CA2252823A1 - Ultrasonic interlock - Google Patents

Ultrasonic interlock

Info

Publication number
CA2252823A1
CA2252823A1 CA002252823A CA2252823A CA2252823A1 CA 2252823 A1 CA2252823 A1 CA 2252823A1 CA 002252823 A CA002252823 A CA 002252823A CA 2252823 A CA2252823 A CA 2252823A CA 2252823 A1 CA2252823 A1 CA 2252823A1
Authority
CA
Canada
Prior art keywords
ultrasonic
obturator
trocar
ultrasonic vibration
transmission component
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.)
Granted
Application number
CA002252823A
Other languages
French (fr)
Other versions
CA2252823C (en
Inventor
Scott Kellogg
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.)
Ethicon Endo Surgery Inc
Original Assignee
Ethicon Endo-Surgery, Inc.
Scott Kellogg
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 Ethicon Endo-Surgery, Inc., Scott Kellogg filed Critical Ethicon Endo-Surgery, Inc.
Publication of CA2252823A1 publication Critical patent/CA2252823A1/en
Application granted granted Critical
Publication of CA2252823C publication Critical patent/CA2252823C/en
Anticipated expiration legal-status Critical
Expired - Fee Related 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, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3476—Powered trocars, e.g. electrosurgical cutting, lasers, powered knives
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32—Surgical cutting instruments
    • A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A61B2017/320069—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic for ablating tissue
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32—Surgical cutting instruments
    • A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A61B2017/320088—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with acoustic insulation, e.g. elements for damping vibrations between horn and surrounding sheath
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32—Surgical cutting instruments
    • A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A61B2017/320089—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic node location

Landscapes

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

Abstract

An ultrasonic surgical device (80, 180) includes a transducer assembly (82, 182) adapted to vibrate at an ultrasonic frequency in response to electrical energy A transmission component having a transmission component (86, 186) adapted to receive ultrasonic vibration from the transducer assembly and to transmit the ultrasonic vibration from a first end to a second end. A braking device (130, 300) is configured to apply a force to the outer surface of the transmission component to dampen the ultrasonic vibration being transmitted from the first end of the transmission rod to the second end of the transmission rod. A method of inserting a trocar cannula into tissue of a patient is also provided. The method includes the steps of providing an ultrasonic trocar obturator (180) having an ultrasonic waveguide (186) including an end effector (188) at a distal end thereof, positioning the trocar obturator within a trocar cannula (159), positioning the trocar obturator in contact with a wall of said body cavity, and ultrasonicly vibrating the end effector to create a penetration opening.
The method further includes advancing the ultrasonic obturator (180) into said penetration opening, detecting when penetration has been completed, applying a braking member (300) to the obturator to dampen the ultrasonic vibration of the end effector, and advancing the trocar cannula into the penetration opening.
CA002252823A 1997-02-28 1998-02-19 Ultrasonic interlock Expired - Fee Related CA2252823C (en)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US808,638 1997-02-28
US08/808,638 US5968060A (en) 1997-02-28 1997-02-28 Ultrasonic interlock and method of using the same
PCT/US1998/003052 WO1998037821A1 (en) 1997-02-28 1998-02-19 Ultrasonic interlock

Publications (2)

Publication Number Publication Date
CA2252823A1 true CA2252823A1 (en) 1998-09-03
CA2252823C CA2252823C (en) 2007-09-25

Family

ID=25199331

Family Applications (1)

Application Number Title Priority Date Filing Date
CA002252823A Expired - Fee Related CA2252823C (en) 1997-02-28 1998-02-19 Ultrasonic interlock

Country Status (8)

Country Link
US (1) US5968060A (en)
EP (1) EP0914067B1 (en)
JP (1) JP3911033B2 (en)
AU (1) AU728847B2 (en)
CA (1) CA2252823C (en)
DE (1) DE69818393T2 (en)
ES (1) ES2209119T3 (en)
WO (1) WO1998037821A1 (en)

Families Citing this family (188)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8229549B2 (en) 2004-07-09 2012-07-24 Tyco Healthcare Group Lp Surgical imaging device
JP4453801B2 (en) 2001-04-20 2010-04-21 パワー メディカル インターベンションズ， エルエルシー Bipolar or ultrasonic surgical device
DE60227162D1 (en) * 2001-04-20 2008-07-31 Power Med Interventions Inc ILLUSTRATION DEVICE
US10835307B2 (en) 2001-06-12 2020-11-17 Ethicon Llc Modular battery powered handheld surgical instrument containing elongated multi-layered shaft
EP2428173B1 (en) 2001-09-24 2014-07-16 Applied Medical Resources Corporation Obturator
EP1478263B1 (en) 2002-01-30 2011-03-09 Tyco Healthcare Group LP Surgical imaging device
EP1503677B1 (en) 2002-05-16 2011-05-04 Applied Medical Resources Corporation Cone tip obturator
US7776027B2 (en) * 2002-07-11 2010-08-17 Misonix, Incorporated Medical handpiece with automatic power switching means
ES2382762T3 (en) 2002-09-30 2012-06-13 Tyco Healthcare Group Lp Self-contained sterilizable surgical system
WO2005032348A2 (en) 2003-10-03 2005-04-14 Applied Medical Resources Corporation Bladeless optical obturator
EP1687056B9 (en) * 2003-11-20 2013-09-11 Children's Medical Center Corporation Trocar for use during endoscopy
US8182501B2 (en) 2004-02-27 2012-05-22 Ethicon Endo-Surgery, Inc. Ultrasonic surgical shears and method for sealing a blood vessel using same
JP4249064B2 (en) * 2004-03-10 2009-04-02 オリンパス株式会社 Endoscope
EP2545871B1 (en) * 2004-06-29 2015-02-11 Applied Medical Resources Corporation Insufflating optical surgical instrument
MX2007004151A (en) 2004-10-08 2007-09-11 Johnson & Johnson Ultrasonic surgical instrument.
US20070191713A1 (en) 2005-10-14 2007-08-16 Eichmann Stephen E Ultrasonic device for cutting and coagulating
US7621930B2 (en) 2006-01-20 2009-11-24 Ethicon Endo-Surgery, Inc. Ultrasound medical instrument having a medical ultrasonic blade
EP2984993B1 (en) 2006-10-06 2019-09-11 Applied Medical Resources Corporation Visual insufflation port
US8911460B2 (en) 2007-03-22 2014-12-16 Ethicon Endo-Surgery, Inc. Ultrasonic surgical instruments
US8142461B2 (en) 2007-03-22 2012-03-27 Ethicon Endo-Surgery, Inc. Surgical instruments
US8226675B2 (en) 2007-03-22 2012-07-24 Ethicon Endo-Surgery, Inc. Surgical instruments
US8057498B2 (en) 2007-11-30 2011-11-15 Ethicon Endo-Surgery, Inc. Ultrasonic surgical instrument blades
US20080234709A1 (en) 2007-03-22 2008-09-25 Houser Kevin L Ultrasonic surgical instrument and cartilage and bone shaping blades therefor
US8523889B2 (en) 2007-07-27 2013-09-03 Ethicon Endo-Surgery, Inc. Ultrasonic end effectors with increased active length
US8882791B2 (en) 2007-07-27 2014-11-11 Ethicon Endo-Surgery, Inc. Ultrasonic surgical instruments
US8348967B2 (en) 2007-07-27 2013-01-08 Ethicon Endo-Surgery, Inc. Ultrasonic surgical instruments
US8808319B2 (en) 2007-07-27 2014-08-19 Ethicon Endo-Surgery, Inc. Surgical instruments
US8257377B2 (en) 2007-07-27 2012-09-04 Ethicon Endo-Surgery, Inc. Multiple end effectors ultrasonic surgical instruments
US8430898B2 (en) 2007-07-31 2013-04-30 Ethicon Endo-Surgery, Inc. Ultrasonic surgical instruments
US8512365B2 (en) 2007-07-31 2013-08-20 Ethicon Endo-Surgery, Inc. Surgical instruments
US9044261B2 (en) 2007-07-31 2015-06-02 Ethicon Endo-Surgery, Inc. Temperature controlled ultrasonic surgical instruments
US8252012B2 (en) 2007-07-31 2012-08-28 Ethicon Endo-Surgery, Inc. Ultrasonic surgical instrument with modulator
USD594983S1 (en) 2007-10-05 2009-06-23 Ethicon Endo-Surgery, Inc. Handle assembly for surgical instrument
AU2008308606B2 (en) 2007-10-05 2014-12-18 Ethicon Endo-Surgery, Inc. Ergonomic surgical instruments
US7901423B2 (en) 2007-11-30 2011-03-08 Ethicon Endo-Surgery, Inc. Folded ultrasonic end effectors with increased active length
US10010339B2 (en) 2007-11-30 2018-07-03 Ethicon Llc Ultrasonic surgical blades
EP2837344B1 (en) 2008-01-25 2016-07-13 Applied Medical Resources Corporation Insufflating access system
US8058771B2 (en) 2008-08-06 2011-11-15 Ethicon Endo-Surgery, Inc. Ultrasonic device for cutting and coagulating with stepped output
US9089360B2 (en) 2008-08-06 2015-07-28 Ethicon Endo-Surgery, Inc. Devices and techniques for cutting and coagulating tissue
US20100057118A1 (en) * 2008-09-03 2010-03-04 Dietz Timothy G Ultrasonic surgical blade
EP3545883B1 (en) 2008-09-29 2021-01-13 Applied Medical Resources Corporation First-entry trocar system
US20100145258A1 (en) * 2008-12-08 2010-06-10 David Hertweck Systems and methods for eliminating post-excitation vibration in ophthalmic surgical handpieces
US9700339B2 (en) 2009-05-20 2017-07-11 Ethicon Endo-Surgery, Inc. Coupling arrangements and methods for attaching tools to ultrasonic surgical instruments
US8334635B2 (en) 2009-06-24 2012-12-18 Ethicon Endo-Surgery, Inc. Transducer arrangements for ultrasonic surgical instruments
US8461744B2 (en) 2009-07-15 2013-06-11 Ethicon Endo-Surgery, Inc. Rotating transducer mount for ultrasonic surgical instruments
US9017326B2 (en) 2009-07-15 2015-04-28 Ethicon Endo-Surgery, Inc. Impedance monitoring apparatus, system, and method for ultrasonic surgical instruments
US8663220B2 (en) 2009-07-15 2014-03-04 Ethicon Endo-Surgery, Inc. Ultrasonic surgical instruments
US10441345B2 (en) 2009-10-09 2019-10-15 Ethicon Llc Surgical generator for ultrasonic and electrosurgical devices
US8951248B2 (en) 2009-10-09 2015-02-10 Ethicon Endo-Surgery, Inc. Surgical generator for ultrasonic and electrosurgical devices
US9168054B2 (en) 2009-10-09 2015-10-27 Ethicon Endo-Surgery, Inc. Surgical generator for ultrasonic and electrosurgical devices
USRE47996E1 (en) 2009-10-09 2020-05-19 Ethicon Llc Surgical generator for ultrasonic and electrosurgical devices
US10172669B2 (en) 2009-10-09 2019-01-08 Ethicon Llc Surgical instrument comprising an energy trigger lockout
US11090104B2 (en) 2009-10-09 2021-08-17 Cilag Gmbh International Surgical generator for ultrasonic and electrosurgical devices
US8951272B2 (en) 2010-02-11 2015-02-10 Ethicon Endo-Surgery, Inc. Seal arrangements for ultrasonically powered surgical instruments
US8486096B2 (en) 2010-02-11 2013-07-16 Ethicon Endo-Surgery, Inc. Dual purpose surgical instrument for cutting and coagulating tissue
US8531064B2 (en) 2010-02-11 2013-09-10 Ethicon Endo-Surgery, Inc. Ultrasonically powered surgical instruments with rotating cutting implement
US8961547B2 (en) 2010-02-11 2015-02-24 Ethicon Endo-Surgery, Inc. Ultrasonic surgical instruments with moving cutting implement
US8382782B2 (en) 2010-02-11 2013-02-26 Ethicon Endo-Surgery, Inc. Ultrasonic surgical instruments with partially rotating blade and fixed pad arrangement
US8323302B2 (en) 2010-02-11 2012-12-04 Ethicon Endo-Surgery, Inc. Methods of using ultrasonically powered surgical instruments with rotatable cutting implements
US8579928B2 (en) 2010-02-11 2013-11-12 Ethicon Endo-Surgery, Inc. Outer sheath and blade arrangements for ultrasonic surgical instruments
US8469981B2 (en) 2010-02-11 2013-06-25 Ethicon Endo-Surgery, Inc. Rotatable cutting implement arrangements for ultrasonic surgical instruments
US8419759B2 (en) 2010-02-11 2013-04-16 Ethicon Endo-Surgery, Inc. Ultrasonic surgical instrument with comb-like tissue trimming device
US9259234B2 (en) 2010-02-11 2016-02-16 Ethicon Endo-Surgery, Llc Ultrasonic surgical instruments with rotatable blade and hollow sheath arrangements
GB2480498A (en) 2010-05-21 2011-11-23 Ethicon Endo Surgery Inc Medical device comprising RF circuitry
US8795327B2 (en) 2010-07-22 2014-08-05 Ethicon Endo-Surgery, Inc. Electrosurgical instrument with separate closure and cutting members
US9192431B2 (en) 2010-07-23 2015-11-24 Ethicon Endo-Surgery, Inc. Electrosurgical cutting and sealing instrument
US8979890B2 (en) 2010-10-01 2015-03-17 Ethicon Endo-Surgery, Inc. Surgical instrument with jaw member
US8888809B2 (en) 2010-10-01 2014-11-18 Ethicon Endo-Surgery, Inc. Surgical instrument with jaw member
US9113943B2 (en) 2011-03-30 2015-08-25 Covidien Lp Ultrasonic surgical instruments
US9114181B2 (en) 2011-03-30 2015-08-25 Covidien Lp Process of cooling surgical device battery before or during high temperature sterilization
US8968293B2 (en) 2011-04-12 2015-03-03 Covidien Lp Systems and methods for calibrating power measurements in an electrosurgical generator
US9254148B2 (en) 2011-05-02 2016-02-09 Applied Medical Resources Corporation Low-profile surgical universal access port
US9883883B2 (en) * 2011-06-13 2018-02-06 P Tech, Llc Ultrasonic handpiece
US9259265B2 (en) 2011-07-22 2016-02-16 Ethicon Endo-Surgery, Llc Surgical instruments for tensioning tissue
USD700967S1 (en) 2011-08-23 2014-03-11 Covidien Ag Handle for portable surgical device
US20130085419A1 (en) 2011-09-29 2013-04-04 Tyco Healthcare Group Lp Transducer/Waveguide Engagement Mechanisms for Ultrasonic Surgical Instruments
US20130123776A1 (en) 2011-10-24 2013-05-16 Ethicon Endo-Surgery, Inc. Battery shut-off algorithm in a battery powered device
USD687549S1 (en) 2011-10-24 2013-08-06 Ethicon Endo-Surgery, Inc. Surgical instrument
EP2811932B1 (en) 2012-02-10 2019-06-26 Ethicon LLC Robotically controlled surgical instrument
US9724118B2 (en) 2012-04-09 2017-08-08 Ethicon Endo-Surgery, Llc Techniques for cutting and coagulating tissue for ultrasonic surgical instruments
US9439668B2 (en) 2012-04-09 2016-09-13 Ethicon Endo-Surgery, Llc Switch arrangements for ultrasonic surgical instruments
US9237921B2 (en) 2012-04-09 2016-01-19 Ethicon Endo-Surgery, Inc. Devices and techniques for cutting and coagulating tissue
US9226766B2 (en) 2012-04-09 2016-01-05 Ethicon Endo-Surgery, Inc. Serial communication protocol for medical device
US9241731B2 (en) 2012-04-09 2016-01-26 Ethicon Endo-Surgery, Inc. Rotatable electrical connection for ultrasonic surgical instruments
US10080563B2 (en) * 2012-06-01 2018-09-25 Covidien Lp Loading unit detection assembly and surgical device for use therewith
US20140005705A1 (en) 2012-06-29 2014-01-02 Ethicon Endo-Surgery, Inc. Surgical instruments with articulating shafts
US9226767B2 (en) 2012-06-29 2016-01-05 Ethicon Endo-Surgery, Inc. Closed feedback control for electrosurgical device
US9393037B2 (en) 2012-06-29 2016-07-19 Ethicon Endo-Surgery, Llc Surgical instruments with articulating shafts
US9820768B2 (en) 2012-06-29 2017-11-21 Ethicon Llc Ultrasonic surgical instruments with control mechanisms
US9198714B2 (en) 2012-06-29 2015-12-01 Ethicon Endo-Surgery, Inc. Haptic feedback devices for surgical robot
US9351754B2 (en) 2012-06-29 2016-05-31 Ethicon Endo-Surgery, Llc Ultrasonic surgical instruments with distally positioned jaw assemblies
US20140005702A1 (en) 2012-06-29 2014-01-02 Ethicon Endo-Surgery, Inc. Ultrasonic surgical instruments with distally positioned transducers
US9408622B2 (en) 2012-06-29 2016-08-09 Ethicon Endo-Surgery, Llc Surgical instruments with articulating shafts
US9283045B2 (en) 2012-06-29 2016-03-15 Ethicon Endo-Surgery, Llc Surgical instruments with fluid management system
US9326788B2 (en) 2012-06-29 2016-05-03 Ethicon Endo-Surgery, Llc Lockout mechanism for use with robotic electrosurgical device
US9492224B2 (en) 2012-09-28 2016-11-15 EthiconEndo-Surgery, LLC Multi-function bi-polar forceps
US9241732B2 (en) 2012-10-16 2016-01-26 Covdien LP Surgical instrument
US9095367B2 (en) 2012-10-22 2015-08-04 Ethicon Endo-Surgery, Inc. Flexible harmonic waveguides/blades for surgical instruments
US10201365B2 (en) 2012-10-22 2019-02-12 Ethicon Llc Surgeon feedback sensing and display methods
US20140135804A1 (en) 2012-11-15 2014-05-15 Ethicon Endo-Surgery, Inc. Ultrasonic and electrosurgical devices
US10226273B2 (en) 2013-03-14 2019-03-12 Ethicon Llc Mechanical fasteners for use with surgical energy devices
US9241728B2 (en) 2013-03-15 2016-01-26 Ethicon Endo-Surgery, Inc. Surgical instrument with multiple clamping mechanisms
US9814514B2 (en) 2013-09-13 2017-11-14 Ethicon Llc Electrosurgical (RF) medical instruments for cutting and coagulating tissue
US9265926B2 (en) 2013-11-08 2016-02-23 Ethicon Endo-Surgery, Llc Electrosurgical devices
GB2521229A (en) 2013-12-16 2015-06-17 Ethicon Endo Surgery Inc Medical device
GB2521228A (en) 2013-12-16 2015-06-17 Ethicon Endo Surgery Inc Medical device
US9795436B2 (en) 2014-01-07 2017-10-24 Ethicon Llc Harvesting energy from a surgical generator
US9554854B2 (en) 2014-03-18 2017-01-31 Ethicon Endo-Surgery, Llc Detecting short circuits in electrosurgical medical devices
US10463421B2 (en) 2014-03-27 2019-11-05 Ethicon Llc Two stage trigger, clamp and cut bipolar vessel sealer
US10092310B2 (en) 2014-03-27 2018-10-09 Ethicon Llc Electrosurgical devices
US9737355B2 (en) 2014-03-31 2017-08-22 Ethicon Llc Controlling impedance rise in electrosurgical medical devices
GB2525033A (en) 2014-04-10 2015-10-14 Asm Assembly Systems Switzerland Gmbh Screen printing apparatus and method
US9913680B2 (en) 2014-04-15 2018-03-13 Ethicon Llc Software algorithms for electrosurgical instruments
US9700333B2 (en) 2014-06-30 2017-07-11 Ethicon Llc Surgical instrument with variable tissue compression
US10285724B2 (en) 2014-07-31 2019-05-14 Ethicon Llc Actuation mechanisms and load adjustment assemblies for surgical instruments
WO2016069998A1 (en) * 2014-10-30 2016-05-06 Intuitive Surgical Operations, Inc. System and method for articulated arm stabilization
CN105662545B (en) * 2014-11-16 2019-04-26 广州迪克医疗器械有限公司 Radial seal assembly, end seal and puncture outfit
US10639092B2 (en) 2014-12-08 2020-05-05 Ethicon Llc Electrode configurations for surgical instruments
US10159524B2 (en) 2014-12-22 2018-12-25 Ethicon Llc High power battery powered RF amplifier topology
US10245095B2 (en) 2015-02-06 2019-04-02 Ethicon Llc Electrosurgical instrument with rotation and articulation mechanisms
US10321950B2 (en) 2015-03-17 2019-06-18 Ethicon Llc Managing tissue treatment
US10342602B2 (en) 2015-03-17 2019-07-09 Ethicon Llc Managing tissue treatment
US10595929B2 (en) 2015-03-24 2020-03-24 Ethicon Llc Surgical instruments with firing system overload protection mechanisms
US10314638B2 (en) 2015-04-07 2019-06-11 Ethicon Llc Articulating radio frequency (RF) tissue seal with articulating state sensing
US10034684B2 (en) 2015-06-15 2018-07-31 Ethicon Llc Apparatus and method for dissecting and coagulating tissue
US11020140B2 (en) 2015-06-17 2021-06-01 Cilag Gmbh International Ultrasonic surgical blade for use with ultrasonic surgical instruments
US10034704B2 (en) 2015-06-30 2018-07-31 Ethicon Llc Surgical instrument with user adaptable algorithms
US11129669B2 (en) 2015-06-30 2021-09-28 Cilag Gmbh International Surgical system with user adaptable techniques based on tissue type
US10898256B2 (en) 2015-06-30 2021-01-26 Ethicon Llc Surgical system with user adaptable techniques based on tissue impedance
US11051873B2 (en) 2015-06-30 2021-07-06 Cilag Gmbh International Surgical system with user adaptable techniques employing multiple energy modalities based on tissue parameters
US10765470B2 (en) 2015-06-30 2020-09-08 Ethicon Llc Surgical system with user adaptable techniques employing simultaneous energy modalities based on tissue parameters
US10357303B2 (en) 2015-06-30 2019-07-23 Ethicon Llc Translatable outer tube for sealing using shielded lap chole dissector
US10154852B2 (en) 2015-07-01 2018-12-18 Ethicon Llc Ultrasonic surgical blade with improved cutting and coagulation features
US10687884B2 (en) 2015-09-30 2020-06-23 Ethicon Llc Circuits for supplying isolated direct current (DC) voltage to surgical instruments
US10959771B2 (en) 2015-10-16 2021-03-30 Ethicon Llc Suction and irrigation sealing grasper
US10595930B2 (en) 2015-10-16 2020-03-24 Ethicon Llc Electrode wiping surgical device
US10959806B2 (en) 2015-12-30 2021-03-30 Ethicon Llc Energized medical device with reusable handle
US10179022B2 (en) 2015-12-30 2019-01-15 Ethicon Llc Jaw position impedance limiter for electrosurgical instrument
US10575892B2 (en) 2015-12-31 2020-03-03 Ethicon Llc Adapter for electrical surgical instruments
US10716615B2 (en) 2016-01-15 2020-07-21 Ethicon Llc Modular battery powered handheld surgical instrument with curved end effectors having asymmetric engagement between jaw and blade
US10251664B2 (en) 2016-01-15 2019-04-09 Ethicon Llc Modular battery powered handheld surgical instrument with multi-function motor via shifting gear assembly
US11129670B2 (en) 2016-01-15 2021-09-28 Cilag Gmbh International Modular battery powered handheld surgical instrument with selective application of energy based on button displacement, intensity, or local tissue characterization
US11229471B2 (en) 2016-01-15 2022-01-25 Cilag Gmbh International Modular battery powered handheld surgical instrument with selective application of energy based on tissue characterization
US10555769B2 (en) 2016-02-22 2020-02-11 Ethicon Llc Flexible circuits for electrosurgical instrument
US10485607B2 (en) 2016-04-29 2019-11-26 Ethicon Llc Jaw structure with distal closure for electrosurgical instruments
US10702329B2 (en) 2016-04-29 2020-07-07 Ethicon Llc Jaw structure with distal post for electrosurgical instruments
US10856934B2 (en) 2016-04-29 2020-12-08 Ethicon Llc Electrosurgical instrument with electrically conductive gap setting and tissue engaging members
US10987156B2 (en) 2016-04-29 2021-04-27 Ethicon Llc Electrosurgical instrument with electrically conductive gap setting member and electrically insulative tissue engaging members
US10646269B2 (en) 2016-04-29 2020-05-12 Ethicon Llc Non-linear jaw gap for electrosurgical instruments
US10456193B2 (en) 2016-05-03 2019-10-29 Ethicon Llc Medical device with a bilateral jaw configuration for nerve stimulation
US10245064B2 (en) 2016-07-12 2019-04-02 Ethicon Llc Ultrasonic surgical instrument with piezoelectric central lumen transducer
US10893883B2 (en) 2016-07-13 2021-01-19 Ethicon Llc Ultrasonic assembly for use with ultrasonic surgical instruments
US10842522B2 (en) 2016-07-15 2020-11-24 Ethicon Llc Ultrasonic surgical instruments having offset blades
US10376305B2 (en) 2016-08-05 2019-08-13 Ethicon Llc Methods and systems for advanced harmonic energy
US10285723B2 (en) 2016-08-09 2019-05-14 Ethicon Llc Ultrasonic surgical blade with improved heel portion
USD847990S1 (en) 2016-08-16 2019-05-07 Ethicon Llc Surgical instrument
US10952759B2 (en) 2016-08-25 2021-03-23 Ethicon Llc Tissue loading of a surgical instrument
US10779847B2 (en) 2016-08-25 2020-09-22 Ethicon Llc Ultrasonic transducer to waveguide joining
US10751117B2 (en) 2016-09-23 2020-08-25 Ethicon Llc Electrosurgical instrument with fluid diverter
EP3539123A4 (en) * 2016-11-14 2020-07-01 Les Solutions Médicales Soundbite Inc. Connector for mechanical waveguides
US10603064B2 (en) 2016-11-28 2020-03-31 Ethicon Llc Ultrasonic transducer
US11266430B2 (en) 2016-11-29 2022-03-08 Cilag Gmbh International End effector control and calibration
US11033325B2 (en) 2017-02-16 2021-06-15 Cilag Gmbh International Electrosurgical instrument with telescoping suction port and debris cleaner
US10799284B2 (en) 2017-03-15 2020-10-13 Ethicon Llc Electrosurgical instrument with textured jaws
US11497546B2 (en) 2017-03-31 2022-11-15 Cilag Gmbh International Area ratios of patterned coatings on RF electrodes to reduce sticking
US10603117B2 (en) 2017-06-28 2020-03-31 Ethicon Llc Articulation state detection mechanisms
US10820920B2 (en) 2017-07-05 2020-11-03 Ethicon Llc Reusable ultrasonic medical devices and methods of their use
US11033323B2 (en) 2017-09-29 2021-06-15 Cilag Gmbh International Systems and methods for managing fluid and suction in electrosurgical systems
US11490951B2 (en) 2017-09-29 2022-11-08 Cilag Gmbh International Saline contact with electrodes
US11484358B2 (en) 2017-09-29 2022-11-01 Cilag Gmbh International Flexible electrosurgical instrument
US11213316B2 (en) 2018-03-09 2022-01-04 The Children's Medical Center Corporation Gasket with multi-leaflet valve for surgical port apparatus
US11944366B2 (en) 2019-12-30 2024-04-02 Cilag Gmbh International Asymmetric segmented ultrasonic support pad for cooperative engagement with a movable RF electrode
US11937866B2 (en) 2019-12-30 2024-03-26 Cilag Gmbh International Method for an electrosurgical procedure
US11937863B2 (en) 2019-12-30 2024-03-26 Cilag Gmbh International Deflectable electrode with variable compression bias along the length of the deflectable electrode
US11786294B2 (en) 2019-12-30 2023-10-17 Cilag Gmbh International Control program for modular combination energy device
US11911063B2 (en) 2019-12-30 2024-02-27 Cilag Gmbh International Techniques for detecting ultrasonic blade to electrode contact and reducing power to ultrasonic blade
US11779329B2 (en) 2019-12-30 2023-10-10 Cilag Gmbh International Surgical instrument comprising a flex circuit including a sensor system
US11452525B2 (en) 2019-12-30 2022-09-27 Cilag Gmbh International Surgical instrument comprising an adjustment system
US11779387B2 (en) 2019-12-30 2023-10-10 Cilag Gmbh International Clamp arm jaw to minimize tissue sticking and improve tissue control
US11786291B2 (en) 2019-12-30 2023-10-17 Cilag Gmbh International Deflectable support of RF energy electrode with respect to opposing ultrasonic blade
US11684412B2 (en) 2019-12-30 2023-06-27 Cilag Gmbh International Surgical instrument with rotatable and articulatable surgical end effector
US20210196349A1 (en) 2019-12-30 2021-07-01 Ethicon Llc Electrosurgical instrument with flexible wiring assemblies
US11950797B2 (en) 2019-12-30 2024-04-09 Cilag Gmbh International Deflectable electrode with higher distal bias relative to proximal bias
US11696776B2 (en) 2019-12-30 2023-07-11 Cilag Gmbh International Articulatable surgical instrument
US11812957B2 (en) 2019-12-30 2023-11-14 Cilag Gmbh International Surgical instrument comprising a signal interference resolution system
US20210196361A1 (en) 2019-12-30 2021-07-01 Ethicon Llc Electrosurgical instrument with monopolar and bipolar energy capabilities
US11660089B2 (en) 2019-12-30 2023-05-30 Cilag Gmbh International Surgical instrument comprising a sensing system
US11957342B2 (en) 2021-11-01 2024-04-16 Cilag Gmbh International Devices, systems, and methods for detecting tissue and foreign objects during a surgical operation

Family Cites Families (107)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US30536A (en) * 1860-10-30 The graphic co
US2874470A (en) * 1954-05-28 1959-02-24 James R Richards High frequency dental tool
US3213537A (en) * 1954-12-24 1965-10-26 Cavitron Corp Supply and control apparatus for vibratory cutting device
US3075288A (en) * 1954-12-24 1963-01-29 Cavitron Ultrasonics Inc Dental instrument
US2845072A (en) * 1955-06-21 1958-07-29 William A Shafer Surgical knife
NL132749C (en) * 1958-08-29 1900-01-01
US3053124A (en) * 1959-11-16 1962-09-11 Cavitron Ultrasonics Inc Ultrasonic welding
US3293456A (en) * 1963-03-18 1966-12-20 Branson Instr Ultrasonic cleaning apparatus
US3433226A (en) * 1965-07-21 1969-03-18 Aeroprojects Inc Vibratory catheterization apparatus and method of using
US3375583A (en) * 1966-03-10 1968-04-02 C & B Inc Ultrasonic dental tool
US3368280A (en) * 1966-03-23 1968-02-13 C & B Inc Dental tool
NL145136C (en) * 1967-07-25 1900-01-01
US3636943A (en) * 1967-10-27 1972-01-25 Ultrasonic Systems Ultrasonic cauterization
US3657056A (en) * 1967-12-11 1972-04-18 Ultrasonic Systems Ultrasonic suturing apparatus
GB1274671A (en) * 1968-04-01 1972-05-17 Sven Karl Lennart Goof Ultrasonic dental apparatus
US3488851A (en) * 1968-04-18 1970-01-13 Zoltan Haydu Ultrasonic devices
US3489930A (en) * 1968-07-29 1970-01-13 Branson Instr Apparatus for controlling the power supplied to an ultrasonic transducer
SE329037B (en) * 1969-02-20 1970-09-28 Philips Nv
US3589012A (en) * 1969-06-30 1971-06-29 C & B Corp Tip for ultrasonic dental instrument
US3593425A (en) * 1969-09-10 1971-07-20 Hydrosonic Corp Electric ultrasonic tooth-cleaning apparatus
US3654502A (en) * 1970-06-24 1972-04-04 Countronic Corp Ultrasonic tool
US3703037A (en) * 1970-06-25 1972-11-21 Seymour Robinson Ultrasonic dental hand-piece with detachable treatment tools
DE2032501A1 (en) 1970-07-01 1972-01-05 Kloz, Eduard; Kloz, Heinz; 7211 Hausen Device for rendering harmless preferably bladder, uretheric and renal pelvic stones
CH541958A (en) * 1970-11-03 1973-09-30 Eduard Kloz & Heinz Kloz Device for smashing bladder, ureter and renal pelvic stones using ultrasound
US3636947A (en) * 1970-12-03 1972-01-25 Ultrasonic Systems Ultrasonic home dental instrument and method
US3654540A (en) * 1971-01-15 1972-04-04 Cavitron Corp Magnetostrictive drive circuit feedback coil
US3809977A (en) * 1971-02-26 1974-05-07 Ultrasonic Systems Ultrasonic kits and motor systems
US3930173A (en) * 1971-06-15 1975-12-30 Surgical Design Corp Ultrasonic transducers
BE793601A (en) * 1972-01-03 1973-07-02 Philips Nv ULTRASONIC GENERATOR
US4188952A (en) * 1973-12-28 1980-02-19 Loschilov Vladimir I Surgical instrument for ultrasonic separation of biological tissue
US3956826A (en) * 1974-03-19 1976-05-18 Cavitron Corporation Ultrasonic device and method
US3967143A (en) * 1974-10-10 1976-06-29 Oki Electric Industry Company, Ltd. Ultrasonic wave generator
US4371816A (en) * 1975-12-30 1983-02-01 Alfred Wieser Control circuit for an ultrasonic dental scaler
US4227110A (en) * 1976-11-10 1980-10-07 Westinghouse Electric Corp. Transducer control system
US4169984A (en) * 1976-11-30 1979-10-02 Contract Systems Associates, Inc. Ultrasonic probe
DE2721225C2 (en) * 1977-05-11 1981-10-29 Siemens AG, 1000 Berlin und 8000 München Circuit arrangement for frequency self-control of an ultrasonic transmitter transducer
FR2391001A1 (en) * 1977-05-18 1978-12-15 Satelec Soc ULTRA-SOUND GENERATOR
US4370131A (en) * 1977-06-24 1983-01-25 Surgical Design Ultrasonic transducer tips
CA1098003A (en) 1977-09-12 1981-03-24 Cesar A. Romero-Sierra Body tissue penetrating method and apparatus
US4223676A (en) * 1977-12-19 1980-09-23 Cavitron Corporation Ultrasonic aspirator
USRE30536E (en) 1978-05-01 1981-03-03 Cavitron Corporation Ultrasonic device and method
DE2922239C2 (en) 1979-05-31 1982-03-25 Olympus Optical Co., Ltd., Tokyo Puncture instrument for diagnosis on the living body
US4406284B1 (en) * 1981-03-20 1997-11-18 Surgical Design Corp Ultrasonic handpiece design
US4375961A (en) * 1981-09-28 1983-03-08 Brooks Phillip A Sonic bonding means for orthodontics
US4491132A (en) * 1982-08-06 1985-01-01 Zimmer, Inc. Sheath and retractable surgical tool combination
US4522206A (en) * 1983-01-26 1985-06-11 Dyonics, Inc. Surgical instrument
US4492574A (en) * 1983-04-15 1985-01-08 Cavitron, Inc. Ultrasonic endodontic dental apparatus
US4655216A (en) * 1985-07-23 1987-04-07 Alfred Tischer Combination instrument for laparoscopical tube sterilization
US4816018A (en) * 1985-08-02 1989-03-28 Ultramed Corporation Ultrasonic probe tip
US4922902A (en) * 1986-05-19 1990-05-08 Valleylab, Inc. Method for removing cellular material with endoscopic ultrasonic aspirator
US4750488A (en) * 1986-05-19 1988-06-14 Sonomed Technology, Inc. Vibration apparatus preferably for endoscopic ultrasonic aspirator
JPS6266848A (en) * 1985-09-20 1987-03-26 住友ベークライト株式会社 Surgical operation appliance
US4723545A (en) * 1986-02-03 1988-02-09 Graduate Hospital Foundation Research Corporation Power assisted arthroscopic surgical device
US4884334A (en) * 1986-02-05 1989-12-05 International Business Machines, Corp. Resonant stylus support
US5047043A (en) * 1986-03-11 1991-09-10 Olympus Optical Co., Ltd. Resecting device for living organism tissue utilizing ultrasonic vibrations
US4867141A (en) * 1986-06-18 1989-09-19 Olympus Optical Co., Ltd. Medical treatment apparatus utilizing ultrasonic wave
US4808153A (en) * 1986-11-17 1989-02-28 Ultramed Corporation Device for removing plaque from arteries
DE3807004A1 (en) * 1987-03-02 1988-09-15 Olympus Optical Co ULTRASONIC TREATMENT DEVICE
US4820152A (en) * 1987-04-21 1989-04-11 Dentsply Research & Development Corp. Single multi-function handpiece for dental instruments
US4825865A (en) * 1987-05-01 1989-05-02 Jerry Zelman Apparatus and method for extracting cataract tissue
US4931047A (en) * 1987-09-30 1990-06-05 Cavitron, Inc. Method and apparatus for providing enhanced tissue fragmentation and/or hemostasis
US4870953A (en) * 1987-11-13 1989-10-03 Donmicheal T Anthony Intravascular ultrasonic catheter/probe and method for treating intravascular blockage
WO1989005612A1 (en) * 1987-12-24 1989-06-29 Sumitomo Bakelite Company Limited Excreting apparatus
JPH01291844A (en) * 1988-05-18 1989-11-24 Olympus Optical Co Ltd Ultrasonic probe
US4897079A (en) * 1988-07-22 1990-01-30 Allergan, Inc. Polymeric sleeve for surgical instruments
US4920954A (en) * 1988-08-05 1990-05-01 Sonic Needle Corporation Ultrasonic device for applying cavitation forces
US4936281A (en) * 1989-04-13 1990-06-26 Everest Medical Corporation Ultrasonically enhanced RF ablation catheter
US5180363A (en) * 1989-04-27 1993-01-19 Sumitomo Bakelite Company Company Limited Operation device
US5151085A (en) * 1989-04-28 1992-09-29 Olympus Optical Co., Ltd. Apparatus for generating ultrasonic oscillation
US5123903A (en) * 1989-08-10 1992-06-23 Medical Products Development, Inc. Disposable aspiration sleeve for ultrasonic lipectomy
US5059210A (en) * 1989-12-12 1991-10-22 Ultracision Inc. Apparatus and methods for attaching and detaching an ultrasonic actuated blade/coupler and an acoustical mount therefor
US5057119A (en) * 1989-12-12 1991-10-15 Ultracision Inc. Apparatus and methods for attaching and detaching an ultrasonic actuated blade/coupler and an acoustical mount therefor
US5069664A (en) * 1990-01-25 1991-12-03 Inter Therapy, Inc. Intravascular ultrasonic angioplasty probe
US5391144A (en) 1990-02-02 1995-02-21 Olympus Optical Co., Ltd. Ultrasonic treatment apparatus
US5167725A (en) * 1990-08-01 1992-12-01 Ultracision, Inc. Titanium alloy blade coupler coated with nickel-chrome for ultrasonic scalpel
US5026387A (en) * 1990-03-12 1991-06-25 Ultracision Inc. Method and apparatus for ultrasonic surgical cutting and hemostatis
US5263957A (en) * 1990-03-12 1993-11-23 Ultracision Inc. Ultrasonic scalpel blade and methods of application
US5112300A (en) * 1990-04-03 1992-05-12 Alcon Surgical, Inc. Method and apparatus for controlling ultrasonic fragmentation of body tissue
US5248296A (en) * 1990-12-24 1993-09-28 Sonic Needle Corporation Ultrasonic device having wire sheath
US5160317A (en) * 1991-01-03 1992-11-03 Costin John A Computer controlled smart phacoemulsification method and apparatus
US5304115A (en) * 1991-01-11 1994-04-19 Baxter International Inc. Ultrasonic angioplasty device incorporating improved transmission member and ablation probe
US5542917A (en) * 1991-01-11 1996-08-06 Baxter International, Inc. Ultrasound delivery catheters incorporating improved distal tip construction
US5380274A (en) * 1991-01-11 1995-01-10 Baxter International Inc. Ultrasound transmission member having improved longitudinal transmission properties
EP0525172B1 (en) * 1991-02-13 1999-09-01 Applied Medical Resources, Inc. Surgical trocar
US5190517A (en) * 1991-06-06 1993-03-02 Valleylab Inc. Electrosurgical and ultrasonic surgical system
US5151084A (en) * 1991-07-29 1992-09-29 Fibra-Sonics, Inc. Ultrasonic needle with sleeve that includes a baffle
WO1993008750A2 (en) * 1991-11-04 1993-05-13 Baxter International Inc. Ultrasonic ablation device adapted for guidewire passage
US5269309A (en) * 1991-12-11 1993-12-14 Fort J Robert Synthetic aperture ultrasound imaging system
US5324299A (en) * 1992-02-03 1994-06-28 Ultracision, Inc. Ultrasonic scalpel blade and methods of application
US5397293A (en) * 1992-11-25 1995-03-14 Misonix, Inc. Ultrasonic device with sheath and transverse motion damping
US5322055B1 (en) * 1993-01-27 1997-10-14 Ultracision Inc Clamp coagulator/cutting system for ultrasonic surgical instruments
DE4302538C1 (en) * 1993-01-29 1994-04-07 Siemens Ag Ultrasonic therapy device for tumour treatment lithotripsy or osteorestoration - with ultrasonic imaging and ultrasonic treatment modes using respective acoustic wave frequencies
US5346502A (en) * 1993-04-15 1994-09-13 Ultracision, Inc. Laparoscopic ultrasonic surgical instrument and methods for manufacturing the instruments
US5462522A (en) * 1993-04-19 1995-10-31 Olympus Optical Co., Ltd. Ultrasonic therapeutic apparatus
US5449370A (en) * 1993-05-12 1995-09-12 Ethicon, Inc. Blunt tipped ultrasonic trocar
US5434827A (en) * 1993-06-15 1995-07-18 Hewlett-Packard Company Matching layer for front acoustic impedance matching of clinical ultrasonic tranducers
US5546947A (en) * 1993-09-30 1996-08-20 Terumo Kabushiki Kaisha Ultrasonic endoprobe
US5507743A (en) * 1993-11-08 1996-04-16 Zomed International Coiled RF electrode treatment apparatus
US5402793A (en) 1993-11-19 1995-04-04 Advanced Technology Laboratories, Inc. Ultrasonic transesophageal probe for the imaging and diagnosis of multiple scan planes
US5472447A (en) * 1994-05-03 1995-12-05 Abrams; Andrew L. Power-assisted obturator
US5507738A (en) * 1994-08-05 1996-04-16 Microsonic Engineering Devices Company, Inc. Ultrasonic vascular surgical system
US5509916A (en) * 1994-08-12 1996-04-23 Valleylab Inc. Laser-assisted electrosurgery system
US5562610A (en) * 1994-10-07 1996-10-08 Fibrasonics Inc. Needle for ultrasonic surgical probe
US5562609A (en) * 1994-10-07 1996-10-08 Fibrasonics, Inc. Ultrasonic surgical probe
US5628743A (en) 1994-12-21 1997-05-13 Valleylab Inc. Dual mode ultrasonic surgical apparatus
US5606974A (en) * 1995-05-02 1997-03-04 Heart Rhythm Technologies, Inc. Catheter having ultrasonic device
US5653721A (en) 1995-10-19 1997-08-05 Ethicon Endo-Surgery, Inc. Override mechanism for an actuator on a surgical instrument

Also Published As

Publication number Publication date
CA2252823C (en) 2007-09-25
ES2209119T3 (en) 2004-06-16
JP3911033B2 (en) 2007-05-09
DE69818393D1 (en) 2003-10-30
EP0914067A1 (en) 1999-05-12
AU728847B2 (en) 2001-01-18
JP2001527461A (en) 2001-12-25
WO1998037821A1 (en) 1998-09-03
EP0914067B1 (en) 2003-09-24
US5968060A (en) 1999-10-19
AU6657698A (en) 1998-09-18
DE69818393T2 (en) 2004-07-15

Similar Documents

Publication Publication Date Title
CA2252823A1 (en) Ultrasonic interlock
CA2368707A1 (en) Intrabody hifu applicator
US5254082A (en) Ultrasonic surgical scalpel
US5935144A (en) Double sealed acoustic isolation members for ultrasonic
CA2253551A1 (en) Methods and devices for increasing ultrasonic effects
EP1946708A3 (en) Instrument for cutting tissue
WO2002096503A3 (en) Staging medical treatment using ultrasound
WO1998051224A3 (en) Therapeutic ultrasound system
CA2342329A1 (en) Surgical suturing instrument and method of use
CA2261374A1 (en) Wire device with detachable end
JPS62292153A (en) Ultrasonic living body tissue cutting probe
CA2252822A1 (en) Damping ultrasonic transmission components
CA2252789A1 (en) Apparatus for applying torque to an ultrasonic transmission component
WO2004039235A3 (en) Apparatus and methods for shielding body structures during surgery
CA2287715A1 (en) Medical instrument for treating biological tissue
US20030212391A1 (en) Ultrasonic soft tissue cutting and coagulation systems including a retractable grasper
CA2247108A1 (en) Methods and devices for attaching and detaching transmission components
AU2174399A (en) Ultrasonic cutting tool
CA2463600A1 (en) Device and method for ultrasound wound debridement
CA2377713A1 (en) Ultrasonic surgical instrument with removable clamp arm
CA2206633A1 (en) Internal ultrasonic tip amplifier
CA2172405A1 (en) Electromechanical transducer device
CA2039636A1 (en) Method and apparatus for controlling ultrasonic fragmentation of body tissue
EP2292161A3 (en) Instrument for cutting tissue
WO2000022995A3 (en) Improved ultrasonic surgical apparatus

Legal Events

Date Code Title Description
EEER Examination request
MKLA Lapsed

Effective date: 20150219