CN103445817A - 手持式手术用手柄组件、手术用手柄组件和手术用末端执行器之间使用的手术用接合器及使用方法 - Google Patents

手持式手术用手柄组件、手术用手柄组件和手术用末端执行器之间使用的手术用接合器及使用方法 Download PDF

Info

Publication number
CN103445817A
CN103445817A CN201310217662XA CN201310217662A CN103445817A CN 103445817 A CN103445817 A CN 103445817A CN 201310217662X A CN201310217662X A CN 201310217662XA CN 201310217662 A CN201310217662 A CN 201310217662A CN 103445817 A CN103445817 A CN 103445817A
Authority
CN
China
Prior art keywords
rotation
articulating
end effector
driving
gear
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.)
Granted
Application number
CN201310217662XA
Other languages
English (en)
Other versions
CN103445817B (zh
Inventor
戴维·尼古拉斯
约翰·比尔兹利
拉塞尔·普里巴尼奇
迈克尔·热姆洛克
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Covidien LP
Original Assignee
Covidien LP
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Covidien LP filed Critical Covidien LP
Priority to CN202010305659.3A priority Critical patent/CN111481252B/zh
Priority to CN201710701920.XA priority patent/CN107411792B/zh
Publication of CN103445817A publication Critical patent/CN103445817A/zh
Application granted granted Critical
Publication of CN103445817B publication Critical patent/CN103445817B/zh
Active legal-status Critical Current
Anticipated expiration legal-status Critical

Links

Images

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A61B17/07207—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously the staples being applied sequentially
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
    • 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/90—Identification means for patients or instruments, e.g. tags
    • F—MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
    • F16—ENGINEERING ELEMENTS AND UNITS; GENERAL MEASURES FOR PRODUCING AND MAINTAINING EFFECTIVE FUNCTIONING OF MACHINES OR INSTALLATIONS; THERMAL INSULATION IN GENERAL
    • F16H—GEARING
    • F16H25/00—Gearings comprising primarily only cams, cam-followers and screw-and-nut mechanisms
    • F16H25/18—Gearings comprising primarily only cams, cam-followers and screw-and-nut mechanisms for conveying or interconverting oscillating or reciprocating motions
    • F16H25/20—Screw mechanisms
    • 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
    • A61B2017/00367—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
    • A61B2017/00398—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like using powered actuators, e.g. stepper motors, solenoids
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/0046—Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/0046—Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable
    • A61B2017/00473—Distal part, e.g. tip or head
    • 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
    • A61B2017/00526—Methods of manufacturing
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00681—Aspects not otherwise provided for
    • A61B2017/00734—Aspects not otherwise provided for battery operated
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00831—Material properties
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00831—Material properties
    • A61B2017/00902—Material properties transparent or translucent
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A61B2017/07214—Stapler heads
    • A61B2017/07285—Stapler heads characterised by its cutter
    • 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
    • A61B2017/2927—Details of heads or jaws the angular position of the head being adjustable with respect to the shaft
    • A61B2017/2929—Details of heads or jaws the angular position of the head being adjustable with respect to the shaft with a head rotatable about the longitudinal axis of the shaft
    • 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
    • A61B2017/2948—Sealing means, e.g. for sealing the interior from fluid entry
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2560/00—Constructional details of operational features of apparatus; Accessories for medical measuring apparatus
    • A61B2560/02—Operational features
    • A61B2560/0204—Operational features of power management
    • A61B2560/0214—Operational features of power management of power generation or supply
    • F—MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
    • F16—ENGINEERING ELEMENTS AND UNITS; GENERAL MEASURES FOR PRODUCING AND MAINTAINING EFFECTIVE FUNCTIONING OF MACHINES OR INSTALLATIONS; THERMAL INSULATION IN GENERAL
    • F16H—GEARING
    • F16H25/00—Gearings comprising primarily only cams, cam-followers and screw-and-nut mechanisms
    • F16H25/18—Gearings comprising primarily only cams, cam-followers and screw-and-nut mechanisms for conveying or interconverting oscillating or reciprocating motions
    • F16H25/20—Screw mechanisms
    • F16H2025/2043—Screw mechanisms driving an oscillating lever, e.g. lever with perpendicular pivoting axis

Abstract

本公开涉及手持式手术用手柄组件、手术用手柄组件和手术用末端执行器之间使用的手术用接合器及使用方法。本公开涉及手术装置，其包括将末端执行器和装置壳体选择性地相接的接合器组件。接合器组件包括至少一个驱动转换器组件，所述至少一个驱动转换器组件将可旋转驱动轴的旋转转换并传递成末端执行器的至少一个可轴向平移驱动构件的轴向平移的。第一驱动转换器组件包括第一驱动元件、螺母、关节式运动套管、关节式运动轴承以及关节式运动连杆。可旋转驱动轴的旋转引起第一驱动元件的旋转。第一驱动元件的旋转引起螺母、关节式运动套管、关节式运动轴承、关节式运动连杆及末端执行器的至少一个可轴向平移驱动构件的轴向平移。

Description

手持式手术用手柄组件、手术用手柄组件和手术用末端执行器之间使用的手术用接合器及使用方法
相关申请的交叉引用 
本申请要求递交于2012年6月1日、序列号为61/654，191的美国临时专利申请的权益和优先权，其全部内容通过引用合并于此。 
技术领域
本公开涉及手术装置和/或系统、手术用接合器以及它们的使用方法。更特别地，本公开涉及手持式动力手术装置、手术用接合器和/或接合器组件，所述手术用接合器和/或接合器组件在动力、旋转和/或关节式运动手术装置或手柄组件与用于夹紧、切割和/或吻合组织的末端执行器之间使用并且用于将其相互连接。 
背景技术
一种类型的手术装置是一种线性夹紧、切割和吻合装置。在外科手术操作中，可以使用这样的装置来切除胃肠道中癌变的或异常的组织。传统的线性夹紧、切割和吻合器械包括具有细长轴和远侧部的手枪握柄样式的结构。远侧部包括一对剪刀样式的夹持元件，其夹紧闭合结肠的开口端。在该装置中，两个剪刀样式的夹持元件中的一个元件（如砧座部）相对于整个结构移动或枢转，而另一个夹持元件相对于整个结构保持固定。该剪取装置的致动（砧座部的枢转）是由保持在手柄中的握持柄扳机来控制的。 
除了剪取装置以外，远侧部还包括吻合机构。剪取机构的固定夹持元件包括吻合钉钉仓接纳区域和用来驱动吻合钉紧靠砧座部向上穿过组织的被夹紧端部从而密封先前开口端部的机构。剪取元件可以与所述轴整体形成或者是可以拆卸的使得各种剪取元件和吻合元件可以互换。 
许多手术装置的生产商已经开发出具有适用于操作和/或操纵所述手术装置的专用驱动系统的产品线。在许多实例中，所述手术装置包括：可重复使用的手柄组件；以及一次性末端执行器或同类物，其可以在使用前选择性地被连接到所述手柄组件上，然后在使用后再从所述末端执行器断开连接以 便于被处置或在一些实例中被消毒以重复使用。 
与许多现有的手术装置和/或手柄组件一起使用的许多现有的末端执行器都是由线性力来驱动。例如，适合于执行胃肠内吻合术操作、端对端吻合术操作以及横向吻合术操作的末端执行器通常均需要线性驱动力以便于被操作。因此，这些末端执行器与使用旋转运动来传递动力等的手术装置和/或手柄组件无法配合使用。 
为了使所述线性驱动的末端执行器与使用旋转运动来传递动力的手术装置和/或手柄组件互相配合使用，对于在所述线性驱动的末端执行器与所述旋转驱动的手术装置和/或手柄组件之间进行交接并且将其相互连接的接合器和/或接合器组件存在需求。 
发明内容
本公开涉及一种手术装置，所述手术装置包括装置壳体，至少一个驱动电动机、电池、电路板、末端执行器、以及接合器组件。所述装置壳体限定了选择性地与所述接合器组件连接的连接部。所述至少一个驱动电动机被支撑在所述装置壳体内且被配置以旋转至少一个驱动轴。所述电池被布置以与至少一个驱动电动机的电连通。所述电路板被布置在所述壳体内用来控制从所述电池输送到所述至少一个驱动电动机的电力。所述末端执行器被配置以执行至少一种功能且包括至少一个可轴向平移驱动构件。所述接合器组件用来选择性地将所述末端执行器和所述装置壳体相互连接，并且所述接合器组件包括旋钮壳体以及至少一个驱动转换器组件。所述旋钮壳体被配置且适于选择性地连接到所述装置壳体并且与所述至少一个可旋转驱动轴中的每一个可操作地连通。所述至少一个驱动转换器组件用于将所述至少一个可旋转驱动轴中的相应一个和所述末端执行器的所述至少一个可轴向平移驱动构件中的一个相互连接。所述至少一个驱动转换器组件将所述可旋转驱动轴的旋转转换并传递成所述末端执行器的所述至少一个可轴向平移驱动构件的轴向平移。所述至少一个驱动转换器组件包括第一驱动转换器组件，所述第一驱动转换器组件包括第一驱动元件、螺母、关节式运动套管、关节式运动轴承、以及关节式运动连杆。所述第一驱动元件被旋转地支撑在所述旋钮壳体中。所述第一驱动元件的近侧端能够与所述可旋转驱动轴啮合。所述螺母被螺纹连接到所述第一驱动元件的螺纹远侧部。所述关节式运动套管的近侧部被布 置以与所述螺母机械配合。所述关节式运动轴承被布置以与所述关节式运动套管远侧部机械配合。所述关节式运动连杆的近侧部被布置以与所述关节式运动轴承机械配合。所述关节式运动连杆的远侧部被配置用来选择性地与所述末端执行器所述至少一个可轴向平移驱动构件啮合。所述可旋转驱动轴的旋转引起所述第一驱动元件的旋转。所述第一驱动元件的旋转引起所述螺母、所述关节式运动套管、所述关节式运动轴承、所述关节式运动连杆、以及所述末端执行器的所述至少一个可轴向平移驱动构件的轴向平移。 
在所公开的实施例中，所述关节式运动轴承被配置以能够相对于所述旋钮壳体轴向地和旋转地运动。 
在所公开的实施例中，所述关节式运动套管的远侧部被布置以与所述关节式运动轴承的径向内部机械配合。在这里，被公开的是所述关节式运动连杆的近侧部被布置以与所述关节式运动轴承的径向外部机械配合。 
在所公开的实施例中，包括第二驱动转换器组件，所述第二驱动转换器组件包括第二驱动元件、第一齿轮、第二齿轮、以及齿圈。所述第二驱动元件被旋转地支撑在所述旋钮壳体中。所述第二驱动元件的近侧端能够连接到所述手术装置的第二可旋转驱动轴上。所述第一齿轮被布置以与所述第二驱动元件的远侧部机械配合。所述第二齿轮被布置与所述第一齿轮机械配合。所述齿圈被布置以与所述第二齿轮机械配合且被布置以与所述末端执行器机械配合。所述齿圈相对于所述旋钮壳体被固定而不能旋转。所述第二可旋转驱动轴的旋转引起所述第一齿轮的旋转，所述第一齿轮的旋转引起所述第二齿轮的旋转，所述第二齿轮的旋转引起所述齿圈的旋转，而所述齿圈的旋转引起所述末端执行器的旋转。在这里，被公开的是所述旋钮壳体包括驱动联接壳体，所述驱动联接壳体能够相对于所述旋钮壳体的余部（remainder）旋转。在这里，被公开的是包括旋转轴承，且所述驱动联接壳体被旋转地固定到所述旋转轴承。所述旋钮壳体能够相对于所述旋转轴承旋转。在这里，被公开的是所述齿圈包括围绕其内周布置的多个齿。 
在所公开的实施例中，所述关节式运动连杆的远侧部包括被配置在其中用于可释放地接受所述末端执行器的至少一个可轴向平移驱动构件的一部分的狭槽。在这里，被公开的是所述狭槽包括锥形开口。 
本公开还涉及一种接合器组件，其用来选择性地将手术用末端执行器和具有至少一个可旋转驱动轴的手柄组件相互连接。所述接合器组件包括旋钮 壳体，以及至少一个驱动转换器组件。所述旋钮壳体被配置且适于选择性地连接到手柄组件上。所述旋钮壳体包括驱动联接壳体。所述至少一个驱动转换器组件用来所述至少一个可旋转驱动轴中的相应一个和手术用末端执行器一部分相互连接。所述至少一个驱动转换器组件将所述可旋转驱动轴的旋转转换并传递成所述末端执行器的所述至少一个可轴向平移驱动构件的轴向平移。所述至少一个驱动转换器组件包括第一驱动转换器组件，所述第一驱动转换器组件包括驱动元件、第一齿轮、第二齿轮、齿圈和旋转轴承。所述驱动元件被旋转地支撑在所述接合器壳体中。所述第一齿轮被布置以与所述驱动元件的远侧部机械配合。所述第二齿轮被布置以与所述第一齿轮机械配合。所述齿圈被布置以与所述第二齿轮机械配合且被布置以与所述接合器组件的末端执行器啮合部机械配合。所述齿圈相对于所述接合器壳体被固定而不能旋转。所述驱动联接壳体被旋转地固定到所述旋转轴承，且所述旋钮壳体能够相对于所述旋转轴承旋转。所述驱动元件的旋转引起所述第一齿轮的旋转；所述第一齿轮的旋转引起所述第二齿轮的旋转；所述第二齿轮的旋转引起所述齿圈的旋转；而所述齿圈的旋转引起所述接合器组件的末端执行器啮合部的旋转。 
在所公开的实施例中，所述齿圈包括围绕其内周布置的多个齿。 
在所公开的实施例中，所述驱动联接壳体能够相对于所述旋钮壳体的余部旋转。 
在所公开的实施例中，包括第二驱动转换器组件，所述第二驱动转换器组件包括第二驱动元件、螺母、关节式运动套管、以及关节式运动连杆。所述第二驱动元件被旋转地支撑在所述旋钮壳体中。所述螺母被螺纹连接到所述第二驱动元件的螺纹远侧部。所述关节式运动套管的近侧部被布置以与所述螺母机械配合。所述关节式运动轴承被布置以与所述关节式运动套管的远侧部机械配合。所述关节式运动连杆的近侧部被布置以与所述关节式运动轴承机械配合。所述关节式运动连杆的远侧部被配置用来选择性地与所述末端执行器的一部分啮合。所述第二驱动元件的旋转引起所述螺母、所述关节式运动套管、所述关节式运动轴承以及所述关节式运动连杆的轴向平移。在这里，被公开的是所述关节式运动轴承被配置以能够相对于所述旋钮壳体轴向地和旋转地运动。在这里，被公开的是所述关节式运动套管的远侧部被布置以与所述关节式运动轴承的径向内部机械配合。在这里，被公开的是所述关 节式运动连杆的近侧部被布置以与所述关节式运动轴承的径向外部机械配合。 
附图说明
这里参照附图描述了本公开的各种实施例，其中： 
图1是根据本公开实施例的部件分离的手术装置和接合器的立体图，图示了其与末端执行器的连接； 
图2是图1中手术装置的立体图； 
图3是部件分离的图1和图2中手术装置的立体图； 
图4是用于图1至图3的手术装置中的电池的立体图； 
图5是去除其壳体的图1至图3中手术装置的立体图； 
图6是手术装置和接合器中每一个的连接端部的立体图，图示了它们之间的连接； 
图7是通过图2的7-7取得的图1至图3中的手术装置的剖视图； 
图8是通过图2的8-8取得的图1至图3中的手术装置的剖视图； 
图9是部件分离的图1至图3中手术装置的扳机壳体的立体图； 
图10是图1中的接合器的立体图； 
图11是通过图10的11-11取得的图1和图10中的接合器的剖视图； 
图12是图11中细节指示区域的放大图； 
图13是图11中细节指示区域的放大图； 
图14是接合器和装载单元一部分的省略一些零件的立体图； 
图15是图14中细节指示区域的放大图； 
图16是图14中细节指示区域的放大图； 
图17是与装载单元啮合的接合器的远侧端的立体图； 
图18和图19是省略零件的接合器部分的立体图； 
图20是通过图10的20-20取得的图1和图10中接合器的剖面图； 
图21是图20中的细节指示区域的放大图； 
图22是图20中的细节指示区域的放大图； 
图23是接合器的远侧部的立体图； 
图24是从如图23所示的接合器的远侧部向远侧看的剖切立体图； 
图25是省略零件的接合器的一部分的立体图； 
图26是与本公开手术装置和接合器一起使用的示例性末端执行器的部件分离的立体图；以及 
图27是LED输出的示意图；电动机选择的示意图（选择夹紧/切割，旋转或关节式运动）；以及执行所选定功能的所述驱动电动机选择的示意图。 
具体实施方式
现在将参照附图详细描述本公开的手术装置，以及适用于手术装置和/或手柄组件的接合器组件的实施例，其中在几幅附图的每幅附图中相同附图标记指代相同的或对应的元件。在本文中使用时，术语“远侧”是指所述接合器组件或手术装置或其部件的较远离用户的部分，而术语“近侧”是指所述接合器组件或手术装置或其部件的较接近用户的部分。 
根据本公开的实施例，手术装置总体被指定为100，且为一种动力手持式机电器械的形式，其被配置用来选择性地将多个不同的末端执行器附接于此，每一个末端执行器均被配置为通过所述动力手持式机电手术器械来实现致动和操纵。 
如图1所图示，手术装置100被配置为用来选择性地连接接合器200，然后，依次地，接合器200被配置为选择性地连接末端执行器或单次使用装载单元300。 
如图1至图3所图示，手术装置100包括手柄壳体102，手柄壳体102包括下壳体部104、中间壳体部106以及上壳体部108，其中，中间壳体部106从下壳体部104延伸出和/或被支撑在下壳体部104上，上壳体部108从中间壳体部106延伸出和/或被支撑在中间壳体部106上。中间壳体部106和上壳体部108被分离成远侧半部110a和近侧半部110b，其中，远侧半部110a从下壳体部104延伸出且与下壳体部104整体形成，近侧半部110b通过采用多个紧固件可与远侧半部110a相连接。当接合时，远侧半部110a与近侧半部110b限定了手柄壳体102，手柄壳体102内有空腔102a，电路板150和驱动机构160被设置在空腔102a中。 
远侧半部110a与近侧半部110b沿着横切如图3所示的上壳体部108的纵轴线“X”的平面被分开。 
手柄壳体102包括垫圈112，垫圈112完全地在远侧半部110a和/或近侧半部110b的缘边的周围延伸且被插入在远侧半部110a和近侧半部110b之 间。垫圈112密封远侧半部110a和近侧半部110b的周边。垫圈112的功能是在远侧半部110a和近侧半部110b之间形成气密密封以便于在消毒和/或清洗操作时保护电路板150和驱动机构160。 
以这种方式，手柄壳体102的空腔102a沿着远侧半部110a的周边密封，并且近侧半部110b还被配置为使得能够更轻松、更高效地将电路板150和驱动机构160装配在手柄壳体102中。 
手柄壳体102的中间壳体部106提供了电路板150被设置在其中的壳体。将在下面额外详细阐明，配置电路板150来控制手术装置100的各种操作。 
手术装置100的下壳体部104限定了在其上表面中形成的孔隙（未显示）并且孔隙位于中间壳体部106的下方或内部。下壳体部104的孔隙提供了可供导线152穿过的通道以将位于下壳体部104中的电气部件（如图4中所图示的电池156、如图3中所图示的电路板154等）与位于中间壳体部106和/或上壳体部108中的电气部件（电路板150、驱动机构160等）相互电连接。 
手柄壳体102包括被布置在下壳体部104（未显示）的孔隙内的垫圈103，因而在允许导线152穿过下壳体部104的孔隙的同时还堵塞或密封下壳体部104的孔隙。垫圈103的功能是在下壳体部106和中间壳体部108之间形成气密密封以便于在消毒和/或清洗操作时保护电路板150和驱动机构160。 
正如图所示，手柄壳体102的下壳体部104提供了可拆卸地位于其中的可再充电电池156。电池156被配置为给手术装置100的电气部件中的任何一个部件提供电力。下壳体部104限定了电池156被插入其中的空腔（未显示）。下壳体部104包括枢转地连接于其上的门105，门105用来封闭下壳体部104的空腔并将电池156保持在空腔中。 
参照图3和图5，上壳体部108的远侧半部110a限定了鼻部或连接部108a。鼻锥114被支撑在上壳体部108的鼻部108a上。鼻锥114是由透明材料制造。照明构件116被布置在鼻锥114内使得透过鼻锥114可见照明构件116。照明构件116采用发光二极管印刷电路板（LED PCB）的形式。照明构件116被配置为使用与独特离散事件关联的特定颜色图案来照亮多种颜色。 
手柄壳体102的上壳体部108提供了驱动机构160位于其中的壳体。如图5所示，配置驱动机构160来驱动轴和/或齿轮部件以便于执行手术装置100的各种操作。特别地，配置驱动机构160来驱动轴和/或齿轮部件，以便 于相对于末端执行器300的近侧主体部302，选择性地移动末端执行器300的工具组件304（参照图1和图20），从而使得末端执行器300相对于手柄壳体102绕纵轴线“X”（参照图3）旋转，以使得砧座组件306相对于末端执行器300的钉仓组件308移动，和/或击发在末端执行器300的钉仓组件308内的吻合切割钉仓。 
驱动机构160包括相对紧邻接合器200定位的选择变速箱组件（selector gearbox assembly）162。邻近选择变速箱组件162的是具有第一电动机164的功能选择模块163，第一电动机164的功能为选择性地移动选择变速箱组件162内的齿轮元件以与具有第二电动机166的输入驱动部件165相啮合。 
如图1至图4所示，且如上所述，上壳体部108的远侧半部110a限定了连接部108a，连接部108a配置为接受接合器200的对应的驱动联接组件210。 
如图6至图8所示，当接合器200与手术装置100匹配时，手术装置100的连接部108a具有用来接纳接合器200的驱动联接组件210的柱形凹槽108b。连接部108a容纳三个可旋转驱动连接器118、120、122。 
当接合器200与手术装置100匹配时，手术装置100的可旋转驱动连接器118、120、122中的每一个均与接合器200的对应的可旋转连接器套管218、220、222相联接。（参照图6）。在这点上，对应的第一驱动连接器118和第一连接器套管218之间的交接、对应的第二驱动连接器120和第二连接器套管220之间的交接，以及对应的第三驱动连接器122和第三连接器套管222之间的交接都是键联接，以便于手术装置100的驱动连接器118、120、122中的每一个的旋转都会引起接合器200的对应的连接器套管218、220、222的对应的旋转。 
手术装置100的驱动连接器118、120、122与接合器200的连接器套管218、220、222的匹配允许经由三个对应的连接器交接中的每一个独立地传输旋转力。手术装置100的驱动连接器118、120、122被配置为通过驱动机构160独立地旋转。在这点上，驱动机构160的功能选择模块163会选择由驱动机构160的输入驱动部件165来驱动手术装置100的驱动连接器118、120、122中的哪一个或多个驱动连接器。 
因为手术装置100的驱动连接器118、120、122中的每一个驱动连接器都是与接合器200的相应的连接器套管218、220、222进行键联接和/或基本上非可旋转地相接，当接合器200被联接到手术装置100时，会选择性地将 旋转力从手术装置100的驱动机构160传递到接合器200。 
手术装置100的驱动连接器118、120和/或122的选择性的旋转允许手术装置100选择性地致动末端执行器300的不同功能。如下面更详细地讨论，手术装置100的第一驱动连接器118的选择性的且独立的旋转对应于末端执行器300的工具组件304的选择性的且独立的打开和闭合，以及对应于末端执行器300的工具组件304的吻合/切割部件的驱动。同样，手术装置100的第二驱动连接器120的选择性的且独立的旋转对应于横切于纵轴线“X”（参照图3）的末端执行器300的工具组件304的选择性的且独立的关节式运动。另外，手术装置100的第三驱动连接器122的选择性的且独立的旋转对应于末端执行器300相对于手术装置100的手柄壳体102的绕纵轴线“X”（参照图3）的选择性的且独立的旋转。 
如上所述且如图5和图8所图示，驱动机构160包括选择变速箱组件162；邻近选择变速箱组件162定位的功能选择模块163，功能选择模块163的功能为选择性地移动选择变速箱组件162内的齿轮元件以与第二电动机166相啮合。这样，驱动机构160就在给定时间选择性地驱动手术装置100的驱动连接器118、120、122中的一个驱动连接器。 
如图1至图3和图9所示，手柄壳体102在中间壳体部108的远侧表面或远侧上支撑扳机壳体107。与中间壳体部108配合的扳机壳体107支撑一对手指致动的控制按钮124、126和摇杆装置128、130。特别地，扳机壳体107限定了上孔隙124a以用于可滑动地接纳第一控制按钮124，以及下孔隙126b以用于可滑动地接纳第二控制按钮126。 
控制按钮124、126和摇杆装置128、130中的每一个均包括由操作者的致动来移动的相应的磁体（未显示）。此外，对于控制按钮124、126和摇杆装置128、130中的每一个，电路板150都包括靠控制按钮124、126和摇杆装置128、130中磁体的移动来致动的相应的霍尔效应开关150a-150d。特别地，位置紧邻控制按钮124的是第一霍尔效应开关150a(参照图3和图7)，在操作者致动控制按钮124时，控制按钮124中的磁体就会移动，从而致动第一霍尔效应开关150a。对应于控制按钮124的第一霍尔效应开关150a的致动会使得电路板150向功能选择模块163和驱动机构160的输入驱动部件165提供适当的信号来闭合末端执行器300的工具组件304和/或击发末端执行器300的工具组件304内的吻合/切割钉仓。 
同样，位置紧邻摇杆装置128的是第二霍尔效应开关150b（参照图3和图7），在操作者致动摇杆装置128时，摇杆装置128中的磁体（未显示）就会移动，从而致动第二霍尔效应开关150b。对应于摇杆装置128的第二霍尔效应开关150b的致动会使得电路板150向功能选择模块163和驱动机构160的输入驱动部件165提供适当的信号来使得工具组件304相对于末端执行器300的主体部302进行关节式运动。有利的是，摇杆装置128在第一方向上的移动会引起工具组件304相对于主体部302在第一方向上进行关节式运动，而摇杆装置128在相反方向（如第二方向）上的移动会引起工具组件304相对于主体部302在相反方向（如第二方向）上进行关节式运动。 
此外，位置紧邻控制按钮126的是第三霍尔效应开关150c（参照图3和图7），在操作者致动控制按钮126时，控制按钮126中的磁体（未显示）就会移动，从而致动第三霍尔效应开关150c。对应于控制按钮126的第三霍尔效应开关150c的致动会使得电路板150向功能选择模块163和驱动机构160的输入驱动部件165提供适当的信号来打开末端执行器300的工具组件304。 
此外，位置紧邻摇杆装置130的是第四霍尔效应开关150d（参照图3和图7），在操作者致动摇杆装置130时，摇杆装置130中的磁体（未显示）就会移动，从而致动第四霍尔效应开关150d。对应于摇杆装置130的第四霍尔效应开关150d的致动会使得电路板150向功能选择模块163和驱动机构160的输入驱动部件165提供适当的信号来使末端执行器300相对于手术装置100的手柄壳体102旋转。特别地，摇杆装置130在第一方向上的移动会引起末端执行器300相对于手柄壳体102在第一方向上旋转，而摇杆装置130在相反方向（如第二方向）上的移动会引起末端执行器300相对于手柄壳体102在相反方向（如第二方向）上旋转。 
如图1至图3所示，手术装置100包括被支撑在中间壳体部108和上壳体部之间且被定位于扳机壳体107上方的击发按钮或安全开关132。在使用中，根据需要和/或要求，末端执行器300的工具组件304在打开状态和闭合状态之间被致动。为了击发末端执行器300，为了当末端执行器300的工具组件304处于闭合状态时从其中射出紧固件，按下安全开关132，从而指示手术装置100：末端执行器300准备从其中射出紧固件。 
如图1和图10至图25所示，手术装置100被配置为用来选择性地与接合器200相连接，然后，依次地，接合器200被配置为用来选择性地与末端 执行器300相连接。 
配置接合器200用来将手术装置100的驱动连接器120和122中任何一个驱动连接器的旋转转换成用于操作末端执行器300的驱动组件360和关节式运动连杆366的轴向平移，如图26所示且将在下面更详细地讨论。 
接合器200包括用于将手术装置100的第三可旋转驱动连接器122与末端执行器300的第一可轴向平移驱动构件360相互连接的第一驱动传递/转换组件，其中，第一驱动传递/转换组件将手术装置100的第三可旋转驱动连接器122的旋转转换并传递成末端执行器300的第一可轴向平移的驱动组件360的轴向平移以便进行击发。 
接合器200包括用于将手术装置100的第二可旋转驱动连接器120和末端执行器300的第二可轴向平移驱动构件366相互连接的第二驱动传递/转换组件，其中，第二驱动传递/转换组件将手术装置100的第二可旋转驱动连接器120的旋转转换并传递成末端执行器300的关节式运动连杆366的轴向平移以便进行关节式运动。 
现在转向图10，接合器200包括旋钮壳体202和从旋钮壳体202的远侧端延伸出的外管206。旋钮壳体202和外管206被配置和定尺寸为容纳接合器200的部件。外管206被定尺寸为用于内窥镜插入，特别地，外管可通过典型的套管针口、插管或同类物。旋钮壳体202的尺寸无法进入套管针口、插管或同类物。 
旋钮壳体202被配置且适于连接到手术装置100的远侧半部110a的上壳体部108的连接部108a。 
如图10、11和图14所示，接合器200包括在其近侧端处的手术装置驱动联接组件210和在其远侧端处的末端执行器联接组件230。驱动联接组件210包括旋转地支撑（至少部分地）在旋钮壳体202中的驱动联接壳体210a。驱动联接组件210在其中可旋转地支撑第一可旋转近侧驱动轴或元件212、第二可旋转近侧驱动轴或元件214以及第三可旋转近侧驱动轴或元件216（例如，参见图15）。 
如图19所示，驱动联接壳体210a被配置为分别可旋转地支撑第一连接器套管218、第二连接器套管220和第三连接器套管222。如上所述，连接器套管218、220、222中的每个均配置为分别与手术装置100相应的第一驱动连接器118、第二驱动连接器120和第三驱动连接器122匹配。连接器套管 218、220、222中的每个均进一步配置为分别与相应的第一近侧驱动轴或元件212、第二近侧驱动轴或元件214和第三近侧驱动轴或元件216的近侧端匹配。 
特别参照图19和图22，近侧驱动联接组件210包括布置在相应的第一连接器套管218、第二连接器套管220和第三连接器套管222的远侧的第一偏置构件224、第二偏置构件226和第三偏置构件228。围绕相应的第一可旋转近侧驱动轴212、第二可旋转近侧驱动轴214和第三可旋转近侧驱动轴216分别布置偏置构件224、226、228中的每一个。当接合器200被连接到手术装置100上时，偏置构件224、226、228作用在相应的连接器套管218、220、222上从而有助于保持连接器套管218、220、222与手术装置100的相应的可旋转驱动的驱动连接器118、120、122的远侧端相啮合。 
特别地，第一偏置构件224、第二偏置构件226和第三偏置构件228的功能是在近侧方向上偏置相应的连接器套管218、220、222。以这种方式，在装配接合器200到手术装置100的过程中，如果第一连接器套管218、第二连接器套管220和/或第三连接器套管222与手术装置100的驱动连接器118、120、122不对准，则第一偏置构件224、第二偏置构件226和/或第三偏置构件228被压缩。因此，当手术装置100的驱动机构160被啮合时，手术装置100的驱动连接器118、120、122将旋转，并且第一偏置构件224、第二偏置构件226和/或第三偏置构件228将引起相应的第一连接器套管218、第二连接器套管220和/或第三连接器套管222向近侧向后滑动，有效地将手术装置100的驱动连接器118、120、122联接到近侧驱动联接组件210的第一近侧驱动轴212、第二近侧驱动轴214和/或第三近侧驱动轴216。 
当校准手术装置100时，手术装置100的驱动连接器118、120、122中的每个都旋转，并且当实现正确对准时，在连接器套管218、220、222上的偏置会使连接器套管218、220、222正确就位于手术装置100相应的驱动连接器118、120、122的上方。 
如图11、14和20所示，接合器200包括分别被布置在手柄壳体202和外管206内的第一驱动传递/转换组件240、第二驱动传递/转换组件250和第三驱动传递/转换组件260。驱动传递/转换组件240、250、260分别被配置且适于将手术装置100的第一驱动连接器118、第二驱动连接器120和第三驱动连接器122的旋转转换并传递成接合器200的远侧驱动构件248和驱动杆 258（或者关节式运动杆）的轴向平移，从而实现末端执行器300的闭合、打开、关节式运动和发射；或者传递或转换接合器200的齿圈266的旋转，从而实现接合器200的手柄壳体202的旋转。 
如图11至图13所示，第一驱动传递/转换组件240包括被可旋转地支撑在壳体202和外管206内的第一远侧驱动轴242。第一远侧驱动轴242的近侧端部242a从第一近侧驱动轴212向远侧延伸。第一远侧驱动轴242还包括具有螺纹外轮廓或表面的螺纹部242b。 
第一驱动传递/转换组件240还包括驱动联接螺母244，驱动联接螺母244可旋转地联接到第一远侧驱动轴242的螺纹远侧端部242b，且将驱动联接螺母244可滑动地布置在外管206中。驱动联接螺母244被键联接到外管206的内壳体管206a上从而防止其随第一远侧驱动轴242的旋转而旋转。如此，随着第一远侧驱动轴242旋转，驱动联接螺母244会纵向地平移通过外管206的内壳体管206a和/或沿着外管206的内壳体管206a平移。 
第一驱动传递/转换组件240还包括与驱动联接螺母244机械啮合的远侧驱动构件248，使得驱动联接螺母244的轴向运动引起远侧驱动构件248的相应量的轴向运动。更特别地，驱动联接螺母244的远侧端包括与被布置在远侧驱动构件248（参见图11）的近侧部上的至少一个对应凹槽249相啮合的至少一个向内悬垂的突起245。远侧驱动构件248的远侧端部支撑连接构件247，连接构件247被配置和定尺寸为选择性地与末端执行器300的驱动组件360的驱动构件374啮合。 
在操作中，随着第一可旋转近侧驱动轴212旋转，由于第一连接器套管218的旋转，作为手术装置100的相应的第一驱动连接器118旋转的结果，第一远侧驱动轴242旋转。随着第一远侧驱动轴242旋转，引起驱动联接螺母244沿着第一远侧驱动轴242轴向平移。随着引起驱动联接螺母244沿着第一远侧驱动轴242轴向平移，引起远侧驱动构件248相对于外管206的内壳体管206a轴向平移。随着远侧驱动构件248轴向平移，由于连接构件247被连接到远侧驱动构件248并且与末端执行器300的驱动组件360的驱动构件374相啮合，远侧驱动构件248引起末端执行器300的驱动构件374同时进行轴向平移，从而实现工具组件304的闭合和末端执行器300的工具组件304的击发。 
参照图13至图22，接合器200的第二驱动转换器组件250包括被旋转 地支撑在驱动联接组件210内的第二可旋转近侧驱动轴216。第二可旋转近侧驱动轴216包括被配置与第二连接器或联接器222相连接的非圆形或某种形状的近侧端部，第二连接器或联接器222被连接到手术装置100的相应的第二连接器120。第二可旋转近侧驱动轴216还包括具有螺纹外轮廓或表面的远侧端部216b。 
近侧驱动轴216的远侧端部216b通过螺纹与螺母252啮合。螺母252被布置以与关节式运动套管254的近侧部254a机械配合。例如，螺母252延伸穿过关节式运动套管254内的凹槽255。关节式运动套管254的远侧部254b被布置以与关节式运动轴承261，且特别是与关节式运动轴承261的内套管262机械配合（例如，被附接或被联接）。关节式运动轴承261的外套管264被机械联接到关节式运动杆258的近侧部258a。关节式运动杆258的远侧部258b在其中包括狭槽272，狭槽272被配置用来接受装载单元300的一部分（例如，标志、关节式运动连杆366等）。另外，狭槽272包括锥形的进入部274，进入部274被配置以减小装载单元300和关节式运动杆258之间的间隙，从而有利于它们之间的对准和/或啮合。 
进一步关于关节式运动轴承261，关节式运动轴承261既能够旋转又能够纵向平移。另外，可以设想到，当装载单元300的钳夹构件306、308处于接近位置时和/或当钳夹构件306、308做关节式运动时，关节式运动轴承261允许装载单元300自由的、无障碍的旋转运动。另外，由于关节式运动的和/或接近的钳夹构件一般在旋转的和/或关节式运动系统上产生显著大的负荷，所以关节式运动轴承261减少了典型地与关节式运动的和/或接近的钳夹构件的旋转有关的摩擦量。 
在操作中，随着驱动轴216由于第二连接器套管222的旋转而旋转，作为手术装置100的第二驱动连接器120的旋转的结果，引起螺母252沿着近侧驱动轴216的螺纹远侧端部216b轴向平移，这依次会引起关节式运动套管254相对于旋钮壳体202轴向平移。随着关节式运动套管254轴向平移，引起关节式运动轴承261轴向平移。相应地，随着关节式运动轴承261轴向平移，引起关节式运动杆258轴向平移，这同时引起末端执行器300的关节式运动连杆366的轴向平移，从而实现工具组件304的关节式运动。 
如图20至图25所示且如上所述，接合器200包括被支撑在旋钮壳体202中的第三驱动传递/转换组件260。第三驱动传递/转换组件260包括管组件 400、旋转轴承410、旋转齿圈420、空转齿轮430和正齿轮440。管组件400包括壳体末端402、管206和管联接器406。壳体末端402被远侧地布置成与连接构件247相邻。管联接器406被布置成与管组件400的近侧端相邻。管206在壳体末端402和管联接器406之间延伸。如图24所示，管联接器406被机械地联接邻近上部和下部手柄的远侧端或旋钮壳体202。旋钮壳体202的近侧部被定位在旋转轴承410的周围，这允许它们之间的旋转。 
进一步关于旋转轴承410，旋转轴承410相对于驱动联接壳体210a是非可旋转的，但相对于旋钮壳体202既能旋转又能纵向平移。另外，可以设想到的是，当装载单元300的钳夹构件306、308处于接近位置时和/或当钳夹构件306、308做关节式运动时，旋转轴承410允许装载单元300自由的、无障碍的旋转运动。另外，由于关节式运动的和/或接近的钳夹构件一般在旋转的和/或关节式运动系统上产生显著大的负荷，旋转轴承410减少了典型的与关节式运动的和/或接近的钳夹构件的旋转有关的摩擦量。 
旋转齿圈420被布置在旋转轴承410的远侧，且相对于旋钮壳体202是非可旋转的（例如，由于齿圈420的突起421被旋钮壳体202中对应凹槽捕捉到）。旋转齿圈420包括围绕其内周布置的多个齿422。空转齿轮430能够绕销434旋转且包括围绕其外周布置的多个齿432，齿432被配置和定位为与旋转齿圈420的齿422相啮合。正齿轮440包括围绕其外周布置的多个齿442，齿442被配置和定位为与空转齿轮430的齿432相啮合。另外，正齿轮440被附接到第二可旋转近侧驱动轴214。 
在操作中，手术装置100的第二驱动连接器120的旋转引起第二连接器套管220和驱动轴214旋转。驱动轴214的旋转引起正齿轮440旋转。正齿轮440的旋转引起空转齿轮430的旋转，这会引起齿圈420也旋转。因为齿圈420相对于旋钮壳体202是非可旋转的，齿圈420的旋转引起旋钮壳体202旋转。另外，由于旋钮壳体202和管联接器406之间的啮合，旋钮壳体202的旋转引起管联接器406、管206、壳体末端402、以及远侧联接组件230绕由接合器200限定的纵轴线“A-A”（参见图1）旋转。随着远侧联接组件230旋转，同样也引起被连接到远侧联接组件230的末端执行器300绕接合器200的纵轴线旋转。 
参照图21和图22，接合器200还包括用来固定远侧驱动构件248的轴向位置和径向方位的锁定机构280。锁定机构280包括滑动地支撑在旋钮壳 体202上的按钮282。锁定按钮282被连接到纵向延伸通过外管206的致动杆284。将致动杆284插入在外管206和内壳体管206a之间。当锁定按钮282移动时，致动杆284就移动。在锁定按钮282移动预定量时，致动杆284的远侧端284a就移动而与闭锁件286相接触，这会引起闭锁件286使得凸轮构件288从在远侧驱动构件248的凹槽249进行凸轮运动。当凸轮构件288与凹槽249相啮合时（例如，至少部分在凹槽249内），凸轮构件288和远侧驱动构件248之间的啮合有效地锁定了与连接构件247相啮合的末端执行器300的轴向和旋转位置。 
在操作中，为了锁定远侧驱动构件248的位置和/或方位，用户将锁定按钮282从远侧位置移动到近侧位置，从而引起闭锁件286向近侧移动，以使得闭锁件286的远侧面286a移动而脱离与凸轮构件288的接触，这会引起凸轮构件288凸轮运动进入远侧驱动构件248的凹槽249。以这种方式，防止了远侧驱动构件248的远侧和/或近侧运动。当锁定按钮282从近侧位置移向远侧位置时，致动杆284的远侧端284a向远侧移动而进入闭锁件286，克服偏置构件289的偏置，以迫使凸轮构件288移出凹槽249，从而允许远侧驱动构件248无障碍的轴向平移和径向移动。当驱动构件248已经平移以开始工具组件304的闭合时，无法致动锁定按钮282且在工具组件304被重新打开前无法移除末端执行器300。 
如图6所示，接合器200包括一对电触销290a、290b，一对电触销290a、290b与被布置在手术装置100的连接部108a中的对应的电插头190a、190b电连接。电触销290a、290b用来允许经由被电连接到电路板150上的电气插头190a、190b校准和传递生命周期信息给手术装置100的电路板150。接合器200还包括被支撑在旋钮壳体202中且与电触销290a、290b电连通的电路板。 
当用户激活手术装置的按钮时，软件会核对预定义的条件。如果符合条件，则软件会控制电动机并且将机械驱动传递给附接的手术吻合器，然后根据按下的按钮的功能，手术吻合器随后能够进行打开、闭合、旋转、关节式运动或发射。软件还通过按照定义的方式打开或熄灭彩色灯给用户提供反馈，从而指示出手术装置100、接合器200和/或末端执行器300的状态。 
在如下示意图“A”中显示了系统的高级电气结构视图，并且显示了至各个硬件和软件接口的连接情况。在示意图“A”左侧上，显示了来自按钮 124、126的按压和来自驱动轴的电动机编码器的输入。微型控制器包含操作手术装置100、接合器200和/或末端执行器300的装置软件。微型控制器接收微型局域网（MicroLAN）、超级ID（Ultra ID）芯片、电池ID（Battery ID）芯片以及接合器ID（Adaptor ID）芯片的输入以及发送输出给它们。微型局域网、超级ID芯片、电池ID芯片以及接合器ID芯片如下控制手术装置100、接合器200和/或末端执行器300： 
微型局域网     ---串行1导线总线通信以读/写系统部件ID信息。 
超级ID芯片            ---识别手术装置100并且记录使用信息。 
电池ID芯片          ---识别电池156并且记录使用信息 
接合器ID芯片          ---识别接合器200的类型，记录末端执行器300的存在并且记录使用信息 
在图27中呈现的示意图的右侧指示了：至LED的输出；电动机的选择（选择夹紧/切割、旋转或关节式运动）；以及执行所选择功能的驱动电动机的选择。 
如图1和图26所示，末端执行器被指示为300。末端执行器300被配置和定尺寸为内窥镜插入通过插管、套管针或同类物。特别地，在图1和图26所图示的实施例中，当末端执行器300处于闭合状态下时，末端执行器300可以通过插管或套管针。 
末端执行器300包括近侧主体部302和工具组件304。近侧主体部302被可释放地附接到接合器200的远侧联接组件230，而工具组件304可枢转地附接到近侧主体部302的远侧端。工具组件304包括砧座组件306和钉仓组件308。钉仓组件308相对于砧座组件306枢转并且能够在打开或未夹紧位置与闭合或夹紧位置之间移动以便于插入通过套管针的插管。 
近侧主体部302至少包括驱动组件360和关节式运动连杆366。 
参照图26，驱动组件360包括挠性驱动梁364以及近侧啮合部368，挠性驱动梁364具有被固定到动力夹紧构件365的远侧端。啮合部368包括限定台肩370的阶状部。啮合部368的近侧端包括沿直径对置的向内延伸的指状件372。指状件372与中空的驱动构件374啮合从而将驱动构件374牢固地固定到梁364的近侧端上。驱动构件374限定近侧孔口376，近侧孔口376用来当末端执行器300被附接到接合器200的远侧联接组件230时接纳接合器200的第一驱动转换器组件240的驱动管246的连接构件247。 
当驱动组件360在工具组件304内被向远侧推进时，夹紧构件365的上梁在砧座板312和砧座盖310之间限定的通道内移动，而且下梁移动到托架316外表面的上方来闭合工具组件304并从其中发射吻合钉。 
末端执行器300的近侧主体部302包括关节式运动连杆366，关节式运动连杆366具有从末端执行器300的近侧端延伸出的带钩近侧端366a。当末端执行器300被固定到接合器200的远侧壳体232时，关节式运动连杆366的带钩近侧端366a与接合器200的驱动杆258的联接钩258c相啮合。当接合器200的驱动杆258如上被推进或缩回时，末端执行器300的关节式运动连杆366会在末端执行器300内被推进或缩回以使得工具组件304相对于近侧主体部302的远侧端枢转。 
如图26所示，工具组件304的钉仓组件308包括可支撑在托架316中的吻合钉钉仓305。吻合钉钉仓305限定中央纵向狭槽305a，以及被安置在纵向狭槽305a每一侧上的三个线性排吻合钉保持狭槽305b。每一个吻合钉保持狭槽305b接纳单个吻合钉307和吻合钉推动器309的一部分。在操作手术装置100期间，驱动组件360抵靠致动滑块并推动致动滑块通过钉仓305。随着致动滑块移动通过钉仓305，致动滑块的凸轮楔顺序地与吻合钉推动器309相啮合，从而在吻合钉保持狭槽305b内垂直地移动吻合钉推动器309并从其中顺序地发射单个吻合钉307以紧靠着砧座板312成形。 
可以参考递交于2009年8月31日、名称为“手术吻合装置的工具组件（TOOL ASSEMBLY FOR A SURGICAL STAPLING DEVICE）”、公开号为2009/0314821的美国专利中对于末端执行器300的结构和操作的详细讨论。 
将要理解的是可以对这里公开的接合器组件的实施例进行各种修改。例如，电池156可以被更换成交替的电源，例如线路电压（AC或者DC）或者燃料电池。因此，上述说明不应该视为限制，而仅仅是一些特定实施例的示范。本领域技术人员将在本公开的范围和精神内构想出其他的修改。 

Claims (17)

1.一种手术装置，包括：
装置壳体，其限定选择性地与接合器组件连接的连接部；
至少一个驱动电动机，其被支撑在所述装置壳体内且被配置旋转至少一个驱动轴；
电池，其被布置以与所述至少一个驱动电动机电连通；以及
电路板，其被布置在所述壳体内以用于控制从所述电池输送到所述至少一个驱动电动机的电力；
末端执行器，其被配置以执行至少一种功能，所述末端执行器包括至少一个可轴向平移驱动构件；以及
接合器组件，其用于选择性地将所述末端执行器和所述装置壳体相互连接，所述接合器组件包括：
旋钮壳体，其被配置且适于与所述装置壳体选择性地连接并且与至少一个可旋转驱动轴中的每一个可操作地连通；
至少一个驱动转换器组件，其用于将所述至少一个可旋转驱动轴中的相应一个和所述末端执行器的至少一个可轴向平移驱动构件中的一个相互连接，其中，所述至少一个驱动转换器组件将所述可旋转驱动轴的旋转转换并传递成所述末端执行器的所述至少一个可轴向平移驱动构件的轴向平移，其中，所述至少一个驱动转换器组件包括第一驱动转换器组件，所述第一驱动转换器组件包括：
第一驱动元件，其可旋转地支撑在所述旋钮壳体中，其中，所述第一驱动元件的近侧端能够与所述可旋转驱动轴啮合；
螺母，其被螺纹连接到所述第一驱动元件的螺纹远侧部；
关节式运动套管，所述关节式运动套管的近侧部被布置以与所述螺母机械配合；
关节式运动轴承，其被布置以与所述关节式运动套管的远侧部机械配合；以及
关节式运动连杆，所述关节式运动连杆的近侧部被布置以与所述关节式运动轴承机械配合，所述关节式运动连杆的远侧部被配置以选择性地与所述末端执行器的所述至少一个可轴向平移驱动构件啮合；
其中，所述可旋转驱动轴的旋转引起所述第一驱动元件的旋转，并且其中，所述第一驱动元件的旋转引起所述螺母、所述关节式运动套管、所述关节式运动轴承、所述关节式运动连杆以及所述末端执行器的所述至少一个可轴向平移驱动构件的轴向平移。
2.根据权利要求1所述的手术装置，其中，所述关节式运动轴承被配置以能够相对于所述旋钮壳体轴向地和旋转地运动。
3.根据权利要求1所述的手术装置，其中，所述关节式运动套管的远侧部被布置以与所述关节式运动轴承的径向内部机械配合。
4.根据权利要求3所述的手术装置，其中，所述关节式运动连杆的近侧部被布置以与所述关节式轴承的径向外部机械配合。
5.根据权利要求1所述的手术装置，还包括第二驱动转换器组件，所述第二驱动转换器组件包括：
第二驱动元件，其可旋转地支撑在所述旋钮壳体中，其中，所述第二驱动元件的近侧端能够连接到所述手术装置的第二可旋转驱动轴；
第一齿轮，其被布置以与所述第二驱动元件的远侧部机械配合；
第二齿轮，其被布置以与所述第一齿轮机械配合；以及
齿圈，其被布置以与所述第二齿轮机械配合且被布置以与所述末端执行器机械配合，所述齿圈相对于所述旋钮壳体被固定而不能旋转；
其中，所述第二可旋转驱动轴的旋转引起所述第一齿轮的旋转，所述第一齿轮的旋转引起所述第二齿轮的旋转，所述第二齿轮的旋转引起所述齿圈的旋转，而所述齿圈的旋转引起所述末端执行器的旋转。
6.根据权利要求5所述的手术装置，其中，所述旋钮壳体包括驱动联接壳体，所述驱动联接壳体能够相对于所述旋钮壳体的余部旋转。
7.根据权利要求6所述的手术装置，还包括旋转轴承，其中，所述驱动联接壳体被旋转地固定到所述旋转轴承，并且其中，所述旋钮壳体能够相对于所述旋转轴承旋转。
8.根据权利要求5所述的手术装置，其中，所述齿圈包括围绕其内周布置的多个齿。
9.根据权利要求1所述的手术装置，其中，所述关节式运动连杆的远侧部包括被配置在其中用来可释放地接受所述末端执行器的至少一个可轴向平移驱动构件的一部分的狭槽。
10.根据权利要求9所述的手术装置，其中，所述狭槽包括锥形开口。
11.一种接合器组件，其用于将手术用末端执行器和具有至少一个可旋转驱动轴的手柄组件选择性地相互连接，所述接合器组件包括：
旋钮壳体，其被配置且适于选择性地连接到手柄组件，所述旋钮壳体包括驱动联接壳体；
至少一个驱动转换器组件，其用于将所述至少一个可旋转驱动轴中的相应一个与手术用末端执行器的一部分相互连接，其中，所述至少一个驱动转换器组件将所述旋转驱动轴的旋转转换并传递成所述末端执行器的所述至少一个可轴向平移驱动构件的轴向平移，其中，所述至少一个驱动转换器组件包括第一驱动转换器组件，所述第一驱动转换器组件包括：
驱动元件，其可旋转地支撑在接合器壳体中；
第一齿轮，其被布置以与所述驱动元件的远侧部机械配合；
第二齿轮，其被布置以与所述第一齿轮机械配合；
齿圈，其被布置以与所述第二齿轮机械配合且被布置以与所述接合器组件的末端执行器啮合部机械配合，所述齿圈相对于所述接合器壳体被固定而不能旋转；以及
旋转轴承，其中，所述驱动联接壳体被旋转地固定到所述旋转轴承，并且其中，所述旋钮壳体能够相对于所述旋转轴承旋转；
其中，所述驱动元件的旋转引起所述第一齿轮的旋转，所述第一齿轮的旋转引起所述第二齿轮的旋转，所述第二齿轮的旋转引起所述齿圈的旋转，而所述齿圈的旋转引起所述接合器组件的末端执行器啮合部的旋转。
12.根据权利要求11所述的接合器组件，其中，所述齿圈包括围绕其内周布置的多个齿。
13.根据权利要求11所述的接合器组件，其中，所述驱动联接壳体能够相对于所述旋钮壳体的余部旋转。
14.根据权利要求11所述的接合器组件，还包括第二驱动转换器组件，所述第二驱动转换器组件包括：
第二驱动元件，其可旋转地支撑在所述旋钮壳体中；
螺母，其被螺纹连接到所述第二驱动元件的螺纹远侧部；
关节式运动套管，所述关节式运动套管的近侧部被布置以与所述螺母机械配合；
关节式运动轴承，其被布置以与所述关节式运动套管的远侧部机械配合；以及
关节式运动连杆，所述关节式运动连杆的近侧部被布置以与所述关节式运动轴承机械配合，所述关节式运动连杆的远侧部被配置以选择性地与末端执行器的一部分啮合；
其中，所述第二驱动元件的旋转引起所述螺母、所述关节式运动套管、所述关节式运动轴承以及所述关节式运动连杆的轴向平移。
15.根据权利要求14所述的接合器组件，其中，所述关节式运动轴承被配置以能够相对于所述旋钮壳体轴向地和旋转地运动。
16.根据权利要求14所述的接合器组件，其中，所述关节式运动套管的远侧部被布置以与所述关节式运动轴承的径向内部机械配合。
17.根据权利要求16所述的接合器组件，其中，所述关节式运动连杆的近侧部被布置以与所述关节式运动轴承的径向外部机械配合。
CN201310217662.XA 2012-06-01 2013-06-03 手持式手术用手柄组件、手术用手柄组件和手术用末端执行器之间使用的手术用接合器及使用方法 Active CN103445817B (zh)

Priority Applications (2)

Application Number Priority Date Filing Date Title
CN202010305659.3A CN111481252B (zh) 2012-06-01 2013-06-03 手持式手术用手柄组件、手术用手柄组件和手术用末端执行器之间使用的手术用接合器
CN201710701920.XA CN107411792B (zh) 2012-06-01 2013-06-03 手持式手术用手柄组件、手术用手柄组件和手术用末端执行器之间使用的手术用接合器

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
US201261654191P 2012-06-01 2012-06-01
US61/654,191 2012-06-01
US13/875,571 2013-05-02
US13/875,571 US9597104B2 (en) 2012-06-01 2013-05-02 Handheld surgical handle assembly, surgical adapters for use between surgical handle assembly and surgical end effectors, and methods of use

Related Child Applications (2)

Application Number Title Priority Date Filing Date
CN201710701920.XA Division CN107411792B (zh) 2012-06-01 2013-06-03 手持式手术用手柄组件、手术用手柄组件和手术用末端执行器之间使用的手术用接合器
CN202010305659.3A Division CN111481252B (zh) 2012-06-01 2013-06-03 手持式手术用手柄组件、手术用手柄组件和手术用末端执行器之间使用的手术用接合器

Publications (2)

Publication Number Publication Date
CN103445817A true CN103445817A (zh) 2013-12-18
CN103445817B CN103445817B (zh) 2017-09-08

Family

ID=48607033

Family Applications (3)

Application Number Title Priority Date Filing Date
CN201710701920.XA Active CN107411792B (zh) 2012-06-01 2013-06-03 手持式手术用手柄组件、手术用手柄组件和手术用末端执行器之间使用的手术用接合器
CN202010305659.3A Active CN111481252B (zh) 2012-06-01 2013-06-03 手持式手术用手柄组件、手术用手柄组件和手术用末端执行器之间使用的手术用接合器
CN201310217662.XA Active CN103445817B (zh) 2012-06-01 2013-06-03 手持式手术用手柄组件、手术用手柄组件和手术用末端执行器之间使用的手术用接合器及使用方法

Family Applications Before (2)

Application Number Title Priority Date Filing Date
CN201710701920.XA Active CN107411792B (zh) 2012-06-01 2013-06-03 手持式手术用手柄组件、手术用手柄组件和手术用末端执行器之间使用的手术用接合器
CN202010305659.3A Active CN111481252B (zh) 2012-06-01 2013-06-03 手持式手术用手柄组件、手术用手柄组件和手术用末端执行器之间使用的手术用接合器

Country Status (6)

Country Link
US (4) US9597104B2 (zh)
EP (2) EP2668911B1 (zh)
JP (1) JP6239867B2 (zh)
CN (3) CN107411792B (zh)
AU (1) AU2013205875B2 (zh)
CA (1) CA2816279C (zh)

Cited By (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN104783854A (zh) * 2014-01-17 2015-07-22 柯惠Lp公司 机电手术组件
CN105212981A (zh) * 2014-06-26 2016-01-06 柯惠Lp公司 手持式手术手柄组件、在手术手柄组件和手术末端执行器间使用的手术接合器及其使用方法
CN107106167A (zh) * 2014-09-05 2017-08-29 伊西康有限责任公司 用于加电医疗装置的多马达控制
CN108601604A (zh) * 2016-05-17 2018-09-28 科瑞欧医疗有限公司 用于外科手术器械的控制装置
CN111513775A (zh) * 2015-04-10 2020-08-11 柯惠Lp公司 接合器组件和机电手术系统
CN111544071A (zh) * 2014-10-21 2020-08-18 柯惠Lp公司 用于手术设备的接合器组件、延伸组件和连接器组件
CN112617935A (zh) * 2020-12-18 2021-04-09 苏州法兰克曼医疗器械有限公司 一种具有自动复位保险机构的消化内科用吻合器
CN114829838A (zh) * 2019-12-11 2022-07-29 A.A.G.斯图基私人有限责任公司 具有移动指令装置的连接装置

Families Citing this family (598)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US10285694B2 (en) 2001-10-20 2019-05-14 Covidien Lp Surgical stapler with timer and feedback display
US9060770B2 (en) 2003-05-20 2015-06-23 Ethicon Endo-Surgery, Inc. Robotically-driven surgical instrument with E-beam driver
US20070084897A1 (en) 2003-05-20 2007-04-19 Shelton Frederick E Iv Articulating surgical stapling instrument incorporating a two-piece e-beam firing mechanism
US10022123B2 (en) 2012-07-09 2018-07-17 Covidien Lp Surgical adapter assemblies for use between surgical handle assembly and surgical end effectors
US10041822B2 (en) 2007-10-05 2018-08-07 Covidien Lp Methods to shorten calibration times for powered devices
US11311291B2 (en) 2003-10-17 2022-04-26 Covidien Lp Surgical adapter assemblies for use between surgical handle assembly and surgical end effectors
US9055943B2 (en) 2007-09-21 2015-06-16 Covidien Lp Hand held surgical handle assembly, surgical adapters for use between surgical handle assembly and surgical end effectors, and methods of use
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
US7947034B2 (en) 2004-07-30 2011-05-24 Tyco Healthcare Group Lp Flexible shaft extender and method of using same
US11291443B2 (en) 2005-06-03 2022-04-05 Covidien Lp Surgical stapler with timer and feedback display
CN102988087B (zh) 2005-07-27 2015-09-09 柯惠Lp公司 例如用于机电手术设备的轴
US10159482B2 (en) 2005-08-31 2018-12-25 Ethicon Llc Fastener cartridge assembly comprising a fixed anvil and different staple heights
US7669746B2 (en) 2005-08-31 2010-03-02 Ethicon Endo-Surgery, Inc. Staple cartridges for forming staples having differing formed staple heights
US11246590B2 (en) 2005-08-31 2022-02-15 Cilag Gmbh International Staple cartridge including staple drivers having different unfired heights
US11484312B2 (en) 2005-08-31 2022-11-01 Cilag Gmbh International Staple cartridge comprising a staple driver arrangement
US9237891B2 (en) 2005-08-31 2016-01-19 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical stapling devices that produce formed staples having different lengths
US7934630B2 (en) 2005-08-31 2011-05-03 Ethicon Endo-Surgery, Inc. Staple cartridges for forming staples having differing formed staple heights
US20070106317A1 (en) 2005-11-09 2007-05-10 Shelton Frederick E Iv Hydraulically and electrically actuated articulation joints for surgical instruments
US11224427B2 (en) 2006-01-31 2022-01-18 Cilag Gmbh International Surgical stapling system including a console and retraction assembly
US20110290856A1 (en) 2006-01-31 2011-12-01 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical instrument with force-feedback 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
US8820603B2 (en) 2006-01-31 2014-09-02 Ethicon Endo-Surgery, Inc. Accessing data stored in a memory of a surgical instrument
US7845537B2 (en) 2006-01-31 2010-12-07 Ethicon Endo-Surgery, Inc. Surgical instrument having recording capabilities
US11278279B2 (en) 2006-01-31 2022-03-22 Cilag Gmbh International Surgical instrument assembly
US11793518B2 (en) 2006-01-31 2023-10-24 Cilag Gmbh International Powered surgical instruments with firing system lockout arrangements
US8186555B2 (en) 2006-01-31 2012-05-29 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with mechanical closure system
US20120292367A1 (en) 2006-01-31 2012-11-22 Ethicon Endo-Surgery, Inc. Robotically-controlled end effector
US8708213B2 (en) 2006-01-31 2014-04-29 Ethicon Endo-Surgery, Inc. Surgical instrument having a feedback system
US8992422B2 (en) 2006-03-23 2015-03-31 Ethicon Endo-Surgery, Inc. Robotically-controlled endoscopic accessory channel
US20070225562A1 (en) 2006-03-23 2007-09-27 Ethicon Endo-Surgery, Inc. Articulating endoscopic accessory channel
US8322455B2 (en) 2006-06-27 2012-12-04 Ethicon Endo-Surgery, Inc. Manually driven surgical cutting and fastening instrument
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
US7506791B2 (en) 2006-09-29 2009-03-24 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with mechanical mechanism for limiting maximum tissue compression
US11291441B2 (en) 2007-01-10 2022-04-05 Cilag Gmbh International Surgical instrument with wireless communication between control unit 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
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
US11039836B2 (en) 2007-01-11 2021-06-22 Cilag Gmbh International Staple cartridge for use with a surgical stapling instrument
US8727197B2 (en) 2007-03-15 2014-05-20 Ethicon Endo-Surgery, Inc. Staple cartridge cavity configuration with cooperative surgical staple
US8893946B2 (en) 2007-03-28 2014-11-25 Ethicon Endo-Surgery, Inc. Laparoscopic tissue thickness and clamp load measuring devices
US11259801B2 (en) 2007-04-13 2022-03-01 Covidien Lp Powered surgical instrument
US20080255413A1 (en) 2007-04-13 2008-10-16 Michael Zemlok Powered surgical instrument
US7823760B2 (en) 2007-05-01 2010-11-02 Tyco Healthcare Group Lp Powered surgical stapling device platform
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
WO2009039510A1 (en) 2007-09-21 2009-03-26 Power Medical Interventions, Inc. Surgical device
US8517241B2 (en) 2010-04-16 2013-08-27 Covidien Lp Hand-held surgical devices
US10779818B2 (en) 2007-10-05 2020-09-22 Covidien Lp Powered surgical stapling device
US10498269B2 (en) 2007-10-05 2019-12-03 Covidien Lp Powered surgical stapling device
BRPI0901282A2 (pt) 2008-02-14 2009-11-17 Ethicon Endo Surgery Inc instrumento cirúrgico de corte e fixação dotado de eletrodos de rf
US8758391B2 (en) 2008-02-14 2014-06-24 Ethicon Endo-Surgery, Inc. Interchangeable tools for surgical instruments
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
US7819298B2 (en) 2008-02-14 2010-10-26 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with control features operable with one hand
US7866527B2 (en) 2008-02-14 2011-01-11 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with interlockable firing system
US9179912B2 (en) 2008-02-14 2015-11-10 Ethicon Endo-Surgery, Inc. Robotically-controlled motorized surgical cutting and fastening instrument
US9770245B2 (en) 2008-02-15 2017-09-26 Ethicon Llc Layer arrangements for surgical staple cartridges
US11272927B2 (en) 2008-02-15 2022-03-15 Cilag Gmbh International Layer arrangements for surgical staple cartridges
US9386983B2 (en) 2008-09-23 2016-07-12 Ethicon Endo-Surgery, Llc Robotically-controlled motorized surgical instrument
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
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
US8517239B2 (en) 2009-02-05 2013-08-27 Ethicon Endo-Surgery, Inc. Surgical stapling instrument comprising a magnetic element driver
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
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
US8851354B2 (en) 2009-12-24 2014-10-07 Ethicon Endo-Surgery, Inc. Surgical cutting instrument that analyzes tissue thickness
US8220688B2 (en) 2009-12-24 2012-07-17 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting instrument with electric actuator directional control assembly
US8783543B2 (en) 2010-07-30 2014-07-22 Ethicon Endo-Surgery, Inc. Tissue acquisition arrangements and methods for surgical stapling devices
US9282962B2 (en) 2010-09-30 2016-03-15 Ethicon Endo-Surgery, Llc Adhesive film laminate
US9016542B2 (en) 2010-09-30 2015-04-28 Ethicon Endo-Surgery, Inc. Staple cartridge comprising compressible distortion resistant components
US10945731B2 (en) 2010-09-30 2021-03-16 Ethicon Llc Tissue thickness compensator comprising controlled release and expansion
US9220501B2 (en) 2010-09-30 2015-12-29 Ethicon Endo-Surgery, Inc. Tissue thickness compensators
US9204880B2 (en) 2012-03-28 2015-12-08 Ethicon Endo-Surgery, Inc. Tissue thickness compensator comprising capsules defining a low pressure environment
US9386988B2 (en) 2010-09-30 2016-07-12 Ethicon End-Surgery, LLC Retainer assembly including a tissue thickness compensator
US11812965B2 (en) 2010-09-30 2023-11-14 Cilag Gmbh International Layer of material for a surgical end effector
US9211120B2 (en) 2011-04-29 2015-12-15 Ethicon Endo-Surgery, Inc. Tissue thickness compensator comprising a plurality of medicaments
US11849952B2 (en) 2010-09-30 2023-12-26 Cilag Gmbh International Staple cartridge comprising staples positioned within a compressible portion thereof
US9629814B2 (en) 2010-09-30 2017-04-25 Ethicon Endo-Surgery, Llc Tissue thickness compensator configured to redistribute compressive forces
US9517063B2 (en) 2012-03-28 2016-12-13 Ethicon Endo-Surgery, Llc Movable member for use with a tissue thickness compensator
US11298125B2 (en) 2010-09-30 2022-04-12 Cilag Gmbh International Tissue stapler having a thickness compensator
US9364233B2 (en) 2010-09-30 2016-06-14 Ethicon Endo-Surgery, Llc Tissue thickness compensators for circular surgical staplers
EP2621356B1 (en) 2010-09-30 2018-03-07 Ethicon LLC Fastener system comprising a retention matrix and an alignment matrix
US8695866B2 (en) 2010-10-01 2014-04-15 Ethicon Endo-Surgery, Inc. Surgical instrument having a power control circuit
US8292150B2 (en) 2010-11-02 2012-10-23 Tyco Healthcare Group Lp Adapter for powered surgical devices
US9549758B2 (en) 2011-03-23 2017-01-24 Covidien Lp Surgical access assembly with adapter
CA2834649C (en) 2011-04-29 2021-02-16 Ethicon Endo-Surgery, Inc. Staple cartridge comprising staples positioned within a compressible portion thereof
US9072535B2 (en) 2011-05-27 2015-07-07 Ethicon Endo-Surgery, Inc. Surgical stapling instruments with rotatable staple deployment arrangements
US11207064B2 (en) 2011-05-27 2021-12-28 Cilag Gmbh International Automated end effector component reloading system for use with a robotic system
US8672206B2 (en) 2011-10-25 2014-03-18 Covidien Lp Apparatus for endoscopic procedures
US11207089B2 (en) 2011-10-25 2021-12-28 Covidien Lp Apparatus for endoscopic procedures
US9492146B2 (en) 2011-10-25 2016-11-15 Covidien Lp Apparatus for endoscopic procedures
US9480492B2 (en) 2011-10-25 2016-11-01 Covidien Lp Apparatus for endoscopic procedures
US9016539B2 (en) 2011-10-25 2015-04-28 Covidien Lp Multi-use loading unit
US9364231B2 (en) 2011-10-27 2016-06-14 Covidien Lp System and method of using simulation reload to optimize staple formation
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
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
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
BR112014024098B1 (pt) 2012-03-28 2021-05-25 Ethicon Endo-Surgery, Inc. cartucho de grampos
US10080563B2 (en) 2012-06-01 2018-09-25 Covidien Lp Loading unit detection assembly and surgical device for use therewith
US9868198B2 (en) 2012-06-01 2018-01-16 Covidien Lp Hand held surgical handle assembly, surgical adapters for use between surgical handle assembly and surgical loading units, and methods of use
US9597104B2 (en) 2012-06-01 2017-03-21 Covidien Lp Handheld surgical handle assembly, surgical adapters for use between surgical handle assembly and surgical end effectors, and methods of use
US9101358B2 (en) 2012-06-15 2015-08-11 Ethicon Endo-Surgery, Inc. Articulatable surgical instrument comprising a firing drive
US9364220B2 (en) 2012-06-19 2016-06-14 Covidien Lp Apparatus for endoscopic procedures
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
US9226751B2 (en) 2012-06-28 2016-01-05 Ethicon Endo-Surgery, Inc. Surgical instrument system including replaceable end effectors
US9289256B2 (en) 2012-06-28 2016-03-22 Ethicon Endo-Surgery, Llc Surgical end effectors having angled tissue-contacting surfaces
US20140001231A1 (en) 2012-06-28 2014-01-02 Ethicon Endo-Surgery, Inc. Firing system lockout arrangements for surgical instruments
US20140005640A1 (en) 2012-06-28 2014-01-02 Ethicon Endo-Surgery, Inc. Surgical end effector jaw and electrode configurations
US11278284B2 (en) 2012-06-28 2022-03-22 Cilag Gmbh International Rotary drive arrangements for surgical instruments
US9204879B2 (en) 2012-06-28 2015-12-08 Ethicon Endo-Surgery, Inc. Flexible drive member
US9282974B2 (en) 2012-06-28 2016-03-15 Ethicon Endo-Surgery, Llc Empty clip cartridge lockout
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
US10492814B2 (en) 2012-07-09 2019-12-03 Covidien Lp Apparatus for endoscopic procedures
US9421014B2 (en) 2012-10-18 2016-08-23 Covidien Lp Loading unit velocity and position feedback
US10918364B2 (en) 2013-01-24 2021-02-16 Covidien Lp Intelligent adapter assembly for use with an electromechanical surgical system
US9421003B2 (en) 2013-02-18 2016-08-23 Covidien Lp Apparatus for endoscopic procedures
US9216013B2 (en) 2013-02-18 2015-12-22 Covidien Lp Apparatus for endoscopic procedures
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
US9332987B2 (en) 2013-03-14 2016-05-10 Ethicon Endo-Surgery, Llc Control arrangements for a drive member of a surgical instrument
US9629629B2 (en) 2013-03-14 2017-04-25 Ethicon Endo-Surgey, LLC Control systems for surgical instruments
US9700318B2 (en) 2013-04-09 2017-07-11 Covidien Lp Apparatus for endoscopic procedures
US9775610B2 (en) 2013-04-09 2017-10-03 Covidien Lp Apparatus for endoscopic procedures
US9844368B2 (en) 2013-04-16 2017-12-19 Ethicon Llc Surgical system comprising first and second drive systems
BR112015026109B1 (pt) 2013-04-16 2022-02-22 Ethicon Endo-Surgery, Inc Instrumento cirúrgico
US9801646B2 (en) 2013-05-30 2017-10-31 Covidien Lp Adapter load button decoupled from loading unit sensor
US10117654B2 (en) 2013-06-18 2018-11-06 Covidien Lp Method of emergency retraction for electro-mechanical surgical devices and systems
US9797486B2 (en) 2013-06-20 2017-10-24 Covidien Lp Adapter direct drive with manual retraction, lockout and connection mechanisms
US9629633B2 (en) 2013-07-09 2017-04-25 Covidien Lp Surgical device, surgical adapters for use between surgical handle assembly and surgical loading units, and methods of use
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
US20150053746A1 (en) 2013-08-23 2015-02-26 Ethicon Endo-Surgery, Inc. Torque optimization for surgical instruments
US9539006B2 (en) 2013-08-27 2017-01-10 Covidien Lp Hand held electromechanical surgical handle assembly for use with surgical end effectors, and methods of use
US9955966B2 (en) 2013-09-17 2018-05-01 Covidien Lp Adapter direct drive with manual retraction, lockout, and connection mechanisms for improper use prevention
US10271840B2 (en) 2013-09-18 2019-04-30 Covidien Lp Apparatus and method for differentiating between tissue and mechanical obstruction in a surgical instrument
US9974540B2 (en) 2013-10-18 2018-05-22 Covidien Lp Adapter direct drive twist-lock retention mechanism
US9295522B2 (en) 2013-11-08 2016-03-29 Covidien Lp Medical device adapter with wrist mechanism
US10236616B2 (en) 2013-12-04 2019-03-19 Covidien Lp Adapter assembly for interconnecting surgical devices and surgical attachments, and surgical systems thereof
ES2755485T3 (es) 2013-12-09 2020-04-22 Covidien Lp Conjunto de adaptador para la interconexión de dispositivos quirúrgicos electromecánicos y unidades de carga quirúrgica, y sistemas quirúrgicos de los mismos
US9918713B2 (en) * 2013-12-09 2018-03-20 Covidien Lp Adapter assembly for interconnecting electromechanical surgical devices and surgical loading units, and surgical systems thereof
CN110074844B (zh) 2013-12-11 2023-02-17 柯惠Lp公司 用于机器人手术系统的腕组件及钳夹组件
CN105813580B (zh) 2013-12-12 2019-10-15 柯惠Lp公司 用于机器人手术系统的齿轮系组件
US9808245B2 (en) 2013-12-13 2017-11-07 Covidien Lp Coupling assembly for interconnecting an adapter assembly and a surgical device, and surgical systems thereof
US9968354B2 (en) 2013-12-23 2018-05-15 Ethicon Llc Surgical staples and methods for making the same
US9724092B2 (en) 2013-12-23 2017-08-08 Ethicon Llc Modular surgical instruments
US9839428B2 (en) 2013-12-23 2017-12-12 Ethicon Llc Surgical cutting and stapling instruments with independent jaw control features
US20150173756A1 (en) 2013-12-23 2015-06-25 Ethicon Endo-Surgery, Inc. Surgical cutting and stapling methods
US9655616B2 (en) 2014-01-22 2017-05-23 Covidien Lp Apparatus for endoscopic procedures
US10219869B2 (en) 2014-02-12 2019-03-05 Covidien Lp Surgical end effectors and pulley assemblies thereof
US9962161B2 (en) 2014-02-12 2018-05-08 Ethicon Llc Deliverable surgical instrument
US9301691B2 (en) 2014-02-21 2016-04-05 Covidien Lp Instrument for optically detecting tissue attributes
US9839422B2 (en) 2014-02-24 2017-12-12 Ethicon Llc Implantable layers and methods for altering implantable layers for use with surgical fastening instruments
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
US10004497B2 (en) 2014-03-26 2018-06-26 Ethicon Llc Interface systems for use with surgical instruments
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
US9733663B2 (en) 2014-03-26 2017-08-15 Ethicon Llc Power management through segmented circuit and variable voltage protection
US10660713B2 (en) 2014-03-31 2020-05-26 Covidien Lp Wrist and jaw assemblies for robotic surgical systems
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
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
US10561422B2 (en) 2014-04-16 2020-02-18 Ethicon Llc Fastener cartridge comprising deployable tissue engaging members
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
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
US20150297205A1 (en) 2014-04-17 2015-10-22 Covidien Lp Manual retraction tool for use with an electromechanical surgical device
US10164466B2 (en) 2014-04-17 2018-12-25 Covidien Lp Non-contact surgical adapter electrical interface
US10080552B2 (en) 2014-04-21 2018-09-25 Covidien Lp Adapter assembly with gimbal for interconnecting electromechanical surgical devices and surgical loading units, and surgical systems thereof
US10258363B2 (en) 2014-04-22 2019-04-16 Ethicon Llc Method of operating an articulating ultrasonic surgical instrument
US10667835B2 (en) * 2014-04-22 2020-06-02 Ethicon Llc Ultrasonic surgical instrument with end effector having restricted articulation
US9861366B2 (en) 2014-05-06 2018-01-09 Covidien Lp Ejecting assembly for a surgical stapler
US9913643B2 (en) 2014-05-09 2018-03-13 Covidien Lp Interlock assemblies for replaceable loading unit
US9713466B2 (en) 2014-05-16 2017-07-25 Covidien Lp Adaptor for surgical instrument for converting rotary input to linear output
US10045781B2 (en) 2014-06-13 2018-08-14 Ethicon Llc Closure lockout systems for surgical instruments
US9987095B2 (en) 2014-06-26 2018-06-05 Covidien Lp Adapter assemblies for interconnecting electromechanical handle assemblies and surgical loading units
US9763661B2 (en) 2014-06-26 2017-09-19 Covidien Lp Adapter assembly for interconnecting electromechanical surgical devices and surgical loading units, and surgical systems thereof
US10561418B2 (en) 2014-06-26 2020-02-18 Covidien Lp Adapter assemblies for interconnecting surgical loading units and handle assemblies
US9839425B2 (en) 2014-06-26 2017-12-12 Covidien Lp Adapter assembly for interconnecting electromechanical surgical devices and surgical loading units, and surgical systems thereof
US10163589B2 (en) 2014-06-26 2018-12-25 Covidien Lp Adapter assemblies for interconnecting surgical loading units and handle assemblies
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
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
US10603128B2 (en) 2014-10-07 2020-03-31 Covidien Lp Handheld electromechanical surgical system
US10076325B2 (en) 2014-10-13 2018-09-18 Ethicon Llc Surgical stapling apparatus comprising a tissue stop
US9924944B2 (en) 2014-10-16 2018-03-27 Ethicon Llc Staple cartridge comprising an adjunct material
US10729443B2 (en) 2014-10-21 2020-08-04 Covidien Lp Adapter, extension, and connector assemblies for surgical devices
US9991069B2 (en) * 2014-10-22 2018-06-05 Covidien Lp Surgical instruments and switch assemblies thereof
US10085750B2 (en) 2014-10-22 2018-10-02 Covidien Lp Adapter with fire rod J-hook lockout
US9949737B2 (en) 2014-10-22 2018-04-24 Covidien Lp Adapter assemblies for interconnecting surgical loading units and handle assemblies
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
US9844376B2 (en) 2014-11-06 2017-12-19 Ethicon Llc Staple cartridge comprising a releasable adjunct material
US10898196B2 (en) 2014-11-21 2021-01-26 Covidien Lp Cleaning apparatus for surgical instruments
US10736636B2 (en) 2014-12-10 2020-08-11 Ethicon Llc Articulatable surgical instrument system
US10004501B2 (en) 2014-12-18 2018-06-26 Ethicon Llc Surgical instruments with improved closure arrangements
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
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.
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
US9987000B2 (en) 2014-12-18 2018-06-05 Ethicon Llc Surgical instrument assembly comprising a flexible articulation system
US10117649B2 (en) 2014-12-18 2018-11-06 Ethicon Llc Surgical instrument assembly comprising a lockable articulation system
US10188385B2 (en) 2014-12-18 2019-01-29 Ethicon Llc Surgical instrument system comprising lockable systems
US10039549B2 (en) * 2015-01-07 2018-08-07 Covidien Lp Loading unit retention clip for surgical stapling instrument
US10111665B2 (en) 2015-02-19 2018-10-30 Covidien Lp Electromechanical surgical systems
US10321907B2 (en) 2015-02-27 2019-06-18 Ethicon Llc System for monitoring whether a surgical instrument needs to be serviced
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
US11154301B2 (en) 2015-02-27 2021-10-26 Cilag Gmbh International Modular stapling assembly
US9993258B2 (en) 2015-02-27 2018-06-12 Ethicon Llc Adaptable surgical instrument handle
US10548504B2 (en) 2015-03-06 2020-02-04 Ethicon Llc Overlaid multi sensor radio frequency (RF) electrode system to measure tissue compression
US10245033B2 (en) 2015-03-06 2019-04-02 Ethicon Llc Surgical instrument comprising a lockable battery housing
US9808246B2 (en) 2015-03-06 2017-11-07 Ethicon Endo-Surgery, Llc Method of operating a powered surgical instrument
US10617412B2 (en) 2015-03-06 2020-04-14 Ethicon Llc System for detecting the mis-insertion of a staple cartridge into a surgical stapler
US10441279B2 (en) 2015-03-06 2019-10-15 Ethicon Llc Multiple level thresholds to modify operation of powered surgical instruments
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
US10687806B2 (en) 2015-03-06 2020-06-23 Ethicon Llc Adaptive tissue compression techniques to adjust closure rates for multiple tissue types
US9901342B2 (en) 2015-03-06 2018-02-27 Ethicon Endo-Surgery, Llc Signal and power communication system positioned on a rotatable shaft
US10045776B2 (en) 2015-03-06 2018-08-14 Ethicon Llc Control techniques and sub-processor contained within modular shaft with select control processing from handle
US9924961B2 (en) 2015-03-06 2018-03-27 Ethicon Endo-Surgery, Llc Interactive feedback system for powered surgical instruments
US9993248B2 (en) 2015-03-06 2018-06-12 Ethicon Endo-Surgery, Llc Smart sensors with local signal processing
US10190888B2 (en) 2015-03-11 2019-01-29 Covidien Lp Surgical stapling instruments with linear position assembly
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
US11432902B2 (en) 2015-04-10 2022-09-06 Covidien Lp Surgical devices with moisture control
US10327779B2 (en) 2015-04-10 2019-06-25 Covidien Lp Adapter, extension, and connector assemblies for surgical devices
US10426468B2 (en) 2015-04-22 2019-10-01 Covidien Lp Handheld electromechanical surgical system
US11278286B2 (en) 2015-04-22 2022-03-22 Covidien Lp Handheld electromechanical surgical system
US10299789B2 (en) 2015-05-05 2019-05-28 Covidie LP Adapter assembly for surgical stapling devices
US10117650B2 (en) 2015-05-05 2018-11-06 Covidien Lp Adapter assembly and loading units for surgical stapling devices
US10368861B2 (en) 2015-06-18 2019-08-06 Ethicon Llc Dual articulation drive system arrangements for articulatable surgical instruments
US10751058B2 (en) 2015-07-28 2020-08-25 Covidien Lp Adapter assemblies for surgical devices
US11058425B2 (en) 2015-08-17 2021-07-13 Ethicon Llc Implantable layers for a surgical instrument
US10357251B2 (en) 2015-08-26 2019-07-23 Ethicon Llc Surgical staples comprising hardness variations for improved fastening of tissue
JP6828018B2 (ja) 2015-08-26 2021-02-10 エシコン エルエルシーＥｔｈｉｃｏｎ ＬＬＣ ステープルの特性変更を可能にし、カートリッジへの充填を容易にする外科用ステープルストリップ
MX2022006192A (es) 2015-09-02 2022-06-16 Ethicon Llc Configuraciones de grapas quirurgicas con superficies de leva situadas entre porciones que soportan grapas quirurgicas.
US10238390B2 (en) 2015-09-02 2019-03-26 Ethicon Llc Surgical staple cartridges with driver arrangements for establishing herringbone staple patterns
US10076326B2 (en) 2015-09-23 2018-09-18 Ethicon Llc Surgical stapler having current mirror-based motor control
US10327769B2 (en) 2015-09-23 2019-06-25 Ethicon Llc Surgical stapler having motor control based on a drive system component
US10085751B2 (en) 2015-09-23 2018-10-02 Ethicon Llc Surgical stapler having temperature-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
US10363036B2 (en) 2015-09-23 2019-07-30 Ethicon Llc Surgical stapler having force-based motor control
US10105139B2 (en) 2015-09-23 2018-10-23 Ethicon Llc Surgical stapler having downstream current-based motor control
JP6802265B2 (ja) 2015-09-25 2020-12-16 コヴィディエン リミテッド パートナーシップ 外科用ロボットアセンブリ及びその器具用アダプタ
CA2994443A1 (en) * 2015-09-25 2017-03-30 Covidien Lp Robotic surgical assemblies and electromechanical instruments thereof
WO2017053363A1 (en) 2015-09-25 2017-03-30 Covidien Lp Robotic surgical assemblies and instrument drive connectors thereof
US10299878B2 (en) 2015-09-25 2019-05-28 Ethicon Llc Implantable adjunct systems for determining adjunct skew
US10182813B2 (en) * 2015-09-29 2019-01-22 Ethicon Llc Surgical stapling instrument with shaft release, powered firing, and powered articulation
US10327777B2 (en) 2015-09-30 2019-06-25 Ethicon Llc Implantable layer comprising plastically deformed fibers
US10285699B2 (en) 2015-09-30 2019-05-14 Ethicon Llc Compressible adjunct
US10980539B2 (en) 2015-09-30 2021-04-20 Ethicon Llc Implantable adjunct comprising bonded layers
US11890015B2 (en) 2015-09-30 2024-02-06 Cilag Gmbh International Compressible adjunct with crossing spacer fibers
US10371238B2 (en) 2015-10-09 2019-08-06 Covidien Lp Adapter assembly for surgical device
US10413298B2 (en) 2015-10-14 2019-09-17 Covidien Lp Adapter assembly for surgical devices
US10729435B2 (en) * 2015-11-06 2020-08-04 Covidien Lp Adapter assemblies for interconnecting surgical loading units and handle assemblies
US10939952B2 (en) 2015-11-06 2021-03-09 Covidien Lp Adapter, extension, and connector assemblies for surgical devices
US10292705B2 (en) 2015-11-06 2019-05-21 Covidien Lp Surgical apparatus
US10595864B2 (en) * 2015-11-24 2020-03-24 Covidien Lp Adapter assembly for interconnecting electromechanical surgical devices and surgical loading units, and surgical systems thereof
US10617411B2 (en) 2015-12-01 2020-04-14 Covidien Lp Adapter assembly for surgical device
US10433841B2 (en) 2015-12-10 2019-10-08 Covidien Lp Adapter assembly for surgical device
US10420554B2 (en) 2015-12-22 2019-09-24 Covidien Lp Personalization of powered surgical devices
US10285690B2 (en) 2015-12-22 2019-05-14 Covidien Lp Surgical instruments and switch assemblies thereof
US10253847B2 (en) 2015-12-22 2019-04-09 Covidien Lp Electromechanical surgical devices with single motor drives and adapter assemblies therfor
US10292704B2 (en) 2015-12-30 2019-05-21 Ethicon Llc Mechanisms for compensating for battery pack failure in powered surgical instruments
US10265068B2 (en) 2015-12-30 2019-04-23 Ethicon Llc Surgical instruments with separable motors and motor control circuits
US10368865B2 (en) 2015-12-30 2019-08-06 Ethicon Llc Mechanisms for compensating for drivetrain failure in powered surgical instruments
US10314579B2 (en) 2016-01-07 2019-06-11 Covidien Lp Adapter assemblies for interconnecting surgical loading units and handle assemblies
US10524797B2 (en) 2016-01-13 2020-01-07 Covidien Lp Adapter assembly including a removable trocar assembly
US10660623B2 (en) 2016-01-15 2020-05-26 Covidien Lp Centering mechanism for articulation joint
US10508720B2 (en) 2016-01-21 2019-12-17 Covidien Lp Adapter assembly with planetary gear drive for interconnecting electromechanical surgical devices and surgical loading units, and surgical systems thereof
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
US10835255B2 (en) 2016-02-10 2020-11-17 Covidien Lp Adapter assemblies for interconnecting electromechanical handle assemblies and surgical loading units
US10398439B2 (en) * 2016-02-10 2019-09-03 Covidien Lp Adapter, extension, and connector assemblies for surgical devices
US10258331B2 (en) 2016-02-12 2019-04-16 Ethicon Llc 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
US11224426B2 (en) 2016-02-12 2022-01-18 Cilag Gmbh International Mechanisms for compensating for drivetrain failure in powered surgical instruments
US10617413B2 (en) 2016-04-01 2020-04-14 Ethicon Llc Closure system arrangements for surgical cutting and stapling devices with separate and distinct firing shafts
US11064997B2 (en) 2016-04-01 2021-07-20 Cilag Gmbh International Surgical stapling instrument
US10456137B2 (en) 2016-04-15 2019-10-29 Ethicon Llc Staple formation detection mechanisms
US10335145B2 (en) 2016-04-15 2019-07-02 Ethicon Llc Modular surgical instrument with configurable operating mode
US11607239B2 (en) 2016-04-15 2023-03-21 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
US11179150B2 (en) 2016-04-15 2021-11-23 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
US10828028B2 (en) 2016-04-15 2020-11-10 Ethicon Llc Surgical instrument with multiple program responses during a firing motion
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
US10617486B2 (en) 2016-05-04 2020-04-14 Covidien Lp Manual retraction tool for use with an electromechanical surgical device
US11039833B2 (en) 2016-05-04 2021-06-22 Covidien Lp Manual retraction tool for use with an electromechanical surgical device
US10799239B2 (en) 2016-05-09 2020-10-13 Covidien Lp Adapter assembly with pulley system and worm gear drive for interconnecting electromechanical surgical devices and surgical end effectors
US10736637B2 (en) * 2016-05-10 2020-08-11 Covidien Lp Brake for adapter assemblies for surgical devices
US10588610B2 (en) 2016-05-10 2020-03-17 Covidien Lp Adapter assemblies for surgical devices
US10463374B2 (en) 2016-05-17 2019-11-05 Covidien Lp Adapter assembly for a flexible circular stapler
US10702302B2 (en) 2016-05-17 2020-07-07 Covidien Lp Adapter assembly including a removable trocar assembly
CA3022149A1 (en) 2016-05-26 2017-11-30 Covidien Lp Robotic surgical assemblies
USD850617S1 (en) 2016-06-24 2019-06-04 Ethicon Llc Surgical fastener cartridge
USD847989S1 (en) 2016-06-24 2019-05-07 Ethicon Llc Surgical fastener cartridge
JP6957532B2 (ja) 2016-06-24 2021-11-02 エシコン エルエルシーＥｔｈｉｃｏｎ ＬＬＣ ワイヤステープル及び打ち抜き加工ステープルを含むステープルカートリッジ
USD826405S1 (en) 2016-06-24 2018-08-21 Ethicon Llc Surgical fastener
US10702270B2 (en) 2016-06-24 2020-07-07 Ethicon Llc Stapling system for use with wire staples and stamped staples
US10548576B2 (en) * 2016-07-12 2020-02-04 Medtronic Xomed, Inc. Control for surgical handpiece
US10653398B2 (en) 2016-08-05 2020-05-19 Covidien Lp Adapter assemblies for surgical devices
US10537983B2 (en) 2016-10-17 2020-01-21 Black & Decker, Inc. Modular power tool
US11116594B2 (en) 2016-11-08 2021-09-14 Covidien Lp Surgical systems including adapter assemblies for interconnecting electromechanical surgical devices and end effectors
US11090048B2 (en) 2016-12-21 2021-08-17 Cilag Gmbh International Method for resetting a fuse of a surgical instrument shaft
US10888322B2 (en) 2016-12-21 2021-01-12 Ethicon Llc Surgical instrument comprising a cutting member
US20180168633A1 (en) 2016-12-21 2018-06-21 Ethicon Endo-Surgery, Llc Surgical stapling instruments and staple-forming anvils
US11684367B2 (en) 2016-12-21 2023-06-27 Cilag Gmbh International Stepped assembly having and end-of-life indicator
US10973516B2 (en) 2016-12-21 2021-04-13 Ethicon Llc Surgical end effectors and adaptable firing members therefor
US10993715B2 (en) 2016-12-21 2021-05-04 Ethicon Llc Staple cartridge comprising staples with different clamping breadths
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
US20180168625A1 (en) 2016-12-21 2018-06-21 Ethicon Endo-Surgery, Llc Surgical stapling instruments with smart staple cartridges
MX2019007311A (es) 2016-12-21 2019-11-18 Ethicon Llc Sistemas de engrapado quirurgico.
US10959727B2 (en) 2016-12-21 2021-03-30 Ethicon Llc Articulatable surgical end effector with asymmetric shaft arrangement
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
US10856868B2 (en) 2016-12-21 2020-12-08 Ethicon Llc Firing member pin configurations
US10426471B2 (en) 2016-12-21 2019-10-01 Ethicon Llc Surgical instrument with multiple failure response modes
US10687810B2 (en) 2016-12-21 2020-06-23 Ethicon Llc Stepped staple cartridge with tissue retention and gap setting features
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
US11134942B2 (en) 2016-12-21 2021-10-05 Cilag Gmbh International Surgical stapling instruments and staple-forming anvils
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
US10695055B2 (en) 2016-12-21 2020-06-30 Ethicon Llc Firing assembly comprising a lockout
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
US10945727B2 (en) 2016-12-21 2021-03-16 Ethicon Llc Staple cartridge with deformable driver retention features
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
US20180168648A1 (en) 2016-12-21 2018-06-21 Ethicon Endo-Surgery, Llc Durability features for end effectors and firing assemblies of surgical stapling instruments
JP7035057B2 (ja) * 2016-12-21 2022-03-14 エシコン エルエルシー 関節ロックの遠位に独立した枢動可能リンク仕掛けを有する関節運動可能な外科用器具
US10682138B2 (en) 2016-12-21 2020-06-16 Ethicon Llc Bilaterally asymmetric staple forming pocket pairs
US10588631B2 (en) 2016-12-21 2020-03-17 Ethicon Llc Surgical instruments with positive jaw opening features
US10631945B2 (en) 2017-02-28 2020-04-28 Covidien Lp Autoclavable load sensing device
US11272929B2 (en) 2017-03-03 2022-03-15 Covidien Lp Dynamically matching input and output shaft speeds of articulating adapter assemblies for surgical instruments
US10299790B2 (en) 2017-03-03 2019-05-28 Covidien Lp Adapter with centering mechanism for articulation joint
US10660641B2 (en) 2017-03-16 2020-05-26 Covidien Lp Adapter with centering mechanism for articulation joint
US11324502B2 (en) 2017-05-02 2022-05-10 Covidien Lp Surgical loading unit including an articulating end effector
US10390858B2 (en) 2017-05-02 2019-08-27 Covidien Lp Powered surgical device with speed and current derivative motor shut off
US10603035B2 (en) 2017-05-02 2020-03-31 Covidien Lp Surgical loading unit including an articulating end effector
US11311295B2 (en) 2017-05-15 2022-04-26 Covidien Lp Adaptive powered stapling algorithm with calibration factor
US10390841B2 (en) 2017-06-20 2019-08-27 Ethicon Llc Control of motor velocity of a surgical stapling and cutting instrument based on angle of articulation
US10368864B2 (en) 2017-06-20 2019-08-06 Ethicon Llc Systems and methods for controlling displaying motor velocity for a surgical instrument
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
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
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
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
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
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
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
US10881396B2 (en) 2017-06-20 2021-01-05 Ethicon Llc Surgical instrument with variable duration trigger arrangement
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
US10624633B2 (en) 2017-06-20 2020-04-21 Ethicon Llc Systems and methods for controlling motor velocity of a surgical stapling and cutting instrument
USD890784S1 (en) 2017-06-20 2020-07-21 Ethicon Llc Display panel with changeable graphical user interface
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
USD879809S1 (en) 2017-06-20 2020-03-31 Ethicon Llc Display panel with changeable graphical user interface
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
USD879808S1 (en) 2017-06-20 2020-03-31 Ethicon Llc Display panel with graphical user interface
US10646220B2 (en) 2017-06-20 2020-05-12 Ethicon Llc Systems and methods for controlling displacement member velocity for a surgical 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
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
US10856869B2 (en) 2017-06-27 2020-12-08 Ethicon Llc Surgical anvil arrangements
US11324503B2 (en) 2017-06-27 2022-05-10 Cilag Gmbh International Surgical firing member arrangements
US20180368844A1 (en) 2017-06-27 2018-12-27 Ethicon Llc Staple forming pocket arrangements
US10772629B2 (en) 2017-06-27 2020-09-15 Ethicon Llc Surgical anvil arrangements
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
US11246592B2 (en) 2017-06-28 2022-02-15 Cilag Gmbh International Surgical instrument comprising an articulation system lockable to a frame
US10765427B2 (en) 2017-06-28 2020-09-08 Ethicon Llc Method for articulating a surgical instrument
US11564686B2 (en) 2017-06-28 2023-01-31 Cilag Gmbh International Surgical shaft assemblies with flexible interfaces
US10716614B2 (en) 2017-06-28 2020-07-21 Ethicon Llc Surgical shaft assemblies with slip ring assemblies with increased contact pressure
USD854151S1 (en) 2017-06-28 2019-07-16 Ethicon Llc Surgical instrument shaft
EP3420947B1 (en) 2017-06-28 2022-05-25 Cilag GmbH International Surgical instrument comprising selectively actuatable rotatable couplers
USD869655S1 (en) 2017-06-28 2019-12-10 Ethicon Llc Surgical fastener cartridge
USD851762S1 (en) 2017-06-28 2019-06-18 Ethicon Llc Anvil
US10903685B2 (en) 2017-06-28 2021-01-26 Ethicon Llc Surgical shaft assemblies with slip ring assemblies forming capacitive channels
US11484310B2 (en) 2017-06-28 2022-11-01 Cilag Gmbh International Surgical instrument comprising a shaft including a closure tube profile
US10211586B2 (en) 2017-06-28 2019-02-19 Ethicon Llc Surgical shaft assemblies with watertight housings
USD906355S1 (en) 2017-06-28 2020-12-29 Ethicon Llc Display screen or portion thereof with a graphical user interface for a surgical instrument
US11259805B2 (en) 2017-06-28 2022-03-01 Cilag Gmbh International Surgical instrument comprising firing member supports
US10932772B2 (en) 2017-06-29 2021-03-02 Ethicon Llc Methods for closed loop velocity control 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
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
US10874289B2 (en) * 2017-07-21 2020-12-29 Karl Storz Imaging, Inc. Control interface and adjustment mechanism for an endoscope or exoscope
US11471155B2 (en) 2017-08-03 2022-10-18 Cilag Gmbh International Surgical system bailout
US11944300B2 (en) 2017-08-03 2024-04-02 Cilag Gmbh International Method for operating a surgical system bailout
US11304695B2 (en) 2017-08-03 2022-04-19 Cilag Gmbh International Surgical system shaft interconnection
US10772700B2 (en) 2017-08-23 2020-09-15 Covidien Lp Contactless loading unit detection
US11583358B2 (en) 2017-09-06 2023-02-21 Covidien Lp Boundary scaling of surgical robots
USD907647S1 (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
USD917500S1 (en) 2017-09-29 2021-04-27 Ethicon Llc Display screen or portion thereof with graphical user interface
US11399829B2 (en) 2017-09-29 2022-08-02 Cilag Gmbh International Systems and methods of initiating a power shutdown mode for a surgical instrument
USD907648S1 (en) 2017-09-29 2021-01-12 Ethicon Llc Display screen or portion thereof with animated graphical user interface
US10743872B2 (en) 2017-09-29 2020-08-18 Ethicon Llc System and methods for controlling a display of a surgical instrument
US10765429B2 (en) 2017-09-29 2020-09-08 Ethicon Llc Systems and methods for providing alerts according to the operational state of a surgical instrument
US11090075B2 (en) 2017-10-30 2021-08-17 Cilag Gmbh International Articulation features for surgical end effector
US11134944B2 (en) 2017-10-30 2021-10-05 Cilag Gmbh International Surgical stapler knife motion controls
US10779903B2 (en) 2017-10-31 2020-09-22 Ethicon Llc Positive shaft rotation lock activated by jaw closure
US10842490B2 (en) 2017-10-31 2020-11-24 Ethicon Llc Cartridge body design with force reduction based on firing completion
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
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
US11033267B2 (en) 2017-12-15 2021-06-15 Ethicon Llc Systems and methods of controlling a clamping member firing rate of a surgical instrument
US10743875B2 (en) 2017-12-15 2020-08-18 Ethicon Llc Surgical end effectors with jaw stiffener arrangements configured to permit monitoring of firing member
US10743874B2 (en) 2017-12-15 2020-08-18 Ethicon Llc Sealed adapters for use with electromechanical surgical instruments
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
US10779826B2 (en) 2017-12-15 2020-09-22 Ethicon Llc Methods of operating surgical end effectors
US10869666B2 (en) 2017-12-15 2020-12-22 Ethicon Llc Adapters with control systems for controlling multiple motors of an electromechanical surgical instrument
US11071543B2 (en) 2017-12-15 2021-07-27 Cilag Gmbh International Surgical end effectors with clamping assemblies configured to increase jaw aperture ranges
US10687813B2 (en) 2017-12-15 2020-06-23 Ethicon Llc Adapters with firing stroke sensing arrangements for use in connection with electromechanical surgical instruments
US10828033B2 (en) 2017-12-15 2020-11-10 Ethicon Llc Handheld electromechanical surgical instruments with improved motor control arrangements for positioning components of an adapter coupled thereto
US10729509B2 (en) 2017-12-19 2020-08-04 Ethicon Llc Surgical instrument comprising closure and firing locking mechanism
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
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
US10716565B2 (en) 2017-12-19 2020-07-21 Ethicon Llc Surgical instruments with dual articulation drivers
US11129680B2 (en) 2017-12-21 2021-09-28 Cilag Gmbh International Surgical instrument comprising a projector
US11311290B2 (en) 2017-12-21 2022-04-26 Cilag Gmbh International Surgical instrument comprising an end effector dampener
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
US11179152B2 (en) 2017-12-21 2021-11-23 Cilag Gmbh International Surgical instrument comprising a tissue grasping system
EP3735196A4 (en) 2018-01-04 2022-01-12 Covidien LP ROBOT SURGICAL INSTRUMENT WITH HIGHLY ARTICULABLE WRIST UNIT WITH TORQUE TRANSMISSION AND MECHANICAL MANIPULATION
CN110123401A (zh) 2018-02-02 2019-08-16 柯惠Lp公司 与机电外科设备一起使用的手动回缩工具
US11160556B2 (en) 2018-04-23 2021-11-02 Covidien Lp Threaded trocar for adapter assemblies
US11399839B2 (en) 2018-05-07 2022-08-02 Covidien Lp Surgical devices including trocar lock and trocar connection indicator
US11534172B2 (en) 2018-05-07 2022-12-27 Covidien Lp Electromechanical surgical stapler including trocar assembly release mechanism
US11896230B2 (en) 2018-05-07 2024-02-13 Covidien Lp Handheld electromechanical surgical device including load sensor having spherical ball pivots
US20190388091A1 (en) 2018-06-21 2019-12-26 Covidien Lp Powered surgical devices including strain gauges incorporated into flex circuits
US20200015808A1 (en) * 2018-07-10 2020-01-16 Covidien Lp Adapter assemblies for interconnecting electromechanical handle assemblies and surgical loading units
US11241233B2 (en) 2018-07-10 2022-02-08 Covidien Lp Apparatus for ensuring strain gauge accuracy in medical reusable device
US11272948B2 (en) 2018-07-10 2022-03-15 Covidien Lp Hand-held surgical instruments
US11596496B2 (en) 2018-08-13 2023-03-07 Covidien Lp Surgical devices with moisture control
US11076858B2 (en) 2018-08-14 2021-08-03 Covidien Lp Single use electronics for surgical devices
US11291440B2 (en) 2018-08-20 2022-04-05 Cilag Gmbh International Method for operating a powered articulatable surgical instrument
US11207065B2 (en) 2018-08-20 2021-12-28 Cilag Gmbh International Method for fabricating surgical stapler anvils
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
USD914878S1 (en) 2018-08-20 2021-03-30 Ethicon Llc Surgical instrument anvil
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
US11039834B2 (en) 2018-08-20 2021-06-22 Cilag Gmbh International Surgical stapler anvils with staple directing protrusions and tissue stability features
US10856870B2 (en) 2018-08-20 2020-12-08 Ethicon Llc Switching arrangements for motor powered articulatable surgical instruments
US11253256B2 (en) 2018-08-20 2022-02-22 Cilag Gmbh International Articulatable motor powered surgical instruments with dedicated articulation motor arrangements
US10912559B2 (en) 2018-08-20 2021-02-09 Ethicon Llc Reinforced deformable anvil tip for surgical stapler anvil
US11324501B2 (en) 2018-08-20 2022-05-10 Cilag Gmbh International Surgical stapling devices with improved closure members
US10779821B2 (en) 2018-08-20 2020-09-22 Ethicon Llc Surgical stapler anvils with tissue stop features configured to avoid tissue pinch
US11045192B2 (en) 2018-08-20 2021-06-29 Cilag Gmbh International Fabricating techniques for surgical stapler anvils
US11510669B2 (en) 2020-09-29 2022-11-29 Covidien Lp Hand-held surgical instruments
US11871924B2 (en) 2018-09-21 2024-01-16 Covidien Lp Hand-held surgical instruments
US11395655B2 (en) 2019-12-06 2022-07-26 Covidien Lp Hand-held surgical instruments
US11717276B2 (en) 2018-10-30 2023-08-08 Covidien Lp Surgical devices including adapters and seals
US11147551B2 (en) 2019-03-25 2021-10-19 Cilag Gmbh International Firing drive arrangements for surgical systems
US11172929B2 (en) 2019-03-25 2021-11-16 Cilag Gmbh International Articulation drive arrangements for surgical systems
US11696761B2 (en) 2019-03-25 2023-07-11 Cilag Gmbh International Firing drive arrangements for surgical systems
US11147553B2 (en) 2019-03-25 2021-10-19 Cilag Gmbh International Firing drive arrangements for surgical systems
US11241228B2 (en) 2019-04-05 2022-02-08 Covidien Lp Surgical instrument including an adapter assembly and an articulating surgical loading unit
US11369378B2 (en) 2019-04-18 2022-06-28 Covidien Lp Surgical instrument including an adapter assembly and an articulating surgical loading unit
US11426251B2 (en) 2019-04-30 2022-08-30 Cilag Gmbh International Articulation directional lights on a surgical instrument
US11452528B2 (en) 2019-04-30 2022-09-27 Cilag Gmbh International Articulation actuators for a surgical instrument
US11253254B2 (en) 2019-04-30 2022-02-22 Cilag Gmbh International Shaft rotation actuator on a surgical instrument
US11648009B2 (en) 2019-04-30 2023-05-16 Cilag Gmbh International Rotatable jaw tip for a surgical instrument
US11432816B2 (en) 2019-04-30 2022-09-06 Cilag Gmbh International Articulation pin for a surgical instrument
US11903581B2 (en) 2019-04-30 2024-02-20 Cilag Gmbh International Methods for stapling tissue using a surgical instrument
US11471157B2 (en) 2019-04-30 2022-10-18 Cilag Gmbh International Articulation control mapping for a surgical instrument
US11123101B2 (en) 2019-07-05 2021-09-21 Covidien Lp Retaining mechanisms for trocar assemblies
US11058429B2 (en) 2019-06-24 2021-07-13 Covidien Lp Load sensing assemblies and methods of manufacturing load sensing assemblies
US11464541B2 (en) 2019-06-24 2022-10-11 Covidien Lp Retaining mechanisms for trocar assembly
US11426168B2 (en) 2019-07-05 2022-08-30 Covidien Lp Trocar coupling assemblies for a surgical stapler
US11446035B2 (en) 2019-06-24 2022-09-20 Covidien Lp Retaining mechanisms for trocar assemblies
US11278362B2 (en) 2019-06-27 2022-03-22 Cilag Gmbh International Surgical instrument drive systems
US11607278B2 (en) 2019-06-27 2023-03-21 Cilag Gmbh International Cooperative robotic surgical systems
US11369443B2 (en) * 2019-06-27 2022-06-28 Cilag Gmbh International Method of using a surgical modular robotic assembly
US11723729B2 (en) 2019-06-27 2023-08-15 Cilag Gmbh International Robotic surgical assembly coupling safety mechanisms
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
US11413102B2 (en) 2019-06-27 2022-08-16 Cilag Gmbh International Multi-access port for surgical robotic systems
US11547468B2 (en) 2019-06-27 2023-01-10 Cilag Gmbh International Robotic surgical system with safety and cooperative sensing control
US11376083B2 (en) 2019-06-27 2022-07-05 Cilag Gmbh International Determining robotic surgical assembly coupling status
US11207146B2 (en) 2019-06-27 2021-12-28 Cilag Gmbh International Surgical instrument drive systems with cable-tightening system
US11612445B2 (en) 2019-06-27 2023-03-28 Cilag Gmbh International Cooperative operation of robotic arms
US11399906B2 (en) 2019-06-27 2022-08-02 Cilag Gmbh International Robotic surgical system for controlling close operation of end-effectors
US11350938B2 (en) 2019-06-28 2022-06-07 Cilag Gmbh International Surgical instrument comprising an aligned rfid sensor
US11298132B2 (en) 2019-06-28 2022-04-12 Cilag GmbH Inlernational Staple cartridge including a honeycomb extension
US11291451B2 (en) 2019-06-28 2022-04-05 Cilag Gmbh International Surgical instrument with battery compatibility verification functionality
US11684434B2 (en) 2019-06-28 2023-06-27 Cilag Gmbh International Surgical RFID assemblies for instrument operational setting control
US11638587B2 (en) 2019-06-28 2023-05-02 Cilag Gmbh International RFID identification systems for surgical instruments
US11771419B2 (en) 2019-06-28 2023-10-03 Cilag Gmbh International Packaging for a replaceable component of a surgical stapling system
US11224497B2 (en) 2019-06-28 2022-01-18 Cilag Gmbh International Surgical systems with multiple RFID tags
US11660163B2 (en) 2019-06-28 2023-05-30 Cilag Gmbh International Surgical system with RFID tags for updating motor assembly parameters
US11627959B2 (en) 2019-06-28 2023-04-18 Cilag Gmbh International Surgical instruments including manual and powered system lockouts
US11376098B2 (en) 2019-06-28 2022-07-05 Cilag Gmbh International Surgical instrument system comprising an RFID system
US11497492B2 (en) 2019-06-28 2022-11-15 Cilag Gmbh International Surgical instrument including an articulation lock
US11553971B2 (en) 2019-06-28 2023-01-17 Cilag Gmbh International Surgical RFID assemblies for display and communication
US11399837B2 (en) 2019-06-28 2022-08-02 Cilag Gmbh International Mechanisms for motor control adjustments of a motorized surgical instrument
US11426167B2 (en) 2019-06-28 2022-08-30 Cilag Gmbh International Mechanisms for proper anvil attachment surgical stapling head assembly
US11298127B2 (en) 2019-06-28 2022-04-12 Cilag GmbH Interational Surgical stapling system having a lockout mechanism for an incompatible cartridge
US11051807B2 (en) 2019-06-28 2021-07-06 Cilag Gmbh International Packaging assembly including a particulate trap
US11219455B2 (en) 2019-06-28 2022-01-11 Cilag Gmbh International Surgical instrument including a lockout key
US11246678B2 (en) 2019-06-28 2022-02-15 Cilag Gmbh International Surgical stapling system having a frangible RFID tag
US11464601B2 (en) 2019-06-28 2022-10-11 Cilag Gmbh International Surgical instrument comprising an RFID system for tracking a movable component
US11478241B2 (en) 2019-06-28 2022-10-25 Cilag Gmbh International Staple cartridge including projections
US11259803B2 (en) 2019-06-28 2022-03-01 Cilag Gmbh International Surgical stapling system having an information encryption protocol
US11523822B2 (en) 2019-06-28 2022-12-13 Cilag Gmbh International Battery pack including a circuit interrupter
US11076850B2 (en) 2019-11-26 2021-08-03 Covidien Lp Surgical instrument including an adapter assembly and an articulating surgical loading unit
US11540827B2 (en) 2019-12-13 2023-01-03 Covidien Lp Hand-held electromechanical surgical instruments
US11737747B2 (en) 2019-12-17 2023-08-29 Covidien Lp Hand-held surgical instruments
US11291446B2 (en) 2019-12-18 2022-04-05 Covidien Lp Surgical instrument including an adapter assembly and an articulating surgical loading unit
US11446029B2 (en) 2019-12-19 2022-09-20 Cilag Gmbh International Staple cartridge comprising projections extending from a curved deck surface
US11701111B2 (en) 2019-12-19 2023-07-18 Cilag Gmbh International Method for operating a surgical stapling instrument
US11931033B2 (en) 2019-12-19 2024-03-19 Cilag Gmbh International Staple cartridge comprising a latch lockout
US11844520B2 (en) 2019-12-19 2023-12-19 Cilag Gmbh International Staple cartridge comprising driver retention members
US11464512B2 (en) 2019-12-19 2022-10-11 Cilag Gmbh International Staple cartridge comprising a curved deck surface
US11911032B2 (en) 2019-12-19 2024-02-27 Cilag Gmbh International Staple cartridge comprising a seating cam
US11304696B2 (en) 2019-12-19 2022-04-19 Cilag Gmbh International Surgical instrument comprising a powered articulation system
US11504122B2 (en) 2019-12-19 2022-11-22 Cilag Gmbh International Surgical instrument comprising a nested firing member
US11529139B2 (en) 2019-12-19 2022-12-20 Cilag Gmbh International Motor driven surgical instrument
US11607219B2 (en) 2019-12-19 2023-03-21 Cilag Gmbh International Staple cartridge comprising a detachable tissue cutting knife
US11559304B2 (en) 2019-12-19 2023-01-24 Cilag Gmbh International Surgical instrument comprising a rapid closure mechanism
US11529137B2 (en) 2019-12-19 2022-12-20 Cilag Gmbh International Staple cartridge comprising driver retention members
US11291447B2 (en) 2019-12-19 2022-04-05 Cilag Gmbh International Stapling instrument comprising independent jaw closing and staple firing systems
US11234698B2 (en) 2019-12-19 2022-02-01 Cilag Gmbh International Stapling system comprising a clamp lockout and a firing lockout
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
US11583275B2 (en) 2019-12-27 2023-02-21 Covidien Lp Surgical instruments including sensor assembly
US11504117B2 (en) 2020-04-02 2022-11-22 Covidien Lp Hand-held surgical instruments
USD975851S1 (en) 2020-06-02 2023-01-17 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
USD975850S1 (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
USD966512S1 (en) 2020-06-02 2022-10-11 Cilag Gmbh International Staple cartridge
USD974560S1 (en) 2020-06-02 2023-01-03 Cilag Gmbh International Staple cartridge
US20220031320A1 (en) 2020-07-28 2022-02-03 Cilag Gmbh International Surgical instruments with flexible firing member actuator constraint arrangements
US11660091B2 (en) 2020-09-08 2023-05-30 Covidien Lp Surgical device with seal assembly
US11571192B2 (en) 2020-09-25 2023-02-07 Covidien Lp Adapter assembly for surgical devices
US11801050B2 (en) 2020-10-06 2023-10-31 Covidien Lp Hand-held surgical instruments
USD1013170S1 (en) 2020-10-29 2024-01-30 Cilag Gmbh International Surgical instrument assembly
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
US11534259B2 (en) 2020-10-29 2022-12-27 Cilag Gmbh International Surgical instrument comprising an articulation indicator
US11896217B2 (en) 2020-10-29 2024-02-13 Cilag Gmbh International Surgical instrument comprising an articulation lock
US11779330B2 (en) 2020-10-29 2023-10-10 Cilag Gmbh International Surgical instrument comprising a jaw alignment system
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
USD980425S1 (en) 2020-10-29 2023-03-07 Cilag Gmbh International Surgical instrument assembly
US11717289B2 (en) 2020-10-29 2023-08-08 Cilag Gmbh International Surgical instrument comprising an indicator which indicates that an articulation drive is actuatable
US11517390B2 (en) 2020-10-29 2022-12-06 Cilag Gmbh International Surgical instrument comprising a limited travel switch
US11844518B2 (en) 2020-10-29 2023-12-19 Cilag Gmbh International Method for operating a surgical instrument
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
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
US11627960B2 (en) 2020-12-02 2023-04-18 Cilag Gmbh International Powered surgical instruments with smart reload with separately attachable exteriorly mounted wiring connections
US11944296B2 (en) 2020-12-02 2024-04-02 Cilag Gmbh International Powered surgical instruments with external connectors
US11890010B2 (en) 2020-12-02 2024-02-06 Cllag GmbH International Dual-sided reinforced reload for surgical instruments
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
US11730473B2 (en) 2021-02-26 2023-08-22 Cilag Gmbh International Monitoring of manufacturing life-cycle
US11701113B2 (en) 2021-02-26 2023-07-18 Cilag Gmbh International Stapling instrument comprising a separate power antenna and a data transfer antenna
US11793514B2 (en) 2021-02-26 2023-10-24 Cilag Gmbh International Staple cartridge comprising sensor array which may be embedded in cartridge body
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
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
US11744583B2 (en) 2021-02-26 2023-09-05 Cilag Gmbh International Distal communication array to tune frequency of RF systems
US11950777B2 (en) 2021-02-26 2024-04-09 Cilag Gmbh International Staple cartridge comprising an information access control system
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
US11749877B2 (en) 2021-02-26 2023-09-05 Cilag Gmbh International Stapling instrument comprising a signal antenna
US11806011B2 (en) 2021-03-22 2023-11-07 Cilag Gmbh International Stapling instrument comprising tissue compression systems
US11826042B2 (en) 2021-03-22 2023-11-28 Cilag Gmbh International Surgical instrument comprising a firing drive including a selectable leverage mechanism
US11759202B2 (en) 2021-03-22 2023-09-19 Cilag Gmbh International Staple cartridge comprising an implantable layer
US11723658B2 (en) 2021-03-22 2023-08-15 Cilag Gmbh International Staple cartridge comprising a firing lockout
US11737749B2 (en) 2021-03-22 2023-08-29 Cilag Gmbh International Surgical stapling instrument comprising a retraction system
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
US11744603B2 (en) 2021-03-24 2023-09-05 Cilag Gmbh International Multi-axis pivot joints for surgical instruments and methods for manufacturing same
US11786239B2 (en) 2021-03-24 2023-10-17 Cilag Gmbh International Surgical instrument articulation joint arrangements comprising multiple moving linkage features
US11903582B2 (en) 2021-03-24 2024-02-20 Cilag Gmbh International Leveraging surfaces for cartridge installation
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
US11832816B2 (en) 2021-03-24 2023-12-05 Cilag Gmbh International Surgical stapling assembly comprising nonplanar staples and planar staples
US11896219B2 (en) 2021-03-24 2024-02-13 Cilag Gmbh International Mating features between drivers and underside of a cartridge deck
US11849945B2 (en) 2021-03-24 2023-12-26 Cilag Gmbh International Rotary-driven surgical stapling assembly comprising eccentrically driven firing member
US11793516B2 (en) 2021-03-24 2023-10-24 Cilag Gmbh International Surgical staple cartridge comprising longitudinal support beam
US11849944B2 (en) 2021-03-24 2023-12-26 Cilag Gmbh International Drivers for fastener cartridge assemblies having rotary drive screws
US11857183B2 (en) 2021-03-24 2024-01-02 Cilag Gmbh International Stapling assembly components having metal substrates and plastic bodies
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
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
US11786248B2 (en) 2021-07-09 2023-10-17 Covidien Lp Surgical stapling device including a buttress retention assembly
US11819209B2 (en) 2021-08-03 2023-11-21 Covidien Lp Hand-held surgical instruments
US11862884B2 (en) 2021-08-16 2024-01-02 Covidien Lp Surgical instrument with electrical connection
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

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN1547454A (zh) * 2001-06-22 2004-11-17 机能医疗干预公司 电动机械式手术装置
CN101283924A (zh) * 2007-04-13 2008-10-15 Tyco医疗健康集团 动力外科器械
EP1980213A2 (en) * 2007-04-13 2008-10-15 Tyco Healthcare Group, LP Powered surgical instrument
EP2036505A1 (en) * 2007-09-11 2009-03-18 Tyco Healthcare Group LP Articulating joint for surgical instruments
US20120089131A1 (en) * 2007-09-21 2012-04-12 Tyco Healthcare Group Lp Hand held surgical handle assembly, surgical adapters for use between surgical handle assembly and surgical end effectors, and methods of use

Family Cites Families (356)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2777340A (en) 1955-09-28 1957-01-15 Leonard J Hettwer Offset drilling attachment
US2957353A (en) 1958-08-26 1960-10-25 Teleflex Inc Connector
US3111328A (en) 1961-07-03 1963-11-19 Rito Vincent L J Di Multiuse adapter for manipulators
US3734515A (en) 1971-01-29 1973-05-22 Thor Power Tool Co Power wrench with interchangeable adapters
US3695058A (en) 1971-05-26 1972-10-03 Marvin W Keith Jr Flexible link rotatable drive coupling
US3759336A (en) 1972-01-21 1973-09-18 D Marcovitz Interchangeable power operated tools
US4162399A (en) 1977-09-16 1979-07-24 Bei Electronics, Inc. Optical encoder with fiber optics
US4606343A (en) 1980-08-18 1986-08-19 United States Surgical Corporation Self-powered surgical fastening instrument
US4705038A (en) 1985-01-23 1987-11-10 Dyonics, Inc. Surgical system for powered instruments
US4722685A (en) 1985-05-30 1988-02-02 Estrada Juan M De Tool for adapting a portable lathe to treat the back molar teeth of horses
US4823807A (en) 1988-02-11 1989-04-25 Board Of Regents, Univ. Of Texas System Device for non-invasive diagnosis and monitoring of articular and periarticular pathology
US4874181A (en) 1988-05-31 1989-10-17 Hsu Shing Wang Coupling member for securing a drilling head to the rotatable rod of a pneumatic tool body
US5301061A (en) 1989-07-27 1994-04-05 Olympus Optical Co., Ltd. Endoscope system
US5152744A (en) 1990-02-07 1992-10-06 Smith & Nephew Dyonics Surgical instrument
JP3034019B2 (ja) 1990-11-26 2000-04-17 旭光学工業株式会社 内視鏡の先端部
US5129570A (en) 1990-11-30 1992-07-14 Ethicon, Inc. Surgical stapler
US5413267A (en) 1991-05-14 1995-05-09 United States Surgical Corporation Surgical stapler with spent cartridge sensing and lockout means
US5129118A (en) 1991-07-29 1992-07-14 Walmesley Mark W Accessory tool apparatus for use on power drills
US5326013A (en) 1991-10-18 1994-07-05 United States Surgical Corporation Self contained gas powered surgical apparatus
US5478003A (en) 1991-10-18 1995-12-26 United States Surgical Corporation Surgical apparatus
US5312023A (en) 1991-10-18 1994-05-17 United States Surgical Corporation Self contained gas powered surgical apparatus
US5197649A (en) 1991-10-29 1993-03-30 The Trustees Of Columbia University In The City Of New York Gastrointestinal endoscoptic stapler
US5383874A (en) 1991-11-08 1995-01-24 Ep Technologies, Inc. Systems for identifying catheters and monitoring their use
US5433721A (en) 1992-01-17 1995-07-18 Ethicon, Inc. Endoscopic instrument having a torsionally stiff drive shaft for applying fasteners to tissue
US5383880A (en) 1992-01-17 1995-01-24 Ethicon, Inc. Endoscopic surgical system with sensing means
US5350355A (en) 1992-02-14 1994-09-27 Automated Medical Instruments, Inc. Automated surgical instrument
US5389098A (en) 1992-05-19 1995-02-14 Olympus Optical Co., Ltd. Surgical device for stapling and/or fastening body tissues
US5658300A (en) 1992-06-04 1997-08-19 Olympus Optical Co., Ltd. Tissue fixing surgical instrument, tissue-fixing device, and method of fixing tissues
US5609560A (en) 1992-08-19 1997-03-11 Olympus Optical Co., Ltd. Medical operation device control system for controlling a operation devices accessed respectively by ID codes
US5626587A (en) 1992-10-09 1997-05-06 Ethicon Endo-Surgery, Inc. Method for operating a surgical instrument
US5601224A (en) 1992-10-09 1997-02-11 Ethicon, Inc. Surgical instrument
US5400267A (en) 1992-12-08 1995-03-21 Hemostatix Corporation Local in-device memory feature for electrically powered medical equipment
US5540706A (en) 1993-01-25 1996-07-30 Aust; Gilbert M. Surgical instrument
US5540375A (en) 1993-04-20 1996-07-30 United States Surgical Corporation Endoscopic stapler
US5467911A (en) 1993-04-27 1995-11-21 Olympus Optical Co., Ltd. Surgical device for stapling and fastening body tissues
CA2124109A1 (en) 1993-05-24 1994-11-25 Mark T. Byrne Endoscopic surgical instrument with electromagnetic sensor
US5542594A (en) 1993-10-06 1996-08-06 United States Surgical Corporation Surgical stapling apparatus with biocompatible surgical fabric
US5487499A (en) 1993-10-08 1996-01-30 United States Surgical Corporation Surgical apparatus for applying surgical fasteners including a counter
US5476379A (en) 1993-11-04 1995-12-19 Disel; Jimmy D. Illumination system and connector assembly for a dental handpiece
US5782397A (en) 1994-01-04 1998-07-21 Alpha Surgical Technologies, Inc. Stapling device
US6165169A (en) 1994-03-04 2000-12-26 Ep Technologies, Inc. Systems and methods for identifying the physical, mechanical, and functional attributes of multiple electrode arrays
US5526822A (en) 1994-03-24 1996-06-18 Biopsys Medical, Inc. Method and apparatus for automated biopsy and collection of soft tissue
CA2145723A1 (en) 1994-03-30 1995-10-01 Steven W. Hamblin Surgical stapling instrument with remotely articulated stapling head assembly on rotatable support shaft
US5529235A (en) 1994-04-28 1996-06-25 Ethicon Endo-Surgery, Inc. Identification device for surgical instrument
US5553675A (en) 1994-06-10 1996-09-10 Minnesota Mining And Manufacturing Company Orthopedic surgical device
US5779130A (en) 1994-08-05 1998-07-14 United States Surgical Corporation Self-contained powered surgical apparatus
EP0699418A1 (en) 1994-08-05 1996-03-06 United States Surgical Corporation Self-contained powered surgical apparatus
EP0705571A1 (en) 1994-10-07 1996-04-10 United States Surgical Corporation Self-contained powered surgical apparatus
US5549637A (en) 1994-11-10 1996-08-27 Crainich; Lawrence Articulated medical instrument
US5868760A (en) 1994-12-07 1999-02-09 Mcguckin, Jr.; James F. Method and apparatus for endolumenally resectioning tissue
US5713505A (en) 1996-05-13 1998-02-03 Ethicon Endo-Surgery, Inc. Articulation transmission mechanism for surgical instruments
US5704534A (en) 1994-12-19 1998-01-06 Ethicon Endo-Surgery, Inc. Articulation assembly for surgical instruments
US5632432A (en) 1994-12-19 1997-05-27 Ethicon Endo-Surgery, Inc. Surgical instrument
US6321855B1 (en) 1994-12-29 2001-11-27 George Edward Barnes Anti-vibration adaptor
US5649956A (en) 1995-06-07 1997-07-22 Sri International System and method for releasably holding a surgical instrument
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
US6032849A (en) 1995-08-28 2000-03-07 United States Surgical Surgical stapler
CA2206156A1 (en) 1995-09-15 1997-04-03 Robert Lee Thompson Surgical/diagnostic imaging device
US7141049B2 (en) 1999-03-09 2006-11-28 Thermage, Inc. Handpiece for treatment of tissue
US5820009A (en) 1996-02-20 1998-10-13 Richard-Allan Medical Industries, Inc. Articulated surgical instrument with improved jaw closure mechanism
US6010054A (en) 1996-02-20 2000-01-04 Imagyn Medical Technologies Linear stapling instrument with improved staple cartridge
US6699177B1 (en) 1996-02-20 2004-03-02 Computer Motion, Inc. Method and apparatus for performing minimally invasive surgical procedures
US6119913A (en) 1996-06-14 2000-09-19 Boston Scientific Corporation Endoscopic stapler
US6017354A (en) 1996-08-15 2000-01-25 Stryker Corporation Integrated system for powered surgical tools
US6129547A (en) 1997-05-06 2000-10-10 Ballard Medical Products Oral care system
AU8903898A (en) 1997-08-11 1999-03-01 Paul W. Mayer Motorized motion-canceling suture tool holder
US6434507B1 (en) 1997-09-05 2002-08-13 Surgical Navigation Technologies, Inc. Medical instrument and method for use with computer-assisted image guided surgery
US5865361A (en) 1997-09-23 1999-02-02 United States Surgical Corporation Surgical stapling apparatus
US6171316B1 (en) * 1997-10-10 2001-01-09 Origin Medsystems, Inc. Endoscopic surgical instrument for rotational manipulation
US5863159A (en) 1997-12-12 1999-01-26 Lasko; Leonard J. Drill angle attachment coupling
AU2775199A (en) 1998-02-19 1999-09-06 California Institute Of Technology Apparatus and method for providing spherical viewing during endoscopic procedures
US6239732B1 (en) 1998-04-13 2001-05-29 Dallas Semiconductor Corporation One-wire device with A-to-D converter
US6126058A (en) 1998-06-19 2000-10-03 Scimed Life Systems, Inc. Method and device for full thickness resectioning of an organ
US6256859B1 (en) 1998-09-25 2001-07-10 Sherwood Services Ag Method of manufacturing an aspiring tool
US5993454A (en) 1998-09-29 1999-11-30 Stryker Corporation Drill attachment for a surgical drill
US7238021B1 (en) 1998-12-03 2007-07-03 Johnson Gary E Powered cutting surface with protective guard for equine teeth
US6860892B1 (en) 1999-05-28 2005-03-01 General Surgical Innovations, Inc. Specially shaped balloon device for use in surgery and method of use
US8025199B2 (en) 2004-02-23 2011-09-27 Tyco Healthcare Group Lp Surgical cutting and stapling device
US7951071B2 (en) 1999-06-02 2011-05-31 Tyco Healthcare Group Lp Moisture-detecting shaft for use with an electro-mechanical surgical device
US6443973B1 (en) 1999-06-02 2002-09-03 Power Medical Interventions, Inc. Electromechanical driver device for use with anastomosing, stapling, and resecting instruments
US6315184B1 (en) 1999-06-02 2001-11-13 Powermed, Inc. Stapling device for use with an electromechanical driver device for use with anastomosing, stapling, and resecting instruments
US6793652B1 (en) 1999-06-02 2004-09-21 Power Medical Interventions, Inc. Electro-mechanical surgical device
US7032798B2 (en) 1999-06-02 2006-04-25 Power Medical Interventions, Inc. Electro-mechanical surgical device
US8241322B2 (en) 2005-07-27 2012-08-14 Tyco Healthcare Group Lp Surgical device
US6264087B1 (en) 1999-07-12 2001-07-24 Powermed, Inc. Expanding parallel jaw device for use with an electromechanical driver device
US6981941B2 (en) 1999-06-02 2006-01-03 Power Medical Interventions Electro-mechanical surgical device
US6491201B1 (en) 2000-02-22 2002-12-10 Power Medical Interventions, Inc. Fluid delivery mechanism for use with anastomosing, stapling, and resecting instruments
US6716233B1 (en) 1999-06-02 2004-04-06 Power Medical Interventions, Inc. Electromechanical driver and remote surgical instrument attachment having computer assisted control capabilities
US6451007B1 (en) 1999-07-29 2002-09-17 Dale E. Koop Thermal quenching of tissue
US6611793B1 (en) 1999-09-07 2003-08-26 Scimed Life Systems, Inc. Systems and methods to identify and disable re-use single use devices based on detecting environmental changes
US6368324B1 (en) 1999-09-24 2002-04-09 Medtronic Xomed, Inc. Powered surgical handpiece assemblies and handpiece adapter assemblies
US6533157B1 (en) 2000-02-22 2003-03-18 Power Medical Interventions, Inc. Tissue stapling attachment for use with an electromechanical driver device
US7770773B2 (en) 2005-07-27 2010-08-10 Power Medical Interventions, Llc Surgical device
US8016855B2 (en) 2002-01-08 2011-09-13 Tyco Healthcare Group Lp Surgical device
US6348061B1 (en) 2000-02-22 2002-02-19 Powermed, Inc. Vessel and lumen expander attachment for use with an electromechanical driver device
US6488197B1 (en) 2000-02-22 2002-12-03 Power Medical Interventions, Inc. Fluid delivery device for use with anastomosing resecting and stapling instruments
US7803151B2 (en) 2001-12-04 2010-09-28 Power Medical Interventions, Llc System and method for calibrating a surgical instrument
JP3897962B2 (ja) 2000-07-19 2007-03-28 株式会社モリタ製作所 識別型のインスツルメント体、識別型のアダプタ、識別型のチューブ、これらを用いた診療装置
EP1313401A4 (en) 2000-08-30 2006-09-20 Cerebral Vascular Applic Inc MEDICAL INSTRUMENT
US6817508B1 (en) 2000-10-13 2004-11-16 Tyco Healthcare Group, Lp Surgical stapling device
US6716226B2 (en) 2001-06-25 2004-04-06 Inscope Development, Llc Surgical clip
US20050004559A1 (en) 2003-06-03 2005-01-06 Senorx, Inc. Universal medical device control console
US7699835B2 (en) 2001-02-15 2010-04-20 Hansen Medical, Inc. Robotically controlled surgical instruments
US7905897B2 (en) 2001-03-14 2011-03-15 Tyco Healthcare Group Lp Trocar device
AU2002254712A1 (en) 2001-04-20 2002-11-05 Power Medical Interventions, Inc. Bipolar or ultrasonic surgical device
JP2005521109A (ja) 2001-06-20 2005-07-14 パワー メディカル インターベンションズ，インコーポレイテッド 統合医療追跡のための方法及びシステム
US7044911B2 (en) 2001-06-29 2006-05-16 Philometron, Inc. Gateway platform for biological monitoring and delivery of therapeutic compounds
FR2827494B1 (fr) 2001-07-17 2003-12-05 Seb Sa Moule souple rigidifie
JP4215162B2 (ja) 2001-08-08 2009-01-28 ストライカー・コーポレーション 内部メモリを備えた外科用切断アクセサリ
DE10147145C2 (de) 2001-09-25 2003-12-18 Kunz Reiner Multifunktionsinstrument für die mikroinvasive Chirurgie
WO2003030743A2 (en) 2001-10-05 2003-04-17 Tyco Healthcare Group Lp Surgical stapling device
US10285694B2 (en) 2001-10-20 2019-05-14 Covidien Lp Surgical stapler with timer and feedback display
US7464847B2 (en) 2005-06-03 2008-12-16 Tyco Healthcare Group Lp Surgical stapler with timer and feedback display
US6783533B2 (en) 2001-11-21 2004-08-31 Sythes Ag Chur Attachable/detachable reaming head for surgical reamer
IL148702A (en) 2002-03-14 2008-04-13 Innoventions Inc Insertion and retrieval system for inflatable devices
ES2377483T3 (es) 2002-04-25 2012-03-28 Tyco Healthcare Group Lp Instrumentos quirúrgicos que incluyen sistemas microelectromecánicos (MEMS)
WO2003105702A2 (en) 2002-06-14 2003-12-24 Power Medical Interventions, Inc. Surgical device
US20030038938A1 (en) 2002-06-20 2003-02-27 Jung Wayne D. Apparatus and method for measuring optical characteristics of an object or material
US8182494B1 (en) 2002-07-31 2012-05-22 Cardica, Inc. Minimally-invasive surgical system
US6645218B1 (en) 2002-08-05 2003-11-11 Endius Incorporated Surgical instrument
US20040176751A1 (en) 2002-08-14 2004-09-09 Endovia Medical, Inc. Robotic medical instrument system
WO2004030526A1 (en) 2002-09-30 2004-04-15 Power Medical Interventions, Inc. Self-contained sterilizable surgical system
ES2348273T3 (es) 2002-10-04 2010-12-02 Tyco Healthcare Group Lp Dispositivo de grapado quirurgico.
EP2430985B1 (en) 2002-10-04 2017-06-14 Covidien LP Pneumatic powered surgical stapling device
US7559927B2 (en) 2002-12-20 2009-07-14 Medtronic Xomed, Inc. Surgical instrument with telescoping attachment
JP2004208922A (ja) 2002-12-27 2004-07-29 Olympus Corp 医療装置及び医療用マニピュレータ並びに医療装置の制御方法
US7143923B2 (en) 2003-05-20 2006-12-05 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having a firing lockout for an unclosed anvil
US20070084897A1 (en) 2003-05-20 2007-04-19 Shelton Frederick E Iv Articulating surgical stapling instrument incorporating a two-piece e-beam firing mechanism
US7380695B2 (en) 2003-05-20 2008-06-03 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having a single lockout mechanism for prevention of firing
US7380696B2 (en) 2003-05-20 2008-06-03 Ethicon Endo-Surgery, Inc. Articulating surgical stapling instrument incorporating a two-piece E-beam firing mechanism
US6988649B2 (en) 2003-05-20 2006-01-24 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having a spent cartridge lockout
US7140528B2 (en) 2003-05-20 2006-11-28 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having an electroactive polymer actuated single lockout mechanism for prevention of firing
US7044352B2 (en) 2003-05-20 2006-05-16 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having a single lockout mechanism for prevention of firing
EP2591820B1 (en) 2003-05-21 2015-02-18 The Johns Hopkins University Devices and systems for minimally invasive surgery of the throat and other portions of mammalian body
ES2550808T3 (es) 2003-06-20 2015-11-12 Covidien Lp Instrumento de grapado quirúrgico
US6964363B2 (en) 2003-07-09 2005-11-15 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having articulation joint support plates for supporting a firing bar
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
US6981628B2 (en) 2003-07-09 2006-01-03 Ethicon Endo-Surgery, Inc. Surgical instrument with a lateral-moving articulation control
US7111769B2 (en) 2003-07-09 2006-09-26 Ethicon Endo-Surgery, Inc. Surgical instrument incorporating an articulation mechanism having rotation about the longitudinal axis
JP4398813B2 (ja) 2003-07-18 2010-01-13 ヤーマン株式会社 美肌装置
US6905057B2 (en) 2003-09-29 2005-06-14 Ethicon Endo-Surgery, Inc. Surgical stapling instrument incorporating a firing mechanism having a linked rack transmission
US6959852B2 (en) 2003-09-29 2005-11-01 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with multistroke firing incorporating an anti-backup mechanism
US7364061B2 (en) 2003-09-29 2008-04-29 Ethicon Endo-Surgery, Inc. Surgical stapling instrument incorporating a multistroke firing position indicator and retraction mechanism
US10105140B2 (en) 2009-11-20 2018-10-23 Covidien Lp Surgical console and hand-held surgical device
AU2004281832B2 (en) 2003-10-17 2010-11-18 Covidien Lp Surgical stapling device with independent tip rotation
US20090090763A1 (en) 2007-10-05 2009-04-09 Tyco Healthcare Group Lp Powered surgical stapling device
US9113880B2 (en) 2007-10-05 2015-08-25 Covidien Lp Internal backbone structural chassis for a surgical device
US9055943B2 (en) 2007-09-21 2015-06-16 Covidien Lp Hand held surgical handle assembly, surgical adapters for use between surgical handle assembly and surgical end effectors, and methods of use
US10022123B2 (en) 2012-07-09 2018-07-17 Covidien Lp Surgical adapter assemblies for use between surgical handle assembly and surgical end effectors
US10588629B2 (en) 2009-11-20 2020-03-17 Covidien Lp Surgical console and hand-held surgical device
US8806973B2 (en) 2009-12-02 2014-08-19 Covidien Lp Adapters for use between surgical handle assembly and surgical end effector
US7641655B2 (en) 2003-10-31 2010-01-05 Medtronic, Inc. Coupling system for surgical instrument
US7172415B2 (en) 2003-11-22 2007-02-06 Flexi-Float, Llc Equine dental grinding apparatus
DE10357105B3 (de) 2003-12-06 2005-04-07 Richard Wolf Gmbh Medizinisches Instrument
US7172104B2 (en) 2004-02-17 2007-02-06 Tyco Healthcare Group Lp Surgical stapling apparatus
EP1723913A1 (en) 2004-03-10 2006-11-22 Olympus Corporation Treatment tool for surgery
US7059508B2 (en) 2004-06-30 2006-06-13 Ethicon Endo-Surgery, Inc. Surgical stapling instrument incorporating an uneven multistroke firing mechanism having a rotary transmission
US7487899B2 (en) 2004-07-28 2009-02-10 Ethicon Endo-Surgery, Inc. Surgical instrument incorporating EAP complete firing system lockout mechanism
US7147138B2 (en) 2004-07-28 2006-12-12 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having an electroactive polymer actuated buttress deployment mechanism
US7143926B2 (en) 2005-02-07 2006-12-05 Ethicon Endo-Surgery, Inc. Surgical stapling instrument incorporating a multi-stroke firing mechanism with return spring rotary manual retraction system
US7143925B2 (en) 2004-07-28 2006-12-05 Ethicon Endo-Surgery, Inc. Surgical instrument incorporating EAP blocking lockout mechanism
US7947034B2 (en) 2004-07-30 2011-05-24 Tyco Healthcare Group Lp Flexible shaft extender and method of using same
US7922719B2 (en) 2004-10-06 2011-04-12 Biodynamics, Llc Adjustable angle pawl handle for surgical instruments
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
WO2006063156A1 (en) 2004-12-09 2006-06-15 Stryker Corporation Wireless system for providing instrument and implant data to a surgical navigation unit
US20060142740A1 (en) 2004-12-29 2006-06-29 Sherman Jason T Method and apparatus for performing a voice-assisted orthopaedic surgical procedure
US7822458B2 (en) 2005-05-19 2010-10-26 The Johns Hopkins University Distal bevel-tip needle control device and algorithm
EP1736112B1 (en) 2005-06-20 2011-08-17 Heribert Schmid Medical device
US8579176B2 (en) 2005-07-26 2013-11-12 Ethicon Endo-Surgery, Inc. Surgical stapling and cutting device and method for using the device
US8627995B2 (en) 2006-05-19 2014-01-14 Ethicon Endo-Sugery, Inc. Electrically self-powered surgical instrument with cryptographic identification of interchangeable part
CN102988087B (zh) 2005-07-27 2015-09-09 柯惠Lp公司 例如用于机电手术设备的轴
US20070029363A1 (en) 2005-08-07 2007-02-08 Sergey Popov Surgical apparatus with remote drive
US8348855B2 (en) 2005-08-29 2013-01-08 Galil Medical Ltd. Multiple sensor device for measuring tissue temperature during thermal treatment
JP4125311B2 (ja) 2005-08-30 2008-07-30 株式会社東芝 ロボットおよびマニピュレータ
US7407078B2 (en) 2005-09-21 2008-08-05 Ehthicon Endo-Surgery, Inc. Surgical stapling instrument having force controlled spacing end effector
AU2006222753B2 (en) 2005-09-30 2012-09-27 Ethicon Endo-Surgery, Inc. Electroactive polymer-based actuation mechanism for linear surgical stapler
US7641091B2 (en) 2005-10-04 2010-01-05 Tyco Healthcare Group Lp Staple drive assembly
US20070102472A1 (en) 2005-11-04 2007-05-10 Ethicon Endo-Surgery, Inc. Electrosurgical stapling instrument with disposable severing / stapling unit
US7328828B2 (en) 2005-11-04 2008-02-12 Ethicon Endo-Surgery, Inc, Lockout mechanisms and surgical instruments including same
US7673780B2 (en) 2005-11-09 2010-03-09 Ethicon Endo-Surgery, Inc. Articulation joint with improved moment arm extension for articulating an end effector of a surgical instrument
US7799039B2 (en) 2005-11-09 2010-09-21 Ethicon Endo-Surgery, Inc. Surgical instrument having a hydraulically actuated end effector
US20070106317A1 (en) 2005-11-09 2007-05-10 Shelton Frederick E Iv Hydraulically and electrically actuated articulation joints for surgical instruments
US7246734B2 (en) 2005-12-05 2007-07-24 Ethicon Endo-Surgery, Inc. Rotary hydraulic pump actuated multi-stroke surgical instrument
US7481824B2 (en) 2005-12-30 2009-01-27 Ethicon Endo-Surgery, Inc. Surgical instrument with bending articulation controlled articulation pivot joint
US7670334B2 (en) 2006-01-10 2010-03-02 Ethicon Endo-Surgery, Inc. Surgical instrument having an articulating end effector
US7464849B2 (en) 2006-01-31 2008-12-16 Ethicon Endo-Surgery, Inc. Electro-mechanical surgical instrument with closure system and anvil alignment components
US20070175951A1 (en) 2006-01-31 2007-08-02 Shelton Frederick E Iv Gearing selector for a powered surgical cutting and fastening instrument
US8708213B2 (en) 2006-01-31 2014-04-29 Ethicon Endo-Surgery, Inc. Surgical instrument having a feedback system
US7845537B2 (en) 2006-01-31 2010-12-07 Ethicon Endo-Surgery, Inc. Surgical instrument having recording capabilities
US7644848B2 (en) 2006-01-31 2010-01-12 Ethicon Endo-Surgery, Inc. Electronic lockouts and surgical instrument including same
US8186555B2 (en) 2006-01-31 2012-05-29 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with mechanical closure system
US7422139B2 (en) 2006-01-31 2008-09-09 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting fastening instrument with tactile position feedback
US7770775B2 (en) 2006-01-31 2010-08-10 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with adaptive user feedback
US7766210B2 (en) 2006-01-31 2010-08-03 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with user feedback system
US20070175955A1 (en) 2006-01-31 2007-08-02 Shelton Frederick E Iv Surgical cutting and fastening instrument with closure trigger locking mechanism
US7464846B2 (en) 2006-01-31 2008-12-16 Ethicon Endo-Surgery, Inc. Surgical instrument having a removable battery
US7575144B2 (en) 2006-01-31 2009-08-18 Ethicon Endo-Surgery, Inc. Surgical fastener and cutter with single cable actuator
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
US20110006101A1 (en) 2009-02-06 2011-01-13 EthiconEndo-Surgery, Inc. Motor driven surgical fastener device with cutting member lockout arrangements
US7568603B2 (en) 2006-01-31 2009-08-04 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with articulatable end effector
US7416101B2 (en) 2006-01-31 2008-08-26 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with loading force feedback
US20070175950A1 (en) 2006-01-31 2007-08-02 Shelton Frederick E Iv Disposable staple cartridge having an anvil with tissue locator for use with a surgical cutting and fastening instrument and modular end effector system therefor
US8992422B2 (en) 2006-03-23 2015-03-31 Ethicon Endo-Surgery, Inc. Robotically-controlled endoscopic accessory channel
EP2486866A3 (en) 2006-05-19 2014-04-02 Ethicon Endo-Surgery, Inc. Mechanical force switch for a medical device
US8551076B2 (en) 2006-06-13 2013-10-08 Intuitive Surgical Operations, Inc. Retrograde instrument
US7740159B2 (en) 2006-08-02 2010-06-22 Ethicon Endo-Surgery, Inc. Pneumatically powered surgical cutting and fastening instrument with a variable control of the actuating rate of firing with mechanical power assist
US20080029574A1 (en) 2006-08-02 2008-02-07 Shelton Frederick E Pneumatically powered surgical cutting and fastening instrument with actuator at distal end
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
US9554843B2 (en) 2006-09-01 2017-01-31 Conmed Corporation Adapter and method for converting gas-enhanced electrosurgical coagulation instrument for cutting
US7967178B2 (en) 2006-10-06 2011-06-28 Tyco Healthcare Group Lp Grasping jaw mechanism
US8733614B2 (en) 2006-10-06 2014-05-27 Covidien Lp End effector identification by mechanical features
US7845535B2 (en) 2006-10-06 2010-12-07 Tyco Healthcare Group Lp Surgical instrument having a plastic surface
JP5085996B2 (ja) 2006-10-25 2012-11-28 テルモ株式会社 マニピュレータシステム
US20080109012A1 (en) 2006-11-03 2008-05-08 General Electric Company System, method and apparatus for tableside remote connections of medical instruments and systems using wireless communications
JP2008114339A (ja) 2006-11-06 2008-05-22 Terumo Corp マニピュレータ
US8882113B2 (en) 2006-11-09 2014-11-11 Westport Medical, Inc. Bit holders
US7721930B2 (en) 2006-11-10 2010-05-25 Thicon Endo-Surgery, Inc. Disposable cartridge with adhesive for use with a stapling device
WO2008061313A1 (en) 2006-11-24 2008-05-29 Mems-Id Pty Ltd Tagging methods and apparatus
US7721931B2 (en) 2007-01-10 2010-05-25 Ethicon Endo-Surgery, Inc. Prevention of cartridge reuse in a surgical instrument
US7738971B2 (en) 2007-01-10 2010-06-15 Ethicon Endo-Surgery, Inc. Post-sterilization programming of surgical instruments
US7954682B2 (en) 2007-01-10 2011-06-07 Ethicon Endo-Surgery, Inc. Surgical instrument with elements to communicate between control unit and end effector
US7900805B2 (en) 2007-01-10 2011-03-08 Ethicon Endo-Surgery, Inc. Surgical instrument with enhanced battery performance
US7950562B2 (en) 2007-01-31 2011-05-31 Tyco Healthcare Group Lp Surgical instrument with replaceable loading unit
WO2008097902A2 (en) 2007-02-05 2008-08-14 Novian Health, Inc. Interstitial laser therapy kits and interstitial laser therapy control system
AU2008223389B2 (en) 2007-03-06 2013-07-11 Covidien Lp Surgical stapling apparatus
US8011550B2 (en) 2009-03-31 2011-09-06 Tyco Healthcare Group Lp Surgical stapling apparatus
US7422136B1 (en) 2007-03-15 2008-09-09 Tyco Healthcare Group Lp Powered surgical stapling device
WO2008118481A2 (en) 2007-03-26 2008-10-02 Hansen Medical, Inc. Robotic catheter systems and methods
US8893946B2 (en) 2007-03-28 2014-11-25 Ethicon Endo-Surgery, Inc. Laparoscopic tissue thickness and clamp load measuring devices
US8056787B2 (en) 2007-03-28 2011-11-15 Ethicon Endo-Surgery, Inc. Surgical stapling and cutting instrument with travel-indicating retraction member
JP5006093B2 (ja) 2007-04-03 2012-08-22 テルモ株式会社 マニピュレータシステム及び制御装置
US20080255413A1 (en) * 2007-04-13 2008-10-16 Michael Zemlok Powered surgical instrument
US20080251561A1 (en) 2007-04-13 2008-10-16 Chad Eades Quick connect base plate for powder actuated tool
WO2008131362A2 (en) 2007-04-20 2008-10-30 Doheny Eye Institute Personal surgical center
US8177776B2 (en) 2007-04-20 2012-05-15 Doheny Eye Institute Independent surgical center
WO2008133956A2 (en) 2007-04-23 2008-11-06 Hansen Medical, Inc. Robotic instrument control system
US7549564B2 (en) 2007-06-22 2009-06-23 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with an articulating end effector
US8534528B2 (en) 2007-06-04 2013-09-17 Ethicon Endo-Surgery, Inc. Surgical instrument having a multiple rate 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
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
US9023014B2 (en) 2007-09-21 2015-05-05 Covidien Lp Quick connect assembly for use between surgical handle assembly and surgical accessories
EP2197363B1 (en) 2007-09-21 2016-11-02 Covidien LP Surgical device
WO2009039510A1 (en) 2007-09-21 2009-03-26 Power Medical Interventions, Inc. Surgical device
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
US8967443B2 (en) 2007-10-05 2015-03-03 Covidien Lp Method and apparatus for determining parameters of linear motion in a surgical instrument
US8517241B2 (en) 2010-04-16 2013-08-27 Covidien Lp Hand-held surgical devices
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
US8012170B2 (en) 2009-04-27 2011-09-06 Tyco Healthcare Group Lp Device and method for controlling compression of tissue
US7922063B2 (en) 2007-10-31 2011-04-12 Tyco Healthcare Group, Lp Powered surgical instrument
US8758342B2 (en) 2007-11-28 2014-06-24 Covidien Ag Cordless power-assisted medical cauterization and cutting device
WO2009073577A2 (en) 2007-11-29 2009-06-11 Surgiquest, Inc. Surgical instruments with improved dexterity for use in minimally invasive surgical procedures
US20090171147A1 (en) 2007-12-31 2009-07-02 Woojin Lee Surgical instrument
CA2711130C (en) 2008-01-10 2016-08-30 Power Medical Interventions, Llc Imaging system for a surgical device
US8647258B2 (en) 2008-01-10 2014-02-11 Covidien Lp Apparatus for endoscopic procedures
TW200934621A (en) 2008-02-01 2009-08-16 Mobiletron Electronics Co Ltd Extended transmission rod for power tool
US8758391B2 (en) 2008-02-14 2014-06-24 Ethicon Endo-Surgery, Inc. Interchangeable tools for surgical instruments
US7857185B2 (en) 2008-02-14 2010-12-28 Ethicon Endo-Surgery, Inc. Disposable loading unit for surgical stapling apparatus
US7819298B2 (en) 2008-02-14 2010-10-26 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with control features operable with one hand
US8657174B2 (en) 2008-02-14 2014-02-25 Ethicon Endo-Surgery, Inc. Motorized surgical cutting and fastening instrument having handle based power source
US8752749B2 (en) 2008-02-14 2014-06-17 Ethicon Endo-Surgery, Inc. Robotically-controlled disposable motor-driven loading unit
US7793812B2 (en) 2008-02-14 2010-09-14 Ethicon Endo-Surgery, Inc. Disposable motor-driven loading unit for use with a surgical cutting and stapling apparatus
US20090206131A1 (en) 2008-02-15 2009-08-20 Ethicon Endo-Surgery, Inc. End effector coupling arrangements for a surgical cutting and stapling instrument
US7959051B2 (en) 2008-02-15 2011-06-14 Ethicon Endo-Surgery, Inc. Closure systems for a surgical cutting and stapling instrument
US8733611B2 (en) 2008-03-12 2014-05-27 Covidien Lp Ratcheting mechanism for surgical stapling device
US20090254094A1 (en) 2008-04-08 2009-10-08 Knapp Troy D Ratcheting mechanical driver for cannulated surgical systems
EP2278927A2 (en) 2008-04-25 2011-02-02 Downey, Earl C. Laparoscopic surgical instrument
US7922061B2 (en) 2008-05-21 2011-04-12 Ethicon Endo-Surgery, Inc. Surgical instrument with automatically reconfigurable articulating end effector
US8403926B2 (en) 2008-06-05 2013-03-26 Ethicon Endo-Surgery, Inc. Manually articulating devices
US8303581B2 (en) 2008-09-02 2012-11-06 Covidien Lp Catheter with remotely extendible instruments
KR101056232B1 (ko) 2008-09-12 2011-08-11 정창욱 최소 침습 수술 도구 및 그 사용 방법
US20100069942A1 (en) 2008-09-18 2010-03-18 Ethicon Endo-Surgery, Inc. Surgical instrument with apparatus for measuring elapsed time between actions
US8210411B2 (en) 2008-09-23 2012-07-03 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting instrument
US9386983B2 (en) 2008-09-23 2016-07-12 Ethicon Endo-Surgery, Llc Robotically-controlled motorized surgical instrument
US8372057B2 (en) 2008-10-10 2013-02-12 Coeur, Inc. Luer lock adapter
US8020743B2 (en) 2008-10-15 2011-09-20 Ethicon Endo-Surgery, Inc. Powered articulatable surgical cutting and fastening instrument with flexible drive member
DE102008053842B4 (de) 2008-10-30 2010-08-26 Kirchner, Hilmar O. Chirurgische Zerspanvorrichtung
US8517239B2 (en) 2009-02-05 2013-08-27 Ethicon Endo-Surgery, Inc. Surgical stapling instrument comprising a magnetic element driver
US8365972B2 (en) 2009-03-31 2013-02-05 Covidien Lp Surgical stapling apparatus
US8348126B2 (en) 2009-03-31 2013-01-08 Covidien Lp Crimp and release of suture holding buttress material
US8016178B2 (en) 2009-03-31 2011-09-13 Tyco Healthcare Group Lp Surgical stapling apparatus
US7967179B2 (en) 2009-03-31 2011-06-28 Tyco Healthcare Group Lp Center cinch and release of buttress material
US8827134B2 (en) 2009-06-19 2014-09-09 Covidien Lp Flexible surgical stapler with motor in the head
US8146790B2 (en) 2009-07-11 2012-04-03 Tyco Healthcare Group Lp Surgical instrument with safety mechanism
CN101953793A (zh) 2009-07-15 2011-01-26 上海新亚药业有限公司 果糖二磷酸钠粉针剂的制备方法
US8314354B2 (en) 2009-07-27 2012-11-20 Apple Inc. Accessory controller for electronic devices
US20110077673A1 (en) 2009-09-29 2011-03-31 Cardiovascular Systems, Inc. Rotational atherectomy device with frictional clutch having magnetic normal force
ES2333509B2 (es) 2009-10-07 2011-01-03 Universidad De Cantabria Instrumento para cirugia endoscopica.
US8157151B2 (en) 2009-10-15 2012-04-17 Tyco Healthcare Group Lp Staple line reinforcement for anvil and cartridge
EP2333509A1 (en) 2009-12-08 2011-06-15 Dingens BG bvba Precision Anaeroid barometer with a capillary tube as a pressure indicator.
US8409086B2 (en) * 2009-12-18 2013-04-02 Covidien Lp Surgical portal with rotating seal
US8561871B2 (en) 2009-12-31 2013-10-22 Covidien Lp Indicators for surgical staplers
WO2011108840A2 (ko) 2010-03-05 2011-09-09 주식회사 이턴 수술용 인스트루먼트, 수술용 인스트루먼트의 커플링 구조 및 원점 조정 방법
KR101765727B1 (ko) 2010-09-01 2017-08-08 (주)미래컴퍼니 수술용 인스트루먼트의 커플링 구조 및 원점 조정 방법
US8562592B2 (en) 2010-05-07 2013-10-22 Ethicon Endo-Surgery, Inc. Compound angle laparoscopic methods and devices
CN101856251B (zh) 2010-06-07 2011-10-05 常州威克医疗器械有限公司 一次性直线形吻合器
US8968337B2 (en) 2010-07-28 2015-03-03 Covidien Lp Articulating clip applier
CN101966093B (zh) 2010-09-28 2012-01-11 常州市康迪医用吻合器有限公司 带有可更换钉仓的腔镜外科切割吻合器
US8292150B2 (en) * 2010-11-02 2012-10-23 Tyco Healthcare Group Lp Adapter for powered surgical devices
US9510895B2 (en) 2010-11-05 2016-12-06 Ethicon Endo-Surgery, Llc Surgical instrument with modular shaft and end effector
US20120116368A1 (en) 2010-11-10 2012-05-10 Viola Frank J Surgical instrument with add-on power adapter for accessory
US8523043B2 (en) 2010-12-07 2013-09-03 Immersion Corporation Surgical stapler having haptic feedback
US8348130B2 (en) 2010-12-10 2013-01-08 Covidien Lp Surgical apparatus including surgical buttress
US8936614B2 (en) 2010-12-30 2015-01-20 Covidien Lp Combined unilateral/bilateral jaws on a surgical instrument
US20120211542A1 (en) 2011-02-23 2012-08-23 Tyco Healthcare Group I.P Controlled tissue compression systems and methods
US9549758B2 (en) 2011-03-23 2017-01-24 Covidien Lp Surgical access assembly with adapter
CN102247182A (zh) 2011-04-29 2011-11-23 常州市康迪医用吻合器有限公司 外科用电动吻合器
US9017314B2 (en) 2011-06-01 2015-04-28 Covidien Lp Surgical articulation assembly
US9381010B2 (en) 2011-06-27 2016-07-05 Covidien Lp Surgical instrument with adapter for facilitating multi-direction end effector articulation
DE102011084499A1 (de) 2011-10-14 2013-04-18 Robert Bosch Gmbh Werkzeugvorsatz
US9480492B2 (en) 2011-10-25 2016-11-01 Covidien Lp Apparatus for endoscopic procedures
US8672206B2 (en) 2011-10-25 2014-03-18 Covidien Lp Apparatus for endoscopic procedures
US8899462B2 (en) 2011-10-25 2014-12-02 Covidien Lp Apparatus for endoscopic procedures
US9492146B2 (en) 2011-10-25 2016-11-15 Covidien Lp Apparatus for endoscopic procedures
US8657177B2 (en) 2011-10-25 2014-02-25 Covidien Lp Surgical apparatus and method for endoscopic surgery
US9168042B2 (en) 2012-01-12 2015-10-27 Covidien Lp Circular stapling instruments
US9241757B2 (en) 2012-01-13 2016-01-26 Covidien Lp System and method for performing surgical procedures with a reusable instrument module
AU2013203675B2 (en) 2012-05-31 2014-11-27 Covidien Lp Hand held surgical handle assembly, surgical adapters for use between surgical handle assembly and surgical end effectors, and methods of use
US9597104B2 (en) 2012-06-01 2017-03-21 Covidien Lp Handheld surgical handle assembly, surgical adapters for use between surgical handle assembly and surgical end effectors, and methods of use
US9868198B2 (en) 2012-06-01 2018-01-16 Covidien Lp Hand held surgical handle assembly, surgical adapters for use between surgical handle assembly and surgical loading units, and methods of use
US10080563B2 (en) 2012-06-01 2018-09-25 Covidien Lp Loading unit detection assembly and surgical device for use therewith
US9364220B2 (en) 2012-06-19 2016-06-14 Covidien Lp Apparatus for endoscopic procedures
US10492814B2 (en) 2012-07-09 2019-12-03 Covidien Lp Apparatus for endoscopic procedures
US9839480B2 (en) 2012-07-09 2017-12-12 Covidien Lp Surgical adapter assemblies for use between surgical handle assembly and surgical end effectors
US9402604B2 (en) 2012-07-20 2016-08-02 Covidien Lp Apparatus for endoscopic procedures
US9421014B2 (en) 2012-10-18 2016-08-23 Covidien Lp Loading unit velocity and position feedback
US9782187B2 (en) 2013-01-18 2017-10-10 Covidien Lp Adapter load button lockout
US10918364B2 (en) 2013-01-24 2021-02-16 Covidien Lp Intelligent adapter assembly for use with an electromechanical surgical system
US9216013B2 (en) 2013-02-18 2015-12-22 Covidien Lp Apparatus for endoscopic procedures
US9421003B2 (en) 2013-02-18 2016-08-23 Covidien Lp Apparatus for endoscopic procedures
US20140246475A1 (en) 2013-03-01 2014-09-04 Ethicon Endo-Surgery, Inc. Control methods for surgical instruments with removable implement portions
US9492189B2 (en) 2013-03-13 2016-11-15 Covidien Lp Apparatus for endoscopic procedures
US9775610B2 (en) 2013-04-09 2017-10-03 Covidien Lp Apparatus for endoscopic procedures
US9700318B2 (en) 2013-04-09 2017-07-11 Covidien Lp Apparatus for endoscopic procedures
US9801646B2 (en) 2013-05-30 2017-10-31 Covidien Lp Adapter load button decoupled from loading unit sensor
US9797486B2 (en) 2013-06-20 2017-10-24 Covidien Lp Adapter direct drive with manual retraction, lockout and connection mechanisms
US9955966B2 (en) 2013-09-17 2018-05-01 Covidien Lp Adapter direct drive with manual retraction, lockout, and connection mechanisms for improper use prevention
US10271840B2 (en) 2013-09-18 2019-04-30 Covidien Lp Apparatus and method for differentiating between tissue and mechanical obstruction in a surgical instrument
US9295522B2 (en) 2013-11-08 2016-03-29 Covidien Lp Medical device adapter with wrist mechanism
US9918713B2 (en) 2013-12-09 2018-03-20 Covidien Lp Adapter assembly for interconnecting electromechanical surgical devices and surgical loading units, and surgical systems thereof
US9808245B2 (en) 2013-12-13 2017-11-07 Covidien Lp Coupling assembly for interconnecting an adapter assembly and a surgical device, and surgical systems thereof
US10164466B2 (en) 2014-04-17 2018-12-25 Covidien Lp Non-contact surgical adapter electrical interface
US10080552B2 (en) 2014-04-21 2018-09-25 Covidien Lp Adapter assembly with gimbal for interconnecting electromechanical surgical devices and surgical loading units, and surgical systems thereof
US9913643B2 (en) 2014-05-09 2018-03-13 Covidien Lp Interlock assemblies for replaceable loading unit
US9713466B2 (en) 2014-05-16 2017-07-25 Covidien Lp Adaptor for surgical instrument for converting rotary input to linear output
US9839425B2 (en) 2014-06-26 2017-12-12 Covidien Lp Adapter assembly for interconnecting electromechanical surgical devices and surgical loading units, and surgical systems thereof
US20150374372A1 (en) 2014-06-26 2015-12-31 Covidien Lp Hand held surgical handle assembly, surgical adapters for use between surgical handle assembly and surgical end effectors, and methods of use
US9987095B2 (en) 2014-06-26 2018-06-05 Covidien Lp Adapter assemblies for interconnecting electromechanical handle assemblies and surgical loading units
US9763661B2 (en) 2014-06-26 2017-09-19 Covidien Lp Adapter assembly for interconnecting electromechanical surgical devices and surgical loading units, and surgical systems thereof
US10163589B2 (en) 2014-06-26 2018-12-25 Covidien Lp Adapter assemblies for interconnecting surgical loading units and handle assemblies
US10561418B2 (en) 2014-06-26 2020-02-18 Covidien Lp Adapter assemblies for interconnecting surgical loading units and handle assemblies
US10603128B2 (en) 2014-10-07 2020-03-31 Covidien Lp Handheld electromechanical surgical system
US10226254B2 (en) 2014-10-21 2019-03-12 Covidien Lp Adapter, extension, and connector assemblies for surgical devices
US9949737B2 (en) 2014-10-22 2018-04-24 Covidien Lp Adapter assemblies for interconnecting surgical loading units and handle assemblies
US10085750B2 (en) 2014-10-22 2018-10-02 Covidien Lp Adapter with fire rod J-hook lockout

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN1547454A (zh) * 2001-06-22 2004-11-17 机能医疗干预公司 电动机械式手术装置
CN101283924A (zh) * 2007-04-13 2008-10-15 Tyco医疗健康集团 动力外科器械
EP1980213A2 (en) * 2007-04-13 2008-10-15 Tyco Healthcare Group, LP Powered surgical instrument
EP2036505A1 (en) * 2007-09-11 2009-03-18 Tyco Healthcare Group LP Articulating joint for surgical instruments
US20120089131A1 (en) * 2007-09-21 2012-04-12 Tyco Healthcare Group Lp Hand held surgical handle assembly, surgical adapters for use between surgical handle assembly and surgical end effectors, and methods of use

Cited By (14)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN104783854A (zh) * 2014-01-17 2015-07-22 柯惠Lp公司 机电手术组件
CN104783854B (zh) * 2014-01-17 2019-06-04 柯惠Lp公司 机电手术组件
CN105212981A (zh) * 2014-06-26 2016-01-06 柯惠Lp公司 手持式手术手柄组件、在手术手柄组件和手术末端执行器间使用的手术接合器及其使用方法
CN105212981B (zh) * 2014-06-26 2019-07-09 柯惠Lp公司 接合器
CN107106167A (zh) * 2014-09-05 2017-08-29 伊西康有限责任公司 用于加电医疗装置的多马达控制
CN107106167B (zh) * 2014-09-05 2020-01-03 伊西康有限责任公司 用于加电医疗装置的多马达控制
CN111544071A (zh) * 2014-10-21 2020-08-18 柯惠Lp公司 用于手术设备的接合器组件、延伸组件和连接器组件
CN111544071B (zh) * 2014-10-21 2024-04-02 柯惠Lp公司 用于手术设备的接合器组件、延伸组件和连接器组件
CN111513775B (zh) * 2015-04-10 2024-01-02 柯惠Lp公司 接合器组件和机电手术系统
CN111513775A (zh) * 2015-04-10 2020-08-11 柯惠Lp公司 接合器组件和机电手术系统
CN108601604A (zh) * 2016-05-17 2018-09-28 科瑞欧医疗有限公司 用于外科手术器械的控制装置
CN114829838A (zh) * 2019-12-11 2022-07-29 A.A.G.斯图基私人有限责任公司 具有移动指令装置的连接装置
CN112617935B (zh) * 2020-12-18 2022-02-01 苏州法兰克曼医疗器械有限公司 一种具有自动复位保险机构的消化内科用吻合器
CN112617935A (zh) * 2020-12-18 2021-04-09 苏州法兰克曼医疗器械有限公司 一种具有自动复位保险机构的消化内科用吻合器

Also Published As

Publication number Publication date
US20220022870A1 (en) 2022-01-27
AU2013205875A1 (en) 2013-12-19
US11071546B2 (en) 2021-07-27
EP2668911A2 (en) 2013-12-04
CA2816279C (en) 2019-10-15
CN111481252A (zh) 2020-08-04
EP2668911A3 (en) 2016-06-29
US10542984B2 (en) 2020-01-28
EP2668911B1 (en) 2019-07-17
CN107411792B (zh) 2020-05-12
JP6239867B2 (ja) 2017-11-29
CN111481252B (zh) 2023-07-04
CA2816279A1 (en) 2013-12-01
EP3566661A1 (en) 2019-11-13
US9597104B2 (en) 2017-03-21
US20170172576A1 (en) 2017-06-22
US20130324978A1 (en) 2013-12-05
JP2013248394A (ja) 2013-12-12
US20200155153A1 (en) 2020-05-21
CN103445817B (zh) 2017-09-08
CN107411792A (zh) 2017-12-01
EP3566661B1 (en) 2024-03-13
AU2013205875B2 (en) 2017-07-20

Similar Documents

Publication Publication Date Title
CN103445817A (zh) 手持式手术用手柄组件、手术用手柄组件和手术用末端执行器之间使用的手术用接合器及使用方法
US20200262046A1 (en) Hand held surgical handle assembly, surgical adapters for use between surgical handle assembly and surgical loading units, and methods of use
CN103445818A (zh) 装载单元检测组件以及与其一起使用的手术装置
AU2014200176B2 (en) Intelligent adapter assembly for use with an electromechanical surgical system
CN103211635A (zh) 手持式手术手柄组件、在手术手柄组件和手术末端执行器之间使用的手术适配器及其使用方法
CN105212981A (zh) 手持式手术手柄组件、在手术手柄组件和手术末端执行器间使用的手术接合器及其使用方法
CN103536325A (zh) 在手术手柄组件和手术末端执行器间使用的手术接合器组件

Legal Events

Date Code Title Description
C06 Publication
PB01 Publication
C10 Entry into substantive examination
SE01 Entry into force of request for substantive examination
GR01 Patent grant
GR01 Patent grant