• 专利附录
  • 专利说明
  • 权利要求
  • 类似技术
  • 同族专利
  • 引用文献
  • 法律状态
  • 优先权
    • 专利摘要:
    AUXILIARY THERAPY DEVICE THAT HAS A CAVITY DRIVER FOR HEMOSTATIC AGENT. The present invention relates to an instrument configured to receive a staple cartridge for stapled tissue and expelling a fluid from a container in the staple cartridge. The staple cartridge has a top support including staple openings and holes formed inside. The orifices are in fluid communication with the containers. The staple cartridge includes staple drivers that have a drive body for translating a staple and a container bulge to expel fluid out of the orifices. Fluid can be expelled as the clamps are guided out through the clamp openings. The container can be a vertically compressible container or, in an alternative, it can be a container that has a channel and a seal that is configured to be perforated as the fluid is expelled. Some configurations for the fluid include a hemostatic agent, thrombin, a gel, or a drug. The containers may also be formed as defined reservoirs within the upper support and/or cartridge body.
    公开号:BR112014002533B1
    申请号:R112014002533-9
    申请日:2012-07-30
    公开日:2021-05-04
    发明作者:Ii William B. Weisenburgh；Craig S. Smith；Gregory B. Blair
    申请人:Ethicon Endo-Surgery, Inc；
    IPC主号:
    专利说明:

    [0001] Craig S. Smith
    [0002] Gregory B. Blair
    [0003] William B. Weisenburgh II BACKGROUND
    [0004] In some scenarios, endoscopic surgical instruments may be preferred over devices for traditional open surgery, as a smaller incision can reduce recovery time and complications in the postoperative period. Consequently, some endoscopic surgical instruments may be suitable for placing a distal end actuator at a desired surgical site through a trocar cannula. Such distal end actuators can engage tissue in a variety of ways to achieve a diagnostic or therapeutic effect (eg, endocutter, gripper, cutter, stapler, clip applicators, access device, drug delivery device/gene therapy device, and device for application of energy using ultrasound, RF, laser, etc.). Endoscopic surgical instruments may include a rod between the end actuator and a portion of the handle, which is manipulated by the physician. Such a rod can allow insertion to a desired depth and rotation around the longitudinal axis of the rod, thus facilitating the positioning of the end actuator within the patient. The positioning of an end actuator can be further facilitated by the inclusion of one or more joints or hinge elements, enabling the end actuator to be selectively hinged or otherwise deflected relative to the longitudinal axis of the stem.
    [0005] Examples of endoscopic surgical instruments include surgical staplers. Some of such staplers are operable to clamp fabric layers, cut through the secured fabric layers, and drive staples through fabric layers to substantially seal the separate fabric layers together near the separate ends of the fabric layers. Merely exemplary surgical staplers are shown in US Patent No. 4,805,823 entitled "Pocket Configuration for Internal Organ Staplers", issued February 21, 1989; U.S. Patent No. 5,415,334 entitled "Surgical Stapler and Staple Cartridge", issued May 16, 1995; U.S. Patent No. 5,465,895 entitled "Surgical Stapler Instrument", issued November 14, 1995; US Patent No. 5,597,107 entitled "Surgical Stapler Instrument", issued January 28, 1997; US Patent No. 5,632,432 entitled "Surgical Instrument", issued May 27, 1997; U.S. Patent No. 5,673,840 entitled "Surgical Instrument", issued October 7, 1997; US Patent No. 5,704,534 entitled "Articulation Assembly for Surgical Instruments", issued January 6, 1998; US Patent No. 5,814,055 entitled "Surgical Clamping Mechanism", issued September 29, 1998; US Patent No. 6,978,921 entitled "Surgical Stapling Instrument Incorporating an E-Beam Firing Mechanism", issued December 27, 2005; U.S. Patent No. 7,000,818 entitled "Surgical Stapling Instrument Having Separate Distinct Closing and Firing Systems", issued February 21, 2006; US Patent No. 7,143,923 entitled "Surgical Stapling Instrument having a Firing Lockout for an Unclosed Anvil", issued December 5, 2006; US Patent No. 7,303,108 entitled "Surgical Stapling Instrument Incorporating a Multi-Stroke Firing Mechanism with a Flexible Rack", issued December 4, 2007; US Patent No. 7,367,485 entitled "Surgical Stapling Instrument Incorporating a Multistroke Firing Mechanism Having a Rotary Transmission", granted May 6, 2008; U.S. Patent No. 7,380,695 entitled "Surgical Stapling Instrument Having a Single Lockout Mechanism for Prevention of Firing", issued June 3, 2008; US Patent No. 7,380,696 entitled "Articulating Surgical Stapling Instrument Incorporating a Two-Piece E-Beam Firing Mechanism", issued June 3, 2008; US Patent No. 7,404,508 entitled "Surgical Stapling and Cutting Device", issued July 29, 2008; U.S. Patent No. 7,434,715 entitled "Surgical Stapling Instrument Having Multistroke Firing with Opening Lockout", issued October 14, 2008; and US Patent No. 7,721,930 entitled "Disposable Cartridge with Adhesive for Use with a Stapling Device", issued May 25, 2010. The description of each of the above-cited US patents is incorporated by reference herein. invention. While the surgical staplers mentioned above are described as being used in endoscopic procedures, it should be understood that such surgical staplers can also be used in open procedures and/or other non-endoscopic procedures.
    [0006] Although various types of surgical stapling instruments and associated components have been produced and used, it is believed that no one before the inventor(s) has produced or used the invention described in the embodiments. BRIEF DESCRIPTION OF THE DRAWINGS
    [0007] The attached drawings, which are incorporated into and form part of this descriptive report, illustrate embodiments of the invention and, together with the general description provided above and the detailed description of the embodiments provided below, serve to explain the principles of present invention.
    [0008] Figure 1A shows a perspective view of an articulating surgical instrument with an end actuator in a non-articulated position;
    [0009] Figure 1B shows a perspective view of the surgical instrument of Figure 1A with an end actuator in a pivoted position;
    [00010] Figure 2 shows a perspective view of an open-end actuator of the surgical instrument of Figures 1A to 1B;
    [00011] Figure 3A shows a side cross-sectional view of the end actuator of Figure 2, taken along line 3-3 of Figure 2, with the trigger bar in a proximal position;
    [00012] Figure 3B shows a side cross-sectional view of the end actuator of Figure 2, taken along line 3-3 of Figure 2, but showing the trigger bar in a distal position;
    [00013] Figure 4 shows a cross-sectional view of the end of the end actuator of Figure 2, taken along line 4-4 of Figure 2;
    [00014] Figure 5 shows an exploded perspective view of the end actuator of Figure 2;
    [00015] Figure 6 shows a perspective view of the end actuator of Figure 2, positioned on the fabric and being actuated once on the fabric;
    [00016] Figure 7 shows a perspective view of an alternative exemplary staple cartridge;
    [00017] Figure 8 shows an enlarged view of a top holder of the staple cartridge of Figure 7;
    [00018] Figure 9 shows a perspective view of an exemplary staple opening with a container, a staple and a staple driver;
    [00019] Figure 10A shows a portion of a side cross-sectional view of the staple cartridge of Figure 7 showing a staple and fluid in an uninstalled state;
    [00020] Figure 10B shows a portion of a side cross-sectional view of the staple cartridge of Figure 7 showing the staple and fluid installed by a triangular body slider;
    [00021] Figure 11 shows an alternative configuration for a container and a staple driver; and
    [00022] Figure 12 shows yet another alternative configuration for a container and a staple driver.
    [00023] The drawings are not intended to be limiting in any way, and it is contemplated that various embodiments of the invention may be carried out in a variety of other ways, including those not necessarily represented in the drawings. The accompanying drawings incorporated and forming a part of the descriptive report illustrate various aspects of the present invention, and together with the description serve to explain the principles of the invention; it is understood, however, that this invention is not limited to the arrangements shown. DETAILED DESCRIPTION
    [00024] The following description of specific examples of the invention should not be used to limit the scope of the present invention. Other examples, features, aspects, modalities and advantages of the invention will become apparent to those skilled in the art from the following description, which uses illustrations, one of the best contemplated modes for carrying out the invention. As will be understood, the invention may have other different and obvious aspects, all without departing from the invention. Consequently, the drawings and descriptions are to be regarded as illustrative in nature and not restrictive. I. EXEMPLIFYING SURGICAL STAPLER
    [00025] Figures 1 to 6 show an exemplary surgical stapling and separating instrument (10) that is sized for insertion, in an unarticulated state as shown in Figure 1A, through the passage of a trocar cannula to a surgical site at a patient to perform a surgical procedure. The surgical stapling and separating instrument (10) includes a handle portion (20) connected to an implementation portion (22), which portion further comprises a rod (23) terminating distally in a hinge mechanism (11) and an actuator. of distally fixed end (12). When the pivot mechanism (11) and the distal end actuator (12) are inserted through the cannula passage of a trocar, the pivot mechanism (11) can be remotely pivoted, as shown in Figure 1B, by pivot control. (13). Thus, the end actuator (12) can reach the back of an approaching organ or tissue from a desired angle or for other purposes. It should be understood that terms such as "proximal" and "distal" are used in the present invention with reference to a clinical grip handle portion (20) of the instrument (10). In this way, the end actuator (12) is distal to the most proximal cable portion (20). It will further be recognized that, for convenience and clarity, spatial terms such as "vertical" and "horizontal" are used in the present invention in relation to the drawings. However, surgical instruments can be used in many orientations and positions, and these terms are not intended to be limiting and absolute.
    [00026] The end actuator (12) of the present example includes a lower jaw (16) and a pivoting anvil (18). The handle portion (20) includes a pistol grip (24) toward which a closing trigger (26) can be pivotally pulled, by the physician, to cause gripping or closing of the anvil (18) towards the claw. bottom (16) of the end actuator (12). Such an anvil (18) closure is provided through a cylindrical outermost closure fitting (32), which moves longitudinally with respect to the handle portion (20) in response to the rotation of the closure driver (26) with respect to the handle pistol (24). A distal closure ring (33) of the cylindrical closure fitting (32) is indirectly supported by the frame (34) of the implementing portion (22). In the hinge mechanism (11), a proximal closure tube (35) of the cylindrical closure fitting (32) communicates with the distal portion (closure ring) (33). The frame (34) is flexibly fixed to the lower claw (16) through the articulation mechanism (11), enabling articulation in a single plane. The frame (34) also longitudinally and slidingly supports a firing trigger element (not shown) which extends through the rod (23) and communicates a firing movement from the firing trigger (28) to the firing bar (14). The firing trigger (28) is at the farthest part of the closing actuator (26) and is pivotally actuated by the physician to staple and separate the tissue trapped in the end actuator (12), as will be further described. details below. Thereafter, the release button (30) is pressed to release the tissue from the end actuator (12).
    [00027] Figures 2 to 5 show the end actuator (12) driving an electronic beam firing bar (14) to perform numerous functions. As best seen in Figures 3A through 3B, the firing bar (14) includes a transversely oriented top pin (38), a firing bar cap (44), a transversely oriented intermediate pin (46) and a cutting edge. presented distally (48). The top pin (38) is positioned and translatable within an anvil pocket (40) of the anvil (18). The trigger bar cap (44) slidingly engages a lower surface of the lower jaw (16) by causing the trigger bar (14) to extend through the slot in the channel (45) (shown in Figure 3B) which is formed through the lower claw (16). The intermediate pin (46) slidingly engages a top surface of the lower claw (16) cooperating with the trigger bar cap (44). Thus, the firing bar (14) positively spaces the end actuator (12) during firing, overcoming the tightness that can occur between the anvil (18) and the lower claw (16) with a minimal amount of trapped tissue and overcoming the malformation of the staple with an excessive amount of trapped tissue.
    [00028] Figure 2 shows the trigger bar (14) located in a proximal position and the anvil (18) pivoted in an open position, allowing an unconsumed staple cartridge (37) to be detachably installed in a channel of the lower claw (16). As best seen in Figures 4 to 5, the staple cartridge (37) of this example includes a cartridge body (70) which has an upper support (72) and is coupled to a lower cartridge tray (74) . As best seen in Figure 2, a vertical slit (49) is formed through part of the staple cartridge (37). As is also best seen in Figure 2, three rows of staple openings (51) are formed through the top bracket (70) on one side of the vertical slot (49), with another set of three rows of staple openings (51 ) being formed through the upper support (70) on the other side of the vertical slot (49). Again referring to Figures 3 to 5, a triangular body slider support (41) and a plurality of staple drivers (43) are captured between the cartridge body (70) and the tray (74), with the slider support of triangular body (41) being located proximal to the staple drivers (43). The triangular body slide holder (41) is movable longitudinally within the staple cartridge (37); while the staple drivers (43) are movable vertically within the staple cartridge (37). The staples (47) are also positioned within the cartridge body (70), above the corresponding staple drivers (43). In particular, each clamp (47) is driven vertically within the cartridge body (70) by a staple driver (43) to drive the staple (47) out through an associated staple opening (51). As best seen in Figures 3A through 3B and 5, the Triangular Body Slide Bracket (41) has slanted cam surfaces that urge the clamp drivers (43) upward as the Triangular Body Slide Bracket (41) is driven distally through the staple cartridge (37).
    [00029] With the end actuator (12) closed as shown in Figure 3A, the trigger bar (14) is brought forward into engagement with the anvil (18) causing the upper pin (38) to enter a longitudinal slit of the anvil (42). A drive block (80) is located at the distal end of the trigger bar (14) and is configured to engage the triangular body slider support (41) so that the triangular body slider support (41) is pushed distally by the drive block (80) as the trigger bar (14) is advanced distally through the staple cartridge (37). During such firing, the cutting edge (48) of the firing bar (14) enters the vertical slot (49) of the staple cartridge (37), separating the tissue trapped between the staple cartridge (37) and the anvil (18) . As shown in Figures 3A through 3B, the intermediate pin (46) and the drive block (80) together activate the staple cartridge (37) by entering a firing slot within the staple cartridge (37), driving the holder triangular body slider (41) to cam-up contact with the clip drivers (43) which in turn drive the clips (47) out through the clip openings (51) and making contact with the pockets staple formers (53) on the inner surface of the anvil (18). Figure 3B shows the trigger bar (14) fully displaced in a distal position after completing tissue separation and stapling.
    [00030] Figure 6 shows the end actuator (12) having been activated by a single pass through tissue (90). As shown, the cutting edge (48) cuts through the fabric (90), while the staple drivers (43) drive three alternating rows of staples (47) through the fabric (90) on each side of the cut line produced by the cutting edge. sharp (48). The clamps (47) are all oriented substantially parallel to the cut line in this example, although it should be understood that the clamps (47) can be positioned in any suitable orientations. In the present example, the end actuator (12) is removed from the trocar after the first actuation is completed, the spent staple cartridge (37) is replaced with a new staple cartridge, and the end actuator (12) is then , again inserted through the trocar to reach the stapling site for additional cutting and stapling. This process can be repeated until the desired amount of cuts and staples (47) has been provided. The incus (18) may need to be closed to facilitate insertion and removal through the trocar; and the anvil (18) may need to be opened to facilitate replacement of the staple cartridge (37).
    [00031] It should be understood that the cutting edge (48) can separate the fabric substantially contemporaneously with the clips (47) being driven through the fabric during each actuation drive. In the present example, the cutting edge (48) lingers slightly behind the drive of the clips (47), so that a clip (47) is driven through the fabric just before the cutting edge (48) passes through the same region. of tissue, although it should be understood that this order may be reversed or that the cutting edge (48) may be directly synchronized with the adjacent staples. While Figure 6 shows the end actuator (12) being actuated on two layers (92, 94) of fabric (90), it should be understood that the end actuator (12) can be actuated through a single layer of fabric. (90) or more than two layers (92, 94) of fabric. It should also be understood that the formation and positioning of the clips (47) adjacent to the cut line produced by the cutting edge (48) can substantially seal the fabric at the cut line, thus reducing or preventing bleeding and/or leakage from others. bodily fluids at the cut line. Various suitable scenarios and procedures in which instrument 10 can be used will be apparent to those skilled in the art in view of the teachings of the present invention.
    [00032] It should be understood that the instrument (10) can be configured and operated in accordance with any of the teachings of US Patent No. 4,805,823; US Patent No. 5,415,334; US Patent No. 5,465,895; US Patent No. 5,597,107; US Patent No. 5,632,432; US Patent No. 5,673,840; US Patent No. 5,704,534; US Patent No. 5,814,055; US Patent No. 6,978,921; US Patent No. 7,000,818; US Patent No. 7,143,923; US Patent No. 7,303,108; US Patent No. 7,367,485; US Patent No. 7,380,695; US Patent No. 7,380,696; US Patent No. 7,404,508; US Patent No. 7,434,715; and/or US Patent No. 7,721,930. As noted above, the descriptions of each of these patents are incorporated herein by reference. Additional exemplary modifications that may be provided for the instrument (10) will be described in more detail below. Various suitable ways in which the teachings below can be incorporated into instrument (10) will be apparent to those skilled in the art. Similarly, various suitable ways in which the teachings below can be combined with the various teachings of the patents cited in the present invention will be apparent to those skilled in the art. It is also to be understood that the teachings below are not limited to instrument (10) or devices taught in the patents cited in the present invention. The teachings below can be readily applied to many other types of instruments, including instruments that would not be classified as surgical staplers. Various other suitable devices and settings in which the teachings below can be applied will be apparent to those skilled in the art in view of the teachings of the present invention. II. ALTERNATIVE STAMP CARTRIDGE
    [00033] Figure 7 shows an alternative exemplary staple cartridge (100). The cartridge (100) of the present example comprises a cartridge body (102) having an upper support (110). Cartridge (100) may include a cartridge tray, such as cartridge tray (74), but this is merely optional. The top bracket (110) comprises a plurality of clamp openings (112), a plurality of fluid holes (114) and a vertical slit (106). In the present example, the plurality of clamp openings (112) comprises a first set of three rows of clamp openings (112) which are formed through the top bracket (110) on one side of the vertical slot (106) and another set. three rows of clamp openings (112) being formed through the top bracket (110) on the other side of the vertical slot (106). As best seen in Figure 8, a plurality of fluid ports (114) also extend through the top bracket (110) with a fluid port (114) corresponding to each clamp opening (112). Other suitable configurations for the top support (110) and cartridge (100) will be apparent to the person skilled in the art in view of the teachings of the present invention. For example, more than one fluid port (114) may be provided for each clamp opening (112), or a single fluid port (114) may correspond to a group of clamp openings (112). In addition, a plug, such as a bioresorbable plug, can be inserted into the hole (114) or a film can be placed over the hole (114) to seal the hole (114) before using the staple cartridge (100). In the case of a plug, the plug can be torn off when fluid (122) is expelled, as will be described below.
    [00034] Now referring to Figures 9 to 10B, a container (120) is attached to each fluid port (114) and extends below the top support (110). The container (120) of the present example comprises a vertically compressible container configured to contain a fluid (122) therein. Merely exemplary fluids (122) that can be used with the container (120) include thrombin, lyophilized thrombin (such as those used in Surgiflo®, available from Ethicon, Inc., of Somerville, New Jersey, USA), adhesives based on or mussel derivatives, platelet-poor plasma (PPP), platelet-rich plasma (PRP), chitosan, calcium alginate, fibrin, adhesives, image enhancing agents, necrotizing agents, sclerosing agents, coagulants, therapeutic agents, drugs, analeptic agents, anesthetic agents, antidiuretic agents, analgesic agents, antiseptic agents, antispasmodic agents, cardiac agents, calming agents, diuretic agents, hemostatic agents, hormonal agents, sedative agents, stimulant agents, vascular agents, time-release agents, drugs, absorbable materials, dyes, plasticizers, bulking agents, buffered materials, thixotropic agents, antibacterial agents, buffers, catalysts, fillers, microparticles, thickeners, solvents, natural or synthetic rubbers, stabilizers, pH modifiers, bioactive agents, crosslinking agents, chain transfer agents, fibrous reinforcements, dyes, preservatives, sequestering or formaldehyde reducing agents and /or any other fluid, including liquids, gels, pastes, etc., suitable to be introduced into tissue. In addition, components that can be suspended in a liquid, gel and/or paste can also be used in the container (120). Other suitable components, materials, substances, etc., that can be used in the container (120) will be apparent to those of skill in the art in view of the teachings of the present invention. The fluid (122) of the present example can be injected into the container (120) through port (114).
    [00035] A triangular body slide holder (41) shown in Figure 10B and a staple driver (130) are disposed within the cartridge body (102), with the triangular body slide holder (41) being initially located proximal to the staple driver (130). The triangular body slide holder (41) is longitudinally translatable within the staple cartridge (100); while the staple driver (130) is vertically translatable within the staple cartridge (100). The staple driver (130) of the present example comprises a driver body (132) and an integral container protrusion (134). Staples (140) are included within the cartridge body (102) and are above a corresponding drive body (132) of the staple drivers (130). Each clamp (140) is vertically translatable within the cartridge body (102) by an associated actuator body (132) to drive the clamp (140) outwardly through a corresponding clamp opening (112). The container bulge (134) of the present example is configured to be in substantial vertical alignment with the container (120) so that when the staple driver (130) is driven upward by the cam by longitudinal movement of the triangular body slide holder (41), the container bulge (134) contacts and compresses the container (120), thereby expelling fluid (122) through the orifice (114). As will be understood by one of skill in the art, if the container (120) is initially in contact with the container bulge (134), fluid (122) may be expelled upon the initial vertical displacement of the container bulge (134). In an alternative configuration, the container (120) may initially not be in contact with the container bulge (134), and the vertical displacement between the container (120) and the container bulge (134) may provide a delay in timing between the initial vertical displacement of the staple driver (130) and the expulsion of fluid (122).
    [00036] With specific reference to Figure 10A, the clamp (140) and the container (120) that has fluid (122) in it are shown in an uninstalled state. In the present example, the cartridge (100) was inserted into the lower jaw (16) and the anvil (18) was pivoted over the fabric (90). The clamp (140) is positioned below the clamp opening (112) and above the clamp driver (130). The container (120) extends downward from the orifice (114) and contains fluid (122) as described above. The clamp driver (130), which has the clamp body (132) and the container bulge (134), can rest on top of the bottom of the container body (102), or the clamp driver (130) can rest be anchored to assist the triangular body slider bracket (41) to cam push the staple driver (130) vertically. In one configuration, the staple driver (130) may comprise a bottom surface having a wedge complementary to the triangular body slide support (41) so that a top surface of the staple driver (130) may be parallel to the top bracket (110) as the staple driver (130) is pushed vertically by the triangular body slide bracket (41).
    [00037] When the firing trigger (28), discussed above, is pulled, the firing bar (14) and the triangular body slider (41) move distally through the staple cartridge (100), as shown in Figure 10B. Specifically, as the trigger bar (14) is advanced, the intermediate pin (46) engages the triangular body slider support (41) to slidably translate the triangular body slider support (41) distally. When the triangular body slider support (41) encounters a staple driver (130), the triangular body slider support (41) engages the drive body (132) and begins to push the staple driver (130) vertically. As the staple driver (130) is pushed vertically, the container bulge (134) contacts the container (120) and begins to vertically compress the container (120), thus forcing the fluid (122) out through the hole (114). As the staple driver (130) continues to slide upward, the staple (140) pierces the fabric (90), engages the staple forming pocket (53) and deforms in accordance with the staple forming pocket. (53). The container bulge (134) may continue to compress the container vertically (120) until the clamp driver (130) is at the peak of the triangular body slider support (41). As can be understood by one of skill in the art, in the present configuration, fluid (122) is expelled from the holes (114) as the clips (140) clamp the fabric (90) and the cutting edge (48) of the firing bar. (14) separates the fabric (90). If a hemostatic fluid is used as the fluid (122), excretion of the fluid (122) can reduce or limit blood loss when tissue separation and stapling occurs. In addition, if a medicinal component is included in the fluid (122), inflammation or other tissue conditions can be treated when separating and stapling the tissue (90). While only one merely exemplary configuration for the staple driver (130) and the container (120) has been described, other configurations for the staple driver (130), the container bulge (134) and/or the container (120) will be apparent to one of skill in the art in view of the teachings of the present invention.
    [00038] One of such alternative configurations, shown in Figure 11, has a container (220) that may be a solid container that extends down from the orifice (114) and that has a channel (226) that extends vertically along a portion of the container (220). In the present example, the container (220) is shown as a cylindrical container, but it should be understood that other shapes, sizes and configurations for the container (220) may be used. In fact, in an alternative configuration, the container (220) may be a cavity formed within the cartridge body (102) and/or top support (112). Additionally, one or more plugs, such as bioresorbable plugs, can be inserted into the hole (114) and/or a portion of the container (220) or, alternatively, a film can be deposited on top of one or more holes (114) on the upper support (110) of the cartridge (100). The channel (226) of the present example can be filled with a pierceable sealant (228), such as RTV, silicone or other semi-solid, flexible or pierceable sealants. The sealant (228) substantially fluidly seals the channel (226) so that the container (220) can be filled with a fluid (222) without substantially leaking through the channel (226). The fluid (222) of the present example may be injected into the container (220) through the orifice (114) or the bottom of the container (220) prior to insertion of the container protrusion (234), as described below.
    [00039] As shown in the present example, the clamp driver (230) comprises a clamp body (232) configured to translate a clamp vertically, a perforation portion (236) extending from the clamp body (232) and a container protrusion (234) configured to slide vertically within the container (220) to force fluid (222) out of the orifice (114). The container bulge (234) may be configured in a manner substantially similar to a syringe plunger, as including one or more seals (not shown) disposed proximate the container bulge (234) to prevent fluid (222) from leaking around. of the container bulge (234). The piercing portion (236) comprises a cutter portion (238) that is configured to pierce the sealant (228) as the staple driver (230) is pushed vertically. In this way, the container protrusion (234) can vertically translate within the container (220) to force the fluid (222) out, while the perforation portion (236) couples the container protrusion (234) to the drive body (232) and cutter portion (238) pierce sealant (226). The fluid pressure (222) when the container bulge (234) moves vertically may be sufficient to cause the one or more bioresorbable plugs noted above to "pop out". Consequently, fluid (222) can be supplied to tissue (90) and/or staple (140) through this additional configuration. While the container protrusion (234) is shown as substantially flat with the actuating body (232), the container protrusion (234) may alternatively be displaced above or below the actuating body (232).
    [00040] In another configuration shown in Figure 12, the staple driver (330) includes a vertically elongated U-shaped portion (336) that couples the container bulge (334) to the driver body (332). The vertical sizing of the U-shaped portion (336) can be such that the container bulge (334) can slideably translate within a solid container (320) to expel fluid (322) out of the orifice ( 114) without the bottom of the U-shaped portion (336) contacting the lower edge of the container (320). Alternatively, the bottom of the U-shaped portion (336) can contact the container (320) when the staple driver (330) is at the apex, or the U-shaped portion (336) can be configured to detach in a predetermined position when expelling the fluid (322) and driving the clamp with the clamp driver (330). Still other suitable configurations for clamp drivers and containers will be apparent to one of skill in the art in view of the teachings of the present invention.
    [00041] It should be understood that any one or more of the teachings, expressions, modalities, examples, etc. described herein may be combined with any one or more of the other teachings, expressions, modalities, examples, etc. which are described in the present invention. The teachings, expressions, modalities, examples, etc. described below should not be viewed in isolation from one another. Various suitable ways in which the teachings of the present invention may be combined will be readily apparent to those skilled in the art in view of the teachings of the present invention. These modifications and variations are intended to be within the scope of the embodiments.
    [00042] Versions of the devices described above may have application in conventional medical treatments and procedures conducted by a medical professional, as well as application in robotic-assisted medical treatments and procedures.
    [00043] Versions of the above may be designed to be discarded after single use, or they may be designed to be used multiple times. Versions can, in either or both cases, be reconditioned for reuse after at least one use. Reconditioning can include any combination of steps of disassembling the device, followed by cleaning or replacing particular parts, and subsequent reassembly. In particular, some versions of the device can be disassembled, in any number of particular parts or parts of the device can be selectively replaced or removed in any combination. With cleaning and/or replacement of particular parts, some versions of the device can be reassembled for subsequent use in a reconditioning facility, or by a user immediately prior to a surgical procedure. Those skilled in the art will understand that reconditioning a device can utilize a variety of techniques for disassembly, cleaning/replacement, and reassembly. The use of such techniques, and the resulting refurbished device, are all within the scope of this order.
    [00044] Just as an example, the versions described here can be sterilized before and/or after a procedure. In a sterilization technique, the device is placed in a closed, sealed container such as a plastic or TYVEK bag. The container and device can then be placed in a radiation field, such as gamma radiation, X-rays or high energy electrons, which can penetrate the container. Radiation can kill bacteria in the device and container. The sterilized device can then be stored in a sterile container for later use. The device may also be sterilized using any other known technique, including but not limited to beta or gamma radiation, ethylene oxide or water vapor.
    [00045] In view of the presentation and description of various versions in the present disclosure, further adaptations of the methods and systems described in this document can be made through suitable modifications made by an expert in the art, without departing from the scope of the present invention. Several potential modifications have been mentioned and others will be evident to those skilled in the art. For example, the examples, versions, geometry, materials, dimensions, proportions, steps and the like discussed above are illustrative only and are not required. Accordingly, the scope of the present invention is to be considered in accordance with the terms of the embodiments and it is understood that it is not limited to the details of structure and operation shown and described in the specification and drawings.
    权利要求:
    Claims (16)
    [0001]
    1. Apparatus for endosurgical use comprising: (a) an instrument comprising: i. a cable portion (20), ii. an end actuator (12) extending distally from the handle portion (20); and (b) a staple cartridge (37) insertable into the end actuator (12), the staple cartridge (37) comprising: i. a cartridge body (70) having an upper support (72), the upper support (72) comprising: (1) a vertical slit (49) formed in the upper support (72) and extending longitudinally from a proximal end of the top bracket (72), (2) a plurality of clamp openings (51), and (3) a plurality of holes (114), ii. a plurality of staple drivers (130), each staple driver (130) comprising a container boss (134), iii. a plurality of staples (140) disposed above the plurality of staple drivers (130), the plurality of staples (140) and the plurality of staple drivers (130) being vertically translatable with respect to the cartridge body (102) , iv. a plurality of containers (220) disposed within the cartridge body (102), each container (220) of the plurality of containers (220) having one end in fluid communication with an orifice (114) of the plurality of orifices (114 ), and v. a fluid (222) disposed within each container (c) 0) of the plurality of containers (220), characterized in that each clamp driver (130) comprises a container boss (134) wherein the container (134) is intended to compress a container (120) of the plurality of containers (120), each of the plurality of containers (120) comprising a vertically compressible portion.
    [0002]
    2. Apparatus according to claim 1, characterized in that each staple driver (130) of the plurality of staple drivers (130) is configured to drive a staple (140) of the plurality of staples (140) outwardly through a clamp opening (112) of the plurality of clamp openings (112), while at the same time expelling the fluid (122) in a container (120) of the plurality of containers (120) out through an orifice (114) of the plurality of holes (114).
    [0003]
    3. Apparatus according to claim 1, characterized in that each staple driver (130) is in vertical alignment with a staple opening (112) and an orifice (114).
    [0004]
    4. Apparatus according to claim 1, characterized in that each container (220) of the plurality of containers (220) comprises: (1) an interposed vertical channel (226) between the corresponding clamp opening (112) and the container (220), and (2) a sealant (228) disposed within the channel (226).
    [0005]
    5. Apparatus according to claim 4, characterized in that each staple driver (230) of the plurality of staple drivers (230) comprises a respective perforation portion (236), wherein the perforation portion (236 ) is operable to pierce sealant (228) disposed within the channel (226) of a container (220) associated with the plurality of containers (220).
    [0006]
    6. Apparatus, according to claim 4, characterized in that the container bulge (234) is intended to move in a sliding manner within the container (220) of the plurality of containers (220).
    [0007]
    7. Apparatus according to claim 1, characterized in that the plurality of containers (220) is formed inside the cartridge body (102).
    [0008]
    8. Apparatus according to claim 1, characterized in that the plurality of containers (220) is distinct from each other.
    [0009]
    9. Apparatus according to claim 1, characterized in that the fluid comprises a hemostatic agent.
    [0010]
    10. Apparatus according to claim 1, characterized in that the fluid comprises thrombin.
    [0011]
    11. Apparatus according to claim 1, characterized in that the fluid comprises a gel.
    [0012]
    12. Apparatus according to claim 1, characterized in that the fluid comprises a drug.
    [0013]
    13. Apparatus according to claim 1, characterized in that the end actuator (12) comprises a trigger bar (14) having a cutting edge (48), and the vertical slot (49) of the top bracket (72) is configured to allow the cutting edge (48) to translate longitudinally along the vertical slot (49).
    [0014]
    14. Apparatus for endosurgical use according to claim 1, characterized in that the apparatus comprises: (a) a cartridge body (102) having an upper support (110), the upper support (110) comprises: 1. a plurality of clamp openings (112), and ii. a plurality of holes (114); (b) a staple driver (130) translatable vertically with respect to the cartridge body (102), each staple driver (130) comprising a container protrusion (134); (c) a plurality of staples (114), the plurality of staples (114) being vertically translatable with respect to the cartridge body (102); (d) a plurality of containers (120) with each container (120) being in fluid communication with a respective orifice (114) of the plurality of orifices (114), each container protrusion (134) operable to expel fluid (122) out of a corresponding container (120) among the plurality of containers (120); and (e) a fluid (122) disposed within each of the plurality of containers (120).
    [0015]
    15. Apparatus according to claim 14, characterized in that the container protrusion (234) of each staple driver (230) is slidably disposed within the corresponding container (220) of the plurality of containers (220 ).
    [0016]
    16. Apparatus according to claim 14, characterized in that the staple driver (130) is configured to drive a staple (140) of the plurality of staples (140) out through a staple opening (112) of the plurality of clamp openings (112), while at the same time it forces fluid (122) in a container (120) of the plurality of containers (120) out through an orifice (114) of the plurality of orifices (114 ).
    类似技术:
    公开号 | 公开日 | 专利标题
    BR112014002533B1|2021-05-04|device for endosurgical use
    EP2755568B1|2020-12-09|Surgical instrument with filled staple
    EP2755560B1|2021-07-28|Surgical instrument with fluid fillable buttress
    EP2741687B1|2016-09-21|Device for applying adjunct in endoscopic procedure
    EP2755590B1|2018-11-21|Surgical instrument with staple reinforcement clip
    US9089326B2|2015-07-28|Dual staple cartridge for surgical stapler
    EP2741683B1|2019-07-24|Surgical staple with localized adjunct coating
    BR112014006994B1|2021-02-02|surgical instrument apparatus
    BR112014006828B1|2021-06-22|SURGICAL INSTRUMENT APPLIANCE
    US20220079580A1|2022-03-17|Apparatus and method to apply buttress to end effector of surgical stapler via driven member
    同族专利:
    公开号 | 公开日
    WO2013019697A3|2014-04-17|
    EP2739213A2|2014-06-11|
    CN103957820A|2014-07-30|
    IN2014DN00216A|2015-06-05|
    JP6109828B2|2017-04-05|
    WO2013019697A2|2013-02-07|
    US8998059B2|2015-04-07|
    CN103957820B|2016-08-17|
    US20130032626A1|2013-02-07|
    BR112014002533A2|2017-03-14|
    JP2014529415A|2014-11-13|
    引用文献:
    公开号 | 申请日 | 公开日 | 申请人 | 专利标题
    CA481943A|1952-03-25|C. Harvey Douglass|Camera controlling mechanism|
    GB222954A|1923-07-10|1924-10-10|Mabel Elizabeth Tilburn|Improved means for producing and for the illuminated projection-display of writings, cartoons, drawings and the like|
    GB493459A|1937-04-08|1938-10-10|Piero Mariano Salerni|Improvements in or relating to hydraulic power transmission apparatus|
    US2303131A|1941-04-25|1942-11-24|Eva M Morgan|Suturable surgical adhesive material and method of using same|
    GB913218A|1960-02-02|1962-12-19|Alexey Alexeevich Strekopitov|A suturing device|
    US3364200A|1960-03-28|1968-01-16|Johnson & Johnson|Oxidized cellulose product and method for preparing the same|
    US3496940A|1966-09-19|1970-02-24|Charles Steinman|Surgical suture and sling device|
    US3526228A|1969-03-24|1970-09-01|Ethicon Inc|Collagen lamina dural prosthesis|
    US4222383A|1978-08-07|1980-09-16|Schossow George W|Surgical drape and suture|
    US4513746A|1981-10-09|1985-04-30|United States Surgical Corp.|Instrument for applying plastic-like surgical fastening devices|
    SU1170663A1|1983-04-14|1987-04-23|Всесоюзный научно-исследовательский и испытательный институт медицинской техники|Compound for joning tissues and organs|
    US4549545A|1984-03-05|1985-10-29|Ethicon Inc.|Segmented polyurethane surgical buttressing pledgets|
    US4693720A|1985-09-23|1987-09-15|Katecho, Incorporated|Device for surgically repairing soft tissues and method for making the same|
    US4610250A|1985-10-08|1986-09-09|United States Surgical Corporation|Two-part surgical fastener for fascia wound approximation|
    JPS6425870A|1987-04-30|1989-01-27|Ajinomoto Kk|Support for anastomosis or bonding of living body|
    EP0328401A1|1988-02-11|1989-08-16|Unisearch Limited|Anastomosis augmentation device|
    US4805823A|1988-03-18|1989-02-21|Ethicon, Inc.|Pocket configuration for internal organ staplers|
    JPH06506366A|1990-12-06|1994-07-21|
    US5366480A|1990-12-24|1994-11-22|American Cyanamid Company|Synthetic elastomeric buttressing pledget|
    US5690675A|1991-02-13|1997-11-25|Fusion Medical Technologies, Inc.|Methods for sealing of staples and other fasteners in tissue|
    US5282829A|1991-08-15|1994-02-01|United States Surgical Corporation|Hollow body implants|
    US5411193A|1991-08-26|1995-05-02|Culp; Joel B.|Portable containment device for contaminated medical objects|
    AU3242693A|1991-12-06|1993-06-28|Kensey Nash Corporation|Pads, methods of making, and methods of use for wound dressing, surgical reinforcement and hemostasis promotion|
    US5496603A|1992-02-03|1996-03-05|Minnesota Mining And Manufacturing Company|Nonwoven sheet materials, tapes and methods|
    US5749968A|1993-03-01|1998-05-12|Focal, Inc.|Device for priming for improved adherence of gels to substrates|
    GB9206509D0|1992-03-25|1992-05-06|Jevco Ltd|Heteromorphic sponges containing active agents|
    US5263629A|1992-06-29|1993-11-23|Ethicon, Inc.|Method and apparatus for achieving hemostasis along a staple line|
    US5327914A|1992-09-02|1994-07-12|Shlain Leonard M|Method and devices for use in surgical gastroplastic procedure|
    US5383904A|1992-10-13|1995-01-24|United States Surgical Corporation|Stiffened surgical device|
    US6174333B1|1994-06-06|2001-01-16|Osiris Therapeutics, Inc.|Biomatrix for soft tissue regeneration using mesenchymal stem cells|
    US5565210A|1993-03-22|1996-10-15|Johnson & Johnson Medical, Inc.|Bioabsorbable wound implant materials|
    US5415334A|1993-05-05|1995-05-16|Ethicon Endo-Surgery|Surgical stapler and staple cartridge|
    US6704210B1|1994-05-20|2004-03-09|Medtronic, Inc.|Bioprothesis film strip for surgical stapler and method of attaching the same|
    US5297324A|1993-07-15|1994-03-29|Su Wen Chian|Fully rounded jingle bell making method|
    JP3146773B2|1993-07-26|2001-03-19|スズキ株式会社|Scooter-type motorcycle carburetor fuel oil level holding device|
    US5607590A|1993-08-06|1997-03-04|Shimizu; Yasuhiko|Material for medical use and process for preparing same|
    US5393594A|1993-10-06|1995-02-28|United States Surgical Corporation|Absorbable non-woven fabric|
    US5542594A|1993-10-06|1996-08-06|United States Surgical Corporation|Surgical stapling apparatus with biocompatible surgical fabric|
    US5465895A|1994-02-03|1995-11-14|Ethicon Endo-Surgery, Inc.|Surgical stapler instrument|
    US5597107A|1994-02-03|1997-01-28|Ethicon Endo-Surgery, Inc.|Surgical stapler instrument|
    US5503638A|1994-02-10|1996-04-02|Bio-Vascular, Inc.|Soft tissue stapling buttress|
    US5814057A|1994-06-03|1998-09-29|Gunze Limited|Supporting element for staple region|
    EP0773971B1|1994-07-27|1999-06-23|W.L. Gore & Associates, Inc.|High strength porous ptfe sheet material|
    US5607686A|1994-11-22|1997-03-04|United States Surgical Corporation|Polymeric composition|
    US5632432A|1994-12-19|1997-05-27|Ethicon Endo-Surgery, Inc.|Surgical instrument|
    US5704534A|1994-12-19|1998-01-06|Ethicon Endo-Surgery, Inc.|Articulation assembly for surgical instruments|
    CA2167455A1|1995-01-19|1996-07-20|Kevin Cooper|Absorbable polyalkylene diglycolates|
    KR100333508B1|1995-03-31|2002-07-18|타다시 마츠다|Process for preparing solvent-type acrylic pressure-sensitive adhesives and medical pressure-sensitive adhesive|
    WO1996032893A1|1995-04-21|1996-10-24|W.L. Gore & Associates, Inc.|A surgical pledget dispensing system|
    JP3795100B2|1995-05-08|2006-07-12|株式会社伊垣医療設計|Medical suture material|
    JP3526487B2|1995-05-08|2004-05-17|株式会社伊垣医療設計|Medical sutures|
    WO1997001989A1|1995-07-03|1997-01-23|Frater Dirk A|System for mounting bolster material on tissue staplers|
    JPH11509126A|1995-07-17|1999-08-17|エドワード ウッド，アルフレッド|Heart valve reconstruction buttress|
    US5810855A|1995-07-21|1998-09-22|Gore Enterprise Holdings, Inc.|Endoscopic device and method for reinforcing surgical staples|
    US5814055A|1995-09-19|1998-09-29|Ethicon Endo-Surgery, Inc.|Surgical clamping mechanism|
    US5639851A|1995-10-02|1997-06-17|Ethicon, Inc.|High strength, melt processable, lactide-rich, poly copolymers|
    JP3476631B2|1995-12-21|2003-12-10|株式会社アムニオテック|Medical material composed of human-derived natural collagen membrane|
    US5711958A|1996-07-11|1998-01-27|Life Medical Sciences, Inc.|Methods for reducing or eliminating post-surgical adhesion formation|
    US5755778A|1996-10-16|1998-05-26|Nitinol Medical Technologies, Inc.|Anastomosis device|
    US5752965A|1996-10-21|1998-05-19|Bio-Vascular, Inc.|Apparatus and method for producing a reinforced surgical fastener suture line|
    US5769892A|1996-10-22|1998-06-23|Mitroflow International Inc.|Surgical stapler sleeve for reinforcing staple lines|
    TW501934B|1996-11-20|2002-09-11|Tapic Int Co Ltd|Collagen material and process for making the same|
    JP2001514539A|1997-03-04|2001-09-11|メドトロニック・インコーポレーテッド|Bioprosthesis film strip for surgical stapler and method of attaching the same|
    US6475230B1|1997-08-01|2002-11-05|Peter M. Bonutti|Method and apparatus for securing a suture|
    US5997895A|1997-09-16|1999-12-07|Integra Lifesciences Corporation|Dural/meningeal repair product using collagen matrix|
    GB2329840C|1997-10-03|2007-10-05|Johnson & Johnson Medical|Biopolymer sponge tubes|
    WO1999034750A1|1998-01-06|1999-07-15|Bioamide, Inc.|Bioabsorbable fibers and reinforced composites produced therefrom|
    US6245081B1|1998-01-09|2001-06-12|Steven M. Bowman|Suture buttress|
    US6203564B1|1998-02-26|2001-03-20|United States Surgical|Braided polyester suture and implantable medical device|
    CN1105795C|1998-06-11|2003-04-16|清水庆彦|Collagen material and process for producing the same|
    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|
    FR2778081B1|1998-04-29|2000-08-25|Fabrice Thevenet|REINFORCEMENT IMPLANTS FOR TISSUE SUTURES|
    JPH11309151A|1998-04-30|1999-11-09|Nippon Waisuredarii Kk|Surgical suturing device|
    FR2789885B1|1999-02-19|2001-05-04|Brothier Lab|SUTURE REINFORCEMENT DEVICE|
    PT1163019E|1999-03-25|2007-12-06|Metabolix Inc|Medical devices and applications of polyhydroxyalkanoate polymers|
    US6921412B1|1999-05-18|2005-07-26|Cryolife, Inc.|Self-supporting, shaped, three-dimensional biopolymeric materials and methods|
    US6355699B1|1999-06-30|2002-03-12|Ethicon, Inc.|Process for manufacturing biomedical foams|
    US6325810B1|1999-06-30|2001-12-04|Ethicon, Inc.|Foam buttress for stapling apparatus|
    US6635073B2|2000-05-03|2003-10-21|Peter M. Bonutti|Method of securing body tissue|
    AT434010T|1999-08-27|2009-07-15|Angiodevice Internat Gmbh|INTERPENDENT POLYMER NETWORKS FOR USE AS HIGH-STRENGTH MEDICAL SEALING COMPOUNDS|
    EP1080693A1|1999-09-02|2001-03-07|Heinz Robert Dr. med. Zurbrügg|Haemostatic and/or reinforcing surgical suture system for sternal cerclages|
    US6312474B1|1999-09-15|2001-11-06|Bio-Vascular, Inc.|Resorbable implant materials|
    US6641592B1|1999-11-19|2003-11-04|Lsi Solutions, Inc.|System for wound closure|
    US6488197B1|2000-02-22|2002-12-03|Power Medical Interventions, Inc.|Fluid delivery device for use with anastomosing resecting and stapling instruments|
    US6273897B1|2000-02-29|2001-08-14|Ethicon, Inc.|Surgical bettress and surgical stapling apparatus|
    WO2002009593A1|2000-07-28|2002-02-07|Les Laboratoires Brothier|Suture reinforcing device|
    US20040093024A1|2000-09-01|2004-05-13|James Lousararian|Advanced wound site management systems and methods|
    WO2002022184A2|2000-09-18|2002-03-21|Organogenesis Inc.|Bioengineered flat sheet graft prosthesis and its use|
    US6638285B2|2001-04-16|2003-10-28|Shlomo Gabbay|Biological tissue strip and system and method to seal tissue|
    US6656193B2|2001-05-07|2003-12-02|Ethicon Endo-Surgery, Inc.|Device for attachment of buttress material to a surgical fastening device|
    US6503257B2|2001-05-07|2003-01-07|Ethicon Endo-Surgery, Inc.|Method for releasing buttress material attached to a surgical fastening device|
    US6939358B2|2001-12-20|2005-09-06|Gore Enterprise Holdings, Inc.|Apparatus and method for applying reinforcement material to a surgical stapler|
    US7182771B1|2001-12-20|2007-02-27|Russell A. Houser|Vascular couplers, techniques, methods, and accessories|
    US6869436B2|2002-02-07|2005-03-22|Scimed Life Systems, Inc.|Surgical clip with a self-releasing fluid reservoir|
    US7128748B2|2002-03-26|2006-10-31|Synovis Life Technologies, Inc.|Circular stapler buttress combination|
    WO2003088844A1|2002-04-15|2003-10-30|Cook Biotech Incorporated|Apparatus and method for producing a reinforced surgical staple line|
    EP2404555B1|2002-04-16|2017-03-15|Covidien LP|Surgical stapler and method|
    EP2289429B1|2002-05-10|2015-06-17|Covidien LP|Surgical stapling apparatus having a wound closure material applicator assembly|
    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|
    US6986775B2|2002-06-13|2006-01-17|Guided Delivery Systems, Inc.|Devices and methods for heart valve repair|
    US7744627B2|2002-06-17|2010-06-29|Tyco Healthcare Group Lp|Annular support structures|
    CN100369637C|2002-12-16|2008-02-20|郡是株式会社|Medical film|
    JP2006509595A|2002-12-16|2006-03-23|エドリッチ・ヴァスキュラー・ディヴァイシズ，インコーポレイテッド|Multiple stapling instruments for narrow vessels|
    CN1732023A|2002-12-27|2006-02-08|血管技术国际股份公司|Compositions and methods of using collajolie|
    FR2850281A1|2003-01-27|2004-07-30|Brothier Lab|Production of a suture-reinforcing device comprises coating a guluronic-type calcium alginate textile material with a solution of propylene glycol alginate with a high degree of esterification|
    US20040167572A1|2003-02-20|2004-08-26|Roth Noah M.|Coated medical devices|
    US7160299B2|2003-05-01|2007-01-09|Sherwood Services Ag|Method of fusing biomaterials with radiofrequency energy|
    EP1624811B1|2003-05-09|2007-02-21|Tyco Healthcare Group Lp|Anastomotic staple with fluid dispensing capillary|
    US20070190108A1|2004-05-17|2007-08-16|Arindam Datta|High performance reticulated elastomeric matrix preparation, properties, reinforcement, and use in surgical devices, tissue augmentation and/or tissue repair|
    US7380696B2|2003-05-20|2008-06-03|Ethicon Endo-Surgery, Inc.|Articulating surgical stapling instrument incorporating a two-piece E-beam firing mechanism|
    US6978921B2|2003-05-20|2005-12-27|Ethicon Endo-Surgery, Inc.|Surgical stapling instrument incorporating an E-beam firing mechanism|
    US7380695B2|2003-05-20|2008-06-03|Ethicon Endo-Surgery, Inc.|Surgical stapling instrument having a single lockout mechanism for prevention of firing|
    US7143923B2|2003-05-20|2006-12-05|Ethicon Endo-Surgery, Inc.|Surgical stapling instrument having a firing lockout for an unclosed anvil|
    US7905902B2|2003-06-16|2011-03-15|Ethicon Endo-Surgery, Inc.|Surgical implant with preferential corrosion zone|
    PT1647286E|2003-07-17|2010-11-30|Gunze Kk|Stitching reinforcement material for automatic stitching device|
    US8198261B2|2003-08-22|2012-06-12|Xylos Corporation|Thermally modified microbial-derived cellulose for in vivo implantation|
    US7547312B2|2003-09-17|2009-06-16|Gore Enterprise Holdings, Inc.|Circular stapler buttress|
    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|
    US20050070929A1|2003-09-30|2005-03-31|Dalessandro David A.|Apparatus and method for attaching a surgical buttress to a stapling apparatus|
    US20050247320A1|2003-10-10|2005-11-10|Stack Richard S|Devices and methods for retaining a gastro-esophageal implant|
    US20050101834A1|2003-11-10|2005-05-12|Merade Bryon L.|Readily implantable sling|
    US7211093B2|2004-01-14|2007-05-01|Lsi Solutions, Inc.|Sew-right running stitch instrument|
    US20050283256A1|2004-02-09|2005-12-22|Codman & Shurtleff, Inc.|Collagen device and method of preparing the same|
    GB2429651C|2004-02-17|2009-03-25|Cook Biotech Inc|Medical devices and methods useful for applying bolster material|
    JP4700384B2|2004-04-07|2011-06-15|オリンパス株式会社|Medical ligature suturing apparatus and medical ligature suturing system|
    US20050249772A1|2004-05-04|2005-11-10|Prasanna Malaviya|Hybrid biologic-synthetic bioabsorbable scaffolds|
    US7931578B2|2004-06-18|2011-04-26|Ncontact Surgical, Inc.|Methods and system for tissue cavity closure|
    US7727271B2|2004-06-24|2010-06-01|Boston Scientific Scimed, Inc.|Implantable prosthesis having reinforced attachment sites|
    US7367485B2|2004-06-30|2008-05-06|Ethicon Endo-Surgery, Inc.|Surgical stapling instrument incorporating a multistroke firing mechanism having a rotary transmission|
    US8215531B2|2004-07-28|2012-07-10|Ethicon Endo-Surgery, Inc.|Surgical stapling instrument having a medical substance dispenser|
    US7147138B2|2004-07-28|2006-12-12|Ethicon Endo-Surgery, Inc.|Surgical stapling instrument having an electroactive polymer actuated buttress deployment mechanism|
    US7784663B2|2005-03-17|2010-08-31|Ethicon Endo-Surgery, Inc.|Surgical stapling instrument having load sensing control circuitry|
    EP1791473A4|2004-08-17|2011-09-14|Tyco Healthcare|Stapling support structures|
    ES2264862B8|2004-08-25|2017-01-20|Cellerix, S.L.|BIOMATERIAL FOR SUTURE.|
    US7845536B2|2004-10-18|2010-12-07|Tyco Healthcare Group Lp|Annular adhesive structure|
    AU2005301150B2|2004-10-18|2011-02-03|Covidien Lp|Apparatus for applying wound treatment material using tissue-penetrating needles|
    ES2389208T3|2004-10-18|2012-10-24|Tyco Healthcare Group Lp|Annular adhesive structure|
    DK1809342T3|2004-10-20|2015-08-17|Ethicon Inc|absorbable hemostat|
    WO2006081174A2|2005-01-24|2006-08-03|Brian Kelleher|Methods and devices for soft tissue stapling|
    US20060173470A1|2005-01-31|2006-08-03|Oray B N|Surgical fastener buttress material|
    FR2884134B1|2005-04-07|2008-03-28|Safradim Production Soc Par Ac|SYSTEM FOR ESTABLISHING MEANS FORMING REINFORCEMENT OF A SUTURE|
    US7250057B2|2005-04-11|2007-07-31|St. Jude Medical Puerto Rico B.V.|Tissue puncture closure device with automatic torque sensing tamping system|
    US7837705B2|2005-05-17|2010-11-23|St. Jude Medical Puerto Rico Llc|Tissue puncture closure system with retractable sheath|
    US7618438B2|2005-05-17|2009-11-17|St. Jude Medical Puerto Rico Llc|Tissue puncture closure device with disengagable automatic tamping system|
    US7500993B2|2005-07-15|2009-03-10|Towertech Research Group, Inc.|Ventral hernia repair method|
    US8579176B2|2005-07-26|2013-11-12|Ethicon Endo-Surgery, Inc.|Surgical stapling and cutting device and method for using the device|
    US7559937B2|2005-08-09|2009-07-14|Towertech Research Group|Surgical fastener apparatus and reinforcing material|
    US7398908B2|2005-08-15|2008-07-15|Tyco Healthcare Group Lp|Surgical stapling instruments including a cartridge having multiple staple sizes|
    US7401721B2|2005-08-15|2008-07-22|Tyco Healthcare Group Lp|Surgical stapling instruments including a cartridge having multiple staple sizes|
    US9055942B2|2005-10-03|2015-06-16|Boston Scienctific Scimed, Inc.|Endoscopic plication devices and methods|
    US7607557B2|2005-11-04|2009-10-27|Ethicon Endo-Surgery, Inc.|Surgical stapling instruments structured for pump-assisted delivery of medical agents|
    US20070112360A1|2005-11-15|2007-05-17|Patrick De Deyne|Bioprosthetic device|
    US20070128243A1|2005-12-02|2007-06-07|Xylos Corporation|Implantable microbial cellulose materials for various medical applications|
    WO2007067621A2|2005-12-06|2007-06-14|Tyco Healthcare Group Lp|Biocompatible surgical compositions|
    US8267942B2|2005-12-23|2012-09-18|Ethicon, Inc.|Systems and methods for closing a vessel wound|
    US20070207180A1|2006-03-02|2007-09-06|Masao Tanihara|Synthetic polypeptide-containing bioapplicable material and film-forming material|
    US7709631B2|2006-03-13|2010-05-04|Xylos Corporation|Oxidized microbial cellulose and use thereof|
    JP5076586B2|2006-03-30|2012-11-21|大日本印刷株式会社|Embossing device|
    US20080039871A1|2006-04-04|2008-02-14|Wallace Jeffrey M|Minimally invasive gastric restriction methods|
    US20070243227A1|2006-04-14|2007-10-18|Michael Gertner|Coatings for surgical staplers|
    US20070246505A1|2006-04-24|2007-10-25|Medical Ventures Inc.|Surgical buttress assemblies and methods of uses thereof|
    US20070286892A1|2006-06-13|2007-12-13|Uri Herzberg|Compositions and methods for preventing or reducing postoperative ileus and gastric stasis in mammals|
    US7780663B2|2006-09-22|2010-08-24|Ethicon Endo-Surgery, Inc.|End effector coatings for electrosurgical instruments|
    US7557167B2|2006-09-28|2009-07-07|Gore Enterprise Holdings, Inc.|Polyester compositions, methods of manufacturing said compositions, and articles made therefrom|
    US8360297B2|2006-09-29|2013-01-29|Ethicon Endo-Surgery, Inc.|Surgical cutting and stapling instrument with self adjusting anvil|
    US8028883B2|2006-10-26|2011-10-04|Tyco Healthcare Group Lp|Methods of using shape memory alloys for buttress attachment|
    US7753936B2|2006-11-10|2010-07-13|Ehticon Endo-Surgery, Inc.|Form in place fasteners|
    US7721930B2|2006-11-10|2010-05-25|Thicon Endo-Surgery, Inc.|Disposable cartridge with adhesive for use with a stapling device|
    US8834498B2|2006-11-10|2014-09-16|Ethicon Endo-Surgery, Inc.|Method and device for effecting anastomosis of hollow organ structures using adhesive and fasteners|
    US7738971B2|2007-01-10|2010-06-15|Ethicon Endo-Surgery, Inc.|Post-sterilization programming of surgical instruments|
    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|
    US8317790B2|2007-09-14|2012-11-27|W. L. Gore & Associates, Inc.|Surgical staple line reinforcements|
    US20090118747A1|2007-11-05|2009-05-07|Tyco Healthcare Group Lp|Novel surgical fastener|
    US8641730B2|2009-08-18|2014-02-04|Covidien Lp|Local biomechanical and/or antimicrobial ligation device|US5865361A|1997-09-23|1999-02-02|United States Surgical Corporation|Surgical stapling apparatus|
    EP1624811B1|2003-05-09|2007-02-21|Tyco Healthcare Group Lp|Anastomotic staple with fluid dispensing capillary|
    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|
    US7669746B2|2005-08-31|2010-03-02|Ethicon Endo-Surgery, Inc.|Staple cartridges for forming staples having differing formed staple heights|
    US20070194082A1|2005-08-31|2007-08-23|Morgan Jerome R|Surgical stapling device with anvil having staple forming pockets of varying depths|
    US7934630B2|2005-08-31|2011-05-03|Ethicon Endo-Surgery, Inc.|Staple cartridges for forming staples having differing formed staple heights|
    US9237891B2|2005-08-31|2016-01-19|Ethicon Endo-Surgery, Inc.|Robotically-controlled surgical stapling devices that produce formed staples having different lengths|
    US11246590B2|2005-08-31|2022-02-15|Cilag Gmbh International|Staple cartridge including staple drivers having different unfired heights|
    US10159482B2|2005-08-31|2018-12-25|Ethicon Llc|Fastener cartridge assembly comprising a fixed anvil and different 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|
    US8820603B2|2006-01-31|2014-09-02|Ethicon Endo-Surgery, Inc.|Accessing data stored in a memory of a surgical instrument|
    US8186555B2|2006-01-31|2012-05-29|Ethicon Endo-Surgery, Inc.|Motor-driven surgical cutting and fastening instrument with mechanical closure system|
    US20120292367A1|2006-01-31|2012-11-22|Ethicon Endo-Surgery, Inc.|Robotically-controlled end effector|
    US8708213B2|2006-01-31|2014-04-29|Ethicon Endo-Surgery, Inc.|Surgical instrument having a feedback system|
    US11207064B2|2011-05-27|2021-12-28|Cilag Gmbh International|Automated end effector component reloading system for use with a robotic system|
    US11224427B2|2006-01-31|2022-01-18|Cilag Gmbh International|Surgical stapling system including a console and retraction assembly|
    US9861359B2|2006-01-31|2018-01-09|Ethicon Llc|Powered surgical instruments with firing system lockout arrangements|
    US7845537B2|2006-01-31|2010-12-07|Ethicon Endo-Surgery, Inc.|Surgical instrument having recording capabilities|
    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|
    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|
    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|
    US10130359B2|2006-09-29|2018-11-20|Ethicon Llc|Method for forming a staple|
    US10568652B2|2006-09-29|2020-02-25|Ethicon Llc|Surgical staples having attached drivers of different heights and stapling instruments for deploying the same|
    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|
    US11039836B2|2007-01-11|2021-06-22|Cilag Gmbh International|Staple cartridge for use with a surgical stapling instrument|
    US8540128B2|2007-01-11|2013-09-24|Ethicon Endo-Surgery, Inc.|Surgical stapling device with a curved end effector|
    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|
    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|
    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|
    US9179912B2|2008-02-14|2015-11-10|Ethicon Endo-Surgery, Inc.|Robotically-controlled motorized surgical cutting and fastening instrument|
    US7819298B2|2008-02-14|2010-10-26|Ethicon Endo-Surgery, Inc.|Surgical stapling apparatus with control features operable with one hand|
    US8636736B2|2008-02-14|2014-01-28|Ethicon Endo-Surgery, Inc.|Motorized surgical cutting and fastening instrument|
    US8657174B2|2008-02-14|2014-02-25|Ethicon Endo-Surgery, Inc.|Motorized surgical cutting and fastening instrument having handle based power source|
    US8573465B2|2008-02-14|2013-11-05|Ethicon Endo-Surgery, Inc.|Robotically-controlled surgical end effector system with rotary actuated closure systems|
    US7866527B2|2008-02-14|2011-01-11|Ethicon Endo-Surgery, Inc.|Surgical stapling apparatus with interlockable firing system|
    US8758391B2|2008-02-14|2014-06-24|Ethicon Endo-Surgery, Inc.|Interchangeable tools for surgical instruments|
    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|
    US7832612B2|2008-09-19|2010-11-16|Ethicon Endo-Surgery, Inc.|Lockout arrangement for a surgical stapler|
    US8628544B2|2008-09-23|2014-01-14|Covidien Lp|Knife bar for surgical instrument|
    US9005230B2|2008-09-23|2015-04-14|Ethicon Endo-Surgery, Inc.|Motorized surgical instrument|
    US7988028B2|2008-09-23|2011-08-02|Tyco Healthcare Group Lp|Surgical instrument having an asymmetric dynamic clamping member|
    US9386983B2|2008-09-23|2016-07-12|Ethicon Endo-Surgery, Llc|Robotically-controlled motorized surgical instrument|
    US8210411B2|2008-09-23|2012-07-03|Ethicon Endo-Surgery, Inc.|Motor-driven surgical cutting instrument|
    US8608045B2|2008-10-10|2013-12-17|Ethicon Endo-Sugery, Inc.|Powered surgical cutting and stapling apparatus with manually retractable firing system|
    US8517239B2|2009-02-05|2013-08-27|Ethicon Endo-Surgery, Inc.|Surgical stapling instrument comprising a magnetic element driver|
    US20110024477A1|2009-02-06|2011-02-03|Hall Steven G|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|
    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|
    US8608046B2|2010-01-07|2013-12-17|Ethicon Endo-Surgery, Inc.|Test device for a surgical tool|
    US8783543B2|2010-07-30|2014-07-22|Ethicon Endo-Surgery, Inc.|Tissue acquisition arrangements and methods for surgical stapling devices|
    US9320523B2|2012-03-28|2016-04-26|Ethicon Endo-Surgery, Llc|Tissue thickness compensator comprising tissue ingrowth features|
    BR112013027794B1|2011-04-29|2020-12-15|Ethicon Endo-Surgery, Inc|CLAMP CARTRIDGE SET|
    US9204880B2|2012-03-28|2015-12-08|Ethicon Endo-Surgery, Inc.|Tissue thickness compensator comprising capsules defining a low pressure environment|
    US9301752B2|2010-09-30|2016-04-05|Ethicon Endo-Surgery, Llc|Tissue thickness compensator comprising a plurality of capsules|
    US10945731B2|2010-09-30|2021-03-16|Ethicon Llc|Tissue thickness compensator comprising controlled release and expansion|
    US9332974B2|2010-09-30|2016-05-10|Ethicon Endo-Surgery, Llc|Layered tissue thickness compensator|
    US10123798B2|2010-09-30|2018-11-13|Ethicon Llc|Tissue thickness compensator comprising controlled release and expansion|
    US9386984B2|2013-02-08|2016-07-12|Ethicon Endo-Surgery, Llc|Staple cartridge comprising a releasable cover|
    US9839420B2|2010-09-30|2017-12-12|Ethicon Llc|Tissue thickness compensator comprising at least one medicament|
    US9232941B2|2010-09-30|2016-01-12|Ethicon Endo-Surgery, Inc.|Tissue thickness compensator comprising a reservoir|
    JP6305979B2|2012-03-28|2018-04-04|エシコン・エンド−サージェリィ・インコーポレイテッドＥｔｈｉｃｏｎ Ｅｎｄｏ−Ｓｕｒｇｅｒｙ，Ｉｎｃ．|Tissue thickness compensator with multiple layers|
    US9629814B2|2010-09-30|2017-04-25|Ethicon Endo-Surgery, Llc|Tissue thickness compensator configured to redistribute compressive forces|
    JP5902180B2|2010-09-30|2016-04-13|エシコン・エンド−サージェリィ・インコーポレイテッドＥｔｈｉｃｏｎ Ｅｎｄｏ−Ｓｕｒｇｅｒｙ，Ｉｎｃ．|Fastening system including retention matrix and alignment matrix|
    US8777004B2|2010-09-30|2014-07-15|Ethicon Endo-Surgery, Inc.|Compressible staple cartridge comprising alignment members|
    US9861361B2|2010-09-30|2018-01-09|Ethicon Llc|Releasable tissue thickness compensator and fastener cartridge having the same|
    US9364233B2|2010-09-30|2016-06-14|Ethicon Endo-Surgery, Llc|Tissue thickness compensators for circular surgical staplers|
    US9055941B2|2011-09-23|2015-06-16|Ethicon Endo-Surgery, Inc.|Staple cartridge including collapsible deck|
    JP6224070B2|2012-03-28|2017-11-01|エシコン・エンド−サージェリィ・インコーポレイテッドＥｔｈｉｃｏｎ Ｅｎｄｏ−Ｓｕｒｇｅｒｙ，Ｉｎｃ．|Retainer assembly including tissue thickness compensator|
    US9314246B2|2010-09-30|2016-04-19|Ethicon Endo-Surgery, Llc|Tissue stapler having a thickness compensator incorporating an anti-inflammatory agent|
    US9220501B2|2010-09-30|2015-12-29|Ethicon Endo-Surgery, Inc.|Tissue thickness compensators|
    US8695866B2|2010-10-01|2014-04-15|Ethicon Endo-Surgery, Inc.|Surgical instrument having a power control circuit|
    US9072535B2|2011-05-27|2015-07-07|Ethicon Endo-Surgery, Inc.|Surgical stapling instruments with rotatable staple deployment arrangements|
    US8998060B2|2011-09-13|2015-04-07|Ethicon Endo-Surgery, Inc.|Resistive heated surgical staple cartridge with phase change sealant|
    US9050084B2|2011-09-23|2015-06-09|Ethicon Endo-Surgery, Inc.|Staple cartridge including collapsible deck arrangement|
    US9089326B2|2011-10-07|2015-07-28|Ethicon Endo-Surgery, Inc.|Dual staple cartridge for surgical stapler|
    US8740036B2|2011-12-01|2014-06-03|Covidien Lp|Surgical instrument with actuator spring arm|
    US9044230B2|2012-02-13|2015-06-02|Ethicon Endo-Surgery, Inc.|Surgical cutting and fastening instrument with apparatus for determining cartridge and firing motion status|
    MX350846B|2012-03-28|2017-09-22|Ethicon Endo Surgery Inc|Tissue thickness compensator comprising capsules defining a low pressure environment.|
    US9307989B2|2012-03-28|2016-04-12|Ethicon Endo-Surgery, Llc|Tissue stapler having a thickness compensator incorportating a hydrophobic agent|
    US9101358B2|2012-06-15|2015-08-11|Ethicon Endo-Surgery, Inc.|Articulatable surgical instrument comprising a firing drive|
    US9289256B2|2012-06-28|2016-03-22|Ethicon Endo-Surgery, Llc|Surgical end effectors having angled tissue-contacting surfaces|
    US9364230B2|2012-06-28|2016-06-14|Ethicon Endo-Surgery, Llc|Surgical stapling instruments with rotary joint assemblies|
    US11197671B2|2012-06-28|2021-12-14|Cilag Gmbh International|Stapling assembly comprising a lockout|
    US20140005718A1|2012-06-28|2014-01-02|Ethicon Endo-Surgery, Inc.|Multi-functional powered surgical device with external dissection features|
    RU2636861C2|2012-06-28|2017-11-28|Этикон Эндо-Серджери, Инк.|Blocking of empty cassette with clips|
    US20140001231A1|2012-06-28|2014-01-02|Ethicon Endo-Surgery, Inc.|Firing system lockout arrangements for surgical instruments|
    US9649111B2|2012-06-28|2017-05-16|Ethicon Endo-Surgery, Llc|Replaceable clip cartridge for a clip applier|
    US9700309B2|2013-03-01|2017-07-11|Ethicon Llc|Articulatable surgical instruments with conductive pathways for signal communication|
    RU2672520C2|2013-03-01|2018-11-15|Этикон Эндо-Серджери, Инк.|Hingedly turnable surgical instruments with conducting ways for signal transfer|
    RU2669463C2|2013-03-01|2018-10-11|Этикон Эндо-Серджери, Инк.|Surgical instrument with soft stop|
    US9717498B2|2013-03-13|2017-08-01|Covidien Lp|Surgical stapling apparatus|
    US9629628B2|2013-03-13|2017-04-25|Covidien Lp|Surgical stapling apparatus|
    US9814463B2|2013-03-13|2017-11-14|Covidien Lp|Surgical stapling apparatus|
    US20140263552A1|2013-03-13|2014-09-18|Ethicon Endo-Surgery, Inc.|Staple cartridge tissue thickness sensor system|
    US9289211B2|2013-03-13|2016-03-22|Covidien Lp|Surgical stapling apparatus|
    US9629629B2|2013-03-14|2017-04-25|Ethicon Endo-Surgey, LLC|Control systems for surgical instruments|
    US9687230B2|2013-03-14|2017-06-27|Ethicon Llc|Articulatable surgical instrument comprising a firing drive|
    US9795384B2|2013-03-27|2017-10-24|Ethicon Llc|Fastener cartridge comprising a tissue thickness compensator and a gap setting element|
    US9572577B2|2013-03-27|2017-02-21|Ethicon Endo-Surgery, Llc|Fastener cartridge comprising a tissue thickness compensator including openings therein|
    US9332984B2|2013-03-27|2016-05-10|Ethicon Endo-Surgery, Llc|Fastener cartridge assemblies|
    US10136887B2|2013-04-16|2018-11-27|Ethicon Llc|Drive system decoupling arrangement for a surgical instrument|
    US9574644B2|2013-05-30|2017-02-21|Ethicon Endo-Surgery, Llc|Power module for use with a surgical instrument|
    MX369362B|2013-08-23|2019-11-06|Ethicon Endo Surgery Llc|Firing member retraction devices for powered surgical instruments.|
    US20150053746A1|2013-08-23|2015-02-26|Ethicon Endo-Surgery, Inc.|Torque optimization for surgical instruments|
    US9662108B2|2013-08-30|2017-05-30|Covidien Lp|Surgical stapling apparatus|
    US10517593B2|2013-11-04|2019-12-31|Covidien Lp|Surgical fastener applying apparatus|
    CN105682567B|2013-11-04|2021-09-10|柯惠Lp公司|Surgical fastener applying apparatus|
    WO2015065485A1|2013-11-04|2015-05-07|Covidien Lp|Surgical fastener applying apparatus|
    US9867613B2|2013-12-19|2018-01-16|Covidien Lp|Surgical staples and end effectors for deploying the same|
    US9724092B2|2013-12-23|2017-08-08|Ethicon Llc|Modular surgical instruments|
    US20150173756A1|2013-12-23|2015-06-25|Ethicon Endo-Surgery, Inc.|Surgical cutting and stapling methods|
    US9687232B2|2013-12-23|2017-06-27|Ethicon Llc|Surgical staples|
    US9681870B2|2013-12-23|2017-06-20|Ethicon Llc|Articulatable surgical instruments with separate and distinct closing and firing systems|
    US9642620B2|2013-12-23|2017-05-09|Ethicon Endo-Surgery, Llc|Surgical cutting and stapling instruments with articulatable end effectors|
    US9839428B2|2013-12-23|2017-12-12|Ethicon Llc|Surgical cutting and stapling instruments with independent jaw control features|
    US9962161B2|2014-02-12|2018-05-08|Ethicon Llc|Deliverable surgical instrument|
    US9848874B2|2014-02-14|2017-12-26|Covidien Lp|Small diameter endoscopic stapler|
    CN106232029B|2014-02-24|2019-04-12|伊西康内外科有限责任公司|Fastening system including firing member locking piece|
    US9775608B2|2014-02-24|2017-10-03|Ethicon Llc|Fastening system comprising a firing member lockout|
    US10004497B2|2014-03-26|2018-06-26|Ethicon Llc|Interface systems for use with surgical instruments|
    US9913642B2|2014-03-26|2018-03-13|Ethicon Llc|Surgical instrument comprising a sensor system|
    US10013049B2|2014-03-26|2018-07-03|Ethicon Llc|Power management through sleep options of segmented circuit and wake up control|
    US11259799B2|2014-03-26|2022-03-01|Cilag Gmbh International|Interface systems for use with surgical instruments|
    US20150272580A1|2014-03-26|2015-10-01|Ethicon Endo-Surgery, Inc.|Verification of number of battery exchanges/procedure count|
    US9757126B2|2014-03-31|2017-09-12|Covidien Lp|Surgical stapling apparatus with firing lockout mechanism|
    US10561422B2|2014-04-16|2020-02-18|Ethicon Llc|Fastener cartridge comprising deployable tissue engaging members|
    JP6612256B2|2014-04-16|2019-11-27|エシコンエルエルシー|Fastener cartridge with non-uniform fastener|
    US9668733B2|2014-04-21|2017-06-06|Covidien Lp|Stapling device with features to prevent inadvertent firing of staples|
    US9861366B2|2014-05-06|2018-01-09|Covidien Lp|Ejecting assembly for a surgical stapler|
    US10512461B2|2014-05-15|2019-12-24|Covidien Lp|Surgical fastener applying apparatus|
    US10045781B2|2014-06-13|2018-08-14|Ethicon Llc|Closure lockout systems for surgical instruments|
    US20160019117A1|2014-07-16|2016-01-21|Commvault Systems, Inc.|Creating customized bootable image for client computing device from backup copy|
    US9757128B2|2014-09-05|2017-09-12|Ethicon Llc|Multiple sensors with one sensor affecting a second sensor's output or interpretation|
    BR112017004361A2|2014-09-05|2017-12-05|Ethicon Llc|medical overcurrent modular power supply|
    BR112017005981A2|2014-09-26|2017-12-19|Ethicon Llc|surgical staplers and ancillary materials|
    US9801627B2|2014-09-26|2017-10-31|Ethicon Llc|Fastener cartridge for creating a flexible staple line|
    US10076325B2|2014-10-13|2018-09-18|Ethicon Llc|Surgical stapling apparatus comprising a tissue stop|
    US9924944B2|2014-10-16|2018-03-27|Ethicon Llc|Staple cartridge comprising an adjunct material|
    US11141153B2|2014-10-29|2021-10-12|Cilag Gmbh International|Staple cartridges comprising driver arrangements|
    US10517594B2|2014-10-29|2019-12-31|Ethicon Llc|Cartridge assemblies for surgical staplers|
    US9844376B2|2014-11-06|2017-12-19|Ethicon Llc|Staple cartridge comprising a releasable adjunct material|
    US10736636B2|2014-12-10|2020-08-11|Ethicon Llc|Articulatable surgical instrument system|
    US10188385B2|2014-12-18|2019-01-29|Ethicon Llc|Surgical instrument system comprising lockable systems|
    US9844374B2|2014-12-18|2017-12-19|Ethicon Llc|Surgical instrument systems comprising an articulatable end effector and means for adjusting the firing stroke of a firing member|
    US10085748B2|2014-12-18|2018-10-02|Ethicon Llc|Locking arrangements for detachable shaft assemblies with articulatable surgical end effectors|
    US9968355B2|2014-12-18|2018-05-15|Ethicon Llc|Surgical instruments with articulatable end effectors and improved firing beam support arrangements|
    US9987000B2|2014-12-18|2018-06-05|Ethicon Llc|Surgical instrument assembly comprising a flexible articulation system|
    US9844375B2|2014-12-18|2017-12-19|Ethicon Llc|Drive arrangements for articulatable surgical instruments|
    US10117649B2|2014-12-18|2018-11-06|Ethicon Llc|Surgical instrument assembly comprising a lockable articulation system|
    US10039545B2|2015-02-23|2018-08-07|Covidien Lp|Double fire stapling|
    US10085749B2|2015-02-26|2018-10-02|Covidien Lp|Surgical apparatus with conductor strain relief|
    US10285698B2|2015-02-26|2019-05-14|Covidien Lp|Surgical apparatus|
    US11154301B2|2015-02-27|2021-10-26|Cilag Gmbh International|Modular stapling assembly|
    US10226250B2|2015-02-27|2019-03-12|Ethicon Llc|Modular stapling assembly|
    US10180463B2|2015-02-27|2019-01-15|Ethicon Llc|Surgical apparatus configured to assess whether a performance parameter of the surgical apparatus is within an acceptable performance band|
    US10321907B2|2015-02-27|2019-06-18|Ethicon Llc|System for monitoring whether a surgical instrument needs to be serviced|
    US9901342B2|2015-03-06|2018-02-27|Ethicon Endo-Surgery, Llc|Signal and power communication system positioned on a rotatable shaft|
    US10045776B2|2015-03-06|2018-08-14|Ethicon Llc|Control techniques and sub-processor contained within modular shaft with select control processing from handle|
    US9895148B2|2015-03-06|2018-02-20|Ethicon Endo-Surgery, Llc|Monitoring speed control and precision incrementing of motor for powered surgical instruments|
    US9808246B2|2015-03-06|2017-11-07|Ethicon Endo-Surgery, Llc|Method of operating a powered surgical instrument|
    US9924961B2|2015-03-06|2018-03-27|Ethicon Endo-Surgery, Llc|Interactive feedback system for powered surgical instruments|
    US10687806B2|2015-03-06|2020-06-23|Ethicon Llc|Adaptive tissue compression techniques to adjust closure rates for multiple tissue types|
    US10245033B2|2015-03-06|2019-04-02|Ethicon Llc|Surgical instrument comprising a lockable battery housing|
    US9993248B2|2015-03-06|2018-06-12|Ethicon Endo-Surgery, Llc|Smart sensors with local signal processing|
    US10548504B2|2015-03-06|2020-02-04|Ethicon Llc|Overlaid multi sensor radio frequencyelectrode system to measure tissue compression|
    US10617412B2|2015-03-06|2020-04-14|Ethicon Llc|System for detecting the mis-insertion of a staple cartridge into a surgical stapler|
    US10441279B2|2015-03-06|2019-10-15|Ethicon Llc|Multiple level thresholds to modify operation of powered surgical instruments|
    US9918717B2|2015-03-18|2018-03-20|Covidien Lp|Pivot mechanism for surgical device|
    US10390825B2|2015-03-31|2019-08-27|Ethicon Llc|Surgical instrument with progressive rotary drive systems|
    AU2016246716B2|2015-04-10|2020-11-05|Covidien Lp|Surgical stapler with integrated bladder|
    US10463368B2|2015-04-10|2019-11-05|Covidien Lp|Endoscopic stapler|
    US10299789B2|2015-05-05|2019-05-28|Covidie LP|Adapter assembly for surgical stapling devices|
    US10117650B2|2015-05-05|2018-11-06|Covidien Lp|Adapter assembly and loading units for surgical stapling devices|
    US10039532B2|2015-05-06|2018-08-07|Covidien Lp|Surgical instrument with articulation assembly|
    US10349941B2|2015-05-27|2019-07-16|Covidien Lp|Multi-fire lead screw stapling device|
    US10172615B2|2015-05-27|2019-01-08|Covidien Lp|Multi-fire push rod stapling device|
    US10178992B2|2015-06-18|2019-01-15|Ethicon Llc|Push/pull articulation drive systems for articulatable surgical instruments|
    US10548599B2|2015-07-20|2020-02-04|Covidien Lp|Endoscopic stapler and staple|
    US9987012B2|2015-07-21|2018-06-05|Covidien Lp|Small diameter cartridge design for a surgical stapling instrument|
    US10064622B2|2015-07-29|2018-09-04|Covidien Lp|Surgical stapling loading unit with stroke counter and lockout|
    US10045782B2|2015-07-30|2018-08-14|Covidien Lp|Surgical stapling loading unit with stroke counter and lockout|
    US11058425B2|2015-08-17|2021-07-13|Ethicon Llc|Implantable layers for a surgical instrument|
    CN108348233B|2015-08-26|2021-05-07|伊西康有限责任公司|Surgical staple strip for allowing changing staple characteristics and achieving easy cartridge loading|
    US10028744B2|2015-08-26|2018-07-24|Ethicon Llc|Staple cartridge assembly including staple guides|
    US11213295B2|2015-09-02|2022-01-04|Cilag Gmbh International|Surgical staple configurations with camming surfaces located between portions supporting surgical staples|
    US10251648B2|2015-09-02|2019-04-09|Ethicon Llc|Surgical staple cartridge staple drivers with central support features|
    US10327769B2|2015-09-23|2019-06-25|Ethicon Llc|Surgical stapler having motor control based on a drive system component|
    US10076326B2|2015-09-23|2018-09-18|Ethicon Llc|Surgical stapler having current mirror-based motor control|
    US10085751B2|2015-09-23|2018-10-02|Ethicon Llc|Surgical stapler having temperature-based motor control|
    US10105139B2|2015-09-23|2018-10-23|Ethicon Llc|Surgical stapler having downstream current-based motor control|
    US10363036B2|2015-09-23|2019-07-30|Ethicon Llc|Surgical stapler having force-based motor control|
    US10238386B2|2015-09-23|2019-03-26|Ethicon Llc|Surgical stapler having motor control based on an electrical parameter related to a motor current|
    US10299878B2|2015-09-25|2019-05-28|Ethicon Llc|Implantable adjunct systems for determining adjunct skew|
    US10285699B2|2015-09-30|2019-05-14|Ethicon Llc|Compressible adjunct|
    US10561420B2|2015-09-30|2020-02-18|Ethicon Llc|Tubular absorbable constructs|
    US10980539B2|2015-09-30|2021-04-20|Ethicon Llc|Implantable adjunct comprising bonded layers|
    US10213204B2|2015-10-02|2019-02-26|Covidien Lp|Micro surgical instrument and loading unit for use therewith|
    US10772632B2|2015-10-28|2020-09-15|Covidien Lp|Surgical stapling device with triple leg staples|
    US10595864B2|2015-11-24|2020-03-24|Covidien Lp|Adapter assembly for interconnecting electromechanical surgical devices and surgical loading units, and surgical systems thereof|
    US10111660B2|2015-12-03|2018-10-30|Covidien Lp|Surgical stapler flexible distal tip|
    US10292704B2|2015-12-30|2019-05-21|Ethicon Llc|Mechanisms for compensating for battery pack failure in powered surgical instruments|
    US10265068B2|2015-12-30|2019-04-23|Ethicon Llc|Surgical instruments with separable motors and motor control circuits|
    US10368865B2|2015-12-30|2019-08-06|Ethicon Llc|Mechanisms for compensating for drivetrain failure in powered surgical instruments|
    US10966717B2|2016-01-07|2021-04-06|Covidien Lp|Surgical fastener apparatus|
    US10660623B2|2016-01-15|2020-05-26|Covidien Lp|Centering mechanism for articulation joint|
    US11213293B2|2016-02-09|2022-01-04|Cilag Gmbh International|Articulatable surgical instruments with single articulation link arrangements|
    US10413291B2|2016-02-09|2019-09-17|Ethicon Llc|Surgical instrument articulation mechanism with slotted secondary constraint|
    US10349937B2|2016-02-10|2019-07-16|Covidien Lp|Surgical stapler with articulation locking mechanism|
    US10420559B2|2016-02-11|2019-09-24|Covidien Lp|Surgical stapler with small diameter endoscopic portion|
    US10448948B2|2016-02-12|2019-10-22|Ethicon Llc|Mechanisms for compensating for drivetrain failure in powered surgical instruments|
    US10258331B2|2016-02-12|2019-04-16|Ethicon Llc|Mechanisms for compensating for drivetrain failure in powered surgical instruments|
    US11224426B2|2016-02-12|2022-01-18|Cilag Gmbh International|Mechanisms for compensating for drivetrain failure in powered surgical instruments|
    US10376263B2|2016-04-01|2019-08-13|Ethicon Llc|Anvil modification members for surgical staplers|
    US10617413B2|2016-04-01|2020-04-14|Ethicon Llc|Closure system arrangements for surgical cutting and stapling devices with separate and distinct firing shafts|
    US10357247B2|2016-04-15|2019-07-23|Ethicon Llc|Surgical instrument with multiple program responses during a firing motion|
    US10335145B2|2016-04-15|2019-07-02|Ethicon Llc|Modular surgical instrument with configurable operating mode|
    US10405859B2|2016-04-15|2019-09-10|Ethicon Llc|Surgical instrument with adjustable stop/start control during a firing motion|
    US10828028B2|2016-04-15|2020-11-10|Ethicon Llc|Surgical instrument with multiple program responses during a firing motion|
    US10456137B2|2016-04-15|2019-10-29|Ethicon Llc|Staple formation detection mechanisms|
    US10492783B2|2016-04-15|2019-12-03|Ethicon, Llc|Surgical instrument with improved stop/start control during a firing motion|
    US11179150B2|2016-04-15|2021-11-23|Cilag Gmbh International|Systems and methods for controlling a surgical stapling and cutting instrument|
    US10426467B2|2016-04-15|2019-10-01|Ethicon Llc|Surgical instrument with detection sensors|
    US10368867B2|2016-04-18|2019-08-06|Ethicon Llc|Surgical instrument comprising a lockout|
    US10561419B2|2016-05-04|2020-02-18|Covidien Lp|Powered end effector assembly with pivotable channel|
    US11065022B2|2016-05-17|2021-07-20|Covidien Lp|Cutting member for a surgical instrument|
    USD847989S1|2016-06-24|2019-05-07|Ethicon Llc|Surgical fastener cartridge|
    USD850617S1|2016-06-24|2019-06-04|Ethicon Llc|Surgical fastener cartridge|
    USD826405S1|2016-06-24|2018-08-21|Ethicon Llc|Surgical fastener|
    US10542979B2|2016-06-24|2020-01-28|Ethicon Llc|Stamped staples and staple cartridges using the same|
    USD822206S1|2016-06-24|2018-07-03|Ethicon Llc|Surgical fastener|
    US10631857B2|2016-11-04|2020-04-28|Covidien Lp|Loading unit for surgical instruments with low profile pushers|
    US10492784B2|2016-11-08|2019-12-03|Covidien Lp|Surgical tool assembly with compact firing assembly|
    US10463371B2|2016-11-29|2019-11-05|Covidien Lp|Reload assembly with spent reload indicator|
    US10779823B2|2016-12-21|2020-09-22|Ethicon Llc|Firing member pin angle|
    JP2020501779A|2016-12-21|2020-01-23|エシコン エルエルシーＥｔｈｉｃｏｎ ＬＬＣ|Surgical stapling system|
    US20180168647A1|2016-12-21|2018-06-21|Ethicon Endo-Surgery, Llc|Surgical stapling instruments having end effectors with positive opening features|
    US10945727B2|2016-12-21|2021-03-16|Ethicon Llc|Staple cartridge with deformable driver retention features|
    US20180168598A1|2016-12-21|2018-06-21|Ethicon Endo-Surgery, Llc|Staple forming pocket arrangements comprising zoned forming surface grooves|
    US20180168633A1|2016-12-21|2018-06-21|Ethicon Endo-Surgery, Llc|Surgical stapling instruments and staple-forming anvils|
    US11160551B2|2016-12-21|2021-11-02|Cilag Gmbh International|Articulatable surgical stapling instruments|
    US11191539B2|2016-12-21|2021-12-07|Cilag Gmbh International|Shaft assembly comprising a manually-operable retraction system for use with a motorized surgical instrument system|
    US20180168625A1|2016-12-21|2018-06-21|Ethicon Endo-Surgery, Llc|Surgical stapling instruments with smart staple cartridges|
    US10736629B2|2016-12-21|2020-08-11|Ethicon Llc|Surgical tool assemblies with clutching arrangements for shifting between closure systems with closure stroke reduction features and articulation and firing systems|
    US10426471B2|2016-12-21|2019-10-01|Ethicon Llc|Surgical instrument with multiple failure response modes|
    US20180168608A1|2016-12-21|2018-06-21|Ethicon Endo-Surgery, Llc|Surgical instrument system comprising an end effector lockout and a firing assembly lockout|
    US10687810B2|2016-12-21|2020-06-23|Ethicon Llc|Stepped staple cartridge with tissue retention and gap setting features|
    US20180168618A1|2016-12-21|2018-06-21|Ethicon Endo-Surgery, Llc|Surgical stapling systems|
    US10993715B2|2016-12-21|2021-05-04|Ethicon Llc|Staple cartridge comprising staples with different clamping breadths|
    US10888322B2|2016-12-21|2021-01-12|Ethicon Llc|Surgical instrument comprising a cutting member|
    US11179155B2|2016-12-21|2021-11-23|Cilag Gmbh International|Anvil arrangements for surgical staplers|
    US11134942B2|2016-12-21|2021-10-05|Cilag Gmbh International|Surgical stapling instruments and staple-forming anvils|
    US10675026B2|2016-12-21|2020-06-09|Ethicon Llc|Methods of stapling tissue|
    US10709901B2|2017-01-05|2020-07-14|Covidien Lp|Implantable fasteners, applicators, and methods for brachytherapy|
    US10952767B2|2017-02-06|2021-03-23|Covidien Lp|Connector clip for securing an introducer to a surgical fastener applying apparatus|
    US10849621B2|2017-02-23|2020-12-01|Covidien Lp|Surgical stapler with small diameter endoscopic portion|
    US10299790B2|2017-03-03|2019-05-28|Covidien Lp|Adapter with centering mechanism for articulation joint|
    US10660641B2|2017-03-16|2020-05-26|Covidien Lp|Adapter with centering mechanism for articulation joint|
    US10603035B2|2017-05-02|2020-03-31|Covidien Lp|Surgical loading unit including an articulating end effector|
    US10524784B2|2017-05-05|2020-01-07|Covidien Lp|Surgical staples with expandable backspan|
    US10390826B2|2017-05-08|2019-08-27|Covidien Lp|Surgical stapling device with elongated tool assembly and methods of use|
    US10420551B2|2017-05-30|2019-09-24|Covidien Lp|Authentication and information system for reusable surgical instruments|
    US10478185B2|2017-06-02|2019-11-19|Covidien Lp|Tool assembly with minimal dead space|
    USD890784S1|2017-06-20|2020-07-21|Ethicon Llc|Display panel with changeable graphical user interface|
    US10813639B2|2017-06-20|2020-10-27|Ethicon Llc|Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on system conditions|
    US10779820B2|2017-06-20|2020-09-22|Ethicon Llc|Systems and methods for controlling motor speed according to user input for a surgical instrument|
    US10390841B2|2017-06-20|2019-08-27|Ethicon Llc|Control of motor velocity of a surgical stapling and cutting instrument based on angle of articulation|
    US10646220B2|2017-06-20|2020-05-12|Ethicon Llc|Systems and methods for controlling displacement member velocity for a surgical instrument|
    US10888321B2|2017-06-20|2021-01-12|Ethicon Llc|Systems and methods for controlling velocity of a displacement member of a surgical stapling and cutting instrument|
    US11090046B2|2017-06-20|2021-08-17|Cilag Gmbh International|Systems and methods for controlling displacement member motion of a surgical stapling and cutting instrument|
    US10327767B2|2017-06-20|2019-06-25|Ethicon Llc|Control of motor velocity of a surgical stapling and cutting instrument based on angle of articulation|
    US11071554B2|2017-06-20|2021-07-27|Cilag Gmbh International|Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on magnitude of velocity error measurements|
    US10881399B2|2017-06-20|2021-01-05|Ethicon Llc|Techniques for adaptive control of motor velocity of a surgical stapling and cutting instrument|
    USD879809S1|2017-06-20|2020-03-31|Ethicon Llc|Display panel with changeable graphical user interface|
    USD879808S1|2017-06-20|2020-03-31|Ethicon Llc|Display panel with graphical user interface|
    US10368864B2|2017-06-20|2019-08-06|Ethicon Llc|Systems and methods for controlling displaying motor velocity for a surgical instrument|
    US10881396B2|2017-06-20|2021-01-05|Ethicon Llc|Surgical instrument with variable duration trigger arrangement|
    US10307170B2|2017-06-20|2019-06-04|Ethicon Llc|Method for closed loop control of motor velocity of a surgical stapling and cutting instrument|
    US10980537B2|2017-06-20|2021-04-20|Ethicon Llc|Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on measured time over a specified number of shaft rotations|
    US10624633B2|2017-06-20|2020-04-21|Ethicon Llc|Systems and methods for controlling motor velocity of a surgical stapling and cutting instrument|
    US10772629B2|2017-06-27|2020-09-15|Ethicon Llc|Surgical anvil arrangements|
    US10993716B2|2017-06-27|2021-05-04|Ethicon Llc|Surgical anvil arrangements|
    US10856869B2|2017-06-27|2020-12-08|Ethicon Llc|Surgical anvil arrangements|
    US11141154B2|2017-06-27|2021-10-12|Cilag Gmbh International|Surgical end effectors and anvils|
    US11266405B2|2017-06-27|2022-03-08|Cilag Gmbh International|Surgical anvil manufacturing methods|
    USD854151S1|2017-06-28|2019-07-16|Ethicon Llc|Surgical instrument shaft|
    US20190000474A1|2017-06-28|2019-01-03|Ethicon Llc|Surgical instrument comprising selectively actuatable rotatable couplers|
    US11246592B2|2017-06-28|2022-02-15|Cilag Gmbh International|Surgical instrument comprising an articulation system lockable to a frame|
    US11259805B2|2017-06-28|2022-03-01|Cilag Gmbh International|Surgical instrument comprising firing member supports|
    USD906355S1|2017-06-28|2020-12-29|Ethicon Llc|Display screen or portion thereof with a graphical user interface for a surgical instrument|
    US10211586B2|2017-06-28|2019-02-19|Ethicon Llc|Surgical shaft assemblies with watertight housings|
    US10903685B2|2017-06-28|2021-01-26|Ethicon Llc|Surgical shaft assemblies with slip ring assemblies forming capacitive channels|
    US10639037B2|2017-06-28|2020-05-05|Ethicon Llc|Surgical instrument with axially movable closure member|
    USD869655S1|2017-06-28|2019-12-10|Ethicon Llc|Surgical fastener cartridge|
    US10716614B2|2017-06-28|2020-07-21|Ethicon Llc|Surgical shaft assemblies with slip ring assemblies with increased contact pressure|
    USD851762S1|2017-06-28|2019-06-18|Ethicon Llc|Anvil|
    US10765427B2|2017-06-28|2020-09-08|Ethicon Llc|Method for articulating a surgical instrument|
    US11007022B2|2017-06-29|2021-05-18|Ethicon Llc|Closed loop velocity control techniques based on sensed tissue parameters for robotic surgical instrument|
    US10258418B2|2017-06-29|2019-04-16|Ethicon Llc|System for controlling articulation forces|
    US10932772B2|2017-06-29|2021-03-02|Ethicon Llc|Methods for closed loop velocity control for robotic surgical instrument|
    US10398434B2|2017-06-29|2019-09-03|Ethicon Llc|Closed loop velocity control of closure member for robotic surgical instrument|
    US10898183B2|2017-06-29|2021-01-26|Ethicon Llc|Robotic surgical instrument with closed loop feedback techniques for advancement of closure member during firing|
    US10624636B2|2017-08-23|2020-04-21|Covidien Lp|Surgical stapling device with floating staple cartridge|
    US10806452B2|2017-08-24|2020-10-20|Covidien Lp|Loading unit for a surgical stapling instrument|
    US10743872B2|2017-09-29|2020-08-18|Ethicon Llc|System and methods for controlling a display of a surgical instrument|
    USD907647S1|2017-09-29|2021-01-12|Ethicon Llc|Display screen or portion thereof with animated graphical user interface|
    US10765429B2|2017-09-29|2020-09-08|Ethicon Llc|Systems and methods for providing alerts according to the operational state of a surgical instrument|
    USD907648S1|2017-09-29|2021-01-12|Ethicon Llc|Display screen or portion thereof with animated graphical user interface|
    US10729501B2|2017-09-29|2020-08-04|Ethicon Llc|Systems and methods for language selection of a surgical instrument|
    US10796471B2|2017-09-29|2020-10-06|Ethicon Llc|Systems and methods of displaying a knife position for a surgical instrument|
    USD917500S1|2017-09-29|2021-04-27|Ethicon Llc|Display screen or portion thereof with graphical user interface|
    US11090075B2|2017-10-30|2021-08-17|Cilag Gmbh International|Articulation features for surgical end effector|
    US11134944B2|2017-10-30|2021-10-05|Cilag Gmbh International|Surgical stapler knife motion controls|
    US10842490B2|2017-10-31|2020-11-24|Ethicon Llc|Cartridge body design with force reduction based on firing completion|
    US10779903B2|2017-10-31|2020-09-22|Ethicon Llc|Positive shaft rotation lock activated by jaw closure|
    US20200315626A1|2017-11-10|2020-10-08|Ethicon Llc|Laparoscopic stapler having bio-glue in separate pocket to aid in anastomosis|
    US10925603B2|2017-11-14|2021-02-23|Covidien Lp|Reload with articulation stabilization system|
    US10863987B2|2017-11-16|2020-12-15|Covidien Lp|Surgical instrument with imaging device|
    US10779825B2|2017-12-15|2020-09-22|Ethicon Llc|Adapters with end effector position sensing and control arrangements for use in connection with electromechanical surgical instruments|
    US11006955B2|2017-12-15|2021-05-18|Ethicon Llc|End effectors with positive jaw opening features for use with adapters for electromechanical surgical instruments|
    US10687813B2|2017-12-15|2020-06-23|Ethicon Llc|Adapters with firing stroke sensing arrangements for use in connection with electromechanical surgical instruments|
    US10743874B2|2017-12-15|2020-08-18|Ethicon Llc|Sealed adapters for use with electromechanical surgical instruments|
    US11197670B2|2017-12-15|2021-12-14|Cilag Gmbh International|Surgical end effectors with pivotal jaws configured to touch at their respective distal ends when fully closed|
    US10869666B2|2017-12-15|2020-12-22|Ethicon Llc|Adapters with control systems for controlling multiple motors of an electromechanical surgical instrument|
    US11071543B2|2017-12-15|2021-07-27|Cilag Gmbh International|Surgical end effectors with clamping assemblies configured to increase jaw aperture ranges|
    US11033267B2|2017-12-15|2021-06-15|Ethicon Llc|Systems and methods of controlling a clamping member firing rate of a surgical instrument|
    US10743875B2|2017-12-15|2020-08-18|Ethicon Llc|Surgical end effectors with jaw stiffener arrangements configured to permit monitoring of firing member|
    US10828033B2|2017-12-15|2020-11-10|Ethicon Llc|Handheld electromechanical surgical instruments with improved motor control arrangements for positioning components of an adapter coupled thereto|
    US10966718B2|2017-12-15|2021-04-06|Ethicon Llc|Dynamic clamping assemblies with improved wear characteristics for use in connection with electromechanical surgical instruments|
    US10779826B2|2017-12-15|2020-09-22|Ethicon Llc|Methods of operating surgical end effectors|
    US10835330B2|2017-12-19|2020-11-17|Ethicon Llc|Method for determining the position of a rotatable jaw of a surgical instrument attachment assembly|
    USD910847S1|2017-12-19|2021-02-16|Ethicon Llc|Surgical instrument assembly|
    US10716565B2|2017-12-19|2020-07-21|Ethicon Llc|Surgical instruments with dual articulation drivers|
    US10729509B2|2017-12-19|2020-08-04|Ethicon Llc|Surgical instrument comprising closure and firing locking mechanism|
    US11020112B2|2017-12-19|2021-06-01|Ethicon Llc|Surgical tools configured for interchangeable use with different controller interfaces|
    US11045270B2|2017-12-19|2021-06-29|Cilag Gmbh International|Robotic attachment comprising exterior drive actuator|
    US11129680B2|2017-12-21|2021-09-28|Cilag Gmbh International|Surgical instrument comprising a projector|
    US11076853B2|2017-12-21|2021-08-03|Cilag Gmbh International|Systems and methods of displaying a knife position during transection for a surgical instrument|
    US10743868B2|2017-12-21|2020-08-18|Ethicon Llc|Surgical instrument comprising a pivotable distal head|
    US10945732B2|2018-01-17|2021-03-16|Covidien Lp|Surgical stapler with self-returning assembly|
    US10849622B2|2018-06-21|2020-12-01|Covidien Lp|Articulated stapling with fire lock|
    US10736631B2|2018-08-07|2020-08-11|Covidien Lp|End effector with staple cartridge ejector|
    US10779821B2|2018-08-20|2020-09-22|Ethicon Llc|Surgical stapler anvils with tissue stop features configured to avoid tissue pinch|
    US11207065B2|2018-08-20|2021-12-28|Cilag Gmbh International|Method for fabricating surgical stapler anvils|
    US11039834B2|2018-08-20|2021-06-22|Cilag Gmbh International|Surgical stapler anvils with staple directing protrusions and tissue stability features|
    US11253256B2|2018-08-20|2022-02-22|Cilag Gmbh International|Articulatable motor powered surgical instruments with dedicated articulation motor arrangements|
    US10856870B2|2018-08-20|2020-12-08|Ethicon Llc|Switching arrangements for motor powered articulatable surgical instruments|
    USD914878S1|2018-08-20|2021-03-30|Ethicon Llc|Surgical instrument anvil|
    US10912559B2|2018-08-20|2021-02-09|Ethicon Llc|Reinforced deformable anvil tip for surgical stapler anvil|
    US11083458B2|2018-08-20|2021-08-10|Cilag Gmbh International|Powered surgical instruments with clutching arrangements to convert linear drive motions to rotary drive motions|
    US10842492B2|2018-08-20|2020-11-24|Ethicon Llc|Powered articulatable surgical instruments with clutching and locking arrangements for linking an articulation drive system to a firing drive system|
    US11045192B2|2018-08-20|2021-06-29|Cilag Gmbh International|Fabricating techniques for surgical stapler anvils|
    US10849620B2|2018-09-14|2020-12-01|Covidien Lp|Connector mechanisms for surgical stapling instruments|
    US11090051B2|2018-10-23|2021-08-17|Covidien Lp|Surgical stapling device with floating staple cartridge|
    US11197673B2|2018-10-30|2021-12-14|Covidien Lp|Surgical stapling instruments and end effector assemblies thereof|
    US10912563B2|2019-01-02|2021-02-09|Covidien Lp|Stapling device including tool assembly stabilizing member|
    US11259808B2|2019-03-13|2022-03-01|Covidien Lp|Tool assemblies with a gap locking member|
    US11147553B2|2019-03-25|2021-10-19|Cilag Gmbh International|Firing drive arrangements for surgical systems|
    US11147551B2|2019-03-25|2021-10-19|Cilag Gmbh International|Firing drive arrangements for surgical systems|
    US11172929B2|2019-03-25|2021-11-16|Cilag Gmbh International|Articulation drive arrangements for surgical systems|
    US11241228B2|2019-04-05|2022-02-08|Covidien Lp|Surgical instrument including an adapter assembly and an articulating surgical loading unit|
    US11253254B2|2019-04-30|2022-02-22|Cilag Gmbh International|Shaft rotation actuator on a surgical instrument|
    US11051807B2|2019-06-28|2021-07-06|Cilag Gmbh International|Packaging assembly including a particulate trap|
    US11224497B2|2019-06-28|2022-01-18|Cilag Gmbh International|Surgical systems with multiple RFID tags|
    US11246678B2|2019-06-28|2022-02-15|Cilag Gmbh International|Surgical stapling system having a frangible RFID tag|
    US11219455B2|2019-06-28|2022-01-11|Cilag Gmbh International|Surgical instrument including a lockout key|
    US11241235B2|2019-06-28|2022-02-08|Cilag Gmbh International|Method of using multiple RFID chips with a surgical assembly|
    US11259803B2|2019-06-28|2022-03-01|Cilag Gmbh International|Surgical stapling system having an information encryption protocol|
    US11224424B2|2019-08-02|2022-01-18|Covidien Lp|Linear stapling device with vertically movable knife|
    US11123068B2|2019-11-08|2021-09-21|Covidien Lp|Surgical staple cartridge|
    US11237924B2|2019-12-11|2022-02-01|Commvault Systems, Inc.|Dynamic resizing and re-distribution of destination data storage resources for bare metal restore operations in a data storage management system|
    US11109862B2|2019-12-12|2021-09-07|Covidien Lp|Surgical stapling device with flexible shaft|
    US11234698B2|2019-12-19|2022-02-01|Cilag Gmbh International|Stapling system comprising a clamp lockout and a firing lockout|
    US11246593B2|2020-03-06|2022-02-15|Covidien Lp|Staple cartridge|
    US11191537B1|2020-05-12|2021-12-07|Covidien Lp|Stapling device with continuously parallel jaws|
    US11191538B1|2020-06-08|2021-12-07|Covidien Lp|Surgical stapling device with parallel jaw closure|
    US11266402B2|2020-07-30|2022-03-08|Covidien Lp|Sensing curved tip for surgical stapling instruments|
    法律状态:
    2018-12-11| B06F| Objections, documents and/or translations needed after an examination request according [chapter 6.6 patent gazette]|
    2019-10-29| B06U| Preliminary requirement: requests with searches performed by other patent offices: procedure suspended [chapter 6.21 patent gazette]|
    2020-12-22| B06A| Notification to applicant to reply to the report for non-patentability or inadequacy of the application [chapter 6.1 patent gazette]|
    2021-03-30| B09A| Decision: intention to grant [chapter 9.1 patent gazette]|
    2021-05-04| B16A| Patent or certificate of addition of invention granted|Free format text: PRAZO DE VALIDADE: 20 (VINTE) ANOS CONTADOS A PARTIR DE 30/07/2012, OBSERVADAS AS CONDICOES LEGAIS. |
    优先权:
    申请号 | 申请日 | 专利标题
    US13/195,170|US8998059B2|2011-08-01|2011-08-01|Adjunct therapy device having driver with cavity for hemostatic agent|
    US13/195,170|2011-08-01|
    PCT/US2012/048766|WO2013019697A2|2011-08-01|2012-07-30|Adjunct therapy device having driver with cavity for hemostatic agent|
    [返回顶部]