US20030204199A1 - Device and method for ultrasonic tissue excision with tissue selectivity - Google Patents
Device and method for ultrasonic tissue excision with tissue selectivity Download PDFInfo
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- US20030204199A1 US20030204199A1 US10/137,470 US13747002A US2003204199A1 US 20030204199 A1 US20030204199 A1 US 20030204199A1 US 13747002 A US13747002 A US 13747002A US 2003204199 A1 US2003204199 A1 US 2003204199A1
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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
- A61B17/32—Surgical cutting instruments
- A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B2017/320044—Blunt dissectors
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
- A61B2017/320072—Working tips with special features, e.g. extending parts
- A61B2017/320074—Working tips with special features, e.g. extending parts blade
- A61B2017/320077—Working tips with special features, e.g. extending parts blade double edge blade, e.g. reciprocating
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
- A61B2017/320082—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic for incising tissue
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00005—Cooling or heating of the probe or tissue immediately surrounding the probe
- A61B2018/00011—Cooling or heating of the probe or tissue immediately surrounding the probe with fluids
Definitions
- This invention relates to a surgical method. More particularly, this invention relates to a method for selectively excising tissue during a surgical procedure. This invention also pertains to an ultrasonic surgical blade utilizable in performing the method.
- Ultrasonic surgical devices generally fall into two categories.
- One is a blunt tip hollow probe that vibrates at frequencies between 20 kc and 100 kc, with amplitudes up to 300 microns or more.
- Such devices ablate tissue by either producing cavitation bubbles which implode and disrupt cells, tissue compression and relaxation stresses (sometimes called the jackhammer effect) or by other forces such as microstreaming of bubbles in the tissue matrix.
- the effect is that the tissue becomes liquefied and separated. It then becomes emulsified with the irrigant solution. The resulting emulsion is then aspirated from the site. Bulk excision of tissue is possible by applying the energy around and under unwanted tumors to separate it from the surrounding structure. The surgeon can then lift the tissue out using common tools such as forceps.
- a second kind of ultrasonic device uses a sharp blade instead of a blunt hollow probe. Here a cutting action takes place.
- a sharp ultrasonic blade is the subject of allowed U.S. Pat. No. 440,349 filed Nov. 15, 1999, now U.S. Pat. No. 6,379,371.
- the blade shape is semicircular at the distal portion with two straight sides parallel to the longitudinal axis and extending back to the shoulder that contacts the vibrating probe.
- Male threads are shown which mate with the female threaded socket of the probe (or transducer) to allow tight intimate contact of the probe and blade tip shoulder.
- the distal end of the blade will vibrate with an amplitude set by the mechanical gain of the probe/tip geometry and the input amplitude provided by the transducer generator combination. This motion provided the cutting action for the tissue in question.
- a sharp blade such as that of allowed U.S. Pat. No. 440,349 filed Nov. 15, 1999, now U.S. Pat. No. 6,379,371, has been shown in both in vitro and in vivo testing to be an effective tool for cutting bone, cartilage, soft tissues such as vein, arteries and can even be used to cut skin with minimal secondary trauma.
- ablation is not the primary cause but a shearing or cutting action predominates.
- Both the ablating instrument and the cutting or incising instrument have limitations when used as surgical tools.
- the blunt probe is effective in ablating or excising soft liquid rich tissues such as fat, liver or spleen, but less effective or even non-effective in dry, hard material such as hard cartilage or bone.
- the blade type devices are effective in the hard material but also are not soft tissue sparing so that collateral tissue damage is incurred, rendering the blade undesirable around nerve clusters or other important structures. Because sharp blades tend to cut everything, tissue selectivity is reduced to nil and no differentiation may be made between hard and soft material.
- a related object of the present invention is to provide a surgical method that selectively excises tissue.
- a more specific object of the present invention is to provide a surgical method for cutting harder bony material while minimizing trauma to adjacent soft tissues.
- the present invention is directed to a surgical blade and additionally to a method of use of that surgical blade in an ultrasonically assisted procedure.
- the surgical blade has a certain range of a critical dimension that permits it to be used in the method.
- the invention was made only upon the observation that the sharper the blade, i.e., the smaller the minor dimension of a vertical trapezoid formed by the included angle of a blade of width N (see FIG. 1), the more likely that cutting of hard tissues resulted in collateral damage, particularly incisions, in surrounding soft tissue.
- the minor dimension or thickness of the blade at the edge can range from the width of the body of the blade, N, to 0.
- the degree of sharpness is inversely proportional to the edge thickness. 5
- blades with an edge thickness between approximately 0.001′′ and approximately 0.010′′ inch offered the best compromise between effective, safe cutting of hard tissue such as bone while being sparing of surrounding soft tissue.
- an ultrasonic surgical blade in accordance with the present invention comprises a generally flat blade having a thickness along a cutting edge of between about 0.0005 inch and about 0.020 inch. More preferably, the cutting edge has a thickness of between about 0.001 inch and a 0.010 inch. Most preferably, the cutting edge has a thickness of between about 0.001 inch and 0.003 inch. Generally, the blade has a flat body portion with a body thickness greater than the edge thickness. The blade then includes a beveled or tapered region extending from the body portion to the edge.
- the cutting edge is disposed in a single plane and has an arcuate section and a pair of straight sections continuous with the arcuate section at opposite ends thereof.
- the blade is provided with a shank having an axially extending bore for the conveyance of cooling fluid to the cutting edge, the blade body being provided with an axially extending through-slot communicating at one end with the bore.
- a surgical method in accordance with the present invention utilizes a cutting blade having a thickness along a cutting edge of preferably between about 0.0005 inch and about 0.020 inch and more preferably between approximately 0.001 inch and approximately 0.010 inch and most preferably between about 0.001 inch and 0.003 inch.
- the blade is moved in contact with relatively hard tissue that is disposed adjacent to relatively soft tissue at a surgical site in a patient.
- the cutting edge may be moved at any angle relative to a surface of the hard tissue, from 90° (perpendicular) to 0° (parallel). In the latter case, the blade may move generally along an interface between the relatively hard tissue and the relatively soft tissue.
- the blade is ultrasonically vibrated during the moving of the blade, whereby the hard tissue is cut and, in the case of an interface incision, separated from the soft tissue, with a modicum of damage being inflicted on the soft tissue.
- the vibrating of the blade is initiated prior to a contacting of the surgical site with the blade and is maintained during an initial contact of the blade with the tissues at the surgical site and during the moving of the blade.
- the blade is moved in a continuous and uninterrupted stroke, for instance, along an interface, the ultrasonic vibrating of the blade being performed continuously and uninterruptedly during the stroke.
- the ultrasonic vibrating of the blade is terminated and the blade is removed from the surgical site. Irrigation fluid may be introduced to the surgical site during the moving of the blade along the interface.
- FIG. 1 is a schematic cross-sectional view, on an enlarged scale, of an ultrasonic surgical blade in accordance with the present invention.
- FIG. 2 is a perspective view, also on an enlarged scale, of an ultrasonic surgical blade in accordance with the present invention.
- FIG. 3 is a perspective view, on a larger scale, of a portion of the blade encircled by line III in FIG. 2.
- a cutting blade 12 for use in ultrasonically assisted surgery includes an integral shank portion 14 having an external screw thread (not shown) for replaceably mounting the blade to a probe.
- blade 12 may be permanently attached to the probe.
- Blade 12 includes a planar blade body 16 having a thickness N. Blade body 16 is provided at an end opposite shank 14 with a blade or cutting edge 18 including a central circularly arcuate section 20 and a pair of linear end sections 22 and 24 . Edge 18 is continuous along a full radius of arcuate section 20 , as well as along straight sections 22 and 24 .
- blade 12 also incorporates structure providing a path for coolant from an irrigation pump (not shown) to reach blade edge 18 , as well as tissues being cut during a surgical procedure.
- shank portion 14 is formed with an axial passageway or bore 26 , which communicates with an axial passageway or bore in the probe.
- Passageway or bore 26 terminates in an open longitudinal channel or slot 28 that enables the coolant to spread out and onto the planar body 16 of blade 12 .
- This open channel or slot 28 distributes irrigant all along the sides or lateral surfaces of planar blade body 16 and not in only specific locations, as discussed in allowed U.S. Pat. No. 440,349 filed Nov. 15, 1999, now U.S. Pat. No. 6,379,371, the disclosure of which is hereby incorporated by reference.
- a pair of opposed inclined surfaces 30 (only one shown) which distribute irrigant from the channel or slot towards arcuate blade edge section 20 .
- the fluid traveling down channel or slot 28 will encounter inclined surfaces 30 which exhibit an incident angle that deflects the fluid into the cut (FIG. 10) while minimizing splash back.
- Surfaces 30 may be planar, convex or concave.
- Blade 12 has a thickness E along cutting edge 18 of between about 0.0005 inch and about 0.020 inch, more preferably between about 0.001 inch and 0.010 inch, and most preferably between about 0.001 inch and 0.003 inch.
- Beveled or tapered surfaces 32 extend from the body portion 16 to edge 18 .
- Cutting edge 18 including sections 20 , 22 and 24 , is disposed, as is the entire blade body 16 , in a single plane.
- blade 12 was found to perform best when the following method was employed.
- the ultrasound unit is set up as indicated in allowed U.S. Pat. No. 440,349 filed Nov. 15, 1999, now U.S. Pat. No. 6,379,371.
- blade 12 begins to vibrate and irrigation fluid is introduced simultaneously. Blade edge 18 is then brought into contact with hard tissue at a preselected surgical site.
- the vibrating blade 12 is moved in a continuous stroke over the incision site to cut or remove tissue to a desired depth. After termination of the stroke, the power to the ultrasound unit is shut off and blade 12 is removed from the surgical site.
- tissue temperature rise prevents tissue temperature rise to levels that would cause necrosis. If blade 12 is not moved across the surgical site in a wiping or swiping fashion, tissue temperatures quickly increase to over 49 degrees C., which in the human body is at or above the necrosis temperature. By constantly moving the blade, the temperatures rise very little over that of normal body temperatures. Also, this technique provides very good tactile feedback to allow the surgeon to discriminate between the harder tissue and the softer, viable structures.
- Blade 12 may move blade 12 so that it cuts along an interface between harder and softer tissues, thereby stripping the harder top layer off the soft tissue underneath. Blade 12 has good selectivity between the two layers, so that collateral damage to the soft tissue is minimized.
- a mixture of saline, lidocaine (or equivalent) and epinephrine (or equivalent) is used as the irrigant.
- a mixture provides moisturization, a slight hemostasis due to the vasocontricting action of the epinephrine, and pain relief from the action of the lidocaine. All of these chemicals have been found to be safe when used for the stated purpose in clinical practice.
Abstract
Description
- This invention relates to a surgical method. More particularly, this invention relates to a method for selectively excising tissue during a surgical procedure. This invention also pertains to an ultrasonic surgical blade utilizable in performing the method.
- Over the past 30 years, several ultrasonic tools have been invented which can be used to ablate or cut tissue in surgery. Wuchinich et al. in U.S. Pat. No. 4,223,676 and Idemoto et al in U.S. Pat. No. 5,188,102 disclose such devices.
- Ultrasonic surgical devices generally fall into two categories. One is a blunt tip hollow probe that vibrates at frequencies between 20 kc and 100 kc, with amplitudes up to 300 microns or more. Such devices ablate tissue by either producing cavitation bubbles which implode and disrupt cells, tissue compression and relaxation stresses (sometimes called the jackhammer effect) or by other forces such as microstreaming of bubbles in the tissue matrix. The effect is that the tissue becomes liquefied and separated. It then becomes emulsified with the irrigant solution. The resulting emulsion is then aspirated from the site. Bulk excision of tissue is possible by applying the energy around and under unwanted tumors to separate it from the surrounding structure. The surgeon can then lift the tissue out using common tools such as forceps.
- A second kind of ultrasonic device uses a sharp blade instead of a blunt hollow probe. Here a cutting action takes place. Such a sharp ultrasonic blade is the subject of allowed U.S. Pat. No. 440,349 filed Nov. 15, 1999, now U.S. Pat. No. 6,379,371. As disclosed therein, the blade shape is semicircular at the distal portion with two straight sides parallel to the longitudinal axis and extending back to the shoulder that contacts the vibrating probe. Male threads are shown which mate with the female threaded socket of the probe (or transducer) to allow tight intimate contact of the probe and blade tip shoulder. When the two are torqued together, they form a single resonant body that will vibrate in sympathy with the transducer and generator combination. The distal end of the blade will vibrate with an amplitude set by the mechanical gain of the probe/tip geometry and the input amplitude provided by the transducer generator combination. This motion provided the cutting action for the tissue in question.
- The blade of allowed U.S. Pat. No. 440,349 filed Nov. 15, 1999, now U.S. Pat. No. 6,379,371, was intended for the cutting or excising of bone or similarly hard tissue in surgical applications. In tests conducted in vitro and in vivo, it was noted that the blade, when sharp, cut both hard and soft tissue with similar ease. In delicate operations, such as sinus lift surgery or craniotomies where the goal is to cut an aperture in the front of the skull to expose sinus tissue or brain but not cut the membrane directly beneath the bony structure, this is very important. It is also important in spinal and brain surgery where bone tissue must be cut with a minimum of damage to underlying soft tissues such as the dura mater. It was noted in early in vitro testing that the blade, as it plunged through the cortex of the bone punctured the membrane or ripped it. After some experience, competent surgeons were able to master the technique, but the learning curve was steep.
- A sharp blade such as that of allowed U.S. Pat. No. 440,349 filed Nov. 15, 1999, now U.S. Pat. No. 6,379,371, has been shown in both in vitro and in vivo testing to be an effective tool for cutting bone, cartilage, soft tissues such as vein, arteries and can even be used to cut skin with minimal secondary trauma. In this kind of blade, ablation is not the primary cause but a shearing or cutting action predominates.
- Both the ablating instrument and the cutting or incising instrument have limitations when used as surgical tools. The blunt probe is effective in ablating or excising soft liquid rich tissues such as fat, liver or spleen, but less effective or even non-effective in dry, hard material such as hard cartilage or bone. The blade type devices are effective in the hard material but also are not soft tissue sparing so that collateral tissue damage is incurred, rendering the blade undesirable around nerve clusters or other important structures. Because sharp blades tend to cut everything, tissue selectivity is reduced to nil and no differentiation may be made between hard and soft material.
- In certain applications, such as sinus cavity lifts and maxialfacial surgery such as third molar extraction, a tool would be useful which could cut the harder bony material with less trauma while sparing the soft tissues underneath if they were inadvertently touched by the vibrating blade.
- It is an object of the present invention to provide a surgical tool for selectively excising tissues.
- More particularly, it is an object of the present invention to provide an ultrasonic cutting blade capable of selectively excising tissues.
- It is an even more particular object of the present invention to provide such a blade that could be used to cut harder bony material while minimizing trauma to adjacent soft tissues in the event that those soft tissues are inadvertently touched by the vibrating blade.
- A related object of the present invention is to provide a surgical method that selectively excises tissue.
- A more specific object of the present invention is to provide a surgical method for cutting harder bony material while minimizing trauma to adjacent soft tissues.
- These and other objects of the invention will be apparent to those skilled in the art from the drawings and descriptions hereof. Although each object is attained by at least one embodiment of the invention, no embodiment need necessarily meet every object.
- The present invention is directed to a surgical blade and additionally to a method of use of that surgical blade in an ultrasonically assisted procedure. The surgical blade has a certain range of a critical dimension that permits it to be used in the method.
- The invention was made only upon the observation that the sharper the blade, i.e., the smaller the minor dimension of a vertical trapezoid formed by the included angle of a blade of width N (see FIG. 1), the more likely that cutting of hard tissues resulted in collateral damage, particularly incisions, in surrounding soft tissue. The minor dimension or thickness of the blade at the edge can range from the width of the body of the blade, N, to 0. The degree of sharpness is inversely proportional to the edge thickness.5
- Dimensionally, it was discovered that blades with an edge thickness between approximately 0.001″ and approximately 0.010″ inch offered the best compromise between effective, safe cutting of hard tissue such as bone while being sparing of surrounding soft tissue.
- As an added benefit, it was serendipitously noted that the blades with a less sharp configuration held their edge longer, i.e., sustained less damage than the sharper blades. It should be noted that the blades did not incur as much damage to the blade surface as the sharper blades, not that the blades started out not sharp and got worse as they were used.
- Accordingly, an ultrasonic surgical blade in accordance with the present invention comprises a generally flat blade having a thickness along a cutting edge of between about 0.0005 inch and about 0.020 inch. More preferably, the cutting edge has a thickness of between about 0.001 inch and a 0.010 inch. Most preferably, the cutting edge has a thickness of between about 0.001 inch and 0.003 inch. Generally, the blade has a flat body portion with a body thickness greater than the edge thickness. The blade then includes a beveled or tapered region extending from the body portion to the edge.
- Pursuant to special features of the invention, the cutting edge is disposed in a single plane and has an arcuate section and a pair of straight sections continuous with the arcuate section at opposite ends thereof. Also, the blade is provided with a shank having an axially extending bore for the conveyance of cooling fluid to the cutting edge, the blade body being provided with an axially extending through-slot communicating at one end with the bore.
- A surgical method in accordance with the present invention utilizes a cutting blade having a thickness along a cutting edge of preferably between about 0.0005 inch and about 0.020 inch and more preferably between approximately 0.001 inch and approximately 0.010 inch and most preferably between about 0.001 inch and 0.003 inch. During the performance of the surgical method, the blade is moved in contact with relatively hard tissue that is disposed adjacent to relatively soft tissue at a surgical site in a patient. The cutting edge may be moved at any angle relative to a surface of the hard tissue, from 90° (perpendicular) to 0° (parallel). In the latter case, the blade may move generally along an interface between the relatively hard tissue and the relatively soft tissue. The blade is ultrasonically vibrated during the moving of the blade, whereby the hard tissue is cut and, in the case of an interface incision, separated from the soft tissue, with a modicum of damage being inflicted on the soft tissue.
- Pursuant to another feature of the present invention, the vibrating of the blade is initiated prior to a contacting of the surgical site with the blade and is maintained during an initial contact of the blade with the tissues at the surgical site and during the moving of the blade. The blade is moved in a continuous and uninterrupted stroke, for instance, along an interface, the ultrasonic vibrating of the blade being performed continuously and uninterruptedly during the stroke. At the end of the cutting stroke, the ultrasonic vibrating of the blade is terminated and the blade is removed from the surgical site. Irrigation fluid may be introduced to the surgical site during the moving of the blade along the interface.
- FIG. 1 is a schematic cross-sectional view, on an enlarged scale, of an ultrasonic surgical blade in accordance with the present invention.
- FIG. 2 is a perspective view, also on an enlarged scale, of an ultrasonic surgical blade in accordance with the present invention.
- FIG. 3 is a perspective view, on a larger scale, of a portion of the blade encircled by line III in FIG. 2.
- As illustrated in the drawings, a
cutting blade 12 for use in ultrasonically assisted surgery includes anintegral shank portion 14 having an external screw thread (not shown) for replaceably mounting the blade to a probe. Alternatively,blade 12 may be permanently attached to the probe. -
Blade 12 includes aplanar blade body 16 having a thicknessN. Blade body 16 is provided at an end oppositeshank 14 with a blade or cuttingedge 18 including a central circularlyarcuate section 20 and a pair oflinear end sections Edge 18 is continuous along a full radius ofarcuate section 20, as well as alongstraight sections - As further illustrated in the drawings,
blade 12 also incorporates structure providing a path for coolant from an irrigation pump (not shown) to reachblade edge 18, as well as tissues being cut during a surgical procedure. For conducting irrigant toblade edge 18 and the surgical site,shank portion 14 is formed with an axial passageway or bore 26, which communicates with an axial passageway or bore in the probe. - Passageway or bore26 terminates in an open longitudinal channel or
slot 28 that enables the coolant to spread out and onto theplanar body 16 ofblade 12. This open channel orslot 28 distributes irrigant all along the sides or lateral surfaces ofplanar blade body 16 and not in only specific locations, as discussed in allowed U.S. Pat. No. 440,349 filed Nov. 15, 1999, now U.S. Pat. No. 6,379,371, the disclosure of which is hereby incorporated by reference. At an end of channel orslot 28 opposite passageway or bore 26 is disposed a pair of opposed inclined surfaces 30 (only one shown) which distribute irrigant from the channel or slot towards arcuateblade edge section 20. The fluid traveling down channel orslot 28 will encounterinclined surfaces 30 which exhibit an incident angle that deflects the fluid into the cut (FIG. 10) while minimizing splash back.Surfaces 30 may be planar, convex or concave. -
Blade 12 has a thickness E along cuttingedge 18 of between about 0.0005 inch and about 0.020 inch, more preferably between about 0.001 inch and 0.010 inch, and most preferably between about 0.001 inch and 0.003 inch. Beveled or taperedsurfaces 32 extend from thebody portion 16 to edge 18. Cuttingedge 18, includingsections entire blade body 16, in a single plane. - The use of
blade 12 in a surgical procedure is described in detail hereinafter. The procedure described herein is a modification of the procedure described in allowed U.S. Pat. No. 440,349 filed Nov. 15, 1999, now U.S. Pat. No. 6,379,371. - In use,
blade 12 was found to perform best when the following method was employed. - After the patient is prepped for surgery as per standard practices, the ultrasound unit is set up as indicated in allowed U.S. Pat. No. 440,349 filed Nov. 15, 1999, now U.S. Pat. No. 6,379,371. Upon an activation of the ultrasound unit,
blade 12 begins to vibrate and irrigation fluid is introduced simultaneously.Blade edge 18 is then brought into contact with hard tissue at a preselected surgical site. The vibratingblade 12 is moved in a continuous stroke over the incision site to cut or remove tissue to a desired depth. After termination of the stroke, the power to the ultrasound unit is shut off andblade 12 is removed from the surgical site. - The technique discussed above prevents tissue temperature rise to levels that would cause necrosis. If
blade 12 is not moved across the surgical site in a wiping or swiping fashion, tissue temperatures quickly increase to over 49 degrees C., which in the human body is at or above the necrosis temperature. By constantly moving the blade, the temperatures rise very little over that of normal body temperatures. Also, this technique provides very good tactile feedback to allow the surgeon to discriminate between the harder tissue and the softer, viable structures. - If surgeon desires and there is enough access, he or she may move
blade 12 so that it cuts along an interface between harder and softer tissues, thereby stripping the harder top layer off the soft tissue underneath.Blade 12 has good selectivity between the two layers, so that collateral damage to the soft tissue is minimized. - Preferably, a mixture of saline, lidocaine (or equivalent) and epinephrine (or equivalent) is used as the irrigant. Such a mixture provides moisturization, a slight hemostasis due to the vasocontricting action of the epinephrine, and pain relief from the action of the lidocaine. All of these chemicals have been found to be safe when used for the stated purpose in clinical practice.
- Although the invention has been described in terms of particular embodiments and applications, one of ordinary skill in the art, in light of this teaching, can generate additional embodiments and modifications without departing from the spirit of or exceeding the scope of the claimed invention. For example, although the described surgical method has proven efficacious and safe in adult and pediatric maxialfacial surgery, reconstructive plastic surgery of the face and in various dental procedures, many other surgical procedures may benefit from this invention. Such other surgical procedures include brain and spinal cord surgery where bone tissue must be displaced to afford access to the tissues of the central nervous system. The present invention facilitates such surgery in that the relatively hard bone tissue may be cut with a modicum of damage inflicted on the underlying relatively soft nerve tissues and dura mater. Thus, the present invention is of use in surgery where an incision is to be made perpendicularly to an outer tissue surface or parallel to an exterior surface, e.g., along a hard-tissue/soft-tissue interface.
- Accordingly, it is to be understood that the drawings and descriptions herein are proffered by way of example to facilitate comprehension of the invention and should not be construed to limit the scope thereof.
Claims (17)
Priority Applications (4)
Application Number | Priority Date | Filing Date | Title |
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US20050211043A1 (en) * | 2004-03-26 | 2005-09-29 | The Boeing Company | Cutting device and method of generating cutting geometry |
US20080039745A1 (en) * | 2006-08-08 | 2008-02-14 | Bacoustics Llc | Ablative ultrasonic-cryogenic apparatus |
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US8319400B2 (en) | 2009-06-24 | 2012-11-27 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical instruments |
US8323302B2 (en) | 2010-02-11 | 2012-12-04 | Ethicon Endo-Surgery, Inc. | Methods of using ultrasonically powered surgical instruments with rotatable cutting implements |
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US8382782B2 (en) | 2010-02-11 | 2013-02-26 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical instruments with partially rotating blade and fixed pad arrangement |
US8419759B2 (en) | 2010-02-11 | 2013-04-16 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical instrument with comb-like tissue trimming device |
US20130096596A1 (en) * | 2011-10-17 | 2013-04-18 | Sound Surgical Technologies, Llc | Ultrasonic probe for treating cellulite |
US8430898B2 (en) | 2007-07-31 | 2013-04-30 | 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 |
US8469981B2 (en) | 2010-02-11 | 2013-06-25 | Ethicon Endo-Surgery, Inc. | Rotatable cutting implement arrangements for ultrasonic surgical instruments |
US8486096B2 (en) | 2010-02-11 | 2013-07-16 | Ethicon Endo-Surgery, Inc. | Dual purpose surgical instrument for cutting and coagulating tissue |
USD687549S1 (en) | 2011-10-24 | 2013-08-06 | Ethicon Endo-Surgery, Inc. | Surgical instrument |
US8512365B2 (en) | 2007-07-31 | 2013-08-20 | Ethicon Endo-Surgery, Inc. | Surgical instruments |
US8523889B2 (en) | 2007-07-27 | 2013-09-03 | Ethicon Endo-Surgery, Inc. | Ultrasonic end effectors with increased active length |
US8531064B2 (en) | 2010-02-11 | 2013-09-10 | Ethicon Endo-Surgery, Inc. | Ultrasonically powered surgical instruments with rotating cutting implement |
US8546996B2 (en) | 2008-08-06 | 2013-10-01 | Ethicon Endo-Surgery, Inc. | Devices and techniques for cutting and coagulating tissue |
US8579928B2 (en) | 2010-02-11 | 2013-11-12 | Ethicon Endo-Surgery, Inc. | Outer sheath and blade arrangements for ultrasonic surgical instruments |
US8652155B2 (en) | 2007-07-27 | 2014-02-18 | Ethicon Endo-Surgery, Inc. | Surgical instruments |
US8663220B2 (en) | 2009-07-15 | 2014-03-04 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical instruments |
US20140276849A1 (en) * | 2013-03-15 | 2014-09-18 | Misonix, Incorporated | Method for ultrasonic tissue excision with tissue selectivity |
US8882791B2 (en) | 2007-07-27 | 2014-11-11 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical instruments |
US8888809B2 (en) | 2010-10-01 | 2014-11-18 | Ethicon Endo-Surgery, Inc. | Surgical instrument with jaw member |
US8911460B2 (en) | 2007-03-22 | 2014-12-16 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical instruments |
US20150005771A1 (en) * | 2013-06-28 | 2015-01-01 | Misonix Incorporated | Ultrasonic cutting blade with cooling liquid conduction |
US8951248B2 (en) | 2009-10-09 | 2015-02-10 | Ethicon Endo-Surgery, Inc. | Surgical generator for ultrasonic and electrosurgical devices |
US8951272B2 (en) | 2010-02-11 | 2015-02-10 | Ethicon Endo-Surgery, Inc. | Seal arrangements for ultrasonically powered surgical instruments |
US8961547B2 (en) | 2010-02-11 | 2015-02-24 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical instruments with moving cutting implement |
US8979890B2 (en) | 2010-10-01 | 2015-03-17 | Ethicon Endo-Surgery, Inc. | Surgical instrument with jaw member |
US9017326B2 (en) | 2009-07-15 | 2015-04-28 | Ethicon Endo-Surgery, Inc. | Impedance monitoring apparatus, system, and method for ultrasonic surgical instruments |
US20150148831A1 (en) * | 2013-11-26 | 2015-05-28 | Ethicon Endo-Surgery, Inc. | Handpiece and blade configurations for ultrasonic surgical instrument |
US9044261B2 (en) | 2007-07-31 | 2015-06-02 | Ethicon Endo-Surgery, Inc. | Temperature controlled ultrasonic surgical instruments |
US9072554B2 (en) | 2005-09-21 | 2015-07-07 | Children's Hospital Medical Center | Orthopedic implant |
US9095367B2 (en) | 2012-10-22 | 2015-08-04 | Ethicon Endo-Surgery, Inc. | Flexible harmonic waveguides/blades for surgical instruments |
US9168054B2 (en) | 2009-10-09 | 2015-10-27 | Ethicon Endo-Surgery, Inc. | Surgical generator for ultrasonic and electrosurgical devices |
US9198714B2 (en) | 2012-06-29 | 2015-12-01 | Ethicon Endo-Surgery, Inc. | Haptic feedback devices for surgical robot |
US9226766B2 (en) | 2012-04-09 | 2016-01-05 | Ethicon Endo-Surgery, Inc. | Serial communication protocol for medical device |
US9226767B2 (en) | 2012-06-29 | 2016-01-05 | Ethicon Endo-Surgery, Inc. | Closed feedback control for electrosurgical device |
US9232979B2 (en) | 2012-02-10 | 2016-01-12 | Ethicon Endo-Surgery, Inc. | Robotically controlled surgical instrument |
US9237921B2 (en) | 2012-04-09 | 2016-01-19 | Ethicon Endo-Surgery, Inc. | Devices and techniques for cutting and coagulating tissue |
US9241731B2 (en) | 2012-04-09 | 2016-01-26 | Ethicon Endo-Surgery, Inc. | Rotatable electrical connection for ultrasonic surgical instruments |
US9241728B2 (en) | 2013-03-15 | 2016-01-26 | Ethicon Endo-Surgery, Inc. | Surgical instrument with multiple clamping mechanisms |
US9259234B2 (en) | 2010-02-11 | 2016-02-16 | Ethicon Endo-Surgery, Llc | Ultrasonic surgical instruments with rotatable blade and hollow sheath arrangements |
US9277933B1 (en) * | 2010-07-28 | 2016-03-08 | Lifecell Corporation | Method for ultrasonic dissection of tissues |
US9283045B2 (en) | 2012-06-29 | 2016-03-15 | Ethicon Endo-Surgery, Llc | Surgical instruments with fluid management system |
US9326788B2 (en) | 2012-06-29 | 2016-05-03 | Ethicon Endo-Surgery, Llc | Lockout mechanism for use with robotic electrosurgical device |
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US9393037B2 (en) | 2012-06-29 | 2016-07-19 | Ethicon Endo-Surgery, Llc | Surgical instruments with articulating shafts |
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US9594004B2 (en) | 2014-01-10 | 2017-03-14 | Lifecell Corporation | Vacuum platen tissue planing apparatus |
US9622767B2 (en) | 2013-09-11 | 2017-04-18 | Covidien Lp | Ultrasonic surgical instrument with cooling system |
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US9700333B2 (en) | 2014-06-30 | 2017-07-11 | Ethicon Llc | Surgical instrument with variable tissue compression |
US9700339B2 (en) | 2009-05-20 | 2017-07-11 | Ethicon Endo-Surgery, Inc. | Coupling arrangements and methods for attaching tools to ultrasonic surgical instruments |
US9707027B2 (en) | 2010-05-21 | 2017-07-18 | Ethicon Endo-Surgery, Llc | Medical device |
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US10456193B2 (en) | 2016-05-03 | 2019-10-29 | Ethicon Llc | Medical device with a bilateral jaw configuration for nerve stimulation |
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US10537352B2 (en) | 2004-10-08 | 2020-01-21 | Ethicon Llc | Tissue pads for use with surgical instruments |
US10537349B1 (en) | 2016-02-08 | 2020-01-21 | Lifecell Corporation | Method for processing tissue to control thickness |
US10555769B2 (en) | 2016-02-22 | 2020-02-11 | Ethicon Llc | Flexible circuits for electrosurgical instrument |
US10575892B2 (en) | 2015-12-31 | 2020-03-03 | Ethicon Llc | Adapter for electrical surgical instruments |
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US10603117B2 (en) | 2017-06-28 | 2020-03-31 | Ethicon Llc | Articulation state detection mechanisms |
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US10646269B2 (en) | 2016-04-29 | 2020-05-12 | Ethicon Llc | Non-linear jaw gap for electrosurgical instruments |
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US10751117B2 (en) | 2016-09-23 | 2020-08-25 | Ethicon Llc | Electrosurgical instrument with fluid diverter |
US10751109B2 (en) | 2014-12-22 | 2020-08-25 | Ethicon Llc | High power battery powered RF amplifier topology |
US10765470B2 (en) | 2015-06-30 | 2020-09-08 | Ethicon Llc | Surgical system with user adaptable techniques employing simultaneous energy modalities based on tissue parameters |
US10779848B2 (en) | 2006-01-20 | 2020-09-22 | Ethicon Llc | Ultrasound medical instrument having a medical ultrasonic blade |
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US10779879B2 (en) | 2014-03-18 | 2020-09-22 | Ethicon Llc | Detecting short circuits in electrosurgical medical devices |
US10779845B2 (en) | 2012-06-29 | 2020-09-22 | Ethicon Llc | Ultrasonic surgical instruments with distally positioned transducers |
US20200305892A1 (en) * | 2017-09-29 | 2020-10-01 | Beijing Smtp Technology Co., Ltd. | Ultrasonic osteotome bit |
US10799284B2 (en) | 2017-03-15 | 2020-10-13 | Ethicon Llc | Electrosurgical instrument with textured jaws |
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US10820920B2 (en) | 2017-07-05 | 2020-11-03 | Ethicon Llc | Reusable ultrasonic medical devices and methods of their use |
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US10835307B2 (en) | 2001-06-12 | 2020-11-17 | Ethicon Llc | Modular battery powered handheld surgical instrument containing elongated multi-layered shaft |
US10842522B2 (en) | 2016-07-15 | 2020-11-24 | Ethicon Llc | Ultrasonic surgical instruments having offset blades |
US10856896B2 (en) | 2005-10-14 | 2020-12-08 | Ethicon Llc | Ultrasonic device for cutting and coagulating |
US10856929B2 (en) | 2014-01-07 | 2020-12-08 | Ethicon Llc | Harvesting energy from a surgical generator |
US10856934B2 (en) | 2016-04-29 | 2020-12-08 | Ethicon Llc | Electrosurgical instrument with electrically conductive gap setting and tissue engaging members |
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US10898256B2 (en) | 2015-06-30 | 2021-01-26 | Ethicon Llc | Surgical system with user adaptable techniques based on tissue impedance |
US10912580B2 (en) | 2013-12-16 | 2021-02-09 | Ethicon Llc | Medical device |
US10912603B2 (en) | 2013-11-08 | 2021-02-09 | Ethicon Llc | Electrosurgical devices |
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US10952759B2 (en) | 2016-08-25 | 2021-03-23 | Ethicon Llc | Tissue loading of a surgical instrument |
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US10959771B2 (en) | 2015-10-16 | 2021-03-30 | Ethicon Llc | Suction and irrigation sealing grasper |
US10987123B2 (en) | 2012-06-28 | 2021-04-27 | Ethicon Llc | Surgical instruments with articulating shafts |
US10987156B2 (en) | 2016-04-29 | 2021-04-27 | Ethicon Llc | Electrosurgical instrument with electrically conductive gap setting member and electrically insulative tissue engaging members |
US11020140B2 (en) | 2015-06-17 | 2021-06-01 | Cilag Gmbh International | Ultrasonic surgical blade for use with ultrasonic surgical instruments |
US11033292B2 (en) | 2013-12-16 | 2021-06-15 | Cilag Gmbh International | Medical device |
US11033323B2 (en) | 2017-09-29 | 2021-06-15 | Cilag Gmbh International | Systems and methods for managing fluid and suction in electrosurgical systems |
US11033325B2 (en) | 2017-02-16 | 2021-06-15 | Cilag Gmbh International | Electrosurgical instrument with telescoping suction port and debris cleaner |
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 |
US11090104B2 (en) | 2009-10-09 | 2021-08-17 | Cilag Gmbh International | Surgical generator for ultrasonic and electrosurgical devices |
CN113331915A (en) * | 2015-06-17 | 2021-09-03 | 史赛克欧洲控股I有限责任公司 | Surgical instrument with ultrasonic tip for fibrous tissue removal |
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 |
US11129669B2 (en) | 2015-06-30 | 2021-09-28 | Cilag Gmbh International | Surgical system with user adaptable techniques based on tissue type |
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 |
US11266430B2 (en) | 2016-11-29 | 2022-03-08 | Cilag Gmbh International | End effector control and calibration |
US11311326B2 (en) | 2015-02-06 | 2022-04-26 | Cilag Gmbh International | Electrosurgical instrument with rotation and articulation mechanisms |
US11337747B2 (en) | 2014-04-15 | 2022-05-24 | Cilag Gmbh International | Software algorithms for electrosurgical instruments |
US11399855B2 (en) | 2014-03-27 | 2022-08-02 | Cilag Gmbh International | Electrosurgical devices |
US11406414B2 (en) | 2018-10-23 | 2022-08-09 | Stryker European Operations Holdings Llc | Ultrasonic cutting tip for lumbar procedures |
US11452525B2 (en) | 2019-12-30 | 2022-09-27 | Cilag Gmbh International | Surgical instrument comprising an adjustment system |
US11471168B2 (en) * | 2019-12-20 | 2022-10-18 | Innovations 4 Surgery, LLC | Medical devices and related methods for transforming bone, other tissue, or material |
US11484358B2 (en) | 2017-09-29 | 2022-11-01 | Cilag Gmbh International | Flexible electrosurgical instrument |
US11490951B2 (en) | 2017-09-29 | 2022-11-08 | Cilag Gmbh International | Saline contact with electrodes |
US11497546B2 (en) | 2017-03-31 | 2022-11-15 | Cilag Gmbh International | Area ratios of patterned coatings on RF electrodes to reduce sticking |
US11534231B2 (en) | 2017-08-22 | 2022-12-27 | CovidienLP | Energy-based surgical instruments and systems configured to minimize thermal spread |
USD974558S1 (en) | 2020-12-18 | 2023-01-03 | Stryker European Operations Limited | Ultrasonic knife |
US11589916B2 (en) | 2019-12-30 | 2023-02-28 | Cilag Gmbh International | Electrosurgical instruments with electrodes having variable energy densities |
US11660089B2 (en) | 2019-12-30 | 2023-05-30 | Cilag Gmbh International | Surgical instrument comprising a sensing system |
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Families Citing this family (25)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US7530986B2 (en) * | 2001-01-08 | 2009-05-12 | Ethicon Endo-Surgery, Inc. | Laminated ultrasonic end effector |
US20090228032A1 (en) * | 2008-03-06 | 2009-09-10 | Bacoustics, Llc | Ultrasonic scalpel |
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US8083691B2 (en) * | 2008-11-12 | 2011-12-27 | Hansen Medical, Inc. | Apparatus and method for sensing force |
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US10117666B2 (en) | 2013-09-26 | 2018-11-06 | Misonix Inc. | Ultrasonic instrument and method using same |
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US11540813B2 (en) | 2014-06-10 | 2023-01-03 | Fujifilm Sonosite, Inc. | Handheld ultrasound imaging systems and methods for cooling transducers and electronics in the probe housing via air circulation through the housing |
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US9833332B2 (en) | 2014-10-27 | 2017-12-05 | Seth L Neubardt | Harvesting bone graft material for use in spinal and other bone fusion surgeries |
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USD884172S1 (en) | 2018-01-12 | 2020-05-12 | Peter L. Bono | Surgical cutting tool |
USD888955S1 (en) * | 2018-01-31 | 2020-06-30 | Beijing Smtp Technology Co., Ltd. | Ultrasonic cutter head |
US10582933B2 (en) | 2018-03-22 | 2020-03-10 | Capstone Surgical Techologies, LLC | Oscillating surgical cutting tool |
US20230190327A1 (en) * | 2021-12-22 | 2023-06-22 | Innovations 4 Surgery, LLC | Medical cutting devices with a static casing and a blade working body of greater width and related methods |
Citations (14)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US878524A (en) * | 1907-09-24 | 1908-02-11 | White John H | Surgeon's knife. |
US1333745A (en) * | 1919-08-04 | 1920-03-16 | Kalmus Comstock & Wescott Inc | Trocar |
US2845072A (en) * | 1955-06-21 | 1958-07-29 | William A Shafer | Surgical knife |
US3526219A (en) * | 1967-07-21 | 1970-09-01 | Ultrasonic Systems | Method and apparatus for ultrasonically removing tissue from a biological organism |
US3636943A (en) * | 1967-10-27 | 1972-01-25 | Ultrasonic Systems | Ultrasonic cauterization |
US3832776A (en) * | 1972-11-24 | 1974-09-03 | H Sawyer | Electronically powered knife |
US4008720A (en) * | 1974-06-08 | 1977-02-22 | Paul Brinckmann | Blade with irrigation tubes |
US4667408A (en) * | 1985-10-31 | 1987-05-26 | Kirk Norbert A | Water cleaned vegetable peeler |
US4832683A (en) * | 1985-09-20 | 1989-05-23 | Sumitomo Bakellite Company Limited | Surgical instrument |
US5188102A (en) * | 1990-05-11 | 1993-02-23 | Sumitomo Bakelite Company Limited | Surgical ultrasonic horn |
US5261922A (en) * | 1992-02-20 | 1993-11-16 | Hood Larry L | Improved ultrasonic knife |
US5391144A (en) * | 1990-02-02 | 1995-02-21 | Olympus Optical Co., Ltd. | Ultrasonic treatment apparatus |
US5674235A (en) * | 1995-05-10 | 1997-10-07 | Ultralase Technologies International | Ultrasonic surgical cutting instrument |
US6254622B1 (en) * | 1996-02-20 | 2001-07-03 | Larry Hood | Blade for ultrasonically assisted cutting and hemostasis |
Family Cites Families (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5322055B1 (en) | 1993-01-27 | 1997-10-14 | Ultracision Inc | Clamp coagulator/cutting system for ultrasonic surgical instruments |
EP1110509A1 (en) * | 1999-12-21 | 2001-06-27 | Tomaso Vercellotti | Surgical device for bone surgery |
JP2002143177A (en) * | 2000-11-07 | 2002-05-21 | Miwatec:Kk | Ultrasonic hand piece and ultrasonic horn used therefor |
-
2002
- 2002-04-30 US US10/137,470 patent/US20030204199A1/en not_active Abandoned
-
2003
- 2003-04-30 WO PCT/US2003/013372 patent/WO2003092470A2/en not_active Application Discontinuation
- 2003-04-30 AU AU2003228769A patent/AU2003228769A1/en not_active Abandoned
-
2005
- 2005-08-02 US US11/196,607 patent/US8343178B2/en active Active
Patent Citations (14)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US878524A (en) * | 1907-09-24 | 1908-02-11 | White John H | Surgeon's knife. |
US1333745A (en) * | 1919-08-04 | 1920-03-16 | Kalmus Comstock & Wescott Inc | Trocar |
US2845072A (en) * | 1955-06-21 | 1958-07-29 | William A Shafer | Surgical knife |
US3526219A (en) * | 1967-07-21 | 1970-09-01 | Ultrasonic Systems | Method and apparatus for ultrasonically removing tissue from a biological organism |
US3636943A (en) * | 1967-10-27 | 1972-01-25 | Ultrasonic Systems | Ultrasonic cauterization |
US3832776A (en) * | 1972-11-24 | 1974-09-03 | H Sawyer | Electronically powered knife |
US4008720A (en) * | 1974-06-08 | 1977-02-22 | Paul Brinckmann | Blade with irrigation tubes |
US4832683A (en) * | 1985-09-20 | 1989-05-23 | Sumitomo Bakellite Company Limited | Surgical instrument |
US4667408A (en) * | 1985-10-31 | 1987-05-26 | Kirk Norbert A | Water cleaned vegetable peeler |
US5391144A (en) * | 1990-02-02 | 1995-02-21 | Olympus Optical Co., Ltd. | Ultrasonic treatment apparatus |
US5188102A (en) * | 1990-05-11 | 1993-02-23 | Sumitomo Bakelite Company Limited | Surgical ultrasonic horn |
US5261922A (en) * | 1992-02-20 | 1993-11-16 | Hood Larry L | Improved ultrasonic knife |
US5674235A (en) * | 1995-05-10 | 1997-10-07 | Ultralase Technologies International | Ultrasonic surgical cutting instrument |
US6254622B1 (en) * | 1996-02-20 | 2001-07-03 | Larry Hood | Blade for ultrasonically assisted cutting and hemostasis |
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US11229472B2 (en) | 2001-06-12 | 2022-01-25 | Cilag Gmbh International | Modular battery powered handheld surgical instrument with multiple magnetic position sensors |
US10874418B2 (en) | 2004-02-27 | 2020-12-29 | Ethicon Llc | Ultrasonic surgical shears and method for sealing a blood vessel using same |
US11730507B2 (en) | 2004-02-27 | 2023-08-22 | Cilag Gmbh International | Ultrasonic surgical shears and method for sealing a blood vessel using same |
US20050211043A1 (en) * | 2004-03-26 | 2005-09-29 | The Boeing Company | Cutting device and method of generating cutting geometry |
US11006971B2 (en) | 2004-10-08 | 2021-05-18 | Ethicon Llc | Actuation mechanism for use with an ultrasonic surgical instrument |
US10537352B2 (en) | 2004-10-08 | 2020-01-21 | Ethicon Llc | Tissue pads for use with surgical instruments |
US9072554B2 (en) | 2005-09-21 | 2015-07-07 | Children's Hospital Medical Center | Orthopedic implant |
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US10779848B2 (en) | 2006-01-20 | 2020-09-22 | Ethicon Llc | Ultrasound medical instrument having a medical ultrasonic blade |
US7540870B2 (en) | 2006-08-08 | 2009-06-02 | Bacoustics, Llc | Ablative ultrasonic-cryogenic apparatus |
US20080039745A1 (en) * | 2006-08-08 | 2008-02-14 | Bacoustics Llc | Ablative ultrasonic-cryogenic apparatus |
US8062289B2 (en) | 2006-08-08 | 2011-11-22 | Bacoustics, Llc | Ablative ultrasonic-cryogenic apparatus |
US8142461B2 (en) | 2007-03-22 | 2012-03-27 | Ethicon Endo-Surgery, Inc. | Surgical instruments |
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US8911460B2 (en) | 2007-03-22 | 2014-12-16 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical instruments |
US9504483B2 (en) | 2007-03-22 | 2016-11-29 | Ethicon Endo-Surgery, Llc | Surgical instruments |
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US9636135B2 (en) | 2007-07-27 | 2017-05-02 | Ethicon Endo-Surgery, Llc | Ultrasonic surgical instruments |
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US11690641B2 (en) | 2007-07-27 | 2023-07-04 | Cilag Gmbh International | Ultrasonic end effectors with increased active length |
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US8348967B2 (en) | 2007-07-27 | 2013-01-08 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical instruments |
US8882791B2 (en) | 2007-07-27 | 2014-11-11 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical instruments |
US11607268B2 (en) | 2007-07-27 | 2023-03-21 | Cilag Gmbh International | Surgical instruments |
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US9707004B2 (en) | 2007-07-27 | 2017-07-18 | Ethicon Llc | Surgical instruments |
US8257377B2 (en) | 2007-07-27 | 2012-09-04 | Ethicon Endo-Surgery, Inc. | Multiple end effectors ultrasonic surgical instruments |
US10398466B2 (en) | 2007-07-27 | 2019-09-03 | Ethicon Llc | Ultrasonic end effectors with increased active length |
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US9044261B2 (en) | 2007-07-31 | 2015-06-02 | Ethicon Endo-Surgery, Inc. | Temperature controlled ultrasonic surgical instruments |
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US10426507B2 (en) | 2007-07-31 | 2019-10-01 | Ethicon Llc | Ultrasonic surgical instruments |
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US8709031B2 (en) | 2007-07-31 | 2014-04-29 | Ethicon Endo-Surgery, Inc. | Methods for driving an ultrasonic surgical instrument with modulator |
US11877734B2 (en) | 2007-07-31 | 2024-01-23 | Cilag Gmbh International | Ultrasonic surgical instruments |
US11666784B2 (en) | 2007-07-31 | 2023-06-06 | Cilag Gmbh International | Surgical instruments |
USD661801S1 (en) | 2007-10-05 | 2012-06-12 | Ethicon Endo-Surgery, Inc. | User interface for a surgical instrument |
US9848902B2 (en) | 2007-10-05 | 2017-12-26 | Ethicon Llc | Ergonomic surgical instruments |
USD661802S1 (en) | 2007-10-05 | 2012-06-12 | Ethicon Endo-Surgery, Inc. | User interface for a surgical instrument |
US9486236B2 (en) | 2007-10-05 | 2016-11-08 | Ethicon Endo-Surgery, Llc | Ergonomic surgical instruments |
USD661804S1 (en) | 2007-10-05 | 2012-06-12 | Ethicon Endo-Surgery, Inc. | User interface for a surgical instrument |
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USD631965S1 (en) | 2007-10-05 | 2011-02-01 | Ethicon Endo-Surgery, Inc. | Handle assembly for surgical instrument |
US8623027B2 (en) | 2007-10-05 | 2014-01-07 | Ethicon Endo-Surgery, Inc. | Ergonomic surgical instruments |
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US11266433B2 (en) | 2007-11-30 | 2022-03-08 | Cilag Gmbh International | Ultrasonic surgical instrument blades |
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US8057498B2 (en) | 2007-11-30 | 2011-11-15 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical instrument blades |
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US11890491B2 (en) | 2008-08-06 | 2024-02-06 | Cilag Gmbh International | Devices and techniques for cutting and coagulating tissue |
US8779648B2 (en) | 2008-08-06 | 2014-07-15 | Ethicon Endo-Surgery, Inc. | Ultrasonic device for cutting and coagulating with stepped output |
US10335614B2 (en) | 2008-08-06 | 2019-07-02 | Ethicon Llc | Devices and techniques for cutting and coagulating tissue |
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US8546999B2 (en) | 2009-06-24 | 2013-10-01 | Ethicon Endo-Surgery, Inc. | Housing arrangements for ultrasonic surgical instruments |
US8650728B2 (en) | 2009-06-24 | 2014-02-18 | Ethicon Endo-Surgery, Inc. | Method of assembling a transducer for a surgical instrument |
US9498245B2 (en) | 2009-06-24 | 2016-11-22 | Ethicon Endo-Surgery, Llc | Ultrasonic surgical instruments |
US8344596B2 (en) | 2009-06-24 | 2013-01-01 | Ethicon Endo-Surgery, Inc. | Transducer arrangements for ultrasonic surgical instruments |
US8754570B2 (en) | 2009-06-24 | 2014-06-17 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical instruments comprising transducer arrangements |
US8334635B2 (en) | 2009-06-24 | 2012-12-18 | Ethicon Endo-Surgery, Inc. | Transducer arrangements for ultrasonic surgical instruments |
US8319400B2 (en) | 2009-06-24 | 2012-11-27 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical instruments |
US9017326B2 (en) | 2009-07-15 | 2015-04-28 | Ethicon Endo-Surgery, Inc. | Impedance monitoring apparatus, system, and method for ultrasonic surgical instruments |
US8461744B2 (en) | 2009-07-15 | 2013-06-11 | Ethicon Endo-Surgery, Inc. | Rotating transducer mount for ultrasonic surgical instruments |
US11717706B2 (en) | 2009-07-15 | 2023-08-08 | Cilag Gmbh International | Ultrasonic surgical instruments |
US8773001B2 (en) | 2009-07-15 | 2014-07-08 | Ethicon Endo-Surgery, Inc. | Rotating transducer mount for ultrasonic surgical instruments |
US9764164B2 (en) | 2009-07-15 | 2017-09-19 | Ethicon Llc | Ultrasonic surgical instruments |
US8663220B2 (en) | 2009-07-15 | 2014-03-04 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical instruments |
US10688321B2 (en) | 2009-07-15 | 2020-06-23 | Ethicon Llc | Ultrasonic surgical instruments |
US10172669B2 (en) | 2009-10-09 | 2019-01-08 | Ethicon Llc | Surgical instrument comprising an energy trigger lockout |
US10265117B2 (en) | 2009-10-09 | 2019-04-23 | Ethicon Llc | Surgical generator method for controlling and ultrasonic transducer waveform for ultrasonic and electrosurgical devices |
USRE47996E1 (en) | 2009-10-09 | 2020-05-19 | Ethicon Llc | Surgical generator for ultrasonic and electrosurgical devices |
US9623237B2 (en) | 2009-10-09 | 2017-04-18 | Ethicon Endo-Surgery, Llc | Surgical generator for ultrasonic and electrosurgical devices |
US9060775B2 (en) | 2009-10-09 | 2015-06-23 | Ethicon Endo-Surgery, Inc. | 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 |
US9039695B2 (en) | 2009-10-09 | 2015-05-26 | Ethicon Endo-Surgery, Inc. | Surgical generator for ultrasonic and electrosurgical devices |
US8951248B2 (en) | 2009-10-09 | 2015-02-10 | 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 |
US8956349B2 (en) | 2009-10-09 | 2015-02-17 | Ethicon Endo-Surgery, Inc. | Surgical generator for ultrasonic and electrosurgical devices |
US8986302B2 (en) | 2009-10-09 | 2015-03-24 | Ethicon Endo-Surgery, Inc. | Surgical generator for ultrasonic and electrosurgical devices |
US11090104B2 (en) | 2009-10-09 | 2021-08-17 | Cilag Gmbh International | Surgical generator for ultrasonic and electrosurgical devices |
US9060776B2 (en) | 2009-10-09 | 2015-06-23 | Ethicon Endo-Surgery, Inc. | Surgical generator for ultrasonic and electrosurgical devices |
US11871982B2 (en) | 2009-10-09 | 2024-01-16 | Cilag Gmbh International | Surgical generator for ultrasonic and electrosurgical devices |
US10201382B2 (en) | 2009-10-09 | 2019-02-12 | Ethicon Llc | Surgical generator for ultrasonic and electrosurgical devices |
US9050093B2 (en) | 2009-10-09 | 2015-06-09 | Ethicon Endo-Surgery, Inc. | Surgical generator for ultrasonic and electrosurgical devices |
US10263171B2 (en) | 2009-10-09 | 2019-04-16 | Ethicon Llc | Surgical generator for ultrasonic and electrosurgical devices |
US8486096B2 (en) | 2010-02-11 | 2013-07-16 | Ethicon Endo-Surgery, Inc. | Dual purpose surgical instrument for cutting and coagulating tissue |
US9107689B2 (en) | 2010-02-11 | 2015-08-18 | Ethicon Endo-Surgery, Inc. | Dual purpose surgical instrument for cutting and coagulating tissue |
US9427249B2 (en) | 2010-02-11 | 2016-08-30 | Ethicon Endo-Surgery, Llc | Rotatable cutting implements with friction reducing material for ultrasonic surgical instruments |
US10835768B2 (en) | 2010-02-11 | 2020-11-17 | Ethicon Llc | Dual purpose surgical instrument for cutting and coagulating tissue |
US9259234B2 (en) | 2010-02-11 | 2016-02-16 | Ethicon Endo-Surgery, Llc | Ultrasonic surgical instruments with rotatable blade and hollow sheath arrangements |
US10299810B2 (en) | 2010-02-11 | 2019-05-28 | Ethicon Llc | Rotatable cutting implements with friction reducing material for ultrasonic surgical instruments |
US9848901B2 (en) | 2010-02-11 | 2017-12-26 | Ethicon Llc | Dual purpose surgical instrument for cutting and coagulating tissue |
US11369402B2 (en) | 2010-02-11 | 2022-06-28 | Cilag Gmbh International | Control systems 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 |
US11382642B2 (en) | 2010-02-11 | 2022-07-12 | Cilag Gmbh International | Rotatable cutting implements with friction reducing material for ultrasonic surgical instruments |
US8382782B2 (en) | 2010-02-11 | 2013-02-26 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical instruments with partially rotating blade and fixed pad arrangement |
US8323302B2 (en) | 2010-02-11 | 2012-12-04 | Ethicon Endo-Surgery, Inc. | Methods of using ultrasonically powered surgical instruments with rotatable cutting implements |
US8419759B2 (en) | 2010-02-11 | 2013-04-16 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical instrument with comb-like tissue trimming device |
US9962182B2 (en) | 2010-02-11 | 2018-05-08 | Ethicon Llc | Ultrasonic surgical instruments with moving cutting implement |
US9510850B2 (en) | 2010-02-11 | 2016-12-06 | Ethicon Endo-Surgery, Llc | Ultrasonic surgical instruments |
US8531064B2 (en) | 2010-02-11 | 2013-09-10 | Ethicon Endo-Surgery, Inc. | Ultrasonically powered surgical instruments with rotating cutting implement |
US8961547B2 (en) | 2010-02-11 | 2015-02-24 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical instruments with moving cutting implement |
US9649126B2 (en) | 2010-02-11 | 2017-05-16 | Ethicon Endo-Surgery, Llc | Seal arrangements for ultrasonically powered surgical instruments |
US8951272B2 (en) | 2010-02-11 | 2015-02-10 | Ethicon Endo-Surgery, Inc. | Seal arrangements for ultrasonically powered surgical instruments |
US8469981B2 (en) | 2010-02-11 | 2013-06-25 | Ethicon Endo-Surgery, Inc. | Rotatable cutting implement arrangements for ultrasonic surgical instruments |
US10117667B2 (en) | 2010-02-11 | 2018-11-06 | Ethicon Llc | Control systems for ultrasonically powered surgical instruments |
US9707027B2 (en) | 2010-05-21 | 2017-07-18 | Ethicon Endo-Surgery, Llc | Medical device |
US11090103B2 (en) | 2010-05-21 | 2021-08-17 | Cilag Gmbh International | Medical device |
US10278721B2 (en) | 2010-07-22 | 2019-05-07 | Ethicon Llc | Electrosurgical instrument with separate closure and cutting members |
US10524854B2 (en) | 2010-07-23 | 2020-01-07 | Ethicon Llc | Surgical instrument |
US9277933B1 (en) * | 2010-07-28 | 2016-03-08 | Lifecell Corporation | Method for ultrasonic dissection of tissues |
US8979890B2 (en) | 2010-10-01 | 2015-03-17 | Ethicon Endo-Surgery, Inc. | Surgical instrument with jaw member |
US9707030B2 (en) | 2010-10-01 | 2017-07-18 | Ethicon Endo-Surgery, Llc | Surgical instrument with jaw member |
US8888809B2 (en) | 2010-10-01 | 2014-11-18 | Ethicon Endo-Surgery, Inc. | Surgical instrument with jaw member |
USD667117S1 (en) * | 2011-02-04 | 2012-09-11 | Misonix Incorporated | Ultrasonic bone cutting blade |
US9918775B2 (en) | 2011-04-12 | 2018-03-20 | Covidien Lp | Systems and methods for calibrating power measurements in an electrosurgical generator |
US10433900B2 (en) | 2011-07-22 | 2019-10-08 | Ethicon Llc | Surgical instruments for tensioning tissue |
US20130096596A1 (en) * | 2011-10-17 | 2013-04-18 | Sound Surgical Technologies, Llc | Ultrasonic probe for treating cellulite |
US9333005B2 (en) * | 2011-10-17 | 2016-05-10 | Sound Surgical Technologies Llc | Ultrasonic probe for treating cellulite |
US10779876B2 (en) | 2011-10-24 | 2020-09-22 | Ethicon Llc | Battery powered surgical instrument |
USD687549S1 (en) | 2011-10-24 | 2013-08-06 | Ethicon Endo-Surgery, Inc. | Surgical instrument |
US9925003B2 (en) | 2012-02-10 | 2018-03-27 | Ethicon Endo-Surgery, Llc | Robotically controlled surgical instrument |
US9232979B2 (en) | 2012-02-10 | 2016-01-12 | Ethicon Endo-Surgery, Inc. | Robotically controlled surgical instrument |
US10729494B2 (en) | 2012-02-10 | 2020-08-04 | Ethicon Llc | Robotically controlled surgical instrument |
US9439668B2 (en) | 2012-04-09 | 2016-09-13 | Ethicon Endo-Surgery, Llc | Switch arrangements for ultrasonic surgical instruments |
US11419626B2 (en) | 2012-04-09 | 2022-08-23 | Cilag Gmbh International | Switch arrangements for ultrasonic surgical instruments |
US10517627B2 (en) | 2012-04-09 | 2019-12-31 | Ethicon Llc | Switch arrangements for ultrasonic surgical instruments |
US9724118B2 (en) | 2012-04-09 | 2017-08-08 | Ethicon Endo-Surgery, Llc | Techniques for cutting and coagulating tissue for ultrasonic surgical instruments |
US9700343B2 (en) | 2012-04-09 | 2017-07-11 | Ethicon Endo-Surgery, Llc | Devices and techniques for cutting and coagulating tissue |
US9226766B2 (en) | 2012-04-09 | 2016-01-05 | Ethicon Endo-Surgery, Inc. | Serial communication protocol for medical device |
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 |
US10987123B2 (en) | 2012-06-28 | 2021-04-27 | Ethicon Llc | Surgical instruments with articulating shafts |
US10398497B2 (en) | 2012-06-29 | 2019-09-03 | Ethicon Llc | Lockout mechanism for use with robotic electrosurgical device |
US10441310B2 (en) | 2012-06-29 | 2019-10-15 | Ethicon Llc | Surgical instruments with curved section |
US11602371B2 (en) | 2012-06-29 | 2023-03-14 | Cilag Gmbh International | Ultrasonic surgical instruments with control mechanisms |
US10543008B2 (en) | 2012-06-29 | 2020-01-28 | Ethicon Llc | Ultrasonic surgical instruments with distally positioned jaw assemblies |
US10993763B2 (en) | 2012-06-29 | 2021-05-04 | Ethicon 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 |
US9408622B2 (en) | 2012-06-29 | 2016-08-09 | Ethicon Endo-Surgery, Llc | Surgical instruments with articulating shafts |
US9283045B2 (en) | 2012-06-29 | 2016-03-15 | Ethicon Endo-Surgery, Llc | Surgical instruments with fluid management system |
US9713507B2 (en) | 2012-06-29 | 2017-07-25 | Ethicon Endo-Surgery, Llc | Closed feedback control for electrosurgical device |
US10335183B2 (en) | 2012-06-29 | 2019-07-02 | Ethicon Llc | Feedback devices for surgical control systems |
US9226767B2 (en) | 2012-06-29 | 2016-01-05 | Ethicon Endo-Surgery, Inc. | Closed feedback control for electrosurgical device |
US11717311B2 (en) | 2012-06-29 | 2023-08-08 | Cilag Gmbh International | Surgical instruments with articulating shafts |
US11583306B2 (en) | 2012-06-29 | 2023-02-21 | Cilag Gmbh International | Surgical instruments with articulating shafts |
US10335182B2 (en) | 2012-06-29 | 2019-07-02 | Ethicon Llc | Surgical instruments with articulating shafts |
US10779845B2 (en) | 2012-06-29 | 2020-09-22 | Ethicon Llc | Ultrasonic surgical instruments with distally positioned transducers |
US9737326B2 (en) | 2012-06-29 | 2017-08-22 | Ethicon Endo-Surgery, Llc | Haptic feedback devices for surgical robot |
US10524872B2 (en) | 2012-06-29 | 2020-01-07 | Ethicon Llc | Closed feedback control for electrosurgical device |
US10842580B2 (en) | 2012-06-29 | 2020-11-24 | Ethicon Llc | Ultrasonic surgical instruments with control mechanisms |
US10966747B2 (en) | 2012-06-29 | 2021-04-06 | Ethicon Llc | Haptic feedback devices for surgical robot |
US11096752B2 (en) | 2012-06-29 | 2021-08-24 | Cilag Gmbh International | Closed feedback control for electrosurgical device |
US11871955B2 (en) | 2012-06-29 | 2024-01-16 | Cilag Gmbh International | Surgical instruments with articulating shafts |
US11426191B2 (en) | 2012-06-29 | 2022-08-30 | Cilag Gmbh International | Ultrasonic surgical instruments with distally positioned jaw assemblies |
US9393037B2 (en) | 2012-06-29 | 2016-07-19 | Ethicon Endo-Surgery, Llc | Surgical instruments with articulating shafts |
US9198714B2 (en) | 2012-06-29 | 2015-12-01 | Ethicon Endo-Surgery, Inc. | Haptic feedback devices for surgical robot |
US9820768B2 (en) | 2012-06-29 | 2017-11-21 | Ethicon Llc | Ultrasonic surgical instruments with control mechanisms |
US9326788B2 (en) | 2012-06-29 | 2016-05-03 | Ethicon Endo-Surgery, Llc | Lockout mechanism for use with robotic electrosurgical device |
US10881449B2 (en) | 2012-09-28 | 2021-01-05 | Ethicon Llc | Multi-function bi-polar forceps |
US11179173B2 (en) | 2012-10-22 | 2021-11-23 | Cilag Gmbh International | Surgical instrument |
US9795405B2 (en) | 2012-10-22 | 2017-10-24 | Ethicon Llc | Surgical instrument |
US9095367B2 (en) | 2012-10-22 | 2015-08-04 | Ethicon Endo-Surgery, Inc. | Flexible harmonic waveguides/blades for surgical instruments |
US10201365B2 (en) | 2012-10-22 | 2019-02-12 | Ethicon Llc | Surgeon feedback sensing and display methods |
US10226273B2 (en) | 2013-03-14 | 2019-03-12 | Ethicon Llc | Mechanical fasteners for use with surgical energy devices |
US11272952B2 (en) | 2013-03-14 | 2022-03-15 | Cilag Gmbh International | Mechanical fasteners for use with surgical energy devices |
US10206704B2 (en) * | 2013-03-15 | 2019-02-19 | Misonix, Inc | Method for ultrasonic tissue excision with tissue selectivity |
US20140276849A1 (en) * | 2013-03-15 | 2014-09-18 | Misonix, Incorporated | Method for ultrasonic tissue excision with tissue selectivity |
US9241728B2 (en) | 2013-03-15 | 2016-01-26 | Ethicon Endo-Surgery, Inc. | Surgical instrument with multiple clamping mechanisms |
US10869686B2 (en) | 2013-03-15 | 2020-12-22 | Misonix, Incorporated | Method for ultrasonic tissue excision with tissue selectivity |
US9743947B2 (en) | 2013-03-15 | 2017-08-29 | Ethicon Endo-Surgery, Llc | End effector with a clamp arm assembly and blade |
US20150005771A1 (en) * | 2013-06-28 | 2015-01-01 | Misonix Incorporated | Ultrasonic cutting blade with cooling liquid conduction |
CN105491968A (en) * | 2013-06-28 | 2016-04-13 | 米松尼克斯股份有限公司 | Ultrasonic cutting blade with cooling liquid conduction |
US9788852B2 (en) | 2013-06-28 | 2017-10-17 | Misonix, Incorporated | Ultrasonic cutting blade with cooling liquid conduction |
US9387005B2 (en) * | 2013-06-28 | 2016-07-12 | Misonix, Incorporated | Ultrasonic cutting blade with cooling liquid conduction |
US10398463B2 (en) | 2013-06-28 | 2019-09-03 | Misonix Incorporated | Ultrasonic instrument and method for manufacturing same |
CN105491968B (en) * | 2013-06-28 | 2019-07-30 | 米松尼克斯股份有限公司 | Ultrasonic cutting blade with coolant liquid conduction |
JP2016526439A (en) * | 2013-06-28 | 2016-09-05 | ミソニクス インコーポレイテッド | Ultrasonic cutting blade with coolant conduction |
EP3013261A4 (en) * | 2013-06-28 | 2016-09-28 | Misonix Inc | Ultrasonic instrument and method for manufacturing same |
US9764166B2 (en) | 2013-09-11 | 2017-09-19 | Covidien Lp | Ultrasonic surgical instrument with cooling system |
US11654306B2 (en) | 2013-09-11 | 2023-05-23 | Covidien Lp | Ultrasonic surgical instrument with cooling system |
US10363060B2 (en) | 2013-09-11 | 2019-07-30 | Covidien Lp | Ultrasonic surgical instrument with cooling system |
US9655641B2 (en) | 2013-09-11 | 2017-05-23 | Covidien Lp | Ultrasonic surgical instrument with cooling system |
US9622767B2 (en) | 2013-09-11 | 2017-04-18 | Covidien Lp | Ultrasonic surgical instrument with cooling system |
US10485996B2 (en) | 2013-09-11 | 2019-11-26 | Covidien Lp | Ultrasonic surgical instrument with cooling system |
US10925659B2 (en) | 2013-09-13 | 2021-02-23 | Ethicon Llc | Electrosurgical (RF) medical instruments for cutting and coagulating tissue |
US10912603B2 (en) | 2013-11-08 | 2021-02-09 | Ethicon Llc | Electrosurgical devices |
US9943325B2 (en) * | 2013-11-26 | 2018-04-17 | Ethicon Llc | Handpiece and blade configurations for ultrasonic surgical instrument |
US11103270B2 (en) | 2013-11-26 | 2021-08-31 | Cilag Gmbh International | Handpiece and blade configurations for ultrasonic surgical instrument |
US20150148831A1 (en) * | 2013-11-26 | 2015-05-28 | Ethicon Endo-Surgery, Inc. | Handpiece and blade configurations for ultrasonic surgical instrument |
US11033292B2 (en) | 2013-12-16 | 2021-06-15 | Cilag Gmbh International | Medical device |
US10912580B2 (en) | 2013-12-16 | 2021-02-09 | Ethicon Llc | Medical device |
US10856929B2 (en) | 2014-01-07 | 2020-12-08 | Ethicon Llc | Harvesting energy from a surgical generator |
US9594004B2 (en) | 2014-01-10 | 2017-03-14 | Lifecell Corporation | Vacuum platen tissue planing apparatus |
US10495548B2 (en) | 2014-01-10 | 2019-12-03 | Lifecell Corporation | Vacuum platen tissue planing apparatus |
US10779879B2 (en) | 2014-03-18 | 2020-09-22 | Ethicon Llc | Detecting short circuits in electrosurgical medical devices |
US10932847B2 (en) | 2014-03-18 | 2021-03-02 | Ethicon Llc | Detecting short circuits in electrosurgical medical devices |
US10463421B2 (en) | 2014-03-27 | 2019-11-05 | Ethicon Llc | Two stage trigger, clamp and cut bipolar vessel sealer |
US11399855B2 (en) | 2014-03-27 | 2022-08-02 | Cilag Gmbh International | Electrosurgical devices |
US11471209B2 (en) | 2014-03-31 | 2022-10-18 | Cilag Gmbh International | Controlling impedance rise in electrosurgical medical devices |
US10349999B2 (en) | 2014-03-31 | 2019-07-16 | Ethicon Llc | Controlling impedance rise in electrosurgical medical devices |
US11337747B2 (en) | 2014-04-15 | 2022-05-24 | Cilag Gmbh International | Software algorithms for electrosurgical instruments |
US9700333B2 (en) | 2014-06-30 | 2017-07-11 | Ethicon Llc | Surgical instrument with variable tissue compression |
US10285724B2 (en) | 2014-07-31 | 2019-05-14 | Ethicon Llc | Actuation mechanisms and load adjustment assemblies for surgical instruments |
US11413060B2 (en) | 2014-07-31 | 2022-08-16 | Cilag Gmbh International | Actuation mechanisms and load adjustment assemblies for surgical instruments |
US10639092B2 (en) | 2014-12-08 | 2020-05-05 | Ethicon Llc | Electrode configurations for surgical instruments |
US10751109B2 (en) | 2014-12-22 | 2020-08-25 | Ethicon Llc | High power battery powered RF amplifier topology |
US11311326B2 (en) | 2015-02-06 | 2022-04-26 | Cilag Gmbh International | Electrosurgical instrument with rotation and articulation mechanisms |
US10321950B2 (en) | 2015-03-17 | 2019-06-18 | Ethicon Llc | Managing tissue treatment |
US10342602B2 (en) | 2015-03-17 | 2019-07-09 | Ethicon Llc | Managing tissue treatment |
US10595929B2 (en) | 2015-03-24 | 2020-03-24 | Ethicon Llc | Surgical instruments with firing system overload protection mechanisms |
US10314638B2 (en) | 2015-04-07 | 2019-06-11 | Ethicon Llc | Articulating radio frequency (RF) tissue seal with articulating state sensing |
US10034684B2 (en) | 2015-06-15 | 2018-07-31 | Ethicon Llc | Apparatus and method for dissecting and coagulating tissue |
CN113331915A (en) * | 2015-06-17 | 2021-09-03 | 史赛克欧洲控股I有限责任公司 | Surgical instrument with ultrasonic tip for fibrous tissue removal |
US11020140B2 (en) | 2015-06-17 | 2021-06-01 | Cilag Gmbh International | Ultrasonic surgical blade for use with ultrasonic surgical instruments |
US11141213B2 (en) | 2015-06-30 | 2021-10-12 | Cilag Gmbh International | Surgical instrument with user adaptable techniques |
US10034704B2 (en) | 2015-06-30 | 2018-07-31 | Ethicon Llc | Surgical instrument with user adaptable algorithms |
US11129669B2 (en) | 2015-06-30 | 2021-09-28 | Cilag Gmbh International | Surgical system with user adaptable techniques based on tissue type |
US11903634B2 (en) | 2015-06-30 | 2024-02-20 | Cilag Gmbh International | Surgical instrument with user adaptable techniques |
US10357303B2 (en) | 2015-06-30 | 2019-07-23 | Ethicon Llc | Translatable outer tube for sealing using shielded lap chole dissector |
US10952788B2 (en) | 2015-06-30 | 2021-03-23 | Ethicon Llc | Surgical instrument with user adaptable algorithms |
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 |
US11553954B2 (en) | 2015-06-30 | 2023-01-17 | Cilag Gmbh International | 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 |
US10898256B2 (en) | 2015-06-30 | 2021-01-26 | Ethicon Llc | Surgical system with user adaptable techniques based on tissue impedance |
US10154852B2 (en) | 2015-07-01 | 2018-12-18 | Ethicon Llc | Ultrasonic surgical blade with improved cutting and coagulation features |
US10194973B2 (en) | 2015-09-30 | 2019-02-05 | Ethicon Llc | Generator for digitally generating electrical signal waveforms for electrosurgical and ultrasonic surgical instruments |
US10610286B2 (en) | 2015-09-30 | 2020-04-07 | Ethicon Llc | Techniques for circuit topologies for combined generator |
US11766287B2 (en) | 2015-09-30 | 2023-09-26 | Cilag Gmbh International | Methods for operating generator for digitally generating electrical signal waveforms and surgical instruments |
US11559347B2 (en) | 2015-09-30 | 2023-01-24 | Cilag Gmbh International | Techniques for circuit topologies for combined generator |
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 |
US10624691B2 (en) | 2015-09-30 | 2020-04-21 | Ethicon Llc | Techniques for operating generator for digitally generating electrical signal waveforms and surgical instruments |
US11033322B2 (en) | 2015-09-30 | 2021-06-15 | Ethicon Llc | Circuit topologies for combined generator |
US10687884B2 (en) | 2015-09-30 | 2020-06-23 | Ethicon Llc | Circuits for supplying isolated direct current (DC) voltage to surgical instruments |
US10736685B2 (en) | 2015-09-30 | 2020-08-11 | Ethicon Llc | Generator for digitally generating combined electrical signal waveforms for ultrasonic surgical instruments |
US10751108B2 (en) | 2015-09-30 | 2020-08-25 | Ethicon Llc | Protection techniques for generator for digitally generating electrosurgical and ultrasonic electrical signal waveforms |
US10959771B2 (en) | 2015-10-16 | 2021-03-30 | Ethicon Llc | Suction and irrigation sealing grasper |
US10595930B2 (en) | 2015-10-16 | 2020-03-24 | Ethicon Llc | Electrode wiping surgical device |
US11666375B2 (en) | 2015-10-16 | 2023-06-06 | Cilag Gmbh International | Electrode wiping surgical device |
US10179022B2 (en) | 2015-12-30 | 2019-01-15 | Ethicon Llc | Jaw position impedance limiter for electrosurgical instrument |
US10959806B2 (en) | 2015-12-30 | 2021-03-30 | Ethicon Llc | Energized medical device with reusable handle |
US10575892B2 (en) | 2015-12-31 | 2020-03-03 | Ethicon Llc | Adapter for electrical surgical instruments |
US11058448B2 (en) | 2016-01-15 | 2021-07-13 | Cilag Gmbh International | Modular battery powered handheld surgical instrument with multistage generator circuits |
US11134978B2 (en) | 2016-01-15 | 2021-10-05 | Cilag Gmbh International | Modular battery powered handheld surgical instrument with self-diagnosing control switches for reusable handle assembly |
US10709469B2 (en) | 2016-01-15 | 2020-07-14 | Ethicon Llc | Modular battery powered handheld surgical instrument with energy conservation techniques |
US10779849B2 (en) | 2016-01-15 | 2020-09-22 | Ethicon Llc | Modular battery powered handheld surgical instrument with voltage sag resistant battery pack |
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 |
US11051840B2 (en) | 2016-01-15 | 2021-07-06 | Ethicon Llc | Modular battery powered handheld surgical instrument with reusable asymmetric handle housing |
US10828058B2 (en) | 2016-01-15 | 2020-11-10 | Ethicon Llc | Modular battery powered handheld surgical instrument with motor control limits based on tissue characterization |
US10299821B2 (en) | 2016-01-15 | 2019-05-28 | Ethicon Llc | Modular battery powered handheld surgical instrument with motor control limit profile |
US11229450B2 (en) | 2016-01-15 | 2022-01-25 | Cilag Gmbh International | Modular battery powered handheld surgical instrument with motor drive |
US11751929B2 (en) | 2016-01-15 | 2023-09-12 | Cilag Gmbh International | Modular battery powered handheld surgical instrument with selective application of energy based on tissue characterization |
US11684402B2 (en) | 2016-01-15 | 2023-06-27 | Cilag Gmbh International | Modular battery powered handheld surgical instrument with selective application of energy based on tissue characterization |
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 |
US10842523B2 (en) | 2016-01-15 | 2020-11-24 | Ethicon Llc | Modular battery powered handheld surgical instrument and methods therefor |
US10251664B2 (en) | 2016-01-15 | 2019-04-09 | Ethicon Llc | Modular battery powered handheld surgical instrument with multi-function motor via shifting gear assembly |
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 |
US10537351B2 (en) | 2016-01-15 | 2020-01-21 | Ethicon Llc | Modular battery powered handheld surgical instrument with variable motor control limits |
US11896280B2 (en) | 2016-01-15 | 2024-02-13 | Cilag Gmbh International | Clamp arm comprising a circuit |
US10537349B1 (en) | 2016-02-08 | 2020-01-21 | Lifecell Corporation | Method for processing tissue to control thickness |
US10555769B2 (en) | 2016-02-22 | 2020-02-11 | Ethicon Llc | Flexible circuits for electrosurgical instrument |
US11202670B2 (en) | 2016-02-22 | 2021-12-21 | Cilag Gmbh International | Method of manufacturing a flexible circuit electrode for electrosurgical instrument |
US11147580B2 (en) | 2016-03-29 | 2021-10-19 | Covidien Lp | Devices, systems, and methods for cooling a surgical instrument |
US10456156B2 (en) | 2016-03-29 | 2019-10-29 | Covidien Lp | Devices, systems, and methods for cooling a surgical instrument |
US10342566B2 (en) | 2016-03-29 | 2019-07-09 | Covidien Lp | Devices, systems, and methods for cooling a surgical instrument |
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 |
US10856934B2 (en) | 2016-04-29 | 2020-12-08 | Ethicon Llc | Electrosurgical instrument with electrically conductive gap setting and tissue engaging members |
US10702329B2 (en) | 2016-04-29 | 2020-07-07 | Ethicon Llc | Jaw structure with distal post for electrosurgical instruments |
US10987156B2 (en) | 2016-04-29 | 2021-04-27 | Ethicon Llc | Electrosurgical instrument with electrically conductive gap setting member and electrically insulative tissue engaging members |
US10456193B2 (en) | 2016-05-03 | 2019-10-29 | Ethicon Llc | Medical device with a bilateral jaw configuration for nerve stimulation |
US11864820B2 (en) | 2016-05-03 | 2024-01-09 | Cilag Gmbh International | Medical device with a bilateral jaw configuration for nerve stimulation |
CN109195537A (en) * | 2016-05-25 | 2019-01-11 | 伊西康有限责任公司 | Ultrasonic surgical instrument with cooling duct |
US10702296B2 (en) * | 2016-05-25 | 2020-07-07 | Ethicon Llc | Ultrasonic surgical instrument with cooling conduit |
US10555748B2 (en) * | 2016-05-25 | 2020-02-11 | Ethicon Llc | Features and methods to control delivery of cooling fluid to end effector of ultrasonic surgical instrument |
US20170340345A1 (en) * | 2016-05-25 | 2017-11-30 | Ethicon Endo-Surgery, Llc | Features and methods to control delivery of cooling fluid to end effector of ultrasonic surgical instrument |
US20170340344A1 (en) * | 2016-05-25 | 2017-11-30 | Ethicon Endo-Surgery, Llc | Ultrasonic surgical instrument with cooling conduit |
US11571236B2 (en) | 2016-05-25 | 2023-02-07 | Cilag Gmbh International | Features and methods to control delivery of cooling fluid to end effector of ultrasonic surgical instrument |
US20200107853A1 (en) * | 2016-05-25 | 2020-04-09 | Ethicon Llc | Ultrasonic surgical instrument with cooling conduit |
US10245064B2 (en) | 2016-07-12 | 2019-04-02 | Ethicon Llc | Ultrasonic surgical instrument with piezoelectric central lumen transducer |
US11883055B2 (en) | 2016-07-12 | 2024-01-30 | Cilag Gmbh International | Ultrasonic surgical instrument with piezoelectric central lumen transducer |
US10966744B2 (en) | 2016-07-12 | 2021-04-06 | Ethicon Llc | Ultrasonic surgical instrument with piezoelectric central lumen transducer |
US10893883B2 (en) | 2016-07-13 | 2021-01-19 | Ethicon Llc | Ultrasonic assembly for use with ultrasonic surgical instruments |
US10842522B2 (en) | 2016-07-15 | 2020-11-24 | Ethicon Llc | Ultrasonic surgical instruments having offset blades |
US10376305B2 (en) | 2016-08-05 | 2019-08-13 | Ethicon Llc | Methods and systems for advanced harmonic energy |
US11344362B2 (en) | 2016-08-05 | 2022-05-31 | Cilag Gmbh International | Methods and systems for advanced harmonic energy |
US10285723B2 (en) | 2016-08-09 | 2019-05-14 | Ethicon Llc | Ultrasonic surgical blade with improved heel portion |
USD924400S1 (en) | 2016-08-16 | 2021-07-06 | Cilag Gmbh International | Surgical instrument |
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 |
US11350959B2 (en) | 2016-08-25 | 2022-06-07 | Cilag Gmbh International | Ultrasonic transducer techniques for ultrasonic surgical instrument |
US10952759B2 (en) | 2016-08-25 | 2021-03-23 | Ethicon Llc | Tissue loading of a surgical instrument |
US11925378B2 (en) | 2016-08-25 | 2024-03-12 | Cilag Gmbh International | Ultrasonic transducer for surgical instrument |
US10779847B2 (en) | 2016-08-25 | 2020-09-22 | Ethicon Llc | Ultrasonic transducer to waveguide joining |
US10751117B2 (en) | 2016-09-23 | 2020-08-25 | Ethicon Llc | Electrosurgical instrument with fluid diverter |
US11839422B2 (en) | 2016-09-23 | 2023-12-12 | Cilag Gmbh International | Electrosurgical instrument with fluid diverter |
CN109906060A (en) * | 2016-10-28 | 2019-06-18 | 奥林巴斯株式会社 | Ultrasonic probe |
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 |
US11033325B2 (en) | 2017-02-16 | 2021-06-15 | Cilag Gmbh International | Electrosurgical instrument with telescoping suction port and debris cleaner |
US10799284B2 (en) | 2017-03-15 | 2020-10-13 | Ethicon Llc | Electrosurgical instrument with textured jaws |
US11497546B2 (en) | 2017-03-31 | 2022-11-15 | Cilag Gmbh International | Area ratios of patterned coatings on RF electrodes to reduce sticking |
US10603117B2 (en) | 2017-06-28 | 2020-03-31 | Ethicon Llc | Articulation state detection mechanisms |
US10820920B2 (en) | 2017-07-05 | 2020-11-03 | Ethicon Llc | Reusable ultrasonic medical devices and methods of their use |
US11534231B2 (en) | 2017-08-22 | 2022-12-27 | CovidienLP | Energy-based surgical instruments and systems configured to minimize thermal spread |
US11684375B2 (en) * | 2017-09-29 | 2023-06-27 | Beijing Smtp Technology Co., Ltd. | Ultrasonic osteotome bit |
US20200305892A1 (en) * | 2017-09-29 | 2020-10-01 | Beijing Smtp Technology Co., Ltd. | Ultrasonic osteotome bit |
US11484358B2 (en) | 2017-09-29 | 2022-11-01 | Cilag Gmbh International | Flexible electrosurgical instrument |
US11033323B2 (en) | 2017-09-29 | 2021-06-15 | Cilag Gmbh International | Systems and methods for managing fluid and suction in electrosurgical systems |
US11490951B2 (en) | 2017-09-29 | 2022-11-08 | Cilag Gmbh International | Saline contact with electrodes |
CN111836597A (en) * | 2018-01-11 | 2020-10-27 | 米松尼克斯股份有限公司 | Ultrasonic surgical system for bone transection |
US10881424B2 (en) | 2018-02-13 | 2021-01-05 | Covidien Lp | Removable fluid reservoir and ultrasonic surgical instrument including the same |
WO2019184783A1 (en) * | 2018-03-30 | 2019-10-03 | 江苏水木天蓬科技有限公司 | Ultrasonic osteotome head |
CN109091265A (en) * | 2018-08-20 | 2018-12-28 | 常州市第二人民医院 | A kind of lower jaw impacted tooth, which is pulled out, uses drag hook |
US11406414B2 (en) | 2018-10-23 | 2022-08-09 | Stryker European Operations Holdings Llc | Ultrasonic cutting tip for lumbar procedures |
US11844563B2 (en) | 2019-11-19 | 2023-12-19 | Covidien Lp | Energy-based surgical instruments incorporating cooling features |
US11471168B2 (en) * | 2019-12-20 | 2022-10-18 | Innovations 4 Surgery, LLC | Medical devices and related methods for transforming bone, other tissue, or material |
US11779387B2 (en) | 2019-12-30 | 2023-10-10 | Cilag Gmbh International | Clamp arm jaw to minimize tissue sticking and improve tissue control |
US11723716B2 (en) | 2019-12-30 | 2023-08-15 | Cilag Gmbh International | Electrosurgical instrument with variable control mechanisms |
US11786294B2 (en) | 2019-12-30 | 2023-10-17 | Cilag Gmbh International | Control program for modular combination energy device |
US11786291B2 (en) | 2019-12-30 | 2023-10-17 | Cilag Gmbh International | Deflectable support of RF energy electrode with respect to opposing ultrasonic blade |
US11812957B2 (en) | 2019-12-30 | 2023-11-14 | Cilag Gmbh International | Surgical instrument comprising a signal interference resolution system |
US11696776B2 (en) | 2019-12-30 | 2023-07-11 | Cilag Gmbh International | Articulatable surgical instrument |
US11779329B2 (en) | 2019-12-30 | 2023-10-10 | Cilag Gmbh International | Surgical instrument comprising a flex circuit including a sensor system |
US11684412B2 (en) | 2019-12-30 | 2023-06-27 | Cilag Gmbh International | Surgical instrument with rotatable and articulatable surgical end effector |
US11660089B2 (en) | 2019-12-30 | 2023-05-30 | Cilag Gmbh International | Surgical instrument comprising a sensing system |
US11589916B2 (en) | 2019-12-30 | 2023-02-28 | Cilag Gmbh International | Electrosurgical instruments with electrodes having variable energy densities |
US11707318B2 (en) | 2019-12-30 | 2023-07-25 | Cilag Gmbh International | Surgical instrument with jaw alignment features |
US11950797B2 (en) | 2019-12-30 | 2024-04-09 | Cilag Gmbh International | Deflectable electrode with higher distal bias relative to proximal bias |
US11944366B2 (en) | 2019-12-30 | 2024-04-02 | Cilag Gmbh International | Asymmetric segmented ultrasonic support pad for cooperative engagement with a movable RF electrode |
US11759251B2 (en) | 2019-12-30 | 2023-09-19 | Cilag Gmbh International | Control program adaptation based on device status and user input |
US11452525B2 (en) | 2019-12-30 | 2022-09-27 | Cilag Gmbh International | Surgical instrument comprising an adjustment 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 |
US11744636B2 (en) | 2019-12-30 | 2023-09-05 | Cilag Gmbh International | Electrosurgical systems with integrated and external power sources |
US11937863B2 (en) | 2019-12-30 | 2024-03-26 | Cilag Gmbh International | Deflectable electrode with variable compression bias along the length of the deflectable electrode |
US11937866B2 (en) | 2019-12-30 | 2024-03-26 | Cilag Gmbh International | Method for an electrosurgical procedure |
CN111904480A (en) * | 2020-09-15 | 2020-11-10 | 青岛市妇女儿童医院(青岛市妇幼保健院、青岛市残疾儿童医疗康复中心、青岛市新生儿疾病筛查中心) | Clinical biopsy sampling device that uses of medical oncology |
USD974558S1 (en) | 2020-12-18 | 2023-01-03 | Stryker European Operations Limited | Ultrasonic knife |
US11957342B2 (en) | 2022-10-13 | 2024-04-16 | Cilag Gmbh International | Devices, systems, and methods for detecting tissue and foreign objects during a surgical operation |
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US20050273127A1 (en) | 2005-12-08 |
WO2003092470A3 (en) | 2004-03-18 |
WO2003092470A2 (en) | 2003-11-13 |
AU2003228769A1 (en) | 2003-11-17 |
US8343178B2 (en) | 2013-01-01 |
AU2003228769A8 (en) | 2003-11-17 |
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