巴西专利BR112014006216B1 surgical instrument apparatus with fluid-fillable support

专利PDF首页>>巴西专利

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:
SURGICAL INSTRUMENT WITH FLUID-FILLED SUPPORT. This is a device that comprises a surgical instrument and a support configured to retain a fluid adhesive. In some versions, the backing contains a two-part fluid adhesive where the two fluid materials form a fluid adhesive when combined. In some versions, the support is configured to be compressed by the surgical instrument, thus pressurizing a portion of the support. Thereafter, the pad can be detached and the pressurized region can be operable to propel fluid adhesive to a tissue location.
公开号:BR112014006216B1
申请号:R112014006216-1
申请日:2012-09-10
公开日:2021-06-08
发明作者:Chad P. Boudreaux；Stephen J. Balek；Matthew D. Holcomb；Edward A. Rhad；Donald F. Wlison, Jr.
申请人:Ethicon Endo-Surgery, Inc；
IPC主号:

专利说明:

BACKGROUND
[001] In some contexts, 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 via the cannula of a trocar. These distal end actuators can secure tissue in a variety of ways to achieve a diagnostic or therapeutic effect (eg, endo-cutter, claw, cutter, stapler, clip applicator, access device, drug delivery device/gene therapy and device for applying energy using ultrasound, RF, laser, etc.). Endoscopic surgical instruments may comprise a rod between the end actuator and a handle portion, which is manipulated by the physician. This rod can allow insertion to the desired depth and rotation around the longitudinal axis of the rod itself, thus facilitating the positioning of the end actuator on the patient. Positioning an end actuator can also be facilitated by the inclusion of one or more features or swivel joints, allowing the end actuator to be selectively swiveled or even offset relative to the longitudinal axis of the stem.
[002] Examples of endoscopic surgical instruments include surgical staplers. Some of these staplers can be operated to staple fabric layers, cut stapled fabric layers, and push the staples through the fabric layers to securely join the separated fabric layers near the separated ends of the fabric layers. Merely exemplary surgical staplers are disclosed 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; US 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 EBeam 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; U.S. 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", issued May 6, 2008; US Patent No. 7,380,695 entitled "Surgical Stapling Instrument Having a Single Lockout Mechanism for Prevention of Firing", granted on June 3, 2008; US Patent No. 7,380,696 entitled "Articulating Surgical Stapling Instrument Incorporating a Two-Piece E-Beam Firing Mechanism", granted 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 herein by way of reference. Although the aforementioned surgical staplers are described as being used in endoscopic procedures, it should be understood that these surgical staplers can also be used in open procedures and/or other non-endoscopic procedures.
[003] Although various types of surgical stapling instruments and associated components have been manufactured and used, it is believed that no one prior to the inventor(s) has manufactured or used the invention described in the embodiments. BRIEF DESCRIPTION OF THE DRAWINGS
[004] 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.
[005] FIG. 1A is a perspective view of an articulating surgical instrument with an end actuator in an unhinged position;
[006] FIG. 1B is a perspective view of the surgical instrument of FIG. 1A with an end actuator in a pivoted position;
[007] FIG. 2 is a perspective view of an open-end actuator of the surgical instrument of FIGS. 1A to 1B;
[008] FIG. 3A is a side cross-sectional view of the end actuator of FIG. 2, taken along line 3-3 of FIG. 2, with the trigger bar in a proximal position;
[009] FIG. 3B is a side cross-sectional view of the end actuator of FIG. 2, taken along line 3-3 of FIG. 2, but showing the trigger bar in a distal position;
[0010] FIG. 4 is a cross-sectional view from the end of the end actuator of FIG. 2, taken along line 4-4 of FIG. two;
[0011] FIG. 5 is an exploded perspective view of the end actuator of FIG. two;
[0012] FIG. 6 is a perspective view of the end actuator of FIG. 2, positioned on a fabric and having been actuated once on the fabric;
[0013] FIG. 7 is a perspective view of a retainer cap with the end actuator of FIG. two;
[0014] FIG. 8 is an underside perspective view of the retainer cap of FIG. 7;
[0015] FIG. 9 is a side view of the retainer cap with the end actuator of FIG. 7;
[0016] FIG. 10 is a side view of an exemplary end actuator with a cradle;
[0017] FIG. 11A depicts a front view of the support of FIG. 10 in an uncompressed state;
[0018] FIG. 11B is a front view of the cradle of FIG. 10 with an anvil and a lower claw stapled around the cradle;
[0019] FIG. 11C is a side view of the support of FIG. 10 after being separated with a liquid being pushed from the support;
[0020] FIG. 12A is a front cross-sectional view of the support of FIG. 10 being compressed;
[0021] FIG. 12B is a front cross-sectional view of the support of FIG. 10 after being separated;
[0022] FIG. 13 is a perspective view of a surgical instrument supported by FIG. 10 with a liquid having been propelled from the support;
[0023] FIG. 14 is a perspective view of an exemplary end actuator with an exemplary alternative version of a mount;
[0024] FIG. 15 is a cross-sectional view of the exemplary end actuator of FIG. 14 which clamps the fabric with a pair of supports;
[0025] FIG. 16 is a cross-sectional view of the bearing pair of FIG. 14 after being cut by a cutting edge;
[0026] FIG. 17 is a cross-sectional view of an exemplary alternative support having a plurality of adhesive regions;
[0027] FIG. 18 is a cross-sectional view of an exemplary alternative support having a plurality of adhesive capsules; and
[0028] FIG. 19 is a cross-sectional view of an exemplary capsule that forms a chamber for forming the plurality of adhesive capsules of FIG. 18.
[0029] 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
[0030] 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, embodiments and advantages of the invention will become apparent to those skilled in the art from the following description, which is, by way of illustration, 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 rather than restrictive. Exemplary Surgical Stapler
[0031] FIGS. 1-6 depict an exemplary surgical stapling and separating instrument 10 that is sized for insertion in an unarticulated state, as depicted in FIG. 1A, through a trocar cannula conduit, to a surgical site in a patient undergoing a surgical procedure. The surgical stapling and separating instrument 10 includes a handle portion 20 connected to an implement portion 22, the latter further comprising a rod 23 which ends distally in a hinge mechanism 11 connected distally to the end actuator 12. When the pivot mechanism 11 and the distal end actuator 12 are inserted through the cannula conduit of a trocar, the pivot mechanism 11 can be remotely pivoted, as shown in FIG. 1B, by articulation control 13. Thus, end actuator 12 can reach behind an organ or approach tissue at a desired angle or for other reasons. It should be understood that terms such as "proximal" and "distal" are used in the present invention with reference to the handle portion 20 of the instrument 10 handled by the physician. In this way, the end actuator 12 is distal with respect to the most proximal portion of cable 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.
[0032] The end actuator 12 of the present example includes a lower jaw 16 and a hinged anvil 18. The handle portion 20 includes a pistol grip 24 against which a closing trigger 26 is pivotally pressed by the physician in order to pinch or close the anvil 18 against the lower jaw 16 of the end actuator 12. This closing of the anvil 18 is achieved by means of an external closing sleeve 32, which travels longitudinally with respect to the cable portion 20 in response to the pivotal actuation of the closing trigger 26 against the pistol grip 24. A distal closing ring 33 of the closing sleeve 32 is indirectly supported by the frame 34 of the implement portion 22. In the hinge mechanism 11, a proximal closing tube 35 of the Closing sleeve 32 communicates with distal portion (closing ring) 33. Frame 34 is flexibly connected to lower claw 16 via the hinge mechanism. 11, which allows articulation in a single plane. Frame 34 also longitudinally and slidingly supports a firing guiding member (not shown), which extends through rod 23 and transmits firing motion from firing trigger 28 to firing bar 14. trigger 28 is furthest away from closing trigger 26 and is pivotally depressed by the clinician to staple and separate the stapled tissue on end actuator 12, as will be described in more detail below. Then release button 30 is released to release tissue from end actuator 12.
[0033] FIGS. 2-5 depict end actuator 12 which employs an electronic beam firing bar 14 to perform a variety of functions. As best seen in FIGS. 3A and 3B, trigger bar 14 includes a transversely oriented top pin 38, a trigger bar cap 44, a transversely oriented middle pin 46, and a distal cutting edge 48. Top pin 38 is positioned and displaceable inside an anvil pocket 40 of the anvil 18. The firing bar cap 44 slidingly engages the lower surface of the lower jaw 16, causing the firing bar 14 to extend through the slot of the channel 45 (shown in FIG. 3B) which is formed through the lower claw 16. The middle pin 46 slidingly engages the top surface of the lower claw 16, cooperating with the trigger bar cap 44. Thus, the trigger bar 14 is spaced apart. affirmatively the end actuator 12 during firing, avoiding mechanical tightening that can occur between the anvil 18 and the lower jaw 16 with a minimum amount of stapled tissue and preventing the malformation of staples when an excessive amount of fabric is stapled.
[0034] FIG. 2 shows the trigger bar 14 positioned proximally and the anvil 18 pivoted in an open position, which allows an unconsumed staple cartridge 37 to be removably installed in the lower jaw groove 16. As best seen in FIGS. 4 and 5, the staple cartridge 37 of this example includes cartridge body 70, which contains an upper platform 72, and is coupled to a lower cartridge tray 74. As best seen in FIG. 2, a vertical slit 49 is formed through part of the staple cartridge 37. Also, as best seen in FIG. 2, three rows of staple apertures 51 are formed through the upper platform 70 on one side of the vertical slot 49, with another set of three rows of staple apertures 51 formed through the upper platform 70 on the other side of the vertical slot 49. Returning to FIGS. 3-5, a wedge-shaped slide holder 41 and a plurality of clamp drivers 43 are captured between the cartridge body 70 and the tray 74, with the wedge-shaped slide holder 41 being located proximal to the actuators. staple holders 43. The wedge-shaped slide holder 41 is movable longitudinally within the staple cartridge 37; while the staple drivers 43 are vertically movable 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 staple 47 is pushed vertically into cartridge body 70 by a staple driver 43 so as to urge staple 47 through an associated staple aperture 51. As best seen in FIGS. 3A and 3B and 5, the sliding wedge holder 41 has slanted cam surfaces which push the staple drivers 43 upward as the sliding wedge holder 41 is pushed distally through the staple cartridge 37.
[0035] With the end actuator 12 closed, as shown in FIG. 3A, the trigger bar 14 is advanced in engagement with the anvil 18 by inputting the top pin 38 into a longitudinal slot 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 sliding bracket shaped wedge 41 such that the wedge-shaped slide holder 41 is pushed distally by the drive block 80 as the firing bar 14 is advanced distally through a staple cartridge 37. During this firing, the cutting edge 48 of the bar firing 14 enters vertical slot 49 of staple cartridge 37, separating stapled fabric between staple cartridge 37 and anvil 18. As shown in FIGS. 3A and 3B, the middle pin 46 and the drive block 80 together drive the staple cartridge 37 which enters a firing slot within the staple cartridge 37, which drives the wedge-shaped slide holder 41 to the upward contact of cams with the staple drivers 43, which in turn urges the staples 47 through the staple apertures 51 and into forming contact with the staple forming cavities 53 on the inner surface of the anvil 18. FIG. 3B depicts trigger bar 14 completely displaced distally after tissue separation and stapling has been completed.
[0036] FIG. 6 shows end actuator 12 driven by a single motion through fabric 90. As shown, cutting edge 48 cut fabric 90, while staple drivers 43 propelled three alternating rows of staples 47 through fabric 90 on both sides of the fabric. cut line produced by cutting edge 48. The clips 47 are all oriented substantially parallel to the cut line in this example, although it should be understood that the clips 47 can be positioned in any suitable orientations. In the present example, the end actuator 12 is removed from the trocar after the first stroke is completed, the spent staple cartridge 37 is replaced with a new staple cartridge, and the end actuator 12 is inserted again 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 have been applied. It may be necessary to close the anvil 18 to facilitate insertion and withdrawal through the trocar, and it may be necessary to open the anvil 18 to facilitate replacement of the staple cartridge 37.
[0037] It should be understood that the cutting edge 48 can separate tissue substantially at the same time as the clamps 47 are pushed through the tissue during each stroke of actuation. In the present example, the cutting edge 48 closely follows the insertion of the clips 47 so that a clip 47 is pushed through the fabric just before the cutting edge 48 passes through the same region of the fabric, although it should be understood that this order may be inverted or that the cutting edge 48 can be directly synchronized with the adjacent clamps. Although FIG. 6 shows the end actuator 12 being actuated in 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 in position adjacent to the cut line produced by the cutting edge 48 can substantially join the tissue at the cut line, thereby reducing or preventing other bleeding and/or leakage. bodily fluids at the cut line. Various suitable configurations and procedures in which instrument 10 can be used will be apparent to those skilled in the art in view of the teachings contained herein.
[0038] It should be understood that instrument 10 is configurable and operable in accordance with any other 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 by reference into the present invention. Additional exemplary modifications that can be made to 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 ways in which the teachings below can be combined with the various teachings of the patents cited herein 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 the devices taught in the patents cited herein. 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 configurations in which the teachings below can be applied will be apparent to those skilled in the art in view of the teachings contained herein. Exemplary coverage
[0039] FIGS. 7-9 show an exemplary staple cartridge retainer cap 180 which is attachable to the staple cartridge 37. It should be understood that retainer cap 180 may be configured and operated in accordance with any of the teachings of the Application. US Patent Serial No. 12/894,369 entitled "Implantable Fastener Cartridge Comprising a Support Retainer", filed September 30, 2010, the disclosure of which is incorporated in its entirety by reference herein. The retainer cap 180 is intended to prevent, or at least inhibit, a physician's thumb, for example, from contacting the tips of staples 47 positioned within staple cartridge 37 at the time when staple cartridge 37 is inserted into the lower jaw 16 of the end actuator 12. Additionally, or alternatively, it can prevent the clips 47 from inadvertently falling out of the cartridge. Now with reference to FIGS. 7 and 8, the retainer cap 180 of the present example includes the bottom surface 181 and the top surface 182, which can provide a biasing surface for the clinician to apply downward force thereto, for example. In a merely exemplary use, the clinician may take the handle portion 184 of the retainer cap 180, align the support portion 110 of the staple cartridge 37 with the lower jaw 16 of the end actuator 12 and insert, at least partially, the staple cartridge 37 into lower jaw 16 of end actuator 12. Thereafter, the clinician can fully seat staple cartridge 37 into lower jaw 16 of end actuator 12 by applying downward force to top surface 182 of the end cap. retainer 180 which can transmit downward force directly to the bearing portion 110. In the present example, the retainer cap 180 comprises proximal bearings 187 which extend downwardly and contact the platform surface 111 of the bearing portion. Retainer cap 180 further comprises the distal support portion 183 which adjoins nose 103. When a downward force is applied to retainer cap 180, the downward force may be transmitted through proximal supports 187 and/ or distal bearing portion 183. In some exemplary versions, at least part of the bearings may not be in contact with the top of bearing portion 110 after downward force is applied to retainer cap 180; However, in some versions, retainer cap 180 may be operable to flex, or move, downward until retainer cap 180 touches the top of support portion 110. At such point, downward flexion, or movement , of the retainer cap 180 may be prevented or at least substantially prevented from flexing further.
[0040] As described above, the retainer cap 180 can be attached to the staple cartridge 37 and can be used to manipulate the position of the staple cartridge 37. In some versions, the retainer cap 180 may comprise any suitable number of members. grip which may be operable to releasably secure the retainer cap 180 to the support portion 110 of the staple cartridge 37, for example. For example, in the present example, the retainer cap 180 comprises locking arms 188, 189. The locking arms 189 extend around the sides of the nose 103 and engage the bottom surface 109 (FIG. 7) of the nose 103. Similarly, the locking arms 188 extend around the sides of the locking projections 108 which extend from the support portion 110 and engage the bottom surfaces of the locking projections 108. These locking arms 188 are operable to position the retainer cap 180 in the region or region in which the staples 47 are stored within the support portion 110. In any event, once the staple cartridge 37 has been properly positioned, the retainer cap 180 may be detached from the staple cartridge 37. Of course, any other suitable components or features may be used to provide releasable engagement of retainer cap 180 relative to staple cartridge 37. In some versions, the method The plunger may apply an upward lifting force to the handle 184 in order to detach the distal end of the retainer cap 180 from the distal end 102 of the staple cartridge 37. In at least one such embodiment, the locking arms 188, 189 may flex to out as cable 184 is raised upward so that lock arms 188, 189 can be flexed around locking projections 108 and nose 103, respectively. Thereafter, the proximal end of the retainer cap 180 can be lifted away from the proximal end 101 of the staple cartridge 37 and the retainer cap 180 can be moved away from the staple cartridge 37. With the retainer cap 180 removed and with the staple cartridge 37 properly sealed in the lower jaw 16 of the end actuator 12, the instrument 10 can then be used in a surgical procedure. Exemplary fillable support
[0041] A support 200 as shown in FIGS. 10-13, may be used with the end actuator portion of the exemplary surgical cutter shown in FIGS. 1 to 6. It will be noted that the use of support 200, as described below, may facilitate faster recovery of the surgical site where tissue was separated and stapled, for example, by stabilizing the areas where staples 47 were applied. In some exemplary versions, pad 200 can be used with retainer cap 180 described above, or alternatively, pad 200 can be used directly with surgical separation and stapling instrument 10 described above without the use of retainer cap 180.
[0042] FIG. 10 shows that the support 200 comprises a fluid-fillable first member 202 or bladder and a fluid-fillable second member 204 or bladder. In some exemplary versions, the first fluid-fillable member 202 can be secured to the anvil 18 by means of an adhesive and the second fluid-fillable member 204 can be secured to the upper platform 72 of the staple cartridge 37 positioned in the lower jaw 16 In other exemplary versions, the first fluid fillable member 202 and the second fluid fillable member 204 may be adhered together and adhered to the anvil 18. In other exemplary versions, the first fluid fillable member 202 and the second fluid fillable member per fluid 204 may be adhered together and adhered to the upper platform 72 of the staple cartridge 37. In some exemplary versions, instead of using an adhesive to secure the first fluid-fillable member 202 or the second fluid-fillable member 204 to the anvil 18 and/or lower claw 16, a clip or other suitable mechanical or liquid clamping system may be used as would be apparent for the skilled in the art in view of the teachings herein. The present example of FIG. 10 shows support 200 as if it were about to be positioned between anvil 18 and lower claw 16.
[0043] The fluid-fillable first member 202 and the fluid-fillable second member 204 contain a two-part liquid 220 so that when the two parts of the liquid 220 come into contact with each other, as will be described below, they form a coagulant that supports the surgical site affected by the surgical stapling and separating instrument 10 shown in FIGS. 1 to 6. In some exemplary versions, the first fluid-fillable member 202 is filled with fibrin while the second fluid-fillable member 204 is filled with thrombin, but it should be understood that any suitable material can be used. In some versions, both the first fluid-fillable member 202 and the second fluid-fillable member 204 may comprise liquid 220 which may be operable to support a surgical site, without necessarily combining with another compound. In still other exemplary versions, in place of two fluid-fillable members, any suitable number of fluid-fillable members may be used, as would be apparent to one of ordinary skill in the art in view of the teachings herein. For example, three or more fluid-fillable members can be used or a single fluid-fillable member can be used. In addition, support 200 can be pre-filled with liquid 220 or, alternatively, the user or physician can fill support 200 with liquid 220 before using the surgical stapling and separation instrument 10. In some other exemplifying versions, the liquid 220 may comprise a hemostatic agent, a biologically safe glue, or any other suitable adhesive material as would be apparent to one of ordinary skill in the art in view of the teachings herein.
[0044] In the exemplary version, support 200 has a generally flat and rectangular shape configured to fit between anvil 18 and lower jaw 16. Support 200 has a size at least slightly larger than the width of anvil 18 or lower jaw 16 In some exemplary versions, support 200 may be significantly larger in size than anvil 18 or lower claw 16. However, any suitable shape or size for support 200 may be used, as would be apparent to a person of ordinary skill in the field. in view of the teachings in this document. Furthermore, support 200 comprises a semi-sustainable structure so that support 200 can maintain its generally flat shape at a time when support 200 is not being compressed, as will be discussed below.
[0045] FIGS. 11A through C show a side view of bearing 200 showing how liquid 220 contained within first fluid filled portion 202 and second fluid filled portion 204 can be propelled out of bearing 200. In the exemplary version, cradle 200 may be positioned between anvil 18 and lower claw 16, cradle 200 remaining predominantly flat as shown in FIG. 11A. As seen also in FIG. 11A, liquid 220 remains in a substantially unpressurized state. In some exemplary versions, support 200 may be preloaded to be positioned between anvil 18 and lower jaw 16 so that support 200 adheres to the staple cartridge (not shown) contained in lower jaw 16. For example, the user or physician may carry the support 200 between the anvil 18 and the lower jaw 16 prior to use in a surgical environment. For example, in some exemplary versions, the user may remove the retaining cap 180 described above in FIGS. 7-9 and replace the retaining cap 180 with the support 200 before clamping the anvil 18 and lower claw 16 around the surgical site tissue. In other merely exemplary versions, support 200 can be coupled to retainer cap 180, with retainer cap 180 being removed before use, leaving only support 200 between anvil 18 and lower claw 16. Other configurations for support 200 and retainer cap 180 may be used as would be apparent to one of ordinary skill in the art in view of the teachings herein.
[0046] FIG. 11B shows support 200 as it would appear when clamped by anvil 18 and lower jaw 16 resulting in a compressed region 206 and a pressurized region 208. In pressurized region 208, liquid 220 is forced under pressure. As seen in FIG. 11B, anvil 18 and lower jaw 16 were clamped tightly around seat 200 before seat 200 was detached or stapled.
[0047] As seen in FIGS. 11C, imaginary lines 210 show the contour of bearing 200 prior to anvil 18 and lower jaw 16 compressing bearing 200. Anvil 18 and lower jaw 16 can be stapled to press together bearing 200. Liquid 220 contained within bearing 200 remains pressurized in pressurized region 208. Although FIGS. 11B to 11C show pressurized region 208 on one side of compressed region 206, it will be appreciated that an opposite pressurized region 208 could be formed on an opposite side of compressed 206. Backing 200 comprises a generally elastic material configured to expand so that the pressurized region 208 can be filled with all or most of the fluid in bearing 208 without breaking or bursting under pressure. The pressurized region 208 therefore expands beyond the region defined by the imaginary lines 210 to accommodate the increase in pressure and liquid of the pressurized region 208.
[0048] As the cutting edge 48 discussed above with reference to FIGS. 1 to 6, separates fabric 90, cutting edge 48 also separates backing 200, resulting in backing 200 being separated, as shown in FIG. 11C. Almost simultaneously, the support 200 is also clamped and the support 200 is thereby broken by the clips 47, thereby allowing the support 200 to begin releasing liquid 220. Upon separation of the support 200, the liquid 220 is propelled out of pressurized region 208 of pad 200 and into tissue of the surgical area, thereby aiding in tissue pad 90 when tissue 90 is separated and stapled. In addition, clamps 47 are installed which, as stated above above, further break cradle 200, thereby allowing liquid 220 to be compressed out through regions of cradle 200 broken by clamps 47 as well. In some exemplary versions, support 200 may comprise a dissolvable material so that support 200 can be left in tissue 90 without harming the patient. In other exemplary versions, support 200 may be removed from the surgical site when liquid 220 is released from support 200.
[0049] FIGS. 12A to B show a front cross-sectional view of backing 200 as it is compressed between the two layers of fabric 290. In some exemplary versions, backing 200 may be sandwiched between fabric 290 or, in some alternative versions, backing 200 can be pressed against either the top surface or the bottom surface of fabric 290. In some exemplary versions, the outer surface of backing 200 may comprise an adhesive coating to allow backing 200 to adhere to fabric 290 prior to release of liquid 220 FIG. 12B shows support 200 after being separated and stapled by staples 247, with pressurized region 208 containing liquid 220 pushing liquid 220 through compressed region 206 into surrounding tissue 290. In some versions, liquid 220 can also be propelled through the breaks caused by the staples 247.
[0050] FIG. 13 shows the surgical separation and stapling instrument 10 as it is used to separate and staple tissue 90. As can be seen in the present example, support 200 has been separated between anvil 18 and lower jaw 16. liquid 220 has been propelled from abutment 200 into surrounding tissue 90. While liquid 220 may comprise any suitable liquid, in the present example, liquid 220 comprises a coagulant such as fibrin and thrombin. The liquid 220, when propelled from the support 200, is intended to aid in the coagulation of the tissue portions 90 where the staples 47 have been inserted into the tissue 90. Exemplary support with fillable region
[0051] FIGS. 14 through 16 show a support 300 that can be used with the end actuator 12 of the instrument 10 shown in FIGS. 1 to 6. The backing 300 comprises a barrier portion 302 and an adhesive region 304. The barrier portion 302 extends around the outer perimeter of the adhesive region 304, thereby defining a first half 306 and a second half 308 of the support 300. First half 306 and second half 308 are positioned so that vertical slot 49 is positioned approximately between first half 306 and second half 308. A cut line 314 extends between first half 306 and second half half 308 as seen in FIG. 15 so that cutting edge 48 can cut barrier portion 302 along cut line 314. Naturally, cut line 314 can be omitted. For example, support 300 may be provided in discrete pieces on each side of vertical slot 49. Furthermore, it will be appreciated that support 300 can be configured as a single unit without the use of separate halves 306, 308. Similarly, though if a single support 300 is used in the present example, it is to be understood that two or more supports 300 may be used, as would be apparent to one of ordinary skill in the art in view of the teachings herein. For example, FIG. 15 shows a cross-sectional view of fabric 90 that is stapled between the two supports 300 - a support 300 on the platform 72 of the cartridge 37 and a support 300 on the underside of the anvil 18.
[0052] The support 300 of the present example is constructed of a foam material, although it should be understood that any suitable materials can be used. By way of example only, support 300 may comprise a bioabsorbable tissue. Adhesive region 304 comprises an adhesive 310 held within an adhesive layer membrane 312. Adhesive 310 may comprise any suitable adhesive material, as would be apparent to one of ordinary skill in the art in view of the teachings herein. For example, adhesive 310 can comprise cyanoarylates, antimicrobial agents and/or curing agents. In still other exemplary versions, adhesive regions 304 of halves 306, 308 may comprise two or more agents so that the adhesive properties are only activated when the agents are combined after halves 306, 308 are punched. Other materials suitable for adhesive 310 will be apparent to one of ordinary skill in the art in view of the teachings herein. The membrane 312 connected to the barrier portion 302 forms a bubble configured to retain a fluid adhesive 310. For example, FIG. 15 shows the membrane 312 that encloses the adhesive 310. The membrane 312 may be constructed of a bioabsorbable material and/or other bioabsorbable material. The membrane 312 may further be constructed of any suitable material, as would be apparent to one of ordinary skill in the art in view of the teachings herein.
[0053] As noted above, the barrier portion 302 forms a bead around the adhesive region 304 such that any fluids in the adhesive region 304 are maintained within the perimeter defined by the barrier portion 302. For example, as shown in FIGS. 15 through 16, fabric 90 that is stapled between two pads 300 is positioned so that adhesive regions 304 face toward fabric 90. Anvil 18 is stapled against lower jaw 16 so that pads 300 grip the fabric. 90, thereby forming a seal between the barrier portion 302 and the fabric 90. As seen in FIG. 15, clamps 47 pierce through membrane 312 of adhesive region 304. As a result, adhesive region 304 breaks and adhesive 310 flows out. Barrier portion 302 is bulge-like in shape, configured to hold adhesive 310 against tissue 90 after adhesive 310 leaves adhesive region 304, while substantially preventing adhesive 310 from flowing out of backing 300 into surrounding tissue. FIG. 16 shows adhesive 310 after it has flowed out from adhesive region 304 and has formed an adhesive layer 316. Also, in FIG. 16, cutting edge 48 cuts along cut line 314 separating fabric 90. It will be appreciated that clips 47 operatively secure pads 300 pressed against fabric 90.
[0054] FIG. 17 shows an exemplary alternative version of back 400 having a plurality of separate adhesive regions 404 within barrier portion 402. Adhesive regions 404 comprise plastic modules operable to rupture when punctured and/or when sufficiently compressed. Each of the adhesive regions 404 has an adhesive 410 contained therein. It will be appreciated that all adhesive regions 404 need not necessarily contain the same adhesives 410. For example, some adhesive regions 404 may comprise one type of adhesive 410 and/or therapeutic material while the other adhesive regions 404 may comprise a different type of adhesive 410 and/or therapeutic material. Of course, any other suitable medical fluids can be included in regions 404 in addition to or instead of the adhesives.
[0055] FIG. 18 shows yet another exemplified version 500 having a foam region 504, with the adhesive caps 510 embedded and/or located within the foam region 504. The foam region 504 is contained within the barrier portion 502. Foam region 504 can substantially prevent adhesive capsules 510 from inadvertently leaving mount 500 before mount 500 is installed in a surgical site. The foam region 504 can also substantially prevent adhesive released from the capsules 510 from escaping from the surgical site after the abutment 500 is installed in the surgical site. Furthermore, the foam region 504 can substantially prevent adhesive 510 of the capsules 510 from sticking to the anvil 18 and/or cartridge 18, before and/or after the abutment 500 is installed in the surgical site.
[0056] Adhesive capsules 510 may be constructed by any suitable method, as would be apparent to one of ordinary skill in the art in view of the teachings herein. FIG. 19 shows an exemplary way of producing adhesive capsules 510 using a chamber forming capsule 550. Chamber 550 comprises a dispenser 552 and coating means 556. It will be appreciated that any non-reactive gas may be contained within. of chamber 550. Applicator 552 dispenses adhesive material 554, which falls off as adhesive drips before entering coating means 556. Coating means 556 may comprise a plastic, but any suitable material may be used, as would be apparent to a person of ordinary skill in the art in view of the teachings herein. The adhesive material 554 contacts the coating means 556 and becomes covered with a coating, thereby forming the adhesive capsules 510 at the bottom of the coating means 556. Thereafter, the adhesive capsules 510 can be removed from the chamber 550 and can be positioned within the foam region 504 as shown in FIG. 18. Of course, adhesive capsules 510 may be formed by any other suitable method, as would be apparent to one of ordinary skill in the art in view of the teachings herein.
[0057] 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, embodiments, examples, etc. which are described in this document. 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 included in the scope of embodiments.
[0058] 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.
[0059] Versions of the above may be designed to be discarded after a 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 to disassemble 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.
[0060] 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.
[0061] In view of the presentation and description of various versions of the present invention, 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 of these possible 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 (9)
[0001]
1. Apparatus comprising: (a) a surgical cutter (10) comprising a distal end (12) and a proximal end, the proximal end comprising a handle (20), the distal end (12) comprising an anvil ( 18) and a lower claw (16), the anvil (18) and lower claw (16) being configured to staple tissue, the surgical cutter (10) being configured to separate tissue stapled by the anvil (18) and by the lower claw (16); and (b) a support (200) filled with a liquid, the support (200) comprising two fluid-filled members (202, 204) with similar shapes, the first fluid-filled member (202) being configured to be positioned between the anvil (18) and the lower claw (16) and the second fluid filled member (204) is configured to be positioned between the first fluid filled member (202) and the lower claw (16), wherein each fluid filled member (202, 204) comprises a compressive portion (206) and a pressure portion (208), the compressive portion (206) being configured to be compressed by the distal end (12) of the surgical cutter (10 ) by the anvil (18) and the lower claw (16) clamping the compressive portion (206), the pressure portion (208) being configured to be pressurized with liquid in response to the clamping in the compressive portion (206), being that the support (200) is configured to be separated and stapled by the co. surgical cutter (10) simultaneously with the moment when the surgical cutter (10) separates tissue, the pressure portion (208) being configured to push liquid through the compressive portion (206) as the support ( 200) is separate; characterized in that each fluid-filled member (202, 204) comprises an elastic material configured to expand so that the pressure portion (208) is filled with most or all of the fluid. the fluid in the fluid filled limb (202, 204) without breaking or bursting under pressure.
[0002]
2. Apparatus according to claim 1, characterized in that the liquid comprises a two-part adhesive configured to have adhesive properties only once the two parts of the two-part adhesive are combined, the first member being filled. by fluid (202) comprises a portion of the two-part adhesive and the second fluid-filled member (204) comprises the other portion.
[0003]
3. Apparatus according to claim 2, characterized in that one part of the two-part adhesive comprises fibrin, and the other part comprises thrombin.
[0004]
4. Apparatus according to any one of claims 1 to 3, characterized in that the anvil (18) defines an anvil width, the support (200) defining a support width that is greater than the width of anvil.
[0005]
5. Apparatus according to claim 4, characterized in that the support (200) causes the lower claw (16) to open, such that an equal portion of the support (200) extends outward from the lower claw (16).
[0006]
6. Apparatus according to any one of claims 1 to 5, characterized in that the support (200) has a rectangular shape.
[0007]
7. Apparatus according to any one of claims 1 to 6, characterized in that it additionally comprises a surgical stapler in communication with the surgical cutter (10), the surgical stapler comprising one or more staples (47, 247) , wherein the surgical stapler is configured to staple a portion of tissue, the one or more staples (47, 247) being configured to break the support (200).
[0008]
8. Apparatus according to any one of claims 1 to 7, characterized in that the support (200) comprises a dissolvable material.
[0009]
9. Apparatus according to any one of claims 1 to 8, characterized in that the support (200) comprises an adhesive on the outside of the support (200) operable to adhere the support (200) to a portion of the surgical cutter ( 10).

类似技术:

公开号 | 公开日 | 专利标题

BR112014006216B1|2021-06-08|surgical instrument apparatus with fluid-fillable support

JP6411584B2|2018-10-24|Surgical instrument with filled staples

EP2755571B1|2020-01-01|Surgical instrument and buttress material

JP6109828B2|2017-04-05|Auxiliary treatment device having a hollow driver for hemostatic agents

RU2611916C2|2017-03-01|Surgical instrument with staple reinforcement clip

EP2765924B1|2019-07-10|Surgical stapler with dual staple cartridges

BR112014008028B1|2021-01-05|apparatus and method for selectively coupling a reinforcement material to a staple cartridge for a surgical instrument

BR112014003068B1|2021-01-12|surgical instrument

BR112014006828B1|2021-06-22|SURGICAL INSTRUMENT APPLIANCE

BR112014006994B1|2021-02-02|surgical instrument apparatus

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

MX358403B|2018-08-16|

US20130062391A1|2013-03-14|

BR112014006216A2|2017-04-11|

EP2755560B1|2021-07-28|

JP6203729B2|2017-09-27|

US9999408B2|2018-06-19|

MX2014002976A|2015-04-13|

RU2014114525A|2015-10-20|

EP2755560A1|2014-07-23|

WO2013039820A1|2013-03-21|

CN103917170A|2014-07-09|

RU2610199C2|2017-02-08|

JP2014531240A|2014-11-27|

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|

SU1475611A1|1987-06-10|1989-04-30|Предприятие П/Я А-3697|Device for joining tubular organs|

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|

JP2962606B2|1991-09-21|1999-10-12|グンゼ株式会社|Medical prostheses|

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|

US5542594A|1993-10-06|1996-08-06|United States Surgical Corporation|Surgical stapling apparatus with biocompatible surgical fabric|

US5393594A|1993-10-06|1995-02-28|United States Surgical Corporation|Absorbable non-woven 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|

US5704534A|1994-12-19|1998-01-06|Ethicon Endo-Surgery, Inc.|Articulation assembly for surgical instruments|

US5632432A|1994-12-19|1997-05-27|Ethicon Endo-Surgery, Inc.|Surgical instrument|

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|

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|

SE9602226D0|1996-06-05|1996-06-05|Astra Ab|Biocompatible glue|

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|

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|

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|

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

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

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|

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|

CN100369637C|2002-12-16|2008-02-20|郡是株式会社|Medical film|

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|

US7380695B2|2003-05-20|2008-06-03|Ethicon Endo-Surgery, Inc.|Surgical stapling instrument having a single lockout mechanism for prevention of firing|

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

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

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|

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

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

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.|

AU2005295477B2|2004-10-18|2011-11-24|Covidien Lp|Structure for applying sprayable wound treatment material|

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

US7845536B2|2004-10-18|2010-12-07|Tyco Healthcare Group Lp|Annular adhesive structure|

DK1809342T3|2004-10-20|2015-08-17|Ethicon Inc|absorbable hemostat|

US8066732B2|2004-12-30|2011-11-29|Cook Incorporated|Inverting occlusion devices, methods, and systems|

WO2006081174A2|2005-01-24|2006-08-03|Brian Kelleher|Methods and devices for soft tissue stapling|

US7815661B2|2005-01-25|2010-10-19|Tyco Healthcare Group, Lp|Method and apparatus for implanting an occlusive structure|

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|

US7618438B2|2005-05-17|2009-11-17|St. Jude Medical Puerto Rico Llc|Tissue puncture closure device with disengagable automatic tamping system|

US7837705B2|2005-05-17|2010-11-23|St. Jude Medical Puerto Rico Llc|Tissue puncture closure system with retractable sheath|

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|

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

US7398908B2|2005-08-15|2008-07-15|Tyco Healthcare Group Lp|Surgical stapling instruments including a cartridge having multiple staple sizes|

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

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|

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

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

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

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|

US7708180B2|2006-11-09|2010-05-04|Ethicon Endo-Surgery, Inc.|Surgical fastening device with initiator impregnation of a matrix or buttress to improve adhesive application|

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|

US7721930B2|2006-11-10|2010-05-25|Thicon Endo-Surgery, Inc.|Disposable cartridge with adhesive for use with a stapling device|

US7753936B2|2006-11-10|2010-07-13|Ehticon Endo-Surgery, Inc.|Form in place 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|

US10500309B2|2007-10-05|2019-12-10|Cook Biotech Incorporated|Absorbable adhesives and their formulation for use in medical applications|

US20090118747A1|2007-11-05|2009-05-07|Tyco Healthcare Group Lp|Novel surgical fastener|

US8646674B2|2010-05-11|2014-02-11|Ethicon Endo-Surgery, Inc.|Methods and apparatus for delivering tissue treatment compositions to stapled tissue|

US8464925B2|2010-05-11|2013-06-18|Ethicon Endo-Surgery, Inc.|Methods and apparatus for delivering tissue treatment compositions to stapled tissue|

US8486155B2|2010-05-13|2013-07-16|Ethicon Endo-Surgery, Inc.|Fistula repair plug having multiple layers|

US8491526B2|2010-05-13|2013-07-23|Ethicon Endo-Surgery, Inc.|Therapeutic cell applicator instrument with modular tips|

US8568446B2|2010-05-13|2013-10-29|Ethicon Endo-Surgery, Inc.|Multi-chamber therapeutic cell applicator instrument|

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

US8998060B2|2011-09-13|2015-04-07|Ethicon Endo-Surgery, Inc.|Resistive heated surgical staple cartridge with phase change sealant|

US9089326B2|2011-10-07|2015-07-28|Ethicon Endo-Surgery, Inc.|Dual staple cartridge for surgical stapler|US5865361A|1997-09-23|1999-02-02|United States Surgical Corporation|Surgical stapling apparatus|

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

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

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

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

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

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

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

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|

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

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

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|

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|

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

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|

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

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|

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|

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

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

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

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

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

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

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

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

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

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

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

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

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

US7866524B2|2007-09-24|2011-01-11|Tyco Healthcare Group Lp|Stapler powered auxiliary device for injecting material between stapler jaws|

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

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

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

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

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|

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|

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

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

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

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

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

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

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

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

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

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|

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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ＥｔｈｉｃｏｎＥｎｄｏ−Ｓｕｒｇｅｒｙ，Ｉｎｃ．|Fastening system including retention matrix and alignment matrix|

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

US9386984B2|2013-02-08|2016-07-12|Ethicon Endo-Surgery, Llc|Staple cartridge comprising a releasable cover|

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

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

BR112013027794B1|2011-04-29|2020-12-15|Ethicon Endo-Surgery, Inc|CLAMP CARTRIDGE SET|

US9314246B2|2010-09-30|2016-04-19|Ethicon Endo-Surgery, Llc|Tissue stapler having a thickness compensator incorporating an anti-inflammatory agent|

US10945731B2|2010-09-30|2021-03-16|Ethicon Llc|Tissue thickness compensator comprising controlled release and expansion|

US9629814B2|2010-09-30|2017-04-25|Ethicon Endo-Surgery, Llc|Tissue thickness compensator configured to redistribute compressive forces|

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

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ＥｔｈｉｃｏｎＥｎｄｏ−Ｓｕｒｇｅｒｙ，Ｉｎｃ．|Tissue thickness compensator with multiple layers|

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

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ＥｔｈｉｃｏｎＥｎｄｏ−Ｓｕｒｇｅｒｙ，Ｉｎｃ．|Retainer assembly including tissue thickness compensator|

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

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

US9044229B2|2011-03-15|2015-06-02|Ethicon Endo-Surgery, Inc.|Surgical fastener instruments|

US9198662B2|2012-03-28|2015-12-01|Ethicon Endo-Surgery, Inc.|Tissue thickness compensator having improved visibility|

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

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|

US9078653B2|2012-03-26|2015-07-14|Ethicon Endo-Surgery, Inc.|Surgical stapling device with lockout system for preventing actuation in the absence of an installed staple cartridge|

US9307989B2|2012-03-28|2016-04-12|Ethicon Endo-Surgery, Llc|Tissue stapler having a thickness compensator incorportating a hydrophobic agent|

MX350846B|2012-03-28|2017-09-22|Ethicon Endo Surgery Inc|Tissue thickness compensator comprising capsules defining a low pressure environment.|

US9101358B2|2012-06-15|2015-08-11|Ethicon Endo-Surgery, Inc.|Articulatable surgical instrument comprising a firing drive|

US9119657B2|2012-06-28|2015-09-01|Ethicon Endo-Surgery, Inc.|Rotary actuatable closure arrangement for surgical end effector|

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|

US9125662B2|2012-06-28|2015-09-08|Ethicon Endo-Surgery, Inc.|Multi-axis articulating and rotating surgical tools|

US9649111B2|2012-06-28|2017-05-16|Ethicon Endo-Surgery, Llc|Replaceable clip cartridge for a clip applier|

US9072536B2|2012-06-28|2015-07-07|Ethicon Endo-Surgery, Inc.|Differential locking arrangements for rotary powered surgical instruments|

US9101385B2|2012-06-28|2015-08-11|Ethicon Endo-Surgery, Inc.|Electrode connections for rotary driven surgical tools|

US9561038B2|2012-06-28|2017-02-07|Ethicon Endo-Surgery, Llc|Interchangeable clip applier|

US11197671B2|2012-06-28|2021-12-14|Cilag Gmbh International|Stapling assembly comprising a lockout|

US9364230B2|2012-06-28|2016-06-14|Ethicon Endo-Surgery, Llc|Surgical stapling instruments with rotary joint assemblies|

US9289256B2|2012-06-28|2016-03-22|Ethicon Endo-Surgery, Llc|Surgical end effectors having angled tissue-contacting surfaces|

US9028494B2|2012-06-28|2015-05-12|Ethicon Endo-Surgery, Inc.|Interchangeable end effector coupling arrangement|

RU2669463C2|2013-03-01|2018-10-11|Этикон Эндо-Серджери, Инк.|Surgical instrument with soft stop|

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|

US9289211B2|2013-03-13|2016-03-22|Covidien Lp|Surgical stapling apparatus|

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|

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|

US9332984B2|2013-03-27|2016-05-10|Ethicon Endo-Surgery, Llc|Fastener cartridge assemblies|

US9572577B2|2013-03-27|2017-02-21|Ethicon Endo-Surgery, Llc|Fastener cartridge comprising a tissue thickness compensator including openings therein|

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|

WO2015065485A1|2013-11-04|2015-05-07|Covidien Lp|Surgical fastener applying 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|

US9867613B2|2013-12-19|2018-01-16|Covidien Lp|Surgical staples and end effectors for deploying the same|

US9687232B2|2013-12-23|2017-06-27|Ethicon Llc|Surgical staples|

US9724092B2|2013-12-23|2017-08-08|Ethicon Llc|Modular surgical instruments|

US9839428B2|2013-12-23|2017-12-12|Ethicon Llc|Surgical cutting and stapling instruments with independent jaw control features|

US9642620B2|2013-12-23|2017-05-09|Ethicon Endo-Surgery, Llc|Surgical cutting and stapling instruments with articulatable end effectors|

US20150173756A1|2013-12-23|2015-06-25|Ethicon Endo-Surgery, Inc.|Surgical cutting and stapling methods|

US9681870B2|2013-12-23|2017-06-20|Ethicon Llc|Articulatable surgical instruments with separate and distinct closing and firing systems|

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|

JP6608393B2|2014-02-24|2019-11-20|エシコンエルエルシー|Embedded layer assembly|

US9775608B2|2014-02-24|2017-10-03|Ethicon Llc|Fastening system comprising a firing member lockout|

US20150272580A1|2014-03-26|2015-10-01|Ethicon Endo-Surgery, Inc.|Verification of number of battery exchanges/procedure count|

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|

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|

US9844378B2|2014-04-29|2017-12-19|Covidien Lp|Surgical stapling apparatus and methods of adhering a surgical buttress thereto|

US9861366B2|2014-05-06|2018-01-09|Covidien Lp|Ejecting assembly for a surgical stapler|

US10390828B2|2014-06-10|2019-08-27|Ethicon Llc|Devices and methods for sealing staples in tissue|

BR112016028759A2|2014-06-10|2017-08-22|Ethicon Endo Surgery Llc|devices and methods for sealing fabric staples|

US10045781B2|2014-06-13|2018-08-14|Ethicon Llc|Closure lockout systems for surgical instruments|

BR112017004361A2|2014-09-05|2017-12-05|Ethicon Llc|medical overcurrent modular power supply|

US9757128B2|2014-09-05|2017-09-12|Ethicon Llc|Multiple sensors with one sensor affecting a second sensor's output or interpretation|

US10105142B2|2014-09-18|2018-10-23|Ethicon Llc|Surgical stapler with plurality of cutting elements|

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|

US10517594B2|2014-10-29|2019-12-31|Ethicon Llc|Cartridge assemblies for surgical staplers|

US11141153B2|2014-10-29|2021-10-12|Cilag Gmbh International|Staple cartridges comprising driver arrangements|

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|

US9987000B2|2014-12-18|2018-06-05|Ethicon Llc|Surgical instrument assembly comprising a flexible articulation system|

US9968355B2|2014-12-18|2018-05-15|Ethicon Llc|Surgical instruments with articulatable end effectors and improved firing beam support arrangements|

US10117649B2|2014-12-18|2018-11-06|Ethicon Llc|Surgical instrument assembly comprising a lockable articulation system|

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|

US10188385B2|2014-12-18|2019-01-29|Ethicon Llc|Surgical instrument system comprising lockable systems|

US10085748B2|2014-12-18|2018-10-02|Ethicon Llc|Locking arrangements for detachable shaft assemblies with articulatable surgical end effectors|

US9844375B2|2014-12-18|2017-12-19|Ethicon Llc|Drive arrangements for articulatable surgical instruments|

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|

US10321907B2|2015-02-27|2019-06-18|Ethicon Llc|System for monitoring whether a surgical instrument needs to be serviced|

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|

US10226250B2|2015-02-27|2019-03-12|Ethicon Llc|Modular stapling assembly|

US9895148B2|2015-03-06|2018-02-20|Ethicon Endo-Surgery, Llc|Monitoring speed control and precision incrementing of motor for powered surgical instruments|

US10617412B2|2015-03-06|2020-04-14|Ethicon Llc|System for detecting the mis-insertion of a staple cartridge into a surgical stapler|

US9924961B2|2015-03-06|2018-03-27|Ethicon Endo-Surgery, Llc|Interactive feedback system for powered surgical instruments|

US9808246B2|2015-03-06|2017-11-07|Ethicon Endo-Surgery, Llc|Method of operating a powered surgical instrument|

US9901342B2|2015-03-06|2018-02-27|Ethicon Endo-Surgery, Llc|Signal and power communication system positioned on a rotatable shaft|

US10245033B2|2015-03-06|2019-04-02|Ethicon Llc|Surgical instrument comprising a lockable battery housing|

US10687806B2|2015-03-06|2020-06-23|Ethicon Llc|Adaptive tissue compression techniques to adjust closure rates for multiple tissue types|

US9993248B2|2015-03-06|2018-06-12|Ethicon Endo-Surgery, Llc|Smart sensors with local signal processing|

US10045776B2|2015-03-06|2018-08-14|Ethicon Llc|Control techniques and sub-processor contained within modular shaft with select control processing from handle|

US10548504B2|2015-03-06|2020-02-04|Ethicon Llc|Overlaid multi sensor radio frequencyelectrode system to measure tissue compression|

US9918717B2|2015-03-18|2018-03-20|Covidien Lp|Pivot mechanism for surgical device|

US10548593B2|2015-03-25|2020-02-04|Ethicon Llc|Flowable bioabsorbable polymer adhesive for releasably attaching a staple buttress to a surgical stapler|

US10863984B2|2015-03-25|2020-12-15|Ethicon Llc|Low inherent viscosity bioabsorbable polymer adhesive for releasably attaching a staple buttress to a surgical stapler|

US10172618B2|2015-03-25|2019-01-08|Ethicon Llc|Low glass transition temperature bioabsorbable polymer adhesive for releasably attaching a staple buttress to a surgical stapler|

US10349939B2|2015-03-25|2019-07-16|Ethicon Llc|Method of applying a buttress to a surgical stapler|

US10568621B2|2015-03-25|2020-02-25|Ethicon Llc|Surgical staple buttress with integral adhesive for releasably attaching to a surgical stapler|

US10136891B2|2015-03-25|2018-11-27|Ethicon Llc|Naturally derived bioabsorbable polymer gel adhesive for releasably attaching a staple buttress to a surgical stapler|

US10478187B2|2015-03-25|2019-11-19|Ethicon Llc|Biologically derived extracellular matrix with infused viscous absorbable copolymer for releasably attaching a staple buttress to a surgical stapler|

US10172617B2|2015-03-25|2019-01-08|Ethicon Llc|Malleable bioabsorbable polymer adhesive for releasably attaching a staple buttress to a surgical stapler|

US10390825B2|2015-03-31|2019-08-27|Ethicon Llc|Surgical instrument with progressive rotary drive systems|

US10463368B2|2015-04-10|2019-11-05|Covidien Lp|Endoscopic stapler|

AU2016246716B2|2015-04-10|2020-11-05|Covidien Lp|Surgical stapler with integrated bladder|

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|

US10172615B2|2015-05-27|2019-01-08|Covidien Lp|Multi-fire push rod stapling device|

US10349941B2|2015-05-27|2019-07-16|Covidien Lp|Multi-fire lead screw 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|

US10314580B2|2015-07-28|2019-06-11|Ethicon Llc|Surgical staple cartridge with compression feature at knife slot|

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|

US10166023B2|2015-08-24|2019-01-01|Ethicon Llc|Method of applying a buttress to a surgical stapler end effector|

US10342542B2|2015-08-24|2019-07-09|Ethicon Llc|Surgical stapler buttress applicator with end effector actuated release mechanism|

US10639039B2|2015-08-24|2020-05-05|Ethicon Llc|Surgical stapler buttress applicator with multi-zone platform for pressure focused release|

US11039832B2|2015-08-24|2021-06-22|Cilag Gmbh International|Surgical stapler buttress applicator with spent staple cartridge lockout|

US10349940B2|2015-08-24|2019-07-16|Ethicon Llc|Surgical stapler buttress applicator with state indicator|

US10342532B2|2015-08-24|2019-07-09|Ethicon Llc|Surgical stapler buttress applicator with multi-point actuated release mechanism|

US10028744B2|2015-08-26|2018-07-24|Ethicon Llc|Staple cartridge assembly including staple guides|

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|

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|

US10238386B2|2015-09-23|2019-03-26|Ethicon Llc|Surgical stapler having motor control based on an electrical parameter related to a motor current|

US10363036B2|2015-09-23|2019-07-30|Ethicon Llc|Surgical stapler having force-based motor control|

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|

US10327769B2|2015-09-23|2019-06-25|Ethicon Llc|Surgical stapler having motor control based on a drive system component|

US10105139B2|2015-09-23|2018-10-23|Ethicon Llc|Surgical stapler having downstream current-based motor control|

US10299878B2|2015-09-25|2019-05-28|Ethicon Llc|Implantable adjunct systems for determining adjunct skew|

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|

US10285699B2|2015-09-30|2019-05-14|Ethicon Llc|Compressible adjunct|

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|

US10357248B2|2015-10-29|2019-07-23|Ethicon Llc|Extensible buttress assembly for surgical stapler|

US10517592B2|2015-10-29|2019-12-31|Ethicon Llc|Surgical stapler buttress assembly with adhesion to wet end effector|

US10238388B2|2015-10-29|2019-03-26|Ethicon Llc|Surgical stapler buttress assembly with humidity tolerant adhesive|

US10085745B2|2015-10-29|2018-10-02|Ethicon Llc|Extensible buttress assembly for surgical stapler|

US10441286B2|2015-10-29|2019-10-15|Ethicon Llc|Multi-layer surgical stapler buttress assembly|

US10499918B2|2015-10-29|2019-12-10|Ethicon Llc|Surgical stapler buttress assembly with features to interact with movable end effector components|

US10314588B2|2015-10-29|2019-06-11|Ethicon Llc|Fluid penetrable buttress assembly for a surgical stapler|

US10433839B2|2015-10-29|2019-10-08|Ethicon Llc|Surgical stapler buttress assembly with gel adhesive retainer|

US10251649B2|2015-10-29|2019-04-09|Ethicon Llc|Surgical stapler buttress applicator with data communication|

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|

US10368865B2|2015-12-30|2019-08-06|Ethicon Llc|Mechanisms for compensating for drivetrain failure in powered surgical instruments|

US10265068B2|2015-12-30|2019-04-23|Ethicon Llc|Surgical instruments with separable motors and motor control circuits|

US10292704B2|2015-12-30|2019-05-21|Ethicon Llc|Mechanisms for compensating for battery pack failure in powered surgical instruments|

US10413291B2|2016-02-09|2019-09-17|Ethicon Llc|Surgical instrument articulation mechanism with slotted secondary constraint|

US11213293B2|2016-02-09|2022-01-04|Cilag Gmbh International|Articulatable surgical instruments with single articulation link arrangements|

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|

US10278703B2|2016-03-21|2019-05-07|Ethicon, Inc.|Temporary fixation tools for use with circular anastomotic staplers|

US10376263B2|2016-04-01|2019-08-13|Ethicon Llc|Anvil modification members for surgical staplers|

US10271851B2|2016-04-01|2019-04-30|Ethicon Llc|Modular surgical stapling system comprising a display|

US10307159B2|2016-04-01|2019-06-04|Ethicon Llc|Surgical instrument handle assembly with reconfigurable grip portion|

US10617413B2|2016-04-01|2020-04-14|Ethicon Llc|Closure system arrangements for surgical cutting and stapling devices with separate and distinct firing shafts|

US10492783B2|2016-04-15|2019-12-03|Ethicon, Llc|Surgical instrument with improved stop/start control during a firing motion|

US10456137B2|2016-04-15|2019-10-29|Ethicon Llc|Staple formation detection mechanisms|

US10426467B2|2016-04-15|2019-10-01|Ethicon Llc|Surgical instrument with detection sensors|

US10357247B2|2016-04-15|2019-07-23|Ethicon Llc|Surgical instrument with multiple program responses 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|

US10828028B2|2016-04-15|2020-11-10|Ethicon Llc|Surgical instrument with multiple program responses during a firing motion|

US10405859B2|2016-04-15|2019-09-10|Ethicon Llc|Surgical instrument with adjustable stop/start control during a firing motion|

US10335145B2|2016-04-15|2019-07-02|Ethicon Llc|Modular surgical instrument with configurable operating mode|

US10368867B2|2016-04-18|2019-08-06|Ethicon Llc|Surgical instrument comprising a lockout|

US10258337B2|2016-04-20|2019-04-16|Ethicon Llc|Surgical staple cartridge with severed tissue edge adjunct|

US10653420B2|2016-04-20|2020-05-19|Ethicon Llc|Compliant compensation features for end effector of surgical stapling instrument|

US11065022B2|2016-05-17|2021-07-20|Covidien Lp|Cutting member for a surgical instrument|

US10542979B2|2016-06-24|2020-01-28|Ethicon Llc|Stamped staples and staple cartridges using the same|

US10499912B2|2016-07-13|2019-12-10|Ethicon Llc|Apparatus for hydraulic assisted fracture of liver parenchyma|

US10631857B2|2016-11-04|2020-04-28|Covidien Lp|Loading unit for surgical instruments with low profile pushers|

US10542981B2|2016-11-14|2020-01-28|Ethicon Llc|Atraumatic stapling head features for circular surgical stapler|

US10993715B2|2016-12-21|2021-05-04|Ethicon Llc|Staple cartridge comprising staples with different clamping breadths|

US10945727B2|2016-12-21|2021-03-16|Ethicon Llc|Staple cartridge with deformable driver retention features|

US20180168618A1|2016-12-21|2018-06-21|Ethicon Endo-Surgery, Llc|Surgical stapling systems|

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ＥｔｈｉｃｏｎＬＬＣ|Surgical stapling system|

US10675026B2|2016-12-21|2020-06-09|Ethicon Llc|Methods of stapling tissue|

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|

US10687810B2|2016-12-21|2020-06-23|Ethicon Llc|Stepped staple cartridge with tissue retention and gap setting features|

US10426471B2|2016-12-21|2019-10-01|Ethicon Llc|Surgical instrument with multiple failure response modes|

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|

US20180168608A1|2016-12-21|2018-06-21|Ethicon Endo-Surgery, Llc|Surgical instrument system comprising an end effector lockout and a firing assembly lockout|

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|

US20180168647A1|2016-12-21|2018-06-21|Ethicon Endo-Surgery, Llc|Surgical stapling instruments having end effectors with positive opening features|

US11160551B2|2016-12-21|2021-11-02|Cilag Gmbh International|Articulatable surgical stapling instruments|

US20180168633A1|2016-12-21|2018-06-21|Ethicon Endo-Surgery, Llc|Surgical stapling instruments and staple-forming anvils|

US20180168598A1|2016-12-21|2018-06-21|Ethicon Endo-Surgery, Llc|Staple forming pocket arrangements comprising zoned forming surface grooves|

US11134942B2|2016-12-21|2021-10-05|Cilag Gmbh International|Surgical stapling instruments and staple-forming anvils|

US10478183B2|2017-02-17|2019-11-19|Ethicon Llc|Adjunct release for surgical staplers|

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|

US10307170B2|2017-06-20|2019-06-04|Ethicon Llc|Method for closed loop control of motor velocity of a surgical stapling and cutting instrument|

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|

US10881396B2|2017-06-20|2021-01-05|Ethicon Llc|Surgical instrument with variable duration trigger arrangement|

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|

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|

US10624633B2|2017-06-20|2020-04-21|Ethicon Llc|Systems and methods for controlling motor velocity of a surgical stapling and cutting instrument|

US10368864B2|2017-06-20|2019-08-06|Ethicon Llc|Systems and methods for controlling displaying motor velocity for a surgical instrument|

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|

US10779820B2|2017-06-20|2020-09-22|Ethicon Llc|Systems and methods for controlling motor speed according to user input for a surgical instrument|

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|

US10881399B2|2017-06-20|2021-01-05|Ethicon Llc|Techniques for adaptive control of motor velocity of a surgical stapling and cutting instrument|

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|

US10993716B2|2017-06-27|2021-05-04|Ethicon Llc|Surgical anvil arrangements|

US11266405B2|2017-06-27|2022-03-08|Cilag Gmbh International|Surgical anvil manufacturing methods|

US10772629B2|2017-06-27|2020-09-15|Ethicon Llc|Surgical anvil arrangements|

US11246592B2|2017-06-28|2022-02-15|Cilag Gmbh International|Surgical instrument comprising an articulation system lockable to a frame|

US20190000474A1|2017-06-28|2019-01-03|Ethicon Llc|Surgical instrument comprising selectively actuatable rotatable couplers|

US10765427B2|2017-06-28|2020-09-08|Ethicon Llc|Method for articulating a surgical instrument|

US10211586B2|2017-06-28|2019-02-19|Ethicon Llc|Surgical shaft assemblies with watertight housings|

US10639037B2|2017-06-28|2020-05-05|Ethicon Llc|Surgical instrument with axially movable closure member|

US10716614B2|2017-06-28|2020-07-21|Ethicon Llc|Surgical shaft assemblies with slip ring assemblies with increased contact pressure|

US10903685B2|2017-06-28|2021-01-26|Ethicon Llc|Surgical shaft assemblies with slip ring assemblies forming capacitive channels|

US11259805B2|2017-06-28|2022-03-01|Cilag Gmbh International|Surgical instrument comprising firing member supports|

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|

US11007022B2|2017-06-29|2021-05-18|Ethicon Llc|Closed loop velocity control techniques based on sensed tissue parameters 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|

US10398434B2|2017-06-29|2019-09-03|Ethicon Llc|Closed loop velocity control of closure member for robotic surgical instrument|

US10729501B2|2017-09-29|2020-08-04|Ethicon Llc|Systems and methods for language selection of a surgical instrument|

US10743872B2|2017-09-29|2020-08-18|Ethicon Llc|System and methods for controlling a display 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|

US10765429B2|2017-09-29|2020-09-08|Ethicon Llc|Systems and methods for providing alerts according to the operational state of a surgical instrument|

US11134944B2|2017-10-30|2021-10-05|Cilag Gmbh International|Surgical stapler knife motion controls|

US11090075B2|2017-10-30|2021-08-17|Cilag Gmbh International|Articulation features for surgical end effector|

US10779903B2|2017-10-31|2020-09-22|Ethicon Llc|Positive shaft rotation lock activated by jaw closure|

US10842490B2|2017-10-31|2020-11-24|Ethicon Llc|Cartridge body design with force reduction based on firing completion|

US20200315626A1|2017-11-10|2020-10-08|Ethicon Llc|Laparoscopic stapler having bio-glue in separate pocket to aid in anastomosis|

US10687813B2|2017-12-15|2020-06-23|Ethicon Llc|Adapters with firing stroke sensing arrangements for use in connection with electromechanical surgical instruments|

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|

US11006955B2|2017-12-15|2021-05-18|Ethicon Llc|End effectors with positive jaw opening features for use with adapters for electromechanical surgical instruments|

US10966718B2|2017-12-15|2021-04-06|Ethicon Llc|Dynamic clamping assemblies with improved wear characteristics for use in connection with electromechanical surgical instruments|

US10743875B2|2017-12-15|2020-08-18|Ethicon Llc|Surgical end effectors with jaw stiffener arrangements configured to permit monitoring of firing member|

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|

US11033267B2|2017-12-15|2021-06-15|Ethicon Llc|Systems and methods of controlling a clamping member firing rate of a surgical instrument|

US11071543B2|2017-12-15|2021-07-27|Cilag Gmbh International|Surgical end effectors with clamping assemblies configured to increase jaw aperture ranges|

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|

US10779826B2|2017-12-15|2020-09-22|Ethicon Llc|Methods of operating surgical end effectors|

US10869666B2|2017-12-15|2020-12-22|Ethicon Llc|Adapters with control systems for controlling multiple motors of an electromechanical surgical instrument|

US10729509B2|2017-12-19|2020-08-04|Ethicon Llc|Surgical instrument comprising closure and firing locking mechanism|

US10716565B2|2017-12-19|2020-07-21|Ethicon Llc|Surgical instruments with dual articulation drivers|

US11020112B2|2017-12-19|2021-06-01|Ethicon Llc|Surgical tools configured for interchangeable use with different controller interfaces|

US10835330B2|2017-12-19|2020-11-17|Ethicon Llc|Method for determining the position of a rotatable jaw of a surgical instrument attachment assembly|

US11045270B2|2017-12-19|2021-06-29|Cilag Gmbh International|Robotic attachment comprising exterior drive actuator|

US11076853B2|2017-12-21|2021-08-03|Cilag Gmbh International|Systems and methods of displaying a knife position during transection for a surgical instrument|

US11129680B2|2017-12-21|2021-09-28|Cilag Gmbh International|Surgical instrument comprising a projector|

US10743868B2|2017-12-21|2020-08-18|Ethicon Llc|Surgical instrument comprising a pivotable distal head|

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|

US10779821B2|2018-08-20|2020-09-22|Ethicon Llc|Surgical stapler anvils with tissue stop features configured to avoid tissue pinch|

US10912559B2|2018-08-20|2021-02-09|Ethicon Llc|Reinforced deformable anvil tip for surgical stapler anvil|

US11207065B2|2018-08-20|2021-12-28|Cilag Gmbh International|Method for fabricating surgical stapler anvils|

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|

US10856870B2|2018-08-20|2020-12-08|Ethicon Llc|Switching arrangements for motor powered articulatable surgical instruments|

US11253256B2|2018-08-20|2022-02-22|Cilag Gmbh International|Articulatable motor powered surgical instruments with dedicated articulation motor arrangements|

US11039834B2|2018-08-20|2021-06-22|Cilag Gmbh International|Surgical stapler anvils with staple directing protrusions and tissue stability features|

US10952729B2|2018-10-03|2021-03-23|Covidien Lp|Universal linear buttress retention/release assemblies and methods|

US11197673B2|2018-10-30|2021-12-14|Covidien Lp|Surgical stapling instruments and end effector assemblies thereof|

US11103243B2|2018-12-28|2021-08-31|Cilag Gmbh International|Curved tip surgical stapler buttress assembly applicator with compression layer pocket feature|

US11202628B2|2018-12-28|2021-12-21|Cilag Gmbh International|Surgical stapler with tissue engagement features around tissue containment pin|

US11166725B2|2018-12-28|2021-11-09|Cilag Gmbh International|Configuration of buttress for surgical stapler|

US10905424B2|2018-12-28|2021-02-02|Ethicon Llc|Curved tip surgical stapler buttress assembly applicator with proximal alignment features|

US11116505B2|2018-12-28|2021-09-14|Cilag Gmbh International|Applicator for surgical stapler buttress|

WO2020136481A1|2018-12-28|2020-07-02|Ethicon Llc|Curved tip surgical stapler buttress assembly applicator with opening feature for curved tip alignment|

US11033269B2|2018-12-28|2021-06-15|Cilag Gmbh International|Method of applying buttresses to surgically cut and stapled sites|

US11166724B2|2018-12-28|2021-11-09|Cilag Gmbh International|Adhesive distribution on buttress for surgical stapler|

US11172929B2|2019-03-25|2021-11-16|Cilag Gmbh International|Articulation drive arrangements for surgical systems|

US11147551B2|2019-03-25|2021-10-19|Cilag Gmbh International|Firing drive arrangements for surgical systems|

US11147553B2|2019-03-25|2021-10-19|Cilag Gmbh International|Firing drive arrangements for surgical systems|

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|

US11219455B2|2019-06-28|2022-01-11|Cilag Gmbh International|Surgical instrument including a lockout key|

US11259803B2|2019-06-28|2022-03-01|Cilag Gmbh International|Surgical stapling system having an information encryption protocol|

US11241235B2|2019-06-28|2022-02-08|Cilag Gmbh International|Method of using multiple RFID chips with a surgical assembly|

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|

US11234698B2|2019-12-19|2022-02-01|Cilag Gmbh International|Stapling system comprising a clamp lockout and a firing lockout|

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]|

2020-11-10| B07A| Technical examination (opinion): publication of technical examination (opinion) [chapter 7.1 patent gazette]|

2021-04-06| B09A| Decision: intention to grant [chapter 9.1 patent gazette]|

2021-06-08| B16A| Patent or certificate of addition of invention granted|Free format text: PRAZO DE VALIDADE: 20 (VINTE) ANOS CONTADOS A PARTIR DE 10/09/2012, OBSERVADAS AS CONDICOES LEGAIS. |

优先权:

申请号 | 申请日 | 专利标题

US13/232,401|US9999408B2|2011-09-14|2011-09-14|Surgical instrument with fluid fillable buttress|

US13/232,401|2011-09-14|

PCT/US2012/054401|WO2013039820A1|2011-09-14|2012-09-10|Surgical instrument with fluid fillable buttress|

[返回顶部]