US20100252611A1 - Surgical Device and Method - Google Patents
Surgical Device and Method Download PDFInfo
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- US20100252611A1 US20100252611A1 US12/819,415 US81941510A US2010252611A1 US 20100252611 A1 US20100252611 A1 US 20100252611A1 US 81941510 A US81941510 A US 81941510A US 2010252611 A1 US2010252611 A1 US 2010252611A1
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- Prior art keywords
- staples
- knife
- surgical device
- memory material
- anvil
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- Abandoned
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- 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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- 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, e.g. tourniquets
- A61B2017/00831—Material properties
- A61B2017/00867—Material properties shape memory effect
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
- A61B2017/07214—Stapler heads
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- 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, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B2017/320052—Guides for cutting instruments
Definitions
- the invention pertains to a surgical device for attaching staples to a portion of a body.
- the invention also pertains to a surgical device for cutting a portion of a body.
- the invention also pertains to smart memory materials that can change from one physical phase to another physical phase upon application of a stimulus and the use of those materials in a surgical device.
- Medical stapling devices for endoscopic or laparoscopic surgery employ very complex mechanisms. Frequently, the devices rely on a set of cam bars and the like to eject the surgical staples from the staple cartridge. (See U.S. Pat. No. 3,499,591.) Complex linkages contained within the body of the device are used to articulate the staple cartridge and an anvil into position during the surgical procedure. (See U.S. Pat. No. 6,250,532.) The range of motion, flexibility and size of such stapling devices are restricted by these mechanisms. Examples of complicated apparatus for applying surgical staples to attach an object to body tissue is described in U.S. Pat. Pub. 2002/0117534, published Aug. 29, 2002.
- the apparatus requires complex mechanical actuating mechanisms for rotating and articulating the surgical device and then to cause the staple to be ejected from a store of staples.
- a flexible connection (fire wire) with a high level of fatigue life is needed between the push rod and the pusher plate at the pivot point of the articulated joint.
- the devices described in the patents contain complex linkages to eject the staples from the staple cartridge/magazine limiting the range-of-motion for the articulated end of the device.
- cam bars are used to deploy the staples. The ability of the cam bars to deflect or flex is limited to approximately +/ ⁇ 45° of movement. Additional, when operating at the extremes of this travel, early fatigue failure of the cam bars is possible.
- the power required to actuate the device of the invention disclosed herein is supplied to the staple cartridge through very small and flexible wires. Because of the small size and flexibility, the required space and packaging requirements are significantly less in comparison to the cam bars described in the patents of the prior art.
- a surgical device for cutting a portion of a body comprising a knife capable of moving from a first position to a second position which is spaced apart from the first position; a smart memory material (SMM) capable of going from one physical state to another physical state; and an activating apparatus which is in communication with the smart memory material and which can cause the change in the physical state of the smart memory material, which change in state causes the movement of the knife thereby facilitating cutting of the desired body portion.
- SMM smart memory material
- FIG. 1 is a top view of the surgical device of the present invention.
- FIG. 2 is a side-sectional view of the surgical device of the present invention showing movement of the anvil in an open phantom view.
- FIG. 3 is a side-sectional view of the surgical device of the present invention showing the smart memory material aligned with a store of staples.
- FIG. 4 is a schematic view of the surgical device of the present invention in a ready state.
- FIG. 5 is a schematic view of the surgical device of the present invention in an engaged state depicting the attachment of the staples and movement of the surgical knife.
- FIG. 6 is a side-sectional view of one embodiment of the surgical device of the present invention in the ready state.
- FIG. 6A is a side-sectional view of one embodiment in the engaged state; namely, the staples are secured towards the anvil.
- FIG. 7 is a side-sectional view of the surgical device of the present invention depicting the surgical knife in a recessed area.
- FIG. 8 is a side-sectional view of the surgical device of the present invention showing the surgical knife in an engaged position, out of the recessed area.
- FIG. 9 is a side-sectional view of a second embodiment of the surgical device of the present invention in a ready state.
- FIG. 10 is a side-sectional view of the second embodiment of the surgical device of the present invention in an engaged view with the staples secured.
- FIG. 11 is a sectional view through lines 11 - 11 of FIG. 3 .
- FIG. 12 is a sectional view along the lines 12 - 12 of FIG. 3 .
- FIG. 13 is a side-sectional view of an alternative embodiment of the present invention.
- FIG. 14 is a side-sectional view of an alternative embodiment of the present invention wherein the surgical knife is in a first position prior to a surgical cutting operation.
- FIG. 15 is a side-sectional view of an alternative embodiment of the present invention wherein the surgical knife is in a second position from the first position of FIG. 14 wherein the surgical knife has moved from the first position to the second position.
- FIG. 16 is another embodiment of the invention.
- FIG. 17 is a sectional view taken along the lines 17 - 17 of FIG. 13 .
- FIG. 18 is a sectional view taken along the lines 18 - 18 of FIG. 13 .
- FIG. 19 is a perspective view of a wedge with surgical knife utilized in the present invention.
- FIG. 20 is an alternative embodiment of the wedge with surgical knife utilized in the present invention.
- SMM Smart memory material
- An “activating apparatus” means an apparatus that can stimulate the SMM thereby changing the state.
- the stimuli can be the application of heat and/or electrical current to SMM or some other mechanism that can effectuate the change in physical state.
- One example of physical state change is going from a martensite phase to an austenite phase.
- the application of smart memory material can simplify a surgical stapling device into four basic components: a staple cartridge, an anvil for staple closure, an energy/power source (remote or local) and a switch/trigger (remote or local).
- the staple cartridge contains the surgical staple, a surgical blade and a SMM actuator/driver.
- the actuator/driver is used to drive the surgical staple from the cartridge, through the tissue and into contact with the anvil to initiate closure of the staples.
- the actuator/driver is also used to drive the surgical blade to create an incision in the tissue.
- the energy/power source is to supply the thermal energy or magnetic field to elicit a response of the smart materials actuator/driver and is triggered by the switch.
- the surgical device herein is designed in such a way that it may be attached to any type of handle or device to articulate/manipulate its position and/or orientation. If the handle or device has the ability to articulate +/ ⁇ 180° (yaw) and rotate 360°, the desired development can be articulate through these extremes. This is possible because of the simplicity of the interface between the staple cartridge and the handle/device.
- the interface need only contain a method to hold the staple cartridge and an electrical connector.
- the electrical connector can be nothing more than electrical contains that are engaged by the staple cartridge when it is attached to the handle/device.
- the electrical connector is used to supply a voltage via small wires from the switch which is connected to the energy source.
- the electrical connector integral to the staple cartridge, connects to the SMM contained in the cartridge to eject the staple when the voltage is supplied via the switch.
- FIGS. 1 and 2 show the top sectional and side cross section of one embodiment for a surgical (stapling) device 20 .
- the surgical (stapling) device 20 has an energy source 21 , contained in the body 27 of the device, a switch 22 that triggers the energy source, an anvil 23 , a handle 26 to actuate the anvil 23 and a staple-actuator cartridge 24 .
- the handle 26 is pivoted about pin 25 .
- the anvil 23 pivots about pin 28 and is connected to the handle 26 by pin 29 , which rides in a slot 30 in the body 27 .
- the anvil 23 is then rotated from an open position to a closed position to clamp tissue (not shown) between the surface of the anvil 23 and the upper surface 31 of the staple-actuator cartridge 24 .
- the energy source 21 in a generic sense, is any source of power that initiates or elicits a response in a smart memory material. Examples are not limited to but include a voltage being applied directly to SMM to create a current that generates heat, a voltage being applied to a coil to generate heat or a magnetic field to stimulate the smart memory material.
- the energy source may also encompass any electrical, fluid, magnetic or chemical reaction that can be used to elicit a response from a smart memory material.
- the energy source may be a heating or cooling source.
- the staple-actuator cartridge 24 there is a plurality of staples 40 contained in a plurality of slots 41 , as shown in FIGS. 6 and 6A .
- the plurality of staples 40 may be configured in single row or parallel rows (not shown).
- a plurality of staples 40 are located in a plurality of slots 41 against the forward walls 42 and aft walls 43 of slots 41 .
- the forward walls 42 and aft walls 43 act, as guides for staples 40 and pushers 49 .
- the staples 40 are located in the downward position 44 against upper surface 45 of pushers 49 .
- the plurality of pushers 49 is generally equivalent to the number of slots 41 and plurality of staples 40 having grooves in which a driver 50 is contained.
- the driver 50 is formed from smart memory material, for the embodiment shown in FIGS. 6 , 6 A and runs from the forward end 51 of the staple-actuator cartridge 24 to the aft end 52 of the staple-actuator cartridge 24 .
- the SMM driver 50 is attached to the energy source 21 at connector 46 .
- FIGS. 4 and 5 show a block diagram for the control logic for the embodiment in FIGS. 6 and 6A .
- the energy source 21 When switch 22 is moved from the neutral position to the forward position, the energy source 21 will apply a voltage to the driver 50 .
- the voltage in this instance can only be applied after the safety interlock(s) 51 are closed.
- the resistance of the smart memory material will begin to generate heat.
- the smart memory material will begin to go into a phase change such as from martensite to austenite.
- driver 50 will begin to contract, causing the plurality of pushers 49 to move upward.
- the plurality of pushers 49 move upward the plurality of staples 40 will begin to be ejected from the staple-actuator cartridge 24 and make contact with anvil 23 .
- closed position is meant that the legs of the staple are crimped, preferably together in slots 61 securely fastening the tissue to itself or to a mesh or substrate (not shown).
- driver 60 Contained in the staple-actuator cartridge 24 , are driver 60 , pusher 61 and surgical blade 62 as shown in FIGS. 5 , 7 and 8 .
- the energy source 21 will apply a voltage to driver 60 .
- the voltage in this instance preferably is applied after the safety interlock indicating completed staple ejection is closed.
- the resistance of the smart memory material will begin to generate heat.
- the heat (energy) increases, the smart memory material will begin to go into a phase change from martensite to austenite. As this phase change occurs, driver 60 will begin to contract, causing pusher 61 to move upward.
- FIGS. 9 and 10 An alternative embodiment is shown in FIGS. 9 and 10 .
- the staple-actuator cartridge 24 there is a plurality of staples 40 contained in a plurality of slots 41 . From this point forward in this embodiment, the device will be described in the singular since for clarification.
- the staple 40 is located in slot 41 against the forward wall 70 and aft wall 71 .
- Staple 40 is located in the downward position 72 .
- the SMM driver 75 is folded in such a way as to form an “S” shaped forward leg 76 and aft leg 77 .
- the driver 75 is trapped between staple 40 , the reaction surface 80 , forward wall 70 and aft wall 71 .
- the energy source 21 applies a voltage (energy) to the driver 75 , forward leg 76 and aft leg 77 will expand.
- the upper segment (in the shape of a bar) 78 of the driver 75 reacts against the bottom leg 81 of staple 40 and reaction surface 80 .
- the forward end 82 and aft end 83 of upper bar 78 are guided by the forward wall 70 and aft wall 71 of staple-actuator cartridge 24 .
- the staple 40 is moved linearly until it contacts the surface of the anvil 23 to initiate closure of the staple 40 .
- the forward leg 76 and aft leg 77 expand until staple 40 is ejected from staple-actuator cartridge 24 and forward staple leg 85 and aft staple leg 86 are fully closed or crimped as shown in FIG. 10 , securing the tissue and/or mesh or substrate (not shown).
- the surgical stapling device can be configured to eject the staples from the staple-actuator cartridge individually or in any combination.
- a solid-state logic controller in the stapling device handle can facilitate this feature which one of ordinary skill in the art can assemble.
- the staple-actuator cartridge is not limited to linear forms. Because of the flexibility of the smart material (i.e., shape memory alloys and shape memory polymers), the staple-actuator cartridge can take on any form: circular, concave, convex, parabolic, zigzag or the like. The cross sectional shape of the staple-actuator cartridge can also be tailored to meet the surgical need.
- FIGS. 13-15 Another embodiment of the present invention is that depicted in FIGS. 13-15 .
- the surgical device 100 has handle 106 and anvil 102 .
- the device contains the energy source 108 which is connected to the SMM material 110 retained within assembly 112 having a top portion 114 and a bottom portion 116 .
- the anvil 102 has an extension portion 118 that is engagement with the SMM material 110 . As the SMM material moves, the anvil 102 moves upward when viewing FIG. 13 causing arm 120 to rotate upward.
- a surgical blade 122 is attached to or a portion of a wedge 124 (best shown in FIG. 19 ) which has attached thereto the SMM material 110 .
- the wedge has angled surface 126 to indicate the initiation of action.
- the wedge has a bottom surface 128 and a back side surface 130 which forms approximately a 90° angle at their juncture 132 .
- the wedge 124 has a top portion 134 , a front portion 136 and side 138 .
- Side 138 as can be seen from FIG. 19 is substantially smaller than back side portion 130 reflecting the angled surface 126 from the back portion 134 to the front surface 136 .
- the wedge 124 has a groove 138 which rides a “T” shaped track.
- the wedge slides on the track during the cutting operation of the blade.
- the blade 122 In a resting or first position, the blade 122 is positioned at the front portion 140 of the surgical device which may take any configuration but is shown as a semicircular configuration for ease of insertion into the body portion for ease of handling during a clinical operation.
- the surgical device 100 has a bottom portion 142 .
- the SMM material 110 can be secured to the wedge 124 by any convenient mechanism such as by adhesion and the like, with or without the use of heat or other securing method.
- the surgical device 100 has a wedge receiving section 150 in which top portion 152 receives the blade 122 and bottom portion 154 which receives wedge segment 124 .
- the blade receiving slot 153 is shown in FIG. 17 .
- the wedge 124 moves from the position on the right as shown in FIG. 13 to the end section 150 , the front portion of the wedge surfaces 136 & 126 initiation movement against pushers 160 and therefore against the staples 162 and against the bottom surface 164 of the anvil thereby engaging body tissue. After the staples engage the tissue, the blade 122 will cut the tissue.
- FIGS. 14 and 15 are further details of the surgical device of FIG. 13 .
- FIG. 14 indicates that the surgical knife 122 is on the right portion of the apparatus of the surgical device where the SMM material 110 A is circled about pulley 170 which rotates about pivot point 104 .
- the surgical knife moves from the right to the left as shown in FIG. 15 where the surgical knife 122 fits into the receiving segment 152 .
- the SMM material 110 A goes from a linear position as shown in FIG. 14 to a curled position 174 in FIG. 15 .
- the SMM material goes from a linear mode as depicted in FIG.
- FIGS. 13-15 indicate that one SMM material 110 operates the anvil to an open or closed position. Another or different SMM material 110 A activates the movement of the surgical knife from the right portion of FIG. 14 to the left portion of FIG. 15 . While it is expected that these would be two separate operable SMM materials, it is obvious to one of skill in the art that the materials can be lengthened and there could be separate segments that would have the ability to operate both actions namely the movement of the anvil and the movement of the blade. For convenience, the electrical connections of FIGS. 13-15 are not supplied in detail but would be clear to one of skill in the art.
- FIG. 16 is a schematic view of another alternative of the present invention.
- the surgical device 100 of FIG. 16 is an alternative embodiment of the operation of the wedge 124 and surgical knife 122 .
- the heating mechanism 108 is attached to the SMM 110 A.
- the embodiment shown in FIG. 16 does not have the pulley arrangement as shown in FIG. 15 .
- the surgical knife moves from the right portion of the surgical device 100 to the left portion of the surgical device stopping at receiving position 150 .
- the action of the SMM is primarily retained in the horizontal plane of the surgical device 100 without the SMM going around a pulley.
- the SMM is primarily in a linearly fashion and during the movement from one phase to another.
- the SMM can collect in a retaining box 180 in FIG. 16 .
- FIG. 20 is an alternative embodiment of the wedge with surgical knife utilized in the present invention.
- FIG. 20 is comprised of FIG. 20A which is a perspective view of the wedge utilized in the present invention.
- FIG. 20B is a view of FIG. 20A from the back.
- FIG. 20C is a view of FIG. 20A from the front and
- FIG. 20D is an interior view of FIG. 20A showing the attachment of the SMM to the interior portion of the wedge.
- the wedge has exterior side surface 204 of bottom surface 206 and interior surface 208 exterior surfaces are 204 A and 204 B.
- the surgical knife has a cutting edge 210 and a back portion 212 .
- Extension 214 of the blade likewise has angles for movement of the wedge when it comes in contact with the pushers for movement of the staples.
- the angle for surface 214 is comparable to that for surfaces 202 A and B.
- the SMM 220 is attached to the interior surface 208 A and B of the extension 214 of the surgical knife.
- the wedge 200 has a front lip 230 .
- the surgical device utilizing its smart memory material need not utilize the knife portion.
- the stapling device can operate as described herein.
- the surgical device need not utilize the staple portion.
- the knife portion may be utilized as described herein.
- the knife and stapling mechanism are utilized together as shown.
- the driver for ejecting the staples from the staple-actuator cartridge is not limited to smart memory alloy materials.
- a smart memory polymer can also provide the actuating force and displacement.
- Some smart memory materials include Nitinol (an acronym for Nickel Titanium Naval Ordnance Laboratory) which is a family of intermetallic materials, which contain a nearly equal mixture of nickel (about 55 wt. %) and titanium.
- Nitinol an acronym for Nickel Titanium Naval Ordnance Laboratory
- Some of those alloy compositions are superelastic materials such as alloy N, S and C and others are actuator materials, such as alloy B, M, H and Flexinol (trademark of Nitinol Devices and Components for nickel titanium intermetallic alloys).
- Nitinol exhibits unique behavior. The two terms used to describe this behavior are “Shape Memory” and “Superelasticity”.
- SHAPE MEMORY Shape memory effect describes the process of restoring the original shape of a plastically deformed sample by heating it. This is a result of a crystalline phase change known as “thermoelastic martensitic transformation”. Below the transformation temperature, Nitinol is martensitic. The soft martensitic microstructure is characterized by “self-accommodating twins”, a zigzag like arrangement. Martensite is easily deformed by de-twinning. Heating the material converts the material to its high strength, austenitic condition. The transformation from austenite to martensite (cooling) and the reverse cycle from martensite to austenite (heating) do not occur at the same temperature. There is a hysteresis curve for every Nitinol alloy that defines the complete transformation cycle. The shape memory effect is repeatable and can typically result in up to 8% strain recovery.
- SUPERELASTICITY Martensite in Nitinol can be stress induced if stress is applied in the temperature range above Af (austenite finish temperature). Less energy is needed to stress-induce and deform martensite than to deform the austenite by conventional mechanisms. Up to 8% strain can be typically accommodated by this process. Since austenite is the stable phase at this temperature under no-load conditions, the material springs back to its original shape when the stress is removed. This extraordinary elasticity is also called “pseudoelasticity” or transformational “superelasticity”.
- the typical stress-strain curve of a properly processed Nitinol alloy shows the loading and unloading plateaus, recoverable strain available, and the dependence of the loading plateau on the ambient temperature as is well known in the art.
- Nitinol alloys are superelastic in a temperature range of approximately 50 degrees above the austenite finish temperature. Alloy composition, material processing, and ambient temperature greatly effect the superelastic properties of the material. For medical devices binary Nitinol alloys, when processed correctly, are at their optimum superelastic behavior at body temperature.
- Nitinol Devices & Components manufactures binary Nitinol materials with Afs ranging from ⁇ 15 degrees centigrade to +100 degrees centigrade for both superelastic and shape memory applications.
- Smart memory materials can also be metallic alloys of copper, zinc and aluminum or iron, nickel and aluminum, and the like.
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Abstract
A surgical device for cutting a portion of a body comprising a knife capable of moving from a first position to a second position which is spaced apart from the first position; a smart memory material (SMM) capable of going from one physical state to another physical state; and an activating apparatus which is in communication with the smart memory material and which can cause the change in the physical state of the smart memory material, which change in state causes the movement of the knife thereby facilitating cutting of the desired body portion.
Description
- This application is a division of U.S. patent application Ser. No. 11/977,005, filed Oct. 23, 2007, which is a divisional application of U.S. patent application Ser. No. 10/366,170, filed Feb. 13, 2003 and issued as U.S. Pat. No. 7,287,682 on Oct. 10, 2007, which is a continuation-in-part application to U.S. patent application Ser. No. 10/348,087 filed Jan. 20, 2003, all hereby incorporated by reference.
- The invention pertains to a surgical device for attaching staples to a portion of a body. The invention also pertains to a surgical device for cutting a portion of a body.
- The invention also pertains to smart memory materials that can change from one physical phase to another physical phase upon application of a stimulus and the use of those materials in a surgical device.
- Medical stapling devices for endoscopic or laparoscopic surgery employ very complex mechanisms. Frequently, the devices rely on a set of cam bars and the like to eject the surgical staples from the staple cartridge. (See U.S. Pat. No. 3,499,591.) Complex linkages contained within the body of the device are used to articulate the staple cartridge and an anvil into position during the surgical procedure. (See U.S. Pat. No. 6,250,532.) The range of motion, flexibility and size of such stapling devices are restricted by these mechanisms. Examples of complicated apparatus for applying surgical staples to attach an object to body tissue is described in U.S. Pat. Pub. 2002/0117534, published Aug. 29, 2002. The apparatus requires complex mechanical actuating mechanisms for rotating and articulating the surgical device and then to cause the staple to be ejected from a store of staples. A flexible connection (fire wire) with a high level of fatigue life is needed between the push rod and the pusher plate at the pivot point of the articulated joint. In a similar fashion, see U.S. Pat. No. 6,250,532. The devices described in the patents contain complex linkages to eject the staples from the staple cartridge/magazine limiting the range-of-motion for the articulated end of the device. In some of the devices, cam bars are used to deploy the staples. The ability of the cam bars to deflect or flex is limited to approximately +/−45° of movement. Additional, when operating at the extremes of this travel, early fatigue failure of the cam bars is possible.
- The power required to actuate the device of the invention disclosed herein is supplied to the staple cartridge through very small and flexible wires. Because of the small size and flexibility, the required space and packaging requirements are significantly less in comparison to the cam bars described in the patents of the prior art.
- Polymeric materials having smart memory characteristics are described in “Shape Memory Polymers”: A. Yondlen, S. Kelch Angen, Chem Int. Ed. 2002, 41(12), pp. 2034-2057. The use of smart memory materials is discussed in U.S. Pat. No. 5,509,923. See also U.S. Pat. No. 6,388,043, herein incorporated by reference.
- An apparatus for endoscopically applying body staples to body tissue is described in U.S. Pat. No. 5,484,095.
- Other patents which are generally related to surgical devices or smart memory materials are recited below.
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ISSUED/ PATENT NO./ PUBLISHED PUBLICATION NO. APPL'N. DATE U.S. Pat. No. 5,236,437* Aug. 17, 1993 U.S. Pat. No. 5,242,458 Sep. 7, 1993 U.S. Pat. No. 5,411,519 May 2, 1995 U.S. Pat. No. 5,431,323* Jul. 11, 1995 U.S. Pat. No. 5,467,911 Nov. 21, 1995 U.S. Pat. No. 5,484,095 Jan. 16, 1996 U.S. Pat. No. 5,509,923 Apr. 23, 1996 U.S. Pat. No. 5,636,780 Jun. 10, 1997 U.S. Pat. No. 5,645,209 Jul. 8, 1997 U.S. Pat. No. 5,681,330 Oct. 28, 1997 U.S. Pat. No. 5,711,472 Jan. 27, 1998 U.S. Pat. No. 5,797,959 Aug. 25, 1998 U.S. Pat. No. 5,810,881 Sep. 22, 1998 U.S. Pat. No. 6,019,758 Feb. 1, 2000 U.S. Pat. No. 6,159,146 Dec. 12, 2000 U.S. Pat. No. 6,250,532 B1 Jun. 26, 2001 U.S. Pub. 2001/0007057 A1 Pub. Jul. 5, 2001 U.S. Pub. 2001/0030219 A1 Pub. Oct. 18, 2001 U.S. Pub. 2002/0072759 1 Pub. Jun. 13, 2002 U.S. Pub. 2002/0096550 1 Pub. Jul. 25, 2002 U.S. Pub. 2002/0117534 A1 Pub. Aug. 29, 2002 U.S. Pat. No. 6,488,196 B1 Dec. 3, 2002 - It is an object of the present invention to employ a surgical device for cutting a portion of a body where the surgical device has a knife that is capable of moving from a first to a second position which positions are spaced apart and to utilize a smart memory material which functions as described above; namely, utilizing an activating apparatus which is a communication with the smart memory material and by virtue of the change in the physical state can cause the movement of the knife thereby facilitating the cutting of the desired body portion.
- It is also an object of the present invention to describe a method of performing a surgical operation employing the above-described surgical device for cutting a portion of the body.
- Described is a surgical device for cutting a portion of a body comprising a knife capable of moving from a first position to a second position which is spaced apart from the first position; a smart memory material (SMM) capable of going from one physical state to another physical state; and an activating apparatus which is in communication with the smart memory material and which can cause the change in the physical state of the smart memory material, which change in state causes the movement of the knife thereby facilitating cutting of the desired body portion.
-
FIG. 1 is a top view of the surgical device of the present invention. -
FIG. 2 is a side-sectional view of the surgical device of the present invention showing movement of the anvil in an open phantom view. -
FIG. 3 is a side-sectional view of the surgical device of the present invention showing the smart memory material aligned with a store of staples. -
FIG. 4 is a schematic view of the surgical device of the present invention in a ready state. -
FIG. 5 is a schematic view of the surgical device of the present invention in an engaged state depicting the attachment of the staples and movement of the surgical knife. -
FIG. 6 is a side-sectional view of one embodiment of the surgical device of the present invention in the ready state. -
FIG. 6A is a side-sectional view of one embodiment in the engaged state; namely, the staples are secured towards the anvil. -
FIG. 7 is a side-sectional view of the surgical device of the present invention depicting the surgical knife in a recessed area. -
FIG. 8 is a side-sectional view of the surgical device of the present invention showing the surgical knife in an engaged position, out of the recessed area. -
FIG. 9 is a side-sectional view of a second embodiment of the surgical device of the present invention in a ready state. -
FIG. 10 is a side-sectional view of the second embodiment of the surgical device of the present invention in an engaged view with the staples secured. -
FIG. 11 is a sectional view through lines 11-11 ofFIG. 3 . -
FIG. 12 is a sectional view along the lines 12-12 ofFIG. 3 . - An alternative embodiment of the invention is shown in
FIGS. 13-15 and 17-19.FIG. 13 is a side-sectional view of an alternative embodiment of the present invention. -
FIG. 14 is a side-sectional view of an alternative embodiment of the present invention wherein the surgical knife is in a first position prior to a surgical cutting operation. -
FIG. 15 is a side-sectional view of an alternative embodiment of the present invention wherein the surgical knife is in a second position from the first position ofFIG. 14 wherein the surgical knife has moved from the first position to the second position. -
FIG. 16 is another embodiment of the invention. -
FIG. 17 is a sectional view taken along the lines 17-17 ofFIG. 13 . -
FIG. 18 is a sectional view taken along the lines 18-18 ofFIG. 13 . -
FIG. 19 is a perspective view of a wedge with surgical knife utilized in the present invention. -
FIG. 20 is an alternative embodiment of the wedge with surgical knife utilized in the present invention. - Smart memory material (SMM) means a material or composition that can move from a first to a second physical state and then back to its desired original physical state by activation or stimuli. The change in state may result in an increase in volume of the SMM.
- An “activating apparatus” means an apparatus that can stimulate the SMM thereby changing the state. The stimuli can be the application of heat and/or electrical current to SMM or some other mechanism that can effectuate the change in physical state. One example of physical state change is going from a martensite phase to an austenite phase.
- The application of smart memory material can simplify a surgical stapling device into four basic components: a staple cartridge, an anvil for staple closure, an energy/power source (remote or local) and a switch/trigger (remote or local). The staple cartridge contains the surgical staple, a surgical blade and a SMM actuator/driver. The actuator/driver is used to drive the surgical staple from the cartridge, through the tissue and into contact with the anvil to initiate closure of the staples. The actuator/driver is also used to drive the surgical blade to create an incision in the tissue. The energy/power source is to supply the thermal energy or magnetic field to elicit a response of the smart materials actuator/driver and is triggered by the switch.
- The flexibility of this concept provides several advantages over current devices as follows:
-
- Staple actuator/driver can be located in the staple cartridge with staple
- Surgical blade and actuator/driver may be incorporated in staple cartridge
- Staple cartridge and anvil may be affixed to any device/handle for positioning during procedure
- Staple cartridge and anvil mechanism may be adapted to endoscopic or laparoscopic surgical procedures
- Staple cartridge is not limited in length by a mechanical actuation device
- The staple cartridge may be of various cross sections to fit the surgical application
- The surgical device may work with any form or size staple
- Staple cartridge may contain one, two, . . . to n staples in one, two, . . . n rows
- Staple cartridge may be configured to staple in linear, circular, concave, convex, parabolic or zigzag patterns, and the like
- The device facilitates driving individual staples from the staple cartridge sequentially, alternately and any combination thereof, and the like
- The device facilitates driving multiple staples or sets of staples in one operation
- The device facilitates driving sets of staples from a staple cartridge in a variety of configurations: single, multiple or alternating rows
- The device may be utilized to tack surgical incisions
- The surgical device herein is designed in such a way that it may be attached to any type of handle or device to articulate/manipulate its position and/or orientation. If the handle or device has the ability to articulate +/−180° (yaw) and rotate 360°, the desired development can be articulate through these extremes. This is possible because of the simplicity of the interface between the staple cartridge and the handle/device. The interface need only contain a method to hold the staple cartridge and an electrical connector. The electrical connector can be nothing more than electrical contains that are engaged by the staple cartridge when it is attached to the handle/device. The electrical connector is used to supply a voltage via small wires from the switch which is connected to the energy source. The electrical connector, integral to the staple cartridge, connects to the SMM contained in the cartridge to eject the staple when the voltage is supplied via the switch.
- In the various embodiments, similar components use the same reference numerals.
- For a first embodiment
FIGS. 1 and 2 show the top sectional and side cross section of one embodiment for a surgical (stapling)device 20. The surgical (stapling)device 20 has anenergy source 21, contained in thebody 27 of the device, aswitch 22 that triggers the energy source, ananvil 23, ahandle 26 to actuate theanvil 23 and a staple-actuator cartridge 24. There is alsoupper cover 33 andlower cover 35. - The
handle 26 is pivoted aboutpin 25. Theanvil 23 pivots aboutpin 28 and is connected to thehandle 26 bypin 29, which rides in aslot 30 in thebody 27. Ashandle 26 is rotated from the opened (FIG. 2 ) to the closed position (FIGS. 1 and 3 ), theanvil 23 is then rotated from an open position to a closed position to clamp tissue (not shown) between the surface of theanvil 23 and theupper surface 31 of the staple-actuator cartridge 24. - The
energy source 21, in a generic sense, is any source of power that initiates or elicits a response in a smart memory material. Examples are not limited to but include a voltage being applied directly to SMM to create a current that generates heat, a voltage being applied to a coil to generate heat or a magnetic field to stimulate the smart memory material. The energy source may also encompass any electrical, fluid, magnetic or chemical reaction that can be used to elicit a response from a smart memory material. The energy source may be a heating or cooling source. - In the staple-
actuator cartridge 24, there is a plurality ofstaples 40 contained in a plurality ofslots 41, as shown inFIGS. 6 and 6A . The plurality ofstaples 40 may be configured in single row or parallel rows (not shown). In the staple-actuator cartridge 24, a plurality ofstaples 40 are located in a plurality ofslots 41 against theforward walls 42 andaft walls 43 ofslots 41. Theforward walls 42 andaft walls 43 act, as guides forstaples 40 andpushers 49. Thestaples 40 are located in thedownward position 44 againstupper surface 45 ofpushers 49. The plurality ofpushers 49, is generally equivalent to the number ofslots 41 and plurality ofstaples 40 having grooves in which adriver 50 is contained. Thedriver 50 is formed from smart memory material, for the embodiment shown inFIGS. 6 , 6A and runs from theforward end 51 of the staple-actuator cartridge 24 to theaft end 52 of the staple-actuator cartridge 24. TheSMM driver 50 is attached to theenergy source 21 atconnector 46. -
FIGS. 4 and 5 show a block diagram for the control logic for the embodiment inFIGS. 6 and 6A . - When
switch 22 is moved from the neutral position to the forward position, theenergy source 21 will apply a voltage to thedriver 50. The voltage in this instance can only be applied after the safety interlock(s) 51 are closed. As the voltage passes intodriver 50, the resistance of the smart memory material will begin to generate heat. As the heat (energy) increases, the smart memory material will begin to go into a phase change such as from martensite to austenite. As this phase change occurs,driver 50 will begin to contract, causing the plurality ofpushers 49 to move upward. As the plurality ofpushers 49 move upward the plurality ofstaples 40 will begin to be ejected from the staple-actuator cartridge 24 and make contact withanvil 23. Asdriver 50 continues to contact, a force sufficient to completely drive theplurality staples 40 from the staple-actuator cartridge 24 and againstanvil 23 to cause theplurality staples 40 to deform into theirclosed position 41 as shown inFIGS. 5 and 6A , securing the tissue (not shown). By closed position is meant that the legs of the staple are crimped, preferably together inslots 61 securely fastening the tissue to itself or to a mesh or substrate (not shown). - Contained in the staple-
actuator cartridge 24, aredriver 60,pusher 61 andsurgical blade 62 as shown inFIGS. 5 , 7 and 8. Whenswitch 22 is moved from the forward position through the neutral position into the rearward position, theenergy source 21 will apply a voltage todriver 60. The voltage in this instance preferably is applied after the safety interlock indicating completed staple ejection is closed. As the voltage passes intodriver 60, the resistance of the smart memory material will begin to generate heat. As the heat (energy) increases, the smart memory material will begin to go into a phase change from martensite to austenite. As this phase change occurs,driver 60 will begin to contract, causingpusher 61 to move upward. Asdriver 60 continues to contract, sufficient force is generated to drivepusher 61 upward, in turn drivingsurgical blade 62 into its upwardmost position as shown inFIG. 8 . As thesurgical blade 62 is driven upward, it can make an incision into the tissue between the rows of staples. - An alternative embodiment is shown in
FIGS. 9 and 10 . In the staple-actuator cartridge 24, there is a plurality ofstaples 40 contained in a plurality ofslots 41. From this point forward in this embodiment, the device will be described in the singular since for clarification. - In the staple-
actuator cartridge 24, thestaple 40 is located inslot 41 against theforward wall 70 and aft wall 71.Staple 40 is located in thedownward position 72. TheSMM driver 75 is folded in such a way as to form an “S” shapedforward leg 76 andaft leg 77. Thedriver 75 is trapped betweenstaple 40, thereaction surface 80,forward wall 70 and aft wall 71. When theenergy source 21 applies a voltage (energy) to thedriver 75,forward leg 76 andaft leg 77 will expand. Asforward leg 76 andaft leg 77 expand, the upper segment (in the shape of a bar) 78 of thedriver 75 reacts against thebottom leg 81 ofstaple 40 andreaction surface 80. As theforward leg 76 andaft leg 77 expand, theforward end 82 andaft end 83 ofupper bar 78 are guided by theforward wall 70 and aft wall 71 of staple-actuator cartridge 24. As theforward leg 76 andaft leg 77 expand, thestaple 40 is moved linearly until it contacts the surface of theanvil 23 to initiate closure of thestaple 40. Theforward leg 76 andaft leg 77 expand untilstaple 40 is ejected from staple-actuator cartridge 24 and forwardstaple leg 85 and aftstaple leg 86 are fully closed or crimped as shown inFIG. 10 , securing the tissue and/or mesh or substrate (not shown). - The surgical stapling device can be configured to eject the staples from the staple-actuator cartridge individually or in any combination. A solid-state logic controller in the stapling device handle can facilitate this feature which one of ordinary skill in the art can assemble.
- It is to be appreciated that the staple-actuator cartridge is not limited to linear forms. Because of the flexibility of the smart material (i.e., shape memory alloys and shape memory polymers), the staple-actuator cartridge can take on any form: circular, concave, convex, parabolic, zigzag or the like. The cross sectional shape of the staple-actuator cartridge can also be tailored to meet the surgical need.
- Another embodiment of the present invention is that depicted in
FIGS. 13-15 . - The
surgical device 100 hashandle 106 andanvil 102. The device contains theenergy source 108 which is connected to theSMM material 110 retained withinassembly 112 having atop portion 114 and abottom portion 116. Theanvil 102 has anextension portion 118 that is engagement with theSMM material 110. As the SMM material moves, theanvil 102 moves upward when viewingFIG. 13 causingarm 120 to rotate upward. - In the embodiment depicted in
FIG. 13 , asurgical blade 122 is attached to or a portion of a wedge 124 (best shown inFIG. 19 ) which has attached thereto theSMM material 110. The wedge has angledsurface 126 to indicate the initiation of action. The wedge has abottom surface 128 and aback side surface 130 which forms approximately a 90° angle at theirjuncture 132. Thewedge 124 has atop portion 134, afront portion 136 andside 138.Side 138 as can be seen fromFIG. 19 is substantially smaller than backside portion 130 reflecting theangled surface 126 from theback portion 134 to thefront surface 136. Thewedge 124 has agroove 138 which rides a “T” shaped track. The wedge slides on the track during the cutting operation of the blade. In a resting or first position, theblade 122 is positioned at thefront portion 140 of the surgical device which may take any configuration but is shown as a semicircular configuration for ease of insertion into the body portion for ease of handling during a clinical operation. Thesurgical device 100 has abottom portion 142. TheSMM material 110 can be secured to thewedge 124 by any convenient mechanism such as by adhesion and the like, with or without the use of heat or other securing method. - The
surgical device 100 has awedge receiving section 150 in whichtop portion 152 receives theblade 122 andbottom portion 154 which receiveswedge segment 124. Theblade receiving slot 153 is shown inFIG. 17 . - As the
wedge 124 moves from the position on the right as shown inFIG. 13 to theend section 150, the front portion of the wedge surfaces 136 & 126 initiation movement againstpushers 160 and therefore against thestaples 162 and against thebottom surface 164 of the anvil thereby engaging body tissue. After the staples engage the tissue, theblade 122 will cut the tissue. -
FIGS. 14 and 15 are further details of the surgical device ofFIG. 13 .FIG. 14 indicates that thesurgical knife 122 is on the right portion of the apparatus of the surgical device where theSMM material 110A is circled aboutpulley 170 which rotates aboutpivot point 104. The surgical knife moves from the right to the left as shown inFIG. 15 where thesurgical knife 122 fits into the receivingsegment 152. As the surgical knife moves from the right to the left portion of the surgical device, theSMM material 110A goes from a linear position as shown inFIG. 14 to a curledposition 174 inFIG. 15 . In other words, by the application of heat the SMM material goes from a linear mode as depicted inFIG. 14 into a more curled position where the curl is insegment 176 of theFIG. 15 . The operation ofFIGS. 13-15 indicates that oneSMM material 110 operates the anvil to an open or closed position. Another ordifferent SMM material 110A activates the movement of the surgical knife from the right portion ofFIG. 14 to the left portion ofFIG. 15 . While it is expected that these would be two separate operable SMM materials, it is obvious to one of skill in the art that the materials can be lengthened and there could be separate segments that would have the ability to operate both actions namely the movement of the anvil and the movement of the blade. For convenience, the electrical connections ofFIGS. 13-15 are not supplied in detail but would be clear to one of skill in the art. -
FIG. 16 is a schematic view of another alternative of the present invention. Thesurgical device 100 ofFIG. 16 is an alternative embodiment of the operation of thewedge 124 andsurgical knife 122. InFIG. 16 , theheating mechanism 108 is attached to theSMM 110A. The embodiment shown inFIG. 16 , however, does not have the pulley arrangement as shown inFIG. 15 . In the embodiment ofFIG. 16 , the surgical knife moves from the right portion of thesurgical device 100 to the left portion of the surgical device stopping at receivingposition 150. The action of the SMM is primarily retained in the horizontal plane of thesurgical device 100 without the SMM going around a pulley. In the embodiment ofFIG. 16 , the SMM is primarily in a linearly fashion and during the movement from one phase to another. The SMM can collect in aretaining box 180 inFIG. 16 . -
FIG. 20 is an alternative embodiment of the wedge with surgical knife utilized in the present invention. - The
wedge 200 is comprised of slopingsurfaces FIG. 20 is comprised ofFIG. 20A which is a perspective view of the wedge utilized in the present invention.FIG. 20B is a view ofFIG. 20A from the back.FIG. 20C is a view ofFIG. 20A from the front andFIG. 20D is an interior view ofFIG. 20A showing the attachment of the SMM to the interior portion of the wedge. - The wedge has exterior side surface 204 of
bottom surface 206 and interior surface 208 exterior surfaces are 204A and 204B. The surgical knife has acutting edge 210 and aback portion 212.Extension 214 of the blade likewise has angles for movement of the wedge when it comes in contact with the pushers for movement of the staples. The angle forsurface 214 is comparable to that forsurfaces 202A and B. TheSMM 220 is attached to theinterior surface 208A and B of theextension 214 of the surgical knife. Thewedge 200 has afront lip 230. - It is to be appreciated that the surgical device utilizing its smart memory material need not utilize the knife portion. In that case, the stapling device can operate as described herein. Alternatively, the surgical device need not utilize the staple portion. In which case the knife portion may be utilized as described herein. Preferably, however, the knife and stapling mechanism are utilized together as shown.
- The driver for ejecting the staples from the staple-actuator cartridge is not limited to smart memory alloy materials. A smart memory polymer can also provide the actuating force and displacement. Some smart memory materials include Nitinol (an acronym for Nickel Titanium Naval Ordnance Laboratory) which is a family of intermetallic materials, which contain a nearly equal mixture of nickel (about 55 wt. %) and titanium. Some of those alloy compositions are superelastic materials such as alloy N, S and C and others are actuator materials, such as alloy B, M, H and Flexinol (trademark of Nitinol Devices and Components for nickel titanium intermetallic alloys).
- Nitinol exhibits unique behavior. The two terms used to describe this behavior are “Shape Memory” and “Superelasticity”.
- SHAPE MEMORY: Shape memory effect describes the process of restoring the original shape of a plastically deformed sample by heating it. This is a result of a crystalline phase change known as “thermoelastic martensitic transformation”. Below the transformation temperature, Nitinol is martensitic. The soft martensitic microstructure is characterized by “self-accommodating twins”, a zigzag like arrangement. Martensite is easily deformed by de-twinning. Heating the material converts the material to its high strength, austenitic condition. The transformation from austenite to martensite (cooling) and the reverse cycle from martensite to austenite (heating) do not occur at the same temperature. There is a hysteresis curve for every Nitinol alloy that defines the complete transformation cycle. The shape memory effect is repeatable and can typically result in up to 8% strain recovery.
- SUPERELASTICITY: Martensite in Nitinol can be stress induced if stress is applied in the temperature range above Af (austenite finish temperature). Less energy is needed to stress-induce and deform martensite than to deform the austenite by conventional mechanisms. Up to 8% strain can be typically accommodated by this process. Since austenite is the stable phase at this temperature under no-load conditions, the material springs back to its original shape when the stress is removed. This extraordinary elasticity is also called “pseudoelasticity” or transformational “superelasticity”. The typical stress-strain curve of a properly processed Nitinol alloy shows the loading and unloading plateaus, recoverable strain available, and the dependence of the loading plateau on the ambient temperature as is well known in the art. The loading plateau increases with the ambient temperature. As the material warms above the austenite finish temperature, the distinctive superelastic “flag” curve is evident. Upon cooling, the material displays less elasticity and more deformation until it is cooled to where it is fully martensite; hence, exhibiting the shape memory property and recovering its deformation upon heating. Nitinol alloys are superelastic in a temperature range of approximately 50 degrees above the austenite finish temperature. Alloy composition, material processing, and ambient temperature greatly effect the superelastic properties of the material. For medical devices binary Nitinol alloys, when processed correctly, are at their optimum superelastic behavior at body temperature.
- Nitinol Devices & Components manufactures binary Nitinol materials with Afs ranging from −15 degrees centigrade to +100 degrees centigrade for both superelastic and shape memory applications.
- Smart memory materials can also be metallic alloys of copper, zinc and aluminum or iron, nickel and aluminum, and the like.
- Many modifications and variations of the present invention are possible in light of the above teachings. Therefore, it is to be understood that within the scope of the appended claims, the inventions may be practiced otherwise than as specifically described. For example, numerous mechanisms may be available for articulating and modifying the size and configuration of the surgical device. Moreover, the reference numerals are merely for convenience and are not intended to be in any way limiting. Similarly, the components of the invention can be arranged relative to one another in a variety of configurations other than those shown.
Claims (20)
1. A surgical device for cutting a portion of a body comprising:
an upper jaw including an anvil;
a lower jaw including a knife in communication with a smart memory material to move the knife from a lower position upward to an upper position spaced apart from the lower position toward the anvil, wherein the smart memory material is capable of moving from a first physical state in which the knife is in an undeployed state and a second physical state in which the knife is deployed upward toward the anvil to facilitate cutting of the body portion; and
an activating apparatus in communication with the smart memory material for causing the smart memory material to change from the first physical state to the second physical state.
2. The surgical device of claim 1 , wherein the lower jaw also includes a supply of staples in communication with a second smart memory material for deploying the supply of staples towards the anvil and piercing the body portion located therebetween, wherein the second smart memory material is capable of moving from a first physical state in which the supply of staples is in an undeployed state and a second physical state in which the supply of staples is deployed towards the anvil.
3. The surgical device of claim 2 , wherein the supply of staples includes two rows of staples with the knife disposed between the rows.
4. The surgical device of claim 1 wherein the SMM is at least one of a metallic alloy or a polymeric material.
5. The surgical device of claim 1 wherein the activating apparatus causes the SMM to expand in volume thereby moving the knife.
6. The surgical device of claim 1 wherein the SMM is a metallic alloy comprised of a composition, which can go from a martensite phase to an austenite phase.
7. The surgical device of claim 1 wherein the SMM is at least one of a metallic alloy comprised of nickel and titanium, a metallic alloy composed of copper, zinc and aluminum, or a metallic alloy composed of iron, nickel and aluminum.
8. A method of cutting a body portion comprising:
providing the device of claim 1 ; and
cutting the desired body portion.
9. A surgical device for cutting a portion of a body comprising:
a first jaw including an anvil;
a second jaw disposed beneath the first jaw in a closed position to define a longitudinally extending space therebetween, and including a knife in communication with a smart memory material to move the knife from a first position toward the anvil and transversely across the longitudinally extending space to a second position spaced apart from the first position, wherein the smart memory material is capable of moving from a first physical state in which the knife is in an undeployed state and a second physical state in which the knife is deployed toward the anvil to facilitate cutting of the body portion; and
an activating apparatus in communication with the smart memory material for causing the smart memory material to change from the first physical state to the second physical state.
10. The surgical device of claim 9 , wherein the second jaw also includes a supply of staples in communication with a second smart memory material for deploying the supply of staples towards the anvil and piercing the body portion located therebetween, wherein the second smart memory material is capable of moving from a first physical state in which the supply of staples is in an undeployed state and a second physical state in which the supply of staples is deployed towards the anvil.
11. The surgical device of claim 10 , wherein the supply of staples includes two rows of staples with the knife disposed between the rows.
12. The surgical device of claim 9 wherein the SMM is at least one of a metallic alloy or a polymeric material.
13. The surgical device of claim 9 wherein the SMM is at least one of a metallic alloy comprised of nickel and titanium, a metallic alloy comprised of copper, zinc and aluminum, or a metallic allow comprised of iron, nickel and aluminum.
14. A method of cutting a body portion comprising:
providing the device of claim 9 ; and
cutting the desired body portion.
15. A surgical device for cutting a portion of a body comprising:
a first jaw including an anvil extending in a longitudinal direction in a closed position of the device;
a second jaw including a knife extending in the longitudinal direction in the closed position and being in communication with a smart memory material to move the knife toward the anvil in a direction transverse to the longitudinal direction, wherein the smart memory material is capable of moving from a first physical state in which the knife is in an undeployed state and a second physical state in which the knife is deployed upward toward the anvil to facilitate cutting of the body portion; and
an activating apparatus in communication with the smart memory material for causing the smart memory material to change from the first physical state to the second physical state.
16. The surgical device of claim 15 , wherein the second jaw also includes a supply of staples in communication with a second smart memory material for deploying the supply of staples towards the anvil and piercing the body portion located therebetween, wherein the second smart memory material is capable of moving from a first physical state in which the supply of staples is in an undeployed state and a second physical state in which the supply of staples is deployed towards the anvil.
17. The surgical device of claim 15 , wherein the supply of staples includes two rows of staples with the knife disposed between the rows.
18. The surgical device of claim 15 wherein the SMM is at least one of a metallic alloy or a polymeric material.
19. The surgical device of claim 15 wherein the SMM is at least one of a metallic alloy comprised of nickel and titanium, a metallic alloy comprised of copper, zinc and aluminum, or a metallic allow comprised of iron, nickel and aluminum.
20. A method of cutting a body portion comprising:
providing the device of claim 15 ; and
cutting the desired body portion.
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Cited By (170)
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US9717498B2 (en) | 2013-03-13 | 2017-08-01 | Covidien Lp | Surgical stapling apparatus |
US9724093B2 (en) | 2008-09-23 | 2017-08-08 | Covidien Lp | Surgical instrument and loading unit for use therewith |
US9724095B2 (en) | 2011-08-08 | 2017-08-08 | Covidien Lp | Surgical fastener applying apparatus |
US9757126B2 (en) | 2014-03-31 | 2017-09-12 | Covidien Lp | Surgical stapling apparatus with firing lockout mechanism |
US9814463B2 (en) | 2013-03-13 | 2017-11-14 | Covidien Lp | Surgical stapling apparatus |
US9820737B2 (en) | 2006-10-06 | 2017-11-21 | Covidien Lp | Surgical instrument including a locking assembly |
US9848874B2 (en) | 2014-02-14 | 2017-12-26 | Covidien Lp | Small diameter endoscopic stapler |
US9861366B2 (en) | 2014-05-06 | 2018-01-09 | Covidien Lp | Ejecting assembly for a surgical stapler |
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 |
US10039532B2 (en) | 2015-05-06 | 2018-08-07 | Covidien Lp | Surgical instrument with articulation assembly |
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 |
US10085749B2 (en) | 2015-02-26 | 2018-10-02 | Covidien Lp | Surgical apparatus with conductor strain relief |
USD829902S1 (en) | 2015-02-26 | 2018-10-02 | Covidien Lp | Shipping wedge |
US10111660B2 (en) | 2015-12-03 | 2018-10-30 | Covidien Lp | Surgical stapler flexible distal tip |
US10117650B2 (en) | 2015-05-05 | 2018-11-06 | Covidien Lp | Adapter assembly and loading units for surgical stapling devices |
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 |
US10299789B2 (en) | 2015-05-05 | 2019-05-28 | Covidie LP | Adapter assembly for surgical stapling devices |
US10299790B2 (en) | 2017-03-03 | 2019-05-28 | Covidien Lp | Adapter with centering mechanism for articulation joint |
US10299815B2 (en) | 2012-01-19 | 2019-05-28 | Covidien Lp | Surgical instrument with clam releases mechanism |
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 |
US10448964B2 (en) | 2011-07-08 | 2019-10-22 | Covidien Lp | Surgical device with articulation and wrist rotation |
US10463371B2 (en) | 2016-11-29 | 2019-11-05 | Covidien Lp | Reload assembly with spent reload indicator |
US10463368B2 (en) | 2015-04-10 | 2019-11-05 | Covidien Lp | Endoscopic stapler |
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 |
US10561432B2 (en) | 2013-03-05 | 2020-02-18 | Covidien Lp | Pivoting screw for use with a pair of jaw members of a surgical instrument |
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 |
WO2021178297A1 (en) * | 2020-03-03 | 2021-09-10 | Boston Scientific Scimed, Inc. | Systems, devices, and related methods for fastening tissue |
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 |
US11284892B2 (en) | 2019-04-01 | 2022-03-29 | 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 |
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 |
US11344302B2 (en) | 2020-03-05 | 2022-05-31 | Covidien Lp | Articulation mechanism for surgical stapling device |
US11344297B2 (en) | 2019-02-28 | 2022-05-31 | Covidien Lp | Surgical stapling device with independently movable jaws |
US11344301B2 (en) | 2020-03-02 | 2022-05-31 | Covidien Lp | Surgical stapling device with replaceable reload assembly |
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 |
US11395654B2 (en) | 2020-08-07 | 2022-07-26 | Covidien Lp | Surgical stapling device with articulation braking assembly |
US11406384B2 (en) | 2020-10-05 | 2022-08-09 | Covidien Lp | Stapling device with drive assembly stop member |
US11406385B2 (en) | 2019-10-11 | 2022-08-09 | Covidien Lp | Stapling device with a gap locking member |
US11406387B2 (en) | 2020-05-12 | 2022-08-09 | Covidien Lp | Surgical stapling device with replaceable staple cartridge |
US11406383B2 (en) | 2020-03-17 | 2022-08-09 | Covidien Lp | Fire assisted powered EGIA handle |
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 |
US11497495B2 (en) | 2021-03-31 | 2022-11-15 | Covidien Lp | Continuous stapler strip for use with a surgical stapling device |
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 |
US11517305B2 (en) | 2020-07-09 | 2022-12-06 | Covidien Lp | Contoured staple pusher |
US11517313B2 (en) | 2021-01-27 | 2022-12-06 | Covidien Lp | Surgical stapling device with laminated drive member |
US11534163B2 (en) | 2019-11-21 | 2022-12-27 | Covidien Lp | Surgical stapling instruments |
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 |
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 |
US11576675B2 (en) | 2021-06-07 | 2023-02-14 | Covidien Lp | Staple cartridge with knife |
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 |
US11660094B2 (en) | 2021-09-29 | 2023-05-30 | Covidien Lp | Surgical fastening instrument with two-part surgical fasteners |
US11660092B2 (en) | 2020-09-29 | 2023-05-30 | Covidien Lp | Adapter for securing loading units to handle assemblies of surgical stapling instruments |
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 |
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 |
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 |
US11717300B2 (en) | 2021-03-11 | 2023-08-08 | Covidien Lp | Surgical stapling apparatus with integrated visualization |
US11737774B2 (en) | 2020-12-04 | 2023-08-29 | Covidien Lp | Surgical instrument with articulation assembly |
US11737747B2 (en) | 2019-12-17 | 2023-08-29 | Covidien Lp | Hand-held surgical instruments |
US11744582B2 (en) | 2021-01-05 | 2023-09-05 | 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 |
US11759206B2 (en) | 2021-01-05 | 2023-09-19 | Covidien Lp | Surgical stapling device with firing lockout mechanism |
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 |
US11890007B2 (en) | 2020-11-18 | 2024-02-06 | Covidien Lp | Stapling device with flex cable and tensioning 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 |
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 |
Families Citing this family (647)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US10835307B2 (en) | 2001-06-12 | 2020-11-17 | Ethicon Llc | Modular battery powered handheld surgical instrument containing elongated multi-layered shaft |
US7287682B1 (en) * | 2003-01-20 | 2007-10-30 | Hazem Ezzat | Surgical device and method |
US9060770B2 (en) | 2003-05-20 | 2015-06-23 | Ethicon Endo-Surgery, Inc. | Robotically-driven surgical instrument with E-beam driver |
US20070084897A1 (en) | 2003-05-20 | 2007-04-19 | Shelton Frederick E Iv | Articulating surgical stapling instrument incorporating a two-piece e-beam firing mechanism |
US8182501B2 (en) | 2004-02-27 | 2012-05-22 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical shears and method for sealing a blood vessel using same |
US11896225B2 (en) | 2004-07-28 | 2024-02-13 | Cilag Gmbh International | Staple cartridge comprising a pan |
US8215531B2 (en) | 2004-07-28 | 2012-07-10 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having a medical substance dispenser |
KR100646762B1 (en) * | 2004-09-10 | 2006-11-23 | 인하대학교 산학협력단 | A staple for operation and a stapler for operation provided with the same |
EP1802245B8 (en) | 2004-10-08 | 2016-09-28 | Ethicon Endo-Surgery, LLC | Ultrasonic surgical instrument |
US11484312B2 (en) | 2005-08-31 | 2022-11-01 | Cilag Gmbh International | Staple cartridge comprising a staple driver arrangement |
US10159482B2 (en) | 2005-08-31 | 2018-12-25 | Ethicon Llc | Fastener cartridge assembly comprising a fixed anvil and different staple heights |
US7934630B2 (en) | 2005-08-31 | 2011-05-03 | Ethicon Endo-Surgery, Inc. | Staple cartridges for forming staples having differing formed staple heights |
US20070194082A1 (en) | 2005-08-31 | 2007-08-23 | Morgan Jerome R | Surgical stapling device with anvil having staple forming pockets of varying depths |
US7669746B2 (en) | 2005-08-31 | 2010-03-02 | Ethicon Endo-Surgery, Inc. | Staple cartridges for forming staples having differing formed staple heights |
US9237891B2 (en) | 2005-08-31 | 2016-01-19 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical stapling devices that produce formed staples having different lengths |
US11246590B2 (en) | 2005-08-31 | 2022-02-15 | Cilag Gmbh International | Staple cartridge including staple drivers having different unfired heights |
US20070191713A1 (en) | 2005-10-14 | 2007-08-16 | Eichmann Stephen E | Ultrasonic device for cutting and coagulating |
US20070106317A1 (en) | 2005-11-09 | 2007-05-10 | Shelton Frederick E Iv | Hydraulically and electrically actuated articulation joints for surgical instruments |
US7621930B2 (en) | 2006-01-20 | 2009-11-24 | Ethicon Endo-Surgery, Inc. | Ultrasound medical instrument having a medical ultrasonic blade |
US9861359B2 (en) | 2006-01-31 | 2018-01-09 | Ethicon Llc | Powered surgical instruments with firing system lockout arrangements |
US7845537B2 (en) | 2006-01-31 | 2010-12-07 | Ethicon Endo-Surgery, Inc. | Surgical instrument having recording capabilities |
US8186555B2 (en) | 2006-01-31 | 2012-05-29 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting and fastening instrument with mechanical closure system |
US8708213B2 (en) | 2006-01-31 | 2014-04-29 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a feedback system |
US7753904B2 (en) | 2006-01-31 | 2010-07-13 | Ethicon Endo-Surgery, Inc. | Endoscopic surgical instrument with a handle that can articulate with respect to the shaft |
US11224427B2 (en) | 2006-01-31 | 2022-01-18 | Cilag Gmbh International | Surgical stapling system including a console and retraction assembly |
US20110295295A1 (en) | 2006-01-31 | 2011-12-01 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical instrument having recording capabilities |
US20120292367A1 (en) | 2006-01-31 | 2012-11-22 | Ethicon Endo-Surgery, Inc. | Robotically-controlled end effector |
US8820603B2 (en) | 2006-01-31 | 2014-09-02 | Ethicon Endo-Surgery, Inc. | Accessing data stored in a memory of a surgical instrument |
US20110024477A1 (en) | 2009-02-06 | 2011-02-03 | Hall Steven G | Driven Surgical Stapler Improvements |
US11793518B2 (en) | 2006-01-31 | 2023-10-24 | Cilag Gmbh International | Powered surgical instruments with firing system lockout arrangements |
US20110006101A1 (en) | 2009-02-06 | 2011-01-13 | EthiconEndo-Surgery, Inc. | Motor driven surgical fastener device with cutting member lockout arrangements |
US11278279B2 (en) | 2006-01-31 | 2022-03-22 | Cilag Gmbh International | Surgical instrument assembly |
US20070225562A1 (en) | 2006-03-23 | 2007-09-27 | Ethicon Endo-Surgery, Inc. | Articulating endoscopic accessory channel |
US8992422B2 (en) | 2006-03-23 | 2015-03-31 | Ethicon Endo-Surgery, Inc. | Robotically-controlled endoscopic accessory channel |
US7731727B2 (en) * | 2006-04-26 | 2010-06-08 | Lsi Solutions, Inc. | Medical instrument to place a pursestring suture, open a hole and pass a guidewire |
US20070276409A1 (en) * | 2006-05-25 | 2007-11-29 | Ethicon Endo-Surgery, Inc. | Endoscopic gastric restriction methods and devices |
US8322455B2 (en) | 2006-06-27 | 2012-12-04 | Ethicon Endo-Surgery, Inc. | Manually driven surgical cutting and fastening instrument |
US7506791B2 (en) | 2006-09-29 | 2009-03-24 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with mechanical mechanism for limiting maximum tissue compression |
US10568652B2 (en) | 2006-09-29 | 2020-02-25 | Ethicon Llc | Surgical staples having attached drivers of different heights and stapling instruments for deploying the same |
JP4943796B2 (en) * | 2006-09-29 | 2012-05-30 | テルモ株式会社 | Medical device |
US10130359B2 (en) | 2006-09-29 | 2018-11-20 | Ethicon Llc | Method for forming a staple |
US8652120B2 (en) | 2007-01-10 | 2014-02-18 | Ethicon Endo-Surgery, Inc. | Surgical instrument with wireless communication between control unit and sensor transponders |
US11291441B2 (en) | 2007-01-10 | 2022-04-05 | Cilag Gmbh International | Surgical instrument with wireless communication between control unit and remote sensor |
US8684253B2 (en) | 2007-01-10 | 2014-04-01 | Ethicon Endo-Surgery, Inc. | Surgical instrument with wireless communication between a control unit of a robotic system and remote sensor |
US8701958B2 (en) | 2007-01-11 | 2014-04-22 | Ethicon Endo-Surgery, Inc. | Curved end effector for a surgical stapling device |
US11039836B2 (en) | 2007-01-11 | 2021-06-22 | Cilag Gmbh International | Staple cartridge for use with a surgical stapling instrument |
US7950562B2 (en) * | 2007-01-31 | 2011-05-31 | Tyco Healthcare Group Lp | Surgical instrument with replaceable loading unit |
US7753246B2 (en) | 2007-01-31 | 2010-07-13 | Tyco Healthcare Group Lp | Surgical instrument with replaceable loading unit |
US7669747B2 (en) | 2007-03-15 | 2010-03-02 | Ethicon Endo-Surgery, Inc. | Washer for use with a surgical stapling instrument |
US8142461B2 (en) | 2007-03-22 | 2012-03-27 | Ethicon Endo-Surgery, Inc. | Surgical instruments |
US8911460B2 (en) | 2007-03-22 | 2014-12-16 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical instruments |
US8057498B2 (en) | 2007-11-30 | 2011-11-15 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical instrument blades |
US8893946B2 (en) | 2007-03-28 | 2014-11-25 | Ethicon Endo-Surgery, Inc. | Laparoscopic tissue thickness and clamp load measuring devices |
US8931682B2 (en) | 2007-06-04 | 2015-01-13 | Ethicon Endo-Surgery, Inc. | Robotically-controlled shaft based rotary drive systems for surgical instruments |
US11564682B2 (en) | 2007-06-04 | 2023-01-31 | Cilag Gmbh International | Surgical stapler device |
US8308040B2 (en) | 2007-06-22 | 2012-11-13 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with an articulatable end effector |
US7753245B2 (en) | 2007-06-22 | 2010-07-13 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments |
US11849941B2 (en) | 2007-06-29 | 2023-12-26 | Cilag Gmbh International | Staple cartridge having staple cavities extending at a transverse angle relative to a longitudinal cartridge axis |
US8523889B2 (en) | 2007-07-27 | 2013-09-03 | Ethicon Endo-Surgery, Inc. | Ultrasonic end effectors with increased active length |
US8808319B2 (en) | 2007-07-27 | 2014-08-19 | Ethicon Endo-Surgery, Inc. | 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 |
AU2008308606B2 (en) | 2007-10-05 | 2014-12-18 | Ethicon Endo-Surgery, Inc. | Ergonomic surgical instruments |
US10010339B2 (en) | 2007-11-30 | 2018-07-03 | Ethicon Llc | Ultrasonic surgical blades |
US7905381B2 (en) | 2008-09-19 | 2011-03-15 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with cutting member arrangement |
US8561870B2 (en) | 2008-02-13 | 2013-10-22 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument |
US8636736B2 (en) | 2008-02-14 | 2014-01-28 | Ethicon Endo-Surgery, Inc. | Motorized surgical cutting and fastening instrument |
US7866527B2 (en) | 2008-02-14 | 2011-01-11 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with interlockable firing system |
US7819298B2 (en) | 2008-02-14 | 2010-10-26 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with control features operable with one hand |
US8657174B2 (en) | 2008-02-14 | 2014-02-25 | Ethicon Endo-Surgery, Inc. | Motorized surgical cutting and fastening instrument having handle based power source |
JP5410110B2 (en) | 2008-02-14 | 2014-02-05 | エシコン・エンド−サージェリィ・インコーポレイテッド | Surgical cutting / fixing instrument with RF electrode |
US8758391B2 (en) | 2008-02-14 | 2014-06-24 | Ethicon Endo-Surgery, Inc. | Interchangeable tools for surgical instruments |
US9179912B2 (en) | 2008-02-14 | 2015-11-10 | Ethicon Endo-Surgery, Inc. | Robotically-controlled motorized surgical cutting and fastening instrument |
US8573465B2 (en) | 2008-02-14 | 2013-11-05 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical end effector system with rotary actuated closure systems |
US20130153641A1 (en) | 2008-02-15 | 2013-06-20 | Ethicon Endo-Surgery, Inc. | Releasable layer of material and surgical end effector having the same |
US20090206131A1 (en) | 2008-02-15 | 2009-08-20 | Ethicon Endo-Surgery, Inc. | End effector coupling arrangements for a surgical cutting and stapling instrument |
US11272927B2 (en) | 2008-02-15 | 2022-03-15 | Cilag Gmbh International | Layer arrangements for surgical staple cartridges |
US7789283B2 (en) | 2008-06-06 | 2010-09-07 | Tyco Healthcare Group Lp | Knife/firing rod connection for surgical instrument |
US8701959B2 (en) | 2008-06-06 | 2014-04-22 | Covidien Lp | Mechanically pivoting cartridge channel for surgical instrument |
US7942303B2 (en) | 2008-06-06 | 2011-05-17 | Tyco Healthcare Group Lp | Knife lockout mechanisms for surgical instrument |
US9089360B2 (en) | 2008-08-06 | 2015-07-28 | Ethicon Endo-Surgery, Inc. | Devices and techniques for cutting and coagulating tissue |
PL3476312T3 (en) | 2008-09-19 | 2024-03-11 | Ethicon Llc | Surgical stapler with apparatus for adjusting staple height |
US9005230B2 (en) | 2008-09-23 | 2015-04-14 | Ethicon Endo-Surgery, Inc. | Motorized surgical instrument |
US8215532B2 (en) | 2008-09-23 | 2012-07-10 | Tyco Healthcare Group Lp | Tissue stop for surgical instrument |
US8210411B2 (en) | 2008-09-23 | 2012-07-03 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting instrument |
US9386983B2 (en) | 2008-09-23 | 2016-07-12 | Ethicon Endo-Surgery, Llc | Robotically-controlled motorized surgical instrument |
US11648005B2 (en) | 2008-09-23 | 2023-05-16 | Cilag Gmbh International | Robotically-controlled motorized surgical instrument with an end effector |
US8608045B2 (en) | 2008-10-10 | 2013-12-17 | Ethicon Endo-Sugery, Inc. | Powered surgical cutting and stapling apparatus with manually retractable firing system |
US8517239B2 (en) | 2009-02-05 | 2013-08-27 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument comprising a magnetic element driver |
EP2393430A1 (en) | 2009-02-06 | 2011-12-14 | Ethicon Endo-Surgery, Inc. | Driven surgical stapler improvements |
US8444036B2 (en) | 2009-02-06 | 2013-05-21 | Ethicon Endo-Surgery, Inc. | Motor driven surgical fastener device with mechanisms for adjusting a tissue gap within the end effector |
US8127976B2 (en) | 2009-05-08 | 2012-03-06 | Tyco Healthcare Group Lp | Stapler cartridge and channel interlock |
US9700339B2 (en) | 2009-05-20 | 2017-07-11 | Ethicon Endo-Surgery, Inc. | Coupling arrangements and methods for attaching tools to ultrasonic surgical instruments |
US8132706B2 (en) | 2009-06-05 | 2012-03-13 | Tyco Healthcare Group Lp | Surgical stapling apparatus having articulation mechanism |
US8663220B2 (en) | 2009-07-15 | 2014-03-04 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical instruments |
US8342378B2 (en) | 2009-08-17 | 2013-01-01 | Covidien Lp | One handed stapler |
US11090104B2 (en) | 2009-10-09 | 2021-08-17 | Cilag Gmbh International | Surgical generator for ultrasonic and electrosurgical devices |
US10441345B2 (en) | 2009-10-09 | 2019-10-15 | Ethicon Llc | Surgical generator for ultrasonic and electrosurgical devices |
US8747404B2 (en) | 2009-10-09 | 2014-06-10 | Ethicon Endo-Surgery, Inc. | Surgical instrument for transmitting energy to tissue comprising non-conductive grasping portions |
US10172669B2 (en) | 2009-10-09 | 2019-01-08 | Ethicon Llc | Surgical instrument comprising an energy trigger lockout |
US9039695B2 (en) | 2009-10-09 | 2015-05-26 | Ethicon Endo-Surgery, Inc. | Surgical generator for ultrasonic and electrosurgical devices |
US8418907B2 (en) | 2009-11-05 | 2013-04-16 | Covidien Lp | Surgical stapler having cartridge with adjustable cam mechanism |
US8220688B2 (en) | 2009-12-24 | 2012-07-17 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting instrument with electric actuator directional control assembly |
US8851354B2 (en) | 2009-12-24 | 2014-10-07 | Ethicon Endo-Surgery, Inc. | Surgical cutting instrument that analyzes tissue thickness |
US8608046B2 (en) | 2010-01-07 | 2013-12-17 | Ethicon Endo-Surgery, Inc. | Test device for a surgical tool |
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 |
US8469981B2 (en) | 2010-02-11 | 2013-06-25 | Ethicon Endo-Surgery, Inc. | Rotatable cutting implement arrangements for ultrasonic surgical instruments |
US8696665B2 (en) | 2010-03-26 | 2014-04-15 | Ethicon Endo-Surgery, Inc. | Surgical cutting and sealing instrument with reduced firing force |
US8348127B2 (en) | 2010-04-07 | 2013-01-08 | Covidien Lp | Surgical fastener applying apparatus |
US8834518B2 (en) | 2010-04-12 | 2014-09-16 | Ethicon Endo-Surgery, Inc. | Electrosurgical cutting and sealing instruments with cam-actuated jaws |
US8709035B2 (en) | 2010-04-12 | 2014-04-29 | Ethicon Endo-Surgery, Inc. | Electrosurgical cutting and sealing instruments with jaws having a parallel closure motion |
US8685020B2 (en) | 2010-05-17 | 2014-04-01 | Ethicon Endo-Surgery, Inc. | Surgical instruments and end effectors therefor |
GB2480498A (en) | 2010-05-21 | 2011-11-23 | Ethicon Endo Surgery Inc | Medical device comprising RF circuitry |
US8888776B2 (en) | 2010-06-09 | 2014-11-18 | Ethicon Endo-Surgery, Inc. | Electrosurgical instrument employing an electrode |
US8764747B2 (en) | 2010-06-10 | 2014-07-01 | Ethicon Endo-Surgery, Inc. | Electrosurgical instrument comprising sequentially activated electrodes |
US9005199B2 (en) | 2010-06-10 | 2015-04-14 | Ethicon Endo-Surgery, Inc. | Heat management configurations for controlling heat dissipation from electrosurgical instruments |
US8753338B2 (en) | 2010-06-10 | 2014-06-17 | Ethicon Endo-Surgery, Inc. | Electrosurgical instrument employing a thermal management system |
US8613383B2 (en) | 2010-07-14 | 2013-12-24 | Ethicon Endo-Surgery, Inc. | Surgical instruments with electrodes |
US8795327B2 (en) | 2010-07-22 | 2014-08-05 | Ethicon Endo-Surgery, Inc. | Electrosurgical instrument with separate closure and cutting members |
US8979843B2 (en) | 2010-07-23 | 2015-03-17 | Ethicon Endo-Surgery, Inc. | Electrosurgical cutting and sealing instrument |
US9011437B2 (en) | 2010-07-23 | 2015-04-21 | Ethicon Endo-Surgery, Inc. | Electrosurgical cutting and sealing instrument |
US9192431B2 (en) | 2010-07-23 | 2015-11-24 | Ethicon Endo-Surgery, Inc. | Electrosurgical cutting and sealing instrument |
US8783543B2 (en) | 2010-07-30 | 2014-07-22 | Ethicon Endo-Surgery, Inc. | Tissue acquisition arrangements and methods for surgical stapling devices |
US8632525B2 (en) | 2010-09-17 | 2014-01-21 | Ethicon Endo-Surgery, Inc. | Power control arrangements for surgical instruments and batteries |
US9289212B2 (en) | 2010-09-17 | 2016-03-22 | Ethicon Endo-Surgery, Inc. | Surgical instruments and batteries for surgical instruments |
US9364233B2 (en) | 2010-09-30 | 2016-06-14 | Ethicon Endo-Surgery, Llc | Tissue thickness compensators for circular surgical staplers |
US9566061B2 (en) | 2010-09-30 | 2017-02-14 | Ethicon Endo-Surgery, Llc | Fastener cartridge comprising a releasably attached tissue thickness compensator |
EP2621356B1 (en) | 2010-09-30 | 2018-03-07 | Ethicon LLC | Fastener system comprising a retention matrix and an alignment matrix |
US9314246B2 (en) | 2010-09-30 | 2016-04-19 | Ethicon Endo-Surgery, Llc | Tissue stapler having a thickness compensator incorporating an anti-inflammatory agent |
US9301753B2 (en) | 2010-09-30 | 2016-04-05 | Ethicon Endo-Surgery, Llc | Expandable tissue thickness compensator |
US11849952B2 (en) | 2010-09-30 | 2023-12-26 | Cilag Gmbh International | Staple cartridge comprising staples positioned within a compressible portion thereof |
US9277919B2 (en) | 2010-09-30 | 2016-03-08 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator comprising fibers to produce a resilient load |
US9517063B2 (en) | 2012-03-28 | 2016-12-13 | Ethicon Endo-Surgery, Llc | Movable member for use with a tissue thickness compensator |
US9839420B2 (en) | 2010-09-30 | 2017-12-12 | Ethicon Llc | Tissue thickness compensator comprising at least one medicament |
US9629814B2 (en) | 2010-09-30 | 2017-04-25 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator configured to redistribute compressive forces |
US9332974B2 (en) | 2010-09-30 | 2016-05-10 | Ethicon Endo-Surgery, Llc | Layered tissue thickness compensator |
US9414838B2 (en) | 2012-03-28 | 2016-08-16 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator comprised of a plurality of materials |
US11298125B2 (en) | 2010-09-30 | 2022-04-12 | Cilag Gmbh International | Tissue stapler having a thickness compensator |
US10945731B2 (en) | 2010-09-30 | 2021-03-16 | Ethicon Llc | Tissue thickness compensator comprising controlled release and expansion |
US11812965B2 (en) | 2010-09-30 | 2023-11-14 | Cilag Gmbh International | Layer of material for a surgical end effector |
US9307989B2 (en) | 2012-03-28 | 2016-04-12 | Ethicon Endo-Surgery, Llc | Tissue stapler having a thickness compensator incorportating a hydrophobic agent |
US9216019B2 (en) | 2011-09-23 | 2015-12-22 | Ethicon Endo-Surgery, Inc. | Surgical stapler with stationary staple drivers |
US9386988B2 (en) | 2010-09-30 | 2016-07-12 | Ethicon End-Surgery, LLC | Retainer assembly including a tissue thickness compensator |
US8746535B2 (en) | 2010-09-30 | 2014-06-10 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator comprising detachable portions |
US9220501B2 (en) | 2010-09-30 | 2015-12-29 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensators |
US8979890B2 (en) | 2010-10-01 | 2015-03-17 | Ethicon Endo-Surgery, Inc. | Surgical instrument with jaw member |
US8695866B2 (en) | 2010-10-01 | 2014-04-15 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a power control circuit |
US8628529B2 (en) | 2010-10-26 | 2014-01-14 | Ethicon Endo-Surgery, Inc. | Surgical instrument with magnetic clamping force |
US8308041B2 (en) | 2010-11-10 | 2012-11-13 | Tyco Healthcare Group Lp | Staple formed over the wire wound closure procedure |
US8715277B2 (en) * | 2010-12-08 | 2014-05-06 | Ethicon Endo-Surgery, Inc. | Control of jaw compression in surgical instrument having end effector with opposing jaw members |
US9370362B2 (en) * | 2011-04-07 | 2016-06-21 | Wake Forest University Health Sciences | Surgical staplers with tissue protection and related methods |
AU2012250197B2 (en) | 2011-04-29 | 2017-08-10 | Ethicon Endo-Surgery, Inc. | Staple cartridge comprising staples positioned within a compressible portion thereof |
US11207064B2 (en) | 2011-05-27 | 2021-12-28 | Cilag Gmbh International | Automated end effector component reloading system for use with a robotic system |
US9072535B2 (en) | 2011-05-27 | 2015-07-07 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments with rotatable staple deployment arrangements |
US9259265B2 (en) | 2011-07-22 | 2016-02-16 | Ethicon Endo-Surgery, Llc | Surgical instruments for tensioning tissue |
US9044243B2 (en) | 2011-08-30 | 2015-06-02 | Ethcon Endo-Surgery, Inc. | Surgical cutting and fastening device with descendible second trigger arrangement |
US9050084B2 (en) | 2011-09-23 | 2015-06-09 | Ethicon Endo-Surgery, Inc. | Staple cartridge including collapsible deck arrangement |
JP6234932B2 (en) | 2011-10-24 | 2017-11-22 | エシコン・エンド−サージェリィ・インコーポレイテッドEthicon Endo−Surgery,Inc. | Medical instruments |
JP2015506753A (en) | 2012-01-18 | 2015-03-05 | コヴィディエン リミテッド パートナーシップ | Surgical fastener applicator |
WO2013119545A1 (en) | 2012-02-10 | 2013-08-15 | Ethicon-Endo Surgery, Inc. | Robotically controlled surgical instrument |
US9044230B2 (en) | 2012-02-13 | 2015-06-02 | Ethicon Endo-Surgery, Inc. | Surgical cutting and fastening instrument with apparatus for determining cartridge and firing motion status |
RU2644272C2 (en) | 2012-03-28 | 2018-02-08 | Этикон Эндо-Серджери, Инк. | Limitation node with tissue thickness compensator |
MX358135B (en) | 2012-03-28 | 2018-08-06 | Ethicon Endo Surgery Inc | Tissue thickness compensator comprising a plurality of layers. |
RU2639857C2 (en) | 2012-03-28 | 2017-12-22 | Этикон Эндо-Серджери, Инк. | Tissue thickness compensator containing capsule for medium with low pressure |
US9439668B2 (en) | 2012-04-09 | 2016-09-13 | Ethicon Endo-Surgery, Llc | Switch arrangements for ultrasonic surgical instruments |
CN102652683A (en) * | 2012-04-13 | 2012-09-05 | 北京中法派尔特医疗设备有限公司 | Cartridge assembly and bladed stitching instrument using cartridge assembly |
US9101358B2 (en) | 2012-06-15 | 2015-08-11 | Ethicon Endo-Surgery, Inc. | Articulatable surgical instrument comprising a firing drive |
US9226751B2 (en) | 2012-06-28 | 2016-01-05 | Ethicon Endo-Surgery, Inc. | Surgical instrument system including replaceable end effectors |
US20140005705A1 (en) | 2012-06-29 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Surgical instruments with articulating shafts |
US11202631B2 (en) | 2012-06-28 | 2021-12-21 | Cilag Gmbh International | Stapling assembly comprising a firing lockout |
BR112014032776B1 (en) | 2012-06-28 | 2021-09-08 | Ethicon Endo-Surgery, Inc | SURGICAL INSTRUMENT SYSTEM AND SURGICAL KIT FOR USE WITH A SURGICAL INSTRUMENT SYSTEM |
US9289256B2 (en) | 2012-06-28 | 2016-03-22 | Ethicon Endo-Surgery, Llc | Surgical end effectors having angled tissue-contacting surfaces |
US9649111B2 (en) | 2012-06-28 | 2017-05-16 | Ethicon Endo-Surgery, Llc | Replaceable clip cartridge for a clip applier |
US20140001231A1 (en) | 2012-06-28 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Firing system lockout arrangements for surgical instruments |
US20140005718A1 (en) | 2012-06-28 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Multi-functional powered surgical device with external dissection features |
US20140005640A1 (en) | 2012-06-28 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Surgical end effector jaw and electrode configurations |
EP2866686A1 (en) | 2012-06-28 | 2015-05-06 | Ethicon Endo-Surgery, Inc. | Empty clip cartridge lockout |
US9101385B2 (en) | 2012-06-28 | 2015-08-11 | Ethicon Endo-Surgery, Inc. | Electrode connections for rotary driven surgical tools |
US9326788B2 (en) | 2012-06-29 | 2016-05-03 | Ethicon Endo-Surgery, Llc | Lockout mechanism for use with robotic electrosurgical device |
US9351754B2 (en) | 2012-06-29 | 2016-05-31 | Ethicon Endo-Surgery, Llc | Ultrasonic surgical instruments with distally positioned jaw assemblies |
US9820768B2 (en) | 2012-06-29 | 2017-11-21 | Ethicon Llc | Ultrasonic surgical instruments with control mechanisms |
US9226767B2 (en) | 2012-06-29 | 2016-01-05 | Ethicon Endo-Surgery, Inc. | Closed feedback control for electrosurgical device |
US9408622B2 (en) | 2012-06-29 | 2016-08-09 | Ethicon Endo-Surgery, Llc | Surgical instruments with articulating shafts |
US9198714B2 (en) | 2012-06-29 | 2015-12-01 | Ethicon Endo-Surgery, Inc. | Haptic feedback devices for surgical robot |
US20140005702A1 (en) | 2012-06-29 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical instruments with distally positioned transducers |
US9393037B2 (en) | 2012-06-29 | 2016-07-19 | Ethicon Endo-Surgery, Llc | Surgical instruments with articulating shafts |
WO2014052181A1 (en) | 2012-09-28 | 2014-04-03 | Ethicon Endo-Surgery, Inc. | Multi-function bi-polar forceps |
US9095367B2 (en) | 2012-10-22 | 2015-08-04 | Ethicon Endo-Surgery, Inc. | Flexible harmonic waveguides/blades for surgical instruments |
US20140135804A1 (en) | 2012-11-15 | 2014-05-15 | Ethicon Endo-Surgery, Inc. | Ultrasonic and electrosurgical devices |
US9241758B2 (en) * | 2013-01-25 | 2016-01-26 | Ethicon Endo-Surgery, Inc. | Surgical instrument with blade compliant along vertical cutting edge plane |
US9386984B2 (en) | 2013-02-08 | 2016-07-12 | Ethicon Endo-Surgery, Llc | Staple cartridge comprising a releasable cover |
RU2672520C2 (en) | 2013-03-01 | 2018-11-15 | Этикон Эндо-Серджери, Инк. | Hingedly turnable surgical instruments with conducting ways for signal transfer |
RU2669463C2 (en) | 2013-03-01 | 2018-10-11 | Этикон Эндо-Серджери, Инк. | Surgical instrument with soft stop |
US9358003B2 (en) | 2013-03-01 | 2016-06-07 | Ethicon Endo-Surgery, Llc | Electromechanical surgical device with signal relay arrangement |
US9345481B2 (en) | 2013-03-13 | 2016-05-24 | Ethicon Endo-Surgery, Llc | Staple cartridge tissue thickness sensor system |
US9332987B2 (en) | 2013-03-14 | 2016-05-10 | Ethicon Endo-Surgery, Llc | Control arrangements for a drive member of a surgical instrument |
US9629629B2 (en) | 2013-03-14 | 2017-04-25 | Ethicon Endo-Surgey, LLC | Control systems for surgical instruments |
US10226273B2 (en) | 2013-03-14 | 2019-03-12 | Ethicon Llc | Mechanical fasteners for use with surgical energy devices |
US9486212B2 (en) | 2013-03-15 | 2016-11-08 | Orthohelix Surgical Designs, Inc. | Bone staple storage, inserter, and method for use therewith |
US9795384B2 (en) | 2013-03-27 | 2017-10-24 | Ethicon Llc | Fastener cartridge comprising a tissue thickness compensator and a gap setting element |
US9572577B2 (en) | 2013-03-27 | 2017-02-21 | Ethicon Endo-Surgery, Llc | Fastener cartridge comprising a tissue thickness compensator including openings therein |
US9332984B2 (en) | 2013-03-27 | 2016-05-10 | Ethicon Endo-Surgery, Llc | Fastener cartridge assemblies |
US9867612B2 (en) | 2013-04-16 | 2018-01-16 | Ethicon Llc | Powered surgical stapler |
BR112015026109B1 (en) | 2013-04-16 | 2022-02-22 | Ethicon Endo-Surgery, Inc | surgical instrument |
US9574644B2 (en) | 2013-05-30 | 2017-02-21 | Ethicon Endo-Surgery, Llc | Power module for use with a surgical instrument |
MX369362B (en) | 2013-08-23 | 2019-11-06 | Ethicon Endo Surgery Llc | Firing member retraction devices for powered surgical instruments. |
US9775609B2 (en) | 2013-08-23 | 2017-10-03 | Ethicon Llc | Tamper proof circuit for surgical instrument battery pack |
US9295514B2 (en) | 2013-08-30 | 2016-03-29 | Ethicon Endo-Surgery, Llc | Surgical devices with close quarter articulation features |
US9814514B2 (en) | 2013-09-13 | 2017-11-14 | Ethicon Llc | Electrosurgical (RF) medical instruments for cutting and coagulating tissue |
US9861428B2 (en) | 2013-09-16 | 2018-01-09 | Ethicon Llc | Integrated systems for electrosurgical steam or smoke control |
US9526565B2 (en) | 2013-11-08 | 2016-12-27 | Ethicon Endo-Surgery, Llc | Electrosurgical devices |
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 |
US9839428B2 (en) | 2013-12-23 | 2017-12-12 | Ethicon Llc | Surgical cutting and stapling instruments with independent jaw control features |
US9724092B2 (en) | 2013-12-23 | 2017-08-08 | Ethicon Llc | Modular surgical instruments |
US20150173756A1 (en) | 2013-12-23 | 2015-06-25 | Ethicon Endo-Surgery, Inc. | Surgical cutting and stapling methods |
US9763662B2 (en) | 2013-12-23 | 2017-09-19 | Ethicon Llc | Fastener cartridge comprising a firing member configured to directly engage and eject fasteners from the fastener cartridge |
US9642620B2 (en) | 2013-12-23 | 2017-05-09 | Ethicon Endo-Surgery, Llc | Surgical cutting and stapling instruments with articulatable end effectors |
US9681870B2 (en) | 2013-12-23 | 2017-06-20 | Ethicon Llc | Articulatable surgical instruments with separate and distinct closing and firing systems |
US9795436B2 (en) | 2014-01-07 | 2017-10-24 | Ethicon Llc | Harvesting energy from a surgical generator |
US9408660B2 (en) | 2014-01-17 | 2016-08-09 | Ethicon Endo-Surgery, Llc | Device trigger dampening mechanism |
US9962161B2 (en) | 2014-02-12 | 2018-05-08 | Ethicon Llc | Deliverable surgical instrument |
JP6462004B2 (en) | 2014-02-24 | 2019-01-30 | エシコン エルエルシー | Fastening system with launcher lockout |
US20140166725A1 (en) | 2014-02-24 | 2014-06-19 | Ethicon Endo-Surgery, Inc. | Staple cartridge including a barbed staple. |
US9554854B2 (en) | 2014-03-18 | 2017-01-31 | Ethicon Endo-Surgery, Llc | Detecting short circuits in electrosurgical medical devices |
US10028761B2 (en) | 2014-03-26 | 2018-07-24 | Ethicon Llc | Feedback algorithms for manual bailout systems for surgical instruments |
BR112016021943B1 (en) | 2014-03-26 | 2022-06-14 | Ethicon Endo-Surgery, Llc | SURGICAL INSTRUMENT FOR USE BY AN OPERATOR IN A SURGICAL PROCEDURE |
US9913642B2 (en) | 2014-03-26 | 2018-03-13 | Ethicon Llc | Surgical instrument comprising a sensor system |
US20150272557A1 (en) | 2014-03-26 | 2015-10-01 | Ethicon Endo-Surgery, Inc. | Modular surgical instrument system |
US9826977B2 (en) | 2014-03-26 | 2017-11-28 | Ethicon Llc | Sterilization verification circuit |
US10092310B2 (en) | 2014-03-27 | 2018-10-09 | Ethicon Llc | Electrosurgical devices |
US10463421B2 (en) | 2014-03-27 | 2019-11-05 | Ethicon Llc | Two stage trigger, clamp and cut bipolar vessel sealer |
US10524852B1 (en) | 2014-03-28 | 2020-01-07 | Ethicon Llc | Distal sealing end effector with spacers |
US9737355B2 (en) | 2014-03-31 | 2017-08-22 | Ethicon Llc | Controlling impedance rise in electrosurgical medical devices |
US9913680B2 (en) | 2014-04-15 | 2018-03-13 | Ethicon Llc | Software algorithms for electrosurgical instruments |
US20150297223A1 (en) | 2014-04-16 | 2015-10-22 | Ethicon Endo-Surgery, Inc. | Fastener cartridges including extensions having different configurations |
JP6612256B2 (en) | 2014-04-16 | 2019-11-27 | エシコン エルエルシー | Fastener cartridge with non-uniform fastener |
US10206677B2 (en) | 2014-09-26 | 2019-02-19 | Ethicon Llc | Surgical staple and driver arrangements for staple cartridges |
US9844369B2 (en) | 2014-04-16 | 2017-12-19 | Ethicon Llc | Surgical end effectors with firing element monitoring arrangements |
JP6532889B2 (en) | 2014-04-16 | 2019-06-19 | エシコン エルエルシーEthicon LLC | Fastener cartridge assembly and staple holder cover arrangement |
CN106456176B (en) | 2014-04-16 | 2019-06-28 | 伊西康内外科有限责任公司 | Fastener cartridge including the extension with various configuration |
US9757186B2 (en) | 2014-04-17 | 2017-09-12 | Ethicon Llc | Device status feedback for bipolar tissue spacer |
US10045781B2 (en) | 2014-06-13 | 2018-08-14 | Ethicon Llc | Closure lockout systems for surgical 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 |
US9877776B2 (en) | 2014-08-25 | 2018-01-30 | Ethicon Llc | Simultaneous I-beam and spring driven cam jaw closure mechanism |
US10194976B2 (en) | 2014-08-25 | 2019-02-05 | Ethicon Llc | Lockout disabling mechanism |
US20160066913A1 (en) | 2014-09-05 | 2016-03-10 | Ethicon Endo-Surgery, Inc. | Local display of tissue parameter stabilization |
BR112017004361B1 (en) | 2014-09-05 | 2023-04-11 | Ethicon Llc | ELECTRONIC SYSTEM FOR A SURGICAL INSTRUMENT |
US11311294B2 (en) | 2014-09-05 | 2022-04-26 | Cilag Gmbh International | Powered medical device including measurement of closure state of jaws |
US10105142B2 (en) | 2014-09-18 | 2018-10-23 | Ethicon Llc | Surgical stapler with plurality of cutting elements |
US11523821B2 (en) | 2014-09-26 | 2022-12-13 | Cilag Gmbh International | Method for creating a flexible staple line |
JP6648119B2 (en) | 2014-09-26 | 2020-02-14 | エシコン エルエルシーEthicon LLC | Surgical stapling buttress and accessory materials |
US10076325B2 (en) | 2014-10-13 | 2018-09-18 | Ethicon Llc | Surgical stapling apparatus comprising a tissue stop |
US9924944B2 (en) | 2014-10-16 | 2018-03-27 | Ethicon Llc | Staple cartridge comprising an adjunct material |
US10517594B2 (en) | 2014-10-29 | 2019-12-31 | Ethicon Llc | Cartridge assemblies for surgical staplers |
US11141153B2 (en) | 2014-10-29 | 2021-10-12 | Cilag Gmbh International | Staple cartridges comprising driver arrangements |
US9844376B2 (en) | 2014-11-06 | 2017-12-19 | Ethicon Llc | Staple cartridge comprising a releasable adjunct material |
US10639092B2 (en) | 2014-12-08 | 2020-05-05 | Ethicon Llc | Electrode configurations for surgical instruments |
US10736636B2 (en) | 2014-12-10 | 2020-08-11 | Ethicon Llc | Articulatable surgical instrument system |
US10085748B2 (en) | 2014-12-18 | 2018-10-02 | Ethicon Llc | Locking arrangements for detachable shaft assemblies with articulatable surgical end effectors |
RU2703684C2 (en) | 2014-12-18 | 2019-10-21 | ЭТИКОН ЭНДО-СЕРДЖЕРИ, ЭлЭлСи | Surgical instrument with anvil which is selectively movable relative to staple cartridge around discrete fixed axis |
US9844375B2 (en) | 2014-12-18 | 2017-12-19 | Ethicon Llc | Drive arrangements for articulatable surgical instruments |
US10004501B2 (en) | 2014-12-18 | 2018-06-26 | Ethicon Llc | Surgical instruments with improved closure arrangements |
US9987000B2 (en) | 2014-12-18 | 2018-06-05 | Ethicon Llc | Surgical instrument assembly comprising a flexible articulation system |
US10117649B2 (en) | 2014-12-18 | 2018-11-06 | Ethicon Llc | Surgical instrument assembly comprising a lockable articulation system |
US10188385B2 (en) | 2014-12-18 | 2019-01-29 | Ethicon Llc | Surgical instrument system comprising lockable systems |
US9844374B2 (en) | 2014-12-18 | 2017-12-19 | Ethicon Llc | Surgical instrument systems comprising an articulatable end effector and means for adjusting the firing stroke of a firing member |
US10111699B2 (en) | 2014-12-22 | 2018-10-30 | Ethicon Llc | RF tissue sealer, shear grip, trigger lock mechanism and energy activation |
US10159524B2 (en) | 2014-12-22 | 2018-12-25 | Ethicon Llc | High power battery powered RF amplifier topology |
US10092348B2 (en) | 2014-12-22 | 2018-10-09 | Ethicon Llc | RF tissue sealer, shear grip, trigger lock mechanism and energy activation |
US9848937B2 (en) | 2014-12-22 | 2017-12-26 | Ethicon Llc | End effector with detectable configurations |
US10245095B2 (en) | 2015-02-06 | 2019-04-02 | Ethicon Llc | Electrosurgical instrument with rotation and articulation mechanisms |
US11154301B2 (en) | 2015-02-27 | 2021-10-26 | Cilag Gmbh International | Modular stapling assembly |
US10226250B2 (en) | 2015-02-27 | 2019-03-12 | Ethicon Llc | Modular stapling assembly |
US20160249910A1 (en) | 2015-02-27 | 2016-09-01 | Ethicon Endo-Surgery, Llc | Surgical charging system that charges and/or conditions one or more batteries |
US10180463B2 (en) | 2015-02-27 | 2019-01-15 | Ethicon Llc | Surgical apparatus configured to assess whether a performance parameter of the surgical apparatus is within an acceptable performance band |
US10687806B2 (en) | 2015-03-06 | 2020-06-23 | Ethicon Llc | Adaptive tissue compression techniques to adjust closure rates for multiple tissue types |
US9901342B2 (en) | 2015-03-06 | 2018-02-27 | Ethicon Endo-Surgery, Llc | Signal and power communication system positioned on a rotatable shaft |
US9808246B2 (en) | 2015-03-06 | 2017-11-07 | Ethicon Endo-Surgery, Llc | Method of operating a powered surgical instrument |
US10045776B2 (en) | 2015-03-06 | 2018-08-14 | Ethicon Llc | Control techniques and sub-processor contained within modular shaft with select control processing from handle |
US9993248B2 (en) | 2015-03-06 | 2018-06-12 | Ethicon Endo-Surgery, Llc | Smart sensors with local signal processing |
US10617412B2 (en) | 2015-03-06 | 2020-04-14 | Ethicon Llc | System for detecting the mis-insertion of a staple cartridge into a surgical stapler |
US10052044B2 (en) | 2015-03-06 | 2018-08-21 | Ethicon Llc | Time dependent evaluation of sensor data to determine stability, creep, and viscoelastic elements of measures |
US10245033B2 (en) | 2015-03-06 | 2019-04-02 | Ethicon Llc | Surgical instrument comprising a lockable battery housing |
US10441279B2 (en) | 2015-03-06 | 2019-10-15 | Ethicon Llc | Multiple level thresholds to modify operation of powered surgical instruments |
US9895148B2 (en) | 2015-03-06 | 2018-02-20 | Ethicon Endo-Surgery, Llc | Monitoring speed control and precision incrementing of motor for powered surgical instruments |
JP2020121162A (en) | 2015-03-06 | 2020-08-13 | エシコン エルエルシーEthicon LLC | Time dependent evaluation of sensor data to determine stability element, creep element and viscoelastic element of measurement |
US9924961B2 (en) | 2015-03-06 | 2018-03-27 | Ethicon Endo-Surgery, Llc | Interactive feedback system for powered surgical instruments |
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 |
US10433844B2 (en) | 2015-03-31 | 2019-10-08 | Ethicon Llc | Surgical instrument with selectively disengageable threaded drive systems |
US10314638B2 (en) | 2015-04-07 | 2019-06-11 | Ethicon Llc | Articulating radio frequency (RF) tissue seal with articulating state sensing |
US10117702B2 (en) | 2015-04-10 | 2018-11-06 | Ethicon Llc | Surgical generator systems and related methods |
US10130410B2 (en) | 2015-04-17 | 2018-11-20 | Ethicon Llc | Electrosurgical instrument including a cutting member decouplable from a cutting member trigger |
US9872725B2 (en) | 2015-04-29 | 2018-01-23 | Ethicon Llc | RF tissue sealer with mode selection |
US11020140B2 (en) | 2015-06-17 | 2021-06-01 | Cilag Gmbh International | Ultrasonic surgical blade for use with ultrasonic surgical instruments |
US10368861B2 (en) | 2015-06-18 | 2019-08-06 | Ethicon Llc | Dual articulation drive system arrangements for articulatable surgical instruments |
US11141213B2 (en) | 2015-06-30 | 2021-10-12 | Cilag Gmbh International | Surgical instrument with user adaptable techniques |
US11129669B2 (en) | 2015-06-30 | 2021-09-28 | Cilag Gmbh International | Surgical system with user adaptable techniques based on tissue type |
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 |
US10898256B2 (en) | 2015-06-30 | 2021-01-26 | Ethicon Llc | Surgical system with user adaptable techniques based on tissue impedance |
US10034704B2 (en) | 2015-06-30 | 2018-07-31 | Ethicon Llc | Surgical instrument with user adaptable algorithms |
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 |
US10835249B2 (en) | 2015-08-17 | 2020-11-17 | Ethicon Llc | Implantable layers for a surgical instrument |
US10357251B2 (en) | 2015-08-26 | 2019-07-23 | Ethicon Llc | Surgical staples comprising hardness variations for improved fastening of tissue |
BR112018003693B1 (en) | 2015-08-26 | 2022-11-22 | Ethicon Llc | SURGICAL STAPLE CARTRIDGE FOR USE WITH A SURGICAL STAPPING INSTRUMENT |
MX2022009705A (en) | 2015-08-26 | 2022-11-07 | Ethicon Llc | Surgical staples comprising hardness variations for improved fastening of tissue. |
MX2022006189A (en) | 2015-09-02 | 2022-06-16 | Ethicon Llc | Surgical staple configurations with camming surfaces located between portions supporting surgical staples. |
US10251648B2 (en) | 2015-09-02 | 2019-04-09 | Ethicon Llc | Surgical staple cartridge staple drivers with central support features |
US10363036B2 (en) | 2015-09-23 | 2019-07-30 | Ethicon Llc | Surgical stapler having force-based motor control |
US10076326B2 (en) | 2015-09-23 | 2018-09-18 | Ethicon Llc | Surgical stapler having current mirror-based motor control |
US10085751B2 (en) | 2015-09-23 | 2018-10-02 | Ethicon Llc | Surgical stapler having temperature-based motor control |
US10238386B2 (en) | 2015-09-23 | 2019-03-26 | Ethicon Llc | Surgical stapler having motor control based on an electrical parameter related to a motor current |
US10105139B2 (en) | 2015-09-23 | 2018-10-23 | Ethicon Llc | Surgical stapler having downstream current-based motor control |
US10327769B2 (en) | 2015-09-23 | 2019-06-25 | Ethicon Llc | Surgical stapler having motor control based on a drive system component |
US10299878B2 (en) | 2015-09-25 | 2019-05-28 | Ethicon Llc | Implantable adjunct systems for determining adjunct skew |
US11890015B2 (en) | 2015-09-30 | 2024-02-06 | Cilag Gmbh International | Compressible adjunct with crossing spacer fibers |
US10603039B2 (en) | 2015-09-30 | 2020-03-31 | Ethicon Llc | Progressively releasable implantable adjunct for use with a surgical stapling instrument |
US10980539B2 (en) | 2015-09-30 | 2021-04-20 | Ethicon Llc | Implantable adjunct comprising bonded layers |
US10194973B2 (en) | 2015-09-30 | 2019-02-05 | Ethicon Llc | Generator for digitally generating electrical signal waveforms for electrosurgical and ultrasonic surgical instruments |
US10271849B2 (en) | 2015-09-30 | 2019-04-30 | Ethicon Llc | Woven constructs with interlocked standing fibers |
US10595930B2 (en) | 2015-10-16 | 2020-03-24 | Ethicon Llc | Electrode wiping surgical device |
US10959771B2 (en) | 2015-10-16 | 2021-03-30 | Ethicon Llc | Suction and irrigation sealing grasper |
US10265068B2 (en) | 2015-12-30 | 2019-04-23 | Ethicon Llc | Surgical instruments with separable motors and motor control circuits |
US10292704B2 (en) | 2015-12-30 | 2019-05-21 | Ethicon Llc | Mechanisms for compensating for battery pack failure in powered surgical instruments |
US10179022B2 (en) | 2015-12-30 | 2019-01-15 | Ethicon Llc | Jaw position impedance limiter for electrosurgical instrument |
US10959806B2 (en) | 2015-12-30 | 2021-03-30 | Ethicon Llc | Energized medical device with reusable handle |
US10368865B2 (en) | 2015-12-30 | 2019-08-06 | Ethicon Llc | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US10575892B2 (en) | 2015-12-31 | 2020-03-03 | Ethicon Llc | Adapter for electrical surgical instruments |
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 |
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 |
US11051840B2 (en) | 2016-01-15 | 2021-07-06 | Ethicon Llc | Modular battery powered handheld surgical instrument with reusable asymmetric handle housing |
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 |
US10433837B2 (en) | 2016-02-09 | 2019-10-08 | Ethicon Llc | Surgical instruments with multiple link articulation arrangements |
US11213293B2 (en) | 2016-02-09 | 2022-01-04 | Cilag Gmbh International | Articulatable surgical instruments with single articulation link arrangements |
BR112018016098B1 (en) | 2016-02-09 | 2023-02-23 | Ethicon Llc | SURGICAL INSTRUMENT |
US10448948B2 (en) | 2016-02-12 | 2019-10-22 | Ethicon Llc | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US11224426B2 (en) | 2016-02-12 | 2022-01-18 | Cilag Gmbh International | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US10258331B2 (en) | 2016-02-12 | 2019-04-16 | Ethicon Llc | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US10555769B2 (en) | 2016-02-22 | 2020-02-11 | Ethicon Llc | Flexible circuits for electrosurgical instrument |
US10617413B2 (en) | 2016-04-01 | 2020-04-14 | Ethicon Llc | Closure system arrangements for surgical cutting and stapling devices with separate and distinct firing shafts |
US10314582B2 (en) | 2016-04-01 | 2019-06-11 | Ethicon Llc | Surgical instrument comprising a shifting mechanism |
US10426467B2 (en) | 2016-04-15 | 2019-10-01 | Ethicon Llc | Surgical instrument with detection sensors |
US11607239B2 (en) | 2016-04-15 | 2023-03-21 | Cilag Gmbh International | Systems and methods for controlling a surgical stapling and cutting instrument |
US10492783B2 (en) | 2016-04-15 | 2019-12-03 | Ethicon, Llc | Surgical instrument with improved stop/start control during a firing motion |
US10357247B2 (en) | 2016-04-15 | 2019-07-23 | Ethicon Llc | Surgical instrument with multiple program responses during a firing motion |
US10456137B2 (en) | 2016-04-15 | 2019-10-29 | Ethicon Llc | Staple formation detection mechanisms |
US10335145B2 (en) | 2016-04-15 | 2019-07-02 | Ethicon Llc | Modular surgical instrument with configurable operating mode |
US10405859B2 (en) | 2016-04-15 | 2019-09-10 | Ethicon Llc | Surgical instrument with adjustable stop/start control during a firing motion |
US10828028B2 (en) | 2016-04-15 | 2020-11-10 | Ethicon Llc | Surgical instrument with multiple program responses during a firing motion |
US11179150B2 (en) | 2016-04-15 | 2021-11-23 | Cilag Gmbh International | Systems and methods for controlling a surgical stapling and cutting instrument |
US11317917B2 (en) | 2016-04-18 | 2022-05-03 | Cilag Gmbh International | Surgical stapling system comprising a lockable firing assembly |
US10426469B2 (en) | 2016-04-18 | 2019-10-01 | Ethicon Llc | Surgical instrument comprising a primary firing lockout and a secondary firing lockout |
US20170296173A1 (en) | 2016-04-18 | 2017-10-19 | Ethicon Endo-Surgery, Llc | Method for operating a surgical instrument |
US10987156B2 (en) | 2016-04-29 | 2021-04-27 | Ethicon Llc | Electrosurgical instrument with electrically conductive gap setting member and electrically insulative tissue engaging members |
US10485607B2 (en) | 2016-04-29 | 2019-11-26 | Ethicon Llc | Jaw structure with distal closure for electrosurgical instruments |
US10646269B2 (en) | 2016-04-29 | 2020-05-12 | Ethicon Llc | Non-linear jaw gap 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 |
US10456193B2 (en) | 2016-05-03 | 2019-10-29 | Ethicon Llc | Medical device with a bilateral jaw configuration for nerve stimulation |
US20170348042A1 (en) * | 2016-06-01 | 2017-12-07 | Covidien Lp | Cutting mechanisms for surgical end effector assemblies, instruments, and systems |
USD822206S1 (en) | 2016-06-24 | 2018-07-03 | Ethicon Llc | Surgical fastener |
USD826405S1 (en) | 2016-06-24 | 2018-08-21 | Ethicon Llc | Surgical fastener |
US11000278B2 (en) | 2016-06-24 | 2021-05-11 | Ethicon Llc | Staple cartridge comprising wire staples and stamped staples |
USD847989S1 (en) | 2016-06-24 | 2019-05-07 | Ethicon Llc | Surgical fastener cartridge |
USD850617S1 (en) | 2016-06-24 | 2019-06-04 | Ethicon Llc | Surgical fastener cartridge |
CN109310431B (en) | 2016-06-24 | 2022-03-04 | 伊西康有限责任公司 | Staple cartridge comprising wire staples and punch staples |
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 |
US10682154B2 (en) * | 2016-08-02 | 2020-06-16 | Covidien Lp | Cutting mechanisms for surgical end effector assemblies, instruments, and systems |
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 |
US10828056B2 (en) | 2016-08-25 | 2020-11-10 | Ethicon Llc | Ultrasonic transducer to waveguide acoustic coupling, connections, and configurations |
US10751117B2 (en) | 2016-09-23 | 2020-08-25 | Ethicon Llc | Electrosurgical instrument with fluid diverter |
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 |
US20180168625A1 (en) | 2016-12-21 | 2018-06-21 | Ethicon Endo-Surgery, Llc | Surgical stapling instruments with smart staple cartridges |
US20180168615A1 (en) | 2016-12-21 | 2018-06-21 | Ethicon Endo-Surgery, Llc | Method of deforming staples from two different types of staple cartridges with the same surgical stapling instrument |
US11134942B2 (en) | 2016-12-21 | 2021-10-05 | Cilag Gmbh International | Surgical stapling instruments and staple-forming anvils |
US10945727B2 (en) | 2016-12-21 | 2021-03-16 | Ethicon Llc | Staple cartridge with deformable driver retention features |
US10993715B2 (en) | 2016-12-21 | 2021-05-04 | Ethicon Llc | Staple cartridge comprising staples with different clamping breadths |
US11684367B2 (en) | 2016-12-21 | 2023-06-27 | Cilag Gmbh International | Stepped assembly having and end-of-life indicator |
US20180168648A1 (en) | 2016-12-21 | 2018-06-21 | Ethicon Endo-Surgery, Llc | Durability features for end effectors and firing assemblies of surgical stapling instruments |
US11419606B2 (en) | 2016-12-21 | 2022-08-23 | Cilag Gmbh International | Shaft assembly comprising a clutch configured to adapt the output of a rotary firing member to two different systems |
JP6983893B2 (en) | 2016-12-21 | 2021-12-17 | エシコン エルエルシーEthicon LLC | Lockout configuration for surgical end effectors and replaceable tool assemblies |
US10695055B2 (en) | 2016-12-21 | 2020-06-30 | Ethicon Llc | Firing assembly comprising a lockout |
US20180168598A1 (en) | 2016-12-21 | 2018-06-21 | Ethicon Endo-Surgery, Llc | Staple forming pocket arrangements comprising zoned forming surface grooves |
US10610224B2 (en) | 2016-12-21 | 2020-04-07 | Ethicon Llc | Lockout arrangements for surgical end effectors and replaceable tool assemblies |
US11191540B2 (en) | 2016-12-21 | 2021-12-07 | Cilag Gmbh International | Protective cover arrangements for a joint interface between a movable jaw and actuator shaft of a surgical instrument |
US10426471B2 (en) | 2016-12-21 | 2019-10-01 | Ethicon Llc | Surgical instrument with multiple failure response modes |
US10568625B2 (en) | 2016-12-21 | 2020-02-25 | Ethicon Llc | Staple cartridges and arrangements of staples and staple cavities therein |
US10687810B2 (en) | 2016-12-21 | 2020-06-23 | Ethicon Llc | Stepped staple cartridge with tissue retention and gap setting features |
US10675025B2 (en) | 2016-12-21 | 2020-06-09 | Ethicon Llc | Shaft assembly comprising separately actuatable and retractable systems |
US11090048B2 (en) | 2016-12-21 | 2021-08-17 | Cilag Gmbh International | Method for resetting a fuse of a surgical instrument shaft |
US10888322B2 (en) | 2016-12-21 | 2021-01-12 | Ethicon Llc | Surgical instrument comprising a cutting member |
MX2019007418A (en) * | 2016-12-21 | 2019-10-30 | Ethicon Llc | Surgical stapling instruments with smart staple cartridges. |
JP7010956B2 (en) | 2016-12-21 | 2022-01-26 | エシコン エルエルシー | How to staple tissue |
US10568624B2 (en) | 2016-12-21 | 2020-02-25 | Ethicon Llc | Surgical instruments with jaws that are pivotable about a fixed axis and include separate and distinct closure and firing systems |
US10856868B2 (en) | 2016-12-21 | 2020-12-08 | Ethicon Llc | Firing member pin configurations |
MX2019007311A (en) | 2016-12-21 | 2019-11-18 | Ethicon Llc | Surgical stapling systems. |
US10588630B2 (en) | 2016-12-21 | 2020-03-17 | Ethicon Llc | Surgical tool assemblies with closure stroke reduction features |
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 |
US11653914B2 (en) | 2017-06-20 | 2023-05-23 | Cilag Gmbh International | Systems and methods for controlling motor velocity of a surgical stapling and cutting instrument according to articulation angle of end effector |
US10888321B2 (en) | 2017-06-20 | 2021-01-12 | Ethicon Llc | Systems and methods for controlling velocity of a displacement member of a surgical stapling and cutting instrument |
US10813639B2 (en) | 2017-06-20 | 2020-10-27 | Ethicon Llc | Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on system conditions |
US10624633B2 (en) | 2017-06-20 | 2020-04-21 | Ethicon Llc | Systems and methods for controlling motor velocity of a surgical stapling and cutting instrument |
US10881399B2 (en) | 2017-06-20 | 2021-01-05 | Ethicon Llc | Techniques for adaptive control of motor velocity of a surgical stapling and cutting instrument |
US11382638B2 (en) | 2017-06-20 | 2022-07-12 | Cilag Gmbh International | Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on measured time over a specified displacement distance |
US10368864B2 (en) | 2017-06-20 | 2019-08-06 | Ethicon Llc | Systems and methods for controlling displaying motor velocity for a surgical instrument |
US10881396B2 (en) | 2017-06-20 | 2021-01-05 | Ethicon Llc | Surgical instrument with variable duration trigger arrangement |
USD890784S1 (en) | 2017-06-20 | 2020-07-21 | Ethicon Llc | Display panel with changeable graphical user interface |
US11071554B2 (en) | 2017-06-20 | 2021-07-27 | Cilag Gmbh International | Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on magnitude of velocity error measurements |
US10646220B2 (en) | 2017-06-20 | 2020-05-12 | Ethicon Llc | Systems and methods for controlling displacement member velocity for a surgical instrument |
USD879809S1 (en) | 2017-06-20 | 2020-03-31 | Ethicon Llc | Display panel with changeable graphical user interface |
US10307170B2 (en) | 2017-06-20 | 2019-06-04 | Ethicon Llc | Method for closed loop control of motor velocity of a surgical stapling and cutting instrument |
US10390841B2 (en) | 2017-06-20 | 2019-08-27 | Ethicon Llc | Control of motor velocity of a surgical stapling and cutting instrument based on angle of articulation |
US10779820B2 (en) | 2017-06-20 | 2020-09-22 | Ethicon Llc | Systems and methods for controlling motor speed according to user input for a surgical instrument |
USD879808S1 (en) | 2017-06-20 | 2020-03-31 | Ethicon Llc | Display panel with graphical user interface |
US11517325B2 (en) | 2017-06-20 | 2022-12-06 | Cilag Gmbh International | Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on measured displacement distance traveled over a specified time interval |
US10980537B2 (en) | 2017-06-20 | 2021-04-20 | Ethicon Llc | Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on measured time over a specified number of shaft rotations |
US11090046B2 (en) | 2017-06-20 | 2021-08-17 | Cilag Gmbh International | Systems and methods for controlling displacement member motion of a surgical stapling and cutting instrument |
US10327767B2 (en) | 2017-06-20 | 2019-06-25 | Ethicon Llc | Control of motor velocity of a surgical stapling and cutting instrument based on angle of articulation |
US11266405B2 (en) | 2017-06-27 | 2022-03-08 | Cilag Gmbh International | Surgical anvil manufacturing methods |
US10631859B2 (en) | 2017-06-27 | 2020-04-28 | Ethicon Llc | Articulation systems for surgical instruments |
US10856869B2 (en) | 2017-06-27 | 2020-12-08 | Ethicon Llc | Surgical anvil arrangements |
US10772629B2 (en) | 2017-06-27 | 2020-09-15 | Ethicon Llc | Surgical anvil arrangements |
US11324503B2 (en) | 2017-06-27 | 2022-05-10 | Cilag Gmbh International | Surgical firing member arrangements |
US10993716B2 (en) | 2017-06-27 | 2021-05-04 | Ethicon Llc | Surgical anvil arrangements |
US11246592B2 (en) | 2017-06-28 | 2022-02-15 | Cilag Gmbh International | Surgical instrument comprising an articulation system lockable to a frame |
USD854151S1 (en) | 2017-06-28 | 2019-07-16 | Ethicon Llc | Surgical instrument shaft |
US10211586B2 (en) | 2017-06-28 | 2019-02-19 | Ethicon Llc | Surgical shaft assemblies with watertight housings |
US10903685B2 (en) | 2017-06-28 | 2021-01-26 | Ethicon Llc | Surgical shaft assemblies with slip ring assemblies forming capacitive channels |
USD906355S1 (en) | 2017-06-28 | 2020-12-29 | Ethicon Llc | Display screen or portion thereof with a graphical user interface for a surgical instrument |
US11259805B2 (en) | 2017-06-28 | 2022-03-01 | Cilag Gmbh International | Surgical instrument comprising firing member supports |
USD851762S1 (en) | 2017-06-28 | 2019-06-18 | Ethicon Llc | Anvil |
US11678880B2 (en) | 2017-06-28 | 2023-06-20 | Cilag Gmbh International | Surgical instrument comprising a shaft including a housing arrangement |
USD869655S1 (en) | 2017-06-28 | 2019-12-10 | Ethicon Llc | Surgical fastener cartridge |
US20190000461A1 (en) | 2017-06-28 | 2019-01-03 | Ethicon Llc | Surgical cutting and fastening devices with pivotable anvil with a tissue locating arrangement in close proximity to an anvil pivot axis |
EP4070740A1 (en) | 2017-06-28 | 2022-10-12 | Cilag GmbH International | Surgical instrument comprising selectively actuatable rotatable couplers |
US10716614B2 (en) | 2017-06-28 | 2020-07-21 | Ethicon Llc | Surgical shaft assemblies with slip ring assemblies with increased contact pressure |
US11564686B2 (en) | 2017-06-28 | 2023-01-31 | Cilag Gmbh International | Surgical shaft assemblies with flexible interfaces |
US10603117B2 (en) | 2017-06-28 | 2020-03-31 | Ethicon Llc | Articulation state detection mechanisms |
US10765427B2 (en) | 2017-06-28 | 2020-09-08 | Ethicon Llc | Method for articulating a surgical instrument |
US10932772B2 (en) | 2017-06-29 | 2021-03-02 | Ethicon Llc | Methods for closed loop velocity control for robotic surgical instrument |
US10398434B2 (en) | 2017-06-29 | 2019-09-03 | Ethicon Llc | Closed loop velocity control of closure member for robotic surgical instrument |
US11007022B2 (en) | 2017-06-29 | 2021-05-18 | Ethicon Llc | Closed loop velocity control techniques based on sensed tissue parameters for robotic surgical instrument |
US10898183B2 (en) | 2017-06-29 | 2021-01-26 | Ethicon Llc | Robotic surgical instrument with closed loop feedback techniques for advancement of closure member during firing |
US10258418B2 (en) | 2017-06-29 | 2019-04-16 | Ethicon Llc | System for controlling articulation forces |
US10820920B2 (en) | 2017-07-05 | 2020-11-03 | Ethicon Llc | Reusable ultrasonic medical devices and methods of their use |
US11304695B2 (en) | 2017-08-03 | 2022-04-19 | Cilag Gmbh International | Surgical system shaft interconnection |
US11471155B2 (en) | 2017-08-03 | 2022-10-18 | Cilag Gmbh International | Surgical system bailout |
US11944300B2 (en) | 2017-08-03 | 2024-04-02 | Cilag Gmbh International | Method for operating a surgical system bailout |
US10729501B2 (en) | 2017-09-29 | 2020-08-04 | Ethicon Llc | Systems and methods for language selection of a surgical instrument |
US11484358B2 (en) | 2017-09-29 | 2022-11-01 | Cilag Gmbh International | Flexible electrosurgical instrument |
USD907648S1 (en) | 2017-09-29 | 2021-01-12 | Ethicon Llc | Display screen or portion thereof with animated graphical user interface |
USD917500S1 (en) | 2017-09-29 | 2021-04-27 | Ethicon Llc | Display screen or portion thereof with graphical user interface |
US11033323B2 (en) | 2017-09-29 | 2021-06-15 | Cilag Gmbh International | Systems and methods for managing fluid and suction in electrosurgical systems |
US10743872B2 (en) | 2017-09-29 | 2020-08-18 | Ethicon Llc | System and methods for controlling a display of a surgical instrument |
US11490951B2 (en) | 2017-09-29 | 2022-11-08 | Cilag Gmbh International | Saline contact with electrodes |
USD907647S1 (en) | 2017-09-29 | 2021-01-12 | Ethicon Llc | Display screen or portion thereof with animated graphical user interface |
US10796471B2 (en) | 2017-09-29 | 2020-10-06 | Ethicon Llc | Systems and methods of displaying a knife position for a surgical instrument |
US10765429B2 (en) | 2017-09-29 | 2020-09-08 | Ethicon Llc | Systems and methods for providing alerts according to the operational state of a surgical instrument |
US11399829B2 (en) | 2017-09-29 | 2022-08-02 | Cilag Gmbh International | Systems and methods of initiating a power shutdown mode for a surgical instrument |
US11134944B2 (en) | 2017-10-30 | 2021-10-05 | Cilag Gmbh International | Surgical stapler knife motion controls |
US11090075B2 (en) | 2017-10-30 | 2021-08-17 | Cilag Gmbh International | Articulation features for surgical end effector |
US10779903B2 (en) | 2017-10-31 | 2020-09-22 | Ethicon Llc | Positive shaft rotation lock activated by jaw closure |
US10842490B2 (en) | 2017-10-31 | 2020-11-24 | Ethicon Llc | Cartridge body design with force reduction based on firing completion |
US11006955B2 (en) | 2017-12-15 | 2021-05-18 | Ethicon Llc | End effectors with positive jaw opening features for use with adapters for electromechanical surgical instruments |
US10743874B2 (en) | 2017-12-15 | 2020-08-18 | Ethicon Llc | Sealed adapters for use with electromechanical surgical instruments |
US10779826B2 (en) | 2017-12-15 | 2020-09-22 | Ethicon Llc | Methods of operating surgical end effectors |
US11197670B2 (en) | 2017-12-15 | 2021-12-14 | Cilag Gmbh International | Surgical end effectors with pivotal jaws configured to touch at their respective distal ends when fully closed |
US10779825B2 (en) | 2017-12-15 | 2020-09-22 | Ethicon Llc | Adapters with end effector position sensing and control arrangements for use in connection with electromechanical surgical instruments |
US10869666B2 (en) | 2017-12-15 | 2020-12-22 | Ethicon Llc | Adapters with control systems for controlling multiple motors of an electromechanical surgical instrument |
US10828033B2 (en) | 2017-12-15 | 2020-11-10 | Ethicon Llc | Handheld electromechanical surgical instruments with improved motor control arrangements for positioning components of an adapter coupled thereto |
US11033267B2 (en) | 2017-12-15 | 2021-06-15 | Ethicon Llc | Systems and methods of controlling a clamping member firing rate of a surgical instrument |
US10966718B2 (en) | 2017-12-15 | 2021-04-06 | Ethicon Llc | Dynamic clamping assemblies with improved wear characteristics for use in connection with electromechanical surgical instruments |
US10687813B2 (en) | 2017-12-15 | 2020-06-23 | Ethicon Llc | Adapters with firing stroke sensing arrangements for use in connection with electromechanical surgical instruments |
US10743875B2 (en) | 2017-12-15 | 2020-08-18 | Ethicon Llc | Surgical end effectors with jaw stiffener arrangements configured to permit monitoring of firing member |
US11071543B2 (en) | 2017-12-15 | 2021-07-27 | Cilag Gmbh International | Surgical end effectors with clamping assemblies configured to increase jaw aperture ranges |
US11045270B2 (en) | 2017-12-19 | 2021-06-29 | Cilag Gmbh International | Robotic attachment comprising exterior drive actuator |
US11020112B2 (en) | 2017-12-19 | 2021-06-01 | Ethicon Llc | Surgical tools configured for interchangeable use with different controller interfaces |
US10716565B2 (en) | 2017-12-19 | 2020-07-21 | Ethicon Llc | Surgical instruments with dual articulation drivers |
US10729509B2 (en) | 2017-12-19 | 2020-08-04 | Ethicon Llc | Surgical instrument comprising closure and firing locking mechanism |
USD910847S1 (en) | 2017-12-19 | 2021-02-16 | Ethicon Llc | Surgical instrument assembly |
US10835330B2 (en) | 2017-12-19 | 2020-11-17 | Ethicon Llc | Method for determining the position of a rotatable jaw of a surgical instrument attachment assembly |
US11076853B2 (en) | 2017-12-21 | 2021-08-03 | Cilag Gmbh International | Systems and methods of displaying a knife position during transection for a surgical instrument |
US11337691B2 (en) | 2017-12-21 | 2022-05-24 | Cilag Gmbh International | Surgical instrument configured to determine firing path |
US11311290B2 (en) | 2017-12-21 | 2022-04-26 | Cilag Gmbh International | Surgical instrument comprising an end effector dampener |
US11129680B2 (en) | 2017-12-21 | 2021-09-28 | Cilag Gmbh International | Surgical instrument comprising a projector |
US11045192B2 (en) | 2018-08-20 | 2021-06-29 | Cilag Gmbh International | Fabricating techniques for surgical stapler anvils |
US10779821B2 (en) | 2018-08-20 | 2020-09-22 | Ethicon Llc | Surgical stapler anvils with tissue stop features configured to avoid tissue pinch |
US11083458B2 (en) | 2018-08-20 | 2021-08-10 | Cilag Gmbh International | Powered surgical instruments with clutching arrangements to convert linear drive motions to rotary drive motions |
USD914878S1 (en) | 2018-08-20 | 2021-03-30 | Ethicon Llc | Surgical instrument anvil |
US10842492B2 (en) | 2018-08-20 | 2020-11-24 | Ethicon Llc | Powered articulatable surgical instruments with clutching and locking arrangements for linking an articulation drive system to a firing drive system |
US11039834B2 (en) | 2018-08-20 | 2021-06-22 | Cilag Gmbh International | Surgical stapler anvils with staple directing protrusions and tissue stability features |
US10856870B2 (en) | 2018-08-20 | 2020-12-08 | Ethicon Llc | Switching arrangements for motor powered articulatable surgical instruments |
US10912559B2 (en) | 2018-08-20 | 2021-02-09 | Ethicon Llc | Reinforced deformable anvil tip for surgical stapler anvil |
US11207065B2 (en) | 2018-08-20 | 2021-12-28 | Cilag Gmbh International | Method for fabricating surgical stapler anvils |
US11291440B2 (en) | 2018-08-20 | 2022-04-05 | Cilag Gmbh International | Method for operating a powered articulatable surgical instrument |
US11324501B2 (en) | 2018-08-20 | 2022-05-10 | Cilag Gmbh International | Surgical stapling devices with improved closure members |
US11253256B2 (en) | 2018-08-20 | 2022-02-22 | Cilag Gmbh International | Articulatable motor powered surgical instruments with dedicated articulation motor arrangements |
US11147551B2 (en) | 2019-03-25 | 2021-10-19 | Cilag Gmbh International | Firing drive arrangements for surgical systems |
US11696761B2 (en) | 2019-03-25 | 2023-07-11 | Cilag Gmbh International | Firing drive arrangements for surgical systems |
US11147553B2 (en) | 2019-03-25 | 2021-10-19 | Cilag Gmbh International | Firing drive arrangements for surgical systems |
US11172929B2 (en) | 2019-03-25 | 2021-11-16 | Cilag Gmbh International | Articulation drive arrangements for surgical systems |
US11471157B2 (en) | 2019-04-30 | 2022-10-18 | Cilag Gmbh International | Articulation control mapping for a surgical instrument |
US11903581B2 (en) | 2019-04-30 | 2024-02-20 | Cilag Gmbh International | Methods for stapling tissue using a surgical instrument |
US11452528B2 (en) | 2019-04-30 | 2022-09-27 | Cilag Gmbh International | Articulation actuators for a surgical instrument |
US11426251B2 (en) | 2019-04-30 | 2022-08-30 | Cilag Gmbh International | Articulation directional lights on a surgical instrument |
US11432816B2 (en) | 2019-04-30 | 2022-09-06 | Cilag Gmbh International | Articulation pin for a surgical instrument |
US11648009B2 (en) | 2019-04-30 | 2023-05-16 | Cilag Gmbh International | Rotatable jaw tip for a surgical instrument |
US11253254B2 (en) | 2019-04-30 | 2022-02-22 | Cilag Gmbh International | Shaft rotation actuator on a surgical instrument |
US11723729B2 (en) | 2019-06-27 | 2023-08-15 | Cilag Gmbh International | Robotic surgical assembly coupling safety mechanisms |
US11612445B2 (en) | 2019-06-27 | 2023-03-28 | Cilag Gmbh International | Cooperative operation of robotic arms |
US11547468B2 (en) | 2019-06-27 | 2023-01-10 | Cilag Gmbh International | Robotic surgical system with safety and cooperative sensing control |
US11413102B2 (en) | 2019-06-27 | 2022-08-16 | Cilag Gmbh International | Multi-access port for surgical robotic systems |
US11607278B2 (en) | 2019-06-27 | 2023-03-21 | Cilag Gmbh International | Cooperative robotic surgical systems |
US11478241B2 (en) | 2019-06-28 | 2022-10-25 | Cilag Gmbh International | Staple cartridge including projections |
US11219455B2 (en) | 2019-06-28 | 2022-01-11 | Cilag Gmbh International | Surgical instrument including a lockout key |
US11051807B2 (en) | 2019-06-28 | 2021-07-06 | Cilag Gmbh International | Packaging assembly including a particulate trap |
US11426167B2 (en) | 2019-06-28 | 2022-08-30 | Cilag Gmbh International | Mechanisms for proper anvil attachment surgical stapling head assembly |
US11298127B2 (en) | 2019-06-28 | 2022-04-12 | Cilag GmbH Interational | Surgical stapling system having a lockout mechanism for an incompatible cartridge |
US11224497B2 (en) | 2019-06-28 | 2022-01-18 | Cilag Gmbh International | Surgical systems with multiple RFID tags |
US11497492B2 (en) | 2019-06-28 | 2022-11-15 | Cilag Gmbh International | Surgical instrument including an articulation lock |
US11241235B2 (en) | 2019-06-28 | 2022-02-08 | Cilag Gmbh International | Method of using multiple RFID chips with a surgical assembly |
US11553971B2 (en) | 2019-06-28 | 2023-01-17 | Cilag Gmbh International | Surgical RFID assemblies for display and communication |
US11376098B2 (en) | 2019-06-28 | 2022-07-05 | Cilag Gmbh International | Surgical instrument system comprising an RFID system |
US11660163B2 (en) | 2019-06-28 | 2023-05-30 | Cilag Gmbh International | Surgical system with RFID tags for updating motor assembly parameters |
US11464601B2 (en) | 2019-06-28 | 2022-10-11 | Cilag Gmbh International | Surgical instrument comprising an RFID system for tracking a movable component |
US11259803B2 (en) | 2019-06-28 | 2022-03-01 | Cilag Gmbh International | Surgical stapling system having an information encryption protocol |
US11523822B2 (en) | 2019-06-28 | 2022-12-13 | Cilag Gmbh International | Battery pack including a circuit interrupter |
US11638587B2 (en) | 2019-06-28 | 2023-05-02 | Cilag Gmbh International | RFID identification systems for surgical instruments |
US11399837B2 (en) | 2019-06-28 | 2022-08-02 | Cilag Gmbh International | Mechanisms for motor control adjustments of a motorized surgical instrument |
US11246678B2 (en) | 2019-06-28 | 2022-02-15 | Cilag Gmbh International | Surgical stapling system having a frangible RFID tag |
US11771419B2 (en) | 2019-06-28 | 2023-10-03 | Cilag Gmbh International | Packaging for a replaceable component of a surgical stapling system |
US11627959B2 (en) | 2019-06-28 | 2023-04-18 | Cilag Gmbh International | Surgical instruments including manual and powered system lockouts |
US11291451B2 (en) | 2019-06-28 | 2022-04-05 | Cilag Gmbh International | Surgical instrument with battery compatibility verification functionality |
US11298132B2 (en) | 2019-06-28 | 2022-04-12 | Cilag GmbH Inlernational | Staple cartridge including a honeycomb extension |
US11684434B2 (en) | 2019-06-28 | 2023-06-27 | Cilag Gmbh International | Surgical RFID assemblies for instrument operational setting control |
US11844520B2 (en) | 2019-12-19 | 2023-12-19 | Cilag Gmbh International | Staple cartridge comprising driver retention members |
US11701111B2 (en) | 2019-12-19 | 2023-07-18 | Cilag Gmbh International | Method for operating a surgical stapling instrument |
US11931033B2 (en) | 2019-12-19 | 2024-03-19 | Cilag Gmbh International | Staple cartridge comprising a latch lockout |
US11446029B2 (en) | 2019-12-19 | 2022-09-20 | Cilag Gmbh International | Staple cartridge comprising projections extending from a curved deck surface |
US11234698B2 (en) | 2019-12-19 | 2022-02-01 | Cilag Gmbh International | Stapling system comprising a clamp lockout and a firing lockout |
US11529137B2 (en) * | 2019-12-19 | 2022-12-20 | Cilag Gmbh International | Staple cartridge comprising driver retention members |
US11291447B2 (en) | 2019-12-19 | 2022-04-05 | Cilag Gmbh International | Stapling instrument comprising independent jaw closing and staple firing systems |
US11304696B2 (en) | 2019-12-19 | 2022-04-19 | Cilag Gmbh International | Surgical instrument comprising a powered articulation system |
US11911032B2 (en) | 2019-12-19 | 2024-02-27 | Cilag Gmbh International | Staple cartridge comprising a seating cam |
US11529139B2 (en) | 2019-12-19 | 2022-12-20 | Cilag Gmbh International | Motor driven surgical instrument |
US11576672B2 (en) | 2019-12-19 | 2023-02-14 | Cilag Gmbh International | Surgical instrument comprising a closure system including a closure member and an opening member driven by a drive screw |
US11504122B2 (en) | 2019-12-19 | 2022-11-22 | Cilag Gmbh International | Surgical instrument comprising a nested firing member |
US11607219B2 (en) | 2019-12-19 | 2023-03-21 | Cilag Gmbh International | Staple cartridge comprising a detachable tissue cutting knife |
US11559304B2 (en) | 2019-12-19 | 2023-01-24 | Cilag Gmbh International | Surgical instrument comprising a rapid closure mechanism |
US11464512B2 (en) | 2019-12-19 | 2022-10-11 | Cilag Gmbh International | Staple cartridge comprising a curved deck surface |
US11707318B2 (en) | 2019-12-30 | 2023-07-25 | Cilag Gmbh International | Surgical instrument with jaw alignment features |
US11696776B2 (en) | 2019-12-30 | 2023-07-11 | Cilag Gmbh International | Articulatable surgical instrument |
US11779387B2 (en) | 2019-12-30 | 2023-10-10 | Cilag Gmbh International | Clamp arm jaw to minimize tissue sticking and improve tissue control |
US11786294B2 (en) | 2019-12-30 | 2023-10-17 | Cilag Gmbh International | Control program for modular combination energy device |
US11944366B2 (en) | 2019-12-30 | 2024-04-02 | Cilag Gmbh International | Asymmetric segmented ultrasonic support pad for cooperative engagement with a movable RF electrode |
US11786291B2 (en) | 2019-12-30 | 2023-10-17 | Cilag Gmbh International | Deflectable support of RF energy electrode with respect to opposing ultrasonic blade |
US11812957B2 (en) | 2019-12-30 | 2023-11-14 | Cilag Gmbh International | Surgical instrument comprising a signal interference resolution system |
US11937866B2 (en) | 2019-12-30 | 2024-03-26 | Cilag Gmbh International | Method for an electrosurgical procedure |
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 |
US20210196362A1 (en) | 2019-12-30 | 2021-07-01 | Ethicon Llc | Electrosurgical end effectors with thermally insulative and thermally conductive portions |
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 |
US11937863B2 (en) | 2019-12-30 | 2024-03-26 | Cilag Gmbh International | Deflectable electrode with variable compression bias along the length of the deflectable electrode |
US11950797B2 (en) | 2019-12-30 | 2024-04-09 | Cilag Gmbh International | Deflectable electrode with higher distal bias relative to proximal bias |
US11660089B2 (en) | 2019-12-30 | 2023-05-30 | Cilag Gmbh International | Surgical instrument comprising a sensing system |
US20210196349A1 (en) | 2019-12-30 | 2021-07-01 | Ethicon Llc | Electrosurgical instrument with flexible wiring assemblies |
USD967421S1 (en) | 2020-06-02 | 2022-10-18 | Cilag Gmbh International | Staple cartridge |
USD974560S1 (en) | 2020-06-02 | 2023-01-03 | Cilag Gmbh International | Staple cartridge |
USD976401S1 (en) | 2020-06-02 | 2023-01-24 | Cilag Gmbh International | Staple cartridge |
USD975851S1 (en) | 2020-06-02 | 2023-01-17 | Cilag Gmbh International | Staple cartridge |
USD975278S1 (en) | 2020-06-02 | 2023-01-10 | Cilag Gmbh International | Staple cartridge |
USD975850S1 (en) | 2020-06-02 | 2023-01-17 | Cilag Gmbh International | Staple cartridge |
USD966512S1 (en) | 2020-06-02 | 2022-10-11 | Cilag Gmbh International | Staple cartridge |
US11883024B2 (en) | 2020-07-28 | 2024-01-30 | Cilag Gmbh International | Method of operating a surgical instrument |
US11660109B2 (en) | 2020-09-08 | 2023-05-30 | Covidien Lp | Cutting elements for surgical instruments such as for use in robotic surgical systems |
US11896217B2 (en) | 2020-10-29 | 2024-02-13 | Cilag Gmbh International | Surgical instrument comprising an articulation lock |
US11534259B2 (en) | 2020-10-29 | 2022-12-27 | Cilag Gmbh International | Surgical instrument comprising an articulation indicator |
US11779330B2 (en) | 2020-10-29 | 2023-10-10 | Cilag Gmbh International | Surgical instrument comprising a jaw alignment system |
USD980425S1 (en) | 2020-10-29 | 2023-03-07 | Cilag Gmbh International | Surgical instrument assembly |
US11844518B2 (en) | 2020-10-29 | 2023-12-19 | Cilag Gmbh International | Method for operating a surgical instrument |
USD1013170S1 (en) | 2020-10-29 | 2024-01-30 | Cilag Gmbh International | Surgical instrument assembly |
US11931025B2 (en) | 2020-10-29 | 2024-03-19 | Cilag Gmbh International | Surgical instrument comprising a releasable closure drive lock |
US11517390B2 (en) | 2020-10-29 | 2022-12-06 | Cilag Gmbh International | Surgical instrument comprising a limited travel switch |
US11617577B2 (en) | 2020-10-29 | 2023-04-04 | Cilag Gmbh International | Surgical instrument comprising a sensor configured to sense whether an articulation drive of the surgical instrument is actuatable |
US11717289B2 (en) | 2020-10-29 | 2023-08-08 | Cilag Gmbh International | Surgical instrument comprising an indicator which indicates that an articulation drive is actuatable |
US11452526B2 (en) | 2020-10-29 | 2022-09-27 | Cilag Gmbh International | Surgical instrument comprising a staged voltage regulation start-up system |
US11744581B2 (en) | 2020-12-02 | 2023-09-05 | Cilag Gmbh International | Powered surgical instruments with multi-phase tissue treatment |
US11678882B2 (en) | 2020-12-02 | 2023-06-20 | Cilag Gmbh International | Surgical instruments with interactive features to remedy incidental sled movements |
US11890010B2 (en) | 2020-12-02 | 2024-02-06 | Cllag GmbH International | Dual-sided reinforced reload for surgical instruments |
US11653915B2 (en) | 2020-12-02 | 2023-05-23 | Cilag Gmbh International | Surgical instruments with sled location detection and adjustment features |
US11849943B2 (en) | 2020-12-02 | 2023-12-26 | Cilag Gmbh International | Surgical instrument with cartridge release mechanisms |
US11944296B2 (en) | 2020-12-02 | 2024-04-02 | Cilag Gmbh International | Powered surgical instruments with external connectors |
US11627960B2 (en) | 2020-12-02 | 2023-04-18 | Cilag Gmbh International | Powered surgical instruments with smart reload with separately attachable exteriorly mounted wiring connections |
US11737751B2 (en) | 2020-12-02 | 2023-08-29 | Cilag Gmbh International | Devices and methods of managing energy dissipated within sterile barriers of surgical instrument housings |
US11653920B2 (en) | 2020-12-02 | 2023-05-23 | Cilag Gmbh International | Powered surgical instruments with communication interfaces through sterile barrier |
US11925349B2 (en) | 2021-02-26 | 2024-03-12 | Cilag Gmbh International | Adjustment to transfer parameters to improve available power |
US11730473B2 (en) | 2021-02-26 | 2023-08-22 | Cilag Gmbh International | Monitoring of manufacturing life-cycle |
US11701113B2 (en) | 2021-02-26 | 2023-07-18 | Cilag Gmbh International | Stapling instrument comprising a separate power antenna and a data transfer antenna |
US11749877B2 (en) | 2021-02-26 | 2023-09-05 | Cilag Gmbh International | Stapling instrument comprising a signal antenna |
US11950777B2 (en) | 2021-02-26 | 2024-04-09 | Cilag Gmbh International | Staple cartridge comprising an information access control system |
US11751869B2 (en) | 2021-02-26 | 2023-09-12 | Cilag Gmbh International | Monitoring of multiple sensors over time to detect moving characteristics of tissue |
US11793514B2 (en) | 2021-02-26 | 2023-10-24 | Cilag Gmbh International | Staple cartridge comprising sensor array which may be embedded in cartridge body |
US11696757B2 (en) | 2021-02-26 | 2023-07-11 | Cilag Gmbh International | Monitoring of internal systems to detect and track cartridge motion status |
US11723657B2 (en) | 2021-02-26 | 2023-08-15 | Cilag Gmbh International | Adjustable communication based on available bandwidth and power capacity |
US11744583B2 (en) | 2021-02-26 | 2023-09-05 | Cilag Gmbh International | Distal communication array to tune frequency of RF systems |
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Citations (44)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4550870A (en) * | 1983-10-13 | 1985-11-05 | Alchemia Ltd. Partnership | Stapling device |
US5119983A (en) * | 1987-05-26 | 1992-06-09 | United States Surgical Corporation | Surgical stapler apparatus |
US5129570A (en) * | 1990-11-30 | 1992-07-14 | Ethicon, Inc. | Surgical stapler |
US5158222A (en) * | 1987-05-26 | 1992-10-27 | United States Surgical Corp. | Surgical stapler apparatus |
US5236437A (en) * | 1992-07-14 | 1993-08-17 | Wilk Peter J | Surgical instrument assembly and associated technique |
US5242458A (en) * | 1991-10-15 | 1993-09-07 | Ethicon, Inc. | Suture needle holder for endoscopic use |
US5292053A (en) * | 1991-08-23 | 1994-03-08 | Ethicon, Inc. | Surgical anastomosis stapling instrument |
US5330483A (en) * | 1992-12-18 | 1994-07-19 | Advanced Surgical Inc. | Specimen reduction device |
US5376095A (en) * | 1993-11-04 | 1994-12-27 | Ethicon Endo-Surgery | Endoscopic multi-fire flat stapler with low profile |
US5379933A (en) * | 1990-09-17 | 1995-01-10 | United States Surgical Corporation | Arcuate apparatus for applying two-part surgical fasteners |
US5395033A (en) * | 1993-05-24 | 1995-03-07 | Ethicon, Inc. | Endoscopic surgical instrument with electromagnetic sensor |
US5403312A (en) * | 1993-07-22 | 1995-04-04 | Ethicon, Inc. | Electrosurgical hemostatic device |
US5411519A (en) * | 1992-09-23 | 1995-05-02 | United States Surgical Corporation | Surgical apparatus having hinged jaw structure |
US5431323A (en) * | 1992-10-09 | 1995-07-11 | Ethicon, Inc. | Endoscopic surgical instrument with pivotable and rotatable staple cartridge |
US5433721A (en) * | 1992-01-17 | 1995-07-18 | Ethicon, Inc. | Endoscopic instrument having a torsionally stiff drive shaft for applying fasteners to tissue |
US5465895A (en) * | 1994-02-03 | 1995-11-14 | Ethicon Endo-Surgery, Inc. | Surgical stapler instrument |
US5467911A (en) * | 1993-04-27 | 1995-11-21 | Olympus Optical Co., Ltd. | Surgical device for stapling and fastening body tissues |
US5484095A (en) * | 1992-03-31 | 1996-01-16 | United States Surgical Corporation | Apparatus for endoscopically applying staples individually to body tissue |
US5489058A (en) * | 1994-05-02 | 1996-02-06 | Minnesota Mining And Manufacturing Company | Surgical stapler with mechanisms for reducing the firing force |
US5509923A (en) * | 1989-08-16 | 1996-04-23 | Raychem Corporation | Device for dissecting, grasping, or cutting an object |
US5529235A (en) * | 1994-04-28 | 1996-06-25 | Ethicon Endo-Surgery, Inc. | Identification device for surgical instrument |
US5609285A (en) * | 1992-02-07 | 1997-03-11 | Ethicon, Inc. | Surgical anastomosis stapling instrument with flexible support shaft and anvil adjusting mechanism |
US5636780A (en) * | 1991-10-18 | 1997-06-10 | United States Surgical Corporation | Self contained gas powered surgical apparatus |
US5639008A (en) * | 1994-08-25 | 1997-06-17 | The United States Surgical Corporation | Anvil for circular stapler |
US5645209A (en) * | 1991-10-18 | 1997-07-08 | United States Surgical Corporation | Self contained gas powered surgical apparatus |
US5657921A (en) * | 1994-08-05 | 1997-08-19 | United States Surgical Corporation | Apparatus for applying surgical fasteners |
US5667517A (en) * | 1992-01-17 | 1997-09-16 | Ethicon, Inc. | Endoscopic surgical system with sensing means |
US5673842A (en) * | 1996-03-05 | 1997-10-07 | Ethicon Endo-Surgery | Surgical stapler with locking mechanism |
US5681330A (en) * | 1994-03-02 | 1997-10-28 | Ethicon Endo-Surgery, Inc. | Sterile occlusion fasteners and instrument and method for their placement |
US5695511A (en) * | 1994-11-29 | 1997-12-09 | Metamorphic Surgical Devices | Surgical instruments for minimally invasive procedures |
US5711472A (en) * | 1991-10-18 | 1998-01-27 | United States Surgical Corporation | Self contained gas powered surgical apparatus |
US5797959A (en) * | 1995-09-21 | 1998-08-25 | United States Surgical Corporation | Surgical apparatus with articulating jaw structure |
US5810881A (en) * | 1993-10-28 | 1998-09-22 | Microsurgical Equipment Ltd. | Clamping or gripping devices and method for producing the same |
US5878938A (en) * | 1997-08-11 | 1999-03-09 | Ethicon Endo-Surgery, Inc. | Surgical stapler with improved locking mechanism |
US6019758A (en) * | 1996-01-11 | 2000-02-01 | Symbiosis Corporation | Endoscopic bipolar multiple sample bioptome |
US6250532B1 (en) * | 1991-10-18 | 2001-06-26 | United States Surgical Corporation | Surgical stapling apparatus |
US20010007057A1 (en) * | 1997-04-29 | 2001-07-05 | Lippitt Raymond F. | Medical device |
US6388043B1 (en) * | 1998-02-23 | 2002-05-14 | Mnemoscience Gmbh | Shape memory polymers |
US20020072759A1 (en) * | 2000-08-15 | 2002-06-13 | Fry William R. | Low-profile, shape-memory surgical occluder |
US20020117534A1 (en) * | 1991-10-18 | 2002-08-29 | Green David T. | Apparatus and method for applying surgical staples to attach an object to body tissue |
US6443944B1 (en) * | 2000-05-19 | 2002-09-03 | Rajiv Doshi | Surgical devices comprising articulated members and methods for using the same |
US6488196B1 (en) * | 1999-06-30 | 2002-12-03 | Axya Medical, Inc. | Surgical stapler and method of applying plastic staples to body tissue |
US7287682B1 (en) * | 2003-01-20 | 2007-10-30 | Hazem Ezzat | Surgical device and method |
US7673782B2 (en) * | 2007-03-15 | 2010-03-09 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having a releasable buttress material |
-
2003
- 2003-02-13 US US10/366,170 patent/US7287682B1/en not_active Expired - Fee Related
-
2007
- 2007-10-23 US US11/977,005 patent/US7766928B2/en not_active Expired - Fee Related
-
2010
- 2010-06-21 US US12/819,415 patent/US20100252611A1/en not_active Abandoned
Patent Citations (50)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4550870A (en) * | 1983-10-13 | 1985-11-05 | Alchemia Ltd. Partnership | Stapling device |
US5119983A (en) * | 1987-05-26 | 1992-06-09 | United States Surgical Corporation | Surgical stapler apparatus |
US5158222A (en) * | 1987-05-26 | 1992-10-27 | United States Surgical Corp. | Surgical stapler apparatus |
US5509923A (en) * | 1989-08-16 | 1996-04-23 | Raychem Corporation | Device for dissecting, grasping, or cutting an object |
US5379933A (en) * | 1990-09-17 | 1995-01-10 | United States Surgical Corporation | Arcuate apparatus for applying two-part surgical fasteners |
US5129570A (en) * | 1990-11-30 | 1992-07-14 | Ethicon, Inc. | Surgical stapler |
US6131789A (en) * | 1990-11-30 | 2000-10-17 | Ethicon, Inc. | Surgical stapler |
US5292053A (en) * | 1991-08-23 | 1994-03-08 | Ethicon, Inc. | Surgical anastomosis stapling instrument |
US5242458A (en) * | 1991-10-15 | 1993-09-07 | Ethicon, Inc. | Suture needle holder for endoscopic use |
US20020096550A1 (en) * | 1991-10-18 | 2002-07-25 | Green David T. | Surgical stapling apparatus |
US20040173659A1 (en) * | 1991-10-18 | 2004-09-09 | Green David T. | Apparatus and method for applying surgical staples to attach an object to body tissue |
US20010030219A1 (en) * | 1991-10-18 | 2001-10-18 | United States Surgical Corporation | Surgical stapling apparatus |
US5636780A (en) * | 1991-10-18 | 1997-06-10 | United States Surgical Corporation | Self contained gas powered surgical apparatus |
US20020117534A1 (en) * | 1991-10-18 | 2002-08-29 | Green David T. | Apparatus and method for applying surgical staples to attach an object to body tissue |
US5711472A (en) * | 1991-10-18 | 1998-01-27 | United States Surgical Corporation | Self contained gas powered surgical apparatus |
US6250532B1 (en) * | 1991-10-18 | 2001-06-26 | United States Surgical Corporation | Surgical stapling apparatus |
US5645209A (en) * | 1991-10-18 | 1997-07-08 | United States Surgical Corporation | Self contained gas powered surgical apparatus |
US5433721A (en) * | 1992-01-17 | 1995-07-18 | Ethicon, Inc. | Endoscopic instrument having a torsionally stiff drive shaft for applying fasteners to tissue |
US5667517A (en) * | 1992-01-17 | 1997-09-16 | Ethicon, Inc. | Endoscopic surgical system with sensing means |
US5609285A (en) * | 1992-02-07 | 1997-03-11 | Ethicon, Inc. | Surgical anastomosis stapling instrument with flexible support shaft and anvil adjusting mechanism |
US5484095A (en) * | 1992-03-31 | 1996-01-16 | United States Surgical Corporation | Apparatus for endoscopically applying staples individually to body tissue |
US5236437A (en) * | 1992-07-14 | 1993-08-17 | Wilk Peter J | Surgical instrument assembly and associated technique |
US5411519A (en) * | 1992-09-23 | 1995-05-02 | United States Surgical Corporation | Surgical apparatus having hinged jaw structure |
US5431323A (en) * | 1992-10-09 | 1995-07-11 | Ethicon, Inc. | Endoscopic surgical instrument with pivotable and rotatable staple cartridge |
US5330483A (en) * | 1992-12-18 | 1994-07-19 | Advanced Surgical Inc. | Specimen reduction device |
US5467911A (en) * | 1993-04-27 | 1995-11-21 | Olympus Optical Co., Ltd. | Surgical device for stapling and fastening body tissues |
US5395033A (en) * | 1993-05-24 | 1995-03-07 | Ethicon, Inc. | Endoscopic surgical instrument with electromagnetic sensor |
US5403312A (en) * | 1993-07-22 | 1995-04-04 | Ethicon, Inc. | Electrosurgical hemostatic device |
US5810881A (en) * | 1993-10-28 | 1998-09-22 | Microsurgical Equipment Ltd. | Clamping or gripping devices and method for producing the same |
US5376095A (en) * | 1993-11-04 | 1994-12-27 | Ethicon Endo-Surgery | Endoscopic multi-fire flat stapler with low profile |
US5465895A (en) * | 1994-02-03 | 1995-11-14 | Ethicon Endo-Surgery, Inc. | Surgical stapler instrument |
US5681330A (en) * | 1994-03-02 | 1997-10-28 | Ethicon Endo-Surgery, Inc. | Sterile occlusion fasteners and instrument and method for their placement |
US5529235A (en) * | 1994-04-28 | 1996-06-25 | Ethicon Endo-Surgery, Inc. | Identification device for surgical instrument |
US5489058A (en) * | 1994-05-02 | 1996-02-06 | Minnesota Mining And Manufacturing Company | Surgical stapler with mechanisms for reducing the firing force |
US5657921A (en) * | 1994-08-05 | 1997-08-19 | United States Surgical Corporation | Apparatus for applying surgical fasteners |
US5639008A (en) * | 1994-08-25 | 1997-06-17 | The United States Surgical Corporation | Anvil for circular stapler |
US5695511A (en) * | 1994-11-29 | 1997-12-09 | Metamorphic Surgical Devices | Surgical instruments for minimally invasive procedures |
US5797959A (en) * | 1995-09-21 | 1998-08-25 | United States Surgical Corporation | Surgical apparatus with articulating jaw structure |
US6019758A (en) * | 1996-01-11 | 2000-02-01 | Symbiosis Corporation | Endoscopic bipolar multiple sample bioptome |
US5673842A (en) * | 1996-03-05 | 1997-10-07 | Ethicon Endo-Surgery | Surgical stapler with locking mechanism |
US20010007057A1 (en) * | 1997-04-29 | 2001-07-05 | Lippitt Raymond F. | Medical device |
US5878938A (en) * | 1997-08-11 | 1999-03-09 | Ethicon Endo-Surgery, Inc. | Surgical stapler with improved locking mechanism |
US6388043B1 (en) * | 1998-02-23 | 2002-05-14 | Mnemoscience Gmbh | Shape memory polymers |
US6488196B1 (en) * | 1999-06-30 | 2002-12-03 | Axya Medical, Inc. | Surgical stapler and method of applying plastic staples to body tissue |
US6722552B2 (en) * | 1999-06-30 | 2004-04-20 | Axya Medical, Inc. | Surgical stapler and method of applying plastic staples to body tissue |
US6443944B1 (en) * | 2000-05-19 | 2002-09-03 | Rajiv Doshi | Surgical devices comprising articulated members and methods for using the same |
US20020072759A1 (en) * | 2000-08-15 | 2002-06-13 | Fry William R. | Low-profile, shape-memory surgical occluder |
US7287682B1 (en) * | 2003-01-20 | 2007-10-30 | Hazem Ezzat | Surgical device and method |
US7766928B2 (en) * | 2003-01-20 | 2010-08-03 | Hazem Ezzat | Surgical device and method |
US7673782B2 (en) * | 2007-03-15 | 2010-03-09 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having a releasable buttress material |
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US10675023B2 (en) | 2014-03-31 | 2020-06-09 | Covidien Lp | Surgical stapling apparatus with firing lockout mechanism |
US9757126B2 (en) | 2014-03-31 | 2017-09-12 | Covidien Lp | Surgical stapling apparatus with firing lockout mechanism |
US9668733B2 (en) | 2014-04-21 | 2017-06-06 | Covidien Lp | Stapling device with features to prevent inadvertent firing of staples |
US11426166B2 (en) | 2014-05-06 | 2022-08-30 | Covidien Lp | Ejecting assembly for a surgical stapler |
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US10512461B2 (en) | 2014-05-15 | 2019-12-24 | Covidien Lp | Surgical fastener applying apparatus |
WO2016021268A1 (en) * | 2014-08-04 | 2016-02-11 | オリンパス株式会社 | Surgical instrument |
JP6006460B2 (en) * | 2014-08-04 | 2016-10-12 | オリンパス株式会社 | Surgical instrument and tissue separation unit |
US20170079645A1 (en) * | 2014-08-04 | 2017-03-23 | Olympus Corporation | Surgical instrument and tissue dissecting unit |
US9913641B2 (en) * | 2014-08-04 | 2018-03-13 | Olympus Corporation | Surgical instrument and tissue dissecting unit |
US10039545B2 (en) | 2015-02-23 | 2018-08-07 | Covidien Lp | Double fire stapling |
US10327768B2 (en) | 2015-02-23 | 2019-06-25 | Covidien Lp | Double fire stapling |
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US10130367B2 (en) | 2015-02-26 | 2018-11-20 | Covidien Lp | Surgical apparatus |
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US11134948B2 (en) | 2015-02-26 | 2021-10-05 | Covidien Lp | Surgical apparatus |
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USD829903S1 (en) | 2015-02-26 | 2018-10-02 | Covidien Lp | Shipping wedge |
US10918383B2 (en) | 2015-02-26 | 2021-02-16 | Covidien Lp | Surgical apparatus with conductor strain relief |
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 |
US10117650B2 (en) | 2015-05-05 | 2018-11-06 | Covidien Lp | Adapter assembly and loading units for surgical stapling devices |
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WO2021178297A1 (en) * | 2020-03-03 | 2021-09-10 | Boston Scientific Scimed, Inc. | Systems, devices, and related methods for fastening tissue |
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Publication number | Publication date |
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US7766928B2 (en) | 2010-08-03 |
US20080065128A1 (en) | 2008-03-13 |
US7287682B1 (en) | 2007-10-30 |
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Date | Code | Title | Description |
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STCB | Information on status: application discontinuation |
Free format text: ABANDONED -- FAILURE TO RESPOND TO AN OFFICE ACTION |