JPH0367411B2 - - Google Patents

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Publication number
JPH0367411B2
JPH0367411B2 JP61506337A JP50633786A JPH0367411B2 JP H0367411 B2 JPH0367411 B2 JP H0367411B2 JP 61506337 A JP61506337 A JP 61506337A JP 50633786 A JP50633786 A JP 50633786A JP H0367411 B2 JPH0367411 B2 JP H0367411B2
Authority
JP
Japan
Prior art keywords
transducer
surgical
handpiece
frequency
linear
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Expired - Lifetime
Application number
JP61506337A
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English (en)
Other versions
JPS63501845A (ja
Inventor
Arekisandaa Kureizuman
Aran Buroodoin
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
KUUPAA REZAASONITSUKUSU Inc
Original Assignee
KUUPAA REZAASONITSUKUSU Inc
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by KUUPAA REZAASONITSUKUSU Inc filed Critical KUUPAA REZAASONITSUKUSU Inc
Publication of JPS63501845A publication Critical patent/JPS63501845A/ja
Publication of JPH0367411B2 publication Critical patent/JPH0367411B2/ja
Granted legal-status Critical Current

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F9/00Methods or devices for treatment of the eyes; Devices for putting in contact-lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand
    • A61F9/007Methods or devices for eye surgery
    • A61F9/00736Instruments for removal of intra-ocular material or intra-ocular injection, e.g. cataract instruments
    • A61F9/00745Instruments for removal of intra-ocular material or intra-ocular injection, e.g. cataract instruments using mechanical vibrations, e.g. ultrasonic
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M1/00Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/84Drainage tubes; Aspiration tips
    • A61M1/85Drainage tubes; Aspiration tips with gas or fluid supply means, e.g. for supplying rinsing fluids or anticoagulants

Landscapes

  • Health & Medical Sciences (AREA)
  • Ophthalmology & Optometry (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Vascular Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)
  • Apparatuses For Generation Of Mechanical Vibrations (AREA)

Description

請求の範囲 1 高周波電気エネルギーを高周波機械振動に変
換可能な細長い直線型変換器と、該細長い変換器
の一端に不動に固定された一端を有する細長い結
合体と、該結合体の他端に着脱可能に装着される
細長い直線型手術チツプとを有する振動体を包含
し、該振動体が共振周波数Fで振動するときの縦
振動波の波長λにほぼ等しい長さを全長として該
振動体が有し、前記振動波が前記変換器と結合体
の結合端近傍に波腹面を、前記結合体の他端部近
傍に波節面を有し、窪んだ手術箇所から組織を切
離し除去するための超音波外科手術用ハンドピー
スにおいて、前記結合体は前記変換器の縦軸線X
と一致する縦軸線を有するほぼ直線状の第1部分
と、前記縦軸線Xに対して角度αの方向に延在す
る縦軸線X′を有するほぼ直線状の第2部分とを
有する屈曲した形状に形成されており、前記結合
体は全長のほぼ大部分が円形断面に形成され、前
記波節面近傍では結合体の表面の一部が切除さ
れ、結合体の質量が、同じ断面で且つ縦軸線Xと
縦軸線X′に沿う結合体の長さに等しい長さの直
線状結合体の質量に比して低減されていることを
特徴とする超音波外科手術用ハンドピース。
2 前記結合体は直径方向反対側の両側面の一部
がほぼ平行な平面に平削りにより除去されること
を特徴とする特許請求の範囲第1項に記載の超音
波外科手術用ハンドピース。
3 前記平削り平面は前記縦軸線X及びX′を含
む平面に平行な平面内に位置することを特徴とす
る特許請求の範囲第2項に記載の超音波外科手術
用ハンドピース。
4 前記結合体は前記除去により以下の式 M〔2πD2/4ρ〕〔CB−CBcosα〕 ここで D=波節面上における結合体の直径 ρ=結合体材質の体積密度 CB=屈曲部の長さ によつて決定される質量Mだけ低減されることを
特徴とする特許請求の範囲第3項に記載の超音波
外科手術用ハンドピース。
5 前記変換器は、その両端の中間位置に配置さ
れる波節面を有し、該変換器を支持するために該
変換器の波節面に配置される支持手段を有するこ
とを特徴とする特許請求の範囲第1項に記載の超
音波外科手術用ハンドピース。
6 前記支持手段は冷却液を該支持手段を通して
流す手段を有することを特徴とする特許請求の範
囲第5項に記載の超音波外科手術用ハンドピー
ス。
7 前記変換器用支持手段は前記変換器を囲む支
持部に半径方向内方に向く複数の突出部を有する
ことを特徴とする特許請求の範囲第6項に記載の
超音波外科手術用ハンドピース。
発明の背景 発明の分野 本発明は、生成組織の中から薄片状組織を取り
除くのに役立つ超音波外科手術用器械に関するも
のである。特に、本発明は変換器と屈曲型結合体
を有する超音波外科手術用ハンドピース及びその
製造方法に関するものである。
従来技術の説明 一般に、ハンドピースに関する超音波外科手術
用器械は、最初に目の手術、特に白内障の剥離に
使用されていたが、現在では様々な外科手術の中
で広く使用されている。この公知の超音波ハンド
ピースは、一般に高周波電気エネルギーを機械的
衝撃又は振動に変換する方式の圧電変換器又は磁
気歪変換器を用いている。この変換器は、本質的
には細長い結合体に対して鑞付又は熔接等により
一端を固定した変換器から成る。また、前記の結
合体は、その他端にて順番に細長い手術プローブ
又は手術チツプを支持している。
変換器、結合部及びプローブを有する電気機械
式振動子本体は、架構部を機械振動から防ぐと共
に、冷却液部と、振動子本体と、及び変換器を駆
動するための電気エネルギー部とを相互に連関し
て結合するための結合手段を介して架構部によつ
て支持されている。この公知の超音波ハンドピー
スは、例えば、米国特許第3693613号及び第
3805787号に開示されている。
一般に、架構部と同軸上の細長い手術プローブ
を有する公知の超音波ハンドピースは、3/4λの
長さの変換器、即ち変換器及び結合体の長さが波
長の3/4から成る変換器と波節面上又は波節面近
傍のチツプ結合面にて充分な波長が得られるよう
に組み付けられた1/4λの長さの手術プローブか
ら形成される。このハンドピースは、直線形状で
あるためにある一定の手術方法に制限されてしま
う。例えば、手術を施す患部が生物体内の奥深く
に位置する場合、このハンドピースの架構部とそ
の架後部を保持している外科医の手が手術チツプ
へ向けた視線を妨げるために良好な視界は必ずし
も得られない。また、このような従来技術の直線
型超音波ハンドピースは、このハンドピースと外
科医の手が手術用顕微鏡と干渉するために、顕微
手術において特にその使用が制限される。
上述の直線型ハンドピースの困難な問題点を解
消する超音波外科手術用ハンドピースを提供する
1つの試みが米国特許第4526571号に開示されて
いる。この従来技術の装置では一般的な直線型変
換器本体は、結合体を介して手術チツプに対する
一般的な波節点に組み付けられているが、1/2λ
の曲型延長結合体は、手術プローブと、この手術
チツプの縦軸が変換器本体の縦軸と例えば、15°
の角度を成す事実上3/4λの延長結合体を形成し、
この変換器本体と結合する一般的な組み付け点と
の間に挿入されている。この変換器本体は、生物
体内の奥深く、かつ制限的な近傍した体の開口部
において手術をするとき、その手術を施す患部で
の視界の問題をうまく解消したが、全体に渡る変
換器本体の付加部分の長さは、ある一定の状態の
もとで手術用顕微鏡と共に用いられるために、こ
の装置の能力が低下する。更に、短い直線型ハン
ドピースの操作に慣れた外科医は、その操作性及
びバランスの違いから長いハンドピースに交換す
ることが困難であると認識する人もいる。このよ
うに、手術チツプに対しての改善された視界及び
手術用顕微鏡との最小限の干渉を考慮して設計さ
れ改善された外科手術用ハンドピースの必要性が
残されていた。
また、縦超音波振動が直線型と、曲型又は屈曲
型部分のうちいずれかから成る細長部を介して伝
達されることも知られている。例えば、米国特許
第3546498号では臨界位置、即ち伝達要素である
波節部又は波腹部の位置に配設された短い半径の
屈曲部によつて結合された一連の直線型環節から
成る伝達線を開示している。
本発明の第1の目的は、上述の従来技術のハン
ドピースの短所を補うように改善され、公知の曲
型ハンドピースより短く、直線型ハンドピースと
交換して同一周波数の制御装置を用いて使用で
き、かつ操作し易い屈曲型超音波外科手術用ハン
ドピースを提供することになる。
もう1つの目的は、手術チツプの縦軸が変換器
の縦軸とある角度の成して配置されている係合体
の両端近傍の波節面及び波腹面の間に位置し、屈
曲した結合体を用いた超音波外科手術用ハンドピ
ースを提供することである。
もう1つの目的は、外科医の手に馴染む改善さ
れたバランスを有し、これによつてより操作し易
く、かつ使用上疲れにくい超音波外科手術用ハン
ドピースを提供することである。
もう1つの目的は、手術用顕微鏡と共に使用
し、少なくとも焦点距離300mmの対物レンズ使用
時にその顕微鏡の使用と事実上干渉しない超音波
外科手術用ハンドピースを提供することである。
もう1つの目的は、手術チツプと、直線型及び
屈曲型の両方のハンドピースの駆動系構成部品が
共に交換できる超音波外科手術用ハンドピースを
提供することである。
更に、もう1つの目的は、外科医の手に馴染む
操作し易く、かつ疲れにくいように充分短く、手
術用顕微鏡の使用と事実上干渉ぜず、かつ1/4λ
の手術チツプが使用されている屈曲型超音波外科
手術用ハンドピースの製造方法を提供することで
ある。
発明の要約 この発明の進歩性、従来とは違つた目的及び有
利性を得るために、本発明の重要な特徴は、手間
取ることなく手術室の職員により公知の直線型ハ
ンドピースと交換して使用できる改善された屈曲
型超音波外科手術用ハンドピースを提供すること
にある。このハンドピースは同一周波数の業務上
使用しているコンパチ式制御装置にプラグを差し
込んで動作し、また業務上使用しているコンパチ
式直線型ハンドピースに使用している現存の外科
手術チツプに機能するように設計されている。こ
のことは、結合体の両端の中間点、即ちこの結合
体の両端に位置する波節面及び波腹面の中間点に
変換器の縦軸に対してある角度を成して屈曲した
結合部材を用いることにより、またコンパチ式直
線型変換器及び望ましい動作周波数にて交換可能
なチツプに対して合致する振動インピーダンスに
よつて達成される。また、これを達成するため
に、屈曲型及び直線型結合体は同じ軸長であり、
かつ屈曲型結合体の一部が波節面上又は波節面近
傍、即ち手術チツプの結合点近傍において切除さ
れる。好ましくは、この一部の材料は、結合体の
直線部及び屈曲部における夫々の縦軸を包含する
平面に対して平行な平面に位置する平面部を平削
りすることによつて取り除かれる。
【図面の簡単な説明】
この発明の進歩性、従来とは違つた特徴及び有
利性は以下の添付図面と図面に関連した詳細説明
より明らかである。
第1図は、本発明が改善しようとする従来技術
の直線型超音波外科手術用ハンドピースの縦断面
図である。
第2図は、本発明を用いた超音波外科手術用ハ
ンドピースの変換器本体及び手術チツプ部分の平
面図である。
第3図は、第2図に示した器械の側面図であ
る。
第4図は、第3図に示した器械の結合体部分の
拡大側面図である。
第5図は、第4図の矢視5−5における断面図
である。
第6図は、直線型及び屈曲型ハンドピースの縦
軸を示した合成図である。
第7A図は、波節面に配設された支持方法を示
した本発明の屈曲型ハンドピースの部分断面にお
ける部分側面図である。
第7B図は、波節面Z−Zにおける第7A図に
示した実施例の断面図である。
好適実施例の説明 図面に従つて詳細に説明すると、第1図は例え
ば、米国特許第3693613号において開示されてい
る一般型超音波吸引器を示している。この吸引器
は、まだ広く外科手術で使用されているが、本発
明はこれを改善するものである。この超音波外科
手術用ハンドピースは、参照符号10で示され、
一般に参照符号14で示される振動誘起体の周囲
を包み支持している架構部12を有している。振
動誘起体14は、磁気歪変換器要素16及びその
末端に装着された着脱可能な手術チツプ20を有
する増幅部又は結合部、或は増幅体又は結合体1
8から形成される。変換器を駆動するための高周
波エネルギーは、架構部12の中に位置する変換
器16の周囲に巻かれたコイル24に接続された
導線22を介して供給される。冷却液は、夫々流
入導管26及び流出導管28によつて架構部を通
つて循環される。
前記の振動体本体14は、順番に架構部12の
端に組み付けられ、その中に突出している支持要
素32の空洞部30の中に位置し組み付けられて
いる。半径方向に拡がつたフランジ34の両側面
に夫々1個ずつ配設された1対の弾性ガスケツト
部36は、振動体本体14から誘起される振動か
ら支持要素32及び架構部12を効率的に防ぐと
共に振動体14を支持している。
洗浄及び吸引時の液体架構部38は、ねじ結合
手段40等によつて支持要素32の端に組み付け
られ、確実に弾性ガスケツト部36を保持してい
る。液体流入口42は、液体架構部38の中空円
筒体46と結合体18の細長い管状部分48の外
面との中間にある円筒形液体室44と連絡してい
る。弾性Oリングシール50は、このハンドピー
スへの洗浄液の流出を防ぐために中空円筒体46
と管状部分48の間に圧着形成されている。着脱
式スリーブ52は、液体架構部38の末端に取り
付けられ、手術チツプ20の周囲を覆つている。
吸引通路56は、その自由端から手術プローブ
20の中心軸を通つて結合体18の細長い管状部
48の軸方向通路と連絡している。この通路58
は、Oリング50とガスケツト36の間に位置す
る液体架構部38の吸引室60と連絡する吸出口
を有する。この吸出口導管62は、手術部から洗
浄液や乳化した組織を吸い出すために真空室へ接
続されている。
本発明による超音波外科手術用ハンドピースの
構造及び動作は振動誘導体本体の形状を除いては
従来技術の装置と事実上類似している。よつて、
本発明の超音波外科手術用ハンドピースの振動体
構成部品のみを図示し記述することにする。
本発明の好適実施例を示した第2図において、
振動体68は、上述した方法で支持要素及び架構
部に組み付けるのに適した伝達要素又は結合体7
2によつて緊密に組み付けられ支持された磁気歪
変換器70を有する。この磁気歪変換器70と結
合体72とによつて3/4λの長さの変換器が形成
される。また、1/4λの長さの手術チツプ74が
波節面上又は波節面近傍のチツプ74と結合体7
2との結合部分で充分な波長が得られるように結
合体の他端に組み付けられている。第1図に示し
た従来技術の直線型変換器及び第2図乃至第6図
に示した本発明の屈曲型変換器のいずれもが適切
に設計された手術チツプが結合体に装着されると
き、所定の共振周波数で共振するように設計され
ている。
直線型結合体を有する変換器及び屈曲型結合体
を有する変換器のいずれもが同じ周波数にて特別
な手術チツプの縦軸に沿つてこの手術チツプを共
振するために、この変換器のいずれもが手術チツ
プに対して望ましい周波数又は計算された周波数
にて手術チツプを共振するのに適した振動インピ
ーダンスを持たなければならない。実際、周波数
Fにて共振するように設計された手術チツプに対
して、変換器がうまく動作してくれる計算された
周波数帯域の上限及び下限が存在する。この周波
数帯域は、2ΔF又は周波数FはF0±ΔFとして表
わされる。このように超音波発生器又は駆動ユニ
ツトは、F0±ΔFの帯域における周波数にて変換
器を駆動するように設計されている。
仮に、屈曲型変換器の結合体が事実上直線型結
合体を曲げることによつて形成され、手術チツプ
が直線型変換器と同じ周波数Fにて共振するもの
とした場合、屈曲型結合体に装着されたこのチツ
プは、異なる周波数F′にて動作することになる。
また、この周波数の変化は、直線型結合体を短く
した場合にも同様に起こり得る。
第6図において、直線型変換器の縦中心軸X及
び本発明による変換器の屈曲部76の縦軸X′は、
互いに点Cにて交差し角度αを成して配置されて
いる。特に、変換器16の一端は、第2の波腹面
にて直線型結合部の結合端に結合され、この変換
器の他端又は末端は、第1の波腹面に位置してい
る。第1の波節面は、この磁気歪変換器の概して
真中である第1及び第2の波節面の中間に位置し
ている。第2の波節面は、結合体の自由端近傍に
位置している。
第6図に示すように、直線型結合体18及び屈
曲型結合体72の縦中心軸は、点Aにて示された
第2の波腹面に位置している。本発明によると、
屈曲型ハンドピースの結合体は、直線型ハンドピ
ースの縦軸Xと角度αを成して延長形成した縦軸
X′に沿つて共振し、同一の手術チツプを使用す
るように設計された直線型及び屈曲型の両方の変
換器と共に共振するように作られている。仮に、
直線型及び屈曲型の結合体の縦中心軸が同じ長さ
であるならば、直線型変換器は周波数Fで共振
し、屈曲型変換器は周波数F′で共振する。この周
波数F′が短い長さの直線型結合体の周波数に相当
する。
第6図において、ABは直線型結合体の全長を
表わし、ADは波腹面の点Aから屈曲型結合体の
自由端近傍の波節面までの距離を表わす。点C
は、縦軸X及びX′の交差する点を表わし、点E
は縦軸X′に沿つた屈曲型結合部の自由端を表わ
す。この図から読み取れるように、AD=AC+
CE×cosα=AC+CDである。このように屈曲型
結合体のX軸線に投影した長さADは直線型結合
体の長さABより短いためこの屈曲型結合体の周
波数F′は直線型結合体の周波数より高い。公知の
超音波外科手術用ハンドピースの振動音響要素
は、通常その能力損失を最小に押さえるために波
節面上又は波節面近傍にて支持されている。仮
に、共振周波数Fにて音響要素を振動するように
機械設計されているならば、この周波数が少しで
も変化すると、波節点の位置もまた変化し、結果
的に能力損失が増加し効率の低下に継がる。しか
しながら、前述したように、このタイプのシステ
ムは一般に最多頻度周波数F0を中心にその上下
に拡げた狭周波数帯域にて動作するように設計さ
れている。即ち、許容動作周波数F=最多頻度周
波数F0±ΔFとなる。この狭周波数帯域内では、
効率は事実上実用目的に即して絶えず一定してい
るが、この狭周波数帯域外では、超音波発生器の
安定性は予知できない。
従来のシステム及び手術チツプと互換性がある
ように直線型及び屈曲型の両方のハンドピースの
夫々の結合体の周波数を合致するために、屈曲型
変換器は、第6図に示した長さACEを変えるこ
となく手術チツプの周波数Fに合致され得ること
が判明した。このことは、波節面近傍の結合体7
2の屈曲部76の一部で部分的切除により所定の
質量だけ低減することによつて、好ましくは結合
体全体の長さに渡る事実上円形断面である結合体
の互いに正反対の表面に相当する平面部78及び
80を夫々平削りすることによつて達成される。
この平面部、好ましくは結合体の屈曲部及び直線
部の縦軸を包含する平面に対して平行な平面に位
置している。この平削りによつて削り取つて低減
される質量及び形状は次の方程式を解くことによ
つて算出される。
(ρSdx)∂2ξ/∂2t2=(SY∂2ξ/∂x2)dx ここにおいて、 ρ=体積密度 S=斜線部面積 (ρSdx)=微分量dxの質量 ξ=排水量 Y=ヤング率 上記の方程式を正確に解くことは窮めて難解で
あり、事実上この方程式を解くには、振動体に負
荷された質量に対して適切な境界条件を設けるた
めに取られるべき多数の近似値を必要とする。こ
の方程式の解は、切除により低減される質量を近
似するために次の計算式によつて導かれる。
M[2πD2/4ρ][CB−CBcosα] ここにおいて、 D=波節面上における結合体の直径 ρ=結合体材質の体積密度 CB=屈曲部の長さ この方法を用いると、直線型結合体と同じ長さ
を有する屈曲型結合体は、波節面及び波腹面の中
間点に配設された結合体の曲部又は屈曲部と共に
直線型結合体と同じ周波数にてその軸X′に沿つ
て共振するように設計される。前述したように、
音響振動子は、通常この振動子に沿つて振動して
いるチツプに対し直線軸方向のベクトル力を伝達
することを許容するために波節点支持部に対して
直交して設計されている。そこでたとえどんな音
響振動子の曲部が用いられたとしてもこの振動子
の曲部は、通常前述の米国特許第3546498号に開
示されているように波節点支持部又は波接点支持
部の後部に配設されていた。
この波節面支持部Y−Yの後部における音響振
動子の曲部によつて、この音響振動子の動作周波
数に移動して、振動子の共振を誘起するのに伴い
過度の振動子の振動損失が生じる。
この損失は、主に結合体の曲部によつて生じる
非軸線方向の負荷による。この非軸線方向の負荷
により軸方向成分はもちろん半径方向成分をも持
つベクトル力が発生する。この半径方向成分は必
要としない成分である。前記の損失は、次の方法
により最小限に押さえることができる。
1 手術チツプの動作行程の水準を望ましい外科
手術方法に充分適した選定水準に低く押さえる
ことにより。
2 充分な冷却水の流れを妨げることのないよう
に必要としない横方向の積重なつた運動を制御
することにより。
3 機械上の適合だけでなく外科手術の使用形態
に合うように結合体の質量による振動インピー
ダンスを充分調整することにより。
このように、顕微手術を困難にしている緻密な
手術にて超音波外科手術用ハンドピースの使用を
可能とするような器械が待ち望まれていた。更
に、この器械は、手術室の職員が多くの練習又は
再練習を積まなくても容易にこの屈曲型ハンドピ
ースと従来の直線型ハンドピースを交換すること
ができるように従来の駆動装置及び手術チツプの
使用を可能にしている。
第7A図及び第7B図に示された本発明の好適
実施例において、磁気歪変換器70は、これを緊
密に締め付けるために波節平面Z−Zに配設され
た支持手段によつて確実に支持されている。この
支持手段は支持要素32の内壁部86の上に設け
られた半径方向に互いに内向する複数の突出部8
4によつて形成される。また、この支持手段は、
変換器70の周囲に充分な冷却液の流れを保障す
るために意図された手段を有する。この冷却液の
流れを可能とする手段は、複数の突出部84の間
に設けられた間〓88によつて形成される。
本発明により、結合体は変換器の縦軸線Xと一
致する縦軸線を有するほぼ直線状の第1部分と、
前記縦軸線Xに対して角度αの方向に延在する縦
軸線X′を有するほぼ直線状の第2部分とを有す
る屈曲形状の屈曲型振動体を形成し、前記結合体
は全長のほぼ大部分が円形断面に形成され、波節
面近傍では結合体の表面の一部が切除され結合体
のその部分の質量が、同じ断面で且つ縦軸線Xと
縦軸線X′に沿う結合体の長さに等しい長さの直
線状結合体の質量に比して低減されることによ
り、直線型変換器と同じ長さをもつた屈曲型変換
器であつても部分的切除により低減する質量を算
出しておくことにより、共振周波数を直線型と同
じにすることが可能になつた。従つて同じ長さの
直線型と屈曲型の変換器を有する外科手術用ハン
ドピースを交換使用することを可能にした。
本発明の好適実施例は詳細に渡つて開示され記
述されたが、本発明はこれによつて制限されるも
のでなく、むしろこの技術的創作において熟達し
たことが明らかなすべての実施例及び本発明の考
え方、見地から来ることが明らかなすべての実施
例を含むものと考えられる。
JP61506337A 1985-12-13 1986-11-24 超音波外科手術用ハンドピース Granted JPS63501845A (ja)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US808,573 1985-12-13
US06/808,573 US4634419A (en) 1985-12-13 1985-12-13 Angulated ultrasonic surgical handpieces and method for their production

Publications (2)

Publication Number Publication Date
JPS63501845A JPS63501845A (ja) 1988-07-28
JPH0367411B2 true JPH0367411B2 (ja) 1991-10-22

Family

ID=25199148

Family Applications (1)

Application Number Title Priority Date Filing Date
JP61506337A Granted JPS63501845A (ja) 1985-12-13 1986-11-24 超音波外科手術用ハンドピース

Country Status (7)

Country Link
US (1) US4634419A (ja)
EP (1) EP0248844B1 (ja)
JP (1) JPS63501845A (ja)
CA (1) CA1258021A (ja)
DE (1) DE3687459T2 (ja)
IL (1) IL80941A (ja)
WO (1) WO1987003467A1 (ja)

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9070308B2 (en) 2007-10-11 2015-06-30 Southwire Company, Llc Labeled armored electrical cable
US12381021B2 (en) 2013-08-23 2025-08-05 Southwire Company, Llc System and method of printing indicia onto armored cable

Families Citing this family (606)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
USD313074S (en) 1987-07-29 1990-12-18 Aloka Co., Ltd. Ultrasonic aspirator for microscope neurosurgery
SE458821B (sv) * 1987-09-04 1989-05-16 Swedemed Ab Ultraljudskniv
USD316448S (en) 1987-10-02 1991-04-23 Aloka Co., Ltd. Ultrasonic aspirator for microscopic neurosurgery
JP2607601B2 (ja) * 1988-03-14 1997-05-07 オリンパス光学工業株式会社 超音波治療装置
NL8921049A (nl) * 1988-09-30 1990-09-03 Storz Instr Co Elektromechanische omzetter voor faco-emulsificatie.
US5019083A (en) * 1989-01-31 1991-05-28 Advanced Osseous Technologies, Inc. Implanting and removal of orthopedic prostheses
US5180363A (en) * 1989-04-27 1993-01-19 Sumitomo Bakelite Company Company Limited Operation device
US5123903A (en) * 1989-08-10 1992-06-23 Medical Products Development, Inc. Disposable aspiration sleeve for ultrasonic lipectomy
US5344395A (en) * 1989-11-13 1994-09-06 Scimed Life Systems, Inc. Apparatus for intravascular cavitation or delivery of low frequency mechanical energy
IL93141A0 (en) * 1990-01-23 1990-11-05 Urcan Medical Ltd Ultrasonic recanalization system
US5069664A (en) * 1990-01-25 1991-12-03 Inter Therapy, Inc. Intravascular ultrasonic angioplasty probe
US5112300A (en) * 1990-04-03 1992-05-12 Alcon Surgical, Inc. Method and apparatus for controlling ultrasonic fragmentation of body tissue
EP0482195B1 (en) * 1990-05-17 1996-01-10 Sumitomo Bakelite Company Limited Surgical instrument
US5222937A (en) * 1991-01-11 1993-06-29 Olympus Optical Co., Ltd. Ultrasonic treatment apparatus
DE4102090C2 (de) * 1991-01-24 1998-06-18 Delma Elektro Med App Medizinisches Ultraschall-Abtraginstrument
US5199943A (en) * 1991-12-12 1993-04-06 Alcon Surgical, Inc. Ultrasonic surgical handpiece
US5346502A (en) * 1993-04-15 1994-09-13 Ultracision, Inc. Laparoscopic ultrasonic surgical instrument and methods for manufacturing the instruments
US5419761A (en) * 1993-08-03 1995-05-30 Misonix, Inc. Liposuction apparatus and associated method
USD397437S (en) 1993-08-23 1998-08-25 Hall Surgical Bone milling burr shaft
US5417654A (en) * 1994-02-02 1995-05-23 Alcon Laboratories, Inc. Elongated curved cavitation-generating tip for disintegrating tissue
ATE497747T1 (de) * 1994-09-02 2011-02-15 Oversby Pty Ltd Phaco-emulsifikationsnadel mit kerben
AUPM784494A0 (en) * 1994-09-02 1994-09-22 Oversby Pty Ltd A phacoemulsification needle
US5676649A (en) * 1996-10-04 1997-10-14 Alcon Laboratories, Inc. Phacoemulsification cutting tip
US6024725A (en) * 1996-11-27 2000-02-15 Mentor Corporation Reducing tissue trauma and fluid loss during surgery
WO1999029241A1 (en) * 1997-12-11 1999-06-17 Sonics & Materials Inc. Sheath and support for ultrasonic elongate tip
US6589201B1 (en) 1998-06-04 2003-07-08 Alcon Manufacturing, Ltd. Liquefracture handpiece tip
US6331171B1 (en) 1998-06-04 2001-12-18 Alcon Laboratories, Inc. Tip for a liquefracture handpiece
US6398759B1 (en) 1998-06-04 2002-06-04 Alcon Manufacturing, Ltd. Liquefracture handpiece tip
US6196989B1 (en) 1998-06-04 2001-03-06 Alcon Laboratories, Inc. Tip for liquefracture handpiece
US6579270B2 (en) 1998-06-04 2003-06-17 Alcon Manufacturing, Ltd. Liquefracture handpiece tip
US6179805B1 (en) 1998-06-04 2001-01-30 Alcon Laboratories, Inc. Liquefracture handpiece
US6660017B2 (en) 1998-06-29 2003-12-09 Ethicon Endo-Surgery, Inc. Balanced ultrasonic blade including a singular balance asymmetry
US6309400B2 (en) * 1998-06-29 2001-10-30 Ethicon Endo-Surgery, Inc. Curved ultrasonic blade having a trapezoidal cross section
CA2276316C (en) 1998-06-29 2008-02-12 Ethicon Endo-Surgery, Inc. Method of balancing asymmetric ultrasonic surgical blades
CA2276313C (en) 1998-06-29 2008-01-29 Ethicon Endo-Surgery, Inc. Balanced ultrasonic blade including a plurality of balance asymmetries
US6156036A (en) * 1999-06-11 2000-12-05 Alcon Laboratories, Inc. Surgical handpiece tip
US6325811B1 (en) * 1999-10-05 2001-12-04 Ethicon Endo-Surgery, Inc. Blades with functional balance asymmetries for use with ultrasonic surgical instruments
JP4233742B2 (ja) * 1999-10-05 2009-03-04 エシコン・エンド−サージェリィ・インコーポレイテッド 超音波外科用器具と共に使用される湾曲クランプアームと組織パッドの連結
US6748944B1 (en) 2000-05-03 2004-06-15 Dellavecchia Michael Anthony Ultrasonic dosage device and method
US6723110B2 (en) 2001-04-19 2004-04-20 Synergetics, Inc. High efficiency ultrasonic surgical aspiration tip
CA2480773C (en) * 2002-04-05 2011-10-11 Misonix Incorporated High efficiency medical transducer with ergonomic shape and method of manufacture
USD478383S1 (en) 2002-04-17 2003-08-12 Synergetics, Inc. Ultrasonic surgical aspiration tip
US20040030349A1 (en) * 2002-08-08 2004-02-12 Mikhail Boukhny Liquefaction handpiece tip
US20040087972A1 (en) * 2002-09-16 2004-05-06 Mulholland Robert Stephen Skin abrading apparatus
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
US7276060B2 (en) * 2004-02-26 2007-10-02 Alcon, Inc. Surgical handpiece tip
US7857794B2 (en) 2004-06-14 2010-12-28 Alcon, Inc. Handpiece tip
US9072535B2 (en) 2011-05-27 2015-07-07 Ethicon Endo-Surgery, Inc. Surgical stapling instruments with rotatable staple deployment arrangements
US11890012B2 (en) 2004-07-28 2024-02-06 Cilag Gmbh International Staple cartridge comprising cartridge body and attached support
US8215531B2 (en) 2004-07-28 2012-07-10 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having a medical substance dispenser
US8905977B2 (en) 2004-07-28 2014-12-09 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having an electroactive polymer actuated medical substance dispenser
US11998198B2 (en) 2004-07-28 2024-06-04 Cilag Gmbh International Surgical stapling instrument incorporating a two-piece E-beam firing mechanism
US7479148B2 (en) * 2004-11-08 2009-01-20 Crescendo Technologies, Llc Ultrasonic shear with asymmetrical motion
US7967799B2 (en) * 2005-03-16 2011-06-28 Alcon, Inc. Liquefaction handpiece tip
US11484312B2 (en) 2005-08-31 2022-11-01 Cilag Gmbh International Staple cartridge comprising a staple driver arrangement
US9237891B2 (en) 2005-08-31 2016-01-19 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical stapling devices that produce formed staples having different lengths
US8800838B2 (en) 2005-08-31 2014-08-12 Ethicon Endo-Surgery, Inc. Robotically-controlled cable-based surgical end effectors
US7673781B2 (en) 2005-08-31 2010-03-09 Ethicon Endo-Surgery, Inc. Surgical stapling device with staple driver that supports multiple wire diameter staples
US7669746B2 (en) 2005-08-31 2010-03-02 Ethicon Endo-Surgery, Inc. Staple cartridges for forming staples having differing formed staple heights
US7934630B2 (en) 2005-08-31 2011-05-03 Ethicon Endo-Surgery, Inc. Staple cartridges for forming staples having differing formed staple heights
US10159482B2 (en) 2005-08-31 2018-12-25 Ethicon Llc Fastener cartridge assembly comprising a fixed anvil and different staple heights
US11246590B2 (en) 2005-08-31 2022-02-15 Cilag Gmbh International Staple cartridge including staple drivers having different unfired heights
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
US7845537B2 (en) 2006-01-31 2010-12-07 Ethicon Endo-Surgery, Inc. Surgical instrument having recording capabilities
US20120292367A1 (en) 2006-01-31 2012-11-22 Ethicon Endo-Surgery, Inc. Robotically-controlled end effector
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
US11793518B2 (en) 2006-01-31 2023-10-24 Cilag Gmbh International Powered surgical instruments with firing system lockout arrangements
US8186555B2 (en) 2006-01-31 2012-05-29 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with mechanical closure system
US20110290856A1 (en) 2006-01-31 2011-12-01 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical instrument with force-feedback capabilities
US20110006101A1 (en) 2009-02-06 2011-01-13 EthiconEndo-Surgery, Inc. Motor driven surgical fastener device with cutting member lockout arrangements
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
US8820603B2 (en) 2006-01-31 2014-09-02 Ethicon Endo-Surgery, Inc. Accessing data stored in a memory of a surgical instrument
US8161977B2 (en) 2006-01-31 2012-04-24 Ethicon Endo-Surgery, Inc. Accessing data stored in a memory of a surgical instrument
US11278279B2 (en) 2006-01-31 2022-03-22 Cilag Gmbh International Surgical instrument assembly
US11224427B2 (en) 2006-01-31 2022-01-18 Cilag Gmbh International Surgical stapling system including a console and retraction assembly
US9861359B2 (en) 2006-01-31 2018-01-09 Ethicon Llc Powered surgical instruments with firing system lockout arrangements
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
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
US8220690B2 (en) 2006-09-29 2012-07-17 Ethicon Endo-Surgery, Inc. Connected surgical staples and stapling instruments for deploying the same
US10130359B2 (en) 2006-09-29 2018-11-20 Ethicon Llc Method for forming a staple
US10568652B2 (en) 2006-09-29 2020-02-25 Ethicon Llc Surgical staples having attached drivers of different heights and stapling instruments for deploying the same
US11980366B2 (en) 2006-10-03 2024-05-14 Cilag Gmbh International Surgical instrument
US7967775B2 (en) * 2007-01-09 2011-06-28 Alcon, Inc. Irrigation/aspiration tip
US8652120B2 (en) 2007-01-10 2014-02-18 Ethicon Endo-Surgery, Inc. Surgical instrument with wireless communication between control unit and sensor transponders
US11291441B2 (en) 2007-01-10 2022-04-05 Cilag Gmbh International Surgical instrument with wireless communication between control unit and remote sensor
US8632535B2 (en) 2007-01-10 2014-01-21 Ethicon Endo-Surgery, Inc. Interlock and surgical instrument including same
US8459520B2 (en) 2007-01-10 2013-06-11 Ethicon Endo-Surgery, Inc. Surgical instrument with wireless communication between control unit and remote sensor
US8684253B2 (en) 2007-01-10 2014-04-01 Ethicon Endo-Surgery, Inc. Surgical instrument with wireless communication between a control unit of a robotic system and remote sensor
US8827133B2 (en) 2007-01-11 2014-09-09 Ethicon Endo-Surgery, Inc. Surgical stapling device having supports for a flexible drive mechanism
US11039836B2 (en) 2007-01-11 2021-06-22 Cilag Gmbh International Staple cartridge for use with a surgical stapling instrument
US7673782B2 (en) 2007-03-15 2010-03-09 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having a releasable buttress material
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
US7832408B2 (en) 2007-06-04 2010-11-16 Ethicon Endo-Surgery, Inc. Surgical instrument having a directional switching mechanism
US8534528B2 (en) 2007-06-04 2013-09-17 Ethicon Endo-Surgery, Inc. Surgical instrument having a multiple rate directional switching mechanism
US11564682B2 (en) 2007-06-04 2023-01-31 Cilag Gmbh International Surgical stapler device
US8931682B2 (en) 2007-06-04 2015-01-13 Ethicon Endo-Surgery, Inc. Robotically-controlled shaft based rotary drive systems for surgical instruments
US7905380B2 (en) 2007-06-04 2011-03-15 Ethicon Endo-Surgery, Inc. Surgical instrument having a multiple rate directional switching mechanism
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
US8453908B2 (en) 2008-02-13 2013-06-04 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with improved firing trigger arrangement
US8561870B2 (en) 2008-02-13 2013-10-22 Ethicon Endo-Surgery, Inc. Surgical stapling instrument
US8758391B2 (en) 2008-02-14 2014-06-24 Ethicon Endo-Surgery, Inc. Interchangeable tools for surgical instruments
US8657174B2 (en) 2008-02-14 2014-02-25 Ethicon Endo-Surgery, Inc. Motorized surgical cutting and fastening instrument having handle based power source
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
US8636736B2 (en) 2008-02-14 2014-01-28 Ethicon Endo-Surgery, Inc. Motorized surgical cutting and fastening instrument
US8584919B2 (en) 2008-02-14 2013-11-19 Ethicon Endo-Sugery, Inc. Surgical stapling apparatus with load-sensitive firing mechanism
US7819298B2 (en) 2008-02-14 2010-10-26 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with control features operable with one hand
US8573465B2 (en) 2008-02-14 2013-11-05 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical end effector system with rotary actuated closure systems
US8622274B2 (en) 2008-02-14 2014-01-07 Ethicon Endo-Surgery, Inc. Motorized cutting and fastening instrument having control circuit for optimizing battery usage
RU2493788C2 (ru) 2008-02-14 2013-09-27 Этикон Эндо-Серджери, Инк. Хирургический режущий и крепежный инструмент, имеющий радиочастотные электроды
US11986183B2 (en) 2008-02-14 2024-05-21 Cilag Gmbh International Surgical cutting and fastening instrument comprising a plurality of sensors to measure an electrical parameter
US7866527B2 (en) 2008-02-14 2011-01-11 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with interlockable firing system
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
US8752749B2 (en) 2008-02-14 2014-06-17 Ethicon Endo-Surgery, Inc. Robotically-controlled disposable motor-driven loading unit
US9179912B2 (en) 2008-02-14 2015-11-10 Ethicon Endo-Surgery, Inc. Robotically-controlled motorized surgical cutting and fastening instrument
US8608044B2 (en) 2008-02-15 2013-12-17 Ethicon Endo-Surgery, Inc. Feedback and lockout mechanism for surgical instrument
US9585657B2 (en) 2008-02-15 2017-03-07 Ethicon Endo-Surgery, Llc Actuator for releasing a layer of material from a surgical end effector
US20090206141A1 (en) 2008-02-15 2009-08-20 Ethicon Endo-Surgery, Inc. Buttress material having an activatable adhesive
US20090206131A1 (en) 2008-02-15 2009-08-20 Ethicon Endo-Surgery, Inc. End effector coupling arrangements for a surgical cutting and stapling instrument
US11272927B2 (en) 2008-02-15 2022-03-15 Cilag Gmbh International Layer arrangements for surgical staple cartridges
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
US7832612B2 (en) 2008-09-19 2010-11-16 Ethicon Endo-Surgery, Inc. Lockout arrangement for a surgical stapler
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
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
US9005230B2 (en) 2008-09-23 2015-04-14 Ethicon Endo-Surgery, Inc. Motorized surgical instrument
US8608045B2 (en) 2008-10-10 2013-12-17 Ethicon Endo-Sugery, Inc. Powered surgical cutting and stapling apparatus with manually retractable firing system
US8485413B2 (en) 2009-02-05 2013-07-16 Ethicon Endo-Surgery, Inc. Surgical stapling instrument comprising an articulation joint
US8414577B2 (en) 2009-02-05 2013-04-09 Ethicon Endo-Surgery, Inc. Surgical instruments and components for use in sterile environments
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
EP2393430A1 (en) 2009-02-06 2011-12-14 Ethicon Endo-Surgery, Inc. Driven surgical stapler improvements
US8444036B2 (en) 2009-02-06 2013-05-21 Ethicon Endo-Surgery, Inc. Motor driven surgical fastener device with mechanisms for adjusting a tissue gap within the end effector
US8066167B2 (en) 2009-03-23 2011-11-29 Ethicon Endo-Surgery, Inc. Circular surgical stapling instrument with anvil locking system
US8623040B2 (en) 2009-07-01 2014-01-07 Alcon Research, Ltd. Phacoemulsification hook tip
US8141762B2 (en) 2009-10-09 2012-03-27 Ethicon Endo-Surgery, Inc. Surgical stapler comprising a staple pocket
US20110112466A1 (en) * 2009-11-11 2011-05-12 Ramon Carsola Dimalanta Extended Point Phacoemulsification Tip
US8353438B2 (en) 2009-11-19 2013-01-15 Ethicon Endo-Surgery, Inc. Circular stapler introducer with rigid cap assembly configured for easy removal
US8136712B2 (en) 2009-12-10 2012-03-20 Ethicon Endo-Surgery, Inc. Surgical stapler with discrete staple height adjustment and tactile feedback
US8851354B2 (en) 2009-12-24 2014-10-07 Ethicon Endo-Surgery, Inc. Surgical cutting instrument that analyzes tissue thickness
US8220688B2 (en) 2009-12-24 2012-07-17 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting instrument with electric actuator directional control assembly
US8267300B2 (en) 2009-12-30 2012-09-18 Ethicon Endo-Surgery, Inc. Dampening device for endoscopic surgical stapler
US8608046B2 (en) 2010-01-07 2013-12-17 Ethicon Endo-Surgery, Inc. Test device for a surgical tool
US8789740B2 (en) 2010-07-30 2014-07-29 Ethicon Endo-Surgery, Inc. Linear cutting and stapling device with selectively disengageable cutting member
US8783543B2 (en) 2010-07-30 2014-07-22 Ethicon Endo-Surgery, Inc. Tissue acquisition arrangements and methods for surgical stapling devices
US8672207B2 (en) 2010-07-30 2014-03-18 Ethicon Endo-Surgery, Inc. Transwall visualization arrangements and methods for surgical circular staplers
US8360296B2 (en) 2010-09-09 2013-01-29 Ethicon Endo-Surgery, Inc. Surgical stapling head assembly with firing lockout for a surgical stapler
US8632525B2 (en) 2010-09-17 2014-01-21 Ethicon Endo-Surgery, Inc. Power control arrangements for surgical instruments and batteries
US9289212B2 (en) 2010-09-17 2016-03-22 Ethicon Endo-Surgery, Inc. Surgical instruments and batteries for surgical instruments
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
US8740034B2 (en) 2010-09-30 2014-06-03 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with interchangeable staple cartridge arrangements
US9629814B2 (en) 2010-09-30 2017-04-25 Ethicon Endo-Surgery, Llc Tissue thickness compensator configured to redistribute compressive forces
US9839420B2 (en) 2010-09-30 2017-12-12 Ethicon Llc Tissue thickness compensator comprising at least one medicament
US12213666B2 (en) 2010-09-30 2025-02-04 Cilag Gmbh International Tissue thickness compensator comprising layers
US9364233B2 (en) 2010-09-30 2016-06-14 Ethicon Endo-Surgery, Llc Tissue thickness compensators for circular surgical staplers
BR112013007717B1 (pt) 2010-09-30 2020-09-24 Ethicon Endo-Surgery, Inc. Sistema de grampeamento cirúrgico
US9301752B2 (en) 2010-09-30 2016-04-05 Ethicon Endo-Surgery, Llc Tissue thickness compensator comprising a plurality of capsules
US9295464B2 (en) 2010-09-30 2016-03-29 Ethicon Endo-Surgery, Inc. Surgical stapler anvil comprising a plurality of forming pockets
US9480476B2 (en) 2010-09-30 2016-11-01 Ethicon Endo-Surgery, Llc Tissue thickness compensator comprising resilient members
US20120080498A1 (en) 2010-09-30 2012-04-05 Ethicon Endo-Surgery, Inc. Curved end effector for a stapling instrument
US8893949B2 (en) 2010-09-30 2014-11-25 Ethicon Endo-Surgery, Inc. Surgical stapler with floating anvil
US9320523B2 (en) 2012-03-28 2016-04-26 Ethicon Endo-Surgery, Llc Tissue thickness compensator comprising tissue ingrowth features
US9788834B2 (en) 2010-09-30 2017-10-17 Ethicon Llc Layer comprising deployable attachment members
US9314246B2 (en) 2010-09-30 2016-04-19 Ethicon Endo-Surgery, Llc Tissue stapler having a thickness compensator incorporating an anti-inflammatory agent
US9332974B2 (en) 2010-09-30 2016-05-10 Ethicon Endo-Surgery, Llc Layered tissue thickness compensator
US9220501B2 (en) 2010-09-30 2015-12-29 Ethicon Endo-Surgery, Inc. Tissue thickness compensators
US9517063B2 (en) 2012-03-28 2016-12-13 Ethicon Endo-Surgery, Llc Movable member for use with a tissue thickness compensator
US9307989B2 (en) 2012-03-28 2016-04-12 Ethicon Endo-Surgery, Llc Tissue stapler having a thickness compensator incorportating a hydrophobic agent
US9301753B2 (en) 2010-09-30 2016-04-05 Ethicon Endo-Surgery, Llc Expandable tissue thickness compensator
US10945731B2 (en) 2010-09-30 2021-03-16 Ethicon Llc Tissue thickness compensator comprising controlled release and expansion
US11812965B2 (en) 2010-09-30 2023-11-14 Cilag Gmbh International Layer of material for a surgical end effector
US11298125B2 (en) 2010-09-30 2022-04-12 Cilag Gmbh International Tissue stapler having a thickness compensator
US11849952B2 (en) 2010-09-30 2023-12-26 Cilag Gmbh International Staple cartridge comprising staples positioned within a compressible portion thereof
US8695866B2 (en) 2010-10-01 2014-04-15 Ethicon Endo-Surgery, Inc. Surgical instrument having a power control circuit
USD650074S1 (en) 2010-10-01 2011-12-06 Ethicon Endo-Surgery, Inc. Surgical instrument
US9113884B2 (en) 2011-03-14 2015-08-25 Ethicon Endo-Surgery, Inc. Modular surgical tool systems
US8926598B2 (en) 2011-03-15 2015-01-06 Ethicon Endo-Surgery, Inc. Surgical instruments with articulatable and rotatable end effector
US8857693B2 (en) 2011-03-15 2014-10-14 Ethicon Endo-Surgery, Inc. Surgical instruments with lockable articulating end effector
US8540131B2 (en) 2011-03-15 2013-09-24 Ethicon Endo-Surgery, Inc. Surgical staple cartridges with tissue tethers for manipulating divided tissue and methods of using same
US9044229B2 (en) 2011-03-15 2015-06-02 Ethicon Endo-Surgery, Inc. Surgical fastener instruments
US8800841B2 (en) 2011-03-15 2014-08-12 Ethicon Endo-Surgery, Inc. Surgical staple cartridges
JP6026509B2 (ja) 2011-04-29 2016-11-16 エシコン・エンド−サージェリィ・インコーポレイテッドEthicon Endo−Surgery,Inc. ステープルカートリッジ自体の圧縮可能部分内に配置されたステープルを含むステープルカートリッジ
US11207064B2 (en) 2011-05-27 2021-12-28 Cilag Gmbh International Automated end effector component reloading system for use with a robotic system
US9107663B2 (en) 2011-09-06 2015-08-18 Ethicon Endo-Surgery, Inc. Stapling instrument comprising resettable staple drivers
US9050084B2 (en) 2011-09-23 2015-06-09 Ethicon Endo-Surgery, Inc. Staple cartridge including collapsible deck arrangement
US9044230B2 (en) 2012-02-13 2015-06-02 Ethicon Endo-Surgery, Inc. Surgical cutting and fastening instrument with apparatus for determining cartridge and firing motion status
US9078653B2 (en) 2012-03-26 2015-07-14 Ethicon Endo-Surgery, Inc. Surgical stapling device with lockout system for preventing actuation in the absence of an installed staple cartridge
JP6305979B2 (ja) 2012-03-28 2018-04-04 エシコン・エンド−サージェリィ・インコーポレイテッドEthicon Endo−Surgery,Inc. 複数の層を含む組織厚さコンペンセーター
CN104379068B (zh) 2012-03-28 2017-09-22 伊西康内外科公司 包括组织厚度补偿件的保持器组件
US9198662B2 (en) 2012-03-28 2015-12-01 Ethicon Endo-Surgery, Inc. Tissue thickness compensator having improved visibility
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
US12383267B2 (en) 2012-06-28 2025-08-12 Cilag Gmbh International Robotically powered surgical device with manually-actuatable reversing system
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
US11278284B2 (en) 2012-06-28 2022-03-22 Cilag Gmbh International Rotary drive arrangements for surgical instruments
US8747238B2 (en) 2012-06-28 2014-06-10 Ethicon Endo-Surgery, Inc. Rotary drive shaft assemblies for surgical instruments with articulatable end effectors
US9561038B2 (en) 2012-06-28 2017-02-07 Ethicon Endo-Surgery, Llc Interchangeable clip applier
US20140001231A1 (en) 2012-06-28 2014-01-02 Ethicon Endo-Surgery, Inc. Firing system lockout arrangements for surgical instruments
US9125662B2 (en) 2012-06-28 2015-09-08 Ethicon Endo-Surgery, Inc. Multi-axis articulating and rotating surgical tools
US9119657B2 (en) 2012-06-28 2015-09-01 Ethicon Endo-Surgery, Inc. Rotary actuatable closure arrangement for surgical end effector
US9028494B2 (en) 2012-06-28 2015-05-12 Ethicon Endo-Surgery, Inc. Interchangeable end effector coupling arrangement
EP2866686A1 (en) 2012-06-28 2015-05-06 Ethicon Endo-Surgery, Inc. Empty clip cartridge lockout
US9289256B2 (en) 2012-06-28 2016-03-22 Ethicon Endo-Surgery, Llc Surgical end effectors having angled tissue-contacting surfaces
US9101385B2 (en) 2012-06-28 2015-08-11 Ethicon Endo-Surgery, Inc. Electrode connections for rotary driven surgical tools
US9204879B2 (en) 2012-06-28 2015-12-08 Ethicon Endo-Surgery, Inc. Flexible drive member
US9072536B2 (en) 2012-06-28 2015-07-07 Ethicon Endo-Surgery, Inc. Differential locking arrangements for rotary powered surgical instruments
US20140001234A1 (en) 2012-06-28 2014-01-02 Ethicon Endo-Surgery, Inc. Coupling arrangements for attaching surgical end effectors to drive systems therefor
US9649111B2 (en) 2012-06-28 2017-05-16 Ethicon Endo-Surgery, Llc Replaceable clip cartridge for a clip applier
US9386985B2 (en) 2012-10-15 2016-07-12 Ethicon Endo-Surgery, Llc Surgical cutting instrument
US9386984B2 (en) 2013-02-08 2016-07-12 Ethicon Endo-Surgery, Llc Staple cartridge comprising a releasable cover
US10092292B2 (en) 2013-02-28 2018-10-09 Ethicon Llc Staple forming features for surgical stapling instrument
US9358003B2 (en) 2013-03-01 2016-06-07 Ethicon Endo-Surgery, Llc Electromechanical surgical device with signal relay arrangement
BR112015021098B1 (pt) 2013-03-01 2022-02-15 Ethicon Endo-Surgery, Inc Cobertura para uma junta de articulação e instrumento cirúrgico
JP6345707B2 (ja) 2013-03-01 2018-06-20 エシコン・エンド−サージェリィ・インコーポレイテッドEthicon Endo−Surgery,Inc. ソフトストップを備えた外科用器具
US9345481B2 (en) 2013-03-13 2016-05-24 Ethicon Endo-Surgery, Llc Staple cartridge tissue thickness sensor system
US9883860B2 (en) 2013-03-14 2018-02-06 Ethicon Llc Interchangeable shaft assemblies for use with a surgical instrument
US9629629B2 (en) 2013-03-14 2017-04-25 Ethicon Endo-Surgey, LLC Control systems for surgical instruments
US9572577B2 (en) 2013-03-27 2017-02-21 Ethicon Endo-Surgery, Llc Fastener cartridge comprising a tissue thickness compensator including openings therein
US9332984B2 (en) 2013-03-27 2016-05-10 Ethicon Endo-Surgery, Llc Fastener cartridge assemblies
US9795384B2 (en) 2013-03-27 2017-10-24 Ethicon Llc Fastener cartridge comprising a tissue thickness compensator and a gap setting element
US9867612B2 (en) 2013-04-16 2018-01-16 Ethicon Llc Powered surgical stapler
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
US9445813B2 (en) 2013-08-23 2016-09-20 Ethicon Endo-Surgery, Llc Closure indicator systems for surgical instruments
RU2678363C2 (ru) 2013-08-23 2019-01-28 ЭТИКОН ЭНДО-СЕРДЖЕРИ, ЭлЭлСи Устройства втягивания пускового элемента для хирургических инструментов с электропитанием
US20140171986A1 (en) 2013-09-13 2014-06-19 Ethicon Endo-Surgery, Inc. Surgical Clip Having Comliant Portion
US9642620B2 (en) 2013-12-23 2017-05-09 Ethicon Endo-Surgery, Llc Surgical cutting and stapling instruments with articulatable end effectors
US9681870B2 (en) 2013-12-23 2017-06-20 Ethicon Llc Articulatable surgical instruments with separate and distinct closing and firing systems
US9724092B2 (en) 2013-12-23 2017-08-08 Ethicon Llc Modular surgical instruments
US9839428B2 (en) 2013-12-23 2017-12-12 Ethicon Llc Surgical cutting and stapling instruments with independent jaw control features
US20150173756A1 (en) 2013-12-23 2015-06-25 Ethicon Endo-Surgery, Inc. Surgical cutting and stapling methods
US20150173749A1 (en) 2013-12-23 2015-06-25 Ethicon Endo-Surgery, Inc. Surgical staples and staple cartridges
US9962161B2 (en) 2014-02-12 2018-05-08 Ethicon Llc Deliverable surgical instrument
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
US20140166724A1 (en) 2014-02-24 2014-06-19 Ethicon Endo-Surgery, Inc. Staple cartridge including a barbed staple
BR112016021943B1 (pt) 2014-03-26 2022-06-14 Ethicon Endo-Surgery, Llc Instrumento cirúrgico para uso por um operador em um procedimento cirúrgico
US10028761B2 (en) 2014-03-26 2018-07-24 Ethicon Llc Feedback algorithms for manual bailout systems for surgical instruments
US9913642B2 (en) 2014-03-26 2018-03-13 Ethicon Llc Surgical instrument comprising a sensor system
US9733663B2 (en) 2014-03-26 2017-08-15 Ethicon Llc Power management through segmented circuit and variable voltage protection
US20150272557A1 (en) 2014-03-26 2015-10-01 Ethicon Endo-Surgery, Inc. Modular surgical instrument system
US12232723B2 (en) 2014-03-26 2025-02-25 Cilag Gmbh International Systems and methods for controlling a segmented circuit
US9801627B2 (en) 2014-09-26 2017-10-31 Ethicon Llc Fastener cartridge for creating a flexible staple line
US10470768B2 (en) 2014-04-16 2019-11-12 Ethicon Llc Fastener cartridge including a layer attached thereto
BR112016023698B1 (pt) 2014-04-16 2022-07-26 Ethicon Endo-Surgery, Llc Cartucho de prendedores para uso com um instrumento cirúrgico
JP6532889B2 (ja) 2014-04-16 2019-06-19 エシコン エルエルシーEthicon LLC 締結具カートリッジ組立体及びステープル保持具カバー配置構成
JP6612256B2 (ja) 2014-04-16 2019-11-27 エシコン エルエルシー 不均一な締結具を備える締結具カートリッジ
US20150297225A1 (en) 2014-04-16 2015-10-22 Ethicon Endo-Surgery, Inc. Fastener cartridges including extensions having different configurations
US20150328047A1 (en) * 2014-05-19 2015-11-19 Francis Y. Falck, Jr. Cataract Removal Tool
US10045781B2 (en) 2014-06-13 2018-08-14 Ethicon Llc Closure lockout systems for surgical instruments
US11311294B2 (en) 2014-09-05 2022-04-26 Cilag Gmbh International Powered medical device including measurement of closure state of jaws
BR112017004361B1 (pt) 2014-09-05 2023-04-11 Ethicon Llc Sistema eletrônico para um instrumento cirúrgico
US9737301B2 (en) 2014-09-05 2017-08-22 Ethicon Llc Monitoring device degradation based on component evaluation
US10105142B2 (en) 2014-09-18 2018-10-23 Ethicon Llc Surgical stapler with plurality of cutting elements
US11523821B2 (en) 2014-09-26 2022-12-13 Cilag Gmbh International Method for creating a flexible staple line
MX380639B (es) 2014-09-26 2025-03-12 Ethicon Llc Refuerzos de grapas quirúrgicas y materiales auxiliares.
US10076325B2 (en) 2014-10-13 2018-09-18 Ethicon Llc Surgical stapling apparatus comprising a tissue stop
US9924944B2 (en) 2014-10-16 2018-03-27 Ethicon Llc Staple cartridge comprising an adjunct material
US10517594B2 (en) 2014-10-29 2019-12-31 Ethicon Llc Cartridge assemblies for surgical staplers
US11141153B2 (en) 2014-10-29 2021-10-12 Cilag Gmbh International Staple cartridges comprising driver arrangements
US9844376B2 (en) 2014-11-06 2017-12-19 Ethicon Llc Staple cartridge comprising a releasable adjunct material
US10736636B2 (en) 2014-12-10 2020-08-11 Ethicon Llc Articulatable surgical instrument system
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
US9987000B2 (en) 2014-12-18 2018-06-05 Ethicon Llc Surgical instrument assembly comprising a flexible articulation system
US9844375B2 (en) 2014-12-18 2017-12-19 Ethicon Llc Drive arrangements for articulatable surgical instruments
US10085748B2 (en) 2014-12-18 2018-10-02 Ethicon Llc Locking arrangements for detachable shaft assemblies with articulatable surgical end effectors
US10117649B2 (en) 2014-12-18 2018-11-06 Ethicon Llc Surgical instrument assembly comprising a lockable articulation system
US9943309B2 (en) 2014-12-18 2018-04-17 Ethicon Llc Surgical instruments with articulatable end effectors and movable firing beam support arrangements
US10188385B2 (en) 2014-12-18 2019-01-29 Ethicon Llc Surgical instrument system comprising lockable systems
RU2703684C2 (ru) 2014-12-18 2019-10-21 ЭТИКОН ЭНДО-СЕРДЖЕРИ, ЭлЭлСи Хирургический инструмент с упором, который выполнен с возможностью избирательного перемещения относительно кассеты со скобами вокруг дискретной неподвижной оси
US11154301B2 (en) 2015-02-27 2021-10-26 Cilag Gmbh International Modular stapling assembly
US10245028B2 (en) 2015-02-27 2019-04-02 Ethicon Llc Power adapter for a surgical instrument
US10226250B2 (en) 2015-02-27 2019-03-12 Ethicon Llc Modular stapling assembly
US10180463B2 (en) 2015-02-27 2019-01-15 Ethicon Llc Surgical apparatus configured to assess whether a performance parameter of the surgical apparatus is within an acceptable performance band
US9901342B2 (en) 2015-03-06 2018-02-27 Ethicon Endo-Surgery, Llc Signal and power communication system positioned on a rotatable shaft
US9924961B2 (en) 2015-03-06 2018-03-27 Ethicon Endo-Surgery, Llc Interactive feedback system for powered surgical instruments
US9895148B2 (en) 2015-03-06 2018-02-20 Ethicon Endo-Surgery, Llc Monitoring speed control and precision incrementing of motor for powered surgical instruments
US10441279B2 (en) 2015-03-06 2019-10-15 Ethicon Llc Multiple level thresholds to modify operation of powered surgical instruments
US10245033B2 (en) 2015-03-06 2019-04-02 Ethicon Llc Surgical instrument comprising a lockable battery housing
JP2020121162A (ja) 2015-03-06 2020-08-13 エシコン エルエルシーEthicon LLC 測定の安定性要素、クリープ要素、及び粘弾性要素を決定するためのセンサデータの時間依存性評価
US9808246B2 (en) 2015-03-06 2017-11-07 Ethicon Endo-Surgery, Llc Method of operating a powered surgical instrument
US10045776B2 (en) 2015-03-06 2018-08-14 Ethicon Llc Control techniques and sub-processor contained within modular shaft with select control processing from handle
US9993248B2 (en) 2015-03-06 2018-06-12 Ethicon Endo-Surgery, Llc Smart sensors with local signal processing
US10687806B2 (en) 2015-03-06 2020-06-23 Ethicon Llc Adaptive tissue compression techniques to adjust closure rates for multiple tissue types
US10548504B2 (en) 2015-03-06 2020-02-04 Ethicon Llc Overlaid multi sensor radio frequency (RF) electrode system to measure tissue compression
US10617412B2 (en) 2015-03-06 2020-04-14 Ethicon Llc System for detecting the mis-insertion of a staple cartridge into a surgical stapler
US10213201B2 (en) 2015-03-31 2019-02-26 Ethicon Llc Stapling end effector configured to compensate for an uneven gap between a first jaw and a second jaw
US10052102B2 (en) 2015-06-18 2018-08-21 Ethicon Llc Surgical end effectors with dual cam actuated jaw closing features
US10835249B2 (en) 2015-08-17 2020-11-17 Ethicon Llc Implantable layers for a surgical instrument
US10098642B2 (en) 2015-08-26 2018-10-16 Ethicon Llc Surgical staples comprising features for improved fastening of tissue
JP6858754B2 (ja) 2015-08-26 2021-04-14 エシコン エルエルシーEthicon LLC 様々な組織圧縮用隙間及びステープル成形用隙間を含むステープルカートリッジアセンブリ
MX2022009705A (es) 2015-08-26 2022-11-07 Ethicon Llc Metodo para formar una grapa contra un yunque de un instrumento de engrapado quirurgico.
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
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.
US10357252B2 (en) 2015-09-02 2019-07-23 Ethicon Llc Surgical staple configurations with camming surfaces located between portions supporting surgical staples
US10238386B2 (en) 2015-09-23 2019-03-26 Ethicon Llc Surgical stapler having motor control based on an electrical parameter related to a motor current
US10363036B2 (en) 2015-09-23 2019-07-30 Ethicon Llc Surgical stapler having force-based motor control
US10105139B2 (en) 2015-09-23 2018-10-23 Ethicon Llc Surgical stapler having downstream current-based motor control
US10085751B2 (en) 2015-09-23 2018-10-02 Ethicon Llc Surgical stapler having temperature-based motor control
US10327769B2 (en) 2015-09-23 2019-06-25 Ethicon Llc Surgical stapler having motor control based on a drive system component
US10076326B2 (en) 2015-09-23 2018-09-18 Ethicon Llc Surgical stapler having current mirror-based motor control
US10299878B2 (en) 2015-09-25 2019-05-28 Ethicon Llc Implantable adjunct systems for determining adjunct skew
US11890015B2 (en) 2015-09-30 2024-02-06 Cilag Gmbh International Compressible adjunct with crossing spacer fibers
US10524788B2 (en) 2015-09-30 2020-01-07 Ethicon Llc Compressible adjunct with attachment regions
US10980539B2 (en) 2015-09-30 2021-04-20 Ethicon Llc Implantable adjunct comprising bonded layers
US10271849B2 (en) 2015-09-30 2019-04-30 Ethicon Llc Woven constructs with interlocked standing fibers
US10265068B2 (en) 2015-12-30 2019-04-23 Ethicon Llc Surgical instruments with separable motors and motor control circuits
US10292704B2 (en) 2015-12-30 2019-05-21 Ethicon Llc Mechanisms for compensating for battery pack failure in powered surgical instruments
US10368865B2 (en) 2015-12-30 2019-08-06 Ethicon Llc Mechanisms for compensating for drivetrain failure in powered surgical instruments
US10245030B2 (en) 2016-02-09 2019-04-02 Ethicon Llc Surgical instruments with tensioning arrangements for cable driven articulation systems
US11213293B2 (en) 2016-02-09 2022-01-04 Cilag Gmbh International Articulatable surgical instruments with single articulation link arrangements
BR112018016098B1 (pt) 2016-02-09 2023-02-23 Ethicon Llc Instrumento cirúrgico
US10258331B2 (en) 2016-02-12 2019-04-16 Ethicon Llc Mechanisms for compensating for drivetrain failure in powered surgical instruments
US10448948B2 (en) 2016-02-12 2019-10-22 Ethicon Llc Mechanisms for compensating for drivetrain failure in powered surgical instruments
US11224426B2 (en) 2016-02-12 2022-01-18 Cilag Gmbh International Mechanisms for compensating for drivetrain failure in powered surgical instruments
US11284890B2 (en) 2016-04-01 2022-03-29 Cilag Gmbh International Circular stapling system comprising an incisable tissue support
US10285705B2 (en) 2016-04-01 2019-05-14 Ethicon Llc Surgical stapling system comprising a grooved forming pocket
US10413293B2 (en) 2016-04-01 2019-09-17 Ethicon Llc Interchangeable surgical tool assembly with a surgical end effector that is selectively rotatable about a shaft axis
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
US10478190B2 (en) 2016-04-01 2019-11-19 Ethicon Llc Surgical stapling system comprising a spent cartridge lockout
US10357247B2 (en) 2016-04-15 2019-07-23 Ethicon Llc Surgical instrument with multiple program responses during a firing motion
US11179150B2 (en) 2016-04-15 2021-11-23 Cilag Gmbh International Systems and methods for controlling a surgical stapling and cutting instrument
US10405859B2 (en) 2016-04-15 2019-09-10 Ethicon Llc Surgical instrument with adjustable stop/start control during a firing motion
US10492783B2 (en) 2016-04-15 2019-12-03 Ethicon, Llc Surgical instrument with improved stop/start control during a firing motion
US10426467B2 (en) 2016-04-15 2019-10-01 Ethicon Llc Surgical instrument with detection sensors
US11607239B2 (en) 2016-04-15 2023-03-21 Cilag Gmbh International Systems and methods for controlling a surgical stapling and cutting instrument
US10828028B2 (en) 2016-04-15 2020-11-10 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
US10335145B2 (en) 2016-04-15 2019-07-02 Ethicon Llc Modular surgical instrument with configurable operating mode
US20170296173A1 (en) 2016-04-18 2017-10-19 Ethicon Endo-Surgery, Llc Method for operating a surgical instrument
US10433840B2 (en) 2016-04-18 2019-10-08 Ethicon Llc Surgical instrument comprising a replaceable cartridge jaw
US11317917B2 (en) 2016-04-18 2022-05-03 Cilag Gmbh International Surgical stapling system comprising a lockable firing assembly
EP3448283B1 (en) 2016-04-25 2020-02-26 Integra Lifesciences NR Ireland Limited Flue for ultrasonic aspiration surgical horn
USD820441S1 (en) 2016-06-13 2018-06-12 Integra Lifesciences Nr Ireland Limited Surgical handpiece nosecone
US12109352B2 (en) 2016-05-20 2024-10-08 Integra Lifesciences Enterprises, Lllp Ergonomic tubing attachment for medical apparatus
ES2927744T3 (es) 2016-05-24 2022-11-10 Integra Lifesciences Entpr Lllp Acoplamiento de tubo ergonómico para aparato médico
USD826405S1 (en) 2016-06-24 2018-08-21 Ethicon Llc Surgical fastener
US10893863B2 (en) 2016-06-24 2021-01-19 Ethicon Llc Staple cartridge comprising offset longitudinal staple rows
JP6980705B2 (ja) 2016-06-24 2021-12-15 エシコン エルエルシーEthicon LLC ワイヤステープル及び打ち抜かれたステープルで使用するためのステープリングシステム
USD847989S1 (en) 2016-06-24 2019-05-07 Ethicon Llc Surgical fastener cartridge
USD850617S1 (en) 2016-06-24 2019-06-04 Ethicon Llc Surgical fastener cartridge
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
US10548673B2 (en) 2016-08-16 2020-02-04 Ethicon Llc Surgical tool with a display
EP3799810B1 (en) 2016-11-16 2024-01-24 Integra LifeSciences Enterprises, LLLP Ultrasonic surgical handpiece
US10687840B1 (en) 2016-11-17 2020-06-23 Integra Lifesciences Nr Ireland Limited Ultrasonic transducer tissue selectivity
JP2020501779A (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
US20180168647A1 (en) 2016-12-21 2018-06-21 Ethicon Endo-Surgery, Llc Surgical stapling instruments having end effectors with positive opening features
US10945727B2 (en) 2016-12-21 2021-03-16 Ethicon Llc Staple cartridge with deformable driver retention features
US10537325B2 (en) 2016-12-21 2020-01-21 Ethicon Llc Staple forming pocket arrangement to accommodate different types of staples
US20180168619A1 (en) 2016-12-21 2018-06-21 Ethicon Endo-Surgery, Llc Surgical stapling systems
US20180168608A1 (en) 2016-12-21 2018-06-21 Ethicon Endo-Surgery, Llc Surgical instrument system comprising an end effector lockout and a firing assembly lockout
JP6983893B2 (ja) 2016-12-21 2021-12-17 エシコン エルエルシーEthicon LLC 外科用エンドエフェクタ及び交換式ツールアセンブリのためのロックアウト構成
US20180168615A1 (en) 2016-12-21 2018-06-21 Ethicon Endo-Surgery, Llc Method of deforming staples from two different types of staple cartridges with the same surgical stapling instrument
US10687810B2 (en) 2016-12-21 2020-06-23 Ethicon Llc Stepped staple cartridge with tissue retention and gap setting features
US10610224B2 (en) 2016-12-21 2020-04-07 Ethicon Llc Lockout arrangements for surgical end effectors and replaceable tool assemblies
US20180168625A1 (en) 2016-12-21 2018-06-21 Ethicon Endo-Surgery, Llc Surgical stapling instruments with smart staple cartridges
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
US10993715B2 (en) 2016-12-21 2021-05-04 Ethicon Llc Staple cartridge comprising staples with different clamping breadths
US10426471B2 (en) 2016-12-21 2019-10-01 Ethicon Llc Surgical instrument with multiple failure response modes
US10568626B2 (en) 2016-12-21 2020-02-25 Ethicon Llc Surgical instruments with jaw opening features for increasing a jaw opening distance
US10485543B2 (en) 2016-12-21 2019-11-26 Ethicon Llc Anvil having a knife slot width
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
US11179155B2 (en) 2016-12-21 2021-11-23 Cilag Gmbh International Anvil arrangements for surgical staplers
US10898186B2 (en) 2016-12-21 2021-01-26 Ethicon Llc Staple forming pocket arrangements comprising primary sidewalls and pocket sidewalls
JP7010957B2 (ja) 2016-12-21 2022-01-26 エシコン エルエルシー ロックアウトを備えるシャフトアセンブリ
US11134942B2 (en) 2016-12-21 2021-10-05 Cilag Gmbh International Surgical stapling instruments and staple-forming anvils
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
US11684367B2 (en) 2016-12-21 2023-06-27 Cilag Gmbh International Stepped assembly having and end-of-life indicator
US10568625B2 (en) 2016-12-21 2020-02-25 Ethicon Llc Staple cartridges and arrangements of staples and staple cavities therein
US10888322B2 (en) 2016-12-21 2021-01-12 Ethicon Llc Surgical instrument comprising a cutting member
MX2019007310A (es) 2016-12-21 2019-11-18 Ethicon Llc Sistemas de engrapado quirurgico.
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
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
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
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
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
US10881399B2 (en) 2017-06-20 2021-01-05 Ethicon Llc Techniques for adaptive control of motor velocity of a surgical stapling and cutting instrument
US11090046B2 (en) 2017-06-20 2021-08-17 Cilag Gmbh International Systems and methods for controlling displacement member motion of a surgical stapling and cutting instrument
US12490980B2 (en) 2017-06-20 2025-12-09 Cilag Gmbh International Surgical instrument having controllable articulation velocity
US10881396B2 (en) 2017-06-20 2021-01-05 Ethicon Llc Surgical instrument with variable duration trigger arrangement
USD879808S1 (en) 2017-06-20 2020-03-31 Ethicon Llc Display panel with graphical user interface
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
US10368864B2 (en) 2017-06-20 2019-08-06 Ethicon Llc Systems and methods for controlling displaying motor velocity for a surgical instrument
USD890784S1 (en) 2017-06-20 2020-07-21 Ethicon Llc Display panel with changeable graphical user interface
US10327767B2 (en) 2017-06-20 2019-06-25 Ethicon Llc Control of motor velocity of a surgical stapling and cutting instrument based on angle of articulation
US10779820B2 (en) 2017-06-20 2020-09-22 Ethicon Llc Systems and methods for controlling motor speed according to user input for a surgical instrument
US10646220B2 (en) 2017-06-20 2020-05-12 Ethicon Llc Systems and methods for controlling displacement member velocity for a surgical 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
USD879809S1 (en) 2017-06-20 2020-03-31 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
US10980537B2 (en) 2017-06-20 2021-04-20 Ethicon Llc Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on measured time over a specified number of shaft rotations
US11653914B2 (en) 2017-06-20 2023-05-23 Cilag Gmbh International Systems and methods for controlling motor velocity of a surgical stapling and cutting instrument according to articulation angle of end effector
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
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
US10772629B2 (en) 2017-06-27 2020-09-15 Ethicon Llc Surgical anvil arrangements
US11266405B2 (en) 2017-06-27 2022-03-08 Cilag Gmbh International Surgical anvil manufacturing methods
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
US10211586B2 (en) 2017-06-28 2019-02-19 Ethicon Llc Surgical shaft assemblies with watertight housings
JP7210488B2 (ja) 2017-06-28 2023-01-23 エシコン エルエルシー 枢動可能な外科用器具ジョーを第2の外科用器具ジョーと枢動可能な保持係合状態に保持するためのジョー保持機構
USD851762S1 (en) 2017-06-28 2019-06-18 Ethicon Llc Anvil
EP3420947B1 (en) 2017-06-28 2022-05-25 Cilag GmbH International Surgical instrument comprising selectively actuatable rotatable couplers
US11259805B2 (en) 2017-06-28 2022-03-01 Cilag Gmbh International Surgical instrument comprising firing member supports
US10903685B2 (en) 2017-06-28 2021-01-26 Ethicon Llc Surgical shaft assemblies with slip ring assemblies forming capacitive channels
US10716614B2 (en) 2017-06-28 2020-07-21 Ethicon Llc Surgical shaft assemblies with slip ring assemblies with increased contact pressure
US10758232B2 (en) 2017-06-28 2020-09-01 Ethicon Llc Surgical instrument with positive jaw opening features
US10765427B2 (en) 2017-06-28 2020-09-08 Ethicon Llc Method for articulating a surgical instrument
USD869655S1 (en) 2017-06-28 2019-12-10 Ethicon Llc Surgical fastener cartridge
US11058424B2 (en) 2017-06-28 2021-07-13 Cilag Gmbh International Surgical instrument comprising an offset articulation joint
US11246592B2 (en) 2017-06-28 2022-02-15 Cilag Gmbh International Surgical instrument comprising an articulation system lockable to a frame
USD854151S1 (en) 2017-06-28 2019-07-16 Ethicon Llc Surgical instrument shaft
USD906355S1 (en) 2017-06-28 2020-12-29 Ethicon Llc Display screen or portion thereof with a graphical user interface for a surgical instrument
US11564686B2 (en) 2017-06-28 2023-01-31 Cilag Gmbh International Surgical shaft assemblies with flexible interfaces
US10258418B2 (en) 2017-06-29 2019-04-16 Ethicon Llc System for controlling articulation forces
US10932772B2 (en) 2017-06-29 2021-03-02 Ethicon Llc Methods for closed loop velocity control for robotic surgical instrument
US10398434B2 (en) 2017-06-29 2019-09-03 Ethicon Llc Closed loop velocity control of closure member for robotic surgical instrument
US10898183B2 (en) 2017-06-29 2021-01-26 Ethicon Llc Robotic surgical instrument with closed loop feedback techniques for advancement of closure member during firing
US11007022B2 (en) 2017-06-29 2021-05-18 Ethicon Llc Closed loop velocity control techniques based on sensed tissue parameters for robotic surgical instrument
US11471155B2 (en) 2017-08-03 2022-10-18 Cilag Gmbh International Surgical system bailout
US11944300B2 (en) 2017-08-03 2024-04-02 Cilag Gmbh International Method for operating a surgical system bailout
US11974742B2 (en) 2017-08-03 2024-05-07 Cilag Gmbh International Surgical system comprising an articulation bailout
US11304695B2 (en) 2017-08-03 2022-04-19 Cilag Gmbh International Surgical system shaft interconnection
US10743872B2 (en) 2017-09-29 2020-08-18 Ethicon Llc System and methods for controlling a display of a surgical instrument
US10729501B2 (en) 2017-09-29 2020-08-04 Ethicon Llc Systems and methods for language selection of a surgical instrument
USD907647S1 (en) 2017-09-29 2021-01-12 Ethicon Llc Display screen or portion thereof with animated graphical user interface
US11399829B2 (en) 2017-09-29 2022-08-02 Cilag Gmbh International Systems and methods of initiating a power shutdown mode for a surgical instrument
USD917500S1 (en) 2017-09-29 2021-04-27 Ethicon Llc Display screen or portion thereof with graphical user interface
US10796471B2 (en) 2017-09-29 2020-10-06 Ethicon Llc Systems and methods of displaying a knife position for a surgical instrument
USD907648S1 (en) 2017-09-29 2021-01-12 Ethicon Llc Display screen or portion thereof with animated graphical user interface
US10765429B2 (en) 2017-09-29 2020-09-08 Ethicon Llc Systems and methods for providing alerts according to the operational state of a surgical instrument
US11134944B2 (en) 2017-10-30 2021-10-05 Cilag Gmbh International Surgical stapler knife motion controls
US11090075B2 (en) 2017-10-30 2021-08-17 Cilag Gmbh International Articulation features for surgical end effector
US10842490B2 (en) 2017-10-31 2020-11-24 Ethicon Llc Cartridge body design with force reduction based on firing completion
US10779903B2 (en) 2017-10-31 2020-09-22 Ethicon Llc Positive shaft rotation lock activated by jaw closure
US11006955B2 (en) 2017-12-15 2021-05-18 Ethicon Llc End effectors with positive jaw opening features for use with adapters for electromechanical surgical instruments
US10743874B2 (en) 2017-12-15 2020-08-18 Ethicon Llc Sealed adapters for use with electromechanical surgical instruments
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
US11033267B2 (en) 2017-12-15 2021-06-15 Ethicon Llc Systems and methods of controlling a clamping member firing rate of a surgical instrument
US10966718B2 (en) 2017-12-15 2021-04-06 Ethicon Llc Dynamic clamping assemblies with improved wear characteristics for use in connection with electromechanical surgical instruments
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
US10779826B2 (en) 2017-12-15 2020-09-22 Ethicon Llc Methods of operating surgical end effectors
US10687813B2 (en) 2017-12-15 2020-06-23 Ethicon Llc Adapters with firing stroke sensing arrangements for use in connection with electromechanical surgical instruments
US11071543B2 (en) 2017-12-15 2021-07-27 Cilag Gmbh International Surgical end effectors with clamping assemblies configured to increase jaw aperture ranges
US10869666B2 (en) 2017-12-15 2020-12-22 Ethicon Llc Adapters with control systems for controlling multiple motors of an electromechanical surgical instrument
US10743875B2 (en) 2017-12-15 2020-08-18 Ethicon Llc Surgical end effectors with jaw stiffener arrangements configured to permit monitoring of firing member
US11020112B2 (en) 2017-12-19 2021-06-01 Ethicon Llc Surgical tools configured for interchangeable use with different controller interfaces
US11045270B2 (en) 2017-12-19 2021-06-29 Cilag Gmbh International Robotic attachment comprising exterior drive actuator
US10716565B2 (en) 2017-12-19 2020-07-21 Ethicon Llc Surgical instruments with dual articulation drivers
USD910847S1 (en) 2017-12-19 2021-02-16 Ethicon Llc Surgical instrument assembly
US10729509B2 (en) 2017-12-19 2020-08-04 Ethicon Llc Surgical instrument comprising closure and firing locking mechanism
US10835330B2 (en) 2017-12-19 2020-11-17 Ethicon Llc Method for determining the position of a rotatable jaw of a surgical instrument attachment assembly
US11883019B2 (en) 2017-12-21 2024-01-30 Cilag Gmbh International Stapling instrument comprising a staple feeding system
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
US12336705B2 (en) 2017-12-21 2025-06-24 Cilag Gmbh International Continuous use self-propelled stapling instrument
US11311290B2 (en) 2017-12-21 2022-04-26 Cilag Gmbh International Surgical instrument comprising an end effector dampener
US11129680B2 (en) 2017-12-21 2021-09-28 Cilag Gmbh International Surgical instrument comprising a projector
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
US20200054321A1 (en) 2018-08-20 2020-02-20 Ethicon Llc Surgical instruments with progressive jaw closure arrangements
USD914878S1 (en) 2018-08-20 2021-03-30 Ethicon Llc Surgical instrument anvil
US11253256B2 (en) 2018-08-20 2022-02-22 Cilag Gmbh International Articulatable motor powered surgical instruments with dedicated articulation motor arrangements
US11045192B2 (en) 2018-08-20 2021-06-29 Cilag Gmbh International Fabricating techniques for surgical stapler anvils
US10912559B2 (en) 2018-08-20 2021-02-09 Ethicon Llc Reinforced deformable anvil tip for surgical stapler anvil
US11207065B2 (en) 2018-08-20 2021-12-28 Cilag Gmbh International Method for fabricating surgical stapler anvils
US11039834B2 (en) 2018-08-20 2021-06-22 Cilag Gmbh International Surgical stapler anvils with staple directing protrusions and tissue stability features
US11324501B2 (en) 2018-08-20 2022-05-10 Cilag Gmbh International Surgical stapling devices with improved closure members
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
US11291440B2 (en) 2018-08-20 2022-04-05 Cilag Gmbh International Method for operating a powered articulatable surgical instrument
US10779821B2 (en) 2018-08-20 2020-09-22 Ethicon Llc Surgical stapler anvils with tissue stop features configured to avoid tissue pinch
US10856870B2 (en) 2018-08-20 2020-12-08 Ethicon Llc Switching arrangements for motor powered articulatable surgical instruments
US11147553B2 (en) 2019-03-25 2021-10-19 Cilag Gmbh International Firing drive arrangements for surgical systems
US11172929B2 (en) 2019-03-25 2021-11-16 Cilag Gmbh International Articulation drive arrangements for surgical systems
US11147551B2 (en) 2019-03-25 2021-10-19 Cilag Gmbh International Firing drive arrangements for surgical systems
US11696761B2 (en) 2019-03-25 2023-07-11 Cilag Gmbh International Firing drive arrangements for surgical systems
US11648009B2 (en) 2019-04-30 2023-05-16 Cilag Gmbh International Rotatable jaw tip for a surgical instrument
US11426251B2 (en) 2019-04-30 2022-08-30 Cilag Gmbh International Articulation directional lights on a surgical instrument
US11432816B2 (en) 2019-04-30 2022-09-06 Cilag Gmbh International Articulation pin for a surgical instrument
US11903581B2 (en) 2019-04-30 2024-02-20 Cilag Gmbh International Methods for stapling tissue using a surgical instrument
US11253254B2 (en) 2019-04-30 2022-02-22 Cilag Gmbh International Shaft rotation actuator on a surgical instrument
US11471157B2 (en) 2019-04-30 2022-10-18 Cilag Gmbh International Articulation control mapping for a surgical instrument
US11452528B2 (en) 2019-04-30 2022-09-27 Cilag Gmbh International Articulation actuators for a surgical instrument
US11376098B2 (en) 2019-06-28 2022-07-05 Cilag Gmbh International Surgical instrument system comprising an RFID system
US11291451B2 (en) 2019-06-28 2022-04-05 Cilag Gmbh International Surgical instrument with battery compatibility verification functionality
US11771419B2 (en) 2019-06-28 2023-10-03 Cilag Gmbh International Packaging for a replaceable component of a surgical stapling system
US11660163B2 (en) 2019-06-28 2023-05-30 Cilag Gmbh International Surgical system with RFID tags for updating motor assembly parameters
US11246678B2 (en) 2019-06-28 2022-02-15 Cilag Gmbh International Surgical stapling system having a frangible RFID tag
US12004740B2 (en) 2019-06-28 2024-06-11 Cilag Gmbh International Surgical stapling system having an information decryption protocol
US11219455B2 (en) 2019-06-28 2022-01-11 Cilag Gmbh International Surgical instrument including a lockout key
US11298127B2 (en) 2019-06-28 2022-04-12 Cilag GmbH Interational Surgical stapling system having a lockout mechanism for an incompatible cartridge
US11298132B2 (en) 2019-06-28 2022-04-12 Cilag GmbH Inlernational Staple cartridge including a honeycomb extension
US11627959B2 (en) 2019-06-28 2023-04-18 Cilag Gmbh International Surgical instruments including manual and powered system lockouts
US11426167B2 (en) 2019-06-28 2022-08-30 Cilag Gmbh International Mechanisms for proper anvil attachment surgical stapling head assembly
US11523822B2 (en) 2019-06-28 2022-12-13 Cilag Gmbh International Battery pack including a circuit interrupter
US11464601B2 (en) 2019-06-28 2022-10-11 Cilag Gmbh International Surgical instrument comprising an RFID system for tracking a movable component
US11638587B2 (en) 2019-06-28 2023-05-02 Cilag Gmbh International RFID identification systems for surgical instruments
US11497492B2 (en) 2019-06-28 2022-11-15 Cilag Gmbh International Surgical instrument including an articulation lock
US11051807B2 (en) 2019-06-28 2021-07-06 Cilag Gmbh International Packaging assembly including a particulate trap
US11684434B2 (en) 2019-06-28 2023-06-27 Cilag Gmbh International Surgical RFID assemblies for instrument operational setting control
US11553971B2 (en) 2019-06-28 2023-01-17 Cilag Gmbh International Surgical RFID assemblies for display and communication
US11350938B2 (en) 2019-06-28 2022-06-07 Cilag Gmbh International Surgical instrument comprising an aligned rfid sensor
US11478241B2 (en) 2019-06-28 2022-10-25 Cilag Gmbh International Staple cartridge including projections
US11224497B2 (en) 2019-06-28 2022-01-18 Cilag Gmbh International Surgical systems with multiple RFID tags
US11259803B2 (en) 2019-06-28 2022-03-01 Cilag Gmbh International Surgical stapling system having an information encryption protocol
US11399837B2 (en) 2019-06-28 2022-08-02 Cilag Gmbh International Mechanisms for motor control adjustments of a motorized surgical instrument
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
US11529139B2 (en) 2019-12-19 2022-12-20 Cilag Gmbh International Motor driven surgical instrument
US11304696B2 (en) 2019-12-19 2022-04-19 Cilag Gmbh International Surgical instrument comprising a powered articulation system
US11701111B2 (en) 2019-12-19 2023-07-18 Cilag Gmbh International Method for operating a surgical stapling instrument
US11911032B2 (en) 2019-12-19 2024-02-27 Cilag Gmbh International Staple cartridge comprising a seating cam
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
US11529137B2 (en) 2019-12-19 2022-12-20 Cilag Gmbh International Staple cartridge comprising driver retention members
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
US11607219B2 (en) 2019-12-19 2023-03-21 Cilag Gmbh International Staple cartridge comprising a detachable tissue cutting knife
US11291447B2 (en) 2019-12-19 2022-04-05 Cilag Gmbh International Stapling instrument comprising independent jaw closing and staple firing systems
US11446029B2 (en) 2019-12-19 2022-09-20 Cilag Gmbh International Staple cartridge comprising projections extending from a curved deck surface
US12035913B2 (en) 2019-12-19 2024-07-16 Cilag Gmbh International Staple cartridge comprising a deployable knife
US11931033B2 (en) 2019-12-19 2024-03-19 Cilag Gmbh International Staple cartridge comprising a latch lockout
US11234698B2 (en) 2019-12-19 2022-02-01 Cilag Gmbh International Stapling system comprising a clamp lockout and a firing lockout
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
USD975278S1 (en) 2020-06-02 2023-01-10 Cilag Gmbh International Staple cartridge
USD966512S1 (en) 2020-06-02 2022-10-11 Cilag Gmbh International Staple cartridge
USD974560S1 (en) 2020-06-02 2023-01-03 Cilag Gmbh International Staple cartridge
USD967421S1 (en) 2020-06-02 2022-10-18 Cilag Gmbh International Staple cartridge
USD975850S1 (en) 2020-06-02 2023-01-17 Cilag Gmbh International Staple cartridge
US12064107B2 (en) 2020-07-28 2024-08-20 Cilag Gmbh International Articulatable surgical instruments with articulation joints comprising flexible exoskeleton arrangements
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
US11517390B2 (en) 2020-10-29 2022-12-06 Cilag Gmbh International Surgical instrument comprising a limited travel switch
USD980425S1 (en) 2020-10-29 2023-03-07 Cilag Gmbh International Surgical instrument assembly
US11779330B2 (en) 2020-10-29 2023-10-10 Cilag Gmbh International Surgical instrument comprising a jaw alignment system
US11844518B2 (en) 2020-10-29 2023-12-19 Cilag Gmbh International Method for operating a surgical instrument
US11896217B2 (en) 2020-10-29 2024-02-13 Cilag Gmbh International Surgical instrument comprising an articulation lock
US11717289B2 (en) 2020-10-29 2023-08-08 Cilag Gmbh International Surgical instrument comprising an indicator which indicates that an articulation drive is actuatable
US11534259B2 (en) 2020-10-29 2022-12-27 Cilag Gmbh International Surgical instrument comprising an articulation indicator
US12053175B2 (en) 2020-10-29 2024-08-06 Cilag Gmbh International Surgical instrument comprising a stowed closure actuator stop
US11452526B2 (en) 2020-10-29 2022-09-27 Cilag Gmbh International Surgical instrument comprising a staged voltage regulation start-up system
USD1013170S1 (en) 2020-10-29 2024-01-30 Cilag Gmbh International Surgical instrument assembly
US11931025B2 (en) 2020-10-29 2024-03-19 Cilag Gmbh International Surgical instrument comprising a releasable closure drive lock
US11744581B2 (en) 2020-12-02 2023-09-05 Cilag Gmbh International Powered surgical instruments with multi-phase tissue treatment
US11849943B2 (en) 2020-12-02 2023-12-26 Cilag Gmbh International Surgical instrument with cartridge release mechanisms
US11627960B2 (en) 2020-12-02 2023-04-18 Cilag Gmbh International Powered surgical instruments with smart reload with separately attachable exteriorly mounted wiring connections
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
US11890010B2 (en) 2020-12-02 2024-02-06 Cllag GmbH International Dual-sided reinforced reload for surgical instruments
US11653920B2 (en) 2020-12-02 2023-05-23 Cilag Gmbh International Powered surgical instruments with communication interfaces through sterile barrier
US11653915B2 (en) 2020-12-02 2023-05-23 Cilag Gmbh International Surgical instruments with sled location detection and adjustment features
US11944296B2 (en) 2020-12-02 2024-04-02 Cilag Gmbh International Powered surgical instruments with external connectors
US11678882B2 (en) 2020-12-02 2023-06-20 Cilag Gmbh International Surgical instruments with interactive features to remedy incidental sled movements
US12471982B2 (en) 2020-12-02 2025-11-18 Cilag Gmbh International Method for tissue treatment by surgical instrument
US11812964B2 (en) 2021-02-26 2023-11-14 Cilag Gmbh International Staple cartridge comprising a power management circuit
US11793514B2 (en) 2021-02-26 2023-10-24 Cilag Gmbh International Staple cartridge comprising sensor array which may be embedded in cartridge body
US11730473B2 (en) 2021-02-26 2023-08-22 Cilag Gmbh International Monitoring of manufacturing life-cycle
US11980362B2 (en) 2021-02-26 2024-05-14 Cilag Gmbh International Surgical instrument system comprising a power transfer coil
US11696757B2 (en) 2021-02-26 2023-07-11 Cilag Gmbh International Monitoring of internal systems to detect and track cartridge motion status
US11749877B2 (en) 2021-02-26 2023-09-05 Cilag Gmbh International Stapling instrument comprising a signal antenna
US11950779B2 (en) 2021-02-26 2024-04-09 Cilag Gmbh International Method of powering and communicating with a staple cartridge
US12108951B2 (en) 2021-02-26 2024-10-08 Cilag Gmbh International Staple cartridge comprising a sensing array and a temperature control system
US11701113B2 (en) 2021-02-26 2023-07-18 Cilag Gmbh International Stapling instrument comprising a separate power antenna and a data transfer antenna
US11950777B2 (en) 2021-02-26 2024-04-09 Cilag Gmbh International Staple cartridge comprising an information access control system
US12324580B2 (en) 2021-02-26 2025-06-10 Cilag Gmbh International Method of powering and communicating with a staple cartridge
US11723657B2 (en) 2021-02-26 2023-08-15 Cilag Gmbh International Adjustable communication based on available bandwidth and power capacity
US11925349B2 (en) 2021-02-26 2024-03-12 Cilag Gmbh International Adjustment to transfer parameters to improve available power
US11751869B2 (en) 2021-02-26 2023-09-12 Cilag Gmbh International Monitoring of multiple sensors over time to detect moving characteristics of tissue
US11744583B2 (en) 2021-02-26 2023-09-05 Cilag Gmbh International Distal communication array to tune frequency of RF systems
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
US11826012B2 (en) 2021-03-22 2023-11-28 Cilag Gmbh International Stapling instrument comprising a pulsed motor-driven firing rack
US11826042B2 (en) 2021-03-22 2023-11-28 Cilag Gmbh International Surgical instrument comprising a firing drive including a selectable leverage mechanism
US11759202B2 (en) 2021-03-22 2023-09-19 Cilag Gmbh International Staple cartridge comprising an implantable layer
US11806011B2 (en) 2021-03-22 2023-11-07 Cilag Gmbh International Stapling instrument comprising tissue compression systems
US11717291B2 (en) 2021-03-22 2023-08-08 Cilag Gmbh International Staple cartridge comprising staples configured to apply different tissue compression
US11896218B2 (en) 2021-03-24 2024-02-13 Cilag Gmbh International Method of using a powered stapling device
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
US11793516B2 (en) 2021-03-24 2023-10-24 Cilag Gmbh International Surgical staple cartridge comprising longitudinal support beam
US11857183B2 (en) 2021-03-24 2024-01-02 Cilag Gmbh International Stapling assembly components having metal substrates and plastic bodies
US12102323B2 (en) 2021-03-24 2024-10-01 Cilag Gmbh International Rotary-driven surgical stapling assembly comprising a floatable component
US11786239B2 (en) 2021-03-24 2023-10-17 Cilag Gmbh International Surgical instrument articulation joint arrangements comprising multiple moving linkage features
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
US11849944B2 (en) 2021-03-24 2023-12-26 Cilag Gmbh International Drivers for fastener cartridge assemblies having rotary drive screws
US11744603B2 (en) 2021-03-24 2023-09-05 Cilag Gmbh International Multi-axis pivot joints for surgical instruments and methods for manufacturing same
US11903582B2 (en) 2021-03-24 2024-02-20 Cilag Gmbh International Leveraging surfaces for cartridge installation
US11849945B2 (en) 2021-03-24 2023-12-26 Cilag Gmbh International Rotary-driven surgical stapling assembly comprising eccentrically driven firing member
US11832816B2 (en) 2021-03-24 2023-12-05 Cilag Gmbh International Surgical stapling assembly comprising nonplanar staples and planar staples
US11723662B2 (en) 2021-05-28 2023-08-15 Cilag Gmbh International Stapling instrument comprising an articulation control display
US12239317B2 (en) 2021-10-18 2025-03-04 Cilag Gmbh International Anvil comprising an arrangement of forming pockets proximal to tissue stop
US11980363B2 (en) 2021-10-18 2024-05-14 Cilag Gmbh International Row-to-row staple array variations
US12279845B2 (en) 2021-10-18 2025-04-22 Cilag Gmbh International Cable-driven actuation system for robotic surgical tool attachment
US11957337B2 (en) 2021-10-18 2024-04-16 Cilag Gmbh International Surgical stapling assembly with offset ramped drive surfaces
US11877745B2 (en) 2021-10-18 2024-01-23 Cilag Gmbh International Surgical stapling assembly having longitudinally-repeating staple leg clusters
US12251105B2 (en) 2021-10-20 2025-03-18 Cilag Gmbh International Lockout arrangements for surgical instruments
US12432790B2 (en) 2021-10-28 2025-09-30 Cilag Gmbh International Method and device for transmitting UART communications over a security short range wireless communication
US11937816B2 (en) 2021-10-28 2024-03-26 Cilag Gmbh International Electrical lead arrangements for surgical instruments
US12089841B2 (en) 2021-10-28 2024-09-17 Cilag CmbH International Staple cartridge identification systems

Family Cites Families (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3375585A (en) * 1966-05-09 1968-04-02 Ross R. Spencer Loader's calculating device
US3546498A (en) * 1969-06-13 1970-12-08 Univ Ohio Curved sonic transmission line
DE1931532A1 (de) * 1969-06-21 1970-12-23 Wolf Gmbh Richard Geraet zur Zerkleinerung von Konkrementen in Koerperhoehlen od.dgl.
US3693613A (en) * 1970-12-09 1972-09-26 Cavitron Corp Surgical handpiece and flow control system for use therewith
US3908661A (en) * 1974-01-31 1975-09-30 Steven G Kramer Surgical instruments
US4169984A (en) * 1976-11-30 1979-10-02 Contract Systems Associates, Inc. Ultrasonic probe
JPH0677720B2 (ja) * 1981-10-05 1994-10-05 住友ベークライト株式会社 超音波発振装置
US4526571A (en) * 1982-10-15 1985-07-02 Cooper Lasersonics, Inc. Curved ultrasonic surgical aspirator
DE3378401D1 (en) * 1983-04-04 1988-12-15 Sumitomo Bakelite Co Ultrasonic oscillator
JPS606654A (ja) * 1983-06-24 1985-01-14 Nippon Tokushu Noyaku Seizo Kk 置換フエニルスルホニルグアニジン誘導体、その中間体、それらの製法及び除草剤
JPS60236638A (ja) * 1984-05-11 1985-11-25 住友ベークライト株式会社 ハンドピ−ス

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9070308B2 (en) 2007-10-11 2015-06-30 Southwire Company, Llc Labeled armored electrical cable
US12381021B2 (en) 2013-08-23 2025-08-05 Southwire Company, Llc System and method of printing indicia onto armored cable

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EP0248844A1 (en) 1987-12-16
US4634419A (en) 1987-01-06
DE3687459D1 (de) 1993-02-18
CA1258021A (en) 1989-08-01
DE3687459T2 (de) 1993-04-29
IL80941A0 (en) 1987-03-31
IL80941A (en) 1992-01-15
EP0248844A4 (en) 1989-03-15
JPS63501845A (ja) 1988-07-28
EP0248844B1 (en) 1993-01-07
WO1987003467A1 (en) 1987-06-18

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