ES2377483T3 - Instrumentos quirúrgicos que incluyen sistemas microelectromecánicos (MEMS) - Google Patents

Instrumentos quirúrgicos que incluyen sistemas microelectromecánicos (MEMS) Download PDF

Info

Publication number
ES2377483T3
ES2377483T3 ES03738882T ES03738882T ES2377483T3 ES 2377483 T3 ES2377483 T3 ES 2377483T3 ES 03738882 T ES03738882 T ES 03738882T ES 03738882 T ES03738882 T ES 03738882T ES 2377483 T3 ES2377483 T3 ES 2377483T3
Authority
ES
Spain
Prior art keywords
tissue
mems
staple cartridge
surgical instrument
anvil
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Expired - Lifetime
Application number
ES03738882T
Other languages
English (en)
Inventor
Russell Heinrich
Douglas J. Cuny
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Covidien LP
Original Assignee
Tyco Healthcare Group LP
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Family has litigation
First worldwide family litigation filed litigation Critical https://patents.darts-ip.com/?family=29273028&utm_source=google_patent&utm_medium=platform_link&utm_campaign=public_patent_search&patent=ES2377483(T3) "Global patent litigation dataset” by Darts-ip is licensed under a Creative Commons Attribution 4.0 International License.
Application filed by Tyco Healthcare Group LP filed Critical Tyco Healthcare Group LP
Application granted granted Critical
Publication of ES2377483T3 publication Critical patent/ES2377483T3/es
Anticipated expiration legal-status Critical
Expired - Lifetime legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068—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
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0469—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/062—Needle manipulators
    • 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
    • A61B17/0682—Surgical staplers, e.g. containing multiple staples or clamps for applying U-shaped staples or clamps, e.g. without a forming anvil
    • A61B17/0686—Surgical staplers, e.g. containing multiple staples or clamps for applying U-shaped staples or clamps, e.g. without a forming anvil having a forming anvil staying below the tissue during stapling
    • 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
    • A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/128—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for applying or removing clamps or clips
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14—Probes or electrodes therefor
    • A61B18/1442—Probes having pivoting end effectors, e.g. forceps
    • A61B18/1445—Probes having pivoting end effectors, e.g. forceps at the distal end of a shaft, e.g. forceps or scissors at the end of a rigid rod
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/30—Surgical robots
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/06—Measuring instruments not otherwise provided for
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00017—Electrical control of surgical instruments
    • A61B2017/00022—Sensing or detecting at the treatment site
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00017—Electrical control of surgical instruments
    • A61B2017/00022—Sensing or detecting at the treatment site
    • A61B2017/00057—Light
    • A61B2017/00066—Light intensity
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/0023—Surgical instruments, devices or methods, e.g. tourniquets disposable
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06066—Needles, e.g. needle tip configurations
    • A61B2017/0609—Needles, e.g. needle tip configurations having sharp tips at both ends, e.g. shuttle needle alternately retained and released by first and second facing jaws of a suturing instrument
    • 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
    • A61B2017/07228—Arrangement of the staples
    • 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
    • A61B2017/07257—Stapler heads characterised by its anvil
    • 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
    • A61B2017/07271—Stapler heads characterised by its cartridge
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636—Sensing and controlling the application of energy
    • A61B2018/00642—Sensing and controlling the application of energy with feedback, i.e. closed loop control
    • A61B2018/00648—Sensing and controlling the application of energy with feedback, i.e. closed loop control using more than one sensed parameter
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636—Sensing and controlling the application of energy
    • A61B2018/00696—Controlled or regulated parameters
    • A61B2018/00702—Power or energy
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/30—Surgical robots
    • A61B2034/303—Surgical robots specifically adapted for manipulations within body lumens, e.g. within lumen of gut, spine, or blood vessels
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/30—Surgical robots
    • A61B2034/305—Details of wrist mechanisms at distal ends of robotic arms
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/06—Measuring instruments not otherwise provided for
    • A61B2090/061—Measuring instruments not otherwise provided for for measuring dimensions, e.g. length
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/06—Measuring instruments not otherwise provided for
    • A61B2090/064—Measuring instruments not otherwise provided for for measuring force, pressure or mechanical tension

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Molecular Biology (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Reproductive Health (AREA)
  • Vascular Medicine (AREA)
  • Physics & Mathematics (AREA)
  • Plasma & Fusion (AREA)
  • Otolaryngology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Pathology (AREA)
  • Robotics (AREA)
  • Surgical Instruments (AREA)
  • Manipulator (AREA)

Abstract

Una grapadora quirurgica (100, 200), que comprende: un util final (317) configurado y adaptado para enganchar tejido, el util final que incluye un conjunto de cartucho de grapas (318) y un yunque (320) asociado operativamente con el conjunto de cartucho de grapas; y al menos un dispositivo de sistema microelectromecanico (MEMS) ("M") conectado operativamente al util final, cada uno del conjunto de cartucho de grapas y el yunque que definen las superficies de contacto del tejido y el al menos un dispositivo MEMS que se conecta operativamente a al menos una de la superficie de contacto del tejido (318a) del conjunto de cartucho de grapas y la superficie de contacto del tejido (320a) del yunque, el dispositivo MEMS que incluye un sistema electrónico integrado que incluye al menos un sensor para detectar la cantidad de presión aplicada al tejido sujeto entre el conjunto de cartucho de grapas y el yunque y una distancia entre la superficie de contacto del tejido del conjunto de cartucho de grapas y superficie de contacto del tejido del yunque, el dispositivo MEMS que ademas incluye uno o mas circuitos electrónicos para la determinación del espesor del tejido, calculando el espesor del tejido sujeto a partir de la distancia conocida.

Description

Instrumentos quirurgicos que incluyen sistemas microelectromecanicos (MEMS)
Antecedentes
Campo tecnico
La presente descripci6n se refiere a los instrumentos quirurgicos y, mas concretamente a instrumentos y sistemas quirurgicos mecanicos, electromecanicos y basados en energia.
La presente revelaci6n se refiere de manera general a instrumentos y sistemas quirurgicos y, mas concretamente, a instrumentos y sistemas de grapadora quirurgica e instrumentos y sistemas basados en energia, que tienen dispositivos de sistemas microelectromecanicos (MEMS) para detectar, monitorizar, controlar, medir y/o regular las condiciones y/o parametros asociados con el rendimiento de diversos procedimientos quirurgicos.
Antecedentes de la tecnica relacionada
Los instrumentos quirurgicos usados en cirugia abierta y minimamente invasiva se limitan en su capacidad a detectar y/o controlar las condiciones y/o parametros y factores criticos para la operaci6n efectiva. Por ejemplo, los instrumentos quirurgicos convencionales no pueden detectar mensurablemente la cantidad de tejido situado entre las superficies de contacto de tejido de un util final del instrumento quirurgico.
Los sistemas microelectromecanicos (MEMS) son microdispositivos o sistemas integrados que combinan componentes electricos y mecanicos. Se fabrican usando tecnicas de procesamiento de lotes de circuiteria integrada (es decir, IC) y pueden oscilar en tamafo de micr6metros a milimetros. Estos sistemas microelectromecanicos detectan, controlan y/o actuan a micro escala, y funcionan individualmente o en grupos para generar efectos a macro escala.
En general, los dispositivos MEMS son sistemas complejos que incluyen individualmente uno o mas sistemas electricos y/o uno o mas sistemas micro-mecanicos. Los sistemas micro-mecanicos se fabrican usando muchas de las mismas tecnicas de fabricaci6n que tienen los circuitos electr6nicos miniaturizados y han hecho posible la producci6n masiva de pastillas de circuitos integrados de silicio. En particular, los dispositivos MEMS incluyen microestructuras mecanicas, micro-sensores, micro-actuadores y electr6nica integrada en el mismo entorno (es decir, en una pastilla de silicio) usando tecnologia de micro-fabricaci6n. La tecnologia de micro-fabricaci6n permite la fabricaci6n de grandes grupos de dispositivos, que realizan individualmente tareas simples pero en combinaci6n puede consumar funciones complicadas.
Los dispositivos MEMS son ventajosos por muchas razones. En particular, los dispositivos MEMS pueden ser tan pequefos que cientos se pueden encajar en el mismo espacio, los cuales realizan la misma o muchas funciones diferentes, comparado con un macro-dispositivo, que realiza una funci6n simple. Ademas, usando las tecnicas de procesamiento por lotes de IC, cientos de miles de estos dispositivos MEMS se pueden fabricar en una unica oblea de silicio. Esta producci6n masiva reduce mucho el precio de los dispositivos individuales. De esta manera, los dispositivos MEMS son relativamente menos caros que sus contrapartidas del macro-mundo. Ademas, los componentes electricos engorrosos tipicamente no se necesitan con los dispositivos MEMS, dado que la electr6nica se puede situar directamente en el dispositivo MEMS. Esta integraci6n tambien tiene la ventaja de captar menos ruido electrico, mejorando de esta manera la precisi6n y sensibilidad de los sensores. Como se trat6 anteriormente, los dispositivos MEMS proporcionan algo de la funcionalidad de la instrumentaci6n analitica, pero con coste, tamafo, y consumo de potencia enormemente reducidos, y una capacidad de medici6n en tiempo real, en el propio sitio.
Ejemplos de sistemas microelectromecanicos se revelan en la Patente de U.S. N° 6.127.811 de Shenoy y otros; la Patente de U.S. N° 6.288.534 de Starkweather y otros; la Patente de U.S: N° 6.092.422 de Binning y otros; la Solicitud de Patente de U.S. N° US 2001/0020166 PCT clasificada el 30 de abril de 1997; Microelectr6nica en el Cuidado Moderno de la Salud por P. Detemple, W. Ehrfeld, H. Freimuth, R. Pommersheim, y P. Wagler en Tecnologia de Dispositivos Medicos, noviembre de 1998; y Sistemas Microelectromecanicos (MEMS); Tecnologia, Disefo y Aplicaciones, coordinador: Lee, Abraham, Universidad de California, Los Angeles, Departamento de Ingenieria, Sistemas de Informaci6n y Gesti6n Tecnica, Programa de Curso Corto, Ingenieria 823.53, 19-22 de mayo de 1997, los contenidos completos de cada una de los cuales se incorporan aqui por referencia.
Por consiguiente, existe una necesidad de instrumentos quirurgicos que puedan detectar una multitud de parametros y factores, tales como, por ejemplo, la distancia entre el las superficies de contacto del tejido del instrumento quirurgico. Tal instrumento quirurgico puede, de acuerdo con las condiciones detectadas y/o medidas, utilizar, visualizar, grabar y/o controlar automaticamente la posici6n de las superficies de contracto del tejido del instrumento quirurgico o alertar a un cirujano anterior a la operaci6n del instrumento quirurgico.
A la vista de lo anteriormente mencionado, existe la necesidad del uso de sistemas microelectromecanicos en combinaci6n con los instrumentos y sistemas quirurgicos y, en particular en los instrumentos de grapado y los instrumentos quirurgicos basados en energia para la monitorizaci6n, control y regulaci6n de las condiciones y/o parametros asociados con el rendimiento de diversos procedimientos mecanicos, electromecanicos y electroquirurgicos.
La US 6.221.023 revela un sensor para un cateter que incluye una pluralidad de indicadores de tensi6n.
La US 5.395.033 revela un instrumento de grapado quirurgico que tiene un sensor electromagnetico para detectar la distancia entre las mordazas de la grapadora.
Resumen
La presente invenci6n se dirige a los instrumentos quirurgicos que incluyen un util final configurado y adaptado para enganchar el tejido, y al menos un dispositivo de sistema microelectromecanico (MEMS) conectado operativamente al instrumento quirurgico para detectar una condici6n y/o medir un parametro y ademas para controlar la condici6n y/o el parametro adyacente del util final. El al menos un dispositivo MEMS esta conectado operativamente con el util final. El al menos un dispositivo MEMS es al menos uno de un sensor de presi6n, un sensor de tensi6n, un sensor de desplazamiento, un sensor 6ptico, un biosensor, un sensor de temperatura, un sensor de par, un aceler6metro, un sensor de flujo, un sensor electrico y un sensor magnetico para al menos una de detectar, medir y controlar la condici6n y/o el parametro asociado.
Se contempla que el instrumento quirurgico es una grapadora quirurgica de acuerdo con la reivindicaci6n 1 y el util final incluye un conjunto de cartucho de grapas, y un yunque asociado operativamente con el cartucho de grapas, el cartucho de grapas y el yunque que estan conectados m6vilmente el uno con el otro para llevar uno en yuxtaposici6n en relaci6n con el otro. Cada uno del cartucho de grapas y el yunque definen las superficies de contacto del tejido y el al menos un dispositivo MEMS esta conectado operativamente con al menos una de la superficie de contacto del tejido del cartucho de grapas y la superficie de contacto del tejido del yunque. Una pluralidad de dispositivos MEMS estan conectados al instrumento quirurgico, los dispositivos MEMS que estan configurados y adaptados para medir la distancia entre la superficie de contacto del tejido del conjunto de cartucho de grapas y la superficie de contacto del tejido del yunque.
Los dispositivos MEMS se configuran y adaptan para medir la cantidad de presi6n aplicada al tejido sujeto entre la superficie de contacto del tejido del cartucho de grapas y la superficie de contacto del tejido del yunque. Los dispositivos MEMS se configuran y adaptan para medir el espesor del tejido sujeto entre la superficie de contacto del tejido del cartucho de grapas y la superficie de contacto del tejido del yunque.
Se preve que el util final este configurado y adaptado para realizar una anastomosis. El instrumento quirurgico puede ser una grapadora lineal que se adapta para realizar una anastomosis gastrointestinal endosc6pica. Ademas se contempla que el instrumento quirurgico es una grapadora anular que se adapta para realizar una anastomosis extremo a extremo.
Se preve que el util final es un mecanismo de mordaza que incluye un par de miembros de la mordaza acoplados giratoriamente al extremo distal del eje alargado. Se preve ademas que al menos un dispositivo MEMS se proporcione en al menos uno del par de miembros de la mordaza. Los dispositivos MEMS se proporcionan al menos en uno de un extremo proximal, un extremo distal y a lo largo de una longitud de cada uno del par de miembros de la mordaza.
Se preve que el mecanismo de mordaza este configurado y adaptado para realizar una funci6n electroquirurgica. El mecanismo de mordaza se configura y adapta para entregar energia electroquirurgica a un lugar quirurgico objetivo.
Se preve ademas que el instrumento quirurgico este acoplado operativamente a un sistema rob6tico, en el que el util final se configura y adapta para ser operado remotamente por el sistema rob6tico.
Se contempla que el instrumento quirurgico puede incluir una unidad de carga que tiene un extremo proximal y un extremo distal, el extremo proximal que esta conectado selectivamente de manera desmontable con el instrumento quirurgico, el util final esta conectado operativamente a y parte de la unidad de carga, y la unidad de carga incluye el al menos un dispositivo MEMS.
El util final puede ser una grapadora quirurgica que incluye un conjunto de cartucho de grapas, y un yunque asociado operativamente con el conjunto de cartucho de grapas, el conjunto de cartucho de grapas y el yunque que son desmontables y yuxtapuestos uno en relaci6n con el otro. Cada uno del conjunto de cartucho de grapas y el yunque definen las superficies de contacto del tejido y en las que al menos un dispositivo MEMS esta conectado operativamente con la al menos una de la superficie de contacto del tejido del conjunto de cartucho de grapas y la superficie de contacto del tejido del yunque.
Los dispositivos MEMS estan configurados y adaptados para medir la distancia entre la superficie de contacto del tejido del conjunto de cartucho de grapas y la superficie de contacto del tejido del yunque. Los dispositivos MEMS estan configurados y adaptados a medir al menos una de la cantidad de presi6n aplicada al tejido y el espesor del tejido sujeto entre la superficie de contacto del tejido del conjunto de cartucho de grapas y la superficie de contacto de tejido del yunque.
La unidad de carga puede incluir un eje alargado que tiene un extremo distal, el util final que esta conectado operativamente al extremo distal de un eje alargado y el cartucho de grapas y el yunque estan orientados transversalmente con respecto al eje alargado.
Se preve que el util final este configurado y adaptado para realizar una anastomosis. Se preve ademas que el util final es un mecanismo de mordaza que incluye un par de miembros de la mordaza acoplados giratoriamente con el extremo distal del eje alargado. El al menos un dispositivo MEMS se proporciona en al menos uno del par de miembros de la mordaza. Los dispositivos MEMS se pueden proporcionar al menos en uno de un extremo proximal, un extremo distal y a lo largo de una longitud de cada uno del par de miembros de la mordaza.
Se preve que el mecanismo de mordaza este configurado y adaptado para realizar una funci6n electroquirurgica. El mecanismo de mordaza se puede configurar y adaptar para entregar la energia electroquirurgica al lugar quirurgico objetivo.
Se preve que cada uno de la pluralidad de dispositivos MEMS este conectado electricamente con una caja de control a traves de un hilo conductor que se extiende desde la carcasa.
El instrumento quirurgico ademas puede incluir una caja de control conectada electricamente con cada uno de la pluralidad de dispositivos MEMS a traves de un conductor de hilo.
De acuerdo con otro aspecto, hay proporcionado un sistema rob6tico para realizar las tareas quirurgicas que incluye un bastidor, un brazo rob6tico conectado con el bastidor y desmontable en relaci6n con el bastidor, un conjunto de actuaci6n asociado operativamente con el brazo rob6tico para controlar la operaci6n y el movimiento del brazo rob6tico, una unidad de carga que incluye un eje alargado conectado operativamente con el brazo rob6tico, y el util final acoplado operativamente con un extremo distal del eje alargado y configurado para enganchar el tejido, y el al menos un dispositivo de sistema microelectromecanico (MEMS) conectado operativamente a la unidad de carga.
En una realizaci6n el util final incluye un par de miembros de la mordaza acoplados de manera m6vil al extremo distal del eje alargado. Se preve que una pluralidad de dispositivos MEMS se proporcionen en cada uno del par de miembros de la mordaza. Preferentemente, una pluralidad de dispositivos MEMS se proporcionan al menos en uno de un extremo proximal, un extremo distal y a lo largo de una longitud de cada uno del par de miembros de la mordaza.
La unidad de carga se puede conectar al brazo rob6tico a traves de una conexi6n tipo bayoneta.
En otra realizaci6n, el util final esta configurado y adaptado para realizar una funci6n electroquirurgica. Preferentemente, el util final esta configurado y adaptado para entregar energia electroquirurgica al lugar quirurgico objetivo.
Aun en otra realizaci6n, el sistema rob6tico ademas incluye un controlador que tiene un procesador y un receptor para recibir las sefales electricas transmitidas desde el conjunto de actuaci6n y para controlar la operaci6n y el movimiento de la unidad de carga.
El util final puede ser un aplicador de cierre, una grapadora quirurgica, un aplicador de presilla de vaso o un conjunto de sutura vascular.
Como una grapadora quirurgica, el util final incluye un conjunto de cartucho de grapas y un yunque asociados operativamente con el conjunto de cartucho de grapas y en yuxtaposici6n en relaci6n con el conjunto de cartucho de grapas, y en el que al menos un dispositivo MEMS esta conectado operativamente con cada uno del conjunto de cartucho de grapas y el yunque. El conjunto de cartucho de grapas define una superficie de contacto del tejido y en donde al menos un dispositivo MEMS esta conectado operativamente con la superficie de contacto del tejido del conjunto de cartucho de grapas. El yunque define una superficie de contacto del tejido y en donde al menos un dispositivo MEMS esta conectado operativamente a la superficie de contacto del tejido del cartucho de grapas.
Los dispositivos MEMS pueden estar configurados y adaptados a medir la distancia entre la superficie de contacto del tejido del conjunto de cartucho de grapas y la superficie de contacto del tejido del yunque. Alternativamente, los dispositivos MEMS se pueden configurar y adaptar para medir la cantidad de presi6n aplicada al tejido sujeto entre la superficie de contacto del tejido del conjunto de cartucho de grapas y la superficie de contacto del tejido del yunque.
El conjunto de cartucho de grapas y el yunque se orientan deseablemente de manera transversal con respecto al eje alargado. Se preve que el conjunto de cartucho de grapas y el yunque esten conectados giratoriamente con el extremo distal y el eje alargado.
Como un aplicador de presilla de vaso, el util final incluye una parte de cuerpo que tiene un extremo distal y un extremo proximal, en el que el extremo proximal es conectable operativamente al brazo rob6tico, y un conjunto de mordaza conectado operativamente con el extremo distal de la parte del cuerpo, en el que el conjunto de mordaza incluye una primera y una segunda parte de la mordaza. Cada una de la primera y segunda partes de la mordaza incluye al menos un dispositivo MEMS operativamente conectado a las mismas.
Como un conjunto de sutura vascular, el util final incluye un cuerpo alargado que tiene un extremo distal y un extremo proximal, en el que el extremo proximal es conectable operativamente al brazo rob6tico, y un par de mordazas de recepci6n de agujas montadas al extremo distal de la parte del cuerpo alargado, el par de mordazas de recepci6n de agujas que se configura y adapta para pasar una aguja quirurgica y la longitud asociada de material de sutura entre medias. Preferentemente, al menos un componente MEMS esta conectado operativamente con cada una del par de mordazas de recepci6n de agujas
De acuerdo con otro aspecto, el instrumento quirurgico es para usar con una unidad de carga que es acoplable operativamente con el instrumento quirurgico y tiene el util final con un par de mordazas yuxtaponibles para realizar una funci6n quirurgica, el util final que tiene el al menos un dispositivo del sistema microelectromecanico (MEMS) conectado operativamente al mismo. El instrumento quirurgico incluye una carcasa, un eje alargado que se extiende desde la carcasa y tiene un extremo distal acoplable operativamente con una unidad de carga del tipo anterior, un mecanismo de aproximaci6n para aproximar el par de mordazas, un mecanismo de actuaci6n para activar las mordazas para realizar la funci6n quirurgica, y al menos un dispositivo del sistema microelectromecanico (MEMS) conectado operativamente al instrumento quirurgico para al menos una de detectar una condici6n, medir un parametro y controlar la condici6n y/o el parametro adyacente al util final y para la operaci6n cooperativa con el al menos un MEMS del util final.
Es un objeto de la presente revelaci6n proporcionar instrumentos y sistemas quirurgicos mecanicos, electromecanicos y basados en energia que tienen dispositivos microelectromecanicos asociados con ellos para monitorizar, controlar, medir y/o regular las condiciones y los parametros asociados con el rendimiento y la operaci6n del instrumento quirurgico.
Es un objeto adicional de la presente revelaci6n proporcionar instrumentos y sistemas quirurgicos mecanicos, electromecanicos y basados en energia que son mas efectivos, seguros y/o faciles de usar que los instrumentos y sistemas quirurgicos convencionales similares.
Es otro objeto de la presente revelaci6n proporcionar instrumentos y sistemas quirurgicos mecanicos, electromecanicos y basados en energia mejorados los cuales controlan mejor los efectos que tienen en el tejido objetivo y en el paciente.
Estos y otros objetos se ilustraran mas claramente mas adelante mediante la descripci6n de los dibujos y la descripci6n detallada de las realizaciones preferentes.
Breve descripcion de los dibujos
Los dibujos anexos, que se incorporan en y constituyen una parte de esta especificaci6n, ilustran realizaciones de la presente revelaci6n y, junto con la descripci6n detallada de las realizaciones dadas mas adelante, sirven para explicar los principios de la revelaci6n.
La FIG. 1 es una vista en perspectiva de un instrumento de grapado quirurgico que incorpora dispositivos de sistema microelectromecanico, de acuerdo con la presente revelaci6n;
La FIG. 2 es una vista en perspectiva explotada parcialmente de un instrumento de grapado quirurgico alternativo que incorpora dispositivos de sistemas microelectromecanicos de acuerdo con la presente revelaci6n;
La FIG. 3 es una vista en perspectiva de aun otro instrumento de grapado quirurgico alternativo que incorpora dispositivos de sistemas microelectromecanicos de acuerdo con la presente revelaci6n;
La FIG. 3A es una vista en perspectiva alargada de un extremo distal del instrumento de grapado quirurgico de la FIG. 3;
La FIG. 4 es una vista en perspectiva de aun otro instrumento de grapado quirurgico que incorpora dispositivos de sistemas microelectromecanicos de acuerdo con la presente revelaci6n;
La FIG. 5 es una vista en perspectiva de un instrumento de grapado quirurgico para situar presillas en
procedimientos laparosc6picos y endosc6picos que incorporan dispositivos de sistemas microelectromecanicos de acuerdo con la presente revelaci6n;
La FIG. 5A es una vista en perspectiva alargada de la regi6n indicada del instrumento quirurgico representado en la FIG. 5;
La FIG. 6 es una vista en perspectiva de un instrumento quirurgico basado en energia que incorpora dispositivos de sistemas microelectromecanicos de acuerdo con la presente revelaci6n;
La FIG. 6A es una vista en perspectiva alargada de la regi6n indicada del instrumento quirurgico representado en la FIG. 6;
La FIG. 7 es una vista en perspectiva de un sistema rob6tico que emplea dispositivos de sistemas microelectromecanicos de acuerdo con la presente revelaci6n;
La FIG. 8 es un diagrama de bloques que ilustra los componentes de una unidad de carga desechable de acuerdo con la presente revelaci6n;
La FIG. 9 es una vista en perspectiva, con partes separadas, de un sistema rob6tico acoplado a una unidad de carga, que incluye un util final para aplicar grapas quirurgicas;
La FIG. 10 es una vista en perspectiva, con partes separadas, de un sistema rob6tico acoplado a una unidad de carga, que incluye un util final para aplicar energia electroquirurgica;
La FIG. 11 es una vista en perspectiva, con partes separadas, de un sistema rob6tico acoplado a una unidad de carga, que incluye un util final para aplicar presillas de vasos; y
La FIG. 12 es una vista en perspectiva, con partes separadas, de un sistema rob6tico acoplado a una unidad de carga, que incluye un util final para aplicar una sutura vascular.
Descripcion detallada de las realizaciones preferentes
Las realizaciones preferentes de los instrumentos y sistemas quirurgicos revelados actualmente se describiran ahora en detalle con referencia a las figuras de los dibujos en las que numeros de referencia parecidos identifican similares
o identicos elementos. Como se usa aqui dentro y como es tradicional, el termino "distal" se referira a aquella parte que esta mas lejos del usuario mientras que el termino "proximal" se referira a aquella parte que esta mas cercana al usuario.
De acuerdo con la presente revelaci6n, se usa un sistema microelectromecanico (MEMS) para proporcionar dispositivos y/o sistemas MEMS altamente miniaturizados capaces de realizar varias funciones, por ejemplo, detectar, monitorizar, controlar, influir, regular y/o medir varias condiciones y/o parametros de instrumentos y sistemas quirurgicos, tales como, por ejemplo, la distancia entre y/o la presi6n aplicada por las mordazas de un util final. En la presente revelaci6n, por "controlar" se entiende incluir, influir y/o regular. Los dispositivos y/o sistemas MEMS tambien pueden proporcionar realimentaci6n para el control automatico (remoto o manual) de la operaci6n del instrumento quirurgico.
Los dispositivos MEMS tienen el tamafo muy pequefo requerido, los requisitos de baja potencia, y la capacidad de ser integrados facilmente con los sistemas electricos estandar. Estas caracteristicas hacen de los dispositivos MEMS ideales para la incorporaci6n dentro y/o en instrumentos y sistemas quirurgicos. Como se describira en mas detalle mas adelante, los dispositivos MEMS se pueden utilizar en conjunto con, e incorporar dentro y/o en varias partes y elementos estructurales de instrumentos y sistemas quirurgicos.
Los dispositivos y/o sistemas MEMS considerados que estan dentro del alcance de la presente revelaci6n, incluyen, por ejemplo, los sensores y/o dispositivos sensores MEMS, dispositivos MEMS de actuador (motores, hidraulica, bombas, dispositivos ultras6nicos, etc.), componentes de movimiento y mezcla de fluidos, calentadores, y dispositivos MEMS de diagn6stico para medir parametros fisiol6gicos y propiedades del tejido, tales como la integridad de una linea de grapas o de un tejido reparado o unido mediante la medici6n del fluido, por ejemplo, el flujo y/o presencia de sangre, y las sefales electricas o presi6n dentro del tejido grapado.
Tambien considerados dentro del alcance de esta revelaci6n estan: los tipos de dispositivos y/o sistemas MEMS usados para determinar y/o medir la distancia incluyendo los sensores capacitivos, magneticos(sensores de Efecto Hall, para medir la intensidad del campo magnetico dentro de uno o mas imanes), de emisi6n/recepci6n de luz o radiofrecuencia (RF), e interferometricos de fibra 6ptica; los tipos de dispositivos y/o sistemas MEMS usados para determinar y/o medir la cantidad de presi6n aplicada al tejido incluyendo los sensores capacitivos, piezoelectricos, piezorresistivos, resonantes, de emisi6n/recepci6n de luz o RF, e interferometricos de fibra 6ptica; y los tipos de dispositivos y/o sistemas MEMS usados para determinar y/o medir el espesor del tejido, y para determinar o medir la
presi6n y/o proporcionar los datos de presi6n a un procesador que correlaciona los datos de presi6n con el espesor del tejido usando una tabla de busqueda u otra estructura de datos. Conociendo el espesor del tejido, el cirujano entonces puede determinar el tamafo adecuado de las grapas y/o el hueco del tejido entre las superficies de contacto del tejido del yunque y el cartucho de grapas antes de realizar el procedimiento de grapado.
Mientras que los dispositivos y/o sistemas MEMS son preferentes, esta dentro del alcance de la presente revelaci6n y previsto que otros tipos de dispositivos y/o sistemas se puedan usar con o sin dispositivos y/o sistemas MEMS para determinar y/o medir varias condiciones y/o parametros.
En una configuraci6n preferente, el instrumento quirurgico puede incluir uno o mas dispositivos y/o sistemas de entrega MEMS transductores capaces de ser alimentados por una bateria para generar RF u otros tipos de sefales. Estos dispositivos de entrega MEMS transductores estan alineados con los dispositivos de recepci6n MEMS transductores capaces de recibir las sefales generadas. Por consiguiente, la distancia entre los dispositivos de entrega y recepci6n MEMS transductores se puede medir por un procesador que correlaciona el tiempo de transmisi6n de las sefales de RF generadas con la distancia usando una estructura de datos. Conociendo la distancia, el procesador puede calcular entonces el espesor del tejido sujeto por el instrumento quirurgico.
Ademas, cuando los dispositivos de entrega y/o recepci6n MEMS transductores presionan en el tejido sujeto por el instrumento quirurgico, la presi6n del tejido se aplica a los dispositivos y/o sistemas de entrega y/o recepci6n MEMS transductores. Los dispositivos y/o sistemas de entrega y/o recepci6n MEMS transductores a su vez determinan la presi6n aplicada y las sefales de salida.
Alternativamente, uno o mas componentes de entrega y/o recepci6n MEMS transductores, capaces de generar y recibir sefales reflejadas fuera de un objetivo, se pueden proporcionar en el yunque y/o el cartucho de grapas para determinar la distancia entre las superficies de contacto del tejido del yunque y el cartucho de grapas para determinar si el cartucho de grapas se deberia disparar.
Preferentemente, la circuiteria de los dispositivos y/o sistemas MEMS amplifica las sefales, antes de ser transmitidas a los componentes electricos estandar o al procesador, para analisis usando algoritmos convencionales implementados como un conjunto de instrucciones programables. El procesador analiza la lectura para determinar si la lectura esta dentro de los limites deseados para el instrumento quirurgico y/o la aplicaci6n de corriente. El procesador puede usar al menos uno o mas comparadores para comparar el valor de la lectura determinada con los valores almacenados, predeterminados.
Si la lectura determinada esta dentro de los limites deseados para el instrumento quirurgico, entonces el instrumento quirurgico se puede disparar como es usual. No obstante, si la lectura esta fuera de los limites deseados, el instrumento quirurgico y/o el operador puede: (1) impedir el disparo del instrumento quirurgico hasta que la lectura este dentro de los limites deseados; (2) ajustar los componentes del instrumento quirurgico para alterar la lectura segun se necesite; (3) alertar al operador; y/o (4) esperar unos pocos momentos y luego tomar la lectura de nuevo.
Ademas, las lecturas medidas recibidas desde los dispositivos y/o sistemas MEMS tambien se pueden usar para controlar el disparo del instrumento quirurgico. Por ejemplo, si el espesor del tejido es grande, el disparo del instrumento quirurgico se puede ajustar automaticamente o manualmente para que el instrumento quirurgico sea disparado con suficiente potencia para afectar todo el tejido. La lectura del espesor del tejido tambien se puede usar por un cirujano para determinar si la potencia aplicada por el instrumento quirurgico es lo bastante grande para penetrar y afectar todo el tejido.
Los dispositivos y/o sistemas MEMS se situan preferentemente en posiciones opuestas o yuxtapuestas cuando se usan para medir y/o determinar distancias. Los dispositivos MEMS tambien se situan preferentemente en las superficies de contacto del tejido del instrumento quirurgico para medir y/o determinar una distancia entre las superficies de contacto del tejido del instrumento quirurgico segun uno o mas componentes estructurales del instrumento quirurgico se mueve/n uno en relaci6n con el otro. Ademas se preve que los dispositivos y/o sistemas MEMS sean capaces de medir y/o determinar un espesor del tejido sujeto entre las superficies de contacto del tejido del instrumento quirurgico.
Otros tipos de dispositivos y/o sistemas MEMS que se pueden usar dentro del alcance de la presente revelaci6n incluyen sensores de tensi6n, 6pticos, de flujo, electroquimicos y biosensores. Los sensores 6pticos para fluorescencia y absorci6n para determinar, por ejemplo, la presencia de glucosa en sangre, y por lo tanto, la presencia de sangre, requieren conexiones de fibra 6ptica a los fotodetectores y/o tubos fotomultiplicadores que pueden o pueden no estar miniaturizados. Los biosensores se pueden usar para medir las caracteristicas del tejido antes y/o despues del procedimiento de grapado. Es decir, los biosensores se pueden usar para asegurar que el tejido esta en condiciones o es aceptable para el grapado, o segun una comprobaci6n despues de que las grapas se han disparado para asegurar que el tejido esta saludable (es decir, tiene buen flujo de sangre, esta cicatrizando adecuadamente, etc.).
Volviendo ahora a las FIG. 1-4, se muestran realizaciones especificas de varias grapadoras medicas representativas que incluyen dispositivos MEMS "M", de acuerdo con la presente revelaci6n. Como se ve en la FIG. 1, una primera realizaci6n de una grapadora medica, aqui, una grapadora anastom6tica transversal, de acuerdo con la presente revelaci6n, se muestra de manera general como 100. La grapadora quirurgica 100 incluye una carcasa 112 que incluye un mango estacionario 114, una parte de cuerpo de extensi6n de manera distal 116 conectada operativamente con la carcasa 112, una parte del cuerpo transversal 115 conectada operativamente con la parte del cuerpo de extensi6n de manera distal 116. La parte del cuerpo transversal 115 se configura y adapta para recibir operativamente un bastidor de soporte 118 en un extremo distal de la misma
La grapadora quirurgica 100 incluye ademas un yunque 120 fijado a una primera pata 124 o parte distal del bastidor de soporte 118 y que se extiende transversalmente a traves de la parte del cuerpo transversal 115. La grapadora quirurgica 100 ademas incluye un conjunto de cartucho de grapas 122 recibido operativamente dentro del parte del cuerpo transversal 115. Cada uno del yunque 120 y el conjunto de cartucho de grapas 122 incluyen superficies de contacto del tejido yuxtapuestas 120a, 122a, respectivamente. Un actuador de desencadenamiento 134 esta conectado operativamente con el mango 114 y esta configurado y adaptado para avanzar distalmente el conjunto de cartucho de grapas 122 hacia el yunque 120 para disparar la grapadora quirurgica 100.
De acuerdo con la presente revelaci6n, la grapadora quirurgica 100 incluye una pluralidad de dispositivos MEMS "M" proporcionados en ubicaciones especificas de la misma. En particular, a modo de ejemplo solamente y no de manera que sea considerada como limitante, como se ve en la FIG. 1, los dispositivos MEMS "M" se pueden proporcionar preferentemente a lo largo de la longitud de la superficie de contacto del tejido 120a del yunque 120, a lo largo de la superficie de contacto del tejido 122a del conjunto de cartucho de grapas 122 y/o en el conjunto de cartucho de grapas 122 y la parte del cuerpo transversal 115.
Como se describi6 anteriormente, los dispositivos MEMS "M" permiten, por ejemplo, la medici6n de varios parametros de la grapadora quirurgica 100, tales como, por ejemplo, la distancia entre las superficies de contacto del tejido 120a y 122a de la grapadora quirurgica 100, asi como la cantidad de presi6n aplicada al tejido sujeto entre las superficies de contacto del tejido 120a, 122a. Se preve ademas que los dispositivos MEMS "M" son capaces de medir y/o determinar un espesor del tejido sujeto entre las superficies de contacto del tejido 120a, 122a.
Se preve que los dispositivos MEMS "M" puedan transmitir sefales de los parametros medidos y/o detectados a una unidad central de proceso "CPU" (por ejemplo, la caja de control 562 de la FIG. 6) o conjunto de actuaci6n 612 (ver la FIG. 7), a traves de conductores de hilo 560 (ver la FIG. 6) o hilos de transmisi6n "W" (ver la FIG. 7), para procesamiento adicional. Alternativamente, se contempla que los dispositivos MEMS "M" pueden transmitir sefales de realimentaci6n de los parametros medidos y/o detectados a la CPU a traves de transmisiones inalambricas.
Se hace referencia a la Patente de U.S. N° 5.964.394, para una explicaci6n mas detallada del funcionamiento de la grapadora quirurgica 100
Volviendo ahora a la FIG. 2, una realizaci6n alternativa de una grapadora quirurgica, aqui, una grapadora anastom6tica gastrointestinal abierta, de acuerdo con la presente revelaci6n, se muestra de manera general como
200. La grapadora quirurgica 200 incluye una semisecci6n de recepci6n del cartucho 212, una semisecci6n de yunque 214 acoplable operativamente a la semisecci6n de recepci6n del cartucho 212, un conjunto de cartucho de grapas 216 configurado y adaptado para ser montado de manera desmontable dentro de un extremo distal de la semisecci6n de recepci6n del cartucho 212, y un yunque 218 montado operativamente a un extremo distal de la semisecci6n de yunque 214. El conjunto de cartucho de grapas 216 incluye una superficie de contacto del tejido 216a y el yunque incluye una superficie de contacto del tejido 218a yuxtapuesta a la superficie de contacto del tejido 216a del conjunto de cartucho de grapas 216.
De acuerdo con la presente revelaci6n, la grapadora quirurgica 200 incluye una pluralidad de dispositivos MEMS "M" proporcionados en ubicaciones especificas de la misma. En particular, a modo de ejemplo solamente y no en forma que vaya a ser considerada como limitante, como se ve en la FIG. 2, los dispositivos MEMS "M" se pueden proporcionar preferentemente a lo largo de la longitud de o como se muestra, en ubicaciones especificas en la superficie de contacto del tejido 218a del yunque 218, a lo largo de la longitud de la superficie de contacto del tejido 216a del conjunto de cartucho de grapas 216, en las partes del extremo distal de la semisecci6n de recepci6n del cartucho 212 y la semisecci6n del yunque 214.
Como se describi6 anteriormente, los dispositivos MEMS "M" permiten la medici6n de varios parametros de la grapadora quirurgica 200, tales como, por ejemplo, la distancia entre las superficies de contacto del tejido 216a y 218a de la grapadora quirurgica 200, asi como la cantidad de presi6n aplicada al tejido sujeto entre las superficies de contacto del tejido 216a, 218a de la grapadora quirurgica 200.
Se hace referencia a la Patente U.S. N° 6.045.560, la Patente U.S. N° 6.032.849, y la Patente U.S. N° 5.964.394, para una explicaci6n mas detallada del funcionamiento de la grapadora quirurgica 200.
Volviendo ahora a las FIG. 3 y 3A, aun otra realizaci6n de una grapadora quirurgica, aqui, una grapadora anastom6tica gastrointestinal endosc6pica, de acuerdo con la presente revelaci6n, se muestra de manera general como 300. Brevemente, la grapadora quirurgica 300 incluye un conjunto de mango 312 y un cuerpo alargado 314. Una unidad de carga desechable o DLU 316 se asegura de manera liberable a un extremo distal del cuerpo alargado
314. La unidad de carga desechable 316 incluye un util final 317 que tiene un conjunto de cartucho de grapas 318 alojando una pluralidad de grapas quirurgicas (no se muestran) y un yunque 320 asegurado de manera m6vil en relaci6n con el conjunto de cartucho de grapas 318. El conjunto de cartucho de grapas 318 incluye una superficie de contacto del tejido 318a y el yunque 320 incluye una superficie de contacto del tejido 320a yuxtapuesta a la superficie de contacto del tejido 318a del conjunto de cartucho de grapas 318.
El conjunto del mango 312 incluye un miembro de mango estacionario 322, un conjunto de mango m6vil 324 y una parte de tambor 326. Un miembro giratorio 328 se monta preferentemente en el extremo de delante de la parte del tambor 325 para facilitar la rotaci6n del cuerpo alargado 314 con respecto al conjunto de mango 312. Una palanca de articulaci6n 330 tambien se monta preferentemente en el extremo delantero de la parte del tambor 326 adyacente al mando giratorio 328 para facilitar la articulaci6n del util final 317.
De acuerdo con la presente revelaci6n, la grapadora quirurgica 300 incluye una pluralidad de dispositivos MEMS "M" proporcionados en ubicaciones especificas de la misma. En particular, a modo de ejemplo solamente y no en forma que vaya a ser considerada como limitante, como se ve en las FIG. 3 y 3A, los dispositivos MEMS "M" se pueden proporcionar preferentemente a lo largo de la longitud de la superficie de contacto del tejido 320a del yunque 320, a lo largo de la longitud de la superficie de contacto del tejido 318a del conjunto de cartucho de grapas 318, en la unidad de carga desechable 316, en el cuerpo alargado 314 y/o en el conjunto del mango 312.
Como se describi6 anteriormente, los dispositivos MEMS "M" permiten la medici6n de varios parametros de la grapadora quirurgica 300, tales como, por ejemplo, la distancia entre las superficies de contacto del tejido 318a y 320a de la grapadora quirurgica 300, asi como la cantidad de presi6n aplicada al tejido sujeto entre las superficies de contacto del tejido 318a y 320a de la grapadora quirurgica 300.
En otra configuraci6n preferente, como se muestra en las FIG. 3 y 3A, los dispositivos MEMS "M" se situan en la proximidad de un punto de giro del yunque 320 y el conjunto de cartucho de grapas 318 de la grapadora quirurgica
300. Otros dispositivos MEMS "M" se situan remotamente del punto de giro. Se preve que los dispositivos MEMS "M" situados en el yunque 320 y el conjunto de cartucho de grapas 318 pueden ser del tipo capaz de emitir luz desde diodos laser o desde una guia ondas de fibra 6ptica. En particular, un dispositivo MEMS en forma de un sensor/dispositivo de producci6n de luz MEMS (por ejemplo, bicelda o fotodiodo) se situa opuesto a un dispositivo MEMS anteriormente mencionado para detectar cambios en la cantidad de luz que se recibe como resultado del angulo cambiante de rotaci6n entre el yunque 320 y el cartucho de grapas 318.
En consecuencia, en uso, si la cantidad de luz que se recibe es alta, un dispositivo de producci6n de luz MEMS y su dispositivo de detecci6n de luz MEMS correspondiente estan cerca el uno del otro. Por consiguiente, la distancia entre el yunque 320 y el conjunto de cartucho de grapas 318 es pequefa, y, si hay algun tejido sujeto entre el yunque 320 y el conjunto de cartucho de grapas 318, el espesor del tejido es tambien pequefo. Si la cantidad de luz que se recibe es baja, el dispositivo de producci6n de luz MEMS y su correspondiente dispositivo de detecci6n de luz MEMS estan mas lejos el uno del otro. Por consiguiente, la distancia entre el yunque 320 y el conjunto de cartucho de grapas 318 es grande, y, si hay algun tejido sujeto entre el yunque 320 y el conjunto de cartucho de grapas 318, el espesor del tejido es tambien grande.
La distancia y el espesor del tejido tambien se pueden determinar midiendo la duraci6n hasta que el dispositivo de detecci6n de luz MEMS detecta luz una vez que el dispositivo de producci6n de luz MEMS se enciende. Si el dispositivo de detecci6n de luz MEMS detecta luz, por ejemplo, en el tiempo t0 despues de que se enciende el dispositivo de producci6n de luz MEMS, entonces el yunque 320 y el conjunto de cartucho de grapas 318 estan en cercana proximidad o tocandose (espesor de tejido pequefo). Si el dispositivo de detecci6n de luz MEMS detecta luz, por ejemplo, en el momento t0 � t1 despues de que se enciende el dispositivo de producci6n de luz MEMS, entonces el yunque 320 y el conjunto de cartucho de grapas 318 estan a una distancia predeterminada el uno del otro. Tambien, si hay algun tejido sujeto entre el yunque 320 y el conjunto de cartucho de grapas 318, entonces el espesor del tejido es un espesor de tejido predeterminado. La distancia y el espesor del tejido predeterminados se pueden determinar mediante un procesador que accede a una o mas tablas de busqueda u otras estructuras de datos y correlacionando el tiempo medido con la distancia y, entonces correlacionando la distancia con el espesor del tejido.
Se hace referencia a las Patentes de U.S. N° 5.865.361, 6.330.965, y 6.241.139 para una explicaci6n mas detallada del funcionamiento de la grapadora quirurgica 300.
Volviendo ahora a la FIG. 4, una realizaci6n alternativa de una grapadora quirurgica, de acuerdo con la presente revelaci6n, se muestra de manera general como 400. Brevemente, la grapadora quirurgica 400 incluye un conjunto del mango 412 que tiene al menos un miembro de mango de actuaci6n giratoria 414 y un miembro de avance 416
configurados para abrir y cerrar la grapadora quirurgica 400. La grapadora quirurgica 400 ademas incluye una parte de cuerpo tubular 420 que se extiende desde el conjunto de mango 412, un conjunto de cartucho de grapas anular 422 conectado operativamente con un extremo distal de la parte del cuerpo tubular 420, y un yunque anular 426 situado opuesto al conjunto de cartucho de grapas 422 y conectado a la grapadora quirurgica 400 mediante un eje
428. El conjunto de cartucho de grapas 422 incluye una superficie de contacto del tejido 422a y el yunque 426 incluye una superficie de contacto del tejido 426a en yuxtaposici6n en relaci6n con la superficie de contacto del tejido 422a del conjunto de cartucho de grapas 422.
De acuerdo con la presente revelaci6n, la grapadora quirurgica 400 incluye una pluralidad de dispositivos MEMS "M" proporcionados en ubicaciones especificas de la misma. En particular, a modo de ejemplo solamente y no en forma que vaya a ser considerada limitante, como se ve en la FIG. 4, al menos un dispositivo MEMS "M" se puede proporcionar preferentemente en la superficie de contacto del tejido 426a del yunque 426, la superficie de contacto del tejido 422a del conjunto de cartucho de grapas 422, en el eje 428 y/o en el conjunto del mango 412.
Como se describi6 anteriormente, los dispositivos MEMS "M" permiten la medici6n de varios parametros de la grapadora quirurgica 400, tales como, por ejemplo, la distancia entre las superficies de contacto del tejido 422a y 426a de la grapadora quirurgica 400, asi como la cantidad de presi6n aplicada al tejido sujeto entre las superficies de contacto del tejido 422a, 426a de la grapadora quirurgica 400.
Se hace referencia a la Patente U.S. N° 5.915.616, para una explicaci6n mas detallada del funcionamiento de la grapadora quirurgica 400.
Mientras que los dispositivos MEMS para determinar la distancia y/o presi6n se muestran situados en ciertas posiciones discretas en los elementos estructurales de las grapadoras quirurgicas mostradas en las FIG. 1-4, esta dentro del alcance de la presente revelaci6n que los dispositivos MEMS para determinar la distancia y/o presi6n se pueden situar en cualquier sitio en los elementos estructurales de las grapadoras quirurgicas.
En las FIG. 1-4, los dispositivos MEMS "M" se situan meramente en posiciones representativas y no se pretende que sean indicativas de las unicas posiciones donde los dispositivos MEMS "M" se pueden proporcionar o el numero de dispositivos MEMS "M" que se pueden proporcionar. Se preve que un componente de soporte del cartucho de grapas de la grapadora quirurgica, que incluye un cartucho de grapas, se puede alejar automaticamente o manualmente de un yunque si la presi6n aplicada al tejido sujeto esta por encima de un umbral predeterminado. La grapadora quirurgica tambien se puede impedir automaticamente o manualmente que sea disparada en respuesta a la realimentaci6n proporcionada por los dispositivos MEMS "M". La realimentaci6n proporcionada por los dispositivos MEMS "M" podria ser en forma de sefales de realimentaci6n (por ejemplo, audio, visual y/o audiovisual), y/o en forma de realimentaci6n mecanica (por ejemplo, una indicaci6n tactil).
Las grapadoras quirurgicas reveladas aqui dentro se pueden ajustar con grapas quirurgicas de diferentes tamafos (es decir, grapas que tienen patas de longitud que varia) y se pueden adaptar para seleccionar automaticamente las grapas dimensionadas adecuadas para realizar un o el procedimiento quirurgico particular de acuerdo con la informaci6n obtenida por los dispositivos MEMS "M".
Volviendo ahora a las FIG. 5 y 5A, en las que numeros de referencia parecidos identifican elementos similares o identicos, un instrumento quirurgico para situar presillas en procedimientos laparosc6picos o endosc6picos que emplean los nuevos rasgos de la presente revelaci6n se designa de manera general con el numero de referencia
450.
Como se ve en la FIG. 5, el instrumento quirurgico 450 incluye una parte de mango 452 que tiene un mango que gira
o se mueve 454 y el mango estacionario 456. La manipulaci6n de los mangos 454, 456 acciona un conjunto de herramienta, tal como un conjunto de mordaza 458, a traves de un cuerpo alargado 460 que se extiende de manera distal desde la parte del mango 452. El cuerpo alargado 460 es preferentemente giratorio con respecto a la parte del mango 452 girando un mando 459. El conjunto de la mordaza 458 incluye las primera y segunda partes de mordaza yuxtapuestas 462a, 462b, respectivamente, que son m6viles simultaneamente entre una posici6n considerablemente aproximada, en la cual las partes de la mordaza 462a y 462b estan en relaci6n relativamente cercana la una con la otra, y una posici6n separada, en la cual las partes de la mordaza 462a y 462b estan separadas al menos una distancia suficiente para recibir una presilla quirurgica sin forma 464 (ver la FIG. 5A) entre medias.
Se preve que una pluralidad de presillas quirurgicas 464 esten almacenadas en una unidad de carga 466 que se monta de manera liberable al cuerpo alargado 460. En una realizaci6n preferente, la unidad de carga 466 es desechable (es decir, en forma de una unidad de carga desechable o "DLU") posteriormente al agotamiento del suministro de presillas quirurgicas 464 almacenadas alli dentro. El resto del instrumento quirurgico 450 se puede desmontar, volver a esterilizar y reutilizar en combinaci6n con otra unidad de carga que contiene un suministro de presillas quirurgicas 464.
En uso, la aproximaci6n del mango m6vil 454 hacia el mango estacionario 456 provoca el avance de una presilla
quirurgica mas distal 464 a una posici6n entre las partes de la mordaza 462a y 462b. La aproximaci6n adicional de los mangos 454, 456 uno hacia el otro provoca la aproximaci6n de las partes de la mordaza 462a y 462b una hacia la otra para formar la presilla quirurgica dispuesta entre medias.
De acuerdo con la presente revelaci6n, el instrumento quirurgico 450 incluye una pluralidad de dispositivos MEMS "M" proporcionados en ubicaciones especificas del mismo. En particular, a modo de ejemplo solamente y no en forma que vaya a ser considerada limitante, como se ve en las FIG. 5 y 5A, al menos un dispositivo MEMS "M" se puede proporcionar preferentemente en la superficie de contacto del tejido de al menos una, preferentemente cada, parte de la mordaza 462a, 462b del conjunto de la mordaza 458, en la unidad de carga 466 y/o el cuerpo alargado 460, y/o la parte del mango 452.
Como se describi6 anteriormente, los dispositivos MEMS "M" permiten la medici6n de varios parametros del instrumento quirurgico 450, tales como, por ejemplo, la distancia entre las superficies de contacto del tejido de las partes de la mordaza 462a, 462b, asi como la cantidad de presi6n aplicada al tejido sujeto entre las partes de la mordaza 462a, 462b. Se preve ademas que los dispositivos MEMS "M" sean capaces de medir y/o determinar un espesor del tejido sujeto entre las superficies de contacto del tejido de las partes de mordaza 462a, 462b.
Se hace referencia a la Patente de U.S. N° 6.059.799, para una explicaci6n mas detallada del funcionamiento de la grapadora quirurgica 450.
Volviendo ahora a las FIG. 6 y 6A, en las que numeros de referencia parecidos identifican elementos similares o identicos, un instrumento quirurgico que emplea los nuevos rasgos de la presente revelaci6n se designa de manera general con el numero de referencia 500.
Como se ve en la FIG. 6, el instrumento quirurgico 500 incluye una carcasa 521 que tiene una parte de mango fija 514, una parte de mango m6vil 516, un eje alargado 518 que se extiende de manera distal desde la carcasa 512, y un mecanismo de mordaza 522 acoplado operativamente a un extremo distal del eje 518. Como se ve en detalle en la FIG. 6A, el mecanismo de mordaza 522 incluye un par de miembros de mordaza 580, 582 que son giratorios alrededor de un perno 519 para proporcionar la apertura y cierre del mecanismo de la mordaza 522. El instrumento quirurgico 500 esta configurado y adaptado de manera que, en funcionamiento, la manipulaci6n de la parte del mango m6vil 516, distalmente y proximalmente, en relaci6n con la parte del mango fija 514, provoca a los miembros de la mordaza 580, 582 del mecanismo de mordaza 522 abrir y cerrar. Los miembros de la mordaza 580, 582 se muestran como que estan configurados y adaptados para realizar la funci6n electroquirurgica, tal como, por ejemplo, coagulaci6n, cauterizaci6n y similares.
El mecanismo de mordaza 522 se puede configurar para agarrar, grapar, cortar, retraer, coagular y/o cauterizar. Los ejemplos anteriores se pretende que sean meramente ilustrativos de unas pocas de las muchas funciones que se puede configurar el mecanismo de mordaza 522 para consumar y de ninguna manera se pretende que sea un listado exhaustivo de todas las mordazas posibles o similares o las estructuras giratorias.
Como se muestra ademas en la FIG. 6A, el mecanismo de mordaza 522 se dota con una pluralidad de dispositivos microelectroquirurgicos (MEMS) "M" situados en ubicaciones deseadas especificas sobre, en o a lo largo de las superficies de los miembros de la mordaza 580, 582. Por ejemplo, los dispositivos MEMS "M" se pueden situar cerca de un extremo proximal y/o cerca de un extremo distal de los miembros de la mordaza 580, 582, asi como a lo largo de la longitud de los miembros de la mordaza 580, 582.
En una realizaci6n preferente de la presente revelaci6n, los dispositivos MEMS "M" ofrecen una soluci6n para controlar la cantidad de energia entregada, por radiofrecuencia (por ejemplo, monopolar o bipolar), ultras6nica, laser, de haz de arg6n u otros sistemas de energia adecuados, al tejido durante el tratamiento con instrumentos electroquirurgicos basados en energia, por ejemplo, instrumentos quirurgicos de electrocauterizaci6n. En los instrumentos quirurgicos de electrocauterizaci6n el grado de corte, coagulaci6n y dafo del tejido esta influido por el ajuste de la potencia, la fuerza aplicada por el mecanismo de mordaza del instrumento quirurgico de electrocauterizaci6n al tejido, la duraci6n del contacto entre el mecanismo de mordaza del instrumento quirurgico de electrocauterizaci6n y el tejido, asi como otros factores.
Por consiguiente, se contempla que los dispositivos MEMS "M" de detecci6n de energia, capaces de medir y/o detectar energia, sean usados para monitorizar, controlar, medir y/o regular la cantidad de energia entregada por el instrumento quirurgico 500 al tejido. Los dispositivos MEMS "M" de detecci6n de energia pueden proporcionar realimentaci6n a la electr6nica dentro del instrumento de electrocauterizaci6n, por ejemplo, para crear un efecto del tejido deseado mas consistente. En particular, se preve que los dispositivos MEMS "M" esten configurados y adaptados para ser dispositivos MEMS de detecci6n de fuerza y/o presi6n de manera que una presi6n o una fuerza de agarre aplicada al tejido por los miembros de la mordaza 580, 582 se pueda detectar y regular.
Se preve ademas que los dispositivos MEMS "M" se puedan configurar y adaptar para medir temperatura sobre o cerca de una hoja activa (no se muestra) del instrumento quirurgico 500 (es decir, un instrumento de
electrocauterizaci6n, lapiz electroquirurgico, etc.). Estos dispositivos MEMS "M" de detecci6n de temperatura se pueden usar para monitorizar y controlar la temperatura de la hoja activa del instrumento de electrocauterizaci6n, de manera que la hoja activa sea capaz de alcanzar y mantener una temperatura especifica, por ejemplo, teniendo rafagas intermitentes de energia suministradas a la hoja activa o controlando la potencia o energia entregada a la hoja activa siempre que la temperatura de la hoja activa caiga por debajo de un cierto nivel umbral.
En una realizaci6n, se preve que estos dispositivos MEMS de detecci6n de temperatura "M" se puedan termopares situados directamente en una sonda o un instrumento y aislados electricamente y termicamente del mismo para la detecci6n y/o medici6n de la temperatura del tejido situado adyacente a los mismos. Se contempla ademas que, debido a su tamafo y sensibilidades relativamente mas pequefos, los dispositivos MEMS de detecci6n de temperatura "M" se pueden situar y/o encapsular en puntas o elementos conductivos termicamente que podrian ser hilos semirrigidos o hilos hechos de metales con memoria de forma para una aplicaci6n particular que se podria extender fuera de la sonda y en el tejido colindante a una sonda de tratamiento para monitorizar la temperatura del tejido colindante a la sonda de tratamiento.
Se contempla ademas que los dispositivos MEMS "M" seleccionados esten configurados y adaptados para ser dispositivos MEMS de detecci6n de corriente para regular y monitorizar la corriente electrica entregada a la hoja activa y a traves del tejido. Se preve que el flujo o cantidad de corriente se podria regular para detenerse despues de la entrega de una cantidad de energia o despues de alcanzar un valor de corriente especifico.
Ademas, se contempla que los dispositivos MEMS "M" seleccionados se configuren y adapten para controlar el tratamiento de energia detectando la distancia entre elementos m6viles, tales como, por ejemplo, mordazas que tienen electrodos, para mantener las mordazas a una distancia 6ptima para uno o mas aspectos de una aplicaci6n de tratamiento dada. Por ejemplo, los dispositivos MEMS "M" de detecci6n de distancia se pueden emplear para usar haces de luz emitida desde diodos laser y/o guiada a traves de fibra 6ptica en conjunto con un dispositivo de detecci6n, tal como, por ejemplo, una bicelda o un fotodiodo situado directamente en la punta de la sonda o en una ubicaci6n remota adecuada para medir la distancia relativa entre las partes de las mordazas.
En una realizaci6n alternativa de la presente revelaci6n, se preve que los dispositivos MEMS "M" esten configurados y adaptados para ser dispositivos MEMS aceler6metros "M", cuyos aceler6metros detectan frecuencias mediante el desplazamiento de un elemento con voladizo o sintonizado asociado con los dispositivos MEMS "M". En consecuencia, cuando el instrumento quirurgico es un instrumento quirurgico basado en energia, por ejemplo, del tipo de corte o coagulaci6n (por ejemplo, el instrumento electroquirurgico) el cual incluye un mecanismo de mordaza 522 como se describi6 anteriormente, los dispositivos MEMS "M" que emplean sensores adecuados se pueden emplear para medir la aceleraci6n y el desplazamiento de los miembros dela mordaza 580, 582 uno en relaci6n con el otro. En consecuencia, los dispositivos MEMS aceler6metros "M" se pueden situar en componentes individuales, tales como, por ejemplo, cada mordaza 580, 582, para medir su aceleraci6n relativa, en el instrumento quirurgico 500 total o en una hoja fija que realiza las funciones de coagulaci6n y corte, tal como, por ejemplo, un lapiz electroquirurgico para medir la aceleraci6n de los instrumentos en conjunto, o una combinaci6n de los mismos.
Cuando los dispositivos MEMS aceler6metros "M" se emplean e integran adecuadamente como dos o tres conjuntos ortogonales, constituyen de manera efectiva un dispositivo de medici6n de aceleraci6n bidimensional o tridimensional o dispositivo de tipo giroscopio cuando se dota con un punto conocido de origen y un sistema informatico configurado adecuadamente. En esta realizaci6n, los dispositivos MEMS "M" se pueden emplear ventajosamente como un sistema pasivo para hacer el seguimiento de la distancia entre las mordazas, la posici6n del instrumento en relaci6n con la parte del tejido objetivo y la duraci6n del tratamiento.
Una aplicaci6n adicional para los dispositivos MEMS "M" en instrumentos quirurgicos tales como dispositivos de corte o coagulaci6n electroquirurgicos incluye la detecci6n de par. Se contempla que los dispositivos MEMS de detecci6n de par "M" seleccionados se pueden situar adecuadamente en cada miembro de la mordaza 580, 582, en el mecanismo de mordaza 522 o en una combinaci6n de ambos. Los dispositivos MEMS de detecci6n de par "M" se pueden configurar para emplear sensores de tensi6n o sistemas de medici6n 6ptica, por ejemplo. Se preve que, los dispositivos MEMS de detecci6n de par "M" se puedan configurar para detectar la desviaci6n en diferentes puntos a lo largo del elemento o mango del instrumento uno en relaci6n con el otro. En consecuencia, la desviaci6n de las partes del instrumento quirurgico, en puntos y angulos de aplicaci6n predeterminados de los dispositivos MEMS de detecci6n de par "M", podria ser igualada con una fuerza o par aplicado. Los sensores de tensi6n o estructura de guia ondas de fibra 6ptica o integrada en conjunto con un sistema de detecci6n se podria usar para detectar, medir y controlar el grado de fuerza aplicada a o ejercida por componentes mediante la monitorizaci6n de los cambios relativos en la distancia o desviaci6n de las partes del instrumento.
Preferentemente, como se ve en la FIG. 6, los dispositivos MEMS "M" esta acoplados electricamente a una caja de control 562 a traves de conductores de hilo 560 que se extienden desde la carcasa 512. Se preve que los conductores de hilo 560 viajen a traves de la carcasa 512 y eje 518 a los dispositivos MEMS "M". En una realizaci6n preferente, los dispositivos MEMS "M" y la caja de control 562 estan acoplados electricamente a un circuito de
realimentaci6n (no se muestra). El circuito de realimentaci6n monitorizaria continuamente y transmitiria las sefales y parametros entre los dispositivos MEMS "M" y la caja de control 562.
Los dispositivos MEMS "M", tales como aquellos descritos anteriormente, tambien se pueden emplear individualmente o en combinaci6n con los sistemas sensores tradicionales, tales como, por ejemplo, la circuiteria de detecci6n de perdidas entre elementos del instrumento, y se pueden configurar adecuadamente para proporcionar realimentaci6n a un sistema de control electr6nico (por ejemplo, ordenador, microprocesador, controlador de l6gica programable o combinaci6n de los mismos) para hacer el seguimiento cada parametro de realimentaci6n notificado en relaci6n con los criterios predefinidos para el ajuste y control automaticos de la energia entregada por el instrumento para, por ejemplo, medir, determinar, verificar y/o controlar la efectividad del tratamiento y el rendimiento adecuado del instrumento quirurgico. El sistema de control tambien se configuraria preferentemente con l6gica para ponderar las entradas de cada parametro detectado por un dispositivo MEMS "M" y acomodar el funcionamiento manual selectivo de cualquier parametro. De esta manera, los parametros de los dispositivos MEMS "M" se pueden integrar en un sistema de visualizaci6n informatizado unico o monitorizar separadamente, por ejemplo, por el sistema de visualizaci6n o mediante sistemas de advertencia audible, visual o tactil simples. El sistema de control se podria integrar al menos parcialmente en el instrumento o un sistema separado conectado al instrumento.
A modo de ejemplo solamente, de acuerdo con la presente revelaci6n, se preve que los dispositivos MEMS "M" puedan incluir dispositivos de medici6n de presi6n (es decir, capacitivos, piezorresistivos, piezoelectricos, resonantes y/o interferometricos de fibra 6ptica, etc.), dispositivos de medici6n de tensi6n (es decir, piezorresistivos, piezoelectricos y/o de modulaci6n de frecuencia, etc.), dispositivos de medici6n de desplazamiento (es decir, capacitivos, magneticos y/o interferometricos de fibra 6ptica), 6pticos (es decir, fluorescentes, de absorci6n y/o interferometricos de fibra 6ptica), biosensores (para medir, es decir, glucosa, sondas neurales, tactiles, pH, gases en sangre) y/o inmunosensores, sensores de temperatura, sensores de par, aceler6metros, sensores de flujo y sensores electroquimicos y/o electromagneticos, y combinaciones de los anteriores.
De acuerdo con los principios de la presente revelaci6n, como se ve en las FIG. 7-12, se preve que los instrumentos quirurgicos descritos anteriormente, junto con sus dispositivos MEMS incorporados "M" respectivos se puedan emplear con o interconectar directamente con un sistema quirurgico rob6tico 600. Un sistema quirurgico rob6tico ejemplar se revela en la Patente de U.S. N° 6.231.565.
Generalmente, los sistemas quirurgicos rob6ticos incluyen instrumentos o sistemas quirurgicos, o bien alimentados localmente o bien remotamente, que tienen sistemas de control electr6nicos localizados en una consola o distribuidos dentro o a traves del instrumento o sistema quirurgico. Los sistemas de instrumento quirurgico se pueden alimentar o controlar separadamente desde el sistema rob6tico o, en alternativa, los sistemas de potencia y control se pueden integrar o interconectar con el sistema quirurgico rob6tico.
En particular, como se ve en la FIG. 7, el sistema quirurgico rob6tico 600 incluye un conjunto de actuaci6n 612, un monitor 614, un robot 616 y una unidad de carga 618 adjuntas de manera liberable al robot 616 y que tiene al menos un instrumento quirurgico 620 para realizar al menos una tarea quirurgica conectada operativamente al mismo. El robot 616 incluye un tronco 622 que se extiende desde una base 624, un hombro 626 que conecta el tronco 622 con un brazo superior 628, un codo 630 que conecta el brazo superior 628 a un brazo inferior 632, y un mufeca 634 adjunta al brazo inferior 632 desde la cual se extiende un reborde de montaje 636. Preferentemente, el reborde de montaje 636 es capaz de moverse con seis grados de libertad.
Como se usa aqui dentro, la "unidad de carga" se entiende para incluir unidades de carga desechables (por ejemplo, las DLU) y unidades de carga de uso unico (por ejemplo, las SULU). Las SULU incluyen unidades de cartucho desmontables, por ejemplo, para grapadoras de anastomosis gastrointestinal y anastomosis transversal e incluyen unidades desmontables, por ejemplo, aquellas que tienen un eje 316, un conjunto de cartucho 318 y un yunque 317 (ver, por ejemplo, la FIG. 3 presente). Estas ultimas unidades desmontables, que se pueden modificar, se conocen algunas veces como DLU (por ejemplo, ver 618 en la FIG. 7 y 718 en la FIG. 9).
La unidad de carga desechable 618 ademas incluye una parte de cabezal 640 para alojar un conjunto electromecanico (ver la FIG. 8) alli dentro para operar el instrumento quirurgico 620 y una plataforma de fijaci6n 642 para fijar de manera liberable la unidad de carga desechable 618 al robot 616 a traves del reborde de montaje 636. El reborde de montaje 636 preferentemente incluye dos ranuras 635 que inter-enganchan con las protrusiones 638 de la plataforma 642 para conectar el reborde de montaje 636 con la unidad de carga desechable 618. Se contempla ademas que una conexi6n electrica 633 (ver la FIG. 8) sea proporcionada entre las ranuras 635 y las protrusiones 638 para proporcionar alimentaci6n al conjunto electromecanico 619.
La unidad de carga desechable 618, la cual podria ser un instrumento quirurgico como se contempla aqui dentro, se puede desmontar del reborde de montaje 636 y se puede sustituir con otra de tal unidad de carga desechable, o instrumento quirurgico, para realizar un procedimiento quirurgico diferente. A modo de ejemplo solamente y no de forma que vaya a ser considerada como limitante, los instrumentos o sistemas quirurgicos potenciales que pueden interconectar con el sistema rob6tico 600 incluyen varios instrumentos de mano, por ejemplo, agarradores,
retractores, instrumentos de recuperaci6n de muestras, instrumentos endosc6picos y laparosc6picos, instrumentos electroquirurgicos, instrumentos de aplicaci6n de grapas o de cierres, instrumentos de extracci6n de muestras, instrumentos de corte, instrumentos de perforaci6n de agujeros, instrumentos de sutura y/o combinaciones de los mismos. Se preve que cada uno de estos instrumentos sea dotado con al menos uno, preferentemente una pluralidad de dispositivos MEMS "M" como se describi6 anteriormente, para proporcionar realimentaci6n al usuario. Se contempla ademas que los dispositivos MEMS "M" puedan proporcionar realimentaci6n directamente al sistema rob6tico 600 para que el sistema rob6tico 600 responda, por ejemplo, adaptar en respuesta a la realimentaci6n y/o proporcionar notificaci6n al usuario del sistema rob6tico 600. Se preve ademas que una pluralidad de sensores se pueda incorporar dentro, por ejemplo, proporcionada en un instrumento quirurgico basado en energia, cuyo instrumento quirurgico basado en energia tambien se puede interconectar con el sistema rob6tico 600. Por consiguiente, la energia proporcionada al instrumento quirurgico basado en energia se puede entregar y controlar directamente por el sistema rob6tico 600 para interfaces de usuario mejoradas y mejor integraci6n del sistema.
En funcionamiento, el usuario (por ejemplo, el cirujano, la enfermera, el tecnico, etc.) controla el conjunto de actuaci6n 612 para controlar el movimiento y operaci6n del robot 616 y la unidad de carga desechable 618. Dependiendo de la cantidad de giro de los mandos 644 en el conjunto de actuaci6n 612, el conjunto de actuaci6n 612 transmite sefales electricas al robot 616 para operar electromecanicamente las partes m6viles del robot 616, tal como girar el robot 616 alrededor del tronco vertical 622 o avanzar el reborde de montaje 636. El montaje de actuaci6n 612 puede incluir un procesador alli dentro para almacenar los comandos operacionales y para transmitir las sefales digitales al conjunto mecanico 619. El montaje de actuaci6n 612 tambien puede transmitir sefales electricas al reborde de montaje 636 en forma de sefales electricas, por ejemplo, para situar y operar la unidad de carga 618.
El conjunto de actuaci6n 612 preferentemente esta adaptado para transmitir sefales electricas a un conjunto electromecanico 619 alojado dentro de la parte del cabezal 640 de la unidad de carga 618 para accionar el conjunto electromecanico 619 el cual a su vez acciona el instrumento quirurgico 620. El conjunto electromecanico 619 incluye mecanismos para mover y operar el instrumento de herramienta quirurgica 620, tales como, por ejemplo, servomotores para oscilar arm6nicamente un bisturi de un instrumento de corte, o las barras para mover giratoriamente una aguja de sutura situada en un eje de una cubierta longitudinal de un instrumento de sutura.
Como se ve en la FIG. 8, la unidad de carga desechable 618 ademas puede incluir circuiteria integrada para recibir sefales digitales desde el conjunto de actuaci6n 612, tal como, un receptor 621 y un procesador 623. El receptor 621 y el procesador 623 estan incluidos dentro de los medios de control 625 conectados electricamente al conjunto electromecanico 619.
A modo de ejemplo solamente, como se muestra en la FIG. 9, una unidad de carga desechable 718, a continuaci6n algunas veces referida como unidad de carga 718, que incluye un util final de una grapadora quirurgica, similar al util final de la grapadora quirurgica 100 descrita anteriormente, esta conectado operativamente con el robot 616 (ver la FIG. 7) de manera que un grupo de cierres quirurgicos (por ejemplo, grapas) se puede aplicar al tejido del cuerpo. En particular, la unidad de carga 718 incluye una parte del cuerpo que se extiende distalmente 716, una parte del cuerpo transversal 715, y el bastidor de soporte 719 recibido operativamente en un extremo distal de la parte del cuerpo transversal 715. La unidad de carga 718 ademas incluye un yunque 720 y un conjunto de cartucho de grapas 722 recibido operativamente dentro de la parte del cuerpo transversal 715. Cada uno del yunque 720 y el conjunto de cartucho de grapas 722 incluye superficies de contacto del tejido yuxtapuestas 720a, 722a, respectivamente.
Se preve que la unidad de carga 718 incluye un actuador incorporado dentro de una parte de cabezal 792 para realizar el cierre rapido y el avance incremental del conjunto de cartucho de grapas 722 con respecto al yunque 720. Como se describi6 anteriormente, en relaci6n a la grapadora quirurgica 100, los dispositivos MEMS "M" se pueden proporcionar sobre el yunque 720 y el conjunto de cartucho de grapas 722 para proporcionar informaci6n de realimentaci6n al robot 616.
Ejemplos de informaci6n directa que se puede realimentar al robot 616 desde los dispositivos MEMS "M" de la unidad de carga 718 u otros dispositivos MEMS incluyen, por ejemplo, si se han disparado la grapas o, en el caso de un instrumento electroquirurgico, la cantidad de energia entregada. El dispositivo MEMS "M" tambien se puede usar para hacer mediciones indirectas del rendimiento, tales como, por ejemplo, detectar el estado de disparo de la grapa midiendo la posici6n del miembro de montaje responsable de empujar las grapas fuera del cartucho. Alternativamente, los dispositivos MEMS "M" pueden medir un miembro asociado, tal como un desplazamiento de una barra de empuje o un giro de una barra roscada para determinar si las grapas se han disparado o no. En cualquiera de los dos casos, el sistema rob6tico 600 puede aceptar la informaci6n de la unidad de carga 718 y responder en consecuencia, por ejemplo, o bien alterando el rendimiento, haciendo ajustes, notificando al usuario, modificando o deteniendo la operaci6n o bien cualquier combinaci6n de las mismas.
Se hace referencia a la Patente U.S. N° 5.964.394, para una explicaci6n mas detallada del funcionamiento y trabajo interno de los componentes del util final de la grapadora quirurgica acoplado operativamente al extremo distal de la
unidad de carga 718.
Como se ve en la FIG. 10, una unidad de carga que incluye una parte de extremo distal capaz de realizar una funci6n electroquirurgica, similar al instrumento quirurgico 500 anterior, se muestra de manera general como 800. En particular, la unidad de carga 800 incluye una parte de cabezal 802 configurada y adaptada para ser acoplada de manera desmontable al reborde de montaje 636 del robot 616, un eje alargado 818 que se extiende distalmente desde la parte del cabezal 802, y un mecanismo de mordaza 822 acoplado operativamente a un extremo distal del eje 818. El mecanismo de mordaza 822 incluye un par de miembros de la mordaza 880, 882 los cuales son giratorios alrededor de un perno 819 para proporcionar la apertura y el cierre del mecanismo de mordaza 822. Los miembros de la mordaza 880, 882 estan configurados y adaptados preferentemente para realizar una funci6n electroquirurgica, tal como, por ejemplo, coagulaci6n, cauterizaci6n y similares.
La unidad de carga 800 se dota preferentemente ademas con dispositivos MEMS "M" situados cerca de un extremo proximal, un extremo distal, aproximadamente a medio camino y/o en todo lo largo de la longitud de cada miembro de la mordaza 880, 882 para proporcionar informaci6n de realimentaci6n al robot 616. Por consiguiente, en el caso de la unidad de carga 800, los dispositivos MEMS "M" puede realimentar, al robot 616 y al conjunto de actuaci6n 612, la informaci6n con respecto, por ejemplo, a la cantidad de energia entregada, la fuerza de sujeci6n que esta siendo aplicada por los miembros de la mordaza 880, 882, la temperatura en el lugar quirurgico objetivo y similares.
Volviendo ahora a la FIG. 11, una unidad de carga que incluye un util final de aplicaci6n de presilla de vaso, para aplicar presillas quirurgicas al tejido del cuerpo, por ejemplo, para vasos de oclusi6n, se muestra de manera general como 900. La unidad de carga 900 incluye una parte de cabezal 902, una parte de cuerpo 904 que se extiende distalmente desde la parte del cabezal 902, y una pluralidad de presillas quirurgicas (no se muestran) dispuestas dentro de la parte del cuerpo 904. Un conjunto de mordaza 906 se monta adyacente a una parte del extremo distal 908 de la parte del cuerpo 904. El conjunto de mordaza 906 incluye una primera y una segunda parte de la mordaza 901a, 910b, respectivamente, las cuales son m6viles entre una posici6n separada y aproximada una en relaci6n a la otra.
Un empujador de presillas (no se muestra) se proporciona dentro de la parte del cuerpo 904 para avanzar distalmente de manera individual una presilla quirurgica mas distal al conjunto de mordaza 906 mientras que la primera y la segunda partes de la mordaza 910a, 910b estan en la posici6n separada. Un actuador 912, dispuesto dentro de la parte del cuerpo 904, se mueve longitudinalmente en respuesta a la actuaci6n del conjunto electromecanico 619 proporcionado dentro de la parte del cabezal 902. Un miembro de cierre de la mordaza 914 se situa adyacente a la primera y segunda partes de la mordaza 910a, 910b para mover las partes de la mordaza 910a, 910b a la posici6n aproximada. El actuador 912 y el miembro de cierre de la mordaza 914 definen un bloqueo entre medias para producir el movimiento simultaneo del actuador 912 y el miembro de cierre de la mordaza 914 cuando el actuador 912 esta situado adyacente a la parte del extremo distal de la parte del cuerpo 904.
Se preve que la unidad de carga 900 incluya preferentemente al menos un dispositivo MEMS "M" conectado operativamente con cada una de la primera y segunda partes de la mordaza 910a, 910b para proporcionar informaci6n de realimentaci6n al robot 616.
Se hace referencia a la Patente U.S. N° 6.059.799, para una explicaci6n mas detallada del funcionamiento y el trabajo interno de los componentes del util final de aplicaci6n de presillas de vaso de la unidad de carga 900.
Volviendo ahora a la FIG. 12, una unidad de carga que incluye un util final de aplicaci6n de sutura vascular, para suturar las secciones del tejido vascular juntas, se muestra de manera general como 950. La unidad de carga 950 incluye una parte de cabezal 952 y una parte de cuerpo 954 extendida distalmente de alli. Un par de mordazas de recepci6n de agujas 956, 958 se montan giratoriamente en un extremo distal de la parte del cuerpo 954 y se configuran para pasar repetidamente una aguja quirurgica 960 y la longitud asociada de material de sutura entre medias. La unidad de carga 950 ademas incluye la estructura de sujeci6n de la aguja (no se muestra) montada dentro de las mordazas 956 para el movimiento reciproco dentro y fuera de los huecos de sujeci6n de la aguja 962 formados en las mordazas 956, 958. Durante un procedimiento de anastomosis, la unidad de carga 950 respondera ventajosamente a los comandos de movimiento transmitidos desde el conjunto de actuaci6n para aplicar los cierres al tejido.
Se preve que la unidad de carga 950 incluya preferentemente al menos un dispositivo MEMS "M" conectado operativamente a cada una del par de mordazas de recepci6n de agujas 956, 958 para proporcionar informaci6n de realimentaci6n al robot 616. Se contempla que el dispositivo MEMS "M" pueda, por ejemplo, proporcionar informaci6n relativa a la posici6n de las mordazas 956, 958, si y en que aguja 960 de la mordaza esta dispuesta, y la fuerza que se ejerce en la aguja 960.
Se hace referencia a la Patente U.S. N° 5.478.344, para una explicaci6n mas detallada del funcionamiento y el trabajo interno de los componentes del util final de aplicaci6n de sutura vascular de la unidad de carga 950.
Una ventaja de usar dispositivos MEMS en conjunto con los sistemas rob6ticos, similares a aquellos descritos anteriormente, es que las condiciones y fuerzas detectadas por los dispositivos MEMS proporcionados en los utiles finales de las unidades de carga pueden ser sistema de realimentaci6n para los sistemas rob6ticos o transmitidos a una interfaz de usuario.
5 Los sistemas rob6ticos actuales permiten poca a ninguna informaci6n tactil para alcanzar o ser transmitida desde el paciente de vuelta a las manos del usuario (es decir, el cirujano). Por consiguiente, usando dispositivos MEMS, de acuerdo con la presente revelaci6n, en combinaci6n con un sistema de realimentaci6n y control, las condiciones y fuerzas experimentadas por el extremo distal de los utiles finales debidas a la interacci6n del util final con el tejido del paciente se pueden "sentir" y/o monitorizar por el cirujano, mejorando mucho de esta manera la informaci6n del
10 cirujano y, a su vez, la habilidad para realizar procedimientos quirurgicos.
De acuerdo con la presente revelaci6n, se contempla tener realimentaci6n de informaci6n, datos, sefales, condiciones y fuerzas, iniciadas por presi6n y/u otros parametros indicativos de la tarea quirurgica que se realiza por el util final de la unidad de carga desechable y medida y/o detectada por los dispositivos MEMS proporcionados en la unidad de carga, y para transmitir esta realimentaci6n a un sistema de control. Este sistema de control de
15 realimentaci6n permite al sistema rob6tico ser programado, antes de que se realice la tarea quirurgica, con orientaci6n, presi6n, y otros parametros que se pueden monitorizar continuamente para controlar la operaci6n y el movimiento de la unidad de carga y del util final asociado.
Aunque las realizaciones ilustrativas de la presente revelaci6n se han descrito aqui dentro, se entiende que la revelaci6n no esta limitada a esas precisas realizaciones, y que varios otros cambios y modificaciones se pueden
20 efectuar alli dentro por un experto en la tecnica sin salirse del alcance de la revelaci6n. Todos de tales cambios y modificaciones se pretende que esten incluidos dentro del alcance de la revelaci6n.

Claims (12)

  1. REIVINDICACIONES
    1. Una grapadora quirurgica (100, 200), que comprende:
    un util final (317) configurado y adaptado para enganchar tejido, el util final que incluye un conjunto de cartucho de grapas (318) y un yunque (320) asociado operativamente con el conjunto de cartucho de grapas; y
    al menos un dispositivo de sistema microelectromecanico (MEMS) ("M") conectado operativamente al util final, cada uno del conjunto de cartucho de grapas y el yunque que definen las superficies de contacto del tejido y el al menos un dispositivo MEMS que se conecta operativamente a al menos una de la superficie de contacto del tejido (318a) del conjunto de cartucho de grapas y la superficie de contacto del tejido (320a) del yunque, el dispositivo MEMS que incluye un sistema electr6nico integrado que incluye al menos un sensor para detectar la cantidad de presi6n aplicada al tejido sujeto entre el conjunto de cartucho de grapas y el yunque y una distancia entre la superficie de contacto del tejido del conjunto de cartucho de grapas y superficie de contacto del tejido del yunque, el dispositivo MEMS que ademas incluye uno o mas circuitos electr6nicos para la determinaci6n del espesor del tejido, calculando el espesor del tejido sujeto a partir de la distancia conocida.
  2. 2.
    El instrumento quirurgico de acuerdo con la reivindicaci6n 1, en el que el al menos un dispositivo MEMS incluye un transmisor inalambrico.
  3. 3.
    El instrumento quirurgico de acuerdo con la reivindicaci6n 1, en el que el al menos un dispositivo MEMS ademas incluye un sensor seleccionado del grupo que consta de un sensor de presi6n, un sensor de tensi6n, un sensor de desplazamiento, un sensor 6ptico, un biosensor, un sensor de temperatura, un sensor de par, un aceler6metro, un sensor de flujo, un sensor electrico y un sensor magnetico.
  4. 4.
    El instrumento quirurgico de acuerdo con la reivindicaci6n 1, en el que el al menos un dispositivo MEMS incluye un dispositivo de entrega y recepci6n transductor.
  5. 5.
    El instrumento quirurgico de acuerdo con la reivindicaci6n 4, en el que el al menos un dispositivo MEMS incluye dispositivos de entrega y de recepci6n transductores que determinan la distancia entre las superficies de contacto del tejido del cartucho de grapas y el yunque.
  6. 6.
    El instrumento quirurgico de acuerdo con la reivindicaci6n 5, que comprende dispositivos de entrega MEMS transductores alineados con los dispositivos de recepci6n MEMS transductores, los dispositivos de recepci6n que se configuran para recibir una sefal generada por los dispositivos de entrega, y que ademas comprenden un procesador configurado para correlacionar el tiempo de transmisi6n con la distancia usando una estructura de datos.
  7. 7.
    El instrumento quirurgico de acuerdo con la reivindicaci6n 1, en el que el al menos un dispositivo MEMS amplifica una sefal y transmite la sefal a un procesador.
  8. 8.
    El instrumento quirurgico de acuerdo con la reivindicaci6n 1, en el que el al menos un dispositivo MEMS incluye un biosensor configurado para determinar la condici6n del tejido.
  9. 9.
    El instrumento quirurgico de acuerdo con la reivindicaci6n 1, en el que el al menos un dispositivo MEMS incluye un sensor de temperatura.
  10. 10.
    El instrumento quirurgico de acuerdo con la reivindicaci6n 1, en el que el al menos un dispositivo MEMS es un dispositivo MEMS aceler6metro.
  11. 11.
    El instrumento quirurgico de acuerdo con la reivindicaci6n 10, en el que el aceler6metro detecta frecuencias por el desplazamiento de un elemento de voladizo o sintonizado asociado con el dispositivo MEMS.
  12. 12.
    El instrumento quirurgico de acuerdo con la reivindicaci6n 10, en el que el dispositivo MEMS aceler6metro se emplea e integra como dos o tres conjuntos ortogonales que constituyen un dispositivo de medici6n de aceleraci6n bidimensional o tridimensional o dispositivo tipo giroscopio cuando se dota con un punto conocido de origen y el sistema informatico configurado adecuadamente.
ES03738882T 2002-04-25 2003-04-25 Instrumentos quirúrgicos que incluyen sistemas microelectromecánicos (MEMS) Expired - Lifetime ES2377483T3 (es)

Applications Claiming Priority (5)

Application Number Priority Date Filing Date Title
US37549602P 2002-04-25 2002-04-25
US37549502P 2002-04-25 2002-04-25
US375496P 2002-04-25
US375495P 2002-04-25
PCT/US2003/013056 WO2003090630A2 (en) 2002-04-25 2003-04-25 Surgical instruments including micro-electromechanical systems (mems)

Publications (1)

Publication Number Publication Date
ES2377483T3 true ES2377483T3 (es) 2012-03-28

Family

ID=29273028

Family Applications (1)

Application Number Title Priority Date Filing Date
ES03738882T Expired - Lifetime ES2377483T3 (es) 2002-04-25 2003-04-25 Instrumentos quirúrgicos que incluyen sistemas microelectromecánicos (MEMS)

Country Status (7)

Country Link
US (8) US20050131390A1 (es)
EP (1) EP1496805B1 (es)
JP (1) JP4431404B2 (es)
AU (3) AU2003245246B2 (es)
CA (1) CA2483094C (es)
ES (1) ES2377483T3 (es)
WO (1) WO2003090630A2 (es)

Families Citing this family (1730)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5865361A (en) 1997-09-23 1999-02-02 United States Surgical Corporation Surgical stapling apparatus
US6726686B2 (en) 1997-11-12 2004-04-27 Sherwood Services Ag Bipolar electrosurgical instrument for sealing vessels
US7137980B2 (en) 1998-10-23 2006-11-21 Sherwood Services Ag Method and system for controlling output of RF medical generator
US7364577B2 (en) 2002-02-11 2008-04-29 Sherwood Services Ag Vessel sealing system
US7118570B2 (en) 2001-04-06 2006-10-10 Sherwood Services Ag Vessel sealing forceps with disposable electrodes
US7887535B2 (en) 1999-10-18 2011-02-15 Covidien Ag Vessel sealing wave jaw
US10849681B2 (en) 2001-04-06 2020-12-01 Covidien Ag Vessel sealer and divider
US7101371B2 (en) 2001-04-06 2006-09-05 Dycus Sean T Vessel sealer and divider
CA2443252A1 (en) 2001-04-06 2002-10-17 Sherwood Services Ag Electrosurgical instrument which reduces collateral damage to adjacent tissue
AU2001249933B2 (en) 2001-04-06 2006-06-08 Covidien Ag Vessel sealer and divider with non-conductive stop members
US11229472B2 (en) 2001-06-12 2022-01-25 Cilag Gmbh International Modular battery powered handheld surgical instrument with multiple magnetic position sensors
US10285694B2 (en) 2001-10-20 2019-05-14 Covidien Lp Surgical stapler with timer and feedback display
US7464847B2 (en) 2005-06-03 2008-12-16 Tyco Healthcare Group Lp Surgical stapler with timer and feedback display
US9155544B2 (en) 2002-03-20 2015-10-13 P Tech, Llc Robotic systems and methods
ES2377483T3 (es) 2002-04-25 2012-03-28 Tyco Healthcare Group Lp Instrumentos quirúrgicos que incluyen sistemas microelectromecánicos (MEMS)
US7931649B2 (en) 2002-10-04 2011-04-26 Tyco Healthcare Group Lp Vessel sealing instrument with electrical cutting mechanism
US7276068B2 (en) 2002-10-04 2007-10-02 Sherwood Services Ag Vessel sealing instrument with electrical cutting mechanism
US7270664B2 (en) 2002-10-04 2007-09-18 Sherwood Services Ag Vessel sealing instrument with electrical cutting mechanism
US7799026B2 (en) 2002-11-14 2010-09-21 Covidien Ag Compressible jaw configuration with bipolar RF output electrodes for soft tissue fusion
AU2003223284C1 (en) 2003-03-13 2010-09-16 Covidien Ag Bipolar concentric electrode assembly for soft tissue fusion
WO2004091419A2 (en) 2003-04-08 2004-10-28 Wasielewski Ray C Use of micro-and miniature position sensing devices for use in tka and tha
US8128624B2 (en) 2003-05-01 2012-03-06 Covidien Ag Electrosurgical instrument that directs energy delivery and protects adjacent tissue
EP1617778A2 (en) 2003-05-01 2006-01-25 Sherwood Services AG Electrosurgical instrument which reduces thermal damage to adjacent tissue
US7160299B2 (en) 2003-05-01 2007-01-09 Sherwood Services Ag Method of fusing biomaterials with radiofrequency energy
US7722601B2 (en) 2003-05-01 2010-05-25 Covidien Ag Method and system for programming and controlling an electrosurgical generator system
EP1628586B1 (en) 2003-05-15 2011-07-06 Covidien AG Tissue sealer with non-conductive variable stop members
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
AU2004249161B9 (en) 2003-06-13 2010-04-08 Covidien Lp Multiple member interconnect for surgical instrument and absorbable screw fastener
US7150749B2 (en) 2003-06-13 2006-12-19 Sherwood Services Ag Vessel sealer and divider having elongated knife stroke and safety cutting mechanism
US7156846B2 (en) 2003-06-13 2007-01-02 Sherwood Services Ag Vessel sealer and divider for use with small trocars and cannulas
USD956973S1 (en) 2003-06-13 2022-07-05 Covidien Ag Movable handle for endoscopic vessel sealer and divider
US7857812B2 (en) 2003-06-13 2010-12-28 Covidien Ag Vessel sealer and divider having elongated knife stroke and safety for cutting mechanism
US8926637B2 (en) 2003-06-13 2015-01-06 Covidien Lp Multiple member interconnect for surgical instrument and absorbable screw fastener
US8968276B2 (en) 2007-09-21 2015-03-03 Covidien Lp Hand held surgical handle assembly, surgical adapters for use between surgical handle assembly and surgical end effectors, and methods of use
US10022123B2 (en) 2012-07-09 2018-07-17 Covidien Lp Surgical adapter assemblies for use between surgical handle assembly and surgical end effectors
US9055943B2 (en) 2007-09-21 2015-06-16 Covidien Lp Hand held surgical handle assembly, surgical adapters for use between surgical handle assembly and surgical end effectors, and methods of use
US10105140B2 (en) 2009-11-20 2018-10-23 Covidien Lp Surgical console and hand-held surgical device
US10041822B2 (en) 2007-10-05 2018-08-07 Covidien Lp Methods to shorten calibration times for powered devices
US11311291B2 (en) 2003-10-17 2022-04-26 Covidien Lp Surgical adapter assemblies for use between surgical handle assembly and surgical end effectors
AU2003286644B2 (en) 2003-10-23 2009-09-10 Covidien Ag Thermocouple measurement circuit
US7396336B2 (en) 2003-10-30 2008-07-08 Sherwood Services Ag Switched resonant ultrasonic power amplifier system
US9848938B2 (en) 2003-11-13 2017-12-26 Covidien Ag Compressible jaw configuration with bipolar RF output electrodes for soft tissue fusion
US7367976B2 (en) 2003-11-17 2008-05-06 Sherwood Services Ag Bipolar forceps having monopolar extension
US7811283B2 (en) 2003-11-19 2010-10-12 Covidien Ag Open vessel sealing instrument with hourglass cutting mechanism and over-ratchet safety
US7131970B2 (en) 2003-11-19 2006-11-07 Sherwood Services Ag Open vessel sealing instrument with cutting mechanism
US7442193B2 (en) 2003-11-20 2008-10-28 Covidien Ag Electrically conductive/insulative over-shoe for tissue fusion
US8182501B2 (en) 2004-02-27 2012-05-22 Ethicon Endo-Surgery, Inc. Ultrasonic surgical shears and method for sealing a blood vessel using same
US8333764B2 (en) * 2004-05-12 2012-12-18 Medtronic, Inc. Device and method for determining tissue thickness and creating cardiac ablation lesions
US8317074B2 (en) 2004-07-28 2012-11-27 Ethicon Endo-Surgery, Inc. Electroactive polymer-based articulation mechanism for circular stapler
US8215531B2 (en) 2004-07-28 2012-07-10 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having a medical substance dispenser
US11890012B2 (en) 2004-07-28 2024-02-06 Cilag Gmbh International Staple cartridge comprising cartridge body and attached support
US7407074B2 (en) 2004-07-28 2008-08-05 Ethicon Endo-Surgery, Inc. Electroactive polymer-based actuation mechanism for multi-fire surgical fastening instrument
US9072535B2 (en) 2011-05-27 2015-07-07 Ethicon Endo-Surgery, Inc. Surgical stapling instruments with rotatable staple deployment arrangements
US7879070B2 (en) 2004-07-28 2011-02-01 Ethicon Endo-Surgery, Inc. Electroactive polymer-based actuation mechanism for grasper
US11998198B2 (en) 2004-07-28 2024-06-04 Cilag Gmbh International Surgical stapling instrument incorporating a two-piece E-beam firing mechanism
US8905977B2 (en) 2004-07-28 2014-12-09 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having an electroactive polymer actuated medical substance dispenser
US7195631B2 (en) 2004-09-09 2007-03-27 Sherwood Services Ag Forceps with spring loaded end effector assembly
US8277395B2 (en) * 2004-09-22 2012-10-02 Boston Scientific Scimed, Inc. Lumen measurement devices and related methods
WO2006037073A2 (en) † 2004-09-27 2006-04-06 Evalve, Inc. Methods and devices for tissue grasping and assessment
US7955332B2 (en) 2004-10-08 2011-06-07 Covidien Ag Mechanism for dividing tissue in a hemostat-style instrument
CA2582520C (en) 2004-10-08 2017-09-12 Ethicon Endo-Surgery, Inc. Ultrasonic surgical instrument
US7686827B2 (en) 2004-10-21 2010-03-30 Covidien Ag Magnetic closure mechanism for hemostat
US7686804B2 (en) 2005-01-14 2010-03-30 Covidien Ag Vessel sealer and divider with rotating sealer and cutter
US7909823B2 (en) 2005-01-14 2011-03-22 Covidien Ag Open vessel sealing instrument
JP2008529736A (ja) 2005-02-18 2008-08-07 レイ シー ワシルースキー スマート関節インプラントセンサ
US7784663B2 (en) † 2005-03-17 2010-08-31 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having load sensing control circuitry
US8496647B2 (en) 2007-12-18 2013-07-30 Intuitive Surgical Operations, Inc. Ribbed force sensor
US9474564B2 (en) 2005-03-31 2016-10-25 Covidien Ag Method and system for compensating for external impedance of an energy carrying component when controlling an electrosurgical generator
EP3095379A1 (en) * 2005-04-15 2016-11-23 Surgisense Corporation Surgical instruments with sensors for detecting tissue properties, and systems using such instruments
US8696662B2 (en) 2005-05-12 2014-04-15 Aesculap Ag Electrocautery method and apparatus
US8728072B2 (en) 2005-05-12 2014-05-20 Aesculap Ag Electrocautery method and apparatus
US7803156B2 (en) 2006-03-08 2010-09-28 Aragon Surgical, Inc. Method and apparatus for surgical electrocautery
US7862565B2 (en) 2005-05-12 2011-01-04 Aragon Surgical, Inc. Method for tissue cauterization
US9339323B2 (en) 2005-05-12 2016-05-17 Aesculap Ag Electrocautery method and apparatus
AU2011213854B2 (en) * 2005-06-03 2012-07-05 Covidien Lp Surgical instruments employing sensors
US20060276726A1 (en) * 2005-06-03 2006-12-07 Holsten Henry E Tissue tension detection system
US11291443B2 (en) * 2005-06-03 2022-04-05 Covidien Lp Surgical stapler with timer and feedback display
EP1893101A4 (en) 2005-06-03 2017-01-04 Covidien LP Battery powered surgical instrument
US7717312B2 (en) 2005-06-03 2010-05-18 Tyco Healthcare Group Lp Surgical instruments employing sensors
US20060282097A1 (en) 2005-06-13 2006-12-14 Ortiz Mark S Surgical suturing apparatus with a non-visible spectrum sensing member
US7846169B2 (en) 2005-06-13 2010-12-07 Ethicon Endo-Surgery, Inc. Adjustable vacuum chamber for a surgical suturing apparatus
US8641728B2 (en) 2005-06-13 2014-02-04 Ethicon Endo-Surgery, Inc. Attachment apparatus for coupling with an endoscope
US9545191B2 (en) 2005-06-13 2017-01-17 Ethicon Endo-Surgery, Inc. Method for suture lacing
US7628796B2 (en) 2005-06-13 2009-12-08 Ethicon Endo-Surgery, Inc. Surgical suturing apparatus with anti-backup system
US7615060B2 (en) 2005-06-13 2009-11-10 Ethicon-Endo Surgery, Inc. Endoscopic suturing device
US7837685B2 (en) 2005-07-13 2010-11-23 Covidien Ag Switch mechanisms for safe activation of energy on an electrosurgical instrument
US8573462B2 (en) 2006-05-19 2013-11-05 Ethicon Endo-Surgery, Inc. Electrical surgical instrument with optimized power supply and drive
US11751873B2 (en) 2005-07-26 2023-09-12 Cilag Gmbh International Electrically powered surgical instrument with manual release
US7479608B2 (en) 2006-05-19 2009-01-20 Ethicon Endo-Surgery, Inc. Force switch
US8579176B2 (en) 2005-07-26 2013-11-12 Ethicon Endo-Surgery, Inc. Surgical stapling and cutting device and method for using the device
US10314583B2 (en) 2005-07-26 2019-06-11 Ethicon Llc Electrically self-powered surgical instrument with manual release
US9554803B2 (en) 2005-07-26 2017-01-31 Ethicon Endo-Surgery, Llc Electrically self-powered surgical instrument with manual release
US9662116B2 (en) 2006-05-19 2017-05-30 Ethicon, Llc Electrically self-powered surgical instrument with cryptographic identification of interchangeable part
US7959050B2 (en) * 2005-07-26 2011-06-14 Ethicon Endo-Surgery, Inc Electrically self-powered surgical instrument with manual release
US8627995B2 (en) * 2006-05-19 2014-01-14 Ethicon Endo-Sugery, Inc. Electrically self-powered surgical instrument with cryptographic identification of interchangeable part
US8627993B2 (en) * 2007-02-12 2014-01-14 Ethicon Endo-Surgery, Inc. Active braking electrical surgical instrument and method for braking such an instrument
US7628791B2 (en) 2005-08-19 2009-12-08 Covidien Ag Single action tissue sealer
US7934630B2 (en) 2005-08-31 2011-05-03 Ethicon Endo-Surgery, Inc. Staple cartridges for forming staples having differing formed staple heights
US7500979B2 (en) * 2005-08-31 2009-03-10 Ethicon Endo-Surgery, Inc. Surgical stapling device with multiple stacked actuator wedge cams for driving staple drivers
US11246590B2 (en) 2005-08-31 2022-02-15 Cilag Gmbh International Staple cartridge including staple drivers having different unfired heights
US10159482B2 (en) 2005-08-31 2018-12-25 Ethicon Llc Fastener cartridge assembly comprising a fixed anvil and different 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
US8800838B2 (en) 2005-08-31 2014-08-12 Ethicon Endo-Surgery, Inc. Robotically-controlled cable-based surgical end effectors
US11484312B2 (en) 2005-08-31 2022-11-01 Cilag Gmbh International Staple cartridge comprising a staple driver arrangement
US7722607B2 (en) 2005-09-30 2010-05-25 Covidien Ag In-line vessel sealer and divider
CA2561034C (en) 2005-09-30 2014-12-09 Sherwood Services Ag Flexible endoscopic catheter with an end effector for coagulating and transfecting tissue
US7879035B2 (en) 2005-09-30 2011-02-01 Covidien Ag Insulating boot for electrosurgical forceps
US7922953B2 (en) 2005-09-30 2011-04-12 Covidien Ag Method for manufacturing an end effector assembly
US7789878B2 (en) 2005-09-30 2010-09-07 Covidien Ag In-line vessel sealer and divider
JP2007098137A (ja) 2005-09-30 2007-04-19 Sherwood Services Ag 電気外科手術用鉗子のための絶縁ブーツ
US20070078484A1 (en) * 2005-10-03 2007-04-05 Joseph Talarico Gentle touch surgical instrument and method of using same
US20070191713A1 (en) 2005-10-14 2007-08-16 Eichmann Stephen E Ultrasonic device for cutting and coagulating
US8734438B2 (en) 2005-10-21 2014-05-27 Covidien Ag Circuit and method for reducing stored energy in an electrosurgical generator
US7673783B2 (en) 2005-11-04 2010-03-09 Ethicon Endo-Surgery, Inc. Surgical stapling instruments structured for delivery of medical agents
US20070106317A1 (en) 2005-11-09 2007-05-10 Shelton Frederick E Iv Hydraulically and electrically actuated articulation joints for surgical instruments
US7799039B2 (en) 2005-11-09 2010-09-21 Ethicon Endo-Surgery, Inc. Surgical instrument having a hydraulically actuated end effector
US7673780B2 (en) 2005-11-09 2010-03-09 Ethicon Endo-Surgery, Inc. Articulation joint with improved moment arm extension for articulating an end effector of a surgical instrument
WO2007067556A2 (en) * 2005-12-07 2007-06-14 East Carolina University Endoscopic combination grasping and cutting instruments and related methods of generally concurrently cutting and capturing suture remnants
US7947039B2 (en) 2005-12-12 2011-05-24 Covidien Ag Laparoscopic apparatus for performing electrosurgical procedures
US7670334B2 (en) 2006-01-10 2010-03-02 Ethicon Endo-Surgery, Inc. Surgical instrument having an articulating end effector
US7621930B2 (en) 2006-01-20 2009-11-24 Ethicon Endo-Surgery, Inc. Ultrasound medical instrument having a medical ultrasonic blade
US7766910B2 (en) 2006-01-24 2010-08-03 Tyco Healthcare Group Lp Vessel sealer and divider for large tissue structures
US8298232B2 (en) 2006-01-24 2012-10-30 Tyco Healthcare Group Lp Endoscopic vessel sealer and divider for large tissue structures
CA2574934C (en) 2006-01-24 2015-12-29 Sherwood Services Ag System and method for closed loop monitoring of monopolar electrosurgical apparatus
US9186200B2 (en) 2006-01-24 2015-11-17 Covidien Ag System and method for tissue sealing
US8882766B2 (en) 2006-01-24 2014-11-11 Covidien Ag Method and system for controlling delivery of energy to divide tissue
US8734443B2 (en) 2006-01-24 2014-05-27 Covidien Lp Vessel sealer and divider for large tissue structures
CA2574935A1 (en) 2006-01-24 2007-07-24 Sherwood Services Ag A method and system for controlling an output of a radio-frequency medical generator having an impedance based control algorithm
EP1981406B1 (en) 2006-01-27 2016-04-13 Suturtek Incorporated Apparatus for tissue closure
US8820603B2 (en) 2006-01-31 2014-09-02 Ethicon Endo-Surgery, Inc. Accessing data stored in a memory of a surgical instrument
US8161977B2 (en) 2006-01-31 2012-04-24 Ethicon Endo-Surgery, Inc. Accessing data stored in a memory of a surgical instrument
US11224427B2 (en) 2006-01-31 2022-01-18 Cilag Gmbh International Surgical stapling system including a console and retraction assembly
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
US7766210B2 (en) 2006-01-31 2010-08-03 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with user feedback system
US7568603B2 (en) 2006-01-31 2009-08-04 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with articulatable end effector
US8708213B2 (en) 2006-01-31 2014-04-29 Ethicon Endo-Surgery, Inc. Surgical instrument having a feedback system
US20110024477A1 (en) 2009-02-06 2011-02-03 Hall Steven G Driven Surgical Stapler Improvements
US20110295295A1 (en) 2006-01-31 2011-12-01 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical instrument having recording capabilities
US8763879B2 (en) 2006-01-31 2014-07-01 Ethicon Endo-Surgery, Inc. Accessing data stored in a memory of surgical instrument
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
US20120292367A1 (en) * 2006-01-31 2012-11-22 Ethicon Endo-Surgery, Inc. Robotically-controlled end effector
US7770775B2 (en) 2006-01-31 2010-08-10 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with adaptive user feedback
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
US8186555B2 (en) 2006-01-31 2012-05-29 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with mechanical closure system
US7644848B2 (en) 2006-01-31 2010-01-12 Ethicon Endo-Surgery, Inc. Electronic lockouts and surgical instrument including same
US11793518B2 (en) 2006-01-31 2023-10-24 Cilag Gmbh International Powered surgical instruments with firing system lockout arrangements
US9629626B2 (en) * 2006-02-02 2017-04-25 Covidien Lp Mechanically tuned buttress material to assist with proper formation of surgical element in diseased tissue
US8062236B2 (en) 2006-02-02 2011-11-22 Tyco Healthcare Group, Lp Method and system to determine an optimal tissue compression time to implant a surgical element
AU2012201028B2 (en) * 2006-02-02 2013-05-16 Covidien Lp Method and system to determine an optimal tissue compression time to implant a surgical element
JP2007252468A (ja) * 2006-03-22 2007-10-04 Olympus Medical Systems Corp 医療機器
US8992422B2 (en) 2006-03-23 2015-03-31 Ethicon Endo-Surgery, Inc. Robotically-controlled endoscopic accessory channel
US8721630B2 (en) 2006-03-23 2014-05-13 Ethicon Endo-Surgery, Inc. Methods and devices for controlling articulation
US8236010B2 (en) 2006-03-23 2012-08-07 Ethicon Endo-Surgery, Inc. Surgical fastener and cutter with mimicking end effector
US9675375B2 (en) * 2006-03-29 2017-06-13 Ethicon Llc Ultrasonic surgical system and method
AU2007201312B2 (en) 2006-03-31 2012-08-30 Ethicon Endo-Surgery, Inc. Method for suture lacing
US9867646B2 (en) 2006-04-07 2018-01-16 Gamal Baroud Integrated cement delivery system for bone augmentation procedures and methods
CA2648283A1 (en) * 2006-04-07 2007-10-18 Societe De Commercialisation Des Produits De La Recherche Appliquee Socp Ra Sciences Et Genie S.E.C. Integrated cement delivery system for bone augmentation procedures and methods
US7651492B2 (en) 2006-04-24 2010-01-26 Covidien Ag Arc based adaptive control system for an electrosurgical unit
US8007494B1 (en) 2006-04-27 2011-08-30 Encision, Inc. Device and method to prevent surgical burns
US8574229B2 (en) 2006-05-02 2013-11-05 Aesculap Ag Surgical tool
US7846158B2 (en) 2006-05-05 2010-12-07 Covidien Ag Apparatus and method for electrode thermosurgery
EP2475063B1 (en) * 2006-05-19 2014-03-05 Ethicon Endo-Surgery, Inc. Electrical surgical instrument
AU2013211550B2 (en) * 2006-05-19 2017-02-02 Ethicon Endo-Surgery, Inc. Electrical surgical instrument
EP2842500B1 (en) * 2006-05-19 2020-09-09 Ethicon Endo-Surgery, Inc. Surgical device
WO2007134461A1 (en) * 2006-05-24 2007-11-29 Titan Medical Inc. Snaking robotic arm with movable shapers
US8251989B1 (en) 2006-06-13 2012-08-28 Encision, Inc. Combined bipolar and monopolar electrosurgical instrument and method
US8322455B2 (en) 2006-06-27 2012-12-04 Ethicon Endo-Surgery, Inc. Manually driven surgical cutting and fastening instrument
US7776037B2 (en) 2006-07-07 2010-08-17 Covidien Ag System and method for controlling electrode gap during tissue sealing
US7744615B2 (en) 2006-07-18 2010-06-29 Covidien Ag Apparatus and method for transecting tissue on a bipolar vessel sealing instrument
US7448525B2 (en) * 2006-08-02 2008-11-11 Ethicon Endo-Surgery, Inc. Pneumatically powered surgical cutting and fastening instrument with manually operated retraction apparatus
US7740159B2 (en) 2006-08-02 2010-06-22 Ethicon Endo-Surgery, Inc. Pneumatically powered surgical cutting and fastening instrument with a variable control of the actuating rate of firing with mechanical power assist
US7731717B2 (en) 2006-08-08 2010-06-08 Covidien Ag System and method for controlling RF output during tissue sealing
US8597297B2 (en) 2006-08-29 2013-12-03 Covidien Ag Vessel sealing instrument with multiple electrode configurations
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
US10130359B2 (en) 2006-09-29 2018-11-20 Ethicon Llc Method for forming a staple
US8720766B2 (en) * 2006-09-29 2014-05-13 Ethicon Endo-Surgery, Inc. Surgical stapling instruments and staples
US11980366B2 (en) 2006-10-03 2024-05-14 Cilag Gmbh International Surgical instrument
US8070746B2 (en) 2006-10-03 2011-12-06 Tyco Healthcare Group Lp Radiofrequency fusion of cardiac tissue
WO2008042434A2 (en) * 2006-10-03 2008-04-10 Boston Scientific Scimed, Inc. Systems and devices for delivering an implant
US8733614B2 (en) 2006-10-06 2014-05-27 Covidien Lp End effector identification by mechanical features
US8807414B2 (en) 2006-10-06 2014-08-19 Covidien Lp System and method for non-contact electronic articulation sensing
US8584921B2 (en) 2006-10-06 2013-11-19 Covidien Lp Surgical instrument with articulating tool assembly
US7951149B2 (en) 2006-10-17 2011-05-31 Tyco Healthcare Group Lp Ablative material for use with tissue treatment device
US20080132893A1 (en) * 2006-11-08 2008-06-05 Gyrus Group Plc Electrosurgical system
SE530262C2 (sv) * 2006-11-08 2008-04-15 Atlas Copco Tools Ab Kraftverktyg med utbytbar växelenhet
US10085798B2 (en) * 2006-12-29 2018-10-02 St. Jude Medical, Atrial Fibrillation Division, Inc. Ablation electrode with tactile sensor
US8226648B2 (en) 2007-12-31 2012-07-24 St. Jude Medical, Atrial Fibrillation Division, Inc. Pressure-sensitive flexible polymer bipolar electrode
US7900805B2 (en) * 2007-01-10 2011-03-08 Ethicon Endo-Surgery, Inc. Surgical instrument with enhanced battery performance
US7738971B2 (en) * 2007-01-10 2010-06-15 Ethicon Endo-Surgery, Inc. Post-sterilization programming of surgical instruments
US7721936B2 (en) 2007-01-10 2010-05-25 Ethicon Endo-Surgery, Inc. Interlock and surgical instrument including same
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
US20110174861A1 (en) * 2007-01-10 2011-07-21 Shelton Iv Frederick E Surgical Instrument With Wireless Communication Between Control Unit and Remote Sensor
US8459520B2 (en) 2007-01-10 2013-06-11 Ethicon Endo-Surgery, Inc. Surgical instrument with wireless communication between control unit and remote sensor
US7721931B2 (en) 2007-01-10 2010-05-25 Ethicon Endo-Surgery, Inc. Prevention of cartridge reuse in a surgical instrument
US8840603B2 (en) 2007-01-10 2014-09-23 Ethicon Endo-Surgery, Inc. Surgical instrument with wireless communication between control unit and sensor transponders
US7954682B2 (en) * 2007-01-10 2011-06-07 Ethicon Endo-Surgery, Inc. Surgical instrument with elements to communicate between control unit and end effector
US8652120B2 (en) * 2007-01-10 2014-02-18 Ethicon Endo-Surgery, Inc. Surgical instrument with wireless communication between control unit and sensor transponders
US8540128B2 (en) 2007-01-11 2013-09-24 Ethicon Endo-Surgery, Inc. Surgical stapling device with a curved end effector
US11039836B2 (en) 2007-01-11 2021-06-22 Cilag Gmbh International Staple cartridge for use with a surgical stapling instrument
US7951144B2 (en) * 2007-01-19 2011-05-31 Mahajan Roop L Thermal and electrical conductivity probes and methods of making the same
USD649249S1 (en) 2007-02-15 2011-11-22 Tyco Healthcare Group Lp End effectors of an elongated dissecting and dividing instrument
US8590762B2 (en) 2007-03-15 2013-11-26 Ethicon Endo-Surgery, Inc. Staple cartridge cavity configurations
US7431188B1 (en) 2007-03-15 2008-10-07 Tyco Healthcare Group Lp Surgical stapling apparatus with powered articulation
US8057498B2 (en) 2007-11-30 2011-11-15 Ethicon Endo-Surgery, Inc. Ultrasonic surgical instrument blades
US8911460B2 (en) 2007-03-22 2014-12-16 Ethicon Endo-Surgery, Inc. Ultrasonic surgical instruments
US8142461B2 (en) 2007-03-22 2012-03-27 Ethicon Endo-Surgery, Inc. Surgical instruments
US8893946B2 (en) * 2007-03-28 2014-11-25 Ethicon Endo-Surgery, Inc. Laparoscopic tissue thickness and clamp load measuring devices
US8056787B2 (en) 2007-03-28 2011-11-15 Ethicon Endo-Surgery, Inc. Surgical stapling and cutting instrument with travel-indicating retraction member
US8267935B2 (en) 2007-04-04 2012-09-18 Tyco Healthcare Group Lp Electrosurgical instrument reducing current densities at an insulator conductor junction
US11259802B2 (en) 2007-04-13 2022-03-01 Covidien Lp Powered surgical instrument
US20080255413A1 (en) 2007-04-13 2008-10-16 Michael Zemlok Powered surgical instrument
US7950560B2 (en) 2007-04-13 2011-05-31 Tyco Healthcare Group Lp Powered surgical instrument
US8800837B2 (en) 2007-04-13 2014-08-12 Covidien Lp Powered surgical instrument
US7823760B2 (en) 2007-05-01 2010-11-02 Tyco Healthcare Group Lp Powered surgical stapling device platform
US7931660B2 (en) 2007-05-10 2011-04-26 Tyco Healthcare Group Lp Powered tacker instrument
US7810693B2 (en) 2007-05-30 2010-10-12 Ethicon Endo-Surgery, Inc. Surgical stapling and cutting instrument with articulatable end effector
US7798386B2 (en) 2007-05-30 2010-09-21 Ethicon Endo-Surgery, Inc. Surgical instrument articulation joint cover
US8157145B2 (en) 2007-05-31 2012-04-17 Ethicon Endo-Surgery, Inc. Pneumatically powered surgical cutting and fastening instrument with electrical feedback
US7832408B2 (en) 2007-06-04 2010-11-16 Ethicon Endo-Surgery, Inc. Surgical instrument having a directional switching mechanism
US7905380B2 (en) 2007-06-04 2011-03-15 Ethicon Endo-Surgery, Inc. Surgical instrument having a multiple rate directional switching mechanism
US8931682B2 (en) 2007-06-04 2015-01-13 Ethicon Endo-Surgery, Inc. Robotically-controlled shaft based rotary drive systems for surgical instruments
US8534528B2 (en) 2007-06-04 2013-09-17 Ethicon Endo-Surgery, Inc. Surgical instrument having a multiple rate directional switching mechanism
US7819299B2 (en) 2007-06-04 2010-10-26 Ethicon Endo-Surgery, Inc. Surgical instrument having a common trigger for actuating an end effector closing system and a staple firing system
US11672531B2 (en) 2007-06-04 2023-06-13 Cilag Gmbh International Rotary drive systems for surgical instruments
CA2633869A1 (en) * 2007-06-12 2008-12-12 Tyco Healthcare Group Lp Surgical fastener
US7731072B2 (en) 2007-06-18 2010-06-08 Ethicon Endo-Surgery, Inc. Surgical stapling and cutting instrument with improved anvil opening features
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
US7658311B2 (en) 2007-06-22 2010-02-09 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with a geared return mechanism
US20090001969A1 (en) * 2007-06-29 2009-01-01 General Electric Company System and method for electromagnetic navigation of a magnetic field generating probe
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
US20110046659A1 (en) * 2007-07-09 2011-02-24 Immersion Corporation Minimally Invasive Surgical Tools With Haptic Feedback
US7834484B2 (en) * 2007-07-16 2010-11-16 Tyco Healthcare Group Lp Connection cable and method for activating a voltage-controlled generator
US8808319B2 (en) 2007-07-27 2014-08-19 Ethicon Endo-Surgery, Inc. Surgical instruments
US8523889B2 (en) 2007-07-27 2013-09-03 Ethicon Endo-Surgery, Inc. Ultrasonic end effectors with increased active length
US8430898B2 (en) 2007-07-31 2013-04-30 Ethicon Endo-Surgery, Inc. Ultrasonic surgical instruments
US9044261B2 (en) 2007-07-31 2015-06-02 Ethicon Endo-Surgery, Inc. Temperature controlled ultrasonic surgical instruments
US8512365B2 (en) 2007-07-31 2013-08-20 Ethicon Endo-Surgery, Inc. Surgical instruments
US8061576B2 (en) 2007-08-31 2011-11-22 Tyco Healthcare Group Lp Surgical instrument
US9023014B2 (en) 2007-09-21 2015-05-05 Covidien Lp Quick connect assembly for use between surgical handle assembly and surgical accessories
US8512332B2 (en) 2007-09-21 2013-08-20 Covidien Lp Real-time arc control in electrosurgical generators
CN101801283B (zh) 2007-09-21 2012-07-18 Tyco医疗健康集团 手术器械
US9023043B2 (en) 2007-09-28 2015-05-05 Covidien Lp Insulating mechanically-interfaced boot and jaws for electrosurgical forceps
AU2008221509B2 (en) 2007-09-28 2013-10-10 Covidien Lp Dual durometer insulating boot for electrosurgical forceps
US10498269B2 (en) 2007-10-05 2019-12-03 Covidien Lp Powered surgical stapling device
US8960520B2 (en) 2007-10-05 2015-02-24 Covidien Lp Method and apparatus for determining parameters of linear motion in a surgical instrument
AU2008308606B2 (en) 2007-10-05 2014-12-18 Ethicon Endo-Surgery, Inc. Ergonomic surgical instruments
US10779818B2 (en) 2007-10-05 2020-09-22 Covidien Lp Powered surgical stapling device
US8517241B2 (en) 2010-04-16 2013-08-27 Covidien Lp Hand-held surgical devices
US7922063B2 (en) 2007-10-31 2011-04-12 Tyco Healthcare Group, Lp Powered surgical instrument
US7954687B2 (en) * 2007-11-06 2011-06-07 Tyco Healthcare Group Lp Coated surgical staples and an illuminated staple cartridge for a surgical stapling instrument
WO2009070743A1 (en) 2007-11-26 2009-06-04 Eastern Virginia Medical School Magnaretractor system and method
US8116838B2 (en) * 2007-11-27 2012-02-14 Carnegie Mellon University Medical device for diagnosing pressure ulcers
US10010339B2 (en) 2007-11-30 2018-07-03 Ethicon Llc Ultrasonic surgical blades
US8561473B2 (en) 2007-12-18 2013-10-22 Intuitive Surgical Operations, Inc. Force sensor temperature compensation
US8870867B2 (en) 2008-02-06 2014-10-28 Aesculap Ag Articulable electrosurgical instrument with a stabilizable articulation actuator
US8561870B2 (en) 2008-02-13 2013-10-22 Ethicon Endo-Surgery, Inc. Surgical stapling instrument
US8540133B2 (en) 2008-09-19 2013-09-24 Ethicon Endo-Surgery, Inc. Staple cartridge
US8453908B2 (en) 2008-02-13 2013-06-04 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with improved firing trigger arrangement
US7905381B2 (en) 2008-09-19 2011-03-15 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with cutting member arrangement
US7766209B2 (en) 2008-02-13 2010-08-03 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with improved firing trigger arrangement
US8348129B2 (en) 2009-10-09 2013-01-08 Ethicon Endo-Surgery, Inc. Surgical stapler having a closure mechanism
US7810692B2 (en) 2008-02-14 2010-10-12 Ethicon Endo-Surgery, Inc. Disposable loading unit with firing indicator
US8622274B2 (en) 2008-02-14 2014-01-07 Ethicon Endo-Surgery, Inc. Motorized cutting and fastening instrument having control circuit for optimizing battery usage
US8758391B2 (en) 2008-02-14 2014-06-24 Ethicon Endo-Surgery, Inc. Interchangeable tools for surgical instruments
US7913891B2 (en) 2008-02-14 2011-03-29 Ethicon Endo-Surgery, Inc. Disposable loading unit with user feedback features and surgical instrument for use therewith
US7819298B2 (en) 2008-02-14 2010-10-26 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with control features operable with one hand
US8573465B2 (en) 2008-02-14 2013-11-05 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical end effector system with rotary actuated closure systems
US7819296B2 (en) 2008-02-14 2010-10-26 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with retractable firing systems
US8584919B2 (en) 2008-02-14 2013-11-19 Ethicon Endo-Sugery, Inc. Surgical stapling apparatus with load-sensitive firing mechanism
US8657174B2 (en) 2008-02-14 2014-02-25 Ethicon Endo-Surgery, Inc. Motorized surgical cutting and fastening instrument having handle based power source
US7857185B2 (en) 2008-02-14 2010-12-28 Ethicon Endo-Surgery, Inc. Disposable loading unit for surgical stapling apparatus
US7866527B2 (en) 2008-02-14 2011-01-11 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with interlockable firing system
JP5410110B2 (ja) 2008-02-14 2014-02-05 エシコン・エンド−サージェリィ・インコーポレイテッド Ｒｆ電極を有する外科用切断・固定器具
US8636736B2 (en) 2008-02-14 2014-01-28 Ethicon Endo-Surgery, Inc. Motorized surgical cutting and fastening instrument
US7861906B2 (en) 2008-02-14 2011-01-04 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with articulatable components
US7819297B2 (en) 2008-02-14 2010-10-26 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with reprocessible handle assembly
US11986183B2 (en) 2008-02-14 2024-05-21 Cilag Gmbh International Surgical cutting and fastening instrument comprising a plurality of sensors to measure an electrical parameter
US9179912B2 (en) 2008-02-14 2015-11-10 Ethicon Endo-Surgery, Inc. Robotically-controlled motorized surgical cutting and fastening instrument
US7793812B2 (en) 2008-02-14 2010-09-14 Ethicon Endo-Surgery, Inc. Disposable motor-driven loading unit for use with a surgical cutting and stapling apparatus
US8752749B2 (en) 2008-02-14 2014-06-17 Ethicon Endo-Surgery, Inc. Robotically-controlled disposable motor-driven loading unit
US8459525B2 (en) 2008-02-14 2013-06-11 Ethicon Endo-Sugery, Inc. Motorized surgical cutting and fastening instrument having a magnetic drive train torque limiting device
US8608044B2 (en) 2008-02-15 2013-12-17 Ethicon Endo-Surgery, Inc. Feedback and lockout mechanism for surgical instrument
US7959051B2 (en) 2008-02-15 2011-06-14 Ethicon Endo-Surgery, Inc. Closure systems for a surgical cutting and stapling instrument
US11272927B2 (en) 2008-02-15 2022-03-15 Cilag Gmbh International Layer arrangements for surgical staple cartridges
US20090206139A1 (en) 2008-02-15 2009-08-20 Ethicon Endo-Surgery, Inc. Buttress material for a surgical instrument
US7980443B2 (en) 2008-02-15 2011-07-19 Ethicon Endo-Surgery, Inc. End effectors for a surgical cutting and stapling instrument
US20090206131A1 (en) 2008-02-15 2009-08-20 Ethicon Endo-Surgery, Inc. End effector coupling arrangements for a surgical cutting and stapling instrument
US10390823B2 (en) 2008-02-15 2019-08-27 Ethicon Llc End effector comprising an adjunct
US8118206B2 (en) * 2008-03-15 2012-02-21 Surgisense Corporation Sensing adjunct for surgical staplers
US8136713B2 (en) * 2008-03-25 2012-03-20 Tyco Healthcare Group Lp Surgical stapling instrument having transducer effecting vibrations
EP2340428A1 (en) * 2008-04-18 2011-07-06 Socovar Societe En Commandite System for sensing and displaying softness and force
US8357158B2 (en) 2008-04-22 2013-01-22 Covidien Lp Jaw closure detection system
US7922061B2 (en) 2008-05-21 2011-04-12 Ethicon Endo-Surgery, Inc. Surgical instrument with automatically reconfigurable articulating end effector
US8029566B2 (en) 2008-06-02 2011-10-04 Zimmer, Inc. Implant sensors
US8011551B2 (en) 2008-07-01 2011-09-06 Tyco Healthcare Group Lp Retraction mechanism with clutch-less drive for use with a surgical apparatus
US8074858B2 (en) 2008-07-17 2011-12-13 Tyco Healthcare Group Lp Surgical retraction mechanism
US8469956B2 (en) 2008-07-21 2013-06-25 Covidien Lp Variable resistor jaw
US9089360B2 (en) 2008-08-06 2015-07-28 Ethicon Endo-Surgery, Inc. Devices and techniques for cutting and coagulating tissue
US9603652B2 (en) 2008-08-21 2017-03-28 Covidien Lp Electrosurgical instrument including a sensor
US9679499B2 (en) * 2008-09-15 2017-06-13 Immersion Medical, Inc. Systems and methods for sensing hand motion by measuring remote displacement
US8083120B2 (en) 2008-09-18 2011-12-27 Ethicon Endo-Surgery, Inc. End effector for use with a surgical cutting and stapling instrument
US7837080B2 (en) * 2008-09-18 2010-11-23 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with device for indicating when the instrument has cut through tissue
PL3476312T3 (pl) 2008-09-19 2024-03-11 Ethicon Llc Stapler chirurgiczny z urządzeniem do dopasowania wysokości zszywek
US7988028B2 (en) 2008-09-23 2011-08-02 Tyco Healthcare Group Lp Surgical instrument having an asymmetric dynamic clamping member
US8628544B2 (en) 2008-09-23 2014-01-14 Covidien Lp Knife bar for surgical instrument
US7896214B2 (en) 2008-09-23 2011-03-01 Tyco Healthcare Group Lp Tissue stop for surgical instrument
US9005230B2 (en) 2008-09-23 2015-04-14 Ethicon Endo-Surgery, Inc. Motorized surgical instrument
US11648005B2 (en) 2008-09-23 2023-05-16 Cilag Gmbh International Robotically-controlled motorized surgical instrument with an end effector
US9386983B2 (en) 2008-09-23 2016-07-12 Ethicon Endo-Surgery, Llc Robotically-controlled motorized surgical instrument
US8210411B2 (en) 2008-09-23 2012-07-03 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting instrument
US9050083B2 (en) 2008-09-23 2015-06-09 Ethicon Endo-Surgery, Inc. Motorized surgical instrument
US8968314B2 (en) 2008-09-25 2015-03-03 Covidien Lp Apparatus, system and method for performing an electrosurgical procedure
US8016827B2 (en) 2008-10-09 2011-09-13 Tyco Healthcare Group Lp Apparatus, system, and method for performing an electrosurgical procedure
US8608045B2 (en) 2008-10-10 2013-12-17 Ethicon Endo-Sugery, Inc. Powered surgical cutting and stapling apparatus with manually retractable firing system
US8020743B2 (en) 2008-10-15 2011-09-20 Ethicon Endo-Surgery, Inc. Powered articulatable surgical cutting and fastening instrument with flexible drive member
US7918377B2 (en) * 2008-10-16 2011-04-05 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with apparatus for providing anvil position feedback
US8231042B2 (en) 2008-11-06 2012-07-31 Tyco Healthcare Group Lp Surgical stapler
US20100137845A1 (en) * 2008-12-03 2010-06-03 Immersion Corporation Tool Having Multiple Feedback Devices
US8262652B2 (en) 2009-01-12 2012-09-11 Tyco Healthcare Group Lp Imaginary impedance process monitoring and intelligent shut-off
US8114122B2 (en) 2009-01-13 2012-02-14 Tyco Healthcare Group Lp Apparatus, system, and method for performing an electrosurgical procedure
US8281974B2 (en) 2009-01-14 2012-10-09 Tyco Healthcare, Group LP Surgical stapler with suture locator
US8414577B2 (en) 2009-02-05 2013-04-09 Ethicon Endo-Surgery, Inc. Surgical instruments and components for use in sterile environments
US8485413B2 (en) 2009-02-05 2013-07-16 Ethicon Endo-Surgery, Inc. Surgical stapling instrument comprising an articulation joint
US8517239B2 (en) 2009-02-05 2013-08-27 Ethicon Endo-Surgery, Inc. Surgical stapling instrument comprising a magnetic element driver
US8397971B2 (en) 2009-02-05 2013-03-19 Ethicon Endo-Surgery, Inc. Sterilizable surgical instrument
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
US8245899B2 (en) * 2009-02-06 2012-08-21 Ethicon Endo-Surgery, Inc. Driven surgical stapler improvements
BRPI1008667A2 (pt) 2009-02-06 2016-03-08 Ethicom Endo Surgery Inc aperfeiçoamento do grampeador cirúrgico acionado
CL2009000279A1 (es) 2009-02-06 2009-08-14 Biotech Innovations Ltda Sistema de guia y traccion remota para cirugia mini-invasiva, que comprende: al menos una endopinza quirurgica y desprendible con medios de enganches y una porcion de material ferro magnaetico, una guia de introduccion de forma cilindrica, un mecanismo de desprendimiento, y al menos un medio de traccion remota con iman.
US8708211B2 (en) 2009-02-12 2014-04-29 Covidien Lp Powered surgical instrument with secondary circuit board
US8858547B2 (en) * 2009-03-05 2014-10-14 Intuitive Surgical Operations, Inc. Cut and seal instrument
EP2432400B1 (en) * 2009-03-13 2019-08-28 Surgisense Corporation Sensing adjunct for surgical staplers
US8066167B2 (en) 2009-03-23 2011-11-29 Ethicon Endo-Surgery, Inc. Circular surgical stapling instrument with anvil locking system
CN102123670B (zh) * 2009-03-24 2014-03-19 奥林巴斯医疗株式会社 内窥镜处置用机器人系统
US8292154B2 (en) 2009-04-16 2012-10-23 Tyco Healthcare Group Lp Surgical apparatus for applying tissue fasteners
ES2532407T3 (es) 2009-04-29 2015-03-26 Covidien Lp Dispositivos para cortar y raspar tejido
US8187273B2 (en) 2009-05-07 2012-05-29 Tyco Healthcare Group Lp Apparatus, system, and method for performing an electrosurgical procedure
US8308043B2 (en) * 2009-05-19 2012-11-13 Covidien Lp Recognition of interchangeable component of a device
US9700339B2 (en) 2009-05-20 2017-07-11 Ethicon Endo-Surgery, Inc. Coupling arrangements and methods for attaching tools to ultrasonic surgical instruments
US8821514B2 (en) 2009-06-08 2014-09-02 Covidien Lp Powered tack applier
US9259179B2 (en) 2012-02-27 2016-02-16 Orthosensor Inc. Prosthetic knee joint measurement system including energy harvesting and method therefor
US8714009B2 (en) 2010-06-29 2014-05-06 Orthosensor Inc. Shielded capacitor sensor system for medical applications and method
US8421479B2 (en) * 2009-06-30 2013-04-16 Navisense Pulsed echo propagation device and method for measuring a parameter
US9462964B2 (en) 2011-09-23 2016-10-11 Orthosensor Inc Small form factor muscular-skeletal parameter measurement system
US8720270B2 (en) 2010-06-29 2014-05-13 Ortho Sensor Inc. Prosthetic component for monitoring joint health
US8679186B2 (en) 2010-06-29 2014-03-25 Ortho Sensor Inc. Hermetically sealed prosthetic component and method therefor
US8246618B2 (en) 2009-07-08 2012-08-21 Tyco Healthcare Group Lp Electrosurgical jaws with offset knife
US8146790B2 (en) 2009-07-11 2012-04-03 Tyco Healthcare Group Lp Surgical instrument with safety mechanism
US8663220B2 (en) 2009-07-15 2014-03-04 Ethicon Endo-Surgery, Inc. Ultrasonic surgical instruments
CH701524A1 (de) * 2009-07-22 2011-01-31 Kistler Holding Ag Elektromechanisches Fügemodul mit Kraftaufnehmer.
WO2011013118A2 (en) 2009-07-27 2011-02-03 Slatkine Michael Methods and devices for tissue ablation
US8276801B2 (en) * 2011-02-01 2012-10-02 Tyco Healthcare Group Lp Surgical stapling apparatus
US8955732B2 (en) 2009-08-11 2015-02-17 Covidien Lp Surgical stapling apparatus
US8360299B2 (en) 2009-08-11 2013-01-29 Covidien Lp Surgical stapling apparatus
US8733612B2 (en) 2009-08-17 2014-05-27 Covidien Lp Safety method for powered surgical instruments
US8133254B2 (en) 2009-09-18 2012-03-13 Tyco Healthcare Group Lp In vivo attachable and detachable end effector assembly and laparoscopic surgical instrument and methods therefor
US8361069B2 (en) 2009-09-25 2013-01-29 Covidien Lp Energized needles for wound sealing
US8112871B2 (en) 2009-09-28 2012-02-14 Tyco Healthcare Group Lp Method for manufacturing electrosurgical seal plates
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
US10172669B2 (en) 2009-10-09 2019-01-08 Ethicon Llc Surgical instrument comprising an energy trigger lockout
US8986302B2 (en) 2009-10-09 2015-03-24 Ethicon Endo-Surgery, Inc. Surgical generator for ultrasonic and electrosurgical devices
US8388647B2 (en) 2009-10-28 2013-03-05 Covidien Lp Apparatus for tissue sealing
DE102009051408A1 (de) * 2009-10-30 2011-05-05 Ovesco Endoscopy Ag Medizinisches Instrument zum Setzen von Gewebeklammern
US8353439B2 (en) 2009-11-19 2013-01-15 Ethicon Endo-Surgery, Inc. Circular stapler introducer with radially-openable distal end portion
US8136712B2 (en) 2009-12-10 2012-03-20 Ethicon Endo-Surgery, Inc. Surgical stapler with discrete staple height adjustment and tactile feedback
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
US8267300B2 (en) 2009-12-30 2012-09-18 Ethicon Endo-Surgery, Inc. Dampening device for endoscopic surgical stapler
US8608046B2 (en) 2010-01-07 2013-12-17 Ethicon Endo-Surgery, Inc. Test device for a surgical tool
ES2436516T3 (es) 2010-02-04 2014-01-02 Aesculap Ag Dispositivo quirúrgico de radiofrecuencia laparoscópico
US8469981B2 (en) 2010-02-11 2013-06-25 Ethicon Endo-Surgery, Inc. Rotatable cutting implement arrangements for ultrasonic surgical instruments
US8486096B2 (en) 2010-02-11 2013-07-16 Ethicon Endo-Surgery, Inc. Dual purpose surgical instrument for cutting and coagulating tissue
US8951272B2 (en) 2010-02-11 2015-02-10 Ethicon Endo-Surgery, Inc. Seal arrangements for ultrasonically powered surgical instruments
US8419727B2 (en) 2010-03-26 2013-04-16 Aesculap Ag Impedance mediated power delivery for electrosurgery
US8926530B2 (en) 2011-09-23 2015-01-06 Orthosensor Inc Orthopedic insert measuring system for having a sterilized cavity
US8827992B2 (en) 2010-03-26 2014-09-09 Aesculap Ag Impedance mediated control of power delivery for electrosurgery
US8961504B2 (en) 2010-04-09 2015-02-24 Covidien Lp Optical hydrology arrays and system and method for monitoring water displacement during treatment of patient tissue
US8709035B2 (en) 2010-04-12 2014-04-29 Ethicon Endo-Surgery, Inc. Electrosurgical cutting and sealing instruments with jaws having a parallel closure motion
US8834518B2 (en) 2010-04-12 2014-09-16 Ethicon Endo-Surgery, Inc. Electrosurgical cutting and sealing instruments with cam-actuated jaws
US8439913B2 (en) 2010-04-29 2013-05-14 Covidien Lp Pressure sensing sealing plate
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
US9005199B2 (en) 2010-06-10 2015-04-14 Ethicon Endo-Surgery, Inc. Heat management configurations for controlling heat dissipation from electrosurgical instruments
US8596515B2 (en) * 2010-06-18 2013-12-03 Covidien Lp Staple position sensor system
US8795327B2 (en) 2010-07-22 2014-08-05 Ethicon Endo-Surgery, Inc. Electrosurgical instrument with separate closure and cutting members
US9192431B2 (en) 2010-07-23 2015-11-24 Ethicon Endo-Surgery, Inc. Electrosurgical cutting and sealing instrument
US8789740B2 (en) 2010-07-30 2014-07-29 Ethicon Endo-Surgery, Inc. Linear cutting and stapling device with selectively disengageable cutting member
US8783543B2 (en) 2010-07-30 2014-07-22 Ethicon Endo-Surgery, Inc. Tissue acquisition arrangements and methods for surgical stapling devices
US8672207B2 (en) 2010-07-30 2014-03-18 Ethicon Endo-Surgery, Inc. Transwall visualization arrangements and methods for surgical circular staplers
EP2417925B1 (en) 2010-08-12 2016-12-07 Immersion Corporation Electrosurgical tool having tactile feedback
US8360296B2 (en) 2010-09-09 2013-01-29 Ethicon Endo-Surgery, Inc. Surgical stapling head assembly with firing lockout for a surgical stapler
KR20120030031A (ko) * 2010-09-17 2012-03-27 윤상진 재봉 기능을 갖는 봉합 기구
WO2012037487A2 (en) * 2010-09-17 2012-03-22 Gundersen Lutheran Health Systems, Inc. Internal gastric bander for obesity
US9289212B2 (en) 2010-09-17 2016-03-22 Ethicon Endo-Surgery, Inc. Surgical instruments and batteries for surgical instruments
US8632525B2 (en) 2010-09-17 2014-01-21 Ethicon Endo-Surgery, Inc. Power control arrangements for surgical instruments and batteries
US9173698B2 (en) 2010-09-17 2015-11-03 Aesculap Ag Electrosurgical tissue sealing augmented with a seal-enhancing composition
US9877720B2 (en) 2010-09-24 2018-01-30 Ethicon Llc Control features for articulating surgical device
US8733613B2 (en) 2010-09-29 2014-05-27 Ethicon Endo-Surgery, Inc. Staple cartridge
US9204880B2 (en) 2012-03-28 2015-12-08 Ethicon Endo-Surgery, Inc. Tissue thickness compensator comprising capsules defining a low pressure environment
US9364233B2 (en) 2010-09-30 2016-06-14 Ethicon Endo-Surgery, Llc Tissue thickness compensators for circular surgical staplers
US10945731B2 (en) 2010-09-30 2021-03-16 Ethicon Llc Tissue thickness compensator comprising controlled release and expansion
RU2013119928A (ru) 2010-09-30 2014-11-10 Этикон Эндо-Серджери, Инк. Сшивающая система, содержащая удерживающую матрицу и выравнивающую матрицу
US8814024B2 (en) 2010-09-30 2014-08-26 Ethicon Endo-Surgery, Inc. Fastener system comprising a plurality of connected retention matrix elements
US9788834B2 (en) 2010-09-30 2017-10-17 Ethicon Llc Layer comprising deployable attachment members
US8746535B2 (en) 2010-09-30 2014-06-10 Ethicon Endo-Surgery, Inc. Tissue thickness compensator comprising detachable portions
US9332974B2 (en) 2010-09-30 2016-05-10 Ethicon Endo-Surgery, Llc Layered tissue thickness compensator
US9232941B2 (en) 2010-09-30 2016-01-12 Ethicon Endo-Surgery, Inc. Tissue thickness compensator comprising a reservoir
US9307989B2 (en) 2012-03-28 2016-04-12 Ethicon Endo-Surgery, Llc Tissue stapler having a thickness compensator incorportating a hydrophobic agent
US9220501B2 (en) 2010-09-30 2015-12-29 Ethicon Endo-Surgery, Inc. Tissue thickness compensators
US11849952B2 (en) 2010-09-30 2023-12-26 Cilag Gmbh International Staple cartridge comprising staples positioned within a compressible portion thereof
US9216019B2 (en) 2011-09-23 2015-12-22 Ethicon Endo-Surgery, Inc. Surgical stapler with stationary staple drivers
US9220500B2 (en) 2010-09-30 2015-12-29 Ethicon Endo-Surgery, Inc. Tissue thickness compensator comprising structure to produce a resilient load
US11298125B2 (en) 2010-09-30 2022-04-12 Cilag Gmbh International Tissue stapler having a thickness compensator
US9839420B2 (en) 2010-09-30 2017-12-12 Ethicon Llc Tissue thickness compensator comprising at least one medicament
US11812965B2 (en) 2010-09-30 2023-11-14 Cilag Gmbh International Layer of material for a surgical end effector
US9301752B2 (en) 2010-09-30 2016-04-05 Ethicon Endo-Surgery, Llc Tissue thickness compensator comprising a plurality of capsules
US9386988B2 (en) 2010-09-30 2016-07-12 Ethicon End-Surgery, LLC Retainer assembly including a tissue thickness compensator
US9314246B2 (en) 2010-09-30 2016-04-19 Ethicon Endo-Surgery, Llc Tissue stapler having a thickness compensator incorporating an anti-inflammatory agent
US9629814B2 (en) 2010-09-30 2017-04-25 Ethicon Endo-Surgery, Llc Tissue thickness compensator configured to redistribute compressive forces
US8893949B2 (en) 2010-09-30 2014-11-25 Ethicon Endo-Surgery, Inc. Surgical stapler with floating anvil
US8979890B2 (en) 2010-10-01 2015-03-17 Ethicon Endo-Surgery, Inc. Surgical instrument with jaw member
US8764452B2 (en) 2010-10-01 2014-07-01 Applied Medical Resources Corporation Portable laparoscopic trainer
US8899461B2 (en) 2010-10-01 2014-12-02 Covidien Lp Tissue stop for surgical instrument
USD650074S1 (en) 2010-10-01 2011-12-06 Ethicon Endo-Surgery, Inc. Surgical instrument
US8695866B2 (en) 2010-10-01 2014-04-15 Ethicon Endo-Surgery, Inc. Surgical instrument having a power control circuit
SG189325A1 (en) * 2010-10-15 2013-05-31 Surgiclamp Pty Ltd Surgical clamping devices and tools for use therewith
WO2012055024A1 (en) 2010-10-26 2012-05-03 Valorbec Societe En Commandite System for sensing a mechanical property of a sample
US8292150B2 (en) 2010-11-02 2012-10-23 Tyco Healthcare Group Lp Adapter for powered surgical devices
WO2012072133A1 (en) * 2010-12-01 2012-06-07 Ethicon Endo-Surgery, Inc. A surgical stapling device and a method for anchoring a liner to a hollow organ
US8523043B2 (en) * 2010-12-07 2013-09-03 Immersion Corporation Surgical stapler having haptic feedback
US8801710B2 (en) 2010-12-07 2014-08-12 Immersion Corporation Electrosurgical sealing tool having haptic feedback
DE102010056524B4 (de) * 2010-12-29 2019-11-28 Robert Bosch Gmbh Tragbares Werkzeug und Verfahren zum Durchführen von Arbeitsvorgängen mit diesem Werkzeug
US9113940B2 (en) 2011-01-14 2015-08-25 Covidien Lp Trigger lockout and kickback mechanism for surgical instruments
US9393017B2 (en) 2011-02-15 2016-07-19 Intuitive Surgical Operations, Inc. Methods and systems for detecting staple cartridge misfire or failure
EP2675367B1 (en) * 2011-02-15 2018-03-07 Intuitive Surgical Operations, Inc. Systems for indicating a clamping prediction
JP6293486B2 (ja) * 2011-02-15 2018-03-14 インテュイティブ サージカル オペレーションズ， インコーポレイテッド クランプ又は発射の不成功を検出するシステム
US20120211542A1 (en) 2011-02-23 2012-08-23 Tyco Healthcare Group I.P Controlled tissue compression systems and methods
US8632462B2 (en) 2011-03-14 2014-01-21 Ethicon Endo-Surgery, Inc. Trans-rectum universal ports
US8540131B2 (en) 2011-03-15 2013-09-24 Ethicon Endo-Surgery, Inc. Surgical staple cartridges with tissue tethers for manipulating divided tissue and methods of using same
US8857693B2 (en) 2011-03-15 2014-10-14 Ethicon Endo-Surgery, Inc. Surgical instruments with lockable articulating end effector
US8926598B2 (en) 2011-03-15 2015-01-06 Ethicon Endo-Surgery, Inc. Surgical instruments with articulatable and rotatable end effector
US20120234895A1 (en) * 2011-03-15 2012-09-20 Ethicon Endo-Surgery, Inc. Surgical staple cartridges and end effectors with vessel measurement arrangements
US9044229B2 (en) 2011-03-15 2015-06-02 Ethicon Endo-Surgery, Inc. Surgical fastener instruments
US8800841B2 (en) 2011-03-15 2014-08-12 Ethicon Endo-Surgery, Inc. Surgical staple cartridges
US9649113B2 (en) * 2011-04-27 2017-05-16 Covidien Lp Device for monitoring physiological parameters in vivo
JP6026509B2 (ja) 2011-04-29 2016-11-16 エシコン・エンド−サージェリィ・インコーポレイテッドＥｔｈｉｃｏｎ Ｅｎｄｏ−Ｓｕｒｇｅｒｙ，Ｉｎｃ． ステープルカートリッジ自体の圧縮可能部分内に配置されたステープルを含むステープルカートリッジ
US11207064B2 (en) * 2011-05-27 2021-12-28 Cilag Gmbh International Automated end effector component reloading system for use with a robotic system
US9289209B2 (en) 2011-06-09 2016-03-22 Covidien Lp Surgical fastener applying apparatus
US9271728B2 (en) 2011-06-09 2016-03-01 Covidien Lp Surgical fastener applying apparatus
US9451959B2 (en) 2011-06-09 2016-09-27 Covidien Lp Surgical fastener applying apparatus
US9339327B2 (en) 2011-06-28 2016-05-17 Aesculap Ag Electrosurgical tissue dissecting device
US8763876B2 (en) 2011-06-30 2014-07-01 Covidien Lp Surgical instrument and cartridge for use therewith
US20130012958A1 (en) 2011-07-08 2013-01-10 Stanislaw Marczyk Surgical Device with Articulation and Wrist Rotation
US9844384B2 (en) 2011-07-11 2017-12-19 Covidien Lp Stand alone energy-based tissue clips
US8845667B2 (en) 2011-07-18 2014-09-30 Immersion Corporation Surgical tool having a programmable rotary module for providing haptic feedback
US9259265B2 (en) 2011-07-22 2016-02-16 Ethicon Endo-Surgery, Llc Surgical instruments for tensioning tissue
US9155537B2 (en) 2011-08-08 2015-10-13 Covidien Lp Surgical fastener applying apparatus
US9539007B2 (en) 2011-08-08 2017-01-10 Covidien Lp Surgical fastener applying aparatus
US9724095B2 (en) 2011-08-08 2017-08-08 Covidien Lp Surgical fastener applying apparatus
US9044243B2 (en) 2011-08-30 2015-06-02 Ethcon Endo-Surgery, Inc. Surgical cutting and fastening device with descendible second trigger arrangement
US9198661B2 (en) 2011-09-06 2015-12-01 Ethicon Endo-Surgery, Inc. Stapling instrument comprising a plurality of staple cartridges stored therein
US9839374B2 (en) 2011-09-23 2017-12-12 Orthosensor Inc. System and method for vertebral load and location sensing
US9414940B2 (en) 2011-09-23 2016-08-16 Orthosensor Inc. Sensored head for a measurement tool for the muscular-skeletal system
US9050084B2 (en) 2011-09-23 2015-06-09 Ethicon Endo-Surgery, Inc. Staple cartridge including collapsible deck arrangement
US8753344B2 (en) * 2011-09-23 2014-06-17 Smith & Nephew, Inc. Dynamic orthoscopic sensing
US8911448B2 (en) 2011-09-23 2014-12-16 Orthosensor, Inc Device and method for enabling an orthopedic tool for parameter measurement
US8869625B2 (en) * 2011-09-28 2014-10-28 DigitalOptics Corporation MEMS MEMS actuator/sensor
US8708212B2 (en) 2011-10-18 2014-04-29 Covidien Lp Tilt top anvil with torsion spring
EP2769375B1 (en) 2011-10-21 2017-07-19 Applied Medical Resources Corporation Simulated tissue structure for surgical training
WO2013062978A2 (en) 2011-10-24 2013-05-02 Ethicon Endo-Surgery, Inc. Medical instrument
US9492146B2 (en) 2011-10-25 2016-11-15 Covidien Lp Apparatus for endoscopic procedures
US9480492B2 (en) 2011-10-25 2016-11-01 Covidien Lp Apparatus for endoscopic procedures
US9016539B2 (en) 2011-10-25 2015-04-28 Covidien Lp Multi-use loading unit
US8672206B2 (en) 2011-10-25 2014-03-18 Covidien Lp Apparatus for endoscopic procedures
US11207089B2 (en) 2011-10-25 2021-12-28 Covidien Lp Apparatus for endoscopic procedures
US9016547B2 (en) 2011-10-26 2015-04-28 Covidien Lp EEA tilt top anvil with ratchet/locking mechanism
US9364231B2 (en) 2011-10-27 2016-06-14 Covidien Lp System and method of using simulation reload to optimize staple formation
US8740036B2 (en) 2011-12-01 2014-06-03 Covidien Lp Surgical instrument with actuator spring arm
US9125651B2 (en) 2011-12-07 2015-09-08 Ethicon Endo-Surgery, Inc. Reusable linear stapler cartridge device for tissue thickness measurement
US8535339B2 (en) 2011-12-18 2013-09-17 Via Surgical Ltd. Apparatus and method for suturing
WO2013096632A1 (en) 2011-12-20 2013-06-27 Applied Medical Resources Corporation Advanced surgical simulation
US9010605B2 (en) 2012-01-12 2015-04-21 Covidien Lp Sliding sleeve for circular stapling instrument reloads
US10299815B2 (en) 2012-01-19 2019-05-28 Covidien Lp Surgical instrument with clam releases mechanism
US8864010B2 (en) 2012-01-20 2014-10-21 Covidien Lp Curved guide member for articulating instruments
JP6165780B2 (ja) 2012-02-10 2017-07-19 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． ロボット制御式の手術器具
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
US9022274B2 (en) 2012-02-15 2015-05-05 Covidien Lp Circular stapler with increased lumen diameter
US9271675B2 (en) 2012-02-27 2016-03-01 Orthosensor Inc. Muscular-skeletal joint stability detection and method therefor
US9844335B2 (en) 2012-02-27 2017-12-19 Orthosensor Inc Measurement device for the muscular-skeletal system having load distribution plates
US9622701B2 (en) 2012-02-27 2017-04-18 Orthosensor Inc Muscular-skeletal joint stability detection and method therefor
US20150066000A1 (en) * 2012-03-06 2015-03-05 Briteseed Llc Surgical Tool With Integrated Sensor
US11399898B2 (en) 2012-03-06 2022-08-02 Briteseed, Llc User interface for a system used to determine tissue or artifact characteristics
USD750245S1 (en) * 2012-03-08 2016-02-23 Covidien Lp Handle for laparoscopic device with integral rotation wheel
US8979827B2 (en) 2012-03-14 2015-03-17 Covidien Lp Surgical instrument with articulation mechanism
US9375282B2 (en) 2012-03-26 2016-06-28 Covidien Lp Light energy sealing, cutting and sensing surgical device
US9078653B2 (en) 2012-03-26 2015-07-14 Ethicon Endo-Surgery, Inc. Surgical stapling device with lockout system for preventing actuation in the absence of an installed staple cartridge
US9198662B2 (en) 2012-03-28 2015-12-01 Ethicon Endo-Surgery, Inc. Tissue thickness compensator having improved visibility
MX353040B (es) 2012-03-28 2017-12-18 Ethicon Endo Surgery Inc Unidad retenedora que incluye un compensador de grosor de tejido.
MX358135B (es) 2012-03-28 2018-08-06 Ethicon Endo Surgery Inc Compensador de grosor de tejido que comprende una pluralidad de capas.
CN104334098B (zh) 2012-03-28 2017-03-22 伊西康内外科公司 包括限定低压强环境的胶囊剂的组织厚度补偿件
US9439668B2 (en) 2012-04-09 2016-09-13 Ethicon Endo-Surgery, Llc Switch arrangements for ultrasonic surgical instruments
US9526497B2 (en) 2012-05-07 2016-12-27 Covidien Lp Surgical instrument with articulation mechanism
US11871901B2 (en) 2012-05-20 2024-01-16 Cilag Gmbh International Method for situational awareness for surgical network or surgical network connected device capable of adjusting function based on a sensed situation or usage
US9888913B2 (en) 2012-05-31 2018-02-13 Via Surgical Ltd. Variable depth surgical fixation
WO2013179106A1 (en) * 2012-05-31 2013-12-05 Via Surgical Ltd. Variable depth surgical fixation
US10080563B2 (en) 2012-06-01 2018-09-25 Covidien Lp Loading unit detection assembly and surgical device for use therewith
US9868198B2 (en) 2012-06-01 2018-01-16 Covidien Lp Hand held surgical handle assembly, surgical adapters for use between surgical handle assembly and surgical loading units, and methods of use
US9597104B2 (en) 2012-06-01 2017-03-21 Covidien Lp Handheld surgical handle assembly, surgical adapters for use between surgical handle assembly and surgical end effectors, and methods of use
US9101358B2 (en) 2012-06-15 2015-08-11 Ethicon Endo-Surgery, Inc. Articulatable surgical instrument comprising a firing drive
US9364220B2 (en) 2012-06-19 2016-06-14 Covidien Lp Apparatus for endoscopic procedures
US9351734B2 (en) 2012-06-19 2016-05-31 Covidien Lp Spring loaded anvil retainer
US9101385B2 (en) 2012-06-28 2015-08-11 Ethicon Endo-Surgery, Inc. Electrode connections for rotary driven surgical tools
EP2866686A1 (en) 2012-06-28 2015-05-06 Ethicon Endo-Surgery, Inc. Empty clip cartridge lockout
US9072536B2 (en) 2012-06-28 2015-07-07 Ethicon Endo-Surgery, Inc. Differential locking arrangements for rotary powered surgical instruments
US20140001231A1 (en) 2012-06-28 2014-01-02 Ethicon Endo-Surgery, Inc. Firing system lockout arrangements for surgical instruments
US8747238B2 (en) 2012-06-28 2014-06-10 Ethicon Endo-Surgery, Inc. Rotary drive shaft assemblies for surgical instruments with articulatable end effectors
US9282974B2 (en) 2012-06-28 2016-03-15 Ethicon Endo-Surgery, Llc Empty clip cartridge lockout
US20140005640A1 (en) 2012-06-28 2014-01-02 Ethicon Endo-Surgery, Inc. Surgical end effector jaw and electrode configurations
US11278284B2 (en) * 2012-06-28 2022-03-22 Cilag Gmbh International Rotary drive arrangements for surgical instruments
US9119657B2 (en) 2012-06-28 2015-09-01 Ethicon Endo-Surgery, Inc. Rotary actuatable closure arrangement for surgical end effector
US9289256B2 (en) 2012-06-28 2016-03-22 Ethicon Endo-Surgery, Llc Surgical end effectors having angled tissue-contacting surfaces
US9125662B2 (en) 2012-06-28 2015-09-08 Ethicon Endo-Surgery, Inc. Multi-axis articulating and rotating surgical tools
US20140005678A1 (en) 2012-06-28 2014-01-02 Ethicon Endo-Surgery, Inc. Rotary drive arrangements for surgical instruments
BR112014032776B1 (pt) 2012-06-28 2021-09-08 Ethicon Endo-Surgery, Inc Sistema de instrumento cirúrgico e kit cirúrgico para uso com um sistema de instrumento cirúrgico
US9028494B2 (en) 2012-06-28 2015-05-12 Ethicon Endo-Surgery, Inc. Interchangeable end effector coupling arrangement
US20140005705A1 (en) 2012-06-29 2014-01-02 Ethicon Endo-Surgery, Inc. Surgical instruments with articulating shafts
US9561038B2 (en) 2012-06-28 2017-02-07 Ethicon Endo-Surgery, Llc Interchangeable clip applier
US20140005718A1 (en) 2012-06-28 2014-01-02 Ethicon Endo-Surgery, Inc. Multi-functional powered surgical device with external dissection features
US9408622B2 (en) 2012-06-29 2016-08-09 Ethicon Endo-Surgery, Llc Surgical instruments with articulating shafts
US9529025B2 (en) 2012-06-29 2016-12-27 Covidien Lp Systems and methods for measuring the frequency of signals generated by high frequency medical devices
US9351754B2 (en) 2012-06-29 2016-05-31 Ethicon Endo-Surgery, Llc Ultrasonic surgical instruments with distally positioned jaw assemblies
US9232944B2 (en) 2012-06-29 2016-01-12 Covidien Lp Surgical instrument and bushing
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
US9198714B2 (en) 2012-06-29 2015-12-01 Ethicon Endo-Surgery, Inc. Haptic feedback devices for surgical robot
US9226767B2 (en) 2012-06-29 2016-01-05 Ethicon Endo-Surgery, Inc. Closed feedback control for electrosurgical device
US9820768B2 (en) 2012-06-29 2017-11-21 Ethicon Llc Ultrasonic surgical instruments with control mechanisms
US9326788B2 (en) 2012-06-29 2016-05-03 Ethicon Endo-Surgery, Llc Lockout mechanism for use with robotic electrosurgical device
US10213205B2 (en) 2012-07-06 2019-02-26 Covidien Lp T-slot tilt anvil for circular stapling instrument
US9839480B2 (en) 2012-07-09 2017-12-12 Covidien Lp Surgical adapter assemblies for use between surgical handle assembly and surgical end effectors
US10492814B2 (en) 2012-07-09 2019-12-03 Covidien Lp Apparatus for endoscopic procedures
US9833285B2 (en) 2012-07-17 2017-12-05 Covidien Lp Optical sealing device with cutting ability
US9402604B2 (en) 2012-07-20 2016-08-02 Covidien Lp Apparatus for endoscopic procedures
US10198965B2 (en) 2012-08-03 2019-02-05 Applied Medical Resources Corporation Simulated stapling and energy based ligation for surgical training
US10226297B2 (en) 2012-09-06 2019-03-12 Covidien Lp Medical devices and methods incorporating frustrated total internal reflection for energy-efficient sealing and cutting of tissue using light energy
US10231782B2 (en) 2012-09-06 2019-03-19 Covidien Lp Medical devices and methods incorporating frustrated total internal reflection for energy-efficient sealing and cutting of tissue using light energy
WO2014043697A2 (en) 2012-09-17 2014-03-20 Omniguide, Inc. Devices and methods for laser surgery
BR122020022695B1 (pt) 2012-09-26 2023-01-10 Aesculap Ag Dispositivo eletro cirúrgico para corte e selagem de tecidos
WO2014052373A1 (en) 2012-09-26 2014-04-03 Applied Medical Resources Corporation Surgical training model for laparoscopic procedures
EP2901437B1 (en) 2012-09-27 2019-02-27 Applied Medical Resources Corporation Surgical training model for laparoscopic procedures
CA2880482C (en) 2012-09-27 2020-03-10 Applied Medical Resources Corporation Surgical training model for laparoscopic procedures
US10679520B2 (en) 2012-09-27 2020-06-09 Applied Medical Resources Corporation Surgical training model for laparoscopic procedures
EP2901438B1 (en) 2012-09-28 2019-02-06 Applied Medical Resources Corporation Surgical training model for transluminal laparoscopic procedures
JP6275727B2 (ja) * 2012-09-28 2018-02-07 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． 多機能バイポーラ鉗子
KR20150063143A (ko) 2012-09-28 2015-06-08 어플라이드 메디컬 리소시스 코포레이션 복강경 절차들을 위한 수술 훈련 모델
US9675359B2 (en) 2012-10-10 2017-06-13 Covidien Lp Surgical instrument with preload assembly
US9386985B2 (en) 2012-10-15 2016-07-12 Ethicon Endo-Surgery, Llc Surgical cutting instrument
US9364217B2 (en) 2012-10-16 2016-06-14 Covidien Lp In-situ loaded stapler
US9421014B2 (en) 2012-10-18 2016-08-23 Covidien Lp Loading unit velocity and position feedback
US9095367B2 (en) 2012-10-22 2015-08-04 Ethicon Endo-Surgery, Inc. Flexible harmonic waveguides/blades for surgical instruments
US20140135744A1 (en) 2012-11-09 2014-05-15 Orthosensor Inc Motion and orientation sensing module or device for positioning of implants
US9572572B2 (en) 2012-11-09 2017-02-21 Covidien Lp Circular stapler mechanical lockout
US20140135804A1 (en) 2012-11-15 2014-05-15 Ethicon Endo-Surgery, Inc. Ultrasonic and electrosurgical devices
US20140142438A1 (en) 2012-11-19 2014-05-22 Biosense Webster (Israel), Ltd. Using location and force measurements to estimate tissue thickness
US9351724B2 (en) 2013-01-11 2016-05-31 Covidien Lp Circular stapling instrument
US9782187B2 (en) 2013-01-18 2017-10-10 Covidien Lp Adapter load button lockout
US9345480B2 (en) 2013-01-18 2016-05-24 Covidien Lp Surgical instrument and cartridge members for use therewith
US10918364B2 (en) 2013-01-24 2021-02-16 Covidien Lp Intelligent adapter assembly for use with an electromechanical surgical system
US9386984B2 (en) 2013-02-08 2016-07-12 Ethicon Endo-Surgery, Llc Staple cartridge comprising a releasable cover
AU2014216758A1 (en) * 2013-02-14 2015-08-27 Paul Weber Systems, apparatus and methods for tissue dissection
US9421003B2 (en) 2013-02-18 2016-08-23 Covidien Lp Apparatus for endoscopic procedures
US9216013B2 (en) 2013-02-18 2015-12-22 Covidien Lp Apparatus for endoscopic procedures
US9713491B2 (en) 2013-02-19 2017-07-25 Covidien Lp Method for manufacturing an electrode assembly configured for use with an electrosurigcal instrument
US10092292B2 (en) 2013-02-28 2018-10-09 Ethicon Llc Staple forming features for surgical stapling instrument
RU2672520C2 (ru) 2013-03-01 2018-11-15 Этикон Эндо-Серджери, Инк. Шарнирно поворачиваемые хирургические инструменты с проводящими путями для передачи сигналов
KR102537277B1 (ko) 2013-03-01 2023-05-30 어플라이드 메디컬 리소시스 코포레이션 진보된 수술 시뮬레이션 구성물들 및 방법들
US9554794B2 (en) 2013-03-01 2017-01-31 Ethicon Endo-Surgery, Llc Multiple processor motor control for modular surgical instruments
RU2669463C2 (ru) 2013-03-01 2018-10-11 Этикон Эндо-Серджери, Инк. Хирургический инструмент с мягким упором
US10561432B2 (en) 2013-03-05 2020-02-18 Covidien Lp Pivoting screw for use with a pair of jaw members of a surgical instrument
AU2014200501B2 (en) * 2013-03-07 2017-08-24 Covidien Lp Powered surgical stapling device
US9936951B2 (en) * 2013-03-12 2018-04-10 Covidien Lp Interchangeable tip reload
US9339285B2 (en) 2013-03-12 2016-05-17 Levita Magnetics International Corp. Grasper with magnetically-controlled positioning
US9717498B2 (en) 2013-03-13 2017-08-01 Covidien Lp Surgical stapling apparatus
US9345481B2 (en) 2013-03-13 2016-05-24 Ethicon Endo-Surgery, Llc Staple cartridge tissue thickness sensor system
US9814463B2 (en) 2013-03-13 2017-11-14 Covidien Lp Surgical stapling apparatus
US9629628B2 (en) 2013-03-13 2017-04-25 Covidien Lp Surgical stapling apparatus
US9492189B2 (en) 2013-03-13 2016-11-15 Covidien Lp Apparatus for endoscopic procedures
US9888921B2 (en) 2013-03-13 2018-02-13 Covidien Lp Surgical stapling apparatus
WO2014159023A1 (en) 2013-03-14 2014-10-02 Levita Magnetics International Corp. Magnetic control assemblies and systems therefor
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
US20140263541A1 (en) 2013-03-14 2014-09-18 Ethicon Endo-Surgery, Inc. Articulatable surgical instrument comprising an articulation lock
US9592056B2 (en) 2013-03-14 2017-03-14 Covidien Lp Powered stapling apparatus
US9125587B2 (en) 2013-03-15 2015-09-08 DePuy Synthes Products, Inc. Surgical retractors
CN104042292A (zh) 2013-03-15 2014-09-17 柯惠Lp公司 包括可重复利用的组件的手术吻合装置
US11793424B2 (en) 2013-03-18 2023-10-24 Orthosensor, Inc. Kinetic assessment and alignment of the muscular-skeletal system and method therefor
US9339212B2 (en) 2013-03-18 2016-05-17 Orthosensor Inc Bone cutting system for alignment relative to a mechanical axis
WO2014153428A1 (en) 2013-03-19 2014-09-25 Surgisense Corporation Apparatus, systems and methods for determining tissue oxygenation
US9510827B2 (en) 2013-03-25 2016-12-06 Covidien Lp Micro surgical instrument and loading unit for use therewith
US9332984B2 (en) 2013-03-27 2016-05-10 Ethicon Endo-Surgery, Llc Fastener cartridge assemblies
US9572577B2 (en) 2013-03-27 2017-02-21 Ethicon Endo-Surgery, Llc Fastener cartridge comprising a tissue thickness compensator including openings therein
US9795384B2 (en) 2013-03-27 2017-10-24 Ethicon Llc Fastener cartridge comprising a tissue thickness compensator and a gap setting element
US9775610B2 (en) 2013-04-09 2017-10-03 Covidien Lp Apparatus for endoscopic procedures
US9700318B2 (en) 2013-04-09 2017-07-11 Covidien Lp Apparatus for endoscopic procedures
US9867612B2 (en) 2013-04-16 2018-01-16 Ethicon Llc Powered surgical stapler
BR112015026109B1 (pt) 2013-04-16 2022-02-22 Ethicon Endo-Surgery, Inc Instrumento cirúrgico
AU2014265412B2 (en) 2013-05-15 2018-07-19 Applied Medical Resources Corporation Hernia model
US9801646B2 (en) 2013-05-30 2017-10-31 Covidien Lp Adapter load button decoupled from loading unit sensor
US9574644B2 (en) 2013-05-30 2017-02-21 Ethicon Endo-Surgery, Llc Power module for use with a surgical instrument
EP3003177B1 (en) 2013-05-31 2021-03-10 Covidien LP Surgical device with an end-effector assembly for monitoring of tissue during a surgical procedure
US9532780B2 (en) 2013-06-12 2017-01-03 Covidien Lp EEA anvil snap ring activator
US9445810B2 (en) 2013-06-12 2016-09-20 Covidien Lp Stapling device with grasping jaw mechanism
US9668740B2 (en) 2013-06-14 2017-06-06 Covidien Lp Anvil assembly with sliding sleeve
EP3010424A4 (en) 2013-06-17 2017-06-07 Covidien LP Surgical instrument with lockout mechanism
EP4170633A1 (en) 2013-06-18 2023-04-26 Applied Medical Resources Corporation Gallbladder model
US9797486B2 (en) 2013-06-20 2017-10-24 Covidien Lp Adapter direct drive with manual retraction, lockout and connection mechanisms
US9750503B2 (en) 2013-07-11 2017-09-05 Covidien Lp Methods and devices for performing a surgical anastomosis
US20150018816A1 (en) * 2013-07-11 2015-01-15 Covidien Lp Electrode assembly for use with surgical instruments
US9548002B2 (en) 2013-07-24 2017-01-17 Applied Medical Resources Corporation First entry model
US10198966B2 (en) 2013-07-24 2019-02-05 Applied Medical Resources Corporation Advanced first entry model for surgical simulation
US9872719B2 (en) 2013-07-24 2018-01-23 Covidien Lp Systems and methods for generating electrosurgical energy using a multistage power converter
US9636165B2 (en) 2013-07-29 2017-05-02 Covidien Lp Systems and methods for measuring tissue impedance through an electrosurgical cable
WO2015017992A1 (en) 2013-08-07 2015-02-12 Covidien Lp Surgical forceps
CN106028966B (zh) 2013-08-23 2018-06-22 伊西康内外科有限责任公司 用于动力外科器械的击发构件回缩装置
US20150053748A1 (en) * 2013-08-23 2015-02-26 Ethicon Endo-Surgery, Inc. Secondary battery arrangements for powered surgical instruments
US9662108B2 (en) 2013-08-30 2017-05-30 Covidien Lp Surgical stapling apparatus
US9693773B2 (en) 2013-09-11 2017-07-04 Covidien Lp Anvil assembly with sliding sleeve
US9814514B2 (en) 2013-09-13 2017-11-14 Ethicon Llc Electrosurgical (RF) medical instruments for cutting and coagulating tissue
US20140171986A1 (en) 2013-09-13 2014-06-19 Ethicon Endo-Surgery, Inc. Surgical Clip Having Comliant Portion
US9955966B2 (en) 2013-09-17 2018-05-01 Covidien Lp Adapter direct drive with manual retraction, lockout, and connection mechanisms for improper use prevention
US10271840B2 (en) 2013-09-18 2019-04-30 Covidien Lp Apparatus and method for differentiating between tissue and mechanical obstruction in a surgical instrument
US9974540B2 (en) 2013-10-18 2018-05-22 Covidien Lp Adapter direct drive twist-lock retention mechanism
EP3065648A1 (en) 2013-11-04 2016-09-14 Covidien LP Surgical fastener applying apparatus
CN105682570B (zh) 2013-11-04 2019-02-01 柯惠Lp公司 手术紧固件施加装置
CA2926782A1 (en) 2013-11-04 2015-05-07 Covidien Lp Surgical fastener applying apparatus
US9295522B2 (en) 2013-11-08 2016-03-29 Covidien Lp Medical device adapter with wrist mechanism
US9265926B2 (en) 2013-11-08 2016-02-23 Ethicon Endo-Surgery, Llc Electrosurgical devices
US9817019B2 (en) 2013-11-13 2017-11-14 Intuitive Surgical Operations, Inc. Integrated fiber bragg grating accelerometer in a surgical instrument
US9554802B2 (en) 2013-11-13 2017-01-31 Covidien Lp Anvil assembly with frangible retaining member
US9517070B2 (en) 2013-11-13 2016-12-13 Covidien Lp Anvil assembly and delivery system
US10236616B2 (en) 2013-12-04 2019-03-19 Covidien Lp Adapter assembly for interconnecting surgical devices and surgical attachments, and surgical systems thereof
US10561417B2 (en) 2013-12-09 2020-02-18 Covidien Lp Adapter assembly for interconnecting electromechanical surgical devices and surgical loading units, and surgical systems thereof
EP3079608B8 (en) 2013-12-11 2020-04-01 Covidien LP Wrist and jaw assemblies for robotic surgical systems
WO2015088655A1 (en) 2013-12-12 2015-06-18 Covidien Lp Gear train assemblies for robotic surgical systems
US9808245B2 (en) 2013-12-13 2017-11-07 Covidien Lp Coupling assembly for interconnecting an adapter assembly and a surgical device, and surgical systems thereof
GB2521228A (en) 2013-12-16 2015-06-17 Ethicon Endo Surgery Inc Medical device
GB2521229A (en) 2013-12-16 2015-06-17 Ethicon Endo Surgery Inc Medical device
US11083515B2 (en) 2013-12-18 2021-08-10 Novoxel Ltd. Methods and devices for thermal tissue vaporization and compression
CN111529048B (zh) 2013-12-18 2024-03-26 诺服塞尔有限公司 汽化组织的设备及方法
US9867613B2 (en) 2013-12-19 2018-01-16 Covidien Lp Surgical staples and end effectors for deploying the same
US20150173756A1 (en) 2013-12-23 2015-06-25 Ethicon Endo-Surgery, Inc. Surgical cutting and stapling methods
US9681870B2 (en) 2013-12-23 2017-06-20 Ethicon Llc Articulatable surgical instruments with separate and distinct closing and firing systems
US9839428B2 (en) 2013-12-23 2017-12-12 Ethicon Llc Surgical cutting and stapling instruments with independent jaw control features
US9642620B2 (en) 2013-12-23 2017-05-09 Ethicon Endo-Surgery, Llc Surgical cutting and stapling instruments with articulatable end effectors
US9724092B2 (en) 2013-12-23 2017-08-08 Ethicon Llc Modular surgical instruments
US10265065B2 (en) 2013-12-23 2019-04-23 Ethicon Llc Surgical staples and staple cartridges
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
EP3096673A4 (en) 2014-01-21 2017-10-25 Levita Magnetics International Corp. Laparoscopic graspers and systems therefor
US9962161B2 (en) 2014-02-12 2018-05-08 Ethicon Llc Deliverable surgical instrument
US10226305B2 (en) 2014-02-12 2019-03-12 Covidien Lp Surgical end effectors and pulley assemblies thereof
US9848874B2 (en) 2014-02-14 2017-12-26 Covidien Lp Small diameter endoscopic stapler
US9301691B2 (en) 2014-02-21 2016-04-05 Covidien Lp Instrument for optically detecting tissue attributes
US9884456B2 (en) 2014-02-24 2018-02-06 Ethicon Llc Implantable layers and methods for altering one or more properties of implantable layers for use with fastening instruments
JP6462004B2 (ja) 2014-02-24 2019-01-30 エシコン エルエルシー 発射部材ロックアウトを備える締結システム
JP2015159840A (ja) * 2014-02-26 2015-09-07 学校法人東京電機大学 医療装置
US9554854B2 (en) 2014-03-18 2017-01-31 Ethicon Endo-Surgery, Llc Detecting short circuits in electrosurgical medical devices
JP6511471B2 (ja) 2014-03-25 2019-05-15 ブライトシード・エルエルシーＢｒｉｔｅｓｅｅｄ，Ｌｌｃ 脈管検出器及び検出方法
EP3913602A1 (en) 2014-03-26 2021-11-24 Applied Medical Resources Corporation Simulated dissectible tissue
US9690362B2 (en) 2014-03-26 2017-06-27 Ethicon Llc Surgical instrument control circuit having a safety processor
US20150272582A1 (en) 2014-03-26 2015-10-01 Ethicon Endo-Surgery, Inc. Power management control systems for surgical instruments
US20180132850A1 (en) * 2014-03-26 2018-05-17 Ethicon Llc Surgical instrument comprising a sensor system
US9820738B2 (en) 2014-03-26 2017-11-21 Ethicon Llc Surgical instrument comprising interactive systems
US9913642B2 (en) 2014-03-26 2018-03-13 Ethicon Llc Surgical instrument comprising a sensor system
BR112016021943B1 (pt) 2014-03-26 2022-06-14 Ethicon Endo-Surgery, Llc Instrumento cirúrgico para uso por um operador em um procedimento cirúrgico
US10463421B2 (en) 2014-03-27 2019-11-05 Ethicon Llc Two stage trigger, clamp and cut bipolar vessel sealer
US10092310B2 (en) 2014-03-27 2018-10-09 Ethicon Llc Electrosurgical devices
US10524852B1 (en) 2014-03-28 2020-01-07 Ethicon Llc Distal sealing end effector with spacers
US9757126B2 (en) 2014-03-31 2017-09-12 Covidien Lp Surgical stapling apparatus with firing lockout mechanism
US9737355B2 (en) 2014-03-31 2017-08-22 Ethicon Llc Controlling impedance rise in electrosurgical medical devices
CN106132322B (zh) 2014-03-31 2019-11-08 柯惠Lp公司 机器人手术系统的腕组件和钳夹组件
US9913680B2 (en) 2014-04-15 2018-03-13 Ethicon Llc Software algorithms for electrosurgical instruments
CN106456158B (zh) 2014-04-16 2019-02-05 伊西康内外科有限责任公司 包括非一致紧固件的紧固件仓
US9943310B2 (en) 2014-09-26 2018-04-17 Ethicon Llc Surgical stapling buttresses and adjunct materials
US20150297223A1 (en) 2014-04-16 2015-10-22 Ethicon Endo-Surgery, Inc. Fastener cartridges including extensions having different configurations
US10299792B2 (en) 2014-04-16 2019-05-28 Ethicon Llc Fastener cartridge comprising non-uniform fasteners
JP6636452B2 (ja) 2014-04-16 2020-01-29 エシコン エルエルシーＥｔｈｉｃｏｎ ＬＬＣ 異なる構成を有する延在部を含む締結具カートリッジ
JP6532889B2 (ja) 2014-04-16 2019-06-19 エシコン エルエルシーＥｔｈｉｃｏｎ ＬＬＣ 締結具カートリッジ組立体及びステープル保持具カバー配置構成
US9757186B2 (en) 2014-04-17 2017-09-12 Ethicon Llc Device status feedback for bipolar tissue spacer
US10164466B2 (en) 2014-04-17 2018-12-25 Covidien Lp Non-contact surgical adapter electrical interface
US10080552B2 (en) 2014-04-21 2018-09-25 Covidien Lp Adapter assembly with gimbal for interconnecting electromechanical surgical devices and surgical loading units, and surgical systems thereof
US9668733B2 (en) 2014-04-21 2017-06-06 Covidien Lp Stapling device with features to prevent inadvertent firing of staples
CN103963023A (zh) * 2014-04-24 2014-08-06 天佑电器（苏州）有限公司 组合电动工具及其控制方法
US10133248B2 (en) 2014-04-28 2018-11-20 Covidien Lp Systems and methods for determining an end of life state for surgical devices
US9861366B2 (en) 2014-05-06 2018-01-09 Covidien Lp Ejecting assembly for a surgical stapler
US20150324317A1 (en) 2014-05-07 2015-11-12 Covidien Lp Authentication and information system for reusable surgical instruments
US9913643B2 (en) 2014-05-09 2018-03-13 Covidien Lp Interlock assemblies for replaceable loading unit
CN110680437B (zh) 2014-05-15 2023-01-31 柯惠Lp公司 手术紧固件施加装置
US9913646B2 (en) 2014-06-10 2018-03-13 Ethicon Llc Devices for sealing staples in tissue
AU2014397432A1 (en) 2014-06-12 2016-12-01 Covidien Lp Surgical stapling apparatus
US10045781B2 (en) 2014-06-13 2018-08-14 Ethicon Llc Closure lockout systems for surgical instruments
US9861367B2 (en) 2014-06-24 2018-01-09 Covidien Lp Anvil assembly delivery systems
US9867619B2 (en) 2014-06-24 2018-01-16 Covidien Lp System for delivering an anvil assembly to a surgical site
US10561418B2 (en) 2014-06-26 2020-02-18 Covidien Lp Adapter assemblies for interconnecting surgical loading units and handle assemblies
US9763661B2 (en) 2014-06-26 2017-09-19 Covidien Lp Adapter assembly for interconnecting electromechanical surgical devices and surgical loading units, and surgical systems thereof
US9987095B2 (en) 2014-06-26 2018-06-05 Covidien Lp Adapter assemblies for interconnecting electromechanical handle assemblies and surgical loading units
US9839425B2 (en) 2014-06-26 2017-12-12 Covidien Lp Adapter assembly for interconnecting electromechanical surgical devices and surgical loading units, and surgical systems thereof
US10163589B2 (en) 2014-06-26 2018-12-25 Covidien Lp Adapter assemblies for interconnecting surgical loading units and handle assemblies
US9700333B2 (en) 2014-06-30 2017-07-11 Ethicon Llc Surgical instrument with variable tissue compression
US10405864B2 (en) 2014-07-04 2019-09-10 Covidien Lp Loading unit with shipping member for surgical stapling device
US9757133B2 (en) 2014-07-09 2017-09-12 Covidien Lp Methods and devices for performing a surgical anastomosis
US10285724B2 (en) 2014-07-31 2019-05-14 Ethicon Llc Actuation mechanisms and load adjustment assemblies for surgical instruments
US10194976B2 (en) 2014-08-25 2019-02-05 Ethicon Llc Lockout disabling mechanism
US9877776B2 (en) 2014-08-25 2018-01-30 Ethicon Llc Simultaneous I-beam and spring driven cam jaw closure mechanism
US10194972B2 (en) 2014-08-26 2019-02-05 Ethicon Llc Managing tissue treatment
US10111679B2 (en) 2014-09-05 2018-10-30 Ethicon Llc Circuitry and sensors for powered medical device
BR112017004361B1 (pt) 2014-09-05 2023-04-11 Ethicon Llc Sistema eletrônico para um instrumento cirúrgico
US11311294B2 (en) 2014-09-05 2022-04-26 Cilag Gmbh International Powered medical device including measurement of closure state of jaws
KR20170058972A (ko) 2014-09-15 2017-05-29 노보셀 리미티드 조직의 열 수술 기화 및 절개를 위한 방법 및 디바이스
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
BR112017005981B1 (pt) 2014-09-26 2022-09-06 Ethicon, Llc Material de escora para uso com um cartucho de grampos cirúrgicos e cartucho de grampos cirúrgicos para uso com um instrumento cirúrgico
WO2016057225A1 (en) 2014-10-07 2016-04-14 Covidien Lp Handheld electromechanical surgical system
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
US10729443B2 (en) 2014-10-21 2020-08-04 Covidien Lp Adapter, extension, and connector assemblies for surgical devices
US10226254B2 (en) 2014-10-21 2019-03-12 Covidien Lp Adapter, extension, and connector assemblies for surgical devices
CN104287801A (zh) * 2014-10-21 2015-01-21 金黑鹰 具有压力感受和自动调节装置的吻合器和切割闭合器
US10085750B2 (en) 2014-10-22 2018-10-02 Covidien Lp Adapter with fire rod J-hook lockout
US9949737B2 (en) 2014-10-22 2018-04-24 Covidien Lp Adapter assemblies for interconnecting surgical loading units and handle assemblies
US11141153B2 (en) 2014-10-29 2021-10-12 Cilag Gmbh International Staple cartridges comprising driver arrangements
US10517594B2 (en) 2014-10-29 2019-12-31 Ethicon Llc Cartridge assemblies for surgical staplers
US11504192B2 (en) 2014-10-30 2022-11-22 Cilag Gmbh International Method of hub communication with surgical instrument systems
US9844376B2 (en) 2014-11-06 2017-12-19 Ethicon Llc Staple cartridge comprising a releasable adjunct material
CA2967586A1 (en) 2014-11-13 2016-05-19 Applied Medical Resources Corporation Simulated tissue models and methods
US10085744B2 (en) 2014-12-08 2018-10-02 Covidien Lp Loading unit attachment band for surgical stapling instrument
US10639092B2 (en) 2014-12-08 2020-05-05 Ethicon Llc Electrode configurations for surgical instruments
US9855045B2 (en) 2014-12-09 2018-01-02 Covidien Lp Anvil assembly delivery system
US10736636B2 (en) 2014-12-10 2020-08-11 Ethicon Llc Articulatable surgical instrument system
JP6480585B2 (ja) 2014-12-11 2019-03-13 コヴィディエン リミテッド パートナーシップ 自動拘止機構を有するステープラ
WO2016090594A1 (en) 2014-12-11 2016-06-16 Covidien Lp Surgical stapling loading unit
EP3232946A1 (en) 2014-12-17 2017-10-25 Covidien LP Surgical stapling device with firing indicator
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
US10188385B2 (en) 2014-12-18 2019-01-29 Ethicon Llc Surgical instrument system comprising lockable systems
US10085748B2 (en) 2014-12-18 2018-10-02 Ethicon Llc Locking arrangements for detachable shaft assemblies with articulatable surgical end effectors
US10004501B2 (en) 2014-12-18 2018-06-26 Ethicon Llc Surgical instruments with improved closure arrangements
US9844375B2 (en) 2014-12-18 2017-12-19 Ethicon Llc Drive arrangements for articulatable surgical instruments
US9987000B2 (en) 2014-12-18 2018-06-05 Ethicon Llc Surgical instrument assembly comprising a flexible articulation system
BR112017012996B1 (pt) 2014-12-18 2022-11-08 Ethicon Llc Instrumento cirúrgico com uma bigorna que é seletivamente móvel sobre um eixo geométrico imóvel distinto em relação a um cartucho de grampos
US10117649B2 (en) 2014-12-18 2018-11-06 Ethicon Llc Surgical instrument assembly comprising a lockable articulation system
US10111699B2 (en) 2014-12-22 2018-10-30 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
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
US10022126B2 (en) 2015-01-07 2018-07-17 Covidien Lp Loading unit locking collar
US10039549B2 (en) 2015-01-07 2018-08-07 Covidien Lp Loading unit retention clip for surgical stapling instrument
US10117656B2 (en) 2015-01-07 2018-11-06 Covidien Lp Loading unit locking collar
US10245095B2 (en) 2015-02-06 2019-04-02 Ethicon Llc Electrosurgical instrument with rotation and articulation mechanisms
ES2886023T3 (es) 2015-02-15 2021-12-16 Covidien Lp Dispositivo de grapado quirúrgico con indicador de disparo de construcción unitaria
EP3545830B1 (en) 2015-02-19 2022-01-05 Briteseed, LLC System for determining vessel edge
KR102542516B1 (ko) 2015-02-19 2023-06-13 어플라이드 메디컬 리소시스 코포레이션 시뮬레이션된 조직 구조체들 및 방법들
US10111665B2 (en) 2015-02-19 2018-10-30 Covidien Lp Electromechanical surgical systems
EP3258840B1 (en) 2015-02-19 2021-09-15 Briteseed, LLC System and method for determining vessel size using light absorption
US10039545B2 (en) 2015-02-23 2018-08-07 Covidien Lp Double fire stapling
US10130367B2 (en) 2015-02-26 2018-11-20 Covidien Lp Surgical apparatus
US10085749B2 (en) 2015-02-26 2018-10-02 Covidien Lp Surgical apparatus with conductor strain relief
US11154301B2 (en) 2015-02-27 2021-10-26 Cilag Gmbh International Modular stapling assembly
US9993258B2 (en) 2015-02-27 2018-06-12 Ethicon Llc Adaptable surgical instrument handle
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
US20160249910A1 (en) 2015-02-27 2016-09-01 Ethicon Endo-Surgery, Llc Surgical charging system that charges and/or conditions one or more batteries
US9895148B2 (en) 2015-03-06 2018-02-20 Ethicon Endo-Surgery, Llc Monitoring speed control and precision incrementing of motor for powered surgical instruments
US10548504B2 (en) * 2015-03-06 2020-02-04 Ethicon Llc Overlaid multi sensor radio frequency (RF) electrode system to measure tissue compression
US9901342B2 (en) 2015-03-06 2018-02-27 Ethicon Endo-Surgery, Llc Signal and power communication system positioned on a rotatable shaft
US9993248B2 (en) * 2015-03-06 2018-06-12 Ethicon Endo-Surgery, Llc Smart sensors with local signal processing
JP2020121162A (ja) 2015-03-06 2020-08-13 エシコン エルエルシーＥｔｈｉｃｏｎ ＬＬＣ 測定の安定性要素、クリープ要素、及び粘弾性要素を決定するためのセンサデータの時間依存性評価
US9924961B2 (en) 2015-03-06 2018-03-27 Ethicon Endo-Surgery, Llc Interactive feedback system for powered surgical instruments
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
US10245033B2 (en) 2015-03-06 2019-04-02 Ethicon Llc Surgical instrument comprising a lockable battery housing
US9808246B2 (en) 2015-03-06 2017-11-07 Ethicon Endo-Surgery, Llc Method of operating a powered surgical instrument
US10687806B2 (en) 2015-03-06 2020-06-23 Ethicon Llc Adaptive tissue compression techniques to adjust closure rates for multiple tissue types
US10617412B2 (en) 2015-03-06 2020-04-14 Ethicon Llc System for detecting the mis-insertion of a staple cartridge into a surgical stapler
US10441279B2 (en) 2015-03-06 2019-10-15 Ethicon Llc Multiple level thresholds to modify operation of powered surgical instruments
US10190888B2 (en) 2015-03-11 2019-01-29 Covidien Lp Surgical stapling instruments with linear position assembly
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
US9918717B2 (en) 2015-03-18 2018-03-20 Covidien Lp Pivot mechanism for surgical device
US10595929B2 (en) 2015-03-24 2020-03-24 Ethicon Llc Surgical instruments with firing system overload protection mechanisms
US10390825B2 (en) 2015-03-31 2019-08-27 Ethicon Llc Surgical instrument with progressive rotary drive systems
US10314638B2 (en) 2015-04-07 2019-06-11 Ethicon Llc Articulating radio frequency (RF) tissue seal with articulating state sensing
US10463368B2 (en) 2015-04-10 2019-11-05 Covidien Lp Endoscopic stapler
US10226239B2 (en) 2015-04-10 2019-03-12 Covidien Lp Adapter assembly with gimbal for interconnecting electromechanical surgical devices and surgical loading units, and surgical systems thereof
US10117702B2 (en) 2015-04-10 2018-11-06 Ethicon Llc Surgical generator systems and related methods
US11432902B2 (en) 2015-04-10 2022-09-06 Covidien Lp Surgical devices with moisture control
US10327779B2 (en) 2015-04-10 2019-06-25 Covidien Lp Adapter, extension, and connector assemblies for surgical devices
EP3282954B1 (en) 2015-04-13 2021-07-28 Levita Magnetics International Corp. Grasper with magnetically-controlled positioning
ES2897754T3 (es) 2015-04-13 2022-03-02 Levita Magnetics Int Corp Dispositivos retractores
US10130410B2 (en) 2015-04-17 2018-11-20 Ethicon Llc Electrosurgical instrument including a cutting member decouplable from a cutting member trigger
WO2016171947A1 (en) 2015-04-22 2016-10-27 Covidien Lp Handheld electromechanical surgical system
US11278286B2 (en) 2015-04-22 2022-03-22 Covidien Lp Handheld electromechanical surgical system
US10881408B2 (en) 2015-04-22 2021-01-05 Covidien Lp Interlock assembly for replaceable loading units
JP6767999B2 (ja) 2015-04-23 2020-10-14 ヴィーア サージカル リミテッド 外科手術用締結具送達および係止機構
US9872725B2 (en) 2015-04-29 2018-01-23 Ethicon Llc RF tissue sealer with mode selection
US10426480B2 (en) 2015-04-29 2019-10-01 Covidien Lp Cutting ring assembly with rigid cutting member
US10117650B2 (en) 2015-05-05 2018-11-06 Covidien Lp Adapter assembly and loading units for surgical stapling devices
US10299789B2 (en) 2015-05-05 2019-05-28 Covidie LP Adapter assembly for surgical stapling devices
US10039532B2 (en) 2015-05-06 2018-08-07 Covidien Lp Surgical instrument with articulation assembly
US10143474B2 (en) 2015-05-08 2018-12-04 Just Right Surgical, Llc Surgical stapler
EP3476343B1 (en) 2015-05-14 2022-12-07 Applied Medical Resources Corporation Synthetic tissue structures for electrosurgical training and simulation
CA2986480A1 (en) 2015-05-25 2016-12-01 Covidien Lp Small diameter surgical stapling device
US10172615B2 (en) 2015-05-27 2019-01-08 Covidien Lp Multi-fire push rod stapling device
US10349941B2 (en) 2015-05-27 2019-07-16 Covidien Lp Multi-fire lead screw stapling device
EP4057260A1 (en) 2015-06-09 2022-09-14 Applied Medical Resources Corporation Hysterectomy model
US9987001B2 (en) 2015-06-12 2018-06-05 Covidien Lp Surgical anastomosis apparatus
US11020140B2 (en) 2015-06-17 2021-06-01 Cilag Gmbh International Ultrasonic surgical blade for use with ultrasonic surgical instruments
US10052102B2 (en) 2015-06-18 2018-08-21 Ethicon Llc Surgical end effectors with dual cam actuated jaw closing features
US10405855B2 (en) * 2015-06-26 2019-09-10 Ethicon Llc Firing circuit for surgical stapler
CN104921730B (zh) * 2015-06-30 2017-09-12 上海理工大学 测量组织厚度的智能器械
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
US11141213B2 (en) 2015-06-30 2021-10-12 Cilag Gmbh International Surgical instrument with user adaptable techniques
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
US11129669B2 (en) 2015-06-30 2021-09-28 Cilag Gmbh International Surgical system with user adaptable techniques based on tissue type
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
US9974536B2 (en) 2015-07-02 2018-05-22 Covidien Lp Anvil assemblies and delivery systems
US10111668B2 (en) 2015-07-02 2018-10-30 Covidien Lp Anvil assembly with snap backup ring
KR102697097B1 (ko) 2015-07-16 2024-08-21 어플라이드 메디컬 리소시스 코포레이션 시뮬레이션된 절개가능 조직
US10548599B2 (en) 2015-07-20 2020-02-04 Covidien Lp Endoscopic stapler and staple
US9987012B2 (en) 2015-07-21 2018-06-05 Covidien Lp Small diameter cartridge design for a surgical stapling instrument
ES2883261T3 (es) 2015-07-22 2021-12-07 Applied Med Resources Modelo de apendicectomía
US10117655B2 (en) 2015-07-22 2018-11-06 Covidien Lp Loading unit locking band for surgical stapling instrument
US10085756B2 (en) 2015-07-24 2018-10-02 Covidien Lp Anvil assembly and anvil assembly delivery system
US20170027559A1 (en) * 2015-07-27 2017-02-02 David J. Schneider System and Method for Soft Tissue Repair
US10117675B2 (en) 2015-07-28 2018-11-06 Covidien Lp Trocar tip protector
US10751058B2 (en) 2015-07-28 2020-08-25 Covidien Lp Adapter assemblies for surgical devices
US10064622B2 (en) 2015-07-29 2018-09-04 Covidien Lp Surgical stapling loading unit with stroke counter and lockout
US10045782B2 (en) 2015-07-30 2018-08-14 Covidien Lp Surgical stapling loading unit with stroke counter and lockout
US10617418B2 (en) 2015-08-17 2020-04-14 Ethicon Llc Implantable layers for a surgical instrument
US20170049497A1 (en) * 2015-08-21 2017-02-23 Medtronic Ablation Frontiers Llc Array orientation tracker
JP6828018B2 (ja) 2015-08-26 2021-02-10 エシコン エルエルシーＥｔｈｉｃｏｎ ＬＬＣ ステープルの特性変更を可能にし、カートリッジへの充填を容易にする外科用ステープルストリップ
MX2022009705A (es) 2015-08-26 2022-11-07 Ethicon Llc Metodo para formar una grapa contra un yunque de un instrumento de engrapado quirurgico.
US11058426B2 (en) 2015-08-26 2021-07-13 Cilag Gmbh International Staple cartridge assembly comprising various tissue compression gaps and staple forming gaps
US10499913B2 (en) 2015-08-31 2019-12-10 Ethicon Llc Tubular surgical constructs including adjunct material
US10279086B2 (en) 2015-08-31 2019-05-07 Ethicon Llc Composite adjunct materials for delivering medicants
US10194936B2 (en) 2015-08-31 2019-02-05 Ethicon Endo-Surgery, Llc Adjunct material for delivery to stomach tissue
US9937283B2 (en) 2015-08-31 2018-04-10 Ethicon Endo-Surgery, Llc Adjunct material to provide drug elution from vessels
US11020116B2 (en) 2015-08-31 2021-06-01 Ethicon Llc Surgical adjuncts with medicants affected by activators
US10285692B2 (en) 2015-08-31 2019-05-14 Ethicon Llc Adjuncts for surgical devices including agonists and antagonists
US10349938B2 (en) 2015-08-31 2019-07-16 Ethicon Llc Surgical adjuncts with medicants affected by activator materials
US10245034B2 (en) 2015-08-31 2019-04-02 Ethicon Llc Inducing tissue adhesions using surgical adjuncts and medicants
US10130738B2 (en) 2015-08-31 2018-11-20 Ethicon Llc Adjunct material to promote tissue growth
US10086116B2 (en) 2015-08-31 2018-10-02 Ethicon Llc Adjunct material to provide controlled drug release
US10111661B2 (en) 2015-08-31 2018-10-30 Ethicon Llc Matrix metalloproteinase inhibiting adjuncts for surgical devices
US10076324B2 (en) 2015-08-31 2018-09-18 Ethicon Llc Adjunct material to provide controlled drug elution
US10076329B2 (en) 2015-08-31 2018-09-18 Ethicon Llc Adjunct material to promote tissue growth in a colon
US10172973B2 (en) 2015-08-31 2019-01-08 Ethicon Llc Surgical adjuncts and medicants for promoting lung function
US10463366B2 (en) 2015-08-31 2019-11-05 Ethicon Llc Adjunct materials for delivery to liver tissue
US10188389B2 (en) 2015-08-31 2019-01-29 Ethicon Llc Adjunct material for delivery to colon tissue
US10569071B2 (en) 2015-08-31 2020-02-25 Ethicon Llc Medicant eluting adjuncts and methods of using medicant eluting adjuncts
US10188390B2 (en) 2015-08-31 2019-01-29 Ethicon Llc Adjunct material to provide heterogeneous drug elution
US10213520B2 (en) 2015-08-31 2019-02-26 Ethicon Llc Surgical adjuncts having medicants controllably releasable therefrom
US10357252B2 (en) 2015-09-02 2019-07-23 Ethicon Llc Surgical staple configurations with camming surfaces located between portions supporting surgical staples
MX2022006189A (es) 2015-09-02 2022-06-16 Ethicon Llc Configuraciones de grapas quirurgicas con superficies de leva situadas entre porciones que soportan grapas quirurgicas.
US9980730B2 (en) 2015-09-21 2018-05-29 Covidien Lp Loading unit locking collar with rotational actuated release
US10085751B2 (en) 2015-09-23 2018-10-02 Ethicon Llc Surgical stapler having temperature-based motor control
US10363036B2 (en) 2015-09-23 2019-07-30 Ethicon Llc Surgical stapler having force-based motor control
US10105139B2 (en) 2015-09-23 2018-10-23 Ethicon Llc Surgical stapler having downstream current-based motor control
US10076326B2 (en) 2015-09-23 2018-09-18 Ethicon Llc Surgical stapler having current mirror-based motor control
US10327769B2 (en) 2015-09-23 2019-06-25 Ethicon Llc Surgical stapler having motor control based on a drive system component
US10238386B2 (en) 2015-09-23 2019-03-26 Ethicon Llc Surgical stapler having motor control based on an electrical parameter related to a motor current
US9987013B2 (en) * 2015-09-24 2018-06-05 Ethicon Llc Surgical staple buttress with magnetic elements
US10111684B2 (en) 2015-09-25 2018-10-30 Covidien Lp Adapter assembly including a removable trocar assembly
US10299878B2 (en) 2015-09-25 2019-05-28 Ethicon Llc Implantable adjunct systems for determining adjunct skew
US10806454B2 (en) 2015-09-25 2020-10-20 Covidien Lp Robotic surgical assemblies and instrument drive connectors thereof
US10194973B2 (en) 2015-09-30 2019-02-05 Ethicon Llc Generator for digitally generating electrical signal waveforms for electrosurgical and ultrasonic surgical instruments
US11890015B2 (en) 2015-09-30 2024-02-06 Cilag Gmbh International Compressible adjunct with crossing spacer fibers
US10980539B2 (en) 2015-09-30 2021-04-20 Ethicon Llc Implantable adjunct comprising bonded layers
US20170086829A1 (en) 2015-09-30 2017-03-30 Ethicon Endo-Surgery, Llc Compressible adjunct with intermediate supporting structures
US10524788B2 (en) 2015-09-30 2020-01-07 Ethicon Llc Compressible adjunct with attachment regions
US10213204B2 (en) 2015-10-02 2019-02-26 Covidien Lp Micro surgical instrument and loading unit for use therewith
EP4300467A3 (en) 2015-10-02 2024-04-03 Applied Medical Resources Corporation Hysterectomy model
EP3359021B1 (en) 2015-10-08 2019-07-31 Briteseed, LLC System for determining vessel size
US10371238B2 (en) 2015-10-09 2019-08-06 Covidien Lp Adapter assembly for surgical device
US10413298B2 (en) 2015-10-14 2019-09-17 Covidien Lp Adapter assembly for surgical devices
US10959771B2 (en) 2015-10-16 2021-03-30 Ethicon Llc Suction and irrigation sealing grasper
US10595930B2 (en) 2015-10-16 2020-03-24 Ethicon Llc Electrode wiping surgical device
US10542992B2 (en) 2015-10-19 2020-01-28 Covidien Lp Loading unit with stretchable bushing
CN111803163B (zh) 2015-10-20 2024-04-26 柯惠有限合伙公司 具有组织间隙指示器组件的圆形缝合器
CN108135616B (zh) 2015-10-21 2022-04-15 柯惠有限合伙公司 用于手术钉合器的环形刀
US10772632B2 (en) 2015-10-28 2020-09-15 Covidien Lp Surgical stapling device with triple leg staples
US10251649B2 (en) * 2015-10-29 2019-04-09 Ethicon Llc Surgical stapler buttress applicator with data communication
US10512466B2 (en) 2015-11-05 2019-12-24 Covidien Lp Adapter assembly for surgical device
US10213250B2 (en) 2015-11-05 2019-02-26 Covidien Lp Deployment and safety mechanisms for surgical instruments
US10729435B2 (en) 2015-11-06 2020-08-04 Covidien Lp Adapter assemblies for interconnecting surgical loading units and handle assemblies
US10939952B2 (en) 2015-11-06 2021-03-09 Covidien Lp Adapter, extension, and connector assemblies for surgical devices
US10292705B2 (en) 2015-11-06 2019-05-21 Covidien Lp Surgical apparatus
US10932783B2 (en) 2015-11-13 2021-03-02 Covidien Lp Circular stapler with audible indicator mechanism
EP4235632A3 (en) 2015-11-20 2024-01-24 Applied Medical Resources Corporation Simulated dissectible tissue
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
US10617411B2 (en) 2015-12-01 2020-04-14 Covidien Lp Adapter assembly for surgical device
US10111660B2 (en) 2015-12-03 2018-10-30 Covidien Lp Surgical stapler flexible distal tip
ES2821891T3 (es) 2015-12-07 2021-04-28 Covidien Lp Conjunto de yunque y sistema de suministro
US10433841B2 (en) 2015-12-10 2019-10-08 Covidien Lp Adapter assembly for surgical device
US10390835B2 (en) 2015-12-10 2019-08-27 Covidien Lp Surgical fastener apparatus with linear position sensor
US10624616B2 (en) * 2015-12-18 2020-04-21 Covidien Lp Surgical instruments including sensors
US10253847B2 (en) 2015-12-22 2019-04-09 Covidien Lp Electromechanical surgical devices with single motor drives and adapter assemblies therfor
US10420554B2 (en) 2015-12-22 2019-09-24 Covidien Lp Personalization of powered surgical devices
US10368865B2 (en) 2015-12-30 2019-08-06 Ethicon Llc Mechanisms for compensating for drivetrain failure in powered surgical instruments
US10292704B2 (en) 2015-12-30 2019-05-21 Ethicon Llc Mechanisms for compensating for battery pack failure in powered surgical instruments
US10959806B2 (en) 2015-12-30 2021-03-30 Ethicon Llc Energized medical device with reusable handle
US10179022B2 (en) 2015-12-30 2019-01-15 Ethicon Llc Jaw position impedance limiter for electrosurgical instrument
US10265068B2 (en) 2015-12-30 2019-04-23 Ethicon Llc Surgical instruments with separable motors and motor control circuits
US10575892B2 (en) 2015-12-31 2020-03-03 Ethicon Llc Adapter for electrical surgical instruments
US10966717B2 (en) 2016-01-07 2021-04-06 Covidien Lp Surgical fastener apparatus
US10314579B2 (en) 2016-01-07 2019-06-11 Covidien Lp Adapter assemblies for interconnecting surgical loading units and handle assemblies
US10524797B2 (en) 2016-01-13 2020-01-07 Covidien Lp Adapter assembly including a removable trocar assembly
US11058448B2 (en) 2016-01-15 2021-07-13 Cilag Gmbh International Modular battery powered handheld surgical instrument with multistage generator circuits
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
US10660623B2 (en) 2016-01-15 2020-05-26 Covidien Lp Centering mechanism for articulation joint
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
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
US10508720B2 (en) 2016-01-21 2019-12-17 Covidien Lp Adapter assembly with planetary gear drive for interconnecting electromechanical surgical devices and surgical loading units, and surgical systems thereof
WO2017136548A1 (en) 2016-02-04 2017-08-10 Cardiac Pacemakers, Inc. Delivery system with force sensor for leadless cardiac device
EP3410957B1 (en) 2016-02-04 2020-06-03 Covidien LP Circular stapler with visual indicator mechanism
US10588625B2 (en) 2016-02-09 2020-03-17 Ethicon Llc Articulatable surgical instruments with off-axis firing beam arrangements
JP6911054B2 (ja) 2016-02-09 2021-07-28 エシコン エルエルシーＥｔｈｉｃｏｎ ＬＬＣ 非対称の関節構成を備えた外科用器具
US11213293B2 (en) 2016-02-09 2022-01-04 Cilag Gmbh International Articulatable surgical instruments with single articulation link arrangements
US10349937B2 (en) 2016-02-10 2019-07-16 Covidien Lp Surgical stapler with articulation locking mechanism
US10398439B2 (en) 2016-02-10 2019-09-03 Covidien Lp Adapter, extension, and connector assemblies for surgical devices
US10603042B2 (en) 2016-02-10 2020-03-31 Covidien Lp Flexible circular stapler
US10420559B2 (en) 2016-02-11 2019-09-24 Covidien Lp Surgical stapler with small diameter endoscopic portion
US11224426B2 (en) 2016-02-12 2022-01-18 Cilag Gmbh International Mechanisms for compensating for drivetrain failure in powered surgical instruments
US10448948B2 (en) 2016-02-12 2019-10-22 Ethicon Llc Mechanisms for compensating for drivetrain failure in powered surgical instruments
US10258331B2 (en) 2016-02-12 2019-04-16 Ethicon Llc Mechanisms for compensating for drivetrain failure in powered surgical instruments
EP3413792B1 (en) 2016-02-12 2023-12-13 Briteseed, LLC Determination of the presence of a vessel within a region proximate to a working end of a surgical instrument
US10555769B2 (en) 2016-02-22 2020-02-11 Ethicon Llc Flexible circuits for electrosurgical instrument
ES2630977B1 (es) * 2016-02-23 2018-06-07 Universitat De Lleida Instrumento para medir parámetros asociados a una incisión en un tejido y procedimiento para medir parámetros en una incisión en un tejido mediante dicho instrumento
US10709446B2 (en) 2016-04-01 2020-07-14 Ethicon Llc Staple cartridges with atraumatic features
US10357246B2 (en) 2016-04-01 2019-07-23 Ethicon Llc Rotary powered surgical instrument with manually actuatable bailout system
US11284890B2 (en) 2016-04-01 2022-03-29 Cilag Gmbh International Circular stapling system comprising an incisable tissue support
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
US11064997B2 (en) 2016-04-01 2021-07-20 Cilag Gmbh International Surgical stapling instrument
US10426467B2 (en) * 2016-04-15 2019-10-01 Ethicon Llc Surgical instrument with detection sensors
US10828028B2 (en) 2016-04-15 2020-11-10 Ethicon Llc Surgical instrument with multiple program responses during a firing motion
US10335145B2 (en) 2016-04-15 2019-07-02 Ethicon Llc Modular surgical instrument with configurable operating mode
US10456137B2 (en) 2016-04-15 2019-10-29 Ethicon Llc Staple formation detection mechanisms
US10492783B2 (en) 2016-04-15 2019-12-03 Ethicon, Llc Surgical instrument with improved stop/start control 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
US11607239B2 (en) 2016-04-15 2023-03-21 Cilag Gmbh International Systems and methods for controlling a surgical stapling and cutting instrument
US10405859B2 (en) 2016-04-15 2019-09-10 Ethicon Llc Surgical instrument with adjustable stop/start control during a firing motion
US10357247B2 (en) 2016-04-15 2019-07-23 Ethicon Llc Surgical instrument with multiple program responses during a firing motion
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
US10653420B2 (en) 2016-04-20 2020-05-19 Ethicon Llc Compliant compensation features for end effector of surgical stapling instrument
US10485607B2 (en) 2016-04-29 2019-11-26 Ethicon Llc Jaw structure with distal closure for electrosurgical instruments
US10987156B2 (en) 2016-04-29 2021-04-27 Ethicon Llc Electrosurgical instrument with electrically conductive gap setting member and electrically insulative tissue engaging members
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
US10646269B2 (en) 2016-04-29 2020-05-12 Ethicon Llc Non-linear jaw gap for electrosurgical instruments
US10456193B2 (en) 2016-05-03 2019-10-29 Ethicon Llc Medical device with a bilateral jaw configuration for nerve stimulation
US10561419B2 (en) 2016-05-04 2020-02-18 Covidien Lp Powered end effector assembly with pivotable channel
US10799239B2 (en) 2016-05-09 2020-10-13 Covidien Lp Adapter assembly with pulley system and worm gear drive for interconnecting electromechanical surgical devices and surgical end effectors
US10595871B2 (en) 2016-05-10 2020-03-24 Covidien Lp Insertion instrument, adapter assemblies and protector assemblies for a flexible circular stapler
US10588610B2 (en) 2016-05-10 2020-03-17 Covidien Lp Adapter assemblies for surgical devices
US10736637B2 (en) 2016-05-10 2020-08-11 Covidien Lp Brake for adapter assemblies for surgical devices
US10463374B2 (en) 2016-05-17 2019-11-05 Covidien Lp Adapter assembly for a flexible circular stapler
US10702302B2 (en) 2016-05-17 2020-07-07 Covidien Lp Adapter assembly including a removable trocar assembly
US11065022B2 (en) 2016-05-17 2021-07-20 Covidien Lp Cutting member for a surgical instrument
WO2017205333A1 (en) 2016-05-26 2017-11-30 Covidien Lp Robotic surgical assemblies
CN109310431B (zh) 2016-06-24 2022-03-04 伊西康有限责任公司 包括线材钉和冲压钉的钉仓
USD847989S1 (en) 2016-06-24 2019-05-07 Ethicon Llc Surgical fastener cartridge
USD822206S1 (en) 2016-06-24 2018-07-03 Ethicon Llc Surgical fastener
US10893863B2 (en) 2016-06-24 2021-01-19 Ethicon Llc Staple cartridge comprising offset longitudinal staple rows
USD826405S1 (en) 2016-06-24 2018-08-21 Ethicon Llc Surgical fastener
USD850617S1 (en) 2016-06-24 2019-06-04 Ethicon Llc Surgical fastener cartridge
ES2946810T3 (es) 2016-06-27 2023-07-26 Applied Med Resources Pared abdominal simulada
US11141162B2 (en) 2016-07-08 2021-10-12 Covidien Lp Loading unit locking collar with linearly actuated release
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
US10856933B2 (en) 2016-08-02 2020-12-08 Covidien Lp Surgical instrument housing incorporating a channel and methods of manufacturing the same
US10376305B2 (en) 2016-08-05 2019-08-13 Ethicon Llc Methods and systems for advanced harmonic energy
US10653398B2 (en) 2016-08-05 2020-05-19 Covidien Lp Adapter assemblies for surgical devices
US10285723B2 (en) 2016-08-09 2019-05-14 Ethicon Llc Ultrasonic surgical blade with improved heel portion
US11452522B2 (en) 2016-08-15 2022-09-27 Covidien Lp Circular stapling device with articulating anvil retainer assembly
US10537399B2 (en) * 2016-08-16 2020-01-21 Ethicon Llc Surgical tool positioning based on sensed parameters
USD847990S1 (en) 2016-08-16 2019-05-07 Ethicon Llc Surgical instrument
US10500000B2 (en) 2016-08-16 2019-12-10 Ethicon Llc Surgical tool with manual control of end effector jaws
US10779847B2 (en) 2016-08-25 2020-09-22 Ethicon Llc Ultrasonic transducer to waveguide joining
US10952759B2 (en) 2016-08-25 2021-03-23 Ethicon Llc Tissue loading of a surgical instrument
ES2909724T3 (es) 2016-08-30 2022-05-10 Briteseed Llc Sistema quirúrgico óptico con mordazas no paralelas con compensación de distorsión angular
US10751117B2 (en) 2016-09-23 2020-08-25 Ethicon Llc Electrosurgical instrument with fluid diverter
CN106625429A (zh) * 2016-10-14 2017-05-10 德保县实验小学 一种u型钉枪及其使用方法
US10426470B2 (en) 2016-11-04 2019-10-01 Covidien Lp Stapling device with releasable knife carrier
US10631857B2 (en) 2016-11-04 2020-04-28 Covidien Lp Loading unit for surgical instruments with low profile pushers
US11642126B2 (en) 2016-11-04 2023-05-09 Covidien Lp Surgical stapling apparatus with tissue pockets
US10499922B2 (en) 2016-11-04 2019-12-10 Covidien Lp Stapling device with self-releasing knife carrier pusher
US10492784B2 (en) 2016-11-08 2019-12-03 Covidien Lp Surgical tool assembly with compact firing assembly
US11116594B2 (en) 2016-11-08 2021-09-14 Covidien Lp Surgical systems including adapter assemblies for interconnecting electromechanical surgical devices and end effectors
US10918407B2 (en) 2016-11-08 2021-02-16 Covidien Lp Surgical instrument for grasping, treating, and/or dividing tissue
US10603064B2 (en) 2016-11-28 2020-03-31 Ethicon Llc Ultrasonic transducer
US10463371B2 (en) 2016-11-29 2019-11-05 Covidien Lp Reload assembly with spent reload indicator
US11266430B2 (en) 2016-11-29 2022-03-08 Cilag Gmbh International End effector control and calibration
US10537324B2 (en) 2016-12-21 2020-01-21 Ethicon Llc Stepped staple cartridge with asymmetrical staples
US20180168619A1 (en) 2016-12-21 2018-06-21 Ethicon Endo-Surgery, Llc Surgical stapling systems
US10695055B2 (en) 2016-12-21 2020-06-30 Ethicon Llc Firing assembly comprising a lockout
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
US10687810B2 (en) 2016-12-21 2020-06-23 Ethicon Llc Stepped staple cartridge with tissue retention and gap setting features
US10918385B2 (en) 2016-12-21 2021-02-16 Ethicon Llc Surgical system comprising a firing member rotatable into an articulation state to articulate an end effector of the surgical system
US10588632B2 (en) 2016-12-21 2020-03-17 Ethicon Llc Surgical end effectors and firing members thereof
US20180168625A1 (en) 2016-12-21 2018-06-21 Ethicon Endo-Surgery, Llc Surgical stapling instruments with smart staple cartridges
JP2020501779A (ja) 2016-12-21 2020-01-23 エシコン エルエルシーＥｔｈｉｃｏｎ ＬＬＣ 外科用ステープル留めシステム
US11090048B2 (en) 2016-12-21 2021-08-17 Cilag Gmbh International Method for resetting a fuse of a surgical instrument shaft
US10758229B2 (en) 2016-12-21 2020-09-01 Ethicon Llc Surgical instrument comprising improved jaw control
US10617414B2 (en) 2016-12-21 2020-04-14 Ethicon Llc Closure member arrangements for surgical instruments
JP7010956B2 (ja) 2016-12-21 2022-01-26 エシコン エルエルシー 組織をステープル留めする方法
US11684367B2 (en) 2016-12-21 2023-06-27 Cilag Gmbh International Stepped assembly having and end-of-life indicator
US20180168633A1 (en) 2016-12-21 2018-06-21 Ethicon Endo-Surgery, Llc Surgical stapling instruments and staple-forming anvils
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
CN110114014B (zh) 2016-12-21 2022-08-09 爱惜康有限责任公司 包括端部执行器闭锁件和击发组件闭锁件的外科器械系统
JP6983893B2 (ja) 2016-12-21 2021-12-17 エシコン エルエルシーEthicon LLC 外科用エンドエフェクタ及び交換式ツールアセンブリのためのロックアウト構成
US10856868B2 (en) 2016-12-21 2020-12-08 Ethicon Llc Firing member pin configurations
US11134942B2 (en) 2016-12-21 2021-10-05 Cilag Gmbh International Surgical stapling instruments and staple-forming anvils
US10499914B2 (en) 2016-12-21 2019-12-10 Ethicon Llc Staple forming pocket arrangements
US10426471B2 (en) 2016-12-21 2019-10-01 Ethicon Llc Surgical instrument with multiple failure response modes
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
US10813638B2 (en) 2016-12-21 2020-10-27 Ethicon Llc Surgical end effectors with expandable tissue stop arrangements
US10709901B2 (en) 2017-01-05 2020-07-14 Covidien Lp Implantable fasteners, applicators, and methods for brachytherapy
US11241232B2 (en) 2017-01-24 2022-02-08 Covidien Lp Surgical stapling device with resettable anvil assembly
WO2018140066A1 (en) * 2017-01-25 2018-08-02 Covidien Lp Circular stapling device and method of use
US10813695B2 (en) 2017-01-27 2020-10-27 Covidien Lp Reflectors for optical-based vessel sealing
US10952767B2 (en) 2017-02-06 2021-03-23 Covidien Lp Connector clip for securing an introducer to a surgical fastener applying apparatus
RU2672376C2 (ru) * 2017-02-13 2018-11-14 Илья Николаевич Кустов Система коррекции выходной мощности электрохирургического аппарата
WO2018152122A1 (en) 2017-02-14 2018-08-23 Applied Medical Resources Corporation Laparoscopic training system
US11033325B2 (en) 2017-02-16 2021-06-15 Cilag Gmbh International Electrosurgical instrument with telescoping suction port and debris cleaner
US20180235618A1 (en) 2017-02-22 2018-08-23 Covidien Lp Loading unit for surgical instruments with low profile pushers
US10638944B2 (en) * 2017-02-22 2020-05-05 Covidien Lp Methods of determining tissue viability
US10847057B2 (en) 2017-02-23 2020-11-24 Applied Medical Resources Corporation Synthetic tissue structures for electrosurgical training and simulation
US11350915B2 (en) 2017-02-23 2022-06-07 Covidien Lp Surgical stapler with small diameter endoscopic portion
US10849621B2 (en) 2017-02-23 2020-12-01 Covidien Lp Surgical stapler with small diameter endoscopic portion
US10542993B2 (en) 2017-02-24 2020-01-28 Covidien Lp Anvil assembly of circular stapling device including alignment splines
US10631945B2 (en) 2017-02-28 2020-04-28 Covidien Lp Autoclavable load sensing device
US20180250002A1 (en) * 2017-03-03 2018-09-06 Covidien Lp Powered surgical devices having tissue sensing function
US10299790B2 (en) 2017-03-03 2019-05-28 Covidien Lp Adapter with centering mechanism for articulation joint
US11272929B2 (en) 2017-03-03 2022-03-15 Covidien Lp Dynamically matching input and output shaft speeds of articulating adapter assemblies for surgical instruments
US10687811B2 (en) 2017-03-08 2020-06-23 Covidien Lp Surgical instruments including sensors
WO2018161314A1 (en) 2017-03-09 2018-09-13 Covidien Lp Surgical stapling device with audible indicator mechanism
AU2017402188A1 (en) 2017-03-09 2019-08-01 Covidien Lp End effector assembly for circular stapler apparatus
US10799284B2 (en) 2017-03-15 2020-10-13 Ethicon Llc Electrosurgical instrument with textured jaws
US10660641B2 (en) 2017-03-16 2020-05-26 Covidien Lp Adapter with centering mechanism for articulation joint
US11020137B2 (en) 2017-03-20 2021-06-01 Levita Magnetics International Corp. Directable traction systems and methods
US10342534B2 (en) 2017-03-23 2019-07-09 Covidien Lp Surgical stapling device with releasable knife carrier
ES2924630T3 (es) 2017-03-23 2022-10-10 Covidien Lp Dispositivo de grapado circular con estrías de alineación
US11497546B2 (en) 2017-03-31 2022-11-15 Cilag Gmbh International Area ratios of patterned coatings on RF electrodes to reduce sticking
US11324502B2 (en) 2017-05-02 2022-05-10 Covidien Lp Surgical loading unit including an articulating end effector
US10881409B2 (en) 2017-05-02 2021-01-05 Covidien Lp Rotation assembly for a surgical device
US10390858B2 (en) 2017-05-02 2019-08-27 Covidien Lp Powered surgical device with speed and current derivative motor shut off
US10603035B2 (en) 2017-05-02 2020-03-31 Covidien Lp Surgical loading unit including an articulating end effector
US10524784B2 (en) 2017-05-05 2020-01-07 Covidien Lp Surgical staples with expandable backspan
US10390826B2 (en) 2017-05-08 2019-08-27 Covidien Lp Surgical stapling device with elongated tool assembly and methods of use
US10945616B2 (en) 2017-05-12 2021-03-16 Covidien Lp Blood pressure measuring surgical instrument
US11311295B2 (en) 2017-05-15 2022-04-26 Covidien Lp Adaptive powered stapling algorithm with calibration factor
US11166759B2 (en) 2017-05-16 2021-11-09 Covidien Lp Surgical forceps
US11065062B2 (en) * 2017-05-17 2021-07-20 Covidien Lp Systems and methods of tracking and analyzing use of medical instruments
US10420551B2 (en) 2017-05-30 2019-09-24 Covidien Lp Authentication and information system for reusable surgical instruments
US10478185B2 (en) 2017-06-02 2019-11-19 Covidien Lp Tool assembly with minimal dead space
US11045199B2 (en) 2017-06-09 2021-06-29 Covidien Lp Handheld electromechanical surgical system
US10932784B2 (en) 2017-06-09 2021-03-02 Covidien Lp Handheld electromechanical surgical system
US11596400B2 (en) 2017-06-09 2023-03-07 Covidien Lp Handheld electromechanical surgical system
US10898192B2 (en) 2017-06-15 2021-01-26 Roberto Tapia Espriu Adjustable pressure surgical clamp with releasable or integrated remote manipulator for laparoscopies
US10646220B2 (en) 2017-06-20 2020-05-12 Ethicon Llc Systems and methods for controlling displacement member velocity for a surgical instrument
US10624633B2 (en) 2017-06-20 2020-04-21 Ethicon Llc Systems and methods for controlling motor velocity of a surgical stapling and cutting instrument
US10888321B2 (en) 2017-06-20 2021-01-12 Ethicon Llc Systems and methods for controlling velocity of a displacement member of a surgical stapling and cutting instrument
US11071554B2 (en) 2017-06-20 2021-07-27 Cilag Gmbh International Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on magnitude of velocity error measurements
USD879808S1 (en) 2017-06-20 2020-03-31 Ethicon Llc Display panel with graphical user interface
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
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
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
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
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
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
US10881396B2 (en) 2017-06-20 2021-01-05 Ethicon Llc Surgical instrument with variable duration trigger arrangement
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
USD879809S1 (en) 2017-06-20 2020-03-31 Ethicon Llc Display panel with changeable graphical user interface
US10327767B2 (en) 2017-06-20 2019-06-25 Ethicon Llc Control of motor velocity of a surgical stapling and cutting instrument based on angle of articulation
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
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
US10368864B2 (en) 2017-06-20 2019-08-06 Ethicon Llc Systems and methods for controlling displaying motor velocity for a surgical instrument
USD890784S1 (en) 2017-06-20 2020-07-21 Ethicon Llc Display panel with changeable graphical user interface
US10881399B2 (en) 2017-06-20 2021-01-05 Ethicon Llc Techniques for adaptive control of motor velocity of a surgical stapling and cutting instrument
EP4218552A1 (en) * 2017-06-20 2023-08-02 Boston Scientific Scimed, Inc. Devices and methods for determining blood flow around a body lumen
US11266405B2 (en) 2017-06-27 2022-03-08 Cilag Gmbh International Surgical anvil manufacturing methods
US10993716B2 (en) 2017-06-27 2021-05-04 Ethicon Llc Surgical anvil arrangements
US11090049B2 (en) 2017-06-27 2021-08-17 Cilag Gmbh International Staple forming pocket arrangements
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
US10765427B2 (en) 2017-06-28 2020-09-08 Ethicon Llc Method for articulating a surgical instrument
US10211586B2 (en) 2017-06-28 2019-02-19 Ethicon Llc Surgical shaft assemblies with watertight housings
US10888369B2 (en) * 2017-06-28 2021-01-12 Ethicon Llc Systems and methods for controlling control circuits for independent energy delivery over segmented sections
USD869655S1 (en) 2017-06-28 2019-12-10 Ethicon Llc Surgical fastener cartridge
US11259805B2 (en) 2017-06-28 2022-03-01 Cilag Gmbh International Surgical instrument comprising firing member supports
US11058477B2 (en) 2017-06-28 2021-07-13 Cilag Gmbh International Surgical cutting and fastening instruments with dual power sources
US10603117B2 (en) 2017-06-28 2020-03-31 Ethicon Llc Articulation state detection mechanisms
USD906355S1 (en) 2017-06-28 2020-12-29 Ethicon Llc Display screen or portion thereof with a graphical user interface for a surgical instrument
US11103301B2 (en) 2017-06-28 2021-08-31 Cilag Gmbh International Surgical system coupleable with staple cartridge and radio frequency cartridge, and having a plurality of radio-frequency energy return paths
US11129666B2 (en) * 2017-06-28 2021-09-28 Cilag Gmbh International Shaft module circuitry arrangements
USD854151S1 (en) 2017-06-28 2019-07-16 Ethicon Llc Surgical instrument shaft
US10888325B2 (en) 2017-06-28 2021-01-12 Ethicon Llc Cartridge arrangements for surgical cutting and fastening instruments with lockout disablement features
EP3420947B1 (en) 2017-06-28 2022-05-25 Cilag GmbH International Surgical instrument comprising selectively actuatable rotatable couplers
US10903685B2 (en) 2017-06-28 2021-01-26 Ethicon Llc Surgical shaft assemblies with slip ring assemblies forming capacitive channels
US11065048B2 (en) 2017-06-28 2021-07-20 Cilag Gmbh International Flexible circuit arrangement for surgical fastening instruments
US11564686B2 (en) 2017-06-28 2023-01-31 Cilag Gmbh International Surgical shaft assemblies with flexible interfaces
US10758232B2 (en) 2017-06-28 2020-09-01 Ethicon Llc Surgical instrument with positive jaw opening features
US11160604B2 (en) 2017-06-28 2021-11-02 Cilag Gmbh International Surgical end effector to adjust jaw compression
US11298128B2 (en) 2017-06-28 2022-04-12 Cilag Gmbh International Surgical system couplable with staple cartridge and radio frequency cartridge, and method of using same
USD893717S1 (en) 2017-06-28 2020-08-18 Ethicon Llc Staple cartridge for surgical instrument
US11278346B2 (en) 2017-06-28 2022-03-22 Cilag Gmbh International Systems and methods of displaying surgical instrument status
US11272976B2 (en) 2017-06-28 2022-03-15 Cilag Gmbh International Surgical end effector for applying electrosurgical energy to different electrodes on different time periods
US11246592B2 (en) 2017-06-28 2022-02-15 Cilag Gmbh International Surgical instrument comprising an articulation system lockable to a frame
US10716614B2 (en) 2017-06-28 2020-07-21 Ethicon Llc Surgical shaft assemblies with slip ring assemblies with increased contact pressure
US10779824B2 (en) 2017-06-28 2020-09-22 Ethicon Llc Surgical instrument comprising an articulation system lockable by a closure system
USD851762S1 (en) 2017-06-28 2019-06-18 Ethicon Llc Anvil
US11013552B2 (en) 2017-06-28 2021-05-25 Cilag Gmbh International Electrosurgical cartridge for use in thin profile surgical cutting and stapling instrument
US10813640B2 (en) 2017-06-28 2020-10-27 Ethicon Llc Method of coating slip rings
US10258418B2 (en) 2017-06-29 2019-04-16 Ethicon Llc System for controlling articulation forces
US10398434B2 (en) 2017-06-29 2019-09-03 Ethicon Llc Closed loop velocity control of closure member for robotic surgical instrument
US10898183B2 (en) 2017-06-29 2021-01-26 Ethicon Llc Robotic surgical instrument with closed loop feedback techniques for advancement of closure member during firing
US10932772B2 (en) 2017-06-29 2021-03-02 Ethicon Llc Methods for closed loop velocity control 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
CA3004066A1 (en) 2017-06-29 2018-12-29 Covidien Lp Surgical instruments including sensors
US10820920B2 (en) 2017-07-05 2020-11-03 Ethicon Llc Reusable ultrasonic medical devices and methods of their use
US10987107B2 (en) 2017-07-05 2021-04-27 Covidien Lp Surgical stapling device
US11944300B2 (en) 2017-08-03 2024-04-02 Cilag Gmbh International Method for operating a surgical system bailout
US11471155B2 (en) 2017-08-03 2022-10-18 Cilag Gmbh International Surgical system bailout
US11304695B2 (en) 2017-08-03 2022-04-19 Cilag Gmbh International Surgical system shaft interconnection
US11974742B2 (en) 2017-08-03 2024-05-07 Cilag Gmbh International Surgical system comprising an articulation bailout
US11090054B2 (en) 2017-08-07 2021-08-17 Covidien Lp Stapling device with resettable tilt anvil assembly
US10828026B2 (en) 2017-08-08 2020-11-10 Covidien Lp Tiltable anvil assembly
US11188069B2 (en) 2017-08-16 2021-11-30 Covidien Lp Preventative maintenance of robotic surgical systems
US10624636B2 (en) 2017-08-23 2020-04-21 Covidien Lp Surgical stapling device with floating staple cartridge
US10695069B2 (en) 2017-08-23 2020-06-30 Covidien Lp Circular stapling device with offset spline tip
US10772700B2 (en) 2017-08-23 2020-09-15 Covidien Lp Contactless loading unit detection
US10806452B2 (en) 2017-08-24 2020-10-20 Covidien Lp Loading unit for a surgical stapling instrument
CN111107796B (zh) 2017-09-01 2023-06-30 柯惠有限合伙公司 具有定位肋的圆形缝合装置
US10966720B2 (en) 2017-09-01 2021-04-06 RevMedica, Inc. Surgical stapler with removable power pack
US11331099B2 (en) 2017-09-01 2022-05-17 Rev Medica, Inc. Surgical stapler with removable power pack and interchangeable battery pack
US10695060B2 (en) 2017-09-01 2020-06-30 RevMedica, Inc. Loadable power pack for surgical instruments
JP7220206B2 (ja) 2017-09-05 2023-02-09 ブライトシード・エルエルシー 組織及び／又はアーチファクト特性を判定するために使用されるシステム及び方法
EP3678573A4 (en) 2017-09-06 2021-06-02 Covidien LP LIMIT SCALING OF SURGICAL ROBOTS
AU2018332792B2 (en) 2017-09-14 2024-07-25 Howmedica Osteonics Corp. Non-symmetrical insert sensing system and method therefor
USD907647S1 (en) 2017-09-29 2021-01-12 Ethicon Llc Display screen or portion thereof with animated 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
US10796471B2 (en) 2017-09-29 2020-10-06 Ethicon Llc Systems and methods of displaying a knife position for a surgical instrument
US10729501B2 (en) 2017-09-29 2020-08-04 Ethicon Llc Systems and methods for language selection of a surgical instrument
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
US11484358B2 (en) 2017-09-29 2022-11-01 Cilag Gmbh International Flexible electrosurgical 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
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
US11490951B2 (en) 2017-09-29 2022-11-08 Cilag Gmbh International Saline contact with electrodes
US10743872B2 (en) 2017-09-29 2020-08-18 Ethicon Llc System and methods for controlling a display of a surgical instrument
GB2567848B (en) * 2017-10-26 2020-05-27 Ndm Technologies Ltd Injection device
GB2577816B (en) * 2017-10-26 2021-01-20 Ndm Technologies Ltd Device
US11911045B2 (en) 2017-10-30 2024-02-27 Cllag GmbH International Method for operating a powered articulating multi-clip applier
US11134944B2 (en) 2017-10-30 2021-10-05 Cilag Gmbh International Surgical stapler knife motion controls
US11291510B2 (en) 2017-10-30 2022-04-05 Cilag Gmbh International Method of hub communication with surgical instrument systems
US11229436B2 (en) 2017-10-30 2022-01-25 Cilag Gmbh International Surgical system comprising a surgical tool and a surgical hub
US11317919B2 (en) 2017-10-30 2022-05-03 Cilag Gmbh International Clip applier comprising a clip crimping system
US11311342B2 (en) 2017-10-30 2022-04-26 Cilag Gmbh International Method for communicating with surgical instrument systems
US11510741B2 (en) 2017-10-30 2022-11-29 Cilag Gmbh International Method for producing a surgical instrument comprising a smart electrical system
US11207066B2 (en) 2017-10-30 2021-12-28 Covidien Lp Apparatus for endoscopic procedures
US10987104B2 (en) 2017-10-30 2021-04-27 Covidien Lp Apparatus for endoscopic procedures
US11564756B2 (en) 2017-10-30 2023-01-31 Cilag Gmbh International Method of hub communication with surgical instrument systems
US11801098B2 (en) 2017-10-30 2023-10-31 Cilag Gmbh International Method of hub communication with surgical instrument systems
US11090075B2 (en) 2017-10-30 2021-08-17 Cilag Gmbh International Articulation features for surgical end effector
US11141160B2 (en) 2017-10-30 2021-10-12 Cilag Gmbh International Clip applier comprising a motor controller
US10932806B2 (en) 2017-10-30 2021-03-02 Ethicon Llc Reactive algorithm for surgical system
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
US11324507B2 (en) 2017-11-03 2022-05-10 Covidien Lp Device and method for attachment of a stomal sleeve
US10925603B2 (en) 2017-11-14 2021-02-23 Covidien Lp Reload with articulation stabilization system
US10863987B2 (en) * 2017-11-16 2020-12-15 Covidien Lp Surgical instrument with imaging device
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
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
US10687813B2 (en) 2017-12-15 2020-06-23 Ethicon Llc Adapters with firing stroke sensing arrangements for use in connection with electromechanical surgical instruments
US10779826B2 (en) 2017-12-15 2020-09-22 Ethicon Llc Methods of operating surgical end effectors
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
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
US11033267B2 (en) 2017-12-15 2021-06-15 Ethicon Llc Systems and methods of controlling a clamping member firing rate of a surgical instrument
US11071543B2 (en) 2017-12-15 2021-07-27 Cilag Gmbh International Surgical end effectors with clamping assemblies configured to increase jaw aperture ranges
US10743874B2 (en) 2017-12-15 2020-08-18 Ethicon Llc Sealed adapters for use 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
US10743875B2 (en) 2017-12-15 2020-08-18 Ethicon Llc Surgical end effectors with jaw stiffener arrangements configured to permit monitoring of firing member
US10779825B2 (en) 2017-12-15 2020-09-22 Ethicon Llc Adapters with end effector position sensing and control arrangements for use in connection with electromechanical surgical instruments
US10729509B2 (en) 2017-12-19 2020-08-04 Ethicon Llc Surgical instrument comprising closure and firing locking mechanism
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
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
USD910847S1 (en) 2017-12-19 2021-02-16 Ethicon Llc Surgical instrument assembly
US10716565B2 (en) 2017-12-19 2020-07-21 Ethicon Llc Surgical instruments with dual articulation drivers
US11311290B2 (en) * 2017-12-21 2022-04-26 Cilag Gmbh International Surgical instrument comprising an end effector dampener
US11883019B2 (en) 2017-12-21 2024-01-30 Cilag Gmbh International Stapling instrument comprising a staple feeding system
US11129680B2 (en) 2017-12-21 2021-09-28 Cilag Gmbh International Surgical instrument comprising a projector
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
WO2019126633A1 (en) 2017-12-22 2019-06-27 Briteseed, Llc A compact system used to determine tissue or artifact characteristics
US11659023B2 (en) 2017-12-28 2023-05-23 Cilag Gmbh International Method of hub communication
US11266468B2 (en) 2017-12-28 2022-03-08 Cilag Gmbh International Cooperative utilization of data derived from secondary sources by intelligent surgical hubs
US12062442B2 (en) 2017-12-28 2024-08-13 Cilag Gmbh International Method for operating surgical instrument systems
US11559308B2 (en) 2017-12-28 2023-01-24 Cilag Gmbh International Method for smart energy device infrastructure
US11253315B2 (en) 2017-12-28 2022-02-22 Cilag Gmbh International Increasing radio frequency to create pad-less monopolar loop
US10892995B2 (en) 2017-12-28 2021-01-12 Ethicon Llc Surgical network determination of prioritization of communication, interaction, or processing based on system or device needs
US10758310B2 (en) 2017-12-28 2020-09-01 Ethicon Llc Wireless pairing of a surgical device with another device within a sterile surgical field based on the usage and situational awareness of devices
US11273001B2 (en) 2017-12-28 2022-03-15 Cilag Gmbh International Surgical hub and modular device response adjustment based on situational awareness
US11419667B2 (en) 2017-12-28 2022-08-23 Cilag Gmbh International Ultrasonic energy device which varies pressure applied by clamp arm to provide threshold control pressure at a cut progression location
US10892899B2 (en) 2017-12-28 2021-01-12 Ethicon Llc Self describing data packets generated at an issuing instrument
US11857152B2 (en) 2017-12-28 2024-01-02 Cilag Gmbh International Surgical hub spatial awareness to determine devices in operating theater
US20190201139A1 (en) 2017-12-28 2019-07-04 Ethicon Llc Communication arrangements for robot-assisted surgical platforms
US11464559B2 (en) 2017-12-28 2022-10-11 Cilag Gmbh International Estimating state of ultrasonic end effector and control system therefor
US20190201042A1 (en) 2017-12-28 2019-07-04 Ethicon Llc Determining the state of an ultrasonic electromechanical system according to frequency shift
US12127729B2 (en) 2017-12-28 2024-10-29 Cilag Gmbh International Method for smoke evacuation for surgical hub
US11571234B2 (en) 2017-12-28 2023-02-07 Cilag Gmbh International Temperature control of ultrasonic end effector and control system therefor
US11304763B2 (en) 2017-12-28 2022-04-19 Cilag Gmbh International Image capturing of the areas outside the abdomen to improve placement and control of a surgical device in use
US11786251B2 (en) 2017-12-28 2023-10-17 Cilag Gmbh International Method for adaptive control schemes for surgical network control and interaction
US11324557B2 (en) 2017-12-28 2022-05-10 Cilag Gmbh International Surgical instrument with a sensing array
US11969142B2 (en) 2017-12-28 2024-04-30 Cilag Gmbh International Method of compressing tissue within a stapling device and simultaneously displaying the location of the tissue within the jaws
US11666331B2 (en) * 2017-12-28 2023-06-06 Cilag Gmbh International Systems for detecting proximity of surgical end effector to cancerous tissue
US11998193B2 (en) 2017-12-28 2024-06-04 Cilag Gmbh International Method for usage of the shroud as an aspect of sensing or controlling a powered surgical device, and a control algorithm to adjust its default operation
US11166772B2 (en) 2017-12-28 2021-11-09 Cilag Gmbh International Surgical hub coordination of control and communication of operating room devices
US11304699B2 (en) 2017-12-28 2022-04-19 Cilag Gmbh International Method for adaptive control schemes for surgical network control and interaction
US11317937B2 (en) 2018-03-08 2022-05-03 Cilag Gmbh International Determining the state of an ultrasonic end effector
US11109866B2 (en) 2017-12-28 2021-09-07 Cilag Gmbh International Method for circular stapler control algorithm adjustment based on situational awareness
US11278281B2 (en) 2017-12-28 2022-03-22 Cilag Gmbh International Interactive surgical system
US11419630B2 (en) 2017-12-28 2022-08-23 Cilag Gmbh International Surgical system distributed processing
US11589888B2 (en) 2017-12-28 2023-02-28 Cilag Gmbh International Method for controlling smart energy devices
US11771487B2 (en) 2017-12-28 2023-10-03 Cilag Gmbh International Mechanisms for controlling different electromechanical systems of an electrosurgical instrument
US11529187B2 (en) 2017-12-28 2022-12-20 Cilag Gmbh International Surgical evacuation sensor arrangements
US11376002B2 (en) 2017-12-28 2022-07-05 Cilag Gmbh International Surgical instrument cartridge sensor assemblies
US11132462B2 (en) 2017-12-28 2021-09-28 Cilag Gmbh International Data stripping method to interrogate patient records and create anonymized record
US11291495B2 (en) 2017-12-28 2022-04-05 Cilag Gmbh International Interruption of energy due to inadvertent capacitive coupling
US11969216B2 (en) 2017-12-28 2024-04-30 Cilag Gmbh International Surgical network recommendations from real time analysis of procedure variables against a baseline highlighting differences from the optimal solution
US11076921B2 (en) 2017-12-28 2021-08-03 Cilag Gmbh International Adaptive control program updates for surgical hubs
US11937769B2 (en) 2017-12-28 2024-03-26 Cilag Gmbh International Method of hub communication, processing, storage and display
US10849697B2 (en) 2017-12-28 2020-12-01 Ethicon Llc Cloud interface for coupled surgical devices
US11096693B2 (en) 2017-12-28 2021-08-24 Cilag Gmbh International Adjustment of staple height of at least one row of staples based on the sensed tissue thickness or force in closing
US11179208B2 (en) 2017-12-28 2021-11-23 Cilag Gmbh International Cloud-based medical analytics for security and authentication trends and reactive measures
US10932872B2 (en) 2017-12-28 2021-03-02 Ethicon Llc Cloud-based medical analytics for linking of local usage trends with the resource acquisition behaviors of larger data set
US11576677B2 (en) 2017-12-28 2023-02-14 Cilag Gmbh International Method of hub communication, processing, display, and cloud analytics
US20190200997A1 (en) * 2017-12-28 2019-07-04 Ethicon Llc Stapling device with both compulsory and discretionary lockouts based on sensed parameters
US10943454B2 (en) 2017-12-28 2021-03-09 Ethicon Llc Detection and escalation of security responses of surgical instruments to increasing severity threats
US11432885B2 (en) 2017-12-28 2022-09-06 Cilag Gmbh International Sensing arrangements for robot-assisted surgical platforms
US11818052B2 (en) 2017-12-28 2023-11-14 Cilag Gmbh International Surgical network determination of prioritization of communication, interaction, or processing based on system or device needs
US11311306B2 (en) * 2017-12-28 2022-04-26 Cilag Gmbh International Surgical systems for detecting end effector tissue distribution irregularities
US11896443B2 (en) 2017-12-28 2024-02-13 Cilag Gmbh International Control of a surgical system through a surgical barrier
US11410259B2 (en) 2017-12-28 2022-08-09 Cilag Gmbh International Adaptive control program updates for surgical devices
US20190206569A1 (en) 2017-12-28 2019-07-04 Ethicon Llc Method of cloud based data analytics for use with the hub
US11056244B2 (en) 2017-12-28 2021-07-06 Cilag Gmbh International Automated data scaling, alignment, and organizing based on predefined parameters within surgical networks
US11786245B2 (en) 2017-12-28 2023-10-17 Cilag Gmbh International Surgical systems with prioritized data transmission capabilities
US11903601B2 (en) 2017-12-28 2024-02-20 Cilag Gmbh International Surgical instrument comprising a plurality of drive systems
US11678881B2 (en) 2017-12-28 2023-06-20 Cilag Gmbh International Spatial awareness of surgical hubs in operating rooms
US11464535B2 (en) 2017-12-28 2022-10-11 Cilag Gmbh International Detection of end effector emersion in liquid
US11284936B2 (en) 2017-12-28 2022-03-29 Cilag Gmbh International Surgical instrument having a flexible electrode
US11744604B2 (en) 2017-12-28 2023-09-05 Cilag Gmbh International Surgical instrument with a hardware-only control circuit
US10944728B2 (en) 2017-12-28 2021-03-09 Ethicon Llc Interactive surgical systems with encrypted communication capabilities
US11308075B2 (en) 2017-12-28 2022-04-19 Cilag Gmbh International Surgical network, instrument, and cloud responses based on validation of received dataset and authentication of its source and integrity
US11446052B2 (en) 2017-12-28 2022-09-20 Cilag Gmbh International Variation of radio frequency and ultrasonic power level in cooperation with varying clamp arm pressure to achieve predefined heat flux or power applied to tissue
US10987178B2 (en) 2017-12-28 2021-04-27 Ethicon Llc Surgical hub control arrangements
US11100631B2 (en) 2017-12-28 2021-08-24 Cilag Gmbh International Use of laser light and red-green-blue coloration to determine properties of back scattered light
US11160605B2 (en) 2017-12-28 2021-11-02 Cilag Gmbh International Surgical evacuation sensing and motor control
US10898622B2 (en) 2017-12-28 2021-01-26 Ethicon Llc Surgical evacuation system with a communication circuit for communication between a filter and a smoke evacuation device
US20240023960A1 (en) * 2017-12-28 2024-01-25 Cilag Gmbh International Safety systems for smart powered surgical stapling
US11612444B2 (en) 2017-12-28 2023-03-28 Cilag Gmbh International Adjustment of a surgical device function based on situational awareness
US11257589B2 (en) 2017-12-28 2022-02-22 Cilag Gmbh International Real-time analysis of comprehensive cost of all instrumentation used in surgery utilizing data fluidity to track instruments through stocking and in-house processes
US11389164B2 (en) 2017-12-28 2022-07-19 Cilag Gmbh International Method of using reinforced flexible circuits with multiple sensors to optimize performance of radio frequency devices
US11864728B2 (en) 2017-12-28 2024-01-09 Cilag Gmbh International Characterization of tissue irregularities through the use of mono-chromatic light refractivity
US11559307B2 (en) 2017-12-28 2023-01-24 Cilag Gmbh International Method of robotic hub communication, detection, and control
US10595887B2 (en) * 2017-12-28 2020-03-24 Ethicon Llc Systems for adjusting end effector parameters based on perioperative information
US11202570B2 (en) 2017-12-28 2021-12-21 Cilag Gmbh International Communication hub and storage device for storing parameters and status of a surgical device to be shared with cloud based analytics systems
US11026751B2 (en) 2017-12-28 2021-06-08 Cilag Gmbh International Display of alignment of staple cartridge to prior linear staple line
US11602393B2 (en) 2017-12-28 2023-03-14 Cilag Gmbh International Surgical evacuation sensing and generator control
US11633237B2 (en) 2017-12-28 2023-04-25 Cilag Gmbh International Usage and technique analysis of surgeon / staff performance against a baseline to optimize device utilization and performance for both current and future procedures
US10966791B2 (en) 2017-12-28 2021-04-06 Ethicon Llc Cloud-based medical analytics for medical facility segmented individualization of instrument function
US11424027B2 (en) 2017-12-28 2022-08-23 Cilag Gmbh International Method for operating surgical instrument systems
US20190201142A1 (en) 2017-12-28 2019-07-04 Ethicon Llc Automatic tool adjustments for robot-assisted surgical platforms
US11364075B2 (en) 2017-12-28 2022-06-21 Cilag Gmbh International Radio frequency energy device for delivering combined electrical signals
US11832840B2 (en) 2017-12-28 2023-12-05 Cilag Gmbh International Surgical instrument having a flexible circuit
US11147607B2 (en) 2017-12-28 2021-10-19 Cilag Gmbh International Bipolar combination device that automatically adjusts pressure based on energy modality
US11540855B2 (en) 2017-12-28 2023-01-03 Cilag Gmbh International Controlling activation of an ultrasonic surgical instrument according to the presence of tissue
US11069012B2 (en) 2017-12-28 2021-07-20 Cilag Gmbh International Interactive surgical systems with condition handling of devices and data capabilities
US11051876B2 (en) 2017-12-28 2021-07-06 Cilag Gmbh International Surgical evacuation flow paths
US11234756B2 (en) 2017-12-28 2022-02-01 Cilag Gmbh International Powered surgical tool with predefined adjustable control algorithm for controlling end effector parameter
US11304745B2 (en) 2017-12-28 2022-04-19 Cilag Gmbh International Surgical evacuation sensing and display
US12096916B2 (en) 2017-12-28 2024-09-24 Cilag Gmbh International Method of sensing particulate from smoke evacuated from a patient, adjusting the pump speed based on the sensed information, and communicating the functional parameters of the system to the hub
US11896322B2 (en) 2017-12-28 2024-02-13 Cilag Gmbh International Sensing the patient position and contact utilizing the mono-polar return pad electrode to provide situational awareness to the hub
WO2019133144A1 (en) 2017-12-28 2019-07-04 Ethicon Llc Detection and escalation of security responses of surgical instruments to increasing severity threats
US11832899B2 (en) 2017-12-28 2023-12-05 Cilag Gmbh International Surgical systems with autonomously adjustable control programs
WO2019130088A1 (en) * 2017-12-28 2019-07-04 Ethicon Llc Systems for detecting proximity of surgical end effector to cancerous tissue
US11304720B2 (en) 2017-12-28 2022-04-19 Cilag Gmbh International Activation of energy devices
US11423007B2 (en) 2017-12-28 2022-08-23 Cilag Gmbh International Adjustment of device control programs based on stratified contextual data in addition to the data
JP7005773B2 (ja) 2018-01-04 2022-01-24 コヴィディエン リミテッド パートナーシップ トルク伝達および機械的操作を伴う高関節運動リストアセンブリを含むロボット手術器具
US10945732B2 (en) 2018-01-17 2021-03-16 Covidien Lp Surgical stapler with self-returning assembly
JP7134243B2 (ja) 2018-03-02 2022-09-09 コヴィディエン リミテッド パートナーシップ 外科用ステープル留め器具
US11259830B2 (en) 2018-03-08 2022-03-01 Cilag Gmbh International Methods for controlling temperature in ultrasonic device
US11534196B2 (en) 2018-03-08 2022-12-27 Cilag Gmbh International Using spectroscopy to determine device use state in combo instrument
US11337746B2 (en) 2018-03-08 2022-05-24 Cilag Gmbh International Smart blade and power pulsing
US11497501B2 (en) 2018-03-26 2022-11-15 Covidien Lp Circular stapling device with A-frame splines
US11219453B2 (en) 2018-03-28 2022-01-11 Cilag Gmbh International Surgical stapling devices with cartridge compatible closure and firing lockout arrangements
US11096688B2 (en) 2018-03-28 2021-08-24 Cilag Gmbh International Rotary driven firing members with different anvil and channel engagement features
US11090047B2 (en) 2018-03-28 2021-08-17 Cilag Gmbh International Surgical instrument comprising an adaptive control system
US11406382B2 (en) 2018-03-28 2022-08-09 Cilag Gmbh International Staple cartridge comprising a lockout key configured to lift a firing member
US11278280B2 (en) 2018-03-28 2022-03-22 Cilag Gmbh International Surgical instrument comprising a jaw closure lockout
US11207067B2 (en) 2018-03-28 2021-12-28 Cilag Gmbh International Surgical stapling device with separate rotary driven closure and firing systems and firing member that engages both jaws while firing
US10973520B2 (en) 2018-03-28 2021-04-13 Ethicon Llc Surgical staple cartridge with firing member driven camming assembly that has an onboard tissue cutting feature
US11471156B2 (en) 2018-03-28 2022-10-18 Cilag Gmbh International Surgical stapling devices with improved rotary driven closure systems
US11259806B2 (en) 2018-03-28 2022-03-01 Cilag Gmbh International Surgical stapling devices with features for blocking advancement of a camming assembly of an incompatible cartridge installed therein
WO2019191015A1 (en) 2018-03-29 2019-10-03 Covidien Lp Robotic surgical systems and instrument drive assemblies
US11160556B2 (en) 2018-04-23 2021-11-02 Covidien Lp Threaded trocar for adapter assemblies
US10952734B2 (en) 2018-04-23 2021-03-23 Covidien Lp Stapling device with cut ring biasing member
US11896230B2 (en) 2018-05-07 2024-02-13 Covidien Lp Handheld electromechanical surgical device including load sensor having spherical ball pivots
US11399839B2 (en) 2018-05-07 2022-08-02 Covidien Lp Surgical devices including trocar lock and trocar connection indicator
US11534172B2 (en) 2018-05-07 2022-12-27 Covidien Lp Electromechanical surgical stapler including trocar assembly release mechanism
CN112136029B (zh) 2018-05-22 2023-01-06 南洋理工大学 用于腱致动机构的力传感器
US10849622B2 (en) 2018-06-21 2020-12-01 Covidien Lp Articulated stapling with fire lock
US20190388091A1 (en) 2018-06-21 2019-12-26 Covidien Lp Powered surgical devices including strain gauges incorporated into flex circuits
US11197676B2 (en) 2018-06-28 2021-12-14 Covidien Lp Tie-down method for anvil assembly delivery system
US11497490B2 (en) 2018-07-09 2022-11-15 Covidien Lp Powered surgical devices including predictive motor control
US11241233B2 (en) 2018-07-10 2022-02-08 Covidien Lp Apparatus for ensuring strain gauge accuracy in medical reusable device
CN112702972A (zh) 2018-07-26 2021-04-23 柯惠Lp公司 外科机器人系统
US10736631B2 (en) 2018-08-07 2020-08-11 Covidien Lp End effector with staple cartridge ejector
US11596496B2 (en) 2018-08-13 2023-03-07 Covidien Lp Surgical devices with moisture control
US11076858B2 (en) 2018-08-14 2021-08-03 Covidien Lp Single use electronics for surgical devices
US11241234B2 (en) 2018-08-14 2022-02-08 Covidien Lp Anvil assembly with self-retaining backup member
US10856870B2 (en) 2018-08-20 2020-12-08 Ethicon Llc Switching arrangements for motor powered articulatable surgical instruments
US11324501B2 (en) 2018-08-20 2022-05-10 Cilag Gmbh International Surgical stapling devices with improved closure members
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
US10842492B2 (en) 2018-08-20 2020-11-24 Ethicon Llc Powered articulatable surgical instruments with clutching and locking arrangements for linking an articulation drive system to a firing drive system
US11045192B2 (en) 2018-08-20 2021-06-29 Cilag Gmbh International Fabricating techniques for surgical stapler anvils
US10912559B2 (en) 2018-08-20 2021-02-09 Ethicon Llc Reinforced deformable anvil tip for surgical stapler anvil
US11253256B2 (en) 2018-08-20 2022-02-22 Cilag Gmbh International Articulatable motor powered surgical instruments with dedicated articulation motor arrangements
US11039834B2 (en) 2018-08-20 2021-06-22 Cilag Gmbh International Surgical stapler anvils with staple directing protrusions and tissue stability features
USD914878S1 (en) 2018-08-20 2021-03-30 Ethicon Llc Surgical instrument anvil
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
CN112584780B (zh) 2018-08-24 2024-09-17 柯惠有限合伙公司 电动圆形钉合装置
US11471206B2 (en) 2018-09-07 2022-10-18 Cilag Gmbh International Method for controlling a modular energy system user interface
US10849620B2 (en) 2018-09-14 2020-12-01 Covidien Lp Connector mechanisms for surgical stapling instruments
US11510669B2 (en) 2020-09-29 2022-11-29 Covidien Lp Hand-held surgical instruments
US10973544B2 (en) 2018-10-02 2021-04-13 Covidien Lp Retaining mechanism for trocar assembly
US11141163B2 (en) 2018-10-04 2021-10-12 Covidien Lp Circular stapling device with anvil rotation locking structure
US11090051B2 (en) 2018-10-23 2021-08-17 Covidien Lp Surgical stapling device with floating staple cartridge
US11197734B2 (en) 2018-10-30 2021-12-14 Covidien Lp Load sensing devices for use in surgical instruments
US11717276B2 (en) 2018-10-30 2023-08-08 Covidien Lp Surgical devices including adapters and seals
US11197673B2 (en) 2018-10-30 2021-12-14 Covidien Lp Surgical stapling instruments and end effector assemblies thereof
US11065005B2 (en) 2018-11-07 2021-07-20 Covidien Lp Reload assembly for a circular stapling device
US11369372B2 (en) 2018-11-28 2022-06-28 Covidien Lp Surgical stapler adapter with flexible cable assembly, flexible fingers, and contact clips
US11147561B2 (en) 2018-11-28 2021-10-19 Covidien Lp Reload assembly for a circular stapling device
US11389263B2 (en) 2018-12-13 2022-07-19 Covidien Lp Lockout mechanisms for surgical instruments
EP3902471B1 (en) 2018-12-30 2024-09-18 Briteseed, LLC A system used to detect or differentiate tissue or an artifact
US10912563B2 (en) 2019-01-02 2021-02-09 Covidien Lp Stapling device including tool assembly stabilizing member
US11202635B2 (en) 2019-02-04 2021-12-21 Covidien Lp Programmable distal tilt position of end effector for powered surgical devices
US11376006B2 (en) 2019-02-06 2022-07-05 Covidien Lp End effector force measurement with digital drive circuit
US11166728B2 (en) 2019-02-08 2021-11-09 Covidien Lp Reload assembly for a circular stapling device
US11298129B2 (en) 2019-02-19 2022-04-12 Cilag Gmbh International Method for providing an authentication lockout in a surgical stapler with a replaceable cartridge
US11369377B2 (en) 2019-02-19 2022-06-28 Cilag Gmbh International Surgical stapling assembly with cartridge based retainer configured to unlock a firing lockout
US11464511B2 (en) 2019-02-19 2022-10-11 Cilag Gmbh International Surgical staple cartridges with movable authentication key arrangements
US11317915B2 (en) 2019-02-19 2022-05-03 Cilag Gmbh International Universal cartridge based key feature that unlocks multiple lockout arrangements in different surgical staplers
US11357503B2 (en) 2019-02-19 2022-06-14 Cilag Gmbh International Staple cartridge retainers with frangible retention features and methods of using same
US11529144B2 (en) 2019-02-22 2022-12-20 Covidien Lp Encapsulated plug assembly for electromechanical surgical devices
US11547411B2 (en) 2019-02-22 2023-01-10 Covidien Lp Anastomosis wound protector
US11344297B2 (en) 2019-02-28 2022-05-31 Covidien Lp Surgical stapling device with independently movable jaws
US11337701B2 (en) 2019-03-01 2022-05-24 Covidien Lp Devices and methods for assembling adapter assemblies
US11331782B2 (en) 2019-03-01 2022-05-17 Covidien Lp Reload assembly for a circular stapling device
US11219461B2 (en) 2019-03-08 2022-01-11 Covidien Lp Strain gauge stabilization in a surgical device
US11259808B2 (en) 2019-03-13 2022-03-01 Covidien Lp Tool assemblies with a gap locking member
US11147551B2 (en) 2019-03-25 2021-10-19 Cilag Gmbh International Firing drive arrangements for surgical systems
US11147553B2 (en) 2019-03-25 2021-10-19 Cilag Gmbh International Firing drive arrangements for surgical systems
US11172929B2 (en) 2019-03-25 2021-11-16 Cilag Gmbh International Articulation drive arrangements for surgical systems
US11696761B2 (en) 2019-03-25 2023-07-11 Cilag Gmbh International Firing drive arrangements for surgical systems
US11457921B2 (en) 2019-03-26 2022-10-04 Covidien Lp Anvil assembly for surgical stapling instrument
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
US11534164B2 (en) 2019-04-05 2022-12-27 Covidien Lp Strain gauge stabilization in a surgical device
US11241228B2 (en) 2019-04-05 2022-02-08 Covidien Lp Surgical instrument including an adapter assembly and an articulating surgical loading unit
US11596410B2 (en) 2019-04-05 2023-03-07 Covidien Lp Surgical stapling device
US11419631B2 (en) 2019-04-16 2022-08-23 Covidien Lp Trocar assemblies for adapter assemblies for surgical stapling instruments
US11344330B2 (en) 2019-04-16 2022-05-31 Covidien Lp Trocar assemblies for adapter assemblies for surgical stapling instruments
US11660116B2 (en) 2019-04-16 2023-05-30 Covidien Lp Trocar assemblies for adapter assemblies for surgical stapling instruments
US11317945B2 (en) 2019-04-16 2022-05-03 Covidien Lp Trocar assemblies for adapter assemblies for surgical stapling instruments
US11369378B2 (en) 2019-04-18 2022-06-28 Covidien Lp Surgical instrument including an adapter assembly and an articulating surgical loading unit
US11839378B2 (en) 2019-04-19 2023-12-12 Covidien Lp Circular stapling instruments
US11399838B2 (en) 2019-04-22 2022-08-02 Covidien Lp Reload assembly for circular stapling devices
US11246599B2 (en) 2019-04-25 2022-02-15 Covidien Lp End effector for circular stapling 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
US11253254B2 (en) 2019-04-30 2022-02-22 Cilag Gmbh International Shaft rotation actuator on a surgical instrument
US11471157B2 (en) 2019-04-30 2022-10-18 Cilag Gmbh International Articulation control mapping for a surgical instrument
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
US11903581B2 (en) 2019-04-30 2024-02-20 Cilag Gmbh International Methods for stapling tissue using a surgical instrument
WO2020237631A1 (en) 2019-05-31 2020-12-03 Covidien Lp Circular stapling device
US11690624B2 (en) 2019-06-21 2023-07-04 Covidien Lp Reload assembly injection molded strain gauge
US11464541B2 (en) 2019-06-24 2022-10-11 Covidien Lp Retaining mechanisms for trocar assembly
US11446035B2 (en) 2019-06-24 2022-09-20 Covidien Lp Retaining mechanisms for trocar assemblies
US11426168B2 (en) 2019-07-05 2022-08-30 Covidien Lp Trocar coupling assemblies for a surgical stapler
US11123101B2 (en) 2019-07-05 2021-09-21 Covidien Lp Retaining mechanisms for trocar assemblies
US11058429B2 (en) 2019-06-24 2021-07-13 Covidien Lp Load sensing assemblies and methods of manufacturing load sensing assemblies
USD964564S1 (en) 2019-06-25 2022-09-20 Cilag Gmbh International Surgical staple cartridge retainer with a closure system authentication key
USD950728S1 (en) 2019-06-25 2022-05-03 Cilag Gmbh International Surgical staple cartridge
USD952144S1 (en) 2019-06-25 2022-05-17 Cilag Gmbh International Surgical staple cartridge retainer with firing system authentication key
US11413102B2 (en) 2019-06-27 2022-08-16 Cilag Gmbh International Multi-access port for surgical robotic systems
US11612445B2 (en) 2019-06-27 2023-03-28 Cilag Gmbh International Cooperative operation of robotic arms
US11723729B2 (en) 2019-06-27 2023-08-15 Cilag Gmbh International Robotic surgical assembly coupling safety mechanisms
US11376082B2 (en) 2019-06-27 2022-07-05 Cilag Gmbh International Robotic surgical system with local sensing of functional parameters based on measurements of multiple physical inputs
US11547468B2 (en) 2019-06-27 2023-01-10 Cilag Gmbh International Robotic surgical system with safety and cooperative sensing control
US11607278B2 (en) 2019-06-27 2023-03-21 Cilag Gmbh International Cooperative robotic surgical systems
US20200405307A1 (en) * 2019-06-28 2020-12-31 Ethicon Llc Control circuit comprising a coating
US11478241B2 (en) 2019-06-28 2022-10-25 Cilag Gmbh International Staple cartridge including projections
US11246678B2 (en) 2019-06-28 2022-02-15 Cilag Gmbh International Surgical stapling system having a frangible RFID tag
US11051807B2 (en) 2019-06-28 2021-07-06 Cilag Gmbh International Packaging assembly including a particulate trap
US11497492B2 (en) 2019-06-28 2022-11-15 Cilag Gmbh International Surgical instrument including an articulation lock
US11291451B2 (en) 2019-06-28 2022-04-05 Cilag Gmbh International Surgical instrument with battery compatibility verification functionality
US11771419B2 (en) 2019-06-28 2023-10-03 Cilag Gmbh International Packaging for a replaceable component of a surgical stapling system
US11684434B2 (en) 2019-06-28 2023-06-27 Cilag Gmbh International Surgical RFID assemblies for instrument operational setting control
US11224497B2 (en) 2019-06-28 2022-01-18 Cilag Gmbh International Surgical systems with multiple RFID tags
US11426167B2 (en) 2019-06-28 2022-08-30 Cilag Gmbh International Mechanisms for proper anvil attachment surgical stapling head assembly
US11399837B2 (en) 2019-06-28 2022-08-02 Cilag Gmbh International Mechanisms for motor control adjustments of a motorized surgical instrument
US11464601B2 (en) 2019-06-28 2022-10-11 Cilag Gmbh International Surgical instrument comprising an RFID system for tracking a movable component
US11638587B2 (en) 2019-06-28 2023-05-02 Cilag Gmbh International RFID identification systems for surgical instruments
US11660163B2 (en) 2019-06-28 2023-05-30 Cilag Gmbh International Surgical system with RFID tags for updating motor assembly parameters
US11376098B2 (en) 2019-06-28 2022-07-05 Cilag Gmbh International Surgical instrument system comprising an RFID system
US11298127B2 (en) 2019-06-28 2022-04-12 Cilag GmbH Interational Surgical stapling system having a lockout mechanism for an incompatible cartridge
US11259803B2 (en) 2019-06-28 2022-03-01 Cilag Gmbh International Surgical stapling system having an information encryption protocol
US11553971B2 (en) 2019-06-28 2023-01-17 Cilag Gmbh International Surgical RFID assemblies for display and communication
US11219455B2 (en) 2019-06-28 2022-01-11 Cilag Gmbh International Surgical instrument including a lockout key
US11241235B2 (en) 2019-06-28 2022-02-08 Cilag Gmbh International Method of using multiple RFID chips with a surgical assembly
US11627959B2 (en) 2019-06-28 2023-04-18 Cilag Gmbh International Surgical instruments including manual and powered system lockouts
US12004740B2 (en) 2019-06-28 2024-06-11 Cilag Gmbh International Surgical stapling system having an information decryption protocol
US11523822B2 (en) 2019-06-28 2022-12-13 Cilag Gmbh International Battery pack including a circuit interrupter
US11298132B2 (en) 2019-06-28 2022-04-12 Cilag GmbH Inlernational Staple cartridge including a honeycomb extension
US11344309B2 (en) 2019-07-05 2022-05-31 Covidien Lp Circular stapling instruments
US11357509B2 (en) 2019-07-11 2022-06-14 Covidien Lp Reload assembly for a circular stapling device
US11192227B2 (en) 2019-07-16 2021-12-07 Covidien Lp Reload assembly for circular stapling devices
US11564685B2 (en) 2019-07-19 2023-01-31 RevMedica, Inc. Surgical stapler with removable power pack
US11877833B2 (en) 2019-07-26 2024-01-23 Covidien Lp Systems and methods for monitoring blood pressure with a powered linear drive
US11464510B2 (en) 2019-07-26 2022-10-11 Covidien Lp Reload assembly with knife carrier lockout
US11253255B2 (en) 2019-07-26 2022-02-22 Covidien Lp Knife lockout wedge
US11224424B2 (en) 2019-08-02 2022-01-18 Covidien Lp Linear stapling device with vertically movable knife
US11406385B2 (en) 2019-10-11 2022-08-09 Covidien Lp Stapling device with a gap locking member
US11812978B2 (en) 2019-10-15 2023-11-14 Orthosensor Inc. Knee balancing system using patient specific instruments
US11399825B2 (en) 2019-10-28 2022-08-02 Covidien Lp Reload assembly with knife carrier lockout
US11123068B2 (en) 2019-11-08 2021-09-21 Covidien Lp Surgical staple cartridge
US11534163B2 (en) 2019-11-21 2022-12-27 Covidien Lp Surgical stapling instruments
US11974743B2 (en) 2019-12-02 2024-05-07 Covidien Lp Linear stapling device with a gap locking member
US11707274B2 (en) 2019-12-06 2023-07-25 Covidien Lp Articulating mechanism for surgical instrument
US11109862B2 (en) 2019-12-12 2021-09-07 Covidien Lp Surgical stapling device with flexible shaft
US11553918B2 (en) 2019-12-16 2023-01-17 Covidien Lp Reload assembly with knife carrier lockout
US11737747B2 (en) 2019-12-17 2023-08-29 Covidien Lp Hand-held surgical instruments
WO2021120046A1 (en) 2019-12-18 2021-06-24 Covidien Lp Surgical stapling device with shipping cap
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
US11607219B2 (en) 2019-12-19 2023-03-21 Cilag Gmbh International Staple cartridge comprising a detachable tissue cutting knife
US11911032B2 (en) 2019-12-19 2024-02-27 Cilag Gmbh International Staple cartridge comprising a seating cam
US12035913B2 (en) 2019-12-19 2024-07-16 Cilag Gmbh International Staple cartridge comprising a deployable knife
US11529137B2 (en) 2019-12-19 2022-12-20 Cilag Gmbh International Staple cartridge comprising driver retention members
US11559304B2 (en) 2019-12-19 2023-01-24 Cilag Gmbh International Surgical instrument comprising a rapid closure mechanism
US11844520B2 (en) 2019-12-19 2023-12-19 Cilag Gmbh International Staple cartridge comprising driver retention members
US11529139B2 (en) 2019-12-19 2022-12-20 Cilag Gmbh International Motor driven surgical instrument
US11701111B2 (en) 2019-12-19 2023-07-18 Cilag Gmbh International Method for operating a surgical stapling instrument
US11504122B2 (en) 2019-12-19 2022-11-22 Cilag Gmbh International Surgical instrument comprising a nested firing member
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
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
US11931033B2 (en) 2019-12-19 2024-03-19 Cilag Gmbh International Staple cartridge comprising a latch lockout
US11464512B2 (en) 2019-12-19 2022-10-11 Cilag Gmbh International Staple cartridge comprising a curved deck surface
US11583275B2 (en) * 2019-12-27 2023-02-21 Covidien Lp Surgical instruments including sensor assembly
US12053224B2 (en) 2019-12-30 2024-08-06 Cilag Gmbh International Variation in electrode parameters and deflectable electrode to modify energy density and tissue interaction
US12023086B2 (en) 2019-12-30 2024-07-02 Cilag Gmbh International Electrosurgical instrument for delivering blended energy modalities to tissue
US11937866B2 (en) 2019-12-30 2024-03-26 Cilag Gmbh International Method for an electrosurgical procedure
US11707318B2 (en) 2019-12-30 2023-07-25 Cilag Gmbh International Surgical instrument with jaw alignment features
US11779387B2 (en) 2019-12-30 2023-10-10 Cilag Gmbh International Clamp arm jaw to minimize tissue sticking and improve tissue control
US11950797B2 (en) 2019-12-30 2024-04-09 Cilag Gmbh International Deflectable electrode with higher distal bias relative to proximal bias
US11452525B2 (en) 2019-12-30 2022-09-27 Cilag Gmbh International Surgical instrument comprising an adjustment system
US11696776B2 (en) 2019-12-30 2023-07-11 Cilag Gmbh International Articulatable surgical instrument
US11986201B2 (en) 2019-12-30 2024-05-21 Cilag Gmbh International Method for operating a surgical instrument
US11786291B2 (en) 2019-12-30 2023-10-17 Cilag Gmbh International Deflectable support of RF energy electrode with respect to opposing ultrasonic blade
US11660089B2 (en) 2019-12-30 2023-05-30 Cilag Gmbh International Surgical instrument comprising a sensing system
US11944366B2 (en) 2019-12-30 2024-04-02 Cilag Gmbh International Asymmetric segmented ultrasonic support pad for cooperative engagement with a movable RF electrode
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
US12064109B2 (en) 2019-12-30 2024-08-20 Cilag Gmbh International Surgical instrument comprising a feedback control circuit
US11779329B2 (en) 2019-12-30 2023-10-10 Cilag Gmbh International Surgical instrument comprising a flex circuit including a sensor system
US20210196358A1 (en) 2019-12-30 2021-07-01 Ethicon Llc Electrosurgical instrument with electrodes biasing support
US12114912B2 (en) 2019-12-30 2024-10-15 Cilag Gmbh International Non-biased deflectable electrode to minimize contact between ultrasonic blade and electrode
US20210196361A1 (en) 2019-12-30 2021-07-01 Ethicon Llc Electrosurgical instrument with monopolar and bipolar energy capabilities
US12076006B2 (en) 2019-12-30 2024-09-03 Cilag Gmbh International Surgical instrument comprising an orientation detection system
US11812957B2 (en) 2019-12-30 2023-11-14 Cilag Gmbh International Surgical instrument comprising a signal interference resolution system
US11937863B2 (en) 2019-12-30 2024-03-26 Cilag Gmbh International Deflectable electrode with variable compression bias along the length of the deflectable electrode
US12082808B2 (en) 2019-12-30 2024-09-10 Cilag Gmbh International Surgical instrument comprising a control system responsive to software configurations
US11759251B2 (en) 2019-12-30 2023-09-19 Cilag Gmbh International Control program adaptation based on device status and user input
US11730481B2 (en) 2020-01-06 2023-08-22 Covidien Lp Assemblies for retaining a trocar assembly
US11517317B2 (en) 2020-01-06 2022-12-06 Covidien Lp Trocar release assemblies for a surgical stapler
US11911038B2 (en) 2020-01-13 2024-02-27 Covidien Lp Cut optimization for excessive tissue conditions
US12102305B2 (en) 2020-01-15 2024-10-01 Covidien Lp Adapter assemblies and surgical loading units
US11523828B2 (en) 2020-01-28 2022-12-13 Covidien Lp Sealed reload assembly for stapling device
US11452524B2 (en) 2020-01-31 2022-09-27 Covidien Lp Surgical stapling device with lockout
US11278282B2 (en) 2020-01-31 2022-03-22 Covidien Lp Stapling device with selective cutting
JP2023522293A (ja) 2020-02-03 2023-05-30 コヴィディエン リミテッド パートナーシップ 湾曲したエンドエフェクタの組織ガイド
US11458244B2 (en) 2020-02-07 2022-10-04 Covidien Lp Irrigating surgical apparatus with positive pressure fluid
US11553913B2 (en) 2020-02-11 2023-01-17 Covidien Lp Electrically-determining tissue cut with surgical stapling apparatus
US11890014B2 (en) 2020-02-14 2024-02-06 Covidien Lp Cartridge holder for surgical staples and having ridges in peripheral walls for gripping tissue
US11622767B2 (en) 2020-02-19 2023-04-11 Covidien Lp Sealed trocar assembly for stapling device
US11547438B2 (en) 2020-02-24 2023-01-10 Covidien Lp Tip protector for ensuring trocar insertion
US11382630B2 (en) 2020-02-25 2022-07-12 Covidien Lp Surgical stapling device with two part knife assembly
US11779343B2 (en) 2020-02-26 2023-10-10 Covidien Lp Staple reload assembly with releasable knife
US11298152B2 (en) 2020-02-28 2022-04-12 Covidien Lp Trocar retaining mechanism including band support
US11344301B2 (en) 2020-03-02 2022-05-31 Covidien Lp Surgical stapling device with replaceable reload assembly
US11272998B2 (en) 2020-03-04 2022-03-15 Covidien Lp Strain gage fixation in tension
US11344302B2 (en) 2020-03-05 2022-05-31 Covidien Lp Articulation mechanism for surgical stapling device
US11707278B2 (en) 2020-03-06 2023-07-25 Covidien Lp Surgical stapler tool assembly to minimize bleeding
US11246593B2 (en) 2020-03-06 2022-02-15 Covidien Lp Staple cartridge
US11317911B2 (en) 2020-03-10 2022-05-03 Covidien Lp Tool assembly with replaceable cartridge assembly
US11357505B2 (en) 2020-03-10 2022-06-14 Covidien Lp Surgical stapling apparatus with firing lockout mechanism
US11406383B2 (en) 2020-03-17 2022-08-09 Covidien Lp Fire assisted powered EGIA handle
US11844562B2 (en) 2020-03-23 2023-12-19 Covidien Lp Electrosurgical forceps for grasping, treating, and/or dividing tissue
JP7490802B2 (ja) 2020-03-24 2024-05-27 コヴィディエン リミテッド パートナーシップ 交換可能なステープルカートリッジを備える外科用ステープル留め装置
US11426169B2 (en) 2020-03-24 2022-08-30 Covidien Lp Retaining mechanisms for trocar assemblies
US11426170B2 (en) 2020-03-24 2022-08-30 Covidien Lp Retaining mechanisms for trocar assemblies
US11350939B2 (en) 2020-03-24 2022-06-07 Covidien Lp Retaining mechanisms for trocar assemblies
US11331098B2 (en) 2020-04-01 2022-05-17 Covidien Lp Sled detection device
US11426159B2 (en) 2020-04-01 2022-08-30 Covidien Lp Sled detection device
US11504117B2 (en) 2020-04-02 2022-11-22 Covidien Lp Hand-held surgical instruments
US11937794B2 (en) 2020-05-11 2024-03-26 Covidien Lp Powered handle assembly for surgical devices
US11191537B1 (en) 2020-05-12 2021-12-07 Covidien Lp Stapling device with continuously parallel jaws
US11406387B2 (en) 2020-05-12 2022-08-09 Covidien Lp Surgical stapling device with replaceable staple cartridge
US11690694B2 (en) 2020-05-19 2023-07-04 Covidien Lp Powered surgical instruments and methods of identifying tissue types therewith
US12029470B2 (en) 2020-05-21 2024-07-09 Covidien Lp Simultaneous RF monopolar calibration using a shared return electrode
US11653925B2 (en) 2020-05-21 2023-05-23 Covidien Lp Tissue relaxation monitoring for optimized tissue stapling
US11547405B2 (en) 2020-05-22 2023-01-10 Covidien Lp Surgical stapling device
US11534167B2 (en) 2020-05-28 2022-12-27 Covidien Lp Electrotaxis-conducive stapling
USD966512S1 (en) 2020-06-02 2022-10-11 Cilag Gmbh International Staple cartridge
USD967421S1 (en) 2020-06-02 2022-10-18 Cilag Gmbh International Staple cartridge
USD975851S1 (en) 2020-06-02 2023-01-17 Cilag Gmbh International Staple cartridge
USD975850S1 (en) 2020-06-02 2023-01-17 Cilag Gmbh International Staple cartridge
USD976401S1 (en) 2020-06-02 2023-01-24 Cilag Gmbh International Staple cartridge
USD974560S1 (en) 2020-06-02 2023-01-03 Cilag Gmbh International Staple cartridge
USD975278S1 (en) 2020-06-02 2023-01-10 Cilag Gmbh International Staple cartridge
US11191538B1 (en) 2020-06-08 2021-12-07 Covidien Lp Surgical stapling device with parallel jaw closure
US12016557B2 (en) 2020-06-10 2024-06-25 Covidien Lp Sealed electrical connection between surgical loading unit and adapter
US11844517B2 (en) 2020-06-25 2023-12-19 Covidien Lp Linear stapling device with continuously parallel jaws
US11324500B2 (en) 2020-06-30 2022-05-10 Covidien Lp Surgical stapling device
US12023027B2 (en) 2020-07-02 2024-07-02 Covidien Lp Surgical stapling device with compressible staple cartridge
US11517305B2 (en) 2020-07-09 2022-12-06 Covidien Lp Contoured staple pusher
US11446028B2 (en) 2020-07-09 2022-09-20 Covidien Lp Tool assembly with pivotable clamping beam
US11490891B2 (en) * 2020-07-10 2022-11-08 Cilag Gmbh International Load sensor for circular surgical stapler
US11622768B2 (en) 2020-07-13 2023-04-11 Covidien Lp Methods and structure for confirming proper assembly of powered surgical stapling systems
US11553921B2 (en) 2020-07-15 2023-01-17 Covidien Lp Surgical stapling device with flexible shaft
CN116209400A (zh) 2020-07-21 2023-06-02 柯惠有限合伙公司 用于钉仓的装运盖
US11547412B2 (en) 2020-07-22 2023-01-10 Covidien Lp Surgical instruments and methods of assembly
US11622769B2 (en) * 2020-07-27 2023-04-11 Covidien Lp Systems and methods for suture failure detection during surgical stapling
US11883024B2 (en) 2020-07-28 2024-01-30 Cilag Gmbh International Method of operating a surgical instrument
US11266402B2 (en) 2020-07-30 2022-03-08 Covidien Lp Sensing curved tip for surgical stapling instruments
US11439392B2 (en) 2020-08-03 2022-09-13 Covidien Lp Surgical stapling device and fastener for pathological exam
US11395654B2 (en) 2020-08-07 2022-07-26 Covidien Lp Surgical stapling device with articulation braking assembly
US11877744B2 (en) 2020-08-14 2024-01-23 Covidien Lp Low-cost powered stapler with end stop selection
US11627966B2 (en) 2020-08-26 2023-04-18 Covidien Lp Surgical stapling device
US11602342B2 (en) 2020-08-27 2023-03-14 Covidien Lp Surgical stapling device with laser probe
US11660091B2 (en) 2020-09-08 2023-05-30 Covidien Lp Surgical device with seal assembly
US11672533B2 (en) 2020-09-08 2023-06-13 Covidien Lp Laparoscopic transverse surgical stapling system
CN111991088B (zh) * 2020-09-10 2022-02-11 苏州大学 一种微创手术机器人及其末端夹持器
US11678878B2 (en) 2020-09-16 2023-06-20 Covidien Lp Articulation mechanism for surgical stapling device
US11801054B2 (en) 2020-09-22 2023-10-31 Covidien Lp Surgical stapler with oval tool assembly
US11571192B2 (en) 2020-09-25 2023-02-07 Covidien Lp Adapter assembly for surgical devices
US11660092B2 (en) 2020-09-29 2023-05-30 Covidien Lp Adapter for securing loading units to handle assemblies of surgical stapling instruments
US11712509B2 (en) 2020-10-02 2023-08-01 Covidien Lp Seal assembly for circular stapling instrument
US11911030B2 (en) * 2020-10-02 2024-02-27 Cilag Gmbh International Communication capability of a surgical device with component
US11963683B2 (en) 2020-10-02 2024-04-23 Cilag Gmbh International Method for operating tiered operation modes in a surgical system
US11406384B2 (en) 2020-10-05 2022-08-09 Covidien Lp Stapling device with drive assembly stop member
US11576674B2 (en) 2020-10-06 2023-02-14 Covidien Lp Surgical stapling device with articulation lock assembly
US11452526B2 (en) 2020-10-29 2022-09-27 Cilag Gmbh International Surgical instrument comprising a staged voltage regulation start-up system
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
US12053175B2 (en) 2020-10-29 2024-08-06 Cilag Gmbh International Surgical instrument comprising a stowed closure actuator stop
US11779330B2 (en) 2020-10-29 2023-10-10 Cilag Gmbh International Surgical instrument comprising a jaw alignment system
US11717289B2 (en) 2020-10-29 2023-08-08 Cilag Gmbh International Surgical instrument comprising an indicator which indicates that an articulation drive is actuatable
US11844518B2 (en) 2020-10-29 2023-12-19 Cilag Gmbh International Method for operating a surgical instrument
US11896217B2 (en) 2020-10-29 2024-02-13 Cilag Gmbh International Surgical instrument comprising an articulation lock
USD980425S1 (en) 2020-10-29 2023-03-07 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
USD1013170S1 (en) 2020-10-29 2024-01-30 Cilag Gmbh International Surgical instrument assembly
US11534259B2 (en) 2020-10-29 2022-12-27 Cilag Gmbh International Surgical instrument comprising an articulation indicator
US11890007B2 (en) 2020-11-18 2024-02-06 Covidien Lp Stapling device with flex cable and tensioning mechanism
US11627967B2 (en) 2020-11-23 2023-04-18 Covidien Lp Trans-anastomotic insertion device
US11653919B2 (en) 2020-11-24 2023-05-23 Covidien Lp Stapler line reinforcement continuity
US11744580B2 (en) 2020-11-24 2023-09-05 Covidien Lp Long stapler reloads with continuous cartridge
CN112720287B (zh) * 2020-12-01 2022-04-22 华南理工大学 一种可转动的二自由度电磁驱动被动柔顺微夹钳
US11653920B2 (en) 2020-12-02 2023-05-23 Cilag Gmbh International Powered surgical instruments with communication interfaces through sterile barrier
US11678882B2 (en) 2020-12-02 2023-06-20 Cilag Gmbh International Surgical instruments with interactive features to remedy incidental sled movements
US11944296B2 (en) 2020-12-02 2024-04-02 Cilag Gmbh International Powered surgical instruments with external connectors
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
US11744581B2 (en) 2020-12-02 2023-09-05 Cilag Gmbh International Powered surgical instruments with multi-phase tissue treatment
US11849943B2 (en) 2020-12-02 2023-12-26 Cilag Gmbh International Surgical instrument with cartridge release mechanisms
US11627960B2 (en) 2020-12-02 2023-04-18 Cilag Gmbh International Powered surgical instruments with smart reload with separately attachable exteriorly mounted wiring connections
US11653915B2 (en) 2020-12-02 2023-05-23 Cilag Gmbh International Surgical instruments with sled location detection and adjustment features
US11890010B2 (en) 2020-12-02 2024-02-06 Cllag GmbH International Dual-sided reinforced reload for surgical instruments
US11737774B2 (en) 2020-12-04 2023-08-29 Covidien Lp Surgical instrument with articulation assembly
US11819200B2 (en) 2020-12-15 2023-11-21 Covidien Lp Surgical instrument with articulation assembly
US11553914B2 (en) 2020-12-22 2023-01-17 Covidien Lp Surgical stapling device with parallel jaw closure
US11759206B2 (en) 2021-01-05 2023-09-19 Covidien Lp Surgical stapling device with firing lockout mechanism
US11744582B2 (en) 2021-01-05 2023-09-05 Covidien Lp Surgical stapling device with firing lockout mechanism
US11877750B2 (en) 2021-01-21 2024-01-23 Covidien Lp Surgical stapler with powered and manual functions
US11517313B2 (en) 2021-01-27 2022-12-06 Covidien Lp Surgical stapling device with laminated drive member
US11759207B2 (en) 2021-01-27 2023-09-19 Covidien Lp Surgical stapling apparatus with adjustable height clamping member
WO2022164682A1 (en) 2021-01-29 2022-08-04 Covidien Lp Circular stapling device with integrated visualization device
US11986187B2 (en) 2021-01-29 2024-05-21 Covidien Lp Circular stapling device with integrated visualization device
US11786241B2 (en) 2021-02-16 2023-10-17 Covidien Lp Surgical stapling device including a hydraulic staple formation mechanism
US11744583B2 (en) 2021-02-26 2023-09-05 Cilag Gmbh International Distal communication array to tune frequency of RF systems
US11793514B2 (en) 2021-02-26 2023-10-24 Cilag Gmbh International Staple cartridge comprising sensor array which may be embedded in cartridge body
US11812964B2 (en) 2021-02-26 2023-11-14 Cilag Gmbh International Staple cartridge comprising a power management circuit
US11701113B2 (en) 2021-02-26 2023-07-18 Cilag Gmbh International Stapling instrument comprising a separate power antenna and a data transfer antenna
US11950777B2 (en) 2021-02-26 2024-04-09 Cilag Gmbh International Staple cartridge comprising an information access control system
US11749877B2 (en) 2021-02-26 2023-09-05 Cilag Gmbh International Stapling instrument comprising a signal antenna
US12108951B2 (en) 2021-02-26 2024-10-08 Cilag Gmbh International Staple cartridge comprising a sensing array and a temperature control system
US11723657B2 (en) 2021-02-26 2023-08-15 Cilag Gmbh International Adjustable communication based on available bandwidth and power capacity
US11751869B2 (en) 2021-02-26 2023-09-12 Cilag Gmbh International Monitoring of multiple sensors over time to detect moving characteristics of tissue
US11696757B2 (en) 2021-02-26 2023-07-11 Cilag Gmbh International Monitoring of internal systems to detect and track cartridge motion status
US11950779B2 (en) 2021-02-26 2024-04-09 Cilag Gmbh International Method of powering and communicating with a staple cartridge
US11730473B2 (en) 2021-02-26 2023-08-22 Cilag Gmbh International Monitoring of manufacturing life-cycle
US11925349B2 (en) 2021-02-26 2024-03-12 Cilag Gmbh International Adjustment to transfer parameters to improve available power
US11980362B2 (en) 2021-02-26 2024-05-14 Cilag Gmbh International Surgical instrument system comprising a power transfer coil
WO2022189935A1 (en) 2021-03-11 2022-09-15 Covidien Lp Circular stapling device for end-to-end anastomosis
US11717300B2 (en) 2021-03-11 2023-08-08 Covidien Lp Surgical stapling apparatus with integrated visualization
US11806011B2 (en) 2021-03-22 2023-11-07 Cilag Gmbh International Stapling instrument comprising tissue compression systems
US11826012B2 (en) 2021-03-22 2023-11-28 Cilag Gmbh International Stapling instrument comprising a pulsed motor-driven firing rack
US11723658B2 (en) 2021-03-22 2023-08-15 Cilag Gmbh International Staple cartridge comprising a firing lockout
US11737749B2 (en) 2021-03-22 2023-08-29 Cilag Gmbh International Surgical stapling instrument comprising a retraction system
US11717291B2 (en) 2021-03-22 2023-08-08 Cilag Gmbh International Staple cartridge comprising staples configured to apply different tissue compression
US11759202B2 (en) 2021-03-22 2023-09-19 Cilag Gmbh International Staple cartridge comprising an implantable layer
US11826042B2 (en) 2021-03-22 2023-11-28 Cilag Gmbh International Surgical instrument comprising a firing drive including a selectable leverage mechanism
US11786239B2 (en) 2021-03-24 2023-10-17 Cilag Gmbh International Surgical instrument articulation joint arrangements comprising multiple moving linkage features
US11944336B2 (en) 2021-03-24 2024-04-02 Cilag Gmbh International Joint arrangements for multi-planar alignment and support of operational drive shafts in articulatable surgical instruments
US11849944B2 (en) 2021-03-24 2023-12-26 Cilag Gmbh International Drivers for fastener cartridge assemblies having rotary drive screws
US12102323B2 (en) 2021-03-24 2024-10-01 Cilag Gmbh International Rotary-driven surgical stapling assembly comprising a floatable component
US11849945B2 (en) 2021-03-24 2023-12-26 Cilag Gmbh International Rotary-driven surgical stapling assembly comprising eccentrically driven firing member
US11903582B2 (en) 2021-03-24 2024-02-20 Cilag Gmbh International Leveraging surfaces for cartridge installation
US11857183B2 (en) 2021-03-24 2024-01-02 Cilag Gmbh International Stapling assembly components having metal substrates and plastic bodies
US11786243B2 (en) 2021-03-24 2023-10-17 Cilag Gmbh International Firing members having flexible portions for adapting to a load during a surgical firing stroke
US11896218B2 (en) 2021-03-24 2024-02-13 Cilag Gmbh International Method of using a powered stapling device
US11744603B2 (en) 2021-03-24 2023-09-05 Cilag Gmbh International Multi-axis pivot joints for surgical instruments and methods for manufacturing same
US11793516B2 (en) 2021-03-24 2023-10-24 Cilag Gmbh International Surgical staple cartridge comprising longitudinal support beam
US11832816B2 (en) 2021-03-24 2023-12-05 Cilag Gmbh International Surgical stapling assembly comprising nonplanar staples and planar staples
US11896219B2 (en) 2021-03-24 2024-02-13 Cilag Gmbh International Mating features between drivers and underside of a cartridge deck
WO2022200960A1 (en) 2021-03-26 2022-09-29 Covidien Lp Surgical staple cartridge
US11974750B2 (en) 2021-03-26 2024-05-07 Covidien Lp Surgical staple cartridge
US11978554B2 (en) 2021-03-30 2024-05-07 Cilag Gmbh International Radio frequency identification token for wireless surgical instruments
US12040749B2 (en) 2021-03-30 2024-07-16 Cilag Gmbh International Modular energy system with dual amplifiers and techniques for updating parameters thereof
US11950860B2 (en) 2021-03-30 2024-04-09 Cilag Gmbh International User interface mitigation techniques for modular energy systems
US11963727B2 (en) 2021-03-30 2024-04-23 Cilag Gmbh International Method for system architecture for modular energy system
US11980411B2 (en) 2021-03-30 2024-05-14 Cilag Gmbh International Header for modular energy system
US11497495B2 (en) 2021-03-31 2022-11-15 Covidien Lp Continuous stapler strip for use with a surgical stapling device
US11666330B2 (en) 2021-04-05 2023-06-06 Covidien Lp Surgical stapling device with lockout mechanism
US11918275B2 (en) 2021-04-30 2024-03-05 Cilag Gmbh International Electrosurgical adaptation techniques of energy modality for combination electrosurgical instruments based on shorting or tissue impedance irregularity
US11931035B2 (en) 2021-04-30 2024-03-19 Cilag Gmbh International Articulation system for surgical instrument
US11857184B2 (en) 2021-04-30 2024-01-02 Cilag Gmbh International Surgical instrument comprising a rotation-driven and translation-driven tissue cutting knife
US11944295B2 (en) 2021-04-30 2024-04-02 Cilag Gmbh International Surgical instrument comprising end effector with longitudinal sealing step
US11826043B2 (en) 2021-04-30 2023-11-28 Cilag Gmbh International Staple cartridge comprising formation support features
US11553920B2 (en) 2021-05-03 2023-01-17 Covidien Lp Trocar retainer assembly for surgical stapler
US12016556B2 (en) 2021-05-03 2024-06-25 Covidien Lp Handheld electromechanical surgical system
US11576670B2 (en) 2021-05-06 2023-02-14 Covidien Lp Surgical stapling device with optimized drive assembly
US11490894B1 (en) 2021-05-12 2022-11-08 Covidien Lp Surgical device with grease filter
US11642131B2 (en) 2021-05-17 2023-05-09 Covidien Lp Devices and methods for shortening a rectal stump during a lower anterior resection procedure
US11812956B2 (en) 2021-05-18 2023-11-14 Covidien Lp Dual firing radial stapling device
US11696755B2 (en) 2021-05-19 2023-07-11 Covidien Lp Surgical stapling device with reload assembly removal lockout
US11612400B2 (en) 2021-05-24 2023-03-28 Covidien Lp Trocar assembly with bearing assembly for load sharing
US11510673B1 (en) 2021-05-25 2022-11-29 Covidien Lp Powered stapling device with manual retraction
US11771423B2 (en) 2021-05-25 2023-10-03 Covidien Lp Powered stapling device with manual retraction
US11701119B2 (en) 2021-05-26 2023-07-18 Covidien Lp Powered stapling device with rack release
US11826047B2 (en) 2021-05-28 2023-11-28 Cilag Gmbh International Stapling instrument comprising jaw mounts
US11576675B2 (en) 2021-06-07 2023-02-14 Covidien Lp Staple cartridge with knife
US11684362B2 (en) 2021-06-07 2023-06-27 Covidien Lp Handheld electromechanical surgical system
US11617579B2 (en) 2021-06-29 2023-04-04 Covidien Lp Ultra low profile surgical stapling instrument for tissue resections
US11707275B2 (en) 2021-06-29 2023-07-25 Covidien Lp Asymmetrical surgical stapling device
US11771432B2 (en) 2021-06-29 2023-10-03 Covidien Lp Stapling and cutting to default values in the event of strain gauge data integrity loss
US11602344B2 (en) 2021-06-30 2023-03-14 Covidien Lp Surgical stapling apparatus with firing lockout assembly
US11931026B2 (en) 2021-06-30 2024-03-19 Cilag Gmbh International Staple cartridge replacement
US11974829B2 (en) 2021-06-30 2024-05-07 Cilag Gmbh International Link-driven articulation device for a surgical device
US20230009937A1 (en) 2021-07-07 2023-01-12 Covidien Lp Stapling end effectors for endoscopic procedures
US11786248B2 (en) 2021-07-09 2023-10-17 Covidien Lp Surgical stapling device including a buttress retention assembly
US11819209B2 (en) 2021-08-03 2023-11-21 Covidien Lp Hand-held surgical instruments
US11819208B2 (en) 2021-08-05 2023-11-21 Covidien Lp Handheld electromechanical surgical device with strain gauge drift detection
US11744592B2 (en) 2021-08-05 2023-09-05 Covidien Lp Handheld electromechanical stapler with tissue thickness detection
US11737759B2 (en) 2021-08-05 2023-08-29 Covidien Lp Surgical stapling device accommodating prolapsed tissue
US11540831B1 (en) 2021-08-12 2023-01-03 Covidien Lp Staple cartridge with actuation sled detection
US11862884B2 (en) 2021-08-16 2024-01-02 Covidien Lp Surgical instrument with electrical connection
US11779334B2 (en) 2021-08-19 2023-10-10 Covidien Lp Surgical stapling device including a manual retraction assembly
US12023028B2 (en) 2021-08-20 2024-07-02 Covidien Lp Articulating surgical stapling apparatus with pivotable knife bar guide assembly
US11576671B1 (en) 2021-08-20 2023-02-14 Covidien Lp Small diameter linear surgical stapling apparatus
US11707277B2 (en) 2021-08-20 2023-07-25 Covidien Lp Articulating surgical stapling apparatus with pivotable knife bar guide assembly
US11883028B2 (en) 2021-09-08 2024-01-30 Covidien Lp Systems and methods for post-operative anastomotic leak detection
US11864761B2 (en) 2021-09-14 2024-01-09 Covidien Lp Surgical instrument with illumination mechanism
US11653922B2 (en) 2021-09-29 2023-05-23 Covidien Lp Surgical stapling device with firing lockout mechanism
US20230101109A1 (en) 2021-09-29 2023-03-30 Covidien Lp Stapling device having actuation sled with knife guard
US11660094B2 (en) 2021-09-29 2023-05-30 Covidien Lp Surgical fastening instrument with two-part surgical fasteners
US11849949B2 (en) 2021-09-30 2023-12-26 Covidien Lp Surgical stapling device with firing lockout member
US11717299B2 (en) 2021-10-12 2023-08-08 Covidien Lp Surgical stapling device with probiotics
US12035909B2 (en) 2021-10-13 2024-07-16 Covidien Lp Surgical stapling device with firing lockout mechanism
US11980363B2 (en) 2021-10-18 2024-05-14 Cilag Gmbh International Row-to-row staple array variations
US11957337B2 (en) 2021-10-18 2024-04-16 Cilag Gmbh International Surgical stapling assembly with offset ramped drive surfaces
US11877745B2 (en) 2021-10-18 2024-01-23 Cilag Gmbh International Surgical stapling assembly having longitudinally-repeating staple leg clusters
US20230123673A1 (en) * 2021-10-19 2023-04-20 Verb Surgical Inc. Integrated sensors for surgical staplers
US20230121554A1 (en) * 2021-10-19 2023-04-20 Verb Surgical Inc. Integrated sensors for energy tools
US12089841B2 (en) 2021-10-28 2024-09-17 Cilag CmbH International Staple cartridge identification systems
US11937816B2 (en) 2021-10-28 2024-03-26 Cilag Gmbh International Electrical lead arrangements for surgical instruments
US11957342B2 (en) 2021-11-01 2024-04-16 Cilag Gmbh International Devices, systems, and methods for detecting tissue and foreign objects during a surgical operation
US11832823B2 (en) 2022-02-08 2023-12-05 Covidien Lp Determination of anvil release during anastomosis
WO2023233242A1 (en) 2022-06-03 2023-12-07 Covidien Lp Surgical stapling device with firing lockout member
US20230404572A1 (en) * 2022-06-17 2023-12-21 Cilag Gmbh International Smart circular staplers
WO2023248101A1 (en) 2022-06-23 2023-12-28 Covidien Lp Staple cartridge with knife
WO2024134423A1 (en) 2022-12-20 2024-06-27 Covidien Lp Surgical stapling device with tissue gap control
US11896327B1 (en) 2022-12-28 2024-02-13 Cilag Gmbh International Tissue sensing circuit for surgical instrument
CN118111612B (zh) * 2024-04-17 2024-08-27 中国人民解放军总医院第三医学中心 一种pn手术肾脏缝合压力预警装置

Family Cites Families (44)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4508253A (en) * 1983-10-04 1985-04-02 United States Surgical Corporation Surgical fastener applying apparatus
US5279309A (en) * 1991-06-13 1994-01-18 International Business Machines Corporation Signaling device and method for monitoring positions in a surgical operation
US5443198A (en) * 1991-10-18 1995-08-22 United States Surgical Corporation Surgical fastener applying apparatus
AU660712B2 (en) 1991-10-18 1995-07-06 United States Surgical Corporation Apparatus for applying surgical fasteners
US5383880A (en) * 1992-01-17 1995-01-24 Ethicon, Inc. Endoscopic surgical system with sensing means
US5772597A (en) 1992-09-14 1998-06-30 Sextant Medical Corporation Surgical tool end effector
CA2124109A1 (en) * 1993-05-24 1994-11-25 Mark T. Byrne Endoscopic surgical instrument with electromagnetic sensor
US5810811A (en) * 1993-07-22 1998-09-22 Ethicon Endo-Surgery, Inc. Electrosurgical hemostatic device
US5542594A (en) * 1993-10-06 1996-08-06 United States Surgical Corporation Surgical stapling apparatus with biocompatible surgical fabric
CA2133377C (en) 1993-10-08 2004-09-14 H. Jonathan Tovey Surgical suturing apparatus with loading mechanism
US5529235A (en) * 1994-04-28 1996-06-25 Ethicon Endo-Surgery, Inc. Identification device for surgical instrument
DE69517153T2 (de) 1994-11-02 2001-02-01 Olympus Optical Co., Ltd. Mit endoskop funktionierendes instrument
US5722989A (en) * 1995-05-22 1998-03-03 The Regents Of The University Of California Microminiaturized minimally invasive intravascular micro-mechanical systems powered and controlled via fiber-optic cable
US20040127800A1 (en) 1995-07-06 2004-07-01 Kimball Victor E. Device for assessing perfusion failure in a patient by measurement of blood flow
US5752644A (en) * 1995-07-11 1998-05-19 United States Surgical Corporation Disposable loading unit for surgical stapler
US6032849A (en) * 1995-08-28 2000-03-07 United States Surgical Surgical stapler
US6092422A (en) * 1995-09-29 2000-07-25 International Business Machines Corporation Mechanical signal producer based on micromechanical oscillators and intelligent acoustic detectors and systems based thereon
JPH09149941A (ja) * 1995-12-01 1997-06-10 Tokai Rika Co Ltd 体内挿入用医療器具のセンサ
US5855583A (en) * 1996-02-20 1999-01-05 Computer Motion, Inc. Method and apparatus for performing minimally invasive cardiac procedures
US6436107B1 (en) * 1996-02-20 2002-08-20 Computer Motion, Inc. Method and apparatus for performing minimally invasive surgical procedures
US5810240A (en) * 1996-03-15 1998-09-22 United States Surgical Corporation Surgical fastener applying device
AUPN957296A0 (en) * 1996-04-30 1996-05-23 Cardiac Crc Nominees Pty Limited A system for simultaneous unipolar multi-electrode ablation
US6063098A (en) 1996-12-23 2000-05-16 Houser; Kevin Articulable ultrasonic surgical apparatus
US6231565B1 (en) * 1997-06-18 2001-05-15 United States Surgical Corporation Robotic arm DLUs for performing surgical tasks
US20040236352A1 (en) * 1997-09-22 2004-11-25 Yulun Wang Method and apparatus for performing minimally invasive cardiac procedures
US5865361A (en) * 1997-09-23 1999-02-02 United States Surgical Corporation Surgical stapling apparatus
US6127811A (en) * 1999-01-12 2000-10-03 Vlsi Technology, Inc. Micro-electromechanical system and voltage shifter, method of synchronizing an electronic system and a micromechanical system of a micro-electromechanical system
US6288534B1 (en) * 1999-02-10 2001-09-11 Cts Corporation Non-contacting throttle valve position sensor
US7695485B2 (en) * 2001-11-30 2010-04-13 Power Medical Interventions, Llc Surgical device
US6716233B1 (en) * 1999-06-02 2004-04-06 Power Medical Interventions, Inc. Electromechanical driver and remote surgical instrument attachment having computer assisted control capabilities
US6473713B1 (en) * 1999-09-20 2002-10-29 American Gnc Corporation Processing method for motion measurement
WO2001062164A2 (en) * 2000-02-22 2001-08-30 Power Medical Interventions, Inc. An electromechanical driver and remote surgical instrument attachment having computer assisted control capabilities
US7223279B2 (en) 2000-04-21 2007-05-29 Vascular Control Systems, Inc. Methods for minimally-invasive, non-permanent occlusion of a uterine artery
US20030120306A1 (en) 2000-04-21 2003-06-26 Vascular Control System Method and apparatus for the detection and occlusion of blood vessels
US6494882B1 (en) * 2000-07-25 2002-12-17 Verimetra, Inc. Cutting instrument having integrated sensors
JP5055652B2 (ja) * 2000-08-11 2012-10-24 ダイキン工業株式会社 含フッ素界面活性剤の回収方法
US20040267310A1 (en) * 2000-10-20 2004-12-30 Racenet David C Directionally biased staple and anvil assembly for forming the staple
US20020077568A1 (en) * 2000-11-22 2002-06-20 Haddock Thomas F. Biological vessel volume measurement method and apparatus utilizing micro accelerometer
JP4227415B2 (ja) 2001-03-28 2009-02-18 ヴァスキュラー・コントロール・システムズ・インコーポレーテッド 子宮動脈を検知及び結紮する方法及び装置
NL1018874C2 (nl) * 2001-09-03 2003-03-05 Michel Petronella Hub Vleugels Chirurgisch instrument.
ES2377483T3 (es) 2002-04-25 2012-03-28 Tyco Healthcare Group Lp Instrumentos quirúrgicos que incluyen sistemas microelectromecánicos (MEMS)
US8118206B2 (en) 2008-03-15 2012-02-21 Surgisense Corporation Sensing adjunct for surgical staplers
US8851354B2 (en) * 2009-12-24 2014-10-07 Ethicon Endo-Surgery, Inc. Surgical cutting instrument that analyzes tissue thickness
NL2007038C2 (en) 2011-07-04 2013-01-07 Vereniging Voor Christelijk Hoger Onderwijs System and method for predicting the viability of a body tissue in a patient, and measuring device used therein.

Also Published As

Publication number Publication date
US10299788B2 (en) 2019-05-28
US20170128149A1 (en) 2017-05-11
AU2009200903A1 (en) 2009-03-26
US8808311B2 (en) 2014-08-19
AU2011201490A1 (en) 2011-04-28
WO2003090630A2 (en) 2003-11-06
AU2003245246B2 (en) 2009-01-08
US20160256164A1 (en) 2016-09-08
US20180221024A1 (en) 2018-08-09
EP1496805A2 (en) 2005-01-19
WO2003090630A3 (en) 2004-04-08
US20140336641A1 (en) 2014-11-13
US9962159B2 (en) 2018-05-08
US20120016362A1 (en) 2012-01-19
AU2009200903B2 (en) 2011-04-07
JP2005523105A (ja) 2005-08-04
US9561031B2 (en) 2017-02-07
AU2003245246A1 (en) 2003-11-10
JP4431404B2 (ja) 2010-03-17
AU2011201490B2 (en) 2012-04-05
CA2483094A1 (en) 2003-11-06
CA2483094C (en) 2011-03-15
US20050131390A1 (en) 2005-06-16
US10575849B2 (en) 2020-03-03
EP1496805B1 (en) 2012-01-11
US20110144640A1 (en) 2011-06-16
US9295468B2 (en) 2016-03-29
US20160030042A1 (en) 2016-02-04

Similar Documents

Publication Publication Date Title
ES2377483T3 (es) Instrumentos quirúrgicos que incluyen sistemas microelectromecánicos (MEMS)
JP6457806B2 (ja) 組織属性を光学的に検出するための器具
US20240130807A1 (en) Surgical tool positioning based on sensed parameters
US10251725B2 (en) Authentication and information system for reusable surgical instruments
JP6647047B2 (ja) 動力式外科手術用ステープル留めデバイス
AU2004212990B2 (en) Motion detector for controlling electrosurgical output
EP2387943A2 (en) Optical sensors for intraoperative procedures
BR112015021113B1 (pt) Instrumento cirúrgico
AU2012238268A1 (en) System and method of using simulation reload to optimize staple formation
US20180049832A1 (en) Surgical Tool Positioning Based on Sensed Parameters
US8454592B2 (en) Medical device system for determining contact between first medical device and second medical device
CN110325136A (zh) 用于电外科手术器械的指示系统和方法