CN102665585B - 用于超声装置和用于电外科装置的外科发生器 - Google Patents
用于超声装置和用于电外科装置的外科发生器 Download PDFInfo
- Publication number
- CN102665585B CN102665585B CN201080056086.XA CN201080056086A CN102665585B CN 102665585 B CN102665585 B CN 102665585B CN 201080056086 A CN201080056086 A CN 201080056086A CN 102665585 B CN102665585 B CN 102665585B
- Authority
- CN
- China
- Prior art keywords
- sample
- generator
- drive singal
- voltage
- drive signal
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Active
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/1206—Generators therefor
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
- A61B17/320092—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/1206—Generators therefor
- A61B18/1233—Generators therefor with circuits for assuring patient safety
-
- H—ELECTRICITY
- H10—SEMICONDUCTOR DEVICES; ELECTRIC SOLID-STATE DEVICES NOT OTHERWISE PROVIDED FOR
- H10N—ELECTRIC SOLID-STATE DEVICES NOT OTHERWISE PROVIDED FOR
- H10N30/00—Piezoelectric or electrostrictive devices
- H10N30/80—Constructional details
- H10N30/802—Drive or control circuitry or methods for piezoelectric or electrostrictive devices not otherwise provided for
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
- A61B18/1442—Probes having pivoting end effectors, e.g. forceps
- A61B18/1445—Probes having pivoting end effectors, e.g. forceps at the distal end of a shaft, e.g. forceps or scissors at the end of a rigid rod
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00017—Electrical control of surgical instruments
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00477—Coupling
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00477—Coupling
- A61B2017/00482—Coupling with a code
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00477—Coupling
- A61B2017/00486—Adaptors for coupling parts with incompatible geometries
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B2017/2926—Details of heads or jaws
- A61B2017/2932—Transmission of forces to jaw members
- A61B2017/2933—Transmission of forces to jaw members camming or guiding means
- A61B2017/2934—Transmission of forces to jaw members camming or guiding means arcuate shaped guiding means
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B2017/2926—Details of heads or jaws
- A61B2017/2932—Transmission of forces to jaw members
- A61B2017/2933—Transmission of forces to jaw members camming or guiding means
- A61B2017/2936—Pins in guiding slots
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
- A61B2017/320069—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic for ablating tissue
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
- A61B2017/320071—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with articulating means for working tip
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
- A61B17/320092—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw
- A61B2017/320094—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw additional movable means performing clamping operation
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
- A61B17/320092—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw
- A61B2017/320095—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw with sealing or cauterizing means
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00053—Mechanical features of the instrument of device
- A61B2018/00172—Connectors and adapters therefor
- A61B2018/00178—Electrical connectors
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
- A61B2018/00601—Cutting
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
- A61B2018/0063—Sealing
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00636—Sensing and controlling the application of energy
- A61B2018/00666—Sensing and controlling the application of energy using a threshold value
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00636—Sensing and controlling the application of energy
- A61B2018/00666—Sensing and controlling the application of energy using a threshold value
- A61B2018/00678—Sensing and controlling the application of energy using a threshold value upper
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00636—Sensing and controlling the application of energy
- A61B2018/00684—Sensing and controlling the application of energy using lookup tables
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00636—Sensing and controlling the application of energy
- A61B2018/00696—Controlled or regulated parameters
- A61B2018/00702—Power or energy
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00636—Sensing and controlling the application of energy
- A61B2018/00696—Controlled or regulated parameters
- A61B2018/0072—Current
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00636—Sensing and controlling the application of energy
- A61B2018/00696—Controlled or regulated parameters
- A61B2018/00732—Frequency
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00636—Sensing and controlling the application of energy
- A61B2018/00696—Controlled or regulated parameters
- A61B2018/00767—Voltage
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00636—Sensing and controlling the application of energy
- A61B2018/00773—Sensed parameters
- A61B2018/00779—Power or energy
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00636—Sensing and controlling the application of energy
- A61B2018/00773—Sensed parameters
- A61B2018/00791—Temperature
- A61B2018/00803—Temperature with temperature prediction
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00636—Sensing and controlling the application of energy
- A61B2018/00773—Sensed parameters
- A61B2018/00827—Current
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00636—Sensing and controlling the application of energy
- A61B2018/00773—Sensed parameters
- A61B2018/00875—Resistance or impedance
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00636—Sensing and controlling the application of energy
- A61B2018/00773—Sensed parameters
- A61B2018/00892—Voltage
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00988—Means for storing information, e.g. calibration constants, or for preventing excessive use, e.g. usage, service life counter
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00994—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body combining two or more different kinds of non-mechanical energy or combining one or more non-mechanical energies with ultrasound
-
- H—ELECTRICITY
- H01—ELECTRIC ELEMENTS
- H01R—ELECTRICALLY-CONDUCTIVE CONNECTIONS; STRUCTURAL ASSOCIATIONS OF A PLURALITY OF MUTUALLY-INSULATED ELECTRICAL CONNECTING ELEMENTS; COUPLING DEVICES; CURRENT COLLECTORS
- H01R2201/00—Connectors or connections adapted for particular applications
- H01R2201/12—Connectors or connections adapted for particular applications for medicine and surgery
Abstract
本发明公开了一种外科发生器(102),所述外科发生器可产生特定电压、电流和频率(如55,500周期/秒(Hz))的驱动信号。可将所述驱动信号提供到超声外科装置(104),并且具体地讲提供到换能器。在一个实施例中,所述发生器可能够产生特定电压、电流和/或频率输出信号的驱动信号,所述输出信号可在高分辨率、精确性和再现性的情况下阶跃。另外,所述外科发生器可产生驱动信号,所述驱动信号具有足以使用射频(RF)能量进行双极电外科手术的输出功率。可将所述驱动信号提供到(例如)所述电外科装置(106)的电极。因此,所述发生器能够通过以下方法而被构造用于治疗目的:将电信号施加到超声换能器、或将足以用于处理所述组织(如切割、凝固、烧灼、组织焊接等)的电功率施加到所述组织。
Description
相关专利申请的交叉引用
本申请根据Title35,UnitedStatesCode§119(e)(美国法典第35篇第119条(e))要求下述美国临时专利申请的优先权:该申请的序列号为61/250,217,于2009年10月9日提交,名称为“ADUALBIPOLARANDULTRASONICGENERATORFORELECTRO-SURGICALINSTRUMENTS”(用于电外科器械的双重双极性和超声发生器),其全文以引用方式并入本文。
本申请涉及下列同时提交的美国专利申请,其全文以引用方式并入本文:
(1)美国专利申请序列No.12/896,351,名称为“DEVICESANDTECHNIQUESFORCUTTINGANDCOAGULATINGTISSUE”(用于切割和凝固组织的装置和技术),代理人案卷号为END6427USCIP1/080591CIP;
(2)美国专利申请序列No.12/896,360,名称为“SURGICALGENERATORFORULTRASONICANDELECTROSURGICALDEVICES”(用于超声和电外科装置的外科发生器),代理人案卷号为END6673USNP/100558;
(3)美国专利申请序列No.12/896,479,名称为“SURGICALGENERATORFORULTRASONICANDELECTROSURGICALDEVICES”(用于超声和电外科装置的外科发生器),代理人案卷号为END6673USNP1/100557;
(4)美国专利申请序列No.12/869,345,名称为“SURGICALGENERATORFORULTRASONICANDELECTROSURGICALDEVICES”(用于超声和电外科装置的外科发生器),代理人案卷号为END6673USNP2/100559;
(5)美国专利申请序列No.12/896,384,名称为“SURGICALGENERATORFORULTRASONICANDELECTROSURGICALDEVICES”(用于超声和电外科装置的外科发生器),代理人案卷号为END6673USNP3/100560;
(6)美国专利申请序列No.12/896,467,名称为“SURGICALGENERATORFORULTRASONICANDELECTROSURGICALDEVICES”(用于超声和电外科装置的外科发生器),代理人案卷号为END6673USNP4/100562
(7)美国专利申请序列No.12/896,451,名称为“SURGICALGENERATORFORULTRASONICANDELECTROSURGICALDEVICES”(用于超声和电外科装置的外科发生器),代理人案卷号为END6673USNP5/100563;和
(8)美国专利申请序列No.12/896,470,名称为“SURGICALGENERATORFORULTRASONICANDELECTROSURGICALDEVICES”(用于超声和电外科装置的外科发生器),代理人案卷号为END6673USNP6/100564。
背景技术
多种实施例涉及外科装置和用于将能量提供到外科装置的发生器,以用于开放性或微创外科手术环境中。
超声外科装置(诸如超声刀)凭其独特的性能特性而在外科手术中日益得到广泛的应用。根据具体装置构型和操作参数,超声外科装置能够通过凝固提供基本上同时的组织切割和止血,从而有利地将患者创伤最小化。超声外科装置可包括:手持件,其包含超声换能器,和器械,其连接到超声换能器,超声换能器具有远端安装的端部执行器(如刀头),以切割和密封组织。在一些情况下,该器械可永久性地固定到手持件。在其他情况下,该器械可从手持件拆卸,如就一次性器械或可在不同手持件之间互换的器械而言。端部执行器将超声能量传输到接触端部执行器的组织,以实现切割和密封动作。这一性质的超声外科装置可被构造用于开放性外科用途、腹腔镜或内窥镜手术操作,包括机器人辅助操作。
与电外科手术所用温度相比,超声能量使用较低的温度来切割和凝固组织,并且能够通过与手持件连通的超声发生器传输到端部执行器。通过高频振动(如55,500次/秒),超声刀使组织中的蛋白变性,以形成粘的凝固物。通过刀片表面施加到组织上的压力使血管塌缩,并允许所述凝固物形成止血密封。外科医生能够通过如下参数来控制切割速度和凝固:通过端部执行器施加到组织的力、施加力的时间和端部执行器的选定偏移水平。
可将超声换能器建模成等效电路,所述等效电路包括第一支路,其具有静态电容;和第二“动态”支路,其具有限定共振器的机电特性的串联的电感、电阻和电容。已知的超声发生器可包括调谐感应器,所述调谐感应器用于使共振频率下的静态电容失谐,以使得发生器的基本上所有驱动信号电流都流入动态支路中。因此,通过使用调谐感应器,发生器的驱动信号电流表示动态支路电流,并且发生器因而能够控制其驱动信号,以保持超声换能器的共振频率。调谐感应器还可转化超声换能器的相位电阻图,以改善发生器的频锁能力。然而,调谐感应器必须与可操作共振频率下的超声换能器的具体静态电容相匹配。换句话讲,具有不同静态电容的不同超声换能器需要不同的调谐感应器。
另外,在一些超声发生器结构中,发生器的驱动信号显示具有非对称谐波失真,所述非对称谐波失真使电阻大小和相位测定值复杂化。例如,可因电流和电压信号的谐波失真而降低电阻相位测定值的精确性。
此外,噪声环境中的电磁干扰会降低发生器保持对超声换能器的共振频率的锁定的能力,从而增加无效控制算法输入的可能性。
用于将电功率施加到组织以便处理和/或破坏组织的电外科装置也在外科手术中日益得到广泛的应用。电外科装置可包括手持件和器械,该器械具有远端安装的端部执行器(如一根或多根电极)。端部执行器可设置为紧靠组织,使得电流被引入到组织中。电外科装置可被构造用于双极或单极操作。在双极操作期间,电流分别通过端部执行器的有源电极和回流电极引入组织中和从组织返回。在单极操作期间,电流通过端部执行器的有源电极引入组织中并且通过单独设置在患者身体上的回流电极(如接地垫)返回。由流过组织的电流产生的热可在组织内和/或在组织之间形成止血密封,并因此可尤其可用于(例如)密封血管。电外科装置的端部执行器还可包括可相对于组织移动的切割构件和横切组织的电极。
可将电外科装置施加的电功率通过与手持件连通的发生器传输到所述器械。电功率可为射频(“RF”)能量形式。RF能量为可位于300kHz至1MHz频率范围内的电功率形式。电外科装置在其工作期间可将低频RF能量传输通过组织,这会引起离子激化或摩擦(实际上为电阻生热),从而增加组织的温度。由于可在受影响组织和周围组织之间形成清晰的边界,因此外科医生可以高度的精确性和可控性来操作,而不破坏非目标向的邻近组织。操作温度低的RF能量可用于在密封血管的同时移除、收缩或定型软组织。RF能量可尤其奏效地适用于结缔组织,所述结缔组织主要由胶原构成,并且在接触热时收缩。
超声和电外科装置因其独特的驱动信号、感测和反馈需要而通常需要不同的发生器。另外,在器械为一次性的或可与手持件互换的情况下,超声和电外科发生器的能力受限于识别所用的具体器械构型和相应地优化控制和诊断方法。此外,发生器的非隔离电路和患者隔离电路之间的电容连接,尤其是在使用较高电压和频率的情况下,可导致患者暴露于不合格水平的泄露电流。
发明内容
本发明公开了将驱动信号传送到外科装置的发生器的多种实施例。在一个实施例中,发生器可包括功率放大器,以接收时变驱动信号波形。能够通过多个驱动信号波形样本的至少一部分的数字-模转换来产生驱动信号波形。功率放大器的输出可用于产生驱动信号。驱动信号可包括如下信号中的一种:有待传送到超声外科装置的第一驱动信号、有待传送到电外科装置的第二驱动信号。发生器还可包括采样电路,以在将驱动信号传送到外科装置时产生驱动信号的电流和电压样本。该样本的产生可与驱动信号波形样本的数字-模转换同步,使得对于驱动信号波形样本的每一次数字-模转换而言,采样电路都产生对应组的电流和电压样本。发生器还可包括至少一个装置,所述至少一个装置被编程为针对每一个驱动信号波形样本和对应组的电流和电压样本都将所述电流和电压样本储存在所述至少一个装置的存储器中,以将储存的样本与驱动信号波形样本相关联。所述至少一个装置还可被编程为当驱动信号包括第一驱动信号时:基于储存的电流和电压样本来确定超声外科装置的动态支路电流样本;将动态支路电流样本与目标样本比较,所述目标样本选自限定目标波形的多个目标样本,所述目标样本是基于驱动信号波形样本进行选择的;确定目标样本和动态支路电流样本之间的大小误差;以及修改的驱动信号波形样本,使得在目标样本和后续动态支路电流样本之间确定的大小误差减小,所述后续动态支路电流样本取决于与所修改的驱动信号波形样本相关的电流和电压样本。
在一个实施例中,发生器可包括存储器和连接到存储器的装置,所述装置针对用于合成驱动信号的多个驱动信号波形样本中的每一个来接收驱动信号的对应组的电流和电压样本。对于每一个驱动信号波形样本和对应组的电流和电压样本而言,所述装置都可将所述样本储存在其存储器中,以将储存的样本与驱动信号波形样本相关联。另外,对于每一个驱动信号波形样本和对应组的电流和电压样本而言,所述装置都可在驱动信号包括有待传送到超声外科装置的第一驱动信号时,基于储存的样本确定超声外科装置的动态支路电流样本;将动态支路电流样本与目标样本比较,所述目标样本选自限定目标波形的多个目标样本,所述目标样本是基于驱动信号波形样本进行选择的;确定目标样本和动态支路电流样本之间的大小误差;以及修改的驱动信号波形样本,使得目标样本和后续动态支路电流样本之间测定的大小误差减小,所述后续动态支路电流样本取决于与所修改的驱动信号波形样本相关的电流和电压样本。
本发明还公开了如下方法的实施例,在换能器驱动信号的多个频率上,所述方法用于确定超声外科装置的超声换能器中的动态支路电流。在一个实施例中,所述方法可包括在换能器驱动信号的多个频率中的每一个下,过采换能器驱动信号的电流和电压;通过处理器接收电流和电压样本;以及由处理器基于电流和电压样本、超声换能器的静态电容和换能器驱动信号的频率来确定动态支路电流。
本发明还公开了如下方法的实施例,所述方法用于控制外科装置的超声换能器中的动态支路电流的波形形状。在一个实施例中,所述方法可包括通过使用直接数字合成(DDS)算法选择性地调用储存在查找表(LUT)中的驱动信号波形样本,产生换能器驱动信号;当将换能器驱动信号传送到外科装置时产生换能器驱动信号的电流和电压的样本;基于电流和电压样本、超声换能器的静态电容和换能器驱动信号的频率来确定动态支路电流的样本;将动态支路电流的每一个样本都与目标波形的相应目标样本进行比较,以确定大小误差;以及修改储存在LUT中的驱动信号波形样本,使得动态支路电流的后续样本和相应目标样本之间的大小误差减小。
根据多种实施例,用于将驱动信号提供到外科装置的外科发生器可包括第一变压器和第二变压器。第一变压器可包括第一主线圈和第一次线圈。第二变压器可包括第二主线圈和第二次线圈。外科发生器还可包括发生器电路,以产生驱动信号。发生器电路可电连接到第一主线圈,从而在整个第一主线圈上得到驱动信号。外科发生器还可包括与发生器电路电隔离的患者侧电路。患者侧电路可电连接到第一次线圈。此外,患者侧电路可包括第一输出线路和第二输出线路,以将驱动信号提供到外科装置。另外,外科发生器可包括电容器。电容器和第二次线圈可在第一输出线路和大地之间被串联电连接。
另外,根据多种实施例,用于将驱动信号提供到外科装置的外科发生器可包括第一变压器、患者侧电路和电容器。第一变压器可包括主线圈、第一次线圈和第二次线圈。第一次线圈相对于主线圈的极性可与第二次线圈的极性相反。发生器电路可产生驱动信号,并且可电连接到第一主线圈,从而在整个第一主线圈上得到驱动信号。患者侧电路可与发生器电路电隔离,并且可电连接到第一次线圈。另外,患者侧电路可包括第一输出线路和第二输出线路,以将驱动信号提供到外科装置。电容器和第二次线圈可在第一输出线路和大地之间被串联电连接。
另外,根据多种实施例,用于将驱动信号提供到外科装置的外科发生器可包括第一变压器、发生器电路、患者侧电路和电容器。第一变压器可包括主线圈和次线圈。发生器电路可产生驱动信号,并且可电连接到第一主线圈,从而在整个第一主线圈上得到驱动信号。患者侧电路可与发生器电路电隔离,并且可电连接到次线圈。此外,患者侧电路可包括第一输出线路和第二输出线路,以将驱动信号提供到外科装置。电容器可电连接到主线圈和第一输出线路。
根据多种实施例,用于将驱动信号提供到外科装置的外科发生器可包括第一变压器、发生器电路、患者侧电路以及第一电容器、第二电容器和第三电容器。第一变压器可包括主线圈和次线圈。发生器电路可产生驱动信号,并且可电连接到第一主线圈,从而在整个第一主线圈上得到驱动信号。患者侧电路可与发生器电路电隔离,并且可电连接到次线圈。此外,患者侧电路可包括第一输出线路和第二输出线路,以将驱动信号提供到外科装置。第一电容器的第一电极可电连接到主线圈。第二电容器的第一电极可电连接到第一输出线路,并且第二电容器的第二电极可电连接到第一电容器的第二电极。第三电容器的第一电极可电连接到第一电容器的第二电极和第二电容器的第二电极。第三电容器的第二电极可电连接到大地。
本发明还公开了外科装置控制电路的多种实施例。在一个实施例中,控制电路可包括具有至少一个第一开关的第一电路部分。第一电路部分能够通过导线对与外科发生器通信。控制电路还可包括具有数据电路元件的第二电路部分。数据电路元件可设置在外科装置的器械中,并且可发送或接收数据。数据电路元件能够通过导线对中的至少一条导线实施与外科发生器的数据通信。
在一个实施例中,控制电路可包括具有至少一个第一开关的第一电路部分。第一电路部分能够通过导线对与外科发生器通信。控制电路还可包括具有数据电路元件的第二电路部分。数据电路元件可设置在外科装置的器械中,并且可发送或接收数据。数据电路元件能够通过导线对中的至少一条导线实施与外科发生器的数据通信。第一电路部分可接收从外科发生器以第一频带发送的第一询问信号。数据电路元件可使用以第二频带发送的调幅通信协议与外科发生器通信。第二频带可高于第一频带。
在一个实施例中,控制电路可包括具有至少一个第一开关的第一电路部分。第一电路部分可接收从外科发生器通过导线对发送的第一询问信号。控制电路还可包括第二电路部分,所述第二电路部分包括设置在所述装置的器械中的电阻元件和感应元件中的至少一个。第二电路部分可接收从外科发生器通过导线对发送的第二询问信号。第二电路部分可与第一电路部分频带分离。当通过第一电路部分接收到第一询问信号时,第一询问信号的特性可表征至少一个第一开关的状态。当通过第二电路部分接收到第二询问信号时,第二询问信号的特性可独特地识别所述装置的器械。
在一个实施例中,控制电路可包括具有第一开关网络和第二开关网络的第一电路部分。第一开关网络可包括至少一个第一开关,并且第二开关网络可包括至少一个第二开关。第一电路部分能够通过导线对与外科发生器通信。控制电路还可包括具有数据电路元件的第二电路部分。数据电路元件可设置在外科装置的器械中,并且可发送或接收数据。数据电路元件能够通过导线对中的至少一条导线与外科发生器进行数据通信。
根据多种实施例,用于将驱动信号提供到外科装置的外科发生器可包括具有孔口的外科发生器主体。外科发生器还可包括设置在孔口中的插座组件。插座组件可包括插座主体和具有内壁和外壁的凸缘。内壁能够由至少一个弯曲部分和至少一个线性部分构成。内壁可限定腔体。中央凸出部分可设置在腔体中,并且可包括:多个承窝;和磁体。中央凸出部分的外周边可包括至少一个弯曲部分和至少一个线性部分。
根据多种实施例,外科器械可包括电连接器组件。电连接器组件可包括限定中央腔体的凸缘和延伸到中央腔体中的磁性相容引脚。电连接器组件可包括电路板和连接到电路板的多个导电引脚。多个导电引脚中的每一个都可延伸到中央腔体中。电连接器组件还可包括应变减轻构件和防护罩。
根据多种实施例,外科器械系统可包括具有插座组件的外科发生器。插座组件可包括至少一个弯曲部分和至少一个线性部分。外科器械系统可包括具有连接器组件和适配器组件的外科器械,所述适配器组件操作地连接到插座组件和连接器组件。适配器组件可包括接触插座组件的远端部分。远端部分可包括凸缘,其中所述凸缘具有至少一个弯曲部分和至少一个线性部分。适配器组件可包括接触连接器组件的近端部分。近端部分可限定尺寸被设计为接纳连接器组件的至少一部分的腔体。适配器组件还可包括电路板。
根据多种实施例,可使用方法(如结合外科器械)来实现多个外科目的。例如,用于控制通过第一电极和第二电极提供到组织的电功率的方法可包括:通过第一电极和第二电极将驱动信号提供到组织,并且根据感测的组织电阻,根据第一功率曲线,通过驱动信号调制提供到组织的电功率。第一功率曲线可为多个潜在感测的组织电阻中的每一个都限定第一对应功率。所述方法还可包括通过第一电极和第二电极监测提供到组织的总能量。当总能量达到第一能量阈值时,所述方法可包括确定组织的电阻是否已达到第一电阻阈值。所述方法还可包括:如果组织的电阻不能达到第一电阻阈值,则根据感测的组织电阻,根据第二功率曲线,通过驱动信号调制提供到组织的电功率。第二功率曲线可为多个潜在感测的组织电阻中的每一个都限定第二对应功率。
根据多种实施例,用于控制通过第一电极和第二电极提供到组织的电功率的方法可包括:通过第一电极和第二电极将驱动信号提供到组织,以及确定有待提供到组织的电功率。所述确定的步骤可包括:接收感测的组织电阻的指示;根据功率曲线确定用于感测的组织电阻的第一对应功率;以及通过倍增器来倍增对应功率。功率曲线可为多个潜在感测的组织电阻中的每一个都限定对应功率。所述方法还可包括:调制驱动信号,以将确定的电功率提供到组织,以及如果组织的电阻不能达到第一电阻阈值,则随着提供到组织的总能量来增加倍增器。
根据多种实施例,用于控制通过第一电极和第二电极提供到组织的电功率的方法可包括:通过第一电极和第二电极将驱动信号提供到组织,以及确定有待提供到组织的电功率。所述确定的步骤可包括:接收感测的组织电阻的指示;根据功率曲线确定用于感测的组织电阻的第一对应功率;以及通过第一倍增器来倍增对应功率,以找到确定的电功率。功率曲线可为多个潜在感测的组织电阻中的每一个都限定对应功率。所述方法还可包括:调制驱动信号,以将确定的电功率提供到组织,以及通过第一电极和第二电极监测提供到组织的总能量。另外,所述方法还可包括:当总能量达到第一能量阈值时,确定组织的电阻是否已达到第一电阻阈值;以及如果组织的电阻不能达到第一电阻阈值,则将第一倍增器增加第一量。
根据多种实施例,用于控制通过外科装置提供到组织的电功率的方法可包括:将驱动信号提供到外科装置;接收组织电阻的指示;计算组织电阻的增加速率;以及调制驱动信号,以将电阻的增加速率保持为大于或等于预定常数。
根据多种实施例,用于控制通过外科装置提供到组织的电功率的方法可包括提供驱动信号。驱动信号的功率可与通过外科装置提供到组织的电功率成比例。所述方法还可包括周期性地接收组织电阻的指示,并且将第一复合功率曲线应用到组织,其中将第一复合功率曲线应用到组织的步骤包括:将第一复合功率曲线应用到组织的步骤可包括:将第一预定数量的第一复合功率曲线脉冲调制到驱动信号上;以及对于第一复合功率曲线脉冲中的每一个而言,根据组织电阻的第一函数来确定脉冲功率和脉冲宽度。所述方法还可包括将第二复合功率曲线应用到组织。将第二复合功率曲线应用到组织的步骤可包括:将至少一个第二复合功率曲线脉冲调制到驱动信号上;以及对于至少一个第二复合功率曲线脉冲中的每一个而言,根据组织电阻的第二函数来确定脉冲功率和脉冲宽度。
附图说明
多种实施例的新型特征在所附权利要求书中进行了详细描述。然而,对组织和操作方法来说皆可以通过参照以下具体实施方式并结合附图最深刻地理解所描述的实施例,其中:
图1示出了包括发生器和可与其结合使用的多种外科器械的外科系统的一个实施例;
图2示出了可用于横切和/或密封的实例超声装置的一个实施例;
图3示出了图2的实例超声装置的端部执行器的一个实施例;
图4示出了也可用于横切和密封的实例电外科装置的一个实施例;
图5、图6和图7示出了图4所示的端部执行器的一个实施例;
图8为图1的外科系统的示意图;
图9为示出一个实施例中的动态支路电流的模型;
图10为一个实施例中的发生器结构的结构视图;
图11A-11C为一个实施例中的发生器结构的功能视图;
图12示出了在一个实施例中用于监测输入装置和控制输出装置的控制器;
图13示出了发生器的一个实施例的结构和功能方面;
图14-32和图33A-33C示出了控制电路的实施例;
图33D-33I示出了用于连接多种发生器和多种外科器械的电缆布线和适配器构型的实施例;
图34示出了用于漏电流的有源降噪的电路300的一个实施例;
图35示出了能够通过图1的发生器实施的用于提供漏电流的有源降噪的电路的一个实施例;
图36示出了能够通过图1的发生器实施的用于提供漏电流的有源降噪的电路的替代性实施例;
图37示出了能够通过图1的发生器实施的用于提供漏电流的有源降噪的电路的替代性实施例;
图38示出了能够通过图1的发生器实施的用于提供漏电流的有源降噪的电路的另一个实施例;
图39示出了能够通过图1的发生器实施的用于提供漏电流的有源降噪的电路的实施例;
图40示出了能够通过图1的发生器实施的用于提供漏电流的有源降噪的电路的另一个实施例;
图41示出了一个实施例中的插座组件和连接器组件接口;
图42为一个实施例中的插座组件的分解侧视图;
图43为一个实施例中的连接器组件的分解侧视图;
图44为图41所示的插座组件的透视图;
图45为一个实施例中的插座组件的分解透视图;
图46为一个实施例中的插座组件的前正视图;
图47为一个实施例中的插座组件的侧正视图;
图48为一个实施例中的承窝的放大视图;
图49为一个实施例中的连接器组件的透视图;
图50为一个实施例中的连接器组件的分解透视图;
图51为一个实施例中的连接器组件主体的侧正视图;
图52为一个实施例中的连接器组件主体的远端的透视图;
图53为一个实施例中的连接器组件主体的近端的透视图;
图54示出了一个实施例中的铁质引脚;
图55示出了一个实施例中的导电引脚和电路板;
图56示出了一个实施例中的应变减轻构件;
图57示出了一个实施例中的防护罩;
图58示出了根据多种非限制性实施例的两个适配器组件;
图59示出了一个实施例中的外科发生器;
图60示出了一个实施例中的连接到适配器组件的连接器组件;
图61示出了一个实施例中的插入到外科发生器的插座组件中的适配器组件;
图62示出了一个实施例中的连接到适配器组件的连接器组件;
图63示出了一个实施例中的发生器的后片的透视图;
图64示出了一个实施例中的发生器的后片;
图65和图66示出了一个实施例中的发生器的后片的不同部分;
图67示出了一个实施例中的用于控制发生器的神经网络;
图68示出了一个实施例中的测定温度与估算温度的对比图,估算温度由通过发生器控制的外科器械输出;
图69示出了显示实例功率曲线的图表的一个实施例;
图70示出了用于将一个或多个功率曲线应用到组织切口的工艺流程的一个实施例;
图71示出了显示可结合图70的工艺流程使用的实例功率曲线的图表的一个实施例;
图72示出了显示可结合图70的工艺流程使用的实例通用形状功率曲线的图表的一个实施例;
图73A示出了能够通过图1的发生器的数字装置进行的作用于新组织切口的例程的一个实施例;
图73B示出了能够通过图1的发生器的数字装置进行的监测组织电阻的例程的一个实施例;
图73C示出了能够通过图1的发生器的数字装置进行的将一个或多个功率曲线提供到组织切口的例程的一个实施例;
图74示出了用于将一个或多个功率曲线应用到组织切口的工艺流程的一个实施例;
图75示出了描述通过图1的发生器选择和施加复合负载曲线的框图的一个实施例;
图76示出了显示如通过图1的发生器实施的图75的算法的一个实施例的工艺流程;
图77示出了用于产生第一复合负载曲线脉冲的工艺流程的一个实施例;
图78示出了脉冲计时图的一个实施例,所述脉冲计时图示出了图76的算法通过图1的发生器的实例应用。
图79示出了根据实例复合负载曲线的驱动信号电压、电流和功率的图形表示;
图80-85示出了实例复合负载曲线的图形表示;并且
图86示出了描述应用算法以用于保持恒定的组织电阻变化速率的框图的一个实施例。
具体实施方式
在详细说明外科装置和发生器的多种实施例之前,应该指出的是,示例性实施例的应用或使用并不局限于附图和具体实施方式中详细示出的部件的构型和布置。示例性实施例可以单独实施,也可以与其它实施例、变更形式和修改形式结合在一起实施,并可以通过多种方式实践或执行。此外,除非另外指明,否则本文所用的术语和表达是为了方便读者而对示例性实施例进行描述目的所选的,并非为了限制性的目的。另外,应当理解,下述实施例、实施例表达和/或实例中的一个或多个可与下述其他实施例、实施例表达和/或实例中的任何一个或多个结合。
多种实施例涉及改善的超声外科装置、电外科装置以及与它们结合使用的发生器。超声外科装置的实施例可被构造用于例如在外科手术期间横切和/或凝固组织。电外科装置的实施例可被构造用于例如在外科手术期间横切、凝固、剥落、焊接和/或干燥组织。
发生器的实施例使用发生器驱动信号电流和电压的高速模-数字采样(如大约200x过采,这取决于频率)连同数字信号处理,从而与已知发生器结构相比得到多个优点和有益效果。在一个实施例中,例如,基于电流和电压反馈数据、超声换能器静态电容的值和驱动信号频率的值,发生器可确定超声换能器的动态支路电流。这提供实际调谐系统的有益效果并且模如下系统的存在,所述系统可利用任何频率下的静态电容(如图9中的C0)的任何值进行调谐或共振。因此,能够通过使静态电容的效果失谐来实现动态支路电流的控制,且无需使用调谐感应器。另外,消除调谐感应器的步骤可能不会降低发生器的频锁能力,因为能够通过适当地处理电流和电压反馈数据来实现频锁。
发生器驱动信号电流和电压的高速模-数字采样连同数字信号处理的步骤也可能使样本能够进行精确数字滤波。例如,发生器的实施例可使用在基础驱动信号频率和第二级谐波之间衰减的低通数字滤波器(如有限脉冲响应(FIR)滤波器),以减少电流和电压反馈样本中的不对称谐波失真和EMI感应的噪声。过滤的电流和电压反馈样本基本上表示基础驱动信号频率,由此能够相对于基础驱动信号频率来进行更精确的电阻相位测定以及改善发生器保持共振频率锁定的能力。能够通过如下方式进一步地提高电阻相位测定的精确性:使下降沿和上升沿相位测定值平均化以及将测定的电阻相位调节至0°。
发生器的多种实施例也可使用发生器驱动信号电流和电压的高速模-数字采样连同数字信号处理来高精度地确定真实功耗和其他数量。这可允许发生器实施多种可用算法,诸如(例如),控制当组织电阻变化时递送到组织的电功率量和控制电功率的递送,以保持组织电阻增加的恒定速率。
发生器的多种实施例可具有宽频率范围以及驱动超声外科装置和电外科装置所必要的增加的输出功率。能够通过宽带电源变压器上的专用分接头来满足电外科装置的较低电压、较高电流要求,由此就无需单独的功率放大器和输出变压器。此外,发生器的感测和反馈电路可支持大动态范围,由此解决具有最小失真的超声和电外科应用的需要。
多种实施例可为发生器提供简单经济的装置,以读取和任选地写入设置在如下器械中的数据电路(如单线总线装置,例如1-wire协议EEPROM),所述器械使用现有多导线发生器/手持件电缆附接到手持件。这样,发生器能够从附接到手持件的器械检索和处理器械专用数据。这可使发生器能够提供较好的控制以及改善的诊断和误差检测。另外,发生器将数据写入所述器械的能力使如下形式的新功能成为可能,例如,跟踪器械用法和采集可操作数据。此外,频带的使用允许包含总线装置的器械与现有发生器的向后兼容性。
本发明所公开的发生器的实施例提供漏电流的有源降噪,所述漏电流是由发生器的在非隔离和患者隔离电路之间的非预期电容连接引起的。除了降低患者风险之外,减少漏电流的步骤也可降低电磁发射。
通过下文的具体实施方式,本发明的实施例的这些和其他有益效果将显而易见。
应当理解,本文使用的术语“近端”和“远端”是相对于紧握手持件的临床医生而言的。因此,端部执行器相对于较近的手持件而言处于远端。还应当理解,为方便和清晰起见,本文相对于紧握手持件的临床医生也可使用诸如“顶部”和“底部”之类的空间术语。然而,外科装置可在许多取向和位置使用,并且这些术语并非意图进行限制和绝对化的。
图1示出了外科系统100的一个实施例,所述外科系统100包括可能够与外科装置结合使用的发生器102。根据多种实施例,发生器102可能够与不同类型的外科装置结合使用,包括(例如)超声外科装置104和电外科或RF外科装置106。尽管在图1的实施例中,发生器102示出为与外科装置104、106分离,但在某些实施例中,发生器102可与外科装置104、106中的任一者一体地形成,以形成一体化外科系统。
图2示出了可用于横切和/或密封的实例超声装置104的一个实施例。装置104可包括手持件116,所述手持件116又可包括超声换能器114。换能器114可(例如)通过电缆122(如多导线电缆)与发生器102电气连通。换能器114可包括适用于将驱动信号的电功率转换成机械振动的压电陶瓷元件或其他元件或部件。当通过发生器102启动时,超声换能器114可引起纵向振动。振动能够通过装置104的器械部分124(如通过嵌入在外套管内的波导)传送到器械部分124的端部执行器126。
图3示出了实例超声装置104的端部执行器126的一个实施例。端部执行器126可包括能够通过波导(未示出)连接到超声换能器114的刀片151。当通过换能器114驱动时,刀片151可振动,并且当接触组织时,可切割和/或凝固组织,如本文所述。根据多种实施例,并且如图3所示,端部执行器126还可包括夹持臂155,该夹持臂155可能够与端部执行器126的刀片151协同作用。结合刀片151,夹持臂155可包括一组钳口140。夹持臂155可以可枢转地连接到器械部分124的轴153的远端。夹持臂155可包括夹持臂组织垫163,该夹持臂组织垫163能够由TEFLON或其他合适的低摩擦材料形成。垫163可被安装用于与刀片151协作,其中夹持臂155的枢转移动将夹持垫163设置为与刀片151呈大致平行关系或相接触。通过这种构造,有待夹持的组织切口可在组织垫163和刀片151之间被抓住。组织垫163可设置有锯齿状构型(包括多个轴向间隔的、向近端延伸的紧握齿161)以与刀片151协作来提高对组织的紧握效果。夹持臂155可以任何合适的方式从图3所示的打开位置过渡到关闭位置(其中夹持臂155接触或靠近刀片151)。例如,手持件116可包括钳口闭合扳机138。当通过临床医生致动时,钳口闭合扳机138可以任何合适的方式来枢转夹持臂155。
可启动发生器102以将驱动信号以任何合适的方式提供到换能器114。例如,发生器102可包括通过脚踏开关电缆122(图8)连接到发生器102的脚踏开关120。临床医生能够通过压下脚踏开关120来启动换能器114并由此启动换能器114和刀片151。除脚踏开关120之外或取代脚踏开关120,装置104的一些实施例还可使用设置在手持件116上的一个或多个开关,所述一个或多个开关在启动时可引起发生器102启动换能器114。在一个实施例中,例如,所述一个或多个开关可包括一对触发按钮136a、136b,以(例如)确定装置104的操作模式。当压下触发按钮136a时,例如,超声发生器102可将最大驱动信号提供到换能器114,从而使其产生最大的超声能量输出。压下触发按钮136b可引起超声发生器102将用户可选的驱动信号提供到换能器114,从而使其产生小于最大值的超声能量输出。另外或作为另外一种选择,装置104还可包括第二开关,以(例如)指示用于操作端部执行器126的钳口140的钳口闭合扳机138的位置。另外,在一些实施例中,可基于钳口闭合扳机138的位置来启动超声发生器102(如当临床医生压下钳口闭合扳机138以闭合钳口140时,可施加超声能量)。
另外或作为另外一种选择,所述一个或多个开关还可包括触发按钮136c,所述触发按钮136c在压下时使得发生器102提供脉冲输出。可(例如)以任何合适的频率和编组提供脉冲。在某些实施例中,脉冲的功率水平可为(例如)与触发按钮136a、b相关的功率水平(最大值、小于最大值)。
应当理解,装置104可包括触发按钮136a、b、c的任何组合。例如,装置104可能够仅具有两个触发按钮:用于产生最大超声能量输出的触发按钮136a和用于产生最大或小于最大的功率水平下的脉冲输出的触发按钮136c。这样,发生器102的驱动信号输出模式可为5个连续信号和5个或4个或3个或2个或1个脉冲信号。在某些实施例中,可基于(例如)发生器102中的EEPROM设置和/或用户功率水平选择来控制具体的驱动信号模式。
在某些实施例中,可将两位开关提供为触发按钮136c的替代形式。例如,装置104可包括:触发按钮136a,其用于在最大功率水平下产生连续输出;和两位触发按钮136b。在第一关闭位置中,触发按钮136b可在小于最大的功率水平下产生连续输出,并且在第二关闭位置中,触发按钮136b可产生脉冲输出(如最大或小于最大的功率水平下的脉冲输出,这取决于EEPROM设置)。
在一些实施例中,端部执行器126还可包括一对电极159、157。电极159、157可(例如)通过电缆122与发生器102通信。电极159、157可用于(例如)测定存在于夹持臂155和刀片151之间的组织切口的电阻。发生器102可将信号(如非治疗信号)提供到电极159、157。可(例如)通过监测信号的电流、电压等来找到组织切口的电阻。
图4示出了也可用于横切和密封的实例电外科装置106的一个实施例。根据多种实施例,横切和密封装置106可包括手持件组件130、轴165和端部执行器132。轴165可为刚性的(如,对于腹腔镜和/或开放性外科应用)或柔性的(如,对于内窥镜应用),如图所示。在多种实施例中,轴165可包括一个或多个接合点。端部执行器132可包括具有第一钳口构件167和第二钳口构件169的钳口144。第一钳口构件167和第二钳口构件169可连接到U形夹171,所述U形夹171又可连接到轴165。平移构件173可在轴165内从端部执行器132延伸到手持件130。在手持件130处,轴165可直接或间接地连接到钳口闭合扳机142(图4)。
端部执行器132的钳口构件167、169可包括相应的电极177、179。电极177、179能够通过电导线187a、187b(图5)(如通过多导线电缆128)连接到发生器102,所述电导线187a、187b从端部执行器132穿过轴165和手持件130并最终延伸到发生器102。发生器102可将驱动信号提供到电极177、179,以对存在于钳口构件167、169内的组织产生治疗效果。电极177、179可包括有源电极和回流电极,其中所述有源电极和所述回流电极可抵靠或邻近有待处理的组织进行设置,使得电流可从有源电极通过组织流到回流电极。如图4所示,端部执行器132显示具有处于打开位置的钳口构件167、169。往复式刀片175示于钳口构件167、169之间。
图5、图6和图7示出了图4所示的端部执行器132的一个实施例。为了闭合端部执行器132的钳口144,临床医生可使钳口闭合扳机142沿箭头183从第一位置枢转到第二位置。这可根据任何合适的方式使钳口144打开和闭合。例如,钳口闭合扳机142的运动又可引起平移构件173在轴165的腔体185内平移。平移构件173的远端部分可连接到往复式构件197,使得平移构件173的远端和近端运动引起往复式构件的对应远端和近端运动。往复式构件197可具有肩部191a、191b,而钳口构件167、169可具有对应凸轮表面189a、189b。当往复式构件197从图6所示的位置向远端平移到图7所示的位置时,肩部191a、191b可接触凸轮表面189a、189b,从而使得钳口构件167、169过渡到关闭位置。另外,在多种实施例中,刀片175可设置在往复式构件197的远端处。随着往复式构件延伸到图7所示的完全远端位置,刀片175可在该过程中推过存在于钳口构件167、169之间的任何组织,从而切割该组织。
使用时,临床医生可设置端部执行器132,并且(例如)通过沿如所述箭头183枢转钳口闭合扳机142来闭合围绕将被作用的组织切口的钳口144。一旦组织切口固定在钳口144之间,临床医生就可开始通过发生器102和穿过电极177、179来提供RF或其他电外科能量。可以任何合适的方式来完成RF能量的提供。例如,临床医生可启动发生器102的脚踏开关120(图8)以开始提供RF能量。另外,例如,手持件130可包括一个或多个开关181,所述一个或多个开关181能够由临床医生致动,以引起发生器102开始提供RF能量。另外,在一些实施例中,可基于钳口闭合扳机142的位置来提供RF能量。例如,当完全压下扳机142(表明钳口144被闭合)时,可提供RF能量。另外,根据多种实施例,可在钳口144闭合期间推进刀片175或可在钳口144闭合之后(如在RF能量已施加到组织之后)由临床医生独立地推进刀片175。
图8为图1的外科系统100的示意图。在多种实施例中,发生器102可包括若干单独的功能性元件,诸如模块和/或区块。不同的功能性元件或模块可被构造用于驱动不同类型的外科装置104、106。例如,超声发生器模块108可驱动超声装置,诸如超声装置104。电外科/RF发生器模块110可驱动电外科装置106。例如,相应的模块108、110可产生用于驱动外科装置104、106的相应的驱动信号。在多种实施例中,超声发生器模块108和/或电外科/RF发生器模块110可各自与发生器102一体地形成。作为另外一种选择,模块108、110中的一个或多个可提供为电连接到发生器102的单独电路模块。(模块108和110以虚线显示以示出这种选择。)另外,在一些实施例中,电外科/RF发生器模块110可与超声发生器模块108一体地形成,反之亦然。
根据所述实施例,超声发生器模块108可产生特定电压、电流和频率(如55,500周期/秒(Hz))的驱动信号。可将驱动信号提供到超声装置104,并且具体地讲提供到可(例如)如上文所述进行工作的换能器114。在一个实施例中,发生器102可能够产生特定电压、电流和/或频率输出信号的驱动信号,所述输出信号可在高分辨率、精确性和再现性的情况下阶跃。
根据所述实施例,电外科/RF发生器模块110可产生驱动信号,该驱动信号具有足以使用射频(RF)能量进行双极电外科手术的输出功率。在双极电外科手术应用中,驱动信号可提供到(例如)电外科装置106的电极177、179,例如,如上文所述。因此,发生器102能够通过将足以用于处理组织(如凝固、烧灼、组织焊接等)的电功率施加到组织而被构造用于治疗目的。
发生器102可包括位于(例如)发生器102控制台的前面板上的输入装置145(图1)。输入装置145可包括产生适于对发生器102的操作进行编程的信号的任何合适装置。操作中,用户可使用输入装置145对发生器102的操作进行编程或换句话讲控制发生器102的操作。输入装置145可包括产生如下信号的任何合适装置,所述信号可被发生器使用(如被包含在发生器中的一个或多个处理器使用),以控制发生器102的操作(如超声发生器模块108和/或电外科/RF发生器模块110的操作)。在多种实施例中,输入装置145包括按钮、开关、指轮、键盘、小键盘、触摸屏监视器、指点器中的一个或多个,所述输入装置远程连接到通用或专用计算机。在其他实施例中,输入装置145可包括合适的用户界面,诸如显示在(例如)触摸屏监视器上的一个或多个用户界面屏。因此,通过输入装置145,用户可设定发生器的多种操作参数或对发生器的多种操作参数进行编程,诸如(例如),通过超声发生器模块108和/或电外科/RF发生器模块110产生的驱动信号的电流(I)、电压(V)、频率(f)和/或周期(T)。
发生器102还可包括位于(例如)发生器102控制台的前面板上的输出装置147(图1)。输出装置147包括用于为用户提供感观反馈的一个或多个装置。此类装置可包括(例如)视觉反馈装置(如LCD显示屏、LED指示器)、听觉反馈装置(如扬声器、蜂鸣器)或触觉反馈装置(如触觉致动器)。
尽管发生器102的某些模块和/或区块可以举例的方式进行描述,但可以理解,更大或更小数量的模块和/或区块可被使用,并仍在实施例的范围内。此外,虽然多种实施例可按照模块和/或区块的形式描述,以有利于说明,但这些模块和/或区块能够通过一个或多个硬件部件和/或软件部件和/或硬件和软件部件的组合加以实施,所述硬件部件为如处理器、数字信号处理器(DSP)、可编程逻辑装置(PLD)、专用集成电路(ASIC)、电路、寄存器,所述软件部件为如程序、子例程、逻辑。
在一个实施例中,超声发生器驱动模块108和电外科/RF驱动模块110可包括实施为固件、软件、硬件或它们的任何组合的一个或多个嵌入式应用程序。模块108、110可包括多种可执行模块,诸如软件、程序、数据、驱动器、应用程序接口(API)等。所述固件可储存在非易失性存储器(NVM)(诸如位屏蔽只读存储器(ROM)或闪速存储器)中。在多种具体实施中,将固件储存在ROM中的步骤可保护闪速存储器。NVM可包括其它类型的存储器,包括(例如)可编程ROM(PROM)、可擦除可编程ROM(EPROM)、电可擦除可编程ROM(EEPROM)或电池支持的随机存取存储器(RAM)(诸如动态RAM(DRAM)、双数据率DRAM(DDRAM)和/或同步DRAM(SDRAM))。
在一个实施例中,模块108、110包括实施为处理器的硬件部件,所述处理器用于执行监测装置104、106的多种可测量特性的程序指令并产生用于操作装置104、106的相应输出驱动信号。在其中发生器102与装置104结合使用的实施例中,驱动信号可驱动切割和/或凝固操作模式中的超声换能器114。可测量装置104和/或组织的电特性并将其用于控制发生器102的可操作方面和/或为用户提供反馈。在其中发生器102与装置106结合使用的实施例中,驱动信号可将电功率(如RF能量)提供到切割、凝固和/或干燥模式中的端部执行器132。可测量装置106和/或组织的电特性并将其用于控制发生器102的可操作方面和/或为用户提供反馈。在多种实施例中,如此前讨论,硬件部件可实施为DSP、PLD、ASIC、电路和/或寄存器。在一个实施例中,处理器可能够储存和执行计算机软件程序指令,以产生用于驱动装置104、106的多种部件(诸如超声换能器114和端部执行器126、132)的阶跃函数输出信号。
图9示出了根据一个实施例的超声换能器(诸如超声换能器114)的等效电路150。电路150包括具有串联的电感Ls、电阻Rs和电容Cs的第一“动态”支路(限定共振器的机电特性)和具有静态电容C0的第二电容支路。可从驱动电压Vg下的发生器接收驱动电流Ig,其中动态电流Im流过第一支路并且电流Ig-Im流过电容支路。能够通过适当控制Ig和Vg来实现超声换能器的机电特性的控制。如上所述,已知的发生器结构可包括调谐感应器Lt(在图9中以虚线显示),该调谐感应器Lt用于使并联共振电路中共振频率下的静态电容C0失谐,以使得发生器的基本上全部的输出电流Ig均流过动态支路。这样,通过控制发生器的输出电流Ig来实现动态支路电流Im的控制。然而,调谐感应器Lt专用于超声换能器的静态电容C0,并且具有不同静态电容的不同超声换能器需要不同的调谐感应器Lt。此外,由于调谐感应器Lt匹配单一共振频率下的静态电容C0的标称值,因此仅能确保该频率下的动态支路电流Im的精确控制,并且当频率随换能器温度下移时,动态支路电流的精确控制将失能。
发生器102的多种实施例可以不依赖于调谐感应器Lt来监测动态支路电流Im。相反,发生器102可使用在专用超声外科装置104的功率应用中间的静态电容C0的测量值(连同驱动信号电压和电流反馈数据)来动态和持续地(如实时地)确定动态支路电流Im的值。发生器102的这种实施例因此能够提供实际的调谐,以模如下系统,所述系统可利用任何频率且并非只是单一共振频率(通过静态电容C0的标称值指定)下的静态电容C0的任何值进行调谐或共振。
图10为发生器102的一个实施例的简化框图,除了其他有益效果之外,所述发生器102还用于验证如上所述的非电感调谐。图11A-11C示出了根据一个实施例的图10的发生器102的结构。参照图10,发生器102可包括通过电源变压器156与非隔离工位154通信的患者隔离工位152。电源变压器156的次线圈158包含在隔离工位152中,并且可包括分接头构造(如中心分接头或非中心分接头构造),以限定驱动信号输出端160a、160b、160c,以用于将驱动信号输出到不同的外科装置,诸如(例如),超声外科装置104和电外科装置106。具体地讲,驱动信号输出端160a、160c可将驱动信号(如420VRMS驱动信号)输出到超声外科装置104,并且驱动信号输出端160b、160c可将驱动信号(如100VRMS驱动信号)输出到电外科装置106,其中输出端160b对应于电源变压器156的中心分接头。非隔离工位154可包括功率放大器162,所述功率放大器162具有连接到电源变压器156的主线圈164的输出端。在某些实施例中,功率放大器162可包括(例如)推挽放大器。非隔离工位154还可包括用于将数字输出提供到数字-模转换器(DAC)168的可编程逻辑器件166,所述数字-模转换器(DAC)168继而将相应的模信号提供到功率放大器162的输入端。在某些实施例中,可编程逻辑器件166可包括(例如)现场可编程门阵列(FPGA)。可编程逻辑器件166通过DAC168来控制功率放大器162的输入,因此可控制出现在驱动信号输出端160a、160b、160c处的驱动信号的多个参数(如频率、波形形状、波形大小)中的任何者。在某些实施例中并且如下文所述,可编程逻辑器件166与处理器(如下文所述的处理器174)相结合可实施多个基于数字信号处理(DSP)的控制算法和/或其他控制算法,以控制通过发生器102输出的驱动信号的参数。
能够通过开关模式调节器170将功率提供到功率放大器162的功率干线。在某些实施例中,开关模式调节器170可包括(例如)可调式降压调节器。非隔离工位154还可包括处理器174,在一个实施例中所述处理器174可包括(例如)得自AnalogDevices(Norwood,MA)的DSP处理器(诸如AnalogDevicesADSP-21469SHARCDSP)。在某些实施例中,处理器174可响应由处理器174通过模数字转换器(ADC)176从功率放大器162接收的电压反馈数据来控制开关模式功率转换器170的操作。在一个实施例中,例如,处理器174能够通过ADC176接收通过功率放大器162放大的信号(如RF信号)的波形包络作为输入。处理器174随后可控制开关模式调节器170(如通过脉冲宽度调制(PWM)输出),使得提供到功率放大器162的干线电压跟踪放大信号的波形包络。相对于固定干线电压放大器方案而言,通过基于波形包络来动态地调制功率放大器162的干线电压,可显著改善功率放大器162的效率。
在某些实施例中并且如结合图13更详细所述,可编程逻辑器件166与处理器174相结合可实施直接数字合成器(DDS)控制方案,以控制通过发生器102输出的驱动信号的波形形状、频率和/或大小。在一个实施例中,例如,可编程逻辑器件166能够通过调用储存在动态更新查找表(LUT)(诸如可嵌入在FPGA中的RAMLUT)中的波形样本来实施DDS控制算法268。该控制算法尤其可用于如下超声应用,其中超声换能器(诸如超声换能器144)能够由其共振频率下的纯正弦电流驱动。由于其他频率可激发寄生共振,因此使动态支路电流的总失真最小化或降低的步骤可相应地使不利的共振效应最小化或降低。由于发生器102输出的驱动信号的波形形状受存在于输出驱动电路(如电源变压器156、功率放大器162)中的多种失真源影响,因此可将基于驱动信号的电压和电流反馈数据输入到算法(诸如通过处理器174实施的误差控制算法)中,从而通过动态和持续地(如实时地)适当预失真或修改储存在LUT中的波形样本来补偿失真。在一个实施例中,施加到LUT样本的预失真的数量或程度可取决于在计算的动态支路电流和所需电流波形形状之间的误差,其中所述误差是基于逐个样本确定的。这样,预失真的LUT样本,在通过驱动电路进行处理时,可产生具有所需波形形状(如正弦)的动态支路驱动信号,以用于最佳地驱动超声换能器。在此类实施例中,LUT波形样本将因此并不表示驱动信号的所需波形形状,而是表示如下波形形状,其要求用于最终产生考虑失真效果时的动态支路驱动信号的所需波形形状。
非隔离工位154还可包括ADC178和ADC180,所述ADC178和ADC180通过相应的隔离变压器182、184连接到电源变压器156的输出端,以分别对通过发生器102输出的驱动信号的电压和电流采样。在某些实施例中,ADC178、180可能够以高速(如80Msps)采样80,以使得能够对驱动信号进行过采。在一个实施例中,例如,ADC178、180的采样速率可使得能够对大约200x(取决于驱动频率)驱动信号进行过采。在某些实施例中,能够通过单个ADC来执行ADC178、180的采样操作,所述单个ADC通过双路复用器来接收输入电压和电流信号。除了别的以外,在发生器102的实施例中使用高速采样的步骤还可使得能够计算流过动态支路的复合电流(这在某些实施例中可用于实施上述基于DDS的波形形状控制)、精确地数字滤波所采样信号和高精度地计算真实功耗。ADC178、180输出的电压和电流反馈数据能够由可编程逻辑器件166接收和处理(如FIFO缓冲、复用),并将其储存在数据存储器中,以用于由(例如)处理器174后续检索。如上所述,可将电压和电流反馈数据用作如下算法的输入,所述算法用于动态和持续地预失真或修改LUT波形样本。在某些实施例中,这可能需要每一个储存的电压和电流反馈数据对基于对应的LUT样本都进行索引或换句话讲与对应的LUT样本相关联,在采集电压和电流反馈数据对时,所述对应的LUT样本由可编程逻辑器件166输出。以此方式使LUT样本与电压和电流反馈数据同步的步骤有助于预失真算法的准确计时和稳定性。
在某些实施例中,可使用电压和电流反馈数据来控制驱动信号的频率和/或大小(如电流大小)。在一个实施例中,例如,可使用电压和电流反馈数据来确定电阻相位。然后可控制驱动信号的频率,以使在所确定电阻相位和电阻相位设定点(如0°)之间的差值最小化或减小,从而使谐波失真的影响最小化或减小,并相应地增加电阻相位测量准确性。可在处理器174中实施相位电阻和频率控制信号的测定,例如,其中将频率控制信号作为输入提供到由可编程逻辑器件166实施的DDS控制算法。
在另一个实施例中,例如,可监测电流反馈数据,以便保持电流大小设定点下的驱动信号的电流大小。可直接指定或根据指定的电压大小和功率设定点来间接地确定电流大小设定点。在某些实施例中,能够通过处理器174中的控制算法(诸如(例如),比例积分微分(PID)控制算法)来实现电流大小的控制。通过控制算法控制以适当控制驱动信号的电流大小的变量可包括(例如)储存在可编程逻辑器件166中的LUT波形样本的定标和/或经由DAC186的DAC168(其为功率放大器162提供输入)的最大定标输出电压。
除了别的以外,非隔离工位154还可包括用于提供用户接口(UI)功能的处理器190。在一个实施例中,处理器190可包括(例如)得自AtmelCorporation(SanJose,California)的具有ARM926EJ-S核的AtmelAT91SAM9263处理器。处理器190支持的UI功能的实例可包括听觉和视觉用户反馈、与外围设备通信(如通过通用串行总(USB)接口线)、与脚踏开关120通信、与输入装置112(如触摸屏显示器)通信以及与输出装置147(如扬声器)通信。处理器190可与处理器174和可编程逻辑器件(如经由串行外围接口(SPI)总线)通信。尽管处理器190可主要支持UI功能,但在某些实施例中其也可与处理器174配合来实施危险的减轻。例如,可以对处理器190进行编程,以监测用户输入和/或其他输入(如触摸屏输入、脚踏开关120输入、温度传感器输入)的各个方面,并且可在检测到错误情况时使发生器102的驱动输出无效。
在某些实施例中,处理器174和处理器190均可测定和监测发生器102的操作状态。对于处理器174,发生器102的操作状态可指示(例如)处理器174实施了哪些控制和/或诊断方法。对于处理器190,发生器102的操作状态可指示(例如)用户接口的哪些元素(如显示屏、声音)提供给用户。处理器174、190可独立地保持发生器102的当前工作状态,并且识别和评价当前操作状态中的可能过渡。处理器174可充当此关系中的主机,并且确定何时将发生操作状态间的过渡。处理器190可知道操作状态间的有效过渡并且可确定某个过渡是否适当。例如,当处理器174指示处理器190过渡到特定状态时,处理器190可验证所请求过渡的有效性。如果状态间的所请求过渡经处理器190确定为无效,则处理器190可使发生器102进入失效模式。
非隔离工位154还可包括用于监测输入装置145的控制器196(如用于打开和关闭发生器102的电容触摸传感器、电容触摸屏)。在某些实施例中,控制器196可包括至少一个处理器和/或与处理器190通信的其他控制器装置。在一个实施例中,例如,控制器196可包括处理器(如得自Atmel的Mega1688位控制器),所述处理器能够监测通过一个或多个电容触摸传感器提供的用户输入。在一个实施例中,控制器196可包括触摸屏控制器(如得自Atmel的QT5480触摸屏控制器),以控制和管理从电容触摸屏采集的触摸数据。
在某些实施例中,当发生器102处于“断电”状态时,控制器196可继续接收工作电源(如通过来自发生器102的电源(例如下述电源211)的线路)。这样,控制器196可继续监测用于打开和关闭发生器102的输入装置145(如位于发生器102的前面板上的电容触摸传感器)。当发生器102处于断电状态时,如果检测到用户激活“打开/关闭”输入装置145,则控制器196可唤醒电源(如启用操作电源211的一个或多个DC/DC电压转换器)。控制器196可因此引发用于将发生器102过渡成“通电”状态的序列。反之,当发生器102处于通电状态时,如果检测到激活“打开/关闭”输入装置145,则控制器196可引发用于将发生器102过渡成断电状态的序列。在某些实施例中,例如,控制器196可将“打开/关闭”输入装置145的激活报告给处理器190,所述处理器190继而实施用于将发生器102过渡成断电状态的必要处理序列。在此类实施例中,控制器196可能无法在发生器102的通电状态已确立之后独立地导致从发生器102移除电源。
在某些实施例中,控制器196可使发生器102提供听觉或其他感观反馈,以用于提醒用户已引发通电或断电序列。可在通电或断电序列开始时以及在与该序列相关的其他过程开始之前提供这种提醒。
在某些实施例中,隔离工位152可包括器械接口电路198,以(例如)提供在外科装置的控制电路(如包括手持件开关的控制电路)和非隔离工位154的部件(诸如(例如),可编程逻辑器件166、处理器174和/或处理器190)之间的通信接口。器械接口电路198能够通过通信连接装置(诸如(例如)基于红外(IR)的通信连接装置)与非隔离工位154的部件交换信息,所述通信连接装置保持工位152、154之间适当程度的电隔离。可使用(例如)低压降稳压器将功率提供到器械接口电路198,所述低压降稳压器通过从非隔离工位154驱动的隔离变压器供能。
在一个实施例中,器械接口电路198可包括与信号调节电路202通信的可编程逻辑器件200(如FPGA)。信号调节电路202可能够接收得自可编程逻辑器件200的周期信号(如2kHz方波),以产生具有相同频率的双极性询问信号。可(例如)使用由差动放大器馈送的双极性电流源来产生询问信号。询问信号可被传送到外科装置控制电路(如通过使用将发生器102连接到外科装置的电缆中的导线对)并且可被监测,以确定控制电路的状态或模式。如下文结合图16-32所述,例如,控制电路可包括多个开关、电阻器和/或二极管,以修改询问信号的一个或多个特性(如大小、整流),使得基于所述一个或多个特性可独特地识别控制电路的状态或模式。在一个实施例中,例如,信号调节电路202可包括ADC,所述ADC用于产生出现在控制电路的整个输入端上的电压信号(因询问信号从中穿过而引起)的样本。可编程逻辑器件200(或非隔离工位154的部件)然后可基于ADC样本来确定控制电路的状态或模式。
在一个实施例中,器械接口电路198可包括第一数据电路接口204,所述第一数据电路接口204使得在可编程逻辑器件200(或器械接口电路198的其他元件)和设置在外科装置内或换句话讲与外科装置相关的第一数据电路之间能够进行信息交换。在某些实施例中并且参照图33E-33G,例如,第一数据电路206可设置在一体化附接到外科装置手持件的电缆中或用于接合具有发生器102的专用外科装置类型或模型的适配器中。在某些实施例中,第一数据电路可包括非易失性存储装置,诸如电可擦可编程只读存储器(EEPROM)装置。在某些实施例中并且再次参考图10,第一数据电路接口204可独立于可编程逻辑器件200而实现,并且包括适当的电路(如离散逻辑器件、处理器),以使得在可编程逻辑器件200和第一数据电路之间能够进行通信。在其他实施例中,第一数据电路接口204与可编程逻辑器件200可为一体的。
在某些实施例中,第一数据电路206可储存属于与其相关的具体外科装置的信息。此类信息可包括(例如)型号、序列号、其中已使用外科装置的多个操作和/或任何其他类型的信息。此信息能够由器械接口电路198(如由可编程逻辑器件200)读取、传送到非隔离工位154的部件(如传送到可编程逻辑器件166、处理器174和/或处理器190),以用于通过输出装置147提供给用户和/或用于控制发生器102的功能或操作。另外,能够通过第一数据电路接口204(如使用可编程逻辑器件200)将任何类型的信息传送到第一数据电路206,以用于在其中储存。此类信息可包括(例如)其中已使用外科装置的已更新的操作次数以及/或其使用的日期和/或时间。
如此前所述,外科器械可从手持件拆卸(如器械124可从手持件116拆卸),以提高器械的互换性和/或可任意处置性。在这种情况下,已知发生器的能力可限于识别所用的具体器械构型和由此优化控制和诊断方法。然而,从相容性观点来看,仍然难以将可读数据电路添加到外科装置器械来解决上述情况。例如,由于(例如)不同的信号方案、设计复杂性和成本的缘故,所以,设计与不含必要数据读取功能的发生器保持向后兼容性的外科装置是不切实际的。下文结合图16-32所述的器械的实施例,通过使用如下数据电路解决了这些问题,所述数据电路可在现有外科器械中以经济且设计变更最小的方式实现,以保持外科装置与当前发生器平台的兼容性。
另外,发生器的实施例102可使得能够与基于器械的数据电路(诸如下文结合图16-32和图33A-33C所述的那些)进行通信。例如,发生器102可能够与包含在外科装置的器械(如器械124或134)中的第二数据电路(如图16的数据电路284)通信。器械接口电路198可包括能够进行该通信的第二数据电路接口210。在一个实施例中,第二数据电路接口210可包括三态数字接口,但也可使用其他接口。在某些实施例中,第二数据电路通常可为用于发送和/或接收数据的任何电路。在一个实施例中,例如,第二数据电路可储存属于与其相关的具体外科装置的信息。此类信息可包括(例如)型号、序列号、其中已使用外科器械的多个操作和/或任何其他类型的信息。另外或作为另外一种选择,能够通过第二数据电路接口210(如使用可编程逻辑器件200)将任何类型的信息传送到第二数据电路,以用于在其中储存。此类信息可包括(例如)其中已使用器械的已更新的操作次数以及/或其使用的日期和/或时间。在某些实施例中,第二数据电路可发送由一个或多个传感器(如基于器械的温度传感器)采集的数据。在某些实施例中,第二数据电路可从发生器102接收数据并且基于所接收数据向用户提供指示(如LED指示或其他可见指示)。
在某些实施例中,第二数据电路和第二数据电路接口210可能够使得可实施在可编程逻辑器件200和第二数据电路之间的通信,而无需为此目的提供额外的导线(如将手持件连接到发生器102的电缆的专用导线)。在一个实施例中,例如,可使用实施于现有电缆(诸如用于将询问信号从信号调节电路202发送到手持件中的控制电路的导线中的一个)上的单线总线通信方案,将信息传送到第二数据电路以及从第二数据电路传送信息。这样,使可能另外必要的对外科装置进行的设计变更或修改最小化或减少。此外,如下文结合图16-32和图33A-33C更详细所述,由于可在公用物理通道(具有或没有频带分离)上实施不同类型的通信,第二数据电路的存在对没有必要数据读取功能的发生器而言可能“不可见”,从而使外科装置器械能够具有向后兼容性。
在某些实施例中,隔离工位152可包括连接到驱动信号输出端160b的至少一个阻隔电容器296-1,以阻止DC电流流到患者。单个阻隔电容器可能需要符合(例如)医疗条例或标准。尽管单个电容器设计的失效为相对不常见的,但这种失效可能具有不良后果。在一个实施例中,可提供与阻隔电容器296-1串联的第二阻隔电容器296-2,其中通过(例如)ADC298(用于采样由漏电流引起的电压)来监测从阻隔电容器296-1、296-2之间的点漏出的电流。可(例如)通过可编程逻辑器件200接收样本。基于漏电流的变化(如通过图10的实施例中的电压样本所指出的那样),发生器102可确定何时阻隔电容器296-1、296-2中的至少一个已失效。因此,图10的实施例与具有单个失效点的单个电容器设计相比可提供有益效果。
在某些实施例中,非隔离工位154可包括用于输出合适电压和电流下的DC电的电源211。电源可包括(例如)用于输出48VDC系统电压的400W电源。电源211还可包括一个或多个DC/DC电压转换器213,所述DC/DC电压转换器213用于接收电源的输出,以产生发生器102的各个部件所需的电压和电流下的DC输出。如上文结合控制器196所述,当控制器196检测到用户激活“打开/关闭”输入装置145以启用操作或唤醒DC/DC电压转换器213时,DC/DC电压转换器213中的一个或多个可从控制器196接收输入。
图13示出了发生器102的一个实施例的某些功能和结构方面。指示从电源变压器156的次线圈158输出的电流和电压的反馈分别通过ADC178、180来接收。如图所示,ADC178、180可实施为双通道ADC并且可以高速(如80Msps)采样反馈信号,以使得能够进行驱动信号的过采(如大约200x过采)。在通过ADC178、180处理之前,可在模域中适当调节(如放大、滤波)电流和电压反馈信号。在可编程逻辑器件166的区块212内,可将得自ADC178、180的电流和电压反馈样本单独缓冲,并且随后复用或交叉成单个数据流。在图13的实施例中,可编程逻辑器件166包括FPGA。
能够通过在处理器174的区块214内实施的并行数据采集端口(PDAP)来接收复用的电流和电压反馈样本。PDAP可包括用于实施使复用反馈样本与存储器地址相关联的多种方法中的任何者的组件。在一个实施例中,例如,可将与可编程逻辑器件166输出的特定LUT样本相对应的反馈样本储存在一个或多个存储器地址处,所述存储器地址与LUT样本的LUT地址相关联或利用LUT样本的LUT地址进行索引。在另一个实施例中,可将与可编程逻辑器件166输出的特定LUT样本相对应的反馈样本以及LUT样本的LUT地址储存在公用存储器位置处。在任何情况下,反馈样本都可被储存,使得特定组的反馈样本起源的LUT样本的地址可随后被确定。如上文所述,以此方式使LUT样本地址和反馈样本同步的步骤有助于预失真算法的准确计时和稳定性。在处理器174的区块216处实施的存储器直接存取(DMA)控制器可将反馈样本(以及任何LUT样本地址数据,如果适用)储存在处理器174的指定存储器位置218(如内部RAM)处。
处理器174的区块220可实施预失真算法,所述预失真算法用于动态、持续地预失真或修改储存在可编程逻辑器件166中的LUT样本。如上所述,LUT样本的预失真可补偿存在于发生器102的输出驱动电路中的多种失真源。预失真的LUT样本,在通过驱动电路进行处理时,将因此产生具有所需波形形状(如正弦)的驱动信号,以用于最佳地驱动超声换能器。
在预失真算法的区块222处,确定通过超声换能器的动态支路的电流。可根据(例如)储存在存储器位置218处的电流和电压反馈样本(其在适当定标时可表示上述图9的模型中的Ig和Vg)、超声换能器静态电容C0的值(测定的或先验已知的)和驱动频率的已知值来使用基尔霍夫电流定律确定动态支路电流。可确定与LUT样本相关的每一组储存的电流和电压反馈样本的动态支路电流样本。
在预失真算法的区块224处,将在区块222处确定的每一个动态支路电流样本都与具有所需电流波形形状的样本进行比较,以确定所比较样本之间的差值或样本大小误差。为了该确定过程,可(例如)从波形形状LUT226(包含具有所需电流波形形状的一个周期的大小样本)提供具有所需电流波形形状的样本。得自LUT226的用于该比较的具有所需电流波形形状的特定样本能够通过LUT样本地址指定,所述LUT样本地址与用于该比较的动态支路电流样本相关。因此,区块224的动态支路电流输入可与区块224的相关LUT样本地址输入同步。储存在可编程逻辑器件166中的LUT样本与储存在波形形状LUT226中的LUT样本可因此在数量上相等。在某些实施例中,由储存在波形形状LUT226中的LUT样本表示的所需电流波形形状可为基本正弦波。其他波形形状可为可取的。例如,应当设想到,可使用叠加有一个或多个其他频率下的其他驱动信号(诸如第三级谐波,其用于驱动至少两种机械共振以用于横向或其他模式的有益振动)的基本正弦波来驱动超声换能器的主纵向运动。
可将在区块224处确定的样本大小误差的每一个值连同其相关LUT地址的指示都发送到可编程逻辑器件166的LUT(示于图13中的区块228处)。基于样本大小误差的值及其相关地址(以及可任选地先前接收的同一LUT地址的样本大小误差的值),LUT228(或可编程逻辑器件166的其他控制区块)可预失真或修改储存在该LUT地址处的LUT样本的值,使得样本大小误差减小或最小化。应当理解,在LUT地址的整个范围内以迭代方式对每一个LUT样本都进行这种预失真或修改将使得发生器的输出电流的波形形状匹配或符合由具有波形形状LUT226的样本表示的所需电流波形形状。
可在处理器174的区块230处基于储存在存储器位置218处的电流和电压反馈样本来确定电流和电压大小测量值、功率测量值和电阻测量值。在确定这些数量之前,可将反馈样本进行适当定标,并且在某些实施例中通过合适的滤波器232进行处理,以除去得自(例如)数据采集过程和感应谐波成分的噪声。滤波的电压和电流样本因此可基本上表示发生器的驱动输出信号的基本频率。在某些实施例中,滤波器232可为在频域中应用的有限脉冲响应(FIR)滤波器。此类实施例可使用输出驱动信号电流和电压信号的快速傅里叶变换(FFT)。在某些实施例中,所得的频谱可用于提供附加发生器功能。在一个实施例中,例如,第二和/或第三级谐波成分相对于基本频率成分的比率可用作诊断指示器。
在区块234处,可对表示整数周期的驱动信号的一定样本大小的电流反馈样本应用均方根(RMS)计算,以产生表示驱动信号输出电流的测量值Irms。
在区块236处,可对表示整数周期的驱动信号的一定样本大小的电压反馈样本应用均方根(RMS)计算,以确定表示驱动信号输出电压的测量值rms。
在区块238处,可将电流和电压反馈样本进行逐点相乘,并且可对表示整数周期的驱动信号的样本进行平均计算,以确定发生器的真实输出功率的测量值Pr。
在区块240处,可以乘积Vrms·Irms来确定发生器的表观输出功率的测量值Pa。
在区块242处,可以商Vrms/Irms来确定负载电阻大小的测量值Zm。
在某些实施例中,发生器102可使用在区块234、236、238、240和242处确定的数量Irms、Vrms、Pr、Pa和Zm来实施多个控制和/或诊断过程中的任何者。在某些实施例中,能够通过(例如)与发生器102形成一体的输出装置147或通过合适的通信接口(如USB接口)连接到发生器102的输出装置147,将这些数量中的任何者传送给用户。多种诊断过程可包括(但不限于),例如手持件完整性、器械完整性、器械附接完整性、器械过载、邻近器械过载、频锁失效、过电压、过电流、过功率、电压感测失效、电流感测失效、听觉指示失效、视觉指示失效、短路、功率递送失效、阻隔电容器失效。
处理器174的区块244可实施相位控制算法,以用于确定和控制通过发生器102驱动的电负载(如超声换能器)的电阻相位。如上所述,通过控制驱动信号的频率以使在所确定电阻相位和电阻相位设定点(如0°)之间的差值最小化或减小,可使谐波失真的影响最小化或减小,并增加相位测量的准确性。
相位控制算法接收储存在存储器位置218中的电流和电压反馈样本作为输入。在将反馈样本用于相位控制算法之前,可将反馈样本进行适当定标,并且在某些实施例中,通过合适的滤波器246(可与滤波器232相同)进行处理,以除去得自(例如)数据采集过程和感应谐波成分的噪声。滤波的电压和电流样本因此可基本上表示发生器的驱动输出信号的基本频率。
在相位控制算法的区块248处,确定通过超声换能器的动态支路的电流。该确定过程可与上文结合预失真算法的区块222所述的确定过程相同。对于与LUT样本相关的每一组储存的电流和电压反馈样本,区块248的输出都可因而为动态支路电流样本。
在相位控制算法的区块250处,基于在区块248处确定的动态支路电流样本的同步输入和相应的电压反馈样本来确定电阻相位。在某些实施例中,该电阻相位以在波形的上升沿测定的电阻相位和在波形的下降沿测定的电阻相位的平均值来确定。
在相位控制算法的区块252处,将在区块222处确定的电阻相位值与相位设定点254进行比较,以确定所比较值之间的差值或相位误差。
在相位控制算法的区块256处,基于在区块252处确定的相位误差值和在区块242处确定的电阻值,来确定用于控制驱动信号的频率的频率输出。频率输出值能够通过区块256进行连续调节并且传送到DDS控制区块268(下文所述),以便保持在区块250处确定的在相位设定点(如零相位误差)下的电阻相位。在某些实施例中,电阻相位可调节至0°相位设定点。这样,任何谐波失真的中心都将位于电压波形的波峰附近,从而提高电阻相位测定的准确性。
处理器174的区块258可实施用于调制驱动信号的电流大小的算法,以便根据用户指定的设定点或根据由发生器102实施的其他方法或算法指定的要求来控制驱动信号电流、电压和功率。这些数量的控制能够通过如下方式实现,例如,通过定标LUT228中的LUT样本和/或通过利用DAC186调整DAC168(其为功率放大器162提供输入)的最大定标输出电压。区块260(其在某些实施例中可实施为PID控制器)可从存储器位置218接收输入电流反馈样本(其可进行适当定标和滤波)作为输入。可将电流反馈样本与通过可控变量(如电流、电压或功率)指定的“电流需求”Id值进行比较,以确定驱动信号是否正提供所需的电流。在其中驱动信号电流为控制变量的实施例中,电流需求Id能够由电流设定点262A(Isp)直接指定。例如,可将电流反馈数据(如在区块234中所测定)的RMS值与用户指定的RMS电流设定点Isp进行比较,以确定适当的控制器动作。如果(例如)电流反馈数据指示RMS值小于电流设定点Isp,则能够通过区块260来调整LUT定标和/或DAC168的最大定标输出电压,使得驱动信号电流增加。反之,当电流反馈数据指示RMS值大于电流设定点Isp时,区块260可调整LUT定标和/或DAC168的最大定标输出电压,以降低驱动信号电流。
在其中驱动信号电压为控制变量的实施例中,可(例如)基于在给定负载电阻值Zm(在区块242处测定)的情况下,保持期望电压设定点262B(Vsp)所需的电流来间接地指定电流需要Id(如Id=Vsp/Zm)。相似地,在其中驱动信号功率为控制变量的实施例中,可(例如)基于在给定电压Vrms(在区块236处测定)的情况下,保持期望功率设定点262C(Psp)所需的电流来间接地指定电流需求Id(如Id=Psp/Vrms)。
区块268可实施DDS控制算法,以用于通过调用储存在LUT228中的LUT样本来控制驱动信号。在某些实施例中,DDS控制算法可为数控振荡器(NCO)算法,所述数控振荡器(NCO)算法使用点(存储器位置)跳跃技术产生具有固定时钟频率下的波形的样本。NCO算法可实施相位累加器或频率-相位转换器(用作从LUT228调用LUT样本的地址指示器)。在一个实施例中,相位累加器可为D步长、模数N的相位累加器,其中D为表示频率控制值的正整数,并且N为LUT228中的LUT样本的数量。D=1的频率控制值(例如)可使相位累加器按序地指向LUT228的每个地址,从而导致复制储存在LUT228中的波形的波形输出。当D>1时,相位累加器可跳过LUT228中的某些地址,从而导致具有较高频率的波形输出。因此,能够通过适当地改变频率控制值来控制由DDS控制算法产生的波形的频率。在某些实施例中,可基于在区块244处实施的相位控制算法的输出来确定频率控制值。区块268的输出可提供(DAC)168的输入,该输入继而将相应的模信号提供到功率放大器162的输入端。
处理器174的区块270可实施开关模式转换器控制算法,以用于基于被放大的信号的波形包络来动态地调制功率放大器162的干线电压,由此改善功率放大器162的效率。在某些实施例中,能够通过监测包含在功率放大器162中的一个或多个信号来确定波形包络的特性。在一个实施例中,例如,能够通过监测漏电压(如MOSFET漏电压)的最小值来确定波形包络的特性,所述漏电压是根据放大信号的包络进行调制的。可(例如)通过连接到漏电压的电压最小值检测器来产生最小电压信号。能够通过ADC176来采样最小电压信号,其中在开关模式转换器控制算法的区块272处接收输出最小电压样本。基于最小电压样本的值,区块274能够通过PWM发生器276来控制PWM信号输出,所述PWM发生器276继而通过开关模式调节器170来控制提供到功率放大器162的干线电压。在某些实施例中,只要最小电压样本的值小于输入到区块262中的最低目标278,就可根据通过最小电压样本表征的波形网络来调制干线电压。当最小电压样本指示包络功率水平低时,例如,区块274可引起低干线电压被提供到功率放大器162,其中仅当最小电压样本指示最大包络功率水平时才提供满干线电压。当最小电压样本降至最低目标278之下时,区块274可引起干线电压保持在适于确保功率放大器162的适当操作的最小值。
图33A-33C示出了根据多种实施例的外科装置的控制电路。如上文结合图10所述,控制电路可修改由发生器102发送的询问信号的特性。询问信号的特性(可独特地指示控制电路的状态或模式)能够通过发生器102进行识别并用于控制其操作方面。控制电路可包含在超声外科装置中(如超声外科装置104的手持件116中)或电外科装置中(如电外科装置106的手持件130中)。
参见图33A的实施例,控制电路300-1可连接到发生器102,以从信号调节电路202(如从发生器端子HS和SR(图10)通过电缆112或电缆128的导线对)接收询问信号(如2kHz的双极性询问信号)。控制电路300-1可包括第一支路,所述第一支路包括串联的二极管D1和D2以及与D2并联的开关SW1。控制电路300-1还可包括第二支路,所述第二支路包括串联的二极管D3、D4和D5、与D4并联的开关SW2以及与D5并联的电阻器R1。在某些实施例中并且如图所示,D5可为齐纳二极管。控制电路300-1可另外包括数据存储元件302,所述数据存储元件302与第二支路的一个或多个部件(如D5、R1)一起限定数据电路304。在某些实施例中,数据存储元件302以及可能地数据电路304的其他部件可包含在外科装置的器械(如器械124、器械134)中,其中控制电路300-1的其他部件(如SW1、SW2、D1、D2、D3、D4)包含在手持件(如手持件116、手持件130)中。在某些实施例中,数据存储元件302可为单线总线装置(如单线协议EEPROM)或其他单线协议或局域互连网络(LIN)协议装置。在一个实施例中,例如,数据存储元件302可包括得自MaximIntegratedProducts,Inc.(Sunnyvale,CA)的MaximDS28EC201-WireEEPROM。数据存储元件302为可包含在数据电路304中的电路元件的一个实例。数据电路304可另外或作为另外一种选择包括能够发送或接收数据的一个或多个其他电路元件或部件。这些电路元件或部件可能够(例如)发送由一个或多个传感器(基于器械的温度传感器)采集的数据和/或从发生器102接收数据,并且基于所接收数据向用户提供指示(如LED指示或其他可见指示)。
在操作期间,可将得自信号调节电路202的询问信号(如2kHz的双极性询问信号)施加在控制电路300-1的整个两个支路上。这样,能够通过SW1和SW2的状态独特地确定在整个支路上显现的电压。例如,当SW1打开时,在用于询问信号的负值的整个控制电路300-1上的电压降将为在整个D1和D2上的正向电压降之和。当SW1关闭时,用于询问信号的负值的电压降将仅由D1的正向电压降确定。因此,例如,如果对于D1和D2中的每一个都具有0.7伏的正向电压降,则SW1的打开和关闭状态可分别对应于1.4伏和0.7伏的电压降。同样,在用于询问信号的正值的整个控制电路300-1上的电压降能够由SW2的状态独特地确定。例如,当SW2打开时,在整个控制电路300-1上的电压降将为在整个D3和D4上的正向电压降(如1.4伏)与D5的击穿电压(如3.3伏)之和。当SW2关闭时,在整个控制电路300-1上的电压降将为在整个D3上的正向电压降与D5的击穿电压之和。因此,发生器102可基于显现在控制电路300-1的整个输入端上的询问信号电压(如通过信号调节电路202的ADC测定)来识别SW1和SW2的状态或模式。
在某些实施例中,发生器102可能够通过第二数据电路接口210(图10)和电缆112或电缆128的导线对来与数据电路304并且具体地讲与数据存储元件302通信。用于与数据电路304通信的通信协议的频带可以高于询问信号的频带。在某些实施例中,例如,用于数据存储元件302的通信协议的频率可为(例如)200kHz或显著更高的频率,而用于确定SW1和SW2的不同状态的询问信号的频率可为(例如)2kHz。二极管D5可将提供到数据存储元件302的电压限制到合适的工作范围(如3.3-5V)。
如上文结合图10所述,数据电路304并且具体地讲数据存储元件302可储存涉及与其相关的具体外科器械的信息。此类信息能够由发生器102检索并且包括(例如)型号、序列号、其中已使用外科器械的多个操作和/或任何其他类型的信息。另外,可将任何类型的信息从发生器102传送到数据电路304,以用于储存在数据存储元件302中。此类信息可包括(例如)其中已使用器械的已更新的操作次数以及/或其使用的日期和/或时间。
如上所述,数据电路304可另外或作为另外一种选择包括除数据存储元件302之外的用于发送或接收数据的部件或元件。这些部件或元件可能够(例如)发送由一个或多个传感器(如基于器械的温度传感器)采集的数据和/或从发生器102接收数据,并且基于所接收数据向用户提供指示(如LED指示或其他可见指示)。
控制电路的实施例可包括额外的开关。参照图33B的实施例,例如,控制电路300-2(共计三个开关)可包括具有第一开关SW1和第二开关SW2的第一支路,其中SW1和SW2状态的每一种组合都对应于在整个控制电路300-2上的唯一电压降,以用于询问信号的负值。例如,SW1的打开和关闭状态分别添加或移除D2和D3的正向电压降,并且SW2的打开和关闭状态分别添加或移除D4的正向电压降。在图33C的实施例中,控制电路300-3的第一支路包括三个开关(共计四个开关),其中齐纳二极管D2的击穿电压用于辨别操作SW1导致的电压降变化和操作SW2和SW3导致的电压变化。
图14和图15示出了根据多种实施例的外科装置的控制电路。如上文结合图10所述,控制电路可修改由发生器102发送的询问信号的特性。询问信号的特性(可独特地指示控制电路的状态或模式)能够通过发生器102进行识别并用于控制其操作方面。图14的控制电路280可包含在超声外科装置中(如超声外科装置104的手持件116中),并且图15的控制电路282可包含在电外科装置中(如电外科装置106的手持件130中)。
参见图14,控制电路280可连接到发生器102,以从信号调节电路202(如从发生器端子HS和SR(图10)通过电缆112的导线对)接收询问信号(如2kHz的双极性询问信号)。控制电路280可包括第一开关SW1和第二开关SW2,第一开关SW1与第一二极管D1串联,以限定第一支路,第二开关SW2与第二二极管D2串联,以限定第二支路。第一支路和第二支路可为并联的,使得D2的正向导电方向与D1的正向导电方向相反。询问信号可施加在整个两个支路上。当SW1和SW2均打开时,控制电路280可限定开路。当SW1闭合并且SW2打开时,询问信号可沿第一方向发生半波整流(如询问信号的正半波被阻隔)。当SW1打开并且SW2闭合时,询问信号可沿第二方向发生半波整流(如询问信号的负半波被阻隔)。当SW1和SW2均闭合时,可能不进行整流。因此,基于对应于SW1和SW2的不同状态的询问信号的不同特性,发生器102可根据显现在控制电路280的整个输入端上的电压信号(如通过信号调节电路202的ADC测定)来识别控制电路280的状态或模式。
在某些实施例中并且如图14所示,电缆112可包括数据电路206。数据电路206可包括(例如)非易失性存储装置,例如EEPROM装置。发生器102能够通过第一数据电路接口204与数据电路206交换信息,如上文结合图10所述。此类信息可专用于与电缆112形成一体或能够结合电缆112使用的外科装置,并且可包括(例如)型号、序列号、其中已使用外科装置的多个操作和/或任何其他类型的信息。信息也可从发生器102传送到数据电路206,以用于在其中储存,如上文结合图10所述。在某些实施例中并且参照图33E-33G,数据电路206可设置在用于接合具有发生器102的专用外科装置类型或模型的适配器中。
参见图15,控制电路282可连接到发生器102,以从信号调节电路202(如从发生器端子HS和SR(图10)通过电缆128的导线对)接收询问信号(如2kHz的双极性询问信号)。控制电路282可包括串联的电阻器R2、R3和R4,其中开关SW1和SW2分别连接在整个R2和R4上。询问信号可施加在整个串联电阻器的至少一个上,以在控制电路282上产生电压降。例如,当SW1和SW2均打开时,能够通过R2、R3和R4来确定电压降。当SW1闭合并且SW2打开时,能够通过R3和R4来确定电压降。当SW1打开并且SW2闭合时,能够通过R2和R3来确定电压降。当SW1和SW2均闭合时,能够通过R3来确定电压降。因此,发生器102可基于在整个控制电路282上的电压降(如通过信号调节电路202的ADC测定)来识别控制电路282的状态或模式。
图16示出了超声外科装置(例如超声外科装置104)的控制电路280-1的一个实施例。控制电路280-1,除了包括图14的控制电路280的部件之外,还可包括具有数据存储元件286的数据电路284。在某些实施例中,数据存储元件286以及可能地数据电路284的其他部件可包含在超声外科装置的器械(如器械124)中,其中控制电路280-1的其他部件(如SW1、SW2、D1、D2、D3、D4、C1)包含在手持件(如手持件116)中。在某些实施例中,数据存储元件286可为单线总线装置(如单线协议EEPROM)或其他单线协议或局域互连网络(LIN)协议装置。在一个实施例中,例如,数据存储元件286可包括得自MaximIntegratedProducts,Inc.(Sunnyvale,CA)的MaximDS28EC201-WireEEPROM。
在某些实施例中,发生器102可能够通过第二数据电路接口210(图10)和电缆112的导线对来与数据电路284并且具体地讲与数据存储元件286通信。具体地讲,用于与数据电路284通信的通信协议的频带可高于询问信号的频带。在某些实施例中,例如,用于数据存储元件286的通信协议的频率可为(例如)200kHz或显著更高的频率,而用于确定SW1和SW2的不同状态的询问信号的频率可为(例如)2kHz。因此,数据电路284的电容器C1的值可被选择为使得数据存储元件286对相对低频的询问信号被“隐藏”,同时允许发生器102在较高频率的通信协议下与数据存储元件286通信。串联的二极管D3可保护数据存储元件286以防经受询问信号的负向周期,并且并联的齐纳二极管D4可将提供到数据存储元件286的电压限制到合适的工作范围(如3.3-5V)。当处于正向导电模式时,D4也可使询问信号的负向周期夹接到大地。
如上文结合图10所述,数据电路284并且具体地讲数据存储元件286可储存涉及与其相关的具体外科器械的信息。此类信息能够由发生器102检索并且包括(例如)型号、序列号、其中已使用外科器械的多个操作和/或任何其他类型的信息。另外,可将任何类型的信息从发生器102传送到数据电路284,以用于储存在数据存储元件286中。此类信息可包括(例如)其中已使用器械的已更新的操作次数以及/或其使用的日期和/或时间。此外,由于发生器102和外科装置之间的不同类型的通信可为频带分离的,因此所存在的数据存储元件286对没有必要数据读取功能的发生器而言可能“不可见”,从而使得外科装置能够具有向后兼容性。
在某些实施例中并且如图17所示,数据电路284-1可包括感应器L1,以将数据存储元件286与SW1和SW2的状态隔离开。添加L1可另外使得在电外科装置中能够使用数据电路284-1。图18(例如)示出了结合图15的控制电路282和图17的数据电路284-1的控制电路282-1的一个实施例。
在某些实施例中,数据电路可包括一个或多个开关,以修改通过数据电路接收的询问信号的一个或多个特性(如大小、整流),使得基于所述一个或多个特性可独特地识别一个或多个开关的状态或模式。图19(例如)示出了控制电路282-2的一个实施例,其中数据电路284-2包括与D4并联的开关SW3。可从发生器102(如从图10的信号调节电路202)以如下频率发送询问信号,所述频率足以使询问信号通过C1被数据电路284-2接收,但通过L1与控制电路282-2的其他部分阻隔开。这样,可使用第一询问信号(如25kHz下的双极性询问信号)的一个或多个特性来识别SW3的状态,并且可使用较低频率下的第二询问信号(如2kHz下的双极性询问信号)的一个或多个特性来识别SW1和SW2的状态。尽管所添加的SW3是结合电外科装置中的控制电路282-2示出的,但应当理解,SW3可添加到超声外科装置的控制电路,诸如(例如),图17的控制电路280-2。
另外应当理解,除SW3之外,还可将开关添加到数据电路。如图20和图21所示,例如,数据电路284-3和284-4的实施例可分别包括第二开关SW4。在图20中,可选择齐纳二极管D5和D6的电压值,使得它们的电压值为足够不同,以允许在存在噪声的情况下可靠地分辨询问信号。D5和D6的电压值之和可等于或小于D4的电压值。在某些实施例中,根据D5和D6的电压值,可以从图20所示的数据电路284-3的实施例中移除D4。
在某些情况下,开关(如SW1-SW4)可阻碍发生器102与数据存储元件286通信的能力。在一个实施例中,如果开关的状态使其妨碍发生器102与数据存储元件286之间的通信,则通过说明错误来解决该问题。在另一个实施例中,仅当发生器102确定开关状态不会妨碍通信时,发生器102才可允许与数据存储元件286通信。由于开关的状态在某种程度上可能无法预测,因此发生器102可重复性地进行这种测定。在某些实施例中,添加L1可防止由数据电路外部的开关(如SW1和SW2)引起的干扰。对于包含在数据电路内的开关(如SW3和SW4),能够通过添加电容值显著小于C1的电容器C2(如C2<<C1)来实现利用频带分离的开关隔离。包括C2的数据电路284-5、284-6、284-7的实施例分别示于图22-24中。
在图16-24的实施例的任何者中,根据D4的频率响应特性,可能期望或有必要添加与D4并联且指向同一方向的快速二极管。
图25示出了控制电路280-5的一个实施例,其中使用大小调制的通信协议(如大小调制的1-Wire协议,大小调制的LIN协议)实施发生器102和数据存储元件之间的通信。高频载波(如8MHz或更高)上的通信协议的大小调制显著增加低频询问信号(如2kHz的询问信号)和用于图16-24的实施例中的通信协议的本征“基带”频率之间的频带分离。控制电路280-5可类似于图16的控制电路280-1,其中数据电路288包括附加的电容器C3和电阻器R5,所述电容器C3和电阻器R5与D3相结合来解调由数据存储元件286接收的幅度调制的通信协议。如在图16的实施例中,D3可保护数据存储元件286以防经受询问信号的负向周期,D4可将提供到数据存储元件286的电压限制到合适的工作范围(如3.3-5V)并且当处于正向导电模式时,可将询问信号的负向周期夹接到大地。增加的频率分离可允许C1稍小于图16-24的实施例。另外,载波信号的较高频率也可改善与数据存储元件的通信的噪声抗扰度,因为该频率还远离能够由用于同一手术室环境中的其他外科装置产生的电噪声的频率范围。在某些实施例中,载波的相对较高频率与D4的频率响应特性相结合可能期望或有必要添加与D4并联且指向同一方向的快速二极管。
通过添加感应器L1来阻止对通过数据电路288外部的开关(如SW1和SW2)引起的数据存储元件286通信的干扰,可将数据电路288用于电外科器械的控制电路中,如图26的数据电路288-1的实施例所示。
除C2和R3以及较可能需要使用的D7之外,图25和图26中的实施例类似于图16-24的“基带”实施例。例如,可将开关添加到图19-21的数据电路的方式可直接适用于图25和图26的实施例(包括从图20的调制载波等效形式中除去D4的可能性)。实施于图22-24中的数据电路的调制载波等效形式可仅需要添加与C2串联的适当大小的感应器L2,以便将附加开关(如SW3、SW4)的询问频率与如下中间频带隔离,所述中间频带位于载波频率和数据电路外部的开关的较低询问频率之间。一个这种数据电路282-7的实施例示于图27中。
在图27的实施例中,可解决通过SW1和SW2的状态引起的对发生器与数据存储元件286通信的能力的干扰,如上文结合图19-24的实施例所述。例如,如果开关状态将阻止通信,则发生器102可说明错误,或仅当发生器102确定开关状态将不引起干扰时,发生器102才可允许通信。
在某些实施例中,数据电路可不包括存储信息的数据存储元件286(如EEPROM装置)。图28-32示出了下述控制电路的实施例,所述控制电路使用电阻和/或感应元件来修改询问信号的一个或多个特性(如大小、相位),使得可基于所述一个或多个特性来唯一地识别控制电路的状态或模式。
在图28中,例如,数据电路290可包括识别电阻器R1,其中选择C1的值,使得R1对用于确定SW1和SW2的状态的第一低频询问信号(如2kHz的询问信号)被“隐藏”。通过在控制电路280-6输入端测量得自位于显著较高频带内的第二询问信号的电压和/或电流(如大小,相位),发生器102可利用C1来测量R1的值,以便确定多个识别电阻器中的哪一个包含在器械中。发生器102可使用这种信息来识别器械或器械的具体特性,以使得可最优化控制和诊断方法。能够通过如下方式解决由SW1和SW2的状态引起的对发生器测量R1的能力的任何干扰:如果开关状态将阻止测量,则说明错误,或将第二频率较高的询问信号的电压保持在D1和D2的开启电压之下。也能够通过如下方式来解决这种干扰:添加与开关电路串联的感应器(图29中的L1),以阻截第二频率较高的询问信号,同时通过第一频率较低的询问信号。以此方式添加感应器也可使得能够使用电外科器械的控制电路中的数据电路290,如图30的数据电路290-2的实施例中所示。
在某些实施例中,可使用允许多个频率下的询问的多个电容器C1来对于给定的信噪比或给定组的部件公差而在较多数量的不同R1值之间进行区分。在一个此类实施例中,感应器可设置为与除最低值的C1之外的全部元件串联,以产生用于不同询问频率的特定通带,如图31中的数据电路290-3的实施例所示。
在基于图14的控制电路280的控制电路的实施例中,可在无需频带分离的情况下来测量识别电阻器。图32示出了一个此类实施例,其中R1被选择为具有相对较高的值。
图33D-33I示出了可用于在发生器102和外科装置的手持件之间建立电气连通的多导线的电缆和适配器的实施例。具体地讲,电缆可将发生器驱动信号发送到外科装置,并且使得在发生器102和外科装置的控制电路之间能够进行基于控制的通信。在某些实施例中,电缆可与外科装置一体地形成,或可能够被外科装置的合适连接器组件可拆除地接合。电缆112-1、112-2和112-3(分别为图33E-33G)可能够与超声外科装置(如超声外科装置104)结合使用,并且电缆128-1(图33D)可能够与电外科装置(如电外科装置106)结合使用。电缆中的一个或多个可能够与发生器102直接连接,诸如(例如),电缆112-1。在此类实施例中,电缆可包括数据电路(如数据电路206),所述数据电路用于储存涉及与其相关的具体外科装置的信息(如型号、序列号、其中已使用外科装置的多个操作和/或任何其他类型的信息)。在某些实施例中,电缆中的一个或多个能够通过适配器连接到发生器102。例如,电缆112-2和112-3能够通过第一适配器292(图33I)连接到发生器102,并且电缆128-1能够通过第二适配器294(图33H)连接到发生器102。在此类实施例中,数据电路(如数据电路206)可设置在电缆(如电缆112-2和112-3)中或适配器(如第二适配器294)中。
在多种实施例中,发生器102可与外科装置104、106电隔离,以便防止患者体内的不利和可能有害的电流。例如,如果发生器102和外科装置104、106不是电隔离的,则通过驱动信号提供到装置104、106的电压能够潜在地改变由装置104、106作用的患者组织的电势,并由此导致患者体内的不利电流。应当理解,当使用并非旨在使任何电流通过组织的超声外科装置104时,这种问题更为严重。因此,漏电流的有源降噪的描述的其余是参照超声外科装置104进行描述的。然而,应当理解,本文所述的系统和方法也可适用于电外科装置106。
根据多种实施例,可使用隔离变压器(诸如隔离变压器156),以在发生器102和外科装置104之间提供电隔离。例如,变压器156可在上述非隔离工位154和隔离工位152之间提供隔离。隔离工位154可与外科装置104通信。驱动信号能够通过发生器102(如发生器模块108)提供到隔离变压器156的主线圈164,并且从隔离变压器的次线圈158提供到外科装置104。然而考虑到实际变压器的非理想因素,这种装置可能不提供完全电隔离。例如,实际变压器可在主线圈和次线圈之间具有杂散电容。杂散电容可防止完全电隔离,并且允许存在于主线圈上的电势影响次线圈上的电势。这可导致患者体内的漏电流。
现代行业标准(诸如国际电工技术委员会(IEC)60601-1标准)将可容许的患者漏电流限制为10μA或更小。能够通过在隔离变压器的次线圈和大地(如地球地)之间提供漏电电容器来无源地减少漏电流。漏电电容器可用于稳定通过隔离变压器的杂散电容从非隔离侧连接的患者侧电势的变化并由此减少漏电流。然而,当发生器102提供的驱动信号的电压、电流、功率和/或频率增加时,漏电流也可增加。在多种实施例中,感应的漏电流可增加至超出无源漏电电容器将其保持在10μA和/或其他漏电流标准之下的容量。
因此,多种实施例涉及用于漏电流的有源降噪的系统和方法。图34示出了用于漏电流的有源降噪的电路800的一个实施例。可作为发生器102的一部分或结合发生器102来实施电路800。该电路可包括具有主线圈804和次线圈806的隔离变压器802。可在整个主线圈804上提供驱动信号816,由此在整个次线圈806上产生隔离的驱动信号。除了隔离的驱动信号,隔离变压器802的杂散电容808还可将驱动信号相对于大地818的电势的一些分量连接到患者侧的次线圈806。
漏电电容器810和有源降噪电路812可按如图所示进行提供,并且连接在次线圈806和大地818之间。有源降噪电路812可产生反相驱动信号814,所述反相驱动信号814可与驱动信号816具有约180°的相位差。有源降噪电路812可电连接到漏电电容器810,以将漏电电容器驱动到如下电势,所述电势相对于大地818而言与驱动信号816具有约180°的相位差。因此,患者侧次线圈806上的电荷能够通过漏电电容器810而非通过患者而到达大地818,从而减少漏电流。根据多种实施例,漏电电容器810可被设计为满足足够的行业、政府和/或设计的稳健性标准。例如,漏电电容器810可为符合IEC60384-14标准的Y型电容器,并且/或可包括多个串联的物理电容器。
图35示出了能够通过发生器102实施的用于提供漏电流的有源降噪的电路820的一个实施例。电路820可包括发生器电路824和患者侧电路822。发生器电路824可产生和/或调制驱动信号,如本文所述。例如,在一些实施例中,发生器电路824可以类似于上述非隔离工位154的方式工作。另外,例如,患者侧电路822可以类似于上述隔离工位152的方式工作。
能够通过隔离变压器826在发生器电路824和患者侧电路822之间提供电隔离。隔离变压器826的主线圈828可连接到发生器电路824。例如,发生器电路824可在整个主线圈828上产生驱动信号。可根据任何合适的方法在整个主线圈828上产生驱动信号。例如,根据多种实施例,主线圈828可包括可保持为DC电压(如48伏)的中心分接头829。发生器电路824可包括分别连接到主线圈828的其他端部的输出级825、827。输出级825、827可使得与驱动信号相对应的电流流入主线圈828。例如,当输出级827将其输出电压降到低于中心分接头电压由此使得输出级827从整个主线圈828吸收电流时,可实施驱动信号的正性部分。可在次线圈830中感应相应的电流。同样,当输出级827将其输出电压降到低于中心分接头电压由此使得输出级825从整个主线圈828吸收相反电流时,可实施驱动信号的负性部分。这可在次线圈830中感应相应的、相反的电流。患者侧电路822可对所分离的驱动信号进行多种信号调节和/或其他处理,所述驱动信号能够通过输出线路821、823提供到装置104。
有源降噪变压器832可具有主线圈834和次线圈836。主线圈834可电连接到隔离变压器826的主线圈828,使得在整个线圈834上提供驱动信号。例如,主线圈834可包括两个线圈843、845。第一线圈845的第一端835和第二线圈843的第一端839可电连接到线圈828的中心分接头829。第一线圈845的第二端841可电连接到输出级827,而第二线圈843的第二端837可电连接到输出级825。降噪变压器832的次线圈836可连接到大地818和降噪电容器840的第一电极。降噪电容器840的另一个电极可连接到输出线路823。也可在整个次线圈836上并联地电连接任选的负载电阻器838。
根据多种实施例,有源降噪变压器的次线圈836可卷绕和/或用线连接到其他部件840、838、818,使得其极性与主线圈834的极性相反。例如,可在整个次线圈836上感应反相驱动信号。相对于大地818而言,反相驱动信号与在有源降噪变压器832的整个主线圈834上提供的驱动信号可具有180°的相位差。与负载电阻器838相结合,次线圈836可在降噪电容器840处提供反相驱动信号。因此,因驱动信号而引起出现在患者侧电路822处的泄漏电势的电荷可被吸引到降噪电容器840。这样,电容器840、次线圈836和负载电阻器838可将潜在漏电流扩散到大地818,从而使患者漏电流最小化。
根据多种实施例,可选择组件832、838、840的参数,以使漏电流降噪最大化,并且在多种实施例中减少电磁发射。例如,有源降噪变压器832能够由材料并且根据如下结构制成,所述结构允许其匹配隔离变压器826的频率、温度、湿度和其他特性。可选择有源变压器832的其他参数(如匝数、匝数比等),以在使输出感应电流、电磁(EM)发射最小化与因所施加的外部电压产生的漏电流之间实现平衡。例如,电路820可能够满足IEC60601或其他合适的行业或政府标准。可类似地选择负载电阻器838的值。另外,可选择降噪电容器840的参数(如电容等),以尽可能地匹配产生感应漏电流的杂散电容的特性。
图36示出了能够通过发生器102实施的用于提供漏电流的有源降噪的电路842的替代实施例。电路842可类似于电路820,然而,有源降噪变压器832的次线圈836可电连接到输出线路823。降噪电容器823可串联地连接在次线圈836和大地818之间。电路842可以类似于电路820的方式工作。根据多种实施例,(如当有源降噪变压器832为升压变压器时),可使总工作电压(例如,如IEC60601-1中所限定的)最小化。
图37示出了能够通过发生器102实施的用于提供漏电流的有源降噪的电路844的替代实施例。电路844可省去有源降噪变压器832并且将其替换为隔离变压器826的第二次线圈846。第二次线圈846可连接到输出线路823。降噪电容器840可串联地连接在第二次线圈846和大地之间。第二次线圈可卷绕和/或用线连接成具有与主线圈828和次线圈830相反的极性。因此,当在整个主线圈828上存在驱动信号时,则如上文所述,可在整个次线圈846上存在反相驱动信号。因此,电路844可以类似于上文参照电路820和842所述的方式来消除漏电流。省去有源降噪变压器832(如电路844所示)可降低部件数量、成本和复杂度。
图38示出了能够通过发生器102实施的用于提供漏电流的有源降噪的电路848的另一个实施例。电路848可能够消除因电容连接(如上文所述)以及其他外部效应(诸如(例如)频率特异性效应(如得自电源的60Hz或其他频率噪声)、路径效应、负载效应等)在患者侧电路822中产生的外部电流。取代电连接到大地818,降噪电容器840可连接到校正控制电路851,如电路848中所示。电路851可包括数字信号处理器(DSP)850或其他处理器。DSP850可接收输入858(如通过模-数字转换器)。输入858可为往往指示可引起附加漏电流的外部效应的值。这种输入的实例可为(例如)电源参数、负载数据(例如电阻)、或描述从电路848到装置104的路径的其他值等。基于输入858,DSP85可产生降噪电势,所述降噪电势在提供给降噪电容器840时可消除因外部效应产生的患者侧电流。降噪电势可以数字形式提供给数字-模转换器852,所述数字-模转换器852可将降噪电势的模形式提供给降噪电容器840。因此,在整个降噪电容器840上的电压降可取决于整个第二次线圈846上存在的反相驱动信号以及由电路851的建立的降噪电势。
示出的电路848省去了有源降噪变压器832并且具有电路844构型中的电容器840和第二次线圈846。然而,应当理解,校正控制电路851可用于本文所述的构型(如820、842、844等)中的任何者中。例如,在电路820、842、844中的任何者中,校正控制电路851可被替换成大地818。
图39示出了能够通过发生器102实施的用于提供漏电流的降噪的电路860的实施例。根据电路860,降噪电容器840可连接在隔离变压器826的主线圈828和输出线路823(如公用输出线路)之间。这样,反相驱动信号可出现在整个降噪电容器840上,由此产生与上述那些类似的漏电流降噪效果。
图40示出了能够通过发生器102实施的用于提供漏电流的降噪的电路862的另一个实施例。电路862可类似于电路860,不同的是降噪电容器可连接在输出线路823(如公用输出线路)和两个附加电容器864、866之间。电容器864可连接在降噪电容器840和隔离变压器826的主线圈828之间。电容器866可连接在降噪电容器840和大地818之间。电容器864、866的组合可提供到大地的射频(RF)路径,由此可提高发生器102的RF性能(如通过减少电磁发射)。
外科发生器(诸如示意性地示于图10中的发生器102)(例如)可电连接到多种外科器械。外科器械可包括(例如)基于RF的器械和基于超声的装置两者。图41示出了根据本发明的一个非限制性实施例的插座组件和连接器组件接口900。在一个实施例中,接口900包括插座组件902和连接器组件920。连接器组件920可电连接到电缆921的远端,所述电缆921最终连接到(例如)手持式外科器械。图59示出了根据一个非限制性实施例的外科发生器1050。外科发生器1050可包括外科发生器主体1052,所述外科发生器主体1052通常包括发生器的外壳。外科主体1052可限定用于接收插座组件(诸如图59所示的插座组件1058)的孔口1054。现在参见图41和图59,插座组件902可包括密封件906,所述密封件906通常阻止液体通过孔口1054进入外科发生器1050中。在一个实施例中,密封件906为环氧树脂密封件。
图42为根据一个非限制性实施例的插座组件902的分解侧视图。插座组件902可包括多个部件,诸如磁体212。插座组件902还可包括可排列成大致圆形构造或任何其他合适构造的多个承窝908。图48为根据一个非限制性实施例的承窝908的放大视图。在一个实施例中,承窝908为分叉的并且插座组件902包括九个分叉承窝908,而在其他实施例中可使用更多或更少的承窝。承窝908中的每一个都可限定用于接收导电引脚的内腔910,如下文更详细所述。在一些实施例中,多种承窝908将以不同高度安装在插座组件902内,使得当连接器组件插入到插座组件中时首先接触某些承窝而后接触其他承窝。
图43为根据一个非限制性实施例的连接器组件920的分解侧视图。连接器组件920可包括(例如)连接器组件主体922,所述连接器组件主体922包括插入部分924,所述插入部分924的尺寸被设计为由插座组件902接收,如在下文更详细所述。连接器组件920可包括多个其他部件,诸如铁质引脚926、电路板928和多个导电引脚930。如图54所示,铁质引脚926可为圆柱形的。例如,在其他实施例中,铁质引脚926可为其他形状,诸如矩形。铁质引脚926可为钢、铁、或任何其他的磁性相容材料(被吸引到磁场或可被磁化)。铁质引脚926也可具有肩部927或其他类型的横向延伸特征。现在参见图55,导电引脚930可附连到电路板928或从电路板928延伸。电路板928还可包括装置识别电路,诸如图33E-33G所示的电路。因此,在多种实施例中,电路板928可带有EEPROM、电阻器、或任何其他电子部件。在一些实施例中,电路板928的部分可进行灌封或换句话讲封装,以改善外科装置的无菌性和有助于耐水性。
再次参见图43,连接器组件920还可包括应变减轻构件932。如图56所示,应变减轻构件932通常接纳电缆负载,以防止该负载施加到电路板928和/或承窝908。在一些实施例中,应变减轻构件932可包括有助于组装的对准凹口934。再次参见图43,连接器组件920还可包括连接到连接器组件主体922的防护罩936。图57示出了根据一个非限制性实施例的防护罩936。防护罩936通常可用作相关电缆的弯曲减轻件并且可有助于密封连接器组件920。在一些实施例中,防护罩936可按扣到连接器组件主体922上。对于高压釜应用,防护罩936可为包覆成型部件。在其他实施例中,可使用其他附接技术,诸如粘合剂或旋转焊接。
图44为图41所示的插座组件902的透视图。图45为插座组件902的分解透视图。图46为插座组件902的前正视图。图47为插座组件902的侧正视图。参见图44-47,插座组件902可包括凸缘950。凸缘950可具有内壁952和外壁954。凸缘表面956跨过内壁952和外壁954。内壁952可包括至少一个弯曲部分和至少一个线性部分。凸缘950的内壁952限定具有独特几何形状的腔体960。在一个实施例中,腔体960由约270度的圆和两个线性部分限定,所述两个线性部分相切于所述圆并且相交以形成Θ角。在一个实施例中,Θ角为约90度。在一个实施例中,具有外周边964的中央凸出部分962设置在腔体960中。中央凸出部分962可具有限定凹槽968的中央表面966。磁体912(图42)可设置为紧邻凹槽968。如图所示,承窝908可设置为穿过由中央凸出部分962的中央表面966限定的孔口972。在使用圆形排列的承窝908的实施例中,磁体912可设置在由承窝限定的圆的内部。插座主体904还可限定后凹槽976(图47)。后凹槽976的尺寸可被设计为接纳密封件906。凸缘表面966可倾斜成β角(图47)。如图61所示,外科发生器1050的主体1052的表面也可倾斜成β角。
图49为连接器组件920的透视图,图50为连接器组件920的分解透视图。图51为连接器组件主体922的侧正视图,图52和图53分别示出连接器组件主体922的近端和远端的透视图。现在参见图49-53,连接器组件主体922可具有凸缘980。凸缘980可包括至少一个弯曲部分和至少一个线性部分。
适配器组件1002和1004可包括由连接器组件主体922(图50)包含的基本上类似的部件。例如,适配器组件1002和1004可各自容纳具有装置识别电路的电路板。适配器组件1002和1004也可各自容纳铁质引脚和磁体中的一者,以有助于与外科发生器的连接。凸缘980的外壁982通常可被相似地成型为插座组件902(图46)的内壁952。凸缘980的内壁984可被相似地成型为中央凸出部分962的外周边964。连接器组件主体922还可具有包括多个孔口990的壁988。孔口990的尺寸可被设计为接纳导电引脚930和铁质引脚926。在一个实施例中,铁质引脚926的肩部927的尺寸被设定为使得其不能穿过孔口990。在一些实施例中,铁质引脚926可以能够相对于壁988平移。当组装时,铁质引脚926的肩部927可设置在壁988和电路板928中间。铁质引脚926可被设置为使得其在连接器组件920插入到插座组件902中时遇到磁体912的磁场。在一些实施例中,当铁质引脚926平移到壁988并且碰撞磁体912时,将通过可听的咔嗒声指示适当的连接。应当理解,可在铁质引脚926和磁体912中间设置多种部件,诸如(例如)垫圈,以减小接合部件的偶然磨损。另外,在一些实施例中,磁体912可连接到连接器组件920,并且铁质引脚926可连接到插座组件902。
图58示出了根据多种非限制性实施例的两个适配器组件1002和1004。适配器组件1002和1004允许具有多种几何形状的连接器组件电连接到外科发生器的插座组件。适配器组件1002能够适应具有连接器组件1006的外科器械,并且适配器组件1004能够适应具有连接器组件1008的外科器械。在一个实施例中,连接器组件1006通过电缆1060与基于RF的外科装置相联,并且连接器组件1008通过电缆1062与基于超声的装置相联。应当理解,适配器组件的其他实施例也可适应具有与图58所示的那些不同的连接器组件的外科器械。图59示出了根据一个非限制性实施例的插入到外科发生器1050的插座组件1058中之后的适配器组件1002。图60示出了插入到接适配器组件1002中之后并由此电连接到外科发生器1050的连接器组件1006。类似地,图61示出了根据一个非限制性实施例的插入到外科发生器1050的插座组件1058中之后的适配器组件1004。图62示出了插入到适配器组件1004中之后的连接器组件1008。因此,尽管连接器组件1006和1008各自具有不同的几何形状,但两者均可与外科发生器1050结合使用。
参见图58-62,在一个实施例中,适配器组件1002具有包括凸缘1012的远端部分1010。凸缘1012能够插入到外科器械1050的插座组件1058中并且可类似于(例如)图52所示的凸缘980。可将任何数量的导电引脚或其他连接部件设置在远端部分中,以接合插座组件1058。在一个实施例中,适配器组件1002还具有限定腔体1016的近端部分1014。腔体1016可能够接纳特定的连接器组件,诸如连接器组件1006。应当理解,近端部分1014可基于将与其结合使用的连接器组件的类型进行适当地构造。在一个实施例中,适配器组件1006具有包括凸缘1022的远端部分1020。凸缘1022能够插入到外科器械1050的插座组件1058中并且可类似于(例如)图52所示的凸缘980。适配器组件1004还具有限定腔体1026的近端部分1024。在图示实施例中,中央部分1028设置在腔体1026中并且能够接纳连接器组件1008。
图63示出了根据一个非限制性实施例的发生器1102的后片1100的透视图。发生器1102可(例如)类似于图10所示的发生器102。后片1100可包括多种输入和/或输出端口1104。后片1110还可包括电子纸显示装置1106。电子纸显示装置1106可基于电泳,其中将电磁场施加到导电材料,使得导电材料具有迁移性。将具有导电性的微粒分布在薄型柔性基底之间,并且微粒(或调色剂粒子)的位置因电磁场的极性的改变而改变,由此显示数据。实现电子纸的技术方法可使用任何合适的技术来实施,诸如液晶、有机电致发光(EL)、反射膜反射型显示、电泳、扭转球或机械反射型显示。一般来讲,电泳为如下现象,其中当粒子悬浮于介质(即,分散介质)中时,粒子为带电荷的,并且当将电场施加到带电粒子时,所述粒子通过分散基质移动到具有相反电荷的电极。与电子纸显示装置有关的其他论述可见于名称为ELECTRONICPAPERDISPLAYDEVICE,MANUFACTURINGMETHODANDDRIVINGMETHODTHEREOF(电子纸显示装置、其制备方法和驱动方法)的美国专利号7,751,115,该专利全文以引用方式并入。
图64示出了图63所示的后片1110。图65和图66提供了后片1110的放大视图。参见图64-66,电子纸显示装置1106可显示多个信息,诸如序列号、部件号、专利号、警告标记、端口标识符、指示、供应商信息、服务信息、制造商信息、操作信息或任何其他类型的信息。在一个实施例中,能够通过将计算装置连接到发生器1102的通信端口(如USB端口)来改变或更新显示在电子纸显示装置1106上的信息。
如图66所示,在一些实施例中,后片1100可包括交互部分1108。在一个实施例中,交互部分1108允许用户使用输入装置(诸如按钮1110)将信息输入到发生器1102。交互部分1108还可显示同时显示在发生器1102的前面板(未示出)上的信息。
在使用超声外科装置(诸如超声外科装置104)的外科手术中,端部执行器126将超声能量发送到接触端部执行器126的组织,以实现切割和密封动作。以此方式施加超声能量可引起组织的局部加热。可能需要监测和控制这种加热,以使不期望的组织损害最小化和/或优化切割和密封动作的有效性。超声加热的直接测量需要端部执行器126中或附近的温度感测装置。尽管基于传感器的超声加热测量在技术上是可行的,但设计复杂性和其他考虑因素可使得直接测量不切实际。发生器102的多种实施例能够通过对施加超声能量引起的温度或加热产生估计值来解决该问题。
具体地讲,发生器102的一个实施例可实施人工神经网络,以基于多个输入变量1218来估计超声加热。人工神经网络为基于所经受的已知输入和输出模式来学习输入和输出之间的复杂、非线性关系(该过程通常称为“训练”)的数学模型。人工神经网络可包括连接在一起以执行数据处理任务的简单处理单元或节点的网络。人工神经网络的结构可在一定程度上类似于大脑中的生物神经网络的结构。当为人工神经网络提供输入数据模式时,其产生输出模式。对于特定的处理任务,能够通过提供大量的训练数据来训练人工神经网络。这样,人工神经网络能够通过改变节点间的通信“强度”来改变其结构,以基于训练数据来改善其性能
。图67示出了人工神经网络1200的一个实施例,所述人工神经网络1200用于产生从使用超声外科装置(诸如超声外科装置104)施加超声能量导致的估计温度Test。在某些实施例中,可在发生器102的处理器174和/或可编程逻辑器件166中实施神经网络。神经网络1200可包括输入层1202、限定隐藏层1206的一个或多个节点1204和限定输出层1210的一个或多个节点1208。为清晰起见,仅示出一个隐藏层1206。在某些实施例中,神经网络1200可包括一个或多个级联排列的附加隐藏层,其中每一个附加隐藏层中的节点1204的数量都可等于或不同于隐藏层1206中的节点1204的数量。
层1202、1210中的每一个节点1204、1208都可包括一个或多个权值w1212、偏值b1214和转换函数f1216。在图67中,对这些值和函数使用不同的下标旨在示出这些值和函数中的每一个都可不同于其他值和函数。输入层1202包括一个或多个输入变量p1218,其中隐藏层1206的每一个节点1204都接收输入变量p1218中的至少一个作为输入。如图67所示,例如,每一个节点1204都可接收输入变量p1218中的全部。在其他实施例中,输入变量p1218中的小于全部的量可被节点1204接收。将特定节点1204接收的每一个输入变量p1218都通过相应的权值w1212进行加权,然后加上任何其他以类似方式加权的输入变量p1218和偏值b1214。然后将节点1204的转换函数f1216应用到所得之和,以产生节点的输出。在图67中,例如,节点1204-1的输出可以f1(n1)给出,其中n1=(w1,1·p1+w1,2·p2+…+w1,j·pj)+b1。
输出层1210的特定节点1208可接收得自隐藏层1206的节点1204中的一个或多个的输出(如每一个节点1208都接收得自图67中的相应节点1204-1、1204-2、…、1204-i的输出f1(·)、f2(·)、…、fi(·)),其中将每一个接收的输出都通过相应权值w1212进行加权,并且随后加上任何其他以类似方式加权的所接收输入和偏值b1214。然后将节点1208的转换函数f1216应用到所得之和,以产生节点的输出,该节点的输出对应于神经网络1200的输出(如图67的实施例中的估计温度Test)。尽管图67中的神经网络1200的实施例在输出层1210中包括仅一个节点1208,但在其他实施例中神经网络1200可包括不止一个输出,在这种情况下输出层1210可包括多个节点1208。
在某些实施例中,节点1204、1208的转换函数f1216可为非线性传递函数。在一个实施例中,例如,转换函数f1216中的一个或多个可为S形函数。在其他实施例中,转换函数f1216可包括正切S形函数、双曲正切S形函数、对数S形函数、线性传递函数、饱和线性传递函数、径向基传递函数或一些其他类型的传递函数。特定节点1204、1208的转换函数f1216可与另一个节点1204、1208的转换函数f1216相同或不同。
在某些实施例中,通过隐藏层1206的节点1204所接收的输入变量p1218可表示(例如)已知或据信对温度或加热(因施加超声能量产生)有影响的信号和/或其他数量或状态。这种变量可包括(例如)如下中的一个或多个:通过发生器102输出的驱动电压、通过发生器102输出的驱动电流、发生器输出102的驱动频率、通过发生器102输出的驱动功率、通过发生器102输出的驱动能量、超声换能器114的电阻和施加超声能量的持续时间。另外,输入变量p1218中的一个或多个可与发生器102的输出无关,并且可包括(例如)端部执行器126的特征(如刀头尺寸、几何形状和/或材料)和超声能量目标向的组织的具体类型。
可训练神经网络1200(如通过改变或更改权值w1212、偏值b1214和转换函数f1216),使得其输出(如图67的实施例中的估计温度Test)适当地逼近对于已知值的输入变量p1218测量的相关性输出。能够通过(例如)如下方式完成训练:提供已知组的输入变量p1218,将神经网络1200的输入与对应于已知组的输入变量p1218的测量输出进行比较,并且修改权值w1212、偏值b1214和/或转换函数f1216,直到神经网络1200的输出和相应测量输出之间的误差低于预定误差水平。例如,可训练神经网络1200,直到均方误差低于预定误差阈值。在某些实施例中,能够通过神经网络1200来实施训练过程的某些方面(如通过网络1200后向传播误差以适应性地调整权值w1212和/或偏值b1214)。
图68示出了对于神经网络1200的一个实施例的具体实施而言的在估计温度值Test和测量温度值Tm之间的比较。用于产生图68中的Test的神经网络1200包括六个输入变量p1218:驱动电压、驱动电流、驱动频率、驱动功率、超声换能器的电阻和施加超声能量的持续时间。隐藏层1206包括25个节点,并且输出层1210包括单个节点1208。基于对颈动脉血管施加13次超声能量来产生训练数据。在改变输入变量p1218值的250个样本范围内基于IR测量方法来测定实际温度(Tm),其中基于相应的输入变量p1218的值通过神经网络1200产生估计温度Test。基于从训练数据排除的运行来产生图68所示的数据。在110-190℉的区域内,估计温度Test经证实相当精确地逼近测量温度Tm。据信,出现在某些区域(诸如110℉后的区域)中的估计温度Test的不一致性能够通过实施对这些区域具有特异性的附加神经网络来最小化或减小。另外,可偏移神经网络1200的经训练输出的数据的不一致性可被识别和编程为特殊情况,以进一步改善性能。
在某些实施例中,当估计温度超过用户定义的温度阈值Tth时,发生器102可能够控制超声能量的施加,使得估计温度Test保持为等于或低于温度阈值Tth。例如,在其中驱动电流为神经网络1200的输入变量p1218的实施例中,驱动电流可作为控制变量进行处理和调节,以使Test和Tth之间的差值最小化或减小。可使用反馈控制算法(如PID控制算法)来实施这种实施例,其中Tth输入到控制算法作为设定点,Test输入到算法作为处理变量反馈,并且驱动电流对应于算法的可控输出。在其中驱动电流用作控制变量的情况下,驱动电流值的适当改变应体现在用于训练神经网络1200的输入变量p1218组中。具体地讲,如果训练数据反映出恒定驱动电流值,则可降低作为控制变量的驱动电流的有效性,因为神经网络1200可因驱动电流明显对温度不具有影响而减小与其相关的权值w1212。应当理解,可使用除驱动电流之外的输入变量p1218(如驱动电压)来使Test和Tth之间的差值最小化或减小。
根据多种实施例,发生器102可根据一个或多个功率曲线来将功率提供到组织切口。功率曲线可限定递送到组织的电功率和组织电阻之间的关系。例如,当组织电阻在凝固期间改变(如增加)时,通过发生器102提供的功率也可根据所应用的功率曲线而改变(如降低)。
不同的功率曲线可尤其适用于或不适用于不同类型和/或尺寸的组织切口。强力功率曲线(如,需要高功率水平的功率曲线)可适用于大组织切口。当将力度更强的功率曲线应用到较小的组织切口(诸如小血管)时,可导致外部灼热。外部灼热可降低外部的凝固/焊接质量并且还可抑制组织内部的完全凝固。类似地,当将不太强力的功率曲线应用到较大组织切口(如较大股)时,可能不能实现止血。
图69示出了显示实例功率曲线1306、1308、1310的图表1300的一个实施例。图表1300包括电阻轴1302,所述电阻轴1302示出了从左向右递增的潜在组织电阻。功率轴1304示出了从下向上递增的功率。功率曲线1306、1308、1310中的每一个都可限定沿功率轴1304的一组功率水平,所述功率水平对应于沿电阻轴1302的多个潜在感测的组织电阻。通常,功率曲线可呈现不同的形状,并且示于图69中。功率曲线1306显示具有阶梯式形状,而功率曲线1308、1310显示具有弯曲形状。应当理解,多种实施例所使用的功率曲线可呈现任何可用的连续或非连续形状。功率曲线的功率递送速率或强度能够由其在图表1300上的位置来指示。例如,对于给定组织电阻递送较高功率的功率曲线可视为力度较强。因此,在两个功率曲线之间,设置在沿功率轴1304的最上方的曲线可为力度较强。应当理解,一些功率曲线可交叠。
可根据任何合适的方法来比较两个功率曲线的强度。例如,如果第一功率曲线具有与在潜在组织电阻的范围的至少一半相对应的较高递送功率,则第一功率曲线在给定的潜在组织电阻范围内可视为比第二功率曲线的力度更强。另外,例如,在给定的潜在组织电阻范围内,如果第一曲线下方在该范围内的面积大于第二曲线下方在该范围内的面积,则第一功率曲线可视为比第二功率曲线的力度更强。换句话讲,当功率曲线以离散形式进行表示时,如果第一功率曲线在给定组的潜在组织电阻上的功率值的总和大于第二功率曲线在所述组的潜在组织电阻上的功率值的总和,则第一功率曲线在所述组的潜在组织电阻上可视为比第二功率曲线的力度更强。
根据多种实施例,本文所述的功率曲线移变算法可与任何种类的外科装置(如超声装置104、电外科装置106)结合使用。在使用超声装置104的实施例中,可利用电极157、159来获取组织电阻读数。对于电外科装置,诸如106,可利用第一电极177和第二电极179来获取组织电阻读数。
在一些实施例中,电外科装置104可包括设置在电极177、179中的一个或两个与组织切口之间的正温度系数(PTC)材料。PTC材料在其达到阈值或触发温度(此时,PTC材料的电阻可增加)之前可具有保持相对较低和相对恒定的电阻分布。使用时,PTC材料可设置为接触组织,同时施加功率。PTC材料的触发温度可被选择为使得其对应于指示焊接或凝固完成的组织温度。因此,当焊接或凝固过程完成时,PTC材料的电阻可增加,从而使得实际提供到组织的电功率相应地降低。
应当理解,在凝固或焊接过程期间,组织电阻通常可增加。在一些实施例中,组织电阻可显示电阻的突然增加,从而指示凝固成功。这种增加可因组织中的生理变化、PTC材料达到其触发阈值等而产生,并且可发生在凝固过程中的任何点处。形成电阻突然增加可能需要的能量可与所作用的组织的热量有关。任何给定组织切口的热量又都可与切口中的组织的类型和数量有关。
多种实施例可利用组织电阻的这种突然增加来为给定组织切口选择合适的功率曲线。例如,发生器102可选择并且相继地应用力度较强的功率曲线,直到组织电阻达到指示已产生突然增加的电阻阈值。例如,达到电阻阈值的步骤可指示已利用当前应用的功率曲线适当地进行凝固。电阻阈值可为组织电阻值、组织电阻的变化速率和/或电阻和变化速率的组合。例如,当观察到特定电阻值和/或变化速率时,可达到电阻阈值。根据多种实施例,不同的功率曲线可具有不同的电阻阈值,如本文所述。
图70示出了用于将一个或多个功率曲线应用到组织切口的工艺流程1330的一个实施例。可使用任何合适数量的功率曲线。可按强度顺序相继地应用功率曲线,直到功率曲线中的一个将组织驱动到电阻阈值。在1332处,发生器102可应用第一功率曲线。根据多种实施例,第一功率曲线可被选择为以相对低的速率来递送功率。例如,第一功率曲线可被选择为在具有最小和最易受损的预期组织切口的情况下避免组织灼热。
可将第一功率曲线以任何合适的方式应用到组织。例如,发生器102可产生实施第一功率曲线的驱动信号。能够通过调制驱动信号的功率来实施功率曲线。可以任何合适的方式来调制驱动信号的功率。例如,可调制信号的电压和/或电流。另外,在多种实施例中,驱动信号可为脉动的。例如,发生器102能够通过改变驱动信号的脉冲宽度、占空比等来调制平均功率。驱动信号可提供到电外科装置106的第一电极177和第二电极179。另外,在一些实施例中,可将实施第一功率曲线的驱动信号提供到上述超声装置104的超声发生器114。
当应用第一功率曲线时,发生器102可监测提供到组织的总能量。可在一个或多个能量阈值下,将组织电阻与电阻阈值进行比较。可存在任何合适数量的能量阈值,所述能量阈值可根据任何合适的方法进行选择。例如,能量阈值可被选择为对应于不同组织类型达到电阻阈值的已知点。在1334处,发生器102可确定递送到组织的总能量是否已达到或超过第一能量阈值。如果总能量仍未达到第一能量阈值,则发生器102可继续在1332处应用第一功率曲线。
如果总能量已达到第一能量阈值,则发生器102可确定是否已达到电阻阈值(1336)。如上文所述,电阻阈值可为预定的电阻变化(如增加)速率、预定电阻、或这两者的组合。如果达到电阻阈值,则发生器102可继续在1332处应用第一功率曲线。例如,在第一功率曲线中达到电阻阈值的步骤可表明第一功率曲线的强度足以形成合适的凝固或焊接。
如果在1336处未达到电阻阈值,则发生器102可在1338处递增至下一个力度最强的功率曲线,并且在1332处将该功率曲线用作当前功率曲线。当在1334处达到下一个能量阈值时,发生器102可再次确定在1336处是否已达到电阻阈值。如果未达到,发生器102可再次在1338处递增至下一个力度最强的功率曲线,并且在1332处递送该功率曲线。
工艺流程1330可持续进行直到终止。例如,当在1336处达到电阻阈值时,可终止工艺流程1330。达到电阻阈值时,发生器102可应用当时的功率曲线,直到完成凝固或焊接。另外,例如,当用尽所有可用功率曲线时,工艺流程1330可终止。可使用任何合适数量的功率曲线。如果力度最强的功率曲线不能将组织驱动到电阻阈值,则发生器102可继续应用力度最强的功率曲线,直到以其他方式(如通过临床医生或在达到最终能量阈值时)终止该处理。
根据多种实施例,工艺流程1330可持续进行,直到出现终止阈值。终止阈值可指示已完成凝固和/或焊接。例如,终止阈值可取决于组织电阻、组织温度、组织电容、组织电感、实耗时间等中的一个或多个。这些可能是单一终止阈值,或在多种实施例中,不同的功率曲线可具有不同的终止阈值。根据多种实施例,不同的功率曲线可使用不同的电阻阈值。例如,如果第一功率曲线已不能将组织驱动到第一组织电阻阈值,则工艺流程1330可从第一功率曲线过渡为第二功率曲线,并且如果第二功率曲线已不能将组织驱动到第二电阻阈值,则工艺流程1330可随后从第二功率曲线改变为第三功率曲线。
图71示出了显示可结合工艺流程1330使用的实例功率曲线1382、1384、1386、1388的图表1380的一个实施例。尽管示出了四条功率曲线1382、1384、1386、1388,但应当理解,可使用任何合适数量的功率曲线。功率曲线1382可表示力度最不强的功率曲线,并且可首先应用。如果在第一能量阈值下未达到电阻阈值,则发生器102可提供第二功率曲线1384。可根据需要(例如)以上述方式使用其他功率曲线1386、1388。
如图71所示,功率曲线1382、1384、1386、1388具有不同的形状。然而,应当理解,通过工艺流程1330实施的一组功率曲线中的一些或全部均可具有相同的形状。图72示出了显示可结合图70的工艺流程使用的实例通用形状功率曲线1392、1394、1396、1398的图表的一个实施例。根据多种实施例,通用形状功率曲线(诸如1392、1394、1396、1398)可为彼此的常数倍数。因此,发生器102能够通过将不同倍数应用到单个功率曲线来实施通用形状功率曲线1392、1394、1396、1398。例如,能够通过曲线1392乘以第一常数倍增器来实施曲线1394。能够通过曲线1392乘以第二常数倍增器来产生曲线1396。同样,能够通过曲线1392乘以第三常数倍增器来产生曲线1398。因此,在多种实施例中,发生器102可在1338处通过改变常数倍增器而递增至下一个力度最强的功率曲线。
根据多种实施例,能够通过发生器102的数字装置(如处理器、数字信号处理器、现场可编程门阵列(FPGA)等)来实施工艺流程1330。这种数字装置的实例包括(例如)处理器174、可编程逻辑器件166、处理器190等。图73A-73C示出了如下工艺流程,所述工艺流程描述能够通过发生器102的数字装置执行,以通常实施上述工艺流程1330的程序。图73A示出了用于准备发生器102以作用于新组织切口的程序1340的一个实施例。可在1342处开始新组织切口的启用或启动。在1344处,数字装置可指向第一功率曲线。如上文所述,第一功率曲线可为以工艺流程1330的一部分实施的力度最不强的功率曲线。指向第一功率曲线的步骤可包括指向指示第一功率曲线的确定性公式、指向表示第一功率曲线的查找表、指向第一功率曲线倍增器等。
在1346处,数字装置可使电阻阈值标志复位。如下文所述,设置电阻阈值标志的步骤可指示已达到电阻阈值。因此,重置标志的步骤可指示仍未达到电阻阈值,如在工艺流程1330的开始处可为适当的。在1348处,数字装置可继续进行到下一个例程1350。
图73B示出了能够通过数字装置进行的监测组织电阻的例程1350的一个实施例。在1352处,可测量负载或组织电阻。可根据任何合适的方法和使用任何合适的硬件来测量组织电阻。例如,根据多种实施例,可使用提供到组织的电流和电压并根据欧姆定律来计算组织电阻。在1354处,数字装置可计算电阻变化速率。同样可根据任何合适的方式来计算电阻变化速率。例如,数字装置可保持组织电阻的先前值,并且通过将当前组织电阻值与先前值进行比较来计算变化速率。另外,应当理解,例程1350假定电阻阈值为变化速率。在电阻阈值为数值的实施例中,可省去1354。如果组织电阻的变化速率(或电阻本身)大于阈值(1356),则可设置电阻阈值标志。数字装置可在1360处继续进行到下一个例程。
图73C示出了能够通过数字装置执行的用于将一个或多个功率曲线提供到组织切口的例程1362的一个实施例。在1364处,可将功率递送到组织,例如,如上文参照图70的1334所述。数字装置能够通过如下方式指导功率曲线的递送,例如,通过应用功率曲线以找到用于每一个感测的组织电阻的对应功率、将对应功率调制到提供到第一电极A20和第二电极A22、换能器114等的驱动信号上。
在1366处,数字装置可计算递送到组织的总累积能量。例如,数字装置可监测功率曲线递送的总时间和在每一个时间递送的功率。可从这些值计算出总能量。在1368处,数字装置可确定总能量是否大于或等于下一个能量阈值,例如,这类似于上文参照图70的1334所述的方式。如果未达到下一个能量阈值,则可在1378和1364处继续应用当前功率曲线。
如果在1368处达到下一个能量阈值,则在1370处,数字装置可确定是否设置电阻阈值标志。电阻阈值标志的状态可指示是否已达到电阻阈值。例如,如果已达到电阻阈值,则可能已通过例程1350设置电阻阈值标志。如果未设置电阻标志(如未达到电阻阈值),则数字装置可在1372处确定是否仍需实施任何力度更强的功率曲线。如果需要,则数字装置可在1374处使例程1362指向下一个力度更强的功率曲线。例程1362可根据1364处的新功率曲线继续(1378)递送功率。如果所有可用的功率曲线均已得到应用,则数字装置可在1376处使针对组织操作的其余的累积能量的计算和检查失效。
如果已在1370处设置电阻标志(如已达到电阻阈值),则数字装置可在1376处使针对组织操作的其余的累积能量的计算和检查失效。应当理解,在一些实施例中,累积能量计算可继续进行,而1370、1372、1374和1376可中断。例如,当累积能量达到预定值时,发生器102和/或数字装置可实施自动关闭。
图74示出了用于将一个或多个功率曲线应用到组织切口的工艺流程1400的一个实施例。例如,能够通过发生器102(如发生器102的数字装置)来实施工艺流程1400。在1402处,发生器102可将功率曲线递送到组织。能够通过将倍增器应用到第一功率曲线来获得功率曲线。在1404处,发生器102可确定是否已达到电阻阈值。如果仍未达到电阻阈值,则发生器102可随总施加能量的变化来增加倍增器。这可具有增加所施加功率曲线的强度的作用。应当理解,可周期性或连续地增加倍增器。例如,发生器102可以预定的周期性间隔来检查电阻阈值(1404)并增加倍增器(1406)。在多种实施例中,发生器102可连续地检查电阻阈值(1404)并增加倍增器(1406)。随总施加能量的变化来增加倍增器的步骤可以任何合适的方式来实现。例如,发生器102可应用确定性公式,所述确定性公式接受总接收能量作为输入,并且提供相应的倍增器值作为输出。另外,例如,发生器102可储存查找表,所述查找表包括用于总施加能量的潜在值和相应倍增器值的表。根据多种实施例,发生器102可将脉动驱动信号提供到组织(如通过外科装置104、106中的一者)。根据多种实施例,当达到电阻阈值时,倍增器可保持恒定。发生器102可继续施加功率,例如,直到达到终止阈值。终止阈值可为常数或可取决于倍增器的最终值。
在使用脉动驱动信号的一些实施例中,发生器102可将一个或多个复合负载曲线施加到驱动信号,并最终施加到组织。与本文所述的其他功率曲线相似的复合负载曲线可随所测量组织特性(如电阻)的变化来限定有待递送到组织的电功率水平。复合负载曲线可(另外)根据所测量的组织特性来限定脉冲特性,诸如脉冲宽度。
图75示出了描述通过发生器102选择和施加复合负载曲线的框图1450的一个实施例。应当理解,可利用任何合适类型的发生器或外科装置来实施框图1450。根据多种实施例,可使用电外科装置(诸如上文参照图4-7所述的装置106)来实施框图1450。另外,在多种实施例中,可使用超声外科装置(诸如上文参照图2-3所述的外科装置104)来实施框图1450。在一些实施例中,框图1450可与具有切割以及凝固能力的外科装置结合使用。例如,RF外科装置(诸如装置106)可包括用于在凝固之前或期间切断组织的刀刃,诸如刀片175。
重新参见图75,能够通过(例如)发生器102的数字装置来执行算法1452,以选择和应用复合负载曲线1456、1458、1460、1462。算法1452可接收得自时钟1454的时间输入,并且还可接收得自传感器1468的回路输入1472。回路输入1472可表示可用于算法1452中以选择和/或施加复合负载曲线的组织性质或特性。这种特性的实例可包括(例如)电流、电压、温度、反射性、施加到组织的力、共振频率、共振频率的变化速率等。传感器1468可为专用传感器(如温度计、压力传感器等)或可为软件实施的传感器,所述软件实施的传感器基于其他系统值来获得组织特性(如基于驱动信号来观察和/或计算电压、电流、组织温度等)。算法1452可(例如)基于回路输入1472和/或得自时钟1454的时间输入来选择复合负载曲线1456、1458、1460、1462中的一者进行应用。尽管示出了四条复合负载曲线,但应当理解,可使用任何合适数量的复合负载曲线。
算法1452可以任何合适的方式应用所选复合负载曲线。例如,算法1452可使用所选复合负载曲线来基于组织电阻(如当前测定的组织电阻可为回路输入的一部分或可获得回路输入)计算功率水平和一个或多个脉冲特性、或超声装置104的共振频率特性。可根据复合负载曲线并基于组织电阻确定的脉冲特性的实例可包括脉冲宽度、斜坡时间和休止时间。
在设置点1464处,可将获得的功率和脉冲特性应用到驱动信号。在多种实施例中,可实施反馈回路1474,以允许更精确地调制驱动信号。在设置点1464的输出端处,可将驱动信号提供到放大器1466,所述放大器1466可提供合适的放大率。可将放大的驱动信号提供到负载1470(如通过传感器1468)。负载1470可包括组织、外科装置104、106和/或将发生器102与外科装置104、106电连接的任何电缆(如电缆112、128)。
图76示出了如下工艺流程,所述工艺流程示出了如通过发生器102(如通过发生器102的数字装置)实施的算法1452的一个实施例。可在1476处激活算法1452。应当理解,可以任何合适的方式激活算法1452。例如,能够由临床医生在启用外科装置104、106时(如通过拉引或换句话讲致动钳口闭合扳机138、142、开关、手柄等)激活算法1452。
根据多种实施例,算法1452可包括多个区域1478、1480、1482、1484。每一个区域都可表示组织切口的切割和凝固的不同阶段。例如,在第一区域1478中,发生器102可进行初始组织条件(如电阻)的分析。在第二区域1480中,发生器102可将能量施加到组织,以便将组织准备用于切割。在第三或切割区域1482中,发生器102可继续施加能量同时外科装置104、106切割组织(如对于电外科装置106,能够通过推进刀片A18来进行切割)。在第四或完成区域1484中,发生器102可施加切割后能量,以完成凝固。
现在参见第一区域1478,发生器102可测量任何合适的组织条件,包括(例如)电流、电压、温度、反射性、施加到组织的力等。在多种实施例中,可根据任何合适的方式来测量组织的初始电阻。例如,发生器102可调制驱动信号,以向组织提供已知电压或电流。电阻可得自已知电压和测量电流,反之亦然。应当理解,作为另外一种选择或除此之外,可以任何其他合适的方式来测量组织电阻。根据算法1452,发生器102可从第一区域1478进行到第二区域1480。在多种实施例中,临床医生可(例如)通过关闭发生器102和/或外科装置104、106而在第一区域1478中结束算法1452。如果临床医生终止算法1542,则另外可在1486处终止RF(和/或超声)递送。
在第二区域1480中,发生器102可开始通过驱动信号将能量施加到组织,以将组织准备用于切割。可根据复合负载曲线1456、1458、1460、1462来施加能量,如下文所述。根据第二区域1480施加能量可包括根据复合负载曲线1456、1458、1460、1462中的一些或全部将脉冲调制到驱动信号上。在多种实施例中,可按照强度顺序来相继地应用复合负载曲线1456、1458、1460、1462(如以适应夹持在器械钳口中的多种类型的组织体积)。
可首先应用第一复合负载曲线1456。发生器102能够通过将一个或多个第一复合负载曲线脉冲调制到驱动信号上来应用第一复合负载曲线1456。每一个第一复合负载曲线脉冲都可具有根据第一复合负载曲线确定的并且考虑所测量组织电阻的功率和脉冲特性。用于第一脉冲的所测量电阻可为在第一区域1478处测量的电阻。在多种实施例中,发生器102可使用第一复合负载曲线脉冲中的全部或一部分来进行组织电阻或共振频率的附加测量。可使用该附加测量来确定后续脉冲的功率和其他脉冲特性。
图77示出了用于产生第一复合负载曲线脉冲的工艺流程1488的一个实施例。能够通过发生器102(如通过发生器102的数字装置)来执行工艺流程1488,例如,作为算法1452的一部分。在1490处,发生器102可计算脉冲宽度(Tpw)。可考虑最近的测量组织电阻(Z)并且根据第一复合负载曲线1456来确定脉冲宽度。
在1492处,发生器102可在斜坡时间(tramp)内将驱动信号的功率斜坡上升到高达脉冲功率(PLimit),由此将脉冲施加到组织。可再次考虑最近的测量组织电阻(Z)并且根据第一复合负载曲线1456来确定脉冲功率。斜坡时间可根据考虑组织电阻的复合负载曲线来确定或可为恒定的(如对于所有的第一复合负载曲线脉冲而言为恒定的、对于所有脉冲而言为恒定的等)。发生器102可以任何合适的方式(包括,例如调制通过驱动信号提供的电流和/或电压)将脉冲功率施加到驱动信号。根据多种实施例,驱动信号可为交流电(A/C)信号,并且因此脉冲本身可包括多个周期的驱动信号。
在1494处,可针对脉冲宽度将驱动信号保持在脉冲功率。在脉冲结束时,在1496处,驱动信号可在下降时间(Tfall)内倾斜下降。下降时间可根据考虑组织电阻的第一复合负载曲线来确定或可为恒定的(如对于所有的第一复合负载曲线脉冲而言为恒定的、对于所有脉冲而言为恒定的等)。应当理解,根据实施例,斜坡时间和下降时间可视为或可不视为脉冲宽度的一部分。在1498处,发生器102可暂停休止时间(Toff)。与斜坡时间和下降时间相似,休止时间可根据考虑组织电阻的第一复合负载曲线来确定或可为恒定的(如对于所有的第一复合负载曲线脉冲而言为恒定的、对于所有脉冲而言为恒定的等)。
在休止时间完成时,只要是应用了第一复合负载曲线1456,发生器102就可重复工艺流程1488。根据多种实施例,发生器102可将第一复合负载曲线1456应用预定的时间量。因此,可重复工艺流程1488,直到预定的时间量已流逝(如基于从时钟1454接收的时间输入来确定)。另外,在多种实施例中,可将第一复合负载曲线应用预定的脉冲数。由于所应用脉冲宽度根据所测组织电阻而改变,因此第一复合负载曲线的所应用总时间也可随所测组织电阻而改变。根据多种实施例,第一复合负载曲线1456(以及其他复合负载曲线1458、1460、1462)可规定当组织电阻增加时降低脉冲宽度的步骤。因此,较高的初始电阻可导致在第一复合负载曲线中花费较少的时间。
在完成第一复合负载曲线1456时,发生器102可在第二区域1480的整个施加过程中相继地应用其余强化负载曲线1458、1460、1462。可以类似于上述负载曲线1456的方式来应用每一条负载曲线1458、1460、1462。例如,可产生根据当前负载曲线的脉冲,直到该负载曲线完成(如预定的时间量或预定的脉冲数终止)。对于每一条复合负载曲线1456、1458、1460、1462而言,预定的脉冲数都可为相同的或可为不同的。根据多种实施例,可以类似于工艺流程1488的方式产生根据负载曲线1458、1460、1462的脉冲,不同的是可根据当前复合负载曲线获得脉冲功率、脉冲宽度以及一些实施例中的斜坡时间、下降时间和休止时间。
可在发生多个事件时终止第二区域1480。例如,如果总RF施加时间已超过超时时间,则发生器102可在1486处通过终止RF(和/或超声)递送来结束组织工作。另外,多个事件可使发生器102从第二区域1480过渡到第三区域1482。例如,当组织电阻(Z)超过阈值组织电阻(Zterm)并且RF能量已递送至少超过最少时间(Tstart)时,发生器102可过渡到第三区域1482。阈值组织电阻可为指示组织切口得以充分准备以便通过刀片175进行切割的电阻和/或电阻变化速率。
根据多种实施例,如果在第二区域1480完成之前,最终负载曲线1462在第二区域1480中结束,则可继续应用最终功率曲线1462,例如,直到达到组织电阻阈值、达到最大第二区域时间和/或达到超时时间。另外,应当理解,对于一些组织切口而言,第二区域1480可在执行所有可用的强化负载曲线1456、1458、1460、1462之前来完成。
在第三区域1482处,发生器102可继续将脉冲调制到驱动信号上。一般来讲,可根据任何合适的方式(包括例如上文参照工艺流程1488所述的方式)将第三区域脉冲调制到驱动信号上。第三区域脉冲的功率和脉冲特性可根据任何合适的方式来确定,并且在多种实施例中,可基于在第二区域1480完成时执行的复合负载曲线(当前负载曲线)来确定。根据多种实施例,可使用当前负载曲线来确定第三区域脉冲的脉冲功率,但无论复合负载曲线如何,脉冲特性(如脉冲宽度、斜坡时间、下降时间、休止时间等)都可以为常数。在一些实施例中,第三区域1482可使用第三区域特异性复合负载曲线,所述第三区域特异性复合负载曲线可为用于第二区域1480中的负载曲线1456、1458、1460、1462中的一条、或可为不同的复合负载曲线(未示出)。
发生器102可继续执行第三区域1482,直到接收到组织切割完成的指示。在使用具有刀片(诸如175)的外科工具的实施例中,当刀片175到达其最远端位置时(如图6所示),可接收到所述指示。这可使指示刀片175已到达其推进端的闸刀限位传感器(未示出)脱扣。在接收到组织切割完成的指示时,发生器102可继续进行到第四区域1484。另外应当理解,在一些实施例中,(例如)如果已达到超时时间,则发生器102可从第三区域1482直接过渡到1486处的RF(和/或超声)终止端。
在第四区域1484中,发生器102可提供如下能量分布,所述能量分布被设计为完成目前切口组织的凝固。例如,根据多种实施例,发生器102可提供预定的脉冲数。可以类似于上文参照工艺流程1488所述的方式来提供脉冲。可根据任何合适的方式来确定脉冲的功率和脉冲特性。例如,可基于当前复合负载区域、第三区域特异性负载曲线、或第四区域特异性复合负载曲线来确定第四区域脉冲的功率和脉冲特性。在一些实施例中,可基于当前复合负载曲线来确定的电功率,而脉冲特性可为第四区域特异性的。另外,根据多种实施例,可独立于当前复合负载曲线来确定第四区域脉冲的功率和脉冲特性。
图78示出了脉冲计时图1474的一个实施例,所述脉冲计时图1474示出了算法1452通过发生器102(如通过发生器102的数字装置)的实例应用。第一区域脉冲1502示为位于第一区域1478中。如本文所述,第一区域脉冲1502可用于测量初始组织电阻。在第一区域脉冲(1509)完成时,第二区域1480可开始于所施加的第二区域脉冲1504。可根据各个复合负载曲线1456、1458、1460、1462来施加第二区域脉冲1504,例如,如本文所述。在实例图表1474中,第二区域1480在1510处结束,此时组织达到阈值电阻(Zterm)。然后如上文所述,利用所施加的第三区域脉冲1506来实施第三区域1482,直到在1512处接收到闸刀限位信号。此时,第四区域1484可以施加的第四区域脉冲1508开始,如上文所述,直到在1514处完成循环。
根据多种实施例,发生器102可实施结合算法1452的用户界面。例如,用户界面可指示算法的当前区域。可在视觉上和/或在听觉上来实施用户界面。例如,发生器102可包括用于产生可听音或其他听觉指示的扬声器。至少一个听觉指示可对应第二区域1480。第三区域1482和第四区域1484也可具有区域特异性听觉指示。根据多种实施例,第一区域1478也可具有区域特异性听觉指示。根据多种实施例,听觉指示可包括通过发生器102产生的脉冲音。声音的频率和/或声音的音调本身可指示当前区域。除听觉指示之外或取代听觉指示,发生器102也可提供当前区域的视觉指示(如在输出装置147上)。应当理解,临床医生可利用所述用户界面来适当地使用发生器102和相关外科装置104、106。例如,第二区域1480的指示可让临床医生知道组织处理已开始。第三区域1482的指示可让临床医生知道组织已准备用于切割操作。第四区域1484的指示可让临床医生知道切割操作完成。指示和/或最终指示的停止可表明总切割/凝固操作完成。
图79示出了根据实例负载曲线1520的驱动信号电压、电流和功率的图形表示。在图表1520中,驱动信号电压由线条1522表示,驱动信号电流由线条1524表示,并且驱动信号功率由线条1526表示。脉冲宽度未示于图79中。在多种实施例中,由图表1520指出的电压1522、电流1524和功率1526的值可表示单个脉冲内的潜在值。因此,能够通过添加如下曲线(未示出)将负载曲线1520表示为复合负载曲线,所述曲线指示随组织电阻或另一个组织条件变化的脉冲宽度。如针对负载曲线1520所示,最大电压1522为100伏均方根(RMS)电压,最大电流为3安RMS电流,并且最大功率为135瓦RMS功率。
图79-84示出了多种实例复合负载曲线1530、1532、1534、1536、1538、1540的图形表示。复合负载曲线1530、1532、1534、1536、1538、1540中的每一条都可指示基于所测量组织电阻的脉冲功率和脉冲宽度。复合负载曲线1530、1532、1534、1536可单独地或作为连续较强力复合负载曲线的模式的一部分来进行实施,如上文参照算法1452所述。
图80示出了第一实例复合负载曲线1530的图形表示。复合负载曲线1530的最大RMS脉冲功率可以为45瓦,最大脉冲宽度可以为0.35秒。在图80中,通过1542指示出随组织电阻变化的功率,同时通过1544指示出随组织电阻变化的脉冲宽度。下表1示出了对于组织电阻为0Ω至475Ω而言的复合负载曲线1530的值。
表1
在多种实施例中,复合负载曲线1530可适用于较小的外科装置和/或较小的组织切口。
图81示出了第二实例复合负载曲线1532的图形表示。复合负载曲线1532的最大RMS脉冲功率可以为45瓦,最大脉冲宽度可以为0.5秒。在图81中,通过1546指示出随组织电阻变化的功率,同时通过1548指示出随组织电阻变化的脉冲宽度。下表2示出了对于组织电阻为0Ω至475Ω而言的复合负载曲线1532的值。
表2
复合负载曲线1532可作用于小的单个血管组织切口,并且根据多种实施例可为应用于区域二1480中的第一复合功率曲线。
图82示出了第三实例复合负载曲线1534的图形表示。复合负载曲线1534的最大RMS脉冲功率可以为60瓦,最大脉冲宽度可以为2秒。在图82中,通过1550指示出随组织电阻变化的功率,同时通过1552指示出随组织电阻变化的脉冲宽度。下表3示出了对于组织电阻为0Ω至475Ω而言的复合负载曲线1534的值。
表3
复合负载曲线1534因其通常较高的功率而比先前曲线1532的力度更强。复合负载曲线1534另外与先前曲线1532相比可初始具有较高的脉冲宽度,但复合负载曲线1534的脉冲宽度可在仅150Ω。处开始下降。根据多种实施例,复合负载曲线1536可用于算法1542中,作为在复合负载曲线1532之后相继实施的负载曲线。
图83示出了第四实例复合负载曲线1536的图形表示。复合负载曲线1536的最大RMS脉冲功率可以为90瓦,最大脉冲宽度可以为2秒。在图83中,通过1554指示出随组织电阻变化的功率,同时通过1556指示出随组织电阻变化的脉冲宽度。下表4示出了对于组织电阻为0Ω至475Ω而言的复合负载曲线1536的值。
表4
复合负载曲线1536可又比先前曲线1534的力度更强,并且因此可在算法1452中在曲线1534之后进行实施。另外,根据多种实施例,复合负载曲线1536可适用于较大的组织束。
图84示出了第五实例复合负载曲线1538的图形表示。复合负载曲线1538的最大RMS脉冲功率可以为135瓦,最大脉冲宽度可以为2秒。在图84中,通过1558指示出随组织电阻变化的功率,同时通过1560指示出随组织电阻变化的脉冲宽度。下表5示出了对于组织电阻为0Ω至475Ω而言的复合负载曲线1538的值。
表5
可在算法1452中在先前曲线1536之后相继地使用复合负载曲线1538。
图85示出了第六实例复合负载曲线1540的图形表示。复合负载曲线1540的最大RMS脉冲功率可以为90瓦,最大脉冲宽度可以为2秒。在图85中,通过1562指示出随组织电阻变化的功率,同时通过1564指示出随组织电阻变化的脉冲宽度。下表6示出了对于组织电阻为0Ω至475Ω而言的复合负载曲线1540的值。
表6
复合功率曲线1540不如先前功率曲线1538的力度强。根据多种实施例,可在算法1452中在曲线1538之后相继地实施复合功率曲线1540。另外,在一些实施例中,复合功率曲线1540可在算法1452中实施为第三或第四区域特异性复合功率曲线。
如上文所述,用于算法1452中的各个复合功率曲线可各自针对预定的脉冲数进行实施。下表7示出了对于在算法1452中相继地使用功率曲线1532、1534、1536、1540的实例实施例而言每个复合功率曲线的脉冲数。
表7
最后的复合功率曲线1540显示不具有相应的脉冲数。例如,可实施复合功率曲线1540直到临床医生终止操作、直到达到超时时间、直到达到阈值组织电阻等。
根据多种实施例,发生器102可以如下方式将功率提供到组织切口,所述方式产生其他组织参数的所需值。图86示出了描述应用算法1572以用于保持恒定的组织电阻变化速率的框图1570的一个实施例。能够通过发生器102(如通过发生器102的数字装置)来实施算法1572。例如,发生器102可利用算法1572来调制驱动信号。传感器1574可感测组织条件,诸如组织电阻和/或组织电阻的变化速率。传感器1574可为硬件传感器,或在多种实施例中可为软件实施的传感器。例如,传感器1574可基于所测量的驱动信号电流和电压来计算组织电阻。能够通过发生器102将驱动信号提供到电缆/工具/负载1576,所述电缆/工具/负载1576可为组织、外科装置104、106和将发生器102电连接到装置104、106的电缆112、128的电气组合。
发生器102通过实施算法1572,可监测组织或负载的电阻,包括(例如)电阻的变化速率。发生器102可调制通过驱动信号提供的电压、电流和/或功率中的一者或多者,以保持预定常数值下的组织电阻变化速率。另外,根据多种实施例,发生器102可将组织电阻变化速率保持为高于最小的电阻变化速率。
应当理解,可结合本文所述的多种其他算法来实施算法1572。例如,根据多种实施例,发生器102可将组织电阻相继地调制为不同的、强度递增的速率,这类似于本文参照本文图70所述的方法1330。例如,可保持第一电阻变化速率,直到递送到组织的总能量超过预定的能量阈值。在能量阈值下,如果组织条件仍未达到预定水平(如预定的组织电阻),则发生器102可利用驱动信号将组织驱动到第二较高的电阻变化速率。另外,在多种实施例中,可以类似于上文参照复合负载曲线所述的方式来使用组织电阻变化速率。例如,取代使用多个复合负载曲线,图75的算法1452可能需要应用多个组织电阻变化速率。可将每一个组织电阻变化速率都保持预定的时间量和/或预定的脉冲数。所述速率可为按照数值顺序而相继施加的(如速率可相继地增加)。然而,在一些实施例中,组织电阻变化的驱动速率可达到峰值并且随后降低。
虽然本文已结合某些公开的实施例对所述装置的多种实施例作了描述,但也可以实施这些实施例的许多修改形式和变型形式。例如,可以采用不同类型的端部执行器。另外,凡是公开了用于某些元件的材料的,均可使用其它材料。上述具体实施方式和下述权利要求旨在涵盖所有这样的修改形式和变型形式。
以引用方式全文或部分地并入本文的任何专利、公布或其它公开材料都仅在所并入的材料不与本发明所述的现有定义、陈述或其它公开材料相冲突的范围内并入本文。同样地并且在必要的程度下,本文明确阐述的公开内容取代了以引用方式并入本文的任何冲突材料。如果任何材料或其部分据述以引用方式并入本文,但与本文所述的现有定义、陈述或其它公开材料相冲突,那么仅在所并入的材料和现有公开材料之间不产生冲突的程度下才将其并入本文。
Claims (26)
1.一种将驱动信号传送到外科装置的发生器,所述发生器包括:
功率放大器,所述功率放大器用于接收时变驱动信号波形,所述驱动信号波形通过多个驱动信号波形样本的至少一部分的数字-模转换产生,所述功率放大器的输出用于产生驱动信号,所述驱动信号包括第一驱动信号和第二驱动信号之一,所述第一驱动信号有待传送到超声外科装置,所述第二驱动信号有待传送到电外科装置;
采样电路,在将所述驱动信号传送到所述外科装置时,所述采样电路用于产生所述驱动信号的电流和电压的样本,所述样本的产生与所述驱动信号波形样本的所述数字-模转换同步,使得对于驱动信号波形样本的每一次数字-模转换而言,所述采样电路均产生对应组的电流和电压样本;
至少一个装置,对于每一个驱动信号波形样本和对应组的电流和电压样本,所述至少一个装置都被编程为:
将所述电流和电压样本储存在所述至少一个装置的存储器中,以使所述储存的样本和所述驱动信号波形样本相关联;
当所述驱动信号包括所述第一驱动信号时:
根据所述储存的电流和电压样本,确定所述超声外科装置的动态支路电流样本;
将所述动态支路电流样本与目标样本进行比较,所述目标样本选自限定目标波形的多个目标样本,并且根据所述驱动信号波形样本加以选择;
确定所述目标样本和所述动态支路电流样本之间的大小误差;以及
修改所述驱动信号波形样本,使得在所述目标样本和后续动态支路电流样本之间确定的大小误差减小,所述后续动态支路电流样本取决于与所述修改的驱动信号波形样本相关的电流和电压样本。
2.根据权利要求1所述的发生器,包括电源变压器,所述电源变压器用于根据所述功率放大器输出来产生所述驱动信号,所述第一驱动信号有待通过第一电源变压器输出端传送到所述超声外科装置,所述第二驱动信号有待通过第二电源变压器输出端传送到所述电外科装置。
3.根据权利要求1所述的发生器,其中所述多个驱动信号波形样本储存在查找表(LUT)中,并且其中所述至少一个装置被编程为从所述查找表中选择性地调用所述多个驱动信号波形样本的所述至少一部分,所述多个驱动信号波形样本的所述至少一部分用于产生所述驱动信号波形。
4.根据权利要求3所述的发生器,其中所述至少一个装置被编程为实施直接数字合成(DDS)算法,以选择性地调用所述多个驱动信号波形样本的所述至少一部分,所述多个驱动信号波形样本的所述至少一部分用于产生所述驱动信号波形。
5.根据权利要求3所述的发生器,其中所述至少一个装置被编程为:
当所述驱动信号包括所述第一驱动信号时:
根据多个动态支路电流样本和对应于所述多个动态支路电流样本的多个电压样本,确定所述超声外科器械的电阻相位;以及
控制所述驱动信号波形的频率,以将所述电阻相位调节到0度电阻相位设定点。
6.根据权利要求3所述的发生器,其中所述至少一个装置被编程为:
根据驱动信号电流设定点、驱动信号电压设定点和驱动信号功率设定点中的至少一个来控制所述驱动信号电流的大小,其中所述驱动信号电流的所述大小通过下述方式中的至少一种来控制:
控制储存在所述查找表中的所述驱动信号波形样本的定标;以及
控制数字-模转换器(DAC)的最大定标输出电压,所述数字-模转换器(DAC)用于执行所述多个驱动信号波形样本的所述至少一部分的所述数字-模转换。
7.根据权利要求1所述的发生器,其中所述至少一个装置被编程为:
根据由所述功率放大器接收的所述时变驱动信号波形的信号包络,控制所述功率放大器的干线电压。
8.根据权利要求1所述的发生器,其中所述至少一个装置被编程为:
确定下述值中的至少一个:所述驱动信号的均方根(RMS)电流、所述驱动信号的均方根电压、所述驱动信号的真实功率、所述驱动信号的表观功率和由所述驱动信号驱动的负载的电阻大小。
9.根据权利要求1所述的发生器,其中所述至少一个装置被编程为:
将滤波器应用到所述电流和电压样本,以降低所述样本的谐波失真成分。
10.根据权利要求1所述的发生器,其中所述采样电路包括第一模-数字转换器(ADC)和第二模-数字转换器,所述第一模-数字转换器(ADC)和所述第二模-数字转换器分别产生所述驱动信号的电流和电压样本。
11.根据权利要求1所述的发生器,其中所述采样电路包括第一模-数字转换器(ADC)和双路复用器,所述双路复用器连接到所述第一模-数字转换器的输入端。
12.根据权利要求1所述的发生器,其中所述采样电路能够以200x过采。
13.根据权利要求1所述的发生器,其中所述至少一个装置包括逻辑电路,所述逻辑电路与第一处理器通信,其中所述第一处理器包括数字信号处理器。
14.根据权利要求13所述的发生器,其中所述逻辑电路包括现场可编程门阵列(FPGA)。
15.根据权利要求13所述的发生器,其中所述至少一个装置包括第二处理器,所述第二处理器与所述逻辑电路和所述第一处理器通信,并且被编程为通过至少一个输入装置接收用户输入以及通过至少一个输出装置提供用户反馈。
16.根据权利要求1所述的发生器,其中所述发生器包括器械接口电路,以使得所述发生器和所述外科装置的控制电路能够通过导线对进行通信。
17.根据权利要求16所述的发生器,其中所述器械接口使得在所述发生器和所述外科装置的控制电路之间能够使用多个通信通道进行通信。
18.根据权利要求17所述的发生器,其中所述器械接口使得在所述发生器和所述外科装置的控制电路之间能够使用频带分离的通信通道进行通信。
19.根据权利要求18所述的发生器,其中所述器械接口电路使用以第一频带发送的询问信号与所述控制电路的第一部分进行通信,并且其中所述器械接口电路能够通过以第二频带发送的通信协议与所述控制电路的第二部分进行通信。
20.根据权利要求19所述的发生器,其中所述通信协议为单线通信协议。
21.根据权利要求2所述的发生器,其中所述第二电源变压器输出端具有第一阻隔电容器,所述第一阻隔电容器与第二阻隔电容器串联,并且其中所述至少一个装置被编程为监测所述第一电容器和所述第二电容器之间的电压,以确定所述第一电容器和所述第二电容器之一何时失效。
22.一种用于控制外科装置的超声换能器中的动态支路电流的波形形状的方法,所述方法包括:
通过使用直接数字合成(DDS)算法选择性地调用储存在查找表(LUT)中的驱动信号波形样本,产生换能器驱动信号;
当所述换能器驱动信号被传送到所述外科装置时,产生所述换能器驱动信号的电流和电压样本;
根据所述电流和电压样本、所述超声换能器的静态电容和所述换能器驱动信号的频率,确定所述动态支路电流的样本;
将所述动态支路电流的每一个样本与目标波形的相应目标样本进行比较,以确定大小误差;以及
修改储存在所述查找表中的所述驱动信号波形样本,使得所述动态支路电流的后续样本和相应目标样本之间的大小误差减小。
23.根据权利要求22所述的方法,其中所述目标波形包括正弦波形。
24.根据权利要求22所述的方法,其中所述目标波形包括至少两个叠加波形。
25.根据权利要求24所述的方法,其中所述目标波形包括正弦波形,所述正弦波形与所述正弦波形的n级谐波叠加,其中n为正整数。
26.一种将驱动信号传送到外科装置的发生器,所述发生器包括:
存储器;
连接到所述存储器的装置,所述装置针对用于合成所述驱动信号的多个驱动信号波形样本中的每一个来接收所述驱动信号的对应组的电流和电压样本,并且对于每一个驱动信号波形样本和对应组的电流和电压样本而言,所述装置都用于:
将所述样本储存在所述装置的存储器中,以使所述储存的样本和所述驱动信号波形样本相关联;
当所述驱动信号包括有待传送到超声外科装置的第一驱动信号时:
根据所述储存的样本,确定所述超声外科装置的动态支路电流样本;
将所述动态支路电流样本与目标样本进行比较,所述目标样本选自限定目标波形的多个目标样本,并且根据所述驱动信号波形样本加以选择;
确定所述目标样本和所述动态支路电流样本之间的大小误差;以及
修改所述驱动信号波形样本,使得在所述目标样本和后续动态支路电流样本之间确定的大小误差减小,所述后续动态支路电流样本取决于与所述修改的驱动信号波形样本相关的电流和电压样本。
Applications Claiming Priority (17)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US25021709P | 2009-10-09 | 2009-10-09 | |
US61/250,217 | 2009-10-09 | ||
US12/896,360 US9060775B2 (en) | 2009-10-09 | 2010-10-01 | Surgical generator for ultrasonic and electrosurgical devices |
US12/896,467 | 2010-10-01 | ||
US12/896,384 US8951248B2 (en) | 2009-10-09 | 2010-10-01 | Surgical generator for ultrasonic and electrosurgical devices |
US12/896,451 US9039695B2 (en) | 2009-10-09 | 2010-10-01 | Surgical generator for ultrasonic and electrosurgical devices |
US12/896,345 US8986302B2 (en) | 2009-10-09 | 2010-10-01 | Surgical generator for ultrasonic and electrosurgical devices |
US12/896,470 US9060776B2 (en) | 2009-10-09 | 2010-10-01 | Surgical generator for ultrasonic and electrosurgical devices |
US12/896,451 | 2010-10-01 | ||
US12/896,479 | 2010-10-01 | ||
US12/896,467 US9050093B2 (en) | 2009-10-09 | 2010-10-01 | Surgical generator for ultrasonic and electrosurgical devices |
US12/896,479 US8956349B2 (en) | 2009-10-09 | 2010-10-01 | Surgical generator for ultrasonic and electrosurgical devices |
US12/896,470 | 2010-10-01 | ||
US12/896,360 | 2010-10-01 | ||
US12/896,384 | 2010-10-01 | ||
US12/896,345 | 2010-10-01 | ||
PCT/US2010/051787 WO2011044338A2 (en) | 2009-10-09 | 2010-10-07 | Surgical generator for ultrasonic and electrosurgical devices |
Publications (2)
Publication Number | Publication Date |
---|---|
CN102665585A CN102665585A (zh) | 2012-09-12 |
CN102665585B true CN102665585B (zh) | 2016-01-20 |
Family
ID=43855415
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CN201080056086.XA Active CN102665585B (zh) | 2009-10-09 | 2010-10-07 | 用于超声装置和用于电外科装置的外科发生器 |
Country Status (11)
Country | Link |
---|---|
US (11) | US8986302B2 (zh) |
EP (2) | EP2901940B1 (zh) |
JP (1) | JP5766705B2 (zh) |
KR (1) | KR20120093273A (zh) |
CN (1) | CN102665585B (zh) |
AU (2) | AU2010303385B2 (zh) |
BR (1) | BR112012009383B8 (zh) |
CA (1) | CA2777103C (zh) |
ES (1) | ES2531014T3 (zh) |
IN (1) | IN2012DN02986A (zh) |
WO (1) | WO2011044338A2 (zh) |
Families Citing this family (1228)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US11229472B2 (en) | 2001-06-12 | 2022-01-25 | Cilag Gmbh International | Modular battery powered handheld surgical instrument with multiple magnetic position sensors |
US6850788B2 (en) | 2002-03-25 | 2005-02-01 | Masimo Corporation | Physiological measurement communications adapter |
US20070084897A1 (en) | 2003-05-20 | 2007-04-19 | Shelton Frederick E Iv | Articulating surgical stapling instrument incorporating a two-piece e-beam firing mechanism |
US9060770B2 (en) | 2003-05-20 | 2015-06-23 | Ethicon Endo-Surgery, Inc. | Robotically-driven surgical instrument with E-beam driver |
US8182501B2 (en) | 2004-02-27 | 2012-05-22 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical shears and method for sealing a blood vessel using same |
US11890012B2 (en) | 2004-07-28 | 2024-02-06 | Cilag Gmbh International | Staple cartridge comprising cartridge body and attached support |
US8215531B2 (en) | 2004-07-28 | 2012-07-10 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having a medical substance dispenser |
JP5009159B2 (ja) | 2004-10-08 | 2012-08-22 | エシコン・エンド−サージェリィ・インコーポレイテッド | 超音波手術器具 |
US9237891B2 (en) | 2005-08-31 | 2016-01-19 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical stapling devices that produce formed staples having different lengths |
US7669746B2 (en) | 2005-08-31 | 2010-03-02 | Ethicon Endo-Surgery, Inc. | Staple cartridges for forming staples having differing formed staple heights |
US11484312B2 (en) | 2005-08-31 | 2022-11-01 | Cilag Gmbh International | Staple cartridge comprising a staple driver arrangement |
US7934630B2 (en) | 2005-08-31 | 2011-05-03 | Ethicon Endo-Surgery, Inc. | Staple cartridges for forming staples having differing formed staple heights |
US10159482B2 (en) | 2005-08-31 | 2018-12-25 | Ethicon Llc | Fastener cartridge assembly comprising a fixed anvil and different staple heights |
US11246590B2 (en) | 2005-08-31 | 2022-02-15 | Cilag Gmbh International | Staple cartridge including staple drivers having different unfired heights |
US20070191713A1 (en) | 2005-10-14 | 2007-08-16 | Eichmann Stephen E | Ultrasonic device for cutting and coagulating |
US20070106317A1 (en) | 2005-11-09 | 2007-05-10 | Shelton Frederick E Iv | Hydraulically and electrically actuated articulation joints for surgical instruments |
US7621930B2 (en) | 2006-01-20 | 2009-11-24 | Ethicon Endo-Surgery, Inc. | Ultrasound medical instrument having a medical ultrasonic blade |
US8186555B2 (en) | 2006-01-31 | 2012-05-29 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting and fastening instrument with mechanical closure system |
US8820603B2 (en) | 2006-01-31 | 2014-09-02 | Ethicon Endo-Surgery, Inc. | Accessing data stored in a memory of a surgical instrument |
US20110290856A1 (en) | 2006-01-31 | 2011-12-01 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical instrument with force-feedback capabilities |
US11793518B2 (en) | 2006-01-31 | 2023-10-24 | Cilag Gmbh International | Powered surgical instruments with firing system lockout arrangements |
US8708213B2 (en) | 2006-01-31 | 2014-04-29 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a feedback system |
US20120292367A1 (en) | 2006-01-31 | 2012-11-22 | Ethicon Endo-Surgery, Inc. | Robotically-controlled end effector |
US11278279B2 (en) | 2006-01-31 | 2022-03-22 | Cilag Gmbh International | Surgical instrument assembly |
US7845537B2 (en) | 2006-01-31 | 2010-12-07 | Ethicon Endo-Surgery, Inc. | Surgical instrument having recording capabilities |
US20110024477A1 (en) | 2009-02-06 | 2011-02-03 | Hall Steven G | Driven Surgical Stapler Improvements |
US7753904B2 (en) | 2006-01-31 | 2010-07-13 | Ethicon Endo-Surgery, Inc. | Endoscopic surgical instrument with a handle that can articulate with respect to the shaft |
US11224427B2 (en) | 2006-01-31 | 2022-01-18 | Cilag Gmbh International | Surgical stapling system including a console and retraction assembly |
US8992422B2 (en) | 2006-03-23 | 2015-03-31 | Ethicon Endo-Surgery, Inc. | Robotically-controlled endoscopic accessory channel |
US8322455B2 (en) | 2006-06-27 | 2012-12-04 | Ethicon Endo-Surgery, Inc. | Manually driven surgical cutting and fastening instrument |
EP2092957B2 (en) | 2006-06-28 | 2019-11-20 | Medtronic Ardian Luxembourg S.à.r.l. | Systems for thermally-induced renal neuromodulation |
US8840549B2 (en) | 2006-09-22 | 2014-09-23 | Masimo Corporation | Modular patient monitor |
US7506791B2 (en) | 2006-09-29 | 2009-03-24 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with mechanical mechanism for limiting maximum tissue compression |
US10568652B2 (en) | 2006-09-29 | 2020-02-25 | Ethicon Llc | Surgical staples having attached drivers of different heights and stapling instruments for deploying the same |
US8684253B2 (en) | 2007-01-10 | 2014-04-01 | Ethicon Endo-Surgery, Inc. | Surgical instrument with wireless communication between a control unit of a robotic system and remote sensor |
US8652120B2 (en) | 2007-01-10 | 2014-02-18 | Ethicon Endo-Surgery, Inc. | Surgical instrument with wireless communication between control unit and sensor transponders |
US11291441B2 (en) | 2007-01-10 | 2022-04-05 | Cilag Gmbh International | Surgical instrument with wireless communication between control unit and remote sensor |
US11039836B2 (en) | 2007-01-11 | 2021-06-22 | Cilag Gmbh International | Staple cartridge for use with a surgical stapling instrument |
US8540128B2 (en) | 2007-01-11 | 2013-09-24 | Ethicon Endo-Surgery, Inc. | Surgical stapling device with a curved end effector |
US8727197B2 (en) | 2007-03-15 | 2014-05-20 | Ethicon Endo-Surgery, Inc. | Staple cartridge cavity configuration with cooperative surgical staple |
US8142461B2 (en) | 2007-03-22 | 2012-03-27 | Ethicon Endo-Surgery, Inc. | Surgical instruments |
US8057498B2 (en) | 2007-11-30 | 2011-11-15 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical instrument blades |
US8226675B2 (en) | 2007-03-22 | 2012-07-24 | Ethicon Endo-Surgery, Inc. | Surgical instruments |
US8911460B2 (en) | 2007-03-22 | 2014-12-16 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical instruments |
US20080234709A1 (en) | 2007-03-22 | 2008-09-25 | Houser Kevin L | Ultrasonic surgical instrument and cartilage and bone shaping blades therefor |
US8893946B2 (en) | 2007-03-28 | 2014-11-25 | Ethicon Endo-Surgery, Inc. | Laparoscopic tissue thickness and clamp load measuring devices |
US11857181B2 (en) | 2007-06-04 | 2024-01-02 | Cilag Gmbh International | Robotically-controlled shaft based rotary drive systems for surgical instruments |
US8931682B2 (en) | 2007-06-04 | 2015-01-13 | Ethicon Endo-Surgery, Inc. | Robotically-controlled shaft based rotary drive systems for surgical instruments |
US7753245B2 (en) | 2007-06-22 | 2010-07-13 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments |
US11849941B2 (en) | 2007-06-29 | 2023-12-26 | Cilag Gmbh International | Staple cartridge having staple cavities extending at a transverse angle relative to a longitudinal cartridge axis |
US8235983B2 (en) | 2007-07-12 | 2012-08-07 | Asthmatx, Inc. | Systems and methods for delivering energy to passageways in a patient |
US8523889B2 (en) | 2007-07-27 | 2013-09-03 | Ethicon Endo-Surgery, Inc. | Ultrasonic end effectors with increased active length |
US8808319B2 (en) | 2007-07-27 | 2014-08-19 | Ethicon Endo-Surgery, Inc. | Surgical instruments |
US8348967B2 (en) | 2007-07-27 | 2013-01-08 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical instruments |
US8882791B2 (en) | 2007-07-27 | 2014-11-11 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical instruments |
US8257377B2 (en) | 2007-07-27 | 2012-09-04 | Ethicon Endo-Surgery, Inc. | Multiple end effectors ultrasonic surgical instruments |
US8252012B2 (en) | 2007-07-31 | 2012-08-28 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical instrument with modulator |
US8430898B2 (en) | 2007-07-31 | 2013-04-30 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical instruments |
US9044261B2 (en) | 2007-07-31 | 2015-06-02 | Ethicon Endo-Surgery, Inc. | Temperature controlled ultrasonic surgical instruments |
US8512365B2 (en) | 2007-07-31 | 2013-08-20 | Ethicon Endo-Surgery, Inc. | Surgical instruments |
US8623027B2 (en) | 2007-10-05 | 2014-01-07 | Ethicon Endo-Surgery, Inc. | Ergonomic surgical instruments |
US10010339B2 (en) | 2007-11-30 | 2018-07-03 | Ethicon Llc | Ultrasonic surgical blades |
US7901423B2 (en) | 2007-11-30 | 2011-03-08 | Ethicon Endo-Surgery, Inc. | Folded ultrasonic end effectors with increased active length |
US9314261B2 (en) | 2007-12-03 | 2016-04-19 | Covidien Ag | Battery-powered hand-held ultrasonic surgical cautery cutting device |
US9179912B2 (en) | 2008-02-14 | 2015-11-10 | Ethicon Endo-Surgery, Inc. | Robotically-controlled motorized surgical cutting and fastening instrument |
US8636736B2 (en) | 2008-02-14 | 2014-01-28 | Ethicon Endo-Surgery, Inc. | Motorized surgical cutting and fastening instrument |
US8573465B2 (en) | 2008-02-14 | 2013-11-05 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical end effector system with rotary actuated closure systems |
US7866527B2 (en) | 2008-02-14 | 2011-01-11 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with interlockable firing system |
US8758391B2 (en) | 2008-02-14 | 2014-06-24 | Ethicon Endo-Surgery, Inc. | Interchangeable tools for surgical instruments |
US7819298B2 (en) | 2008-02-14 | 2010-10-26 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with control features operable with one hand |
BRPI0901282A2 (pt) | 2008-02-14 | 2009-11-17 | Ethicon Endo Surgery Inc | instrumento cirúrgico de corte e fixação dotado de eletrodos de rf |
US11272927B2 (en) | 2008-02-15 | 2022-03-15 | Cilag Gmbh International | Layer arrangements for surgical staple cartridges |
US9770245B2 (en) | 2008-02-15 | 2017-09-26 | Ethicon Llc | Layer arrangements for surgical staple cartridges |
US8058771B2 (en) | 2008-08-06 | 2011-11-15 | Ethicon Endo-Surgery, Inc. | Ultrasonic device for cutting and coagulating with stepped output |
US9089360B2 (en) | 2008-08-06 | 2015-07-28 | Ethicon Endo-Surgery, Inc. | Devices and techniques for cutting and coagulating tissue |
US11648005B2 (en) | 2008-09-23 | 2023-05-16 | Cilag Gmbh International | Robotically-controlled motorized surgical instrument with an end effector |
US9005230B2 (en) | 2008-09-23 | 2015-04-14 | Ethicon Endo-Surgery, Inc. | Motorized surgical instrument |
US9386983B2 (en) | 2008-09-23 | 2016-07-12 | Ethicon Endo-Surgery, Llc | Robotically-controlled motorized surgical instrument |
US8210411B2 (en) | 2008-09-23 | 2012-07-03 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting instrument |
US8608045B2 (en) | 2008-10-10 | 2013-12-17 | Ethicon Endo-Sugery, Inc. | Powered surgical cutting and stapling apparatus with manually retractable firing system |
US9125720B2 (en) * | 2008-10-13 | 2015-09-08 | Alcon Research, Ltd. | Capsularhexis device with flexible heating element |
US8517239B2 (en) | 2009-02-05 | 2013-08-27 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument comprising a magnetic element driver |
CN102341048A (zh) | 2009-02-06 | 2012-02-01 | 伊西康内外科公司 | 动力手术缝合器的改进 |
US8444036B2 (en) | 2009-02-06 | 2013-05-21 | Ethicon Endo-Surgery, Inc. | Motor driven surgical fastener device with mechanisms for adjusting a tissue gap within the end effector |
US20100298743A1 (en) * | 2009-05-20 | 2010-11-25 | Ethicon Endo-Surgery, Inc. | Thermally-activated coupling arrangements and methods for attaching tools to ultrasonic surgical instruments |
US9700339B2 (en) | 2009-05-20 | 2017-07-11 | Ethicon Endo-Surgery, Inc. | Coupling arrangements and methods for attaching tools to ultrasonic surgical instruments |
US8814854B2 (en) * | 2009-06-03 | 2014-08-26 | Alcon Research, Ltd. | Capsulotomy repair device and method for capsulotomy repair |
US20100312252A1 (en) * | 2009-06-03 | 2010-12-09 | Guangyao Jia | Capsularhexis device with flexible heating element having an angled transitional neck |
US8344596B2 (en) | 2009-06-24 | 2013-01-01 | Ethicon Endo-Surgery, Inc. | Transducer arrangements for ultrasonic surgical instruments |
US8623040B2 (en) | 2009-07-01 | 2014-01-07 | Alcon Research, Ltd. | Phacoemulsification hook tip |
US8663220B2 (en) | 2009-07-15 | 2014-03-04 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical instruments |
US9017326B2 (en) | 2009-07-15 | 2015-04-28 | Ethicon Endo-Surgery, Inc. | Impedance monitoring apparatus, system, and method for ultrasonic surgical instruments |
US8461744B2 (en) | 2009-07-15 | 2013-06-11 | Ethicon Endo-Surgery, Inc. | Rotating transducer mount for ultrasonic surgical instruments |
US9737735B2 (en) | 2009-08-14 | 2017-08-22 | Ethicon Llc | Ultrasonic surgical apparatus with silicon waveguide |
AU2010282256A1 (en) * | 2009-08-14 | 2012-03-01 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical apparatus and silicon waveguide and methods for use thereof |
US9168054B2 (en) | 2009-10-09 | 2015-10-27 | Ethicon Endo-Surgery, Inc. | Surgical generator for ultrasonic and electrosurgical devices |
US11090104B2 (en) | 2009-10-09 | 2021-08-17 | Cilag Gmbh International | Surgical generator for ultrasonic and electrosurgical devices |
US10441345B2 (en) * | 2009-10-09 | 2019-10-15 | Ethicon Llc | Surgical generator for ultrasonic and electrosurgical devices |
US8986302B2 (en) | 2009-10-09 | 2015-03-24 | Ethicon Endo-Surgery, Inc. | Surgical generator for ultrasonic and electrosurgical devices |
USRE47996E1 (en) | 2009-10-09 | 2020-05-19 | Ethicon Llc | Surgical generator for ultrasonic and electrosurgical devices |
US10172669B2 (en) | 2009-10-09 | 2019-01-08 | Ethicon Llc | Surgical instrument comprising an energy trigger lockout |
US9153112B1 (en) | 2009-12-21 | 2015-10-06 | Masimo Corporation | Modular patient monitor |
US8220688B2 (en) | 2009-12-24 | 2012-07-17 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting instrument with electric actuator directional control assembly |
US8851354B2 (en) | 2009-12-24 | 2014-10-07 | Ethicon Endo-Surgery, Inc. | Surgical cutting instrument that analyzes tissue thickness |
US8382782B2 (en) | 2010-02-11 | 2013-02-26 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical instruments with partially rotating blade and fixed pad arrangement |
US8323302B2 (en) | 2010-02-11 | 2012-12-04 | Ethicon Endo-Surgery, Inc. | Methods of using ultrasonically powered surgical instruments with rotatable cutting implements |
US8419759B2 (en) | 2010-02-11 | 2013-04-16 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical instrument with comb-like tissue trimming device |
US8579928B2 (en) | 2010-02-11 | 2013-11-12 | Ethicon Endo-Surgery, Inc. | Outer sheath and blade arrangements for ultrasonic surgical instruments |
US8951272B2 (en) | 2010-02-11 | 2015-02-10 | Ethicon Endo-Surgery, Inc. | Seal arrangements for ultrasonically powered surgical instruments |
US8469981B2 (en) | 2010-02-11 | 2013-06-25 | Ethicon Endo-Surgery, Inc. | Rotatable cutting implement arrangements for ultrasonic surgical instruments |
US8531064B2 (en) | 2010-02-11 | 2013-09-10 | Ethicon Endo-Surgery, Inc. | Ultrasonically powered surgical instruments with rotating cutting implement |
US8486096B2 (en) | 2010-02-11 | 2013-07-16 | Ethicon Endo-Surgery, Inc. | Dual purpose surgical instrument for cutting and coagulating tissue |
US8961547B2 (en) | 2010-02-11 | 2015-02-24 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical instruments with moving cutting implement |
US9259234B2 (en) | 2010-02-11 | 2016-02-16 | Ethicon Endo-Surgery, Llc | Ultrasonic surgical instruments with rotatable blade and hollow sheath arrangements |
US8696665B2 (en) | 2010-03-26 | 2014-04-15 | Ethicon Endo-Surgery, Inc. | Surgical cutting and sealing instrument with reduced firing force |
US8834518B2 (en) | 2010-04-12 | 2014-09-16 | Ethicon Endo-Surgery, Inc. | Electrosurgical cutting and sealing instruments with cam-actuated jaws |
US8709035B2 (en) | 2010-04-12 | 2014-04-29 | Ethicon Endo-Surgery, Inc. | Electrosurgical cutting and sealing instruments with jaws having a parallel closure motion |
US9241755B2 (en) | 2010-05-11 | 2016-01-26 | Alcon Research, Ltd. | Capsule polishing device and method for capsule polishing |
US8685020B2 (en) | 2010-05-17 | 2014-04-01 | Ethicon Endo-Surgery, Inc. | Surgical instruments and end effectors therefor |
GB2480498A (en) | 2010-05-21 | 2011-11-23 | Ethicon Endo Surgery Inc | Medical device comprising RF circuitry |
US9005199B2 (en) | 2010-06-10 | 2015-04-14 | Ethicon Endo-Surgery, Inc. | Heat management configurations for controlling heat dissipation from electrosurgical instruments |
US8795327B2 (en) | 2010-07-22 | 2014-08-05 | Ethicon Endo-Surgery, Inc. | Electrosurgical instrument with separate closure and cutting members |
US9192431B2 (en) | 2010-07-23 | 2015-11-24 | Ethicon Endo-Surgery, Inc. | Electrosurgical cutting and sealing instrument |
US8783543B2 (en) | 2010-07-30 | 2014-07-22 | Ethicon Endo-Surgery, Inc. | Tissue acquisition arrangements and methods for surgical stapling devices |
US10258505B2 (en) | 2010-09-17 | 2019-04-16 | Alcon Research, Ltd. | Balanced phacoemulsification tip |
US9282962B2 (en) | 2010-09-30 | 2016-03-15 | Ethicon Endo-Surgery, Llc | Adhesive film laminate |
US9364233B2 (en) | 2010-09-30 | 2016-06-14 | Ethicon Endo-Surgery, Llc | Tissue thickness compensators for circular surgical staplers |
US9517063B2 (en) | 2012-03-28 | 2016-12-13 | Ethicon Endo-Surgery, Llc | Movable member for use with a tissue thickness compensator |
US11812965B2 (en) | 2010-09-30 | 2023-11-14 | Cilag Gmbh International | Layer of material for a surgical end effector |
US9386988B2 (en) | 2010-09-30 | 2016-07-12 | Ethicon End-Surgery, LLC | Retainer assembly including a tissue thickness compensator |
US11849952B2 (en) | 2010-09-30 | 2023-12-26 | Cilag Gmbh International | Staple cartridge comprising staples positioned within a compressible portion thereof |
US10945731B2 (en) | 2010-09-30 | 2021-03-16 | Ethicon Llc | Tissue thickness compensator comprising controlled release and expansion |
US9629814B2 (en) | 2010-09-30 | 2017-04-25 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator configured to redistribute compressive forces |
US11298125B2 (en) | 2010-09-30 | 2022-04-12 | Cilag Gmbh International | Tissue stapler having a thickness compensator |
US9211120B2 (en) | 2011-04-29 | 2015-12-15 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator comprising a plurality of medicaments |
US9016542B2 (en) | 2010-09-30 | 2015-04-28 | Ethicon Endo-Surgery, Inc. | Staple cartridge comprising compressible distortion resistant components |
US8695866B2 (en) | 2010-10-01 | 2014-04-15 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a power control circuit |
US8979890B2 (en) | 2010-10-01 | 2015-03-17 | Ethicon Endo-Surgery, Inc. | Surgical instrument with jaw member |
EP3449856B1 (en) | 2010-10-25 | 2023-06-28 | Medtronic Ardian Luxembourg S.à.r.l. | Device for evaluation and feedback of neuromodulation treatment |
US9782214B2 (en) | 2010-11-05 | 2017-10-10 | Ethicon Llc | Surgical instrument with sensor and powered control |
US9526921B2 (en) | 2010-11-05 | 2016-12-27 | Ethicon Endo-Surgery, Llc | User feedback through end effector of surgical instrument |
US9381058B2 (en) | 2010-11-05 | 2016-07-05 | Ethicon Endo-Surgery, Llc | Recharge system for medical devices |
US9782215B2 (en) | 2010-11-05 | 2017-10-10 | Ethicon Endo-Surgery, Llc | Surgical instrument with ultrasonic transducer having integral switches |
US9017849B2 (en) | 2010-11-05 | 2015-04-28 | Ethicon Endo-Surgery, Inc. | Power source management for medical device |
US9649150B2 (en) | 2010-11-05 | 2017-05-16 | Ethicon Endo-Surgery, Llc | Selective activation of electronic components in medical device |
US9375255B2 (en) | 2010-11-05 | 2016-06-28 | Ethicon Endo-Surgery, Llc | Surgical instrument handpiece with resiliently biased coupling to modular shaft and end effector |
US9161803B2 (en) | 2010-11-05 | 2015-10-20 | Ethicon Endo-Surgery, Inc. | Motor driven electrosurgical device with mechanical and electrical feedback |
US9247986B2 (en) | 2010-11-05 | 2016-02-02 | Ethicon Endo-Surgery, Llc | Surgical instrument with ultrasonic transducer having integral switches |
US9072523B2 (en) | 2010-11-05 | 2015-07-07 | Ethicon Endo-Surgery, Inc. | Medical device with feature for sterile acceptance of non-sterile reusable component |
US20120116265A1 (en) * | 2010-11-05 | 2012-05-10 | Houser Kevin L | Surgical instrument with charging devices |
EP2635216B1 (en) | 2010-11-05 | 2021-09-01 | Cilag GmbH International | User feedback through handpiece of surgical instrument |
CA2816875A1 (en) | 2010-11-05 | 2012-05-10 | Ethicon Endo-Surgery, Inc. | Surgical instrument with modular end effector |
CN103442658B (zh) | 2010-11-05 | 2016-03-23 | 伊西康内外科公司 | 具有模块化夹持垫的外科器械 |
US20120116261A1 (en) | 2010-11-05 | 2012-05-10 | Mumaw Daniel J | Surgical instrument with slip ring assembly to power ultrasonic transducer |
US9421062B2 (en) | 2010-11-05 | 2016-08-23 | Ethicon Endo-Surgery, Llc | Surgical instrument shaft with resiliently biased coupling to handpiece |
AU2011323193A1 (en) | 2010-11-05 | 2013-05-30 | Ethicon Endo-Surgery, Inc. | Medical device usage data processing |
US10959769B2 (en) | 2010-11-05 | 2021-03-30 | Ethicon Llc | Surgical instrument with slip ring assembly to power ultrasonic transducer |
US9000720B2 (en) | 2010-11-05 | 2015-04-07 | Ethicon Endo-Surgery, Inc. | Medical device packaging with charging interface |
US9011471B2 (en) | 2010-11-05 | 2015-04-21 | Ethicon Endo-Surgery, Inc. | Surgical instrument with pivoting coupling to modular shaft and end effector |
US10881448B2 (en) | 2010-11-05 | 2021-01-05 | Ethicon Llc | Cam driven coupling between ultrasonic transducer and waveguide in surgical instrument |
US10660695B2 (en) | 2010-11-05 | 2020-05-26 | Ethicon Llc | Sterile medical instrument charging device |
US9039720B2 (en) | 2010-11-05 | 2015-05-26 | Ethicon Endo-Surgery, Inc. | Surgical instrument with ratcheting rotatable shaft |
US20120116381A1 (en) | 2010-11-05 | 2012-05-10 | Houser Kevin L | Surgical instrument with charging station and wireless communication |
US9510895B2 (en) | 2010-11-05 | 2016-12-06 | Ethicon Endo-Surgery, Llc | Surgical instrument with modular shaft and end effector |
US10085792B2 (en) | 2010-11-05 | 2018-10-02 | Ethicon Llc | Surgical instrument with motorized attachment feature |
KR102011613B1 (ko) * | 2010-12-22 | 2019-08-16 | 트로피 | 디지털 검출기 |
US9028481B2 (en) * | 2011-01-05 | 2015-05-12 | Covidien Lp | System and method for measuring current of an electrosurgical generator |
USD737431S1 (en) * | 2012-02-10 | 2015-08-25 | Lifecell Corporation | Tissue transfer apparatus |
JP6175002B2 (ja) | 2011-02-11 | 2017-08-02 | ライフセル コーポレイション | 組織移送のためのデバイスおよび方法 |
US8968293B2 (en) | 2011-04-12 | 2015-03-03 | Covidien Lp | Systems and methods for calibrating power measurements in an electrosurgical generator |
AU2016201414B2 (en) * | 2011-04-15 | 2018-02-08 | Covidien Ag | Battery powered hand-held ultrasonic surgical cautery cutting device |
CA2834649C (en) | 2011-04-29 | 2021-02-16 | Ethicon Endo-Surgery, Inc. | Staple cartridge comprising staples positioned within a compressible portion thereof |
US8444664B2 (en) * | 2011-05-16 | 2013-05-21 | Covidien Lp | Medical ultrasound instrument with articulated jaws |
US11207064B2 (en) | 2011-05-27 | 2021-12-28 | Cilag Gmbh International | Automated end effector component reloading system for use with a robotic system |
US9072535B2 (en) | 2011-05-27 | 2015-07-07 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments with rotatable staple deployment arrangements |
US9259265B2 (en) | 2011-07-22 | 2016-02-16 | Ethicon Endo-Surgery, Llc | Surgical instruments for tensioning tissue |
US9028479B2 (en) | 2011-08-01 | 2015-05-12 | Covidien Lp | Electrosurgical apparatus with real-time RF tissue energy control |
USD700967S1 (en) | 2011-08-23 | 2014-03-11 | Covidien Ag | Handle for portable surgical device |
US9044243B2 (en) | 2011-08-30 | 2015-06-02 | Ethcon Endo-Surgery, Inc. | Surgical cutting and fastening device with descendible second trigger arrangement |
US9763690B2 (en) | 2011-10-10 | 2017-09-19 | Ethicon Llc | Surgical instrument with transducer carrier assembly |
US9629652B2 (en) | 2011-10-10 | 2017-04-25 | Ethicon Endo-Surgery, Llc | Surgical instrument with clutching slip ring assembly to power ultrasonic transducer |
US9050125B2 (en) | 2011-10-10 | 2015-06-09 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical instrument with modular end effector |
US20130090576A1 (en) | 2011-10-10 | 2013-04-11 | Foster B. Stulen | Surgical instrument with ultrasonic waveguide defining a fluid lumen |
US8734476B2 (en) | 2011-10-13 | 2014-05-27 | Ethicon Endo-Surgery, Inc. | Coupling for slip ring assembly and ultrasonic transducer in surgical instrument |
EP3584799B1 (en) * | 2011-10-13 | 2022-11-09 | Masimo Corporation | Medical monitoring hub |
US9943269B2 (en) | 2011-10-13 | 2018-04-17 | Masimo Corporation | System for displaying medical monitoring data |
US9314292B2 (en) | 2011-10-24 | 2016-04-19 | Ethicon Endo-Surgery, Llc | Trigger lockout mechanism |
USD687549S1 (en) | 2011-10-24 | 2013-08-06 | Ethicon Endo-Surgery, Inc. | Surgical instrument |
US9480523B2 (en) * | 2012-01-27 | 2016-11-01 | Covidien Lp | Systems and methods for phase predictive impedance loss model calibration and compensation |
US10149616B2 (en) | 2012-02-09 | 2018-12-11 | Masimo Corporation | Wireless patient monitoring device |
USD857882S1 (en) | 2012-02-10 | 2019-08-27 | Lifecell Corporation | Tissue transfer apparatus |
EP2811932B1 (en) | 2012-02-10 | 2019-06-26 | Ethicon LLC | Robotically controlled surgical instrument |
US9044230B2 (en) | 2012-02-13 | 2015-06-02 | Ethicon Endo-Surgery, Inc. | Surgical cutting and fastening instrument with apparatus for determining cartridge and firing motion status |
US9364249B2 (en) | 2012-03-22 | 2016-06-14 | Ethicon Endo-Surgery, Llc | Method and apparatus for programming modular surgical instrument |
US20130253480A1 (en) | 2012-03-22 | 2013-09-26 | Cory G. Kimball | Surgical instrument usage data management |
US11191669B2 (en) | 2012-03-26 | 2021-12-07 | Johnson & Johnson Surgical Vision, Inc. | Tapered structure in a phacoemulsification device for node placement |
US11197778B2 (en) | 2012-03-26 | 2021-12-14 | Johnson & Johnson Surgical Vision, Inc. | Tapered structure in a phacoemulsification device for node placement |
BR112014024098B1 (pt) | 2012-03-28 | 2021-05-25 | Ethicon Endo-Surgery, Inc. | cartucho de grampos |
CN104379068B (zh) | 2012-03-28 | 2017-09-22 | 伊西康内外科公司 | 包括组织厚度补偿件的保持器组件 |
BR112014024102B1 (pt) | 2012-03-28 | 2022-03-03 | Ethicon Endo-Surgery, Inc | Conjunto de cartucho de prendedores para um instrumento cirúrgico, e conjunto de atuador de extremidade para um instrumento cirúrgico |
US20130267874A1 (en) | 2012-04-09 | 2013-10-10 | Amy L. Marcotte | Surgical instrument with nerve detection feature |
US9724118B2 (en) * | 2012-04-09 | 2017-08-08 | Ethicon Endo-Surgery, Llc | Techniques for cutting and coagulating tissue for ultrasonic surgical instruments |
US9241731B2 (en) | 2012-04-09 | 2016-01-26 | Ethicon Endo-Surgery, Inc. | Rotatable electrical connection for ultrasonic surgical instruments |
US9226766B2 (en) | 2012-04-09 | 2016-01-05 | Ethicon Endo-Surgery, Inc. | Serial communication protocol for medical device |
US9237921B2 (en) | 2012-04-09 | 2016-01-19 | Ethicon Endo-Surgery, Inc. | Devices and techniques for cutting and coagulating tissue |
US9375250B2 (en) | 2012-04-09 | 2016-06-28 | Covidien Lp | Method for employing single fault safe redundant signals |
US9144456B2 (en) | 2012-04-09 | 2015-09-29 | Intuitive Surgical Operations, Inc. | Surgical instrument control |
US9439668B2 (en) | 2012-04-09 | 2016-09-13 | Ethicon Endo-Surgery, Llc | Switch arrangements for ultrasonic surgical instruments |
US9788851B2 (en) | 2012-04-18 | 2017-10-17 | Ethicon Llc | Surgical instrument with tissue density sensing |
CN102631241B (zh) * | 2012-04-27 | 2013-12-18 | 北京优美高电子科技有限公司 | 一种多功能射频冷却刀 |
US10238416B2 (en) | 2012-04-30 | 2019-03-26 | Ethicon Llc | Ultrasonic device for cutting and coagulating |
US20130296843A1 (en) | 2012-05-02 | 2013-11-07 | Ethicon Endo-Surgery, Inc. | Electrosurgical device for cutting and coagulating |
KR20150013801A (ko) * | 2012-05-14 | 2015-02-05 | 라이온스게이트 테크놀로지스, 아이엔씨. | 생리적 지수들을 결정하기 위한 시스템, 방법 및 관련 장치 |
US11871901B2 (en) | 2012-05-20 | 2024-01-16 | Cilag Gmbh International | Method for situational awareness for surgical network or surgical network connected device capable of adjusting function based on a sensed situation or usage |
CN102641152B (zh) * | 2012-05-22 | 2014-03-05 | 上海理工大学 | 基于fpga的高频电刀发生器 |
US9572592B2 (en) | 2012-05-31 | 2017-02-21 | Ethicon Endo-Surgery, Llc | Surgical instrument with orientation sensing |
US9301772B2 (en) | 2012-05-31 | 2016-04-05 | Ethicon Endo-Surgery, Llc | Loading cartridge for surgical instrument end effector |
US9681884B2 (en) | 2012-05-31 | 2017-06-20 | Ethicon Endo-Surgery, Llc | Surgical instrument with stress sensor |
US11406415B2 (en) | 2012-06-11 | 2022-08-09 | Tenex Health, Inc. | Systems and methods for tissue treatment |
US9101358B2 (en) | 2012-06-15 | 2015-08-11 | Ethicon Endo-Surgery, Inc. | Articulatable surgical instrument comprising a firing drive |
US11278284B2 (en) | 2012-06-28 | 2022-03-22 | Cilag Gmbh International | Rotary drive arrangements for surgical instruments |
JP6290201B2 (ja) | 2012-06-28 | 2018-03-07 | エシコン・エンド−サージェリィ・インコーポレイテッドEthicon Endo−Surgery,Inc. | 空クリップカートリッジ用のロックアウト |
US20140005705A1 (en) | 2012-06-29 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Surgical instruments with articulating shafts |
US9204879B2 (en) | 2012-06-28 | 2015-12-08 | Ethicon Endo-Surgery, Inc. | Flexible drive member |
US9226751B2 (en) | 2012-06-28 | 2016-01-05 | Ethicon Endo-Surgery, Inc. | Surgical instrument system including replaceable end effectors |
US20140001231A1 (en) | 2012-06-28 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Firing system lockout arrangements for surgical instruments |
BR112014032776B1 (pt) | 2012-06-28 | 2021-09-08 | Ethicon Endo-Surgery, Inc | Sistema de instrumento cirúrgico e kit cirúrgico para uso com um sistema de instrumento cirúrgico |
US20140005640A1 (en) | 2012-06-28 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Surgical end effector jaw and electrode configurations |
US8970455B2 (en) | 2012-06-28 | 2015-03-03 | Google Technology Holdings LLC | Systems and methods for processing content displayed on a flexible display |
US9289256B2 (en) | 2012-06-28 | 2016-03-22 | Ethicon Endo-Surgery, Llc | Surgical end effectors having angled tissue-contacting surfaces |
US9282974B2 (en) | 2012-06-28 | 2016-03-15 | Ethicon Endo-Surgery, Llc | Empty clip cartridge lockout |
US9226767B2 (en) | 2012-06-29 | 2016-01-05 | Ethicon Endo-Surgery, Inc. | Closed feedback control for electrosurgical device |
US9351754B2 (en) | 2012-06-29 | 2016-05-31 | Ethicon Endo-Surgery, Llc | Ultrasonic surgical instruments with distally positioned jaw assemblies |
US9393037B2 (en) | 2012-06-29 | 2016-07-19 | Ethicon Endo-Surgery, Llc | Surgical instruments with articulating shafts |
US20140005702A1 (en) | 2012-06-29 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical instruments with distally positioned transducers |
US9820768B2 (en) | 2012-06-29 | 2017-11-21 | Ethicon Llc | Ultrasonic surgical instruments with control mechanisms |
US9283045B2 (en) | 2012-06-29 | 2016-03-15 | Ethicon Endo-Surgery, Llc | Surgical instruments with fluid management system |
US9408622B2 (en) | 2012-06-29 | 2016-08-09 | Ethicon Endo-Surgery, Llc | Surgical instruments with articulating shafts |
US9326788B2 (en) | 2012-06-29 | 2016-05-03 | Ethicon Endo-Surgery, Llc | Lockout mechanism for use with robotic electrosurgical device |
US9198714B2 (en) | 2012-06-29 | 2015-12-01 | Ethicon Endo-Surgery, Inc. | Haptic feedback devices for surgical robot |
BG111298A (bg) * | 2012-08-29 | 2014-02-28 | Юрий МАРКОВ | Система и метод за въздействие върху строежа на веществата чрез ниско енергийно модулирано магнитно поле |
JP5551845B1 (ja) * | 2012-08-31 | 2014-07-16 | オリンパスメディカルシステムズ株式会社 | 超音波手術システム |
JPWO2014042155A1 (ja) * | 2012-09-11 | 2016-08-18 | 日本電気株式会社 | 画像処理装置及び画像処理方法 |
US9749232B2 (en) | 2012-09-20 | 2017-08-29 | Masimo Corporation | Intelligent medical network edge router |
BR112015007010B1 (pt) | 2012-09-28 | 2022-05-31 | Ethicon Endo-Surgery, Inc | Atuador de extremidade |
US9106270B2 (en) | 2012-10-02 | 2015-08-11 | Covidien Lp | Transmitting data across a patient isolation barrier using an electric-field capacitive coupler module |
US9095367B2 (en) | 2012-10-22 | 2015-08-04 | Ethicon Endo-Surgery, Inc. | Flexible harmonic waveguides/blades for surgical instruments |
US10201365B2 (en) | 2012-10-22 | 2019-02-12 | Ethicon Llc | Surgeon feedback sensing and display methods |
US20140135804A1 (en) | 2012-11-15 | 2014-05-15 | Ethicon Endo-Surgery, Inc. | Ultrasonic and electrosurgical devices |
US9848900B2 (en) | 2012-12-07 | 2017-12-26 | Ethicon Llc | Ultrasonic surgical blade |
US9364277B2 (en) | 2012-12-13 | 2016-06-14 | Cook Medical Technologies Llc | RF energy controller and method for electrosurgical medical devices |
US9204921B2 (en) | 2012-12-13 | 2015-12-08 | Cook Medical Technologies Llc | RF energy controller and method for electrosurgical medical devices |
US9468498B2 (en) | 2012-12-20 | 2016-10-18 | Cook Medical Technologies Llc | Magnetic activation of monopolar and bipolar devices |
US20140207124A1 (en) | 2013-01-23 | 2014-07-24 | Ethicon Endo-Surgery, Inc. | Surgical instrument with selectable integral or external power source |
JP6382235B2 (ja) | 2013-03-01 | 2018-08-29 | エシコン・エンド−サージェリィ・インコーポレイテッドEthicon Endo−Surgery,Inc. | 信号通信用の導電路を備えた関節運動可能な外科用器具 |
JP6345707B2 (ja) | 2013-03-01 | 2018-06-20 | エシコン・エンド−サージェリィ・インコーポレイテッドEthicon Endo−Surgery,Inc. | ソフトストップを備えた外科用器具 |
USD707818S1 (en) | 2013-03-05 | 2014-06-24 | Alcon Research Ltd. | Capsulorhexis handpiece |
US9895186B2 (en) * | 2013-03-11 | 2018-02-20 | Covidien | Systems and methods for detecting abnormalities within a circuit of an electrosurgical generator |
US9270202B2 (en) | 2013-03-11 | 2016-02-23 | Covidien Lp | Constant power inverter with crest factor control |
US9519021B2 (en) | 2013-03-11 | 2016-12-13 | Covidien Lp | Systems and methods for detecting abnormalities within a circuit of an electrosurgical generator |
US9220569B2 (en) | 2013-03-13 | 2015-12-29 | Ethicon Endo-Surgery, Inc. | Electrosurgical device with disposable shaft having translating gear and snap fit |
US10058310B2 (en) | 2013-03-13 | 2018-08-28 | Ethicon Llc | Electrosurgical device with drum-driven articulation |
US9737300B2 (en) | 2013-03-13 | 2017-08-22 | Ethicon Llc | Electrosurgical device with disposable shaft having rack and pinion drive |
US9107685B2 (en) | 2013-03-13 | 2015-08-18 | Ethicon Endo-Surgery, Inc. | Electrosurgical device with disposable shaft having clamshell coupling |
US9314308B2 (en) | 2013-03-13 | 2016-04-19 | Ethicon Endo-Surgery, Llc | Robotic ultrasonic surgical device with articulating end effector |
US9254170B2 (en) | 2013-03-13 | 2016-02-09 | Ethicon Endo-Surgery, Inc. | Electrosurgical device with disposable shaft having modular subassembly |
US9402687B2 (en) | 2013-03-13 | 2016-08-02 | Ethicon Endo-Surgery, Llc | Robotic electrosurgical device with disposable shaft |
US10226273B2 (en) | 2013-03-14 | 2019-03-12 | Ethicon Llc | Mechanical fasteners for use with surgical energy devices |
US20140276730A1 (en) | 2013-03-14 | 2014-09-18 | Ethicon Endo-Surgery, Inc. | Surgical instrument with reinforced articulation section |
US9254171B2 (en) | 2013-03-14 | 2016-02-09 | Ethicon Endo-Surgery, Inc. | Electrosurgical instrument with multi-stage actuator |
US9629629B2 (en) | 2013-03-14 | 2017-04-25 | Ethicon Endo-Surgey, LLC | Control systems for surgical instruments |
US9168090B2 (en) | 2013-03-14 | 2015-10-27 | Ethicon Endo-Surgery, Inc. | Electrosurgical instrument with restricted trigger |
US9877782B2 (en) | 2013-03-14 | 2018-01-30 | Ethicon Llc | Electrosurgical instrument end effector with compliant electrode |
US9332987B2 (en) | 2013-03-14 | 2016-05-10 | Ethicon Endo-Surgery, Llc | Control arrangements for a drive member of a surgical instrument |
US10016229B2 (en) | 2013-03-15 | 2018-07-10 | Myoscience, Inc. | Methods and systems for treatment of occipital neuralgia |
US9510906B2 (en) | 2013-03-15 | 2016-12-06 | Ethicon Endo-Surgery, Llc | Tissue clamping features of surgical instrument end effector |
CN105228546B (zh) * | 2013-03-15 | 2017-11-14 | 波士顿科学国际有限公司 | 利用阻抗补偿的用于治疗高血压的医疗器械和方法 |
US9895161B2 (en) | 2013-03-15 | 2018-02-20 | Ethicon Llc | Ultrasonic surgical shears with clamping feature |
US9241728B2 (en) | 2013-03-15 | 2016-01-26 | Ethicon Endo-Surgery, Inc. | Surgical instrument with multiple clamping mechanisms |
US9283028B2 (en) | 2013-03-15 | 2016-03-15 | Covidien Lp | Crest-factor control of phase-shifted inverter |
US9237923B2 (en) | 2013-03-15 | 2016-01-19 | Ethicon Endo-Surgery, Inc. | Surgical instrument with partial trigger lockout |
WO2014145148A2 (en) * | 2013-03-15 | 2014-09-18 | Ellman International, Inc. | Surgical instruments and systems with multimodes of treatments and electrosurgical operation |
US9295512B2 (en) | 2013-03-15 | 2016-03-29 | Myoscience, Inc. | Methods and devices for pain management |
US9610112B2 (en) | 2013-03-15 | 2017-04-04 | Myoscience, Inc. | Cryogenic enhancement of joint function, alleviation of joint stiffness and/or alleviation of pain associated with osteoarthritis |
BR112015026109B1 (pt) | 2013-04-16 | 2022-02-22 | Ethicon Endo-Surgery, Inc | Instrumento cirúrgico |
US9844368B2 (en) | 2013-04-16 | 2017-12-19 | Ethicon Llc | Surgical system comprising first and second drive systems |
AU2014257302B2 (en) | 2013-04-24 | 2019-04-18 | Medovex, LLC | Minimally invasive methods for spinal facet therapy to alleviate pain and associated surgical tools, kits and instructional media |
US9579118B2 (en) | 2013-05-01 | 2017-02-28 | Ethicon Endo-Surgery, Llc | Electrosurgical instrument with dual blade end effector |
US9566110B2 (en) | 2013-05-09 | 2017-02-14 | Ethicon Endo-Surgery, Llc | Surgical instrument with jaw opening assist feature |
US9629648B2 (en) | 2013-05-10 | 2017-04-25 | Ethicon Endo-Surgery, Llc | Surgical instrument with translating compliant jaw closure feature |
US9237900B2 (en) | 2013-05-10 | 2016-01-19 | Ethicon Endo-Surgery, Inc. | Surgical instrument with split jaw |
US9504516B2 (en) | 2013-05-31 | 2016-11-29 | Covidien LLP | Gain compensation for a full bridge inverter |
US9579147B2 (en) | 2013-06-04 | 2017-02-28 | Ethicon Endo-Surgery, Llc | Electrosurgical forceps with translating blade driver |
US9351788B2 (en) | 2013-06-06 | 2016-05-31 | Ethicon Endo-Surgery, Llc | Surgical instrument having knife band with curved distal edge |
US9814618B2 (en) | 2013-06-06 | 2017-11-14 | Boston Scientific Scimed, Inc. | Devices for delivering energy and related methods of use |
US9504520B2 (en) | 2013-06-06 | 2016-11-29 | Ethicon Endo-Surgery, Llc | Surgical instrument with modular motor |
USD742013S1 (en) * | 2013-06-18 | 2015-10-27 | Electromed, Inc. | Air pulsating generator |
US9775667B2 (en) | 2013-06-18 | 2017-10-03 | Ethicon Llc | Surgical instrument with articulation indicator |
US11432900B2 (en) | 2013-07-03 | 2022-09-06 | Histosonics, Inc. | Articulating arm limiter for cavitational ultrasound therapy system |
US10729484B2 (en) | 2013-07-16 | 2020-08-04 | Covidien Lp | Electrosurgical generator with continuously and arbitrarily variable crest factor |
US10610285B2 (en) | 2013-07-19 | 2020-04-07 | Covidien Lp | Electrosurgical generators |
US9872719B2 (en) | 2013-07-24 | 2018-01-23 | Covidien Lp | Systems and methods for generating electrosurgical energy using a multistage power converter |
US9636165B2 (en) | 2013-07-29 | 2017-05-02 | Covidien Lp | Systems and methods for measuring tissue impedance through an electrosurgical cable |
CN105338917B (zh) * | 2013-08-02 | 2018-02-06 | 奥林巴斯株式会社 | 生物体组织接合系统、处置器具控制装置 |
EP3854325A1 (en) | 2013-08-07 | 2021-07-28 | Stryker Corporation | System for driving an ultrasonic handpiece as a function of the mechanical impedance of the handpiece |
WO2015027164A1 (en) | 2013-08-22 | 2015-02-26 | The Regents Of The University Of Michigan | Histotripsy using very short ultrasound pulses |
US20150053746A1 (en) | 2013-08-23 | 2015-02-26 | Ethicon Endo-Surgery, Inc. | Torque optimization for surgical instruments |
JP6416260B2 (ja) | 2013-08-23 | 2018-10-31 | エシコン エルエルシー | 動力付き外科用器具のための発射部材後退装置 |
US9295514B2 (en) | 2013-08-30 | 2016-03-29 | Ethicon Endo-Surgery, Llc | Surgical devices with close quarter articulation features |
US9814514B2 (en) | 2013-09-13 | 2017-11-14 | Ethicon Llc | Electrosurgical (RF) medical instruments for cutting and coagulating tissue |
US9861428B2 (en) | 2013-09-16 | 2018-01-09 | Ethicon Llc | Integrated systems for electrosurgical steam or smoke control |
US10172636B2 (en) | 2013-09-17 | 2019-01-08 | Ethicon Llc | Articulation features for ultrasonic surgical instrument |
US20150080925A1 (en) | 2013-09-19 | 2015-03-19 | Ethicon Endo-Surgery, Inc. | Alignment features for ultrasonic surgical instrument |
US10231747B2 (en) | 2013-09-20 | 2019-03-19 | Ethicon Llc | Transducer features for ultrasonic surgical instrument |
US9713469B2 (en) | 2013-09-23 | 2017-07-25 | Ethicon Llc | Surgical stapler with rotary cam drive |
US10832818B2 (en) | 2013-10-11 | 2020-11-10 | Masimo Corporation | Alarm notification system |
US10433902B2 (en) | 2013-10-23 | 2019-10-08 | Medtronic Ardian Luxembourg S.A.R.L. | Current control methods and systems |
USD914883S1 (en) | 2013-10-23 | 2021-03-30 | St. Jude Medical, Cardiology Division, Inc. | Ablation generator |
USD747491S1 (en) * | 2013-10-23 | 2016-01-12 | St. Jude Medical, Cardiology Division, Inc. | Ablation generator |
US9265926B2 (en) | 2013-11-08 | 2016-02-23 | Ethicon Endo-Surgery, Llc | Electrosurgical devices |
EP3065659A2 (en) | 2013-11-08 | 2016-09-14 | Cook Medical Technologies LLC | Handle and power cord assemblies for bipolar electrosurgical devices |
US9526565B2 (en) | 2013-11-08 | 2016-12-27 | Ethicon Endo-Surgery, Llc | Electrosurgical devices |
US9861381B2 (en) | 2013-11-12 | 2018-01-09 | Ethicon Llc | Removable battery casing for surgical instrument |
US9901358B2 (en) | 2013-11-15 | 2018-02-27 | Ethicon Llc | Ultrasonic surgical instrument with integral blade cleaning feature |
US9907600B2 (en) | 2013-11-15 | 2018-03-06 | Ethicon Llc | Ultrasonic anastomosis instrument with piezoelectric sealing head |
US9913655B2 (en) | 2013-11-18 | 2018-03-13 | Ethicon Llc | Surgical instrument with active element and suction cage |
US9763688B2 (en) | 2013-11-20 | 2017-09-19 | Ethicon Llc | Ultrasonic surgical instrument with features for forming bubbles to enhance cavitation |
US9949785B2 (en) | 2013-11-21 | 2018-04-24 | Ethicon Llc | Ultrasonic surgical instrument with electrosurgical feature |
US10226271B2 (en) | 2013-11-22 | 2019-03-12 | Ethicon Llc | Methods and features for coupling ultrasonic surgical instrument components together |
US10368892B2 (en) | 2013-11-22 | 2019-08-06 | Ethicon Llc | Features for coupling surgical instrument shaft assembly with instrument body |
EP3073942B1 (en) | 2013-11-26 | 2020-12-23 | Ethicon LLC | Features to apply fluid to an ultrasonic blade of a surgical instrument |
US9943325B2 (en) | 2013-11-26 | 2018-04-17 | Ethicon Llc | Handpiece and blade configurations for ultrasonic surgical instrument |
USD749730S1 (en) | 2013-11-26 | 2016-02-16 | Ethicon Endo-Surgery, Llc | Blade for ultrasonic surgical instrument |
GB2521228A (en) | 2013-12-16 | 2015-06-17 | Ethicon Endo Surgery Inc | Medical device |
GB2521229A (en) | 2013-12-16 | 2015-06-17 | Ethicon Endo Surgery Inc | Medical device |
US9724120B2 (en) | 2013-12-17 | 2017-08-08 | Ethicon Endo-Surgery, Llc | Clamp arm features for ultrasonic surgical instrument |
US9743946B2 (en) | 2013-12-17 | 2017-08-29 | Ethicon Llc | Rotation features for ultrasonic surgical instrument |
US9700341B2 (en) | 2013-12-26 | 2017-07-11 | Ethicon Llc | Loading features for ultrasonic surgical instrument |
US9763674B2 (en) | 2013-12-26 | 2017-09-19 | Ethicon Llc | Ultrasonic bone cutting instrument |
US9539020B2 (en) | 2013-12-27 | 2017-01-10 | Ethicon Endo-Surgery, Llc | Coupling features for ultrasonic surgical instrument |
US9795436B2 (en) | 2014-01-07 | 2017-10-24 | Ethicon Llc | Harvesting energy from a surgical generator |
US9901385B2 (en) | 2014-01-13 | 2018-02-27 | Covidien Lp | Systems and methods for multifrequency cable compensation |
US9408660B2 (en) | 2014-01-17 | 2016-08-09 | Ethicon Endo-Surgery, Llc | Device trigger dampening mechanism |
EP2904982B1 (de) | 2014-02-10 | 2021-04-07 | Erbe Elektromedizin GmbH | Elektrochirurgisches Gerät mit einem Buchseneinsatz, Set mit einem Entnahmewerkzeug und Verfahren zum entnehmen eines Buchseneinsatzes |
US9962161B2 (en) | 2014-02-12 | 2018-05-08 | Ethicon Llc | Deliverable surgical instrument |
CN106232029B (zh) | 2014-02-24 | 2019-04-12 | 伊西康内外科有限责任公司 | 包括击发构件锁定件的紧固系统 |
US10010340B2 (en) | 2014-02-28 | 2018-07-03 | Ethicon Llc | Ultrasonic surgical instrument with removable handle assembly |
US10349967B2 (en) | 2014-02-28 | 2019-07-16 | Ethicon Llc | Ultrasonic surgical instrument with removable handle assembly |
USD737438S1 (en) | 2014-03-04 | 2015-08-25 | Novartis Ag | Capsulorhexis handpiece |
US9554854B2 (en) | 2014-03-18 | 2017-01-31 | Ethicon Endo-Surgery, Llc | Detecting short circuits in electrosurgical medical devices |
USD737449S1 (en) * | 2014-03-24 | 2015-08-25 | Covidien Lp | Generator for medical treatment devices |
US9675374B2 (en) | 2014-03-24 | 2017-06-13 | Ethicon Llc | Ultrasonic forceps |
US10004497B2 (en) | 2014-03-26 | 2018-06-26 | Ethicon Llc | Interface systems for use with surgical instruments |
US9733663B2 (en) | 2014-03-26 | 2017-08-15 | Ethicon Llc | Power management through segmented circuit and variable voltage protection |
US10201364B2 (en) | 2014-03-26 | 2019-02-12 | Ethicon Llc | Surgical instrument comprising a rotatable shaft |
BR112016021943B1 (pt) | 2014-03-26 | 2022-06-14 | Ethicon Endo-Surgery, Llc | Instrumento cirúrgico para uso por um operador em um procedimento cirúrgico |
US10092310B2 (en) | 2014-03-27 | 2018-10-09 | Ethicon Llc | Electrosurgical devices |
US10463421B2 (en) | 2014-03-27 | 2019-11-05 | Ethicon Llc | Two stage trigger, clamp and cut bipolar vessel sealer |
US10524852B1 (en) | 2014-03-28 | 2020-01-07 | Ethicon Llc | Distal sealing end effector with spacers |
US9737355B2 (en) | 2014-03-31 | 2017-08-22 | Ethicon Llc | Controlling impedance rise in electrosurgical medical devices |
US9913680B2 (en) | 2014-04-15 | 2018-03-13 | Ethicon Llc | Software algorithms for electrosurgical instruments |
JP6636452B2 (ja) | 2014-04-16 | 2020-01-29 | エシコン エルエルシーEthicon LLC | 異なる構成を有する延在部を含む締結具カートリッジ |
US10561422B2 (en) | 2014-04-16 | 2020-02-18 | Ethicon Llc | Fastener cartridge comprising deployable tissue engaging members |
BR112016023825B1 (pt) | 2014-04-16 | 2022-08-02 | Ethicon Endo-Surgery, Llc | Cartucho de grampos para uso com um grampeador cirúrgico e cartucho de grampos para uso com um instrumento cirúrgico |
US20150297223A1 (en) | 2014-04-16 | 2015-10-22 | Ethicon Endo-Surgery, Inc. | Fastener cartridges including extensions having different configurations |
US10327764B2 (en) | 2014-09-26 | 2019-06-25 | Ethicon Llc | Method for creating a flexible staple line |
JP6532889B2 (ja) | 2014-04-16 | 2019-06-19 | エシコン エルエルシーEthicon LLC | 締結具カートリッジ組立体及びステープル保持具カバー配置構成 |
US9757186B2 (en) | 2014-04-17 | 2017-09-12 | Ethicon Llc | Device status feedback for bipolar tissue spacer |
US10667835B2 (en) | 2014-04-22 | 2020-06-02 | Ethicon Llc | Ultrasonic surgical instrument with end effector having restricted articulation |
US10258363B2 (en) | 2014-04-22 | 2019-04-16 | Ethicon Llc | Method of operating an articulating ultrasonic surgical instrument |
US10610292B2 (en) | 2014-04-25 | 2020-04-07 | Medtronic Ardian Luxembourg S.A.R.L. | Devices, systems, and methods for monitoring and/or controlling deployment of a neuromodulation element within a body lumen and related technology |
US11428591B2 (en) | 2014-05-05 | 2022-08-30 | Covidien Lp | End-effector force measurement drive circuit |
US10175127B2 (en) * | 2014-05-05 | 2019-01-08 | Covidien Lp | End-effector force measurement drive circuit |
USD777772S1 (en) | 2014-06-26 | 2017-01-31 | Covidien Lp | Electrosurgical generator display screen with transitional graphical user interface |
USD748803S1 (en) | 2014-06-26 | 2016-02-02 | Covidien Lp | Electrosurgical generator |
US9700333B2 (en) | 2014-06-30 | 2017-07-11 | Ethicon Llc | Surgical instrument with variable tissue compression |
US10702128B2 (en) | 2014-07-02 | 2020-07-07 | Xenocor, Inc. | Medical borescopes and related tip assemblies |
US9943214B2 (en) | 2014-07-02 | 2018-04-17 | Xenocor, Inc. | Medical borescopes and related methods and systems |
US9760520B2 (en) | 2014-07-11 | 2017-09-12 | Covidien Lp | Dynamic system management bus for an electrosurgical system |
US9750521B2 (en) | 2014-07-22 | 2017-09-05 | Ethicon Llc | Ultrasonic blade overmold |
USD736933S1 (en) * | 2014-07-25 | 2015-08-18 | Covidien Lp | Generator for medical treatment devices |
JP6689761B2 (ja) | 2014-07-30 | 2020-04-28 | メドヴェックス コーポレーションMedovex Corp. | 痛みを和らげるための脊椎椎間関節治療用の手術用器具、及び関連の方法 |
US10398494B2 (en) | 2014-07-30 | 2019-09-03 | Medovex Corp. | Surgical tools for spinal facet therapy to alleviate pain and related methods |
US10285724B2 (en) | 2014-07-31 | 2019-05-14 | Ethicon Llc | Actuation mechanisms and load adjustment assemblies for surgical instruments |
PL2982324T3 (pl) | 2014-08-06 | 2020-07-27 | Erbe Elektromedizin Gmbh | Moduł gniazda, urządzenie elektrochirurgiczne i zestaw z modułem gniazda |
US10194976B2 (en) | 2014-08-25 | 2019-02-05 | Ethicon Llc | Lockout disabling mechanism |
US9877776B2 (en) | 2014-08-25 | 2018-01-30 | Ethicon Llc | Simultaneous I-beam and spring driven cam jaw closure mechanism |
US10194972B2 (en) | 2014-08-26 | 2019-02-05 | Ethicon Llc | Managing tissue treatment |
US9962181B2 (en) | 2014-09-02 | 2018-05-08 | Tenex Health, Inc. | Subcutaneous wound debridement |
US10111679B2 (en) | 2014-09-05 | 2018-10-30 | Ethicon Llc | Circuitry and sensors for powered medical device |
BR112017004361B1 (pt) | 2014-09-05 | 2023-04-11 | Ethicon Llc | Sistema eletrônico para um instrumento cirúrgico |
US11311294B2 (en) | 2014-09-05 | 2022-04-26 | Cilag Gmbh International | Powered medical device including measurement of closure state of jaws |
US9901360B2 (en) | 2014-09-17 | 2018-02-27 | Ethicon Llc | Ultrasonic surgical instrument with retractable integral clamp arm |
US10058346B2 (en) | 2014-09-17 | 2018-08-28 | Ethicon Llc | Ultrasonic surgical instrument with removable clamp arm |
US10105142B2 (en) | 2014-09-18 | 2018-10-23 | Ethicon Llc | Surgical stapler with plurality of cutting elements |
JP6648119B2 (ja) | 2014-09-26 | 2020-02-14 | エシコン エルエルシーEthicon LLC | 外科ステープル留めバットレス及び付属物材料 |
US11523821B2 (en) | 2014-09-26 | 2022-12-13 | Cilag Gmbh International | Method for creating a flexible staple line |
US10076325B2 (en) | 2014-10-13 | 2018-09-18 | Ethicon Llc | Surgical stapling apparatus comprising a tissue stop |
US9907565B2 (en) | 2014-10-15 | 2018-03-06 | Eithicon LLC | Activation features for ultrasonic surgical instrument |
US9924944B2 (en) | 2014-10-16 | 2018-03-27 | Ethicon Llc | Staple cartridge comprising an adjunct material |
US10517594B2 (en) | 2014-10-29 | 2019-12-31 | Ethicon Llc | Cartridge assemblies for surgical staplers |
US11141153B2 (en) | 2014-10-29 | 2021-10-12 | Cilag Gmbh International | Staple cartridges comprising driver arrangements |
US10136938B2 (en) | 2014-10-29 | 2018-11-27 | Ethicon Llc | Electrosurgical instrument with sensor |
US11504192B2 (en) | 2014-10-30 | 2022-11-22 | Cilag Gmbh International | Method of hub communication with surgical instrument systems |
WO2016070013A1 (en) * | 2014-10-31 | 2016-05-06 | Medtronic Advanced Energy Llc | Fingerswitch circuitry to reduce rf leakage current |
US9844376B2 (en) | 2014-11-06 | 2017-12-19 | Ethicon Llc | Staple cartridge comprising a releasable adjunct material |
US10433863B2 (en) | 2014-11-25 | 2019-10-08 | Ethicon Llc | Ultrasonic surgical instrument with blade cooling through retraction |
US10004529B2 (en) | 2014-11-25 | 2018-06-26 | Ethicon Llc | Features to drive fluid toward an ultrasonic blade of a surgical instrument |
US10206705B2 (en) | 2014-11-25 | 2019-02-19 | Ethicon Llc | Features for communication of fluid through shaft assembly of ultrasonic surgical instrument |
CN104639150A (zh) * | 2014-12-05 | 2015-05-20 | 青岛鼎信通讯股份有限公司 | 集成式蜂鸣器智能驱动芯片系列 |
US10639092B2 (en) | 2014-12-08 | 2020-05-05 | Ethicon Llc | Electrode configurations for surgical instruments |
US10736636B2 (en) | 2014-12-10 | 2020-08-11 | Ethicon Llc | Articulatable surgical instrument system |
EP3190997B8 (en) | 2014-12-12 | 2020-04-15 | Medovex Corp. | Surgical tools with positional components |
USD759250S1 (en) * | 2014-12-12 | 2016-06-14 | Aesculap Ag | Power generator for surgical hand pieces |
US10076379B2 (en) | 2014-12-15 | 2018-09-18 | Ethicon Llc | Electrosurgical instrument with removable components for cleaning access |
US10188385B2 (en) | 2014-12-18 | 2019-01-29 | Ethicon Llc | Surgical instrument system comprising lockable systems |
US9844374B2 (en) | 2014-12-18 | 2017-12-19 | Ethicon Llc | Surgical instrument systems comprising an articulatable end effector and means for adjusting the firing stroke of a firing member |
US10085748B2 (en) | 2014-12-18 | 2018-10-02 | Ethicon Llc | Locking arrangements for detachable shaft assemblies with articulatable surgical end effectors |
US9844375B2 (en) | 2014-12-18 | 2017-12-19 | Ethicon Llc | Drive arrangements for articulatable surgical instruments |
US9987000B2 (en) | 2014-12-18 | 2018-06-05 | Ethicon Llc | Surgical instrument assembly comprising a flexible articulation system |
US10004501B2 (en) | 2014-12-18 | 2018-06-26 | Ethicon Llc | Surgical instruments with improved closure arrangements |
MX2017008108A (es) | 2014-12-18 | 2018-03-06 | Ethicon Llc | Instrumento quirurgico con un yunque que puede moverse de manera selectiva sobre un eje discreto no movil con relacion a un cartucho de grapas. |
US10117706B2 (en) | 2014-12-19 | 2018-11-06 | Ethicon Llc | Electrosurgical instrument with integral tissue removal feature |
US10357311B2 (en) | 2014-12-19 | 2019-07-23 | Ethicon Llc | Electrosurgical instrument with removable jaw components |
US10327796B2 (en) | 2014-12-19 | 2019-06-25 | Ethicon Llc | Ultrasonic surgical instrument with dual modes |
US9993284B2 (en) | 2014-12-19 | 2018-06-12 | Ethicon Llc | Electrosurgical instrument with jaw cleaning mode |
US9848937B2 (en) | 2014-12-22 | 2017-12-26 | Ethicon Llc | End effector with detectable configurations |
US10111699B2 (en) | 2014-12-22 | 2018-10-30 | Ethicon Llc | RF tissue sealer, shear grip, trigger lock mechanism and energy activation |
US10092348B2 (en) | 2014-12-22 | 2018-10-09 | Ethicon Llc | RF tissue sealer, shear grip, trigger lock mechanism and energy activation |
US10159524B2 (en) | 2014-12-22 | 2018-12-25 | Ethicon Llc | High power battery powered RF amplifier topology |
US10537667B2 (en) | 2015-01-28 | 2020-01-21 | Ethicon Llc | High temperature material for use in medical devices |
US10245095B2 (en) | 2015-02-06 | 2019-04-02 | Ethicon Llc | Electrosurgical instrument with rotation and articulation mechanisms |
WO2016132835A1 (ja) * | 2015-02-18 | 2016-08-25 | オリンパス株式会社 | 関節用手術システム |
US10321907B2 (en) | 2015-02-27 | 2019-06-18 | Ethicon Llc | System for monitoring whether a surgical instrument needs to be serviced |
US11154301B2 (en) | 2015-02-27 | 2021-10-26 | Cilag Gmbh International | Modular stapling assembly |
US10180463B2 (en) | 2015-02-27 | 2019-01-15 | Ethicon Llc | Surgical apparatus configured to assess whether a performance parameter of the surgical apparatus is within an acceptable performance band |
US10617412B2 (en) | 2015-03-06 | 2020-04-14 | Ethicon Llc | System for detecting the mis-insertion of a staple cartridge into a surgical stapler |
US9901342B2 (en) | 2015-03-06 | 2018-02-27 | Ethicon Endo-Surgery, Llc | Signal and power communication system positioned on a rotatable shaft |
US10245033B2 (en) | 2015-03-06 | 2019-04-02 | Ethicon Llc | Surgical instrument comprising a lockable battery housing |
US9993248B2 (en) | 2015-03-06 | 2018-06-12 | Ethicon Endo-Surgery, Llc | Smart sensors with local signal processing |
US9924961B2 (en) | 2015-03-06 | 2018-03-27 | Ethicon Endo-Surgery, Llc | Interactive feedback system for powered surgical instruments |
US10441279B2 (en) | 2015-03-06 | 2019-10-15 | Ethicon Llc | Multiple level thresholds to modify operation of powered surgical instruments |
US9808246B2 (en) | 2015-03-06 | 2017-11-07 | Ethicon Endo-Surgery, Llc | Method of operating a powered surgical instrument |
JP2020121162A (ja) | 2015-03-06 | 2020-08-13 | エシコン エルエルシーEthicon LLC | 測定の安定性要素、クリープ要素、及び粘弾性要素を決定するためのセンサデータの時間依存性評価 |
US10548504B2 (en) | 2015-03-06 | 2020-02-04 | Ethicon Llc | Overlaid multi sensor radio frequency (RF) electrode system to measure tissue compression |
US10687806B2 (en) | 2015-03-06 | 2020-06-23 | Ethicon Llc | Adaptive tissue compression techniques to adjust closure rates for multiple tissue types |
WO2016143367A1 (ja) * | 2015-03-10 | 2016-09-15 | オリンパス株式会社 | 駆動装置及び駆動装置の制御方法 |
US10321950B2 (en) | 2015-03-17 | 2019-06-18 | Ethicon Llc | Managing tissue treatment |
US10342602B2 (en) | 2015-03-17 | 2019-07-09 | Ethicon Llc | Managing tissue treatment |
US10595929B2 (en) | 2015-03-24 | 2020-03-24 | Ethicon Llc | Surgical instruments with firing system overload protection mechanisms |
US10213201B2 (en) | 2015-03-31 | 2019-02-26 | Ethicon Llc | Stapling end effector configured to compensate for an uneven gap between a first jaw and a second jaw |
US10314638B2 (en) | 2015-04-07 | 2019-06-11 | Ethicon Llc | Articulating radio frequency (RF) tissue seal with articulating state sensing |
US10117702B2 (en) | 2015-04-10 | 2018-11-06 | Ethicon Llc | Surgical generator systems and related methods |
US20160296270A1 (en) * | 2015-04-10 | 2016-10-13 | Ethicon Endo-Surgery, Llc | Devices and methods for providing additional power to surgical devices |
US10034683B2 (en) | 2015-04-16 | 2018-07-31 | Ethicon Llc | Ultrasonic surgical instrument with rigidizing articulation drive members |
US10342567B2 (en) | 2015-04-16 | 2019-07-09 | Ethicon Llc | Ultrasonic surgical instrument with opposing thread drive for end effector articulation |
US10029125B2 (en) | 2015-04-16 | 2018-07-24 | Ethicon Llc | Ultrasonic surgical instrument with articulation joint having integral stiffening members |
US10226274B2 (en) | 2015-04-16 | 2019-03-12 | Ethicon Llc | Ultrasonic surgical instrument with articulation joint having plurality of locking positions |
US20160302819A1 (en) | 2015-04-16 | 2016-10-20 | Ethicon Endo-Surgery, Llc | Ultrasonic surgical instrument with articulating end effector having a curved blade |
US10111698B2 (en) | 2015-04-16 | 2018-10-30 | Ethicon Llc | Surgical instrument with rotatable shaft having plurality of locking positions |
US20160302818A1 (en) | 2015-04-16 | 2016-10-20 | Ethicon Endo-Surgery, Llc | Ultrasonic surgical instrument with movable rigidizing member |
US10130410B2 (en) | 2015-04-17 | 2018-11-20 | Ethicon Llc | Electrosurgical instrument including a cutting member decouplable from a cutting member trigger |
US9872725B2 (en) | 2015-04-29 | 2018-01-23 | Ethicon Llc | RF tissue sealer with mode selection |
WO2016183084A1 (en) | 2015-05-11 | 2016-11-17 | Stryker Corporation | System and method for driving an ultrasonic handpiece with a linear amplifier |
WO2016192120A1 (zh) * | 2015-06-05 | 2016-12-08 | 阮元 | 检测脉搏时的专利信息提示方法以及腕上移动终端 |
US10034684B2 (en) | 2015-06-15 | 2018-07-31 | Ethicon Llc | Apparatus and method for dissecting and coagulating tissue |
US11020140B2 (en) | 2015-06-17 | 2021-06-01 | Cilag Gmbh International | Ultrasonic surgical blade for use with ultrasonic surgical instruments |
USD775734S1 (en) * | 2015-06-18 | 2017-01-03 | Covidien Lp | Electrosurgical generator |
JP6979882B2 (ja) | 2015-06-24 | 2021-12-15 | ザ リージェンツ オブ ザ ユニヴァシティ オブ ミシガン | 脳組織の治療のための組織破砕療法システムおよび方法 |
US10898256B2 (en) | 2015-06-30 | 2021-01-26 | Ethicon Llc | Surgical system with user adaptable techniques based on tissue impedance |
US11129669B2 (en) | 2015-06-30 | 2021-09-28 | Cilag Gmbh International | Surgical system with user adaptable techniques based on tissue type |
US11141213B2 (en) | 2015-06-30 | 2021-10-12 | Cilag Gmbh International | Surgical instrument with user adaptable techniques |
US10357303B2 (en) | 2015-06-30 | 2019-07-23 | Ethicon Llc | Translatable outer tube for sealing using shielded lap chole dissector |
US11051873B2 (en) * | 2015-06-30 | 2021-07-06 | Cilag Gmbh International | Surgical system with user adaptable techniques employing multiple energy modalities based on tissue parameters |
US10034704B2 (en) * | 2015-06-30 | 2018-07-31 | Ethicon Llc | Surgical instrument with user adaptable algorithms |
US10154852B2 (en) | 2015-07-01 | 2018-12-18 | Ethicon Llc | Ultrasonic surgical blade with improved cutting and coagulation features |
WO2017011619A1 (en) | 2015-07-15 | 2017-01-19 | Stryker Corporation | System and method for controlling an ultrasonic tool |
US11446078B2 (en) | 2015-07-20 | 2022-09-20 | Megadyne Medical Products, Inc. | Electrosurgical wave generator |
ITUB20152393A1 (it) * | 2015-07-22 | 2017-01-22 | Otech Ind S R L | Apparecchio di elettrochirurgia per eseguire un’azione di taglio su tessuti di un corpo di un paziente umano od animale. |
US11058425B2 (en) | 2015-08-17 | 2021-07-13 | Ethicon Llc | Implantable layers for a surgical instrument |
US10321930B2 (en) | 2015-08-24 | 2019-06-18 | Ethicon Llc | Activation features for ultrasonic surgical instrument |
US10130383B2 (en) | 2015-08-25 | 2018-11-20 | Ethicon Llc | Ultrasonic surgical instrument with rotatable actuation levers and mechanical lockout |
US10258361B2 (en) | 2015-08-26 | 2019-04-16 | Ethicon Llc | Ultrasonic surgical instrument with slidable flexing activation member |
US10507033B2 (en) | 2015-08-26 | 2019-12-17 | Ethicon Llc | Ultrasonic surgical instrument with replaceable clamp pad |
US10426506B2 (en) | 2015-08-26 | 2019-10-01 | Ethicon Llc | Ultrasonic surgical instrument with multi-grip activation and power selection |
US10413314B2 (en) | 2015-08-26 | 2019-09-17 | Ethicon Llc | Ultrasonic surgical instrument with activation member pair and slidable cover |
US10456157B2 (en) | 2015-08-26 | 2019-10-29 | Ethicon Llc | Ultrasonic surgical instrument clamp arm with snap-on clamp pad |
EP3349677A1 (en) * | 2015-09-17 | 2018-07-25 | Eximis Surgical LLC | Electrosurgical device and methods |
US10363036B2 (en) | 2015-09-23 | 2019-07-30 | Ethicon Llc | Surgical stapler having force-based motor control |
US10238386B2 (en) | 2015-09-23 | 2019-03-26 | Ethicon Llc | Surgical stapler having motor control based on an electrical parameter related to a motor current |
US10327769B2 (en) | 2015-09-23 | 2019-06-25 | Ethicon Llc | Surgical stapler having motor control based on a drive system component |
US10105139B2 (en) | 2015-09-23 | 2018-10-23 | Ethicon Llc | Surgical stapler having downstream current-based motor control |
US10299878B2 (en) | 2015-09-25 | 2019-05-28 | Ethicon Llc | Implantable adjunct systems for determining adjunct skew |
CN108289708B (zh) * | 2015-09-30 | 2021-09-10 | 伊西康有限责任公司 | 组合式发生器的电路拓扑 |
MX2018003943A (es) * | 2015-09-30 | 2018-11-09 | Ethicon Llc | Técnicas de protección para generador para generar de manera digital formas de onda de señal eléctrica ultrasónica y electroquirúrgica. |
US10285699B2 (en) | 2015-09-30 | 2019-05-14 | Ethicon Llc | Compressible adjunct |
US11890015B2 (en) | 2015-09-30 | 2024-02-06 | Cilag Gmbh International | Compressible adjunct with crossing spacer fibers |
US11033322B2 (en) | 2015-09-30 | 2021-06-15 | Ethicon Llc | Circuit topologies for combined generator |
US10980539B2 (en) | 2015-09-30 | 2021-04-20 | Ethicon Llc | Implantable adjunct comprising bonded layers |
US10327777B2 (en) | 2015-09-30 | 2019-06-25 | Ethicon Llc | Implantable layer comprising plastically deformed fibers |
US10595930B2 (en) | 2015-10-16 | 2020-03-24 | Ethicon Llc | Electrode wiping surgical device |
US10959771B2 (en) | 2015-10-16 | 2021-03-30 | Ethicon Llc | Suction and irrigation sealing grasper |
US10548655B2 (en) | 2015-10-16 | 2020-02-04 | Ethicon Llc | Control and electrical connections for electrode endocutter device |
US10327797B2 (en) | 2015-10-16 | 2019-06-25 | Ethicon Llc | Ultrasonic surgical instrument with removable shaft assembly portion |
US11020200B2 (en) | 2015-10-19 | 2021-06-01 | Ethicon Llc | Surgical instrument with dual mode end effector and compound lever with detents |
US10507035B2 (en) | 2015-10-20 | 2019-12-17 | Ethicon Llc | Surgical instrument providing ultrasonic tissue emulsification and ultrasonic shearing |
US10028765B2 (en) | 2015-10-30 | 2018-07-24 | Ethicon Llc | Ultrasonic surgical instrument clamp arm with proximal nodal pad |
US10639059B2 (en) | 2015-11-25 | 2020-05-05 | Ethicon Llc | Restricted usage features for surgical instrument |
EP3383248A4 (en) * | 2015-12-03 | 2019-07-17 | Xenocor, Inc. | MEDICAL BOROSCOPES AND RELATED METHODS AND SYSTEMS |
US20170164997A1 (en) | 2015-12-10 | 2017-06-15 | Ethicon Endo-Surgery, Llc | Method of treating tissue using end effector with ultrasonic and electrosurgical features |
US10660692B2 (en) | 2015-12-10 | 2020-05-26 | Ethicon Llc | End effector for instrument with ultrasonic blade and bipolar clamp arm |
US20170164972A1 (en) | 2015-12-10 | 2017-06-15 | Ethicon Endo-Surgery, Llc | End effector for instrument with ultrasonic and electrosurgical features |
US10238413B2 (en) | 2015-12-16 | 2019-03-26 | Ethicon Llc | Surgical instrument with multi-function button |
US10470790B2 (en) | 2015-12-16 | 2019-11-12 | Ethicon Llc | Surgical instrument with selector |
US20170172614A1 (en) | 2015-12-17 | 2017-06-22 | Ethicon Endo-Surgery, Llc | Surgical instrument with multi-functioning trigger |
US10492885B2 (en) | 2015-12-17 | 2019-12-03 | Ethicon Llc | Ultrasonic surgical instrument with cleaning port |
US10368894B2 (en) | 2015-12-21 | 2019-08-06 | Ethicon Llc | Surgical instrument with variable clamping force |
US10314607B2 (en) | 2015-12-21 | 2019-06-11 | Ethicon Llc | Ultrasonic surgical instrument with tubular acoustic waveguide segment |
US10743901B2 (en) | 2015-12-29 | 2020-08-18 | Ethicon Llc | Snap fit clamp pad for ultrasonic surgical instrument |
US10265068B2 (en) | 2015-12-30 | 2019-04-23 | Ethicon Llc | Surgical instruments with separable motors and motor control circuits |
US10470791B2 (en) | 2015-12-30 | 2019-11-12 | Ethicon Llc | Surgical instrument with staged application of electrosurgical and ultrasonic energy |
US10179022B2 (en) | 2015-12-30 | 2019-01-15 | Ethicon Llc | Jaw position impedance limiter for electrosurgical instrument |
US10368865B2 (en) | 2015-12-30 | 2019-08-06 | Ethicon Llc | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US10959806B2 (en) | 2015-12-30 | 2021-03-30 | Ethicon Llc | Energized medical device with reusable handle |
US10292704B2 (en) | 2015-12-30 | 2019-05-21 | Ethicon Llc | Mechanisms for compensating for battery pack failure in powered surgical instruments |
US10575892B2 (en) | 2015-12-31 | 2020-03-03 | Ethicon Llc | Adapter for electrical surgical instruments |
US20170189095A1 (en) * | 2015-12-31 | 2017-07-06 | Ethicon Endo-Surgery, Llc | Multiple port electrical isolation technique for surgical instruments |
US11229471B2 (en) | 2016-01-15 | 2022-01-25 | Cilag Gmbh International | Modular battery powered handheld surgical instrument with selective application of energy based on tissue characterization |
US11129670B2 (en) | 2016-01-15 | 2021-09-28 | Cilag Gmbh International | Modular battery powered handheld surgical instrument with selective application of energy based on button displacement, intensity, or local tissue characterization |
US11051840B2 (en) | 2016-01-15 | 2021-07-06 | Ethicon Llc | Modular battery powered handheld surgical instrument with reusable asymmetric handle housing |
US10716615B2 (en) | 2016-01-15 | 2020-07-21 | Ethicon Llc | Modular battery powered handheld surgical instrument with curved end effectors having asymmetric engagement between jaw and blade |
US10582962B2 (en) | 2016-01-23 | 2020-03-10 | Covidien Lp | System and method for harmonic control of dual-output generators |
CN105832406B (zh) * | 2016-01-25 | 2023-10-13 | 安进医疗科技(北京)有限公司 | 功率控制方法及装置、控制设备及方法、电磁刀手术系统 |
USD810290S1 (en) | 2016-01-29 | 2018-02-13 | Medovex Corp. | Surgical portal driver |
US20170224332A1 (en) | 2016-02-09 | 2017-08-10 | Ethicon Endo-Surgery, Llc | Surgical instruments with non-symmetrical articulation arrangements |
US11213293B2 (en) | 2016-02-09 | 2022-01-04 | Cilag Gmbh International | Articulatable surgical instruments with single articulation link arrangements |
BR112018016098B1 (pt) | 2016-02-09 | 2023-02-23 | Ethicon Llc | Instrumento cirúrgico |
US11224426B2 (en) | 2016-02-12 | 2022-01-18 | Cilag Gmbh International | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US10448948B2 (en) | 2016-02-12 | 2019-10-22 | Ethicon Llc | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US10258331B2 (en) | 2016-02-12 | 2019-04-16 | Ethicon Llc | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US10555769B2 (en) | 2016-02-22 | 2020-02-11 | Ethicon Llc | Flexible circuits for electrosurgical instrument |
US10459740B2 (en) | 2016-03-04 | 2019-10-29 | Ethicon Llc | System and method to establish current setpoint for ultrasonic transducer |
US10492819B2 (en) | 2016-04-01 | 2019-12-03 | Ethicon Llc | Surgical instrument with dual mode articulation drive |
US11064997B2 (en) | 2016-04-01 | 2021-07-20 | Cilag Gmbh International | Surgical stapling instrument |
US10175096B2 (en) | 2016-04-01 | 2019-01-08 | Ethicon Llc | System and method to enable re-use of surgical instrument |
US10617413B2 (en) | 2016-04-01 | 2020-04-14 | Ethicon Llc | Closure system arrangements for surgical cutting and stapling devices with separate and distinct firing shafts |
US10575836B2 (en) | 2016-04-04 | 2020-03-03 | Ethicon Llc | Surgical instrument with selectively locked articulation assembly |
US10507034B2 (en) | 2016-04-04 | 2019-12-17 | Ethicon Llc | Surgical instrument with motorized articulation drive in shaft rotation knob |
US10743850B2 (en) | 2016-04-04 | 2020-08-18 | Ethicon Llc | Surgical instrument with locking articulation drive wheel |
US10405876B2 (en) | 2016-04-05 | 2019-09-10 | Ethicon Llc | Articulation joint for surgical instrument |
US10433864B2 (en) | 2016-04-13 | 2019-10-08 | Ethicon Llc | Ultrasonic surgical instrument with sliding blade sheath |
US11607239B2 (en) | 2016-04-15 | 2023-03-21 | Cilag Gmbh International | Systems and methods for controlling a surgical stapling and cutting instrument |
US10426467B2 (en) | 2016-04-15 | 2019-10-01 | Ethicon Llc | Surgical instrument with detection sensors |
US10492783B2 (en) | 2016-04-15 | 2019-12-03 | Ethicon, Llc | Surgical instrument with improved stop/start control during a firing motion |
US10456137B2 (en) | 2016-04-15 | 2019-10-29 | Ethicon Llc | Staple formation detection mechanisms |
US11179150B2 (en) | 2016-04-15 | 2021-11-23 | Cilag Gmbh International | Systems and methods for controlling a surgical stapling and cutting instrument |
US10405859B2 (en) | 2016-04-15 | 2019-09-10 | Ethicon Llc | Surgical instrument with adjustable stop/start control during a firing motion |
US10828028B2 (en) | 2016-04-15 | 2020-11-10 | Ethicon Llc | Surgical instrument with multiple program responses during a firing motion |
US10335145B2 (en) | 2016-04-15 | 2019-07-02 | Ethicon Llc | Modular surgical instrument with configurable operating mode |
US10357247B2 (en) | 2016-04-15 | 2019-07-23 | Ethicon Llc | Surgical instrument with multiple program responses during a firing motion |
US10368867B2 (en) | 2016-04-18 | 2019-08-06 | Ethicon Llc | Surgical instrument comprising a lockout |
US20170296173A1 (en) | 2016-04-18 | 2017-10-19 | Ethicon Endo-Surgery, Llc | Method for operating a surgical instrument |
US11317917B2 (en) | 2016-04-18 | 2022-05-03 | Cilag Gmbh International | Surgical stapling system comprising a lockable firing assembly |
US10286424B2 (en) | 2016-04-26 | 2019-05-14 | Ethicon Llc | Ultrasonic cleaning of surgical instrument |
US10987156B2 (en) | 2016-04-29 | 2021-04-27 | Ethicon Llc | Electrosurgical instrument with electrically conductive gap setting member and electrically insulative tissue engaging members |
US10485607B2 (en) | 2016-04-29 | 2019-11-26 | Ethicon Llc | Jaw structure with distal closure for electrosurgical instruments |
US10856934B2 (en) | 2016-04-29 | 2020-12-08 | Ethicon Llc | Electrosurgical instrument with electrically conductive gap setting and tissue engaging members |
US10646269B2 (en) | 2016-04-29 | 2020-05-12 | Ethicon Llc | Non-linear jaw gap for electrosurgical instruments |
US10172684B2 (en) | 2016-04-29 | 2019-01-08 | Ethicon Llc | Lifecycle monitoring features for surgical instrument |
US10702329B2 (en) | 2016-04-29 | 2020-07-07 | Ethicon Llc | Jaw structure with distal post for electrosurgical instruments |
US10456193B2 (en) | 2016-05-03 | 2019-10-29 | Ethicon Llc | Medical device with a bilateral jaw configuration for nerve stimulation |
US10543013B2 (en) | 2016-05-19 | 2020-01-28 | Ethicon Llc | Passive dissection features for ultrasonic surgical instrument |
US10624667B2 (en) * | 2016-05-20 | 2020-04-21 | Ethicon Llc | System and method to track usage of surgical instrument |
US10555748B2 (en) | 2016-05-25 | 2020-02-11 | Ethicon Llc | Features and methods to control delivery of cooling fluid to end effector of ultrasonic surgical instrument |
US10702296B2 (en) | 2016-05-25 | 2020-07-07 | Ethicon Llc | Ultrasonic surgical instrument with cooling conduit |
US10660663B2 (en) | 2016-05-25 | 2020-05-26 | Ethicon Llc | Ultrasonic surgical instrument blade with heat reduction feature |
CN113598892A (zh) | 2016-05-31 | 2021-11-05 | 史赛克公司 | 包括具有漏电控制绕组且具有电容器的变压器的控制台 |
US10537382B2 (en) | 2016-06-24 | 2020-01-21 | Ethicon Llc | Surgical instrument with latching trigger lockout |
US10543014B2 (en) | 2016-07-01 | 2020-01-28 | Ethicon Llc | Ultrasonic surgical instrument with clamp arm deflection feature |
US10617302B2 (en) | 2016-07-07 | 2020-04-14 | Masimo Corporation | Wearable pulse oximeter and respiration monitor |
CN106021174B (zh) * | 2016-07-08 | 2023-04-18 | 山东威瑞外科医用制品有限公司 | 超声刀频率跟踪装置及方法 |
US10258362B2 (en) | 2016-07-12 | 2019-04-16 | Ethicon Llc | Ultrasonic surgical instrument with AD HOC formed blade |
US10245064B2 (en) | 2016-07-12 | 2019-04-02 | Ethicon Llc | Ultrasonic surgical instrument with piezoelectric central lumen transducer |
US10893883B2 (en) | 2016-07-13 | 2021-01-19 | Ethicon Llc | Ultrasonic assembly for use with ultrasonic surgical instruments |
US10842522B2 (en) | 2016-07-15 | 2020-11-24 | Ethicon Llc | Ultrasonic surgical instruments having offset blades |
US11026757B2 (en) * | 2016-07-20 | 2021-06-08 | Intuitive Surgical Operations, Inc. | Surgical cannulas, and related systems and methods |
EP3488501A4 (en) * | 2016-07-21 | 2020-03-25 | Canary Connect, Inc. | REVERSIBLE CONNECTOR ASSEMBLY FOR POWER AND DATA |
WO2018025430A1 (ja) * | 2016-08-02 | 2018-02-08 | オリンパス株式会社 | 内視鏡システムおよび信号処理装置 |
US10376305B2 (en) | 2016-08-05 | 2019-08-13 | Ethicon Llc | Methods and systems for advanced harmonic energy |
US10285723B2 (en) | 2016-08-09 | 2019-05-14 | Ethicon Llc | Ultrasonic surgical blade with improved heel portion |
US11006997B2 (en) * | 2016-08-09 | 2021-05-18 | Covidien Lp | Ultrasonic and radiofrequency energy production and control from a single power converter |
USD847990S1 (en) | 2016-08-16 | 2019-05-07 | Ethicon Llc | Surgical instrument |
US10952759B2 (en) | 2016-08-25 | 2021-03-23 | Ethicon Llc | Tissue loading of a surgical instrument |
US10555750B2 (en) | 2016-08-25 | 2020-02-11 | Ethicon Llc | Ultrasonic surgical instrument with replaceable blade having identification feature |
US10828056B2 (en) | 2016-08-25 | 2020-11-10 | Ethicon Llc | Ultrasonic transducer to waveguide acoustic coupling, connections, and configurations |
US10543357B2 (en) * | 2016-09-19 | 2020-01-28 | Pulse Biosciences, Inc. | High voltage connectors for pulse generators |
US10751117B2 (en) | 2016-09-23 | 2020-08-25 | Ethicon Llc | Electrosurgical instrument with fluid diverter |
DE112016007242T5 (de) * | 2016-10-28 | 2019-06-06 | Olympus Corporation | Medizinisches behandlungsgerät und betätigungsverfahren für ein medizinisches behandlungsgerät |
US10736648B2 (en) | 2016-11-16 | 2020-08-11 | Ethicon Llc | Surgical instrument with removable portion to facilitate cleaning |
US10603064B2 (en) | 2016-11-28 | 2020-03-31 | Ethicon Llc | Ultrasonic transducer |
US11266430B2 (en) | 2016-11-29 | 2022-03-08 | Cilag Gmbh International | End effector control and calibration |
US9833256B1 (en) * | 2016-12-14 | 2017-12-05 | Ethicon Endo-Surgery, Llc | Ultrasonic surgical instrument with transducer slip joint |
US10660722B2 (en) | 2016-12-14 | 2020-05-26 | Ethicon Llc | Ultrasonic surgical instrument with integral shaft assembly torque wrench |
US10603129B2 (en) | 2016-12-14 | 2020-03-31 | Ethicon Llc | Ultrasonic surgical instrument with integral torque wrench and longitudinal engagement |
US10646300B2 (en) | 2016-12-14 | 2020-05-12 | Ethicon Llc | Ultrasonic surgical instrument with transducer locking feature |
US10575917B2 (en) | 2016-12-14 | 2020-03-03 | Ethicon Llc | Ultrasonic surgical instrument with integral torque wrench and transverse engagement |
US10568624B2 (en) | 2016-12-21 | 2020-02-25 | Ethicon Llc | Surgical instruments with jaws that are pivotable about a fixed axis and include separate and distinct closure and firing systems |
US10856868B2 (en) | 2016-12-21 | 2020-12-08 | Ethicon Llc | Firing member pin configurations |
US10959727B2 (en) | 2016-12-21 | 2021-03-30 | Ethicon Llc | Articulatable surgical end effector with asymmetric shaft arrangement |
US20180168625A1 (en) | 2016-12-21 | 2018-06-21 | Ethicon Endo-Surgery, Llc | Surgical stapling instruments with smart staple cartridges |
JP7010956B2 (ja) | 2016-12-21 | 2022-01-26 | エシコン エルエルシー | 組織をステープル留めする方法 |
US20180168615A1 (en) | 2016-12-21 | 2018-06-21 | Ethicon Endo-Surgery, Llc | Method of deforming staples from two different types of staple cartridges with the same surgical stapling instrument |
MX2019007311A (es) | 2016-12-21 | 2019-11-18 | Ethicon Llc | Sistemas de engrapado quirurgico. |
US10588631B2 (en) | 2016-12-21 | 2020-03-17 | Ethicon Llc | Surgical instruments with positive jaw opening features |
US10888322B2 (en) | 2016-12-21 | 2021-01-12 | Ethicon Llc | Surgical instrument comprising a cutting member |
US11419606B2 (en) | 2016-12-21 | 2022-08-23 | Cilag Gmbh International | Shaft assembly comprising a clutch configured to adapt the output of a rotary firing member to two different systems |
US11090048B2 (en) | 2016-12-21 | 2021-08-17 | Cilag Gmbh International | Method for resetting a fuse of a surgical instrument shaft |
US10973516B2 (en) | 2016-12-21 | 2021-04-13 | Ethicon Llc | Surgical end effectors and adaptable firing members therefor |
US10918385B2 (en) | 2016-12-21 | 2021-02-16 | Ethicon Llc | Surgical system comprising a firing member rotatable into an articulation state to articulate an end effector of the surgical system |
US20180168633A1 (en) | 2016-12-21 | 2018-06-21 | Ethicon Endo-Surgery, Llc | Surgical stapling instruments and staple-forming anvils |
US10695055B2 (en) | 2016-12-21 | 2020-06-30 | Ethicon Llc | Firing assembly comprising a lockout |
US11134942B2 (en) | 2016-12-21 | 2021-10-05 | Cilag Gmbh International | Surgical stapling instruments and staple-forming anvils |
CN110099619B (zh) | 2016-12-21 | 2022-07-15 | 爱惜康有限责任公司 | 用于外科端部执行器和可替换工具组件的闭锁装置 |
US10426471B2 (en) | 2016-12-21 | 2019-10-01 | Ethicon Llc | Surgical instrument with multiple failure response modes |
US10682138B2 (en) | 2016-12-21 | 2020-06-16 | Ethicon Llc | Bilaterally asymmetric staple forming pocket pairs |
USD865964S1 (en) | 2017-01-05 | 2019-11-05 | Ethicon Llc | Handle for electrosurgical instrument |
US11033325B2 (en) | 2017-02-16 | 2021-06-15 | Cilag Gmbh International | Electrosurgical instrument with telescoping suction port and debris cleaner |
CN106725741B (zh) * | 2017-02-28 | 2019-08-27 | 重庆西山科技股份有限公司 | 超声换能器的采样装置及超声手术系统 |
US10799284B2 (en) | 2017-03-15 | 2020-10-13 | Ethicon Llc | Electrosurgical instrument with textured jaws |
US11497546B2 (en) | 2017-03-31 | 2022-11-15 | Cilag Gmbh International | Area ratios of patterned coatings on RF electrodes to reduce sticking |
US10881451B2 (en) | 2017-04-27 | 2021-01-05 | Ethicon Llc | Lead screw assembly for articulation control in surgical instrument |
US9987081B1 (en) * | 2017-04-27 | 2018-06-05 | Iowa Approach, Inc. | Systems, devices, and methods for signal generation |
US10980594B2 (en) | 2017-04-27 | 2021-04-20 | Ethicon Llc | Articulation drive feature in surgical instrument |
US10932845B2 (en) | 2017-04-27 | 2021-03-02 | Ethicon Llc | Detent feature for articulation control in surgical instrument |
AU2018258674A1 (en) | 2017-04-28 | 2019-11-14 | Stryker Corporation | System and method for indicating mapping of console-based surgical systems |
US11075591B2 (en) * | 2017-05-02 | 2021-07-27 | Dr. Hielscher Gmbh | Device for integrating electric conductors into low-frequency electric tank circuits |
US10945778B2 (en) | 2017-05-22 | 2021-03-16 | Ethicon Llc | Combination ultrasonic and electrosurgical instrument having slip ring electrical contact assembly |
US11278340B2 (en) | 2017-05-22 | 2022-03-22 | Cilag Gmbh International | Combination ultrasonic and electrosurgical instrument with adjustable energy modalities and method for sealing tissue and inhibiting tissue resection |
USD873418S1 (en) * | 2017-05-30 | 2020-01-21 | Cmr Surgical Limited | Cart for surgical robot arm |
US10571435B2 (en) * | 2017-06-08 | 2020-02-25 | Covidien Lp | Systems and methods for digital control of ultrasonic devices |
CA3007785C (en) * | 2017-06-12 | 2023-12-05 | Norman R. Byrne | Electrical connector with haptic feedback |
US11517325B2 (en) | 2017-06-20 | 2022-12-06 | Cilag Gmbh International | Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on measured displacement distance traveled over a specified time interval |
US11071554B2 (en) | 2017-06-20 | 2021-07-27 | Cilag Gmbh International | Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on magnitude of velocity error measurements |
US10327767B2 (en) | 2017-06-20 | 2019-06-25 | Ethicon Llc | Control of motor velocity of a surgical stapling and cutting instrument based on angle of articulation |
US11090046B2 (en) | 2017-06-20 | 2021-08-17 | Cilag Gmbh International | Systems and methods for controlling displacement member motion of a surgical stapling and cutting instrument |
US10881399B2 (en) | 2017-06-20 | 2021-01-05 | Ethicon Llc | Techniques for adaptive control of motor velocity of a surgical stapling and cutting instrument |
USD879809S1 (en) | 2017-06-20 | 2020-03-31 | Ethicon Llc | Display panel with changeable graphical user interface |
US10307170B2 (en) | 2017-06-20 | 2019-06-04 | Ethicon Llc | Method for closed loop control of motor velocity of a surgical stapling and cutting instrument |
US10779820B2 (en) | 2017-06-20 | 2020-09-22 | Ethicon Llc | Systems and methods for controlling motor speed according to user input for a surgical instrument |
US10881396B2 (en) | 2017-06-20 | 2021-01-05 | Ethicon Llc | Surgical instrument with variable duration trigger arrangement |
US10624633B2 (en) | 2017-06-20 | 2020-04-21 | Ethicon Llc | Systems and methods for controlling motor velocity of a surgical stapling and cutting instrument |
US10980537B2 (en) | 2017-06-20 | 2021-04-20 | Ethicon Llc | Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on measured time over a specified number of shaft rotations |
US10390841B2 (en) | 2017-06-20 | 2019-08-27 | Ethicon Llc | Control of motor velocity of a surgical stapling and cutting instrument based on angle of articulation |
USD890784S1 (en) | 2017-06-20 | 2020-07-21 | Ethicon Llc | Display panel with changeable graphical user interface |
USD879808S1 (en) | 2017-06-20 | 2020-03-31 | Ethicon Llc | Display panel with graphical user interface |
US10368864B2 (en) | 2017-06-20 | 2019-08-06 | Ethicon Llc | Systems and methods for controlling displaying motor velocity for a surgical instrument |
US10813639B2 (en) | 2017-06-20 | 2020-10-27 | Ethicon Llc | Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on system conditions |
US10646220B2 (en) | 2017-06-20 | 2020-05-12 | Ethicon Llc | Systems and methods for controlling displacement member velocity for a surgical instrument |
US11382638B2 (en) | 2017-06-20 | 2022-07-12 | Cilag Gmbh International | Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on measured time over a specified displacement distance |
US10888321B2 (en) | 2017-06-20 | 2021-01-12 | Ethicon Llc | Systems and methods for controlling velocity of a displacement member of a surgical stapling and cutting instrument |
US11653914B2 (en) | 2017-06-20 | 2023-05-23 | Cilag Gmbh International | Systems and methods for controlling motor velocity of a surgical stapling and cutting instrument according to articulation angle of end effector |
US10772629B2 (en) | 2017-06-27 | 2020-09-15 | Ethicon Llc | Surgical anvil arrangements |
US10856869B2 (en) | 2017-06-27 | 2020-12-08 | Ethicon Llc | Surgical anvil arrangements |
US20180368844A1 (en) | 2017-06-27 | 2018-12-27 | Ethicon Llc | Staple forming pocket arrangements |
US11266405B2 (en) | 2017-06-27 | 2022-03-08 | Cilag Gmbh International | Surgical anvil manufacturing methods |
US10993716B2 (en) | 2017-06-27 | 2021-05-04 | Ethicon Llc | Surgical anvil arrangements |
US11324503B2 (en) | 2017-06-27 | 2022-05-10 | Cilag Gmbh International | Surgical firing member arrangements |
USD893717S1 (en) | 2017-06-28 | 2020-08-18 | Ethicon Llc | Staple cartridge for surgical instrument |
USD851762S1 (en) | 2017-06-28 | 2019-06-18 | Ethicon Llc | Anvil |
US11058477B2 (en) | 2017-06-28 | 2021-07-13 | Cilag Gmbh International | Surgical cutting and fastening instruments with dual power sources |
US11065048B2 (en) | 2017-06-28 | 2021-07-20 | Cilag Gmbh International | Flexible circuit arrangement for surgical fastening instruments |
US10716614B2 (en) | 2017-06-28 | 2020-07-21 | Ethicon Llc | Surgical shaft assemblies with slip ring assemblies with increased contact pressure |
US11564686B2 (en) | 2017-06-28 | 2023-01-31 | Cilag Gmbh International | Surgical shaft assemblies with flexible interfaces |
US11103301B2 (en) | 2017-06-28 | 2021-08-31 | Cilag Gmbh International | Surgical system coupleable with staple cartridge and radio frequency cartridge, and having a plurality of radio-frequency energy return paths |
US11272976B2 (en) | 2017-06-28 | 2022-03-15 | Cilag Gmbh International | Surgical end effector for applying electrosurgical energy to different electrodes on different time periods |
US11484310B2 (en) | 2017-06-28 | 2022-11-01 | Cilag Gmbh International | Surgical instrument comprising a shaft including a closure tube profile |
US11160604B2 (en) | 2017-06-28 | 2021-11-02 | Cilag Gmbh International | Surgical end effector to adjust jaw compression |
US11259805B2 (en) | 2017-06-28 | 2022-03-01 | Cilag Gmbh International | Surgical instrument comprising firing member supports |
USD906355S1 (en) | 2017-06-28 | 2020-12-29 | Ethicon Llc | Display screen or portion thereof with a graphical user interface for a surgical instrument |
US10888325B2 (en) | 2017-06-28 | 2021-01-12 | Ethicon Llc | Cartridge arrangements for surgical cutting and fastening instruments with lockout disablement features |
USD869655S1 (en) | 2017-06-28 | 2019-12-10 | Ethicon Llc | Surgical fastener cartridge |
US11013552B2 (en) | 2017-06-28 | 2021-05-25 | Cilag Gmbh International | Electrosurgical cartridge for use in thin profile surgical cutting and stapling instrument |
US11478242B2 (en) | 2017-06-28 | 2022-10-25 | Cilag Gmbh International | Jaw retainer arrangement for retaining a pivotable surgical instrument jaw in pivotable retaining engagement with a second surgical instrument jaw |
USD908216S1 (en) | 2017-06-28 | 2021-01-19 | Ethicon Llc | Surgical instrument |
US10603117B2 (en) | 2017-06-28 | 2020-03-31 | Ethicon Llc | Articulation state detection mechanisms |
US10265120B2 (en) | 2017-06-28 | 2019-04-23 | Ethicon Llc | Systems and methods for controlling control circuits for an independent energy delivery over segmented sections |
US11278346B2 (en) | 2017-06-28 | 2022-03-22 | Cilag Gmbh International | Systems and methods of displaying surgical instrument status |
US10765427B2 (en) | 2017-06-28 | 2020-09-08 | Ethicon Llc | Method for articulating a surgical instrument |
US10888369B2 (en) | 2017-06-28 | 2021-01-12 | Ethicon Llc | Systems and methods for controlling control circuits for independent energy delivery over segmented sections |
US11246592B2 (en) | 2017-06-28 | 2022-02-15 | Cilag Gmbh International | Surgical instrument comprising an articulation system lockable to a frame |
EP3420947B1 (en) | 2017-06-28 | 2022-05-25 | Cilag GmbH International | Surgical instrument comprising selectively actuatable rotatable couplers |
US10813640B2 (en) | 2017-06-28 | 2020-10-27 | Ethicon Llc | Method of coating slip rings |
US10903685B2 (en) | 2017-06-28 | 2021-01-26 | Ethicon Llc | Surgical shaft assemblies with slip ring assemblies forming capacitive channels |
US11129666B2 (en) | 2017-06-28 | 2021-09-28 | Cilag Gmbh International | Shaft module circuitry arrangements |
US10211586B2 (en) | 2017-06-28 | 2019-02-19 | Ethicon Llc | Surgical shaft assemblies with watertight housings |
USD865175S1 (en) | 2017-06-28 | 2019-10-29 | Ethicon Llc | Staple cartridge for surgical instrument |
USD854151S1 (en) | 2017-06-28 | 2019-07-16 | Ethicon Llc | Surgical instrument shaft |
US11298128B2 (en) | 2017-06-28 | 2022-04-12 | Cilag Gmbh International | Surgical system couplable with staple cartridge and radio frequency cartridge, and method of using same |
US10932772B2 (en) | 2017-06-29 | 2021-03-02 | Ethicon Llc | Methods for closed loop velocity control for robotic surgical instrument |
US10258418B2 (en) | 2017-06-29 | 2019-04-16 | Ethicon Llc | System for controlling articulation forces |
US11007022B2 (en) | 2017-06-29 | 2021-05-18 | Ethicon Llc | Closed loop velocity control techniques based on sensed tissue parameters for robotic surgical instrument |
US10398434B2 (en) | 2017-06-29 | 2019-09-03 | Ethicon Llc | Closed loop velocity control of closure member for robotic surgical instrument |
US10898183B2 (en) | 2017-06-29 | 2021-01-26 | Ethicon Llc | Robotic surgical instrument with closed loop feedback techniques for advancement of closure member during firing |
US10820920B2 (en) | 2017-07-05 | 2020-11-03 | Ethicon Llc | Reusable ultrasonic medical devices and methods of their use |
US10478211B2 (en) | 2017-07-07 | 2019-11-19 | Ethicon Llc | Features to promote removal of debris from within ultrasonic surgical instrument |
US10925630B2 (en) | 2018-06-19 | 2021-02-23 | Ethicon Llc | Surgical devices and systems with rotating end effector assemblies having an ultrasonic blade |
US10582945B2 (en) | 2018-03-20 | 2020-03-10 | Ethicon Llc | Surgical devices and systems with rotating end effector assemblies having an ultrasonic blade |
KR102645918B1 (ko) | 2017-07-19 | 2024-03-13 | 에티컨, 엘엘씨 | 초음파 블레이드를 갖는 회전 엔드 이펙터 조립체를 가진 수술 장치 및 시스템 |
US11033293B2 (en) | 2017-07-19 | 2021-06-15 | Cilag Gmbh International | Ultrasonic transducer to blade acoustic coupling, connections, and configurations |
US11944300B2 (en) | 2017-08-03 | 2024-04-02 | Cilag Gmbh International | Method for operating a surgical system bailout |
US11471155B2 (en) | 2017-08-03 | 2022-10-18 | Cilag Gmbh International | Surgical system bailout |
US11304695B2 (en) | 2017-08-03 | 2022-04-19 | Cilag Gmbh International | Surgical system shaft interconnection |
US10932846B2 (en) | 2017-08-25 | 2021-03-02 | Ethicon Llc | Articulation section for shaft assembly of surgical instrument |
US10856928B2 (en) | 2017-08-29 | 2020-12-08 | Ethicon Llc | Electrically-powered surgical systems |
US10898219B2 (en) | 2017-08-29 | 2021-01-26 | Ethicon Llc | Electrically-powered surgical systems for cutting and welding solid organs |
US10485527B2 (en) | 2017-08-29 | 2019-11-26 | Ethicon Llc | Control system for clip applier |
US10925602B2 (en) | 2017-08-29 | 2021-02-23 | Ethicon Llc | Endocutter control system |
US10932808B2 (en) | 2017-08-29 | 2021-03-02 | Ethicon Llc | Methods, systems, and devices for controlling electrosurgical tools |
US11504126B2 (en) | 2017-08-29 | 2022-11-22 | Cilag Gmbh International | Control system for clip applier |
US10905493B2 (en) | 2017-08-29 | 2021-02-02 | Ethicon Llc | Methods, systems, and devices for controlling electrosurgical tools |
US11160602B2 (en) | 2017-08-29 | 2021-11-02 | Cilag Gmbh International | Control of surgical field irrigation |
US10881403B2 (en) | 2017-08-29 | 2021-01-05 | Ethicon Llc | Endocutter control system |
US10675082B2 (en) | 2017-08-29 | 2020-06-09 | Ethicon Llc | Control of surgical field irrigation by electrosurgical tool |
US10912581B2 (en) | 2017-08-29 | 2021-02-09 | Ethicon Llc | Electrically-powered surgical systems with articulation-compensated ultrasonic energy delivery |
US10912567B2 (en) | 2017-08-29 | 2021-02-09 | Ethicon Llc | Circular stapler |
US10470758B2 (en) | 2017-08-29 | 2019-11-12 | Ethicon Llc | Suturing device |
US10772677B2 (en) | 2017-08-29 | 2020-09-15 | Ethicon Llc | Electrically-powered surgical systems |
US10905417B2 (en) | 2017-08-29 | 2021-02-02 | Ethicon Llc | Circular stapler |
US10925682B2 (en) | 2017-08-29 | 2021-02-23 | Ethicon Llc | Electrically-powered surgical systems employing variable compression during treatment |
WO2019043521A1 (en) | 2017-08-29 | 2019-03-07 | Ethicon Llc | SURGICAL ELECTRICAL POWER SYSTEMS FOR CUTTING AND SOLDING SOLID ORGANS |
US10888370B2 (en) | 2017-08-29 | 2021-01-12 | Ethicon Llc | Methods, systems, and devices for controlling electrosurgical tools |
US10905421B2 (en) | 2017-08-29 | 2021-02-02 | Ethicon Llc | Electrically-powered surgical box staplers |
US10548601B2 (en) | 2017-08-29 | 2020-02-04 | Ethicon Llc | Control system for clip applier |
US11013528B2 (en) | 2017-08-29 | 2021-05-25 | Ethicon Llc | Electrically-powered surgical systems providing fine clamping control during energy delivery |
US11134975B2 (en) | 2017-08-31 | 2021-10-05 | Cilag Gmbh International | Apparatus and method to control operation of surgical instrument based on audible feedback |
USD907648S1 (en) | 2017-09-29 | 2021-01-12 | Ethicon Llc | Display screen or portion thereof with animated graphical user interface |
US10729501B2 (en) | 2017-09-29 | 2020-08-04 | Ethicon Llc | Systems and methods for language selection of a surgical instrument |
US10796471B2 (en) | 2017-09-29 | 2020-10-06 | Ethicon Llc | Systems and methods of displaying a knife position for a surgical instrument |
US11484358B2 (en) | 2017-09-29 | 2022-11-01 | Cilag Gmbh International | Flexible electrosurgical instrument |
US11399829B2 (en) | 2017-09-29 | 2022-08-02 | Cilag Gmbh International | Systems and methods of initiating a power shutdown mode for a surgical instrument |
US11033323B2 (en) | 2017-09-29 | 2021-06-15 | Cilag Gmbh International | Systems and methods for managing fluid and suction in electrosurgical systems |
US10765429B2 (en) | 2017-09-29 | 2020-09-08 | Ethicon Llc | Systems and methods for providing alerts according to the operational state of a surgical instrument |
US11490951B2 (en) | 2017-09-29 | 2022-11-08 | Cilag Gmbh International | Saline contact with electrodes |
US10743872B2 (en) | 2017-09-29 | 2020-08-18 | Ethicon Llc | System and methods for controlling a display of a surgical instrument |
USD907647S1 (en) | 2017-09-29 | 2021-01-12 | Ethicon Llc | Display screen or portion thereof with animated graphical user interface |
USD917500S1 (en) | 2017-09-29 | 2021-04-27 | Ethicon Llc | Display screen or portion thereof with graphical user interface |
WO2019089305A1 (en) | 2017-10-30 | 2019-05-09 | Ethicon Llc | Surgical suturing instrument configured to manipulate tissue using mechanical and electrical power |
US11134944B2 (en) | 2017-10-30 | 2021-10-05 | Cilag Gmbh International | Surgical stapler knife motion controls |
US11510741B2 (en) | 2017-10-30 | 2022-11-29 | Cilag Gmbh International | Method for producing a surgical instrument comprising a smart electrical system |
EP3488801B1 (en) | 2017-10-30 | 2021-07-14 | Ethicon LLC | Surgical instruments comprising a lockable end effector socket |
US11090075B2 (en) | 2017-10-30 | 2021-08-17 | Cilag Gmbh International | Articulation features for surgical end effector |
EP3476339A3 (en) | 2017-10-30 | 2019-07-31 | Ethicon LLC | Surgical clip applier comprising an empty clip cartridge lockout |
EP3476301A1 (en) | 2017-10-30 | 2019-05-01 | Ethicon LLC | Surgical suturing instrument |
EP3476305B1 (en) | 2017-10-30 | 2022-09-21 | Ethicon LLC | Adaptive control programs for a surgical system comprising more than one type of cartridge |
US11129636B2 (en) | 2017-10-30 | 2021-09-28 | Cilag Gmbh International | Surgical instruments comprising an articulation drive that provides for high articulation angles |
EP3476333B1 (en) | 2017-10-30 | 2023-10-11 | Ethicon LLC | Surgical instrument systems comprising battery arrangements |
WO2019089296A1 (en) | 2017-10-30 | 2019-05-09 | Ethicon Llc | Surgical instrument systems comprising feedback mechanisms |
EP3476306A3 (en) | 2017-10-30 | 2019-11-20 | Ethicon LLC | Surgical instrument systems comprising handle arrangements |
US11116485B2 (en) | 2017-10-30 | 2021-09-14 | Cilag Gmbh International | Surgical instrument with modular power sources |
EP3476328A1 (en) | 2017-10-30 | 2019-05-01 | Ethicon LLC | Surgical instruments comprising an articulation drive that provides for high articulation angles |
EP3476302A3 (en) | 2017-10-30 | 2019-07-31 | Ethicon LLC | Surgical suturing instrument comprising a non-circular needle |
US11229436B2 (en) | 2017-10-30 | 2022-01-25 | Cilag Gmbh International | Surgical system comprising a surgical tool and a surgical hub |
US11026687B2 (en) | 2017-10-30 | 2021-06-08 | Cilag Gmbh International | Clip applier comprising clip advancing systems |
US11317919B2 (en) | 2017-10-30 | 2022-05-03 | Cilag Gmbh International | Clip applier comprising a clip crimping system |
EP3476332A1 (en) | 2017-10-30 | 2019-05-01 | Ethicon LLC | Surgical dissectors and manufacturing techniques |
US11801098B2 (en) | 2017-10-30 | 2023-10-31 | Cilag Gmbh International | Method of hub communication with surgical instrument systems |
US11564756B2 (en) | 2017-10-30 | 2023-01-31 | Cilag Gmbh International | Method of hub communication with surgical instrument systems |
US11291510B2 (en) | 2017-10-30 | 2022-04-05 | Cilag Gmbh International | Method of hub communication with surgical instrument systems |
EP3476348A3 (en) | 2017-10-30 | 2019-07-31 | Ethicon LLC | Surgical dissectors configured to apply mechanical and electrical energy |
EP3476325A1 (en) | 2017-10-30 | 2019-05-01 | Ethicon LLC | Surgical suturing instrument configured to manipulate tissue using mechanical and electrical power |
EP3476326A1 (en) | 2017-10-30 | 2019-05-01 | Ethicon LLC | Control system arrangements for a modular surgical instrument |
US10932804B2 (en) | 2017-10-30 | 2021-03-02 | Ethicon Llc | Surgical instrument with sensor and/or control systems |
EP3476331B1 (en) | 2017-10-30 | 2021-05-26 | Ethicon LLC | Surgical instrument comprising an adaptive electrical system |
US11311342B2 (en) | 2017-10-30 | 2022-04-26 | Cilag Gmbh International | Method for communicating with surgical instrument systems |
EP3477654A1 (en) | 2017-10-30 | 2019-05-01 | Ethicon LLC | Electrical power output control based on mechanical forces |
US11129634B2 (en) | 2017-10-30 | 2021-09-28 | Cilag Gmbh International | Surgical instrument with rotary drive selectively actuating multiple end effector functions |
EP3476303A3 (en) | 2017-10-30 | 2019-06-26 | Ethicon LLC | Reactive algorithm for surgical system |
US11911045B2 (en) | 2017-10-30 | 2024-02-27 | Cllag GmbH International | Method for operating a powered articulating multi-clip applier |
US10842490B2 (en) | 2017-10-31 | 2020-11-24 | Ethicon Llc | Cartridge body design with force reduction based on firing completion |
US10779903B2 (en) | 2017-10-31 | 2020-09-22 | Ethicon Llc | Positive shaft rotation lock activated by jaw closure |
JP7282774B2 (ja) * | 2017-12-06 | 2023-05-29 | ストライカー・コーポレイション | 外科用システムにおいて患者漏れ電流を制御するシステム及び方法 |
US11197670B2 (en) | 2017-12-15 | 2021-12-14 | Cilag Gmbh International | Surgical end effectors with pivotal jaws configured to touch at their respective distal ends when fully closed |
US10869666B2 (en) | 2017-12-15 | 2020-12-22 | Ethicon Llc | Adapters with control systems for controlling multiple motors of an electromechanical surgical instrument |
US11006955B2 (en) | 2017-12-15 | 2021-05-18 | Ethicon Llc | End effectors with positive jaw opening features for use with adapters for electromechanical surgical instruments |
US10828033B2 (en) | 2017-12-15 | 2020-11-10 | Ethicon Llc | Handheld electromechanical surgical instruments with improved motor control arrangements for positioning components of an adapter coupled thereto |
US10743875B2 (en) | 2017-12-15 | 2020-08-18 | Ethicon Llc | Surgical end effectors with jaw stiffener arrangements configured to permit monitoring of firing member |
US11071543B2 (en) | 2017-12-15 | 2021-07-27 | Cilag Gmbh International | Surgical end effectors with clamping assemblies configured to increase jaw aperture ranges |
US10966718B2 (en) | 2017-12-15 | 2021-04-06 | Ethicon Llc | Dynamic clamping assemblies with improved wear characteristics for use in connection with electromechanical surgical instruments |
US10779825B2 (en) | 2017-12-15 | 2020-09-22 | Ethicon Llc | Adapters with end effector position sensing and control arrangements for use in connection with electromechanical surgical instruments |
US10743874B2 (en) | 2017-12-15 | 2020-08-18 | Ethicon Llc | Sealed adapters for use with electromechanical surgical instruments |
US10779826B2 (en) | 2017-12-15 | 2020-09-22 | Ethicon Llc | Methods of operating surgical end effectors |
US10687813B2 (en) | 2017-12-15 | 2020-06-23 | Ethicon Llc | Adapters with firing stroke sensing arrangements for use in connection with electromechanical surgical instruments |
US11033267B2 (en) | 2017-12-15 | 2021-06-15 | Ethicon Llc | Systems and methods of controlling a clamping member firing rate of a surgical instrument |
US10835330B2 (en) | 2017-12-19 | 2020-11-17 | Ethicon Llc | Method for determining the position of a rotatable jaw of a surgical instrument attachment assembly |
USD910847S1 (en) | 2017-12-19 | 2021-02-16 | Ethicon Llc | Surgical instrument assembly |
US11045270B2 (en) | 2017-12-19 | 2021-06-29 | Cilag Gmbh International | Robotic attachment comprising exterior drive actuator |
US11020112B2 (en) | 2017-12-19 | 2021-06-01 | Ethicon Llc | Surgical tools configured for interchangeable use with different controller interfaces |
US10729509B2 (en) | 2017-12-19 | 2020-08-04 | Ethicon Llc | Surgical instrument comprising closure and firing locking mechanism |
US10716565B2 (en) | 2017-12-19 | 2020-07-21 | Ethicon Llc | Surgical instruments with dual articulation drivers |
US11076853B2 (en) | 2017-12-21 | 2021-08-03 | Cilag Gmbh International | Systems and methods of displaying a knife position during transection for a surgical instrument |
US11311290B2 (en) | 2017-12-21 | 2022-04-26 | Cilag Gmbh International | Surgical instrument comprising an end effector dampener |
US11129680B2 (en) | 2017-12-21 | 2021-09-28 | Cilag Gmbh International | Surgical instrument comprising a projector |
US11179152B2 (en) | 2017-12-21 | 2021-11-23 | Cilag Gmbh International | Surgical instrument comprising a tissue grasping system |
EP3731726A4 (en) | 2017-12-27 | 2021-10-27 | Ethicon LLC | HYPERSPECTRAL IMAGING IN A LIGHT ENVIRONMENT |
US11446052B2 (en) * | 2017-12-28 | 2022-09-20 | Cilag Gmbh International | Variation of radio frequency and ultrasonic power level in cooperation with varying clamp arm pressure to achieve predefined heat flux or power applied to tissue |
BR112020013044A2 (pt) | 2017-12-28 | 2020-11-24 | Ethicon Llc | detecção de evacuação cirúrgica e controle de gerador |
US11304699B2 (en) | 2017-12-28 | 2022-04-19 | Cilag Gmbh International | Method for adaptive control schemes for surgical network control and interaction |
US20190201027A1 (en) | 2017-12-28 | 2019-07-04 | Ethicon Llc | Surgical instrument with acoustic-based motor control |
US11423007B2 (en) | 2017-12-28 | 2022-08-23 | Cilag Gmbh International | Adjustment of device control programs based on stratified contextual data in addition to the data |
WO2019130122A1 (en) | 2017-12-28 | 2019-07-04 | Ethicon Llc | Communication of smoke evacuation system parameters to hub or cloud in smoke evacuation module for interactive surgical platform |
US11464535B2 (en) | 2017-12-28 | 2022-10-11 | Cilag Gmbh International | Detection of end effector emersion in liquid |
US11076921B2 (en) | 2017-12-28 | 2021-08-03 | Cilag Gmbh International | Adaptive control program updates for surgical hubs |
US11903601B2 (en) | 2017-12-28 | 2024-02-20 | Cilag Gmbh International | Surgical instrument comprising a plurality of drive systems |
US11666331B2 (en) | 2017-12-28 | 2023-06-06 | Cilag Gmbh International | Systems for detecting proximity of surgical end effector to cancerous tissue |
US11896322B2 (en) | 2017-12-28 | 2024-02-13 | Cilag Gmbh International | Sensing the patient position and contact utilizing the mono-polar return pad electrode to provide situational awareness to the hub |
US10892899B2 (en) | 2017-12-28 | 2021-01-12 | Ethicon Llc | Self describing data packets generated at an issuing instrument |
US11410259B2 (en) | 2017-12-28 | 2022-08-09 | Cilag Gmbh International | Adaptive control program updates for surgical devices |
US11317937B2 (en) | 2018-03-08 | 2022-05-03 | Cilag Gmbh International | Determining the state of an ultrasonic end effector |
US11132462B2 (en) | 2017-12-28 | 2021-09-28 | Cilag Gmbh International | Data stripping method to interrogate patient records and create anonymized record |
US20190201140A1 (en) | 2017-12-28 | 2019-07-04 | Ethicon Llc | Surgical hub situational awareness |
US10987178B2 (en) | 2017-12-28 | 2021-04-27 | Ethicon Llc | Surgical hub control arrangements |
US20190200906A1 (en) | 2017-12-28 | 2019-07-04 | Ethicon Llc | Dual cmos array imaging |
US11096693B2 (en) | 2017-12-28 | 2021-08-24 | Cilag Gmbh International | Adjustment of staple height of at least one row of staples based on the sensed tissue thickness or force in closing |
US11678881B2 (en) | 2017-12-28 | 2023-06-20 | Cilag Gmbh International | Spatial awareness of surgical hubs in operating rooms |
US10758310B2 (en) | 2017-12-28 | 2020-09-01 | Ethicon Llc | Wireless pairing of a surgical device with another device within a sterile surgical field based on the usage and situational awareness of devices |
US11576677B2 (en) | 2017-12-28 | 2023-02-14 | Cilag Gmbh International | Method of hub communication, processing, display, and cloud analytics |
US11857152B2 (en) | 2017-12-28 | 2024-01-02 | Cilag Gmbh International | Surgical hub spatial awareness to determine devices in operating theater |
US11056244B2 (en) | 2017-12-28 | 2021-07-06 | Cilag Gmbh International | Automated data scaling, alignment, and organizing based on predefined parameters within surgical networks |
US11179208B2 (en) | 2017-12-28 | 2021-11-23 | Cilag Gmbh International | Cloud-based medical analytics for security and authentication trends and reactive measures |
US11602393B2 (en) | 2017-12-28 | 2023-03-14 | Cilag Gmbh International | Surgical evacuation sensing and generator control |
US20190206555A1 (en) | 2017-12-28 | 2019-07-04 | Ethicon Llc | Cloud-based medical analytics for customization and recommendations to a user |
US20190201115A1 (en) | 2017-12-28 | 2019-07-04 | Ethicon Llc | Aggregation and reporting of surgical hub data |
US10695081B2 (en) | 2017-12-28 | 2020-06-30 | Ethicon Llc | Controlling a surgical instrument according to sensed closure parameters |
US11311306B2 (en) | 2017-12-28 | 2022-04-26 | Cilag Gmbh International | Surgical systems for detecting end effector tissue distribution irregularities |
JP7293235B2 (ja) | 2017-12-28 | 2023-06-19 | エシコン エルエルシー | 外科用排出感知及び表示 |
US11109866B2 (en) | 2017-12-28 | 2021-09-07 | Cilag Gmbh International | Method for circular stapler control algorithm adjustment based on situational awareness |
WO2019130124A1 (en) | 2017-12-28 | 2019-07-04 | Ethicon Llc | Smoke evacuation system with a communication circuit for communication between a filter and a smoke evacuation device |
US11432885B2 (en) | 2017-12-28 | 2022-09-06 | Cilag Gmbh International | Sensing arrangements for robot-assisted surgical platforms |
US11529187B2 (en) | 2017-12-28 | 2022-12-20 | Cilag Gmbh International | Surgical evacuation sensor arrangements |
EP3505126B1 (en) | 2017-12-28 | 2022-06-22 | Ethicon LLC | Surgical evacuation system with a communication circuit for communication between a filter and a smoke evacuation device |
US11389164B2 (en) | 2017-12-28 | 2022-07-19 | Cilag Gmbh International | Method of using reinforced flexible circuits with multiple sensors to optimize performance of radio frequency devices |
US11744604B2 (en) | 2017-12-28 | 2023-09-05 | Cilag Gmbh International | Surgical instrument with a hardware-only control circuit |
US11818052B2 (en) | 2017-12-28 | 2023-11-14 | Cilag Gmbh International | Surgical network determination of prioritization of communication, interaction, or processing based on system or device needs |
US11589888B2 (en) | 2017-12-28 | 2023-02-28 | Cilag Gmbh International | Method for controlling smart energy devices |
US20190201146A1 (en) | 2017-12-28 | 2019-07-04 | Ethicon Llc | Safety systems for smart powered surgical stapling |
US11051876B2 (en) | 2017-12-28 | 2021-07-06 | Cilag Gmbh International | Surgical evacuation flow paths |
US11304763B2 (en) | 2017-12-28 | 2022-04-19 | Cilag Gmbh International | Image capturing of the areas outside the abdomen to improve placement and control of a surgical device in use |
US11234756B2 (en) | 2017-12-28 | 2022-02-01 | Cilag Gmbh International | Powered surgical tool with predefined adjustable control algorithm for controlling end effector parameter |
US20190201118A1 (en) | 2017-12-28 | 2019-07-04 | Ethicon Llc | Display arrangements for robot-assisted surgical platforms |
US11559308B2 (en) | 2017-12-28 | 2023-01-24 | Cilag Gmbh International | Method for smart energy device infrastructure |
US11786251B2 (en) | 2017-12-28 | 2023-10-17 | Cilag Gmbh International | Method for adaptive control schemes for surgical network control and interaction |
US10966791B2 (en) | 2017-12-28 | 2021-04-06 | Ethicon Llc | Cloud-based medical analytics for medical facility segmented individualization of instrument function |
US11419667B2 (en) | 2017-12-28 | 2022-08-23 | Cilag Gmbh International | Ultrasonic energy device which varies pressure applied by clamp arm to provide threshold control pressure at a cut progression location |
US11832899B2 (en) | 2017-12-28 | 2023-12-05 | Cilag Gmbh International | Surgical systems with autonomously adjustable control programs |
US11571234B2 (en) | 2017-12-28 | 2023-02-07 | Cilag Gmbh International | Temperature control of ultrasonic end effector and control system therefor |
US11166772B2 (en) | 2017-12-28 | 2021-11-09 | Cilag Gmbh International | Surgical hub coordination of control and communication of operating room devices |
US20190200981A1 (en) | 2017-12-28 | 2019-07-04 | Ethicon Llc | Method of compressing tissue within a stapling device and simultaneously displaying the location of the tissue within the jaws |
US11304745B2 (en) | 2017-12-28 | 2022-04-19 | Cilag Gmbh International | Surgical evacuation sensing and display |
US11253315B2 (en) | 2017-12-28 | 2022-02-22 | Cilag Gmbh International | Increasing radio frequency to create pad-less monopolar loop |
US11308075B2 (en) | 2017-12-28 | 2022-04-19 | Cilag Gmbh International | Surgical network, instrument, and cloud responses based on validation of received dataset and authentication of its source and integrity |
US20190206561A1 (en) | 2017-12-28 | 2019-07-04 | Ethicon Llc | Data handling and prioritization in a cloud analytics network |
CN111601542A (zh) | 2017-12-28 | 2020-08-28 | 爱惜康有限责任公司 | 具有可分离阵列元件的电容耦合返回路径垫 |
US11202570B2 (en) | 2017-12-28 | 2021-12-21 | Cilag Gmbh International | Communication hub and storage device for storing parameters and status of a surgical device to be shared with cloud based analytics systems |
US10892995B2 (en) | 2017-12-28 | 2021-01-12 | Ethicon Llc | Surgical network determination of prioritization of communication, interaction, or processing based on system or device needs |
US10849697B2 (en) | 2017-12-28 | 2020-12-01 | Ethicon Llc | Cloud interface for coupled surgical devices |
US11273001B2 (en) | 2017-12-28 | 2022-03-15 | Cilag Gmbh International | Surgical hub and modular device response adjustment based on situational awareness |
US10944728B2 (en) | 2017-12-28 | 2021-03-09 | Ethicon Llc | Interactive surgical systems with encrypted communication capabilities |
WO2019130125A1 (en) | 2017-12-28 | 2019-07-04 | Ethicon Llc | Dual in-series large and small droplet filters |
US11419630B2 (en) | 2017-12-28 | 2022-08-23 | Cilag Gmbh International | Surgical system distributed processing |
JP2021509302A (ja) | 2017-12-28 | 2021-03-25 | エシコン エルエルシーEthicon LLC | 可撓性電極を有する外科用器具 |
US20190201039A1 (en) | 2017-12-28 | 2019-07-04 | Ethicon Llc | Situational awareness of electrosurgical systems |
CN111566748A (zh) | 2017-12-28 | 2020-08-21 | 爱惜康有限责任公司 | 具有柔性电路的外科器械 |
US11937769B2 (en) | 2017-12-28 | 2024-03-26 | Cilag Gmbh International | Method of hub communication, processing, storage and display |
US20190205567A1 (en) | 2017-12-28 | 2019-07-04 | Ethicon Llc | Data pairing to interconnect a device measured parameter with an outcome |
US20190201112A1 (en) | 2017-12-28 | 2019-07-04 | Ethicon Llc | Computer implemented interactive surgical systems |
US11633237B2 (en) | 2017-12-28 | 2023-04-25 | Cilag Gmbh International | Usage and technique analysis of surgeon / staff performance against a baseline to optimize device utilization and performance for both current and future procedures |
US11464559B2 (en) | 2017-12-28 | 2022-10-11 | Cilag Gmbh International | Estimating state of ultrasonic end effector and control system therefor |
US11364075B2 (en) | 2017-12-28 | 2022-06-21 | Cilag Gmbh International | Radio frequency energy device for delivering combined electrical signals |
US11786245B2 (en) | 2017-12-28 | 2023-10-17 | Cilag Gmbh International | Surgical systems with prioritized data transmission capabilities |
US11304720B2 (en) | 2017-12-28 | 2022-04-19 | Cilag Gmbh International | Activation of energy devices |
US11540855B2 (en) | 2017-12-28 | 2023-01-03 | Cilag Gmbh International | Controlling activation of an ultrasonic surgical instrument according to the presence of tissue |
US11424027B2 (en) | 2017-12-28 | 2022-08-23 | Cilag Gmbh International | Method for operating surgical instrument systems |
US11376002B2 (en) | 2017-12-28 | 2022-07-05 | Cilag Gmbh International | Surgical instrument cartridge sensor assemblies |
JP2021509330A (ja) | 2017-12-28 | 2021-03-25 | エシコン エルエルシーEthicon LLC | 外科用排出センサ機構 |
US10755813B2 (en) | 2017-12-28 | 2020-08-25 | Ethicon Llc | Communication of smoke evacuation system parameters to hub or cloud in smoke evacuation module for interactive surgical platform |
US11284936B2 (en) | 2017-12-28 | 2022-03-29 | Cilag Gmbh International | Surgical instrument having a flexible electrode |
BR112020013065A2 (pt) | 2017-12-28 | 2020-12-01 | Ethicon Llc | instrumentos cirúrgicos que compreendem circuitos de botão |
CN111526837B (zh) | 2017-12-28 | 2024-01-30 | 爱惜康有限责任公司 | 外科排抽流动路径 |
US11257589B2 (en) | 2017-12-28 | 2022-02-22 | Cilag Gmbh International | Real-time analysis of comprehensive cost of all instrumentation used in surgery utilizing data fluidity to track instruments through stocking and in-house processes |
US11324557B2 (en) | 2017-12-28 | 2022-05-10 | Cilag Gmbh International | Surgical instrument with a sensing array |
US11612444B2 (en) | 2017-12-28 | 2023-03-28 | Cilag Gmbh International | Adjustment of a surgical device function based on situational awareness |
US11179175B2 (en) | 2017-12-28 | 2021-11-23 | Cilag Gmbh International | Controlling an ultrasonic surgical instrument according to tissue location |
US11069012B2 (en) | 2017-12-28 | 2021-07-20 | Cilag Gmbh International | Interactive surgical systems with condition handling of devices and data capabilities |
JP7438951B2 (ja) | 2017-12-28 | 2024-02-27 | エシコン エルエルシー | 外科用排出感知及びモータ制御 |
US11026751B2 (en) | 2017-12-28 | 2021-06-08 | Cilag Gmbh International | Display of alignment of staple cartridge to prior linear staple line |
US11045591B2 (en) | 2017-12-28 | 2021-06-29 | Cilag Gmbh International | Dual in-series large and small droplet filters |
BR112020013114A2 (pt) | 2017-12-28 | 2020-12-01 | Ethicon Llc | sistema de evacuação de fumaça que inclui um circuito de controle segmentado para plataforma cirúrgica interativa |
US10932872B2 (en) | 2017-12-28 | 2021-03-02 | Ethicon Llc | Cloud-based medical analytics for linking of local usage trends with the resource acquisition behaviors of larger data set |
US11659023B2 (en) | 2017-12-28 | 2023-05-23 | Cilag Gmbh International | Method of hub communication |
US11832840B2 (en) | 2017-12-28 | 2023-12-05 | Cilag Gmbh International | Surgical instrument having a flexible circuit |
US10943454B2 (en) | 2017-12-28 | 2021-03-09 | Ethicon Llc | Detection and escalation of security responses of surgical instruments to increasing severity threats |
US11864728B2 (en) | 2017-12-28 | 2024-01-09 | Cilag Gmbh International | Characterization of tissue irregularities through the use of mono-chromatic light refractivity |
US11266468B2 (en) | 2017-12-28 | 2022-03-08 | Cilag Gmbh International | Cooperative utilization of data derived from secondary sources by intelligent surgical hubs |
US20190201139A1 (en) | 2017-12-28 | 2019-07-04 | Ethicon Llc | Communication arrangements for robot-assisted surgical platforms |
US11160605B2 (en) | 2017-12-28 | 2021-11-02 | Cilag Gmbh International | Surgical evacuation sensing and motor control |
US20190201090A1 (en) | 2017-12-28 | 2019-07-04 | Ethicon Llc | Capacitive coupled return path pad with separable array elements |
US11147607B2 (en) | 2017-12-28 | 2021-10-19 | Cilag Gmbh International | Bipolar combination device that automatically adjusts pressure based on energy modality |
US11100631B2 (en) | 2017-12-28 | 2021-08-24 | Cilag Gmbh International | Use of laser light and red-green-blue coloration to determine properties of back scattered light |
US11278281B2 (en) | 2017-12-28 | 2022-03-22 | Cilag Gmbh International | Interactive surgical system |
US11559307B2 (en) | 2017-12-28 | 2023-01-24 | Cilag Gmbh International | Method of robotic hub communication, detection, and control |
US11291495B2 (en) | 2017-12-28 | 2022-04-05 | Cilag Gmbh International | Interruption of energy due to inadvertent capacitive coupling |
US11896443B2 (en) | 2017-12-28 | 2024-02-13 | Cilag Gmbh International | Control of a surgical system through a surgical barrier |
US11564733B2 (en) * | 2018-01-17 | 2023-01-31 | Covidien Lp | Surgical instruments incorporating ultrasonic and electrosurgical functionality |
JP6764886B2 (ja) * | 2018-02-02 | 2020-10-07 | 日本電信電話株式会社 | プローブ設置方法および送信プローブの駆動方法 |
KR102505869B1 (ko) | 2018-02-07 | 2023-03-07 | 싸이노슈어, 엘엘씨 | 제어된 rf 처리 및 rf 생성기 시스템을 위한 방법 및 장치 |
CN111683580A (zh) * | 2018-02-09 | 2020-09-18 | 捷锐士阿希迈公司(以奥林巴斯美国外科技术名义) | 医疗激光设备和系统 |
US11259830B2 (en) | 2018-03-08 | 2022-03-01 | Cilag Gmbh International | Methods for controlling temperature in ultrasonic device |
US11589915B2 (en) | 2018-03-08 | 2023-02-28 | Cilag Gmbh International | In-the-jaw classifier based on a model |
US11389188B2 (en) | 2018-03-08 | 2022-07-19 | Cilag Gmbh International | Start temperature of blade |
US11471156B2 (en) | 2018-03-28 | 2022-10-18 | Cilag Gmbh International | Surgical stapling devices with improved rotary driven closure systems |
US10973520B2 (en) | 2018-03-28 | 2021-04-13 | Ethicon Llc | Surgical staple cartridge with firing member driven camming assembly that has an onboard tissue cutting feature |
US11219453B2 (en) | 2018-03-28 | 2022-01-11 | Cilag Gmbh International | Surgical stapling devices with cartridge compatible closure and firing lockout arrangements |
US11278280B2 (en) | 2018-03-28 | 2022-03-22 | Cilag Gmbh International | Surgical instrument comprising a jaw closure lockout |
US11207067B2 (en) | 2018-03-28 | 2021-12-28 | Cilag Gmbh International | Surgical stapling device with separate rotary driven closure and firing systems and firing member that engages both jaws while firing |
EP3547326A1 (en) | 2018-03-28 | 2019-10-02 | Ethicon LLC | Method of sensing particulate from smoke evacuated from a patient adjusting the pump speed based on the sensed information, and communicating the functional parameters of the system to the hub |
US11213294B2 (en) | 2018-03-28 | 2022-01-04 | Cilag Gmbh International | Surgical instrument comprising co-operating lockout features |
US11090047B2 (en) | 2018-03-28 | 2021-08-17 | Cilag Gmbh International | Surgical instrument comprising an adaptive control system |
US11096688B2 (en) | 2018-03-28 | 2021-08-24 | Cilag Gmbh International | Rotary driven firing members with different anvil and channel engagement features |
US11259806B2 (en) | 2018-03-28 | 2022-03-01 | Cilag Gmbh International | Surgical stapling devices with features for blocking advancement of a camming assembly of an incompatible cartridge installed therein |
EP3545887A1 (en) | 2018-03-28 | 2019-10-02 | Ethicon LLC | Method for smoke evacuation for surgical hub |
BR112020019924A2 (pt) | 2018-03-30 | 2021-01-05 | Ethicon Llc | Método de detecção de particulados de fumaça evacuada de um paciente, ajuste da velocidade da bomba com base na informação detectada e transmissão dos parâmetros funcionais do sistema para o controlador central |
WO2019186502A1 (en) | 2018-03-30 | 2019-10-03 | Ethicon Llc | Method for smoke evacuation for surgical hub |
US11051841B2 (en) | 2018-04-12 | 2021-07-06 | Ethicon Llc | Mechanical lockout for ultrasonic surgical instrument |
US11160578B2 (en) | 2018-04-12 | 2021-11-02 | Cilag Gmbh International | Mechanical lockout for ultrasonic surgical instrument |
US11076881B2 (en) | 2018-04-12 | 2021-08-03 | Cilag Gmbh International | Electrical lockout for ultrasonic surgical instrument |
US10945755B2 (en) | 2018-04-12 | 2021-03-16 | Ethicon Llc | Mechanical lockout for ultrasonic surgical instrument |
WO2019204368A1 (en) | 2018-04-19 | 2019-10-24 | Masimo Corporation | Mobile patient alarm display |
USD914878S1 (en) | 2018-08-20 | 2021-03-30 | Ethicon Llc | Surgical instrument anvil |
US10856870B2 (en) | 2018-08-20 | 2020-12-08 | Ethicon Llc | Switching arrangements for motor powered articulatable surgical instruments |
US11324501B2 (en) | 2018-08-20 | 2022-05-10 | Cilag Gmbh International | Surgical stapling devices with improved closure members |
US11045192B2 (en) | 2018-08-20 | 2021-06-29 | Cilag Gmbh International | Fabricating techniques for surgical stapler anvils |
US11253256B2 (en) | 2018-08-20 | 2022-02-22 | Cilag Gmbh International | Articulatable motor powered surgical instruments with dedicated articulation motor arrangements |
US11291440B2 (en) | 2018-08-20 | 2022-04-05 | Cilag Gmbh International | Method for operating a powered articulatable surgical instrument |
US11039834B2 (en) | 2018-08-20 | 2021-06-22 | Cilag Gmbh International | Surgical stapler anvils with staple directing protrusions and tissue stability features |
US10912559B2 (en) | 2018-08-20 | 2021-02-09 | Ethicon Llc | Reinforced deformable anvil tip for surgical stapler anvil |
US11207065B2 (en) | 2018-08-20 | 2021-12-28 | Cilag Gmbh International | Method for fabricating surgical stapler anvils |
US11083458B2 (en) | 2018-08-20 | 2021-08-10 | Cilag Gmbh International | Powered surgical instruments with clutching arrangements to convert linear drive motions to rotary drive motions |
US10779821B2 (en) | 2018-08-20 | 2020-09-22 | Ethicon Llc | Surgical stapler anvils with tissue stop features configured to avoid tissue pinch |
US10842492B2 (en) | 2018-08-20 | 2020-11-24 | Ethicon Llc | Powered articulatable surgical instruments with clutching and locking arrangements for linking an articulation drive system to a firing drive system |
US11804679B2 (en) * | 2018-09-07 | 2023-10-31 | Cilag Gmbh International | Flexible hand-switch circuit |
EP3852600A4 (en) * | 2018-09-21 | 2022-06-15 | Saphena Medical, Inc. | SURGICAL INSUFFLATION AND IRRIGATION LINES AND METHODS OF USE |
TWM575620U (zh) * | 2018-10-25 | 2019-03-11 | 大陸商安費諾光纖技術(深圳)有限公司 | Power Adapter |
USD895112S1 (en) | 2018-11-15 | 2020-09-01 | Ethicon Llc | Laparoscopic bipolar electrosurgical device |
US11813484B2 (en) | 2018-11-28 | 2023-11-14 | Histosonics, Inc. | Histotripsy systems and methods |
USD916287S1 (en) * | 2019-01-16 | 2021-04-13 | Versah LLC | Drill engine |
CN109620415B (zh) * | 2019-02-14 | 2024-03-26 | 北京水木天蓬医疗技术有限公司 | 机器人辅助超声骨动力系统 |
US11291444B2 (en) | 2019-02-19 | 2022-04-05 | Cilag Gmbh International | Surgical stapling assembly with cartridge based retainer configured to unlock a closure lockout |
US11464511B2 (en) | 2019-02-19 | 2022-10-11 | Cilag Gmbh International | Surgical staple cartridges with movable authentication key arrangements |
US11369377B2 (en) | 2019-02-19 | 2022-06-28 | Cilag Gmbh International | Surgical stapling assembly with cartridge based retainer configured to unlock a firing lockout |
US11317915B2 (en) | 2019-02-19 | 2022-05-03 | Cilag Gmbh International | Universal cartridge based key feature that unlocks multiple lockout arrangements in different surgical staplers |
US11357503B2 (en) | 2019-02-19 | 2022-06-14 | Cilag Gmbh International | Staple cartridge retainers with frangible retention features and methods of using same |
US11696761B2 (en) | 2019-03-25 | 2023-07-11 | Cilag Gmbh International | Firing drive arrangements for surgical systems |
US11172929B2 (en) | 2019-03-25 | 2021-11-16 | Cilag Gmbh International | Articulation drive arrangements for surgical systems |
US11147551B2 (en) | 2019-03-25 | 2021-10-19 | Cilag Gmbh International | Firing drive arrangements for surgical systems |
US11147553B2 (en) | 2019-03-25 | 2021-10-19 | Cilag Gmbh International | Firing drive arrangements for surgical systems |
USD936837S1 (en) * | 2019-04-12 | 2021-11-23 | A-Dec, Inc. | Handle for dental control head housing |
USD903873S1 (en) * | 2019-04-12 | 2020-12-01 | A-Dec, Inc. | Dental control head housing |
USD936838S1 (en) * | 2019-04-16 | 2021-11-23 | A-Dec, Inc. | Handle for dental control head housing |
USD903874S1 (en) * | 2019-04-17 | 2020-12-01 | A-Dec, Inc. | Dental control head housing |
US11432816B2 (en) | 2019-04-30 | 2022-09-06 | Cilag Gmbh International | Articulation pin for a surgical instrument |
US11871953B2 (en) | 2019-04-30 | 2024-01-16 | Stryker Corporation | Adapter and methods for coupling an ultrasonic surgical handpiece to a control console |
US11903581B2 (en) | 2019-04-30 | 2024-02-20 | Cilag Gmbh International | Methods for stapling tissue using a surgical instrument |
US11179177B2 (en) | 2019-04-30 | 2021-11-23 | Cilag Gmbh International | Ultrasonic blade and clamp arm matching design |
US11471157B2 (en) | 2019-04-30 | 2022-10-18 | Cilag Gmbh International | Articulation control mapping for a surgical instrument |
US11426251B2 (en) | 2019-04-30 | 2022-08-30 | Cilag Gmbh International | Articulation directional lights on a surgical instrument |
US11253254B2 (en) | 2019-04-30 | 2022-02-22 | Cilag Gmbh International | Shaft rotation actuator on a surgical instrument |
US11648009B2 (en) | 2019-04-30 | 2023-05-16 | Cilag Gmbh International | Rotatable jaw tip for a surgical instrument |
US11202650B2 (en) | 2019-04-30 | 2021-12-21 | Cilag Gmbh International | Blade cooling gas/fluid storage |
US11350960B2 (en) | 2019-04-30 | 2022-06-07 | Cilag Gmbh International | Dual sterilization and temperature based sterilization detection |
US11123095B2 (en) | 2019-04-30 | 2021-09-21 | Cilag Gmbh International | Blade grounding mechanisms and alternative pin designs |
US11452528B2 (en) | 2019-04-30 | 2022-09-27 | Cilag Gmbh International | Articulation actuators for a surgical instrument |
CN110116084A (zh) * | 2019-05-08 | 2019-08-13 | 河南理工大学 | 一种超声手术刀用换能器 |
SG11202111518WA (en) | 2019-05-09 | 2021-11-29 | Gyrus Acmi Inc D/B/A Olympus Surgical Technologies America | Electrosurgical systems and methods |
US10952619B2 (en) | 2019-06-20 | 2021-03-23 | Ethicon Llc | Hyperspectral and fluorescence imaging and topology laser mapping with minimal area monolithic image sensor |
US11793399B2 (en) | 2019-06-20 | 2023-10-24 | Cilag Gmbh International | Super resolution and color motion artifact correction in a pulsed hyperspectral imaging system |
US11233960B2 (en) | 2019-06-20 | 2022-01-25 | Cilag Gmbh International | Fluorescence imaging with fixed pattern noise cancellation |
US11937784B2 (en) | 2019-06-20 | 2024-03-26 | Cilag Gmbh International | Fluorescence imaging in a light deficient environment |
US11432706B2 (en) | 2019-06-20 | 2022-09-06 | Cilag Gmbh International | Hyperspectral imaging with minimal area monolithic image sensor |
US11550057B2 (en) | 2019-06-20 | 2023-01-10 | Cilag Gmbh International | Offset illumination of a scene using multiple emitters in a fluorescence imaging system |
US11276148B2 (en) | 2019-06-20 | 2022-03-15 | Cilag Gmbh International | Super resolution and color motion artifact correction in a pulsed fluorescence imaging system |
US11265491B2 (en) | 2019-06-20 | 2022-03-01 | Cilag Gmbh International | Fluorescence imaging with fixed pattern noise cancellation |
US11516387B2 (en) | 2019-06-20 | 2022-11-29 | Cilag Gmbh International | Image synchronization without input clock and data transmission clock in a pulsed hyperspectral, fluorescence, and laser mapping imaging system |
US11716543B2 (en) | 2019-06-20 | 2023-08-01 | Cilag Gmbh International | Wide dynamic range using a monochrome image sensor for fluorescence imaging |
US11012599B2 (en) | 2019-06-20 | 2021-05-18 | Ethicon Llc | Hyperspectral imaging in a light deficient environment |
US11218645B2 (en) | 2019-06-20 | 2022-01-04 | Cilag Gmbh International | Wide dynamic range using a monochrome image sensor for fluorescence imaging |
US10979646B2 (en) | 2019-06-20 | 2021-04-13 | Ethicon Llc | Fluorescence imaging with minimal area monolithic image sensor |
US11187657B2 (en) | 2019-06-20 | 2021-11-30 | Cilag Gmbh International | Hyperspectral imaging with fixed pattern noise cancellation |
US11892403B2 (en) | 2019-06-20 | 2024-02-06 | Cilag Gmbh International | Image synchronization without input clock and data transmission clock in a pulsed fluorescence imaging system |
US20200397239A1 (en) | 2019-06-20 | 2020-12-24 | Ethicon Llc | Offset illumination of a scene using multiple emitters in a fluorescence imaging system |
US10841504B1 (en) | 2019-06-20 | 2020-11-17 | Ethicon Llc | Fluorescence imaging with minimal area monolithic image sensor |
US11172811B2 (en) | 2019-06-20 | 2021-11-16 | Cilag Gmbh International | Image rotation in an endoscopic fluorescence imaging system |
US11671691B2 (en) | 2019-06-20 | 2023-06-06 | Cilag Gmbh International | Image rotation in an endoscopic laser mapping imaging system |
US11284785B2 (en) | 2019-06-20 | 2022-03-29 | Cilag Gmbh International | Controlling integral energy of a laser pulse in a hyperspectral, fluorescence, and laser mapping imaging system |
US11931009B2 (en) | 2019-06-20 | 2024-03-19 | Cilag Gmbh International | Offset illumination of a scene using multiple emitters in a hyperspectral imaging system |
US11291358B2 (en) | 2019-06-20 | 2022-04-05 | Cilag Gmbh International | Fluorescence videostroboscopy of vocal cords |
US11516388B2 (en) | 2019-06-20 | 2022-11-29 | Cilag Gmbh International | Pulsed illumination in a fluorescence imaging system |
US11187658B2 (en) | 2019-06-20 | 2021-11-30 | Cilag Gmbh International | Fluorescence imaging with fixed pattern noise cancellation |
US11398011B2 (en) | 2019-06-20 | 2022-07-26 | Cilag Gmbh International | Super resolution and color motion artifact correction in a pulsed laser mapping imaging system |
US11758256B2 (en) | 2019-06-20 | 2023-09-12 | Cilag Gmbh International | Fluorescence imaging in a light deficient environment |
US11122968B2 (en) | 2019-06-20 | 2021-09-21 | Cilag Gmbh International | Optical fiber waveguide in an endoscopic system for hyperspectral imaging |
US11716533B2 (en) | 2019-06-20 | 2023-08-01 | Cilag Gmbh International | Image synchronization without input clock and data transmission clock in a pulsed fluorescence imaging system |
US11294062B2 (en) | 2019-06-20 | 2022-04-05 | Cilag Gmbh International | Dynamic range using a monochrome image sensor for hyperspectral and fluorescence imaging and topology laser mapping |
US11375886B2 (en) | 2019-06-20 | 2022-07-05 | Cilag Gmbh International | Optical fiber waveguide in an endoscopic system for laser mapping imaging |
US11903563B2 (en) | 2019-06-20 | 2024-02-20 | Cilag Gmbh International | Offset illumination of a scene using multiple emitters in a fluorescence imaging system |
US11457154B2 (en) | 2019-06-20 | 2022-09-27 | Cilag Gmbh International | Speckle removal in a pulsed hyperspectral, fluorescence, and laser mapping imaging system |
US11213194B2 (en) | 2019-06-20 | 2022-01-04 | Cilag Gmbh International | Optical fiber waveguide in an endoscopic system for hyperspectral, fluorescence, and laser mapping imaging |
US11412152B2 (en) | 2019-06-20 | 2022-08-09 | Cilag Gmbh International | Speckle removal in a pulsed hyperspectral imaging system |
US11533417B2 (en) | 2019-06-20 | 2022-12-20 | Cilag Gmbh International | Laser scanning and tool tracking imaging in a light deficient environment |
US11624830B2 (en) | 2019-06-20 | 2023-04-11 | Cilag Gmbh International | Wide dynamic range using a monochrome image sensor for laser mapping imaging |
US11147436B2 (en) | 2019-06-20 | 2021-10-19 | Cilag Gmbh International | Image rotation in an endoscopic fluorescence imaging system |
US11540696B2 (en) | 2019-06-20 | 2023-01-03 | Cilag Gmbh International | Noise aware edge enhancement in a pulsed fluorescence imaging system |
US11412920B2 (en) | 2019-06-20 | 2022-08-16 | Cilag Gmbh International | Speckle removal in a pulsed fluorescence imaging system |
US11221414B2 (en) | 2019-06-20 | 2022-01-11 | Cilag Gmbh International | Laser mapping imaging with fixed pattern noise cancellation |
US11925328B2 (en) | 2019-06-20 | 2024-03-12 | Cilag Gmbh International | Noise aware edge enhancement in a pulsed hyperspectral imaging system |
US11076747B2 (en) | 2019-06-20 | 2021-08-03 | Cilag Gmbh International | Driving light emissions according to a jitter specification in a laser mapping imaging system |
US11898909B2 (en) | 2019-06-20 | 2024-02-13 | Cilag Gmbh International | Noise aware edge enhancement in a pulsed fluorescence imaging system |
US11389066B2 (en) | 2019-06-20 | 2022-07-19 | Cilag Gmbh International | Noise aware edge enhancement in a pulsed hyperspectral, fluorescence, and laser mapping imaging system |
US11360028B2 (en) | 2019-06-20 | 2022-06-14 | Cilag Gmbh International | Super resolution and color motion artifact correction in a pulsed hyperspectral, fluorescence, and laser mapping imaging system |
US11633089B2 (en) | 2019-06-20 | 2023-04-25 | Cilag Gmbh International | Fluorescence imaging with minimal area monolithic image sensor |
US11674848B2 (en) | 2019-06-20 | 2023-06-13 | Cilag Gmbh International | Wide dynamic range using a monochrome image sensor for hyperspectral imaging |
US11172810B2 (en) | 2019-06-20 | 2021-11-16 | Cilag Gmbh International | Speckle removal in a pulsed laser mapping imaging system |
US11471055B2 (en) | 2019-06-20 | 2022-10-18 | Cilag Gmbh International | Noise aware edge enhancement in a pulsed fluorescence imaging system |
US11700995B2 (en) | 2019-06-20 | 2023-07-18 | Cilag Gmbh International | Speckle removal in a pulsed fluorescence imaging system |
US20200397246A1 (en) | 2019-06-20 | 2020-12-24 | Ethicon Llc | Minimizing image sensor input/output in a pulsed hyperspectral, fluorescence, and laser mapping imaging system |
US11622094B2 (en) | 2019-06-20 | 2023-04-04 | Cilag Gmbh International | Wide dynamic range using a monochrome image sensor for fluorescence imaging |
US11288772B2 (en) | 2019-06-20 | 2022-03-29 | Cilag Gmbh International | Super resolution and color motion artifact correction in a pulsed fluorescence imaging system |
US11134832B2 (en) | 2019-06-20 | 2021-10-05 | Cilag Gmbh International | Image rotation in an endoscopic hyperspectral, fluorescence, and laser mapping imaging system |
US11237270B2 (en) | 2019-06-20 | 2022-02-01 | Cilag Gmbh International | Hyperspectral, fluorescence, and laser mapping imaging with fixed pattern noise cancellation |
USD950728S1 (en) | 2019-06-25 | 2022-05-03 | Cilag Gmbh International | Surgical staple cartridge |
USD964564S1 (en) | 2019-06-25 | 2022-09-20 | Cilag Gmbh International | Surgical staple cartridge retainer with a closure system authentication key |
USD952144S1 (en) | 2019-06-25 | 2022-05-17 | Cilag Gmbh International | Surgical staple cartridge retainer with firing system authentication key |
US11723729B2 (en) | 2019-06-27 | 2023-08-15 | Cilag Gmbh International | Robotic surgical assembly coupling safety mechanisms |
US11413102B2 (en) | 2019-06-27 | 2022-08-16 | Cilag Gmbh International | Multi-access port for surgical robotic systems |
US11207146B2 (en) | 2019-06-27 | 2021-12-28 | Cilag Gmbh International | Surgical instrument drive systems with cable-tightening system |
US11376083B2 (en) | 2019-06-27 | 2022-07-05 | Cilag Gmbh International | Determining robotic surgical assembly coupling status |
US11399906B2 (en) | 2019-06-27 | 2022-08-02 | Cilag Gmbh International | Robotic surgical system for controlling close operation of end-effectors |
US11612445B2 (en) | 2019-06-27 | 2023-03-28 | Cilag Gmbh International | Cooperative operation of robotic arms |
US11369443B2 (en) | 2019-06-27 | 2022-06-28 | Cilag Gmbh International | Method of using a surgical modular robotic assembly |
US11607278B2 (en) | 2019-06-27 | 2023-03-21 | Cilag Gmbh International | Cooperative robotic surgical systems |
US11013569B2 (en) | 2019-06-27 | 2021-05-25 | Cilag Gmbh International | Surgical systems with interchangeable motor packs |
US11376082B2 (en) | 2019-06-27 | 2022-07-05 | Cilag Gmbh International | Robotic surgical system with local sensing of functional parameters based on measurements of multiple physical inputs |
US11547468B2 (en) | 2019-06-27 | 2023-01-10 | Cilag Gmbh International | Robotic surgical system with safety and cooperative sensing control |
US11278362B2 (en) | 2019-06-27 | 2022-03-22 | Cilag Gmbh International | Surgical instrument drive systems |
US11523822B2 (en) | 2019-06-28 | 2022-12-13 | Cilag Gmbh International | Battery pack including a circuit interrupter |
US11298127B2 (en) | 2019-06-28 | 2022-04-12 | Cilag GmbH Interational | Surgical stapling system having a lockout mechanism for an incompatible cartridge |
US11771419B2 (en) | 2019-06-28 | 2023-10-03 | Cilag Gmbh International | Packaging for a replaceable component of a surgical stapling system |
US11298132B2 (en) | 2019-06-28 | 2022-04-12 | Cilag GmbH Inlernational | Staple cartridge including a honeycomb extension |
US11426167B2 (en) | 2019-06-28 | 2022-08-30 | Cilag Gmbh International | Mechanisms for proper anvil attachment surgical stapling head assembly |
US11399837B2 (en) | 2019-06-28 | 2022-08-02 | Cilag Gmbh International | Mechanisms for motor control adjustments of a motorized surgical instrument |
US11291451B2 (en) | 2019-06-28 | 2022-04-05 | Cilag Gmbh International | Surgical instrument with battery compatibility verification functionality |
US11497492B2 (en) | 2019-06-28 | 2022-11-15 | Cilag Gmbh International | Surgical instrument including an articulation lock |
US11224497B2 (en) | 2019-06-28 | 2022-01-18 | Cilag Gmbh International | Surgical systems with multiple RFID tags |
US11478241B2 (en) | 2019-06-28 | 2022-10-25 | Cilag Gmbh International | Staple cartridge including projections |
US11051807B2 (en) | 2019-06-28 | 2021-07-06 | Cilag Gmbh International | Packaging assembly including a particulate trap |
US11259803B2 (en) | 2019-06-28 | 2022-03-01 | Cilag Gmbh International | Surgical stapling system having an information encryption protocol |
US11553971B2 (en) | 2019-06-28 | 2023-01-17 | Cilag Gmbh International | Surgical RFID assemblies for display and communication |
US11627959B2 (en) | 2019-06-28 | 2023-04-18 | Cilag Gmbh International | Surgical instruments including manual and powered system lockouts |
US11638587B2 (en) | 2019-06-28 | 2023-05-02 | Cilag Gmbh International | RFID identification systems for surgical instruments |
US11660163B2 (en) | 2019-06-28 | 2023-05-30 | Cilag Gmbh International | Surgical system with RFID tags for updating motor assembly parameters |
US11376098B2 (en) | 2019-06-28 | 2022-07-05 | Cilag Gmbh International | Surgical instrument system comprising an RFID system |
US11246678B2 (en) | 2019-06-28 | 2022-02-15 | Cilag Gmbh International | Surgical stapling system having a frangible RFID tag |
US11219455B2 (en) | 2019-06-28 | 2022-01-11 | Cilag Gmbh International | Surgical instrument including a lockout key |
US11464601B2 (en) | 2019-06-28 | 2022-10-11 | Cilag Gmbh International | Surgical instrument comprising an RFID system for tracking a movable component |
US11684434B2 (en) | 2019-06-28 | 2023-06-27 | Cilag Gmbh International | Surgical RFID assemblies for instrument operational setting control |
US11350938B2 (en) | 2019-06-28 | 2022-06-07 | Cilag Gmbh International | Surgical instrument comprising an aligned rfid sensor |
USD1005484S1 (en) | 2019-07-19 | 2023-11-21 | Cynosure, Llc | Handheld medical instrument and docking base |
US11529186B2 (en) | 2019-07-22 | 2022-12-20 | Covidien Lp | Electrosurgical forceps including thermal cutting element |
KR20210023603A (ko) * | 2019-08-23 | 2021-03-04 | 엘지전자 주식회사 | 온도 예측 모델의 생성 장치 및 시뮬레이션 환경의 제공 방법 |
US11457945B2 (en) | 2019-08-30 | 2022-10-04 | Cilag Gmbh International | Ultrasonic blade and clamp arm alignment features |
US11690642B2 (en) | 2019-08-30 | 2023-07-04 | Cilag Gmbh International | Ultrasonic surgical instrument with a multi-planar articulating shaft assembly |
US11612409B2 (en) | 2019-08-30 | 2023-03-28 | Cilag Gmbh International | Ultrasonic transducer alignment of an articulating ultrasonic surgical instrument |
EP4140420A1 (en) | 2019-08-30 | 2023-03-01 | Cilag GmbH International | Ultrasonic surgical instrument with a multi-planar articulating shaft assembly |
US11712261B2 (en) | 2019-08-30 | 2023-08-01 | Cilag Gmbh International | Rotatable linear actuation mechanism |
US11471181B2 (en) | 2019-08-30 | 2022-10-18 | Cilag Gmbh International | Ultrasonic surgical instrument with axisymmetric clamping |
DE102019125490A1 (de) * | 2019-09-23 | 2021-03-25 | Karl Storz Se & Co. Kg | Fußschalter für medizinische Geräte |
US11489696B2 (en) | 2019-12-17 | 2022-11-01 | Covidien Lp | Surgical instrument with single wire digital communication over differential bus |
US11291447B2 (en) | 2019-12-19 | 2022-04-05 | Cilag Gmbh International | Stapling instrument comprising independent jaw closing and staple firing systems |
US11931033B2 (en) | 2019-12-19 | 2024-03-19 | Cilag Gmbh International | Staple cartridge comprising a latch lockout |
CN111007891A (zh) * | 2019-12-19 | 2020-04-14 | 河南理工大学 | 一种超声刀刀杆振幅控制装置及控制方法 |
US11234698B2 (en) | 2019-12-19 | 2022-02-01 | Cilag Gmbh International | Stapling system comprising a clamp lockout and a firing lockout |
US11844520B2 (en) | 2019-12-19 | 2023-12-19 | Cilag Gmbh International | Staple cartridge comprising driver retention members |
US11446029B2 (en) | 2019-12-19 | 2022-09-20 | Cilag Gmbh International | Staple cartridge comprising projections extending from a curved deck surface |
US11464512B2 (en) | 2019-12-19 | 2022-10-11 | Cilag Gmbh International | Staple cartridge comprising a curved deck surface |
US11304696B2 (en) | 2019-12-19 | 2022-04-19 | Cilag Gmbh International | Surgical instrument comprising a powered articulation system |
US11529139B2 (en) | 2019-12-19 | 2022-12-20 | Cilag Gmbh International | Motor driven surgical instrument |
US11911032B2 (en) | 2019-12-19 | 2024-02-27 | Cilag Gmbh International | Staple cartridge comprising a seating cam |
US11607219B2 (en) | 2019-12-19 | 2023-03-21 | Cilag Gmbh International | Staple cartridge comprising a detachable tissue cutting knife |
US11701111B2 (en) | 2019-12-19 | 2023-07-18 | Cilag Gmbh International | Method for operating a surgical stapling instrument |
US11504122B2 (en) | 2019-12-19 | 2022-11-22 | Cilag Gmbh International | Surgical instrument comprising a nested firing member |
US11529137B2 (en) | 2019-12-19 | 2022-12-20 | Cilag Gmbh International | Staple cartridge comprising driver retention members |
US11576672B2 (en) | 2019-12-19 | 2023-02-14 | Cilag Gmbh International | Surgical instrument comprising a closure system including a closure member and an opening member driven by a drive screw |
US11559304B2 (en) | 2019-12-19 | 2023-01-24 | Cilag Gmbh International | Surgical instrument comprising a rapid closure mechanism |
US11365490B2 (en) | 2019-12-21 | 2022-06-21 | Covidien Lp | Thermal cutting elements, electrosurgical instruments including thermal cutting elements, and methods of manufacturing |
KR102128489B1 (ko) | 2019-12-21 | 2020-06-30 | 주식회사 메타바이오메드 | 에너지 수집이 가능한 무선형 초음파 수술기 |
US11779387B2 (en) | 2019-12-30 | 2023-10-10 | Cilag Gmbh International | Clamp arm jaw to minimize tissue sticking and improve tissue control |
US11944366B2 (en) | 2019-12-30 | 2024-04-02 | Cilag Gmbh International | Asymmetric segmented ultrasonic support pad for cooperative engagement with a movable RF electrode |
US11812957B2 (en) | 2019-12-30 | 2023-11-14 | Cilag Gmbh International | Surgical instrument comprising a signal interference resolution system |
US11937863B2 (en) | 2019-12-30 | 2024-03-26 | Cilag Gmbh International | Deflectable electrode with variable compression bias along the length of the deflectable electrode |
US11779329B2 (en) | 2019-12-30 | 2023-10-10 | Cilag Gmbh International | Surgical instrument comprising a flex circuit including a sensor system |
US11452525B2 (en) | 2019-12-30 | 2022-09-27 | Cilag Gmbh International | Surgical instrument comprising an adjustment system |
US20210196361A1 (en) | 2019-12-30 | 2021-07-01 | Ethicon Llc | Electrosurgical instrument with monopolar and bipolar energy capabilities |
US11786294B2 (en) | 2019-12-30 | 2023-10-17 | Cilag Gmbh International | Control program for modular combination energy device |
US11786291B2 (en) | 2019-12-30 | 2023-10-17 | Cilag Gmbh International | Deflectable support of RF energy electrode with respect to opposing ultrasonic blade |
US11911063B2 (en) | 2019-12-30 | 2024-02-27 | Cilag Gmbh International | Techniques for detecting ultrasonic blade to electrode contact and reducing power to ultrasonic blade |
US11696776B2 (en) | 2019-12-30 | 2023-07-11 | Cilag Gmbh International | Articulatable surgical instrument |
US11950797B2 (en) | 2019-12-30 | 2024-04-09 | Cilag Gmbh International | Deflectable electrode with higher distal bias relative to proximal bias |
US11937866B2 (en) | 2019-12-30 | 2024-03-26 | Cilag Gmbh International | Method for an electrosurgical procedure |
US11660089B2 (en) | 2019-12-30 | 2023-05-30 | Cilag Gmbh International | Surgical instrument comprising a sensing system |
US11744636B2 (en) | 2019-12-30 | 2023-09-05 | Cilag Gmbh International | Electrosurgical systems with integrated and external power sources |
US11684412B2 (en) | 2019-12-30 | 2023-06-27 | Cilag Gmbh International | Surgical instrument with rotatable and articulatable surgical end effector |
EP4096782A4 (en) | 2020-01-28 | 2024-02-14 | Univ Michigan Regents | SYSTEMS AND METHODS FOR IMMUNOSENSITIZATION BY HISTOTRIPSY |
USD924157S1 (en) * | 2020-01-29 | 2021-07-06 | Baxter International Inc. | Monitor connector |
USD975851S1 (en) | 2020-06-02 | 2023-01-17 | Cilag Gmbh International | Staple cartridge |
USD967421S1 (en) | 2020-06-02 | 2022-10-18 | Cilag Gmbh International | Staple cartridge |
USD975850S1 (en) | 2020-06-02 | 2023-01-17 | Cilag Gmbh International | Staple cartridge |
USD966512S1 (en) | 2020-06-02 | 2022-10-11 | Cilag Gmbh International | Staple cartridge |
USD975278S1 (en) | 2020-06-02 | 2023-01-10 | Cilag Gmbh International | Staple cartridge |
USD976401S1 (en) | 2020-06-02 | 2023-01-24 | Cilag Gmbh International | Staple cartridge |
USD974560S1 (en) | 2020-06-02 | 2023-01-03 | Cilag Gmbh International | Staple cartridge |
US11857247B2 (en) | 2020-07-17 | 2024-01-02 | Cilag Gmbh International | Jaw for surgical instrument end effector |
US20220031320A1 (en) | 2020-07-28 | 2022-02-03 | Cilag Gmbh International | Surgical instruments with flexible firing member actuator constraint arrangements |
US11374367B2 (en) * | 2020-09-29 | 2022-06-28 | Onanon, Inc. | Vibrating connector system |
US20220110673A1 (en) | 2020-10-13 | 2022-04-14 | Cilag Gmbh International | Structured tissue contact surface for energy-based surgical instrument |
US11931059B2 (en) | 2020-10-22 | 2024-03-19 | Cilag Gmbh International | Surgical instrument with a carrier kart and various communication cable arrangements |
US11890030B2 (en) | 2020-10-22 | 2024-02-06 | Auris Health, Inc. | Surgical instrument with an articulatable shaft assembly and dual end effector roll |
US11944341B2 (en) | 2020-10-22 | 2024-04-02 | Cilag Gmbh International | Ultrasonic surgical instrument with a mid-shaft closure system and related methods |
WO2022084840A1 (en) | 2020-10-22 | 2022-04-28 | Cilag Gmbh International | Ultrasonic surgical instrument with translating transducer, waveguide and blade |
US11806037B2 (en) | 2020-10-22 | 2023-11-07 | Cilag Gmbh International | Damping rings for an ultrasonic surgical instrument |
EP4299031A3 (en) | 2020-10-22 | 2024-03-13 | Cilag GmbH International | Surgical instrument with an articulatable shaft assembly and dual end effector roll |
US11950798B2 (en) | 2020-10-22 | 2024-04-09 | Cilag Gmbh International | Surgical instrument with non-clamping sensor feedback |
US11844518B2 (en) | 2020-10-29 | 2023-12-19 | Cilag Gmbh International | Method for operating a surgical instrument |
USD1013170S1 (en) | 2020-10-29 | 2024-01-30 | Cilag Gmbh International | Surgical instrument assembly |
US11896217B2 (en) | 2020-10-29 | 2024-02-13 | Cilag Gmbh International | Surgical instrument comprising an articulation lock |
US11517390B2 (en) | 2020-10-29 | 2022-12-06 | Cilag Gmbh International | Surgical instrument comprising a limited travel switch |
US11452526B2 (en) | 2020-10-29 | 2022-09-27 | Cilag Gmbh International | Surgical instrument comprising a staged voltage regulation start-up system |
US11931025B2 (en) | 2020-10-29 | 2024-03-19 | Cilag Gmbh International | Surgical instrument comprising a releasable closure drive lock |
USD980425S1 (en) | 2020-10-29 | 2023-03-07 | Cilag Gmbh International | Surgical instrument assembly |
US11617577B2 (en) | 2020-10-29 | 2023-04-04 | Cilag Gmbh International | Surgical instrument comprising a sensor configured to sense whether an articulation drive of the surgical instrument is actuatable |
US11717289B2 (en) | 2020-10-29 | 2023-08-08 | Cilag Gmbh International | Surgical instrument comprising an indicator which indicates that an articulation drive is actuatable |
US11779330B2 (en) | 2020-10-29 | 2023-10-10 | Cilag Gmbh International | Surgical instrument comprising a jaw alignment system |
US11534259B2 (en) | 2020-10-29 | 2022-12-27 | Cilag Gmbh International | Surgical instrument comprising an articulation indicator |
US11653920B2 (en) | 2020-12-02 | 2023-05-23 | Cilag Gmbh International | Powered surgical instruments with communication interfaces through sterile barrier |
US11653915B2 (en) | 2020-12-02 | 2023-05-23 | Cilag Gmbh International | Surgical instruments with sled location detection and adjustment features |
US11849943B2 (en) | 2020-12-02 | 2023-12-26 | Cilag Gmbh International | Surgical instrument with cartridge release mechanisms |
US11744581B2 (en) | 2020-12-02 | 2023-09-05 | Cilag Gmbh International | Powered surgical instruments with multi-phase tissue treatment |
US11944296B2 (en) | 2020-12-02 | 2024-04-02 | Cilag Gmbh International | Powered surgical instruments with external connectors |
US11737751B2 (en) | 2020-12-02 | 2023-08-29 | Cilag Gmbh International | Devices and methods of managing energy dissipated within sterile barriers of surgical instrument housings |
US11678882B2 (en) | 2020-12-02 | 2023-06-20 | Cilag Gmbh International | Surgical instruments with interactive features to remedy incidental sled movements |
US11890010B2 (en) | 2020-12-02 | 2024-02-06 | Cllag GmbH International | Dual-sided reinforced reload for surgical instruments |
US11627960B2 (en) | 2020-12-02 | 2023-04-18 | Cilag Gmbh International | Powered surgical instruments with smart reload with separately attachable exteriorly mounted wiring connections |
US11911064B2 (en) | 2020-12-21 | 2024-02-27 | Cilag Gmbh International | Ultrasonic surgical instrument with a clamp arm clocking assembly |
US11744583B2 (en) | 2021-02-26 | 2023-09-05 | Cilag Gmbh International | Distal communication array to tune frequency of RF systems |
US11730473B2 (en) | 2021-02-26 | 2023-08-22 | Cilag Gmbh International | Monitoring of manufacturing life-cycle |
US11812964B2 (en) | 2021-02-26 | 2023-11-14 | Cilag Gmbh International | Staple cartridge comprising a power management circuit |
US11950779B2 (en) | 2021-02-26 | 2024-04-09 | Cilag Gmbh International | Method of powering and communicating with a staple cartridge |
US11749877B2 (en) | 2021-02-26 | 2023-09-05 | Cilag Gmbh International | Stapling instrument comprising a signal antenna |
US11793514B2 (en) | 2021-02-26 | 2023-10-24 | Cilag Gmbh International | Staple cartridge comprising sensor array which may be embedded in cartridge body |
US11701113B2 (en) | 2021-02-26 | 2023-07-18 | Cilag Gmbh International | Stapling instrument comprising a separate power antenna and a data transfer antenna |
US11925349B2 (en) | 2021-02-26 | 2024-03-12 | Cilag Gmbh International | Adjustment to transfer parameters to improve available power |
US11751869B2 (en) | 2021-02-26 | 2023-09-12 | Cilag Gmbh International | Monitoring of multiple sensors over time to detect moving characteristics of tissue |
US11723657B2 (en) | 2021-02-26 | 2023-08-15 | Cilag Gmbh International | Adjustable communication based on available bandwidth and power capacity |
US11696757B2 (en) | 2021-02-26 | 2023-07-11 | Cilag Gmbh International | Monitoring of internal systems to detect and track cartridge motion status |
US11950777B2 (en) | 2021-02-26 | 2024-04-09 | Cilag Gmbh International | Staple cartridge comprising an information access control system |
EP4114297A1 (en) | 2021-03-02 | 2023-01-11 | Cilag GmbH International | Adjustment feature for electrosurgical instrument |
US11826012B2 (en) | 2021-03-22 | 2023-11-28 | Cilag Gmbh International | Stapling instrument comprising a pulsed motor-driven firing rack |
US11717291B2 (en) | 2021-03-22 | 2023-08-08 | Cilag Gmbh International | Staple cartridge comprising staples configured to apply different tissue compression |
US11826042B2 (en) | 2021-03-22 | 2023-11-28 | Cilag Gmbh International | Surgical instrument comprising a firing drive including a selectable leverage mechanism |
US11806011B2 (en) | 2021-03-22 | 2023-11-07 | Cilag Gmbh International | Stapling instrument comprising tissue compression systems |
US11737749B2 (en) | 2021-03-22 | 2023-08-29 | Cilag Gmbh International | Surgical stapling instrument comprising a retraction system |
US11723658B2 (en) | 2021-03-22 | 2023-08-15 | Cilag Gmbh International | Staple cartridge comprising a firing lockout |
US11759202B2 (en) | 2021-03-22 | 2023-09-19 | Cilag Gmbh International | Staple cartridge comprising an implantable layer |
US11896219B2 (en) | 2021-03-24 | 2024-02-13 | Cilag Gmbh International | Mating features between drivers and underside of a cartridge deck |
US11786239B2 (en) | 2021-03-24 | 2023-10-17 | Cilag Gmbh International | Surgical instrument articulation joint arrangements comprising multiple moving linkage features |
US11944336B2 (en) | 2021-03-24 | 2024-04-02 | Cilag Gmbh International | Joint arrangements for multi-planar alignment and support of operational drive shafts in articulatable surgical instruments |
US11857183B2 (en) | 2021-03-24 | 2024-01-02 | Cilag Gmbh International | Stapling assembly components having metal substrates and plastic bodies |
US11832816B2 (en) | 2021-03-24 | 2023-12-05 | Cilag Gmbh International | Surgical stapling assembly comprising nonplanar staples and planar staples |
US11896218B2 (en) | 2021-03-24 | 2024-02-13 | Cilag Gmbh International | Method of using a powered stapling device |
US11786243B2 (en) | 2021-03-24 | 2023-10-17 | Cilag Gmbh International | Firing members having flexible portions for adapting to a load during a surgical firing stroke |
US11903582B2 (en) | 2021-03-24 | 2024-02-20 | Cilag Gmbh International | Leveraging surfaces for cartridge installation |
US11849945B2 (en) | 2021-03-24 | 2023-12-26 | Cilag Gmbh International | Rotary-driven surgical stapling assembly comprising eccentrically driven firing member |
US11849944B2 (en) | 2021-03-24 | 2023-12-26 | Cilag Gmbh International | Drivers for fastener cartridge assemblies having rotary drive screws |
US11744603B2 (en) | 2021-03-24 | 2023-09-05 | Cilag Gmbh International | Multi-axis pivot joints for surgical instruments and methods for manufacturing same |
US11793516B2 (en) | 2021-03-24 | 2023-10-24 | Cilag Gmbh International | Surgical staple cartridge comprising longitudinal support beam |
CN113100909A (zh) * | 2021-04-07 | 2021-07-13 | 杭州维那泰克医疗科技有限责任公司 | 电信号输出方法、装置、设备及系统 |
US20220346785A1 (en) | 2021-04-30 | 2022-11-03 | Cilag Gmbh International | Surgical instrument comprising end effector with energy sensitive resistance elements |
US20220346787A1 (en) | 2021-04-30 | 2022-11-03 | Cilag Gmbh International | Interchangeable end effector reloads |
US11931035B2 (en) | 2021-04-30 | 2024-03-19 | Cilag Gmbh International | Articulation system for surgical instrument |
US11857184B2 (en) | 2021-04-30 | 2024-01-02 | Cilag Gmbh International | Surgical instrument comprising a rotation-driven and translation-driven tissue cutting knife |
US20220346786A1 (en) | 2021-04-30 | 2022-11-03 | Cilag Gmbh International | Shaft system for surgical instrument |
US11918275B2 (en) | 2021-04-30 | 2024-03-05 | Cilag Gmbh International | Electrosurgical adaptation techniques of energy modality for combination electrosurgical instruments based on shorting or tissue impedance irregularity |
US11826043B2 (en) | 2021-04-30 | 2023-11-28 | Cilag Gmbh International | Staple cartridge comprising formation support features |
US20220346861A1 (en) | 2021-04-30 | 2022-11-03 | Cilag Gmbh International | Surgical systems configured to cooperatively control end effector function and application of therapeutic energy |
US20220346859A1 (en) | 2021-04-30 | 2022-11-03 | Cilag Gmbh International | Surgical instrument comprising independently activatable segmented electrodes |
US20220346781A1 (en) | 2021-04-30 | 2022-11-03 | Cilag Gmbh International | Staple cartridge comprising staple drivers and stability supports |
US20220346860A1 (en) | 2021-04-30 | 2022-11-03 | Cilag Gmbh International | Surgical systems configured to control therapeutic energy application to tissue based on cartridge and tissue parameters |
US11944295B2 (en) | 2021-04-30 | 2024-04-02 | Cilag Gmbh International | Surgical instrument comprising end effector with longitudinal sealing step |
US20220346784A1 (en) | 2021-04-30 | 2022-11-03 | Cilag Gmbh International | Surgical instrument comprising a closure bar and a firing bar |
US20220346853A1 (en) | 2021-04-30 | 2022-11-03 | Cilag Gmbh International | Electrosurgical techniques for sealing, short circuit detection, and system determination of power level |
US20220346773A1 (en) | 2021-04-30 | 2022-11-03 | Cilag Gmbh International | Surgical staple for use with combination electrosurgical instruments |
US11826047B2 (en) | 2021-05-28 | 2023-11-28 | Cilag Gmbh International | Stapling instrument comprising jaw mounts |
US11931026B2 (en) | 2021-06-30 | 2024-03-19 | Cilag Gmbh International | Staple cartridge replacement |
CN113662606A (zh) * | 2021-07-21 | 2021-11-19 | 江苏博朗森思医疗器械有限公司 | 智能速度控制方法、装置及电动吻合器 |
US20230101623A1 (en) | 2021-09-30 | 2023-03-30 | Cilag Gmbh International | Electrosurgical system with optical sensor electronics |
US20230096074A1 (en) | 2021-09-30 | 2023-03-30 | Cilag Gmbh International | Electrosurgical instrument with light accumulator end effector and fiber optics |
US20230100459A1 (en) | 2021-09-30 | 2023-03-30 | Cilag Gmbh International | Electrosurgical instrument with fiber optic rotary coupling |
CN114089652A (zh) * | 2021-10-12 | 2022-02-25 | 华南理工大学 | 一种智能射频刀控制系统及方法 |
US11877745B2 (en) | 2021-10-18 | 2024-01-23 | Cilag Gmbh International | Surgical stapling assembly having longitudinally-repeating staple leg clusters |
US11937816B2 (en) | 2021-10-28 | 2024-03-26 | Cilag Gmbh International | Electrical lead arrangements for surgical instruments |
WO2023086545A1 (en) * | 2021-11-15 | 2023-05-19 | Medtronic, Inc. | Methods and apparatus for reducing leakage currents in cryo, radio-frequency, and pulsed-field ablation systems |
WO2023170645A1 (en) | 2022-03-11 | 2023-09-14 | Cilag Gmbh International | Electrosurgical instrument with clamp closure sensor |
EP4241713A1 (en) | 2022-03-11 | 2023-09-13 | Cilag GmbH International | Electrosurgical instrument with clamp closure sensor |
DE102022107867B4 (de) | 2022-03-31 | 2024-02-01 | Olympus Winter & Ibe Gmbh | Chirurgischer Generator mit verbessertem Antrieb des chirurgischen Ultraschallinstruments |
US20240000499A1 (en) | 2022-06-30 | 2024-01-04 | Cilag Gmbh International | Electrosurgical instrument for applying non-therapeutic rf signals |
US11774320B1 (en) * | 2022-11-18 | 2023-10-03 | xMEMS Labs, Inc. | Acoustic impedance measuring system and acoustic impedance measuring method |
CN115770089B (zh) * | 2023-02-10 | 2023-06-20 | 杭州康基医疗器械有限公司 | 一种高集成高频超声系统及工作方法 |
CN116430139B (zh) * | 2023-03-29 | 2023-12-05 | 河南省驼人医疗科技有限公司 | 一种超声切割止血刀故障检测系统及其检测方法 |
CN116196091B (zh) * | 2023-04-28 | 2023-09-19 | 武汉半边天医疗技术发展有限公司 | 一种射频超声装置及系统 |
CN116211453A (zh) * | 2023-05-09 | 2023-06-06 | 浙江伽奈维医疗科技有限公司 | 静脉曲张射频消融导管的温度控制方法及系统 |
Citations (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4188927A (en) * | 1978-01-12 | 1980-02-19 | Valleylab, Inc. | Multiple source electrosurgical generator |
US6233476B1 (en) * | 1999-05-18 | 2001-05-15 | Mediguide Ltd. | Medical positioning system |
Family Cites Families (2185)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US381077A (en) | 1888-04-10 | Geoege s | ||
US25033A (en) | 1859-08-09 | Improvement in corn-planters | ||
US327872A (en) | 1885-10-06 | Colter for plows | ||
USRE25033E (en) | 1961-08-29 | Vibratory machine tool and vibratory abrasion method | ||
US416089A (en) | 1889-11-26 | District | ||
US332660A (en) | 1885-12-15 | johnson | ||
US358887A (en) | 1887-03-08 | saokett | ||
US354564A (en) | 1886-12-21 | Regenerative gas-b | ||
US1570025A (en) | 1926-01-19 | John van doiten yottng | ||
US347474A (en) | 1886-08-17 | Helm doeheing | ||
US334173A (en) | 1886-01-12 | kaiser | ||
US762535A (en) | 1902-10-09 | 1904-06-14 | William H Kelsey | Electric plug or socket extension. |
US969528A (en) | 1909-12-23 | 1910-09-06 | Reuben B Disbrow | Butter-spade. |
US1813902A (en) | 1928-01-18 | 1931-07-14 | Liebel Flarsheim Co | Electrosurgical apparatus |
US2188497A (en) | 1936-09-24 | 1940-01-30 | Waldorf Paper Prod Co | Container and method of making the same |
US2366274A (en) | 1942-06-03 | 1945-01-02 | Brunswick Balke Collender Co | Plastic fastening means and method of applying the same |
US2510693A (en) | 1944-03-29 | 1950-06-06 | Lee B Green | Fastening member |
US2425245A (en) | 1945-03-30 | 1947-08-05 | Conrad B Johnson | Cushion grip for air hammers and the like |
US2458152A (en) | 1945-04-03 | 1949-01-04 | Us Rubber Co | Plastic rivet and method of making same |
US2442966A (en) | 1946-09-07 | 1948-06-08 | American Cystoscope Makers Inc | Electrosurgical resecting instrument |
US2597564A (en) | 1948-01-31 | 1952-05-20 | Kenly C Bugg | Stitch and seam opener |
US2704333A (en) | 1951-03-15 | 1955-03-15 | Raytheon Mfg Co | Ultrasonic vibratory devices |
US2748967A (en) | 1952-03-19 | 1956-06-05 | William B Roach | Bottle closure |
US2849788A (en) | 1952-08-02 | 1958-09-02 | A V Roe Canada Ltd | Method and apparatus for making hollow blades |
US3033407A (en) | 1953-07-03 | 1962-05-08 | Union Carbide Corp | Bottle closures |
US2736960A (en) | 1954-01-29 | 1956-03-06 | James A Armstrong | Razor blade knife |
US2874470A (en) | 1954-05-28 | 1959-02-24 | James R Richards | High frequency dental tool |
DE1008144B (de) | 1955-02-26 | 1957-05-09 | Artur Haerter K G | Elektrisches Trockenrasiergeraet |
NL106732C (zh) | 1955-03-08 | |||
US2845072A (en) | 1955-06-21 | 1958-07-29 | William A Shafer | Surgical knife |
US3053124A (en) | 1959-11-16 | 1962-09-11 | Cavitron Ultrasonics Inc | Ultrasonic welding |
US3015961A (en) | 1960-05-02 | 1962-01-09 | Sheffield Corp | Machine component |
US3166971A (en) | 1960-11-23 | 1965-01-26 | Air Reduction | Riveting by electric discharge |
US3082805A (en) | 1960-12-21 | 1963-03-26 | John H Royce | Tissue macerator |
US3433226A (en) | 1965-07-21 | 1969-03-18 | Aeroprojects Inc | Vibratory catheterization apparatus and method of using |
US3322403A (en) | 1965-11-15 | 1967-05-30 | Gray Company Inc | Agitator |
US3616375A (en) | 1966-03-03 | 1971-10-26 | Inoue K | Method employing wave energy for the extraction of sulfur from petroleum and the like |
US3525912A (en) | 1966-03-28 | 1970-08-25 | Scovill Manufacturing Co | Selectable power source for a motor driven appliance |
US3432691A (en) | 1966-09-15 | 1969-03-11 | Branson Instr | Oscillatory circuit for electro-acoustic converter |
US3526219A (en) | 1967-07-21 | 1970-09-01 | Ultrasonic Systems | Method and apparatus for ultrasonically removing tissue from a biological organism |
US3554198A (en) * | 1967-08-04 | 1971-01-12 | Cardiac Electronics Inc | Patient-isolating circuitry for cardiac facing device |
US3636943A (en) | 1967-10-27 | 1972-01-25 | Ultrasonic Systems | Ultrasonic cauterization |
US3606682A (en) | 1967-10-30 | 1971-09-21 | Corning Glass Works | Razor blades |
US3514856A (en) | 1967-10-30 | 1970-06-02 | Corning Glass Works | Razor blade configuration |
US3513848A (en) | 1967-12-11 | 1970-05-26 | Ultrasonic Systems | Ultrasonic suturing |
US3489930A (en) | 1968-07-29 | 1970-01-13 | Branson Instr | Apparatus for controlling the power supplied to an ultrasonic transducer |
US3580841A (en) | 1969-07-31 | 1971-05-25 | Us Interior | Ultrathin semipermeable membrane |
US3629726A (en) | 1969-08-29 | 1971-12-21 | Surgical Design Corp | Oscillator and oscillator control circuit |
US3614484A (en) | 1970-03-25 | 1971-10-19 | Branson Instr | Ultrasonic motion adapter for a machine tool |
US3668486A (en) | 1971-01-08 | 1972-06-06 | Crest Ultrasonics Corp | Load-sensitive generator for driving piezo-electric transducers |
US3924335A (en) | 1971-02-26 | 1975-12-09 | Ultrasonic Systems | Ultrasonic dental and other instrument means and methods |
US3809977A (en) | 1971-02-26 | 1974-05-07 | Ultrasonic Systems | Ultrasonic kits and motor systems |
US3703651A (en) | 1971-07-12 | 1972-11-21 | Kollmorgen Corp | Temperature-controlled integrated circuits |
US3776238A (en) | 1971-08-24 | 1973-12-04 | Univ California | Ophthalmic instrument |
US3777760A (en) | 1971-09-09 | 1973-12-11 | H Essner | Surgical stick |
US3702948A (en) | 1972-01-07 | 1972-11-14 | Ultrasonic Systems | Ultrasonic motors and scissors |
US3885438A (en) | 1972-02-04 | 1975-05-27 | Sr Rano J Harris | Automatic fluid injector |
US3805787A (en) | 1972-06-16 | 1974-04-23 | Surgical Design Corp | Ultrasonic surgical instrument |
US3830098A (en) | 1973-03-22 | 1974-08-20 | Blackstone Corp | Output monitored electromechanical devices |
US3900823A (en) | 1973-03-28 | 1975-08-19 | Nathan O Sokal | Amplifying and processing apparatus for modulated carrier signals |
US5172344A (en) | 1973-06-29 | 1992-12-15 | Raytheon Company | Deep submergence transducer |
US4058126A (en) | 1973-08-02 | 1977-11-15 | Leveen Harry H | Device for the fracture of the blood vessel lining |
DE2339827B2 (de) * | 1973-08-06 | 1977-02-24 | A6 In 3-02 | Zahnaerztliches geraet |
US3918442A (en) | 1973-10-10 | 1975-11-11 | Georgy Alexandrovich Nikolaev | Surgical instrument for ultrasonic joining of biological tissue |
US3875945A (en) | 1973-11-02 | 1975-04-08 | Demetron Corp | Electrosurgery instrument |
JPS50100891A (zh) | 1973-12-21 | 1975-08-09 | ||
US3854737A (en) | 1974-01-21 | 1974-12-17 | Chemprene | Combination rotary and reciprocating unitary sealing mechanism |
US4012647A (en) | 1974-01-31 | 1977-03-15 | Ultrasonic Systems, Inc. | Ultrasonic motors and converters |
US3956826A (en) | 1974-03-19 | 1976-05-18 | Cavitron Corporation | Ultrasonic device and method |
US3946735A (en) * | 1974-05-13 | 1976-03-30 | Dewall Richard A | Medical drainage device |
JPS5141938A (en) | 1974-10-07 | 1976-04-08 | Omron Tateisi Electronics Co | On ofudeireikairo |
US3946738A (en) * | 1974-10-24 | 1976-03-30 | Newton David W | Leakage current cancelling circuit for use with electrosurgical instrument |
US3955859A (en) | 1975-03-25 | 1976-05-11 | The Torrington Company | Bearing with multiple lip seal |
US4005714A (en) | 1975-05-03 | 1977-02-01 | Richard Wolf Gmbh | Bipolar coagulation forceps |
US4074719A (en) | 1975-07-12 | 1978-02-21 | Kurt Semm | Method of and device for causing blood coagulation |
US4034762A (en) | 1975-08-04 | 1977-07-12 | Electro Medical Systems, Inc. | Vas cautery apparatus |
DE2656278B2 (de) | 1976-12-11 | 1979-03-15 | Kurt Prof. Dr.Med. 2300 Kiel Semm | Elektrokoagulationsinstrument und |
US4203430A (en) | 1976-12-16 | 1980-05-20 | Nagashige Takahashi | Device for controlling curvature of an end section in an endoscope |
US4180074A (en) | 1977-03-15 | 1979-12-25 | Fibra-Sonics, Inc. | Device and method for applying precise irrigation, aspiration, medication, ultrasonic power and dwell time to biotissue for surgery and treatment |
US4167944A (en) | 1977-06-27 | 1979-09-18 | Surgical Design Corp. | Rotatable surgical cutting instrument with improved cutter blade wear |
US4300083A (en) | 1977-07-05 | 1981-11-10 | Automation Devices, Inc. | Constant amplitude controller and method |
US4200106A (en) | 1977-10-11 | 1980-04-29 | Dinkelkamp Henry T | Fixed arc cyclic ophthalmic surgical instrument |
US4203444A (en) | 1977-11-07 | 1980-05-20 | Dyonics, Inc. | Surgical instrument suitable for closed surgery such as of the knee |
US4304987A (en) | 1978-09-18 | 1981-12-08 | Raychem Corporation | Electrical devices comprising conductive polymer compositions |
GB2032221A (en) | 1978-10-23 | 1980-04-30 | Keeler Instr Ltd | Hand Held Ultrasonic Transducer Instrument |
US4237441A (en) | 1978-12-01 | 1980-12-02 | Raychem Corporation | Low resistivity PTC compositions |
JPS5590195A (en) | 1978-12-28 | 1980-07-08 | Ootake Seisakusho:Kk | Ultrasonic oscillator with output meter |
SU850068A1 (ru) | 1979-06-01 | 1981-07-30 | Всесоюзный Научно-Исследовательскийинститут Медицинского Приборостроения | Устройство дл ультразвуковойХиРуРгии |
US4314559A (en) | 1979-12-12 | 1982-02-09 | Corning Glass Works | Nonstick conductive coating |
US4281785A (en) | 1979-12-21 | 1981-08-04 | Dayco Corporation | Stapling apparatus and method and thermoplastic stables used therewith |
US4545926A (en) | 1980-04-21 | 1985-10-08 | Raychem Corporation | Conductive polymer compositions and devices |
WO1981003271A1 (en) | 1980-05-13 | 1981-11-26 | American Hospital Supply Corp | A multipolar electrosurgical device |
US4306570A (en) | 1980-08-20 | 1981-12-22 | Matthews Larry S | Counter rotating biopsy needle |
US4562838A (en) | 1981-01-23 | 1986-01-07 | Walker William S | Electrosurgery instrument |
US5026370A (en) | 1981-03-11 | 1991-06-25 | Lottick Edward A | Electrocautery instrument |
US4463759A (en) | 1982-01-13 | 1984-08-07 | Garito Jon C | Universal finger/foot switch adaptor for tube-type electrosurgical instrument |
US4535773A (en) | 1982-03-26 | 1985-08-20 | Inbae Yoon | Safety puncturing instrument and method |
GB2119102B (en) | 1982-04-01 | 1985-09-04 | Victor Company Of Japan | Load impedance detector for audio power amplifiers |
US4512344A (en) | 1982-05-12 | 1985-04-23 | Barber Forest C | Arthroscopic surgery dissecting apparatus |
US4445063A (en) | 1982-07-26 | 1984-04-24 | Solid State Systems, Corporation | Energizing circuit for ultrasonic transducer |
US4491132A (en) | 1982-08-06 | 1985-01-01 | Zimmer, Inc. | Sheath and retractable surgical tool combination |
US4545374A (en) | 1982-09-03 | 1985-10-08 | Jacobson Robert E | Method and instruments for performing a percutaneous lumbar diskectomy |
US4492231A (en) | 1982-09-17 | 1985-01-08 | Auth David C | Non-sticking electrocautery system and forceps |
US4553544A (en) | 1982-09-20 | 1985-11-19 | Janome Sewing Machine Co. Ltd. | Suturing instrument for surgical operation |
US4504264A (en) | 1982-09-24 | 1985-03-12 | Kelman Charles D | Apparatus for and method of removal of material using ultrasonic vibraton |
JPS5958513U (ja) | 1982-10-13 | 1984-04-17 | 株式会社神戸製鋼所 | 高温静水圧押出し用複合ビレツト |
US4526571A (en) | 1982-10-15 | 1985-07-02 | Cooper Lasersonics, Inc. | Curved ultrasonic surgical aspirator |
EP0111386B1 (en) | 1982-10-26 | 1987-11-19 | University Of Aberdeen | Ultrasound hyperthermia unit |
JPS5968513U (ja) | 1982-10-28 | 1984-05-09 | 持田製薬株式会社 | 超音波メス用ホ−ン |
DE3301890C2 (de) | 1983-01-21 | 1986-04-10 | W.C. Heraeus Gmbh, 6450 Hanau | Wundhaken |
JPS6045668A (ja) | 1983-08-23 | 1985-03-12 | 廣瀬 徳三 | 縫い糸の機能を果す樹脂針を用いる縫合装置 |
EP0136855B1 (en) | 1983-09-13 | 1989-11-15 | Valleylab, Inc. | Electrosurgical generator |
US4550870A (en) | 1983-10-13 | 1985-11-05 | Alchemia Ltd. Partnership | Stapling device |
US4808154A (en) | 1983-10-26 | 1989-02-28 | Freeman Jerre M | Phacoemulsification/irrigation and aspiration sleeve apparatus |
US4878493A (en) | 1983-10-28 | 1989-11-07 | Ninetronix Venture I | Hand-held diathermy apparatus |
US4494759A (en) | 1983-10-31 | 1985-01-22 | Kieffer Robert A | Seal for relatively rotatable parts |
JPS60104872A (ja) | 1983-11-09 | 1985-06-10 | Nippon Pillar Packing Co Ltd | 非常用軸封装置 |
US4574615A (en) | 1983-12-19 | 1986-03-11 | The Babcock & Wilcox Company | Sonic apparatus and method for detecting the presence of a gaseous substance in a closed space |
US4617927A (en) * | 1984-02-29 | 1986-10-21 | Aspen Laboratories, Inc. | Electrosurgical unit |
US4633119A (en) | 1984-07-02 | 1986-12-30 | Gould Inc. | Broadband multi-resonant longitudinal vibrator transducer |
US4641053A (en) | 1984-08-14 | 1987-02-03 | Matsushita Seiko Co., Ltd. | Ultrasonic liquid atomizer with an improved soft start circuit |
EP0171967A3 (en) | 1984-08-15 | 1987-11-04 | Valleylab, Inc. | Electrosurgical generator |
US4633874A (en) | 1984-10-19 | 1987-01-06 | Senmed, Inc. | Surgical stapling instrument with jaw latching mechanism and disposable staple cartridge |
US4634420A (en) | 1984-10-31 | 1987-01-06 | United Sonics Incorporated | Apparatus and method for removing tissue mass from an organism |
US4649919A (en) | 1985-01-23 | 1987-03-17 | Precision Surgical Instruments, Inc. | Surgical instrument |
US4640279A (en) | 1985-08-08 | 1987-02-03 | Oximetrix, Inc. | Combination surgical scalpel and electrosurgical instrument |
US4922902A (en) | 1986-05-19 | 1990-05-08 | Valleylab, Inc. | Method for removing cellular material with endoscopic ultrasonic aspirator |
US4712722A (en) | 1985-09-04 | 1987-12-15 | Eg&G, Inc. | Concurrent ultrasonic weld evaluation system |
JPS6266848A (ja) | 1985-09-20 | 1987-03-26 | 住友ベークライト株式会社 | 外科手術用具 |
US4674502A (en) | 1985-09-27 | 1987-06-23 | Coopervision, Inc. | Intraocular surgical instrument |
US4708127A (en) | 1985-10-24 | 1987-11-24 | The Birtcher Corporation | Ultrasonic generating system with feedback control |
US4662068A (en) | 1985-11-14 | 1987-05-05 | Eli Polonsky | Suture fusing and cutting apparatus |
US4646738A (en) | 1985-12-05 | 1987-03-03 | Concept, Inc. | Rotary surgical tool |
JPH0796017B2 (ja) | 1986-03-20 | 1995-10-18 | オリンパス光学工業株式会社 | 生体組織切除装置 |
JPH0767460B2 (ja) | 1986-03-28 | 1995-07-26 | オリンパス光学工業株式会社 | 超音波処置装置 |
US4827911A (en) | 1986-04-02 | 1989-05-09 | Cooper Lasersonics, Inc. | Method and apparatus for ultrasonic surgical fragmentation and removal of tissue |
JPS62292153A (ja) | 1986-06-13 | 1987-12-18 | オリンパス光学工業株式会社 | 超音波生体組織切除プロ−ブ |
JPS62292154A (ja) | 1986-06-13 | 1987-12-18 | オリンパス光学工業株式会社 | 超音波生体組織切除プロ−ブ |
DE3689889D1 (de) | 1986-07-17 | 1994-07-07 | Erbe Elektromedizin | Hochfrequenz-Chirurgiegerät für die thermische Koagulation biologischer Gewebe. |
US4735603A (en) | 1986-09-10 | 1988-04-05 | James H. Goodson | Laser smoke evacuation system and method |
JPH0777161B2 (ja) | 1986-10-24 | 1995-08-16 | 日本メクトロン株式会社 | Ptc組成物、その製造法およびptc素子 |
JPS63109386A (ja) | 1986-10-28 | 1988-05-14 | Honda Denshi Giken:Kk | 超音波センサの温度補償方法 |
US4954960A (en) | 1986-11-07 | 1990-09-04 | Alcon Laboratories | Linear power control for ultrasonic probe with tuned reactance |
EP0270819A3 (en) | 1986-11-07 | 1989-01-11 | Alcon Laboratories, Inc. | Linear power control for ultrasonic probe with tuned reactance |
US4852578A (en) | 1986-11-13 | 1989-08-01 | The United State Of America As Represented By The Administrator Of The National Aeronautics And Space Administration | Rapidly quantifying the relative distention of a human bladder |
US4761871A (en) | 1986-11-21 | 1988-08-09 | Phillips Petroleum Company | Method of joining two thermoplastic articles |
US4836186A (en) | 1987-01-16 | 1989-06-06 | Scholz Francis J | Body compression device for patients under fluoroscopic examination |
US4838853A (en) | 1987-02-05 | 1989-06-13 | Interventional Technologies Inc. | Apparatus for trimming meniscus |
DE8702446U1 (zh) | 1987-02-18 | 1987-10-08 | Kothe, Lutz, 7760 Radolfzell, De | |
DE3807004A1 (de) | 1987-03-02 | 1988-09-15 | Olympus Optical Co | Ultraschall-behandlungsgeraet |
US5001649A (en) | 1987-04-06 | 1991-03-19 | Alcon Laboratories, Inc. | Linear power control for ultrasonic probe with tuned reactance |
IL82163A (en) | 1987-04-10 | 1990-07-26 | Laser Ind Ltd | Optical-fiber type power transmission device |
US4936842A (en) | 1987-05-08 | 1990-06-26 | Circon Corporation | Electrosurgical probe apparatus |
JP2568564B2 (ja) | 1987-07-21 | 1997-01-08 | 松下電器産業株式会社 | ライニング材及びそのライニング材を用いた超音波駆動モ−タ |
US5106538A (en) | 1987-07-21 | 1992-04-21 | Raychem Corporation | Conductive polymer composition |
US4867157A (en) | 1987-08-13 | 1989-09-19 | Baxter Travenol Laboratories, Inc. | Surgical cutting instrument |
US4850354A (en) | 1987-08-13 | 1989-07-25 | Baxter Travenol Laboratories, Inc. | Surgical cutting instrument |
US4819635A (en) | 1987-09-18 | 1989-04-11 | Henry Shapiro | Tubular microsurgery cutting apparatus |
US4844064A (en) | 1987-09-30 | 1989-07-04 | Baxter Travenol Laboratories, Inc. | Surgical cutting instrument with end and side openings |
US5015227A (en) | 1987-09-30 | 1991-05-14 | Valleylab Inc. | Apparatus for providing enhanced tissue fragmentation and/or hemostasis |
US4915643A (en) * | 1987-10-28 | 1990-04-10 | Yazaki Corporation | Connector |
US5035695A (en) | 1987-11-30 | 1991-07-30 | Jaroy Weber, Jr. | Extendable electrocautery surgery apparatus and method |
JPH01151452A (ja) | 1987-12-09 | 1989-06-14 | Olympus Optical Co Ltd | 超音波吸引装置 |
JPH01198540A (ja) | 1987-12-24 | 1989-08-10 | Sumitomo Bakelite Co Ltd | 排泄処理装置 |
DE68925215D1 (de) | 1988-01-20 | 1996-02-08 | G2 Design Ltd | Diathermiegerät |
US5163421A (en) | 1988-01-22 | 1992-11-17 | Angiosonics, Inc. | In vivo ultrasonic system with angioplasty and ultrasonic contrast imaging |
US4862890A (en) | 1988-02-29 | 1989-09-05 | Everest Medical Corporation | Electrosurgical spatula blade with ceramic substrate |
EP0336742A3 (en) | 1988-04-08 | 1990-05-16 | Bristol-Myers Company | Method and apparatus for the calibration of electrosurgical apparatus |
JPH0532094Y2 (zh) | 1988-05-17 | 1993-08-18 | ||
US4880015A (en) | 1988-06-03 | 1989-11-14 | Nierman David M | Biopsy forceps |
US4910389A (en) | 1988-06-03 | 1990-03-20 | Raychem Corporation | Conductive polymer compositions |
US4965532A (en) | 1988-06-17 | 1990-10-23 | Olympus Optical Co., Ltd. | Circuit for driving ultrasonic transducer |
US4896009A (en) | 1988-07-11 | 1990-01-23 | James River Corporation | Gas permeable microwave reactive package |
US4865159A (en) | 1988-07-18 | 1989-09-12 | Jamison Michael V | Acoustic horn and attachment device |
JP3088004B2 (ja) | 1989-04-28 | 2000-09-18 | 株式会社東芝 | 操作指令装置 |
US4920978A (en) | 1988-08-31 | 1990-05-01 | Triangle Research And Development Corporation | Method and apparatus for the endoscopic treatment of deep tumors using RF hyperthermia |
US4903696A (en) | 1988-10-06 | 1990-02-27 | Everest Medical Corporation | Electrosurgical generator |
JPH0529698Y2 (zh) | 1988-10-27 | 1993-07-29 | ||
GB2226245A (en) | 1988-11-18 | 1990-06-27 | Alan Crockard | Endoscope, remote actuator and aneurysm clip applicator. |
US5318570A (en) | 1989-01-31 | 1994-06-07 | Advanced Osseous Technologies, Inc. | Ultrasonic tool |
US5061269A (en) | 1989-02-07 | 1991-10-29 | Joseph J. Berke | Surgical rongeur power grip structure and method |
US5084052A (en) | 1989-02-09 | 1992-01-28 | Baxter International Inc. | Surgical cutting instrument with plurality of openings |
DE3904558C2 (de) | 1989-02-15 | 1997-09-18 | Lindenmeier Heinz | Automatisch leistungsgeregelter Hochfrequenzgenerator für die Hochfrequenz-Chirurgie |
US4981756A (en) | 1989-03-21 | 1991-01-01 | Vac-Tec Systems, Inc. | Method for coated surgical instruments and tools |
US5451227A (en) | 1989-04-24 | 1995-09-19 | Michaelson; Gary K. | Thin foot plate multi bite rongeur |
US6129740A (en) | 1989-04-24 | 2000-10-10 | Michelson; Gary Karlin | Instrument handle design |
US5653713A (en) | 1989-04-24 | 1997-08-05 | Michelson; Gary Karlin | Surgical rongeur |
JPH02286149A (ja) | 1989-04-27 | 1990-11-26 | Sumitomo Bakelite Co Ltd | 外科手術装置 |
CA2007210C (en) | 1989-05-10 | 1996-07-09 | Stephen D. Kuslich | Intervertebral reamer |
US5226910A (en) | 1989-07-05 | 1993-07-13 | Kabushiki Kaisha Topcon | Surgical cutter |
JP2829864B2 (ja) | 1989-07-05 | 1998-12-02 | 株式会社トプコン | 手術用カッター |
DE3923851C1 (zh) | 1989-07-19 | 1990-08-16 | Richard Wolf Gmbh, 7134 Knittlingen, De | |
US5123903A (en) | 1989-08-10 | 1992-06-23 | Medical Products Development, Inc. | Disposable aspiration sleeve for ultrasonic lipectomy |
US5226909A (en) | 1989-09-12 | 1993-07-13 | Devices For Vascular Intervention, Inc. | Atherectomy device having helical blade and blade guide |
DE69019289T2 (de) | 1989-10-27 | 1996-02-01 | Storz Instr Co | Verfahren zum Antreiben eines Ultraschallwandlers. |
US5105117A (en) | 1989-10-31 | 1992-04-14 | Brother Kogyo Kabushiki Kaisha | Ultrasonic motor |
US5176677A (en) | 1989-11-17 | 1993-01-05 | Sonokinetics Group | Endoscopic ultrasonic rotary electro-cauterizing aspirator |
US5167619A (en) | 1989-11-17 | 1992-12-01 | Sonokineticss Group | Apparatus and method for removal of cement from bone cavities |
US5797958A (en) | 1989-12-05 | 1998-08-25 | Yoon; Inbae | Endoscopic grasping instrument with scissors |
US5984938A (en) | 1989-12-05 | 1999-11-16 | Yoon; Inbae | Surgical instrument with jaws and movable internal scissors and method for use thereof |
US5665100A (en) | 1989-12-05 | 1997-09-09 | Yoon; Inbae | Multifunctional instrument with interchangeable operating units for performing endoscopic procedures |
US6099550A (en) | 1989-12-05 | 2000-08-08 | Yoon; Inbae | Surgical instrument having jaws and an operating channel and method for use thereof |
US5108383A (en) | 1989-12-08 | 1992-04-28 | Allied-Signal Inc. | Membranes for absorbent packets |
IL93141A0 (en) | 1990-01-23 | 1990-11-05 | Urcan Medical Ltd | Ultrasonic recanalization system |
US5391144A (en) | 1990-02-02 | 1995-02-21 | Olympus Optical Co., Ltd. | Ultrasonic treatment apparatus |
US5126618A (en) | 1990-03-06 | 1992-06-30 | Brother Kogyo Kabushiki Kaisha | Longitudinal-effect type laminar piezoelectric/electrostrictive driver, and printing actuator using the driver |
US5026387A (en) | 1990-03-12 | 1991-06-25 | Ultracision Inc. | Method and apparatus for ultrasonic surgical cutting and hemostatis |
US5263957A (en) | 1990-03-12 | 1993-11-23 | Ultracision Inc. | Ultrasonic scalpel blade and methods of application |
US5167725A (en) | 1990-08-01 | 1992-12-01 | Ultracision, Inc. | Titanium alloy blade coupler coated with nickel-chrome for ultrasonic scalpel |
US5112300A (en) | 1990-04-03 | 1992-05-12 | Alcon Surgical, Inc. | Method and apparatus for controlling ultrasonic fragmentation of body tissue |
JPH03296308A (ja) | 1990-04-13 | 1991-12-27 | Advantest Corp | 波形発生器 |
US5507297A (en) | 1991-04-04 | 1996-04-16 | Symbiosis Corporation | Endoscopic instruments having detachable proximal handle and distal portions |
US5241968A (en) | 1990-05-10 | 1993-09-07 | Symbiosis Corporation | Single acting endoscopic instruments |
US5156633A (en) | 1990-05-10 | 1992-10-20 | Symbiosis Corporation | Maryland dissector laparoscopic instrument |
AU630294B2 (en) | 1990-05-11 | 1992-10-22 | Sumitomo Bakelite Company Limited | Surgical ultrasonic horn |
JPH0546429Y2 (zh) | 1990-06-21 | 1993-12-06 | ||
DE69024805T2 (de) | 1990-05-17 | 1996-05-23 | Sumitomo Bakelite Co | Chirurgisches instrument |
USD327872S (en) | 1990-06-06 | 1992-07-14 | Raychem Corporation | Coaxial cable connector |
US5275609A (en) | 1990-06-22 | 1994-01-04 | Vance Products Incorporated | Surgical cutting instrument |
US5269785A (en) | 1990-06-28 | 1993-12-14 | Bonutti Peter M | Apparatus and method for tissue removal |
JP2863280B2 (ja) | 1990-07-04 | 1999-03-03 | アスモ株式会社 | 超音波モータの駆動方法 |
JP2987175B2 (ja) | 1990-07-05 | 1999-12-06 | オリンパス光学工業株式会社 | 超音波治療装置 |
JPH0621450Y2 (ja) | 1990-07-05 | 1994-06-08 | アロカ株式会社 | 超音波手術器 |
AU638151B2 (en) * | 1990-07-05 | 1993-06-17 | George Csorba | Device for cardiac massage |
US5911699A (en) | 1990-07-17 | 1999-06-15 | Aziz Yehia Anis | Removal of tissue |
JP3269641B2 (ja) | 1990-07-26 | 2002-03-25 | 寳酒造株式会社 | カンジダ属酵母遺伝子 |
US5218529A (en) | 1990-07-30 | 1993-06-08 | University Of Georgia Research Foundation, Inc. | Neural network system and methods for analysis of organic materials and structures using spectral data |
USD332660S (en) | 1990-09-17 | 1993-01-19 | United States Surgical Corporation | Surgical clip applier |
US5725529A (en) | 1990-09-25 | 1998-03-10 | Innovasive Devices, Inc. | Bone fastener |
US5104025A (en) | 1990-09-28 | 1992-04-14 | Ethicon, Inc. | Intraluminal anastomotic surgical stapler with detached anvil |
US5509922A (en) | 1990-10-05 | 1996-04-23 | United States Surgical Corporation | Endoscopic surgical instrument |
US5486189A (en) | 1990-10-05 | 1996-01-23 | United States Surgical Corporation | Endoscopic surgical instrument |
JPH04150847A (ja) | 1990-10-12 | 1992-05-25 | Katsuya Takasu | わきが手術装置およびその手術用チップ |
US5042707A (en) | 1990-10-16 | 1991-08-27 | Taheri Syde A | Intravascular stapler, and method of operating same |
JP2960954B2 (ja) | 1990-10-17 | 1999-10-12 | オリンパス光学工業株式会社 | 超音波治療装置 |
US5190541A (en) | 1990-10-17 | 1993-03-02 | Boston Scientific Corporation | Surgical instrument and method |
US5242460A (en) | 1990-10-25 | 1993-09-07 | Devices For Vascular Intervention, Inc. | Atherectomy catheter having axially-disposed cutting edge |
US5152762A (en) | 1990-11-16 | 1992-10-06 | Birtcher Medical Systems, Inc. | Current leakage control for electrosurgical generator |
US5162044A (en) | 1990-12-10 | 1992-11-10 | Storz Instrument Company | Phacoemulsification transducer with rotatable handle |
US5368557A (en) | 1991-01-11 | 1994-11-29 | Baxter International Inc. | Ultrasonic ablation catheter device having multiple ultrasound transmission members |
US5222937A (en) | 1991-01-11 | 1993-06-29 | Olympus Optical Co., Ltd. | Ultrasonic treatment apparatus |
US5304115A (en) | 1991-01-11 | 1994-04-19 | Baxter International Inc. | Ultrasonic angioplasty device incorporating improved transmission member and ablation probe |
US5447509A (en) | 1991-01-11 | 1995-09-05 | Baxter International Inc. | Ultrasound catheter system having modulated output with feedback control |
US5957882A (en) | 1991-01-11 | 1999-09-28 | Advanced Cardiovascular Systems, Inc. | Ultrasound devices for ablating and removing obstructive matter from anatomical passageways and blood vessels |
US5184605A (en) | 1991-01-31 | 1993-02-09 | Excel Tech Ltd. | Therapeutic ultrasound generator with radiation dose control |
ATE183935T1 (de) | 1991-02-13 | 1999-09-15 | Applied Med Resources | Chirurgischer trokar |
US5231989A (en) | 1991-02-15 | 1993-08-03 | Raychem Corporation | Steerable cannula |
GB9103777D0 (en) | 1991-02-22 | 1991-04-10 | B & W Loudspeakers | Analogue and digital convertors |
US5438997A (en) | 1991-03-13 | 1995-08-08 | Sieben; Wayne | Intravascular imaging apparatus and methods for use and manufacture |
US5217460A (en) | 1991-03-22 | 1993-06-08 | Knoepfler Dennis J | Multiple purpose forceps |
US5109819A (en) | 1991-03-29 | 1992-05-05 | Cummins Electronics Company, Inc. | Accelerator control system for a motor vehicle |
JP3064458B2 (ja) | 1991-04-02 | 2000-07-12 | 日本電気株式会社 | 厚み縦振動圧電磁器トランスとその駆動方法 |
US5396900A (en) | 1991-04-04 | 1995-03-14 | Symbiosis Corporation | Endoscopic end effectors constructed from a combination of conductive and non-conductive materials and useful for selective endoscopic cautery |
US5258004A (en) | 1991-04-04 | 1993-11-02 | Symbiosis Corporation | Double acting, dual pivot thoracoscopic surgical lung clamps |
US5163537A (en) | 1991-04-29 | 1992-11-17 | Simmons-Rand Company | Battery changing system for electric battery-powered vehicles |
US5160334A (en) | 1991-04-30 | 1992-11-03 | Utah Medical Products, Inc. | Electrosurgical generator and suction apparatus |
US5221282A (en) | 1991-05-29 | 1993-06-22 | Sonokinetics Group | Tapered tip ultrasonic aspirator |
US5190517A (en) | 1991-06-06 | 1993-03-02 | Valleylab Inc. | Electrosurgical and ultrasonic surgical system |
US5472443A (en) | 1991-06-07 | 1995-12-05 | Hemostatic Surgery Corporation | Electrosurgical apparatus employing constant voltage and methods of use |
US5324289A (en) | 1991-06-07 | 1994-06-28 | Hemostatic Surgery Corporation | Hemostatic bi-polar electrosurgical cutting apparatus and methods of use |
US5484436A (en) | 1991-06-07 | 1996-01-16 | Hemostatic Surgery Corporation | Bi-polar electrosurgical instruments and methods of making |
US5196007A (en) | 1991-06-07 | 1993-03-23 | Alan Ellman | Electrosurgical handpiece with activator |
US5234428A (en) | 1991-06-11 | 1993-08-10 | Kaufman David I | Disposable electrocautery/cutting instrument with integral continuous smoke evacuation |
US5176695A (en) | 1991-07-08 | 1993-01-05 | Davinci Medical, Inc. | Surgical cutting means |
USD334173S (en) | 1991-07-17 | 1993-03-23 | Pan-International Industrial Corp. | Plastic outer shell for a computer connector |
US5257988A (en) | 1991-07-19 | 1993-11-02 | L'esperance Medical Technologies, Inc. | Apparatus for phacoemulsifying cataractous-lens tissue within a protected environment |
US5383888A (en) | 1992-02-12 | 1995-01-24 | United States Surgical Corporation | Articulating endoscopic surgical apparatus |
US5387207A (en) | 1991-08-12 | 1995-02-07 | The Procter & Gamble Company | Thin-unit-wet absorbent foam materials for aqueous body fluids and process for making same |
GR920100358A (el) | 1991-08-23 | 1993-06-07 | Ethicon Inc | Οργανο συρραφής χειρουργικής αναστομώσεως. |
US5285795A (en) | 1991-09-12 | 1994-02-15 | Surgical Dynamics, Inc. | Percutaneous discectomy system having a bendable discectomy probe and a steerable cannula |
US5347474A (en) | 1991-09-19 | 1994-09-13 | Gaztech Corporation | Self-calibration of an NDIR gas sensor |
US5275607A (en) | 1991-09-23 | 1994-01-04 | Visionary Medical, Inc. | Intraocular surgical scissors |
US5476479A (en) | 1991-09-26 | 1995-12-19 | United States Surgical Corporation | Handle for endoscopic surgical instruments and jaw structure |
JPH0595955A (ja) | 1991-10-07 | 1993-04-20 | Olympus Optical Co Ltd | 超音波治療装置 |
CA2535467C (en) | 1991-10-09 | 2008-04-01 | Ethicon, Inc. | Electrosurgical device |
USD347474S (en) | 1991-10-11 | 1994-05-31 | Ethicon, Inc. | Endoscopic stapler |
US5242339A (en) | 1991-10-15 | 1993-09-07 | The United States Of America As Represented By The Administrator Of The National Aeronautics And Space Adminstration | Apparatus and method for measuring subject work rate on an exercise device |
US5711472A (en) | 1991-10-18 | 1998-01-27 | United States Surgical Corporation | Self contained gas powered surgical apparatus |
US6250532B1 (en) | 1991-10-18 | 2001-06-26 | United States Surgical Corporation | Surgical stapling apparatus |
US5478003A (en) | 1991-10-18 | 1995-12-26 | United States Surgical Corporation | Surgical apparatus |
US5163945A (en) | 1991-10-18 | 1992-11-17 | Ethicon, Inc. | Surgical clip applier |
US5395312A (en) | 1991-10-18 | 1995-03-07 | Desai; Ashvin | Surgical tool |
US5307976A (en) | 1991-10-18 | 1994-05-03 | Ethicon, Inc. | Linear stapling mechanism with cutting means |
US5326013A (en) | 1991-10-18 | 1994-07-05 | United States Surgical Corporation | Self contained gas powered surgical apparatus |
US5312023A (en) | 1991-10-18 | 1994-05-17 | United States Surgical Corporation | Self contained gas powered surgical apparatus |
US5562703A (en) | 1994-06-14 | 1996-10-08 | Desai; Ashvin H. | Endoscopic surgical instrument |
JPH05115490A (ja) | 1991-10-25 | 1993-05-14 | Olympus Optical Co Ltd | 超音波処置装置 |
US5713896A (en) | 1991-11-01 | 1998-02-03 | Medical Scientific, Inc. | Impedance feedback electrosurgical system |
US5531744A (en) | 1991-11-01 | 1996-07-02 | Medical Scientific, Inc. | Alternative current pathways for bipolar surgical cutting tool |
US5665085A (en) | 1991-11-01 | 1997-09-09 | Medical Scientific, Inc. | Electrosurgical cutting tool |
AU3067392A (en) | 1991-11-08 | 1993-06-07 | Ep Technologies Inc | Systems and methods for ablating tissue while monitoring tissue impedance |
US5383874A (en) | 1991-11-08 | 1995-01-24 | Ep Technologies, Inc. | Systems for identifying catheters and monitoring their use |
US5197964A (en) | 1991-11-12 | 1993-03-30 | Everest Medical Corporation | Bipolar instrument utilizing one stationary electrode and one movable electrode |
US5254129A (en) | 1991-11-22 | 1993-10-19 | Alexander Chris B | Arthroscopic resector |
US5433725A (en) | 1991-12-13 | 1995-07-18 | Unisurge, Inc. | Hand-held surgical device and tools for use therewith, assembly and method |
US7429262B2 (en) * | 1992-01-07 | 2008-09-30 | Arthrocare Corporation | Apparatus and methods for electrosurgical ablation and resection of target tissue |
US6210402B1 (en) | 1995-11-22 | 2001-04-03 | Arthrocare Corporation | Methods for electrosurgical dermatological treatment |
US5324299A (en) | 1992-02-03 | 1994-06-28 | Ultracision, Inc. | Ultrasonic scalpel blade and methods of application |
WO1993014708A1 (en) | 1992-02-03 | 1993-08-05 | Ultracision Inc. | Laparoscopic surgical apparatus and methods using ultrasonic energy |
AU663543B2 (en) | 1992-02-07 | 1995-10-12 | Sherwood Services Ag | Ultrasonic surgical apparatus |
US5387215A (en) | 1992-02-12 | 1995-02-07 | Sierra Surgical Inc. | Surgical instrument for cutting hard tissue and method of use |
US5626595A (en) | 1992-02-14 | 1997-05-06 | Automated Medical Instruments, Inc. | Automated surgical instrument |
US5645075A (en) | 1992-02-18 | 1997-07-08 | Symbiosis Corporation | Jaw assembly for an endoscopic instrument |
US5428504A (en) | 1992-02-18 | 1995-06-27 | Motorola, Inc. | Cooling cover for RF power devices |
US5261922A (en) | 1992-02-20 | 1993-11-16 | Hood Larry L | Improved ultrasonic knife |
US5695510A (en) | 1992-02-20 | 1997-12-09 | Hood; Larry L. | Ultrasonic knife |
US5269297A (en) | 1992-02-27 | 1993-12-14 | Angiosonics Inc. | Ultrasonic transmission apparatus |
US5213569A (en) | 1992-03-31 | 1993-05-25 | Davis Peter L | Tip for a tissue phacoemulsification device |
US5411481A (en) | 1992-04-08 | 1995-05-02 | American Cyanamid Co. | Surgical purse string suturing instrument and method |
US5540681A (en) | 1992-04-10 | 1996-07-30 | Medtronic Cardiorhythm | Method and system for radiofrequency ablation of tissue |
US5318525A (en) | 1992-04-10 | 1994-06-07 | Medtronic Cardiorhythm | Steerable electrode catheter |
US5620459A (en) | 1992-04-15 | 1997-04-15 | Microsurge, Inc. | Surgical instrument |
US5318589A (en) | 1992-04-15 | 1994-06-07 | Microsurge, Inc. | Surgical instrument for endoscopic surgery |
US5300068A (en) | 1992-04-21 | 1994-04-05 | St. Jude Medical, Inc. | Electrosurgical apparatus |
US5318564A (en) | 1992-05-01 | 1994-06-07 | Hemostatic Surgery Corporation | Bipolar surgical snare and methods of use |
US5353474A (en) | 1992-05-01 | 1994-10-11 | Good Wayne T | Transferrable personalized grip for a handle assembly and method for making same |
US5443463A (en) | 1992-05-01 | 1995-08-22 | Vesta Medical, Inc. | Coagulating forceps |
US5293863A (en) | 1992-05-08 | 1994-03-15 | Loma Linda University Medical Center | Bladed endoscopic retractor |
US5389098A (en) | 1992-05-19 | 1995-02-14 | Olympus Optical Co., Ltd. | Surgical device for stapling and/or fastening body tissues |
JP3069819B2 (ja) | 1992-05-28 | 2000-07-24 | 富士通株式会社 | ヒートシンク並びに該ヒートシンクに用いるヒートシンク取付具及びヒートシンクを用いた可搬型電子装置 |
US5906625A (en) | 1992-06-04 | 1999-05-25 | Olympus Optical Co., Ltd. | Tissue-fixing surgical instrument, tissue-fixing device, and method of fixing tissue |
US5658300A (en) | 1992-06-04 | 1997-08-19 | Olympus Optical Co., Ltd. | Tissue fixing surgical instrument, tissue-fixing device, and method of fixing tissues |
US5318563A (en) | 1992-06-04 | 1994-06-07 | Valley Forge Scientific Corporation | Bipolar RF generator |
JP3098858B2 (ja) | 1992-06-08 | 2000-10-16 | オリンパス光学工業株式会社 | 超音波モータ |
ES2115068T3 (es) | 1992-06-24 | 1998-06-16 | Microsurge Inc | Instrumento quirurgico endoscopico reutilizable. |
US5408268A (en) | 1992-06-26 | 1995-04-18 | Apollo Camera, L.L.C. | Video imaging system and method using a single full frame sensor and sequential color object illumination |
JP3386517B2 (ja) | 1992-06-26 | 2003-03-17 | オリンパス光学工業株式会社 | 超音波処置装置 |
US5264925A (en) | 1992-06-26 | 1993-11-23 | Life Surgery, Inc. | Single sensor video imaging system and method using sequential color object illumination |
US5394187A (en) | 1992-06-26 | 1995-02-28 | Apollo Camera, L.L.C. | Video imaging systems and method using a single interline progressive scanning sensor and sequential color object illumination |
US6449006B1 (en) | 1992-06-26 | 2002-09-10 | Apollo Camera, Llc | LED illumination system for endoscopic cameras |
US5366466A (en) | 1992-07-09 | 1994-11-22 | Unisurge, Inc. | Surgical scissors |
DE9210327U1 (zh) | 1992-07-16 | 1992-11-26 | Kothe, Lutz, 7760 Radolfzell, De | |
US5657429A (en) | 1992-08-10 | 1997-08-12 | Computer Motion, Inc. | Automated endoscope system optimal positioning |
US5542916A (en) | 1992-08-12 | 1996-08-06 | Vidamed, Inc. | Dual-channel RF power delivery system |
US5258006A (en) | 1992-08-21 | 1993-11-02 | Everest Medical Corporation | Bipolar electrosurgical forceps |
US5282817A (en) | 1992-09-08 | 1994-02-01 | Hoogeboom Thomas J | Actuating handle for multipurpose surgical instrument |
US5562659A (en) | 1992-09-09 | 1996-10-08 | Materials Conversion Corp. | Electro-surgical instrument and method of fabrication |
US5282800A (en) | 1992-09-18 | 1994-02-01 | Edward Weck, Inc. | Surgical instrument |
JPH06104503A (ja) | 1992-09-18 | 1994-04-15 | Sharp Corp | バイモルフ型圧電アクチュエータ |
US5662662A (en) | 1992-10-09 | 1997-09-02 | Ethicon Endo-Surgery, Inc. | Surgical instrument and method |
US5626587A (en) | 1992-10-09 | 1997-05-06 | Ethicon Endo-Surgery, Inc. | Method for operating a surgical instrument |
US5334198A (en) | 1992-10-09 | 1994-08-02 | Innovasive Devices, Inc. | Surgical instrument |
US5330502A (en) | 1992-10-09 | 1994-07-19 | Ethicon, Inc. | Rotational endoscopic mechanism with jointed drive mechanism |
US5520704A (en) | 1992-10-09 | 1996-05-28 | United States Surgical Corporation | Everting forceps with locking mechanism |
US5601224A (en) | 1992-10-09 | 1997-02-11 | Ethicon, Inc. | Surgical instrument |
US5374813A (en) | 1992-10-15 | 1994-12-20 | Life Surgery, Inc. | Surgical instrument recycling and tracking system |
US5309927A (en) | 1992-10-22 | 1994-05-10 | Ethicon, Inc. | Circular stapler tissue retention spring method |
US5275166A (en) | 1992-11-16 | 1994-01-04 | Ethicon, Inc. | Method and apparatus for performing ultrasonic assisted surgical procedures |
US5395364A (en) | 1993-06-10 | 1995-03-07 | Symbiosis Corporation | Endoscopic instrument incorporating an elastomeric fluid seal |
AU672227B2 (en) | 1992-11-30 | 1996-09-26 | Sherwood Services Ag | An ultrasonic surgical handpiece and an energy initiator to maintain the vibration and linear dynamics |
US5342356A (en) | 1992-12-02 | 1994-08-30 | Ellman Alan G | Electrical coupling unit for electrosurgery |
US5354564A (en) | 1992-12-18 | 1994-10-11 | Eastman Kodak Company | Personal care compositions |
US5558671A (en) | 1993-07-22 | 1996-09-24 | Yates; David C. | Impedance feedback monitor for electrosurgical instrument |
US5403312A (en) | 1993-07-22 | 1995-04-04 | Ethicon, Inc. | Electrosurgical hemostatic device |
US5807393A (en) | 1992-12-22 | 1998-09-15 | Ethicon Endo-Surgery, Inc. | Surgical tissue treating device with locking mechanism |
DE4300307C2 (de) | 1993-01-08 | 1996-09-19 | Aesculap Ag | Chirurgisches Instrument |
JPH06217988A (ja) | 1993-01-26 | 1994-08-09 | Terumo Corp | 血管穿刺器具 |
US5322055B1 (en) | 1993-01-27 | 1997-10-14 | Ultracision Inc | Clamp coagulator/cutting system for ultrasonic surgical instruments |
US5620447A (en) | 1993-01-29 | 1997-04-15 | Smith & Nephew Dyonics Inc. | Surgical instrument |
CA2114330A1 (en) | 1993-01-29 | 1994-07-30 | Smith & Nephew Endoscopy, Inc. | Rotatable curved instrument |
US5342359A (en) | 1993-02-05 | 1994-08-30 | Everest Medical Corporation | Bipolar coagulation device |
US5357423A (en) | 1993-02-22 | 1994-10-18 | Kulicke And Soffa Investments, Inc. | Apparatus and method for automatically adjusting power output of an ultrasonic generator |
KR940019363A (ko) | 1993-02-22 | 1994-09-14 | 요시히데 시바노 | 초음파세정에 있어서의 초음파진동자의 발진방법 |
US5445638B1 (en) | 1993-03-08 | 1998-05-05 | Everest Medical Corp | Bipolar coagulation and cutting forceps |
US5381067A (en) | 1993-03-10 | 1995-01-10 | Hewlett-Packard Company | Electrical impedance normalization for an ultrasonic transducer array |
AU6418394A (en) | 1993-03-22 | 1994-10-11 | Aziz Yehia Anis | Removal of tissue |
US5346502A (en) | 1993-04-15 | 1994-09-13 | Ultracision, Inc. | Laparoscopic ultrasonic surgical instrument and methods for manufacturing the instruments |
US5370645A (en) | 1993-04-19 | 1994-12-06 | Valleylab Inc. | Electrosurgical processor and method of use |
US5540375A (en) | 1993-04-20 | 1996-07-30 | United States Surgical Corporation | Endoscopic stapler |
ATE231364T1 (de) | 1993-04-30 | 2003-02-15 | Medical Scient Inc | Elektrochirurgisches impedanzrückkopplungssystem |
GB9309142D0 (en) | 1993-05-04 | 1993-06-16 | Gyrus Medical Ltd | Laparoscopic instrument |
CA2121194A1 (en) | 1993-05-06 | 1994-11-07 | Corbett Stone | Bipolar electrosurgical instruments |
US5449370A (en) | 1993-05-12 | 1995-09-12 | Ethicon, Inc. | Blunt tipped ultrasonic trocar |
JP2665052B2 (ja) | 1993-05-14 | 1997-10-22 | エスアールアイ インターナショナル | 遠隔中心位置決め装置 |
CA2124109A1 (en) | 1993-05-24 | 1994-11-25 | Mark T. Byrne | Endoscopic surgical instrument with electromagnetic sensor |
US5396266A (en) | 1993-06-08 | 1995-03-07 | Technical Research Associates, Inc. | Kinesthetic feedback apparatus and method |
US5500216A (en) | 1993-06-18 | 1996-03-19 | Julian; Jorge V. | Topical hydrophobic composition and method |
US5416089A (en) | 1993-06-24 | 1995-05-16 | The Du Pont Merck Pharmaceutical Company | Polycyclic and heterocyclic chromophores for bis-imide tumoricidals |
USD354564S (en) | 1993-06-25 | 1995-01-17 | Richard-Allan Medical Industries, Inc. | Surgical clip applier |
US5395363A (en) | 1993-06-29 | 1995-03-07 | Utah Medical Products | Diathermy coagulation and ablation apparatus and method |
US5715817A (en) | 1993-06-29 | 1998-02-10 | C.R. Bard, Inc. | Bidirectional steering catheter |
DE4323585A1 (de) | 1993-07-14 | 1995-01-19 | Delma Elektro Med App | Bipolares Hochfrequenz-Chirurgieinstrument |
US5501654A (en) | 1993-07-15 | 1996-03-26 | Ethicon, Inc. | Endoscopic instrument having articulating element |
US5805140A (en) | 1993-07-16 | 1998-09-08 | Immersion Corporation | High bandwidth force feedback interface using voice coils and flexures |
US5731804A (en) | 1995-01-18 | 1998-03-24 | Immersion Human Interface Corp. | Method and apparatus for providing high bandwidth, low noise mechanical I/O for computer systems |
US5827323A (en) | 1993-07-21 | 1998-10-27 | Charles H. Klieman | Surgical instrument for endoscopic and general surgery |
CA2167367A1 (en) | 1993-07-21 | 1995-02-02 | Charles H. Klieman | Surgical instrument for endoscopic and general surgery |
US5792165A (en) | 1993-07-21 | 1998-08-11 | Charles H. Klieman | Endoscopic instrument with detachable end effector |
US5709680A (en) | 1993-07-22 | 1998-01-20 | Ethicon Endo-Surgery, Inc. | Electrosurgical hemostatic device |
US5810811A (en) | 1993-07-22 | 1998-09-22 | Ethicon Endo-Surgery, Inc. | Electrosurgical hemostatic device |
US5693051A (en) | 1993-07-22 | 1997-12-02 | Ethicon Endo-Surgery, Inc. | Electrosurgical hemostatic device with adaptive electrodes |
US5688270A (en) | 1993-07-22 | 1997-11-18 | Ethicon Endo-Surgery,Inc. | Electrosurgical hemostatic device with recessed and/or offset electrodes |
GR940100335A (el) | 1993-07-22 | 1996-05-22 | Ethicon Inc. | Ηλεκτροχειρουργικη συσκευη τοποθετησης συρραπτικων αγκυλων. |
US5817093A (en) | 1993-07-22 | 1998-10-06 | Ethicon Endo-Surgery, Inc. | Impedance feedback monitor with query electrode for electrosurgical instrument |
EP0664688B1 (en) | 1993-07-26 | 2002-06-05 | Innovasive Devices, Inc. | Suture grasping device |
US5678568A (en) | 1993-07-27 | 1997-10-21 | Olympus Optical Co., Ltd. | System control apparatus, medical system control apparatus and image-plane display method of medical system control apparatus |
US5419761A (en) | 1993-08-03 | 1995-05-30 | Misonix, Inc. | Liposuction apparatus and associated method |
US5858018A (en) | 1993-08-25 | 1999-01-12 | Apollo Camera, Llc | Low profile tool for applying spring action ligation clips |
EP0673229A4 (en) | 1993-08-25 | 1996-09-11 | Life Surgery Inc | SURGICAL LIGATION CLIP. |
US5483501A (en) * | 1993-09-14 | 1996-01-09 | The Whitaker Corporation | Short distance ultrasonic distance meter |
US5397333A (en) | 1993-09-24 | 1995-03-14 | Nusurg Medical, Inc. | Surgical hook knife |
US5371429A (en) | 1993-09-28 | 1994-12-06 | Misonix, Inc. | Electromechanical transducer device |
US5361583A (en) | 1993-09-30 | 1994-11-08 | Ethicon, Inc. | Pressurized fluid actuation system with variable force and stroke output for use in a surgical instrument |
US5339723A (en) | 1993-09-30 | 1994-08-23 | Ethicon, Inc. | Pressurized fluid actuation system for amplifying operator input force in a surgical instrument |
US6210403B1 (en) | 1993-10-07 | 2001-04-03 | Sherwood Services Ag | Automatic control for energy from an electrosurgical generator |
US5607436A (en) | 1993-10-08 | 1997-03-04 | United States Surgical Corporation | Apparatus for applying surgical clips |
US5456689A (en) | 1993-10-13 | 1995-10-10 | Arnold J. Kresch | Method and device for tissue resection |
US5600526A (en) | 1993-10-15 | 1997-02-04 | The Texas A & M University System | Load analysis system for fault detection |
WO1995010978A1 (en) | 1993-10-19 | 1995-04-27 | Ep Technologies, Inc. | Segmented electrode assemblies for ablation of tissue |
US5423844A (en) | 1993-10-22 | 1995-06-13 | Promex, Inc. | Rotary surgical cutting instrument |
US5472005A (en) | 1993-11-16 | 1995-12-05 | Campbell; Keith S. | Ultrasonic cleaning apparatus for cleaning chandeliers |
DE4340056A1 (de) | 1993-11-24 | 1995-06-01 | Delma Elektro Med App | Chirurgische laparoskopische Vorrichtung |
US5358887A (en) | 1993-11-26 | 1994-10-25 | United Microelectronics Corporation | Ulsi mask ROM structure and method of manufacture |
USD358887S (en) | 1993-12-02 | 1995-05-30 | Cobot Medical Corporation | Combined cutting and coagulating forceps |
US5458598A (en) | 1993-12-02 | 1995-10-17 | Cabot Technology Corporation | Cutting and coagulating forceps |
US5490860A (en) | 1993-12-08 | 1996-02-13 | Sofamor Danek Properties, Inc. | Portable power cutting tool |
US5381077A (en) | 1993-12-20 | 1995-01-10 | Mcguire; Thomas B. | Power control circuit for high intensity discharge lamps |
US5471988A (en) | 1993-12-24 | 1995-12-05 | Olympus Optical Co., Ltd. | Ultrasonic diagnosis and therapy system in which focusing point of therapeutic ultrasonic wave is locked at predetermined position within observation ultrasonic scanning range |
US5359994A (en) | 1994-01-24 | 1994-11-01 | Welch Allyn, Inc. | Proximal steering cable adjustment |
US5465895A (en) | 1994-02-03 | 1995-11-14 | Ethicon Endo-Surgery, Inc. | Surgical stapler instrument |
DE4405656C2 (de) | 1994-02-22 | 1998-12-10 | Ferton Holding | Einrichtung zum Entfernen von Körpersteinen |
US5429131A (en) | 1994-02-25 | 1995-07-04 | The Regents Of The University Of California | Magnetized electrode tip catheter |
DE4447667C2 (de) | 1994-02-27 | 2002-10-24 | Rainer Hahn | Ultraschall-Handstück |
EP0677275B1 (en) | 1994-03-17 | 2004-01-28 | Terumo Kabushiki Kaisha | Surgical instrument |
US5649547A (en) | 1994-03-24 | 1997-07-22 | Biopsys Medical, Inc. | Methods and devices for automated biopsy and collection of soft tissue |
US5584830A (en) | 1994-03-30 | 1996-12-17 | Medtronic Cardiorhythm | Method and system for radiofrequency ablation of cardiac tissue |
US6500112B1 (en) | 1994-03-30 | 2002-12-31 | Brava, Llc | Vacuum dome with supporting rim and rim cushion |
US5817033A (en) | 1994-04-11 | 1998-10-06 | Desantis; Stephen A. | Needle core biopsy device |
US5511556A (en) | 1994-04-11 | 1996-04-30 | Desantis; Stephen A. | Needle core biopsy instrument |
US5417709A (en) | 1994-04-12 | 1995-05-23 | Symbiosis Corporation | Endoscopic instrument with end effectors forming suction and/or irrigation lumens |
US5480409A (en) | 1994-05-10 | 1996-01-02 | Riza; Erol D. | Laparoscopic surgical instrument |
US5553675A (en) | 1994-06-10 | 1996-09-10 | Minnesota Mining And Manufacturing Company | Orthopedic surgical device |
US5823197A (en) | 1994-06-24 | 1998-10-20 | Somnus Medical Technologies, Inc. | Method for internal ablation of turbinates |
US6464689B1 (en) | 1999-09-08 | 2002-10-15 | Curon Medical, Inc. | Graphical user interface for monitoring and controlling use of medical devices |
JPH0824266A (ja) | 1994-07-20 | 1996-01-30 | Sumitomo Bakelite Co Ltd | 超音波手術用具のホーン |
AU694225B2 (en) | 1994-08-02 | 1998-07-16 | Ethicon Endo-Surgery, Inc. | Ultrasonic hemostatic and cutting instrument |
US5779130A (en) | 1994-08-05 | 1998-07-14 | United States Surgical Corporation | Self-contained powered surgical apparatus |
US5507738A (en) | 1994-08-05 | 1996-04-16 | Microsonic Engineering Devices Company, Inc. | Ultrasonic vascular surgical system |
US5451220A (en) | 1994-08-15 | 1995-09-19 | Microsonic Engineering Devices Company, Inc. | Battery operated multifunction ultrasonic wire for angioplasty |
TW266267B (en) | 1994-08-23 | 1995-12-21 | Ciba Geigy | Process for sterilizing articles and providing sterile storage environments |
US5456684A (en) | 1994-09-08 | 1995-10-10 | Hutchinson Technology Incorporated | Multifunctional minimally invasive surgical instrument |
US5522839A (en) | 1994-09-09 | 1996-06-04 | Pilling Weck Incorporated | Dissecting forceps |
US5451053A (en) | 1994-09-09 | 1995-09-19 | Garrido; Fernando P. | Reconfigurable video game controller |
US5694936A (en) | 1994-09-17 | 1997-12-09 | Kabushiki Kaisha Toshiba | Ultrasonic apparatus for thermotherapy with variable frequency for suppressing cavitation |
US5674219A (en) | 1994-10-06 | 1997-10-07 | Donaldson Company, Inc. | Electrosurgical smoke evacuator |
US6142994A (en) | 1994-10-07 | 2000-11-07 | Ep Technologies, Inc. | Surgical method and apparatus for positioning a diagnostic a therapeutic element within the body |
US5562610A (en) | 1994-10-07 | 1996-10-08 | Fibrasonics Inc. | Needle for ultrasonic surgical probe |
EP0705571A1 (en) | 1994-10-07 | 1996-04-10 | United States Surgical Corporation | Self-contained powered surgical apparatus |
US5562609A (en) | 1994-10-07 | 1996-10-08 | Fibrasonics, Inc. | Ultrasonic surgical probe |
US5632717A (en) | 1994-10-07 | 1997-05-27 | Yoon; Inbae | Penetrating endoscope |
US5720742A (en) | 1994-10-11 | 1998-02-24 | Zacharias; Jaime | Controller and actuating system for surgical instrument |
JP2638750B2 (ja) | 1994-10-13 | 1997-08-06 | リョービ株式会社 | 電動工具のハンドル構造 |
US5752973A (en) | 1994-10-18 | 1998-05-19 | Archimedes Surgical, Inc. | Endoscopic surgical gripping instrument with universal joint jaw coupler |
USD381077S (en) | 1994-10-25 | 1997-07-15 | Ethicon Endo-Surgery | Multifunctional surgical stapling instrument |
US5549637A (en) | 1994-11-10 | 1996-08-27 | Crainich; Lawrence | Articulated medical instrument |
US5717306A (en) | 1994-11-18 | 1998-02-10 | Shipp; John I. | Battery identification and power interrupt system |
JPH08153914A (ja) | 1994-11-25 | 1996-06-11 | Philips Japan Ltd | 圧電磁器トランス |
DE4444853B4 (de) | 1994-12-16 | 2006-09-28 | Hilti Ag | Handgerät zur materialabtragenden Bearbeitung mit elektroakustischem Wandler für die Erzeugung von Ultraschallschwingungen |
US5632432A (en) | 1994-12-19 | 1997-05-27 | Ethicon Endo-Surgery, Inc. | Surgical instrument |
US5704534A (en) | 1994-12-19 | 1998-01-06 | Ethicon Endo-Surgery, Inc. | Articulation assembly for surgical instruments |
AU701320B2 (en) | 1994-12-22 | 1999-01-28 | Ethicon Endo-Surgery, Inc. | Impedance feedback monitor with query electrode for electrosurgical instrument |
US5836957A (en) | 1994-12-22 | 1998-11-17 | Devices For Vascular Intervention, Inc. | Large volume atherectomy device |
US5505693A (en) | 1994-12-30 | 1996-04-09 | Mackool; Richard J. | Method and apparatus for reducing friction and heat generation by an ultrasonic device during surgery |
US5563179A (en) | 1995-01-10 | 1996-10-08 | The Proctor & Gamble Company | Absorbent foams made from high internal phase emulsions useful for acquiring and distributing aqueous fluids |
US5486162A (en) * | 1995-01-11 | 1996-01-23 | Fibrasonics, Inc. | Bubble control device for an ultrasonic surgical probe |
US5603711A (en) | 1995-01-20 | 1997-02-18 | Everest Medical Corp. | Endoscopic bipolar biopsy forceps |
CA2168404C (en) | 1995-02-01 | 2007-07-10 | Dale Schulze | Surgical instrument with expandable cutting element |
US5573424A (en) | 1995-02-09 | 1996-11-12 | Everest Medical Corporation | Apparatus for interfacing a bipolar electrosurgical instrument to a monopolar generator |
US6409722B1 (en) | 1998-07-07 | 2002-06-25 | Medtronic, Inc. | Apparatus and method for creating, maintaining, and controlling a virtual electrode used for the ablation of tissue |
US6544264B2 (en) | 1995-03-10 | 2003-04-08 | Seedling Enterprises, Llc | Electrosurgery with cooled electrodes |
US5647871A (en) | 1995-03-10 | 1997-07-15 | Microsurge, Inc. | Electrosurgery with cooled electrodes |
US6503248B1 (en) | 2000-10-30 | 2003-01-07 | Seedling Enterprises, Llc | Cooled, non-sticking electrosurgical devices |
US5571121A (en) | 1995-03-28 | 1996-11-05 | Heifetz; Milton D. | Atraumatic clamp for temporary occlusion of blood vessels |
WO1996029941A1 (de) | 1995-03-28 | 1996-10-03 | Straub Federnfabrik Ag | Katheter zum ablösen von abnormalen ablagerungen in menschlichen blutgefässen |
US5882206A (en) | 1995-03-29 | 1999-03-16 | Gillio; Robert G. | Virtual surgery system |
US5655100A (en) | 1995-03-31 | 1997-08-05 | Sun Microsystems, Inc. | Transaction activation processor for controlling memory transaction execution in a packet switched cache coherent multiprocessor system |
US5599350A (en) | 1995-04-03 | 1997-02-04 | Ethicon Endo-Surgery, Inc. | Electrosurgical clamping device with coagulation feedback |
US5618307A (en) | 1995-04-03 | 1997-04-08 | Heartport, Inc. | Clamp assembly and method of use |
US6056735A (en) | 1996-04-04 | 2000-05-02 | Olympus Optical Co., Ltd. | Ultrasound treatment system |
JP3571414B2 (ja) | 1995-05-11 | 2004-09-29 | オリンパス株式会社 | 超音波切開凝固装置 |
JP3686117B2 (ja) | 1995-04-06 | 2005-08-24 | オリンパス株式会社 | 超音波切開凝固装置 |
US6669690B1 (en) | 1995-04-06 | 2003-12-30 | Olympus Optical Co., Ltd. | Ultrasound treatment system |
US5624452A (en) | 1995-04-07 | 1997-04-29 | Ethicon Endo-Surgery, Inc. | Hemostatic surgical cutting or stapling instrument |
US6264650B1 (en) | 1995-06-07 | 2001-07-24 | Arthrocare Corporation | Methods for electrosurgical treatment of intervertebral discs |
US5707369A (en) | 1995-04-24 | 1998-01-13 | Ethicon Endo-Surgery, Inc. | Temperature feedback monitor for hemostatic surgical instrument |
US5779701A (en) | 1995-04-27 | 1998-07-14 | Symbiosis Corporation | Bipolar endoscopic surgical scissor blades and instrument incorporating the same |
US5800432A (en) | 1995-05-01 | 1998-09-01 | Ep Technologies, Inc. | Systems and methods for actively cooling ablation electrodes using diodes |
US6575969B1 (en) | 1995-05-04 | 2003-06-10 | Sherwood Services Ag | Cool-tip radiofrequency thermosurgery electrode system for tumor ablation |
US6430446B1 (en) | 1995-05-05 | 2002-08-06 | Thermage, Inc. | Apparatus for tissue remodeling |
US5674235A (en) | 1995-05-10 | 1997-10-07 | Ultralase Technologies International | Ultrasonic surgical cutting instrument |
AU6268396A (en) | 1995-06-02 | 1996-12-18 | Surgical Design Corporation | Phacoemulsification handpiece, sleeve, and tip |
US5720744A (en) | 1995-06-06 | 1998-02-24 | Valleylab Inc | Control system for neurosurgery |
AU5700796A (en) | 1995-06-06 | 1996-12-24 | Valleylab, Inc. | Power control for an electrosurgical generator |
US6149620A (en) | 1995-11-22 | 2000-11-21 | Arthrocare Corporation | System and methods for electrosurgical tissue treatment in the presence of electrically conductive fluid |
US6293943B1 (en) | 1995-06-07 | 2001-09-25 | Ep Technologies, Inc. | Tissue heating and ablation systems and methods which predict maximum tissue temperature |
US6210337B1 (en) | 1995-06-07 | 2001-04-03 | Atl Ultrasound Inc. | Ultrasonic endoscopic probe |
US7090672B2 (en) | 1995-06-07 | 2006-08-15 | Arthrocare Corporation | Method for treating obstructive sleep disorder includes removing tissue from the base of tongue |
JP4219418B2 (ja) | 1995-06-13 | 2009-02-04 | 株式会社ミワテック | 超音波手術装置 |
US6293942B1 (en) | 1995-06-23 | 2001-09-25 | Gyrus Medical Limited | Electrosurgical generator method |
US5591187A (en) | 1995-07-14 | 1997-01-07 | Dekel; Moshe | Laparoscopic tissue retrieval device and method |
US5762256A (en) | 1995-08-28 | 1998-06-09 | United States Surgical Corporation | Surgical stapler |
US5782396A (en) | 1995-08-28 | 1998-07-21 | United States Surgical Corporation | Surgical stapler |
JP3760959B2 (ja) | 1995-09-06 | 2006-03-29 | 株式会社デンソー | 発電機 |
US5776130A (en) | 1995-09-19 | 1998-07-07 | Valleylab, Inc. | Vascular tissue sealing pressure control |
US5662667A (en) | 1995-09-19 | 1997-09-02 | Ethicon Endo-Surgery, Inc. | Surgical clamping mechanism |
US5797959A (en) | 1995-09-21 | 1998-08-25 | United States Surgical Corporation | Surgical apparatus with articulating jaw structure |
US5772659A (en) | 1995-09-26 | 1998-06-30 | Valleylab Inc. | Electrosurgical generator power control circuit and method |
US6059997A (en) | 1995-09-29 | 2000-05-09 | Littlelfuse, Inc. | Polymeric PTC compositions |
US5674220A (en) | 1995-09-29 | 1997-10-07 | Ethicon Endo-Surgery, Inc. | Bipolar electrosurgical clamping device |
US5630420A (en) | 1995-09-29 | 1997-05-20 | Ethicon Endo-Surgery, Inc. | Ultrasonic instrument for surgical applications |
US5883615A (en) | 1995-09-29 | 1999-03-16 | Liebel-Flarsheim Company | Foot-operated control system for a multi-function |
US5796188A (en) | 1995-10-05 | 1998-08-18 | Xomed Surgical Products, Inc. | Battery-powered medical instrument with power booster |
US6428538B1 (en) | 1995-10-20 | 2002-08-06 | United States Surgical Corporation | Apparatus and method for thermal treatment of body tissue |
GB9521772D0 (en) | 1995-10-24 | 1996-01-03 | Gyrus Medical Ltd | An electrosurgical instrument |
JPH09140722A (ja) | 1995-11-29 | 1997-06-03 | Olympus Optical Co Ltd | 超音波治療装置 |
US5658281A (en) | 1995-12-04 | 1997-08-19 | Valleylab Inc | Bipolar electrosurgical scissors and method of manufacture |
US5755717A (en) | 1996-01-16 | 1998-05-26 | Ethicon Endo-Surgery, Inc. | Electrosurgical clamping device with improved coagulation feedback |
US5916229A (en) | 1996-02-07 | 1999-06-29 | Evans; Donald | Rotating needle biopsy device and method |
US5669922A (en) | 1996-02-20 | 1997-09-23 | Hood; Larry | Ultrasonically driven blade with a radial hook that defines a circular recess |
US5762255A (en) | 1996-02-20 | 1998-06-09 | Richard-Allan Medical Industries, Inc. | Surgical instrument with improvement safety lockout mechanisms |
US5792138A (en) | 1996-02-22 | 1998-08-11 | Apollo Camera, Llc | Cordless bipolar electrocautery unit with automatic power control |
US6682501B1 (en) | 1996-02-23 | 2004-01-27 | Gyrus Ent, L.L.C. | Submucosal tonsillectomy apparatus and method |
US5609573A (en) | 1996-02-28 | 1997-03-11 | Conmed Corporation | Electrosurgical suction/irrigation instrument |
DE19608716C1 (de) | 1996-03-06 | 1997-04-17 | Aesculap Ag | Bipolares chirurgisches Faßinstrument |
US6036707A (en) | 1996-03-07 | 2000-03-14 | Devices For Vascular Intervention | Catheter device having a selectively flexible housing |
US6325795B1 (en) | 1996-03-12 | 2001-12-04 | Sherwood Services Ag | Replaceable accessory cord and handswitch |
US5702390A (en) | 1996-03-12 | 1997-12-30 | Ethicon Endo-Surgery, Inc. | Bioplar cutting and coagulation instrument |
US5830224A (en) | 1996-03-15 | 1998-11-03 | Beth Israel Deaconess Medical Center | Catheter apparatus and methodology for generating a fistula on-demand between closely associated blood vessels at a pre-chosen anatomic site in-vivo |
US5728130A (en) | 1996-03-22 | 1998-03-17 | Olympus Optical Co., Ltd. | Ultrasonic trocar system |
FR2746995B1 (fr) | 1996-03-28 | 1998-05-15 | Sgs Thomson Microelectronics | Procede et dispositif de codage de transmission et utilisation de ce procede |
US5700261A (en) | 1996-03-29 | 1997-12-23 | Ethicon Endo-Surgery, Inc. | Bipolar Scissors |
US5723970A (en) | 1996-04-05 | 1998-03-03 | Linear Technology Corporation | Battery charging circuitry having supply current regulation |
US5766164A (en) | 1996-07-03 | 1998-06-16 | Eclipse Surgical Technologies, Inc. | Contiguous, branched transmyocardial revascularization (TMR) channel, method and device |
USD416089S (en) | 1996-04-08 | 1999-11-02 | Richard-Allan Medical Industries, Inc. | Endoscopic linear stapling and dividing surgical instrument |
US5792135A (en) | 1996-05-20 | 1998-08-11 | Intuitive Surgical, Inc. | Articulated surgical instrument for performing minimally invasive surgery with enhanced dexterity and sensitivity |
US5843109A (en) | 1996-05-29 | 1998-12-01 | Allergan | Ultrasonic handpiece with multiple piezoelectric elements and heat dissipator |
US5746756A (en) * | 1996-06-03 | 1998-05-05 | Ethicon Endo-Surgery, Inc. | Internal ultrasonic tip amplifier |
JPH11128238A (ja) | 1997-10-28 | 1999-05-18 | Olympus Optical Co Ltd | 超音波治療装置 |
JP3274826B2 (ja) | 1997-10-15 | 2002-04-15 | オリンパス光学工業株式会社 | 超音波処置具 |
US6887252B1 (en) | 1996-06-21 | 2005-05-03 | Olympus Corporation | Ultrasonic treatment appliance |
US6129735A (en) | 1996-06-21 | 2000-10-10 | Olympus Optical Co., Ltd. | Ultrasonic treatment appliance |
JPH105237A (ja) | 1996-06-26 | 1998-01-13 | Olympus Optical Co Ltd | 超音波処置具 |
US5906628A (en) | 1996-06-26 | 1999-05-25 | Olympus Optical Co., Ltd. | Ultrasonic treatment instrument |
ATE461666T1 (de) | 1996-07-01 | 2010-04-15 | Univ Massachusetts | An fingerspitzen angebrachtes instrument |
US6113594A (en) | 1996-07-02 | 2000-09-05 | Ethicon, Inc. | Systems, methods and apparatus for performing resection/ablation in a conductive medium |
US6358264B2 (en) | 1996-07-24 | 2002-03-19 | Surgical Design Corporation | Surgical instruments with movable member |
US5800448A (en) | 1996-07-24 | 1998-09-01 | Surgical Design Corporation | Ultrasonic surgical instrument |
US6031526A (en) | 1996-08-08 | 2000-02-29 | Apollo Camera, Llc | Voice controlled medical text and image reporting system |
US6017354A (en) | 1996-08-15 | 2000-01-25 | Stryker Corporation | Integrated system for powered surgical tools |
US6544260B1 (en) | 1996-08-20 | 2003-04-08 | Oratec Interventions, Inc. | Method for treating tissue in arthroscopic environment using precooling and apparatus for same |
US5836943A (en) | 1996-08-23 | 1998-11-17 | Team Medical, L.L.C. | Electrosurgical generator |
US5993972A (en) | 1996-08-26 | 1999-11-30 | Tyndale Plains-Hunter, Ltd. | Hydrophilic and hydrophobic polyether polyurethanes and uses therefor |
US6364888B1 (en) | 1996-09-09 | 2002-04-02 | Intuitive Surgical, Inc. | Alignment of master and slave in a minimally invasive surgical apparatus |
US5836909A (en) | 1996-09-13 | 1998-11-17 | Cosmescu; Ioan | Automatic fluid control system for use in open and laparoscopic laser surgery and electrosurgery and method therefor |
DE29623113U1 (de) | 1996-09-18 | 1997-10-30 | Winter & Ibe Olympus | Axialgriff für chirurgische, insbesondere endoskopische Instrumente |
CA2213948C (en) | 1996-09-19 | 2006-06-06 | United States Surgical Corporation | Ultrasonic dissector |
US20050143769A1 (en) | 2002-08-19 | 2005-06-30 | White Jeffrey S. | Ultrasonic dissector |
GB2317566B (en) | 1996-09-27 | 2000-08-09 | Smiths Industries Plc | Electrosurgery apparatus |
US5833696A (en) | 1996-10-03 | 1998-11-10 | United States Surgical Corporation | Apparatus for applying surgical clips |
EP1946708B1 (en) | 1996-10-04 | 2011-06-22 | Tyco Healthcare Group LP | Instrument for cutting tissue |
EP1698289B1 (en) | 1996-10-04 | 2008-04-30 | United States Surgical Corporation | Instrument for cutting tissue |
US6109500A (en) | 1996-10-04 | 2000-08-29 | United States Surgical Corporation | Lockout mechanism for a surgical stapler |
US6036667A (en) | 1996-10-04 | 2000-03-14 | United States Surgical Corporation | Ultrasonic dissection and coagulation system |
US5989274A (en) | 1996-10-17 | 1999-11-23 | Ethicon Endo-Surgery, Inc. | Methods and devices for improving blood flow to a heart of a patient |
US5730752A (en) | 1996-10-29 | 1998-03-24 | Femrx, Inc. | Tubular surgical cutters having aspiration flow control ports |
US6126676A (en) | 1996-10-30 | 2000-10-03 | Ethicon, Inc. | Surgical tipping apparatus |
US6238366B1 (en) | 1996-10-31 | 2001-05-29 | Ethicon, Inc. | System for fluid retention management |
US6091995A (en) | 1996-11-08 | 2000-07-18 | Surx, Inc. | Devices, methods, and systems for shrinking tissues |
US6292700B1 (en) | 1999-09-10 | 2001-09-18 | Surx, Inc. | Endopelvic fascia treatment for incontinence |
US5891142A (en) | 1996-12-06 | 1999-04-06 | Eggers & Associates, Inc. | Electrosurgical forceps |
EP0846696B1 (en) * | 1996-12-09 | 2003-06-18 | Mitsubishi Chemical Corporation | Catalyst for polymerization of alpha-olefins |
DE19651362C1 (de) * | 1996-12-10 | 1998-06-10 | Endress Hauser Gmbh Co | Vorrichtung zur Überwachung eines vorbestimmten Füllstands in einem Behälter |
US6132368A (en) | 1996-12-12 | 2000-10-17 | Intuitive Surgical, Inc. | Multi-component telepresence system and method |
US6331181B1 (en) | 1998-12-08 | 2001-12-18 | Intuitive Surgical, Inc. | Surgical robotic tools, data architecture, and use |
US5808396A (en) | 1996-12-18 | 1998-09-15 | Alcon Laboratories, Inc. | System and method for tuning and controlling an ultrasonic handpiece |
US5910129A (en) | 1996-12-19 | 1999-06-08 | Ep Technologies, Inc. | Catheter distal assembly with pull wires |
US6051010A (en) | 1996-12-23 | 2000-04-18 | Ethicon Endo-Surgery, Inc. | Methods and devices for joining transmission components |
US6063098A (en) | 1996-12-23 | 2000-05-16 | Houser; Kevin | Articulable ultrasonic surgical apparatus |
US5776155A (en) | 1996-12-23 | 1998-07-07 | Ethicon Endo-Surgery, Inc. | Methods and devices for attaching and detaching transmission components |
SE508289C2 (sv) | 1997-01-28 | 1998-09-21 | Ericsson Telefon Ab L M | Förfarande och anordning vid övervakning och styrning av oscillatorsignal |
US6156389A (en) | 1997-02-03 | 2000-12-05 | Cytonix Corporation | Hydrophobic coating compositions, articles coated with said compositions, and processes for manufacturing same |
US5916213A (en) | 1997-02-04 | 1999-06-29 | Medtronic, Inc. | Systems and methods for tissue mapping and ablation |
US5904681A (en) | 1997-02-10 | 1999-05-18 | Hugh S. West, Jr. | Endoscopic surgical instrument with ability to selectively remove different tissue with mechanical and electrical energy |
US5810828A (en) | 1997-02-13 | 1998-09-22 | Mednext, Inc. | Adjustable depth drill guide |
US5944737A (en) | 1997-10-10 | 1999-08-31 | Ethicon Endo-Surgery, Inc. | Ultrasonic clamp coagulator apparatus having improved waveguide support member |
US5968060A (en) | 1997-02-28 | 1999-10-19 | Ethicon Endo-Surgery, Inc. | Ultrasonic interlock and method of using the same |
US5810859A (en) | 1997-02-28 | 1998-09-22 | Ethicon Endo-Surgery, Inc. | Apparatus for applying torque to an ultrasonic transmission component |
US6508825B1 (en) | 1997-02-28 | 2003-01-21 | Lumend, Inc. | Apparatus for treating vascular occlusions |
US6206844B1 (en) | 1997-02-28 | 2001-03-27 | Ethicon Endo-Surgery, Inc. | Reusable ultrasonic surgical instrument with removable outer sheath |
US5989275A (en) | 1997-02-28 | 1999-11-23 | Ethicon Endo-Surgery, Inc. | Damping ultrasonic transmission components |
US6626901B1 (en) | 1997-03-05 | 2003-09-30 | The Trustees Of Columbia University In The City Of New York | Electrothermal instrument for sealing and joining or cutting tissue |
US5957943A (en) | 1997-03-05 | 1999-09-28 | Ethicon Endo-Surgery, Inc. | Method and devices for increasing ultrasonic effects |
US7083613B2 (en) | 1997-03-05 | 2006-08-01 | The Trustees Of Columbia University In The City Of New York | Ringed forceps |
JP2001514563A (ja) | 1997-03-10 | 2001-09-11 | アプライド メディカル リソーシーズ コーポレイション | 外科手術用クリップおよびクランプ |
US5800449A (en) | 1997-03-11 | 1998-09-01 | Ethicon Endo-Surgery, Inc. | Knife shield for surgical instruments |
JP3832075B2 (ja) | 1997-03-25 | 2006-10-11 | セイコーエプソン株式会社 | インクジェット式記録ヘッド、その製造方法および圧電体素子 |
US6033399A (en) | 1997-04-09 | 2000-03-07 | Valleylab, Inc. | Electrosurgical generator with adaptive power control |
US5897569A (en) | 1997-04-16 | 1999-04-27 | Ethicon Endo-Surgery, Inc. | Ultrasonic generator with supervisory control circuitry |
GB9708268D0 (en) | 1997-04-24 | 1997-06-18 | Gyrus Medical Ltd | An electrosurgical instrument |
JPH10295700A (ja) | 1997-04-25 | 1998-11-10 | Sumitomo Bakelite Co Ltd | 外科手術用具 |
AU6357298A (en) | 1997-04-28 | 1998-10-29 | Ethicon Endo-Surgery, Inc. | Methods and devices for controlling the vibration of ultrasonic transmission components |
US5968007A (en) | 1997-05-01 | 1999-10-19 | Sonics & Materials, Inc. | Power-limit control for ultrasonic surgical instrument |
USH1904H (en) | 1997-05-14 | 2000-10-03 | Ethicon Endo-Surgery, Inc. | Electrosurgical hemostatic method and device |
USH2037H1 (en) | 1997-05-14 | 2002-07-02 | David C. Yates | Electrosurgical hemostatic device including an anvil |
CN1154462C (zh) | 1997-05-15 | 2004-06-23 | 松下电工株式会社 | 超声波施放装置 |
US6152902A (en) | 1997-06-03 | 2000-11-28 | Ethicon, Inc. | Method and apparatus for collecting surgical fluids |
US5851212A (en) | 1997-06-11 | 1998-12-22 | Endius Incorporated | Surgical instrument |
FR2764516B1 (fr) | 1997-06-11 | 1999-09-03 | Inst Nat Sante Rech Med | Applicateur intratissulaire ultrasonore pour l'hyperthermie |
CA2293388A1 (en) | 1997-06-17 | 1998-12-23 | Michael L. Barretti | Method and apparatus for temperature control of biologic tissue with simultaneous irradiation |
US6231565B1 (en) | 1997-06-18 | 2001-05-15 | United States Surgical Corporation | Robotic arm DLUs for performing surgical tasks |
JPH1112222A (ja) | 1997-06-25 | 1999-01-19 | Nippon Shokubai Co Ltd | アクリル酸の回収方法 |
US6144402A (en) | 1997-07-08 | 2000-11-07 | Microtune, Inc. | Internet transaction acceleration |
US5938633A (en) | 1997-07-09 | 1999-08-17 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical devices |
US5913823A (en) | 1997-07-15 | 1999-06-22 | Acuson Corporation | Ultrasound imaging method and system for transmit signal generation for an ultrasonic imaging system capable of harmonic imaging |
US6096037A (en) | 1997-07-29 | 2000-08-01 | Medtronic, Inc. | Tissue sealing electrosurgery device and methods of sealing tissue |
CA2297078A1 (en) | 1997-07-18 | 1999-01-28 | Nigel Mark Goble | An electrosurgical instrument |
DE69829921T2 (de) | 1997-08-04 | 2006-05-04 | Ethicon, Inc. | Vorrichtung zur Behandlung von Körpergewebe |
US6024750A (en) | 1997-08-14 | 2000-02-15 | United States Surgical | Ultrasonic curved blade |
US6024744A (en) | 1997-08-27 | 2000-02-15 | Ethicon, Inc. | Combined bipolar scissor and grasper |
US6013052A (en) | 1997-09-04 | 2000-01-11 | Ep Technologies, Inc. | Catheter and piston-type actuation device for use with same |
US6267761B1 (en) | 1997-09-09 | 2001-07-31 | Sherwood Services Ag | Apparatus and method for sealing and cutting tissue |
WO1999012483A1 (en) | 1997-09-11 | 1999-03-18 | Genzyme Corporation | Articulating endoscopic implant rotator surgical apparatus and method for using same |
US5836990A (en) | 1997-09-19 | 1998-11-17 | Medtronic, Inc. | Method and apparatus for determining electrode/tissue contact |
US5865361A (en) | 1997-09-23 | 1999-02-02 | United States Surgical Corporation | Surgical stapling apparatus |
US5921956A (en) | 1997-09-24 | 1999-07-13 | Smith & Nephew, Inc. | Surgical instrument |
US6358246B1 (en) | 1999-06-25 | 2002-03-19 | Radiotherapeutics Corporation | Method and system for heating solid tissue |
US5954717A (en) | 1997-09-25 | 1999-09-21 | Radiotherapeutics Corporation | Method and system for heating solid tissue |
US6436116B1 (en) | 1997-10-06 | 2002-08-20 | Smith & Nephew, Inc. | Methods and apparatus for removing veins |
US6048224A (en) | 1997-10-09 | 2000-04-11 | Tekonsha Engineering Company | Sealed multiple-contact electrical connector |
US5954746A (en) | 1997-10-09 | 1999-09-21 | Ethicon Endo-Surgery, Inc. | Dual cam trigger for a surgical instrument |
US5873873A (en) | 1997-10-10 | 1999-02-23 | Ethicon Endo-Surgery, Inc. | Ultrasonic clamp coagulator apparatus having improved clamp mechanism |
US5893835A (en) | 1997-10-10 | 1999-04-13 | Ethicon Endo-Surgery, Inc. | Ultrasonic clamp coagulator apparatus having dual rotational positioning |
US5980510A (en) | 1997-10-10 | 1999-11-09 | Ethicon Endo-Surgery, Inc. | Ultrasonic clamp coagulator apparatus having improved clamp arm pivot mount |
US5947984A (en) | 1997-10-10 | 1999-09-07 | Ethicon Endo-Surger, Inc. | Ultrasonic clamp coagulator apparatus having force limiting clamping mechanism |
US5954736A (en) | 1997-10-10 | 1999-09-21 | Ethicon Endo-Surgery, Inc. | Coagulator apparatus having indexed rotational positioning |
SE510713C2 (sv) | 1997-10-10 | 1999-06-14 | Ericsson Telefon Ab L M | Faslåsningskrets samt metod för reglering av spänningsstyrd oscillator |
US6068647A (en) | 1997-10-10 | 2000-05-30 | Ethicon Endo-Surgery, Inc. | Ultrasonic clamp coagulator apparatus having improved clamp arm tissue pad |
US6050943A (en) | 1997-10-14 | 2000-04-18 | Guided Therapy Systems, Inc. | Imaging, therapy, and temperature monitoring ultrasonic system |
US5974342A (en) | 1997-10-16 | 1999-10-26 | Electrologic Of America, Inc. | Electrical stimulation therapy method and apparatus |
US6176857B1 (en) | 1997-10-22 | 2001-01-23 | Oratec Interventions, Inc. | Method and apparatus for applying thermal energy to tissue asymmetrically |
AU1112499A (en) | 1997-10-23 | 1999-05-10 | Arthrocare Corporation | Power supply and methods for electrosurgery in conductive fluid |
AU1401699A (en) | 1997-11-12 | 1999-05-31 | Isothermix, Inc. | Methods and apparatus for welding blood vessels |
US6187003B1 (en) | 1997-11-12 | 2001-02-13 | Sherwood Services Ag | Bipolar electrosurgical instrument for sealing vessels |
US6050996A (en) | 1997-11-12 | 2000-04-18 | Sherwood Services Ag | Bipolar electrosurgical instrument with replaceable electrodes |
US6156029A (en) | 1997-11-25 | 2000-12-05 | Eclipse Surgical Technologies, Inc. | Selective treatment of endocardial/myocardial boundary |
US6068627A (en) | 1997-12-10 | 2000-05-30 | Valleylab, Inc. | Smart recognition apparatus and method |
US6109647A (en) * | 1997-12-15 | 2000-08-29 | Honda Giken Kogyo Kabushiki Kaisha | Seat-occupant restraining apparatus |
US6126629A (en) | 1997-12-18 | 2000-10-03 | Bausch & Lomb Surgical, Inc. | Multiple port phaco needle |
US6033375A (en) | 1997-12-23 | 2000-03-07 | Fibrasonics Inc. | Ultrasonic probe with isolated and teflon coated outer cannula |
JPH11178833A (ja) | 1997-12-24 | 1999-07-06 | Olympus Optical Co Ltd | 超音波処置具 |
US6165150A (en) | 1997-12-29 | 2000-12-26 | Surgical Design Corporation | Tips for ultrasonic handpiece |
US6388657B1 (en) | 1997-12-31 | 2002-05-14 | Anthony James Francis Natoli | Virtual reality keyboard system and method |
US6080149A (en) | 1998-01-09 | 2000-06-27 | Radiotherapeutics, Corporation | Method and apparatus for monitoring solid tissue heating |
DE69930499T2 (de) | 1998-01-19 | 2006-11-16 | Young, Michael John R., Ashburton | Ultraschallschneidwerkzeug |
US6736813B2 (en) | 1998-01-23 | 2004-05-18 | Olympus Optical Co., Ltd. | High-frequency treatment tool |
DE19803439A1 (de) | 1998-01-29 | 1999-08-05 | Sachse Hans E | Oszillierendes Knochenentnahmegerät |
US6296640B1 (en) | 1998-02-06 | 2001-10-02 | Ethicon Endo-Surgery, Inc. | RF bipolar end effector for use in electrosurgical instruments |
US6562037B2 (en) | 1998-02-12 | 2003-05-13 | Boris E. Paton | Bonding of soft biological tissues by passing high frequency electric current therethrough |
US6132429A (en) | 1998-02-17 | 2000-10-17 | Baker; James A. | Radiofrequency medical instrument and methods for luminal welding |
JPH11225951A (ja) | 1998-02-17 | 1999-08-24 | Olympus Optical Co Ltd | 内視鏡用処置具 |
AU2769399A (en) | 1998-02-17 | 1999-08-30 | James A. Baker Jr. | Radiofrequency medical instrument for vessel welding |
DE19806718A1 (de) | 1998-02-18 | 1999-08-26 | Storz Endoskop Gmbh | Vorrichtung zur Behandlung von Körpergewebe mittels Ultraschall |
US7775972B2 (en) | 1998-02-24 | 2010-08-17 | Hansen Medical, Inc. | Flexible instrument |
US6860878B2 (en) | 1998-02-24 | 2005-03-01 | Endovia Medical Inc. | Interchangeable instrument |
US6810281B2 (en) | 2000-12-21 | 2004-10-26 | Endovia Medical, Inc. | Medical mapping system |
US8303576B2 (en) | 1998-02-24 | 2012-11-06 | Hansen Medical, Inc. | Interchangeable surgical instrument |
US20060074442A1 (en) | 2000-04-06 | 2006-04-06 | Revascular Therapeutics, Inc. | Guidewire for crossing occlusions or stenoses |
US6159160A (en) | 1998-03-26 | 2000-12-12 | Ethicon, Inc. | System and method for controlled infusion and pressure monitoring |
US5935144A (en) | 1998-04-09 | 1999-08-10 | Ethicon Endo-Surgery, Inc. | Double sealed acoustic isolation members for ultrasonic |
US6454782B1 (en) | 1998-04-13 | 2002-09-24 | Ethicon Endo-Surgery, Inc. | Actuation mechanism for surgical instruments |
US5897523A (en) | 1998-04-13 | 1999-04-27 | Ethicon Endo-Surgery, Inc. | Articulating ultrasonic surgical instrument |
US6589200B1 (en) | 1999-02-22 | 2003-07-08 | Ethicon Endo-Surgery, Inc. | Articulating ultrasonic surgical shears |
US5980546A (en) | 1998-04-13 | 1999-11-09 | Nexus Medical System, Inc. Llc | Guillotine cutter used with medical procedures |
JP3686765B2 (ja) | 1998-04-16 | 2005-08-24 | オリンパス株式会社 | 超音波処置具 |
AU754594B2 (en) * | 1998-04-24 | 2002-11-21 | Indigo Medical, Incorporated | Energy application system with ancillary information exchange capability, energy applicator, and methods associated therewith |
US6003517A (en) | 1998-04-30 | 1999-12-21 | Ethicon Endo-Surgery, Inc. | Method for using an electrosurgical device on lung tissue |
US6270831B2 (en) | 1998-04-30 | 2001-08-07 | Medquest Products, Inc. | Method and apparatus for providing a conductive, amorphous non-stick coating |
US6514252B2 (en) | 1998-05-01 | 2003-02-04 | Perfect Surgical Techniques, Inc. | Bipolar surgical instruments having focused electrical fields |
US5994855A (en) | 1998-05-07 | 1999-11-30 | Optiva Corporation | Automatic power adjustment system for introductory use of a vibrating device on a human body |
US6193709B1 (en) | 1998-05-13 | 2001-02-27 | Olympus Optical Co., Ltd. | Ultrasonic treatment apparatus |
US6162194A (en) | 1998-05-20 | 2000-12-19 | Apollo Camera, Llc | Surgical irrigation apparatus and methods for use |
US7198635B2 (en) | 2000-10-17 | 2007-04-03 | Asthmatx, Inc. | Modification of airways by application of energy |
US6132448A (en) | 1998-06-19 | 2000-10-17 | Stryker Corporation | Endoscopic irrigated bur |
US6679882B1 (en) | 1998-06-22 | 2004-01-20 | Lina Medical Aps | Electrosurgical device for coagulating and for making incisions, a method of severing blood vessels and a method of coagulating and for making incisions in or severing tissue |
US6660017B2 (en) | 1998-06-29 | 2003-12-09 | Ethicon Endo-Surgery, Inc. | Balanced ultrasonic blade including a singular balance asymmetry |
US6077285A (en) | 1998-06-29 | 2000-06-20 | Alcon Laboratories, Inc. | Torsional ultrasound handpiece |
CA2276313C (en) | 1998-06-29 | 2008-01-29 | Ethicon Endo-Surgery, Inc. | Balanced ultrasonic blade including a plurality of balance asymmetries |
US6309400B2 (en) | 1998-06-29 | 2001-10-30 | Ethicon Endo-Surgery, Inc. | Curved ultrasonic blade having a trapezoidal cross section |
CA2276316C (en) | 1998-06-29 | 2008-02-12 | Ethicon Endo-Surgery, Inc. | Method of balancing asymmetric ultrasonic surgical blades |
US6066132A (en) | 1998-06-30 | 2000-05-23 | Ethicon, Inc. | Articulating endometrial ablation device |
US6537272B2 (en) | 1998-07-07 | 2003-03-25 | Medtronic, Inc. | Apparatus and method for creating, maintaining, and controlling a virtual electrode used for the ablation of tissue |
US6096033A (en) | 1998-07-20 | 2000-08-01 | Tu; Hosheng | Medical device having ultrasonic ablation capability |
US6572639B1 (en) | 1998-07-31 | 2003-06-03 | Surx, Inc. | Interspersed heating/cooling to shrink tissues for incontinence |
US7534243B1 (en) | 1998-08-12 | 2009-05-19 | Maquet Cardiovascular Llc | Dissection and welding of tissue |
JP4288855B2 (ja) | 1998-08-24 | 2009-07-01 | ダイキン工業株式会社 | フッ素ポリマーからなる薄層被膜およびその形成方法 |
US6833865B1 (en) | 1998-09-01 | 2004-12-21 | Virage, Inc. | Embedded metadata engines in digital capture devices |
DE19839826A1 (de) | 1998-09-01 | 2000-03-02 | Karl Fastenmeier | Hochfrequenzeinrichtung zur Erzeugung eines Plasmabogens für die Behandlung von menschlichem Gewebe |
US6440147B1 (en) | 1998-09-03 | 2002-08-27 | Rubicor Medical, Inc. | Excisional biopsy devices and methods |
US6022362A (en) | 1998-09-03 | 2000-02-08 | Rubicor Medical, Inc. | Excisional biopsy devices and methods |
US6123702A (en) | 1998-09-10 | 2000-09-26 | Scimed Life Systems, Inc. | Systems and methods for controlling power in an electrosurgical probe |
US6086584A (en) | 1998-09-10 | 2000-07-11 | Ethicon, Inc. | Cellular sublimation probe and methods |
US6245065B1 (en) * | 1998-09-10 | 2001-06-12 | Scimed Life Systems, Inc. | Systems and methods for controlling power in an electrosurgical probe |
US6391026B1 (en) | 1998-09-18 | 2002-05-21 | Pro Duct Health, Inc. | Methods and systems for treating breast tissue |
US6132427A (en) | 1998-09-21 | 2000-10-17 | Medicor Corporation | Electrosurgical instruments |
US6402748B1 (en) | 1998-09-23 | 2002-06-11 | Sherwood Services Ag | Electrosurgical device having a dielectrical seal |
US6929602B2 (en) | 1998-09-28 | 2005-08-16 | Kabushiki Kaisha Toshiba | Endoscope apparatus |
JP4136118B2 (ja) | 1998-09-30 | 2008-08-20 | オリンパス株式会社 | 電気手術装置 |
WO2000024331A1 (en) | 1998-10-23 | 2000-05-04 | Sherwood Services Ag | Endoscopic bipolar electrosurgical forceps |
US7582087B2 (en) | 1998-10-23 | 2009-09-01 | Covidien Ag | Vessel sealing instrument |
US20100042093A9 (en) | 1998-10-23 | 2010-02-18 | Wham Robert H | System and method for terminating treatment in impedance feedback algorithm |
US7901400B2 (en) | 1998-10-23 | 2011-03-08 | Covidien Ag | Method and system for controlling output of RF medical generator |
US20040167508A1 (en) | 2002-02-11 | 2004-08-26 | Robert Wham | Vessel sealing system |
US6277117B1 (en) | 1998-10-23 | 2001-08-21 | Sherwood Services Ag | Open vessel sealing forceps with disposable electrodes |
US6796981B2 (en) | 1999-09-30 | 2004-09-28 | Sherwood Services Ag | Vessel sealing system |
US7364577B2 (en) | 2002-02-11 | 2008-04-29 | Sherwood Services Ag | Vessel sealing system |
US6511480B1 (en) | 1998-10-23 | 2003-01-28 | Sherwood Services Ag | Open vessel sealing forceps with disposable electrodes |
US7267677B2 (en) | 1998-10-23 | 2007-09-11 | Sherwood Services Ag | Vessel sealing instrument |
US6398779B1 (en) | 1998-10-23 | 2002-06-04 | Sherwood Services Ag | Vessel sealing system |
US20040249374A1 (en) | 1998-10-23 | 2004-12-09 | Tetzlaff Philip M. | Vessel sealing instrument |
US7118570B2 (en) | 2001-04-06 | 2006-10-10 | Sherwood Services Ag | Vessel sealing forceps with disposable electrodes |
US7137980B2 (en) | 1998-10-23 | 2006-11-21 | Sherwood Services Ag | Method and system for controlling output of RF medical generator |
ES2251260T3 (es) | 1998-10-23 | 2006-04-16 | Sherwood Services Ag | Forceps de obturacion de vasos abiertos con miembro de tope. |
US6585735B1 (en) | 1998-10-23 | 2003-07-01 | Sherwood Services Ag | Endoscopic bipolar electrosurgical forceps |
US6174311B1 (en) | 1998-10-28 | 2001-01-16 | Sdgi Holdings, Inc. | Interbody fusion grafts and instrumentation |
JP2000210299A (ja) | 1999-01-20 | 2000-08-02 | Olympus Optical Co Ltd | 手術装置 |
DE19850068C1 (de) | 1998-10-30 | 2000-06-08 | Storz Karl Gmbh & Co Kg | Medizinisches Instrument zum Präparieren von Gewebe |
US6459926B1 (en) | 1998-11-20 | 2002-10-01 | Intuitive Surgical, Inc. | Repositioning and reorientation of master/slave relationship in minimally invasive telesurgery |
US6500312B2 (en) | 1998-12-30 | 2002-12-31 | Wedeco Ag | Device and method for UV-irradiation, especially for disinfecting, flowing liquids with reduced UV-transmission |
US20030171747A1 (en) | 1999-01-25 | 2003-09-11 | Olympus Optical Co., Ltd. | Medical treatment instrument |
US7189206B2 (en) | 2003-02-24 | 2007-03-13 | Senorx, Inc. | Biopsy device with inner cutter |
US6174309B1 (en) | 1999-02-11 | 2001-01-16 | Medical Scientific, Inc. | Seal & cut electrosurgical instrument |
US6332891B1 (en) | 1999-02-16 | 2001-12-25 | Stryker Corporation | System and method for performing image guided surgery |
US6290575B1 (en) | 1999-03-01 | 2001-09-18 | John I. Shipp | Surgical ligation clip with increased ligating force |
US6350269B1 (en) | 1999-03-01 | 2002-02-26 | Apollo Camera, L.L.C. | Ligation clip and clip applier |
DE19908721A1 (de) | 1999-03-01 | 2000-09-28 | Storz Karl Gmbh & Co Kg | Instrument zum Schneiden von biologischem und insbesondere menschlichem Gewebe |
US6027515A (en) | 1999-03-02 | 2000-02-22 | Sound Surgical Technologies Llc | Pulsed ultrasonic device and method |
US7550216B2 (en) | 1999-03-03 | 2009-06-23 | Foster-Miller, Inc. | Composite solid polymer electrolyte membranes |
US6582427B1 (en) | 1999-03-05 | 2003-06-24 | Gyrus Medical Limited | Electrosurgery system |
US20020022836A1 (en) | 1999-03-05 | 2002-02-21 | Gyrus Medical Limited | Electrosurgery system |
US6666875B1 (en) | 1999-03-05 | 2003-12-23 | Olympus Optical Co., Ltd. | Surgical apparatus permitting recharge of battery-driven surgical instrument in noncontact state |
US6311783B1 (en) | 1999-03-08 | 2001-11-06 | William Harpell | Gardening tool |
US6190386B1 (en) | 1999-03-09 | 2001-02-20 | Everest Medical Corporation | Electrosurgical forceps with needle electrodes |
US6582451B1 (en) | 1999-03-16 | 2003-06-24 | The University Of Sydney | Device for use in surgery |
JP2000271145A (ja) | 1999-03-24 | 2000-10-03 | Olympus Optical Co Ltd | 治療装置及び治療システム |
US6287344B1 (en) | 1999-03-31 | 2001-09-11 | Ethicon Endo-Surgery, Inc. | Method for repairing tissue defects using an ultrasonic device |
US6416486B1 (en) | 1999-03-31 | 2002-07-09 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical device having an embedding surface and a coagulating surface |
US6251110B1 (en) | 1999-03-31 | 2001-06-26 | Ethicon Endo-Surgery, Inc. | Combined radio frequency and ultrasonic surgical device |
US6257241B1 (en) | 1999-03-31 | 2001-07-10 | Ethicon Endo-Surgery, Inc. | Method for repairing tissue defects using ultrasonic radio frequency energy |
JP2000287987A (ja) | 1999-04-01 | 2000-10-17 | Olympus Optical Co Ltd | 充電式医療装置 |
US6594552B1 (en) | 1999-04-07 | 2003-07-15 | Intuitive Surgical, Inc. | Grip strength with tactile feedback for robotic surgery |
AU774545B2 (en) | 1999-04-15 | 2004-07-01 | Ethicon Endo-Surgery, Inc. | Ultrasonic transducer with improved compressive loading |
US6278218B1 (en) | 1999-04-15 | 2001-08-21 | Ethicon Endo-Surgery, Inc. | Apparatus and method for tuning ultrasonic transducers |
WO2000064358A2 (en) | 1999-04-21 | 2000-11-02 | Michael John Radley Young | Surgical waveguide output configurations |
US6152923A (en) | 1999-04-28 | 2000-11-28 | Sherwood Services Ag | Multi-contact forceps and method of sealing, coagulating, cauterizing and/or cutting vessels and tissue |
US6689146B1 (en) * | 1999-04-29 | 2004-02-10 | Stryker Corporation | Powered surgical handpiece with integrated irrigator and suction application |
EP1115338B1 (de) | 1999-05-07 | 2006-08-16 | Aesculap AG & Co. KG | Rotierendes chirurgisches werkzeug |
US20030130693A1 (en) | 1999-05-18 | 2003-07-10 | Levin John M. | Laparoscopic/thorascopic insertion caps |
US6174310B1 (en) * | 1999-05-24 | 2001-01-16 | Kirwan Surgical Products, Inc. | Bipolar coaxial coagulator having offset connector pin |
US6454781B1 (en) | 1999-05-26 | 2002-09-24 | Ethicon Endo-Surgery, Inc. | Feedback control in an ultrasonic surgical instrument for improved tissue effects |
US6517565B1 (en) | 1999-06-02 | 2003-02-11 | Power Medical Interventions, Inc. | Carriage assembly for controlling a steering wire steering mechanism within a flexible shaft |
US7695485B2 (en) | 2001-11-30 | 2010-04-13 | Power Medical Interventions, Llc | Surgical device |
SK287300B6 (sk) | 1999-06-03 | 2010-06-07 | Arsline S.A. | Bezpečnostné zariadenie s rotačným vŕtacím nástrojom na použitie najmä v zubnom lekárstve zahŕňajúce zarážku a spôsob predkalibrácie a pamätania zamýšľanej hĺbky vŕtania |
US6273852B1 (en) | 1999-06-09 | 2001-08-14 | Ethicon, Inc. | Surgical instrument and method for treating female urinary incontinence |
US6117152A (en) | 1999-06-18 | 2000-09-12 | Ethicon Endo-Surgery, Inc. | Multi-function ultrasonic surgical instrument |
US6214023B1 (en) | 1999-06-21 | 2001-04-10 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical instrument with removable clamp arm |
US6811842B1 (en) | 1999-06-29 | 2004-11-02 | The Procter & Gamble Company | Liquid transport member for high flux rates between two port regions |
US6254623B1 (en) | 1999-06-30 | 2001-07-03 | Ethicon Endo-Surgery, Inc. | Ultrasonic clamp coagulator surgical instrument with improved blade geometry |
US6488196B1 (en) | 1999-06-30 | 2002-12-03 | Axya Medical, Inc. | Surgical stapler and method of applying plastic staples to body tissue |
US20010031950A1 (en) | 1999-07-16 | 2001-10-18 | Samantha Bell | Surgical blade coatings |
JP2001029353A (ja) | 1999-07-21 | 2001-02-06 | Olympus Optical Co Ltd | 超音波処置装置 |
US6423073B2 (en) | 1999-07-23 | 2002-07-23 | Ethicon, Inc. | Instrument for inserting graft fixation device |
US6258034B1 (en) | 1999-08-04 | 2001-07-10 | Acuson Corporation | Apodization methods and apparatus for acoustic phased array aperture for diagnostic medical ultrasound transducer |
TW449185U (en) | 1999-08-20 | 2001-08-01 | Chroma Ate Inc | Charge/discharge control circuit for battery |
US6590733B1 (en) | 1999-08-20 | 2003-07-08 | Agere Systems Inc. | Digital processing of pilot-tone amplitudes |
US6666860B1 (en) | 1999-08-24 | 2003-12-23 | Olympus Optical Co., Ltd. | Electric treatment system |
US20020087155A1 (en) | 1999-08-30 | 2002-07-04 | Underwood Ronald A. | Systems and methods for intradermal collagen stimulation |
US6419675B1 (en) | 1999-09-03 | 2002-07-16 | Conmed Corporation | Electrosurgical coagulating and cutting instrument |
US6651669B1 (en) | 1999-09-07 | 2003-11-25 | Scimed Life Systems, Inc. | Systems and methods to identify and disable re-used single use devices based on cataloging catheter usage |
US7077039B2 (en) | 2001-11-13 | 2006-07-18 | Sd3, Llc | Detection system for power equipment |
US6325811B1 (en) | 1999-10-05 | 2001-12-04 | Ethicon Endo-Surgery, Inc. | Blades with functional balance asymmetries for use with ultrasonic surgical instruments |
US6458142B1 (en) | 1999-10-05 | 2002-10-01 | Ethicon Endo-Surgery, Inc. | Force limiting mechanism for an ultrasonic surgical instrument |
US6524251B2 (en) | 1999-10-05 | 2003-02-25 | Omnisonics Medical Technologies, Inc. | Ultrasonic device for tissue ablation and sheath for use therewith |
US6551337B1 (en) | 1999-10-05 | 2003-04-22 | Omnisonics Medical Technologies, Inc. | Ultrasonic medical device operating in a transverse mode |
US6432118B1 (en) | 1999-10-05 | 2002-08-13 | Ethicon Endo-Surgery, Inc. | Multifunctional curved blade for use with an ultrasonic surgical instrument |
US20020077550A1 (en) | 1999-10-05 | 2002-06-20 | Rabiner Robert A. | Apparatus and method for treating gynecological diseases using an ultrasonic medical device operating in a transverse mode |
US6379350B1 (en) | 1999-10-05 | 2002-04-30 | Oratec Interventions, Inc. | Surgical instrument for ablation and aspiration |
US20030036705A1 (en) | 1999-10-05 | 2003-02-20 | Omnisonics Medical Technologies, Inc. | Ultrasonic probe device having an impedance mismatch with rapid attachment and detachment means |
US20040097996A1 (en) | 1999-10-05 | 2004-05-20 | Omnisonics Medical Technologies, Inc. | Apparatus and method of removing occlusions using an ultrasonic medical device operating in a transverse mode |
US6204592B1 (en) | 1999-10-12 | 2001-03-20 | Ben Hur | Ultrasonic nailing and drilling apparatus |
ATE304820T1 (de) | 1999-10-15 | 2005-10-15 | Lina Medical Aps | Ein elektrochirurgisches gerät zum koagulieren und schneiden, eine methode zum trennen von blutgefässen und eine methode zur koagulation und zum schneiden in oder trennen von gewebe |
US6356224B1 (en) | 1999-10-21 | 2002-03-12 | Credence Systems Corporation | Arbitrary waveform generator having programmably configurable architecture |
US20030109875A1 (en) | 1999-10-22 | 2003-06-12 | Tetzlaff Philip M. | Open vessel sealing forceps with disposable electrodes |
US6340878B1 (en) | 1999-10-22 | 2002-01-22 | Motorola, Inc. | Silicon equivalent PTC circuit |
US6716215B1 (en) | 1999-10-29 | 2004-04-06 | Image-Guided Neurologics | Cranial drill with sterile barrier |
US6440062B1 (en) | 1999-11-10 | 2002-08-27 | Asahi Kogaku Kogyo Kabushiki Kaisha | Control wire driving mechanism for use in endoscope |
US6443969B1 (en) | 2000-08-15 | 2002-09-03 | Misonix, Inc. | Ultrasonic cutting blade with cooling |
JP2001149374A (ja) | 1999-11-29 | 2001-06-05 | Asahi Optical Co Ltd | 内視鏡用組織採取具 |
RU2154437C1 (ru) | 1999-11-30 | 2000-08-20 | Зао "Вниимп-Вита" | Аппарат электрохирургический |
US7153312B1 (en) | 1999-12-02 | 2006-12-26 | Smith & Nephew Inc. | Closure device and method for tissue repair |
US6635057B2 (en) | 1999-12-02 | 2003-10-21 | Olympus Optical Co. Ltd. | Electric operation apparatus |
US6352532B1 (en) | 1999-12-14 | 2002-03-05 | Ethicon Endo-Surgery, Inc. | Active load control of ultrasonic surgical instruments |
US6743245B2 (en) | 1999-12-20 | 2004-06-01 | Alcon Universal Ltd. | Asynchronous method of operating microsurgical instruments |
JP2001177295A (ja) | 1999-12-20 | 2001-06-29 | Sony Corp | 筒型マガジンへのチップ部品装填装置 |
DK176336B1 (da) | 1999-12-22 | 2007-08-20 | Asahi Optical Co Ltd | Endoskopisk vævsindsamlingsinstrument |
US6884252B1 (en) | 2000-04-04 | 2005-04-26 | Circuit Tree Medical, Inc. | Low frequency cataract fragmenting device |
BR0016874B1 (pt) | 1999-12-30 | 2009-01-13 | aparelho de lifting facial. | |
US6511493B1 (en) | 2000-01-10 | 2003-01-28 | Hydrocision, Inc. | Liquid jet-powered surgical instruments |
US6702821B2 (en) | 2000-01-14 | 2004-03-09 | The Bonutti 2003 Trust A | Instrumentation for minimally invasive joint replacement and methods for using same |
US6416469B1 (en) | 2000-01-26 | 2002-07-09 | Genzyme Corporation | Suture organizing and retaining device and base member for surgical retractor |
US6589239B2 (en) | 2000-02-01 | 2003-07-08 | Ashok C. Khandkar | Electrosurgical knife |
AU2001234681A1 (en) * | 2000-02-01 | 2001-08-14 | Sound Surgical Technologies Llc | Aluminum ultrasonic surgical applicator and method of making such an applicator |
SE0000344D0 (sv) | 2000-02-02 | 2000-02-02 | Sudhir Chowdhury | Disinfection of water |
JP2002186901A (ja) | 2000-12-21 | 2002-07-02 | Olympus Optical Co Ltd | 超音波手術装置 |
RU2201169C2 (ru) | 2000-02-08 | 2003-03-27 | Санкт-Петербургская медицинская академия последипломного образования | Нейрохирургическое ультразвуковое устройство |
US6564806B1 (en) | 2000-02-18 | 2003-05-20 | Thomas J. Fogarty | Device for accurately marking tissue |
US6723091B2 (en) | 2000-02-22 | 2004-04-20 | Gyrus Medical Limited | Tissue resurfacing |
US6629974B2 (en) | 2000-02-22 | 2003-10-07 | Gyrus Medical Limited | Tissue treatment method |
WO2001062173A2 (en) | 2000-02-25 | 2001-08-30 | The Board Of Trustees Of The Leland Stanford Junior University | Methods and apparatuses for maintaining a trajectory in sterotaxi for tracking a target inside a body |
US6506208B2 (en) | 2000-03-06 | 2003-01-14 | Robert B. Hunt | Surgical instrument |
US6953461B2 (en) | 2002-05-16 | 2005-10-11 | Tissuelink Medical, Inc. | Fluid-assisted medical devices, systems and methods |
US6558385B1 (en) | 2000-09-22 | 2003-05-06 | Tissuelink Medical, Inc. | Fluid-assisted medical device |
US8048070B2 (en) | 2000-03-06 | 2011-11-01 | Salient Surgical Technologies, Inc. | Fluid-assisted medical devices, systems and methods |
US6428539B1 (en) | 2000-03-09 | 2002-08-06 | Origin Medsystems, Inc. | Apparatus and method for minimally invasive surgery using rotational cutting tool |
WO2001067970A1 (en) | 2000-03-15 | 2001-09-20 | Bioaccess, Inc. | Orthopedic medical device |
DE20004812U1 (de) | 2000-03-16 | 2000-09-28 | Knop Christian | Endoskopische Spreizzange |
AR028271A1 (es) | 2000-03-24 | 2003-04-30 | Kimberly Clark Co | Un sistema para un producto higienico y una almohadilla para la higiene de la mujer que comprende dicho sistema |
US6926712B2 (en) | 2000-03-24 | 2005-08-09 | Boston Scientific Scimed, Inc. | Clamp having at least one malleable clamp member and surgical method employing the same |
US6423082B1 (en) | 2000-03-31 | 2002-07-23 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical blade with improved cutting and coagulation features |
US6623501B2 (en) | 2000-04-05 | 2003-09-23 | Therasense, Inc. | Reusable ceramic skin-piercing device |
US6984220B2 (en) * | 2000-04-12 | 2006-01-10 | Wuchinich David G | Longitudinal-torsional ultrasonic tissue dissection |
FR2807827B1 (fr) | 2000-04-12 | 2002-07-05 | Technomed Medical Systems | Systeme de manipulation de fluide pour appareil de therapie |
AU2001249874A1 (en) | 2000-04-27 | 2001-11-12 | Medtronic, Inc. | System and method for assessing transmurality of ablation lesions |
WO2001082812A1 (en) | 2000-04-27 | 2001-11-08 | Medtronic, Inc. | Vibration sensitive ablation apparatus and method |
US20020107514A1 (en) | 2000-04-27 | 2002-08-08 | Hooven Michael D. | Transmural ablation device with parallel jaws |
AU6321301A (en) | 2000-05-16 | 2001-11-26 | Atrionix Inc | Apparatus and method incorporating an ultrasound transducer onto a delivery member |
DE10025352B4 (de) | 2000-05-23 | 2007-09-20 | Hilti Ag | Werkzeuggerät mit einem Ultraschalladapter |
USD445764S1 (en) | 2000-05-24 | 2001-07-31 | Aten International Co., Ltd. | Computer-cord-connector |
USD445092S1 (en) | 2000-05-24 | 2001-07-17 | Aten International Co., Ltd. | Computer-cord-connector |
US20030204188A1 (en) | 2001-11-07 | 2003-10-30 | Artemis Medical, Inc. | Tissue separating and localizing catheter assembly |
DE10028319A1 (de) | 2000-06-07 | 2001-12-13 | Endress Hauser Gmbh Co | Elektromechanischer Wandler |
AU2001270943A1 (en) | 2000-06-14 | 2001-12-24 | Harmonia Medical Technologies, INC | Surgical instrument and method of using the same |
US6511478B1 (en) | 2000-06-30 | 2003-01-28 | Scimed Life Systems, Inc. | Medical probe with reduced number of temperature sensor wires |
US6558376B2 (en) | 2000-06-30 | 2003-05-06 | Gregory D. Bishop | Method of use of an ultrasonic clamp and coagulation apparatus with tissue support surface |
US7235073B2 (en) | 2000-07-06 | 2007-06-26 | Ethicon Endo-Surgery, Inc. | Cooled electrosurgical forceps |
US6746443B1 (en) | 2000-07-27 | 2004-06-08 | Intuitive Surgical Inc. | Roll-pitch-roll surgical tool |
JP2003000612A (ja) | 2001-06-18 | 2003-01-07 | Olympus Optical Co Ltd | エネルギー処置システム |
US6761698B2 (en) | 2000-07-28 | 2004-07-13 | Olympus Corporation | Ultrasonic operation system |
US6773443B2 (en) | 2000-07-31 | 2004-08-10 | Regents Of The University Of Minnesota | Method and apparatus for taking a biopsy |
DE20013827U1 (de) | 2000-08-10 | 2001-12-20 | Kaltenbach & Voigt | Medizinisches oder dentalmedizinisches Behandlungsinstrument mit einem Werkzeugträger in Form eines Schwingstabes |
JP2002059380A (ja) | 2000-08-22 | 2002-02-26 | Olympus Optical Co Ltd | マスタースレーブ装置 |
DE10042606A1 (de) | 2000-08-30 | 2001-08-16 | Siemens Ag | Medizinisches Gerät |
US6551309B1 (en) | 2000-09-14 | 2003-04-22 | Cryoflex, Inc. | Dual action cryoprobe and methods of using the same |
IT1318881B1 (it) | 2000-09-19 | 2003-09-10 | St Microelectronics Srl | Circuito di pilotaggio ad alta efficienza per carichi capacitivi. |
US20020082621A1 (en) | 2000-09-22 | 2002-06-27 | Schurr Marc O. | Methods and devices for folding and securing tissue |
US6475215B1 (en) | 2000-10-12 | 2002-11-05 | Naim Erturk Tanrisever | Quantum energy surgical device and method |
GB0025427D0 (en) | 2000-10-17 | 2000-11-29 | Young Michael J R | Ultrasonic tool mechanism |
US6662127B2 (en) | 2000-10-20 | 2003-12-09 | Ethicon Endo-Surgery, Inc. | Method for detecting presence of a blade in an ultrasonic system |
JP4156231B2 (ja) | 2000-10-20 | 2008-09-24 | エシコン・エンド−サージェリィ・インコーポレイテッド | 超音波ハンド・ピースにおける横振動を検出するための方法 |
US20020049551A1 (en) | 2000-10-20 | 2002-04-25 | Ethicon Endo-Surgery, Inc. | Method for differentiating between burdened and cracked ultrasonically tuned blades |
USD511145S1 (en) | 2000-10-20 | 2005-11-01 | Ethicon Endo-Surgery, Inc. | Hand piece switch adapter |
US7077853B2 (en) | 2000-10-20 | 2006-07-18 | Ethicon Endo-Surgery, Inc. | Method for calculating transducer capacitance to determine transducer temperature |
US6679899B2 (en) | 2000-10-20 | 2004-01-20 | Ethicon Endo-Surgery, Inc. | Method for detecting transverse vibrations in an ultrasonic hand piece |
US6908472B2 (en) | 2000-10-20 | 2005-06-21 | Ethicon Endo-Surgery, Inc. | Apparatus and method for altering generator functions in an ultrasonic surgical system |
JP4248781B2 (ja) | 2000-10-20 | 2009-04-02 | エシコン・エンド−サージェリィ・インコーポレイテッド | 外科ハンドピース・システム用の検出回路 |
US6623500B1 (en) | 2000-10-20 | 2003-09-23 | Ethicon Endo-Surgery, Inc. | Ring contact for rotatable connection of switch assembly for use in a surgical system |
US6338657B1 (en) | 2000-10-20 | 2002-01-15 | Ethicon Endo-Surgery | Hand piece connector |
CA2359281C (en) | 2000-10-20 | 2010-12-14 | Ethicon Endo-Surgery, Inc. | Detection circuitry for surgical handpiece system |
US7273483B2 (en) | 2000-10-20 | 2007-09-25 | Ethicon Endo-Surgery, Inc. | Apparatus and method for alerting generator functions in an ultrasonic surgical system |
US6633234B2 (en) | 2000-10-20 | 2003-10-14 | Ethicon Endo-Surgery, Inc. | Method for detecting blade breakage using rate and/or impedance information |
US6537291B2 (en) | 2000-10-20 | 2003-03-25 | Ethicon Endo-Surgery, Inc. | Method for detecting a loose blade in a hand piece connected to an ultrasonic surgical system |
US6809508B2 (en) | 2000-10-20 | 2004-10-26 | Ethicon Endo-Surgery, Inc. | Detection circuitry for surgical handpiece system |
US6626926B2 (en) | 2000-10-20 | 2003-09-30 | Ethicon Endo-Surgery, Inc. | Method for driving an ultrasonic system to improve acquisition of blade resonance frequency at startup |
US6945981B2 (en) | 2000-10-20 | 2005-09-20 | Ethicon-Endo Surgery, Inc. | Finger operated switch for controlling a surgical handpiece |
US6678621B2 (en) | 2000-10-20 | 2004-01-13 | Ethicon Endo-Surgery, Inc. | Output displacement control using phase margin in an ultrasonic surgical hand piece |
US6480796B2 (en) | 2000-10-20 | 2002-11-12 | Ethicon Endo-Surgery, Inc. | Method for improving the start up of an ultrasonic system under zero load conditions |
US6656177B2 (en) | 2000-10-23 | 2003-12-02 | Csaba Truckai | Electrosurgical systems and techniques for sealing tissue |
US6500176B1 (en) | 2000-10-23 | 2002-12-31 | Csaba Truckai | Electrosurgical systems and techniques for sealing tissue |
US6527736B1 (en) | 2000-10-23 | 2003-03-04 | Grieshaber & Co. Ag Schaffhausen | Device for use in ophthalmologic procedures |
JP2002132917A (ja) | 2000-10-26 | 2002-05-10 | Fujitsu Ltd | 印刷サービス方法、システム及びプリンタ |
US6843789B2 (en) | 2000-10-31 | 2005-01-18 | Gyrus Medical Limited | Electrosurgical system |
US20030139741A1 (en) | 2000-10-31 | 2003-07-24 | Gyrus Medical Limited | Surgical instrument |
US6893435B2 (en) | 2000-10-31 | 2005-05-17 | Gyrus Medical Limited | Electrosurgical system |
JP2002143177A (ja) | 2000-11-07 | 2002-05-21 | Miwatec:Kk | 超音波ハンドピ−スとこれに使用する超音波ホーン |
US6543452B1 (en) | 2000-11-16 | 2003-04-08 | Medilyfe, Inc. | Nasal intubation device and system for intubation |
CN2460047Y (zh) | 2000-11-16 | 2001-11-21 | 黄健平 | 计算机虚拟b超仪 |
US6733506B1 (en) | 2000-11-16 | 2004-05-11 | Ethicon, Inc. | Apparatus and method for attaching soft tissue to bone |
US7267685B2 (en) | 2000-11-16 | 2007-09-11 | Cordis Corporation | Bilateral extension prosthesis and method of delivery |
IT249046Y1 (it) | 2000-12-11 | 2003-03-25 | Optikon 2000 Spa | Punta emulsificata per chirurgia oculistica, in particolare per lafacoemulsificazione della cataratta. |
ATE499054T1 (de) | 2000-12-20 | 2011-03-15 | Fox Hollow Technologies Inc | Verkleinerungskatheter |
DE20021619U1 (de) | 2000-12-21 | 2001-03-08 | Neumann Anne Kathrin | Chirurgisches Handwerkzeug, insbesondere Ultraschall-Skalpell |
JP3561234B2 (ja) * | 2000-12-21 | 2004-09-02 | アイシン機工株式会社 | 超音波発生伝達装置 |
US6690960B2 (en) | 2000-12-21 | 2004-02-10 | David T. Chen | Video-based surgical targeting system |
US8133218B2 (en) | 2000-12-28 | 2012-03-13 | Senorx, Inc. | Electrosurgical medical system and method |
US6840938B1 (en) | 2000-12-29 | 2005-01-11 | Intuitive Surgical, Inc. | Bipolar cauterizing instrument |
US7530986B2 (en) | 2001-01-08 | 2009-05-12 | Ethicon Endo-Surgery, Inc. | Laminated ultrasonic end effector |
WO2002054941A2 (en) | 2001-01-11 | 2002-07-18 | Rita Medical Systems Inc | Bone-treatment instrument and method |
US20040138621A1 (en) | 2003-01-14 | 2004-07-15 | Jahns Scott E. | Devices and methods for interstitial injection of biologic agents into tissue |
US6620161B2 (en) | 2001-01-24 | 2003-09-16 | Ethicon, Inc. | Electrosurgical instrument with an operational sequencing element |
US6458128B1 (en) | 2001-01-24 | 2002-10-01 | Ethicon, Inc. | Electrosurgical instrument with a longitudinal element for conducting RF energy and moving a cutting element |
US6554829B2 (en) | 2001-01-24 | 2003-04-29 | Ethicon, Inc. | Electrosurgical instrument with minimally invasive jaws |
US6464702B2 (en) | 2001-01-24 | 2002-10-15 | Ethicon, Inc. | Electrosurgical instrument with closing tube for conducting RF energy and moving jaws |
US20020107517A1 (en) | 2001-01-26 | 2002-08-08 | Witt David A. | Electrosurgical instrument for coagulation and cutting |
US6500188B2 (en) | 2001-01-29 | 2002-12-31 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical instrument with finger actuator |
US6752815B2 (en) | 2001-01-31 | 2004-06-22 | Ethicon Endo-Surgery, Inc. | Method and waveguides for changing the direction of longitudinal vibrations |
JP4202138B2 (ja) | 2001-01-31 | 2008-12-24 | レックス メディカル インコーポレイテッド | 胃食道組織をステープルおよび切除するための装置および方法 |
USD444365S1 (en) | 2001-01-31 | 2001-07-03 | Campbell Hausfeld/Scott Fetzer Company | Handheld power tool housing and handle |
US6561983B2 (en) | 2001-01-31 | 2003-05-13 | Ethicon Endo-Surgery, Inc. | Attachments of components of ultrasonic blades or waveguides |
DE60230533D1 (de) | 2001-02-08 | 2009-02-05 | Tyco Healthcare | Chirurgisches ultraschallinstrument |
US20040054364A1 (en) | 2002-02-08 | 2004-03-18 | Ernest Aranyi | Ultrasonic surgical instrument |
US20080214967A1 (en) | 2004-02-17 | 2008-09-04 | Ernest Aranyi | Ultrasonic surgical instrument |
US20040097911A1 (en) | 2001-02-13 | 2004-05-20 | Olympus Optical Co., Ltd. | Ultrasonic operating apparartus and tool for changing tip thereof |
JP2002238919A (ja) * | 2001-02-20 | 2002-08-27 | Olympus Optical Co Ltd | 医療システム用制御装置及び医療システム |
US6533784B2 (en) | 2001-02-24 | 2003-03-18 | Csaba Truckai | Electrosurgical working end for transecting and sealing tissue |
US6383194B1 (en) | 2001-02-26 | 2002-05-07 | Viswanadham Pothula | Flexible ultrasonic surgical snare |
US6775575B2 (en) | 2001-02-26 | 2004-08-10 | D. Bommi Bommannan | System and method for reducing post-surgical complications |
US6719776B2 (en) | 2001-03-01 | 2004-04-13 | Ethicon Endo-Surgery, Inc. | Thumb pad actuator for an ultrasonic surgical instrument |
JP2002263579A (ja) | 2001-03-07 | 2002-09-17 | Olympus Optical Co Ltd | 超音波振動子駆動装置 |
US6514267B2 (en) | 2001-03-26 | 2003-02-04 | Iep Pharmaceutical Devices Inc. | Ultrasonic scalpel |
US6626848B2 (en) | 2001-03-30 | 2003-09-30 | Eric M. Neuenfeldt | Method and device to reduce needle insertion force |
US20030014087A1 (en) * | 2001-03-30 | 2003-01-16 | Neurocontrol Corporation | Systems and methods for performing prosthetic or therapeutic neuromuscular stimulation using a programmable universal external controller |
US8348880B2 (en) | 2001-04-04 | 2013-01-08 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical instrument incorporating fluid management |
US7083618B2 (en) | 2001-04-06 | 2006-08-01 | Sherwood Services Ag | Vessel sealer and divider |
USD457958S1 (en) | 2001-04-06 | 2002-05-28 | Sherwood Services Ag | Vessel sealer and divider |
CA2442960C (en) | 2001-04-06 | 2011-03-22 | Sherwood Services Ag | Vessel sealing instrument |
US7101371B2 (en) | 2001-04-06 | 2006-09-05 | Dycus Sean T | Vessel sealer and divider |
US7101373B2 (en) | 2001-04-06 | 2006-09-05 | Sherwood Services Ag | Vessel sealer and divider |
US7118587B2 (en) | 2001-04-06 | 2006-10-10 | Sherwood Services Ag | Vessel sealer and divider |
DE60121229T2 (de) | 2001-04-06 | 2007-05-24 | Sherwood Services Ag | Vorrichtung zum abdichten und teilen eines gefässes mit nichtleitendem endanschlag |
US7101372B2 (en) | 2001-04-06 | 2006-09-05 | Sherwood Sevices Ag | Vessel sealer and divider |
US20030229344A1 (en) | 2002-01-22 | 2003-12-11 | Dycus Sean T. | Vessel sealer and divider and method of manufacturing same |
US20020151837A1 (en) | 2001-04-16 | 2002-10-17 | Surgicon Inc. | Surgical irrigation apparatus and methods for use |
JP2002306504A (ja) | 2001-04-18 | 2002-10-22 | Olympus Optical Co Ltd | 外科手術システム |
US6783524B2 (en) | 2001-04-19 | 2004-08-31 | Intuitive Surgical, Inc. | Robotic surgical tool with ultrasound cauterizing and cutting instrument |
US7824401B2 (en) | 2004-10-08 | 2010-11-02 | Intuitive Surgical Operations, Inc. | Robotic tool with wristed monopolar electrosurgical end effectors |
US6994708B2 (en) | 2001-04-19 | 2006-02-07 | Intuitive Surgical | Robotic tool with monopolar electro-surgical scissors |
US6562035B1 (en) | 2001-04-19 | 2003-05-13 | Levin John M | Insulated surgical scissors including cauterizing tip |
AU2002254712A1 (en) | 2001-04-20 | 2002-11-05 | Power Medical Interventions, Inc. | Bipolar or ultrasonic surgical device |
US6699240B2 (en) | 2001-04-26 | 2004-03-02 | Medtronic, Inc. | Method and apparatus for tissue ablation |
US7959626B2 (en) * | 2001-04-26 | 2011-06-14 | Medtronic, Inc. | Transmural ablation systems and methods |
US6913579B2 (en) | 2001-05-01 | 2005-07-05 | Surgrx, Inc. | Electrosurgical working end and method for obtaining tissue samples for biopsy |
US6531846B1 (en) | 2001-05-03 | 2003-03-11 | National Semiconductor Corporation | Final discharge of a cell activated by a circuit that senses when a charging fault has occurred |
US20020165577A1 (en) | 2001-05-04 | 2002-11-07 | Ethicon Endo-Surgery, Inc. | Easily detachable ultrasonic clamping device |
US7160296B2 (en) | 2001-05-10 | 2007-01-09 | Rita Medical Systems, Inc. | Tissue ablation apparatus and method |
US6588277B2 (en) | 2001-05-21 | 2003-07-08 | Ethicon Endo-Surgery | Method for detecting transverse mode vibrations in an ultrasonic hand piece/blade |
US6656198B2 (en) | 2001-06-01 | 2003-12-02 | Ethicon-Endo Surgery, Inc. | Trocar with reinforced obturator shaft |
US8052672B2 (en) | 2001-06-06 | 2011-11-08 | LENR Solutions, Inc. | Fat removal and nerve protection device and method |
US11229472B2 (en) | 2001-06-12 | 2022-01-25 | Cilag Gmbh International | Modular battery powered handheld surgical instrument with multiple magnetic position sensors |
JP2003010201A (ja) | 2001-06-27 | 2003-01-14 | Pentax Corp | 超音波治療具 |
AU2002316563A1 (en) | 2001-06-29 | 2003-03-03 | The Trustees Of Columbia University In City Of New York | Tripod knife for venous access |
WO2003001987A2 (en) | 2001-06-29 | 2003-01-09 | Intuitive Surgical, Inc. | Platform link wrist mechanism |
US6817974B2 (en) | 2001-06-29 | 2004-11-16 | Intuitive Surgical, Inc. | Surgical tool having positively positionable tendon-actuated multi-disk wrist joint |
US20040243147A1 (en) | 2001-07-03 | 2004-12-02 | Lipow Kenneth I. | Surgical robot and robotic controller |
US6923804B2 (en) | 2001-07-12 | 2005-08-02 | Neothermia Corporation | Electrosurgical generator |
US6740079B1 (en) | 2001-07-12 | 2004-05-25 | Neothermia Corporation | Electrosurgical generator |
US7037255B2 (en) | 2001-07-27 | 2006-05-02 | Ams Research Corporation | Surgical instruments for addressing pelvic disorders |
IL144638A (en) | 2001-07-30 | 2005-12-18 | Nano Size Ltd | High power ultrasound reactor for the production of nano-powder materials |
US6778023B2 (en) | 2001-07-31 | 2004-08-17 | Nokia Corporation | Tunable filter and method of tuning a filter |
US7208005B2 (en) | 2001-08-06 | 2007-04-24 | The Penn State Research Foundation | Multifunctional tool and method for minimally invasive surgery |
US20030040758A1 (en) | 2001-08-21 | 2003-02-27 | Yulun Wang | Robotically controlled surgical instrument, visual force-feedback |
US7282048B2 (en) | 2001-08-27 | 2007-10-16 | Gyrus Medical Limited | Electrosurgical generator and system |
US6808525B2 (en) | 2001-08-27 | 2004-10-26 | Gyrus Medical, Inc. | Bipolar electrosurgical hook probe for cutting and coagulating tissue |
WO2004078051A2 (en) | 2001-08-27 | 2004-09-16 | Gyrus Medial Limited | Electrosurgical system |
US6994709B2 (en) | 2001-08-30 | 2006-02-07 | Olympus Corporation | Treatment device for tissue from living tissues |
US7229455B2 (en) | 2001-09-03 | 2007-06-12 | Olympus Corporation | Ultrasonic calculus treatment apparatus |
NL1018874C2 (nl) | 2001-09-03 | 2003-03-05 | Michel Petronella Hub Vleugels | Chirurgisch instrument. |
JP2005501609A (ja) | 2001-09-05 | 2005-01-20 | ティシューリンク・メディカル・インコーポレーテッド | 流体補助式医療器具、この器具のための流体供給システムとコントローラ及び方法 |
US20030050572A1 (en) | 2001-09-07 | 2003-03-13 | Brautigam Robert T. | Specimen retrieving needle |
US6802843B2 (en) | 2001-09-13 | 2004-10-12 | Csaba Truckai | Electrosurgical working end with resistive gradient electrodes |
US6773434B2 (en) | 2001-09-18 | 2004-08-10 | Ethicon, Inc. | Combination bipolar forceps and scissors instrument |
US6773409B2 (en) | 2001-09-19 | 2004-08-10 | Surgrx Llc | Surgical system for applying ultrasonic energy to tissue |
GB2379878B (en) | 2001-09-21 | 2004-11-10 | Gyrus Medical Ltd | Electrosurgical system and method |
US6616661B2 (en) * | 2001-09-28 | 2003-09-09 | Ethicon, Inc. | Surgical device for clamping, ligating, and severing tissue |
AU2002327779B2 (en) | 2001-09-28 | 2008-06-26 | Angiodynamics, Inc. | Impedance controlled tissue ablation apparatus and method |
EP1448088B1 (en) | 2001-10-04 | 2009-11-25 | Gibbens Group LLC | Cycling suturing and knot-tying device |
US7796969B2 (en) | 2001-10-10 | 2010-09-14 | Peregrine Semiconductor Corporation | Symmetrically and asymmetrically stacked transistor group RF switch |
ES2327907T3 (es) | 2001-10-11 | 2009-11-05 | Tyco Healthcare Group Lp | Cuchilla de corte iltrasonico larga formada por cuchillas mas pequeñas estratificadas. |
JP2003126110A (ja) | 2001-10-24 | 2003-05-07 | Olympus Optical Co Ltd | 超音波処置具 |
US20050267464A1 (en) | 2001-10-18 | 2005-12-01 | Surgrx, Inc. | Electrosurgical instrument and method of use |
US7070597B2 (en) | 2001-10-18 | 2006-07-04 | Surgrx, Inc. | Electrosurgical working end for controlled energy delivery |
US6929644B2 (en) | 2001-10-22 | 2005-08-16 | Surgrx Inc. | Electrosurgical jaw structure for controlled energy delivery |
US6685703B2 (en) | 2001-10-19 | 2004-02-03 | Scimed Life Systems, Inc. | Generator and probe adapter |
US7311709B2 (en) | 2001-10-22 | 2007-12-25 | Surgrx, Inc. | Electrosurgical instrument and method of use |
US6770072B1 (en) | 2001-10-22 | 2004-08-03 | Surgrx, Inc. | Electrosurgical jaw structure for controlled energy delivery |
US7011657B2 (en) | 2001-10-22 | 2006-03-14 | Surgrx, Inc. | Jaw structure for electrosurgical instrument and method of use |
US8075558B2 (en) | 2002-04-30 | 2011-12-13 | Surgrx, Inc. | Electrosurgical instrument and method |
US7517349B2 (en) | 2001-10-22 | 2009-04-14 | Vnus Medical Technologies, Inc. | Electrosurgical instrument and method |
US7354440B2 (en) | 2001-10-22 | 2008-04-08 | Surgrx, Inc. | Electrosurgical instrument and method of use |
US7041102B2 (en) * | 2001-10-22 | 2006-05-09 | Surgrx, Inc. | Electrosurgical working end with replaceable cartridges |
US7125409B2 (en) | 2001-10-22 | 2006-10-24 | Surgrx, Inc. | Electrosurgical working end for controlled energy delivery |
US6926716B2 (en) | 2001-11-09 | 2005-08-09 | Surgrx Inc. | Electrosurgical instrument |
US20060293656A1 (en) | 2001-10-22 | 2006-12-28 | Shadduck John H | Electrosurgical instrument and method of use |
US7083619B2 (en) | 2001-10-22 | 2006-08-01 | Surgrx, Inc. | Electrosurgical instrument and method of use |
US7189233B2 (en) | 2001-10-22 | 2007-03-13 | Surgrx, Inc. | Electrosurgical instrument |
US20040098010A1 (en) | 2001-10-22 | 2004-05-20 | Glenn Davison | Confuser crown skin pricker |
US6905497B2 (en) | 2001-10-22 | 2005-06-14 | Surgrx, Inc. | Jaw structure for electrosurgical instrument |
JP2003126104A (ja) | 2001-10-23 | 2003-05-07 | Olympus Optical Co Ltd | 超音波切開装置 |
EP1482818A4 (en) | 2001-10-24 | 2009-02-11 | Stephen L M D Tillim | HANDLE / HANDLE AND METHOD OF DESIGNING THE SAME |
JP3676997B2 (ja) | 2001-11-07 | 2005-07-27 | 株式会社岳将 | 超音波加工機のスピンドル構造およびこれに用いる支持ホーン |
US6719765B2 (en) | 2001-12-03 | 2004-04-13 | Bonutti 2003 Trust-A | Magnetic suturing system and method |
US7686770B2 (en) | 2005-10-14 | 2010-03-30 | Microfabrica Inc. | Discrete or continuous tissue capture device and method for making |
US7753908B2 (en) | 2002-02-19 | 2010-07-13 | Endoscopic Technologies, Inc. (Estech) | Apparatus for securing an electrophysiology probe to a clamp |
US7226448B2 (en) | 2001-12-04 | 2007-06-05 | Estech, Inc. (Endoscopic Technologies, Inc.) | Cardiac treatment devices and methods |
RU22035U1 (ru) | 2001-12-06 | 2002-03-10 | Общество с ограниченной ответственностью "Научно-производственное объединение "Каскад-НТЛ" | Устройство для коагуляции и резекции биологических тканей |
US7052496B2 (en) | 2001-12-11 | 2006-05-30 | Olympus Optical Co., Ltd. | Instrument for high-frequency treatment and method of high-frequency treatment |
US20030114851A1 (en) | 2001-12-13 | 2003-06-19 | Csaba Truckai | Electrosurgical jaws for controlled application of clamping pressure |
US6602252B2 (en) | 2002-01-03 | 2003-08-05 | Starion Instruments Corporation | Combined dissecting, cauterizing, and stapling device |
DE10201569B4 (de) | 2002-01-11 | 2008-12-24 | Aesculap Ag | Chirurgisches Instrument |
CA2473798C (en) | 2002-01-22 | 2015-11-03 | Sciogen Llc | Electrosurgical instrument and method of use |
US20030144680A1 (en) | 2002-01-22 | 2003-07-31 | Sontra Medical, Inc. | Portable ultrasonic scalpel/cautery device |
US6676660B2 (en) | 2002-01-23 | 2004-01-13 | Ethicon Endo-Surgery, Inc. | Feedback light apparatus and method for use with an electrosurgical instrument |
US6887209B2 (en) | 2002-01-25 | 2005-05-03 | Advanced Medical Optics | Pulsed vacuum and/or flow method and apparatus for tissue removal |
DE10203630A1 (de) | 2002-01-30 | 2003-08-14 | Fraunhofer Ges Forschung | Probenträger zur Kryokonservierung biologischer Proben |
DE10204487B4 (de) | 2002-01-30 | 2004-03-04 | Infineon Technologies Ag | Temperatursensor |
EP1474045B1 (en) | 2002-02-13 | 2016-12-07 | Applied Medical Resources Corporation | Tissue fusion/welder apparatus |
US20080177268A1 (en) | 2002-02-14 | 2008-07-24 | Wolfgang Daum | Minimally-Invasive Approach to Bone-Obstructed Soft Tissue |
US20030158548A1 (en) | 2002-02-19 | 2003-08-21 | Phan Huy D. | Surgical system including clamp and apparatus for securing an energy transmission device to the clamp and method of converting a clamp into an electrophysiology device |
US6733498B2 (en) | 2002-02-19 | 2004-05-11 | Live Tissue Connect, Inc. | System and method for control of tissue welding |
US6610059B1 (en) | 2002-02-25 | 2003-08-26 | Hs West Investments Llc | Endoscopic instruments and methods for improved bubble aspiration at a surgical site |
US7041083B2 (en) | 2002-02-26 | 2006-05-09 | Scimed Life Systems, Inc. | Medical catheter assembly including a removable inner sleeve and method of using the same |
US6819027B2 (en) * | 2002-03-04 | 2004-11-16 | Cepheid | Method and apparatus for controlling ultrasonic transducer |
US7247161B2 (en) | 2002-03-22 | 2007-07-24 | Gyrus Ent L.L.C. | Powered surgical apparatus, method of manufacturing powered surgical apparatus, and method of using powered surgical apparatus |
GB2387782B (en) | 2002-03-28 | 2004-04-07 | Michael John Radley Young | Improved surgical tool mechanism |
AU2003223580A1 (en) | 2002-04-12 | 2003-10-27 | San Diego Swiss Machining, Inc. | Ultrasonic microtube dental instruments and methods of using same |
US7258688B1 (en) | 2002-04-16 | 2007-08-21 | Baylis Medical Company Inc. | Computerized electrical signal generator |
JP2003305050A (ja) | 2002-04-17 | 2003-10-28 | Olympus Optical Co Ltd | 超音波手術装置 |
US20040030330A1 (en) | 2002-04-18 | 2004-02-12 | Brassell James L. | Electrosurgery systems |
ES2377483T3 (es) | 2002-04-25 | 2012-03-28 | Tyco Healthcare Group Lp | Instrumentos quirúrgicos que incluyen sistemas microelectromecánicos (MEMS) |
US20030204199A1 (en) | 2002-04-30 | 2003-10-30 | Novak Theodore A. D. | Device and method for ultrasonic tissue excision with tissue selectivity |
ES2268357T3 (es) | 2002-05-10 | 2007-03-16 | Tyco Healthcare Group Lp | Aparato grapador electroquirurgico. |
US20030212422A1 (en) | 2002-05-13 | 2003-11-13 | Paul Fenton | Ultrasonic soft tissue cutting and coagulation systems with movable vibrating probe and fixed receiving clamp |
US20030212332A1 (en) | 2002-05-13 | 2003-11-13 | Paul Fenton | Disposable ultrasonic soft tissue cutting and coagulation systems |
US20030212392A1 (en) | 2002-05-13 | 2003-11-13 | Paul Fenton | Ultrasonic soft tissue cutting and coagulation systems having a curvilinear blade member and clamp |
GB2388741B (en) | 2002-05-17 | 2004-06-30 | Morgan Crucible Co | Transducer assembly |
US6814731B2 (en) | 2002-05-20 | 2004-11-09 | Scimed Life Systems, Inc. | Methods for RF ablation using jet injection of conductive fluid |
JP2004000336A (ja) | 2002-05-31 | 2004-01-08 | Olympus Corp | 超音波処置装置 |
US6543456B1 (en) | 2002-05-31 | 2003-04-08 | Ethicon Endo-Surgery, Inc. | Method for minimally invasive surgery in the digestive system |
US20060159731A1 (en) | 2002-06-03 | 2006-07-20 | Yissum Research Development Company Of The Hebrew University Of Jerusalem | Multi-layer collagenic article useful for wounds healing and a method for its production thereof |
WO2003101308A1 (en) | 2002-06-04 | 2003-12-11 | Office Of Technology Licensing Stanford University | Device and method for rapid aspiration and collection of body tissue from within an enclosed body space |
US7361172B2 (en) | 2002-06-04 | 2008-04-22 | Sound Surgical Technologies Llc | Ultrasonic device and method for tissue coagulation |
US7066893B2 (en) | 2002-06-06 | 2006-06-27 | Ethicon Endo-Surgery, Inc. | Biopsy method |
US6855140B2 (en) | 2002-06-06 | 2005-02-15 | Thomas E. Albrecht | Method of tissue lesion removal |
US7153315B2 (en) | 2002-06-11 | 2006-12-26 | Boston Scientific Scimed, Inc. | Catheter balloon with ultrasonic microscalpel blades |
US6783491B2 (en) | 2002-06-13 | 2004-08-31 | Vahid Saadat | Shape lockable apparatus and method for advancing an instrument through unsupported anatomy |
RU2284160C2 (ru) | 2002-06-24 | 2006-09-27 | Аркадий Вениаминович Дубровский | Устройство для поворота инструмента с дистанционным управлением |
AUPS322702A0 (en) | 2002-06-28 | 2002-07-18 | Cochlear Limited | Cochlear implant electrode array |
US7331410B2 (en) | 2002-07-03 | 2008-02-19 | Smith International, Inc. | Drill bit arcuate-shaped inserts with cutting edges and method of manufacture |
US6958071B2 (en) | 2002-07-13 | 2005-10-25 | Stryker Corporation | Surgical tool system |
EP1534152A1 (en) | 2002-07-13 | 2005-06-01 | Stryker Corporation | System and method for performing irrigated nose and throat surgery |
US6929622B2 (en) | 2002-07-15 | 2005-08-16 | Lai-Wen Chian | Safety syringe cylinder |
US20040047485A1 (en) * | 2002-07-16 | 2004-03-11 | Stewart Sherrit | Folded horns for vibration actuators |
JP2004057588A (ja) | 2002-07-30 | 2004-02-26 | Olympus Corp | 外科用処置具 |
US8579937B2 (en) | 2002-07-31 | 2013-11-12 | Covidien Lp | Tool member cover and cover deployment device |
EP1433428B1 (en) | 2002-08-02 | 2013-10-02 | Olympus Corporation | Ultrasonic treatment apparatus |
US20040030254A1 (en) | 2002-08-07 | 2004-02-12 | Eilaz Babaev | Device and method for ultrasound wound debridement |
US20040176751A1 (en) | 2002-08-14 | 2004-09-09 | Endovia Medical, Inc. | Robotic medical instrument system |
US20040132383A1 (en) | 2002-08-14 | 2004-07-08 | Langford Mark A. | Fluid jet cutting system |
JP2004073582A (ja) | 2002-08-20 | 2004-03-11 | Olympus Corp | 生体組織切除具 |
US8986297B2 (en) | 2002-08-21 | 2015-03-24 | Resect Medical, Inc. | Thermal hemostasis and/or coagulation of tissue |
US6942677B2 (en) | 2003-02-26 | 2005-09-13 | Flowcardia, Inc. | Ultrasound catheter apparatus |
USD490059S1 (en) | 2002-09-09 | 2004-05-18 | Thermal Dynamics Corporation | Connector adapter |
DE10241702A1 (de) | 2002-09-09 | 2004-03-18 | Berchtold Holding Gmbh | Ultraschallinstrument |
US20040064151A1 (en) | 2002-09-27 | 2004-04-01 | Starion Instruments Corporation | Ultrasonic forceps |
US7087054B2 (en) | 2002-10-01 | 2006-08-08 | Surgrx, Inc. | Electrosurgical instrument and method of use |
ATE416707T1 (de) | 2002-10-02 | 2008-12-15 | Olympus Corp | Operationssystem mit mehreren medizinischen geräten und mehreren fernbedienungen |
DE60315846T2 (de) | 2002-10-04 | 2008-05-21 | Tyco Healthcare Group Lp, Norwalk | Zusammenbau von chirurgischem klammerwerkzeug |
ES2348273T3 (es) | 2002-10-04 | 2010-12-02 | Tyco Healthcare Group Lp | Dispositivo de grapado quirurgico. |
JP4398865B2 (ja) | 2002-10-04 | 2010-01-13 | タイコ ヘルスケア グループ エルピー | 汎用関節および組織予備拘束を伴う外科用ホチキス |
USD477408S1 (en) | 2002-10-04 | 2003-07-15 | Conmed Corporation | Electrosurgical generator |
US7931649B2 (en) | 2002-10-04 | 2011-04-26 | Tyco Healthcare Group Lp | Vessel sealing instrument with electrical cutting mechanism |
JP2004129871A (ja) | 2002-10-10 | 2004-04-30 | Olympus Corp | 超音波処置装置 |
US7041088B2 (en) | 2002-10-11 | 2006-05-09 | Ethicon, Inc. | Medical devices having durable and lubricious polymeric coating |
US7682366B2 (en) | 2002-10-16 | 2010-03-23 | Olympus Corporation | Calculus manipulation apparatus |
US20040147934A1 (en) | 2002-10-18 | 2004-07-29 | Kiester P. Douglas | Oscillating, steerable, surgical burring tool and method of using the same |
US20040092921A1 (en) | 2002-10-21 | 2004-05-13 | Kadziauskas Kenneth E. | System and method for pulsed ultrasonic power delivery employing cavitation effects |
US20040092992A1 (en) | 2002-10-23 | 2004-05-13 | Kenneth Adams | Disposable battery powered rotary tissue cutting instruments and methods therefor |
JP2003116870A (ja) | 2002-10-23 | 2003-04-22 | Miwatec:Kk | 超音波ハンドピ−スとこれに使用する超音波ホ−ン |
US8162966B2 (en) | 2002-10-25 | 2012-04-24 | Hydrocision, Inc. | Surgical devices incorporating liquid jet assisted tissue manipulation and methods for their use |
JP2006503682A (ja) | 2002-10-25 | 2006-02-02 | ハイドロシジョン・インコーポレーテッド | 液体噴流支援型の組織操作を組み込んだ手術装置及びその使用法 |
JP4086621B2 (ja) | 2002-10-28 | 2008-05-14 | 株式会社トップ | 外科用器具のハンドル構造 |
US7083620B2 (en) | 2002-10-30 | 2006-08-01 | Medtronic, Inc. | Electrosurgical hemostat |
US7678125B2 (en) | 2002-11-12 | 2010-03-16 | Apollo Camera, L.L.C. | Surgical ligation clip |
US6786383B2 (en) | 2002-11-14 | 2004-09-07 | Kimberly-Clark Worldwide, Inc. | Ultrasonic horn assembly with fused stack components |
US6835082B2 (en) | 2002-11-18 | 2004-12-28 | Conmed Corporation | Monopolar electrosurgical multi-plug connector device and method which accepts multiple different connector plugs |
US20040097912A1 (en) * | 2002-11-18 | 2004-05-20 | Gonnering Wayne J. | Electrosurgical generator and method with removable front panel having replaceable electrical connection sockets and illuminated receptacles |
US6948503B2 (en) | 2002-11-19 | 2005-09-27 | Conmed Corporation | Electrosurgical generator and method for cross-checking output power |
US6942660B2 (en) * | 2002-11-19 | 2005-09-13 | Conmed Corporation | Electrosurgical generator and method with multiple semi-autonomously executable functions |
US6905499B1 (en) | 2002-11-26 | 2005-06-14 | Thermal Corp. | Heat pipe for cautery surgical Instrument |
US7390317B2 (en) | 2002-12-02 | 2008-06-24 | Applied Medical Resources Corporation | Universal access seal |
JP4095919B2 (ja) | 2002-12-09 | 2008-06-04 | ジンマー株式会社 | 人工膝関節全置換手術用計測装置 |
US7217128B2 (en) | 2002-12-12 | 2007-05-15 | Discus Dental Impressions, Inc. | Ultrasonic dental insert having interchangeable plastic and metal tips |
US8057468B2 (en) | 2002-12-17 | 2011-11-15 | Bovie Medical Corporation | Method to generate a plasma stream for performing electrosurgery |
US20040176686A1 (en) | 2002-12-23 | 2004-09-09 | Omnisonics Medical Technologies, Inc. | Apparatus and method for ultrasonic medical device with improved visibility in imaging procedures |
US8454639B2 (en) | 2002-12-30 | 2013-06-04 | Cybersonics, Inc. | Dual probe with floating inner probe |
US6875220B2 (en) | 2002-12-30 | 2005-04-05 | Cybersonics, Inc. | Dual probe |
US6926717B1 (en) | 2003-01-14 | 2005-08-09 | Jon C. Garito | Electrosurgical breast electrode |
US7287682B1 (en) | 2003-01-20 | 2007-10-30 | Hazem Ezzat | Surgical device and method |
US20040142667A1 (en) | 2003-01-21 | 2004-07-22 | Lochhead Donald Laird | Method of correcting distortion in a power amplifier |
US6899685B2 (en) | 2003-01-24 | 2005-05-31 | Acueity, Inc. | Biopsy device |
US20040158237A1 (en) | 2003-02-11 | 2004-08-12 | Marwan Abboud | Multi-energy ablation station |
JP2004248368A (ja) | 2003-02-12 | 2004-09-02 | Asmo Co Ltd | 超音波モータ、及びその製造方法 |
US7169146B2 (en) | 2003-02-14 | 2007-01-30 | Surgrx, Inc. | Electrosurgical probe and method of use |
EP1603474B1 (en) | 2003-02-14 | 2013-09-11 | The Board Of Trustees Of The Leland Stanford Junior University | Electrosurgical system with uniformly enhanced electric field and minimal collateral damage |
WO2004073488A2 (en) | 2003-02-20 | 2004-09-02 | Sherwood Services Ag | System and method for connecting an electrosurgical instrument to a generator |
CN100453052C (zh) | 2003-02-25 | 2009-01-21 | 伊西康内外科公司 | 具有变速前进切割器的活组织检查装置 |
US7025732B2 (en) | 2003-02-25 | 2006-04-11 | Ethicon Endo-Surgery, Inc. | Biopsy device with variable speed cutter advance |
WO2004080278A2 (en) | 2003-03-06 | 2004-09-23 | Tissuelink Medical, Inc. | Fluid -assisted medical devices, systems and methods |
US7077845B2 (en) | 2003-03-11 | 2006-07-18 | Arthrex, Inc. | Surgical abrader with suction port proximal to bearing |
WO2004080291A2 (en) | 2003-03-12 | 2004-09-23 | Color Kinetics Incorporated | Methods and systems for medical lighting |
US20060064086A1 (en) | 2003-03-13 | 2006-03-23 | Darren Odom | Bipolar forceps with multiple electrode array end effector assembly |
US7776036B2 (en) | 2003-03-13 | 2010-08-17 | Covidien Ag | Bipolar concentric electrode assembly for soft tissue fusion |
US20050015125A1 (en) | 2003-03-14 | 2005-01-20 | Mioduski Paul C. | Hyperthermia treatment systems and methods |
US20040199192A1 (en) | 2003-04-04 | 2004-10-07 | Takayuki Akahoshi | Phacoemulsification needle |
JP3840194B2 (ja) | 2003-04-07 | 2006-11-01 | キヤノン株式会社 | 振動ナイフ |
US7566318B2 (en) | 2003-04-11 | 2009-07-28 | Cardiac Pacemakers, Inc. | Ultrasonic subcutaneous dissection tool incorporating fluid delivery |
WO2004098426A1 (en) | 2003-04-15 | 2004-11-18 | Omnisonics Medical Technologies, Inc. | Apparatus and method for preshaped ultrasonic probe |
US20040215132A1 (en) | 2003-04-22 | 2004-10-28 | Inbae Yoon | Spot coagulating & occluding instrument and method of use |
US7722601B2 (en) | 2003-05-01 | 2010-05-25 | Covidien Ag | Method and system for programming and controlling an electrosurgical generator system |
US8128624B2 (en) | 2003-05-01 | 2012-03-06 | Covidien Ag | Electrosurgical instrument that directs energy delivery and protects adjacent tissue |
US7160299B2 (en) | 2003-05-01 | 2007-01-09 | Sherwood Services Ag | Method of fusing biomaterials with radiofrequency energy |
CA2523675C (en) | 2003-05-01 | 2016-04-26 | Sherwood Services Ag | Electrosurgical instrument which reduces thermal damage to adjacent tissue |
USD496997S1 (en) | 2003-05-15 | 2004-10-05 | Sherwood Services Ag | Vessel sealer and divider |
AU2004241092B2 (en) | 2003-05-15 | 2009-06-04 | Covidien Ag | Tissue sealer with non-conductive variable stop members and method of sealing tissue |
US7431694B2 (en) | 2003-05-16 | 2008-10-07 | Ethicon Endo-Surgery, Inc. | Method of guiding medical devices |
US7380695B2 (en) | 2003-05-20 | 2008-06-03 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having a single lockout mechanism for prevention of firing |
US9060770B2 (en) | 2003-05-20 | 2015-06-23 | Ethicon Endo-Surgery, Inc. | Robotically-driven surgical instrument with E-beam driver |
US6978921B2 (en) | 2003-05-20 | 2005-12-27 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument incorporating an E-beam firing mechanism |
US7380696B2 (en) | 2003-05-20 | 2008-06-03 | Ethicon Endo-Surgery, Inc. | Articulating surgical stapling instrument incorporating a two-piece E-beam firing mechanism |
ES2321390T3 (es) | 2003-05-20 | 2009-06-05 | Dsm Ip Assets B.V. | Proceso de revestimiento de superficie nano-estructurada, revestimientos nano-estructurados y articulos que comprenden el revestimiento. |
USD491666S1 (en) | 2003-06-03 | 2004-06-15 | Megadyne Medical Products, Inc. | Electrosurgical generator |
ITVI20030111A1 (it) | 2003-06-06 | 2004-12-07 | Telea Electronic Eng Srl | Bisturi elettronico per coagulazione. |
US8172870B2 (en) | 2003-06-09 | 2012-05-08 | Microline Surgical, Inc. | Ligation clip applier |
JP4079266B2 (ja) | 2003-06-11 | 2008-04-23 | 株式会社リコー | トナーの接着力測定装置及び測定方法 |
US7150749B2 (en) | 2003-06-13 | 2006-12-19 | Sherwood Services Ag | Vessel sealer and divider having elongated knife stroke and safety cutting mechanism |
US7597693B2 (en) | 2003-06-13 | 2009-10-06 | Covidien Ag | Vessel sealer and divider for use with small trocars and cannulas |
US7156846B2 (en) | 2003-06-13 | 2007-01-02 | Sherwood Services Ag | Vessel sealer and divider for use with small trocars and cannulas |
JP5089980B2 (ja) | 2003-06-17 | 2012-12-05 | エシコン・エンド−サージェリィ・インコーポレイテッド | 手動式超音波器械 |
WO2004112618A2 (en) | 2003-06-17 | 2004-12-29 | Tyco Healthcare Group, Lp | Surgical stapling device |
US20040260273A1 (en) | 2003-06-18 | 2004-12-23 | Wan Elaine Y. | Magnetic surgical instrument system |
US20040260300A1 (en) | 2003-06-20 | 2004-12-23 | Bogomir Gorensek | Method of delivering an implant through an annular defect in an intervertebral disc |
MXPA05014141A (es) | 2003-06-24 | 2006-03-09 | Healthonics Inc | Aparato y metodo para estimulo bioelectrico, aceleracion de sanado, alivio del dolor y desvitalizacion de patogeno. |
US9035741B2 (en) | 2003-06-27 | 2015-05-19 | Stryker Corporation | Foot-operated control console for wirelessly controlling medical devices |
US7412008B2 (en) | 2003-06-30 | 2008-08-12 | Freescale Semiconductor, Inc. | Programmable phase mapping and phase rotation modulator and method |
US7066895B2 (en) | 2003-06-30 | 2006-06-27 | Ethicon, Inc. | Ultrasonic radial focused transducer for pulmonary vein ablation |
US7128720B2 (en) | 2003-06-30 | 2006-10-31 | Ethicon, Inc. | Ultrasonic finger probe |
US7037306B2 (en) | 2003-06-30 | 2006-05-02 | Ethicon, Inc. | System for creating linear lesions for the treatment of atrial fibrillation |
US7074218B2 (en) | 2003-06-30 | 2006-07-11 | Ethicon, Inc. | Multi-modality ablation device |
JP4206843B2 (ja) | 2003-07-02 | 2009-01-14 | アイシン・エィ・ダブリュ株式会社 | ナビゲーション装置 |
JP2005027907A (ja) | 2003-07-07 | 2005-02-03 | Olympus Corp | 超音波手術システムおよびプローブ |
US6786382B1 (en) | 2003-07-09 | 2004-09-07 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument incorporating an articulation joint for a firing bar track |
US7055731B2 (en) | 2003-07-09 | 2006-06-06 | Ethicon Endo-Surgery Inc. | Surgical stapling instrument incorporating a tapered firing bar for increased flexibility around the articulation joint |
US7111769B2 (en) | 2003-07-09 | 2006-09-26 | Ethicon Endo-Surgery, Inc. | Surgical instrument incorporating an articulation mechanism having rotation about the longitudinal axis |
US6981628B2 (en) | 2003-07-09 | 2006-01-03 | Ethicon Endo-Surgery, Inc. | Surgical instrument with a lateral-moving articulation control |
JP3895709B2 (ja) | 2003-07-10 | 2007-03-22 | オリンパス株式会社 | 超音波凝固切開装置及び超音波凝固切開装置の制御方法 |
JP4130385B2 (ja) | 2003-07-23 | 2008-08-06 | 独立行政法人科学技術振興機構 | ゲスト分子を内包した単層カーボンナノチューブの製造方法 |
JP2005040222A (ja) | 2003-07-24 | 2005-02-17 | Olympus Corp | 超音波処置装置 |
US7144403B2 (en) | 2003-07-29 | 2006-12-05 | Alcon, Inc. | Surgical knife |
JP4128496B2 (ja) | 2003-07-30 | 2008-07-30 | オリンパス株式会社 | 超音波処置装置 |
JP4472395B2 (ja) | 2003-08-07 | 2010-06-02 | オリンパス株式会社 | 超音波手術システム |
US6915623B2 (en) | 2003-08-14 | 2005-07-12 | Ethicon, Inc. | Method for assembling a package for sutures |
US7951165B2 (en) | 2003-08-18 | 2011-05-31 | Boston Scientific Scimed, Inc. | Endoscopic medical instrument and related methods of use |
JP2005058616A (ja) | 2003-08-19 | 2005-03-10 | Olympus Corp | 医療システム用制御装置及び医療システム用制御方法 |
US8562604B2 (en) | 2003-08-19 | 2013-10-22 | Miyuki Nishimura | Bipolar high frequency treatment device |
JP4217134B2 (ja) | 2003-08-28 | 2009-01-28 | オリンパス株式会社 | スイッチ制御装置 |
JP3999715B2 (ja) | 2003-08-28 | 2007-10-31 | オリンパス株式会社 | 超音波処置装置 |
US7578820B2 (en) | 2003-09-02 | 2009-08-25 | Moore Jeffrey D | Devices and techniques for a minimally invasive disc space preparation and implant insertion |
JP2005074088A (ja) | 2003-09-02 | 2005-03-24 | Olympus Corp | 超音波処置具 |
EP1514518A1 (en) | 2003-09-11 | 2005-03-16 | SDGI Holdings, Inc. | Impulsive percussion instruments for endplate preparation |
US9168085B2 (en) | 2006-09-29 | 2015-10-27 | Baylis Medical Company Inc. | Monitoring and controlling energy delivery of an electrosurgical device |
US7083075B2 (en) | 2003-09-29 | 2006-08-01 | Ethicon Endo-Surgery, Inc. | Multi-stroke mechanism with automatic end of stroke retraction |
JP4129217B2 (ja) | 2003-09-29 | 2008-08-06 | オリンパス株式会社 | 超音波手術システム、その異常検知方法および異常検知プログラム |
US7135018B2 (en) | 2003-09-30 | 2006-11-14 | Ethicon, Inc. | Electrosurgical instrument and method for transecting an organ |
US6746284B1 (en) * | 2003-10-02 | 2004-06-08 | Hon Hai Precision Ind. Co., Ltd. | Electrical connector assembly having signal and power terminals |
JP4391788B2 (ja) | 2003-10-03 | 2009-12-24 | オリンパス株式会社 | 医療システム制御装置 |
US8357103B2 (en) | 2003-10-14 | 2013-01-22 | Suros Surgical Systems, Inc. | Vacuum assisted biopsy needle set |
US20090090763A1 (en) | 2007-10-05 | 2009-04-09 | Tyco Healthcare Group Lp | Powered surgical stapling device |
USD509589S1 (en) | 2003-10-17 | 2005-09-13 | Tyco Healthcare Group, Lp | Handle for surgical instrument |
AU2004281832B2 (en) | 2003-10-17 | 2010-11-18 | Covidien Lp | Surgical stapling device with independent tip rotation |
US7572266B2 (en) | 2003-10-21 | 2009-08-11 | Young Wayne P | Clip applier tool having a discharge configuration |
US20050090817A1 (en) | 2003-10-22 | 2005-04-28 | Scimed Life Systems, Inc. | Bendable endoscopic bipolar device |
WO2005039395A2 (en) | 2003-10-23 | 2005-05-06 | Board Of Supervisors Of Louisiana State University And Agricultural And Mechanical College | Sonic and ultrasonic surgical tips |
EP1677694B1 (en) | 2003-10-28 | 2014-08-27 | Stryker Corporation | Electrosurgical control system |
KR20050040451A (ko) | 2003-10-28 | 2005-05-03 | 삼성전자주식회사 | 무선주파수 식별 기능을 가지는 이동통신 단말기 및 그이동통신 단말기에서의 무선주파수 식별 프로그래밍 방법 |
US7686826B2 (en) | 2003-10-30 | 2010-03-30 | Cambridge Endoscopic Devices, Inc. | Surgical instrument |
US20050096683A1 (en) | 2003-11-01 | 2005-05-05 | Medtronic, Inc. | Using thinner laminations to reduce operating temperature in a high speed hand-held surgical power tool |
US6979332B2 (en) | 2003-11-04 | 2005-12-27 | Medtronic, Inc. | Surgical micro-resecting instrument with electrocautery and continuous aspiration features |
US7163548B2 (en) | 2003-11-05 | 2007-01-16 | Ethicon Endo-Surgery, Inc | Ultrasonic surgical blade and instrument having a gain step |
EP2269521B1 (en) | 2003-11-12 | 2015-04-15 | Applied Medical Resources Corporation | Overmolded grasper jaw |
US7367976B2 (en) | 2003-11-17 | 2008-05-06 | Sherwood Services Ag | Bipolar forceps having monopolar extension |
US7232440B2 (en) | 2003-11-17 | 2007-06-19 | Sherwood Services Ag | Bipolar forceps having monopolar extension |
US7811283B2 (en) | 2003-11-19 | 2010-10-12 | Covidien Ag | Open vessel sealing instrument with hourglass cutting mechanism and over-ratchet safety |
WO2005052959A2 (en) | 2003-11-19 | 2005-06-09 | Surgrx, Inc. | Polymer compositions exhibiting a ptc property and method of fabrication |
US7252667B2 (en) | 2003-11-19 | 2007-08-07 | Sherwood Services Ag | Open vessel sealing instrument with cutting mechanism and distal lockout |
US7131970B2 (en) | 2003-11-19 | 2006-11-07 | Sherwood Services Ag | Open vessel sealing instrument with cutting mechanism |
US7241294B2 (en) | 2003-11-19 | 2007-07-10 | Sherwood Services Ag | Pistol grip electrosurgical pencil with manual aspirator/irrigator and methods of using the same |
US7879033B2 (en) | 2003-11-20 | 2011-02-01 | Covidien Ag | Electrosurgical pencil with advanced ES controls |
US7131860B2 (en) * | 2003-11-20 | 2006-11-07 | Sherwood Services Ag | Connector systems for electrosurgical generator |
US7442193B2 (en) | 2003-11-20 | 2008-10-28 | Covidien Ag | Electrically conductive/insulative over-shoe for tissue fusion |
US7300435B2 (en) | 2003-11-21 | 2007-11-27 | Sherwood Services Ag | Automatic control system for an electrosurgical generator |
US7118564B2 (en) | 2003-11-26 | 2006-10-10 | Ethicon Endo-Surgery, Inc. | Medical treatment system with energy delivery device for limiting reuse |
US7317955B2 (en) * | 2003-12-12 | 2008-01-08 | Conmed Corporation | Virtual operating room integration |
US20050149108A1 (en) | 2003-12-17 | 2005-07-07 | Microvention, Inc. | Implant delivery and detachment system and method |
US7326236B2 (en) | 2003-12-23 | 2008-02-05 | Xtent, Inc. | Devices and methods for controlling and indicating the length of an interventional element |
CN1634601A (zh) | 2003-12-26 | 2005-07-06 | 吉林省中立实业有限公司 | 一种用于医疗器械灭菌的方法 |
US8337407B2 (en) | 2003-12-30 | 2012-12-25 | Liposonix, Inc. | Articulating arm for medical procedures |
US7210881B2 (en) | 2003-12-30 | 2007-05-01 | Greenberg Alex M | Sleeved stop for a drill bit |
JP4262631B2 (ja) | 2004-01-13 | 2009-05-13 | オリンパス株式会社 | 超音波処置具 |
US7632269B2 (en) | 2004-01-16 | 2009-12-15 | Ethicon Endo-Surgery, Inc. | Electrosurgical instrument with replaceable cartridge |
US20050165429A1 (en) | 2004-01-23 | 2005-07-28 | Peter Douglas | Surgical clamp possessing a combined parallel and scissor style clamp head |
US7251531B2 (en) | 2004-01-30 | 2007-07-31 | Ams Research Corporation | Heating method for tissue contraction |
US20050171522A1 (en) | 2004-01-30 | 2005-08-04 | Christopherson Mark A. | Transurethral needle ablation system with needle position indicator |
US20050177184A1 (en) | 2004-02-09 | 2005-08-11 | Easley James C. | Torsional dissection tip |
US7488322B2 (en) | 2004-02-11 | 2009-02-10 | Medtronic, Inc. | High speed surgical cutting instrument |
US20060264995A1 (en) | 2004-02-18 | 2006-11-23 | Fanton Gary S | Apparatus and methods for clearing obstructions from surgical cutting instruments |
CN1922563A (zh) | 2004-02-25 | 2007-02-28 | 玛格戴恩医疗产品公司 | 电外科计数器及闭锁机构 |
US7124932B2 (en) | 2004-02-25 | 2006-10-24 | Megadyne Medical Products, Inc. | Electrosurgical counter and lockout mechanism |
US20050188743A1 (en) | 2004-02-26 | 2005-09-01 | H. P. Intellectual Corp. | Automatic ultrasonic frequency calibration scheme |
US8182501B2 (en) | 2004-02-27 | 2012-05-22 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical shears and method for sealing a blood vessel using same |
US20050192610A1 (en) | 2004-02-27 | 2005-09-01 | Houser Kevin L. | Ultrasonic surgical shears and tissue pad for same |
US20050192611A1 (en) | 2004-02-27 | 2005-09-01 | Houser Kevin L. | Ultrasonic surgical instrument, shears and tissue pad, method for sealing a blood vessel and method for transecting patient tissue |
US7235071B2 (en) | 2004-02-27 | 2007-06-26 | Conmed Corporation | Gas-assisted electrosurgical accessory connector and method with improved gas sealing and biasing for maintaining a gas tight seal |
US20050234484A1 (en) | 2004-02-27 | 2005-10-20 | Houser Kevin L | Ultrasonic surgical blade having transverse and longitudinal vibration |
US7179254B2 (en) | 2004-03-09 | 2007-02-20 | Ethicon, Inc. | High intensity ablation device |
US7703459B2 (en) | 2004-03-09 | 2010-04-27 | Usgi Medical, Inc. | Apparatus and methods for mapping out endoluminal gastrointestinal surgery |
US7955331B2 (en) | 2004-03-12 | 2011-06-07 | Ethicon Endo-Surgery, Inc. | Electrosurgical instrument and method of use |
US7625388B2 (en) | 2004-03-22 | 2009-12-01 | Alcon, Inc. | Method of controlling a surgical system based on a load on the cutting tip of a handpiece |
US20050249667A1 (en) | 2004-03-24 | 2005-11-10 | Tuszynski Jack A | Process for treating a biological organism |
JP4282523B2 (ja) | 2004-03-30 | 2009-06-24 | オリンパス株式会社 | 超音波処置装置 |
WO2005096980A1 (en) | 2004-04-05 | 2005-10-20 | Ganz Robert A | Device and method for treating tissue |
US20050222598A1 (en) | 2004-04-05 | 2005-10-06 | Manoa Medical, Inc., A Delaware Corporation | Tissue cutting device |
JP2005296412A (ja) | 2004-04-13 | 2005-10-27 | Olympus Corp | 内視鏡治療装置 |
US7220951B2 (en) * | 2004-04-19 | 2007-05-22 | Surgrx, Inc. | Surgical sealing surfaces and methods of use |
JP4291202B2 (ja) | 2004-04-20 | 2009-07-08 | オリンパス株式会社 | 超音波処置具 |
AU2005244221B2 (en) | 2004-05-03 | 2011-02-10 | Ams Research Corporation | Surgical implants and related methods |
JP4917019B2 (ja) | 2004-05-04 | 2012-04-18 | オーツー マイクロ, インコーポレーテッド | 保護されたウィークリンク素子を備えるコードレス電動工具 |
US20050256405A1 (en) | 2004-05-17 | 2005-11-17 | Makin Inder Raj S | Ultrasound-based procedure for uterine medical treatment |
JP4554431B2 (ja) | 2004-05-18 | 2010-09-29 | ローム株式会社 | Dtmf信号生成回路、音信号生成回路、ならびに通信装置 |
US7951095B2 (en) | 2004-05-20 | 2011-05-31 | Ethicon Endo-Surgery, Inc. | Ultrasound medical system |
US7708751B2 (en) | 2004-05-21 | 2010-05-04 | Ethicon Endo-Surgery, Inc. | MRI biopsy device |
US9638770B2 (en) | 2004-05-21 | 2017-05-02 | Devicor Medical Products, Inc. | MRI biopsy apparatus incorporating an imageable penetrating portion |
US20050261588A1 (en) | 2004-05-21 | 2005-11-24 | Makin Inder Raj S | Ultrasound medical system |
JP4304486B2 (ja) | 2004-05-27 | 2009-07-29 | マツダ株式会社 | エンジンの燃料配管構造 |
US7066936B2 (en) | 2004-06-07 | 2006-06-27 | Ethicon, Inc. | Surgical cutting and tissue vaporizing instrument |
WO2005120379A2 (en) | 2004-06-07 | 2005-12-22 | Edwards Lifesciences Corporation | Methods and devices for delivering ablative energy |
JP4727575B2 (ja) | 2004-06-15 | 2011-07-20 | オリンパス株式会社 | エネルギー処置具 |
JP4343778B2 (ja) | 2004-06-16 | 2009-10-14 | オリンパス株式会社 | 超音波手術装置 |
JP2006006410A (ja) | 2004-06-22 | 2006-01-12 | Olympus Corp | 超音波手術装置 |
DE102004031141A1 (de) | 2004-06-28 | 2006-01-26 | Erbe Elektromedizin Gmbh | Elektrochirurgisches Instrument |
USD536093S1 (en) | 2004-07-15 | 2007-01-30 | Olympus Corporation | Treatment apparatus for endoscope |
US7535233B2 (en) | 2004-07-15 | 2009-05-19 | Cooper Technologies Company | Traveling wave based relay protection |
AU2005285459A1 (en) | 2004-07-20 | 2006-03-23 | Team Medical, Llc | Multielectrode electrosurgical instrument |
US7601136B2 (en) | 2004-07-20 | 2009-10-13 | Takayuki Akahoshi | Infusion sleeve |
US8357154B2 (en) | 2004-07-20 | 2013-01-22 | Microline Surgical, Inc. | Multielectrode electrosurgical instrument |
US7147138B2 (en) | 2004-07-28 | 2006-12-12 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having an electroactive polymer actuated buttress deployment mechanism |
US7143925B2 (en) | 2004-07-28 | 2006-12-05 | Ethicon Endo-Surgery, Inc. | Surgical instrument incorporating EAP blocking lockout mechanism |
US7407077B2 (en) | 2004-07-28 | 2008-08-05 | Ethicon Endo-Surgery, Inc. | Electroactive polymer-based actuation mechanism for linear surgical stapler |
US7879070B2 (en) | 2004-07-28 | 2011-02-01 | Ethicon Endo-Surgery, Inc. | Electroactive polymer-based actuation mechanism for grasper |
US7506790B2 (en) | 2004-07-28 | 2009-03-24 | Ethicon Endo-Surgery, Inc. | Surgical instrument incorporating an electrically actuated articulation mechanism |
JP2008508058A (ja) | 2004-07-29 | 2008-03-21 | ヴァートス メディカル インコーポレーテッド | 脊柱靭帯矯正装置 |
CN100394897C (zh) | 2004-08-03 | 2008-06-18 | 张毓笠 | 复合振动的超声骨骼手术仪 |
US8911438B2 (en) | 2004-08-10 | 2014-12-16 | Medtronic, Inc. | Tuna device with integrated saline reservoir |
DE102004040959B4 (de) | 2004-08-24 | 2008-12-24 | Erbe Elektromedizin Gmbh | Chirurgisches Instrument |
US7195631B2 (en) | 2004-09-09 | 2007-03-27 | Sherwood Services Ag | Forceps with spring loaded end effector assembly |
JP4300169B2 (ja) | 2004-09-10 | 2009-07-22 | アロカ株式会社 | 超音波手術器 |
CN101502441B (zh) | 2004-09-14 | 2010-10-13 | 奥林巴斯株式会社 | 超声波处置器具和超声波处置器具用探针 |
US7540872B2 (en) | 2004-09-21 | 2009-06-02 | Covidien Ag | Articulating bipolar electrosurgical instrument |
BRPI0515652A (pt) | 2004-09-21 | 2008-07-29 | Discus Dental Impressions Inc | ferramenta odontológica |
JP4727964B2 (ja) | 2004-09-24 | 2011-07-20 | 株式会社日立製作所 | 半導体装置 |
AU2005289828A1 (en) | 2004-09-24 | 2006-04-06 | The Board Of Trustees Of The Leland Stanford Junior University | Methods and devices for the non-thermal, electrically-induced closure of blood vessels |
US7422582B2 (en) | 2004-09-29 | 2008-09-09 | Stryker Corporation | Control console to which powered surgical handpieces are connected, the console configured to simultaneously energize more than one and less than all of the handpieces |
US7740594B2 (en) | 2004-09-29 | 2010-06-22 | Ethicon Endo-Surgery, Inc. | Cutter for biopsy device |
USD541418S1 (en) | 2004-10-06 | 2007-04-24 | Sherwood Services Ag | Lung sealing device |
USD531311S1 (en) | 2004-10-06 | 2006-10-31 | Sherwood Services Ag | Pistol grip style elongated dissecting and dividing instrument |
US7553309B2 (en) | 2004-10-08 | 2009-06-30 | Covidien Ag | Electrosurgical system employing multiple electrodes and method thereof |
US7628792B2 (en) | 2004-10-08 | 2009-12-08 | Covidien Ag | Bilateral foot jaws |
JP5009159B2 (ja) | 2004-10-08 | 2012-08-22 | エシコン・エンド−サージェリィ・インコーポレイテッド | 超音波手術器具 |
JP2006114072A (ja) | 2004-10-12 | 2006-04-27 | Matsushita Electric Ind Co Ltd | ディスクデータの管理および仮想ディスク作成装置、方法、プログラム及び媒体 |
US7738969B2 (en) | 2004-10-15 | 2010-06-15 | Baxano, Inc. | Devices and methods for selective surgical removal of tissue |
JP2006115631A (ja) | 2004-10-15 | 2006-04-27 | Konica Minolta Holdings Inc | 圧電駆動装置 |
US20060087284A1 (en) | 2004-10-18 | 2006-04-27 | Phillips Steven J | Cordless power system |
ATE554717T1 (de) | 2004-10-20 | 2012-05-15 | Atricure Inc | Chirurgische klemme |
JP4287354B2 (ja) | 2004-10-25 | 2009-07-01 | 株式会社日立製作所 | 手術器具 |
US7337010B2 (en) | 2004-10-29 | 2008-02-26 | Medtronic, Inc. | Medical device having lithium-ion battery |
US20060095045A1 (en) | 2004-11-01 | 2006-05-04 | Sdgi Holdings, Inc. | Methods for explantation of intervertebral disc implants |
EP1813218B1 (en) | 2004-11-04 | 2013-04-17 | Olympus Medical Systems Corp. | Ultrasonic treating device |
US7178395B2 (en) * | 2004-11-05 | 2007-02-20 | General Motors Corporation | Control logic for fluid flow control devices |
US7479148B2 (en) | 2004-11-08 | 2009-01-20 | Crescendo Technologies, Llc | Ultrasonic shear with asymmetrical motion |
US20060109061A1 (en) | 2004-11-22 | 2006-05-25 | Masterwave, Inc. | System and method for narrow bandwidth amplitude modulation |
US7641671B2 (en) | 2004-11-22 | 2010-01-05 | Design Standards Corporation | Closing assemblies for clamping device |
US7156189B1 (en) | 2004-12-01 | 2007-01-02 | The United States Of America As Represented By The Administrator Of The National Aeronautics And Space Administration | Self mountable and extractable ultrasonic/sonic anchor |
GB0426503D0 (en) | 2004-12-02 | 2005-01-05 | Orthosonics Ltd | Improved osteotome |
JP2006158525A (ja) | 2004-12-03 | 2006-06-22 | Olympus Medical Systems Corp | 超音波手術装置及び超音波処置具の駆動方法 |
WO2006063199A2 (en) | 2004-12-09 | 2006-06-15 | The Foundry, Inc. | Aortic valve repair |
US7371227B2 (en) | 2004-12-17 | 2008-05-13 | Ethicon Endo-Surgery, Inc. | Trocar seal assembly |
US7691095B2 (en) | 2004-12-28 | 2010-04-06 | St. Jude Medical, Atrial Fibrillation Division, Inc. | Bi-directional steerable catheter control handle |
US7513025B2 (en) | 2004-12-28 | 2009-04-07 | The Boeing Company | Magnetic field concentrator for electromagnetic forming |
JP2006217716A (ja) | 2005-02-02 | 2006-08-17 | Olympus Corp | 超音波アクチュエータ駆動装置及び超音波アクチュエータ駆動方法 |
US8628534B2 (en) | 2005-02-02 | 2014-01-14 | DePuy Synthes Products, LLC | Ultrasonic cutting device |
US7559452B2 (en) | 2005-02-18 | 2009-07-14 | Ethicon Endo-Surgery, Inc. | Surgical instrument having fluid actuated opposing jaws |
US7780054B2 (en) | 2005-02-18 | 2010-08-24 | Ethicon Endo-Surgery, Inc. | Surgical instrument with laterally moved shaft actuator coupled to pivoting articulation joint |
US7654431B2 (en) | 2005-02-18 | 2010-02-02 | Ethicon Endo-Surgery, Inc. | Surgical instrument with guided laterally moving articulation member |
US7559450B2 (en) | 2005-02-18 | 2009-07-14 | Ethicon Endo-Surgery, Inc. | Surgical instrument incorporating a fluid transfer controlled articulation mechanism |
US7784662B2 (en) | 2005-02-18 | 2010-08-31 | Ethicon Endo-Surgery, Inc. | Surgical instrument with articulating shaft with single pivot closure and double pivot frame ground |
EP1863388A1 (en) | 2005-03-03 | 2007-12-12 | Granit Medical Innovations, LLC | Needle biopsy forceps with integral sample ejector |
GB2423931B (en) | 2005-03-03 | 2009-08-26 | Michael John Radley Young | Ultrasonic cutting tool |
US20060200041A1 (en) | 2005-03-04 | 2006-09-07 | Ethicon Endo-Surgery, Inc. | Biopsy device incorporating an adjustable probe sleeve |
US7674263B2 (en) | 2005-03-04 | 2010-03-09 | Gyrus Ent, L.L.C. | Surgical instrument and method |
US7699846B2 (en) | 2005-03-04 | 2010-04-20 | Gyrus Ent L.L.C. | Surgical instrument and method |
WO2006092021A1 (en) | 2005-03-04 | 2006-09-08 | Intervention Technology Pty Ltd | A minimal device and method for effecting hyperthermia derived anaesthesia |
US20060206100A1 (en) | 2005-03-09 | 2006-09-14 | Brasseler Usa Medical Llc | Surgical apparatus and power module for same, and a method of preparing a surgical apparatus |
US20060217729A1 (en) | 2005-03-09 | 2006-09-28 | Brasseler Usa Medical Llc | Surgical apparatus and tools for same |
USD552241S1 (en) | 2005-03-10 | 2007-10-02 | Conmed Corporation | Electrosurgical generator |
US20060211943A1 (en) | 2005-03-15 | 2006-09-21 | Crescendo Technologies, Llc | Ultrasonic blade with terminal end balance features |
US7285895B2 (en) | 2005-03-15 | 2007-10-23 | Crescendo Technologies, Llc | Ultrasonic medical device and method |
US7784663B2 (en) | 2005-03-17 | 2010-08-31 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having load sensing control circuitry |
US7931611B2 (en) | 2005-03-23 | 2011-04-26 | Misonix, Incorporated | Ultrasonic wound debrider probe and method of use |
US8197472B2 (en) | 2005-03-25 | 2012-06-12 | Maquet Cardiovascular, Llc | Tissue welding and cutting apparatus and method |
US7918848B2 (en) | 2005-03-25 | 2011-04-05 | Maquet Cardiovascular, Llc | Tissue welding and cutting apparatus and method |
US7491202B2 (en) | 2005-03-31 | 2009-02-17 | Covidien Ag | Electrosurgical forceps with slow closure sealing plates and method of sealing tissue |
US7335997B2 (en) | 2005-03-31 | 2008-02-26 | Ethicon Endo-Surgery, Inc. | System for controlling ultrasonic clamping and cutting instruments |
US20060224160A1 (en) | 2005-04-01 | 2006-10-05 | Trieu Hai H | Instruments and methods for aggressive yet continuous tissue removal |
JP2006288431A (ja) | 2005-04-05 | 2006-10-26 | Olympus Medical Systems Corp | 超音波手術装置 |
US8109274B2 (en) | 2005-04-11 | 2012-02-07 | Terumo Kabushiki Kaisha | Methods and electrode apparatus to achieve a closure of a layered tissue defect |
JP2008536562A (ja) | 2005-04-12 | 2008-09-11 | イコス コーポレイション | 空洞形成推進面が設けられた超音波カテーテル |
US8523882B2 (en) | 2005-04-14 | 2013-09-03 | Ethicon Endo-Surgery, Inc. | Clip advancer mechanism with alignment features |
US7297149B2 (en) | 2005-04-14 | 2007-11-20 | Ethicon Endo-Surgery, Inc. | Surgical clip applier methods |
US8092475B2 (en) | 2005-04-15 | 2012-01-10 | Integra Lifesciences (Ireland) Ltd. | Ultrasonic horn for removal of hard tissue |
WO2006116198A2 (en) | 2005-04-21 | 2006-11-02 | Asthmatx, Inc. | Control methods and devices for energy delivery |
WO2006114736A2 (en) | 2005-04-25 | 2006-11-02 | Koninklijke Philips Electronics, N.V. | Ultrasound transducer assembly having improved thermal management |
EP1876979B1 (en) | 2005-04-29 | 2011-10-05 | Bovie Medical Corporation | Forceps for performing endoscopic or arthrocsopic surgery |
CA2605308C (en) | 2005-05-03 | 2015-01-20 | Ultreo, Inc. | Oral hygiene devices employing an acoustic waveguide |
US7320687B2 (en) | 2005-05-04 | 2008-01-22 | Lee Thomas H | Tendon stripper |
US9339323B2 (en) * | 2005-05-12 | 2016-05-17 | Aesculap Ag | Electrocautery method and apparatus |
US7803156B2 (en) | 2006-03-08 | 2010-09-28 | Aragon Surgical, Inc. | Method and apparatus for surgical electrocautery |
US20060264832A1 (en) | 2005-05-20 | 2006-11-23 | Medtronic, Inc. | User interface for a portable therapy delivery device |
JP4398406B2 (ja) | 2005-06-01 | 2010-01-13 | オリンパスメディカルシステムズ株式会社 | 手術器具 |
US7717312B2 (en) | 2005-06-03 | 2010-05-18 | Tyco Healthcare Group Lp | Surgical instruments employing sensors |
EP2289454B1 (en) | 2005-06-06 | 2020-03-25 | Intuitive Surgical Operations, Inc. | Laparoscopic ultrasound robotic surgical system |
CN1877756A (zh) | 2005-06-10 | 2006-12-13 | 富准精密工业(深圳)有限公司 | 磁性粉体 |
US20080147058A1 (en) | 2005-06-13 | 2008-06-19 | Horrell Robin S | Electrocautery system, provided with safe lighting during operational use |
EP1898775B1 (en) | 2005-06-21 | 2013-02-13 | Philips Electronics LTD | System and apparatus for navigated therapy and diagnosis |
US7727177B2 (en) | 2005-06-21 | 2010-06-01 | Inasurgica, Llc | Four function surgical instrument |
US7655003B2 (en) | 2005-06-22 | 2010-02-02 | Smith & Nephew, Inc. | Electrosurgical power control |
JP2007000427A (ja) | 2005-06-24 | 2007-01-11 | Olympus Medical Systems Corp | 内視鏡 |
US20070005002A1 (en) | 2005-06-30 | 2007-01-04 | Intuitive Surgical Inc. | Robotic surgical instruments for irrigation, aspiration, and blowing |
JP2007007810A (ja) | 2005-07-01 | 2007-01-18 | Bosch Corp | 超音波加工スピンドル装置 |
US7632267B2 (en) | 2005-07-06 | 2009-12-15 | Arthrocare Corporation | Fuse-electrode electrosurgical apparatus |
WO2007008703A2 (en) | 2005-07-08 | 2007-01-18 | Conceptual Gray, Llc | Apparatus and method thereof for drilling holes in discrete controlled increments |
US20070060935A1 (en) | 2005-07-11 | 2007-03-15 | Schwardt Jeffrey D | Apparatus and methods of tissue removal within a spine |
WO2007008710A2 (en) | 2005-07-11 | 2007-01-18 | Kyphon Inc. | Apparatus and methods of tissue removal within a spine |
US20070016236A1 (en) | 2005-07-18 | 2007-01-18 | Crescendo Technologies, Llc | Balanced ultrasonic curved blade |
US20070055228A1 (en) | 2005-07-22 | 2007-03-08 | Berg Howard K | Ultrasonic scalpel device |
US7554343B2 (en) | 2005-07-25 | 2009-06-30 | Piezoinnovations | Ultrasonic transducer control method and system |
WO2007014142A2 (en) | 2005-07-25 | 2007-02-01 | Piezoinnovations | Ultrasonic transducer devices and methods of manufacture |
US8038046B2 (en) | 2006-05-19 | 2011-10-18 | Ethicon Endo-Surgery, Inc. | Electrical surgical instrument with optimized power supply and drive |
US7959050B2 (en) | 2005-07-26 | 2011-06-14 | Ethicon Endo-Surgery, Inc | Electrically self-powered surgical instrument with manual release |
US8579176B2 (en) | 2005-07-26 | 2013-11-12 | Ethicon Endo-Surgery, Inc. | Surgical stapling and cutting device and method for using the device |
US8097012B2 (en) | 2005-07-27 | 2012-01-17 | The Spectranetics Corporation | Endocardial lead removing apparatus |
ES2331651T3 (es) | 2005-07-28 | 2010-01-12 | Covidien Ag | Un conjunto de electrodos con un elemento refrigerante de los electrodos para un elemento electroquirurgico. |
US20070027468A1 (en) | 2005-08-01 | 2007-02-01 | Wales Kenneth S | Surgical instrument with an articulating shaft locking mechanism |
US7659833B2 (en) | 2005-08-02 | 2010-02-09 | Warner Thomas P | System and method for remotely controlling devices |
EP1749479A1 (en) | 2005-08-02 | 2007-02-07 | Marco Gandini | Retractor instrument |
US7540871B2 (en) | 2005-08-03 | 2009-06-02 | Conmed Corporation | Integrated three-port receptacle and method for connecting hand and foot switched electrosurgical accessories |
JP5124920B2 (ja) | 2005-08-16 | 2013-01-23 | コニカミノルタアドバンストレイヤー株式会社 | 駆動装置 |
JP4402629B2 (ja) | 2005-08-19 | 2010-01-20 | オリンパスメディカルシステムズ株式会社 | 超音波凝固切開装置 |
US7628791B2 (en) | 2005-08-19 | 2009-12-08 | Covidien Ag | Single action tissue sealer |
US7751115B2 (en) | 2005-08-26 | 2010-07-06 | Lg Electronics Inc. | Electronic paper display device, manufacturing method and driving method thereof |
US8353297B2 (en) | 2005-08-31 | 2013-01-15 | Novartis Ag | Pulse manipulation for controlling a phacoemulsification surgical system |
US9237891B2 (en) | 2005-08-31 | 2016-01-19 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical stapling devices that produce formed staples having different lengths |
US8800838B2 (en) | 2005-08-31 | 2014-08-12 | Ethicon Endo-Surgery, Inc. | Robotically-controlled cable-based surgical end effectors |
JP2009507617A (ja) | 2005-09-14 | 2009-02-26 | ネオガイド システムズ, インコーポレイテッド | 経腔的及び他の操作を行うための方法及び装置 |
US8852184B2 (en) | 2005-09-15 | 2014-10-07 | Cannuflow, Inc. | Arthroscopic surgical temperature control system |
US20070067123A1 (en) | 2005-09-19 | 2007-03-22 | Jungerman Roger L | Advanced arbitrary waveform generator |
US7467740B2 (en) * | 2005-09-21 | 2008-12-23 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments having flexible channel and anvil features for adjustable staple heights |
EP1767164B1 (en) | 2005-09-22 | 2013-01-09 | Covidien AG | Electrode assembly for tissue fusion |
US9445784B2 (en) | 2005-09-22 | 2016-09-20 | Boston Scientific Scimed, Inc | Intravascular ultrasound catheter |
US7451904B2 (en) | 2005-09-26 | 2008-11-18 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having end effector gripping surfaces |
US7311526B2 (en) | 2005-09-26 | 2007-12-25 | Apple Inc. | Magnetic connector for electronic device |
EP1928518B1 (en) | 2005-09-27 | 2016-04-13 | Allegiance Corporation | Medical suction and irrigation device |
US7357287B2 (en) | 2005-09-29 | 2008-04-15 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having preloaded firing assistance mechanism |
CA2561034C (en) | 2005-09-30 | 2014-12-09 | Sherwood Services Ag | Flexible endoscopic catheter with an end effector for coagulating and transfecting tissue |
CN100467087C (zh) | 2005-09-30 | 2009-03-11 | 东北大学 | 可遥控运动行为的脑神经电刺激装置 |
US7846161B2 (en) | 2005-09-30 | 2010-12-07 | Covidien Ag | Insulating boot for electrosurgical forceps |
US7722607B2 (en) | 2005-09-30 | 2010-05-25 | Covidien Ag | In-line vessel sealer and divider |
US7879035B2 (en) | 2005-09-30 | 2011-02-01 | Covidien Ag | Insulating boot for electrosurgical forceps |
US20070074584A1 (en) | 2005-10-03 | 2007-04-05 | Joseph Talarico | Gentle touch surgical instrument and method of using same |
US8096459B2 (en) | 2005-10-11 | 2012-01-17 | Ethicon Endo-Surgery, Inc. | Surgical stapler with an end effector support |
US7572268B2 (en) | 2005-10-13 | 2009-08-11 | Bacoustics, Llc | Apparatus and methods for the selective removal of tissue using combinations of ultrasonic energy and cryogenic energy |
US20070191713A1 (en) | 2005-10-14 | 2007-08-16 | Eichmann Stephen E | Ultrasonic device for cutting and coagulating |
US8152825B2 (en) | 2005-10-14 | 2012-04-10 | Ethicon Endo-Surgery, Inc. | Medical ultrasound system and handpiece and methods for making and tuning |
US20080051812A1 (en) | 2006-08-01 | 2008-02-28 | Baxano, Inc. | Multi-Wire Tissue Cutter |
US20080033465A1 (en) | 2006-08-01 | 2008-02-07 | Baxano, Inc. | Multi-Wire Tissue Cutter |
US8734438B2 (en) | 2005-10-21 | 2014-05-27 | Covidien Ag | Circuit and method for reducing stored energy in an electrosurgical generator |
CN2868227Y (zh) | 2005-10-24 | 2007-02-14 | 钟李宽 | 五合一切割刀 |
US7607557B2 (en) | 2005-11-04 | 2009-10-27 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments structured for pump-assisted delivery of medical agents |
WO2007056590A1 (en) | 2005-11-08 | 2007-05-18 | Trustees Of Boston University | Manipulators employing multiple deformable elongate members |
US20070106317A1 (en) | 2005-11-09 | 2007-05-10 | Shelton Frederick E Iv | Hydraulically and electrically actuated articulation joints for surgical instruments |
US20070118115A1 (en) | 2005-11-22 | 2007-05-24 | Sherwood Services Ag | Bipolar electrosurgical sealing instrument having an improved tissue gripping device |
US7997278B2 (en) | 2005-11-23 | 2011-08-16 | Barrx Medical, Inc. | Precision ablating method |
US8246642B2 (en) | 2005-12-01 | 2012-08-21 | Ethicon Endo-Surgery, Inc. | Ultrasonic medical instrument and medical instrument connection assembly |
CN101316560B (zh) | 2005-12-02 | 2011-01-26 | 皇家飞利浦电子股份有限公司 | 使消融过程自动化以使人工干预的需要最小化 |
US8033173B2 (en) | 2005-12-12 | 2011-10-11 | Kimberly-Clark Worldwide, Inc. | Amplifying ultrasonic waveguides |
US20070130771A1 (en) | 2005-12-12 | 2007-06-14 | Kimberly-Clark Worldwide, Inc. | Methods for producing ultrasonic waveguides having improved amplification |
US20070149881A1 (en) | 2005-12-22 | 2007-06-28 | Rabin Barry H | Ultrasonically Powered Medical Devices and Systems, and Methods and Uses Thereof |
US7930065B2 (en) | 2005-12-30 | 2011-04-19 | Intuitive Surgical Operations, Inc. | Robotic surgery system including position sensors using fiber bragg gratings |
US8382748B2 (en) * | 2006-01-03 | 2013-02-26 | Donald J. Geisel | High efficiency, precision electrosurgical apparatus and method |
US7670334B2 (en) | 2006-01-10 | 2010-03-02 | Ethicon Endo-Surgery, Inc. | Surgical instrument having an articulating end effector |
US7871392B2 (en) | 2006-01-12 | 2011-01-18 | Integra Lifesciences (Ireland) Ltd. | Endoscopic ultrasonic surgical aspirator for use in fluid filled cavities |
US8721657B2 (en) | 2006-01-13 | 2014-05-13 | Olympus Medical Systems Corp. | Medical instrument |
US20070166663A1 (en) | 2006-01-18 | 2007-07-19 | Telles Heidi A | Cordless ultrasonic dental scaler |
CN100463660C (zh) | 2006-01-18 | 2009-02-25 | 重庆海扶(Hifu)技术有限公司 | 超声治疗钳 |
US7621930B2 (en) | 2006-01-20 | 2009-11-24 | Ethicon Endo-Surgery, Inc. | Ultrasound medical instrument having a medical ultrasonic blade |
US20070173872A1 (en) | 2006-01-23 | 2007-07-26 | Ethicon Endo-Surgery, Inc. | Surgical instrument for cutting and coagulating patient tissue |
US8147485B2 (en) | 2006-01-24 | 2012-04-03 | Covidien Ag | System and method for tissue sealing |
US20070173813A1 (en) | 2006-01-24 | 2007-07-26 | Sherwood Services Ag | System and method for tissue sealing |
US7766910B2 (en) | 2006-01-24 | 2010-08-03 | Tyco Healthcare Group Lp | Vessel sealer and divider for large tissue structures |
CA2575392C (en) | 2006-01-24 | 2015-07-07 | Sherwood Services Ag | System and method for tissue sealing |
US8685016B2 (en) | 2006-01-24 | 2014-04-01 | Covidien Ag | System and method for tissue sealing |
US8734443B2 (en) | 2006-01-24 | 2014-05-27 | Covidien Lp | Vessel sealer and divider for large tissue structures |
US8241282B2 (en) | 2006-01-24 | 2012-08-14 | Tyco Healthcare Group Lp | Vessel sealing cutting assemblies |
US20160045248A1 (en) | 2006-01-24 | 2016-02-18 | Covidien Lp | System and method for tissue sealing |
US8882766B2 (en) | 2006-01-24 | 2014-11-11 | Covidien Ag | Method and system for controlling delivery of energy to divide tissue |
US8298232B2 (en) | 2006-01-24 | 2012-10-30 | Tyco Healthcare Group Lp | Endoscopic vessel sealer and divider for large tissue structures |
US7815641B2 (en) | 2006-01-25 | 2010-10-19 | The Regents Of The University Of Michigan | Surgical instrument and method for use thereof |
AU2007210060A1 (en) | 2006-01-27 | 2007-08-09 | Medtronic, Inc. | Ablation device with lockout feature |
TWI344558B (en) | 2006-01-27 | 2011-07-01 | Mstar Semiconductor Inc | Measurement device for measuring gray-to-gray response time |
WO2007089724A2 (en) | 2006-01-31 | 2007-08-09 | Angiotech Biocoatings Corp. | Lubricious coatings |
US7644848B2 (en) | 2006-01-31 | 2010-01-12 | Ethicon Endo-Surgery, Inc. | Electronic lockouts and surgical instrument including same |
US7770775B2 (en) | 2006-01-31 | 2010-08-10 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting and fastening instrument with adaptive user feedback |
US7845537B2 (en) | 2006-01-31 | 2010-12-07 | Ethicon Endo-Surgery, Inc. | Surgical instrument having recording capabilities |
US7753904B2 (en) | 2006-01-31 | 2010-07-13 | Ethicon Endo-Surgery, Inc. | Endoscopic surgical instrument with a handle that can articulate with respect to the shaft |
US20110290856A1 (en) | 2006-01-31 | 2011-12-01 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical instrument with force-feedback capabilities |
US7766210B2 (en) | 2006-01-31 | 2010-08-03 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting and fastening instrument with user feedback system |
US7416101B2 (en) | 2006-01-31 | 2008-08-26 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting and fastening instrument with loading force feedback |
US7464846B2 (en) | 2006-01-31 | 2008-12-16 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a removable battery |
US8708213B2 (en) | 2006-01-31 | 2014-04-29 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a feedback system |
US7422139B2 (en) | 2006-01-31 | 2008-09-09 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting fastening instrument with tactile position feedback |
US8161977B2 (en) | 2006-01-31 | 2012-04-24 | Ethicon Endo-Surgery, Inc. | Accessing data stored in a memory of a surgical instrument |
US7568603B2 (en) | 2006-01-31 | 2009-08-04 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting and fastening instrument with articulatable end effector |
US7503893B2 (en) | 2006-02-03 | 2009-03-17 | Cannuflow, Inc. | Anti-extravasation sheath and method |
EP1815950A1 (en) | 2006-02-03 | 2007-08-08 | The European Atomic Energy Community (EURATOM), represented by the European Commission | Robotic surgical system for performing minimally invasive medical procedures |
EP1993459A4 (en) | 2006-02-07 | 2010-04-28 | Ams Res Corp | Laparoscopic laser device and corresponding method |
US7936203B2 (en) | 2006-02-08 | 2011-05-03 | Micron Technology, Inc. | Temperature compensation via power supply modification to produce a temperature-independent delay in an integrated circuit |
AR059339A1 (es) | 2006-02-09 | 2008-03-26 | Chugai Pharmaceutical Co Ltd | Derivados de la cumarina para trastornos proliferativos de celulas, composicion farmaceutica y agente terapeutico que los contiene |
US7662151B2 (en) | 2006-02-15 | 2010-02-16 | Boston Scientific Scimed, Inc. | Contact sensitive probes |
US20070191712A1 (en) | 2006-02-15 | 2007-08-16 | Ethicon Endo-Surgery, Inc. | Method for sealing a blood vessel, a medical system and a medical instrument |
US7854735B2 (en) | 2006-02-16 | 2010-12-21 | Ethicon Endo-Surgery, Inc. | Energy-based medical treatment system and method |
US20070239101A1 (en) | 2006-02-21 | 2007-10-11 | David Kellogg | Method for applying serum to a person's skin |
US7645278B2 (en) | 2006-02-22 | 2010-01-12 | Olympus Corporation | Coagulating cutter |
US9820771B2 (en) | 2006-03-03 | 2017-11-21 | Axcess Instruments Inc. | Apparatus and method for minimally invasive surgery |
US20070219481A1 (en) | 2006-03-16 | 2007-09-20 | Eilaz Babaev | Apparatus and methods for the treatment of avian influenza with ultrasound |
US7648499B2 (en) | 2006-03-21 | 2010-01-19 | Covidien Ag | System and method for generating radio frequency energy |
US8394115B2 (en) | 2006-03-22 | 2013-03-12 | Ethicon Endo-Surgery, Inc. | Composite end effector for an ultrasonic surgical instrument |
US8992422B2 (en) | 2006-03-23 | 2015-03-31 | Ethicon Endo-Surgery, Inc. | Robotically-controlled endoscopic accessory channel |
US9675375B2 (en) | 2006-03-29 | 2017-06-13 | Ethicon Llc | Ultrasonic surgical system and method |
US20070236213A1 (en) | 2006-03-30 | 2007-10-11 | Paden Bradley E | Telemetry method and apparatus using magnetically-driven mems resonant structure |
US20100081883A1 (en) | 2008-09-30 | 2010-04-01 | Ethicon Endo-Surgery, Inc. | Methods and devices for performing gastroplasties using a multiple port access device |
US8425410B2 (en) | 2008-09-30 | 2013-04-23 | Ethicon Endo-Surgery, Inc. | Surgical access device with protective element |
US20100081864A1 (en) | 2008-09-30 | 2010-04-01 | Ethicon Endo-Surgery, Inc. | Methods and devices for performing gastrectomies and gastroplasties |
US8430811B2 (en) | 2008-09-30 | 2013-04-30 | Ethicon Endo-Surgery, Inc. | Multiple port surgical access device |
US8485970B2 (en) | 2008-09-30 | 2013-07-16 | Ethicon Endo-Surgery, Inc. | Surgical access device |
EP2007293B1 (de) | 2006-04-11 | 2013-01-23 | Erbe Elektromedizin GmbH | Endoskopisches multifunktions-chirurgiegerät |
US20070249941A1 (en) | 2006-04-21 | 2007-10-25 | Alcon, Inc. | Method for driving an ultrasonic handpiece with a class D amplifier |
WO2007127176A2 (en) | 2006-04-24 | 2007-11-08 | Ekos Corporation | Ultrasound therapy system |
US7601119B2 (en) | 2006-04-25 | 2009-10-13 | Hrayr Kamig Shahinian | Remote manipulator with eyeballs |
US7867228B2 (en) | 2006-04-28 | 2011-01-11 | Ethicon Endo-Surgery, Inc. | Apparatus and method for performing an endoscopic mucosal resection |
US9339326B2 (en) | 2006-05-03 | 2016-05-17 | Boston Scientific Scimed, Inc. | Diamond-like carbon electrode coating |
US7641653B2 (en) | 2006-05-04 | 2010-01-05 | Covidien Ag | Open vessel sealing forceps disposable handswitch |
US20070265616A1 (en) | 2006-05-10 | 2007-11-15 | Sherwood Services Ag | Vessel sealing instrument with optimized power density |
US20070265613A1 (en) | 2006-05-10 | 2007-11-15 | Edelstein Peter Seth | Method and apparatus for sealing tissue |
US7351095B2 (en) * | 2006-05-10 | 2008-04-01 | Craig Olsen | Disposable surgical connector |
DE202006020056U1 (de) | 2006-05-15 | 2007-09-20 | Olympus Winter & Ibe Gmbh | Zange zur Gefäßkoagulation |
JP2008001876A (ja) | 2006-05-23 | 2008-01-10 | Asahi Kasei Corp | ポリエステルイミドおよびその製造方法 |
US7586289B2 (en) | 2006-05-23 | 2009-09-08 | Ultralife Corporation | Complete discharge device |
US20080039746A1 (en) | 2006-05-25 | 2008-02-14 | Medtronic, Inc. | Methods of using high intensity focused ultrasound to form an ablated tissue area containing a plurality of lesions |
US8574252B2 (en) | 2006-06-01 | 2013-11-05 | Ethicon Endo-Surgery, Inc. | Ultrasonic blade support |
EP1862133A1 (en) | 2006-06-02 | 2007-12-05 | Olympus Medical Systems Corp. | Ultrasonic surgical apparatus and method of driving ultrasonic treatment device |
EP2032059A4 (en) | 2006-06-05 | 2009-09-16 | Broncus Tech Inc | DEVICES FOR GENERATING PASSAGES AND MEASURING BLOOD VESSELS |
US7431704B2 (en) | 2006-06-07 | 2008-10-07 | Bacoustics, Llc | Apparatus and method for the treatment of tissue with ultrasound energy by direct contact |
US20070287933A1 (en) | 2006-06-08 | 2007-12-13 | Chris Phan | Tissue debulking device and method of using the same |
US8814870B2 (en) | 2006-06-14 | 2014-08-26 | Misonix, Incorporated | Hook shaped ultrasonic cutting blade |
US20080097501A1 (en) | 2006-06-22 | 2008-04-24 | Tyco Healthcare Group Lp | Ultrasonic probe deflection sensor |
EP2092957B2 (en) | 2006-06-28 | 2019-11-20 | Medtronic Ardian Luxembourg S.à.r.l. | Systems for thermally-induced renal neuromodulation |
IL176652A0 (en) | 2006-06-29 | 2007-08-19 | Elisra Electronic Systems Ltd | Phase-coherent signal generator |
DE102006030889B4 (de) | 2006-07-04 | 2010-07-08 | Infineon Technologies Ag | Konzept zur Erzeugung von Radar-Signalen |
JP4157574B2 (ja) | 2006-07-04 | 2008-10-01 | オリンパスメディカルシステムズ株式会社 | 外科用処置具 |
CA2656611C (en) | 2006-07-06 | 2017-11-21 | Leroy L. Yates | Resecting device |
US7776037B2 (en) | 2006-07-07 | 2010-08-17 | Covidien Ag | System and method for controlling electrode gap during tissue sealing |
GB0613662D0 (en) | 2006-07-10 | 2006-08-16 | Rotork Controls | Improvements to valve actuators |
US7717914B2 (en) | 2006-07-11 | 2010-05-18 | Olympus Medical Systems Corporation | Treatment device |
US7502234B2 (en) * | 2006-07-12 | 2009-03-10 | Aaron Medical Industries, Inc. | Planar transformer power supply |
US20080015575A1 (en) | 2006-07-14 | 2008-01-17 | Sherwood Services Ag | Vessel sealing instrument with pre-heated electrodes |
US20080013809A1 (en) | 2006-07-14 | 2008-01-17 | Bracco Imaging, Spa | Methods and apparatuses for registration in image guided surgery |
WO2008011575A1 (en) | 2006-07-20 | 2008-01-24 | Medtronic, Inc. | Transmural ablation systems and methods |
US7419490B2 (en) | 2006-07-27 | 2008-09-02 | Applied Medical Resources Corporation | Bipolar electrosurgical scissors |
US7587536B2 (en) | 2006-07-28 | 2009-09-08 | Icron Technologies Corporation | Method and apparatus for distributing USB hub functions across a network |
JP2008033644A (ja) | 2006-07-28 | 2008-02-14 | Takao Oishi | アプリケーションサービス提供システム、並びに、アプリケーションサービスの提供方法 |
US7441684B2 (en) | 2006-08-02 | 2008-10-28 | Ethicon Endo-Surgery, Inc. | Pneumatically powered surgical cutting and fastening instrument with audible and visual feedback features |
US20080125768A1 (en) | 2006-08-09 | 2008-05-29 | Olympus Medical Systems Corp. | Relay device and ultrasonic-surgical and electrosurgical system |
US9757142B2 (en) | 2006-08-09 | 2017-09-12 | Olympus Corporation | Relay device and ultrasonic-surgical and electrosurgical system |
US7708758B2 (en) | 2006-08-16 | 2010-05-04 | Cambridge Endoscopic Devices, Inc. | Surgical instrument |
US7919184B2 (en) | 2006-08-21 | 2011-04-05 | Mohapatra Satish C | Hybrid nanoparticles |
US8926620B2 (en) | 2006-08-25 | 2015-01-06 | Kyphon Sarl | Apparatus and methods for use of expandable members in surgical applications |
WO2008024923A2 (en) | 2006-08-25 | 2008-02-28 | Eilaz Babaev | Portable ultrasound device for the treatment of wounds |
US8430897B2 (en) * | 2006-08-29 | 2013-04-30 | Misonix Incorporated | Ultrasonic wound debrider probe and method of use |
US20080058775A1 (en) | 2006-08-29 | 2008-03-06 | Darian Alexander L | Ultrasonic debrider probe and method of use |
US20080071269A1 (en) | 2006-09-18 | 2008-03-20 | Cytyc Corporation | Curved Endoscopic Medical Device |
US7780663B2 (en) | 2006-09-22 | 2010-08-24 | Ethicon Endo-Surgery, Inc. | End effector coatings for electrosurgical instruments |
US9107692B2 (en) | 2006-09-22 | 2015-08-18 | The Invention Science Fund I, Llc | Switchable sterilizing cutting system |
US20100049180A1 (en) | 2007-10-19 | 2010-02-25 | Lockheed Martin Corporation | System and method for conditioning animal tissue using laser light |
US20080082098A1 (en) | 2006-09-29 | 2008-04-03 | Kazue Tanaka | Electric processing system |
US20080082039A1 (en) | 2006-09-29 | 2008-04-03 | Eilaz Babaev | Ultrasound Liquid Delivery Device |
US7506791B2 (en) | 2006-09-29 | 2009-03-24 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with mechanical mechanism for limiting maximum tissue compression |
US7799020B2 (en) | 2006-10-02 | 2010-09-21 | Conmed Corporation | Near-instantaneous responsive closed loop control electrosurgical generator and method |
EP2083727B1 (en) | 2006-10-05 | 2013-12-11 | Covidien LP | Flexible endoscopic stitching devices |
US7845535B2 (en) | 2006-10-06 | 2010-12-07 | Tyco Healthcare Group Lp | Surgical instrument having a plastic surface |
CA2664111C (en) | 2006-10-06 | 2016-02-16 | Tyco Healthcare Group Lp | Endoscopic vessel sealer and divider having a flexible articulating shaft |
US20090082716A1 (en) | 2006-10-13 | 2009-03-26 | Takayuki Akahoshi Akahoshi | Linear to Torsional Converter for Phaco Handpieces |
CA2666661C (en) | 2006-10-18 | 2015-01-20 | Minnow Medical, Inc. | Tuned rf energy and electrical tissue characterization for selective treatment of target tissues |
EP2455034B1 (en) | 2006-10-18 | 2017-07-19 | Vessix Vascular, Inc. | System for inducing desirable temperature effects on body tissue |
US20080147092A1 (en) | 2006-10-23 | 2008-06-19 | Michael Rogge | Hybrid energy instrument combined with clip application capability |
EP2086441A4 (en) | 2006-11-09 | 2012-04-25 | Ncontact Surgical Inc | SUCTION COAGULATION PROBES |
JP2008119250A (ja) | 2006-11-13 | 2008-05-29 | Miwatec:Kk | 超音波手術器用ハンドピースおよびホーン |
US20080114364A1 (en) | 2006-11-15 | 2008-05-15 | Aoi Medical, Inc. | Tissue cavitation device and method |
US7714481B2 (en) | 2006-11-30 | 2010-05-11 | Olympus Medical Systems Corp. | Ultrasonic treatment apparatus |
US8715270B2 (en) | 2006-12-01 | 2014-05-06 | Boston Scientific Scimed, Inc. | Multi-part instrument systems and methods |
JP5198466B2 (ja) | 2006-12-06 | 2013-05-15 | ボストン サイエンティフィック リミテッド | パルス変調された無線周波数エネルギーを用いる組織焼灼エネルギー発生器 |
DE102006058867A1 (de) | 2006-12-07 | 2008-06-12 | Aesculap Ag & Co. Kg | Chirurgisches Schaltnetzteil und chirurgisches Gleichstromelektrowerkzeug |
US7846160B2 (en) | 2006-12-21 | 2010-12-07 | Cytyc Corporation | Method and apparatus for sterilization |
ES2345056T3 (es) | 2006-12-29 | 2010-09-14 | Ultrazonix Dnt Ab | Metodo para fabricar una membrana y objeto provisto de tal membrana. |
US8444637B2 (en) | 2006-12-29 | 2013-05-21 | St. Jude Medical, Atrial Filbrillation Division, Inc. | Steerable ablation device |
US8652120B2 (en) | 2007-01-10 | 2014-02-18 | Ethicon Endo-Surgery, Inc. | Surgical instrument with wireless communication between control unit and sensor transponders |
US8684253B2 (en) | 2007-01-10 | 2014-04-01 | Ethicon Endo-Surgery, Inc. | Surgical instrument with wireless communication between a control unit of a robotic system and remote sensor |
US8540128B2 (en) | 2007-01-11 | 2013-09-24 | Ethicon Endo-Surgery, Inc. | Surgical stapling device with a curved end effector |
US20080171938A1 (en) | 2007-01-15 | 2008-07-17 | Shinya Masuda | Ultrasonic operating apparatus |
US8529565B2 (en) | 2007-01-15 | 2013-09-10 | Olympus Medical Systems Corp. | Ultrasonic operating apparatus |
WO2008089174A2 (en) | 2007-01-16 | 2008-07-24 | Ethicon Endo-Surgery, Inc. | Ultrasonic device for cutting and coagulating |
JP4933911B2 (ja) | 2007-02-02 | 2012-05-16 | 学校法人日本医科大学 | 超音波手術器 |
WO2008098085A2 (en) | 2007-02-06 | 2008-08-14 | The Uab Research Foundation | Universal surgical function control system |
EP1972264A1 (en) | 2007-02-07 | 2008-09-24 | CODMAN & SHURTLEFF, INC. | Endoscopic instrument holder |
TWM318226U (en) | 2007-02-09 | 2007-09-01 | Guo-An Guo | Structure for fast connection of waterproof cable connector |
US7935114B2 (en) | 2007-02-14 | 2011-05-03 | Olympus Medical Systems Corp. | Curative treatment system, curative treatment device, and treatment method for living tissue using energy |
US7789883B2 (en) | 2007-02-14 | 2010-09-07 | Olympus Medical Systems Corp. | Curative treatment system, curative treatment device, and treatment method for living tissue using energy |
EP2653128B1 (en) | 2007-02-25 | 2016-10-19 | Avent, Inc. | Control of energy delivery to multiple energy delivery devices |
US20080208108A1 (en) | 2007-02-28 | 2008-08-28 | Kenichi Kimura | Treatment apparatus for operation |
WO2008109061A2 (en) | 2007-03-01 | 2008-09-12 | Lightfleet Corporation | Time domain symbols |
AU2008223389B2 (en) | 2007-03-06 | 2013-07-11 | Covidien Lp | Surgical stapling apparatus |
US8727197B2 (en) | 2007-03-15 | 2014-05-20 | Ethicon Endo-Surgery, Inc. | Staple cartridge cavity configuration with cooperative surgical staple |
ES2547487T3 (es) | 2007-03-22 | 2015-10-06 | Ethicon Endo-Surgery, Inc. | Cuchillas de instrumentos quirúrgicos ultrasónicos |
US8142461B2 (en) | 2007-03-22 | 2012-03-27 | Ethicon Endo-Surgery, Inc. | Surgical instruments |
US8911460B2 (en) | 2007-03-22 | 2014-12-16 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical instruments |
US8226675B2 (en) | 2007-03-22 | 2012-07-24 | Ethicon Endo-Surgery, Inc. | Surgical instruments |
US8057498B2 (en) | 2007-11-30 | 2011-11-15 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical instrument blades |
US20080234709A1 (en) | 2007-03-22 | 2008-09-25 | Houser Kevin L | Ultrasonic surgical instrument and cartilage and bone shaping blades therefor |
US7862560B2 (en) | 2007-03-23 | 2011-01-04 | Arthrocare Corporation | Ablation apparatus having reduced nerve stimulation and related methods |
US8608745B2 (en) | 2007-03-26 | 2013-12-17 | DePuy Synthes Products, LLC | System, apparatus, and method for cutting bone during an orthopaedic surgical procedure |
US8056787B2 (en) | 2007-03-28 | 2011-11-15 | Ethicon Endo-Surgery, Inc. | Surgical stapling and cutting instrument with travel-indicating retraction member |
JP5074069B2 (ja) | 2007-03-29 | 2012-11-14 | オリンパスメディカルシステムズ株式会社 | 多関節湾曲機構及び多関節湾曲機構を備えた医療器具 |
JP5197980B2 (ja) | 2007-03-29 | 2013-05-15 | オリンパスメディカルシステムズ株式会社 | 多関節湾曲機構及び多関節湾曲機構を備えた医療器具 |
US8377044B2 (en) | 2007-03-30 | 2013-02-19 | Ethicon Endo-Surgery, Inc. | Detachable end effectors |
US20080243162A1 (en) | 2007-04-02 | 2008-10-02 | Norikiyo Shibata | Trocar |
US8187267B2 (en) | 2007-05-23 | 2012-05-29 | St. Jude Medical, Atrial Fibrillation Division, Inc. | Ablation catheter with flexible tip and methods of making the same |
US9259233B2 (en) | 2007-04-06 | 2016-02-16 | Hologic, Inc. | Method and device for distending a gynecological cavity |
US20090270898A1 (en) | 2007-04-06 | 2009-10-29 | Interlace Medical, Inc. | Tissue removal device with high reciprocation rate |
US8574253B2 (en) | 2007-04-06 | 2013-11-05 | Hologic, Inc. | Method, system and device for tissue removal |
US20080255413A1 (en) | 2007-04-13 | 2008-10-16 | Michael Zemlok | Powered surgical instrument |
WO2008130793A1 (en) | 2007-04-17 | 2008-10-30 | Tyco Healthcare Group Lp | Electrical connector adapter |
US8814856B2 (en) | 2007-04-30 | 2014-08-26 | Medtronic, Inc. | Extension and retraction mechanism for a hand-held device |
GB0708783D0 (en) | 2007-05-04 | 2007-06-13 | Gyrus Medical Ltd | Electrosurgical system |
US20090327715A1 (en) | 2007-05-04 | 2009-12-31 | Smith Kevin W | System and Method for Cryptographic Identification of Interchangeable Parts |
US20080281200A1 (en) | 2007-05-10 | 2008-11-13 | Misonix, Incorporated | Elevated coupling liquid temperature during HIFU treatment method and hardware |
US8641704B2 (en) | 2007-05-11 | 2014-02-04 | Medtronic Ablation Frontiers Llc | Ablation therapy system and method for treating continuous atrial fibrillation |
US7832611B2 (en) | 2007-05-16 | 2010-11-16 | The Invention Science Fund I, Llc | Steerable surgical stapler |
JP5019108B2 (ja) | 2007-05-22 | 2012-09-05 | オリンパス株式会社 | 処置具 |
US8409234B2 (en) | 2007-05-25 | 2013-04-02 | Hansen Medical, Inc. | Rotational apparatus system and method for a robotic instrument system |
US7810693B2 (en) | 2007-05-30 | 2010-10-12 | Ethicon Endo-Surgery, Inc. | Surgical stapling and cutting instrument with articulatable end effector |
US7798386B2 (en) | 2007-05-30 | 2010-09-21 | Ethicon Endo-Surgery, Inc. | Surgical instrument articulation joint cover |
US7549564B2 (en) | 2007-06-22 | 2009-06-23 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with an articulating end effector |
US20080296346A1 (en) | 2007-05-31 | 2008-12-04 | Shelton Iv Frederick E | Pneumatically powered surgical cutting and fastening instrument with electrical control and recording mechanisms |
US8157145B2 (en) | 2007-05-31 | 2012-04-17 | Ethicon Endo-Surgery, Inc. | Pneumatically powered surgical cutting and fastening instrument with electrical feedback |
US7819299B2 (en) | 2007-06-04 | 2010-10-26 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a common trigger for actuating an end effector closing system and a staple firing system |
US7832408B2 (en) | 2007-06-04 | 2010-11-16 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a directional switching mechanism |
US8931682B2 (en) | 2007-06-04 | 2015-01-13 | Ethicon Endo-Surgery, Inc. | Robotically-controlled shaft based rotary drive systems for surgical instruments |
US8659208B1 (en) | 2007-06-14 | 2014-02-25 | Misonix, Inc. | Waveform generator for driving electromechanical device |
US20090023985A1 (en) | 2007-06-14 | 2009-01-22 | Usgi Medical, Inc. | Endoluminal instrument management system |
US8845630B2 (en) | 2007-06-15 | 2014-09-30 | Syneron Medical Ltd | Devices and methods for percutaneous energy delivery |
US7510107B2 (en) | 2007-06-18 | 2009-03-31 | Ethicon Endo-Surgery, Inc. | Cable driven surgical stapling and cutting instrument with apparatus for preventing inadvertent cable disengagement |
GB2456533A (en) | 2008-01-16 | 2009-07-22 | Gyrus Medical Ltd | Selection method for multi-instrument electrosurgical system |
GB2450679A (en) | 2007-06-19 | 2009-01-07 | Gyrus Medical Ltd | Electrosurgical System with status indicators on instruments |
USD578643S1 (en) | 2007-06-20 | 2008-10-14 | Abbott Laboratories | Medical device delivery handle |
USD576725S1 (en) | 2007-06-20 | 2008-09-09 | Abbot Laboratories, Inc. | Medical device delivery handle |
USD578644S1 (en) | 2007-06-20 | 2008-10-14 | Abbott Laboratories | Medical device delivery handle |
USD578645S1 (en) | 2007-06-20 | 2008-10-14 | Abbott Laboratories | Medical device delivery handle |
US7604150B2 (en) | 2007-06-22 | 2009-10-20 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with an anti-back up mechanism |
US7658311B2 (en) | 2007-06-22 | 2010-02-09 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with a geared return mechanism |
US8308040B2 (en) | 2007-06-22 | 2012-11-13 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with an articulatable end effector |
CN101854853B (zh) | 2007-06-26 | 2013-11-06 | 威索诺瓦公司 | 使用生理参数进行血管内装置引导和定位的设备和方法 |
US8328738B2 (en) | 2007-06-29 | 2012-12-11 | Actuated Medical, Inc. | Medical tool for reduced penetration force with feedback means |
US8105230B2 (en) | 2007-07-09 | 2012-01-31 | Olympus Medical Systems Corp. | Medical system |
US7834484B2 (en) | 2007-07-16 | 2010-11-16 | Tyco Healthcare Group Lp | Connection cable and method for activating a voltage-controlled generator |
DE102007034271A1 (de) | 2007-07-19 | 2009-01-22 | Celon Ag Medical Instruments | Hochfrequenzchirurgiegerät und Verfahren zu dessen Betrieb |
US8882791B2 (en) | 2007-07-27 | 2014-11-11 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical instruments |
US8702609B2 (en) | 2007-07-27 | 2014-04-22 | Meridian Cardiovascular Systems, Inc. | Image-guided intravascular therapy catheters |
US8523889B2 (en) * | 2007-07-27 | 2013-09-03 | Ethicon Endo-Surgery, Inc. | Ultrasonic end effectors with increased active length |
US8348967B2 (en) | 2007-07-27 | 2013-01-08 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical instruments |
US8808319B2 (en) | 2007-07-27 | 2014-08-19 | Ethicon Endo-Surgery, Inc. | Surgical instruments |
US8257377B2 (en) | 2007-07-27 | 2012-09-04 | Ethicon Endo-Surgery, Inc. | Multiple end effectors ultrasonic surgical instruments |
US8512365B2 (en) | 2007-07-31 | 2013-08-20 | Ethicon Endo-Surgery, Inc. | Surgical instruments |
US8252012B2 (en) | 2007-07-31 | 2012-08-28 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical instrument with modulator |
US8430898B2 (en) | 2007-07-31 | 2013-04-30 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical instruments |
US9044261B2 (en) | 2007-07-31 | 2015-06-02 | Ethicon Endo-Surgery, Inc. | Temperature controlled ultrasonic surgical instruments |
US20090048589A1 (en) | 2007-08-14 | 2009-02-19 | Tomoyuki Takashino | Treatment device and treatment method for living tissue |
US20090054886A1 (en) | 2007-08-24 | 2009-02-26 | Chie Yachi | Surgical operating apparatus |
GB0716590D0 (en) | 2007-08-24 | 2007-10-03 | Gyrus Medical Ltd | Electrosurgical system |
US20090054894A1 (en) | 2007-08-24 | 2009-02-26 | Chie Yachi | Surgical operating apparatus |
DE102007040358A1 (de) | 2007-08-27 | 2009-03-05 | Technische Universität München | Trokarrohr, Trokar, Obturator bzw. Rektoskop für die transluminale endoskopische Chirurgie über natürliche Körperöffnungen |
US8579897B2 (en) | 2007-11-21 | 2013-11-12 | Ethicon Endo-Surgery, Inc. | Bipolar forceps |
US8070036B1 (en) | 2007-09-06 | 2011-12-06 | Cardica, Inc | True multi-fire surgical stapler configured to fire staples of different sizes |
US7876030B2 (en) | 2007-09-11 | 2011-01-25 | Ngk Spark Plug Co., Ltd. | Ultrasonic transducer which is either crimped or welded during assembly |
JP4104648B1 (ja) | 2007-09-13 | 2008-06-18 | 和征 榊原 | 電池パック |
US20090076506A1 (en) | 2007-09-18 | 2009-03-19 | Surgrx, Inc. | Electrosurgical instrument and method |
DE102007044790A1 (de) | 2007-09-19 | 2009-04-02 | Dieter Mann | Einhandgerät für die Augenchirurgie |
US20090082766A1 (en) | 2007-09-20 | 2009-03-26 | Tyco Healthcare Group Lp | Tissue Sealer and End Effector Assembly and Method of Manufacturing Same |
DE102007047243A1 (de) | 2007-09-25 | 2009-04-02 | Karl Storz Gmbh & Co. Kg | Bipolares medizinisches Instrument |
US8241283B2 (en) | 2007-09-28 | 2012-08-14 | Tyco Healthcare Group Lp | Dual durometer insulating boot for electrosurgical forceps |
US20090088785A1 (en) | 2007-09-28 | 2009-04-02 | Shinya Masuda | Surgical operating apparatus |
US7703653B2 (en) | 2007-09-28 | 2010-04-27 | Tyco Healthcare Group Lp | Articulation mechanism for surgical instrument |
USD594983S1 (en) | 2007-10-05 | 2009-06-23 | Ethicon Endo-Surgery, Inc. | Handle assembly for surgical instrument |
US8960520B2 (en) | 2007-10-05 | 2015-02-24 | Covidien Lp | Method and apparatus for determining parameters of linear motion in a surgical instrument |
US20130214025A1 (en) | 2007-10-05 | 2013-08-22 | Covidien Lp | Powered surgical stapling device |
US8967443B2 (en) | 2007-10-05 | 2015-03-03 | Covidien Lp | Method and apparatus for determining parameters of linear motion in a surgical instrument |
JP5403783B2 (ja) | 2007-10-05 | 2014-01-29 | コヴィディエン リミテッド パートナーシップ | 関節運動メカニズムを有する外科ステープラ |
US8623027B2 (en) | 2007-10-05 | 2014-01-07 | Ethicon Endo-Surgery, Inc. | Ergonomic surgical instruments |
CN101820825A (zh) | 2007-10-10 | 2010-09-01 | 伊西康内外科公司 | 用于切割和凝固的超声装置 |
US8070762B2 (en) | 2007-10-22 | 2011-12-06 | Atheromed Inc. | Atherectomy devices and methods |
US8460284B2 (en) | 2007-10-26 | 2013-06-11 | Encision, Inc. | Multiple parameter fault detection in electrosurgical instrument shields |
JP5364255B2 (ja) | 2007-10-31 | 2013-12-11 | テルモ株式会社 | 医療用マニピュレータ |
EP2214562B1 (de) | 2007-11-05 | 2016-04-27 | Erbe Elektromedizin GmbH | Chirurgiegerät zum verschliessen von blutgefässen und wärmeaushärtbarer klebstoff als arzneimittel |
US8241343B2 (en) | 2007-11-08 | 2012-08-14 | Angiodynamics, Inc. | Device and method for providing power to lighting elements for use as a visual indicator in a medical probe |
WO2009064808A1 (en) | 2007-11-13 | 2009-05-22 | Boston Scientific Scimed, Inc. | Apparatus system and method for coagulating and cutting tissue |
EP2060238B1 (de) | 2007-11-15 | 2012-02-15 | Ewald Hensler | Koagulationsinstrument |
WO2009079155A2 (en) | 2007-11-20 | 2009-06-25 | The Cleveland Clinic Foundation | Method and apparatus for tissue sampling |
US8758342B2 (en) | 2007-11-28 | 2014-06-24 | Covidien Ag | Cordless power-assisted medical cauterization and cutting device |
US8377059B2 (en) | 2007-11-28 | 2013-02-19 | Covidien Ag | Cordless medical cauterization and cutting device |
US9050098B2 (en) | 2007-11-28 | 2015-06-09 | Covidien Ag | Cordless medical cauterization and cutting device |
US7901423B2 (en) | 2007-11-30 | 2011-03-08 | Ethicon Endo-Surgery, Inc. | Folded ultrasonic end effectors with increased active length |
US10010339B2 (en) | 2007-11-30 | 2018-07-03 | Ethicon Llc | Ultrasonic surgical blades |
US9017355B2 (en) | 2007-12-03 | 2015-04-28 | Covidien Ag | Battery-powered hand-held ultrasonic surgical cautery cutting device |
US9107690B2 (en) | 2007-12-03 | 2015-08-18 | Covidien Ag | Battery-powered hand-held ultrasonic surgical cautery cutting device |
US8663262B2 (en) | 2007-12-03 | 2014-03-04 | Covidien Ag | Battery assembly for battery-powered surgical instruments |
US8061014B2 (en) | 2007-12-03 | 2011-11-22 | Covidien Ag | Method of assembling a cordless hand-held ultrasonic cautery cutting device |
US8419757B2 (en) | 2007-12-03 | 2013-04-16 | Covidien Ag | Cordless hand-held ultrasonic cautery cutting device |
US8338726B2 (en) | 2009-08-26 | 2012-12-25 | Covidien Ag | Two-stage switch for cordless hand-held ultrasonic cautery cutting device |
US9314261B2 (en) | 2007-12-03 | 2016-04-19 | Covidien Ag | Battery-powered hand-held ultrasonic surgical cautery cutting device |
US8435257B2 (en) | 2007-12-03 | 2013-05-07 | Covidien Ag | Cordless hand-held ultrasonic cautery cutting device and method |
EP2219533A4 (en) | 2007-12-07 | 2013-12-18 | Zevex Inc | METHOD FOR INDUCING TRANSVERSAL DISPLACEMENT IN LANGEVIN-TYPE TRANSDUCERS BY ELECTRODES DIVIDED FROM CERAMIC ELEMENTS |
WO2009082477A2 (en) | 2007-12-18 | 2009-07-02 | Bovie Medical | Surgical apparatus with removable tool cartridge |
US20090163807A1 (en) | 2007-12-21 | 2009-06-25 | Sliwa John W | Finger-mounted or robot-mounted transducer device |
US9043018B2 (en) | 2007-12-27 | 2015-05-26 | Intuitive Surgical Operations, Inc. | Medical device with orientable tip for robotically directed laser cutting and biomaterial application |
US8147488B2 (en) | 2007-12-28 | 2012-04-03 | Olympus Medical Systems Corp. | Surgical operating apparatus |
US8186877B2 (en) | 2007-12-30 | 2012-05-29 | St. Jude Medical, Atrial Fibrillation Division, Inc. | Method and system for using common subchannel to assess the operating characteristics of transducers |
US20090182331A1 (en) | 2008-01-11 | 2009-07-16 | Live Tissue Connect, Inc. | Bipolar modular forceps cover assembly |
US20090182322A1 (en) | 2008-01-11 | 2009-07-16 | Live Tissue Connect, Inc. | Bipolar modular forceps modular arms |
US20090182332A1 (en) | 2008-01-15 | 2009-07-16 | Ethicon Endo-Surgery, Inc. | In-line electrosurgical forceps |
US8348129B2 (en) | 2009-10-09 | 2013-01-08 | Ethicon Endo-Surgery, Inc. | Surgical stapler having a closure mechanism |
US8657174B2 (en) | 2008-02-14 | 2014-02-25 | Ethicon Endo-Surgery, Inc. | Motorized surgical cutting and fastening instrument having handle based power source |
US8573465B2 (en) | 2008-02-14 | 2013-11-05 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical end effector system with rotary actuated closure systems |
US8459525B2 (en) | 2008-02-14 | 2013-06-11 | Ethicon Endo-Sugery, Inc. | Motorized surgical cutting and fastening instrument having a magnetic drive train torque limiting device |
US9179912B2 (en) | 2008-02-14 | 2015-11-10 | Ethicon Endo-Surgery, Inc. | Robotically-controlled motorized surgical cutting and fastening instrument |
US7861906B2 (en) | 2008-02-14 | 2011-01-04 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with articulatable components |
US8636736B2 (en) | 2008-02-14 | 2014-01-28 | Ethicon Endo-Surgery, Inc. | Motorized surgical cutting and fastening instrument |
US7819298B2 (en) | 2008-02-14 | 2010-10-26 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with control features operable with one hand |
US8382792B2 (en) | 2008-02-14 | 2013-02-26 | Covidien Lp | End effector assembly for electrosurgical device |
US8752749B2 (en) | 2008-02-14 | 2014-06-17 | Ethicon Endo-Surgery, Inc. | Robotically-controlled disposable motor-driven loading unit |
US8622274B2 (en) | 2008-02-14 | 2014-01-07 | Ethicon Endo-Surgery, Inc. | Motorized cutting and fastening instrument having control circuit for optimizing battery usage |
US7980443B2 (en) | 2008-02-15 | 2011-07-19 | Ethicon Endo-Surgery, Inc. | End effectors for a surgical cutting and stapling instrument |
US8608044B2 (en) | 2008-02-15 | 2013-12-17 | Ethicon Endo-Surgery, Inc. | Feedback and lockout mechanism for surgical instrument |
US20090216157A1 (en) | 2008-02-22 | 2009-08-27 | Norihiro Yamada | Ultrasonic operating apparatus |
US8388646B2 (en) | 2008-02-22 | 2013-03-05 | Covidien Lp | Monocoque jaw design |
US8246575B2 (en) | 2008-02-26 | 2012-08-21 | Tyco Healthcare Group Lp | Flexible hollow spine with locking feature and manipulation structure |
GB2460392B (en) * | 2008-02-29 | 2012-08-01 | Surgical Innovations Ltd | Handle |
US8088044B2 (en) | 2008-03-03 | 2012-01-03 | Nike, Inc. | Interactive athletic equipment system |
DE102008013590A1 (de) | 2008-03-11 | 2009-09-24 | Epcos Ag | Verfahren zum Betrieb eines Piezoelements |
US20090240244A1 (en) | 2008-03-19 | 2009-09-24 | Synergetics Usa, Inc. | Electrosurgical Generator Having Boost Mode Control Based on Impedance |
US8328802B2 (en) | 2008-03-19 | 2012-12-11 | Covidien Ag | Cordless medical cauterization and cutting device |
JP2009236177A (ja) | 2008-03-26 | 2009-10-15 | Nok Corp | 密封構造 |
US8641663B2 (en) | 2008-03-27 | 2014-02-04 | St. Jude Medical, Atrial Fibrillation Division, Inc. | Robotic catheter system input device |
US9241768B2 (en) | 2008-03-27 | 2016-01-26 | St. Jude Medical, Atrial Fibrillation Division, Inc. | Intelligent input device controller for a robotic catheter system |
US20090248021A1 (en) | 2008-03-31 | 2009-10-01 | Tyco Healthcare Group Lp | End Effector Assembly for Electrosurgical Devices and System for Using the Same |
ES2944288T3 (es) | 2008-03-31 | 2023-06-20 | Applied Med Resources | Sistema electroquirúrgico con medios para determinar el final de un tratamiento en base a un ángulo de fase |
US8484833B2 (en) | 2008-03-31 | 2013-07-16 | Covidien Lp | Automated assembly device to tolerate blade variation |
US9642669B2 (en) | 2008-04-01 | 2017-05-09 | Olympus Corporation | Treatment system, and treatment method for living tissue using energy |
US8226665B2 (en) | 2008-04-04 | 2012-07-24 | Tyco Healthcare Group Lp | Ultrasonic needle driver |
US20090254080A1 (en) | 2008-04-07 | 2009-10-08 | Satoshi Honda | Surgical operation apparatus |
US20090254077A1 (en) | 2008-04-08 | 2009-10-08 | Tyco Healthcare Group Lp | Arc Generation in a Fluid Medium |
US20090259149A1 (en) | 2008-04-15 | 2009-10-15 | Naoko Tahara | Power supply apparatus for operation |
DE102008019380B4 (de) | 2008-04-17 | 2012-11-22 | Erbe Elektromedizin Gmbh | Bipolare Klemme für die HF-Chirurgie |
US20090270891A1 (en) | 2008-04-18 | 2009-10-29 | Jean Michael Beaupre | Balanced ultrasonic curved blade |
US20090264909A1 (en) | 2008-04-18 | 2009-10-22 | Jean Michael Beaupre | Ultrasonic shears stop pad |
US8357158B2 (en) | 2008-04-22 | 2013-01-22 | Covidien Lp | Jaw closure detection system |
US8348947B2 (en) | 2008-04-25 | 2013-01-08 | Olympus Medical Systems Corp. | Treatment system, and treatment method for living tissue using energy |
EP2278927A2 (en) | 2008-04-25 | 2011-02-02 | Downey, Earl C. | Laparoscopic surgical instrument |
US20090270853A1 (en) | 2008-04-28 | 2009-10-29 | Chie Yachi | Surgical operating apparatus |
EP2502595B1 (en) | 2008-05-05 | 2014-10-01 | Stryker Corporation | Control console for a surgical tool, the console capable of reading data from a memory integral with the tool from the console terminals over which power is sourced to the tool |
JP5380705B2 (ja) | 2008-05-15 | 2014-01-08 | 株式会社リバーセイコー | 内視鏡用高周波止血鉗子 |
US20090287205A1 (en) | 2008-05-16 | 2009-11-19 | Boston Scientific Scimed, Inc. | Systems and methods for preventing tissue popping caused by bubble expansion during tissue ablation |
US7922061B2 (en) | 2008-05-21 | 2011-04-12 | Ethicon Endo-Surgery, Inc. | Surgical instrument with automatically reconfigurable articulating end effector |
GB0809243D0 (en) | 2008-05-21 | 2008-06-25 | Sra Dev Ltd | Improved torsional mode tissue dissector |
GB0809461D0 (en) | 2008-05-23 | 2008-07-02 | Gyrus Medical Ltd | An electrosurgical generator and system |
US9402680B2 (en) | 2008-05-27 | 2016-08-02 | Maquet Cardiovasular, Llc | Surgical instrument and method |
US8403926B2 (en) | 2008-06-05 | 2013-03-26 | Ethicon Endo-Surgery, Inc. | Manually articulating devices |
JP5430161B2 (ja) | 2008-06-19 | 2014-02-26 | オリンパスメディカルシステムズ株式会社 | 超音波手術装置 |
JP5379501B2 (ja) | 2008-06-19 | 2013-12-25 | オリンパスメディカルシステムズ株式会社 | 超音波処置具 |
US7543730B1 (en) | 2008-06-24 | 2009-06-09 | Tyco Healthcare Group Lp | Segmented drive member for surgical instruments |
JP2010009686A (ja) | 2008-06-27 | 2010-01-14 | Pioneer Electronic Corp | 光ディスク読み取り装置、その管理情報提供方法、管理情報提供プログラム、管理情報提供プログラムを記録したコンピュータ読み取り可能な記録媒体、及び、光ディスク再生システム |
US9265567B2 (en) | 2008-06-30 | 2016-02-23 | Intuitive Surgical Operations, Inc. | Vessel sealing instrument with stepped jaw |
DE102008038314A1 (de) | 2008-06-30 | 2010-01-07 | Erbe Elektromedizin Gmbh | Elektrochirurgiegenerator zum Behandeln eines biologischen Gewebes, Verfahren zum Regeln einer Ausgangsspannung eines elektrochirurgischen Generators und entsprechende Verwendung des Elektrochirurgiegeneators |
US8340726B1 (en) | 2008-06-30 | 2012-12-25 | Iwao Fujisaki | Communication device |
EP2303139B1 (en) | 2008-07-08 | 2019-09-18 | Covidien LP | Robotic surgical system comprising a surgical attachment |
US8262563B2 (en) | 2008-07-14 | 2012-09-11 | Ethicon Endo-Surgery, Inc. | Endoscopic translumenal articulatable steerable overtube |
US9204923B2 (en) | 2008-07-16 | 2015-12-08 | Intuitive Surgical Operations, Inc. | Medical instrument electronically energized using drive cables |
US8771270B2 (en) | 2008-07-16 | 2014-07-08 | Intuitive Surgical Operations, Inc. | Bipolar cautery instrument |
JP4267055B1 (ja) | 2008-07-18 | 2009-05-27 | 規方 田熊 | 吸引カテーテル、及び吸引カテーテルシステム |
FR2934390B1 (fr) | 2008-07-22 | 2010-08-13 | St Microelectronics Rousset | Transmission multicanaux sur un bus unifilaire |
JP5384869B2 (ja) | 2008-07-24 | 2014-01-08 | オリンパスメディカルシステムズ株式会社 | 内視鏡処置システム |
US9247953B2 (en) | 2008-08-01 | 2016-02-02 | Syntheon, Llc | Medical ultrasonic cauterization and cutting device and method |
US8968355B2 (en) | 2008-08-04 | 2015-03-03 | Covidien Lp | Articulating surgical device |
US8801752B2 (en) | 2008-08-04 | 2014-08-12 | Covidien Lp | Articulating surgical device |
US8058771B2 (en) | 2008-08-06 | 2011-11-15 | Ethicon Endo-Surgery, Inc. | Ultrasonic device for cutting and coagulating with stepped output |
US9089360B2 (en) | 2008-08-06 | 2015-07-28 | Ethicon Endo-Surgery, Inc. | Devices and techniques for cutting and coagulating tissue |
US8529437B2 (en) | 2008-08-06 | 2013-09-10 | Encision, Inc. | Multifunctional surgical instrument with flexible end effector tools |
US20100036370A1 (en) | 2008-08-07 | 2010-02-11 | Al Mirel | Electrosurgical instrument jaw structure with cutting tip |
US8454599B2 (en) | 2008-08-13 | 2013-06-04 | Olympus Medical Systems Corp. | Treatment apparatus and electro-surgical device |
US8257387B2 (en) | 2008-08-15 | 2012-09-04 | Tyco Healthcare Group Lp | Method of transferring pressure in an articulating surgical instrument |
EP2316907A4 (en) | 2008-08-28 | 2013-07-17 | Jnc Corp | LIQUID CRYSTAL COMPOSITION AND LIQUID CRYSTAL DISPLAY ELEMENT |
US8974477B2 (en) | 2008-08-29 | 2015-03-10 | Olympus Medical Systems Corp. | Ultrasonic operating apparatus |
US20100057118A1 (en) | 2008-09-03 | 2010-03-04 | Dietz Timothy G | Ultrasonic surgical blade |
US20100063526A1 (en) | 2008-09-05 | 2010-03-11 | Jean Michael Beaupre | Jaw |
US20100063528A1 (en) | 2008-09-05 | 2010-03-11 | Beaupre Jean Michael | Ultrasonic shears actuating mechanism |
US9023071B2 (en) | 2008-09-12 | 2015-05-05 | Ethicon Endo-Surgery, Inc. | Ultrasonic device for fingertip control |
US7857186B2 (en) | 2008-09-19 | 2010-12-28 | Ethicon Endo-Surgery, Inc. | Surgical stapler having an intermediate closing position |
US9386983B2 (en) | 2008-09-23 | 2016-07-12 | Ethicon Endo-Surgery, Llc | Robotically-controlled motorized surgical instrument |
US9050083B2 (en) | 2008-09-23 | 2015-06-09 | Ethicon Endo-Surgery, Inc. | Motorized surgical instrument |
US8210411B2 (en) | 2008-09-23 | 2012-07-03 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting instrument |
US8328761B2 (en) | 2008-09-30 | 2012-12-11 | Ethicon Endo-Surgery, Inc. | Variable surgical access device |
US7967602B2 (en) | 2008-10-07 | 2011-06-28 | John Theodore Lindquist | Pliers for forming orthodontic wires |
US8020743B2 (en) | 2008-10-15 | 2011-09-20 | Ethicon Endo-Surgery, Inc. | Powered articulatable surgical cutting and fastening instrument with flexible drive member |
US20100106173A1 (en) | 2008-10-23 | 2010-04-29 | Hideto Yoshimine | Ultrasonic surgical device |
CN102204077B (zh) | 2008-11-05 | 2014-05-28 | 株式会社日立医疗器械 | 相移型逆变电路、使用该电路的x射线高压装置、x射线ct装置和x射线摄影装置 |
BRPI0921919A2 (pt) | 2008-11-11 | 2017-05-30 | Univ Texas | dispositivos médicos, aparelhos, sistemas e métodos |
JP5271050B2 (ja) | 2008-11-20 | 2013-08-21 | アズビル株式会社 | ヒュームフード管理システムおよび管理方法 |
US8197479B2 (en) | 2008-12-10 | 2012-06-12 | Tyco Healthcare Group Lp | Vessel sealer and divider |
EP2376175B1 (en) | 2008-12-12 | 2019-01-30 | Corindus, Inc. | Remote catheter procedure system |
US20100168741A1 (en) | 2008-12-29 | 2010-07-01 | Hideo Sanai | Surgical operation apparatus |
CN101474081A (zh) | 2008-12-30 | 2009-07-08 | 深圳市蓝韵实业有限公司 | 一种连续多普勒超声成像系统正交本振信号产生装置 |
WO2010078428A1 (en) | 2008-12-30 | 2010-07-08 | Optimyst Systems, Inc. | Ophthalmic fluid delivery system |
WO2010078344A1 (en) | 2008-12-31 | 2010-07-08 | St. Jude Medical, Atrial Fibrillation Division, Inc. | Robotic catheter system input device |
US8864757B2 (en) | 2008-12-31 | 2014-10-21 | St. Jude Medical, Atrial Fibrillation Division, Inc. | System and method for measuring force and torque applied to a catheter electrode tip |
EP2385815B1 (en) | 2009-01-07 | 2021-06-23 | Med-Logics, Inc. | Tissue removal devices |
US8361066B2 (en) | 2009-01-12 | 2013-01-29 | Ethicon Endo-Surgery, Inc. | Electrical ablation devices |
US8602031B2 (en) | 2009-01-12 | 2013-12-10 | Hansen Medical, Inc. | Modular interfaces and drive actuation through barrier |
US8235917B2 (en) | 2009-01-13 | 2012-08-07 | Tyco Healthcare Group Lp | Wireless electrosurgical controller |
US20100187283A1 (en) | 2009-01-26 | 2010-07-29 | Lawrence Crainich | Method For Feeding Staples In a Low Profile Surgical Stapler |
US8287485B2 (en) | 2009-01-28 | 2012-10-16 | Olympus Medical Systems Corp. | Treatment system for surgery and control method of treatment system for surgery |
US20110278343A1 (en) | 2009-01-29 | 2011-11-17 | Cardica, Inc. | Clamping of Hybrid Surgical Instrument |
US8989855B2 (en) | 2009-01-30 | 2015-03-24 | Medtronic Xomed, Inc. | Nerve monitoring during electrosurgery |
US8485413B2 (en) | 2009-02-05 | 2013-07-16 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument comprising an articulation joint |
US8414577B2 (en) | 2009-02-05 | 2013-04-09 | Ethicon Endo-Surgery, Inc. | Surgical instruments and components for use in sterile environments |
US8397971B2 (en) | 2009-02-05 | 2013-03-19 | Ethicon Endo-Surgery, Inc. | Sterilizable surgical instrument |
DE102009010101A1 (de) | 2009-02-24 | 2010-08-26 | Karl Storz Gmbh & Co. Kg | Medizinisches Instrument zum Ergreifen von chirurgischem Nahtmaterial |
WO2010104755A1 (en) | 2009-03-05 | 2010-09-16 | Tyco Healthcare Group Lp | Endoscopic vessel sealer and divider having a flexible articulating shaft |
US20100228250A1 (en) | 2009-03-05 | 2010-09-09 | Intuitive Surgical Operations, Inc. | Cut and seal instrument |
US8858547B2 (en) | 2009-03-05 | 2014-10-14 | Intuitive Surgical Operations, Inc. | Cut and seal instrument |
US8418073B2 (en) | 2009-03-09 | 2013-04-09 | Intuitive Surgical Operations, Inc. | User interfaces for electrosurgical tools in robotic surgical systems |
US8423182B2 (en) | 2009-03-09 | 2013-04-16 | Intuitive Surgical Operations, Inc. | Adaptable integrated energy control system for electrosurgical tools in robotic surgical systems |
DE102009012600B3 (de) | 2009-03-11 | 2010-10-28 | Erbe Elektromedizin Gmbh | Hochfrequenzchirurgiegenerator |
US9351642B2 (en) | 2009-03-12 | 2016-05-31 | The General Hospital Corporation | Non-contact optical system, computer-accessible medium and method for measurement at least one mechanical property of tissue using coherent speckle technique(s) |
US20100234906A1 (en) | 2009-03-16 | 2010-09-16 | Pacesetter, Inc. | System and method for controlling rate-adaptive pacing based on a cardiac force-frequency relation detected by an implantable medical device |
US8298225B2 (en) | 2009-03-19 | 2012-10-30 | Tyco Healthcare Group Lp | System and method for return electrode monitoring |
US8066167B2 (en) | 2009-03-23 | 2011-11-29 | Ethicon Endo-Surgery, Inc. | Circular surgical stapling instrument with anvil locking system |
JP4601727B2 (ja) | 2009-03-24 | 2010-12-22 | オリンパスメディカルシステムズ株式会社 | 内視鏡処置用ロボットシステム |
US8251994B2 (en) | 2009-04-07 | 2012-08-28 | Tyco Healthcare Group Lp | Vessel sealer and divider with blade deployment alarm |
US8287532B2 (en) | 2009-04-13 | 2012-10-16 | Biosense Webster, Inc. | Epicardial mapping and ablation catheter |
US10045819B2 (en) | 2009-04-14 | 2018-08-14 | Covidien Lp | Frequency identification for microwave ablation probes |
US9730749B2 (en) | 2009-04-17 | 2017-08-15 | Domain Surgical, Inc. | Surgical scalpel with inductively heated regions |
WO2010124129A1 (en) | 2009-04-22 | 2010-10-28 | Pare Surgical, Inc. | Endoscopic tissue grasping apparatus and method |
US20100274160A1 (en) | 2009-04-22 | 2010-10-28 | Chie Yachi | Switching structure and surgical equipment |
US8277446B2 (en) | 2009-04-24 | 2012-10-02 | Tyco Healthcare Group Lp | Electrosurgical tissue sealer and cutter |
USD621503S1 (en) | 2009-04-28 | 2010-08-10 | Tyco Healthcare Group Ip | Pistol grip laparoscopic sealing and dissection device |
RU2405603C1 (ru) | 2009-05-04 | 2010-12-10 | Валерий Викторович Педдер | Высокоамплитудная акустическая система для ультразвуковой хирургии и терапии |
US8246615B2 (en) | 2009-05-19 | 2012-08-21 | Vivant Medical, Inc. | Tissue impedance measurement using a secondary frequency |
US9700339B2 (en) | 2009-05-20 | 2017-07-11 | Ethicon Endo-Surgery, Inc. | Coupling arrangements and methods for attaching tools to ultrasonic surgical instruments |
US20100298743A1 (en) | 2009-05-20 | 2010-11-25 | Ethicon Endo-Surgery, Inc. | Thermally-activated coupling arrangements and methods for attaching tools to ultrasonic surgical instruments |
US8056720B2 (en) | 2009-05-28 | 2011-11-15 | Symmetry Medical Manufacturing, Inc. | Method and system for medical instrument sterilization containers |
US8845537B2 (en) | 2009-06-03 | 2014-09-30 | Olympus Medical Systems Corp. | Ultrasound operation apparatus, ultrasound operation system, and cavitation utilization method |
US8344596B2 (en) | 2009-06-24 | 2013-01-01 | Ethicon Endo-Surgery, Inc. | Transducer arrangements for ultrasonic surgical instruments |
US20100331742A1 (en) | 2009-06-26 | 2010-12-30 | Shinya Masuda | Surgical operating apparatus |
US8246618B2 (en) | 2009-07-08 | 2012-08-21 | Tyco Healthcare Group Lp | Electrosurgical jaws with offset knife |
US9017326B2 (en) | 2009-07-15 | 2015-04-28 | Ethicon Endo-Surgery, Inc. | Impedance monitoring apparatus, system, and method for ultrasonic surgical instruments |
US8663220B2 (en) * | 2009-07-15 | 2014-03-04 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical instruments |
IN2012DN00339A (zh) | 2009-07-15 | 2015-08-21 | Ethicon Endo Surgery Inc | |
US8461744B2 (en) | 2009-07-15 | 2013-06-11 | Ethicon Endo-Surgery, Inc. | Rotating transducer mount for ultrasonic surgical instruments |
GB2472216A (en) | 2009-07-28 | 2011-02-02 | Gyrus Medical Ltd | Bipolar electrosurgical instrument with four electrodes |
US8932282B2 (en) | 2009-08-03 | 2015-01-13 | Covidien Lp | Power level transitioning in a surgical instrument |
US8647350B2 (en) | 2009-08-11 | 2014-02-11 | Raptor Ridge, Llc | Delivery device and method for compliant tissue fasteners |
US7956620B2 (en) | 2009-08-12 | 2011-06-07 | Tyco Healthcare Group Lp | System and method for augmented impedance sensing |
US8430876B2 (en) | 2009-08-27 | 2013-04-30 | Tyco Healthcare Group Lp | Vessel sealer and divider with knife lockout |
US8747351B2 (en) | 2009-08-28 | 2014-06-10 | Biosense Webster, Inc. | Catheter with multi-functional control handle having linear mechanism |
US8568412B2 (en) | 2009-09-09 | 2013-10-29 | Covidien Lp | Apparatus and method of controlling cutting blade travel through the use of etched features |
WO2011033874A1 (ja) | 2009-09-15 | 2011-03-24 | オリンパスメディカルシステムズ株式会社 | 内視鏡用処置具 |
DE102009041329A1 (de) * | 2009-09-15 | 2011-03-24 | Celon Ag Medical Instruments | Kombiniertes Ultraschall- und HF Chirurgisches System |
US8207651B2 (en) | 2009-09-16 | 2012-06-26 | Tyco Healthcare Group Lp | Low energy or minimum disturbance method for measuring frequency response functions of ultrasonic surgical devices in determining optimum operating point |
US8568400B2 (en) | 2009-09-23 | 2013-10-29 | Covidien Lp | Methods and apparatus for smart handset design in surgical instruments |
US9820806B2 (en) | 2009-09-29 | 2017-11-21 | Covidien Lp | Switch assembly for electrosurgical instrument |
US8323310B2 (en) | 2009-09-29 | 2012-12-04 | Covidien Lp | Vessel sealing jaw with offset sealing surface |
US8292886B2 (en) | 2009-10-06 | 2012-10-23 | Tyco Healthcare Group Lp | Apparatus, system, and method for performing an electrosurgical procedure |
CA2777105C (en) | 2009-10-09 | 2018-03-27 | Ethicon Endo-Surgery, Inc. | Surgical instrument surgical instrument comprising first and second drive systems actuatable by a common trigger mechanism |
US8623011B2 (en) | 2009-10-09 | 2014-01-07 | Ethicon Endo-Surgery, Inc. | Magnetic surgical sled with locking arm |
US9168054B2 (en) | 2009-10-09 | 2015-10-27 | Ethicon Endo-Surgery, Inc. | Surgical generator for ultrasonic and electrosurgical devices |
US8986302B2 (en) | 2009-10-09 | 2015-03-24 | Ethicon Endo-Surgery, Inc. | Surgical generator for ultrasonic and electrosurgical devices |
US10441345B2 (en) * | 2009-10-09 | 2019-10-15 | Ethicon Llc | Surgical generator for ultrasonic and electrosurgical devices |
US10172669B2 (en) | 2009-10-09 | 2019-01-08 | Ethicon Llc | Surgical instrument comprising an energy trigger lockout |
US8747404B2 (en) | 2009-10-09 | 2014-06-10 | Ethicon Endo-Surgery, Inc. | Surgical instrument for transmitting energy to tissue comprising non-conductive grasping portions |
US8906016B2 (en) | 2009-10-09 | 2014-12-09 | Ethicon Endo-Surgery, Inc. | Surgical instrument for transmitting energy to tissue comprising steam control paths |
US8574231B2 (en) | 2009-10-09 | 2013-11-05 | Ethicon Endo-Surgery, Inc. | Surgical instrument for transmitting energy to tissue comprising a movable electrode or insulator |
US8939974B2 (en) | 2009-10-09 | 2015-01-27 | Ethicon Endo-Surgery, Inc. | Surgical instrument comprising first and second drive systems actuatable by a common trigger mechanism |
US8038693B2 (en) | 2009-10-21 | 2011-10-18 | Tyco Healthcare Group Ip | Methods for ultrasonic tissue sensing and feedback |
WO2011052939A2 (ko) | 2009-10-26 | 2011-05-05 | 주식회사 이턴 | 수술용 인스트루먼트 및 싱글 포트 수술용 어댑터 |
US8460288B2 (en) | 2009-10-28 | 2013-06-11 | Olympus Corporation | Biological-tissue joining apparatus |
US8388647B2 (en) | 2009-10-28 | 2013-03-05 | Covidien Lp | Apparatus for tissue sealing |
EP2467073B1 (en) | 2009-11-13 | 2017-01-11 | Intuitive Surgical Operations, Inc. | Curved cannula and robotic manipulator |
EP3381397B1 (en) | 2009-11-13 | 2020-01-08 | Intuitive Surgical Operations Inc. | Motor interface for parallel drive shafts within an independently rotating member |
US8521331B2 (en) | 2009-11-13 | 2013-08-27 | Intuitive Surgical Operations, Inc. | Patient-side surgeon interface for a minimally invasive, teleoperated surgical instrument |
US8610501B2 (en) | 2009-11-16 | 2013-12-17 | Covidien Lp | Class resonant-H electrosurgical generators |
US20110125151A1 (en) | 2009-11-24 | 2011-05-26 | Strauss Timo | High frequency surgical device |
US9241730B2 (en) | 2009-11-25 | 2016-01-26 | Eliaz Babaev | Ultrasound surgical saw |
US8070711B2 (en) | 2009-12-09 | 2011-12-06 | Alcon Research, Ltd. | Thermal management algorithm for phacoemulsification system |
US8136712B2 (en) | 2009-12-10 | 2012-03-20 | Ethicon Endo-Surgery, Inc. | Surgical stapler with discrete staple height adjustment and tactile feedback |
US10039588B2 (en) | 2009-12-16 | 2018-08-07 | Covidien Lp | System and method for tissue sealing |
USD627066S1 (en) | 2009-12-18 | 2010-11-09 | Tyco Healthcare Group Lp | Surgical instrument handle |
US8591459B2 (en) | 2009-12-21 | 2013-11-26 | Ethicon Endo-Surgery, Inc. | Use of biomarkers and therapeutic agents with surgical devices |
EP3441015B1 (en) | 2009-12-22 | 2020-09-16 | Cook Medical Technologies LLC | Medical devices with detachable pivotable jaws |
US8851354B2 (en) | 2009-12-24 | 2014-10-07 | Ethicon Endo-Surgery, Inc. | Surgical cutting instrument that analyzes tissue thickness |
US8267300B2 (en) | 2009-12-30 | 2012-09-18 | Ethicon Endo-Surgery, Inc. | Dampening device for endoscopic surgical stapler |
WO2011089769A1 (ja) | 2010-01-21 | 2011-07-28 | オリンパスメディカルシステムズ株式会社 | 外科処置装置 |
CN102802548B (zh) | 2010-01-22 | 2015-06-24 | 奥林巴斯医疗株式会社 | 治疗用处理器具、治疗用处理装置及治疗处理方法 |
US8374670B2 (en) | 2010-01-22 | 2013-02-12 | Biosense Webster, Inc. | Catheter having a force sensing distal tip |
KR101638393B1 (ko) | 2010-01-29 | 2016-07-11 | 삼성전자주식회사 | 휴대용 장치에서 배터리 잔량 및 충방전 상태 표시 장치 및 방법 |
US8328061B2 (en) | 2010-02-02 | 2012-12-11 | Covidien Lp | Surgical instrument for joining tissue |
DE102010015899B4 (de) | 2010-02-04 | 2022-07-28 | Erbe Elektromedizin Gmbh | Elektrochirurgische Anordnung und elektrochirurgisches Instrument |
US8323302B2 (en) | 2010-02-11 | 2012-12-04 | Ethicon Endo-Surgery, Inc. | Methods of using ultrasonically powered surgical instruments with rotatable cutting implements |
US8486096B2 (en) | 2010-02-11 | 2013-07-16 | Ethicon Endo-Surgery, Inc. | Dual purpose surgical instrument for cutting and coagulating tissue |
US8951272B2 (en) | 2010-02-11 | 2015-02-10 | Ethicon Endo-Surgery, Inc. | Seal arrangements for ultrasonically powered surgical instruments |
US8382782B2 (en) | 2010-02-11 | 2013-02-26 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical instruments with partially rotating blade and fixed pad arrangement |
US8531064B2 (en) | 2010-02-11 | 2013-09-10 | Ethicon Endo-Surgery, Inc. | Ultrasonically powered surgical instruments with rotating cutting implement |
US8469981B2 (en) | 2010-02-11 | 2013-06-25 | Ethicon Endo-Surgery, Inc. | Rotatable cutting implement arrangements for ultrasonic surgical instruments |
US8961547B2 (en) | 2010-02-11 | 2015-02-24 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical instruments with moving cutting implement |
US8579928B2 (en) | 2010-02-11 | 2013-11-12 | Ethicon Endo-Surgery, Inc. | Outer sheath and blade arrangements for ultrasonic surgical instruments |
US9259234B2 (en) | 2010-02-11 | 2016-02-16 | Ethicon Endo-Surgery, Llc | Ultrasonic surgical instruments with rotatable blade and hollow sheath arrangements |
US8419759B2 (en) | 2010-02-11 | 2013-04-16 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical instrument with comb-like tissue trimming device |
CN102639075B (zh) | 2010-02-12 | 2014-10-22 | 奥林巴斯医疗株式会社 | 超声波处理器具 |
US8585727B2 (en) | 2010-02-14 | 2013-11-19 | Oscar R. Polo | Tissue severing devices and methods |
USD631155S1 (en) | 2010-02-23 | 2011-01-18 | Cambridge Endoscopic Devices, Inc. | Medical instrument |
US8403945B2 (en) | 2010-02-25 | 2013-03-26 | Covidien Lp | Articulating endoscopic surgical clip applier |
US8439912B2 (en) | 2010-02-26 | 2013-05-14 | Covidien Lp | De-tensioning mechanism for articulation drive cables |
US9107684B2 (en) | 2010-03-05 | 2015-08-18 | Covidien Lp | System and method for transferring power to intrabody instruments |
US8864761B2 (en) | 2010-03-10 | 2014-10-21 | Covidien Lp | System and method for determining proximity relative to a critical structure |
WO2011110966A2 (en) | 2010-03-11 | 2011-09-15 | Koninklijke Philips Electronics N.V. | Method and system for characterizing and visualizing electromagnetic tracking errors |
US8696665B2 (en) | 2010-03-26 | 2014-04-15 | Ethicon Endo-Surgery, Inc. | Surgical cutting and sealing instrument with reduced firing force |
US8419727B2 (en) | 2010-03-26 | 2013-04-16 | Aesculap Ag | Impedance mediated power delivery for electrosurgery |
US8827992B2 (en) | 2010-03-26 | 2014-09-09 | Aesculap Ag | Impedance mediated control of power delivery for electrosurgery |
USD638540S1 (en) | 2010-04-08 | 2011-05-24 | Terumo Kabushiki Kaisha | Manipulator system operating handle for medical use |
US8496682B2 (en) | 2010-04-12 | 2013-07-30 | Ethicon Endo-Surgery, Inc. | Electrosurgical cutting and sealing instruments with cam-actuated jaws |
US8709035B2 (en) | 2010-04-12 | 2014-04-29 | Ethicon Endo-Surgery, Inc. | Electrosurgical cutting and sealing instruments with jaws having a parallel closure motion |
US8623044B2 (en) | 2010-04-12 | 2014-01-07 | Ethicon Endo-Surgery, Inc. | Cable actuated end-effector for a surgical instrument |
US8834518B2 (en) | 2010-04-12 | 2014-09-16 | Ethicon Endo-Surgery, Inc. | Electrosurgical cutting and sealing instruments with cam-actuated jaws |
ES2387255T3 (es) | 2010-04-14 | 2012-09-19 | Tuebingen Scientific Medical Gmbh | Instrumento quirúrgico con cabeza de instrumento elásticamente movible |
US8535311B2 (en) | 2010-04-22 | 2013-09-17 | Ethicon Endo-Surgery, Inc. | Electrosurgical instrument comprising closing and firing systems |
US9241692B2 (en) | 2010-04-28 | 2016-01-26 | Sanovas, Inc. | Pressure/vacuum actuated catheter forceps |
US10265118B2 (en) | 2010-05-04 | 2019-04-23 | Covidien Lp | Pinion blade drive mechanism for a laparoscopic vessel dissector |
US8562592B2 (en) | 2010-05-07 | 2013-10-22 | Ethicon Endo-Surgery, Inc. | Compound angle laparoscopic methods and devices |
US8685020B2 (en) | 2010-05-17 | 2014-04-01 | Ethicon Endo-Surgery, Inc. | Surgical instruments and end effectors therefor |
EP2529658B1 (en) | 2010-05-18 | 2016-03-02 | Olympus Corporation | Medical device |
US20110284014A1 (en) | 2010-05-19 | 2011-11-24 | The Board Of Regents Of The University Of Texas System | Medical Devices That Include Removable Magnet Units and Related Methods |
US9044256B2 (en) | 2010-05-19 | 2015-06-02 | Board Of Regents, The University Of Texas System | Medical devices, apparatuses, systems, and methods |
AU2011255444B2 (en) | 2010-05-20 | 2014-07-17 | Cook Medical Technologies Llc | Lead system for electrical devices used in medical procedures |
USD669992S1 (en) | 2010-05-20 | 2012-10-30 | Sound Surgical Technologies, Llc | Ultrasonic amplifier |
GB2480498A (en) | 2010-05-21 | 2011-11-23 | Ethicon Endo Surgery Inc | Medical device comprising RF circuitry |
US8638428B2 (en) | 2010-06-01 | 2014-01-28 | Joe Denton Brown | Method and apparatus for using optical feedback to detect fiber breakdown during surgical laser procedures |
US8430877B2 (en) | 2010-06-02 | 2013-04-30 | Covidien Lp | Apparatus for performing an electrosurgical procedure |
US8491625B2 (en) | 2010-06-02 | 2013-07-23 | Covidien Lp | Apparatus for performing an electrosurgical procedure |
US8795276B2 (en) | 2010-06-09 | 2014-08-05 | Ethicon Endo-Surgery, Inc. | Electrosurgical instrument employing a plurality of electrodes |
US8790342B2 (en) | 2010-06-09 | 2014-07-29 | Ethicon Endo-Surgery, Inc. | Electrosurgical instrument employing pressure-variation electrodes |
US8926607B2 (en) | 2010-06-09 | 2015-01-06 | Ethicon Endo-Surgery, Inc. | Electrosurgical instrument employing multiple positive temperature coefficient electrodes |
US8888776B2 (en) | 2010-06-09 | 2014-11-18 | Ethicon Endo-Surgery, Inc. | Electrosurgical instrument employing an electrode |
US9005199B2 (en) | 2010-06-10 | 2015-04-14 | Ethicon Endo-Surgery, Inc. | Heat management configurations for controlling heat dissipation from electrosurgical instruments |
US8764747B2 (en) | 2010-06-10 | 2014-07-01 | Ethicon Endo-Surgery, Inc. | Electrosurgical instrument comprising sequentially activated electrodes |
US20110306967A1 (en) | 2010-06-10 | 2011-12-15 | Payne Gwendolyn P | Cooling configurations for electrosurgical instruments |
US8753338B2 (en) | 2010-06-10 | 2014-06-17 | Ethicon Endo-Surgery, Inc. | Electrosurgical instrument employing a thermal management system |
CN102762160B (zh) | 2010-06-17 | 2015-03-04 | 奥林巴斯医疗株式会社 | 超声波处置系统和超声波处置系统的动作方法 |
US8932299B2 (en) | 2010-06-18 | 2015-01-13 | Howmedica Osteonics Corp. | Patient-specific total hip arthroplasty |
US8657489B2 (en) | 2010-06-28 | 2014-02-25 | Infineon Technologies Ag | Power switch temperature control device and method |
US20120004655A1 (en) | 2010-06-30 | 2012-01-05 | Harrison Jay Kim | Bipolar Connector System |
US8226580B2 (en) | 2010-06-30 | 2012-07-24 | Biosense Webster (Israel), Ltd. | Pressure sensing for a multi-arm catheter |
EP2590579B1 (en) | 2010-07-07 | 2019-08-28 | Carevature Medical Ltd. | Surgical device for tissue removal |
US8834466B2 (en) | 2010-07-08 | 2014-09-16 | Ethicon Endo-Surgery, Inc. | Surgical instrument comprising an articulatable end effector |
US9149324B2 (en) | 2010-07-08 | 2015-10-06 | Ethicon Endo-Surgery, Inc. | Surgical instrument comprising an articulatable end effector |
US8512336B2 (en) | 2010-07-08 | 2013-08-20 | Covidien Lp | Optimal geometries for creating current densities in a bipolar electrode configuration |
US20120016413A1 (en) | 2010-07-14 | 2012-01-19 | Ethicon Endo-Surgery, Inc. | Surgical fastening devices comprising rivets |
US8453906B2 (en) | 2010-07-14 | 2013-06-04 | Ethicon Endo-Surgery, Inc. | Surgical instruments with electrodes |
US8795327B2 (en) | 2010-07-22 | 2014-08-05 | Ethicon Endo-Surgery, Inc. | Electrosurgical instrument with separate closure and cutting members |
US20120022519A1 (en) | 2010-07-22 | 2012-01-26 | Ethicon Endo-Surgery, Inc. | Surgical cutting and sealing instrument with controlled energy delivery |
US9011437B2 (en) | 2010-07-23 | 2015-04-21 | Ethicon Endo-Surgery, Inc. | Electrosurgical cutting and sealing instrument |
US8979844B2 (en) | 2010-07-23 | 2015-03-17 | Ethicon Endo-Surgery, Inc. | Electrosurgical cutting and sealing instrument |
US8979843B2 (en) | 2010-07-23 | 2015-03-17 | Ethicon Endo-Surgery, Inc. | Electrosurgical cutting and sealing instrument |
US8702704B2 (en) | 2010-07-23 | 2014-04-22 | Ethicon Endo-Surgery, Inc. | Electrosurgical cutting and sealing instrument |
US20120022583A1 (en) | 2010-07-23 | 2012-01-26 | Eric Sugalski | Surgical Tool with Crossbar Lever |
US9192431B2 (en) | 2010-07-23 | 2015-11-24 | Ethicon Endo-Surgery, Inc. | Electrosurgical cutting and sealing instrument |
US20120022526A1 (en) | 2010-07-23 | 2012-01-26 | Ethicon Endo-Surgery, Inc. | Electrosurgical cutting and sealing instrument |
USD637288S1 (en) | 2010-07-23 | 2011-05-03 | Conmed Corporation | Surgical handpiece |
US8298233B2 (en) | 2010-08-20 | 2012-10-30 | Tyco Healthcare Group Lp | Surgical instrument configured for use with interchangeable hand grips |
US8663222B2 (en) | 2010-09-07 | 2014-03-04 | Covidien Lp | Dynamic and static bipolar electrical sealing and cutting device |
KR20120030174A (ko) | 2010-09-17 | 2012-03-28 | 삼성전자주식회사 | 촉각 피드백을 제공하는 수술 로봇 시스템 및 수술 장치, 그리고 그의 촉각 피드백 제공 방법 |
GB201015998D0 (en) | 2010-09-22 | 2010-11-03 | Orthosonics Ltd | Improved femoral implant revision tool |
US9402682B2 (en) | 2010-09-24 | 2016-08-02 | Ethicon Endo-Surgery, Llc | Articulation joint features for articulating surgical device |
US9089327B2 (en) | 2010-09-24 | 2015-07-28 | Ethicon Endo-Surgery, Inc. | Surgical instrument with multi-phase trigger bias |
US9545253B2 (en) | 2010-09-24 | 2017-01-17 | Ethicon Endo-Surgery, Llc | Surgical instrument with contained dual helix actuator assembly |
US9877720B2 (en) | 2010-09-24 | 2018-01-30 | Ethicon Llc | Control features for articulating surgical device |
USD669993S1 (en) | 2010-09-29 | 2012-10-30 | Sound Surgical Technologies, Llc | Console for use in power assisted lipoplasty |
US20120080478A1 (en) | 2010-09-30 | 2012-04-05 | Ethicon Endo-Surgery, Inc. | Surgical staple cartridges with detachable support structures and surgical stapling instruments with systems for preventing actuation motions when a cartridge is not present |
US9017372B2 (en) | 2010-10-01 | 2015-04-28 | Covidien Lp | Blade deployment mechanisms for surgical forceps |
US8888809B2 (en) | 2010-10-01 | 2014-11-18 | Ethicon Endo-Surgery, Inc. | Surgical instrument with jaw member |
USD696631S1 (en) | 2011-05-17 | 2013-12-31 | Ethicon Endo-Surgery, Inc. | Electrical connector |
RU2581715C2 (ru) | 2010-10-01 | 2016-04-20 | Этикон Эндо-Серджери, Инк. | Хирургический инструмент с элементом бранши |
US8695866B2 (en) | 2010-10-01 | 2014-04-15 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a power control circuit |
US8979890B2 (en) | 2010-10-01 | 2015-03-17 | Ethicon Endo-Surgery, Inc. | Surgical instrument with jaw member |
US9345534B2 (en) | 2010-10-04 | 2016-05-24 | Covidien Lp | Vessel sealing instrument |
GB201017968D0 (en) | 2010-10-23 | 2010-12-08 | Sra Dev Ltd | Ergonomic handpiece for laparoscopic and open surgery |
US8628529B2 (en) | 2010-10-26 | 2014-01-14 | Ethicon Endo-Surgery, Inc. | Surgical instrument with magnetic clamping force |
US20120109186A1 (en) | 2010-10-29 | 2012-05-03 | Parrott David A | Articulating laparoscopic surgical instruments |
US9451967B2 (en) | 2010-11-01 | 2016-09-27 | Boston Scientific Scimed, Inc. | Tissue closure |
US9782214B2 (en) | 2010-11-05 | 2017-10-10 | Ethicon Llc | Surgical instrument with sensor and powered control |
US9161803B2 (en) | 2010-11-05 | 2015-10-20 | Ethicon Endo-Surgery, Inc. | Motor driven electrosurgical device with mechanical and electrical feedback |
US9510895B2 (en) * | 2010-11-05 | 2016-12-06 | Ethicon Endo-Surgery, Llc | Surgical instrument with modular shaft and end effector |
EP2635216B1 (en) | 2010-11-05 | 2021-09-01 | Cilag GmbH International | User feedback through handpiece of surgical instrument |
US9072523B2 (en) | 2010-11-05 | 2015-07-07 | Ethicon Endo-Surgery, Inc. | Medical device with feature for sterile acceptance of non-sterile reusable component |
US9597143B2 (en) | 2010-11-05 | 2017-03-21 | Ethicon Endo-Surgery, Llc | Sterile medical instrument charging device |
US9011471B2 (en) | 2010-11-05 | 2015-04-21 | Ethicon Endo-Surgery, Inc. | Surgical instrument with pivoting coupling to modular shaft and end effector |
US20120116265A1 (en) | 2010-11-05 | 2012-05-10 | Houser Kevin L | Surgical instrument with charging devices |
US20120116381A1 (en) | 2010-11-05 | 2012-05-10 | Houser Kevin L | Surgical instrument with charging station and wireless communication |
US9144453B2 (en) | 2010-11-08 | 2015-09-29 | Bovie Medical Corporation | Multi-mode electrosurgical apparatus |
KR102102708B1 (ko) | 2010-11-15 | 2020-04-21 | 인튜어티브 서지컬 오퍼레이션즈 인코포레이티드 | 수술 기구에서 기구 샤프트 감김과 단부 작동기 작동의 해제 |
US8480703B2 (en) | 2010-11-19 | 2013-07-09 | Covidien Lp | Surgical device |
US8920421B2 (en) * | 2010-11-29 | 2014-12-30 | Covidien Lp | System and method for tissue sealing |
US8784418B2 (en) | 2010-11-29 | 2014-07-22 | Covidien Lp | Endoscopic surgical forceps |
JP5734631B2 (ja) | 2010-12-02 | 2015-06-17 | オリンパス株式会社 | 手術支援システム |
US8801710B2 (en) | 2010-12-07 | 2014-08-12 | Immersion Corporation | Electrosurgical sealing tool having haptic feedback |
US8715277B2 (en) | 2010-12-08 | 2014-05-06 | Ethicon Endo-Surgery, Inc. | Control of jaw compression in surgical instrument having end effector with opposing jaw members |
US20120150169A1 (en) | 2010-12-09 | 2012-06-14 | Medtronic, Inc. | Impedance measurement to monitor organ perfusion or hemodynamic status |
GB201021032D0 (en) | 2010-12-10 | 2011-01-26 | Creo Medical Ltd | Electrosurgical apparatus |
BR112013016141A2 (pt) | 2010-12-23 | 2018-06-26 | Straumann Holding Ag | cartucho para armazenamento de instrumentos médicos |
US8862955B2 (en) | 2010-12-29 | 2014-10-14 | Stmicroelectronics S.R.L. | Apparatus for at-speed testing, in inter-domain mode, of a multi-clock-domain digital integrated circuit according to BIST or SCAN techniques |
US8936614B2 (en) | 2010-12-30 | 2015-01-20 | Covidien Lp | Combined unilateral/bilateral jaws on a surgical instrument |
US9044245B2 (en) | 2011-01-05 | 2015-06-02 | Medtronic Ablation Frontiers Llc | Multipolarity epicardial radiofrequency ablation |
CN107750050B (zh) | 2011-01-06 | 2022-03-04 | 北京三星通信技术研究有限公司 | 一种支持用户设备ue移动性的方法和设备 |
US9113940B2 (en) | 2011-01-14 | 2015-08-25 | Covidien Lp | Trigger lockout and kickback mechanism for surgical instruments |
US8603089B2 (en) | 2011-01-19 | 2013-12-10 | Covidien Lp | Surgical instrument including inductively coupled accessory |
US9028476B2 (en) | 2011-02-03 | 2015-05-12 | Covidien Lp | Dual antenna microwave resection and ablation device, system and method of use |
US9326787B2 (en) | 2011-02-07 | 2016-05-03 | Olympus Corporation | Energy treatment instrument |
CN103458810A (zh) | 2011-02-10 | 2013-12-18 | 促动医疗股份有限公司 | 采用机电控制和反馈的医学工具 |
US8986287B2 (en) | 2011-02-14 | 2015-03-24 | Adrian E. Park | Adjustable laparoscopic instrument handle |
CN103370015B (zh) | 2011-02-15 | 2016-12-21 | 直观外科手术操作公司 | 用于指示夹紧预测的系统 |
KR102156607B1 (ko) | 2011-02-15 | 2020-09-16 | 인튜어티브 서지컬 오퍼레이션즈 인코포레이티드 | 구동 샤프트에 의해 가동되는 관절식 말단 작동기를 구비한 수술 기구를 위한 시일 및 실링 방법 |
EP3326551B1 (en) | 2011-02-15 | 2023-05-10 | Intuitive Surgical Operations, Inc. | Systems for detecting clamping or firing failure |
US9420394B2 (en) | 2011-02-16 | 2016-08-16 | Apple Inc. | Panning presets |
KR102028644B1 (ko) | 2011-02-18 | 2019-10-04 | 인튜어티브 서지컬 오퍼레이션즈 인코포레이티드 | 접합 및 절단 수술 기구와 관련 방법 |
JP2012171088A (ja) | 2011-02-24 | 2012-09-10 | Olympus Corp | マスタ操作入力装置及びマスタスレーブマニピュレータ |
US8974447B2 (en) | 2011-03-24 | 2015-03-10 | Ethicon Endo-Surgery, Inc. | Energy-based scissors device |
EP2589347B1 (en) | 2011-03-24 | 2015-09-09 | Olympus Medical Systems Corp. | Grasping treatment device |
CN202027624U (zh) | 2011-03-25 | 2011-11-09 | 薛新汶 | 一种手术用超声波工具 |
US9375230B2 (en) | 2011-03-30 | 2016-06-28 | Covidien Lp | Ultrasonic surgical instruments |
EP2691037B1 (en) | 2011-03-30 | 2021-03-10 | Covidien LP | Ultrasonic surgical instruments |
US8974479B2 (en) | 2011-03-30 | 2015-03-10 | Covidien Lp | Ultrasonic surgical instruments |
US20120265241A1 (en) | 2011-04-12 | 2012-10-18 | Tyco Healthcare Group Lp | Surgical Forceps and Method of Manufacturing Thereof |
CA2774751C (en) | 2011-04-15 | 2018-11-06 | Covidien Ag | Battery powered hand-held ultrasonic surgical cautery cutting device |
ITTO20110394A1 (it) | 2011-05-05 | 2012-11-06 | Univ Pisa | Catetere munito di sensori elettromagnetici di posizione, e sistema di localizzazione per cateteri e fili guida |
JP5763407B2 (ja) | 2011-05-09 | 2015-08-12 | 株式会社ダイヘン | 異常検出装置、およびこの異常検出装置を備えた発電システム |
US8444664B2 (en) | 2011-05-16 | 2013-05-21 | Covidien Lp | Medical ultrasound instrument with articulated jaws |
US20120296371A1 (en) | 2011-05-17 | 2012-11-22 | Tyco Healthcare Group Lp | Modular Shaft for Endoscopic Vessel Sealer and Divider |
US8968283B2 (en) | 2011-05-19 | 2015-03-03 | Covidien Lp | Ultrasound device for precise tissue sealing and blade-less cutting |
US9072535B2 (en) | 2011-05-27 | 2015-07-07 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments with rotatable staple deployment arrangements |
US9358065B2 (en) | 2011-06-23 | 2016-06-07 | Covidien Lp | Shaped electrode bipolar resection apparatus, system and methods of use |
US9615877B2 (en) | 2011-06-17 | 2017-04-11 | Covidien Lp | Tissue sealing forceps |
US20130023925A1 (en) | 2011-07-20 | 2013-01-24 | Tyco Healthcare Group Lp | Articulating Surgical Apparatus |
US8568390B2 (en) | 2011-07-20 | 2013-10-29 | Covidien Lp | Articulating surgical apparatus |
US9259265B2 (en) | 2011-07-22 | 2016-02-16 | Ethicon Endo-Surgery, Llc | Surgical instruments for tensioning tissue |
US10004526B2 (en) | 2011-07-25 | 2018-06-26 | Covidien Lp | Ultrasonic dissection system |
US9314301B2 (en) | 2011-08-01 | 2016-04-19 | Miramar Labs, Inc. | Applicator and tissue interface module for dermatological device |
PL2554132T3 (pl) | 2011-08-01 | 2016-06-30 | Erbe Elektromedizin | Instrument do łączenia tkanek |
JP5936914B2 (ja) | 2011-08-04 | 2016-06-22 | オリンパス株式会社 | 操作入力装置およびこれを備えるマニピュレータシステム |
US8968317B2 (en) | 2011-08-18 | 2015-03-03 | Covidien Lp | Surgical forceps |
US9044243B2 (en) | 2011-08-30 | 2015-06-02 | Ethcon Endo-Surgery, Inc. | Surgical cutting and fastening device with descendible second trigger arrangement |
US9033973B2 (en) | 2011-08-30 | 2015-05-19 | Covidien Lp | System and method for DC tissue impedance sensing |
DE102011082102A1 (de) | 2011-09-02 | 2013-03-07 | Celon Ag Medical Instruments | Elektrodenanordnung und elektronisches Greifinstrument |
DE102011082307A1 (de) | 2011-09-07 | 2013-03-07 | Celon Ag Medical Instruments | Elektrochirurgisches Instrument, Elektrochirurgieanordnung und zugehörige Verfahren |
US9204918B2 (en) | 2011-09-28 | 2015-12-08 | RELIGN Corporation | Medical ablation system and method of use |
US8961515B2 (en) | 2011-09-28 | 2015-02-24 | Covidien Lp | Electrosurgical instrument |
US9668806B2 (en) | 2011-09-29 | 2017-06-06 | Covidien Lp | Surgical forceps including a removable stop member |
US20130085510A1 (en) | 2011-09-30 | 2013-04-04 | Ethicon Endo-Surgery, Inc. | Robot-mounted surgical tables |
WO2013059432A1 (en) | 2011-10-19 | 2013-04-25 | Ethicon Endo-Surgery, Inc. | Clip applier adapted for use with a surgical robot |
US10085762B2 (en) | 2011-10-21 | 2018-10-02 | Ethicon Llc | Ultrasonic device for cutting and coagulating |
USD687549S1 (en) | 2011-10-24 | 2013-08-06 | Ethicon Endo-Surgery, Inc. | Surgical instrument |
US9314292B2 (en) | 2011-10-24 | 2016-04-19 | Ethicon Endo-Surgery, Llc | Trigger lockout mechanism |
US9492146B2 (en) | 2011-10-25 | 2016-11-15 | Covidien Lp | Apparatus for endoscopic procedures |
US8899462B2 (en) | 2011-10-25 | 2014-12-02 | Covidien Lp | Apparatus for endoscopic procedures |
CN111281457B (zh) | 2011-11-15 | 2023-10-20 | 直观外科手术操作公司 | 具有收起的刀片的手术器械 |
US8876726B2 (en) | 2011-12-08 | 2014-11-04 | Biosense Webster (Israel) Ltd. | Prevention of incorrect catheter rotation |
US20130158660A1 (en) | 2011-12-20 | 2013-06-20 | Richard A. Bergs | Medical Devices, Apparatuses, Systems, and Methods with Magnetic Shielding |
US20130158659A1 (en) | 2011-12-20 | 2013-06-20 | Richard A. Bergs | Medical Devices, Apparatuses, Systems, and Methods With Configurations for Shaping Magnetic-Fields and Interactions |
DE102012100040A1 (de) | 2012-01-04 | 2013-07-04 | Aesculap Ag | Elektrochirurgisches Instrument und Maulteil hierfür |
US8382775B1 (en) | 2012-01-08 | 2013-02-26 | Vibrynt, Inc. | Methods, instruments and devices for extragastric reduction of stomach volume |
JP5192591B2 (ja) | 2012-01-16 | 2013-05-08 | 富士フイルム株式会社 | カプセル内視鏡、およびカプセル内視鏡の動作制御方法 |
EP2811932B1 (en) | 2012-02-10 | 2019-06-26 | Ethicon LLC | Robotically controlled surgical instrument |
US8752264B2 (en) | 2012-03-06 | 2014-06-17 | Covidien Lp | Surgical tissue sealer |
US20130253256A1 (en) | 2012-03-20 | 2013-09-26 | David B. Griffith | Apparatuses, systems, and methods for use and transport of magnetic medical devices with transport fixtures or safety cages |
TWM438061U (en) | 2012-04-03 | 2012-09-21 | Inhon Internat Co Ltd | Connector module and a male connector and the female connector |
US9226766B2 (en) | 2012-04-09 | 2016-01-05 | Ethicon Endo-Surgery, Inc. | Serial communication protocol for medical device |
US9439668B2 (en) | 2012-04-09 | 2016-09-13 | Ethicon Endo-Surgery, Llc | Switch arrangements for ultrasonic surgical instruments |
US9724118B2 (en) | 2012-04-09 | 2017-08-08 | Ethicon Endo-Surgery, Llc | Techniques for cutting and coagulating tissue for ultrasonic surgical instruments |
US9237921B2 (en) | 2012-04-09 | 2016-01-19 | Ethicon Endo-Surgery, Inc. | Devices and techniques for cutting and coagulating tissue |
US9241731B2 (en) | 2012-04-09 | 2016-01-26 | Ethicon Endo-Surgery, Inc. | Rotatable electrical connection for ultrasonic surgical instruments |
US9044238B2 (en) | 2012-04-10 | 2015-06-02 | Covidien Lp | Electrosurgical monopolar apparatus with arc energy vascular coagulation control |
JP5883343B2 (ja) | 2012-04-12 | 2016-03-15 | 株式会社スズキプレシオン | 医療用マニピュレータ |
JP5940864B2 (ja) | 2012-04-12 | 2016-06-29 | カール シュトルツ ゲゼルシャフト ミット ベシュレンクテル ハフツング ウント コンパニー コマンディートゲゼルシャフト | 医療用マニピュレータ |
US8968294B2 (en) | 2012-04-17 | 2015-03-03 | Covidien Lp | Single or limited use device designs |
US9788851B2 (en) | 2012-04-18 | 2017-10-17 | Ethicon Llc | Surgical instrument with tissue density sensing |
WO2013158436A1 (en) | 2012-04-18 | 2013-10-24 | Cardica, Inc. | Safety lockout for surgical stapler |
US9216050B2 (en) | 2012-05-01 | 2015-12-22 | Medtronic Ablation Frontiers Llc | Detection of microbubble formation during catheter ablation |
US20130296843A1 (en) | 2012-05-02 | 2013-11-07 | Ethicon Endo-Surgery, Inc. | Electrosurgical device for cutting and coagulating |
US9039731B2 (en) | 2012-05-08 | 2015-05-26 | Covidien Lp | Surgical forceps including blade safety mechanism |
DE102012208605A1 (de) | 2012-05-23 | 2013-11-28 | Karl Storz Gmbh & Co. Kg | Medizinisches Instrument mit einem Schaft mit einem flexiblen Abschnitt und einem gesteuert krümmbaren Abschnitt |
WO2013183714A1 (ja) | 2012-06-06 | 2013-12-12 | オリンパスメディカルシステムズ株式会社 | 超音波プローブ及び超音波プローブの製造方法 |
ES2601657T3 (es) | 2012-06-20 | 2017-02-15 | Stryker Corporation | Sistemas para manipulación de tejido descentrado |
US20140005705A1 (en) | 2012-06-29 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Surgical instruments with articulating shafts |
US9561038B2 (en) | 2012-06-28 | 2017-02-07 | Ethicon Endo-Surgery, Llc | Interchangeable clip applier |
US9282974B2 (en) | 2012-06-28 | 2016-03-15 | Ethicon Endo-Surgery, Llc | Empty clip cartridge lockout |
US9072536B2 (en) | 2012-06-28 | 2015-07-07 | Ethicon Endo-Surgery, Inc. | Differential locking arrangements for rotary powered surgical instruments |
US8747238B2 (en) | 2012-06-28 | 2014-06-10 | Ethicon Endo-Surgery, Inc. | Rotary drive shaft assemblies for surgical instruments with articulatable end effectors |
US20140001231A1 (en) | 2012-06-28 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Firing system lockout arrangements for surgical instruments |
US9119657B2 (en) | 2012-06-28 | 2015-09-01 | Ethicon Endo-Surgery, Inc. | Rotary actuatable closure arrangement for surgical end effector |
US9289256B2 (en) | 2012-06-28 | 2016-03-22 | Ethicon Endo-Surgery, Llc | Surgical end effectors having angled tissue-contacting surfaces |
US9204879B2 (en) | 2012-06-28 | 2015-12-08 | Ethicon Endo-Surgery, Inc. | Flexible drive member |
US9028494B2 (en) | 2012-06-28 | 2015-05-12 | Ethicon Endo-Surgery, Inc. | Interchangeable end effector coupling arrangement |
US9125662B2 (en) | 2012-06-28 | 2015-09-08 | Ethicon Endo-Surgery, Inc. | Multi-axis articulating and rotating surgical tools |
US20140005640A1 (en) | 2012-06-28 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Surgical end effector jaw and electrode configurations |
US9101385B2 (en) | 2012-06-28 | 2015-08-11 | Ethicon Endo-Surgery, Inc. | Electrode connections for rotary driven surgical tools |
US9226751B2 (en) | 2012-06-28 | 2016-01-05 | Ethicon Endo-Surgery, Inc. | Surgical instrument system including replaceable end effectors |
US9408622B2 (en) | 2012-06-29 | 2016-08-09 | Ethicon Endo-Surgery, Llc | Surgical instruments with articulating shafts |
US9820768B2 (en) | 2012-06-29 | 2017-11-21 | Ethicon Llc | Ultrasonic surgical instruments with control mechanisms |
US10028786B2 (en) * | 2012-06-29 | 2018-07-24 | Covidien Lp | Helical connector assembly |
US9198714B2 (en) | 2012-06-29 | 2015-12-01 | Ethicon Endo-Surgery, Inc. | Haptic feedback devices for surgical robot |
US9351754B2 (en) | 2012-06-29 | 2016-05-31 | Ethicon Endo-Surgery, Llc | Ultrasonic surgical instruments with distally positioned jaw assemblies |
US9393037B2 (en) | 2012-06-29 | 2016-07-19 | Ethicon Endo-Surgery, Llc | Surgical instruments with articulating shafts |
US9226767B2 (en) | 2012-06-29 | 2016-01-05 | Ethicon Endo-Surgery, Inc. | Closed feedback control for electrosurgical device |
US20140005702A1 (en) | 2012-06-29 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical instruments with distally positioned transducers |
US9283045B2 (en) | 2012-06-29 | 2016-03-15 | Ethicon Endo-Surgery, Llc | Surgical instruments with fluid management system |
US9326788B2 (en) | 2012-06-29 | 2016-05-03 | Ethicon Endo-Surgery, Llc | Lockout mechanism for use with robotic electrosurgical device |
US9192421B2 (en) | 2012-07-24 | 2015-11-24 | Covidien Lp | Blade lockout mechanism for surgical forceps |
US9305497B2 (en) | 2012-08-31 | 2016-04-05 | Qualcomm Mems Technologies, Inc. | Systems, devices, and methods for driving an analog interferometric modulator |
US9147965B2 (en) | 2012-09-26 | 2015-09-29 | Kc Magcon, Inc. | Magnetic-enabled connector device |
BR112015007010B1 (pt) | 2012-09-28 | 2022-05-31 | Ethicon Endo-Surgery, Inc | Atuador de extremidade |
US9687290B2 (en) | 2012-10-02 | 2017-06-27 | Covidien Lp | Energy-based medical devices |
US9526564B2 (en) | 2012-10-08 | 2016-12-27 | Covidien Lp | Electric stapler device |
US10201365B2 (en) | 2012-10-22 | 2019-02-12 | Ethicon Llc | Surgeon feedback sensing and display methods |
US9095367B2 (en) | 2012-10-22 | 2015-08-04 | Ethicon Endo-Surgery, Inc. | Flexible harmonic waveguides/blades for surgical instruments |
US20140121569A1 (en) | 2012-10-25 | 2014-05-01 | Solta Medical, Inc. | Ultrasonically heated probe |
US20140135804A1 (en) | 2012-11-15 | 2014-05-15 | Ethicon Endo-Surgery, Inc. | Ultrasonic and electrosurgical devices |
EP2932930B1 (en) | 2012-12-13 | 2018-06-27 | Olympus Corporation | Treatment instrument |
US9468498B2 (en) | 2012-12-20 | 2016-10-18 | Cook Medical Technologies Llc | Magnetic activation of monopolar and bipolar devices |
US20140194874A1 (en) | 2013-01-10 | 2014-07-10 | Ethicon Endo-Surgery, Inc. | Electrosurgical end effector with independent closure feature and blade |
US20140194875A1 (en) | 2013-01-10 | 2014-07-10 | Covidien Lp | Surgical forceps |
US9149325B2 (en) | 2013-01-25 | 2015-10-06 | Ethicon Endo-Surgery, Inc. | End effector with compliant clamping jaw |
US9610114B2 (en) | 2013-01-29 | 2017-04-04 | Ethicon Endo-Surgery, Llc | Bipolar electrosurgical hand shears |
US9375256B2 (en) | 2013-02-05 | 2016-06-28 | Covidien Lp | Electrosurgical forceps |
US20140246475A1 (en) | 2013-03-01 | 2014-09-04 | Ethicon Endo-Surgery, Inc. | Control methods for surgical instruments with removable implement portions |
US10070916B2 (en) | 2013-03-11 | 2018-09-11 | Covidien Lp | Surgical instrument with system and method for springing open jaw members |
US9456863B2 (en) | 2013-03-11 | 2016-10-04 | Covidien Lp | Surgical instrument with switch activation control |
US9498275B2 (en) | 2013-03-14 | 2016-11-22 | Covidien Lp | Systems and methods for arc detection and drag adjustment |
US9332987B2 (en) | 2013-03-14 | 2016-05-10 | Ethicon Endo-Surgery, Llc | Control arrangements for a drive member of a surgical instrument |
US10226273B2 (en) | 2013-03-14 | 2019-03-12 | Ethicon Llc | Mechanical fasteners for use with surgical energy devices |
US9241728B2 (en) | 2013-03-15 | 2016-01-26 | Ethicon Endo-Surgery, Inc. | Surgical instrument with multiple clamping mechanisms |
US9510906B2 (en) | 2013-03-15 | 2016-12-06 | Ethicon Endo-Surgery, Llc | Tissue clamping features of surgical instrument end effector |
WO2014145148A2 (en) | 2013-03-15 | 2014-09-18 | Ellman International, Inc. | Surgical instruments and systems with multimodes of treatments and electrosurgical operation |
US9452011B2 (en) | 2013-03-15 | 2016-09-27 | Gyrus Acmi, Inc. | Combination electrosurgical device |
CN105377159B (zh) | 2013-04-08 | 2018-06-12 | 波士顿科学医学有限公司 | 医疗系统与方法 |
WO2014178436A1 (ja) | 2013-05-02 | 2014-11-06 | オリンパスメディカルシステムズ株式会社 | 超音波処置システム |
US9574644B2 (en) | 2013-05-30 | 2017-02-21 | Ethicon Endo-Surgery, Llc | Power module for use with a surgical instrument |
US9385831B2 (en) | 2013-06-05 | 2016-07-05 | Raytheon Company | Circuits and method to enable efficient generation of direct digital synthesizer based waveforms of arbitrary bandwidth |
US9636165B2 (en) | 2013-07-29 | 2017-05-02 | Covidien Lp | Systems and methods for measuring tissue impedance through an electrosurgical cable |
US10285750B2 (en) | 2013-07-29 | 2019-05-14 | Covidien Lp | Systems and methods for operating an electrosurgical generator |
WO2015020147A1 (ja) | 2013-08-07 | 2015-02-12 | オリンパスメディカルシステムズ株式会社 | 超音波プローブ及び超音波処置装置 |
US9295514B2 (en) | 2013-08-30 | 2016-03-29 | Ethicon Endo-Surgery, Llc | Surgical devices with close quarter articulation features |
US9814514B2 (en) | 2013-09-13 | 2017-11-14 | Ethicon Llc | Electrosurgical (RF) medical instruments for cutting and coagulating tissue |
US9861428B2 (en) | 2013-09-16 | 2018-01-09 | Ethicon Llc | Integrated systems for electrosurgical steam or smoke control |
US20150080876A1 (en) | 2013-09-16 | 2015-03-19 | Ethoicon Endo-Surgery, Inc | Integrated systems for electrosurgical steam or smoke control |
US10231747B2 (en) | 2013-09-20 | 2019-03-19 | Ethicon Llc | Transducer features for ultrasonic surgical instrument |
US10130412B2 (en) | 2013-09-26 | 2018-11-20 | Covidien Lp | Systems and methods for estimating tissue parameters using surgical devices |
US9867651B2 (en) | 2013-09-26 | 2018-01-16 | Covidien Lp | Systems and methods for estimating tissue parameters using surgical devices |
US20150112335A1 (en) | 2013-10-18 | 2015-04-23 | Ethicon Endo-Surgery, Inc. | Electrosurgical devices with fluid flow control |
US9265926B2 (en) | 2013-11-08 | 2016-02-23 | Ethicon Endo-Surgery, Llc | Electrosurgical devices |
US9526565B2 (en) | 2013-11-08 | 2016-12-27 | Ethicon Endo-Surgery, Llc | Electrosurgical devices |
US9949785B2 (en) | 2013-11-21 | 2018-04-24 | Ethicon Llc | Ultrasonic surgical instrument with electrosurgical feature |
GB201321710D0 (en) | 2013-12-09 | 2014-01-22 | Creo Medical Ltd | Electrosurgical apparatus |
US9743946B2 (en) | 2013-12-17 | 2017-08-29 | Ethicon Llc | Rotation features for ultrasonic surgical instrument |
US9795436B2 (en) | 2014-01-07 | 2017-10-24 | Ethicon Llc | Harvesting energy from a surgical generator |
US9408660B2 (en) | 2014-01-17 | 2016-08-09 | Ethicon Endo-Surgery, Llc | Device trigger dampening mechanism |
US9802033B2 (en) | 2014-01-28 | 2017-10-31 | Ethicon Llc | Surgical devices having controlled tissue cutting and sealing |
JP5836543B1 (ja) | 2014-02-06 | 2015-12-24 | オリンパス株式会社 | 超音波プローブ及び超音波処置装置 |
US10420607B2 (en) | 2014-02-14 | 2019-09-24 | Arthrocare Corporation | Methods and systems related to an electrosurgical controller |
JP5989275B2 (ja) | 2014-03-14 | 2016-09-07 | オリンパス株式会社 | 把持ユニット及びバイポーラ処置具 |
US9554854B2 (en) | 2014-03-18 | 2017-01-31 | Ethicon Endo-Surgery, Llc | Detecting short circuits in electrosurgical medical devices |
US9675374B2 (en) | 2014-03-24 | 2017-06-13 | Ethicon Llc | Ultrasonic forceps |
US10201364B2 (en) | 2014-03-26 | 2019-02-12 | Ethicon Llc | Surgical instrument comprising a rotatable shaft |
US20150272659A1 (en) | 2014-03-27 | 2015-10-01 | Ethicon Endo-Surgery, Inc. | Two stage trigger, clamp and cut bipolar vessel sealer |
US10092310B2 (en) | 2014-03-27 | 2018-10-09 | Ethicon Llc | Electrosurgical devices |
US10463421B2 (en) | 2014-03-27 | 2019-11-05 | Ethicon Llc | Two stage trigger, clamp and cut bipolar vessel sealer |
US9737355B2 (en) | 2014-03-31 | 2017-08-22 | Ethicon Llc | Controlling impedance rise in electrosurgical medical devices |
US9913680B2 (en) | 2014-04-15 | 2018-03-13 | Ethicon Llc | Software algorithms for electrosurgical instruments |
US9757186B2 (en) | 2014-04-17 | 2017-09-12 | Ethicon Llc | Device status feedback for bipolar tissue spacer |
US20150313667A1 (en) | 2014-05-02 | 2015-11-05 | Covidien Lp | Electrosurgical instruments including end-effector assembly configured to provide mechanical cutting action on tissue |
US10342606B2 (en) | 2014-05-06 | 2019-07-09 | Cosman Instruments, Llc | Electrosurgical generator |
DE102014108914A1 (de) | 2014-06-25 | 2015-12-31 | Aesculap Ag | Elektrochirurgisches Instrument und Maulteil hierfür |
CN106413598A (zh) | 2014-07-15 | 2017-02-15 | 奥林巴斯株式会社 | 处置器具 |
US10285724B2 (en) | 2014-07-31 | 2019-05-14 | Ethicon Llc | Actuation mechanisms and load adjustment assemblies for surgical instruments |
US10194976B2 (en) | 2014-08-25 | 2019-02-05 | Ethicon Llc | Lockout disabling mechanism |
US20160051316A1 (en) | 2014-08-25 | 2016-02-25 | Ethicon Endo-Surgery, Inc. | Electrosurgical electrode mechanism |
US9877776B2 (en) | 2014-08-25 | 2018-01-30 | Ethicon Llc | Simultaneous I-beam and spring driven cam jaw closure mechanism |
US10194972B2 (en) | 2014-08-26 | 2019-02-05 | Ethicon Llc | Managing tissue treatment |
US10639092B2 (en) | 2014-12-08 | 2020-05-05 | Ethicon Llc | Electrode configurations for surgical instruments |
GB2533411B (en) | 2014-12-19 | 2020-08-05 | Gyrus Medical Ltd | Electrosurgical system |
US10092348B2 (en) | 2014-12-22 | 2018-10-09 | Ethicon Llc | RF tissue sealer, shear grip, trigger lock mechanism and energy activation |
US20160175029A1 (en) | 2014-12-22 | 2016-06-23 | Ethicon Endo-Surgery, Inc. | Tissue sealing and cutting instrument with locking features |
US9848937B2 (en) | 2014-12-22 | 2017-12-26 | Ethicon Llc | End effector with detectable configurations |
US10111699B2 (en) | 2014-12-22 | 2018-10-30 | Ethicon Llc | RF tissue sealer, shear grip, trigger lock mechanism and energy activation |
US10159524B2 (en) | 2014-12-22 | 2018-12-25 | Ethicon Llc | High power battery powered RF amplifier topology |
GB2535627B (en) | 2015-01-14 | 2017-06-28 | Gyrus Medical Ltd | Electrosurgical system |
GB2535003B (en) | 2015-01-14 | 2018-12-12 | Gyrus Medical Ltd | Electrosurgical instrument |
US10245095B2 (en) | 2015-02-06 | 2019-04-02 | Ethicon Llc | Electrosurgical instrument with rotation and articulation mechanisms |
US20160262786A1 (en) | 2015-03-10 | 2016-09-15 | Ethicon Endo-Surgery, Llc | Surgical blades with fatigue resistant properties |
US10321950B2 (en) | 2015-03-17 | 2019-06-18 | Ethicon Llc | Managing tissue treatment |
US10342602B2 (en) | 2015-03-17 | 2019-07-09 | Ethicon Llc | Managing tissue treatment |
US20160270842A1 (en) | 2015-03-20 | 2016-09-22 | Ethicon Endo-Surgery, Llc | Electrosurgical device having controllable current paths |
US10595929B2 (en) | 2015-03-24 | 2020-03-24 | Ethicon Llc | Surgical instruments with firing system overload protection mechanisms |
US10363084B2 (en) | 2015-04-01 | 2019-07-30 | Covidien Lp | Interdigitation of waveforms for dual-output electrosurgical generators |
US10314638B2 (en) | 2015-04-07 | 2019-06-11 | Ethicon Llc | Articulating radio frequency (RF) tissue seal with articulating state sensing |
US20160296270A1 (en) | 2015-04-10 | 2016-10-13 | Ethicon Endo-Surgery, Llc | Devices and methods for providing additional power to surgical devices |
US10117702B2 (en) | 2015-04-10 | 2018-11-06 | Ethicon Llc | Surgical generator systems and related methods |
US10130410B2 (en) | 2015-04-17 | 2018-11-20 | Ethicon Llc | Electrosurgical instrument including a cutting member decouplable from a cutting member trigger |
US9872725B2 (en) | 2015-04-29 | 2018-01-23 | Ethicon Llc | RF tissue sealer with mode selection |
US10034684B2 (en) | 2015-06-15 | 2018-07-31 | Ethicon Llc | Apparatus and method for dissecting and coagulating tissue |
US11020140B2 (en) | 2015-06-17 | 2021-06-01 | Cilag Gmbh International | Ultrasonic surgical blade for use with ultrasonic surgical instruments |
US11141213B2 (en) | 2015-06-30 | 2021-10-12 | Cilag Gmbh International | Surgical instrument with user adaptable techniques |
US11129669B2 (en) | 2015-06-30 | 2021-09-28 | Cilag Gmbh International | Surgical system with user adaptable techniques based on tissue type |
US10898256B2 (en) | 2015-06-30 | 2021-01-26 | Ethicon Llc | Surgical system with user adaptable techniques based on tissue impedance |
US11051873B2 (en) | 2015-06-30 | 2021-07-06 | Cilag Gmbh International | Surgical system with user adaptable techniques employing multiple energy modalities based on tissue parameters |
US10034704B2 (en) | 2015-06-30 | 2018-07-31 | Ethicon Llc | Surgical instrument with user adaptable algorithms |
US10357303B2 (en) | 2015-06-30 | 2019-07-23 | Ethicon Llc | Translatable outer tube for sealing using shielded lap chole dissector |
US10154852B2 (en) | 2015-07-01 | 2018-12-18 | Ethicon Llc | Ultrasonic surgical blade with improved cutting and coagulation features |
US11033322B2 (en) | 2015-09-30 | 2021-06-15 | Ethicon Llc | Circuit topologies for combined generator |
US10595930B2 (en) | 2015-10-16 | 2020-03-24 | Ethicon Llc | Electrode wiping surgical device |
US10179022B2 (en) | 2015-12-30 | 2019-01-15 | Ethicon Llc | Jaw position impedance limiter for electrosurgical instrument |
US10575892B2 (en) | 2015-12-31 | 2020-03-03 | Ethicon Llc | Adapter for electrical surgical instruments |
US20170189095A1 (en) | 2015-12-31 | 2017-07-06 | Ethicon Endo-Surgery, Llc | Multiple port electrical isolation technique for surgical instruments |
US10716615B2 (en) | 2016-01-15 | 2020-07-21 | Ethicon Llc | Modular battery powered handheld surgical instrument with curved end effectors having asymmetric engagement between jaw and blade |
US20170202595A1 (en) | 2016-01-15 | 2017-07-20 | Ethicon Endo-Surgery, Llc | Modular battery powered handheld surgical instrument with a plurality of control programs |
US11129670B2 (en) | 2016-01-15 | 2021-09-28 | Cilag Gmbh International | Modular battery powered handheld surgical instrument with selective application of energy based on button displacement, intensity, or local tissue characterization |
US11051840B2 (en) | 2016-01-15 | 2021-07-06 | Ethicon Llc | Modular battery powered handheld surgical instrument with reusable asymmetric handle housing |
US11229471B2 (en) | 2016-01-15 | 2022-01-25 | Cilag Gmbh International | Modular battery powered handheld surgical instrument with selective application of energy based on tissue characterization |
US10555769B2 (en) | 2016-02-22 | 2020-02-11 | Ethicon Llc | Flexible circuits for electrosurgical instrument |
US10646269B2 (en) | 2016-04-29 | 2020-05-12 | Ethicon Llc | Non-linear jaw gap for electrosurgical instruments |
US10702329B2 (en) | 2016-04-29 | 2020-07-07 | Ethicon Llc | Jaw structure with distal post for electrosurgical instruments |
US10485607B2 (en) | 2016-04-29 | 2019-11-26 | Ethicon Llc | Jaw structure with distal closure for electrosurgical instruments |
US10456193B2 (en) | 2016-05-03 | 2019-10-29 | Ethicon Llc | Medical device with a bilateral jaw configuration for nerve stimulation |
US20180014872A1 (en) | 2016-07-15 | 2018-01-18 | Ethicon Endo-Surgery, Llc | Paired device and generator codes |
US10376305B2 (en) | 2016-08-05 | 2019-08-13 | Ethicon Llc | Methods and systems for advanced harmonic energy |
US11266430B2 (en) | 2016-11-29 | 2022-03-08 | Cilag Gmbh International | End effector control and calibration |
-
2010
- 2010-10-01 US US12/896,345 patent/US8986302B2/en active Active
- 2010-10-01 US US12/896,384 patent/US8951248B2/en active Active
- 2010-10-01 US US12/896,479 patent/US8956349B2/en active Active
- 2010-10-01 US US12/896,467 patent/US9050093B2/en active Active
- 2010-10-01 US US12/896,360 patent/US9060775B2/en active Active
- 2010-10-01 US US12/896,470 patent/US9060776B2/en active Active
- 2010-10-01 US US12/896,451 patent/US9039695B2/en active Active
- 2010-10-07 EP EP14194795.2A patent/EP2901940B1/en active Active
- 2010-10-07 BR BR112012009383A patent/BR112012009383B8/pt active IP Right Grant
- 2010-10-07 CA CA2777103A patent/CA2777103C/en not_active Expired - Fee Related
- 2010-10-07 WO PCT/US2010/051787 patent/WO2011044338A2/en active Application Filing
- 2010-10-07 CN CN201080056086.XA patent/CN102665585B/zh active Active
- 2010-10-07 KR KR20127011871A patent/KR20120093273A/ko not_active Application Discontinuation
- 2010-10-07 ES ES10768130T patent/ES2531014T3/es active Active
- 2010-10-07 EP EP20100768130 patent/EP2485670B1/en active Active
- 2010-10-07 AU AU2010303385A patent/AU2010303385B2/en not_active Ceased
- 2010-10-07 JP JP2012533312A patent/JP5766705B2/ja active Active
- 2010-10-07 IN IN2986DEN2012 patent/IN2012DN02986A/en unknown
-
2011
- 2011-04-13 US US29/389,531 patent/USD695407S1/en active Active
-
2015
- 2015-03-13 US US14/657,850 patent/US10201382B2/en active Active
- 2015-03-13 US US14/657,876 patent/US10263171B2/en active Active
- 2015-05-18 US US14/715,305 patent/US10265117B2/en active Active
- 2015-10-09 AU AU2015238883A patent/AU2015238883B2/en not_active Ceased
Patent Citations (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4188927A (en) * | 1978-01-12 | 1980-02-19 | Valleylab, Inc. | Multiple source electrosurgical generator |
US6233476B1 (en) * | 1999-05-18 | 2001-05-15 | Mediguide Ltd. | Medical positioning system |
Also Published As
Similar Documents
Publication | Publication Date | Title |
---|---|---|
CN102665585B (zh) | 用于超声装置和用于电外科装置的外科发生器 | |
CN104363849A (zh) | 具有开关的外科装置的控制电路以及用于确定开关状态的方法 | |
CN103027748B (zh) | 用于超声和电外科装置的外科发生器 |
Legal Events
Date | Code | Title | Description |
---|---|---|---|
C06 | Publication | ||
PB01 | Publication | ||
C10 | Entry into substantive examination | ||
SE01 | Entry into force of request for substantive examination | ||
C14 | Grant of patent or utility model | ||
GR01 | Patent grant |