US3315863A - Medical instrument - Google Patents

Medical instrument Download PDF

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Publication number
US3315863A
US3315863A US469650A US46965065A US3315863A US 3315863 A US3315863 A US 3315863A US 469650 A US469650 A US 469650A US 46965065 A US46965065 A US 46965065A US 3315863 A US3315863 A US 3315863A
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United States
Prior art keywords
cartridge
staple
instrument
anvil
slot
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US469650A
Inventor
Thomas M O'dea
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United States Surgical Corp
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United States Surgical Corp
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First worldwide family litigation filed litigation Critical https://patents.darts-ip.com/?family=23864570&utm_source=google_patent&utm_medium=platform_link&utm_campaign=public_patent_search&patent=US3315863(A) "Global patent litigation dataset” by Darts-ip is licensed under a Creative Commons Attribution 4.0 International License.
Application filed by United States Surgical Corp filed Critical United States Surgical Corp
Priority to US469650A priority Critical patent/US3315863A/en
Priority to SE7408204*3A priority patent/SE376166B/xx
Priority to SE7215436*3A priority patent/SE390105B/en
Priority to GB30354/66A priority patent/GB1158111A/en
Priority to CH978166A priority patent/CH450623A/en
Priority to GB708069A priority patent/GB1158113A/en
Priority to DE19661541176 priority patent/DE1541176B1/en
Priority to GB707969A priority patent/GB1158112A/en
Priority to FR68467A priority patent/FR1498424A/en
Publication of US3315863A publication Critical patent/US3315863A/en
Application granted granted Critical
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A61B17/07207Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously the staples being applied sequentially
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/11Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
    • A61B17/115Staplers for performing anastomosis in a single operation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/03Automatic limiting or abutting means, e.g. for safety
    • A61B2090/038Automatic limiting or abutting means, e.g. for safety during shipment

Definitions

  • the present invention relates to medical instruments of the type used for stitching hollow organs and the like and more particularly for stitching by applying and securing a series or charge of U-shaped staples.
  • Instruments of the type described have been developed which comprise a removable steel cartridge carrying a plurality of U-shaped staples in a predetermined relationship, which cartridge is adapted to be secured to a manually operated instrument body.
  • the instrument normally comprises an operating rod at the forward end of which is arranged a plurality of thin fingers or 'bades which, when the instrument is assembled, coalign with the staple-holding slots in the cartridge. Operation of the instrument results in forcing the operating rod forward such that the fingers or blades penetrae the aligned slots and force the staples forward through the face of the cartridge.
  • One such instrument is disclosed in United States Patent No. 3,080,564.
  • Anolher disadvantage is that when a cartridge of different slot configuration is desired or needed for the surgery, there is a necessity of replacing the operating rod with one that has a different finger or blade arrangement corresponding to the slot configuration of said cartridge. Since this correspondence must be selected by assistants or technicians, there is a greater chance for human error. Again, this inadvertent, erroneous selection results in jamming of the instrument at a critical point of the operation as described above.
  • Another disadvantage is that great care and time is required for cleaning and sterilizing the conventional operating rod because of the delicate blades mounted thereon.
  • the present invention provides an apparatus which avoids all the disadvantages mentioned above.
  • one embodiment of the present invention provides an inexpensive, disposable staplecarrying and ejection unit which is used for transporting the staples loaded therein during the factory assembling stage thereof; said unit comprises a plastic cartridge with a plurality of staple-storing slots and a drive member having a blade within each slot, also assembled therein prior to shipment.
  • the unit remains in its sanitary package along with its associated color-coded anvil until use, at which time they are removed and assembled directly on the instrument.
  • the present invention also provides certain novel features regarding the cooperation of the unit and the instrument operating rod mechanism which enables the instrument to be used universally with many differently designed cartridges.
  • an elongated plastic cartridge of the type used in instruments for stapling gastro-intestinal anastomoses and the like is characterized by having one or more rows of spaced slots extending through the cartridge body and having individual pusher plates with cam operating buttons mounted on said slots behind the staples therein. Due to the camming action of the operating mechanism of the instrument, each pusher plate in succession is forced downward to effect the stapling action. After the entire charge of staples is spent, the instrument is withdrawn and the cartridge, with the pusher plates therein, is removed from the instrument and thrown away. Means are provided in each slot to prevent the escape of the pusher plates from the slots after the stapling operation is completed.
  • IG. 1 is a side elevation of one embodiment of the present invention
  • FIG. 2 is a rear elevation of the embodiment illustrated in FIG. 1;
  • FIG. 3 is a side elevation oer
  • FIG. 4 is a front elevation of the staple magazine
  • FIG. 5 is a front elevation of the driving member having the driving fingers thereon;
  • FIG. 6 is a sectional side elevation taken along line 6-6 of FIG. 4;
  • FIG. 7 is an exploded fragmentary view of one of the slots in the staple magazine
  • FIG. 8 is a front elevation of present invention, wherein the arranged horizontally;
  • FIG. 9 is a front elevation of the drive member designed for use with the magazine illustrated in FIG. 8;
  • FIG. 10 is a sectional side elevation taken along line 10-10 of FIG. 8;
  • FIG. 11 is a top plan view of the embodiment shown in FIG. 8;
  • FIG. 12 illustrates the front jaw portion of the instrument (partially in section) with the magazine mounted thereon;
  • FIG. 13 is a top plan view partially in section of part of the instrument illustrated in FIG. 12;
  • FIG. 14 is a sectional top plan view taken along line 1'4-14 of FIG. 12; i
  • FIG. '16 illustrates the staple magazine with yet a third embodiment of the safety lock member
  • FIG. 17 is a sectional top plan view taken along line 17-17 of FIG. 16;
  • FIG. 18 is a fragmentary side elevation of yet another embodiment of the present invention and illustrates only the front portion of the instrument
  • FIG. 19 is a partial sectional bottom view taken along line 19-19 of FIG. 18;
  • FIG. 20 is a top plan view of a fully loaded cartridge
  • FIG. 21 is a fragmentary and sectional side view of the cartridge and instrument during operation
  • FIG. 22 is a front sectional view taken along line 22- 22 of FIG. 21;
  • FIGS. 4, 5, 6 and 7 a first embodiment of the present invention which comprises a staple-carrying and ejection unit generally indicated as 10.
  • Unit 10 comprises a staplecarrying cartridge 12 and associated stape drive member 14.
  • Cartridge 12 is made of plastic such as Lexan, which is the registered trademark for a commercially available thermoplastic polycarbonate resin suitable as a molding or extrusion compound or any other material which is inexpensive but suitable for use as part of the organ clamp of the instrument.
  • Cartridge 12 has a flat forward face 16 and bevelled vertical edges and is pro-' vided with a plurality of staggered slots 18 which extend through the cartridge body and which, in this embodiment, are arranged vertically in two parallel columns. As can be seen in FIG.
  • each slot has an enlarged central portion and two semicircular guide channels '19 oppositely positioned with regard to the long dimension of slot 18, wherein said guide channels .19 are shaped to receive each leg of staple 20 so as to positively guide the direction of movement of staple 20.
  • the connecting leg of staple 20 extends across the enlarged portion of slot 18 and is spaced from the walls thereof.
  • the top '22 of cartridge 12 is flat; however, a vertical groove 24 is defined on each side thereof; groove 24 and top 22 cooperate with the instrument in a manner described below.
  • Two bores 26 also extend through cartridge 12 and function to seat U-shaped safety pin 42.
  • the staple drive member 14 is preferably made of metal and comprises a vertical rear body 28 and a plurality of pusher blades or fingers 30 extending from the front face thereof and arranged to be coaligned and partially inserted into each slot 18 of cartridge 12.
  • the dimension of each finger 30 is such that it movably but snugly fits within its associated slot 18. Because of the enlarged portion of each slot 18, the thickness of each blade 30 is somewhat greater than the staple thickness so that the blades are more rugged and less easily deformed than would be the case if blades were only as thick as the staples.
  • the length L of each finger (see FIG. 6) is sufficient to eject the staples beyond face 16 of the cartridge when pusher member l14 is operatively forced forward.
  • Lock member 34 is preferably plastic and comprises three depending and spaced prongs 36, 38 and 40; the dimensions of these prongs and the spaces therebetween are such that the central prong 38 snugly fits between the rear body 28 and the rear face of cartridge 12 to prevent additional penetration of fingers 30 within cartridge 12.
  • the short, rearmost prong 36 overlaps rear body 28 while the forward prong engages the forward face 16. In this way, inadvertent relative movement between the drive member 14 and cartridge 12 is prevented during shipment of loaded unit.
  • the sterilization of unit 10 need only be done once during manufacture and assembly thereof.
  • Anvil 49 has an elongated body with depressions 54 arranged on its front face which align with slots :18 when the instrument is ready for use.
  • An elongated side groove serves to seat anvil 49 on the instrument, and any conventional means can be provided on anvil 49 to retain it thereon; for example, a leaf spring can be mounted on the back wall thereof which presses [against the forward leg of the C-clamp when the anvil is assembled.
  • FIGS. 12, 13 and 14 there is illustrated the forward part of the stitching instrument which comprises jaw member 50 the forward leg of which has provided at its upper end two inwardly turned flanges 15 which receive the grooves of anvil 49.
  • a U-shaped instrument body 55 is connected to the other leg of jaw 50 and has upstanding cars 61 mounted at the forward end thereof; each ear has a longitudinal groove 63 defined on its inner side for the purpose to be described below.
  • Slidably nestling within U-shaped body 55 is a rectangular hollow tube 56 which serves to house and guide the operating rod 58 which is axially movable therein.
  • a carrier member 62 having spaced sidewalls 64 and 66 with enlarged forward flanges 68 is integrally connected to tube 56 and has its lower end shaped to ride on guide track 70 defined on the inside bottom of jaw member 50.
  • Two parallel bores 72 extend in a forward direction within the upper ledge of carrier member 62 for the purpose of receiving the legs of U-shaped locking pin 42.
  • bores 72 are axially aligned with bores 26 in cartridge 12 and that pin 42 is intended to extend longitudinally through both aligned bores.
  • an upstanding part 57 Integral with the rear of carrier member 62 and the forward end of hollow tube 56 is an upstanding part 57 which has a guide pin 59 extending from the side thereof and slidably arranged in the respective grooves 63 of cars 60 and 61. Pins 59 ensure a guided forward and rearward motion of the carrier member 62 and prevent any relative vertical movement between carrier member 62 and jaw 50.
  • cartridge 12 Prior to sterilization, cartridge 12 is machine loaded with a charge of staples 20 and staple drive member 14 is assembled the-rein along with safety lock member 34 in the manner as shown in FIG. 1. This entire assembly is then packaged along with sterilized anvil 49 in a conventional sanitary shipping container (not shown). Inadvertent relative movement between drive member 14 and cartridge 12 is prevented by the safety lock member 34 as described above.
  • the safety lock member 34 When the package arrives at the hospital it can be stored until it is to be used at which time the sanitary shipping package is opened and its contents placed in a sterile environment for immediate availability during the surgical operation. After the patient is fully prepared, the safety lock member 34 is manually withdrawn and discarded. Anvil 49 is mounted in place on leg 52.
  • the corresponding color coded cartridge assembly 10 is then inserted in operating position at the forward end of the carrier member 62 by sliding unit 10 in the direction of arrows which are stamped thereon (see FIG. 12) with grooves 24 sliding over the enlarged flanges 68.
  • The'vertical position of unit 10 is determined by the top of flange 68 against the overhang or top of groove 24.
  • the legs of U-shaped pin 42 are inserted through aligned bores 72 and 26 so that unitary assembly 10 is aligned and locked in operating position.
  • the rear body 28 of drive member 14 is disposed in the space between the sidewalls 64 and 66 of carrier member 62 and is aligned with and spaced from the cavity of head 61).
  • the hollow tube 56 is pushed forwardly so that the front face 16 of cartridge 12 can cooperate with the anvil 49 to clamp the organ in proper position.
  • the operating rod 58 is forced forwardly so that the U-shaped head 60 cups around the rear body 28 of drive member 14 and pushes this member forwardly which in turn drives each finger 30 forwardly within slots 18.
  • each staple 20 is driven from its respective slot 18 forwardly into the organ and upon contacting its corresponding anvil depression 54, the staple legs are turned under into a permanently clamping shape.
  • the staples 20 are moved forwardly until their rearmost parts clear the forward face 16 of cartridge 12.
  • the mechanism of the instrument for moving operating rod 58 and hollow tube 56 in a forward direction can be of any suitable type, for example, that disclosed in United States Patent No. 3,080,564.
  • the hollow tube 56 is drawn to the rear so that the clamping action between front face 16 and anvil 49 ceases relative to the stitched organ.
  • the entire spent unit and anvil 49 are removed and discarded.
  • the instrument is then ready to be recharged with another fully loaded unit 10 which can be easily and quickly assembled on carrier member 62 in the manner set forth above.
  • safety lock member 80 has a squared head and comprises an elongated, depending U- shaped pin 82 having its upstanding legs embedded in the plastic head portion of lock member 80.
  • Forward leg 84 contacts the rear wall of cartridge 12 and rear leg 86 contacts the forward part of rear body 28 of drive member 14.
  • look member 80 has forward and rear depending prongs which engage the forward face of cartridge 12 and the rear wall of drive member 14, respectively. Operation of the embodiment shown in FIG. 15 is the same as described above.
  • Cartridge 12 and rear body 28 of the embodiment shown in FIGS. 16 and 17 each have an elongated vertical bore 88 and '90, substantially in the center thereof.
  • the lock member 92 of the embodiment is also squared and has two spaced parallel depending wire pins 94 and 96 each with its upper end embedded in the head of lock member 92. Pins 94 and 96 are appropriately spaced so that they are received by bores 88 and 90 when lock member 92 is assembled with unit 10.
  • Lock member 92 also has a forward prong which engages the front face of magazine 12 when the unit is assembled.
  • pins 94 and 96 prevent inadvertent relative movement between the drive member 14 and cartridge 12.
  • lock member 92 is withdrawn in the manner described about and unit 10 is ready for assembly.
  • FIGS. 8-l1 there is illustrated another embodiment of unitary assembly 1t) with like reference characters being used to identify corresponding parts.
  • the slots 18 and corresponding fingers 31) are horizontally disposed and aligned in a single vertical column. Operation of this embodiment and its cooperation with the instrument is the same as that described above, and the lock member used with an embodiment of this type would be that illustrated in FIGS. 16 and 17; the appropriate vertical bores in rear body 28 and cartridge 12 are shown in FIGURE 17.
  • Unit 160 comprises an elongated, U- shaped cartridge 102 which is provided with a plurality of parallel spaced slots 104 extending through each leg thereof.
  • Cartridge 102 is made of a plastic such as Lexan and the like and is provided with an enlarged nose 196 which facilitates easy insertion of the instrument into the hollow organ.
  • Each slot 104 comprises a wide stapleseating groove 1118, which is dimensioned to receive and guide a surgical staple 110, an intermediate width groove 112, and a narrow width groove 114.
  • the grooves communicate with each other and have vertically extending sidewalls which are flat, with the exception of two inwardly facing stops 116 located at the bottoms of the sidewalls of narrow groove 114.
  • a staple drive member 118 is provided near the top of each slot 104 behind the staple seated therein.
  • Each drive member has a square pusher plate 120 with a cylindrical intermediate button 122 symmetrically mounted on one face thereof and a smaller cam button 124 coaxially mounted thereon.
  • the thickness and width of pusher plate 120 is such that its back face lies flush against the outermost wall of slot 1% and a portion of its front face lies in sliding contact with the forward walls of intermediate groove 112. In this way, a pusher plate is positively guided during its downward movement by slot 104, and the bottom of pusher plate 120 engages the connecting leg of staple 110 to force said staple downward during the operation. of the instrument.
  • Intermediate button 122 cooperates with the sidewalls of narrow groove 114 and abuts against stops 116 when drive member 118 reaches its lowermost position. Moreover, stops 116 prevent the escape of the staple drive member 118 from cartridge 1&2. As better seen in FIG.
  • cam buttons 124 face inward and extend partially within the center space 126 of U-shaped cartridge 102. Cam buttons 124 are also spaced from top wall 193 of cartridge 102.
  • a med calinstrument generally indicated as 128 which comprises a lower elongated jaw clamp 130 tapered toward its forward end and having two upstanding outer walls 134 spaced from each other to define an elongated groove 132.
  • the top surface of each wall134 provides a clamping anvil surface with depressions 161 and has a plurality of upstanding and longitudinally spaced teeth 160 which aid in securing the clamped tissue.
  • Instrument 128 alsocomprises an elongated forward extending, U-shaped channel member 136 which has two fingers 138 mounted at the lower ends of its opposite legs.
  • the channel member 136 is dimensioned to slidably receive on its inner surface the entire unit 164 which when fully seated, receives fingers 138 in similarly recesses 140 located at the bottom rear of nose 106.
  • the top of nose 106 is slightly higher than the top 103 of cartridge 162, so that the unit 160 and channel member 136, when assembled, provided a smooth and continuous top surface so that snagging is avoided as the instrument is inserted or withdrawn from the organ. See FIG. 18.
  • Cartridge 100 also has a rearward extending ledge which fits in channel 147 on the instrument. Unit 164) is held fast on the instrument by locking pin 142, which passes through openings 144 in channel member 136 and into the recesses 146 of cartridge top 1112.
  • Instrument 128 also has an elongated axially movable operating rod 148 positioned in thehandle thereof and axially to the rear of channel member 136.
  • An inclined plane 150 is provided at the forward end of operating rod 148 and has a camming surface 152 at the bottom thereof.
  • Depending blade 154 has a forward cutting edge and is mounted beneath operating rod 148 slightly to the rear of the camming surface 152. As can be seen in the bottom view of FIG. 19, the operating rod 148, camming surface 152 and blade 154 are aligned with the center space 126 of cartridge 102.
  • the remaining structure of the instrument 128 including the handle and operating mechanisms can be of any conventional type, such as that disclosed in United States Patent No. 3,079,606. Operation of the instrument asiembling, rotating and locking mechanisms for the renaining part of instrument 128 can function in the same nanner as disclosed in said United States patent, and such itructure and operation does not form a part of the pres- :nt invention.
  • each pusher plate 120 is forced downward in its respective slot 104 whereby the lower end of plate 120 forces its associated staple 110 downward through groove 108.
  • the legs of staple 110 pierce the layers of tissue, they contact the depressions on the anvil surface of walls 134; the legs are turned inward and under as pusher plate 124) continues to lower in response to the moving camming surface 152.
  • Blade 154 immediately follows camming surface 152 during its forward travel and severs the prior stapled layers of tissue on a line exactly between the parallel rows of staples.
  • said safety lock member comprises a plastic head with a finger opening provided therein and said depending means comprises a forward prong, an intermediate prong and a rear prong which, when said safety lock member is assembled on said assembly contacts the back wall of said drive member, said intermediate prong fits between said drive member and the back wall of said cartridge, and said forward prong engages the front face of said cartridge.
  • said safety lock member comprises a head having an elongated U-shaped pin the legs of which are embedded in said head, whereby said elongated U-shaped pin extends between said drive member and the back wall of said cartridge when said safety lock is assembled thereon.
  • said drive member including a back planar portion, said finger elements extending perpendicularly to said back portion, said back portion defining the extreme rearward extent of said assembly.
  • a medical instrument for stapling organs and the like comprising a C-shaped jaw having an upstanding forward leg, an elongated instrument body connected to the rear of said jaw, a movable carrier member positioned within the mouth of said jaw and movable toward and away from said forward leg, an upstanding pusher head positioned within said carrier member and relatively movable thereto in a forward and rearward direction, an elongated operating rod connected to said pusher head and extending rearward through said elongated instrument body, a removable disposable staple carrying and ejection unitary assembly comprising a staple-holding cartridge provided with a plurality of slots extending through said cartridge, each slot being adapted to hold a surgical staple therein, said assembly further comprising a drive member having an elongated rear body positioned behind and spaced from the rear wall of said cartridge and having a plurality of drive blades extending from said rear body and each penetrating a respective one of said slots, said assembly being removably mounted on the forward end of said carrier member, an anvil
  • a staple-carrying cartridge for use with a medical stitching instrument and the like having a front face, a plurality of staple-seating slots extending through the cartridge and communicating with said front face, each side of said slot defining the width thereof having a groove therein to receive one leg of a staple, and the sides of said slot defining the thickness thereof being spaced a distance greater than the thickness of a staple adapted to be re ceived therein.
  • a staple cartridge assembly especially for use in a surgical stapling device, comprising: an elongate cartridge member having a longitudinal axis, a plurality of slots extending through said member perpendicularly to said axis, said slots being arranged in series along the direction of said axis, each of said slots being adapted to house a staple, a staple drive member including a plurality of finger elements each aligned. with a respective one of said slots, said drive member being reciprocable perpendicularly to said longitudinal axis with said finger elements extending through said slots, respective spacer means on said cartridge and drive members, a removable spacer member engageable and disengageable with said spacer means through movement in a. direction parallel to said longitudinal axis, said spacer member when engaged with said spacer means holding said cartridge and drive members in a fixed position relative to each other.

Description

W m7 T. M. O'DEA 3315,83
MEDI CAL INSTRUMENT Filed July 6, 1965 6 Sheets-Sheet 1 INVENTOR Thomas M. ODea ORNEYS' A ma T. M. O'DEA MEDICAL INSTRUMENT Filed July 6, 1965 6 Sheets-Sheet 2 INVENTOR 7360mm M. ODm
ATTORNEYS Apzrfill E5 31%? "a". M. omEA MEDICAL INSTRUMENT 6 SheerLs-Sheet INVENTOR Mamas M. 0 "0w w fi,
A ORNEYA) Filed July 6, 1965 April 25, 1967 r. M. ODEA MEDICAL INSTRUMENT Filed July 6, 1965 6 SheetsSheet 4 INJO IN VENTOR W8 0 0 rm-v WW .0 5 0 m m M my P 19G? T. M. O'DEA MEDICAL INSTRUMENT Filed July 6, 1965 6 Sheets-Sheet 5 INVENTOI? 4|1rrf, r:
Thomas M. O'Dea imymm fiwi A ORNEYS ww aw T. M. ODEA MEDICAL INSTRUMENT Apwili 5 13%3? 6 Sheets-Sheet 6 Filed July 6, 1965 R H O W M fi 90 W 0 M 5 1.. W W w m I .0: m9 mg 93 United States Patent Ofiice 3,315,861? Patented Apr. 25, 1967 3,315,863 MEDICAL INSTRUMENT Thomas M. ODea, Cheshire, onn., assignor to United States Surgical Corporation, Baltimore, Md., a corporation of Maryland Filed July 6, 1965, Ser. No. 469,650 16 Claims. (Cl. 227--19) The present invention relates to medical instruments of the type used for stitching hollow organs and the like and more particularly for stitching by applying and securing a series or charge of U-shaped staples.
Instruments of the type described have been developed which comprise a removable steel cartridge carrying a plurality of U-shaped staples in a predetermined relationship, which cartridge is adapted to be secured to a manually operated instrument body. The instrument normally comprises an operating rod at the forward end of which is arranged a plurality of thin fingers or 'bades which, when the instrument is assembled, coalign with the staple-holding slots in the cartridge. Operation of the instrument results in forcing the operating rod forward such that the fingers or blades penetrae the aligned slots and force the staples forward through the face of the cartridge. One such instrument is disclosed in United States Patent No. 3,080,564.
However, it has been found that the forward-extending blades or fingers are quite easily bent or deformed during the course of necessary handling, which results in a misalignment between the particular bent finger and its respective slot so that jamming of the instrument occurs. This jamming is quite detrimental because the surgeon does not know in advance that the instrument will jam, and the jamming takes place at a critical time of the surgery.
Anolher disadvantage is that when a cartridge of different slot configuration is desired or needed for the surgery, there is a necessity of replacing the operating rod with one that has a different finger or blade arrangement corresponding to the slot configuration of said cartridge. Since this correspondence must be selected by assistants or technicians, there is a greater chance for human error. Again, this inadvertent, erroneous selection results in jamming of the instrument at a critical point of the operation as described above.
Another disadvantage is that great care and time is required for cleaning and sterilizing the conventional operating rod because of the delicate blades mounted thereon.
Because the conventional cartridges are made of tinished steel, they cannot be economically discarded and resterilization and individual loading between uses is required.
It is now the practice in the art to ship the staples in their own package. Only when the staples arrive at their place of use are they loaded into the instrument cartridge. It is the present practice to use a tweezer or the like and manually insert each staple individually into a slot of the steel cartridge until it is completely loaded. As can be appreciated, this is a tedious and slow process and the chance for damaging the staples is great.
The present invention provides an apparatus which avoids all the disadvantages mentioned above.
Briefly stated, one embodiment of the present invention, in part, provides an inexpensive, disposable staplecarrying and ejection unit which is used for transporting the staples loaded therein during the factory assembling stage thereof; said unit comprises a plastic cartridge with a plurality of staple-storing slots and a drive member having a blade within each slot, also assembled therein prior to shipment. The unit remains in its sanitary package along with its associated color-coded anvil until use, at which time they are removed and assembled directly on the instrument.
The present invention also provides certain novel features regarding the cooperation of the unit and the instrument operating rod mechanism which enables the instrument to be used universally with many differently designed cartridges.
In another embodiment of the present invention, there is provided an elongated plastic cartridge of the type used in instruments for stapling gastro-intestinal anastomoses and the like. This embodiment is characterized by having one or more rows of spaced slots extending through the cartridge body and having individual pusher plates with cam operating buttons mounted on said slots behind the staples therein. Due to the camming action of the operating mechanism of the instrument, each pusher plate in succession is forced downward to effect the stapling action. After the entire charge of staples is spent, the instrument is withdrawn and the cartridge, with the pusher plates therein, is removed from the instrument and thrown away. Means are provided in each slot to prevent the escape of the pusher plates from the slots after the stapling operation is completed.
Other and further objects of the present invention will become apparent wiih the following detailed description when taken in view of the appended drawings in which:
IG. 1 is a side elevation of one embodiment of the present invention;
FIG. 2 is a rear elevation of the embodiment illustrated in FIG. 1;
FIG. 3 is a side elevation oer;
FIG. 4 is a front elevation of the staple magazine;
FIG. 5 is a front elevation of the driving member having the driving fingers thereon;
FIG. 6 is a sectional side elevation taken along line 6-6 of FIG. 4;
FIG. 7 is an exploded fragmentary view of one of the slots in the staple magazine;
FIG. 8 is a front elevation of present invention, wherein the arranged horizontally;
FIG. 9 is a front elevation of the drive member designed for use with the magazine illustrated in FIG. 8;
FIG. 10 is a sectional side elevation taken along line 10-10 of FIG. 8;
FIG. 11 is a top plan view of the embodiment shown in FIG. 8;
FIG. 12 illustrates the front jaw portion of the instrument (partially in section) with the magazine mounted thereon;
FIG. 13 is a top plan view partially in section of part of the instrument illustrated in FIG. 12;
FIG. 14 is a sectional top plan view taken along line 1'4-14 of FIG. 12; i
FIG. 15 is a side elevation of a staple magazine having yet another embodiment of the safety lock member;
FIG. '16 illustrates the staple magazine with yet a third embodiment of the safety lock member;
FIG. 17 is a sectional top plan view taken along line 17-17 of FIG. 16;
FIG. 18 is a fragmentary side elevation of yet another embodiment of the present invention and illustrates only the front portion of the instrument;
FIG. 19 is a partial sectional bottom view taken along line 19-19 of FIG. 18;
FIG. 20 is a top plan view of a fully loaded cartridge;
FIG. 21 is a fragmentary and sectional side view of the cartridge and instrument during operation;
FIG. 22 is a front sectional view taken along line 22- 22 of FIG. 21; and
of the removable lock memanother magazine of the staple seating slots are FIG. 23 is a perspective view of one of the pusher plates of the cartridge on FIG. 20.
Referring to the drawings in detail, there is illustrated in FIGS. 4, 5, 6 and 7 a first embodiment of the present invention which comprises a staple-carrying and ejection unit generally indicated as 10. Unit 10 comprises a staplecarrying cartridge 12 and associated stape drive member 14. Cartridge 12 is made of plastic such as Lexan, which is the registered trademark for a commercially available thermoplastic polycarbonate resin suitable as a molding or extrusion compound or any other material which is inexpensive but suitable for use as part of the organ clamp of the instrument. Cartridge 12 has a flat forward face 16 and bevelled vertical edges and is pro-' vided with a plurality of staggered slots 18 which extend through the cartridge body and which, in this embodiment, are arranged vertically in two parallel columns. As can be seen in FIG. 7, each slot has an enlarged central portion and two semicircular guide channels '19 oppositely positioned with regard to the long dimension of slot 18, wherein said guide channels .19 are shaped to receive each leg of staple 20 so as to positively guide the direction of movement of staple 20. The connecting leg of staple 20 extends across the enlarged portion of slot 18 and is spaced from the walls thereof. The top '22 of cartridge 12 is flat; however, a vertical groove 24 is defined on each side thereof; groove 24 and top 22 cooperate with the instrument in a manner described below. Two bores 26 also extend through cartridge 12 and function to seat U-shaped safety pin 42.
The staple drive member 14 is preferably made of metal and comprises a vertical rear body 28 and a plurality of pusher blades or fingers 30 extending from the front face thereof and arranged to be coaligned and partially inserted into each slot 18 of cartridge 12. The dimension of each finger 30 is such that it movably but snugly fits within its associated slot 18. Because of the enlarged portion of each slot 18, the thickness of each blade 30 is somewhat greater than the staple thickness so that the blades are more rugged and less easily deformed than would be the case if blades were only as thick as the staples. The length L of each finger (see FIG. 6) is sufficient to eject the staples beyond face 16 of the cartridge when pusher member l14 is operatively forced forward.
Referring now to FIGS. 1, 2 and 3, there is illustrated a fully loaded unit 10 prepared for shipment in a conventional sterile container (not shown). During manufacturing and assembly of unit 10, a three-pronged safety lock member 34 having a head with a finger opening 36 is assembled in locking engagement with the unit .10. Lock member 34 is preferably plastic and comprises three depending and spaced prongs 36, 38 and 40; the dimensions of these prongs and the spaces therebetween are such that the central prong 38 snugly fits between the rear body 28 and the rear face of cartridge 12 to prevent additional penetration of fingers 30 within cartridge 12. As can be seen in FIG. 1, the short, rearmost prong 36 overlaps rear body 28 while the forward prong engages the forward face 16. In this way, inadvertent relative movement between the drive member 14 and cartridge 12 is prevented during shipment of loaded unit. Thus, the sterilization of unit 10 need only be done once during manufacture and assembly thereof.
Since there are many cartridges with diiferent slot arrangements, each unit 10 is packaged along with its associated anvil, and to ensure a proper match, the unit and associated anvil are color coded. Anvil 49 has an elongated body with depressions 54 arranged on its front face which align with slots :18 when the instrument is ready for use. An elongated side groove serves to seat anvil 49 on the instrument, and any conventional means can be provided on anvil 49 to retain it thereon; for example, a leaf spring can be mounted on the back wall thereof which presses [against the forward leg of the C-clamp when the anvil is assembled.
Referring now to FIGS. 12, 13 and 14, there is illustrated the forward part of the stitching instrument which comprises jaw member 50 the forward leg of which has provided at its upper end two inwardly turned flanges 15 which receive the grooves of anvil 49. A U-shaped instrument body 55 is connected to the other leg of jaw 50 and has upstanding cars 61 mounted at the forward end thereof; each ear has a longitudinal groove 63 defined on its inner side for the purpose to be described below. Slidably nestling within U-shaped body 55 is a rectangular hollow tube 56 which serves to house and guide the operating rod 58 which is axially movable therein. There is mounted at the forward end of push rod 58 an elongated, vertically extending U-shaped pusher head 60, better seen in FIGS 12 and 14.
A carrier member 62 having spaced sidewalls 64 and 66 with enlarged forward flanges 68 is integrally connected to tube 56 and has its lower end shaped to ride on guide track 70 defined on the inside bottom of jaw member 50. Two parallel bores 72 extend in a forward direction within the upper ledge of carrier member 62 for the purpose of receiving the legs of U-shaped locking pin 42. In this regard it should be noted that bores 72 are axially aligned with bores 26 in cartridge 12 and that pin 42 is intended to extend longitudinally through both aligned bores.
Integral with the rear of carrier member 62 and the forward end of hollow tube 56 is an upstanding part 57 which has a guide pin 59 extending from the side thereof and slidably arranged in the respective grooves 63 of cars 60 and 61. Pins 59 ensure a guided forward and rearward motion of the carrier member 62 and prevent any relative vertical movement between carrier member 62 and jaw 50.
Assembly and operation of the present invent-ion will now be described. Prior to sterilization, cartridge 12 is machine loaded with a charge of staples 20 and staple drive member 14 is assembled the-rein along with safety lock member 34 in the manner as shown in FIG. 1. This entire assembly is then packaged along with sterilized anvil 49 in a conventional sanitary shipping container (not shown). Inadvertent relative movement between drive member 14 and cartridge 12 is prevented by the safety lock member 34 as described above. When the package arrives at the hospital it can be stored until it is to be used at which time the sanitary shipping package is opened and its contents placed in a sterile environment for immediate availability during the surgical operation. After the patient is fully prepared, the safety lock member 34 is manually withdrawn and discarded. Anvil 49 is mounted in place on leg 52. The corresponding color coded cartridge assembly 10 is then inserted in operating position at the forward end of the carrier member 62 by sliding unit 10 in the direction of arrows which are stamped thereon (see FIG. 12) with grooves 24 sliding over the enlarged flanges 68. The'vertical position of unit 10 is determined by the top of flange 68 against the overhang or top of groove 24. After unit 10 is thus seated, the legs of U-shaped pin 42 are inserted through aligned bores 72 and 26 so that unitary assembly 10 is aligned and locked in operating position. As seen in FIG. 14, when unit 10 is in operating position, the rear body 28 of drive member 14 is disposed in the space between the sidewalls 64 and 66 of carrier member 62 and is aligned with and spaced from the cavity of head 61).
During use, the hollow tube 56 is pushed forwardly so that the front face 16 of cartridge 12 can cooperate with the anvil 49 to clamp the organ in proper position. Next, the operating rod 58 is forced forwardly so that the U-shaped head 60 cups around the rear body 28 of drive member 14 and pushes this member forwardly which in turn drives each finger 30 forwardly within slots 18. In this way, each staple 20 is driven from its respective slot 18 forwardly into the organ and upon contacting its corresponding anvil depression 54, the staple legs are turned under into a permanently clamping shape. The staples 20 are moved forwardly until their rearmost parts clear the forward face 16 of cartridge 12. The mechanism of the instrument for moving operating rod 58 and hollow tube 56 in a forward direction can be of any suitable type, for example, that disclosed in United States Patent No. 3,080,564.
Next, the hollow tube 56 is drawn to the rear so that the clamping action between front face 16 and anvil 49 ceases relative to the stitched organ. After the instrument has been once used for a patient, the entire spent unit and anvil 49 are removed and discarded. The instrument is then ready to be recharged with another fully loaded unit 10 which can be easily and quickly assembled on carrier member 62 in the manner set forth above.
Referring now to FIGS. 15, 16 and 17, there are shown further embodiments of the safety lock member 34 of FIGURE 1. In FIG. 15, safety lock member 80 has a squared head and comprises an elongated, depending U- shaped pin 82 having its upstanding legs embedded in the plastic head portion of lock member 80. Forward leg 84 contacts the rear wall of cartridge 12 and rear leg 86 contacts the forward part of rear body 28 of drive member 14. As in the embodiment disclosed in FIG. 1, look member 80 has forward and rear depending prongs which engage the forward face of cartridge 12 and the rear wall of drive member 14, respectively. Operation of the embodiment shown in FIG. 15 is the same as described above.
Cartridge 12 and rear body 28 of the embodiment shown in FIGS. 16 and 17 each have an elongated vertical bore 88 and '90, substantially in the center thereof. The lock member 92 of the embodiment is also squared and has two spaced parallel depending wire pins 94 and 96 each with its upper end embedded in the head of lock member 92. Pins 94 and 96 are appropriately spaced so that they are received by bores 88 and 90 when lock member 92 is assembled with unit 10. Lock member 92 also has a forward prong which engages the front face of magazine 12 when the unit is assembled.
Operation of the embodiment illustrated in FIGS. 16 and 17 is apparent from the above description and it can be seen that pins 94 and 96 prevent inadvertent relative movement between the drive member 14 and cartridge 12. When it is time to assemble unit 10 on the stitching instrument, lock member 92 is withdrawn in the manner described about and unit 10 is ready for assembly.
Referring to FIGS. 8-l1, there is illustrated another embodiment of unitary assembly 1t) with like reference characters being used to identify corresponding parts. In
this embodiment, the slots 18 and corresponding fingers 31) are horizontally disposed and aligned in a single vertical column. Operation of this embodiment and its cooperation with the instrument is the same as that described above, and the lock member used with an embodiment of this type would be that illustrated in FIGS. 16 and 17; the appropriate vertical bores in rear body 28 and cartridge 12 are shown in FIGURE 17.
It should be understood that any desired number or arrangement of slots can be provided in cartridge 12 without departing from the spirit of the present invention and that the particular embodiments disclosed are only by way of example. However, it is within the purview of the present invention to provide an operating rod which can be used with any or all the cartridge embodiments notwithstanding their differing slot arrangements.
Referring now to FIGS. 18-23, there is illustrated another embodiment of the present invention which comprises a staple carrying and ejection unit generally indicated as 100. Unit 160 comprises an elongated, U- shaped cartridge 102 which is provided with a plurality of parallel spaced slots 104 extending through each leg thereof. Cartridge 102 is made of a plastic such as Lexan and the like and is provided with an enlarged nose 196 which facilitates easy insertion of the instrument into the hollow organ. Each slot 104 comprises a wide stapleseating groove 1118, which is dimensioned to receive and guide a surgical staple 110, an intermediate width groove 112, and a narrow width groove 114. The grooves communicate with each other and have vertically extending sidewalls which are flat, with the exception of two inwardly facing stops 116 located at the bottoms of the sidewalls of narrow groove 114.
A staple drive member 118 is provided near the top of each slot 104 behind the staple seated therein. Each drive member has a square pusher plate 120 with a cylindrical intermediate button 122 symmetrically mounted on one face thereof and a smaller cam button 124 coaxially mounted thereon. As seen in the figures, the thickness and width of pusher plate 120 is such that its back face lies flush against the outermost wall of slot 1% and a portion of its front face lies in sliding contact with the forward walls of intermediate groove 112. In this way, a pusher plate is positively guided during its downward movement by slot 104, and the bottom of pusher plate 120 engages the connecting leg of staple 110 to force said staple downward during the operation. of the instrument. Intermediate button 122 cooperates with the sidewalls of narrow groove 114 and abuts against stops 116 when drive member 118 reaches its lowermost position. Moreover, stops 116 prevent the escape of the staple drive member 118 from cartridge 1&2. As better seen in FIG.
22, the cam buttons 124 face inward and extend partially within the center space 126 of U-shaped cartridge 102. Cam buttons 124 are also spaced from top wall 193 of cartridge 102.
Referring to FIGS. 18 and 19, there is illustrated a med calinstrument generally indicated as 128 which comprises a lower elongated jaw clamp 130 tapered toward its forward end and having two upstanding outer walls 134 spaced from each other to define an elongated groove 132. The top surface of each wall134 provides a clamping anvil surface with depressions 161 and has a plurality of upstanding and longitudinally spaced teeth 160 which aid in securing the clamped tissue.
Instrument 128 alsocomprises an elongated forward extending, U-shaped channel member 136 which has two fingers 138 mounted at the lower ends of its opposite legs. The channel member 136 is dimensioned to slidably receive on its inner surface the entire unit 164 which when fully seated, receives fingers 138 in similarly recesses 140 located at the bottom rear of nose 106. Because the top of nose 106 is slightly higher than the top 103 of cartridge 162, so that the unit 160 and channel member 136, when assembled, provided a smooth and continuous top surface so that snagging is avoided as the instrument is inserted or withdrawn from the organ. See FIG. 18. Cartridge 100 also has a rearward extending ledge which fits in channel 147 on the instrument. Unit 164) is held fast on the instrument by locking pin 142, which passes through openings 144 in channel member 136 and into the recesses 146 of cartridge top 1112.
Instrument 128 also has an elongated axially movable operating rod 148 positioned in thehandle thereof and axially to the rear of channel member 136. An inclined plane 150 is provided at the forward end of operating rod 148 and has a camming surface 152 at the bottom thereof. Depending blade 154 has a forward cutting edge and is mounted beneath operating rod 148 slightly to the rear of the camming surface 152. As can be seen in the bottom view of FIG. 19, the operating rod 148, camming surface 152 and blade 154 are aligned with the center space 126 of cartridge 102.
The remaining structure of the instrument 128 including the handle and operating mechanisms can be of any conventional type, such as that disclosed in United States Patent No. 3,079,606. Operation of the instrument asiembling, rotating and locking mechanisms for the renaining part of instrument 128 can function in the same nanner as disclosed in said United States patent, and such itructure and operation does not form a part of the pres- :nt invention.
The operation of this'embodiment of the present invenliOn will now be described. During the manufacturing and assembly of unit 100, all assembled parts thereof are sterilized and packaged in appropriate sanitary containers, which are used for shipping unit 100 from the place of manufacturing to the hospital. Such package can be stored for any length of time at the hospital until required for use; at which time, the package is opened and unit 160 removed and subsequently assembled on channel member 136 of the instrument. Locking pin 142 is inserted through openings 144 into recesses 146 to lock unit 160 in operating position on the instrument.
As the upper jaw is inserted within the hollow organ, nose 1% presents a rounded, smooth surface so that snagging is prevented. After the upper jaw of the instrument is in place, the lower jaw 130 is moved upward so that the anvil surface thereon clamps the tissue in cooperation with the lower surfaces of cartridge 102. As seen in FIG. 21, the two layers of tissue are thus clamped in overlapping relation. When the surgeon is satisfied that the tissue is properly clamped, the operating rod 148 is forced forward by any conventional means, for example, that disclosed in United States Patent No. 3,079,606. As the camming surface 152 of the inclined plane 150 engages each successive cam button 124, the latter is forced downward due to the relative movement between said surface and said button. In this manner, each pusher plate 120 is forced downward in its respective slot 104 whereby the lower end of plate 120 forces its associated staple 110 downward through groove 108. After the legs of staple 110 pierce the layers of tissue, they contact the depressions on the anvil surface of walls 134; the legs are turned inward and under as pusher plate 124) continues to lower in response to the moving camming surface 152. Blade 154 immediately follows camming surface 152 during its forward travel and severs the prior stapled layers of tissue on a line exactly between the parallel rows of staples.
After all staples are securely clamped, lower jaw 13%) is disengaged, and the instrument is withdrawn toward the rear. Stop members 116 in slots 1194 prevent any of the pusher members from accidentally falling from the slots.
After the instrument has been removed from the organ, unit 100 is removed and disposed of. At this time, the instrument is prepared to receive another fully loaded unit 106.
It should be understood that other and further modifications could be made to the herein disclosed embodiments without departing from the spirit and scope of the present invention.
What is claimed is:
1. A disposable unitary staple cartridge assembly, especially for use in a surgical stapling device, compris- "ing: a cartridge member, a plurality of slots extending through said member adapted to hold a staple therein having a back end located intermediate the ends of the slot, a staple drive member including a plurality of finger elements, said drive member being aligned relative to said cartridge member by means of said fingers extending to a substantial extent into respective ones of said slots and into abutting relation with the back end of each staple, mounting means on said cartridge member for mounting said assembly as a unit on a stapling device.
2. The cartridge assembly as set forth in claim 1, further comprising a safety lock member comprising depending means, said depending means slidably engaging said cartridge and drive member forpreventing inadvertent relative movement between said drive member and said cartridge.
3. The cartridge assembly of claim 2, wherein said safety lock member comprises a plastic head with a finger opening provided therein and said depending means comprises a forward prong, an intermediate prong and a rear prong which, when said safety lock member is assembled on said assembly contacts the back wall of said drive member, said intermediate prong fits between said drive member and the back wall of said cartridge, and said forward prong engages the front face of said cartridge.
4. The cartridge assembly of claim 2, wherein said safety lock member comprises a head and said depending means comprises a first and second parallel spaced pair of pins having their upper ends embedded in said head, said drive member and said cartridge each being provided with a vertical bore extending partially therethrough and adapted to receive said pins when said safety lock member is assembled thereon.
5. The cartridge assembly of claim 2, wherein said safety lock member comprises a head having an elongated U-shaped pin the legs of which are embedded in said head, whereby said elongated U-shaped pin extends between said drive member and the back wall of said cartridge when said safety lock is assembled thereon.
6. The unitary assembly of claim 1, said drive member including a back planar portion, said finger elements extending perpendicularly to said back portion, said back portion defining the extreme rearward extent of said assembly.
7. A staple-carrying and ejection unit as set forth in claim 1 wherein the forward face of the cartridge has outward and rearward extending bevelled side edges.
8. A medical instrument for stapling organs and the like comprising a C-shaped jaw having an upstanding forward leg, an elongated instrument body connected to the rear of said jaw, a movable carrier member positioned within the mouth of said jaw and movable toward and away from said forward leg, an upstanding pusher head positioned within said carrier member and relatively movable thereto in a forward and rearward direction, an elongated operating rod connected to said pusher head and extending rearward through said elongated instrument body, a removable disposable staple carrying and ejection unitary assembly comprising a staple-holding cartridge provided with a plurality of slots extending through said cartridge, each slot being adapted to hold a surgical staple therein, said assembly further comprising a drive member having an elongated rear body positioned behind and spaced from the rear wall of said cartridge and having a plurality of drive blades extending from said rear body and each penetrating a respective one of said slots, said assembly being removably mounted on the forward end of said carrier member, an anvil provided with a plurality of depressions correspondingly arranged in association with the slot arrangement of said cartridge, means for mounting said anvil on the rear face of said forward leg such that said depressions face said carrier member, whereby the organ to be stitched may be clamped between the forward face of said cartridge and said anvil when said carrier member is moved forward, after which said operating rod is forced forward and said pusher head engages said rear body of said drive member, forcing the same forward to effect the ejection of each said staple in said cartridge.
9. A staple-carrying cartridge for use with a medical stitching instrument and the like having a front face, a plurality of staple-seating slots extending through the cartridge and communicating with said front face, each side of said slot defining the width thereof having a groove therein to receive one leg of a staple, and the sides of said slot defining the thickness thereof being spaced a distance greater than the thickness of a staple adapted to be re ceived therein.
10. A staple-carrying and ejection unit for use with a medical instrument for stapling organs and the like cornprising a removable disposable unitary cartridge assembly including an elongated U-shaped staple-holding cartridge and a staple drive member, said cartridge comprising mounting means for mounting said assembly on the instrument and provided with a plurality of slots extending therethrough, each slot being adapted to hold a surgical staple therein, said cartridge having a face adapted to contact the organ to be stapled, said drive member being positionable at least partially within each slot with a respective staple also positioned therein and said member being movable relative to said cartridge, said staple drive member being so positioned in said cartridge prior to the mounting of the assembly on the instrument, said drive member comprising a plurality of pusher plates each mounted within one of said slots behind a surgical staple therein, and cam means mounted on each said pusher plate and extending toward the center plane of said cartridge.
11. A staple-carrying and ejection unit as set forth in claim 10, wherein each slot comprises a staple-seating groove and a communicating narrower but thicker channel in which each said pusher plate is movably positioned whereby the thickness of said pusher plate is greater than the thickness of said staple and wherein said cam means comprises a cam button mounted on said pusher plate.
12. A staple-carrying and ejection unit as set forth in claim 11, wherein said slot further comprises an innermost mouth having vertical walls and being narrower than said channel, said mouth having inwardly facing stop means at the bottom thereof, and a cylindrical stop button mounted between said pusher plate and said cam button having a dimension such that its downward movement is arrested by said stop means to prevent the escape of said pusher plate from said slot.
13. A staple-carrying and ejection unit as set forth in claim 12, wherein said cartridge is made of plastic and comprises an enlarged smooth-surfaced nose which, in cooperation with said U-shaped member, presents smooth surfaces to prevent snagging when said instrument is being inserted or withdrawn from the organ.
14. A medical instrument comprising an elongated U-shaped member, handle means connected to one end of said U-shaped member, a removable disposable unitary cartridge assembly including an elongated U-shaped cartridge and a pusher plate, said assembly being removably mounted to said U-shaped member, a plurality of parallel slots arranged in each leg of said U-shaped cartridge and communicating with the bottom surface of said legs and the center space of said U-shaped cartridge, each said slot being adapted to hold a surgical staple near the bottom thereof and a pusher plate slidably mounted in each said slot and adapted to force a staple in a downward. direction when said pusher plate is moved downward, cam means mounted on each said pusher plate and extending into the center space of said U-shaped cartridge but being spaced from the cam means extending into said space from the pusher plate in the opposite leg of said cartridge, said instrument further comprising an elongated clamping jaw having at least one anvil surface thereon which cooperates with the bottom surfaces of the legs of said U-shaped cartridge to clamp the tissue to be stapled, means mounted on said anvil surface for turning the legs of the driven staples inward upon contacting thereof, said instrument further comprising an operating rod axially movable through said U-shaped cartridge and having a cam member mounted on the forward end thereof, said cam member successively engaging each of said cam means and forcing the latter downward in response to the axial movement of said operating rod through the U-shaped cartridge, and means for retaining said U-shaped cartridge on said U-shaped member.
15. A medical stitching instrument comprising a cartridge assembly support, a removable unitary cartridge assembly comprising a plastic cartridge removably mounted on said support and having a face adapted to engage an organ and the like, a plurality of slots arranged in said cartridge and communicating with said face, each said slot being adapted to hold a surgical staple therein, a pusher positionable in each said slot behind the staple therein prior to the assembly of said cartridge on said support, said instrument further comprising an anvil relatively movable with respect to said face and cooperating therewith to clamp the organ, said anvil having means thereon aligned with each said slot for contacting said staple after the latter has been ejected from said slot and means for moving said pusher in said slots to eject said staples.
16. A staple cartridge assembly, especially for use in a surgical stapling device, comprising: an elongate cartridge member having a longitudinal axis, a plurality of slots extending through said member perpendicularly to said axis, said slots being arranged in series along the direction of said axis, each of said slots being adapted to house a staple, a staple drive member including a plurality of finger elements each aligned. with a respective one of said slots, said drive member being reciprocable perpendicularly to said longitudinal axis with said finger elements extending through said slots, respective spacer means on said cartridge and drive members, a removable spacer member engageable and disengageable with said spacer means through movement in a. direction parallel to said longitudinal axis, said spacer member when engaged with said spacer means holding said cartridge and drive members in a fixed position relative to each other.
References Cited by the Examiner UNITED STATES PATENTS 2,632,889 3/1953 Beecroft 227- 3,017,637 1/ 1962 Sampson. 3,079,606 3/1963 Bobrov et a1. 3,080,564 3/1963 Strekopitov et al. 3,144,654 8/1964 Mallins et al. 227-l9 3,191,842 6/1965 Fischer et a1.
FOREIGN PATENTS 1,237,035 6/ 1960 France.
618,922 9/1935 Germany.
GRANVILLE Y. CUSTER, JR., Primary Examiner.

Claims (1)

  1. 8. A MEDICAL INSTRUMENT FOR STAPLING ORGANS AND THE LIKE COMPRISING A C-SHAPED JAW HAVING AN UPSTANDING FORWARD LEG, AN ELONGATED INSTRUMENT BODY CONNECTED TO THE REAR OF SAID JAW, A MOVABLE CARRIER MEMBER POSITIONED WITHIN THE MOUTH OF SAID JAW AND MOVABLE TOWARD AND AWAY FROM SAID FORWARD LEG, AN UPSTANDING PUSHER HEAD POSITIONED WITHIN SAID CARRIER MEMBER AND RELATIVELY MOVABLE THERETO IN A FORWARD AND REARWARD DIRECTION, AN ELONGATED OPERATING ROD CONNECTED TO SAID PUSHER HEAD AND EXTENDING REARWARD THROUGH SAID ELONGATED INSTRUMENT BODY, A REMOVABLE DISPOSABLE STAPLE CARRYING AND EJECTION UNITARY ASSEMBLY COMPRISING A STAPLE-HOLDING CARTRIDGE PROVIDED WITH A PLURALITY OF SLOTS EXTENDING THROUGH SAID CARTRIDGE, EACH SLOT BEING ADAPTED TO HOLD A SURGICAL STAPLE THEREIN, SAID ASSEMBLY FURTHER COMPRISING A DRIVE MEMBER HAVING AN ELONGATED REAR BODY POSITIONED BEHIND AND SPACED FROM THE REAR WALL OF SAID CARTRIDGE AND HAVING A PLURALITY OF DRIVE BLADES EXTENDING FROM SAID REAR BODY AND EACH PENETRATING A RESPECTIVE ONE OF SAID SLOTS, SAID ASSEMBLY BEING REMOVABLY MOUNTED ON THE FORWARD END OF SAID CARRIER MEMBER, AN ANVIL PROVIDED WITH A PLURALITY OF DEPRESSIONS CORRESPONDINGLY ARRANGED IN ASSOCIATION WITH THE SLOT ARRANGEMENT OF SAID CARTRIDGE, MEANS FOR MOUNTING SAID ANVIL ON THE REAR FACE OF SAID FORWARD LEG SUCH THAT SAID DEPRESSIONS FACE SAID CARRIER MEMBER, WHEREBY THE ORGAN TO BE STITCHED MAY BE CLAMPED BETWEEN THE FORWARD FACE OF SAID CARTRIDGE AND SAID ANVIL WHEN SAID CARRIER MEMBER IS MOVED FORWARD, AFTER WHICH SAID OPERATING ROD IS FORCED FORWARD AND SAID PUSHER HEAD ENGAGES SAID REAR BODY OF SAID DRIVE MEMBER, FORCING THE SAME FORWARD TO EFFECT THE EJECTION OF EACH SAID STAPLE IN SAID CARTRIDGE.
US469650A 1965-07-06 1965-07-06 Medical instrument Expired - Lifetime US3315863A (en)

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Application Number Priority Date Filing Date Title
US469650A US3315863A (en) 1965-07-06 1965-07-06 Medical instrument
SE7408204*3A SE376166B (en) 1965-07-06 1966-07-05
SE7215436*3A SE390105B (en) 1965-07-06 1966-07-05 SUTURING INSTRUMENT LEMPAT FOR INBOARD CONNECTION OF ESSENTIAL CHANNEL-BODY BODIES
CH978166A CH450623A (en) 1965-07-06 1966-07-06 Stapling instrument with staple cartridge for suturing hollow organs or the like
GB30354/66A GB1158111A (en) 1965-07-06 1966-07-06 Surgical Stapling Instruments And Staple Magazines Therefor
GB708069A GB1158113A (en) 1965-07-06 1966-07-06 Surgical Stapling Instruments
DE19661541176 DE1541176B1 (en) 1965-07-06 1966-07-06 Container for receiving and dispensing staples for suturing organs using a surgical instrument
GB707969A GB1158112A (en) 1965-07-06 1966-07-06 Surgical Stapling Instruments
FR68467A FR1498424A (en) 1965-07-06 1966-07-06 Medical instrument for staple suture

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US3315863A true US3315863A (en) 1967-04-25

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DE (1) DE1541176B1 (en)
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Cited By (329)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3490675A (en) * 1966-10-10 1970-01-20 United States Surgical Corp Instrument for placing lateral gastrointestinal anastomoses
US3499591A (en) * 1967-06-23 1970-03-10 United States Surgical Corp Instrument for placing lateral gastro-intestinal anastomoses
US3604561A (en) * 1969-08-07 1971-09-14 Codman & Shurtleff Multiple stapler cartridge
US4212390A (en) * 1977-10-20 1980-07-15 Propper Manufacturing Co., Inc. Wound clip rack
US4354628A (en) * 1980-09-29 1982-10-19 United States Surgical Corporation Surgical stapler apparatus having pivotally related staple holder and anvil
DE3152410A1 (en) * 1980-09-29 1982-11-04 United States Surgical Corp SURGICAL STAPLER APPARATUS HAVING PIVOTALLY RELATED STAPLE HOLDER AND ANVIL
US4378901A (en) * 1980-05-22 1983-04-05 Akopov Ernest M Apparatus for applying a staple suture
US4383634A (en) * 1981-05-26 1983-05-17 United States Surgical Corporation Surgical stapler apparatus with pivotally mounted actuator assemblies
FR2517534A1 (en) * 1981-12-07 1983-06-10 Senco Products SURGICAL STAPLING INSTRUMENT
US4402444A (en) * 1981-04-20 1983-09-06 United States Surgical Corporation Surgical stapling instrument with automatic frame reinforcement
US4508253A (en) * 1983-10-04 1985-04-02 United States Surgical Corporation Surgical fastener applying apparatus
US4520817A (en) * 1980-02-05 1985-06-04 United States Surgical Corporation Surgical instruments
US4527724A (en) * 1983-06-10 1985-07-09 Senmed, Inc. Disposable linear surgical stapling instrument
US4568009A (en) * 1984-01-20 1986-02-04 United States Surgical Corporation Surgical fastener applying apparatus
US4596351A (en) * 1983-08-19 1986-06-24 Vsesojuzny Nauchno-Issledovatelsky I Ispytatelny Institut Meditsinskoi Tekhniki Surgical stapling apparatus
US4603693A (en) * 1977-05-26 1986-08-05 United States Surgical Corporation Instrument for circular surgical stapling of hollow body organs and disposable cartridge therefor
US4605001A (en) * 1984-10-19 1986-08-12 Senmed, Inc. Surgical stapling instrument with dual staple height mechanism
US4608981A (en) * 1984-10-19 1986-09-02 Senmed, Inc. Surgical stapling instrument with staple height adjusting mechanism
US4610383A (en) * 1983-10-14 1986-09-09 Senmed, Inc. Disposable linear surgical stapler
US4633861A (en) * 1984-10-19 1987-01-06 Senmed, Inc. Surgical stapling instrument with jaw clamping mechanism
US4633874A (en) * 1984-10-19 1987-01-06 Senmed, Inc. Surgical stapling instrument with jaw latching mechanism and disposable staple cartridge
US4665916A (en) * 1985-08-09 1987-05-19 United States Surgical Corporation Surgical stapler apparatus
US4754758A (en) * 1986-04-14 1988-07-05 American Cyanamid Company Surgical closure device
EP0273468A2 (en) * 1981-12-22 1988-07-06 HOSPITAL Products Limited Surgical stapling instrument
US4809695A (en) * 1981-10-21 1989-03-07 Owen M. Gwathmey Suturing assembly and method
US4821939A (en) * 1987-09-02 1989-04-18 United States Surgical Corporation Staple cartridge and an anvilless surgical stapler
US5221036A (en) * 1991-06-11 1993-06-22 Haruo Takase Surgical stapler
US5405073A (en) * 1993-12-06 1995-04-11 Ethicon, Inc. Flexible support shaft assembly
US5452837A (en) * 1994-01-21 1995-09-26 Ethicon Endo-Surgery, Inc. Surgical stapler with tissue gripping ridge
US5452836A (en) * 1994-02-07 1995-09-26 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with improved jaw closure and staple firing actuator mechanism
US5465894A (en) * 1993-12-06 1995-11-14 Ethicon, Inc. Surgical stapling instrument with articulated stapling head assembly on rotatable and flexible support shaft
US5489058A (en) * 1994-05-02 1996-02-06 Minnesota Mining And Manufacturing Company Surgical stapler with mechanisms for reducing the firing force
US6010054A (en) * 1996-02-20 2000-01-04 Imagyn Medical Technologies Linear stapling instrument with improved staple cartridge
US6315183B1 (en) * 1998-09-02 2001-11-13 Hadi A. Piraka Disposable surgical stapler cartridge
WO2002083008A2 (en) * 2001-04-17 2002-10-24 Scimed Life Systems, Inc. Integrated surgical staple retainer for a full thickness resectioning device
US20030125717A1 (en) * 2001-12-04 2003-07-03 Whitman Michael P. System and method for calibrating a surgical instrument
US20040007608A1 (en) * 2000-10-13 2004-01-15 Ehrenfels Karl H. Surgical fastener applying apparatus
US20040094597A1 (en) * 2002-06-14 2004-05-20 Whitman Michael P. Surgical device
US20040149802A1 (en) * 1999-07-12 2004-08-05 Whitman Michael P. Expanding parallel jaw device for use with an electromechanical driver device
US20040153124A1 (en) * 1999-06-02 2004-08-05 Whitman Michael P. Electromechanical driver and remote surgical instrument attachment having computer assisted control capabilities
US20040267311A1 (en) * 2001-10-05 2004-12-30 Viola Frank J. Surgical stapling apparatus and method
US20050222616A1 (en) * 2001-10-05 2005-10-06 Rethy Csaba L Surgical fastener applying apparatus
US20060049231A1 (en) * 2004-07-30 2006-03-09 Leiboff Arnold R Surgical stapling instrument and method for its use
US20060097027A1 (en) * 2002-05-28 2006-05-11 Temedco, Ltd. Surgical stapling device
US20070095877A1 (en) * 2000-10-13 2007-05-03 Racenet David C Surgical stapling device
US20070125827A1 (en) * 2002-05-10 2007-06-07 Tyco Healthcare Group Lp Surgical stapling apparatus having a wound closure material applicator assembly
US7296722B2 (en) 2003-10-17 2007-11-20 Tyco Healthcare Group Lp Surgical fastener applying apparatus with controlled beam deflection
US20090302093A1 (en) * 2008-06-04 2009-12-10 Tyco Healthcare Group Lp Attachable clamp for surgical stapler
US7695485B2 (en) 2001-11-30 2010-04-13 Power Medical Interventions, Llc Surgical device
US20100282818A1 (en) * 2009-05-06 2010-11-11 Danyel Racenet Pin locking mechanism for a surgical instrument
US20110068147A1 (en) * 2008-05-05 2011-03-24 Danyel Racenet Surgical instrument with sequential clamping and cutting
US7918230B2 (en) 2007-09-21 2011-04-05 Tyco Healthcare Group Lp Surgical device having a rotatable jaw portion
US7951071B2 (en) 1999-06-02 2011-05-31 Tyco Healthcare Group Lp Moisture-detecting shaft for use with an electro-mechanical surgical device
US7963433B2 (en) 2007-09-21 2011-06-21 Tyco Healthcare Group Lp Surgical device having multiple drivers
US8016855B2 (en) 2002-01-08 2011-09-13 Tyco Healthcare Group Lp Surgical device
US8025199B2 (en) 2004-02-23 2011-09-27 Tyco Healthcare Group Lp Surgical cutting and stapling device
US20110233261A1 (en) * 2010-03-25 2011-09-29 Ramesh Srinivasa Rao Pin alignment assembly for surgical stapler
US8348124B2 (en) 2011-02-08 2013-01-08 Covidien Lp Knife bar with geared overdrive
US8353436B2 (en) 2009-05-06 2013-01-15 Covidien Lp Pin locking mechanism for a surgical instrument
US8393516B2 (en) 2009-02-26 2013-03-12 Covidien Lp Surgical stapling apparatus with curved cartridge and anvil assemblies
US8397972B2 (en) * 2011-03-18 2013-03-19 Covidien Lp Shipping wedge with lockout
US8940000B2 (en) 2010-05-12 2015-01-27 Covidien Lp Surgical instruments with flexible member attachment structures
US9022273B1 (en) * 2011-01-04 2015-05-05 Covidien Lp Surgical fastener-applying apparatuses with sequential firing
US9113878B2 (en) 2002-01-08 2015-08-25 Covidien Lp Pinion clip for right angle linear cutter
US9775611B2 (en) 2015-01-06 2017-10-03 Covidien Lp Clam shell surgical stapling loading unit
US20170333036A1 (en) * 2014-07-01 2017-11-23 Covidien Lp Loading unit including shipping assembly
US9855040B2 (en) 2015-03-04 2018-01-02 Covidien Lp Surgical stapling loading unit having articulating jaws
USD814632S1 (en) 2016-10-21 2018-04-03 Covidien Lp Staple cartridge
US10631866B2 (en) 2018-02-06 2020-04-28 Ethicon Llc Release mechanism for linear surgical stapler
US10667818B2 (en) 2018-02-06 2020-06-02 Ethicon Llc Lockout assembly for linear surgical stapler
US10687819B2 (en) 2018-02-06 2020-06-23 Ethicon Llc Clamping mechanism for linear surgical stapler
US10702269B2 (en) 2014-12-25 2020-07-07 Covidien Lp Surgical stapling devices
EP3730069A1 (en) * 2019-04-26 2020-10-28 Ethicon LLC Staple retainer for surgical stapler cartridge
US10874398B2 (en) 2018-02-06 2020-12-29 Ethicon Llc Firing lever assembly for linear surgical stapler
US10898197B2 (en) 2018-02-06 2021-01-26 Ethicon Llc Releasable coupling features for proximal portions of linear surgical stapler
US10932781B2 (en) 2018-02-06 2021-03-02 Ethicon Llc Features to align and close linear surgical stapler
US10939910B2 (en) 2016-12-02 2021-03-09 Covidien Lp Surgical stapling instrument with curved end effector
US10945730B2 (en) 2018-06-25 2021-03-16 Covidien Lp Stapling device with selectively advanceable alignment pin
US10993714B2 (en) 2017-11-28 2021-05-04 Covidien Lp Surgical stapling instrument and associated trigger mechanisms
US11007030B2 (en) * 2018-07-12 2021-05-18 Davol Inc. Surgical instrument with fastener preload lock-out
CN113317837A (en) * 2021-06-15 2021-08-31 常州安康医疗器械有限公司 Endoscope cutting anastomat of notch cuttype nail storehouse subassembly
US11160553B2 (en) * 2016-12-21 2021-11-02 Cilag Gmbh International Surgical stapling systems
US11224428B2 (en) 2016-12-21 2022-01-18 Cilag Gmbh International Surgical stapling systems
US11224454B2 (en) 2006-01-31 2022-01-18 Cilag Gmbh International Motor-driven surgical cutting and fastening instrument with tactile position feedback
US11229437B2 (en) 2019-06-28 2022-01-25 Cilag Gmbh International Method for authenticating the compatibility of a staple cartridge with a surgical instrument
US11234698B2 (en) 2019-12-19 2022-02-01 Cilag Gmbh International Stapling system comprising a clamp lockout and a firing lockout
US11241229B2 (en) 2014-10-29 2022-02-08 Cilag Gmbh International Staple cartridges comprising driver arrangements
US11246678B2 (en) 2019-06-28 2022-02-15 Cilag Gmbh International Surgical stapling system having a frangible RFID tag
US11246618B2 (en) 2013-03-01 2022-02-15 Cilag Gmbh International Surgical instrument soft stop
US11253254B2 (en) 2019-04-30 2022-02-22 Cilag Gmbh International Shaft rotation actuator on a surgical instrument
US11259799B2 (en) 2014-03-26 2022-03-01 Cilag Gmbh International Interface systems for use with surgical instruments
US11259803B2 (en) 2019-06-28 2022-03-01 Cilag Gmbh International Surgical stapling system having an information encryption protocol
US11266405B2 (en) 2017-06-27 2022-03-08 Cilag Gmbh International Surgical anvil manufacturing methods
US11266410B2 (en) 2011-05-27 2022-03-08 Cilag Gmbh International Surgical device for use with a robotic system
US11266406B2 (en) 2013-03-14 2022-03-08 Cilag Gmbh International Control systems for surgical instruments
US11266409B2 (en) 2014-04-16 2022-03-08 Cilag Gmbh International Fastener cartridge comprising a sled including longitudinally-staggered ramps
US11272938B2 (en) 2006-06-27 2022-03-15 Cilag Gmbh International Surgical instrument including dedicated firing and retraction assemblies
US11272928B2 (en) 2005-08-31 2022-03-15 Cilag GmbH Intemational Staple cartridges for forming staples having differing formed staple heights
US11278279B2 (en) 2006-01-31 2022-03-22 Cilag Gmbh International Surgical instrument assembly
US11278284B2 (en) 2012-06-28 2022-03-22 Cilag Gmbh International Rotary drive arrangements for surgical instruments
US11284891B2 (en) 2016-04-15 2022-03-29 Cilag Gmbh International Surgical instrument with multiple program responses during a firing motion
US11284953B2 (en) 2017-12-19 2022-03-29 Cilag Gmbh International Method for determining the position of a rotatable jaw of a surgical instrument attachment assembly
US11291441B2 (en) 2007-01-10 2022-04-05 Cilag Gmbh International Surgical instrument with wireless communication between control unit and remote sensor
US11291447B2 (en) 2019-12-19 2022-04-05 Cilag Gmbh International Stapling instrument comprising independent jaw closing and staple firing systems
US11291451B2 (en) 2019-06-28 2022-04-05 Cilag Gmbh International Surgical instrument with battery compatibility verification functionality
US11298127B2 (en) 2019-06-28 2022-04-12 Cilag GmbH Interational Surgical stapling system having a lockout mechanism for an incompatible cartridge
US11298125B2 (en) 2010-09-30 2022-04-12 Cilag Gmbh International Tissue stapler having a thickness compensator
US11298132B2 (en) 2019-06-28 2022-04-12 Cilag GmbH Inlernational Staple cartridge including a honeycomb extension
US11304695B2 (en) 2017-08-03 2022-04-19 Cilag Gmbh International Surgical system shaft interconnection
US11304696B2 (en) 2019-12-19 2022-04-19 Cilag Gmbh International Surgical instrument comprising a powered articulation system
US11311290B2 (en) 2017-12-21 2022-04-26 Cilag Gmbh International Surgical instrument comprising an end effector dampener
US11311294B2 (en) 2014-09-05 2022-04-26 Cilag Gmbh International Powered medical device including measurement of closure state of jaws
US11311292B2 (en) 2016-04-15 2022-04-26 Cilag Gmbh International Surgical instrument with detection sensors
US11317913B2 (en) 2016-12-21 2022-05-03 Cilag Gmbh International Lockout arrangements for surgical end effectors and replaceable tool assemblies
US11317917B2 (en) 2016-04-18 2022-05-03 Cilag Gmbh International Surgical stapling system comprising a lockable firing assembly
US11324506B2 (en) 2015-02-27 2022-05-10 Cilag Gmbh International Modular stapling assembly
US11324503B2 (en) 2017-06-27 2022-05-10 Cilag Gmbh International Surgical firing member arrangements
US11324501B2 (en) 2018-08-20 2022-05-10 Cilag Gmbh International Surgical stapling devices with improved closure members
US11337693B2 (en) 2007-03-15 2022-05-24 Cilag Gmbh International Surgical stapling instrument having a releasable buttress material
US11337691B2 (en) 2017-12-21 2022-05-24 Cilag Gmbh International Surgical instrument configured to determine firing path
US11337698B2 (en) 2014-11-06 2022-05-24 Cilag Gmbh International Staple cartridge comprising a releasable adjunct material
US11344303B2 (en) 2016-02-12 2022-05-31 Cilag Gmbh International Mechanisms for compensating for drivetrain failure in powered surgical instruments
US11344299B2 (en) 2015-09-23 2022-05-31 Cilag Gmbh International Surgical stapler having downstream current-based motor control
US11350934B2 (en) 2016-12-21 2022-06-07 Cilag Gmbh International Staple forming pocket arrangement to accommodate different types of staples
US11350916B2 (en) 2006-01-31 2022-06-07 Cilag Gmbh International Endoscopic surgical instrument with a handle that can articulate with respect to the shaft
US11350932B2 (en) 2016-04-15 2022-06-07 Cilag Gmbh International Surgical instrument with improved stop/start control during a firing motion
US11350843B2 (en) 2015-03-06 2022-06-07 Cilag Gmbh International Time dependent evaluation of sensor data to determine stability, creep, and viscoelastic elements of measures
US11350928B2 (en) 2016-04-18 2022-06-07 Cilag Gmbh International Surgical instrument comprising a tissue thickness lockout and speed control system
US11350935B2 (en) 2016-12-21 2022-06-07 Cilag Gmbh International Surgical tool assemblies with closure stroke reduction features
US11350929B2 (en) 2007-01-10 2022-06-07 Cilag Gmbh International Surgical instrument with wireless communication between control unit and sensor transponders
US11361176B2 (en) 2019-06-28 2022-06-14 Cilag Gmbh International Surgical RFID assemblies for compatibility detection
US11373755B2 (en) 2012-08-23 2022-06-28 Cilag Gmbh International Surgical device drive system including a ratchet mechanism
US11376098B2 (en) 2019-06-28 2022-07-05 Cilag Gmbh International Surgical instrument system comprising an RFID system
US11376001B2 (en) 2013-08-23 2022-07-05 Cilag Gmbh International Surgical stapling device with rotary multi-turn retraction mechanism
US11382628B2 (en) 2014-12-10 2022-07-12 Cilag Gmbh International Articulatable surgical instrument system
US11382626B2 (en) 2006-10-03 2022-07-12 Cilag Gmbh International Surgical system including a knife bar supported for rotational and axial travel
US11382627B2 (en) 2014-04-16 2022-07-12 Cilag Gmbh International Surgical stapling assembly comprising a firing member including a lateral extension
US11382638B2 (en) 2017-06-20 2022-07-12 Cilag Gmbh International Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on measured time over a specified displacement distance
US11389162B2 (en) 2014-09-05 2022-07-19 Cilag Gmbh International Smart cartridge wake up operation and data retention
US11395652B2 (en) 2013-04-16 2022-07-26 Cilag Gmbh International Powered surgical stapler
US11395651B2 (en) 2010-09-30 2022-07-26 Cilag Gmbh International Adhesive film laminate
US11399831B2 (en) 2014-12-18 2022-08-02 Cilag Gmbh International Drive arrangements for articulatable surgical instruments
US11399837B2 (en) 2019-06-28 2022-08-02 Cilag Gmbh International Mechanisms for motor control adjustments of a motorized surgical instrument
US11406378B2 (en) 2012-03-28 2022-08-09 Cilag Gmbh International Staple cartridge comprising a compressible tissue thickness compensator
US11406380B2 (en) 2008-09-23 2022-08-09 Cilag Gmbh International Motorized surgical instrument
US11419606B2 (en) 2016-12-21 2022-08-23 Cilag Gmbh International Shaft assembly comprising a clutch configured to adapt the output of a rotary firing member to two different systems
US11426167B2 (en) 2019-06-28 2022-08-30 Cilag Gmbh International Mechanisms for proper anvil attachment surgical stapling head assembly
US11426251B2 (en) 2019-04-30 2022-08-30 Cilag Gmbh International Articulation directional lights on a surgical instrument
US11426160B2 (en) 2015-03-06 2022-08-30 Cilag Gmbh International Smart sensors with local signal processing
US11432816B2 (en) 2019-04-30 2022-09-06 Cilag Gmbh International Articulation pin for a surgical instrument
US11439470B2 (en) 2011-05-27 2022-09-13 Cilag Gmbh International Robotically-controlled surgical instrument with selectively articulatable end effector
US11446034B2 (en) 2008-02-14 2022-09-20 Cilag Gmbh International Surgical stapling assembly comprising first and second actuation systems configured to perform different functions
US11446029B2 (en) 2019-12-19 2022-09-20 Cilag Gmbh International Staple cartridge comprising projections extending from a curved deck surface
US11452526B2 (en) 2020-10-29 2022-09-27 Cilag Gmbh International Surgical instrument comprising a staged voltage regulation start-up system
US11452528B2 (en) 2019-04-30 2022-09-27 Cilag Gmbh International Articulation actuators for a surgical instrument
US11457918B2 (en) 2014-10-29 2022-10-04 Cilag Gmbh International Cartridge assemblies for surgical staplers
US11464514B2 (en) 2008-02-14 2022-10-11 Cilag Gmbh International Motorized surgical stapling system including a sensing array
US11464601B2 (en) 2019-06-28 2022-10-11 Cilag Gmbh International Surgical instrument comprising an RFID system for tracking a movable component
USD966512S1 (en) 2020-06-02 2022-10-11 Cilag Gmbh International Staple cartridge
US11464513B2 (en) 2012-06-28 2022-10-11 Cilag Gmbh International Surgical instrument system including replaceable end effectors
US11464512B2 (en) 2019-12-19 2022-10-11 Cilag Gmbh International Staple cartridge comprising a curved deck surface
US11471155B2 (en) 2017-08-03 2022-10-18 Cilag Gmbh International Surgical system bailout
US11471157B2 (en) 2019-04-30 2022-10-18 Cilag Gmbh International Articulation control mapping for a surgical instrument
USD967421S1 (en) 2020-06-02 2022-10-18 Cilag Gmbh International Staple cartridge
US11478247B2 (en) 2010-07-30 2022-10-25 Cilag Gmbh International Tissue acquisition arrangements and methods for surgical stapling devices
US11478244B2 (en) 2017-10-31 2022-10-25 Cilag Gmbh International Cartridge body design with force reduction based on firing completion
US11478241B2 (en) 2019-06-28 2022-10-25 Cilag Gmbh International Staple cartridge including projections
US11484311B2 (en) 2005-08-31 2022-11-01 Cilag Gmbh International Staple cartridge comprising a staple driver arrangement
US11484312B2 (en) 2005-08-31 2022-11-01 Cilag Gmbh International Staple cartridge comprising a staple driver arrangement
US11484310B2 (en) 2017-06-28 2022-11-01 Cilag Gmbh International Surgical instrument comprising a shaft including a closure tube profile
US11484307B2 (en) 2008-02-14 2022-11-01 Cilag Gmbh International Loading unit coupleable to a surgical stapling system
US11484309B2 (en) 2015-12-30 2022-11-01 Cilag Gmbh International Surgical stapling system comprising a controller configured to cause a motor to reset a firing sequence
US11490889B2 (en) 2015-09-23 2022-11-08 Cilag Gmbh International Surgical stapler having motor control based on an electrical parameter related to a motor current
US11497488B2 (en) 2014-03-26 2022-11-15 Cilag Gmbh International Systems and methods for controlling a segmented circuit
US11497492B2 (en) 2019-06-28 2022-11-15 Cilag Gmbh International Surgical instrument including an articulation lock
US11497499B2 (en) 2016-12-21 2022-11-15 Cilag Gmbh International Articulatable surgical stapling instruments
US11504116B2 (en) 2011-04-29 2022-11-22 Cilag Gmbh International Layer of material for a surgical end effector
US11504122B2 (en) 2019-12-19 2022-11-22 Cilag Gmbh International Surgical instrument comprising a nested firing member
US11517325B2 (en) 2017-06-20 2022-12-06 Cilag Gmbh International Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on measured displacement distance traveled over a specified time interval
US11517390B2 (en) 2020-10-29 2022-12-06 Cilag Gmbh International Surgical instrument comprising a limited travel switch
US11517304B2 (en) 2008-09-23 2022-12-06 Cilag Gmbh International Motor-driven surgical cutting instrument
US11517311B2 (en) 2014-12-18 2022-12-06 Cilag Gmbh International Surgical instrument systems comprising an articulatable end effector and means for adjusting the firing stroke of a firing member
US11523821B2 (en) 2014-09-26 2022-12-13 Cilag Gmbh International Method for creating a flexible staple line
US11523823B2 (en) 2016-02-09 2022-12-13 Cilag Gmbh International Surgical instruments with non-symmetrical articulation arrangements
US11523822B2 (en) 2019-06-28 2022-12-13 Cilag Gmbh International Battery pack including a circuit interrupter
US11529138B2 (en) 2013-03-01 2022-12-20 Cilag Gmbh International Powered surgical instrument including a rotary drive screw
US11529137B2 (en) 2019-12-19 2022-12-20 Cilag Gmbh International Staple cartridge comprising driver retention members
US11529139B2 (en) 2019-12-19 2022-12-20 Cilag Gmbh International Motor driven surgical instrument
US11529142B2 (en) 2010-10-01 2022-12-20 Cilag Gmbh International Surgical instrument having a power control circuit
US11529140B2 (en) 2017-06-28 2022-12-20 Cilag Gmbh International Surgical instrument lockout arrangement
US11534162B2 (en) 2012-06-28 2022-12-27 Cilag GmbH Inlernational Robotically powered surgical device with manually-actuatable reversing system
US11534259B2 (en) 2020-10-29 2022-12-27 Cilag Gmbh International Surgical instrument comprising an articulation indicator
USD974560S1 (en) 2020-06-02 2023-01-03 Cilag Gmbh International Staple cartridge
US11547404B2 (en) 2014-12-18 2023-01-10 Cilag Gmbh International Surgical instrument assembly comprising a flexible articulation system
USD975278S1 (en) 2020-06-02 2023-01-10 Cilag Gmbh International Staple cartridge
US11547403B2 (en) 2014-12-18 2023-01-10 Cilag Gmbh International Surgical instrument having a laminate firing actuator and lateral buckling supports
USD975851S1 (en) 2020-06-02 2023-01-17 Cilag Gmbh International Staple cartridge
US11553971B2 (en) 2019-06-28 2023-01-17 Cilag Gmbh International Surgical RFID assemblies for display and communication
US11553916B2 (en) 2015-09-30 2023-01-17 Cilag Gmbh International Compressible adjunct with crossing spacer fibers
USD975850S1 (en) 2020-06-02 2023-01-17 Cilag Gmbh International Staple cartridge
US11559302B2 (en) 2007-06-04 2023-01-24 Cilag Gmbh International Surgical instrument including a firing member movable at different speeds
US11559496B2 (en) 2010-09-30 2023-01-24 Cilag Gmbh International Tissue thickness compensator configured to redistribute compressive forces
USD976401S1 (en) 2020-06-02 2023-01-24 Cilag Gmbh International Staple cartridge
US11559303B2 (en) 2016-04-18 2023-01-24 Cilag Gmbh International Cartridge lockout arrangements for rotary powered surgical cutting and stapling instruments
US11559304B2 (en) 2019-12-19 2023-01-24 Cilag Gmbh International Surgical instrument comprising a rapid closure mechanism
US11564682B2 (en) 2007-06-04 2023-01-31 Cilag Gmbh International Surgical stapler device
US11564686B2 (en) 2017-06-28 2023-01-31 Cilag Gmbh International Surgical shaft assemblies with flexible interfaces
US11564688B2 (en) 2016-12-21 2023-01-31 Cilag Gmbh International Robotic surgical tool having a retraction mechanism
US11571215B2 (en) 2010-09-30 2023-02-07 Cilag Gmbh International Layer of material for a surgical end effector
US11571212B2 (en) 2008-02-14 2023-02-07 Cilag Gmbh International Surgical stapling system including an impedance sensor
US11571231B2 (en) 2006-09-29 2023-02-07 Cilag Gmbh International Staple cartridge having a driver for driving multiple staples
US11576672B2 (en) 2019-12-19 2023-02-14 Cilag Gmbh International Surgical instrument comprising a closure system including a closure member and an opening member driven by a drive screw
US11576673B2 (en) 2005-08-31 2023-02-14 Cilag Gmbh International Stapling assembly for forming staples to different heights
US11583279B2 (en) 2008-10-10 2023-02-21 Cilag Gmbh International Powered surgical cutting and stapling apparatus with manually retractable firing system
USD980425S1 (en) 2020-10-29 2023-03-07 Cilag Gmbh International Surgical instrument assembly
US11607219B2 (en) 2019-12-19 2023-03-21 Cilag Gmbh International Staple cartridge comprising a detachable tissue cutting knife
US11607239B2 (en) 2016-04-15 2023-03-21 Cilag Gmbh International Systems and methods for controlling a surgical stapling and cutting instrument
US11612393B2 (en) 2006-01-31 2023-03-28 Cilag Gmbh International Robotically-controlled end effector
US11612394B2 (en) 2011-05-27 2023-03-28 Cilag Gmbh International Automated end effector component reloading system for use with a robotic system
US11617577B2 (en) 2020-10-29 2023-04-04 Cilag Gmbh International Surgical instrument comprising a sensor configured to sense whether an articulation drive of the surgical instrument is actuatable
US11622766B2 (en) 2012-06-28 2023-04-11 Cilag Gmbh International Empty clip cartridge lockout
US11622763B2 (en) 2013-04-16 2023-04-11 Cilag Gmbh International Stapling assembly comprising a shiftable drive
US11627960B2 (en) 2020-12-02 2023-04-18 Cilag Gmbh International Powered surgical instruments with smart reload with separately attachable exteriorly mounted wiring connections
US11627959B2 (en) 2019-06-28 2023-04-18 Cilag Gmbh International Surgical instruments including manual and powered system lockouts
US11638582B2 (en) 2020-07-28 2023-05-02 Cilag Gmbh International Surgical instruments with torsion spine drive arrangements
US11638587B2 (en) 2019-06-28 2023-05-02 Cilag Gmbh International RFID identification systems for surgical instruments
US11642125B2 (en) 2016-04-15 2023-05-09 Cilag Gmbh International Robotic surgical system including a user interface and a control circuit
US11642128B2 (en) 2017-06-28 2023-05-09 Cilag Gmbh International Method for articulating a surgical instrument
US11648008B2 (en) 2006-01-31 2023-05-16 Cilag Gmbh International Surgical instrument having force feedback capabilities
US11648005B2 (en) 2008-09-23 2023-05-16 Cilag Gmbh International Robotically-controlled motorized surgical instrument with an end effector
US11648009B2 (en) 2019-04-30 2023-05-16 Cilag Gmbh International Rotatable jaw tip for a surgical instrument
US11653915B2 (en) 2020-12-02 2023-05-23 Cilag Gmbh International Surgical instruments with sled location detection and adjustment features
US11653914B2 (en) 2017-06-20 2023-05-23 Cilag Gmbh International Systems and methods for controlling motor velocity of a surgical stapling and cutting instrument according to articulation angle of end effector
US11653918B2 (en) 2014-09-05 2023-05-23 Cilag Gmbh International Local display of tissue parameter stabilization
US11653920B2 (en) 2020-12-02 2023-05-23 Cilag Gmbh International Powered surgical instruments with communication interfaces through sterile barrier
US11660163B2 (en) 2019-06-28 2023-05-30 Cilag Gmbh International Surgical system with RFID tags for updating motor assembly parameters
US11666332B2 (en) 2007-01-10 2023-06-06 Cilag Gmbh International Surgical instrument comprising a control circuit configured to adjust the operation of a motor
US11672532B2 (en) 2017-06-20 2023-06-13 Cilag Gmbh International Techniques for adaptive control of motor velocity of a surgical stapling and cutting instrument
US11678882B2 (en) 2020-12-02 2023-06-20 Cilag Gmbh International Surgical instruments with interactive features to remedy incidental sled movements
US11678877B2 (en) 2014-12-18 2023-06-20 Cilag Gmbh International Surgical instrument including a flexible support configured to support a flexible firing member
US11684360B2 (en) 2010-09-30 2023-06-27 Cilag Gmbh International Staple cartridge comprising a variable thickness compressible portion
US11684365B2 (en) 2004-07-28 2023-06-27 Cilag Gmbh International Replaceable staple cartridges for surgical instruments
US11684434B2 (en) 2019-06-28 2023-06-27 Cilag Gmbh International Surgical RFID assemblies for instrument operational setting control
US11696761B2 (en) 2019-03-25 2023-07-11 Cilag Gmbh International Firing drive arrangements for surgical systems
US11696757B2 (en) 2021-02-26 2023-07-11 Cilag Gmbh International Monitoring of internal systems to detect and track cartridge motion status
US11701114B2 (en) 2014-10-16 2023-07-18 Cilag Gmbh International Staple cartridge
US11701113B2 (en) 2021-02-26 2023-07-18 Cilag Gmbh International Stapling instrument comprising a separate power antenna and a data transfer antenna
US11701111B2 (en) 2019-12-19 2023-07-18 Cilag Gmbh International Method for operating a surgical stapling instrument
US11707273B2 (en) 2012-06-15 2023-07-25 Cilag Gmbh International Articulatable surgical instrument comprising a firing drive
US11717285B2 (en) 2008-02-14 2023-08-08 Cilag Gmbh International Surgical cutting and fastening instrument having RF electrodes
US11717291B2 (en) 2021-03-22 2023-08-08 Cilag Gmbh International Staple cartridge comprising staples configured to apply different tissue compression
US11717294B2 (en) 2014-04-16 2023-08-08 Cilag Gmbh International End effector arrangements comprising indicators
US11717289B2 (en) 2020-10-29 2023-08-08 Cilag Gmbh International Surgical instrument comprising an indicator which indicates that an articulation drive is actuatable
US11723658B2 (en) 2021-03-22 2023-08-15 Cilag Gmbh International Staple cartridge comprising a firing lockout
US11723662B2 (en) 2021-05-28 2023-08-15 Cilag Gmbh International Stapling instrument comprising an articulation control display
US11723657B2 (en) 2021-02-26 2023-08-15 Cilag Gmbh International Adjustable communication based on available bandwidth and power capacity
US11730473B2 (en) 2021-02-26 2023-08-22 Cilag Gmbh International Monitoring of manufacturing life-cycle
US11730471B2 (en) 2016-02-09 2023-08-22 Cilag Gmbh International Articulatable surgical instruments with single articulation link arrangements
US11737751B2 (en) 2020-12-02 2023-08-29 Cilag Gmbh International Devices and methods of managing energy dissipated within sterile barriers of surgical instrument housings
US11737749B2 (en) 2021-03-22 2023-08-29 Cilag Gmbh International Surgical stapling instrument comprising a retraction system
US11737754B2 (en) 2010-09-30 2023-08-29 Cilag Gmbh International Surgical stapler with floating anvil
US11744583B2 (en) 2021-02-26 2023-09-05 Cilag Gmbh International Distal communication array to tune frequency of RF systems
US11744603B2 (en) 2021-03-24 2023-09-05 Cilag Gmbh International Multi-axis pivot joints for surgical instruments and methods for manufacturing same
US11744584B2 (en) 2020-06-09 2023-09-05 Covidien Lp Alignment pin assembly for surgical stapler
US11749877B2 (en) 2021-02-26 2023-09-05 Cilag Gmbh International Stapling instrument comprising a signal antenna
US11744581B2 (en) 2020-12-02 2023-09-05 Cilag Gmbh International Powered surgical instruments with multi-phase tissue treatment
US11751869B2 (en) 2021-02-26 2023-09-12 Cilag Gmbh International Monitoring of multiple sensors over time to detect moving characteristics of tissue
US11759202B2 (en) 2021-03-22 2023-09-19 Cilag Gmbh International Staple cartridge comprising an implantable layer
US11766258B2 (en) 2017-06-27 2023-09-26 Cilag Gmbh International Surgical anvil arrangements
US11766259B2 (en) 2016-12-21 2023-09-26 Cilag Gmbh International Method of deforming staples from two different types of staple cartridges with the same surgical stapling instrument
US11766260B2 (en) 2016-12-21 2023-09-26 Cilag Gmbh International Methods of stapling tissue
US11771419B2 (en) 2019-06-28 2023-10-03 Cilag Gmbh International Packaging for a replaceable component of a surgical stapling system
US11779330B2 (en) 2020-10-29 2023-10-10 Cilag Gmbh International Surgical instrument comprising a jaw alignment system
US11779420B2 (en) 2012-06-28 2023-10-10 Cilag Gmbh International Robotic surgical attachments having manually-actuated retraction assemblies
US11786243B2 (en) 2021-03-24 2023-10-17 Cilag Gmbh International Firing members having flexible portions for adapting to a load during a surgical firing stroke
US11786239B2 (en) 2021-03-24 2023-10-17 Cilag Gmbh International Surgical instrument articulation joint arrangements comprising multiple moving linkage features
US11793522B2 (en) 2015-09-30 2023-10-24 Cilag Gmbh International Staple cartridge assembly including a compressible adjunct
US11793513B2 (en) 2017-06-20 2023-10-24 Cilag Gmbh International Systems and methods for controlling motor speed according to user input for a surgical instrument
US11793516B2 (en) 2021-03-24 2023-10-24 Cilag Gmbh International Surgical staple cartridge comprising longitudinal support beam
US11793518B2 (en) 2006-01-31 2023-10-24 Cilag Gmbh International Powered surgical instruments with firing system lockout arrangements
US11793511B2 (en) 2005-11-09 2023-10-24 Cilag Gmbh International Surgical instruments
US11793514B2 (en) 2021-02-26 2023-10-24 Cilag Gmbh International Staple cartridge comprising sensor array which may be embedded in cartridge body
US11801051B2 (en) 2006-01-31 2023-10-31 Cilag Gmbh International Accessing data stored in a memory of a surgical instrument
US11806011B2 (en) 2021-03-22 2023-11-07 Cilag Gmbh International Stapling instrument comprising tissue compression systems
US11806012B2 (en) 2019-11-01 2023-11-07 Covidien Lp Surgical stapling device with knife blade lock
US11806013B2 (en) 2012-06-28 2023-11-07 Cilag Gmbh International Firing system arrangements for surgical instruments
US11812958B2 (en) 2014-12-18 2023-11-14 Cilag Gmbh International Locking arrangements for detachable shaft assemblies with articulatable surgical end effectors
US11812954B2 (en) 2008-09-23 2023-11-14 Cilag Gmbh International Robotically-controlled motorized surgical instrument with an end effector
US11812964B2 (en) 2021-02-26 2023-11-14 Cilag Gmbh International Staple cartridge comprising a power management circuit
US11826042B2 (en) 2021-03-22 2023-11-28 Cilag Gmbh International Surgical instrument comprising a firing drive including a selectable leverage mechanism
US11826045B2 (en) 2016-02-12 2023-11-28 Cilag Gmbh International Mechanisms for compensating for drivetrain failure in powered surgical instruments
US11826044B2 (en) 2019-08-02 2023-11-28 Covidien Lp Surgical stapling device with curved tool assembly
US11826048B2 (en) 2017-06-28 2023-11-28 Cilag Gmbh International Surgical instrument comprising selectively actuatable rotatable couplers
US11826012B2 (en) 2021-03-22 2023-11-28 Cilag Gmbh International Stapling instrument comprising a pulsed motor-driven firing rack
US11826132B2 (en) 2015-03-06 2023-11-28 Cilag Gmbh International Time dependent evaluation of sensor data to determine stability, creep, and viscoelastic elements of measures
US11832816B2 (en) 2021-03-24 2023-12-05 Cilag Gmbh International Surgical stapling assembly comprising nonplanar staples and planar staples
US11839375B2 (en) 2005-08-31 2023-12-12 Cilag Gmbh International Fastener cartridge assembly comprising an anvil and different staple heights
US11839352B2 (en) 2007-01-11 2023-12-12 Cilag Gmbh International Surgical stapling device with an end effector
US11844520B2 (en) 2019-12-19 2023-12-19 Cilag Gmbh International Staple cartridge comprising driver retention members
US11844518B2 (en) 2020-10-29 2023-12-19 Cilag Gmbh International Method for operating a surgical instrument
US11849945B2 (en) 2021-03-24 2023-12-26 Cilag Gmbh International Rotary-driven surgical stapling assembly comprising eccentrically driven firing member
US11849943B2 (en) 2020-12-02 2023-12-26 Cilag Gmbh International Surgical instrument with cartridge release mechanisms
US11849944B2 (en) 2021-03-24 2023-12-26 Cilag Gmbh International Drivers for fastener cartridge assemblies having rotary drive screws
US11853835B2 (en) 2019-06-28 2023-12-26 Cilag Gmbh International RFID identification systems for surgical instruments
US11849952B2 (en) 2010-09-30 2023-12-26 Cilag Gmbh International Staple cartridge comprising staples positioned within a compressible portion thereof
US11849941B2 (en) 2007-06-29 2023-12-26 Cilag Gmbh International Staple cartridge having staple cavities extending at a transverse angle relative to a longitudinal cartridge axis
US11857185B2 (en) 2019-12-18 2024-01-02 Covidien Lp Surgical stapling device with shipping cap
US11857183B2 (en) 2021-03-24 2024-01-02 Cilag Gmbh International Stapling assembly components having metal substrates and plastic bodies
US11857187B2 (en) 2010-09-30 2024-01-02 Cilag Gmbh International Tissue thickness compensator comprising controlled release and expansion
US11871939B2 (en) 2017-06-20 2024-01-16 Cilag Gmbh International Method for closed loop control of motor velocity of a surgical stapling and cutting instrument
US11877745B2 (en) 2021-10-18 2024-01-23 Cilag Gmbh International Surgical stapling assembly having longitudinally-repeating staple leg clusters
US11883026B2 (en) 2014-04-16 2024-01-30 Cilag Gmbh International Fastener cartridge assemblies and staple retainer cover arrangements
US11883025B2 (en) 2010-09-30 2024-01-30 Cilag Gmbh International Tissue thickness compensator comprising a plurality of layers
USD1013170S1 (en) 2020-10-29 2024-01-30 Cilag Gmbh International Surgical instrument assembly
US11883020B2 (en) 2006-01-31 2024-01-30 Cilag Gmbh International Surgical instrument having a feedback system
US11890010B2 (en) 2020-12-02 2024-02-06 Cllag GmbH International Dual-sided reinforced reload for surgical instruments
US11890012B2 (en) 2004-07-28 2024-02-06 Cilag Gmbh International Staple cartridge comprising cartridge body and attached support
US11890005B2 (en) 2017-06-29 2024-02-06 Cilag Gmbh International Methods for closed loop velocity control for robotic surgical instrument
US11896219B2 (en) 2021-03-24 2024-02-13 Cilag Gmbh International Mating features between drivers and underside of a cartridge deck
US11896217B2 (en) 2020-10-29 2024-02-13 Cilag Gmbh International Surgical instrument comprising an articulation lock
US11896218B2 (en) 2021-03-24 2024-02-13 Cilag Gmbh International Method of using a powered stapling device
US11896222B2 (en) 2017-12-15 2024-02-13 Cilag Gmbh International Methods of operating surgical end effectors
US11903582B2 (en) 2021-03-24 2024-02-20 Cilag Gmbh International Leveraging surfaces for cartridge installation
US11903581B2 (en) 2019-04-30 2024-02-20 Cilag Gmbh International Methods for stapling tissue using a surgical instrument
US11911032B2 (en) 2019-12-19 2024-02-27 Cilag Gmbh International Staple cartridge comprising a seating cam
US11918220B2 (en) 2012-03-28 2024-03-05 Cilag Gmbh International Tissue thickness compensator comprising tissue ingrowth features
US11918212B2 (en) 2015-03-31 2024-03-05 Cilag Gmbh International Surgical instrument with selectively disengageable drive systems
US11925349B2 (en) 2021-02-26 2024-03-12 Cilag Gmbh International Adjustment to transfer parameters to improve available power
US11931031B2 (en) 2022-05-27 2024-03-19 Cilag Gmbh International Staple cartridge comprising a deck including an upper surface and a lower surface

Families Citing this family (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
SU886900A1 (en) * 1979-03-26 1981-12-07 Всесоюзный научно-исследовательский и испытательный институт медицинской техники Surgical apparatus for applying line sutures
DE3404104C1 (en) * 1984-02-07 1985-10-10 Aesculap-Werke Ag Vormals Jetter & Scheerer, 7200 Tuttlingen Replenishing apparatus for a surgical suturing device for the stomach or the intestines
US5364003A (en) * 1993-05-05 1994-11-15 Ethicon Endo-Surgery Staple cartridge for a surgical stapler
US10729434B2 (en) * 2017-02-17 2020-08-04 Ethicon Llc Surgical stapler with insertable distal anvil tip

Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE618922C (en) * 1931-04-08 1935-09-19 Heinrich C Ulrich Instrument for applying metal clips, in particular for surgical purposes
US2632889A (en) * 1950-03-22 1953-03-31 Robert J Beecroft Stapling machine
FR1237035A (en) * 1959-10-06 1960-07-22 Method and device for en bloc ligation of the hilum of the lung
US3017637A (en) * 1959-07-10 1962-01-23 Sampson Arnold Surgical suturing instrument
US3079606A (en) * 1960-01-04 1963-03-05 Bobrov Boris Sergeevich Instrument for placing lateral gastrointestinal anastomoses
US3080564A (en) * 1959-09-10 1963-03-12 Strekopitov Alexey Alexeevich Instrument for stitching hollow organs
US3144654A (en) * 1961-11-22 1964-08-18 Foundation For Medical Technol Medical staplers
US3191842A (en) * 1962-01-26 1965-06-29 Canadian Patents Dev Suturing instrument

Family Cites Families (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
FR1278616A (en) * 1959-09-28 1961-12-15 Apparatus for suturing hollow organs
FR1237056A (en) * 1959-10-06 1960-07-22 Apparatus for performing gastrointestinal lateral anastomoses

Patent Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE618922C (en) * 1931-04-08 1935-09-19 Heinrich C Ulrich Instrument for applying metal clips, in particular for surgical purposes
US2632889A (en) * 1950-03-22 1953-03-31 Robert J Beecroft Stapling machine
US3017637A (en) * 1959-07-10 1962-01-23 Sampson Arnold Surgical suturing instrument
US3080564A (en) * 1959-09-10 1963-03-12 Strekopitov Alexey Alexeevich Instrument for stitching hollow organs
FR1237035A (en) * 1959-10-06 1960-07-22 Method and device for en bloc ligation of the hilum of the lung
US3079606A (en) * 1960-01-04 1963-03-05 Bobrov Boris Sergeevich Instrument for placing lateral gastrointestinal anastomoses
US3144654A (en) * 1961-11-22 1964-08-18 Foundation For Medical Technol Medical staplers
US3191842A (en) * 1962-01-26 1965-06-29 Canadian Patents Dev Suturing instrument

Cited By (583)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3490675A (en) * 1966-10-10 1970-01-20 United States Surgical Corp Instrument for placing lateral gastrointestinal anastomoses
US3499591A (en) * 1967-06-23 1970-03-10 United States Surgical Corp Instrument for placing lateral gastro-intestinal anastomoses
US3604561A (en) * 1969-08-07 1971-09-14 Codman & Shurtleff Multiple stapler cartridge
US4603693A (en) * 1977-05-26 1986-08-05 United States Surgical Corporation Instrument for circular surgical stapling of hollow body organs and disposable cartridge therefor
US4212390A (en) * 1977-10-20 1980-07-15 Propper Manufacturing Co., Inc. Wound clip rack
US4520817A (en) * 1980-02-05 1985-06-04 United States Surgical Corporation Surgical instruments
US4378901A (en) * 1980-05-22 1983-04-05 Akopov Ernest M Apparatus for applying a staple suture
US4354628A (en) * 1980-09-29 1982-10-19 United States Surgical Corporation Surgical stapler apparatus having pivotally related staple holder and anvil
DE3152410A1 (en) * 1980-09-29 1982-11-04 United States Surgical Corp SURGICAL STAPLER APPARATUS HAVING PIVOTALLY RELATED STAPLE HOLDER AND ANVIL
US4402444A (en) * 1981-04-20 1983-09-06 United States Surgical Corporation Surgical stapling instrument with automatic frame reinforcement
US4383634A (en) * 1981-05-26 1983-05-17 United States Surgical Corporation Surgical stapler apparatus with pivotally mounted actuator assemblies
US4809695A (en) * 1981-10-21 1989-03-07 Owen M. Gwathmey Suturing assembly and method
DE3232769A1 (en) * 1981-12-07 1983-06-16 Senco Products, Inc., 45244 Cincinnati, Ohio SURGICAL CLAMPING INSTRUMENT WITH PRESSURE-DEPENDENT WORKING SPLIT
FR2517534A1 (en) * 1981-12-07 1983-06-10 Senco Products SURGICAL STAPLING INSTRUMENT
EP0273468A2 (en) * 1981-12-22 1988-07-06 HOSPITAL Products Limited Surgical stapling instrument
EP0273468A3 (en) * 1981-12-22 1988-08-31 HOSPITAL Products Limited Surgical stapling instrument
US4527724A (en) * 1983-06-10 1985-07-09 Senmed, Inc. Disposable linear surgical stapling instrument
AT396865B (en) * 1983-06-10 1993-12-27 Senmed Inc SURGICAL DISPOSABLE CLAMPING INSTRUMENT FOR THE PRODUCTION OF LENGTH STITCHES
US4596351A (en) * 1983-08-19 1986-06-24 Vsesojuzny Nauchno-Issledovatelsky I Ispytatelny Institut Meditsinskoi Tekhniki Surgical stapling apparatus
US4508253A (en) * 1983-10-04 1985-04-02 United States Surgical Corporation Surgical fastener applying apparatus
US4610383A (en) * 1983-10-14 1986-09-09 Senmed, Inc. Disposable linear surgical stapler
US4568009A (en) * 1984-01-20 1986-02-04 United States Surgical Corporation Surgical fastener applying apparatus
US4608981A (en) * 1984-10-19 1986-09-02 Senmed, Inc. Surgical stapling instrument with staple height adjusting mechanism
EP0340803A3 (en) * 1984-10-19 1989-11-29 Ethicon Inc. Surgical stapling instrument with jaw latching mechanism
US4605001A (en) * 1984-10-19 1986-08-12 Senmed, Inc. Surgical stapling instrument with dual staple height mechanism
US4633874A (en) * 1984-10-19 1987-01-06 Senmed, Inc. Surgical stapling instrument with jaw latching mechanism and disposable staple cartridge
US4633861A (en) * 1984-10-19 1987-01-06 Senmed, Inc. Surgical stapling instrument with jaw clamping mechanism
EP0340803A2 (en) * 1984-10-19 1989-11-08 Ethicon, Inc. Surgical stapling instrument with jaw latching mechanism
US4665916A (en) * 1985-08-09 1987-05-19 United States Surgical Corporation Surgical stapler apparatus
US4754758A (en) * 1986-04-14 1988-07-05 American Cyanamid Company Surgical closure device
US4821939A (en) * 1987-09-02 1989-04-18 United States Surgical Corporation Staple cartridge and an anvilless surgical stapler
AU622581B2 (en) * 1987-09-02 1992-04-09 United States Surgical Corporation A staple cartridge assembly
US5221036A (en) * 1991-06-11 1993-06-22 Haruo Takase Surgical stapler
US5603443A (en) * 1993-12-06 1997-02-18 Ethicon, Inc. Surgical stapling instrument with articulated stapling head assembly on rotatable and flexible support shaft
US5405073A (en) * 1993-12-06 1995-04-11 Ethicon, Inc. Flexible support shaft assembly
US5732871A (en) * 1993-12-06 1998-03-31 Ethicon, Inc. Surgical stapling instrument with articulated stapling head assembly on rotatable and flexible support shaft
US5465894A (en) * 1993-12-06 1995-11-14 Ethicon, Inc. Surgical stapling instrument with articulated stapling head assembly on rotatable and flexible support shaft
US5607094A (en) * 1993-12-06 1997-03-04 Ethicon, Inc. Surgical stapling instrument with articulated stapling head assembly on rotatable and flexible support shaft
US5452837A (en) * 1994-01-21 1995-09-26 Ethicon Endo-Surgery, Inc. Surgical stapler with tissue gripping ridge
US5452836A (en) * 1994-02-07 1995-09-26 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with improved jaw closure and staple firing actuator mechanism
EP1702567A2 (en) 1994-05-02 2006-09-20 United States Surgical Corporation Surgical stapler with mechanisms for reducing the firing force
US5535935A (en) * 1994-05-02 1996-07-16 United States Surgical Corporation Surgical stapler with mechanisms for reducing the firing force
US5489058A (en) * 1994-05-02 1996-02-06 Minnesota Mining And Manufacturing Company Surgical stapler with mechanisms for reducing the firing force
US5816471A (en) * 1994-05-02 1998-10-06 United States Surgical Corporation Surgical stapler with mechanisms for reducing the firing force
US5586711A (en) * 1994-05-02 1996-12-24 United States Surgical Corporation Surgical stapler with mechanisms for reducing the firing force
US6010054A (en) * 1996-02-20 2000-01-04 Imagyn Medical Technologies Linear stapling instrument with improved staple cartridge
US6874669B2 (en) * 1998-06-19 2005-04-05 Boston Scientific Scimed, Inc. Integrated surgical staple retainer for a full thickness resectioning device
US6585144B2 (en) 1998-06-19 2003-07-01 Acimed Life Systems, Inc. Integrated surgical staple retainer for a full thickness resectioning device
US6866178B2 (en) * 1998-06-19 2005-03-15 Boston Scientific Scimed, Inc. Integrated surgical staple retainer for a full thickness resectioning device
US20030132267A1 (en) * 1998-06-19 2003-07-17 Adams Ronald D. Integrated surgical staple retainer for a full thickness resectioning device
US6840423B2 (en) * 1998-06-19 2005-01-11 Scimed Life Systems, Inc. Integrated surgical staple retainer for a full thickness resectioning device
US6695198B2 (en) 1998-06-19 2004-02-24 Scimed Life Systems, Inc. Integrated surgical staple retainer for a full thickness resectioning device
US20040232198A1 (en) * 1998-06-19 2004-11-25 Adams Ronald D. Integrated surgical staple retainer for a full thickness resectioning device
US20040134964A1 (en) * 1998-06-19 2004-07-15 Adams Ronald D. Integrated surgical staple retainer for a full thickness resectioning device
US6315183B1 (en) * 1998-09-02 2001-11-13 Hadi A. Piraka Disposable surgical stapler cartridge
US9078654B2 (en) 1999-06-02 2015-07-14 Covidien Lp Surgical device
US20040153124A1 (en) * 1999-06-02 2004-08-05 Whitman Michael P. Electromechanical driver and remote surgical instrument attachment having computer assisted control capabilities
US9241716B2 (en) 1999-06-02 2016-01-26 Covidien Lp Electromechanical drive and remote surgical instrument attachment having computer assisted control capabilities
US9033868B2 (en) 1999-06-02 2015-05-19 Covidien Lp Couplings for interconnecting components of an electro-mechanical surgical device
US9247940B2 (en) 1999-06-02 2016-02-02 Covidien Lp Surgical cutting and stapling device
US9662109B2 (en) 1999-06-02 2017-05-30 Covidien Lp Electromechanical drive and remote surgical instrument attachment having computer assisted control capabilities
US9782172B2 (en) 1999-06-02 2017-10-10 Covidien Lp Electromechanical drive and remote surgical instrument attachment having computer assisted control capabilities
US8690913B2 (en) 1999-06-02 2014-04-08 Covidien Lp Electromechanical drive and remote surgical instrument attachment having computer assisted control capabilities
US8628467B2 (en) 1999-06-02 2014-01-14 Covidien Lp Moisture-detecting shaft for use with an electro-mechanical surgical device
US20070055304A1 (en) * 1999-06-02 2007-03-08 Whitman Michael P Electromechanical driver and remote surgical instrument attachment having computer assisted control capabilities
US8016858B2 (en) 1999-06-02 2011-09-13 Tyco Healthcare Group Ip Electromechanical driver and remote surgical instrument attachment having computer assisted control capabilities
US7951071B2 (en) 1999-06-02 2011-05-31 Tyco Healthcare Group Lp Moisture-detecting shaft for use with an electro-mechanical surgical device
US20100276471A1 (en) * 1999-06-02 2010-11-04 Power Medical Interventions, Llc Electromechanical driver and remote surgical instrument attachment having computer assisted control capabilities
US7077856B2 (en) 1999-06-02 2006-07-18 Power Medical Interventions, Inc. Electromechanical driver and remote surgical instrument attachment having computer assisted control capabilities
US10335143B2 (en) 1999-06-02 2019-07-02 Covidien Lp Surgical cutting and stapling device
US7758613B2 (en) 1999-06-02 2010-07-20 Power Medical Interventions, Llc Electromechanical driver and remote surgical instrument attachment having computer assisted control capabilities
US20110108606A1 (en) * 1999-07-12 2011-05-12 Whitman Michael P Expanding parallel jaw device for use with an electromechanical driver device
US8186559B1 (en) 1999-07-12 2012-05-29 Tyco Healthcare Group Lp Expanding parallel jaw device for use with an electromechanical driver device
US20040149802A1 (en) * 1999-07-12 2004-08-05 Whitman Michael P. Expanding parallel jaw device for use with an electromechanical driver device
US7845538B2 (en) 1999-07-12 2010-12-07 Power Medical Interventions, Llc Expanding parallel jaw device for use with an electromechanical driver device
US8056791B2 (en) 1999-07-12 2011-11-15 Tyco Healthcare Group Lp Expanding parallel jaw device for use with an electromechanical driver device
US7537602B2 (en) 1999-07-12 2009-05-26 Power Medical Interventions, Inc. Expanding parallel jaw device for use with an electromechanical driver device
US7114642B2 (en) 1999-07-12 2006-10-03 Power Medical Interventions, Inc. Expanding parallel jaw device for use with an electromechanical driver device
US8459523B2 (en) 1999-07-12 2013-06-11 Covidien Lp Expanding parallel jaw device for use with an electromechanical driver device
US8118208B2 (en) 1999-07-12 2012-02-21 Tyco Healthcare Group Lp Expanding parallel jaw device for use with an electromechanical driver device
US20070075116A1 (en) * 1999-07-12 2007-04-05 Whitman Michael P Expanding parallel jaw device for use with an electromechanical driver device
US8074861B2 (en) 2000-10-13 2011-12-13 Tyco Healthcare Group Lp Surgical fastener applying apparatus
US10231733B2 (en) 2000-10-13 2019-03-19 Covidien Lp Surgical fastener applying apparatus
US7407076B2 (en) 2000-10-13 2008-08-05 Tyco Healthcare Group Lp Surgical stapling device
US8091754B2 (en) 2000-10-13 2012-01-10 Tyco Healthcare Group Lp Surgical fastener applying apparatus
US8505801B2 (en) 2000-10-13 2013-08-13 Covidien Lp Surgical fastener applying apparatus
US9402629B2 (en) 2000-10-13 2016-08-02 Covidien Lp Surgical fastener applying apparatus
US20040007608A1 (en) * 2000-10-13 2004-01-15 Ehrenfels Karl H. Surgical fastener applying apparatus
US10959729B2 (en) 2000-10-13 2021-03-30 Covidien Lp Surgical fastener applying apparatus
US20070095877A1 (en) * 2000-10-13 2007-05-03 Racenet David C Surgical stapling device
US20100282817A1 (en) * 2000-10-13 2010-11-11 Tyco Healthcare Group Lp Surgical fastener applying apparatus
US20100193570A1 (en) * 2000-10-13 2010-08-05 Ehrenfels Karl H Surgical fastener applying apparatus
WO2002083008A2 (en) * 2001-04-17 2002-10-24 Scimed Life Systems, Inc. Integrated surgical staple retainer for a full thickness resectioning device
WO2002083008A3 (en) * 2001-04-17 2003-02-13 Scimed Life Systems Inc Integrated surgical staple retainer for a full thickness resectioning device
US7631794B2 (en) 2001-10-05 2009-12-15 Tyco Healthcare Group Lp Surgical fastener applying apparatus
US7942300B2 (en) 2001-10-05 2011-05-17 Tyco Healthcare Group Lp Surgical fastener applying apparatus
US20070125828A1 (en) * 2001-10-05 2007-06-07 Tyco Healthcare Group Lp Surgical fastener applying apparatus
US20050222616A1 (en) * 2001-10-05 2005-10-06 Rethy Csaba L Surgical fastener applying apparatus
US20070145096A1 (en) * 2001-10-05 2007-06-28 Tyco Healthcare Group Lp Surgical stapling apparatus and method
US7032799B2 (en) 2001-10-05 2006-04-25 Tyco Healthcare Group Lp Surgical stapling apparatus and method
US20040267311A1 (en) * 2001-10-05 2004-12-30 Viola Frank J. Surgical stapling apparatus and method
US7326232B2 (en) 2001-10-05 2008-02-05 Tyco Healthcare Group Lp Surgical stapling apparatus and method
US7334717B2 (en) 2001-10-05 2008-02-26 Tyco Healthcare Group Lp Surgical fastener applying apparatus
US20080116244A1 (en) * 2001-10-05 2008-05-22 Tyco Healthcare Group Lp Surgical fastener applying apparatus
US20060138194A1 (en) * 2001-10-05 2006-06-29 Tyco Healthcare Group Lp Surgical stapling apparatus and method
US7631793B2 (en) 2001-10-05 2009-12-15 Tyco Healthcare Group Lp Surgical fastener applying apparatus
US20080302854A1 (en) * 2001-10-05 2008-12-11 Rethy Csaba L Surgical Fastener Applying Apparatus
US20060138193A1 (en) * 2001-10-05 2006-06-29 Tyco Healthcare Group Lp Surgical stapling apparatus and method
US8512359B2 (en) 2001-11-30 2013-08-20 Covidien Lp Surgical device
US8021373B2 (en) 2001-11-30 2011-09-20 Tyco Healthcare Group Lp Surgical device
US7695485B2 (en) 2001-11-30 2010-04-13 Power Medical Interventions, Llc Surgical device
US8740932B2 (en) 2001-11-30 2014-06-03 Covidien Lp Surgical device
US20030125717A1 (en) * 2001-12-04 2003-07-03 Whitman Michael P. System and method for calibrating a surgical instrument
US7803151B2 (en) 2001-12-04 2010-09-28 Power Medical Interventions, Llc System and method for calibrating a surgical instrument
US10758225B2 (en) 2001-12-04 2020-09-01 Covidien Lp System and method for calibrating a surgical instrument
US20100324541A1 (en) * 2001-12-04 2010-12-23 Power Medical Interventions, Llc System and method for calibrating a surgical instrument
US9743927B2 (en) 2001-12-04 2017-08-29 Covidien Lp System and method for calibrating a surgical instrument
US8858589B2 (en) 2002-01-08 2014-10-14 Covidien Lp Surgical device
US8016855B2 (en) 2002-01-08 2011-09-13 Tyco Healthcare Group Lp Surgical device
US9113878B2 (en) 2002-01-08 2015-08-25 Covidien Lp Pinion clip for right angle linear cutter
US8518074B2 (en) 2002-01-08 2013-08-27 Covidien Lp Surgical device
US20070125827A1 (en) * 2002-05-10 2007-06-07 Tyco Healthcare Group Lp Surgical stapling apparatus having a wound closure material applicator assembly
US7238195B2 (en) 2002-05-10 2007-07-03 Tyco Healthcare Group Lp Wound closure material applicator and stapler
US8286850B2 (en) 2002-05-10 2012-10-16 Tyco Healthcare Group Lp Surgical stapling apparatus having a wound closure material applicator assembly
US20070175954A1 (en) * 2002-05-10 2007-08-02 Tyco Healthcare Group Lp Surgical stapling apparatus having a wound closure material applicator assembly
US7740160B2 (en) 2002-05-10 2010-06-22 Tyco Healthcare Group Lp Surgical stapling apparatus having a wound closure material applicator assembly
US7571845B2 (en) 2002-05-10 2009-08-11 Tyco Healthcare Group Lp Surgical stapling apparatus having a wound closure material applicator assembly
US20100230468A1 (en) * 2002-05-10 2010-09-16 Tyco Healthcare Group Lp Surgical Stapling Apparatus Having a Wound Closure Material Applicator Assembly
US20060097027A1 (en) * 2002-05-28 2006-05-11 Temedco, Ltd. Surgical stapling device
US20100219227A1 (en) * 2002-06-14 2010-09-02 Power Medical Interventions, Llc Surgical device
US8056786B2 (en) 2002-06-14 2011-11-15 Tyco Healthcare Group Lp Surgical device
US20040094597A1 (en) * 2002-06-14 2004-05-20 Whitman Michael P. Surgical device
US7743960B2 (en) 2002-06-14 2010-06-29 Power Medical Interventions, Llc Surgical device
US9861362B2 (en) 2002-06-14 2018-01-09 Covidien Lp Surgical device
US8540733B2 (en) 2002-06-14 2013-09-24 Covidien Lp Surgical method and device having a first jaw and a second jaw in opposed correspondence for clamping, cutting, and stapling tissue
US8011552B2 (en) 2003-10-17 2011-09-06 Tyco Healthcare Group Lp Surgical fastener applying apparatus with controlled beam deflection
US10154843B2 (en) 2003-10-17 2018-12-18 Covidien Lp Surgical fastener applying apparatus with controlled beam deflection
US7296722B2 (en) 2003-10-17 2007-11-20 Tyco Healthcare Group Lp Surgical fastener applying apparatus with controlled beam deflection
US7543729B2 (en) 2003-10-17 2009-06-09 Tyco Healthcare Group Lp Surgical fastener applying apparatus with controlled beam deflection
US10835252B2 (en) 2003-10-17 2020-11-17 Covidien Lp Surgical fastener applying apparatus with controlled beam deflection
US20100170933A1 (en) * 2003-10-17 2010-07-08 Tyco Healthcare Group Lp Surgical Fastener Applying Apparatus with Controlled Beam Deflection
US7699205B2 (en) 2003-10-17 2010-04-20 Tyco Healthcare Group Lp Surgical fastener applying apparatus with controlled beam deflection
US20080054046A1 (en) * 2003-10-17 2008-03-06 David Ivanko Surgical fastener applying apparatus with controlled beam deflection
US9241711B2 (en) 2003-10-17 2016-01-26 Covidien Lp Surgical fastener applying apparatus with controlled beam deflection
US8292149B2 (en) 2003-10-17 2012-10-23 Tyco Healthcare Group Lp Surgical fastener applying apparatus with controlled beam deflection
US8701961B2 (en) 2003-10-17 2014-04-22 Covidien Lp Surgical fastener applying apparatus with controlled beam deflection
US20090127313A1 (en) * 2003-10-17 2009-05-21 David Ivanko Surgical fastener applying apparatus with controlled beam deflection
US11219452B2 (en) 2004-02-23 2022-01-11 Covidien Lp Surgical cutting and stapling device
US8025199B2 (en) 2004-02-23 2011-09-27 Tyco Healthcare Group Lp Surgical cutting and stapling device
US11684365B2 (en) 2004-07-28 2023-06-27 Cilag Gmbh International Replaceable staple cartridges for surgical instruments
US11890012B2 (en) 2004-07-28 2024-02-06 Cilag Gmbh International Staple cartridge comprising cartridge body and attached support
US11812960B2 (en) 2004-07-28 2023-11-14 Cilag Gmbh International Method of segmenting the operation of a surgical stapling instrument
US11896225B2 (en) 2004-07-28 2024-02-13 Cilag Gmbh International Staple cartridge comprising a pan
US11882987B2 (en) 2004-07-28 2024-01-30 Cilag Gmbh International Articulating surgical stapling instrument incorporating a two-piece E-beam firing mechanism
US20060049231A1 (en) * 2004-07-30 2006-03-09 Leiboff Arnold R Surgical stapling instrument and method for its use
US7210609B2 (en) 2004-07-30 2007-05-01 Tools For Surgery, Llc Stapling apparatus having a curved anvil and driver
US11771425B2 (en) 2005-08-31 2023-10-03 Cilag Gmbh International Stapling assembly for forming staples to different formed heights
US11839375B2 (en) 2005-08-31 2023-12-12 Cilag Gmbh International Fastener cartridge assembly comprising an anvil and different staple heights
US11730474B2 (en) 2005-08-31 2023-08-22 Cilag Gmbh International Fastener cartridge assembly comprising a movable cartridge and a staple driver arrangement
US11576673B2 (en) 2005-08-31 2023-02-14 Cilag Gmbh International Stapling assembly for forming staples to different heights
US11793512B2 (en) 2005-08-31 2023-10-24 Cilag Gmbh International Staple cartridges for forming staples having differing formed staple heights
US11484312B2 (en) 2005-08-31 2022-11-01 Cilag Gmbh International Staple cartridge comprising a staple driver arrangement
US11484311B2 (en) 2005-08-31 2022-11-01 Cilag Gmbh International Staple cartridge comprising a staple driver arrangement
US11272928B2 (en) 2005-08-31 2022-03-15 Cilag GmbH Intemational Staple cartridges for forming staples having differing formed staple heights
US11793511B2 (en) 2005-11-09 2023-10-24 Cilag Gmbh International Surgical instruments
US11350916B2 (en) 2006-01-31 2022-06-07 Cilag Gmbh International Endoscopic surgical instrument with a handle that can articulate with respect to the shaft
US11883020B2 (en) 2006-01-31 2024-01-30 Cilag Gmbh International Surgical instrument having a feedback system
US11660110B2 (en) 2006-01-31 2023-05-30 Cilag Gmbh International Motor-driven surgical cutting and fastening instrument with tactile position feedback
US11364046B2 (en) 2006-01-31 2022-06-21 Cilag Gmbh International Motor-driven surgical cutting and fastening instrument with tactile position feedback
US11612393B2 (en) 2006-01-31 2023-03-28 Cilag Gmbh International Robotically-controlled end effector
US11224454B2 (en) 2006-01-31 2022-01-18 Cilag Gmbh International Motor-driven surgical cutting and fastening instrument with tactile position feedback
US11278279B2 (en) 2006-01-31 2022-03-22 Cilag Gmbh International Surgical instrument assembly
US11648008B2 (en) 2006-01-31 2023-05-16 Cilag Gmbh International Surgical instrument having force feedback capabilities
US11890029B2 (en) 2006-01-31 2024-02-06 Cilag Gmbh International Motor-driven surgical cutting and fastening instrument
US11793518B2 (en) 2006-01-31 2023-10-24 Cilag Gmbh International Powered surgical instruments with firing system lockout arrangements
US11890008B2 (en) 2006-01-31 2024-02-06 Cilag Gmbh International Surgical instrument with firing lockout
US11648024B2 (en) 2006-01-31 2023-05-16 Cilag Gmbh International Motor-driven surgical cutting and fastening instrument with position feedback
US11801051B2 (en) 2006-01-31 2023-10-31 Cilag Gmbh International Accessing data stored in a memory of a surgical instrument
US11246616B2 (en) 2006-01-31 2022-02-15 Cilag Gmbh International Motor-driven surgical cutting and fastening instrument with tactile position feedback
US11272938B2 (en) 2006-06-27 2022-03-15 Cilag Gmbh International Surgical instrument including dedicated firing and retraction assemblies
US11571231B2 (en) 2006-09-29 2023-02-07 Cilag Gmbh International Staple cartridge having a driver for driving multiple staples
US11622785B2 (en) 2006-09-29 2023-04-11 Cilag Gmbh International Surgical staples having attached drivers and stapling instruments for deploying the same
US11877748B2 (en) 2006-10-03 2024-01-23 Cilag Gmbh International Robotically-driven surgical instrument with E-beam driver
US11382626B2 (en) 2006-10-03 2022-07-12 Cilag Gmbh International Surgical system including a knife bar supported for rotational and axial travel
US11918211B2 (en) 2007-01-10 2024-03-05 Cilag Gmbh International Surgical stapling instrument for use with a robotic system
US11291441B2 (en) 2007-01-10 2022-04-05 Cilag Gmbh International Surgical instrument with wireless communication between control unit and remote sensor
US11812961B2 (en) 2007-01-10 2023-11-14 Cilag Gmbh International Surgical instrument including a motor control system
US11849947B2 (en) 2007-01-10 2023-12-26 Cilag Gmbh International Surgical system including a control circuit and a passively-powered transponder
US11350929B2 (en) 2007-01-10 2022-06-07 Cilag Gmbh International Surgical instrument with wireless communication between control unit and sensor transponders
US11666332B2 (en) 2007-01-10 2023-06-06 Cilag Gmbh International Surgical instrument comprising a control circuit configured to adjust the operation of a motor
US11844521B2 (en) 2007-01-10 2023-12-19 Cilag Gmbh International Surgical instrument for use with a robotic system
US11771426B2 (en) 2007-01-10 2023-10-03 Cilag Gmbh International Surgical instrument with wireless communication
US11839352B2 (en) 2007-01-11 2023-12-12 Cilag Gmbh International Surgical stapling device with an end effector
US11337693B2 (en) 2007-03-15 2022-05-24 Cilag Gmbh International Surgical stapling instrument having a releasable buttress material
US11857181B2 (en) 2007-06-04 2024-01-02 Cilag Gmbh International Robotically-controlled shaft based rotary drive systems for surgical instruments
US11911028B2 (en) 2007-06-04 2024-02-27 Cilag Gmbh International Surgical instruments for use with a robotic surgical system
US11648006B2 (en) 2007-06-04 2023-05-16 Cilag Gmbh International Robotically-controlled shaft based rotary drive systems for surgical instruments
US11564682B2 (en) 2007-06-04 2023-01-31 Cilag Gmbh International Surgical stapler device
US11559302B2 (en) 2007-06-04 2023-01-24 Cilag Gmbh International Surgical instrument including a firing member movable at different speeds
US11672531B2 (en) 2007-06-04 2023-06-13 Cilag Gmbh International Rotary drive systems for surgical instruments
US11849941B2 (en) 2007-06-29 2023-12-26 Cilag Gmbh International Staple cartridge having staple cavities extending at a transverse angle relative to a longitudinal cartridge axis
US11925346B2 (en) 2007-06-29 2024-03-12 Cilag Gmbh International Surgical staple cartridge including tissue supporting surfaces
US10117651B2 (en) 2007-09-21 2018-11-06 Covidien Lp Surgical device having a rotatable jaw portion
US8353440B2 (en) 2007-09-21 2013-01-15 Covidien Lp Surgical device having a rotatable jaw portion
US7992758B2 (en) 2007-09-21 2011-08-09 Tyco Healthcare Group Lp Surgical device having a rotatable jaw portion
US10881397B2 (en) 2007-09-21 2021-01-05 Covidien Lp Surgical device having a rotatable jaw portion
US7918230B2 (en) 2007-09-21 2011-04-05 Tyco Healthcare Group Lp Surgical device having a rotatable jaw portion
US9017371B2 (en) 2007-09-21 2015-04-28 Covidien Lp Surgical device having multiple drivers
US10420548B2 (en) 2007-09-21 2019-09-24 Covidien Lp Surgical device having multiple drivers
US8272554B2 (en) 2007-09-21 2012-09-25 Tyco Healthcare Group Lp Surgical device having multiple drivers
US9204877B2 (en) 2007-09-21 2015-12-08 Covidien Lp Surgical device having a rotatable jaw portion
US8342379B2 (en) 2007-09-21 2013-01-01 Covidien Lp Surgical device having multiple drivers
US8752748B2 (en) 2007-09-21 2014-06-17 Covidien Lp Surgical device having a rotatable jaw portion
US7963433B2 (en) 2007-09-21 2011-06-21 Tyco Healthcare Group Lp Surgical device having multiple drivers
US9282961B2 (en) 2007-09-21 2016-03-15 Covidien Lp Surgical device having multiple drivers
US11317909B2 (en) 2007-09-21 2022-05-03 Covidien Lp Surgical device having multiple drivers
US11717285B2 (en) 2008-02-14 2023-08-08 Cilag Gmbh International Surgical cutting and fastening instrument having RF electrodes
US11801047B2 (en) 2008-02-14 2023-10-31 Cilag Gmbh International Surgical stapling system comprising a control circuit configured to selectively monitor tissue impedance and adjust control of a motor
US11464514B2 (en) 2008-02-14 2022-10-11 Cilag Gmbh International Motorized surgical stapling system including a sensing array
US11571212B2 (en) 2008-02-14 2023-02-07 Cilag Gmbh International Surgical stapling system including an impedance sensor
US11638583B2 (en) 2008-02-14 2023-05-02 Cilag Gmbh International Motorized surgical system having a plurality of power sources
US11612395B2 (en) 2008-02-14 2023-03-28 Cilag Gmbh International Surgical system including a control system having an RFID tag reader
US11446034B2 (en) 2008-02-14 2022-09-20 Cilag Gmbh International Surgical stapling assembly comprising first and second actuation systems configured to perform different functions
US11484307B2 (en) 2008-02-14 2022-11-01 Cilag Gmbh International Loading unit coupleable to a surgical stapling system
US8936185B2 (en) 2008-05-05 2015-01-20 Covidien Lp Surgical instrument with sequential clamping and cutting
US8757467B2 (en) 2008-05-05 2014-06-24 Covidien Lp Surgical instrument with sequential clamping and cutting
US20110068147A1 (en) * 2008-05-05 2011-03-24 Danyel Racenet Surgical instrument with sequential clamping and cutting
US9737297B2 (en) 2008-05-05 2017-08-22 Covidien Lp Surgical instrument with sequential clamping and cutting
US9351725B2 (en) 2008-06-04 2016-05-31 Covidien Lp Attachable clamp for surgical stapler
US20090302093A1 (en) * 2008-06-04 2009-12-10 Tyco Healthcare Group Lp Attachable clamp for surgical stapler
US8424738B2 (en) 2008-06-04 2013-04-23 Covidien Lp Attachable clamp for surgical stapler
US9463016B2 (en) 2008-06-04 2016-10-11 Covidien Lp Attachable clamp for surgical stapler
US9566066B2 (en) 2008-06-04 2017-02-14 Covidien Lp Attachable clamp for surgical stapler
US11406380B2 (en) 2008-09-23 2022-08-09 Cilag Gmbh International Motorized surgical instrument
US11517304B2 (en) 2008-09-23 2022-12-06 Cilag Gmbh International Motor-driven surgical cutting instrument
US11871923B2 (en) 2008-09-23 2024-01-16 Cilag Gmbh International Motorized surgical instrument
US11684361B2 (en) 2008-09-23 2023-06-27 Cilag Gmbh International Motor-driven surgical cutting instrument
US11812954B2 (en) 2008-09-23 2023-11-14 Cilag Gmbh International Robotically-controlled motorized surgical instrument with an end effector
US11617575B2 (en) 2008-09-23 2023-04-04 Cilag Gmbh International Motor-driven surgical cutting instrument
US11648005B2 (en) 2008-09-23 2023-05-16 Cilag Gmbh International Robotically-controlled motorized surgical instrument with an end effector
US11617576B2 (en) 2008-09-23 2023-04-04 Cilag Gmbh International Motor-driven surgical cutting instrument
US11583279B2 (en) 2008-10-10 2023-02-21 Cilag Gmbh International Powered surgical cutting and stapling apparatus with manually retractable firing system
US11730477B2 (en) 2008-10-10 2023-08-22 Cilag Gmbh International Powered surgical system with manually retractable firing system
US11793521B2 (en) 2008-10-10 2023-10-24 Cilag Gmbh International Powered surgical cutting and stapling apparatus with manually retractable firing system
US8393516B2 (en) 2009-02-26 2013-03-12 Covidien Lp Surgical stapling apparatus with curved cartridge and anvil assemblies
US8925787B2 (en) 2009-02-26 2015-01-06 Covidien Lp Surgical stapling apparatus with curved cartridge and anvil assemblies
US8684254B2 (en) 2009-02-26 2014-04-01 Covidien Lp Surgical stapling apparatus with curved cartridge and anvil assemblies
US9750527B2 (en) 2009-02-26 2017-09-05 Covidien Lp Surgical stapling apparatus with curved cartridge and anvil assemblies
US9833237B2 (en) 2009-05-06 2017-12-05 Covidien Lp Pin locking mechanism for a surgical instrument
US9314264B2 (en) 2009-05-06 2016-04-19 Covidien Lp Pin locking mechanism for a surgical instrument
US9113869B2 (en) 2009-05-06 2015-08-25 Covidien Lp Pin locking mechanism for a surgical instrument
US9675356B2 (en) 2009-05-06 2017-06-13 Covidien Lp Pin locking mechanism for a surgical instrument
US8353436B2 (en) 2009-05-06 2013-01-15 Covidien Lp Pin locking mechanism for a surgical instrument
US9198658B2 (en) 2009-05-06 2015-12-01 Covidien Lp Pin locking mechanism for a surgical instrument
US8328064B2 (en) 2009-05-06 2012-12-11 Covidien Lp Pin locking mechanism for a surgical instrument
US20100282818A1 (en) * 2009-05-06 2010-11-11 Danyel Racenet Pin locking mechanism for a surgical instrument
US8827137B2 (en) 2010-03-25 2014-09-09 Covidien Lp Pin alignment assembly for surgical stapler
US20110233261A1 (en) * 2010-03-25 2011-09-29 Ramesh Srinivasa Rao Pin alignment assembly for surgical stapler
US8940000B2 (en) 2010-05-12 2015-01-27 Covidien Lp Surgical instruments with flexible member attachment structures
US11478247B2 (en) 2010-07-30 2022-10-25 Cilag Gmbh International Tissue acquisition arrangements and methods for surgical stapling devices
US11395651B2 (en) 2010-09-30 2022-07-26 Cilag Gmbh International Adhesive film laminate
US11911027B2 (en) 2010-09-30 2024-02-27 Cilag Gmbh International Adhesive film laminate
US11672536B2 (en) 2010-09-30 2023-06-13 Cilag Gmbh International Layer of material for a surgical end effector
US11684360B2 (en) 2010-09-30 2023-06-27 Cilag Gmbh International Staple cartridge comprising a variable thickness compressible portion
US11559496B2 (en) 2010-09-30 2023-01-24 Cilag Gmbh International Tissue thickness compensator configured to redistribute compressive forces
US11857187B2 (en) 2010-09-30 2024-01-02 Cilag Gmbh International Tissue thickness compensator comprising controlled release and expansion
US11406377B2 (en) 2010-09-30 2022-08-09 Cilag Gmbh International Adhesive film laminate
US11883025B2 (en) 2010-09-30 2024-01-30 Cilag Gmbh International Tissue thickness compensator comprising a plurality of layers
US11737754B2 (en) 2010-09-30 2023-08-29 Cilag Gmbh International Surgical stapler with floating anvil
US11812965B2 (en) 2010-09-30 2023-11-14 Cilag Gmbh International Layer of material for a surgical end effector
US11849952B2 (en) 2010-09-30 2023-12-26 Cilag Gmbh International Staple cartridge comprising staples positioned within a compressible portion thereof
US11925354B2 (en) 2010-09-30 2024-03-12 Cilag Gmbh International Staple cartridge comprising staples positioned within a compressible portion thereof
US11298125B2 (en) 2010-09-30 2022-04-12 Cilag Gmbh International Tissue stapler having a thickness compensator
US11571215B2 (en) 2010-09-30 2023-02-07 Cilag Gmbh International Layer of material for a surgical end effector
US11850310B2 (en) 2010-09-30 2023-12-26 Cilag Gmbh International Staple cartridge including an adjunct
US11583277B2 (en) 2010-09-30 2023-02-21 Cilag Gmbh International Layer of material for a surgical end effector
US11602340B2 (en) 2010-09-30 2023-03-14 Cilag Gmbh International Adhesive film laminate
US11529142B2 (en) 2010-10-01 2022-12-20 Cilag Gmbh International Surgical instrument having a power control circuit
US9022273B1 (en) * 2011-01-04 2015-05-05 Covidien Lp Surgical fastener-applying apparatuses with sequential firing
US9226752B2 (en) * 2011-01-04 2016-01-05 Covidien Lp Surgical fastener-applying apparatuses with sequential firing
US8348124B2 (en) 2011-02-08 2013-01-08 Covidien Lp Knife bar with geared overdrive
US8967445B2 (en) 2011-03-18 2015-03-03 Covidien Lp Shipping wedge with lockout
US9107662B2 (en) 2011-03-18 2015-08-18 Covidien Lp Shipping wedge with lockout
US8701962B2 (en) 2011-03-18 2014-04-22 Covidien Lp Shipping wedge with lockout
US8397972B2 (en) * 2011-03-18 2013-03-19 Covidien Lp Shipping wedge with lockout
US11504116B2 (en) 2011-04-29 2022-11-22 Cilag Gmbh International Layer of material for a surgical end effector
US11583278B2 (en) 2011-05-27 2023-02-21 Cilag Gmbh International Surgical stapling system having multi-direction articulation
US11918208B2 (en) 2011-05-27 2024-03-05 Cilag Gmbh International Robotically-controlled shaft based rotary drive systems for surgical instruments
US11439470B2 (en) 2011-05-27 2022-09-13 Cilag Gmbh International Robotically-controlled surgical instrument with selectively articulatable end effector
US11266410B2 (en) 2011-05-27 2022-03-08 Cilag Gmbh International Surgical device for use with a robotic system
US11612394B2 (en) 2011-05-27 2023-03-28 Cilag Gmbh International Automated end effector component reloading system for use with a robotic system
US11793509B2 (en) 2012-03-28 2023-10-24 Cilag Gmbh International Staple cartridge including an implantable layer
US11918220B2 (en) 2012-03-28 2024-03-05 Cilag Gmbh International Tissue thickness compensator comprising tissue ingrowth features
US11406378B2 (en) 2012-03-28 2022-08-09 Cilag Gmbh International Staple cartridge comprising a compressible tissue thickness compensator
US11707273B2 (en) 2012-06-15 2023-07-25 Cilag Gmbh International Articulatable surgical instrument comprising a firing drive
US11779420B2 (en) 2012-06-28 2023-10-10 Cilag Gmbh International Robotic surgical attachments having manually-actuated retraction assemblies
US11806013B2 (en) 2012-06-28 2023-11-07 Cilag Gmbh International Firing system arrangements for surgical instruments
US11534162B2 (en) 2012-06-28 2022-12-27 Cilag GmbH Inlernational Robotically powered surgical device with manually-actuatable reversing system
US11857189B2 (en) 2012-06-28 2024-01-02 Cilag Gmbh International Surgical instrument including first and second articulation joints
US11622766B2 (en) 2012-06-28 2023-04-11 Cilag Gmbh International Empty clip cartridge lockout
US11278284B2 (en) 2012-06-28 2022-03-22 Cilag Gmbh International Rotary drive arrangements for surgical instruments
US11464513B2 (en) 2012-06-28 2022-10-11 Cilag Gmbh International Surgical instrument system including replaceable end effectors
US11602346B2 (en) 2012-06-28 2023-03-14 Cilag Gmbh International Robotically powered surgical device with manually-actuatable reversing system
US11918213B2 (en) 2012-06-28 2024-03-05 Cilag Gmbh International Surgical stapler including couplers for attaching a shaft to an end effector
US11540829B2 (en) 2012-06-28 2023-01-03 Cilag Gmbh International Surgical instrument system including replaceable end effectors
US11373755B2 (en) 2012-08-23 2022-06-28 Cilag Gmbh International Surgical device drive system including a ratchet mechanism
US11529138B2 (en) 2013-03-01 2022-12-20 Cilag Gmbh International Powered surgical instrument including a rotary drive screw
US11246618B2 (en) 2013-03-01 2022-02-15 Cilag Gmbh International Surgical instrument soft stop
US11266406B2 (en) 2013-03-14 2022-03-08 Cilag Gmbh International Control systems for surgical instruments
US11406381B2 (en) 2013-04-16 2022-08-09 Cilag Gmbh International Powered surgical stapler
US11633183B2 (en) 2013-04-16 2023-04-25 Cilag International GmbH Stapling assembly comprising a retraction drive
US11638581B2 (en) 2013-04-16 2023-05-02 Cilag Gmbh International Powered surgical stapler
US11622763B2 (en) 2013-04-16 2023-04-11 Cilag Gmbh International Stapling assembly comprising a shiftable drive
US11395652B2 (en) 2013-04-16 2022-07-26 Cilag Gmbh International Powered surgical stapler
US11564679B2 (en) 2013-04-16 2023-01-31 Cilag Gmbh International Powered surgical stapler
US11690615B2 (en) 2013-04-16 2023-07-04 Cilag Gmbh International Surgical system including an electric motor and a surgical instrument
US11389160B2 (en) 2013-08-23 2022-07-19 Cilag Gmbh International Surgical system comprising a display
US11701110B2 (en) 2013-08-23 2023-07-18 Cilag Gmbh International Surgical instrument including a drive assembly movable in a non-motorized mode of operation
US11918209B2 (en) 2013-08-23 2024-03-05 Cilag Gmbh International Torque optimization for surgical instruments
US11504119B2 (en) 2013-08-23 2022-11-22 Cilag Gmbh International Surgical instrument including an electronic firing lockout
US11376001B2 (en) 2013-08-23 2022-07-05 Cilag Gmbh International Surgical stapling device with rotary multi-turn retraction mechanism
US11259799B2 (en) 2014-03-26 2022-03-01 Cilag Gmbh International Interface systems for use with surgical instruments
US11497488B2 (en) 2014-03-26 2022-11-15 Cilag Gmbh International Systems and methods for controlling a segmented circuit
US11925353B2 (en) 2014-04-16 2024-03-12 Cilag Gmbh International Surgical stapling instrument comprising internal passage between stapling cartridge and elongate channel
US11918222B2 (en) 2014-04-16 2024-03-05 Cilag Gmbh International Stapling assembly having firing member viewing windows
US11883026B2 (en) 2014-04-16 2024-01-30 Cilag Gmbh International Fastener cartridge assemblies and staple retainer cover arrangements
US11596406B2 (en) 2014-04-16 2023-03-07 Cilag Gmbh International Fastener cartridges including extensions having different configurations
US11266409B2 (en) 2014-04-16 2022-03-08 Cilag Gmbh International Fastener cartridge comprising a sled including longitudinally-staggered ramps
US11298134B2 (en) 2014-04-16 2022-04-12 Cilag Gmbh International Fastener cartridge comprising non-uniform fasteners
US11382627B2 (en) 2014-04-16 2022-07-12 Cilag Gmbh International Surgical stapling assembly comprising a firing member including a lateral extension
US11717294B2 (en) 2014-04-16 2023-08-08 Cilag Gmbh International End effector arrangements comprising indicators
US11382625B2 (en) 2014-04-16 2022-07-12 Cilag Gmbh International Fastener cartridge comprising non-uniform fasteners
US20170333036A1 (en) * 2014-07-01 2017-11-23 Covidien Lp Loading unit including shipping assembly
US10709445B2 (en) * 2014-07-01 2020-07-14 Covidien Lp Loading unit including shipping assembly
US11389162B2 (en) 2014-09-05 2022-07-19 Cilag Gmbh International Smart cartridge wake up operation and data retention
US11311294B2 (en) 2014-09-05 2022-04-26 Cilag Gmbh International Powered medical device including measurement of closure state of jaws
US11717297B2 (en) 2014-09-05 2023-08-08 Cilag Gmbh International Smart cartridge wake up operation and data retention
US11406386B2 (en) 2014-09-05 2022-08-09 Cilag Gmbh International End effector including magnetic and impedance sensors
US11653918B2 (en) 2014-09-05 2023-05-23 Cilag Gmbh International Local display of tissue parameter stabilization
US11523821B2 (en) 2014-09-26 2022-12-13 Cilag Gmbh International Method for creating a flexible staple line
US11701114B2 (en) 2014-10-16 2023-07-18 Cilag Gmbh International Staple cartridge
US11918210B2 (en) 2014-10-16 2024-03-05 Cilag Gmbh International Staple cartridge comprising a cartridge body including a plurality of wells
US11241229B2 (en) 2014-10-29 2022-02-08 Cilag Gmbh International Staple cartridges comprising driver arrangements
US11457918B2 (en) 2014-10-29 2022-10-04 Cilag Gmbh International Cartridge assemblies for surgical staplers
US11864760B2 (en) 2014-10-29 2024-01-09 Cilag Gmbh International Staple cartridges comprising driver arrangements
US11337698B2 (en) 2014-11-06 2022-05-24 Cilag Gmbh International Staple cartridge comprising a releasable adjunct material
US11382628B2 (en) 2014-12-10 2022-07-12 Cilag Gmbh International Articulatable surgical instrument system
US11812958B2 (en) 2014-12-18 2023-11-14 Cilag Gmbh International Locking arrangements for detachable shaft assemblies with articulatable surgical end effectors
US11571207B2 (en) 2014-12-18 2023-02-07 Cilag Gmbh International Surgical system including lateral supports for a flexible drive member
US11399831B2 (en) 2014-12-18 2022-08-02 Cilag Gmbh International Drive arrangements for articulatable surgical instruments
US11678877B2 (en) 2014-12-18 2023-06-20 Cilag Gmbh International Surgical instrument including a flexible support configured to support a flexible firing member
US11547404B2 (en) 2014-12-18 2023-01-10 Cilag Gmbh International Surgical instrument assembly comprising a flexible articulation system
US11547403B2 (en) 2014-12-18 2023-01-10 Cilag Gmbh International Surgical instrument having a laminate firing actuator and lateral buckling supports
US11553911B2 (en) 2014-12-18 2023-01-17 Cilag Gmbh International Surgical instrument assembly comprising a flexible articulation system
US11517311B2 (en) 2014-12-18 2022-12-06 Cilag Gmbh International Surgical instrument systems comprising an articulatable end effector and means for adjusting the firing stroke of a firing member
US10702269B2 (en) 2014-12-25 2020-07-07 Covidien Lp Surgical stapling devices
US9775611B2 (en) 2015-01-06 2017-10-03 Covidien Lp Clam shell surgical stapling loading unit
US11324506B2 (en) 2015-02-27 2022-05-10 Cilag Gmbh International Modular stapling assembly
US11744588B2 (en) 2015-02-27 2023-09-05 Cilag Gmbh International Surgical stapling instrument including a removably attachable battery pack
US9855040B2 (en) 2015-03-04 2018-01-02 Covidien Lp Surgical stapling loading unit having articulating jaws
US10806447B2 (en) 2015-03-04 2020-10-20 Covidien Lp Surgical stapling loading unit having articulating jaws
US11350843B2 (en) 2015-03-06 2022-06-07 Cilag Gmbh International Time dependent evaluation of sensor data to determine stability, creep, and viscoelastic elements of measures
US11426160B2 (en) 2015-03-06 2022-08-30 Cilag Gmbh International Smart sensors with local signal processing
US11826132B2 (en) 2015-03-06 2023-11-28 Cilag Gmbh International Time dependent evaluation of sensor data to determine stability, creep, and viscoelastic elements of measures
US11918212B2 (en) 2015-03-31 2024-03-05 Cilag Gmbh International Surgical instrument with selectively disengageable drive systems
US11344299B2 (en) 2015-09-23 2022-05-31 Cilag Gmbh International Surgical stapler having downstream current-based motor control
US11490889B2 (en) 2015-09-23 2022-11-08 Cilag Gmbh International Surgical stapler having motor control based on an electrical parameter related to a motor current
US11849946B2 (en) 2015-09-23 2023-12-26 Cilag Gmbh International Surgical stapler having downstream current-based motor control
US11793522B2 (en) 2015-09-30 2023-10-24 Cilag Gmbh International Staple cartridge assembly including a compressible adjunct
US11903586B2 (en) 2015-09-30 2024-02-20 Cilag Gmbh International Compressible adjunct with crossing spacer fibers
US11712244B2 (en) 2015-09-30 2023-08-01 Cilag Gmbh International Implantable layer with spacer fibers
US11553916B2 (en) 2015-09-30 2023-01-17 Cilag Gmbh International Compressible adjunct with crossing spacer fibers
US11890015B2 (en) 2015-09-30 2024-02-06 Cilag Gmbh International Compressible adjunct with crossing spacer fibers
US11759208B2 (en) 2015-12-30 2023-09-19 Cilag Gmbh International Mechanisms for compensating for battery pack failure in powered surgical instruments
US11484309B2 (en) 2015-12-30 2022-11-01 Cilag Gmbh International Surgical stapling system comprising a controller configured to cause a motor to reset a firing sequence
US11523823B2 (en) 2016-02-09 2022-12-13 Cilag Gmbh International Surgical instruments with non-symmetrical articulation arrangements
US11730471B2 (en) 2016-02-09 2023-08-22 Cilag Gmbh International Articulatable surgical instruments with single articulation link arrangements
US11344303B2 (en) 2016-02-12 2022-05-31 Cilag Gmbh International Mechanisms for compensating for drivetrain failure in powered surgical instruments
US11826045B2 (en) 2016-02-12 2023-11-28 Cilag Gmbh International Mechanisms for compensating for drivetrain failure in powered surgical instruments
US11779336B2 (en) 2016-02-12 2023-10-10 Cilag Gmbh International Mechanisms for compensating for drivetrain failure in powered surgical instruments
US11607239B2 (en) 2016-04-15 2023-03-21 Cilag Gmbh International Systems and methods for controlling a surgical stapling and cutting instrument
US11350932B2 (en) 2016-04-15 2022-06-07 Cilag Gmbh International Surgical instrument with improved stop/start control during a firing motion
US11284891B2 (en) 2016-04-15 2022-03-29 Cilag Gmbh International Surgical instrument with multiple program responses during a firing motion
US11517306B2 (en) 2016-04-15 2022-12-06 Cilag Gmbh International Surgical instrument with detection sensors
US11642125B2 (en) 2016-04-15 2023-05-09 Cilag Gmbh International Robotic surgical system including a user interface and a control circuit
US11317910B2 (en) 2016-04-15 2022-05-03 Cilag Gmbh International Surgical instrument with detection sensors
US11311292B2 (en) 2016-04-15 2022-04-26 Cilag Gmbh International Surgical instrument with detection sensors
US11811253B2 (en) 2016-04-18 2023-11-07 Cilag Gmbh International Surgical robotic system with fault state detection configurations based on motor current draw
US11350928B2 (en) 2016-04-18 2022-06-07 Cilag Gmbh International Surgical instrument comprising a tissue thickness lockout and speed control system
US11559303B2 (en) 2016-04-18 2023-01-24 Cilag Gmbh International Cartridge lockout arrangements for rotary powered surgical cutting and stapling instruments
US11317917B2 (en) 2016-04-18 2022-05-03 Cilag Gmbh International Surgical stapling system comprising a lockable firing assembly
USD814632S1 (en) 2016-10-21 2018-04-03 Covidien Lp Staple cartridge
US10939910B2 (en) 2016-12-02 2021-03-09 Covidien Lp Surgical stapling instrument with curved end effector
US11666329B2 (en) 2016-12-02 2023-06-06 Covidien Lp Surgical stapling instrument with curved end effector
US11419606B2 (en) 2016-12-21 2022-08-23 Cilag Gmbh International Shaft assembly comprising a clutch configured to adapt the output of a rotary firing member to two different systems
US11224428B2 (en) 2016-12-21 2022-01-18 Cilag Gmbh International Surgical stapling systems
US11918215B2 (en) 2016-12-21 2024-03-05 Cilag Gmbh International Staple cartridge with array of staple pockets
US11369376B2 (en) 2016-12-21 2022-06-28 Cilag Gmbh International Surgical stapling systems
US11766260B2 (en) 2016-12-21 2023-09-26 Cilag Gmbh International Methods of stapling tissue
US11849948B2 (en) 2016-12-21 2023-12-26 Cilag Gmbh International Method for resetting a fuse of a surgical instrument shaft
US11497499B2 (en) 2016-12-21 2022-11-15 Cilag Gmbh International Articulatable surgical stapling instruments
US11653917B2 (en) 2016-12-21 2023-05-23 Cilag Gmbh International Surgical stapling systems
US11350935B2 (en) 2016-12-21 2022-06-07 Cilag Gmbh International Surgical tool assemblies with closure stroke reduction features
US11350934B2 (en) 2016-12-21 2022-06-07 Cilag Gmbh International Staple forming pocket arrangement to accommodate different types of staples
US11160553B2 (en) * 2016-12-21 2021-11-02 Cilag Gmbh International Surgical stapling systems
US11701115B2 (en) 2016-12-21 2023-07-18 Cilag Gmbh International Methods of stapling tissue
US11766259B2 (en) 2016-12-21 2023-09-26 Cilag Gmbh International Method of deforming staples from two different types of staple cartridges with the same surgical stapling instrument
US11564688B2 (en) 2016-12-21 2023-01-31 Cilag Gmbh International Robotic surgical tool having a retraction mechanism
US11317913B2 (en) 2016-12-21 2022-05-03 Cilag Gmbh International Lockout arrangements for surgical end effectors and replaceable tool assemblies
US11517325B2 (en) 2017-06-20 2022-12-06 Cilag Gmbh International Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on measured displacement distance traveled over a specified time interval
US11653914B2 (en) 2017-06-20 2023-05-23 Cilag Gmbh International Systems and methods for controlling motor velocity of a surgical stapling and cutting instrument according to articulation angle of end effector
US11382638B2 (en) 2017-06-20 2022-07-12 Cilag Gmbh International Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on measured time over a specified displacement distance
US11672532B2 (en) 2017-06-20 2023-06-13 Cilag Gmbh International Techniques for adaptive control of motor velocity of a surgical stapling and cutting instrument
US11793513B2 (en) 2017-06-20 2023-10-24 Cilag Gmbh International Systems and methods for controlling motor speed according to user input for a surgical instrument
US11871939B2 (en) 2017-06-20 2024-01-16 Cilag Gmbh International Method for closed loop control of motor velocity of a surgical stapling and cutting instrument
US11766258B2 (en) 2017-06-27 2023-09-26 Cilag Gmbh International Surgical anvil arrangements
US11266405B2 (en) 2017-06-27 2022-03-08 Cilag Gmbh International Surgical anvil manufacturing methods
US11324503B2 (en) 2017-06-27 2022-05-10 Cilag Gmbh International Surgical firing member arrangements
US11642128B2 (en) 2017-06-28 2023-05-09 Cilag Gmbh International Method for articulating a surgical instrument
US11696759B2 (en) 2017-06-28 2023-07-11 Cilag Gmbh International Surgical stapling instruments comprising shortened staple cartridge noses
US11826048B2 (en) 2017-06-28 2023-11-28 Cilag Gmbh International Surgical instrument comprising selectively actuatable rotatable couplers
US11678880B2 (en) 2017-06-28 2023-06-20 Cilag Gmbh International Surgical instrument comprising a shaft including a housing arrangement
US11484310B2 (en) 2017-06-28 2022-11-01 Cilag Gmbh International Surgical instrument comprising a shaft including a closure tube profile
US11564686B2 (en) 2017-06-28 2023-01-31 Cilag Gmbh International Surgical shaft assemblies with flexible interfaces
US11529140B2 (en) 2017-06-28 2022-12-20 Cilag Gmbh International Surgical instrument lockout arrangement
US11890005B2 (en) 2017-06-29 2024-02-06 Cilag Gmbh International Methods for closed loop velocity control for robotic surgical instrument
US11471155B2 (en) 2017-08-03 2022-10-18 Cilag Gmbh International Surgical system bailout
US11304695B2 (en) 2017-08-03 2022-04-19 Cilag Gmbh International Surgical system shaft interconnection
US11478244B2 (en) 2017-10-31 2022-10-25 Cilag Gmbh International Cartridge body design with force reduction based on firing completion
US10993714B2 (en) 2017-11-28 2021-05-04 Covidien Lp Surgical stapling instrument and associated trigger mechanisms
US11617578B2 (en) 2017-11-28 2023-04-04 Covidien Lp Surgical stapling instrument and associated trigger mechanisms
US11896222B2 (en) 2017-12-15 2024-02-13 Cilag Gmbh International Methods of operating surgical end effectors
US11284953B2 (en) 2017-12-19 2022-03-29 Cilag Gmbh International Method for determining the position of a rotatable jaw of a surgical instrument attachment assembly
US11369368B2 (en) 2017-12-21 2022-06-28 Cilag Gmbh International Surgical instrument comprising synchronized drive systems
US11883019B2 (en) 2017-12-21 2024-01-30 Cilag Gmbh International Stapling instrument comprising a staple feeding system
US11337691B2 (en) 2017-12-21 2022-05-24 Cilag Gmbh International Surgical instrument configured to determine firing path
US11849939B2 (en) 2017-12-21 2023-12-26 Cilag Gmbh International Continuous use self-propelled stapling instrument
US11311290B2 (en) 2017-12-21 2022-04-26 Cilag Gmbh International Surgical instrument comprising an end effector dampener
US11751867B2 (en) 2017-12-21 2023-09-12 Cilag Gmbh International Surgical instrument comprising sequenced systems
US11583274B2 (en) 2017-12-21 2023-02-21 Cilag Gmbh International Self-guiding stapling instrument
US11576668B2 (en) 2017-12-21 2023-02-14 Cilag Gmbh International Staple instrument comprising a firing path display
US10667818B2 (en) 2018-02-06 2020-06-02 Ethicon Llc Lockout assembly for linear surgical stapler
US10932781B2 (en) 2018-02-06 2021-03-02 Ethicon Llc Features to align and close linear surgical stapler
US10874398B2 (en) 2018-02-06 2020-12-29 Ethicon Llc Firing lever assembly for linear surgical stapler
US10631866B2 (en) 2018-02-06 2020-04-28 Ethicon Llc Release mechanism for linear surgical stapler
US11439398B2 (en) 2018-02-06 2022-09-13 Cilag Gmbh International Release mechanism for linear surgical stapler
US10687819B2 (en) 2018-02-06 2020-06-23 Ethicon Llc Clamping mechanism for linear surgical stapler
US10898197B2 (en) 2018-02-06 2021-01-26 Ethicon Llc Releasable coupling features for proximal portions of linear surgical stapler
US10945730B2 (en) 2018-06-25 2021-03-16 Covidien Lp Stapling device with selectively advanceable alignment pin
US11642189B2 (en) 2018-07-12 2023-05-09 Davol Inc. Surgical instrument with fastener preload lock-out
US11690693B2 (en) 2018-07-12 2023-07-04 Davol Inc. Surgical instrument with fastener preload lockout
US11007030B2 (en) * 2018-07-12 2021-05-18 Davol Inc. Surgical instrument with fastener preload lock-out
US11191604B2 (en) 2018-07-12 2021-12-07 Davol Inc. Surgical instrument with fastener preload lock-out
US11324501B2 (en) 2018-08-20 2022-05-10 Cilag Gmbh International Surgical stapling devices with improved closure members
US11931032B2 (en) 2018-12-28 2024-03-19 Cilag Gmbh International Surgical instrument with wireless communication between a control unit of a robotic system and remote sensor
US11696761B2 (en) 2019-03-25 2023-07-11 Cilag Gmbh International Firing drive arrangements for surgical systems
CN113747841A (en) * 2019-04-26 2021-12-03 西拉格国际有限公司 Staple holder for surgical stapler cartridge
EP3730069A1 (en) * 2019-04-26 2020-10-28 Ethicon LLC Staple retainer for surgical stapler cartridge
WO2020217137A1 (en) * 2019-04-26 2020-10-29 Ethicon Llc Staple retainer for surgical stapler cartridge
US11166721B2 (en) * 2019-04-26 2021-11-09 Cilag Gmbh International Staple retainer for surgical stapler cartridge
US11648009B2 (en) 2019-04-30 2023-05-16 Cilag Gmbh International Rotatable jaw tip for a surgical instrument
US11426251B2 (en) 2019-04-30 2022-08-30 Cilag Gmbh International Articulation directional lights on a surgical instrument
US11452528B2 (en) 2019-04-30 2022-09-27 Cilag Gmbh International Articulation actuators for a surgical instrument
US11253254B2 (en) 2019-04-30 2022-02-22 Cilag Gmbh International Shaft rotation actuator on a surgical instrument
US11471157B2 (en) 2019-04-30 2022-10-18 Cilag Gmbh International Articulation control mapping for a surgical instrument
US11432816B2 (en) 2019-04-30 2022-09-06 Cilag Gmbh International Articulation pin for a surgical instrument
US11903581B2 (en) 2019-04-30 2024-02-20 Cilag Gmbh International Methods for stapling tissue using a surgical instrument
US11660163B2 (en) 2019-06-28 2023-05-30 Cilag Gmbh International Surgical system with RFID tags for updating motor assembly parameters
US11497492B2 (en) 2019-06-28 2022-11-15 Cilag Gmbh International Surgical instrument including an articulation lock
US11627959B2 (en) 2019-06-28 2023-04-18 Cilag Gmbh International Surgical instruments including manual and powered system lockouts
US11771419B2 (en) 2019-06-28 2023-10-03 Cilag Gmbh International Packaging for a replaceable component of a surgical stapling system
US11523822B2 (en) 2019-06-28 2022-12-13 Cilag Gmbh International Battery pack including a circuit interrupter
US11298132B2 (en) 2019-06-28 2022-04-12 Cilag GmbH Inlernational Staple cartridge including a honeycomb extension
US11478241B2 (en) 2019-06-28 2022-10-25 Cilag Gmbh International Staple cartridge including projections
US11464601B2 (en) 2019-06-28 2022-10-11 Cilag Gmbh International Surgical instrument comprising an RFID system for tracking a movable component
US11376098B2 (en) 2019-06-28 2022-07-05 Cilag Gmbh International Surgical instrument system comprising an RFID system
US11350938B2 (en) 2019-06-28 2022-06-07 Cilag Gmbh International Surgical instrument comprising an aligned rfid sensor
US11744593B2 (en) 2019-06-28 2023-09-05 Cilag Gmbh International Method for authenticating the compatibility of a staple cartridge with a surgical instrument
US11298127B2 (en) 2019-06-28 2022-04-12 Cilag GmbH Interational Surgical stapling system having a lockout mechanism for an incompatible cartridge
US11291451B2 (en) 2019-06-28 2022-04-05 Cilag Gmbh International Surgical instrument with battery compatibility verification functionality
US11361176B2 (en) 2019-06-28 2022-06-14 Cilag Gmbh International Surgical RFID assemblies for compatibility detection
US11638587B2 (en) 2019-06-28 2023-05-02 Cilag Gmbh International RFID identification systems for surgical instruments
US11853835B2 (en) 2019-06-28 2023-12-26 Cilag Gmbh International RFID identification systems for surgical instruments
US11399837B2 (en) 2019-06-28 2022-08-02 Cilag Gmbh International Mechanisms for motor control adjustments of a motorized surgical instrument
US11684434B2 (en) 2019-06-28 2023-06-27 Cilag Gmbh International Surgical RFID assemblies for instrument operational setting control
US11553919B2 (en) 2019-06-28 2023-01-17 Cilag Gmbh International Method for authenticating the compatibility of a staple cartridge with a surgical instrument
US11684369B2 (en) 2019-06-28 2023-06-27 Cilag Gmbh International Method of using multiple RFID chips with a surgical assembly
US11426167B2 (en) 2019-06-28 2022-08-30 Cilag Gmbh International Mechanisms for proper anvil attachment surgical stapling head assembly
US11229437B2 (en) 2019-06-28 2022-01-25 Cilag Gmbh International Method for authenticating the compatibility of a staple cartridge with a surgical instrument
US11246678B2 (en) 2019-06-28 2022-02-15 Cilag Gmbh International Surgical stapling system having a frangible RFID tag
US11259803B2 (en) 2019-06-28 2022-03-01 Cilag Gmbh International Surgical stapling system having an information encryption protocol
US11553971B2 (en) 2019-06-28 2023-01-17 Cilag Gmbh International Surgical RFID assemblies for display and communication
US11826044B2 (en) 2019-08-02 2023-11-28 Covidien Lp Surgical stapling device with curved tool assembly
US11806012B2 (en) 2019-11-01 2023-11-07 Covidien Lp Surgical stapling device with knife blade lock
US11857185B2 (en) 2019-12-18 2024-01-02 Covidien Lp Surgical stapling device with shipping cap
US11446029B2 (en) 2019-12-19 2022-09-20 Cilag Gmbh International Staple cartridge comprising projections extending from a curved deck surface
US11844520B2 (en) 2019-12-19 2023-12-19 Cilag Gmbh International Staple cartridge comprising driver retention members
US11291447B2 (en) 2019-12-19 2022-04-05 Cilag Gmbh International Stapling instrument comprising independent jaw closing and staple firing systems
US11464512B2 (en) 2019-12-19 2022-10-11 Cilag Gmbh International Staple cartridge comprising a curved deck surface
US11559304B2 (en) 2019-12-19 2023-01-24 Cilag Gmbh International Surgical instrument comprising a rapid closure mechanism
US11607219B2 (en) 2019-12-19 2023-03-21 Cilag Gmbh International Staple cartridge comprising a detachable tissue cutting knife
US11911032B2 (en) 2019-12-19 2024-02-27 Cilag Gmbh International Staple cartridge comprising a seating cam
US11931033B2 (en) 2019-12-19 2024-03-19 Cilag Gmbh International Staple cartridge comprising a latch lockout
US11304696B2 (en) 2019-12-19 2022-04-19 Cilag Gmbh International Surgical instrument comprising a powered articulation system
US11529139B2 (en) 2019-12-19 2022-12-20 Cilag Gmbh International Motor driven surgical instrument
US11576672B2 (en) 2019-12-19 2023-02-14 Cilag Gmbh International Surgical instrument comprising a closure system including a closure member and an opening member driven by a drive screw
US11529137B2 (en) 2019-12-19 2022-12-20 Cilag Gmbh International Staple cartridge comprising driver retention members
US11504122B2 (en) 2019-12-19 2022-11-22 Cilag Gmbh International Surgical instrument comprising a nested firing member
US11234698B2 (en) 2019-12-19 2022-02-01 Cilag Gmbh International Stapling system comprising a clamp lockout and a firing lockout
US11701111B2 (en) 2019-12-19 2023-07-18 Cilag Gmbh International Method for operating a surgical stapling instrument
USD967421S1 (en) 2020-06-02 2022-10-18 Cilag Gmbh International Staple cartridge
USD974560S1 (en) 2020-06-02 2023-01-03 Cilag Gmbh International Staple cartridge
USD976401S1 (en) 2020-06-02 2023-01-24 Cilag Gmbh International Staple cartridge
USD975850S1 (en) 2020-06-02 2023-01-17 Cilag Gmbh International Staple cartridge
USD975851S1 (en) 2020-06-02 2023-01-17 Cilag Gmbh International Staple cartridge
USD966512S1 (en) 2020-06-02 2022-10-11 Cilag Gmbh International Staple cartridge
USD975278S1 (en) 2020-06-02 2023-01-10 Cilag Gmbh International Staple cartridge
US11744584B2 (en) 2020-06-09 2023-09-05 Covidien Lp Alignment pin assembly for surgical stapler
US11883024B2 (en) 2020-07-28 2024-01-30 Cilag Gmbh International Method of operating a surgical instrument
US11857182B2 (en) 2020-07-28 2024-01-02 Cilag Gmbh International Surgical instruments with combination function articulation joint arrangements
US11660090B2 (en) 2020-07-28 2023-05-30 Cllag GmbH International Surgical instruments with segmented flexible drive arrangements
US11826013B2 (en) 2020-07-28 2023-11-28 Cilag Gmbh International Surgical instruments with firing member closure features
US11737748B2 (en) 2020-07-28 2023-08-29 Cilag Gmbh International Surgical instruments with double spherical articulation joints with pivotable links
US11871925B2 (en) 2020-07-28 2024-01-16 Cilag Gmbh International Surgical instruments with dual spherical articulation joint arrangements
US11864756B2 (en) 2020-07-28 2024-01-09 Cilag Gmbh International Surgical instruments with flexible ball chain drive arrangements
US11638582B2 (en) 2020-07-28 2023-05-02 Cilag Gmbh International Surgical instruments with torsion spine drive arrangements
US11896217B2 (en) 2020-10-29 2024-02-13 Cilag Gmbh International Surgical instrument comprising an articulation lock
USD1013170S1 (en) 2020-10-29 2024-01-30 Cilag Gmbh International Surgical instrument assembly
US11517390B2 (en) 2020-10-29 2022-12-06 Cilag Gmbh International Surgical instrument comprising a limited travel switch
US11931025B2 (en) 2020-10-29 2024-03-19 Cilag Gmbh International Surgical instrument comprising a releasable closure drive lock
US11617577B2 (en) 2020-10-29 2023-04-04 Cilag Gmbh International Surgical instrument comprising a sensor configured to sense whether an articulation drive of the surgical instrument is actuatable
US11534259B2 (en) 2020-10-29 2022-12-27 Cilag Gmbh International Surgical instrument comprising an articulation indicator
US11779330B2 (en) 2020-10-29 2023-10-10 Cilag Gmbh International Surgical instrument comprising a jaw alignment system
US11844518B2 (en) 2020-10-29 2023-12-19 Cilag Gmbh International Method for operating a surgical instrument
USD980425S1 (en) 2020-10-29 2023-03-07 Cilag Gmbh International Surgical instrument assembly
US11717289B2 (en) 2020-10-29 2023-08-08 Cilag Gmbh International Surgical instrument comprising an indicator which indicates that an articulation drive is actuatable
US11452526B2 (en) 2020-10-29 2022-09-27 Cilag Gmbh International Surgical instrument comprising a staged voltage regulation start-up system
USD1018577S1 (en) 2020-11-11 2024-03-19 Cilag Gmbh International Display screen or portion thereof with a graphical user interface for a surgical instrument
US11849943B2 (en) 2020-12-02 2023-12-26 Cilag Gmbh International Surgical instrument with cartridge release mechanisms
US11744581B2 (en) 2020-12-02 2023-09-05 Cilag Gmbh International Powered surgical instruments with multi-phase tissue treatment
US11627960B2 (en) 2020-12-02 2023-04-18 Cilag Gmbh International Powered surgical instruments with smart reload with separately attachable exteriorly mounted wiring connections
US11653915B2 (en) 2020-12-02 2023-05-23 Cilag Gmbh International Surgical instruments with sled location detection and adjustment features
US11653920B2 (en) 2020-12-02 2023-05-23 Cilag Gmbh International Powered surgical instruments with communication interfaces through sterile barrier
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US11931038B2 (en) 2022-10-03 2024-03-19 Cilag Gmbh International Cartridge assemblies for surgical staplers

Also Published As

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DE1541176B1 (en) 1970-03-19
SE376166B (en) 1975-05-12
SE7408204L (en) 1974-06-20
CH450623A (en) 1968-01-31
GB1158111A (en) 1969-07-16
SE390105B (en) 1976-12-06

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