ES2335590T3 - Estructura que contiene material de tratamiento de heridas. - Google Patents
Estructura que contiene material de tratamiento de heridas. Download PDFInfo
- Publication number
- ES2335590T3 ES2335590T3 ES05004539T ES05004539T ES2335590T3 ES 2335590 T3 ES2335590 T3 ES 2335590T3 ES 05004539 T ES05004539 T ES 05004539T ES 05004539 T ES05004539 T ES 05004539T ES 2335590 T3 ES2335590 T3 ES 2335590T3
- Authority
- ES
- Spain
- Prior art keywords
- anvil
- staple
- staples
- adhesive
- treatment material
- 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
- 239000000463 material Substances 0.000 title claims abstract description 58
- 206010052428 Wound Diseases 0.000 claims abstract description 40
- 208000027418 Wounds and injury Diseases 0.000 claims abstract description 40
- 239000000853 adhesive Substances 0.000 claims abstract description 36
- 230000001070 adhesive effect Effects 0.000 claims abstract description 36
- 239000000565 sealant Substances 0.000 claims abstract description 14
- 239000003814 drug Substances 0.000 claims description 10
- 230000014759 maintenance of location Effects 0.000 claims description 10
- 229940079593 drug Drugs 0.000 claims description 7
- 239000002775 capsule Substances 0.000 claims description 6
- 102000004169 proteins and genes Human genes 0.000 claims description 5
- 108090000623 proteins and genes Proteins 0.000 claims description 5
- 239000002874 hemostatic agent Substances 0.000 claims description 4
- 239000000017 hydrogel Substances 0.000 claims description 4
- 108090000790 Enzymes Proteins 0.000 claims description 3
- 102000004190 Enzymes Human genes 0.000 claims description 3
- 239000011248 coating agent Substances 0.000 claims description 3
- 238000000576 coating method Methods 0.000 claims description 3
- 229940039227 diagnostic agent Drugs 0.000 claims description 3
- 239000000032 diagnostic agent Substances 0.000 claims description 3
- 239000000975 dye Substances 0.000 claims description 3
- 239000003102 growth factor Substances 0.000 claims description 3
- 102000004196 processed proteins & peptides Human genes 0.000 claims description 3
- 108090000765 processed proteins & peptides Proteins 0.000 claims description 3
- 239000003566 sealing material Substances 0.000 claims description 3
- 230000000968 intestinal effect Effects 0.000 description 20
- 238000000034 method Methods 0.000 description 19
- 230000003872 anastomosis Effects 0.000 description 7
- 238000010304 firing Methods 0.000 description 5
- 238000001356 surgical procedure Methods 0.000 description 5
- 102000008186 Collagen Human genes 0.000 description 4
- 108010035532 Collagen Proteins 0.000 description 4
- 229920001436 collagen Polymers 0.000 description 4
- 239000004744 fabric Substances 0.000 description 4
- 230000035876 healing Effects 0.000 description 4
- 230000023597 hemostasis Effects 0.000 description 4
- 210000000056 organ Anatomy 0.000 description 4
- 229920001651 Cyanoacrylate Polymers 0.000 description 3
- 108010073385 Fibrin Proteins 0.000 description 3
- 102000009123 Fibrin Human genes 0.000 description 3
- BWGVNKXGVNDBDI-UHFFFAOYSA-N Fibrin monomer Chemical compound CNC(=O)CNC(=O)CN BWGVNKXGVNDBDI-UHFFFAOYSA-N 0.000 description 3
- 241000208125 Nicotiana Species 0.000 description 3
- 235000002637 Nicotiana tabacum Nutrition 0.000 description 3
- 229950003499 fibrin Drugs 0.000 description 3
- 230000002439 hemostatic effect Effects 0.000 description 3
- 230000002787 reinforcement Effects 0.000 description 3
- 239000012812 sealant material Substances 0.000 description 3
- CQVWXNBVRLKXPE-UHFFFAOYSA-N 2-octyl cyanoacrylate Chemical compound CCCCCCC(C)OC(=O)C(=C)C#N CQVWXNBVRLKXPE-UHFFFAOYSA-N 0.000 description 2
- 108010080379 Fibrin Tissue Adhesive Proteins 0.000 description 2
- MWCLLHOVUTZFKS-UHFFFAOYSA-N Methyl cyanoacrylate Chemical compound COC(=O)C(=C)C#N MWCLLHOVUTZFKS-UHFFFAOYSA-N 0.000 description 2
- 239000002202 Polyethylene glycol Substances 0.000 description 2
- 150000001299 aldehydes Chemical class 0.000 description 2
- 229940088598 enzyme Drugs 0.000 description 2
- 238000002483 medication Methods 0.000 description 2
- 229920001223 polyethylene glycol Polymers 0.000 description 2
- 239000004627 regenerated cellulose Substances 0.000 description 2
- 238000007789 sealing Methods 0.000 description 2
- -1 such as Substances 0.000 description 2
- 229920001059 synthetic polymer Polymers 0.000 description 2
- 229960004072 thrombin Drugs 0.000 description 2
- 230000017423 tissue regeneration Effects 0.000 description 2
- 108010088751 Albumins Proteins 0.000 description 1
- 102000009027 Albumins Human genes 0.000 description 1
- 108010027529 Bio-glue Proteins 0.000 description 1
- 108010010803 Gelatin Proteins 0.000 description 1
- SXRSQZLOMIGNAQ-UHFFFAOYSA-N Glutaraldehyde Chemical compound O=CCCCC=O SXRSQZLOMIGNAQ-UHFFFAOYSA-N 0.000 description 1
- 208000031481 Pathologic Constriction Diseases 0.000 description 1
- 239000004698 Polyethylene Substances 0.000 description 1
- 241000405217 Viola <butterfly> Species 0.000 description 1
- XAGFODPZIPBFFR-UHFFFAOYSA-N aluminium Chemical compound [Al] XAGFODPZIPBFFR-UHFFFAOYSA-N 0.000 description 1
- 229910052782 aluminium Inorganic materials 0.000 description 1
- 229940030225 antihemorrhagics Drugs 0.000 description 1
- 230000000740 bleeding effect Effects 0.000 description 1
- 239000008280 blood Substances 0.000 description 1
- 210000004369 blood Anatomy 0.000 description 1
- 230000001680 brushing effect Effects 0.000 description 1
- 239000000701 coagulant Substances 0.000 description 1
- 238000010276 construction Methods 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 229950010048 enbucrilate Drugs 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 239000000284 extract Substances 0.000 description 1
- 238000001914 filtration Methods 0.000 description 1
- 239000000499 gel Substances 0.000 description 1
- 239000008273 gelatin Substances 0.000 description 1
- 229920000159 gelatin Polymers 0.000 description 1
- 235000019322 gelatine Nutrition 0.000 description 1
- 235000011852 gelatine desserts Nutrition 0.000 description 1
- 230000006872 improvement Effects 0.000 description 1
- 230000003886 intestinal anastomosis Effects 0.000 description 1
- 235000015110 jellies Nutrition 0.000 description 1
- 239000008274 jelly Substances 0.000 description 1
- 238000009940 knitting Methods 0.000 description 1
- 239000007788 liquid Substances 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 230000036407 pain Effects 0.000 description 1
- 230000035515 penetration Effects 0.000 description 1
- 229920000728 polyester Polymers 0.000 description 1
- 229920000573 polyethylene Polymers 0.000 description 1
- 229920002635 polyurethane Polymers 0.000 description 1
- 239000004814 polyurethane Substances 0.000 description 1
- 230000002265 prevention Effects 0.000 description 1
- 230000008569 process Effects 0.000 description 1
- 230000000717 retained effect Effects 0.000 description 1
- 230000037390 scarring Effects 0.000 description 1
- 238000005507 spraying Methods 0.000 description 1
- 230000036262 stenosis Effects 0.000 description 1
- 208000037804 stenosis Diseases 0.000 description 1
- 239000000126 substance Substances 0.000 description 1
- 230000003874 surgical anastomosis Effects 0.000 description 1
- 229940033618 tisseel Drugs 0.000 description 1
- 239000003106 tissue adhesive Substances 0.000 description 1
- 229940075469 tissue adhesives Drugs 0.000 description 1
- 230000000699 topical effect Effects 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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/11—Surgical instruments, devices or methods for performing anastomosis; Buttons for anastomosis
- A61B17/115—Staplers for performing anastomosis, e.g. in a single operation
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/00491—Surgical glue applicators
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/064—Surgical staples, i.e. penetrating the tissue
-
- 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
- A61B17/07292—Reinforcements for staple line, e.g. pledgets
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/11—Surgical instruments, devices or methods for performing anastomosis; Buttons for anastomosis
- A61B17/115—Staplers for performing anastomosis, e.g. in a single operation
- A61B17/1155—Circular staplers comprising a plurality of staples
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B2017/00831—Material properties
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B2017/00831—Material properties
- A61B2017/00884—Material properties enhancing wound closure
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B2017/00831—Material properties
- A61B2017/00893—Material properties pharmaceutically effective
-
- 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
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K38/00—Medicinal preparations containing peptides
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)
- Materials For Medical Uses (AREA)
Abstract
Un conjunto de yunque (26) para un aparato grapador circular (10), comprendiendo el conjunto de yunque: una cabeza de yunque configurada para soportar una placa de yunque en ella; un árbol (28) que se extiende desde la cabeza del yunque y configurado para aplicarse selectivamente a un miembro de conexión del aparato grapador circular; una placa de yunque (36) conectada operativamente a la cabeza del yunque, definiendo la placa del yunque una pluralidad de cavidades (38) formadoras de grapas en ella; y un material ("W") de tratamiento de heridas dispuesto en cada cavidad formadora de grapa de la placa del yunque, comprendiendo el material de tratamiento de heridas un sellador previamente curado o un adhesivo previamente curado.
Description
Estructura que contiene material de tratamiento
de heridas.
La presente exposición se refiere a instrumentos
y métodos quirúrgicos para mejorar las propiedades de tejido
reparado o unido por grapas quirúrgicas y, más particularmente a
instrumentos quirúrgicos y a una estructura configurada para
aplicar sujetadores mecánicos quirúrgicos de forma concomitante con
un material de tratamiento de heridas biocompatible no mecánico
para mejorar las propiedades del tejido reparado o contiguo en una
zona quirúrgica objetivo. Los métodos no forman parte del invento
reivindicado en este momento.
A lo largo de los años el campo médico ha
utilizado distintas técnicas en un esfuerzo por unir o adherir
tejidos corporales juntos. Históricamente, la sutura fue la técnica
aceptada para volver a unir tejidos cortados y cerrar heridas. La
sutura fue históricamente conseguida con una aguja quirúrgica y un
hilo quirúrgico, y más recientemente, con una variedad de grapas
poliméricas o metálicas, como se describirá a continuación. La
función pretendida de las suturas es sujetar los bordes de una
herida o tejido uno contra otro durante el proceso de curación de
modo que se reduzca la incomodidad, el dolor, la cicatrización y el
tiempo requerido para la curación.
Recientemente, muchos procedimientos que en el
pasado requerían la sutura tradicional han sido reemplazados por la
sutura con grapas que implica la aplicación de las grapas a los
bordes de la herida o tejido con el uso de una grapadora
quirúrgica. Las grapadoras quirúrgicas han sido desarrolladas para
unir tejido adyacente, para proporcionar hemostasis de tejido
adyacente y para proporcionar hemostasis en unión con el corte de
tejido adyacente. Tales grapadoras quirúrgicas incluyen
configuraciones tanto de tipo lineal como anular. Una grapadora y
cortadora lineal típica incluye filas paralelas de grapas con una
ranura para que unos medios de corte se desplacen entre las filas
de grapas.
Grapadoras de tipo lineal típicas están
descritas en la patente norteamericana nº 6.045.560 de McKean y
col., en la patente norteamericana nº 6.032.849 de Mastri y col., y
en la patente norteamericana nº 5.964.394 de Robertson de
cesionaria común. Una grapadora y cortadora anular típica, que
incluye una pluralidad de filas de grapas anulares, típicamente
dos, y una cuchilla anular dispuesta en el interior de las filas de
grapas, está descrita en la patente norteamericana nº 5.799.857 de
Robertson y col. y en la nº 5.915.616 de Viola y col, de cesionaria
común.
Estos tipos de grapadoras quirúrgicas aseguran
el tejido corporal contiguo para cortes mejorados, unen capas de
tejido entre sí y proporcionan hemostasis aplicando filas de grapas
paralelas o anulares para rodear el tejido cuando los medios de
corte cortan entre las filas paralelas o anulares. Por consiguiente,
permitiendo que un cirujano realice todas estas tareas
simultáneamente, las grapadoras quirúrgicas han sido efectivas para
disminuir la cantidad de tiempo que requiere sujetar tejido
uniéndolo. Para mejorar incluso más la unión y hemostasis en casos
en los que la grapadora es usada en tejido muy vascularizado, se han
usado grapadoras quirúrgicas con múltiples filas de grapas con un
alto grado de éxito.
Otros procedimientos quirúrgicos utilizan
compresas, contrafuertes u otros tipos de materiales y tejidos de
refuerzo. Estos contrafuertes son situados típicamente sobre la
superficie del yunque que hace contacto con el tejido y/o sobre la
superficie del cartucho del instrumento de grapado quirúrgico que
hace contacto con el tejido y son asegurados contra el tejido
objetivo durante el disparo del instrumento grapador quirúrgico.
Puede hacerse referencia a la patente norteamericana nº 5.542.594
para una descripción más detallada del uso de contrafuertes en
cooperación con el instrumento grapador quirúrgico.
Aún otros procedimientos quirúrgicos implican la
operación de aplicar (por ejemplo, por pulverización, cepillado,
etc.) un material adhesivo y/o un material sellador a la superficie
externa de la zona quirúrgica objetivo después del procedimiento de
grapado quirúrgico.
Otro procedimiento que ha sido desarrollado
incluye el uso de adhesivos de tejido biológicos que han sido
desarrollados recientemente para la reparación de tejido y la
creación de anastomosis. Generalmente, los adhesivos biológicos
unen tejidos separados uniéndolos para ayudar en el proceso de
curación y para mejorar la resistencia mecánica del tejido. Tales
adhesivos pueden ser usados en lugar de suturar y grapar por ejemplo
en procedimientos quirúrgicos para la reparación del tejido o la
creación de anastomosis.
La aplicación de un adhesivo biocompatible
apropiado ofrece muchas ventajas al paciente y al cirujano por
igual como, por ejemplo, la manera de evitar la penetración del
tejido por agujas y/o grapas, así como el inmediato sellado del
tejido que está siendo tratado. Además, el uso de un adhesivo
biocompatible tiende a minimizar la reacción a un cuerpo extraño y
la cicatrización. El documento WO 2003/094746 de Viola describe un
aparato grapador quirúrgico que incluye un conjunto de material de
cierre de heridas. El documento WU 03/105698 de Orbum y Nolen
describe un anillo circular de refuerzo configurado y adaptado para
usar en unión con un instrumento grapador endoscópico circular que
tiene un conjunto de cartucho de grapas y un conjunto de yunque. El
anillo de refuerzo comprende un depósito con un material de cierre
de heridas que puede ser liberado cuando el aparato es disparado y
las grapas son expulsadas desde el conjunto del cartucho de
grapas.
De acuerdo con la presente exposición, se ha
descrito un conjunto de yunque para un aparato grapador circular.
El conjunto de yunque incluye una cabeza de yunque configurada para
soportar una placa de yunque en él; un árbol que se extiende desde
la cabeza del yunque y configurado para aplicarse selectivamente a
un miembro de conexión del aparato grapador circular; una placa de
yunque conectada operativamente a la cabeza del yunque, definiendo
la placa del yunque una pluralidad de cavidades formadoras de grapas
en ella; y un material de tratamiento de heridas dispuesto en cada
cavidad formadora de grapa de la placa del yunque, comprendiendo el
material de tratamiento de heridas un sellador previamente curado o
un adhesivo previamente curado.
El conjunto de yunque puede además incluir un
revestimiento o forro que cubre la pluralidad de cavidades
formadoras de grapas. De modo deseable, las cavidades formadoras de
grapas están dispuestas en un par de anillos anulares concéntricos
espaciados. Las cavidades formadoras de grapas están en coincidencia
con las ranuras de retención de las grapas respectivas formadas en
un conjunto de cartucho de grapas del aparato grapador
quirúrgico.
Se ha considerado que el material de tratamiento
de heridas está contenido en una cápsula. Por consiguiente, cada
cápsula está configurada para su retención dentro de las cavidades
formadoras de grapas.
De acuerdo con otro aspecto de la presente
exposición, se ha descrito un aparato grapador quirúrgico circular
para realizar una anastomosis, que no forma parte del invento
reivindicado en este momento. El aparato grapador incluye un
conjunto de yunque que tiene una cabeza de yunque configurada para
soportar una placa de yunque en ella; un árbol que se extiende
desde la cabeza del yunque y configurado para aplicarse
selectivamente a un miembro de conexión del aparato grapador
circular; una placa de yunque conectada operativamente a la cabeza
del yunque, definiendo la placa del yunque una pluralidad de
cavidades formadoras de grapas en ella; y un material de
tratamiento de heridas dispuesto en cada cavidad formadora de grapa
de la placa de yunque.
El aparato grapador quirúrgico incluye una parte
de cuerpo tubular que tiene un miembro de conexión configurado para
aplicarse selectivamente al árbol del conjunto de yunque; y un
conjunto de cartucho de grapas soportado operativamente sobre un
extremo distal de la parte de cuerpo tubular. El conjunto de
cartucho de grapas incluye una pluralidad de ranuras de retención
de las grapas en coincidencia con las cavidades formadoras de grapas
del conjunto de yunque; y una grapa dispuesta en cada ranura de
retención de las grapas.
El conjunto de yunque puede incluir un
revestimiento que cubre las cavidades formadoras de grapas. De modo
deseable, el revestimiento es capaz de ser penetrado por las grapas
cuando el aparato grapador quirúrgico es disparado.
El aparato grapador es usado en un método de
realización de un procedimiento de anastomosis quirúrgica, que no
forma parte del invento reivindicado en este momento. El método
incluye las operaciones de proporcionar un aparato grapador
quirúrgico circular que incluye un conjunto de yunque que tiene una
cabeza de yunque configurada para soportar una placa de yunque en
ella; un árbol que se extiende desde la cabeza del yunque y
configurado para aplicarse selectivamente a un miembro de conexión
del aparato grapador circular; una placa de yunque conectada
operativamente a la cabeza del yunque, definiendo la placa de yunque
una pluralidad de cavidades formadoras de grapas en ella; y un
material de tratamiento de heridas dispuesto en cada cavidad
formadora de grapa de la placa del yunque. El aparato grapador
quirúrgico incluye además una parte de cuerpo tubular que tiene una
miembro de conexión configurado para aplicarse selectivamente al
árbol del conjunto de yunque; y un conjunto de cartucho de grapas
soportado operativamente sobre un extremo distal de la parte de
cuerpo tubular. El conjunto de cartucho de grapas incluye una
pluralidad de ranuras de retención de las grapas en coincidencia
con las cavidades formadoras de grapas del conjunto de yunque; y una
grapa dispuesta en cada ranura de retención de las grapas.
El método incluye las operaciones de insertar el
conjunto de yunque en una primera sección intestinal; insertar el
conjunto de cartucho de grapas en una segunda sección intestinal;
conectar un árbol del conjunto de yunque al miembro de conexión de
la parte de cuerpo tubular; aproximar el conjunto de yunque hacia el
conjunto de cartucho de grapas; y disparar el aparato grapador
quirúrgico para accionar las grapas a través de la primera y
segunda secciones intestinales y a las cavidades formadoras de
grapas del conjunto de yunque. Por consiguiente, cuando las grapas
entran en las cavidades formadoras de grapas, las grapas liberan el
material de tratamiento de heridas desde ellas.
El conjunto de yunque puede además incluir un
revestimiento que cubre las cavidades formadoras de grapas. De modo
deseable, el revestimiento es capaz de ser penetrado por las grapas
cuando el aparato de grapado quirúrgico es disparado.
De acuerdo con otro aspecto de la presente
exposición, que no forma parte del invento reivindicado en este
momento, se ha proporcionado un aparato grapador quirúrgico que
incluye un conjunto de yunque configurado para soportar una placa
de yunque en él y una placa de yunque operativamente conectada al
conjunto de yunque y que define una pluralidad de cavidades
formadoras de grapas en ella. El perfeccionamiento incluye
proporcionar un material de tratamiento de heridas en cada cavidad
formadora de grapa de la placa del yunque.
El material de tratamiento de heridas es un
adhesivo previamente curado o un sellador previamente curado y
puede comprender un hemostato y un medicamento.
El adhesivo incluye al menos uno de varios
adhesivos que cura o se endurece al contacto con el tejido, un
adhesivo que cura al ser expuesto a luz ultravioleta (UV), y un
adhesivo que es sensible a la presión. El adhesivo puede también
incluir al menos una de entre proteínas derivadas, material adhesivo
basado en aldehído, y un material a base de cianoacrilato.
El material de sellado incluye al menos un
material sellador de fibrina, un material sellador de tejido a base
de colágeno y a base de polímero sintético, y un material sellador
de hidrogel a base de polietilen-glicol
sintético.
El material hemostático incluye al menos uno de
entre un material a base de fibrina, un material a base de
colágeno, un material a base de celulosa regenerada oxidado, un
material a base de gelatina, y un material de
fibrinógeno-trombina.
El medicamento incluye al menos uno de entre
fármacos, enzimas, factores de crecimiento, péptidos, proteínas,
colorantes, y agentes de diagnóstico.
Las características anteriores de la presente
exposición resultarán más fácilmente evidentes y pueden ser
comprendidas haciendo referencia a la siguiente descripción
detallada de una realización ilustrada de un instrumento, aparato o
estructura quirúrgico, tomada en unión con los dibujos adjuntos, en
los que:
La fig. 1 ilustra una vista en perspectiva de un
aparato grapador quirúrgico de acuerdo con una realización de la
presente exposición;
La fig. 2 es una vista en perspectiva de un
conjunto de yunque de acuerdo con una realización de la presente
exposición;
La fig. 3 es una vista en sección transversal
del conjunto de yunque como tomada a través de 3-3
de la fig. 2;
La fig. 4 es una vista en sección transversal de
un conjunto de yunque alternativo de acuerdo con la presente
exposición, como tomada a lo largo de 3-3 de la fig.
2;
La fig. 5 es una vista en perspectiva de un área
intestinal de un paciente, que ilustra un método de posicionamiento
del conjunto de yunque de las figs. 2 a 4 en la realización de una
anastomosis intestinal;
La fig. 6 es una vista en detalle agrandada del
conjunto de yunque de las figs. 2 a 4 y un conjunto de cartucho de
grapas del aparato grapador quirúrgico posicionado en la zona
quirúrgica objetivo anterior al disparo del aparato grapador
quirúrgico;
La fig. 7 es una vista en detalle agrandada del
dispensador de material de tratamiento de heridas desde el conjunto
de yunque al producirse el disparo del aparato grapador quirúrgico;
y
La fig. 8 es una vista en detalle agrandada del
conjunto de yunque de las figs. 2 a 4 y un conjunto de cartucho de
grapas de un aparato grapador quirúrgico de acuerdo con otra
realización de la presente exposición, antes del disparo del
aparato grapador quirúrgico.
Las realizaciones del aparato grapador
quirúrgico descrito en este momento serán ahora descritas en detalle
con referencia a las figuras de los dibujos en las que números de
referencia similares identifican elementos similares o idénticos.
Como se ha usado aquí y como es tradicional, el término
"distal" se refiere a aquella parte que está más lejos del
usuario mientras el término "proximal" se refiere a aquella
parte que está más cerca del usuario.
Con referencia ahora en detalle específico a los
dibujos, en los que números de referencia similares identifican
elementos similares o idénticos a lo largo de las distintas vistas,
la fig. 1 muestra un aparato grapador quirúrgico 10 que emplea la
estructura para aplicar un adhesivo dispersable de acuerdo con la
presente exposición. El aparato 10 incluye un conjunto de
empuñadura 12 que tiene al menos un miembro 14 de empuñadura de
accionamiento pivotable, y además incluye medios de avance 16. Los
medios de avance 16 incluyen un miembro de agarre giratorio 18 cuya
función será descrita a continuación.
Extendiéndose desde el conjunto de empuñadura
12, hay prevista una parte 20 de cuerpo tubular que puede ser
construida de modo que tenga una forma curvada a lo largo de al
menos una parte de su longitud. La parte 20 de cuerpo tubular puede
también ser recta, o en otras realizaciones, la parte 20 de cuerpo
tubular puede ser flexible para curvarse a cualquier configuración.
La parte 20 de cuerpo termina en un conjunto 22 de cartucho de
grapas. El conjunto 22 de cartucho de grapas incluye una agrupación
anular de grapas "S". Posicionado enfrente del conjunto 22 de
cartucho de grapas hay previsto un conjunto de yunque 26 que está
conectado al aparato 10 por un árbol 28 en medios de conexión 30.
El conjunto de yunque 26 y el conjunto 22 de cartucho de grapas
están descritos en la patente norteamericana nº 5.119.983, concedida
el 9 de Junio de 1992 de cesionaria común.
Aunque el aparato 10 ha sido mostrado y descrito
como utilizando un conjunto de cartucho de grapas que tiene una
agrupación anular de grapas posicionada sobre la parte de cuerpo
tubular, y que tiene el conjunto de yunque posicionado enfrente del
conjunto de cartucho de grapas para movimiento de acercamiento y
alejamiento del conjunto de cartucho de grapas, se ha considerado
desde luego que el conjunto de yunque pueda ser posicionado sobre
la parte de cuerpo tubular y el conjunto de cartucho de grapas y la
agrupación de grapas ser posicionados enfrente del conjunto de
yunque para movimiento de acercamiento y alejamiento del conjunto de
yunque. Tal construcción ha de ser considerada dentro del marco de
la presente exposición, pero no forma parte del invento
reivindicado en este momento.
En funcionamiento, el aparato 10 es posicionado
dentro de un órgano tubular en el cuerpo del paciente y los
extremos del órgano que han de ser unidos son posicionados en el
espacio entre el conjunto 22 de cartucho de grapas y el conjunto de
yunque 26 de modo que el conjunto de yunque 26 esté completamente
extendido. Como es tradicional, los extremos del órgano pueden ser
asegurados sobre el conjunto de yunque 26 y el conjunto 22 de
cartucho de grapas por una sutura en bolsa de tabaco antes de la
aproximación del conjunto de yunque 26 en relación al conjunto 22
de cartucho de grapas. Con el conjunto de yunque 26 y el conjunto 22
de cartucho de grapas suturados en bolsa de tabaco, el vástago 28
del conjunto de yunque 26 es acoplado a los medios de conexión 30
dispuestos dentro del conjunto 22 de cartucho de grapas.
Con el fin de aproximar el conjunto de yunque 26
hacia el conjunto 22 de cartucho de grapas, el miembro de agarre 18
es hecho girar para desplazar un miembro de vástago interior (no
mostrado) en una dirección proximal. Esto extrae el conjunto de
yunque 26 a posición adyacente al conjunto 22 de cartucho de grapas
y sitúa los extremos del tejido entre estos dos miembros.
Una vez que la distancia apropiada es ajustada
entre el conjunto de yunque 26 y el conjunto 22 de cartucho de
grapas los medios de interbloqueo 32 pueden ser liberados y las
empuñaduras 14 de accionamiento pueden ser pivotadas para accionar
las grapas a través del tejido y contra el conjunto de yunque 26
para completar la anastomosis circular del órgano tubular. Puede
hacerse referencia a la patente norteamericana nº 5.119.983 para
una descripción y discusión más detalladas de la estructura y
funcionamiento del aparato grapador quirúrgico 10.
Como se ha visto en las figs. 1 a 4, el conjunto
de yunque 26 incluye una cabeza de yunque 34 y un vástago 28 que se
extiende desde la cabeza de yunque 34. La cabeza de yunque 34 está
configurada para soportar una placa de yunque 36 en ella. De modo
deseable, las cavidades 38 formadoras de grapas están dispuestas en
un par de anillos anulares concéntricos espaciados formados en una
placa de yunque 36.
Como se ha visto en las figs. 3 y 4, cada
cavidad 38 formadora de grapa incluye una cantidad de material de
tratamiento de heridas "W" en ella. Como se ha visto en la fig.
3, una película o revestimiento 40 puede ser colocado sobre o en la
superficie de la placa de yunque 36 cubriendo por ello las cavidades
38 formadoras de grapas y reteniendo el material de tratamiento de
heridas "W" en ella. Alternativamente, como se ha visto en la
fig. 4, el material de tratamiento de heridas "W" puede estar
contenido en una cápsula o gel líquido 42 situado en cada cavidad
38 formadora de grapa. De modo deseable, cada cápsula 42 está
adherida o contenida de forma fija de otro modo a las cavidades 38
formadoras de grapas.
De modo deseable, el revestimiento 40 es
fabricado a partir de un material que puede ser penetrado o roto
por grapas quirúrgicas "S". Por ejemplo, el revestimiento 40
puede ser fabricado a partir de un material polimérico, tal como,
polietileno, poliéster, poliuretano y similares. Se ha considerado
que el revestimiento 40 está fabricado de un material
bio-absorbible. De este modo, si una parte o la
totalidad de la funda 40 permanece en el cuerpo después del
procedimiento quirúrgico, esa parte del revestimiento 40 será
absorbida dentro del cuerpo.
El material de tratamiento de heridas es un
adhesivo previamente curado o un sellador previamente curado y
puede incluir un hemostato y/u otro medicamento. De modo deseable,
en uso, el componente sellador del material de tratamiento de
heridas "W" funciona para retardar cualquier hemorragia que
pueda ocurrir desde el tejido, y el componente adhesivo del
material de tratamiento de heridas "W" funciona para asegurar
el tejido aproximado junto.
Se ha considerado que el adhesivo incluye y no
está limitado, a adhesivos que curan al hacer contacto con el
tejido, que curan al exponerlos a la luz ultravioleta (UV), que son
sensibles a la presión, que son cualquier combinación de los
mismos, o cualquier otro adhesivo apropiado conocido. En una
realización, se ha considerado que puede ser usado un adhesivo que
tiene un tiempo de curado de aproximadamente 10 a 15 segundos. En
otra realización, se ha considerado que puede ser usado un adhesivo
que tiene un tiempo de curado de aproximadamente 30 segundos.
El material de tratamiento de heridas "W"
es un adhesivo o un sellador previamente curado. El sellador o
adhesivo previamente curado reaccionará con la humedad y/o el calor
del tejido corporal para activar con ello las propiedades de
sellado y/o adhesivo del sellador o adhesivo. Se ha considerado que
el sellador o adhesivo previamente curado puede ser un hidrogel o
similar.
Ejemplos de adhesivos que pueden ser empleados
incluyen derivado de proteína, materiales adhesivos a base de
aldehído, por ejemplo, los materiales de albúmina/glutaraldehido
comercialmente disponibles vendidos bajo la marca registrada
BioGlue^{TM} por Cryolife, Inc., y materiales a base de
cianoacrilato vendidos bajo las marcas registradas Indermil^{TM}
y Derma Bond^{TM} por Tyco Healthcare Group, LP y Ethicon
Endosurgery, Inc., respectivamente. Ejemplos de selladores, que
pueden ser empleados, incluyen selladores de fibrina y selladores
de tejido a base de colágeno y a base de polímero sintético.
Ejemplos de selladores disponibles comercialmente son materiales
sintéticos a base de polietilen-glicol sintéticos,
de hidrogel vendidos bajo la marca registrada CoSeal^{TM} por
Cohesion Technologies y Baxter International, Inc. Ejemplos de
materiales hemostáticos, que pueden ser empleados incluyen
hemostatos tópicos a base de fibrina, a base de colágeno, a base de
celulosa regenerada oxidizada y a base de gelatina. Ejemplos de
materiales hemostáticos disponibles comercialmente son materiales
de combinación de fibrinógeno-trombina vendidos bajo
las marcas registradas CoStasis^{TM} por Tyco Goup Healthcare
Group, LP, y Tisseel^{TM} vendidos por Baxter International, Inc.
Los hemostatos incluyen aquí astringentes, por ejemplo, sulfato de
aluminio, y coagulantes.
El material de tratamiento de heridas "W"
puede también incluir medicamentos. Los medicamentos pueden incluir
una o más sustancias útiles médica y/o quirúrgicamente tales como
fármacos, enzimas, factores de crecimiento, péptidos, proteínas,
colorantes, agentes diagnósticos o agentes hemostáticos o cualquier
otro farmacéutico usado en la prevención de estenosis.
Volviendo ahora las figs. 5 a 7, se ha ilustrado
el uso de un dispositivo grapador quirúrgico 10 y un conjunto de
yunque desmontable 100 en un procedimiento de anastomosis para
efectuar la unión de secciones intestinales adyacentes "T1 y
T2". El procedimiento de anastomosis es típicamente realizado
usando técnicas quirúrgicas mínimamente invasivas que incluyen
medios e instrumentación laparoscópicos. En el punto en el
procedimiento mostrado en la fig. 5, se ha retirado previamente una
sección intestinal enferma, el conjunto de yunque 26 ha sido
aplicado a la zona de la operación, bien a través de una incisión
quirúrgica o de manera transanal y posicionado dentro de la primera
sección intestinal "T1", y una parte 20 de cuerpo tubular del
dispositivo grapador quirúrgico 10 ha sido insertada de manera
transanal en la segunda sección intestinal "T2". Las secciones
intestinales "T1 y T2" son también mostradas temporalmente
aseguradas alrededor de sus componentes respectivos (por ejemplo,
el árbol 28 del conjunto de yunque 26, y el extremo distal de la
parte 20 de cuerpo tubular) por medios tradicionales tales como una
sutura en bolsa de tabaco (no mostrada).
El cirujano a continuación maniobra el conjunto
de yunque 26 hasta que un extremo proximal del árbol 28 es
conectado operativamente a medios de conexión 30 de la parte 20 de
cuerpo tubular. Después de ello, el conjunto de yunque 26 y la
parte 20 de cuerpo tubular son aproximados a las secciones
intestinales aproximadas "T1 y T2".
Volviendo ahora a la fig. 6, con el conjunto de
yunque 26 aproximado hacia el conjunto 22 de cartucho de grapas y
las secciones intestinales "T1 y T2" sujetadas o capturadas
entre ellos, las cavidades 38 formadoras de grapas del conjunto de
yunque 26 están en coincidencia con ranuras 24 de retención de
grapas del miembro 22 sujetador con grapas. En particular, las
grapas "S", retenidas en las ranuras 24 de retención de grapas,
están en coincidencia con cavidades 38 formadoras de grapas del
conjunto de yunque 26.
Con el conjunto de yunque 26 así posicionado en
relación al conjunto 22 de cartucho de grapas, el dispositivo
grapador quirúrgico 10 es disparado grapando y adhiriendo por ello
las secciones intestinales "T1 y T2" entre sí. Como se ha
visto en la fig. 7, al disparar el dispositivo grapador quirúrgico
10, las grapas "S" son accionadas a través de las secciones
intestinales "T1 y T2", asegurando por ello mecánicamente las
secciones intestinales "T1 y T2" entre sí. Cuando las grapas
"S" son accionadas a través de las secciones intestinales "T1
y T2", las grapas "S" penetran en el revestimiento 40 y
liberan el material de tratamiento de heridas "W" contenido en
las cavidades 38 formadoras de grapas de la placa de yunque 36 sobre
del tejido intestinal "T2". De manera deseable, el material de
tratamiento de heridas "W" se extiende a lo largo de las grapas
"S" al enlace entre los tejidos intestinales "T1 y T2".
De esto modo, si el material de tratamiento de heridas "W"
contiene un adhesivo, el material de tratamiento de heridas
"W" ayuda a adherir las secciones intestinales "T1 y T2"
entre sí.
Se ha considerado además que si el material de
tratamiento de heridas "W" contiene un sellador, la filtración
de sangre en él o sobre el lado de yunque de la grapa "S" (por
ejemplo, en el primer tejido intestinal "T1") es reducida con
relación a un aparato quirúrgico que tiene un conjunto de yunque sin
ningún material de tratamiento de heridas. En uso, cuando las
grapas "S" son accionadas a las cavidades 38 formadoras de
grapas del conjunto de yunque 26, el material de tratamiento de
heridas "W", que incluye un sellador, es desplazado al área que
rodea a las grapas "S".
Simultáneamente con esto, la cuchilla 50 corta
las partes de las secciones intestinales "T1 y T2" situadas
radialmente hacia dentro de la cuchilla 50.
Volviendo ahora a la fig. 8, en una realización
alternativa, el material de tratamiento de heridas "W", que
incluye un sellador, puede estar dispuesto dentro (por ejemplo,
cargado en, empaquetado en, etc.) de las ranuras 24 de retención de
grapas. Por consiguiente, en uso, cuando un aparato grapador
quirúrgico 10 es disparado, el material de tratamiento de heridas
"W" es dispensado o extendido de otro modo sobre el área de la
segunda sección intestinal "T2" que rodea una longitud de
grapas "S".
Aunque se han ilustrado y descrito varias formas
particulares de conjuntos de yunque, y un método particular para
usar los mismos, no formando el método parte del invento
reivindicado en este momento, será evidente también que pueden
hacerse distintas modificaciones sin salir del marco de las
reivindicaciones. Por ejemplo, se ha considerado dentro del marco
de la presente exposición que un material (sellador o adhesivo) de
tratamiento de heridas activado con luz ultravioleta sea usado en
cavidades 38 formadoras de grapas del conjunto de yunque 26. Por
consiguiente, en uso, o bien antes o bien después de disparar el
dispositivo grapador quirúrgico 10, la zona de anastomosis es
irradiada con luz UV para activar con ello el adhesivo, no formando
este uso, sin embargo, parte del invento reivindicado en este
momento.
Así, debería comprenderse que pueden hacerse
distintos cambios en forma, detalle y aplicación del conjunto de
yunque de la presente exposición sin salir del marco de la presente
exposición, estando definido el marco por las reivindicaciones.
Claims (9)
1. Un conjunto de yunque (26) para un aparato
grapador circular (10), comprendiendo el conjunto de yunque:
- \quad
- una cabeza de yunque configurada para soportar una placa de yunque en ella; un árbol (28) que se extiende desde la cabeza del yunque y configurado para aplicarse selectivamente a un miembro de conexión del aparato grapador circular; una placa de yunque (36) conectada operativamente a la cabeza del yunque, definiendo la placa del yunque una pluralidad de cavidades (38) formadoras de grapas en ella; y un material ("W") de tratamiento de heridas dispuesto en cada cavidad formadora de grapa de la placa del yunque, comprendiendo el material de tratamiento de heridas un sellador previamente curado o un adhesivo previamente curado.
2. El conjunto de yunque según la reivindicación
1, en el que el material de tratamiento de heridas es al menos uno
de entre un hemostato y un medicamento.
3. El conjunto de yunque según la reivindicación
2, en el que el adhesivo incluye al menos uno de entre un adhesivo
que cura al exponerlo a la luz ultravioleta (UV), y un adhesivo que
es sensible a la presión.
4. El conjunto de yunque según la reivindicación
2 o la reivindicación 3, en el que el material sellador incluye un
hidrogel.
5. El conjunto de yunque según cualquiera de las
reivindicaciones 2 a 4, en el que el medicamento incluye al menos
uno de entre fármacos, enzimas, factores de crecimiento, péptidos,
proteínas, colorantes, y agentes de diagnóstico.
6. El conjunto de yunque según cualquiera de las
reivindicaciones precedentes, que comprende además un revestimiento
forro (40) que cubre la pluralidad de cavidades formadoras de
grapas.
7. El conjunto de yunque según la reivindicación
6, en el que las cavidades formadoras de grapas están dispuestas en
un par de anillos anulares concéntricos espaciados.
8. El conjunto de yunque según la reivindicación
6 o la reivindicación 7, en el que las cavidades formadoras de
grapas están en coincidencia con ranuras (24) de retención de grapas
respectivas formadas en un conjunto (22) de cartucho de grapas del
aparato quirúrgico.
9. El conjunto de yunque según cualquiera de las
reivindicaciones precedentes, en el que el material de tratamiento
de heridas está contenido en una cápsula, en el que cada cápsula
está configurada para retención dentro de las cavidades formadoras
de grapas.
Applications Claiming Priority (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US62006704P | 2004-10-18 | 2004-10-18 | |
| US620067P | 2004-10-18 |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| ES2335590T3 true ES2335590T3 (es) | 2010-03-30 |
Family
ID=35062971
Family Applications (3)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| ES10173363T Expired - Lifetime ES2390161T3 (es) | 2004-10-18 | 2005-03-02 | Estructura que contiene material de tratamiento de heridas |
| ES09166705T Expired - Lifetime ES2412435T3 (es) | 2004-10-18 | 2005-03-02 | Aparato circular para grapar que contiene material de tratamiento de heridas |
| ES05004539T Expired - Lifetime ES2335590T3 (es) | 2004-10-18 | 2005-03-02 | Estructura que contiene material de tratamiento de heridas. |
Family Applications Before (2)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| ES10173363T Expired - Lifetime ES2390161T3 (es) | 2004-10-18 | 2005-03-02 | Estructura que contiene material de tratamiento de heridas |
| ES09166705T Expired - Lifetime ES2412435T3 (es) | 2004-10-18 | 2005-03-02 | Aparato circular para grapar que contiene material de tratamiento de heridas |
Country Status (7)
| Country | Link |
|---|---|
| US (6) | US7455682B2 (es) |
| EP (3) | EP1647230B1 (es) |
| JP (2) | JP4895153B2 (es) |
| AU (1) | AU2005200724B2 (es) |
| CA (2) | CA2502653C (es) |
| DE (1) | DE602005017554D1 (es) |
| ES (3) | ES2390161T3 (es) |
Families Citing this family (764)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| EP2289429B1 (en) | 2002-05-10 | 2015-06-17 | Covidien LP | Surgical stapling apparatus having a wound closure material applicator assembly |
| EP1503671B1 (en) | 2002-05-10 | 2006-10-11 | Tyco Healthcare Group Lp | Wound closure material applicator and stapler |
| EP2228018B1 (en) | 2002-06-17 | 2012-05-09 | Tyco Healthcare Group LP | Annular support structures |
| US7303106B2 (en) * | 2002-10-04 | 2007-12-04 | Tyco Healthcare Group Lp | Surgical stapling device with visual indicator |
| ES2279231T3 (es) * | 2003-05-09 | 2007-08-16 | Tyco Healthcare Group Lp | Grapa anastomotica con tubo capilar que dispensa fluidos. |
| US9060770B2 (en) | 2003-05-20 | 2015-06-23 | Ethicon Endo-Surgery, Inc. | Robotically-driven surgical instrument with E-beam driver |
| US20070084897A1 (en) | 2003-05-20 | 2007-04-19 | Shelton Frederick E Iv | Articulating surgical stapling instrument incorporating a two-piece e-beam firing mechanism |
| US8181840B2 (en) | 2004-03-19 | 2012-05-22 | Tyco Healthcare Group Lp | Tissue tensioner assembly and approximation mechanism for surgical stapling device |
| US8905977B2 (en) | 2004-07-28 | 2014-12-09 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having an electroactive polymer actuated medical substance dispenser |
| US9072535B2 (en) | 2011-05-27 | 2015-07-07 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments with rotatable staple deployment arrangements |
| US11890012B2 (en) | 2004-07-28 | 2024-02-06 | Cilag Gmbh International | Staple cartridge comprising cartridge body and attached support |
| US8215531B2 (en) * | 2004-07-28 | 2012-07-10 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having a medical substance dispenser |
| US11998198B2 (en) | 2004-07-28 | 2024-06-04 | Cilag Gmbh International | Surgical stapling instrument incorporating a two-piece E-beam firing mechanism |
| ES2530775T3 (es) | 2004-10-18 | 2015-03-05 | Covidien Lp | Estructura adhesiva anular |
| US7938307B2 (en) * | 2004-10-18 | 2011-05-10 | Tyco Healthcare Group Lp | Support structures and methods of using the same |
| US7717313B2 (en) | 2004-10-18 | 2010-05-18 | Tyco Healthcare Group Lp | Surgical apparatus and structure for applying sprayable wound treatment material |
| US7845536B2 (en) | 2004-10-18 | 2010-12-07 | Tyco Healthcare Group Lp | Annular adhesive structure |
| US7455682B2 (en) | 2004-10-18 | 2008-11-25 | Tyco Healthcare Group Lp | Structure containing wound treatment material |
| AU2005295811B2 (en) * | 2004-10-18 | 2011-03-03 | Covidien Lp | Adhesive suture structure and methods of using the same |
| AU2005295477B2 (en) * | 2004-10-18 | 2011-11-24 | Covidien Lp | Structure for applying sprayable wound treatment material |
| 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 |
| US11484312B2 (en) | 2005-08-31 | 2022-11-01 | Cilag Gmbh International | Staple cartridge comprising a staple driver arrangement |
| US10159482B2 (en) | 2005-08-31 | 2018-12-25 | Ethicon Llc | Fastener cartridge assembly comprising a fixed anvil and different staple heights |
| US7934630B2 (en) | 2005-08-31 | 2011-05-03 | Ethicon Endo-Surgery, Inc. | Staple cartridges for forming staples having differing formed staple heights |
| US9237891B2 (en) | 2005-08-31 | 2016-01-19 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical stapling devices that produce formed staples having different lengths |
| 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 |
| US20070106317A1 (en) | 2005-11-09 | 2007-05-10 | Shelton Frederick E Iv | Hydraulically and electrically actuated articulation joints for surgical instruments |
| US11278279B2 (en) | 2006-01-31 | 2022-03-22 | Cilag Gmbh International | Surgical instrument assembly |
| US20110024477A1 (en) | 2009-02-06 | 2011-02-03 | Hall Steven G | Driven Surgical Stapler Improvements |
| 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 |
| US8763879B2 (en) | 2006-01-31 | 2014-07-01 | Ethicon Endo-Surgery, Inc. | Accessing data stored in a memory of surgical instrument |
| US11224427B2 (en) | 2006-01-31 | 2022-01-18 | Cilag Gmbh International | Surgical stapling system including a console and retraction assembly |
| US11793518B2 (en) | 2006-01-31 | 2023-10-24 | Cilag Gmbh International | Powered surgical instruments with firing system lockout arrangements |
| US7845537B2 (en) | 2006-01-31 | 2010-12-07 | Ethicon Endo-Surgery, Inc. | Surgical instrument having recording capabilities |
| US20120292367A1 (en) | 2006-01-31 | 2012-11-22 | Ethicon Endo-Surgery, Inc. | Robotically-controlled end effector |
| US8186555B2 (en) | 2006-01-31 | 2012-05-29 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting and fastening instrument with mechanical closure system |
| US8161977B2 (en) | 2006-01-31 | 2012-04-24 | Ethicon Endo-Surgery, Inc. | Accessing data stored in a memory of a surgical instrument |
| US8820603B2 (en) | 2006-01-31 | 2014-09-02 | Ethicon Endo-Surgery, Inc. | Accessing data stored in a memory of a surgical instrument |
| US9861359B2 (en) | 2006-01-31 | 2018-01-09 | Ethicon Llc | Powered surgical instruments with firing system lockout arrangements |
| US20110290856A1 (en) | 2006-01-31 | 2011-12-01 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical instrument with force-feedback capabilities |
| US8708213B2 (en) | 2006-01-31 | 2014-04-29 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a feedback system |
| US20110006101A1 (en) | 2009-02-06 | 2011-01-13 | EthiconEndo-Surgery, Inc. | Motor driven surgical fastener device with cutting member lockout arrangements |
| 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 |
| US8540132B2 (en) | 2006-05-16 | 2013-09-24 | Covidien Lp | Tilt anvil assembly |
| US8322455B2 (en) | 2006-06-27 | 2012-12-04 | Ethicon Endo-Surgery, Inc. | Manually driven surgical cutting and fastening instrument |
| 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 |
| US20080058865A1 (en) * | 2006-08-21 | 2008-03-06 | Wilk Peter J | Surgical closure device and associated method |
| US10568652B2 (en) | 2006-09-29 | 2020-02-25 | Ethicon Llc | Surgical staples having attached drivers of different heights and stapling instruments for deploying the same |
| US10130359B2 (en) | 2006-09-29 | 2018-11-20 | Ethicon Llc | Method for forming a staple |
| 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 |
| US7780685B2 (en) * | 2006-11-09 | 2010-08-24 | Ethicon Endo-Surgery, Inc. | Adhesive and mechanical fastener |
| US7708180B2 (en) * | 2006-11-09 | 2010-05-04 | Ethicon Endo-Surgery, Inc. | Surgical fastening device with initiator impregnation of a matrix or buttress to improve adhesive application |
| US20080110961A1 (en) * | 2006-11-10 | 2008-05-15 | Ethicon Endo-Surgery, Inc. | Initiator Coating of Staples |
| US8834498B2 (en) * | 2006-11-10 | 2014-09-16 | Ethicon Endo-Surgery, Inc. | Method and device for effecting anastomosis of hollow organ structures using adhesive and fasteners |
| US8652120B2 (en) | 2007-01-10 | 2014-02-18 | Ethicon Endo-Surgery, Inc. | Surgical instrument with wireless communication between control unit and sensor transponders |
| US7954682B2 (en) * | 2007-01-10 | 2011-06-07 | Ethicon Endo-Surgery, Inc. | Surgical instrument with elements to communicate between control unit and end effector |
| US11291441B2 (en) | 2007-01-10 | 2022-04-05 | Cilag Gmbh International | Surgical instrument with wireless communication between control unit and remote sensor |
| US8684253B2 (en) | 2007-01-10 | 2014-04-01 | Ethicon Endo-Surgery, Inc. | Surgical instrument with wireless communication between a control unit of a robotic system and remote sensor |
| US8459520B2 (en) | 2007-01-10 | 2013-06-11 | Ethicon Endo-Surgery, Inc. | Surgical instrument with wireless communication between control unit and remote sensor |
| US8632535B2 (en) | 2007-01-10 | 2014-01-21 | Ethicon Endo-Surgery, Inc. | Interlock and surgical instrument including same |
| US11039836B2 (en) | 2007-01-11 | 2021-06-22 | Cilag Gmbh International | Staple cartridge for use with a surgical stapling instrument |
| US20080169332A1 (en) | 2007-01-11 | 2008-07-17 | Shelton Frederick E | Surgical stapling device with a curved cutting member |
| US7927319B2 (en) * | 2007-02-20 | 2011-04-19 | Kci Licensing, Inc. | System and method for distinguishing leaks from a disengaged canister condition in a reduced pressure treatment system |
| ATE499048T1 (de) | 2007-03-07 | 2011-03-15 | Covidien Ag | Klammergerät für mukosektomie |
| US8727197B2 (en) | 2007-03-15 | 2014-05-20 | Ethicon Endo-Surgery, Inc. | Staple cartridge cavity configuration with cooperative surgical staple |
| US8893946B2 (en) | 2007-03-28 | 2014-11-25 | Ethicon Endo-Surgery, Inc. | Laparoscopic tissue thickness and clamp load measuring devices |
| US8157145B2 (en) | 2007-05-31 | 2012-04-17 | Ethicon Endo-Surgery, Inc. | Pneumatically powered surgical cutting and fastening instrument with electrical feedback |
| US8931682B2 (en) | 2007-06-04 | 2015-01-13 | Ethicon Endo-Surgery, Inc. | Robotically-controlled shaft based rotary drive systems for surgical instruments |
| US7905380B2 (en) | 2007-06-04 | 2011-03-15 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a multiple rate directional switching mechanism |
| US11857181B2 (en) | 2007-06-04 | 2024-01-02 | Cilag Gmbh International | Robotically-controlled shaft based rotary drive systems for surgical instruments |
| US8534528B2 (en) | 2007-06-04 | 2013-09-17 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a multiple rate directional switching mechanism |
| US7832408B2 (en) | 2007-06-04 | 2010-11-16 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a directional switching mechanism |
| US7753245B2 (en) | 2007-06-22 | 2010-07-13 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments |
| US8308040B2 (en) | 2007-06-22 | 2012-11-13 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with an articulatable end effector |
| 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 |
| US8678263B2 (en) | 2007-09-24 | 2014-03-25 | Covidien Lp | Materials delivery system for stapling device |
| US8011554B2 (en) | 2008-01-09 | 2011-09-06 | Tyco Healthcare Group, Lp | Raised boss for staple guide |
| US8540133B2 (en) | 2008-09-19 | 2013-09-24 | Ethicon Endo-Surgery, Inc. | Staple cartridge |
| US7766209B2 (en) | 2008-02-13 | 2010-08-03 | 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 |
| US8561870B2 (en) * | 2008-02-13 | 2013-10-22 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument |
| US8453908B2 (en) | 2008-02-13 | 2013-06-04 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with improved firing trigger arrangement |
| 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 |
| US8573465B2 (en) | 2008-02-14 | 2013-11-05 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical end effector system with rotary actuated closure systems |
| US8622274B2 (en) | 2008-02-14 | 2014-01-07 | Ethicon Endo-Surgery, Inc. | Motorized cutting and fastening instrument having control circuit for optimizing battery usage |
| 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 |
| US8636736B2 (en) | 2008-02-14 | 2014-01-28 | Ethicon Endo-Surgery, Inc. | Motorized surgical cutting and fastening instrument |
| US9179912B2 (en) | 2008-02-14 | 2015-11-10 | Ethicon Endo-Surgery, Inc. | Robotically-controlled motorized surgical cutting and fastening instrument |
| US8584919B2 (en) | 2008-02-14 | 2013-11-19 | Ethicon Endo-Sugery, Inc. | Surgical stapling apparatus with load-sensitive firing mechanism |
| US8657174B2 (en) | 2008-02-14 | 2014-02-25 | Ethicon Endo-Surgery, Inc. | Motorized surgical cutting and fastening instrument having handle based power source |
| RU2493788C2 (ru) | 2008-02-14 | 2013-09-27 | Этикон Эндо-Серджери, Инк. | Хирургический режущий и крепежный инструмент, имеющий радиочастотные электроды |
| US8758391B2 (en) | 2008-02-14 | 2014-06-24 | Ethicon Endo-Surgery, Inc. | Interchangeable tools for surgical instruments |
| 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 |
| US7866527B2 (en) | 2008-02-14 | 2011-01-11 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with interlockable firing system |
| US8752749B2 (en) | 2008-02-14 | 2014-06-17 | Ethicon Endo-Surgery, Inc. | Robotically-controlled disposable motor-driven loading unit |
| US20130153641A1 (en) | 2008-02-15 | 2013-06-20 | Ethicon Endo-Surgery, Inc. | Releasable layer of material and surgical end effector having the same |
| US20090206131A1 (en) | 2008-02-15 | 2009-08-20 | Ethicon Endo-Surgery, Inc. | End effector coupling arrangements for a surgical cutting and stapling instrument |
| US11272927B2 (en) | 2008-02-15 | 2022-03-15 | Cilag Gmbh International | Layer arrangements for surgical staple cartridges |
| US8608044B2 (en) * | 2008-02-15 | 2013-12-17 | Ethicon Endo-Surgery, Inc. | Feedback and lockout mechanism for surgical instrument |
| US20090206142A1 (en) | 2008-02-15 | 2009-08-20 | Ethicon Endo-Surgery, Inc. | Buttress material for a surgical stapling instrument |
| US7980443B2 (en) | 2008-02-15 | 2011-07-19 | Ethicon Endo-Surgery, Inc. | End effectors for a surgical cutting and stapling instrument |
| US8181838B2 (en) | 2008-09-10 | 2012-05-22 | Tyco Healthcare Group Lp | Surgical stapling device |
| US8083120B2 (en) | 2008-09-18 | 2011-12-27 | Ethicon Endo-Surgery, Inc. | End effector for use with a surgical cutting and stapling instrument |
| US20100069942A1 (en) * | 2008-09-18 | 2010-03-18 | Ethicon Endo-Surgery, Inc. | Surgical instrument with apparatus for measuring elapsed time between actions |
| 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 |
| US11648005B2 (en) | 2008-09-23 | 2023-05-16 | Cilag Gmbh International | Robotically-controlled motorized surgical instrument with an end effector |
| US9050083B2 (en) | 2008-09-23 | 2015-06-09 | Ethicon Endo-Surgery, Inc. | Motorized surgical instrument |
| US9386983B2 (en) | 2008-09-23 | 2016-07-12 | Ethicon Endo-Surgery, Llc | Robotically-controlled motorized surgical instrument |
| US8210411B2 (en) | 2008-09-23 | 2012-07-03 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting instrument |
| US9005230B2 (en) | 2008-09-23 | 2015-04-14 | Ethicon Endo-Surgery, Inc. | Motorized surgical instrument |
| US8279242B2 (en) * | 2008-09-26 | 2012-10-02 | Microsoft Corporation | Compensating for anticipated movement of a device |
| US8608045B2 (en) | 2008-10-10 | 2013-12-17 | Ethicon Endo-Sugery, Inc. | Powered surgical cutting and stapling apparatus with manually retractable firing system |
| US8231042B2 (en) | 2008-11-06 | 2012-07-31 | Tyco Healthcare Group Lp | Surgical stapler |
| US7886951B2 (en) * | 2008-11-24 | 2011-02-15 | Tyco Healthcare Group Lp | Pouch used to deliver medication when ruptured |
| US8408441B2 (en) * | 2009-01-06 | 2013-04-02 | Covidien Lp | Surgical stapler |
| US8281974B2 (en) | 2009-01-14 | 2012-10-09 | Tyco Healthcare, Group LP | Surgical stapler with suture locator |
| US8485413B2 (en) | 2009-02-05 | 2013-07-16 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument comprising an articulation joint |
| US8414577B2 (en) | 2009-02-05 | 2013-04-09 | Ethicon Endo-Surgery, Inc. | Surgical instruments and components for use in sterile environments |
| 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 |
| 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 |
| 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 |
| US8453913B2 (en) * | 2009-02-06 | 2013-06-04 | Covidien Lp | Anvil for surgical stapler |
| US8113409B2 (en) | 2009-03-31 | 2012-02-14 | Tyco Healthcare Group Lp | Surgical stapling apparatus with clamping assembly |
| US8418909B2 (en) * | 2009-06-02 | 2013-04-16 | Covidien Lp | Surgical instrument and method for performing a resection |
| US8146790B2 (en) | 2009-07-11 | 2012-04-03 | Tyco Healthcare Group Lp | Surgical instrument with safety mechanism |
| US8267301B2 (en) | 2009-08-19 | 2012-09-18 | Tyco Healthcare Group Lp | Surgical stapler |
| US9295463B2 (en) | 2009-10-08 | 2016-03-29 | Covidien Lp | Shape memory fasteners and method of use |
| US8322590B2 (en) | 2009-10-28 | 2012-12-04 | Covidien Lp | Surgical stapling instrument |
| US8430292B2 (en) | 2009-10-28 | 2013-04-30 | Covidien Lp | Surgical fastening apparatus |
| CN102695501A (zh) | 2009-11-09 | 2012-09-26 | 聚光灯技术合伙有限责任公司 | 碎裂水凝胶 |
| CN106913902A (zh) | 2009-11-09 | 2017-07-04 | 聚光灯技术合伙有限责任公司 | 多糖基水凝胶 |
| 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 |
| US8646674B2 (en) * | 2010-05-11 | 2014-02-11 | Ethicon Endo-Surgery, Inc. | Methods and apparatus for delivering tissue treatment compositions to stapled tissue |
| US8789740B2 (en) | 2010-07-30 | 2014-07-29 | Ethicon Endo-Surgery, Inc. | Linear cutting and stapling device with selectively disengageable cutting member |
| US8783543B2 (en) | 2010-07-30 | 2014-07-22 | Ethicon Endo-Surgery, Inc. | Tissue acquisition arrangements and methods for surgical stapling devices |
| US8672207B2 (en) | 2010-07-30 | 2014-03-18 | Ethicon Endo-Surgery, Inc. | Transwall visualization arrangements and methods for surgical circular staplers |
| 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 |
| US9629814B2 (en) | 2010-09-30 | 2017-04-25 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator configured to redistribute compressive forces |
| US12213666B2 (en) | 2010-09-30 | 2025-02-04 | Cilag Gmbh International | Tissue thickness compensator comprising layers |
| US11812965B2 (en) | 2010-09-30 | 2023-11-14 | Cilag Gmbh International | Layer of material for a surgical end effector |
| US9307989B2 (en) | 2012-03-28 | 2016-04-12 | Ethicon Endo-Surgery, Llc | Tissue stapler having a thickness compensator incorportating a hydrophobic agent |
| US9113865B2 (en) | 2010-09-30 | 2015-08-25 | Ethicon Endo-Surgery, Inc. | Staple cartridge comprising a layer |
| US9232941B2 (en) | 2010-09-30 | 2016-01-12 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator comprising a reservoir |
| US11925354B2 (en) | 2010-09-30 | 2024-03-12 | Cilag Gmbh International | Staple cartridge comprising staples positioned within a compressible portion thereof |
| US9220500B2 (en) | 2010-09-30 | 2015-12-29 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator comprising structure to produce a resilient load |
| US9220501B2 (en) | 2010-09-30 | 2015-12-29 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensators |
| US9364233B2 (en) | 2010-09-30 | 2016-06-14 | Ethicon Endo-Surgery, Llc | Tissue thickness compensators for circular surgical staplers |
| US9320523B2 (en) | 2012-03-28 | 2016-04-26 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator comprising tissue ingrowth features |
| US9055941B2 (en) | 2011-09-23 | 2015-06-16 | Ethicon Endo-Surgery, Inc. | Staple cartridge including collapsible deck |
| US8893949B2 (en) | 2010-09-30 | 2014-11-25 | Ethicon Endo-Surgery, Inc. | Surgical stapler with floating anvil |
| US11298125B2 (en) | 2010-09-30 | 2022-04-12 | Cilag Gmbh International | Tissue stapler having a thickness compensator |
| US9301753B2 (en) | 2010-09-30 | 2016-04-05 | Ethicon Endo-Surgery, Llc | Expandable tissue thickness compensator |
| US9332974B2 (en) | 2010-09-30 | 2016-05-10 | Ethicon Endo-Surgery, Llc | Layered tissue thickness compensator |
| US9301752B2 (en) | 2010-09-30 | 2016-04-05 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator comprising a plurality of capsules |
| US10945731B2 (en) | 2010-09-30 | 2021-03-16 | Ethicon Llc | Tissue thickness compensator comprising controlled release and expansion |
| AU2011308701B2 (en) | 2010-09-30 | 2013-11-14 | Ethicon Endo-Surgery, Inc. | Fastener system comprising a retention matrix and an alignment matrix |
| US8474677B2 (en) | 2010-09-30 | 2013-07-02 | Ethicon Endo-Surgery, Inc. | Fastener system comprising a retention matrix and a cover |
| US9314246B2 (en) | 2010-09-30 | 2016-04-19 | Ethicon Endo-Surgery, Llc | Tissue stapler having a thickness compensator incorporating an anti-inflammatory agent |
| US9241714B2 (en) | 2011-04-29 | 2016-01-26 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator and method for making the same |
| US10405854B2 (en) | 2010-09-30 | 2019-09-10 | Ethicon Llc | Surgical stapling cartridge with layer retention features |
| US8998061B2 (en) | 2010-10-01 | 2015-04-07 | Covidien Lp | Surgical fastener applying apparatus |
| US9750502B2 (en) * | 2010-10-01 | 2017-09-05 | Covidien Lp | Surgical stapling device for performing circular anastomosis and surgical staples for use therewith |
| US8695866B2 (en) | 2010-10-01 | 2014-04-15 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a power control circuit |
| US8900616B2 (en) | 2010-10-22 | 2014-12-02 | Covidien Lp | System and method for satellite drug delivery |
| US8517242B2 (en) | 2011-01-04 | 2013-08-27 | Covidien Lp | Surgical fastener-applying apparatuses with sequential firing |
| US20120209078A1 (en) * | 2011-02-15 | 2012-08-16 | Tyco Healthcare Group Lp | Compliance access device including proximal adhesive patch |
| US9125654B2 (en) | 2011-03-14 | 2015-09-08 | Ethicon Endo-Surgery, Inc. | Multiple part anvil assemblies for circular surgical stapling devices |
| US8800841B2 (en) | 2011-03-15 | 2014-08-12 | Ethicon Endo-Surgery, Inc. | Surgical staple cartridges |
| US8926598B2 (en) | 2011-03-15 | 2015-01-06 | Ethicon Endo-Surgery, Inc. | Surgical instruments with articulatable and rotatable end effector |
| BR112013027794B1 (pt) | 2011-04-29 | 2020-12-15 | Ethicon Endo-Surgery, Inc | Conjunto de cartucho de grampos |
| US11207064B2 (en) | 2011-05-27 | 2021-12-28 | Cilag Gmbh International | Automated end effector component reloading system for use with a robotic system |
| US9107663B2 (en) | 2011-09-06 | 2015-08-18 | Ethicon Endo-Surgery, Inc. | Stapling instrument comprising resettable staple drivers |
| US8814025B2 (en) * | 2011-09-15 | 2014-08-26 | Ethicon Endo-Surgery, Inc. | Fibrin pad matrix with suspended heat activated beads of adhesive |
| US9050084B2 (en) | 2011-09-23 | 2015-06-09 | Ethicon Endo-Surgery, Inc. | Staple cartridge including collapsible deck arrangement |
| US8708212B2 (en) | 2011-10-18 | 2014-04-29 | Covidien Lp | Tilt top anvil with torsion spring |
| US9016547B2 (en) | 2011-10-26 | 2015-04-28 | Covidien Lp | EEA tilt top anvil with ratchet/locking mechanism |
| US9010605B2 (en) | 2012-01-12 | 2015-04-21 | Covidien Lp | Sliding sleeve for circular stapling instrument reloads |
| 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 |
| US9022274B2 (en) | 2012-02-15 | 2015-05-05 | Covidien Lp | Circular stapler with increased lumen diameter |
| 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 |
| JP6266590B2 (ja) * | 2012-03-28 | 2018-01-24 | 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． | チャネルを備える組織厚さコンペンセーター |
| MX350846B (es) | 2012-03-28 | 2017-09-22 | Ethicon Endo Surgery Inc | Compensador de grosor de tejido que comprende cápsulas que definen un ambiente de baja presión. |
| MX358135B (es) | 2012-03-28 | 2018-08-06 | Ethicon Endo Surgery Inc | Compensador de grosor de tejido que comprende una pluralidad de capas. |
| CN104379068B (zh) | 2012-03-28 | 2017-09-22 | 伊西康内外科公司 | 包括组织厚度补偿件的保持器组件 |
| US9198662B2 (en) | 2012-03-28 | 2015-12-01 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator having improved visibility |
| US9101358B2 (en) | 2012-06-15 | 2015-08-11 | Ethicon Endo-Surgery, Inc. | Articulatable surgical instrument comprising a firing drive |
| US9351734B2 (en) | 2012-06-19 | 2016-05-31 | Covidien Lp | Spring loaded anvil retainer |
| US9204879B2 (en) | 2012-06-28 | 2015-12-08 | Ethicon Endo-Surgery, Inc. | Flexible drive member |
| US9226751B2 (en) | 2012-06-28 | 2016-01-05 | Ethicon Endo-Surgery, Inc. | Surgical instrument system including replaceable end effectors |
| US20140001231A1 (en) | 2012-06-28 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Firing system lockout arrangements for surgical instruments |
| 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 |
| US11197671B2 (en) | 2012-06-28 | 2021-12-14 | Cilag Gmbh International | Stapling assembly comprising a lockout |
| US9119657B2 (en) | 2012-06-28 | 2015-09-01 | Ethicon Endo-Surgery, Inc. | Rotary actuatable closure arrangement for surgical end effector |
| 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 |
| 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 |
| 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 |
| US9101385B2 (en) | 2012-06-28 | 2015-08-11 | Ethicon Endo-Surgery, Inc. | Electrode connections for rotary driven surgical tools |
| US12383267B2 (en) | 2012-06-28 | 2025-08-12 | Cilag Gmbh International | Robotically powered surgical device with manually-actuatable reversing system |
| US9289256B2 (en) | 2012-06-28 | 2016-03-22 | Ethicon Endo-Surgery, Llc | Surgical end effectors having angled tissue-contacting surfaces |
| US9072536B2 (en) | 2012-06-28 | 2015-07-07 | Ethicon Endo-Surgery, Inc. | Differential locking arrangements for rotary powered surgical instruments |
| US10213205B2 (en) | 2012-07-06 | 2019-02-26 | Covidien Lp | T-slot tilt anvil for circular stapling instrument |
| US9675359B2 (en) | 2012-10-10 | 2017-06-13 | Covidien Lp | Surgical instrument with preload assembly |
| US9572572B2 (en) | 2012-11-09 | 2017-02-21 | Covidien Lp | Circular stapler mechanical lockout |
| US9522002B2 (en) | 2012-12-13 | 2016-12-20 | Covidien Lp | Surgical instrument with pressure distribution device |
| US9351724B2 (en) | 2013-01-11 | 2016-05-31 | Covidien Lp | Circular stapling instrument |
| US9119606B2 (en) | 2013-01-21 | 2015-09-01 | Ethicon, Inc. | Sealant delivery device for anastomotic stapler |
| US9386984B2 (en) | 2013-02-08 | 2016-07-12 | Ethicon Endo-Surgery, Llc | Staple cartridge comprising a releasable cover |
| US10092292B2 (en) | 2013-02-28 | 2018-10-09 | Ethicon Llc | Staple forming features for surgical stapling instrument |
| US9307986B2 (en) | 2013-03-01 | 2016-04-12 | Ethicon Endo-Surgery, Llc | Surgical instrument soft stop |
| 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 |
| US9345481B2 (en) | 2013-03-13 | 2016-05-24 | Ethicon Endo-Surgery, Llc | Staple cartridge tissue thickness sensor system |
| US9592056B2 (en) | 2013-03-14 | 2017-03-14 | Covidien Lp | Powered stapling apparatus |
| US9629629B2 (en) | 2013-03-14 | 2017-04-25 | Ethicon Endo-Surgey, LLC | Control systems for surgical instruments |
| US9351726B2 (en) | 2013-03-14 | 2016-05-31 | Ethicon Endo-Surgery, Llc | Articulation control system for articulatable surgical instruments |
| CN104042292A (zh) | 2013-03-15 | 2014-09-17 | 柯惠Lp公司 | 包括可重复利用的组件的手术吻合装置 |
| US9332984B2 (en) | 2013-03-27 | 2016-05-10 | Ethicon Endo-Surgery, Llc | Fastener cartridge assemblies |
| US9572577B2 (en) | 2013-03-27 | 2017-02-21 | Ethicon Endo-Surgery, Llc | Fastener cartridge comprising a tissue thickness compensator including openings therein |
| US9795384B2 (en) | 2013-03-27 | 2017-10-24 | Ethicon Llc | Fastener cartridge comprising a tissue thickness compensator and a gap setting element |
| 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 |
| US9574644B2 (en) | 2013-05-30 | 2017-02-21 | Ethicon Endo-Surgery, Llc | Power module for use with a surgical instrument |
| US9532780B2 (en) | 2013-06-12 | 2017-01-03 | Covidien Lp | EEA anvil snap ring activator |
| US9668740B2 (en) | 2013-06-14 | 2017-06-06 | Covidien Lp | Anvil assembly with sliding sleeve |
| WO2014201608A1 (en) | 2013-06-17 | 2014-12-24 | Covidien Lp | Surgical instrument with lockout mechanism |
| US9775928B2 (en) | 2013-06-18 | 2017-10-03 | Covidien Lp | Adhesive barbed filament |
| US9750503B2 (en) | 2013-07-11 | 2017-09-05 | Covidien Lp | Methods and devices for performing a surgical anastomosis |
| US20150053737A1 (en) | 2013-08-23 | 2015-02-26 | Ethicon Endo-Surgery, Inc. | End effector detection systems for surgical instruments |
| MX369362B (es) | 2013-08-23 | 2019-11-06 | Ethicon Endo Surgery Llc | Dispositivos de retraccion de miembros de disparo para instrumentos quirurgicos electricos. |
| US9693773B2 (en) | 2013-09-11 | 2017-07-04 | Covidien Lp | Anvil assembly with sliding sleeve |
| US20140171986A1 (en) | 2013-09-13 | 2014-06-19 | Ethicon Endo-Surgery, Inc. | Surgical Clip Having Comliant Portion |
| US9393019B2 (en) | 2013-10-31 | 2016-07-19 | Ethicon, Inc. | Therapy delivery device for anastomotic joining of tissue |
| US9517070B2 (en) | 2013-11-13 | 2016-12-13 | Covidien Lp | Anvil assembly and delivery system |
| US9554802B2 (en) | 2013-11-13 | 2017-01-31 | Covidien Lp | Anvil assembly with frangible retaining member |
| 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 |
| US9642620B2 (en) | 2013-12-23 | 2017-05-09 | Ethicon Endo-Surgery, Llc | Surgical cutting and stapling instruments with articulatable end effectors |
| US9687232B2 (en) | 2013-12-23 | 2017-06-27 | Ethicon Llc | Surgical staples |
| US20150173756A1 (en) | 2013-12-23 | 2015-06-25 | Ethicon Endo-Surgery, Inc. | Surgical cutting and stapling methods |
| US9681870B2 (en) | 2013-12-23 | 2017-06-20 | Ethicon Llc | Articulatable surgical instruments with separate and distinct closing and firing systems |
| US9962161B2 (en) | 2014-02-12 | 2018-05-08 | Ethicon Llc | Deliverable surgical instrument |
| US9757124B2 (en) | 2014-02-24 | 2017-09-12 | Ethicon Llc | Implantable layer assemblies |
| 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 |
| 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 |
| US10013049B2 (en) | 2014-03-26 | 2018-07-03 | Ethicon Llc | Power management through sleep options of segmented circuit and wake up control |
| BR112016021943B1 (pt) | 2014-03-26 | 2022-06-14 | Ethicon Endo-Surgery, Llc | Instrumento cirúrgico para uso por um operador em um procedimento cirúrgico |
| US9913642B2 (en) | 2014-03-26 | 2018-03-13 | Ethicon Llc | Surgical instrument comprising a sensor system |
| US12232723B2 (en) | 2014-03-26 | 2025-02-25 | Cilag Gmbh International | Systems and methods for controlling a segmented circuit |
| 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 |
| 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 |
| 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 |
| 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 |
| US9913643B2 (en) | 2014-05-09 | 2018-03-13 | Covidien Lp | Interlock assemblies for replaceable loading unit |
| US10610226B2 (en) * | 2014-06-10 | 2020-04-07 | Ethicon Endo-Surgery, Inc. | Methods and devices for sealing stapled tissue |
| US9913646B2 (en) * | 2014-06-10 | 2018-03-13 | Ethicon Llc | Devices for sealing staples in tissue |
| CN106572856A (zh) * | 2014-06-10 | 2017-04-19 | 伊西康内外科有限责任公司 | 用于密封缝合组织的方法和装置 |
| JP6580603B2 (ja) * | 2014-06-10 | 2019-09-25 | エシコン エルエルシーＥｔｈｉｃｏｎ ＬＬＣ | 組織内でステープルを封止する装置及び方法 |
| WO2015188347A1 (en) | 2014-06-12 | 2015-12-17 | Covidien Lp | Surgical stapling apparatus |
| US10045781B2 (en) | 2014-06-13 | 2018-08-14 | Ethicon Llc | Closure lockout systems for surgical instruments |
| US9867619B2 (en) | 2014-06-24 | 2018-01-16 | Covidien Lp | System for delivering an anvil assembly to a surgical site |
| US9861367B2 (en) | 2014-06-24 | 2018-01-09 | Covidien Lp | Anvil assembly delivery systems |
| JP6405041B2 (ja) | 2014-07-04 | 2018-10-17 | コヴィディエン リミテッド パートナーシップ | 外科手術ステープリングデバイスのための送り出し部材を備えた装填ユニット |
| US9757133B2 (en) | 2014-07-09 | 2017-09-12 | Covidien Lp | Methods and devices for performing a surgical anastomosis |
| US9724094B2 (en) | 2014-09-05 | 2017-08-08 | Ethicon Llc | Adjunct with integrated sensors to quantify tissue compression |
| BR112017004361B1 (pt) | 2014-09-05 | 2023-04-11 | Ethicon Llc | Sistema eletrônico para um instrumento cirúrgico |
| US11311294B2 (en) | 2014-09-05 | 2022-04-26 | Cilag Gmbh International | Powered medical device including measurement of closure state of jaws |
| US10105142B2 (en) | 2014-09-18 | 2018-10-23 | Ethicon Llc | Surgical stapler with plurality of cutting elements |
| 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 |
| US11523821B2 (en) | 2014-09-26 | 2022-12-13 | Cilag Gmbh International | Method for creating a flexible staple line |
| US10076325B2 (en) | 2014-10-13 | 2018-09-18 | Ethicon Llc | Surgical stapling apparatus comprising a tissue stop |
| US9924944B2 (en) | 2014-10-16 | 2018-03-27 | Ethicon Llc | Staple cartridge comprising an adjunct material |
| US11141153B2 (en) | 2014-10-29 | 2021-10-12 | Cilag Gmbh International | Staple cartridges comprising driver arrangements |
| US10517594B2 (en) | 2014-10-29 | 2019-12-31 | Ethicon Llc | Cartridge assemblies for surgical staplers |
| US9844376B2 (en) | 2014-11-06 | 2017-12-19 | Ethicon Llc | Staple cartridge comprising a releasable adjunct material |
| US10085744B2 (en) | 2014-12-08 | 2018-10-02 | Covidien Lp | Loading unit attachment band for surgical stapling instrument |
| US9855045B2 (en) | 2014-12-09 | 2018-01-02 | Covidien Lp | Anvil assembly delivery system |
| US10736636B2 (en) | 2014-12-10 | 2020-08-11 | Ethicon Llc | Articulatable surgical instrument system |
| JP6466580B2 (ja) | 2014-12-11 | 2019-02-06 | コヴィディエン リミテッド パートナーシップ | 外科用ステープル留め装填ユニット |
| US10772627B2 (en) | 2014-12-11 | 2020-09-15 | Covidien Lp | Stapler with auto-matic lockout mechanism |
| EP3232946A1 (en) | 2014-12-17 | 2017-10-25 | Covidien LP | Surgical stapling device with firing indicator |
| US10188385B2 (en) | 2014-12-18 | 2019-01-29 | Ethicon Llc | Surgical instrument system comprising lockable systems |
| US9844375B2 (en) | 2014-12-18 | 2017-12-19 | Ethicon Llc | Drive arrangements for articulatable surgical instruments |
| US9844374B2 (en) | 2014-12-18 | 2017-12-19 | Ethicon Llc | Surgical instrument systems comprising an articulatable end effector and means for adjusting the firing stroke of a firing member |
| US10085748B2 (en) | 2014-12-18 | 2018-10-02 | Ethicon Llc | Locking arrangements for detachable shaft assemblies with articulatable surgical end effectors |
| 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 |
| 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 |
| US10117656B2 (en) | 2015-01-07 | 2018-11-06 | Covidien Lp | Loading unit locking collar |
| US10022126B2 (en) | 2015-01-07 | 2018-07-17 | Covidien Lp | Loading unit locking collar |
| US10039549B2 (en) | 2015-01-07 | 2018-08-07 | Covidien Lp | Loading unit retention clip for surgical stapling instrument |
| US10792042B2 (en) * | 2015-01-15 | 2020-10-06 | Ethicon, Inc. | Circular staplers having resorbable microneedles containing active agents |
| US9999759B2 (en) | 2015-01-15 | 2018-06-19 | Ethicon, Inc. | Linear staplers having resorbable microneedles containing active agents |
| CN107249479B (zh) | 2015-02-15 | 2020-05-08 | 柯惠有限合伙公司 | 包括具有整体构造的击发指示器的外科吻合装置 |
| 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 |
| US10226250B2 (en) | 2015-02-27 | 2019-03-12 | Ethicon Llc | Modular stapling assembly |
| 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 |
| US10617412B2 (en) | 2015-03-06 | 2020-04-14 | Ethicon Llc | System for detecting the mis-insertion of a staple cartridge into a surgical stapler |
| US9895148B2 (en) | 2015-03-06 | 2018-02-20 | Ethicon Endo-Surgery, Llc | Monitoring speed control and precision incrementing of motor for powered surgical instruments |
| US10687806B2 (en) | 2015-03-06 | 2020-06-23 | Ethicon Llc | Adaptive tissue compression techniques to adjust closure rates for multiple tissue types |
| US9993248B2 (en) | 2015-03-06 | 2018-06-12 | Ethicon Endo-Surgery, Llc | Smart sensors with local signal processing |
| US10441279B2 (en) | 2015-03-06 | 2019-10-15 | Ethicon Llc | Multiple level thresholds to modify operation of powered surgical instruments |
| 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 |
| 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 |
| US9808246B2 (en) | 2015-03-06 | 2017-11-07 | Ethicon Endo-Surgery, Llc | Method of operating a powered surgical instrument |
| US9924961B2 (en) | 2015-03-06 | 2018-03-27 | Ethicon Endo-Surgery, Llc | Interactive feedback system for powered surgical instruments |
| US10045776B2 (en) | 2015-03-06 | 2018-08-14 | Ethicon Llc | Control techniques and sub-processor contained within modular shaft with select control processing from handle |
| US10390825B2 (en) | 2015-03-31 | 2019-08-27 | Ethicon Llc | Surgical instrument with progressive rotary drive systems |
| CA2981826A1 (en) | 2015-04-10 | 2016-10-13 | Covidien Lp | Surgical stapler with integrated bladder |
| US10881408B2 (en) | 2015-04-22 | 2021-01-05 | Covidien Lp | Interlock assembly for replaceable loading units |
| US10426480B2 (en) | 2015-04-29 | 2019-10-01 | Covidien Lp | Cutting ring assembly with rigid cutting member |
| GB201508014D0 (en) * | 2015-05-11 | 2015-06-24 | Haemostatix Ltd | Haemostatic device |
| US9987001B2 (en) | 2015-06-12 | 2018-06-05 | Covidien Lp | Surgical anastomosis apparatus |
| 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 |
| US10111668B2 (en) | 2015-07-02 | 2018-10-30 | Covidien Lp | Anvil assembly with snap backup ring |
| US9974536B2 (en) | 2015-07-02 | 2018-05-22 | Covidien Lp | Anvil assemblies and delivery systems |
| US10117655B2 (en) | 2015-07-22 | 2018-11-06 | Covidien Lp | Loading unit locking band for surgical stapling instrument |
| US10085756B2 (en) | 2015-07-24 | 2018-10-02 | Covidien Lp | Anvil assembly and anvil assembly delivery system |
| US10117675B2 (en) | 2015-07-28 | 2018-11-06 | Covidien Lp | Trocar tip protector |
| US11058425B2 (en) | 2015-08-17 | 2021-07-13 | Ethicon Llc | Implantable layers for a surgical instrument |
| 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. |
| US11103248B2 (en) | 2015-08-26 | 2021-08-31 | Cilag Gmbh International | Surgical staples for minimizing staple roll |
| MX2022009705A (es) | 2015-08-26 | 2022-11-07 | Ethicon Llc | Metodo para formar una grapa contra un yunque de un instrumento de engrapado quirurgico. |
| 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 |
| US10086116B2 (en) * | 2015-08-31 | 2018-10-02 | Ethicon Llc | Adjunct material to provide controlled drug release |
| US9937283B2 (en) * | 2015-08-31 | 2018-04-10 | Ethicon Endo-Surgery, Llc | Adjunct material to provide drug elution from vessels |
| US10569071B2 (en) | 2015-08-31 | 2020-02-25 | Ethicon Llc | Medicant eluting adjuncts and methods of using medicant eluting adjuncts |
| 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. |
| US10251648B2 (en) | 2015-09-02 | 2019-04-09 | Ethicon Llc | Surgical staple cartridge staple drivers with central support features |
| US9980730B2 (en) | 2015-09-21 | 2018-05-29 | Covidien Lp | Loading unit locking collar with rotational actuated release |
| US10105139B2 (en) | 2015-09-23 | 2018-10-23 | Ethicon Llc | Surgical stapler having downstream current-based motor control |
| US10076326B2 (en) | 2015-09-23 | 2018-09-18 | Ethicon Llc | Surgical stapler having current mirror-based motor control |
| US10327769B2 (en) | 2015-09-23 | 2019-06-25 | Ethicon Llc | Surgical stapler having motor control based on a drive system component |
| US10238386B2 (en) | 2015-09-23 | 2019-03-26 | Ethicon Llc | Surgical stapler having motor control based on an electrical parameter related to a motor current |
| 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 |
| US10299878B2 (en) | 2015-09-25 | 2019-05-28 | Ethicon Llc | Implantable adjunct systems for determining adjunct skew |
| US10111684B2 (en) | 2015-09-25 | 2018-10-30 | Covidien Lp | Adapter assembly including a removable trocar assembly |
| US10980539B2 (en) | 2015-09-30 | 2021-04-20 | Ethicon Llc | Implantable adjunct comprising bonded layers |
| US10736633B2 (en) | 2015-09-30 | 2020-08-11 | Ethicon Llc | Compressible adjunct with looping members |
| US10172620B2 (en) | 2015-09-30 | 2019-01-08 | Ethicon Llc | Compressible adjuncts with bonding nodes |
| US11890015B2 (en) | 2015-09-30 | 2024-02-06 | Cilag Gmbh International | Compressible adjunct with crossing spacer fibers |
| US10542992B2 (en) | 2015-10-19 | 2020-01-28 | Covidien Lp | Loading unit with stretchable bushing |
| EP3364885B1 (en) | 2015-10-20 | 2020-12-02 | Covidien LP | Circular stapler with tissue gap indicator assembly |
| AU2015412610A1 (en) | 2015-10-21 | 2018-03-15 | Covidien Lp | Annular knife for surgical stapler |
| US10512466B2 (en) | 2015-11-05 | 2019-12-24 | Covidien Lp | Adapter assembly for surgical device |
| US10932783B2 (en) | 2015-11-13 | 2021-03-02 | Covidien Lp | Circular stapler with audible indicator mechanism |
| WO2017096502A1 (en) | 2015-12-07 | 2017-06-15 | Covidien Lp | Anvil assembly and delivery system |
| US10390835B2 (en) | 2015-12-10 | 2019-08-27 | Covidien Lp | Surgical fastener apparatus with linear position sensor |
| US10265068B2 (en) | 2015-12-30 | 2019-04-23 | Ethicon Llc | Surgical instruments with separable motors and motor control circuits |
| US10292704B2 (en) | 2015-12-30 | 2019-05-21 | Ethicon Llc | Mechanisms for compensating for battery pack failure in powered surgical instruments |
| US10368865B2 (en) | 2015-12-30 | 2019-08-06 | Ethicon Llc | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
| US10524797B2 (en) | 2016-01-13 | 2020-01-07 | Covidien Lp | Adapter assembly including a removable trocar assembly |
| EP3410957B1 (en) | 2016-02-04 | 2020-06-03 | Covidien LP | Circular stapler with visual indicator mechanism |
| 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 |
| US11213293B2 (en) | 2016-02-09 | 2022-01-04 | Cilag Gmbh International | Articulatable surgical instruments with single articulation link arrangements |
| US10603042B2 (en) | 2016-02-10 | 2020-03-31 | Covidien Lp | Flexible circular stapler |
| US10398439B2 (en) | 2016-02-10 | 2019-09-03 | Covidien Lp | Adapter, extension, and connector assemblies for surgical devices |
| 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 |
| US10448948B2 (en) | 2016-02-12 | 2019-10-22 | Ethicon Llc | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
| US10278703B2 (en) | 2016-03-21 | 2019-05-07 | Ethicon, Inc. | Temporary fixation tools for use with circular anastomotic staplers |
| 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 |
| CN109219399B (zh) | 2016-04-01 | 2022-05-03 | 伊西康有限责任公司 | 外科缝合器械 |
| 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 |
| US11064997B2 (en) | 2016-04-01 | 2021-07-20 | Cilag Gmbh International | Surgical stapling instrument |
| US10456137B2 (en) | 2016-04-15 | 2019-10-29 | Ethicon Llc | Staple formation detection mechanisms |
| US10357247B2 (en) | 2016-04-15 | 2019-07-23 | Ethicon Llc | Surgical instrument with multiple program responses during a firing motion |
| US10426467B2 (en) | 2016-04-15 | 2019-10-01 | Ethicon Llc | Surgical instrument with detection sensors |
| US10828028B2 (en) | 2016-04-15 | 2020-11-10 | Ethicon Llc | Surgical instrument with multiple program responses during a firing motion |
| US10405859B2 (en) | 2016-04-15 | 2019-09-10 | Ethicon Llc | Surgical instrument with adjustable stop/start control during a firing motion |
| US11607239B2 (en) | 2016-04-15 | 2023-03-21 | Cilag Gmbh International | Systems and methods for controlling a surgical stapling and cutting instrument |
| US10492783B2 (en) | 2016-04-15 | 2019-12-03 | Ethicon, Llc | Surgical instrument with improved stop/start control during a firing motion |
| US10335145B2 (en) | 2016-04-15 | 2019-07-02 | Ethicon Llc | Modular surgical instrument with configurable operating mode |
| US11179150B2 (en) | 2016-04-15 | 2021-11-23 | Cilag Gmbh International | Systems and methods for controlling a surgical stapling and cutting instrument |
| US20170296173A1 (en) | 2016-04-18 | 2017-10-19 | Ethicon Endo-Surgery, Llc | Method for operating a surgical instrument |
| US11317917B2 (en) | 2016-04-18 | 2022-05-03 | Cilag Gmbh International | Surgical stapling system comprising a lockable firing assembly |
| US10433840B2 (en) | 2016-04-18 | 2019-10-08 | Ethicon Llc | Surgical instrument comprising a replaceable cartridge jaw |
| US10595871B2 (en) | 2016-05-10 | 2020-03-24 | Covidien Lp | Insertion instrument, adapter assemblies and protector assemblies for a flexible circular stapler |
| 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 |
| 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 |
| 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 |
| BR112018076831B1 (pt) | 2016-06-24 | 2023-01-31 | Ethicon Llc | Sistema de grampeamento cirúrgico |
| US11141162B2 (en) | 2016-07-08 | 2021-10-12 | Covidien Lp | Loading unit locking collar with linearly actuated release |
| US11452522B2 (en) | 2016-08-15 | 2022-09-27 | Covidien Lp | Circular stapling device with articulating anvil retainer assembly |
| US10500000B2 (en) | 2016-08-16 | 2019-12-10 | Ethicon Llc | Surgical tool with manual control of end effector jaws |
| US10426470B2 (en) | 2016-11-04 | 2019-10-01 | Covidien Lp | Stapling device with releasable knife carrier |
| US10499922B2 (en) | 2016-11-04 | 2019-12-10 | Covidien Lp | Stapling device with self-releasing knife carrier pusher |
| US11134942B2 (en) | 2016-12-21 | 2021-10-05 | Cilag Gmbh International | Surgical stapling instruments and staple-forming anvils |
| MX2019007311A (es) | 2016-12-21 | 2019-11-18 | Ethicon Llc | Sistemas de engrapado quirurgico. |
| US10758230B2 (en) | 2016-12-21 | 2020-09-01 | Ethicon Llc | Surgical instrument with primary and safety processors |
| US10687810B2 (en) | 2016-12-21 | 2020-06-23 | Ethicon Llc | Stepped staple cartridge with tissue retention and gap setting features |
| US10426471B2 (en) | 2016-12-21 | 2019-10-01 | Ethicon Llc | Surgical instrument with multiple failure response modes |
| US10779823B2 (en) | 2016-12-21 | 2020-09-22 | Ethicon Llc | Firing member pin angle |
| 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 |
| US10993715B2 (en) | 2016-12-21 | 2021-05-04 | Ethicon Llc | Staple cartridge comprising staples with different clamping breadths |
| US10667811B2 (en) | 2016-12-21 | 2020-06-02 | Ethicon Llc | Surgical stapling instruments and staple-forming anvils |
| US11090048B2 (en) | 2016-12-21 | 2021-08-17 | Cilag Gmbh International | Method for resetting a fuse of a surgical instrument shaft |
| US10617414B2 (en) | 2016-12-21 | 2020-04-14 | Ethicon Llc | Closure member arrangements for surgical instruments |
| US10945727B2 (en) | 2016-12-21 | 2021-03-16 | Ethicon Llc | Staple cartridge with deformable driver retention features |
| US11684367B2 (en) | 2016-12-21 | 2023-06-27 | Cilag Gmbh International | Stepped assembly having and end-of-life indicator |
| US10918385B2 (en) | 2016-12-21 | 2021-02-16 | Ethicon Llc | Surgical system comprising a firing member rotatable into an articulation state to articulate an end effector of the surgical system |
| US20180168623A1 (en) | 2016-12-21 | 2018-06-21 | Ethicon Endo-Surgery, Llc | Surgical stapling systems |
| US10537324B2 (en) | 2016-12-21 | 2020-01-21 | Ethicon Llc | Stepped staple cartridge with asymmetrical staples |
| 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 |
| US10639035B2 (en) | 2016-12-21 | 2020-05-05 | Ethicon Llc | Surgical stapling instruments and replaceable tool assemblies thereof |
| US10568626B2 (en) | 2016-12-21 | 2020-02-25 | Ethicon Llc | Surgical instruments with jaw opening features for increasing a jaw opening distance |
| US20180168609A1 (en) | 2016-12-21 | 2018-06-21 | Ethicon Endo-Surgery, Llc | Firing assembly comprising a fuse |
| 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 |
| 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 |
| 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 |
| 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 |
| US10499914B2 (en) | 2016-12-21 | 2019-12-10 | Ethicon Llc | Staple forming pocket arrangements |
| 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 |
| US11241232B2 (en) | 2017-01-24 | 2022-02-08 | Covidien Lp | Surgical stapling device with resettable anvil assembly |
| US11678885B2 (en) | 2017-01-25 | 2023-06-20 | Covidien Lp | Circular stapling device and method of use |
| US10542993B2 (en) | 2017-02-24 | 2020-01-28 | Covidien Lp | Anvil assembly of circular stapling device including alignment splines |
| CN115192106B (zh) | 2017-03-09 | 2026-04-03 | 柯惠有限合伙公司 | 具有可听指示器机构的手术钉合装置 |
| EP3592252B1 (en) | 2017-03-09 | 2023-10-25 | Covidien LP | End effector assembly for circular stapler apparatus |
| US10342534B2 (en) | 2017-03-23 | 2019-07-09 | Covidien Lp | Surgical stapling device with releasable knife carrier |
| EP3600078B1 (en) | 2017-03-23 | 2022-06-22 | Covidien LP | Circular stapling device with alignment splines |
| US10881409B2 (en) | 2017-05-02 | 2021-01-05 | Covidien Lp | Rotation assembly for a surgical device |
| US11596400B2 (en) | 2017-06-09 | 2023-03-07 | Covidien Lp | Handheld electromechanical surgical system |
| US11045199B2 (en) | 2017-06-09 | 2021-06-29 | Covidien Lp | Handheld electromechanical surgical system |
| US10932784B2 (en) | 2017-06-09 | 2021-03-02 | Covidien Lp | Handheld electromechanical surgical system |
| 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 |
| 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 |
| 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 |
| US10368864B2 (en) | 2017-06-20 | 2019-08-06 | Ethicon Llc | Systems and methods for controlling displaying motor velocity for a surgical instrument |
| US10646220B2 (en) | 2017-06-20 | 2020-05-12 | Ethicon Llc | Systems and methods for controlling displacement member velocity for a surgical instrument |
| 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 |
| US12490980B2 (en) | 2017-06-20 | 2025-12-09 | Cilag Gmbh International | Surgical instrument having controllable articulation velocity |
| USD879809S1 (en) | 2017-06-20 | 2020-03-31 | Ethicon Llc | Display panel with changeable graphical user interface |
| USD879808S1 (en) | 2017-06-20 | 2020-03-31 | Ethicon Llc | Display panel with graphical user interface |
| US10307170B2 (en) | 2017-06-20 | 2019-06-04 | Ethicon Llc | Method for closed loop control of motor velocity of a surgical stapling and cutting instrument |
| 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 |
| 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 |
| US10813639B2 (en) | 2017-06-20 | 2020-10-27 | Ethicon Llc | Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on system conditions |
| US11071554B2 (en) | 2017-06-20 | 2021-07-27 | Cilag Gmbh International | Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on magnitude of velocity error measurements |
| 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 |
| 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 |
| US10856869B2 (en) | 2017-06-27 | 2020-12-08 | Ethicon Llc | Surgical anvil arrangements |
| US11090049B2 (en) | 2017-06-27 | 2021-08-17 | Cilag Gmbh International | Staple forming pocket arrangements |
| US10772629B2 (en) | 2017-06-27 | 2020-09-15 | Ethicon Llc | Surgical anvil arrangements |
| US11324503B2 (en) | 2017-06-27 | 2022-05-10 | Cilag Gmbh International | Surgical firing member arrangements |
| US10993716B2 (en) | 2017-06-27 | 2021-05-04 | Ethicon Llc | Surgical anvil arrangements |
| US11266405B2 (en) | 2017-06-27 | 2022-03-08 | Cilag Gmbh International | Surgical anvil manufacturing methods |
| US11000279B2 (en) | 2017-06-28 | 2021-05-11 | Ethicon Llc | Surgical instrument comprising an articulation system ratio |
| USD854151S1 (en) | 2017-06-28 | 2019-07-16 | Ethicon Llc | Surgical instrument shaft |
| US10765427B2 (en) | 2017-06-28 | 2020-09-08 | Ethicon Llc | Method for articulating a surgical instrument |
| US11564686B2 (en) | 2017-06-28 | 2023-01-31 | Cilag Gmbh International | Surgical shaft assemblies with flexible interfaces |
| USD869655S1 (en) | 2017-06-28 | 2019-12-10 | Ethicon Llc | Surgical fastener cartridge |
| EP4070740B1 (en) | 2017-06-28 | 2025-03-26 | Cilag GmbH International | Surgical instrument comprising selectively actuatable rotatable couplers |
| US10211586B2 (en) | 2017-06-28 | 2019-02-19 | Ethicon Llc | Surgical shaft assemblies with watertight housings |
| USD906355S1 (en) | 2017-06-28 | 2020-12-29 | Ethicon Llc | Display screen or portion thereof with a graphical user interface for a surgical instrument |
| USD851762S1 (en) | 2017-06-28 | 2019-06-18 | Ethicon Llc | Anvil |
| US11259805B2 (en) | 2017-06-28 | 2022-03-01 | Cilag Gmbh International | Surgical instrument comprising firing member supports |
| 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 |
| US11246592B2 (en) | 2017-06-28 | 2022-02-15 | Cilag Gmbh International | Surgical instrument comprising an articulation system lockable to a frame |
| US10716614B2 (en) | 2017-06-28 | 2020-07-21 | Ethicon Llc | Surgical shaft assemblies with slip ring assemblies with increased contact pressure |
| US10903685B2 (en) | 2017-06-28 | 2021-01-26 | Ethicon Llc | Surgical shaft assemblies with slip ring assemblies forming capacitive channels |
| BR112019027065B1 (pt) | 2017-06-28 | 2023-12-26 | Ethicon Llc | Instrumento cirúrgico e sistema cirúrgico |
| US10398434B2 (en) | 2017-06-29 | 2019-09-03 | Ethicon Llc | Closed loop velocity control of closure member for robotic surgical instrument |
| US11007022B2 (en) | 2017-06-29 | 2021-05-18 | Ethicon Llc | Closed loop velocity control techniques based on sensed tissue parameters for robotic surgical instrument |
| US10258418B2 (en) | 2017-06-29 | 2019-04-16 | Ethicon Llc | System for controlling articulation forces |
| US10932772B2 (en) | 2017-06-29 | 2021-03-02 | Ethicon Llc | Methods for closed loop velocity control 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 |
| US10987107B2 (en) | 2017-07-05 | 2021-04-27 | Covidien Lp | Surgical stapling device |
| US11471155B2 (en) | 2017-08-03 | 2022-10-18 | Cilag Gmbh International | Surgical system bailout |
| US11304695B2 (en) | 2017-08-03 | 2022-04-19 | Cilag Gmbh International | Surgical system shaft interconnection |
| US11974742B2 (en) | 2017-08-03 | 2024-05-07 | Cilag Gmbh International | Surgical system comprising an articulation bailout |
| US11944300B2 (en) | 2017-08-03 | 2024-04-02 | Cilag Gmbh International | Method for operating a surgical system bailout |
| US11090054B2 (en) | 2017-08-07 | 2021-08-17 | Covidien Lp | Stapling device with resettable tilt anvil assembly |
| US10828026B2 (en) | 2017-08-08 | 2020-11-10 | Covidien Lp | Tiltable anvil assembly |
| US10695069B2 (en) | 2017-08-23 | 2020-06-30 | Covidien Lp | Circular stapling device with offset spline tip |
| WO2019041315A1 (en) | 2017-09-01 | 2019-03-07 | Covidien Lp | CIRCULAR STAPLING DEVICE WITH POSITIONING RIBS |
| US10743872B2 (en) | 2017-09-29 | 2020-08-18 | Ethicon Llc | System and methods for controlling a display of 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 |
| USD907648S1 (en) | 2017-09-29 | 2021-01-12 | Ethicon Llc | Display screen or portion thereof with animated graphical user interface |
| US11399829B2 (en) | 2017-09-29 | 2022-08-02 | Cilag Gmbh International | Systems and methods of initiating a power shutdown mode for a surgical instrument |
| 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 |
| US10796471B2 (en) | 2017-09-29 | 2020-10-06 | Ethicon Llc | Systems and methods of displaying a knife position for a surgical instrument |
| US10729501B2 (en) | 2017-09-29 | 2020-08-04 | Ethicon Llc | Systems and methods for language selection of a surgical instrument |
| US11134944B2 (en) | 2017-10-30 | 2021-10-05 | Cilag Gmbh International | Surgical stapler knife motion controls |
| US11090075B2 (en) | 2017-10-30 | 2021-08-17 | Cilag Gmbh International | Articulation features for surgical end effector |
| US10779903B2 (en) | 2017-10-31 | 2020-09-22 | Ethicon Llc | Positive shaft rotation lock activated by jaw closure |
| US10842490B2 (en) | 2017-10-31 | 2020-11-24 | Ethicon Llc | Cartridge body design with force reduction based on firing completion |
| US11324507B2 (en) | 2017-11-03 | 2022-05-10 | Covidien Lp | Device and method for attachment of a stomal sleeve |
| EP3706642B1 (en) * | 2017-11-10 | 2025-06-18 | Ethicon LLC | Laparoscopic stapler having bio-glue in separate pocket to aid in anastomosis |
| US11071543B2 (en) | 2017-12-15 | 2021-07-27 | Cilag Gmbh International | Surgical end effectors with clamping assemblies configured to increase jaw aperture ranges |
| US10687813B2 (en) | 2017-12-15 | 2020-06-23 | Ethicon Llc | Adapters with firing stroke sensing arrangements for use in connection with electromechanical surgical instruments |
| US11006955B2 (en) | 2017-12-15 | 2021-05-18 | Ethicon Llc | End effectors with positive jaw opening features for use with adapters for electromechanical surgical instruments |
| US10779826B2 (en) | 2017-12-15 | 2020-09-22 | Ethicon Llc | Methods of operating surgical end effectors |
| US10828033B2 (en) | 2017-12-15 | 2020-11-10 | Ethicon Llc | Handheld electromechanical surgical instruments with improved motor control arrangements for positioning components of an adapter coupled thereto |
| US10779825B2 (en) | 2017-12-15 | 2020-09-22 | Ethicon Llc | Adapters with end effector position sensing and control arrangements for use in connection with electromechanical surgical instruments |
| US11033267B2 (en) | 2017-12-15 | 2021-06-15 | Ethicon Llc | Systems and methods of controlling a clamping member firing rate of a surgical instrument |
| US10743875B2 (en) | 2017-12-15 | 2020-08-18 | Ethicon Llc | Surgical end effectors with jaw stiffener arrangements configured to permit monitoring of firing member |
| US10869666B2 (en) | 2017-12-15 | 2020-12-22 | Ethicon Llc | Adapters with control systems for controlling multiple motors of an electromechanical surgical instrument |
| 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 |
| 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 |
| 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 |
| USD910847S1 (en) | 2017-12-19 | 2021-02-16 | Ethicon Llc | Surgical instrument assembly |
| US10729509B2 (en) | 2017-12-19 | 2020-08-04 | Ethicon Llc | Surgical instrument comprising closure and firing locking mechanism |
| US11020112B2 (en) | 2017-12-19 | 2021-06-01 | Ethicon Llc | Surgical tools configured for interchangeable use with different controller interfaces |
| US11045270B2 (en) | 2017-12-19 | 2021-06-29 | Cilag Gmbh International | Robotic attachment comprising exterior drive actuator |
| US10716565B2 (en) | 2017-12-19 | 2020-07-21 | Ethicon Llc | Surgical instruments with dual articulation drivers |
| US12336705B2 (en) | 2017-12-21 | 2025-06-24 | Cilag Gmbh International | Continuous use self-propelled stapling instrument |
| 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 |
| US11751867B2 (en) | 2017-12-21 | 2023-09-12 | Cilag Gmbh International | Surgical instrument comprising sequenced systems |
| 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 |
| US11497501B2 (en) | 2018-03-26 | 2022-11-15 | Covidien Lp | Circular stapling device with A-frame splines |
| US11000286B2 (en) | 2018-03-28 | 2021-05-11 | Covidien Lp | Surgical anvil assemblies for surgical stapling instruments |
| US10952734B2 (en) | 2018-04-23 | 2021-03-23 | Covidien Lp | Stapling device with cut ring biasing member |
| US11197676B2 (en) | 2018-06-28 | 2021-12-14 | Covidien Lp | Tie-down method for anvil assembly delivery system |
| US11241234B2 (en) | 2018-08-14 | 2022-02-08 | Covidien Lp | Anvil assembly with self-retaining backup member |
| 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 |
| US11207065B2 (en) | 2018-08-20 | 2021-12-28 | Cilag Gmbh International | Method for fabricating surgical stapler anvils |
| US10842492B2 (en) | 2018-08-20 | 2020-11-24 | Ethicon Llc | Powered articulatable surgical instruments with clutching and locking arrangements for linking an articulation drive system to a firing drive system |
| USD914878S1 (en) | 2018-08-20 | 2021-03-30 | Ethicon Llc | Surgical instrument anvil |
| US11039834B2 (en) | 2018-08-20 | 2021-06-22 | Cilag Gmbh International | Surgical stapler anvils with staple directing protrusions and tissue stability features |
| US11045192B2 (en) | 2018-08-20 | 2021-06-29 | Cilag Gmbh International | Fabricating techniques for surgical stapler anvils |
| US10856870B2 (en) | 2018-08-20 | 2020-12-08 | Ethicon Llc | Switching arrangements for motor powered articulatable surgical instruments |
| US20200054321A1 (en) | 2018-08-20 | 2020-02-20 | Ethicon Llc | Surgical instruments with progressive jaw closure arrangements |
| US10779821B2 (en) | 2018-08-20 | 2020-09-22 | Ethicon Llc | Surgical stapler anvils with tissue stop features configured to avoid tissue pinch |
| 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 |
| US11291440B2 (en) | 2018-08-20 | 2022-04-05 | Cilag Gmbh International | Method for operating a powered articulatable surgical instrument |
| US11253256B2 (en) | 2018-08-20 | 2022-02-22 | Cilag Gmbh International | Articulatable motor powered surgical instruments with dedicated articulation motor arrangements |
| US11564691B2 (en) | 2018-08-24 | 2023-01-31 | Covidien Lp | Powered circular stapling device |
| US10973544B2 (en) | 2018-10-02 | 2021-04-13 | Covidien Lp | Retaining mechanism for trocar assembly |
| US11141163B2 (en) | 2018-10-04 | 2021-10-12 | Covidien Lp | Circular stapling device with anvil rotation locking structure |
| US11065005B2 (en) | 2018-11-07 | 2021-07-20 | Covidien Lp | Reload assembly for a circular stapling device |
| US11147561B2 (en) | 2018-11-28 | 2021-10-19 | Covidien Lp | Reload assembly for a circular stapling device |
| US11389263B2 (en) | 2018-12-13 | 2022-07-19 | Covidien Lp | Lockout mechanisms for surgical instruments |
| US11166728B2 (en) | 2019-02-08 | 2021-11-09 | Covidien Lp | Reload assembly for a circular stapling device |
| US11529144B2 (en) | 2019-02-22 | 2022-12-20 | Covidien Lp | Encapsulated plug assembly for electromechanical surgical devices |
| US11547411B2 (en) | 2019-02-22 | 2023-01-10 | Covidien Lp | Anastomosis wound protector |
| US11331782B2 (en) | 2019-03-01 | 2022-05-17 | Covidien Lp | Reload assembly for a circular stapling device |
| US11337701B2 (en) | 2019-03-01 | 2022-05-24 | Covidien Lp | Devices and methods for assembling adapter assemblies |
| 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 |
| US11147551B2 (en) | 2019-03-25 | 2021-10-19 | Cilag Gmbh International | Firing drive arrangements for surgical systems |
| US11696761B2 (en) | 2019-03-25 | 2023-07-11 | Cilag Gmbh International | Firing drive arrangements for surgical systems |
| US11457921B2 (en) | 2019-03-26 | 2022-10-04 | Covidien Lp | Anvil assembly for surgical stapling instrument |
| US11534164B2 (en) | 2019-04-05 | 2022-12-27 | Covidien Lp | Strain gauge stabilization in a surgical device |
| US11596410B2 (en) | 2019-04-05 | 2023-03-07 | Covidien Lp | Surgical stapling device |
| US11317945B2 (en) | 2019-04-16 | 2022-05-03 | Covidien Lp | Trocar assemblies for adapter assemblies for surgical stapling instruments |
| US11344330B2 (en) | 2019-04-16 | 2022-05-31 | Covidien Lp | Trocar assemblies for adapter assemblies for surgical stapling instruments |
| US11660116B2 (en) | 2019-04-16 | 2023-05-30 | Covidien Lp | Trocar assemblies for adapter assemblies for surgical stapling instruments |
| US11419631B2 (en) | 2019-04-16 | 2022-08-23 | Covidien Lp | Trocar assemblies for adapter assemblies for surgical stapling instruments |
| US11839378B2 (en) | 2019-04-19 | 2023-12-12 | Covidien Lp | Circular stapling instruments |
| US11399838B2 (en) | 2019-04-22 | 2022-08-02 | Covidien Lp | Reload assembly for circular stapling devices |
| US11246599B2 (en) | 2019-04-25 | 2022-02-15 | Covidien Lp | End effector for circular stapling instrument |
| US11648009B2 (en) | 2019-04-30 | 2023-05-16 | Cilag Gmbh International | Rotatable jaw tip for a surgical instrument |
| US11253254B2 (en) | 2019-04-30 | 2022-02-22 | Cilag Gmbh International | Shaft rotation actuator on a surgical instrument |
| US11903581B2 (en) | 2019-04-30 | 2024-02-20 | Cilag Gmbh International | Methods for stapling tissue using a surgical instrument |
| US11452528B2 (en) | 2019-04-30 | 2022-09-27 | Cilag Gmbh International | Articulation actuators for a surgical instrument |
| US11471157B2 (en) | 2019-04-30 | 2022-10-18 | Cilag Gmbh International | Articulation control mapping for a surgical instrument |
| US11426251B2 (en) | 2019-04-30 | 2022-08-30 | Cilag Gmbh International | Articulation directional lights on a surgical instrument |
| US11432816B2 (en) | 2019-04-30 | 2022-09-06 | Cilag Gmbh International | Articulation pin for a surgical instrument |
| US11896233B2 (en) | 2019-05-31 | 2024-02-13 | Covidien Lp | Circular stapling device |
| US11690624B2 (en) | 2019-06-21 | 2023-07-04 | Covidien Lp | Reload assembly injection molded strain gauge |
| US11123101B2 (en) | 2019-07-05 | 2021-09-21 | Covidien Lp | Retaining mechanisms for trocar assemblies |
| US11446035B2 (en) | 2019-06-24 | 2022-09-20 | Covidien Lp | Retaining mechanisms for trocar assemblies |
| US11298127B2 (en) | 2019-06-28 | 2022-04-12 | Cilag GmbH Interational | Surgical stapling system having a lockout mechanism for an incompatible cartridge |
| US11660163B2 (en) | 2019-06-28 | 2023-05-30 | Cilag Gmbh International | Surgical system with RFID tags for updating motor assembly parameters |
| US11478241B2 (en) | 2019-06-28 | 2022-10-25 | Cilag Gmbh International | Staple cartridge including projections |
| US11553971B2 (en) | 2019-06-28 | 2023-01-17 | Cilag Gmbh International | Surgical RFID assemblies for display and communication |
| US11376098B2 (en) | 2019-06-28 | 2022-07-05 | Cilag Gmbh International | Surgical instrument system comprising an RFID system |
| US11246678B2 (en) | 2019-06-28 | 2022-02-15 | Cilag Gmbh International | Surgical stapling system having a frangible RFID tag |
| US11259803B2 (en) | 2019-06-28 | 2022-03-01 | Cilag Gmbh International | Surgical stapling system having an information encryption protocol |
| US11219455B2 (en) | 2019-06-28 | 2022-01-11 | Cilag Gmbh International | Surgical instrument including a lockout key |
| US11627959B2 (en) | 2019-06-28 | 2023-04-18 | Cilag Gmbh International | Surgical instruments including manual and powered system lockouts |
| US11298132B2 (en) | 2019-06-28 | 2022-04-12 | Cilag GmbH Inlernational | Staple cartridge including a honeycomb extension |
| US11224497B2 (en) | 2019-06-28 | 2022-01-18 | Cilag Gmbh International | Surgical systems with multiple RFID tags |
| US11241235B2 (en) | 2019-06-28 | 2022-02-08 | Cilag Gmbh International | Method of using multiple RFID chips with a surgical assembly |
| US11771419B2 (en) | 2019-06-28 | 2023-10-03 | Cilag Gmbh International | Packaging for a replaceable component of a surgical stapling system |
| US11399837B2 (en) | 2019-06-28 | 2022-08-02 | Cilag Gmbh International | Mechanisms for motor control adjustments of a motorized surgical instrument |
| US11684434B2 (en) | 2019-06-28 | 2023-06-27 | Cilag Gmbh International | Surgical RFID assemblies for instrument operational setting control |
| US11464601B2 (en) | 2019-06-28 | 2022-10-11 | Cilag Gmbh International | Surgical instrument comprising an RFID system for tracking a movable component |
| US12004740B2 (en) | 2019-06-28 | 2024-06-11 | Cilag Gmbh International | Surgical stapling system having an information decryption protocol |
| US11638587B2 (en) | 2019-06-28 | 2023-05-02 | Cilag Gmbh International | RFID identification systems for surgical instruments |
| US11426167B2 (en) | 2019-06-28 | 2022-08-30 | Cilag Gmbh International | Mechanisms for proper anvil attachment surgical stapling head assembly |
| US11291451B2 (en) | 2019-06-28 | 2022-04-05 | Cilag Gmbh International | Surgical instrument with battery compatibility verification functionality |
| US11051807B2 (en) | 2019-06-28 | 2021-07-06 | Cilag Gmbh International | Packaging assembly including a particulate trap |
| US11523822B2 (en) | 2019-06-28 | 2022-12-13 | Cilag Gmbh International | Battery pack including a circuit interrupter |
| US11497492B2 (en) | 2019-06-28 | 2022-11-15 | Cilag Gmbh International | Surgical instrument including an articulation lock |
| US11344309B2 (en) | 2019-07-05 | 2022-05-31 | Covidien Lp | Circular stapling instruments |
| US11357509B2 (en) | 2019-07-11 | 2022-06-14 | Covidien Lp | Reload assembly for a circular stapling device |
| US11192227B2 (en) | 2019-07-16 | 2021-12-07 | Covidien Lp | Reload assembly for circular stapling devices |
| US11464510B2 (en) | 2019-07-26 | 2022-10-11 | Covidien Lp | Reload assembly with knife carrier lockout |
| US11253255B2 (en) | 2019-07-26 | 2022-02-22 | Covidien Lp | Knife lockout wedge |
| US11399825B2 (en) | 2019-10-28 | 2022-08-02 | Covidien Lp | Reload assembly with knife carrier lockout |
| US11553918B2 (en) | 2019-12-16 | 2023-01-17 | Covidien Lp | Reload assembly with knife carrier lockout |
| 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 |
| US11291447B2 (en) | 2019-12-19 | 2022-04-05 | Cilag Gmbh International | Stapling instrument comprising independent jaw closing and staple firing systems |
| 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 |
| US11529139B2 (en) | 2019-12-19 | 2022-12-20 | Cilag Gmbh International | Motor driven surgical instrument |
| US11446029B2 (en) | 2019-12-19 | 2022-09-20 | Cilag Gmbh International | Staple cartridge comprising projections extending from a curved deck surface |
| US11931033B2 (en) | 2019-12-19 | 2024-03-19 | Cilag Gmbh International | Staple cartridge comprising a latch lockout |
| US11701111B2 (en) | 2019-12-19 | 2023-07-18 | Cilag Gmbh International | Method for operating a surgical stapling instrument |
| US11844520B2 (en) | 2019-12-19 | 2023-12-19 | Cilag Gmbh International | Staple cartridge comprising driver retention members |
| US11304696B2 (en) | 2019-12-19 | 2022-04-19 | Cilag Gmbh International | Surgical instrument comprising a powered articulation system |
| US11911032B2 (en) | 2019-12-19 | 2024-02-27 | Cilag Gmbh International | Staple cartridge comprising a seating cam |
| US11234698B2 (en) | 2019-12-19 | 2022-02-01 | Cilag Gmbh International | Stapling system comprising a clamp lockout and a firing lockout |
| US11464512B2 (en) | 2019-12-19 | 2022-10-11 | Cilag Gmbh International | Staple cartridge comprising a curved deck surface |
| US11559304B2 (en) | 2019-12-19 | 2023-01-24 | Cilag Gmbh International | Surgical instrument comprising a rapid closure mechanism |
| US11504122B2 (en) | 2019-12-19 | 2022-11-22 | Cilag Gmbh International | Surgical instrument comprising a nested firing member |
| US11607219B2 (en) | 2019-12-19 | 2023-03-21 | Cilag Gmbh International | Staple cartridge comprising a detachable tissue cutting knife |
| US11730481B2 (en) | 2020-01-06 | 2023-08-22 | Covidien Lp | Assemblies for retaining a trocar assembly |
| US11517317B2 (en) | 2020-01-06 | 2022-12-06 | Covidien Lp | Trocar release assemblies for a surgical stapler |
| US11911038B2 (en) | 2020-01-13 | 2024-02-27 | Covidien Lp | Cut optimization for excessive tissue conditions |
| US11523828B2 (en) | 2020-01-28 | 2022-12-13 | Covidien Lp | Sealed reload assembly for stapling device |
| US11622767B2 (en) | 2020-02-19 | 2023-04-11 | Covidien Lp | Sealed trocar assembly for stapling device |
| US11547438B2 (en) | 2020-02-24 | 2023-01-10 | Covidien Lp | Tip protector for ensuring trocar insertion |
| US11382630B2 (en) | 2020-02-25 | 2022-07-12 | Covidien Lp | Surgical stapling device with two part knife assembly |
| US11779343B2 (en) | 2020-02-26 | 2023-10-10 | Covidien Lp | Staple reload assembly with releasable knife |
| US11298152B2 (en) | 2020-02-28 | 2022-04-12 | Covidien Lp | Trocar retaining mechanism including band support |
| US11272998B2 (en) | 2020-03-04 | 2022-03-15 | Covidien Lp | Strain gage fixation in tension |
| US11426170B2 (en) | 2020-03-24 | 2022-08-30 | Covidien Lp | Retaining mechanisms for trocar assemblies |
| US11426169B2 (en) | 2020-03-24 | 2022-08-30 | Covidien Lp | Retaining mechanisms for trocar assemblies |
| US11350939B2 (en) | 2020-03-24 | 2022-06-07 | Covidien Lp | Retaining mechanisms for trocar assemblies |
| US11653925B2 (en) | 2020-05-21 | 2023-05-23 | Covidien Lp | Tissue relaxation monitoring for optimized tissue stapling |
| US11547405B2 (en) | 2020-05-22 | 2023-01-10 | Covidien Lp | Surgical stapling device |
| USD966512S1 (en) | 2020-06-02 | 2022-10-11 | Cilag Gmbh International | Staple cartridge |
| USD967421S1 (en) | 2020-06-02 | 2022-10-18 | Cilag Gmbh International | Staple cartridge |
| USD974560S1 (en) | 2020-06-02 | 2023-01-03 | Cilag Gmbh International | Staple cartridge |
| USD976401S1 (en) | 2020-06-02 | 2023-01-24 | Cilag Gmbh International | Staple cartridge |
| 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 |
| USD975851S1 (en) | 2020-06-02 | 2023-01-17 | Cilag Gmbh International | Staple cartridge |
| US11553921B2 (en) | 2020-07-15 | 2023-01-17 | Covidien Lp | Surgical stapling device with flexible shaft |
| US11547412B2 (en) | 2020-07-22 | 2023-01-10 | Covidien Lp | Surgical instruments and methods of assembly |
| US11638582B2 (en) | 2020-07-28 | 2023-05-02 | Cilag Gmbh International | Surgical instruments with torsion spine drive arrangements |
| US11877744B2 (en) | 2020-08-14 | 2024-01-23 | Covidien Lp | Low-cost powered stapler with end stop selection |
| US11627966B2 (en) | 2020-08-26 | 2023-04-18 | Covidien Lp | Surgical stapling device |
| US11801054B2 (en) | 2020-09-22 | 2023-10-31 | Covidien Lp | Surgical stapler with oval tool assembly |
| US11712509B2 (en) | 2020-10-02 | 2023-08-01 | Covidien Lp | Seal assembly for circular stapling instrument |
| US11931025B2 (en) | 2020-10-29 | 2024-03-19 | Cilag Gmbh International | Surgical instrument comprising a releasable closure drive lock |
| US11452526B2 (en) | 2020-10-29 | 2022-09-27 | Cilag Gmbh International | Surgical instrument comprising a staged voltage regulation start-up system |
| US11779330B2 (en) | 2020-10-29 | 2023-10-10 | Cilag Gmbh International | Surgical instrument comprising a jaw alignment system |
| USD980425S1 (en) | 2020-10-29 | 2023-03-07 | Cilag Gmbh International | Surgical instrument assembly |
| US11517390B2 (en) | 2020-10-29 | 2022-12-06 | Cilag Gmbh International | Surgical instrument comprising a limited travel switch |
| USD1013170S1 (en) | 2020-10-29 | 2024-01-30 | Cilag Gmbh International | Surgical instrument assembly |
| US11717289B2 (en) | 2020-10-29 | 2023-08-08 | Cilag Gmbh International | Surgical instrument comprising an indicator which indicates that an articulation drive is actuatable |
| 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 |
| US12053175B2 (en) | 2020-10-29 | 2024-08-06 | Cilag Gmbh International | Surgical instrument comprising a stowed closure actuator stop |
| US11896217B2 (en) | 2020-10-29 | 2024-02-13 | Cilag Gmbh International | Surgical instrument comprising an articulation lock |
| US11844518B2 (en) | 2020-10-29 | 2023-12-19 | Cilag Gmbh International | Method for operating a surgical instrument |
| US11627967B2 (en) | 2020-11-23 | 2023-04-18 | Covidien Lp | Trans-anastomotic insertion device |
| US11890010B2 (en) | 2020-12-02 | 2024-02-06 | Cllag GmbH International | Dual-sided reinforced reload for surgical instruments |
| US11849943B2 (en) | 2020-12-02 | 2023-12-26 | Cilag Gmbh International | Surgical instrument with cartridge release mechanisms |
| US11944296B2 (en) | 2020-12-02 | 2024-04-02 | Cilag Gmbh International | Powered surgical instruments with external connectors |
| US11678882B2 (en) | 2020-12-02 | 2023-06-20 | Cilag Gmbh International | Surgical instruments with interactive features to remedy incidental sled movements |
| US12471982B2 (en) | 2020-12-02 | 2025-11-18 | Cilag Gmbh International | Method for tissue treatment by surgical instrument |
| US11744581B2 (en) | 2020-12-02 | 2023-09-05 | Cilag Gmbh International | Powered surgical instruments with multi-phase tissue treatment |
| US11653915B2 (en) | 2020-12-02 | 2023-05-23 | Cilag Gmbh International | Surgical instruments with sled location detection and adjustment features |
| US11653920B2 (en) | 2020-12-02 | 2023-05-23 | Cilag Gmbh International | Powered surgical instruments with communication interfaces through sterile barrier |
| US11737751B2 (en) | 2020-12-02 | 2023-08-29 | Cilag Gmbh International | Devices and methods of managing energy dissipated within sterile barriers of surgical instrument housings |
| US11627960B2 (en) | 2020-12-02 | 2023-04-18 | Cilag Gmbh International | Powered surgical instruments with smart reload with separately attachable exteriorly mounted wiring connections |
| US12310591B2 (en) | 2020-12-15 | 2025-05-27 | Covidien Lp | Surgical stapling device with flexible shaft |
| US11877750B2 (en) | 2021-01-21 | 2024-01-23 | Covidien Lp | Surgical stapler with powered and manual functions |
| US11986187B2 (en) | 2021-01-29 | 2024-05-21 | Covidien Lp | Circular stapling device with integrated visualization device |
| US11786241B2 (en) | 2021-02-16 | 2023-10-17 | Covidien Lp | Surgical stapling device including a hydraulic staple formation mechanism |
| US11696757B2 (en) | 2021-02-26 | 2023-07-11 | Cilag Gmbh International | Monitoring of internal systems to detect and track cartridge motion status |
| US11723657B2 (en) | 2021-02-26 | 2023-08-15 | Cilag Gmbh International | Adjustable communication based on available bandwidth and power capacity |
| US11812964B2 (en) | 2021-02-26 | 2023-11-14 | Cilag Gmbh International | Staple cartridge comprising a power management circuit |
| US11730473B2 (en) | 2021-02-26 | 2023-08-22 | Cilag Gmbh International | Monitoring of manufacturing life-cycle |
| US12324580B2 (en) | 2021-02-26 | 2025-06-10 | Cilag Gmbh International | Method of powering and communicating with a staple cartridge |
| US11950777B2 (en) | 2021-02-26 | 2024-04-09 | Cilag Gmbh International | Staple cartridge comprising an information access control system |
| US11751869B2 (en) | 2021-02-26 | 2023-09-12 | Cilag Gmbh International | Monitoring of multiple sensors over time to detect moving characteristics of tissue |
| US11925349B2 (en) | 2021-02-26 | 2024-03-12 | Cilag Gmbh International | Adjustment to transfer parameters to improve available power |
| US11744583B2 (en) | 2021-02-26 | 2023-09-05 | Cilag Gmbh International | Distal communication array to tune frequency of RF systems |
| 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 |
| US11793514B2 (en) | 2021-02-26 | 2023-10-24 | Cilag Gmbh International | Staple cartridge comprising sensor array which may be embedded in cartridge body |
| US11950779B2 (en) | 2021-02-26 | 2024-04-09 | Cilag Gmbh International | Method of powering and communicating with a staple cartridge |
| US11980362B2 (en) | 2021-02-26 | 2024-05-14 | Cilag Gmbh International | Surgical instrument system comprising a power transfer coil |
| US11701113B2 (en) | 2021-02-26 | 2023-07-18 | Cilag Gmbh International | Stapling instrument comprising a separate power antenna and a data transfer antenna |
| US11723658B2 (en) | 2021-03-22 | 2023-08-15 | Cilag Gmbh International | Staple cartridge comprising a firing lockout |
| US11826042B2 (en) | 2021-03-22 | 2023-11-28 | Cilag Gmbh International | Surgical instrument comprising a firing drive including a selectable leverage mechanism |
| US11806011B2 (en) | 2021-03-22 | 2023-11-07 | Cilag Gmbh International | Stapling instrument comprising tissue compression systems |
| US11737749B2 (en) | 2021-03-22 | 2023-08-29 | Cilag Gmbh International | Surgical stapling instrument comprising a retraction system |
| US11717291B2 (en) | 2021-03-22 | 2023-08-08 | Cilag Gmbh International | Staple cartridge comprising staples configured to apply different tissue compression |
| US11759202B2 (en) | 2021-03-22 | 2023-09-19 | Cilag Gmbh International | Staple cartridge comprising an implantable layer |
| US11826012B2 (en) | 2021-03-22 | 2023-11-28 | Cilag Gmbh International | Stapling instrument comprising a pulsed motor-driven firing rack |
| 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 |
| US12102323B2 (en) | 2021-03-24 | 2024-10-01 | Cilag Gmbh International | Rotary-driven surgical stapling assembly comprising a floatable component |
| US11896219B2 (en) | 2021-03-24 | 2024-02-13 | Cilag Gmbh International | Mating features between drivers and underside of a cartridge deck |
| US11849944B2 (en) | 2021-03-24 | 2023-12-26 | Cilag Gmbh International | Drivers for fastener cartridge assemblies having rotary drive screws |
| 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 |
| US11896218B2 (en) | 2021-03-24 | 2024-02-13 | Cilag Gmbh International | Method of using a powered stapling device |
| 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 |
| 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 |
| 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 |
| US11553920B2 (en) | 2021-05-03 | 2023-01-17 | Covidien Lp | Trocar retainer assembly for surgical stapler |
| US11490894B1 (en) | 2021-05-12 | 2022-11-08 | Covidien Lp | Surgical device with grease filter |
| US11642131B2 (en) | 2021-05-17 | 2023-05-09 | Covidien Lp | Devices and methods for shortening a rectal stump during a lower anterior resection procedure |
| US11612400B2 (en) | 2021-05-24 | 2023-03-28 | Covidien Lp | Trocar assembly with bearing assembly for load sharing |
| WO2022246600A1 (en) | 2021-05-24 | 2022-12-01 | Covidien Lp | Anvil and delivery system assembly with automatic retaining suture release |
| US20220378425A1 (en) | 2021-05-28 | 2022-12-01 | Cilag Gmbh International | Stapling instrument comprising a control system that controls a firing stroke length |
| WO2022257040A1 (en) | 2021-06-09 | 2022-12-15 | Covidien Lp | Retractable trocar for circular stapling instruments |
| US11737759B2 (en) | 2021-08-05 | 2023-08-29 | Covidien Lp | Surgical stapling device accommodating prolapsed tissue |
| US11819208B2 (en) | 2021-08-05 | 2023-11-21 | Covidien Lp | Handheld electromechanical surgical device with strain gauge drift detection |
| US11744592B2 (en) | 2021-08-05 | 2023-09-05 | Covidien Lp | Handheld electromechanical stapler with tissue thickness detection |
| US11883028B2 (en) | 2021-09-08 | 2024-01-30 | Covidien Lp | Systems and methods for post-operative anastomotic leak detection |
| US11717299B2 (en) | 2021-10-12 | 2023-08-08 | Covidien Lp | Surgical stapling device with probiotics |
| US11877745B2 (en) | 2021-10-18 | 2024-01-23 | Cilag Gmbh International | Surgical stapling assembly having longitudinally-repeating staple leg clusters |
| US11980363B2 (en) | 2021-10-18 | 2024-05-14 | Cilag Gmbh International | Row-to-row staple array variations |
| US11957337B2 (en) | 2021-10-18 | 2024-04-16 | Cilag Gmbh International | Surgical stapling assembly with offset ramped drive surfaces |
| US12239317B2 (en) | 2021-10-18 | 2025-03-04 | Cilag Gmbh International | Anvil comprising an arrangement of forming pockets proximal to tissue stop |
| US12279845B2 (en) | 2021-10-18 | 2025-04-22 | Cilag Gmbh International | Cable-driven actuation system for robotic surgical tool attachment |
| US12251105B2 (en) | 2021-10-20 | 2025-03-18 | Cilag Gmbh International | Lockout arrangements for surgical instruments |
| US12432790B2 (en) | 2021-10-28 | 2025-09-30 | Cilag Gmbh International | Method and device for transmitting UART communications over a security short range wireless communication |
| US11937816B2 (en) | 2021-10-28 | 2024-03-26 | Cilag Gmbh International | Electrical lead arrangements for surgical instruments |
| US12089841B2 (en) | 2021-10-28 | 2024-09-17 | Cilag CmbH International | Staple cartridge identification systems |
| US12213674B2 (en) | 2021-12-08 | 2025-02-04 | Covidien Lp | Determination of premature staple ejection |
| CN114470309B (zh) * | 2022-03-04 | 2022-11-29 | 西南大学 | 一种具有穿刺功能的定向驱动止血微球及其制备方法 |
Family Cites Families (133)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US3079606A (en) * | 1960-01-04 | 1963-03-05 | Bobrov Boris Sergeevich | Instrument for placing lateral gastrointestinal anastomoses |
| US3490675A (en) * | 1966-10-10 | 1970-01-20 | United States Surgical Corp | Instrument for placing lateral gastrointestinal anastomoses |
| US3499591A (en) * | 1967-06-23 | 1970-03-10 | United States Surgical Corp | Instrument for placing lateral gastro-intestinal anastomoses |
| US4573468A (en) * | 1977-05-26 | 1986-03-04 | United States Surgical Corporation | Hollow body organ stapling instrument and disposable cartridge employing relief vents |
| US4603693A (en) | 1977-05-26 | 1986-08-05 | United States Surgical Corporation | Instrument for circular surgical stapling of hollow body organs and disposable cartridge therefor |
| NL7906689A (nl) * | 1979-09-06 | 1981-03-10 | Dawsonville Corp Nv | Tatoueerinrichting. |
| US4429695A (en) * | 1980-02-05 | 1984-02-07 | United States Surgical Corporation | Surgical instruments |
| US4319576A (en) * | 1980-02-26 | 1982-03-16 | Senco Products, Inc. | Intralumenal anastomosis surgical stapling instrument |
| US4672969A (en) * | 1983-10-06 | 1987-06-16 | Sonomo Corporation | Laser healing method |
| US4655222A (en) * | 1984-07-30 | 1987-04-07 | Ethicon, Inc. | Coated surgical staple |
| US4752024A (en) * | 1986-10-17 | 1988-06-21 | Green David T | Surgical fastener and surgical stapling apparatus |
| US4873977A (en) * | 1987-02-11 | 1989-10-17 | Odis L. Avant | Stapling method and apparatus for vesicle-urethral re-anastomosis following retropubic prostatectomy and other tubular anastomosis |
| US5119983A (en) * | 1987-05-26 | 1992-06-09 | United States Surgical Corporation | Surgical stapler apparatus |
| US5285944A (en) * | 1987-05-26 | 1994-02-15 | United States Surgical Corporation | Surgical stapler apparatus |
| US5032849A (en) * | 1988-10-04 | 1991-07-16 | Canon Kabushiki Kaisha | Method for transferring a viscous substance whose adhesiveness is reduced when a voltage is applied thereto by disposing the viscous substance between and applying a voltage to first and second electrodes |
| EP0407510A1 (en) | 1988-11-18 | 1991-01-16 | Immuno Sweden Ab | Instrument for anastomosis |
| US5342395A (en) * | 1990-07-06 | 1994-08-30 | American Cyanamid Co. | Absorbable surgical repair devices |
| US5653373A (en) * | 1990-09-17 | 1997-08-05 | United States Surgical Corporation | Arcuate apparatus for applying two-part surgical fasteners |
| US5156614A (en) * | 1990-09-17 | 1992-10-20 | United States Surgical Corporation | Apparatus for applying two-part surgical fasteners |
| US5690675A (en) | 1991-02-13 | 1997-11-25 | Fusion Medical Technologies, Inc. | Methods for sealing of staples and other fasteners in tissue |
| JPH06505656A (ja) * | 1991-02-13 | 1994-06-30 | フュージョン メデイカル テクノロジーズ インコーポレーテッド | 組織溶接用充填剤材料 |
| US5749895A (en) * | 1991-02-13 | 1998-05-12 | Fusion Medical Technologies, Inc. | Method for bonding or fusion of biological tissue and material |
| US5669934A (en) * | 1991-02-13 | 1997-09-23 | Fusion Medical Technologies, Inc. | Methods for joining tissue by applying radiofrequency energy to performed collagen films and sheets |
| US5156613A (en) * | 1991-02-13 | 1992-10-20 | Interface Biomedical Laboratories Corp. | Collagen welding rod material for use in tissue welding |
| US5065929A (en) * | 1991-04-01 | 1991-11-19 | Ethicon, Inc. | Surgical stapler with locking means |
| US5318531A (en) * | 1991-06-11 | 1994-06-07 | Cordis Corporation | Infusion balloon catheter |
| CA2074304C (en) * | 1991-08-02 | 1996-11-26 | Cyril J. Schweich, Jr. | Drug delivery catheter |
| GR920100358A (el) | 1991-08-23 | 1993-06-07 | Ethicon Inc | Οργανο συρραφής χειρουργικής αναστομώσεως. |
| US6250532B1 (en) * | 1991-10-18 | 2001-06-26 | United States Surgical Corporation | Surgical stapling apparatus |
| US5443198A (en) * | 1991-10-18 | 1995-08-22 | United States Surgical Corporation | Surgical fastener applying apparatus |
| US5531744A (en) * | 1991-11-01 | 1996-07-02 | Medical Scientific, Inc. | Alternative current pathways for bipolar surgical cutting tool |
| US5395034A (en) | 1991-11-07 | 1995-03-07 | American Cyanamid Co. | Linear surgical stapling instrument |
| US5658300A (en) * | 1992-06-04 | 1997-08-19 | Olympus Optical Co., Ltd. | Tissue fixing surgical instrument, tissue-fixing device, and method of fixing tissues |
| US5263629A (en) | 1992-06-29 | 1993-11-23 | Ethicon, Inc. | Method and apparatus for achieving hemostasis along a staple line |
| US5385606A (en) * | 1992-07-06 | 1995-01-31 | Kowanko; Nicholas | Adhesive composition and method |
| US5254113A (en) * | 1992-08-31 | 1993-10-19 | Wilk Peter J | Anastomosis method |
| US5403312A (en) * | 1993-07-22 | 1995-04-04 | Ethicon, Inc. | Electrosurgical hemostatic device |
| US5807393A (en) * | 1992-12-22 | 1998-09-15 | Ethicon Endo-Surgery, Inc. | Surgical tissue treating device with locking mechanism |
| US5346501A (en) | 1993-02-05 | 1994-09-13 | Ethicon, Inc. | Laparoscopic absorbable anastomosic fastener and means for applying |
| WO1994021320A1 (en) * | 1993-03-15 | 1994-09-29 | Advanced Cardiovascular Systems, Inc. | Fluid delivery catheter |
| US5328687A (en) * | 1993-03-31 | 1994-07-12 | Tri-Point Medical L.P. | Biocompatible monomer and polymer compositions |
| US5417687A (en) * | 1993-04-30 | 1995-05-23 | Medical Scientific, Inc. | Bipolar electrosurgical trocar |
| JPH06327683A (ja) | 1993-05-19 | 1994-11-29 | Olympus Optical Co Ltd | 外科用縫合具 |
| GR940100335A (el) * | 1993-07-22 | 1996-05-22 | Ethicon Inc. | Ηλεκτροχειρουργικη συσκευη τοποθετησης συρραπτικων αγκυλων. |
| US5817093A (en) * | 1993-07-22 | 1998-10-06 | Ethicon Endo-Surgery, Inc. | Impedance feedback monitor with query electrode for electrosurgical instrument |
| US5709680A (en) * | 1993-07-22 | 1998-01-20 | Ethicon Endo-Surgery, Inc. | Electrosurgical hemostatic device |
| US5693051A (en) * | 1993-07-22 | 1997-12-02 | Ethicon Endo-Surgery, Inc. | Electrosurgical hemostatic device with adaptive electrodes |
| US5688270A (en) * | 1993-07-22 | 1997-11-18 | Ethicon Endo-Surgery,Inc. | Electrosurgical hemostatic device with recessed and/or offset electrodes |
| US5810811A (en) * | 1993-07-22 | 1998-09-22 | Ethicon Endo-Surgery, Inc. | Electrosurgical hemostatic device |
| US5415159A (en) * | 1993-08-18 | 1995-05-16 | Ethicon, Inc. | Support structure for abdominal lift |
| US5441193A (en) * | 1993-09-23 | 1995-08-15 | United States Surgical Corporation | Surgical fastener applying apparatus with resilient film |
| US5843124A (en) * | 1993-09-28 | 1998-12-01 | Hemodynamics, Inc. | Surface opening adhesive sealer |
| US5542594A (en) * | 1993-10-06 | 1996-08-06 | United States Surgical Corporation | Surgical stapling apparatus with biocompatible surgical fabric |
| CA2132917C (en) | 1993-10-07 | 2004-12-14 | John Charles Robertson | Circular anastomosis device |
| US5503638A (en) * | 1994-02-10 | 1996-04-02 | Bio-Vascular, Inc. | Soft tissue stapling buttress |
| US5814057A (en) * | 1994-06-03 | 1998-09-29 | Gunze Limited | Supporting element for staple region |
| US5833695A (en) * | 1994-07-13 | 1998-11-10 | Yoon; Inbae | Surgical stapling system and method of applying staples from multiple staple cartridges |
| CA2146508C (en) * | 1994-08-25 | 2006-11-14 | Robert H. Schnut | Anvil for circular stapler |
| US5931165A (en) * | 1994-09-06 | 1999-08-03 | Fusion Medical Technologies, Inc. | Films having improved characteristics and methods for their preparation and use |
| GB9501579D0 (en) * | 1995-01-27 | 1995-03-15 | Univ Loughborough | Effecting reactions |
| US5550172A (en) * | 1995-02-07 | 1996-08-27 | Ethicon, Inc. | Utilization of biocompatible adhesive/sealant materials for securing surgical devices |
| WO1996030064A1 (en) | 1995-03-31 | 1996-10-03 | Boston Scientific Corporation | Multiple hole drug delivery balloon |
| US5599350A (en) * | 1995-04-03 | 1997-02-04 | Ethicon Endo-Surgery, Inc. | Electrosurgical clamping device with coagulation feedback |
| US5624452A (en) * | 1995-04-07 | 1997-04-29 | Ethicon Endo-Surgery, Inc. | Hemostatic surgical cutting or stapling instrument |
| US5810855A (en) * | 1995-07-21 | 1998-09-22 | Gore Enterprise Holdings, Inc. | Endoscopic device and method for reinforcing surgical staples |
| US5702409A (en) * | 1995-07-21 | 1997-12-30 | W. L. Gore & Associates, Inc. | Device and method for reinforcing surgical staples |
| US6032849A (en) * | 1995-08-28 | 2000-03-07 | United States Surgical | Surgical stapler |
| AU7398196A (en) * | 1995-10-11 | 1997-04-30 | Fusion Medical Technologies, Inc. | Device and method for sealing tissue |
| US5755717A (en) * | 1996-01-16 | 1998-05-26 | Ethicon Endo-Surgery, Inc. | Electrosurgical clamping device with improved coagulation feedback |
| US5810240A (en) * | 1996-03-15 | 1998-09-22 | United States Surgical Corporation | Surgical fastener applying device |
| AR000048A1 (es) * | 1996-07-12 | 1997-05-14 | Daniel Miguel Pasczuk | Un nuevo condon y método para proveer el mismo |
| US5752965A (en) * | 1996-10-21 | 1998-05-19 | Bio-Vascular, Inc. | Apparatus and method for producing a reinforced surgical fastener suture line |
| US5769892A (en) * | 1996-10-22 | 1998-06-23 | Mitroflow International Inc. | Surgical stapler sleeve for reinforcing staple lines |
| US5782914A (en) * | 1996-11-29 | 1998-07-21 | Bio-Vascular, Inc. | Method for preparing heterogeneous tissue grafts |
| US5735833A (en) | 1996-12-11 | 1998-04-07 | Bristol-Myers Squibb Co. | Lavage tip |
| NZ337922A (en) * | 1997-03-27 | 2001-09-28 | Bristol Myers Squibb Co | Laparoscopic sealant applicator having shaft end able to be articulated from handle |
| USH1904H (en) * | 1997-05-14 | 2000-10-03 | Ethicon Endo-Surgery, Inc. | Electrosurgical hemostatic method and device |
| US5817091A (en) * | 1997-05-20 | 1998-10-06 | Medical Scientific, Inc. | Electrosurgical device having a visible indicator |
| US5866561A (en) | 1997-08-21 | 1999-02-02 | Scimed Life Systems, Inc. | Local delivery of estrogen for angiogenesis |
| US5865361A (en) * | 1997-09-23 | 1999-02-02 | United States Surgical Corporation | Surgical stapling apparatus |
| GB2329840C (en) | 1997-10-03 | 2007-10-05 | Johnson & Johnson Medical | Biopolymer sponge tubes |
| US6165175A (en) * | 1999-02-02 | 2000-12-26 | Ethicon Endo-Surgery, Inc. | RF bipolar mesentery takedown device including improved bipolar end effector |
| US6296640B1 (en) * | 1998-02-06 | 2001-10-02 | Ethicon Endo-Surgery, Inc. | RF bipolar end effector for use in electrosurgical instruments |
| US6099551A (en) * | 1998-03-12 | 2000-08-08 | Shelhigh, Inc. | Pericardial strip and stapler assembly for dividing and sealing visceral tissues and method of use thereof |
| US6003517A (en) * | 1998-04-30 | 1999-12-21 | Ethicon Endo-Surgery, Inc. | Method for using an electrosurgical device on lung tissue |
| JP4159254B2 (ja) | 1998-08-14 | 2008-10-01 | インセプト エルエルシー | ヒドロゲルのインサイチュ形成のための方法および装置 |
| US6179862B1 (en) * | 1998-08-14 | 2001-01-30 | Incept Llc | Methods and apparatus for in situ formation of hydrogels |
| JP3531000B2 (ja) * | 1998-12-07 | 2004-05-24 | グンゼ株式会社 | 吻合補綴材 |
| JP5031144B2 (ja) | 1999-03-25 | 2012-09-19 | メタボリックス，インコーポレイテッド | ポリヒドロキシアルカノエートポリマーの医療デバイスおよび医療適用 |
| US6569173B1 (en) * | 1999-12-14 | 2003-05-27 | Integrated Vascular Interventional Technologies, L.C. | Compression plate anastomosis apparatus |
| DE19924311A1 (de) | 1999-05-27 | 2000-11-30 | Walter A Rau | Klammerschneidegerät und Zusatzvorrichtung für ein solches |
| US6491201B1 (en) | 2000-02-22 | 2002-12-10 | Power Medical Interventions, Inc. | Fluid delivery mechanism for use with anastomosing, stapling, and resecting instruments |
| US6793652B1 (en) * | 1999-06-02 | 2004-09-21 | Power Medical Interventions, Inc. | Electro-mechanical surgical device |
| US7032798B2 (en) * | 1999-06-02 | 2006-04-25 | Power Medical Interventions, Inc. | Electro-mechanical surgical device |
| US6325810B1 (en) * | 1999-06-30 | 2001-12-04 | Ethicon, Inc. | Foam buttress for stapling apparatus |
| US6391038B2 (en) * | 1999-07-28 | 2002-05-21 | Cardica, Inc. | Anastomosis system and method for controlling a tissue site |
| US6451029B1 (en) * | 1999-08-23 | 2002-09-17 | University Of South Florida | Intestinal stapling device and method |
| US6312474B1 (en) * | 1999-09-15 | 2001-11-06 | Bio-Vascular, Inc. | Resorbable implant materials |
| JP2001224677A (ja) * | 1999-12-09 | 2001-08-21 | Buaayu:Kk | 光硬化性組織接着剤 |
| US8215314B2 (en) * | 2000-02-11 | 2012-07-10 | The General Hospital Corporation | Photochemical tissue bonding |
| US6488197B1 (en) | 2000-02-22 | 2002-12-03 | Power Medical Interventions, Inc. | Fluid delivery device for use with anastomosing resecting and stapling instruments |
| AU2001243291A1 (en) * | 2000-02-24 | 2001-09-03 | Loma Linda University Medical Center | Patch and glue delivery system for closing tissue openings during surgery |
| US6273897B1 (en) * | 2000-02-29 | 2001-08-14 | Ethicon, Inc. | Surgical bettress and surgical stapling apparatus |
| AU2002211761B2 (en) | 2000-10-13 | 2006-04-27 | Covidien Lp | Surgical fastener applying apparatus |
| US6623452B2 (en) * | 2000-12-19 | 2003-09-23 | Scimed Life Systems, Inc. | Drug delivery catheter having a highly compliant balloon with infusion holes |
| US6638285B2 (en) * | 2001-04-16 | 2003-10-28 | Shlomo Gabbay | Biological tissue strip and system and method to seal tissue |
| US6656193B2 (en) * | 2001-05-07 | 2003-12-02 | Ethicon Endo-Surgery, Inc. | Device for attachment of buttress material to a surgical fastening device |
| US6503257B2 (en) * | 2001-05-07 | 2003-01-07 | Ethicon Endo-Surgery, Inc. | Method for releasing buttress material attached to a surgical fastening device |
| US7066934B2 (en) * | 2001-07-19 | 2006-06-27 | Loma Linda University | Adhesive including medicament and device and method for applying same |
| US20030111507A1 (en) * | 2001-12-14 | 2003-06-19 | George Nunez | Balloon actuator for use in a resectioning device |
| US20030163871A1 (en) * | 2002-01-03 | 2003-09-04 | Conlu Alan Scott | Frame structure for use with patient support |
| US6869436B2 (en) * | 2002-02-07 | 2005-03-22 | Scimed Life Systems, Inc. | Surgical clip with a self-releasing fluid reservoir |
| US7128748B2 (en) | 2002-03-26 | 2006-10-31 | Synovis Life Technologies, Inc. | Circular stapler buttress combination |
| WO2003088844A1 (en) | 2002-04-15 | 2003-10-30 | Cook Biotech Incorporated | Apparatus and method for producing a reinforced surgical staple line |
| CA2703164C (en) | 2002-04-16 | 2013-10-08 | Tyco Healthcare Group Lp | Surgical stapler and method |
| AU2003234239A1 (en) | 2002-04-24 | 2003-11-10 | Surgical Connections, Inc. | Resection and anastomosis devices and methods |
| EP2289429B1 (en) | 2002-05-10 | 2015-06-17 | Covidien LP | Surgical stapling apparatus having a wound closure material applicator assembly |
| EP1503671B1 (en) * | 2002-05-10 | 2006-10-11 | Tyco Healthcare Group Lp | Wound closure material applicator and stapler |
| US7588565B2 (en) | 2002-05-15 | 2009-09-15 | Rocky Mountain Biosystems, Inc. | Method and device for anastomoses |
| JP4544991B2 (ja) * | 2002-06-14 | 2010-09-15 | ローマ リンダ ユニヴァーシティ メディカル センター | 血管の創傷をふさぐ装置および方法 |
| EP2228018B1 (en) | 2002-06-17 | 2012-05-09 | Tyco Healthcare Group LP | Annular support structures |
| US7217254B2 (en) * | 2002-09-20 | 2007-05-15 | Genzyme Corporation | Multi-pressure biocompatible agent delivery device and method |
| US20040167572A1 (en) * | 2003-02-20 | 2004-08-26 | Roth Noah M. | Coated medical devices |
| US8740844B2 (en) * | 2003-08-20 | 2014-06-03 | Boston Scientific Scimed, Inc. | Medical device with drug delivery member |
| US20050059997A1 (en) * | 2003-09-17 | 2005-03-17 | Bauman Ann M. | Circular stapler buttress |
| ES2748926T3 (es) * | 2004-10-18 | 2020-03-18 | Covidien Lp | Fijaciones quirúrgicas recubiertas con materiales de tratamiento de heridas |
| US7455682B2 (en) | 2004-10-18 | 2008-11-25 | Tyco Healthcare Group Lp | Structure containing wound treatment material |
| US7717313B2 (en) * | 2004-10-18 | 2010-05-18 | Tyco Healthcare Group Lp | Surgical apparatus and structure for applying sprayable wound treatment material |
| US7845536B2 (en) * | 2004-10-18 | 2010-12-07 | Tyco Healthcare Group Lp | Annular adhesive structure |
| AU2005295477B2 (en) * | 2004-10-18 | 2011-11-24 | Covidien Lp | Structure for applying sprayable wound treatment material |
| ES2530775T3 (es) | 2004-10-18 | 2015-03-05 | Covidien Lp | Estructura adhesiva anular |
| US20080110961A1 (en) * | 2006-11-10 | 2008-05-15 | Ethicon Endo-Surgery, Inc. | Initiator Coating of Staples |
| US8678263B2 (en) | 2007-09-24 | 2014-03-25 | Covidien Lp | Materials delivery system for stapling device |
-
2005
- 2005-02-01 US US11/048,353 patent/US7455682B2/en active Active
- 2005-02-04 CA CA2502653A patent/CA2502653C/en not_active Expired - Fee Related
- 2005-02-04 CA CA002496105A patent/CA2496105A1/en not_active Abandoned
- 2005-02-17 AU AU2005200724A patent/AU2005200724B2/en not_active Ceased
- 2005-03-02 ES ES10173363T patent/ES2390161T3/es not_active Expired - Lifetime
- 2005-03-02 ES ES09166705T patent/ES2412435T3/es not_active Expired - Lifetime
- 2005-03-02 EP EP05004539A patent/EP1647230B1/en not_active Expired - Lifetime
- 2005-03-02 EP EP10173363A patent/EP2305140B1/en not_active Expired - Lifetime
- 2005-03-02 EP EP09166705.5A patent/EP2135564B1/en not_active Expired - Lifetime
- 2005-03-02 DE DE602005017554T patent/DE602005017554D1/de not_active Expired - Lifetime
- 2005-03-02 ES ES05004539T patent/ES2335590T3/es not_active Expired - Lifetime
- 2005-04-22 JP JP2005125554A patent/JP4895153B2/ja not_active Expired - Fee Related
-
2008
- 2008-10-28 US US12/259,658 patent/US7699204B2/en not_active Expired - Fee Related
-
2010
- 2010-03-02 US US12/715,715 patent/US8066169B2/en not_active Expired - Fee Related
- 2010-11-26 JP JP2010264403A patent/JP2011056292A/ja not_active Withdrawn
-
2011
- 2011-10-31 US US13/285,086 patent/US8322588B2/en not_active Expired - Fee Related
-
2012
- 2012-11-14 US US13/676,461 patent/US8616429B2/en not_active Expired - Fee Related
-
2013
- 2013-12-06 US US14/098,857 patent/US8875970B2/en not_active Expired - Fee Related
Also Published As
| Publication number | Publication date |
|---|---|
| EP1647230A1 (en) | 2006-04-19 |
| US20060085032A1 (en) | 2006-04-20 |
| US20140097225A1 (en) | 2014-04-10 |
| CA2502653C (en) | 2013-04-09 |
| US8322588B2 (en) | 2012-12-04 |
| ES2390161T3 (es) | 2012-11-07 |
| JP4895153B2 (ja) | 2012-03-14 |
| US20100155454A1 (en) | 2010-06-24 |
| US8066169B2 (en) | 2011-11-29 |
| CA2502653A1 (en) | 2006-04-18 |
| EP2305140B1 (en) | 2012-08-29 |
| JP2006110325A (ja) | 2006-04-27 |
| DE602005017554D1 (de) | 2009-12-24 |
| EP2305140A1 (en) | 2011-04-06 |
| EP2135564B1 (en) | 2013-05-08 |
| JP2011056292A (ja) | 2011-03-24 |
| AU2005200724A1 (en) | 2006-05-04 |
| CA2496105A1 (en) | 2006-04-18 |
| ES2412435T3 (es) | 2013-07-11 |
| US8875970B2 (en) | 2014-11-04 |
| US20130068819A1 (en) | 2013-03-21 |
| US7455682B2 (en) | 2008-11-25 |
| EP1647230B1 (en) | 2009-11-11 |
| EP2135564A1 (en) | 2009-12-23 |
| US7699204B2 (en) | 2010-04-20 |
| US8616429B2 (en) | 2013-12-31 |
| US20090050670A1 (en) | 2009-02-26 |
| US20120043370A1 (en) | 2012-02-23 |
| AU2005200724B2 (en) | 2011-03-24 |
Similar Documents
| Publication | Publication Date | Title |
|---|---|---|
| ES2335590T3 (es) | Estructura que contiene material de tratamiento de heridas. | |
| JP5688891B2 (ja) | 破裂した場合医薬を送達するために用いられるパウチ | |
| ES2350859T3 (es) | Disco anular para la reducción de la tensión anastomótica. | |
| ES2389208T3 (es) | Estructura adhesiva anular | |
| ES2325225T3 (es) | Cubo para el posicionamiento de una estructura anular sobre un dispositivo quirurgico. |