US3815476A - Gas powered driving unit for surgical instrument - Google Patents
Gas powered driving unit for surgical instrument Download PDFInfo
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- US3815476A US3815476A US00125077A US12507771A US3815476A US 3815476 A US3815476 A US 3815476A US 00125077 A US00125077 A US 00125077A US 12507771 A US12507771 A US 12507771A US 3815476 A US3815476 A US 3815476A
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- piston
- chamber
- inlet port
- spool valve
- staple
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/0682—Surgical staplers, e.g. containing multiple staples or clamps for applying U-shaped staples or clamps, e.g. without a forming anvil
- A61B17/0684—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 above 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
- A61B2017/00535—Surgical instruments, devices or methods, e.g. tourniquets pneumatically or hydraulically operated
- A61B2017/00544—Surgical instruments, devices or methods, e.g. tourniquets pneumatically or hydraulically operated pneumatically
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00535—Surgical instruments, devices or methods, e.g. tourniquets pneumatically or hydraulically operated
- A61B2017/00544—Surgical instruments, devices or methods, e.g. tourniquets pneumatically or hydraulically operated pneumatically
- A61B2017/00548—Gas cartridges therefor
Definitions
- a disposable cartridge hous- [51] Int. c1. B251; 1/04, FlSb 13/04 ing a plurality of Staples which are to be folded r n 58 Field Of Search 91/318, 356, 398, 410, the anvil, and a pusher for bending the Staples around 9 2 7 0; 173/1 the anvil.
- the pusher is U-shaped with chamfers on the arms thereof to effect the bending with a minimum OUTPUT SHAFT [56] References Cited of force.
- a gas-powered unit serves to eject and form UNITED STATES PATENTS the staples in a neat and uniform manner.
- a novel dis- 2 164 970 7/1939 Van Sittert et al 91/356 posable gas cartridge is also disclosed 231171940 5/1955 Harris 9l/3l8 x I 6 Claims, 39 Drawing Figures 00 INPUT SPOOL "1 TRANSFER fORT f /22 /32 I L04 I28 1/06 DIAPHRAGM 4 VENT //0 H me EXHAUST I307 V26 amms PATENTEDJUM 1 1 1974 SHEET 1 OF 9 n :2: $22 7 it T 111111111 INVENTORS DAVE! T.
- the present invention relates to a surgical instrument for stapling together disunited segments of the external skin of a patient.
- the anvil serving to form the staple must be and is, at all times, external to the skin being stapled. More particularly, the anvil is adapted to rest on the external skin of the patient and to bend the staples so that they tightly grip and join the severed skin.
- the staple is acted upon by a U-shaped pusher element having a chamfer on each leg thereof so that the staples are acted upon by forces remote from the points about which they are bent. In this manner, less force is required to bend the staples.
- the central region of each staple is made to contact the anvil.
- the pusher element then bends the staple around the anvil, the chamfer surfaces reducing the force required for such bending, and the U-shape of the pusher allowing the pusher to partially encircle the anvil during the bending operation for forming the staple.
- the anvil releases the staple by means of a spring and the stapling maneuver is complete.
- a plurality of staples are housed in a disposable cartridge. These staples are housed in such a manner that only a small area of the instrument need contact the patient. For this reason, the stapling instrumentof the present invention may also be used for the stapling of internal maschinea.
- the instrument of the present invention is powered by a disposable gas cartridge.
- a disposable gas cartridge With a disposable gas cartridge, there is complete uniformity of staples from one stapling operation to the next. Also, there is no fatigue of the surgeon or his assistant since the gas-powered unit is activated by a slight movement of a lever or trigger.
- the gas-powered staple-ejecting unit is activated by the operator and performs its stapling operation, returning to its initial state for further activation in a minimum of time and with a maximum of efficiency.
- the power unit is simple in design, contains but few moving parts and is a repeating unit having an extremely long life cycle.
- the cartridge contains 25 staples. Each staple lies in the threads of a pair of adjacent screws and each is propelled one step when the screws are simultaneously turned one revolution.
- the power unit is fired and a rod-like element initiates the operation of a gearbox and simultaneously drives the pusher forward.
- the gearbox ensures that a staple is put in a readiness position before the pusher reaches the contact area.
- the pusher unit then automatically returns to its rearward position and the instrument is put in readiness for another stapling maneuver.
- the present invention thus provides a surgical stapling instrument which fills the gaps noted above with regard to the instrumentation known to the prior art.
- Staples may be used to unite the external skin of a patient and may be uniformly shaped without causing fatigue in the surgeon.
- the instrument of the present invention is powered by means of a sterilized disposable gas cartridge. It is customary when gas-powering units are employed, to provide the recipient device with a pin for puncturing the seal in the gas cartridge. It has been found, however, that the pin wears rapidly and thus detracts from the useful life of the gas-powered device.
- the present invention contemplates that a gas cartridge be fitted with its own puncturing mechanism, thereby adding to the life of the basic instrument. In this manner, a sterilized gas cartridge with its puncturing mechanism and a sterilized and filled staple cartridge may be packaged together so that the reloading operation is greatly facilitated.
- FIG. I is a side view, partially in section, showing the skin stapler of the present invention.
- FIG. 2 is an enlarged side view, partially in section, of to mechanism .shown in FIG. I after the cartridge is mounted and ready for use;
- FIG. 3 is a top view of the cartridge of thepresent invention.
- FIG. 4 is a bottom view of the cartridge shown in FIG. 3'
- FIG. 5 is an enlarged view of the rear portion of the cartridge shown in FIG. 3 with a portion of the cover removed;
- FIG. 6 is a cross-section taken along lines 6-6 of FIG. 5;
- FIG. 7 is a cross-section taken along lines 77 of FIG. 6',
- FIG. 8 is an enlarged view of the front portion of the cartridge shown in FIG. 3 with the cover partially removed;
- FIG. 9 is a cross-section taken along lines 99 of FIG. 8; v
- FIG. 10 is a cross-section taken along lines I010 of FIG. 8; Y
- FIG. 1 1 is a front view of the cartridge shown in FIG.
- FIG. 12 is a top view of the pusher element forming a part of the present invention.
- FIG. 13 is aside view of the pusher element shown in FIG. 12;
- FIGS.'14 through 17 are sequential views showing the formation of a staple during a stapling operation
- FIGS. 18 through 22 show the sequential formation of'a staple in the skin of a patient
- FIG. 23 is a cross-section through the gas-powered driving mechanism of the present invention.
- FIGS. 24 through 28 are drawings showing the sequential steps involved in ejecting and forming a staple with the gas-powered mechanism shown in FIG. 23;
- FIG. 29 is a front view of the main body portion of the skin stapler shown in FIG. 1;
- FIG. 30 is a top plan view of the gearbox housing
- FIG. 31 is a cross-section through lines 31-31 of FIG. 30;
- FIG. 32 is a side elevation of the gear arrangement shown in FIG. 31;
- FIG. 33 is a cross-section of the gearbox through lines 33-33 of FIG. 30 in its retracted, or readiness, position;
- FIG. 34 is a view similar to FIG. 33 but with the gearbox in its stapling position;
- FIG. 35 is a view similar to FIGS. 33 and 34, showing the moving parts of the gearbox when returning from the position shown in FIG. 34 to the position shown in FIG. 33;
- FIG. 36 is a side view of a second embodiment of the main body portion of a skin stapler constructed in accordance with the present invention.
- FIG. 37 is a sectional view through lines-37-37 of FIG. 36 with thegas-cartridge assembly removed;
- FIG. 38 is a sectional view through lines 38-38 of FIG. 36.
- FIG. 39 is an exploded perspective view of the gas cartridge and piercing mechanism shown in FIGS. 36 through 38.
- the skin stapler of the present invention is shown generally at 10 and comprises a disposable staple cartridge indicated generally at 12 and a main body portion indicated generally at I4.
- the main body portion 14 has a region 16 serving as the handle which the surgeon holds during use.
- the handle 16 further serves to house the gas-powered firing mechanism 17 including a source of CO gas.
- the forwardmost region of the main body portion 14 defines a cartridge-mounting assembly 18 for positioning and holding the cartridge 12.
- Region 19 houses the gearbox which synchronizes the movements of the elements forming a part of the inventive skin stapler.
- the cartridge 12 is in the process of being seated in the cartridge-mounting assembly 18. It can be seen that the assembly 18 has defined therein a cavity 20, this cavity being of such dimensions as to allow the angular insertion of the cartridge 12.
- a hand operated semicylindrical cam 22 is rotatably mounted on the assembly 18.
- cam 22 When the cartridge 12 is being inserted or removed from the main body portion 14, the cam 22 is in the position shown in FIG. 1. To lock the cartridge 12 in the main body portion 14, cam 22 is rotated until it takes the position shown in FIG. 2 and securely contacts the bottom of cartridge I2 with its camming surface 23. The cartridge 12 is held in horizontal align ment with the main body portion 14 by means of a pair of upwardly extending flanges 24 on the cover plate of the cartridge 12. Flanges 24 engage a pair of recesses 26 defined in the cartridge mounting assembly 18.
- the twoflanges 24 extend upwardly from the rear end of the cartridge cover and are spaced apart. This spacing is provided to enable a driving member 28 (FIG. 2) to reciprocate between the two flanges 24.
- the driving member 28 has an elongated central region 29.
- a pusher-engaging extension 30 is positioned at the extreme front end and an inclined surface 32 is positioned at the mid section of the driving member 28.
- the inclined surface 32 is adapted to engage a slidable plunger 34 which is spring biased upwardly by a spring 35.
- the driving member 28 is shown in its rearwardmost position to allow for the insertion or the re moval of the cartridge 12.
- the plunger 34 is maintained in its uppermost position by the force of the biasing spring 35.
- the plunger 34 is acted upon by the surface 32 and is forced downward against the biasing force of spring 35.
- the configuration of the cartridge 12, and its operation, will now be explained with reference to FIGS. 3 through 13.
- the cartridge 12 is defined by a body 36 adapted to be covered by a cover plate 38.
- the body 36 has provided thereon a pair of alignment extensions 40 which serve to engage the cover plate 38 at respective recesses 42 provided therein. This is best shown in FIGS. 4 and 5.
- the body 36, of the cartridge 12 is fitted with a pair of cylindrical depressions 44, shown best in FIG. 7. Depressions 44 extend substantially the entire length of the body 36 and serve to position a pair of rotatably mounted screws 46.
- the pair of depressions 44 are defined in the body 36 of the cartridge 12. These depressions 44 serve to define ledges 49 of lateral walls 51, which ledges-and walls function to guide a plurality of staples 50.
- the ledges 49 and lateral walls 51 guide the staples 50, over a substantial length of the cartridge, at a level beneath the external circumference of each screw 46. This is made possible since the screws 46 are provided with threads 52 for guiding and propelling the staples 50 along the ledges 49 and between the walls 51.
- a pusher plate 54 covers the staples 50 and slides within an indentation 56 provided in the cover plate 38, the pusher plate 54 being guided by the top of the screws 46 and the bottom of the cover plate 38.
- the pusher plate 54 serves to hold each staple50 against the ledges 49 except during a driving operation. Then, the forwardmost staple is propelled forward and away from the cover of the pusher element 54.
- Each screw 46 is provided, at its rearwardmost end, with an extension 58.
- Each extension 58 is unthreaded, is rotatably held in a cylindrical recess 59 in the body 36, and it fitted at its extremity with a flat extension 60. See FIGS. 5 and 6.
- the pusher element 54 is in the form of a flat plate having a pair of upwardly extending guide projections 66 centered thereon. Projections 66 are adapted to slide in recesses 67 on the top of the cover plate 38.
- the rearwardmost region of the pusher element 54 is cut out at 68 and is adapted to be engaged by the pusher-engaging extension 30 on the driving member 28, described with reference to FIG. 1.
- the extension 30 reaches the hole 68 through a slot 69 provided in the cover plate 38.
- the forwardmost region of the pusher element 54 is U-shaped, defining a pair of tines 70. As best seen in FIGS. 8, 9, 12 and 13, the tines 70 are V-shaped in order to best guide the staples 50 during the staple-discharging operation. For reasons which are explained below, each tine 70 is provided with a chamfer 72.
- anvil 62 At the forwardmost region of the cover plate 38, and as illustrated in FIGS. 1, 3, 9 and 11, projects an anvil 62.
- the anvil 62 is an extension of the top of the cover plate 38 and curls into the plane of the pusher element 54.
- the anvil 62 is fitted with staple-ejecting springs 64 for forcing the staples out of the region of the anvil 62 after the completion of each stapling operation. It should be evident that the pusher element 54 moves the springs 64 out of the staple-forming plane during the stapling operation and releases the springs when it begins to retract. Once the pusher element 54 is retracted from the anvil area, the springs 64 urge the staple 50, just formed,'out of the plane of the pusher.
- the tines 70 of the pusher element 54 are spaced apart a distance sufiicient to comfortably accommodate the anvil 62. More particularly, with reference to FIG. 17, the distance between the tines 70 is equal to the width of the anvil 62, plus twice the diameter of a staple 50, plus a small clearance to avoid sluggish operation.
- the following procedure may be used.
- the screws 46 may be fitted into their respective cylindrical depressions 44.
- the staples 50 may be inserted between the lateral walls 59 of the body 36.
- the screws should be in the position shown in FIG. 5 with the flat extensions aligned and vertical.
- the pusher element 54 is then fit over the staples 50 and the cover plate 38 is put in position. Once, this procedure has been followed, the cartridge 12 is ready to be loaded into the instrument.
- a staple unit may be defined as that distance required to move the second staple from its readiness position into a position ready to be fired. Thus, in FIGS. 8 and 9, one staple unit is shown at a.
- This staple- is, initially, one staple unit from a position ready for firing.
- the pusher element 54 is then in its rearwardmost position, which position holds all staples in the threads 52 of the screws 46.
- each ledge 49 is terminated as its forwardmost region in an inclined surface 74.
- Surface 74 serves to guide the point of the forwardmost staple 59 upwardly and into the plane of the pusher element 54 during the forward thrust of the pusher.
- the forwardmost portion of each screw 46 serves to raise the crosspiece of the first staple 50 into the plane of the pusher element 54.
- FIG. 10 which illustrates the forwardmost portion of the screw 46.
- the direction of rotation of screw 46 is indicated by arrow 75. It is seen that the thread depth decreases from a maximum at 76 to a minimum at 78.
- the thread depth at 76 is equal to the thread depth uniform throughout the thread save for the most forward region.
- the depth of the thread at 78 is zero.
- the pusher element 54 reaches the contact area, the inclined surface 32 on member 28 causes plunger 34 to be depressed, thus advancing a staple into stapling position.
- pusher element 54 reaches the contact area and forces the first staple (See FIGS. 8 and 9.) out of the cartridge l2 and against the anvil 62.
- the pusher element 54 reaches its forwardmost position, its direction of travel is reversed (it being controlled by the driving member 28 shown in FIGS. l and 2).
- the inclined surface 32 on the driving member 28 releases the plunger 34, allowing the plunger and the gearing mechanism to be put in readiness for the next stapling operation.
- the gear mechanism causes the two screws 46 to turn slightly better than one revolution during the for-' more than one staple unit.
- the forwardmost staple moves only one staple unit and into a readiness position because of the lack of threads at the forward ends of the screws 46.
- the forwardmost staple 50 is simultaneously acted upon by the ledge 74 and the diminishing thread of the screws 46.
- the first staple is raised from its position below the pusher element 54 into the plane of the pusher, while remaining parallel, at all times, to the plane of the pusher. This is done while the pusher moves forward but before it reaches the contact area. Once the first staple is ready to be expelled from the instrument, the pusher element 54 makes contact with the staple.
- the disposable cartridge of the present invention may house any number of staples, but is shown to house, in this example, twenty-five. It is therefore possible that more than one cartridge is required during a single operation. It becomes important, then to keep the surgeon advised as to the number of staples remaining in his disposable cartridge.
- the present invention provides for the indication of the number of remaining staples.
- eachcylindrical depression 44 in the body 36 is a small rectangular depression 80. Depressions 80 extend substantially the entire length of the'body 36 and communicate with depressions 44. Through the bottom of body 36 extend twenty-five tapered bores 82. As is best seen in FIG. 7, the recesses 44 communicate with the bores 82 by means of a plurality of cylindrical bores 84 of a smaller diameter than the smallest diameter of the tapered bores 82.
- a pair of pads 86 and 88 of a rectangular shape are housed within the slide in the recesses 80.
- Each pad 86 and 88 is provided with a cylindrical extension 90.
- Each extension 90 serves to ride within the thread 52 of a-screw 46.
- the tapered bores 82 are staggered throughout the length of the cartridge 12. As is also seen in FIG. 4, the pads 86 and 88 ride in their respective recesses 80 in alignment. Because of the alignment between pads 86 and 88 and the staggered arrangement of bores 82, only a single pad at a time is visible through a bore.
- the pads 86 and 88 are positioned in alignment withthe rearwardmost bore 82, as shown in FIG. 4.
- This bore is numbered 25 and indicates that 25staples remain in the cartridge.
- pad 88 is visible through this bore.
- each screw 46 has been rotated 360. Since the projections 90 on the pads 86 and 88, respectively, engage the threads 52 of the screws 46, the pads move one staple unit.
- the bores 82 are separated by one staple unit. Consequently, pad 86 is visible through bore 82 which is labeled 24. This staggering relationship of visible pads continues until pad 88 is visible through the bore 82 referenced 1, this indicating'that one staple remains.
- the pads 86 and 88 are both masked by the body 36. In this manner, the surgeon is constantly appraised of the number of staples remaining in this instrument.
- FIGS. 14 through 17 the interaction between the pusher element 54, a staple 50 and the anvil 62 is explained.
- the pusher element 54 is shown to be moving toward the left of the page, in the direction of the arrow.
- FIG. 14 the relative positions of the pusher element 54 and a staple 50 are shown at impact.
- the pusher element is shown in the contact area. It is evident, then, that the screws have already been turned to advance the staples 50.
- the pusher element 54 moves forward from the position shown in FIG. l4 until the staple 50 contacts the anvil 62, the staple 50 being guided by the V-shaped surface of the pusher tine 70.
- the pusher 54 is driven to the left and, because of the chamfers 72 in the tines 70, staple 50 is easily bent around the anvil 62.
- the staple takes the shape shown in FIG. 16, still being guided by the V-shape of the pusher tine.
- the chamfer surface allows a bending force to be exerted on the staple 50 at points remote from the anvil 62. In this manner, the required initial bending force is reduced.
- the staple 50 is substantially rectangular and has its points in engagement.
- the external skin of the patient is shown at 92 and is split at an incision 94.
- the function of the skin stapler of the present invention is to securely fasten the two segments of skin 92 and to maintain the fastened position neatly and securely to facilitate the healing process.
- the front end of the skin stapler is pressed against the skin of the patient covering the incision 94. If properly positioned, the anvil 62 is centered with respect to the incision 94.
- the member 28 is activated-and the pusher element 54 begins its forward journey. Simultaneously, the staples 50 are guided forward. When the pusher element 54 reaches the contact area, the forward staple is ready to be ejected.
- the pusher contacts the first staple, as shown in FIG. 18.
- Pusher element 54 then expels the staple 50 from the cartridge and drives same until it contacts the anvil 62, as shown in FIG. 19. In this Figure, it is seen that the staple pierces the skin of the patient.
- the staple is shown when beginning to crimp the skin 92. In this position, the staple is formed as described above with respect to FIG. 16.
- the staple is then completely curled around the anvil 62 so that it takes the shape illustrated in FIG. 17.
- the corresponding position of the staple with respect to the skin is shown in FIG. 21.
- the stapler of the present invention is quite versatile. It may be used to staple external skin or an internal organ. This has'never before been possible in the prior art.
- the pusher element may be driven by any of a large number of configurations. It may be driven manually or it may be driven by springs.
- the present invention contemplates that the pusher element be driven by a gas under pressure. More particularly, the present invention contemplates that the pusher element be driven by a'charge of carbon dioxide housed within small pressurized and disposable tanks.
- FIGS. 23 through 28 the gas-powering unit of the present invention is described.
- the drive mechanism is shown generally at 100 and comprises a gas inlet port 102, a spool 104, a pair of diaphragm seals 106 and 108, respectively, a transfer port 110 extending from one side to the other of the spool 104, a piston 112 sealed against the wall 114 of a piston chamber 134 by means of a rolling diaphragm 115 and a spring 117 serving to resiliently bias the piston 112 upwardly.
- Secured to the piston 112 is an output shaft 116. provided with a notchl 18.
- the uppermost part of the output shaft 116 is designated 120 and serves, under the action of spring 117, to exert an upward force on the spool 104.
- a seal'l22 is defined at the opening of the gas inlet port 102 and prevents the escape of gas from the inlet port'102 when contacted by the spool 104.
- a vent 124 and an exhaust l26 are'provided and communicate with a vent chamber 128 and an exhaust chamber 130, respectively.
- An inlet chamber 132 communicates with the inlet port 102.
- a trigger mechanism 136 is shownpivoting around a pivot 138.
- the forwardmost end of the trigger 136 engages the notch 118 in the output shaft 116.
- the force exerted by the spring 117 is overcome and the spool 104 is driven from the seal 122, downwardly, off the inlet port 102, by the gas under pressure.
- the exhaust port 126 is sealed with respect to the pressurized gas in the inlet port 102.
- the pressurized gas then flows through the inlet port 102, into the inlet chamber 132, then through the transfer port 110 and into the piston chamber 134.
- the pressure exerted by the gas drives the piston 112 downwardly and into the position shown in FIG. 25.
- the pressure in the piston chamber 134 is lower than the pressure in the inlet chamber- 132 due to the restriction in the transfer port 110.
- the pressure in the piston chamber 134 rapidly builds up until it overcomes the pressure in the inlet chamber 132.
- the pressure in the piston chamber overcomes the pressure in the inlet chamber because the piston cham-' ber acts on a larger area (the bottom of spool 104) than does the inlet chamber pressure (which acts on the top of diaphragm 106)
- the pressure in the piston chamber 134 drives the spool 104 upwardly, thus sealing the inlet port when the spool again contacts seal 122. This is shown in FIG. 26.
- the pressure in the piston chamber 134 at this point is directly proportional to the ratio of the areas between the upper and lower diaphragm seals 106 and 108. The pressures inside the system then tend to equalize.
- vent 124 communicating with the vent chamber 128, is provided to ensure that sluggish operation of the spool and pistonsis prevented. In this manner, no pressure buildup occurs between diaphragms I06 and 108.
- FIG. 2 and'FIGS. 29 through 35 the construction and operation of the gearbox will be explained'
- the rear portion of the driving member 28 is fitted with a yolk .150 adapted to be engaged by the. forward end of the output shaft 116.
- the output shaft 116, the driving member 28 and the pusher element 54 are driven forward and effect the formation of a rectangular staple against the anvil 62.
- the front surface of the plunger 34 is provided with a notch 152, which notch engages a flange 154 fitted on the bottom of the rear surface of a triangular carrier plate 156.
- the notch 152 in the plunger 34 causes the triangular carrier plate 156 to move downwardly due to the interaction between the notch 152 and the flange 154.
- the flange 154 extends a substantial distance across the triangular carrier plate 156, which carrier plate 156 is adapted to pivot at 157.
- FIG. 35 where there are also shown a pair of pins 161 and 163, mounted in the plunger 34, which pins serve to prevent wear on the flange 154 of the triangular carrier plate 156.
- FIGS. 2 and 33 the relative positions of the plunger 34 and the triangular carrier plate 156 are shown when the driving member 28 is out of engagement with the plunger 34.
- FIG. 34 shows the relative positions of these elements when the plunger 34 engages the inclined surface 32 on the driving member 28 during the stapling operation.
- the carrier plate 156 pivots in means of a pivot pin 160.
- the forwardmost surface of s the pawl 158 is adapted to engage the surface of a sixtoothed ratchet 159. It is seen, though, that in its rest position, the pawl 158 is out of engagement with the teeth of the ratchet 159.
- Pawl 158 The movement of the pawl 158 is restricted by a pin 162, mounted on the rear surface of the pawl and extending through a hole 164 in the carrier plate 156.
- a second pawl 168 is pivotally mounted on a pin 170 secured to the housing of the gearbox and thus independent of both the carrier plate 156 and the pawl 158.
- Pawls 158 and 168 are, however, biased towards the ratchet 159 by means of a spring 166.
- Spring 166 may be replaced by a pair of tension springs (not shown) mounted on the respective pivot pins of the pawl 1 58 and 168.
- Pawl 168 serves as a stop member for limitingthe rotation of the ratchet 159.
- Pin 172 extends forwardly a distance sufficient to engage a depression in a clovershaped cam 174 which serves to positively position the elements of the gearbox when the instrument is in its readiness mode.
- a main drive gear 176 is shown to-be mounted on the same axis that carries the ratchet 159 and the cam 174. These elements move together and in unison.
- FIG. 31 shows that the main drive gear 176 engagestwo pinion gears 180, the ratio between the main drive gear 176 and the pinion gears 180 being 6 to I.
- each pinion gear 180 turns one complete revolution.
- Each pinion gear 180 is mounted on a shaft 181 which terminates in a slot 183.
- Each slot 183 is adapted to engage a'respective extension 60 integralwith each screw 46. In this manner, when the pinion gear turns through one revolution, the staples are driven forward chefstaple unit.
- the driving member 28 Prior to firing the skin stapler (FIG. 33), the driving member 28 is in its rearwardmost position.
- the plunger 34, with its notch 152, is in its upper position, biased by the spring 35.
- the carrier plate 156 is in its full clockwise position, pawl 168 being in engagement with a tooth on the rachet 159.
- the driving region of pawl 158 is removed from the nearest tooth on the ratchet 159 to allow for slight play in the plate 156 before the ratchet 159 is rotated. This allows the pin 172 to disengage from the depression in the cam 174.
- plunger 34 moves down against the force of the spring 35.
- the carrier plate 156 rotates in a counter-clockwise direction about its pivot point 157, pawl 158 rotating the ratchet 159.
- FIG. 34 the elements of the gearbox are shown after the pawl 158 has rotated the ratchet 159 through its maximum angle. This maximum angle is greater than that needed to advance each staple one staple unit. Thus, the gearbox elements are overdriven.
- FIG. 33 the gears are at rest, the member 28 retracted and waiting for an activating charge.
- the pin 172 is in engagement with a depression in the cam 174 and thus the ratchet 159, the main gear 176 and the pinion gears are locked in place.
- the slots 183 are aligned as shown in FIGS. 29 and 30 to allow for the easy insertion or removal of a staple-carrying cartridge.
- the gears are overindexed. That is, they are driven more than is necessary to move the staples one staple unit. This is done to ensure that the slots 183 associated with pinion gears 180 are in proper alignment for insertion or removal of a cartridge.
- member 28 moves rearwardly, thus allowing the plunger 34 to ride upwardly on the incline 32.
- This moves the plate 156 and hence the pin 172 into the position shown in FIG. 35 with the pin 172 moving toward the surface of the cam 174.
- the spring 35 urges the pin 172 against the surface of the cam 174 with the pin coming into contact with the cam at one of its depressions/Because of the stopping position of this cam, the action of the pin 172 rotates cam 174 in a clockwise direction. This rotation continues until the gear mechanism is in the position shown in FIG. 33, in readiness for another stapling maneuver.
- the main body portion is shown generally at 200 and comprises a region 202 for mounting the cartridge 12 described above with reference to FIGS. 3 through 13.
- a cam 204 similar to the cam 22 shown in FIG. 2, is provided.
- the main body portion 200 has a handle region 206 and a trigger 208.
- a region 210 serves to house a power unit identical with that described in FIGS. 23 through 28.
- the handle 206 is threaded at the extremity thereof and is fitted with a plug 214.
- a pressurized cartridge 216 is filled with a gas such as carbon dioxide and held in the handle 206, and its charge is fed to the powering unit 210 by means of a passage 218, which passage terminates in a chamber 220, similar to the gas inlet port 202 shown in FIG. 23.
- the trigger 208 is similar to the triggering mechanism 136 shown in FIG. 24. Therefore, when the trigger 208 is depressed, the output shaft of the power unit is moved slightly so as to initiate the power stroke necessary to drive and form a staple.
- FIG. 37 is a cross-section viewed in the direction of arrows 3737 of FIG. 36. From this Figure, it is evident that the passage 218 communicates with the forwardmost bore in the handle 206 at a position removed from the center thereof. The off-center position is to ensure that the gas passage is not blocked by any .portion of the gas cartridge or the cartridge-piercing mechanism.
- the handle 206 is fitted with a bore 222 adapted to house the gas cartridge 216 and a bore 224- serving to mount the cartridge-piercing'mechanism described below. Bores 222 and 224 are communicated by means of a sloped wall.
- a bottle containing a pressurized gas such as carbon dioxide is shown at 216.
- the mouth of the bottle 216 is fitted with a conventional seal 226.
- a cap 228 is positioned over the mouth of the bottle 21 .6 and an ()-ring 230 serves to seal the joint between the bottle 216 and the cap 228.
- a pin shown generally at 232 is positioned between an inwardly directed flange 234 on the cap 228 and the seal 226 of the bottle2l6.
- the pin 232 comprises a main body region, a pointed region 238 and an end region 240.
- the end region 240 is fitted with a slot 242 extending entirely thereacross.
- a passage 246 passes from the extremity of the pin 238 to the extremity of the slot 242.
- the cap 228 has a thin extension 248 which is flexible and which comfortably rests against the wall of the core 224.
- the pressurized gas passes into the chamber defined by the bore 224, it rushes into the region between the main body of the cap 228 and the extension 248, thus forcing the extension 248 against the wall of the bore 224. In this manner, the passage of gas is prevented from backing up into the handle 206.
- a gas-powered driving unit for converting gas pressure into a single forward thrust and for then returning to its static readiness position, the unit comprising: a body defining a plurality of chambers including an inlet chamber and a piston chamber; an inlet-port in said body for the introduction of pressurized gas into said body; a piston mounted to reciprocate between a forward and returned position in said piston chamber;
- spool valve means intermediate said inlet port and said piston for sealing said inlet port, said'spool valve means mounted to reciprocate in said body into and away from sealing engagement with said inlet port and away from and into sealing engagement with said piston chamber; biasing means for urging said piston towards said inlet port, said biasing means further biasing said spool valve means via said piston into sealing engagement with said inlet port-when said piston reciprocates to its return position; sealing means connected to said spool means and defining said inlet chamber between said sealing means and said inlet port; the area of said spool valve means exposed to said' piston chamber and the area of said spool valve means and said sealing means in the inlet chamber when said spool valve means is in sealing engagement with said piston chamber being such that equal pressure in both said cham- 40 bers urges the spool means towards said inlet port: a
- said transfer port is of a small orifice size so that a finite period of time elapses between the time when said spool valve means moves out of sealing engagement with said inlet port and the time when enough pressurized gas flows through said transfer port to equalize the pressure in said inlet chamber and said piston chamber, said finite time period being sufficiently long to enable the piston to substantially move from its return position to its forward position under the influence of the gas pressure in the piston chamber.
- said exhaust means is an exhaust port communicating on one side with said transfer port and said piston chamber during the return stroke of said piston and on its other side with the atmosphere.
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Abstract
A surgical instrument for applying sterilized staples from a disposable staple-carrying cartridge to the disunited skin of a patient in order to effect a joining of the skin. The instrument consists of an anvil adapted to lie flush with the skin, a disposable cartridge housing a plurality of staples which are to be folded around the anvil, and a pusher for bending the staples around the anvil. The pusher is U-shaped with chamfers on the arms thereof to effect the bending with a minimum of force. A gas-powered unit serves to eject and form the staples in a neat and uniform manner. A novel disposable gas cartridge is also disclosed.
Description
ilnite States Tatent 1 1 1 1 3,815,476
Green et al. June 11, 1974 GAS POWERED DRIVING UNIT FOR 2,870,749 1/1959 Deitrickson 91/318 SURGICAL INSTRUMENT 2995931 8/ i961 3,067,724 l2/l962 [75] Inventors: David T. Green, Norwalk; Graham 3 3 733 5 19 5 W. Bryan, Ridgefield, both of Conn. 3,479,926 11/1969 [73] Assignee: United States Surgical Corporation,
Baltimore, Primary Exammer-lrwm C. Cohen Attorney, Agent, or FirmFleit, Gipple & Jacobson [22] Filed: Mar. 17, 1971 [21] App]. No.: 125,077 [57] ABSTRACT Relat d U,S, Application D t A surgical instrument for applying sterilized staples [62] Division of S61. NO. 852,822, Aug. 25, 1969, Pat. N0. P a clisposable sFaplefcarrying Cartridge Q i? disu- 3,643351 mted skin of a patient in order to effect a JOlIlll'lg of the skin. The instrument consists of an anvil adapted 52 us. 01 91/410, 91/469, 227/130 to lie flush With the Skin, a disposable cartridge hous- [51] Int. c1. B251; 1/04, FlSb 13/04 ing a plurality of Staples which are to be folded r n 58 Field Of Search 91/318, 356, 398, 410, the anvil, and a pusher for bending the Staples around 9 2 7 0; 173/1 the anvil. The pusher is U-shaped with chamfers on the arms thereof to effect the bending with a minimum OUTPUT SHAFT [56] References Cited of force. A gas-powered unit serves to eject and form UNITED STATES PATENTS the staples in a neat and uniform manner. A novel dis- 2 164 970 7/1939 Van Sittert et al 91/356 posable gas cartridge is also disclosed 231171940 5/1955 Harris 9l/3l8 x I 6 Claims, 39 Drawing Figures 00 INPUT SPOOL "1 TRANSFER fORT f /22 /32 I L04 I28 1/06 DIAPHRAGM 4 VENT //0 H me EXHAUST I307 V26 amms PATENTEDJUM 1 1 1974 SHEET 1 OF 9 n :2: $22 7 it T 111111111 INVENTORS DAVE!) T. GREEN wmA GRAHM W BRYAN PATENTEIJJUM 1 1 m4 3.815;476 SHEET 20? 9 INVENTORS DAVID T. GREEN GRAHAM W. BRYAN J a I %NEYS PATENTEDJHN 11 m4 1815476 SHEET u 0F 9 INVENTORS N DAVID T. GREEN GRAHAM .BRYAN Skid/83M ATTORNEYS PATENTEDJUN 1 1 1924 SHEET 7 0F 9 INVENTORS DAVID T. GREEN GRAHAM W. BRYAN J MNEYS mimemunmw 3815476 SHEET 80E 9 INVENTORS DAVID T. GREEN GRAHAM W. BRYAN PATENTEUJHN 1 I 1974 SIEEISUF 9 IN,VENTORS DAVID T. GREEN GRAHAM W. BRYAN mm .w\n\ w w mvw mum vww wvw l L mum QNWMN CMvN IIIMIIIIIIIIII J E YS BY M GAS POWERED DRIVING UNIT FOR SURGICAL INSTRUMENT REFERENCE TO ANOTHER APPLICATION This application is a division of Ser. No. 852,822, filed August 25, 1969, now US. Pat. No. 3,643,851.
BACKGROUND OF THE INVENTION The use of sterilized staples for medical applications has been steadily and rapidly increasing in popularity. However. the use has largely been restricted to applications wherein the tissue to be stapled can be positioned between the staple-ejecting unit and the anvil of the instrument. Where the tissue joint is to be made on the external skin of the patient, medical instrumentation is noticeably weak. Thus, there exists a void in modern surgical instruments making effective use of the staple in uniting external tissue.
There is another void in the field of modern surgical stapling instrumentation. Despite the wide use of sterilized staples for pefforming suture-like maneuvers, it has customarily been difficult for the surgeon, or assistant, to perform successive stapling operations in a way so that the staples are uniformly injected and shaped. The main reason for the resulting disuniformity of injection and shaping operations is that the surgeon is unable to exert a constant manipulative force on the instrument which he uses. Another reason is that after numerous stapling'operations, the hand of the surgeon tends to tire, thus adding to the disuniformity of staple injection and shaping.
It is toward the elimination of the above-noted drawbacks of presently existing surgical stapling instruments, that the present invention is directed.
SUMMARY or THE INVENTION The present invention relates to a surgical instrument for stapling together disunited segments of the external skin of a patient.
Since this instrument functions externally to the body, the anvil serving to form the staple must be and is, at all times, external to the skin being stapled. More particularly, the anvil is adapted to rest on the external skin of the patient and to bend the staples so that they tightly grip and join the severed skin.
The staple is acted upon by a U-shaped pusher element having a chamfer on each leg thereof so that the staples are acted upon by forces remote from the points about which they are bent. In this manner, less force is required to bend the staples. The central region of each staple is made to contact the anvil. The pusher element then bends the staple around the anvil, the chamfer surfaces reducing the force required for such bending, and the U-shape of the pusher allowing the pusher to partially encircle the anvil during the bending operation for forming the staple. The anvil releases the staple by means of a spring and the stapling maneuver is complete.
In the instrument of the present invention, a plurality of staples are housed in a disposable cartridge. These staples are housed in such a manner that only a small area of the instrument need contact the patient. For this reason, the stapling instrumentof the present invention may also be used for the stapling of internal fasera.
The instrument of the present invention is powered by a disposable gas cartridge. Thus, there is complete uniformity of staples from one stapling operation to the next. Also, there is no fatigue of the surgeon or his assistant since the gas-powered unit is activated by a slight movement of a lever or trigger. In operation, the gas-powered staple-ejecting unit is activated by the operator and performs its stapling operation, returning to its initial state for further activation in a minimum of time and with a maximum of efficiency. The power unit is simple in design, contains but few moving parts and is a repeating unit having an extremely long life cycle.
The cartridge contains 25 staples. Each staple lies in the threads of a pair of adjacent screws and each is propelled one step when the screws are simultaneously turned one revolution. The power unit is fired and a rod-like element initiates the operation of a gearbox and simultaneously drives the pusher forward. The gearbox ensures that a staple is put in a readiness position before the pusher reaches the contact area. The pusher unit then automatically returns to its rearward position and the instrument is put in readiness for another stapling maneuver.
The present invention thus provides a surgical stapling instrument which fills the gaps noted above with regard to the instrumentation known to the prior art. Staples may be used to unite the external skin of a patient and may be uniformly shaped without causing fatigue in the surgeon.
As noted above, the instrument of the present invention is powered by means of a sterilized disposable gas cartridge. It is customary when gas-powering units are employed, to provide the recipient device witha pin for puncturing the seal in the gas cartridge. It has been found, however, that the pin wears rapidly and thus detracts from the useful life of the gas-powered device.
The present invention contemplates that a gas cartridge be fitted with its own puncturing mechanism, thereby adding to the life of the basic instrument. In this manner, a sterilized gas cartridge with its puncturing mechanism and a sterilized and filled staple cartridge may be packaged together so that the reloading operation is greatly facilitated.
Accordingly, it is one object of the present invention to provide a surgical stapling instrument for stapling disunited portions of the external skin of a patient.
It is another object of the present invention to staple the skin of the patient in such a manner that a minimum of force if required to form the staple during the maneuver.
It is yet a further object of the invention to provide a stapling instrument having a disposable staplecarrying cartridge.
It is a further object of the invention to provide a medical instrument for stapling the skin of a patient, which instrument is powered by a gas under pressure.
It is still another object of the present invention to provide a unique and disposable pressurized gaspowering assembly.
It is yet a further object of the invention to provide a gas-powered driving mechanism which is simple in design, economical in cost and is yet efficient and long lived.
These and other objects of the invention, as well as many of the attendant advantages thereof,will become more readily apparent when reference is made to the following description taken in conjunction with the accompanying drawings.
BRIEF DESCRIPTION OF THE DRAWINGS FIG. I is a side view, partially in section, showing the skin stapler of the present invention;
FIG. 2 is an enlarged side view, partially in section, of to mechanism .shown in FIG. I after the cartridge is mounted and ready for use;
FIG. 3 is a top view of the cartridge of thepresent invention;
FIG. 4 is a bottom view of the cartridge shown in FIG. 3',
FIG. 5 is an enlarged view of the rear portion of the cartridge shown in FIG. 3 with a portion of the cover removed;
FIG. 6 is a cross-section taken along lines 6-6 of FIG. 5;
FIG. 7 is a cross-section taken along lines 77 of FIG. 6',
FIG. 8 is an enlarged view of the front portion of the cartridge shown in FIG. 3 with the cover partially removed;
FIG. 9 is a cross-section taken along lines 99 of FIG. 8; v
7 FIG. 10 is a cross-section taken along lines I010 of FIG. 8; Y
FIG. 1 1 is a front view of the cartridge shown in FIG.
FIG. 12 is a top view of the pusher element forming a part of the present invention;
FIG. 13 is aside view of the pusher element shown in FIG. 12;
FIGS.'14 through 17 are sequential views showing the formation of a staple during a stapling operation;
FIGS. 18 through 22 show the sequential formation of'a staple in the skin of a patient;
' FIG. 23 isa cross-section through the gas-powered driving mechanism of the present invention;
FIGS. 24 through 28 are drawings showing the sequential steps involved in ejecting and forming a staple with the gas-powered mechanism shown in FIG. 23;
FIG. 29 isa front view of the main body portion of the skin stapler shown in FIG. 1;
FIG. 30 is a top plan view of the gearbox housing;
FIG. 31 is a cross-section through lines 31-31 of FIG. 30;
FIG. 32 is a side elevation of the gear arrangement shown in FIG. 31;
FIG. 33 is a cross-section of the gearbox through lines 33-33 of FIG. 30 in its retracted, or readiness, position;
FIG. 34 is a view similar to FIG. 33 but with the gearbox in its stapling position;
FIG. 35 is a view similar to FIGS. 33 and 34, showing the moving parts of the gearbox when returning from the position shown in FIG. 34 to the position shown in FIG. 33;
FIG. 36 is a side view of a second embodiment of the main body portion of a skin stapler constructed in accordance with the present invention;
FIG. 37 is a sectional view through lines-37-37 of FIG. 36 with thegas-cartridge assembly removed;
FIG. 38 is a sectional view through lines 38-38 of FIG. 36; and
FIG. 39 is an exploded perspective view of the gas cartridge and piercing mechanism shown in FIGS. 36 through 38.
DETAILED DESCRIPTION OF THE DRAWINGS In FIG. I, the skin stapler of the present invention is shown generally at 10 and comprises a disposable staple cartridge indicated generally at 12 and a main body portion indicated generally at I4. The main body portion 14 has a region 16 serving as the handle which the surgeon holds during use. The handle 16 further serves to house the gas-powered firing mechanism 17 including a source of CO gas. The forwardmost region of the main body portion 14 defines a cartridge-mounting assembly 18 for positioning and holding the cartridge 12. Intermediate the handle 16 and the cartridge mounting assembly 18 is a gearbox region I9. Region 19 houses the gearbox which synchronizes the movements of the elements forming a part of the inventive skin stapler.
In FIG. 1, the cartridge 12 is in the process of being seated in the cartridge-mounting assembly 18. It can be seen that the assembly 18 has defined therein a cavity 20, this cavity being of such dimensions as to allow the angular insertion of the cartridge 12. A hand operated semicylindrical cam 22 is rotatably mounted on the assembly 18.
When the cartridge 12 is being inserted or removed from the main body portion 14, the cam 22 is in the position shown in FIG. 1. To lock the cartridge 12 in the main body portion 14, cam 22 is rotated until it takes the position shown in FIG. 2 and securely contacts the bottom of cartridge I2 with its camming surface 23. The cartridge 12 is held in horizontal align ment with the main body portion 14 by means of a pair of upwardly extending flanges 24 on the cover plate of the cartridge 12. Flanges 24 engage a pair of recesses 26 defined in the cartridge mounting assembly 18.
As is best shown inFIGS. 6 and 11 the twoflanges 24 extend upwardly from the rear end of the cartridge cover and are spaced apart. This spacing is provided to enable a driving member 28 (FIG. 2) to reciprocate between the two flanges 24.
As shown in FIG. I, the driving member 28 has an elongated central region 29. A pusher-engaging extension 30 is positioned at the extreme front end and an inclined surface 32 is positioned at the mid section of the driving member 28. The inclined surface 32 is adapted to engage a slidable plunger 34 which is spring biased upwardly by a spring 35.
In FIG. 1, the driving member 28 is shown in its rearwardmost position to allow for the insertion or the re moval of the cartridge 12. In this position, the plunger 34 is maintained in its uppermost position by the force of the biasing spring 35. When the member 28 is driven forward during a stapling operation. the plunger 34 is acted upon by the surface 32 and is forced downward against the biasing force of spring 35. The functions of these elements are described in more detail below.
The configuration of the cartridge 12, and its operation, will now be explained with reference to FIGS. 3 through 13. The cartridge 12 is defined by a body 36 adapted to be covered by a cover plate 38. The body 36 has provided thereon a pair of alignment extensions 40 which serve to engage the cover plate 38 at respective recesses 42 provided therein. This is best shown in FIGS. 4 and 5. The body 36, of the cartridge 12 is fitted with a pair of cylindrical depressions 44, shown best in FIG. 7. Depressions 44 extend substantially the entire length of the body 36 and serve to position a pair of rotatably mounted screws 46.
As best seen in FIGS. 7 and 8, the pair of depressions 44 are defined in the body 36 of the cartridge 12. These depressions 44 serve to define ledges 49 of lateral walls 51, which ledges-and walls function to guide a plurality of staples 50.
From FIGS. 6 and 7, it can be seen that the ledges 49 and lateral walls 51 guide the staples 50, over a substantial length of the cartridge, at a level beneath the external circumference of each screw 46. This is made possible since the screws 46 are provided with threads 52 for guiding and propelling the staples 50 along the ledges 49 and between the walls 51.
A pusher plate 54 covers the staples 50 and slides within an indentation 56 provided in the cover plate 38, the pusher plate 54 being guided by the top of the screws 46 and the bottom of the cover plate 38. The pusher plate 54 serves to hold each staple50 against the ledges 49 except during a driving operation. Then, the forwardmost staple is propelled forward and away from the cover of the pusher element 54.
Each screw 46 is provided, at its rearwardmost end, with an extension 58. Each extension 58 is unthreaded, is rotatably held in a cylindrical recess 59 in the body 36, and it fitted at its extremity with a flat extension 60. See FIGS. 5 and 6.
In FIGS. 12 and 13, the configuration of the pusher element 54 is illustrated. The pusher element 54 is in the form of a flat plate having a pair of upwardly extending guide projections 66 centered thereon. Projections 66 are adapted to slide in recesses 67 on the top of the cover plate 38. The rearwardmost region of the pusher element 54 is cut out at 68 and is adapted to be engaged by the pusher-engaging extension 30 on the driving member 28, described with reference to FIG. 1. The extension 30 reaches the hole 68 through a slot 69 provided in the cover plate 38. The forwardmost region of the pusher element 54 is U-shaped, defining a pair of tines 70. As best seen in FIGS. 8, 9, 12 and 13, the tines 70 are V-shaped in order to best guide the staples 50 during the staple-discharging operation. For reasons which are explained below, each tine 70 is provided with a chamfer 72.
At the forwardmost region of the cover plate 38, and as illustrated in FIGS. 1, 3, 9 and 11, projects an anvil 62. The anvil 62 is an extension of the top of the cover plate 38 and curls into the plane of the pusher element 54. The anvil 62 is fitted with staple-ejecting springs 64 for forcing the staples out of the region of the anvil 62 after the completion of each stapling operation. It should be evident that the pusher element 54 moves the springs 64 out of the staple-forming plane during the stapling operation and releases the springs when it begins to retract. Once the pusher element 54 is retracted from the anvil area, the springs 64 urge the staple 50, just formed,'out of the plane of the pusher.
As best shown in FIG. 3, the tines 70 of the pusher element 54 are spaced apart a distance sufiicient to comfortably accommodate the anvil 62. More particularly, with reference to FIG. 17, the distance between the tines 70 is equal to the width of the anvil 62, plus twice the diameter of a staple 50, plus a small clearance to avoid sluggish operation.
In loading the cartridgelZ, the following procedure may be used. The screws 46 may be fitted into their respective cylindrical depressions 44. Then the staples 50 may be inserted between the lateral walls 59 of the body 36. The screws should be in the position shown in FIG. 5 with the flat extensions aligned and vertical. The pusher element 54 is then fit over the staples 50 and the cover plate 38 is put in position. Once, this procedure has been followed, the cartridge 12 is ready to be loaded into the instrument.
The screws 46 are threaded so that when they, by means of the extensions 60, are rotated through 360, each staple moves one staple unit. A staple unit" may be defined as that distance required to move the second staple from its readiness position into a position ready to be fired. Thus, in FIGS. 8 and 9, one staple unit is shown at a.
With reference now to FIGS. 8, 9 and 10, the positioning of the forwardmost staple 50 will be described. This staple-is, initially, one staple unit from a position ready for firing. The pusher element 54 is then in its rearwardmost position, which position holds all staples in the threads 52 of the screws 46.
As is seen in FIG. 9, each ledge 49 is terminated as its forwardmost region in an inclined surface 74. Surface 74 serves to guide the point of the forwardmost staple 59 upwardly and into the plane of the pusher element 54 during the forward thrust of the pusher. Simultaneous with the action of the surface 74, the forwardmost portion of each screw 46 serves to raise the crosspiece of the first staple 50 into the plane of the pusher element 54. This is best shown in FIG. 10 which illustrates the forwardmost portion of the screw 46. The direction of rotation of screw 46 is indicated by arrow 75. It is seen that the thread depth decreases from a maximum at 76 to a minimum at 78. The thread depth at 76 is equal to the thread depth uniform throughout the thread save for the most forward region. The depth of the thread at 78 is zero. Thus, when the cross-piece of a staple rides along the screw at 78, it is in the plane of the pusher element 54.
The staple-ejecting and guiding operation will now be explained. When the pusher element 54 is activated, it
is thrust forward by the member 28. Before, however,
the pusher element 54 reaches the contact area, the inclined surface 32 on member 28 causes plunger 34 to be depressed, thus advancing a staple into stapling position. Once the staple is properly positioned, pusher element 54 reaches the contact area and forces the first staple (See FIGS. 8 and 9.) out of the cartridge l2 and against the anvil 62. When the pusher element 54 reaches its forwardmost position, its direction of travel is reversed (it being controlled by the driving member 28 shown in FIGS. l and 2). At a time during the rear ward journey of the pusher element 54, the inclined surface 32 on the driving member 28 releases the plunger 34, allowing the plunger and the gearing mechanism to be put in readiness for the next stapling operation. The gear mechanism causes the two screws 46 to turn slightly better than one revolution during the for-' more than one staple unit. The forwardmost staple moves only one staple unit and into a readiness position because of the lack of threads at the forward ends of the screws 46. When the screws 46 turn, thereby advancing each staple, the forwardmost staple 50 is simultaneously acted upon by the ledge 74 and the diminishing thread of the screws 46. In this manner, the first staple is raised from its position below the pusher element 54 into the plane of the pusher, while remaining parallel, at all times, to the plane of the pusher. This is done while the pusher moves forward but before it reaches the contact area. Once the first staple is ready to be expelled from the instrument, the pusher element 54 makes contact with the staple.
The disposable cartridge of the present invention may house any number of staples, but is shown to house, in this example, twenty-five. It is therefore possible that more than one cartridge is required during a single operation. It becomes important, then to keep the surgeon advised as to the number of staples remaining in his disposable cartridge. The present invention provides for the indication of the number of remaining staples. I
Reference should now be directed to FIGS. 4 through 7. Beneath eachcylindrical depression 44 in the body 36 is a small rectangular depression 80. Depressions 80 extend substantially the entire length of the'body 36 and communicate with depressions 44. Through the bottom of body 36 extend twenty-five tapered bores 82. As is best seen in FIG. 7, the recesses 44 communicate with the bores 82 by means of a plurality of cylindrical bores 84 of a smaller diameter than the smallest diameter of the tapered bores 82.
A pair of pads 86 and 88 of a rectangular shape are housed within the slide in the recesses 80. Each pad 86 and 88 is provided with a cylindrical extension 90. Each extension 90 serves to ride within the thread 52 of a-screw 46.
As shown in'FIG. 4, the tapered bores 82 are staggered throughout the length of the cartridge 12. As is also seen in FIG. 4, the pads 86 and 88 ride in their respective recesses 80 in alignment. Because of the alignment between pads 86 and 88 and the staggered arrangement of bores 82, only a single pad at a time is visible through a bore.
In operation, the pads 86 and 88 are positioned in alignment withthe rearwardmost bore 82, as shown in FIG. 4. This bore is numbered 25 and indicates that 25staples remain in the cartridge. Initially, pad 88 is visible through this bore. After one staple has been ejected from the cartridge, each screw 46 has been rotated 360. Since the projections 90 on the pads 86 and 88, respectively, engage the threads 52 of the screws 46, the pads move one staple unit. The bores 82 are separated by one staple unit. Consequently, pad 86 is visible through bore 82 which is labeled 24. This staggering relationship of visible pads continues until pad 88 is visible through the bore 82 referenced 1, this indicating'that one staple remains. When the last staple is ejected, the pads 86 and 88 are both masked by the body 36. In this manner, the surgeon is constantly appraised of the number of staples remaining in this instrument.
With reference now to FIGS. 14 through 17, the interaction between the pusher element 54, a staple 50 and the anvil 62 is explained. In each of these four figures, the pusher element 54 is shown to be moving toward the left of the page, in the direction of the arrow.
In FIG. 14, the relative positions of the pusher element 54 and a staple 50 are shown at impact. In FIG. 14, the pusher element is shown in the contact area. It is evident, then, that the screws have already been turned to advance the staples 50.
The pusher element 54 moves forward from the position shown in FIG. l4 until the staple 50 contacts the anvil 62, the staple 50 being guided by the V-shaped surface of the pusher tine 70. The pusher 54 is driven to the left and, because of the chamfers 72 in the tines 70, staple 50 is easily bent around the anvil 62. After the pusher element 54 advances slightly, the staple takes the shape shown in FIG. 16, still being guided by the V-shape of the pusher tine. The chamfer surface allows a bending force to be exerted on the staple 50 at points remote from the anvil 62. In this manner, the required initial bending force is reduced.
Once the staple is in the position shown in FIG. 16, the bending force is moved from the outermost region of the chamfer to the innermost region. However, because of the build-up of inertial forces, bending is still easily accomplished. The pusher element advances until it reaches the position shown in FIG. 17. In this position, the staple 50 is substantially rectangular and has its points in engagement.
With reference now to FIGS. 18 through 22, the formation of the staple with respect to the skin will be explained. The external skin of the patient is shown at 92 and is split at an incision 94. The function of the skin stapler of the present invention is to securely fasten the two segments of skin 92 and to maintain the fastened position neatly and securely to facilitate the healing process.
As seen in FIG. 18, the front end of the skin stapler is pressed against the skin of the patient covering the incision 94. If properly positioned, the anvil 62 is centered with respect to the incision 94. The member 28 is activated-and the pusher element 54 begins its forward journey. Simultaneously, the staples 50 are guided forward. When the pusher element 54 reaches the contact area, the forward staple is ready to be ejected. The pusher contacts the first staple, as shown in FIG. 18. Pusher element 54 then expels the staple 50 from the cartridge and drives same until it contacts the anvil 62, as shown in FIG. 19. In this Figure, it is seen that the staple pierces the skin of the patient.
. In FIG. 20, the staple is shown when beginning to crimp the skin 92. In this position, the staple is formed as described above with respect to FIG. 16.
The stapleis then completely curled around the anvil 62 so that it takes the shape illustrated in FIG. 17. The corresponding position of the staple with respect to the skin is shown in FIG. 21.
During the forward thrust of the pusher element 54, the tines move the springs 64 out of the staple plane. After the stapling operation is completed and the pusher begins to return to its rest position, springs 64, associated with the anvil 62, serve to eject the staple 50 from the anvil. The skin 92 is then free, under the force of sub-surface tissue, to expand toward the crossbar of the staple. This is shown in FIG. 22.
Since only the forwardmost portion of the skin stapler 10, which portion is relatively small, contacts the patient during a stapling operation, the stapler of the present invention is quite versatile. It may be used to staple external skin or an internal organ. This has'never before been possible in the prior art.
The pusher element may be driven by any of a large number of configurations. It may be driven manually or it may be driven by springs. The present invention, however, contemplates that the pusher element be driven by a gas under pressure. More particularly, the present invention contemplates that the pusher element be driven by a'charge of carbon dioxide housed within small pressurized and disposable tanks.
With reference, now, to FIGS. 23 through 28, the gas-powering unit of the present invention is described.
With reference first to FIG. 23, the configuration of the drive mechanism is as follows. The drive mechanism is shown generally at 100 and comprises a gas inlet port 102, a spool 104, a pair of diaphragm seals 106 and 108, respectively, a transfer port 110 extending from one side to the other of the spool 104, a piston 112 sealed against the wall 114 of a piston chamber 134 by means of a rolling diaphragm 115 and a spring 117 serving to resiliently bias the piston 112 upwardly. Secured to the piston 112 is an output shaft 116. provided with a notchl 18. The uppermost part of the output shaft 116 is designated 120 and serves, under the action of spring 117, to exert an upward force on the spool 104. A seal'l22 is defined at the opening of the gas inlet port 102 and prevents the escape of gas from the inlet port'102 when contacted by the spool 104. A vent 124 and an exhaust l26 are'provided and communicate with a vent chamber 128 and an exhaust chamber 130, respectively. An inlet chamber 132 communicates with the inlet port 102.
With reference, now, to FIGS. 24 through 28, the operation of the power unit 100 will be explained. As noted above, when the spool 104 is acted upon by the spring 117, it impinges upon the seal 122, thus preventing the entrance of the pressurized gas into the inlet chamber 132. The pressure acting on the top of spool 40 104 is less than the force exerted by thespring 117 since the pressure in the inlet port acts on a small area when spool 104 abuts seal 122.
' In FIG. 24, a trigger mechanism 136 is shownpivoting around a pivot 138. The forwardmost end of the trigger 136 engages the notch 118 in the output shaft 116. Thus, when the trigger 136 is activated, the force exerted by the spring 117 is overcome and the spool 104 is driven from the seal 122, downwardly, off the inlet port 102, by the gas under pressure. When the spool 104 reaches the bottom of the exhaust chamber 130, the exhaust port 126 is sealed with respect to the pressurized gas in the inlet port 102. The pressurized gas then flows through the inlet port 102, into the inlet chamber 132, then through the transfer port 110 and into the piston chamber 134. The pressure exerted by the gas drives the piston 112 downwardly and into the position shown in FIG. 25.
Initially, the pressure in the piston chamber 134 is lower than the pressure in the inlet chamber- 132 due to the restriction in the transfer port 110. The pressure in the piston chamber 134, however, rapidly builds up until it overcomes the pressure in the inlet chamber 132. The pressure in the piston chamber overcomes the pressure in the inlet chamber because the piston cham-' ber acts on a larger area (the bottom of spool 104) than does the inlet chamber pressure (which acts on the top of diaphragm 106) Asa consequence the area differential noted above, the pressure in the piston chamber 134 drives the spool 104 upwardly, thus sealing the inlet port when the spool again contacts seal 122. This is shown in FIG. 26. The pressure in the piston chamber 134 at this point is directly proportional to the ratio of the areas between the upper and lower diaphragm seals 106 and 108. The pressures inside the system then tend to equalize.
The gas in the piston chamber 134 is now free to escape through the restricted exhaust port 126 and into the atmosphere. At the same time, the spring 117 forces the piston 112 upwardly, thus maintaining a back pressure on the lower diaphragm I08 and thus holding the spool 104 against the seal 122. This continues until the upper region of the output shaft 116 contacts the spool 104. Once this contact occurs, the action of the spring 117 maintains the spool 104 against the seal 122. An intermediate step is shown in- FIG. 27, and the final step is shown in FIG. 28. When the system reaches the position shown in FIG. 28, it is ready for another firing operation. It should be noted that in FIG. 28, all regions of the mechanism but for the inlet port 102 are held at atmospheric pressure. The notch 121 on the member 120 allows chamber 132 to communi cate with the exhaust port 126, notwithstanding the contact between element 120 and the port 110.
The vent 124, communicating with the vent chamber 128, is provided to ensure that sluggish operation of the spool and pistonsis prevented. In this manner, no pressure buildup occurs between diaphragms I06 and 108.
With particular reference, now, to FIG. 2 and'FIGS. 29 through 35, the construction and operation of the gearbox will be explained' As best seen in FIG. 2,'the rear portion of the driving member 28 is fitted with a yolk .150 adapted to be engaged by the. forward end of the output shaft 116. When the power unit 17 is fired, the output shaft 116, the driving member 28 and the pusher element 54 are driven forward and effect the formation of a rectangular staple against the anvil 62.
When the member 28 is thrust forward, the inclined surface 32, integral with member-28, moves forward and engages the plunger 34, which plunger 34 moves downwardly against the compression in the biasing spring 35.
As is best shown in FIG. 2, the front surface of the plunger 34 is provided with a notch 152, which notch engages a flange 154 fitted on the bottom of the rear surface of a triangular carrier plate 156. Thus, when the member 28 is thrust forward and the inclined surface 32 engages the plunger 34, the notch 152 in the plunger 34 causes the triangular carrier plate 156 to move downwardly due to the interaction between the notch 152 and the flange 154. In FIG. 34, it can be seen that the flange 154 extends a substantial distance across the triangular carrier plate 156, which carrier plate 156 is adapted to pivot at 157. This arrangement is further shown in FIG. 35 where there are also shown a pair of pins 161 and 163, mounted in the plunger 34, which pins serve to prevent wear on the flange 154 of the triangular carrier plate 156.
In FIGS. 2 and 33, the relative positions of the plunger 34 and the triangular carrier plate 156 are shown when the driving member 28 is out of engagement with the plunger 34. FIG. 34 shows the relative positions of these elements when the plunger 34 engages the inclined surface 32 on the driving member 28 during the stapling operation. When comparing FIGS. 33 and 34, then, it is readily seen that when the plunger 34 moves downwardly, the carrier plate 156 pivots in means of a pivot pin 160. The forwardmost surface of s the pawl 158 is adapted to engage the surface of a sixtoothed ratchet 159. It is seen, though, that in its rest position, the pawl 158 is out of engagement with the teeth of the ratchet 159. The movement of the pawl 158 is restricted by a pin 162, mounted on the rear surface of the pawl and extending through a hole 164 in the carrier plate 156. A second pawl 168 is pivotally mounted on a pin 170 secured to the housing of the gearbox and thus independent of both the carrier plate 156 and the pawl 158. Pawls 158 and 168 are, however, biased towards the ratchet 159 by means of a spring 166. Spring 166 may be replaced by a pair of tension springs (not shown) mounted on the respective pivot pins of the pawl 1 58 and 168. Pawl 168 serves as a stop member for limitingthe rotation of the ratchet 159.
On the lower portion of the carrier plate 156 is an extension carrying a pin 172. Pin 172 extends forwardly a distance sufficient to engage a depression in a clovershaped cam 174 which serves to positively position the elements of the gearbox when the instrument is in its readiness mode. f
With reference to FIG. 32, a main drive gear 176 is shown to-be mounted on the same axis that carries the ratchet 159 and the cam 174. These elements move together and in unison. FIG. 31 shows that the main drive gear 176 engagestwo pinion gears 180, the ratio between the main drive gear 176 and the pinion gears 180 being 6 to I. In thismanner, when the ratchet 159 is turned through the rotation necessary to move from one tooth to the next, each pinion gear 180 turns one complete revolution.
Each pinion gear 180 is mounted on a shaft 181 which terminates in a slot 183. Each slot 183 is adapted to engage a'respective extension 60 integralwith each screw 46. In this manner, when the pinion gear turns through one revolution, the staples are driven forward chefstaple unit.
With particular reference, now, to FIGS. 33 through 35, the operation of the gearbox will be described. Prior to firing the skin stapler (FIG. 33), the driving member 28 is in its rearwardmost position. The plunger 34, with its notch 152, is in its upper position, biased by the spring 35. Thus, the carrier plate 156 is in its full clockwise position, pawl 168 being in engagement with a tooth on the rachet 159. The driving region of pawl 158 is removed from the nearest tooth on the ratchet 159 to allow for slight play in the plate 156 before the ratchet 159 is rotated. This allows the pin 172 to disengage from the depression in the cam 174.
When the driving member 28 moves forward, during a stapling operation, plunger 34 moves down against the force of the spring 35. During the downward movement of the plunger 34, the carrier plate 156 rotates in a counter-clockwise direction about its pivot point 157, pawl 158 rotating the ratchet 159.
In FIG. 34, the elements of the gearbox are shown after the pawl 158 has rotated the ratchet 159 through its maximum angle. This maximum angle is greater than that needed to advance each staple one staple unit. Thus, the gearbox elements are overdriven.
In FIG. 35, the gearbox elements are shown in their overdriven condition, but after the plunger 32 is partially raised due to the member 28 having moved rearwardly for part of its return stroke.
The gearbox operation will now be described. In FIG. 33, the gears are at rest, the member 28 retracted and waiting for an activating charge. The pin 172 is in engagement with a depression in the cam 174 and thus the ratchet 159, the main gear 176 and the pinion gears are locked in place. In this position, the slots 183 are aligned as shown in FIGS. 29 and 30 to allow for the easy insertion or removal of a staple-carrying cartridge.
When the powering unit is fired, the driving member is thrust forward and its inclined surface 32 moves plunger 34 downward. Plunger 34 carries with it plate 156 which rotates in a counter-clockwise direction.
During the first stage of movement, no gears turn. The play between pawl 158 and the nearest tooth in the ratchet 159 allows the pin 172 to move out of the depression in cam 174 before gearrotation. The necessity for this is obvious. Then pawl 158 engages a tooth on the ratchet 174 and rotates the ratchet, the main gear 176 and the pinion gears 180 to the positions shown in FIG. 34.
In the position shown in FIG. 34, the gears are overindexed. That is, they are driven more than is necessary to move the staples one staple unit. This is done to ensure that the slots 183 associated with pinion gears 180 are in proper alignment for insertion or removal of a cartridge.
After the stapling operation, member 28 moves rearwardly, thus allowing the plunger 34 to ride upwardly on the incline 32. This moves the plate 156 and hence the pin 172 into the position shown in FIG. 35 with the pin 172 moving toward the surface of the cam 174. From this position, the spring 35 urges the pin 172 against the surface of the cam 174 with the pin coming into contact with the cam at one of its depressions/Because of the stopping position of this cam, the action of the pin 172 rotates cam 174 in a clockwise direction. This rotation continues until the gear mechanism is in the position shown in FIG. 33, in readiness for another stapling maneuver.
With reference, now, to FIG. 36, a second embodiment of the main body portion of the inventive skin stapler will be described. The main body portion is shown generally at 200 and comprises a region 202 for mounting the cartridge 12 described above with reference to FIGS. 3 through 13. A cam 204, similar to the cam 22 shown in FIG. 2, is provided. The main body portion 200 has a handle region 206 and a trigger 208. A region 210 serves to house a power unit identical with that described in FIGS. 23 through 28.
The handle 206 is threaded at the extremity thereof and is fitted with a plug 214. A pressurized cartridge 216 is filled with a gas such as carbon dioxide and held in the handle 206, and its charge is fed to the powering unit 210 by means of a passage 218, which passage terminates in a chamber 220, similar to the gas inlet port 202 shown in FIG. 23.
The trigger 208 is similar to the triggering mechanism 136 shown in FIG. 24. Therefore, when the trigger 208 is depressed, the output shaft of the power unit is moved slightly so as to initiate the power stroke necessary to drive and form a staple.
When the surgeon uses the instrument 200, all four fingers of one hand wrap around the handle 206 with the thumb of that hand resting against trigger 208. The anvil of the staple-carrying cartridge 12 is pressed against the region of the body to be stapled and the trigger 208 is depressed. The power stroke is initiated, the staple is formed and the unit is then removed from the stapled area and moved to the next area where it is desired to position a staple. The operation is repeated until the incision is completely sutured.
FIG. 37 is a cross-section viewed in the direction of arrows 3737 of FIG. 36. From this Figure, it is evident that the passage 218 communicates with the forwardmost bore in the handle 206 at a position removed from the center thereof. The off-center position is to ensure that the gas passage is not blocked by any .portion of the gas cartridge or the cartridge-piercing mechanism.
In FIGS. 36 and 37, it can be seen that the handle 206 is fitted with a bore 222 adapted to house the gas cartridge 216 and a bore 224- serving to mount the cartridge-piercing'mechanism described below. Bores 222 and 224 are communicated by means of a sloped wall.
As indicated above, it has been found that when gaspowering units have been used in the past, the pin which serves to pierce the gas cartridge tends to wear rapidly. As also noted above, it is contemplated that a loaded and sterilized staple-carrying cartridge be packaged with a filled and sterilized gas-containing cartridge. To' overcome the drawbacks noted above, a piercing mechanism which is simple in design and inexpensive in cost is fitted on a gas cartridge and is adapted to break. the seal of the gas cartridgewhen same is positioned within the handle 206 of the instrument 200 and screwed into place by means of the plug 214.
With reference,,now, to FIGS. 38 and 39, the novel cartridge-piercing mechanism will be described. A bottle containing a pressurized gas such as carbon dioxide is shown at 216. The mouth of the bottle 216 is fitted with a conventional seal 226. A cap 228 is positioned over the mouth of the bottle 21 .6 and an ()-ring 230 serves to seal the joint between the bottle 216 and the cap 228. When packaged and ready for use, a pin shown generally at 232 is positioned between an inwardly directed flange 234 on the cap 228 and the seal 226 of the bottle2l6. The pin 232 comprises a main body region, a pointed region 238 and an end region 240. The end region 240 is fitted with a slot 242 extending entirely thereacross. A passage 246 passes from the extremity of the pin 238 to the extremity of the slot 242.
As seen in FIGS. 36 and 38, when the plug 214 is screwed into the handle 206 the bottle 216 is urged to move toward the base 244 of the bore 224. When this takes place, region 240 abuts the base 244 and thus the pointed region 238 of the pin 232 pierces the seal 226 of the bottle 216. Gas from the bottle 216 is thus forced through the passage 246, out of the slot 242 and into the chamber defined by the bore 224.
The cap 228 has a thin extension 248 which is flexible and which comfortably rests against the wall of the core 224. When the pressurized gas passes into the chamber defined by the bore 224, it rushes into the region between the main body of the cap 228 and the extension 248, thus forcing the extension 248 against the wall of the bore 224. In this manner, the passage of gas is prevented from backing up into the handle 206.
Above, there have been described specific embodiments of the present invention. It should be noted, however, that the above description was given for illustrative purposes only and that many alterations and modifications may be practiced by those skilled in the art without departing from the spirit or the scope of the invention. It is the intent therefore that the present invention not be limited to the above but be limited only as defined in the appended claims.
What is claimed is:
5 l. A gas-powered driving unit for converting gas pressure into a single forward thrust and for then returning to its static readiness position, the unit comprising: a body defining a plurality of chambers including an inlet chamber and a piston chamber; an inlet-port in said body for the introduction of pressurized gas into said body; a piston mounted to reciprocate between a forward and returned position in said piston chamber;
spool valve means intermediate said inlet port and said piston for sealing said inlet port, said'spool valve means mounted to reciprocate in said body into and away from sealing engagement with said inlet port and away from and into sealing engagement with said piston chamber; biasing means for urging said piston towards said inlet port, said biasing means further biasing said spool valve means via said piston into sealing engagement with said inlet port-when said piston reciprocates to its return position; sealing means connected to said spool means and defining said inlet chamber between said sealing means and said inlet port; the area of said spool valve means exposed to said' piston chamber and the area of said spool valve means and said sealing means in the inlet chamber when said spool valve means is in sealing engagement with said piston chamber being such that equal pressure in both said cham- 40 bers urges the spool means towards said inlet port: a
transfer port through said spool valve means communicating between said inlet chamber and said piston chamber; a seal connected to said piston for preventing thepassage of pressurized gas past said piston and out of said piston chamber; exhaust means for relieving pressure from said piston chamber for permitting the return stroke of said piston; and triggering means connected to said body for overcoming the bias imparted to said spool valve means by said biasing means so that the gas pressure in said inlet port can be introduced into said inlet chamber and thence through the transfer port to the piston chamber to cause said piston to reciprocate to its forward position, and further so that when pressure substantially equalizes in said piston chamber and said inlet chamber via said transfer port, said spool means moves into sealing engagement with said inlet port whereupon the gas pressure in said piston chamber is relieved and said biasing means moves said piston back to its return position.
2. The unit as defined in claim 1 wherein said transfer port is of a small orifice size so that a finite period of time elapses between the time when said spool valve means moves out of sealing engagement with said inlet port and the time when enough pressurized gas flows through said transfer port to equalize the pressure in said inlet chamber and said piston chamber, said finite time period being sufficiently long to enable the piston to substantially move from its return position to its forward position under the influence of the gas pressure in the piston chamber.
3. The unit of claim 1 wherein said exhaust means is an exhaust port communicating on one side with said transfer port and said piston chamber during the return stroke of said piston and on its other side with the atmosphere.
4. The unit as defined in claim 3 wherein said exhaust port is of a small orifice size so that the pressure of the gas in said piston chamber remains high enough to move said spool valve into sealing engagement with said inlet port and keep said spool valve in sealing engagement with said inlet port until said piston means therewith.
Claims (6)
1. A gas-powered driving unit for converting gas pressure into a single forward thrust and for then returning to its static readiness position, the unit comprising: a body defining a plurality of chambers including an inlet chamber and a piston chamber; an inlet port in said body for the introduction of pressurized gas into said body; a piston mounted to reciprocate between a forward and returned position in said piston chamber; spool valve means intermediate said inlet port and said piston for sealing said inlet port, said spool valve means mounted to reciprocate in said body into and away from sealing engagement with said inlet port and away from and into sealing engagement with said piston chamber; biasing means for urging said piston towards said inlet port, said biasing means further biasing said spool valve means via said piston into sealing engagement with said inlet port when said piston reciprocates to its return position; sealing means connected to said spool means and defining said inlet chamber between said sealing means and said inlet port; the area of said spool valve means exposed to said piston chamber and the area of said spool valve means and said sealing means in the inlet chamber when said spool valve means is in sealing engagement with said piston chamber being such that equal pressure in both said chambers urges the spool means towards said inlet port: a transfer port through said spool valve means communicating between said inlet chamber and said piston chamber; a seal connected to said piston for preventing the passage of pressurized gas past said piston and out of said piston chamber; exhaust means for relieving pressure from said piston chamber for permitting the return stroke of said piston; and triggering means connected to said body for overcoming the bias imparted to said spool valve means by said biasing means so that the gas pressure in said inlet pOrt can be introduced into said inlet chamber and thence through the transfer port to the piston chamber to cause said piston to reciprocate to its forward position, and further so that when pressure substantially equalizes in said piston chamber and said inlet chamber via said transfer port, said spool means moves into sealing engagement with said inlet port whereupon the gas pressure in said piston chamber is relieved and said biasing means moves said piston back to its return position.
2. The unit as defined in claim 1 wherein said transfer port is of a small orifice size so that a finite period of time elapses between the time when said spool valve means moves out of sealing engagement with said inlet port and the time when enough pressurized gas flows through said transfer port to equalize the pressure in said inlet chamber and said piston chamber, said finite time period being sufficiently long to enable the piston to substantially move from its return position to its forward position under the influence of the gas pressure in the piston chamber.
3. The unit of claim 1 wherein said exhaust means is an exhaust port communicating on one side with said transfer port and said piston chamber during the return stroke of said piston and on its other side with the atmosphere.
4. The unit as defined in claim 3 wherein said exhaust port is of a small orifice size so that the pressure of the gas in said piston chamber remains high enough to move said spool valve into sealing engagement with said inlet port and keep said spool valve in sealing engagement with said inlet port until said piston means returns to its return position so that said biasing means can then urge said spool valve means into sealing engagement with said inlet port via said piston.
5. The unit as defined in claim 3 wherein said sealing means includes first and second seals which define a chamber therebetween, said body having a vent port communicating on one side with said chamber intermediate said first and second seals and on its other side with the atmosphere.
6. The unit as defined in claim 1 wherein said piston means comprises a piston and an output shaft integral therewith.
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US00125077A US3815476A (en) | 1969-08-25 | 1971-03-17 | Gas powered driving unit for surgical instrument |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US85282269A | 1969-08-25 | 1969-08-25 | |
US00125077A US3815476A (en) | 1969-08-25 | 1971-03-17 | Gas powered driving unit for surgical instrument |
Publications (1)
Publication Number | Publication Date |
---|---|
US3815476A true US3815476A (en) | 1974-06-11 |
Family
ID=25314300
Family Applications (2)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US852822A Expired - Lifetime US3643851A (en) | 1969-08-25 | 1969-08-25 | Skin stapler |
US00125077A Expired - Lifetime US3815476A (en) | 1969-08-25 | 1971-03-17 | Gas powered driving unit for surgical instrument |
Family Applications Before (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US852822A Expired - Lifetime US3643851A (en) | 1969-08-25 | 1969-08-25 | Skin stapler |
Country Status (8)
Country | Link |
---|---|
US (2) | US3643851A (en) |
JP (2) | JPS4842438B1 (en) |
CA (3) | CA953997A (en) |
DE (1) | DE2065742A1 (en) |
FR (1) | FR2059173A5 (en) |
GB (1) | GB1328841A (en) |
SE (2) | SE373496B (en) |
SU (1) | SU419001A3 (en) |
Cited By (467)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4223592A (en) * | 1978-08-28 | 1980-09-23 | Westinghouse Electric Corp. | Pneumatic operating-mechanism construction |
US4331277A (en) * | 1980-05-23 | 1982-05-25 | United States Surgical Corporation | Self-contained gas powered surgical stapler |
US4349028A (en) * | 1980-10-03 | 1982-09-14 | United States Surgical Corporation | Surgical stapling apparatus having self-contained pneumatic system for completing manually initiated motion sequence |
US4422567A (en) * | 1981-11-17 | 1983-12-27 | Haynes Taylor H | Medical suturing device |
EP0170424A1 (en) * | 1984-07-03 | 1986-02-05 | Sencorp | A magazine system for a fastener driving tool |
GB2166196A (en) * | 1984-10-26 | 1986-04-30 | Peter Rebbettes | Fluid operated actuator |
US4874122A (en) * | 1986-07-14 | 1989-10-17 | Minnesota Mining And Manufacturing Company | Bent back box staple and staple closing mechanism with split actuator |
US4938408A (en) * | 1988-01-15 | 1990-07-03 | Ethicon, Inc. | Surgical stapler safety and sequencing mechanisms |
EP0536903A2 (en) * | 1991-09-12 | 1993-04-14 | Ethicon, Inc. | Multiple fire endoscopic stapling mechanism |
US5312023A (en) * | 1991-10-18 | 1994-05-17 | United States Surgical Corporation | Self contained gas powered surgical apparatus |
US5326013A (en) * | 1991-10-18 | 1994-07-05 | United States Surgical Corporation | Self contained gas powered surgical apparatus |
US5364001A (en) * | 1991-10-18 | 1994-11-15 | United States Surgical Corporation | Self contained gas powered surgical apparatus |
AU657364B2 (en) * | 1991-10-18 | 1995-03-09 | United States Surgical Corporation | Self contained gas powered surgical apparatus |
US5397046A (en) * | 1991-10-18 | 1995-03-14 | United States Surgical Corporation | Lockout mechanism for surgical apparatus |
EP0685203A2 (en) * | 1994-05-05 | 1995-12-06 | United States Surgical Corporation | Self-contained powered surgical apparatus |
US5478003A (en) * | 1991-10-18 | 1995-12-26 | United States Surgical Corporation | Surgical apparatus |
US5487499A (en) * | 1993-10-08 | 1996-01-30 | United States Surgical Corporation | Surgical apparatus for applying surgical fasteners including a counter |
US5628446A (en) * | 1994-05-05 | 1997-05-13 | United States Surgical Corporation | Self-contained powered surgical apparatus |
US5653374A (en) * | 1994-08-05 | 1997-08-05 | United States Surgical Corporation | Self-contained powered surgical apparatus |
US5657921A (en) * | 1994-08-05 | 1997-08-19 | United States Surgical Corporation | Apparatus for applying surgical fasteners |
US5711472A (en) * | 1991-10-18 | 1998-01-27 | United States Surgical Corporation | Self contained gas powered surgical apparatus |
US5779130A (en) * | 1994-08-05 | 1998-07-14 | United States Surgical Corporation | Self-contained powered surgical apparatus |
US5862972A (en) * | 1993-10-14 | 1999-01-26 | United States Surgical Corporation | Gas powered apparatus for applying surgical fasteners to body tissue |
US6250532B1 (en) * | 1991-10-18 | 2001-06-26 | United States Surgical Corporation | Surgical stapling apparatus |
US6264087B1 (en) | 1999-07-12 | 2001-07-24 | Powermed, Inc. | Expanding parallel jaw device for use with an electromechanical driver device |
US20010031975A1 (en) * | 1999-06-02 | 2001-10-18 | Whitman Michael P. | Electro-mechanical surgical device |
US6315184B1 (en) | 1999-06-02 | 2001-11-13 | Powermed, Inc. | Stapling device for use with an electromechanical driver device for use with anastomosing, stapling, and resecting instruments |
US6348061B1 (en) | 2000-02-22 | 2002-02-19 | Powermed, Inc. | Vessel and lumen expander attachment for use with an electromechanical driver device |
US6443973B1 (en) | 1999-06-02 | 2002-09-03 | Power Medical Interventions, Inc. | Electromechanical driver device for use with anastomosing, stapling, and resecting instruments |
US6488197B1 (en) | 2000-02-22 | 2002-12-03 | Power Medical Interventions, Inc. | Fluid delivery device for use with anastomosing resecting and stapling instruments |
US6491201B1 (en) | 2000-02-22 | 2002-12-10 | Power Medical Interventions, Inc. | Fluid delivery mechanism for use with anastomosing, stapling, and resecting instruments |
US6517565B1 (en) | 1999-06-02 | 2003-02-11 | Power Medical Interventions, Inc. | Carriage assembly for controlling a steering wire steering mechanism within a flexible shaft |
US6533157B1 (en) | 2000-02-22 | 2003-03-18 | Power Medical Interventions, Inc. | Tissue stapling attachment for use with an electromechanical driver device |
US20030125717A1 (en) * | 2001-12-04 | 2003-07-03 | Whitman Michael P. | System and method for calibrating a surgical instrument |
US6716233B1 (en) | 1999-06-02 | 2004-04-06 | Power Medical Interventions, Inc. | Electromechanical driver and remote surgical instrument attachment having computer assisted control capabilities |
US20040094597A1 (en) * | 2002-06-14 | 2004-05-20 | Whitman Michael P. | Surgical device |
US6793652B1 (en) | 1999-06-02 | 2004-09-21 | Power Medical Interventions, Inc. | Electro-mechanical surgical device |
US7032798B2 (en) | 1999-06-02 | 2006-04-25 | Power Medical Interventions, Inc. | Electro-mechanical surgical device |
DE102006024759B3 (en) * | 2006-05-27 | 2008-01-31 | Aesculap Ag & Co. Kg | Surgical instrument e.g. pincer, has movable switching unit fixed in initial position by release unit and opened by actuation of release unit, and piston pneumatically sealed in operating chamber |
US20080029573A1 (en) * | 2006-08-02 | 2008-02-07 | Shelton Frederick E | Pneumatically powered surgical cutting and fastening instrument with replaceable power sources |
EP1859749A3 (en) * | 2006-05-27 | 2008-05-21 | AESCULAP AG & Co. KG | Surgical instrument actuated by gas pressure |
US20080135598A1 (en) * | 2006-11-09 | 2008-06-12 | Stanley Fastening Systems, L.P. | Cordless fastener driving device |
US7695485B2 (en) | 2001-11-30 | 2010-04-13 | Power Medical Interventions, Llc | Surgical device |
US7740159B2 (en) | 2006-08-02 | 2010-06-22 | Ethicon Endo-Surgery, Inc. | Pneumatically powered surgical cutting and fastening instrument with a variable control of the actuating rate of firing with mechanical power assist |
US20100305624A1 (en) * | 2009-05-26 | 2010-12-02 | Zimmer, Inc. | Bone fixation tool |
WO2011006547A1 (en) * | 2009-07-17 | 2011-01-20 | Aesculap Ag | Compressed gas operated instrument, in particular surgical instrument |
US7918230B2 (en) | 2007-09-21 | 2011-04-05 | Tyco Healthcare Group Lp | Surgical device having a rotatable jaw portion |
US7951071B2 (en) | 1999-06-02 | 2011-05-31 | Tyco Healthcare Group Lp | Moisture-detecting shaft for use with an electro-mechanical surgical device |
US7963433B2 (en) | 2007-09-21 | 2011-06-21 | Tyco Healthcare Group Lp | Surgical device having multiple drivers |
US8016855B2 (en) | 2002-01-08 | 2011-09-13 | Tyco Healthcare Group Lp | Surgical device |
US8025199B2 (en) | 2004-02-23 | 2011-09-27 | Tyco Healthcare Group Lp | Surgical cutting and stapling device |
US20110296739A1 (en) * | 2009-03-04 | 2011-12-08 | Craig Richard Bond | Trap |
US9113878B2 (en) | 2002-01-08 | 2015-08-25 | Covidien Lp | Pinion clip for right angle linear cutter |
US9566077B2 (en) | 2012-08-08 | 2017-02-14 | Aesculap Ag | Pneumatically actuatable surgical instrument |
WO2017181144A3 (en) * | 2016-04-15 | 2017-11-09 | Establishment Labs S.A. | Apparatuses for the implantation of medical devices |
US20170354409A1 (en) * | 2013-09-23 | 2017-12-14 | Ethicon Llc | Surgical stapler with rotary cam drive |
US9987067B2 (en) | 2012-07-11 | 2018-06-05 | Zimmer, Inc. | Bone fixation tool |
US20180177504A1 (en) * | 2012-08-08 | 2018-06-28 | Mani, Inc. | Anvil for medical stapler |
US10149680B2 (en) | 2013-04-16 | 2018-12-11 | Ethicon Llc | Surgical instrument comprising a gap setting system |
US10149682B2 (en) | 2010-09-30 | 2018-12-11 | Ethicon Llc | Stapling system including an actuation system |
US10159483B2 (en) | 2015-02-27 | 2018-12-25 | Ethicon Llc | Surgical apparatus configured to track an end-of-life parameter |
US10172616B2 (en) | 2006-09-29 | 2019-01-08 | Ethicon Llc | Surgical staple cartridge |
US10172620B2 (en) | 2015-09-30 | 2019-01-08 | Ethicon Llc | Compressible adjuncts with bonding nodes |
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 |
US10179017B2 (en) | 2014-04-03 | 2019-01-15 | Zimmer, Inc. | Orthopedic tool for bone fixation |
US10188385B2 (en) | 2014-12-18 | 2019-01-29 | Ethicon Llc | Surgical instrument system comprising lockable systems |
US10201363B2 (en) | 2006-01-31 | 2019-02-12 | Ethicon Llc | Motor-driven surgical instrument |
US10201364B2 (en) | 2014-03-26 | 2019-02-12 | Ethicon Llc | Surgical instrument comprising a rotatable shaft |
US10201349B2 (en) | 2013-08-23 | 2019-02-12 | Ethicon Llc | End effector detection and firing rate modulation systems for surgical instruments |
US10206677B2 (en) | 2014-09-26 | 2019-02-19 | Ethicon Llc | Surgical staple and driver arrangements for staple cartridges |
US10206676B2 (en) | 2008-02-14 | 2019-02-19 | Ethicon Llc | Surgical cutting and fastening instrument |
US10206605B2 (en) | 2015-03-06 | 2019-02-19 | Ethicon Llc | Time dependent evaluation of sensor data to determine stability, creep, and viscoelastic elements of measures |
US10211586B2 (en) | 2017-06-28 | 2019-02-19 | Ethicon Llc | Surgical shaft assemblies with watertight housings |
US10206678B2 (en) | 2006-10-03 | 2019-02-19 | Ethicon Llc | Surgical stapling instrument with lockout features to prevent advancement of a firing assembly unless an unfired surgical staple cartridge is operably mounted in an end effector portion of the instrument |
US10213262B2 (en) | 2006-03-23 | 2019-02-26 | Ethicon Llc | Manipulatable surgical systems with selectively articulatable fastening device |
US10213201B2 (en) | 2015-03-31 | 2019-02-26 | Ethicon Llc | Stapling end effector configured to compensate for an uneven gap between a first jaw and a second jaw |
US10226249B2 (en) | 2013-03-01 | 2019-03-12 | Ethicon Llc | Articulatable surgical instruments with conductive pathways for signal communication |
US10231794B2 (en) | 2011-05-27 | 2019-03-19 | Ethicon Llc | Surgical stapling instruments with rotatable staple deployment arrangements |
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 |
US10238391B2 (en) | 2013-03-14 | 2019-03-26 | Ethicon Llc | Drive train control arrangements for modular surgical instruments |
US10245035B2 (en) | 2005-08-31 | 2019-04-02 | Ethicon Llc | Stapling assembly configured to produce different formed staple heights |
US10245033B2 (en) | 2015-03-06 | 2019-04-02 | Ethicon Llc | Surgical instrument comprising a lockable battery housing |
US10245032B2 (en) | 2005-08-31 | 2019-04-02 | Ethicon Llc | Staple cartridges for forming staples having differing formed staple heights |
US10245030B2 (en) | 2016-02-09 | 2019-04-02 | Ethicon Llc | Surgical instruments with tensioning arrangements for cable driven articulation systems |
US10245027B2 (en) | 2014-12-18 | 2019-04-02 | Ethicon Llc | Surgical instrument with an anvil that is selectively movable about a discrete non-movable axis relative to a staple cartridge |
US10258331B2 (en) | 2016-02-12 | 2019-04-16 | Ethicon Llc | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US10258332B2 (en) | 2010-09-30 | 2019-04-16 | Ethicon Llc | Stapling system comprising an adjunct and a flowable adhesive |
US10258333B2 (en) | 2012-06-28 | 2019-04-16 | Ethicon Llc | Surgical fastening apparatus with a rotary end effector drive shaft for selective engagement with a motorized drive system |
US10258418B2 (en) | 2017-06-29 | 2019-04-16 | Ethicon Llc | System for controlling articulation forces |
US10265074B2 (en) | 2010-09-30 | 2019-04-23 | Ethicon Llc | Implantable layers for surgical stapling devices |
US10265068B2 (en) | 2015-12-30 | 2019-04-23 | Ethicon Llc | Surgical instruments with separable motors and motor control circuits |
US10271846B2 (en) | 2005-08-31 | 2019-04-30 | Ethicon Llc | Staple cartridge for use with a surgical stapler |
US10271849B2 (en) | 2015-09-30 | 2019-04-30 | Ethicon Llc | Woven constructs with interlocked standing fibers |
US10278780B2 (en) | 2007-01-10 | 2019-05-07 | Ethicon Llc | Surgical instrument for use with robotic system |
US10278702B2 (en) | 2004-07-28 | 2019-05-07 | Ethicon Llc | Stapling system comprising a firing bar and a lockout |
US10293100B2 (en) | 2004-07-28 | 2019-05-21 | Ethicon Llc | Surgical stapling instrument having a medical substance dispenser |
US10292704B2 (en) | 2015-12-30 | 2019-05-21 | Ethicon Llc | Mechanisms for compensating for battery pack failure in powered surgical instruments |
US10299878B2 (en) | 2015-09-25 | 2019-05-28 | Ethicon Llc | Implantable adjunct systems for determining adjunct skew |
US10299792B2 (en) | 2014-04-16 | 2019-05-28 | Ethicon Llc | Fastener cartridge comprising non-uniform fasteners |
US10299787B2 (en) | 2007-06-04 | 2019-05-28 | Ethicon Llc | Stapling system comprising rotary inputs |
US10307163B2 (en) | 2008-02-14 | 2019-06-04 | Ethicon Llc | Detachable motor powered surgical instrument |
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 |
US10314589B2 (en) | 2006-06-27 | 2019-06-11 | Ethicon Llc | Surgical instrument including a shifting assembly |
USD851762S1 (en) | 2017-06-28 | 2019-06-18 | Ethicon Llc | Anvil |
US10327769B2 (en) | 2015-09-23 | 2019-06-25 | Ethicon Llc | Surgical stapler having motor control based on a drive system component |
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 |
US10335145B2 (en) | 2016-04-15 | 2019-07-02 | Ethicon Llc | Modular surgical instrument with configurable operating mode |
US10335148B2 (en) | 2010-09-30 | 2019-07-02 | Ethicon Llc | Staple cartridge including a tissue thickness compensator for a surgical stapler |
USD854151S1 (en) | 2017-06-28 | 2019-07-16 | Ethicon Llc | Surgical instrument shaft |
US10357247B2 (en) | 2016-04-15 | 2019-07-23 | Ethicon Llc | Surgical instrument with multiple program responses during a firing motion |
US10363031B2 (en) | 2010-09-30 | 2019-07-30 | Ethicon Llc | Tissue thickness compensators for surgical staplers |
US10363037B2 (en) | 2016-04-18 | 2019-07-30 | Ethicon Llc | Surgical instrument system comprising a magnetic lockout |
US10363036B2 (en) | 2015-09-23 | 2019-07-30 | Ethicon Llc | Surgical stapler having force-based motor control |
US10368865B2 (en) | 2015-12-30 | 2019-08-06 | Ethicon Llc | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US10368864B2 (en) | 2017-06-20 | 2019-08-06 | Ethicon Llc | Systems and methods for controlling displaying motor velocity for a surgical instrument |
US10376263B2 (en) | 2016-04-01 | 2019-08-13 | Ethicon Llc | Anvil modification members for surgical staplers |
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 |
US10398433B2 (en) | 2007-03-28 | 2019-09-03 | Ethicon Llc | Laparoscopic clamp load measuring devices |
US10398434B2 (en) | 2017-06-29 | 2019-09-03 | Ethicon Llc | Closed loop velocity control of closure member for robotic surgical instrument |
US10405859B2 (en) | 2016-04-15 | 2019-09-10 | Ethicon Llc | Surgical instrument with adjustable stop/start control during a firing motion |
US10413294B2 (en) | 2012-06-28 | 2019-09-17 | Ethicon Llc | Shaft assembly arrangements for surgical instruments |
US10420549B2 (en) | 2008-09-23 | 2019-09-24 | Ethicon Llc | Motorized surgical instrument |
US10420550B2 (en) | 2009-02-06 | 2019-09-24 | Ethicon Llc | Motor driven surgical fastener device with switching system configured to prevent firing initiation until activated |
US10426481B2 (en) | 2014-02-24 | 2019-10-01 | Ethicon Llc | Implantable layer assemblies |
US10426471B2 (en) | 2016-12-21 | 2019-10-01 | Ethicon Llc | Surgical instrument with multiple failure response modes |
US10426463B2 (en) | 2006-01-31 | 2019-10-01 | Ehticon LLC | Surgical instrument having a feedback system |
US10426467B2 (en) | 2016-04-15 | 2019-10-01 | Ethicon Llc | Surgical instrument with detection sensors |
US10441285B2 (en) | 2012-03-28 | 2019-10-15 | Ethicon Llc | Tissue thickness compensator comprising tissue ingrowth features |
US10441279B2 (en) | 2015-03-06 | 2019-10-15 | Ethicon Llc | Multiple level thresholds to modify operation of powered surgical instruments |
US10448948B2 (en) | 2016-02-12 | 2019-10-22 | Ethicon Llc | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US10448950B2 (en) | 2016-12-21 | 2019-10-22 | Ethicon Llc | Surgical staplers with independently actuatable closing and firing systems |
US10456137B2 (en) | 2016-04-15 | 2019-10-29 | Ethicon Llc | Staple formation detection mechanisms |
US10463370B2 (en) | 2008-02-14 | 2019-11-05 | Ethicon Llc | Motorized surgical instrument |
US10485543B2 (en) | 2016-12-21 | 2019-11-26 | Ethicon Llc | Anvil having a knife slot width |
US10485539B2 (en) | 2006-01-31 | 2019-11-26 | Ethicon Llc | Surgical instrument with firing lockout |
US10485536B2 (en) | 2010-09-30 | 2019-11-26 | Ethicon Llc | Tissue stapler having an anti-microbial agent |
US10492785B2 (en) | 2016-12-21 | 2019-12-03 | Ethicon Llc | Shaft assembly comprising a lockout |
US10492783B2 (en) | 2016-04-15 | 2019-12-03 | Ethicon, Llc | Surgical instrument with improved stop/start control during a firing motion |
US10499914B2 (en) | 2016-12-21 | 2019-12-10 | Ethicon Llc | Staple forming pocket arrangements |
USD869655S1 (en) | 2017-06-28 | 2019-12-10 | Ethicon Llc | Surgical fastener cartridge |
US10517590B2 (en) | 2007-01-10 | 2019-12-31 | Ethicon Llc | Powered surgical instrument having a transmission system |
US10517595B2 (en) | 2016-12-21 | 2019-12-31 | Ethicon Llc | Jaw actuated lock arrangements for preventing advancement of a firing member in a surgical end effector unless an unfired cartridge is installed in the end effector |
US10517594B2 (en) | 2014-10-29 | 2019-12-31 | Ethicon Llc | Cartridge assemblies for surgical staplers |
US10524787B2 (en) | 2015-03-06 | 2020-01-07 | Ethicon Llc | Powered surgical instrument with parameter-based firing rate |
US10524790B2 (en) | 2011-05-27 | 2020-01-07 | Ethicon Llc | Robotically-controlled surgical stapling devices that produce formed staples having different lengths |
US10531887B2 (en) | 2015-03-06 | 2020-01-14 | Ethicon Llc | Powered surgical instrument including speed display |
US10537325B2 (en) | 2016-12-21 | 2020-01-21 | Ethicon Llc | Staple forming pocket arrangement to accommodate different types of staples |
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 |
US10568625B2 (en) | 2016-12-21 | 2020-02-25 | Ethicon Llc | Staple cartridges and arrangements of staples and staple cavities therein |
US10568626B2 (en) | 2016-12-21 | 2020-02-25 | Ethicon Llc | Surgical instruments with jaw opening features for increasing a jaw opening distance |
US10575868B2 (en) | 2013-03-01 | 2020-03-03 | Ethicon Llc | Surgical instrument with coupler assembly |
US10588633B2 (en) | 2017-06-28 | 2020-03-17 | Ethicon Llc | Surgical instruments with open and closable jaws and axially movable firing member that is initially parked in close proximity to the jaws prior to firing |
US10588623B2 (en) | 2010-09-30 | 2020-03-17 | Ethicon Llc | Adhesive film laminate |
US10588632B2 (en) | 2016-12-21 | 2020-03-17 | Ethicon Llc | Surgical end effectors and firing members thereof |
US10588626B2 (en) | 2014-03-26 | 2020-03-17 | Ethicon Llc | Surgical instrument displaying subsequent step of use |
USD879809S1 (en) | 2017-06-20 | 2020-03-31 | Ethicon Llc | Display panel with changeable graphical user interface |
USD879808S1 (en) | 2017-06-20 | 2020-03-31 | Ethicon Llc | Display panel with graphical user interface |
US10617417B2 (en) | 2014-11-06 | 2020-04-14 | Ethicon Llc | Staple cartridge comprising a releasable adjunct material |
US10617418B2 (en) | 2015-08-17 | 2020-04-14 | Ethicon Llc | Implantable layers for a surgical instrument |
US10617412B2 (en) | 2015-03-06 | 2020-04-14 | Ethicon Llc | System for detecting the mis-insertion of a staple cartridge into a surgical stapler |
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 |
US10617416B2 (en) | 2013-03-14 | 2020-04-14 | Ethicon Llc | Control systems for surgical instruments |
US10624633B2 (en) | 2017-06-20 | 2020-04-21 | Ethicon Llc | Systems and methods for controlling motor velocity of a surgical stapling and cutting instrument |
US10624861B2 (en) | 2010-09-30 | 2020-04-21 | Ethicon Llc | Tissue thickness compensator configured to redistribute compressive forces |
US10631859B2 (en) | 2017-06-27 | 2020-04-28 | Ethicon Llc | Articulation systems for surgical instruments |
US10639115B2 (en) | 2012-06-28 | 2020-05-05 | Ethicon Llc | Surgical end effectors having angled tissue-contacting surfaces |
US10646220B2 (en) | 2017-06-20 | 2020-05-12 | Ethicon Llc | Systems and methods for controlling displacement member velocity for a surgical instrument |
US10660640B2 (en) | 2008-02-14 | 2020-05-26 | Ethicon Llc | Motorized surgical cutting and fastening instrument |
US10667809B2 (en) | 2016-12-21 | 2020-06-02 | Ethicon Llc | Staple cartridge and staple cartridge channel comprising windows defined therein |
US10667808B2 (en) | 2012-03-28 | 2020-06-02 | Ethicon Llc | Staple cartridge comprising an absorbable adjunct |
US10675028B2 (en) | 2006-01-31 | 2020-06-09 | Ethicon Llc | Powered surgical instruments with firing system lockout arrangements |
US10682142B2 (en) | 2008-02-14 | 2020-06-16 | Ethicon Llc | Surgical stapling apparatus including an articulation system |
US10682134B2 (en) | 2017-12-21 | 2020-06-16 | Ethicon Llc | Continuous use self-propelled stapling instrument |
US10687813B2 (en) | 2017-12-15 | 2020-06-23 | Ethicon Llc | Adapters with firing stroke sensing arrangements for use in connection with electromechanical surgical instruments |
US10687806B2 (en) | 2015-03-06 | 2020-06-23 | Ethicon Llc | Adaptive tissue compression techniques to adjust closure rates for multiple tissue types |
US10695062B2 (en) | 2010-10-01 | 2020-06-30 | Ethicon Llc | Surgical instrument including a retractable firing member |
US10695063B2 (en) | 2012-02-13 | 2020-06-30 | Ethicon Llc | Surgical cutting and fastening instrument with apparatus for determining cartridge and firing motion status |
US10695058B2 (en) | 2014-12-18 | 2020-06-30 | Ethicon Llc | Surgical instrument systems comprising an articulatable end effector and means for adjusting the firing stroke of a firing member |
US10702267B2 (en) | 2007-03-15 | 2020-07-07 | Ethicon Llc | Surgical stapling instrument having a releasable buttress material |
US10716565B2 (en) | 2017-12-19 | 2020-07-21 | Ethicon Llc | Surgical instruments with dual articulation drivers |
US10716614B2 (en) | 2017-06-28 | 2020-07-21 | Ethicon Llc | Surgical shaft assemblies with slip ring assemblies with increased contact pressure |
USD890784S1 (en) | 2017-06-20 | 2020-07-21 | Ethicon Llc | Display panel with changeable graphical user interface |
US10729509B2 (en) | 2017-12-19 | 2020-08-04 | Ethicon Llc | Surgical instrument comprising closure and firing locking mechanism |
US10729501B2 (en) | 2017-09-29 | 2020-08-04 | Ethicon Llc | Systems and methods for language selection of a surgical instrument |
US10736636B2 (en) | 2014-12-10 | 2020-08-11 | Ethicon Llc | Articulatable surgical instrument system |
US10736630B2 (en) | 2014-10-13 | 2020-08-11 | Ethicon Llc | Staple cartridge |
US10736628B2 (en) | 2008-09-23 | 2020-08-11 | Ethicon Llc | Motor-driven surgical cutting instrument |
US10743849B2 (en) | 2006-01-31 | 2020-08-18 | Ethicon Llc | Stapling system including an articulation system |
US10743873B2 (en) | 2014-12-18 | 2020-08-18 | Ethicon Llc | Drive arrangements for articulatable surgical instruments |
US10743875B2 (en) | 2017-12-15 | 2020-08-18 | Ethicon Llc | Surgical end effectors with jaw stiffener arrangements configured to permit monitoring of firing member |
US10743872B2 (en) | 2017-09-29 | 2020-08-18 | Ethicon Llc | System and methods for controlling a display of a surgical instrument |
US10743874B2 (en) | 2017-12-15 | 2020-08-18 | Ethicon Llc | Sealed adapters for use with electromechanical surgical instruments |
US10743851B2 (en) | 2008-02-14 | 2020-08-18 | Ethicon Llc | Interchangeable tools for surgical instruments |
US10743870B2 (en) | 2008-02-14 | 2020-08-18 | Ethicon Llc | Surgical stapling apparatus with interlockable firing system |
US10751076B2 (en) | 2009-12-24 | 2020-08-25 | Ethicon Llc | Motor-driven surgical cutting instrument with electric actuator directional control assembly |
US10758229B2 (en) | 2016-12-21 | 2020-09-01 | Ethicon Llc | Surgical instrument comprising improved jaw control |
US10758230B2 (en) | 2016-12-21 | 2020-09-01 | Ethicon Llc | Surgical instrument with primary and safety processors |
US10765425B2 (en) | 2008-09-23 | 2020-09-08 | Ethicon Llc | Robotically-controlled motorized surgical instrument with an end effector |
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 |
US10765427B2 (en) | 2017-06-28 | 2020-09-08 | Ethicon Llc | Method for articulating a surgical instrument |
US10772625B2 (en) | 2015-03-06 | 2020-09-15 | Ethicon Llc | Signal and power communication system positioned on a rotatable shaft |
US10772629B2 (en) | 2017-06-27 | 2020-09-15 | Ethicon Llc | Surgical anvil arrangements |
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 |
US10779826B2 (en) | 2017-12-15 | 2020-09-22 | Ethicon Llc | Methods of operating surgical end effectors |
US10779821B2 (en) | 2018-08-20 | 2020-09-22 | Ethicon Llc | Surgical stapler anvils with tissue stop features configured to avoid tissue pinch |
US10779824B2 (en) | 2017-06-28 | 2020-09-22 | Ethicon Llc | Surgical instrument comprising an articulation system lockable by a closure system |
US10780539B2 (en) | 2011-05-27 | 2020-09-22 | Ethicon Llc | Stapling instrument for use with a robotic system |
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 |
US10779903B2 (en) | 2017-10-31 | 2020-09-22 | Ethicon Llc | Positive shaft rotation lock activated by jaw closure |
US10796471B2 (en) | 2017-09-29 | 2020-10-06 | Ethicon Llc | Systems and methods of displaying a knife position for a surgical instrument |
US10806449B2 (en) | 2005-11-09 | 2020-10-20 | Ethicon Llc | End effectors for surgical staplers |
US10806448B2 (en) | 2014-12-18 | 2020-10-20 | Ethicon Llc | Surgical instrument assembly comprising a flexible articulation system |
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 |
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 |
US10828028B2 (en) | 2016-04-15 | 2020-11-10 | Ethicon Llc | Surgical instrument with multiple program responses during a firing motion |
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 |
US10842490B2 (en) | 2017-10-31 | 2020-11-24 | Ethicon Llc | Cartridge body design with force reduction based on firing completion |
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 |
US10842491B2 (en) | 2006-01-31 | 2020-11-24 | Ethicon Llc | Surgical system with an actuation console |
US10856869B2 (en) | 2017-06-27 | 2020-12-08 | Ethicon Llc | Surgical anvil arrangements |
US10856870B2 (en) | 2018-08-20 | 2020-12-08 | Ethicon Llc | Switching arrangements for motor powered articulatable surgical instruments |
US10863986B2 (en) | 2015-09-23 | 2020-12-15 | Ethicon Llc | Surgical stapler having downstream current-based motor control |
US10869666B2 (en) | 2017-12-15 | 2020-12-22 | Ethicon Llc | Adapters with control systems for controlling multiple motors of an electromechanical surgical instrument |
USD906355S1 (en) | 2017-06-28 | 2020-12-29 | Ethicon Llc | Display screen or portion thereof with a graphical user interface for a surgical instrument |
US10881396B2 (en) | 2017-06-20 | 2021-01-05 | Ethicon Llc | Surgical instrument with variable duration trigger arrangement |
US10881399B2 (en) | 2017-06-20 | 2021-01-05 | Ethicon Llc | Techniques for adaptive control of 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 |
USD907647S1 (en) | 2017-09-29 | 2021-01-12 | Ethicon Llc | Display screen or portion thereof with animated graphical user interface |
USD907648S1 (en) | 2017-09-29 | 2021-01-12 | Ethicon Llc | Display screen or portion thereof with animated graphical user interface |
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 |
US10903685B2 (en) | 2017-06-28 | 2021-01-26 | Ethicon Llc | Surgical shaft assemblies with slip ring assemblies forming capacitive channels |
US10905418B2 (en) | 2014-10-16 | 2021-02-02 | Ethicon Llc | Staple cartridge comprising a tissue thickness compensator |
US10905423B2 (en) | 2014-09-05 | 2021-02-02 | Ethicon Llc | Smart cartridge wake up operation and data retention |
US10912559B2 (en) | 2018-08-20 | 2021-02-09 | Ethicon Llc | Reinforced deformable anvil tip for surgical stapler anvil |
US10912575B2 (en) | 2007-01-11 | 2021-02-09 | Ethicon Llc | Surgical stapling device having supports for a flexible drive mechanism |
US10918380B2 (en) | 2006-01-31 | 2021-02-16 | Ethicon Llc | Surgical instrument system including a control system |
USD910847S1 (en) | 2017-12-19 | 2021-02-16 | Ethicon Llc | Surgical instrument assembly |
US10932772B2 (en) | 2017-06-29 | 2021-03-02 | Ethicon Llc | Methods for closed loop velocity control for robotic surgical instrument |
US10932778B2 (en) | 2008-10-10 | 2021-03-02 | Ethicon Llc | Powered surgical cutting and stapling apparatus with manually retractable firing system |
US10945731B2 (en) | 2010-09-30 | 2021-03-16 | Ethicon Llc | Tissue thickness compensator comprising controlled release and expansion |
US10945728B2 (en) | 2014-12-18 | 2021-03-16 | Ethicon Llc | Locking arrangements for detachable shaft assemblies with articulatable surgical end effectors |
US10959725B2 (en) | 2012-06-15 | 2021-03-30 | Ethicon Llc | Articulatable surgical instrument comprising a firing drive |
USD914878S1 (en) | 2018-08-20 | 2021-03-30 | Ethicon Llc | Surgical instrument anvil |
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 |
US10966704B2 (en) | 2016-11-09 | 2021-04-06 | Biomet Sports Medicine, Llc | Methods and systems for stitching soft tissue to bone |
US10980539B2 (en) | 2015-09-30 | 2021-04-20 | Ethicon Llc | Implantable adjunct comprising bonded layers |
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 |
US10987102B2 (en) | 2010-09-30 | 2021-04-27 | Ethicon Llc | Tissue thickness compensator comprising a plurality of layers |
USD917500S1 (en) | 2017-09-29 | 2021-04-27 | Ethicon Llc | Display screen or portion thereof with graphical user interface |
US10993716B2 (en) | 2017-06-27 | 2021-05-04 | Ethicon Llc | Surgical anvil arrangements |
US11007022B2 (en) | 2017-06-29 | 2021-05-18 | Ethicon Llc | Closed loop velocity control techniques based on sensed tissue parameters for robotic surgical instrument |
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 |
US11007004B2 (en) | 2012-06-28 | 2021-05-18 | Ethicon Llc | Powered multi-axial articulable electrosurgical device with external dissection features |
US11006951B2 (en) | 2007-01-10 | 2021-05-18 | Ethicon Llc | Surgical instrument with wireless communication between control unit and sensor transponders |
US11013511B2 (en) | 2007-06-22 | 2021-05-25 | Ethicon Llc | Surgical stapling instrument with an articulatable end effector |
US11020115B2 (en) | 2014-02-12 | 2021-06-01 | Cilag Gmbh International | Deliverable surgical instrument |
US11020112B2 (en) | 2017-12-19 | 2021-06-01 | Ethicon Llc | Surgical tools configured for interchangeable use with different controller interfaces |
US11033267B2 (en) | 2017-12-15 | 2021-06-15 | Ethicon Llc | Systems and methods of controlling a clamping member firing rate of a surgical instrument |
US11039834B2 (en) | 2018-08-20 | 2021-06-22 | Cilag Gmbh International | Surgical stapler anvils with staple directing protrusions and tissue stability features |
US11039836B2 (en) | 2007-01-11 | 2021-06-22 | Cilag Gmbh International | Staple cartridge for use with a surgical stapling instrument |
US11045192B2 (en) | 2018-08-20 | 2021-06-29 | Cilag Gmbh International | Fabricating techniques for surgical stapler anvils |
US11045270B2 (en) | 2017-12-19 | 2021-06-29 | Cilag Gmbh International | Robotic attachment comprising exterior drive actuator |
US11051807B2 (en) | 2019-06-28 | 2021-07-06 | Cilag Gmbh International | Packaging assembly including a particulate trap |
US11051813B2 (en) | 2006-01-31 | 2021-07-06 | Cilag Gmbh International | Powered surgical instruments with firing system lockout arrangements |
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 |
US11071543B2 (en) | 2017-12-15 | 2021-07-27 | Cilag Gmbh International | Surgical end effectors with clamping assemblies configured to increase jaw aperture ranges |
US11071545B2 (en) | 2014-09-05 | 2021-07-27 | Cilag Gmbh International | Smart cartridge wake up operation and data retention |
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 |
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 |
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 |
US11090075B2 (en) | 2017-10-30 | 2021-08-17 | Cilag Gmbh International | Articulation features for surgical end effector |
US11129615B2 (en) | 2009-02-05 | 2021-09-28 | Cilag Gmbh International | Surgical stapling system |
US11129680B2 (en) | 2017-12-21 | 2021-09-28 | Cilag Gmbh International | Surgical instrument comprising a projector |
US11133106B2 (en) | 2013-08-23 | 2021-09-28 | Cilag Gmbh International | Surgical instrument assembly comprising a retraction assembly |
US11134944B2 (en) | 2017-10-30 | 2021-10-05 | Cilag Gmbh International | Surgical stapler knife motion controls |
US11134942B2 (en) | 2016-12-21 | 2021-10-05 | Cilag Gmbh International | Surgical stapling instruments and staple-forming anvils |
US11141153B2 (en) | 2014-10-29 | 2021-10-12 | Cilag Gmbh International | Staple cartridges comprising driver arrangements |
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 |
US11154301B2 (en) | 2015-02-27 | 2021-10-26 | Cilag Gmbh International | Modular stapling assembly |
US11172929B2 (en) | 2019-03-25 | 2021-11-16 | Cilag Gmbh International | Articulation drive arrangements for surgical systems |
US11179150B2 (en) | 2016-04-15 | 2021-11-23 | Cilag Gmbh International | Systems and methods for controlling a surgical stapling and cutting instrument |
US11197671B2 (en) | 2012-06-28 | 2021-12-14 | Cilag Gmbh International | Stapling assembly comprising a lockout |
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 |
US11202633B2 (en) | 2014-09-26 | 2021-12-21 | Cilag Gmbh International | Surgical stapling buttresses and adjunct materials |
US11207065B2 (en) | 2018-08-20 | 2021-12-28 | Cilag Gmbh International | Method for fabricating surgical stapler anvils |
US11207064B2 (en) | 2011-05-27 | 2021-12-28 | Cilag Gmbh International | Automated end effector component reloading system for use with a robotic system |
US11213293B2 (en) | 2016-02-09 | 2022-01-04 | Cilag Gmbh International | Articulatable surgical instruments with single articulation link arrangements |
US11219455B2 (en) | 2019-06-28 | 2022-01-11 | Cilag Gmbh International | Surgical instrument including a lockout key |
US11224423B2 (en) | 2015-03-06 | 2022-01-18 | Cilag Gmbh International | Smart sensors with local signal processing |
US11224428B2 (en) | 2016-12-21 | 2022-01-18 | Cilag Gmbh International | Surgical stapling systems |
US11224497B2 (en) | 2019-06-28 | 2022-01-18 | Cilag Gmbh International | Surgical systems with multiple RFID tags |
US11224426B2 (en) | 2016-02-12 | 2022-01-18 | Cilag Gmbh International | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US11224427B2 (en) | 2006-01-31 | 2022-01-18 | Cilag Gmbh International | Surgical stapling system including a console and retraction assembly |
US11229437B2 (en) | 2019-06-28 | 2022-01-25 | Cilag Gmbh International | Method for authenticating the compatibility of a staple cartridge with a surgical instrument |
US11234698B2 (en) | 2019-12-19 | 2022-02-01 | Cilag Gmbh International | Stapling system comprising a clamp lockout and a firing lockout |
US11241230B2 (en) | 2012-06-28 | 2022-02-08 | Cilag Gmbh International | Clip applier tool for use with a robotic surgical system |
US11246678B2 (en) | 2019-06-28 | 2022-02-15 | Cilag Gmbh International | Surgical stapling system having a frangible RFID tag |
US11246592B2 (en) | 2017-06-28 | 2022-02-15 | Cilag Gmbh International | Surgical instrument comprising an articulation system lockable to a frame |
US11246590B2 (en) | 2005-08-31 | 2022-02-15 | Cilag Gmbh International | Staple cartridge including staple drivers having different unfired heights |
US11253256B2 (en) | 2018-08-20 | 2022-02-22 | Cilag Gmbh International | Articulatable motor powered surgical instruments with dedicated articulation motor arrangements |
US11253254B2 (en) | 2019-04-30 | 2022-02-22 | Cilag Gmbh International | Shaft rotation actuator on a surgical instrument |
US11259799B2 (en) | 2014-03-26 | 2022-03-01 | Cilag Gmbh International | Interface systems for use with surgical instruments |
US11259805B2 (en) | 2017-06-28 | 2022-03-01 | Cilag Gmbh International | Surgical instrument comprising firing member supports |
US11259803B2 (en) | 2019-06-28 | 2022-03-01 | Cilag Gmbh International | Surgical stapling system having an information encryption protocol |
US11266405B2 (en) | 2017-06-27 | 2022-03-08 | Cilag Gmbh International | Surgical anvil manufacturing methods |
US11266409B2 (en) | 2014-04-16 | 2022-03-08 | Cilag Gmbh International | Fastener cartridge comprising a sled including longitudinally-staggered ramps |
US11272927B2 (en) | 2008-02-15 | 2022-03-15 | Cilag Gmbh International | Layer arrangements for surgical staple cartridges |
US11278279B2 (en) | 2006-01-31 | 2022-03-22 | Cilag Gmbh International | Surgical instrument assembly |
US11284898B2 (en) | 2014-09-18 | 2022-03-29 | Cilag Gmbh International | Surgical instrument including a deployable knife |
US11291440B2 (en) | 2018-08-20 | 2022-04-05 | Cilag Gmbh International | Method for operating a powered articulatable surgical instrument |
US11291451B2 (en) | 2019-06-28 | 2022-04-05 | Cilag Gmbh International | Surgical instrument with battery compatibility verification functionality |
US11291447B2 (en) | 2019-12-19 | 2022-04-05 | Cilag Gmbh International | Stapling instrument comprising independent jaw closing and staple firing systems |
US11291449B2 (en) | 2009-12-24 | 2022-04-05 | Cilag Gmbh International | Surgical cutting instrument that analyzes tissue thickness |
US11291441B2 (en) | 2007-01-10 | 2022-04-05 | Cilag Gmbh International | Surgical instrument with wireless communication between control unit and remote sensor |
US11298125B2 (en) | 2010-09-30 | 2022-04-12 | Cilag Gmbh International | Tissue stapler having a thickness compensator |
US11298127B2 (en) | 2019-06-28 | 2022-04-12 | Cilag GmbH Interational | Surgical stapling system having a lockout mechanism for an incompatible cartridge |
US11298132B2 (en) | 2019-06-28 | 2022-04-12 | Cilag GmbH Inlernational | Staple cartridge including a honeycomb extension |
US11304695B2 (en) | 2017-08-03 | 2022-04-19 | Cilag Gmbh International | Surgical system shaft interconnection |
US11304696B2 (en) | 2019-12-19 | 2022-04-19 | Cilag Gmbh International | Surgical instrument comprising a powered articulation system |
US11311294B2 (en) | 2014-09-05 | 2022-04-26 | Cilag Gmbh International | Powered medical device including measurement of closure state of jaws |
US11311290B2 (en) | 2017-12-21 | 2022-04-26 | Cilag Gmbh International | Surgical instrument comprising an end effector dampener |
US11317913B2 (en) | 2016-12-21 | 2022-05-03 | Cilag Gmbh International | Lockout arrangements for surgical end effectors and replaceable tool assemblies |
US11317917B2 (en) | 2016-04-18 | 2022-05-03 | Cilag Gmbh International | Surgical stapling system comprising a lockable firing assembly |
US11324501B2 (en) | 2018-08-20 | 2022-05-10 | Cilag Gmbh International | Surgical stapling devices with improved closure members |
US11324503B2 (en) | 2017-06-27 | 2022-05-10 | Cilag Gmbh International | Surgical firing member arrangements |
US11350928B2 (en) | 2016-04-18 | 2022-06-07 | Cilag Gmbh International | Surgical instrument comprising a tissue thickness lockout and speed control system |
US11376098B2 (en) | 2019-06-28 | 2022-07-05 | Cilag Gmbh International | Surgical instrument system comprising an RFID system |
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 |
US11382627B2 (en) | 2014-04-16 | 2022-07-12 | Cilag Gmbh International | Surgical stapling assembly comprising a firing member including a lateral extension |
US11399837B2 (en) | 2019-06-28 | 2022-08-02 | Cilag Gmbh International | Mechanisms for motor control adjustments of a motorized surgical instrument |
US11399829B2 (en) | 2017-09-29 | 2022-08-02 | Cilag Gmbh International | Systems and methods of initiating a power shutdown mode for a surgical instrument |
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 |
US11426251B2 (en) | 2019-04-30 | 2022-08-30 | Cilag Gmbh International | Articulation directional lights on a surgical instrument |
US11426167B2 (en) | 2019-06-28 | 2022-08-30 | Cilag Gmbh International | Mechanisms for proper anvil attachment surgical stapling head assembly |
US11432816B2 (en) | 2019-04-30 | 2022-09-06 | Cilag Gmbh International | Articulation pin for a surgical instrument |
US11446029B2 (en) | 2019-12-19 | 2022-09-20 | Cilag Gmbh International | Staple cartridge comprising projections extending from a curved deck surface |
US11452526B2 (en) | 2020-10-29 | 2022-09-27 | Cilag Gmbh International | Surgical instrument comprising a staged voltage regulation start-up system |
US11452528B2 (en) | 2019-04-30 | 2022-09-27 | Cilag Gmbh International | Articulation actuators for a surgical instrument |
US11464512B2 (en) | 2019-12-19 | 2022-10-11 | Cilag Gmbh International | Staple cartridge comprising a curved deck surface |
US11464601B2 (en) | 2019-06-28 | 2022-10-11 | Cilag Gmbh International | Surgical instrument comprising an RFID system for tracking a movable component |
US11464513B2 (en) | 2012-06-28 | 2022-10-11 | Cilag Gmbh International | Surgical instrument system including replaceable end effectors |
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 |
US11471157B2 (en) | 2019-04-30 | 2022-10-18 | Cilag Gmbh International | Articulation control mapping for a surgical instrument |
US11471155B2 (en) | 2017-08-03 | 2022-10-18 | Cilag Gmbh International | Surgical system bailout |
US11478247B2 (en) | 2010-07-30 | 2022-10-25 | Cilag Gmbh International | Tissue acquisition arrangements and methods for surgical stapling devices |
US11478241B2 (en) | 2019-06-28 | 2022-10-25 | Cilag Gmbh International | Staple cartridge including projections |
US11484312B2 (en) | 2005-08-31 | 2022-11-01 | Cilag Gmbh International | Staple cartridge comprising a staple driver arrangement |
US11497488B2 (en) | 2014-03-26 | 2022-11-15 | Cilag Gmbh International | Systems and methods for controlling a segmented circuit |
US11497492B2 (en) | 2019-06-28 | 2022-11-15 | Cilag Gmbh International | Surgical instrument including an articulation lock |
US11504122B2 (en) | 2019-12-19 | 2022-11-22 | Cilag Gmbh International | Surgical instrument comprising a nested firing member |
US11504116B2 (en) | 2011-04-29 | 2022-11-22 | Cilag Gmbh International | Layer of material for a surgical end effector |
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 |
US11517390B2 (en) | 2020-10-29 | 2022-12-06 | Cilag Gmbh International | Surgical instrument comprising a limited travel switch |
US11523821B2 (en) | 2014-09-26 | 2022-12-13 | Cilag Gmbh International | Method for creating a flexible staple line |
US11523823B2 (en) | 2016-02-09 | 2022-12-13 | Cilag Gmbh International | Surgical instruments with non-symmetrical articulation arrangements |
US11523822B2 (en) | 2019-06-28 | 2022-12-13 | Cilag Gmbh International | Battery pack including a circuit interrupter |
US11529137B2 (en) | 2019-12-19 | 2022-12-20 | Cilag Gmbh International | Staple cartridge comprising driver retention members |
US11529139B2 (en) | 2019-12-19 | 2022-12-20 | Cilag Gmbh International | Motor driven surgical instrument |
US11534259B2 (en) | 2020-10-29 | 2022-12-27 | Cilag Gmbh International | Surgical instrument comprising an articulation indicator |
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 |
USD975850S1 (en) | 2020-06-02 | 2023-01-17 | Cilag Gmbh International | Staple cartridge |
US11553971B2 (en) | 2019-06-28 | 2023-01-17 | Cilag Gmbh International | Surgical RFID assemblies for display and communication |
USD975851S1 (en) | 2020-06-02 | 2023-01-17 | Cilag Gmbh International | Staple cartridge |
US11559304B2 (en) | 2019-12-19 | 2023-01-24 | Cilag Gmbh International | Surgical instrument comprising a rapid closure mechanism |
USD976401S1 (en) | 2020-06-02 | 2023-01-24 | Cilag Gmbh International | Staple cartridge |
US11564682B2 (en) | 2007-06-04 | 2023-01-31 | Cilag Gmbh International | Surgical stapler device |
US11564686B2 (en) | 2017-06-28 | 2023-01-31 | Cilag Gmbh International | Surgical shaft assemblies with flexible interfaces |
US11571215B2 (en) | 2010-09-30 | 2023-02-07 | Cilag Gmbh International | Layer of material for a surgical end effector |
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 |
USD980425S1 (en) | 2020-10-29 | 2023-03-07 | Cilag Gmbh International | Surgical instrument assembly |
US11607219B2 (en) | 2019-12-19 | 2023-03-21 | Cilag Gmbh International | Staple cartridge comprising a detachable tissue cutting knife |
US11607239B2 (en) | 2016-04-15 | 2023-03-21 | Cilag Gmbh International | Systems and methods for controlling a surgical stapling and cutting instrument |
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 |
US11622766B2 (en) | 2012-06-28 | 2023-04-11 | Cilag Gmbh International | Empty clip cartridge lockout |
US11622763B2 (en) | 2013-04-16 | 2023-04-11 | Cilag Gmbh International | Stapling assembly comprising a shiftable drive |
US11627960B2 (en) | 2020-12-02 | 2023-04-18 | Cilag Gmbh International | Powered surgical instruments with smart reload with separately attachable exteriorly mounted wiring connections |
US11627959B2 (en) | 2019-06-28 | 2023-04-18 | Cilag Gmbh International | Surgical instruments including manual and powered system lockouts |
US11638582B2 (en) | 2020-07-28 | 2023-05-02 | Cilag Gmbh International | Surgical instruments with torsion spine drive arrangements |
US11638587B2 (en) | 2019-06-28 | 2023-05-02 | Cilag Gmbh International | RFID identification systems for surgical instruments |
US11648009B2 (en) | 2019-04-30 | 2023-05-16 | Cilag Gmbh International | Rotatable jaw tip for a surgical instrument |
US11648005B2 (en) | 2008-09-23 | 2023-05-16 | Cilag Gmbh International | Robotically-controlled motorized surgical instrument with an end effector |
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 |
US11653915B2 (en) | 2020-12-02 | 2023-05-23 | Cilag Gmbh International | Surgical instruments with sled location detection and adjustment features |
US11653920B2 (en) | 2020-12-02 | 2023-05-23 | Cilag Gmbh International | Powered surgical instruments with communication interfaces through sterile barrier |
US11660163B2 (en) | 2019-06-28 | 2023-05-30 | Cilag Gmbh International | Surgical system with RFID tags for updating motor assembly parameters |
US11678877B2 (en) | 2014-12-18 | 2023-06-20 | Cilag Gmbh International | Surgical instrument including a flexible support configured to support a flexible firing member |
US11678882B2 (en) | 2020-12-02 | 2023-06-20 | Cilag Gmbh International | Surgical instruments with interactive features to remedy incidental sled movements |
US11684434B2 (en) | 2019-06-28 | 2023-06-27 | Cilag Gmbh International | Surgical RFID assemblies for instrument operational setting control |
US11696761B2 (en) | 2019-03-25 | 2023-07-11 | Cilag Gmbh International | Firing drive arrangements for surgical systems |
US11696757B2 (en) | 2021-02-26 | 2023-07-11 | Cilag Gmbh International | Monitoring of internal systems to detect and track cartridge motion status |
US11701111B2 (en) | 2019-12-19 | 2023-07-18 | Cilag Gmbh International | Method for operating a surgical stapling instrument |
US11701113B2 (en) | 2021-02-26 | 2023-07-18 | Cilag Gmbh International | Stapling instrument comprising a separate power antenna and a data transfer antenna |
US11717289B2 (en) | 2020-10-29 | 2023-08-08 | Cilag Gmbh International | Surgical instrument comprising an indicator which indicates that an articulation drive is actuatable |
US11717294B2 (en) | 2014-04-16 | 2023-08-08 | Cilag Gmbh International | End effector arrangements comprising indicators |
US11717291B2 (en) | 2021-03-22 | 2023-08-08 | Cilag Gmbh International | Staple cartridge comprising staples configured to apply different tissue compression |
US11723662B2 (en) | 2021-05-28 | 2023-08-15 | Cilag Gmbh International | Stapling instrument comprising an articulation control display |
US11723658B2 (en) | 2021-03-22 | 2023-08-15 | Cilag Gmbh International | Staple cartridge comprising a firing lockout |
US11723657B2 (en) | 2021-02-26 | 2023-08-15 | Cilag Gmbh International | Adjustable communication based on available bandwidth and power capacity |
US11730473B2 (en) | 2021-02-26 | 2023-08-22 | Cilag Gmbh International | Monitoring of manufacturing life-cycle |
US11737749B2 (en) | 2021-03-22 | 2023-08-29 | Cilag Gmbh International | Surgical stapling instrument comprising a retraction system |
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 |
US11744603B2 (en) | 2021-03-24 | 2023-09-05 | Cilag Gmbh International | Multi-axis pivot joints for surgical instruments and methods for manufacturing same |
US11744581B2 (en) | 2020-12-02 | 2023-09-05 | Cilag Gmbh International | Powered surgical instruments with multi-phase tissue treatment |
US11744583B2 (en) | 2021-02-26 | 2023-09-05 | Cilag Gmbh International | Distal communication array to tune frequency of RF systems |
US11749877B2 (en) | 2021-02-26 | 2023-09-05 | Cilag Gmbh International | Stapling instrument comprising a signal antenna |
US11751869B2 (en) | 2021-02-26 | 2023-09-12 | Cilag Gmbh International | Monitoring of multiple sensors over time to detect moving characteristics of tissue |
US11759202B2 (en) | 2021-03-22 | 2023-09-19 | Cilag Gmbh International | Staple cartridge comprising an implantable layer |
US11766259B2 (en) | 2016-12-21 | 2023-09-26 | Cilag Gmbh International | Method of deforming staples from two different types of staple cartridges with the same surgical stapling instrument |
US11766260B2 (en) | 2016-12-21 | 2023-09-26 | Cilag Gmbh International | Methods of stapling tissue |
US11771419B2 (en) | 2019-06-28 | 2023-10-03 | Cilag Gmbh International | Packaging for a replaceable component of a surgical stapling system |
US11779330B2 (en) | 2020-10-29 | 2023-10-10 | Cilag Gmbh International | Surgical instrument comprising a jaw alignment system |
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 |
US11786239B2 (en) | 2021-03-24 | 2023-10-17 | Cilag Gmbh International | Surgical instrument articulation joint arrangements comprising multiple moving linkage features |
US11793518B2 (en) | 2006-01-31 | 2023-10-24 | Cilag Gmbh International | Powered surgical instruments with firing system lockout arrangements |
US11793514B2 (en) | 2021-02-26 | 2023-10-24 | Cilag Gmbh International | Staple cartridge comprising sensor array which may be embedded in cartridge body |
US11793522B2 (en) | 2015-09-30 | 2023-10-24 | Cilag Gmbh International | Staple cartridge assembly including a compressible adjunct |
US11793516B2 (en) | 2021-03-24 | 2023-10-24 | Cilag Gmbh International | Surgical staple cartridge comprising longitudinal support beam |
US11806011B2 (en) | 2021-03-22 | 2023-11-07 | Cilag Gmbh International | Stapling instrument comprising tissue compression systems |
US11812964B2 (en) | 2021-02-26 | 2023-11-14 | Cilag Gmbh International | Staple cartridge comprising a power management circuit |
US11826042B2 (en) | 2021-03-22 | 2023-11-28 | Cilag Gmbh International | Surgical instrument comprising a firing drive including a selectable leverage mechanism |
US11826048B2 (en) | 2017-06-28 | 2023-11-28 | Cilag Gmbh International | Surgical instrument comprising selectively actuatable rotatable couplers |
US11826132B2 (en) | 2015-03-06 | 2023-11-28 | Cilag Gmbh International | Time dependent evaluation of sensor data to determine stability, creep, and viscoelastic elements of measures |
US11826012B2 (en) | 2021-03-22 | 2023-11-28 | Cilag Gmbh International | Stapling instrument comprising a pulsed motor-driven firing rack |
US11832816B2 (en) | 2021-03-24 | 2023-12-05 | Cilag Gmbh International | Surgical stapling assembly comprising nonplanar staples and planar staples |
US11844520B2 (en) | 2019-12-19 | 2023-12-19 | Cilag Gmbh International | Staple cartridge comprising driver retention members |
US11844518B2 (en) | 2020-10-29 | 2023-12-19 | Cilag Gmbh International | Method for operating a surgical instrument |
US11849945B2 (en) | 2021-03-24 | 2023-12-26 | Cilag Gmbh International | Rotary-driven surgical stapling assembly comprising eccentrically driven firing member |
US11849944B2 (en) | 2021-03-24 | 2023-12-26 | Cilag Gmbh International | Drivers for fastener cartridge assemblies having rotary drive screws |
US11849943B2 (en) | 2020-12-02 | 2023-12-26 | Cilag Gmbh International | Surgical instrument with cartridge release mechanisms |
US11849952B2 (en) | 2010-09-30 | 2023-12-26 | Cilag Gmbh International | Staple cartridge comprising staples positioned within a compressible portion thereof |
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 |
US11857183B2 (en) | 2021-03-24 | 2024-01-02 | Cilag Gmbh International | Stapling assembly components having metal substrates and plastic bodies |
US11877745B2 (en) | 2021-10-18 | 2024-01-23 | Cilag Gmbh International | Surgical stapling assembly having longitudinally-repeating staple leg clusters |
USD1013170S1 (en) | 2020-10-29 | 2024-01-30 | Cilag Gmbh International | Surgical instrument assembly |
US11883026B2 (en) | 2014-04-16 | 2024-01-30 | Cilag Gmbh International | Fastener cartridge assemblies and staple retainer cover arrangements |
US11890012B2 (en) | 2004-07-28 | 2024-02-06 | Cilag Gmbh International | Staple cartridge comprising cartridge body and attached support |
US11890010B2 (en) | 2020-12-02 | 2024-02-06 | Cllag GmbH International | Dual-sided reinforced reload for surgical instruments |
US11896219B2 (en) | 2021-03-24 | 2024-02-13 | Cilag Gmbh International | Mating features between drivers and underside of a cartridge deck |
US11896217B2 (en) | 2020-10-29 | 2024-02-13 | Cilag Gmbh International | Surgical instrument comprising an articulation lock |
US11896218B2 (en) | 2021-03-24 | 2024-02-13 | Cilag Gmbh International | Method of using a powered stapling device |
US11903582B2 (en) | 2021-03-24 | 2024-02-20 | Cilag Gmbh International | Leveraging surfaces for cartridge installation |
US11903581B2 (en) | 2019-04-30 | 2024-02-20 | Cilag Gmbh International | Methods for stapling tissue using a surgical instrument |
US11911032B2 (en) | 2019-12-19 | 2024-02-27 | Cilag Gmbh International | Staple cartridge comprising a seating cam |
US11925349B2 (en) | 2021-02-26 | 2024-03-12 | Cilag Gmbh International | Adjustment to transfer parameters to improve available power |
US11931033B2 (en) | 2019-12-19 | 2024-03-19 | Cilag Gmbh International | Staple cartridge comprising a latch lockout |
US11931025B2 (en) | 2020-10-29 | 2024-03-19 | Cilag Gmbh International | Surgical instrument comprising a releasable closure drive lock |
US11937816B2 (en) | 2021-10-28 | 2024-03-26 | Cilag Gmbh International | Electrical lead arrangements for surgical instruments |
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 |
US11944300B2 (en) | 2017-08-03 | 2024-04-02 | Cilag Gmbh International | Method for operating a surgical system bailout |
US11944296B2 (en) | 2020-12-02 | 2024-04-02 | Cilag Gmbh International | Powered surgical instruments with external connectors |
US11950777B2 (en) | 2021-02-26 | 2024-04-09 | Cilag Gmbh International | Staple cartridge comprising an information access control system |
US11950779B2 (en) | 2021-02-26 | 2024-04-09 | Cilag Gmbh International | Method of powering and communicating with a staple cartridge |
US11957337B2 (en) | 2021-10-18 | 2024-04-16 | Cilag Gmbh International | Surgical stapling assembly with offset ramped drive surfaces |
US11974742B2 (en) | 2017-08-03 | 2024-05-07 | Cilag Gmbh International | Surgical system comprising an articulation bailout |
US11980362B2 (en) | 2021-02-26 | 2024-05-14 | Cilag Gmbh International | Surgical instrument system comprising a power transfer coil |
US11980366B2 (en) | 2006-10-03 | 2024-05-14 | Cilag Gmbh International | Surgical instrument |
US11980363B2 (en) | 2021-10-18 | 2024-05-14 | Cilag Gmbh International | Row-to-row staple array variations |
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 |
US11998198B2 (en) | 2004-07-28 | 2024-06-04 | Cilag Gmbh International | Surgical stapling instrument incorporating a two-piece E-beam firing mechanism |
US12004740B2 (en) | 2019-06-28 | 2024-06-11 | Cilag Gmbh International | Surgical stapling system having an information decryption protocol |
US12004745B2 (en) | 2016-12-21 | 2024-06-11 | Cilag Gmbh International | Surgical instrument system comprising an end effector lockout and a firing assembly lockout |
US12035913B2 (en) | 2019-12-19 | 2024-07-16 | Cilag Gmbh International | Staple cartridge comprising a deployable knife |
US12053175B2 (en) | 2020-10-29 | 2024-08-06 | Cilag Gmbh International | Surgical instrument comprising a stowed closure actuator stop |
US12076018B2 (en) | 2023-07-28 | 2024-09-03 | Cilag Gmbh International | Modular stapling assembly |
Families Citing this family (228)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4014492A (en) * | 1975-06-11 | 1977-03-29 | Senco Products, Inc. | Surgical staple |
US4179063A (en) * | 1976-03-29 | 1979-12-18 | Dennison Manufacturing Company | Feed and severing apparatus |
US4196836A (en) * | 1978-02-14 | 1980-04-08 | Senco Products Inc. | Surgical stapling instrument |
US4185762A (en) * | 1978-03-27 | 1980-01-29 | Minnesota Mining And Manufacturing Company | Medical stapling device |
US4256251A (en) * | 1978-04-24 | 1981-03-17 | Lawrence M. Smith | Surgical staplers and staple |
US4204623A (en) * | 1978-07-17 | 1980-05-27 | United States Surgical Corporation | Manually powered surgical stapling instrument |
US4391401A (en) * | 1979-04-03 | 1983-07-05 | Lawrence M. Smith | Surgical staplers and staple |
US4317451A (en) * | 1980-02-19 | 1982-03-02 | Ethicon, Inc. | Plastic surgical staple |
JPS577211U (en) * | 1980-06-16 | 1982-01-14 | ||
CA1170536A (en) * | 1980-08-25 | 1984-07-10 | United States Surgical Corporation | Surgical staples |
AU542936B2 (en) * | 1980-10-17 | 1985-03-28 | United States Surgical Corporation | Self centering staple |
US4453661A (en) * | 1980-10-23 | 1984-06-12 | Ivano-Frankovsky Gosudarstvenny Meditsinsky Institut | Surgical instrument for applying staples |
US4471897A (en) * | 1982-04-15 | 1984-09-18 | Genyk Stepan N | Surgical instrument for application of staples |
DE3214810C2 (en) * | 1982-04-21 | 1985-08-22 | Ivano-Frankovskij gosudarstvennyj medicinskij institut, Ivano-Frankovsk | Surgical instrument for the application of staples |
FR2525892B1 (en) * | 1982-04-28 | 1985-11-29 | Ivano Frankovsky G | SURGICAL INSTRUMENT FOR SUTURING BY STAPLES |
US4470532A (en) * | 1982-07-21 | 1984-09-11 | Minnesota Mining And Manufacturing Company | Medical stapling device |
US4493322A (en) * | 1982-09-28 | 1985-01-15 | Senco Products, Inc. | Surgical stapling instrument |
DE3344503A1 (en) * | 1983-12-09 | 1985-06-20 | Licentia Patent-Verwaltungs-Gmbh, 6000 Frankfurt | Hand-operated percussion or hammer drill |
US4796793A (en) * | 1984-05-10 | 1989-01-10 | Ethicon, Inc. | Surgical stapler and methods |
DE3502977A1 (en) * | 1985-01-30 | 1986-07-31 | Robert Bosch Gmbh, 7000 Stuttgart | PRINTED DRIVER |
JPH02101608U (en) * | 1989-01-30 | 1990-08-13 | ||
US5089009A (en) * | 1989-06-27 | 1992-02-18 | United States Surgical Corporation | Inwardly biased skin fastener |
US4994073A (en) * | 1989-02-22 | 1991-02-19 | United States Surgical Corp. | Skin fastener |
CA2060040A1 (en) * | 1991-02-08 | 1992-08-10 | Miguel A. Velez | Surgical staple and endoscopic stapler |
US5217472A (en) * | 1991-05-07 | 1993-06-08 | United States Surgical Corporation | Surgical fastening device |
US5257713A (en) * | 1991-05-07 | 1993-11-02 | United States Surgical Corporation | Surgical fastening device |
US5258010A (en) * | 1991-05-30 | 1993-11-02 | United States Surgical Corporation | Anvilless surgical apparatus for applying surgical fasteners |
US5236435A (en) * | 1991-07-22 | 1993-08-17 | Sewell Jr Frank | Laparoscopic surgical staple system |
US5497933A (en) * | 1991-10-18 | 1996-03-12 | United States Surgical Corporation | Apparatus and method for applying surgical staples to attach an object to body tissue |
US5289963A (en) * | 1991-10-18 | 1994-03-01 | United States Surgical Corporation | Apparatus and method for applying surgical staples to attach an object to body tissue |
US5356064A (en) * | 1991-10-18 | 1994-10-18 | United States Surgical Corporation | Apparatus and method for applying surgical staples to attach an object to body tissue |
ES2049645B1 (en) * | 1992-07-15 | 1994-10-16 | Lopez Francisco Garcia | VAGINAL AUTOSUTURE DEVICE TO PREVENT INCONTINENCE OF URINE IN WOMEN. |
US5662662A (en) * | 1992-10-09 | 1997-09-02 | Ethicon Endo-Surgery, Inc. | Surgical instrument and method |
US5626587A (en) * | 1992-10-09 | 1997-05-06 | Ethicon Endo-Surgery, Inc. | Method for operating a surgical instrument |
US5601224A (en) * | 1992-10-09 | 1997-02-11 | Ethicon, Inc. | Surgical instrument |
US5456400A (en) * | 1993-04-22 | 1995-10-10 | United States Surgical Corporation | Apparatus and clip for fastening body tissue |
US5443197A (en) * | 1993-06-16 | 1995-08-22 | United States Surgical Corporation | Locking mechanism for a skin stapler cartridge |
US5560532A (en) * | 1993-10-08 | 1996-10-01 | United States Surgical Corporation | Apparatus and method for applying surgical staples to body tissue |
US5792168A (en) * | 1996-11-14 | 1998-08-11 | Suval; William D. | Apparatus for treating varicose veins |
US5758665A (en) * | 1996-11-14 | 1998-06-02 | Suval; William D. | Method for treating varicose veins |
US5908149A (en) * | 1997-03-12 | 1999-06-01 | Ethicon Endo-Surgery, Inc. | Skin stapler with multi-directional release mechanism |
US5938101A (en) * | 1997-05-14 | 1999-08-17 | Ethicon Endo-Surgery, Inc. | Skin stapler with movable anvil |
US5937951A (en) * | 1997-07-18 | 1999-08-17 | Ethicon Endo-Surgery, Inc. | Skin stapler with rack and pinion staple feed mechanism |
US6171330B1 (en) | 1997-12-15 | 2001-01-09 | Sofradim Production | Pneumatic surgical instrument for the distribution and placement of connecting or fastening means |
US6318616B1 (en) | 1998-10-23 | 2001-11-20 | United States Surgical | Surgical fastener applier |
EP1372489B1 (en) * | 2000-04-11 | 2011-01-05 | United States Surgical Corporation | Single shot meniscal repair device |
AU2001288462A1 (en) | 2000-08-30 | 2002-03-13 | Cerebral Vascular Applications Inc. | Medical instrument |
US7485124B2 (en) | 2000-10-19 | 2009-02-03 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a fastener delivery mechanism |
US6755338B2 (en) | 2001-08-29 | 2004-06-29 | Cerebral Vascular Applications, Inc. | Medical instrument |
US7059509B2 (en) * | 2002-05-28 | 2006-06-13 | Phillip Clay Brown | Surgical stapling device |
US20120145765A1 (en) | 2002-06-25 | 2012-06-14 | Peterson James A | Mechanical method and apparatus for bilateral tissue fastening |
US6726705B2 (en) | 2002-06-25 | 2004-04-27 | Incisive Surgical, Inc. | Mechanical method and apparatus for bilateral tissue fastening |
US8074857B2 (en) * | 2002-06-25 | 2011-12-13 | Incisive Surgical, Inc. | Method and apparatus for tissue fastening with single translating trigger operation |
US7950559B2 (en) * | 2002-06-25 | 2011-05-31 | Incisive Surgical, Inc. | Mechanical method and apparatus for bilateral tissue fastening |
US7112214B2 (en) * | 2002-06-25 | 2006-09-26 | Incisive Surgical, Inc. | Dynamic bioabsorbable fastener for use in wound closure |
US8574246B1 (en) | 2004-06-25 | 2013-11-05 | Cardica, Inc. | Compliant anastomosis system utilizing suture |
US7794471B1 (en) | 2003-06-26 | 2010-09-14 | Cardica, Inc. | Compliant anastomosis system |
US7354447B2 (en) * | 2005-11-10 | 2008-04-08 | Ethicon Endo-Surgery, Inc. | Disposable loading unit and surgical instruments including same |
US8905977B2 (en) | 2004-07-28 | 2014-12-09 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having an electroactive polymer actuated medical substance dispenser |
JP2006081687A (en) * | 2004-09-15 | 2006-03-30 | Max Co Ltd | Medical stapler |
US8100939B2 (en) * | 2005-07-15 | 2012-01-24 | Incisive Surgical, Inc. | Mechanical method and apparatus for sequential tissue fastening |
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 |
US8800838B2 (en) | 2005-08-31 | 2014-08-12 | Ethicon Endo-Surgery, Inc. | Robotically-controlled cable-based surgical end effectors |
US7673781B2 (en) | 2005-08-31 | 2010-03-09 | Ethicon Endo-Surgery, Inc. | Surgical stapling device with staple driver that supports multiple wire diameter staples |
US7467740B2 (en) * | 2005-09-21 | 2008-12-23 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments having flexible channel and anvil features for adjustable staple heights |
US20070102472A1 (en) * | 2005-11-04 | 2007-05-10 | Ethicon Endo-Surgery, Inc. | Electrosurgical stapling instrument with disposable severing / stapling unit |
US7607557B2 (en) * | 2005-11-04 | 2009-10-27 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments structured for pump-assisted delivery of medical agents |
US7673783B2 (en) * | 2005-11-04 | 2010-03-09 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments structured for delivery of medical agents |
US8763879B2 (en) * | 2006-01-31 | 2014-07-01 | Ethicon Endo-Surgery, Inc. | Accessing data stored in a memory of surgical instrument |
US7770775B2 (en) * | 2006-01-31 | 2010-08-10 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting and fastening instrument with adaptive user feedback |
US20070175950A1 (en) * | 2006-01-31 | 2007-08-02 | Shelton Frederick E Iv | Disposable staple cartridge having an anvil with tissue locator for use with a surgical cutting and fastening instrument and modular end effector system therefor |
US7644848B2 (en) * | 2006-01-31 | 2010-01-12 | Ethicon Endo-Surgery, Inc. | Electronic lockouts and surgical instrument including same |
US9861359B2 (en) | 2006-01-31 | 2018-01-09 | Ethicon Llc | Powered surgical instruments with firing system lockout arrangements |
US7568603B2 (en) * | 2006-01-31 | 2009-08-04 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting and fastening instrument with articulatable end effector |
US7464849B2 (en) * | 2006-01-31 | 2008-12-16 | Ethicon Endo-Surgery, Inc. | Electro-mechanical surgical instrument with closure system and anvil alignment components |
US8161977B2 (en) | 2006-01-31 | 2012-04-24 | Ethicon Endo-Surgery, Inc. | Accessing data stored in a memory of a surgical instrument |
US7464846B2 (en) * | 2006-01-31 | 2008-12-16 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a removable battery |
US7575144B2 (en) | 2006-01-31 | 2009-08-18 | Ethicon Endo-Surgery, Inc. | Surgical fastener and cutter with single cable actuator |
US20070175955A1 (en) * | 2006-01-31 | 2007-08-02 | Shelton Frederick E Iv | Surgical cutting and fastening instrument with closure trigger locking mechanism |
US7766210B2 (en) | 2006-01-31 | 2010-08-03 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting and fastening instrument with user feedback system |
US8236010B2 (en) * | 2006-03-23 | 2012-08-07 | Ethicon Endo-Surgery, Inc. | Surgical fastener and cutter with mimicking end effector |
US8721630B2 (en) | 2006-03-23 | 2014-05-13 | Ethicon Endo-Surgery, Inc. | Methods and devices for controlling articulation |
US20080029574A1 (en) * | 2006-08-02 | 2008-02-07 | Shelton Frederick E | Pneumatically powered surgical cutting and fastening instrument with actuator at distal end |
US20110087276A1 (en) * | 2009-10-09 | 2011-04-14 | Ethicon Endo-Surgery, Inc. | Method for forming a staple |
US10130359B2 (en) | 2006-09-29 | 2018-11-20 | Ethicon Llc | Method for forming a staple |
US20100133317A1 (en) * | 2006-09-29 | 2010-06-03 | Shelton Iv Frederick E | Motor-Driven Surgical Cutting And Fastening Instrument with Tactile Position Feedback |
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 |
US7954682B2 (en) | 2007-01-10 | 2011-06-07 | Ethicon Endo-Surgery, Inc. | Surgical instrument with elements to communicate between control unit and end effector |
US7721936B2 (en) | 2007-01-10 | 2010-05-25 | Ethicon Endo-Surgery, Inc. | Interlock and surgical instrument including same |
US7738971B2 (en) | 2007-01-10 | 2010-06-15 | Ethicon Endo-Surgery, Inc. | Post-sterilization programming of surgical instruments |
US7900805B2 (en) | 2007-01-10 | 2011-03-08 | Ethicon Endo-Surgery, Inc. | Surgical instrument with enhanced battery performance |
US20080169328A1 (en) * | 2007-01-11 | 2008-07-17 | Shelton Frederick E | Buttress material for use with a surgical stapler |
US8056787B2 (en) | 2007-03-28 | 2011-11-15 | Ethicon Endo-Surgery, Inc. | Surgical stapling and cutting instrument with travel-indicating retraction member |
US7490749B2 (en) * | 2007-03-28 | 2009-02-17 | Ethicon Endo-Surgery, Inc. | Surgical stapling and cutting instrument with manually retractable firing member |
US20080249563A1 (en) * | 2007-04-04 | 2008-10-09 | Peterson James A | Method and apparatus for tissue fastening |
US7798386B2 (en) | 2007-05-30 | 2010-09-21 | Ethicon Endo-Surgery, Inc. | Surgical instrument articulation joint cover |
US7810693B2 (en) | 2007-05-30 | 2010-10-12 | Ethicon Endo-Surgery, Inc. | Surgical stapling and cutting instrument with articulatable end effector |
US7549564B2 (en) * | 2007-06-22 | 2009-06-23 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with an articulating end effector |
US8157145B2 (en) | 2007-05-31 | 2012-04-17 | Ethicon Endo-Surgery, Inc. | Pneumatically powered surgical cutting and fastening instrument with electrical feedback |
US8534528B2 (en) | 2007-06-04 | 2013-09-17 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a multiple rate directional switching mechanism |
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 |
US20080308603A1 (en) * | 2007-06-18 | 2008-12-18 | Shelton Frederick E | Cable driven surgical stapling and cutting instrument with improved cable attachment arrangements |
US8408439B2 (en) | 2007-06-22 | 2013-04-02 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with an articulatable end effector |
US7604150B2 (en) * | 2007-06-22 | 2009-10-20 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with an anti-back up mechanism |
US7597229B2 (en) | 2007-06-22 | 2009-10-06 | Ethicon Endo-Surgery, Inc. | End effector closure system for a surgical stapling instrument |
US7658311B2 (en) * | 2007-06-22 | 2010-02-09 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with a geared return mechanism |
NZ586274A (en) * | 2007-12-28 | 2012-12-21 | Synthes Gmbh | A tack or drive screw for securing a prosthesis to bone and associated instrumentation and method |
US7766209B2 (en) | 2008-02-13 | 2010-08-03 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with improved firing trigger arrangement |
US8453908B2 (en) | 2008-02-13 | 2013-06-04 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with improved firing trigger arrangement |
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 |
US8622274B2 (en) | 2008-02-14 | 2014-01-07 | Ethicon Endo-Surgery, Inc. | Motorized cutting and fastening instrument having control circuit for optimizing battery usage |
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 |
US7810692B2 (en) * | 2008-02-14 | 2010-10-12 | Ethicon Endo-Surgery, Inc. | Disposable loading unit with firing indicator |
US7857185B2 (en) | 2008-02-14 | 2010-12-28 | Ethicon Endo-Surgery, Inc. | Disposable loading unit for surgical stapling apparatus |
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 |
US8584919B2 (en) | 2008-02-14 | 2013-11-19 | Ethicon Endo-Sugery, Inc. | Surgical stapling apparatus with load-sensitive firing mechanism |
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 |
US20090206133A1 (en) * | 2008-02-14 | 2009-08-20 | Ethicon Endo-Surgery, Inc. | Articulatable loading units for surgical stapling and cutting instruments |
US7861906B2 (en) | 2008-02-14 | 2011-01-04 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with articulatable components |
US8752749B2 (en) | 2008-02-14 | 2014-06-17 | Ethicon Endo-Surgery, Inc. | Robotically-controlled disposable motor-driven loading unit |
US7819296B2 (en) * | 2008-02-14 | 2010-10-26 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with retractable firing systems |
US7819297B2 (en) * | 2008-02-14 | 2010-10-26 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with reprocessible handle assembly |
US8657174B2 (en) | 2008-02-14 | 2014-02-25 | Ethicon Endo-Surgery, Inc. | Motorized surgical cutting and fastening instrument having handle based power source |
US20090206141A1 (en) | 2008-02-15 | 2009-08-20 | Ethicon Endo-Surgery, Inc. | Buttress material having an activatable adhesive |
US7980443B2 (en) * | 2008-02-15 | 2011-07-19 | Ethicon Endo-Surgery, Inc. | End effectors for a surgical cutting and stapling instrument |
US20090206137A1 (en) * | 2008-02-15 | 2009-08-20 | Ethicon Endo-Surgery, Inc. | Disposable loading units for a surgical cutting and stapling instrument |
US7959051B2 (en) * | 2008-02-15 | 2011-06-14 | Ethicon Endo-Surgery, Inc. | Closure systems 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 |
US8870049B2 (en) * | 2008-03-14 | 2014-10-28 | Transenterix, Inc. | Hernia stapler |
US20100023052A1 (en) * | 2008-07-23 | 2010-01-28 | Tyco Healthcare Group Lp | Staple for use in surgical procedures |
US7832612B2 (en) | 2008-09-19 | 2010-11-16 | Ethicon Endo-Surgery, Inc. | Lockout arrangement for a surgical stapler |
PL3476312T3 (en) | 2008-09-19 | 2024-03-11 | Ethicon Llc | Surgical stapler with apparatus for adjusting staple height |
US9050083B2 (en) | 2008-09-23 | 2015-06-09 | Ethicon Endo-Surgery, Inc. | Motorized surgical instrument |
US8020743B2 (en) * | 2008-10-15 | 2011-09-20 | Ethicon Endo-Surgery, Inc. | Powered articulatable surgical cutting and fastening instrument with flexible drive member |
WO2010081029A1 (en) | 2009-01-08 | 2010-07-15 | Rotation Medical, Inc. | Implantable tendon protection systems and related kits and methods |
US8397971B2 (en) * | 2009-02-05 | 2013-03-19 | Ethicon Endo-Surgery, Inc. | Sterilizable surgical instrument |
US20100193566A1 (en) * | 2009-02-05 | 2010-08-05 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument |
US8485413B2 (en) * | 2009-02-05 | 2013-07-16 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument comprising an articulation joint |
US8414577B2 (en) | 2009-02-05 | 2013-04-09 | Ethicon Endo-Surgery, Inc. | Surgical instruments and components for use in sterile environments |
US8453907B2 (en) * | 2009-02-06 | 2013-06-04 | Ethicon Endo-Surgery, Inc. | Motor driven surgical fastener device with cutting member reversing mechanism |
US9179910B2 (en) | 2009-03-20 | 2015-11-10 | Rotation Medical, Inc. | Medical device delivery system and method |
US8066167B2 (en) * | 2009-03-23 | 2011-11-29 | Ethicon Endo-Surgery, Inc. | Circular surgical stapling instrument with anvil locking system |
DE102009022692B8 (en) * | 2009-05-26 | 2013-09-12 | Joimax Gmbh | Apparatus and method for applying a medical lockable clip in a tissue area |
US9179961B2 (en) | 2009-06-04 | 2015-11-10 | Rotation Medical, Inc. | Methods and apparatus for deploying sheet-like materials |
EP2437668B1 (en) | 2009-06-04 | 2016-08-10 | Rotation Medical, Inc. | Apparatus for fixing sheet-like materials to a target tissue |
US20110114697A1 (en) * | 2009-11-19 | 2011-05-19 | Ethicon Endo-Surgery, Inc. | Circular stapler introducer with multi-lumen sheath |
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 |
US9198750B2 (en) | 2010-03-11 | 2015-12-01 | Rotation Medical, Inc. | Tendon repair implant and method of arthroscopic implantation |
DE102010012011A1 (en) * | 2010-03-12 | 2011-09-15 | Aesculap Ag | Surgical instrument |
US8789740B2 (en) | 2010-07-30 | 2014-07-29 | Ethicon Endo-Surgery, Inc. | Linear cutting and stapling device with selectively disengageable cutting member |
US8360296B2 (en) | 2010-09-09 | 2013-01-29 | Ethicon Endo-Surgery, Inc. | Surgical stapling head assembly with firing lockout for a surgical stapler |
US9877720B2 (en) | 2010-09-24 | 2018-01-30 | Ethicon Llc | Control features for articulating surgical device |
US9314246B2 (en) | 2010-09-30 | 2016-04-19 | Ethicon Endo-Surgery, Llc | Tissue stapler having a thickness compensator incorporating an anti-inflammatory agent |
US8893949B2 (en) | 2010-09-30 | 2014-11-25 | Ethicon Endo-Surgery, Inc. | Surgical stapler with floating anvil |
US9220501B2 (en) | 2010-09-30 | 2015-12-29 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensators |
US9307989B2 (en) | 2012-03-28 | 2016-04-12 | Ethicon Endo-Surgery, Llc | Tissue stapler having a thickness compensator incorportating a hydrophobic agent |
US9332974B2 (en) | 2010-09-30 | 2016-05-10 | Ethicon Endo-Surgery, Llc | Layered tissue thickness compensator |
US9301752B2 (en) | 2010-09-30 | 2016-04-05 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator comprising a plurality of capsules |
US8757465B2 (en) | 2010-09-30 | 2014-06-24 | Ethicon Endo-Surgery, Inc. | Fastener system comprising a retention matrix and an alignment matrix |
US9301753B2 (en) | 2010-09-30 | 2016-04-05 | Ethicon Endo-Surgery, Llc | Expandable tissue thickness compensator |
US9216019B2 (en) | 2011-09-23 | 2015-12-22 | Ethicon Endo-Surgery, Inc. | Surgical stapler with stationary staple drivers |
US9433419B2 (en) | 2010-09-30 | 2016-09-06 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator comprising a plurality of layers |
RU2013119928A (en) | 2010-09-30 | 2014-11-10 | Этикон Эндо-Серджери, Инк. | A STAPLING SYSTEM CONTAINING A RETAINING MATRIX AND A LEVELING MATRIX |
WO2012145059A1 (en) | 2011-02-15 | 2012-10-26 | Rotation Medical, Inc. | Methods and apparatus for fixing sheet-like materials to a target tissue |
US10952783B2 (en) | 2011-12-29 | 2021-03-23 | Rotation Medical, Inc. | Guidewire having a distal fixation member for delivering and positioning sheet-like materials in surgery |
US9314314B2 (en) | 2011-02-15 | 2016-04-19 | Rotation Medical, Inc. | Anatomical location markers and methods of use in positioning sheet-like materials during surgery |
EP2675391B1 (en) | 2011-02-15 | 2017-09-27 | Rotation Medical, Inc. | Apparatus for delivering and positioning sheet-like materials |
US9211122B2 (en) | 2011-03-14 | 2015-12-15 | Ethicon Endo-Surgery, Inc. | Surgical access devices with anvil introduction and specimen retrieval structures |
US8800841B2 (en) | 2011-03-15 | 2014-08-12 | Ethicon Endo-Surgery, Inc. | Surgical staple cartridges |
US8833632B2 (en) | 2011-09-06 | 2014-09-16 | Ethicon Endo-Surgery, Inc. | Firing member displacement system for a stapling instrument |
US9050084B2 (en) | 2011-09-23 | 2015-06-09 | Ethicon Endo-Surgery, Inc. | Staple cartridge including collapsible deck arrangement |
EP3403601A1 (en) | 2011-12-19 | 2018-11-21 | Rotation Medical, Inc. | Apparatus for forming pilot holes in bone and delivering fasteners therein for retaining an implant |
WO2013096224A1 (en) | 2011-12-19 | 2013-06-27 | Rotation Medical, Inc. | Fasteners for affixing sheet -like materials to bone or tissue |
US9107661B2 (en) | 2011-12-19 | 2015-08-18 | Rotation Medical, Inc. | Fasteners and fastener delivery devices for affixing sheet-like materials to bone or tissue |
CA2859548A1 (en) | 2011-12-19 | 2013-08-15 | Rotation Medical, Inc. | Fasteners for affixing sheet-like materials to bone or tissue |
EP2797532B1 (en) | 2011-12-29 | 2016-04-06 | Rotation Medical, Inc. | Apparatus for delivering and positioning sheet-like materials in surgery |
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 |
US9028494B2 (en) | 2012-06-28 | 2015-05-12 | Ethicon Endo-Surgery, Inc. | Interchangeable end effector coupling arrangement |
US9561038B2 (en) | 2012-06-28 | 2017-02-07 | Ethicon Endo-Surgery, Llc | Interchangeable clip applier |
US8747238B2 (en) | 2012-06-28 | 2014-06-10 | Ethicon Endo-Surgery, Inc. | Rotary drive shaft assemblies for surgical instruments with articulatable end effectors |
US9119657B2 (en) | 2012-06-28 | 2015-09-01 | Ethicon Endo-Surgery, Inc. | Rotary actuatable closure arrangement for surgical end effector |
US9101385B2 (en) | 2012-06-28 | 2015-08-11 | Ethicon Endo-Surgery, Inc. | Electrode connections for rotary driven surgical tools |
US9125662B2 (en) | 2012-06-28 | 2015-09-08 | Ethicon Endo-Surgery, Inc. | Multi-axis articulating and rotating surgical tools |
US9072536B2 (en) | 2012-06-28 | 2015-07-07 | Ethicon Endo-Surgery, Inc. | Differential locking arrangements for rotary powered surgical instruments |
US9386984B2 (en) | 2013-02-08 | 2016-07-12 | Ethicon Endo-Surgery, Llc | Staple cartridge comprising a releasable cover |
US10092292B2 (en) | 2013-02-28 | 2018-10-09 | Ethicon Llc | Staple forming features for surgical stapling instrument |
US9700309B2 (en) | 2013-03-01 | 2017-07-11 | Ethicon Llc | Articulatable surgical instruments with conductive pathways for signal communication |
US9345481B2 (en) | 2013-03-13 | 2016-05-24 | Ethicon Endo-Surgery, Llc | Staple cartridge tissue thickness sensor system |
US9572577B2 (en) | 2013-03-27 | 2017-02-21 | Ethicon Endo-Surgery, Llc | Fastener cartridge comprising a tissue thickness compensator including openings therein |
US9332984B2 (en) | 2013-03-27 | 2016-05-10 | Ethicon Endo-Surgery, Llc | Fastener cartridge assemblies |
US9795384B2 (en) | 2013-03-27 | 2017-10-24 | Ethicon Llc | Fastener cartridge comprising a tissue thickness compensator and a gap setting element |
US10201343B2 (en) * | 2013-05-03 | 2019-02-12 | Neotract, Inc. | System for delivering an anchor |
US9574644B2 (en) | 2013-05-30 | 2017-02-21 | Ethicon Endo-Surgery, Llc | Power module for use with a surgical instrument |
US20140171986A1 (en) | 2013-09-13 | 2014-06-19 | Ethicon Endo-Surgery, Inc. | Surgical Clip Having Comliant Portion |
US9839423B2 (en) | 2014-02-24 | 2017-12-12 | Ethicon Llc | Implantable layers and methods for modifying the shape of the implantable layers for use with a surgical fastening instrument |
US9913642B2 (en) | 2014-03-26 | 2018-03-13 | Ethicon Llc | Surgical instrument comprising a sensor system |
US9844377B2 (en) | 2014-04-25 | 2017-12-19 | Incisive Surgical, Inc. | Method and apparatus for wound closure with sequential tissue positioning and retention |
WO2015172052A1 (en) | 2014-05-09 | 2015-11-12 | Rotation Medical, Inc. | Medical implant delivery system for sheet-like implant |
US10045781B2 (en) | 2014-06-13 | 2018-08-14 | Ethicon Llc | Closure lockout systems for surgical instruments |
EP4275620A3 (en) | 2014-11-04 | 2024-01-17 | Rotation Medical, Inc. | Medical implant delivery system |
US10123796B2 (en) | 2014-11-04 | 2018-11-13 | Rotation Medical, Inc. | Medical implant delivery system and related methods |
WO2016073502A1 (en) | 2014-11-04 | 2016-05-12 | Rotation Medical, Inc. | Medical implant delivery system and related methods |
US10117649B2 (en) | 2014-12-18 | 2018-11-06 | Ethicon Llc | Surgical instrument assembly comprising a lockable articulation system |
USD752219S1 (en) | 2015-01-02 | 2016-03-22 | Incisive Surgical, Inc. | Tissue fastening instrument |
US10226250B2 (en) | 2015-02-27 | 2019-03-12 | Ethicon Llc | Modular stapling assembly |
US9895148B2 (en) | 2015-03-06 | 2018-02-20 | Ethicon Endo-Surgery, Llc | Monitoring speed control and precision incrementing of motor 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 |
AU2016256857B2 (en) | 2015-05-06 | 2018-05-31 | Rotation Medical, Inc. | Medical implant delivery system and related methods |
WO2016205186A1 (en) | 2015-06-15 | 2016-12-22 | Rotation Medical, Inc. | Tendon repair implant and method of implantation |
US10368861B2 (en) | 2015-06-18 | 2019-08-06 | Ethicon Llc | Dual articulation drive system arrangements for articulatable surgical instruments |
US11058426B2 (en) | 2015-08-26 | 2021-07-13 | Cilag Gmbh International | Staple cartridge assembly comprising various tissue compression gaps and staple forming gaps |
US10085747B2 (en) | 2015-09-11 | 2018-10-02 | Incisive Surgical, Inc. | Surgical fastening instrument |
US10085751B2 (en) | 2015-09-23 | 2018-10-02 | Ethicon Llc | Surgical stapler having temperature-based motor control |
US10076326B2 (en) | 2015-09-23 | 2018-09-18 | Ethicon Llc | Surgical stapler having current mirror-based motor control |
AU2016381936B2 (en) | 2015-12-31 | 2019-02-28 | Rotation Medical, Inc. | Medical implant delivery system and related methods |
EP3397175B1 (en) | 2015-12-31 | 2021-11-24 | Rotation Medical, Inc. | Fastener delivery system |
US10568632B2 (en) | 2016-04-01 | 2020-02-25 | Ethicon Llc | Surgical stapling system comprising a jaw closure lockout |
US11284890B2 (en) | 2016-04-01 | 2022-03-29 | Cilag Gmbh International | Circular stapling system comprising an incisable tissue support |
US10531874B2 (en) | 2016-04-01 | 2020-01-14 | Ethicon Llc | Surgical cutting and stapling end effector with anvil concentric drive member |
JP7317826B2 (en) | 2017-12-07 | 2023-07-31 | ローテーション メディカル インコーポレイテッド | Medical implant delivery system and related methods |
CN110338866B (en) * | 2019-07-24 | 2024-04-26 | 常州市康迪医用吻合器有限公司 | Skin anastomat with multiple protection devices |
CN113081115B (en) * | 2021-03-17 | 2023-05-02 | 苏州优脉瑞医疗科技有限公司 | Constant-speed nail discharging anastomat |
CN117547323B (en) * | 2023-11-24 | 2024-07-19 | 江苏南驰科技有限公司 | Clamping mechanism, hemostatic clamp comprising clamping mechanism and use method of hemostatic clamp |
Citations (7)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US2164970A (en) * | 1937-09-10 | 1939-07-04 | Cleveland Pneumatic Tool Co | Riveting tool |
US2707940A (en) * | 1953-07-17 | 1955-05-10 | Zoltan Faber | Valve mechanism |
US2870749A (en) * | 1957-04-18 | 1959-01-27 | Nat Supply Co | Control valve for fluid operated engines for down well pumps |
US2995931A (en) * | 1957-07-12 | 1961-08-15 | Sivalls Tanks Inc | Automatic sampler |
US3067724A (en) * | 1957-11-08 | 1962-12-11 | Bostitch Inc | Fastener-applying machine |
US3183788A (en) * | 1962-11-09 | 1965-05-18 | Olsson Bror Sigurd | Devices for performing rotational movements |
US3479926A (en) * | 1965-12-29 | 1969-11-25 | Gaston E Marbaix Ltd | Pneumatic devices for driving fasteners or like purposes |
Family Cites Families (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US1125411A (en) * | 1909-08-23 | 1915-01-19 | Oscar Gast | Rivet heating and holding tool. |
US2964752A (en) * | 1958-04-29 | 1960-12-20 | Olin Mathieson | Fluid operated tool |
US3049712A (en) * | 1961-04-07 | 1962-08-21 | Joseph A Khan | Gas operated stapler |
-
1969
- 1969-08-25 US US852822A patent/US3643851A/en not_active Expired - Lifetime
-
1970
- 1970-08-21 CA CA091,312A patent/CA953997A/en not_active Expired
- 1970-08-24 FR FR7030969A patent/FR2059173A5/fr not_active Expired
- 1970-08-24 SE SE7011485A patent/SE373496B/en unknown
- 1970-08-24 SE SE7406757A patent/SE395219B/en unknown
- 1970-08-25 GB GB4087170A patent/GB1328841A/en not_active Expired
- 1970-08-25 JP JP45073919A patent/JPS4842438B1/ja active Pending
- 1970-08-25 DE DE2065742*A patent/DE2065742A1/en active Pending
- 1970-08-25 SU SU1481582A patent/SU419001A3/ru active
-
1971
- 1971-03-17 US US00125077A patent/US3815476A/en not_active Expired - Lifetime
- 1971-12-14 CA CA130104A patent/CA938182A/en not_active Expired
-
1973
- 1973-04-24 CA CA169,305A patent/CA953999A/en not_active Expired
- 1973-06-06 JP JP48063701A patent/JPS5016103B1/ja active Pending
Patent Citations (7)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US2164970A (en) * | 1937-09-10 | 1939-07-04 | Cleveland Pneumatic Tool Co | Riveting tool |
US2707940A (en) * | 1953-07-17 | 1955-05-10 | Zoltan Faber | Valve mechanism |
US2870749A (en) * | 1957-04-18 | 1959-01-27 | Nat Supply Co | Control valve for fluid operated engines for down well pumps |
US2995931A (en) * | 1957-07-12 | 1961-08-15 | Sivalls Tanks Inc | Automatic sampler |
US3067724A (en) * | 1957-11-08 | 1962-12-11 | Bostitch Inc | Fastener-applying machine |
US3183788A (en) * | 1962-11-09 | 1965-05-18 | Olsson Bror Sigurd | Devices for performing rotational movements |
US3479926A (en) * | 1965-12-29 | 1969-11-25 | Gaston E Marbaix Ltd | Pneumatic devices for driving fasteners or like purposes |
Cited By (1100)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4223592A (en) * | 1978-08-28 | 1980-09-23 | Westinghouse Electric Corp. | Pneumatic operating-mechanism construction |
US4331277A (en) * | 1980-05-23 | 1982-05-25 | United States Surgical Corporation | Self-contained gas powered surgical stapler |
DE3148619C2 (en) * | 1980-05-23 | 1985-09-19 | United States Surgical Corp., Norwalk, Conn. | Gas operated surgical stapling instrument |
US4349028A (en) * | 1980-10-03 | 1982-09-14 | United States Surgical Corporation | Surgical stapling apparatus having self-contained pneumatic system for completing manually initiated motion sequence |
US4422567A (en) * | 1981-11-17 | 1983-12-27 | Haynes Taylor H | Medical suturing device |
EP0170424A1 (en) * | 1984-07-03 | 1986-02-05 | Sencorp | A magazine system for a fastener driving tool |
GB2166196A (en) * | 1984-10-26 | 1986-04-30 | Peter Rebbettes | Fluid operated actuator |
US4874122A (en) * | 1986-07-14 | 1989-10-17 | Minnesota Mining And Manufacturing Company | Bent back box staple and staple closing mechanism with split actuator |
US4938408A (en) * | 1988-01-15 | 1990-07-03 | Ethicon, Inc. | Surgical stapler safety and sequencing mechanisms |
US4951861A (en) * | 1988-01-15 | 1990-08-28 | Ethicon, Inc. | Surgical stapler pressure regulator |
US4964559A (en) * | 1988-01-15 | 1990-10-23 | Ethicon, Inc. | Pneumatic surgical stapler connectors |
US5018657A (en) * | 1988-01-15 | 1991-05-28 | Ethicon, Inc. | Pneumatically actuated surgical stapler head |
EP0536903A2 (en) * | 1991-09-12 | 1993-04-14 | Ethicon, Inc. | Multiple fire endoscopic stapling mechanism |
EP0536903A3 (en) * | 1991-09-12 | 1993-08-25 | Ethicon Inc. | Multiple fire endoscopic stapling mechanism |
US5397046A (en) * | 1991-10-18 | 1995-03-14 | United States Surgical Corporation | Lockout mechanism for surgical apparatus |
US7464848B2 (en) | 1991-10-18 | 2008-12-16 | United States Surgical Corporation | Surgical stapling apparatus |
US5364001A (en) * | 1991-10-18 | 1994-11-15 | United States Surgical Corporation | Self contained gas powered surgical apparatus |
AU657364B2 (en) * | 1991-10-18 | 1995-03-09 | United States Surgical Corporation | Self contained gas powered surgical apparatus |
US6250532B1 (en) * | 1991-10-18 | 2001-06-26 | United States Surgical Corporation | Surgical stapling apparatus |
US5456401A (en) * | 1991-10-18 | 1995-10-10 | United States Surgical Corporation | Surgical apparatus having articulation mechanism |
US5472132A (en) * | 1991-10-18 | 1995-12-05 | United States Surgical Corporation | Lockout mechanism for surgical apparatus |
US5312023A (en) * | 1991-10-18 | 1994-05-17 | United States Surgical Corporation | Self contained gas powered surgical apparatus |
US5478003A (en) * | 1991-10-18 | 1995-12-26 | United States Surgical Corporation | Surgical apparatus |
US5482197A (en) * | 1991-10-18 | 1996-01-09 | United States Surgical Corporation | Articulating surgical cartridge assembly |
US7296724B2 (en) | 1991-10-18 | 2007-11-20 | United States Surgical Corporation | Surgical stapling apparatus |
US5326013A (en) * | 1991-10-18 | 1994-07-05 | United States Surgical Corporation | Self contained gas powered surgical apparatus |
US5584425A (en) * | 1991-10-18 | 1996-12-17 | United States Surgical Corporation | Lockout mechanism for surgical apparatus |
US20090065550A1 (en) * | 1991-10-18 | 2009-03-12 | United States Surgical Corporation | Surgical stapling apparatus |
US5636780A (en) * | 1991-10-18 | 1997-06-10 | United States Surgical Corporation | Self contained gas powered surgical apparatus |
US5645209A (en) * | 1991-10-18 | 1997-07-08 | United States Surgical Corporation | Self contained gas powered surgical apparatus |
US5647526A (en) * | 1991-10-18 | 1997-07-15 | United States Surgical Corporation | Self contained gas powered surgical apparatus |
US20090065551A1 (en) * | 1991-10-18 | 2009-03-12 | United States Surgical Corporation | Surgical stapling apparatus |
US7543731B2 (en) | 1991-10-18 | 2009-06-09 | United States Surgical Corporation | Surgical stapling apparatus |
US7891533B2 (en) | 1991-10-18 | 2011-02-22 | Tyco Healthcare Group Lp | Surgical stapling apparatus |
US7861907B2 (en) | 1991-10-18 | 2011-01-04 | Tyco Healthcare Group Lp | Surgical stapling apparatus |
US5711472A (en) * | 1991-10-18 | 1998-01-27 | United States Surgical Corporation | Self contained gas powered surgical apparatus |
EP0872213A2 (en) | 1993-10-01 | 1998-10-21 | United States Surgical Corporation | Apparatus with anvil for applying surgical fasteners |
US5487499A (en) * | 1993-10-08 | 1996-01-30 | United States Surgical Corporation | Surgical apparatus for applying surgical fasteners including a counter |
US5918791A (en) * | 1993-10-08 | 1999-07-06 | United States Surgical Corporation | Surgical apparatus for applying surgical fasteners |
US5709334A (en) * | 1993-10-08 | 1998-01-20 | United States Surgical Corporation | Surgical apparatus for applying surgical fasteners |
US5862972A (en) * | 1993-10-14 | 1999-01-26 | United States Surgical Corporation | Gas powered apparatus for applying surgical fasteners to body tissue |
US5680981A (en) * | 1994-05-05 | 1997-10-28 | United States Surgical Corporation | Self-contained powered surgical apparatus |
US5628446A (en) * | 1994-05-05 | 1997-05-13 | United States Surgical Corporation | Self-contained powered surgical apparatus |
EP0685203A3 (en) * | 1994-05-05 | 1996-06-05 | United States Surgical Corp | Self-contained powered surgical apparatus. |
EP0685203A2 (en) * | 1994-05-05 | 1995-12-06 | United States Surgical Corporation | Self-contained powered surgical apparatus |
US5954259A (en) * | 1994-08-05 | 1999-09-21 | United States Surgical Corporation | Self-contained powered surgical apparatus for applying surgical fasteners |
US5779130A (en) * | 1994-08-05 | 1998-07-14 | United States Surgical Corporation | Self-contained powered surgical apparatus |
US5657921A (en) * | 1994-08-05 | 1997-08-19 | United States Surgical Corporation | Apparatus for applying surgical fasteners |
US5653374A (en) * | 1994-08-05 | 1997-08-05 | United States Surgical Corporation | Self-contained powered surgical apparatus |
US6315184B1 (en) | 1999-06-02 | 2001-11-13 | Powermed, Inc. | Stapling device for use with an electromechanical driver device for use with anastomosing, stapling, and resecting instruments |
US8357144B2 (en) | 1999-06-02 | 2013-01-22 | Covidien, LP | Electro-mechanical surgical device |
US8690913B2 (en) | 1999-06-02 | 2014-04-08 | Covidien Lp | Electromechanical drive and remote surgical instrument attachment having computer assisted control capabilities |
US9662109B2 (en) | 1999-06-02 | 2017-05-30 | Covidien Lp | Electromechanical drive and remote surgical instrument attachment having computer assisted control capabilities |
US9364200B2 (en) | 1999-06-02 | 2016-06-14 | Covidien Lp | Electro-mechanical surgical device |
US9033868B2 (en) | 1999-06-02 | 2015-05-19 | Covidien Lp | Couplings for interconnecting components of an electro-mechanical surgical device |
US7758613B2 (en) | 1999-06-02 | 2010-07-20 | Power Medical Interventions, Llc | Electromechanical driver and remote surgical instrument attachment having computer assisted control capabilities |
US6716233B1 (en) | 1999-06-02 | 2004-04-06 | Power Medical Interventions, Inc. | Electromechanical driver and remote surgical instrument attachment having computer assisted control capabilities |
US9247940B2 (en) | 1999-06-02 | 2016-02-02 | Covidien Lp | Surgical cutting and stapling device |
US8016858B2 (en) | 1999-06-02 | 2011-09-13 | Tyco Healthcare Group Ip | Electromechanical driver and remote surgical instrument attachment having computer assisted control capabilities |
US6793652B1 (en) | 1999-06-02 | 2004-09-21 | Power Medical Interventions, Inc. | Electro-mechanical surgical device |
US6843403B2 (en) | 1999-06-02 | 2005-01-18 | Power Medical Interventions, Inc. | Surgical clamping, cutting and stapling device |
US6846309B2 (en) | 1999-06-02 | 2005-01-25 | Power Medical Interventions, Inc. | Electro-mechanical surgical device |
US6846308B2 (en) | 1999-06-02 | 2005-01-25 | Power Medical Interventions, Inc. | Electro-mechanical surgical device |
US6846307B2 (en) | 1999-06-02 | 2005-01-25 | Power Medical Interventions, Inc. | Electro-mechanical surgical device |
US6849071B2 (en) | 1999-06-02 | 2005-02-01 | Power Medical Interventions, Inc. | Electro-mechanical surgical device |
US6981941B2 (en) | 1999-06-02 | 2006-01-03 | Power Medical Interventions | Electro-mechanical surgical device |
US7032798B2 (en) | 1999-06-02 | 2006-04-25 | Power Medical Interventions, Inc. | Electro-mechanical surgical device |
US7077856B2 (en) | 1999-06-02 | 2006-07-18 | Power Medical Interventions, Inc. | Electromechanical driver and remote surgical instrument attachment having computer assisted control capabilities |
US9241716B2 (en) | 1999-06-02 | 2016-01-26 | Covidien Lp | Electromechanical drive and remote surgical instrument attachment having computer assisted control capabilities |
US20010031975A1 (en) * | 1999-06-02 | 2001-10-18 | Whitman Michael P. | Electro-mechanical surgical device |
US9078654B2 (en) | 1999-06-02 | 2015-07-14 | Covidien Lp | Surgical device |
US8628467B2 (en) | 1999-06-02 | 2014-01-14 | Covidien Lp | Moisture-detecting shaft for use with an electro-mechanical surgical device |
US10335143B2 (en) | 1999-06-02 | 2019-07-02 | Covidien Lp | Surgical cutting and stapling device |
US9113847B2 (en) | 1999-06-02 | 2015-08-25 | Covidien Lp | Electro-mechanical surgical device |
US10314659B2 (en) | 1999-06-02 | 2019-06-11 | Covidien Lp | Electro-mechanical surgical device |
US7951071B2 (en) | 1999-06-02 | 2011-05-31 | Tyco Healthcare Group Lp | Moisture-detecting shaft for use with an electro-mechanical surgical device |
US9782172B2 (en) | 1999-06-02 | 2017-10-10 | Covidien Lp | Electromechanical drive and remote surgical instrument attachment having computer assisted control capabilities |
US6517565B1 (en) | 1999-06-02 | 2003-02-11 | Power Medical Interventions, Inc. | Carriage assembly for controlling a steering wire steering mechanism within a flexible shaft |
US6443973B1 (en) | 1999-06-02 | 2002-09-03 | Power Medical Interventions, Inc. | Electromechanical driver device for use with anastomosing, stapling, and resecting instruments |
US8459523B2 (en) | 1999-07-12 | 2013-06-11 | Covidien Lp | Expanding parallel jaw device for use with an electromechanical driver device |
US7537602B2 (en) | 1999-07-12 | 2009-05-26 | Power Medical Interventions, Inc. | Expanding parallel jaw device for use with an electromechanical driver device |
US7845538B2 (en) | 1999-07-12 | 2010-12-07 | Power Medical Interventions, Llc | Expanding parallel jaw device for use with an electromechanical driver device |
US6505768B2 (en) | 1999-07-12 | 2003-01-14 | Power Medical Interventions, Inc. | Expanding parallel jaw device for use with an electromechanical driver device |
US7114642B2 (en) | 1999-07-12 | 2006-10-03 | Power Medical Interventions, Inc. | Expanding parallel jaw device for use with an electromechanical driver device |
US8056791B2 (en) | 1999-07-12 | 2011-11-15 | Tyco Healthcare Group Lp | Expanding parallel jaw device for use with an electromechanical driver device |
US6698643B2 (en) | 1999-07-12 | 2004-03-02 | Power Medical Interventions, Inc. | Expanding parallel jaw device for use with an electromechanical driver device |
US6264087B1 (en) | 1999-07-12 | 2001-07-24 | Powermed, Inc. | Expanding parallel jaw device for use with an electromechanical driver device |
US8118208B2 (en) | 1999-07-12 | 2012-02-21 | Tyco Healthcare Group Lp | Expanding parallel jaw device for use with an electromechanical driver device |
US8186559B1 (en) | 1999-07-12 | 2012-05-29 | Tyco Healthcare Group Lp | Expanding parallel jaw device for use with an electromechanical driver device |
US6716230B2 (en) | 2000-02-22 | 2004-04-06 | Power Medical Interventions, Inc. | Vessel and lumen expander attachment for use with an electromechanical driver device |
US6348061B1 (en) | 2000-02-22 | 2002-02-19 | Powermed, Inc. | Vessel and lumen expander attachment for use with an electromechanical driver device |
US6488197B1 (en) | 2000-02-22 | 2002-12-03 | Power Medical Interventions, Inc. | Fluid delivery device for use with anastomosing resecting and stapling instruments |
US6491201B1 (en) | 2000-02-22 | 2002-12-10 | Power Medical Interventions, Inc. | Fluid delivery mechanism for use with anastomosing, stapling, and resecting instruments |
US6533157B1 (en) | 2000-02-22 | 2003-03-18 | Power Medical Interventions, Inc. | Tissue stapling attachment for use with an electromechanical driver device |
US6681979B2 (en) | 2000-02-22 | 2004-01-27 | Power Medical Interventions, Inc. | Fluid delivery device for use with anastomosing stapling, and resecting instruments |
US6695199B2 (en) | 2000-02-22 | 2004-02-24 | Power Medical Interventions, Inc. | Fluid delivery mechanism for use with anastomosing, stapling, and resecting instruments |
US8021373B2 (en) | 2001-11-30 | 2011-09-20 | Tyco Healthcare Group Lp | Surgical device |
US8512359B2 (en) | 2001-11-30 | 2013-08-20 | Covidien Lp | Surgical device |
US7695485B2 (en) | 2001-11-30 | 2010-04-13 | Power Medical Interventions, Llc | Surgical device |
US8740932B2 (en) | 2001-11-30 | 2014-06-03 | Covidien Lp | Surgical device |
US20030125717A1 (en) * | 2001-12-04 | 2003-07-03 | Whitman Michael P. | System and method for calibrating a surgical instrument |
US20100324541A1 (en) * | 2001-12-04 | 2010-12-23 | Power Medical Interventions, Llc | System and method for calibrating a surgical instrument |
US9743927B2 (en) | 2001-12-04 | 2017-08-29 | Covidien Lp | System and method for calibrating a surgical instrument |
US10758225B2 (en) | 2001-12-04 | 2020-09-01 | Covidien Lp | System and method for calibrating a surgical instrument |
US7803151B2 (en) | 2001-12-04 | 2010-09-28 | Power Medical Interventions, Llc | System and method for calibrating a surgical instrument |
US8858589B2 (en) | 2002-01-08 | 2014-10-14 | Covidien Lp | Surgical device |
US8016855B2 (en) | 2002-01-08 | 2011-09-13 | Tyco Healthcare Group Lp | Surgical device |
US8518074B2 (en) | 2002-01-08 | 2013-08-27 | Covidien Lp | Surgical device |
US9113878B2 (en) | 2002-01-08 | 2015-08-25 | Covidien Lp | Pinion clip for right angle linear cutter |
US8540733B2 (en) | 2002-06-14 | 2013-09-24 | Covidien Lp | Surgical method and device having a first jaw and a second jaw in opposed correspondence for clamping, cutting, and stapling tissue |
US9861362B2 (en) | 2002-06-14 | 2018-01-09 | Covidien Lp | Surgical device |
US20040094597A1 (en) * | 2002-06-14 | 2004-05-20 | Whitman Michael P. | Surgical device |
US7743960B2 (en) | 2002-06-14 | 2010-06-29 | Power Medical Interventions, Llc | Surgical device |
US20100219227A1 (en) * | 2002-06-14 | 2010-09-02 | Power Medical Interventions, Llc | Surgical device |
US8056786B2 (en) | 2002-06-14 | 2011-11-15 | Tyco Healthcare Group Lp | Surgical device |
US11219452B2 (en) | 2004-02-23 | 2022-01-11 | Covidien Lp | Surgical cutting and stapling device |
US8025199B2 (en) | 2004-02-23 | 2011-09-27 | Tyco Healthcare Group Lp | Surgical cutting and stapling device |
US10687817B2 (en) | 2004-07-28 | 2020-06-23 | Ethicon Llc | Stapling device comprising a firing member lockout |
US11890012B2 (en) | 2004-07-28 | 2024-02-06 | Cilag Gmbh International | Staple cartridge comprising cartridge body and attached support |
US11135352B2 (en) | 2004-07-28 | 2021-10-05 | Cilag Gmbh International | End effector including a gradually releasable medical adjunct |
US11812960B2 (en) | 2004-07-28 | 2023-11-14 | Cilag Gmbh International | Method of segmenting the operation of a surgical stapling instrument |
US10485547B2 (en) | 2004-07-28 | 2019-11-26 | Ethicon Llc | Surgical staple cartridges |
US11116502B2 (en) | 2004-07-28 | 2021-09-14 | Cilag Gmbh International | Surgical stapling instrument incorporating a two-piece firing mechanism |
US10799240B2 (en) | 2004-07-28 | 2020-10-13 | Ethicon Llc | Surgical instrument comprising a staple firing lockout |
US11998198B2 (en) | 2004-07-28 | 2024-06-04 | Cilag Gmbh International | Surgical stapling instrument incorporating a two-piece E-beam firing mechanism |
US10568629B2 (en) | 2004-07-28 | 2020-02-25 | Ethicon Llc | Articulating surgical stapling instrument |
US11963679B2 (en) | 2004-07-28 | 2024-04-23 | Cilag Gmbh International | Articulating surgical stapling instrument incorporating a two-piece E-beam firing mechanism |
US10716563B2 (en) | 2004-07-28 | 2020-07-21 | Ethicon Llc | Stapling system comprising an instrument assembly including a lockout |
US12011165B2 (en) | 2004-07-28 | 2024-06-18 | Cilag Gmbh International | Surgical stapling instrument comprising replaceable staple cartridge |
US10383634B2 (en) | 2004-07-28 | 2019-08-20 | Ethicon Llc | Stapling system incorporating a firing lockout |
US11083456B2 (en) | 2004-07-28 | 2021-08-10 | Cilag Gmbh International | Articulating surgical instrument incorporating a two-piece firing mechanism |
US12029423B2 (en) | 2004-07-28 | 2024-07-09 | Cilag Gmbh International | Surgical stapling instrument comprising a staple cartridge |
US10314590B2 (en) | 2004-07-28 | 2019-06-11 | Ethicon Llc | Articulating surgical stapling instrument incorporating a two-piece e-beam firing mechanism |
US10292707B2 (en) | 2004-07-28 | 2019-05-21 | Ethicon Llc | Articulating surgical stapling instrument incorporating a firing mechanism |
US10293100B2 (en) | 2004-07-28 | 2019-05-21 | Ethicon Llc | Surgical stapling instrument having a medical substance dispenser |
US10278702B2 (en) | 2004-07-28 | 2019-05-07 | Ethicon Llc | Stapling system comprising a firing bar and a lockout |
US11684365B2 (en) | 2004-07-28 | 2023-06-27 | Cilag Gmbh International | Replaceable staple cartridges for surgical instruments |
US11882987B2 (en) | 2004-07-28 | 2024-01-30 | Cilag Gmbh International | Articulating surgical stapling instrument incorporating a two-piece E-beam firing mechanism |
US11896225B2 (en) | 2004-07-28 | 2024-02-13 | Cilag Gmbh International | Staple cartridge comprising a pan |
US10420553B2 (en) | 2005-08-31 | 2019-09-24 | Ethicon Llc | Staple cartridge comprising a staple driver arrangement |
US11730474B2 (en) | 2005-08-31 | 2023-08-22 | Cilag Gmbh International | Fastener cartridge assembly comprising a movable cartridge and a staple driver arrangement |
US11134947B2 (en) | 2005-08-31 | 2021-10-05 | Cilag Gmbh International | Fastener cartridge assembly comprising a camming sled with variable cam arrangements |
US11793512B2 (en) | 2005-08-31 | 2023-10-24 | Cilag Gmbh International | Staple cartridges for forming staples having differing formed staple heights |
US11272928B2 (en) | 2005-08-31 | 2022-03-15 | Cilag GmbH Intemational | Staple cartridges for forming staples having differing formed staple heights |
US10463369B2 (en) | 2005-08-31 | 2019-11-05 | Ethicon Llc | Disposable end effector for use with a surgical instrument |
US10245032B2 (en) | 2005-08-31 | 2019-04-02 | Ethicon Llc | Staple cartridges for forming staples having differing formed staple heights |
US10932774B2 (en) | 2005-08-31 | 2021-03-02 | Ethicon Llc | Surgical end effector for forming staples to different heights |
US11172927B2 (en) | 2005-08-31 | 2021-11-16 | Cilag Gmbh International | Staple cartridges for forming staples having differing formed staple heights |
US11090045B2 (en) | 2005-08-31 | 2021-08-17 | Cilag Gmbh International | Staple cartridges for forming staples having differing formed staple heights |
US11839375B2 (en) | 2005-08-31 | 2023-12-12 | Cilag Gmbh International | Fastener cartridge assembly comprising an anvil and different staple heights |
US11771425B2 (en) | 2005-08-31 | 2023-10-03 | Cilag Gmbh International | Stapling assembly for forming staples to different formed heights |
US11179153B2 (en) | 2005-08-31 | 2021-11-23 | Cilag Gmbh International | Staple cartridges for forming staples having differing formed staple heights |
US10842488B2 (en) | 2005-08-31 | 2020-11-24 | Ethicon Llc | Fastener cartridge assembly comprising a fixed anvil and different staple heights |
US10842489B2 (en) | 2005-08-31 | 2020-11-24 | Ethicon Llc | Fastener cartridge assembly comprising a cam and driver arrangement |
US10245035B2 (en) | 2005-08-31 | 2019-04-02 | Ethicon Llc | Stapling assembly configured to produce different formed staple heights |
US11484312B2 (en) | 2005-08-31 | 2022-11-01 | Cilag Gmbh International | Staple cartridge comprising a staple driver arrangement |
US11484311B2 (en) | 2005-08-31 | 2022-11-01 | Cilag Gmbh International | Staple cartridge comprising a staple driver arrangement |
US10729436B2 (en) | 2005-08-31 | 2020-08-04 | Ethicon Llc | Robotically-controlled surgical stapling devices that produce formed staples having different lengths |
US10869664B2 (en) | 2005-08-31 | 2020-12-22 | Ethicon Llc | End effector for use with a surgical stapling instrument |
US11576673B2 (en) | 2005-08-31 | 2023-02-14 | Cilag Gmbh International | Stapling assembly for forming staples to different heights |
US10321909B2 (en) | 2005-08-31 | 2019-06-18 | Ethicon Llc | Staple cartridge comprising a staple including deformable members |
US10278697B2 (en) | 2005-08-31 | 2019-05-07 | Ethicon Llc | Staple cartridge comprising a staple driver arrangement |
US10271845B2 (en) | 2005-08-31 | 2019-04-30 | Ethicon Llc | Fastener cartridge assembly comprising a cam and driver arrangement |
US10271846B2 (en) | 2005-08-31 | 2019-04-30 | Ethicon Llc | Staple cartridge for use with a surgical stapler |
US11246590B2 (en) | 2005-08-31 | 2022-02-15 | Cilag Gmbh International | Staple cartridge including staple drivers having different unfired heights |
US11399828B2 (en) | 2005-08-31 | 2022-08-02 | Cilag Gmbh International | Fastener cartridge assembly comprising a fixed anvil and different staple heights |
US11793511B2 (en) | 2005-11-09 | 2023-10-24 | Cilag Gmbh International | Surgical instruments |
US10806449B2 (en) | 2005-11-09 | 2020-10-20 | Ethicon Llc | End effectors for surgical staplers |
US10993713B2 (en) | 2005-11-09 | 2021-05-04 | Ethicon Llc | Surgical instruments |
US11051811B2 (en) | 2006-01-31 | 2021-07-06 | Ethicon Llc | End effector for use with a surgical instrument |
US10842491B2 (en) | 2006-01-31 | 2020-11-24 | Ethicon Llc | Surgical system with an actuation console |
US11020113B2 (en) | 2006-01-31 | 2021-06-01 | Cilag Gmbh International | Surgical instrument having force feedback capabilities |
US10426463B2 (en) | 2006-01-31 | 2019-10-01 | Ehticon LLC | Surgical instrument having a feedback system |
US11660110B2 (en) | 2006-01-31 | 2023-05-30 | Cilag Gmbh International | Motor-driven surgical cutting and fastening instrument with tactile position feedback |
US11166717B2 (en) | 2006-01-31 | 2021-11-09 | Cilag Gmbh International | Surgical instrument with firing lockout |
US10653417B2 (en) | 2006-01-31 | 2020-05-19 | Ethicon Llc | Surgical instrument |
US11278279B2 (en) | 2006-01-31 | 2022-03-22 | Cilag Gmbh International | Surgical instrument assembly |
US11890008B2 (en) | 2006-01-31 | 2024-02-06 | Cilag Gmbh International | Surgical instrument with firing lockout |
US11793518B2 (en) | 2006-01-31 | 2023-10-24 | Cilag Gmbh International | Powered surgical instruments with firing system lockout arrangements |
US11944299B2 (en) | 2006-01-31 | 2024-04-02 | Cilag Gmbh International | Surgical instrument having force feedback capabilities |
US10893853B2 (en) | 2006-01-31 | 2021-01-19 | Ethicon Llc | Stapling assembly including motor drive systems |
US11051813B2 (en) | 2006-01-31 | 2021-07-06 | Cilag Gmbh International | Powered surgical instruments with firing system lockout arrangements |
US11612393B2 (en) | 2006-01-31 | 2023-03-28 | Cilag Gmbh International | Robotically-controlled end effector |
US10278722B2 (en) | 2006-01-31 | 2019-05-07 | Ethicon Llc | Motor-driven surgical cutting and fastening instrument |
US11350916B2 (en) | 2006-01-31 | 2022-06-07 | Cilag Gmbh International | Endoscopic surgical instrument with a handle that can articulate with respect to the shaft |
US10201363B2 (en) | 2006-01-31 | 2019-02-12 | Ethicon Llc | Motor-driven surgical instrument |
US11890029B2 (en) | 2006-01-31 | 2024-02-06 | Cilag Gmbh International | Motor-driven surgical cutting and fastening instrument |
US10806479B2 (en) | 2006-01-31 | 2020-10-20 | Ethicon Llc | Motor-driven surgical cutting and fastening instrument with tactile position feedback |
US10743849B2 (en) | 2006-01-31 | 2020-08-18 | Ethicon Llc | Stapling system including an articulation system |
US10952728B2 (en) | 2006-01-31 | 2021-03-23 | Ethicon Llc | Powered surgical instruments with firing system lockout arrangements |
US11883020B2 (en) | 2006-01-31 | 2024-01-30 | Cilag Gmbh International | Surgical instrument having a feedback system |
US10653435B2 (en) | 2006-01-31 | 2020-05-19 | Ethicon Llc | Motor-driven surgical cutting and fastening instrument with tactile position feedback |
US11246616B2 (en) | 2006-01-31 | 2022-02-15 | Cilag Gmbh International | Motor-driven surgical cutting and fastening instrument with tactile position feedback |
US10463384B2 (en) | 2006-01-31 | 2019-11-05 | Ethicon Llc | Stapling assembly |
US10918380B2 (en) | 2006-01-31 | 2021-02-16 | Ethicon Llc | Surgical instrument system including a control system |
US11364046B2 (en) | 2006-01-31 | 2022-06-21 | Cilag Gmbh International | Motor-driven surgical cutting and fastening instrument with tactile position feedback |
US11000275B2 (en) | 2006-01-31 | 2021-05-11 | Ethicon Llc | Surgical instrument |
US10709468B2 (en) | 2006-01-31 | 2020-07-14 | Ethicon Llc | Motor-driven surgical cutting and fastening instrument |
US11648024B2 (en) | 2006-01-31 | 2023-05-16 | Cilag Gmbh International | Motor-driven surgical cutting and fastening instrument with position feedback |
US11103269B2 (en) | 2006-01-31 | 2021-08-31 | Cilag Gmbh International | Motor-driven surgical cutting and fastening instrument with tactile position feedback |
US10485539B2 (en) | 2006-01-31 | 2019-11-26 | Ethicon Llc | Surgical instrument with firing lockout |
US11224454B2 (en) | 2006-01-31 | 2022-01-18 | Cilag Gmbh International | Motor-driven surgical cutting and fastening instrument with tactile position feedback |
US11801051B2 (en) | 2006-01-31 | 2023-10-31 | Cilag Gmbh International | Accessing data stored in a memory of a surgical instrument |
US10993717B2 (en) | 2006-01-31 | 2021-05-04 | Ethicon Llc | Surgical stapling system comprising a control system |
US11058420B2 (en) | 2006-01-31 | 2021-07-13 | Cilag Gmbh International | Surgical stapling apparatus comprising a lockout system |
US11648008B2 (en) | 2006-01-31 | 2023-05-16 | Cilag Gmbh International | Surgical instrument having force feedback capabilities |
US10299817B2 (en) | 2006-01-31 | 2019-05-28 | Ethicon Llc | Motor-driven fastening assembly |
US10959722B2 (en) | 2006-01-31 | 2021-03-30 | Ethicon Llc | Surgical instrument for deploying fasteners by way of rotational motion |
US11224427B2 (en) | 2006-01-31 | 2022-01-18 | Cilag Gmbh International | Surgical stapling system including a console and retraction assembly |
US10675028B2 (en) | 2006-01-31 | 2020-06-09 | Ethicon Llc | Powered surgical instruments with firing system lockout arrangements |
US10463383B2 (en) | 2006-01-31 | 2019-11-05 | Ethicon Llc | Stapling instrument including a sensing system |
US10213262B2 (en) | 2006-03-23 | 2019-02-26 | Ethicon Llc | Manipulatable surgical systems with selectively articulatable fastening device |
EP1859749A3 (en) * | 2006-05-27 | 2008-05-21 | AESCULAP AG & Co. KG | Surgical instrument actuated by gas pressure |
DE102006024759B3 (en) * | 2006-05-27 | 2008-01-31 | Aesculap Ag & Co. Kg | Surgical instrument e.g. pincer, has movable switching unit fixed in initial position by release unit and opened by actuation of release unit, and piston pneumatically sealed in operating chamber |
US10420560B2 (en) | 2006-06-27 | 2019-09-24 | Ethicon Llc | Manually driven surgical cutting and fastening instrument |
US10314589B2 (en) | 2006-06-27 | 2019-06-11 | Ethicon Llc | Surgical instrument including a shifting assembly |
US11272938B2 (en) | 2006-06-27 | 2022-03-15 | Cilag Gmbh International | Surgical instrument including dedicated firing and retraction assemblies |
US20080029573A1 (en) * | 2006-08-02 | 2008-02-07 | Shelton Frederick E | Pneumatically powered surgical cutting and fastening instrument with replaceable power sources |
US8631987B2 (en) | 2006-08-02 | 2014-01-21 | 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 |
US7448525B2 (en) | 2006-08-02 | 2008-11-11 | Ethicon Endo-Surgery, Inc. | Pneumatically powered surgical cutting and fastening instrument with manually operated retraction apparatus |
US7441684B2 (en) | 2006-08-02 | 2008-10-28 | Ethicon Endo-Surgery, Inc. | Pneumatically powered surgical cutting and fastening instrument with audible and visual feedback features |
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 |
US7431189B2 (en) | 2006-08-02 | 2008-10-07 | Ethicon Endo-Surgery, Inc. | Pneumatically powered surgical cutting and fastening instrument with mechanical linkage coupling end effector and trigger motion |
KR101379194B1 (en) * | 2006-08-02 | 2014-03-31 | 에디컨 엔도-서저리 인코포레이티드 | Pneumatically powered surgical cutting and fastening instrument with replaceable power sources |
US11571231B2 (en) | 2006-09-29 | 2023-02-07 | Cilag Gmbh International | Staple cartridge having a driver for driving multiple staples |
US10448952B2 (en) | 2006-09-29 | 2019-10-22 | Ethicon Llc | End effector for use with a surgical fastening instrument |
US10595862B2 (en) | 2006-09-29 | 2020-03-24 | Ethicon Llc | Staple cartridge including a compressible member |
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 |
US10172616B2 (en) | 2006-09-29 | 2019-01-08 | Ethicon Llc | Surgical staple cartridge |
US11622785B2 (en) | 2006-09-29 | 2023-04-11 | Cilag Gmbh International | Surgical staples having attached drivers and stapling instruments for deploying the same |
US10206678B2 (en) | 2006-10-03 | 2019-02-19 | Ethicon Llc | Surgical stapling instrument with lockout features to prevent advancement of a firing assembly unless an unfired surgical staple cartridge is operably mounted in an end effector portion of the instrument |
US11980366B2 (en) | 2006-10-03 | 2024-05-14 | Cilag Gmbh International | Surgical instrument |
US11382626B2 (en) | 2006-10-03 | 2022-07-12 | Cilag Gmbh International | Surgical system including a knife bar supported for rotational and axial travel |
US10342541B2 (en) | 2006-10-03 | 2019-07-09 | Ethicon Llc | Surgical instruments with E-beam driver and rotary drive arrangements |
US11877748B2 (en) | 2006-10-03 | 2024-01-23 | Cilag Gmbh International | Robotically-driven surgical instrument with E-beam driver |
US20080135598A1 (en) * | 2006-11-09 | 2008-06-12 | Stanley Fastening Systems, L.P. | Cordless fastener driving device |
US7845532B2 (en) | 2006-11-09 | 2010-12-07 | Stanley Fastening Systems, L.P. | Cordless fastener driving device |
US10433918B2 (en) | 2007-01-10 | 2019-10-08 | Ethicon Llc | Surgical instrument system configured to evaluate the load applied to a firing member at the initiation of a firing stroke |
US11350929B2 (en) | 2007-01-10 | 2022-06-07 | Cilag Gmbh International | Surgical instrument with wireless communication between control unit and sensor transponders |
US11849947B2 (en) | 2007-01-10 | 2023-12-26 | Cilag Gmbh International | Surgical system including a control circuit and a passively-powered transponder |
US10751138B2 (en) | 2007-01-10 | 2020-08-25 | Ethicon Llc | Surgical instrument for use with a robotic system |
US11006951B2 (en) | 2007-01-10 | 2021-05-18 | Ethicon Llc | Surgical instrument with wireless communication between control unit and sensor transponders |
US11844521B2 (en) | 2007-01-10 | 2023-12-19 | Cilag Gmbh International | Surgical instrument for use with a robotic system |
US11064998B2 (en) | 2007-01-10 | 2021-07-20 | Cilag Gmbh International | Surgical instrument with wireless communication between a control unit of a robotic system and remote sensor |
US11812961B2 (en) | 2007-01-10 | 2023-11-14 | Cilag Gmbh International | Surgical instrument including a motor control system |
US11931032B2 (en) | 2007-01-10 | 2024-03-19 | Cilag Gmbh International | Surgical instrument with wireless communication between a control unit of a robotic system and remote sensor |
US11937814B2 (en) | 2007-01-10 | 2024-03-26 | Cilag Gmbh International | Surgical instrument for use with a robotic system |
US12004743B2 (en) | 2007-01-10 | 2024-06-11 | Cilag Gmbh International | Staple cartridge comprising a sloped wall |
US10278780B2 (en) | 2007-01-10 | 2019-05-07 | Ethicon Llc | Surgical instrument for use with robotic system |
US10945729B2 (en) | 2007-01-10 | 2021-03-16 | Ethicon Llc | Interlock and surgical instrument including same |
US11666332B2 (en) | 2007-01-10 | 2023-06-06 | Cilag Gmbh International | Surgical instrument comprising a control circuit configured to adjust the operation of a motor |
US10517682B2 (en) | 2007-01-10 | 2019-12-31 | Ethicon Llc | Surgical instrument with wireless communication between control unit and remote sensor |
US11291441B2 (en) | 2007-01-10 | 2022-04-05 | Cilag Gmbh International | Surgical instrument with wireless communication between control unit and remote sensor |
US11000277B2 (en) | 2007-01-10 | 2021-05-11 | Ethicon Llc | Surgical instrument with wireless communication between control unit and remote sensor |
US10952727B2 (en) | 2007-01-10 | 2021-03-23 | Ethicon Llc | Surgical instrument for assessing the state of a staple cartridge |
US11771426B2 (en) | 2007-01-10 | 2023-10-03 | Cilag Gmbh International | Surgical instrument with wireless communication |
US11166720B2 (en) | 2007-01-10 | 2021-11-09 | Cilag Gmbh International | Surgical instrument including a control module for assessing an end effector |
US10918386B2 (en) | 2007-01-10 | 2021-02-16 | Ethicon Llc | Interlock and surgical instrument including same |
US11918211B2 (en) | 2007-01-10 | 2024-03-05 | Cilag Gmbh International | Surgical stapling instrument for use with a robotic system |
US11134943B2 (en) | 2007-01-10 | 2021-10-05 | Cilag Gmbh International | Powered surgical instrument including a control unit and sensor |
US10517590B2 (en) | 2007-01-10 | 2019-12-31 | Ethicon Llc | Powered surgical instrument having a transmission system |
US10912575B2 (en) | 2007-01-11 | 2021-02-09 | Ethicon Llc | Surgical stapling device having supports for a flexible drive mechanism |
US11839352B2 (en) | 2007-01-11 | 2023-12-12 | Cilag Gmbh International | Surgical stapling device with an end effector |
US11039836B2 (en) | 2007-01-11 | 2021-06-22 | Cilag Gmbh International | Staple cartridge for use with a surgical stapling instrument |
US10702267B2 (en) | 2007-03-15 | 2020-07-07 | Ethicon Llc | Surgical stapling instrument having a releasable buttress material |
US11337693B2 (en) | 2007-03-15 | 2022-05-24 | Cilag Gmbh International | Surgical stapling instrument having a releasable buttress material |
US10398433B2 (en) | 2007-03-28 | 2019-09-03 | Ethicon Llc | Laparoscopic clamp load measuring devices |
US10299787B2 (en) | 2007-06-04 | 2019-05-28 | Ethicon Llc | Stapling system comprising rotary inputs |
US10327765B2 (en) | 2007-06-04 | 2019-06-25 | Ethicon Llc | Drive systems for surgical instruments |
US11154298B2 (en) | 2007-06-04 | 2021-10-26 | Cilag Gmbh International | Stapling system for use with a robotic surgical system |
US11911028B2 (en) | 2007-06-04 | 2024-02-27 | Cilag Gmbh International | Surgical instruments for use with a robotic surgical system |
US11564682B2 (en) | 2007-06-04 | 2023-01-31 | Cilag Gmbh International | Surgical stapler device |
US11134938B2 (en) | 2007-06-04 | 2021-10-05 | Cilag Gmbh International | Robotically-controlled shaft based rotary drive systems for surgical instruments |
US11857181B2 (en) | 2007-06-04 | 2024-01-02 | Cilag Gmbh International | Robotically-controlled shaft based rotary drive systems for surgical instruments |
US10368863B2 (en) | 2007-06-04 | 2019-08-06 | Ethicon Llc | Robotically-controlled shaft based rotary drive systems for surgical instruments |
US11648006B2 (en) | 2007-06-04 | 2023-05-16 | Cilag Gmbh International | Robotically-controlled shaft based rotary drive systems for surgical instruments |
US10363033B2 (en) | 2007-06-04 | 2019-07-30 | Ethicon Llc | Robotically-controlled surgical instruments |
US12023024B2 (en) | 2007-06-04 | 2024-07-02 | Cilag Gmbh International | Robotically-controlled shaft based rotary drive systems for surgical instruments |
US11992208B2 (en) | 2007-06-04 | 2024-05-28 | Cilag Gmbh International | Rotary drive systems for surgical instruments |
US12035906B2 (en) | 2007-06-04 | 2024-07-16 | Cilag Gmbh International | Surgical instrument including a handle system for advancing a cutting member |
US11672531B2 (en) | 2007-06-04 | 2023-06-13 | Cilag Gmbh International | Rotary drive systems for surgical instruments |
US11559302B2 (en) | 2007-06-04 | 2023-01-24 | Cilag Gmbh International | Surgical instrument including a firing member movable at different speeds |
US11147549B2 (en) | 2007-06-04 | 2021-10-19 | Cilag Gmbh International | Stapling instrument including a firing system and a closure system |
US11998200B2 (en) | 2007-06-22 | 2024-06-04 | Cilag Gmbh International | Surgical stapling instrument with an articulatable end effector |
US11013511B2 (en) | 2007-06-22 | 2021-05-25 | Ethicon Llc | Surgical stapling instrument with an articulatable end effector |
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 |
US11925346B2 (en) | 2007-06-29 | 2024-03-12 | Cilag Gmbh International | Surgical staple cartridge including tissue supporting surfaces |
US12023025B2 (en) | 2007-06-29 | 2024-07-02 | Cilag Gmbh International | Surgical stapling instrument having a releasable buttress material |
US10420548B2 (en) | 2007-09-21 | 2019-09-24 | Covidien Lp | Surgical device having multiple drivers |
US8272554B2 (en) | 2007-09-21 | 2012-09-25 | Tyco Healthcare Group Lp | Surgical device having multiple drivers |
US8342379B2 (en) | 2007-09-21 | 2013-01-01 | Covidien Lp | Surgical device having multiple drivers |
US9204877B2 (en) | 2007-09-21 | 2015-12-08 | Covidien Lp | Surgical device having a rotatable jaw portion |
US11317909B2 (en) | 2007-09-21 | 2022-05-03 | Covidien Lp | Surgical device having multiple drivers |
US10881397B2 (en) | 2007-09-21 | 2021-01-05 | Covidien Lp | Surgical device having a rotatable jaw portion |
US8353440B2 (en) | 2007-09-21 | 2013-01-15 | Covidien Lp | Surgical device having a rotatable jaw portion |
US9282961B2 (en) | 2007-09-21 | 2016-03-15 | Covidien Lp | Surgical device having multiple drivers |
US7963433B2 (en) | 2007-09-21 | 2011-06-21 | Tyco Healthcare Group Lp | Surgical device having multiple drivers |
US8752748B2 (en) | 2007-09-21 | 2014-06-17 | Covidien Lp | Surgical device having a rotatable jaw portion |
US7992758B2 (en) | 2007-09-21 | 2011-08-09 | Tyco Healthcare Group Lp | Surgical device having a rotatable jaw portion |
US10117651B2 (en) | 2007-09-21 | 2018-11-06 | Covidien Lp | Surgical device having a rotatable jaw portion |
US7918230B2 (en) | 2007-09-21 | 2011-04-05 | Tyco Healthcare Group Lp | Surgical device having a rotatable jaw portion |
US10888330B2 (en) | 2008-02-14 | 2021-01-12 | Ethicon Llc | Surgical system |
US11612395B2 (en) | 2008-02-14 | 2023-03-28 | Cilag Gmbh International | Surgical system including a control system having an RFID tag reader |
US10716568B2 (en) | 2008-02-14 | 2020-07-21 | Ethicon Llc | Surgical stapling apparatus with control features operable with one hand |
US10779822B2 (en) | 2008-02-14 | 2020-09-22 | Ethicon Llc | System including a surgical cutting and fastening instrument |
US11801047B2 (en) | 2008-02-14 | 2023-10-31 | Cilag Gmbh International | Surgical stapling system comprising a control circuit configured to selectively monitor tissue impedance and adjust control of a motor |
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 |
US10470763B2 (en) | 2008-02-14 | 2019-11-12 | Ethicon Llc | Surgical cutting and fastening instrument including a sensing system |
US10463370B2 (en) | 2008-02-14 | 2019-11-05 | Ethicon Llc | Motorized surgical instrument |
US10682141B2 (en) | 2008-02-14 | 2020-06-16 | Ethicon Llc | Surgical device including a control system |
US10722232B2 (en) | 2008-02-14 | 2020-07-28 | Ethicon Llc | Surgical instrument for use with different cartridges |
US10682142B2 (en) | 2008-02-14 | 2020-06-16 | Ethicon Llc | Surgical stapling apparatus including an articulation system |
US10765432B2 (en) | 2008-02-14 | 2020-09-08 | Ethicon Llc | Surgical device including a control system |
US10542974B2 (en) | 2008-02-14 | 2020-01-28 | Ethicon Llc | Surgical instrument including a control system |
US10806450B2 (en) | 2008-02-14 | 2020-10-20 | Ethicon Llc | Surgical cutting and fastening instrument having a control system |
US10905427B2 (en) | 2008-02-14 | 2021-02-02 | Ethicon Llc | Surgical System |
US10905426B2 (en) | 2008-02-14 | 2021-02-02 | Ethicon Llc | Detachable motor powered surgical instrument |
US10660640B2 (en) | 2008-02-14 | 2020-05-26 | Ethicon Llc | Motorized surgical cutting and fastening instrument |
US10206676B2 (en) | 2008-02-14 | 2019-02-19 | Ethicon Llc | Surgical cutting and fastening instrument |
US10898194B2 (en) | 2008-02-14 | 2021-01-26 | Ethicon Llc | Detachable motor powered surgical instrument |
US11998206B2 (en) | 2008-02-14 | 2024-06-04 | Cilag Gmbh International | Detachable motor powered surgical instrument |
US11638583B2 (en) | 2008-02-14 | 2023-05-02 | Cilag Gmbh International | Motorized surgical system having a plurality of power sources |
US10898195B2 (en) | 2008-02-14 | 2021-01-26 | Ethicon Llc | Detachable motor powered surgical instrument |
US10238387B2 (en) | 2008-02-14 | 2019-03-26 | Ethicon Llc | Surgical instrument comprising a control system |
US10639036B2 (en) | 2008-02-14 | 2020-05-05 | Ethicon Llc | Robotically-controlled motorized surgical cutting and fastening instrument |
US10238385B2 (en) | 2008-02-14 | 2019-03-26 | Ethicon Llc | Surgical instrument system for evaluating tissue impedance |
US10925605B2 (en) | 2008-02-14 | 2021-02-23 | Ethicon Llc | Surgical stapling system |
US10888329B2 (en) | 2008-02-14 | 2021-01-12 | Ethicon Llc | Detachable motor powered surgical instrument |
US10265067B2 (en) | 2008-02-14 | 2019-04-23 | Ethicon Llc | Surgical instrument including a regulator and a control system |
US11717285B2 (en) | 2008-02-14 | 2023-08-08 | Cilag Gmbh International | Surgical cutting and fastening instrument having RF electrodes |
US11446034B2 (en) | 2008-02-14 | 2022-09-20 | Cilag Gmbh International | Surgical stapling assembly comprising first and second actuation systems configured to perform different functions |
US11464514B2 (en) | 2008-02-14 | 2022-10-11 | Cilag Gmbh International | Motorized surgical stapling system including a sensing array |
US11484307B2 (en) | 2008-02-14 | 2022-11-01 | Cilag Gmbh International | Loading unit coupleable to a surgical stapling system |
US10307163B2 (en) | 2008-02-14 | 2019-06-04 | Ethicon Llc | Detachable motor powered surgical instrument |
US10874396B2 (en) | 2008-02-14 | 2020-12-29 | Ethicon Llc | Stapling instrument for use with a surgical robot |
US10743870B2 (en) | 2008-02-14 | 2020-08-18 | Ethicon Llc | Surgical stapling apparatus with interlockable firing system |
US10743851B2 (en) | 2008-02-14 | 2020-08-18 | Ethicon Llc | Interchangeable tools for surgical instruments |
US11571212B2 (en) | 2008-02-14 | 2023-02-07 | Cilag Gmbh International | Surgical stapling system including an impedance sensor |
US10856866B2 (en) | 2008-02-15 | 2020-12-08 | Ethicon Llc | Surgical end effector having buttress retention features |
US11154297B2 (en) | 2008-02-15 | 2021-10-26 | Cilag Gmbh International | Layer arrangements for surgical staple cartridges |
US11998194B2 (en) | 2008-02-15 | 2024-06-04 | Cilag Gmbh International | Surgical stapling assembly comprising an adjunct applicator |
US11058418B2 (en) | 2008-02-15 | 2021-07-13 | Cilag Gmbh International | Surgical end effector having buttress retention features |
US11272927B2 (en) | 2008-02-15 | 2022-03-15 | Cilag Gmbh International | Layer arrangements for surgical staple cartridges |
US10390823B2 (en) | 2008-02-15 | 2019-08-27 | Ethicon Llc | End effector comprising an adjunct |
US10736628B2 (en) | 2008-09-23 | 2020-08-11 | Ethicon Llc | Motor-driven surgical cutting instrument |
US10898184B2 (en) | 2008-09-23 | 2021-01-26 | Ethicon Llc | Motor-driven surgical cutting instrument |
US11871923B2 (en) | 2008-09-23 | 2024-01-16 | Cilag Gmbh International | Motorized surgical instrument |
US11617576B2 (en) | 2008-09-23 | 2023-04-04 | Cilag Gmbh International | Motor-driven surgical cutting instrument |
US12029415B2 (en) | 2008-09-23 | 2024-07-09 | Cilag Gmbh International | Motor-driven surgical cutting instrument |
US11406380B2 (en) | 2008-09-23 | 2022-08-09 | Cilag Gmbh International | Motorized surgical instrument |
US10485537B2 (en) | 2008-09-23 | 2019-11-26 | Ethicon Llc | Motorized surgical instrument |
US10765425B2 (en) | 2008-09-23 | 2020-09-08 | Ethicon Llc | Robotically-controlled motorized surgical instrument with an end effector |
US10456133B2 (en) | 2008-09-23 | 2019-10-29 | Ethicon Llc | Motorized surgical instrument |
US10980535B2 (en) | 2008-09-23 | 2021-04-20 | Ethicon Llc | Motorized surgical instrument with an end effector |
US11517304B2 (en) | 2008-09-23 | 2022-12-06 | Cilag Gmbh International | Motor-driven surgical cutting instrument |
US10420549B2 (en) | 2008-09-23 | 2019-09-24 | Ethicon Llc | Motorized surgical instrument |
US11617575B2 (en) | 2008-09-23 | 2023-04-04 | Cilag Gmbh International | Motor-driven surgical cutting instrument |
US11045189B2 (en) | 2008-09-23 | 2021-06-29 | Cilag Gmbh International | Robotically-controlled motorized surgical instrument with an end effector |
US11103241B2 (en) | 2008-09-23 | 2021-08-31 | Cilag Gmbh International | Motor-driven surgical cutting instrument |
US11812954B2 (en) | 2008-09-23 | 2023-11-14 | Cilag Gmbh International | Robotically-controlled motorized surgical instrument with an end effector |
US11648005B2 (en) | 2008-09-23 | 2023-05-16 | Cilag Gmbh International | Robotically-controlled motorized surgical instrument with an end effector |
US11684361B2 (en) | 2008-09-23 | 2023-06-27 | Cilag Gmbh International | Motor-driven surgical cutting instrument |
US11583279B2 (en) | 2008-10-10 | 2023-02-21 | Cilag Gmbh International | Powered surgical cutting and stapling apparatus with manually retractable firing system |
US11793521B2 (en) | 2008-10-10 | 2023-10-24 | Cilag Gmbh International | Powered surgical cutting and stapling apparatus with manually retractable firing system |
US11730477B2 (en) | 2008-10-10 | 2023-08-22 | Cilag Gmbh International | Powered surgical system with manually retractable firing system |
US10932778B2 (en) | 2008-10-10 | 2021-03-02 | Ethicon Llc | Powered surgical cutting and stapling apparatus with manually retractable firing system |
US11129615B2 (en) | 2009-02-05 | 2021-09-28 | Cilag Gmbh International | Surgical stapling system |
US10420550B2 (en) | 2009-02-06 | 2019-09-24 | Ethicon Llc | Motor driven surgical fastener device with switching system configured to prevent firing initiation until activated |
US20110296739A1 (en) * | 2009-03-04 | 2011-12-08 | Craig Richard Bond | Trap |
US9468204B2 (en) * | 2009-03-04 | 2016-10-18 | Goodnature Limited | Trap |
US8603102B2 (en) | 2009-05-26 | 2013-12-10 | Zimmer, Inc. | Bone fixation tool |
US8852202B2 (en) | 2009-05-26 | 2014-10-07 | Zimmer, Inc. | Bone fixation tool |
US20100305624A1 (en) * | 2009-05-26 | 2010-12-02 | Zimmer, Inc. | Bone fixation tool |
US8221433B2 (en) | 2009-05-26 | 2012-07-17 | Zimmer, Inc. | Bone fixation tool |
EP3238637A1 (en) * | 2009-07-17 | 2017-11-01 | Aesculap AG | Compressed gas operated instrument, in particular surgical instrument |
DE102009033525A1 (en) * | 2009-07-17 | 2011-01-20 | Aesculap Ag | Compressed gas operated instrument, in particular a surgical instrument |
WO2011006547A1 (en) * | 2009-07-17 | 2011-01-20 | Aesculap Ag | Compressed gas operated instrument, in particular surgical instrument |
US8567302B2 (en) | 2009-07-17 | 2013-10-29 | Aesculap Ag | Compressed gas operated instrument, in particular a surgical instrument |
US10751076B2 (en) | 2009-12-24 | 2020-08-25 | Ethicon Llc | Motor-driven surgical cutting instrument with electric actuator directional control assembly |
US11291449B2 (en) | 2009-12-24 | 2022-04-05 | Cilag Gmbh International | Surgical cutting instrument that analyzes tissue thickness |
US11478247B2 (en) | 2010-07-30 | 2022-10-25 | Cilag Gmbh International | Tissue acquisition arrangements and methods for surgical stapling devices |
US11849952B2 (en) | 2010-09-30 | 2023-12-26 | Cilag Gmbh International | Staple cartridge comprising staples positioned within a compressible portion thereof |
US10548600B2 (en) | 2010-09-30 | 2020-02-04 | Ethicon Llc | Multiple thickness implantable layers for surgical stapling devices |
US11602340B2 (en) | 2010-09-30 | 2023-03-14 | Cilag Gmbh International | Adhesive film laminate |
US10398436B2 (en) | 2010-09-30 | 2019-09-03 | Ethicon Llc | Staple cartridge comprising staples positioned within a compressible portion thereof |
US10987102B2 (en) | 2010-09-30 | 2021-04-27 | Ethicon Llc | Tissue thickness compensator comprising a plurality of layers |
US11154296B2 (en) | 2010-09-30 | 2021-10-26 | Cilag Gmbh International | Anvil layer attached to a proximal end of an end effector |
US11737754B2 (en) | 2010-09-30 | 2023-08-29 | Cilag Gmbh International | Surgical stapler with floating anvil |
US10149682B2 (en) | 2010-09-30 | 2018-12-11 | Ethicon Llc | Stapling system including an actuation system |
US11672536B2 (en) | 2010-09-30 | 2023-06-13 | Cilag Gmbh International | Layer of material for a surgical end effector |
US11883025B2 (en) | 2010-09-30 | 2024-01-30 | Cilag Gmbh International | Tissue thickness compensator comprising a plurality of layers |
US11857187B2 (en) | 2010-09-30 | 2024-01-02 | Cilag Gmbh International | Tissue thickness compensator comprising controlled release and expansion |
US10182819B2 (en) | 2010-09-30 | 2019-01-22 | Ethicon Llc | Implantable layer assemblies |
US11298125B2 (en) | 2010-09-30 | 2022-04-12 | Cilag Gmbh International | Tissue stapler having a thickness compensator |
US10363031B2 (en) | 2010-09-30 | 2019-07-30 | Ethicon Llc | Tissue thickness compensators for surgical staplers |
US11583277B2 (en) | 2010-09-30 | 2023-02-21 | Cilag Gmbh International | Layer of material for a surgical end effector |
US10335150B2 (en) | 2010-09-30 | 2019-07-02 | Ethicon Llc | Staple cartridge comprising an implantable layer |
US11684360B2 (en) | 2010-09-30 | 2023-06-27 | Cilag Gmbh International | Staple cartridge comprising a variable thickness compressible portion |
US11911027B2 (en) | 2010-09-30 | 2024-02-27 | Cilag Gmbh International | Adhesive film laminate |
US10869669B2 (en) | 2010-09-30 | 2020-12-22 | Ethicon Llc | Surgical instrument assembly |
US10624861B2 (en) | 2010-09-30 | 2020-04-21 | Ethicon Llc | Tissue thickness compensator configured to redistribute compressive forces |
US11395651B2 (en) | 2010-09-30 | 2022-07-26 | Cilag Gmbh International | Adhesive film laminate |
US10463372B2 (en) | 2010-09-30 | 2019-11-05 | Ethicon Llc | Staple cartridge comprising multiple regions |
US10335148B2 (en) | 2010-09-30 | 2019-07-02 | Ethicon Llc | Staple cartridge including a tissue thickness compensator for a surgical stapler |
US10898193B2 (en) | 2010-09-30 | 2021-01-26 | Ethicon Llc | End effector for use with a surgical instrument |
US10743877B2 (en) | 2010-09-30 | 2020-08-18 | Ethicon Llc | Surgical stapler with floating anvil |
US11850310B2 (en) | 2010-09-30 | 2023-12-26 | Cilag Gmbh International | Staple cartridge including an adjunct |
US11406377B2 (en) | 2010-09-30 | 2022-08-09 | Cilag Gmbh International | Adhesive film laminate |
US11571215B2 (en) | 2010-09-30 | 2023-02-07 | Cilag Gmbh International | Layer of material for a surgical end effector |
US10485536B2 (en) | 2010-09-30 | 2019-11-26 | Ethicon Llc | Tissue stapler having an anti-microbial agent |
US11925354B2 (en) | 2010-09-30 | 2024-03-12 | Cilag Gmbh International | Staple cartridge comprising staples positioned within a compressible portion thereof |
US11083452B2 (en) | 2010-09-30 | 2021-08-10 | Cilag Gmbh International | Staple cartridge including a tissue thickness compensator |
US10588623B2 (en) | 2010-09-30 | 2020-03-17 | Ethicon Llc | Adhesive film laminate |
US10258332B2 (en) | 2010-09-30 | 2019-04-16 | Ethicon Llc | Stapling system comprising an adjunct and a flowable adhesive |
US11944292B2 (en) | 2010-09-30 | 2024-04-02 | Cilag Gmbh International | Anvil layer attached to a proximal end of an end effector |
US11559496B2 (en) | 2010-09-30 | 2023-01-24 | Cilag Gmbh International | Tissue thickness compensator configured to redistribute compressive forces |
US10835251B2 (en) | 2010-09-30 | 2020-11-17 | Ethicon Llc | Surgical instrument assembly including an end effector configurable in different positions |
US10888328B2 (en) | 2010-09-30 | 2021-01-12 | Ethicon Llc | Surgical end effector |
US10265072B2 (en) | 2010-09-30 | 2019-04-23 | Ethicon Llc | Surgical stapling system comprising an end effector including an implantable layer |
US10265074B2 (en) | 2010-09-30 | 2019-04-23 | Ethicon Llc | Implantable layers for surgical stapling devices |
US10945731B2 (en) | 2010-09-30 | 2021-03-16 | Ethicon Llc | Tissue thickness compensator comprising controlled release and expansion |
US11540824B2 (en) | 2010-09-30 | 2023-01-03 | Cilag Gmbh International | Tissue thickness compensator |
US11812965B2 (en) | 2010-09-30 | 2023-11-14 | Cilag Gmbh International | Layer of material for a surgical end effector |
US11957795B2 (en) | 2010-09-30 | 2024-04-16 | Cilag Gmbh International | Tissue thickness compensator configured to redistribute compressive forces |
US10258330B2 (en) | 2010-09-30 | 2019-04-16 | Ethicon Llc | End effector including an implantable arrangement |
US11529142B2 (en) | 2010-10-01 | 2022-12-20 | Cilag Gmbh International | Surgical instrument having a power control circuit |
US10695062B2 (en) | 2010-10-01 | 2020-06-30 | Ethicon Llc | Surgical instrument including a retractable firing member |
US11504116B2 (en) | 2011-04-29 | 2022-11-22 | Cilag Gmbh International | Layer of material for a surgical end effector |
US10736634B2 (en) | 2011-05-27 | 2020-08-11 | Ethicon Llc | Robotically-driven surgical instrument including a drive system |
US11207064B2 (en) | 2011-05-27 | 2021-12-28 | Cilag Gmbh International | Automated end effector component reloading system for use with a robotic system |
US10485546B2 (en) | 2011-05-27 | 2019-11-26 | Ethicon Llc | Robotically-driven surgical assembly |
US11439470B2 (en) | 2011-05-27 | 2022-09-13 | Cilag Gmbh International | Robotically-controlled surgical instrument with selectively articulatable end effector |
US10335151B2 (en) | 2011-05-27 | 2019-07-02 | Ethicon Llc | Robotically-driven surgical instrument |
US10617420B2 (en) | 2011-05-27 | 2020-04-14 | Ethicon Llc | Surgical system comprising drive systems |
US10231794B2 (en) | 2011-05-27 | 2019-03-19 | Ethicon Llc | Surgical stapling instruments with rotatable staple deployment arrangements |
US11918208B2 (en) | 2011-05-27 | 2024-03-05 | Cilag Gmbh International | Robotically-controlled shaft based rotary drive systems for surgical instruments |
US10780539B2 (en) | 2011-05-27 | 2020-09-22 | Ethicon Llc | Stapling instrument for use with a robotic system |
US11974747B2 (en) | 2011-05-27 | 2024-05-07 | Cilag Gmbh International | Surgical stapling instruments with rotatable staple deployment arrangements |
US11583278B2 (en) | 2011-05-27 | 2023-02-21 | Cilag Gmbh International | Surgical stapling system having multi-direction articulation |
US11266410B2 (en) | 2011-05-27 | 2022-03-08 | Cilag Gmbh International | Surgical device for use with a robotic system |
US11129616B2 (en) | 2011-05-27 | 2021-09-28 | Cilag Gmbh International | Surgical stapling system |
US12059154B2 (en) | 2011-05-27 | 2024-08-13 | Cilag Gmbh International | Surgical instrument with detachable motor control unit |
US10813641B2 (en) | 2011-05-27 | 2020-10-27 | Ethicon Llc | Robotically-driven surgical instrument |
US11612394B2 (en) | 2011-05-27 | 2023-03-28 | Cilag Gmbh International | Automated end effector component reloading system for use with a robotic system |
US10426478B2 (en) | 2011-05-27 | 2019-10-01 | Ethicon Llc | Surgical stapling systems |
US10524790B2 (en) | 2011-05-27 | 2020-01-07 | Ethicon Llc | Robotically-controlled surgical stapling devices that produce formed staples having different lengths |
US10383633B2 (en) | 2011-05-27 | 2019-08-20 | Ethicon Llc | Robotically-driven surgical assembly |
US10980534B2 (en) | 2011-05-27 | 2021-04-20 | Ethicon Llc | Robotically-controlled motorized surgical instrument with an end effector |
US10420561B2 (en) | 2011-05-27 | 2019-09-24 | Ethicon Llc | Robotically-driven surgical instrument |
US10695063B2 (en) | 2012-02-13 | 2020-06-30 | Ethicon Llc | Surgical cutting and fastening instrument with apparatus for determining cartridge and firing motion status |
US11793509B2 (en) | 2012-03-28 | 2023-10-24 | Cilag Gmbh International | Staple cartridge including an implantable layer |
US10441285B2 (en) | 2012-03-28 | 2019-10-15 | Ethicon Llc | Tissue thickness compensator comprising tissue ingrowth features |
US10667808B2 (en) | 2012-03-28 | 2020-06-02 | Ethicon Llc | Staple cartridge comprising an absorbable adjunct |
US11918220B2 (en) | 2012-03-28 | 2024-03-05 | Cilag Gmbh International | Tissue thickness compensator comprising tissue ingrowth features |
US11406378B2 (en) | 2012-03-28 | 2022-08-09 | Cilag Gmbh International | Staple cartridge comprising a compressible tissue thickness compensator |
US11707273B2 (en) | 2012-06-15 | 2023-07-25 | Cilag Gmbh International | Articulatable surgical instrument comprising a firing drive |
US10959725B2 (en) | 2012-06-15 | 2021-03-30 | Ethicon Llc | Articulatable surgical instrument comprising a firing drive |
US11622766B2 (en) | 2012-06-28 | 2023-04-11 | Cilag Gmbh International | Empty clip cartridge lockout |
US10932775B2 (en) | 2012-06-28 | 2021-03-02 | Ethicon Llc | Firing system lockout arrangements for surgical instruments |
US11154299B2 (en) | 2012-06-28 | 2021-10-26 | Cilag Gmbh International | Stapling assembly comprising a firing lockout |
US11197671B2 (en) | 2012-06-28 | 2021-12-14 | Cilag Gmbh International | Stapling assembly comprising a lockout |
US11857189B2 (en) | 2012-06-28 | 2024-01-02 | Cilag Gmbh International | Surgical instrument including first and second articulation joints |
US11602346B2 (en) | 2012-06-28 | 2023-03-14 | Cilag Gmbh International | Robotically powered surgical device with manually-actuatable reversing system |
US11534162B2 (en) | 2012-06-28 | 2022-12-27 | Cilag GmbH Inlernational | Robotically powered surgical device with manually-actuatable reversing system |
US11141155B2 (en) | 2012-06-28 | 2021-10-12 | Cilag Gmbh International | Drive system for surgical tool |
US11540829B2 (en) | 2012-06-28 | 2023-01-03 | Cilag Gmbh International | Surgical instrument system including replaceable end effectors |
US11464513B2 (en) | 2012-06-28 | 2022-10-11 | Cilag Gmbh International | Surgical instrument system including replaceable end effectors |
US10874391B2 (en) | 2012-06-28 | 2020-12-29 | Ethicon Llc | Surgical instrument system including replaceable end effectors |
US11241230B2 (en) | 2012-06-28 | 2022-02-08 | Cilag Gmbh International | Clip applier tool for use with a robotic surgical system |
US11141156B2 (en) | 2012-06-28 | 2021-10-12 | Cilag Gmbh International | Surgical stapling assembly comprising flexible output shaft |
US10687812B2 (en) | 2012-06-28 | 2020-06-23 | Ethicon Llc | Surgical instrument system including replaceable end effectors |
US11039837B2 (en) | 2012-06-28 | 2021-06-22 | Cilag Gmbh International | Firing system lockout arrangements for surgical instruments |
US11806013B2 (en) | 2012-06-28 | 2023-11-07 | Cilag Gmbh International | Firing system arrangements for surgical instruments |
US10485541B2 (en) | 2012-06-28 | 2019-11-26 | Ethicon Llc | Robotically powered surgical device with manually-actuatable reversing system |
US11779420B2 (en) | 2012-06-28 | 2023-10-10 | Cilag Gmbh International | Robotic surgical attachments having manually-actuated retraction assemblies |
US11510671B2 (en) | 2012-06-28 | 2022-11-29 | Cilag Gmbh International | Firing system lockout arrangements for surgical instruments |
US10413294B2 (en) | 2012-06-28 | 2019-09-17 | Ethicon Llc | Shaft assembly arrangements for surgical instruments |
US10258333B2 (en) | 2012-06-28 | 2019-04-16 | Ethicon Llc | Surgical fastening apparatus with a rotary end effector drive shaft for selective engagement with a motorized drive system |
US11202631B2 (en) | 2012-06-28 | 2021-12-21 | Cilag Gmbh International | Stapling assembly comprising a firing lockout |
US11109860B2 (en) | 2012-06-28 | 2021-09-07 | Cilag Gmbh International | Surgical end effectors for use with hand-held and robotically-controlled rotary powered surgical systems |
US10639115B2 (en) | 2012-06-28 | 2020-05-05 | Ethicon Llc | Surgical end effectors having angled tissue-contacting surfaces |
US10383630B2 (en) | 2012-06-28 | 2019-08-20 | Ethicon Llc | Surgical stapling device with rotary driven firing member |
US11083457B2 (en) | 2012-06-28 | 2021-08-10 | Cilag Gmbh International | Surgical instrument system including replaceable end effectors |
US11918213B2 (en) | 2012-06-28 | 2024-03-05 | Cilag Gmbh International | Surgical stapler including couplers for attaching a shaft to an end effector |
US11278284B2 (en) | 2012-06-28 | 2022-03-22 | Cilag Gmbh International | Rotary drive arrangements for surgical instruments |
US11007004B2 (en) | 2012-06-28 | 2021-05-18 | Ethicon Llc | Powered multi-axial articulable electrosurgical device with external dissection features |
US10420555B2 (en) | 2012-06-28 | 2019-09-24 | Ethicon Llc | Hand held rotary powered surgical instruments with end effectors that are articulatable about multiple axes |
US11058423B2 (en) | 2012-06-28 | 2021-07-13 | Cilag Gmbh International | Stapling system including first and second closure systems for use with a surgical robot |
US9987067B2 (en) | 2012-07-11 | 2018-06-05 | Zimmer, Inc. | Bone fixation tool |
US11291439B2 (en) * | 2012-08-08 | 2022-04-05 | Mani, Inc. | Anvil for medical stapler |
US20180177504A1 (en) * | 2012-08-08 | 2018-06-28 | Mani, Inc. | Anvil for medical stapler |
US9566077B2 (en) | 2012-08-08 | 2017-02-14 | Aesculap Ag | Pneumatically actuatable surgical instrument |
US11373755B2 (en) | 2012-08-23 | 2022-06-28 | Cilag Gmbh International | Surgical device drive system including a ratchet mechanism |
US10226249B2 (en) | 2013-03-01 | 2019-03-12 | Ethicon Llc | Articulatable surgical instruments with conductive pathways for signal communication |
US10575868B2 (en) | 2013-03-01 | 2020-03-03 | Ethicon Llc | Surgical instrument with coupler assembly |
US11957345B2 (en) | 2013-03-01 | 2024-04-16 | Cilag Gmbh International | Articulatable surgical instruments with conductive pathways for signal communication |
US11246618B2 (en) | 2013-03-01 | 2022-02-15 | Cilag Gmbh International | Surgical instrument soft stop |
US10285695B2 (en) | 2013-03-01 | 2019-05-14 | Ethicon Llc | Articulatable surgical instruments with conductive pathways |
US11529138B2 (en) | 2013-03-01 | 2022-12-20 | Cilag Gmbh International | Powered surgical instrument including a rotary drive screw |
US10238391B2 (en) | 2013-03-14 | 2019-03-26 | Ethicon Llc | Drive train control arrangements for modular surgical instruments |
US10893867B2 (en) | 2013-03-14 | 2021-01-19 | Ethicon Llc | Drive train control arrangements for modular surgical instruments |
US11992214B2 (en) | 2013-03-14 | 2024-05-28 | Cilag Gmbh International | Control systems for surgical instruments |
US10470762B2 (en) | 2013-03-14 | 2019-11-12 | Ethicon Llc | Multi-function motor for a surgical instrument |
US11266406B2 (en) | 2013-03-14 | 2022-03-08 | Cilag Gmbh International | Control systems for surgical instruments |
US10617416B2 (en) | 2013-03-14 | 2020-04-14 | Ethicon Llc | Control systems for surgical instruments |
US11690615B2 (en) | 2013-04-16 | 2023-07-04 | Cilag Gmbh International | Surgical system including an electric motor and a surgical instrument |
US11395652B2 (en) | 2013-04-16 | 2022-07-26 | Cilag Gmbh International | Powered surgical stapler |
US10702266B2 (en) | 2013-04-16 | 2020-07-07 | Ethicon Llc | Surgical instrument system |
US10405857B2 (en) | 2013-04-16 | 2019-09-10 | Ethicon Llc | Powered linear surgical stapler |
US10149680B2 (en) | 2013-04-16 | 2018-12-11 | Ethicon Llc | Surgical instrument comprising a gap setting system |
US10888318B2 (en) | 2013-04-16 | 2021-01-12 | Ethicon Llc | Powered surgical stapler |
US11622763B2 (en) | 2013-04-16 | 2023-04-11 | Cilag Gmbh International | Stapling assembly comprising a shiftable drive |
US11633183B2 (en) | 2013-04-16 | 2023-04-25 | Cilag International GmbH | Stapling assembly comprising a retraction drive |
US11638581B2 (en) | 2013-04-16 | 2023-05-02 | Cilag Gmbh International | Powered surgical stapler |
US11564679B2 (en) | 2013-04-16 | 2023-01-31 | Cilag Gmbh International | Powered surgical stapler |
US11406381B2 (en) | 2013-04-16 | 2022-08-09 | Cilag Gmbh International | Powered surgical stapler |
US11701110B2 (en) | 2013-08-23 | 2023-07-18 | Cilag Gmbh International | Surgical instrument including a drive assembly movable in a non-motorized mode of operation |
US11389160B2 (en) | 2013-08-23 | 2022-07-19 | Cilag Gmbh International | Surgical system comprising a display |
US11134940B2 (en) | 2013-08-23 | 2021-10-05 | Cilag Gmbh International | Surgical instrument including a variable speed firing member |
US11918209B2 (en) | 2013-08-23 | 2024-03-05 | Cilag Gmbh International | Torque optimization for surgical instruments |
US10441281B2 (en) | 2013-08-23 | 2019-10-15 | Ethicon Llc | surgical instrument including securing and aligning features |
US10624634B2 (en) | 2013-08-23 | 2020-04-21 | Ethicon Llc | Firing trigger lockout arrangements for surgical instruments |
US11376001B2 (en) | 2013-08-23 | 2022-07-05 | Cilag Gmbh International | Surgical stapling device with rotary multi-turn retraction mechanism |
US11109858B2 (en) | 2013-08-23 | 2021-09-07 | Cilag Gmbh International | Surgical instrument including a display which displays the position of a firing element |
US11504119B2 (en) | 2013-08-23 | 2022-11-22 | Cilag Gmbh International | Surgical instrument including an electronic firing lockout |
US11133106B2 (en) | 2013-08-23 | 2021-09-28 | Cilag Gmbh International | Surgical instrument assembly comprising a retraction assembly |
US10898190B2 (en) | 2013-08-23 | 2021-01-26 | Ethicon Llc | Secondary battery arrangements for powered surgical instruments |
US10201349B2 (en) | 2013-08-23 | 2019-02-12 | Ethicon Llc | End effector detection and firing rate modulation systems for surgical instruments |
US12053176B2 (en) | 2013-08-23 | 2024-08-06 | Cilag Gmbh International | End effector detention systems for surgical instruments |
US10828032B2 (en) | 2013-08-23 | 2020-11-10 | Ethicon Llc | End effector detection systems for surgical instruments |
US11000274B2 (en) | 2013-08-23 | 2021-05-11 | Ethicon Llc | Powered surgical instrument |
US10869665B2 (en) | 2013-08-23 | 2020-12-22 | Ethicon Llc | Surgical instrument system including a control system |
US11026680B2 (en) | 2013-08-23 | 2021-06-08 | Cilag Gmbh International | Surgical instrument configured to operate in different states |
US10786249B2 (en) * | 2013-09-23 | 2020-09-29 | Ethicon Llc | Surgical stapler with rotary cam drive |
US11497491B2 (en) * | 2013-09-23 | 2022-11-15 | Cilag Gmbh International | Surgical stapler with rotary cam drive |
US20170354409A1 (en) * | 2013-09-23 | 2017-12-14 | Ethicon Llc | Surgical stapler with rotary cam drive |
US11020115B2 (en) | 2014-02-12 | 2021-06-01 | Cilag Gmbh International | Deliverable surgical instrument |
US10426481B2 (en) | 2014-02-24 | 2019-10-01 | Ethicon Llc | Implantable layer assemblies |
US10201364B2 (en) | 2014-03-26 | 2019-02-12 | Ethicon Llc | Surgical instrument comprising a rotatable shaft |
US12023023B2 (en) | 2014-03-26 | 2024-07-02 | Cilag Gmbh International | Interface systems for use with surgical instruments |
US11497488B2 (en) | 2014-03-26 | 2022-11-15 | Cilag Gmbh International | Systems and methods for controlling a segmented circuit |
US11259799B2 (en) | 2014-03-26 | 2022-03-01 | Cilag Gmbh International | Interface systems for use with surgical instruments |
US10588626B2 (en) | 2014-03-26 | 2020-03-17 | Ethicon Llc | Surgical instrument displaying subsequent step of use |
US10898185B2 (en) | 2014-03-26 | 2021-01-26 | Ethicon Llc | Surgical instrument power management through sleep and wake up control |
US10863981B2 (en) | 2014-03-26 | 2020-12-15 | Ethicon Llc | Interface systems for use with surgical instruments |
US12023022B2 (en) | 2014-03-26 | 2024-07-02 | Cilag Gmbh International | Systems and methods for controlling a segmented circuit |
US10179017B2 (en) | 2014-04-03 | 2019-01-15 | Zimmer, Inc. | Orthopedic tool for bone fixation |
US11925353B2 (en) | 2014-04-16 | 2024-03-12 | Cilag Gmbh International | Surgical stapling instrument comprising internal passage between stapling cartridge and elongate channel |
US11266409B2 (en) | 2014-04-16 | 2022-03-08 | Cilag Gmbh International | Fastener cartridge comprising a sled including longitudinally-staggered ramps |
US11382627B2 (en) | 2014-04-16 | 2022-07-12 | Cilag Gmbh International | Surgical stapling assembly comprising a firing member including a lateral extension |
US11185330B2 (en) | 2014-04-16 | 2021-11-30 | Cilag Gmbh International | Fastener cartridge assemblies and staple retainer cover arrangements |
US11517315B2 (en) | 2014-04-16 | 2022-12-06 | Cilag Gmbh International | Fastener cartridges including extensions having different configurations |
US11963678B2 (en) | 2014-04-16 | 2024-04-23 | Cilag Gmbh International | Fastener cartridges including extensions having different configurations |
US11883026B2 (en) | 2014-04-16 | 2024-01-30 | Cilag Gmbh International | Fastener cartridge assemblies and staple retainer cover arrangements |
US11596406B2 (en) | 2014-04-16 | 2023-03-07 | Cilag Gmbh International | Fastener cartridges including extensions having different configurations |
US10299792B2 (en) | 2014-04-16 | 2019-05-28 | Ethicon Llc | Fastener cartridge comprising non-uniform fasteners |
US10327776B2 (en) | 2014-04-16 | 2019-06-25 | Ethicon Llc | Surgical stapling buttresses and adjunct materials |
US11298134B2 (en) | 2014-04-16 | 2022-04-12 | Cilag Gmbh International | Fastener cartridge comprising non-uniform fasteners |
US11974746B2 (en) | 2014-04-16 | 2024-05-07 | Cilag Gmbh International | Anvil for use with a surgical stapling assembly |
US10470768B2 (en) | 2014-04-16 | 2019-11-12 | Ethicon Llc | Fastener cartridge including a layer attached thereto |
US11918222B2 (en) | 2014-04-16 | 2024-03-05 | Cilag Gmbh International | Stapling assembly having firing member viewing windows |
US11944307B2 (en) | 2014-04-16 | 2024-04-02 | Cilag Gmbh International | Surgical stapling system including jaw windows |
US11382625B2 (en) | 2014-04-16 | 2022-07-12 | Cilag Gmbh International | Fastener cartridge comprising non-uniform fasteners |
US10561422B2 (en) | 2014-04-16 | 2020-02-18 | Ethicon Llc | Fastener cartridge comprising deployable tissue engaging members |
US10542988B2 (en) | 2014-04-16 | 2020-01-28 | Ethicon Llc | End effector comprising an anvil including projections extending therefrom |
US11717294B2 (en) | 2014-04-16 | 2023-08-08 | Cilag Gmbh International | End effector arrangements comprising indicators |
US11389162B2 (en) | 2014-09-05 | 2022-07-19 | Cilag Gmbh International | Smart cartridge wake up operation and data retention |
US11717297B2 (en) | 2014-09-05 | 2023-08-08 | Cilag Gmbh International | Smart cartridge wake up operation and data retention |
US11653918B2 (en) | 2014-09-05 | 2023-05-23 | Cilag Gmbh International | Local display of tissue parameter stabilization |
US11071545B2 (en) | 2014-09-05 | 2021-07-27 | Cilag Gmbh International | Smart cartridge wake up operation and data retention |
US11311294B2 (en) | 2014-09-05 | 2022-04-26 | Cilag Gmbh International | Powered medical device including measurement of closure state of jaws |
US11076854B2 (en) | 2014-09-05 | 2021-08-03 | Cilag Gmbh International | Smart cartridge wake up operation and data retention |
US10905423B2 (en) | 2014-09-05 | 2021-02-02 | Ethicon Llc | Smart cartridge wake up operation and data retention |
US11406386B2 (en) | 2014-09-05 | 2022-08-09 | Cilag Gmbh International | End effector including magnetic and impedance sensors |
US12042147B2 (en) | 2014-09-05 | 2024-07-23 | Cllag GmbH International | Smart cartridge wake up operation and data retention |
US11284898B2 (en) | 2014-09-18 | 2022-03-29 | Cilag Gmbh International | Surgical instrument including a deployable knife |
US10426477B2 (en) | 2014-09-26 | 2019-10-01 | Ethicon Llc | Staple cartridge assembly including a ramp |
US10426476B2 (en) | 2014-09-26 | 2019-10-01 | Ethicon Llc | Circular fastener cartridges for applying radially expandable fastener lines |
US10327764B2 (en) | 2014-09-26 | 2019-06-25 | Ethicon Llc | Method for creating a flexible staple line |
US10751053B2 (en) | 2014-09-26 | 2020-08-25 | Ethicon Llc | Fastener cartridges for applying expandable fastener lines |
US11202633B2 (en) | 2014-09-26 | 2021-12-21 | Cilag Gmbh International | Surgical stapling buttresses and adjunct materials |
US12016564B2 (en) | 2014-09-26 | 2024-06-25 | Cilag Gmbh International | Circular fastener cartridges for applying radially expandable fastener lines |
US11523821B2 (en) | 2014-09-26 | 2022-12-13 | Cilag Gmbh International | Method for creating a flexible staple line |
US10206677B2 (en) | 2014-09-26 | 2019-02-19 | Ethicon Llc | Surgical staple and driver arrangements for staple cartridges |
US10736630B2 (en) | 2014-10-13 | 2020-08-11 | Ethicon Llc | Staple cartridge |
US11185325B2 (en) | 2014-10-16 | 2021-11-30 | Cilag Gmbh International | End effector including different tissue gaps |
US11918210B2 (en) | 2014-10-16 | 2024-03-05 | Cilag Gmbh International | Staple cartridge comprising a cartridge body including a plurality of wells |
US10905418B2 (en) | 2014-10-16 | 2021-02-02 | Ethicon Llc | Staple cartridge comprising a tissue thickness compensator |
US12004741B2 (en) | 2014-10-16 | 2024-06-11 | Cilag Gmbh International | Staple cartridge comprising a tissue thickness compensator |
US11931031B2 (en) | 2014-10-16 | 2024-03-19 | Cilag Gmbh International | Staple cartridge comprising a deck including an upper surface and a lower surface |
US11701114B2 (en) | 2014-10-16 | 2023-07-18 | Cilag Gmbh International | Staple cartridge |
US11141153B2 (en) | 2014-10-29 | 2021-10-12 | Cilag Gmbh International | Staple cartridges comprising driver arrangements |
US11931038B2 (en) | 2014-10-29 | 2024-03-19 | Cilag Gmbh International | Cartridge assemblies for surgical staplers |
US11864760B2 (en) | 2014-10-29 | 2024-01-09 | Cilag Gmbh International | Staple cartridges comprising driver arrangements |
US11457918B2 (en) | 2014-10-29 | 2022-10-04 | Cilag Gmbh International | Cartridge assemblies for surgical staplers |
US10517594B2 (en) | 2014-10-29 | 2019-12-31 | Ethicon Llc | Cartridge assemblies for surgical staplers |
US11241229B2 (en) | 2014-10-29 | 2022-02-08 | Cilag Gmbh International | Staple cartridges comprising driver arrangements |
US11337698B2 (en) | 2014-11-06 | 2022-05-24 | Cilag Gmbh International | Staple cartridge comprising a releasable adjunct material |
US10617417B2 (en) | 2014-11-06 | 2020-04-14 | Ethicon Llc | Staple cartridge comprising a releasable adjunct material |
US11382628B2 (en) | 2014-12-10 | 2022-07-12 | Cilag Gmbh International | Articulatable surgical instrument system |
US10736636B2 (en) | 2014-12-10 | 2020-08-11 | Ethicon Llc | Articulatable surgical instrument system |
US11547404B2 (en) | 2014-12-18 | 2023-01-10 | Cilag Gmbh International | Surgical instrument assembly comprising a flexible articulation system |
US11553911B2 (en) | 2014-12-18 | 2023-01-17 | Cilag Gmbh International | Surgical instrument assembly comprising a flexible articulation system |
US10743873B2 (en) | 2014-12-18 | 2020-08-18 | Ethicon Llc | Drive arrangements for articulatable surgical instruments |
US11547403B2 (en) | 2014-12-18 | 2023-01-10 | Cilag Gmbh International | Surgical instrument having a laminate firing actuator and lateral buckling supports |
US11678877B2 (en) | 2014-12-18 | 2023-06-20 | Cilag Gmbh International | Surgical instrument including a flexible support configured to support a flexible firing member |
US10245027B2 (en) | 2014-12-18 | 2019-04-02 | Ethicon Llc | Surgical instrument with an anvil that is selectively movable about a discrete non-movable axis relative to a staple cartridge |
US12029419B2 (en) | 2014-12-18 | 2024-07-09 | Cilag Gmbh International | Surgical instrument including a flexible support configured to support a flexible firing member |
US11399831B2 (en) | 2014-12-18 | 2022-08-02 | Cilag Gmbh International | Drive arrangements for articulatable surgical instruments |
US11571207B2 (en) | 2014-12-18 | 2023-02-07 | Cilag Gmbh International | Surgical system including lateral supports for a flexible drive member |
US11812958B2 (en) | 2014-12-18 | 2023-11-14 | Cilag Gmbh International | Locking arrangements for detachable shaft assemblies with articulatable surgical end effectors |
US10806448B2 (en) | 2014-12-18 | 2020-10-20 | Ethicon Llc | Surgical instrument assembly comprising a flexible articulation system |
US11083453B2 (en) | 2014-12-18 | 2021-08-10 | Cilag Gmbh International | Surgical stapling system including a flexible firing actuator and lateral buckling supports |
US10188385B2 (en) | 2014-12-18 | 2019-01-29 | Ethicon Llc | Surgical instrument system comprising lockable systems |
US10695058B2 (en) | 2014-12-18 | 2020-06-30 | Ethicon Llc | Surgical instrument systems comprising an articulatable end effector and means for adjusting the firing stroke of a firing member |
US10945728B2 (en) | 2014-12-18 | 2021-03-16 | Ethicon Llc | Locking arrangements for detachable shaft assemblies with articulatable surgical end effectors |
US11517311B2 (en) | 2014-12-18 | 2022-12-06 | Cilag Gmbh International | Surgical instrument systems comprising an articulatable end effector and means for adjusting the firing stroke of a firing member |
US11154301B2 (en) | 2015-02-27 | 2021-10-26 | Cilag Gmbh International | Modular stapling assembly |
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 |
US11324506B2 (en) | 2015-02-27 | 2022-05-10 | Cilag Gmbh International | Modular stapling assembly |
US11744588B2 (en) | 2015-02-27 | 2023-09-05 | Cilag Gmbh International | Surgical stapling instrument including a removably attachable battery pack |
US10182816B2 (en) | 2015-02-27 | 2019-01-22 | Ethicon Llc | Charging system that enables emergency resolutions for charging a battery |
US10245028B2 (en) | 2015-02-27 | 2019-04-02 | Ethicon Llc | Power adapter for a surgical instrument |
US10159483B2 (en) | 2015-02-27 | 2018-12-25 | Ethicon Llc | Surgical apparatus configured to track an end-of-life parameter |
US11224423B2 (en) | 2015-03-06 | 2022-01-18 | Cilag Gmbh International | Smart sensors with local signal processing |
US11350843B2 (en) | 2015-03-06 | 2022-06-07 | Cilag Gmbh International | Time dependent evaluation of sensor data to determine stability, creep, and viscoelastic elements of measures |
US10441279B2 (en) | 2015-03-06 | 2019-10-15 | Ethicon Llc | Multiple level thresholds to modify operation of 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 |
US11109859B2 (en) | 2015-03-06 | 2021-09-07 | Cilag Gmbh International | Surgical instrument comprising a lockable battery housing |
US10206605B2 (en) | 2015-03-06 | 2019-02-19 | Ethicon Llc | Time dependent evaluation of sensor data to determine stability, creep, and viscoelastic elements of measures |
US10772625B2 (en) | 2015-03-06 | 2020-09-15 | Ethicon Llc | Signal and power communication system positioned on a rotatable shaft |
US11944338B2 (en) | 2015-03-06 | 2024-04-02 | Cilag Gmbh International | Multiple level thresholds to modify operation of powered surgical instruments |
US11426160B2 (en) | 2015-03-06 | 2022-08-30 | Cilag Gmbh International | Smart sensors with local signal processing |
US10531887B2 (en) | 2015-03-06 | 2020-01-14 | Ethicon Llc | Powered surgical instrument including speed display |
US10687806B2 (en) | 2015-03-06 | 2020-06-23 | Ethicon Llc | Adaptive tissue compression techniques to adjust closure rates for multiple tissue types |
US10729432B2 (en) | 2015-03-06 | 2020-08-04 | Ethicon Llc | Methods for operating a powered surgical instrument |
US10524787B2 (en) | 2015-03-06 | 2020-01-07 | Ethicon Llc | Powered surgical instrument with parameter-based firing rate |
US10617412B2 (en) | 2015-03-06 | 2020-04-14 | Ethicon Llc | System for detecting the mis-insertion of a staple cartridge into a surgical stapler |
US10966627B2 (en) | 2015-03-06 | 2021-04-06 | Ethicon Llc | Time dependent evaluation of sensor data to determine stability, creep, and viscoelastic elements of measures |
US11826132B2 (en) | 2015-03-06 | 2023-11-28 | Cilag Gmbh International | Time dependent evaluation of sensor data to determine stability, creep, and viscoelastic elements of measures |
US10245033B2 (en) | 2015-03-06 | 2019-04-02 | Ethicon Llc | Surgical instrument comprising a lockable battery housing |
US11918212B2 (en) | 2015-03-31 | 2024-03-05 | Cilag Gmbh International | Surgical instrument with selectively disengageable drive systems |
US10433844B2 (en) | 2015-03-31 | 2019-10-08 | Ethicon Llc | Surgical instrument with selectively disengageable threaded drive systems |
US10213201B2 (en) | 2015-03-31 | 2019-02-26 | Ethicon Llc | Stapling end effector configured to compensate for an uneven gap between a first jaw and a second jaw |
US10617418B2 (en) | 2015-08-17 | 2020-04-14 | Ethicon Llc | Implantable layers for a surgical instrument |
US11058425B2 (en) | 2015-08-17 | 2021-07-13 | Ethicon Llc | Implantable layers for a surgical instrument |
US10835249B2 (en) | 2015-08-17 | 2020-11-17 | Ethicon Llc | Implantable layers for a surgical instrument |
US10863986B2 (en) | 2015-09-23 | 2020-12-15 | Ethicon Llc | Surgical stapler having downstream current-based motor control |
US10363036B2 (en) | 2015-09-23 | 2019-07-30 | Ethicon Llc | Surgical stapler having force-based motor control |
US11849946B2 (en) | 2015-09-23 | 2023-12-26 | Cilag Gmbh International | Surgical stapler having downstream current-based motor control |
US10238386B2 (en) | 2015-09-23 | 2019-03-26 | Ethicon Llc | Surgical stapler having motor control based on an electrical parameter related to a motor current |
US10327769B2 (en) | 2015-09-23 | 2019-06-25 | Ethicon Llc | Surgical stapler having motor control based on a drive system component |
US11344299B2 (en) | 2015-09-23 | 2022-05-31 | Cilag Gmbh International | Surgical stapler having downstream current-based motor control |
US11490889B2 (en) | 2015-09-23 | 2022-11-08 | Cilag Gmbh International | Surgical stapler having motor control based on an electrical parameter related to a motor current |
US11026678B2 (en) | 2015-09-23 | 2021-06-08 | Cilag Gmbh International | Surgical stapler having motor control based on an electrical parameter related to a motor current |
US10299878B2 (en) | 2015-09-25 | 2019-05-28 | Ethicon Llc | Implantable adjunct systems for determining adjunct skew |
US11076929B2 (en) | 2015-09-25 | 2021-08-03 | Cilag Gmbh International | Implantable adjunct systems for determining adjunct skew |
US10271849B2 (en) | 2015-09-30 | 2019-04-30 | Ethicon Llc | Woven constructs with interlocked standing fibers |
US11690623B2 (en) | 2015-09-30 | 2023-07-04 | Cilag Gmbh International | Method for applying an implantable layer to a fastener cartridge |
US10932779B2 (en) | 2015-09-30 | 2021-03-02 | Ethicon Llc | Compressible adjunct with crossing spacer fibers |
US10524788B2 (en) | 2015-09-30 | 2020-01-07 | Ethicon Llc | Compressible adjunct with attachment regions |
US11890015B2 (en) | 2015-09-30 | 2024-02-06 | Cilag Gmbh International | Compressible adjunct with crossing spacer fibers |
US10736633B2 (en) | 2015-09-30 | 2020-08-11 | Ethicon Llc | Compressible adjunct with looping members |
US10307160B2 (en) | 2015-09-30 | 2019-06-04 | Ethicon Llc | Compressible adjunct assemblies with attachment layers |
US10478188B2 (en) | 2015-09-30 | 2019-11-19 | Ethicon Llc | Implantable layer comprising a constricted configuration |
US11944308B2 (en) | 2015-09-30 | 2024-04-02 | Cilag Gmbh International | Compressible adjunct with crossing spacer fibers |
US10172620B2 (en) | 2015-09-30 | 2019-01-08 | Ethicon Llc | Compressible adjuncts with bonding nodes |
US10433846B2 (en) | 2015-09-30 | 2019-10-08 | Ethicon Llc | Compressible adjunct with crossing spacer fibers |
US10327777B2 (en) | 2015-09-30 | 2019-06-25 | Ethicon Llc | Implantable layer comprising plastically deformed fibers |
US11712244B2 (en) | 2015-09-30 | 2023-08-01 | Cilag Gmbh International | Implantable layer with spacer fibers |
US10561420B2 (en) | 2015-09-30 | 2020-02-18 | Ethicon Llc | Tubular absorbable constructs |
US11903586B2 (en) | 2015-09-30 | 2024-02-20 | Cilag Gmbh International | Compressible adjunct with crossing spacer fibers |
US11553916B2 (en) | 2015-09-30 | 2023-01-17 | Cilag Gmbh International | Compressible adjunct with crossing spacer fibers |
US10980539B2 (en) | 2015-09-30 | 2021-04-20 | Ethicon Llc | Implantable adjunct comprising bonded layers |
US10603039B2 (en) | 2015-09-30 | 2020-03-31 | Ethicon Llc | Progressively releasable implantable adjunct for use with a surgical stapling instrument |
US11793522B2 (en) | 2015-09-30 | 2023-10-24 | Cilag Gmbh International | Staple cartridge assembly including a compressible adjunct |
US10285699B2 (en) | 2015-09-30 | 2019-05-14 | Ethicon Llc | Compressible adjunct |
US11083454B2 (en) | 2015-12-30 | 2021-08-10 | Cilag Gmbh International | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US11759208B2 (en) | 2015-12-30 | 2023-09-19 | Cilag Gmbh International | Mechanisms for compensating for battery pack failure in powered surgical instruments |
US11129613B2 (en) | 2015-12-30 | 2021-09-28 | Cilag Gmbh International | Surgical instruments with separable motors and motor control circuits |
US11058422B2 (en) | 2015-12-30 | 2021-07-13 | Cilag Gmbh International | Mechanisms for compensating for battery pack failure in powered surgical instruments |
US10368865B2 (en) | 2015-12-30 | 2019-08-06 | Ethicon Llc | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US10265068B2 (en) | 2015-12-30 | 2019-04-23 | Ethicon Llc | Surgical instruments with separable motors and motor control circuits |
US10292704B2 (en) | 2015-12-30 | 2019-05-21 | Ethicon Llc | Mechanisms for compensating for battery pack failure in powered surgical instruments |
US11484309B2 (en) | 2015-12-30 | 2022-11-01 | Cilag Gmbh International | Surgical stapling system comprising a controller configured to cause a motor to reset a firing sequence |
US11523823B2 (en) | 2016-02-09 | 2022-12-13 | Cilag Gmbh International | Surgical instruments with non-symmetrical articulation arrangements |
US10245029B2 (en) | 2016-02-09 | 2019-04-02 | Ethicon Llc | Surgical instrument with articulating and axially translatable end effector |
US11213293B2 (en) | 2016-02-09 | 2022-01-04 | Cilag Gmbh International | Articulatable surgical instruments with single articulation link arrangements |
US11730471B2 (en) | 2016-02-09 | 2023-08-22 | Cilag Gmbh International | Articulatable surgical instruments with single articulation link arrangements |
US10588625B2 (en) | 2016-02-09 | 2020-03-17 | Ethicon Llc | Articulatable surgical instruments with off-axis firing beam arrangements |
US10413291B2 (en) | 2016-02-09 | 2019-09-17 | Ethicon Llc | Surgical instrument articulation mechanism with slotted secondary constraint |
US10433837B2 (en) | 2016-02-09 | 2019-10-08 | Ethicon Llc | Surgical instruments with multiple link articulation arrangements |
US10653413B2 (en) | 2016-02-09 | 2020-05-19 | Ethicon Llc | Surgical instruments with an end effector that is highly articulatable relative to an elongate shaft assembly |
US10245030B2 (en) | 2016-02-09 | 2019-04-02 | Ethicon Llc | Surgical instruments with tensioning arrangements for cable driven articulation systems |
US10470764B2 (en) | 2016-02-09 | 2019-11-12 | Ethicon Llc | Surgical instruments with closure stroke reduction arrangements |
US10448948B2 (en) | 2016-02-12 | 2019-10-22 | Ethicon Llc | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US11224426B2 (en) | 2016-02-12 | 2022-01-18 | Cilag Gmbh International | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US10258331B2 (en) | 2016-02-12 | 2019-04-16 | Ethicon Llc | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US11779336B2 (en) | 2016-02-12 | 2023-10-10 | Cilag Gmbh International | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US11826045B2 (en) | 2016-02-12 | 2023-11-28 | Cilag Gmbh International | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US11344303B2 (en) | 2016-02-12 | 2022-05-31 | Cilag Gmbh International | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
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 |
US10376263B2 (en) | 2016-04-01 | 2019-08-13 | Ethicon Llc | Anvil modification members for surgical staplers |
US10456137B2 (en) | 2016-04-15 | 2019-10-29 | Ethicon Llc | Staple formation detection mechanisms |
US11191545B2 (en) | 2016-04-15 | 2021-12-07 | Cilag Gmbh International | Staple formation detection mechanisms |
US11622791B2 (en) | 2016-04-15 | 2023-04-11 | Establishment Labs S.A. | Apparatuses for the implantation of medical devices and methods of use thereof |
US11642125B2 (en) | 2016-04-15 | 2023-05-09 | Cilag Gmbh International | Robotic surgical system including a user interface and a control circuit |
US11026684B2 (en) | 2016-04-15 | 2021-06-08 | Ethicon Llc | Surgical instrument with multiple program responses during a firing motion |
US11607239B2 (en) | 2016-04-15 | 2023-03-21 | Cilag Gmbh International | Systems and methods for controlling a surgical stapling and cutting instrument |
US10357247B2 (en) | 2016-04-15 | 2019-07-23 | Ethicon Llc | Surgical instrument with multiple program responses during a firing motion |
US11350932B2 (en) | 2016-04-15 | 2022-06-07 | Cilag Gmbh International | Surgical instrument with improved stop/start control during a firing motion |
US10828028B2 (en) | 2016-04-15 | 2020-11-10 | Ethicon Llc | Surgical instrument with multiple program responses during a firing motion |
US10405859B2 (en) | 2016-04-15 | 2019-09-10 | Ethicon Llc | Surgical instrument with adjustable stop/start control during a firing motion |
US11051810B2 (en) | 2016-04-15 | 2021-07-06 | Cilag Gmbh International | Modular surgical instrument with configurable operating mode |
US11317910B2 (en) | 2016-04-15 | 2022-05-03 | Cilag Gmbh International | Surgical instrument with detection sensors |
US11931028B2 (en) | 2016-04-15 | 2024-03-19 | Cilag Gmbh International | Surgical instrument with multiple program responses during a firing motion |
US10905466B2 (en) | 2016-04-15 | 2021-02-02 | Establishment Labs S.A. | Apparatuses for the implantation of medical devices and methods of use thereof |
US10426467B2 (en) | 2016-04-15 | 2019-10-01 | Ethicon Llc | Surgical instrument with detection sensors |
WO2017181144A3 (en) * | 2016-04-15 | 2017-11-09 | Establishment Labs S.A. | Apparatuses for the implantation of medical devices |
US10335145B2 (en) | 2016-04-15 | 2019-07-02 | Ethicon Llc | Modular surgical instrument with configurable operating mode |
US10492783B2 (en) | 2016-04-15 | 2019-12-03 | Ethicon, Llc | Surgical instrument with improved stop/start control during a firing motion |
US11311292B2 (en) | 2016-04-15 | 2022-04-26 | Cilag Gmbh International | Surgical instrument with detection sensors |
US11284891B2 (en) | 2016-04-15 | 2022-03-29 | Cilag Gmbh International | Surgical instrument with multiple program responses during a firing motion |
US11179150B2 (en) | 2016-04-15 | 2021-11-23 | Cilag Gmbh International | Systems and methods for controlling a surgical stapling and cutting instrument |
US11517306B2 (en) | 2016-04-15 | 2022-12-06 | Cilag Gmbh International | Surgical instrument with detection sensors |
EP4094723A1 (en) * | 2016-04-15 | 2022-11-30 | Establishment Labs S.A. | Apparatuses for the implantation of medical devices and methods of use thereof |
US11883069B2 (en) | 2016-04-15 | 2024-01-30 | Establishment Labs S.A. | Apparatuses for the implantation of medical devices and methods of use thereof |
US11771454B2 (en) | 2016-04-15 | 2023-10-03 | Cilag Gmbh International | Stapling assembly including a controller for monitoring a clamping laod |
US11811253B2 (en) | 2016-04-18 | 2023-11-07 | Cilag Gmbh International | Surgical robotic system with fault state detection configurations based on motor current draw |
US10433840B2 (en) | 2016-04-18 | 2019-10-08 | Ethicon Llc | Surgical instrument comprising a replaceable cartridge jaw |
US10478181B2 (en) | 2016-04-18 | 2019-11-19 | Ethicon Llc | Cartridge lockout arrangements for rotary powered surgical cutting and stapling instruments |
US10426469B2 (en) | 2016-04-18 | 2019-10-01 | Ethicon Llc | Surgical instrument comprising a primary firing lockout and a secondary firing lockout |
US11147554B2 (en) | 2016-04-18 | 2021-10-19 | Cilag Gmbh International | Surgical instrument system comprising a magnetic lockout |
US11559303B2 (en) | 2016-04-18 | 2023-01-24 | Cilag Gmbh International | Cartridge lockout arrangements for rotary powered surgical cutting and stapling instruments |
US11350928B2 (en) | 2016-04-18 | 2022-06-07 | Cilag Gmbh International | Surgical instrument comprising a tissue thickness lockout and speed control system |
US10368867B2 (en) | 2016-04-18 | 2019-08-06 | Ethicon Llc | Surgical instrument comprising a lockout |
US10363037B2 (en) | 2016-04-18 | 2019-07-30 | Ethicon Llc | Surgical instrument system comprising a magnetic lockout |
US11317917B2 (en) | 2016-04-18 | 2022-05-03 | Cilag Gmbh International | Surgical stapling system comprising a lockable firing assembly |
US10966704B2 (en) | 2016-11-09 | 2021-04-06 | Biomet Sports Medicine, Llc | Methods and systems for stitching soft tissue to bone |
US11191539B2 (en) | 2016-12-21 | 2021-12-07 | Cilag Gmbh International | Shaft assembly comprising a manually-operable retraction system for use with a motorized surgical instrument system |
US10758230B2 (en) | 2016-12-21 | 2020-09-01 | Ethicon Llc | Surgical instrument with primary and safety processors |
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 |
US10835245B2 (en) | 2016-12-21 | 2020-11-17 | Ethicon Llc | Method for attaching a shaft assembly to a surgical instrument and, alternatively, to a surgical robot |
US10675026B2 (en) | 2016-12-21 | 2020-06-09 | Ethicon Llc | Methods of stapling tissue |
US10682138B2 (en) | 2016-12-21 | 2020-06-16 | Ethicon Llc | Bilaterally asymmetric staple forming pocket pairs |
US10568626B2 (en) | 2016-12-21 | 2020-02-25 | Ethicon Llc | Surgical instruments with jaw opening features for increasing a jaw opening distance |
US10980536B2 (en) | 2016-12-21 | 2021-04-20 | Ethicon Llc | No-cartridge and spent cartridge lockout arrangements for surgical staplers |
US12011166B2 (en) | 2016-12-21 | 2024-06-18 | Cilag Gmbh International | Articulatable surgical stapling instruments |
US10835247B2 (en) | 2016-12-21 | 2020-11-17 | Ethicon Llc | Lockout arrangements for surgical end effectors |
US10582928B2 (en) | 2016-12-21 | 2020-03-10 | Ethicon Llc | Articulation lock arrangements for locking an end effector in an articulated position in response to actuation of a jaw closure system |
US12004745B2 (en) | 2016-12-21 | 2024-06-11 | Cilag Gmbh International | Surgical instrument system comprising an end effector lockout and a firing assembly lockout |
US11766260B2 (en) | 2016-12-21 | 2023-09-26 | Cilag Gmbh International | Methods of stapling tissue |
US10813638B2 (en) | 2016-12-21 | 2020-10-27 | Ethicon Llc | Surgical end effectors with expandable tissue stop arrangements |
US10426471B2 (en) | 2016-12-21 | 2019-10-01 | Ethicon Llc | Surgical instrument with multiple failure response modes |
US10779823B2 (en) | 2016-12-21 | 2020-09-22 | Ethicon Llc | Firing member pin angle |
US10568624B2 (en) | 2016-12-21 | 2020-02-25 | Ethicon Llc | Surgical instruments with jaws that are pivotable about a fixed axis and include separate and distinct closure and firing systems |
US11766259B2 (en) | 2016-12-21 | 2023-09-26 | Cilag Gmbh International | Method of deforming staples from two different types of staple cartridges with the same surgical stapling instrument |
US10667810B2 (en) | 2016-12-21 | 2020-06-02 | Ethicon Llc | Closure members with cam surface arrangements for surgical instruments with separate and distinct closure and firing systems |
US11224428B2 (en) | 2016-12-21 | 2022-01-18 | Cilag Gmbh International | Surgical stapling systems |
US10667809B2 (en) | 2016-12-21 | 2020-06-02 | Ethicon Llc | Staple cartridge and staple cartridge channel comprising windows defined therein |
US10667811B2 (en) | 2016-12-21 | 2020-06-02 | Ethicon Llc | Surgical stapling instruments and staple-forming anvils |
US10973516B2 (en) | 2016-12-21 | 2021-04-13 | Ethicon Llc | Surgical end effectors and adaptable firing members therefor |
US11931034B2 (en) | 2016-12-21 | 2024-03-19 | Cilag Gmbh International | Surgical stapling instruments with smart staple cartridges |
US11849948B2 (en) | 2016-12-21 | 2023-12-26 | Cilag Gmbh International | Method for resetting a fuse of a surgical instrument shaft |
US10639034B2 (en) | 2016-12-21 | 2020-05-05 | Ethicon Llc | Surgical instruments with lockout arrangements for preventing firing system actuation unless an unspent staple cartridge is present |
US10639035B2 (en) | 2016-12-21 | 2020-05-05 | Ethicon Llc | Surgical stapling instruments and replaceable tool assemblies thereof |
US10856868B2 (en) | 2016-12-21 | 2020-12-08 | Ethicon Llc | Firing member pin configurations |
US11191543B2 (en) | 2016-12-21 | 2021-12-07 | Cilag Gmbh International | Assembly comprising a lock |
US10736629B2 (en) | 2016-12-21 | 2020-08-11 | Ethicon Llc | Surgical tool assemblies with clutching arrangements for shifting between closure systems with closure stroke reduction features and articulation and firing systems |
US11191540B2 (en) | 2016-12-21 | 2021-12-07 | Cilag Gmbh International | Protective cover arrangements for a joint interface between a movable jaw and actuator shaft of a surgical instrument |
US11992213B2 (en) | 2016-12-21 | 2024-05-28 | Cilag Gmbh International | Surgical stapling instruments with replaceable staple cartridges |
US11497499B2 (en) | 2016-12-21 | 2022-11-15 | Cilag Gmbh International | Articulatable surgical stapling instruments |
US10568625B2 (en) | 2016-12-21 | 2020-02-25 | Ethicon Llc | Staple cartridges and arrangements of staples and staple cavities therein |
US10448950B2 (en) | 2016-12-21 | 2019-10-22 | Ethicon Llc | Surgical staplers with independently actuatable closing and firing systems |
US10624635B2 (en) | 2016-12-21 | 2020-04-21 | Ethicon Llc | Firing members with non-parallel jaw engagement features for surgical end effectors |
US11350935B2 (en) | 2016-12-21 | 2022-06-07 | Cilag Gmbh International | Surgical tool assemblies with closure stroke reduction features |
US10542982B2 (en) | 2016-12-21 | 2020-01-28 | Ethicon Llc | Shaft assembly comprising first and second articulation lockouts |
US10687809B2 (en) | 2016-12-21 | 2020-06-23 | Ethicon Llc | Surgical staple cartridge with movable camming member configured to disengage firing member lockout features |
US11350934B2 (en) | 2016-12-21 | 2022-06-07 | Cilag Gmbh International | Staple forming pocket arrangement to accommodate different types of staples |
US10695055B2 (en) | 2016-12-21 | 2020-06-30 | Ethicon Llc | Firing assembly comprising a lockout |
US11179155B2 (en) | 2016-12-21 | 2021-11-23 | Cilag Gmbh International | Anvil arrangements for surgical staplers |
US10617414B2 (en) | 2016-12-21 | 2020-04-14 | Ethicon Llc | Closure member arrangements for surgical instruments |
US10959727B2 (en) | 2016-12-21 | 2021-03-30 | Ethicon Llc | Articulatable surgical end effector with asymmetric shaft arrangement |
US11160553B2 (en) | 2016-12-21 | 2021-11-02 | Cilag Gmbh International | Surgical stapling systems |
US11160551B2 (en) | 2016-12-21 | 2021-11-02 | Cilag Gmbh International | Articulatable surgical stapling instruments |
US10485543B2 (en) | 2016-12-21 | 2019-11-26 | Ethicon Llc | Anvil having a knife slot width |
US10492785B2 (en) | 2016-12-21 | 2019-12-03 | Ethicon Llc | Shaft assembly comprising a lockout |
US10537325B2 (en) | 2016-12-21 | 2020-01-21 | Ethicon Llc | Staple forming pocket arrangement to accommodate different types of staples |
US10610224B2 (en) | 2016-12-21 | 2020-04-07 | Ethicon Llc | Lockout arrangements for surgical end effectors and replaceable tool assemblies |
US11653917B2 (en) | 2016-12-21 | 2023-05-23 | Cilag Gmbh International | Surgical stapling systems |
US11918215B2 (en) | 2016-12-21 | 2024-03-05 | Cilag Gmbh International | Staple cartridge with array of staple pockets |
US10675025B2 (en) | 2016-12-21 | 2020-06-09 | Ethicon Llc | Shaft assembly comprising separately actuatable and retractable systems |
US10499914B2 (en) | 2016-12-21 | 2019-12-10 | Ethicon Llc | Staple forming pocket arrangements |
US10588632B2 (en) | 2016-12-21 | 2020-03-17 | Ethicon Llc | Surgical end effectors and firing members thereof |
US10881401B2 (en) | 2016-12-21 | 2021-01-05 | Ethicon Llc | Staple firing member comprising a missing cartridge and/or spent cartridge lockout |
US11134942B2 (en) | 2016-12-21 | 2021-10-05 | Cilag Gmbh International | Surgical stapling instruments and staple-forming anvils |
US10758229B2 (en) | 2016-12-21 | 2020-09-01 | Ethicon Llc | Surgical instrument comprising improved jaw control |
US11701115B2 (en) | 2016-12-21 | 2023-07-18 | Cilag Gmbh International | Methods of stapling tissue |
US10603036B2 (en) | 2016-12-21 | 2020-03-31 | Ethicon Llc | Articulatable surgical instrument with independent pivotable linkage distal of an articulation lock |
US10888322B2 (en) | 2016-12-21 | 2021-01-12 | Ethicon Llc | Surgical instrument comprising a cutting member |
US11096689B2 (en) | 2016-12-21 | 2021-08-24 | Cilag Gmbh International | Shaft assembly comprising a lockout |
US10517595B2 (en) | 2016-12-21 | 2019-12-31 | Ethicon Llc | Jaw actuated lock arrangements for preventing advancement of a firing member in a surgical end effector unless an unfired cartridge is installed in the end effector |
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 |
US10524789B2 (en) | 2016-12-21 | 2020-01-07 | Ethicon Llc | Laterally actuatable articulation lock arrangements for locking an end effector of a surgical instrument in an articulated configuration |
US11957344B2 (en) | 2016-12-21 | 2024-04-16 | Cilag Gmbh International | Surgical stapler having rows of obliquely oriented staples |
US10893864B2 (en) | 2016-12-21 | 2021-01-19 | Ethicon | Staple cartridges and arrangements of staples and staple cavities therein |
US10517596B2 (en) | 2016-12-21 | 2019-12-31 | Ethicon Llc | Articulatable surgical instruments with articulation stroke amplification features |
US11369376B2 (en) | 2016-12-21 | 2022-06-28 | Cilag Gmbh International | Surgical stapling systems |
US11090048B2 (en) | 2016-12-21 | 2021-08-17 | Cilag Gmbh International | Method for resetting a fuse of a surgical instrument shaft |
US10905422B2 (en) | 2016-12-21 | 2021-02-02 | Ethicon Llc | Surgical instrument for use with a robotic surgical system |
US11317913B2 (en) | 2016-12-21 | 2022-05-03 | Cilag Gmbh International | Lockout arrangements for surgical end effectors and replaceable tool assemblies |
US11564688B2 (en) | 2016-12-21 | 2023-01-31 | Cilag Gmbh International | Robotic surgical tool having a retraction mechanism |
US10588630B2 (en) | 2016-12-21 | 2020-03-17 | Ethicon Llc | Surgical tool assemblies with closure stroke reduction features |
US10898186B2 (en) | 2016-12-21 | 2021-01-26 | Ethicon Llc | Staple forming pocket arrangements comprising primary sidewalls and pocket sidewalls |
US11571210B2 (en) | 2016-12-21 | 2023-02-07 | Cilag Gmbh International | Firing assembly comprising a multiple failed-state fuse |
US10588631B2 (en) | 2016-12-21 | 2020-03-17 | Ethicon Llc | Surgical instruments with positive jaw opening features |
US11871939B2 (en) | 2017-06-20 | 2024-01-16 | Cilag Gmbh International | Method for closed loop control of motor velocity of a surgical stapling and cutting instrument |
US11071554B2 (en) | 2017-06-20 | 2021-07-27 | Cilag Gmbh International | Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on magnitude of velocity error measurements |
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 |
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 |
USD879809S1 (en) | 2017-06-20 | 2020-03-31 | Ethicon Llc | Display panel with changeable graphical user interface |
USD879808S1 (en) | 2017-06-20 | 2020-03-31 | Ethicon Llc | Display panel with graphical user interface |
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 |
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 |
US10881396B2 (en) | 2017-06-20 | 2021-01-05 | Ethicon Llc | Surgical instrument with variable duration trigger arrangement |
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 |
USD1039559S1 (en) | 2017-06-20 | 2024-08-20 | Cilag Gmbh International | Display panel with changeable graphical user interface |
US10595882B2 (en) | 2017-06-20 | 2020-03-24 | Ethicon Llc | Methods for closed loop control of motor velocity of a surgical stapling and cutting instrument |
US11672532B2 (en) | 2017-06-20 | 2023-06-13 | Cilag Gmbh International | Techniques for adaptive control of motor velocity of a surgical stapling and cutting 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 |
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 |
US11213302B2 (en) | 2017-06-20 | 2022-01-04 | Cilag Gmbh International | Method for closed loop control of motor velocity of a surgical stapling and cutting instrument |
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 |
US10646220B2 (en) | 2017-06-20 | 2020-05-12 | Ethicon Llc | Systems and methods for controlling displacement member velocity for a surgical instrument |
US11793513B2 (en) | 2017-06-20 | 2023-10-24 | Cilag Gmbh International | Systems and methods for controlling motor speed according to user input for a surgical instrument |
US10980537B2 (en) | 2017-06-20 | 2021-04-20 | Ethicon Llc | Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on measured time over a specified number of shaft rotations |
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 |
US10368864B2 (en) | 2017-06-20 | 2019-08-06 | Ethicon Llc | Systems and methods for controlling displaying motor velocity for a surgical instrument |
US10813639B2 (en) | 2017-06-20 | 2020-10-27 | Ethicon Llc | Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on system conditions |
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 |
US10631859B2 (en) | 2017-06-27 | 2020-04-28 | Ethicon Llc | Articulation systems for surgical instruments |
US11090049B2 (en) | 2017-06-27 | 2021-08-17 | Cilag Gmbh International | Staple forming pocket arrangements |
US10993716B2 (en) | 2017-06-27 | 2021-05-04 | Ethicon Llc | Surgical anvil arrangements |
US11324503B2 (en) | 2017-06-27 | 2022-05-10 | Cilag Gmbh International | Surgical firing member arrangements |
US10772629B2 (en) | 2017-06-27 | 2020-09-15 | Ethicon Llc | Surgical anvil arrangements |
US11266405B2 (en) | 2017-06-27 | 2022-03-08 | Cilag Gmbh International | Surgical anvil manufacturing methods |
US11766258B2 (en) | 2017-06-27 | 2023-09-26 | Cilag Gmbh International | Surgical anvil arrangements |
US10856869B2 (en) | 2017-06-27 | 2020-12-08 | Ethicon Llc | Surgical anvil arrangements |
US11141154B2 (en) | 2017-06-27 | 2021-10-12 | Cilag Gmbh International | Surgical end effectors and anvils |
US11484310B2 (en) | 2017-06-28 | 2022-11-01 | Cilag Gmbh International | Surgical instrument comprising a shaft including a closure tube profile |
USD851762S1 (en) | 2017-06-28 | 2019-06-18 | Ethicon Llc | Anvil |
US11020114B2 (en) | 2017-06-28 | 2021-06-01 | Cilag Gmbh International | Surgical instruments with articulatable end effector with axially shortened articulation joint configurations |
US11000279B2 (en) | 2017-06-28 | 2021-05-11 | Ethicon Llc | Surgical instrument comprising an articulation system ratio |
US11478242B2 (en) | 2017-06-28 | 2022-10-25 | Cilag Gmbh International | Jaw retainer arrangement for retaining a pivotable surgical instrument jaw in pivotable retaining engagement with a second surgical instrument jaw |
US10716614B2 (en) | 2017-06-28 | 2020-07-21 | Ethicon Llc | Surgical shaft assemblies with slip ring assemblies with increased contact pressure |
US10758232B2 (en) | 2017-06-28 | 2020-09-01 | Ethicon Llc | Surgical instrument with positive jaw opening features |
USD1018577S1 (en) | 2017-06-28 | 2024-03-19 | Cilag Gmbh International | Display screen or portion thereof with a graphical user interface for a surgical instrument |
US10588633B2 (en) | 2017-06-28 | 2020-03-17 | Ethicon Llc | Surgical instruments with open and closable jaws and axially movable firing member that is initially parked in close proximity to the jaws prior to firing |
US11246592B2 (en) | 2017-06-28 | 2022-02-15 | Cilag Gmbh International | Surgical instrument comprising an articulation system lockable to a frame |
USD906355S1 (en) | 2017-06-28 | 2020-12-29 | Ethicon Llc | Display screen or portion thereof with a graphical user interface for a surgical instrument |
US10211586B2 (en) | 2017-06-28 | 2019-02-19 | Ethicon Llc | Surgical shaft assemblies with watertight housings |
US10695057B2 (en) | 2017-06-28 | 2020-06-30 | Ethicon Llc | Surgical instrument lockout arrangement |
US11058424B2 (en) | 2017-06-28 | 2021-07-13 | Cilag Gmbh International | Surgical instrument comprising an offset articulation joint |
US11259805B2 (en) | 2017-06-28 | 2022-03-01 | Cilag Gmbh International | Surgical instrument comprising firing member supports |
US11826048B2 (en) | 2017-06-28 | 2023-11-28 | Cilag Gmbh International | Surgical instrument comprising selectively actuatable rotatable couplers |
US11529140B2 (en) | 2017-06-28 | 2022-12-20 | Cilag Gmbh International | Surgical instrument lockout arrangement |
US11678880B2 (en) | 2017-06-28 | 2023-06-20 | Cilag Gmbh International | Surgical instrument comprising a shaft including a housing arrangement |
US11642128B2 (en) | 2017-06-28 | 2023-05-09 | Cilag Gmbh International | Method for articulating a surgical instrument |
US11083455B2 (en) | 2017-06-28 | 2021-08-10 | Cilag Gmbh International | Surgical instrument comprising an articulation system ratio |
US10765427B2 (en) | 2017-06-28 | 2020-09-08 | Ethicon Llc | Method for articulating a surgical instrument |
US11564686B2 (en) | 2017-06-28 | 2023-01-31 | Cilag Gmbh International | Surgical shaft assemblies with flexible interfaces |
US10903685B2 (en) | 2017-06-28 | 2021-01-26 | Ethicon Llc | Surgical shaft assemblies with slip ring assemblies forming capacitive channels |
USD854151S1 (en) | 2017-06-28 | 2019-07-16 | Ethicon Llc | Surgical instrument shaft |
US10786253B2 (en) | 2017-06-28 | 2020-09-29 | Ethicon Llc | Surgical end effectors with improved jaw aperture arrangements |
US10639037B2 (en) | 2017-06-28 | 2020-05-05 | Ethicon Llc | Surgical instrument with axially movable closure member |
USD869655S1 (en) | 2017-06-28 | 2019-12-10 | Ethicon Llc | Surgical fastener cartridge |
US11389161B2 (en) | 2017-06-28 | 2022-07-19 | Cilag Gmbh International | Surgical instrument comprising selectively actuatable rotatable couplers |
US10779824B2 (en) | 2017-06-28 | 2020-09-22 | Ethicon Llc | Surgical instrument comprising an articulation system lockable by a closure system |
US11696759B2 (en) | 2017-06-28 | 2023-07-11 | Cilag Gmbh International | Surgical stapling instruments comprising shortened staple cartridge noses |
US10258418B2 (en) | 2017-06-29 | 2019-04-16 | Ethicon Llc | System for controlling articulation forces |
US11890005B2 (en) | 2017-06-29 | 2024-02-06 | Cilag Gmbh International | Methods for closed loop velocity control 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 |
US10398434B2 (en) | 2017-06-29 | 2019-09-03 | Ethicon Llc | Closed loop velocity control of closure member for robotic surgical instrument |
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 |
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 |
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 |
US11399829B2 (en) | 2017-09-29 | 2022-08-02 | Cilag Gmbh International | Systems and methods of initiating a power shutdown mode for a surgical instrument |
US10765429B2 (en) | 2017-09-29 | 2020-09-08 | Ethicon Llc | Systems and methods for providing alerts according to the operational state of a surgical instrument |
USD907647S1 (en) | 2017-09-29 | 2021-01-12 | Ethicon Llc | Display screen or portion thereof with animated graphical user interface |
US10796471B2 (en) | 2017-09-29 | 2020-10-06 | Ethicon Llc | Systems and methods of displaying a knife position for a surgical instrument |
USD907648S1 (en) | 2017-09-29 | 2021-01-12 | Ethicon Llc | Display screen or portion thereof with animated graphical user interface |
US11998199B2 (en) | 2017-09-29 | 2024-06-04 | Cllag GmbH International | System and methods for controlling a display of a surgical instrument |
US10729501B2 (en) | 2017-09-29 | 2020-08-04 | Ethicon Llc | Systems and methods for language selection of a surgical instrument |
US10743872B2 (en) | 2017-09-29 | 2020-08-18 | Ethicon Llc | System and methods for controlling a display of a surgical instrument |
USD917500S1 (en) | 2017-09-29 | 2021-04-27 | Ethicon Llc | Display screen or portion thereof with graphical user interface |
US11090075B2 (en) | 2017-10-30 | 2021-08-17 | Cilag Gmbh International | Articulation features for surgical end effector |
US11134944B2 (en) | 2017-10-30 | 2021-10-05 | Cilag Gmbh International | Surgical stapler knife motion controls |
US10779903B2 (en) | 2017-10-31 | 2020-09-22 | Ethicon Llc | Positive shaft rotation lock activated by jaw closure |
US11478244B2 (en) | 2017-10-31 | 2022-10-25 | Cilag Gmbh International | Cartridge body design with force reduction based on firing completion |
US10842490B2 (en) | 2017-10-31 | 2020-11-24 | Ethicon Llc | Cartridge body design with force reduction based on firing completion |
US11963680B2 (en) | 2017-10-31 | 2024-04-23 | Cilag Gmbh International | Cartridge body design with force reduction based on firing completion |
US10687813B2 (en) | 2017-12-15 | 2020-06-23 | Ethicon Llc | Adapters with firing stroke sensing arrangements for use in connection with electromechanical surgical instruments |
US10828033B2 (en) | 2017-12-15 | 2020-11-10 | Ethicon Llc | Handheld electromechanical surgical instruments with improved motor control arrangements for positioning components of an adapter coupled thereto |
US10869666B2 (en) | 2017-12-15 | 2020-12-22 | Ethicon Llc | Adapters with control systems for controlling multiple motors of an electromechanical surgical instrument |
US11896222B2 (en) | 2017-12-15 | 2024-02-13 | Cilag Gmbh International | Methods of operating surgical end effectors |
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 |
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 |
US10743875B2 (en) | 2017-12-15 | 2020-08-18 | Ethicon Llc | Surgical end effectors with jaw stiffener arrangements configured to permit monitoring of firing member |
US11197670B2 (en) | 2017-12-15 | 2021-12-14 | Cilag Gmbh International | Surgical end effectors with pivotal jaws configured to touch at their respective distal ends when fully closed |
US10779825B2 (en) | 2017-12-15 | 2020-09-22 | Ethicon Llc | Adapters with end effector position sensing and control arrangements for use in connection with electromechanical surgical instruments |
US10743874B2 (en) | 2017-12-15 | 2020-08-18 | Ethicon Llc | Sealed adapters for use with electromechanical surgical instruments |
US11071543B2 (en) | 2017-12-15 | 2021-07-27 | Cilag Gmbh International | Surgical end effectors with clamping assemblies configured to increase jaw aperture ranges |
US10779826B2 (en) | 2017-12-15 | 2020-09-22 | Ethicon Llc | Methods of operating surgical end effectors |
US11033267B2 (en) | 2017-12-15 | 2021-06-15 | Ethicon Llc | Systems and methods of controlling a clamping member firing rate of a surgical instrument |
US11045270B2 (en) | 2017-12-19 | 2021-06-29 | Cilag Gmbh International | Robotic attachment comprising exterior drive actuator |
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 |
US11284953B2 (en) | 2017-12-19 | 2022-03-29 | Cilag Gmbh International | Method for determining the position of a rotatable jaw of a surgical instrument attachment assembly |
US11020112B2 (en) | 2017-12-19 | 2021-06-01 | Ethicon Llc | Surgical tools configured for interchangeable use with different controller interfaces |
US10729509B2 (en) | 2017-12-19 | 2020-08-04 | Ethicon Llc | Surgical instrument comprising closure and firing locking mechanism |
US10716565B2 (en) | 2017-12-19 | 2020-07-21 | Ethicon Llc | Surgical instruments with dual articulation drivers |
USD910847S1 (en) | 2017-12-19 | 2021-02-16 | Ethicon Llc | Surgical instrument assembly |
US11583274B2 (en) | 2017-12-21 | 2023-02-21 | Cilag Gmbh International | Self-guiding stapling instrument |
US11311290B2 (en) | 2017-12-21 | 2022-04-26 | Cilag Gmbh International | Surgical instrument comprising an end effector dampener |
US11849939B2 (en) | 2017-12-21 | 2023-12-26 | Cilag Gmbh International | Continuous use self-propelled stapling instrument |
US11129680B2 (en) | 2017-12-21 | 2021-09-28 | Cilag Gmbh International | Surgical instrument comprising a projector |
US10743868B2 (en) | 2017-12-21 | 2020-08-18 | Ethicon Llc | Surgical instrument comprising a pivotable distal head |
US11364027B2 (en) | 2017-12-21 | 2022-06-21 | Cilag Gmbh International | Surgical instrument comprising speed control |
US11883019B2 (en) | 2017-12-21 | 2024-01-30 | Cilag Gmbh International | Stapling instrument comprising a staple feeding system |
US11337691B2 (en) | 2017-12-21 | 2022-05-24 | Cilag Gmbh International | Surgical instrument configured to determine firing path |
US11369368B2 (en) | 2017-12-21 | 2022-06-28 | Cilag Gmbh International | Surgical instrument comprising synchronized drive systems |
US10682134B2 (en) | 2017-12-21 | 2020-06-16 | Ethicon Llc | Continuous use self-propelled stapling instrument |
US11179152B2 (en) | 2017-12-21 | 2021-11-23 | Cilag Gmbh International | Surgical instrument comprising a tissue grasping system |
US11751867B2 (en) | 2017-12-21 | 2023-09-12 | Cilag Gmbh International | Surgical instrument comprising sequenced systems |
US11179151B2 (en) | 2017-12-21 | 2021-11-23 | Cilag Gmbh International | Surgical instrument comprising a display |
US11576668B2 (en) | 2017-12-21 | 2023-02-14 | Cilag Gmbh International | Staple instrument comprising a firing path display |
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 |
US11039834B2 (en) | 2018-08-20 | 2021-06-22 | Cilag Gmbh International | Surgical stapler anvils with staple directing protrusions and tissue stability features |
US11045192B2 (en) | 2018-08-20 | 2021-06-29 | Cilag Gmbh International | Fabricating techniques for surgical stapler anvils |
US11957339B2 (en) | 2018-08-20 | 2024-04-16 | Cilag Gmbh International | Method for fabricating surgical stapler anvils |
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 |
US10779821B2 (en) | 2018-08-20 | 2020-09-22 | Ethicon Llc | Surgical stapler anvils with tissue stop features configured to avoid tissue pinch |
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 |
US11253256B2 (en) | 2018-08-20 | 2022-02-22 | Cilag Gmbh International | Articulatable motor powered surgical instruments with dedicated articulation motor arrangements |
US10912559B2 (en) | 2018-08-20 | 2021-02-09 | Ethicon Llc | Reinforced deformable anvil tip for surgical stapler anvil |
US11207065B2 (en) | 2018-08-20 | 2021-12-28 | Cilag Gmbh International | Method for fabricating surgical stapler anvils |
US10856870B2 (en) | 2018-08-20 | 2020-12-08 | Ethicon Llc | Switching arrangements for motor powered articulatable surgical instruments |
US11291440B2 (en) | 2018-08-20 | 2022-04-05 | Cilag Gmbh International | Method for operating a powered articulatable surgical instrument |
USD914878S1 (en) | 2018-08-20 | 2021-03-30 | Ethicon Llc | Surgical instrument anvil |
US11324501B2 (en) | 2018-08-20 | 2022-05-10 | Cilag Gmbh International | Surgical stapling devices with improved closure members |
US11696761B2 (en) | 2019-03-25 | 2023-07-11 | Cilag Gmbh International | Firing drive arrangements for surgical systems |
US11147553B2 (en) | 2019-03-25 | 2021-10-19 | Cilag Gmbh International | Firing drive arrangements for surgical systems |
US11172929B2 (en) | 2019-03-25 | 2021-11-16 | Cilag Gmbh International | Articulation drive arrangements for surgical systems |
US11147551B2 (en) | 2019-03-25 | 2021-10-19 | Cilag Gmbh International | Firing drive arrangements for surgical systems |
US11648009B2 (en) | 2019-04-30 | 2023-05-16 | Cilag Gmbh International | Rotatable jaw tip for a surgical instrument |
US11452528B2 (en) | 2019-04-30 | 2022-09-27 | Cilag Gmbh International | Articulation actuators for a surgical instrument |
US11253254B2 (en) | 2019-04-30 | 2022-02-22 | Cilag Gmbh International | Shaft rotation actuator on a surgical instrument |
US11426251B2 (en) | 2019-04-30 | 2022-08-30 | Cilag Gmbh International | Articulation directional lights on a surgical instrument |
US11903581B2 (en) | 2019-04-30 | 2024-02-20 | Cilag Gmbh International | Methods for stapling tissue using 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 |
US11553971B2 (en) | 2019-06-28 | 2023-01-17 | Cilag Gmbh International | Surgical RFID assemblies for display and communication |
US11241235B2 (en) | 2019-06-28 | 2022-02-08 | Cilag Gmbh International | Method of using multiple RFID chips with a surgical assembly |
US11051807B2 (en) | 2019-06-28 | 2021-07-06 | Cilag Gmbh International | Packaging assembly including a particulate trap |
US11350938B2 (en) | 2019-06-28 | 2022-06-07 | Cilag Gmbh International | Surgical instrument comprising an aligned rfid sensor |
US11553919B2 (en) | 2019-06-28 | 2023-01-17 | Cilag Gmbh International | Method for authenticating the compatibility of a staple cartridge with a surgical instrument |
US11627959B2 (en) | 2019-06-28 | 2023-04-18 | Cilag Gmbh International | Surgical instruments including manual and powered system lockouts |
US11376098B2 (en) | 2019-06-28 | 2022-07-05 | Cilag Gmbh International | Surgical instrument system comprising an RFID system |
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 |
US11684369B2 (en) | 2019-06-28 | 2023-06-27 | Cilag Gmbh International | Method of using multiple RFID chips with a surgical assembly |
US11684434B2 (en) | 2019-06-28 | 2023-06-27 | Cilag Gmbh International | Surgical RFID assemblies for instrument operational setting control |
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 |
US11497492B2 (en) | 2019-06-28 | 2022-11-15 | Cilag Gmbh International | Surgical instrument including an articulation lock |
US11298127B2 (en) | 2019-06-28 | 2022-04-12 | Cilag GmbH Interational | Surgical stapling system having a lockout mechanism for an incompatible cartridge |
US11219455B2 (en) | 2019-06-28 | 2022-01-11 | Cilag Gmbh International | Surgical instrument including a lockout key |
US11478241B2 (en) | 2019-06-28 | 2022-10-25 | Cilag Gmbh International | Staple cartridge including projections |
US11291451B2 (en) | 2019-06-28 | 2022-04-05 | Cilag Gmbh International | Surgical instrument with battery compatibility verification functionality |
US11224497B2 (en) | 2019-06-28 | 2022-01-18 | Cilag Gmbh International | Surgical systems with multiple RFID tags |
US12004740B2 (en) | 2019-06-28 | 2024-06-11 | Cilag Gmbh International | Surgical stapling system having an information decryption protocol |
US11399837B2 (en) | 2019-06-28 | 2022-08-02 | Cilag Gmbh International | Mechanisms for motor control adjustments of a motorized surgical instrument |
US11259803B2 (en) | 2019-06-28 | 2022-03-01 | Cilag Gmbh International | Surgical stapling system having an information encryption protocol |
US11744593B2 (en) | 2019-06-28 | 2023-09-05 | Cilag Gmbh International | Method for authenticating the compatibility of a staple cartridge with a surgical instrument |
US11426167B2 (en) | 2019-06-28 | 2022-08-30 | Cilag Gmbh International | Mechanisms for proper anvil attachment surgical stapling head assembly |
US11464601B2 (en) | 2019-06-28 | 2022-10-11 | Cilag Gmbh International | Surgical instrument comprising an RFID system for tracking a movable component |
US11246678B2 (en) | 2019-06-28 | 2022-02-15 | Cilag Gmbh International | Surgical stapling system having a frangible RFID tag |
US11771419B2 (en) | 2019-06-28 | 2023-10-03 | Cilag Gmbh International | Packaging for a replaceable component of a surgical stapling system |
US11229437B2 (en) | 2019-06-28 | 2022-01-25 | Cilag Gmbh International | Method for authenticating the compatibility of a staple cartridge with a surgical instrument |
US11931033B2 (en) | 2019-12-19 | 2024-03-19 | Cilag Gmbh International | Staple cartridge comprising a latch lockout |
US11607219B2 (en) | 2019-12-19 | 2023-03-21 | Cilag Gmbh International | Staple cartridge comprising a detachable tissue cutting knife |
US11234698B2 (en) | 2019-12-19 | 2022-02-01 | Cilag Gmbh International | Stapling system comprising a clamp lockout and a firing lockout |
US11446029B2 (en) | 2019-12-19 | 2022-09-20 | Cilag Gmbh International | Staple cartridge comprising projections extending from a curved deck surface |
US11701111B2 (en) | 2019-12-19 | 2023-07-18 | Cilag Gmbh International | Method for operating a surgical stapling instrument |
US11464512B2 (en) | 2019-12-19 | 2022-10-11 | Cilag Gmbh International | Staple cartridge comprising a curved deck surface |
US11559304B2 (en) | 2019-12-19 | 2023-01-24 | Cilag Gmbh International | Surgical instrument comprising a rapid closure mechanism |
US11504122B2 (en) | 2019-12-19 | 2022-11-22 | Cilag Gmbh International | Surgical instrument comprising a nested firing member |
US11529137B2 (en) | 2019-12-19 | 2022-12-20 | Cilag Gmbh International | Staple cartridge comprising driver retention members |
US11529139B2 (en) | 2019-12-19 | 2022-12-20 | Cilag Gmbh International | Motor driven surgical instrument |
US11911032B2 (en) | 2019-12-19 | 2024-02-27 | Cilag Gmbh International | Staple cartridge comprising a seating cam |
US11304696B2 (en) | 2019-12-19 | 2022-04-19 | Cilag Gmbh International | Surgical instrument comprising a powered articulation system |
US11844520B2 (en) | 2019-12-19 | 2023-12-19 | Cilag Gmbh International | Staple cartridge comprising driver retention members |
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 |
US11291447B2 (en) | 2019-12-19 | 2022-04-05 | Cilag Gmbh International | Stapling instrument comprising independent jaw closing and staple firing systems |
US12035913B2 (en) | 2019-12-19 | 2024-07-16 | Cilag Gmbh International | Staple cartridge comprising a deployable knife |
USD966512S1 (en) | 2020-06-02 | 2022-10-11 | Cilag Gmbh International | Staple cartridge |
USD975278S1 (en) | 2020-06-02 | 2023-01-10 | Cilag Gmbh International | Staple cartridge |
USD974560S1 (en) | 2020-06-02 | 2023-01-03 | Cilag Gmbh International | Staple cartridge |
USD967421S1 (en) | 2020-06-02 | 2022-10-18 | Cilag Gmbh International | Staple cartridge |
USD975850S1 (en) | 2020-06-02 | 2023-01-17 | Cilag Gmbh International | Staple cartridge |
USD975851S1 (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 |
US11737748B2 (en) | 2020-07-28 | 2023-08-29 | Cilag Gmbh International | Surgical instruments with double spherical articulation joints with pivotable links |
US11826013B2 (en) | 2020-07-28 | 2023-11-28 | Cilag Gmbh International | Surgical instruments with firing member closure features |
US11871925B2 (en) | 2020-07-28 | 2024-01-16 | Cilag Gmbh International | Surgical instruments with dual spherical articulation joint arrangements |
US11864756B2 (en) | 2020-07-28 | 2024-01-09 | Cilag Gmbh International | Surgical instruments with flexible ball chain drive arrangements |
US12064107B2 (en) | 2020-07-28 | 2024-08-20 | Cilag Gmbh International | Articulatable surgical instruments with articulation joints comprising flexible exoskeleton arrangements |
US11883024B2 (en) | 2020-07-28 | 2024-01-30 | Cilag Gmbh International | Method of operating a surgical instrument |
US11857182B2 (en) | 2020-07-28 | 2024-01-02 | Cilag Gmbh International | Surgical instruments with combination function articulation joint arrangements |
US11660090B2 (en) | 2020-07-28 | 2023-05-30 | Cllag GmbH International | Surgical instruments with segmented flexible drive arrangements |
US11638582B2 (en) | 2020-07-28 | 2023-05-02 | Cilag Gmbh International | Surgical instruments with torsion spine drive arrangements |
US11974741B2 (en) | 2020-07-28 | 2024-05-07 | Cilag Gmbh International | Surgical instruments with differential articulation joint arrangements for accommodating flexible actuators |
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 |
US12029421B2 (en) | 2020-10-29 | 2024-07-09 | Cilag Gmbh International | Surgical instrument comprising a staged voltage regulation start-up system |
US12053175B2 (en) | 2020-10-29 | 2024-08-06 | Cilag Gmbh International | Surgical instrument comprising a stowed closure actuator stop |
US11844518B2 (en) | 2020-10-29 | 2023-12-19 | Cilag Gmbh International | Method for operating a surgical instrument |
US11931025B2 (en) | 2020-10-29 | 2024-03-19 | Cilag Gmbh International | Surgical instrument comprising a releasable closure drive lock |
US11617577B2 (en) | 2020-10-29 | 2023-04-04 | Cilag Gmbh International | Surgical instrument comprising a sensor configured to sense whether an articulation drive of the surgical instrument is actuatable |
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 |
USD980425S1 (en) | 2020-10-29 | 2023-03-07 | Cilag Gmbh International | Surgical instrument assembly |
US11717289B2 (en) | 2020-10-29 | 2023-08-08 | Cilag Gmbh International | Surgical instrument comprising an indicator which indicates that an articulation drive is actuatable |
US11779330B2 (en) | 2020-10-29 | 2023-10-10 | Cilag Gmbh International | Surgical instrument comprising a jaw alignment system |
US11896217B2 (en) | 2020-10-29 | 2024-02-13 | Cilag Gmbh International | Surgical instrument comprising an articulation lock |
US11744581B2 (en) | 2020-12-02 | 2023-09-05 | Cilag Gmbh International | Powered surgical instruments with multi-phase tissue treatment |
US11678882B2 (en) | 2020-12-02 | 2023-06-20 | Cilag Gmbh International | Surgical instruments with interactive features to remedy incidental sled movements |
US11890010B2 (en) | 2020-12-02 | 2024-02-06 | Cllag GmbH International | Dual-sided reinforced reload for surgical instruments |
US12016559B2 (en) | 2020-12-02 | 2024-06-25 | Cllag GmbH International | Powered surgical instruments with communication interfaces through sterile barrier |
US11944296B2 (en) | 2020-12-02 | 2024-04-02 | Cilag Gmbh International | Powered surgical instruments with external connectors |
US11849943B2 (en) | 2020-12-02 | 2023-12-26 | Cilag Gmbh International | Surgical instrument with cartridge release mechanisms |
US11627960B2 (en) | 2020-12-02 | 2023-04-18 | Cilag Gmbh International | Powered surgical instruments with smart reload with separately attachable exteriorly mounted wiring connections |
US11737751B2 (en) | 2020-12-02 | 2023-08-29 | Cilag Gmbh International | Devices and methods of managing energy dissipated within sterile barriers of surgical instrument housings |
US11653915B2 (en) | 2020-12-02 | 2023-05-23 | Cilag Gmbh International | Surgical instruments with sled location detection and adjustment features |
US11653920B2 (en) | 2020-12-02 | 2023-05-23 | Cilag Gmbh International | Powered surgical instruments with communication interfaces through sterile barrier |
US12035910B2 (en) | 2021-02-26 | 2024-07-16 | Cllag GmbH International | Monitoring of internal systems to detect and track cartridge motion status |
US11744583B2 (en) | 2021-02-26 | 2023-09-05 | Cilag Gmbh International | Distal communication array to tune frequency of RF systems |
US11696757B2 (en) | 2021-02-26 | 2023-07-11 | Cilag Gmbh International | Monitoring of internal systems to detect and track cartridge motion status |
US11980362B2 (en) | 2021-02-26 | 2024-05-14 | Cilag Gmbh International | Surgical instrument system comprising a power transfer coil |
US11701113B2 (en) | 2021-02-26 | 2023-07-18 | Cilag Gmbh International | Stapling instrument comprising a separate power antenna and a data transfer antenna |
US11950779B2 (en) | 2021-02-26 | 2024-04-09 | Cilag Gmbh International | Method of powering and communicating with a staple cartridge |
US12035911B2 (en) | 2021-02-26 | 2024-07-16 | Cilag Gmbh International | Stapling instrument comprising a separate power antenna and a data transfer antenna |
US12035912B2 (en) | 2021-02-26 | 2024-07-16 | Cilag Gmbh International | Adjustable communication based on available bandwidth and power capacity |
US11812964B2 (en) | 2021-02-26 | 2023-11-14 | Cilag Gmbh International | Staple cartridge comprising a power management circuit |
US11793514B2 (en) | 2021-02-26 | 2023-10-24 | Cilag Gmbh International | Staple cartridge comprising sensor array which may be embedded in cartridge body |
US11723657B2 (en) | 2021-02-26 | 2023-08-15 | Cilag Gmbh International | Adjustable communication based on available bandwidth and power capacity |
US11730473B2 (en) | 2021-02-26 | 2023-08-22 | Cilag Gmbh International | Monitoring of manufacturing life-cycle |
US11950777B2 (en) | 2021-02-26 | 2024-04-09 | Cilag Gmbh International | Staple cartridge comprising an information access control system |
US11925349B2 (en) | 2021-02-26 | 2024-03-12 | Cilag Gmbh International | Adjustment to transfer parameters to improve available power |
US11751869B2 (en) | 2021-02-26 | 2023-09-12 | Cilag Gmbh International | Monitoring of multiple sensors over time to detect moving characteristics of tissue |
US11749877B2 (en) | 2021-02-26 | 2023-09-05 | Cilag Gmbh International | Stapling instrument comprising a signal antenna |
US12023026B2 (en) | 2021-03-22 | 2024-07-02 | Cilag Gmbh International | Staple cartridge comprising a firing lockout |
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US12076008B2 (en) | 2022-01-31 | 2024-09-03 | Cilag Gmbh International | Method for operating a powered articulatable surgical instrument |
US12076017B2 (en) | 2022-02-03 | 2024-09-03 | Cilag Gmbh International | Surgical instrument including a deployable knife |
US12076096B2 (en) | 2022-02-08 | 2024-09-03 | Cilag Gmbh International | Method for determining the position of a rotatable jaw of a surgical instrument attachment assembly |
US12076194B2 (en) | 2022-06-17 | 2024-09-03 | Cilag Gmbh International | Surgical instrument comprising an articulation indicator |
US12076018B2 (en) | 2023-07-28 | 2024-09-03 | Cilag Gmbh International | Modular stapling assembly |
Also Published As
Publication number | Publication date |
---|---|
SU419001A3 (en) | 1974-03-05 |
CA953999A (en) | 1974-09-03 |
DE2042158B2 (en) | 1975-10-02 |
SE395219B (en) | 1977-08-08 |
CA953997A (en) | 1974-09-03 |
GB1328841A (en) | 1973-09-05 |
CA938182A (en) | 1973-12-11 |
SE373496B (en) | 1975-02-10 |
DE2042158A1 (en) | 1971-03-11 |
JPS5016103B1 (en) | 1975-06-10 |
FR2059173A5 (en) | 1971-05-28 |
US3643851A (en) | 1972-02-22 |
DE2065742A1 (en) | 1976-06-24 |
JPS4842438B1 (en) | 1973-12-12 |
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