WO2009071070A2 - Agrafeuse chirurgicale - Google Patents

Agrafeuse chirurgicale Download PDF

Info

Publication number
WO2009071070A2
WO2009071070A2 PCT/DE2008/002018 DE2008002018W WO2009071070A2 WO 2009071070 A2 WO2009071070 A2 WO 2009071070A2 DE 2008002018 W DE2008002018 W DE 2008002018W WO 2009071070 A2 WO2009071070 A2 WO 2009071070A2
Authority
WO
WIPO (PCT)
Prior art keywords
surgical instrument
instrument according
anvil
housing
handle
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.)
Ceased
Application number
PCT/DE2008/002018
Other languages
German (de)
English (en)
Other versions
WO2009071070A3 (fr
Inventor
Werner Boxbücher
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.)
STAPLELINE MEDIZINTECHNIK GmbH
Original Assignee
STAPLELINE MEDIZINTECHNIK GmbH
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 STAPLELINE MEDIZINTECHNIK GmbH filed Critical STAPLELINE MEDIZINTECHNIK GmbH
Priority to DE112008003698T priority Critical patent/DE112008003698A5/de
Publication of WO2009071070A2 publication Critical patent/WO2009071070A2/fr
Publication of WO2009071070A3 publication Critical patent/WO2009071070A3/fr
Anticipated expiration legal-status Critical
Ceased 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
    • A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A61B17/07207—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously the staples being applied sequentially
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00535—Surgical instruments, devices or methods pneumatically or hydraulically operated
    • A61B2017/00539—Surgical instruments, devices or methods pneumatically or hydraulically operated hydraulically
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00535—Surgical instruments, devices or methods pneumatically or hydraulically operated
    • A61B2017/00544—Surgical instruments, devices or methods pneumatically or hydraulically operated pneumatically
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A61B2017/07214—Stapler heads
    • A61B2017/07278—Stapler heads characterised by its sled or its staple holder
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A61B2017/07214—Stapler heads
    • A61B2017/07285—Stapler heads characterised by its cutter
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A61B17/2909—Handles
    • A61B2017/2925—Pistol grips
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A61B2017/2926—Details of heads or jaws
    • A61B2017/2927—Details of heads or jaws the angular position of the head being adjustable with respect to the shaft
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A61B2017/2926—Details of heads or jaws
    • A61B2017/2932—Transmission of forces to jaw members

Definitions

  • the invention relates to a surgical instrument for attaching surgical fasteners to tissue, comprising a housing having a proximal part and an assembly on the distal part, with a shaft, an anvil formed from a fixed anvil part and an anvil movable against this anvil for pressing the fastener in the tissue and / or for forming the attachment means in the tissue.
  • Such medical devices are used in particular in laparoscopic or endoscopic surgery for performing surgical procedures. They serve as a staple as well as a cutting instrument.
  • the tissue is clamped by clamping fasteners in and possibly through the tissue. This happens in the interaction of a movable and a fixed anvil part at the distal end of the surgical instrument. In between there are contact surfaces between which the tissue can be pinched or grasped. They are movable relative to each other by the movable part of the anvil is pivotally mounted. The pivoting mechanism is triggered by manual operation in the area of the housing, so that the tissue placed between the two anvil parts is clamped or grasped.
  • the staples can be injected from a magazine into the clamped tissue, whereby they deform on the fixed anvil part.
  • the described control functions are accomplished mechanically in common surgical instruments.
  • Previously known such surgical instruments can in the field of Laparoscopy are used only conditionally, which is not least due to the lack of compactness and maneuverability.
  • the object of the present invention is thus to provide a particularly compact surgical instrument for minimally invasive surgery, wherein vascular occlusion and separation are possible in one work step.
  • This object is achieved by a pneumatic and / or hydraulic control of the assembly.
  • Trigger mechanism of the surgical instrument a pneumatically and / or hydraulically operated, very precise and trouble-free control set in motion.
  • pressurized cylinder For transmitting the pressure forces from a corresponding pressure accumulator at least one displaceably mounted in the housing, pressurized cylinder is provided. Forward and backward movement of this cylinder, as will be explained later, controls the movements on the distal part of the surgical instrument.
  • two cylinders are mounted in the housing, which are arranged coupled to each other with respect to a displacement between a front and a rear position.
  • the two cylinders are coordinated so that the one cylinder is moved when extending the other in its rear position. In this way it is thus ensured that the pressurized and thus reached in its front position Cylinder returns by the coupling with the adjacent cylinder in the rear position, without the need for a separate unit would be provided.
  • an inner housing is additionally provided.
  • the cylinders are arranged in an inner housing displaceably mounted in the housing.
  • a displacement of the inner housing in its rear position is in view of a mechanism to be described later in connection with the fixed and movable anvil member and the adjustment of a slidable on both Anvil parts sliding sleeve advantage.
  • each cylinder is associated with a rack, wherein the teeth of both racks are arranged facing each other. Between the two racks facing each other there is a control shaft, which ensures that a movement of the one cylinder forward always means a backward movement of the other.
  • the displacement of the inner housing causes the movable anvil member pivots, and presses against the fixed anvil member.
  • a kind of emergency release provides that the control shaft is designed to be operable from the outside of the housing. Removing a safety cap, the anvil can be opened by turning on a provided on the control shaft return wheel.
  • a mechanical bridging of the pneumatic and / or hydraulic drive is provided in the event that the pneumatic system should fail, because about a pressure loss has occurred.
  • the medical device can be removed after the appropriate provision at least from the surgical field in a comparatively simple and particularly secure manner.
  • the function of the sliding sleeve has already been addressed. This is arranged jointly displaceable on the fixed anvil part and the movable anvil part.
  • the sliding sleeve may comprise the fixed and the movable anvil part in a clamp-like manner, so that the kinematic relationship is established. If the sliding sleeve is moved in the distal direction, both anvil parts must lie within the sliding sleeve, they are encompassed by the latter. This interaction is used to close the anvil and absorb the necessary deformation forces for the brackets.
  • the invention further provides that the sliding sleeve between a
  • Basic position and an intermediate position on the housing facing the end of the anvil is adjustable. Only from the latter position, the sliding sleeve can be moved beyond the anvil in the direction of the distal end. In a first movement step of the sliding sleeve in the distal direction of the anvil is closed. This corresponds to a method of the sliding sleeve from the basic to the intermediate position. This allows on the one hand the insertion into the trocar and thus the achievement of the surgical field and on the other hand - after temporary opening - the pinching of the vessel to be separated. In order to open the anvil again, the sliding sleeve must be pulled back so that the spring force opens the anvil again.
  • the already described displacement of the inner housing in the actual housing in its front position corresponds to the adjustment of the sliding sleeve from her Basic to its intermediate position. This means that a displacement of the sliding sleeve on the anvil in the direction of the distal end is possible only on condition that the inner housing is in the rear position.
  • Another function of the sliding sleeve provides that it serves as an abutment for introducing the fastening means. The necessary deformation forces when inserting the brackets are intercepted in this way.
  • a particularly advantageous embodiment of the invention is that in which a cable guide is used to transmit the forces between the cylinders and the anvil and / or the sliding sleeve.
  • the pressure medium causes the adjustment of a cylinder in its forward position, whereby it is then moved by the racks or the control shaft also in the direction of the distal end. In this way, the forces are transferred (via the sliding sleeve) to the anvil.
  • This is done by a rope in out and return in the form of a cable or belt drive, which controls the forward and backward movement of the sliding sleeve in a simple and secure manner depending on the adjustment of the cylinder.
  • a cable guide is conceivable without the described pneumatic or hydraulic control.
  • an articulation of the distal end of the surgical instrument can be achieved in a manner not previously known. This can now be pivoted in both directions by up to 90 °.
  • an adjusting shaft for adjusting the pivot angle of the anvil is arranged in the housing.
  • Such a cable guide is conceivable without the described pneumatic or hydraulic control.
  • a cable guide is used to transmit the forces between the adjusting shaft and a distal joint.
  • the stapling and cutting function can be independent of the Pivoting position to be executed.
  • the rotation takes place without translation, so z.
  • a rotation of 30 ° on a rotary knob provided on the housing also has a rotation of 30 ° at the distal joint result.
  • a detent is mounted in the knob, which fixes the set position.
  • the anvil is pivotable about the distal joint in at least one direction by 45 ° to 90 °. This is compared to known from the prior art devices, almost a double swing angle of about 90 ° feasible, which greatly simplifies the handling of the device according to the invention. Due to the functional separation of this pivoting movement and the stapling or cutting mechanism latter is independent of the angular position feasible.
  • the leadership of the rope is achieved by extending in the rotation center perpendicular to the groove a bore through which the rope is guided.
  • the handle of the surgical instrument is equipped with a handle in the release position of the handle is pivotally mounted to the housing.
  • the free pivoting of the handle leads to a much better handling of the surgical instrument.
  • the handle can be infinitely swung around the housing back and forth. This is achieved by the housing aul réelle on its outside a plurality of teeth, to which the handle is designed to correspond. If you open the handle in the release position, the handle is pivoted out of the teeth and is freely rotatable.
  • the gears completely surround the housing so that the handle can be fixed at any point by fixing the handle in a suitable position, eg by releasing the handle.
  • the handle has a leg, whose side facing the housing is formed corresponding to the teeth.
  • this leg releases the teeth, so that the handle can be rotated arbitrarily and endlessly.
  • a further embodiment of the invention provides that the surgical instrument has a pressure accumulator for a gaseous and / or liquid medium. It is intended in particular to carbon dioxide, which is held in a pressure accumulator provided at the proximal end of the housing. Under certain circumstances, it may be necessary to rearrange the accumulator nor a pressure reducer.
  • the invention is characterized in particular by the fact that a surgical stapling instrument which is particularly well and safely handled in several respects is provided.
  • This is initially characterized by an infinitely mounted handle, so that the device remains easy to operate at any time, by ultimately the handle of each positioning of the instrument for left and right handed people can be adjusted.
  • This is accompanied by an up to 90 ° in both directions feasible pivoting of the anvil to a distal joint.
  • a cable guide between the distal joint and an adjusting shaft associated with the housing responsible for this is in particular a cable guide between the distal joint and an adjusting shaft associated with the housing.
  • another cable guide via which the control of the movable and fixed anvil part takes place.
  • This will be two in one Inner cylinder mounted cylinder in an interaction between a front and a rear position adjusted, which affects thanks to the cable guide on the two anvil parts or a comprehensive, movably mounted sliding sleeve.
  • Figure 1 is a surgical instrument in perspective
  • FIG. 2 shows a section through the complete housing
  • FIG. 3 shows a partial section through the housing
  • FIG. 4 shows another partial section through the housing
  • FIG. 5 shows the anvil
  • FIG. 6 shows the sliding sleeve with anvil open
  • FIG. 7 shows the sliding sleeve with closed anvil
  • FIG. 8 shows the anvil with sliding sleeve
  • FIG. 9 shows a sliding sleeve
  • FIG. 10 shows the proximal part of the housing with handle
  • FIG. 11 shows a turret
  • FIG. 12 shows a positive guide.
  • FIG. 1 shows a surgical instrument 1 for attaching surgical fastening means 2 to tissue.
  • the latter are associated with the fixed part 9 of the anvil 8, against which the movable anvil part 10 is moved for pressing the fastening means 2 into the tissue and / or for forming the fastening means 2 in the tissue.
  • the shaft 7 and the anvil 8 are hinged together in the region of the distal joint 23.
  • the components described together form the assembly 6 on the distal part 4 of the surgical instrument 1.
  • the housing 5 with the adjustment, including the rotary knob provided with the reference numeral 38 and the two rotary rings 40 and 41.
  • the reference numeral 34 the accumulator for providing a liquid and / or a gaseous medium is called.
  • the reference numeral 28 carries the handle with the handle 29, by means of which
  • Adjustment of the handle 28 is mounted at any 360 ° about the housing 5 pivotally.
  • FIG. 1 A section through the housing 5 is shown in FIG. To recognize the accumulator 34 with the downstream pressure reducer 35. As a result, pressure medium z. B. in the form of carbon dioxide on the cylinder, of which only one is shown and provided with the reference numeral 12, exercised. This results in a displacement of the cylinder 12 forward, which in turn is coupled to the cylinder, not shown here, arranged adjacent thereto. This coupling is accomplished via the rack 15 and the control shaft 17 together with the gear 16. About this control shaft 17 and the knob 39 on the outer side 18 of the housing 5 of the Klammersetzmechanismus is controlled. Serves for this purpose, a cable guide, not shown in this illustration, for exerting the forces on the anvil, also not shown here, which is located at the distal end of the shaft 7.
  • Said units are located in a displaceably mounted in the actual housing 5 inner housing 14, which must be in its rear position, in order to ensure that actually the corresponding forces can be applied and exerted on the anvil.
  • the reference numeral 22 denotes the adjusting shaft, via which the anvil can be pivoted by up to 90 ° in both directions.
  • Cable guide 24 realized between the adjusting shaft 22 and the distal joint, also not shown.
  • the cylinder 12 positively connected at its front end 42 to the inner housing 5, so that it is ensured that the corresponding pressure forces can also be exercised here.
  • Cylinders 12 and 13 and their interaction laid. If pressure is exerted on one of the two cylinders 12, 13, these are coupled to one another, thanks to the rack 15 and / or the control shaft 17, so that a forward movement of a cylinder always effects a movement of the adjacent cylinder backwards. A separate return mechanism is therefore unnecessary.
  • both cylinders 12, 13 are equipped with a rack, of which only one is shown here and provided with the reference numeral 15, while the other, here the cylinder 13 associated rack is positioned so that the teeth 43 are opposite to each other and the trajectory for the control shaft 17 and the gear 16 is thus predetermined.
  • the anvil is shown in FIG. This consists of a fixed anvil part 9, which is equipped here with the attachment means 2 and a movable against this movable anvil part 10.
  • the control of this function takes over the sliding sleeve 19, which is movable over the anvil 8, provided that the movable anvil part 10 is in the pivoted position, as it is then shown in the figure 7.
  • the joint 23 is positioned, which allows pivoting of the anvil 8 about the distal joint 23 by up to 90 ° in both directions.
  • the sliding sleeve 19 is shown again in FIG.
  • the sliding sleeve 19 also serves as an abutment during penetration of the fastening means 2 by being comparable to a carriage via the anvil, more precisely the fixed and the movable anvil part movable. It has for this purpose a vertically arranged web 47, a trough-like substructure 48 and also serving as a guide track 49.
  • FIG. 10 shows in particular the handle 28 with the handle 29, in which
  • FIG. 12 also shows a positive guide 53, via which it is ensured that the sliding sleeve must always be in the intermediate position before pressure medium can be supplied to the cylinders via the pressure reservoir.

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

Instrument chirurgical (1) qui sert à poser des éléments de fixation chirurgicaux (2) dans des tissus. Ledit instrument comporte un boîtier (5) dans sa partie proximale (3) et un bloc (6) dans sa partie distale (4), ainsi qu'une enclume (8) constituée d'une partie fixe (9) et d'une partie mobile (10) par rapport à la partie fixe pour introduire les éléments de fixation (2) dans les tissus et/ou pour mettre en forme les éléments de fixation (2) dans les tissus. Ledit instrument comporte en outre une commande pneumatique et/ou hydraulique du bloc (6).
PCT/DE2008/002018 2007-12-07 2008-12-05 Agrafeuse chirurgicale Ceased WO2009071070A2 (fr)

Priority Applications (1)

Application Number Priority Date Filing Date Title
DE112008003698T DE112008003698A5 (de) 2007-12-07 2008-12-05 Chirurgisches Klammerinstrument

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
DE102007059064A DE102007059064A1 (de) 2007-12-07 2007-12-07 Chirurgisches Klammerinstrument
DE102007059064.6 2007-12-07

Publications (2)

Publication Number Publication Date
WO2009071070A2 true WO2009071070A2 (fr) 2009-06-11
WO2009071070A3 WO2009071070A3 (fr) 2009-11-05

Family

ID=40589668

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/DE2008/002018 Ceased WO2009071070A2 (fr) 2007-12-07 2008-12-05 Agrafeuse chirurgicale

Country Status (2)

Country Link
DE (2) DE102007059064A1 (fr)
WO (1) WO2009071070A2 (fr)

Cited By (148)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9510827B2 (en) 2013-03-25 2016-12-06 Covidien Lp Micro surgical instrument and loading unit for use therewith
EP2663245A4 (fr) * 2011-01-14 2017-04-05 New Hope Ventures, LP Dispositif et méthode d'agrafage chirurgical
US9655617B2 (en) 2007-08-31 2017-05-23 Covidien Lp Surgical instrument
US9867613B2 (en) 2013-12-19 2018-01-16 Covidien Lp Surgical staples and end effectors for deploying the same
US9918717B2 (en) 2015-03-18 2018-03-20 Covidien Lp Pivot mechanism for surgical device
US9987012B2 (en) 2015-07-21 2018-06-05 Covidien Lp Small diameter cartridge design for a surgical stapling instrument
US10039545B2 (en) 2015-02-23 2018-08-07 Covidien Lp Double fire stapling
US10045782B2 (en) 2015-07-30 2018-08-14 Covidien Lp Surgical stapling loading unit with stroke counter and lockout
US10064622B2 (en) 2015-07-29 2018-09-04 Covidien Lp Surgical stapling loading unit with stroke counter and lockout
USD829902S1 (en) 2015-02-26 2018-10-02 Covidien Lp Shipping wedge
US10085749B2 (en) 2015-02-26 2018-10-02 Covidien Lp Surgical apparatus with conductor strain relief
US10111660B2 (en) 2015-12-03 2018-10-30 Covidien Lp Surgical stapler flexible distal tip
US10143474B2 (en) 2015-05-08 2018-12-04 Just Right Surgical, Llc Surgical stapler
US10172615B2 (en) 2015-05-27 2019-01-08 Covidien Lp Multi-fire push rod stapling device
US10213204B2 (en) 2015-10-02 2019-02-26 Covidien Lp Micro surgical instrument and loading unit for use therewith
US10299790B2 (en) 2017-03-03 2019-05-28 Covidien Lp Adapter with centering mechanism for articulation joint
US10349937B2 (en) 2016-02-10 2019-07-16 Covidien Lp Surgical stapler with articulation locking mechanism
US10349941B2 (en) 2015-05-27 2019-07-16 Covidien Lp Multi-fire lead screw stapling device
US10390826B2 (en) 2017-05-08 2019-08-27 Covidien Lp Surgical stapling device with elongated tool assembly and methods of use
US10420559B2 (en) 2016-02-11 2019-09-24 Covidien Lp Surgical stapler with small diameter endoscopic portion
US10420551B2 (en) 2017-05-30 2019-09-24 Covidien Lp Authentication and information system for reusable surgical instruments
US10463368B2 (en) 2015-04-10 2019-11-05 Covidien Lp Endoscopic stapler
US10463371B2 (en) 2016-11-29 2019-11-05 Covidien Lp Reload assembly with spent reload indicator
US10478185B2 (en) 2017-06-02 2019-11-19 Covidien Lp Tool assembly with minimal dead space
US10492784B2 (en) 2016-11-08 2019-12-03 Covidien Lp Surgical tool assembly with compact firing assembly
US10512461B2 (en) 2014-05-15 2019-12-24 Covidien Lp Surgical fastener applying apparatus
US10517593B2 (en) 2013-11-04 2019-12-31 Covidien Lp Surgical fastener applying apparatus
US10517589B2 (en) 2017-05-05 2019-12-31 Covidien Lp Surgical staples with expandable backspan
US10548599B2 (en) 2015-07-20 2020-02-04 Covidien Lp Endoscopic stapler and staple
US10561419B2 (en) 2016-05-04 2020-02-18 Covidien Lp Powered end effector assembly with pivotable channel
US10595864B2 (en) 2015-11-24 2020-03-24 Covidien Lp Adapter assembly for interconnecting electromechanical surgical devices and surgical loading units, and surgical systems thereof
US10603035B2 (en) 2017-05-02 2020-03-31 Covidien Lp Surgical loading unit including an articulating end effector
US10624636B2 (en) 2017-08-23 2020-04-21 Covidien Lp Surgical stapling device with floating staple cartridge
US10631857B2 (en) 2016-11-04 2020-04-28 Covidien Lp Loading unit for surgical instruments with low profile pushers
US10660641B2 (en) 2017-03-16 2020-05-26 Covidien Lp Adapter with centering mechanism for articulation joint
US10660623B2 (en) 2016-01-15 2020-05-26 Covidien Lp Centering mechanism for articulation joint
US10709901B2 (en) 2017-01-05 2020-07-14 Covidien Lp Implantable fasteners, applicators, and methods for brachytherapy
US10736631B2 (en) 2018-08-07 2020-08-11 Covidien Lp End effector with staple cartridge ejector
US10772632B2 (en) 2015-10-28 2020-09-15 Covidien Lp Surgical stapling device with triple leg staples
US10806452B2 (en) 2017-08-24 2020-10-20 Covidien Lp Loading unit for a surgical stapling instrument
US10849621B2 (en) 2017-02-23 2020-12-01 Covidien Lp Surgical stapler with small diameter endoscopic portion
US10849620B2 (en) 2018-09-14 2020-12-01 Covidien Lp Connector mechanisms for surgical stapling instruments
US10849622B2 (en) 2018-06-21 2020-12-01 Covidien Lp Articulated stapling with fire lock
US10863987B2 (en) 2017-11-16 2020-12-15 Covidien Lp Surgical instrument with imaging device
US10912563B2 (en) 2019-01-02 2021-02-09 Covidien Lp Stapling device including tool assembly stabilizing member
US10925603B2 (en) 2017-11-14 2021-02-23 Covidien Lp Reload with articulation stabilization system
US10945732B2 (en) 2018-01-17 2021-03-16 Covidien Lp Surgical stapler with self-returning assembly
US10952767B2 (en) 2017-02-06 2021-03-23 Covidien Lp Connector clip for securing an introducer to a surgical fastener applying apparatus
US10952731B2 (en) 2013-11-04 2021-03-23 Covidien Lp Surgical fastener applying apparatus
US10966717B2 (en) 2016-01-07 2021-04-06 Covidien Lp Surgical fastener apparatus
US11033264B2 (en) 2013-11-04 2021-06-15 Covidien Lp Surgical fastener applying apparatus
US11065022B2 (en) 2016-05-17 2021-07-20 Covidien Lp Cutting member for a surgical instrument
US11090051B2 (en) 2018-10-23 2021-08-17 Covidien Lp Surgical stapling device with floating staple cartridge
US11109862B2 (en) 2019-12-12 2021-09-07 Covidien Lp Surgical stapling device with flexible shaft
US11123068B2 (en) 2019-11-08 2021-09-21 Covidien Lp Surgical staple cartridge
US11191537B1 (en) 2020-05-12 2021-12-07 Covidien Lp Stapling device with continuously parallel jaws
US11191538B1 (en) 2020-06-08 2021-12-07 Covidien Lp Surgical stapling device with parallel jaw closure
US11197673B2 (en) 2018-10-30 2021-12-14 Covidien Lp Surgical stapling instruments and end effector assemblies thereof
US11224424B2 (en) 2019-08-02 2022-01-18 Covidien Lp Linear stapling device with vertically movable knife
US11241228B2 (en) 2019-04-05 2022-02-08 Covidien Lp Surgical instrument including an adapter assembly and an articulating surgical loading unit
US11246593B2 (en) 2020-03-06 2022-02-15 Covidien Lp Staple cartridge
US11259808B2 (en) 2019-03-13 2022-03-01 Covidien Lp Tool assemblies with a gap locking member
US11266402B2 (en) 2020-07-30 2022-03-08 Covidien Lp Sensing curved tip for surgical stapling instruments
US11278282B2 (en) 2020-01-31 2022-03-22 Covidien Lp Stapling device with selective cutting
US11284893B2 (en) 2019-04-02 2022-03-29 Covidien Lp Stapling device with articulating tool assembly
US11284892B2 (en) 2019-04-02 2022-03-29 Covidien Lp Loading unit and adapter with modified coupling assembly
US11317911B2 (en) 2020-03-10 2022-05-03 Covidien Lp Tool assembly with replaceable cartridge assembly
US11324500B2 (en) 2020-06-30 2022-05-10 Covidien Lp Surgical stapling device
US11324502B2 (en) 2017-05-02 2022-05-10 Covidien Lp Surgical loading unit including an articulating end effector
US11331098B2 (en) 2020-04-01 2022-05-17 Covidien Lp Sled detection device
US11344301B2 (en) 2020-03-02 2022-05-31 Covidien Lp Surgical stapling device with replaceable reload assembly
US11344297B2 (en) 2019-02-28 2022-05-31 Covidien Lp Surgical stapling device with independently movable jaws
US11344302B2 (en) 2020-03-05 2022-05-31 Covidien Lp Articulation mechanism for surgical stapling device
US11350915B2 (en) 2017-02-23 2022-06-07 Covidien Lp Surgical stapler with small diameter endoscopic portion
US11357505B2 (en) 2020-03-10 2022-06-14 Covidien Lp Surgical stapling apparatus with firing lockout mechanism
US11369371B2 (en) 2018-03-02 2022-06-28 Covidien Lp Surgical stapling instrument
US11395653B2 (en) 2019-11-26 2022-07-26 Covidien Lp Surgical stapling device with impedance sensor
US11395654B2 (en) 2020-08-07 2022-07-26 Covidien Lp Surgical stapling device with articulation braking assembly
US11406383B2 (en) 2020-03-17 2022-08-09 Covidien Lp Fire assisted powered EGIA handle
US11406387B2 (en) 2020-05-12 2022-08-09 Covidien Lp Surgical stapling device with replaceable staple cartridge
US11406385B2 (en) 2019-10-11 2022-08-09 Covidien Lp Stapling device with a gap locking member
US11406384B2 (en) 2020-10-05 2022-08-09 Covidien Lp Stapling device with drive assembly stop member
US11426159B2 (en) 2020-04-01 2022-08-30 Covidien Lp Sled detection device
US11439392B2 (en) 2020-08-03 2022-09-13 Covidien Lp Surgical stapling device and fastener for pathological exam
US11446028B2 (en) 2020-07-09 2022-09-20 Covidien Lp Tool assembly with pivotable clamping beam
US11452524B2 (en) 2020-01-31 2022-09-27 Covidien Lp Surgical stapling device with lockout
US11504117B2 (en) 2020-04-02 2022-11-22 Covidien Lp Hand-held surgical instruments
US11510673B1 (en) 2021-05-25 2022-11-29 Covidien Lp Powered stapling device with manual retraction
US11510669B2 (en) 2020-09-29 2022-11-29 Covidien Lp Hand-held surgical instruments
US11517313B2 (en) 2021-01-27 2022-12-06 Covidien Lp Surgical stapling device with laminated drive member
US11517305B2 (en) 2020-07-09 2022-12-06 Covidien Lp Contoured staple pusher
US11534167B2 (en) 2020-05-28 2022-12-27 Covidien Lp Electrotaxis-conducive stapling
US11540831B1 (en) 2021-08-12 2023-01-03 Covidien Lp Staple cartridge with actuation sled detection
US11553914B2 (en) 2020-12-22 2023-01-17 Covidien Lp Surgical stapling device with parallel jaw closure
US11576671B1 (en) 2021-08-20 2023-02-14 Covidien Lp Small diameter linear surgical stapling apparatus
US11576675B2 (en) 2021-06-07 2023-02-14 Covidien Lp Staple cartridge with knife
US11576674B2 (en) 2020-10-06 2023-02-14 Covidien Lp Surgical stapling device with articulation lock assembly
US11576670B2 (en) 2021-05-06 2023-02-14 Covidien Lp Surgical stapling device with optimized drive assembly
US11602342B2 (en) 2020-08-27 2023-03-14 Covidien Lp Surgical stapling device with laser probe
US11602344B2 (en) 2021-06-30 2023-03-14 Covidien Lp Surgical stapling apparatus with firing lockout assembly
US11617579B2 (en) 2021-06-29 2023-04-04 Covidien Lp Ultra low profile surgical stapling instrument for tissue resections
US11642126B2 (en) 2016-11-04 2023-05-09 Covidien Lp Surgical stapling apparatus with tissue pockets
US11653922B2 (en) 2021-09-29 2023-05-23 Covidien Lp Surgical stapling device with firing lockout mechanism
US11660092B2 (en) 2020-09-29 2023-05-30 Covidien Lp Adapter for securing loading units to handle assemblies of surgical stapling instruments
US11660094B2 (en) 2021-09-29 2023-05-30 Covidien Lp Surgical fastening instrument with two-part surgical fasteners
US11666330B2 (en) 2021-04-05 2023-06-06 Covidien Lp Surgical stapling device with lockout mechanism
US11678878B2 (en) 2020-09-16 2023-06-20 Covidien Lp Articulation mechanism for surgical stapling device
US11696755B2 (en) 2021-05-19 2023-07-11 Covidien Lp Surgical stapling device with reload assembly removal lockout
US11701119B2 (en) 2021-05-26 2023-07-18 Covidien Lp Powered stapling device with rack release
US11707278B2 (en) 2020-03-06 2023-07-25 Covidien Lp Surgical stapler tool assembly to minimize bleeding
US11707275B2 (en) 2021-06-29 2023-07-25 Covidien Lp Asymmetrical surgical stapling device
US11707277B2 (en) 2021-08-20 2023-07-25 Covidien Lp Articulating surgical stapling apparatus with pivotable knife bar guide assembly
US11707274B2 (en) 2019-12-06 2023-07-25 Covidien Lp Articulating mechanism for surgical instrument
US11717300B2 (en) 2021-03-11 2023-08-08 Covidien Lp Surgical stapling apparatus with integrated visualization
US11737747B2 (en) 2019-12-17 2023-08-29 Covidien Lp Hand-held surgical instruments
US11737774B2 (en) 2020-12-04 2023-08-29 Covidien Lp Surgical instrument with articulation assembly
US11744582B2 (en) 2021-01-05 2023-09-05 Covidien Lp Surgical stapling device with firing lockout mechanism
US11759206B2 (en) 2021-01-05 2023-09-19 Covidien Lp Surgical stapling device with firing lockout mechanism
US11759207B2 (en) 2021-01-27 2023-09-19 Covidien Lp Surgical stapling apparatus with adjustable height clamping member
US11771423B2 (en) 2021-05-25 2023-10-03 Covidien Lp Powered stapling device with manual retraction
US11779334B2 (en) 2021-08-19 2023-10-10 Covidien Lp Surgical stapling device including a manual retraction assembly
US11812956B2 (en) 2021-05-18 2023-11-14 Covidien Lp Dual firing radial stapling device
US11819200B2 (en) 2020-12-15 2023-11-21 Covidien Lp Surgical instrument with articulation assembly
US11844517B2 (en) 2020-06-25 2023-12-19 Covidien Lp Linear stapling device with continuously parallel jaws
US11849949B2 (en) 2021-09-30 2023-12-26 Covidien Lp Surgical stapling device with firing lockout member
US11864761B2 (en) 2021-09-14 2024-01-09 Covidien Lp Surgical instrument with illumination mechanism
US11890014B2 (en) 2020-02-14 2024-02-06 Covidien Lp Cartridge holder for surgical staples and having ridges in peripheral walls for gripping tissue
US11890007B2 (en) 2020-11-18 2024-02-06 Covidien Lp Stapling device with flex cable and tensioning mechanism
US11937794B2 (en) 2020-05-11 2024-03-26 Covidien Lp Powered handle assembly for surgical devices
US11944304B2 (en) 2017-02-22 2024-04-02 Covidien Lp Loading unit for surgical instruments with low profile pushers
US11974743B2 (en) 2019-12-02 2024-05-07 Covidien Lp Linear stapling device with a gap locking member
US11974750B2 (en) 2021-03-26 2024-05-07 Covidien Lp Surgical staple cartridge
US12023028B2 (en) 2021-08-20 2024-07-02 Covidien Lp Articulating surgical stapling apparatus with pivotable knife bar guide assembly
US12023027B2 (en) 2020-07-02 2024-07-02 Covidien Lp Surgical stapling device with compressible staple cartridge
US12035909B2 (en) 2021-10-13 2024-07-16 Covidien Lp Surgical stapling device with firing lockout mechanism
US12089838B2 (en) 2020-07-21 2024-09-17 Covidien Lp Shipping cover for staple cartridge
US12108953B2 (en) 2020-03-24 2024-10-08 Covidien Lp Surgical stapling device with replaceable staple cartridge
US12133650B2 (en) 2015-05-25 2024-11-05 Covidien Lp Small diameter surgical stapling device
US12137905B2 (en) 2022-05-16 2024-11-12 Covidien Lp Gas-powered continuous feed surgical fastening device
US12156651B2 (en) 2020-02-03 2024-12-03 Covidien Lp Surgical stapling device
US12193666B2 (en) 2022-05-27 2025-01-14 Covidien Lp Replaceable staple cartridge with retractable knife
US12220124B2 (en) 2020-02-14 2025-02-11 Covidien Lp Surgical stapling device
US12268389B2 (en) 2021-11-12 2025-04-08 Covidien Lp Surgical stapling device with firing lockout
US12336708B2 (en) 2020-12-23 2025-06-24 Covidien Lp Surgical instrument including a decoupling mechanism
US12349902B2 (en) 2020-07-09 2025-07-08 Covidien Lp Powered handle assembly for surgical devices
US12383260B2 (en) 2019-12-13 2025-08-12 Covidien Lp Surgical stapler with universal tip reload
US12414770B2 (en) 2021-05-21 2025-09-16 Covidien Lp Articulation assembly for a surgical device
US12502173B2 (en) 2023-05-09 2025-12-23 Covidien Lp Surgical stapling device with jaws that pivot between an open position and a clamped position

Families Citing this family (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US10499912B2 (en) * 2016-07-13 2019-12-10 Ethicon Llc Apparatus for hydraulic assisted fracture of liver parenchyma

Family Cites Families (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7654431B2 (en) * 2005-02-18 2010-02-02 Ethicon Endo-Surgery, Inc. Surgical instrument with guided laterally moving articulation member
US7467740B2 (en) * 2005-09-21 2008-12-23 Ethicon Endo-Surgery, Inc. Surgical stapling instruments having flexible channel and anvil features for adjustable staple heights
US20070106317A1 (en) * 2005-11-09 2007-05-10 Shelton Frederick E Iv Hydraulically and electrically actuated articulation joints for surgical instruments

Cited By (220)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9655617B2 (en) 2007-08-31 2017-05-23 Covidien Lp Surgical instrument
US10456135B2 (en) 2007-08-31 2019-10-29 Covidien Lp Surgical instrument
EP2663245A4 (fr) * 2011-01-14 2017-04-05 New Hope Ventures, LP Dispositif et méthode d'agrafage chirurgical
US9510827B2 (en) 2013-03-25 2016-12-06 Covidien Lp Micro surgical instrument and loading unit for use therewith
US10772626B2 (en) 2013-03-25 2020-09-15 Covidien Lp Micro surgical instrument and loading unit for use therewith
US10952731B2 (en) 2013-11-04 2021-03-23 Covidien Lp Surgical fastener applying apparatus
US10517593B2 (en) 2013-11-04 2019-12-31 Covidien Lp Surgical fastener applying apparatus
US11033264B2 (en) 2013-11-04 2021-06-15 Covidien Lp Surgical fastener applying apparatus
US10603034B2 (en) 2013-12-19 2020-03-31 Covidien Lp Surgical staples and end effectors for deploying the same
US11446026B2 (en) 2013-12-19 2022-09-20 Covidien Lp Surgical staples and end effectors for deploying the same
US9867613B2 (en) 2013-12-19 2018-01-16 Covidien Lp Surgical staples and end effectors for deploying the same
US12029418B2 (en) 2013-12-19 2024-07-09 Covidien Lp Surgical staples and end effectors for deploying the same
US10512461B2 (en) 2014-05-15 2019-12-24 Covidien Lp Surgical fastener applying apparatus
US11497497B2 (en) 2014-05-15 2022-11-15 Covidien Lp Surgical fastener applying apparatus
US10327768B2 (en) 2015-02-23 2019-06-25 Covidien Lp Double fire stapling
US10039545B2 (en) 2015-02-23 2018-08-07 Covidien Lp Double fire stapling
US11696756B2 (en) 2015-02-26 2023-07-11 Covidien Lp Surgical apparatus with conductor strain relief
US10130367B2 (en) 2015-02-26 2018-11-20 Covidien Lp Surgical apparatus
US10918383B2 (en) 2015-02-26 2021-02-16 Covidien Lp Surgical apparatus with conductor strain relief
US10987105B2 (en) 2015-02-26 2021-04-27 Covidien Lp Surgical apparatus
US11134948B2 (en) 2015-02-26 2021-10-05 Covidien Lp Surgical apparatus
US10285698B2 (en) 2015-02-26 2019-05-14 Covidien Lp Surgical apparatus
USD829902S1 (en) 2015-02-26 2018-10-02 Covidien Lp Shipping wedge
US10085749B2 (en) 2015-02-26 2018-10-02 Covidien Lp Surgical apparatus with conductor strain relief
USD829903S1 (en) 2015-02-26 2018-10-02 Covidien Lp Shipping wedge
US9918717B2 (en) 2015-03-18 2018-03-20 Covidien Lp Pivot mechanism for surgical device
US11426161B2 (en) 2015-04-10 2022-08-30 Covidien Lp Endoscopic stapler
US10463368B2 (en) 2015-04-10 2019-11-05 Covidien Lp Endoscopic stapler
US10143474B2 (en) 2015-05-08 2018-12-04 Just Right Surgical, Llc Surgical stapler
US12133650B2 (en) 2015-05-25 2024-11-05 Covidien Lp Small diameter surgical stapling device
US12471921B2 (en) 2015-05-25 2025-11-18 Covidien Lp Small diameter surgical stapling device
US10912564B2 (en) 2015-05-27 2021-02-09 Covidien Lp Multi-fire push rod stapling device
US11510674B2 (en) 2015-05-27 2022-11-29 Covidien Lp Multi-fire lead screw stapling device
US10172615B2 (en) 2015-05-27 2019-01-08 Covidien Lp Multi-fire push rod stapling device
US10349941B2 (en) 2015-05-27 2019-07-16 Covidien Lp Multi-fire lead screw stapling device
US11490893B2 (en) 2015-07-20 2022-11-08 Covidien Lp Endoscopic stapler and staple
US10548599B2 (en) 2015-07-20 2020-02-04 Covidien Lp Endoscopic stapler and staple
US10729440B2 (en) 2015-07-21 2020-08-04 Covidien Lp Small diameter cartridge design for a surgical stapling instrument
US9987012B2 (en) 2015-07-21 2018-06-05 Covidien Lp Small diameter cartridge design for a surgical stapling instrument
US10064622B2 (en) 2015-07-29 2018-09-04 Covidien Lp Surgical stapling loading unit with stroke counter and lockout
US11033268B2 (en) 2015-07-29 2021-06-15 Covidien Lp Surgical stapling loading unit with stroke counter and lockout
US10881405B2 (en) 2015-07-30 2021-01-05 Covidien Lp Surgical stapling loading unit with stroke counter and lockout
US10045782B2 (en) 2015-07-30 2018-08-14 Covidien Lp Surgical stapling loading unit with stroke counter and lockout
US11058427B2 (en) 2015-10-02 2021-07-13 Covidien Lp Micro surgical instrument and loading unit for use therewith
US10213204B2 (en) 2015-10-02 2019-02-26 Covidien Lp Micro surgical instrument and loading unit for use therewith
US10772632B2 (en) 2015-10-28 2020-09-15 Covidien Lp Surgical stapling device with triple leg staples
US10595864B2 (en) 2015-11-24 2020-03-24 Covidien Lp Adapter assembly for interconnecting electromechanical surgical devices and surgical loading units, and surgical systems thereof
US10111660B2 (en) 2015-12-03 2018-10-30 Covidien Lp Surgical stapler flexible distal tip
US10835242B2 (en) 2015-12-03 2020-11-17 Covidien Lp Surgical stapler flexible distal tip
US10966717B2 (en) 2016-01-07 2021-04-06 Covidien Lp Surgical fastener apparatus
US10660623B2 (en) 2016-01-15 2020-05-26 Covidien Lp Centering mechanism for articulation joint
US11439389B2 (en) 2016-02-10 2022-09-13 Covidien Lp Surgical stapler with articulation locking mechanism
US10349937B2 (en) 2016-02-10 2019-07-16 Covidien Lp Surgical stapler with articulation locking mechanism
US10966716B2 (en) 2016-02-10 2021-04-06 Covidien Lp Surgical stapler with articulation locking mechanism
US11457920B2 (en) 2016-02-11 2022-10-04 Covidien Lp Surgical stapler with small diameter endoscopic portion
US10420559B2 (en) 2016-02-11 2019-09-24 Covidien Lp Surgical stapler with small diameter endoscopic portion
US10561419B2 (en) 2016-05-04 2020-02-18 Covidien Lp Powered end effector assembly with pivotable channel
US11065022B2 (en) 2016-05-17 2021-07-20 Covidien Lp Cutting member for a surgical instrument
US11931036B2 (en) 2016-11-04 2024-03-19 Covidien Lp Loading unit for surgical instruments with low profile pushers
US11642126B2 (en) 2016-11-04 2023-05-09 Covidien Lp Surgical stapling apparatus with tissue pockets
US11771429B2 (en) 2016-11-04 2023-10-03 Covidien Lp Surgical stapling apparatus with tissue pockets
US11317918B2 (en) 2016-11-04 2022-05-03 Covidien Lp Loading unit for surgical instruments with low profile pushers
US10631857B2 (en) 2016-11-04 2020-04-28 Covidien Lp Loading unit for surgical instruments with low profile pushers
US10492784B2 (en) 2016-11-08 2019-12-03 Covidien Lp Surgical tool assembly with compact firing assembly
US11534161B2 (en) 2016-11-08 2022-12-27 Covidien Lp Surgical tool assembly with compact firing assembly
US11324505B2 (en) 2016-11-29 2022-05-10 Covidien Lp Reload assembly with spent reload indicator
US10463371B2 (en) 2016-11-29 2019-11-05 Covidien Lp Reload assembly with spent reload indicator
US10709901B2 (en) 2017-01-05 2020-07-14 Covidien Lp Implantable fasteners, applicators, and methods for brachytherapy
US11559700B2 (en) 2017-01-05 2023-01-24 Covidien Lp Implantable fasteners, applicators, and methods for brachytherapy
US10952767B2 (en) 2017-02-06 2021-03-23 Covidien Lp Connector clip for securing an introducer to a surgical fastener applying apparatus
US11944304B2 (en) 2017-02-22 2024-04-02 Covidien Lp Loading unit for surgical instruments with low profile pushers
US11350915B2 (en) 2017-02-23 2022-06-07 Covidien Lp Surgical stapler with small diameter endoscopic portion
US11786247B2 (en) 2017-02-23 2023-10-17 Covidien Lp Surgical stapler with small diameter endoscopic portion
US10849621B2 (en) 2017-02-23 2020-12-01 Covidien Lp Surgical stapler with small diameter endoscopic portion
US10667813B2 (en) 2017-03-03 2020-06-02 Covidien Lp Adapter with centering mechanism for articulation joint
US11337697B2 (en) 2017-03-03 2022-05-24 Covidien Lp Adapter with centering mechanism for articulation joint
US10299790B2 (en) 2017-03-03 2019-05-28 Covidien Lp Adapter with centering mechanism for articulation joint
US10660641B2 (en) 2017-03-16 2020-05-26 Covidien Lp Adapter with centering mechanism for articulation joint
US10603035B2 (en) 2017-05-02 2020-03-31 Covidien Lp Surgical loading unit including an articulating end effector
US11723660B2 (en) 2017-05-02 2023-08-15 Covidien Lp Surgical loading unit including an articulating end effector
US11324502B2 (en) 2017-05-02 2022-05-10 Covidien Lp Surgical loading unit including an articulating end effector
US10517589B2 (en) 2017-05-05 2019-12-31 Covidien Lp Surgical staples with expandable backspan
US10524784B2 (en) 2017-05-05 2020-01-07 Covidien Lp Surgical staples with expandable backspan
US11992207B2 (en) 2017-05-05 2024-05-28 Covidien Lp Surgical staples with expandable backspan
US11324498B2 (en) 2017-05-05 2022-05-10 Covidien Lp Surgical staples with expandable backspan
US11317916B2 (en) 2017-05-08 2022-05-03 Covidien Lp Surgical stapling device with elongated tool assembly and methods of use
US10390826B2 (en) 2017-05-08 2019-08-27 Covidien Lp Surgical stapling device with elongated tool assembly and methods of use
US11185323B2 (en) 2017-05-30 2021-11-30 Covidien Lp Authentication and information system for reusable surgical instruments
US10420551B2 (en) 2017-05-30 2019-09-24 Covidien Lp Authentication and information system for reusable surgical instruments
US11617581B2 (en) 2017-06-02 2023-04-04 Covidien Lp Tool assembly with minimal dead space
US10478185B2 (en) 2017-06-02 2019-11-19 Covidien Lp Tool assembly with minimal dead space
US12558093B2 (en) 2017-08-23 2026-02-24 Covidien Lp Surgical stapling device with floating staple cartridge
US10624636B2 (en) 2017-08-23 2020-04-21 Covidien Lp Surgical stapling device with floating staple cartridge
US10806452B2 (en) 2017-08-24 2020-10-20 Covidien Lp Loading unit for a surgical stapling instrument
US10925603B2 (en) 2017-11-14 2021-02-23 Covidien Lp Reload with articulation stabilization system
US10863987B2 (en) 2017-11-16 2020-12-15 Covidien Lp Surgical instrument with imaging device
US11744586B2 (en) 2017-11-16 2023-09-05 Covidien Lp Surgical instrument with imaging device
US10945732B2 (en) 2018-01-17 2021-03-16 Covidien Lp Surgical stapler with self-returning assembly
US11369371B2 (en) 2018-03-02 2022-06-28 Covidien Lp Surgical stapling instrument
US10849622B2 (en) 2018-06-21 2020-12-01 Covidien Lp Articulated stapling with fire lock
US11864759B2 (en) 2018-06-21 2024-01-09 Covidien Lp Articulated stapling with fire lock
US11547406B2 (en) 2018-08-07 2023-01-10 Covidien Lp End effector with staple cartridge ejector
US10736631B2 (en) 2018-08-07 2020-08-11 Covidien Lp End effector with staple cartridge ejector
US11504121B2 (en) 2018-09-14 2022-11-22 Covidien Lp Connector mechanisms for surgical stapling instruments
US10849620B2 (en) 2018-09-14 2020-12-01 Covidien Lp Connector mechanisms for surgical stapling instruments
US11090051B2 (en) 2018-10-23 2021-08-17 Covidien Lp Surgical stapling device with floating staple cartridge
US11806014B2 (en) 2018-10-23 2023-11-07 Covidien Lp Surgical stapling device with floating staple cartridge
US11197673B2 (en) 2018-10-30 2021-12-14 Covidien Lp Surgical stapling instruments and end effector assemblies thereof
US10912563B2 (en) 2019-01-02 2021-02-09 Covidien Lp Stapling device including tool assembly stabilizing member
US11344297B2 (en) 2019-02-28 2022-05-31 Covidien Lp Surgical stapling device with independently movable jaws
US11259808B2 (en) 2019-03-13 2022-03-01 Covidien Lp Tool assemblies with a gap locking member
US11890011B2 (en) 2019-03-13 2024-02-06 Covidien Lp Tool assemblies with a gap locking member
US11890009B2 (en) 2019-04-02 2024-02-06 Covidien Lp Loading unit and adapter with modified coupling assembly
US11284893B2 (en) 2019-04-02 2022-03-29 Covidien Lp Stapling device with articulating tool assembly
US11284892B2 (en) 2019-04-02 2022-03-29 Covidien Lp Loading unit and adapter with modified coupling assembly
US11241228B2 (en) 2019-04-05 2022-02-08 Covidien Lp Surgical instrument including an adapter assembly and an articulating surgical loading unit
US11925348B2 (en) 2019-04-05 2024-03-12 Covidien Lp Surgical instrument including an adapter assembly and an articulating surgical loading unit
US11793517B2 (en) 2019-08-02 2023-10-24 Covidien Lp Linear stapling device with vertically movable knife
US11224424B2 (en) 2019-08-02 2022-01-18 Covidien Lp Linear stapling device with vertically movable knife
US11406385B2 (en) 2019-10-11 2022-08-09 Covidien Lp Stapling device with a gap locking member
US11123068B2 (en) 2019-11-08 2021-09-21 Covidien Lp Surgical staple cartridge
US11395653B2 (en) 2019-11-26 2022-07-26 Covidien Lp Surgical stapling device with impedance sensor
US11974743B2 (en) 2019-12-02 2024-05-07 Covidien Lp Linear stapling device with a gap locking member
US11707274B2 (en) 2019-12-06 2023-07-25 Covidien Lp Articulating mechanism for surgical instrument
US11779335B2 (en) 2019-12-12 2023-10-10 Covidien Lp Surgical stapling device with flexible shaft
US11109862B2 (en) 2019-12-12 2021-09-07 Covidien Lp Surgical stapling device with flexible shaft
US12383260B2 (en) 2019-12-13 2025-08-12 Covidien Lp Surgical stapler with universal tip reload
US11737747B2 (en) 2019-12-17 2023-08-29 Covidien Lp Hand-held surgical instruments
US12268387B2 (en) 2019-12-17 2025-04-08 Covidien Lp Hand-held surgical instruments
US11452524B2 (en) 2020-01-31 2022-09-27 Covidien Lp Surgical stapling device with lockout
US11696758B2 (en) 2020-01-31 2023-07-11 Covidien Lp Stapling device with selective cutting
US11278282B2 (en) 2020-01-31 2022-03-22 Covidien Lp Stapling device with selective cutting
US12156651B2 (en) 2020-02-03 2024-12-03 Covidien Lp Surgical stapling device
US11890014B2 (en) 2020-02-14 2024-02-06 Covidien Lp Cartridge holder for surgical staples and having ridges in peripheral walls for gripping tissue
US12220124B2 (en) 2020-02-14 2025-02-11 Covidien Lp Surgical stapling device
US11944298B2 (en) 2020-03-02 2024-04-02 Covidien Lp Surgical stapling device with replaceable reload assembly
US11344301B2 (en) 2020-03-02 2022-05-31 Covidien Lp Surgical stapling device with replaceable reload assembly
US11344302B2 (en) 2020-03-05 2022-05-31 Covidien Lp Articulation mechanism for surgical stapling device
US11684364B2 (en) 2020-03-05 2023-06-27 Covidien Lp Articulation mechanism for surgical stapling device
US11707278B2 (en) 2020-03-06 2023-07-25 Covidien Lp Surgical stapler tool assembly to minimize bleeding
US11246593B2 (en) 2020-03-06 2022-02-15 Covidien Lp Staple cartridge
US11317911B2 (en) 2020-03-10 2022-05-03 Covidien Lp Tool assembly with replaceable cartridge assembly
US11723656B2 (en) 2020-03-10 2023-08-15 Covidien Lp Tool assembly with replaceable cartridge assembly
US11357505B2 (en) 2020-03-10 2022-06-14 Covidien Lp Surgical stapling apparatus with firing lockout mechanism
US11737753B2 (en) 2020-03-10 2023-08-29 Covidien Lp Surgical stapling apparatus with firing lockout mechanism
US11406383B2 (en) 2020-03-17 2022-08-09 Covidien Lp Fire assisted powered EGIA handle
US12108953B2 (en) 2020-03-24 2024-10-08 Covidien Lp Surgical stapling device with replaceable staple cartridge
US12029420B2 (en) 2020-04-01 2024-07-09 Covidien Lp Sled detection device
US11701108B2 (en) 2020-04-01 2023-07-18 Covidien Lp Sled detection device
US11331098B2 (en) 2020-04-01 2022-05-17 Covidien Lp Sled detection device
US11426159B2 (en) 2020-04-01 2022-08-30 Covidien Lp Sled detection device
US11504117B2 (en) 2020-04-02 2022-11-22 Covidien Lp Hand-held surgical instruments
US11937794B2 (en) 2020-05-11 2024-03-26 Covidien Lp Powered handle assembly for surgical devices
US11191537B1 (en) 2020-05-12 2021-12-07 Covidien Lp Stapling device with continuously parallel jaws
US11832815B2 (en) 2020-05-12 2023-12-05 Covidien Lp Stapling device with continuously parallel jaws
US11406387B2 (en) 2020-05-12 2022-08-09 Covidien Lp Surgical stapling device with replaceable staple cartridge
US11534167B2 (en) 2020-05-28 2022-12-27 Covidien Lp Electrotaxis-conducive stapling
US11191538B1 (en) 2020-06-08 2021-12-07 Covidien Lp Surgical stapling device with parallel jaw closure
US11766256B2 (en) 2020-06-08 2023-09-26 Covidien Lp Surgical stapling device with parallel jaw closure
US11844517B2 (en) 2020-06-25 2023-12-19 Covidien Lp Linear stapling device with continuously parallel jaws
US11324500B2 (en) 2020-06-30 2022-05-10 Covidien Lp Surgical stapling device
US12023027B2 (en) 2020-07-02 2024-07-02 Covidien Lp Surgical stapling device with compressible staple cartridge
US11446028B2 (en) 2020-07-09 2022-09-20 Covidien Lp Tool assembly with pivotable clamping beam
US12349902B2 (en) 2020-07-09 2025-07-08 Covidien Lp Powered handle assembly for surgical devices
US11517305B2 (en) 2020-07-09 2022-12-06 Covidien Lp Contoured staple pusher
US12089838B2 (en) 2020-07-21 2024-09-17 Covidien Lp Shipping cover for staple cartridge
US11266402B2 (en) 2020-07-30 2022-03-08 Covidien Lp Sensing curved tip for surgical stapling instruments
US11849942B2 (en) 2020-07-30 2023-12-26 Covidien Lp Sensing curved tip for surgical stapling instruments
US11439392B2 (en) 2020-08-03 2022-09-13 Covidien Lp Surgical stapling device and fastener for pathological exam
US11395654B2 (en) 2020-08-07 2022-07-26 Covidien Lp Surgical stapling device with articulation braking assembly
US11602342B2 (en) 2020-08-27 2023-03-14 Covidien Lp Surgical stapling device with laser probe
US11678878B2 (en) 2020-09-16 2023-06-20 Covidien Lp Articulation mechanism for surgical stapling device
US11510669B2 (en) 2020-09-29 2022-11-29 Covidien Lp Hand-held surgical instruments
US11660092B2 (en) 2020-09-29 2023-05-30 Covidien Lp Adapter for securing loading units to handle assemblies of surgical stapling instruments
US11406384B2 (en) 2020-10-05 2022-08-09 Covidien Lp Stapling device with drive assembly stop member
US11576674B2 (en) 2020-10-06 2023-02-14 Covidien Lp Surgical stapling device with articulation lock assembly
US11890007B2 (en) 2020-11-18 2024-02-06 Covidien Lp Stapling device with flex cable and tensioning mechanism
US11737774B2 (en) 2020-12-04 2023-08-29 Covidien Lp Surgical instrument with articulation assembly
US11819200B2 (en) 2020-12-15 2023-11-21 Covidien Lp Surgical instrument with articulation assembly
US11553914B2 (en) 2020-12-22 2023-01-17 Covidien Lp Surgical stapling device with parallel jaw closure
US12336708B2 (en) 2020-12-23 2025-06-24 Covidien Lp Surgical instrument including a decoupling mechanism
US11744582B2 (en) 2021-01-05 2023-09-05 Covidien Lp Surgical stapling device with firing lockout mechanism
US11759206B2 (en) 2021-01-05 2023-09-19 Covidien Lp Surgical stapling device with firing lockout mechanism
US11517313B2 (en) 2021-01-27 2022-12-06 Covidien Lp Surgical stapling device with laminated drive member
US11759207B2 (en) 2021-01-27 2023-09-19 Covidien Lp Surgical stapling apparatus with adjustable height clamping member
US12070211B2 (en) 2021-01-27 2024-08-27 Covidien Lp Surgical stapling device with laminated drive member
US11717300B2 (en) 2021-03-11 2023-08-08 Covidien Lp Surgical stapling apparatus with integrated visualization
US11974750B2 (en) 2021-03-26 2024-05-07 Covidien Lp Surgical staple cartridge
US11666330B2 (en) 2021-04-05 2023-06-06 Covidien Lp Surgical stapling device with lockout mechanism
US11576670B2 (en) 2021-05-06 2023-02-14 Covidien Lp Surgical stapling device with optimized drive assembly
US11812956B2 (en) 2021-05-18 2023-11-14 Covidien Lp Dual firing radial stapling device
US11696755B2 (en) 2021-05-19 2023-07-11 Covidien Lp Surgical stapling device with reload assembly removal lockout
US12414770B2 (en) 2021-05-21 2025-09-16 Covidien Lp Articulation assembly for a surgical device
US11771423B2 (en) 2021-05-25 2023-10-03 Covidien Lp Powered stapling device with manual retraction
US11510673B1 (en) 2021-05-25 2022-11-29 Covidien Lp Powered stapling device with manual retraction
US12383262B2 (en) 2021-05-25 2025-08-12 Covidien Lp Powered stapling device with manual retraction
US11701119B2 (en) 2021-05-26 2023-07-18 Covidien Lp Powered stapling device with rack release
US12207819B2 (en) 2021-05-26 2025-01-28 Covidien Lp Powered stapling device with rack release
US11576675B2 (en) 2021-06-07 2023-02-14 Covidien Lp Staple cartridge with knife
US11617579B2 (en) 2021-06-29 2023-04-04 Covidien Lp Ultra low profile surgical stapling instrument for tissue resections
US11707275B2 (en) 2021-06-29 2023-07-25 Covidien Lp Asymmetrical surgical stapling device
US11602344B2 (en) 2021-06-30 2023-03-14 Covidien Lp Surgical stapling apparatus with firing lockout assembly
US11540831B1 (en) 2021-08-12 2023-01-03 Covidien Lp Staple cartridge with actuation sled detection
US11779334B2 (en) 2021-08-19 2023-10-10 Covidien Lp Surgical stapling device including a manual retraction assembly
US11576671B1 (en) 2021-08-20 2023-02-14 Covidien Lp Small diameter linear surgical stapling apparatus
US11896220B2 (en) 2021-08-20 2024-02-13 Covidien Lp Small diameter linear surgical stapling apparatus
US12616472B2 (en) 2021-08-20 2026-05-05 Covidien Lp Articulating surgical stapling apparatus with pivotable knife bar guide assembly
US12023028B2 (en) 2021-08-20 2024-07-02 Covidien Lp Articulating surgical stapling apparatus with pivotable knife bar guide assembly
US12484898B2 (en) 2021-08-20 2025-12-02 Covidien Lp Small diameter linear surgical stapling apparatus
US11707277B2 (en) 2021-08-20 2023-07-25 Covidien Lp Articulating surgical stapling apparatus with pivotable knife bar guide assembly
US11864761B2 (en) 2021-09-14 2024-01-09 Covidien Lp Surgical instrument with illumination mechanism
US12156655B2 (en) 2021-09-29 2024-12-03 Covidien Lp Surgical stapling device with firing lockout mechanism
US11660094B2 (en) 2021-09-29 2023-05-30 Covidien Lp Surgical fastening instrument with two-part surgical fasteners
US11653922B2 (en) 2021-09-29 2023-05-23 Covidien Lp Surgical stapling device with firing lockout mechanism
US11849949B2 (en) 2021-09-30 2023-12-26 Covidien Lp Surgical stapling device with firing lockout member
US12035909B2 (en) 2021-10-13 2024-07-16 Covidien Lp Surgical stapling device with firing lockout mechanism
US12268389B2 (en) 2021-11-12 2025-04-08 Covidien Lp Surgical stapling device with firing lockout
US12137905B2 (en) 2022-05-16 2024-11-12 Covidien Lp Gas-powered continuous feed surgical fastening device
US12193666B2 (en) 2022-05-27 2025-01-14 Covidien Lp Replaceable staple cartridge with retractable knife
US12502173B2 (en) 2023-05-09 2025-12-23 Covidien Lp Surgical stapling device with jaws that pivot between an open position and a clamped position

Also Published As

Publication number Publication date
DE102007059064A1 (de) 2009-06-10
WO2009071070A3 (fr) 2009-11-05
DE112008003698A5 (de) 2010-11-04

Similar Documents

Publication Publication Date Title
DE69407916T2 (de) Mit einer Druckgaspatrone betriebenes chirurgisches Gerät
DE69525602T2 (de) Chirurgisches Instrument
DE60315846T2 (de) Zusammenbau von chirurgischem klammerwerkzeug
DE60307257T2 (de) Manipulator für ein instrument zur minimalinvasiven chirurgie und instrument dafür
EP2869749B1 (fr) Instrument médical de pivotement d'un tel instrument médical
DE602005003715T2 (de) Mit Rotationsgetriebe versehenes chirurgisches Klammersetzgerät
DE69322241T2 (de) Mit einer Druckgaspatrone betriebenes chirurgisches Gerät
DE69721372T2 (de) Mechanismus zum Übertragen einer Bewegung für chirurgische Instrumente
DE69223898T2 (de) Gerät zum Anbringen von chirurgischen Befestigern
EP2495462B1 (fr) Dispositif de retenue réglable pour un endoscope
DE69009935T2 (de) Vorrichtung zum Vernähen von Anastomosen.
DE69405053T2 (de) Endoskopisches chirurgisches Instrument mit einem eine Klammerpatrone enthaltenden dreh- und schwenkbaren Endteil
DE69324272T2 (de) Endoskopisches chirurgisches Klammerinstrument mit drehbarer und rotierbarer Klammerpatrone
DE69220110T2 (de) Näherungsvorrichtung für chirurgische Klemmbackenstruktur
DE19625729C2 (de) Haltearmsystem
DE102007059064A1 (de) Chirurgisches Klammerinstrument
DE102014205159A1 (de) Robotersystem
WO1992014412A1 (fr) Instrument chirurgical
EP3351192B1 (fr) Instrument chirurgical, en particulier pour la neurochirurgie
DE19526915B4 (de) Haltevorrichtung für chirurgische Zwecke
DE102014101602A1 (de) Retraktor und Bedienverfahren
EP1488749A1 (fr) Dispositif médical
EP1406546B1 (fr) Instrument medical
EP1721577B1 (fr) Instrument endoscopique
DE9307793U1 (de) Chirurgisches Rohrschaftinstrument

Legal Events

Date Code Title Description
121 Ep: the epo has been informed by wipo that ep was designated in this application

Ref document number: 08856358

Country of ref document: EP

Kind code of ref document: A2

REF Corresponds to

Ref document number: 112008003698

Country of ref document: DE

Date of ref document: 20101104

Kind code of ref document: P

122 Ep: pct application non-entry in european phase

Ref document number: 08856358

Country of ref document: EP

Kind code of ref document: A2