ES2390161T3 - Estructura que contiene material de tratamiento de heridas - Google Patents

Estructura que contiene material de tratamiento de heridas Download PDF

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ES2390161T3
ES2390161T3 ES10173363T ES10173363T ES2390161T3 ES 2390161 T3 ES2390161 T3 ES 2390161T3 ES 10173363 T ES10173363 T ES 10173363T ES 10173363 T ES10173363 T ES 10173363T ES 2390161 T3 ES2390161 T3 ES 2390161T3
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staple
surgical stapling
wound treatment
treatment material
stapling apparatus
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Frank J. Viola
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Covidien LP
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    • 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

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  • Heart & Thoracic Surgery (AREA)
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Abstract

Aparato (10) de grapado quirúrgico que incluye un conjunto (26) yunque configurado para soportar una placa deyunque en el mismo y una placa (36) de yunque conectada operativamente al conjunto yunque y que define unapluralidad de cavidades (38) formadoras de grapas en el mismo, en el que el aparato está caracterizado por:un material de tratamiento de heridas 5 dispuesto en cada cavidad formadora de grapas de la placa de yunque,en el que el material (W) de tratamiento de heridas está contenido en una cápsula (42), en el que cada cápsulaestá configurada para su retención en el interior de las cavidades formadoras de grapas.

Description

Estructura que contiene material de tratamiento de heridas
Antecedentes
Campo técnico
La presente divulgación se refiere a instrumentos quirúrgicos para mejorar las propiedades de tejido reparado o unido mediante grapas quirúrgicas y, más particularmente, a instrumentos quirúrgicos y a una estructura configurada para aplicar elementos de sujeción mecánicos quirúrgicos de manera concomitante con un material de tratamiento de heridas, biocompatible, no mecánico, para mejorar las propiedades del tejido reparado o unido en un sitio quirúrgico objetivo.
Descripción de la técnica relacionada
A lo largo de los años, el campo médico ha utilizado diversas técnicas en un esfuerzo de juntar o unir entre sí tejidos corporales. Históricamente, la sutura fue la técnica aceptada para volver a unir tejidos seccionados y cerrar heridas. La sutura se ha conseguido históricamente con una aguja quirúrgica y un hilo quirúrgico, y más recientemente, con una diversidad de grapas poliméricas o metálicas, tal como se describirá más adelante. La función deseada de las suturas es mantener los bordes de una herida o tejido, uno contra el otro, durante el proceso de curación para reducir la incomodidad, el dolor, la cicatrización y el tiempo requerido para la curación.
Recientemente, muchos procedimientos, que en el pasado requerían una sutura tradicional, han sido reemplazados por una 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 conjunción con un corte de tejido adyacente. Dichas grapadoras quirúrgicas incluyen tanto configuraciones de tipo lineal como configuraciones de tipo anular. Una grapadora y cortadora lineal típica incluye filas paralelas de grapas con una ranura para que unos medios de corte sean desplazados entre las filas de grapas.
Las grapadoras de tipo lineal típicas se divulgan en la patente US No. 6.045.560 de McKean et al., en la patente US No.
6.032.849 de Mastri et al., y en la patente US No. 5.964.394 de Robertson, de titularidad compartida. Una grapadora y cortadora anular típica, que incluye una pluralidad de filas anulares de grapas, típicamente dos, y una cuchilla anular dispuesta en el interior de las filas de grapas, se divulga en la patente US No. 5.799.857 de Robertson et al., y el documento 5.915.616 de Viola et al., de titularidad compartida.
Estos tipos de grapadoras quirúrgicas aseguran el tejido corporal contiguo para un corte mejorado, para unir capas de tejido entre sí y para proporcionar hemostasis aplicando filas paralelas o anulares de grapas para rodear el tejido conforme los medios de corte realizan un corte entre las filas paralelas o anulares. Consiguientemente, al permitir que un cirujano realice todas estas tareas simultáneamente, las grapadoras quirúrgicas han sido efectivas para disminuir la cantidad de tiempo necesario para sujetar el tejido. Para mejorar adicionalmente la unión y la 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 tejidos y materiales de refuerzo. Estos contrafuertes son colocados, típicamente, sobre la superficie de contacto con el tejido del yunque y/o la superficie de contacto con el tejido del cartucho del instrumento de grapado quirúrgico, y son asegurados contra el tejido objetivo durante el disparo del instrumento de grapado quirúrgico. Puede hacerse referencia a la patente US No. 5.542.594 para una descripción más detallada del uso de contrafuertes en cooperación con un instrumento de grapado quirúrgico.
Otros procedimientos quirúrgicos adicionales implican la etapa de aplicar (por ejemplo, mediante pulverización, cepillado, etc.) un material adhesivo y/o un material sellador a la superficie externa del sitio quirúrgico 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 entre sí tejidos separados para ayudar en el proceso de curación y para mejorar la resistencia del tejido. Dichos adhesivos pueden ser usados en lugar de una sutura y un grapado, por ejemplo, en procedimientos quirúrgicos para la reparación del tejido o la creación de anastomosis. Los documentos WO 03/094746 y WO 03/105698 divulgan instrumentos de grapado quirúrgico ejemplares.
La aplicación de un adhesivo biocompatible adecuado ofrece muchas ventajas tanto para el paciente como para el cirujano, tales como, por ejemplo, la prevención de la penetración del tejido por agujas y/o grapas, así como el sellado
inmediato 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.
Resumen
Según la presente divulgación, se divulga un aparato de grapado quirúrgico que incluye un conjunto yunque y una placa de yunque en el mismo; en el que la placa de yunque define una pluralidad de cavidades formadoras de grapas en la misma; y un material de tratamiento de heridas dispuesto en cada cavidad formadora de grapas de la placa de yunque.
El material de tratamiento de heridas está contenido en una cápsula. Consiguientemente, cada cápsula está configurada para su retención dentro de las cavidades formadoras de grapas. El conjunto yunque puede incluir además un revestimiento que cubre la pluralidad de cavidades formadoras de grapas. Idealmente, las cavidades formadoras de grapas están dispuestas en un par de anillos anulares, concéntricos, separados. Las cavidades formadoras de grapas están alineadas con las ranuras de retención de grapas respectivas formadas en un conjunto cartucho de grapas del aparato de grapado quirúrgico.
Idealmente, el material de tratamiento de heridas es al menos uno de entre un adhesivo, un sellador, un hemostato y un medicamento.
El adhesivo incluye al menos uno de entre un adhesivo que se endurece con el contacto con el tejido, un adhesivo que se endurece tras la exposición a luz ultravioleta (UV), y un adhesivo que es sensible a la presión. El adhesivo puede incluir también al menos un material adhesivo basado en aldehído, derivado de proteína, y un material basado en cianoacrilato.
El material sellador incluye al menos uno de entre un material sellador de fibrina, un material sellador de tejido basado en colágeno y basado en polímero sintético, y un material sellador de hidrogel, basado en polietilenglicol sintético.
El material hemostático incluye al menos uno de entre un material basado en fibrina, un material basado en colágeno, un material basado en celulosa regenerada oxidada, un material basado en gelatina, y un material de fibrinógeno-trombina.
El medicamento incluye al menos uno de entre fármacos, enzimas, factores de crecimiento, péptidos, proteínas, tintes y agentes de diagnóstico.
Breve descripción de los dibujos
Las características anteriores de la presente divulgación se harán más evidentes y podrán comprenderse con referencia a la descripción detallada siguiente de una realización ilustrada de un instrumento, estructura o aparato quirúrgico, tomada en conjunción con los dibujos adjuntos, en los que:
La Fig. 1 ilustra una vista en perspectiva de un aparato de grapado quirúrgico según una realización de la presente divulgación;
La Fig. 2 es una vista en perspectiva de un conjunto yunque según una realización de la presente divulgación;
La Fig. 3 es una vista en sección transversal del conjunto yunque, tomada a través de la línea 3-3 de la Fig. 2;
La Fig. 4 es una vista en sección transversal de un conjunto yunque alternativo según la presente divulgación, tomada a lo largo de 3-3 de la Fig. 2;
La Fig. 5 es una vista en perspectiva de la zona intestinal de un paciente, que ilustra un procedimiento de posicionamiento del conjunto yunque de las Figs. 2-4 al realizar una anastomosis intestinal;
La Fig. 6 es una vista detallada, aumentada, del conjunto yunque de las Figs. 2-4 y un conjunto cartucho de grapas del aparato de grapado quirúrgico posicionado en el sitio quirúrgico objetivo justo antes de disparar el aparato de grapado quirúrgico;
La Fig. 7 es una vista detallada, aumentada, del suministro de material de tratamiento de heridas desde el conjunto yunque tras el disparo del aparato de grapado quirúrgico; y
La Fig. 8 es una vista detallada, aumentada, del conjunto yunque de las Figs. 2-4 y un conjunto cartucho de grapas de un aparato de grapado quirúrgico según otra realización de la presente divulgación, antes de disparar el aparato de grapado quirúrgico.
Descripción detallada de la realización
Las realizaciones del aparato de grapado quirúrgico divulgado en la presente memoria, serán descritas ahora, en detalle,
con referencia a las figuras de los dibujos, en las que los números de referencia similares identifican elementos similares o idénticos. Tal como se usa en la presente memoria y como es tradicional, el término “distal” se refiere a aquella parte que está más lejos del usuario mientras que 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 los números de referencia similares identifican elementos similares o idénticos a lo largo de las diversas vistas, la Fig. 1 muestra un aparato 10 de grapado quirúrgico que emplea la estructura para aplicar un adhesivo dispersable según la presente divulgación. El aparato 10 incluye un conjunto 12 empuñadura que tiene al menos un miembro 14 empuñadura, de accionamiento pivotable, e incluye además medios 16 de avance. Los medios 16 de avance incluyen un miembro 18 de agarre giratorio, cuya función se describirá a continuación.
Extendiéndose desde el conjunto 12 empuñadura, hay provista una parte 20 cuerpo tubular que puede estar construida de manera que tenga una forma curvada a lo largo de al menos una parte de su longitud. La parte 20 cuerpo tubular puede ser también recta, o en otras realizaciones, la parte 20 cuerpo tubular puede ser flexible para plegarse a cualquier configuración. La parte 20 cuerpo termina en un conjunto 22 cartucho de grapas. El conjunto 22 cartucho de grapas incluye un conjunto anular de grapas “S”. Posicionado frente al conjunto 22 cartucho de grapas hay provisto un conjunto 26 yunque que está conectado al aparato 10 por un eje 28 en los medios 30 de conexión. El conjunto 26 yunque y el conjunto 22 cartucho de grapas se divulgan en la patente US No. 5.119.983, concedida el 9 de Junio de 1992 de titularidad compartida.
Aunque el aparato 10 se muestra y describe de manera que utiliza un conjunto cartucho de grapas que tiene un conjunto anular de grapas posicionadas sobre la parte cuerpo tubular, y que tiene el conjunto yunque posicionado frente al conjunto cartucho de grapas para un movimiento acercándose y alejándose del conjunto cartucho de grapas, se contempla, por supuesto, que el conjunto yunque pueda estar posicionado sobre la parte cuerpo tubular y el conjunto cartucho de grapas y el conjunto de grapas puedan estar posicionados frente al conjunto yunque para un movimiento acercándose y alejándose del conjunto yunque. Dicha una construcción debe considerarse dentro del alcance de la presente divulgación.
En funcionamiento, el aparato 10 es posicionado en el interior de un órgano tubular en el cuerpo del paciente y los extremos del órgano a ser unidos son posicionados en el hueco entre el conjunto 22 cartucho de grapas y el conjunto 26 yunque, de manera que el conjunto 26 yunque esté completamente extendido. Como es convencional, los extremos del órgano pueden ser asegurados sobre el conjunto 26 yunque y el conjunto 22 cartucho de grapas mediante una sutura en bolsa de tabaco previamente a la aproximación del conjunto 26 yunque en relación al conjunto 22 cartucho de grapas. Con el conjunto 26 yunque y el conjunto 22 cartucho de grapas suturados en bolsa de tabaco, el vástago 28 del conjunto 26 yunque es acoplado a los medios 30 de conexión dispuestos en el interior del conjunto 22 cartucho de grapas.
Con el propósito de aproximar el conjunto 26 yunque hacia el conjunto 22 cartucho de grapas, el miembro 18 de agarre es girado para desplazar un miembro vástago interior (no mostrado) en una dirección proximal. Esto coloca el conjunto 26 yunque en una posición contigua al conjunto 22 cartucho de grapas y sitúa los extremos del tejido entre estos dos miembros.
Una vez establecida la distancia apropiada entre el conjunto 26 yunque y el conjunto 22 cartucho de grapas, los medios 32 de enclavamiento pueden ser liberados y las empuñaduras 14 de accionamiento pueden ser pivotadas para accionar las grapas a través del tejido y contra el conjunto 26 yunque para completar la anastomosis circular del órgano tubular. Puede hacerse referencia a la patente US No. 5.119.983 para una descripción y una exposición más detalladas de la estructura y del funcionamiento del aparato 10 de grapado quirúrgico.
Tal como se observa en las Figs. 1-4, el conjunto 26 yunque incluye un cabezal 34 de yunque y un vástago 28 que se extiende desde el cabezal 34 de yunque. El cabezal 34 de yunque está configurado para soportar una placa 36 de yunque en el mismo. Idealmente, las cavidades 38 formadoras de grapas están dispuestas en un par de anillos anulares, concéntricos, separados, formados en una placa 36 de yunque.
Tal como se observa en las Figs. 3 y 4, cada cavidad 38 formadora de grapas incluye una cantidad de material “W” de tratamiento de heridas en la misma. Tal como se observa en la Fig. 3, una película o revestimiento 40 puede ser colocada sobre o en la superficie de la placa 36 de yunque cubriendo, de esta manera, las cavidades 38 formadoras de grapas y reteniendo el material “W” de tratamiento de heridas en las mismas. Tal como se observa en la Fig. 4, el material “W” de tratamiento de heridas está contenido en una cápsula o gel 42 líquido colocado en cada cavidad 38 formadora de grapas. Cada cápsula 42 está adherida o si no está contenida de manera fija en las cavidades 38 formadoras de grapas.
Idealmente, el revestimiento 40 es fabricado a partir de un material que puede ser penetrado o roto por grapas “S” quirúrgicas. Por ejemplo, el revestimiento 40 puede ser fabricado a partir de un material polimérico, tal como, polietileno, poliéster, poliuretano y similares. Se prevé que el revestimiento 40 sea fabricado a partir de un material bio-absorbible. De esta manera, en caso de que una parte o la totalidad del revestimiento 40 permanezca en el cuerpo después del
procedimiento quirúrgico, esa parte del revestimiento 40 será absorbida en el cuerpo.
El material de tratamiento de heridas incluye, y no está limitado a, un adhesivo, un sellador, un hemostato y/u otro medicamento. Idealmente, en el uso, el componente sellador del material “W” de tratamiento de heridas funciona para retardar cualquier hemorragia que pueda ocurrir desde el tejido, y el componente adhesivo del material “W” de tratamiento de heridas funciona para asegurar el tejido aproximado unido.
Se prevé que el adhesivo incluya, y no esté limitado a, adhesivos que se endurecen al hacer contacto con el tejido, que se endurecen con la exposición a la luz ultravioleta (UV), que son sensibles a la presión, que son cualquier combinación de los mismos, o cualquier otro adhesivo adecuado conocido. En una realización, se prevé que pueda usarse un adhesivo que tiene un tiempo de curado de aproximadamente 10 a 15 segundos. En otra realización, se prevé que pueda usarse un adhesivo que tiene un tiempo de curado de aproximadamente 30 segundos.
Se prevé que el material “W” de tratamiento de heridas pueda ser un adhesivo o un sellador pre-curado. El sellador o adhesivo pre-curado reaccionará con la humedad y/o el calor del tejido corporal para activar, de esta manera, las propiedades selladoras y/o adhesivas del sellador o adhesivo. Se prevé que el sellador o adhesivo pre-curado pueda ser un hidrogel o similar.
Los ejemplos de adhesivos que pueden ser empleados incluyen materiales adhesivos basados en aldehído, derivados de proteína, por ejemplo, los materiales de albúmina/glutaraldehido comercialmente disponibles, comercializados bajo la marca registrada BioGlueTM por Cryolife, Inc., y materiales basados en cianoacrilato, comercializados bajo las marcas registradas IndermilTM y Derma BondTM por Tyco Healthcare Group, LP y Ethicon Endosurgery, Inc., respectivamente. Los ejemplos de selladores, que pueden ser empleados, incluyen selladores de fibrina y selladores de tejido basados en colágeno y basados en polímero sintético. Los ejemplos de selladores disponibles comercialmente son materiales de hidrogel basados en polietilenglicol sintético, comercializados bajo la marca registrada CoSealTM por Cohesion Technologies y Baxter International, Inc. Los ejemplos de materiales hemostáticos, que pueden ser empleados, incluyen hemostatos tópicos basados en fibrina, basados en colágeno, basados en celulosa regenerada oxidada y basados en gelatina. Los ejemplos de materiales hemostáticos disponibles comercialmente, son materiales de combinación de fibrinógeno-trombina comercializados bajo las marcas registradas CoStasisTM por Tyco Group Healthcare Group, LP, y TisseelTM comercializados por Baxter International, Inc. Los hemostatos en la presente memoria incluyen astringentes, por ejemplo, sulfato de aluminio y coagulantes.
El material “W” de tratamiento de heridas puede incluir también medicamentos. Los medicamentos pueden incluir una o más sustancias, médica y/o quirúrgicamente útiles, tales como fármacos, enzimas, factores de crecimiento, péptidos, proteínas, tintes, agentes de diagnóstico o agentes hemostáticos o cualquier otra sustancia farmacéutica usada en la prevención de estenosis.
Con referencia ahora las Figs. 5-7, en las mismas se ilustra el uso de un dispositivo 10 de grapado quirúrgico y un conjunto 100 yunque desmontable en un procedimiento de anastomosis para efectuar una unión de secciones intestinales “T1” y “T2” contiguas. El procedimiento de anastomosis es realizado, típicamente, usando técnicas quirúrgicas mínimamente invasivas que incluyen instrumentación y medios laparoscópicos. En el punto del procedimiento mostrado en la Fig. 5, se ha retirado previamente una sección intestinal enferma, el conjunto 26 yunque ha sido aplicado a la zona de la operación, bien a través de una incisión quirúrgica o bien transanalmente y ha sido posicionado dentro de la primera sección intestinal “T1”, y una parte 20 cuerpo tubular del dispositivo 10 de grapado quirúrgico ha sido insertada transanalmente en la segunda sección intestinal “T2”. Las secciones intestinales “T1” y “T2” se muestran también aseguradas temporalmente alrededor de sus componentes respectivos (por ejemplo, el eje 28 del conjunto 26 yunque, y el extremo distal de la parte 20 cuerpo tubular) mediante medios convencionales, tales como una sutura en bolsa de tabaco (no mostrada).
A continuación, el cirujano manipula el conjunto 26 yunque hasta que un extremo proximal del eje 28 es conectado operativamente a los medios 30 de conexión de la parte 20 cuerpo tubular. A continuación, el conjunto 26 yunque y la parte 20 cuerpo tubular son aproximados a las secciones intestinales “T1” y “T2” aproximadas.
Con referencia ahora a la Fig. 6, con el conjunto 26 yunque aproximado hacia el conjunto 22 cartucho de grapas y las secciones intestinales “T1” y “T2” sujetadas o capturadas entre los mismos, las cavidades 38 formadoras de grapas del conjunto 26 yunque están alineadas con las ranuras 24 de retención de grapas del miembro 22 de sujeción de grapas. En particular, las grapas “S”, retenidas en las ranuras 24 de retención de grapas, están alineadas con las cavidades 38 formadoras de grapas del conjunto 26 yunque.
Con el conjunto 26 yunque posicionado de esta manera en relación al conjunto 22 cartucho de grapas, el dispositivo 10 de grapado quirúrgico es disparado, grapando y adhiriendo, de esta manera, las secciones intestinales “T1” y “T2” entre sí. Tal como se observa en la Fig. 7, tras disparar el dispositivo 10 de grapado quirúrgico, las grapas “S” son impulsadas
desde el conjunto 22 cartucho de grapas y son impulsadas a través de las secciones intestinales “T1” y “T2”, asegurando mecánicamente, de esta manera, las secciones intestinales “T1” y “T2” entre sí. Conforme las grapas S son impulsadas a través de las secciones intestinales “T1” y “T2”, las grapas “S” penetran en el revestimiento 40 y liberan el material “W” de tratamiento de heridas contenido en las cavidades 38 formadoras de grapas de la placa 36 de yunque sobre del tejido intestinal “T2”. Idealmente, el material “W” de tratamiento de heridas se extiende junto con las grapas “S” a la interfaz entre los tejidos intestinales “T1” y “T2”. De esta manera, si el material “W” de tratamiento de heridas contiene un adhesivo, el material “W” de tratamiento de heridas ayuda a que las secciones intestinales “T1” y “T2” se adhieran entre sí.
Se prevé además que si el material “W” de tratamiento de heridas contiene un sellador, la filtración de sangre en o sobre el lado 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 yunque sin material de tratamiento de heridas. En el uso, conforme las grapas “S” son impulsadas al interior de las cavidades 38 formadoras de grapas del conjunto 26 yunque, el material “W” de tratamiento de heridas, que incluye un sellador, es desplazado a la zona que rodea las grapas “S”.
Simultáneamente, la cuchilla 50 secciona las partes de las secciones intestinales “T1” y “T2” situadas radialmente hacia el interior de la cuchilla 50.
Con referencia ahora a la Fig. 8, el material “W” de tratamiento de heridas, que incluye un sellador, puede estar dispuesto dentro (por ejemplo, cargado en, envasado en, etc.) de las ranuras 24 de retención de grapas. Consiguientemente, en el uso, cuando el aparato 10 de grapado quirúrgico es disparado, el material “W” de tratamiento de heridas es dispensado sobre o si no es extendido sobre el área de la segunda sección intestinal “T2” que rodea una longitud de grapas “S”.
Aunque se han ilustrado y descrito diversas formas particulares de conjuntos yunque, y un procedimiento particular para usar los mismos, será evidente también que pueden realizarse diversas modificaciones sin alejarse del alcance de la presente divulgación. Por ejemplo, se prevé, y está dentro del alcance de la presente divulgación, que un material de tratamiento de heridas, activado con luz ultravioleta, (por ejemplo, un adhesivo) sea usado en las cavidades 38 formadoras de grapas del conjunto 26 yunque. Consiguientemente, en el uso, bien antes o bien después de disparar el dispositivo 10 de grapado quirúrgico, la zona de anastomosis es irradiada con luz UV para activar, de esta manera, el adhesivo.
De esta manera, debería comprenderse que pueden realizarse diversos cambios en la forma, los detalles y la aplicación del conjunto yunque de la presente divulgación sin alejarse del alcance de la presente divulgación.

Claims (10)

  1. REIVINDICACIONES
    1.
    Aparato (10) de grapado quirúrgico que incluye un conjunto (26) yunque configurado para soportar una placa de yunque en el mismo y una placa (36) de yunque conectada operativamente al conjunto yunque y que define una pluralidad de cavidades (38) formadoras de grapas en el mismo, en el que el aparato está caracterizado por:
    un material de tratamiento de heridas dispuesto en cada cavidad formadora de grapas de la placa de yunque, en el que el material (W) de tratamiento de heridas está contenido en una cápsula (42), en el que cada cápsula está configurada para su retención en el interior de las cavidades formadoras de grapas.
  2. 2.
    Aparato de grapado quirúrgico según la reivindicación 1, que comprende además un revestimiento (40) que cubre la pluralidad de cavidades formadoras de grapas.
  3. 3.
    Aparato de grapado quirúrgico según la reivindicación 1 ó 2, en el que las cavidades formadoras de grapas están dispuestas en un par de anillos anulares, concéntricos, separados.
  4. 4.
    Aparato de grapado quirúrgico según la reivindicación 1, 2 ó 3, en el que las cavidades formadoras de grapas están alineadas con las ranuras (24) de retención de grapas respectivas formadas en un conjunto (22) cartucho de grapas del aparato de grapado quirúrgico.
  5. 5.
    Aparato de grapado quirúrgico según la reivindicación 1, en el que el material de tratamiento de heridas es un adhesivo.
  6. 6.
    Aparato de grapado quirúrgico según la reivindicación 1, en el que el material de tratamiento de heridas es un sellador.
  7. 7.
    Aparato de grapado quirúrgico según la reivindicación 1, en el que el material de tratamiento de heridas es un hemostato.
  8. 8.
    Aparato de grapado quirúrgico según la reivindicación 1, en el que el material de tratamiento de heridas es un medicamento.
  9. 9.
    Aparato de grapado quirúrgico según una cualquiera de las reivindicaciones 2 a 4, en el que el revestimiento es fabricado a partir de un material bioabsorbible.
  10. 10.
    Aparato de grapado quirúrgico según una cualquiera de las reivindicaciones anteriores, en el que las cápsulas están adheridas a las cavidades formadoras de grapas.
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Families Citing this family (764)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP4316491B2 (ja) 2002-05-10 2009-08-19 タイコ ヘルスケア グループ エルピー 創傷閉鎖材料アプリケーターおよびステープラ
EP2289429B1 (en) 2002-05-10 2015-06-17 Covidien LP Surgical stapling apparatus having a wound closure material applicator assembly
ES2366425T3 (es) 2002-06-17 2011-10-20 Tyco Healthcare Group Lp Estructuras anulares de soporte.
US7303106B2 (en) * 2002-10-04 2007-12-04 Tyco Healthcare Group Lp Surgical stapling device with visual indicator
AU2003243219B2 (en) 2003-05-09 2009-10-29 Covidien Lp Anastomotic staple with fluid dispensing capillary
US20070084897A1 (en) 2003-05-20 2007-04-19 Shelton Frederick E Iv Articulating surgical stapling instrument incorporating a two-piece e-beam firing mechanism
US9060770B2 (en) 2003-05-20 2015-06-23 Ethicon Endo-Surgery, Inc. Robotically-driven surgical instrument with E-beam driver
US8181840B2 (en) 2004-03-19 2012-05-22 Tyco Healthcare Group Lp Tissue tensioner assembly and approximation mechanism for surgical stapling device
US11998198B2 (en) 2004-07-28 2024-06-04 Cilag Gmbh International Surgical stapling instrument incorporating a two-piece E-beam firing mechanism
US11896225B2 (en) 2004-07-28 2024-02-13 Cilag Gmbh International Staple cartridge comprising a pan
US8215531B2 (en) 2004-07-28 2012-07-10 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having a medical substance dispenser
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
US7938307B2 (en) 2004-10-18 2011-05-10 Tyco Healthcare Group Lp Support structures and methods of using the same
EP2345375A1 (en) 2004-10-18 2011-07-20 Tyco Healthcare Group LP Annular adhesive structure
US7717313B2 (en) 2004-10-18 2010-05-18 Tyco Healthcare Group Lp Surgical apparatus and structure for applying sprayable wound treatment material
US7455682B2 (en) 2004-10-18 2008-11-25 Tyco Healthcare Group Lp Structure containing wound treatment material
US7845536B2 (en) 2004-10-18 2010-12-07 Tyco Healthcare Group Lp Annular adhesive structure
AU2005295811B2 (en) * 2004-10-18 2011-03-03 Covidien Lp Adhesive suture structure and methods of using the same
EP1804682B1 (en) * 2004-10-18 2017-11-29 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
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
US10159482B2 (en) 2005-08-31 2018-12-25 Ethicon Llc Fastener cartridge assembly comprising a fixed anvil and different staple heights
US20070194082A1 (en) 2005-08-31 2007-08-23 Morgan Jerome R Surgical stapling device with anvil having staple forming pockets of varying depths
US11246590B2 (en) 2005-08-31 2022-02-15 Cilag Gmbh International Staple cartridge including staple drivers having different unfired heights
US7934630B2 (en) 2005-08-31 2011-05-03 Ethicon Endo-Surgery, Inc. Staple cartridges for forming staples having differing formed staple heights
US11484312B2 (en) 2005-08-31 2022-11-01 Cilag Gmbh International Staple cartridge comprising a staple driver arrangement
US20070106317A1 (en) 2005-11-09 2007-05-10 Shelton Frederick E Iv Hydraulically and electrically actuated articulation joints for surgical instruments
US8708213B2 (en) 2006-01-31 2014-04-29 Ethicon Endo-Surgery, Inc. Surgical instrument having a feedback system
US7753904B2 (en) 2006-01-31 2010-07-13 Ethicon Endo-Surgery, Inc. Endoscopic surgical instrument with a handle that can articulate with respect to the shaft
US8820603B2 (en) 2006-01-31 2014-09-02 Ethicon Endo-Surgery, Inc. Accessing data stored in a memory of a surgical instrument
US7845537B2 (en) 2006-01-31 2010-12-07 Ethicon Endo-Surgery, Inc. Surgical instrument having recording capabilities
US20110290856A1 (en) 2006-01-31 2011-12-01 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical instrument with force-feedback capabilities
US20120292367A1 (en) 2006-01-31 2012-11-22 Ethicon Endo-Surgery, Inc. Robotically-controlled end effector
US11278279B2 (en) 2006-01-31 2022-03-22 Cilag Gmbh International Surgical instrument assembly
US11793518B2 (en) 2006-01-31 2023-10-24 Cilag Gmbh International Powered surgical instruments with firing system lockout arrangements
US8161977B2 (en) 2006-01-31 2012-04-24 Ethicon Endo-Surgery, Inc. Accessing data stored in a memory of a surgical instrument
US20110006101A1 (en) 2009-02-06 2011-01-13 EthiconEndo-Surgery, Inc. Motor driven surgical fastener device with cutting member lockout arrangements
US11224427B2 (en) 2006-01-31 2022-01-18 Cilag Gmbh International Surgical stapling system including a console and retraction assembly
US20110024477A1 (en) 2009-02-06 2011-02-03 Hall Steven G Driven Surgical Stapler Improvements
US8763879B2 (en) 2006-01-31 2014-07-01 Ethicon Endo-Surgery, Inc. Accessing data stored in a memory of surgical instrument
US9861359B2 (en) 2006-01-31 2018-01-09 Ethicon Llc Powered surgical instruments with firing system lockout arrangements
US8186555B2 (en) 2006-01-31 2012-05-29 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with mechanical closure system
US8992422B2 (en) 2006-03-23 2015-03-31 Ethicon Endo-Surgery, Inc. Robotically-controlled endoscopic accessory channel
US8236010B2 (en) 2006-03-23 2012-08-07 Ethicon Endo-Surgery, Inc. Surgical fastener and cutter with mimicking end effector
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
US20110087276A1 (en) 2009-10-09 2011-04-14 Ethicon Endo-Surgery, Inc. Method for forming a staple
US10568652B2 (en) 2006-09-29 2020-02-25 Ethicon Llc Surgical staples having attached drivers of different heights and stapling instruments for deploying the same
US7794475B2 (en) 2006-09-29 2010-09-14 Ethicon Endo-Surgery, Inc. Surgical staples having compressible or crushable members for securing tissue therein and stapling instruments for deploying the same
US10130359B2 (en) 2006-09-29 2018-11-20 Ethicon Llc Method for forming a staple
US11980366B2 (en) 2006-10-03 2024-05-14 Cilag Gmbh International Surgical instrument
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
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
US20080110961A1 (en) * 2006-11-10 2008-05-15 Ethicon Endo-Surgery, Inc. Initiator Coating of Staples
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
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
US8840603B2 (en) 2007-01-10 2014-09-23 Ethicon Endo-Surgery, Inc. Surgical instrument with wireless communication between control unit and sensor transponders
US11291441B2 (en) 2007-01-10 2022-04-05 Cilag Gmbh International Surgical instrument with wireless communication between control unit and remote sensor
US8459520B2 (en) 2007-01-10 2013-06-11 Ethicon Endo-Surgery, Inc. Surgical instrument with wireless communication between control unit and remote sensor
US20080169333A1 (en) 2007-01-11 2008-07-17 Shelton Frederick E Surgical stapler end effector with tapered distal end
US11039836B2 (en) 2007-01-11 2021-06-22 Cilag Gmbh International Staple cartridge for use with a surgical stapling instrument
WO2008103406A1 (en) * 2007-02-20 2008-08-28 Kci Licensing Inc. System and method for distingushing leaks from a disengaged canister condition in a redued pressure treatment system
AU2007348492B9 (en) 2007-03-07 2013-04-18 Covidien Ag Stapler for mucosectomy
US7438209B1 (en) 2007-03-15 2008-10-21 Ethicon Endo-Surgery, Inc. Surgical stapling instruments having a releasable staple-forming pocket
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
US8534528B2 (en) 2007-06-04 2013-09-17 Ethicon Endo-Surgery, Inc. Surgical instrument having a multiple rate directional switching mechanism
US8931682B2 (en) 2007-06-04 2015-01-13 Ethicon Endo-Surgery, Inc. Robotically-controlled shaft based rotary drive systems for surgical instruments
US11857181B2 (en) 2007-06-04 2024-01-02 Cilag Gmbh International 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
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
US8408439B2 (en) 2007-06-22 2013-04-02 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
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
US8540133B2 (en) 2008-09-19 2013-09-24 Ethicon Endo-Surgery, Inc. Staple cartridge
US7905381B2 (en) 2008-09-19 2011-03-15 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with cutting member arrangement
US7766209B2 (en) 2008-02-13 2010-08-03 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with improved firing trigger arrangement
US8622274B2 (en) 2008-02-14 2014-01-07 Ethicon Endo-Surgery, Inc. Motorized cutting and fastening instrument having control circuit for optimizing battery usage
US8636736B2 (en) 2008-02-14 2014-01-28 Ethicon Endo-Surgery, Inc. Motorized surgical cutting and fastening instrument
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
US8752749B2 (en) 2008-02-14 2014-06-17 Ethicon Endo-Surgery, Inc. Robotically-controlled disposable motor-driven loading unit
US8758391B2 (en) 2008-02-14 2014-06-24 Ethicon Endo-Surgery, Inc. Interchangeable tools for surgical instruments
US8584919B2 (en) 2008-02-14 2013-11-19 Ethicon Endo-Sugery, Inc. Surgical stapling apparatus with load-sensitive firing mechanism
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
US9179912B2 (en) 2008-02-14 2015-11-10 Ethicon Endo-Surgery, Inc. Robotically-controlled motorized surgical cutting and fastening instrument
JP5410110B2 (ja) 2008-02-14 2014-02-05 エシコン・エンド−サージェリィ・インコーポレイテッド Ｒｆ電極を有する外科用切断・固定器具
US7819298B2 (en) 2008-02-14 2010-10-26 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with control features operable with one hand
US8657174B2 (en) 2008-02-14 2014-02-25 Ethicon Endo-Surgery, Inc. Motorized surgical cutting and fastening instrument having handle based power source
US7866527B2 (en) 2008-02-14 2011-01-11 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with interlockable firing system
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
US20090206139A1 (en) 2008-02-15 2009-08-20 Ethicon Endo-Surgery, Inc. Buttress material for a surgical instrument
US11272927B2 (en) 2008-02-15 2022-03-15 Cilag Gmbh International Layer arrangements for surgical staple cartridges
US7980443B2 (en) 2008-02-15 2011-07-19 Ethicon Endo-Surgery, Inc. End effectors for a surgical cutting and stapling instrument
US20090206131A1 (en) 2008-02-15 2009-08-20 Ethicon Endo-Surgery, Inc. End effector coupling arrangements for a surgical cutting and stapling instrument
US8608044B2 (en) * 2008-02-15 2013-12-17 Ethicon Endo-Surgery, Inc. Feedback and lockout mechanism for surgical instrument
US10390823B2 (en) 2008-02-15 2019-08-27 Ethicon Llc End effector comprising an adjunct
US8181838B2 (en) 2008-09-10 2012-05-22 Tyco Healthcare Group Lp Surgical stapling device
US20100069942A1 (en) * 2008-09-18 2010-03-18 Ethicon Endo-Surgery, Inc. Surgical instrument with apparatus for measuring elapsed time between actions
US8083120B2 (en) 2008-09-18 2011-12-27 Ethicon Endo-Surgery, Inc. End effector for use with a surgical cutting and stapling instrument
PL3476312T3 (pl) 2008-09-19 2024-03-11 Ethicon Llc Stapler chirurgiczny z urządzeniem do dopasowania wysokości zszywek
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
US11648005B2 (en) 2008-09-23 2023-05-16 Cilag Gmbh International Robotically-controlled motorized surgical instrument with an end effector
US8210411B2 (en) 2008-09-23 2012-07-03 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting instrument
US9005230B2 (en) 2008-09-23 2015-04-14 Ethicon Endo-Surgery, Inc. Motorized surgical instrument
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
US8414577B2 (en) 2009-02-05 2013-04-09 Ethicon Endo-Surgery, Inc. Surgical instruments and components for use in sterile environments
US8517239B2 (en) 2009-02-05 2013-08-27 Ethicon Endo-Surgery, Inc. Surgical stapling instrument comprising a magnetic element driver
US8397971B2 (en) 2009-02-05 2013-03-19 Ethicon Endo-Surgery, Inc. Sterilizable surgical instrument
US8485413B2 (en) 2009-02-05 2013-07-16 Ethicon Endo-Surgery, Inc. Surgical stapling instrument comprising an articulation joint
JP2012517287A (ja) 2009-02-06 2012-08-02 エシコン・エンド−サージェリィ・インコーポレイテッド 被駆動式手術用ステープラの改良
US8444036B2 (en) 2009-02-06 2013-05-21 Ethicon Endo-Surgery, Inc. Motor driven surgical fastener device with mechanisms for adjusting a tissue gap within the end effector
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
US8430292B2 (en) 2009-10-28 2013-04-30 Covidien Lp Surgical fastening apparatus
US8322590B2 (en) 2009-10-28 2012-12-04 Covidien Lp Surgical stapling instrument
EP2498763A4 (en) 2009-11-09 2015-10-07 Spotlight Technology Partners Llc HYDROGELE ON POLYSACCHARIDBASIS
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
US8622275B2 (en) 2009-11-19 2014-01-07 Ethicon Endo-Surgery, Inc. Circular stapler introducer with rigid distal end portion
US8136712B2 (en) 2009-12-10 2012-03-20 Ethicon Endo-Surgery, Inc. Surgical stapler with discrete staple height adjustment and tactile feedback
US8220688B2 (en) * 2009-12-24 2012-07-17 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting instrument with electric actuator directional control assembly
US8851354B2 (en) 2009-12-24 2014-10-07 Ethicon Endo-Surgery, Inc. Surgical cutting instrument that analyzes tissue thickness
US8267300B2 (en) 2009-12-30 2012-09-18 Ethicon Endo-Surgery, Inc. Dampening device for endoscopic surgical stapler
US8608046B2 (en) 2010-01-07 2013-12-17 Ethicon Endo-Surgery, Inc. Test device for a surgical tool
US8646674B2 (en) * 2010-05-11 2014-02-11 Ethicon Endo-Surgery, Inc. Methods and apparatus for delivering tissue treatment compositions to stapled tissue
US8801734B2 (en) 2010-07-30 2014-08-12 Ethicon Endo-Surgery, Inc. Circular stapling instruments with secondary cutting arrangements and methods of using same
US8789740B2 (en) 2010-07-30 2014-07-29 Ethicon Endo-Surgery, Inc. Linear cutting and stapling device with selectively disengageable cutting member
US8783543B2 (en) 2010-07-30 2014-07-22 Ethicon Endo-Surgery, Inc. Tissue acquisition arrangements and methods for surgical stapling devices
US8360296B2 (en) 2010-09-09 2013-01-29 Ethicon Endo-Surgery, Inc. Surgical stapling head assembly with firing lockout for a surgical stapler
US9289212B2 (en) 2010-09-17 2016-03-22 Ethicon Endo-Surgery, Inc. Surgical instruments and batteries for surgical instruments
US8632525B2 (en) 2010-09-17 2014-01-21 Ethicon Endo-Surgery, Inc. Power control arrangements for surgical instruments and batteries
US20120078244A1 (en) 2010-09-24 2012-03-29 Worrell Barry C Control features for articulating surgical device
US8733613B2 (en) 2010-09-29 2014-05-27 Ethicon Endo-Surgery, Inc. Staple cartridge
US11812965B2 (en) 2010-09-30 2023-11-14 Cilag Gmbh International Layer of material for a surgical end effector
US9629814B2 (en) 2010-09-30 2017-04-25 Ethicon Endo-Surgery, Llc Tissue thickness compensator configured to redistribute compressive forces
US11925354B2 (en) 2010-09-30 2024-03-12 Cilag Gmbh International Staple cartridge comprising staples positioned within a compressible portion thereof
US9386988B2 (en) 2010-09-30 2016-07-12 Ethicon End-Surgery, LLC Retainer assembly including a tissue thickness compensator
US9301752B2 (en) 2010-09-30 2016-04-05 Ethicon Endo-Surgery, Llc Tissue thickness compensator comprising a plurality of capsules
US9232941B2 (en) 2010-09-30 2016-01-12 Ethicon Endo-Surgery, Inc. Tissue thickness compensator comprising a reservoir
US9272406B2 (en) 2010-09-30 2016-03-01 Ethicon Endo-Surgery, Llc Fastener cartridge comprising a cutting member for releasing a tissue thickness compensator
US8893949B2 (en) 2010-09-30 2014-11-25 Ethicon Endo-Surgery, Inc. Surgical stapler with floating anvil
US8740034B2 (en) 2010-09-30 2014-06-03 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with interchangeable staple cartridge arrangements
US10945731B2 (en) 2010-09-30 2021-03-16 Ethicon Llc Tissue thickness compensator comprising controlled release and expansion
US9364233B2 (en) 2010-09-30 2016-06-14 Ethicon Endo-Surgery, Llc Tissue thickness compensators for circular surgical staplers
EP2621356B1 (en) 2010-09-30 2018-03-07 Ethicon LLC Fastener system comprising a retention matrix and an alignment matrix
US11298125B2 (en) 2010-09-30 2022-04-12 Cilag Gmbh International Tissue stapler having a thickness compensator
US9332974B2 (en) 2010-09-30 2016-05-10 Ethicon Endo-Surgery, Llc Layered tissue thickness compensator
US9480476B2 (en) 2010-09-30 2016-11-01 Ethicon Endo-Surgery, Llc Tissue thickness compensator comprising resilient members
US9307989B2 (en) 2012-03-28 2016-04-12 Ethicon Endo-Surgery, Llc Tissue stapler having a thickness compensator incorportating a hydrophobic agent
US20120080336A1 (en) 2010-09-30 2012-04-05 Ethicon Endo-Surgery, Inc. Staple cartridge comprising staples positioned within a compressible portion thereof
US9220501B2 (en) 2010-09-30 2015-12-29 Ethicon Endo-Surgery, Inc. Tissue thickness compensators
US9204880B2 (en) 2012-03-28 2015-12-08 Ethicon Endo-Surgery, Inc. Tissue thickness compensator comprising capsules defining a low pressure environment
US9055941B2 (en) 2011-09-23 2015-06-16 Ethicon Endo-Surgery, Inc. Staple cartridge including collapsible deck
US9241714B2 (en) 2011-04-29 2016-01-26 Ethicon Endo-Surgery, Inc. Tissue thickness compensator and method for making the same
US9314246B2 (en) 2010-09-30 2016-04-19 Ethicon Endo-Surgery, Llc Tissue stapler having a thickness compensator incorporating an anti-inflammatory agent
US12213666B2 (en) 2010-09-30 2025-02-04 Cilag Gmbh International Tissue thickness compensator comprising layers
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
US9033204B2 (en) 2011-03-14 2015-05-19 Ethicon Endo-Surgery, Inc. Circular stapling devices with tissue-puncturing anvil features
US8926598B2 (en) 2011-03-15 2015-01-06 Ethicon Endo-Surgery, Inc. Surgical instruments with articulatable and rotatable end effector
US8800841B2 (en) 2011-03-15 2014-08-12 Ethicon Endo-Surgery, Inc. Surgical staple cartridges
CN104053407B (zh) 2011-04-29 2016-10-26 伊西康内外科公司 包括定位在其可压缩部分内的钉的钉仓
US11207064B2 (en) 2011-05-27 2021-12-28 Cilag Gmbh International Automated end effector component reloading system for use with a robotic system
US8789739B2 (en) 2011-09-06 2014-07-29 Ethicon Endo-Surgery, Inc. Continuous stapling instrument
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
MX351608B (es) * 2012-03-28 2017-10-20 Ethicon Endo Surgery Inc Compensador de grosor de tejidos que comprende canales.
MX358135B (es) 2012-03-28 2018-08-06 Ethicon Endo Surgery Inc Compensador de grosor de tejido que comprende una pluralidad de capas.
US9198662B2 (en) 2012-03-28 2015-12-01 Ethicon Endo-Surgery, Inc. Tissue thickness compensator having improved visibility
MX353040B (es) 2012-03-28 2017-12-18 Ethicon Endo Surgery Inc Unidad retenedora que incluye un compensador de grosor de tejido.
BR112014024098B1 (pt) 2012-03-28 2021-05-25 Ethicon Endo-Surgery, Inc. cartucho de grampos
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
US9289256B2 (en) 2012-06-28 2016-03-22 Ethicon Endo-Surgery, Llc Surgical end effectors having angled tissue-contacting surfaces
RU2636861C2 (ru) 2012-06-28 2017-11-28 Этикон Эндо-Серджери, Инк. Блокировка пустой кассеты с клипсами
US9101385B2 (en) 2012-06-28 2015-08-11 Ethicon Endo-Surgery, Inc. Electrode connections for rotary driven surgical tools
US20140001231A1 (en) 2012-06-28 2014-01-02 Ethicon Endo-Surgery, Inc. Firing system lockout arrangements for surgical instruments
US9028494B2 (en) 2012-06-28 2015-05-12 Ethicon Endo-Surgery, Inc. Interchangeable end effector coupling arrangement
US9364230B2 (en) 2012-06-28 2016-06-14 Ethicon Endo-Surgery, Llc Surgical stapling instruments with rotary joint assemblies
US11197671B2 (en) 2012-06-28 2021-12-14 Cilag Gmbh International Stapling assembly comprising a lockout
US8747238B2 (en) 2012-06-28 2014-06-10 Ethicon Endo-Surgery, Inc. Rotary drive shaft assemblies for surgical instruments with articulatable end effectors
US9119657B2 (en) 2012-06-28 2015-09-01 Ethicon Endo-Surgery, Inc. Rotary actuatable closure arrangement for surgical end effector
US9561038B2 (en) 2012-06-28 2017-02-07 Ethicon Endo-Surgery, Llc Interchangeable clip applier
US9072536B2 (en) 2012-06-28 2015-07-07 Ethicon Endo-Surgery, Inc. Differential locking arrangements for rotary powered surgical instruments
US9125662B2 (en) 2012-06-28 2015-09-08 Ethicon Endo-Surgery, Inc. Multi-axis articulating and rotating surgical tools
US20140005718A1 (en) 2012-06-28 2014-01-02 Ethicon Endo-Surgery, Inc. Multi-functional powered surgical device with external dissection features
US12383267B2 (en) 2012-06-28 2025-08-12 Cilag Gmbh International Robotically powered surgical device with manually-actuatable reversing system
US9282974B2 (en) 2012-06-28 2016-03-15 Ethicon Endo-Surgery, Llc Empty clip cartridge lockout
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
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
US9468438B2 (en) 2013-03-01 2016-10-18 Eticon Endo-Surgery, LLC Sensor straightened end effector during removal through trocar
MX368026B (es) 2013-03-01 2019-09-12 Ethicon Endo Surgery Inc Instrumento quirúrgico articulable con vías conductoras para la comunicación de la señal.
BR112015021082B1 (pt) 2013-03-01 2022-05-10 Ethicon Endo-Surgery, Inc Instrumento cirúrgico
US20140263552A1 (en) 2013-03-13 2014-09-18 Ethicon Endo-Surgery, Inc. Staple cartridge tissue thickness sensor system
US9592056B2 (en) 2013-03-14 2017-03-14 Covidien Lp Powered stapling apparatus
US20140263541A1 (en) 2013-03-14 2014-09-18 Ethicon Endo-Surgery, Inc. Articulatable surgical instrument comprising an articulation lock
US9629629B2 (en) 2013-03-14 2017-04-25 Ethicon Endo-Surgey, LLC Control systems for 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
US9844368B2 (en) 2013-04-16 2017-12-19 Ethicon Llc Surgical system comprising first and second drive systems
BR112015026109B1 (pt) 2013-04-16 2022-02-22 Ethicon Endo-Surgery, Inc Instrumento cirúrgico
US9574644B2 (en) 2013-05-30 2017-02-21 Ethicon Endo-Surgery, Llc Power module for use with a surgical instrument
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
BR112016003329B1 (pt) 2013-08-23 2021-12-21 Ethicon Endo-Surgery, Llc Instrumento cirúrgico
US9775609B2 (en) 2013-08-23 2017-10-03 Ethicon Llc Tamper proof circuit for surgical instrument battery pack
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
US9554802B2 (en) 2013-11-13 2017-01-31 Covidien Lp Anvil assembly with frangible retaining member
US9517070B2 (en) 2013-11-13 2016-12-13 Covidien Lp Anvil assembly and delivery system
US9585662B2 (en) 2013-12-23 2017-03-07 Ethicon Endo-Surgery, Llc Fastener cartridge comprising an extendable firing member
US9642620B2 (en) 2013-12-23 2017-05-09 Ethicon Endo-Surgery, Llc Surgical cutting and stapling instruments with articulatable end effectors
US9724092B2 (en) 2013-12-23 2017-08-08 Ethicon Llc Modular surgical instruments
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
US9839428B2 (en) 2013-12-23 2017-12-12 Ethicon Llc Surgical cutting and stapling instruments with independent jaw control features
US9962161B2 (en) 2014-02-12 2018-05-08 Ethicon Llc Deliverable surgical instrument
US9775608B2 (en) 2014-02-24 2017-10-03 Ethicon Llc Fastening system comprising a firing member lockout
CN106232029B (zh) 2014-02-24 2019-04-12 伊西康内外科有限责任公司 包括击发构件锁定件的紧固系统
US9804618B2 (en) 2014-03-26 2017-10-31 Ethicon Llc Systems and methods for controlling a segmented circuit
US12232723B2 (en) 2014-03-26 2025-02-25 Cilag Gmbh International Systems and methods for controlling a segmented circuit
US9913642B2 (en) 2014-03-26 2018-03-13 Ethicon Llc Surgical instrument comprising a sensor system
US20150272557A1 (en) 2014-03-26 2015-10-01 Ethicon Endo-Surgery, Inc. Modular surgical instrument system
BR112016021943B1 (pt) 2014-03-26 2022-06-14 Ethicon Endo-Surgery, Llc Instrumento cirúrgico para uso por um operador em um procedimento cirúrgico
US9750499B2 (en) 2014-03-26 2017-09-05 Ethicon Llc Surgical stapling instrument system
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
US10426476B2 (en) 2014-09-26 2019-10-01 Ethicon Llc Circular fastener cartridges for applying radially expandable fastener lines
BR112016023825B1 (pt) 2014-04-16 2022-08-02 Ethicon Endo-Surgery, Llc Cartucho de grampos para uso com um grampeador cirúrgico e cartucho de grampos para uso com um instrumento cirúrgico
US11517315B2 (en) 2014-04-16 2022-12-06 Cilag Gmbh International Fastener cartridges including extensions having different configurations
CN106456159B (zh) 2014-04-16 2019-03-08 伊西康内外科有限责任公司 紧固件仓组件和钉保持器盖布置结构
US20150297223A1 (en) 2014-04-16 2015-10-22 Ethicon Endo-Surgery, Inc. Fastener cartridges including extensions having different configurations
US9913643B2 (en) 2014-05-09 2018-03-13 Covidien Lp Interlock assemblies for replaceable loading unit
BR112016028759B1 (pt) * 2014-06-10 2023-03-28 Ethicon Endo-Surgery, Llc Atuador de extremidade para um instrumento cirúrgico
JP6672182B2 (ja) * 2014-06-10 2020-03-25 エシコン エルエルシーＥｔｈｉｃｏｎ ＬＬＣ ステープル留めされた組織を封止するための方法及び装置
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
EP3154448B1 (en) 2014-06-12 2019-08-28 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
EP3164084B1 (en) 2014-07-04 2020-02-19 Covidien LP Loading unit with shipping member for surgical stapling device
US9757133B2 (en) 2014-07-09 2017-09-12 Covidien Lp Methods and devices for performing a surgical anastomosis
US20160066913A1 (en) 2014-09-05 2016-03-10 Ethicon Endo-Surgery, Inc. Local display of tissue parameter stabilization
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
CN107427300B (zh) 2014-09-26 2020-12-04 伊西康有限责任公司 外科缝合支撑物和辅助材料
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
US10517594B2 (en) 2014-10-29 2019-12-31 Ethicon Llc Cartridge assemblies for surgical staplers
US11141153B2 (en) 2014-10-29 2021-10-12 Cilag Gmbh International Staple cartridges comprising driver arrangements
US9844376B2 (en) 2014-11-06 2017-12-19 Ethicon Llc Staple cartridge comprising a releasable adjunct material
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
CN107106168B (zh) 2014-12-11 2020-03-03 柯惠有限合伙公司 外科缝合加载单元
WO2016090600A1 (en) 2014-12-11 2016-06-16 Covidien Lp Stapler with auto-matic lockout mechanism
EP3232946A1 (en) 2014-12-17 2017-10-25 Covidien LP Surgical stapling device with firing indicator
US9987000B2 (en) 2014-12-18 2018-06-05 Ethicon Llc Surgical instrument assembly comprising a flexible articulation system
US10117649B2 (en) 2014-12-18 2018-11-06 Ethicon Llc Surgical instrument assembly comprising a lockable articulation system
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
US9844375B2 (en) 2014-12-18 2017-12-19 Ethicon Llc Drive arrangements for articulatable surgical instruments
US10188385B2 (en) 2014-12-18 2019-01-29 Ethicon Llc Surgical instrument system comprising lockable systems
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
MX389118B (es) 2014-12-18 2025-03-20 Ethicon Llc Instrumento quirurgico con un yunque que puede moverse de manera selectiva sobre un eje discreto no movil con relacion a un cartucho de grapas.
US10085748B2 (en) 2014-12-18 2018-10-02 Ethicon Llc Locking arrangements for detachable shaft assemblies with articulatable surgical end effectors
US10117656B2 (en) 2015-01-07 2018-11-06 Covidien Lp Loading unit locking collar
US10039549B2 (en) 2015-01-07 2018-08-07 Covidien Lp Loading unit retention clip for surgical stapling instrument
US10022126B2 (en) 2015-01-07 2018-07-17 Covidien Lp Loading unit locking collar
US9999759B2 (en) 2015-01-15 2018-06-19 Ethicon, Inc. Linear staplers having resorbable microneedles containing active agents
US10792042B2 (en) * 2015-01-15 2020-10-06 Ethicon, Inc. Circular staplers having resorbable microneedles containing active agents
EP3256057B1 (en) 2015-02-15 2021-07-28 Covidien LP Surgical stapling device with firing indicator of unitary construction
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
US11154301B2 (en) 2015-02-27 2021-10-26 Cilag Gmbh International Modular stapling assembly
US9993258B2 (en) 2015-02-27 2018-06-12 Ethicon Llc Adaptable surgical instrument handle
US10182816B2 (en) 2015-02-27 2019-01-22 Ethicon Llc Charging system that enables emergency resolutions for charging a battery
US10441279B2 (en) 2015-03-06 2019-10-15 Ethicon Llc Multiple level thresholds to modify operation of 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
US9808246B2 (en) 2015-03-06 2017-11-07 Ethicon Endo-Surgery, Llc Method of operating a powered surgical instrument
US9901342B2 (en) 2015-03-06 2018-02-27 Ethicon Endo-Surgery, Llc Signal and power communication system positioned on a rotatable shaft
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
US10617412B2 (en) 2015-03-06 2020-04-14 Ethicon Llc System for detecting the mis-insertion of a staple cartridge into a surgical stapler
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
US10052044B2 (en) 2015-03-06 2018-08-21 Ethicon Llc Time dependent evaluation of sensor data to determine stability, creep, and viscoelastic elements of measures
US10245033B2 (en) 2015-03-06 2019-04-02 Ethicon Llc Surgical instrument comprising a lockable battery housing
US9924961B2 (en) 2015-03-06 2018-03-27 Ethicon Endo-Surgery, Llc Interactive feedback system for powered surgical instruments
US9993248B2 (en) 2015-03-06 2018-06-12 Ethicon Endo-Surgery, Llc Smart sensors with local signal processing
US9895148B2 (en) 2015-03-06 2018-02-20 Ethicon Endo-Surgery, Llc Monitoring speed control and precision incrementing of motor for powered surgical instruments
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
US10405863B2 (en) 2015-06-18 2019-09-10 Ethicon Llc Movable firing beam support arrangements for articulatable surgical instruments
US9974536B2 (en) 2015-07-02 2018-05-22 Covidien Lp Anvil assemblies and delivery systems
US10111668B2 (en) 2015-07-02 2018-10-30 Covidien Lp Anvil assembly with snap backup ring
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
MX2022009705A (es) 2015-08-26 2022-11-07 Ethicon Llc Metodo para formar una grapa contra un yunque de un instrumento de engrapado quirurgico.
CN108348233B (zh) 2015-08-26 2021-05-07 伊西康有限责任公司 用于允许改变钉特性并实现轻松仓加载的外科钉条
US11103248B2 (en) 2015-08-26 2021-08-31 Cilag Gmbh International Surgical staples for minimizing staple roll
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
US10569071B2 (en) 2015-08-31 2020-02-25 Ethicon Llc Medicant eluting adjuncts and methods of using medicant eluting adjuncts
US9937283B2 (en) * 2015-08-31 2018-04-10 Ethicon Endo-Surgery, Llc Adjunct material to provide drug elution from vessels
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.
US10172619B2 (en) 2015-09-02 2019-01-08 Ethicon Llc Surgical staple driver arrays
US9980730B2 (en) 2015-09-21 2018-05-29 Covidien Lp Loading unit locking collar with rotational actuated release
US10076326B2 (en) 2015-09-23 2018-09-18 Ethicon Llc Surgical stapler having current mirror-based motor control
US10363036B2 (en) 2015-09-23 2019-07-30 Ethicon Llc Surgical stapler having force-based motor control
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
US10327769B2 (en) 2015-09-23 2019-06-25 Ethicon Llc Surgical stapler having motor control based on a drive system component
US10105139B2 (en) 2015-09-23 2018-10-23 Ethicon Llc Surgical stapler having downstream current-based motor control
US10085751B2 (en) 2015-09-23 2018-10-02 Ethicon Llc Surgical stapler having temperature-based motor control
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
US11890015B2 (en) 2015-09-30 2024-02-06 Cilag Gmbh International Compressible adjunct with crossing spacer fibers
US11690623B2 (en) 2015-09-30 2023-07-04 Cilag Gmbh International Method for applying an implantable layer to a fastener cartridge
US20170086829A1 (en) 2015-09-30 2017-03-30 Ethicon Endo-Surgery, Llc Compressible adjunct with intermediate supporting structures
US10980539B2 (en) 2015-09-30 2021-04-20 Ethicon Llc Implantable adjunct comprising bonded layers
US10542992B2 (en) 2015-10-19 2020-01-28 Covidien Lp Loading unit with stretchable bushing
US10973522B2 (en) 2015-10-20 2021-04-13 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
CN108289683B (zh) 2015-11-13 2021-06-25 柯惠有限合伙公司 具有可听指示器机构的圆形钉合器
CN108289684B (zh) 2015-12-07 2021-08-31 柯惠有限合伙公司 砧座组件和输送系统
US10390835B2 (en) 2015-12-10 2019-08-27 Covidien Lp Surgical fastener apparatus with linear position sensor
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
US10265068B2 (en) 2015-12-30 2019-04-23 Ethicon Llc Surgical instruments with separable motors and motor control circuits
US10524797B2 (en) 2016-01-13 2020-01-07 Covidien Lp Adapter assembly including a removable trocar assembly
US10874399B2 (en) 2016-02-04 2020-12-29 Covidien Lp Circular stapler with visual indicator mechanism
BR112018016098B1 (pt) 2016-02-09 2023-02-23 Ethicon Llc Instrumento cirúrgico
US10413291B2 (en) 2016-02-09 2019-09-17 Ethicon Llc Surgical instrument articulation mechanism with slotted secondary constraint
US11213293B2 (en) 2016-02-09 2022-01-04 Cilag Gmbh International Articulatable surgical instruments with single articulation link arrangements
US10398439B2 (en) 2016-02-10 2019-09-03 Covidien Lp Adapter, extension, and connector assemblies for surgical devices
US10603042B2 (en) 2016-02-10 2020-03-31 Covidien Lp Flexible circular stapler
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
US10258331B2 (en) 2016-02-12 2019-04-16 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
US10485542B2 (en) 2016-04-01 2019-11-26 Ethicon Llc Surgical stapling instrument comprising multiple lockouts
US10542991B2 (en) 2016-04-01 2020-01-28 Ethicon Llc Surgical stapling system comprising a jaw attachment lockout
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
CN109219399B (zh) 2016-04-01 2022-05-03 伊西康有限责任公司 外科缝合器械
US11284890B2 (en) 2016-04-01 2022-03-29 Cilag Gmbh International Circular stapling system comprising an incisable tissue support
US10307159B2 (en) 2016-04-01 2019-06-04 Ethicon Llc Surgical instrument handle assembly with reconfigurable grip portion
US10405859B2 (en) 2016-04-15 2019-09-10 Ethicon Llc Surgical instrument with adjustable stop/start control during a firing motion
US10426467B2 (en) 2016-04-15 2019-10-01 Ethicon Llc Surgical instrument with detection sensors
US11179150B2 (en) 2016-04-15 2021-11-23 Cilag Gmbh International Systems and methods for controlling a surgical stapling and cutting instrument
US10335145B2 (en) 2016-04-15 2019-07-02 Ethicon Llc Modular surgical instrument with configurable operating mode
US10828028B2 (en) 2016-04-15 2020-11-10 Ethicon Llc Surgical instrument with multiple program responses during a firing motion
US10357247B2 (en) 2016-04-15 2019-07-23 Ethicon Llc Surgical instrument with multiple program responses during a firing motion
US10456137B2 (en) 2016-04-15 2019-10-29 Ethicon Llc Staple formation detection mechanisms
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
US11317917B2 (en) 2016-04-18 2022-05-03 Cilag Gmbh International Surgical stapling system comprising a lockable firing assembly
US10426469B2 (en) 2016-04-18 2019-10-01 Ethicon Llc Surgical instrument comprising a primary firing lockout and a secondary firing lockout
US20170296173A1 (en) 2016-04-18 2017-10-19 Ethicon Endo-Surgery, Llc Method for operating a surgical instrument
US10595871B2 (en) 2016-05-10 2020-03-24 Covidien Lp Insertion instrument, adapter assemblies and protector assemblies for a flexible circular stapler
USD847989S1 (en) 2016-06-24 2019-05-07 Ethicon Llc Surgical fastener cartridge
CN109310431B (zh) 2016-06-24 2022-03-04 伊西康有限责任公司 包括线材钉和冲压钉的钉仓
USD822206S1 (en) 2016-06-24 2018-07-03 Ethicon Llc Surgical fastener
USD826405S1 (en) 2016-06-24 2018-08-21 Ethicon Llc Surgical fastener
CN109414263B (zh) 2016-06-24 2021-09-10 伊西康有限责任公司 与线钉和冲压钉一起使用的缝合系统
US10702270B2 (en) 2016-06-24 2020-07-07 Ethicon Llc Stapling system for use with wire staples and stamped staples
USD850617S1 (en) 2016-06-24 2019-06-04 Ethicon Llc Surgical fastener cartridge
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
US10499922B2 (en) 2016-11-04 2019-12-10 Covidien Lp Stapling device with self-releasing knife carrier pusher
US10426470B2 (en) 2016-11-04 2019-10-01 Covidien Lp Stapling device with releasable knife carrier
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
US10426471B2 (en) 2016-12-21 2019-10-01 Ethicon Llc Surgical instrument with multiple failure response modes
US10898186B2 (en) 2016-12-21 2021-01-26 Ethicon Llc Staple forming pocket arrangements comprising primary sidewalls and pocket sidewalls
US11090048B2 (en) 2016-12-21 2021-08-17 Cilag Gmbh International Method for resetting a fuse of a surgical instrument shaft
US10667809B2 (en) 2016-12-21 2020-06-02 Ethicon Llc Staple cartridge and staple cartridge channel comprising windows defined therein
US11134942B2 (en) 2016-12-21 2021-10-05 Cilag Gmbh International Surgical stapling instruments and staple-forming anvils
US10687810B2 (en) 2016-12-21 2020-06-23 Ethicon Llc Stepped staple cartridge with tissue retention and gap setting features
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
US10610224B2 (en) 2016-12-21 2020-04-07 Ethicon Llc Lockout arrangements for surgical end effectors and replaceable tool assemblies
US10537324B2 (en) 2016-12-21 2020-01-21 Ethicon Llc Stepped staple cartridge with asymmetrical staples
US20180168625A1 (en) 2016-12-21 2018-06-21 Ethicon Endo-Surgery, Llc Surgical stapling instruments with smart staple cartridges
US10993715B2 (en) 2016-12-21 2021-05-04 Ethicon Llc Staple cartridge comprising staples with different clamping breadths
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
US10945727B2 (en) 2016-12-21 2021-03-16 Ethicon Llc Staple cartridge with deformable driver retention features
US10639034B2 (en) 2016-12-21 2020-05-05 Ethicon Llc Surgical instruments with lockout arrangements for preventing firing system actuation unless an unspent staple cartridge is present
US10568624B2 (en) 2016-12-21 2020-02-25 Ethicon Llc Surgical instruments with jaws that are pivotable about a fixed axis and include separate and distinct closure and firing systems
US10835246B2 (en) 2016-12-21 2020-11-17 Ethicon Llc Staple cartridges and arrangements of staples and staple cavities therein
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
US10779823B2 (en) 2016-12-21 2020-09-22 Ethicon Llc Firing member pin angle
US20180168619A1 (en) 2016-12-21 2018-06-21 Ethicon Endo-Surgery, Llc Surgical stapling systems
US10888322B2 (en) 2016-12-21 2021-01-12 Ethicon Llc Surgical instrument comprising a cutting member
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
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
US11191539B2 (en) 2016-12-21 2021-12-07 Cilag Gmbh International Shaft assembly comprising a manually-operable retraction system for use with a motorized surgical instrument system
US20180168615A1 (en) 2016-12-21 2018-06-21 Ethicon Endo-Surgery, Llc Method of deforming staples from two different types of staple cartridges with the same surgical stapling instrument
MX2019007311A (es) 2016-12-21 2019-11-18 Ethicon Llc Sistemas de engrapado quirurgico.
US11684367B2 (en) 2016-12-21 2023-06-27 Cilag Gmbh International Stepped assembly having and end-of-life indicator
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
AU2017402188A1 (en) 2017-03-09 2019-08-01 Covidien Lp End effector assembly for circular stapler apparatus
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
EP3600078B1 (en) 2017-03-23 2022-06-22 Covidien LP Circular stapling device with alignment splines
US10342534B2 (en) 2017-03-23 2019-07-09 Covidien Lp Surgical stapling device with releasable knife carrier
US10881409B2 (en) 2017-05-02 2021-01-05 Covidien Lp Rotation assembly for a surgical device
US10932784B2 (en) 2017-06-09 2021-03-02 Covidien Lp Handheld electromechanical surgical system
US11045199B2 (en) 2017-06-09 2021-06-29 Covidien Lp Handheld electromechanical surgical system
US11596400B2 (en) 2017-06-09 2023-03-07 Covidien Lp Handheld electromechanical surgical system
US12490980B2 (en) 2017-06-20 2025-12-09 Cilag Gmbh International Surgical instrument having controllable articulation velocity
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
US10368864B2 (en) 2017-06-20 2019-08-06 Ethicon Llc Systems and methods for controlling displaying motor velocity for a surgical instrument
USD879809S1 (en) 2017-06-20 2020-03-31 Ethicon Llc Display panel with changeable graphical user interface
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
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
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
US10646220B2 (en) 2017-06-20 2020-05-12 Ethicon Llc Systems and methods for controlling displacement member velocity for a surgical instrument
USD879808S1 (en) 2017-06-20 2020-03-31 Ethicon Llc Display panel with graphical user interface
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
US10881396B2 (en) 2017-06-20 2021-01-05 Ethicon Llc Surgical instrument with variable duration trigger arrangement
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
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
USD890784S1 (en) 2017-06-20 2020-07-21 Ethicon Llc Display panel with changeable graphical user interface
US10624633B2 (en) 2017-06-20 2020-04-21 Ethicon Llc Systems and methods for controlling motor velocity of a surgical stapling and cutting instrument
US10881399B2 (en) 2017-06-20 2021-01-05 Ethicon Llc Techniques for adaptive control of motor velocity of a surgical stapling and cutting instrument
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
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
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
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
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
US10631859B2 (en) 2017-06-27 2020-04-28 Ethicon Llc Articulation systems for surgical instruments
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
US10772629B2 (en) 2017-06-27 2020-09-15 Ethicon Llc Surgical anvil arrangements
US10856869B2 (en) 2017-06-27 2020-12-08 Ethicon Llc Surgical anvil arrangements
US11324503B2 (en) 2017-06-27 2022-05-10 Cilag Gmbh International Surgical firing member arrangements
USD854151S1 (en) 2017-06-28 2019-07-16 Ethicon Llc Surgical instrument shaft
US11259805B2 (en) 2017-06-28 2022-03-01 Cilag Gmbh International Surgical instrument comprising firing member supports
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
US10211586B2 (en) 2017-06-28 2019-02-19 Ethicon Llc Surgical shaft assemblies with watertight housings
EP3420947B1 (en) 2017-06-28 2022-05-25 Cilag GmbH International Surgical instrument comprising selectively actuatable rotatable couplers
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
US10786253B2 (en) 2017-06-28 2020-09-29 Ethicon Llc Surgical end effectors with improved jaw aperture arrangements
US11696759B2 (en) 2017-06-28 2023-07-11 Cilag Gmbh International Surgical stapling instruments comprising shortened staple cartridge noses
USD851762S1 (en) 2017-06-28 2019-06-18 Ethicon Llc Anvil
US11246592B2 (en) 2017-06-28 2022-02-15 Cilag Gmbh International Surgical instrument comprising an articulation system lockable to a frame
BR112019027065B1 (pt) 2017-06-28 2023-12-26 Ethicon Llc Instrumento cirúrgico e sistema cirúrgico
USD906355S1 (en) 2017-06-28 2020-12-29 Ethicon Llc Display screen or portion thereof with a graphical user interface for a 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
US10932772B2 (en) 2017-06-29 2021-03-02 Ethicon Llc Methods for closed loop velocity control for robotic surgical instrument
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
US10987107B2 (en) 2017-07-05 2021-04-27 Covidien Lp Surgical stapling device
US11944300B2 (en) 2017-08-03 2024-04-02 Cilag Gmbh International Method for operating a surgical system bailout
US11471155B2 (en) 2017-08-03 2022-10-18 Cilag Gmbh International Surgical system bailout
US11974742B2 (en) 2017-08-03 2024-05-07 Cilag Gmbh International Surgical system comprising an articulation bailout
US11304695B2 (en) 2017-08-03 2022-04-19 Cilag Gmbh International Surgical system shaft interconnection
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
EP3675748B1 (en) 2017-09-01 2024-06-12 Covidien LP Circular stapling device with position ribs
USD917500S1 (en) 2017-09-29 2021-04-27 Ethicon Llc Display screen or portion thereof with graphical user interface
US10743872B2 (en) 2017-09-29 2020-08-18 Ethicon Llc System and methods for controlling a display of a surgical instrument
US11399829B2 (en) 2017-09-29 2022-08-02 Cilag Gmbh International Systems and methods of initiating a power shutdown mode for a surgical instrument
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
USD907647S1 (en) 2017-09-29 2021-01-12 Ethicon Llc Display screen or portion thereof with animated graphical user interface
USD907648S1 (en) 2017-09-29 2021-01-12 Ethicon Llc Display screen or portion thereof with animated graphical user interface
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
US11090075B2 (en) 2017-10-30 2021-08-17 Cilag Gmbh International Articulation features for surgical end effector
US11134944B2 (en) 2017-10-30 2021-10-05 Cilag Gmbh International Surgical stapler knife motion controls
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
US11033267B2 (en) 2017-12-15 2021-06-15 Ethicon Llc Systems and methods of controlling a clamping member firing rate of a surgical instrument
US10779825B2 (en) 2017-12-15 2020-09-22 Ethicon Llc Adapters with end effector position sensing and control arrangements for use in connection with electromechanical surgical instruments
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
US10687813B2 (en) 2017-12-15 2020-06-23 Ethicon Llc Adapters with firing stroke sensing arrangements for use in connection with electromechanical surgical instruments
US10869666B2 (en) 2017-12-15 2020-12-22 Ethicon Llc Adapters with control systems for controlling multiple motors of an electromechanical surgical instrument
US10743874B2 (en) 2017-12-15 2020-08-18 Ethicon Llc Sealed adapters for use with electromechanical surgical instruments
US10966718B2 (en) 2017-12-15 2021-04-06 Ethicon Llc Dynamic clamping assemblies with improved wear characteristics for use in connection with electromechanical surgical instruments
US10779826B2 (en) 2017-12-15 2020-09-22 Ethicon Llc Methods of operating surgical end effectors
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
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
US11071543B2 (en) 2017-12-15 2021-07-27 Cilag Gmbh International Surgical end effectors with clamping assemblies configured to increase jaw aperture ranges
US10743875B2 (en) 2017-12-15 2020-08-18 Ethicon Llc Surgical end effectors with jaw stiffener arrangements configured to permit monitoring of firing member
US10729509B2 (en) 2017-12-19 2020-08-04 Ethicon Llc Surgical instrument comprising closure and firing locking mechanism
USD910847S1 (en) 2017-12-19 2021-02-16 Ethicon Llc Surgical instrument assembly
US11020112B2 (en) 2017-12-19 2021-06-01 Ethicon Llc Surgical tools configured for interchangeable use with different controller interfaces
US10716565B2 (en) 2017-12-19 2020-07-21 Ethicon Llc Surgical instruments with dual articulation drivers
US11045270B2 (en) 2017-12-19 2021-06-29 Cilag Gmbh International Robotic attachment comprising exterior drive actuator
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
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
US12336705B2 (en) 2017-12-21 2025-06-24 Cilag Gmbh International Continuous use self-propelled stapling instrument
US20190192151A1 (en) 2017-12-21 2019-06-27 Ethicon Llc Surgical instrument having a display comprising image layers
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
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
US11039834B2 (en) 2018-08-20 2021-06-22 Cilag Gmbh International Surgical stapler anvils with staple directing protrusions and tissue stability features
US11291440B2 (en) 2018-08-20 2022-04-05 Cilag Gmbh International Method for operating a powered articulatable surgical instrument
US11083458B2 (en) 2018-08-20 2021-08-10 Cilag Gmbh International Powered surgical instruments with clutching arrangements to convert linear drive motions to rotary drive motions
US11207065B2 (en) 2018-08-20 2021-12-28 Cilag Gmbh International Method for fabricating surgical stapler anvils
US20200054321A1 (en) 2018-08-20 2020-02-20 Ethicon Llc Surgical instruments with progressive jaw closure arrangements
US11045192B2 (en) 2018-08-20 2021-06-29 Cilag Gmbh International Fabricating techniques for surgical stapler anvils
US10856870B2 (en) 2018-08-20 2020-12-08 Ethicon Llc Switching arrangements for motor powered articulatable surgical instruments
US11324501B2 (en) 2018-08-20 2022-05-10 Cilag Gmbh International Surgical stapling devices with improved closure members
USD914878S1 (en) 2018-08-20 2021-03-30 Ethicon Llc Surgical instrument anvil
US10912559B2 (en) 2018-08-20 2021-02-09 Ethicon Llc Reinforced deformable anvil tip for surgical stapler anvil
US11253256B2 (en) 2018-08-20 2022-02-22 Cilag Gmbh International Articulatable motor powered surgical instruments with dedicated articulation motor arrangements
US10842492B2 (en) 2018-08-20 2020-11-24 Ethicon Llc Powered articulatable surgical instruments with clutching and locking arrangements for linking an articulation drive system to a firing drive system
US10779821B2 (en) 2018-08-20 2020-09-22 Ethicon Llc Surgical stapler anvils with tissue stop features configured to avoid tissue pinch
CN112584780B (zh) 2018-08-24 2024-09-17 柯惠有限合伙公司 电动圆形钉合装置
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
US11547411B2 (en) 2019-02-22 2023-01-10 Covidien Lp Anastomosis wound protector
US11529144B2 (en) 2019-02-22 2022-12-20 Covidien Lp Encapsulated plug assembly for electromechanical surgical devices
US11337701B2 (en) 2019-03-01 2022-05-24 Covidien Lp Devices and methods for assembling adapter assemblies
US11331782B2 (en) 2019-03-01 2022-05-17 Covidien Lp Reload assembly for a circular stapling device
US11696761B2 (en) 2019-03-25 2023-07-11 Cilag Gmbh International Firing drive arrangements for surgical systems
US11147551B2 (en) 2019-03-25 2021-10-19 Cilag Gmbh International Firing drive arrangements for surgical systems
US11147553B2 (en) 2019-03-25 2021-10-19 Cilag Gmbh International Firing drive arrangements for surgical systems
US11172929B2 (en) 2019-03-25 2021-11-16 Cilag Gmbh International Articulation drive arrangements for surgical systems
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
US11419631B2 (en) 2019-04-16 2022-08-23 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
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
US11426251B2 (en) 2019-04-30 2022-08-30 Cilag Gmbh International Articulation directional lights 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
US11253254B2 (en) 2019-04-30 2022-02-22 Cilag Gmbh International Shaft rotation actuator on a surgical instrument
US11648009B2 (en) 2019-04-30 2023-05-16 Cilag Gmbh International Rotatable jaw tip for a surgical instrument
US11432816B2 (en) 2019-04-30 2022-09-06 Cilag Gmbh International Articulation pin for a surgical instrument
EP3975876B1 (en) 2019-05-31 2025-02-12 Covidien LP Circular stapling device
US11690624B2 (en) 2019-06-21 2023-07-04 Covidien Lp Reload assembly injection molded strain gauge
US11446035B2 (en) 2019-06-24 2022-09-20 Covidien Lp Retaining mechanisms for trocar assemblies
US11123101B2 (en) 2019-07-05 2021-09-21 Covidien Lp Retaining mechanisms for trocar assemblies
US11246678B2 (en) 2019-06-28 2022-02-15 Cilag Gmbh International Surgical stapling system having a frangible RFID tag
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
US11291451B2 (en) 2019-06-28 2022-04-05 Cilag Gmbh International Surgical instrument with battery compatibility verification functionality
US12004740B2 (en) 2019-06-28 2024-06-11 Cilag Gmbh International Surgical stapling system having an information decryption protocol
US11051807B2 (en) 2019-06-28 2021-07-06 Cilag Gmbh International Packaging assembly including a particulate trap
US11350938B2 (en) 2019-06-28 2022-06-07 Cilag Gmbh International Surgical instrument comprising an aligned rfid sensor
US11259803B2 (en) 2019-06-28 2022-03-01 Cilag Gmbh International Surgical stapling system having an information encryption protocol
US11224497B2 (en) 2019-06-28 2022-01-18 Cilag Gmbh International Surgical systems with multiple RFID tags
US11627959B2 (en) 2019-06-28 2023-04-18 Cilag Gmbh International Surgical instruments including manual and powered system lockouts
US11464601B2 (en) 2019-06-28 2022-10-11 Cilag Gmbh International Surgical instrument comprising an RFID system for tracking a movable component
US11523822B2 (en) 2019-06-28 2022-12-13 Cilag Gmbh International Battery pack including a circuit interrupter
US11426167B2 (en) 2019-06-28 2022-08-30 Cilag Gmbh International Mechanisms for proper anvil attachment surgical stapling head assembly
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
US11399837B2 (en) 2019-06-28 2022-08-02 Cilag Gmbh International Mechanisms for motor control adjustments of a motorized surgical instrument
US11638587B2 (en) 2019-06-28 2023-05-02 Cilag Gmbh International RFID identification systems for surgical instruments
US11684434B2 (en) 2019-06-28 2023-06-27 Cilag Gmbh International Surgical RFID assemblies for instrument operational setting control
US11219455B2 (en) 2019-06-28 2022-01-11 Cilag Gmbh International Surgical instrument including a lockout key
US11298132B2 (en) 2019-06-28 2022-04-12 Cilag GmbH Inlernational Staple cartridge including a honeycomb extension
US11497492B2 (en) 2019-06-28 2022-11-15 Cilag Gmbh International Surgical instrument including an articulation lock
US11771419B2 (en) 2019-06-28 2023-10-03 Cilag Gmbh International Packaging for a replaceable component of a surgical stapling system
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
US11304696B2 (en) 2019-12-19 2022-04-19 Cilag Gmbh International Surgical instrument comprising a powered articulation system
US11576672B2 (en) 2019-12-19 2023-02-14 Cilag Gmbh International Surgical instrument comprising a closure system including a closure member and an opening member driven by a drive screw
US12035913B2 (en) 2019-12-19 2024-07-16 Cilag Gmbh International Staple cartridge comprising a deployable knife
US11844520B2 (en) 2019-12-19 2023-12-19 Cilag Gmbh International Staple cartridge comprising driver retention members
US11504122B2 (en) 2019-12-19 2022-11-22 Cilag Gmbh International Surgical instrument comprising a nested firing member
US11234698B2 (en) 2019-12-19 2022-02-01 Cilag Gmbh International Stapling system comprising a clamp lockout and a firing lockout
US11529139B2 (en) 2019-12-19 2022-12-20 Cilag Gmbh International Motor driven surgical instrument
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
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
US11291447B2 (en) 2019-12-19 2022-04-05 Cilag Gmbh International Stapling instrument comprising independent jaw closing and staple firing systems
US11911032B2 (en) 2019-12-19 2024-02-27 Cilag Gmbh International Staple cartridge comprising a seating cam
US11446029B2 (en) 2019-12-19 2022-09-20 Cilag Gmbh International Staple cartridge comprising projections extending from a curved deck surface
US11607219B2 (en) 2019-12-19 2023-03-21 Cilag Gmbh International Staple cartridge comprising a detachable tissue cutting knife
US11529137B2 (en) 2019-12-19 2022-12-20 Cilag Gmbh International Staple cartridge comprising driver retention members
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
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
USD976401S1 (en) 2020-06-02 2023-01-24 Cilag Gmbh International Staple cartridge
USD967421S1 (en) 2020-06-02 2022-10-18 Cilag Gmbh International Staple cartridge
USD975278S1 (en) 2020-06-02 2023-01-10 Cilag Gmbh International Staple cartridge
USD974560S1 (en) 2020-06-02 2023-01-03 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
US11974741B2 (en) 2020-07-28 2024-05-07 Cilag Gmbh International Surgical instruments with differential articulation joint arrangements for accommodating flexible actuators
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
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
US11517390B2 (en) 2020-10-29 2022-12-06 Cilag Gmbh International Surgical instrument comprising a limited travel switch
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
US11452526B2 (en) 2020-10-29 2022-09-27 Cilag Gmbh International Surgical instrument comprising a staged voltage regulation start-up system
US11617577B2 (en) 2020-10-29 2023-04-04 Cilag Gmbh International Surgical instrument comprising a sensor configured to sense whether an articulation drive of the surgical instrument is actuatable
US11931025B2 (en) 2020-10-29 2024-03-19 Cilag Gmbh International Surgical instrument comprising a releasable closure drive lock
US11534259B2 (en) 2020-10-29 2022-12-27 Cilag Gmbh International Surgical instrument comprising an articulation indicator
US11844518B2 (en) 2020-10-29 2023-12-19 Cilag Gmbh International Method for operating a surgical instrument
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
US11627967B2 (en) 2020-11-23 2023-04-18 Covidien Lp Trans-anastomotic insertion device
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
US11653915B2 (en) 2020-12-02 2023-05-23 Cilag Gmbh International Surgical instruments with sled location detection and adjustment features
US11849943B2 (en) 2020-12-02 2023-12-26 Cilag Gmbh International Surgical instrument with cartridge release mechanisms
US11653920B2 (en) 2020-12-02 2023-05-23 Cilag Gmbh International Powered surgical instruments with communication interfaces through sterile barrier
US12471982B2 (en) 2020-12-02 2025-11-18 Cilag Gmbh International Method for tissue treatment by surgical instrument
US11627960B2 (en) 2020-12-02 2023-04-18 Cilag Gmbh International Powered surgical instruments with smart reload with separately attachable exteriorly mounted wiring connections
US11744581B2 (en) 2020-12-02 2023-09-05 Cilag Gmbh International Powered surgical instruments with multi-phase tissue treatment
US11890010B2 (en) 2020-12-02 2024-02-06 Cllag GmbH International Dual-sided reinforced reload for surgical instruments
US11944296B2 (en) 2020-12-02 2024-04-02 Cilag Gmbh International Powered surgical instruments with external connectors
US11678882B2 (en) 2020-12-02 2023-06-20 Cilag Gmbh International Surgical instruments with interactive features to remedy incidental sled movements
CN116583237A (zh) 2020-12-15 2023-08-11 柯惠有限合伙公司 外科吻合装置可旋转凸轮系统元件
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
US11793514B2 (en) 2021-02-26 2023-10-24 Cilag Gmbh International Staple cartridge comprising sensor array which may be embedded in cartridge body
US11696757B2 (en) 2021-02-26 2023-07-11 Cilag Gmbh International Monitoring of internal systems to detect and track cartridge motion status
US11701113B2 (en) 2021-02-26 2023-07-18 Cilag Gmbh International Stapling instrument comprising a separate power antenna and a data transfer antenna
US11744583B2 (en) 2021-02-26 2023-09-05 Cilag Gmbh International Distal communication array to tune frequency of RF systems
US11950779B2 (en) 2021-02-26 2024-04-09 Cilag Gmbh International Method of powering and communicating with a staple cartridge
US11751869B2 (en) 2021-02-26 2023-09-12 Cilag Gmbh International Monitoring of multiple sensors over time to detect moving characteristics of tissue
US11980362B2 (en) 2021-02-26 2024-05-14 Cilag Gmbh International Surgical instrument system comprising a power transfer coil
US11925349B2 (en) 2021-02-26 2024-03-12 Cilag Gmbh International Adjustment to transfer parameters to improve available power
US12324580B2 (en) 2021-02-26 2025-06-10 Cilag Gmbh International Method of powering and communicating with a staple cartridge
US11749877B2 (en) 2021-02-26 2023-09-05 Cilag Gmbh International Stapling instrument comprising a signal antenna
US11812964B2 (en) 2021-02-26 2023-11-14 Cilag Gmbh International Staple cartridge comprising a power management circuit
US11950777B2 (en) 2021-02-26 2024-04-09 Cilag Gmbh International Staple cartridge comprising an information access control system
US11730473B2 (en) 2021-02-26 2023-08-22 Cilag Gmbh International Monitoring of manufacturing life-cycle
US11723657B2 (en) 2021-02-26 2023-08-15 Cilag Gmbh International Adjustable communication based on available bandwidth and power capacity
US12108951B2 (en) 2021-02-26 2024-10-08 Cilag Gmbh International Staple cartridge comprising a sensing array and a temperature control system
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
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
US11717291B2 (en) 2021-03-22 2023-08-08 Cilag Gmbh International Staple cartridge comprising staples configured to apply different tissue compression
US11723658B2 (en) 2021-03-22 2023-08-15 Cilag Gmbh International Staple cartridge comprising a firing lockout
US11737749B2 (en) 2021-03-22 2023-08-29 Cilag Gmbh International Surgical stapling instrument comprising a retraction system
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
US12102323B2 (en) 2021-03-24 2024-10-01 Cilag Gmbh International Rotary-driven surgical stapling assembly comprising a floatable component
US11849945B2 (en) 2021-03-24 2023-12-26 Cilag Gmbh International Rotary-driven surgical stapling assembly comprising eccentrically driven firing member
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
US11896219B2 (en) 2021-03-24 2024-02-13 Cilag Gmbh International Mating features between drivers and underside of a cartridge deck
US11857183B2 (en) 2021-03-24 2024-01-02 Cilag Gmbh International Stapling assembly components having metal substrates and plastic bodies
US11744603B2 (en) 2021-03-24 2023-09-05 Cilag Gmbh International Multi-axis pivot joints for surgical instruments and methods for manufacturing same
US11849944B2 (en) 2021-03-24 2023-12-26 Cilag Gmbh International Drivers for fastener cartridge assemblies having rotary drive screws
US11896218B2 (en) 2021-03-24 2024-02-13 Cilag Gmbh International Method of using a powered stapling device
US11793516B2 (en) 2021-03-24 2023-10-24 Cilag Gmbh International Surgical staple cartridge comprising longitudinal support beam
US11903582B2 (en) 2021-03-24 2024-02-20 Cilag Gmbh International Leveraging surfaces for cartridge installation
US11832816B2 (en) 2021-03-24 2023-12-05 Cilag Gmbh International Surgical stapling assembly comprising nonplanar staples and planar staples
US11786239B2 (en) 2021-03-24 2023-10-17 Cilag Gmbh International Surgical instrument articulation joint arrangements comprising multiple moving linkage features
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
CN117715596A (zh) 2021-05-24 2024-03-15 柯惠有限合伙公司 具有自动保持缝合线释放的砧座和递送系统组件
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
US11744592B2 (en) 2021-08-05 2023-09-05 Covidien Lp Handheld electromechanical stapler with tissue thickness detection
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
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
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
US11980363B2 (en) 2021-10-18 2024-05-14 Cilag Gmbh International Row-to-row staple array variations
US11877745B2 (en) 2021-10-18 2024-01-23 Cilag Gmbh International Surgical stapling assembly having longitudinally-repeating staple leg clusters
US11957337B2 (en) 2021-10-18 2024-04-16 Cilag Gmbh International Surgical stapling assembly with offset ramped drive surfaces
US12251105B2 (en) 2021-10-20 2025-03-18 Cilag Gmbh International Lockout arrangements for surgical instruments
US11937816B2 (en) 2021-10-28 2024-03-26 Cilag Gmbh International Electrical lead arrangements for surgical instruments
US12432790B2 (en) 2021-10-28 2025-09-30 Cilag Gmbh International Method and device for transmitting UART communications over a security short range wireless communication
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)

* Cited by examiner, † Cited by third party
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
EP0364144A3 (en) * 1988-10-04 1990-08-08 Canon Kabushiki Kaisha Method of transferring viscous substance and process for producing the same
AU4633589A (en) 1988-11-18 1990-06-12 Immuno Sweden Ab Instrument for anastomosis
US5342395A (en) * 1990-07-06 1994-08-30 American Cyanamid Co. Absorbable surgical repair devices
US5156614A (en) * 1990-09-17 1992-10-20 United States Surgical Corporation Apparatus for applying two-part surgical fasteners
US5653373A (en) * 1990-09-17 1997-08-05 United States Surgical Corporation Arcuate apparatus for applying two-part surgical fasteners
EP0572526A4 (en) * 1991-02-13 1995-12-06 Interface Biomedical Lab Corp Filler material for use in tissue welding
US5749895A (en) * 1991-02-13 1998-05-12 Fusion Medical Technologies, Inc. Method for bonding or fusion of biological tissue and material
US5690675A (en) 1991-02-13 1997-11-25 Fusion Medical Technologies, Inc. Methods for sealing of staples and other fasteners in tissue
US5156613A (en) * 1991-02-13 1992-10-20 Interface Biomedical Laboratories Corp. Collagen welding rod material for use in tissue welding
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
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
US5817093A (en) * 1993-07-22 1998-10-06 Ethicon Endo-Surgery, Inc. Impedance feedback monitor with query electrode for electrosurgical instrument
US5693051A (en) * 1993-07-22 1997-12-02 Ethicon Endo-Surgery, Inc. Electrosurgical hemostatic device with adaptive electrodes
GR940100335A (el) * 1993-07-22 1996-05-22 Ethicon Inc. Ηλεκτροχειρουργικη συσκευη τοποθετησης συρραπτικων αγκυλων.
US5709680A (en) * 1993-07-22 1998-01-20 Ethicon Endo-Surgery, Inc. Electrosurgical hemostatic device
US5810811A (en) * 1993-07-22 1998-09-22 Ethicon Endo-Surgery, Inc. Electrosurgical hemostatic device
US5688270A (en) * 1993-07-22 1997-11-18 Ethicon Endo-Surgery,Inc. Electrosurgical hemostatic device with recessed and/or offset electrodes
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
IL132026A0 (en) * 1997-03-27 2001-03-19 Bristol Myers Squibb Co Laparoscopic sealant applicator
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
US6296640B1 (en) * 1998-02-06 2001-10-02 Ethicon Endo-Surgery, Inc. RF bipolar end effector for use in electrosurgical instruments
US6165175A (en) * 1999-02-02 2000-12-26 Ethicon Endo-Surgery, Inc. RF bipolar mesentery takedown device including improved bipolar end effector
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
US6179862B1 (en) * 1998-08-14 2001-01-30 Incept Llc Methods and apparatus for in situ formation of hydrogels
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
JP3531000B2 (ja) * 1998-12-07 2004-05-24 グンゼ株式会社 吻合補綴材
ES2525553T3 (es) * 1999-03-25 2014-12-26 Metabolix, Inc. Dispositivos y aplicaciones médicas de polímeros polihidroxialcanoato
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
US6793652B1 (en) * 1999-06-02 2004-09-21 Power Medical Interventions, Inc. Electro-mechanical surgical device
US6491201B1 (en) 2000-02-22 2002-12-10 Power Medical Interventions, Inc. Fluid delivery mechanism for use with anastomosing, stapling, and resecting instruments
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
US6503257B2 (en) * 2001-05-07 2003-01-07 Ethicon Endo-Surgery, Inc. Method for releasing buttress material attached to a surgical fastening device
US6592597B2 (en) * 2001-05-07 2003-07-15 Ethicon Endo-Surgery, Inc. Adhesive for attaching buttress material 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
US7517356B2 (en) * 2002-04-16 2009-04-14 Tyco Healthcare Group Lp Surgical stapler and method
US7141055B2 (en) 2002-04-24 2006-11-28 Surgical Connections, Inc. Resection and anastomosis devices and methods
JP4316491B2 (ja) * 2002-05-10 2009-08-19 タイコ ヘルスケア グループ エルピー 創傷閉鎖材料アプリケーターおよびステープラ
EP2289429B1 (en) * 2002-05-10 2015-06-17 Covidien LP Surgical stapling apparatus having a wound closure material applicator assembly
US7588565B2 (en) 2002-05-15 2009-09-15 Rocky Mountain Biosystems, Inc. Method and device for anastomoses
WO2003105697A1 (en) * 2002-06-14 2003-12-24 Loma Linda University Medical Center Vascular wound closure device and method
ES2366425T3 (es) 2002-06-17 2011-10-20 Tyco Healthcare Group Lp Estructuras anulares de soporte.
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
US7717313B2 (en) * 2004-10-18 2010-05-18 Tyco Healthcare Group Lp Surgical apparatus and structure for applying sprayable wound treatment material
EP1804682B1 (en) * 2004-10-18 2017-11-29 Covidien LP Structure for applying sprayable wound treatment material
US7455682B2 (en) 2004-10-18 2008-11-25 Tyco Healthcare Group Lp Structure containing wound treatment material
WO2006044810A2 (en) * 2004-10-18 2006-04-27 Tyco Healthcare Group, Lp Surgical fasteners coated with wound treatment materials
US7845536B2 (en) * 2004-10-18 2010-12-07 Tyco Healthcare Group Lp Annular adhesive structure
EP2345375A1 (en) 2004-10-18 2011-07-20 Tyco Healthcare Group LP Annular adhesive structure
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

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US8066169B2 (en) 2011-11-29
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US20100155454A1 (en) 2010-06-24
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US8616429B2 (en) 2013-12-31
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