CN1981711A - 机动的手术器械,制造机动的手术器械的方法,以及使用机动的手术器械的方法 - Google Patents
机动的手术器械,制造机动的手术器械的方法,以及使用机动的手术器械的方法 Download PDFInfo
- Publication number
- CN1981711A CN1981711A CNA2007100044739A CN200710004473A CN1981711A CN 1981711 A CN1981711 A CN 1981711A CN A2007100044739 A CNA2007100044739 A CN A2007100044739A CN 200710004473 A CN200710004473 A CN 200710004473A CN 1981711 A CN1981711 A CN 1981711A
- Authority
- CN
- China
- Prior art keywords
- handle
- flush fluid
- cutting blade
- hub
- blade assembly
- 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
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
- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B17/1613—Component parts
- A61B17/162—Chucks or tool parts which are to be held in a chuck
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B17/1613—Component parts
- A61B17/1622—Drill handpieces
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B17/1613—Component parts
- A61B17/1626—Control means; Display units
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B17/1662—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body
- A61B17/1679—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body for the ear
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B17/1662—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body
- A61B17/1688—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body for the sinus or nose
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/320016—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes
- A61B17/32002—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes with continuously rotating, oscillating or reciprocating cutting instruments
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
- A61B34/70—Manipulators specially adapted for use in surgery
- A61B34/74—Manipulators with manual electric input means
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/84—Drainage tubes; Aspiration tips
- A61M1/86—Connectors between drainage tube and handpiece, e.g. drainage tubes detachable from handpiece
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B17/1613—Component parts
- A61B17/1622—Drill handpieces
- A61B17/1624—Drive mechanisms therefor
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B17/1613—Component parts
- A61B17/1633—Sleeves, i.e. non-rotating parts surrounding the bit shaft, e.g. the sleeve forming a single unit with the bit shaft
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B17/1695—Trepans or craniotomes, i.e. specially adapted for drilling thin bones such as the skull
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/24—Surgical instruments, devices or methods, e.g. tourniquets for use in the oral cavity, larynx, bronchial passages or nose; Tongue scrapers
-
- 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
- A61B17/2909—Handles
-
- 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
- A61B2017/00199—Electrical control of surgical instruments with a console, e.g. a control panel with a display
-
- 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
-
- 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
- A61B2017/0042—Surgical instruments, devices or methods, e.g. tourniquets with special provisions for gripping
- A61B2017/00424—Surgical instruments, devices or methods, e.g. tourniquets with special provisions for gripping ergonomic, e.g. fitting in fist
-
- 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
- A61B2017/00477—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
- A61B2017/00973—Surgical instruments, devices or methods, e.g. tourniquets pedal-operated
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B2217/00—General characteristics of surgical instruments
- A61B2217/002—Auxiliary appliance
- A61B2217/005—Auxiliary appliance with suction drainage system
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B2217/00—General characteristics of surgical instruments
- A61B2217/002—Auxiliary appliance
- A61B2217/007—Auxiliary appliance with irrigation system
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/84—Drainage tubes; Aspiration tips
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/84—Drainage tubes; Aspiration tips
- A61M1/85—Drainage tubes; Aspiration tips with gas or fluid supply means, e.g. for supplying rinsing fluids or anticoagulants
-
- Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
- Y10T—TECHNICAL SUBJECTS COVERED BY FORMER US CLASSIFICATION
- Y10T279/00—Chucks or sockets
- Y10T279/17—Socket type
- Y10T279/17666—Radially reciprocating jaws
- Y10T279/17692—Moving-cam actuator
- Y10T279/17743—Reciprocating cam sleeve
- Y10T279/17752—Ball or roller jaws
Abstract
一机动的手术器械可与一冲洗流体源和一抽吸源一起使用。机动的手术器械可包括一切割刀片组件和一手柄。手柄可包括一形成连接到切割刀片组件的远端部分的上部和一从上部向下延伸的下部。手柄可连接到冲洗流体源和抽吸源。系统还可包括一手动致动的输入装置,它提供至少一个与系统的至少一个操作相关的信号,以及一控制器,它接收至少一个输入信号,并提供一输出信号以便执行系统的至少一个操作。
Description
本申请是题为“机动的手术器械,制造机动的手术器械的方法,以及使用机动的手术器械的方法”、申请日为2003年2月10日、申请号为03809240.9(PCT/GB03/00570)的中国专利申请的分案申请。
技术领域
本发明涉及一机动的手术器械,制造机动的手术器械的方法,以及使用机动的手术器械的方法。尤其是,本发明涉及这样一机动的手术器械,它能刮削、切割和/或去除组织、骨和/或任何其它的身体的材料。
背景技术
手术器械装有动力来提高刮削、切割和/或去除组织、骨和/或任何其它的身体材料的能力。这样的机动的手术器械可包括一刮削或切割器具,例如,一转动的刀片。转动刀片可连接到一由诸如外科医生的器械操作者握持的手拿持部分。外科医生的手握持手拿持部分,由此,他能操纵转动的刀片来刮削或切割要求的组织、骨和/或其它身体的材料。
这样的手术器械的一个实例揭示在美国专利No.5,492,527中(下文中称“527专利”),本文援引该专利的全部内容以供参考。527专利特别地涉及一手术刮削器,其用于内窥镜外科手术,它驱动一细长转动的手术器具并从手术工作区域抽吸材料。如527专利的图1-5和14所示,手术用刮削器包括一带有一本体12的手拿持部分10,本体12具有一远端14、一近端16、一收集组件18、一电机密封组件20和一电缆组件22。一刮削器刀片组件172通过收集组件18附连到手拿持部分10的本体12上,该刮削器刀片组件包括一细长的转动的内刀片174和一细长的外刀片176。细长的外刀片176形成一切割窗188,其面对一横向于刮削器的轴线的方向。收集组件18可人工地转动,以便能转动切割窗188。
在操作中,一外科医生以类似于握持一诸如铅笔或钢笔之类的书写器具的方式,握持手拿持部分10的细长本体12。尽管以此方式握持手拿持部分10的本体12,但外科医生仍能将刮削器刀片组件的末端引导到待切割的身体材料。用外科医生的手指的末端,外科医生还可转动收集组件18来将切割窗188转动到一切割身体材料的合适的位置。
发明内容
然而,诸如527专利的手术刮削器之类的手术器械的手拿持部分的本体,通常比诸如铅笔或钢笔之类的普通书写器具重得多。因此,诸如外科医生的操作者以这种方式用来握持手术器械的手拿持部分的本体,在延续相当长时间的外科手术过程中他们的手部肌肉会疲劳。再者,在握持仿佛是一书写器具的手拿持部分的本体的同时,外科医生会发现难于转动收集组件来移动外刀片的切割窗。此外,外科医生可发现握持仿佛是一书写器具的手术器械的手拿持部分的本体的操作,另外有一种笨重、不自然或麻烦的感觉。
本发明着力于解决上述的和/或其它的方面,并可提供一机动的手术器械,制造机动的手术器械的方法,以及使用机动的手术器械的方法,其便于轻松地操作和/或促进操作的效用。本发明还可提供这样的器械和方法,它们便于和促进器械的至少一部分的清洁和/或消毒的效率和操作的轻松自如。
本发明可在各种外科手术中用来切割、刮削和/或去除组织、骨和/或任何其它的身体材料,例如,普通的耳、鼻和喉(下文中称“ENT”)、头和颈,以及耳神经手术。根据本发明的一个实施例,它用作一窦清创。然而,本发明可用于其它的外科手术。具体来说,本发明可用于窦手术。例如,筛房切除术/蝶筛骨切除术、息肉切除术、鼻中隔成形术、窦造口术、内窥镜DCR、额窦钻出、额窦环锯术和冲洗、中隔骨刺去除,以及经蝶骨的手术。本发明可用于鼻咽的/喉的手术,例如,增殖腺切除术、喉部损害消肿、喉部息肉切除术、气管手术,以及扁桃腺切除术。本发明可用于头部和颈部的手术,例如,软组织刮削、鼻成形术(狭窄鼻骨和修整骨锥)、面部上颌骨的和颚的区域的去除脂肪组织(脂肪清创术),以及声音神经瘤去除。本发明还可用于耳科手术,例如,乳突小房切除术和乳突凿开术。
上述外科手术和程序的清单不是详尽的,根据本发明的外科手术器械旨在用于目前已知的或以后发展的任何其它应用的外科手术和程序。事实上,根据本发明的器械不仅可用于人类的外科手术和程序,而且可用于动物和其它有机物的外科手术和程序。
然而,即使器械意图用于各种其它的应用,但为了说明的方便,下文中在有关人类手术方面进行描述,例如,耳、鼻和喉外科,尤其是,窦外科。在这方面,可提供根据本发明的器械和方法来遵守手术器械标准,但不是必要地提供来遵守手术器械标准,例如,下列通用的非官方的标准:UL2601-1:医疗电气设备,卷1:安全性的一般要求,澳大利亚差异,CSA22.2 No.601:加拿大标准,IEC601-1-1(EN60601-1):医疗电气设备,卷1:安全性的一般要求,IEC601-1-2(EN60601-1-2)医疗安全设备,卷2:安全性的特别要求,IEC601-1-4(EN60601-1-2)医疗安全设备,卷1:安全性的一般要求4。间接的标准:编程的电气医疗系统,IEC61000-4-2:电磁相容性(EMC)卷4:试验和测量技术-第3部分:辐射、射频、电磁场免疫性试验,IEC61000-4-4:电磁相容性(EMC卷4):试验和测量技术-第4部分:电气快速瞬态/爆发免疫性,IEC6100045:电磁相容性(EMC)-卷4:试验和测量技术-第5部分:振荡,IEC529:安装保护设备,ISO10993-1:医疗器械的生物评价,以及EN55011,工业、科学的电磁扰动特性测量的限制和方法,以及医疗(ISM)射频设备,B级。还可提供根据本发明的器械和方法来遵守其它通用的标准和/或任何以后发展的标准。
下面描述本发明的各个方面。提供这些方面仅是为了示范的目的,不应认为限制本发明的范围。
I.手柄
本发明包括一手柄,它用于带有可移动的切割刀片组件的机动的手术器械中。该手柄包括一上部,其形成一连接到切割刀片组件的远端部分。手柄还包括一下部,其从上部向下延伸,以便相对于上部的远端部分形成一小于90°的角。
该结构相对于其它手柄结构提供人机工程学的优点。例如,上述手柄的操作者可如同一手枪那样握住手柄,并觉得手枪式的握持更易于在长时间内握持,更易于用一个手操作,或更易于准确地操纵切割刀片组件到达其要求的区域。下部相对于上部的定位也可减小,减到最小,或防止在诸如窦手术的某些手术程序中下部和病人下颚之间的干扰。这种定位也能使外科医生的手指中的至少一个手指放置在一便于操纵一夹头组件的位置上,该夹头组件可设置成形成一上部的远端部分,以使切割刀片组件的切割窗能够转动。
本发明还提供一制造上述手柄的方法。该方法包括形成一上部,上部具有一连接到可移动的切割刀片组件的远端部分,以及将下部连接到上部,以使下部从上部向下延伸,以相对于上部的远端部分形成一小于90°的角。
本发明还提供一手柄,它用于带有可移动的切割刀片组件和一冲洗流体源的机动的手术器械中。该手柄包括一上部,其形成一连接到切割刀片组件的远端部分。上部包括一近端部分,其形成一连接到冲洗流体源的冲洗流体连接。上部形成一冲洗流体的通道,其从冲洗流体连接延伸到切割刀片组件。手柄还包括一从上部向下延伸的下部。
该手柄提供各种优点。例如,该手柄提供人机工程学的优点,同时还可使用冲洗流体。
本发明还提供一制造该手柄的方法。该方法包括形成一上部,上部具有一连接到可移动的切割刀片组件的远端,在上部的近端处形成一连接到冲洗流体源的冲洗流体连接,形成一冲洗流体的通道,其从冲洗流体连接延伸到切割刀片组件,以及将下部连接到上部,以便从上部向下延伸。
II.手柄组件
本发明还提供一手柄组件,它在带有可移动的切割刀片组件和一冲洗流体源的机动的手术器械中是有用的。该手柄组件包括一手柄,其具有一连接到可移动的切割刀片组件的远端部分。手柄包括一近端,其形成一冲洗流体连接。手柄形成一冲洗流体的通道,其从冲洗流体连接延伸到切割刀片组件。手柄组件还包括一连接器,其在冲洗流体连接处连接到手柄的近端。连接器形成一冲洗流体的入口通道,其邻近于手柄的冲洗流体通道。
本发明提供各种优点。例如,利用连接器可避免将冲洗流体源直接地连接到切割刀片组件。因此,当切割刀片组件变化时,冲洗流体源不需从手柄组件上拆卸。
本发明还提供一制造该手柄组件的方法。该方法包括形成一手柄,其具有一连接到可移动的切割刀片组件的远端部分,在手柄的近端处形成一冲洗流体连接,在手柄中形成一冲洗流体的通道,其从冲洗流体连接延伸到切割刀片组件,在冲洗流体连接处将一连接器连接到手柄的近端,在连接器内形成一冲洗流体的入口通道,其邻近于手柄的冲洗流体通道。
本发明包括一手柄组件,它在带有可移动的切割刀片组件的机动的手术器械中是有用的。该手柄组件包括一上部,其形成一连接到切割刀片组件的远端部分,以及一从上部向下延伸的下部。手柄组件还包括一连接到下部的激发器开关组件,其提供至少一个有关机动的手术器械操作的输出信号。
该手柄组件提供各种优点。例如,因为其设置在手柄的下部上,所以,激发器开关组件可比诸如脚踏开关之类的其它类型的致动机构更易于操作。
本发明还提供一制造该手柄组件的方法。该方法包括形成一上部,其具有一连接到切割刀片组件的远端部分,将下部连接到上部,以便从上部向下延伸,将激发器开关组件连接到下部,其提供至少一个有关机动的手术器械操作的输出信号。
III.切割刀片组件
本发明还提供一切割刀片组件,其用于机动的手术器械的手柄。手柄可具有一形成至少一个通道的内部表面和一转动内部表面的电机。切割刀片组件包括一形成一切割窗的外管和一固定到外管的外毂。切割刀片组件还包括一在外管内延伸和形成一切割表面的内管。切割刀片组件还包括一固定到内管的内毂。内管形成一外部和至少一个沿外部纵向地延伸的驱动花键,该至少一个驱动花键与手柄的至少一个通道连通,以便能转动内毂和内管。
该切割刀片组件提供各种优点。例如,至少一个驱动花键和至少一个通道之间的连通提供足够的表面区域,以便有效地连通电机转矩到内毂。
本发明还提供一制造该切割刀片组件的方法。该方法包括形成一包括一切割窗的外管,将一外毂固定到外管,形成一限定一切割表面的内管,在外管内延伸内管,将内管固定到内毂,形成至少一个在内毂的内部上沿纵向延伸的驱动花键,其中,至少一个驱动花键连通手柄的至少一个通道,以便转动内毂和内管。
本发明还提供一切割刀片组件,其用于机动的手术器械的手柄。手柄可包括一人工转动的夹头组件和至少一个保持球。切割刀片组件包括一形成一切割表面的内管,一固定到内管的内毂,一外管形成一切割窗,以使内管在外管内延伸,以及一固定到外管的外毂。外毂具有一形成至少一个窝坑的外部,窝坑与至少一个保持球接合,以便将外毂固定到夹头组件。
该切割刀片组件提供各种优点。例如,至少一个保持球和至少一个窝坑之间的连通提供增加的表面区域,以便有效地将外毂固定到夹头组件。
本发明还提供一制造该切割刀片组件的方法。该方法包括形成一限定一切割表面的内管,将内管固定到内毂,形成一限定一切割窗的外管,在外管内延伸内管,将外管固定到外毂,形成至少一个在外毂的外部内的窝坑,其与至少一个保持球接合,以便将外毂固定到夹头组件。
本发明还提供一切割刀片组件,其用于机动的手术器械的手柄和一冲洗流体源。手柄可包括一形成一冲洗流体通道的筒,所述冲洗流体通道形成一纵向部分和横向部分。切割刀片组件包括一形成一切割表面的内管,一固定到内管的内毂,一外管形成一切割窗,以使内管在外管内延伸,以便在其间形成一管间隙,以及一固定到外管的外毂。外毂形成一横向的通孔,其连通筒的冲洗流体通道的横向部分和管间隙,以使冲洗流体可经外毂的横向通孔流过筒的冲洗流体通道进入管间隙。
该切割刀片组件提供各种优点。例如,切割刀片组件提供一种结构,其不要求冲洗流体源直接地与其连接,它能使切割刀片组件变化,而不要求冲洗流体源从手柄中脱开。
本发明还提供一制造该切割刀片组件的方法。该方法包括形成一限定一切割表面的内管,将内管固定到内毂,形成一限定一切割窗的外管,在外管内延伸内管,以便在其间形成一间隙,将外毂固定到外管,在外毂内形成一横向通孔,其与筒的冲洗流体通道的横向部分和管间隙连通,以使冲洗流体可经外毂的横向通孔流过筒的冲洗流体通道进入管间隙。
IV.机动的手术器械系统
本发明还提供一机动的手术器械系统,其用于一冲洗流体源和一抽吸源。该系统包括一切割刀片组件和一手柄。手柄包括一上部,其形成一连接到切割刀片组件的远端部分,以及一从上部向下延伸的下部。手柄连接到冲洗流体源和抽吸源。该系统还包括一人工致动的输入装置,其提供关于系统的至少一个操作的至少一个信号,以及一控制器,其接纳至少一个信号并提供一输出信号,以便执行系统的至少一个操作。
机动的手术器械系统提供各种优点,例如,如上所述的诸多优点。
在下面对于根据本发明的系统和方法的各种示范的实施例的详细的描述中,介绍了本发明的上述的和其它的特征和优点,并从中可明白这些特征和优点。
附图的简要说明
下面将参照附图来详细地描述本发明的各种示范的实施例,其中:
图1是根据本发明的一示范的实施例的机动的手术器械的示意图;
图2是示出手柄2的外部的示意图;
图3是示出手柄2的外部的立体图;
图4是示出手柄2的各种副元件的分解的立体图;
图5是示出手柄2的各种副元件的侧视截面图;
图6是示出手柄2的各种副元件的俯视截面图;
图7是示出夹头组件36的各种副元件的分解的立体图;
图8是示出夹头组件36的外部的立体图;
图9是示出夹头组件36的各种副元件的前视平面图;
图10是示出管连接器112的外部的立体图;
图11是管连接器112的前视图;
图12是沿图11的平面A-A截取的管连接器112的侧视截面图;
图13是示出切割刀片组件8的外部的立体图;
图14是示出切割刀片组件8的外部的一部分的局部的立体图;
图15是沿图14的平面B-B截取的切割刀片组件8的截面图;
图16是切割刀片组件8的外毂138的立体图;
图17是图16所示的外毂138的侧视平面图;
图18是沿图17的平面C-C截取的外毂138的截面图;
图19是形成在图17所示的外毂138内的一冲洗孔142的侧视平面图;
图20是形成图17所示的保持通道146的外毂138的一部分的侧视平面图
图21是形成图18所示的近端160的外毂138的一部分的截面图;
图22是沿图17的平面D-D截取的外毂138的截面图;
图23是切割刀片组件8的内毂162的立体图;
图24是图23所示的内毂162的侧视平面图;
图25是相对于图24的视图转过90°的内毂162的另一侧视平面图;
图26是沿图25的平面E-E截取的内毂162的截面图;
图27是沿图25的平面F-F截取的内毂162的截面图;
图28是形成图26所示的弹簧保持通道174的内毂162的一部分的截面图
图29是激发器开关组件180和手柄2的相关的副元件的分解的立体图;
图30是激发器开关组件180的传感器带192的示意图;
图31是安装在手柄2上的激发器开关组件的侧视立体图;
图32是安装在手柄2上的激发器开关组件180的前视示意图;
图33是示出脚踏开关4的外部的立体图;
图34是双管226及与其连接的装置的立体图;
图35是处于连接状态的双管226的一部分236的立体图;
图36是沿图35的平面G-G截取的双管226的截面图;
图37是示出控制器6的前面和冲洗流体供应机构26的立体图;以及
图38是示出控制器6的后面和冲洗流体供应机构26的立体图。
具体实施方式
为了解释的方便,下面参照有关人类手术的附图来描述本发明的示范的实施例,例如,耳、鼻和喉的手术,尤其是,窦手术。然而,如上所述,本发明的所有示范的实施例旨在用于任何企图达到的实用领域内。
I.总的系统描述
图1是根据本发明的一示范的实施例的机动的手术器械1的示意图。如图1所示,器械1包括一手柄2、一脚踏开关4和一控制器6。下面提供这些元件的一般的描述及其它们的相互关系。
手柄2在其末端包括一切割刀片组件8。在外科程序或手术的过程中,切割刀片组件8的末端用来切割、刮削和/或去除身体上的材料。切割刀片组件8的末端可以任何方式执行切割、刮削和/或摘除,例如通过转动来执行。在手术中,一外科医生如同握持一手枪那样地握持手柄2,并使切割刀片组件8的末端接触待刮削、切割和/或摘除的身体材料。
脚踏开关4通过一诸如电缆的脚踏开关信号线10连接到控制器6。脚踏开关4通常设置在外科手术室的地板上在外科医生脚能到达的范围内。脚踏开关4包括一致动器件,例如,一踏脚板12,它的致动导致一输入信号通过脚踏开关信号线10传输到控制器6内。在手术中,为了控制器械的至少一个操作,例如,切割刀片组件8转动的通电/断电,或切割刀片组件8的转速,外科医生将他或她的脚放在脚踏开关4上,并踏下踏脚板12以将输入信号提供给控制器。然而,脚踏开关信号线10可用于任何其它的目的,例如,将其它类型的信号传输到控制器6,从控制器6传输信号到脚踏开关4,或将电源供应到脚踏开关4。
一激发器开关组件(未在图1中示出)可附连到手柄2,并替代脚踏开关4或加上脚踏开关4一起使用。在外科医生如握持手枪那样握持手柄的同时,可以这样地致动激发器开关组件,以使外科医生的一个或多个手指可按压激发器开关组件的一部分朝向手柄,如同拉手枪的扣机。
控制器6通过一诸如电缆的手柄信号线14也连接到手柄2。控制器6可通过手柄信号线14输出信号到手柄,例如,控制切割刀片组件的开/关状态的控制信号,和/或根据通过控制器6从脚踏开关4接收到的输入信号,控制切割刀片组件8的转速。
然而,手柄信号线14可用于任何其它的目的,例如,将其它类型的信号传输到手柄2,从手柄2传输信号到控制器6,或将电源供应到手柄2。例如,手柄信号线14可用来传输信号到控制器6,以指示目前连接到控制器6的手柄2的类型。
控制器6通过一诸如标准电缆或医院级的电源线的电源供应线18连接到电源16。控制器6从电源16接受和利用AC电压的电源。然而,控制器也可接受和利用DC电压的电源。此外,AC或DC电源16不必从控制器6移去,相反,可与其一体地形成。
如图1所示,控制器6可以滑动地设置在垂直轨20上。控制器6滑动地设置在垂直轨20上能调整控制器的安装高度,以便于观察控制器面上的数据,能考虑到可见的约束,或任何其它的目的。
然而,控制器6不必安装在垂直轨20上。相反,控制器可安装在一水平轨上。事实上,控制器6可以任何方式或部位设置和/或安装。控制器甚至可安装在远离手术室的一部位处,或手术器械的其它元件的部位处。
手拿持部分可通过一冲洗流体供应管24连接到冲洗流体源22上。可提供冲洗流体流过手柄2和流到切割刀片组件8和/或手术部位,以便润滑刀片,从而提高切割或刮削效率。然而,可为任何其它目的提供冲洗流体,例如,彻底冲洗手术部位,以提高去除切割或刮削身体材料的效率。
冲洗流体可通过任何方法从冲洗流体源22供应到手柄2。例如,冲洗流体可通过设置在控制器6的一侧上的冲洗流体供应机构26供应到手柄2。
手柄2也可通过抽吸供应管30连接到抽吸源28。可提供抽吸来延伸通过手柄2和到切割刀片组件8和/或手术部位,以便去除切割或刮削的身体材料和/或冲洗流体。然而,也可为任何其它目的提供抽吸。
提供器械1的上述总的系统描述只是为了示范的目的。本发明不仅意图涵盖上述总的系统,而且涵盖个别元件的各种其它的方面或总的系统的个别元件的组合。因此,可个别地利用本发明的个别元件的任何其它方面,以及组合上述个别元件,或结合与上述总的系统相当不同但仍在本发明的精神和范围之内的系统。
II.手柄
手柄2的示范的实施例的各种视图示于图2-6,其中,图2是示出手柄的外部的示意图,图3是手柄的外部的立体图,图4是示出手柄2的各种副元件的分解的立体图,图5是示出手柄2的各种副元件的侧视截面图,以及图6是示出手柄2的各种副元件的俯视截面图。下面结合图2-6来描述手柄2的一示范的实施例。
手柄2包括一上部32和一下部34,它们形成一手枪式的握持。诸如一外科医生的操作者如同握持一手枪那样地握持手柄2。握持手柄2的特殊的方式可以由操作者的偏好确定。然而,下面描述握持手柄2的一示范的方法。例如,当握持手柄2时外科医生的手掌可压靠在下部34的后端,同时,外科医生的一个或多个手指可包围在下部34的前端。外科医生的一个或多个手指也可沿着上部32延伸。
相对于其它手柄结构,例如,要求一操作者如同握持一书写器具那样握持手柄的结构,手枪式握持则提供人机工程学的优点。操作者会觉得手枪式的握持更易于在长时间内握持,更易于用一个手操作,或更易于准确地操纵切割刀片组件8到达其要求的目标区域。然而,这些优点仅提供来为了示范的目的,手枪式握持可提供其它的优点和方便。
如图2和5所示,上部32近似地或大致地平行于切割刀片组件8延伸,而下部34相对于上部32以一角度延伸。该形成在上部和下部32和34之间的角度小于90°,以使下部34延伸到手柄2的前面并大致地朝向手术中的手术部位。
以相对于上部32的一角度(小于90°)定向下部34,相对于其它可能的定向可提供诸多优点。例如,该定向可减小,减到最小,或防止在诸如窦手术的某些手术程序中下部34和病人下颚之间的干扰。这种定向也能使外科医生的手指中的至少一个手指放置在一便于操纵一夹头组件36的位置上,该夹头组件将在后续的一个部分中讨论,它转动切割刀片组件8的一切割窗。然而,这些优点仅提供来为了示范的目的,该定向可在窦手术或其它的应用中提供其它的优点。
如图4和5所示,一电机组件38设置在下部34内。电机组件38与手柄2的其它副元件相比可以相对地重一些。在下部内设置相对重的电机组件38,可降低手柄2的重量的部署,并由此使手柄2更易于握持,因为相对重的下部34可被握持在操作者手掌和一个或多个手指之间。
然而,相对于其它的部署,在下部34内设置电机组件38可提供其它的优点。例如,这种部署能使冲洗流体和/或抽吸,沿着一相对直的路径移动通过基本上或大致地平行于切割刀片组件8的手柄2。该相对直的路径可提高流体供应或抽吸的规则性,和/或减小、减到最小或防止流体供应或抽吸中的阻碍或阻塞。
电机组件38可设置在手柄底盘40内,底盘又设置在下部34的手柄壳42内。手柄壳42形成下部34的外部。上部的外部由筒44形成。
上部和下部32和34通过手柄紧固件46和内部紧固件48固定在一起。手柄紧固件和内部紧固件46和48,与形成在手柄壳42、手柄底盘40和筒44的支架50内的孔连通,以便将上部和下部32和34固定在一起。
然而,手柄紧固件46和内部紧固件48提供来仅为了示范的目的,上部和下部32和34可用任何方式固定在一起。事实上,上部和下部32和34甚至不必是分离元件,相反,可以一体地形成。
如图3-6所示,冲洗流体和抽吸设置成延伸通过手柄2的筒44和夹具36。冲洗流体通过位于筒44的后端处的一冲洗流体连接52体供应到手柄2。抽吸通过邻近筒44的后端处的冲洗流体连接52并位于其下方的抽吸连接54供应到手柄2。
抽吸设置在手柄2内,其通过一形成在抽吸连接54内的抽吸通道56并沿着一基本上直线路径延伸通过筒44和夹具36到达切割刀片组件8。抽吸路径大致地沿筒44、夹具36和切割刀片组件8的中心线延伸。
冲洗流体设置在手柄2内,其通过一冲洗流体通道58,流体通道大致平行于抽吸通道56延伸到筒44的前部,然后,基本上横向于抽吸通道56沿着一横向通道60延伸。然后,冲洗流体基本上平行于抽吸通道56移动通过夹具36到达切割刀片组件8。
手柄信号线14通过一电缆组件62连接到手柄2,电缆组件62然后电气地连接到电机组件38。由此,控制器6可通过手柄信号线14和电缆组件62将控制信号送到电机组件38,以致动电机开和关和调节电机的速度。然而,控制器6可发出任何其它的信号通过手柄信号线14和电缆组件62到达电机组件38,和/或通过手柄信号线14和电缆组件62接受来自电机组件38的任何其它信号。
电缆组件62设置在手柄的后端,邻近冲洗流体连接52和抽吸连接54并位于其下方。电缆组件62设置在这样的位置,能使手柄线14、抽吸流体供应管24和抽吸供应管30从手柄2的后端延伸,并如图2所示,基本上彼此平行和靠近在一起。这样的设置和延伸的方向便于外科手术过程中手柄2的操作,因为手柄信号线14、冲洗流体供应管24和抽吸供应管30一起地远离手术部位。然而,这样的设置和延伸的方向还提供其它的优点,例如,减小、尽可能降低或防止线和管彼此变得缠在一起的可能,和/或与其它线、导线或管纠缠在一起的可能。
手柄2的某一些或所有的副元件可由重量轻的材料制成,例如,由铝或陶瓷制成。用重量轻的材料来形成至少某些的副元件,可降低手柄2的总重,并由此提高操作的灵活性。
手柄可包括各种其它的副元件。如图4-6所示,这些副元件可包括一冲洗榫销64、后密封66和68、一后薄垫片70、一公差环72、一齿轮轴74、一后轴承76、一前轴承78、一前轴承保持器80,以及前密封82和84。
为了尽可能用少数的零件制造手柄,冲洗供应孔可钻入在外壳内,而冲洗榫销64提供一装置,其关闭冲洗供应孔,以防止冲洗流体从孔的敞开端的不希望的泄漏。齿轮轴74安装在手柄2的内部,使其轴线与手柄的主轴线对齐,并支承在一前轴承78和后轴承76上,以使其能自由地转动。一齿轮形成为该齿轮轴的一部分,齿轮的齿围绕齿轮轴径向地布置。这些齿轮齿通过安装在电机输出轴上的一小齿轮与电机组件38啮合。在此特殊的实施中,使用一平面齿轮来提供电机组件与齿轮轴更容易的对齐,其中,平面齿轮的小齿轮可以是一直的正齿轮,而假定正齿轮的面完全地重叠在齿轮的齿上,则其相对于齿轮轴的轴向位置不是关键的。该装置在制造过程中允许更容易地组装和对齐。
电机组件38、齿轮轴74、前轴承78和后轴承76的组装形成一机械传动机构,其适合于操作者的偏好或任务的要求可设计成以任何的角度来啮合。该传动机构可使用诸如一油或油脂之类的润滑剂材料。前密封82和84和后密封66和68提供一装置来防止这样的润滑剂泄漏出传动机构,还防止传动机构外壳和齿轮在使用或清洁过程中被可能存在于器械内的异物污染。形成传动机构的诸齿轮可选择地以紧密接触的关系组装,以提供最佳的性能。提供这样机械元件的可重复调整的一种装置是使用一薄垫片70或多个薄垫片来轴向地对齐齿轮轴74和电机组件38。一旦确定好正确的薄垫片的大小,对于齿轮轴装入外壳2内,它可重复地用来提供一致的组装定位。
用来支承齿轮轴的轴承76和78以精密的同心度最佳地安装在外壳2内,这样可防止轴承外滚道相对于外壳2的相对运动。达到这要求的一装置是使用一粘接剂来将轴承的外滚道粘结到外壳2的内孔中。另一可采用的安装轴承的较佳的装置是使用放置到外壳2内的一公差环72。公差环72提供一装置,其在轴承的外滚道和外壳的内直径之间保持一紧密的配合,以防止轴承外滚道相对于外壳的相对运动,还提供一装置,其重复地将轴承拆卸和重新地安装到外壳内,而不会损坏轴承或外壳,或必须去除粘接剂。
III.夹具组件
夹具组件36的示范的实施例的各种视图显示在图7-9中,其中,图7是示出夹头组件36的各种副元件的分解的立体图,图8是示出夹头组件36的外部的立体图,以及图9是示出夹头组件36的某些副元件的前视平面图。下面结合图7-9来描述夹具组件36的一示范的实施例。
如图2和3所示,夹具组件36设置在手柄2的上部32的前端处。夹具组件36设置在该部位能使一诸如一外壳医生的使用者以手枪握持的方式握持住手柄2,或用外壳医生的至少一个手指接触和转动夹具组件36或其一部分。以这种方式转动夹具组件36的至少一个,能使切割刀片组件8的切割窗转动,由此,定向剃刮和/或切割要求的身体材料的方向。
然而,切割刀片组件8的切割窗的定向不需通过转动夹具组件36的至少一部分来改变。相反,切割刀片组件8的切割窗定向可根据任何其它的方法来改变。例如,切割窗的定向可通过移动夹具组件36来改变,或通过沿直线方向移动其一个或多个副元件来改变。然而,在下面描述的一示范的实施例中,夹具组件36的至少一部分的转动改变切割窗的定向。
如图7和8所示,夹具组件36包括一旋转壳86,它形成至少一个抓持槽88。该至少一个抓持槽88提高外科医生用其至少一个手指的末端抓持夹具组件36的能力,以便转动夹具组件36的至少一部分。一单一的抓持槽88可形成在旋转壳86的外部,或可设置两个或多个抓持槽88来提高转动的便利,或解决或实现任何其它的目的。
旋转壳86不必包括至少一个抓持槽88。相反旋转壳86可形成一光滑的外部,并不提供任何的方法来提高夹具组件36的至少一部分的转动。
或者,可提供提高夹具组件36的至少一部分的转动的任何其它的方法。例如,旋转壳86的外部可形成一粗糙的外部来提高抓持能力。或者,旋转壳86的外部可形成多个突脊、隆起或任何其它的突出来提高抓持能力。
夹具组件36可这样地设置,其中,夹具组件36只有一部分可转动,能够定向切割刀片组件8的切割窗,以便在切割刀片组件8的内部刀片转动时切割刀片组件8的切割窗可改变。例如,旋转壳86可与切割刀片组件8的外毂机械地分离,这样,在堵塞的情形中,旋转壳86不会转动。然而,夹具组件36也可设置成全部组件可转动。
尽管本发明意欲涵盖执行该操作的任何的方法,但图7和9示出诸副元件的一种组合,其能手动地转动旋转壳86,以便在切割刀片组件8的内部刀片转动时改变切割窗的定向。如图7和9所示,夹具组件可包括释放销90、一释放环92、保持球94、一锁定弹簧96、释放锁定的球98、一滑动凸轮100、一静止凸轮102、一保持套筒104、一保持夹106、一旋转壳86、一底部安装108,以及底部安装密封110。这些副元件也显示在图5和6中的组装状态中。
夹具组件可包括一附连到底部安装108的静止的凸轮102,以使一内部间隙形成一用于保持一位于保持套筒104的近端上的突缘的部位,因此,捕获住保持套筒和防止其沿轴向移动,但允许其相对于夹具组件的主轴线自由地和同轴地转动。捕获保持套筒上的突缘的一种方法是使用一保持夹106,其配装在静止凸轮内的内部槽中并形成一间隙,该间隙确保自由地转动,但约束其轴向的运动。使用保持环还便于机构的组装,使底部安装108组装成与保持夹106接触,由此设定底部安装对静止凸轮的相对位置,并不需通过手动装置来调整该种接合。
两个内部槽位于静止凸轮上提供释放,以在保持套筒的外部上滑过两个键。这两个槽设置为一装置来帮助组装,一旦夹具组件完成,则不再起作用。滑动凸轮100还具有与保持套筒104的外部上的键接合的两个内部槽,以防止这些零件的相对运动,但允许滑动凸轮沿保持套筒的长度自由地沿轴向方向滑动。这种接合是一种装置,当旋转壳转动时,通过该装置在滑动凸轮和保持套筒之间传递转动运动,其后传递到刀片毂上。借助于位于各零件的面上且彼此面向的齿,滑动凸轮与静止凸轮接合。通过弹簧96诸齿保持啮合,弹簧又被释放环92保持住,释放环92被释放销90保持住,诸释放销90接合在释放环92内的孔内,且销的端部放置在保持套筒104内的槽内。释放销90被旋转壳86的组件保持住,套筒组件防止销落出将销捕获在释放环92内的孔。
彼此啮合的凸轮上的齿具有这样的几何形,当通过锁定弹簧96被推压而啮合时,它们不允许借助于摩擦而彼此滑动。为了防止齿对另一齿的滑动,齿的接触角基本上小于45度,在此实例中是15度。接触角可调整到小至零度,或甚至调整到负角度(如果要求的话),以进一步防止凸轮齿滑动的可能性,然而,将角减小到接近零度具有在齿之间引入齿间隙的不理想的效果,它对应于刀片毂保持中的齿间隙。在最佳的实施中,选择角度以能提供强的保持力和没有滑动,同时,将齿之间的齿间隙减到最小或消除齿间隙。例如,15度的角则能彼此达到最佳的齿的保持,并允许锁定弹簧96推斜齿彼此啮合,从齿的啮合中消除实际上的所有的齿间隙。
在滑动凸轮外部上的槽的形状呈一V形,并接纳接合在旋转壳内的囊盒内的释放锁定的球98。当旋转壳转动时,诸球在滑动凸轮内的V形槽内滑动。V形槽的角度对于方便外科医生的手指最佳地感觉转动是重要的。如果V形槽因夹角远小于90度而变得太陡,则摩擦将阻止球在V形槽内容易地滑动,而旋转壳将不转动并将滑动凸轮上提。相反,如果V形槽的夹角太浅,基本上大于90度,则释放锁定的球将容易地滑动,但将要求外科医生手指转动旋转壳一较大程度的转动,才能使滑动凸轮提升而脱出与静止凸轮的接合,由此,给出对旋转壳组件的一松的感觉。较佳地,近似为90度的一角度给予外科医生一良好的感觉,并允许释放锁定的球提升滑动的凸轮,而没有显著的摩擦阻力。
由外科医生转动的旋转壳86导致滑动凸轮100的对应的转动,提升滑动凸轮100脱出与静止凸轮102的接合。一旦滑动凸轮脱离静止凸轮,它可致使保持套筒104的对应的转动。这样,旋转壳86的转动致使切割刀片组件内的切割窗通过保持套筒104而重新定向。然而,如果保持套筒被推而转动,例如,通过变得阻塞的切割刀片组件,则滑动凸轮100与静止凸轮102的接合将阻止转动。提升滑动凸轮100脱出与静止凸轮102的接合的旋转壳86的作用,意味着尽管旋转壳的转动将导致保持套筒104对应的转动,但将不允许反向的转动(即,转动保持套筒104的意图将不导致旋转壳86的对应的转动)。这提供了这样的保证:在阻塞的情形中,旋转壳将被阻止转动,由此,避免对外科医生伤害的可能性。
与对切割刀片组件的切割窗提供一转动一样,夹具组件也对切割刀片组件的移去和更换提供一机构。刀片毂具有多个径向设置的凹坑144,它们与保持球94接合。保持球通过一在起作一楔作用的释放环92的内部上的倾斜表面,保持与刀片毂接合。该楔通过锁定弹簧保持与保持球的接合,而锁定弹簧迫使楔压在保持球上,推动它们径向向内,并由于释放环92的内部上的楔表面的浅的角度,以基本上大于锁定弹簧的轴向力的一个力使它们与刀片毂接触。
为了从与保持球的接合中脱开刀片毂的锁定,外科医生或护士沿近端方向按压释放环,压迫锁定弹簧96和离开与保持球的接触滑动楔的表面。一旦释放环已被按压,刀片可从夹具组件中撤回,且当其撤回时,凹坑的浅的角径向向外地推保持球,以使它们不再接合凹坑和允许刀片毂移去。当没有刀片毂存在于夹具组件内时,在储存的过程中,弹簧推靠在释放环的近端上并将其移动到远端方向。为了防止楔将压力长期地作用在保持球上,可使释放销90接触保持套筒内的槽的端部,以使球上的压力在行程的端部处释放。这对于阻止保持球粘滞在设置在保持套筒内的囊盒来说,可能是理想的。
IV.管连接器
连接器的示范的实施例的各种视图示于图10-12中,其中,图10是示出管连接器112的外部的立体图,图11是管连接器112的后视平面图,而图12是沿图11的平面A-A截取的管连接器112的侧视截面图。下面结合图10-12来描述管连接器112的示范的实施例。
示于图10-12中的管连接器112连接到示于图3和4中的筒44的后端。具体来说,当连接时,管连接器112的表面114邻接抵靠,或邻近设置在筒114的表面116上,以使筒44的冲洗流体连接52在冲洗流体进入通道118内延伸,而抽吸连接54在抽吸进入通道120内延伸。
冲洗流体连接52和抽吸连接54可由一弹性的或大致弹性的材料形成,例如,一橡胶,以便在冲洗流体进入通道118和抽吸进入通道120内提供一防泄漏的或基本上防泄漏的配合。然而,可采用任何的方法来提供这些元件之间的防泄漏的或基本上防泄漏的配合。例如,除了冲洗流体连接52和抽吸连接54之外,或代替冲洗流体连接52和抽吸连接54,冲洗流体进入通道118和抽吸进入通道120还可由弹性的或大致弹性的材料形成,例如,橡胶。最佳的是,冲洗流体连接52和抽吸连接54由一诸如铝的刚性材料形成,而橡胶O形环插入在通道118和120内,以提供一防泄漏的配合。所有这些配合方法提供能使连接52和54容易地和快速地从通道118和120中移去的优点。
然而,连接52和54可永久地或半永久地固定到通道118和120。例如,冲洗流体连接52和抽吸连接54可用任何其它的方法粘结到形成冲洗流体进入通道118和抽吸进入通道120的内壁或外壁上,采用的方法,例如,胶、环氧、压配、熔合,或焊接。
同样地,管连接器112可通过任何的方法固定到筒44上。例如,如图4、10和12的示范的实施例中所示,设置在筒44的周缘上的一个或多个棘爪122,用搭锁卡入或其它的方式接合到形成在管连接器112内的对应的孔124。然而,可采用任何其它的方法来将管连接器112固定到筒上,例如,提供带有棘爪的管连接器112,诸棘爪用搭锁卡入或其它的方式接合到形成在筒44内的对应的孔。这两种方法提供能使管连接器112容易地和快速地从筒44中移去的优点。
然而,管连接器112可永久地或半永久地固定到筒44。例如,管连接器112可用任何其它的方法固定到筒44上,采用的方法,例如有胶、环氧、压配、熔合,或焊接。
不管管连接器112和筒44之间是何种附连方法,这些元件中的任何一个或两个可键合到另一个。提供这样的结构,可减小、尽可能减小或防止管连接器112相对于手柄2转动,当冲洗流体供应管24和抽吸供应管30连接到管连接器112时,上述转动特别可能发生,这将在下文中进行描述。
管连接器112形成一冲洗流体突出部126和一抽吸突出部128。突出部126和128形成为一合适的尺寸,以使冲洗流体供应管24可贴切地配合在抽吸突出部128内,并胶合在一定的位置上,以便提供防泄漏或大致防泄漏的配合。然而,这些元件之间可提供任何其它的附连方法,包括推配合附连,它允许冲洗流体供应管和抽吸供应管从冲洗流体突出部126和抽吸突出部128中脱离。
管连接器112的正确的定向由倾斜表面114,以及连接52和54的不同的尺寸予以保证。冲洗流体连接52的尺寸匹配冲洗流体进入通道118的尺寸,但抽吸进入通道120不匹配。同样地,抽吸连接54的尺寸匹配抽吸进入通道120的尺寸,但冲洗流体进入通道118不匹配。因此,管连接器可仅沿一个定向附连到机头上。此外,管连接器112上的倾斜表面114匹配手柄的筒44上的倾斜表面116,这又可防止管连接器沿不正确定向的附连。
管连接器112能使冲洗流体供应管24和抽吸供应管30连接到手柄2的后端。因此,冲洗流体供应管24和/或抽吸供应管30不直接地连接到切割刀片组件8。这种结构提供这样一优点:能使切割刀片组件8或其一部分变化,而不需冲洗流体供应管24和/或抽吸供应管30与手柄2脱离,这可提高装置1的操作性。在外科程序或手术过程中,例如,在窦手术中,它会在单一手术或程序的过程中要求使用多于一个的刀片,则该特征在要求切割刀片组件8或其一部分发生变化的外科程序中显得特别有利。
V.切割刀片组件
切割刀片组件8的示范的实施例的各种视图示于图13-28中,其中,图13是示出切割刀片组件8的外部的立体图;图14是示出切割刀片组件8的外部的一部分的局部的立体图;图15是沿图14的平面B-B截取的切割刀片组件8的截面图;图16是切割刀片组件8的外毂138的立体图;图17是图16所示的外毂138的侧视平面图;图18是沿图17的平面C-C截取的外毂138的截面图;图19是形成在图17所示的外毂138内的一冲洗孔142的侧视平面图;图20是形成图17所示的保持通道146的外毂138的一部分的侧视平面图;图21是形成图18所示的近端160的外毂138的一部分的截面图;图22沿图17的平面D-D截取的外毂138的截面图;图23是切割刀片组件8的内毂162的立体图;图24是图23所示的内毂162的侧视平面图;图25是相对于图24的视图转过90°的内毂162的另一侧视平面图;以及图26是沿图25的平面E-E截取的内毂162的截面图。下面结合图13-28来描述切割刀片组件8的示范的实施例。
根据本发明的切割刀片组件8可用来刮削、切割和/或从手术部位去除身体上的组织。本发明意在涵盖可实现这种手术和/或其它手术的任何的结构。
为了解释的方便,图13示出一包括直线刀片结构的切割刀片组件8。然而,也可使用任何其它刀片的结构,例如,能提供其它的优点的弯刀片结构,它提供进入到身体组织的通路,而通过直线刀片结构则难于或不可能到达这样的身体组织。
可使用这样一种刀片结构,它在其末端和/或邻近其末端形成基本上均匀切割表面的均匀锋口。或者,可使用其它切割表面,例如,形成一个或多个切割齿的切割表面。事实上,刀片结构甚至可不必形成一锋利的切割表面,相反,可形成其它的结构,例如,形成为毛边,它可提供其它的优点,例如,便于肌肉和/或骨头的刮削和/或切割。
切割刀片组件8的切割刀片结构可由诸如不锈钢之类的刚性材料制造。然而,切割刀片也可由其它材料制造,例如,弹性的和/或可弯曲的材料,它们较之刚性材料可提供诸多优点,例如,提供进入到某些手术部位的提高的能力。一种公用的结构是提供一柔性轴,通常它由密封套筒覆盖的丝网或卷绕弹簧结构构成。
为了便于解释,下面描述一包括一转动切割表面的示范的实施例。然而,也可提供任何其它类型的切割表面,例如,可直线移动的切割表面。
全部的或部分的切割刀片组件8可以提供为消毒的,例如,可使用氧化乙烯气体(EO)进行消毒。全部的或部分的切割刀片组件8可以放置在一保护的盘内,保护盘热密封在一Tyvek和离子聚合物小袋内,它们又放置到一纸板箱内并进行收缩包装。
如图13-15所示,切割刀片组件8包括一在外管132内延伸的内管130。一间隙134形成在内管130和外管132之间,内管130和外管132均为中空,以使远端的抽吸通道136形成在内管130内。
远端的抽吸通道136与图6中所示的抽吸通道56连通。因此,在手术中,通过抽吸源28、抽吸供应管30、抽吸通道56和远端抽吸通道136,身体上的材料和/或冲洗流体可通过设置在手术部位的抽吸从手术部位中移去。
如图5和15所示,远端的抽吸通道136和抽吸通道56基本上延伸通过切割刀片组件8和手柄2的上部32的中心部分。事实上,在如图5和15所示的示范的实施例中,远端的抽吸通道136和抽吸通道56通常与切割刀片组件8和手柄2的上部32同轴。这能使身体上的材料和/或冲洗流体沿着大致直线的路径移去,这可提高操作和减小、尽可能减小或防止手术部位和抽吸源28之间的阻塞。
然而,本发明意在涵盖从手术部位去除身体上材料和/或冲洗流体的其它的方法和结构。例如,远端的抽吸通道136和抽吸通道56不必与切割刀片组件8和手柄2的上部32同轴。事实上,远端的抽吸通道136和抽吸通道56甚至不必在手术部位和抽吸供应管30之间形成一直线的或大致直线的路径。
形成在内和外管130和132之间的间隙134与图5中所示的筒44的横向通道60和抽吸流体通道58连通。下面将参照切割刀片组件8的其它副元件来更详细地讨论这种连通,该种连通能通过冲洗流体源22和冲洗流体供应管24,使抽吸流体供应到切割表面和/或手术部位。
形成和使用内和外管130和132之间的间隙134,提供一方便的和简单的结构,来将冲洗流体供应到切割表面和/或手术部位。然而,本发明意在涵盖将冲洗流体供应到切割表面和/或手术部位的其它的方法和结构。事实上,本发明意在涵盖甚至不使用冲洗流体的装置。
内管130的末端形成一切割表面。外管132的末端形成一诸如一开口的切割窗,以便将内管130的切割表面暴露到待刮削、切割和/或去除的身体上的组织。切割窗可形成任何尺寸的开口,例如,一沿着大约为外管132的横截面区域一半延伸的开口。这样尺寸的一切割开口提供这样的优点:能使外科医生将显著量的身体组织暴露到内管130的切割表面,同时,屏蔽开不准备切割、刮削和/或去除的其它的组织。
如上所述,内管130的切割表面可形成一均匀的锋口或基本上均匀的刀刃,或可具有任何其它合适的形状,例如,一形成有一个或多个齿的形状。此外,形成切割窗的外管132的诸壁可与内管130的切割表面合作。例如,外管132壁可形成均匀的锋口或基本上均匀的刀刃,或可具有任何其它合适的形状,例如,一形成有一个或多个齿的形状,在一示范的实施例中,齿可与内管130的切割表面的齿合作。
在手术中,在本发明的一示范的实施例中,内管130转动以使其切割表面接触,由此,通过外管132的切割窗,切割和/或刮削身体上的组织。内管130通过如图4中所示的电机组件38而转动。电机组件38可以任何转速转动内管130。例如,高达44000rpm的转速。内管130和电机组件38之间的连通,已在上文中参照切割刀片组件8的其它副元件详细地讨论过。
外管132与内管130隔离,以使外管132不随内管130转动。然而,外管132可由外科医生通过夹具组件36手动地转动,以便重新定向切割窗。夹具组件36和外管132之间的连通,以及与内管130的隔离已在上文中参照切割刀片组件8的其它副元件详细地讨论过。
切割刀片组件还包括一外毂138。外管132部分地延伸通过一纵向通道139,它形成在外毂138内并如图16和18所示。外毂138的一示范的实施例,连同切割刀片组件8的其它副元件一起,更完整地显示在图13-15中,而图16-22独特地显示外毂138和其副元件。
外管132固定到外毂138的内表面上,固定在这样一部位处,以使外管132的近端位于一通孔142的远处,该通孔横向于纵向通道139延伸通过外毂138。因此,外管132不完全延伸通过外毂138。这些元件可通过任何的方法固定在一起,这些方法有过模制、胶、环氧、压配,或焊接。
外毂138被接纳在形成在夹具组件36内的一纵向通道内。具体来说,外毂138的近端呈展开状并形成展开的导向140,它与形成在夹具组件36的内表面内的对应的槽连通。此外,外毂138的外部形成凹坑144,它们与保持球94连通,它们示于图7中并设置在夹具组件36内。尤其是,保持球94设置在凹坑144内,并在夹具组件36的内表面和外毂138的外表面之间,沿横向于这些元件的纵向轴线施加一压力。如图22所示,凹坑144基本上均匀地形成在外毂138的圆周周围,并彼此大约以45°间隔开。围绕外毂138的圆周设置凹坑144提供一优点,其能使基本上均匀分布的压力施加到外毂138的圆周的周围。然而,可使用任何数量的一个或多个凹坑144和保持球94。此外,如果使用多个凹坑144和保持球94,则凹坑144可彼此间隔开任何大小的距离。
示于图中的示范的实施例基本上围绕外毂138的周缘在相同的位置处提供凹坑144。然而,凹坑可沿外毂138的周缘设置在不同的纵向位置处。
上述结构之间的连通能使外毂138相对于夹具组件36基本上保持静止,尤其是,能使夹具组件36转动而致使外毂138对应地转动。此外,由于外管132固定到外毂138上,所以,夹具组件36的转动导致外管132对应地转动,它能使一外科医生重新定向切割窗。
凹坑144和保持球94之间的连通具有的优点在于,它在夹具组件36和外毂138的相当大的表面区域上,提供一颇为均匀分布的横向压力。然而,也可使用其它的结构来将外毂138保持在夹具组件36内。例如,外毂138的外部可形成槽来与对应结构连通,以在外毂138和夹具组件36之间提供一压力配合。
如图17和20所示,外毂138的外部形成在通孔142的相对侧上的保持通道146。如图13-15所示,静止的O形环148设置和保持在保持通道146内。一通孔通道150由外毂138的外部形成在如通孔142基本上相同的纵向位置处。一对肋152将保持通道146和对应的O形环148与通孔142和通孔通道150分离。
当外毂138设置在夹具组件36内时,通孔142和通孔通道150设置在基本上与形成在筒44内的横向通道60相同的纵向位置处。因此,沿冲洗流体通道58和横向通道60流向远方的冲洗流体,进入通孔通道150和通孔142。然后,冲洗流体沿着内管130的外部和形成在内和外管132和134之间的间隙134朝向远方,流到外管132的切割窗。
防止或基本上防止进入通孔通道150的冲洗流体泄漏出来,以及沿外毂138的外部通过静止的O形环148沿纵向流动。然而,不是必须使用静止的O形环148,也可提供任何其它的结构来防止或基本上防止冲洗流体泄漏出通孔通道150,以及沿外毂138的外部沿纵向的流动。
如图15所示,一动态的O形环154设置在外毂138的近端处。动态的O形环154密封形成在内管130的外表面和外毂138的内表面之间的间隙156的近端。该密封防止或基本上防止已向下通过通孔142的冲洗流体沿内刀片130的外部朝向近端流动超过外毂138的近端。
动态的O形环154通过一固定在外毂138的近端160的圆环158固定就位。该圆环158可用诸如超声波焊接之类的任何的方法固定到外毂138的近端。如图21所示,近端160的形状应做成有助于通过超声波焊接接纳圆环158。然而,也可使用任何其它的方法来将圆环158固定就位,这样的方法例如有胶、环氧,或压配。
切割刀片组件8还包括一内毂162。内管130完全延伸通过一纵向通道164,如图23和26所示,它形成在内毂162内。内毂162的一示范的实施例更详细地显示在图23-26中,内毂162的副元件显示在图27和28中。
内管130固定到内毂162的内表面,以使内管130的近端延伸超过内毂162的近端,内管130的远端在内毂162的远端的远方。这些元件可用任何方法固定在一起,例如过模制、胶、环氧、压配,或焊接。
内毂162被接纳在一形成在夹具组件36和筒44内的纵向通道内。下面讨论能使内毂162接纳和保持在夹具组件36内的结构。
如图23-27所示,内毂162的外部在其远端形成一环形毂165,以及沿内毂162纵向延伸的一对第一肋166。第一肋166包括传动的花键168,它从大致邻近内毂162的近端的一位置延伸到内毂162的大致的纵向中点。第一肋166还包括弹簧保持部分170,它从传动花键168的远端延伸到环形毂165。弹簧保持突出部172形成在邻近和间隔于环形毂165的弹簧保持部分170上,以便在其间形成弹簧保持通道174,它的一放大的视图示于图28中。
如图13-15所示,一弹簧176沿弹簧保持部分170而固定。具体来说,弹簧176的远端保持在弹簧保持突出部172和环形毂165之间的弹簧保持通道174内。弹簧保持突出部172可成锥形以便于弹簧176的插入。传动花键168的远端还可用来将弹簧的近端保持在弹簧保持部分170内。
弹簧176提供作用在内毂162上的轴向压力,以有助于保证在刮削器刀片远端处的承载表面之间的良好的接触。在毛边的情形中,执行同样的功能,但承载表面带有一对垫圈。当刀片接合时,施加轴向力。弹簧176的近端与加工到传动轴内的台肩接触。该台肩的用途是一正向定位,以便起始弹簧176的压缩。弹簧176在极端的情形下可100%压缩,而没有不利的效应。在此情形中,内毂162的环形毂165最终将接触轴或弹簧压缩高度的远端。
以上讨论的示范的实施例包括一对第一肋166,它们设置在内毂162的周缘的圆周的相对侧上,以使它们彼此近似地间隔开180°。第一肋166的这种设置的优点在于,它提供弹簧176的基本上均匀的保持,并提供传动花键的基本上均匀的操作,这将在下文中作更详细的讨论。然而,可使用任何数量的一个或多个第一肋166。此外,如果使用多个第一肋166,则它们可围绕内毂162的周缘的圆周彼此间隔开任何的距离。还有,第一肋166不必包括上述的传动花键168、弹簧保持部分170,以及弹簧保持突出部172。相反,第一肋166可以是任何的形状,并包括任何的结构来保持弹簧176和执行传动花键的操作,这将在下文中作详细的讨论。
如图23-25所示,内毂162的外部还形成一对第二肋178。该对第二肋178沿纵向延伸,朝向近端从环形毂165大致地延伸到传动花键168的纵向的中点。第二肋178的近端呈锥形。
在操作中,传动花键168被接纳在形成在齿轮轴74的内表面内的对应的通道内,如图4-6所示,齿轮轴74由电机组件38转动。将传动花键168接纳在齿轮轴74的通道内,能通过电机组件38使内毂162和伺服在其上的内管130转动。
传动花键168较之诸如形成在内毂162的近端处的T杆结构的某些其它的结构具有优点,其优点在于,它们相对于驱动机构,即,电机组件38和齿轮轴74,提供给内毂162以相对大的接合表面面积。传动花键168还有的优点在于,它们提供一轴向的公差,该公差可便于内毂162插入到筒44内和/或提供其它的有利之处。
然而,如上所述,不一定采用传动花键168,相反,可提供能使内毂162转动的任何其它的结构。例如,可用一个或多个直接地形成的块体来代替如示范的实施例中所示的基本上连续的传动花键168。此外,传动花键可以是方形的、三角形的突出,六角形的传动等。
根据任何认可的方法,切割刀片组件8设计成安装在和固定在手柄2内。例如,切割刀片组件8可这样进行安装:朝向手柄2的后部向后拉动夹具组件36,转动毂直到键对齐在夹头机构上,将内毂162插入到手柄2内,直到它完全停止,释放夹具组件36并将切割刀片组件8稳固地推入手柄2内,直到夹具组件36弹回到其原始的位置。
换句话说,内毂162开始接合传动轴的内直径的花键的几何形。当插入继续时,操作者必须使成对的肋140与存在于固定的锁定套筒104内的任何两个槽对齐。保持套筒必须如在这种可能的任何的应用中所描述的那样缩回。另一方面,当它插入时,保持球将与外毂干扰。在完全插入刀片之后,释放环的释放将允许保持球坐落在外毂上的凹坑内。这些相对位置由诸肋140定义。保持套筒由弹簧加载,并在释放后将返回到其锁定的位置。操作者应缓慢地拉在刀片组件的外管上,以确保其合适地固定。
切割刀片组件8可类似地从手柄2中脱开。这可这样来实施:朝向手柄2的后部向后拉动夹具组件36,然后,将切割刀片组件8拉出手柄2。
换言之,为了移去刀片,操作者必须只撤回保持套筒和拉在刀片上。弹簧176将刀片组件推出一小量,在移动过程中,增加外毂可供操作的量。
切割刀片组件8可用后丢弃。因此,在外科程序或手术之后,切割刀片组件8可按如上所述从手柄2中拆卸和作随意处置。
在移去切割刀片组件8之后,手柄2和意图再次使用的其它相关的或连接的元件需要以认可的方式进行清洁和消毒。下面讨论清洁和消毒的示范的方法。
所有的清洁应以最大程度地减小暴露于带有病原体的血的方式执行。再次使用的医疗器械在使用之后立即应保持潮湿,直到清洁位置。能拆卸的器械在清洁之前必须拆下。在整个清洁过程中,尽可能实施冲洗。人工清洗应在器械浸没时进行(如果可行的话)。清洁和冲洗的目的在于,去除所有可见的粘附髒物,并减少颗粒物质,微生物和热原质。此外,需要彻底地冲洗来从医疗器械上去除任何残余的清洗剂,它们可保护微生物不遭毁灭,并降低消毒过程的杀伤力。将在清洗和去污之间进行储存的医疗器械,应使用纤维毛低的不粗糙的软布来揩干,以防止因器械潮湿可能引起的微生物污染。
应采用PH值在6.0和8.0之间范围内的生化酶去污剂。这些去污剂具有非电离的活化剂。去污剂应在制造商推荐的浓度水平下使用。未稀释的去污剂和PH值大于8.0的去污剂会从金属器械中脱去颜色。
应仔细考虑用于生化酶去污剂制备和用于清洁程序中冲洗的水质。水的硬度要考虑,因为留在医疗器械上的沉积物会导致低效的清洁去污。净化水可有助于防止退色和着色,它们都与自来水中发现的残余矿物质有关。
手柄2和/或相关的再使用的元件可利用以下示范的清洁方法进行清洁:
a)用热的肥皂水清洗机头的外表面,
b)用非金属的软鬃毛刷蘸湿肥皂水洗擦机头的内部,
c)固定住机头,使夹具端朝上,用流动水冲洗机头的内部,以冲掉清洗的残余物和松落的碎片,
d)肉眼检查,必要的话,重复过程。
手柄可用蒸汽进行消毒。
VI.激发器开关组件
一激发器开关组件的示范实施例的各种视图示于图29-32中,其中,图29是激发器开关组件180和手柄2的相关的副元件的分解的立体图,图30是激发器开关组件180的传感器带192的示意图,图31是安装在手柄2上的激发器开关组件180的侧视立体图,以及图32是安装在手柄2上的激发器开关组件180的前视示意图。下面结合图29-32来描述激发器开关组件180的一示范实施例。
激发器开关组件180可用来代替图1所示的脚踏开关,或与脚踏开关并用。如图31和32所示,激发器开关组件180包括一外激发器182,它设置在手柄2的下部的外面(具体来说,图29中所示的手柄壳42)。外激发器182包括一下环形端帽184,它形成为包围手柄2的下部34的底部(具体来说,图29中所示的手柄壳42)。事实上,端帽184的尺寸可做成使下部34的底部可压配入端帽184内,以将外激发器182固定在手柄2上。
外激发器182还包括一细长的激发器186。尽管下部34压配入端帽184,但细长的激发器186沿下部34的外部(具体来说,图29中所示的手柄壳42)大致沿纵向延伸。邻近端帽184的细长激发器186的底部,或者接触手柄2的下部,或者靠近手柄2的下部设置。然而,细长激发器186的形状做成它形成一与手柄2的下部34的间隙,该间隙随着手柄朝向手柄2的上部32向上延伸而增加。
邻近端帽184的细长激发器186的底部,形成有关细长激发器186的其余的向上延伸部分的一支点。因此,当外科医生如握持手枪那样握持手柄2时,他可用一个或多个手指拉细长激发器186的上部朝向手柄2的下部34。在此操作中,细长激发器186的上部围绕其底部枢转。
如图29所示,下磁体188设置在端帽184的内表面处或其上面,以使下磁体188设置在端帽184的内表面和手柄2的下部34的手柄壳42的底部的外表面之间。上磁体190设置在细长激发器186的内表面处或其上面,以使上磁体190设置在细长激发器186内表面和手柄2的下部34的手柄壳42的外表面之间。
尽管外激发器182附连到手柄2的下部34的手柄壳42上,但下磁体188相对于其基本上保持静止。然而,当外科医生按压细长激发器186朝向手柄壳42时,分离上磁体190和手柄壳42的距离减小。
激发器开关组件180还包括一如图29和30所示的柔性的传感器带192。柔性的传感器带192包括一后部194、一底部196、一下前部198,以及一上前部200。
柔性的传感器带192固定到手柄底盘40的外部,底盘本身设置在手柄2的下部34的手柄壳42内。一绝缘带202的条带附连到手柄底盘40上,以便沿着其后表面沿纵向延伸。柔性的传感器带192的后部194接触和可连接到绝缘带202上,以便帮助柔性的传感器带192固定到手柄底盘40上。手柄底盘40的底部可向下对柔性的传感器带192的底部196施加压力,也帮助柔性的传感器带192固定到手柄底盘40上。也可通过紧固件延伸通过形成在手柄底盘40内的孔206和形成在柔性的传感器带192的上前部200内的孔208,使用一紧固件来将柔性的传感器带192进一步固定到手柄底盘40上。
本发明意在涵盖上述任何的一种或多种固定方法。然而,本发明并不局限于此,可使用将柔性的传感器带192固定到手柄底盘40的任何其它的方法。事实上,柔性的传感器带192甚至不必固定到手柄底盘40。相反,柔性的传感器带192可以根据任何的方法或结构静止地、或基本上静止地设置在手柄壳42内。
柔性的传感器带192还包括一下传感器210和一上传感器212,它们可以是检测磁场的霍尔传感器。下传感器210设置在底部196处或设置在其上,以便大致地与下磁体188相对。上传感器212设置在下前部198处或设置在其上,以便大致地与上磁体190相对。下面讨论下和上传感器210和212的操作。
尽管外激发器182固定到手柄壳42上,但下磁体188保持紧密靠近下传感器210。在此状态下,下传感器210探测下磁体188的磁场的紧密接近。然而,如果外激发器182移去,和/或与手柄壳间隔,则下传感器210不能探测下磁体188的磁场。在此情形下,下传感器210可提供一输出信号,表示外激发器182未合适地固定到手柄壳42上。
然而,本发明意在涵盖任何确定外激发器182是否合适地固定到手柄壳42上的方法。例如,当外激发器182合适地固定到手柄壳42上时,下传感器210可连续地提供一合适的输出信号,以使输出信号的停止可解释为外激发器182不再合适地固定到手柄壳42的一种指示。
在操作中,当外激发器182固定到手柄壳42上时,外科医生不致动细长的激发器186,上磁体190与上传感器212间隔。然而,当外科医生朝向手柄壳42按压细长激发器186时,上磁体190移动到靠近上传感器212,以使上传感器212检测其磁场。在此情形下,上传感器212可提供一输出信号,以便激励电机组件38转动内毂162和内管130。在外科医生释放细长激发器186后,上磁体190移离上传感器212,以使上传感器212不再检测上磁体190的磁场。在此情形下,上传感器212停止提供输出信号,以使电机组件38断电。
示于图29-32的激发器开关组件180的示范的实施例,因为它便于外科医生操作,所以,较之其它致动机构(例如,脚踏开关)它具有特别的优点。例如,握持手柄2的操作如同一手枪,按压细长激发器186朝向手柄壳42它如同是手枪扳机,比起寻找手术台下放置的脚踏开关上的踏板和脚踏该踏板来说,它则显得更加容易。
此外,激发器开关组件180的任何的或所有的副元件可以相对便宜地制造。因此,激发器开关组件180的任何的或所有的副元件可以在一次或几次使用后考虑丢弃,这使得装置的消毒更容易和有效。提高对激发器开关组件180的任何的或所有的副元件的处置,体现在这样的事实上:激发器开关组件180在手柄2的下部34处安装方便。因此,在手术程序之前,安装一新的激发器开关组件180,或其一部分,可以快速地、容易地和/或便宜地实现。
然而,本发明意在涵盖任何确定外科医生是否已按压细长激发器186朝向手柄壳42,以便通电/断电电机组件。因此,上述讨论的任何的或全部的元件可用其它元件代替以提供其操作。例如,分离细长激发器186的上部的间隙可通过一弹簧或类似的压缩机构来保持,代替凭借细长激发器186的形状来保持。此外,例如,柔性传感器带192不必是柔性的,相反,可以是刚性的,并预成形为一合适的形状,例如,如图29中所示。
此外,也可使用细长激发器186、上磁体190和上传感器212来控制电机组件38的转速。例如,外科医生进一步按压细长激发器186,致使上磁体190变得递增地或逐渐地靠近上传感器212,这样可导致上传感器212提供输出信号来增加电机组件38的转速。同样地,外科医生逐渐地释放细长激发器186上的压力,可导致上传感器212提供输出信号来减小电机组件38的转速。
VII.脚踏开关
图33是示出根据本发明的脚踏开关4的示范的实施例的外部的立体图。下面结合图33来描述脚踏开关4的示范的实施例。
脚踏开关4包括一底座214,它通过脚216支承在手术室的地板上,设置在底座214的后部上或其上方的侧面218,以及设置在侧面218上或其上方的顶部220。
通过一延伸通过形成在侧面218内的孔的杆组件222,踏脚板12可移动地支承在竖立的定向上。可使用一弹簧或任何其它的机构,与杆组件222并用,或代替杆组件222,来沿该定向支承踏脚板12。踏脚板12可操作地连接到一信号发生器(未示出)上,它设置在由侧面218和顶部220形成的空间内,这样,踏下踏脚板12以使它围绕杆组件222向下转动,这致使信号发生器发生一输入信号,并通过脚踏开关信号线10输入到控制器6。
在手术中,外科医生在放置他或她的脚后跟或脚在底座214的前部,或邻近底座214的前部之后,外科医生用其脚的前部和/或趾踩踏脚板12,以使踏脚板12朝向底座214向下转动。在转过一预定量之后,信号发生装置(未示出)被致动而提供一合适的输入信号,通过脚踏开关信号线10送到控制器6。一接收到该合适的输入信号,控制器6输出一输出信号通过手柄信号线14送到手柄2的电机组件38,从而电机组件38通电,由此,转动内毂162和内管130。释放踏脚板12可使其转回到其竖立的定向,由此,致使信号发生装置提供一合适的输入信号到控制器6,控制器6又使电机组件38停电。
脚踏开关4也可包括一灯(未示出)。该灯可设置在一合适的部位上,并有足够的亮度来照亮全部的脚踏开关4或其一部分。较之不照明的脚踏开关,或仅包括LED来指示开/关状态的脚踏开关,则以这种方式照亮脚踏开关4的优点在于,它能使外科医生更加容易地找到照亮的脚踏开关4,脚踏开关可设置在其它的脚踏开关和手术过程中或手术室内的类似的器械之中。如果脚踏开关4设置有与众不同颜色的灯,例如,蓝色,则该优点更加突出。
脚踏开关4的底座214也可形成一开口224,它可用于各种用途。例如,开口224可被外科医生用来重新定向脚踏开关4,或在手术过程中使外科医生的脚保持在一合适的位置。在不使用时,开口224还可用来将脚踏开关挂在一垂直的方向上。
脚踏开关4还可包括一按钮225来执行操作。例如,为了改变切割刀片组件8的操作模式,按钮225可致动产生一输入到控制器6的输入信号。例如,控制器6可致动电机组件38在两种模式之间操作,一恒定模式,其中,内毂162和内管130以恒定的或基本上恒定的速度转动,以及一变化模式,其中,内毂162和内管130以变化的速度转动。
本发明不局限于上述的脚踏开关4的结构。本发明意在涵盖任何的方法,其提供一合适的输入信号到控制器6,能使控制器6执行一操作,例如,通电/断电电机组件38。
此外,脚踏开关4可用来通过脚踏开关信号线10送其它类型的输入信号到控制器6。例如,信号发生器可根据踏脚板12踩下量来对控制器6提供一变化的输入信号,从而变化内毂162和内管130的转动速度。
VIII.一体的可揭去的双管
冲洗流体供应管24和抽吸供应管30可设置成一体的可揭去的双管226。双管的示范的实施例的各种视图示于图34-36中,其中,图34是双管226及与其连接的装置的立体图,图35是示出处于连接状态的双管226的一部分236的立体图,以及图36是沿图35的平面G-G截取的双管226的截面图。下面结合图34-36来讨论双管226的示范的实施例。
双管226可以被揭去。因此,双管226可设置成以后用到各外科程序或手术中。
如图34所示,冲洗流体供应管24从冲洗流体源22通过一排出的针尖帽228和一非排出的冲洗针尖230供应冲洗流体到管连接器112的冲洗流体入口通道118,所述管连接器112设置在手柄2的上部32的后端处。抽吸供应管30从抽吸源28通过一抽吸连接器232供应抽吸到管连接器112的抽吸入口通道120。可使用粘接剂234来将冲洗流体供应管24连接到管连接器112和非排出的抽吸针尖230,以及将抽吸供应管30连接到管连接器112和抽吸连接器232。
双管226可具有一体的管部分236,其中,冲洗流体供应管24通过一连接部分238连接到抽吸供应管30。图35和36特别地示出一体的管部分236和连接部分238。一体的管部分236将冲洗流体供应管24和抽吸供应管30保持在一起,这节约空间和/或在手术区域内和/或围绕手术区域提高组织管理。
连接部分238可以分裂、分离和/或揭去,以便分离冲洗流体供应管24和抽吸供应管30。如图34所示,管24和30可在其端部或靠近其端部处分离,以便于它们分别地直接或间接连接到管连接器112、冲洗流体源22和抽吸源28。然而,管24和30可以在任何其它的部位处或为任何其它的目的而分离。
尽管一体的可揭去的双管226提供如上所述的诸多的优点,但本发明意在涵盖供应冲洗流体和抽吸到手柄2的任何其它的介质。例如,管24和30可以是完全分离的或横贯其全部长度是完全连接的。还有,排出的针尖帽228、非排出的冲洗针尖230和抽吸连接器232中的一个或多个可被去除,或用任何合适的结构来代替,以便于或实现任何的目的。
此外,图34-36示出冲洗流体供应管24小于抽吸供应管30。然而,本发明意在涵盖各个管24和30为任何对应的尺寸。冲洗流体供应管24还显示为设置在抽吸供应管30的上方。然而,本发明意在涵盖管24和30之间的任何对应的定向。
在一示范的实施例中,冲洗流体供应管24由可变形的材料制造,例如,一橡胶基的材料。该材料具有优点,因为它便于连接到各种器械并能使用一简单的冲洗流体供应机构26。然而,冲洗流体供应管24可由任何其它的材料制造,例如,一半变形的或非变形的材料。
IX.冲洗流体供应机构
冲洗流体供应机构26的示范的实施例的各种视图示于图37和38中,其中,图37是示出冲洗流体供应机构26的前面的立体图,以及图38是示出冲洗流体供应机构26的后面的立体图。下面结合图37和38来讨论冲洗流体供应机构26的示范的实施例。
冲洗流体供应机构26的示范的实施例将冲洗流体从冲洗流体源22通过冲洗流体供应管24供应到管连接器112的冲洗流体入口通道118,所述管连接器112设置在手柄上部32的后端处(参照图1和12)。如图37和38所示,冲洗流体供应机构26的示范的实施例设置在控制器6处或在控制器6侧上。
然而,冲洗流体供应机构26不必设置在该部位处。相反,冲洗流体供应机构可设置在任何的部位处,例如,在冲洗流体源22处或在冲洗流体源22上。
如图37和38所示,冲洗流体供应机构26形成一管子通道240,冲洗流体供应管24可通过该通道延伸。管子通道240可以是一倒置的L形,它包括一水平的部分和一垂直的部分。冲洗流体供应管24可通过水平部分插入到管子通道240内,最终设置在垂直部分的底部。
冲洗流体供应机构26还包括一凸轮242,它延伸到管子通道240的垂直部分中。通过延伸到管子通道240的垂直部分内和接触设置在其中的冲洗流体供应管24,以便压迫和由此减小由管24的内直径形成的开口,这样,凸轮242可增加冲洗流体供应到手柄2的压力。因此,凸轮242压迫冲洗流体供应管24的一侧,而管子24的相对侧保持抵靠在管子通道240的垂直部分的底表面上。减小冲洗流体供应管24的内直径相应地增加供应到手柄2的冲洗流体的压力。同样地,通过将凸轮242移出与冲洗流体供应管24的接触以增加其内直径,可减小供应到手柄2的冲洗流体的压力。
由凸轮242供应到冲洗流体供应管24的接触压力量可以变化,以便以一特定的压力供应冲洗流体到手柄2。一实施例能使接触压力和由此的冲洗流体供应压力通过一旋钮244用人工进行调节。旋钮244与凸轮242连通,以使旋钮244沿一个方向转动,例如,沿顺时针方向,在管子通道240的垂直部分内向下移动凸轮242,并接触冲洗流体供应管24,而沿相对的方向转动旋钮244,例如,逆时针方向,移动凸轮242向上,并远离管子24。因此,通过人工地转动旋钮244,外科医生或手术组中的成员可提供理想的冲洗流体供应压力。然而,在另一示范的实施例中,旋钮244仅用来将凸轮242移出,以能使冲洗流体供应管24插入,而冲洗流体供应机构26由控制器6进行控制,以提供一理想的流体压力。
尽管以上描述的冲洗流体供应机构26的示范的实施例是利用一凸轮机构,但本发明意在涵盖任何的供应冲洗流体到手柄2的方法。例如,冲洗流体供应机构26可以是旋转型的蠕动泵。事实上,本发明甚至意在涵盖一不使用冲洗流体的装置。
X.控制器
控制器6的示范的实施例的各种视图示于图37和38中,其中,图37是示出控制器6的前面的立体图,以及图38是示出控制器6的后面的立体图。下面结合图37和38来讨论控制器6的示范的实施例。
根据示范的实施例或装置,控制器6可用来接收与装置的操作相关的输入信号和/或提供输出信号。控制器6可以是一电子设备来提供这种功能。因此,如图38所示,电源线18可插入到控制器6的后面。一AC或DC电源可提供到控制器6,从电源16通过电源线18供应电源来操作控制器6。例如,控制器可由100-240VIC,50-60Hz的电源来操作。然而,可用诸如电池之类的与控制器6集成在一起的电源来代替远处供应的电源。
控制器6的本体可用任何材料制成。例如,控制器6的本体可由阻燃塑料(合成树脂)模制而成。
控制器6还可包括一接地柱246,以及一串接端口248用来连接到任何的电子设备。一提供相关数据的标签253也可设置在控制器6的后面。
如图38所示,控制器垂直地安装在手术室内的一垂直轨道20处或垂直轨道上,例如一IV柱,它延伸通过一形成在控制器6的后面内的安装通道252。可设置一附连夹具250来将控制器6固定就位到垂直轨道20上。控制器6可移动地安装在垂直轨道20处或垂直轨道20上,并可包括一设置在其上表面的手柄254,以便于操作者沿垂直轨道20手动地移动控制器6。
控制器6可移动地安装在垂直轨道20上的优点在于,它提高控制器6的可视能力,并可满足空间的局促。然而,控制器6不是必须安装在垂直轨道20上,相反,可安装在任何东西或任何地方。控制器6甚至不是必须安装在任何东西上,例如,可设置在手术室地板上。事实上,控制器6甚至可远离手术部位设置。
如图37所示,控制器6的前面可用来提供各种输入/输出连接、按钮以及显示器,它们将在下面进行讨论。例如,脚踏开关信号线10可通过脚踏开关输入连接器256连接到控制器6,它能使诸如信号发生器之类的脚踏开关4的各种副元件发送信号到控制器6和/或从控制器6中接收信号。如果使用激发器开关组件180代替脚踏开关4,或与脚踏开关4并用,则它可同样地连接到控制器6。也可设置手柄输入连接器258来将手柄信号线14连接到控制器6,它能使控制器6发出诸如通电/断电电机组件38之类的信号送到手柄2的副元件,和/或从手柄2的副元件接收信号,和/或接收识别信息来使控制器6确定目前使用的手柄2的类型,它可由一EEPROM提供。可设置多个手柄输入连接器258,以便能将多个手柄2连接到控制器6。
控制器6的前面还可包括一电源开/关按钮260,用来开和关控制器6。如果确定手柄2的类型,则一显示器262可显示出由识别的手柄2的电机组件38提供的最大RPM。可设置手柄速度调节按钮264来增加/减小内毂162和内管130的转速。
如果多个手柄2通过手柄输入连接器258连接到控制器6,则还可设置活动的手柄选择按钮266。在此情形中,按压活动的手柄选择按钮266中的任何一个可选择连接的手柄2中的一个进行操作。
另一显示器268也可设置在控制器6的前面上,以显示实际的手柄2的RPM。具体来说,该显示器268指示由电机组件38提供的转动切割刀片组件8的内毂162和内管130的实际的或当前的RPM。
手柄操作模式按钮279可提供来改变手柄2的操作模式。例如,这些按钮270可用来改变切割刀片组件8的内毂162和内管130在向前方向、向后方向的转动和/或摆动型的转动。
脚踏开关操作模式按钮270也可提供来改变脚踏开关4的操作模式。例如,这些按钮270可用来在一恒定模式和一变化模式之间致动脚踏开关4,在恒定模式中,脚踏开关的任何的按下导致切割刀片组件8的内毂162和内管130的恒定的转速,而在变化模式中,踏脚板12的踩下量可变化内毂162和内管130的转速。
一冲洗泵开/关按钮274可设置来使冲洗流体供应机构26供应流体到手柄2处的管连接器112的入口通道118,或阻止它的供应。一冲洗泵流量显示器276可设置来指示目前由冲洗流体供应机构26供应的冲洗流体的流量。还可设置冲洗泵流量按钮278来代替旋钮244,或与旋钮244并用,以增加/减小由冲洗流体供应机构26提供的冲洗流体的流量。如果使用旋钮244并结合冲洗泵流量按钮278,则旋钮244可只用来移出凸轮242,以使冲洗流体供应管24插入到管通道240的垂直部分内。还可设置一冲洗泵灌水按钮280来对冲洗流体供应机构26灌水。具体来说,致动按钮280允许冲洗流体供应机构26连续地操作来用冲洗流体灌装所有的管子和/或手柄2,以便于冲洗流体供应机构26容易地起动。
以上在图37和38所示的控制器6的示范的实施例中,已经讨论了各种输入/输出连接、按钮和显示器。然而,本发明意在涵盖执行上述各种功能的任何的方法。事实上,本发明意在涵盖提供与外科手术器械有关的任何对应功能的任何的方法。
控制器6可构造成分成两个主要部件,例如,一手柄电机控制器和一协调/主控制器。手柄电机控制器可包含一嵌入的模块,它实施其特殊的职责和提供一与主控制器的接口。
主控制器可负责管理使用者的接口和有关的设备的结构,探测手柄2的存在和类型和外围部件,以及协调手柄2的响应,以及响应于使用者的输入的冲洗流体供应机构26。因为设备的简化,所以,主控制器可直接地负责控制冲洗流体供应机构26。
手柄控制器可负责满足手柄2的大部分的性能和安全性的要求。它可直接地控制电机组件38,并可将来自主控制器的高级指令翻译成合适的信号来提供电机组件38以要求的速度向前、向后和摆动转动。手柄控制器还可负责检测电机组件38内的出错并合适地响应于电机的出错。
尽管本发明已结合上述的示范的实施例进行了描述,但显然本技术领域内的技术人员会想到许多变化、改型和变体。因此,以上阐述的本发明的示范的实施例意在说明而不是限制。在不脱离如附后的权利要求书所定义的本发明的精神和范围的前提下,可以作出各种变化。
Claims (9)
1.一与用作机动的手术器械的一手柄和一冲洗流体源一起使用的切割刀片组件,手柄包括一形成一冲洗流体通道的筒,冲洗流体通道包括一纵向部分和一横向部分,切割刀片组件包括:
一形成一切割表面的内管;
一固定到内管的内毂;
一形成一切割窗的外管,内管在外管内延伸,以在其间形成一管间隙;
一固定到外管的外毂,外毂形成一横向通孔,它与筒的冲洗流体通道的横向部分和管间隙连通,这样,冲洗流体可流过筒的冲洗流体通道,并通过外毂的横向通孔到达管间隙。
2.如权利要求1所述的切割刀片组件,其特征在于,外毂在横向通孔处形成一沿圆周延伸的通孔通道,以及在通孔通道的相对侧上沿圆周延伸的O形环保持通道,O形环保持通道通过一对圆周向延伸的肋与通孔通道分离。
3.如权利要求2所述的切割刀片组件,其特征在于,还包括设置在O形环保持通道内的O形环。
4.如权利要求3所述的切割刀片组件,其特征在于,O形环的尺寸做成密封分离外毂的外部和筒的内表面的间隙。
5.如权利要求4所述的切割刀片组件,其特征在于,还包括一动态的O形环和一将动态O形环固定到外毂的一近端的圆环,动态的O形环密封分离内管的外部和外毂的内部的间隙。
6.如权利要求5所述的切割刀片组件,其特征在于,圆环通过超声波焊接固定到外毂的近端。
7.如权利要求1-6中任一项所述的切割刀片组件,其特征在于,内毂和外毂由合成树脂形成。
8.如权利要求1-7中任一项所述的切割刀片组件,其特征在于,内管和外管由金属形成。
9.一制造与用作机动的手术器械的一手柄和冲洗流体源一起使用的切割刀片组件的方法,手柄包括一形成一冲洗流体通道的筒,冲洗流体通道包括一纵向部分和一横向部分,该方法包括:
形成一形成有一切割表面的内管;
将一内毂固定到内管;
形成一形成有一切割窗的外管;
在外管内延伸内管,以便在其间形成一间隙;
将一外毂固定到外管;以及
在外毂内形成一横向通孔,其与筒的冲洗流体通道的横向部分和管间隙连通,这样,冲洗流体可流过筒的冲洗流体通道,并通过外毂的横向通孔到达管的间隙。
Applications Claiming Priority (4)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US36622402P | 2002-03-22 | 2002-03-22 | |
US10/103,104 US7247161B2 (en) | 2002-03-22 | 2002-03-22 | Powered surgical apparatus, method of manufacturing powered surgical apparatus, and method of using powered surgical apparatus |
US10/103,104 | 2002-03-22 | ||
US60/366,224 | 2002-03-22 |
Related Parent Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CNB038092409A Division CN1301087C (zh) | 2002-03-22 | 2003-02-10 | 机动的手术器械 |
Publications (2)
Publication Number | Publication Date |
---|---|
CN1981711A true CN1981711A (zh) | 2007-06-20 |
CN100536794C CN100536794C (zh) | 2009-09-09 |
Family
ID=28456586
Family Applications (2)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CNB2007100044739A Expired - Fee Related CN100536794C (zh) | 2002-03-22 | 2003-02-10 | 切割刀片组件及其制造方法 |
CNB038092409A Expired - Fee Related CN1301087C (zh) | 2002-03-22 | 2003-02-10 | 机动的手术器械 |
Family Applications After (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CNB038092409A Expired - Fee Related CN1301087C (zh) | 2002-03-22 | 2003-02-10 | 机动的手术器械 |
Country Status (10)
Country | Link |
---|---|
US (8) | US7247161B2 (zh) |
EP (5) | EP1487359B1 (zh) |
JP (2) | JP4394458B2 (zh) |
CN (2) | CN100536794C (zh) |
AT (2) | ATE503430T1 (zh) |
AU (1) | AU2003207302B2 (zh) |
BR (1) | BR0308648A (zh) |
DE (2) | DE60316778T2 (zh) |
ES (1) | ES2292935T3 (zh) |
WO (1) | WO2003079911A1 (zh) |
Cited By (9)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN104822331A (zh) * | 2013-05-17 | 2015-08-05 | 因特斯高普公司 | 用于组织去除的可插入内窥镜器械 |
CN109077775A (zh) * | 2018-07-10 | 2018-12-25 | 杭州电子科技大学 | 仿食蚁兽舌头的生物骨刺磨削装置 |
CN109770999A (zh) * | 2019-01-28 | 2019-05-21 | 逸思(苏州)医疗科技有限公司 | 一种手术切割器 |
CN110711024A (zh) * | 2019-09-30 | 2020-01-21 | 严立 | 控制供气装置的脚控气体流速装置和喷气剥离系统 |
CN112469345A (zh) * | 2018-08-06 | 2021-03-09 | 美敦力施美德公司 | 用于连接器械的系统和方法 |
CN113648029A (zh) * | 2016-03-24 | 2021-11-16 | 史赛克欧洲控股I有限责任公司 | 具有带握把的切割组件的外科手术器械 |
US11350914B2 (en) | 2011-12-02 | 2022-06-07 | Interscope, Inc. | Insertable endoscopic instrument for tissue removal |
US11564670B2 (en) | 2011-12-02 | 2023-01-31 | Interscope, Inc. | Methods and apparatus for removing material from within a mammalian cavity using an insertable endoscopic instrument |
CN109770999B (zh) * | 2019-01-28 | 2024-04-16 | 逸思(苏州)医疗科技有限公司 | 一种手术切割器 |
Families Citing this family (784)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US11229472B2 (en) | 2001-06-12 | 2022-01-25 | Cilag Gmbh International | Modular battery powered handheld surgical instrument with multiple magnetic position sensors |
US9510740B2 (en) * | 2002-03-12 | 2016-12-06 | Karl Storz Endovision, Inc. | Auto recognition of a shaver blade for medical use |
US8723936B2 (en) * | 2002-03-12 | 2014-05-13 | Karl Storz Imaging, Inc. | Wireless camera coupling with rotatable coupling |
US8194122B2 (en) * | 2002-03-12 | 2012-06-05 | Karl Storz Imaging, Inc. | Universal scope reader |
US8599250B2 (en) * | 2002-03-12 | 2013-12-03 | Karl Storz Imaging, Inc. | Wireless camera coupling |
US7247161B2 (en) * | 2002-03-22 | 2007-07-24 | Gyrus Ent L.L.C. | Powered surgical apparatus, method of manufacturing powered surgical apparatus, and method of using powered surgical apparatus |
EP1380265A1 (en) * | 2002-07-11 | 2004-01-14 | Olympus Optical Corporation Limited | Calculus treatment apparatus |
US6929619B2 (en) * | 2002-08-02 | 2005-08-16 | Liebel-Flarshiem Company | Injector |
WO2006047598A1 (en) * | 2002-09-27 | 2006-05-04 | Surgifile, Inc. | Surgical file system |
US7794408B2 (en) * | 2003-03-28 | 2010-09-14 | Ethicon, Inc. | Tissue collection device and methods |
US20070084897A1 (en) | 2003-05-20 | 2007-04-19 | Shelton Frederick E Iv | Articulating surgical stapling instrument incorporating a two-piece e-beam firing mechanism |
US9060770B2 (en) | 2003-05-20 | 2015-06-23 | Ethicon Endo-Surgery, Inc. | Robotically-driven surgical instrument with E-beam driver |
US20040254588A1 (en) * | 2003-06-10 | 2004-12-16 | Kim Yong Seong | Skincare apparatus |
US7611473B2 (en) * | 2003-09-11 | 2009-11-03 | Ethicon, Inc. | Tissue extraction and maceration device |
US8034003B2 (en) * | 2003-09-11 | 2011-10-11 | Depuy Mitek, Inc. | Tissue extraction and collection 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 |
US9113880B2 (en) * | 2007-10-05 | 2015-08-25 | Covidien Lp | Internal backbone structural chassis for a surgical device |
US10041822B2 (en) | 2007-10-05 | 2018-08-07 | Covidien Lp | Methods to shorten calibration times for powered devices |
US8182501B2 (en) | 2004-02-27 | 2012-05-22 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical shears and method for sealing a blood vessel using same |
WO2005094283A2 (en) * | 2004-03-25 | 2005-10-13 | Hauser David L | Vascular filter device |
US8277474B2 (en) | 2004-05-26 | 2012-10-02 | Medtronic, Inc. | Surgical cutting instrument |
US8215531B2 (en) | 2004-07-28 | 2012-07-10 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having a medical substance dispenser |
US11896225B2 (en) | 2004-07-28 | 2024-02-13 | Cilag Gmbh International | Staple cartridge comprising a pan |
US8905977B2 (en) | 2004-07-28 | 2014-12-09 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having an electroactive polymer actuated medical substance dispenser |
US7226460B2 (en) | 2004-08-02 | 2007-06-05 | Karl Storz Endovision, Inc. | Surgical instrument attachment system |
US8657808B2 (en) * | 2004-08-31 | 2014-02-25 | Medtronic, Inc. | Surgical apparatus including a hand-activated, cable assembly and method of using same |
US7598696B2 (en) * | 2004-08-31 | 2009-10-06 | Medtronic, Inc. | Surgical apparatus including a hand-activated, control assembly and method of using same |
PL1802245T3 (pl) | 2004-10-08 | 2017-01-31 | Ethicon Endosurgery Llc | Ultradźwiękowy przyrząd chirurgiczny |
US8628534B2 (en) * | 2005-02-02 | 2014-01-14 | DePuy Synthes Products, LLC | Ultrasonic cutting device |
DE602005027908D1 (de) * | 2005-05-25 | 2011-06-16 | Synthes Gmbh | Vorrichtung zur kontrollierten bedienung eines chirurgischen oder dentalen antriebsgeräts |
US10159482B2 (en) | 2005-08-31 | 2018-12-25 | Ethicon Llc | Fastener cartridge assembly comprising a fixed anvil and different staple 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 |
US8800838B2 (en) | 2005-08-31 | 2014-08-12 | Ethicon Endo-Surgery, Inc. | Robotically-controlled cable-based surgical end effectors |
US11246590B2 (en) | 2005-08-31 | 2022-02-15 | Cilag Gmbh International | Staple cartridge including staple drivers having different unfired heights |
US7669746B2 (en) | 2005-08-31 | 2010-03-02 | Ethicon Endo-Surgery, Inc. | Staple cartridges for forming staples having differing formed staple heights |
US7934630B2 (en) | 2005-08-31 | 2011-05-03 | Ethicon Endo-Surgery, Inc. | Staple cartridges for forming staples having differing formed staple heights |
US8317070B2 (en) | 2005-08-31 | 2012-11-27 | Ethicon Endo-Surgery, Inc. | Surgical stapling devices that produce formed staples having different lengths |
US20070191713A1 (en) | 2005-10-14 | 2007-08-16 | Eichmann Stephen E | Ultrasonic device for cutting and coagulating |
US20070106317A1 (en) | 2005-11-09 | 2007-05-10 | Shelton Frederick E Iv | Hydraulically and electrically actuated articulation joints for surgical instruments |
US7621930B2 (en) | 2006-01-20 | 2009-11-24 | Ethicon Endo-Surgery, Inc. | Ultrasound medical instrument having a medical ultrasonic blade |
US20120292367A1 (en) | 2006-01-31 | 2012-11-22 | Ethicon Endo-Surgery, Inc. | Robotically-controlled end effector |
US11224427B2 (en) | 2006-01-31 | 2022-01-18 | Cilag Gmbh International | Surgical stapling system including a console and retraction assembly |
US8763879B2 (en) | 2006-01-31 | 2014-07-01 | Ethicon Endo-Surgery, Inc. | Accessing data stored in a memory of surgical instrument |
US9861359B2 (en) | 2006-01-31 | 2018-01-09 | Ethicon Llc | Powered surgical instruments with firing system lockout arrangements |
US20110006101A1 (en) | 2009-02-06 | 2011-01-13 | EthiconEndo-Surgery, Inc. | Motor driven surgical fastener device with cutting member lockout arrangements |
US20110024477A1 (en) | 2009-02-06 | 2011-02-03 | Hall Steven G | Driven Surgical Stapler Improvements |
US11278279B2 (en) | 2006-01-31 | 2022-03-22 | Cilag Gmbh International | Surgical instrument assembly |
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 |
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 |
US8708213B2 (en) | 2006-01-31 | 2014-04-29 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a feedback system |
US11793518B2 (en) | 2006-01-31 | 2023-10-24 | Cilag Gmbh International | Powered surgical instruments with firing system lockout arrangements |
US8161977B2 (en) | 2006-01-31 | 2012-04-24 | Ethicon Endo-Surgery, Inc. | Accessing data stored in a memory of a surgical instrument |
US8186555B2 (en) | 2006-01-31 | 2012-05-29 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting and fastening instrument with mechanical closure system |
US20110295295A1 (en) | 2006-01-31 | 2011-12-01 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical instrument having recording capabilities |
GB0602469D0 (en) * | 2006-02-07 | 2006-03-22 | Orthomedex Ltd | Method of manufacturing electrically powered surgicalinstruments, and electrically powered surgical instruments manufactured thereby |
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 |
WO2007142830A2 (en) * | 2006-06-01 | 2007-12-13 | Osteo Innovations, Llc | Vertebral treatment device , system and methods of use |
US20070282333A1 (en) | 2006-06-01 | 2007-12-06 | Fortson Reginald D | Ultrasonic waveguide and blade |
US8322455B2 (en) | 2006-06-27 | 2012-12-04 | Ethicon Endo-Surgery, Inc. | Manually driven surgical cutting and fastening 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 |
US10130359B2 (en) | 2006-09-29 | 2018-11-20 | Ethicon Llc | Method for forming a staple |
US8220690B2 (en) | 2006-09-29 | 2012-07-17 | Ethicon Endo-Surgery, Inc. | Connected surgical staples and stapling instruments for deploying the same |
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 |
US7763033B2 (en) | 2006-10-18 | 2010-07-27 | Interlace Medical, Inc. | System and methods for preventing intravasation during intrauterine procedures |
US9392935B2 (en) | 2006-11-07 | 2016-07-19 | Hologic, Inc. | Methods for performing a medical procedure |
US8025656B2 (en) | 2006-11-07 | 2011-09-27 | Hologic, Inc. | Methods, systems and devices for performing gynecological procedures |
EP2094167B1 (en) * | 2006-11-30 | 2011-06-29 | Wilson-Cook Medical, Inc. | Visceral anchors for purse-string closure of perforations |
US7682360B2 (en) * | 2006-12-07 | 2010-03-23 | Tyco Healthcare Group Lp | Bipolar tissue debrider and method |
US20080167527A1 (en) | 2007-01-09 | 2008-07-10 | Slenker Dale E | Surgical systems and methods for biofilm removal, including a sheath for use therewith |
US8206349B2 (en) * | 2007-03-01 | 2012-06-26 | Medtronic Xomed, Inc. | Systems and methods for biofilm removal, including a biofilm removal endoscope for use therewith |
US9326665B2 (en) | 2007-01-09 | 2016-05-03 | Medtronic Xomed, Inc. | Surgical instrument, system, and method for biofilm removal |
US11291441B2 (en) | 2007-01-10 | 2022-04-05 | Cilag Gmbh International | Surgical instrument with wireless communication between control unit and remote sensor |
US8459520B2 (en) | 2007-01-10 | 2013-06-11 | Ethicon Endo-Surgery, Inc. | Surgical instrument with wireless communication between control unit and remote sensor |
US8684253B2 (en) | 2007-01-10 | 2014-04-01 | Ethicon Endo-Surgery, Inc. | Surgical instrument with wireless communication between a control unit of a robotic system and remote sensor |
US8652120B2 (en) | 2007-01-10 | 2014-02-18 | Ethicon Endo-Surgery, Inc. | Surgical instrument with wireless communication between control unit and sensor transponders |
US11039836B2 (en) | 2007-01-11 | 2021-06-22 | Cilag Gmbh International | Staple cartridge for use with a surgical stapling instrument |
US8827133B2 (en) | 2007-01-11 | 2014-09-09 | Ethicon Endo-Surgery, Inc. | Surgical stapling device having supports for a flexible drive mechanism |
DE502007005829D1 (de) * | 2007-01-17 | 2011-01-13 | W & H Dentalwerk Buermoos Gmbh | Medizinischer Handgriff |
US7669747B2 (en) | 2007-03-15 | 2010-03-02 | Ethicon Endo-Surgery, Inc. | Washer for use with a surgical stapling instrument |
US8911460B2 (en) | 2007-03-22 | 2014-12-16 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical instruments |
US20080234709A1 (en) | 2007-03-22 | 2008-09-25 | Houser Kevin L | Ultrasonic surgical instrument and cartilage and bone shaping blades therefor |
US8057498B2 (en) | 2007-11-30 | 2011-11-15 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical instrument blades |
US8142461B2 (en) | 2007-03-22 | 2012-03-27 | Ethicon Endo-Surgery, Inc. | Surgical instruments |
US8226675B2 (en) | 2007-03-22 | 2012-07-24 | Ethicon Endo-Surgery, Inc. | Surgical instruments |
US8893946B2 (en) | 2007-03-28 | 2014-11-25 | Ethicon Endo-Surgery, Inc. | Laparoscopic tissue thickness and clamp load measuring devices |
US9095366B2 (en) | 2007-04-06 | 2015-08-04 | Hologic, Inc. | Tissue cutter with differential hardness |
US8951274B2 (en) * | 2007-04-06 | 2015-02-10 | Hologic, Inc. | Methods of high rate, low profile tissue removal |
EP2134283B1 (en) | 2007-04-06 | 2014-06-11 | Hologic, Inc. | System and device for tissue removal |
US9259233B2 (en) | 2007-04-06 | 2016-02-16 | Hologic, Inc. | Method and device for distending a gynecological cavity |
US9050123B2 (en) * | 2007-04-16 | 2015-06-09 | Smith & Nephew, Inc. | Powered surgical system |
USD767353S1 (en) | 2007-05-22 | 2016-09-27 | Ethicon Endo-Surgery, Llc | Torque wrench for ultrasonic instrument |
US8157145B2 (en) | 2007-05-31 | 2012-04-17 | Ethicon Endo-Surgery, Inc. | Pneumatically powered surgical cutting and fastening instrument with electrical feedback |
US7905380B2 (en) | 2007-06-04 | 2011-03-15 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a multiple rate directional switching mechanism |
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 |
US7832408B2 (en) | 2007-06-04 | 2010-11-16 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a directional switching mechanism |
US11857181B2 (en) | 2007-06-04 | 2024-01-02 | Cilag Gmbh International | 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 |
US8408439B2 (en) | 2007-06-22 | 2013-04-02 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with an articulatable end effector |
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 |
US8882791B2 (en) | 2007-07-27 | 2014-11-11 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical instruments |
US8523889B2 (en) | 2007-07-27 | 2013-09-03 | Ethicon Endo-Surgery, Inc. | Ultrasonic end effectors with increased active length |
US8808319B2 (en) | 2007-07-27 | 2014-08-19 | Ethicon Endo-Surgery, Inc. | Surgical instruments |
US8252012B2 (en) | 2007-07-31 | 2012-08-28 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical instrument with modulator |
US9044261B2 (en) | 2007-07-31 | 2015-06-02 | Ethicon Endo-Surgery, Inc. | Temperature controlled ultrasonic surgical instruments |
US8512365B2 (en) | 2007-07-31 | 2013-08-20 | Ethicon Endo-Surgery, Inc. | Surgical instruments |
US8430898B2 (en) | 2007-07-31 | 2013-04-30 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical instruments |
US9023014B2 (en) * | 2007-09-21 | 2015-05-05 | Covidien Lp | Quick connect assembly for use between surgical handle assembly and surgical accessories |
US20110022032A1 (en) * | 2007-10-05 | 2011-01-27 | Tyco Healthcare Group Lp | Battery ejection design for a surgical device |
EP2217157A2 (en) | 2007-10-05 | 2010-08-18 | Ethicon Endo-Surgery, Inc. | Ergonomic surgical instruments |
US20090099660A1 (en) * | 2007-10-10 | 2009-04-16 | Warsaw Orthopedic, Inc. | Instrumentation to Facilitate Access into the Intervertebral Disc Space and Introduction of Materials Therein |
US8906053B2 (en) * | 2007-11-12 | 2014-12-09 | Medtronic Xomed, Inc. | Systems and methods for surgical removal of brain tumors |
US8262645B2 (en) | 2007-11-21 | 2012-09-11 | Actuated Medical, Inc. | Devices for clearing blockages in in-situ artificial lumens |
US10010339B2 (en) | 2007-11-30 | 2018-07-03 | Ethicon Llc | Ultrasonic surgical blades |
US7766209B2 (en) | 2008-02-13 | 2010-08-03 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with improved firing trigger arrangement |
US8453908B2 (en) | 2008-02-13 | 2013-06-04 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with improved firing trigger arrangement |
US8561870B2 (en) | 2008-02-13 | 2013-10-22 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument |
US8540133B2 (en) | 2008-09-19 | 2013-09-24 | Ethicon Endo-Surgery, Inc. | Staple cartridge |
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 |
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 |
US8584919B2 (en) | 2008-02-14 | 2013-11-19 | Ethicon Endo-Sugery, Inc. | Surgical stapling apparatus with load-sensitive firing mechanism |
US8752749B2 (en) | 2008-02-14 | 2014-06-17 | Ethicon Endo-Surgery, Inc. | Robotically-controlled disposable motor-driven loading unit |
US8636736B2 (en) | 2008-02-14 | 2014-01-28 | Ethicon Endo-Surgery, Inc. | Motorized surgical cutting and fastening instrument |
US7819298B2 (en) | 2008-02-14 | 2010-10-26 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with control features operable with one hand |
US8459525B2 (en) | 2008-02-14 | 2013-06-11 | Ethicon Endo-Sugery, Inc. | Motorized surgical cutting and fastening instrument having a magnetic drive train torque limiting device |
US8622274B2 (en) | 2008-02-14 | 2014-01-07 | Ethicon Endo-Surgery, Inc. | Motorized cutting and fastening instrument having control circuit for optimizing battery usage |
US8758391B2 (en) | 2008-02-14 | 2014-06-24 | Ethicon Endo-Surgery, Inc. | Interchangeable tools for surgical instruments |
US8657174B2 (en) | 2008-02-14 | 2014-02-25 | Ethicon Endo-Surgery, Inc. | Motorized surgical cutting and fastening instrument having handle based power source |
BRPI0901282A2 (pt) | 2008-02-14 | 2009-11-17 | Ethicon Endo Surgery Inc | instrumento cirúrgico de corte e fixação dotado de eletrodos de rf |
US8573465B2 (en) | 2008-02-14 | 2013-11-05 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical end effector system with rotary actuated closure systems |
US20090206131A1 (en) | 2008-02-15 | 2009-08-20 | Ethicon Endo-Surgery, Inc. | End effector coupling arrangements for a surgical cutting and stapling instrument |
US20090206139A1 (en) | 2008-02-15 | 2009-08-20 | Ethicon Endo-Surgery, Inc. | Buttress material for a surgical instrument |
US8608044B2 (en) | 2008-02-15 | 2013-12-17 | Ethicon Endo-Surgery, Inc. | Feedback and lockout mechanism for surgical 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 |
US20090270894A1 (en) * | 2008-04-25 | 2009-10-29 | Joshua David Rubin | Surgical instrument with internal irrigation |
US9827367B2 (en) | 2008-04-29 | 2017-11-28 | Medtronic Xomed, Inc. | Surgical instrument, system, and method for frontal sinus irrigation |
US8058771B2 (en) | 2008-08-06 | 2011-11-15 | Ethicon Endo-Surgery, Inc. | Ultrasonic device for cutting and coagulating with stepped output |
US9089360B2 (en) | 2008-08-06 | 2015-07-28 | Ethicon Endo-Surgery, Inc. | Devices and techniques for cutting and coagulating tissue |
US8083120B2 (en) | 2008-09-18 | 2011-12-27 | Ethicon Endo-Surgery, Inc. | End effector for use with a surgical cutting and stapling instrument |
US7832612B2 (en) | 2008-09-19 | 2010-11-16 | Ethicon Endo-Surgery, Inc. | Lockout arrangement for a surgical stapler |
PL3476312T3 (pl) | 2008-09-19 | 2024-03-11 | Ethicon Llc | Stapler chirurgiczny z urządzeniem do dopasowania wysokości zszywek |
US9386983B2 (en) | 2008-09-23 | 2016-07-12 | Ethicon Endo-Surgery, Llc | Robotically-controlled motorized surgical instrument |
US9005230B2 (en) | 2008-09-23 | 2015-04-14 | Ethicon Endo-Surgery, Inc. | Motorized surgical instrument |
US9050083B2 (en) | 2008-09-23 | 2015-06-09 | Ethicon Endo-Surgery, Inc. | Motorized surgical instrument |
US11648005B2 (en) | 2008-09-23 | 2023-05-16 | Cilag Gmbh International | Robotically-controlled motorized surgical instrument with an end effector |
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 |
US9622765B2 (en) * | 2008-10-23 | 2017-04-18 | Covidien Lp | Vacuum assisted surgical dissection tools |
US20100198200A1 (en) * | 2009-01-30 | 2010-08-05 | Christopher Horvath | Smart Illumination for Surgical Devices |
US8397971B2 (en) | 2009-02-05 | 2013-03-19 | Ethicon Endo-Surgery, Inc. | Sterilizable surgical instrument |
US8517239B2 (en) | 2009-02-05 | 2013-08-27 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument comprising a magnetic element driver |
US8485413B2 (en) | 2009-02-05 | 2013-07-16 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument comprising an articulation joint |
US8414577B2 (en) | 2009-02-05 | 2013-04-09 | Ethicon Endo-Surgery, Inc. | Surgical instruments and components for use in sterile environments |
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 |
CA2751664A1 (en) | 2009-02-06 | 2010-08-12 | Ethicon Endo-Surgery, Inc. | Driven surgical stapler improvements |
US8066167B2 (en) | 2009-03-23 | 2011-11-29 | Ethicon Endo-Surgery, Inc. | Circular surgical stapling instrument with anvil locking system |
CN101507649B (zh) * | 2009-03-23 | 2011-04-13 | 徐生源 | 用于切骨手术的电动切除器 |
US11903602B2 (en) | 2009-04-29 | 2024-02-20 | Hologic, Inc. | Uterine fibroid tissue removal device |
US9700339B2 (en) * | 2009-05-20 | 2017-07-11 | Ethicon Endo-Surgery, Inc. | Coupling arrangements and methods for attaching tools to ultrasonic surgical instruments |
CH701321B1 (it) | 2009-06-16 | 2013-10-15 | Frii S A | Dispositivo per trattamenti di resezione/rimozione endoscopica dei tessuti. |
US8344596B2 (en) | 2009-06-24 | 2013-01-01 | Ethicon Endo-Surgery, Inc. | Transducer arrangements for ultrasonic surgical instruments |
US9017326B2 (en) * | 2009-07-15 | 2015-04-28 | Ethicon Endo-Surgery, Inc. | Impedance monitoring apparatus, system, and method for ultrasonic surgical instruments |
US8663220B2 (en) * | 2009-07-15 | 2014-03-04 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical instruments |
US8461744B2 (en) * | 2009-07-15 | 2013-06-11 | Ethicon Endo-Surgery, Inc. | Rotating transducer mount for ultrasonic surgical instruments |
ATE536819T1 (de) * | 2009-07-29 | 2011-12-15 | Tmt Tschida Medizin Technik | Chirurgisches instrument |
US10383629B2 (en) * | 2009-08-10 | 2019-08-20 | Covidien Lp | System and method for preventing reprocessing of a powered surgical instrument |
IN2012DN01917A (zh) | 2009-09-08 | 2015-07-24 | Salient Surgical Tech Inc | |
US11090104B2 (en) | 2009-10-09 | 2021-08-17 | Cilag Gmbh International | Surgical generator for ultrasonic and electrosurgical devices |
US9168054B2 (en) | 2009-10-09 | 2015-10-27 | Ethicon Endo-Surgery, Inc. | Surgical generator for ultrasonic and electrosurgical devices |
USRE47996E1 (en) | 2009-10-09 | 2020-05-19 | Ethicon Llc | Surgical generator for ultrasonic and electrosurgical devices |
US9039695B2 (en) | 2009-10-09 | 2015-05-26 | Ethicon Endo-Surgery, Inc. | Surgical generator for ultrasonic and electrosurgical devices |
US10441345B2 (en) | 2009-10-09 | 2019-10-15 | Ethicon Llc | Surgical generator for ultrasonic and electrosurgical devices |
US8141762B2 (en) | 2009-10-09 | 2012-03-27 | Ethicon Endo-Surgery, Inc. | Surgical stapler comprising a staple pocket |
US8622275B2 (en) | 2009-11-19 | 2014-01-07 | Ethicon Endo-Surgery, Inc. | Circular stapler introducer with rigid distal end portion |
US8136712B2 (en) | 2009-12-10 | 2012-03-20 | Ethicon Endo-Surgery, Inc. | Surgical stapler with discrete staple height adjustment and tactile feedback |
US9358328B2 (en) | 2009-12-15 | 2016-06-07 | Prabhat K. Ahluwalia | Suction device |
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 |
US8267300B2 (en) | 2009-12-30 | 2012-09-18 | Ethicon Endo-Surgery, Inc. | Dampening device for endoscopic surgical stapler |
US8608046B2 (en) | 2010-01-07 | 2013-12-17 | Ethicon Endo-Surgery, Inc. | Test device for a surgical tool |
US8486096B2 (en) | 2010-02-11 | 2013-07-16 | Ethicon Endo-Surgery, Inc. | Dual purpose surgical instrument for cutting and coagulating tissue |
US8951272B2 (en) | 2010-02-11 | 2015-02-10 | Ethicon Endo-Surgery, Inc. | Seal arrangements for ultrasonically powered surgical instruments |
US8579928B2 (en) | 2010-02-11 | 2013-11-12 | Ethicon Endo-Surgery, Inc. | Outer sheath and blade arrangements for ultrasonic surgical instruments |
US8961547B2 (en) * | 2010-02-11 | 2015-02-24 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical instruments with moving cutting implement |
US9259234B2 (en) | 2010-02-11 | 2016-02-16 | Ethicon Endo-Surgery, Llc | Ultrasonic surgical instruments with rotatable blade and hollow sheath arrangements |
US8419759B2 (en) * | 2010-02-11 | 2013-04-16 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical instrument with comb-like tissue trimming device |
US8469981B2 (en) | 2010-02-11 | 2013-06-25 | Ethicon Endo-Surgery, Inc. | Rotatable cutting implement arrangements for ultrasonic surgical instruments |
US8531064B2 (en) | 2010-02-11 | 2013-09-10 | Ethicon Endo-Surgery, Inc. | Ultrasonically powered surgical instruments with rotating cutting implement |
US8409235B2 (en) | 2010-04-30 | 2013-04-02 | Medtronic Xomed, Inc. | Rotary cutting tool with improved cutting and reduced clogging on soft tissue and thin bone |
DE102010020927A1 (de) * | 2010-05-10 | 2011-11-10 | Karl Storz Gmbh & Co. Kg | Medizinisches Instrument mit abnehmbarem Griff |
US8663259B2 (en) | 2010-05-13 | 2014-03-04 | Rex Medical L.P. | Rotational thrombectomy wire |
US8764779B2 (en) | 2010-05-13 | 2014-07-01 | Rex Medical, L.P. | Rotational thrombectomy wire |
GB2480498A (en) | 2010-05-21 | 2011-11-23 | Ethicon Endo Surgery Inc | Medical device comprising RF circuitry |
US8956341B2 (en) | 2010-06-10 | 2015-02-17 | Carefusion 2200, Inc. | Surgical device with reusable handle |
US8795327B2 (en) | 2010-07-22 | 2014-08-05 | Ethicon Endo-Surgery, Inc. | Electrosurgical instrument with separate closure and cutting members |
US9192431B2 (en) | 2010-07-23 | 2015-11-24 | Ethicon Endo-Surgery, Inc. | Electrosurgical cutting and sealing instrument |
US8672207B2 (en) | 2010-07-30 | 2014-03-18 | Ethicon Endo-Surgery, Inc. | Transwall visualization arrangements and methods for surgical circular staplers |
US8783543B2 (en) | 2010-07-30 | 2014-07-22 | Ethicon Endo-Surgery, Inc. | Tissue acquisition arrangements and methods for surgical stapling devices |
US8789740B2 (en) | 2010-07-30 | 2014-07-29 | Ethicon Endo-Surgery, Inc. | Linear cutting and stapling device with selectively disengageable cutting member |
US8360296B2 (en) | 2010-09-09 | 2013-01-29 | Ethicon Endo-Surgery, Inc. | Surgical stapling head assembly with firing lockout for a surgical stapler |
US9289212B2 (en) | 2010-09-17 | 2016-03-22 | Ethicon Endo-Surgery, Inc. | Surgical instruments and batteries for surgical instruments |
US8632525B2 (en) | 2010-09-17 | 2014-01-21 | Ethicon Endo-Surgery, Inc. | Power control arrangements for surgical instruments and batteries |
US9877720B2 (en) | 2010-09-24 | 2018-01-30 | Ethicon Llc | Control features for articulating surgical device |
US8733613B2 (en) | 2010-09-29 | 2014-05-27 | Ethicon Endo-Surgery, Inc. | Staple cartridge |
US11298125B2 (en) | 2010-09-30 | 2022-04-12 | Cilag Gmbh International | Tissue stapler having a thickness compensator |
US9629814B2 (en) | 2010-09-30 | 2017-04-25 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator configured to redistribute compressive forces |
US8893949B2 (en) | 2010-09-30 | 2014-11-25 | Ethicon Endo-Surgery, Inc. | Surgical stapler with floating anvil |
US9220500B2 (en) | 2010-09-30 | 2015-12-29 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator comprising structure to produce a resilient load |
US9220501B2 (en) | 2010-09-30 | 2015-12-29 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensators |
US9314246B2 (en) | 2010-09-30 | 2016-04-19 | Ethicon Endo-Surgery, Llc | Tissue stapler having a thickness compensator incorporating an anti-inflammatory agent |
US20120080478A1 (en) | 2010-09-30 | 2012-04-05 | Ethicon Endo-Surgery, Inc. | Surgical staple cartridges with detachable support structures and surgical stapling instruments with systems for preventing actuation motions when a cartridge is not present |
US9320523B2 (en) | 2012-03-28 | 2016-04-26 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator comprising tissue ingrowth features |
US10945731B2 (en) | 2010-09-30 | 2021-03-16 | Ethicon Llc | Tissue thickness compensator comprising controlled release and expansion |
US11812965B2 (en) | 2010-09-30 | 2023-11-14 | Cilag Gmbh International | Layer of material for a surgical end effector |
US8978954B2 (en) | 2010-09-30 | 2015-03-17 | Ethicon Endo-Surgery, Inc. | Staple cartridge comprising an adjustable distal portion |
US9216019B2 (en) | 2011-09-23 | 2015-12-22 | Ethicon Endo-Surgery, Inc. | Surgical stapler with stationary staple drivers |
US9307989B2 (en) | 2012-03-28 | 2016-04-12 | Ethicon Endo-Surgery, Llc | Tissue stapler having a thickness compensator incorportating a hydrophobic agent |
US9364233B2 (en) | 2010-09-30 | 2016-06-14 | Ethicon Endo-Surgery, Llc | Tissue thickness compensators for circular surgical staplers |
US9301753B2 (en) | 2010-09-30 | 2016-04-05 | Ethicon Endo-Surgery, Llc | Expandable tissue thickness compensator |
US9592050B2 (en) | 2010-09-30 | 2017-03-14 | Ethicon Endo-Surgery, Llc | End effector comprising a distal tissue abutment member |
US11849952B2 (en) | 2010-09-30 | 2023-12-26 | Cilag Gmbh International | Staple cartridge comprising staples positioned within a compressible portion thereof |
US9351730B2 (en) | 2011-04-29 | 2016-05-31 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator comprising channels |
US9414838B2 (en) | 2012-03-28 | 2016-08-16 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator comprised of a plurality of materials |
US9332974B2 (en) | 2010-09-30 | 2016-05-10 | Ethicon Endo-Surgery, Llc | Layered tissue thickness compensator |
BR112013007717B1 (pt) | 2010-09-30 | 2020-09-24 | Ethicon Endo-Surgery, Inc. | Sistema de grampeamento cirúrgico |
US9517063B2 (en) | 2012-03-28 | 2016-12-13 | Ethicon Endo-Surgery, Llc | Movable member for use with a tissue thickness compensator |
US8695866B2 (en) | 2010-10-01 | 2014-04-15 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a power control circuit |
USD650074S1 (en) | 2010-10-01 | 2011-12-06 | Ethicon Endo-Surgery, Inc. | Surgical instrument |
US9308013B2 (en) | 2010-11-03 | 2016-04-12 | Gyrus Ent, L.L.C. | Surgical tool with sheath |
DE102010050352A1 (de) * | 2010-11-05 | 2012-05-10 | Hopp-Elektronik Gmbh & Co. Kg | Chirurgisches Instrument |
US9119655B2 (en) | 2012-08-03 | 2015-09-01 | Stryker Corporation | Surgical manipulator capable of controlling a surgical instrument in multiple modes |
US20120172877A1 (en) * | 2011-01-04 | 2012-07-05 | Gyrus Ent, L.L.C. | Surgical tool coupling |
US8377086B2 (en) | 2011-01-25 | 2013-02-19 | Gyrus Ent L.L.C. | Surgical cutting instrument with distal suction passage forming member |
US8585724B2 (en) | 2011-01-25 | 2013-11-19 | Gyrus Ent, L.L.C. | Surgical cutting instrument with distal suction capability |
US8475482B2 (en) | 2011-02-17 | 2013-07-02 | Gyrus Ent L.L.C. | Surgical instrument with distal suction capability |
US9113884B2 (en) | 2011-03-14 | 2015-08-25 | Ethicon Endo-Surgery, Inc. | Modular surgical tool systems |
US8540131B2 (en) | 2011-03-15 | 2013-09-24 | Ethicon Endo-Surgery, Inc. | Surgical staple cartridges with tissue tethers for manipulating divided tissue and methods of using same |
US8926598B2 (en) | 2011-03-15 | 2015-01-06 | Ethicon Endo-Surgery, Inc. | Surgical instruments with articulatable and rotatable end effector |
US9044229B2 (en) | 2011-03-15 | 2015-06-02 | Ethicon Endo-Surgery, Inc. | Surgical fastener instruments |
US8857693B2 (en) | 2011-03-15 | 2014-10-14 | Ethicon Endo-Surgery, Inc. | Surgical instruments with lockable articulating end effector |
US8800841B2 (en) | 2011-03-15 | 2014-08-12 | Ethicon Endo-Surgery, Inc. | Surgical staple cartridges |
US8801713B2 (en) | 2011-04-07 | 2014-08-12 | DePuy Synthes Products, LLC | Surgical drill instrument with motor and locking mechanism to receive an attachment and a cutting burr |
US8690876B2 (en) | 2011-04-07 | 2014-04-08 | DePuy Synthes Products, LLC | Cutting burr shank configuration |
CA2834649C (en) | 2011-04-29 | 2021-02-16 | Ethicon Endo-Surgery, Inc. | Staple cartridge comprising staples positioned within a compressible portion thereof |
US9744293B2 (en) * | 2011-05-13 | 2017-08-29 | Midhat H. Abdulreda | System and methods for motorized injection and aspiration |
US11207064B2 (en) | 2011-05-27 | 2021-12-28 | Cilag Gmbh International | Automated end effector component reloading system for use with a robotic system |
US9072535B2 (en) | 2011-05-27 | 2015-07-07 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments with rotatable staple deployment arrangements |
CH705201B1 (it) * | 2011-06-22 | 2015-02-27 | Frii S A | Dispositivo per trattamenti di resezione/rimozione endoscopica dei tessuti. |
US9259265B2 (en) | 2011-07-22 | 2016-02-16 | Ethicon Endo-Surgery, Llc | Surgical instruments for tensioning tissue |
US8940005B2 (en) | 2011-08-08 | 2015-01-27 | Gyrus Ent L.L.C. | Locking flexible surgical instruments |
US9198685B2 (en) | 2011-08-24 | 2015-12-01 | Gyrus Ent, L.L.C. | Surgical instrument with malleable tubing |
US8789739B2 (en) | 2011-09-06 | 2014-07-29 | Ethicon Endo-Surgery, Inc. | Continuous stapling instrument |
US9050084B2 (en) | 2011-09-23 | 2015-06-09 | Ethicon Endo-Surgery, Inc. | Staple cartridge including collapsible deck arrangement |
US8568418B2 (en) | 2011-10-03 | 2013-10-29 | Gyrus Ent L.L.C. | Apparatus for controlling position of rotary surgical instrument |
US8968312B2 (en) | 2011-11-16 | 2015-03-03 | Covidien Lp | Surgical device with powered articulation wrist rotation |
US9028424B2 (en) | 2011-12-02 | 2015-05-12 | Interscope, Inc. | Endoscope including a torque generation component or torque delivery component disposed within an insertable portion of the endoscope and a surgical cutting assembly insertable within the endoscope |
US9033895B2 (en) | 2011-12-02 | 2015-05-19 | Interscope, Inc. | Endoscope including an torque generation component or torque delivery component disposed within an insertable portion of the endoscope and a surgical cutting assembly insertable within the endoscope |
US9808146B2 (en) | 2011-12-02 | 2017-11-07 | Interscope, Inc. | Endoscopic tool for debriding and removing polyps |
US9033864B2 (en) | 2011-12-02 | 2015-05-19 | Interscope, Inc. | Endoscope including a torque generation component or torque delivery component disposed within an insertable portion of the endoscope and a surgical cutting assembly insertable within the endoscope |
US11076840B2 (en) | 2011-12-02 | 2021-08-03 | Interscope, Inc. | Surgical console, specimen receiver, and insertable endoscopic instrument for tissue removal |
USD855802S1 (en) | 2011-12-23 | 2019-08-06 | Interscope, Inc. | Disposable tool |
JP6165780B2 (ja) | 2012-02-10 | 2017-07-19 | 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. | ロボット制御式の手術器具 |
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 |
US10456122B2 (en) | 2012-03-13 | 2019-10-29 | Medtronic Xomed, Inc. | Surgical system including powered rotary-type handpiece |
US8945093B2 (en) | 2012-03-20 | 2015-02-03 | Minimally Invasive Surgical Technologies, Inc. | Suction device |
US9744276B2 (en) | 2012-03-20 | 2017-08-29 | Prabhat Kumar Ahluwalia | Suction device |
US9078653B2 (en) | 2012-03-26 | 2015-07-14 | Ethicon Endo-Surgery, Inc. | Surgical stapling device with lockout system for preventing actuation in the absence of an installed staple cartridge |
JP6224070B2 (ja) | 2012-03-28 | 2017-11-01 | エシコン・エンド−サージェリィ・インコーポレイテッドEthicon Endo−Surgery,Inc. | 組織厚さコンペンセータを含む保持具アセンブリ |
US9198662B2 (en) | 2012-03-28 | 2015-12-01 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator having improved visibility |
JP6305979B2 (ja) | 2012-03-28 | 2018-04-04 | エシコン・エンド−サージェリィ・インコーポレイテッドEthicon Endo−Surgery,Inc. | 複数の層を含む組織厚さコンペンセーター |
CN104334098B (zh) | 2012-03-28 | 2017-03-22 | 伊西康内外科公司 | 包括限定低压强环境的胶囊剂的组织厚度补偿件 |
US9226766B2 (en) | 2012-04-09 | 2016-01-05 | Ethicon Endo-Surgery, Inc. | Serial communication protocol for medical device |
US9724118B2 (en) | 2012-04-09 | 2017-08-08 | Ethicon Endo-Surgery, Llc | Techniques for cutting and coagulating tissue for ultrasonic surgical instruments |
US9241731B2 (en) | 2012-04-09 | 2016-01-26 | Ethicon Endo-Surgery, Inc. | Rotatable electrical connection for ultrasonic surgical instruments |
US9237921B2 (en) | 2012-04-09 | 2016-01-19 | Ethicon Endo-Surgery, Inc. | Devices and techniques for cutting and coagulating tissue |
US9439668B2 (en) | 2012-04-09 | 2016-09-13 | Ethicon Endo-Surgery, Llc | Switch arrangements for ultrasonic surgical instruments |
US20130289595A1 (en) * | 2012-04-26 | 2013-10-31 | Gyrus Ent, L.L.C. | Surgical instrument |
US9226792B2 (en) | 2012-06-12 | 2016-01-05 | Medtronic Advanced Energy Llc | Debridement device and method |
US9101358B2 (en) | 2012-06-15 | 2015-08-11 | Ethicon Endo-Surgery, Inc. | Articulatable surgical instrument comprising a firing drive |
US9078664B2 (en) | 2012-06-20 | 2015-07-14 | Gyrus Acmi, Inc. | Bipolar surgical instrument with two half tube electrodes |
US9649111B2 (en) | 2012-06-28 | 2017-05-16 | Ethicon Endo-Surgery, Llc | Replaceable clip cartridge for a clip applier |
US9028494B2 (en) | 2012-06-28 | 2015-05-12 | Ethicon Endo-Surgery, Inc. | Interchangeable end effector coupling arrangement |
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 |
US20140001234A1 (en) | 2012-06-28 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Coupling arrangements for attaching surgical end effectors to drive systems therefor |
US9072536B2 (en) | 2012-06-28 | 2015-07-07 | Ethicon Endo-Surgery, Inc. | Differential locking arrangements for rotary powered surgical instruments |
US9101385B2 (en) | 2012-06-28 | 2015-08-11 | Ethicon Endo-Surgery, Inc. | Electrode connections for rotary driven surgical tools |
US9119657B2 (en) | 2012-06-28 | 2015-09-01 | Ethicon Endo-Surgery, Inc. | Rotary actuatable closure arrangement for surgical end effector |
US9289256B2 (en) | 2012-06-28 | 2016-03-22 | Ethicon Endo-Surgery, Llc | Surgical end effectors having angled tissue-contacting surfaces |
US20140005718A1 (en) | 2012-06-28 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Multi-functional powered surgical device with external dissection features |
US11278284B2 (en) | 2012-06-28 | 2022-03-22 | Cilag Gmbh International | Rotary drive arrangements for surgical instruments |
US9125662B2 (en) | 2012-06-28 | 2015-09-08 | Ethicon Endo-Surgery, Inc. | Multi-axis articulating and rotating surgical tools |
US20140001231A1 (en) | 2012-06-28 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Firing system lockout arrangements for surgical instruments |
US20140005705A1 (en) | 2012-06-29 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Surgical instruments with articulating shafts |
US8747238B2 (en) | 2012-06-28 | 2014-06-10 | Ethicon Endo-Surgery, Inc. | Rotary drive shaft assemblies for surgical instruments with articulatable end effectors |
CN104487005B (zh) | 2012-06-28 | 2017-09-08 | 伊西康内外科公司 | 空夹仓闭锁件 |
US9561038B2 (en) | 2012-06-28 | 2017-02-07 | Ethicon Endo-Surgery, Llc | Interchangeable clip applier |
US9393037B2 (en) | 2012-06-29 | 2016-07-19 | Ethicon Endo-Surgery, Llc | Surgical instruments with articulating shafts |
US9408622B2 (en) | 2012-06-29 | 2016-08-09 | Ethicon Endo-Surgery, Llc | Surgical instruments with articulating shafts |
US9226767B2 (en) | 2012-06-29 | 2016-01-05 | Ethicon Endo-Surgery, Inc. | Closed feedback control for electrosurgical device |
US9326788B2 (en) | 2012-06-29 | 2016-05-03 | Ethicon Endo-Surgery, Llc | Lockout mechanism for use with robotic electrosurgical device |
US9351754B2 (en) | 2012-06-29 | 2016-05-31 | Ethicon Endo-Surgery, Llc | Ultrasonic surgical instruments with distally positioned jaw assemblies |
WO2014003848A1 (en) | 2012-06-29 | 2014-01-03 | Gyrus Acmi, Inc. | Blade retention mechanism for surgical instrument |
US9198714B2 (en) | 2012-06-29 | 2015-12-01 | Ethicon Endo-Surgery, Inc. | Haptic feedback devices for surgical robot |
US9283045B2 (en) | 2012-06-29 | 2016-03-15 | Ethicon Endo-Surgery, Llc | Surgical instruments with fluid management system |
US9820768B2 (en) | 2012-06-29 | 2017-11-21 | Ethicon Llc | Ultrasonic surgical instruments with control mechanisms |
US20140005702A1 (en) | 2012-06-29 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical instruments with distally positioned transducers |
JP5865500B2 (ja) * | 2012-07-31 | 2016-02-17 | オリンパス株式会社 | 医療用マニピュレータ |
US9226796B2 (en) | 2012-08-03 | 2016-01-05 | Stryker Corporation | Method for detecting a disturbance as an energy applicator of a surgical instrument traverses a cutting path |
AU2013296278B2 (en) | 2012-08-03 | 2018-06-14 | Stryker Corporation | Systems and methods for robotic surgery |
CN104853688B (zh) | 2012-09-28 | 2017-11-28 | 伊西康内外科公司 | 多功能双极镊子 |
US8702702B1 (en) | 2012-10-05 | 2014-04-22 | Gyrus Acmi, Inc. | Surgical cutting instrument with electromechanical cutting |
US9561337B2 (en) | 2012-10-11 | 2017-02-07 | Actuated Medical, Inc. | Active system for in-situ clearing of secretions and occlusions in tubes |
US9386985B2 (en) | 2012-10-15 | 2016-07-12 | Ethicon Endo-Surgery, Llc | Surgical cutting instrument |
US10201365B2 (en) | 2012-10-22 | 2019-02-12 | Ethicon Llc | Surgeon feedback sensing and display methods |
US9095367B2 (en) | 2012-10-22 | 2015-08-04 | Ethicon Endo-Surgery, Inc. | Flexible harmonic waveguides/blades for surgical instruments |
US20140135804A1 (en) | 2012-11-15 | 2014-05-15 | Ethicon Endo-Surgery, Inc. | Ultrasonic and electrosurgical devices |
CN102940516B (zh) * | 2012-11-28 | 2014-10-22 | 重庆西山科技有限公司 | 骨科钻锯动力手机 |
US8920419B2 (en) | 2012-11-30 | 2014-12-30 | Gyrus Acmi, Inc. | Apparatus and method for tubeset with drive axle |
CH707372B1 (it) | 2012-12-19 | 2016-07-29 | Frii Sa | Dispositivo per trattamenti di resezione/rimozione endoscopica dei tessuti. |
US9386984B2 (en) | 2013-02-08 | 2016-07-12 | Ethicon Endo-Surgery, Llc | Staple cartridge comprising a releasable cover |
JP6110514B2 (ja) | 2013-02-26 | 2017-04-05 | ジャイラス エーシーエムアイ インク | ラッチ機構を有する交換式デブリッダー用ブレードモジュール |
US10092292B2 (en) | 2013-02-28 | 2018-10-09 | Ethicon Llc | Staple forming features for surgical stapling instrument |
MX364729B (es) | 2013-03-01 | 2019-05-06 | Ethicon Endo Surgery Inc | Instrumento quirúrgico con una parada suave. |
MX368026B (es) | 2013-03-01 | 2019-09-12 | Ethicon Endo Surgery Inc | Instrumento quirúrgico articulable con vías conductoras para la comunicación de la señal. |
US9700309B2 (en) | 2013-03-01 | 2017-07-11 | Ethicon Llc | Articulatable surgical instruments with conductive pathways for signal communication |
US9358036B2 (en) | 2013-03-12 | 2016-06-07 | Gyrus Acmi, Inc. | Blade positioning device |
US20140263552A1 (en) | 2013-03-13 | 2014-09-18 | Ethicon Endo-Surgery, Inc. | Staple cartridge tissue thickness sensor system |
US9629623B2 (en) | 2013-03-14 | 2017-04-25 | Ethicon Endo-Surgery, Llc | Drive system lockout arrangements for modular surgical instruments |
US9629629B2 (en) | 2013-03-14 | 2017-04-25 | Ethicon Endo-Surgey, LLC | Control systems for surgical instruments |
US10226273B2 (en) | 2013-03-14 | 2019-03-12 | Ethicon Llc | Mechanical fasteners for use with surgical energy devices |
US9259260B2 (en) * | 2013-03-14 | 2016-02-16 | Megadyne Medical Products, Inc. | Fluid evacuation device |
US9241728B2 (en) | 2013-03-15 | 2016-01-26 | Ethicon Endo-Surgery, Inc. | Surgical instrument with multiple clamping mechanisms |
KR102380980B1 (ko) | 2013-03-15 | 2022-04-01 | 스트리커 코포레이션 | 수술 로봇 조작기의 엔드 이펙터 |
US9572577B2 (en) | 2013-03-27 | 2017-02-21 | Ethicon Endo-Surgery, Llc | Fastener cartridge comprising a tissue thickness compensator including openings therein |
US9332984B2 (en) | 2013-03-27 | 2016-05-10 | Ethicon Endo-Surgery, Llc | Fastener cartridge assemblies |
US9795384B2 (en) | 2013-03-27 | 2017-10-24 | Ethicon Llc | Fastener cartridge comprising a tissue thickness compensator and a gap setting element |
US10405857B2 (en) | 2013-04-16 | 2019-09-10 | Ethicon Llc | Powered linear surgical stapler |
BR112015026109B1 (pt) | 2013-04-16 | 2022-02-22 | Ethicon Endo-Surgery, Inc | Instrumento cirúrgico |
US10004556B2 (en) * | 2013-05-10 | 2018-06-26 | Corinth MedTech, Inc. | Tissue resecting devices and methods |
US9574644B2 (en) | 2013-05-30 | 2017-02-21 | Ethicon Endo-Surgery, Llc | Power module for use with a surgical instrument |
US9808249B2 (en) | 2013-08-23 | 2017-11-07 | Ethicon Llc | Attachment portions for surgical instrument assemblies |
CN106028966B (zh) | 2013-08-23 | 2018-06-22 | 伊西康内外科有限责任公司 | 用于动力外科器械的击发构件回缩装置 |
US9814514B2 (en) | 2013-09-13 | 2017-11-14 | Ethicon Llc | Electrosurgical (RF) medical instruments for cutting and coagulating tissue |
US20140171986A1 (en) | 2013-09-13 | 2014-06-19 | Ethicon Endo-Surgery, Inc. | Surgical Clip Having Comliant Portion |
US9713469B2 (en) * | 2013-09-23 | 2017-07-25 | Ethicon Llc | Surgical stapler with rotary cam drive |
US10709452B2 (en) | 2013-09-23 | 2020-07-14 | Ethicon Llc | Methods and systems for performing circular stapling |
US20150083772A1 (en) * | 2013-09-23 | 2015-03-26 | Ethicon Endo-Surgery, Inc. | Surgical stapler with rotary cam drive and return |
US9265926B2 (en) | 2013-11-08 | 2016-02-23 | Ethicon Endo-Surgery, Llc | Electrosurgical devices |
GB2521228A (en) | 2013-12-16 | 2015-06-17 | Ethicon Endo Surgery Inc | Medical device |
GB2521229A (en) | 2013-12-16 | 2015-06-17 | Ethicon Endo Surgery Inc | Medical device |
US9642620B2 (en) | 2013-12-23 | 2017-05-09 | Ethicon Endo-Surgery, Llc | Surgical cutting and stapling instruments with articulatable end effectors |
US9724092B2 (en) | 2013-12-23 | 2017-08-08 | Ethicon Llc | Modular surgical instruments |
US20150173756A1 (en) | 2013-12-23 | 2015-06-25 | Ethicon Endo-Surgery, Inc. | Surgical cutting and stapling methods |
US9681870B2 (en) | 2013-12-23 | 2017-06-20 | Ethicon Llc | Articulatable surgical instruments with separate and distinct closing and firing systems |
US10314647B2 (en) | 2013-12-23 | 2019-06-11 | Medtronic Advanced Energy Llc | Electrosurgical cutting instrument |
US9839428B2 (en) | 2013-12-23 | 2017-12-12 | Ethicon Llc | Surgical cutting and stapling instruments with independent jaw control features |
US9687232B2 (en) | 2013-12-23 | 2017-06-27 | Ethicon Llc | Surgical staples |
US9795436B2 (en) | 2014-01-07 | 2017-10-24 | Ethicon Llc | Harvesting energy from a surgical generator |
GB201402020D0 (en) * | 2014-02-06 | 2014-03-26 | Automotive Ltd Spa | Coupling |
US9962161B2 (en) | 2014-02-12 | 2018-05-08 | Ethicon Llc | Deliverable surgical instrument |
JP6462004B2 (ja) | 2014-02-24 | 2019-01-30 | エシコン エルエルシー | 発射部材ロックアウトを備える締結システム |
US20140166726A1 (en) | 2014-02-24 | 2014-06-19 | Ethicon Endo-Surgery, Inc. | Staple cartridge including a barbed staple |
US10813686B2 (en) | 2014-02-26 | 2020-10-27 | Medtronic Advanced Energy Llc | Electrosurgical cutting instrument |
US9554854B2 (en) | 2014-03-18 | 2017-01-31 | Ethicon Endo-Surgery, Llc | Detecting short circuits in electrosurgical medical devices |
BR112016021943B1 (pt) | 2014-03-26 | 2022-06-14 | Ethicon Endo-Surgery, Llc | Instrumento cirúrgico para uso por um operador em um procedimento cirúrgico |
US9820738B2 (en) | 2014-03-26 | 2017-11-21 | Ethicon Llc | Surgical instrument comprising interactive systems |
US9913642B2 (en) | 2014-03-26 | 2018-03-13 | Ethicon Llc | Surgical instrument comprising a sensor system |
US9750499B2 (en) | 2014-03-26 | 2017-09-05 | Ethicon Llc | Surgical stapling instrument system |
US9733663B2 (en) | 2014-03-26 | 2017-08-15 | Ethicon Llc | Power management through segmented circuit and variable voltage protection |
US10092310B2 (en) | 2014-03-27 | 2018-10-09 | Ethicon Llc | Electrosurgical devices |
US10463421B2 (en) | 2014-03-27 | 2019-11-05 | Ethicon Llc | Two stage trigger, clamp and cut bipolar vessel sealer |
US9737355B2 (en) | 2014-03-31 | 2017-08-22 | Ethicon Llc | Controlling impedance rise in electrosurgical medical devices |
US9913680B2 (en) | 2014-04-15 | 2018-03-13 | Ethicon Llc | Software algorithms for electrosurgical instruments |
BR112016023807B1 (pt) | 2014-04-16 | 2022-07-12 | Ethicon Endo-Surgery, Llc | Conjunto de cartucho de prendedores para uso com um instrumento cirúrgico |
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 |
US9801627B2 (en) | 2014-09-26 | 2017-10-31 | Ethicon Llc | Fastener cartridge for creating a flexible staple line |
CN106456176B (zh) | 2014-04-16 | 2019-06-28 | 伊西康内外科有限责任公司 | 包括具有不同构型的延伸部的紧固件仓 |
US20150297225A1 (en) | 2014-04-16 | 2015-10-22 | Ethicon Endo-Surgery, Inc. | Fastener cartridges including extensions having different configurations |
US10299792B2 (en) | 2014-04-16 | 2019-05-28 | Ethicon Llc | Fastener cartridge comprising non-uniform fasteners |
JP6728062B2 (ja) * | 2014-05-09 | 2020-07-22 | ケーシーアイ ライセンシング インコーポレイテッド | 負圧および流体滴下と共に使用するための創傷清拭用ドレッシング |
US10045781B2 (en) | 2014-06-13 | 2018-08-14 | Ethicon Llc | Closure lockout systems for surgical instruments |
US10285724B2 (en) | 2014-07-31 | 2019-05-14 | Ethicon Llc | Actuation mechanisms and load adjustment assemblies for surgical instruments |
US10135242B2 (en) | 2014-09-05 | 2018-11-20 | Ethicon Llc | Smart cartridge wake up operation and data retention |
US11311294B2 (en) | 2014-09-05 | 2022-04-26 | Cilag Gmbh International | Powered medical device including measurement of closure state of jaws |
BR112017004361B1 (pt) | 2014-09-05 | 2023-04-11 | Ethicon Llc | Sistema eletrônico para um instrumento cirúrgico |
US10105142B2 (en) | 2014-09-18 | 2018-10-23 | Ethicon Llc | Surgical stapler with plurality of cutting elements |
CN107427300B (zh) | 2014-09-26 | 2020-12-04 | 伊西康有限责任公司 | 外科缝合支撑物和辅助材料 |
US11523821B2 (en) | 2014-09-26 | 2022-12-13 | Cilag Gmbh International | Method for creating a flexible staple line |
WO2016054062A1 (en) * | 2014-09-30 | 2016-04-07 | Interscope, Inc. | Endoscope including a torque generation component or torque delivery component disposed within an insertable portion of the endoscope and a surgical cutting assembly insertable within the endoscope |
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 |
US11141153B2 (en) | 2014-10-29 | 2021-10-12 | Cilag Gmbh International | Staple cartridges comprising driver arrangements |
US10517594B2 (en) | 2014-10-29 | 2019-12-31 | Ethicon Llc | Cartridge assemblies for surgical staplers |
US9844376B2 (en) | 2014-11-06 | 2017-12-19 | Ethicon Llc | Staple cartridge comprising a releasable adjunct material |
US10639092B2 (en) | 2014-12-08 | 2020-05-05 | Ethicon Llc | Electrode configurations for surgical instruments |
US10736636B2 (en) | 2014-12-10 | 2020-08-11 | Ethicon Llc | Articulatable surgical instrument system |
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 |
US9844375B2 (en) | 2014-12-18 | 2017-12-19 | Ethicon Llc | Drive arrangements for articulatable surgical instruments |
US9968355B2 (en) | 2014-12-18 | 2018-05-15 | Ethicon Llc | Surgical instruments with articulatable end effectors and improved firing beam support arrangements |
US10085748B2 (en) | 2014-12-18 | 2018-10-02 | Ethicon Llc | Locking arrangements for detachable shaft assemblies with articulatable surgical end effectors |
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 |
BR112017012996B1 (pt) | 2014-12-18 | 2022-11-08 | Ethicon Llc | Instrumento cirúrgico com uma bigorna que é seletivamente móvel sobre um eixo geométrico imóvel distinto em relação a um cartucho de grampos |
USD785794S1 (en) | 2014-12-23 | 2017-05-02 | Gyrus Acmi, Inc. | Adapter for a surgical device |
US10245095B2 (en) | 2015-02-06 | 2019-04-02 | Ethicon Llc | Electrosurgical instrument with rotation and articulation mechanisms |
US10188456B2 (en) | 2015-02-18 | 2019-01-29 | Medtronic Xomed, Inc. | Electrode assembly for RF energy enabled tissue debridement device |
US10376302B2 (en) | 2015-02-18 | 2019-08-13 | Medtronic Xomed, Inc. | Rotating electrical connector for RF energy enabled tissue debridement device |
CA2975389A1 (en) | 2015-02-18 | 2016-08-25 | Medtronic Xomed, Inc. | Rf energy enabled tissue debridement device |
US9820825B2 (en) | 2015-02-20 | 2017-11-21 | Gyrus Acmi Inc. | Surgical system having plurality of detachably attachable components and circuit for detecting target states of detachably attachable components and performing control based on detected target states, and method for providing surgical system |
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 |
US10226250B2 (en) | 2015-02-27 | 2019-03-12 | Ethicon Llc | Modular stapling assembly |
US9808246B2 (en) | 2015-03-06 | 2017-11-07 | Ethicon Endo-Surgery, Llc | Method of operating a powered surgical instrument |
US9924961B2 (en) | 2015-03-06 | 2018-03-27 | Ethicon Endo-Surgery, Llc | Interactive feedback system for 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 |
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 |
US10617412B2 (en) | 2015-03-06 | 2020-04-14 | Ethicon Llc | System for detecting the mis-insertion of a staple cartridge into a surgical stapler |
US9901342B2 (en) | 2015-03-06 | 2018-02-27 | Ethicon Endo-Surgery, Llc | Signal and power communication system positioned on a rotatable shaft |
US10687806B2 (en) | 2015-03-06 | 2020-06-23 | Ethicon Llc | Adaptive tissue compression techniques to adjust closure rates for multiple tissue types |
US10441279B2 (en) | 2015-03-06 | 2019-10-15 | Ethicon Llc | Multiple level thresholds to modify operation of powered surgical instruments |
US9895148B2 (en) | 2015-03-06 | 2018-02-20 | Ethicon Endo-Surgery, Llc | Monitoring speed control and precision incrementing of motor for powered surgical instruments |
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 |
US9993248B2 (en) | 2015-03-06 | 2018-06-12 | Ethicon Endo-Surgery, Llc | Smart sensors with local signal processing |
US10342602B2 (en) | 2015-03-17 | 2019-07-09 | Ethicon Llc | Managing tissue treatment |
US10321950B2 (en) | 2015-03-17 | 2019-06-18 | Ethicon Llc | Managing tissue treatment |
US10595929B2 (en) | 2015-03-24 | 2020-03-24 | Ethicon Llc | Surgical instruments with firing system overload protection mechanisms |
US10390825B2 (en) | 2015-03-31 | 2019-08-27 | Ethicon Llc | Surgical instrument with progressive rotary drive systems |
US10034684B2 (en) | 2015-06-15 | 2018-07-31 | Ethicon Llc | Apparatus and method for dissecting and coagulating tissue |
US11020140B2 (en) | 2015-06-17 | 2021-06-01 | Cilag Gmbh International | Ultrasonic surgical blade for use with ultrasonic surgical instruments |
US10178992B2 (en) | 2015-06-18 | 2019-01-15 | Ethicon Llc | Push/pull articulation drive systems for articulatable surgical instruments |
US11129669B2 (en) | 2015-06-30 | 2021-09-28 | Cilag Gmbh International | Surgical system with user adaptable techniques based on tissue type |
US11051873B2 (en) | 2015-06-30 | 2021-07-06 | Cilag Gmbh International | Surgical system with user adaptable techniques employing multiple energy modalities based on tissue parameters |
US10034704B2 (en) | 2015-06-30 | 2018-07-31 | Ethicon Llc | Surgical instrument with user adaptable algorithms |
US10898256B2 (en) | 2015-06-30 | 2021-01-26 | Ethicon Llc | Surgical system with user adaptable techniques based on tissue impedance |
US10357303B2 (en) | 2015-06-30 | 2019-07-23 | Ethicon Llc | Translatable outer tube for sealing using shielded lap chole dissector |
US10765470B2 (en) | 2015-06-30 | 2020-09-08 | Ethicon Llc | Surgical system with user adaptable techniques employing simultaneous energy modalities based on tissue parameters |
US10154852B2 (en) | 2015-07-01 | 2018-12-18 | Ethicon Llc | Ultrasonic surgical blade with improved cutting and coagulation features |
WO2017027837A1 (en) * | 2015-08-12 | 2017-02-16 | Vesatek, Llc | System and method for manipulating an elongate medical device |
US10617418B2 (en) | 2015-08-17 | 2020-04-14 | Ethicon Llc | Implantable layers for a surgical instrument |
BR112018003693B1 (pt) | 2015-08-26 | 2022-11-22 | Ethicon Llc | Cartucho de grampos cirúrgicos para uso com um instrumento de grampeamento cirúrgico |
US10357251B2 (en) | 2015-08-26 | 2019-07-23 | Ethicon Llc | Surgical staples comprising hardness variations for improved fastening of tissue |
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. |
US10172619B2 (en) | 2015-09-02 | 2019-01-08 | Ethicon Llc | Surgical staple driver arrays |
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 |
US10085751B2 (en) | 2015-09-23 | 2018-10-02 | Ethicon Llc | Surgical stapler having temperature-based motor control |
US10327769B2 (en) | 2015-09-23 | 2019-06-25 | Ethicon Llc | Surgical stapler having motor control based on a drive system component |
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 |
US10076326B2 (en) | 2015-09-23 | 2018-09-18 | Ethicon Llc | Surgical stapler having current mirror-based motor control |
US10299878B2 (en) | 2015-09-25 | 2019-05-28 | Ethicon Llc | Implantable adjunct systems for determining adjunct skew |
US10271849B2 (en) | 2015-09-30 | 2019-04-30 | Ethicon Llc | Woven constructs with interlocked standing fibers |
US10980539B2 (en) | 2015-09-30 | 2021-04-20 | Ethicon Llc | Implantable adjunct comprising bonded layers |
US10524788B2 (en) | 2015-09-30 | 2020-01-07 | Ethicon Llc | Compressible adjunct with attachment regions |
US11890015B2 (en) | 2015-09-30 | 2024-02-06 | Cilag Gmbh International | Compressible adjunct with crossing spacer fibers |
US11058475B2 (en) | 2015-09-30 | 2021-07-13 | Cilag Gmbh International | Method and apparatus for selecting operations of a surgical instrument based on user intention |
US10595930B2 (en) | 2015-10-16 | 2020-03-24 | Ethicon Llc | Electrode wiping surgical device |
US11147944B2 (en) | 2015-10-19 | 2021-10-19 | Actuated Medical, Inc. | Handset for occlusion clearing device |
DE112016004770T5 (de) | 2015-10-19 | 2018-07-12 | Actuated Medical, Inc. | Gerät zur In-Situ-Reinigung von Okklusionen in Schläuchen |
US10716612B2 (en) | 2015-12-18 | 2020-07-21 | Medtronic Advanced Energy Llc | Electrosurgical device with multiple monopolar electrode assembly |
US10368865B2 (en) | 2015-12-30 | 2019-08-06 | Ethicon Llc | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US10292704B2 (en) | 2015-12-30 | 2019-05-21 | Ethicon Llc | Mechanisms for compensating for battery pack failure in powered surgical instruments |
US10179022B2 (en) | 2015-12-30 | 2019-01-15 | Ethicon Llc | Jaw position impedance limiter for electrosurgical instrument |
US10265068B2 (en) | 2015-12-30 | 2019-04-23 | Ethicon Llc | Surgical instruments with separable motors and motor control circuits |
US10575892B2 (en) | 2015-12-31 | 2020-03-03 | Ethicon Llc | Adapter for electrical surgical instruments |
CN105688336B (zh) * | 2016-01-14 | 2018-03-16 | 北京爱看到美科技有限公司 | 一种美容仪器及其工作头、手柄和手具 |
US11129670B2 (en) | 2016-01-15 | 2021-09-28 | Cilag Gmbh International | Modular battery powered handheld surgical instrument with selective application of energy based on button displacement, intensity, or local tissue characterization |
US10716615B2 (en) | 2016-01-15 | 2020-07-21 | Ethicon Llc | Modular battery powered handheld surgical instrument with curved end effectors having asymmetric engagement between jaw and blade |
US11229471B2 (en) | 2016-01-15 | 2022-01-25 | Cilag Gmbh International | Modular battery powered handheld surgical instrument with selective application of energy based on tissue characterization |
US10709469B2 (en) | 2016-01-15 | 2020-07-14 | Ethicon Llc | Modular battery powered handheld surgical instrument with energy conservation techniques |
US10588625B2 (en) | 2016-02-09 | 2020-03-17 | Ethicon Llc | Articulatable surgical instruments with off-axis firing beam arrangements |
CN108882932B (zh) | 2016-02-09 | 2021-07-23 | 伊西康有限责任公司 | 具有非对称关节运动构造的外科器械 |
US11213293B2 (en) | 2016-02-09 | 2022-01-04 | Cilag Gmbh International | Articulatable surgical instruments with single articulation link arrangements |
US11224426B2 (en) | 2016-02-12 | 2022-01-18 | Cilag Gmbh International | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US10258331B2 (en) | 2016-02-12 | 2019-04-16 | Ethicon Llc | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US10448948B2 (en) | 2016-02-12 | 2019-10-22 | Ethicon Llc | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US10555769B2 (en) | 2016-02-22 | 2020-02-11 | Ethicon Llc | Flexible circuits for electrosurgical instrument |
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 |
US10271851B2 (en) | 2016-04-01 | 2019-04-30 | Ethicon Llc | Modular surgical stapling system comprising a display |
US11284890B2 (en) | 2016-04-01 | 2022-03-29 | Cilag Gmbh International | Circular stapling system comprising an incisable tissue support |
US11064997B2 (en) | 2016-04-01 | 2021-07-20 | Cilag Gmbh International | Surgical stapling instrument |
US10307159B2 (en) | 2016-04-01 | 2019-06-04 | Ethicon Llc | Surgical instrument handle assembly with reconfigurable grip portion |
US10456137B2 (en) | 2016-04-15 | 2019-10-29 | Ethicon Llc | Staple formation detection mechanisms |
US11607239B2 (en) | 2016-04-15 | 2023-03-21 | Cilag Gmbh International | Systems and methods for controlling a surgical stapling and cutting instrument |
US11179150B2 (en) | 2016-04-15 | 2021-11-23 | Cilag Gmbh International | Systems and methods for controlling a surgical stapling and cutting instrument |
US10357247B2 (en) | 2016-04-15 | 2019-07-23 | Ethicon Llc | Surgical instrument with multiple program responses during a firing motion |
US10405859B2 (en) | 2016-04-15 | 2019-09-10 | Ethicon Llc | Surgical instrument with adjustable stop/start control during a firing motion |
US10335145B2 (en) | 2016-04-15 | 2019-07-02 | Ethicon Llc | Modular surgical instrument with configurable operating mode |
US10828028B2 (en) | 2016-04-15 | 2020-11-10 | Ethicon Llc | Surgical instrument with multiple program responses during a firing motion |
US10492783B2 (en) | 2016-04-15 | 2019-12-03 | Ethicon, Llc | Surgical instrument with improved stop/start control during a firing motion |
US10426467B2 (en) | 2016-04-15 | 2019-10-01 | Ethicon Llc | Surgical instrument with detection sensors |
US10363037B2 (en) | 2016-04-18 | 2019-07-30 | Ethicon Llc | Surgical instrument system comprising a magnetic lockout |
US11317917B2 (en) | 2016-04-18 | 2022-05-03 | Cilag Gmbh International | Surgical stapling system comprising a lockable firing assembly |
US20170296173A1 (en) | 2016-04-18 | 2017-10-19 | Ethicon Endo-Surgery, Llc | Method for operating a surgical instrument |
US10702329B2 (en) | 2016-04-29 | 2020-07-07 | Ethicon Llc | Jaw structure with distal post for electrosurgical instruments |
US10646269B2 (en) | 2016-04-29 | 2020-05-12 | Ethicon Llc | Non-linear jaw gap for electrosurgical instruments |
US10485607B2 (en) | 2016-04-29 | 2019-11-26 | Ethicon Llc | Jaw structure with distal closure for electrosurgical instruments |
US10456193B2 (en) | 2016-05-03 | 2019-10-29 | Ethicon Llc | Medical device with a bilateral jaw configuration for nerve stimulation |
USD826405S1 (en) | 2016-06-24 | 2018-08-21 | Ethicon Llc | Surgical fastener |
USD850617S1 (en) | 2016-06-24 | 2019-06-04 | Ethicon Llc | Surgical fastener cartridge |
CN109310431B (zh) | 2016-06-24 | 2022-03-04 | 伊西康有限责任公司 | 包括线材钉和冲压钉的钉仓 |
US10702270B2 (en) | 2016-06-24 | 2020-07-07 | Ethicon Llc | Stapling system for use with wire staples and stamped staples |
USD847989S1 (en) | 2016-06-24 | 2019-05-07 | Ethicon Llc | Surgical fastener cartridge |
US10245064B2 (en) | 2016-07-12 | 2019-04-02 | Ethicon Llc | Ultrasonic surgical instrument with piezoelectric central lumen transducer |
US10893883B2 (en) | 2016-07-13 | 2021-01-19 | Ethicon Llc | Ultrasonic assembly for use with ultrasonic surgical instruments |
CN114271899A (zh) * | 2016-07-14 | 2022-04-05 | 史赛克欧洲运营有限责任公司 | 具有阻塞减少梢端的外科手术器械的切割组件 |
US10842522B2 (en) | 2016-07-15 | 2020-11-24 | Ethicon Llc | Ultrasonic surgical instruments having offset blades |
US10376305B2 (en) | 2016-08-05 | 2019-08-13 | Ethicon Llc | Methods and systems for advanced harmonic energy |
US10285723B2 (en) | 2016-08-09 | 2019-05-14 | Ethicon Llc | Ultrasonic surgical blade with improved heel portion |
USD847990S1 (en) | 2016-08-16 | 2019-05-07 | Ethicon Llc | Surgical instrument |
US10420580B2 (en) | 2016-08-25 | 2019-09-24 | Ethicon Llc | Ultrasonic transducer for surgical instrument |
US10952759B2 (en) | 2016-08-25 | 2021-03-23 | Ethicon Llc | Tissue loading of a surgical instrument |
CN106377306A (zh) * | 2016-09-21 | 2017-02-08 | 河北医科大学第三医院 | 一种具有同步吸液和冲洗功能的椎板咬骨钳 |
US10603064B2 (en) | 2016-11-28 | 2020-03-31 | Ethicon Llc | Ultrasonic transducer |
US11266430B2 (en) | 2016-11-29 | 2022-03-08 | Cilag Gmbh International | End effector control and calibration |
WO2018112025A1 (en) | 2016-12-16 | 2018-06-21 | Mako Surgical Corp. | Techniques for modifying tool operation in a surgical robotic system based on comparing actual and commanded states of the tool relative to a surgical site |
US10687810B2 (en) | 2016-12-21 | 2020-06-23 | Ethicon Llc | Stepped staple cartridge with tissue retention and gap setting features |
US10492785B2 (en) | 2016-12-21 | 2019-12-03 | Ethicon Llc | Shaft assembly comprising a lockout |
US11684367B2 (en) | 2016-12-21 | 2023-06-27 | Cilag Gmbh International | Stepped assembly having and end-of-life indicator |
US20180168609A1 (en) | 2016-12-21 | 2018-06-21 | Ethicon Endo-Surgery, Llc | Firing assembly comprising a fuse |
US10993715B2 (en) | 2016-12-21 | 2021-05-04 | Ethicon Llc | Staple cartridge comprising staples with different clamping breadths |
US10485543B2 (en) | 2016-12-21 | 2019-11-26 | Ethicon Llc | Anvil having a knife slot width |
JP6983893B2 (ja) | 2016-12-21 | 2021-12-17 | エシコン エルエルシーEthicon LLC | 外科用エンドエフェクタ及び交換式ツールアセンブリのためのロックアウト構成 |
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 |
MX2019007311A (es) | 2016-12-21 | 2019-11-18 | Ethicon Llc | Sistemas de engrapado quirurgico. |
US10881401B2 (en) | 2016-12-21 | 2021-01-05 | Ethicon Llc | Staple firing member comprising a missing cartridge and/or spent cartridge lockout |
US10736629B2 (en) | 2016-12-21 | 2020-08-11 | Ethicon Llc | Surgical tool assemblies with clutching arrangements for shifting between closure systems with closure stroke reduction features and articulation and firing systems |
US20180168575A1 (en) | 2016-12-21 | 2018-06-21 | Ethicon Endo-Surgery, Llc | Surgical stapling systems |
US10426471B2 (en) | 2016-12-21 | 2019-10-01 | Ethicon Llc | Surgical instrument with multiple failure response modes |
US20180168625A1 (en) | 2016-12-21 | 2018-06-21 | Ethicon Endo-Surgery, Llc | Surgical stapling instruments with smart staple cartridges |
US10945727B2 (en) | 2016-12-21 | 2021-03-16 | Ethicon Llc | Staple cartridge with deformable driver retention features |
US10537325B2 (en) | 2016-12-21 | 2020-01-21 | Ethicon Llc | Staple forming pocket arrangement to accommodate different types of staples |
US10568625B2 (en) | 2016-12-21 | 2020-02-25 | Ethicon Llc | Staple cartridges and arrangements of staples and staple cavities therein |
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 |
US10973516B2 (en) | 2016-12-21 | 2021-04-13 | Ethicon Llc | Surgical end effectors and adaptable firing members therefor |
US20180168647A1 (en) | 2016-12-21 | 2018-06-21 | Ethicon Endo-Surgery, Llc | Surgical stapling instruments having end effectors with positive opening features |
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 |
US20180168598A1 (en) | 2016-12-21 | 2018-06-21 | Ethicon Endo-Surgery, Llc | Staple forming pocket arrangements comprising zoned forming surface grooves |
US10980536B2 (en) | 2016-12-21 | 2021-04-20 | Ethicon Llc | No-cartridge and spent cartridge lockout arrangements for surgical staplers |
US9956021B1 (en) * | 2017-01-03 | 2018-05-01 | DePuy Synthes Products, Inc. | Tensioning and crimping tool for orthopedic cable tensioning |
US10499972B2 (en) | 2017-01-03 | 2019-12-10 | DePuy Synthes Products, Inc. | Mini cable tensioner for orthopedic cable tensioning |
ES2929887T3 (es) | 2017-02-01 | 2022-12-02 | Interscope Inc | Un instrumento quirúrgico |
US10874416B2 (en) * | 2017-02-02 | 2020-12-29 | Biosense Webster (Israel) Ltd. | Surgical cutting instrument with extended blades |
AU2018258674A1 (en) | 2017-04-28 | 2019-11-14 | Stryker Corporation | System and method for indicating mapping of console-based surgical systems |
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 |
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 |
US10980537B2 (en) | 2017-06-20 | 2021-04-20 | Ethicon Llc | Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on measured time over a specified number of shaft rotations |
US10390841B2 (en) | 2017-06-20 | 2019-08-27 | Ethicon Llc | Control of motor velocity of a surgical stapling and cutting instrument based on angle of articulation |
US10646220B2 (en) | 2017-06-20 | 2020-05-12 | Ethicon Llc | Systems and methods for controlling displacement member velocity for a surgical instrument |
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 |
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 |
USD879808S1 (en) | 2017-06-20 | 2020-03-31 | Ethicon Llc | Display panel with graphical user interface |
US10624633B2 (en) | 2017-06-20 | 2020-04-21 | Ethicon Llc | Systems and methods for controlling motor velocity of a surgical stapling and cutting instrument |
USD879809S1 (en) | 2017-06-20 | 2020-03-31 | Ethicon Llc | Display panel with changeable graphical user interface |
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 |
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 |
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 |
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 |
US10881396B2 (en) | 2017-06-20 | 2021-01-05 | Ethicon Llc | Surgical instrument with variable duration trigger arrangement |
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 |
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 |
US10881399B2 (en) | 2017-06-20 | 2021-01-05 | Ethicon Llc | Techniques for adaptive control of motor velocity of a surgical stapling and cutting instrument |
US10368864B2 (en) | 2017-06-20 | 2019-08-06 | Ethicon Llc | Systems and methods for controlling displaying motor velocity for a surgical instrument |
US10772629B2 (en) | 2017-06-27 | 2020-09-15 | Ethicon Llc | Surgical anvil arrangements |
US10993716B2 (en) | 2017-06-27 | 2021-05-04 | Ethicon Llc | Surgical anvil arrangements |
US11266405B2 (en) | 2017-06-27 | 2022-03-08 | Cilag Gmbh International | Surgical anvil manufacturing methods |
US10631859B2 (en) | 2017-06-27 | 2020-04-28 | Ethicon Llc | Articulation systems for surgical instruments |
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 |
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 |
US11389161B2 (en) | 2017-06-28 | 2022-07-19 | Cilag Gmbh International | Surgical instrument comprising selectively actuatable rotatable couplers |
US10903685B2 (en) | 2017-06-28 | 2021-01-26 | Ethicon Llc | Surgical shaft assemblies with slip ring assemblies forming capacitive channels |
US10588633B2 (en) | 2017-06-28 | 2020-03-17 | Ethicon Llc | Surgical instruments with open and closable jaws and axially movable firing member that is initially parked in close proximity to the jaws prior to firing |
EP3420947B1 (en) | 2017-06-28 | 2022-05-25 | Cilag GmbH International | Surgical instrument comprising selectively actuatable rotatable couplers |
US10211586B2 (en) | 2017-06-28 | 2019-02-19 | Ethicon Llc | Surgical shaft assemblies with watertight housings |
USD851762S1 (en) | 2017-06-28 | 2019-06-18 | Ethicon Llc | Anvil |
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 |
USD869655S1 (en) | 2017-06-28 | 2019-12-10 | Ethicon Llc | Surgical fastener cartridge |
USD854151S1 (en) | 2017-06-28 | 2019-07-16 | Ethicon Llc | Surgical instrument shaft |
US11246592B2 (en) | 2017-06-28 | 2022-02-15 | Cilag Gmbh International | Surgical instrument comprising an articulation system lockable to a frame |
US10398434B2 (en) | 2017-06-29 | 2019-09-03 | Ethicon Llc | Closed loop velocity control of closure member for robotic surgical instrument |
US10258418B2 (en) | 2017-06-29 | 2019-04-16 | Ethicon Llc | System for controlling articulation forces |
US10932772B2 (en) | 2017-06-29 | 2021-03-02 | Ethicon Llc | Methods for closed loop velocity control 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 |
US11007022B2 (en) | 2017-06-29 | 2021-05-18 | Ethicon Llc | Closed loop velocity control techniques based on sensed tissue parameters for robotic surgical instrument |
US10820920B2 (en) | 2017-07-05 | 2020-11-03 | Ethicon Llc | Reusable ultrasonic medical devices and methods of their use |
KR102582852B1 (ko) | 2017-07-25 | 2023-09-26 | 스트라이커 유러피언 오퍼레이션스 홀딩스 엘엘씨 | 수술 시스템에 사용하기 위한 이리게이션 슬리브 |
US11471155B2 (en) | 2017-08-03 | 2022-10-18 | Cilag Gmbh International | Surgical system bailout |
US11304695B2 (en) | 2017-08-03 | 2022-04-19 | Cilag Gmbh International | Surgical system shaft interconnection |
US11944300B2 (en) | 2017-08-03 | 2024-04-02 | Cilag Gmbh International | Method for operating a surgical system bailout |
US10743872B2 (en) | 2017-09-29 | 2020-08-18 | Ethicon Llc | System and methods for controlling a display of a surgical instrument |
USD907647S1 (en) | 2017-09-29 | 2021-01-12 | Ethicon Llc | Display screen or portion thereof with animated graphical user interface |
US10796471B2 (en) | 2017-09-29 | 2020-10-06 | Ethicon Llc | Systems and methods of displaying a knife position for 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 |
US10729501B2 (en) | 2017-09-29 | 2020-08-04 | Ethicon Llc | Systems and methods for language selection of 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 |
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 |
US10932791B2 (en) * | 2017-11-03 | 2021-03-02 | Covidien Lp | Reposable multi-fire surgical clip applier |
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 |
US10869666B2 (en) | 2017-12-15 | 2020-12-22 | Ethicon Llc | Adapters with control systems for controlling multiple motors of an electromechanical surgical instrument |
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 |
US10779826B2 (en) | 2017-12-15 | 2020-09-22 | Ethicon Llc | Methods of operating surgical end effectors |
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 |
US10743874B2 (en) | 2017-12-15 | 2020-08-18 | Ethicon Llc | Sealed adapters for use with electromechanical surgical instruments |
US11071543B2 (en) | 2017-12-15 | 2021-07-27 | Cilag Gmbh International | Surgical end effectors with clamping assemblies configured to increase jaw aperture ranges |
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 |
US10687813B2 (en) | 2017-12-15 | 2020-06-23 | Ethicon Llc | Adapters with firing stroke sensing arrangements for use in connection 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 |
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 |
USD910847S1 (en) | 2017-12-19 | 2021-02-16 | Ethicon Llc | Surgical instrument assembly |
US11045270B2 (en) | 2017-12-19 | 2021-06-29 | Cilag Gmbh International | Robotic attachment comprising exterior drive actuator |
US10716565B2 (en) | 2017-12-19 | 2020-07-21 | Ethicon Llc | Surgical instruments with dual articulation drivers |
US10729509B2 (en) | 2017-12-19 | 2020-08-04 | Ethicon Llc | Surgical instrument comprising closure and firing locking mechanism |
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 |
US11020112B2 (en) | 2017-12-19 | 2021-06-01 | Ethicon Llc | Surgical tools configured for interchangeable use with different controller interfaces |
US11311290B2 (en) | 2017-12-21 | 2022-04-26 | Cilag Gmbh International | Surgical instrument comprising an end effector dampener |
US11751867B2 (en) | 2017-12-21 | 2023-09-12 | Cilag Gmbh International | Surgical instrument comprising sequenced systems |
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 |
US11129680B2 (en) | 2017-12-21 | 2021-09-28 | Cilag Gmbh International | Surgical instrument comprising a projector |
DE102018100859A1 (de) * | 2018-01-16 | 2019-07-18 | Roland Rist | Trägerschablone mit Hülse |
RU2695265C1 (ru) * | 2018-02-01 | 2019-07-22 | Федеральное государственное бюджетное образовательное учреждение высшего образования "Оренбургский государственный медицинский университет" Министерства здравоохранения Российской Федерации | Способ определения границ резекции задней стенки внутреннего слухового канала в хирургии неврином вестибуло-кохлеарного нерва |
FR3077209A1 (fr) * | 2018-02-01 | 2019-08-02 | Hemodia | Dispositifs et systemes de lavage / aspiration pulse jetable pour la chirurgie orthopedique |
JP6466607B1 (ja) * | 2018-02-09 | 2019-02-06 | 株式会社ナカニシ | 医療機器 |
US11369406B2 (en) | 2018-02-28 | 2022-06-28 | Gyrus Acmi, Inc. | Medical device |
CN108671285A (zh) * | 2018-06-07 | 2018-10-19 | 丁艳 | 一种乳腺科护理刮吸器 |
US11389184B2 (en) * | 2018-08-06 | 2022-07-19 | Medtronic Xomed, Inc. | System and method for connecting an instrument |
US11241286B2 (en) | 2018-08-06 | 2022-02-08 | Medtronic Xomed, Inc. | System and method for navigating an instrument |
US10912559B2 (en) | 2018-08-20 | 2021-02-09 | Ethicon Llc | Reinforced deformable anvil tip for surgical stapler anvil |
US11039834B2 (en) | 2018-08-20 | 2021-06-22 | Cilag Gmbh International | Surgical stapler anvils with staple directing protrusions and tissue stability features |
US10779821B2 (en) | 2018-08-20 | 2020-09-22 | Ethicon Llc | Surgical stapler anvils with tissue stop features configured to avoid tissue pinch |
US10842492B2 (en) | 2018-08-20 | 2020-11-24 | Ethicon Llc | Powered articulatable surgical instruments with clutching and locking arrangements for linking an articulation drive system to a firing drive system |
US10856870B2 (en) | 2018-08-20 | 2020-12-08 | Ethicon Llc | Switching arrangements for motor powered articulatable surgical instruments |
USD914878S1 (en) | 2018-08-20 | 2021-03-30 | Ethicon Llc | Surgical instrument anvil |
US11324501B2 (en) | 2018-08-20 | 2022-05-10 | Cilag Gmbh International | Surgical stapling devices with improved closure members |
US11045192B2 (en) | 2018-08-20 | 2021-06-29 | Cilag Gmbh International | Fabricating techniques for surgical stapler anvils |
US11253256B2 (en) | 2018-08-20 | 2022-02-22 | Cilag Gmbh International | Articulatable motor powered surgical instruments with dedicated articulation motor arrangements |
US11207065B2 (en) | 2018-08-20 | 2021-12-28 | Cilag Gmbh International | Method for fabricating surgical stapler anvils |
US11083458B2 (en) | 2018-08-20 | 2021-08-10 | Cilag Gmbh International | Powered surgical instruments with clutching arrangements to convert linear drive motions to rotary drive motions |
US11291440B2 (en) | 2018-08-20 | 2022-04-05 | Cilag Gmbh International | Method for operating a powered articulatable surgical instrument |
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 |
US11172929B2 (en) | 2019-03-25 | 2021-11-16 | Cilag Gmbh International | Articulation drive arrangements for surgical systems |
US11147551B2 (en) | 2019-03-25 | 2021-10-19 | Cilag Gmbh International | Firing drive arrangements for surgical systems |
CN110082234B (zh) * | 2019-04-24 | 2021-07-20 | 莱州市蔚仪试验器械制造有限公司 | 一种洛氏硬度计初试验力加载防过冲方法 |
US11471157B2 (en) | 2019-04-30 | 2022-10-18 | Cilag Gmbh International | Articulation control mapping for a surgical instrument |
US11903581B2 (en) | 2019-04-30 | 2024-02-20 | Cilag Gmbh International | Methods for stapling tissue using a surgical instrument |
US11426251B2 (en) | 2019-04-30 | 2022-08-30 | Cilag Gmbh International | Articulation directional lights on a surgical instrument |
US11648009B2 (en) | 2019-04-30 | 2023-05-16 | Cilag Gmbh International | Rotatable jaw tip for a surgical instrument |
US11452528B2 (en) | 2019-04-30 | 2022-09-27 | Cilag Gmbh International | Articulation actuators for a surgical instrument |
US11432816B2 (en) | 2019-04-30 | 2022-09-06 | Cilag Gmbh International | Articulation pin for a surgical instrument |
US11253254B2 (en) | 2019-04-30 | 2022-02-22 | Cilag Gmbh International | Shaft rotation actuator on a surgical instrument |
US11376098B2 (en) | 2019-06-28 | 2022-07-05 | Cilag Gmbh International | Surgical instrument system comprising an RFID system |
US11224497B2 (en) | 2019-06-28 | 2022-01-18 | Cilag Gmbh International | Surgical systems with multiple RFID tags |
US11426167B2 (en) | 2019-06-28 | 2022-08-30 | Cilag Gmbh International | Mechanisms for proper anvil attachment surgical stapling head assembly |
US11051807B2 (en) | 2019-06-28 | 2021-07-06 | Cilag Gmbh International | Packaging assembly including a particulate trap |
US11684434B2 (en) | 2019-06-28 | 2023-06-27 | Cilag Gmbh International | Surgical RFID assemblies for instrument operational setting control |
US11771419B2 (en) | 2019-06-28 | 2023-10-03 | Cilag Gmbh International | Packaging for a replaceable component of a surgical stapling system |
US11478241B2 (en) | 2019-06-28 | 2022-10-25 | Cilag Gmbh International | Staple cartridge including projections |
US11399837B2 (en) | 2019-06-28 | 2022-08-02 | Cilag Gmbh International | Mechanisms for motor control adjustments of a motorized surgical instrument |
US11219455B2 (en) | 2019-06-28 | 2022-01-11 | Cilag Gmbh International | Surgical instrument including a lockout key |
US11241235B2 (en) | 2019-06-28 | 2022-02-08 | Cilag Gmbh International | Method of using multiple RFID chips with a surgical assembly |
US11298127B2 (en) | 2019-06-28 | 2022-04-12 | Cilag GmbH Interational | Surgical stapling system having a lockout mechanism for an incompatible cartridge |
US11497492B2 (en) | 2019-06-28 | 2022-11-15 | Cilag Gmbh International | Surgical instrument including an articulation lock |
US11523822B2 (en) | 2019-06-28 | 2022-12-13 | Cilag Gmbh International | Battery pack including a circuit interrupter |
US11259803B2 (en) | 2019-06-28 | 2022-03-01 | Cilag Gmbh International | Surgical stapling system having an information encryption protocol |
US11638587B2 (en) | 2019-06-28 | 2023-05-02 | Cilag Gmbh International | RFID identification systems for surgical instruments |
US11553971B2 (en) | 2019-06-28 | 2023-01-17 | Cilag Gmbh International | Surgical RFID assemblies for display and communication |
US11298132B2 (en) | 2019-06-28 | 2022-04-12 | Cilag GmbH Inlernational | Staple cartridge including a honeycomb extension |
US11627959B2 (en) | 2019-06-28 | 2023-04-18 | Cilag Gmbh International | Surgical instruments including manual and powered system lockouts |
US11291451B2 (en) | 2019-06-28 | 2022-04-05 | Cilag Gmbh International | Surgical instrument with battery compatibility verification functionality |
US11660163B2 (en) | 2019-06-28 | 2023-05-30 | Cilag Gmbh International | Surgical system with RFID tags for updating motor assembly parameters |
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 |
US11701111B2 (en) | 2019-12-19 | 2023-07-18 | Cilag Gmbh International | Method for operating a surgical stapling instrument |
US11844520B2 (en) | 2019-12-19 | 2023-12-19 | 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 |
US11504122B2 (en) | 2019-12-19 | 2022-11-22 | Cilag Gmbh International | Surgical instrument comprising a nested firing member |
US11446029B2 (en) | 2019-12-19 | 2022-09-20 | Cilag Gmbh International | Staple cartridge comprising projections extending from a curved deck surface |
US11304696B2 (en) | 2019-12-19 | 2022-04-19 | Cilag Gmbh International | Surgical instrument comprising a powered articulation system |
US11576672B2 (en) | 2019-12-19 | 2023-02-14 | Cilag Gmbh International | Surgical instrument comprising a closure system including a closure member and an opening member driven by a drive screw |
US11559304B2 (en) | 2019-12-19 | 2023-01-24 | Cilag Gmbh International | Surgical instrument comprising a rapid closure mechanism |
US11911032B2 (en) | 2019-12-19 | 2024-02-27 | Cilag Gmbh International | Staple cartridge comprising a seating cam |
US11607219B2 (en) | 2019-12-19 | 2023-03-21 | Cilag Gmbh International | Staple cartridge comprising a detachable tissue cutting knife |
US11234698B2 (en) | 2019-12-19 | 2022-02-01 | Cilag Gmbh International | Stapling system comprising a clamp lockout and a firing lockout |
US11931033B2 (en) | 2019-12-19 | 2024-03-19 | Cilag Gmbh International | Staple cartridge comprising a latch lockout |
US11529139B2 (en) | 2019-12-19 | 2022-12-20 | Cilag Gmbh International | Motor driven surgical instrument |
US11529137B2 (en) | 2019-12-19 | 2022-12-20 | 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 |
US11779387B2 (en) | 2019-12-30 | 2023-10-10 | Cilag Gmbh International | Clamp arm jaw to minimize tissue sticking and improve tissue control |
US11786294B2 (en) | 2019-12-30 | 2023-10-17 | Cilag Gmbh International | Control program for modular combination energy device |
US11744636B2 (en) | 2019-12-30 | 2023-09-05 | Cilag Gmbh International | Electrosurgical systems with integrated and external power sources |
US11696776B2 (en) | 2019-12-30 | 2023-07-11 | Cilag Gmbh International | Articulatable surgical instrument |
US20210196363A1 (en) | 2019-12-30 | 2021-07-01 | Ethicon Llc | Electrosurgical instrument with electrodes operable in bipolar and monopolar modes |
US11779329B2 (en) | 2019-12-30 | 2023-10-10 | Cilag Gmbh International | Surgical instrument comprising a flex circuit including a sensor system |
US11937863B2 (en) | 2019-12-30 | 2024-03-26 | Cilag Gmbh International | Deflectable electrode with variable compression bias along the length of the deflectable electrode |
US11684412B2 (en) | 2019-12-30 | 2023-06-27 | Cilag Gmbh International | Surgical instrument with rotatable and articulatable surgical end effector |
US11452525B2 (en) | 2019-12-30 | 2022-09-27 | Cilag Gmbh International | Surgical instrument comprising an adjustment system |
US11786291B2 (en) | 2019-12-30 | 2023-10-17 | Cilag Gmbh International | Deflectable support of RF energy electrode with respect to opposing ultrasonic blade |
US11944366B2 (en) | 2019-12-30 | 2024-04-02 | Cilag Gmbh International | Asymmetric segmented ultrasonic support pad for cooperative engagement with a movable RF electrode |
US20210196361A1 (en) | 2019-12-30 | 2021-07-01 | Ethicon Llc | Electrosurgical instrument with monopolar and bipolar energy capabilities |
US11812957B2 (en) | 2019-12-30 | 2023-11-14 | Cilag Gmbh International | Surgical instrument comprising a signal interference resolution system |
US11660089B2 (en) | 2019-12-30 | 2023-05-30 | Cilag Gmbh International | Surgical instrument comprising a sensing system |
US11911063B2 (en) | 2019-12-30 | 2024-02-27 | Cilag Gmbh International | Techniques for detecting ultrasonic blade to electrode contact and reducing power to ultrasonic blade |
CN111265282B (zh) * | 2020-01-21 | 2021-07-16 | 江苏邦士医疗科技有限公司 | 超声手术手柄以及超声手术设备 |
USD975278S1 (en) | 2020-06-02 | 2023-01-10 | Cilag Gmbh International | Staple cartridge |
USD967421S1 (en) | 2020-06-02 | 2022-10-18 | Cilag Gmbh International | Staple cartridge |
USD975851S1 (en) | 2020-06-02 | 2023-01-17 | Cilag Gmbh International | Staple cartridge |
USD975850S1 (en) | 2020-06-02 | 2023-01-17 | Cilag Gmbh International | Staple cartridge |
USD974560S1 (en) | 2020-06-02 | 2023-01-03 | Cilag Gmbh International | Staple cartridge |
USD966512S1 (en) | 2020-06-02 | 2022-10-11 | Cilag Gmbh International | Staple cartridge |
USD976401S1 (en) | 2020-06-02 | 2023-01-24 | Cilag Gmbh International | Staple cartridge |
EP4167914A1 (en) * | 2020-06-19 | 2023-04-26 | Johnson & Johnson Surgical Vision, Inc. | Surgical handpiece for ocular surgery |
US20220031351A1 (en) | 2020-07-28 | 2022-02-03 | Cilag Gmbh International | Surgical instruments with differential articulation joint arrangements for accommodating flexible actuators |
US11617577B2 (en) | 2020-10-29 | 2023-04-04 | Cilag Gmbh International | Surgical instrument comprising a sensor configured to sense whether an articulation drive of the surgical instrument is actuatable |
US11717289B2 (en) | 2020-10-29 | 2023-08-08 | Cilag Gmbh International | Surgical instrument comprising an indicator which indicates that an articulation drive is actuatable |
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 |
USD980425S1 (en) | 2020-10-29 | 2023-03-07 | Cilag Gmbh International | Surgical instrument assembly |
US11844518B2 (en) | 2020-10-29 | 2023-12-19 | Cilag Gmbh International | Method for operating a surgical instrument |
US11452526B2 (en) | 2020-10-29 | 2022-09-27 | Cilag Gmbh International | Surgical instrument comprising a staged voltage regulation start-up system |
USD1013170S1 (en) | 2020-10-29 | 2024-01-30 | Cilag Gmbh International | Surgical instrument assembly |
US11779330B2 (en) | 2020-10-29 | 2023-10-10 | Cilag Gmbh International | Surgical instrument comprising a jaw alignment system |
US11517390B2 (en) | 2020-10-29 | 2022-12-06 | Cilag Gmbh International | Surgical instrument comprising a limited travel switch |
US11744581B2 (en) | 2020-12-02 | 2023-09-05 | Cilag Gmbh International | Powered surgical instruments with multi-phase tissue treatment |
US11944296B2 (en) | 2020-12-02 | 2024-04-02 | Cilag Gmbh International | Powered surgical instruments with external connectors |
US11849943B2 (en) | 2020-12-02 | 2023-12-26 | Cilag Gmbh International | Surgical instrument with cartridge release mechanisms |
US11627960B2 (en) | 2020-12-02 | 2023-04-18 | Cilag Gmbh International | Powered surgical instruments with smart reload with separately attachable exteriorly mounted wiring connections |
US11737751B2 (en) | 2020-12-02 | 2023-08-29 | Cilag Gmbh International | Devices and methods of managing energy dissipated within sterile barriers of surgical instrument housings |
US11678882B2 (en) | 2020-12-02 | 2023-06-20 | Cilag Gmbh International | Surgical instruments with interactive features to remedy incidental sled movements |
US11890010B2 (en) | 2020-12-02 | 2024-02-06 | Cllag GmbH International | Dual-sided reinforced reload for surgical instruments |
US11653915B2 (en) | 2020-12-02 | 2023-05-23 | Cilag Gmbh International | Surgical instruments with sled location detection and adjustment features |
US11653920B2 (en) | 2020-12-02 | 2023-05-23 | Cilag Gmbh International | Powered surgical instruments with communication interfaces through sterile barrier |
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 |
US11723657B2 (en) | 2021-02-26 | 2023-08-15 | Cilag Gmbh International | Adjustable communication based on available bandwidth and power capacity |
US11744583B2 (en) | 2021-02-26 | 2023-09-05 | Cilag Gmbh International | Distal communication array to tune frequency of RF systems |
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 |
US11749877B2 (en) | 2021-02-26 | 2023-09-05 | Cilag Gmbh International | Stapling instrument comprising a signal antenna |
US11793514B2 (en) | 2021-02-26 | 2023-10-24 | Cilag Gmbh International | Staple cartridge comprising sensor array which may be embedded in cartridge body |
US11696757B2 (en) | 2021-02-26 | 2023-07-11 | Cilag Gmbh International | Monitoring of internal systems to detect and track cartridge motion status |
US11806011B2 (en) | 2021-03-22 | 2023-11-07 | Cilag Gmbh International | Stapling instrument comprising tissue compression systems |
US11737749B2 (en) | 2021-03-22 | 2023-08-29 | Cilag Gmbh International | Surgical stapling instrument comprising a retraction system |
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 |
US11717291B2 (en) | 2021-03-22 | 2023-08-08 | Cilag Gmbh International | Staple cartridge comprising staples configured to apply different tissue compression |
US11826012B2 (en) | 2021-03-22 | 2023-11-28 | Cilag Gmbh International | Stapling instrument comprising a pulsed motor-driven firing rack |
US11903582B2 (en) | 2021-03-24 | 2024-02-20 | Cilag Gmbh International | Leveraging surfaces for cartridge installation |
US11896219B2 (en) | 2021-03-24 | 2024-02-13 | Cilag Gmbh International | Mating features between drivers and underside of a cartridge deck |
US11849944B2 (en) | 2021-03-24 | 2023-12-26 | Cilag Gmbh International | Drivers for fastener cartridge assemblies having rotary drive screws |
US11744603B2 (en) | 2021-03-24 | 2023-09-05 | Cilag Gmbh International | Multi-axis pivot joints for surgical instruments and methods for manufacturing same |
US11793516B2 (en) | 2021-03-24 | 2023-10-24 | Cilag Gmbh International | Surgical staple cartridge comprising longitudinal support beam |
US11857183B2 (en) | 2021-03-24 | 2024-01-02 | Cilag Gmbh International | Stapling assembly components having metal substrates and plastic bodies |
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 |
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 |
US11896218B2 (en) | 2021-03-24 | 2024-02-13 | Cilag Gmbh International | Method of using a powered stapling device |
US11849945B2 (en) | 2021-03-24 | 2023-12-26 | Cilag Gmbh International | Rotary-driven surgical stapling assembly comprising eccentrically driven firing member |
US11786239B2 (en) | 2021-03-24 | 2023-10-17 | Cilag Gmbh International | Surgical instrument articulation joint arrangements comprising multiple moving linkage features |
US11832816B2 (en) | 2021-03-24 | 2023-12-05 | Cilag Gmbh International | Surgical stapling assembly comprising nonplanar staples and planar staples |
CN115605148A (zh) * | 2021-04-20 | 2023-01-13 | 普罗赛普特生物机器人公司(Us) | 具有独立能量源的外科手术探针 |
US11826047B2 (en) | 2021-05-28 | 2023-11-28 | Cilag Gmbh International | Stapling instrument comprising jaw mounts |
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 |
Family Cites Families (105)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US33258A (en) * | 1861-09-10 | Improvement in gas-burners | ||
US2065932A (en) * | 1932-11-22 | 1936-12-29 | Lawrence F Baash | Safety joint |
US2089168A (en) * | 1934-10-12 | 1937-08-03 | Perry W Brown | Spline connection |
US2532829A (en) * | 1946-05-14 | 1950-12-05 | Earl W Winans | Torque transmitting shaft coupling |
US2885232A (en) * | 1958-02-05 | 1959-05-05 | Sperry Rand Corp | Coupling |
US3732858A (en) | 1968-09-16 | 1973-05-15 | Surgical Design Corp | Apparatus for removing blood clots, cataracts and other objects from the eye |
US3844272A (en) * | 1969-02-14 | 1974-10-29 | A Banko | Surgical instruments |
US3618611A (en) | 1969-03-05 | 1971-11-09 | Julius C Urban | Vacuum rotary dissector |
US3882872A (en) | 1970-01-05 | 1975-05-13 | Nicholas G Douvas | Method and apparatus for cataract surgery |
US3734099A (en) * | 1971-04-07 | 1973-05-22 | H Bender | Powered surgical cutter |
US3776238A (en) | 1971-08-24 | 1973-12-04 | Univ California | Ophthalmic instrument |
US3847154A (en) * | 1972-09-22 | 1974-11-12 | Weck & Co Edward | Surgical drill with detachable hand-piece |
US3906954A (en) * | 1973-09-14 | 1975-09-23 | Nasa | Ophthalmic liquifaction pump |
US3975032A (en) * | 1974-04-15 | 1976-08-17 | Minnesota Mining And Manufacturing Company | Surgical wire driving assembly |
US3984033A (en) * | 1975-12-29 | 1976-10-05 | Wear-Ever Aluminum, Inc. | Electric gun for dispensing of comestibles |
US4188041A (en) * | 1977-05-23 | 1980-02-12 | The Boeing Company | Motor quick-change chuck system for tool having cylindrically shaped adapter portion |
US4316465A (en) * | 1979-03-30 | 1982-02-23 | Dotson Robert S Jun | Ophthalmic handpiece with pneumatically operated cutter |
US4428748A (en) * | 1980-04-09 | 1984-01-31 | Peyman Gholam A | Combined ultrasonic emulsifier and mechanical cutter for surgery |
US4517977A (en) | 1981-07-24 | 1985-05-21 | Unisearch Limited | Co-axial tube surgical infusion/suction cutter tip |
US4601290A (en) | 1983-10-11 | 1986-07-22 | Cabot Medical Corporation | Surgical instrument for cutting body tissue from a body area having a restricted space |
USRE33258E (en) | 1984-07-23 | 1990-07-10 | Surgical Dynamics Inc. | Irrigating, cutting and aspirating system for percutaneous surgery |
US4630847A (en) * | 1984-10-05 | 1986-12-23 | Colder Products Company | Multiple tube connector |
US4700702A (en) * | 1985-12-09 | 1987-10-20 | Tatiana Nilsson | Instrument for cutting tissues in surgery |
US4694828A (en) | 1986-04-21 | 1987-09-22 | Eichenbaum Daniel M | Laser system for intraocular tissue removal |
US4844088A (en) | 1987-12-11 | 1989-07-04 | Parviz Kambin | Surgical cutting device with reciprocating cutting member |
US4955882A (en) | 1988-03-30 | 1990-09-11 | Hakky Said I | Laser resectoscope with mechanical and laser cutting means |
US5020606A (en) * | 1988-12-27 | 1991-06-04 | Rockwell International Corporation | Reciprocating rotary tool driver |
US5112299A (en) * | 1989-10-25 | 1992-05-12 | Hall Surgical Division Of Zimmer, Inc. | Arthroscopic surgical apparatus and method |
US5505210A (en) | 1989-11-06 | 1996-04-09 | Mectra Labs, Inc. | Lavage with tissue cutting cannula |
US5176677A (en) * | 1989-11-17 | 1993-01-05 | Sonokinetics Group | Endoscopic ultrasonic rotary electro-cauterizing aspirator |
US5167619A (en) * | 1989-11-17 | 1992-12-01 | Sonokineticss Group | Apparatus and method for removal of cement from bone cavities |
US5984939A (en) * | 1989-12-05 | 1999-11-16 | Yoon; Inbae | Multifunctional grasping instrument with cutting member and operating channel for use in endoscopic and non-endoscopic procedures |
EP0448857A1 (en) * | 1990-03-27 | 1991-10-02 | Jong-Khing Huang | An apparatus of a spinning type of resectoscope for prostatectomy |
US5147292A (en) * | 1991-02-05 | 1992-09-15 | C. R. Bard, Inc. | Control handle with locking means for surgical irrigation |
US5268622A (en) * | 1991-06-27 | 1993-12-07 | Stryker Corporation | DC powered surgical handpiece having a motor control circuit |
CN2103993U (zh) * | 1991-08-10 | 1992-05-13 | 章惠南 | 骨科手术切割器 |
US5395312A (en) * | 1991-10-18 | 1995-03-07 | Desai; Ashvin | Surgical tool |
JP2892837B2 (ja) | 1992-02-05 | 1999-05-17 | インベンティブ システムズ,インコーポレイテッド | 水晶体乳化ハンドピース装置 |
CN2119203U (zh) * | 1992-04-15 | 1992-10-21 | 第二汽车制造厂 | 双喷孔水喷流切割手术刀及装置 |
US5186714A (en) * | 1992-05-18 | 1993-02-16 | Yab Revo-Tech Inc. | Multifunctional surgical instrument |
GB2267828A (en) * | 1992-06-18 | 1993-12-22 | Spembly Medical Ltd | Ultrasonic surgical aspirator with vacuum control |
US5286253A (en) | 1992-10-09 | 1994-02-15 | Linvatec Corporation | Angled rotating surgical instrument |
US5282822A (en) * | 1993-01-19 | 1994-02-01 | Sherwood Medical Company | Lancet ejector for lancet injector |
US5833692A (en) * | 1993-01-29 | 1998-11-10 | Smith & Nephew, Inc. | Surgical instrument |
ATE164992T1 (de) * | 1993-01-29 | 1998-05-15 | Smith & Nephew Inc | Schwenkbares gekrümmtes instrument |
US5405348A (en) | 1993-02-12 | 1995-04-11 | Anspach, Jr.; William E. | Surgical cutting instrument |
CA2121861A1 (en) * | 1993-04-23 | 1994-10-24 | William D. Fox | Mechanical morcellator |
US5472439A (en) * | 1993-10-06 | 1995-12-05 | American Cyanamid Company | Endoscopic surgical instrument with rotatable inner shaft |
DE4335779C1 (de) * | 1993-10-20 | 1995-04-06 | Daimler Benz Ag | Preßpassung |
US5490860A (en) | 1993-12-08 | 1996-02-13 | Sofamor Danek Properties, Inc. | Portable power cutting tool |
US5492527A (en) * | 1994-09-09 | 1996-02-20 | Linvatec Corporation | Arthroscopic shaver with rotatable collet and slide aspiration control valve |
US5634933A (en) * | 1994-09-29 | 1997-06-03 | Stryker Corporation | Powered high speed rotary surgical handpiece chuck and tools therefore |
US5591184A (en) * | 1994-10-13 | 1997-01-07 | Sentinel Medical, Inc. | Fluid jet surgical cutting instrument |
US5569256A (en) * | 1995-02-10 | 1996-10-29 | Midas Rex Pneumatic Tools, Inc. | Surgical resection tool with a double quick release |
US5814044A (en) | 1995-02-10 | 1998-09-29 | Enable Medical Corporation | Apparatus and method for morselating and removing tissue from a patient |
US5611798A (en) * | 1995-03-02 | 1997-03-18 | Eggers; Philip E. | Resistively heated cutting and coagulating surgical instrument |
US5873886A (en) * | 1995-04-04 | 1999-02-23 | United States Surgical Corporation | Surgical cutting apparatus |
US5569254A (en) | 1995-04-12 | 1996-10-29 | Midas Rex Pneumatic Tools, Inc. | Surgical resection tool having an irrigation, lighting, suction and vision attachment |
US5685838A (en) | 1995-04-17 | 1997-11-11 | Xomed-Treace, Inc. | Sinus debrider apparatus |
US6567582B1 (en) * | 1995-08-31 | 2003-05-20 | Biolase Tech Inc | Fiber tip fluid output device |
US5871493A (en) * | 1995-10-31 | 1999-02-16 | Smith & Nephew Endoscopy Inc. | Surgical instrument handpiece and system |
US5712543A (en) | 1995-10-31 | 1998-01-27 | Smith & Nephew Endoscopy Inc. | Magnetic switching element for controlling a surgical device |
US6042593A (en) | 1995-11-20 | 2000-03-28 | Storz Endoskop Gmbh | Shaving or cutting instrument |
US5697158A (en) * | 1995-12-21 | 1997-12-16 | Minnesota Mining And Manufacturing Company | Orthopedic surgical device having a rotatable portion and lock |
US5609573A (en) | 1996-02-28 | 1997-03-11 | Conmed Corporation | Electrosurgical suction/irrigation instrument |
US5888200A (en) * | 1996-08-02 | 1999-03-30 | Stryker Corporation | Multi-purpose surgical tool system |
US6017354A (en) | 1996-08-15 | 2000-01-25 | Stryker Corporation | Integrated system for powered surgical tools |
US5913857A (en) * | 1996-08-29 | 1999-06-22 | Ethicon End0-Surgery, Inc. | Methods and devices for collection of soft tissue |
US5792167A (en) | 1996-09-13 | 1998-08-11 | Stryker Corporation | Surgical irrigation pump and tool system |
EP1256322B1 (en) | 1996-09-24 | 2005-12-07 | Xomed Surgical Products, Inc. | Surgical blade assembly |
FR2754716B1 (fr) * | 1996-10-18 | 1998-11-13 | Synthelabo | Piece a main pour dispositif chirurgical d'aspirations-lavages |
US5957937A (en) * | 1996-11-27 | 1999-09-28 | Yoon; Inbae | Suturing instrument with spreadable needle holder mounted for arcuate movement |
US5899915A (en) * | 1996-12-02 | 1999-05-04 | Angiotrax, Inc. | Apparatus and method for intraoperatively performing surgery |
JPH10328197A (ja) * | 1997-06-04 | 1998-12-15 | Morita Mfg Co Ltd | レーザ医療装置およびこれに用いるレーザプローブ |
US6086542A (en) * | 1997-07-01 | 2000-07-11 | Linvatec Corporation | Pressure sensing input/output scope sheath |
US6099494A (en) * | 1997-08-20 | 2000-08-08 | Stryker Corporation | Pulsed irrigator useful for surgical and medical procedures |
US5942527A (en) * | 1997-08-27 | 1999-08-24 | K & K Biosciences, Inc. | Hydrazones, hydrazines, semicarbazones and thiosemicarbazones derived from pyridyl ketones as anticonvulsant drugs and excitatory amino acid antagonists |
US6436116B1 (en) | 1997-10-06 | 2002-08-20 | Smith & Nephew, Inc. | Methods and apparatus for removing veins |
US5993464A (en) * | 1998-01-23 | 1999-11-30 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument |
US6050558A (en) * | 1998-01-19 | 2000-04-18 | Agra; Luis Alberto | Inertial suspension stabilizer |
US6152941A (en) * | 1998-04-10 | 2000-11-28 | Stryker Corporation | Endoscopic cannulated handpiece motor with integrated suction control |
US6132448A (en) * | 1998-06-19 | 2000-10-17 | Stryker Corporation | Endoscopic irrigated bur |
US6050989A (en) * | 1998-08-24 | 2000-04-18 | Linvatec Corporation | Angularly adjustable powered surgical handpiece |
US6312441B1 (en) * | 1999-03-04 | 2001-11-06 | Stryker Corporation | Powered handpiece for performing endoscopic surgical procedures |
US6689146B1 (en) * | 1999-04-29 | 2004-02-10 | Stryker Corporation | Powered surgical handpiece with integrated irrigator and suction application |
US6375635B1 (en) * | 1999-05-18 | 2002-04-23 | Hydrocision, Inc. | Fluid jet surgical instruments |
US6139554A (en) * | 1999-06-10 | 2000-10-31 | Karkar; Maurice N. | Multipurpose tissue resurfacing handpiece |
CN2402273Y (zh) * | 1999-12-25 | 2000-10-25 | 李保灿 | 颈椎椎间盘自动旋切抽吸治疗仪 |
US6451017B1 (en) * | 2000-01-10 | 2002-09-17 | Hydrocision, Inc. | Surgical instruments with integrated electrocautery |
US6511493B1 (en) * | 2000-01-10 | 2003-01-28 | Hydrocision, Inc. | Liquid jet-powered surgical instruments |
JP4290367B2 (ja) * | 2000-02-07 | 2009-07-01 | パナソニック株式会社 | 生体情報検出用接触子、およびそれを用いた生体情報測定装置 |
US6562055B2 (en) * | 2000-02-18 | 2003-05-13 | Stryker Corporation | Cutting attachment for a surgical handpiece designed to be selectively coupled to the handpiece |
IT251804Y1 (it) * | 2000-11-10 | 2004-01-20 | Meccanica Arnes Sas Di Tralli | Pinza compensata per mandrino maschiatore. |
MXPA03006394A (es) * | 2001-01-18 | 2003-10-15 | Univ California | Instrumento quirurgico paraglaucoma minimamente invasivo y metodo. |
US6482094B2 (en) * | 2001-03-16 | 2002-11-19 | Schenck Rotec Gmbh | Self-aligning splined male shaft head and engagement method |
US7011661B2 (en) * | 2001-03-21 | 2006-03-14 | Medtronic, Inc. | Surgical instrument with rotary cutting member and quick release coupling arrangement |
US7367973B2 (en) * | 2003-06-30 | 2008-05-06 | Intuitive Surgical, Inc. | Electro-surgical instrument with replaceable end-effectors and inhibited surface conduction |
US6668952B2 (en) * | 2001-04-26 | 2003-12-30 | Caterpillar Inc | Shaft assembly which retains a reversible shaft |
US6719619B2 (en) * | 2001-05-01 | 2004-04-13 | Taiwan Semiconductor Manufacturing Co., Ltd | Quick coupler for mounting a rotational disk |
US7247161B2 (en) * | 2002-03-22 | 2007-07-24 | Gyrus Ent L.L.C. | Powered surgical apparatus, method of manufacturing powered surgical apparatus, and method of using powered surgical apparatus |
US6958071B2 (en) * | 2002-07-13 | 2005-10-25 | Stryker Corporation | Surgical tool system |
US7090030B2 (en) * | 2002-09-03 | 2006-08-15 | Microtorq L.L.C. | Tranducerized torque wrench |
US20040243163A1 (en) * | 2003-04-02 | 2004-12-02 | Gyrus Ent L.L.C | Surgical instrument |
WO2006111173A1 (de) * | 2005-04-16 | 2006-10-26 | Aesculap Ag & Co. Kg | Chirurgische maschine und verfahren zum steuern und/oder regeln einer chirurgischen maschine |
US7717312B2 (en) * | 2005-06-03 | 2010-05-18 | Tyco Healthcare Group Lp | Surgical instruments employing sensors |
-
2002
- 2002-03-22 US US10/103,104 patent/US7247161B2/en active Active
-
2003
- 2003-02-10 WO PCT/GB2003/000570 patent/WO2003079911A1/en active IP Right Grant
- 2003-02-10 CN CNB2007100044739A patent/CN100536794C/zh not_active Expired - Fee Related
- 2003-02-10 AU AU2003207302A patent/AU2003207302B2/en not_active Ceased
- 2003-02-10 ES ES03704774T patent/ES2292935T3/es not_active Expired - Lifetime
- 2003-02-10 DE DE60316778T patent/DE60316778T2/de not_active Expired - Lifetime
- 2003-02-10 AT AT07075181T patent/ATE503430T1/de not_active IP Right Cessation
- 2003-02-10 EP EP03704774A patent/EP1487359B1/en not_active Expired - Lifetime
- 2003-02-10 EP EP10180362A patent/EP2340774A3/en not_active Withdrawn
- 2003-02-10 JP JP2003577747A patent/JP4394458B2/ja not_active Expired - Fee Related
- 2003-02-10 EP EP10179404.8A patent/EP2292164B1/en not_active Expired - Lifetime
- 2003-02-10 EP EP07075181A patent/EP1803406B1/en not_active Expired - Lifetime
- 2003-02-10 EP EP10179304.0A patent/EP2292163B1/en not_active Expired - Lifetime
- 2003-02-10 BR BR0308648-8A patent/BR0308648A/pt not_active IP Right Cessation
- 2003-02-10 DE DE60336601T patent/DE60336601D1/de not_active Expired - Lifetime
- 2003-02-10 CN CNB038092409A patent/CN1301087C/zh not_active Expired - Fee Related
- 2003-02-10 AT AT03704774T patent/ATE375124T1/de not_active IP Right Cessation
-
2004
- 2004-09-03 US US10/933,381 patent/US7462187B2/en not_active Expired - Lifetime
-
2005
- 2005-01-31 US US11/045,135 patent/US8454640B2/en active Active
- 2005-01-31 US US11/045,256 patent/US7799044B2/en not_active Expired - Fee Related
- 2005-01-31 US US11/045,138 patent/US20050131436A1/en not_active Abandoned
- 2005-01-31 US US11/045,255 patent/US7473263B2/en not_active Expired - Lifetime
-
2007
- 2007-02-28 US US11/711,787 patent/US7416539B2/en not_active Expired - Lifetime
-
2008
- 2008-01-15 US US12/007,756 patent/US20080114389A1/en not_active Abandoned
-
2009
- 2009-08-21 JP JP2009192010A patent/JP5091204B2/ja not_active Expired - Fee Related
Cited By (10)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US11350914B2 (en) | 2011-12-02 | 2022-06-07 | Interscope, Inc. | Insertable endoscopic instrument for tissue removal |
US11523807B2 (en) | 2011-12-02 | 2022-12-13 | Interscope, Inc. | Insertable endoscopic instrument for tissue removal |
US11564670B2 (en) | 2011-12-02 | 2023-01-31 | Interscope, Inc. | Methods and apparatus for removing material from within a mammalian cavity using an insertable endoscopic instrument |
CN104822331A (zh) * | 2013-05-17 | 2015-08-05 | 因特斯高普公司 | 用于组织去除的可插入内窥镜器械 |
CN113648029A (zh) * | 2016-03-24 | 2021-11-16 | 史赛克欧洲控股I有限责任公司 | 具有带握把的切割组件的外科手术器械 |
CN109077775A (zh) * | 2018-07-10 | 2018-12-25 | 杭州电子科技大学 | 仿食蚁兽舌头的生物骨刺磨削装置 |
CN112469345A (zh) * | 2018-08-06 | 2021-03-09 | 美敦力施美德公司 | 用于连接器械的系统和方法 |
CN109770999A (zh) * | 2019-01-28 | 2019-05-21 | 逸思(苏州)医疗科技有限公司 | 一种手术切割器 |
CN109770999B (zh) * | 2019-01-28 | 2024-04-16 | 逸思(苏州)医疗科技有限公司 | 一种手术切割器 |
CN110711024A (zh) * | 2019-09-30 | 2020-01-21 | 严立 | 控制供气装置的脚控气体流速装置和喷气剥离系统 |
Also Published As
Similar Documents
Publication | Publication Date | Title |
---|---|---|
CN100536794C (zh) | 切割刀片组件及其制造方法 | |
US10080578B2 (en) | Tissue removal device with adjustable delivery sleeve for neurosurgical and spinal surgery applications | |
CN104271052A (zh) | 包括电动旋转型手持件的外科手术系统 | |
CN102458275B (zh) | 用于组织的内窥镜切除或去除的设备 | |
CN1382028A (zh) | 与机电式驱动器装置使用的膨胀平行夹具装置 | |
WO2007101680A3 (de) | Zahnärztliches, zahnmedizinisches oder dentaltechnisches handstück mit elektromotor | |
US11883054B2 (en) | Systems and methods for tissue treatment | |
US20200268404A1 (en) | Apparatus And Method For Removal Of Intrauterine Fibroid Formations | |
CN1917824B (zh) | 牙医用手持仪器、牙医用治疗单元和用牙医用手持仪器显示信息的方法 | |
CN113473923B (zh) | 用于超声波设备的改进的手持机 | |
CN117224217A (zh) | 一体化组织固定装置 |
Legal Events
Date | Code | Title | Description |
---|---|---|---|
C06 | Publication | ||
PB01 | Publication | ||
C10 | Entry into substantive examination | ||
SE01 | Entry into force of request for substantive examination | ||
C14 | Grant of patent or utility model | ||
GR01 | Patent grant | ||
CF01 | Termination of patent right due to non-payment of annual fee | ||
CF01 | Termination of patent right due to non-payment of annual fee |
Granted publication date: 20090909 Termination date: 20220210 |