsor de grapas
doble como forma ejemplar y la cuña deslizada en su posición de
inicio contra un pasador intermedio de la barra de disparo.
La Fig. 13 muestra una vista isométrica del
extremo distal del instrumento de grapado y corte quirúrgicos de la
Fig. 1 con el yunque en la posición hacia arriba o abierta, con el
cartucho de las grapas completamente retirado y una porción de un
canal alargado retirada para dejar al descubierto el pasador más
inferior de la barra de disparo.
La Fig. 14 muestra una vista en alzado lateral
en sección que muestra una relación mecánica entre el yunque, el
canal alargado, y el cartucho de las grapas en la posición cerrada
del instrumento de grapado y corte quirúrgicos de la Fig. 1,
tomándose la sección genéricamente a lo largo de las líneas
14-14 de la Fig. 10 para dejar al descubierto un
elemento deslizante en cuña, los impulsores de las grapas y las
grapas pero también mostrando la barra de disparo a lo largo de la
línea central longitudinal.
La Fig. 15 muestra una vista en sección del
efector terminal y del instrumento de grapado y corte quirúrgicos
con el cartucho y la barra de disparo en la posición inicial tomada
a lo largo de la línea 15-15 de la Fig. 10.
La Fig. 16 muestra vista en sección tomada a lo
largo de la línea 16-16 de la Fig. 15 que muestra la
relación en sección transversal entre la barra de disparo, el canal
alargado, la cuña deslizada, los impulsores de las grapas, las
grapas, y el cartucho de las grapas.
La Fig. 17 muestra una vista en sección en
alzado lateral del instrumento de grapado y corte quirúrgicos de la
Fig. 1, tomada a lo largo de la línea central longitudinal del
efector terminal en una posición parcialmente cerrada pero no
prendida de agarre de tejido.
La Fig. 18 muestra una vista en alzado lateral
parcialmente recortada del instrumento de grapado y corte
quirúrgicos de la reivindicación 1 en la posición cerrada o
prendida.
La Fig. 19 muestra una vista en alzado lateral
en sección de la línea central del extremo distal del instrumento de
grapado y corte quirúrgicos de la Fig. 1 en la posición cerrada o
prendida con el tejido completamente prendido.
La Fig. 20 muestra una vista en alzado lateral
parcialmente recortada del instrumento de grapado y corte
quirúrgicos de la Fig. 1 en una posición parcialmente disparada.
La Fig. 21 muestra una vista en sección de la
línea central del extremo distal del instrumento de grapado y corte
quirúrgicos de la Fig. 1 en una posición parcialmente disparada.
La Fig. 22 muestra una vista en alzado lateral
parcialmente recortada del instrumento de grapado y corte
quirúrgicos de la Fig. 1 en posición completamente disparada.
La Fig. 23 muestra una vista en sección de la
línea central del extremo distal del instrumento de grapado y corte
quirúrgicos de la Fig. 1 en posición completamente disparada.
La Fig. 24 muestra una vista en alzado lateral
en sección de la línea central de un efector terminal del
instrumento de la Fig. 1 que incorpora un mecanismo de bloqueo de
disparo para un yunque no cerrado, teniendo prendido el efector
terminal una cantidad de tejido inaceptablemente excesiva.
La Fig. 25 muestra una vista en alzado lateral
en sección en la línea central del efector terminal de la Fig. 24,
prendiendo el efector terminal un grosor de tejido excesivo pero
aceptable.
La Fig. 26 muestra una vista en alzado lateral
en sección en la línea central del efector terminal de las Figs.
24-25, teniendo prendido el efector terminal un
grosor de tejido modesto.
\vskip1.000000\baselineskip
Dirigiendo la atención a los Dibujos, en los que
las mismas referencias numerales indican los mismos componentes a
lo largo de las distintas vistas, las Figs. 1 y 2 muestran un
instrumento de grapado y corte quirúrgicos 10 que es capaz de
llevar a la práctica los singulares beneficios de la presente
invención. El instrumento de grapado y corte quirúrgicos 10
incorpora un efector terminal 12 que incorpora un mecanismo de
disparo de Brazo en E ("barra de disparo") 14 que controla de
modo ventajoso la separación del efector terminal 12. En
particular, un canal alargado 16 y un yunque 18 trasladable mediante
pivote son mantenidos a una distancia que asegura el grapado y
corte eficaces. Así mismo, se impide que el disparo se produzca si
el yunque 18 no está suficientemente cerrado con un mecanismo de
bloqueo del yunque, el cual se describe con mayor detalle más
adelante.
El instrumento de grapado y corte quirúrgicos 10
incluye una porción de empuñadura 20 conectada a una porción de
instrumento 22, comprendiendo así mismo esta última un vástago 23
que termina en posición distal en el efector terminal 12. La
porción de empuñadura 20 incluye un mango de pistola 24 hacia el
cual un gatillo de cierre 26 es traccionado mediante pivote por
parte del facultativo para provocar la prensión, o el cierre, del
yunque 18 hacia el canal alargado 16 del efector terminal 12. Un
gatillo de disparo 28 está más alejado hacia el exterior del
gatillo de cierre 26 y es traccionado mediante pivote por parte del
facultativo para provocar el grapado y corte del tejido prendido en
el efector terminal 12.
Debe apreciarse que los términos "proximal"
y "distal" se utilizan en la presente memoria con referencia a
un facultativo que sujeta una empuñadura de un instrumento. De esta
forma, el efector terminal 12 es distal con respecto a la porción
de empuñadura más proximal 20. Debe así mismo apreciarse que, por
razones de comodidad y sencillez, términos espaciales tales como
"vertical" y "horizontal" se utilizan en la presente
memoria con respecto a los dibujos. Sin embargo, los instrumentos
quirúrgicos se utilizan en muchas orientaciones y posiciones, y
estos términos no pretenden ser limitativos y tomarse en sentido
absoluto.
El gatillo de cierre 26 es accionado en primer
término. Una vez que el facultativo está satisfecho con la
colocación del efector terminal 12, el facultativo puede retraer el
gatillo de cierre 26 hasta su posición completamente cerrada,
bloqueada, en proximidad al mango de pistola 24. A continuación, se
acciona el gatillo de disparo 28. El gatillo de disparo 28 retorna
mediante resorte cuando el facultativo retira la presión. Un botón
de liberación 30, cuando se oprime sobre el extremo proximal de la
porción de empuñadura 20, libera cualquier gatillo de cierre
bloqueado 26.
Un manguito de cierre 32 engloba un bastidor 34,
el cual, a su vez, engloba un miembro de accionamiento de disparo
36 que está situado mediante el gatillo de disparo 28. El bastidor
34 conecta la porción de empuñadura 20 al efector terminal 12. Con
el manguito de cierre 32 retirado en dirección proximal mediante el
gatillo de cierre 26, tal y como se representa, el yunque 18 se
abre mediante resorte, basculando lejos del canal alargado 16 y
trasladándose en dirección proximal con el manguito de cierre
32.
El canal alargado 16 recibe un cartucho de
grapas 37 que es sensible a la barra de disparo 14 para impulsar
las grapas en contacto de conformación con el yunque 18. Debe
apreciarse que, aunque en la presente memoria se describe de modo
ventajoso un cartucho de grapas 37 fácilmente sustituible, un
cartucho de grapas 37 congruente con aspectos de la presente
invención puede estar fijado de manera permanente o formar cuerpo
con el canal alargado 16, por ejemplo cuando una porción mayor del
efector terminal 12 sea sustituida después de cada disparo.
\vskip1.000000\baselineskip
Con específica referencia a las Figs. 2 a 4, la
barra de disparo 14 incluye tres pasadores separados verticalmente
que controlan la separación del efector terminal 12 durante el
disparo. En particular, un pasador superior 38 está situado para
entrar en un receptáculo 40 del yunque cerca del pivote entre el
yunque 18 y un canal alargado 16. Cuando se dispara con el yunque
18 cerrado, el pasador superior 38 avanza en dirección distal por
dentro de una hendidura longitudinal 42 del yunque que se extiende
en dirección distal a través del yunque 18. Cualquier deflexión
hacia arriba menor del yunque 18 es superada por una fuerza hacia
abajo transmitida por el pasador superior 38.
La barra de disparo 14 incluye así mismo un
pasador situado en la posición más inferior, o una tapa 44 de la
barra de disparo que encaja por arriba con una hendidura de canal 45
situada en el canal alargado 16, cooperando de esta manera con el
pasador superior 38 para traccionar el yunque 18 y el canal alargado
16 para acercarlos más ligeramente entre sí en el supuesto de que
haya entre ellos un exceso de tejido prendido.
La barra de disparo 14 incluye de modo ventajoso
un pasador intermedio 46 que pasa a través de una hendidura 47 de
accionamiento de disparo conformada en una superficie inferior del
cartucho 37 y de una superficie superior del canal alargado 16,
accionando de esta forma las grapas contenidas en su interior de
acuerdo con lo descrito más adelante. El pasador intermedio 46, al
deslizarse contra el canal alargado 16, de modo ventajoso ofrece
resistencia a cualquier tendencia a que el efector terminal 12
resulte pinzado en su posición de cierre en su extremo proximal.
Para ilustrar una ventaja del pasador intermedio 46, la Fig. 5
muestra un efecto terminal efectivo 12' que carece de un pasador
intermedio situado sobre una barra de disparo 14'. En esta
ilustración, el efector terminal 12' es posible que quede pinzado y
cerrado en su extremo distal lo que tiende a alterar la formación
deseada de las grapas.
Volviendo a las Figs. 2 a 4, un borde corte 48
situado en dirección distal entre los pasadores superior e
intermedio 38, 46 de la barra de disparo 14 atraviesa una hendidura
vertical 49, dispuesta en dirección proximal por dentro del
cartucho 37 para cortar el tejido prendido. La colocación efectiva
de la barra de disparo 14 con respecto al canal alargado 16 y al
yunque 18 aseguran que pueda llevarse a cabo un corte efectivo.
La separación vertical efectiva ofrecida por la
barra de disparo de Brazo en E 14 es apropiada para el tamaño
limitado disponible de los dispositivos endoscópicos. Así mismo, la
barra de disparo de Brazo en E 14 posibilita la fabricación de un
yunque con una combadura que transmita una deflexión vertical en su
extremo distal, similar a la posición mostrada en la Fig. 5. El
yunque combado 16 contribuye de modo ventajoso en la obtención del
deseado huelgo en el efector terminal 12 incluso con un yunque 16 de
grosor reducido, el cual resulta de esta forma más apropiado para
las limitaciones de tamaño de un dispositivo endoscópico.
La barra de disparo de Brazo en E 14 permite así
mismo unas aplicaciones más variadas, especialmente en combinación
con una gama de combinaciones de los cartuchos de grapas. Por
ejemplo, un facultativo puede seleccionar un cartucho de grapas
gris que ofrezca un espacio libre de tejido de 0,02 mm, un cartucho
de grapas blanco que ofrezca un espacio libre de tejido de 0,04 mm,
un cartucho azul que ofrezca un espacio libre de tejido de 0,06 mm,
o un cartucho verde que ofrezca un espacio libre de tejido de 0,10
mm. La altura vertical de cada cartucho de grapas respectivo en
comparación con la longitud de las grapas y de una cuña integral
deslizada (descrita con mayor detalle más adelante) predetermina
este grosor de tejido deseado con el yunque 18 adecuadamente
separado en la orientación vertical mediante la barra de disparo de
Brazo en E 14.
Con referencia a las Figs. 6 a 9, la porción de
empuñadura 20 está compuesta por unas primera y segunda secciones
de base 50 y 52, las cuales son moldeadas a partir de un material
polimérico, como por ejemplo policarbonato con fibra de vidrio
dispersa en su interior. La primera sección de base 50 está provista
de una pluralidad de pasadores de forma cilindrica 54. La segunda
sección de base 52 incluye una pluralidad de miembros extendidos
56, cada uno de los cuales presenta una abertura 58 de forma
hexagonal. Los pasadores de forma cilíndrica 54 quedan alojados
dentro de las aberturas de forma hexagonal 58 y quedan retenidos por
fricción dentro de ellas para mantener las primera y segunda
secciones de base 50 y 52 en la situación de montadas.
Una manilla rotatoria 60 tiene un calibre 62 que
se extiende completamente a través de ella para encajar con y hacer
rotar la porción de instrumento 22 alrededor de su eje longitudinal.
La manilla rotatoria 60 incluye una protuberancia que sobresale
hacia dentro 64 que se extiende a lo largo de al menos una porción
del calibre 62. La protuberancia sobresaliente 64 se aloja dentro
de una hendidura longitudinal 66 conformada en una porción proximal
del manguito de cierre 32, de tal manera que la rotación de la
manilla rotatoria 60 provoca la rotación del manguito de cierre 32.
Debe apreciarse que la protuberancia 64 se extiende así mismo a
través del bastidor 34 hasta contactar con una porción del miembro
de accionamiento de disparo 36 para efectuar también su rotación.
De esta manera, el efector terminal 12 (no mostrado en las Figs. 6 a
9) rota con la manilla rotatoria 60.
El extremo proximal 68 del bastidor 34 pasa
aproximadamente a través de la manilla rotatoria 60 y está provisto
de una muesca circular 70 que es trabada por unos miembros de
fijación 72 del canal opuesto que se extienden, respectivamente,
desde las secciones de base 50 y 52. Solo se muestra el miembro de
sujeción 72 del canal de la segunda sección de base 52. Los
miembros de fijación 72 del canal que se extienden desde las
secciones de base 50, 52 sirven para fijar el bastidor 34 a la
porción de empuñadura 20, de tal manera que el bastidor 34 no se
desplace en sentido longitudinal con respecto a la porción de
empuñadura 20.
El gatillo de cierre 26 tiene una sección de
empuñadura 74, una sección 76 de segmentos de engranaje, y una
sección intermedia 78. Un calibre 80 se extiende a través de la
sección intermedia 78. Un miembro de soporte cilíndrico 82 que se
extiende desde la segunda sección de base 52 pasa a través del
calibre 80 para montar mediante pivote el gatillo de cierre 26
sobre la porción de empuñadura 20. Un segundo miembro de soporte
cilíndrico 83 que se extiende desde a segunda sección de base 52
pasa a través de un calibre 81 del gatillo de disparo 28 para su
montaje mediante pivote sobre la porción de empuñadura 20. Una
abertura hexagonal 84 está dispuesta dentro del miembro de soporte
cilíndrico 83 para recibir un pasador de sujeción (no mostrado) que
se extiende desde la primera base 50.
Una horquilla de cierre 86 está alojada dentro
de la porción de empuñadura 20 para el movimiento en vaivén por su
interior y sirve parra transferir el movimiento desde el gatillo de
cierre 26 hasta el manguito de cierre 32. Unos miembros de soporte
88 que se extienden desde la segunda sección de base 52 y del
miembro de sujeción 72, el cual se extiende a través de un rebajo
89 existente en la horquilla 86, soportan la horquilla 86 dentro de
la porción de empuñadura 20.
Un extremo proximal 90 del manguito de cierre 32
está provisto de una brida 92 que está encajada mediante ajuste a
presión dentro de un rebajo de recepción 94 conformado en un extremo
distal 96 de la horquilla 86. Un extremo proximal 98 de la
horquilla 86 tiene una cremallera dentada 100 que está engranada
mediante la sección de segmento de engranaje 76 del gatillo de
cierre 26. Cuando el gatillo de cierre 26 es desplazado hacia el
mango de pistola 24 de la porción de empuñadura 20, la horquilla 86,
y con ello, el manguito de cierre 32 se desplazan en dirección
distal, comprimiendo un muelle 102 que presiona la horquilla 86 en
dirección proximal. El desplazamiento distal del manguito de cierre
32 efectúa el desplazamiento traslacional de pivote del yunque 18
en dirección distal y hacia el canal alargado 16 del efector
terminal 12 y el desplazamiento proximal efectúa el cierre, de
acuerdo con lo expuesto más adelante.
El gatillo de cierre 26 es presionado hacia
delante hasta una posición abierta mediante una superficie frontal
130 que interactúa con una superficie de encaje 128 del gatillo de
disparo. El primer gancho de agarre 104 que bascula desde arriba
hacia atrás por dentro de la porción de empuñadura 20 alrededor de
un pasador 106 restringe el desplazamiento del gatillo de disparo
28 hacia el mango de pistola 24 hasta que el gatillo de cierre 26
queda sujeto en su posición cerrada. El gancho 104 restringe el
movimiento del gatillo de disparo 28 mediante el encaje de un
pasador de bloqueo 107 existente en el gatillo de disparo 28. El
gancho 104 está también en contacto con el gatillo de cierre 26. En
particular, una proyección delantera 108 del gancho 104 encaja con
un miembro 110 situado sobre la sección intermedia 78 del gatillo de
cierre 26, estando el miembro 110 situado por fuera del calibre 80
hacia la sección de empuñadura 74. El gancho 104 es presionado hasta
contactar con el miembro 110 del gatillo de cierre 26 y a encajar
con el pasador de bloqueo 107 del gatillo de disparo 28 mediante un
muelle de liberación 112. Cuando el gatillo de cierre 26 es
apretado, el gancho 104 es desplazado de arriba hacia atrás,
comprimiendo el muelle de liberación 112 que queda capturado entre
la proyección trasera 114 situada sobre el gancho 104 y una
proyección trasera 116 situada sobre el botón de liberación 30.
Cuando la horquilla 86 se desplaza en dirección
distal en respuesta al desplazamiento proximal del gatillo de
cierre 26, un brazo superior de pestillo 118 del botón de liberación
30 se desplaza a lo largo de una superficie superior 120 sobre la
horquilla 86 hasta que cae dentro de un rebajo 122 que se dispone
hacia arriba existente en una porción inferior proximal de la
horquilla 86. El muelle de liberación 112 fuerza el botón de
liberación 30 hacia fuera, el cual hace bascular el brazo de
pestillo superior 118 hacia abajo hasta encajar con el rebajo
dispuesto hacia arriba 122, bloqueando de esta forma el gatillo de
cierre 26 en una posición de prensión de tejido como por ejemplo se
muestra en la Fig. 8.
El brazo de pestillo 118 puede salirse del
rebajo 122 para liberar el yunque 18 empujando el botón de
liberación 30 hacia dentro. Concretamente, el brazo superior de
pestillo 118 pivota hacia arriba alrededor del pasador 123 de la
segunda sección de base 52. La horquilla 86 se deja entonces que se
desplace en dirección proximal en respuesta al desplazamiento de
retorno del gatillo de cierre 26.
Un muelle de retorno 124 del gatillo de disparo
está situado dentro de la porción de empuñadura 20 con un extremo
fijado al pasador 106 de la segunda sección de base 52 y el otro
extremo fijado a un pasador 126 situado sobre el gatillo de disparo
28. El muelle de retorno de disparo 124 aplica una fuerza de retorno
al pasador 126 para presionar el gatillo de disparo 28 en una
dirección lejos del mango de pistola 24 de la porción de empuñadura
20. El gatillo de cierre 26 es así mismo presionado lejos del mango
de pistola 24 mediante la superficie de encaje 128 del gatillo de
disparo 28 que presiona la superficie frontal 130 del gatillo de
cierre 26.
Cuando el gatillo de cierre 26 es desplazado
hacia el mango de pistola 24, su superficie frontal 130 encaja con
la superficie de encaje 128 del gatillo de disparo 28 provocando que
el gatillo de disparo 28 se desplace hasta la posición de
"disparo". Cuando está en la posición de disparo, el gatillo de
cierre 28 queda situado en un ángulo de aproximadamente 45° con
respecto al mango de pistola 24. Después del disparo de las grapas,
el muelle 124 provoca que el gatillo de disparo 28 retorne a su
posición inicial. Durante su desplazamiento de retorno del gatillo
de disparo 28, su superficie de encaje 128 empuja contra la
superficie frontal 130 del gatillo de cierre 26 provocando que el
gatillo de cierre 26 retorne a su posición inicial. Un miembro de
tope 132 se extiende desde la segunda sección de base 52 para
impedir que el gatillo de cierre 26 rote más allá de su posición
inicial.
El instrumento de grapado y corte quirúrgicos 10
incluye así mismo una sección de movimiento en vaivén 134, un
multiplicador 136 y un miembro de impulsión 138. La sección de
accionamiento en vaivén 134 comprende una cuña deslizada por dentro
de la porción de instrumento 22 (no mostrada en las Figs. 6 a 9) y
un vástago de impulsión metálico 140.
El miembro de impulsión 138 incluye unas primera
y segunda cremalleras dentadas 141 y 142. Una primera muesca 144
está dispuesta sobre el miembro de impulsión 138 en posición
intermedia entre las primera y segunda cremalleras dentadas 141,
142. Durante el desplazamiento de retorno del gatillo de disparo 28,
un diente 146 del gatillo de disparo 28 engrana con la primera
muesca 144 para hacer retornar el miembro de impulsión 138 hasta su
posición inicial después del disparo de las grapas. Una segunda
muesca 148 está situada en un extremo proximal del percutor
metálico 140 para bloquear el percutor metálico 140 con el brazo
superior de pestillo 118 del botón de liberación 30 en la posición
no disparada.
El multiplicador 136 comprende unos primero y
segundo engranajes de piñón integrales 150 y 152. El primer
engranaje de piñón integral 150 está engranado con una primera
cremallera dentada 154 dispuesta sobre el percutor metálico 140. El
segundo engranaje de piñón integral 152 está engranado con la
segunda cremallera dentada 141 sobre el miembro de accionamiento
138. El primer engranaje de piñón integral 150 tiene un primer
diámetro y el segundo engranaje de piñón integral 152 tiene un
segundo diámetro más pequeño que el primer diámetro.
Las Figs. 6, 8 y 9 muestran, respectivamente, la
porción de empuñadura 20 en la posición inicial (abierta y no
disparada), una posición de prensión (cerrada y no disparada) y una
posición disparada. El gatillo de disparo 28 está provisto de una
sección 156 de segmento de engranajes. La sección 156 de segmento de
engranajes engrana con una segunda cremallera dentada 142 del
miembro de impulsión 138 de tal manera que el desplazamiento del
gatillo de disparo 28 provoca que el miembro de impulsión 138 se
desplace atrás y adelante entre una primera posición de impulsión,
mostrada en la Fig. 8, y una segunda posición de impulsión, mostrada
en la Fig. 9. Con el fin de impedir el disparo de las grapas antes
de que se produzca la prensión de tejido, el brazo superior de
pestillo 118 situado sobre el botón de liberación 30 está encajado
con la segunda muesca 148 situada sobre el miembro de impulsión
138, de tal manera que el percutor metálico 140 queda bloqueado en
su posición más proximal, como se muestra en la Fig. 6. Cuando el
brazo superior de pestillo 118 cae dentro del rebajo 122, el brazo
superior de pestillo 118 se desconecta de la segunda muesca 148 para
permitir el desplazamiento distal del percutor metálico 140, como
se muestra en la Fig. 9.
Debido a que la primera cremallera dentada 141
situada sobre el miembro de accionamiento 138 y a que la cremallera
dentada 154 situada sobre el percutor metálico 140 están engranados
con el multiplicador 136, el desplazamiento del gatillo de disparo
28 provoca que el percutor metálico 140 se desplace en vaivén entre
una primera posición en vaivén, mostrada en la Fig. 8, y una
segunda posición en vaivén, mostrada en la Fig. 9. Dado que el
diámetro del primer piñón de engranaje 150 es mayor que el diámetro
del segundo engranaje de piñón 152, el multiplicador 136 desplaza
la sección en vaivén 134 hasta una distancia mayor que a la que se
desplaza el miembro de impulsión 138 mediante el gatillo de disparo
28. Los diámetros de los primero y segundo engranajes de piñón 150 y
152 pueden modificarse para permitir que se varíe la longitud de la
carrera del gatillo de disparo 28 y la fuerza requerida para
desplazarlo.
Debe apreciarse que la porción de empuñadura 20
es ilustrativa y que pueden emplearse otros mecanismos de
accionamiento. Por ejemplo, los movimientos de cierre y disparo
pueden generarse por medios automáticos.
\vskip1.000000\baselineskip
El efector terminal 12 del instrumento de
grapado y corte quirúrgicos 10 se muestra con mayor detalle en las
Figs. 10 a 16. De acuerdo con lo descrito con anterioridad, la
porción de empuñadura 20 produce unos movimientos de cierre y
disparo separados e independientes que accionan el efector terminal
12. El efector terminal 12 mantiene de manera ventajosa la
flexibilidad operativa de estos cierre y disparo separados e
independientes (esto es, el grapado y corte). Así mismo, el efector
terminal 12 introduce la capacidad anteriormente referida de
mantener efectivamente la posición cerrada durante el disparo
después de que el facultativo sitúa y prende el tejido. Ambas
características potencian desde el punto de vista del procedimiento
y de su estructura la capacidad del instrumento de grapado y cierre
quirúrgicos 10 al asegurar la suficiente separación para aquellos
casos en los que, de no ser así, se prendería una cantidad
insuficiente de tejido y para potenciar la prensión en aquellos
casos en los que, de no ser así, se prendería una cantidad excesiva
de tejido.
La Fig. 10 muestra el efector terminal 12, el
cual está en una posición abierta mediante un manguito de cierre
retraído 32, con un cartucho de grapas 37 instalado dentro del canal
alargado 16. Sobre la superficie inferior 200 del yunque 18, está
dispuesta una pluralidad de receptáculos 202 de conformación del
grapado que se corresponde con una pluralidad de aberturas 204 de
la grapadora situada en una superficie superior 206 del cartucho de
grapas 37. La barra de disparo 14 está en su posición proximal, con
el pasador superior 38 alineado de forma que no interfiera con el
receptáculo 40 del yunque. El receptáculo 40 del yunque se muestra
comunicando con la hendidura longitudinal 42 del yunque dentro del
yunque 18. El borde de corte 48 dispuesto en dirección distal de la
barra de disparo 14 está alineado con y está retirado en dirección
proximal desde la hendidura vertical 49 existente en el cartucho de
grapas 37, posibilitando de esta manera la retirada de un cartucho
gastado y la inserción de un cartucho no disparado, que es encajada
a presión dentro del canal alargado 16. Concretamente, las
características distintivas de las extensiones 208, 210 del cartucho
de grapas 37 encajan con los rebajos 212, 214 (mostrados en la Fig.
12) del canal alargado 16.
La Fig. 11 muestra la porción de instrumento 22
del instrumento de grapado y corte quirúrgicos 10 en forma
desmontada. El cartucho de grapas 37 se muestra compuesto por un
cuerpo 216 del cartucho, un elemento deslizante en cuña 218, unos
accionadores simple y doble 220, unas grapas 222, y una bandeja 224
del cartucho. Una vez montada, la bandeja 224 del cartucho contiene
el elemento deslizante en cuña 218, los medios accionadores simple
y doble 220 y las grapas 222 dentro del cuerpo 216 del cartucho.
La incorporación de un miembro deslizante en
cuña 218 de manera integral con el cartucho de grapas 37 permite
una pluralidad de opciones de diseño flexibles en comparación con la
incorporación de unas superficies de leva sobre la misma barra de
disparo. Por ejemplo, puede seleccionarse una pluralidad de
cartuchos de grapas diferentes para su uso en el instrumento 10,
teniendo cada cartucho de grapas una configuración de filas de
grapa diferente, teniendo de esta forma cada uno un miembro
deslizante en cuña único configurado para contactar con el pasador
intermedio 46 de la barra de disparo 14 provocando al tiempo el
accionamiento de las grapas 222. En otro ejemplo, el miembro
deslizante en cuña integral 218 proporciona una oportunidad para
incorporar una pluralidad de características distintivas de bloqueo
de acuerdo con mayor detalle en las primera y tercera solicitudes
pendientes con la actual mencionadas con anterioridad.
El canal alargado 16 tiene una cavidad de
fijación 226 situada en dirección proximal que recibe un miembro de
anclaje 228 del canal situado sobre el extremo distal del bastidor
34 para fijar el efector terminal 12 a la porción de empuñadura 20.
El canal alargado 16 tiene también una hendidura 230 de leva del
yunque que recibe mediante pivote un pivote 232 del yunque 18. El
manguito de cierre 32 que abarca el bastidor 34 incluye una orejeta
234 dispuesta en dirección distal que encaja con una característica
distintiva 236 del yunque en posición próxima pero distal al pivote
232 del yunque situado sobre el yunque 18 para de esta forma
efectuar la apertura y cierre del yunque 18. El miembro de
accionamiento de disparo 36 se muestra montado a partir de la barra
de disparo 14 fijado a un conector de disparo 238 mediante unos
pasadores 240, el cual, a su vez, está fijada de manera rotatoria y
en dirección proximal al percutor metálico 140. La barra de disparo
14 es guiada en un extremo distal del bastidor mediante una guía
ranurada 239 insertada en su interior.
Con especial referencia a la Fig. 12, una
porción del cartucho de grapas 37 está retirada para dejar al
descubierto unas porciones del canal alargado 16, como por ejemplo
los rebajos 212, 214 y para dejar al descubierto algunos
componentes del cartucho de grapas 37 en su posición no disparada.
En particular, el cuerpo 216 del cartucho (mostrado en la Fig. 11)
ha sido retirado. El miembro deslizante en cuña 218 se muestra en su
posición proximal, no disparada, con un bloque empujador 242 que
contacta con el pasador intermedio 46 (no mostrado en la Fig. 12)
de la barra de disparo 14. El miembro deslizante en cuña 218 está en
contacto deslizante longitudinal sobre la bandeja 224 del cartucho
e incluye unas cuñas 228 que fuerzan hacia arriba los accionadores
simple y doble 220 cuando el miembro deslizante en cuña 218 se
desplaza en dirección distal. Las grapas 222 (no mostradas en la
Fig. 12) que descansan sobre los accionadores 220 son de esta forma
forzados hacia arriba hasta contactar con los receptáculos 202 de
conformación del yunque situados sobre el yunque 18 para conformar
las grapas cerradas. También se muestra la hendidura 45 del canal
existente en el canal alargado 16 que está alineado con la
hendidura vertical 49 del cartucho de grapas 37.
La Fig. 13 muestra el efector terminal 12 de la
Fig. 12 con todo el cartucho de grapas 37 retirado para mostrar el
pasador intermedio 46 de la barra de disparo 14 así como la porción
del canal alargado 16 retirado en posición adyacente a la hendidura
45 del canal para dejar al descubierto la tapa 44 de la barra de
disparo. Así mismo, determinadas porciones del árbol 23 están
retiradas para dejar al descubierto una porción proximal de la barra
de disparo 14. Proyectándose hacia abajo desde el yunque 18 cerca
del pivote, un par de tejidos opuestos 244 impiden que el tejido
quede situado demasiado lejos hacia arriba por el interior del
efector terminal 12 durante la prensión de tejido.
La Fig. 14 muestra el efector terminal 12
cerrado en una posición de prensión de tejido con la barra de
disparo 14 no disparada. El pasador superior 38 está en el
receptáculo 40 del yunque, verticalmente alineado con la hendidura
42 del yunque para el desplazamiento longitudinal distal de la barra
de disparo 14 durante el disparo. El pasador intermedio 46 está
situado para empujar el miembro deslizante en cuña 218 distalmente
para que la cuña 228 contacte de forma secuencial y eleve los
accionadores dobles 220 y las respectivas grapas 222 en contacto de
conformación con los receptáculos 202 de conformación de las grapas
existentes en la superficie inferior 200 del yunque 18.
La Fig. 15 muestra la superficie superior 206
del cartucho de grapas 37 con la barra de disparo 14 en su posición
proximal, no disparada. Las aberturas 204 de la grapadora están en
formación a cada lado de la hendidura vertical 49 del cartucho de
grapas 37.
La Fig. 16 muestra el efector terminal 12 cerca
del pivote que muestra que el canal alargado 16 tiene unas
porciones en rampa opuestas 246 para de esta forma cooperar con los
topes de tejido 244 del yunque 18 (no mostrado en la Fig. 16) para
impedir que el tejido atasque el efector terminal 12. También se
muestran con mayor detalle los accionadores dobles 220 y su
relación con las grapas 222.
En uso, el instrumento de grapado y corte
quirúrgicos 10 se utiliza tal y como se muestra en las Figs. 1, 2 y
17 a 23. En las Figs. 1 y 2, el instrumento 10 está en su posición
inicial, después de disponer un cartucho de grapas 37 completamente
cargado, no disparado, encajado a presión dentro del extremo distal
del canal alargado 16. Ambos gatillos 26, 28 están hacia delante y
el efector terminal 12 está abierto, como sería habitual después de
la inserción del efector terminal 12 a través de un trócar u otra
abertura practicada dentro de una cavidad corporal. El instrumento
10 es a continuación manipulado por el facultativo de tal manera que
el tejido 248 que va a ser grapado y seccionado quede situado entre
el cartucho de grapas 37 y el yunque 18, como se muestra en la Fig.
17.
Con referencia a las Figs. 18 y 19, a
continuación, el facultativo desplaza el gatillo de cierre 26 en
dirección proximal hasta situarlo directamente adyacente al mango
de pistola 24, bloqueando la porción de empuñadura 20 hasta la
posición cerrada y con el tejido prendido. La barra de disparo
retraída 14 dentro del efector terminal 12 no impide la apertura y
cierre selectivos del efector terminal 12, sino que, por el
contrario, se aloja dentro del receptáculo 40 del yunque. Con el
yunque cerrado y sujeto, la barra de disparo 14 con el brazo en E
está alineada para su disparo a través del efector terminal 12. En
particular, el pasador superior 38 está alineado con la hendidura
42 del yunque y el canal alargado 16 está encajado efectivamente
alrededor de la hendidura 45 del canal mediante el pasador
intermedio 46 y la tapa 44 de la barra de disparo.
Con referencia a las Figs. 20 y 21 después de
que la prensión de tejido se ha producido, el facultativo desplaza
el gatillo de disparo 28 en dirección proximal provocando que la
barra de disparo 14 se desplace en dirección proximal hacia el
interior del efector terminal 12. En particular, el pasador
intermedio 46 entra en el cartucho de grapas 37 a través de la
hendidura 47 de accionamiento del disparo para efectuar el disparo
de las grapas 222 (no mostradas en las Figs. 20 y 21) mediante el
miembro deslizante en cuña 218 hacia el yunque 18. El pasador
situado en la posición inferior máxima, o la tapa 44 de la barra de
disparo, coopera con el pasador intermedio 46 para situar de manera
deslizante el borde de corte 48 de la barra de disparo 14 para
seccionar tejido. Los dos pasadores 44, 46 sitúan también el
pasador superior 38 de la barra de disparo 14 dentro de la
hendidura de yunque longitudinal 42 del yunque 18, manteniendo de
manera efectiva la separación entre el yunque 18 y el canal
alargado 16 a lo largo de su desplazamiento de disparo distal.
Con referencia a las Figs. 22 y 23, el
facultativo continúa desplazando el gatillo de disparo 28 hasta
situarlo en posición proximal al gatillo de cierre 26 y al mango de
pistola 24. Por medio de lo cual, todos los extremos de las grapas
222 son flexionados como resultado de su encaje con el yunque 18. La
tapa 44 de la barra de disparo queda detenida contra el tope 250 de
la barra de disparo que se proyecta hacia el extremo distal de la
hendidura 45 del canal. El borde de corte 48 se ha situado en
posición completamente transversal a través del tejido. El proceso
se completa liberando el gatillo de disparo 28 y a continuación
oprimiendo el botón de liberación 30 oprimiendo al tiempo el
gatillo de cierre 26 para abrir el efector terminal 12.
La separación efectiva del yunque 18 y del canal
alargado 16 se consigue en parte con los dos pasadores 44, 46
situados sobre la barra de disparo 14 que encajan con los lados
opuestos de una hendidura 47 del canal y de un pasador superior
único 38 arrastrado por dentro de una hendidura 42 del yunque. Sería
congruente con determinados aspectos de la invención que el yunque
fuera capturado mediante unos pasadores opuestos situados a uno y
otro lado de una hendidura longitudinal y/o que un canal alargado
tuviera una hendidura interna que arrastrara un pasador
inferior.
Aunque la barra de disparo 14 de brazo en E
tiene ventajas para un instrumento de grapado y corte quirúrgicos
empleado de forma endoscópica, puede utilizarse un Brazo en E
similar en otros procedimientos clínicos. En general se acepta que
las intervenciones endoscópicas son más habituales que las
intervenciones laparoscópicas. En consecuencia, la presente
invención ha sido analizada en términos de intervenciones y aparatos
endoscópicos. Sin embargo, el empleo en la presente memoria de
términos tales como "endoscópico" no debe interpretarse para
limitar la invención a un instrumento de grapado y corte quirúrgicos
para su uso, únicamente, en combinación con un tubo endoscópico
(esto es, un trócar). Por el contrario, se cree que la presente
invención puede encontrar empleo en cualquier procedimiento en el
que el acceso se limite a una pequeña incisión, incluyendo, pero no
limitado, a intervenciones laparoscópicas, así como en
intervenciones abiertas.
Aunque una porción de empuñadura ilustrativa 20
descrita en la presente memoria es accionada de forma manual por un
facultativo, es coherente con aspectos de la invención que algunas o
todas las funciones de la porción de empuñadura sean alimentadas
por energía (neumática, hidráulica, ultrasónica, etc.). Así mismo,
los controles de cada una de estas funciones pueden disponerse para
su actuación manual sobre una porción de la empuñadura o ser
controladas a distancia (por ejemplo, un control a distancia
inalámbrico, una consola de control remoto automático, etc).
Como un ejemplo adicional más, aunque se ha
ilustrado en la presente memoria un instrumento de grapado y corte
quirúrgicos simultáneos, sería coherente con determinados aspectos
de la invención que el grapado comprendiera otros medios de tipos
de sujeción y de técnicas de fijación.
Las Figs. 24 a 26 muestran con mayor detalle el
mecanismo de bloqueo 260 del yunque que evita el funcionamiento
anormal del efector terminal 12 debido a una cantidad excesiva de
tejido prendido 248. En particular el mecanismo de bloqueo 260 del
yunque evita un disparo defectuoso en el que la barra de disparo 14
se dispara parcial o totalmente, seccionando tejido, pero en el que
las grapas no se conforman de manera adecuada a cada lado de la
incisión para cerrar el tejido seccionado por la incisión.
En la Fig. 24, el efector terminal 12 ha sido
cerrado prendiendo tejido. Sin embargo, el tejido prendido 248 es
ligeramente más grueso que el de un tamaño apropiado. De esta forma,
el yunque 18 es basculado lejos del canal alargado 16, aún cuando
el gatillo de cierre 26 de la porción de empuñadura pueda estar
indicando que está cerrado y bloqueado, como en la Fig. 8.
Volviendo a la Fig. 24, la barra de disparo 14
se muestra después de haber sido desplazada en dirección distal
hasta una distancia corta a partir de su posición no disparada,
completamente proximal, indicando que el facultativo ha comenzado a
traccionar el gatillo de disparo 28 hacia el mango de pistola 24 (no
mostrado en la Fig. 24). El mecanismo de bloqueo 260 del yunque se
constituye mediante la interacción entre el pasador superior 38 de
la barra de disparo 14 y una superficie en rampa roma 262 de la
superficie inferior 200 del yunque 18. En situaciones tales como
las mostradas en la Fig. 24 cuando el yunque 18 no está
suficientemente cerrado, el pasador superior 38 se apoya en una
superficie roma 264 de la superficie en rampa roma 262 que impide el
desplazamiento distal ulterior de la barra de disparo 14. El
facultativo recibe de esta manera una retroalimentación táctil de
que el gatillo de disparo 28 no puede desplazarse más allá en
dirección distal, proporcionando una oportunidad para liberar el
gatillo de cierre 26 y para volver a prender una cantidad apropiada
de tejido 248. El mecanismo de bloqueo 260 del yunque evita de esta
forma el corte de tejido cuando no está asegurado un grapado
eficaz.
La Fig. 25 muestra una situación más óptima en
la que la cantidad de tejido 248 que está prendida en el efector
terminal 12 está dentro de un margen aceptable, aunque próxima a la
cantidad máxima permitida. Así mismo, este es un ejemplo en el que
la capacidad de separación efectiva del efector terminal 12 puede
ser empleada para traccionar hacia abajo el yunque 18 durante el
disparo para conseguir la separación deseada para la formación
efectiva de las grapas. El mecanismo de cerrojo 260 del yunque ayuda
a conseguir esta separación mediante la disposición de una
transición del pasador superior 38 desde una superficie en rampa 266
sobre una superficie interior 268 de la hendidura 42 del yunque. La
superficie en rampa 266 desde la superficie roma 264 hasta la
superficie interior 268 tiene una inclinación seleccionada para
ofrecer una suave transición hacia el punto en el que la barra de
disparo 14 habrá obtenido una ventaja mecánica suficiente para
traccionar hacia abajo el yunque 18 antes de encontrar las primeras
grapas.
La Fig. 26 muestra otra situación óptima en la
que el mecanismo de bloqueo 260 del yunque no interactúa con el
pasador superior 38 de la barra de disparo. Como ilustración, el
efector terminal 12 se muestra presentando prendida una cantidad
mínima de tejido 248. El efector terminal 12 puede incluso
inicialmente resultar pinzado en su extremo distal, por ejemplo
debido a la presión externa aplicada sobre el efector terminal 12.
El pasador superior 38 está alineado con la hendidura 42 del yunque
y entra sin contactar necesariamente con el mecanismo de bloqueo
del yunque. A continuación el pasador superior 38 reacciona
verticalmente contra la hendidura 42 del yunque como es necesario
para asegurar que el yunque 18 y el canal alargado 16 estén
adecuadamente separados en el punto en el que las grapas están
siendo conformadas.
Aunque la presente invención ha sido ilustrada
mediante la descripción de diversas formas de realización y aunque
las formas de realización ilustrativas han sido descritas con
considerable detalle, no es la intención del solicitante restringir
o en cualquier forma limitar el alcance de las reivindicaciones
adjuntas a dichos detalles. Los expertos en la materia podrán
advertir sin dificultad ventajas y modificaciones adicionales.
Por ejemplo, aunque se muestra en la forma de
realización ilustrativa un pasador superior 38 que encaja de forma
selectiva con una hendidura 42 del yunque, debe apreciarse que puede
conformarse un mecanismo de bloqueo del yunque con un yunque que
tenga una hendidura que atraviese completamente en sentido
transversal el yunque, de tal manera que una barra de disparo
atraviese tanto la superficie superior como la inferior del yunque
cuando la barra de disparo se desplace en dirección distal.
Claims (3)
1. Una grapadora quirúrgica lineal (10) que
comprende:
- \quad
- una porción de empuñadura (20) que puede ser accionada para producir de manera separada unos movimientos de cierre y de disparo; una porción de instrumento (22) sensible a los movimientos de cierre y disparo provinentes de la porción de empuñadura (20), comprendiendo la porción de instrumento (22):
- \quad
- un canal alargado (16) acoplado a la porción de empuñadura (20) y que incluye una hendidura de canal longitudinal (45),
- \quad
- un cartucho de grapas (37) recibido por el canal alargado (16),
- \quad
- un yunque (18) acoplado mediante pivote al canal alargado (16) y que incluye una hendidura de yunque;
- \quad
- un manguito de cierre (32) que puede ser accionado para encajar con y cerrar el yunque (18) en respuesta al movimiento de cierre de la porción de empuñadura (20),
- \quad
- un dispositivo de disparo (14) que encaja longitudinalmente con el canal alargado (16) y que puede ser accionado para encajar con el yunque (18) y accionar el cartucho de grapas (37) durante el disparo, y
- \quad
- un mecanismo de bloqueo (260) del yunque dispuesto en la porción de instrumento (22), conectado al yunque (18) y orientado para impedir que el dispositivo de disparo (14) encaje con el yunque (18) cuando el manguito de cierre (32) ha sido accionado para cerrar el yunque (18) y el yunque (18) no está suficientemente cerrado,
- \quad
- en la que el dispositivo de disparo (14) incluye un miembro superior (38) que puede ser accionado para encajar con la hendidura (42) del yunque, comprendiendo el mecanismo de cerrojo (260) del yunque una superficie en rampa roma (262) que incluye una superficie en rampa (266) y una superficie roma (264) situada en posición de apoyo con el miembro superior (38) cuando el yunque (18) no está suficientemente cerrado y situado por debajo del miembro superior (38) cuando el yunque (18) está suficientemente cerrado y guiando la superficie en rampa (266) el miembro superior (38) dentro de la hendidura (42) del yunque cuando el yunque (18) está suficientemente cerrado,
- \quad
- en la que el yunque (18) incluye un rebajo próximo al dispositivo de disparo cuando está en una posición no disparada y una hendidura longitudinal del yunque que comunica con el rebajo para recibir el miembro superior (38) del dispositivo de disparo (14) cuando es disparado, y
- \quad
- en la que una posición inferior del dispositivo de disparo comprende así mismo un miembro intermedio (46) y un miembro inferior (44) que encaja de manera opuesta con el canal alargado (16).
2. La grapadora lineal de la reivindicación 1 en
la que:
- \quad
- el dispositivo de disparo (14) incluye un borde de corte dispuesto en dirección distal longitudinalmente recibido entre el canal alargado (16) y el yunque (18), alojándose el miembro superior (38) dentro del rebajo del yunque cuando está en una posición no disparada para permitir el movimiento separado de cierre del yunque (18), y el mecanismo de bloqueo (260) del yunque se sitúa entre el rebajo del yunque y la hendidura (42) del yunque por medio de lo cual el mecanismo de bloqueo (260) del yunque bloquea el miembro superior (38) cuando el yunque (18) no está suficientemente cerrado.
3. La grapadora lineal de la reivindicación 1,
que es un instrumento endoquirúrgico, en la que:
- \quad
- la porción de instrumento (22) comprende un efector terminal (12) con el tamaño preciso para su inserción a través de una vía de paso de una cánula endoquirúrgica;
- \quad
- un vástago (23) está fijado entre la porción de empuñadura (20) y el efector terminal (12) y está configurado funcionalmente para transferir de manera separada los movimientos de disparo y cierre entre ellos;
- \quad
- el canal alargado (16) está acoplado al vástago (23),
- \quad
- el dispositivo de disparo (14) es longitudinalmente recibido entre el canal alargado (16) y el yunque (18) y el miembro superior (38) puede ser encajado en la hendidura (42) del yunque durante el desplazamiento distal para el disparo, y el mecanismo de bloqueo (260) del yunque está configurado operativamente para precluir el desplazamiento distal del dispositivo de disparo (14) en respuesta a un estado abierto del yunque.
Applications Claiming Priority (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US441580 | 1999-11-17 | ||
| US10/441,580 US7143923B2 (en) | 2003-05-20 | 2003-05-20 | Surgical stapling instrument having a firing lockout for an unclosed anvil |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| ES2334914T3 true ES2334914T3 (es) | 2010-03-17 |
Family
ID=33097967
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| ES04252978T Expired - Lifetime ES2334914T3 (es) | 2003-05-20 | 2004-05-20 | Instrumento de grapado quirurgico con un mecanismo de bloqueo de disparo para un yunque no cerrado. |
Country Status (9)
| Country | Link |
|---|---|
| US (1) | US7143923B2 (es) |
| EP (1) | EP1479347B1 (es) |
| JP (1) | JP4703978B2 (es) |
| AT (1) | ATE449570T1 (es) |
| AU (2) | AU2004202166A1 (es) |
| CA (1) | CA2468130C (es) |
| DE (1) | DE602004024267D1 (es) |
| ES (1) | ES2334914T3 (es) |
| MX (1) | MXPA04004888A (es) |
Families Citing this family (1382)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5782396A (en) | 1995-08-28 | 1998-07-21 | United States Surgical Corporation | Surgical stapler |
| US5762256A (en) | 1995-08-28 | 1998-06-09 | United States Surgical Corporation | Surgical stapler |
| US5865361A (en) | 1997-09-23 | 1999-02-02 | United States Surgical Corporation | Surgical stapling apparatus |
| US10285694B2 (en) | 2001-10-20 | 2019-05-14 | Covidien Lp | Surgical stapler with timer and feedback display |
| US7461767B2 (en) | 2005-06-03 | 2008-12-09 | Tyco Healthcare Group Lp | Battery powered surgical instrument |
| US7464847B2 (en) | 2005-06-03 | 2008-12-16 | Tyco Healthcare Group Lp | Surgical stapler with timer and feedback display |
| ES2379225T3 (es) | 2002-10-04 | 2012-04-24 | Tyco Healthcare Group Lp | Grapadora quirúrgica con articulación universal y sujección previa de tejidos |
| DE60319443T2 (de) | 2002-10-04 | 2009-02-19 | Tyco Healthcare Group Lp, Norwalk | Zusammenbau von chirurgischem Klammerwerkzeug |
| EP2241266B1 (en) | 2002-10-04 | 2013-05-29 | Covidien LP | Tool assembly for a surgical stapling device |
| US20070084897A1 (en) * | 2003-05-20 | 2007-04-19 | Shelton Frederick E Iv | Articulating surgical stapling instrument incorporating a two-piece e-beam firing mechanism |
| US9060770B2 (en) | 2003-05-20 | 2015-06-23 | Ethicon Endo-Surgery, Inc. | Robotically-driven surgical instrument with E-beam driver |
| US20070010838A1 (en) * | 2003-05-20 | 2007-01-11 | Shelton Frederick E Iv | Surgical stapling instrument having a firing lockout for an unclosed anvil |
| EP2428168B1 (en) | 2003-06-17 | 2014-09-17 | Covidien LP | Surgical stapling device |
| US7494039B2 (en) | 2003-06-17 | 2009-02-24 | Tyco Healthcare Group Lp | Surgical stapling device |
| US7303108B2 (en) * | 2003-09-29 | 2007-12-04 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument incorporating a multi-stroke firing mechanism with a flexible rack |
| US7083075B2 (en) * | 2003-09-29 | 2006-08-01 | Ethicon Endo-Surgery, Inc. | Multi-stroke mechanism with automatic end of stroke retraction |
| US8968276B2 (en) | 2007-09-21 | 2015-03-03 | Covidien Lp | Hand held surgical handle assembly, surgical adapters for use between surgical handle assembly and surgical end effectors, and methods of use |
| US10022123B2 (en) | 2012-07-09 | 2018-07-17 | Covidien Lp | Surgical adapter assemblies for use between surgical handle assembly and surgical end effectors |
| US10041822B2 (en) | 2007-10-05 | 2018-08-07 | Covidien Lp | Methods to shorten calibration times for powered devices |
| US11311291B2 (en) | 2003-10-17 | 2022-04-26 | Covidien Lp | Surgical adapter assemblies for use between surgical handle assembly and surgical end effectors |
| US7367485B2 (en) * | 2004-06-30 | 2008-05-06 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument incorporating a multistroke firing mechanism having a rotary transmission |
| US7059508B2 (en) * | 2004-06-30 | 2006-06-13 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument incorporating an uneven multistroke firing mechanism having a rotary transmission |
| US9072535B2 (en) | 2011-05-27 | 2015-07-07 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments with rotatable staple deployment arrangements |
| US11998198B2 (en) | 2004-07-28 | 2024-06-04 | Cilag Gmbh International | 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 |
| US7143926B2 (en) | 2005-02-07 | 2006-12-05 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument incorporating a multi-stroke firing mechanism with return spring rotary manual retraction system |
| US8905977B2 (en) | 2004-07-28 | 2014-12-09 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having an electroactive polymer actuated medical substance dispenser |
| US8215531B2 (en) | 2004-07-28 | 2012-07-10 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having a medical substance dispenser |
| US7354447B2 (en) | 2005-11-10 | 2008-04-08 | Ethicon Endo-Surgery, Inc. | Disposable loading unit and surgical instruments including same |
| US7947034B2 (en) | 2004-07-30 | 2011-05-24 | Tyco Healthcare Group Lp | Flexible shaft extender and method of using same |
| US7128254B2 (en) * | 2004-09-07 | 2006-10-31 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument incorporating a multistroke firing mechanism having a rotary slip-clutch transmission |
| US9138226B2 (en) | 2005-03-30 | 2015-09-22 | Covidien Lp | Cartridge assembly for a surgical stapling device |
| US7780055B2 (en) | 2005-04-06 | 2010-08-24 | Tyco Healthcare Group Lp | Loading unit having drive assembly locking mechanism |
| US11291443B2 (en) | 2005-06-03 | 2022-04-05 | Covidien Lp | Surgical stapler with timer and feedback display |
| US7407075B2 (en) * | 2005-08-15 | 2008-08-05 | Tyco Healthcare Group Lp | Staple cartridge having multiple staple sizes for a surgical stapling instrument |
| US8579178B2 (en) | 2005-08-15 | 2013-11-12 | Covidien Lp | Surgical stapling instruments including a cartridge having multiple staples sizes |
| US7398908B2 (en) * | 2005-08-15 | 2008-07-15 | Tyco Healthcare Group Lp | Surgical stapling instruments including a cartridge having multiple staple sizes |
| US7401721B2 (en) * | 2005-08-15 | 2008-07-22 | Tyco Healthcare Group Lp | Surgical stapling instruments including a cartridge having multiple staple sizes |
| US9237891B2 (en) | 2005-08-31 | 2016-01-19 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical stapling devices that produce formed staples having different lengths |
| US7934630B2 (en) | 2005-08-31 | 2011-05-03 | Ethicon Endo-Surgery, Inc. | Staple cartridges for forming staples having differing formed staple heights |
| 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 |
| US8800838B2 (en) | 2005-08-31 | 2014-08-12 | Ethicon Endo-Surgery, Inc. | Robotically-controlled cable-based surgical end effectors |
| US7673781B2 (en) | 2005-08-31 | 2010-03-09 | Ethicon Endo-Surgery, Inc. | Surgical stapling device with staple driver that supports multiple wire diameter staples |
| US7669746B2 (en) * | 2005-08-31 | 2010-03-02 | Ethicon Endo-Surgery, Inc. | Staple cartridges for forming staples having differing formed staple heights |
| US11246590B2 (en) | 2005-08-31 | 2022-02-15 | Cilag Gmbh International | Staple cartridge including staple drivers having different unfired heights |
| US10159482B2 (en) | 2005-08-31 | 2018-12-25 | Ethicon Llc | Fastener cartridge assembly comprising a fixed anvil and different staple heights |
| US7472815B2 (en) * | 2005-09-21 | 2009-01-06 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments with collapsible features for controlling staple height |
| US7407078B2 (en) | 2005-09-21 | 2008-08-05 | Ehthicon Endo-Surgery, Inc. | Surgical stapling instrument having force controlled spacing end effector |
| US7451904B2 (en) * | 2005-09-26 | 2008-11-18 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having end effector gripping surfaces |
| US7635074B2 (en) | 2005-10-04 | 2009-12-22 | Tyco Healthcare Group Lp | Staple drive assembly |
| US7641091B2 (en) | 2005-10-04 | 2010-01-05 | Tyco Healthcare Group Lp | Staple drive assembly |
| CA2563147C (en) | 2005-10-14 | 2014-09-23 | Tyco Healthcare Group Lp | Surgical stapling device |
| US7328828B2 (en) | 2005-11-04 | 2008-02-12 | Ethicon Endo-Surgery, Inc, | Lockout mechanisms and surgical instruments including same |
| US7607557B2 (en) | 2005-11-04 | 2009-10-27 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments structured for pump-assisted delivery of medical agents |
| US7673783B2 (en) | 2005-11-04 | 2010-03-09 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments structured for delivery of medical agents |
| US7799039B2 (en) | 2005-11-09 | 2010-09-21 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a hydraulically actuated end effector |
| 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 |
| US20070106317A1 (en) * | 2005-11-09 | 2007-05-10 | Shelton Frederick E Iv | Hydraulically and electrically actuated articulation joints for surgical instruments |
| US7670334B2 (en) | 2006-01-10 | 2010-03-02 | Ethicon Endo-Surgery, Inc. | Surgical instrument having an articulating end effector |
| US20110024477A1 (en) * | 2009-02-06 | 2011-02-03 | Hall Steven G | Driven Surgical Stapler Improvements |
| US20110290856A1 (en) | 2006-01-31 | 2011-12-01 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical instrument with force-feedback capabilities |
| US7464849B2 (en) | 2006-01-31 | 2008-12-16 | Ethicon Endo-Surgery, Inc. | Electro-mechanical surgical instrument with closure system and anvil alignment components |
| US7575144B2 (en) * | 2006-01-31 | 2009-08-18 | Ethicon Endo-Surgery, Inc. | Surgical fastener and cutter with single cable actuator |
| US7766210B2 (en) | 2006-01-31 | 2010-08-03 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting and fastening instrument with user feedback system |
| 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 |
| US20120292367A1 (en) | 2006-01-31 | 2012-11-22 | Ethicon Endo-Surgery, Inc. | Robotically-controlled end effector |
| US9861359B2 (en) | 2006-01-31 | 2018-01-09 | Ethicon Llc | Powered surgical instruments with firing system lockout arrangements |
| US8708213B2 (en) | 2006-01-31 | 2014-04-29 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a feedback system |
| US7845537B2 (en) * | 2006-01-31 | 2010-12-07 | Ethicon Endo-Surgery, Inc. | Surgical instrument having recording capabilities |
| US8161977B2 (en) | 2006-01-31 | 2012-04-24 | Ethicon Endo-Surgery, Inc. | Accessing data stored in a memory of a surgical instrument |
| US11793518B2 (en) | 2006-01-31 | 2023-10-24 | Cilag Gmbh International | Powered surgical instruments with firing system lockout arrangements |
| US11224427B2 (en) | 2006-01-31 | 2022-01-18 | Cilag Gmbh International | Surgical stapling system including a console and retraction assembly |
| US7416101B2 (en) | 2006-01-31 | 2008-08-26 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting and fastening instrument with loading force feedback |
| US7568603B2 (en) | 2006-01-31 | 2009-08-04 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting and fastening instrument with articulatable end effector |
| US11278279B2 (en) | 2006-01-31 | 2022-03-22 | Cilag Gmbh International | Surgical instrument assembly |
| US7464846B2 (en) | 2006-01-31 | 2008-12-16 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a removable battery |
| US7770775B2 (en) | 2006-01-31 | 2010-08-10 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting and fastening instrument with adaptive user feedback |
| US20110006101A1 (en) | 2009-02-06 | 2011-01-13 | EthiconEndo-Surgery, Inc. | Motor driven surgical fastener device with cutting member lockout arrangements |
| US8820603B2 (en) | 2006-01-31 | 2014-09-02 | Ethicon Endo-Surgery, Inc. | Accessing data stored in a memory of a surgical instrument |
| US8186555B2 (en) | 2006-01-31 | 2012-05-29 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting and fastening instrument with mechanical closure system |
| US7644848B2 (en) | 2006-01-31 | 2010-01-12 | Ethicon Endo-Surgery, Inc. | Electronic lockouts and surgical instrument including same |
| US7422139B2 (en) | 2006-01-31 | 2008-09-09 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting fastening instrument with tactile position feedback |
| US8763879B2 (en) | 2006-01-31 | 2014-07-01 | Ethicon Endo-Surgery, Inc. | Accessing data stored in a memory of surgical instrument |
| 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 |
| US8721630B2 (en) | 2006-03-23 | 2014-05-13 | Ethicon Endo-Surgery, Inc. | Methods and devices for controlling articulation |
| US7552854B2 (en) | 2006-05-19 | 2009-06-30 | Applied Medical Resources Corporation | Surgical stapler with firing lock mechanism |
| US8322455B2 (en) | 2006-06-27 | 2012-12-04 | Ethicon Endo-Surgery, Inc. | Manually driven surgical cutting and fastening instrument |
| US20080029575A1 (en) | 2006-08-02 | 2008-02-07 | Shelton Frederick E | Surgical cutting and fastening instrument with distally mounted pneumatically powered rotary drive member |
| 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 |
| US10130359B2 (en) | 2006-09-29 | 2018-11-20 | Ethicon Llc | 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 |
| US8485412B2 (en) | 2006-09-29 | 2013-07-16 | Ethicon Endo-Surgery, Inc. | Surgical staples having attached drivers and stapling instruments for deploying the same |
| US11980366B2 (en) | 2006-10-03 | 2024-05-14 | Cilag Gmbh International | Surgical instrument |
| US8708210B2 (en) | 2006-10-05 | 2014-04-29 | Covidien Lp | Method and force-limiting handle mechanism for a surgical instrument |
| US7866525B2 (en) | 2006-10-06 | 2011-01-11 | Tyco Healthcare Group Lp | Surgical instrument having a plastic surface |
| US7967178B2 (en) | 2006-10-06 | 2011-06-28 | Tyco Healthcare Group Lp | Grasping jaw mechanism |
| US8336751B2 (en) | 2006-10-06 | 2012-12-25 | Covidien Lp | Grasping jaw mechanism |
| US7963431B2 (en) * | 2006-10-06 | 2011-06-21 | Tyco Healthcare Group, Lp | Grasping jaw mechanism |
| US7845535B2 (en) | 2006-10-06 | 2010-12-07 | Tyco Healthcare Group Lp | Surgical instrument having a plastic surface |
| US8459520B2 (en) | 2007-01-10 | 2013-06-11 | Ethicon Endo-Surgery, Inc. | 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 |
| 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 |
| US7738971B2 (en) | 2007-01-10 | 2010-06-15 | Ethicon Endo-Surgery, Inc. | Post-sterilization programming of surgical instruments |
| US8632535B2 (en) | 2007-01-10 | 2014-01-21 | Ethicon Endo-Surgery, Inc. | Interlock and surgical instrument including same |
| 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 |
| US7721936B2 (en) | 2007-01-10 | 2010-05-25 | Ethicon Endo-Surgery, Inc. | Interlock and surgical instrument including same |
| 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 |
| US20080169332A1 (en) | 2007-01-11 | 2008-07-17 | Shelton Frederick E | Surgical stapling device with a curved cutting member |
| US20220061862A1 (en) * | 2007-01-11 | 2022-03-03 | Cilag Gmbh International | Surgical stapling device with a curved end effector |
| US11039836B2 (en) | 2007-01-11 | 2021-06-22 | Cilag Gmbh International | Staple cartridge for use with a surgical stapling instrument |
| US7753246B2 (en) | 2007-01-31 | 2010-07-13 | Tyco Healthcare Group Lp | Surgical instrument with replaceable loading unit |
| US7950562B2 (en) | 2007-01-31 | 2011-05-31 | Tyco Healthcare Group Lp | Surgical instrument with replaceable loading unit |
| US8727197B2 (en) | 2007-03-15 | 2014-05-20 | Ethicon Endo-Surgery, Inc. | Staple cartridge cavity configuration with cooperative surgical staple |
| US7431188B1 (en) | 2007-03-15 | 2008-10-07 | Tyco Healthcare Group Lp | Surgical stapling apparatus with powered articulation |
| EP2139411B1 (en) * | 2007-03-22 | 2017-05-03 | Covidien LP | Apparatus for forming variable height surgical fasteners |
| 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 |
| US7950560B2 (en) | 2007-04-13 | 2011-05-31 | Tyco Healthcare Group Lp | Powered surgical instrument |
| US11259802B2 (en) | 2007-04-13 | 2022-03-01 | Covidien Lp | Powered surgical instrument |
| US20080255413A1 (en) | 2007-04-13 | 2008-10-16 | Michael Zemlok | Powered surgical instrument |
| US8800837B2 (en) | 2007-04-13 | 2014-08-12 | Covidien Lp | Powered surgical instrument |
| US7823760B2 (en) | 2007-05-01 | 2010-11-02 | Tyco Healthcare Group Lp | Powered surgical stapling device platform |
| WO2008137833A2 (en) | 2007-05-07 | 2008-11-13 | Tyco Healthcare Group Lp | Variable size-uniform compression staple assembly |
| US7931660B2 (en) | 2007-05-10 | 2011-04-26 | Tyco Healthcare Group Lp | Powered tacker instrument |
| 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 |
| US7798386B2 (en) | 2007-05-30 | 2010-09-21 | Ethicon Endo-Surgery, Inc. | Surgical instrument articulation joint cover |
| US8157145B2 (en) | 2007-05-31 | 2012-04-17 | Ethicon Endo-Surgery, Inc. | Pneumatically powered surgical cutting and fastening instrument with electrical feedback |
| US11857181B2 (en) | 2007-06-04 | 2024-01-02 | Cilag Gmbh International | Robotically-controlled shaft based rotary drive systems for surgical instruments |
| US7832408B2 (en) | 2007-06-04 | 2010-11-16 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a 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 |
| US8534528B2 (en) | 2007-06-04 | 2013-09-17 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a multiple rate directional switching mechanism |
| 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 |
| US7753245B2 (en) | 2007-06-22 | 2010-07-13 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments |
| US7597229B2 (en) * | 2007-06-22 | 2009-10-06 | Ethicon Endo-Surgery, Inc. | End effector closure system for a surgical stapling instrument |
| US7658311B2 (en) | 2007-06-22 | 2010-02-09 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with a geared return mechanism |
| US8308040B2 (en) | 2007-06-22 | 2012-11-13 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with an articulatable end effector |
| 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 |
| US8348972B2 (en) | 2007-07-11 | 2013-01-08 | Covidien Lp | Surgical staple with augmented compression area |
| US8061576B2 (en) | 2007-08-31 | 2011-11-22 | Tyco Healthcare Group Lp | Surgical instrument |
| US7624902B2 (en) | 2007-08-31 | 2009-12-01 | Tyco Healthcare Group Lp | Surgical stapling apparatus |
| EP3097869B1 (en) | 2007-09-21 | 2020-03-11 | Covidien LP | Surgical device |
| US8967443B2 (en) | 2007-10-05 | 2015-03-03 | Covidien Lp | Method and apparatus for determining parameters of linear motion in a surgical instrument |
| US8517241B2 (en) | 2010-04-16 | 2013-08-27 | Covidien Lp | Hand-held surgical devices |
| US10498269B2 (en) | 2007-10-05 | 2019-12-03 | Covidien Lp | Powered surgical stapling device |
| US10779818B2 (en) | 2007-10-05 | 2020-09-22 | Covidien Lp | Powered surgical stapling device |
| US8960520B2 (en) | 2007-10-05 | 2015-02-24 | Covidien Lp | Method and apparatus for determining parameters of linear motion in a surgical instrument |
| US7922063B2 (en) | 2007-10-31 | 2011-04-12 | Tyco Healthcare Group, Lp | Powered surgical instrument |
| US7954685B2 (en) | 2007-11-06 | 2011-06-07 | Tyco Healthcare Group Lp | Articulation and firing force mechanisms |
| US8540133B2 (en) * | 2008-09-19 | 2013-09-24 | Ethicon Endo-Surgery, Inc. | Staple cartridge |
| US8453908B2 (en) | 2008-02-13 | 2013-06-04 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with improved firing trigger arrangement |
| US8348129B2 (en) | 2009-10-09 | 2013-01-08 | Ethicon Endo-Surgery, Inc. | Surgical stapler having a closure mechanism |
| US7766209B2 (en) | 2008-02-13 | 2010-08-03 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with improved firing trigger arrangement |
| US8561870B2 (en) | 2008-02-13 | 2013-10-22 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument |
| US7857185B2 (en) | 2008-02-14 | 2010-12-28 | Ethicon Endo-Surgery, Inc. | Disposable loading unit for surgical stapling apparatus |
| RU2493788C2 (ru) | 2008-02-14 | 2013-09-27 | Этикон Эндо-Серджери, Инк. | Хирургический режущий и крепежный инструмент, имеющий радиочастотные электроды |
| US11986183B2 (en) | 2008-02-14 | 2024-05-21 | Cilag Gmbh International | Surgical cutting and fastening instrument comprising a plurality of sensors to measure an electrical parameter |
| US7861906B2 (en) | 2008-02-14 | 2011-01-04 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with articulatable components |
| US8622274B2 (en) | 2008-02-14 | 2014-01-07 | Ethicon Endo-Surgery, Inc. | Motorized cutting and fastening instrument having control circuit for optimizing battery usage |
| 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 |
| US7819298B2 (en) | 2008-02-14 | 2010-10-26 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with control features operable with one hand |
| 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 |
| US8657174B2 (en) | 2008-02-14 | 2014-02-25 | Ethicon Endo-Surgery, Inc. | Motorized surgical cutting and fastening instrument having handle based power source |
| US7819297B2 (en) | 2008-02-14 | 2010-10-26 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with reprocessible handle assembly |
| 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 |
| US7810692B2 (en) | 2008-02-14 | 2010-10-12 | Ethicon Endo-Surgery, Inc. | Disposable loading unit with firing indicator |
| US8758391B2 (en) | 2008-02-14 | 2014-06-24 | Ethicon Endo-Surgery, Inc. | Interchangeable tools for surgical instruments |
| US8584919B2 (en) | 2008-02-14 | 2013-11-19 | Ethicon Endo-Sugery, Inc. | Surgical stapling apparatus with load-sensitive firing mechanism |
| US8636736B2 (en) | 2008-02-14 | 2014-01-28 | Ethicon Endo-Surgery, Inc. | Motorized surgical cutting and fastening instrument |
| US8573465B2 (en) | 2008-02-14 | 2013-11-05 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical end effector system with rotary actuated closure systems |
| US8752749B2 (en) | 2008-02-14 | 2014-06-17 | Ethicon Endo-Surgery, Inc. | Robotically-controlled disposable motor-driven loading unit |
| 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 |
| US7819296B2 (en) | 2008-02-14 | 2010-10-26 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with retractable firing systems |
| US7959051B2 (en) * | 2008-02-15 | 2011-06-14 | Ethicon Endo-Surgery, Inc. | Closure systems for a surgical cutting and stapling instrument |
| US20090206131A1 (en) | 2008-02-15 | 2009-08-20 | Ethicon Endo-Surgery, Inc. | End effector coupling arrangements for a surgical cutting and stapling instrument |
| US8608044B2 (en) | 2008-02-15 | 2013-12-17 | Ethicon Endo-Surgery, Inc. | Feedback and lockout mechanism for surgical instrument |
| US7980443B2 (en) | 2008-02-15 | 2011-07-19 | Ethicon Endo-Surgery, Inc. | End effectors for a surgical cutting and stapling instrument |
| US20090206142A1 (en) | 2008-02-15 | 2009-08-20 | Ethicon Endo-Surgery, Inc. | Buttress material for a surgical stapling instrument |
| US20130153641A1 (en) | 2008-02-15 | 2013-06-20 | Ethicon Endo-Surgery, Inc. | Releasable layer of material and surgical end effector having the same |
| US11272927B2 (en) | 2008-02-15 | 2022-03-15 | Cilag Gmbh International | Layer arrangements for surgical staple cartridges |
| US8231040B2 (en) | 2008-04-14 | 2012-07-31 | Tyco Healthcare Group Lp | Variable compression surgical fastener cartridge |
| US8231041B2 (en) | 2008-04-14 | 2012-07-31 | Tyco Healthcare Group Lp | Variable compression surgical fastener cartridge |
| US8100310B2 (en) | 2008-04-14 | 2012-01-24 | Tyco Healthcare Group Lp | Variable compression surgical fastener apparatus |
| US7926691B2 (en) | 2008-04-14 | 2011-04-19 | Tyco Healthcare Group, L.P. | Variable compression surgical fastener cartridge |
| US8028884B2 (en) | 2008-04-22 | 2011-10-04 | Tyco Healthcare Group Lp | Cartridge for applying varying amounts of tissue compression |
| US8091756B2 (en) * | 2008-05-09 | 2012-01-10 | Tyco Healthcare Group Lp | Varying tissue compression using take-up component |
| US8186556B2 (en) | 2008-05-09 | 2012-05-29 | Tyco Healthcare Group Lp | Variable compression surgical fastener apparatus |
| US8464922B2 (en) | 2008-05-09 | 2013-06-18 | Covidien Lp | Variable compression surgical fastener cartridge |
| US8967446B2 (en) * | 2008-05-09 | 2015-03-03 | Covidien Lp | Variable compression surgical fastener cartridge |
| US9016541B2 (en) | 2008-05-09 | 2015-04-28 | Covidien Lp | Varying tissue compression with an anvil configuration |
| US7922061B2 (en) | 2008-05-21 | 2011-04-12 | Ethicon Endo-Surgery, Inc. | Surgical instrument with automatically reconfigurable articulating end effector |
| US7789283B2 (en) | 2008-06-06 | 2010-09-07 | Tyco Healthcare Group Lp | Knife/firing rod connection for surgical instrument |
| US8701959B2 (en) | 2008-06-06 | 2014-04-22 | Covidien Lp | Mechanically pivoting cartridge channel for surgical instrument |
| US7942303B2 (en) | 2008-06-06 | 2011-05-17 | Tyco Healthcare Group Lp | Knife lockout mechanisms for surgical instrument |
| US20100023052A1 (en) * | 2008-07-23 | 2010-01-28 | Tyco Healthcare Group Lp | Staple for use in surgical procedures |
| US8083120B2 (en) | 2008-09-18 | 2011-12-27 | Ethicon Endo-Surgery, Inc. | End effector for use with a surgical cutting and stapling instrument |
| 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 |
| 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 |
| US8215532B2 (en) | 2008-09-23 | 2012-07-10 | Tyco Healthcare Group Lp | Tissue stop for surgical instrument |
| US9050083B2 (en) | 2008-09-23 | 2015-06-09 | Ethicon Endo-Surgery, Inc. | Motorized surgical instrument |
| US9005230B2 (en) | 2008-09-23 | 2015-04-14 | Ethicon Endo-Surgery, Inc. | Motorized surgical instrument |
| US7896214B2 (en) | 2008-09-23 | 2011-03-01 | Tyco Healthcare Group Lp | Tissue stop for surgical instrument |
| US7988028B2 (en) | 2008-09-23 | 2011-08-02 | Tyco Healthcare Group Lp | Surgical instrument having an asymmetric dynamic clamping member |
| US9386983B2 (en) | 2008-09-23 | 2016-07-12 | Ethicon Endo-Surgery, Llc | Robotically-controlled motorized surgical instrument |
| US8628544B2 (en) | 2008-09-23 | 2014-01-14 | Covidien Lp | Knife bar for surgical instrument |
| US8210411B2 (en) | 2008-09-23 | 2012-07-03 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting instrument |
| US11648005B2 (en) | 2008-09-23 | 2023-05-16 | Cilag Gmbh International | Robotically-controlled motorized surgical instrument with an end effector |
| US8608045B2 (en) | 2008-10-10 | 2013-12-17 | Ethicon Endo-Sugery, Inc. | Powered surgical cutting and stapling apparatus with manually retractable firing system |
| 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 |
| 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 |
| US8397971B2 (en) | 2009-02-05 | 2013-03-19 | Ethicon Endo-Surgery, Inc. | Sterilizable surgical instrument |
| US8517239B2 (en) | 2009-02-05 | 2013-08-27 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument comprising a magnetic element driver |
| JP2012517287A (ja) | 2009-02-06 | 2012-08-02 | エシコン・エンド−サージェリィ・インコーポレイテッド | 被駆動式手術用ステープラの改良 |
| US8444036B2 (en) | 2009-02-06 | 2013-05-21 | Ethicon Endo-Surgery, Inc. | Motor driven surgical fastener device with mechanisms for adjusting a tissue gap within the end effector |
| US8066167B2 (en) | 2009-03-23 | 2011-11-29 | Ethicon Endo-Surgery, Inc. | Circular surgical stapling instrument with anvil locking system |
| US8292154B2 (en) | 2009-04-16 | 2012-10-23 | Tyco Healthcare Group Lp | Surgical apparatus for applying tissue fasteners |
| US8127976B2 (en) | 2009-05-08 | 2012-03-06 | Tyco Healthcare Group Lp | Stapler cartridge and channel interlock |
| US8132706B2 (en) | 2009-06-05 | 2012-03-13 | Tyco Healthcare Group Lp | Surgical stapling apparatus having articulation mechanism |
| US8821514B2 (en) | 2009-06-08 | 2014-09-02 | Covidien Lp | Powered tack applier |
| US8342378B2 (en) | 2009-08-17 | 2013-01-01 | Covidien Lp | One handed stapler |
| US8152041B2 (en) * | 2009-10-14 | 2012-04-10 | Tyco Healthcare Group Lp | Varying tissue compression aided by elastic members |
| US8418907B2 (en) | 2009-11-05 | 2013-04-16 | Covidien Lp | Surgical stapler having cartridge with adjustable cam mechanism |
| US8899466B2 (en) | 2009-11-19 | 2014-12-02 | Ethicon Endo-Surgery, Inc. | Devices and methods for introducing a surgical circular stapling instrument into a patient |
| US8136712B2 (en) | 2009-12-10 | 2012-03-20 | Ethicon Endo-Surgery, Inc. | Surgical stapler with discrete staple height adjustment and tactile feedback |
| US8851354B2 (en) | 2009-12-24 | 2014-10-07 | Ethicon Endo-Surgery, Inc. | Surgical cutting instrument that analyzes tissue thickness |
| US8220688B2 (en) | 2009-12-24 | 2012-07-17 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting instrument with electric actuator directional control assembly |
| 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 |
| US8348127B2 (en) | 2010-04-07 | 2013-01-08 | Covidien Lp | Surgical fastener applying apparatus |
| US8672207B2 (en) | 2010-07-30 | 2014-03-18 | Ethicon Endo-Surgery, Inc. | Transwall visualization arrangements and methods for surgical circular staplers |
| US8783543B2 (en) | 2010-07-30 | 2014-07-22 | Ethicon Endo-Surgery, Inc. | Tissue acquisition arrangements and methods for surgical stapling devices |
| US8789740B2 (en) | 2010-07-30 | 2014-07-29 | Ethicon Endo-Surgery, Inc. | Linear cutting and stapling device with selectively disengageable cutting member |
| 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 |
| US9364233B2 (en) | 2010-09-30 | 2016-06-14 | Ethicon Endo-Surgery, Llc | Tissue thickness compensators for circular surgical staplers |
| US9301752B2 (en) | 2010-09-30 | 2016-04-05 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator comprising a plurality of capsules |
| US9320523B2 (en) | 2012-03-28 | 2016-04-26 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator comprising tissue ingrowth features |
| US9332974B2 (en) | 2010-09-30 | 2016-05-10 | Ethicon Endo-Surgery, Llc | Layered tissue thickness compensator |
| US9220500B2 (en) | 2010-09-30 | 2015-12-29 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator comprising structure to produce a resilient load |
| US9055941B2 (en) | 2011-09-23 | 2015-06-16 | Ethicon Endo-Surgery, Inc. | Staple cartridge including collapsible deck |
| US12213666B2 (en) | 2010-09-30 | 2025-02-04 | Cilag Gmbh International | Tissue thickness compensator comprising layers |
| US9241714B2 (en) | 2011-04-29 | 2016-01-26 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator and method for making the same |
| US9220501B2 (en) | 2010-09-30 | 2015-12-29 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensators |
| US9232941B2 (en) | 2010-09-30 | 2016-01-12 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator comprising a reservoir |
| US10405854B2 (en) | 2010-09-30 | 2019-09-10 | Ethicon Llc | Surgical stapling cartridge with layer retention features |
| US9314246B2 (en) | 2010-09-30 | 2016-04-19 | Ethicon Endo-Surgery, Llc | Tissue stapler having a thickness compensator incorporating an anti-inflammatory agent |
| US8474677B2 (en) | 2010-09-30 | 2013-07-02 | Ethicon Endo-Surgery, Inc. | Fastener system comprising a retention matrix and a cover |
| US11925354B2 (en) | 2010-09-30 | 2024-03-12 | Cilag Gmbh International | Staple cartridge comprising staples positioned within a compressible portion thereof |
| US8893949B2 (en) | 2010-09-30 | 2014-11-25 | Ethicon Endo-Surgery, Inc. | Surgical stapler with floating anvil |
| US9629814B2 (en) | 2010-09-30 | 2017-04-25 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator configured to redistribute compressive forces |
| 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 |
| 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 |
| US9307989B2 (en) | 2012-03-28 | 2016-04-12 | Ethicon Endo-Surgery, Llc | Tissue stapler having a thickness compensator incorportating a hydrophobic agent |
| US9301753B2 (en) | 2010-09-30 | 2016-04-05 | Ethicon Endo-Surgery, Llc | Expandable tissue thickness compensator |
| US9113865B2 (en) | 2010-09-30 | 2015-08-25 | Ethicon Endo-Surgery, Inc. | Staple cartridge comprising a layer |
| US8899461B2 (en) | 2010-10-01 | 2014-12-02 | Covidien Lp | Tissue stop for surgical instrument |
| USD650074S1 (en) | 2010-10-01 | 2011-12-06 | Ethicon Endo-Surgery, Inc. | Surgical instrument |
| US8695866B2 (en) | 2010-10-01 | 2014-04-15 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a power control circuit |
| US8308041B2 (en) | 2010-11-10 | 2012-11-13 | Tyco Healthcare Group Lp | Staple formed over the wire wound closure procedure |
| US9125654B2 (en) | 2011-03-14 | 2015-09-08 | Ethicon Endo-Surgery, Inc. | Multiple part anvil assemblies for circular surgical stapling devices |
| 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 |
| US8800841B2 (en) | 2011-03-15 | 2014-08-12 | Ethicon Endo-Surgery, Inc. | Surgical staple cartridges |
| US9044229B2 (en) | 2011-03-15 | 2015-06-02 | Ethicon Endo-Surgery, Inc. | Surgical fastener 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 |
| 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 |
| US9289209B2 (en) | 2011-06-09 | 2016-03-22 | Covidien Lp | Surgical fastener applying apparatus |
| US9451959B2 (en) | 2011-06-09 | 2016-09-27 | Covidien Lp | Surgical fastener applying apparatus |
| US9271728B2 (en) | 2011-06-09 | 2016-03-01 | Covidien Lp | Surgical fastener applying apparatus |
| US8763876B2 (en) | 2011-06-30 | 2014-07-01 | Covidien Lp | Surgical instrument and cartridge for use therewith |
| US20130012958A1 (en) | 2011-07-08 | 2013-01-10 | Stanislaw Marczyk | Surgical Device with Articulation and Wrist Rotation |
| US8998059B2 (en) | 2011-08-01 | 2015-04-07 | Ethicon Endo-Surgery, Inc. | Adjunct therapy device having driver with cavity for hemostatic agent |
| US9539007B2 (en) | 2011-08-08 | 2017-01-10 | Covidien Lp | Surgical fastener applying aparatus |
| US9155537B2 (en) | 2011-08-08 | 2015-10-13 | Covidien Lp | Surgical fastener applying apparatus |
| US9724095B2 (en) | 2011-08-08 | 2017-08-08 | Covidien Lp | Surgical fastener applying apparatus |
| US20130041406A1 (en) | 2011-08-10 | 2013-02-14 | Brian W. Bear | Surgical staple with localized adjunct coating |
| US9492170B2 (en) | 2011-08-10 | 2016-11-15 | Ethicon Endo-Surgery, Inc. | Device for applying adjunct in endoscopic procedure |
| US9107663B2 (en) | 2011-09-06 | 2015-08-18 | Ethicon Endo-Surgery, Inc. | Stapling instrument comprising resettable staple drivers |
| US9101359B2 (en) | 2011-09-13 | 2015-08-11 | Ethicon Endo-Surgery, Inc. | Surgical staple cartridge with self-dispensing staple buttress |
| US8998060B2 (en) | 2011-09-13 | 2015-04-07 | Ethicon Endo-Surgery, Inc. | Resistive heated surgical staple cartridge with phase change sealant |
| US9999408B2 (en) | 2011-09-14 | 2018-06-19 | Ethicon Endo-Surgery, Inc. | Surgical instrument with fluid fillable buttress |
| US20130068816A1 (en) | 2011-09-15 | 2013-03-21 | Venkataramanan Mandakolathur Vasudevan | Surgical instrument and buttress material |
| US8814025B2 (en) | 2011-09-15 | 2014-08-26 | Ethicon Endo-Surgery, Inc. | Fibrin pad matrix with suspended heat activated beads of adhesive |
| US9254180B2 (en) | 2011-09-15 | 2016-02-09 | Ethicon Endo-Surgery, Inc. | Surgical instrument with staple reinforcement clip |
| US9125649B2 (en) | 2011-09-15 | 2015-09-08 | Ethicon Endo-Surgery, Inc. | Surgical instrument with filled staple |
| US9198644B2 (en) | 2011-09-22 | 2015-12-01 | Ethicon Endo-Surgery, Inc. | Anvil cartridge for surgical fastening device |
| US20130075447A1 (en) | 2011-09-22 | 2013-03-28 | II William B. Weisenburgh | Adjunct therapy device for applying hemostatic agent |
| US9393018B2 (en) | 2011-09-22 | 2016-07-19 | Ethicon Endo-Surgery, Inc. | Surgical staple assembly with hemostatic feature |
| US9050084B2 (en) | 2011-09-23 | 2015-06-09 | Ethicon Endo-Surgery, Inc. | Staple cartridge including collapsible deck arrangement |
| US8985429B2 (en) | 2011-09-23 | 2015-03-24 | Ethicon Endo-Surgery, Inc. | Surgical stapling device with adjunct material application feature |
| US8899464B2 (en) | 2011-10-03 | 2014-12-02 | Ethicon Endo-Surgery, Inc. | Attachment of surgical staple buttress to cartridge |
| US9089326B2 (en) | 2011-10-07 | 2015-07-28 | Ethicon Endo-Surgery, Inc. | Dual staple cartridge for surgical stapler |
| US9492146B2 (en) | 2011-10-25 | 2016-11-15 | Covidien Lp | Apparatus for endoscopic procedures |
| US9480492B2 (en) | 2011-10-25 | 2016-11-01 | Covidien Lp | Apparatus for endoscopic procedures |
| US8672206B2 (en) | 2011-10-25 | 2014-03-18 | Covidien Lp | Apparatus for endoscopic procedures |
| US8899462B2 (en) | 2011-10-25 | 2014-12-02 | Covidien Lp | Apparatus for endoscopic procedures |
| US9016539B2 (en) | 2011-10-25 | 2015-04-28 | Covidien Lp | Multi-use loading unit |
| US11207089B2 (en) | 2011-10-25 | 2021-12-28 | Covidien Lp | Apparatus for endoscopic procedures |
| US8657177B2 (en) | 2011-10-25 | 2014-02-25 | Covidien Lp | Surgical apparatus and method for endoscopic surgery |
| US9364231B2 (en) | 2011-10-27 | 2016-06-14 | Covidien Lp | System and method of using simulation reload to optimize staple formation |
| US8740036B2 (en) | 2011-12-01 | 2014-06-03 | Covidien Lp | Surgical instrument with actuator spring arm |
| US9603599B2 (en) | 2011-12-16 | 2017-03-28 | Ethicon Endo-Surgery, Llc | Feature to reengage safety switch of tissue stapler |
| US9186148B2 (en) | 2012-01-05 | 2015-11-17 | Ethicon Endo-Surgery, Inc. | Tissue stapler anvil feature to prevent premature jaw opening |
| US9549738B2 (en) | 2012-01-05 | 2017-01-24 | Ethicon Endo-Surgery, Llc | Ratcheting feature on tissue staple trigger to prevent premature jaw opening |
| US9095340B2 (en) | 2012-01-05 | 2015-08-04 | Ethicon Endo-Surgery, Inc. | Tissue stapler safety switch feature to prevent premature jaw opening |
| US10299815B2 (en) | 2012-01-19 | 2019-05-28 | Covidien Lp | Surgical instrument with clam releases mechanism |
| US8864010B2 (en) | 2012-01-20 | 2014-10-21 | Covidien Lp | Curved guide member for articulating instruments |
| 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 |
| US8979827B2 (en) | 2012-03-14 | 2015-03-17 | Covidien Lp | Surgical instrument with articulation mechanism |
| 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 |
| US9198662B2 (en) | 2012-03-28 | 2015-12-01 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator having improved visibility |
| MX358135B (es) | 2012-03-28 | 2018-08-06 | Ethicon Endo Surgery Inc | Compensador de grosor de tejido que comprende una pluralidad de capas. |
| MX350846B (es) | 2012-03-28 | 2017-09-22 | Ethicon Endo Surgery Inc | Compensador de grosor de tejido que comprende cápsulas que definen un ambiente de baja presión. |
| CN104379068B (zh) | 2012-03-28 | 2017-09-22 | 伊西康内外科公司 | 包括组织厚度补偿件的保持器组件 |
| US9526497B2 (en) | 2012-05-07 | 2016-12-27 | Covidien Lp | Surgical instrument with articulation mechanism |
| US11871901B2 (en) | 2012-05-20 | 2024-01-16 | Cilag Gmbh International | Method for situational awareness for surgical network or surgical network connected device capable of adjusting function based on a sensed situation or usage |
| US9868198B2 (en) | 2012-06-01 | 2018-01-16 | Covidien Lp | Hand held surgical handle assembly, surgical adapters for use between surgical handle assembly and surgical loading units, and methods of use |
| US9597104B2 (en) | 2012-06-01 | 2017-03-21 | Covidien Lp | Handheld surgical handle assembly, surgical adapters for use between surgical handle assembly and surgical end effectors, and methods of use |
| US10080563B2 (en) | 2012-06-01 | 2018-09-25 | Covidien Lp | Loading unit detection assembly and surgical device for use therewith |
| US9101358B2 (en) | 2012-06-15 | 2015-08-11 | Ethicon Endo-Surgery, Inc. | Articulatable surgical instrument comprising a firing drive |
| US9364220B2 (en) | 2012-06-19 | 2016-06-14 | Covidien Lp | Apparatus for endoscopic procedures |
| US20140001231A1 (en) | 2012-06-28 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Firing system lockout arrangements for surgical instruments |
| US9226751B2 (en) | 2012-06-28 | 2016-01-05 | Ethicon Endo-Surgery, Inc. | Surgical instrument system including replaceable end effectors |
| JP6290201B2 (ja) | 2012-06-28 | 2018-03-07 | エシコン・エンド−サージェリィ・インコーポレイテッドＥｔｈｉｃｏｎ Ｅｎｄｏ−Ｓｕｒｇｅｒｙ，Ｉｎｃ． | 空クリップカートリッジ用のロックアウト |
| US9072536B2 (en) | 2012-06-28 | 2015-07-07 | Ethicon Endo-Surgery, Inc. | Differential locking arrangements for rotary powered surgical instruments |
| US11197671B2 (en) | 2012-06-28 | 2021-12-14 | Cilag Gmbh International | Stapling assembly comprising a lockout |
| US9101385B2 (en) | 2012-06-28 | 2015-08-11 | Ethicon Endo-Surgery, Inc. | Electrode connections for rotary driven surgical tools |
| US9125662B2 (en) | 2012-06-28 | 2015-09-08 | Ethicon Endo-Surgery, Inc. | Multi-axis articulating and rotating surgical tools |
| US9561038B2 (en) | 2012-06-28 | 2017-02-07 | Ethicon Endo-Surgery, Llc | Interchangeable clip applier |
| US9119657B2 (en) | 2012-06-28 | 2015-09-01 | Ethicon Endo-Surgery, Inc. | Rotary actuatable closure arrangement for surgical end effector |
| US9282974B2 (en) | 2012-06-28 | 2016-03-15 | Ethicon Endo-Surgery, Llc | Empty clip cartridge lockout |
| US8747238B2 (en) | 2012-06-28 | 2014-06-10 | Ethicon Endo-Surgery, Inc. | Rotary drive shaft assemblies for surgical instruments with articulatable end effectors |
| US9289256B2 (en) | 2012-06-28 | 2016-03-22 | Ethicon Endo-Surgery, Llc | Surgical end effectors having angled tissue-contacting surfaces |
| US12383267B2 (en) | 2012-06-28 | 2025-08-12 | Cilag Gmbh International | Robotically powered surgical device with manually-actuatable reversing system |
| US9204879B2 (en) | 2012-06-28 | 2015-12-08 | Ethicon Endo-Surgery, Inc. | Flexible drive member |
| 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 |
| US9028494B2 (en) | 2012-06-28 | 2015-05-12 | Ethicon Endo-Surgery, Inc. | Interchangeable end effector coupling arrangement |
| US9232944B2 (en) | 2012-06-29 | 2016-01-12 | Covidien Lp | Surgical instrument and bushing |
| US10492814B2 (en) | 2012-07-09 | 2019-12-03 | Covidien Lp | Apparatus for endoscopic procedures |
| US9839480B2 (en) | 2012-07-09 | 2017-12-12 | Covidien Lp | Surgical adapter assemblies for use between surgical handle assembly and surgical end effectors |
| US9955965B2 (en) | 2012-07-09 | 2018-05-01 | Covidien Lp | Switch block control assembly of a medical device |
| US9402604B2 (en) | 2012-07-20 | 2016-08-02 | Covidien Lp | Apparatus for endoscopic procedures |
| US9386985B2 (en) | 2012-10-15 | 2016-07-12 | Ethicon Endo-Surgery, Llc | Surgical cutting instrument |
| US9364217B2 (en) | 2012-10-16 | 2016-06-14 | Covidien Lp | In-situ loaded stapler |
| US9421014B2 (en) | 2012-10-18 | 2016-08-23 | Covidien Lp | Loading unit velocity and position feedback |
| US9498222B2 (en) | 2012-11-29 | 2016-11-22 | Ethicon Endo-Surgery, Llc | Pivoting anvil for surgical circular stapler |
| US9289207B2 (en) | 2012-11-29 | 2016-03-22 | Ethicon Endo-Surgery, Llc | Surgical staple with integral pledget for tip deflection |
| US9724100B2 (en) | 2012-12-04 | 2017-08-08 | Ethicon Llc | Circular anvil introduction system with alignment feature |
| US9572573B2 (en) | 2012-12-04 | 2017-02-21 | Ethicon Endo-Surgery, Llc | Trans-oral circular anvil introduction system with dilation feature |
| US9597081B2 (en) | 2012-12-17 | 2017-03-21 | Ethicon Endo-Surgery, Llc | Motor driven rotary input circular stapler with modular end effector |
| US9445816B2 (en) | 2012-12-17 | 2016-09-20 | Ethicon Endo-Surgery, Llc | Circular stapler with selectable motorized and manual control |
| US9463022B2 (en) | 2012-12-17 | 2016-10-11 | Ethicon Endo-Surgery, Llc | Motor driven rotary input circular stapler with lockable flexible shaft |
| US9345480B2 (en) | 2013-01-18 | 2016-05-24 | Covidien Lp | Surgical instrument and cartridge members for use therewith |
| US9782187B2 (en) | 2013-01-18 | 2017-10-10 | Covidien Lp | Adapter load button lockout |
| US10918364B2 (en) | 2013-01-24 | 2021-02-16 | Covidien Lp | Intelligent adapter assembly for use with an electromechanical surgical system |
| US9386984B2 (en) | 2013-02-08 | 2016-07-12 | Ethicon Endo-Surgery, Llc | Staple cartridge comprising a releasable cover |
| US9216013B2 (en) | 2013-02-18 | 2015-12-22 | Covidien Lp | Apparatus for endoscopic procedures |
| US9421003B2 (en) | 2013-02-18 | 2016-08-23 | Covidien Lp | Apparatus for endoscopic procedures |
| US9867615B2 (en) | 2013-02-28 | 2018-01-16 | Ethicon Llc | Surgical instrument with articulation lock having a detenting binary spring |
| US10092292B2 (en) | 2013-02-28 | 2018-10-09 | Ethicon Llc | Staple forming features for surgical stapling instrument |
| US9839421B2 (en) | 2013-02-28 | 2017-12-12 | Ethicon Llc | Jaw closure feature for end effector of surgical instrument |
| US9717497B2 (en) | 2013-02-28 | 2017-08-01 | Ethicon Llc | Lockout feature for movable cutting member of surgical instrument |
| US9186142B2 (en) | 2013-02-28 | 2015-11-17 | Ethicon Endo-Surgery, Inc. | Surgical instrument end effector articulation drive with pinion and opposing racks |
| US9795379B2 (en) | 2013-02-28 | 2017-10-24 | Ethicon Llc | Surgical instrument with multi-diameter shaft |
| US9517065B2 (en) | 2013-02-28 | 2016-12-13 | Ethicon Endo-Surgery, Llc | Integrated tissue positioning and jaw alignment features for surgical stapler |
| US9622746B2 (en) | 2013-02-28 | 2017-04-18 | Ethicon Endo-Surgery, Llc | Distal tip features for end effector of surgical instrument |
| US9808248B2 (en) | 2013-02-28 | 2017-11-07 | Ethicon Llc | Installation features for surgical instrument end effector cartridge |
| MX368026B (es) | 2013-03-01 | 2019-09-12 | Ethicon Endo Surgery Inc | Instrumento quirúrgico articulable con vías conductoras para la comunicación de la señal. |
| RU2669463C2 (ru) | 2013-03-01 | 2018-10-11 | Этикон Эндо-Серджери, Инк. | Хирургический инструмент с мягким упором |
| US9307986B2 (en) | 2013-03-01 | 2016-04-12 | Ethicon Endo-Surgery, Llc | Surgical instrument soft stop |
| US10561432B2 (en) | 2013-03-05 | 2020-02-18 | Covidien Lp | Pivoting screw for use with a pair of jaw members of a surgical instrument |
| CN104042267A (zh) | 2013-03-12 | 2014-09-17 | 伊西康内外科公司 | 具有击发系统闭锁结构的动力外科器械 |
| US9629628B2 (en) | 2013-03-13 | 2017-04-25 | Covidien Lp | Surgical stapling apparatus |
| US9492189B2 (en) | 2013-03-13 | 2016-11-15 | Covidien Lp | Apparatus for endoscopic procedures |
| US9814463B2 (en) | 2013-03-13 | 2017-11-14 | Covidien Lp | Surgical stapling apparatus |
| US12161322B2 (en) | 2013-03-13 | 2024-12-10 | Covidien Lp | Surgical stapling apparatus |
| US9566064B2 (en) | 2013-03-13 | 2017-02-14 | Covidien Lp | Surgical stapling apparatus |
| US9717498B2 (en) | 2013-03-13 | 2017-08-01 | Covidien Lp | Surgical stapling apparatus |
| US9345481B2 (en) | 2013-03-13 | 2016-05-24 | Ethicon Endo-Surgery, Llc | Staple cartridge tissue thickness sensor system |
| US9168090B2 (en) | 2013-03-14 | 2015-10-27 | Ethicon Endo-Surgery, Inc. | Electrosurgical instrument with restricted trigger |
| US9351726B2 (en) | 2013-03-14 | 2016-05-31 | Ethicon Endo-Surgery, Llc | Articulation control system for articulatable surgical instruments |
| US20140276730A1 (en) | 2013-03-14 | 2014-09-18 | Ethicon Endo-Surgery, Inc. | Surgical instrument with reinforced articulation section |
| US9877782B2 (en) | 2013-03-14 | 2018-01-30 | Ethicon Llc | Electrosurgical instrument end effector with compliant electrode |
| US9629629B2 (en) | 2013-03-14 | 2017-04-25 | Ethicon Endo-Surgey, LLC | Control systems for surgical instruments |
| US9649109B2 (en) | 2013-03-14 | 2017-05-16 | C.R. Bard, Inc. | Surgical instrument with an actuation lockout |
| AU2014236486B2 (en) | 2013-03-14 | 2019-02-07 | Applied Medical Resources Corporation | Surgical stapler with partial pockets |
| US9597082B2 (en) | 2013-03-14 | 2017-03-21 | Ethicon Endo-Surgery, Llc | Method and apparatus for sealing end-to-end anastomosis |
| US9254171B2 (en) | 2013-03-14 | 2016-02-09 | Ethicon Endo-Surgery, Inc. | Electrosurgical instrument with multi-stage actuator |
| ES2728023T3 (es) | 2013-03-15 | 2019-10-21 | Applied Med Resources | Grapadora quirúrgica con mecanismo de accionamiento con eje de rotación |
| US9820742B2 (en) | 2013-03-15 | 2017-11-21 | Applied Medical Resources Corporation | Surgical stapler with expandable jaw |
| US9237923B2 (en) | 2013-03-15 | 2016-01-19 | Ethicon Endo-Surgery, Inc. | Surgical instrument with partial trigger lockout |
| US9510906B2 (en) | 2013-03-15 | 2016-12-06 | Ethicon Endo-Surgery, Llc | Tissue clamping features of surgical instrument end effector |
| US9510827B2 (en) | 2013-03-25 | 2016-12-06 | Covidien Lp | Micro surgical instrument and loading unit for use therewith |
| US9572577B2 (en) | 2013-03-27 | 2017-02-21 | Ethicon Endo-Surgery, Llc | Fastener cartridge comprising a tissue thickness compensator including openings therein |
| US9332984B2 (en) | 2013-03-27 | 2016-05-10 | Ethicon Endo-Surgery, Llc | Fastener cartridge assemblies |
| US9795384B2 (en) | 2013-03-27 | 2017-10-24 | Ethicon Llc | Fastener cartridge comprising a tissue thickness compensator and a gap setting element |
| US9700318B2 (en) | 2013-04-09 | 2017-07-11 | Covidien Lp | Apparatus for endoscopic procedures |
| US9775610B2 (en) | 2013-04-09 | 2017-10-03 | Covidien Lp | Apparatus for endoscopic procedures |
| BR112015026109B1 (pt) | 2013-04-16 | 2022-02-22 | Ethicon Endo-Surgery, Inc | Instrumento cirúrgico |
| US9801626B2 (en) | 2013-04-16 | 2017-10-31 | Ethicon Llc | Modular motor driven surgical instruments with alignment features for aligning rotary drive shafts with surgical end effector shafts |
| US9579118B2 (en) | 2013-05-01 | 2017-02-28 | Ethicon Endo-Surgery, Llc | Electrosurgical instrument with dual blade end effector |
| US9566110B2 (en) | 2013-05-09 | 2017-02-14 | Ethicon Endo-Surgery, Llc | Surgical instrument with jaw opening assist feature |
| US9237900B2 (en) | 2013-05-10 | 2016-01-19 | Ethicon Endo-Surgery, Inc. | Surgical instrument with split jaw |
| US9629648B2 (en) | 2013-05-10 | 2017-04-25 | Ethicon Endo-Surgery, Llc | Surgical instrument with translating compliant jaw closure feature |
| US9574644B2 (en) | 2013-05-30 | 2017-02-21 | Ethicon Endo-Surgery, Llc | Power module for use with a surgical instrument |
| US9801646B2 (en) | 2013-05-30 | 2017-10-31 | Covidien Lp | Adapter load button decoupled from loading unit sensor |
| US9579147B2 (en) | 2013-06-04 | 2017-02-28 | Ethicon Endo-Surgery, Llc | Electrosurgical forceps with translating blade driver |
| US9351788B2 (en) | 2013-06-06 | 2016-05-31 | Ethicon Endo-Surgery, Llc | Surgical instrument having knife band with curved distal edge |
| US9504520B2 (en) | 2013-06-06 | 2016-11-29 | Ethicon Endo-Surgery, Llc | Surgical instrument with modular motor |
| US9445810B2 (en) | 2013-06-12 | 2016-09-20 | Covidien Lp | Stapling device with grasping jaw mechanism |
| US9775667B2 (en) | 2013-06-18 | 2017-10-03 | Ethicon Llc | Surgical instrument with articulation indicator |
| US9797486B2 (en) | 2013-06-20 | 2017-10-24 | Covidien Lp | Adapter direct drive with manual retraction, lockout and connection mechanisms |
| US9757129B2 (en) | 2013-07-08 | 2017-09-12 | Covidien Lp | Coupling member configured for use with surgical devices |
| US9561029B2 (en) | 2013-08-15 | 2017-02-07 | Ethicon Endo-Surgery, Llc | Surgical stapler with rolling anvil |
| US9750522B2 (en) | 2013-08-15 | 2017-09-05 | Ethicon Llc | Surgical instrument with clips having transecting blades |
| MX369362B (es) | 2013-08-23 | 2019-11-06 | Ethicon Endo Surgery Llc | Dispositivos de retraccion de miembros de disparo para instrumentos quirurgicos electricos. |
| BR112016003391B1 (pt) | 2013-08-23 | 2021-12-28 | Ethicon Endo-Surgery, Llc | Grampeador cirúrgico |
| US20150053737A1 (en) | 2013-08-23 | 2015-02-26 | Ethicon Endo-Surgery, Inc. | End effector detection systems for surgical instruments |
| US9662108B2 (en) | 2013-08-30 | 2017-05-30 | Covidien Lp | Surgical stapling apparatus |
| US20140171986A1 (en) | 2013-09-13 | 2014-06-19 | Ethicon Endo-Surgery, Inc. | Surgical Clip Having Comliant Portion |
| US9955966B2 (en) | 2013-09-17 | 2018-05-01 | Covidien Lp | Adapter direct drive with manual retraction, lockout, and connection mechanisms for improper use prevention |
| US9962157B2 (en) | 2013-09-18 | 2018-05-08 | Covidien Lp | Apparatus and method for differentiating between tissue and mechanical obstruction in a surgical instrument |
| US9936949B2 (en) | 2013-09-23 | 2018-04-10 | Ethicon Llc | Surgical stapling instrument with drive assembly having toggle features |
| US9907552B2 (en) | 2013-09-23 | 2018-03-06 | Ethicon Llc | Control features for motorized surgical stapling instrument |
| US20150083772A1 (en) | 2013-09-23 | 2015-03-26 | Ethicon Endo-Surgery, Inc. | Surgical stapler with rotary cam drive and return |
| US9713469B2 (en) | 2013-09-23 | 2017-07-25 | Ethicon Llc | Surgical stapler with rotary cam drive |
| US10709452B2 (en) | 2013-09-23 | 2020-07-14 | Ethicon Llc | Methods and systems for performing circular stapling |
| US9974540B2 (en) | 2013-10-18 | 2018-05-22 | Covidien Lp | Adapter direct drive twist-lock retention mechanism |
| CA2926748A1 (en) | 2013-11-04 | 2015-05-07 | Covidien Lp | Surgical fastener applying apparatus |
| CN110063762B (zh) | 2013-11-04 | 2022-04-15 | 柯惠Lp公司 | 手术紧固件施加装置 |
| CN105682568B (zh) | 2013-11-04 | 2018-10-23 | 柯惠Lp公司 | 手术紧固件施加装置 |
| US9295522B2 (en) | 2013-11-08 | 2016-03-29 | Covidien Lp | Medical device adapter with wrist mechanism |
| US10236616B2 (en) | 2013-12-04 | 2019-03-19 | Covidien Lp | Adapter assembly for interconnecting surgical devices and surgical attachments, and surgical systems thereof |
| ES2755485T3 (es) | 2013-12-09 | 2020-04-22 | Covidien Lp | Conjunto de adaptador para la interconexión de dispositivos quirúrgicos electromecánicos y unidades de carga quirúrgica, y sistemas quirúrgicos de los mismos |
| US10561417B2 (en) | 2013-12-09 | 2020-02-18 | Covidien Lp | Adapter assembly for interconnecting electromechanical surgical devices and surgical loading units, and surgical systems thereof |
| EP3834752B1 (en) | 2013-12-11 | 2024-03-13 | Covidien LP | Wrist and jaw assemblies for robotic surgical systems |
| US10220522B2 (en) | 2013-12-12 | 2019-03-05 | Covidien Lp | Gear train assemblies for robotic surgical systems |
| US9808245B2 (en) | 2013-12-13 | 2017-11-07 | Covidien Lp | Coupling assembly for interconnecting an adapter assembly and a surgical device, and surgical systems thereof |
| US9867613B2 (en) | 2013-12-19 | 2018-01-16 | Covidien Lp | Surgical staples and end effectors for deploying the same |
| US9681870B2 (en) | 2013-12-23 | 2017-06-20 | Ethicon Llc | Articulatable surgical instruments with separate and distinct closing and firing systems |
| US20150173756A1 (en) | 2013-12-23 | 2015-06-25 | Ethicon Endo-Surgery, Inc. | Surgical cutting and stapling methods |
| US9724092B2 (en) | 2013-12-23 | 2017-08-08 | Ethicon Llc | Modular surgical instruments |
| US9839428B2 (en) | 2013-12-23 | 2017-12-12 | Ethicon Llc | Surgical cutting and stapling instruments with independent jaw control features |
| US9687232B2 (en) | 2013-12-23 | 2017-06-27 | Ethicon Llc | Surgical staples |
| US9642620B2 (en) | 2013-12-23 | 2017-05-09 | Ethicon Endo-Surgery, Llc | Surgical cutting and stapling instruments with articulatable end effectors |
| US9839424B2 (en) | 2014-01-17 | 2017-12-12 | Covidien Lp | Electromechanical surgical assembly |
| US9655616B2 (en) | 2014-01-22 | 2017-05-23 | Covidien Lp | Apparatus for endoscopic procedures |
| US9468454B2 (en) * | 2014-01-28 | 2016-10-18 | Ethicon Endo-Surgery, Inc. | Motor control and feedback in powered surgical devices |
| US10219869B2 (en) | 2014-02-12 | 2019-03-05 | Covidien Lp | Surgical end effectors and pulley assemblies thereof |
| US9962161B2 (en) | 2014-02-12 | 2018-05-08 | Ethicon Llc | Deliverable surgical instrument |
| US9707005B2 (en) | 2014-02-14 | 2017-07-18 | Ethicon Llc | Lockout mechanisms for surgical devices |
| US9848874B2 (en) | 2014-02-14 | 2017-12-26 | Covidien Lp | Small diameter endoscopic stapler |
| US9301691B2 (en) | 2014-02-21 | 2016-04-05 | Covidien Lp | Instrument for optically detecting tissue attributes |
| BR112016019387B1 (pt) | 2014-02-24 | 2022-11-29 | Ethicon Endo-Surgery, Llc | Sistema de instrumento cirúrgico e cartucho de prendedores para uso com um instrumento cirúrgico de fixação |
| US9757124B2 (en) | 2014-02-24 | 2017-09-12 | Ethicon Llc | Implantable layer assemblies |
| US12232723B2 (en) | 2014-03-26 | 2025-02-25 | Cilag Gmbh International | Systems and methods for controlling a segmented circuit |
| US9913642B2 (en) | 2014-03-26 | 2018-03-13 | Ethicon Llc | Surgical instrument comprising a sensor system |
| BR112016021943B1 (pt) | 2014-03-26 | 2022-06-14 | Ethicon Endo-Surgery, Llc | Instrumento cirúrgico para uso por um operador em um procedimento cirúrgico |
| US10013049B2 (en) | 2014-03-26 | 2018-07-03 | Ethicon Llc | Power management through sleep options of segmented circuit and wake up control |
| US9750499B2 (en) | 2014-03-26 | 2017-09-05 | Ethicon Llc | Surgical stapling instrument system |
| US20150272557A1 (en) | 2014-03-26 | 2015-10-01 | Ethicon Endo-Surgery, Inc. | Modular surgical instrument system |
| EP3125785B1 (en) | 2014-03-31 | 2020-03-04 | Covidien LP | Wrist and jaw assemblies for robotic surgical systems |
| US9757126B2 (en) | 2014-03-31 | 2017-09-12 | Covidien Lp | Surgical stapling apparatus with firing lockout mechanism |
| CN106456176B (zh) | 2014-04-16 | 2019-06-28 | 伊西康内外科有限责任公司 | 包括具有不同构型的延伸部的紧固件仓 |
| US20150297223A1 (en) | 2014-04-16 | 2015-10-22 | Ethicon Endo-Surgery, Inc. | Fastener cartridges including extensions having different configurations |
| US10327764B2 (en) | 2014-09-26 | 2019-06-25 | Ethicon Llc | Method for creating a flexible staple line |
| CN106456158B (zh) | 2014-04-16 | 2019-02-05 | 伊西康内外科有限责任公司 | 包括非一致紧固件的紧固件仓 |
| US10561422B2 (en) | 2014-04-16 | 2020-02-18 | Ethicon Llc | Fastener cartridge comprising deployable tissue engaging members |
| JP6532889B2 (ja) | 2014-04-16 | 2019-06-19 | エシコン エルエルシーＥｔｈｉｃｏｎ ＬＬＣ | 締結具カートリッジ組立体及びステープル保持具カバー配置構成 |
| US10164466B2 (en) | 2014-04-17 | 2018-12-25 | Covidien Lp | Non-contact surgical adapter electrical interface |
| US9668733B2 (en) | 2014-04-21 | 2017-06-06 | Covidien Lp | Stapling device with features to prevent inadvertent firing of staples |
| US10080552B2 (en) | 2014-04-21 | 2018-09-25 | Covidien Lp | Adapter assembly with gimbal for interconnecting electromechanical surgical devices and surgical loading units, and surgical systems thereof |
| US9861366B2 (en) | 2014-05-06 | 2018-01-09 | Covidien Lp | Ejecting assembly for a surgical stapler |
| EP3142569B1 (en) | 2014-05-15 | 2023-12-27 | Covidien LP | Surgical fastener applying apparatus |
| US9713466B2 (en) | 2014-05-16 | 2017-07-25 | Covidien Lp | Adaptor for surgical instrument for converting rotary input to linear output |
| EP3785644B1 (en) | 2014-06-11 | 2023-11-01 | Applied Medical Resources Corporation | Surgical stapler with circumferential firing |
| US10045781B2 (en) | 2014-06-13 | 2018-08-14 | Ethicon Llc | Closure lockout systems for surgical instruments |
| BR112016030332B1 (pt) | 2014-06-25 | 2022-11-01 | Ethicon Endo-Surgery, Llc | Aparelho de engate por travamento para grampeador cirúrgico |
| US10456132B2 (en) | 2014-06-25 | 2019-10-29 | Ethicon Llc | Jaw opening feature for surgical stapler |
| US9693774B2 (en) | 2014-06-25 | 2017-07-04 | Ethicon Llc | Pivotable articulation joint unlocking feature for surgical stapler |
| US10292701B2 (en) | 2014-06-25 | 2019-05-21 | Ethicon Llc | Articulation drive features for surgical stapler |
| US9999423B2 (en) | 2014-06-25 | 2018-06-19 | Ethicon Llc | Translatable articulation joint unlocking feature for surgical stapler |
| US10064620B2 (en) | 2014-06-25 | 2018-09-04 | Ethicon Llc | Method of unlocking articulation joint in surgical stapler |
| US10335147B2 (en) | 2014-06-25 | 2019-07-02 | Ethicon Llc | Method of using lockout features for surgical stapler cartridge |
| US10561418B2 (en) | 2014-06-26 | 2020-02-18 | Covidien Lp | Adapter assemblies for interconnecting surgical loading units and handle assemblies |
| US10163589B2 (en) | 2014-06-26 | 2018-12-25 | Covidien Lp | Adapter assemblies for interconnecting surgical loading units and handle assemblies |
| US9763661B2 (en) | 2014-06-26 | 2017-09-19 | Covidien Lp | Adapter assembly for interconnecting electromechanical surgical devices and surgical loading units, and surgical systems thereof |
| US9987095B2 (en) | 2014-06-26 | 2018-06-05 | Covidien Lp | Adapter assemblies for interconnecting electromechanical handle assemblies and surgical loading units |
| US9839425B2 (en) | 2014-06-26 | 2017-12-12 | Covidien Lp | Adapter assembly for interconnecting electromechanical surgical devices and surgical loading units, and surgical systems thereof |
| US11311294B2 (en) | 2014-09-05 | 2022-04-26 | Cilag Gmbh International | Powered medical device including measurement of closure state of jaws |
| US9724094B2 (en) | 2014-09-05 | 2017-08-08 | Ethicon Llc | Adjunct with integrated sensors to quantify tissue compression |
| BR112017004361B1 (pt) | 2014-09-05 | 2023-04-11 | Ethicon Llc | Sistema eletrônico para um instrumento cirúrgico |
| EP3949872B1 (en) | 2014-09-15 | 2023-11-22 | Applied Medical Resources Corporation | Surgical stapler with self-adjusting staple height |
| US10105142B2 (en) | 2014-09-18 | 2018-10-23 | Ethicon Llc | Surgical stapler with plurality of cutting elements |
| US11523821B2 (en) | 2014-09-26 | 2022-12-13 | Cilag Gmbh International | Method for creating a flexible staple line |
| JP6648119B2 (ja) | 2014-09-26 | 2020-02-14 | エシコン エルエルシーＥｔｈｉｃｏｎ ＬＬＣ | 外科ステープル留めバットレス及び付属物材料 |
| US10603128B2 (en) | 2014-10-07 | 2020-03-31 | Covidien Lp | Handheld electromechanical surgical system |
| US10076325B2 (en) | 2014-10-13 | 2018-09-18 | Ethicon Llc | Surgical stapling apparatus comprising a tissue stop |
| EP3010080B1 (en) | 2014-10-15 | 2022-02-23 | Ethicon Endo-Surgery, Inc. | Surgical instrument battery pack with voltage polling |
| US9833239B2 (en) | 2014-10-15 | 2017-12-05 | Ethicon Llc | Surgical instrument battery pack with power profile emulation |
| US9924944B2 (en) | 2014-10-16 | 2018-03-27 | Ethicon Llc | Staple cartridge comprising an adjunct material |
| US10729443B2 (en) | 2014-10-21 | 2020-08-04 | Covidien Lp | Adapter, extension, and connector assemblies for surgical devices |
| US10226254B2 (en) | 2014-10-21 | 2019-03-12 | Covidien Lp | Adapter, extension, and connector assemblies for surgical devices |
| US10085750B2 (en) | 2014-10-22 | 2018-10-02 | Covidien Lp | Adapter with fire rod J-hook lockout |
| US9949737B2 (en) | 2014-10-22 | 2018-04-24 | Covidien Lp | Adapter assemblies for interconnecting surgical loading units and handle assemblies |
| US11141153B2 (en) | 2014-10-29 | 2021-10-12 | Cilag Gmbh International | Staple cartridges comprising driver arrangements |
| US10517594B2 (en) | 2014-10-29 | 2019-12-31 | Ethicon Llc | Cartridge assemblies for surgical staplers |
| US10136938B2 (en) | 2014-10-29 | 2018-11-27 | Ethicon Llc | Electrosurgical instrument with sensor |
| US11504192B2 (en) | 2014-10-30 | 2022-11-22 | Cilag Gmbh International | Method of hub communication with surgical instrument systems |
| 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 |
| US10076379B2 (en) | 2014-12-15 | 2018-09-18 | Ethicon Llc | Electrosurgical instrument with removable components for cleaning access |
| US10245027B2 (en) | 2014-12-18 | 2019-04-02 | Ethicon Llc | Surgical instrument with an anvil that is selectively movable about a discrete non-movable axis relative to a staple cartridge |
| RU2703684C2 (ru) | 2014-12-18 | 2019-10-21 | ЭТИКОН ЭНДО-СЕРДЖЕРИ, ЭлЭлСи | Хирургический инструмент с упором, который выполнен с возможностью избирательного перемещения относительно кассеты со скобами вокруг дискретной неподвижной оси |
| US10085748B2 (en) | 2014-12-18 | 2018-10-02 | Ethicon Llc | Locking arrangements for detachable shaft assemblies with articulatable surgical end effectors |
| US9844374B2 (en) | 2014-12-18 | 2017-12-19 | Ethicon Llc | Surgical instrument systems comprising an articulatable end effector and means for adjusting the firing stroke of a firing member |
| US9844375B2 (en) | 2014-12-18 | 2017-12-19 | Ethicon Llc | Drive arrangements for articulatable surgical instruments |
| US10117649B2 (en) | 2014-12-18 | 2018-11-06 | Ethicon Llc | Surgical instrument assembly comprising a lockable articulation system |
| US9987000B2 (en) | 2014-12-18 | 2018-06-05 | Ethicon Llc | Surgical instrument assembly comprising a flexible articulation system |
| US10188385B2 (en) | 2014-12-18 | 2019-01-29 | Ethicon Llc | Surgical instrument system comprising lockable systems |
| US10357311B2 (en) | 2014-12-19 | 2019-07-23 | Ethicon Llc | Electrosurgical instrument with removable jaw components |
| US9993284B2 (en) | 2014-12-19 | 2018-06-12 | Ethicon Llc | Electrosurgical instrument with jaw cleaning mode |
| US10117706B2 (en) | 2014-12-19 | 2018-11-06 | Ethicon Llc | Electrosurgical instrument with integral tissue removal feature |
| EP3241504B1 (en) * | 2014-12-31 | 2024-05-29 | Touchstone International Medical Science Co., Ltd. | Staple cartridge assembly and medical anastomat using same |
| US10111665B2 (en) | 2015-02-19 | 2018-10-30 | Covidien Lp | Electromechanical surgical systems |
| US10039545B2 (en) | 2015-02-23 | 2018-08-07 | Covidien Lp | Double fire stapling |
| US10285698B2 (en) | 2015-02-26 | 2019-05-14 | Covidien Lp | Surgical apparatus |
| US10085749B2 (en) | 2015-02-26 | 2018-10-02 | Covidien Lp | Surgical apparatus with conductor strain relief |
| US10159483B2 (en) | 2015-02-27 | 2018-12-25 | Ethicon Llc | Surgical apparatus configured to track an end-of-life parameter |
| US11154301B2 (en) | 2015-02-27 | 2021-10-26 | Cilag Gmbh International | Modular stapling assembly |
| US10226250B2 (en) | 2015-02-27 | 2019-03-12 | Ethicon Llc | Modular stapling assembly |
| US10180463B2 (en) | 2015-02-27 | 2019-01-15 | Ethicon Llc | Surgical apparatus configured to assess whether a performance parameter of the surgical apparatus is within an acceptable performance band |
| 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 |
| US9808246B2 (en) | 2015-03-06 | 2017-11-07 | Ethicon Endo-Surgery, Llc | Method of operating a powered surgical instrument |
| US10548504B2 (en) | 2015-03-06 | 2020-02-04 | Ethicon Llc | Overlaid multi sensor radio frequency (RF) electrode system to measure tissue compression |
| 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 |
| US10245033B2 (en) | 2015-03-06 | 2019-04-02 | Ethicon Llc | Surgical instrument comprising a lockable battery housing |
| US9901342B2 (en) | 2015-03-06 | 2018-02-27 | Ethicon Endo-Surgery, Llc | Signal and power communication system positioned on a rotatable shaft |
| 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 |
| US9993248B2 (en) | 2015-03-06 | 2018-06-12 | Ethicon Endo-Surgery, Llc | Smart sensors with local signal processing |
| US10687806B2 (en) | 2015-03-06 | 2020-06-23 | Ethicon Llc | Adaptive tissue compression techniques to adjust closure rates for multiple tissue types |
| US10617412B2 (en) | 2015-03-06 | 2020-04-14 | Ethicon Llc | System for detecting the mis-insertion of a staple cartridge into a surgical stapler |
| US10441279B2 (en) | 2015-03-06 | 2019-10-15 | Ethicon Llc | Multiple level thresholds to modify operation of powered surgical instruments |
| US10190888B2 (en) | 2015-03-11 | 2019-01-29 | Covidien Lp | Surgical stapling instruments with linear position assembly |
| US9918717B2 (en) | 2015-03-18 | 2018-03-20 | Covidien Lp | Pivot mechanism for surgical device |
| US10172617B2 (en) | 2015-03-25 | 2019-01-08 | Ethicon Llc | Malleable bioabsorbable polymer adhesive for releasably attaching a staple buttress to a surgical stapler |
| US10172618B2 (en) | 2015-03-25 | 2019-01-08 | Ethicon Llc | Low glass transition temperature bioabsorbable polymer adhesive for releasably attaching a staple buttress to a surgical stapler |
| US10548593B2 (en) | 2015-03-25 | 2020-02-04 | Ethicon Llc | Flowable bioabsorbable polymer adhesive for releasably attaching a staple buttress to a surgical stapler |
| US10136891B2 (en) | 2015-03-25 | 2018-11-27 | Ethicon Llc | Naturally derived bioabsorbable polymer gel adhesive for releasably attaching a staple buttress to a surgical stapler |
| US10568621B2 (en) | 2015-03-25 | 2020-02-25 | Ethicon Llc | Surgical staple buttress with integral adhesive for releasably attaching to a surgical stapler |
| US10349939B2 (en) | 2015-03-25 | 2019-07-16 | Ethicon Llc | Method of applying a buttress to a surgical stapler |
| US10863984B2 (en) | 2015-03-25 | 2020-12-15 | Ethicon Llc | Low inherent viscosity bioabsorbable polymer adhesive for releasably attaching a staple buttress to a surgical stapler |
| US10478187B2 (en) | 2015-03-25 | 2019-11-19 | Ethicon Llc | Biologically derived extracellular matrix with infused viscous absorbable copolymer for releasably attaching a staple buttress to a surgical stapler |
| US10390825B2 (en) | 2015-03-31 | 2019-08-27 | Ethicon Llc | Surgical instrument with progressive rotary drive systems |
| US10226239B2 (en) | 2015-04-10 | 2019-03-12 | Covidien Lp | Adapter assembly with gimbal for interconnecting electromechanical surgical devices and surgical loading units, and surgical systems thereof |
| US10327779B2 (en) | 2015-04-10 | 2019-06-25 | Covidien Lp | Adapter, extension, and connector assemblies for surgical devices |
| US10463368B2 (en) | 2015-04-10 | 2019-11-05 | Covidien Lp | Endoscopic stapler |
| US11432902B2 (en) | 2015-04-10 | 2022-09-06 | Covidien Lp | Surgical devices with moisture control |
| CN107530078B (zh) | 2015-04-22 | 2021-03-05 | 柯惠Lp公司 | 手持式机电外科系统 |
| US11278286B2 (en) | 2015-04-22 | 2022-03-22 | Covidien Lp | Handheld electromechanical surgical system |
| US10299789B2 (en) | 2015-05-05 | 2019-05-28 | Covidie LP | Adapter assembly for surgical stapling devices |
| US10117650B2 (en) | 2015-05-05 | 2018-11-06 | Covidien Lp | Adapter assembly and loading units for surgical stapling devices |
| US10039532B2 (en) | 2015-05-06 | 2018-08-07 | Covidien Lp | Surgical instrument with articulation assembly |
| EP4245227B1 (en) | 2015-05-08 | 2025-12-31 | Bolder Surgical, LLC | SURGICAL STAPLER |
| CA2986480A1 (en) | 2015-05-25 | 2016-12-01 | Covidien Lp | Small diameter surgical stapling device |
| US10172615B2 (en) | 2015-05-27 | 2019-01-08 | Covidien Lp | Multi-fire push rod stapling device |
| US10349941B2 (en) | 2015-05-27 | 2019-07-16 | Covidien Lp | Multi-fire lead screw stapling device |
| US10335149B2 (en) | 2015-06-18 | 2019-07-02 | Ethicon Llc | Articulatable surgical instruments with composite firing beam structures with center firing support member for articulation support |
| US10548599B2 (en) | 2015-07-20 | 2020-02-04 | Covidien Lp | Endoscopic stapler and staple |
| US9987012B2 (en) | 2015-07-21 | 2018-06-05 | Covidien Lp | Small diameter cartridge design for a surgical stapling instrument |
| US10194912B2 (en) | 2015-07-28 | 2019-02-05 | Ethicon Llc | Surgical staple cartridge with outer edge compression features |
| US10751058B2 (en) | 2015-07-28 | 2020-08-25 | Covidien Lp | Adapter assemblies for surgical devices |
| US10314580B2 (en) | 2015-07-28 | 2019-06-11 | Ethicon Llc | Surgical staple cartridge with compression feature at knife slot |
| US10201348B2 (en) | 2015-07-28 | 2019-02-12 | Ethicon Llc | Surgical stapler cartridge with compression features at staple driver edges |
| US10064622B2 (en) | 2015-07-29 | 2018-09-04 | Covidien Lp | Surgical stapling loading unit with stroke counter and lockout |
| US10045782B2 (en) | 2015-07-30 | 2018-08-14 | Covidien Lp | Surgical stapling loading unit with stroke counter and lockout |
| AU2016304601B2 (en) | 2015-08-06 | 2020-10-22 | Applied Medical Resources Corporation | Surgical stapler having locking articulation joint |
| US11058425B2 (en) | 2015-08-17 | 2021-07-13 | Ethicon Llc | Implantable layers for a surgical instrument |
| US10342542B2 (en) | 2015-08-24 | 2019-07-09 | Ethicon Llc | Surgical stapler buttress applicator with end effector actuated release mechanism |
| US10166023B2 (en) | 2015-08-24 | 2019-01-01 | Ethicon Llc | Method of applying a buttress to a surgical stapler end effector |
| US10349940B2 (en) | 2015-08-24 | 2019-07-16 | Ethicon Llc | Surgical stapler buttress applicator with state indicator |
| US11039832B2 (en) * | 2015-08-24 | 2021-06-22 | Cilag Gmbh International | Surgical stapler buttress applicator with spent staple cartridge lockout |
| US10639039B2 (en) | 2015-08-24 | 2020-05-05 | Ethicon Llc | Surgical stapler buttress applicator with multi-zone platform for pressure focused release |
| US10342532B2 (en) | 2015-08-24 | 2019-07-09 | Ethicon Llc | Surgical stapler buttress applicator with multi-point actuated release mechanism |
| MX2018002388A (es) | 2015-08-26 | 2018-08-01 | Ethicon Llc | Tiras de grapas quirurgicas para permitir propiedades variables de la grapa y facilitar la carga del cartucho. |
| JP6858754B2 (ja) | 2015-08-26 | 2021-04-14 | エシコン エルエルシーＥｔｈｉｃｏｎ ＬＬＣ | 様々な組織圧縮用隙間及びステープル成形用隙間を含むステープルカートリッジアセンブリ |
| MX2022009705A (es) | 2015-08-26 | 2022-11-07 | Ethicon Llc | Metodo para formar una grapa contra un yunque de un instrumento de engrapado quirurgico. |
| US11103248B2 (en) | 2015-08-26 | 2021-08-31 | Cilag Gmbh International | Surgical staples for minimizing staple roll |
| US10251648B2 (en) | 2015-09-02 | 2019-04-09 | Ethicon Llc | Surgical staple cartridge staple drivers with central support features |
| MX2022006189A (es) | 2015-09-02 | 2022-06-16 | Ethicon Llc | Configuraciones de grapas quirurgicas con superficies de leva situadas entre porciones que soportan grapas quirurgicas. |
| 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 |
| US10363036B2 (en) | 2015-09-23 | 2019-07-30 | Ethicon Llc | Surgical stapler having force-based motor control |
| US10085751B2 (en) | 2015-09-23 | 2018-10-02 | Ethicon Llc | Surgical stapler having temperature-based motor control |
| US10076326B2 (en) | 2015-09-23 | 2018-09-18 | Ethicon Llc | Surgical stapler having current mirror-based motor control |
| US10105139B2 (en) | 2015-09-23 | 2018-10-23 | Ethicon Llc | Surgical stapler having downstream current-based motor control |
| US10327769B2 (en) | 2015-09-23 | 2019-06-25 | Ethicon Llc | Surgical stapler having motor control based on a drive system component |
| US10307165B2 (en) | 2015-09-24 | 2019-06-04 | Ethicon Llc | Apparatus and method for radially bunching a bodily lumen |
| US9987013B2 (en) | 2015-09-24 | 2018-06-05 | Ethicon Llc | Surgical staple buttress with magnetic elements |
| US10499909B2 (en) | 2015-09-24 | 2019-12-10 | Ethicon Llc | Apparatus and method for pleating a bodily lumen |
| US10485548B2 (en) | 2015-09-24 | 2019-11-26 | Ethicon Llc | Apparatus and method for forming a staple line with trocar passageway |
| US10492790B2 (en) | 2015-09-24 | 2019-12-03 | Ethicon Llc | Apparatus and method for cinching a straight staple line |
| US10299878B2 (en) | 2015-09-25 | 2019-05-28 | Ethicon Llc | Implantable adjunct systems for determining adjunct skew |
| JP6755305B2 (ja) | 2015-09-25 | 2020-09-16 | コヴィディエン リミテッド パートナーシップ | ロボット外科組立体およびその器具駆動コネクタ |
| US10182813B2 (en) | 2015-09-29 | 2019-01-22 | Ethicon Llc | Surgical stapling instrument with shaft release, powered firing, and powered articulation |
| US10314578B2 (en) | 2015-09-29 | 2019-06-11 | Ethicon Llc | Battery drain circuit for surgical instrument |
| US11890015B2 (en) | 2015-09-30 | 2024-02-06 | Cilag Gmbh International | Compressible adjunct with crossing spacer fibers |
| US10172620B2 (en) | 2015-09-30 | 2019-01-08 | Ethicon Llc | Compressible adjuncts with bonding nodes |
| US10980539B2 (en) | 2015-09-30 | 2021-04-20 | Ethicon Llc | Implantable adjunct comprising bonded layers |
| US10736633B2 (en) | 2015-09-30 | 2020-08-11 | Ethicon Llc | Compressible adjunct with looping members |
| US10213204B2 (en) | 2015-10-02 | 2019-02-26 | Covidien Lp | Micro surgical instrument and loading unit for use therewith |
| US10371238B2 (en) | 2015-10-09 | 2019-08-06 | Covidien Lp | Adapter assembly for surgical device |
| US10413298B2 (en) | 2015-10-14 | 2019-09-17 | Covidien Lp | Adapter assembly for surgical devices |
| US10265073B2 (en) | 2015-10-15 | 2019-04-23 | Ethicon Llc | Surgical stapler with terminal staple orientation crossing center line |
| US11141159B2 (en) | 2015-10-15 | 2021-10-12 | Cilag Gmbh International | Surgical stapler end effector with multi-staple driver crossing center line |
| US20170105727A1 (en) | 2015-10-15 | 2017-04-20 | Ethicon Endo-Surgery, Llc | Surgical stapler with progressively driven asymmetric alternating staple drivers |
| US10499917B2 (en) | 2015-10-15 | 2019-12-10 | Ethicon Llc | Surgical stapler end effector with knife position indicators |
| US10952730B2 (en) | 2015-10-15 | 2021-03-23 | Ethicon Llc | End effector for surgical stapler with varying curve and taper |
| US10342535B2 (en) | 2015-10-15 | 2019-07-09 | Ethicon Llc | Method of applying staples to liver and other organs |
| US10226251B2 (en) | 2015-10-15 | 2019-03-12 | Ethicon Llc | Surgical staple actuating sled with actuation stroke having minimized distance relative to distal staple |
| US10265069B2 (en) | 2015-10-15 | 2019-04-23 | Ethicon Llc | Surgical staple cartridge with varying staple crown width along a curve |
| US10772632B2 (en) | 2015-10-28 | 2020-09-15 | Covidien Lp | Surgical stapling device with triple leg staples |
| US10238388B2 (en) | 2015-10-29 | 2019-03-26 | Ethicon Llc | Surgical stapler buttress assembly with humidity tolerant adhesive |
| US10499918B2 (en) | 2015-10-29 | 2019-12-10 | Ethicon Llc | Surgical stapler buttress assembly with features to interact with movable end effector components |
| US10251649B2 (en) | 2015-10-29 | 2019-04-09 | Ethicon Llc | Surgical stapler buttress applicator with data communication |
| US10357248B2 (en) | 2015-10-29 | 2019-07-23 | Ethicon Llc | Extensible buttress assembly for surgical stapler |
| US10517592B2 (en) | 2015-10-29 | 2019-12-31 | Ethicon Llc | Surgical stapler buttress assembly with adhesion to wet end effector |
| US10441286B2 (en) | 2015-10-29 | 2019-10-15 | Ethicon Llc | Multi-layer surgical stapler buttress assembly |
| US10433839B2 (en) | 2015-10-29 | 2019-10-08 | Ethicon Llc | Surgical stapler buttress assembly with gel adhesive retainer |
| US10314588B2 (en) | 2015-10-29 | 2019-06-11 | Ethicon Llc | Fluid penetrable buttress assembly for a surgical stapler |
| US10085745B2 (en) | 2015-10-29 | 2018-10-02 | Ethicon Llc | Extensible buttress assembly for surgical stapler |
| US10939952B2 (en) | 2015-11-06 | 2021-03-09 | Covidien Lp | Adapter, extension, and connector assemblies for surgical devices |
| US10292705B2 (en) | 2015-11-06 | 2019-05-21 | Covidien Lp | Surgical apparatus |
| US10729435B2 (en) | 2015-11-06 | 2020-08-04 | Covidien Lp | Adapter assemblies for interconnecting surgical loading units and handle assemblies |
| US10973517B2 (en) | 2015-11-13 | 2021-04-13 | Intuitive Surgical Operations, Inc. | Stapler with composite cardan and screw drive |
| US10595864B2 (en) | 2015-11-24 | 2020-03-24 | Covidien Lp | Adapter assembly for interconnecting electromechanical surgical devices and surgical loading units, and surgical systems thereof |
| US10617411B2 (en) | 2015-12-01 | 2020-04-14 | Covidien Lp | Adapter assembly for surgical device |
| US10111660B2 (en) | 2015-12-03 | 2018-10-30 | Covidien Lp | Surgical stapler flexible distal tip |
| US10433841B2 (en) | 2015-12-10 | 2019-10-08 | Covidien Lp | Adapter assembly for surgical device |
| US10253847B2 (en) | 2015-12-22 | 2019-04-09 | Covidien Lp | Electromechanical surgical devices with single motor drives and adapter assemblies therfor |
| US10420554B2 (en) | 2015-12-22 | 2019-09-24 | Covidien Lp | Personalization of powered surgical devices |
| 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 |
| US10368865B2 (en) | 2015-12-30 | 2019-08-06 | Ethicon Llc | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
| US10314579B2 (en) | 2016-01-07 | 2019-06-11 | Covidien Lp | Adapter assemblies for interconnecting surgical loading units and handle assemblies |
| US10966717B2 (en) | 2016-01-07 | 2021-04-06 | Covidien Lp | Surgical fastener apparatus |
| US10524797B2 (en) | 2016-01-13 | 2020-01-07 | Covidien Lp | Adapter assembly including a removable trocar assembly |
| US10660623B2 (en) | 2016-01-15 | 2020-05-26 | Covidien Lp | Centering mechanism for articulation joint |
| US10508720B2 (en) | 2016-01-21 | 2019-12-17 | Covidien Lp | Adapter assembly with planetary gear drive for interconnecting electromechanical surgical devices and surgical loading units, and surgical systems thereof |
| 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 |
| US10349937B2 (en) | 2016-02-10 | 2019-07-16 | Covidien Lp | Surgical stapler with articulation locking mechanism |
| US10398439B2 (en) | 2016-02-10 | 2019-09-03 | Covidien Lp | Adapter, extension, and connector assemblies for surgical devices |
| US10420559B2 (en) | 2016-02-11 | 2019-09-24 | Covidien Lp | Surgical stapler with small diameter endoscopic portion |
| US10448948B2 (en) | 2016-02-12 | 2019-10-22 | Ethicon Llc | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
| US10258331B2 (en) | 2016-02-12 | 2019-04-16 | Ethicon Llc | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
| US11224426B2 (en) | 2016-02-12 | 2022-01-18 | Cilag Gmbh International | 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 |
| US10568632B2 (en) | 2016-04-01 | 2020-02-25 | Ethicon Llc | Surgical stapling system comprising a jaw closure lockout |
| CN109219399B (zh) | 2016-04-01 | 2022-05-03 | 伊西康有限责任公司 | 外科缝合器械 |
| US11284890B2 (en) | 2016-04-01 | 2022-03-29 | Cilag Gmbh International | Circular stapling system comprising an incisable tissue support |
| US10357246B2 (en) | 2016-04-01 | 2019-07-23 | Ethicon Llc | Rotary powered surgical instrument with manually actuatable bailout system |
| US11064997B2 (en) | 2016-04-01 | 2021-07-20 | Cilag Gmbh International | Surgical stapling instrument |
| US10722233B2 (en) * | 2016-04-07 | 2020-07-28 | Intuitive Surgical Operations, Inc. | Stapling cartridge |
| ES2977934T3 (es) | 2016-04-12 | 2024-09-03 | Applied Med Resources | Grapadora quirúrgica con mecanismo de articulación |
| KR102388183B1 (ko) | 2016-04-12 | 2022-04-19 | 어플라이드 메디컬 리소시스 코포레이션 | 수술용 스테이플러에 대한 재장전 샤프트 어셈블리 |
| KR102649678B1 (ko) | 2016-04-12 | 2024-03-21 | 어플라이드 메디컬 리소시스 코포레이션 | 전동 핸들을 갖는 수술용 스테이플러 |
| US10492783B2 (en) | 2016-04-15 | 2019-12-03 | Ethicon, Llc | Surgical instrument with improved stop/start control during a firing motion |
| US10456137B2 (en) | 2016-04-15 | 2019-10-29 | Ethicon Llc | Staple formation detection mechanisms |
| US10405859B2 (en) | 2016-04-15 | 2019-09-10 | Ethicon Llc | Surgical instrument with adjustable stop/start control during a firing motion |
| US10426467B2 (en) | 2016-04-15 | 2019-10-01 | Ethicon Llc | Surgical instrument with detection sensors |
| US11607239B2 (en) | 2016-04-15 | 2023-03-21 | Cilag Gmbh International | Systems and methods for controlling a surgical stapling and cutting instrument |
| US11179150B2 (en) | 2016-04-15 | 2021-11-23 | Cilag Gmbh International | Systems and methods for controlling a surgical stapling and cutting instrument |
| US10335145B2 (en) | 2016-04-15 | 2019-07-02 | Ethicon Llc | Modular surgical instrument with configurable operating mode |
| US10357247B2 (en) | 2016-04-15 | 2019-07-23 | Ethicon Llc | Surgical instrument with multiple program responses during a firing motion |
| US10828028B2 (en) | 2016-04-15 | 2020-11-10 | Ethicon Llc | Surgical instrument with multiple program responses during a firing motion |
| US10433840B2 (en) | 2016-04-18 | 2019-10-08 | Ethicon Llc | Surgical instrument comprising a replaceable cartridge jaw |
| US11317917B2 (en) | 2016-04-18 | 2022-05-03 | Cilag Gmbh International | Surgical stapling system comprising a lockable firing assembly |
| US20170296173A1 (en) | 2016-04-18 | 2017-10-19 | Ethicon Endo-Surgery, Llc | Method for operating a surgical instrument |
| US10653420B2 (en) | 2016-04-20 | 2020-05-19 | Ethicon Llc | Compliant compensation features for end effector of surgical stapling instrument |
| US10363032B2 (en) | 2016-04-20 | 2019-07-30 | Ethicon Llc | Surgical stapler with hydraulic deck control |
| US10285700B2 (en) | 2016-04-20 | 2019-05-14 | Ethicon Llc | Surgical staple cartridge with hydraulic staple deployment |
| US10258337B2 (en) | 2016-04-20 | 2019-04-16 | Ethicon Llc | Surgical staple cartridge with severed tissue edge adjunct |
| US10561419B2 (en) | 2016-05-04 | 2020-02-18 | Covidien Lp | Powered end effector assembly with pivotable channel |
| US10799239B2 (en) | 2016-05-09 | 2020-10-13 | Covidien Lp | Adapter assembly with pulley system and worm gear drive for interconnecting electromechanical surgical devices and surgical end effectors |
| US10588610B2 (en) | 2016-05-10 | 2020-03-17 | Covidien Lp | Adapter assemblies for surgical devices |
| US10736637B2 (en) | 2016-05-10 | 2020-08-11 | Covidien Lp | Brake for adapter assemblies for surgical devices |
| US10463374B2 (en) | 2016-05-17 | 2019-11-05 | Covidien Lp | Adapter assembly for a flexible circular stapler |
| US10702302B2 (en) | 2016-05-17 | 2020-07-07 | Covidien Lp | Adapter assembly including a removable trocar assembly |
| US11065022B2 (en) | 2016-05-17 | 2021-07-20 | Covidien Lp | Cutting member for a surgical instrument |
| EP3463157A4 (en) | 2016-05-26 | 2020-01-22 | Covidien LP | ROBOTIC SURGICAL ARRANGEMENTS |
| USD826405S1 (en) | 2016-06-24 | 2018-08-21 | Ethicon Llc | Surgical fastener |
| JP6957532B2 (ja) | 2016-06-24 | 2021-11-02 | 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き加工ステープルを含むステープルカートリッジ |
| USD822206S1 (en) | 2016-06-24 | 2018-07-03 | Ethicon Llc | Surgical fastener |
| USD850617S1 (en) | 2016-06-24 | 2019-06-04 | Ethicon Llc | Surgical fastener cartridge |
| US10675024B2 (en) | 2016-06-24 | 2020-06-09 | Ethicon Llc | Staple cartridge comprising overdriven staples |
| USD847989S1 (en) | 2016-06-24 | 2019-05-07 | Ethicon Llc | Surgical fastener cartridge |
| BR112018076831B1 (pt) | 2016-06-24 | 2023-01-31 | Ethicon Llc | Sistema de grampeamento cirúrgico |
| US10499912B2 (en) | 2016-07-13 | 2019-12-10 | Ethicon Llc | Apparatus for hydraulic assisted fracture of liver parenchyma |
| US10653398B2 (en) | 2016-08-05 | 2020-05-19 | Covidien Lp | Adapter assemblies for surgical devices |
| US10363035B2 (en) * | 2016-08-16 | 2019-07-30 | Ethicon Llc | Stapler tool with rotary drive lockout |
| US10500000B2 (en) | 2016-08-16 | 2019-12-10 | Ethicon Llc | Surgical tool with manual control of end effector jaws |
| US11642126B2 (en) | 2016-11-04 | 2023-05-09 | Covidien Lp | Surgical stapling apparatus with tissue pockets |
| US10631857B2 (en) | 2016-11-04 | 2020-04-28 | Covidien Lp | Loading unit for surgical instruments with low profile pushers |
| US11116594B2 (en) | 2016-11-08 | 2021-09-14 | Covidien Lp | Surgical systems including adapter assemblies for interconnecting electromechanical surgical devices and end effectors |
| US10492784B2 (en) | 2016-11-08 | 2019-12-03 | Covidien Lp | Surgical tool assembly with compact firing assembly |
| US10542981B2 (en) | 2016-11-14 | 2020-01-28 | Ethicon Llc | Atraumatic stapling head features for circular surgical stapler |
| US10463371B2 (en) | 2016-11-29 | 2019-11-05 | Covidien Lp | Reload assembly with spent reload indicator |
| US10945727B2 (en) | 2016-12-21 | 2021-03-16 | Ethicon Llc | Staple cartridge with deformable driver retention features |
| JP2020501815A (ja) | 2016-12-21 | 2020-01-23 | エシコン エルエルシーＥｔｈｉｃｏｎ ＬＬＣ | 外科用ステープル留めシステム |
| US10426471B2 (en) | 2016-12-21 | 2019-10-01 | Ethicon Llc | Surgical instrument with multiple failure response modes |
| US20180168615A1 (en) | 2016-12-21 | 2018-06-21 | Ethicon Endo-Surgery, Llc | Method of deforming staples from two different types of staple cartridges with the same surgical stapling instrument |
| MX2019007311A (es) | 2016-12-21 | 2019-11-18 | Ethicon Llc | Sistemas de engrapado quirurgico. |
| 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 |
| US10687810B2 (en) | 2016-12-21 | 2020-06-23 | Ethicon Llc | Stepped staple cartridge with tissue retention and gap setting features |
| US10537324B2 (en) | 2016-12-21 | 2020-01-21 | Ethicon Llc | Stepped staple cartridge with asymmetrical staples |
| US20180168623A1 (en) | 2016-12-21 | 2018-06-21 | Ethicon Endo-Surgery, Llc | Surgical stapling systems |
| CN110099619B (zh) | 2016-12-21 | 2022-07-15 | 爱惜康有限责任公司 | 用于外科端部执行器和可替换工具组件的闭锁装置 |
| US20180168609A1 (en) | 2016-12-21 | 2018-06-21 | Ethicon Endo-Surgery, Llc | Firing assembly comprising a fuse |
| US10499914B2 (en) | 2016-12-21 | 2019-12-10 | Ethicon Llc | Staple forming pocket arrangements |
| 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 |
| 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 |
| US10881401B2 (en) | 2016-12-21 | 2021-01-05 | Ethicon Llc | Staple firing member comprising a missing cartridge and/or spent cartridge lockout |
| US10617414B2 (en) | 2016-12-21 | 2020-04-14 | Ethicon Llc | Closure member arrangements for surgical instruments |
| US10993715B2 (en) | 2016-12-21 | 2021-05-04 | Ethicon Llc | Staple cartridge comprising staples with different clamping breadths |
| US11134942B2 (en) | 2016-12-21 | 2021-10-05 | Cilag Gmbh International | Surgical stapling instruments and staple-forming anvils |
| JP7080890B2 (ja) | 2016-12-21 | 2022-06-06 | エシコン エルエルシー | 複数の故障状態ヒューズを含む発射アセンブリ |
| US11090048B2 (en) | 2016-12-21 | 2021-08-17 | Cilag Gmbh International | Method for resetting a fuse of a surgical instrument shaft |
| US11684367B2 (en) | 2016-12-21 | 2023-06-27 | Cilag Gmbh International | Stepped assembly having and end-of-life indicator |
| US10568626B2 (en) | 2016-12-21 | 2020-02-25 | Ethicon Llc | Surgical instruments with jaw opening features for increasing a jaw opening distance |
| US10639035B2 (en) | 2016-12-21 | 2020-05-05 | Ethicon Llc | Surgical stapling instruments and replaceable tool assemblies thereof |
| US10779823B2 (en) | 2016-12-21 | 2020-09-22 | Ethicon Llc | Firing member pin angle |
| US10667811B2 (en) | 2016-12-21 | 2020-06-02 | Ethicon Llc | Surgical stapling instruments and staple-forming anvils |
| US10758230B2 (en) | 2016-12-21 | 2020-09-01 | Ethicon Llc | Surgical instrument with primary and safety processors |
| 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 |
| 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 |
| US10709901B2 (en) | 2017-01-05 | 2020-07-14 | Covidien Lp | Implantable fasteners, applicators, and methods for brachytherapy |
| US10952767B2 (en) | 2017-02-06 | 2021-03-23 | Covidien Lp | Connector clip for securing an introducer to a surgical fastener applying apparatus |
| US10729434B2 (en) | 2017-02-17 | 2020-08-04 | Ethicon Llc | Surgical stapler with insertable distal anvil tip |
| US10806451B2 (en) | 2017-02-17 | 2020-10-20 | Ethicon Llc | Surgical stapler with cooperating distal tip features on anvil and staple cartridge |
| US10828031B2 (en) | 2017-02-17 | 2020-11-10 | Ethicon Llc | Surgical stapler with elastically deformable tip |
| US11564687B2 (en) | 2017-02-17 | 2023-01-31 | Cilag Gmbh International | Method of surgical stapling with end effector component having a curved tip |
| US11103244B2 (en) | 2017-02-17 | 2021-08-31 | Cilag Gmbh International | Surgical stapling end effector jaw with tip deflecting toward other jaw |
| US11272930B2 (en) | 2017-02-17 | 2022-03-15 | Cilag Gmbh International | Method of surgical stapling with end effector component having a curved tip |
| US11564684B2 (en) | 2017-02-17 | 2023-01-31 | Cilag Gmbh International | Surgical stapling end effector component with tip having varying bend angle |
| US10758231B2 (en) | 2017-02-17 | 2020-09-01 | Ethicon Llc | Surgical stapler with bent anvil tip, angled staple cartridge tip, and tissue gripping features |
| US20180235618A1 (en) | 2017-02-22 | 2018-08-23 | Covidien Lp | Loading unit for surgical instruments with low profile pushers |
| US11350915B2 (en) | 2017-02-23 | 2022-06-07 | Covidien Lp | Surgical stapler with small diameter endoscopic portion |
| US10849621B2 (en) | 2017-02-23 | 2020-12-01 | Covidien Lp | Surgical stapler with small diameter endoscopic portion |
| US10631945B2 (en) | 2017-02-28 | 2020-04-28 | Covidien Lp | Autoclavable load sensing device |
| US10299790B2 (en) | 2017-03-03 | 2019-05-28 | Covidien Lp | Adapter with centering mechanism for articulation joint |
| US11272929B2 (en) | 2017-03-03 | 2022-03-15 | Covidien Lp | Dynamically matching input and output shaft speeds of articulating adapter assemblies for surgical instruments |
| US10660641B2 (en) | 2017-03-16 | 2020-05-26 | Covidien Lp | Adapter with centering mechanism for articulation joint |
| US10433842B2 (en) | 2017-04-07 | 2019-10-08 | Lexington Medical, Inc. | Surgical handle assembly |
| US10980594B2 (en) | 2017-04-27 | 2021-04-20 | Ethicon Llc | Articulation drive feature in surgical instrument |
| US10932845B2 (en) | 2017-04-27 | 2021-03-02 | Ethicon Llc | Detent feature for articulation control in surgical instrument |
| US10881451B2 (en) | 2017-04-27 | 2021-01-05 | Ethicon Llc | Lead screw assembly for articulation control in surgical instrument |
| US10603035B2 (en) | 2017-05-02 | 2020-03-31 | Covidien Lp | Surgical loading unit including an articulating end effector |
| US11324502B2 (en) | 2017-05-02 | 2022-05-10 | Covidien Lp | Surgical loading unit including an articulating end effector |
| US10390858B2 (en) | 2017-05-02 | 2019-08-27 | Covidien Lp | Powered surgical device with speed and current derivative motor shut off |
| US10524784B2 (en) | 2017-05-05 | 2020-01-07 | Covidien Lp | Surgical staples with expandable backspan |
| US10390826B2 (en) | 2017-05-08 | 2019-08-27 | Covidien Lp | Surgical stapling device with elongated tool assembly and methods of use |
| US11311295B2 (en) | 2017-05-15 | 2022-04-26 | Covidien Lp | Adaptive powered stapling algorithm with calibration factor |
| US10420551B2 (en) | 2017-05-30 | 2019-09-24 | Covidien Lp | Authentication and information system for reusable surgical instruments |
| US10478185B2 (en) | 2017-06-02 | 2019-11-19 | Covidien Lp | Tool assembly with minimal dead space |
| 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 |
| 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 |
| USD879809S1 (en) | 2017-06-20 | 2020-03-31 | Ethicon Llc | Display panel with changeable graphical user interface |
| US10327767B2 (en) | 2017-06-20 | 2019-06-25 | Ethicon Llc | Control of motor velocity of a surgical stapling and cutting instrument based on angle of articulation |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| US10881399B2 (en) | 2017-06-20 | 2021-01-05 | Ethicon Llc | Techniques for adaptive 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 |
| US12490980B2 (en) | 2017-06-20 | 2025-12-09 | Cilag Gmbh International | Surgical instrument having controllable articulation velocity |
| USD890784S1 (en) | 2017-06-20 | 2020-07-21 | Ethicon Llc | Display panel with changeable graphical user interface |
| US11382638B2 (en) | 2017-06-20 | 2022-07-12 | Cilag Gmbh International | Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on measured time over a specified displacement distance |
| 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 |
| US10368864B2 (en) | 2017-06-20 | 2019-08-06 | Ethicon Llc | Systems and methods for controlling displaying motor velocity for a surgical instrument |
| US10912560B2 (en) | 2017-06-23 | 2021-02-09 | Lexington Medical, Inc. | Surgical reloadable cartridge assembly |
| US11324503B2 (en) | 2017-06-27 | 2022-05-10 | Cilag Gmbh International | Surgical firing member arrangements |
| US10856869B2 (en) | 2017-06-27 | 2020-12-08 | Ethicon Llc | Surgical anvil arrangements |
| US10772629B2 (en) | 2017-06-27 | 2020-09-15 | Ethicon Llc | Surgical anvil arrangements |
| US11266405B2 (en) | 2017-06-27 | 2022-03-08 | Cilag Gmbh International | Surgical anvil manufacturing methods |
| 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 |
| US10903685B2 (en) | 2017-06-28 | 2021-01-26 | Ethicon Llc | Surgical shaft assemblies with slip ring assemblies forming capacitive channels |
| US11000279B2 (en) | 2017-06-28 | 2021-05-11 | Ethicon Llc | Surgical instrument comprising an articulation system ratio |
| BR112019027065B1 (pt) | 2017-06-28 | 2023-12-26 | Ethicon Llc | Instrumento cirúrgico e sistema cirúrgico |
| US11246592B2 (en) | 2017-06-28 | 2022-02-15 | Cilag Gmbh International | Surgical instrument comprising an articulation system lockable to a frame |
| US10211586B2 (en) | 2017-06-28 | 2019-02-19 | Ethicon Llc | Surgical shaft assemblies with watertight housings |
| US11259805B2 (en) | 2017-06-28 | 2022-03-01 | Cilag Gmbh International | Surgical instrument comprising firing member supports |
| USD854151S1 (en) | 2017-06-28 | 2019-07-16 | Ethicon Llc | Surgical instrument shaft |
| US11564686B2 (en) | 2017-06-28 | 2023-01-31 | Cilag Gmbh International | Surgical shaft assemblies with flexible interfaces |
| USD906355S1 (en) | 2017-06-28 | 2020-12-29 | Ethicon Llc | Display screen or portion thereof with a graphical user interface for a surgical instrument |
| US20190000461A1 (en) | 2017-06-28 | 2019-01-03 | Ethicon Llc | Surgical cutting and fastening devices with pivotable anvil with a tissue locating arrangement in close proximity to an anvil pivot axis |
| USD869655S1 (en) | 2017-06-28 | 2019-12-10 | Ethicon Llc | Surgical fastener cartridge |
| US10716614B2 (en) | 2017-06-28 | 2020-07-21 | Ethicon Llc | Surgical shaft assemblies with slip ring assemblies with increased contact pressure |
| USD851762S1 (en) * | 2017-06-28 | 2019-06-18 | Ethicon Llc | Anvil |
| US11298128B2 (en) | 2017-06-28 | 2022-04-12 | Cilag Gmbh International | Surgical system couplable with staple cartridge and radio frequency cartridge, and method of using same |
| EP4070740B1 (en) | 2017-06-28 | 2025-03-26 | Cilag GmbH International | Surgical instrument comprising selectively actuatable rotatable couplers |
| US10765427B2 (en) | 2017-06-28 | 2020-09-08 | Ethicon Llc | Method for articulating a surgical instrument |
| US10398434B2 (en) | 2017-06-29 | 2019-09-03 | Ethicon Llc | Closed loop velocity control of closure member for robotic surgical instrument |
| US10898183B2 (en) | 2017-06-29 | 2021-01-26 | Ethicon Llc | Robotic surgical instrument with closed loop feedback techniques for advancement of closure member during firing |
| US11007022B2 (en) | 2017-06-29 | 2021-05-18 | Ethicon Llc | Closed loop velocity control techniques based on sensed tissue parameters for robotic surgical instrument |
| US10258418B2 (en) | 2017-06-29 | 2019-04-16 | Ethicon Llc | System for controlling articulation forces |
| US10932772B2 (en) | 2017-06-29 | 2021-03-02 | Ethicon Llc | Methods for closed loop velocity control for robotic surgical instrument |
| US11304695B2 (en) | 2017-08-03 | 2022-04-19 | Cilag Gmbh International | Surgical system shaft interconnection |
| US11944300B2 (en) | 2017-08-03 | 2024-04-02 | Cilag Gmbh International | Method for operating a surgical system bailout |
| US11974742B2 (en) | 2017-08-03 | 2024-05-07 | Cilag Gmbh International | Surgical system comprising an articulation bailout |
| US11471155B2 (en) | 2017-08-03 | 2022-10-18 | Cilag Gmbh International | Surgical system bailout |
| US10624636B2 (en) | 2017-08-23 | 2020-04-21 | Covidien Lp | Surgical stapling device with floating staple cartridge |
| US10772700B2 (en) | 2017-08-23 | 2020-09-15 | Covidien Lp | Contactless loading unit detection |
| US10806452B2 (en) | 2017-08-24 | 2020-10-20 | Covidien Lp | Loading unit for a surgical stapling instrument |
| US10932846B2 (en) | 2017-08-25 | 2021-03-02 | Ethicon Llc | Articulation section for shaft assembly of surgical instrument |
| JP2020533061A (ja) | 2017-09-06 | 2020-11-19 | コヴィディエン リミテッド パートナーシップ | 手術ロボットの境界スケーリング |
| AU2018330433A1 (en) | 2017-09-08 | 2020-03-19 | Covidien Lp | Energy disconnect for robotic surgical assemblies |
| US10796471B2 (en) | 2017-09-29 | 2020-10-06 | Ethicon Llc | Systems and methods of displaying a knife position for 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 |
| US10765429B2 (en) | 2017-09-29 | 2020-09-08 | Ethicon Llc | Systems and methods for providing alerts according to the operational state of a surgical instrument |
| US10743872B2 (en) | 2017-09-29 | 2020-08-18 | Ethicon Llc | System and methods for controlling a display of a surgical instrument |
| 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 |
| USD907647S1 (en) | 2017-09-29 | 2021-01-12 | Ethicon Llc | Display screen or portion thereof with animated graphical user interface |
| USD917500S1 (en) | 2017-09-29 | 2021-04-27 | Ethicon Llc | Display screen or portion thereof with graphical user interface |
| US10993759B2 (en) | 2017-10-20 | 2021-05-04 | Ethicon, Inc. | Hypothermic linear surgical staplers and methods of use |
| US11291510B2 (en) | 2017-10-30 | 2022-04-05 | Cilag Gmbh International | Method of hub communication with surgical instrument systems |
| US11510741B2 (en) | 2017-10-30 | 2022-11-29 | Cilag Gmbh International | Method for producing a surgical instrument comprising a smart electrical system |
| US11317919B2 (en) | 2017-10-30 | 2022-05-03 | Cilag Gmbh International | Clip applier comprising a clip crimping system |
| US11311342B2 (en) | 2017-10-30 | 2022-04-26 | Cilag Gmbh International | Method for communicating with surgical instrument systems |
| US11026687B2 (en) | 2017-10-30 | 2021-06-08 | Cilag Gmbh International | Clip applier comprising clip advancing systems |
| US11793537B2 (en) | 2017-10-30 | 2023-10-24 | Cilag Gmbh International | Surgical instrument comprising an adaptive electrical system |
| US11134944B2 (en) | 2017-10-30 | 2021-10-05 | Cilag Gmbh International | Surgical stapler knife motion controls |
| US11564756B2 (en) | 2017-10-30 | 2023-01-31 | Cilag Gmbh International | Method of hub communication with surgical instrument systems |
| US11229436B2 (en) | 2017-10-30 | 2022-01-25 | Cilag Gmbh International | Surgical system comprising a surgical tool and a surgical hub |
| US11801098B2 (en) | 2017-10-30 | 2023-10-31 | Cilag Gmbh International | Method of hub communication with surgical instrument systems |
| US11911045B2 (en) | 2017-10-30 | 2024-02-27 | Cllag GmbH International | Method for operating a powered articulating multi-clip applier |
| 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 |
| US10925603B2 (en) | 2017-11-14 | 2021-02-23 | Covidien Lp | Reload with articulation stabilization system |
| US10863987B2 (en) | 2017-11-16 | 2020-12-15 | Covidien Lp | Surgical instrument with imaging device |
| US10863988B2 (en) | 2017-11-29 | 2020-12-15 | Intuitive Surgical Operations, Inc. | Surgical instrument with lockout mechanism |
| US11033267B2 (en) | 2017-12-15 | 2021-06-15 | Ethicon Llc | Systems and methods of controlling a clamping member firing rate of a surgical instrument |
| 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 |
| US10687813B2 (en) | 2017-12-15 | 2020-06-23 | Ethicon Llc | Adapters with firing stroke sensing arrangements for use in connection with electromechanical surgical instruments |
| US10779826B2 (en) | 2017-12-15 | 2020-09-22 | Ethicon Llc | Methods of operating surgical end effectors |
| US11071543B2 (en) | 2017-12-15 | 2021-07-27 | Cilag Gmbh International | Surgical end effectors with clamping assemblies configured to increase jaw aperture ranges |
| 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 |
| US10743874B2 (en) | 2017-12-15 | 2020-08-18 | Ethicon Llc | Sealed adapters for use with electromechanical surgical instruments |
| US11006955B2 (en) | 2017-12-15 | 2021-05-18 | Ethicon Llc | End effectors with positive jaw opening features for use with adapters for electromechanical surgical instruments |
| US10743875B2 (en) | 2017-12-15 | 2020-08-18 | Ethicon Llc | Surgical end effectors with jaw stiffener arrangements configured to permit monitoring of firing member |
| 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 |
| US10869666B2 (en) | 2017-12-15 | 2020-12-22 | Ethicon Llc | Adapters with control systems for controlling multiple motors of an electromechanical surgical instrument |
| 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 |
| 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 |
| US11045270B2 (en) | 2017-12-19 | 2021-06-29 | Cilag Gmbh International | Robotic attachment comprising exterior drive actuator |
| US10729509B2 (en) | 2017-12-19 | 2020-08-04 | Ethicon Llc | Surgical instrument comprising closure and firing locking mechanism |
| US10716565B2 (en) | 2017-12-19 | 2020-07-21 | Ethicon Llc | Surgical instruments with dual articulation drivers |
| USD910847S1 (en) | 2017-12-19 | 2021-02-16 | Ethicon Llc | Surgical instrument assembly |
| US11020112B2 (en) | 2017-12-19 | 2021-06-01 | Ethicon Llc | Surgical tools configured for interchangeable use with different controller interfaces |
| 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 |
| US11751867B2 (en) | 2017-12-21 | 2023-09-12 | Cilag Gmbh International | Surgical instrument comprising sequenced systems |
| 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 |
| US11179208B2 (en) | 2017-12-28 | 2021-11-23 | Cilag Gmbh International | Cloud-based medical analytics for security and authentication trends and reactive measures |
| US11832899B2 (en) | 2017-12-28 | 2023-12-05 | Cilag Gmbh International | Surgical systems with autonomously adjustable control programs |
| US11132462B2 (en) | 2017-12-28 | 2021-09-28 | Cilag Gmbh International | Data stripping method to interrogate patient records and create anonymized record |
| US12396806B2 (en) | 2017-12-28 | 2025-08-26 | Cilag Gmbh International | Adjustment of a surgical device function based on situational awareness |
| US11304720B2 (en) | 2017-12-28 | 2022-04-19 | Cilag Gmbh International | Activation of energy devices |
| US10755813B2 (en) | 2017-12-28 | 2020-08-25 | Ethicon Llc | Communication of smoke evacuation system parameters to hub or cloud in smoke evacuation module for interactive surgical platform |
| US11576677B2 (en) | 2017-12-28 | 2023-02-14 | Cilag Gmbh International | Method of hub communication, processing, display, and cloud analytics |
| US11257589B2 (en) | 2017-12-28 | 2022-02-22 | Cilag Gmbh International | Real-time analysis of comprehensive cost of all instrumentation used in surgery utilizing data fluidity to track instruments through stocking and in-house processes |
| US11291495B2 (en) | 2017-12-28 | 2022-04-05 | Cilag Gmbh International | Interruption of energy due to inadvertent capacitive coupling |
| US10932872B2 (en) | 2017-12-28 | 2021-03-02 | Ethicon Llc | Cloud-based medical analytics for linking of local usage trends with the resource acquisition behaviors of larger data set |
| US11559307B2 (en) | 2017-12-28 | 2023-01-24 | Cilag Gmbh International | Method of robotic hub communication, detection, and control |
| US10943454B2 (en) | 2017-12-28 | 2021-03-09 | Ethicon Llc | Detection and escalation of security responses of surgical instruments to increasing severity threats |
| US11304763B2 (en) | 2017-12-28 | 2022-04-19 | Cilag Gmbh International | Image capturing of the areas outside the abdomen to improve placement and control of a surgical device in use |
| US11464535B2 (en) | 2017-12-28 | 2022-10-11 | Cilag Gmbh International | Detection of end effector emersion in liquid |
| US11818052B2 (en) | 2017-12-28 | 2023-11-14 | Cilag Gmbh International | Surgical network determination of prioritization of communication, interaction, or processing based on system or device needs |
| US11666331B2 (en) | 2017-12-28 | 2023-06-06 | Cilag Gmbh International | Systems for detecting proximity of surgical end effector to cancerous tissue |
| US11589888B2 (en) | 2017-12-28 | 2023-02-28 | Cilag Gmbh International | Method for controlling smart energy devices |
| US12458351B2 (en) | 2017-12-28 | 2025-11-04 | Cilag Gmbh International | Variable output cartridge sensor assembly |
| US11026751B2 (en) | 2017-12-28 | 2021-06-08 | Cilag Gmbh International | Display of alignment of staple cartridge to prior linear staple line |
| US11202570B2 (en) | 2017-12-28 | 2021-12-21 | Cilag Gmbh International | Communication hub and storage device for storing parameters and status of a surgical device to be shared with cloud based analytics systems |
| US11937769B2 (en) | 2017-12-28 | 2024-03-26 | Cilag Gmbh International | Method of hub communication, processing, storage and display |
| US11771487B2 (en) | 2017-12-28 | 2023-10-03 | Cilag Gmbh International | Mechanisms for controlling different electromechanical systems of an electrosurgical instrument |
| US12062442B2 (en) | 2017-12-28 | 2024-08-13 | Cilag Gmbh International | Method for operating surgical instrument systems |
| US11311306B2 (en) | 2017-12-28 | 2022-04-26 | Cilag Gmbh International | Surgical systems for detecting end effector tissue distribution irregularities |
| US20190201042A1 (en) | 2017-12-28 | 2019-07-04 | Ethicon Llc | Determining the state of an ultrasonic electromechanical system according to frequency shift |
| US11410259B2 (en) | 2017-12-28 | 2022-08-09 | Cilag Gmbh International | Adaptive control program updates for surgical devices |
| US11903601B2 (en) | 2017-12-28 | 2024-02-20 | Cilag Gmbh International | Surgical instrument comprising a plurality of drive systems |
| US11304745B2 (en) | 2017-12-28 | 2022-04-19 | Cilag Gmbh International | Surgical evacuation sensing and display |
| US11166772B2 (en) | 2017-12-28 | 2021-11-09 | Cilag Gmbh International | Surgical hub coordination of control and communication of operating room devices |
| US12127729B2 (en) | 2017-12-28 | 2024-10-29 | Cilag Gmbh International | Method for smoke evacuation for surgical hub |
| US11529187B2 (en) | 2017-12-28 | 2022-12-20 | Cilag Gmbh International | Surgical evacuation sensor arrangements |
| US11633237B2 (en) | 2017-12-28 | 2023-04-25 | Cilag Gmbh International | Usage and technique analysis of surgeon / staff performance against a baseline to optimize device utilization and performance for both current and future procedures |
| US11266468B2 (en) | 2017-12-28 | 2022-03-08 | Cilag Gmbh International | Cooperative utilization of data derived from secondary sources by intelligent surgical hubs |
| US20190201090A1 (en) | 2017-12-28 | 2019-07-04 | Ethicon Llc | Capacitive coupled return path pad with separable array elements |
| US11419667B2 (en) | 2017-12-28 | 2022-08-23 | Cilag Gmbh International | Ultrasonic energy device which varies pressure applied by clamp arm to provide threshold control pressure at a cut progression location |
| US10966791B2 (en) | 2017-12-28 | 2021-04-06 | Ethicon Llc | Cloud-based medical analytics for medical facility segmented individualization of instrument function |
| US11969142B2 (en) | 2017-12-28 | 2024-04-30 | Cilag Gmbh International | Method of compressing tissue within a stapling device and simultaneously displaying the location of the tissue within the jaws |
| US12096916B2 (en) | 2017-12-28 | 2024-09-24 | Cilag Gmbh International | Method of sensing particulate from smoke evacuated from a patient, adjusting the pump speed based on the sensed information, and communicating the functional parameters of the system to the hub |
| US20190201112A1 (en) | 2017-12-28 | 2019-07-04 | Ethicon Llc | Computer implemented interactive surgical systems |
| US11832840B2 (en) | 2017-12-28 | 2023-12-05 | Cilag Gmbh International | Surgical instrument having a flexible circuit |
| US11273001B2 (en) | 2017-12-28 | 2022-03-15 | Cilag Gmbh International | Surgical hub and modular device response adjustment based on situational awareness |
| US11446052B2 (en) | 2017-12-28 | 2022-09-20 | Cilag Gmbh International | Variation of radio frequency and ultrasonic power level in cooperation with varying clamp arm pressure to achieve predefined heat flux or power applied to tissue |
| US11376002B2 (en) | 2017-12-28 | 2022-07-05 | Cilag Gmbh International | Surgical instrument cartridge sensor assemblies |
| US11389164B2 (en) | 2017-12-28 | 2022-07-19 | Cilag Gmbh International | Method of using reinforced flexible circuits with multiple sensors to optimize performance of radio frequency devices |
| US10892899B2 (en) | 2017-12-28 | 2021-01-12 | Ethicon Llc | Self describing data packets generated at an issuing instrument |
| US11051876B2 (en) | 2017-12-28 | 2021-07-06 | Cilag Gmbh International | Surgical evacuation flow paths |
| US10987178B2 (en) | 2017-12-28 | 2021-04-27 | Ethicon Llc | Surgical hub control arrangements |
| US11559308B2 (en) | 2017-12-28 | 2023-01-24 | Cilag Gmbh International | Method for smart energy device infrastructure |
| US11160605B2 (en) | 2017-12-28 | 2021-11-02 | Cilag Gmbh International | Surgical evacuation sensing and motor control |
| US11234756B2 (en) | 2017-12-28 | 2022-02-01 | Cilag Gmbh International | Powered surgical tool with predefined adjustable control algorithm for controlling end effector parameter |
| US11147607B2 (en) | 2017-12-28 | 2021-10-19 | Cilag Gmbh International | Bipolar combination device that automatically adjusts pressure based on energy modality |
| US11324557B2 (en) | 2017-12-28 | 2022-05-10 | Cilag Gmbh International | Surgical instrument with a sensing array |
| US11786245B2 (en) | 2017-12-28 | 2023-10-17 | Cilag Gmbh International | Surgical systems with prioritized data transmission capabilities |
| US11100631B2 (en) | 2017-12-28 | 2021-08-24 | Cilag Gmbh International | Use of laser light and red-green-blue coloration to determine properties of back scattered light |
| US11284936B2 (en) | 2017-12-28 | 2022-03-29 | Cilag Gmbh International | Surgical instrument having a flexible electrode |
| US11896322B2 (en) | 2017-12-28 | 2024-02-13 | Cilag Gmbh International | Sensing the patient position and contact utilizing the mono-polar return pad electrode to provide situational awareness to the hub |
| US10944728B2 (en) | 2017-12-28 | 2021-03-09 | Ethicon Llc | Interactive surgical systems with encrypted communication capabilities |
| US11213359B2 (en) | 2017-12-28 | 2022-01-04 | Cilag Gmbh International | Controllers for robot-assisted surgical platforms |
| US11423007B2 (en) | 2017-12-28 | 2022-08-23 | Cilag Gmbh International | Adjustment of device control programs based on stratified contextual data in addition to the data |
| JP2021509061A (ja) | 2017-12-28 | 2021-03-18 | エシコン エルエルシーＥｔｈｉｃｏｎ ＬＬＣ | 状況認識に基づく外科用デバイスの機能の調節 |
| US11998193B2 (en) | 2017-12-28 | 2024-06-04 | Cilag Gmbh International | Method for usage of the shroud as an aspect of sensing or controlling a powered surgical device, and a control algorithm to adjust its default operation |
| US10758310B2 (en) | 2017-12-28 | 2020-09-01 | Ethicon Llc | Wireless pairing of a surgical device with another device within a sterile surgical field based on the usage and situational awareness of devices |
| US11602393B2 (en) | 2017-12-28 | 2023-03-14 | Cilag Gmbh International | Surgical evacuation sensing and generator control |
| US11076921B2 (en) | 2017-12-28 | 2021-08-03 | Cilag Gmbh International | Adaptive control program updates for surgical hubs |
| US11069012B2 (en) | 2017-12-28 | 2021-07-20 | Cilag Gmbh International | Interactive surgical systems with condition handling of devices and data capabilities |
| US11612444B2 (en) | 2017-12-28 | 2023-03-28 | Cilag Gmbh International | Adjustment of a surgical device function based on situational awareness |
| US10849697B2 (en) | 2017-12-28 | 2020-12-01 | Ethicon Llc | Cloud interface for coupled surgical devices |
| US11864728B2 (en) | 2017-12-28 | 2024-01-09 | Cilag Gmbh International | Characterization of tissue irregularities through the use of mono-chromatic light refractivity |
| US20190206569A1 (en) | 2017-12-28 | 2019-07-04 | Ethicon Llc | Method of cloud based data analytics for use with the hub |
| US11857152B2 (en) | 2017-12-28 | 2024-01-02 | Cilag Gmbh International | Surgical hub spatial awareness to determine devices in operating theater |
| US11278281B2 (en) | 2017-12-28 | 2022-03-22 | Cilag Gmbh International | Interactive surgical system |
| US11317937B2 (en) | 2018-03-08 | 2022-05-03 | Cilag Gmbh International | Determining the state of an ultrasonic end effector |
| US11308075B2 (en) | 2017-12-28 | 2022-04-19 | Cilag Gmbh International | Surgical network, instrument, and cloud responses based on validation of received dataset and authentication of its source and integrity |
| US11304699B2 (en) | 2017-12-28 | 2022-04-19 | Cilag Gmbh International | Method for adaptive control schemes for surgical network control and interaction |
| US11896443B2 (en) | 2017-12-28 | 2024-02-13 | Cilag Gmbh International | Control of a surgical system through a surgical barrier |
| WO2019133143A1 (en) | 2017-12-28 | 2019-07-04 | Ethicon Llc | Surgical hub and modular device response adjustment based on situational awareness |
| US10918310B2 (en) | 2018-01-03 | 2021-02-16 | Biosense Webster (Israel) Ltd. | Fast anatomical mapping (FAM) using volume filling |
| US11013563B2 (en) | 2017-12-28 | 2021-05-25 | Ethicon Llc | Drive arrangements for robot-assisted surgical platforms |
| US11744604B2 (en) | 2017-12-28 | 2023-09-05 | Cilag Gmbh International | Surgical instrument with a hardware-only control circuit |
| US11419630B2 (en) | 2017-12-28 | 2022-08-23 | Cilag Gmbh International | Surgical system distributed processing |
| US11659023B2 (en) | 2017-12-28 | 2023-05-23 | Cilag Gmbh International | Method of hub communication |
| US11540855B2 (en) | 2017-12-28 | 2023-01-03 | Cilag Gmbh International | Controlling activation of an ultrasonic surgical instrument according to the presence of tissue |
| US11045591B2 (en) | 2017-12-28 | 2021-06-29 | Cilag Gmbh International | Dual in-series large and small droplet filters |
| US11432885B2 (en) | 2017-12-28 | 2022-09-06 | Cilag Gmbh International | Sensing arrangements for robot-assisted surgical platforms |
| US10595887B2 (en) | 2017-12-28 | 2020-03-24 | Ethicon Llc | Systems for adjusting end effector parameters based on perioperative information |
| US11786251B2 (en) | 2017-12-28 | 2023-10-17 | Cilag Gmbh International | Method for adaptive control schemes for surgical network control and interaction |
| US11056244B2 (en) | 2017-12-28 | 2021-07-06 | Cilag Gmbh International | Automated data scaling, alignment, and organizing based on predefined parameters within surgical networks |
| US11096693B2 (en) | 2017-12-28 | 2021-08-24 | Cilag Gmbh International | Adjustment of staple height of at least one row of staples based on the sensed tissue thickness or force in closing |
| US11464559B2 (en) | 2017-12-28 | 2022-10-11 | Cilag Gmbh International | Estimating state of ultrasonic end effector and control system therefor |
| US12376855B2 (en) | 2017-12-28 | 2025-08-05 | Cilag Gmbh International | Safety systems for smart powered surgical stapling |
| US11364075B2 (en) | 2017-12-28 | 2022-06-21 | Cilag Gmbh International | Radio frequency energy device for delivering combined electrical signals |
| US10892995B2 (en) | 2017-12-28 | 2021-01-12 | Ethicon Llc | Surgical network determination of prioritization of communication, interaction, or processing based on system or device needs |
| US11678881B2 (en) | 2017-12-28 | 2023-06-20 | Cilag Gmbh International | Spatial awareness of surgical hubs in operating rooms |
| US11109866B2 (en) | 2017-12-28 | 2021-09-07 | Cilag Gmbh International | Method for circular stapler control algorithm adjustment based on situational awareness |
| US11969216B2 (en) | 2017-12-28 | 2024-04-30 | Cilag Gmbh International | Surgical network recommendations from real time analysis of procedure variables against a baseline highlighting differences from the optimal solution |
| US11571234B2 (en) | 2017-12-28 | 2023-02-07 | Cilag Gmbh International | Temperature control of ultrasonic end effector and control system therefor |
| US11253315B2 (en) | 2017-12-28 | 2022-02-22 | Cilag Gmbh International | Increasing radio frequency to create pad-less monopolar loop |
| US11424027B2 (en) | 2017-12-28 | 2022-08-23 | Cilag Gmbh International | Method for operating surgical instrument systems |
| US10695081B2 (en) | 2017-12-28 | 2020-06-30 | Ethicon Llc | Controlling a surgical instrument according to sensed closure parameters |
| WO2019136041A1 (en) | 2018-01-04 | 2019-07-11 | Covidien Lp | Robotic surgical instrument including high articulation wrist assembly with torque transmission and mechanical manipulation |
| US12193774B2 (en) | 2018-01-09 | 2025-01-14 | Covidien Lp | Sterile interface module for robotic surgical assemblies |
| CN117243697A (zh) | 2018-01-10 | 2023-12-19 | 柯惠Lp公司 | 机器人手术组件及其接合器组件 |
| US10945732B2 (en) | 2018-01-17 | 2021-03-16 | Covidien Lp | Surgical stapler with self-returning assembly |
| CN111989051B (zh) | 2018-02-12 | 2024-09-24 | 直观外科手术操作公司 | 带闭锁机构的外科手术器械 |
| EP4338687B1 (en) | 2018-02-26 | 2026-05-06 | Intuitive Surgical Operations, Inc. | Surgical instrument with lockout mechanism |
| US11134946B2 (en) | 2018-02-27 | 2021-10-05 | Bolder Surgical, Llc | Staple cartridge and methods for surgical staplers |
| JP7423538B2 (ja) | 2018-02-27 | 2024-01-29 | アプライド メディカル リソーシーズ コーポレイション | 電動ハンドルを有する外科用ステープラ |
| US20190261982A1 (en) | 2018-02-27 | 2019-08-29 | Covidien Lp | Powered stapler having varying staple heights and sizes |
| CN111801055B (zh) | 2018-03-02 | 2024-07-05 | 柯惠有限合伙公司 | 外科缝合器械 |
| US11464532B2 (en) | 2018-03-08 | 2022-10-11 | Cilag Gmbh International | Methods for estimating and controlling state of ultrasonic end effector |
| US11986233B2 (en) | 2018-03-08 | 2024-05-21 | Cilag Gmbh International | Adjustment of complex impedance to compensate for lost power in an articulating ultrasonic device |
| US12303159B2 (en) | 2018-03-08 | 2025-05-20 | Cilag Gmbh International | Methods for estimating and controlling state of ultrasonic end effector |
| US11259830B2 (en) | 2018-03-08 | 2022-03-01 | Cilag Gmbh International | Methods for controlling temperature in ultrasonic device |
| US11129611B2 (en) | 2018-03-28 | 2021-09-28 | Cilag Gmbh International | Surgical staplers with arrangements for maintaining a firing member thereof in a locked configuration unless a compatible cartridge has been installed therein |
| US11207067B2 (en) | 2018-03-28 | 2021-12-28 | Cilag Gmbh International | Surgical stapling device with separate rotary driven closure and firing systems and firing member that engages both jaws while firing |
| US10973520B2 (en) | 2018-03-28 | 2021-04-13 | Ethicon Llc | Surgical staple cartridge with firing member driven camming assembly that has an onboard tissue cutting feature |
| US11096688B2 (en) | 2018-03-28 | 2021-08-24 | Cilag Gmbh International | Rotary driven firing members with different anvil and channel engagement features |
| US11259806B2 (en) | 2018-03-28 | 2022-03-01 | Cilag Gmbh International | Surgical stapling devices with features for blocking advancement of a camming assembly of an incompatible cartridge installed therein |
| US11471156B2 (en) | 2018-03-28 | 2022-10-18 | Cilag Gmbh International | Surgical stapling devices with improved rotary driven closure systems |
| US11090047B2 (en) | 2018-03-28 | 2021-08-17 | Cilag Gmbh International | Surgical instrument comprising an adaptive control system |
| US11278280B2 (en) | 2018-03-28 | 2022-03-22 | Cilag Gmbh International | Surgical instrument comprising a jaw closure lockout |
| US11219453B2 (en) | 2018-03-28 | 2022-01-11 | Cilag Gmbh International | Surgical stapling devices with cartridge compatible closure and firing lockout arrangements |
| CA3090551A1 (en) | 2018-03-29 | 2019-10-03 | Covidien Lp | Robotic surgical systems and instrument drive assemblies |
| US11160556B2 (en) | 2018-04-23 | 2021-11-02 | Covidien Lp | Threaded trocar for adapter assemblies |
| US11896230B2 (en) | 2018-05-07 | 2024-02-13 | Covidien Lp | Handheld electromechanical surgical device including load sensor having spherical ball pivots |
| US11399839B2 (en) | 2018-05-07 | 2022-08-02 | Covidien Lp | Surgical devices including trocar lock and trocar connection indicator |
| US11534172B2 (en) | 2018-05-07 | 2022-12-27 | Covidien Lp | Electromechanical surgical stapler including trocar assembly release mechanism |
| US12029473B2 (en) | 2018-05-31 | 2024-07-09 | Intuitive Surgical Operations, Inc. | Surgical instruments having a jaw locking mechanism |
| US20190388091A1 (en) | 2018-06-21 | 2019-12-26 | Covidien Lp | Powered surgical devices including strain gauges incorporated into flex circuits |
| US10849622B2 (en) | 2018-06-21 | 2020-12-01 | Covidien Lp | Articulated stapling with fire lock |
| US11376003B2 (en) | 2018-07-05 | 2022-07-05 | Lexington Medical, Inc. | Surgical handle articulation assembly |
| US11241233B2 (en) | 2018-07-10 | 2022-02-08 | Covidien Lp | Apparatus for ensuring strain gauge accuracy in medical reusable device |
| US11160550B2 (en) | 2018-07-16 | 2021-11-02 | Cilag Gmbh International | Surgical stapling end effector component with articulation and asymmetric deformable tip |
| WO2020016723A2 (en) | 2018-07-16 | 2020-01-23 | Ethicon Llc | Surgical stapling end effector jaw with tip deflecting toward other jaw |
| US11179154B2 (en) | 2018-07-16 | 2021-11-23 | Cilag Gmbh International | Surgical stapling end effector component with deformable tip skewing in multiple planes |
| US10786252B2 (en) | 2018-07-16 | 2020-09-29 | Ethicon Llc | Surgical stapling end effector component with deformable tip having void |
| US10912561B2 (en) | 2018-07-16 | 2021-02-09 | Ethicon Llc | Buttress applier cartridge for surgical stapler having end effector with deflectable curved tip |
| WO2020016721A1 (en) | 2018-07-16 | 2020-01-23 | Ethicon Llc | Surgical stapling end effector component with tip having varying bend angle |
| US10973515B2 (en) | 2018-07-16 | 2021-04-13 | Ethicon Llc | Permanent attachment means for curved tip of component of surgical stapling instrument |
| CN119279667A (zh) | 2018-07-16 | 2025-01-10 | 爱惜康有限责任公司 | 用具有弧形末端的端部执行器部件进行外科缝合的方法 |
| US10912558B2 (en) | 2018-07-16 | 2021-02-09 | Ethicon Llc | Surgical stapling end effector component with deformable tip having thick distal end |
| US12029507B2 (en) | 2018-07-26 | 2024-07-09 | Covidien Lp | Surgical robotic systems |
| US10736631B2 (en) | 2018-08-07 | 2020-08-11 | Covidien Lp | End effector with staple cartridge ejector |
| US11596496B2 (en) | 2018-08-13 | 2023-03-07 | Covidien Lp | Surgical devices with moisture control |
| US11076858B2 (en) | 2018-08-14 | 2021-08-03 | Covidien Lp | Single use electronics for surgical devices |
| US11207065B2 (en) | 2018-08-20 | 2021-12-28 | Cilag Gmbh International | Method for fabricating surgical stapler anvils |
| US10779821B2 (en) | 2018-08-20 | 2020-09-22 | Ethicon Llc | Surgical stapler anvils with tissue stop features configured to avoid tissue pinch |
| US10856870B2 (en) | 2018-08-20 | 2020-12-08 | Ethicon Llc | Switching arrangements for motor powered articulatable surgical instruments |
| US11039834B2 (en) | 2018-08-20 | 2021-06-22 | Cilag Gmbh International | Surgical stapler anvils with staple directing protrusions and tissue stability features |
| USD914878S1 (en) | 2018-08-20 | 2021-03-30 | Ethicon Llc | Surgical instrument anvil |
| US10912559B2 (en) | 2018-08-20 | 2021-02-09 | Ethicon Llc | Reinforced deformable anvil tip for surgical stapler anvil |
| 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 |
| 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 |
| US11045192B2 (en) | 2018-08-20 | 2021-06-29 | Cilag Gmbh International | Fabricating techniques for surgical stapler anvils |
| US11253256B2 (en) | 2018-08-20 | 2022-02-22 | Cilag Gmbh International | Articulatable motor powered surgical instruments with dedicated articulation motor arrangements |
| 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 |
| US10849620B2 (en) | 2018-09-14 | 2020-12-01 | Covidien Lp | Connector mechanisms for surgical stapling instruments |
| US11510669B2 (en) | 2020-09-29 | 2022-11-29 | Covidien Lp | Hand-held surgical instruments |
| EP3866702A4 (en) | 2018-10-19 | 2022-07-20 | Intuitive Surgical Operations, Inc. | ENDOSCOPIC SURGICAL SUTURE DEVICE |
| US11090051B2 (en) | 2018-10-23 | 2021-08-17 | Covidien Lp | Surgical stapling device with floating staple cartridge |
| US11197673B2 (en) | 2018-10-30 | 2021-12-14 | Covidien Lp | Surgical stapling instruments and end effector assemblies thereof |
| US11717276B2 (en) | 2018-10-30 | 2023-08-08 | Covidien Lp | Surgical devices including adapters and seals |
| CN113194847A (zh) | 2018-12-21 | 2021-07-30 | 直观外科手术操作公司 | 用于外科手术器械的致动机构 |
| WO2020131685A1 (en) | 2018-12-21 | 2020-06-25 | Intuitive Surgical Operations, Inc. | Surgical instruments with switches for deactivating and/or identifying stapler cartridges |
| JP7241178B2 (ja) | 2018-12-21 | 2023-03-16 | インテュイティブ サージカル オペレーションズ， インコーポレイテッド | 補強されたステープルカートリッジを有する手術器具 |
| WO2020131290A1 (en) | 2018-12-21 | 2020-06-25 | Intuitive Surgical Operations, Inc. | Articulation assemblies for surgical instruments |
| US11033269B2 (en) | 2018-12-28 | 2021-06-15 | Cilag Gmbh International | Method of applying buttresses to surgically cut and stapled sites |
| USD901686S1 (en) | 2018-12-28 | 2020-11-10 | Ethicon Llc | Applicator for surgical stapler buttress |
| US11103243B2 (en) | 2018-12-28 | 2021-08-31 | Cilag Gmbh International | Curved tip surgical stapler buttress assembly applicator with compression layer pocket feature |
| US11432817B2 (en) | 2018-12-28 | 2022-09-06 | Cilag Gmbh International | Packaging for surgical stapler buttress |
| US11272935B2 (en) | 2018-12-28 | 2022-03-15 | Cilag Gmbh International | Curved tip surgical stapler buttress assembly applicator with opening feature for curved tip alignment |
| US11202628B2 (en) | 2018-12-28 | 2021-12-21 | Cilag Gmbh International | Surgical stapler with tissue engagement features around tissue containment pin |
| US20200205822A1 (en) | 2018-12-28 | 2020-07-02 | Ethicon Llc | Surgical stapler buttress with tissue in-growth promotion |
| US10905424B2 (en) | 2018-12-28 | 2021-02-02 | Ethicon Llc | Curved tip surgical stapler buttress assembly applicator with proximal alignment features |
| USD933220S1 (en) | 2018-12-28 | 2021-10-12 | Cilag Gmbh International | Buttress assembly for a surgical stapler |
| USD932621S1 (en) | 2018-12-28 | 2021-10-05 | Cilag Gmbh International | Buttress assembly for a surgical stapler |
| US11166724B2 (en) | 2018-12-28 | 2021-11-09 | Cilag Gmbh International | Adhesive distribution on buttress for surgical stapler |
| US11701109B2 (en) | 2018-12-28 | 2023-07-18 | Cilag Gmbh International | Surgical stapler with sloped staple deck for varying tissue compression |
| US11116505B2 (en) | 2018-12-28 | 2021-09-14 | Cilag Gmbh International | Applicator for surgical stapler buttress |
| USD926318S1 (en) | 2018-12-28 | 2021-07-27 | Cilag Gmbh International | Surgical stapler deck with tissue engagement recess features |
| USD903115S1 (en) | 2018-12-28 | 2020-11-24 | Ethicon Llc | Applicator for a surgical stapler buttress |
| USD922576S1 (en) | 2018-12-28 | 2021-06-15 | Cilag Gmbh International | Applicator tray for a buttress applicator for a surgical stapler |
| US11166725B2 (en) | 2018-12-28 | 2021-11-09 | Cilag Gmbh International | Configuration of buttress for surgical stapler |
| USD926317S1 (en) | 2018-12-28 | 2021-07-27 | Cilag Gmbh International | Surgical stapler deck with tissue engagement cleat features |
| US10912563B2 (en) | 2019-01-02 | 2021-02-09 | Covidien Lp | Stapling device including tool assembly stabilizing member |
| US10856871B2 (en) | 2019-01-16 | 2020-12-08 | Lexington Medical, Inc. | Advancing a toothed rack of a surgical handle assembly |
| US11439391B2 (en) | 2019-01-30 | 2022-09-13 | Cilag Gmbh International | Surgical stapler with toggling distal tip |
| US11317912B2 (en) | 2019-01-30 | 2022-05-03 | Cilag Gmbh International | Surgical stapler with rotatable distal tip |
| US11304697B2 (en) | 2019-01-30 | 2022-04-19 | Cilag Gmbh International | Surgical stapler with deflectable distal tip |
| US11357503B2 (en) | 2019-02-19 | 2022-06-14 | Cilag Gmbh International | Staple cartridge retainers with frangible retention features and methods of using same |
| US11317915B2 (en) | 2019-02-19 | 2022-05-03 | Cilag Gmbh International | Universal cartridge based key feature that unlocks multiple lockout arrangements in different surgical staplers |
| US11464511B2 (en) | 2019-02-19 | 2022-10-11 | Cilag Gmbh International | Surgical staple cartridges with movable authentication key arrangements |
| US11369377B2 (en) | 2019-02-19 | 2022-06-28 | Cilag Gmbh International | Surgical stapling assembly with cartridge based retainer configured to unlock a firing lockout |
| US11259807B2 (en) | 2019-02-19 | 2022-03-01 | Cilag Gmbh International | Staple cartridges with cam surfaces configured to engage primary and secondary portions of a lockout of a surgical stapling device |
| AU2020227757B2 (en) | 2019-02-27 | 2025-07-24 | Applied Medical Resources Corporation | Surgical stapling instrument having a two-position lockout mechanism |
| US11344297B2 (en) | 2019-02-28 | 2022-05-31 | Covidien Lp | Surgical stapling device with independently movable jaws |
| US11259808B2 (en) | 2019-03-13 | 2022-03-01 | Covidien Lp | Tool assemblies with a gap locking member |
| US11172929B2 (en) | 2019-03-25 | 2021-11-16 | Cilag Gmbh International | Articulation drive arrangements for surgical systems |
| US11147553B2 (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 |
| US11147551B2 (en) | 2019-03-25 | 2021-10-19 | Cilag Gmbh International | Firing drive arrangements for surgical systems |
| KR102915733B1 (ko) | 2019-03-29 | 2026-01-21 | 어플라이드 메디컬 리소시스 코포레이션 | 수술용 스테이플링 시스템에 대한 재장전물 커버 |
| US11284893B2 (en) | 2019-04-02 | 2022-03-29 | Covidien Lp | Stapling device with articulating tool assembly |
| US11284892B2 (en) | 2019-04-02 | 2022-03-29 | Covidien Lp | Loading unit and adapter with modified coupling assembly |
| US11241228B2 (en) | 2019-04-05 | 2022-02-08 | Covidien Lp | Surgical instrument including an adapter assembly and an articulating surgical loading unit |
| WO2020214258A1 (en) | 2019-04-15 | 2020-10-22 | Intuitive Surgical Operations, Inc. | Staple cartridge for a surgical instrument |
| US12011168B2 (en) | 2019-04-17 | 2024-06-18 | Intuitive Surgical Operations, Inc. | Surgical stapling instrument |
| US11369378B2 (en) | 2019-04-18 | 2022-06-28 | Covidien Lp | Surgical instrument including an adapter assembly and an articulating surgical loading unit |
| US11324504B2 (en) | 2019-04-26 | 2022-05-10 | Cilag Gmbh International | Cartridge based lockout mechanism for right angle surgical stapler |
| US11166721B2 (en) | 2019-04-26 | 2021-11-09 | Cilag Gmbh International | Staple retainer for surgical stapler cartridge |
| US11266403B2 (en) | 2019-04-26 | 2022-03-08 | Cilag Gmbh International | Tissue cutting washer for right angle surgical stapler |
| USD938029S1 (en) | 2019-04-26 | 2021-12-07 | Cilag Gmbh International | Staple retainer for surgical stapler cartridge |
| US11202629B2 (en) * | 2019-04-26 | 2021-12-21 | Cilag Gmbh International | Clamping based lockout mechanism for right angle surgical stapler |
| US11648009B2 (en) | 2019-04-30 | 2023-05-16 | Cilag Gmbh International | Rotatable jaw tip for a surgical instrument |
| US20200345359A1 (en) * | 2019-04-30 | 2020-11-05 | Ethicon Llc | Tissue stop for a surgical instrument |
| US11253254B2 (en) | 2019-04-30 | 2022-02-22 | Cilag Gmbh International | Shaft rotation actuator on a surgical instrument |
| US20200345357A1 (en) | 2019-04-30 | 2020-11-05 | Ethicon Llc | Intelligent firing associated with a surgical instrument |
| US11903581B2 (en) | 2019-04-30 | 2024-02-20 | Cilag Gmbh International | Methods for stapling tissue using a surgical instrument |
| US20200345356A1 (en) | 2019-04-30 | 2020-11-05 | Ethicon Llc | Intelligent firing associated with a surgical instrument |
| US11426251B2 (en) | 2019-04-30 | 2022-08-30 | Cilag Gmbh International | Articulation directional lights on a surgical instrument |
| US11432816B2 (en) | 2019-04-30 | 2022-09-06 | Cilag Gmbh International | Articulation pin for a surgical instrument |
| US11471157B2 (en) | 2019-04-30 | 2022-10-18 | Cilag Gmbh International | Articulation control mapping for a surgical instrument |
| US11452528B2 (en) | 2019-04-30 | 2022-09-27 | Cilag Gmbh International | Articulation actuators for a surgical instrument |
| CN119745453A (zh) | 2019-05-31 | 2025-04-04 | 直观外科手术操作公司 | 用于外科器械的订合钉仓 |
| US11446035B2 (en) | 2019-06-24 | 2022-09-20 | Covidien Lp | Retaining mechanisms for trocar assemblies |
| US11464541B2 (en) | 2019-06-24 | 2022-10-11 | Covidien Lp | Retaining mechanisms for trocar assembly |
| US11426168B2 (en) | 2019-07-05 | 2022-08-30 | Covidien Lp | Trocar coupling assemblies for a surgical stapler |
| US11058429B2 (en) | 2019-06-24 | 2021-07-13 | Covidien Lp | Load sensing assemblies and methods of manufacturing load sensing assemblies |
| US11123101B2 (en) | 2019-07-05 | 2021-09-21 | Covidien Lp | Retaining mechanisms for trocar assemblies |
| USD950728S1 (en) | 2019-06-25 | 2022-05-03 | Cilag Gmbh International | Surgical staple cartridge |
| USD964564S1 (en) | 2019-06-25 | 2022-09-20 | Cilag Gmbh International | Surgical staple cartridge retainer with a closure system authentication key |
| USD952144S1 (en) | 2019-06-25 | 2022-05-17 | Cilag Gmbh International | Surgical staple cartridge retainer with firing system authentication key |
| US11553971B2 (en) | 2019-06-28 | 2023-01-17 | Cilag Gmbh International | Surgical RFID assemblies for display and communication |
| US11291451B2 (en) | 2019-06-28 | 2022-04-05 | Cilag Gmbh International | Surgical instrument with battery compatibility verification functionality |
| US11684434B2 (en) | 2019-06-28 | 2023-06-27 | Cilag Gmbh International | Surgical RFID assemblies for instrument operational setting control |
| US11853835B2 (en) | 2019-06-28 | 2023-12-26 | Cilag Gmbh International | RFID identification systems for surgical instruments |
| US20200405308A1 (en) | 2019-06-28 | 2020-12-31 | Ethicon Llc | Surgical instrument including a firing lockout |
| US11298127B2 (en) | 2019-06-28 | 2022-04-12 | Cilag GmbH Interational | Surgical stapling system having a lockout mechanism for an incompatible cartridge |
| US11497492B2 (en) | 2019-06-28 | 2022-11-15 | Cilag Gmbh International | Surgical instrument including an articulation lock |
| US20200405307A1 (en) | 2019-06-28 | 2020-12-31 | Ethicon Llc | Control circuit comprising a coating |
| US11259803B2 (en) | 2019-06-28 | 2022-03-01 | Cilag Gmbh International | Surgical stapling system having an information encryption protocol |
| US11224497B2 (en) | 2019-06-28 | 2022-01-18 | Cilag Gmbh International | Surgical systems with multiple RFID tags |
| US11464601B2 (en) | 2019-06-28 | 2022-10-11 | Cilag Gmbh International | Surgical instrument comprising an RFID system for tracking a movable component |
| US11771419B2 (en) | 2019-06-28 | 2023-10-03 | Cilag Gmbh International | Packaging for a replaceable component of a surgical stapling system |
| US11627959B2 (en) | 2019-06-28 | 2023-04-18 | Cilag Gmbh International | Surgical instruments including manual and powered system lockouts |
| US11241235B2 (en) | 2019-06-28 | 2022-02-08 | Cilag Gmbh International | Method of using multiple RFID chips with a surgical assembly |
| US11426167B2 (en) | 2019-06-28 | 2022-08-30 | Cilag Gmbh International | Mechanisms for proper anvil attachment surgical stapling head assembly |
| US11660163B2 (en) | 2019-06-28 | 2023-05-30 | Cilag Gmbh International | Surgical system with RFID tags for updating motor assembly parameters |
| US20200405292A1 (en) | 2019-06-28 | 2020-12-31 | Ethicon Llc | Surgical instrument including a battery unit |
| US11523822B2 (en) | 2019-06-28 | 2022-12-13 | Cilag Gmbh International | Battery pack including a circuit interrupter |
| US11399837B2 (en) | 2019-06-28 | 2022-08-02 | Cilag Gmbh International | Mechanisms for motor control adjustments of a motorized surgical instrument |
| US11376098B2 (en) | 2019-06-28 | 2022-07-05 | Cilag Gmbh International | Surgical instrument system comprising an RFID system |
| US11638587B2 (en) | 2019-06-28 | 2023-05-02 | Cilag Gmbh International | RFID identification systems for surgical instruments |
| US11478241B2 (en) | 2019-06-28 | 2022-10-25 | Cilag Gmbh International | Staple cartridge including projections |
| US12004740B2 (en) | 2019-06-28 | 2024-06-11 | Cilag Gmbh International | Surgical stapling system having an information decryption protocol |
| US11361176B2 (en) | 2019-06-28 | 2022-06-14 | Cilag Gmbh International | Surgical RFID assemblies for compatibility detection |
| US20200405306A1 (en) | 2019-06-28 | 2020-12-31 | Ethicon Llc | Surgical instrument including a firing system bailout |
| US11051807B2 (en) | 2019-06-28 | 2021-07-06 | Cilag Gmbh International | Packaging assembly including a particulate trap |
| US11219455B2 (en) | 2019-06-28 | 2022-01-11 | Cilag Gmbh International | Surgical instrument including a lockout key |
| US11298132B2 (en) | 2019-06-28 | 2022-04-12 | Cilag GmbH Inlernational | Staple cartridge including a honeycomb extension |
| US11246678B2 (en) | 2019-06-28 | 2022-02-15 | Cilag Gmbh International | Surgical stapling system having a frangible RFID tag |
| US11786325B2 (en) | 2019-07-02 | 2023-10-17 | Intuitive Surgical Operations, Inc. | Remotely controlling a system using video |
| US11224424B2 (en) | 2019-08-02 | 2022-01-18 | Covidien Lp | Linear stapling device with vertically movable knife |
| US11406385B2 (en) | 2019-10-11 | 2022-08-09 | Covidien Lp | Stapling device with a gap locking member |
| CN114502083A (zh) | 2019-10-18 | 2022-05-13 | 直观外科手术操作公司 | 具有可调节钳爪的手术器械 |
| US11123068B2 (en) | 2019-11-08 | 2021-09-21 | Covidien Lp | Surgical staple cartridge |
| US11534163B2 (en) | 2019-11-21 | 2022-12-27 | Covidien Lp | Surgical stapling instruments |
| US11076850B2 (en) | 2019-11-26 | 2021-08-03 | Covidien Lp | Surgical instrument including an adapter assembly and an articulating surgical loading unit |
| US11974743B2 (en) | 2019-12-02 | 2024-05-07 | Covidien Lp | Linear stapling device with a gap locking member |
| US11707274B2 (en) | 2019-12-06 | 2023-07-25 | Covidien Lp | Articulating mechanism for surgical instrument |
| US11109862B2 (en) | 2019-12-12 | 2021-09-07 | Covidien Lp | Surgical stapling device with flexible shaft |
| US12383260B2 (en) | 2019-12-13 | 2025-08-12 | Covidien Lp | Surgical stapler with universal tip reload |
| US11737747B2 (en) | 2019-12-17 | 2023-08-29 | Covidien Lp | Hand-held surgical instruments |
| US11291446B2 (en) | 2019-12-18 | 2022-04-05 | Covidien Lp | Surgical instrument including an adapter assembly and an articulating surgical loading unit |
| US11931033B2 (en) | 2019-12-19 | 2024-03-19 | Cilag Gmbh International | Staple cartridge comprising a latch lockout |
| US11234698B2 (en) | 2019-12-19 | 2022-02-01 | Cilag Gmbh International | Stapling system comprising a clamp lockout and a firing lockout |
| US11291447B2 (en) | 2019-12-19 | 2022-04-05 | Cilag Gmbh International | Stapling instrument comprising independent jaw closing and staple firing systems |
| 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 |
| US11446029B2 (en) | 2019-12-19 | 2022-09-20 | Cilag Gmbh International | Staple cartridge comprising projections extending from a curved deck surface |
| US11529139B2 (en) | 2019-12-19 | 2022-12-20 | Cilag Gmbh International | Motor driven surgical instrument |
| US11304696B2 (en) | 2019-12-19 | 2022-04-19 | Cilag Gmbh International | Surgical instrument comprising a powered articulation system |
| 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 |
| 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 |
| US11464512B2 (en) | 2019-12-19 | 2022-10-11 | Cilag Gmbh International | Staple cartridge comprising a curved deck surface |
| US11701111B2 (en) | 2019-12-19 | 2023-07-18 | Cilag Gmbh International | Method for operating a surgical stapling instrument |
| US11607219B2 (en) | 2019-12-19 | 2023-03-21 | Cilag Gmbh International | Staple cartridge comprising a detachable tissue cutting knife |
| US12035913B2 (en) | 2019-12-19 | 2024-07-16 | Cilag Gmbh International | Staple cartridge comprising a deployable knife |
| US11529137B2 (en) | 2019-12-19 | 2022-12-20 | Cilag Gmbh International | Staple cartridge comprising driver retention members |
| US11583275B2 (en) | 2019-12-27 | 2023-02-21 | Covidien Lp | Surgical instruments including sensor assembly |
| CA3163998A1 (en) | 2019-12-31 | 2021-07-08 | Applied Medical Resources Corporation | Electrosurgical system with tissue and maximum current identification |
| WO2021141971A1 (en) | 2020-01-07 | 2021-07-15 | Intuitive Surgical Operations, Inc. | Surgical instruments for applying multiple clips |
| US12102305B2 (en) | 2020-01-15 | 2024-10-01 | Covidien Lp | Adapter assemblies and surgical loading units |
| US11642129B2 (en) | 2020-01-15 | 2023-05-09 | Intuitive Surgical Operations, Inc. | Staple cartridge and drive member for surgical instrument |
| US11298131B2 (en) | 2020-01-15 | 2022-04-12 | Lexington Medical, Inc. | Multidirectional apparatus |
| US11452524B2 (en) | 2020-01-31 | 2022-09-27 | Covidien Lp | Surgical stapling device with lockout |
| US11278282B2 (en) | 2020-01-31 | 2022-03-22 | Covidien Lp | Stapling device with selective cutting |
| CN115052539B (zh) | 2020-02-03 | 2025-08-08 | 柯惠有限合伙公司 | 外科缝合装置 |
| US11890014B2 (en) | 2020-02-14 | 2024-02-06 | Covidien Lp | Cartridge holder for surgical staples and having ridges in peripheral walls for gripping tissue |
| CN115103642B (zh) | 2020-02-14 | 2025-12-30 | 柯惠有限合伙公司 | 手术钉合装置 |
| US11344301B2 (en) | 2020-03-02 | 2022-05-31 | Covidien Lp | Surgical stapling device with replaceable reload assembly |
| US11344302B2 (en) | 2020-03-05 | 2022-05-31 | Covidien Lp | Articulation mechanism for surgical stapling device |
| US11246593B2 (en) | 2020-03-06 | 2022-02-15 | Covidien Lp | Staple cartridge |
| US11707278B2 (en) | 2020-03-06 | 2023-07-25 | Covidien Lp | Surgical stapler tool assembly to minimize bleeding |
| US11317911B2 (en) | 2020-03-10 | 2022-05-03 | Covidien Lp | Tool assembly with replaceable cartridge assembly |
| US11357505B2 (en) | 2020-03-10 | 2022-06-14 | Covidien Lp | Surgical stapling apparatus with firing lockout mechanism |
| US11406383B2 (en) | 2020-03-17 | 2022-08-09 | Covidien Lp | Fire assisted powered EGIA handle |
| JP7490802B2 (ja) | 2020-03-24 | 2024-05-27 | コヴィディエン リミテッド パートナーシップ | 交換可能なステープルカートリッジを備える外科用ステープル留め装置 |
| US11426159B2 (en) | 2020-04-01 | 2022-08-30 | Covidien Lp | Sled detection device |
| US11331098B2 (en) | 2020-04-01 | 2022-05-17 | Covidien Lp | Sled detection device |
| US11504117B2 (en) | 2020-04-02 | 2022-11-22 | Covidien Lp | Hand-held surgical instruments |
| US11116501B1 (en) | 2020-04-10 | 2021-09-14 | Lexington Medical, Inc. | Surgical handle articulation assemblies |
| US11937794B2 (en) | 2020-05-11 | 2024-03-26 | Covidien Lp | Powered handle assembly for surgical devices |
| US11406387B2 (en) | 2020-05-12 | 2022-08-09 | Covidien Lp | Surgical stapling device with replaceable staple cartridge |
| US11191537B1 (en) | 2020-05-12 | 2021-12-07 | Covidien Lp | Stapling device with continuously parallel jaws |
| US11534167B2 (en) | 2020-05-28 | 2022-12-27 | Covidien Lp | Electrotaxis-conducive stapling |
| USD975278S1 (en) | 2020-06-02 | 2023-01-10 | Cilag Gmbh International | Staple cartridge |
| USD975850S1 (en) | 2020-06-02 | 2023-01-17 | Cilag Gmbh International | Staple cartridge |
| USD967421S1 (en) | 2020-06-02 | 2022-10-18 | Cilag Gmbh International | Staple cartridge |
| USD976401S1 (en) | 2020-06-02 | 2023-01-24 | Cilag Gmbh International | Staple cartridge |
| USD975851S1 (en) | 2020-06-02 | 2023-01-17 | Cilag Gmbh International | Staple cartridge |
| USD974560S1 (en) | 2020-06-02 | 2023-01-03 | Cilag Gmbh International | Staple cartridge |
| USD966512S1 (en) | 2020-06-02 | 2022-10-11 | Cilag Gmbh International | Staple cartridge |
| US11191538B1 (en) | 2020-06-08 | 2021-12-07 | Covidien Lp | Surgical stapling device with parallel jaw closure |
| US12016557B2 (en) | 2020-06-10 | 2024-06-25 | Covidien Lp | Sealed electrical connection between surgical loading unit and adapter |
| US11672559B2 (en) | 2020-06-17 | 2023-06-13 | Cilag Gmbh International | Surgical stapler with cartridge pan retention features |
| US11844517B2 (en) | 2020-06-25 | 2023-12-19 | Covidien Lp | Linear stapling device with continuously parallel jaws |
| US11324500B2 (en) | 2020-06-30 | 2022-05-10 | Covidien Lp | Surgical stapling device |
| US12023027B2 (en) | 2020-07-02 | 2024-07-02 | Covidien Lp | Surgical stapling device with compressible staple cartridge |
| US11517305B2 (en) | 2020-07-09 | 2022-12-06 | Covidien Lp | Contoured staple pusher |
| US12349902B2 (en) | 2020-07-09 | 2025-07-08 | Covidien Lp | Powered handle assembly for surgical devices |
| US11446028B2 (en) | 2020-07-09 | 2022-09-20 | Covidien Lp | Tool assembly with pivotable clamping beam |
| US12089838B2 (en) | 2020-07-21 | 2024-09-17 | Covidien Lp | Shipping cover for staple cartridge |
| US11638582B2 (en) | 2020-07-28 | 2023-05-02 | Cilag Gmbh International | Surgical instruments with torsion spine drive arrangements |
| US11266402B2 (en) | 2020-07-30 | 2022-03-08 | Covidien Lp | Sensing curved tip for surgical stapling instruments |
| US11439392B2 (en) | 2020-08-03 | 2022-09-13 | Covidien Lp | Surgical stapling device and fastener for pathological exam |
| US11395654B2 (en) | 2020-08-07 | 2022-07-26 | Covidien Lp | Surgical stapling device with articulation braking assembly |
| US11602342B2 (en) | 2020-08-27 | 2023-03-14 | Covidien Lp | Surgical stapling device with laser probe |
| US11660091B2 (en) | 2020-09-08 | 2023-05-30 | Covidien Lp | Surgical device with seal assembly |
| US11678878B2 (en) | 2020-09-16 | 2023-06-20 | Covidien Lp | Articulation mechanism for surgical stapling device |
| US11571192B2 (en) | 2020-09-25 | 2023-02-07 | Covidien Lp | Adapter assembly for surgical devices |
| US11660092B2 (en) | 2020-09-29 | 2023-05-30 | Covidien Lp | Adapter for securing loading units to handle assemblies of surgical stapling instruments |
| US11406384B2 (en) | 2020-10-05 | 2022-08-09 | Covidien Lp | Stapling device with drive assembly stop member |
| US11576674B2 (en) | 2020-10-06 | 2023-02-14 | Covidien Lp | Surgical stapling device with articulation lock assembly |
| KR20230096060A (ko) | 2020-10-29 | 2023-06-29 | 어플라이드 메디컬 리소시스 코포레이션 | 전동 핸들을 갖는 수술용 스테이플러 |
| US11896217B2 (en) | 2020-10-29 | 2024-02-13 | Cilag Gmbh International | Surgical instrument comprising an articulation lock |
| CA3195757A1 (en) | 2020-10-29 | 2022-05-05 | Jonathan VON STEIN | Actuation shaft retention mechanism for surgical stapler |
| USD1013170S1 (en) | 2020-10-29 | 2024-01-30 | Cilag Gmbh International | Surgical instrument assembly |
| US11517390B2 (en) | 2020-10-29 | 2022-12-06 | Cilag Gmbh International | Surgical instrument comprising a limited travel switch |
| US20220133303A1 (en) | 2020-10-29 | 2022-05-05 | Ethicon Llc | Surgical instrument comprising sealable interface |
| USD980425S1 (en) | 2020-10-29 | 2023-03-07 | Cilag Gmbh International | Surgical instrument assembly |
| US11452526B2 (en) | 2020-10-29 | 2022-09-27 | Cilag Gmbh International | Surgical instrument comprising a staged voltage regulation start-up system |
| AU2021368658A1 (en) | 2020-10-29 | 2023-06-01 | Applied Medical Resources Corporation | Material combinations and processing methods for a surgical instrument |
| US11844518B2 (en) | 2020-10-29 | 2023-12-19 | Cilag Gmbh International | Method for operating a surgical instrument |
| US11534259B2 (en) | 2020-10-29 | 2022-12-27 | Cilag Gmbh International | Surgical instrument comprising an articulation indicator |
| 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 |
| US11931025B2 (en) | 2020-10-29 | 2024-03-19 | Cilag Gmbh International | Surgical instrument comprising a releasable closure drive lock |
| 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 |
| US11717289B2 (en) | 2020-10-29 | 2023-08-08 | Cilag Gmbh International | Surgical instrument comprising an indicator which indicates that an articulation drive is actuatable |
| US11890007B2 (en) | 2020-11-18 | 2024-02-06 | Covidien Lp | Stapling device with flex cable and tensioning mechanism |
| US11627960B2 (en) | 2020-12-02 | 2023-04-18 | Cilag Gmbh International | Powered surgical instruments with smart reload with separately attachable exteriorly mounted wiring connections |
| US11653915B2 (en) | 2020-12-02 | 2023-05-23 | Cilag Gmbh International | Surgical instruments with sled location detection and adjustment features |
| US11737751B2 (en) | 2020-12-02 | 2023-08-29 | Cilag Gmbh International | Devices and methods of managing energy dissipated within sterile barriers of surgical instrument housings |
| US11653920B2 (en) | 2020-12-02 | 2023-05-23 | Cilag Gmbh International | Powered surgical instruments with communication interfaces through sterile barrier |
| US11744581B2 (en) | 2020-12-02 | 2023-09-05 | Cilag Gmbh International | Powered surgical instruments with multi-phase tissue treatment |
| US11678882B2 (en) | 2020-12-02 | 2023-06-20 | Cilag Gmbh International | Surgical instruments with interactive features to remedy incidental sled movements |
| US11849943B2 (en) | 2020-12-02 | 2023-12-26 | Cilag Gmbh International | Surgical instrument with cartridge release mechanisms |
| US12471982B2 (en) | 2020-12-02 | 2025-11-18 | Cilag Gmbh International | Method for tissue treatment by surgical instrument |
| US11890010B2 (en) | 2020-12-02 | 2024-02-06 | Cllag GmbH International | Dual-sided reinforced reload for surgical instruments |
| US11944296B2 (en) | 2020-12-02 | 2024-04-02 | Cilag Gmbh International | Powered surgical instruments with external connectors |
| US11737774B2 (en) | 2020-12-04 | 2023-08-29 | Covidien Lp | Surgical instrument with articulation assembly |
| US11819200B2 (en) | 2020-12-15 | 2023-11-21 | Covidien Lp | Surgical instrument with articulation assembly |
| US11553914B2 (en) | 2020-12-22 | 2023-01-17 | Covidien Lp | Surgical stapling device with parallel jaw closure |
| US12336708B2 (en) | 2020-12-23 | 2025-06-24 | Covidien Lp | Surgical instrument including a decoupling mechanism |
| US11759206B2 (en) | 2021-01-05 | 2023-09-19 | Covidien Lp | Surgical stapling device with firing lockout mechanism |
| US11744582B2 (en) | 2021-01-05 | 2023-09-05 | Covidien Lp | Surgical stapling device with firing lockout mechanism |
| WO2022150215A1 (en) | 2021-01-08 | 2022-07-14 | Intuitive Surgical Operations, Inc. | Surgical stapling instruments |
| EP4274492B1 (en) | 2021-01-08 | 2026-01-28 | Intuitive Surgical Operations, Inc. | Surgical instrument with linear and purse string suture staples |
| JP7788459B2 (ja) | 2021-01-14 | 2025-12-18 | アプライド メディカル リソーシーズ コーポレイション | シャフト認識機構を有する手術ステープラー |
| US11864757B2 (en) | 2021-01-15 | 2024-01-09 | Lexington, Medical, Inc. | Reloadable cartridge assembly |
| US11517313B2 (en) | 2021-01-27 | 2022-12-06 | Covidien Lp | Surgical stapling device with laminated drive member |
| US11759207B2 (en) | 2021-01-27 | 2023-09-19 | Covidien Lp | Surgical stapling apparatus with adjustable height clamping member |
| 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 |
| US12324580B2 (en) | 2021-02-26 | 2025-06-10 | Cilag Gmbh International | Method of powering and communicating with a staple cartridge |
| US11723657B2 (en) | 2021-02-26 | 2023-08-15 | Cilag Gmbh International | Adjustable communication based on available bandwidth and power capacity |
| US11730473B2 (en) | 2021-02-26 | 2023-08-22 | Cilag Gmbh International | Monitoring of manufacturing life-cycle |
| US11950777B2 (en) | 2021-02-26 | 2024-04-09 | Cilag Gmbh International | Staple cartridge comprising an information access control system |
| US11744583B2 (en) | 2021-02-26 | 2023-09-05 | Cilag Gmbh International | Distal communication array to tune frequency of RF systems |
| US11793514B2 (en) | 2021-02-26 | 2023-10-24 | Cilag Gmbh International | Staple cartridge comprising sensor array which may be embedded in cartridge body |
| US11749877B2 (en) | 2021-02-26 | 2023-09-05 | Cilag Gmbh International | Stapling instrument comprising a signal antenna |
| US12108951B2 (en) | 2021-02-26 | 2024-10-08 | Cilag Gmbh International | Staple cartridge comprising a sensing array and a temperature control system |
| US11812964B2 (en) | 2021-02-26 | 2023-11-14 | Cilag Gmbh International | Staple cartridge comprising a power management circuit |
| US11696757B2 (en) | 2021-02-26 | 2023-07-11 | Cilag Gmbh International | Monitoring of internal systems to detect and track cartridge motion status |
| US11950779B2 (en) | 2021-02-26 | 2024-04-09 | Cilag Gmbh International | Method of powering and communicating with a staple cartridge |
| US11701113B2 (en) | 2021-02-26 | 2023-07-18 | Cilag Gmbh International | Stapling instrument comprising a separate power antenna and a data transfer antenna |
| US11980362B2 (en) | 2021-02-26 | 2024-05-14 | Cilag Gmbh International | Surgical instrument system comprising a power transfer coil |
| US11717300B2 (en) | 2021-03-11 | 2023-08-08 | Covidien Lp | Surgical stapling apparatus with integrated visualization |
| 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 |
| US11826042B2 (en) | 2021-03-22 | 2023-11-28 | Cilag Gmbh International | Surgical instrument comprising a firing drive including a selectable leverage mechanism |
| US11717291B2 (en) | 2021-03-22 | 2023-08-08 | Cilag Gmbh International | Staple cartridge comprising staples configured to apply different tissue compression |
| US11806011B2 (en) | 2021-03-22 | 2023-11-07 | Cilag Gmbh International | Stapling instrument comprising tissue compression systems |
| US11826012B2 (en) | 2021-03-22 | 2023-11-28 | Cilag Gmbh International | Stapling instrument comprising a pulsed motor-driven firing rack |
| US11723658B2 (en) | 2021-03-22 | 2023-08-15 | Cilag Gmbh International | Staple cartridge comprising a firing lockout |
| US11849944B2 (en) | 2021-03-24 | 2023-12-26 | Cilag Gmbh International | Drivers for fastener cartridge assemblies having rotary drive screws |
| US11832816B2 (en) | 2021-03-24 | 2023-12-05 | Cilag Gmbh International | Surgical stapling assembly comprising nonplanar staples and planar staples |
| 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 |
| US11944336B2 (en) | 2021-03-24 | 2024-04-02 | Cilag Gmbh International | Joint arrangements for multi-planar alignment and support of operational drive shafts in articulatable surgical instruments |
| US11903582B2 (en) | 2021-03-24 | 2024-02-20 | Cilag Gmbh International | Leveraging surfaces for cartridge installation |
| US11744603B2 (en) | 2021-03-24 | 2023-09-05 | Cilag Gmbh International | Multi-axis pivot joints for surgical instruments and methods for manufacturing same |
| US11896218B2 (en) | 2021-03-24 | 2024-02-13 | Cilag Gmbh International | Method of using a powered stapling device |
| US11857183B2 (en) | 2021-03-24 | 2024-01-02 | Cilag Gmbh International | Stapling assembly components having metal substrates and plastic bodies |
| US11849945B2 (en) | 2021-03-24 | 2023-12-26 | Cilag Gmbh International | Rotary-driven surgical stapling assembly comprising eccentrically driven firing member |
| US11896219B2 (en) | 2021-03-24 | 2024-02-13 | Cilag Gmbh International | Mating features between drivers and underside of a cartridge deck |
| 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 |
| US12102323B2 (en) | 2021-03-24 | 2024-10-01 | Cilag Gmbh International | Rotary-driven surgical stapling assembly comprising a floatable component |
| US11974750B2 (en) | 2021-03-26 | 2024-05-07 | Covidien Lp | Surgical staple cartridge |
| US11497495B2 (en) | 2021-03-31 | 2022-11-15 | Covidien Lp | Continuous stapler strip for use with a surgical stapling device |
| US11666330B2 (en) | 2021-04-05 | 2023-06-06 | Covidien Lp | Surgical stapling device with lockout mechanism |
| US11622764B2 (en) | 2021-04-27 | 2023-04-11 | Lexington Medical, Inc. | Surgical handle assembly |
| US20220346781A1 (en) | 2021-04-30 | 2022-11-03 | Cilag Gmbh International | Staple cartridge comprising staple drivers and stability supports |
| US20220346773A1 (en) | 2021-04-30 | 2022-11-03 | Cilag Gmbh International | Surgical staple for use with combination electrosurgical instruments |
| US11931035B2 (en) | 2021-04-30 | 2024-03-19 | Cilag Gmbh International | Articulation system for surgical instrument |
| US20220346787A1 (en) | 2021-04-30 | 2022-11-03 | Cilag Gmbh International | Interchangeable end effector reloads |
| US11918275B2 (en) | 2021-04-30 | 2024-03-05 | Cilag Gmbh International | Electrosurgical adaptation techniques of energy modality for combination electrosurgical instruments based on shorting or tissue impedance irregularity |
| US20220346859A1 (en) | 2021-04-30 | 2022-11-03 | Cilag Gmbh International | Surgical instrument comprising independently activatable segmented electrodes |
| US11944295B2 (en) | 2021-04-30 | 2024-04-02 | Cilag Gmbh International | Surgical instrument comprising end effector with longitudinal sealing step |
| US11826043B2 (en) | 2021-04-30 | 2023-11-28 | Cilag Gmbh International | Staple cartridge comprising formation support features |
| US11857184B2 (en) | 2021-04-30 | 2024-01-02 | Cilag Gmbh International | Surgical instrument comprising a rotation-driven and translation-driven tissue cutting knife |
| US12232796B2 (en) | 2021-04-30 | 2025-02-25 | Cilag Gmbh International | Electrosurgical techniques for sealing, short circuit detection, and system determination of power level |
| US20220346861A1 (en) | 2021-04-30 | 2022-11-03 | Cilag Gmbh International | Surgical systems configured to cooperatively control end effector function and application of therapeutic energy |
| US20220346860A1 (en) | 2021-04-30 | 2022-11-03 | Cilag Gmbh International | Surgical systems configured to control therapeutic energy application to tissue based on cartridge and tissue parameters |
| US20220346784A1 (en) | 2021-04-30 | 2022-11-03 | Cilag Gmbh International | Surgical instrument comprising a closure bar and a firing bar |
| US20220346785A1 (en) | 2021-04-30 | 2022-11-03 | Cilag Gmbh International | Surgical instrument comprising end effector with energy sensitive resistance elements |
| US20220346786A1 (en) | 2021-04-30 | 2022-11-03 | Cilag Gmbh International | Shaft system for surgical instrument |
| US11576670B2 (en) | 2021-05-06 | 2023-02-14 | Covidien Lp | Surgical stapling device with optimized drive assembly |
| US11812956B2 (en) | 2021-05-18 | 2023-11-14 | Covidien Lp | Dual firing radial stapling device |
| US11696755B2 (en) | 2021-05-19 | 2023-07-11 | Covidien Lp | Surgical stapling device with reload assembly removal lockout |
| WO2022241744A1 (en) | 2021-05-21 | 2022-11-24 | Covidien Lp | Articulation assembly for a surgical device |
| US11510673B1 (en) | 2021-05-25 | 2022-11-29 | Covidien Lp | Powered stapling device with manual retraction |
| US11771423B2 (en) | 2021-05-25 | 2023-10-03 | Covidien Lp | Powered stapling device with manual retraction |
| US11701119B2 (en) | 2021-05-26 | 2023-07-18 | Covidien Lp | Powered stapling device with rack release |
| EP4181797B1 (en) | 2021-05-28 | 2025-08-20 | Cilag GmbH International | Stapling instrument comprising an articulation control display |
| US20220378425A1 (en) | 2021-05-28 | 2022-12-01 | Cilag Gmbh International | Stapling instrument comprising a control system that controls a firing stroke length |
| JP2024520513A (ja) | 2021-05-28 | 2024-05-24 | シラグ・ゲーエムベーハー・インターナショナル | 取り付けられたシャフト配向センサを備えるステープル留め器具 |
| WO2022249088A1 (en) | 2021-05-28 | 2022-12-01 | Cilag Gmbh International | Stapling instrument comprising a staple cartridge insertion stop |
| EP4164515B1 (en) | 2021-05-28 | 2025-10-15 | Cilag GmbH International | Stapling instrument comprising a firing lockout |
| EP4167872B1 (en) | 2021-05-28 | 2026-04-22 | Cilag GmbH International | Stapling instrument comprising jaw mounts |
| WO2022249094A1 (en) | 2021-05-28 | 2022-12-01 | Cilag Gmbh International | Stapling instrument comprising a control system that controls a firiing stroke length |
| US12343009B2 (en) | 2021-06-07 | 2025-07-01 | Lexington Medical, Inc. | Motorized surgical handle assembly |
| US11576675B2 (en) | 2021-06-07 | 2023-02-14 | Covidien Lp | Staple cartridge with knife |
| US11707275B2 (en) | 2021-06-29 | 2023-07-25 | Covidien Lp | Asymmetrical surgical stapling device |
| US11617579B2 (en) | 2021-06-29 | 2023-04-04 | Covidien Lp | Ultra low profile surgical stapling instrument for tissue resections |
| US11602344B2 (en) | 2021-06-30 | 2023-03-14 | Covidien Lp | Surgical stapling apparatus with firing lockout assembly |
| US11786248B2 (en) | 2021-07-09 | 2023-10-17 | Covidien Lp | Surgical stapling device including a buttress retention assembly |
| US11819209B2 (en) | 2021-08-03 | 2023-11-21 | Covidien Lp | Hand-held surgical instruments |
| US11540831B1 (en) | 2021-08-12 | 2023-01-03 | Covidien Lp | Staple cartridge with actuation sled detection |
| US11862884B2 (en) | 2021-08-16 | 2024-01-02 | Covidien Lp | Surgical instrument with electrical connection |
| US11779334B2 (en) | 2021-08-19 | 2023-10-10 | Covidien Lp | Surgical stapling device including a manual retraction assembly |
| US11576671B1 (en) | 2021-08-20 | 2023-02-14 | Covidien Lp | Small diameter linear surgical stapling apparatus |
| US12023028B2 (en) | 2021-08-20 | 2024-07-02 | Covidien Lp | Articulating surgical stapling apparatus with pivotable knife bar guide assembly |
| US11707277B2 (en) | 2021-08-20 | 2023-07-25 | Covidien Lp | Articulating surgical stapling apparatus with pivotable knife bar guide assembly |
| US11832817B2 (en) | 2021-09-03 | 2023-12-05 | Lexington Medical, Inc. | Staple line surgical buttress |
| US11864761B2 (en) | 2021-09-14 | 2024-01-09 | Covidien Lp | Surgical instrument with illumination mechanism |
| US11660094B2 (en) | 2021-09-29 | 2023-05-30 | Covidien Lp | Surgical fastening instrument with two-part surgical fasteners |
| US11653922B2 (en) | 2021-09-29 | 2023-05-23 | Covidien Lp | Surgical stapling device with firing lockout mechanism |
| US11849949B2 (en) | 2021-09-30 | 2023-12-26 | Covidien Lp | Surgical stapling device with firing lockout member |
| US12035909B2 (en) | 2021-10-13 | 2024-07-16 | Covidien Lp | Surgical stapling device with firing lockout mechanism |
| US12279845B2 (en) | 2021-10-18 | 2025-04-22 | Cilag Gmbh International | Cable-driven actuation system for robotic surgical tool attachment |
| US12239317B2 (en) | 2021-10-18 | 2025-03-04 | Cilag Gmbh International | Anvil comprising an arrangement of forming pockets proximal to tissue stop |
| US11957337B2 (en) | 2021-10-18 | 2024-04-16 | Cilag Gmbh International | Surgical stapling assembly with offset ramped drive surfaces |
| 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 |
| US12251105B2 (en) | 2021-10-20 | 2025-03-18 | Cilag Gmbh International | Lockout arrangements for surgical instruments |
| US12089841B2 (en) | 2021-10-28 | 2024-09-17 | Cilag CmbH International | Staple cartridge identification systems |
| US11937816B2 (en) | 2021-10-28 | 2024-03-26 | Cilag Gmbh International | Electrical lead 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 |
| US12268389B2 (en) | 2021-11-12 | 2025-04-08 | Covidien Lp | Surgical stapling device with firing lockout |
| US12508020B2 (en) | 2022-02-11 | 2025-12-30 | Lexington Medical, Inc. | Blade assembly for a surgical reloadable cartridge assembly |
| US12137905B2 (en) | 2022-05-16 | 2024-11-12 | Covidien Lp | Gas-powered continuous feed surgical fastening device |
| US12193666B2 (en) | 2022-05-27 | 2025-01-14 | Covidien Lp | Replaceable staple cartridge with retractable knife |
| US12502173B2 (en) | 2023-05-09 | 2025-12-23 | Covidien Lp | Surgical stapling device with jaws that pivot between an open position and a clamped position |
| US12490979B2 (en) | 2023-05-19 | 2025-12-09 | Cilag GmbH International Zug | Surgical stapler with discretely positionable distal tip |
Family Cites Families (19)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US4429695A (en) * | 1980-02-05 | 1984-02-07 | United States Surgical Corporation | Surgical instruments |
| AU534210B2 (en) * | 1980-02-05 | 1984-01-12 | United States Surgical Corporation | Surgical staples |
| US4608981A (en) * | 1984-10-19 | 1986-09-02 | Senmed, Inc. | Surgical stapling instrument with staple height adjusting mechanism |
| US6250532B1 (en) * | 1991-10-18 | 2001-06-26 | United States Surgical Corporation | Surgical stapling apparatus |
| US5807393A (en) * | 1992-12-22 | 1998-09-15 | Ethicon Endo-Surgery, Inc. | Surgical tissue treating device with locking mechanism |
| US5540375A (en) * | 1993-04-20 | 1996-07-30 | United States Surgical Corporation | Endoscopic stapler |
| US5487499A (en) * | 1993-10-08 | 1996-01-30 | United States Surgical Corporation | Surgical apparatus for applying surgical fasteners including a counter |
| US5487500A (en) * | 1994-02-03 | 1996-01-30 | Ethicon Endo-Surgery, Inc. | Surgical stapler instrument |
| US5465895A (en) * | 1994-02-03 | 1995-11-14 | Ethicon Endo-Surgery, Inc. | Surgical stapler instrument |
| US5489058A (en) * | 1994-05-02 | 1996-02-06 | Minnesota Mining And Manufacturing Company | Surgical stapler with mechanisms for reducing the firing force |
| US5507426A (en) * | 1994-08-05 | 1996-04-16 | United States Surgical Corporation | Apparatus for applying surgical fasteners |
| US5779130A (en) * | 1994-08-05 | 1998-07-14 | United States Surgical Corporation | Self-contained powered surgical apparatus |
| EP0699418A1 (en) * | 1994-08-05 | 1996-03-06 | United States Surgical Corporation | Self-contained powered surgical apparatus |
| US6032849A (en) * | 1995-08-28 | 2000-03-07 | United States Surgical | Surgical stapler |
| US5762256A (en) * | 1995-08-28 | 1998-06-09 | United States Surgical Corporation | Surgical stapler |
| US5697542A (en) * | 1995-10-19 | 1997-12-16 | Ethicon Endo-Surgery, Inc. | Endoscopic surgical stapler with compact profile |
| US5725536A (en) * | 1996-02-20 | 1998-03-10 | Richard-Allen Medical Industries, Inc. | Articulated surgical instrument with improved articulation control mechanism |
| US6010054A (en) * | 1996-02-20 | 2000-01-04 | Imagyn Medical Technologies | Linear stapling instrument with improved staple cartridge |
| US6109500A (en) * | 1996-10-04 | 2000-08-29 | United States Surgical Corporation | Lockout mechanism for a surgical stapler |
-
2003
- 2003-05-20 US US10/441,580 patent/US7143923B2/en not_active Expired - Lifetime
-
2004
- 2004-05-19 JP JP2004149549A patent/JP4703978B2/ja not_active Expired - Lifetime
- 2004-05-20 ES ES04252978T patent/ES2334914T3/es not_active Expired - Lifetime
- 2004-05-20 EP EP04252978A patent/EP1479347B1/en not_active Expired - Lifetime
- 2004-05-20 AT AT04252978T patent/ATE449570T1/de not_active IP Right Cessation
- 2004-05-20 AU AU2004202166A patent/AU2004202166A1/en not_active Abandoned
- 2004-05-20 DE DE602004024267T patent/DE602004024267D1/de not_active Expired - Lifetime
- 2004-05-20 CA CA2468130A patent/CA2468130C/en not_active Expired - Fee Related
- 2004-05-20 MX MXPA04004888A patent/MXPA04004888A/es active IP Right Grant
-
2010
- 2010-11-05 AU AU2010241284A patent/AU2010241284B2/en not_active Ceased
Also Published As
| Publication number | Publication date |
|---|---|
| AU2010241284A1 (en) | 2010-11-25 |
| AU2010241284B2 (en) | 2011-08-18 |
| ATE449570T1 (de) | 2009-12-15 |
| JP2004344661A (ja) | 2004-12-09 |
| MXPA04004888A (es) | 2005-04-11 |
| CA2468130A1 (en) | 2004-11-20 |
| JP4703978B2 (ja) | 2011-06-15 |
| US7143923B2 (en) | 2006-12-05 |
| EP1479347A1 (en) | 2004-11-24 |
| CA2468130C (en) | 2012-05-15 |
| DE602004024267D1 (de) | 2010-01-07 |
| US20040232199A1 (en) | 2004-11-25 |
| AU2004202166A1 (en) | 2004-12-09 |
| EP1479347B1 (en) | 2009-11-25 |
Similar Documents
| Publication | Publication Date | Title |
|---|---|---|
| ES2334914T3 (es) | Instrumento de grapado quirurgico con un mecanismo de bloqueo de disparo para un yunque no cerrado. | |
| ES2279301T3 (es) | Instrumento de grapado quirurgico que incorpora un mecanismo de disparo enchavetado. | |
| ES2309464T3 (es) | Instrumento de grapado quirurgico con un solo mecanismo de bloqueo. | |
| ES2441547T3 (es) | Instrumento quirúrgico con mecanismo de articulación | |
| ES2201248T3 (es) | Mecanismo de sujecion quirurgico. | |
| ES2297635T3 (es) | Instrumento de grapado quirurgico que incorpora una transmision rotatoria. | |
| ES2042446T5 (es) | Aparato quirurgico para grapar. | |
| ES2330434T3 (es) | Instrumento quirurgico de grapado que incorpora una junta articulada para una guia de barra de disparo. | |
| ES2300954T3 (es) | Instrumento de grapado quirurgico que incorpora un mecanismo de disparo de multiples operaciones que tiene una transmision de embrague deslizante rotatoria. | |
| ES2300718T3 (es) | Grapadora cortadora quirurgica con cuchilla guiada por clavijas ranuradas. | |
| ES2389713T3 (es) | Aplicador de pinzas quirúrgicas | |
| ES2523492T3 (es) | Instrumento quirúrgico con pinzamiento y corte secuenciales | |
| ES2523171T3 (es) | Mecanismo de rueda dentada de aplicador de grapas quirúrgicas | |
| ES2621872T3 (es) | Aplicador quirúrgico de grapas | |
| ES2398916T3 (es) | Aparato grapador quirúrgico | |
| ES2629215T3 (es) | Dispositivo quirúrgico endoscópico para sutura en bolsa de tabaco | |
| ES2587389T3 (es) | Cartucho de sujetadores quirúrgicos de compresión variable | |
| ES2292659T3 (es) | Conjunto de cartucho y aparato quirurgico autonomo accionado por gas. | |
| ES2371177T3 (es) | Aplicador de clips quirúrgicos. | |
| ES2387894T3 (es) | Aplicador de grapas quirúrgicas | |
| JP4749681B2 (ja) | 使用済みカートリッジに対するロックアウトを備えた外科用ステープラ | |
| ES2398082T3 (es) | Tope de tejido para instrumento quirúrgico | |
| ES2569606T3 (es) | Cartucho de sujetadores quirúrgicos de compresión variable | |
| ES2676875T3 (es) | Aplicador endoscópico de grapas | |
| ES2264065T3 (es) | Aparato para aplicar grapas quirurgicas. |