巴西专利BR112013023604B1 CLOSING ASSEMBLY FOR USE WITH A SURGICAL CLAMP CARTRIDGE

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专利摘要:
surgical fixation instruments. the present invention relates to surgical instruments and cartridges for cutting and fixing tissues and organs such as vessels. in various non-limiting forms, the surgical instrument includes a first jaw that functionally supports a substantially flexible elongated tissue closure assembly thereon. a second jaw is movably supported in relation to the first jaw and is selectively movable between the open and closed positions in response to the opening and closing movements applied to it. a closing retraction assembly is configured to selectively apply gripping movements to the substantially flexible elongated fabric closure assembly.
公开号:BR112013023604B1
申请号:R112013023604-3
申请日:2012-03-13
公开日:2020-12-15
发明作者:Charles J. Scheib；Jeevan M. Shankarsetty
申请人:Ethicon Endo-Surgery, Inc.；
IPC主号:

专利说明:

BACKGROUND Technical Field
[001] The present invention relates to surgical instruments and, in various modalities, to surgical cutting and fixing instruments for cutting and fixing tissues and organs such as vessels and the like. Background
[002] Surgical staplers were used in the prior art to make a longitudinal incision in the tissue and simultaneously apply staple lines to opposite sides of the incision. Such instruments commonly include a pair of cooperating claw elements which, if the instrument is intended for endoscopic or laparoscopic applications, are capable of passing through a cannula passage. One of the claw elements receives a staple cartridge that has at least two rows of staples laterally spaced. The other claw element defines a fixed claw that has staple forming pockets aligned with rows of unformed staples supported on the cartridge. Examples of such devices are presented in US Patent No. 7,000,818, entitled "Surgical Stapling Instrument Having Separate Distinct Closing and Firing Systems", issued on February 21, 2006, the disclosure of which is hereby incorporated by reference, in its wholeness. Other surgical cutting and stapling instruments employ what is commonly referred to as a "disposable loading unit" or "DLU". Such devices support a staple cartridge and a new knife in the form of a "unit" that is configured to be functionally attached to the surgical stapling instrument. The units are designed to be discarded after the clips have been triggered. Examples of such instruments are presented in US Patent No. 5,865,361 entitled "Surgical Stapling Apparatus", issued February 2, 1999, the full disclosure of which is incorporated herein by reference.
[003] In use, a doctor is able to close the clamp elements of the stapler on the fabric to position it before unloading staples. When the doctor determines that the clamping elements are properly gripping the tissue, the doctor can then unload the surgical stapler, thereby sectioning and stapling the tissue. Simultaneous sectioning and stapling avoids complications that may arise during the sequential execution of these actions with different surgical instruments that only section or staple, respectively, the tissue.
[004] Current methods of vascular transection employ one of the endoscopic surgical instrument devices described above to apply staples to achieve hemostasis. However, the staples puncture through the vessel during its formation, which thereby increases the possibility of a leak and also prolongs the curing time. Such leaks emanating from the transection site can sometimes be difficult to locate.
[005] Consequently, there is a need for surgical cutting and stapling instruments and staple cartridge arrangements that address many of the challenges discussed above.
[006] The aforementioned discussion is only intended to illustrate some of the disadvantages present in the field of the invention at the moment, and should not be taken as a denial of the scope of the claims. SUMMARY
[007] In accordance with the general aspects of at least one form, a surgical fixation instrument is provided that includes a first jaw that functionally supports a substantially flexible elongated tissue closure assembly therein. A second jaw is movably supported in relation to the first jaw and is selectively movable between open and closed positions in response to the opening and closing movements applied to it. A closure retraction assembly is configured to selectively apply gripping movements to the substantially flexible elongated fabric closure assembly.
[008] In accordance with other general aspects of at least one form, a cartridge of fasteners is provided for cutting and occlusing a vessel. In at least one form, the fastener cartridge comprises a body portion having a platform face and a groove centrally arranged thereon to receive a cutting element from a surgical instrument therethrough. The platform face is configured to functionally support a pair of substantially flexible elongated closing elements in which one element is supported on a first side of the centrally arranged groove and the other element is arranged on a second side of the groove. A closing retraction assembly is functionally supported at least partially in the body portion and is configured to selectively apply gripping movements to each of the substantially flexible elongated closing elements.
[009] In accordance with yet other general aspects of at least one form, a closure set is provided for use with a surgical clamp cartridge that has a closure retraction set therein. In at least one form, the closure assembly comprises a first absorbable closure element that has a lower first elongated portion that is bearable on a portion of the fastener cartridge. The first absorbable closing element has a first locking end that defines a first locking opening. The first absorbable closure element additionally has a first upper elongated portion which is integrally formed with the first lower elongated portion. The first closing element additionally has a first hook-shaped end that is supported in separate relation to the first locking end. The closure assembly additionally includes a second absorbable closure element that has a second elongated lower portion that is bearable on another portion of the fastener cartridge and has a second locking end that defines a second locking opening. The second absorbable closure member has a second upper elongated portion that is integrally formed with the second lower elongated portion and has a second hook-shaped end that is supported in separate relation to the first locking end. A bridge element couples the first absorbable closure element and the second absorbable closure element in separate relation to each other. BRIEF DESCRIPTION OF THE DRAWINGS
[0010] The characteristics mentioned above and other characteristics and advantages of this invention, and the way of obtaining them, will become more apparent and the invention itself will be better understood by reference to the following description of modalities of the invention, taken in conjunction with the attached drawings, in which:
[0011] FIG. 1 is a side view of a non-limiting form of a surgical cutting and fixation instrument;
[0012] FIG. 2 is a partial exploded view of a non-limiting end actuator mode;
[0013] FIG. 3 is a perspective view of a form of a non-limiting end actuator embodiment that supports a portion of a vessel therein;
[0014] FIG. 4 is a cross-sectional view of a portion of the end actuator of FIG. 3;
[0015] FIG. 5 is a perspective view of a form of a non-limiting closure assembly;
[0016] FIG. 5A is a perspective view of the closure assembly of FIG. 5 in a locked position;
[0017] FIG. 5B is another perspective view of the closure assembly of FIGS. 4 and 5A with a locking end thereof shown in cross section to illustrate the locking tabs pointed in locking engagement with the suture slots to keep the suture in a secured position;
[0018] FIG. 6 is another perspective view of the embodiment of the end actuator of FIG. 3 in a partially closed orientation;
[0019] FIG. 7 is a cross-sectional view of a portion of the end actuator of FIG. 6;
[0020] FIG. 8 is another perspective view of the end actuator of FIGS. 3 and 6 in a fixed orientation and after the sutures have been attached around the portions of the vessel fixed thereon;
[0021] FIG. 9 is a perspective cross-sectional view of the end actuator shown in FIG. 8;
[0022] FIG. 10 is another cross-sectional view of the end actuator shown in FIG. 8;
[0023] FIG. 11 is another cross-sectional view of the end actuator shown in FIG. 10 in which the first claw has been moved to an open position;
[0024] FIG. 12 is a perspective view of a form of another non-limiting closure assembly;
[0025] FIG. 13 is a perspective view of a form of a non-limiting end actuator modality that functionally supports an injury closure assembly modality and a portion of a vessel therein;
[0026] FIG. 14 is a perspective view of the end actuator of FIG. 13 in a fixed orientation;
[0027] FIG. 15 is a perspective cross-sectional view of the end actuator of FIG. 14;
[0028] FIG. 16 is another cross-sectional view of the end actuator of FIGS. 14 and 15;
[0029] FIG. 17 is another cross-sectional view of the end actuator of FIGS. 14 to 16 after the wound closure devices have been retracted and the firing bar has cut through the vessel;
[0030] FIG. 18 is another cross-sectional view of the end actuator shown in FIG. 17 in which the first claw was moved to an open position; and
[0031] FIG. 19 is a perspective view of a form of another non-limiting end actuator modality. DETAILED DESCRIPTION
[0032] The applicant for this application also owns the patent application entitled "Surgical Staple Cartridge With Tissue Tethers For Manipulating Divided Tissues and Methods of Using Same", attorney's dossier No. END6867USNP / 100553, which was filed on the same date of this and which is incorporated herein by reference, in its entirety.
[0033] Certain exemplary modalities will now be described to provide a general understanding of the principles of structure, function, manufacture and use of the devices and methods of the present invention presented. One or more examples of these modalities are illustrated in the attached drawings. Those skilled in the art will understand that the devices and methods specifically described herein and illustrated in the accompanying drawings are exemplary non-limiting modalities, and that the scope of the various modalities of the present invention is defined only by the claims. The characteristics illustrated or described in conjunction with an exemplary modality can be combined with the characteristics of other modalities. Such modifications and variations are designed to be included within the scope of the present invention.
[0034] The reference from the beginning to the end of the specification of "various modalities", "some modalities", "a modality", or "the modality", or similar, means that an attribute, structure, or characteristics described together with the modality is included in at least one modality. Therefore, the appearance of the phrases "in various modalities", "in some modalities", "in one modality", or "in the modality", or similar, in places from beginning to end of the specification are not necessarily all referring to the same modality. In addition, the particular attributes, structures, or characteristics can be combined in any suitable way in one or more modalities. Therefore, the particular attributes, structures, or features illustrated or described in conjunction with a modality can be combined, in whole or in part, with the structures of the attributes, or features of one or more other modalities without limitation. Such modifications and variations are designed to be included within the scope of the present invention.
[0035] The terms "proximal" and "distal" are used in the present invention with reference to the manipulation that a clinician makes of the handle portion of the surgical instrument. The term "proximal" refers to the portion closest to the clinician, and the term "distal" refers to the portion located farthest from the clinician. It will also be understood that, for the sake of convenience and clarity, spatial terms such as "vertical", "horizontal", "up" and "down" can be used in the present invention with respect to the drawings. However, surgical instruments can be used in many orientations and positions, and these terms are not intended to be limiting and / or absolute.
[0036] Various devices and exemplifying methods are provided for performing laparoscopic and minimally invasive surgical procedures. However, those of ordinary skill in the art will readily understand that the various methods and devices disclosed in the present invention can be used in numerous surgical procedures and applications including, for example, in connection with "open" surgical procedures. As this Detailed Description advances, those of ordinary skill in the art will additionally appreciate that the various instruments presented here can be inserted into a body in any way, such as through a natural orifice, through an incision or perforation formed in fabric, etc. . The functional portions or portions of the instrument's end actuator can be inserted directly into a patient's body or can be inserted through an access device that has a working channel through which the end actuator and the elongated stem of a surgical instrument can be advanced.
[0037] Turning now to the drawings in which the reference numbers denote similar components across all the different views, FIG. 1 discloses an embodiment of a surgical instrument 10 that is capable of putting into practice the exclusive benefits of at least one form of the present invention. As shown in FIG. 1, in a non-limiting manner, the surgical instrument 10 generally includes a portion of cable 30 that is connected to an implement portion 12, the latter additionally comprising a stem assembly 14 that ends distally in an end actuator 100. The stem assembly 14 includes a movable closing tube assembly 40 that is axially movable in a back 50 that extends from the cable portion 30 to be coupled to the end actuator 100. As shown in FIG. 1, the stem assembly 14 does not include a pivot joint to facilitate articulation of the end actuator with respect to a longitudinal geometric axis AA defined by the stem assembly 14. In other non-limiting embodiments, the stem assembly 14 may include at least at least one articulation joint to facilitate the articulation of the end actuator in relation to the longitudinal geometric axis. In this and other non-limiting embodiments, the stem assembly 14 can functionally interface with the cable portion 30 so that the end actuator 100 can be selectively rotated about the longitudinal geometric axis A-A. As this Detailed Description proceeds, it will become apparent that the unique and innovative features of various non-limiting modalities of the present invention can be effectively employed with a variety of different surgical instruments employing different handle and shaft arrangements. For example, the various portions of the instrument 10 may be identical to the portions of the surgical instruments disclosed in US Patent No. 7,000,818, entitled "Surgical Stapling Instrument Having Separate Distinct Closing and Firing Systems", the disclosure of which is hereby incorporated by reference , in its entirety. Accordingly, the construction and operation of the components of the instrument 10 that are not necessary to understand that the various modalities and forms of the present invention will not be specifically discussed in the present invention.
[0038] In at least one non-limiting embodiment, the end actuator 100, in general, comprises a pair of "claws" 110, 120 which are configured to cut and fix the ends of the separate fabric, for example, a vase. However, while the various non-limiting embodiments disclosed in the present invention are particularly well suited for vessel cutting and occlusion, the various embodiments of the present invention could conceivably be effectively employed to cut and fix other forms of tissue. As will be discussed in further detail below, jaw 120 supports a tissue clamping cartridge 130 that functionally supports a tissue closure assembly 149. See FIG. 2. The instrument 10 includes a firing bar 16 which generally has a blade element or cutting edge of sharp tissue 17 in a distal portion thereof. As the firing bar 16 is driven distally through the stem assembly 14 and distally through the vessel fixing cartridge, the tissue cutting edge separates the tissue trapped between the claws 110, 120.
[0039] In the non-limiting mode shown in FIG. 1, the cable portion 30 is molded with a pistol grip 34. A closing trigger 36 is pivotally mounted on the cable portion 30 and interfaces functionally with the closing tube assembly 40 to effect axial movement of the same in the back element 50. As the closing trigger 36 is extracted articulated by the doctor towards the pistol grip portion 34, the closing tube assembly 40 is activated in the distal direction to interact with the claw 120 to cause it to be gripped or closed towards the tissue clamping cartridge 130. The cable portion 30 additionally supports a trigger trigger 38 that is outside of the closing trigger 36. The trigger trigger 38 interfaces functionally with the firing bar 16. Firing bar 16 is operated distally when the closing trigger 36 is pivoted by the doctor towards the pistol grip 34. According to firing bar 16 it is driven distally through the tissue clamping cartridge 130, the trapped tissue is separated.
[0040] As can be seen in FIGS. 4, 7, 10 and 11, in various non-limiting embodiments, the tissue attachment cartridge 130 is supported on a distal end portion 52 of the back 50 or can be supported in an elongated channel that is coupled to the back 50. The cartridge fabric holder 130 comprises a cartridge body 132 that can be molded from, for example, a polymeric material and provided with a centrally arranged groove 134 that is configured to functionally receive the distal end 17 of the bar trigger 16 therein as trigger bar 16 is triggered through it. The cartridge body 132 can be affixed to the distal end 52 of the back 50 by a U-shaped cartridge tray 136 that extends around the distal end 52 of the back 50 and interfaces retainingly with the cartridge body 132. For example, the cartridge body 132 can interface in a snap-fit manner with the snap-in notches 138 in the cartridge tray 136.
[0041] In various non-limiting embodiments, the tissue fixing cartridge 130 is configured to functionally support an elongated and flexible tissue closure assembly, generally referred to as149. As can be seen in FIG. 5, in at least one form, the tissue closure assembly 149 includes a pair of interlocking suture strips 150 and 170. The elongated, flexible tissue closure assembly 149 includes a first suture strip 150 that has a first portion of elongated body 152 which is substantially U-shaped. The first suture strip 150 can be manufactured from a bioabsorbable material and include a first elongated lower portion 153 that terminates at a first lock end 157. The first suture strip 150 it additionally has a first upper portion 160 which terminates at a first hook end 162. Each of the first upper and lower portions 153, 160 has a plurality of slots 154 therein which facilitate the flexing and gripping of the suture strip 150 as will be discussed further details below. The first locking end 157 defines a first locking cavity 158 which is configured to receive the first hook end 162 therewith.
[0042] The fabric closure assembly 149 additionally includes a second suture strip 170 that has a second elongated body portion 172 that is substantially U-shaped. The second suture strip 170 may also be manufactured from a material bioabsorbable and include a second elongated lower portion 173 that terminates at a second lock end 175. The second suture strip 170 additionally has a second upper portion 180 that terminates at a second hook end 182. Each of the second upper and lower portions 173, 180 has a plurality of slots 174 therein which facilitate the flexing and gripping of the second suture strip 170 as will be discussed in further detail below. The second lock end 175 defines a second locking cavity 177 which is configured to receive the second hook end 182 therewith. The second suture strip 170 can be connected to the first suture strip 150 with a bridge element 190 that connects the lock ends 157, 175 together.
[0043] FIGS. 5A and 5B further illustrate the fabric closure assembly 149 with each of the suture strips 150, 170 in a tight orientation. As indicated above, the first suture strip 150 has a plurality of slits 154 therein and the second suture strip 170 has a plurality of slits 174 formed therein. When working on thin-walled vessels such as pulmonary veins that are very delicate, any projections on strips 150, 170 may inadvertently pierce the vessel or otherwise cause trauma. As can be seen more particularly in FIG. 5B, for example, slits 174 (and similarly slits 154) are provided at an angle so that when sutures 150, 170 are tightened, they form a relatively smooth inner surface to compress the vessel. As can also be seen in FIG. 5B, the locking end 175 can be formed with at least one and preferably a pair of displaced locking tabs 178, 179 which are configured to engage slots 174 on opposite sides of suture 170 during the tightening process to lock the suture 170 in position. It will be understood that the first lock end 150 is formed with similar pointed locking tabs (not shown).
[0044] Cartridge body 132 has a platform face 140 which is in confronting relationship with the underside of the claw 110. The platform face 140 has a first closing receiving groove 142 to support the first lower suture portion 153 and a second closing receiving groove 144 to support the second lower suture portion 173. See FIG. 2. In addition, a first locking receptacle 146 is provided in the cartridge body 132 to receive the first locking end 157 therein and a second locking receptacle 148 is provided to receive the second locking end 175 therein as shown.
[0045] In various non-limiting modes, claw 110 is selectively movable in relation to claw 120 to hold a "V" vase or other fabric between it. The claw 110 is pivotally coupled to the back 50 by a pair of pins 112 that extends through elongated pin grooves 54 formed on the back 50, which allow the claw 110 to pivot from an open position to a closed position in relation to to gripper 120 in response to the opening and closing movements received from the closing tube assembly 40. As can be seen in FIGS. 2, 3, 6 and 8 to 11, the distal end 41 of the closing tube assembly 40 includes a horseshoe opening 42 and the flap 43 for engaging an opening flap 113 in the claw 110. When the closing tube assembly 40 is distally advanced on the frame end actuator 50, the horseshoe opening 42 applies a closing movement to the flap 113 to move the claw 110 towards the claw 120. When the closing tube assembly 40 is removed in the proximal direction, the flap 43 engages flap 113 to move claw 110 in the opposite direction to claw 120 to an open position. In various embodiments, the claw 110 additionally has a pair of closing retaining slots 114 therein to support the first upper suture portion 160 and the second upper suture portion 180 therein.
[0046] As can be seen in FIG. 9, the surgical instrument 10 additionally includes a closing retraction assembly 200. In various non-limiting embodiments, the closing retraction assembly 200 includes a first retraction hook 202 and a second retraction hook 204 that extend from a central actuating element 206. The retracting hooks 202, 204 can be manufactured from a suitable metal or other material and the central actuating element 206 can be manufactured from similar material. The central actuating element 206 extends through a longitudinal passage (not shown) on the back 50 and interfaces with a retract actuator 210 that is functionally supported on the cable portion 30. The retract actuator 210 can, for example, understanding an articulation element that is fixed to or otherwise communicates in a functional way with the central actuation element 206 so that through the articulation of the retract actuator 210 in the "A" direction (FIG. 1), the closing retraction assembly 200 will be pulled in the proximal direction "PD" (FIG. 9). As can be seen more particularly in FIG. 5, the first hook end 162 of the first suture strip 150 has a hook receiving hole 164 therewith which is adapted to be hooked into the first retraction hook 202 of the closing retraction assembly 200. similarly, the second hook end 182 of the second suture strip 170 has a hook receiving orifice 184 thereby being adapted to be hooked into the second retraction hook 204 of the closing retract assembly 200.
[0047] The operation of the surgical instrument 10 will now be described with reference to FIGS. 1, 3, 4 and 6 to 11. In use, end actuator 100 is introduced into the patient adjacent to vessel "V" to be cut and secured. The end actuator 100 can, for example, be introduced into the patient through a trocar cannula that has been installed in the patient. The end actuator can also be inserted through an open incision in the patient as well. Once the end actuator has been placed on the patient adjacent to the "V" vessel, the claw 110 is pivoted to the open position using the closing trigger 36 (FIG. 1). The physician then manipulates the open-ended actuator so that the "V" vessel is positioned between the claws 110, 120 so that the "V" vessel is located between the upper suture portions 160, 180 and their corresponding lower suture portions 153, 173 supported on the cartridge platform face 140. See FIGS. 3 and 4.
[0048] Since the vessel "V" is received between the lower and upper suture portions 160, 180 as shown in FIGS. 3 and 4, the physician can begin to articulate the closing trigger 36 towards the pistol grip portion 34 of the cable portion 30 (FIG. 1) to advance the closing tube assembly 40 in the distal direction "DD". As the distal end 41 of the closing tube assembly 40 moves distally, this initially comes into contact with the flap 113 on the claw 110. Continuous movement of the closing tube assembly 40 in the distal direction "DD" moves the claw 110 dis - especially in relation to the claw 120 until the pins 112 reach the top end of the pin grooves 54. In addition, the distal movement of the closing tube assembly 40 causes the distal ex-tremor 41 of the closing tube assembly 40 slide distally over the flap 113 in the claw 110 so that the flap 113 is received inside the horseshoe opening 42 in the closing tube assembly 40. See FIG. 6. Such movement of the closing tube assembly 40 forces the claw 110 to articulate towards the claw 120. Such an axial and pivoting path of the claw 110 causes the suture hook ends 162, 182 to move flush with the locking cavities 158, 177, respectively. After that, the physician pivots the retraction actuator 210 in the "A" direction (FIG. 1) to pull the closing retraction assembly 200 in the proximal "PD" direction (FIG. 9). Such movement of the closing retraction assembly 200 causes the first retraction hook 202 to hook the hook receiving hole 164 of the first suture 150 and the second retraction hook 204 to hook hook the hook receiving hole 184 of the first suture. second suture 170. The additional pivoting path of the retract actuator 210 pulls the suture hook ends 162, 182 to tighten sutures 150, 170 around vessel "V" on opposite sides of knife groove 134 in the body of cartridge 132. The locking tabs pointed at each of the lock ends 157, 175 lock the sutures 150, 170 in position as discussed above.
[0049] After the doctor has tightened the sutures 150, 170 around the "V" vessel on each side of the knife slot 134, the doctor then pivots the closing trigger 36 to the completely closed position where it is locked releasably with the use of known locking structures. Such movement of the closing trigger 36 to the completely closed position causes the claw 110 to hold the vessel "V" between the claws 110, 120. Thereafter, the physician advances the firing bar 16 distally by activating the firing trigger 38 or other actuator arrangement to thereby drive the tissue cutting edge at the distal end 17 of the firing bar 16 through knife groove 134 in cartridge body 132 finally through vessel "V". As the distal end 17 of the firing bar 16 is advanced distally through the end actuator, the distal end can interact with the first gripper 110 to hold this in the secured position as it cuts through the vessel. This action cuts the vessel between the two tight sutures 150, 170. The distal end of the firing bar 16 then needs to be removed from the end actuator to allow the physician to move the jaw 110 to the open position and thus release the vessel cut "V" out of it.
[0050] After vessel "V" has been cut to create a first obstructed vessel end "V1" and a second obstructed vessel end (not shown), firing bar 16 is retracted. In various modalities, for example, the trigger trigger 28 returns with elasticity when the doctor removes the pressure. Such action causes the retraction of the firing bar 16 in the proximal direction. Other firing bar retraction arrangements are known and can be employed. In the embodiment shown in FIG. 1, a release button 31 interacts with the closing trigger so that when the release button is lowered, the closing trigger 36 is released. The closing trigger 36 can be spring oriented to return this to the starting position when it was unlocked. The movement of the closing trigger 36 to the start position causes the closure tube assembly 40 to retract in the proximal direction "PD". Such movement of the closing tube assembly 40 causes the flap 43 to contact the flap 113 on the claw 110 to move this to the open or starting position. Refer to FIG. 11.
[0051] Once the jaw 110 has been returned to the open position, the bridge 190 that extends between the first and second sutures 150, 170 holds the first and second vessel ends obstructed together to allow them to be inspected . Once the physician has inspected the blocked vessel ends, the first and second sutures 150, 170 are cut to separate them from their closing retraction hooks 202, 204, respectively. If desired, the physician may also cut the bridge 190 to separate the blocked ends of the vessel. Thereafter, end actuator 100 can be removed from the patient. If the physician wants to reuse device 10, the physician must first remove the hook ends 156 and 176 from the previously used closure assembly 149 from their respective retraction hooks 202, 204 and return the retraction hooks 202, 204 to their respective positions starting at cartridge body 132 (FIG. 4). A closing assembly 149 is then installed in the cartridge body 132 (FIG. 3). After that, instrument 10 can be reused again.
[0052] FIGS. 12 to 18 illustrate the use of device 10 in conjunction with another form of an elongated and flexible fabric closure assembly 149 '. As can be seen more particularly in FIG. 12, the closure assembly 149 'comprises a first absorbable closure element 310 that has a body portion 312 that has a plurality of unidirectional bars 314 formed therein. The closure assembly 149 'additionally includes a second absorbable closure element 330 that has a body portion 332 that has a plurality of unidirectional bars 334 formed therein. The first and second closure elements 310, 330 can be manufactured from those wound closure devices manufactured by Covidien of Mansfield, Massachusetts, USA under the trademark V-Loc ™. As can be seen further in FIG. 12, the body portion 312 of the first closing element 310 has a first elongated lower portion 316 ending at a first locking end 318 wherein the end 315 is looped around and welded to form a first locking loop 320. The first closing element 310 additionally has a first elongated upper portion 322 which is integrally formed with the first elongated lower portion 316 and has a first hook-shaped end 324. The first hook-shaped end 324 ends in a first welded distal loop 326 extending through the first locking loop 320. Similarly, the body portion 332 of the second locking element 330 has a second elongated lower portion 336 that terminates at a second lock end 338 where the end 335 is looped around and welded to form a second locking loop 340. The second locking element 330 additionally has a second upper portion elongated top 342 which is integrally formed with the second elongated bottom portion 336 and has a second hook-shaped end 344. The second hook-shaped end 344 ends at a second welded distal loop 346 extending through the second lock loop - ment 340. In various modalities, the locking loops 320, 340 are fixed to an absorbable bridge 350.
[0053] The elongated and flexible fabric closure assembly 149 'can be installed in the cartridge body 132 in the manner described above in relation to the closure assembly 149. In this embodiment, however, the claw 110' which is otherwise substantially identical the jaw 110 described above has TWO side fins that project downward 115 to provide additional support for the first and second closing elements 310, 330. See FIGS. 13 and 14.
[0054] The operation of the instrument 10 with the elongated and flexible fabric closure assembly 149 'can be understood with reference to FIGS. 13 to 18. FIG. 13 reveals the end actuator 100 after being introduced into the patient and the "V" vessel has been captured between the claws 110 'and 120. The doctor then initiates the closing trigger hinge 36 towards the handle portion of gun 34 of cable 30 (FIG. 1) to advance the closing tube assembly 40 in the distal direction "DD". As the distal end 41 of the closing tube assembly 40 moves distally, this initially comes into contact with the flap 113 on the claw 110 '. The continuous movement of the closing tube assembly 40 in the distal direction "DD" moves the jaw 110 distally from the jaw 120 until the pins 112 reach the top end of the pin grooves 54. Additionally, the distal movement of the closing tube 40 causes the distal end 41 of the closing tube assembly 40 to slide distally over the flap 113 on the claw 110 so that the flap 113 is received within the horseshoe opening 42 in the closing tube assembly 40. See FIG. 14. Such movement of the closing tube assembly 40 forces the claw 110 to pivot towards the claw 120. Such an axial and pivoting path of the claw 110 'causes the hooked portions 320, 340 and more particularly the distal loops 322 , 342 move in level with the respective locking loops 318, 328. After that, the doctor articulates the retraction actuator 210 in the "A" direction (FIG. 1) to pull the closing retraction assembly 200 in the direction proximal "PD" (FIG. 15). Such movement of the closing retract assembly 200 causes the first retract hook 202 to hook the distal loop 322 of the first closing element 310 and the second retraction hook 204 to hook the second distal loop 342 of the second closing element 330. The additional pivoting path of the retract actuator 210 pulls the hook ends 202, 204 to tighten the closing elements 310, 330 around the "V" vessel on opposite sides of the knife groove 134 in the cartridge body 132.
[0055] After the doctor has tightened the wound closure elements 310, 330 around the "V" vessel on each side of the knife groove 134, the doctor then pivots the closing trigger 36 to the fully closed position in which is released reliably with the use of known locking structures. Such movement of the closing trigger 36 to the completely closed position causes the claw 110 to hold the vessel "V" between the claws 110, 120. See FIG. 16. Thereafter, the physician advances the firing bar 16 distally by activating the firing trigger 38 or other actuator arrangement to thereby actuate the cutting edge of tissue at the distal end of the firing bar 16 through knife groove 134 in cartridge body 132 finally through vessel "V".
[0056] After vessel "V" has been cut to create a first obstructed vessel end "V1" and a second obstructed vessel end (not shown), firing bar 16 is retracted. The physician can then move the claw 110 'to the open position shown in FIG. 18. The bridge 150 extending between the first and second closing elements 310, 330 keeps the first and second vessel ends clogged together for inspection. Once the doctor has inspected the blocked ends, the first and second closing elements 310, 330 are cut to separate them from their respective retraction hooks 202, 204, respectively. If desired, the physician may also cut the bridge 350 to separate the blocked ends of the vessel. Thereafter, end actuator 100 can be removed from the patient. If the physician wants to reuse device 10, the physician must first remove the looped ends 322, and the previously used closure assembly 342 from their respective retraction hooks 202, 204 and return the retraction hooks 202, 204 to their respective retraction positions. start at cartridge body 132 (FIG. 15). A new closure assembly 149 'is then installed in the cartridge body 132. Thereafter, the instrument 10 can be reused again.
[0057] FIG. 19 illustrates another 100 "end actuator modality that can be used in conjunction with instrument 10. This non-limiting modality employs a clamp cartridge 400 that is also configured to position a single line of surgical clamps on each side of the cut line A variety of surgical clamp cartridge arrangements are known. For example, US Patent No. 7,000,818 which has been incorporated herein by reference discloses various forms of surgical clamp cartridges. Cartridge 400 of various embodiments of the present invention. can be substantially similar to those known cartridges or other staple cartridges except for the differences noted below, for example, in addition to a first row 404 of staple openings 406 located in cartridge body 402 on the first side 403 of the elongated knife slot 408 and a second row 410 of clip openings 412 on the second side 414 of the elongated knife groove 408, the cartridge body 402 is such Also configured as described above to functionally support one of the closure assemblies 149, 149 'in the ways described above.
[0058] The jaw 110 "of the end actuator 100" is substantially similar to jaws 110, 110 'as described above, except that jaw 110 "is also configured to act as a fixed jaw to form the clamps supported within of the cartridge 400. For example, the bottom surface of the clamp 110 "is provided with two series of clamp forming pockets that are flush with the corresponding clamp openings in the cartridge body 402 when the clamp 110" is hinged and locked in position Such clamp forming pockets serve to form the clamps as they are operated through the "V" vessel in a known manner.
[0059] The 100 "end actuator can also be used / activated in a similar manner as described above in relation to the 100, 100 'end actuators. For example, the physician manipulates the 110" jaw in the ways described above to purchase vessel "V" as shown in FIG. 19. Gripper 110 "is then locked in the gripping position and the doctor can then actuate the retract actuator 210 to tighten the sutures or closing elements eventually. When the doctor then activates the firing bar 16 to move distally, the firing bar 16 will not only cut through the vessel, the firing bar also causes the staples that are functionally supported in the staple pockets to be driven out of the staple pockets into the pockets of corresponding clamp formation provided on the underside of the 110 "claw. For example, as described in U.S. Patent No. 7,000,818, staples can be functionally supported in staple drive means that are mobilely supported in each of the staple pockets in the cartridge body. As the distal end portion of the firing bar 16 is driven distally in the cartridge body 402, this interacts with a wedge rail movably supported therein. As the wedge rail is distally advanced through the cartridge body 402 by the firing bar 16, the clamp drivers are forced upward into their respective pockets to thus direct the clamp holder on it out of the pocket and into the pocket. forming contact with the bottom side of the claw 110 "and finally through the cut ends of the vessel. In this way, the blocked ends of the vessel are not only sealed with a suture or wound closure device, they are also sealed with a staple line.
[0060] The non-limiting modalities described here have been described in the context of surgical instrument provisions that are portable and manually operated or actuated. Those skilled in the art will readily understand that the unique and innovative features of the various non-limiting modalities of the present invention presented can also be effectively achieved in applications where the closing devices used to open and close the jaws as well as those control arrangements for activating the firing bar and the suture actuating elements can be controlled by a robot or robots or by other automated system arrangements. Consequently, the protection produced for the various non-limiting modalities presented in the present invention should not be limited to instruments that are portable and / or are manually operated. In addition, the various non-limiting embodiments of the present invention can be effectively employed with surgical instrument arrangements that are powered (for example, by electricity, tires, fluids, etc.) and that may or may not be portable and that may or may not be portable. not be manually actuated or actuated by robots or other automated control system provisions. The various embodiments of the present invention presented therein are intended to cover such modifications.
[0061] The devices described here can be designed to be discarded after a single use, or they can be designed for use multiple times. In either case, however, the device can be reconditioned for reuse after at least one use. Reconditioning can include any combination of steps to disassemble the device, followed by cleaning or replacing particular parts, and subsequent reassembly. In particular, the device can be disassembled, and any number of particular parts or parts of the device can be selectively exchanged or removed, in any combination. After cleaning and / or changing private parts, the device can be reassembled for subsequent use in a reconditioning facility or by a surgical team immediately before a surgical procedure. Those skilled in the art will appreciate that the reconditioning of a device can use a variety of techniques for disassembly, cleaning or replacement, and reassembly. The use of such techniques, and the resulting refurbished device are all within the scope of the present application.
[0062] Preferably, the invention described here will be processed before surgery. First, a new or used instrument is obtained and, if necessary, cleaned. The instrument can then be sterilized. In a sterilization technique, the instrument is placed in a closed and sealed container, such as a plastic or TYVEK pouch. The container and the instrument are then placed in the field of radiation that can penetrate the container, such as gamma radiation, X-rays or high-energy electrons. The radiation kills bacteria on the instrument and the container. The sterile instrument can then be stored in a sterile container. The sterile container keeps the instrument sterile until it is opened at the medical facility.
[0063] Any Patent, publication or other description material, in whole or in part, which is said to be incorporated into the present invention for reference purposes, is incorporated into the present invention only to the extent that the incorporated materials do not come into effect. conflict with existing definitions, statements or other description material presented in this description. Accordingly, and to the extent necessary, the description as explicitly stated herein replaces any conflicting material incorporated herein by reference. Any material, or portion thereof, that is deemed to be incorporated by reference into the present invention, but which conflicts with definitions, statements, or other description materials existing herein will be incorporated here only to the extent that no conflict will appear between the embedded material and the existing description material.
[0064] Although this invention has been described as having exemplary designs, the present invention can be further modified within the spirit and scope of the description. It is therefore intended that this application will cover any variations, uses or adaptations of the invention using its general principles. In addition, this application is intended to cover such changes to the present description, as is known or customary practice in the technique to which this invention belongs.

权利要求:
Claims (5)
[0001]
1. Closing assembly (149, 149 ') for use with a surgical clamp cartridge (130) that has a closing retraction assembly (200) in it, the closing assembly comprising: a first absorbable closing element ( 150, 310) which has a lower lower elongated portion (153, 312) supportable on a portion of the fastener cartridge and which has a first locking end (157, 318) which defines a first locking opening (158, 320), wherein the first absorbable closure member has a first upper elongated portion (322) integrally formed with the first lower elongated portion (312) and which has a first hook-shaped end (162, 324) spaced from the first end of locking; and a second absorbable closure element (170, 330) which has a second elongated lower portion (173, 332) which is supported on another portion of the fastener cartridge and which has a second locking end (175, 338) that defines a second opening locking element (177, 340), the second absorbable closure element has a second upper elongated portion (180, 342) integrally formed with the second lower elongated portion (173, 332) and having a second hook-shaped end (182 , 344) spaced in relation to the first locking end; and characterized by the fact that a bridge element (190, 350) couples the first absorbable closing element and the second absorbable closing element in spaced relation to each other.
[0002]
2. Closure assembly according to claim 1, characterized in that the first absorbable closure element comprises a first suture and the second absorbable closure element comprises a second suture.
[0003]
3. Closure assembly according to claim 1 or claim 2, characterized by the fact that the first absorbable element has a first plurality of first unidirectional bars (314) formed therein and in which the second absorbable element has a second plurality of second unidirectional bars (334) formed therein.
[0004]
4. Closure assembly according to any one of the preceding claims, characterized in that the first locking end comprises a first locking loop (320) formed at one end of the first lower portion of the first absorbable locking element. and which defines said first locking opening therein and wherein the first upper portion of the first absorbable closing element has a first hook portion (324) that extends through the first locking opening and ends in a first retraction loop ( 326) and wherein the second locking end comprises a second locking loop (340) formed at one end of the second lower portion of the second absorbable closure element and which defines the second locking opening therein and where the second upper portion of the The first absorbable closure element has a second hook portion (344) that extends through the second opening of t locking and ends in a second retraction loop (346).
[0005]
5. Closing assembly according to claim 4, characterized by the fact that the first locking loop and the second locking loop are connected by the bridge element.

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同族专利:

公开号 | 公开日

EP2685906A1|2014-01-22|

JP6017465B2|2016-11-02|

RU2597141C2|2016-09-10|

BR112013023604A2|2016-12-06|

AU2012230045B2|2016-09-01|

JP2014515637A|2014-07-03|

CA2829818A1|2012-09-20|

AU2012230045A1|2013-09-12|

CN103429170B|2016-08-10|

WO2012125621A1|2012-09-20|

RU2013145871A|2015-04-20|

CN103429170A|2013-12-04|

US9044229B2|2015-06-02|

CA2829818C|2019-05-21|

EP2685906B1|2019-05-29|

US20120234899A1|2012-09-20|

引用文献:

公开号 | 申请日 | 公开日 | 申请人 | 专利标题

DE273689C|1913-08-07|1914-05-08|

FR459743A|1912-09-14|1913-11-12|Bariquant Et Marre Des Atel|Flexible transmission|

FR999646A|1949-11-16|1952-02-04|Cable clamp device|

FR1112936A|1954-10-20|1956-03-20|Electric motor and three-speed control enclosed in a sheath|

DE1775926U|1958-06-11|1958-10-16|Rudolf W Dipl Ing Ihmig|BALLPOINT REFILL.|

GB939929A|1959-10-30|1963-10-16|Vasilii Fedotovich Goodov|Instrument for stitching blood vessels, intestines, bronchi and other soft tissues|

GB1210522A|1966-10-10|1970-10-28|United States Surgical Corp|Instrument for placing lateral gastro-intestinal anastomoses|

GB1217159A|1967-12-05|1970-12-31|Coventry Gauge & Tool Co Ltd|Torque limiting device|

GB1339394A|1972-04-06|1973-12-05|Vnii Khirurgicheskoi Apparatur|Dies for surgical stapling instruments|

JPS5033988U|1973-07-21|1975-04-11|

SU674747A1|1976-11-24|1979-07-25|Всесоюзный научно-исследовательский и испытательный институт медицинской техники|Apparatus for mechanical suturing of tissues|

SU886900A1|1979-03-26|1981-12-07|Всесоюзный научно-исследовательский и испытательный институт медицинской техники|Surgical apparatus for applying line sutures|

SU1022703A1|1979-12-20|1983-06-15|Всесоюзный научно-исследовательский и испытательный институт медицинской техники|Device for correcting and fixing vertebral column of patients ill with scoliosis surgical apparatus for applying compression sutures|

AU534210B2|1980-02-05|1984-01-12|United States Surgical Corporation|Surgical staples|

DE3036217C2|1980-09-25|1986-12-18|Siemens AG, 1000 Berlin und 8000 München|Remote-controlled medical device|

US4379457A|1981-02-17|1983-04-12|United States Surgical Corporation|Indicator for surgical stapler|

SU1009439A1|1981-03-24|1983-04-07|Предприятие П/Я Р-6094|Surgical suturing device for application of anastomosis on digestive tract|

FR2509490B1|1981-07-09|1985-02-22|Tractel Sa|RELEASE MECHANISM FOR TRACTION EQUIPMENT ACTING ON A CABLE THROUGH IT|

US4402445A|1981-10-09|1983-09-06|United States Surgical Corporation|Surgical fastener and means for applying same|

US4448194A|1982-02-03|1984-05-15|Ethicon, Inc.|Full stroke compelling mechanism for surgical instrument with drum drive|

DE3210466A1|1982-03-22|1983-09-29|Peter Dipl.-Kfm. Dr. 6230 Frankfurt Gschaider|Method and device for carrying out handling processes|

GR81919B|1983-06-20|1984-12-12|Ethicon Inc|

US4612933A|1984-03-30|1986-09-23|Senmed, Inc.|Multiple-load cartridge assembly for a linear surgical stapling instrument|

US5002553A|1984-05-14|1991-03-26|Surgical Systems & Instruments, Inc.|Atherectomy system with a clutch|

US4767044A|1984-10-19|1988-08-30|United States Surgical Corporation|Surgical fastener applying apparatus|

US4633874A|1984-10-19|1987-01-06|Senmed, Inc.|Surgical stapling instrument with jaw latching mechanism and disposable staple cartridge|

US4605001A|1984-10-19|1986-08-12|Senmed, Inc.|Surgical stapling instrument with dual staple height mechanism|

US4608981A|1984-10-19|1986-09-02|Senmed, Inc.|Surgical stapling instrument with staple height adjusting mechanism|

US4750902A|1985-08-28|1988-06-14|Sonomed Technology, Inc.|Endoscopic ultrasonic aspirators|

SU1377053A1|1985-10-02|1988-02-28|В. Г. Сахаутдинов, Р. А. Талипов, Р. М. Халиков и 3. X. Гарифуллин|Surgical suturing apparatus|

SU1333319A2|1985-12-10|1987-08-30|Петрозаводский государственный университет им.О.В.Куусинена|Suture appliance for hollow organs|

US4634419A|1985-12-13|1987-01-06|Cooper Lasersonics, Inc.|Angulated ultrasonic surgical handpieces and method for their production|

US4827911A|1986-04-02|1989-05-09|Cooper Lasersonics, Inc.|Method and apparatus for ultrasonic surgical fragmentation and removal of tissue|

US4747820A|1986-04-09|1988-05-31|Cooper Lasersonics, Inc.|Irrigation/aspiration manifold and fittings for ultrasonic surgical aspiration system|

SU1561964A1|1986-04-24|1990-05-07|Благовещенский государственный медицинский институт|Surgical suturing apparatus|

FR2598905B1|1986-05-22|1993-08-13|Chevalier Jean Michel|DEVICE FOR INTERRUPTING THE CIRCULATION OF A FLUID IN A FLEXIBLE WALL CONDUIT, IN PARTICULAR A HOLLOW VISCERE AND CLIP ASSEMBLY COMPRISING THIS DEVICE|

US4727308A|1986-08-28|1988-02-23|International Business Machines Corporation|FET power converter with reduced switching loss|

US4865030A|1987-01-21|1989-09-12|American Medical Systems, Inc.|Apparatus for removal of objects from body passages|

US4719917A|1987-02-17|1988-01-19|Minnesota Mining And Manufacturing Company|Surgical staple|

DE3709067A1|1987-03-19|1988-09-29|Ewald Hensler|Medical, especially surgical, instrument|

SU1509051A1|1987-09-14|1989-09-23|Институт прикладной физики АН СССР|Appliance for suturing organs|

US4931047A|1987-09-30|1990-06-05|Cavitron, Inc.|Method and apparatus for providing enhanced tissue fragmentation and/or hemostasis|

US5015227A|1987-09-30|1991-05-14|Valleylab Inc.|Apparatus for providing enhanced tissue fragmentation and/or hemostasis|

GB8800909D0|1988-01-15|1988-02-17|Ethicon Inc|Gas powered surgical stapler|

CA1308782C|1988-10-13|1992-10-13|Gyrus Medical Limited|Screening and monitoring instrument|

US4978333A|1988-12-20|1990-12-18|Valleylab, Inc.|Resonator for surgical handpiece|

US4986808A|1988-12-20|1991-01-22|Valleylab, Inc.|Magnetostrictive transducer|

US5104397A|1989-04-14|1992-04-14|Codman & Shurtleff, Inc.|Multi-position latching mechanism for forceps|

SU1708312A1|1989-05-16|1992-01-30|Всесоюзный научно-исследовательский и испытательный институт медицинской техники|Surgical apparatus for suturing bone tissue|

US5040715B1|1989-05-26|1994-04-05|United States Surgical Corp|Apparatus and method for placing staples in laparoscopic or endoscopic procedures|

CH677728A5|1989-10-17|1991-06-28|Bieffe Medital Sa|

US5088997A|1990-03-15|1992-02-18|Valleylab, Inc.|Gas coagulation device|

SU1722476A1|1990-04-02|1992-03-30|Свердловский Филиал Научно-Производственного Объединения "Фтизиопульмонология"|Appliance for temporary occlusion of tubular organs|

SU1752361A1|1990-07-10|1992-08-07|Производственное Объединение "Челябинский Тракторный Завод Им.В.И.Ленина"|Surgical sutural material|

RU2008830C1|1990-07-13|1994-03-15|Константин Алексеевич Додонов|Electrosurgical apparatus|

US5156315A|1990-09-17|1992-10-20|United States Surgical Corporation|Arcuate apparatus for applying two-part surgical fasteners|

DE69120208T3|1990-10-05|2001-02-15|United States Surgical Corp|Device for attaching clips during laparoscopic or endoscopic procedures|

CA2061885A1|1991-03-14|1992-09-15|David T. Green|Approximating apparatus for surgical jaw structure|

FI93607C|1991-05-24|1995-05-10|John Koivukangas|Cutting Remedy|

US5190517A|1991-06-06|1993-03-02|Valleylab Inc.|Electrosurgical and ultrasonic surgical system|

US5289963A|1991-10-18|1994-03-01|United States Surgical Corporation|Apparatus and method for applying surgical staples to attach an object to body tissue|

US5364001A|1991-10-18|1994-11-15|United States Surgical Corporation|Self contained gas powered surgical apparatus|

CA2078794C|1991-10-18|1998-10-06|Frank J. Viola|Locking device for an apparatus for applying surgical fasteners|

AU657364B2|1991-10-18|1995-03-09|United States Surgical Corporation|Self contained gas powered surgical apparatus|

US5312023A|1991-10-18|1994-05-17|United States Surgical Corporation|Self contained gas powered surgical apparatus|

US5478003A|1991-10-18|1995-12-26|United States Surgical Corporation|Surgical apparatus|

US5395034A|1991-11-07|1995-03-07|American Cyanamid Co.|Linear surgical stapling instrument|

CA2106410C|1991-11-08|2004-07-06|Stuart D. Edwards|Ablation electrode with insulated temperature sensing elements|

US5383880A|1992-01-17|1995-01-24|Ethicon, Inc.|Endoscopic surgical system with sensing means|

US5433721A|1992-01-17|1995-07-18|Ethicon, Inc.|Endoscopic instrument having a torsionally stiff drive shaft for applying fasteners to tissue|

WO1993013718A1|1992-01-21|1993-07-22|Valleylab, Inc.|Electrosurgical control for a trocar|

US5284128A|1992-01-24|1994-02-08|Applied Medical Resources Corporation|Surgical manipulator|

DE69220814T2|1992-02-07|1998-02-05|Valleylab Inc|SURGICAL ULTRASONIC DEVICE|

AU3610693A|1992-02-07|1993-09-03|Nakao, Naomi|Endoscope with disposable insertion member|

US5417700A|1992-03-30|1995-05-23|Thomas D. Egan|Automatic suturing and ligating device|

US5281216A|1992-03-31|1994-01-25|Valleylab, Inc.|Electrosurgical bipolar treating apparatus|

US5258012A|1992-06-30|1993-11-02|Ethicon, Inc.|Surgical fasteners|

US5221281A|1992-06-30|1993-06-22|Valleylab Inc.|Electrosurgical tubular trocar|

DE4228909C2|1992-08-28|1994-06-09|Ethicon Gmbh|Endoscopic instrument for the application of ligature binders and ligature binders|

US5485952A|1992-09-23|1996-01-23|United States Surgical Corporation|Apparatus for applying surgical fasteners|

US5423471A|1992-10-02|1995-06-13|United States Surgical Corporation|Apparatus for applying two-part surgical fasteners in laparoscopic or endoscopic procedures|

US5381943A|1992-10-09|1995-01-17|Ethicon, Inc.|Endoscopic surgical stapling instrument with pivotable and rotatable staple cartridge|

CA2108605A1|1992-10-21|1994-04-22|Nagabhushanam Totakura|Bioabsorbable foam pledget|

GB2272159A|1992-11-10|1994-05-11|Andreas G Constantinides|Surgical/diagnostic aid|

US5441483A|1992-11-16|1995-08-15|Avitall; Boaz|Catheter deflection control|

US5389104A|1992-11-18|1995-02-14|Symbiosis Corporation|Arthroscopic surgical instruments|

US5346504A|1992-11-19|1994-09-13|Ethicon, Inc.|Intraluminal manipulator with a head having articulating links|

ES2168278T3|1992-11-30|2002-06-16|Sherwood Serv Ag|CIRCUIT SET FOR AN ULTRASONIC SURGERY INSTRUMENT WITH AN ENERGY INITIATOR TO MAINTAIN VIBRATION AND LINEAR DYNAMIC PARAMETERS.|

US5807393A|1992-12-22|1998-09-15|Ethicon Endo-Surgery, Inc.|Surgical tissue treating device with locking mechanism|

FR2699806B1|1992-12-30|1995-03-24|Duthoit Francois|Instrument, intended in particular to allow the extraction of pathological venous sections such as varicose veins.|

US5843021A|1994-05-09|1998-12-01|Somnus Medical Technologies, Inc.|Cell necrosis apparatus|

US5336229A|1993-02-09|1994-08-09|Laparomed Corporation|Dual ligating and dividing apparatus|

EP0684789A1|1993-02-22|1995-12-06|Valleylab, Inc.|A laparoscopic dissection tension retractor device and method|

US5312329A|1993-04-07|1994-05-17|Valleylab Inc.|Piezo ultrasonic and electrosurgical handpiece|

US5370645A|1993-04-19|1994-12-06|Valleylab Inc.|Electrosurgical processor and method of use|

EP0625335B1|1993-04-20|1997-11-19|United States Surgical Corporation|Surgical stapler|

US5447265A|1993-04-30|1995-09-05|Minnesota Mining And Manufacturing Company|Laparoscopic surgical instrument with a mechanism for preventing its entry into the abdominal cavity once it is depleted and removed from the abdominal cavity|

CA2159348A1|1993-04-30|1994-11-10|Claude A. Vidal|Surgical instrument having an articulated jaw structure and a detachable knife|

GB9309142D0|1993-05-04|1993-06-16|Gyrus Medical Ltd|Laparoscopic instrument|

CA2124109A1|1993-05-24|1994-11-25|Mark T. Byrne|Endoscopic surgical instrument with electromagnetic sensor|

GB9314391D0|1993-07-12|1993-08-25|Gyrus Medical Ltd|A radio frequency oscillator and an electrosurgical generator incorporating such an oscillator|

US5709680A|1993-07-22|1998-01-20|Ethicon Endo-Surgery, Inc.|Electrosurgical hemostatic device|

US5372596A|1993-07-27|1994-12-13|Valleylab Inc.|Apparatus for leakage control and method for its use|

US5503320A|1993-08-19|1996-04-02|United States Surgical Corporation|Surgical apparatus with indicator|

US5447417A|1993-08-31|1995-09-05|Valleylab Inc.|Self-adjusting pump head and safety manifold cartridge for a peristaltic pump|

CA2133159A1|1993-09-30|1995-03-31|Eric J. Butterfield|Surgical instrument having improved manipulating means|

US5405344A|1993-09-30|1995-04-11|Ethicon, Inc.|Articulable socket joint assembly for an endoscopic instrument for surgical fastner track therefor|

US6210403B1|1993-10-07|2001-04-03|Sherwood Services Ag|Automatic control for energy from an electrosurgical generator|

US5496312A|1993-10-07|1996-03-05|Valleylab Inc.|Impedance and temperature generator control|

US5487499A|1993-10-08|1996-01-30|United States Surgical Corporation|Surgical apparatus for applying surgical fasteners including a counter|

GB9322464D0|1993-11-01|1993-12-22|Gyrus Medical Ltd|Electrosurgical apparatus|

JP3414455B2|1993-11-02|2003-06-09|オリンパス光学工業株式会社|Suture device|

US5449355A|1993-11-24|1995-09-12|Valleylab Inc.|Retrograde tissue splitter and method|

DE4340707C2|1993-11-30|1997-03-27|Wolf Gmbh Richard|manipulator|

US5422567A|1993-12-27|1995-06-06|Valleylab Inc.|High frequency power measurement|

CA2176754A1|1993-12-30|1995-07-06|Michael Steve Klicek|Bipolar ultrasonic surgery|

US5782397A|1994-01-04|1998-07-21|Alpha Surgical Technologies, Inc.|Stapling device|

US5382247A|1994-01-21|1995-01-17|Valleylab Inc.|Technique for electrosurgical tips and method of manufacture and use|

AU1076195A|1994-01-31|1995-08-15|Valleylab, Inc.|Telescoping bipolar electrode for non-invasive medical procedures|

US5503638A|1994-02-10|1996-04-02|Bio-Vascular, Inc.|Soft tissue stapling buttress|

WO1995023557A1|1994-03-01|1995-09-08|United States Surgical Corporation|Surgical stapler with anvil sensor and lockout|

JP3421117B2|1994-03-17|2003-06-30|テルモ株式会社|Surgical instruments|

US5484398A|1994-03-17|1996-01-16|Valleylab Inc.|Methods of making and using ultrasonic handpiece|

US5472442A|1994-03-23|1995-12-05|Valleylab Inc.|Moveable switchable electrosurgical handpiece|

US5541376A|1994-03-28|1996-07-30|Valleylab Inc|Switch and connector|

CA2145723A1|1994-03-30|1995-10-01|Steven W. Hamblin|Surgical stapling instrument with remotely articulated stapling head assembly on rotatable support shaft|

CA2144818C|1994-04-07|2006-07-11|Henry Bolanos|Graduated anvil for surgical stapling instruments|

US5529235A|1994-04-28|1996-06-25|Ethicon Endo-Surgery, Inc.|Identification device for surgical instrument|

US5489058A|1994-05-02|1996-02-06|Minnesota Mining And Manufacturing Company|Surgical stapler with mechanisms for reducing the firing force|

US5470007A|1994-05-02|1995-11-28|Minnesota Mining And Manufacturing Company|Laparoscopic stapler with overload sensor and interlock|

US5474566A|1994-05-05|1995-12-12|United States Surgical Corporation|Self-contained powered surgical apparatus|

US5800379A|1996-02-23|1998-09-01|Sommus Medical Technologies, Inc.|Method for ablating interior sections of the tongue|

GB9413070D0|1994-06-29|1994-08-17|Gyrus Medical Ltd|Electrosurgical apparatus|

US5833695A|1994-07-13|1998-11-10|Yoon; Inbae|Surgical stapling system and method of applying staples from multiple staple cartridges|

DE9412228U1|1994-07-28|1994-09-22|Loctite Europa Eeig|Peristaltic pump for precise dosing of small amounts of liquid|

EP0699418A1|1994-08-05|1996-03-06|United States Surgical Corporation|Self-contained powered surgical apparatus|

US5779130A|1994-08-05|1998-07-14|United States Surgical Corporation|Self-contained powered surgical apparatus|

US5509916A|1994-08-12|1996-04-23|Valleylab Inc.|Laser-assisted electrosurgery system|

US5609601A|1994-09-23|1997-03-11|United States Surgical Corporation|Endoscopic surgical apparatus with rotation lock|

EP0705571A1|1994-10-07|1996-04-10|United States Surgical Corporation|Self-contained powered surgical apparatus|

US5868760A|1994-12-07|1999-02-09|Mcguckin, Jr.; James F.|Method and apparatus for endolumenally resectioning tissue|

GB9425781D0|1994-12-21|1995-02-22|Gyrus Medical Ltd|Electrosurgical instrument|

US5613966A|1994-12-21|1997-03-25|Valleylab Inc|System and method for accessory rate control|

US5628743A|1994-12-21|1997-05-13|Valleylab Inc.|Dual mode ultrasonic surgical apparatus|

AU701320B2|1994-12-22|1999-01-28|Ethicon Endo-Surgery, Inc.|Impedance feedback monitor with query electrode for electrosurgical instrument|

US5695494A|1994-12-22|1997-12-09|Valleylab Inc|Rem output stage topology|

US5713895A|1994-12-30|1998-02-03|Valleylab Inc|Partially coated electrodes|

US5466020A|1994-12-30|1995-11-14|Valleylab Inc.|Bayonet connector for surgical handpiece|

CA2210517A1|1995-02-03|1996-08-08|Valleylab, Inc.|Electrosurgical aspirator combined with a pencil|

US5669907A|1995-02-10|1997-09-23|Valleylab Inc.|Plasma enhanced bipolar electrosurgical system|

US5669904A|1995-03-07|1997-09-23|Valleylab Inc.|Surgical gas plasma ignition apparatus and method|

US6213999B1|1995-03-07|2001-04-10|Sherwood Services Ag|Surgical gas plasma ignition apparatus and method|

DE19509116C2|1995-03-16|2000-01-05|Deutsch Zentr Luft & Raumfahrt|Flexible structure|

US5619992A|1995-04-06|1997-04-15|Guthrie; Robert B.|Methods and apparatus for inhibiting contamination of reusable pulse oximetry sensors|

JP3795100B2|1995-05-08|2006-07-12|株式会社伊垣医療設計|Medical suture material|

WO1996035464A1|1995-05-12|1996-11-14|Perkins Rodney C|Translumenal circumferential injector|

AU710400B2|1995-06-06|1999-09-16|Sherwood Services Ag|Digital waveform generation for electrosurgical generators|

AU5700796A|1995-06-06|1996-12-24|Valleylab, Inc.|Power control for an electrosurgical generator|

US5720744A|1995-06-06|1998-02-24|Valleylab Inc|Control system for neurosurgery|

US5628745A|1995-06-06|1997-05-13|Bek; Robin B.|Exit spark control for an electrosurgical generator|

US5599344A|1995-06-06|1997-02-04|Valleylab Inc.|Control apparatus for electrosurgical generator power output|

GB9604770D0|1995-06-23|1996-05-08|Gyrus Medical Ltd|An electrosurgical generator and system|

CN1095641C|1995-06-23|2002-12-11|盖拉斯医疗有限公司|Electrosurgical instrument|

US6293942B1|1995-06-23|2001-09-25|Gyrus Medical Limited|Electrosurgical generator method|

WO1997000646A1|1995-06-23|1997-01-09|Gyrus Medical Limited|An electrosurgical instrument|

WO1997001989A1|1995-07-03|1997-01-23|Frater Dirk A|System for mounting bolster material on tissue staplers|

US5702409A|1995-07-21|1997-12-30|W. L. Gore & Associates, Inc.|Device and method for reinforcing surgical staples|

US5810855A|1995-07-21|1998-09-22|Gore Enterprise Holdings, Inc.|Endoscopic device and method for reinforcing surgical staples|

US5611709A|1995-08-10|1997-03-18|Valleylab Inc|Method and assembly of member and terminal|

US5782396A|1995-08-28|1998-07-21|United States Surgical Corporation|Surgical stapler|

US5776130A|1995-09-19|1998-07-07|Valleylab, Inc.|Vascular tissue sealing pressure control|

US5827271A|1995-09-19|1998-10-27|Valleylab|Energy delivery system for vessel sealing|

US5814055A|1995-09-19|1998-09-29|Ethicon Endo-Surgery, Inc.|Surgical clamping mechanism|

US5772659A|1995-09-26|1998-06-30|Valleylab Inc.|Electrosurgical generator power control circuit and method|

US5702387A|1995-09-27|1997-12-30|Valleylab Inc|Coated electrosurgical electrode|

GB9521772D0|1995-10-24|1996-01-03|Gyrus Medical Ltd|An electrosurgical instrument|

CA2188738A1|1995-10-27|1997-04-28|Lisa W. Heaton|Surgical stapler having interchangeable loading units|

BR9612395A|1995-12-29|1999-07-13|Gyrus Medical Ltd|Electrosurgical instrument and an electrosurgical electrode set|

US6015406A|1996-01-09|2000-01-18|Gyrus Medical Limited|Electrosurgical instrument|

US6013076A|1996-01-09|2000-01-11|Gyrus Medical Limited|Electrosurgical instrument|

GB9600377D0|1996-01-09|1996-03-13|Gyrus Medical Ltd|Electrosurgical instrument|

GB9600354D0|1996-01-09|1996-03-13|Gyrus Medical Ltd|Electrosurgical instrument|

JP2000507119A|1996-02-13|2000-06-13|イマジンメディカルインコーポレイティド|Surgical access device and method of configuring a surgical access device|

IL117607D0|1996-03-21|1996-07-23|Dev Of Advanced Medical Produc|Surgical stapler and method of surgical fastening|

US6149660A|1996-04-22|2000-11-21|Vnus Medical Technologies, Inc.|Method and apparatus for delivery of an appliance in a vessel|

GB2314274A|1996-06-20|1997-12-24|Gyrus Medical Ltd|Electrode construction for an electrosurgical instrument|

US5735874A|1996-06-21|1998-04-07|Ethicon Endo-Surgery, Inc.|Variable position handle locking mechanism|

US5752965A|1996-10-21|1998-05-19|Bio-Vascular, Inc.|Apparatus and method for producing a reinforced surgical fastener suture line|

GB9626512D0|1996-12-20|1997-02-05|Gyrus Medical Ltd|An improved electrosurgical generator and system|

US6074401A|1997-01-09|2000-06-13|Coalescent Surgical, Inc.|Pinned retainer surgical fasteners, instruments and methods for minimally invasive vascular and endoscopic surgery|

US5908402A|1997-02-03|1999-06-01|Valleylab|Method and apparatus for detecting tube occlusion in argon electrosurgery system|

JP2001514541A|1997-03-05|2001-09-11|ザトラスティーズオブコロンビアユニバーシティーインザシティーオブニューヨーク|Electrothermal device for sealing and bonding or cutting tissue|

US6033399A|1997-04-09|2000-03-07|Valleylab, Inc.|Electrosurgical generator with adaptive power control|

GB9708268D0|1997-04-24|1997-06-18|Gyrus Medical Ltd|An electrosurgical instrument|

DE19721076A1|1997-05-20|1998-11-26|Trw Repa Gmbh|Method for producing a rope section with a fastening element for a vehicle occupant restraint system, and rope section produced with this method|

US5951552A|1997-06-30|1999-09-14|Ethicon Endo-Surgery, Inc.|Capacitively coupled cordless electrosurgical instrument|

FR2765794B1|1997-07-11|1999-09-03|Joel Bardeau|DRAINAGE DEVICE, PARTICULARLY FOR COVERING|

AU731815B2|1997-07-18|2001-04-05|Gyrus Medical Limited|An electrosurgical instrument|

CA2297081A1|1997-07-18|1999-01-28|Alan Nigel Syrop|An electrosurgical instrument|

US6491690B1|1997-07-18|2002-12-10|Gyrus Medical Limited|Electrosurgical instrument|

US6267761B1|1997-09-09|2001-07-31|Sherwood Services Ag|Apparatus and method for sealing and cutting tissue|

ES2335760T3|1997-09-10|2010-04-05|Covidien Ag|BIPOLAR ELECTRODE INSTRUMENT.|

US6162208A|1997-09-11|2000-12-19|Genzyme Corporation|Articulating endoscopic implant rotator surgical apparatus and method for using same|

US6017356A|1997-09-19|2000-01-25|Ethicon Endo-Surgery Inc.|Method for using a trocar for penetration and skin incision|

US5865361A|1997-09-23|1999-02-02|United States Surgical Corporation|Surgical stapling apparatus|

US5947984A|1997-10-10|1999-09-07|Ethicon Endo-Surger, Inc.|Ultrasonic clamp coagulator apparatus having force limiting clamping mechanism|

US6187003B1|1997-11-12|2001-02-13|Sherwood Services Ag|Bipolar electrosurgical instrument for sealing vessels|

US6050996A|1997-11-12|2000-04-18|Sherwood Services Ag|Bipolar electrosurgical instrument with replaceable electrodes|

US6228083B1|1997-11-14|2001-05-08|Sherwood Services Ag|Laparoscopic bipolar electrosurgical instrument|

US6068627A|1997-12-10|2000-05-30|Valleylab, Inc.|Smart recognition apparatus and method|

EP0923907A1|1997-12-19|1999-06-23|Gyrus Medical Limited|An electrosurgical instrument|

US6156056A|1998-01-09|2000-12-05|Ethicon, Inc.|Suture buttress|

GB2336214A|1998-01-16|1999-10-13|David William Taylor|Preventionof multiple use of limited use devices|

RU2141279C1|1998-03-11|1999-11-20|Кондратюк Георгий Константинович|Multipurpose attachment|

US6099551A|1998-03-12|2000-08-08|Shelhigh, Inc.|Pericardial strip and stapler assembly for dividing and sealing visceral tissues and method of use thereof|

AU3157599A|1998-03-26|1999-10-18|Gyrus Medical Limited|An electrosurgical instrument|

GB9807303D0|1998-04-03|1998-06-03|Gyrus Medical Ltd|An electrode assembly for an electrosurgical instrument|

GB2335858A|1998-04-03|1999-10-06|Gyrus Medical Ltd|Resectoscope having pivoting electrode assembly|

JP3811291B2|1998-07-02|2006-08-16|オリンパス株式会社|Endoscope system|

US6423088B1|1998-07-08|2002-07-23|Axya Medical, Inc.|Sharp edged device for closing wounds without knots|

JP3806518B2|1998-07-17|2006-08-09|オリンパス株式会社|Endoscopic treatment device|

EP1123051A4|1998-10-23|2003-01-02|Applied Med Resources|Surgical grasper with inserts and method of using same|

EP1123058B1|1998-10-23|2005-12-28|Sherwood Services AG|Open vessel sealing forceps with stop member|

DE19851291A1|1998-11-06|2000-01-05|Siemens Ag|Data input unit suitable for use in operating theatre|

JP2000171730A|1998-12-08|2000-06-23|Olympus Optical Co Ltd|Battery type portable endoscopic device|

GB9900964D0|1999-01-15|1999-03-10|Gyrus Medical Ltd|An electrosurgical system|

DE19906191A1|1999-02-15|2000-08-17|Ingo F Herrmann|Mouldable endoscope for transmitting light and images with supplementary device has non-round cross section along longitudinal section for inserting in human or animal body opening|

GB9905211D0|1999-03-05|1999-04-28|Gyrus Medical Ltd|Electrosurgery system and instrument|

GB9905209D0|1999-03-05|1999-04-28|Gyrus Medical Ltd|Electrosurgery system|

GB9905210D0|1999-03-05|1999-04-28|Gyrus Medical Ltd|Electrosurgical system|

US6179776B1|1999-03-12|2001-01-30|Scimed Life Systems, Inc.|Controllable endoscopic sheath apparatus and related method of use|

WO2000057796A1|1999-03-31|2000-10-05|Rosenblatt Peter L|Systems and methods for soft tissue reconstruction|

JP2000287987A|1999-04-01|2000-10-17|Olympus Optical Co Ltd|Chargeable battery type medical treatment apparatus|

US6325805B1|1999-04-23|2001-12-04|Sdgi Holdings, Inc.|Shape memory alloy staple|

JP4503725B2|1999-05-17|2010-07-14|オリンパス株式会社|Endoscopic treatment device|

GB9911956D0|1999-05-21|1999-07-21|Gyrus Medical Ltd|Electrosurgery system and method|

GB9911954D0|1999-05-21|1999-07-21|Gyrus Medical Ltd|Electrosurgery system and instrument|

DE19924311A1|1999-05-27|2000-11-30|Walter A Rau|Clip cutting device to cut body tissue and place staple on at least one side of cut line; has clamp head with staples and pressure plate part, with collagen and fibrin fleece underlay covering staples|

GB9912625D0|1999-05-28|1999-07-28|Gyrus Medical Ltd|An electrosurgical generator and system|

GB9912627D0|1999-05-28|1999-07-28|Gyrus Medical Ltd|An electrosurgical instrument|

US7032798B2|1999-06-02|2006-04-25|Power Medical Interventions, Inc.|Electro-mechanical surgical device|

US7951071B2|1999-06-02|2011-05-31|Tyco Healthcare Group Lp|Moisture-detecting shaft for use with an electro-mechanical surgical device|

US6443973B1|1999-06-02|2002-09-03|Power Medical Interventions, Inc.|Electromechanical driver device for use with anastomosing, stapling, and resecting instruments|

EP2305138B1|2000-02-22|2013-08-14|Covidien LP|An electromechanical driver and remote surgical instrument attachment having computer assisted control capabilities|

US6793652B1|1999-06-02|2004-09-21|Power Medical Interventions, Inc.|Electro-mechanical surgical device|

US6315184B1|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|

GB9913652D0|1999-06-11|1999-08-11|Gyrus Medical Ltd|An electrosurgical generator|

US6325810B1|1999-06-30|2001-12-04|Ethicon, Inc.|Foam buttress for stapling apparatus|

US6264087B1|1999-07-12|2001-07-24|Powermed, Inc.|Expanding parallel jaw device for use with an electromechanical driver device|

JP2001035827A|1999-07-16|2001-02-09|Memc Kk|High concentration ozone water, preparation method thereof and cleaning method using the same|

US6488659B1|1999-08-05|2002-12-03|Biocardia, Inc.|System and method for delivering thermally sensitive and reverse-thermal gelation materials|

US7662161B2|1999-09-13|2010-02-16|Rex Medical, L.P|Vascular hole closure device|

US6358224B1|1999-09-24|2002-03-19|Tyco Healthcare Group Lp|Irrigation system for endoscopic surgery|

CA2322061A1|1999-10-05|2001-04-05|Anil K. Nalagatla|Stapling instrument having two staple forming surfaces|

US6749560B1|1999-10-26|2004-06-15|Circon Corporation|Endoscope shaft with slotted tube|

EP1095627A1|1999-10-27|2001-05-02|Everest Medical Corporation|Electrosurgical probe for surface treatment|

DE19951940C2|1999-10-28|2001-11-29|Karlsruhe Forschzent|Clamping device that can be used endoscopically|

GB9927338D0|1999-11-18|2000-01-12|Gyrus Medical Ltd|Electrosurgical system|

HU225908B1|2000-01-24|2007-12-28|Ethicon Endo Surgery Europe|Surgical circular stapling head|

GB0002849D0|2000-02-08|2000-03-29|Gyrus Medical Ltd|An electrosurgical instrument and an electosurgery system including such an instrument|

GB0004179D0|2000-02-22|2000-04-12|Gyrus Medical Ltd|Tissue resurfacing|

US6491201B1|2000-02-22|2002-12-10|Power Medical Interventions, Inc.|Fluid delivery mechanism for use with anastomosing, stapling, and resecting instruments|

US6488197B1|2000-02-22|2002-12-03|Power Medical Interventions, Inc.|Fluid delivery device for use with anastomosing resecting and stapling instruments|

US6533157B1|2000-02-22|2003-03-18|Power Medical Interventions, Inc.|Tissue stapling attachment for use with an electromechanical driver device|

US6273897B1|2000-02-29|2001-08-14|Ethicon, Inc.|Surgical bettress and surgical stapling apparatus|

US6858005B2|2000-04-03|2005-02-22|Neo Guide Systems, Inc.|Tendon-driven endoscope and methods of insertion|

US6517528B1|2000-04-13|2003-02-11|Scimed Life Systems, Inc.|Magnetic catheter drive shaft clutch|

RU2187249C2|2000-04-27|2002-08-20|Общество с ограниченной ответственностью "ЭНДОМЕДИУМ+"|Surgical instrument|

DE10026683C2|2000-05-30|2003-07-10|Ethicon Endo Surgery Europe|Surgical stapling device|

DE10031436A1|2000-06-28|2002-01-10|Alexander Von Fuchs|Anti-slip protection for a housing head of medical instruments|

EP1309277B1|2000-07-20|2008-05-28|Kinetic Surgical, LLC|Hand-actuated articulating surgical tool|

EP1303222A1|2000-07-21|2003-04-23|Atropos Limited|A cannula|

US6755338B2|2001-08-29|2004-06-29|Cerebral Vascular Applications, Inc.|Medical instrument|

AU8846201A|2000-08-30|2002-03-13|Cerebral Vascular Applic Inc|Medical instrument|

GB0021799D0|2000-09-05|2000-10-18|Gyrus Medical Ltd|Electrosurgery system|

AU8800601A|2000-09-08|2002-03-22|James E Coleman|Device for locating a puncture hole in a liquid-carrying vessel|

EP1324708B1|2000-10-13|2008-09-24|Tyco Healthcare Group Lp|Surgical fastener applying apparatus|

US20040267310A1|2000-10-20|2004-12-30|Racenet David C|Directionally biased staple and anvil assembly for forming the staple|

US6908472B2|2000-10-20|2005-06-21|Ethicon Endo-Surgery, Inc.|Apparatus and method for altering generator functions in an ultrasonic surgical system|

US6793661B2|2000-10-30|2004-09-21|Vision Sciences, Inc.|Endoscopic sheath assemblies having longitudinal expansion inhibiting mechanisms|

GB0026586D0|2000-10-31|2000-12-13|Gyrus Medical Ltd|An electrosurgical system|

JP2002143078A|2000-11-08|2002-05-21|Olympus Optical Co Ltd|Outside tube for endoscope|

CA2435209C|2001-01-24|2009-08-25|Tyco Healthcare Group Lp|Anastomosis instrument and method for performing same|

CA2435522C|2001-01-31|2010-02-23|Rex Medical, L.P.|Apparatus for stapling and resectioning gastro-esophageal tissue|

US8313496B2|2001-02-02|2012-11-20|Lsi Solutions, Inc.|System for endoscopic suturing|

EP2105096A1|2001-02-27|2009-09-30|Tyco Healthcare Group Lp|External mixer assembly|

US20030181900A1|2002-03-25|2003-09-25|Long Gary L.|Endoscopic ablation system with a plurality of electrodes|

US7097644B2|2001-03-30|2006-08-29|Ethicon Endo-Surgery, Inc.|Medical device with improved wall construction|

US7137981B2|2002-03-25|2006-11-21|Ethicon Endo-Surgery, Inc.|Endoscopic ablation system with a distally mounted image sensor|

DE10121305A1|2001-05-02|2002-12-12|Ethicon Endo Surgery Europe|Surgical instrument|

US6656193B2|2001-05-07|2003-12-02|Ethicon Endo-Surgery, Inc.|Device for attachment of buttress material to a surgical fastening device|

JP4339678B2|2001-06-07|2009-10-07|カルテンバッハウントフォークトゲーエムベーハーウントコンパニーカーゲー|Medical or dental equipment, supply device for supplying a medium to medical or dental equipment, and maintenance device for medical or dental equipment|

DE20121753U1|2001-06-15|2003-04-17|Bema Gmbh & Co Kg Endochirurgi|Handle for a surgical instrument comprises a locking device having a sliding element attached to one handle part and axially moving in a clamping housing attached to the other handle part|

CN103065025A|2001-06-20|2013-04-24|柯惠Lp公司|Method and system for integrated medical tracking|

CN2488482Y|2001-07-05|2002-05-01|天津市华志计算机应用有限公司|Joint locking mechanism for mechanical arm|

DE20112837U1|2001-08-02|2001-10-04|Aesculap Ag & Co Kg|Forceps or tweezers shaped surgical instrument|

DE60216676T2|2001-08-07|2007-10-04|Universitair Medisch Centrum Utrecht|Device for connecting a surgical device with a stable base|

EP2305143B1|2001-08-08|2016-11-09|Stryker Corporation|Motorized surgical handpiece that drives a cutting accessory and that includes a coil for reading data from the accessory|

DE10139153A1|2001-08-09|2003-02-27|Ingo F Herrmann|Disposable endoscope sheath|

US6569085B2|2001-08-16|2003-05-27|Syntheon, Llc|Methods and apparatus for delivering a medical instrument over an endoscope while the endoscope is in a body lumen|

DE60239778D1|2001-08-27|2011-06-01|Gyrus Medical Ltd|Electrosurgical device|

WO2004078051A2|2001-08-27|2004-09-16|Gyrus Medial Limited|Electrosurgical system|

US7282048B2|2001-08-27|2007-10-16|Gyrus Medical Limited|Electrosurgical generator and system|

AT374580T|2003-03-05|2007-10-15|Gyrus Medical Ltd|ELECTRO-SURGICAL GENERATOR AND SYSTEM|

US6629988B2|2001-08-28|2003-10-07|Ethicon, Inc.|Composite staple for completing an anastomosis|

NL1018874C2|2001-09-03|2003-03-05|Michel Petronella Hub Vleugels|Surgical instrument.|

GB2379878B|2001-09-21|2004-11-10|Gyrus Medical Ltd|Electrosurgical system and method|

EP2962645B1|2001-10-05|2020-08-12|Covidien LP|Surgical stapling device|

WO2003079909A2|2002-03-19|2003-10-02|Tyco Healthcare Group, Lp|Surgical fastener applying apparatus|

FR2831417B1|2001-10-30|2004-08-06|Eurosurgical|SURGICAL INSTRUMENT|

JP2003164066A|2001-11-21|2003-06-06|Hitachi Koki Co Ltd|Battery pack|

US7695485B2|2001-11-30|2010-04-13|Power Medical Interventions, Llc|Surgical device|

US20050090837A1|2003-03-25|2005-04-28|Sixto Robert Jr.|Endoscopic surgical instrument having a force limiting actuator|

RU2225170C2|2001-12-25|2004-03-10|Дубровский Аркадий Вениаминович|Instrument having rotation device|

JP4313205B2|2001-12-27|2009-08-12|ジラスメディカルリミティド|Surgical instruments|

US6602252B2|2002-01-03|2003-08-05|Starion Instruments Corporation|Combined dissecting, cauterizing, and stapling device|

US8016855B2|2002-01-08|2011-09-13|Tyco Healthcare Group Lp|Surgical device|

US7199537B2|2002-01-16|2007-04-03|Toyota Jidosha Kabushiki Kaisha|Voltage converter control apparatus, and method|

ES2361151T3|2002-01-30|2011-06-14|Tyco Healthcare Group Lp|SURGICAL DEVICE FOR IMAGE FORMATION.|

AU2003211376A1|2002-02-20|2003-09-09|New X-National Technology K.K.|Drug administration method|

US7247161B2|2002-03-22|2007-07-24|Gyrus Ent L.L.C.|Powered surgical apparatus, method of manufacturing powered surgical apparatus, and method of using powered surgical apparatus|

US7128748B2|2002-03-26|2006-10-31|Synovis Life Technologies, Inc.|Circular stapler buttress combination|

AU2003226050A1|2002-04-11|2003-10-27|Tyco Healthcare Group, Lp|Surgical stapling apparatus including an anvil and cartridge each having cooperating mating surfaces|

EP2404555B1|2002-04-16|2017-03-15|Covidien LP|Surgical stapler and method|

JP4431404B2|2002-04-25|2010-03-17|タイコヘルスケアグループエルピー|Surgical instruments including microelectromechanical systems |

CA2485107C|2002-05-10|2011-07-12|Tyco Healthcare Group Lp|Surgical stapling apparatus having a wound closure material applicator assembly|

EP1503674B1|2002-05-10|2006-08-23|Tyco Healthcare Group Lp|Electrosurgical stapling apparatus|

EP2289429B1|2002-05-10|2015-06-17|Covidien LP|Surgical stapling apparatus having a wound closure material applicator assembly|

WO2003094747A1|2002-05-13|2003-11-20|Tyco Healthcare Group, Lp|Surgical stapler and disposable loading unit having different size staples|

US7967839B2|2002-05-20|2011-06-28|Rocky Mountain Biosystems, Inc.|Electromagnetic treatment of tissues and cells|

EP1515651B1|2002-06-14|2006-12-06|Power Medical Interventions, Inc.|Device for clamping, cutting, and stapling tissue|

US7744627B2|2002-06-17|2010-06-29|Tyco Healthcare Group Lp|Annular support structures|

GB2390024B|2002-06-27|2005-09-21|Gyrus Medical Ltd|Electrosurgical system|

US7699856B2|2002-06-27|2010-04-20|Van Wyk Robert A|Method, apparatus, and kit for thermal suture cutting|

WO2004006980A2|2002-07-11|2004-01-22|Sightline Technologies Ltd.|Piston-actuated endoscopic steering system|

WO2004011037A2|2002-07-31|2004-02-05|Tyco Heathcare Group, Lp|Tool member cover and cover deployment device|

EP1531750B1|2002-08-28|2014-08-27|Heribert Schmid|Dental treatment system|

EP1542578B1|2002-09-06|2012-03-21|C.R. Bard, Inc.|External endoscopic accessory control system|

US7001408B2|2002-09-20|2006-02-21|Ethicon Endo-Surgery,Inc.|Surgical device with expandable member|

US20060235368A1|2002-09-30|2006-10-19|Sightline Technologies Ltd.|Piston-actuated endoscopic tool|

US7326203B2|2002-09-30|2008-02-05|Depuy Acromed, Inc.|Device for advancing a functional element through tissue|

JP4049217B2|2002-10-02|2008-02-20|イーメックス株式会社|Conductive polymer molded article and apparatus using laminate|

ES2310876T3|2002-10-04|2009-01-16|Tyco Healthcare Group Lp|SURGICAL STAPLER WITH UNIVERSAL ARTICULATION AND DEVICE FOR PREVIOUS FASTENING OF THE FABRIC.|

US7617961B2|2002-10-04|2009-11-17|Tyco Healthcare Group Lp|Tool assembly for surgical stapling device|

ES2380101T3|2002-10-04|2012-05-08|Tyco Healthcare Group Lp|Instrument set for a surgical stapling device.|

AU2003279151A1|2002-10-04|2004-05-04|Tyco Healthcare Group, Lp|Pneumatic powered surgical stapling device|

GB0223348D0|2002-10-08|2002-11-13|Gyrus Medical Ltd|A surgical instrument|

US6958035B2|2002-10-15|2005-10-25|Dusa Pharmaceuticals, Inc|Medical device sheath apparatus and method of making and using same|

US20090149871A9|2002-11-01|2009-06-11|Jonathan Kagan|Devices and methods for treating morbid obesity|

CN1486667A|2002-11-22|2004-04-07| |Endoscope system with disposable sheath|

DE10257760A1|2002-11-26|2004-06-17|Stefan Koscher|Surgical instrument|

US20040102783A1|2002-11-27|2004-05-27|Sutterlin Chester E.|Powered Kerrison-like Rongeur system|

WO2004058079A2|2002-12-17|2004-07-15|Applied Medical Resources Corporation|Surgical staple-clip and applier|

US20040147909A1|2002-12-20|2004-07-29|Gyrus Ent L.L.C.|Surgical instrument|

GB0230055D0|2002-12-23|2003-01-29|Gyrus Medical Ltd|Electrosurgical method and apparatus|

CN1323649C|2003-01-09|2007-07-04|盖拉斯医疗有限公司|An electrosurgical generator|

US20040225186A1|2003-01-29|2004-11-11|Horne Guy E.|Composite flexible endoscope insertion shaft with tubular substructure|

EP1593337B1|2003-02-11|2008-08-13|Olympus Corporation|Overtube|

CN100442622C|2003-02-18|2008-12-10|美商波特-凯博公司|Over current protective amperage control for battery of electric tool|

FR2851451B1|2003-02-24|2005-05-20|Sofradim Production|DEVICE FOR LIGATURING ANATOMICAL STRUCTURE|

CA2519461C|2003-03-26|2012-05-29|Tyco Healthcare Group Lp|Energy stored in spring with controlled release|

DE10314072B4|2003-03-28|2009-01-15|Aesculap Ag|Surgical instrument|

DE10324844A1|2003-04-01|2004-12-23|Tuebingen Scientific Surgical Products Gmbh|Surgical instrument with instrument handle and zero point adjustment|

JP2006525087A|2003-04-25|2006-11-09|アプライドメディカルリソーシーズコーポレイション|Steerable torsion-proof sheath member|

US20040243151A1|2003-04-29|2004-12-02|Demmy Todd L.|Surgical stapling device with dissecting tip|

JP4391762B2|2003-05-08|2009-12-24|オリンパス株式会社|Surgical instrument|

EP1624811B1|2003-05-09|2007-02-21|Tyco Healthcare Group Lp|Anastomotic staple with fluid dispensing capillary|

US6978921B2|2003-05-20|2005-12-27|Ethicon Endo-Surgery, Inc.|Surgical stapling instrument incorporating an E-beam firing mechanism|

US7380696B2|2003-05-20|2008-06-03|Ethicon Endo-Surgery, Inc.|Articulating surgical stapling instrument incorporating a two-piece E-beam firing mechanism|

US7044352B2|2003-05-20|2006-05-16|Ethicon Endo-Surgery, Inc.|Surgical stapling instrument having a single lockout mechanism for prevention of firing|

US20070084897A1|2003-05-20|2007-04-19|Shelton Frederick E Iv|Articulating surgical stapling instrument incorporating a two-piece e-beam firing mechanism|

US6988649B2|2003-05-20|2006-01-24|Ethicon Endo-Surgery, Inc.|Surgical stapling instrument having a spent cartridge lockout|

US9060770B2|2003-05-20|2015-06-23|Ethicon Endo-Surgery, Inc.|Robotically-driven surgical instrument with E-beam driver|

US7143923B2|2003-05-20|2006-12-05|Ethicon Endo-Surgery, Inc.|Surgical stapling instrument having a firing lockout for an unclosed anvil|

JP3521910B1|2003-05-29|2004-04-26|清輝司馬|External forceps channel device for endoscope|

US7159750B2|2003-06-17|2007-01-09|Tyco Healtcare Group Lp|Surgical stapling device|

US20070093869A1|2003-06-20|2007-04-26|Medtronic Vascular, Inc.|Device, system, and method for contracting tissue in a mammalian body|

US6786382B1|2003-07-09|2004-09-07|Ethicon Endo-Surgery, Inc.|Surgical stapling instrument incorporating an articulation joint for a firing bar track|

US7213736B2|2003-07-09|2007-05-08|Ethicon Endo-Surgery, Inc.|Surgical stapling instrument incorporating an electroactive polymer actuated firing bar track through an articulation joint|

US7055731B2|2003-07-09|2006-06-06|Ethicon Endo-Surgery Inc.|Surgical stapling instrument incorporating a tapered firing bar for increased flexibility around the articulation joint|

US6981628B2|2003-07-09|2006-01-03|Ethicon Endo-Surgery, Inc.|Surgical instrument with a lateral-moving articulation control|

PT1647286E|2003-07-17|2010-11-30|Gunze Kk|Stitching reinforcement material for automatic stitching device|

US7470276B2|2003-08-19|2008-12-30|Fung-Chao Tu|Multifunctional forceps set and loop ligature co-used therewith|

US7547312B2|2003-09-17|2009-06-16|Gore Enterprise Holdings, Inc.|Circular stapler buttress|

US6959852B2|2003-09-29|2005-11-01|Ethicon Endo-Surgery, Inc.|Surgical stapling instrument with multistroke firing incorporating an anti-backup mechanism|

US7303108B2|2003-09-29|2007-12-04|Ethicon Endo-Surgery, Inc.|Surgical stapling instrument incorporating a multi-stroke firing mechanism with a flexible rack|

US7434715B2|2003-09-29|2008-10-14|Ethicon Endo-Surgery, Inc.|Surgical stapling instrument having multistroke firing with opening lockout|

US6905057B2|2003-09-29|2005-06-14|Ethicon Endo-Surgery, Inc.|Surgical stapling instrument incorporating a firing mechanism having a linked rack transmission|

US7000819B2|2003-09-29|2006-02-21|Ethicon Endo-Surgery, Inc.|Surgical stapling instrument having multistroke firing incorporating a traction-biased ratcheting mechanism|

US20050070929A1|2003-09-30|2005-03-31|Dalessandro David A.|Apparatus and method for attaching a surgical buttress to a stapling apparatus|

CA2542532C|2003-10-17|2012-08-14|Tyco Healthcare Group, Lp|Surgical stapling device with independent tip rotation|

US7296722B2|2003-10-17|2007-11-20|Tyco Healthcare Group Lp|Surgical fastener applying apparatus with controlled beam deflection|

US7147650B2|2003-10-30|2006-12-12|Woojin Lee|Surgical instrument|

JP2005131173A|2003-10-31|2005-05-26|Olympus Corp|Externally mounted channel for endoscope|

JP2005131212A|2003-10-31|2005-05-26|Olympus Corp|External channel for endoscope and endoscope device|

JP2005131164A|2003-10-31|2005-05-26|Olympus Corp|External channel for endoscope|

JP2005131211A|2003-10-31|2005-05-26|Olympus Corp|Externally mounted channel for endoscope|

JP2005131163A|2003-10-31|2005-05-26|Olympus Corp|External channel for endoscope|

JP2005137423A|2003-11-04|2005-06-02|Olympus Corp|External channel for endoscope and branch member for external channel|

DE10353846A1|2003-11-18|2005-06-16|Maquet Gmbh & Co. Kg|Method of preparation of equipment intended for the performance of medical or surgical procedures|

JP4594612B2|2003-11-27|2010-12-08|オリンパス株式会社|Insertion aid|

GB2408936B|2003-12-09|2007-07-18|Gyrus Group Plc|A surgical instrument|

CN1634601A|2003-12-26|2005-07-06|吉林省中立实业有限公司|Method for sterilizing medical appliance|

US20050139636A1|2003-12-30|2005-06-30|Schwemberger Richard F.|Replaceable cartridge module for a surgical stapling and cutting instrument|

US20050143759A1|2003-12-30|2005-06-30|Kelly William D.|Curved cutter stapler shaped for male pelvis|

US7147139B2|2003-12-30|2006-12-12|Ethicon Endo-Surgery, Inc|Closure plate lockout for a curved cutter stapler|

US6995729B2|2004-01-09|2006-02-07|Biosense Webster, Inc.|Transponder with overlapping coil antennas on a common core|

US7204835B2|2004-02-02|2007-04-17|Gyrus Medical, Inc.|Surgical instrument|

GB0403020D0|2004-02-11|2004-03-17|Pa Consulting Services|Portable charging device|

GB2429651C|2004-02-17|2009-03-25|Cook Biotech Inc|Medical devices and methods useful for applying bolster material|

US8046049B2|2004-02-23|2011-10-25|Biosense Webster, Inc.|Robotically guided catheter|

JP2005279253A|2004-03-02|2005-10-13|Olympus Corp|Endoscope|

CA2562096A1|2004-05-03|2005-11-24|Ams Research Corporation|Surgical implants and related methods|

US7736374B2|2004-05-07|2010-06-15|Usgi Medical, Inc.|Tissue manipulation and securement system|

US8333764B2|2004-05-12|2012-12-18|Medtronic, Inc.|Device and method for determining tissue thickness and creating cardiac ablation lesions|

ES2639027T3|2004-05-14|2017-10-25|Ethicon Llc|Suture devices|

GB2414185A|2004-05-20|2005-11-23|Gyrus Medical Ltd|Morcellating device using cutting electrodes on end-face of tube|

GB2415140A|2004-06-18|2005-12-21|Gyrus Medical Ltd|A surgical instrument|

US7059508B2|2004-06-30|2006-06-13|Ethicon Endo-Surgery, Inc.|Surgical stapling instrument incorporating an uneven multistroke firing mechanism having a rotary transmission|

US7143925B2|2004-07-28|2006-12-05|Ethicon Endo-Surgery, Inc.|Surgical instrument incorporating EAP blocking lockout mechanism|

US7784663B2|2005-03-17|2010-08-31|Ethicon Endo-Surgery, Inc.|Surgical stapling instrument having load sensing control circuitry|

AU2005203213C1|2004-07-28|2012-07-05|Ethicon Endo-Surgery, Inc.|Surgical stapling instrument having an electroactive polymer actuated medical substance dispenser|

US7506790B2|2004-07-28|2009-03-24|Ethicon Endo-Surgery, Inc.|Surgical instrument incorporating an electrically actuated articulation mechanism|

US8317074B2|2004-07-28|2012-11-27|Ethicon Endo-Surgery, Inc.|Electroactive polymer-based articulation mechanism for circular stapler|

US8215531B2|2004-07-28|2012-07-10|Ethicon Endo-Surgery, Inc.|Surgical stapling instrument having a medical substance dispenser|

US8905977B2|2004-07-28|2014-12-09|Ethicon Endo-Surgery, Inc.|Surgical stapling instrument having an electroactive polymer actuated medical substance dispenser|

AU2006222753B2|2005-09-30|2012-09-27|Ethicon Endo-Surgery, Inc.|Electroactive polymer-based actuation mechanism for linear surgical stapler|

US7147138B2|2004-07-28|2006-12-12|Ethicon Endo-Surgery, Inc.|Surgical stapling instrument having an electroactive polymer actuated buttress deployment mechanism|

WO2006023486A1|2004-08-19|2006-03-02|Tyco Healthcare Group, Lp|Water-swellable copolymers and articles and coating made therefrom|

US7128254B2|2004-09-07|2006-10-31|Ethicon Endo-Surgery, Inc.|Surgical stapling instrument incorporating a multistroke firing mechanism having a rotary slip-clutch transmission|

JP4879900B2|2004-09-10|2012-02-22|エシコン・エンド−サージェリィ・インコーポレイテッド|Surgical stapling instrument|

WO2006044581A2|2004-10-13|2006-04-27|Medtronic, Inc.|Single-use transurethral needle ablation device|

ES2748926T3|2004-10-18|2020-03-18|Covidien Lp|Surgical fixings coated with wound treatment materials|

US7717313B2|2004-10-18|2010-05-18|Tyco Healthcare Group Lp|Surgical apparatus and structure for applying sprayable wound treatment material|

ES2389208T3|2004-10-18|2012-10-24|Tyco Healthcare Group Lp|Annular adhesive structure|

GB0425051D0|2004-11-12|2004-12-15|Gyrus Medical Ltd|Electrosurgical generator and system|

GB0426648D0|2004-12-03|2005-01-05|Gyrus Medical Ltd|An electrosurgical generator|

EP1847225B1|2005-01-26|2011-12-21|Suzhou Touchstone International Medical Science Co., Ltd.|Surgical stapler having a stapling head with a rotatable cutter|

US20060173470A1|2005-01-31|2006-08-03|Oray B N|Surgical fastener buttress material|

US7143926B2|2005-02-07|2006-12-05|Ethicon Endo-Surgery, Inc.|Surgical stapling instrument incorporating a multi-stroke firing mechanism with return spring rotary manual retraction system|

US7559452B2|2005-02-18|2009-07-14|Ethicon Endo-Surgery, Inc.|Surgical instrument having fluid actuated opposing jaws|

US7559450B2|2005-02-18|2009-07-14|Ethicon Endo-Surgery, Inc.|Surgical instrument incorporating a fluid transfer controlled articulation mechanism|

US7780054B2|2005-02-18|2010-08-24|Ethicon Endo-Surgery, Inc.|Surgical instrument with laterally moved shaft actuator coupled to pivoting articulation joint|

US7699846B2|2005-03-04|2010-04-20|Gyrus Ent L.L.C.|Surgical instrument and method|

US7674263B2|2005-03-04|2010-03-09|Gyrus Ent, L.L.C.|Surgical instrument and method|

US7942890B2|2005-03-15|2011-05-17|Tyco Healthcare Group Lp|Anastomosis composite gasket|

JP4857585B2|2005-04-04|2012-01-18|日立工機株式会社|Cordless power tool|

US7842028B2|2005-04-14|2010-11-30|Cambridge Endoscopic Devices, Inc.|Surgical instrument guide device|

US7837694B2|2005-04-28|2010-11-23|Warsaw Orthopedic, Inc.|Method and apparatus for surgical instrument identification|

DE102005020377B4|2005-05-02|2021-08-12|Robert Bosch Gmbh|Method for operating an electric machine tool|

WO2006125940A1|2005-05-25|2006-11-30|Gyrus Medical, Inc.|A surgical instrument|

US20060291981A1|2005-06-02|2006-12-28|Viola Frank J|Expandable backspan staple|

AU2006255303B2|2005-06-03|2011-12-15|Covidien Lp|Battery powered surgical instrument|

US7717312B2|2005-06-03|2010-05-18|Tyco Healthcare Group Lp|Surgical instruments employing sensors|

AU2006344427B2|2005-06-03|2012-03-01|Covidien Lp|Surgical stapler with timer and feedback display|

EP1919376B1|2005-06-28|2010-07-21|Stryker Corporation|Powered surgical tool with control module that contains a sensor for remotely monitoring the tool power generating unit|

US7959050B2|2005-07-26|2011-06-14|Ethicon Endo-Surgery, Inc|Electrically self-powered surgical instrument with manual release|

US8241322B2|2005-07-27|2012-08-14|Tyco Healthcare Group Lp|Surgical device|

US7641092B2|2005-08-05|2010-01-05|Ethicon Endo - Surgery, Inc.|Swing gate for device lockout in a curved cutter stapler|

US7407075B2|2005-08-15|2008-08-05|Tyco Healthcare Group Lp|Staple cartridge having multiple staple sizes for a surgical stapling instrument|

US7401721B2|2005-08-15|2008-07-22|Tyco Healthcare Group Lp|Surgical stapling instruments including a cartridge having multiple staple sizes|

US7669746B2|2005-08-31|2010-03-02|Ethicon Endo-Surgery, Inc.|Staple cartridges for forming staples having differing formed staple heights|

US7500979B2|2005-08-31|2009-03-10|Ethicon Endo-Surgery, Inc.|Surgical stapling device with multiple stacked actuator wedge cams for driving staple drivers|

US7934630B2|2005-08-31|2011-05-03|Ethicon Endo-Surgery, Inc.|Staple cartridges for forming staples having differing formed staple heights|

US8800838B2|2005-08-31|2014-08-12|Ethicon Endo-Surgery, Inc.|Robotically-controlled cable-based surgical end effectors|

US9237891B2|2005-08-31|2016-01-19|Ethicon Endo-Surgery, Inc.|Robotically-controlled surgical stapling devices that produce formed staples having different lengths|

US20070194082A1|2005-08-31|2007-08-23|Morgan Jerome R|Surgical stapling device with anvil having staple forming pockets of varying depths|

US20070051375A1|2005-09-06|2007-03-08|Milliman Keith L|Instrument introducer|

US7407078B2|2005-09-21|2008-08-05|Ehthicon Endo-Surgery, Inc.|Surgical stapling instrument having force controlled spacing end effector|

US7467740B2|2005-09-21|2008-12-23|Ethicon Endo-Surgery, Inc.|Surgical stapling instruments having flexible channel and anvil features for adjustable staple heights|

EP1767163A1|2005-09-22|2007-03-28|Sherwood Services AG|Bipolar forceps with multiple electrode array end effector assembly|

US7357287B2|2005-09-29|2008-04-15|Ethicon Endo-Surgery, Inc.|Surgical stapling instrument having preloaded firing assistance mechanism|

EP1780825B1|2005-10-31|2018-08-29|Black & Decker, Inc.|Battery pack and internal component arrangement within the battery pack for cordless power tool system|

US7328828B2|2005-11-04|2008-02-12|Ethicon Endo-Surgery, Inc,|Lockout mechanisms and surgical instruments including same|

US7607557B2|2005-11-04|2009-10-27|Ethicon Endo-Surgery, Inc.|Surgical stapling instruments structured for pump-assisted delivery of medical agents|

US20070102472A1|2005-11-04|2007-05-10|Ethicon Endo-Surgery, Inc.|Electrosurgical stapling instrument with disposable severing / stapling unit|

US7673783B2|2005-11-04|2010-03-09|Ethicon Endo-Surgery, Inc.|Surgical stapling instruments structured for delivery of medical agents|

US20070106317A1|2005-11-09|2007-05-10|Shelton Frederick E Iv|Hydraulically and electrically actuated articulation joints for surgical instruments|

US7673780B2|2005-11-09|2010-03-09|Ethicon Endo-Surgery, Inc.|Articulation joint with improved moment arm extension for articulating an end effector of a surgical instrument|

US7799039B2|2005-11-09|2010-09-21|Ethicon Endo-Surgery, Inc.|Surgical instrument having a hydraulically actuated end effector|

US7354447B2|2005-11-10|2008-04-08|Ethicon Endo-Surgery, Inc.|Disposable loading unit and surgical instruments including same|

US7651017B2|2005-11-23|2010-01-26|Ethicon Endo-Surgery, Inc.|Surgical stapler with a bendable end effector|

US7670334B2|2006-01-10|2010-03-02|Ethicon Endo-Surgery, Inc.|Surgical instrument having an articulating end effector|

US8186555B2|2006-01-31|2012-05-29|Ethicon Endo-Surgery, Inc.|Motor-driven surgical cutting and fastening instrument with mechanical closure system|

US7766210B2|2006-01-31|2010-08-03|Ethicon Endo-Surgery, Inc.|Motor-driven surgical cutting and fastening instrument with user feedback system|

US7464849B2|2006-01-31|2008-12-16|Ethicon Endo-Surgery, Inc.|Electro-mechanical surgical instrument with closure system and anvil alignment components|

US8708213B2|2006-01-31|2014-04-29|Ethicon Endo-Surgery, Inc.|Surgical instrument having a feedback system|

US7416101B2|2006-01-31|2008-08-26|Ethicon Endo-Surgery, Inc.|Motor-driven surgical cutting and fastening instrument with loading force feedback|

US7770775B2|2006-01-31|2010-08-10|Ethicon Endo-Surgery, Inc.|Motor-driven surgical cutting and fastening instrument with adaptive user feedback|

US20120292367A1|2006-01-31|2012-11-22|Ethicon Endo-Surgery, Inc.|Robotically-controlled end effector|

US7464846B2|2006-01-31|2008-12-16|Ethicon Endo-Surgery, Inc.|Surgical instrument having a removable battery|

US7422139B2|2006-01-31|2008-09-09|Ethicon Endo-Surgery, Inc.|Motor-driven surgical cutting fastening instrument with tactile position feedback|

US20070175951A1|2006-01-31|2007-08-02|Shelton Frederick E Iv|Gearing selector for a powered surgical cutting and fastening instrument|

US20070175955A1|2006-01-31|2007-08-02|Shelton Frederick E Iv|Surgical cutting and fastening instrument with closure trigger locking mechanism|

US7644848B2|2006-01-31|2010-01-12|Ethicon Endo-Surgery, Inc.|Electronic lockouts and surgical instrument including same|

US20110295295A1|2006-01-31|2011-12-01|Ethicon Endo-Surgery, Inc.|Robotically-controlled surgical instrument having recording capabilities|

US7568603B2|2006-01-31|2009-08-04|Ethicon Endo-Surgery, Inc.|Motor-driven surgical cutting and fastening instrument with articulatable end effector|

US7845537B2|2006-01-31|2010-12-07|Ethicon Endo-Surgery, Inc.|Surgical instrument having recording capabilities|

US20070175950A1|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|

US8161977B2|2006-01-31|2012-04-24|Ethicon Endo-Surgery, Inc.|Accessing data stored in a memory of a surgical instrument|

US7753904B2|2006-01-31|2010-07-13|Ethicon Endo-Surgery, Inc.|Endoscopic surgical instrument with a handle that can articulate with respect to the shaft|

US9629626B2|2006-02-02|2017-04-25|Covidien Lp|Mechanically tuned buttress material to assist with proper formation of surgical element in diseased tissue|

WO2007098220A2|2006-02-20|2007-08-30|Black & Decker Inc.|Dc motor with dual commutator bar set and selectable series and parallel connected coils|

US20070225562A1|2006-03-23|2007-09-27|Ethicon Endo-Surgery, Inc.|Articulating endoscopic accessory channel|

US8992422B2|2006-03-23|2015-03-31|Ethicon Endo-Surgery, Inc.|Robotically-controlled endoscopic accessory channel|

US9675375B2|2006-03-29|2017-06-13|Ethicon Llc|Ultrasonic surgical system and method|

US20070246505A1|2006-04-24|2007-10-25|Medical Ventures Inc.|Surgical buttress assemblies and methods of uses thereof|

EP2015681B1|2006-05-03|2018-03-28|Datascope Corp.|Tissue closure device|

EP2486872A3|2006-05-19|2013-03-06|Ethicon Endo-Surgery, Inc.|Surgical instrument and method for post-termination braking of a motor in an electrically powered surgical instrument|

US8105350B2|2006-05-23|2012-01-31|Cambridge Endoscopic Devices, Inc.|Surgical instrument|

US20070276409A1|2006-05-25|2007-11-29|Ethicon Endo-Surgery, Inc.|Endoscopic gastric restriction methods and devices|

CA2653354A1|2006-06-01|2007-12-06|Mor Research Applications Ltd.|Membrane augmentation, such as of for treatment of cardiac valves, and fastening devices for membrane augmentation|

US7530984B2|2006-06-05|2009-05-12|Medigus Ltd.|Transgastric method for carrying out a partial fundoplication|

DE202007003114U1|2006-06-13|2007-06-21|Olympus Winter & Ibe Gmbh|Medical forceps has a removable tool that fits into a retaining sleeve that has a snap action element that prevents rotation|

EP2049037B1|2006-06-21|2010-03-17|Rudolf Steffen|Device for introducing and positioning surgical instruments|

US8322455B2|2006-06-27|2012-12-04|Ethicon Endo-Surgery, Inc.|Manually driven surgical cutting and fastening instrument|

US7441684B2|2006-08-02|2008-10-28|Ethicon Endo-Surgery, Inc.|Pneumatically powered surgical cutting and fastening instrument with audible and visual feedback features|

US7740159B2|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|

US20080029574A1|2006-08-02|2008-02-07|Shelton Frederick E|Pneumatically powered surgical cutting and fastening instrument with actuator at distal end|

JP5334850B2|2006-08-09|2013-11-06|コヒーレックスメディカルインコーポレイテッド|Method, system and apparatus for reducing internal tissue pore size|

US8794496B2|2006-09-11|2014-08-05|Covidien Lp|Rotating knob locking mechanism for surgical stapling device|

US20100133317A1|2006-09-29|2010-06-03|Shelton Iv Frederick E|Motor-Driven Surgical Cutting And Fastening Instrument with Tactile Position Feedback|

US8360297B2|2006-09-29|2013-01-29|Ethicon Endo-Surgery, Inc.|Surgical cutting and stapling instrument with self adjusting anvil|

US8708210B2|2006-10-05|2014-04-29|Covidien Lp|Method and force-limiting handle mechanism for a surgical instrument|

US20080086078A1|2006-10-06|2008-04-10|Powell Darrel M|Devices for reduction of post operative ileus|

US8608043B2|2006-10-06|2013-12-17|Covidien Lp|Surgical instrument having a multi-layered drive beam|

US8028883B2|2006-10-26|2011-10-04|Tyco Healthcare Group Lp|Methods of using shape memory alloys for buttress attachment|

US8114100B2|2006-12-06|2012-02-14|Ethicon Endo-Surgery, Inc.|Safety fastener for tissue apposition|

US7434716B2|2006-12-21|2008-10-14|Tyco Healthcare Group Lp|Staple driver for articulating surgical stapler|

US7738971B2|2007-01-10|2010-06-15|Ethicon Endo-Surgery, Inc.|Post-sterilization programming of surgical instruments|

US7900805B2|2007-01-10|2011-03-08|Ethicon Endo-Surgery, Inc.|Surgical instrument with enhanced battery performance|

US8459520B2|2007-01-10|2013-06-11|Ethicon Endo-Surgery, Inc.|Surgical instrument with wireless communication between control unit and remote sensor|

US20110174861A1|2007-01-10|2011-07-21|Shelton Iv Frederick E|Surgical Instrument With Wireless Communication Between Control Unit and Remote Sensor|

US8652120B2|2007-01-10|2014-02-18|Ethicon Endo-Surgery, Inc.|Surgical instrument with wireless communication between control unit and sensor transponders|

US8684253B2|2007-01-10|2014-04-01|Ethicon Endo-Surgery, Inc.|Surgical instrument with wireless communication between a control unit of a robotic system and remote sensor|

US7954682B2|2007-01-10|2011-06-07|Ethicon Endo-Surgery, Inc.|Surgical instrument with elements to communicate between control unit and end effector|

US7721936B2|2007-01-10|2010-05-25|Ethicon Endo-Surgery, Inc.|Interlock and surgical instrument including same|

US7721931B2|2007-01-10|2010-05-25|Ethicon Endo-Surgery, Inc.|Prevention of cartridge reuse in a surgical instrument|

US20080169328A1|2007-01-11|2008-07-17|Shelton Frederick E|Buttress material for use with a surgical stapler|

US8540128B2|2007-01-11|2013-09-24|Ethicon Endo-Surgery, Inc.|Surgical stapling device with a curved end effector|

WO2008089404A2|2007-01-19|2008-07-24|Synovis Life Technologies, Inc.|Circular stapler anvil introducer|

US20080200762A1|2007-02-16|2008-08-21|Stokes Michael J|Flexible endoscope shapelock|

US20080208324A1|2007-02-23|2008-08-28|Glithero Jason I|Method and apparatus for occluding an anatomical structure|

ES2606949T3|2007-03-06|2017-03-28|Covidien Lp|Surgical stapling device|

US8011555B2|2007-03-06|2011-09-06|Tyco Healthcare Group Lp|Surgical stapling apparatus|

US7735703B2|2007-03-15|2010-06-15|Ethicon Endo-Surgery, Inc.|Re-loadable surgical stapling instrument|

US7422136B1|2007-03-15|2008-09-09|Tyco Healthcare Group Lp|Powered surgical stapling device|

US8056787B2|2007-03-28|2011-11-15|Ethicon Endo-Surgery, Inc.|Surgical stapling and cutting instrument with travel-indicating retraction member|

US8893946B2|2007-03-28|2014-11-25|Ethicon Endo-Surgery, Inc.|Laparoscopic tissue thickness and clamp load measuring devices|

US7490749B2|2007-03-28|2009-02-17|Ethicon Endo-Surgery, Inc.|Surgical stapling and cutting instrument with manually retractable firing member|

WO2008124748A1|2007-04-09|2008-10-16|Adrian Edward Park|Frame device|

US7950560B2|2007-04-13|2011-05-31|Tyco Healthcare Group Lp|Powered surgical instrument|

JP4348714B2|2007-05-10|2009-10-21|シャープ株式会社|Data transmission system and data transmission method|

US7931660B2|2007-05-10|2011-04-26|Tyco Healthcare Group Lp|Powered tacker instrument|

US9545258B2|2007-05-17|2017-01-17|Boston Scientific Scimed, Inc.|Tissue aperture securing and sealing apparatuses and related methods of use|

US8038045B2|2007-05-25|2011-10-18|Tyco Healthcare Group Lp|Staple buttress retention system|

US7810693B2|2007-05-30|2010-10-12|Ethicon Endo-Surgery, Inc.|Surgical stapling and cutting instrument with articulatable end effector|

US7798386B2|2007-05-30|2010-09-21|Ethicon Endo-Surgery, Inc.|Surgical instrument articulation joint cover|

US8157145B2|2007-05-31|2012-04-17|Ethicon Endo-Surgery, Inc.|Pneumatically powered surgical cutting and fastening instrument with electrical feedback|

US20080296346A1|2007-05-31|2008-12-04|Shelton Iv Frederick E|Pneumatically powered surgical cutting and fastening instrument with electrical control and recording mechanisms|

US7832408B2|2007-06-04|2010-11-16|Ethicon Endo-Surgery, Inc.|Surgical instrument having a directional switching mechanism|

US7819299B2|2007-06-04|2010-10-26|Ethicon Endo-Surgery, Inc.|Surgical instrument having a common trigger for actuating an end effector closing system and a staple firing system|

US8931682B2|2007-06-04|2015-01-13|Ethicon Endo-Surgery, Inc.|Robotically-controlled shaft based rotary drive systems for surgical instruments|

US7905380B2|2007-06-04|2011-03-15|Ethicon Endo-Surgery, Inc.|Surgical instrument having a multiple rate directional switching mechanism|

US7731072B2|2007-06-18|2010-06-08|Ethicon Endo-Surgery, Inc.|Surgical stapling and cutting instrument with improved anvil opening features|

US7665646B2|2007-06-18|2010-02-23|Tyco Healthcare Group Lp|Interlocking buttress material retention system|

US8308040B2|2007-06-22|2012-11-13|Ethicon Endo-Surgery, Inc.|Surgical stapling instrument with an articulatable end effector|

US7658311B2|2007-06-22|2010-02-09|Ethicon Endo-Surgery, Inc.|Surgical stapling instrument with a geared return mechanism|

US7597229B2|2007-06-22|2009-10-06|Ethicon Endo-Surgery, Inc.|End effector closure system for a surgical stapling instrument|

US7549564B2|2007-06-22|2009-06-23|Ethicon Endo-Surgery, Inc.|Surgical stapling instrument with an articulating end effector|

US7753245B2|2007-06-22|2010-07-13|Ethicon Endo-Surgery, Inc.|Surgical stapling instruments|

US7441685B1|2007-06-22|2008-10-28|Ethicon Endo-Surgery, Inc.|Surgical stapling instrument with a return mechanism|

US7604150B2|2007-06-22|2009-10-20|Ethicon Endo-Surgery, Inc.|Surgical stapling instrument with an anti-back up mechanism|

US7845533B2|2007-06-22|2010-12-07|Tyco Healthcare Group Lp|Detachable buttress material retention systems for use with a surgical stapling device|

US8062330B2|2007-06-27|2011-11-22|Tyco Healthcare Group Lp|Buttress and surgical stapling apparatus|

CA2695619C|2007-08-15|2015-11-24|Board Of Regents Of The University Of Nebraska|Modular and cooperative medical devices and related systems and methods|

US7967181B2|2007-08-29|2011-06-28|Tyco Healthcare Group Lp|Rotary knife cutting systems|

US9597080B2|2007-09-24|2017-03-21|Covidien Lp|Insertion shroud for surgical instrument|

US20090090763A1|2007-10-05|2009-04-09|Tyco Healthcare Group Lp|Powered surgical stapling device|

US20100234862A1|2007-12-06|2010-09-16|Manoj Patel|Surgical clamp and method of clamping an organ|

US8453908B2|2008-02-13|2013-06-04|Ethicon Endo-Surgery, Inc.|Surgical stapling instrument with improved firing trigger arrangement|

US7766209B2|2008-02-13|2010-08-03|Ethicon Endo-Surgery, Inc.|Surgical stapling instrument with improved firing trigger arrangement|

US8561870B2|2008-02-13|2013-10-22|Ethicon Endo-Surgery, Inc.|Surgical stapling instrument|

US8584919B2|2008-02-14|2013-11-19|Ethicon Endo-Sugery, Inc.|Surgical stapling apparatus with load-sensitive firing mechanism|

US7857185B2|2008-02-14|2010-12-28|Ethicon Endo-Surgery, Inc.|Disposable loading unit for surgical stapling apparatus|

US8573465B2|2008-02-14|2013-11-05|Ethicon Endo-Surgery, Inc.|Robotically-controlled surgical end effector system with rotary actuated closure systems|

US9179912B2|2008-02-14|2015-11-10|Ethicon Endo-Surgery, Inc.|Robotically-controlled motorized surgical cutting and fastening instrument|

US8636736B2|2008-02-14|2014-01-28|Ethicon Endo-Surgery, Inc.|Motorized surgical cutting and fastening instrument|

US7810692B2|2008-02-14|2010-10-12|Ethicon Endo-Surgery, Inc.|Disposable loading unit with firing indicator|

US7861906B2|2008-02-14|2011-01-04|Ethicon Endo-Surgery, Inc.|Surgical stapling apparatus with articulatable components|

US8752749B2|2008-02-14|2014-06-17|Ethicon Endo-Surgery, Inc.|Robotically-controlled disposable motor-driven loading unit|

US8657174B2|2008-02-14|2014-02-25|Ethicon Endo-Surgery, Inc.|Motorized surgical cutting and fastening instrument having handle based power source|

US20090206133A1|2008-02-14|2009-08-20|Ethicon Endo-Surgery, Inc.|Articulatable loading units for surgical stapling and cutting instruments|

US7819296B2|2008-02-14|2010-10-26|Ethicon Endo-Surgery, Inc.|Surgical stapling apparatus with retractable firing systems|

US7793812B2|2008-02-14|2010-09-14|Ethicon Endo-Surgery, Inc.|Disposable motor-driven loading unit for use with a surgical cutting and stapling apparatus|

US7819298B2|2008-02-14|2010-10-26|Ethicon Endo-Surgery, Inc.|Surgical stapling apparatus with control features operable with one hand|

US8758391B2|2008-02-14|2014-06-24|Ethicon Endo-Surgery, Inc.|Interchangeable tools for surgical instruments|

US7866527B2|2008-02-14|2011-01-11|Ethicon Endo-Surgery, Inc.|Surgical stapling apparatus with interlockable firing system|

US7819297B2|2008-02-14|2010-10-26|Ethicon Endo-Surgery, Inc.|Surgical stapling apparatus with reprocessible handle assembly|

US7913891B2|2008-02-14|2011-03-29|Ethicon Endo-Surgery, Inc.|Disposable loading unit with user feedback features and surgical instrument for use therewith|

US9585657B2|2008-02-15|2017-03-07|Ethicon Endo-Surgery, Llc|Actuator for releasing a layer of material from a surgical end effector|

US20090206142A1|2008-02-15|2009-08-20|Ethicon Endo-Surgery, Inc.|Buttress material for a surgical stapling instrument|

US20090206137A1|2008-02-15|2009-08-20|Ethicon Endo-Surgery, Inc.|Disposable loading units for a surgical cutting and stapling instrument|

US7980443B2|2008-02-15|2011-07-19|Ethicon Endo-Surgery, Inc.|End effectors for a surgical cutting and stapling instrument|

US8608044B2|2008-02-15|2013-12-17|Ethicon Endo-Surgery, Inc.|Feedback and lockout mechanism for surgical instrument|

US20090206131A1|2008-02-15|2009-08-20|Ethicon Endo-Surgery, Inc.|End effector coupling arrangements for a surgical cutting and stapling instrument|

US7959051B2|2008-02-15|2011-06-14|Ethicon Endo-Surgery, Inc.|Closure systems for a surgical cutting and stapling instrument|

US20090242610A1|2008-03-26|2009-10-01|Shelton Iv Frederick E|Disposable loading unit and surgical instruments including same|

US8100310B2|2008-04-14|2012-01-24|Tyco Healthcare Group Lp|Variable compression surgical fastener apparatus|

US8231040B2|2008-04-14|2012-07-31|Tyco Healthcare Group Lp|Variable compression surgical fastener cartridge|

US8028884B2|2008-04-22|2011-10-04|Tyco Healthcare Group Lp|Cartridge for applying varying amounts of tissue compression|

US8795308B2|2008-05-09|2014-08-05|Elmer Valin|Laparoscopic gastric and intestinal trocar|

US8091756B2|2008-05-09|2012-01-10|Tyco Healthcare Group Lp|Varying tissue compression using take-up component|

WO2009143331A1|2008-05-21|2009-11-26|Cook Biotech Incorporated|Devices and methods for applying bolster materials to surgical fastening apparatuses|

US7922061B2|2008-05-21|2011-04-12|Ethicon Endo-Surgery, Inc.|Surgical instrument with automatically reconfigurable articulating end effector|

US8109426B2|2008-08-12|2012-02-07|Tyco Healthcare Group Lp|Surgical tilt anvil assembly|

US8047236B2|2008-09-12|2011-11-01|Boston Scientific Scimed, Inc.|Flexible conduit with locking element|

US7837080B2|2008-09-18|2010-11-23|Ethicon Endo-Surgery, Inc.|Surgical stapling instrument with device for indicating when the instrument has cut through tissue|

US20100069942A1|2008-09-18|2010-03-18|Ethicon Endo-Surgery, Inc.|Surgical instrument with apparatus for measuring elapsed time between actions|

US8083120B2|2008-09-18|2011-12-27|Ethicon Endo-Surgery, Inc.|End effector for use with a surgical cutting and stapling instrument|

US8540133B2|2008-09-19|2013-09-24|Ethicon Endo-Surgery, Inc.|Staple cartridge|

US7832612B2|2008-09-19|2010-11-16|Ethicon Endo-Surgery, Inc.|Lockout arrangement for a surgical stapler|

US9050083B2|2008-09-23|2015-06-09|Ethicon Endo-Surgery, Inc.|Motorized surgical instrument|

US9005230B2|2008-09-23|2015-04-14|Ethicon Endo-Surgery, Inc.|Motorized surgical instrument|

US8210411B2|2008-09-23|2012-07-03|Ethicon Endo-Surgery, Inc.|Motor-driven surgical cutting instrument|

US9386983B2|2008-09-23|2016-07-12|Ethicon Endo-Surgery, Llc|Robotically-controlled motorized surgical instrument|

US8608045B2|2008-10-10|2013-12-17|Ethicon Endo-Sugery, Inc.|Powered surgical cutting and stapling apparatus with manually retractable firing system|

WO2010041101A1|2008-10-10|2010-04-15|Universita Degli Studi Di Padova|Haemostatic device for surgical procedures and emergencies|

US8020743B2|2008-10-15|2011-09-20|Ethicon Endo-Surgery, Inc.|Powered articulatable surgical cutting and fastening instrument with flexible drive member|

JP2010098844A|2008-10-16|2010-04-30|Toyota Motor Corp|Power supply system of vehicle|

US7918377B2|2008-10-16|2011-04-05|Ethicon Endo-Surgery, Inc.|Surgical stapling instrument with apparatus for providing anvil position feedback|

US7934631B2|2008-11-10|2011-05-03|Barosense, Inc.|Multi-fire stapling systems and methods for delivering arrays of staples|

GB0822110D0|2008-12-03|2009-01-07|Angiomed Ag|Catheter sheath for implant delivery|

US20100147921A1|2008-12-16|2010-06-17|Lee Olson|Surgical Apparatus Including Surgical Buttress|

US8485413B2|2009-02-05|2013-07-16|Ethicon Endo-Surgery, Inc.|Surgical stapling instrument comprising an articulation joint|

US8517239B2|2009-02-05|2013-08-27|Ethicon Endo-Surgery, Inc.|Surgical stapling instrument comprising a magnetic element driver|

US8397971B2|2009-02-05|2013-03-19|Ethicon Endo-Surgery, Inc.|Sterilizable surgical instrument|

US8414577B2|2009-02-05|2013-04-09|Ethicon Endo-Surgery, Inc.|Surgical instruments and components for use in sterile environments|

US20100193566A1|2009-02-05|2010-08-05|Ethicon Endo-Surgery, Inc.|Surgical stapling instrument|

US20110024477A1|2009-02-06|2011-02-03|Hall Steven G|Driven Surgical Stapler Improvements|

US20110024478A1|2009-02-06|2011-02-03|Shelton Iv Frederick E|Driven Surgical Stapler Improvements|

US8444036B2|2009-02-06|2013-05-21|Ethicon Endo-Surgery, Inc.|Motor driven surgical fastener device with mechanisms for adjusting a tissue gap within the end effector|

US8453907B2|2009-02-06|2013-06-04|Ethicon Endo-Surgery, Inc.|Motor driven surgical fastener device with cutting member reversing mechanism|

US8245899B2|2009-02-06|2012-08-21|Ethicon Endo-Surgery, Inc.|Driven surgical stapler improvements|

WO2010098871A2|2009-02-26|2010-09-02|Amir Belson|Improved apparatus and methods for hybrid endoscopic and laparoscopic surgery|

US8066167B2|2009-03-23|2011-11-29|Ethicon Endo-Surgery, Inc.|Circular surgical stapling instrument with anvil locking system|

US8016178B2|2009-03-31|2011-09-13|Tyco Healthcare Group Lp|Surgical stapling apparatus|

US8011550B2|2009-03-31|2011-09-06|Tyco Healthcare Group Lp|Surgical stapling apparatus|

US8827134B2|2009-06-19|2014-09-09|Covidien Lp|Flexible surgical stapler with motor in the head|

US8733612B2|2009-08-17|2014-05-27|Covidien Lp|Safety method for powered surgical instruments|

US8141762B2|2009-10-09|2012-03-27|Ethicon Endo-Surgery, Inc.|Surgical stapler comprising a staple pocket|

US8322590B2|2009-10-28|2012-12-04|Covidien Lp|Surgical stapling instrument|

US20110114697A1|2009-11-19|2011-05-19|Ethicon Endo-Surgery, Inc.|Circular stapler introducer with multi-lumen sheath|

US8806973B2|2009-12-02|2014-08-19|Covidien Lp|Adapters for use between surgical handle assembly and surgical end effector|

US8136712B2|2009-12-10|2012-03-20|Ethicon Endo-Surgery, Inc.|Surgical stapler with discrete staple height adjustment and tactile feedback|

US8851354B2|2009-12-24|2014-10-07|Ethicon Endo-Surgery, Inc.|Surgical cutting instrument that analyzes tissue thickness|

US8220688B2|2009-12-24|2012-07-17|Ethicon Endo-Surgery, Inc.|Motor-driven surgical cutting instrument with electric actuator directional control assembly|

US8267300B2|2009-12-30|2012-09-18|Ethicon Endo-Surgery, Inc.|Dampening device for endoscopic surgical stapler|

US8608046B2|2010-01-07|2013-12-17|Ethicon Endo-Surgery, Inc.|Test device for a surgical tool|

US8801735B2|2010-07-30|2014-08-12|Ethicon Endo-Surgery, Inc.|Surgical circular stapler with tissue retention arrangements|

US8789740B2|2010-07-30|2014-07-29|Ethicon Endo-Surgery, Inc.|Linear cutting and stapling device with selectively disengageable cutting member|

US8783543B2|2010-07-30|2014-07-22|Ethicon Endo-Surgery, Inc.|Tissue acquisition arrangements and methods for surgical stapling devices|

US8360296B2|2010-09-09|2013-01-29|Ethicon Endo-Surgery, Inc.|Surgical stapling head assembly with firing lockout for a surgical stapler|

US9289212B2|2010-09-17|2016-03-22|Ethicon Endo-Surgery, Inc.|Surgical instruments and batteries for surgical instruments|

US8632525B2|2010-09-17|2014-01-21|Ethicon Endo-Surgery, Inc.|Power control arrangements for surgical instruments and batteries|

US9877720B2|2010-09-24|2018-01-30|Ethicon Llc|Control features for articulating surgical device|

US8733613B2|2010-09-29|2014-05-27|Ethicon Endo-Surgery, Inc.|Staple cartridge|

US9332974B2|2010-09-30|2016-05-10|Ethicon Endo-Surgery, Llc|Layered tissue thickness compensator|

US9220501B2|2010-09-30|2015-12-29|Ethicon Endo-Surgery, Inc.|Tissue thickness compensators|

US10123798B2|2010-09-30|2018-11-13|Ethicon Llc|Tissue thickness compensator comprising controlled release and expansion|

US9861361B2|2010-09-30|2018-01-09|Ethicon Llc|Releasable tissue thickness compensator and fastener cartridge having the same|

US8893949B2|2010-09-30|2014-11-25|Ethicon Endo-Surgery, Inc.|Surgical stapler with floating anvil|

US9232941B2|2010-09-30|2016-01-12|Ethicon Endo-Surgery, Inc.|Tissue thickness compensator comprising a reservoir|

US9839420B2|2010-09-30|2017-12-12|Ethicon Llc|Tissue thickness compensator comprising at least one medicament|

US9204880B2|2012-03-28|2015-12-08|Ethicon Endo-Surgery, Inc.|Tissue thickness compensator comprising capsules defining a low pressure environment|

US8777004B2|2010-09-30|2014-07-15|Ethicon Endo-Surgery, Inc.|Compressible staple cartridge comprising alignment members|

US9320523B2|2012-03-28|2016-04-26|Ethicon Endo-Surgery, Llc|Tissue thickness compensator comprising tissue ingrowth features|

US9301752B2|2010-09-30|2016-04-05|Ethicon Endo-Surgery, Llc|Tissue thickness compensator comprising a plurality of capsules|

US9055941B2|2011-09-23|2015-06-16|Ethicon Endo-Surgery, Inc.|Staple cartridge including collapsible deck|

US20120248169A1|2010-09-30|2012-10-04|Ethicon Endo-Surgery, Inc.|Methods for forming tissue thickness compensator arrangements for surgical staplers|

US8740037B2|2010-09-30|2014-06-03|Ethicon Endo-Surgery, Inc.|Compressible fastener cartridge|

US9364233B2|2010-09-30|2016-06-14|Ethicon Endo-Surgery, Llc|Tissue thickness compensators for circular surgical staplers|

US8695866B2|2010-10-01|2014-04-15|Ethicon Endo-Surgery, Inc.|Surgical instrument having a power control circuit|

US20120175398A1|2010-11-22|2012-07-12|Mayo Foundation For Medical Education And Research|Stapling apparatus and methods of assembling or operating the same|

US9125654B2|2011-03-14|2015-09-08|Ethicon Endo-Surgery, Inc.|Multiple part anvil assemblies for circular surgical stapling devices|

US8800841B2|2011-03-15|2014-08-12|Ethicon Endo-Surgery, Inc.|Surgical staple cartridges|

US8926598B2|2011-03-15|2015-01-06|Ethicon Endo-Surgery, Inc.|Surgical instruments with articulatable and rotatable end effector|

US8540131B2|2011-03-15|2013-09-24|Ethicon Endo-Surgery, Inc.|Surgical staple cartridges with tissue tethers for manipulating divided tissue and methods of using same|

US8857693B2|2011-03-15|2014-10-14|Ethicon Endo-Surgery, Inc.|Surgical instruments with lockable articulating end effector|

US20120234895A1|2011-03-15|2012-09-20|Ethicon Endo-Surgery, Inc.|Surgical staple cartridges and end effectors with vessel measurement arrangements|

US9655615B2|2011-04-19|2017-05-23|Dextera Surgical Inc.|Active wedge and I-beam for surgical stapler|

US9072535B2|2011-05-27|2015-07-07|Ethicon Endo-Surgery, Inc.|Surgical stapling instruments with rotatable staple deployment arrangements|

US9198661B2|2011-09-06|2015-12-01|Ethicon Endo-Surgery, Inc.|Stapling instrument comprising a plurality of staple cartridges stored therein|

US9999408B2|2011-09-14|2018-06-19|Ethicon Endo-Surgery, Inc.|Surgical instrument with fluid fillable buttress|

US9050084B2|2011-09-23|2015-06-09|Ethicon Endo-Surgery, Inc.|Staple cartridge including collapsible deck arrangement|US5865361A|1997-09-23|1999-02-02|United States Surgical Corporation|Surgical stapling apparatus|

US20070084897A1|2003-05-20|2007-04-19|Shelton Frederick E Iv|Articulating surgical stapling instrument incorporating a two-piece e-beam firing mechanism|

US9060770B2|2003-05-20|2015-06-23|Ethicon Endo-Surgery, Inc.|Robotically-driven surgical instrument with E-beam driver|

US8215531B2|2004-07-28|2012-07-10|Ethicon Endo-Surgery, Inc.|Surgical stapling instrument having a medical substance dispenser|

US8905977B2|2004-07-28|2014-12-09|Ethicon Endo-Surgery, Inc.|Surgical stapling instrument having an electroactive polymer actuated medical substance dispenser|

US7669746B2|2005-08-31|2010-03-02|Ethicon Endo-Surgery, Inc.|Staple cartridges for forming staples having differing formed staple heights|

US11246590B2|2005-08-31|2022-02-15|Cilag Gmbh International|Staple cartridge including staple drivers having different unfired heights|

US20070194082A1|2005-08-31|2007-08-23|Morgan Jerome R|Surgical stapling device with anvil having staple forming pockets of varying depths|

US10159482B2|2005-08-31|2018-12-25|Ethicon Llc|Fastener cartridge assembly comprising a fixed anvil and different staple heights|

US8800838B2|2005-08-31|2014-08-12|Ethicon Endo-Surgery, Inc.|Robotically-controlled cable-based surgical end effectors|

US9237891B2|2005-08-31|2016-01-19|Ethicon Endo-Surgery, Inc.|Robotically-controlled surgical stapling devices that produce formed staples having different lengths|

US7934630B2|2005-08-31|2011-05-03|Ethicon Endo-Surgery, Inc.|Staple cartridges for forming staples having differing formed staple heights|

US20070106317A1|2005-11-09|2007-05-10|Shelton Frederick E Iv|Hydraulically and electrically actuated articulation joints for surgical instruments|

US20110295295A1|2006-01-31|2011-12-01|Ethicon Endo-Surgery, Inc.|Robotically-controlled surgical instrument having recording capabilities|

US7845537B2|2006-01-31|2010-12-07|Ethicon Endo-Surgery, Inc.|Surgical instrument having recording capabilities|

US20120292367A1|2006-01-31|2012-11-22|Ethicon Endo-Surgery, Inc.|Robotically-controlled end effector|

US11207064B2|2011-05-27|2021-12-28|Cilag Gmbh International|Automated end effector component reloading system for use with a robotic system|

US9861359B2|2006-01-31|2018-01-09|Ethicon Llc|Powered surgical instruments with firing system lockout arrangements|

US8161977B2|2006-01-31|2012-04-24|Ethicon Endo-Surgery, Inc.|Accessing data stored in a memory of a surgical instrument|

US8763879B2|2006-01-31|2014-07-01|Ethicon Endo-Surgery, Inc.|Accessing data stored in a memory of surgical instrument|

US11224427B2|2006-01-31|2022-01-18|Cilag Gmbh International|Surgical stapling system including a console and retraction assembly|

US8708213B2|2006-01-31|2014-04-29|Ethicon Endo-Surgery, Inc.|Surgical instrument having a feedback system|

US7753904B2|2006-01-31|2010-07-13|Ethicon Endo-Surgery, Inc.|Endoscopic surgical instrument with a handle that can articulate with respect to the shaft|

US8186555B2|2006-01-31|2012-05-29|Ethicon Endo-Surgery, Inc.|Motor-driven surgical cutting and fastening instrument with mechanical closure system|

US8820603B2|2006-01-31|2014-09-02|Ethicon Endo-Surgery, Inc.|Accessing data stored in a memory of a surgical instrument|

US20070225562A1|2006-03-23|2007-09-27|Ethicon Endo-Surgery, Inc.|Articulating endoscopic accessory channel|

US8992422B2|2006-03-23|2015-03-31|Ethicon Endo-Surgery, Inc.|Robotically-controlled endoscopic accessory channel|

EP2015681B1|2006-05-03|2018-03-28|Datascope Corp.|Tissue closure device|

US8322455B2|2006-06-27|2012-12-04|Ethicon Endo-Surgery, Inc.|Manually driven surgical cutting and fastening instrument|

US8360297B2|2006-09-29|2013-01-29|Ethicon Endo-Surgery, Inc.|Surgical cutting and stapling instrument with self adjusting anvil|

US10568652B2|2006-09-29|2020-02-25|Ethicon Llc|Surgical staples having attached drivers of different heights and stapling instruments for deploying the same|

US10130359B2|2006-09-29|2018-11-20|Ethicon Llc|Method for forming a staple|

US8608043B2|2006-10-06|2013-12-17|Covidien Lp|Surgical instrument having a multi-layered drive beam|

US8684253B2|2007-01-10|2014-04-01|Ethicon Endo-Surgery, Inc.|Surgical instrument with wireless communication between a control unit of a robotic system and remote sensor|

US8652120B2|2007-01-10|2014-02-18|Ethicon Endo-Surgery, Inc.|Surgical instrument with wireless communication between control unit and sensor transponders|

US8459520B2|2007-01-10|2013-06-11|Ethicon Endo-Surgery, Inc.|Surgical instrument with wireless communication between control unit and remote sensor|

US8540128B2|2007-01-11|2013-09-24|Ethicon Endo-Surgery, Inc.|Surgical stapling device with a curved end effector|

US11039836B2|2007-01-11|2021-06-22|Cilag Gmbh International|Staple cartridge for use with a surgical stapling instrument|

US7735703B2|2007-03-15|2010-06-15|Ethicon Endo-Surgery, Inc.|Re-loadable surgical stapling instrument|

US8893946B2|2007-03-28|2014-11-25|Ethicon Endo-Surgery, Inc.|Laparoscopic tissue thickness and clamp load measuring devices|

US7832408B2|2007-06-04|2010-11-16|Ethicon Endo-Surgery, Inc.|Surgical instrument having a directional switching mechanism|

US8534528B2|2007-06-04|2013-09-17|Ethicon Endo-Surgery, Inc.|Surgical instrument having a multiple rate directional switching mechanism|

US8931682B2|2007-06-04|2015-01-13|Ethicon Endo-Surgery, Inc.|Robotically-controlled shaft based rotary drive systems for surgical instruments|

US7753245B2|2007-06-22|2010-07-13|Ethicon Endo-Surgery, Inc.|Surgical stapling instruments|

US8308040B2|2007-06-22|2012-11-13|Ethicon Endo-Surgery, Inc.|Surgical stapling instrument with an articulatable end effector|

US8061576B2|2007-08-31|2011-11-22|Tyco Healthcare Group Lp|Surgical instrument|

US8561870B2|2008-02-13|2013-10-22|Ethicon Endo-Surgery, Inc.|Surgical stapling instrument|

US7766209B2|2008-02-13|2010-08-03|Ethicon Endo-Surgery, Inc.|Surgical stapling instrument with improved firing trigger arrangement|

US8453908B2|2008-02-13|2013-06-04|Ethicon Endo-Surgery, Inc.|Surgical stapling instrument with improved firing trigger arrangement|

US9179912B2|2008-02-14|2015-11-10|Ethicon Endo-Surgery, Inc.|Robotically-controlled motorized surgical cutting and fastening instrument|

US7866527B2|2008-02-14|2011-01-11|Ethicon Endo-Surgery, Inc.|Surgical stapling apparatus with interlockable firing system|

US7793812B2|2008-02-14|2010-09-14|Ethicon Endo-Surgery, Inc.|Disposable motor-driven loading unit for use with a surgical cutting and stapling apparatus|

US8584919B2|2008-02-14|2013-11-19|Ethicon Endo-Sugery, Inc.|Surgical stapling apparatus with load-sensitive firing mechanism|

US8622274B2|2008-02-14|2014-01-07|Ethicon Endo-Surgery, Inc.|Motorized cutting and fastening instrument having control circuit for optimizing battery usage|

US7819298B2|2008-02-14|2010-10-26|Ethicon Endo-Surgery, Inc.|Surgical stapling apparatus with control features operable with one hand|

US8573465B2|2008-02-14|2013-11-05|Ethicon Endo-Surgery, Inc.|Robotically-controlled surgical end effector system with rotary actuated closure systems|

US8657174B2|2008-02-14|2014-02-25|Ethicon Endo-Surgery, Inc.|Motorized surgical cutting and fastening instrument having handle based power source|

US8758391B2|2008-02-14|2014-06-24|Ethicon Endo-Surgery, Inc.|Interchangeable tools for surgical instruments|

JP5410110B2|2008-02-14|2014-02-05|エシコン・エンド−サージェリィ・インコーポレイテッド|Surgical cutting / fixing instrument with RF electrode|

US8459525B2|2008-02-14|2013-06-11|Ethicon Endo-Sugery, Inc.|Motorized surgical cutting and fastening instrument having a magnetic drive train torque limiting device|

US8636736B2|2008-02-14|2014-01-28|Ethicon Endo-Surgery, Inc.|Motorized surgical cutting and fastening instrument|

US8752749B2|2008-02-14|2014-06-17|Ethicon Endo-Surgery, Inc.|Robotically-controlled disposable motor-driven loading unit|

US20090206131A1|2008-02-15|2009-08-20|Ethicon Endo-Surgery, Inc.|End effector coupling arrangements for a surgical cutting and stapling instrument|

US9585657B2|2008-02-15|2017-03-07|Ethicon Endo-Surgery, Llc|Actuator for releasing a layer of material from a surgical end effector|

US8608044B2|2008-02-15|2013-12-17|Ethicon Endo-Surgery, Inc.|Feedback and lockout mechanism for surgical instrument|

US8540133B2|2008-09-19|2013-09-24|Ethicon Endo-Surgery, Inc.|Staple cartridge|

US7832612B2|2008-09-19|2010-11-16|Ethicon Endo-Surgery, Inc.|Lockout arrangement for a surgical stapler|

US7988028B2|2008-09-23|2011-08-02|Tyco Healthcare Group Lp|Surgical instrument having an asymmetric dynamic clamping member|

US8628544B2|2008-09-23|2014-01-14|Covidien Lp|Knife bar for surgical instrument|