JPH067360A - 外科用フアスナー - Google Patents

外科用フアスナー

Info

Publication number
JPH067360A
JPH067360A JP5106011A JP10601193A JPH067360A JP H067360 A JPH067360 A JP H067360A JP 5106011 A JP5106011 A JP 5106011A JP 10601193 A JP10601193 A JP 10601193A JP H067360 A JPH067360 A JP H067360A
Authority
JP
Japan
Prior art keywords
fixing
tip
staple
members
fastener
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.)
Pending
Application number
JP5106011A
Other languages
English (en)
Inventor
Robert A Hlavacek
ロバート・アレン・フラバセク
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.)
Wyeth Holdings LLC
Original Assignee
American Cyanamid Co
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 American Cyanamid Co filed Critical American Cyanamid Co
Publication of JPH067360A publication Critical patent/JPH067360A/ja
Pending legal-status Critical Current

Links

Classifications

    • 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
    • A61B17/0644—Surgical staples, i.e. penetrating the tissue penetrating the tissue, deformable to closed position
    • Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
    • Y10S—TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10S227/00—Elongated-member-driving apparatus
    • Y10S227/902—Surgical clips or staples

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)

Abstract

(57)【要約】 【目的】 ステープルに過度の負荷が加わらないように
する。 【構成】 外科用ファスナーは２個の固定用アームが延
びている中央スパンを備え、各固定用アームは固定用尖
端を受け入れるようにされた凹所及び固定用ナブを受け
入れるようにされた凹所を持つ。内側可撓性部材が中央
スパンから延びてステープル尖端部材で終わり、このス
テープル尖端部材は組織を刺す尖端で終わる。

Description

【発明の詳細な説明】
【０００１】
【産業上の利用分野】本発明は外科用ファスナーに関
し、特に一体型プラスチックファスナーに関する。
【０００２】
【従来技術及びその課題】外科用ファスナー又はステー
プルは、縫合に時間を消費する必要なしに外科医が迅速
に身体組織をしっかりと閉鎖することができる外科的処
置に一般に使用される。かかる外科用ファスナーは外科
用ステープラーにより１個ずつ適用することができ、又
は多数を同時に適用することができる。
【０００３】ある種の外科用ファスナーは一体型の器具
である。即ち、これらは、閉鎖部位又は固定部位におい
てステープルを形成するために、何らかの方法でそれ自
体で相互固定する１個のの部片で構成される。
【０００４】米国特許第２８８１７６２号は２個の端部
を有する外科用ステープルを明らかにする。端部が組織
を刺し、重ねかつ固定する。囲まれたリング内の組織が
一緒に保持される。
【０００５】米国特許第４３１７４５１号は、連結用部
材の両端に固定され先の尖ったＬ字形の脚を持った１部
片型の自己固定式の成型プラスチックステープルを開示
する。各脚は、脚を９０°円弧を通して強制することに
よりステープルが閉じられたときに、固定用のバーと組
み合う延長部を持つ。
【０００６】米国特許第４４２８３７６号は、水平方向
の連結用部材に旋回可能に取り付けられたＬ字形の脚を
持った１部片型の自己固定式のプラスチックステープル
を明らかにする。このステープルは、脚を定位置に保持
するために組み合いうるように脚部材を９０°回転させ
ることにより固定される。
【０００７】米国特許第５００２５６２号は、生体分解
可能な強固な物質で形成された１対の対向脚のある外科
用クリップを明らかにする。これらを組織内に保持する
ために脚は返りを有し、同様に生対分解可能な可撓性部
分により連結される。上述の特許の総てが参考図書とし
て組み入れられる。
【０００８】現状技術の１部片型ステープルは、かさ張
るものが多く、かつステープルの形状のため、組織内に
置くときに、ステープルの早期故障をもたらす閉鎖位置
における過負荷が加わる。
【０００９】本来かさ張らず、ステープルを使用すると
きにプラスチック材料に過度の応力がかからず、かつ強
度の損失、破壊、及び生対吸収より前の治療に要する期
間中、組織を一緒に保持する外科用ステープルを提供す
ることが本発明の目的である。
【００１０】ステープルを曲げるために組織の下にアン
ビルを必要とすることなく、組織の一方の表面のみから
取り付けうるステープルを提供することが本発明の別の
目的である。組織の下のアンビルを用いて組織を貫いて
取り付けうるステープルを提供することも本発明の目的
である。
【００１１】
【課題を解決するための手段】閉じられた形状において
は２個の固定用アームが延びている中央スパンを備え、
固定用アームは尖端を受ける凹所と固定用のナブ（nu
b）を受ける凹所とを有し、更に中央スパンからステー
プル尖端に延びる内側可撓性部材、ステープル尖端から
固定用アームに戻るように延びて、尖端受入れ用の凹所
に受け入れられる尖端で終わる外側可撓性部材を備えた
１部片型の自己固定式の成型プラスチックステープルが
提供される。
【００１２】好ましくは閉鎖位置において作られるステ
ープルは、使用準備のために開口位置に動かされる。ス
テープルを閉鎖位置から開くには、固定用アームを持ち
上げて、外側可撓性部材の固定用ナブがこれと組み合う
固定用アーム上の凹所内に捕捉される位置に、外側可撓
性部材の自由端をもってくる。このとき、ステープルは
その開口位置に固定される。ステープルはアンビルと型
の機構を用いて打ち出される。アンビルが組織の下の正
しい位置に置かれ、型が外側の可撓性部材を押し下げて
この部材を曲げてその端部を引張り、固定用ナブを押し
下げから外す。型を更に作動させりと、ステープルは組
織内に押し込まれ、外側可撓性部材の自由端は固定用ア
ームの下方から外され、その尖端を固定用アームの端部
の適合用凹所内に適合させて定位置に固定される。
【００１３】本発明は次の実施例に要約することができ
る。
【００１４】１．中央スパン、中央スパンから延びてい
る２個の固定用アーム、中央スパンから延びかつ各がス
テープル尖端部材を有する２個の内側可撓性部材、この
ステープル尖端部材は組織を刺す尖端で終わり、各がそ
れぞれのステープル尖端部材から延びかつそれぞれの内
側可撓性部材と平行である２個の外側可撓性部材、並び
に開口位置において外側可撓性部材の手前側端部をそれ
ぞれの内側可撓性部材と固定用アームとの間に保持する
第１の手段、及び閉鎖位置においてそれぞれの固定用ア
ームと前記中央スパンとの連結部から遠位の外側可撓性
部材の端部を保持する第２の手段を備えた外科用ファス
ナー。
【００１５】２．中央スパン、中央スパンから延びてい
る２個の固定用アーム、この２個の固定用アームは外側
可撓性部材の固定用端部とナブをそれぞれ受けるように
された凹所を有し、中央スパンから延びかつ各がステー
プル尖端部材を有する２個の内側可撓性部材、このステ
ープル尖端部材は組織を刺す尖端で終わり、及び各がそ
れぞれのステープル尖端部材から延びて固定用尖端及び
固定用ナブで終わる２個の外側可撓性部材を備えた外科
用ファスナー。
【００１６】３．開口位置においてはステープルを開口
位置に保持するために前記２個の外側可撓性部材の各固
定用ナブを前記それぞれの固定用アームの固定用ナブ用
凹所内に捕捉し、更に前記外科用ファスナーの閉鎖位置
においてはステープルを閉鎖位置に固定するために２個
の外側可撓性部材の各固定用尖端をそれぞれの固定用ア
ームの固定用尖端用凹所内に捕捉する実施例２のファス
ナー。
【００１７】４．中央スパン、中央スパンから延びてい
る２個の固定用アーム、この２個固定用アームの各はそ
の下面にラチェット歯を有し、中央スパンから延びかつ
各がステープル尖端部材を有する２個の内側可撓性部
材、このステープル尖端部材は組織を刺す尖端で終わ
り、及び各がそれぞれのステープル尖端部材から延びて
中央スパンに向かう２個の外側可撓性部材、この２個の
外側可撓性部材は各が端部を有し、この端部は上面及び
前記２個の固定用アームのそれぞれのラチェット歯と組
み合うように上面のラチェット歯を持つを備えた外科用
ファスナー。
【００１８】５．開口位置においてはそれぞれの内側可
撓性部材と前記２個の固定用アームの前記ラチェット歯
との間のそれぞれの外側可撓性部材の端部は固定用アー
ムと中央スパンとの連結点に近く、更に閉鎖位置におい
ては前記それぞれの内側可撓性部材と前記２個の固定用
アームの前記ラチェット歯との間の前記それぞれの外側
可撓性部材の前記端部が固定用アームと中央スパンとの
連結点から遠い実施例４のファスナー。
【００１９】６．Ｕ字形中央スパン、中央スパンから延
びている２個の固定用アーム、この２個の固定用アーム
の各は内側可撓性部材と組み合うためにその面上にラチ
ェット歯を有し、Ｕ字形中央スパンから延びかつ尖端を
有する尖端部材において終わる２個の外側可撓性部材、
各がそれぞれの尖端部材から延びて２個の外側可撓性部
材と平行にＵ字形中央スパンに向かう２個の内側可撓性
部材、この２個の内側可撓性部材は各が前記２個の固定
用アームの各と組み合うように表面のラチェット歯を持
つ備えた外科用ファスナー。
【００２０】７．前記ファスナーが、プッシャー及び成
型用型の使用により閉じられ、尖端部材が円弧状に強制
され前記２個の内側及び外側の可撓性部材が撓み、閉鎖
位置においてステープルを固定するように前記内側の可
撓性部材の各の面が前記２個の固定用アームのラチェッ
ト歯とラチェット噛合いをする実施例６のファスナー。
【００２１】８．Ｕ字形の中央スパン、中央スパンから
延び各が固定用ナブ用凹所を有する２個の固定用アー
ム；中央スパンから延びて尖端を有する尖端部材で終わ
る２個の外側可撓性部材、及び尖端部材から２個の外側
可撓性部材と平行に延びる２個の内側可撓性部材、この
２個の可撓性部材の各はその端部に固定用ナブを有し、
この固定用ナブはステープルが閉じられるとき固定用ナ
ブ用凹所に向かって滑りここに捕捉されるを備えた外科
用ファスナー。
【００２２】９．外科用ステープルとして有用な実施例
１ないし８のいずれかによるファスナー。
【００２３】１０．長方形断面を有する実施例９のファ
スナー。
【００２４】１１．前記ステープル尖端部材の各が円形
断面を持つ実施例１０のファスナー。
【００２５】１２．吸収可能な合成ポリマーで製造され
た実施例９のファスナー。
【００２６】１３．吸収可能な合成ポリマーがｐ−ジオ
キサノン、グリコイド、ラクチド及びトリメチレンカー
ボネートのホモポリマー又はコポリマーよりなるグルー
プから選定される実施例１２のファスナー。
【００２７】１４．非吸収性ポリマーから清掃された実
施例９のファスナー。
【００２８】１５．非吸収性ポリマーがナイロン、ポリ
エステル、ポリエチレン、ポリプロピレン、及びポリス
ルフォンよりなるグループから選定される実施例１４の
ファスナー。
【００２９】１６．前記２個の固定用アームの各はステ
ープルが閉じられるときに前記それぞれの内側可撓性部
材により撓められ、前記内側可撓性部材のそれぞれの端
部は完全閉鎖位置における前記２個の固定用アームのそ
れぞれの端部と組み合わせられる実施例２又は３のファ
スナー。
【００３０】
【実施例】図１及び２を参照すれば、水平方向の連結用
部材２を有し、これから固定用アーム３と内側可撓性部
材１１とが延びている本発明のステープル１が図解され
る。固定用アームは固定用ナブのための凹所４と固定用
先端のための凹所５とを持つ。内側可撓性部材はステー
プル尖端部材９に連なる。ステープル尖端部材は内側可
撓性部材への連結部と反対側のその端部に尖端１０を持
つ。外側可撓性部材８がステープル尖端部材に内側可撓
性部材と同じ端部に取り付けられ、これは内側可撓性部
材と平行である。外側可撓性部材は固定用尖端６及び固
定用ナブ７において終わる。
【００３１】図３ないし６はステープル１の使用による
切断組織の接近を示す。図３ないし５は従来技術におい
て公知の器具によるステープル１の閉鎖を示す。この器
具はアンビル１２及び成型用のブレード１３を備える。
【００３２】特に図３に示されるように、ステープル１
は従来技術において公知の手段による閉鎖用器具内に保
持される。連結部材２がアンビル１２により支持され
る。成型用ブレード１３が外側可撓性部材８と当たる。
組織を接近させるには、ステープル閉鎖用器具とステー
プル１とを創傷１４に隣接して置く。ステープル尖端部
材がアンビルの高さより下方に延び、閉鎖用器具が創傷
１４の近くにおかれると、まずステープル尖端が組織１
５に接触する。図４及び５に示されるように、成型用ブ
レード１３がアンビル１２に関して下げられる。ステー
プル１は閉じられ、創傷１４は接近させられる。特に図
４に示されるように、ステープルの閉鎖中に、ステープ
ルの尖端部材９は円弧を描き、外側と内側の可撓性部材
に組織１５の回りで曲げさせて組織を掴ませる。可撓性
部材の最初の曲がりが生ずると、外側可撓性部材８の固
定用ナブ７が固定用アーム３の固定用ナブ用凹所４から
外れる。固定用アーム３は固定用ナブ７の運動を許すよ
うに上方に撓む。
【００３３】図５に示されるように、成型用ブレード１
３はその圧迫を完了し、内側及び外側の可撓性部材はそ
の完全に閉鎖された位置となる。固定用尖端６は固定用
アーム３の端部の横を通り過ぎ、ばね作用で固定用アー
ムの固定用尖端用凹所内に捕捉される。これによりステ
ープルは閉鎖位置に固定される。次いで、成型用ブレー
ド１３が持ち上げられ、閉鎖用器具がステープル及び創
傷１５から除かれる。創傷１４の縁は図６に示されるよ
うに治療のために正しく接近される。図７は創傷閉鎖用
の一連のステープル１を示す。
【００３４】好ましくは、本発明のステープルは長方形
断面を持つ。組織貫通を容易にするために、ステープル
尖端部材９及びステープル尖端１０を円形断面及び／又
はテーパー付きとすることができる。
【００３５】図８及び９は図１に示されたステープルと
交替可能な実施例である。外側可撓性部材８はその上面
に多数のラチェット歯１７を備える。ステープルが閉じ
られたときにラチェット歯１７と噛み合うように、固定
用アーム３にはその下面に組み合うラチェット面１６が
設けられる。図８及び９に示されたステープルは、閉鎖
を完了することが不要であるか又は得策である場合に、
図１に示されたステープルより優れた利点を持つ。図８
のステープルは、図９において組織内で部分的に閉鎖さ
れた位置で示される。希望するならば、取付け具を外す
ことによりステープルを部分的に閉鎖した位置に残すこ
とができ、又は完全に閉鎖することができる。
【００３６】本発明のステープルは、皮膚、筋膜、又は
内部器官を閉じるために使用することができる。本発明
のステープルは従来技術で知られた種々の外科用ステー
プルと共に使用できる。例えば、このステープルは、こ
れを自動式及び／又は連発式のステープル装置に使用す
るカートリッジ内に装填することができる。この装置は
多数のステープルを直線状又は円形のパターンに置くこ
とができる。熟練技術者により過度の実験なしに従来技
術のステープル装置の変更を行うことができる。
【００３７】図１０ないし１３は、ステープルが組織を
貫くようにされかつステープルを形成するために組織の
向う側に形成用の型を有する本発明の別の実施例を示
す。これは、線状又は円形の内部ステープル装置に現在
使用されている形式のステープルである。
【００３８】図１０を参照すれば、Ｕ字形の連結用部材
２は、内側においては、表面にラチェット受けのセレー
ション１６を持った固定用アーム３で終わり、また、外
側においては、尖端部材９を連結する外側可撓性部材８
で終わる。尖端部材はその先の尖端１０及び内側可撓性
部材１１を有し、後者は尖端部材９から外側可撓性部材
８と平行な方向で延びる。内側可撓性部材１１は、固定
用アームのラチェット受けセレーション１６と組み合う
ラチェット面１７を持つ。図１０においては、ステープ
ルは、ラチェット面１７がラチェット受けセレーション
１６と組み合った閉鎖位置において固定されて示され
る。図１１は、開口位置にあるステープルを示す。図１
２は組織に適用されるステープルを示す。ステープルの
尖端部材９は、プッシャー２０により押されて創傷１４
の両側において組織１５を貫いている。ステープル尖端
１０はアンビルの成型用溝２２と接触し、この溝はプッ
シャー２０の更なる前進により可撓性部材を強制してこ
れらの閉鎖位置内に曲げるであろう。図１３は完全閉鎖
位置にあるステープルを示し、この位置では、アンビル
成型用溝は、可撓性部材を曲げて内側可撓性部材を強制
してＵ字形の連結用部材の方に前進させ、そのラチェッ
ト面を固定用アームのラチェット受けセレーションと組
み合わせて固定し、ステープルをその閉鎖位置に保持す
る。
【００３９】図１４及び１５は、図１０の形式のステー
プル用の本発明の別の実施例を示す。作動している部材
のみがその開口位置及び閉鎖位置において示される。図
１４を参照すれば、Ｕ字形の連結用部材２は固定用アー
ム３のある内側で終わり、このアームは固定用ナブ受け
の凹所２０を有し、かつ尖端部材９を連結する外側可撓
性部材８で外側が終わる。尖端部材は先の尖端１０及び
内側可撓性部材１１を有し、後者は尖端部材９から外側
可撓性部材８と平行な方向で延びる。内側可撓性部材は
その端部に固定用ナブ２１を有し、これは、閉鎖位置に
おいて固定用ナブ受けの凹所２０と組み合う。図１５に
おいては、ステープルの脚は、固定用ナブ２１が固定用
ナブ受けの凹所２０内にあるその閉鎖位置において示さ
れる。図１４及び１５は、２個の固定用部材とＵ字形の
連結用部材とを持つステープルの作動する部材のみを示
す。
【００４０】本発明のステープルは、従来技術の金属ス
テープルと同様又は同じ寸法に製造することができる。
平均として、連結用部材は約０.２から０.６cmとするこ
とができる。このとき、内側及び外側の可撓性部材は、
概ね、例えば図１に示されたような寸法にすることがで
きる。本発明のステープルの製造は、適宜の適切なプラ
スチック成型技術、例えば押出し成型及び射出成型によ
ることができる。幾つかの公知の合成ポリマー組成が生
体吸収可能であり従って好ましいが適宜の公知の生体吸
収可能な材料が有用である。生体吸収が可能でないポリ
マー組成は、限定はしないがナイロン、ポリプロピレ
ン、ポリエステル、及びポリスルフォンを含む。
【００４１】生体吸収可能なポリマーの例は、限定はし
ないが、ラクチド、グリコイド、トリメチレンカーボネ
ート、及びｐ−ジオキサノンのホモポリマー及びコポリ
マーを含む。
【００４２】吸収が重要及び／又は決定的でない場合、
例えばある種の内部的な外科処置においては、ポリプロ
ピレン又はナイロンの生体非吸収のステープルも有用で
ある。外部使用についての図６及び９を参照すれば、ス
テープルは、創傷が十分に治癒した後で、それぞれ連結
用部材２又は固定用部材３を持ち上げることにより比較
的容易に除去できる。このとき、ステープルは図２に示
されたように可撓性部材を回してその最初の開口位置に
戻すことにより除去することができる。
【００４３】特に上述されない別の実施例が本発明の範
囲内であることを理解すべきである。
【００４４】本発明の実施態様は次の通りである。
【００４５】１．中央スパン、中央スパンから延びてい
る２個の固定用アーム、２個の内側可撓性部材、及び２
個の外側可撓性部材を特徴とする外科用ファスナー。
【００４６】２．中央スパンから延びかつ各が尖端部材
を有する２個の内側可撓性部材、この尖端部材は組織を
刺す尖端で終わり、各がそれぞれの尖端部材から延びか
つそれぞれの内側可撓性部材と平行である２個の外側可
撓性部材、開口位置において外側可撓性部材の手元側端
部をそれぞれの内側可撓性部材と固定用アームとの間に
保持する第１の手段、及び閉鎖位置においてそれぞれの
固定用アームと前記中央スパンとの連結部から遠位の外
側可撓性部材の端部を保持する第２の手段を更に特徴と
する上記１のファスナー。
【００４７】３．中央スパンから延びかつ外側可撓性部
材の固定用尖端とナブとをそれぞれ受けるようにされた
凹所を有する２個の固定用アーム、中央スパンから延び
かつ各が尖端部材を有する２個の内側可撓性部材、この
尖端部材は組織を刺す尖端で終わり、及び各がそれぞれ
の尖端部材から延びて固定用尖端と固定用ナブとで終わ
る２個の外側可撓性部材を更に特徴とする上記１のファ
スナー。
【００４８】４．ファスナーを開口位置に保持するため
に前記２個の外側可撓性部材の各固定用ナブを前記それ
ぞれの固定用ナブの凹所内に捕捉し、更に前記外科用フ
ァスナーの閉鎖位置においてファスナーを閉鎖位置に固
定するために２個の外側可撓性部材の各固定用尖端をそ
れぞれの固定用アームの固定用尖端用凹所内で捕捉する
上記３のファスナー。
【００４９】５．ステープルを閉じるときは前記２個の
固定用アームの各が前記それぞれの内側可撓性部材によ
り撓ませられ、更に完全閉鎖位置においては前記内側可
撓性部材のそれぞれの端部が前記２個の固定用アームの
それぞれの端部と組み合う上記３又は４のファスナー。
【００５０】６．中央スパンから延び各がその下面にラ
チェット歯を有する２個の固定用アーム、中央スパンか
ら延びかつ各が尖端部材を有する２個の内側可撓性部
材、この尖端部材は組織を刺す尖端で終わり、及び各が
それぞれの尖端部材から延びて中央スパンに向かう２個
の外側可撓性部材、２個の外側可撓性部材は各が端部を
有し、この端部は上面及び前記２個の固定用アームのそ
れぞれのラチェット歯と組み合うように上面にラチェッ
ト歯を備えることを更に特徴とする上記１のファスナ
ー。
【００５１】７．Ｕ字形の中央スパン、中央スパンから
延び各が面上に内側可撓性部材と組み合うラチェット歯
を有する２個の固定用アーム、Ｕ字形中央スパンから延
びかつ尖端を有する尖端部材において終わる２個の外側
可撓性部材、及びそれぞれの尖端部材から延びて２個の
外側可撓性部材と平行にＵ字形中央スパンに向かう２個
の内側可撓性部材、２個の内側可撓性部材の各は面上に
前記２個の固定用アームの各と組み合うようにラチェッ
ト歯を有することを更に特徴とする上記１のファスナ
ー。
【００５２】８．前記ファスナーが、プッシャー及び成
型用型の使用により閉じられ、尖端部材が円弧状に強制
され前記２個の内側及び外側の可撓性部材が撓み、閉鎖
位置においてファスナーを固定するように前記内側可撓
性部材の各の面が前記２個の固定用アームのラチェット
歯とラチェット噛合いすることを更に特徴とする上記７
のファスナー。
【００５３】９．Ｕ字形の中央スパン、中央スパンから
延び各が固定用ナブ用凹所を有する２個の固定用アー
ム、尖端部材から２個の外側可撓性部材と平行に延びる
２個の内側可撓性部材、２個の内側可撓性部材の各はそ
の端部に固定用ナブを有し、この固定用ナブはファスナ
ーが閉じられるとき固定用ナブ用凹所に向かって摺動し
ここに捕捉され、及び中央スパンから延びて尖端のある
尖端部材で終わる２個の外側可撓性部材を更に特徴とす
る上記１のファスナー。
【００５４】１０．長方形断面及び／又は前記尖端部材
の各の円形断面を有し、外科用ステープルとして有用な
上記１から９のいずれかのようなファスナー。
【００５５】１１．ｐ−ジオキサノン、グリコイド、ラ
クチド及びトリメチレンカーボネートのホモポリマー又
はコポリマーよりなるグループから選定された吸収可能
な合成ポリマー、或いはナイロン、ポリエステル、ポリ
エチレン、ポリプロピレン、及びポリスルフォンよりな
るグループから選定された非吸収性のポリマーより製造
される上記１０のファスナー。
【図面の簡単な説明】
【図１】閉鎖位置における本発明の外科用ステープルの
立面図である。
【図２】開口位置における図１のステープルの立面図で
ある。
【図３】図１のステープルの閉じられたときの成型用ア
ンビル、成型用型及び閉鎖される創傷の相互関係を示す
図面である。
【図４】形成工程中におけるステープルを示す図３と同
様な図面である。
【図５】完全に形成され創傷を閉じたステープルを示す
図４と同様な図面である。
【図６】成型用具が除去された後の創傷を示す図５と同
様な図面である。
【図７】本発明の多数のステープルにより適正に閉鎖さ
れた創傷の斜視図である。
【図８】本発明の外科用ステープルの別の実施例の立面
図である。
【図９】部分的に閉鎖された状況における図８のステー
プルの図面である。
【図１０】閉鎖位置における本発明の外科用ステープル
の別の実施例の立面図である。
【図１１】開口位置における図１０のステープルの図面
である。
【図１２】図１１のステープルの開口位置における成型
用アンビル、成型用型及び閉鎖すべき創傷の相互関係を
示す図面である。
【図１３】完全に形成されたステープル及び創傷の閉鎖
を示す図１２と同様な図面である。
【図１４】開口位置の図１１の脚の図である。
【図１５】閉口位置の図１４の脚の図である。
【符号の説明】
１ ステープル ２ 連結用部材 ３ 固定用アーム ５ 凹所 ９ 尖端部材 １１ 内側可撓性部材 １２ アンビル

Claims (1)

    【特許請求の範囲】
  1. 【請求項１】 中央スパン、 中央スパンから延びている２個の固定用アーム、 ２個の内側可撓性部材、及び２個の外側可撓性部材を特
    徴とする外科用ファスナー。
JP5106011A 1992-04-14 1993-04-09 外科用フアスナー Pending JPH067360A (ja)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US868155 1992-04-14
US07/868,155 US5236440A (en) 1992-04-14 1992-04-14 Surgical fastener

Publications (1)

Publication Number Publication Date
JPH067360A true JPH067360A (ja) 1994-01-18

Family

ID=25351164

Family Applications (1)

Application Number Title Priority Date Filing Date
JP5106011A Pending JPH067360A (ja) 1992-04-14 1993-04-09 外科用フアスナー

Country Status (9)

Country Link
US (2) US5236440A (ja)
EP (1) EP0565892A1 (ja)
JP (1) JPH067360A (ja)
KR (1) KR930021158A (ja)
AU (1) AU3688393A (ja)
CA (1) CA2093779A1 (ja)
MX (1) MX9301983A (ja)
PL (1) PL298493A1 (ja)
ZA (1) ZA932596B (ja)

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2009119272A (ja) * 2007-11-14 2009-06-04 Tyco Healthcare Group Lp 多様な断面形状を有するステープル
JP2015516218A (ja) * 2012-04-27 2015-06-11 アエスキュラップ アーゲー 一体型手術用クリップ
US11311299B2 (en) 2017-11-20 2022-04-26 Aesculap Ag Surgical clip with bracket-free guide system

Families Citing this family (795)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5715987A (en) * 1994-04-05 1998-02-10 Tracor Incorporated Constant width, adjustable grip, staple apparatus and method
US5695524A (en) * 1994-04-05 1997-12-09 Tracor Aerospace, Inc. Constant width, adjustable grip, staple apparatus and method
US5618311A (en) * 1994-09-28 1997-04-08 Gryskiewicz; Joseph M. Surgical subcuticular fastener system
US5904697A (en) 1995-02-24 1999-05-18 Heartport, Inc. Devices and methods for performing a vascular anastomosis
US5531760A (en) * 1995-04-14 1996-07-02 Alwafaie; Mohammed G. Skin closure clip
FR2750163B1 (fr) * 1996-06-25 1998-08-07 Teboul Daniel Centrale de filtration electrostatique autonome incorporee dans un vehicule a moteur a explosion fonctionnant au gazole ou a l'essence
US7520890B2 (en) * 1998-01-26 2009-04-21 Phillips Peter W Reinforced graft and method of deployment
US6641593B1 (en) 1998-06-03 2003-11-04 Coalescent Surgical, Inc. Tissue connector apparatus and methods
US6607541B1 (en) 1998-06-03 2003-08-19 Coalescent Surgical, Inc. Tissue connector apparatus and methods
US6945980B2 (en) 1998-06-03 2005-09-20 Medtronic, Inc. Multiple loop tissue connector apparatus and methods
US6514265B2 (en) 1999-03-01 2003-02-04 Coalescent Surgical, Inc. Tissue connector apparatus with cable release
US6613059B2 (en) 1999-03-01 2003-09-02 Coalescent Surgical, Inc. Tissue connector apparatus and methods
AU766645B2 (en) * 1998-08-03 2003-10-23 Anson Medical Limited Devices and methods for the repair of arteries
DE19858580C1 (de) * 1998-12-18 2000-09-07 Aesculap Ag & Co Kg Gefäßclip
DE19858577C1 (de) * 1998-12-18 2000-09-07 Aesculap Ag & Co Kg Gefäßclip
US6210419B1 (en) 1998-12-18 2001-04-03 Aesculap Ag & Co. Kg Surgical clip
DE19858581C2 (de) * 1998-12-18 2001-03-08 Aesculap Ag & Co Kg Gefäßclip
US8118822B2 (en) 1999-03-01 2012-02-21 Medtronic, Inc. Bridge clip tissue connector apparatus and methods
US6695859B1 (en) 1999-04-05 2004-02-24 Coalescent Surgical, Inc. Apparatus and methods for anastomosis
DE19935904C1 (de) * 1999-07-30 2001-07-12 Karlsruhe Forschzent Applikatorspitze eines chirurgischen Applikators zum Setzen von Clips/Klammern für die Verbindung von Gewebe
US8529583B1 (en) 1999-09-03 2013-09-10 Medtronic, Inc. Surgical clip removal apparatus
US7662161B2 (en) 1999-09-13 2010-02-16 Rex Medical, L.P Vascular hole closure device
US8083766B2 (en) 1999-09-13 2011-12-27 Rex Medical, Lp Septal defect closure device
WO2001019256A1 (en) * 1999-09-13 2001-03-22 Rex Medical, Lp Vascular closure
US7341595B2 (en) * 1999-09-13 2008-03-11 Rex Medical, L.P Vascular hole closure device
US7942888B2 (en) * 1999-09-13 2011-05-17 Rex Medical, L.P. Vascular hole closure device
US7267679B2 (en) * 1999-09-13 2007-09-11 Rex Medical, L.P Vascular hole closure device
EP1095623A1 (en) * 1999-10-29 2001-05-02 Budev Medical B.V. Device for closing a wound or part thereof
US6926730B1 (en) 2000-10-10 2005-08-09 Medtronic, Inc. Minimally invasive valve repair procedure and apparatus
US6494896B1 (en) 1999-11-30 2002-12-17 Closure Medical Corporation Applicator for laparoscopic or endoscopic surgery
US6461364B1 (en) 2000-01-05 2002-10-08 Integrated Vascular Systems, Inc. Vascular sheath with bioabsorbable puncture site closure apparatus and methods of use
US8758400B2 (en) 2000-01-05 2014-06-24 Integrated Vascular Systems, Inc. Closure system and methods of use
US7842068B2 (en) 2000-12-07 2010-11-30 Integrated Vascular Systems, Inc. Apparatus and methods for providing tactile feedback while delivering a closure device
US9579091B2 (en) * 2000-01-05 2017-02-28 Integrated Vascular Systems, Inc. Closure system and methods of use
US6942674B2 (en) 2000-01-05 2005-09-13 Integrated Vascular Systems, Inc. Apparatus and methods for delivering a closure device
US6391048B1 (en) 2000-01-05 2002-05-21 Integrated Vascular Systems, Inc. Integrated vascular device with puncture site closure component and sealant and methods of use
GB2359024A (en) 2000-02-09 2001-08-15 Anson Medical Ltd Fixator for arteries
US6551332B1 (en) 2000-03-31 2003-04-22 Coalescent Surgical, Inc. Multiple bias surgical fastener
EP1330189B1 (en) * 2000-06-23 2007-12-19 Viacor Incorporated Automated annular plication for mitral valve repair
US6544271B1 (en) * 2000-07-18 2003-04-08 Scimed Life Systems, Inc. Device for full-thickness resectioning of an organ
EP1435842B8 (en) 2000-09-08 2011-03-02 Abbott Vascular Inc. Device for locating a puncture hole in a liquid-carrying vessel
US20020082621A1 (en) * 2000-09-22 2002-06-27 Schurr Marc O. Methods and devices for folding and securing tissue
US6626918B1 (en) 2000-10-06 2003-09-30 Medical Technology Group Apparatus and methods for positioning a vascular sheath
US6913608B2 (en) * 2000-10-23 2005-07-05 Viacor, Inc. Automated annular plication for mitral valve repair
US7806904B2 (en) 2000-12-07 2010-10-05 Integrated Vascular Systems, Inc. Closure device
US8690910B2 (en) 2000-12-07 2014-04-08 Integrated Vascular Systems, Inc. Closure device and methods for making and using them
US7211101B2 (en) 2000-12-07 2007-05-01 Abbott Vascular Devices Methods for manufacturing a clip and clip
US7905900B2 (en) 2003-01-30 2011-03-15 Integrated Vascular Systems, Inc. Clip applier and methods of use
US6623510B2 (en) 2000-12-07 2003-09-23 Integrated Vascular Systems, Inc. Closure device and methods for making and using them
US6475618B1 (en) * 2001-03-21 2002-11-05 Kimberly-Clark Worldwide, Inc. Compositions for enhanced thermal bonding
US7186264B2 (en) * 2001-03-29 2007-03-06 Viacor, Inc. Method and apparatus for improving mitral valve function
US20020173803A1 (en) 2001-05-01 2002-11-21 Stephen Ainsworth Self-closing surgical clip for tissue
IES20010547A2 (en) 2001-06-07 2002-12-11 Christy Cummins Surgical Staple
US6702835B2 (en) 2001-09-07 2004-03-09 Core Medical, Inc. Needle apparatus for closing septal defects and methods for using such apparatus
US20060052821A1 (en) 2001-09-06 2006-03-09 Ovalis, Inc. Systems and methods for treating septal defects
US6776784B2 (en) 2001-09-06 2004-08-17 Core Medical, Inc. Clip apparatus for closing septal defects and methods of use
US20060020336A1 (en) * 2001-10-23 2006-01-26 Liddicoat John R Automated annular plication for mitral valve repair
US7318833B2 (en) 2001-12-19 2008-01-15 Nmt Medical, Inc. PFO closure device with flexible thrombogenic joint and improved dislodgement resistance
WO2003053493A2 (en) 2001-12-19 2003-07-03 Nmt Medical, Inc. Septal occluder and associated methods
WO2003059152A2 (en) 2002-01-14 2003-07-24 Nmt Medical, Inc. Patent foramen ovale (pfo) closure method and device
US7125420B2 (en) * 2002-02-05 2006-10-24 Viacor, Inc. Method and apparatus for improving mitral valve function
US6749621B2 (en) 2002-02-21 2004-06-15 Integrated Vascular Systems, Inc. Sheath apparatus and methods for delivering a closure device
CA2476731C (en) * 2002-02-25 2007-07-03 Jeffrey E. Yeung Expandable fastener with compressive grips
EP1487353A4 (en) 2002-03-25 2008-04-16 Nmt Medical Inc FORAMEN OVAL PERSISTENT CLOSURE CLAMPS (PFO)
US7056330B2 (en) * 2002-05-31 2006-06-06 Ethicon Endo-Surgery, Inc. Method for applying tissue fastener
EP1509144A4 (en) 2002-06-03 2008-09-03 Nmt Medical Inc DEVICE FOR REINFORCING BIOLOGICAL TISSUE FOR THE FILLING OF INTRACARDIAL FAULTS
DE60325355D1 (de) 2002-06-04 2009-01-29 Abbott Vascular Inc Chirurgische klemme und anbringungsvorrichtung zur gefässwundverschliessung
WO2003103476A2 (en) 2002-06-05 2003-12-18 Nmt Medical, Inc. Patent foramen ovale (pfo) closure device with radial and circumferential support
US8074857B2 (en) 2002-06-25 2011-12-13 Incisive Surgical, Inc. Method and apparatus for tissue fastening with single translating trigger operation
US7112214B2 (en) 2002-06-25 2006-09-26 Incisive Surgical, Inc. Dynamic bioabsorbable fastener for use in wound closure
US7950559B2 (en) 2002-06-25 2011-05-31 Incisive Surgical, Inc. Mechanical method and apparatus for bilateral tissue fastening
US20120145765A1 (en) 2002-06-25 2012-06-14 Peterson James A Mechanical method and apparatus for bilateral tissue fastening
US6726705B2 (en) * 2002-06-25 2004-04-27 Incisive Surgical, Inc. Mechanical method and apparatus for bilateral tissue fastening
US8066724B2 (en) 2002-09-12 2011-11-29 Medtronic, Inc. Anastomosis apparatus and methods
US8105345B2 (en) 2002-10-04 2012-01-31 Medtronic, Inc. Anastomosis apparatus and methods
AU2003284976A1 (en) 2002-10-25 2004-05-13 Nmt Medical, Inc. Expandable sheath tubing
US7108710B2 (en) 2002-11-26 2006-09-19 Abbott Laboratories Multi-element biased suture clip
WO2004052213A1 (en) 2002-12-09 2004-06-24 Nmt Medical, Inc. Septal closure devices
US7343920B2 (en) * 2002-12-20 2008-03-18 Toby E Bruce Connective tissue repair system
US8758398B2 (en) 2006-09-08 2014-06-24 Integrated Vascular Systems, Inc. Apparatus and method for delivering a closure element
US8821534B2 (en) 2010-12-06 2014-09-02 Integrated Vascular Systems, Inc. Clip applier having improved hemostasis and methods of use
US8398656B2 (en) 2003-01-30 2013-03-19 Integrated Vascular Systems, Inc. Clip applier and methods of use
US8905937B2 (en) 2009-02-26 2014-12-09 Integrated Vascular Systems, Inc. Methods and apparatus for locating a surface of a body lumen
US8202293B2 (en) 2003-01-30 2012-06-19 Integrated Vascular Systems, Inc. Clip applier and methods of use
US7857828B2 (en) 2003-01-30 2010-12-28 Integrated Vascular Systems, Inc. Clip applier and methods of use
US20040176800A1 (en) * 2003-03-07 2004-09-09 Paraschac Joseph Francis Barbed closure device
US7658747B2 (en) 2003-03-12 2010-02-09 Nmt Medical, Inc. Medical device for manipulation of a medical implant
US9060770B2 (en) 2003-05-20 2015-06-23 Ethicon Endo-Surgery, Inc. Robotically-driven surgical instrument with E-beam driver
US20070084897A1 (en) 2003-05-20 2007-04-19 Shelton Frederick E Iv Articulating surgical stapling instrument incorporating a two-piece e-beam firing mechanism
US20060136053A1 (en) * 2003-05-27 2006-06-22 Rourke Jonathan M Method and apparatus for improving mitral valve function
WO2004112652A2 (en) * 2003-06-20 2004-12-29 Medtronic Vascular, Inc. Device, system, and method for contracting tissue in a mammalian body
USD532107S1 (en) 2003-06-25 2006-11-14 Incisive Surgical, Inc. Tissue fastening instrument
US8480706B2 (en) 2003-07-14 2013-07-09 W.L. Gore & Associates, Inc. Tubular patent foramen ovale (PFO) closure device with catch system
WO2005006990A2 (en) 2003-07-14 2005-01-27 Nmt Medical, Inc. Tubular patent foramen ovale (pfo) closure device with catch system
US9861346B2 (en) 2003-07-14 2018-01-09 W. L. Gore & Associates, Inc. Patent foramen ovale (PFO) closure device with linearly elongating petals
EP1653889A4 (en) * 2003-07-23 2007-04-04 Viacor Inc METHOD AND APPARATUS FOR ENHANCING MITRAL VALVE FUNCTION
US7182769B2 (en) 2003-07-25 2007-02-27 Medtronic, Inc. Sealing clip, delivery systems, and methods
WO2005018728A2 (en) 2003-08-19 2005-03-03 Nmt Medical, Inc. Expandable sheath tubing
US20050043749A1 (en) 2003-08-22 2005-02-24 Coalescent Surgical, Inc. Eversion apparatus and methods
CA2538476A1 (en) 2003-09-11 2005-04-21 Nmt Medical, Inc. Devices, systems, and methods for suturing tissue
US8394114B2 (en) 2003-09-26 2013-03-12 Medtronic, Inc. Surgical connection apparatus and methods
US7419498B2 (en) 2003-10-21 2008-09-02 Nmt Medical, Inc. Quick release knot attachment system
CA2542280A1 (en) * 2003-11-06 2005-05-26 Nmt Medical, Inc. Transseptal puncture apparatus
US8292910B2 (en) 2003-11-06 2012-10-23 Pressure Products Medical Supplies, Inc. Transseptal puncture apparatus
US20050273119A1 (en) 2003-12-09 2005-12-08 Nmt Medical, Inc. Double spiral patent foramen ovale closure clamp
US7879047B2 (en) 2003-12-10 2011-02-01 Medtronic, Inc. Surgical connection apparatus and methods
US8262694B2 (en) 2004-01-30 2012-09-11 W.L. Gore & Associates, Inc. Devices, systems, and methods for closure of cardiac openings
EP1737349A1 (en) 2004-03-03 2007-01-03 NMT Medical, Inc. Delivery/recovery system for septal occluder
US20050267524A1 (en) 2004-04-09 2005-12-01 Nmt Medical, Inc. Split ends closure device
US8361110B2 (en) 2004-04-26 2013-01-29 W.L. Gore & Associates, Inc. Heart-shaped PFO closure device
US8308760B2 (en) 2004-05-06 2012-11-13 W.L. Gore & Associates, Inc. Delivery systems and methods for PFO closure device with two anchors
US7842053B2 (en) * 2004-05-06 2010-11-30 Nmt Medical, Inc. Double coil occluder
WO2005110240A1 (en) 2004-05-07 2005-11-24 Nmt Medical, Inc. Catching mechanisms for tubular septal occluder
US7704268B2 (en) 2004-05-07 2010-04-27 Nmt Medical, Inc. Closure device with hinges
IES20040368A2 (en) 2004-05-25 2005-11-30 James E Coleman Surgical stapler
EP1611850A1 (fr) * 2004-06-28 2006-01-04 Cardio Life Research S.A. Dispositif d'occlusion et de ponction étanche pour structure anatomique.
US11896225B2 (en) 2004-07-28 2024-02-13 Cilag Gmbh International Staple cartridge comprising a pan
US9072535B2 (en) 2011-05-27 2015-07-07 Ethicon Endo-Surgery, Inc. Surgical stapling instruments with rotatable staple deployment arrangements
US11998198B2 (en) 2004-07-28 2024-06-04 Cilag Gmbh International Surgical stapling instrument incorporating a two-piece E-beam firing mechanism
US8905977B2 (en) 2004-07-28 2014-12-09 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having an electroactive polymer actuated medical substance dispenser
US8215531B2 (en) 2004-07-28 2012-07-10 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having a medical substance dispenser
EP1827247B8 (en) 2004-09-24 2020-05-06 W.L. Gore & Associates, Inc. Occluder device double securement system for delivery/recovery of such occluder device
NL1027131C2 (nl) 2004-09-28 2006-03-29 Cardiall B V Implanteerbaar verankeringssysteem.
US20060180633A1 (en) * 2005-02-17 2006-08-17 Tyco Healthcare Group, Lp Surgical staple
WO2006102213A1 (en) 2005-03-18 2006-09-28 Nmt Medical, Inc. Catch member for pfo occluder
US8685058B2 (en) * 2005-03-23 2014-04-01 Wilk Patent, Llc Surgical closure method and associated device
US8740934B2 (en) * 2005-04-22 2014-06-03 Rex Medical, L.P. Closure device for left atrial appendage
US7608108B2 (en) * 2005-04-29 2009-10-27 Jmea Corporation Tissue repair system
US8702718B2 (en) * 2005-04-29 2014-04-22 Jmea Corporation Implantation system for tissue repair
US7632313B2 (en) 2005-04-29 2009-12-15 Jmea Corporation Disc repair system
DE202005009061U1 (de) * 2005-05-31 2006-10-12 Karl Storz Gmbh & Co. Kg Clip und Clipsetzer zum Verschließen von Blutgefäßen
US8926633B2 (en) 2005-06-24 2015-01-06 Abbott Laboratories Apparatus and method for delivering a closure element
US8313497B2 (en) 2005-07-01 2012-11-20 Abbott Laboratories Clip applier and methods of use
US8579936B2 (en) 2005-07-05 2013-11-12 ProMed, Inc. Centering of delivery devices with respect to a septal defect
US8100939B2 (en) 2005-07-15 2012-01-24 Incisive Surgical, Inc. Mechanical method and apparatus for sequential tissue fastening
US8920442B2 (en) 2005-08-24 2014-12-30 Abbott Vascular Inc. Vascular opening edge eversion methods and apparatuses
US20070060895A1 (en) 2005-08-24 2007-03-15 Sibbitt Wilmer L Jr Vascular closure methods and apparatuses
US9456811B2 (en) 2005-08-24 2016-10-04 Abbott Vascular Inc. Vascular closure methods and apparatuses
US7669746B2 (en) 2005-08-31 2010-03-02 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
US7934630B2 (en) 2005-08-31 2011-05-03 Ethicon Endo-Surgery, Inc. Staple cartridges for forming staples having differing formed 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
US9237891B2 (en) 2005-08-31 2016-01-19 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical stapling devices that produce formed staples having different lengths
US11484312B2 (en) 2005-08-31 2022-11-01 Cilag Gmbh International Staple cartridge comprising a staple driver arrangement
US8800838B2 (en) 2005-08-31 2014-08-12 Ethicon Endo-Surgery, Inc. Robotically-controlled cable-based surgical end effectors
US11246590B2 (en) 2005-08-31 2022-02-15 Cilag Gmbh International Staple cartridge including staple drivers having different unfired heights
US7846179B2 (en) 2005-09-01 2010-12-07 Ovalis, Inc. Suture-based systems and methods for treating septal defects
US20070106317A1 (en) 2005-11-09 2007-05-10 Shelton Frederick E Iv Hydraulically and electrically actuated articulation joints for surgical instruments
WO2007073566A1 (en) 2005-12-22 2007-06-28 Nmt Medical, Inc. Catch members for occluder devices
US20110024477A1 (en) 2009-02-06 2011-02-03 Hall Steven G Driven Surgical Stapler Improvements
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
US20110006101A1 (en) 2009-02-06 2011-01-13 EthiconEndo-Surgery, Inc. Motor driven surgical fastener device with cutting member lockout arrangements
US7753904B2 (en) 2006-01-31 2010-07-13 Ethicon Endo-Surgery, Inc. Endoscopic surgical instrument with a handle that can articulate with respect to the shaft
US9861359B2 (en) 2006-01-31 2018-01-09 Ethicon Llc Powered surgical instruments with firing system lockout arrangements
US11224427B2 (en) 2006-01-31 2022-01-18 Cilag Gmbh International Surgical stapling system including a console and retraction assembly
US11793518B2 (en) 2006-01-31 2023-10-24 Cilag Gmbh International Powered surgical instruments with firing system lockout arrangements
US8708213B2 (en) 2006-01-31 2014-04-29 Ethicon Endo-Surgery, Inc. Surgical instrument having a feedback system
US8763879B2 (en) 2006-01-31 2014-07-01 Ethicon Endo-Surgery, Inc. Accessing data stored in a memory of surgical instrument
US8186555B2 (en) 2006-01-31 2012-05-29 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with mechanical closure system
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
US20110290856A1 (en) 2006-01-31 2011-12-01 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical instrument with force-feedback capabilities
US11278279B2 (en) 2006-01-31 2022-03-22 Cilag Gmbh International Surgical instrument assembly
US8236010B2 (en) 2006-03-23 2012-08-07 Ethicon Endo-Surgery, Inc. Surgical fastener and cutter with mimicking end effector
US8992422B2 (en) 2006-03-23 2015-03-31 Ethicon Endo-Surgery, Inc. Robotically-controlled endoscopic accessory channel
CA2647505C (en) 2006-03-31 2014-07-29 Nmt Medical, Inc. Deformable flap catch mechanism for occluder device
US8551135B2 (en) 2006-03-31 2013-10-08 W.L. Gore & Associates, Inc. Screw catch mechanism for PFO occluder and method of use
US8870913B2 (en) 2006-03-31 2014-10-28 W.L. Gore & Associates, Inc. Catch system with locking cap for patent foramen ovale (PFO) occluder
US8808310B2 (en) 2006-04-20 2014-08-19 Integrated Vascular Systems, Inc. Resettable clip applier and reset tools
WO2007137243A2 (en) 2006-05-19 2007-11-29 Applied Medical Resources Corporation Surgical stapler
US8322455B2 (en) 2006-06-27 2012-12-04 Ethicon Endo-Surgery, Inc. Manually driven surgical cutting and fastening instrument
US8556930B2 (en) 2006-06-28 2013-10-15 Abbott Laboratories Vessel closure device
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
US7713284B2 (en) * 2006-09-13 2010-05-11 Crofford Theodore W Self-opening skin staple
US10130359B2 (en) 2006-09-29 2018-11-20 Ethicon Llc Method for forming a staple
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
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
US20110087276A1 (en) 2009-10-09 2011-04-14 Ethicon Endo-Surgery, Inc. Method for forming a staple
US11980366B2 (en) 2006-10-03 2024-05-14 Cilag Gmbh International Surgical instrument
US7954682B2 (en) 2007-01-10 2011-06-07 Ethicon Endo-Surgery, Inc. Surgical instrument with elements to communicate between control unit and end effector
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
US8684253B2 (en) 2007-01-10 2014-04-01 Ethicon Endo-Surgery, Inc. Surgical instrument with wireless communication between a control unit of a robotic system and remote sensor
US8652120B2 (en) 2007-01-10 2014-02-18 Ethicon Endo-Surgery, Inc. Surgical instrument with wireless communication between control unit and sensor transponders
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
US20080215090A1 (en) * 2007-02-14 2008-09-04 Entrigue Surgical, Inc. Method and System for Tissue Fastening
US7533790B1 (en) * 2007-03-08 2009-05-19 Cardica, Inc. Surgical stapler
US7473258B2 (en) * 2007-03-08 2009-01-06 Cardica, Inc. Surgical stapler
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
WO2008124603A1 (en) 2007-04-05 2008-10-16 Nmt Medical, Inc. Septal closure device with centering mechanism
US9138562B2 (en) 2007-04-18 2015-09-22 W.L. Gore & Associates, Inc. Flexible catheter system
US9545258B2 (en) * 2007-05-17 2017-01-17 Boston Scientific Scimed, Inc. Tissue aperture securing and sealing apparatuses and related methods of use
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
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
US8534528B2 (en) 2007-06-04 2013-09-17 Ethicon Endo-Surgery, Inc. Surgical instrument having a multiple rate directional switching mechanism
US7905380B2 (en) 2007-06-04 2011-03-15 Ethicon Endo-Surgery, Inc. Surgical instrument having a multiple rate directional switching mechanism
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
US8226681B2 (en) 2007-06-25 2012-07-24 Abbott Laboratories Methods, devices, and apparatus for managing access through tissue
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
CA2692643A1 (en) 2007-07-13 2009-01-22 James F. Mcguckin Vascular hole closure device
WO2009027797A2 (de) * 2007-08-27 2009-03-05 Alexander Bukreev Vorrichtung zur osteosynthese von oberarmbeinhals-brüche und -verrenkungen
US20140012316A1 (en) * 2007-12-03 2014-01-09 Howard D. Stupak Wound closure involving silicone
US8893947B2 (en) 2007-12-17 2014-11-25 Abbott Laboratories Clip applier and methods of use
US20090157101A1 (en) 2007-12-17 2009-06-18 Abbott Laboratories Tissue closure system and methods of use
US7841502B2 (en) 2007-12-18 2010-11-30 Abbott Laboratories Modular clip applier
US8561870B2 (en) 2008-02-13 2013-10-22 Ethicon Endo-Surgery, Inc. Surgical stapling instrument
US8540133B2 (en) 2008-09-19 2013-09-24 Ethicon Endo-Surgery, Inc. Staple cartridge
US7766209B2 (en) 2008-02-13 2010-08-03 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with improved firing trigger arrangement
US7905381B2 (en) 2008-09-19 2011-03-15 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with cutting member arrangement
US8453908B2 (en) 2008-02-13 2013-06-04 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with improved firing trigger arrangement
US8752749B2 (en) 2008-02-14 2014-06-17 Ethicon Endo-Surgery, Inc. Robotically-controlled disposable motor-driven loading unit
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
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
US8657174B2 (en) 2008-02-14 2014-02-25 Ethicon Endo-Surgery, Inc. Motorized surgical cutting and fastening instrument having handle based power source
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
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
US9179912B2 (en) 2008-02-14 2015-11-10 Ethicon Endo-Surgery, Inc. Robotically-controlled motorized surgical cutting and fastening instrument
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
US7866527B2 (en) 2008-02-14 2011-01-11 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with interlockable firing system
US8573465B2 (en) 2008-02-14 2013-11-05 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical end effector system with rotary actuated closure systems
US8584919B2 (en) 2008-02-14 2013-11-19 Ethicon Endo-Sugery, Inc. Surgical stapling apparatus with load-sensitive firing mechanism
US8758391B2 (en) 2008-02-14 2014-06-24 Ethicon Endo-Surgery, Inc. Interchangeable tools for surgical instruments
US20090206139A1 (en) * 2008-02-15 2009-08-20 Ethicon Endo-Surgery, Inc. Buttress material for a surgical instrument
US8070772B2 (en) 2008-02-15 2011-12-06 Rex Medical, L.P. Vascular hole closure device
US9226738B2 (en) 2008-02-15 2016-01-05 Rex Medical, L.P. Vascular hole closure delivery device
US8920462B2 (en) 2008-02-15 2014-12-30 Rex Medical, L.P. Vascular hole closure device
US20110029013A1 (en) 2008-02-15 2011-02-03 Mcguckin James F Vascular Hole Closure Device
US8491629B2 (en) 2008-02-15 2013-07-23 Rex Medical Vascular hole closure delivery device
US10390823B2 (en) 2008-02-15 2019-08-27 Ethicon Llc End effector comprising an adjunct
US11272927B2 (en) 2008-02-15 2022-03-15 Cilag Gmbh International Layer arrangements for surgical staple cartridges
US8920463B2 (en) 2008-02-15 2014-12-30 Rex Medical, L.P. Vascular hole closure device
US7980443B2 (en) 2008-02-15 2011-07-19 Ethicon Endo-Surgery, Inc. End effectors for a surgical cutting and stapling instrument
US20130165967A1 (en) 2008-03-07 2013-06-27 W.L. Gore & Associates, Inc. Heart occlusion devices
US8177836B2 (en) 2008-03-10 2012-05-15 Medtronic, Inc. Apparatus and methods for minimally invasive valve repair
CN101969862B (zh) 2008-03-14 2012-11-21 安全缝合医学有限公司 具有集成的补片操纵器的疝气钉合器
US8870049B2 (en) 2008-03-14 2014-10-28 Transenterix, Inc. Hernia stapler
US9282965B2 (en) 2008-05-16 2016-03-15 Abbott Laboratories Apparatus and methods for engaging tissue
PL3476312T3 (pl) 2008-09-19 2024-03-11 Ethicon Llc Stapler chirurgiczny z urządzeniem do dopasowania wysokości zszywek
US9386983B2 (en) 2008-09-23 2016-07-12 Ethicon Endo-Surgery, Llc Robotically-controlled motorized surgical instrument
US8210411B2 (en) 2008-09-23 2012-07-03 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting instrument
US11648005B2 (en) 2008-09-23 2023-05-16 Cilag Gmbh International Robotically-controlled motorized surgical instrument with an end effector
US9050083B2 (en) 2008-09-23 2015-06-09 Ethicon Endo-Surgery, Inc. Motorized surgical instrument
US9005230B2 (en) 2008-09-23 2015-04-14 Ethicon Endo-Surgery, Inc. Motorized surgical instrument
US8608045B2 (en) 2008-10-10 2013-12-17 Ethicon Endo-Sugery, Inc. Powered surgical cutting and stapling apparatus with manually retractable firing system
US8398676B2 (en) 2008-10-30 2013-03-19 Abbott Vascular Inc. Closure device
US8323312B2 (en) 2008-12-22 2012-12-04 Abbott Laboratories Closure device
US8858594B2 (en) 2008-12-22 2014-10-14 Abbott Laboratories Curved closure device
US20100179589A1 (en) 2009-01-09 2010-07-15 Abbott Vascular Inc. Rapidly eroding anchor
US9089311B2 (en) 2009-01-09 2015-07-28 Abbott Vascular Inc. Vessel closure devices and methods
US9486191B2 (en) 2009-01-09 2016-11-08 Abbott Vascular, Inc. Closure devices
US9173644B2 (en) 2009-01-09 2015-11-03 Abbott Vascular Inc. Closure devices, systems, and methods
US9414820B2 (en) 2009-01-09 2016-08-16 Abbott Vascular Inc. Closure devices, systems, and methods
US20100185234A1 (en) 2009-01-16 2010-07-22 Abbott Vascular Inc. Closure devices, systems, and methods
US8517239B2 (en) 2009-02-05 2013-08-27 Ethicon Endo-Surgery, Inc. Surgical stapling instrument comprising a magnetic element driver
US8397971B2 (en) 2009-02-05 2013-03-19 Ethicon Endo-Surgery, Inc. Sterilizable surgical instrument
US8414577B2 (en) 2009-02-05 2013-04-09 Ethicon Endo-Surgery, Inc. Surgical instruments and components for use in sterile environments
US8485413B2 (en) 2009-02-05 2013-07-16 Ethicon Endo-Surgery, Inc. Surgical stapling instrument comprising an articulation joint
US8444036B2 (en) 2009-02-06 2013-05-21 Ethicon Endo-Surgery, Inc. Motor driven surgical fastener device with mechanisms for adjusting a tissue gap within the end effector
JP2012517287A (ja) 2009-02-06 2012-08-02 エシコン・エンド−サージェリィ・インコーポレイテッド 被駆動式手術用ステープラの改良
US8518060B2 (en) 2009-04-09 2013-08-27 Medtronic, Inc. Medical clip with radial tines, system and method of using same
US8668704B2 (en) 2009-04-24 2014-03-11 Medtronic, Inc. Medical clip with tines, system and method of using same
DE102009022692B8 (de) * 2009-05-26 2013-09-12 Joimax Gmbh Vorrichtung und Verfahren zum Applizieren eines medizinischen verriegelbaren Clips in einem Gewebebereich
US9636094B2 (en) 2009-06-22 2017-05-02 W. L. Gore & Associates, Inc. Sealing device and delivery system
US20120029556A1 (en) 2009-06-22 2012-02-02 Masters Steven J Sealing device and delivery system
US8387848B2 (en) * 2009-08-20 2013-03-05 Covidien Lp Surgical staple
US20110054492A1 (en) 2009-08-26 2011-03-03 Abbott Laboratories Medical device for repairing a fistula
US8211126B2 (en) 2009-09-22 2012-07-03 Jmea Corporation Tissue repair system
US8622275B2 (en) 2009-11-19 2014-01-07 Ethicon Endo-Surgery, Inc. Circular stapler introducer with rigid distal end portion
US8491611B2 (en) * 2009-12-18 2013-07-23 DePuy Synthes Products, LLC. Neural tissue retraction and preservation device
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
US8303624B2 (en) 2010-03-15 2012-11-06 Abbott Cardiovascular Systems, Inc. Bioabsorbable plug
US8801734B2 (en) 2010-07-30 2014-08-12 Ethicon Endo-Surgery, Inc. Circular stapling instruments with secondary cutting arrangements and methods of using same
US8783543B2 (en) 2010-07-30 2014-07-22 Ethicon Endo-Surgery, Inc. Tissue acquisition arrangements and methods for surgical stapling devices
US8789740B2 (en) 2010-07-30 2014-07-29 Ethicon Endo-Surgery, Inc. Linear cutting and stapling device with selectively disengageable cutting member
US8758399B2 (en) 2010-08-02 2014-06-24 Abbott Cardiovascular Systems, Inc. Expandable bioabsorbable plug apparatus and method
US8603116B2 (en) 2010-08-04 2013-12-10 Abbott Cardiovascular Systems, Inc. Closure device with long tines
US8360296B2 (en) 2010-09-09 2013-01-29 Ethicon Endo-Surgery, Inc. Surgical stapling head assembly with firing lockout for a surgical stapler
US20120078244A1 (en) 2010-09-24 2012-03-29 Worrell Barry C Control features for articulating surgical device
US9629814B2 (en) 2010-09-30 2017-04-25 Ethicon Endo-Surgery, Llc Tissue thickness compensator configured to redistribute compressive forces
US9220501B2 (en) 2010-09-30 2015-12-29 Ethicon Endo-Surgery, Inc. Tissue thickness compensators
US12213666B2 (en) 2010-09-30 2025-02-04 Cilag Gmbh International Tissue thickness compensator comprising layers
US9332974B2 (en) 2010-09-30 2016-05-10 Ethicon Endo-Surgery, Llc Layered tissue thickness compensator
US9272406B2 (en) 2010-09-30 2016-03-01 Ethicon Endo-Surgery, Llc Fastener cartridge comprising a cutting member for releasing a tissue thickness compensator
US10945731B2 (en) 2010-09-30 2021-03-16 Ethicon Llc Tissue thickness compensator comprising controlled release and expansion
US11925354B2 (en) 2010-09-30 2024-03-12 Cilag Gmbh International Staple cartridge comprising staples positioned within a compressible portion thereof
US9307989B2 (en) 2012-03-28 2016-04-12 Ethicon Endo-Surgery, Llc Tissue stapler having a thickness compensator incorportating a hydrophobic agent
US9480476B2 (en) 2010-09-30 2016-11-01 Ethicon Endo-Surgery, Llc Tissue thickness compensator comprising resilient members
US9364233B2 (en) 2010-09-30 2016-06-14 Ethicon Endo-Surgery, Llc Tissue thickness compensators for circular surgical staplers
US9386988B2 (en) 2010-09-30 2016-07-12 Ethicon End-Surgery, LLC Retainer assembly including a tissue thickness compensator
US9232941B2 (en) 2010-09-30 2016-01-12 Ethicon Endo-Surgery, Inc. Tissue thickness compensator comprising a reservoir
US8740034B2 (en) 2010-09-30 2014-06-03 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with interchangeable staple cartridge arrangements
EP2621356B1 (en) 2010-09-30 2018-03-07 Ethicon LLC Fastener system comprising a retention matrix and an alignment matrix
US9204880B2 (en) 2012-03-28 2015-12-08 Ethicon Endo-Surgery, Inc. Tissue thickness compensator comprising capsules defining a low pressure environment
US20120080336A1 (en) 2010-09-30 2012-04-05 Ethicon Endo-Surgery, Inc. Staple cartridge comprising staples positioned within a compressible portion thereof
US11298125B2 (en) 2010-09-30 2022-04-12 Cilag Gmbh International Tissue stapler having a thickness compensator
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
US8893949B2 (en) 2010-09-30 2014-11-25 Ethicon Endo-Surgery, Inc. Surgical stapler with floating anvil
US11812965B2 (en) 2010-09-30 2023-11-14 Cilag Gmbh International Layer of material for a surgical end effector
US9301752B2 (en) 2010-09-30 2016-04-05 Ethicon Endo-Surgery, Llc Tissue thickness compensator comprising a plurality of capsules
US9055941B2 (en) 2011-09-23 2015-06-16 Ethicon Endo-Surgery, Inc. Staple cartridge including collapsible deck
US8695866B2 (en) 2010-10-01 2014-04-15 Ethicon Endo-Surgery, Inc. Surgical instrument having a power control circuit
US8617184B2 (en) 2011-02-15 2013-12-31 Abbott Cardiovascular Systems, Inc. Vessel closure system
US9033204B2 (en) 2011-03-14 2015-05-19 Ethicon Endo-Surgery, Inc. Circular stapling devices with tissue-puncturing anvil features
US8800841B2 (en) 2011-03-15 2014-08-12 Ethicon Endo-Surgery, Inc. Surgical staple cartridges
US9149276B2 (en) 2011-03-21 2015-10-06 Abbott Cardiovascular Systems, Inc. Clip and deployment apparatus for tissue closure
DE102011001706A1 (de) 2011-03-31 2012-10-04 Aesculap Ag Chirurgischer Clip-Applikator
WO2012135735A2 (en) 2011-03-31 2012-10-04 Eaves Felmont Force modulating tissue bridge
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
US8556932B2 (en) 2011-05-19 2013-10-15 Abbott Cardiovascular Systems, Inc. Collapsible plug for tissue closure
US11207064B2 (en) 2011-05-27 2021-12-28 Cilag Gmbh International Automated end effector component reloading system for use with a robotic system
US9402721B2 (en) 2011-06-01 2016-08-02 Valcare, Inc. Percutaneous transcatheter repair of heart valves via trans-apical access
SG10201604333QA (en) * 2011-06-09 2016-07-28 Singapore Health Serv Pte Ltd Bio-absorbable micro-clip and applicator for minimal access wound closure
US9770232B2 (en) 2011-08-12 2017-09-26 W. L. Gore & Associates, Inc. Heart occlusion devices
US8789739B2 (en) 2011-09-06 2014-07-29 Ethicon Endo-Surgery, Inc. Continuous stapling instrument
US9050084B2 (en) 2011-09-23 2015-06-09 Ethicon Endo-Surgery, Inc. Staple cartridge including collapsible deck arrangement
US9332976B2 (en) 2011-11-30 2016-05-10 Abbott Cardiovascular Systems, Inc. Tissue closure device
US8968336B2 (en) 2011-12-07 2015-03-03 Edwards Lifesciences Corporation Self-cinching surgical clips and delivery system
US9017347B2 (en) 2011-12-22 2015-04-28 Edwards Lifesciences Corporation Suture clip deployment devices
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
WO2013130641A1 (en) 2012-02-29 2013-09-06 Valcare, Inc. Percutaneous annuloplasty system with anterior-posterior adjustment
US9180008B2 (en) 2012-02-29 2015-11-10 Valcare, Inc. Methods, devices, and systems for percutaneously anchoring annuloplasty rings
US9821145B2 (en) 2012-03-23 2017-11-21 Pressure Products Medical Supplies Inc. Transseptal puncture apparatus and method for using the same
US9078653B2 (en) 2012-03-26 2015-07-14 Ethicon Endo-Surgery, Inc. Surgical stapling device with lockout system for preventing actuation in the absence of an installed staple cartridge
MX353040B (es) 2012-03-28 2017-12-18 Ethicon Endo Surgery Inc Unidad retenedora que incluye un compensador de grosor de tejido.
BR112014024098B1 (pt) 2012-03-28 2021-05-25 Ethicon Endo-Surgery, Inc. cartucho de grampos
US9198662B2 (en) 2012-03-28 2015-12-01 Ethicon Endo-Surgery, Inc. Tissue thickness compensator having improved visibility
MX358135B (es) 2012-03-28 2018-08-06 Ethicon Endo Surgery Inc Compensador de grosor de tejido que comprende una pluralidad de capas.
US9554798B2 (en) 2012-06-13 2017-01-31 Covidien Lp System and method for forming a T-shaped surgical clip
US9101358B2 (en) 2012-06-15 2015-08-11 Ethicon Endo-Surgery, Inc. Articulatable surgical instrument comprising a firing drive
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
US9289256B2 (en) 2012-06-28 2016-03-22 Ethicon Endo-Surgery, Llc Surgical end effectors having angled tissue-contacting surfaces
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
US9561038B2 (en) 2012-06-28 2017-02-07 Ethicon Endo-Surgery, Llc Interchangeable clip applier
US12383267B2 (en) 2012-06-28 2025-08-12 Cilag Gmbh International Robotically powered surgical device with manually-actuatable reversing system
US20140005718A1 (en) 2012-06-28 2014-01-02 Ethicon Endo-Surgery, Inc. Multi-functional powered surgical device with external dissection features
US8747238B2 (en) 2012-06-28 2014-06-10 Ethicon Endo-Surgery, Inc. Rotary drive shaft assemblies for surgical instruments with articulatable end effectors
US9028494B2 (en) 2012-06-28 2015-05-12 Ethicon Endo-Surgery, Inc. Interchangeable end effector coupling arrangement
US9119657B2 (en) 2012-06-28 2015-09-01 Ethicon Endo-Surgery, Inc. Rotary actuatable closure arrangement for surgical end effector
US11197671B2 (en) 2012-06-28 2021-12-14 Cilag Gmbh International Stapling assembly comprising a lockout
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
US20140001231A1 (en) 2012-06-28 2014-01-02 Ethicon Endo-Surgery, Inc. Firing system lockout arrangements for surgical instruments
US9282974B2 (en) 2012-06-28 2016-03-15 Ethicon Endo-Surgery, Llc Empty clip cartridge lockout
US9364230B2 (en) 2012-06-28 2016-06-14 Ethicon Endo-Surgery, Llc Surgical stapling instruments with rotary joint assemblies
US9498202B2 (en) 2012-07-10 2016-11-22 Edwards Lifesciences Corporation Suture securement devices
US10016193B2 (en) 2013-11-18 2018-07-10 Edwards Lifesciences Ag Multiple-firing crimp device and methods for using and manufacturing same
US9364209B2 (en) 2012-12-21 2016-06-14 Abbott Cardiovascular Systems, Inc. Articulating suturing device
US9592047B2 (en) 2012-12-21 2017-03-14 Edwards Lifesciences Corporation System for securing sutures
US10828019B2 (en) 2013-01-18 2020-11-10 W.L. Gore & Associates, Inc. Sealing device and delivery system
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
MX368026B (es) 2013-03-01 2019-09-12 Ethicon Endo Surgery Inc Instrumento quirúrgico articulable con vías conductoras para la comunicación de la señal.
US9468438B2 (en) 2013-03-01 2016-10-18 Eticon Endo-Surgery, LLC Sensor straightened end effector during removal through trocar
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
US9629629B2 (en) 2013-03-14 2017-04-25 Ethicon Endo-Surgey, LLC Control systems for surgical instruments
JP6335271B2 (ja) 2013-03-14 2018-05-30 アプライド メディカル リソーシーズ コーポレイション 部分ポケット付き外科用ステープラ
US20140263541A1 (en) 2013-03-14 2014-09-18 Ethicon Endo-Surgery, Inc. Articulatable surgical instrument comprising an articulation lock
EP4129207B1 (en) 2013-03-15 2024-05-29 Applied Medical Resources Corporation Surgical stapler with expandable jaw
EP3804646B1 (en) 2013-03-15 2024-11-13 Valcare Medical, Inc. Systems for delivery of annuloplasty rings
EP3824819B1 (en) 2013-03-15 2023-08-30 Applied Medical Resources Corporation Surgical stapler having actuation mechanism with rotatable shaft
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
US9332984B2 (en) 2013-03-27 2016-05-10 Ethicon Endo-Surgery, Llc Fastener cartridge assemblies
BR112015026109B1 (pt) 2013-04-16 2022-02-22 Ethicon Endo-Surgery, Inc Instrumento cirúrgico
US9844368B2 (en) 2013-04-16 2017-12-19 Ethicon Llc Surgical system comprising first and second drive systems
US10813751B2 (en) 2013-05-22 2020-10-27 Valcare, Inc. Transcatheter prosthetic valve for mitral or tricuspid valve replacement
EP3003187B1 (en) 2013-05-24 2023-11-08 Valcare, Inc. Heart and peripheral vascular valve replacement in conjunction with a support ring
US9574644B2 (en) 2013-05-30 2017-02-21 Ethicon Endo-Surgery, Llc Power module for use with a surgical instrument
EP3013253B1 (en) * 2013-06-28 2021-01-06 ValCare, Inc. Device for securing an article to a tissue
CN105073026B (zh) 2013-07-11 2018-02-02 爱德华兹生命科学公司 无结缝合线固定器安装系统
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
US20140171986A1 (en) 2013-09-13 2014-06-19 Ethicon Endo-Surgery, Inc. Surgical Clip Having Comliant Portion
WO2015039024A1 (en) * 2013-09-16 2015-03-19 Oregon Health & Science University Bioabsorbable clips and applicator for tissue closure
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
US9585662B2 (en) 2013-12-23 2017-03-07 Ethicon Endo-Surgery, Llc Fastener cartridge comprising an extendable firing member
US9724092B2 (en) 2013-12-23 2017-08-08 Ethicon Llc Modular surgical instruments
US9642620B2 (en) 2013-12-23 2017-05-09 Ethicon Endo-Surgery, Llc Surgical cutting and stapling instruments with articulatable end effectors
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
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
US9775608B2 (en) 2014-02-24 2017-10-03 Ethicon Llc Fastening system comprising a firing member lockout
EP3116413B1 (en) * 2014-03-14 2018-06-06 Boston Scientific Scimed, Inc. Apparatus for clipping tissue
US9913642B2 (en) 2014-03-26 2018-03-13 Ethicon Llc Surgical instrument comprising a sensor system
BR112016021943B1 (pt) 2014-03-26 2022-06-14 Ethicon Endo-Surgery, Llc Instrumento cirúrgico para uso por um operador em um procedimento cirúrgico
US12232723B2 (en) 2014-03-26 2025-02-25 Cilag Gmbh International Systems and methods for controlling a segmented circuit
US20150272557A1 (en) 2014-03-26 2015-10-01 Ethicon Endo-Surgery, Inc. Modular surgical instrument system
US9804618B2 (en) 2014-03-26 2017-10-31 Ethicon Llc Systems and methods for controlling a segmented circuit
US9750499B2 (en) 2014-03-26 2017-09-05 Ethicon Llc Surgical stapling instrument system
WO2015153646A1 (en) * 2014-03-31 2015-10-08 Adrian Edward Park Minimally invasive surgery tissue (mist) clip
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
US11517315B2 (en) 2014-04-16 2022-12-06 Cilag Gmbh International Fastener cartridges including extensions having different configurations
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
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
US9844377B2 (en) 2014-04-25 2017-12-19 Incisive Surgical, Inc. Method and apparatus for wound closure with sequential tissue positioning and retention
CN107106157A (zh) 2014-05-30 2017-08-29 爱德华兹生命科学公司 用于固定缝合线的系统
US9808230B2 (en) 2014-06-06 2017-11-07 W. L. Gore & Associates, Inc. Sealing device and delivery system
ES2861258T3 (es) 2014-06-11 2021-10-06 Applied Med Resources Grapadora quirúrgica con disparo circunferencial
US10045781B2 (en) 2014-06-13 2018-08-14 Ethicon Llc Closure lockout systems for surgical instruments
US20160066913A1 (en) 2014-09-05 2016-03-10 Ethicon Endo-Surgery, Inc. Local display of tissue parameter stabilization
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
KR20250027852A (ko) 2014-09-15 2025-02-27 어플라이드 메디컬 리소시스 코포레이션 자동-조정 스테이플 높이를 가진 수술용 스테이플러
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
US11141153B2 (en) 2014-10-29 2021-10-12 Cilag Gmbh International Staple cartridges comprising driver arrangements
US10517594B2 (en) 2014-10-29 2019-12-31 Ethicon Llc Cartridge assemblies for surgical staplers
JP6532113B2 (ja) 2014-11-03 2019-06-19 オレゴン ヘルス アンド サイエンス ユニバーシティ 組織閉鎖のためのクリップおよびアプリケータ
US9844376B2 (en) 2014-11-06 2017-12-19 Ethicon Llc Staple cartridge comprising a releasable adjunct material
EP3229703B1 (en) 2014-12-10 2024-08-28 Edwards Lifesciences AG Multiple-firing securing device
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
US10117649B2 (en) 2014-12-18 2018-11-06 Ethicon Llc Surgical instrument assembly comprising a lockable articulation system
US9987000B2 (en) 2014-12-18 2018-06-05 Ethicon Llc Surgical instrument assembly comprising a flexible articulation system
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
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.
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
US10085748B2 (en) 2014-12-18 2018-10-02 Ethicon Llc Locking arrangements for detachable shaft assemblies with articulatable surgical end effectors
SG11201705137PA (en) 2014-12-24 2017-07-28 Edwards Lifesciences Corp Suture clip deployment devices
USD752219S1 (en) 2015-01-02 2016-03-22 Incisive Surgical, Inc. Tissue fastening instrument
FR3032607B1 (fr) * 2015-02-13 2020-10-23 Institut Hospitalo Univ De Chirurgie Mini Invasive Guidee Par Limage Agrafe chirurgicale presentant deux branches mobiles reliees par une zone de liaison transversale
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
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
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
US10687806B2 (en) 2015-03-06 2020-06-23 Ethicon Llc Adaptive tissue compression techniques to adjust closure rates for multiple tissue types
US10045776B2 (en) 2015-03-06 2018-08-14 Ethicon Llc Control techniques and sub-processor contained within modular shaft with select control processing from handle
US10617412B2 (en) 2015-03-06 2020-04-14 Ethicon Llc System for detecting the mis-insertion of a staple cartridge into a surgical stapler
US10245033B2 (en) 2015-03-06 2019-04-02 Ethicon Llc Surgical instrument comprising a lockable battery housing
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
US9901342B2 (en) 2015-03-06 2018-02-27 Ethicon Endo-Surgery, Llc Signal and power communication system positioned on a rotatable shaft
US9808246B2 (en) 2015-03-06 2017-11-07 Ethicon Endo-Surgery, Llc Method of operating a powered surgical instrument
US9924961B2 (en) 2015-03-06 2018-03-27 Ethicon Endo-Surgery, Llc Interactive feedback system for powered surgical instruments
US10441279B2 (en) 2015-03-06 2019-10-15 Ethicon Llc Multiple level thresholds to modify operation of powered surgical instruments
US10470759B2 (en) * 2015-03-16 2019-11-12 Edwards Lifesciences Corporation Suture securement devices
US10390825B2 (en) 2015-03-31 2019-08-27 Ethicon Llc Surgical instrument with progressive rotary drive systems
US10405863B2 (en) 2015-06-18 2019-09-10 Ethicon Llc Movable firing beam support arrangements for articulatable surgical instruments
US10376367B2 (en) * 2015-07-02 2019-08-13 First Ray, LLC Orthopedic fasteners, instruments and methods
AU2016304601B2 (en) 2015-08-06 2020-10-22 Applied Medical Resources Corporation Surgical stapler having locking articulation joint
US11058425B2 (en) 2015-08-17 2021-07-13 Ethicon Llc Implantable layers for a surgical instrument
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
US11103248B2 (en) 2015-08-26 2021-08-31 Cilag Gmbh International Surgical staples for minimizing staple roll
MX2022009705A (es) 2015-08-26 2022-11-07 Ethicon Llc Metodo para formar una grapa contra un yunque de un instrumento de engrapado quirurgico.
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.
US10172619B2 (en) 2015-09-02 2019-01-08 Ethicon Llc Surgical staple driver arrays
US10085747B2 (en) 2015-09-11 2018-10-02 Incisive Surgical, Inc. Surgical fastening instrument
US10105139B2 (en) 2015-09-23 2018-10-23 Ethicon Llc Surgical stapler having downstream current-based motor control
US10085751B2 (en) 2015-09-23 2018-10-02 Ethicon Llc Surgical stapler having temperature-based motor control
US10327769B2 (en) 2015-09-23 2019-06-25 Ethicon Llc Surgical stapler having motor control based on a drive system component
US10238386B2 (en) 2015-09-23 2019-03-26 Ethicon Llc Surgical stapler having motor control based on an electrical parameter related to a motor current
US10363036B2 (en) 2015-09-23 2019-07-30 Ethicon Llc Surgical stapler having force-based motor control
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
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
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
US10213199B2 (en) 2015-11-23 2019-02-26 Shahram Valiani Intraoral stapler
US10368865B2 (en) 2015-12-30 2019-08-06 Ethicon Llc Mechanisms for compensating for drivetrain failure in powered surgical instruments
US10292704B2 (en) 2015-12-30 2019-05-21 Ethicon Llc Mechanisms for compensating for battery pack failure in powered surgical instruments
US10265068B2 (en) 2015-12-30 2019-04-23 Ethicon Llc Surgical instruments with separable motors and motor control circuits
US11213293B2 (en) 2016-02-09 2022-01-04 Cilag Gmbh International Articulatable surgical instruments with single articulation link arrangements
US10413291B2 (en) 2016-02-09 2019-09-17 Ethicon Llc Surgical instrument articulation mechanism with slotted secondary constraint
BR112018016098B1 (pt) 2016-02-09 2023-02-23 Ethicon Llc Instrumento cirúrgico
US10448948B2 (en) 2016-02-12 2019-10-22 Ethicon Llc Mechanisms for compensating for drivetrain failure in powered surgical instruments
US10258331B2 (en) 2016-02-12 2019-04-16 Ethicon Llc Mechanisms for compensating for drivetrain failure in powered surgical instruments
US11224426B2 (en) 2016-02-12 2022-01-18 Cilag Gmbh International Mechanisms for compensating for drivetrain failure in powered surgical instruments
US10542991B2 (en) 2016-04-01 2020-01-28 Ethicon Llc Surgical stapling system comprising a jaw attachment lockout
US10307159B2 (en) 2016-04-01 2019-06-04 Ethicon Llc Surgical instrument handle assembly with reconfigurable grip portion
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
US10485542B2 (en) 2016-04-01 2019-11-26 Ethicon Llc Surgical stapling instrument comprising multiple lockouts
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
KR102349099B1 (ko) 2016-04-12 2022-01-10 어플라이드 메디컬 리소시스 코포레이션 관절 메커니즘을 갖는 수술용 스테이플러
CA3020727A1 (en) 2016-04-12 2017-10-19 Applied Medical Resources Corporation Surgical stapler having a powered handle
KR102713366B1 (ko) 2016-04-12 2024-10-04 어플라이드 메디컬 리소시스 코포레이션 수술용 스테이플러에 대한 재장전 샤프트 어셈블리
US10828028B2 (en) 2016-04-15 2020-11-10 Ethicon Llc Surgical instrument with multiple program responses during a firing motion
US10426467B2 (en) 2016-04-15 2019-10-01 Ethicon Llc Surgical instrument with detection sensors
US10492783B2 (en) 2016-04-15 2019-12-03 Ethicon, Llc Surgical instrument with improved stop/start control during a firing motion
US10405859B2 (en) 2016-04-15 2019-09-10 Ethicon Llc Surgical instrument with adjustable stop/start control during a firing motion
US10456137B2 (en) 2016-04-15 2019-10-29 Ethicon Llc Staple formation detection mechanisms
US11179150B2 (en) 2016-04-15 2021-11-23 Cilag Gmbh International Systems and methods for controlling a surgical stapling and cutting instrument
US10335145B2 (en) 2016-04-15 2019-07-02 Ethicon Llc Modular surgical instrument with configurable operating mode
US10357247B2 (en) 2016-04-15 2019-07-23 Ethicon Llc Surgical instrument with multiple program responses during a firing motion
US11607239B2 (en) 2016-04-15 2023-03-21 Cilag Gmbh International Systems and methods for controlling a surgical stapling and cutting instrument
US10426469B2 (en) 2016-04-18 2019-10-01 Ethicon Llc Surgical instrument comprising a primary firing lockout and a secondary firing lockout
US11317917B2 (en) 2016-04-18 2022-05-03 Cilag Gmbh International Surgical stapling system comprising a lockable firing assembly
US20170296173A1 (en) 2016-04-18 2017-10-19 Ethicon Endo-Surgery, Llc Method for operating a surgical instrument
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
USD826405S1 (en) 2016-06-24 2018-08-21 Ethicon Llc Surgical fastener
USD822206S1 (en) 2016-06-24 2018-07-03 Ethicon Llc Surgical fastener
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
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
CN107753153B (zh) 2016-08-15 2022-05-31 沃卡尔有限公司 用于治疗心脏瓣膜关闭不全的装置和方法
US10500000B2 (en) 2016-08-16 2019-12-10 Ethicon Llc Surgical tool with manual control of end effector jaws
US10939905B2 (en) 2016-08-26 2021-03-09 Edwards Lifesciences Corporation Suture clips, deployment devices therefor, and methods of use
KR102583736B1 (ko) 2016-10-21 2023-09-26 브리짓 메디컬 인크. 힘 조절형 조직 브리지, 관련 툴, 키트, 및 방법
US20180168625A1 (en) 2016-12-21 2018-06-21 Ethicon Endo-Surgery, Llc Surgical stapling instruments with smart staple cartridges
US10945727B2 (en) 2016-12-21 2021-03-16 Ethicon Llc Staple cartridge with deformable driver retention features
MX2019007311A (es) 2016-12-21 2019-11-18 Ethicon Llc Sistemas de engrapado quirurgico.
US11419606B2 (en) 2016-12-21 2022-08-23 Cilag Gmbh International Shaft assembly comprising a clutch configured to adapt the output of a rotary firing member to two different systems
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
US11090048B2 (en) 2016-12-21 2021-08-17 Cilag Gmbh International Method for resetting a fuse of a surgical instrument shaft
US10610224B2 (en) 2016-12-21 2020-04-07 Ethicon Llc Lockout arrangements for surgical end effectors and replaceable tool assemblies
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
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
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
US20180168619A1 (en) 2016-12-21 2018-06-21 Ethicon Endo-Surgery, Llc Surgical stapling systems
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
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
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
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
US11684367B2 (en) 2016-12-21 2023-06-27 Cilag Gmbh International Stepped assembly having and end-of-life indicator
US10888322B2 (en) 2016-12-21 2021-01-12 Ethicon Llc Surgical instrument comprising a cutting member
US10898186B2 (en) 2016-12-21 2021-01-26 Ethicon Llc Staple forming pocket arrangements comprising primary sidewalls and pocket sidewalls
US10835246B2 (en) 2016-12-21 2020-11-17 Ethicon Llc Staple cartridges and arrangements of staples and staple cavities therein
US10687810B2 (en) 2016-12-21 2020-06-23 Ethicon Llc Stepped staple cartridge with tissue retention and gap setting features
US10537324B2 (en) 2016-12-21 2020-01-21 Ethicon Llc Stepped staple cartridge with asymmetrical staples
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
US10993715B2 (en) 2016-12-21 2021-05-04 Ethicon Llc Staple cartridge comprising staples with different clamping breadths
US10863980B2 (en) 2016-12-28 2020-12-15 Edwards Lifesciences Corporation Suture fastener having spaced-apart layers
CN108618871A (zh) 2017-03-17 2018-10-09 沃卡尔有限公司 具有多方向锚部的二尖瓣或三尖瓣修复系统
US11382638B2 (en) 2017-06-20 2022-07-12 Cilag Gmbh International Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on measured time over a specified displacement distance
US11090046B2 (en) 2017-06-20 2021-08-17 Cilag Gmbh International Systems and methods for controlling displacement member motion of a surgical stapling and cutting instrument
USD890784S1 (en) 2017-06-20 2020-07-21 Ethicon Llc Display panel with changeable graphical user interface
USD879808S1 (en) 2017-06-20 2020-03-31 Ethicon Llc Display panel with graphical user interface
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
US11071554B2 (en) 2017-06-20 2021-07-27 Cilag Gmbh International Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on magnitude of velocity error measurements
US10327767B2 (en) 2017-06-20 2019-06-25 Ethicon Llc Control of motor velocity of a surgical stapling and cutting instrument based on angle of articulation
US10881396B2 (en) 2017-06-20 2021-01-05 Ethicon Llc Surgical instrument with variable duration trigger arrangement
US10368864B2 (en) 2017-06-20 2019-08-06 Ethicon Llc Systems and methods for controlling displaying motor velocity for a surgical instrument
US10390841B2 (en) 2017-06-20 2019-08-27 Ethicon Llc Control of motor velocity of a surgical stapling and cutting instrument based on angle of articulation
US10646220B2 (en) 2017-06-20 2020-05-12 Ethicon Llc Systems and methods for controlling displacement member velocity for a surgical 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
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
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
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
US12490980B2 (en) 2017-06-20 2025-12-09 Cilag Gmbh International Surgical instrument having controllable articulation velocity
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
US10881399B2 (en) 2017-06-20 2021-01-05 Ethicon Llc Techniques for adaptive control of motor velocity of a surgical stapling and cutting instrument
US11517325B2 (en) 2017-06-20 2022-12-06 Cilag Gmbh International Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on measured displacement distance traveled over a specified time interval
US10993716B2 (en) 2017-06-27 2021-05-04 Ethicon Llc Surgical anvil arrangements
US11324503B2 (en) 2017-06-27 2022-05-10 Cilag Gmbh International Surgical firing member arrangements
US11266405B2 (en) 2017-06-27 2022-03-08 Cilag Gmbh International Surgical anvil manufacturing methods
US10856869B2 (en) 2017-06-27 2020-12-08 Ethicon Llc Surgical anvil arrangements
US10631859B2 (en) 2017-06-27 2020-04-28 Ethicon Llc Articulation systems for surgical instruments
US10772629B2 (en) 2017-06-27 2020-09-15 Ethicon Llc Surgical anvil arrangements
BR112019027065B1 (pt) 2017-06-28 2023-12-26 Ethicon Llc Instrumento cirúrgico e sistema cirúrgico
US10765427B2 (en) 2017-06-28 2020-09-08 Ethicon Llc Method for articulating a surgical instrument
US10903685B2 (en) 2017-06-28 2021-01-26 Ethicon Llc Surgical shaft assemblies with slip ring assemblies forming capacitive channels
USD869655S1 (en) 2017-06-28 2019-12-10 Ethicon Llc Surgical fastener cartridge
USD851762S1 (en) 2017-06-28 2019-06-18 Ethicon Llc Anvil
USD906355S1 (en) 2017-06-28 2020-12-29 Ethicon Llc Display screen or portion thereof with a graphical user interface for a surgical instrument
US10716614B2 (en) 2017-06-28 2020-07-21 Ethicon Llc Surgical shaft assemblies with slip ring assemblies with increased contact pressure
US11259805B2 (en) 2017-06-28 2022-03-01 Cilag Gmbh International Surgical instrument comprising firing member supports
US10211586B2 (en) 2017-06-28 2019-02-19 Ethicon Llc Surgical shaft assemblies with watertight housings
USD854151S1 (en) 2017-06-28 2019-07-16 Ethicon Llc Surgical instrument shaft
US11246592B2 (en) 2017-06-28 2022-02-15 Cilag Gmbh International Surgical instrument comprising an articulation system lockable to a frame
US11696759B2 (en) 2017-06-28 2023-07-11 Cilag Gmbh International Surgical stapling instruments comprising shortened staple cartridge noses
EP3420947B1 (en) 2017-06-28 2022-05-25 Cilag GmbH International Surgical instrument comprising selectively actuatable rotatable couplers
US11564686B2 (en) 2017-06-28 2023-01-31 Cilag Gmbh International Surgical shaft assemblies with flexible interfaces
US10786253B2 (en) 2017-06-28 2020-09-29 Ethicon Llc Surgical end effectors with improved jaw aperture arrangements
US11007022B2 (en) 2017-06-29 2021-05-18 Ethicon Llc Closed loop velocity control techniques based on sensed tissue parameters for robotic surgical instrument
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
US10258418B2 (en) 2017-06-29 2019-04-16 Ethicon Llc System for controlling articulation forces
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
US11944300B2 (en) 2017-08-03 2024-04-02 Cilag Gmbh International Method for operating a surgical system bailout
US11304695B2 (en) 2017-08-03 2022-04-19 Cilag Gmbh International Surgical system shaft interconnection
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
USD917500S1 (en) 2017-09-29 2021-04-27 Ethicon Llc Display screen or portion thereof with graphical user interface
USD907648S1 (en) 2017-09-29 2021-01-12 Ethicon Llc Display screen or portion thereof with animated graphical user interface
USD907647S1 (en) 2017-09-29 2021-01-12 Ethicon Llc Display screen or portion thereof with animated graphical user interface
US10743872B2 (en) 2017-09-29 2020-08-18 Ethicon Llc System and methods for controlling a display of a surgical instrument
US10765429B2 (en) 2017-09-29 2020-09-08 Ethicon Llc Systems and methods for providing alerts according to the operational state of a surgical instrument
US11399829B2 (en) 2017-09-29 2022-08-02 Cilag Gmbh International Systems and methods of initiating a power shutdown mode for a surgical instrument
USD876641S1 (en) 2017-10-20 2020-02-25 Emrge, Llc. Medical article for treating a wound and/or scar tissue
US11134944B2 (en) 2017-10-30 2021-10-05 Cilag Gmbh International Surgical stapler knife motion controls
US11090075B2 (en) 2017-10-30 2021-08-17 Cilag Gmbh International Articulation features for surgical end effector
US10779903B2 (en) 2017-10-31 2020-09-22 Ethicon Llc Positive shaft rotation lock activated by jaw closure
US10842490B2 (en) 2017-10-31 2020-11-24 Ethicon Llc Cartridge body design with force reduction based on firing completion
US11197670B2 (en) 2017-12-15 2021-12-14 Cilag Gmbh International Surgical end effectors with pivotal jaws configured to touch at their respective distal ends when fully closed
US10869666B2 (en) 2017-12-15 2020-12-22 Ethicon Llc Adapters with control systems for controlling multiple motors of an electromechanical surgical instrument
US10743874B2 (en) 2017-12-15 2020-08-18 Ethicon Llc Sealed adapters for use 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
US11071543B2 (en) 2017-12-15 2021-07-27 Cilag Gmbh International Surgical end effectors with clamping assemblies configured to increase jaw aperture ranges
US10966718B2 (en) 2017-12-15 2021-04-06 Ethicon Llc Dynamic clamping assemblies with improved wear characteristics for use in connection with electromechanical surgical instruments
US10687813B2 (en) 2017-12-15 2020-06-23 Ethicon Llc Adapters with firing stroke sensing arrangements for use in connection with electromechanical surgical instruments
US11033267B2 (en) 2017-12-15 2021-06-15 Ethicon Llc Systems and methods of controlling a clamping member firing rate of a surgical instrument
US11006955B2 (en) 2017-12-15 2021-05-18 Ethicon Llc End effectors with positive jaw opening features for use with adapters for electromechanical surgical instruments
US10743875B2 (en) 2017-12-15 2020-08-18 Ethicon Llc Surgical end effectors with jaw stiffener arrangements configured to permit monitoring of firing member
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
US11045270B2 (en) 2017-12-19 2021-06-29 Cilag Gmbh International Robotic attachment comprising exterior drive actuator
USD910847S1 (en) 2017-12-19 2021-02-16 Ethicon Llc Surgical instrument assembly
US11020112B2 (en) 2017-12-19 2021-06-01 Ethicon Llc Surgical tools configured for interchangeable use with different controller interfaces
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
US10716565B2 (en) 2017-12-19 2020-07-21 Ethicon Llc Surgical instruments with dual articulation drivers
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
US11129680B2 (en) 2017-12-21 2021-09-28 Cilag Gmbh International Surgical instrument comprising a projector
US20190192151A1 (en) 2017-12-21 2019-06-27 Ethicon Llc Surgical instrument having a display comprising image layers
US11311290B2 (en) 2017-12-21 2022-04-26 Cilag Gmbh International Surgical instrument comprising an end effector dampener
KR102680497B1 (ko) 2018-02-27 2024-07-04 어플라이드 메디컬 리소시스 코포레이션 전동 핸들을 갖는 수술용 스테이플러
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
US11045192B2 (en) 2018-08-20 2021-06-29 Cilag Gmbh International Fabricating techniques for surgical stapler anvils
US11207065B2 (en) 2018-08-20 2021-12-28 Cilag Gmbh International Method for fabricating surgical stapler anvils
US10856870B2 (en) 2018-08-20 2020-12-08 Ethicon Llc Switching arrangements for motor powered articulatable surgical instruments
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
US11083458B2 (en) 2018-08-20 2021-08-10 Cilag Gmbh International Powered surgical instruments with clutching arrangements to convert linear drive motions to rotary drive motions
US11324501B2 (en) 2018-08-20 2022-05-10 Cilag Gmbh International Surgical stapling devices with improved closure members
USD914878S1 (en) 2018-08-20 2021-03-30 Ethicon Llc Surgical instrument anvil
US20200054321A1 (en) 2018-08-20 2020-02-20 Ethicon Llc Surgical instruments with progressive jaw closure arrangements
US11253256B2 (en) 2018-08-20 2022-02-22 Cilag Gmbh International Articulatable motor powered surgical instruments with dedicated articulation motor arrangements
US11039834B2 (en) 2018-08-20 2021-06-22 Cilag Gmbh International Surgical stapler anvils with staple directing protrusions and tissue stability features
US10912559B2 (en) 2018-08-20 2021-02-09 Ethicon Llc Reinforced deformable anvil tip for surgical stapler anvil
EP3890658A4 (en) 2018-12-03 2022-12-21 Valcare, Inc. STABILIZATION AND ADJUSTMENT TOOL TO CONTROL A MINIMALLY INVASIVE MITRAL/TRICUSPIDAL VALVE REPAIR SYSTEM
US11504105B2 (en) 2019-01-25 2022-11-22 Rex Medical L.P. Vascular hole closure device
WO2020176649A1 (en) 2019-02-27 2020-09-03 Applied Medical Resources Corporation Surgical stapling instrument having a two-position lockout mechanism
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
US11696761B2 (en) 2019-03-25 2023-07-11 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
EP3946079A1 (en) 2019-03-29 2022-02-09 Applied Medical Resources Corporation Reload cover for surgical stapling system
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
US11903581B2 (en) 2019-04-30 2024-02-20 Cilag Gmbh International Methods for stapling tissue using a surgical instrument
US11648009B2 (en) 2019-04-30 2023-05-16 Cilag Gmbh International Rotatable jaw tip for a surgical instrument
US11452528B2 (en) 2019-04-30 2022-09-27 Cilag Gmbh International Articulation actuators for a surgical instrument
US11432816B2 (en) 2019-04-30 2022-09-06 Cilag Gmbh International Articulation pin for a surgical instrument
US11426251B2 (en) 2019-04-30 2022-08-30 Cilag Gmbh International Articulation directional lights on a surgical instrument
EP3982881B1 (en) 2019-06-11 2025-04-16 Valcare Medical, Inc. Annuloplasty ring with posterior leaflet for minimally invasive treatment
WO2020252202A1 (en) 2019-06-11 2020-12-17 Valcare, Inc. Systems and methods for delivery of chordae replacement system
US11660163B2 (en) 2019-06-28 2023-05-30 Cilag Gmbh International Surgical system with RFID tags for updating motor assembly parameters
US11259803B2 (en) 2019-06-28 2022-03-01 Cilag Gmbh International Surgical stapling system having an information encryption protocol
US11376098B2 (en) 2019-06-28 2022-07-05 Cilag Gmbh International Surgical instrument system comprising an RFID system
US11298127B2 (en) 2019-06-28 2022-04-12 Cilag GmbH Interational Surgical stapling system having a lockout mechanism for an incompatible cartridge
US11523822B2 (en) 2019-06-28 2022-12-13 Cilag Gmbh International Battery pack including a circuit interrupter
US12004740B2 (en) 2019-06-28 2024-06-11 Cilag Gmbh International Surgical stapling system having an information decryption protocol
US11771419B2 (en) 2019-06-28 2023-10-03 Cilag Gmbh International Packaging for a replaceable component of a surgical stapling system
US11426167B2 (en) 2019-06-28 2022-08-30 Cilag Gmbh International Mechanisms for proper anvil attachment surgical stapling head assembly
US11224497B2 (en) 2019-06-28 2022-01-18 Cilag Gmbh International Surgical systems with multiple RFID tags
US11464601B2 (en) 2019-06-28 2022-10-11 Cilag Gmbh International Surgical instrument comprising an RFID system for tracking a movable component
US11638587B2 (en) 2019-06-28 2023-05-02 Cilag Gmbh International RFID identification systems for surgical instruments
US11553971B2 (en) 2019-06-28 2023-01-17 Cilag Gmbh International Surgical RFID assemblies for display and communication
US11219455B2 (en) 2019-06-28 2022-01-11 Cilag Gmbh International Surgical instrument including a lockout key
US11399837B2 (en) 2019-06-28 2022-08-02 Cilag Gmbh International Mechanisms for motor control adjustments of a motorized surgical instrument
US11298132B2 (en) 2019-06-28 2022-04-12 Cilag GmbH Inlernational Staple cartridge including a honeycomb extension
US11051807B2 (en) 2019-06-28 2021-07-06 Cilag Gmbh International Packaging assembly including a particulate trap
US11478241B2 (en) 2019-06-28 2022-10-25 Cilag Gmbh International Staple cartridge including projections
US11497492B2 (en) 2019-06-28 2022-11-15 Cilag Gmbh International Surgical instrument including an articulation lock
US11291451B2 (en) 2019-06-28 2022-04-05 Cilag Gmbh International Surgical instrument with battery compatibility verification functionality
US11350938B2 (en) 2019-06-28 2022-06-07 Cilag Gmbh International Surgical instrument comprising an aligned rfid sensor
US11627959B2 (en) 2019-06-28 2023-04-18 Cilag Gmbh International Surgical instruments including manual and powered system lockouts
US11684434B2 (en) 2019-06-28 2023-06-27 Cilag Gmbh International Surgical RFID assemblies for instrument operational setting control
US11246678B2 (en) 2019-06-28 2022-02-15 Cilag Gmbh International Surgical stapling system having a frangible RFID tag
EP3998995A4 (en) 2019-07-15 2023-08-23 ValCare, Inc. TRANSCATHETER BIOPROSTHESIS ELEMENT AND SUPPORT STRUCTURE
US12458355B2 (en) 2019-10-11 2025-11-04 Brij Medical, Inc. Medical device for applying force on biological tissue, or the like
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
US11446029B2 (en) 2019-12-19 2022-09-20 Cilag Gmbh International Staple cartridge comprising projections extending from a curved deck surface
US11304696B2 (en) 2019-12-19 2022-04-19 Cilag Gmbh International Surgical instrument comprising a powered articulation system
US11234698B2 (en) 2019-12-19 2022-02-01 Cilag Gmbh International Stapling system comprising a clamp lockout and a firing lockout
US11291447B2 (en) 2019-12-19 2022-04-05 Cilag Gmbh International Stapling instrument comprising independent jaw closing and staple firing systems
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
US11529137B2 (en) 2019-12-19 2022-12-20 Cilag Gmbh International Staple cartridge comprising driver retention members
US11464512B2 (en) 2019-12-19 2022-10-11 Cilag Gmbh International Staple cartridge comprising a curved deck surface
US11559304B2 (en) 2019-12-19 2023-01-24 Cilag Gmbh International Surgical instrument comprising a rapid closure mechanism
US11504122B2 (en) 2019-12-19 2022-11-22 Cilag Gmbh International Surgical instrument comprising a nested firing member
US11701111B2 (en) 2019-12-19 2023-07-18 Cilag Gmbh International Method for operating a surgical stapling instrument
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
US11911032B2 (en) 2019-12-19 2024-02-27 Cilag Gmbh International Staple cartridge comprising a seating cam
US11607219B2 (en) 2019-12-19 2023-03-21 Cilag Gmbh International Staple cartridge comprising a detachable tissue cutting knife
JP2023510201A (ja) 2019-12-31 2023-03-13 アプライド メディカル リソーシーズ コーポレイション 組織及び最大電流識別を用いる電気手術システム
US11812966B2 (en) 2020-04-24 2023-11-14 NeuraMedica Inc. Clips, appliers, and cartridges
USD975851S1 (en) 2020-06-02 2023-01-17 Cilag Gmbh International Staple cartridge
USD975850S1 (en) 2020-06-02 2023-01-17 Cilag Gmbh International Staple cartridge
USD967421S1 (en) 2020-06-02 2022-10-18 Cilag Gmbh International Staple cartridge
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
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
US11974741B2 (en) 2020-07-28 2024-05-07 Cilag Gmbh International Surgical instruments with differential articulation joint arrangements for accommodating flexible actuators
US11931025B2 (en) 2020-10-29 2024-03-19 Cilag Gmbh International Surgical instrument comprising a releasable closure drive lock
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
US11779330B2 (en) 2020-10-29 2023-10-10 Cilag Gmbh International Surgical instrument comprising a jaw alignment system
JP2023548141A (ja) 2020-10-29 2023-11-15 アプライド メディカル リソーシーズ コーポレイション 電動ハンドルを有する外科用ステープラ
US11717289B2 (en) 2020-10-29 2023-08-08 Cilag Gmbh International Surgical instrument comprising an indicator which indicates that an articulation drive is actuatable
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
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
USD980425S1 (en) 2020-10-29 2023-03-07 Cilag Gmbh International Surgical instrument assembly
US11896217B2 (en) 2020-10-29 2024-02-13 Cilag Gmbh International Surgical instrument comprising an articulation lock
US11517390B2 (en) 2020-10-29 2022-12-06 Cilag Gmbh International Surgical instrument comprising a limited travel switch
AU2021368128A1 (en) 2020-10-29 2023-06-01 Applied Medical Resources Corporation Actuation shaft retention mechanism for surgical stapler
AU2021368658A1 (en) 2020-10-29 2023-06-01 Applied Medical Resources Corporation Material combinations and processing methods for a surgical instrument
USD1013170S1 (en) 2020-10-29 2024-01-30 Cilag Gmbh International Surgical instrument assembly
US11737751B2 (en) 2020-12-02 2023-08-29 Cilag Gmbh International Devices and methods of managing energy dissipated within sterile barriers of surgical instrument housings
US11653920B2 (en) 2020-12-02 2023-05-23 Cilag Gmbh International Powered surgical instruments with communication interfaces through sterile barrier
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
US11849943B2 (en) 2020-12-02 2023-12-26 Cilag Gmbh International Surgical instrument with cartridge release mechanisms
US11678882B2 (en) 2020-12-02 2023-06-20 Cilag Gmbh International Surgical instruments with interactive features to remedy incidental sled movements
US11744581B2 (en) 2020-12-02 2023-09-05 Cilag Gmbh International Powered surgical instruments with multi-phase tissue treatment
US12471982B2 (en) 2020-12-02 2025-11-18 Cilag Gmbh International Method for tissue treatment by surgical instrument
US11890010B2 (en) 2020-12-02 2024-02-06 Cllag GmbH International Dual-sided reinforced reload for surgical instruments
US11627960B2 (en) 2020-12-02 2023-04-18 Cilag Gmbh International Powered surgical instruments with smart reload with separately attachable exteriorly mounted wiring connections
USD980434S1 (en) 2021-01-14 2023-03-07 Emrge, Llc Medical article for treating a wound and/or scar tissue
US12279767B2 (en) 2021-01-14 2025-04-22 Applied Medical Resources Corporation Surgical stapler having shaft recognition mechanism
US12349893B2 (en) * 2021-02-25 2025-07-08 Cook Medical Technologies Llc Implantable tissue anchors, kits that include a tissue anchor, and related methods of treatment
US11950777B2 (en) 2021-02-26 2024-04-09 Cilag Gmbh International Staple cartridge comprising an information access control system
US11793514B2 (en) 2021-02-26 2023-10-24 Cilag Gmbh International Staple cartridge comprising sensor array which may be embedded in cartridge body
US11950779B2 (en) 2021-02-26 2024-04-09 Cilag Gmbh International Method of powering and communicating with a staple cartridge
US11730473B2 (en) 2021-02-26 2023-08-22 Cilag Gmbh International Monitoring of manufacturing life-cycle
US12108951B2 (en) 2021-02-26 2024-10-08 Cilag Gmbh International Staple cartridge comprising a sensing array and a temperature control system
US11812964B2 (en) 2021-02-26 2023-11-14 Cilag Gmbh International Staple cartridge comprising a power management circuit
US11744583B2 (en) 2021-02-26 2023-09-05 Cilag Gmbh International Distal communication array to tune frequency of RF systems
US11751869B2 (en) 2021-02-26 2023-09-12 Cilag Gmbh International Monitoring of multiple sensors over time to detect moving characteristics of tissue
US11925349B2 (en) 2021-02-26 2024-03-12 Cilag Gmbh International Adjustment to transfer parameters to improve available power
US11696757B2 (en) 2021-02-26 2023-07-11 Cilag Gmbh International Monitoring of internal systems to detect and track cartridge motion status
US11980362B2 (en) 2021-02-26 2024-05-14 Cilag Gmbh International Surgical instrument system comprising a power transfer coil
US11749877B2 (en) 2021-02-26 2023-09-05 Cilag Gmbh International Stapling instrument comprising a signal antenna
US11701113B2 (en) 2021-02-26 2023-07-18 Cilag Gmbh International Stapling instrument comprising a separate power antenna and a data transfer antenna
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
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
US11723658B2 (en) 2021-03-22 2023-08-15 Cilag Gmbh International Staple cartridge comprising a firing lockout
US11826042B2 (en) 2021-03-22 2023-11-28 Cilag Gmbh International Surgical instrument comprising a firing drive including a selectable leverage mechanism
US11717291B2 (en) 2021-03-22 2023-08-08 Cilag Gmbh International Staple cartridge comprising staples configured to apply different tissue compression
US11806011B2 (en) 2021-03-22 2023-11-07 Cilag Gmbh International Stapling instrument comprising tissue compression systems
US11759202B2 (en) 2021-03-22 2023-09-19 Cilag Gmbh International Staple cartridge comprising an implantable layer
US11744603B2 (en) 2021-03-24 2023-09-05 Cilag Gmbh International Multi-axis pivot joints for surgical instruments and methods for manufacturing same
US11896219B2 (en) 2021-03-24 2024-02-13 Cilag Gmbh International Mating features between drivers and underside of a cartridge deck
US11903582B2 (en) 2021-03-24 2024-02-20 Cilag Gmbh International Leveraging surfaces for cartridge installation
US11944336B2 (en) 2021-03-24 2024-04-02 Cilag Gmbh International Joint arrangements for multi-planar alignment and support of operational drive shafts in articulatable surgical instruments
US11849944B2 (en) 2021-03-24 2023-12-26 Cilag Gmbh International Drivers for fastener cartridge assemblies having rotary drive screws
US11786239B2 (en) 2021-03-24 2023-10-17 Cilag Gmbh International Surgical instrument articulation joint arrangements comprising multiple moving linkage features
US11849945B2 (en) 2021-03-24 2023-12-26 Cilag Gmbh International Rotary-driven surgical stapling assembly comprising eccentrically driven firing member
US12102323B2 (en) 2021-03-24 2024-10-01 Cilag Gmbh International Rotary-driven surgical stapling assembly comprising a floatable component
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
US11832816B2 (en) 2021-03-24 2023-12-05 Cilag Gmbh International Surgical stapling assembly comprising nonplanar staples and planar staples
US11857183B2 (en) 2021-03-24 2024-01-02 Cilag Gmbh International Stapling assembly components having metal substrates and plastic bodies
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
US20220378425A1 (en) 2021-05-28 2022-12-01 Cilag Gmbh International Stapling instrument comprising a control system that controls a firing stroke length
US11877745B2 (en) 2021-10-18 2024-01-23 Cilag Gmbh International Surgical stapling assembly having longitudinally-repeating staple leg clusters
US11957337B2 (en) 2021-10-18 2024-04-16 Cilag Gmbh International Surgical stapling assembly with offset ramped drive surfaces
US11980363B2 (en) 2021-10-18 2024-05-14 Cilag Gmbh International Row-to-row staple array variations
US12239317B2 (en) 2021-10-18 2025-03-04 Cilag Gmbh International Anvil comprising an arrangement of forming pockets proximal to tissue stop
US12279845B2 (en) 2021-10-18 2025-04-22 Cilag Gmbh International Cable-driven actuation system for robotic surgical tool attachment
US12251105B2 (en) 2021-10-20 2025-03-18 Cilag Gmbh International Lockout arrangements for surgical instruments
US12432790B2 (en) 2021-10-28 2025-09-30 Cilag Gmbh International Method and device for transmitting UART communications over a security short range wireless communication
US12089841B2 (en) 2021-10-28 2024-09-17 Cilag CmbH International Staple cartridge identification systems
US11937816B2 (en) 2021-10-28 2024-03-26 Cilag Gmbh International Electrical lead arrangements for surgical instruments

Family Cites Families (12)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2881762A (en) * 1955-02-09 1959-04-14 Robert J Lowrie Surgical staple and stapler
US3333500A (en) * 1965-03-19 1967-08-01 Hoyt C Kelsay Self-clinching staple
US3601127A (en) * 1969-09-15 1971-08-24 Aaron N Finegold Surgical clamp
US4337774A (en) * 1978-06-14 1982-07-06 Metatech Corporation Micro surgical clip
US4317451A (en) * 1980-02-19 1982-03-02 Ethicon, Inc. Plastic surgical staple
US4428376A (en) * 1980-05-02 1984-01-31 Ethicon Inc. Plastic surgical staple
FR2481594A1 (fr) * 1980-05-02 1981-11-06 Ethicon Inc Agrafe chirurgicale perfectionnee en matiere plastique
US4531522A (en) * 1983-06-20 1985-07-30 Ethicon, Inc. Two-piece tissue fastener with locking top and method for applying same
US4805617A (en) * 1987-11-05 1989-02-21 Ethicon, Inc. Surgical fastening systems made from polymeric materials
US4835824A (en) * 1988-04-13 1989-06-06 Durham Vaughn L Medical clamp
US5002562A (en) * 1988-06-03 1991-03-26 Oberlander Michael A Surgical clip
US5062848A (en) * 1990-03-07 1991-11-05 Frazee John G Hemostatic clip and applicator therefor

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2009119272A (ja) * 2007-11-14 2009-06-04 Tyco Healthcare Group Lp 多様な断面形状を有するステープル
JP2015516218A (ja) * 2012-04-27 2015-06-11 アエスキュラップ アーゲー 一体型手術用クリップ
US9861365B2 (en) 2012-04-27 2018-01-09 Aesculap Ag One-piece surgical clip
US11311299B2 (en) 2017-11-20 2022-04-26 Aesculap Ag Surgical clip with bracket-free guide system

Also Published As

Publication number Publication date
KR930021158A (ko) 1993-11-22
EP0565892A1 (en) 1993-10-20
AU3688393A (en) 1993-10-21
PL298493A1 (en) 1993-10-18
US5236440A (en) 1993-08-17
US5540716A (en) 1996-07-30
CA2093779A1 (en) 1993-10-15
MX9301983A (es) 1994-03-31
ZA932596B (en) 1993-10-26

Similar Documents

Publication Publication Date Title
JPH067360A (ja) 外科用フアスナー
US6726705B2 (en) Mechanical method and apparatus for bilateral tissue fastening
EP0077262B1 (en) Surgical fastener and means for applying same
US11419607B2 (en) Mechanical method and apparatus for bilateral tissue fastening
AU647521B2 (en) Apparatus and method for subcuticular stapling of body tissue
EP0492283B1 (en) Fascia clip
US4602634A (en) Method and instrument for applying a fastener to a tissue using means to grasp, guide and pull the fastener through the tissue
US7950559B2 (en) Mechanical method and apparatus for bilateral tissue fastening
JP3768538B2 (ja) 手術用ファスナ、手術用ファスナ用のホルダ、手術用ファスナ用の設置工具、手術用ファスニングシステム、及び手術用ファスニングシステムを提供する方法
US5425489A (en) Fascia clip and instrument
CA2115131C (en) Receiverless surgical fasteners
JPH0380018B2 (ja)
US20090093824A1 (en) Wound closure fasteners and device for tissue approximation and fastener application
EP0509513B1 (en) Fasciaclip and instrument
WO2024105694A1 (en) A surgical device and method of operating the same